TY 2018 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)	(F) Estimated amount of other compensation from the organization and related organizations
(1) Arnold Chase...................................................................... Director	2.00 .................	X			0	0	0
(2) Douglas Elliot...................................................................... Director	2.00 .................	X			0	0	0
(3) James Loree...................................................................... Director	2.00 .................	X			0	0	0
(4) Brian MacLean...................................................................... Director	2.00 .................	X			0	0	0
(5) Yvette Melendez...................................................................... Director	2.00 .................	X			0	0	0
(6) Michael O'Loughlin...................................................................... Director	2.00 .................	X			0	0	0
(7) Dariush Owlia MD...................................................................... Director	2.00 .................	X			0	0	0
(8) E Carol Polifroni...................................................................... Director	2.00 .................	X			0	0	0
(9) Matthew Saidel MD...................................................................... Director	2.00 .................	X			155,683	0	0
(10) Elease Wright...................................................................... Director	2.00 .................	X			0	0	0
(11) Eric Zachs...................................................................... Chair	3.00 .................	X	X		0	0	0
(12) Alexia Cruz...................................................................... Vice Chair	3.00 .................	X	X		0	0	0
(13) Bimal Patel...................................................................... President & CEO	50.00 ................. 10.00	X	X		0	856,593	121,689
(14) Margaret Marchak...................................................................... Secretary & Former SVP/CLO, HHC	20.00 ................. 40.00		X		0	1,116,829	82,271
(15) Julie Drouin...................................................................... HHC Reg. VP Finance	60.00 .................		X		0	306,476	62,951
(16) Elizabeth Ciotti...................................................................... VP	20.00 ................. 40.00			X	0	246,147	39,157
(17) Cheryl Ficara...................................................................... VP	20.00 ................. 40.00			X	0	520,040	82,975

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(F) Estimated amount of other compensation from the organization and related organizations
(18) Barry Kriesberg........................................................................ VP	20.00 .......................40.00	X			0	404,180	59,380
(19) Carol Garlick........................................................................ VP	60.00 .......................	X			282,255	0	56,818
(20) Ajay Kumar MD........................................................................ VP	20.00 .......................40.00	X			0	600,235	70,426
(21) Andrew Salner MD........................................................................ Chair Cancer Institute	60.00 .......................		X		598,706	0	55,667
(22) Kenneth Robinson MD........................................................................ Dept Chair Emergency Medicine	60.00 .......................		X		586,103	0	76,105
(23) Fred Tilden Jr MD........................................................................ Dir. ER Physician	60.00 .......................		X		447,770	0	69,671
(24) Lynn Mangini........................................................................ Child Adolescent Psychiatrist	60.00 .......................		X		443,457	0	63,954
(25) Evan Fox MD........................................................................ Med Dir. Psychiatry Program	60.00 .......................		X		425,783	0	68,796
(26) Stuart Markowitz MD........................................................................ Former - President & Director	0.00 .......................60.00			X	0	949,489	80,238
(27) Peter Fraser........................................................................ Former - Key Employee	0.00 .......................60.00			X	0	436,757	64,656
(28) Harold Schwartz MD........................................................................ Former - Key Employee	0.00 .......................60.00			X	0	638,200	77,350
(29) Gerald Boisvert........................................................................ Former - VP	0.00 .......................60.00			X	0	887,071	76,659

(A) Name and business address	(B) Description of services	(C) Compensation
University of Connecticut Health Center 263 Farmington Avenue Farmington,CT06030	Medical Services	29,744,925
Air Methods Corporation 7301 Peoria Street Englewood,CO80112	Transportation Services	9,246,966
Origin Incorporated 1800 SW 1st Street Suite 510 Portland,OR97201	Staffing Services	8,602,294
Starling Physicians PC 1260 Silas Deane Highway Suite 102 Wethersfield,CT06109	Medical Services	7,396,395
Morrison Management SP Inc Acure Care 400 Northbridge Road Sandy Springs,GA30350	Food Services	7,244,771
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 138

- 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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Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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 12, 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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

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) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. 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—2017. 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—2018. 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—2017. 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) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. 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—2017. 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) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d 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 12a or 12b 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) 2018

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) 2018

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 (explain in Part VI). 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) 2018

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 2018 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-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

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) 2018

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.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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. Don't 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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) 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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

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) (2018)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

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 (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

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) 2018

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) 2015	(b) 2016	(c) 2017	(d) 2018	(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) 2018

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

168,274

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

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

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

168,274

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 FY19 was $168,274.

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 FY19 was $168,274.

Schedule C (Form 990 or 990EZ) 2018

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.
SchDMd Bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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 7/25/06, 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) 2018

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 ....	208,513,523	194,749,523	168,693,523	159,801,523	138,546,174
b	Contributions ...	1,364,000	6,160,000	9,641,000	635,000	27,936,085
c	Net investment earnings, gains, and losses	5,917,000	12,841,000	21,353,000	12,775,000	-2,385,301
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	5,497,000	5,237,000	4,938,000	4,518,000	4,295,435
f	Administrative expenses ....
g	End of year balance ......	210,297,523	208,513,523	194,749,523	168,693,523	159,801,523

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

50.000 %

Temporarily restricted endowment SchDMd Bullet

50.000 %

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 .....	35,342,973		35,342,973
b	Buildings ....	779,810,347	514,785,060	265,025,287
c	Leasehold improvements
d	Equipment ....	518,043,432	317,293,717	200,749,715
e	Other .....
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				501,117,975

Schedule D (Form 990) 2018

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	8,324,475	F
(B) Investment in Endowment	672,579,038	F
(C) Funds Held in Trust	161,291,938	F
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	842,195,451

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 Non Current Assets				23,164,534
(2) ST/LT Malpractice Claims				49,495,716
(3) CSV Life Insurance				229,417
(4) Due from Affiliates				77,836,441
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				150,726,108

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	11,830,468
Other Net Liabilities	40,490,456
Payable to HHC - Interco Bonds	402,473,733
Hospital Provider User Fee	21,164,439
Accrued Post Retirement Expenses	237,830,307
Current Accrued Malpractice	11,111,335
Long Term Accrued Malpractice	36,890,905
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	761,791,643
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) 2018

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 including but not limited to patient care, research and capital needs. Net assets associated with endowment funds are classified and reported based on the existence or absence of donor-imposed restrictions.

Schedule D (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization
Hartford Hospital

Employer identification number

06-0646668

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in region	(f) Total expenditures for and investments in region
	Europe	0	0	Program Service	Research Activities	157,650
	Middle East and North Africa	0	0	Program Service	Research Activities	113,383















3a	Sub-total .....	0	0			271,033
b	Total from continuation sheets to Part I ...					0
c	Totals (add lines 3a and 3b)	0	0			271,033

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2018

Schedule F (Form 990) 2018

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2018

Schedule F (Form 990) 2018Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2018

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2018

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation
Sch F, Part 1, Line 3, Column F	The transactions shown on Part I of Sch F are being reported on a cash basis.

Schedule F (Form 990) 2018

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

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) 2018

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)	(c) Other events 2 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	1,767,106	24,644	134,541	1,926,291
2	Less: Contributions . . . .	1,501,606	20,312	115,941	1,637,859
3	Gross income (line 1 minus line 2) . . . . . .	265,500	4,332	18,600	288,432

4	Cash prizes . . . . .
5	Noncash prizes . . . .			959	959
6	Rent/facility costs . . . .	25,097		34,443	59,540
7	Food and beverages . . .	238,444	2,303		240,747
8	Entertainment . . . .	283,882		12,250	296,132
9	Other direct expenses . . .	108,618	294	53,682	162,594
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .				759,972
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .				-471,540

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 . . .

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) 2018

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 provide any additional information. See instructions.

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2018

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

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

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? . . . . . . . . .

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

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) . . .	6,355,972	0	6,355,972	0.380 %
b	Medicaid (from Worksheet 3, column a) . . . . .	307,364,491	245,851,474	61,513,017	3.710 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	313,720,463	245,851,474	67,868,989	4.090 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	1,619,118	639,544	979,574	0.060 %
f	Health professions education (from Worksheet 5) . . .	63,386,607	23,010,147	40,376,460	2.440 %
g	Subsidized health services (from Worksheet 6) . . . .	5,813,952	1,893,746	3,920,206	0.240 %
h	Research (from Worksheet 7) .	1,466,779	0	1,466,779	0.090 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	26,591,430	14,313,714	12,277,716	0.740 %
j	Total. Other Benefits . .	98,877,886	39,857,151	59,020,735	3.570 %
k	Total. Add lines 7d and 7j .	412,598,349	285,708,625	126,889,724	7.660 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

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.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
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

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. ......

8,029,866

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).....

269,121,769

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

282,754,466

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

-13,632,697

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) 2018

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?1Name, 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) 2018

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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 17

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, Page 8

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 17

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

Yes

If "Yes" (list url): See Part V, Page 8

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

10b

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) 2018

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)

Was widely publicized 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):

See Part V, Page 8

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

See Part V, Page 8

A plain language summary of the FAP was widely available on a website (list url):
See Part V, Page 8

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)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	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 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 nonpayment?..................................

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

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

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)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

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

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

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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) 2018

Page 8

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, 16j, 18e, 19e, 20e, 21c, 21d, 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 broad interest in the health of the community, the hospital performed surveys, community forums, focus groups and interviews with key informants. The key informants were selected by community leader(s) or liaison(s). Additionally, focus groups were used to identify any other resource. Focus groups were conducted on February 2, 2018 and February 9, 2018. Community forums, and individual key informant interviews were conducted between February and June 2018.Key informants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the overall community. They were asked to rate the degrees to which various health issues were of concern in the Hartford Region. Follow up questions were asked to describe why they identified areas as such, and how these might be better addressed. The key informants included Physicians, public health representatives, health professionals, social service providers and a variety of other community leaders including the following:Community Renewal TeamFoodshareImmaculate Conception ChurchHartford Habitat for HumanityCharter Oak Health Center (FQHC)Northend Senior CenterHartford Food SystemIntercommunity ConnecticutCommunity SolutionsPhilip Church Health MinistriesFaith CaresHartford Police Faith Based Community DepartmentCity of Hartford Department of Health and Human ServicesHispanic Nurses AssociationCentral Connecticut Health DistrictJourney Home ConnecticutChrysalis CenterHartford Behavioral HealthNorthern Connecticut Black Nurses AssociationEast Hartford Health DepartmentImmaCareSouthside Institutions Neighborhood AllianceLegacy Foundation of HartfordUrban League of Greater HartfordCommunity Health Services (FQHC)Farmington Valley Health DistrictMalta House of CareWest Hartford - Bloomfield Health DistrictGreater Hartford Legal Aid The 2018 CHNA took a close look at social determinants of health such as poverty, housing, transportation, education, fresh food availability, and neighborhood safety. Social determinants of health have become a national priority for identifying and addressing health disparities, and Hartford Hospital is committed to addressing these disparities through the Community Health Improvement Plan that will follow this Assessment. Thru this process, input was gathered from individuals whose organizations can provide information for the following data elements: Medically Underserved AreasHealth Professional Shortage AreasDemographicsEthnicity DistributionsMedian Household IncomesHomeownership RatesPoverty MetricsUnemployment RatesEducational MetricsChildren in Poverty and Single Parent HouseholdsLinguistically Isolated PopulationsUninsured Population EstimatesClinical Provider RatiosPhysical Environment MetricsCrime RatesGeneral Health Status IndicatorsCancer Prevalence and Screening IndicatorsCardiovascular DiseaseRespiratory DiseaseDiabetesInfectious DiseasesSexually Transmitted DiseasesBirths and Prenatal CareHealth BehaviorsBenchmark Metrics (HealthyPeople 2020)Part V, Section B, Line 7ahttps://hartfordhospital.org/community-health-needs-assessment
Hartford Hospital	Part V, Section B, Line 7d: The needs assessment was published in June 2018 and is available on the hospital's website. In addition, electronic copies are available upon request.Part V, Section B, Line 10a:https://hartfordhospital.org/community-health-needs-assessment
Hartford Hospital	Part V, Section B, Line 11: In acknowledging the wide range of priority health issues that emerged from the 2018 CHNA process, the community representatives met on May 8, 2018 to determine the health needs that will be prioritized for action. The review of the identified needs were followed by a wide ranging discussion, after which the representatives were asked to rank each of the needs.Based on data analysis, surveys, focus groups, and interviews performed, the top community health needs and priorities for the Hartford Hospital focus area are listed below:Access to Care Access to care is impacted by a number of factors including availability of transportation, insurance cost, availability of primary care providers, availability of providers who take all insurance types, and community health center hours that meet the needs of those working during regular business hours. Food Concerns The availability of meals, lack of healthy food choices, and the cost of healthy food are a challenge for many, especially in the poorest neighborhoods in the service area. Access to healthy food, especially for children outside of school based programs and for seniors, is a challenge even for those in middle income areas. Mental Health and Substance Abuse The ongoing opioid epidemic, a shortage of mental health providers and counselors and the difficulty of recruiting additional providers, and a lack of effective mental health screening at all levels contribute to continuing challenges with mental health and substance abuse in the service area. Chronic Disease and Poor Physical and Mental Health Chronic disease including asthma and diabetes remain challenges despite community wide efforts. Varying rates of childhood vaccinations due to access to care as well as limited safe options for exercise/active living also contribute to poor health status including obesity and depression. City of Hartford scored significantly worse on multiple metrics relative to the state of Connecticut, including good physical health, good mental health, depression, obesity, amount of physical activity, and smoking. Collaboration, Communication, and Coordination Between Social Services Agencies and Health Care Providers Despite a significant number of outstanding community health initiatives, the majority of stakeholders who participated in focus groups and interviews said that a lack of coordination among and between providers and community based organizations limits the overall effectiveness of the programs and the funding that are going to help serve the populations most in need.Housing and Safety Issues Including Lack of Affordable Housing, Neighborhood Safety, and Housing Conditions While certain housing metrics for the overall service area are comparable to or better than the State of Connecticut, pockets of poverty in and around Hartford warrant additional attention relative to the impact that limited availability of housing and safe housing conditions/neighborhoods will have on community health status. The results were then grouped into 3 Areas of Concern that were addressed in Community Health Improvement Plan (CHIP):1. Enhance Coordination of Services: this category includes Access to Care and Collaboration, Communication and Coordination Between Social Services Agencies and Health Care Providers. CHIP addressed this need in the following manner:a. Develop Partnership & Collaboration with FQHC to reduce Emergency Department visits.b. Establish Software Program for Social Services (i.e. Aunt Bertha) to use for Referrals and Follow ups/Follow 'through'c. Sustain and Grow Community Provider Networks to sustain and grow community provider networks2. Promote Healthy Behaviors and Lifestyle: this category includes Food Concerns and Chronic Disease and Poor Physical and Mental Health. CHIP addresses this need in the following manner:a. Support/Increase number of farmers' markets in the community thru Hartford Hospital Coalition of Farmers Markets. b. Improved Access to Nutritional offerings by having number of farmers' markets accepting SNAP (Supplemental Nutrition Assistance Program) benefit.3. Improve community Behavioral Health: this category includes Mental Health and Substance Abuse. CHIP addresses this need in the following manner: a. Coordinate with Behavioral Health Network to create community educational opportunities that will offer programs on behavioral health and substance abuse through community provider networks. b. Promote mental health first aid trainingc. Community Care Team deployment to reduce the emergency department visits.An area of opportunity identified but not prioritized was Housing and Safety. Issues included Lack of Affordable Housing, Neighborhood Safety, and Housing Conditions. It was determined that Hartford Hospital does not have the appropriate resources or expertise to address these issues but supports efforts of other city and community agencies and organizations thru a $50,000 annual grant to Southside Institution Neighborhood Alliance Inc. (SINA), an organization that works with community stakeholders to restore economic vitality and improve the quality of life in the neighborhood of south central Hartford.
Hartford Hospital	Part V, Section B, Line 13h: Family eligibility criteria for Financial Assistance also include family size, employment status, financial obligations, and amount and frequency of health care expenses.
Hartford Hospital	Part V, Section B, Line 15e: In addition, patients may ask a nurse, physician, chaplain, or staff member from Patient Registration, Patient Financial Services, Case Coordination, or Social Services about initiating the Financial Assistance Application process.Part V, Line 16a, FAP website:https://hartfordhospital.org/patients-and-visitors/for-patients/billing-insurancePart V, Line 16b, FAP Application website:https://hartfordhospital.org/patients-and-visitors/for-patients/billing-insurancePart V, Line 16c, FAP Plain Language Summary website:https://hartfordhospital.org/patients-and-visitors/for-patients/billing-insurance
Hartford Hospital	Part V, Section B, Line 16j: Patients are informed directly by staff of the availability of the Financial Assistance Policy.

Schedule H (Form 990) 2018

Page 9

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?45
Name and address		Type of Facility (describe)
1	1 - Jefferson House 1 John Stewart Drive Newington,CT06111	Nursing Home
2	2 - Cedar Mountain Commons 3 John Stewart Drive Newington,CT06111	Assisted Living
3	3 - Hartford Hospital 334 North Main Street West Hartford,CT06117	Rehabilitation Department
4	4 - Hartford Hospital 129 Patricia M Genova Drive Newington,CT06111	Diagnostic Laboratory
5	5 - Hartford Hospital 80 Fisher Drive Avon,CT06001	Cancer Center
6	6 - Hartford Hospital 505 Willard Avenue Suite 1 Newington,CT06111	Eye Surgery Center
7	7 - Hartford Hospital 11 South Road Suite 260 Farmington,CT06030	Cardiac Rehabilitation
8	8 - Hartford Hospital 376 Tolland Turnpike Suite 301 Manchester,CT06042	Cancer Center
9	9 - Hartford Hospital 704 Hebron Avenue Glastonbury,CT06033	Wellness Center
10	10 - Hartford Hospital 1559 Sullivan Avenue South Windsor,CT06074	Wellness Center, Rehabilitation Department
11	11 - Hartford Hospital 1290 Silas Deane Highway Wethersfield,CT06109	Education Room
12	12 - Hartford Hospital 150 Fisher Drive Avon,CT06001	Grace Webb School
13	13 - Hartford Hospital 136 Berlin Road Cromwell,CT06416	Rehabilitation Department
14	14 - Hartford Hospital 100 Hazard Avenue Enfield,CT06082	Wellness Center, Rehabilitation Department
15	15 - Hartford Hospital 35 Talcottville Road Suite 2 Vernon,CT06066	Wellness Center, Rehabilitation Department
16	16 - Hartford Hospital 533 Cottage Grove Road Bloomfield,CT06002	Sleep Disorder Center
17	17 - Hartford Hospital 1060 Day Hill Road Windsor,CT06095	Wellness Center, Rehabilitation Department
18	18 - Hartford Hospital 725 Jarvis Street Cheshire,CT06410	Grace Webb School
19	19 - Hartford Hospital 406 Farmington Avenue Farmington,CT06030	Rehabilitation Department
20	20 - Hartford Hospital 85 Barnes Road Suite 300 Wallingford,CT06492	Rehabilitation Department
21	21 - Hartford Hospital 230 North Main Street Manchester,CT06042	Rehabilitation Department
22	22 - Hartford Hospital 2 Northwestern Drive Bloomfield,CT06002	Rehabilitation Department
23	23 - Hartford Hospital 1064 East Main Street Suite 205 Meriden,CT06450	Rehabilitation Department
24	24 - Hartford Hospital 18 East Granby Road Granby,CT06035	Rehabilitation Department
25	25 - Hartford Hospital 2 Northwestern Drive Bloomfield,CT06002	Center for Healthy Aging
26	26 - Hartford Hospital 100 Simsbury Road Avon,CT06001	Wellness Center, Rehabilitation Department
27	27 - Hartford Hospital 339 West Main Street Avon,CT06001	Wellness Center
28	28 - Hartford Hospital 280 South Main Street Cheshire,CT06410	Rehabilitation Department
29	29 - Hartford Hospital 680 South Main Street Cheshire,CT06410	Rehabilitation Services
30	30 - Hartford Hospital 305 Western Boulevard Glastonbury,CT06033	Education Services
31	31 - Hartford Hospital 330 Western Boulevard Glastonbury,CT06033	Wellness Center, Rehabilitation Department
32	32 - Hartford Hospital 353 Main Street Manchester,CT06040	Transplant Department
33	33 - Hartford Hospital 376 Tolland Turnpike Suite 201 Manchester,CT06042	Cancer Center
34	34 - Hartford Hospital 420 Old Saybrook Road Middletown,CT06457	Cardiology Department
35	35 - Hartford Hospital 100 Grand Street New Britain,CT06050	Cardiac Services
36	36 - Hartford Hospital 505 Willard Avenue Suite 2A Newington,CT06111	Patient Experience Department
37	37 - Hartford Hospital 73 Waterbury Road Prospect,CT06712	Rehabilitation Department
38	38 - Hartford Hospital 462 Queen Street Southington,CT06489	Center for Healthy Aging
39	39 - Hartford Hospital 1215 Litchfield Street Torrington,CT06790	Cardiology Department
40	40 - Hartford Hospital 112 Mansfield Avenue Willimantic,CT06226	Transplant Department
41	41 - Hartford Hospital 445 South Main Street West Hartford,CT06110	Rehabilitation Department
42	42 - Hartford Hospital 65 Memorial Road West Hartford,CT06107	Wellness Center, Rehabilitation Department, Surgery Center
43	43 - Hartford Hospital 988 Silas Deane Highway Wethersfield,CT06109	Rehabilitation Department
44	44 - Hartford Hospital 1025 Silas Deane Highway Wethersfield,CT06109	Rehabilitation Department
45	45 - Hartford Hospital 1260 Silas Deane Highway Wethersfield,CT06109	Wellness Center, Sleep Disorder Center

Schedule H (Form 990) 2018

Page 10

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:Although the organization does not prepare a formal Community Benefit Report, quarterly reports are submitted to Connecticut Hospital Association and Form 990 is submitted to the Connecticut Office of Health Strategy (OHS) annually.
Part I, Line 7:	The organization utilized an overall cost to charge ratio (RCC), developed from the Medicare Cost Report. Total expense was adjusted for: medicaid provider taxes, directly identified community benefit expense and community building expenses. This cost to charge ratio was used to calculate costs for Part I lines 7a, b, & g. The costs associated with the activities reported on Part I, Line 7e were captured using actual time multiplied by an average salary rate. The costs associated with Line 7h, were the actual costs reported in the organization's general ledger less any industry funded studies. These costs were removed from the calculations above to avoid duplication. Costs reported in Part III, Section B6, were calculated from the Medicare cost report and reduced for Medicare costs previously reported on Part I Lines 7f and g.
Part I, Line 7g:	No physician clinic costs were included in the Subsidized Health Services cost calculations.
Part III, Line 3:	A pre-bad debt financial assistance screening is in place to identify patients that may be eligible for financial assistance. Pre-bad debt accounts that are identified as meeting the requirements are adjusted prior to being sent to bad debt. Therefore, any bad debt expense that could have been attributable to charity care at the end of FY 2019 would be immaterial.
Part III, Line 4:	Please see the text of the footnote that describes bad debt expense beginning on page 26 of the Audited Financial Statement. The Footnote is also applicable Part III,Line 2.
Part III, Line 8:	Cost Reports were used to report Medicare allowable costs. Medicare defines allowable costs as those appropriate and helpful in developing and maintaining the operation of patient care facilities and activities. It specifically excludes certain costs that are not directly related to patient care. The hospital incurs additional expense related to the provision of care to Medicare patients that Medicare has deemed non-allowable. This additional expense includes costs of physician services (emergency on-call fees, Hospitalist Programs, recruitment, etc.), advertising costs, cafeteria costs for meals sold to visitors, etc. The Hospital attempts to collect coinsurance and deductibles from Medicare beneficiaries. To the extent collection efforts are unsuccessful, Medicare reimburses the hospital at 65% of unpaid amounts. The table reconciles the shortfall or surplus from Line 7 to the actual surplus or shortfall. The additional costs were allocated to Medicare based upon Medicare's percentage of total allowable costs. The unpaid coinisurance/deductibles were estimated using historical collection results. Any shortfall amounts have not been treated as Community Benefits.
Part III, Line 9b:	Hartford Hospital has adopted the Financial Assistance Policy of its Parent Company, Hartford HealthCare Corporation. The following is included in the Financial Assistance Policy: Patients who are deemed ineligible for financial assistance or who receive a partial discount and do not pay their bills may be subject to the following Extraordinary Collection Action (ECAs):Wage GarnishmentsLiens on primary and secondary residences, bank or investment accounts, or other assetsLegal actions and reporting the matter to one or more credit rating agenciesOther ECAs not listed aboveIf an individual has not submitted an application within the first 120 days from the date on which Hartford HealthCare first issues its first, post-discharge billing statement, then Hartford HealthCare may begin engaging in the ECAs described above.ECAs may begin after the first 120 days from the date on which Hartford HealthCare issues its first, post-discharge billing statement. If the patient applies for assistance within 240 days from the first notification of the self-pay balance, and is granted assistance, Hartford HealthCare will take all reasonable available measures to remove any collection actions such as negative reporting to a credit bureau or liens that have been filed.Before Hartford HealthCare initiates any collection actions, it will issue a written notice to the last known address of record for the patient (or his/her family) that describes the specific collection activities it intends to initiate (or resume), provides a deadline after which such action(s) will be initiated (or resumed), and includes a plain language summary of this Policy. ECAs can begin no sooner than 30 days from the date written notice is transmitted. Patients who are ineligible for financial assistance, or qualify for partial financial assistance and who are cooperating in good faith to resolve the outstanding accounts, may be offered extended payment plans. No further collection action will be taken as long as the patient continues to meet the terms of the payment plan.
Part VI, Line 2:	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 provides information about its Financial Assistance Policy as follows: (1) Provides signage, brochures and/or a written plain language summary describing the policy along with financial assistance contact information in the emergency department, labor and delivery areas, discharge paperwork, other patient registration/admission areas, as well as in billing and collection communication.(2) Makes paper copies of the policy, financial assistance application, and plain language summary of the policy available upon request and without charge, by mail.(3) Posts the policy, plain language summary and financial assistance application on the website with clear linkage to such documents on the Hartford HealthCare and each affiliated hospital's home page.(4) Educates all admission and registration personnel, financial counselors, billing and collection specialists and social workers regarding the policy so that they can serve as an informational resource to patients.(5) Includes the tag line 'Please ask about our Financial Assistance Policy" in applicable Hartford HealthCare written publications.
Part VI, Line 4:	Hartford Hospital is located in the capitol of the State of Connecticut and has a total population of approximately 273,115 residents. In Hartford County as of July 1, 2018, 21% of the population are infants, children or adolescents (age 0-17); another 61.9% are age 18 to 64, while 17.1% are age 65 and older. In looking at race approximately 60.6% of residents of Hartford County are White, 15.7% are Black, 18.5% are Hispanic or Latino and 5.2% are classified as Other.11.2% of the Hartford County population live below the federal poverty level. As of July 2019 the unemployment rate is 3.7%. 10.5% do not have a high school diploma and 37.8% have a Bachelor's Degree.
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 other hospitals. These services are provided regardless of a patient's ability to pay. The hospital uses its surplus funds to provide additional benefits to its patients and the community it serves as detailed in Schedule O.
Part VI, Line 6:	Hartford HealthCare Corporation (HHC) is organized as a support organization to govern, manage and provide support services to its affiliates. HHC, through its affiliates including Hartford Hospital, strives to improve health using the "Triple Aim" model: improving quality and experience of care; improving health of the population (population health) and reducing costs. HHC and its affiliates including all supported organizations, develop and implement programs to improve the future of health care in our Southern New England region. This includes initiatives to improve the quality and accessibility of health care; create efficiency on both our internal operations and the utilization of health care; and provide patients with the most technically advanced and compassionate coordinated care. In addition, HHC continues to take important steps toward achieving its vision of being "nationally respected for excellence in patient care and most trusted for personalized, coordinated care".The affiliation with HHC creates a strong, integrated health care delivery system with a full continuum of care across a broader geographic area. This allows small communities easy and expedient access to the more extensive and specialized services the larger hospitals are able to offer. This includes continuing education of health care professionals at all the affiliated institutions through the Center of Education, Simulation and Innovation located at Hartford Hospital.The affiliation further enhances the affiliates' abilities to support their missions, identity, and respective community roles. This is achieved through integrated planning and communication to meet the changing needs of the region. This includes responsible decision making and appropriate sharing of services, resources and technologies, as well as cost containment strategies.
Part VI, Line 7, Reports Filed With States	CT

Schedule H (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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	(f) Method of valuation (book, FMV, appraisal, other)	(h) Purpose of grant or assistance
(1) ASOF Hartford 19 Walden Street West Hartford,CT06107	47-4302697	501(c)(3)	5,000	FMV	The Albert Schweitzer Organ Festival's purpose is to encourage young organists and to enhance the area of organ education - both to support young people studying the organ and to increase general appreciation of organ music of the past and present.
(2) Colon Cancer Coalition Inc 5666 Lincoln Drive Suite 270 Edina,MN55436	30-0377727	501(c)(3)	5,000	FMV	The Colon Cancer Coalition is dedicated to empowering local communities to promote prevention and early detection of colon cancer and to provide support to those affected.
(3) Jewish Federation of Greater Hartford 335 Bloomfield Avenue West Hartford,CT06117	06-0655482	501(c)(3)	5,000	FMV	The Jewish Federation of Greater Hartford provides recreational, cultural, educational, and social programs designed to promote physical, intellectual, and spiritual well-being of its members and others who participate. As a center where all are welcome, their mission is rooted in a fundamental commitment to inclusivity and in universal Jewish values. The Jewish Federation of Greater Hartford works to build community, cultural identity, and bridges of understanding by celebrating diversity and fostering appreciation for Jewish culture and heritage.
(4) Leukemia & Lymphoma Society 3 Landmark Square Suite 330 Stamford,CT06901	13-5644916	501(c)(3)	5,000	FMV	The Leukemia & Lymphoma Society funds leading-edge research for every type of blood cancer, including leukemia, lymphoma, myeloma, and other rare types of blood cancers. The Leukemia & Lymphoma Society is committed to providing information, resources and support to those affected by blood cancers.
(5) Lung Cancer Research Foundation 155 East 55th Street Suite 6H New York,NY10022	14-1935776	501(c)(3)	5,000	FMV	The Lung Cancer Research Foundation is dedicated to improving lung cancer outcomes by funding research for the prevention, diagnosis, treatment and cure of lung cancer.
(6) ZERO - The End of Prostate Cancer 515 King Street Suite 420 Alexandra,VA22314	59-3400922	501(c)(3)	5,000	FMV	ZERO - The End of Prostate Cancer is dedicated to ending prostate cancer through advances in research, improving the lives of men and their families and inspiring action.
(7) The Connecticut Forum 750 Main Street Hartford,CT06013	06-1343149	501(c)(3)	6,500	FMV	The Connecticut Forum is dedicated to encouraging the free and active exchange of ideas in forums that inform, challenge, entertain, inspire and build bridges among all people and organizations in the community.
(8) American Red Cross 209 Farmington Avenue Farmington,CT06032	53-0196605	501(c)(3)	7,500	FMV	The American Red Cross is dedicated to preventing and alleviating human suffering in the face of emergencies by mobilizing the power of volunteers and the generosity of donors. The American Red Cross, through its strong network of volunteers, donors and partners, is always there in times of need. We aspire to turn compassion into action so that all people affected by disaster across the country and around the world receive care, shelter and hope; our communities are ready and prepared for disasters; everyone in our country has access to safe, lifesaving blood and blood products; all members of our armed services and their families find support and comfort whenever needed; and in an emergency, there are always trained individuals nearby, ready to use their Red Cross skills to save lives.
(9) The Fidelity Charitable Gift Fund (ERRACE) PO Box 260127 Hartford,CT06126	11-0303001	501(c)(3)	7,500	FMV	The Fidelity Charitable Gift Fund administers ERRACE's charitable donation through a donor-advised fund. Since 1991 they have helped over 56,000 donors recommend nearly $10 billion in grants to 130,000 nonprofit organizations
(10) Ron Foley Foundation 1000 Farmington Avenue Suite 108A West Hartford,CT06107	27-1386741	501(c)(3)	8,800	FMV	The Ron Foley Foundation is dedicated to funding medical research leading to early detection, more effective treatments and a cure for pancreatic cancer. The Ron Foley Foundation sponsors fundraising and annual events to build awareness and raise funds for patient assistance, education and research.
(11) American Cancer Society 825 Brook Street Rocky Hill,CT06067	13-1788491	501(c)(3)	10,000	FMV	The American Cancer Society is the nationwide, community-based, voluntary health organization dedicated to eliminating cancer as a major health problem by preventing cancer, saving lives and diminishing suffering from cancer, through research, education, advocacy and service.
(12) Wadsworth Atheneum 600 Main Street Hartford,CT06103	06-0653111	501(c)(3)	13,000	FMV	Wadsworth Atheneum is dedicated to advancing knowledge and inspiring everyone to experience and appreciate excellence in art and culture.
(13) Connecticut Brain Tumor Alliance Inc PO Box 370514 West Hartford,CT06137	26-0307367	501(c)(3)	15,000	FMV	The Connecticut Brain Tumor Alliance is dedicated to providing hope and support to brain tumor patients and caregivers, while advancing brain tumor awareness, quality of care and brain tumor research.
(14) Urban League of Greater Hartford 140 Woodland Street Hartford,CT06105	06-6066491	501(c)(3)	15,000	FMV	The Urban League of Greater Hartford is dedicated to reduce economic disparities in the community through programs, services and educational opportunities. Their focus is on empowering people in need to change their lives by providing training and offering programs and services and being a model of integrity and excellence.
(15) American Liver Foundation 127 Washington Avenue North Haven,CT06743	36-2883000	501(c)(3)	16,200	FMV	The American Liver Foundation is dedicated to promoting education, advocacy, support services and research for the presentation, treatment and cure of liver disease.
(16) Town of Newington 131 Cedar Street Newington,CT06111	06-6002047	501(c)(3)	17,500	FMV	To provide funding for the Good Samaritan Fund.
(17) Connecticut Community for Addiction Recovery 75 Charter Oak Avenue Building 1 Suite 35 Hartford,CT06106	06-1584908	501(c)(3)	25,000	FMV	The Connecticut Community for Addiction Recovery is dedicated to end discrimination surrounding addiction and recovery, open new doors and remove barriers to recovery, maintain and sustain recovery regardless of the pathway, all while ensuring that all people in recovery, and people seeking recovery, are treated with dignity and respect.
(18) American Heart Association 7272 Greenville Avenue Dallas,TX75231	13-5613797	501(c)(3)	30,000	FMV	The American Heart Association is committed to fighting heart disease and stroke and raising awareness of these diseases. As part of their mission, they focus on specific causes designed to help people achieve a heart-healthy lifestyle. Each of their cause initiatives reaches out to the public with resources and information to help them take positive action.
(19) Southside Institutions Neighborhood Alliance Inc (SINA) 400 Washington Street Hartford,CT06106	06-1501542	501(c)(3)	30,000	FMV	SINA has been successful in reversing the negative trend in homeownership, stimulated renewal of the neighborhood's principal commercial corridor, opened up employment opportunities for neighborhood residents, acted as an economic development catalyst for neighborhood businesses, and provided leadership for comprehensive neighborhood strategies. In the process, it is fashioning a national model for neighborhood revitalization.
(20) Connecticut Cancer Foundation Inc 15 North Main Street Old Saybrook,CT06475	06-1240574	501(c)(3)	36,000	FMV	The Connecticut Cancer Foundation is dedicated to providing financial assistance to Connecticut cancer patients and their families to help with basic living expenses, such as rent, mortgage, and utilities, and to fund research.
(21) Hartford HealthCare at Home Inc 1290 Silas Deane Highway Wethersfield,CT06109	06-0646938	501(c)(3)	169,949	FMV	To provide funding for the V.N.A. Transition Nurse program.

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) 2018

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 noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) Hazel Vail Awards	1	10,000
(2) Sons and Daughters Scholarship Awards	27	65,000
(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) 2018

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

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? ..

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

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 nonfixed
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) 2018

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)
1Matthew Saidel MD Director	(i) (ii)	0 ------------- 0	0 ------------- 0	155,683 ------------- 0	0 ------------- 0	0 ------------- 0	155,683 ------------- 0	0 ------------- 0
2Bimal Patel President & CEO	(i) (ii)	0 ------------- 588,312	0 ------------- 256,454	0 ------------- 11,827	0 ------------- 94,832	0 ------------- 26,857	0 ------------- 978,282	0 ------------- 0
3Margaret Marchak Secretary & Former SVP/CLO, HHC	(i) (ii)	0 ------------- 492,829	0 ------------- 228,567	0 ------------- 395,433	0 ------------- 19,250	0 ------------- 63,021	0 ------------- 1,199,100	0 ------------- 276,628
4Julie Drouin HHC Reg. VP Finance	(i) (ii)	0 ------------- 236,795	0 ------------- 68,884	0 ------------- 797	0 ------------- 19,250	0 ------------- 43,701	0 ------------- 369,427	0 ------------- 0
5Elizabeth Ciotti VP	(i) (ii)	0 ------------- 183,200	0 ------------- 61,282	0 ------------- 1,665	0 ------------- 16,524	0 ------------- 22,633	0 ------------- 285,304	0 ------------- 0
6Cheryl Ficara VP	(i) (ii)	0 ------------- 375,829	0 ------------- 134,552	0 ------------- 9,659	0 ------------- 35,750	0 ------------- 47,225	0 ------------- 603,015	0 ------------- 0
7Barry Kriesberg VP	(i) (ii)	0 ------------- 293,561	0 ------------- 106,326	0 ------------- 4,293	0 ------------- 19,250	0 ------------- 40,130	0 ------------- 463,560	0 ------------- 0
8Carol Garlick VP	(i) (ii)	217,161 ------------- 0	62,000 ------------- 0	3,094 ------------- 0	33,000 ------------- 0	23,818 ------------- 0	339,073 ------------- 0	0 ------------- 0
9Ajay Kumar MD VP	(i) (ii)	0 ------------- 483,611	0 ------------- 115,000	0 ------------- 1,624	0 ------------- 19,250	0 ------------- 51,176	0 ------------- 670,661	0 ------------- 0
10Andrew Salner MD Chair Cancer Institute	(i) (ii)	593,436 ------------- 0	350 ------------- 0	4,920 ------------- 0	19,250 ------------- 0	36,417 ------------- 0	654,373 ------------- 0	0 ------------- 0
11Kenneth Robinson MD Dept Chair Emergency Medicine	(i) (ii)	518,969 ------------- 0	50,000 ------------- 0	17,134 ------------- 0	30,250 ------------- 0	45,855 ------------- 0	662,208 ------------- 0	0 ------------- 0
12Fred Tilden Jr MD Dir. ER Physician	(i) (ii)	388,962 ------------- 0	57,094 ------------- 0	1,714 ------------- 0	27,500 ------------- 0	42,171 ------------- 0	517,441 ------------- 0	0 ------------- 0
13Lynn Mangini Child Adolescent Psychiatrist	(i) (ii)	441,523 ------------- 0	350 ------------- 0	1,584 ------------- 0	30,250 ------------- 0	33,704 ------------- 0	507,411 ------------- 0	0 ------------- 0
14Evan Fox MD Med Dir. Psychiatry Program	(i) (ii)	424,401 ------------- 0	350 ------------- 0	1,032 ------------- 0	33,000 ------------- 0	35,796 ------------- 0	494,579 ------------- 0	0 ------------- 0
15Stuart Markowitz MD Former - President & Director	(i) (ii)	0 ------------- 588,445	0 ------------- 275,380	0 ------------- 85,664	0 ------------- 19,250	0 ------------- 60,988	0 ------------- 1,029,727	0 ------------- 0
16Peter Fraser Former - Key Employee	(i) (ii)	0 ------------- 238,424	0 ------------- 91,280	0 ------------- 107,053	0 ------------- 19,250	0 ------------- 45,406	0 ------------- 501,413	0 ------------- 0
17Harold Schwartz MD Former - Key Employee	(i) (ii)	0 ------------- 448,986	0 ------------- 170,287	0 ------------- 18,927	0 ------------- 35,750	0 ------------- 41,600	0 ------------- 715,550	0 ------------- 0
18Gerald Boisvert Former - VP	(i) (ii)	0 ------------- 450,015	0 ------------- 212,222	0 ------------- 224,834	0 ------------- 19,250	0 ------------- 57,409	0 ------------- 963,730	0 ------------- 143,747

Schedule J (Form 990) 2018

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 3	The Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare on behalf of Hartford Hospital, hires an outside consultant, Human Resources and Compensation Consulting Practice of Gallagher to determine best practices in governing executive compensation. Please refer to compensation narrative reported on Schedule O.
Part I, Line 4b	Hartford Healthcare Corporation, a related organization, maintains a 457(f) Supplemental Executive Retirement Plan (SERP). Participants include certain officers and key employees at the President & CEO, Executive Vice President and Senior Vice President levels that are reported by Hartford Hospital on its Form 990, Part VII. Contributions are made by Hartford HealthCare Corporation to the plan based on a percentage of the participant's compensation. Participants vest in the plan at the earlier of reaching age 55 and having 5 years of service, death, disability, involuntary separation without reasonable cause, upon reaching age 65 or the occurrence of a change in control. Each participant ceases to be eligible for further contributions by Hartford HealthCare Corporation on the date of the participant's separation from service. Participants receive a one-time lump sum payment of the accumulated amount during the 30-day period following the participant's separation from service. 2018 SERP Accruals was made on behalf of the following individual: Bimal Patel $75,582 2018 SERP Payouts were made on behalf of the following individuals: Stuart Markowitz $18,146* Margaret Marchak $117,856* Gerald Boisvert $64,422* *For these individuals, vesting occurred, causing taxable income. This portion of the vested amount was used to pay the associated tax liability. The remaining balance was deposited into the employee SERP account.
Part I, Line 7	Hartford HealthCare Corporation, a related organization, has a Compensation At Risk Plan that encourages and rewards achievements of significant functional goals. These goals contribute to the organization's strategic and financial direction. The plan utilizes market practice alignment to ensure competitive recruitment and retention. Awards are based on CEO and/or Hartford HealthCare Corporation's Compensation Committee discretionary assessment of overall organization performance and individual contribution to results.

Schedule J (Form 990) 2018

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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	20	483,182	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 ( Scooter )	X	1	3,537	FMV
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 nonstandard 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) (2018)

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) (2018)

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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 11b	The Form 990 was prepared by Hartford HealthCare's Tax Department. It was then reviewed by an independent accounting firm. It was then forwarded to the organization's top management including the HHC, VP of Finance for review. The final Form was provided to the entire Board prior to submission to the Internal Revenue Services (IRS). Once the entire review process was completed, the Form was signed by the HHC, VP of Finance, as authorized signer for HH, and then filed with the IRS.
Form 990, Part VI, Section B, line 12c	The hospital's board has adopted the policy of the member, Hartford HealthCare Corporation (HHC). HHC's Conflict of Interest Policy (Policy) requires all Covered Individuals, including board members and officers, to provide a disclosure of relationships that create or have the appearance of creating a conflict of interest or commitment. The Policy requires updates if changes in circumstances arise during the year that either (a) create a new potential conflict of interest or commitment or (b) change or eliminate a conflict of interest or commitment previously disclosed. Conflict of Interest disclosure statements are maintained by the HHC Office of Compliance and Integrity (OCI). Employee 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 Respective Network or Region Executive Leadership Team (ELT). The ELT assesses and may recommend the conflicting interest either be (a) eliminated for a continued relationship with HHC/HHC Affiliate, 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, Human Resources and Compensation Consulting Practice of Gallagher to determine best practices in governing executive compensation. The following steps were taken: - The use of an Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare, on behalf of Hartford Hospital, established and regularly reviews Executive Compensation Philosophy; - The Committee regularly reviews scope and depth of positions taking into account complexity and the financial impact and accountability of all "disqualified persons; - National peer groups are selected for comparative purposes based on organizational size, operating revenue, geography and other relevant factors; - Analysis of current total compensation versus market is performed by independent third party compensation consulting firm and is then reviewed by the committee; - Recommendations are made based on market data analysis to ensure appropriate competitive positioning within parameters of compensation philosophy; - The 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 IX, line 11g	Medical Professional Fees: Program service expenses 181,526,776. Management and general expenses 0. Fundraising expenses 0. Total expenses 181,526,776.
Form 990, Part XI, line 9:	Transfer to Affiliated Entity -10,142,000. Change in Pension and Post-Retirement Funding Obligation -129,809,000. Rounding 1,525. Net Unrestricted Other Changes in Joint Ventures -16,006,000.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

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)Backus HealthCare Inc 326 Washington Street Norwich,CT06360 22-2481794	Support Organization	CT	501(C)(3)	12 (a)	Hartford HealthCare Corporation	Yes
(2)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
(3)Center for Hospice Care Southeast Connecticut Inc 227 Dunham Street Norwich,CT06360 22-2667260	Hospice	CT	501(C)(3)	7	Hartford HealthCare Independence At Home Inc	Yes
(4)Connecticut Health System Inc 80 Seymour Street Hartford,CT06102 22-2779421	Coordination of Health Care Delivery	CT	501(C)(3)	12 (c)	N/A	Yes
(5)Hartford HealthCare Accountable Care Org Inc 1290 Silas Deane Hwy Wethersfield,CT06109 46-0886367	Government Contracts	CT	501(C)(3)	7	Hartford HealthCare Medical Group Inc	Yes
(6)Hartford HealthCare At HomeInc 1290 Silas Deane Hwy Suite 4B Wethersfield,CT06109 06-0646938	Home Healthcare	CT	501(C)(3)	10	Hartford HealthCare Corporation	Yes
(7)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)	12 (c)	N/A		No
(8)Hartford Healthcare Endowment LLC 80 Seymour Street Hartford,CT06102 45-4181103	Investment Management	CT	501(C)(3)	12 (a)	Hartford HealthCare Corporation	Yes
(9)Hartford HealthCare Independence at Home Inc 1290 Silas Deane Hwy Suite 4B Wethersfield,CT06109 06-1161422	Home Healthcare	CT	501(C)(3)	10	Hartford HealthCare At Home Inc	Yes
(10)Hartford Healthcare Medical Group Specialists LLC 1290 Silas Deane Hwy Wethersfield,CT06109 37-1911194	Medical Services	CT	501(C)(3)	10	Hartford HealthCare Medical Group Inc	Yes
(11)Hartford HealthCare Medical Group Inc 1290 Silas Deane Hwy Wethersfield,CT06109 45-4456939	Medical Services	CT	501(C)(3)	10	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)	10	Hartford HealthCare Corporation	Yes
(13)Hartford Hospital Auxiliary co Hartford Hospital 80 Seymour Street Hartford,CT06115 06-6040747	Fundraising	CT	501(C)(3)	12 (a)	Hartford Hospital	Yes
(14)MidState Medical Center 435 Lewis Avenue Meriden,CT06451 06-0646715	Healthcare Services	CT	501(C)(3)	3	Hartford HealthCare Corporation	Yes
(15)MidState Medical Center Auxiliary 435 Lewis Avenue Meriden,CT06451 06-6063082	Fundraising	CT	501(C)(3)	12 (a)	MidState Medical Center	Yes
(16)Mulberry Gardens of Southington LLC 58 Mulberry Street Plantsville,CT06479 82-0586577	Assisted Living & Adult Day Care Facility	CT	501(C)(3)	10	Hartford HealthCare Senior Services Inc	Yes
(17)Natchaug Hospital Inc 189 Storrs Road Mansfield Center,CT06226 06-0966963	Behavioral Health	CT	501(C)(3)	3	Hartford HealthCare Corporation	Yes
(18)Partners In Care Inc 46 Lindeman Road Trumbull,CT06111 06-1142867	Home Healthcare	CT	501(C)(3)	10	Hartford HealthCare At Home Inc	Yes
(19)Rushford Center Inc 883 Paddock Avenue Meriden,CT06450 06-0932875	Substance Abuse Healthcare Services	CT	501(C)(3)	7	Hartford HealthCare Corporation	Yes
(20)Rushford Foundation Inc 883 Paddock Avenue Meriden,CT06450 06-1432692	Support Organization	CT	501(C)(3)	12 (a)	Rushford Center Inc	Yes
(21)The Charlotte Hungerford Hospital 540 Litchfield Street Torrington,CT06790 06-0646678	Healthcare Services	CT	501(C)(3)	3	Hartford HealthCare Corporation	Yes
(22)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
(23)The Orchards of Southington 34 Hobart Street Southington,CT06489 06-1490803	Residential Services for Senior Care	CT	501(C)(3)	10	Hartford HealthCare Senior Services Inc	Yes
(24)The William W Backus Hospital 326 Washington Street Norwich,CT06360 06-0250773	Hospital	CT	501(C)(3)	3	Hartford HealthCare Corporation	Yes
(25)Visiting Nurse Services of CT Inc 765 Fairfield Avenue Bridgeport,CT06604 06-0665196	Home Healthcare	CT	501(C)(3)	10	Hartford HealthCare At Home Inc	Yes
(26)VNA Corporation Inc 765 Fairfield Avenue Bridgeport,CT06604 06-1142892	Supporting Organization	CT	501(C)(3)	12 (a)	N/A	Yes
(27)Windham Community Memorial Hospital 112 Mansfield Avenue Willimantic,CT06226 06-0646966	Healthcare Services	CT	501(C)(3)	3	Hartford HealthCare Corporation	Yes
(28)Windham Community Memorial Hospital Women's Auxiliary Inc 112 Mansfield Avenue Willimantic,CT06226 06-0677728	Fundraising	CT	501(C)(3)	12 (a)	Windham Community Memorial Hospital	Yes
(29)Windham Hospital Foundation Inc 112 Mansfield Avenue Willimantic,CT06226 56-2546632	Supporting Organization	CT	501(C)(3)	12 (a)	Windham Community Memorial Hospital	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2018

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) Advanced Medical Imaging of NW CT LLC 57 Commercial Blvd Torrington,CT06790 06-1594854	Magnetic Resonance Imaging	CT	N/A
(2) Ambulance Service of Manchester LLC PO Box 300 Manchester,CT06450 06-1557358	Ambulatory Services	CT	N/A
(3) Central Connecticut Endoscopy Center 440 New Britain Avenue Plainville,CT06062 14-1855010	Endoscopy Services	CT	N/A
(4) Connecticut Imaging Partners LLC 1500 Concord Terrace Sunrise,FL33323 13-4298940	Imaging Service	CT	Hartford Hospital	Related	5,764,207	28,234,072		No			No	51.000 %
(5) Constitution Surgery Center East LLC 174 Cross Road Waterford,CT06385 06-1574704	Surgery Services	CT	N/A
(6) CT GI Endoscopy Center LLC (Bloomfield) 4 Northwestern Drive Bloomfield,CT06002 06-1573358	GI Services	CT	Hartford Hospital	Related	894,063	4,675,930		No			No	51.000 %
(7) Glastonbury Endoscopy Center LLC 300 Western Boulevard Glastonbury,CT06033 26-1721234	Endoscopy Services	CT	Hartford Hospital	Related	1,508,860	716,285		No			No	51.000 %
(8) Glastonbury Surgery Center LLC 195 Eastern Boulevard Glastonbury,CT06033 26-2600828	Surgery Services	CT	Hartford Hospital	Related	6,386,742	1,602,683		No			No	51.000 %
(9) Hartford - Middlesex Clinical System LLC 80 Seymour Street Hartford,CT06110 06-1543605	Affiliate Support Services	CT	N/A	Unrelated	-10			No			No	50.000 %
(10) HHC Hartford Surgery Center LLC 100 Avon Meadow Lane Avon,CT06001 81-2637261	Surgery Services	CT	Hartford Hospital	Related	2,073,980	1,389,202		No			No	51.000 %
(11) HHC Southington Surgery Center LLC 100 Avon Meadow Lane Avon,CT06001 46-5500829	Surgery Services	CT	N/A
(12) HHC Urgent Care Go Health LLC 2711 Centerville Road Suite 400 Wilmington,DE19808 81-5112698	Urgent Care Services	DE	N/A
(13) MedConn Collection Agency 2049 Silas Deane Highway Suite 305 Rocky Hill,CT06067 06-1408854	Collection Services	CT	N/A
(14) Med-East Assoc LLC 1703 West Main Street Willimantic,CT06226 06-1469575	Outpatient Care Clinic	CT	N/A
(15) New Britain MRI Limited Partnership 100 Grand Street New Britain,CT06050 06-1271349	Magnetic Resonance Imaging	CT	N/A
(16) The Endoscopy Center of Northwest Connecticut LLC 245 Alvord Park Road Torrington,CT06790 06-1609993	Endoscopy Services	CT	N/A
(17) Wallingford Endoscopy Center LLC 85 Seymour Street Suite 1000 Hartford,CT06106 82-4601730	Endoscopy 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	(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) Aetna Ambulance Service Inc POBox 1150 Manchester,CT06045 06-0795431	Ambulance Services	CT	N/A	C				No
(2) Backus Medical Center Condo Assoc Inc 330 Washington Street Norwich,CT06360 06-1542647	Condo Association	CT	N/A	C				No
(3) CenConn Services Inc 100 Grand Street New Britain,CT06050 22-2836001	Holding Company	CT	N/A	C				No
(4) ConnCare Inc 326 Washington Street Norwich,CT06360 06-1387598	Health Care Services	CT	N/A	C				No
(5) HHMOB Corporation 80 Seymour Street Hartford,CT06102 06-1140244	Real Estate & Parking	CT	N/A	C				No
(6) Hartford HealthCare Indemnity Services Ltd FB Perry Bld 40 Church St Hamilton BD 98-1476697	Captive Insurance	BD	N/A	C				No
(7) Hartford Physician Services PC 80 Seymour Street Hartford,CT06102 06-1254082	Medical Services	CT	N/A	C				No
(8) Litchfield County Healthcare Service Corporation 540 Litchfield Street Torrington,CT06790 06-1227655	Management Services	CT	N/A	C				No
(9) Meriden Imaging Center 101 North Plains Industrial Road Meriden,CT06429 06-1541468	Imaging	CT	N/A	S				No
(10) Metro Wheelchair Service Inc POBOX 300 Manchester,CT06045 06-0878432	Wheelchair Services	CT	N/A	C				No
(11) MidState Medical Group PC 435 Lewis Avenue Meriden,CT06450 20-4327968	Medical Services	CT	N/A	C				No
(12) Windham Professional Office Condominium Association Inc 112 Mansfield Avenue Willimantic,CT06226 06-1090041	Condo Association	CT	N/A	C				No
(13) WWB Corporation 326 Washington Street Norwich,CT06360 06-1094838	Holding Company	CT	N/A	C				No

Schedule R (Form 990) 2018

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) ............................

Yes

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

Yes

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

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) ............................

Yes

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) Hartford HealthCare Endowment LLC	S	12,000,000	FMV
(2) Hartford HealthCare Senior Services Inc	O	101,025	FMV
(3) Hartford HealthCare Senior Services Inc	R	431,342	FMV
(4) Hartford HealthCare Senior Services Inc	S	218,675	FMV
(5) The Hospital of Central Connecticut	L	1,390,164	FMV
(6) The Hospital of Central Connecticut	O	823,315	FMV
(7) The Hospital of Central Connecticut	P	141,138	FMV
(8) The Hospital of Central Connecticut	Q	2,359,785	FMV
(9) The Hospital of Central Connecticut	R	6,555,763	FMV
(10) The Hospital of Central Connecticut	S	2,433,071	FMV
(11) MidState Medical Center	A	3,013	FMV
(12) MidState Medical Center	L	1,559,734	FMV
(13) MidState Medical Center	O	122,256	FMV
(14) MidState Medical Center	Q	1,435,043	FMV
(15) MidState Medical Center	R	2,238,378	FMV
(16) MidState Medical Center	S	110,055	FMV
(17) Hartford HealthCare Medical Group Inc	A	1,732,965	FMV
(18) Hartford HealthCare Medical Group Inc	B	167,417	FMV
(19) Hartford HealthCare Medical Group Inc	L	1,210,448	FMV
(20) Hartford HealthCare Medical Group Inc	M	41,975,927	FMV
(21) Hartford HealthCare Medical Group Inc	O	10,831,691	FMV
(22) Hartford HealthCare Medical Group Inc	P	217,304	FMV
(23) Hartford HealthCare Medical Group Inc	Q	355,528	FMV
(24) Hartford HealthCare Medical Group Inc	R	1,107,937	FMV
(25) Hartford HealthCare Medical Group Inc	S	26,090,799	FMV
(26) Hartford HealthCare at Home Inc	A	5,010	FMV
(27) Hartford HealthCare at Home Inc	B	169,949	FMV
(28) Hartford HealthCare at Home Inc	O	20,170,780	FMV
(29) Hartford HealthCare at Home Inc	P	126,243	FMV
(30) Hartford HealthCare at Home Inc	Q	683,070	FMV
(31) Hartford HealthCare at Home Inc	R	1,008,429	FMV
(32) Hartford HealthCare at Home Inc	S	121,982	FMV
(33) Mulberry Gardens of Southington LLC	O	50,356	FMV
(34) The William W Backus Hospital	L	2,869,481	FMV
(35) The William W Backus Hospital	O	248,765	FMV
(36) The William W Backus Hospital	Q	1,851,606	FMV
(37) The William W Backus Hospital	R	4,185,972	FMV
(38) The William W Backus Hospital	S	143,426	FMV
(39) Windham Community Memorial Hospital	A	10,987	FMV
(40) Windham Community Memorial Hospital	L	775,867	FMV
(41) Windham Community Memorial Hospital	O	323,956	FMV
(42) Windham Community Memorial Hospital	Q	569,226	FMV
(43) Windham Community Memorial Hospital	R	1,007,706	FMV
(44) Windham Community Memorial Hospital	S	163,374	FMV
(45) Natchaug Hospital	L	70,140	FMV
(46) Natchaug Hospital	O	232,296	FMV
(47) Natchaug Hospital	Q	179,374	FMV
(48) Natchaug Hospital	R	298,183	FMV
(49) HHMOB Corporation	A	2,204,402	FMV
(50) HHMOB Corporation	L	141,640	FMV
(51) HHMOB Corporation	O	131,676	FMV
(52) HHMOB Corporation	P	152,570	FMV
(53) HHMOB Corporation	Q	99,117	FMV
(54) HHMOB Corporation	S	1,008,423	FMV
(55) Rushford Center Inc	O	82,509	FMV
(56) Rushford Center Inc	Q	166,140	FMV
(57) Rushford Center Inc	R	191,829	FMV
(58) Hartford HealthCare Rehabilitation Network LLC	A	74,274	FMV
(59) Hartford HealthCare Rehabilitation Network LLC	M	1,765,560	FMV
(60) Hartford HealthCare Rehabilitation Network LLC	O	8,099,097	FMV
(61) Hartford HealthCare Rehabilitation Network LLC	R	8,814,394	FMV
(62) Hartford HealthCare Rehabilitation Network LLC	S	2,067,283	FMV
(63) The Orchards of Southington Inc	O	50,364	FMV
(64) The Charlotte Hungerford Hospital	Q	60,845	FMV
(65) The Charlotte Hungerford Hospital	R	118,526	FMV
(66) The Charlotte Hungerford Hospital	S	84,638	FMV
(67) Hartford HealthCare Medical Group Specialists LLC	A	42,933	FMV
(68) Hartford HealthCare Medical Group Specialists LLC	L	128,881	FMV
(69) Hartford HealthCare Medical Group Specialists LLC	M	9,864,687	FMV
(70) Hartford HealthCare Medical Group Specialists LLC	O	2,642,560	FMV
(71) Hartford HealthCare Medical Group Specialists LLC	S	6,382,212	FMV
(72) MRI Farmington Avenue LLC	A	137,769	FMV
(73) MRI Farmington Avenue LLC	R	137,480	FMV
(74) Hartford Hospital Auxiliary	C	790,693	FMV

Schedule R (Form 990) 2018

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) 2018

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) 2018

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	13
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	11
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	8,515
6	Total number of volunteers (estimate if necessary) .............	6	842
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	176,682
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	29,968,749	22,940,295
9	Program service revenue (Part VIII, line 2g) .........	1,535,320,889	1,732,745,685
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	67,627,144	27,952,022
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	-1,864,935	-10,474,563
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,631,051,847	1,773,163,439
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	590,951	512,949
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)	620,627,995	649,523,804
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 1,581,518
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	901,136,630	1,007,212,886
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,522,355,576	1,657,249,639
19	Revenue less expenses. Subtract line 18 from line 12.......	108,696,271	115,913,800
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,792,515,823	1,850,044,536
21	Total liabilities (Part X, line 26).............	778,979,016	888,574,842
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,013,536,807	961,469,694

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 272,130,892 including grants of $ ) (Revenue $ 294,726,973 )
	Hartford Hospital has an unwavering commitment to provide the very best care to our cardiac patients who need clinical services, angioplasty, surgery or other procedures, as well as others who want to make their hearts healthier through preventive, pharmacological or rehabilitative therapy. Clinical research in cardiovascular disease is another major component of the program.At the completion of FY19, the Division of Cardiology was comprised of 20 full time faculty cardiologists. Cardiology division members published 39 manuscripts in peer-reviewed journals in 2017-2018. Many of these articles were published in top medical journals. Heart & Vascular Conditions Treated at Hartford Hospital:Adult Congenital Heart DiseaseAbnormal Heart RhythmsAnginaAortic Aneurysm & DissectionAortic DiseaseBroken Heart SyndromeCardiac TumorsCardiomyopathyCarotid Artery DiseaseChest PainCholesterolCoronary Artery DiseaseDeep Vein ThrombosisEndocarditisHeart FailureHeart AttackHypertensionMarfan SyndromeMesenteric Artery DiseaseMitral Valve RepairMyocardial Infarction (Heart Attack)MyocarditisPalpitationsPericarditisPeripheral AneurysmPeripheral Artery DiseasePulmonary EmbolismRenal Artery DiseaseSyncopeThoracic Outlet SyndromeValvular Heart DiseaseVein TherapiesDepartment accomplishments: The Division's Cardiac Transplant program exceeds 1 year and 3 year survival rates based on the national Scientific Registrar of Transplant Recipients. Based on 3 year Estimated Probability of Graft Survival, Hartford Hospital ranks #1 in Connecticut, #2 in Greater New England including New York and New Jersey and #11 nationally. Based upon the latest published report from the STS/ACC TVT Registry, risk-adjusted in hospital 30 day mortality for Hartford Hospital TAVR patients ranks in the top 10% of hospitals nationwide.. Physicians from the Heart & Vascular Structural Heart Disease Program have served as principal investigators on multiple pivotal national trials leading to the FDA approval of TAVR use in extreme, high and intermediate risk patients. In 2018-2019, Hartford Hospital was selected as one of 35 hospitals nationwide to participate in a study allowed low-risk patients with severe aortic stenosis to receive TAVR rather than conventional open-heart surgery. The American Heart Association (AHA) has recognized the Heart and Vascular Institute for adhering to national guidelines for evidence-based care of stem patients. In 2019, Hartford Hospital was recognized with a Gold Award. Interventional Cardiology led a multidisciplinary team to create and implement an algorithm for the initial triage and management of Out of Hospital Cardiac Arrest (OHCA). This algorithm standardizes care to reduce heterogeneity. Improve outcomes and improve resource utilization.

4b	(Code: ) (Expenses $ 171,761,140 including grants of $ ) (Revenue $ 187,623,381 )
	Hartford HealthCare is Connecticut's most comprehensive healthcare network. Our fully integrated health system includes a tertiary-care teaching hospital, an acute-care community teaching hospital, an acute-care hospital and trauma center, two community hospitals. The Hartford HealthCare Cancer Institute encompasses comprehensive cancer centers at six hospitals across Connecticut - Hartford Hospital, The Hospital of Central Connecticut, Backus Hospital, MidState Medical Center, Windham Hospital and Charlotte Hungerford Hospital. Collectively, the cancer programs within the Cancer Institute treat more than 5,000 new cancer patients per year while caring for tens of thousands of existing patients, offering a full range of innovative, evidence-based and personalized treatments designed to meet the needs of each individual patient. Our innovative Institute approach is unlike any other in the state and is among the most highly regarded in the nation. Through our Institute, which is organized around a specific disease and not necessarily location, we can apply best practices throughout our system so that patients receive the same high standards of care no matter where they live or which Hartford HealthCare cancer center they choose. For all of our patients, a dedicated team of oncologists, surgeons, radiologists, pathologists, nurses, clinical researchers, technicians and others collaborate to provide the exact course of care they need. The Institute's multidisciplinary disease management teams meet and collaborate regularly to lend expertise and insight on numerous cancer types, translating into exceptional coordinated care. The Institute's accomplished, fellowship-trained physicians are nationally recognized for their level of sophisticated care in areas such as radiation oncology, medical oncology and surgical oncology. Patients are also cared for in an environment that emphasizes compassion and personal connections, with a team of trained nurse navigators who provide guidance and support to patients and families, from diagnosis to recovery. The Institute also boasts a thriving survivorship program. In 2013, the Hartford HealthCare Cancer Institute became the first community-based cancer program to become a member of the Memorial Sloan Kettering Cancer Alliance, establishing a relationship with one of the world's premier cancer centers. The Institute's membership in the Alliance provides patients in Connecticut access to the most advanced, leading-edge treatments available anywhere. In 2017, the Institute was accredited as a network by the American College of Surgeons Commission on Cancer, one of a select few institutes nationwide to be recognized as a system, rather than individual cancer centers. For patients coming through our doors with a cancer diagnosis, that means three things: standardized care, more options and more hope.More than four years after the Hartford HealthCare Cancer Institute became the charter member of the Memorial Sloan Kettering (MSK) Cancer Alliance, cancer patients now have unprecedented access to the world's most advanced clinical trials. And more than ever before, physicians, nurses, pharmacists and researchers are working collaboratively to implement cancer treatment standards and protocols developed at MSK, the premier cancer treatment center in the country. This distinctive cancer care and clinical research partnership means the Hartford HealthCare Cancer Institute brings the most innovative, evidence-based cancer care directly into community settings.During FY19, the Institute had approximately 5,871 new cases across the system were as follows:Hartford Hospital - 3,187Hospital of Central Connecticut - 1,082Backus Hospital - 748MidState Medical Center - 483Windham Hospital - 163Charlotte Hungerford Hospital - 208The five most common types of cancer diagnosed by teams of specialists at the Hartford HealthCare Cancer Institute are cancers of the bladder, breast, colon, lung and prostate. Each patient has a unique scenario requiring a personalized plan.Approximately 1,158 Breast Cancer cases were treated across the system as follows:Hartford Hospital - 613Hospital of Central Connecticut - 217Backus Hospital - 127MidState Medical Center - 120Windham Hospital - 10Charlotte Hungerford Hospital - 71Approximately 709 Lung Cancer cases were treated across the system as follows:Hartford Hospital - 438Hospital of Central Connecticut - 115Backus Hospital - 75MidState Medical Center - 56Windham Hospital - 12Charlotte Hungerford Hospital - 13Approximately 876 Prostate Cancer cases were treated across the system as follows:Hartford Hospital - 349Hospital of Central Connecticut - 90Backus Hospital - 121MidState Medical Center - 88Windham Hospital - 20Charlotte Hungerford Hospital - 208Approximately 367 Bladder Cancer cases were treated across the system as follows:Hartford Hospital - 139Hospital of Central Connecticut - 54Backus Hospital - 94MidState Medical Center - 55 Windham Hospital - 9Charlotte Hungerford Hospital - 16Approximately 331 Colon Cancer cases were treated across the system as follows:Hartford Hospital - 159Hospital of Central Connecticut - 51Backus Hospital - 14MidState Medical Center - 28Windham Hospital - 8Charlotte Hungerford Hospital - 71Today, Hartford HealthCare is creating a better future for healthcare in Connecticut and beyond. We are a community of caregivers engaged in developing a coordinated, consistent high standard of care. We use research and education as partners in care delivery. We create and engage in meaningful alliances to enhance access to services. We invest in technology and training to develop new pathways to improve the timeliness, efficiency and accuracy of our services.

4c	(Code: ) (Expenses $ 100,593,127 including grants of $ ) (Revenue $ 97,261,174 )
	The orthopedic surgeons at the Bone & Joint Institute provide outstanding diagnosis, treatment and rehabilitation for musculoskeletal disorders and injuries.The Institute is run by our board-certified orthopedic surgeons and staffed by a multi-disciplinary treatment team. This includes subspecialists like musculoskeletal radiologists, anesthesiologists, rheumatologists, orthopedic oncologists, physical medicine specialists and pain management specialists. Our nurses, physical therapists, occupational therapists and case managers are all specially trained and certified in orthopedics. Our central location in Hartford gives the community easy access to treatment for their orthopedic needs. Patients are referred from the emergency room as well as community clinics. The Bone & Joint Institute's specialty clinics are outpatient centers whose mission is to provide quality orthopedic care for Hartford's underserved population.The specialty orthopedic clinics offer all of the services patients require, in one convenient location, which simplifies their ability to get care. This includes on-site X-rays, casting services, a pharmacy, a laboratory for blood work, a medical equipment provider for orthotics and braces, and physical therapy services. Whenever possible, clinic staff support people to overcome potential barriers to care, helping them access resources for financial and transportation related issues.All of our specialty clinics maintain close relationships with the Hartford-based orthopedics practices including Orthopedic Associates, the Hand Center in Glastonbury, and Rheumatology Associates. Departments/Services provided by the Institute include:Anesthesiology; Musculoskeletal Health; Rheumatology & Bone Health; Foot and Ankle Services; Fragility Fracture Program; Hand Services; Hip Reconstructive Services; Joint Reconstructions Services; Knee Reconstructions Services; Orthopedic Radiology; Physiatry; Rehabilitation Services; Shoulder Reconstructions Services; Spine Services; Sports Health; Trauma as well as variety of others Orthopedic related services.

	(Code: ) (Expenses $ 956,955,916 including grants of $ 512,949 ) (Revenue $ 1,153,134,158 )
	Hartford Hospital, founded in 1854, is one of the largest teaching hospitals and tertiary care centers in New England with perhaps the region's busiest surgery practice and has been training physicians for over 160 years. It is a member of Hartford HealthCare Corporation, a large, diversified health care system.The hospital is a regional referral center that provides high-quality care in all clinical disciplines. Among its divisions is The Institute of Living, a 114-bed mental health facility with a national and international reputation of excellence. Jefferson House, a 104-bed long-term care facility, is also part of Hartford Hospital. The hospital's active medical staff includes more than 1,000 physicians and dentists within 18 departments. It is an 867-bed hospital occupying a 65-acre campus in downtown Hartford and operating satellite facilities in Avon, Bloomfield, Cheshire, Enfield, Farmington, Glastonbury, Granby, Manchester, Meriden, Newington, Prospect, South Windsor, Vernon, Wallingford, West Hartford, Wethersfield and Windsor.In addition to above, the hospital provides services/programs including but not limited to the following:BariatricsBehavioral & Mental HealthBone & Joint InstituteCancer CareCardiology & Heart CareCedar Mountain CommonsCenter for Musculoskeletal HealthCritical CareCystic Fibrosis CenterDentalDiabetesEmergency ServicesEye CareEye SurgeryGastroenterologyHeadache CenterHearing & BalanceHerniasImaging ServicesIntegrative MedicineJefferson HouseLIFE STARLiver & HepatologyLung & PulmonaryMedical Weight LossMinimally Invasive SurgeryMovement Disorders CenterNeurosciencesPalliative CarePain TreatmentPediatricsPhysical RehabilitationPrimary Care & Family MedicineRobotic SurgerySenior ServicesSleep DisordersSpine CareStrokeSurgical Weight LossThoracic SurgeryTransplant ServicesTraumatologyUrology & KidneyVascularWomen's Health ServicesWound CareWeight Loss

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 956,955,916 including grants of $ 512,949 ) (Revenue $ 1,153,134,158 )
4e	Total program service expenses1,501,441,075

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	2,939,757	6,962,017	1,208,763

1a	Federated campaigns..		1a	44,788
b	Membership dues..		1b
c	Fundraising events..		1c	1,637,859
d	Related organizations		1d	1,046,919
e	Government grants (contributions)		1e	9,206,463

f	All other contributions, gifts, grants, and similar amounts not included above		1f	11,004,266

g	Noncash contributions included in lines 1a - 1f:$ 486,719
h Total. Add lines 1a-1f.......		22,940,295

		Business Code
2a	Net Patient Revenue	624100	1,679,781,456	1,679,781,456
b	Pharmacy	541700	51,910,466	51,819,127	91,339
c	Reference Testing	621500	1,180,288	803,895	376,393
d	Inc. From Inv - Other	900003	-126,525	164,525	-291,050
e
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		1,732,745,685

3 Investment income (including dividends, interest, and othersimilar amounts) ......			12,627,842			12,627,842
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		4,251,310
b	Less: rental expenses		18,592,989
c	Rental income or (loss)		-14,341,679
d	Net rental income or (loss)......			-14,341,679			-14,341,679
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	8,521,034	15,822,714
b	Less: cost or other basis and sales expenses	9,019,568	0
c	Gain or (loss)	-498,534	15,822,714
d	Net gain or (loss).....			15,324,180			15,324,180
8a	Gross income from fundraising events (not including $ 1,637,859of contributions reported on line 1c). See Part IV, line 18 ....
	a		288,432
b	Less: direct expenses ...b		759,972
c	Net income or (loss) from fundraising events..			-471,540			-471,540
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	4,338,656			4,338,656
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			4,338,656
12	Total revenue. See Instructions......			1,773,163,439	1,732,569,003	176,682	17,477,459

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	437,949	437,949
2	Grants and other assistance to domestic individuals. See Part IV, line 22	75,000	75,000
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	422,851	137,500	285,351
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	548,525,105	498,379,850	49,108,514	1,036,741
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	28,370,732	25,763,724	2,553,414	53,594
9	Other employee benefits .......	36,746,346	33,369,697	3,307,233	69,416
10	Payroll taxes ...........	35,458,770	31,337,307	4,042,152	79,311
11	Fees for services (non-employees):
a	Management ......
b	Legal .........
c	Accounting ...........
d	Lobbying ...........	168,274		168,274
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	878,240		878,240
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	181,526,776	181,526,776
12	Advertising and promotion ....	307,193	284,840	22,353
13	Office expenses .......	19,238,542	12,371,751	6,761,870	104,921
14	Information technology ......	79,363,274	46,030,699	33,332,575
15	Royalties ..
16	Occupancy ...........	25,939,903	17,832,791	8,106,900	212
17	Travel ............	911,620	887,473	23,163	984
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,215,272	1,215,272
20	Interest ...........	15,681,336	14,593,917	1,087,419
21	Payments to affiliates .......	142,539,290	122,583,789	19,955,501
22	Depreciation, depletion, and amortization ..	53,857,872	45,252,463	8,603,548	1,861
23	Insurance ...	16,989,356	16,989,356
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	316,816,802	316,816,802
b	Hospital Provider Fee	89,966,546	89,966,546
c	Purchased Services	31,638,041	21,787,710	9,730,379	119,952
d	Equipment & Ppty Maint	22,291,955	20,447,659	1,835,359	8,937
e	All other expenses	7,882,594	3,352,204	4,424,801	105,589
25	Total functional expenses. Add lines 1 through 24e	1,657,249,639	1,501,441,075	154,227,046	1,581,518
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 ........			62,517,632	1	87,582,458
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......			5,398,834	3	4,280,361
4	Accounts receivable, net .............			167,850,242	4	180,857,921
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 ........			23,792,287	8	22,931,149
9	Prepaid expenses and deferred charges ......			11,267,640	9	11,954,078
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,333,196,752
b	Less: accumulated depreciation	10b	832,078,777	525,559,265	10c	501,117,975
11	Investments—publicly traded securities .			352,369	11	299,010
12	Investments—other securities. See Part IV, line 11 .....			841,397,256	12	842,195,451
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			59,980,346	14	48,100,025
15	Other assets. See Part IV, line 11 ...........			94,399,952	15	150,726,108
16	Total assets. Add lines 1 through 15 (must equal line 34)...			1,792,515,823	16	1,850,044,536

17	Accounts payable and accrued expenses .....	89,426,526	17	107,546,525
18	Grants payable ...		18
19	Deferred revenue .........	14,392,648	19	12,729,565
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 ..	8,723,881	24	6,507,109
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	666,435,961	25	761,791,643
26	Total liabilities. Add lines 17 through 25..	778,979,016	26	888,574,842

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	552,039,604	27	502,165,285
28	Temporarily restricted net assets ...........	191,500,642	28	192,342,639
29	Permanently restricted net assets	269,996,561	29	266,961,770
	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 ...........	1,013,536,807	33	961,469,694
34	Total liabilities and net assets/fund balances ........	1,792,515,823	34	1,850,044,536

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No