Connecticut Children'S Medical Center

“Ccmc corporation is the sole member of this organization. Ccmc corporation has the right to elect the members of this organization's board of directors and has certain reserved powers as defined in this organization's bylaws.”

“The organization is an affiliate within ccmc corporation and subsidiaries; a tax-exempt integrated healthcare delivery system ("system"). The organization's federal form 990 was provided to each voting member of its governing body (its board of directors) prior to filing with the internal revenue service ("irs"). The organization's finance and audit committee assumes the responsibility to oversee and coordinate the federal form 990 preparation, review and filing process. As part of the organization's federal form 990 tax return preparation process the organization hired a professional cpa firm with experience and expertise in both healthcare and not-for-profit tax return preparation to prepare the federal form 990. The cpa firm's tax professionals worked closely with the system's finance personnel including the senior vice president/chief financial officer, corporate controller, accounting manager and various other individuals ("internal working group") to obtain the information needed in order to prepare a complete and accurate tax return. The cpa firm prepared a draft federal form 990 and furnished it to the system's internal working group for review. The system's internal working group reviewed the draft federal form 990 and discussed questions and comments with the cpa firm. Revisions were made to the draft federal form 990 where necessary and a final draft was furnished by the cpa firm to the system's internal working group for final review and approval. The form 990 was then provided and presented to the organization's finance and audit committee and subsequently to each voting member of its governing body prior to filing with the irs.”

“The organization is an affiliate within ccmc corporation and subsidiaries; a tax-exempt integrated healthcare delivery system ("system"). The organization and system regularly monitor and enforce compliance with its conflict of interest policy. Annually all members of the board of directors, officers and senior management personnel are required to review the existing conflict of interest policy and complete a questionnaire. The organization's corporate compliance/conflict of interest committee ("committee") has oversight over the management of identified or reported cases of conflicts of interest. The committee is also responsible for developing, approving, and implementing, as appropriate, policies and education relating to various types of conflicts of interest. The committee has delegated the day to day investigation of disclosures to the system's general counsel and director of compliance. Completed questionnaires are returned to the system's general counsel, who performs an initial screening of the conflict of interest disclosures. If potential conflicts of interests are reported, general counsel completes further investigation and recommends a management plan or other corrective actions to the committee.”

“The organization is an affiliate within ccmc corporation and subsidiaries; a tax-exempt integrated healthcare delivery system. The organization's board of directors has an executive compensation committee ("committee"). The committee has adopted a written executive compensation philosophy which it follows when it reviews and approves of the compensation and benefits of connecticut children's senior management. The committee reviews the "total compensation" of these individuals which is intended to include both current and deferred compensation and all employee benefits, both qualified and non-qualified. The committee's review is done on at least an annual basis and ensures that the "total compensation" of senior management of the organization is reasonable. The actions taken by the committee enable the organization to receive the rebuttable presumption of reasonableness for purposes of internal revenue code section 4958 with respect to the total compensation of certain members of the senior management team. The three factors which must be satisfied in order to receive the rebuttable presumption of reasonableness are the following: 1. The compensation arrangement is approved in advance by an "authorized body" of the applicable tax-exempt organization which is composed entirely of individuals who do not have a "conflict of interest" with respect to the compensation arrangement; 2. The authorized body obtained and relied upon "appropriate data as to comparability" prior to making its determination; and 3. The authorized body "adequately documented the basis for its determination" concurrently with making that determination. The committee is comprised of members of the board of trustees each of who are independent and are free from any conflicts of interest. The committee relied upon appropriate comparable data; specifically the committee obtained a written compensation study from an independent firm which specializes in the reviewing of hospital and healthcare system executive compensation and benefits throughout the united states. This study used comparable geographic and demographic market data including but not limited to similar sized hospitals, # of licensed beds and net patient service revenue, including complexity of services. The committee adequately documented its basis for its determination through the timely preparation of written minutes of the compensation committee meetings during which the executive compensation and benefits was reviewed and subsequently approved. The actions outlined above with respect to the committee and the establishment of the rebuttable presumption of reasonableness only applies to certain senior management personnel. The compensation and benefits of certain other individuals contained in this form 990 are reviewed annually by the president/chief executive officer with assistance from the organization's senior vice president of human resources and the human resources department, in conjunction with the individual's job performance during the year and is based upon other objective factors designed to ensure that reasonable and fair market value compensation is paid by the organization. Other objective factors include market survey data for comparable positions, individual goals and objectives, personnel reviews, evaluations, self-evaluations and performance feedback meetings. Please also refer to our response included in schedule j, part iii, question 3 for further information on how connecticut children's medical center satisfies the criteria to satisfy the rebuttable presumption of reasonableness for purposes of internal revenue code section 4958 with respect to executive compensation review and approval.”

“The organization's filed certificate of incorporation and any amendments can be obtained and reviewed through the connecticut secretary of state. Additionally, the organization's governing policies and audited financial statements are available to the public upon request.”

“Core form, part vii and schedule j reflect certain board members and officers receiving compensation and benefits from this organization or a related organization. Please note this remuneration was for services rendered as full-time employees of this organization or the related organization; not for services rendered as a voting member or officer of the organization's board of directors.”

“The organization is an affiliate within ccmc corporation and subsidiaries; a tax-exempt integrated healthcare delivery system ("system"). Certain board of director members and officers listed on core form, part vii and schedule j of this form 990 may hold similar positions with both this organization and other affiliates within the system. The hours shown on this form 990, for board members who receive no compensation for services rendered in a non-board capacity, represent the estimated hours devoted per week for this organization. To the extent these individuals serve as a member of the board of directors of other related organizations within the system, their respective hours are approximately the same as reflected on core form, part vii of this form 990. The hours reflected core form, part vii of this form 990, for board members who receive compensation for services rendered in a non-board capacity, paid officers and key employees, reflect total hours worked per week on behalf of the system; not solely this organization.”

“This form 990 is being amended to restate a number in Schedule H, Part II: Community Building Activities.”

“Background ========== connecticut children's medical center ("connecticut children's") is recognized by the internal revenue service ("irs") as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes connecticut children's provides medically necessary healthcare services to all children in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, connecticut children's operates consistently with the following criteria outlined in irs revenue ruling 69-545: 1. Connecticut children's provides medically necessary healthcare services to all children regardless of ability to pay, including charity care, self-pay, medicare and medicaid patients; 2. Connecticut children's operates an active emergency room for all children which is open 24 hours a day, 7 days a week, 365 days per year; 3. Connecticut children's maintains an open medical staff, with privileges available to all qualified physicians; 4. Control of connecticut children's rests with its board of directors. Its board is comprised of independent civic leaders and other prominent members of the community; 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care, programs and activities. The operations of connecticut children's, as shown through the factors outlined above and other information contained herein, clearly demonstrate the hospital provides substantial community benefit and that the use and control of connecticut children's is for the benefit of the public, and that no part of the income or net earnings of the organization inures to the benefit of any private individual, nor is any private interest being served other than incidentally. Additionally, connecticut children's board certified physicians and highly trained specialists provide advanced clinical and surgical care to children of all ages. However, the impact made on health care in connecticut reaches far beyond their walls and into communities across the state. Connecticut children's pioneered an innovative community child health model which leads research, development and delivery of robust outreach programs that address critical issues affecting the health, development and well-being of connecticut's children. This model, which serves as an example for other children's hospitals nationwide, helps keep children safer and healthier. It also empowers community pediatricians to provide better primary care, so that together they can succeed in making children in connecticut the healthiest in the nation. Patients and families from every corner of connecticut, and now massachusetts, have benefited from connecticut children's ongoing clinical and community-focused growth. New construction and extended patient services have expanded capabilities throughout connecticut and southern new england. History ======= connecticut children's is a nationally recognized not-for-profit with a medical staff of more than 1,000 who provide comprehensive, world-class healthcare in more than 30 pediatric specialties and subspecialties. Connecticut children's is the primary pediatric teaching hospital for the uconn school of medicine, has a teaching partnership with the frank h. Netter, m.d. School of medicine at quinnipiac university and is a research partner of the jackson laboratory. The history of connecticut children's spans more than 100 years. Founded as a 10-bed hospital for children who suffered then incurable conditions such as cerebral palsy, spina bifida and polio, connecticut children's is now one of only two freestanding children's hospitals in new england and is the only freestanding children's hospital in connecticut. Connecticut children's provides an array of pediatric services in locations across connecticut and in massachusetts, including at hospitals in hartford and waterbury, neonatal intensive care units in hartford and farmington, an ambulatory”

“- 2024 Becker's Healthcare named Sarah Matney, Senior Vice President and Chief Nursing Officer, to it's "Chief Nursing Officer to Know" list for 2024 - 2024 LGBTQ + Healthcare Equality High Performer, Human Rights Campaign - 2024, 2022 GET WITH THE GUIDELINES - RESUSCITATION GOLD AWARD FOR NEONATOLOGY AND INFANT CARE; - 2023, 2022 eHEALTHCARE LEADERSHIP AWARD FOR BEST COVID-19 PANDEMIC RELATED COMMUNICATIONS; - 2021-23 EXTRACORPOREAL LIFE SUPPORT ORGANIZATION GOLD LEVEL CENTER OF EXCELLENCE; - 2024-2025, 2021-22, 2020-21, 2019, 2018 & 2017 U.S. NEWS & WORLD REPORT BEST CHILDREN'S HOSPITAL; - 2024, 2023, 2022, 2021, 2019, 2018 & 2017 WOMEN'S CHOICE AWARD FOR BEST CHILDREN'S HOSPITALS; - 2024, 2023, 2022, 2020, 2019, 2018 & 2017 CHIME HEALTHCARE'S MOST WIRED AWARD; - 2023, 2022, 2018 3M AWARD FOR EXCELLENCE IN SKIN SAFETY; - 2020, 2019, 2018 & 2017 LANTERN AWARD; - 2016 CHILDKIND HOSPITAL DESIGNATION; - 2016 PRESS GANEY SUCCESS STORY AWARD; - 2016 HARTFORD BUSINESS JOURNAL HEALTHCARE HERO (CHRISTINE FINCK, M.D.); - 2016 HARTFORD BUSINESS JOURNAL BEST IN BUSINESS, ONCOLOGY (CENTER FOR CANCER AND BLOOD DISORDERS); - 2016 TOP MASTER'S IN HEALTHCARE ADMINISTRATION; - 2022, 2016 GET WITH THE GUIDELINES - RESUSCITATION SILVER AWARD; AND - 2015 TOP WORKPLACE IN CONNECTICUT, RANKED 10TH IN LARGE ORGANIZATION CATEGORY. OFFICE OF COMMUNITY CHILD HEALTH ("OCCH") ========================================= CONNECTICUT CHILDREN'S OFFICE FOR COMMUNITY CHILD HEALTH ("THE OFFICE") ELEVATES THE EFFECTIVENESS AND STATUS OF THE MEDICAL CENTER AS A CRITICAL COMMUNITY RESOURCE BY DEVELOPING, PROMOTING, SUPPORTING, EVALUATING AND DISSEMINATING INNOVATIVE, EFFECTIVE COMMUNITY-ORIENTED PROGRAMS AND SERVICES TO ADDRESS CHILDREN'S CRITICAL HEALTH NEEDS. WHAT WE DO ---------- THE OFFICE ADDRESSES CRITICAL CONTEMPORARY ISSUES IN CHILDREN'S LIVES THAT HAVE THE POTENTIAL TO ADVERSELY AFFECT THEIR HEALTH AND DEVELOPMENT. THE OFFICE NOT ONLY SERVES AS A CRITICAL COMMUNITY RESOURCE, BUT ALSO CULTIVATES INNOVATIVE AND COST-EFFECTIVE SOLUTIONS TO ADDRESS EXISTING GAPS IN OUR HEALTH CARE AND CHILD SERVICE SYSTEMS. THROUGH THE OFFICE, CONNECTICUT CHILDREN'S MEDICAL CENTER ENSURES THAT FAMILIES HAVE ACCESS TO A COMPREHENSIVE SYSTEM OF COMMUNITY PROGRAMS AND SERVICES THAT SUPPORTS THEM IN PROMOTING THEIR CHILDREN'S OPTIMAL HEALTHY DEVELOPMENT. OUR MODEL --------- THE OFFICE OVERSEES A VARIETY OF COMMUNITY-ORIENTED PROGRAMS THAT ADDRESS A WIDE RANGE OF FACTORS THAT INFLUENCE CHILDREN'S HEALTHY DEVELOPMENT. THOSE PROGRAMS, AND THEIR COMMUNITY-BASED PARTNERS, NOT ONLY FOCUS ON THE TRADITIONAL AREAS OF CHILD HEALTH SERVICES, FAMILY SUPPORT, AND EARLY CARE AND EDUCATION, BUT ALSO TOUCH OTHER SECTORS INCLUDING FOOD AND NUTRITION, HOUSING, ECONOMIC DEVELOPMENT, CHILD WELFARE, AND TRANSPORTATION. THE OFFICE TAKES A THREE-PRONGED APPROACH TO PROMOTING CHILDREN'S OPTIMAL HEALTHY DEVELOPMENT: 1. STRENGTHENING EXISTING COMMUNITY-ORIENTED PROGRAMS; 2. FACILITATING SYNERGIES AMONG THOSE PROGRAMS; AND 3. SERVING AS AN INNOVATION INCUBATOR FOR PROMISING APPROACHES THAT IMPROVE SHORT AND LONG-TERM HEALTH OUTCOMES FOR CHILDREN. THE OFFICE SERVES AS A NEW MODEL FOR OTHER CHILDREN'S HOSPITALS TO FOLLOW IN TERMS OF DEMONSTRATING THEIR COMMUNITY BENEFIT TO MAINTAIN TAX EXEMPT STATUS. IN THE PAST, HOSPITALS HAVE TRADITIONALLY RELIED ON DOCUMENTING THE DISCOUNTED AND UNREIMBURSED CARE THAT THEY PROVIDE TO PATIENTS. NOW, UNDER THE AFFORDABLE CARE ACT, THERE HAS BEEN A SHARP REDUCTION IN THE NUMBER OF AMERICANS WHO ARE UNINSURED AND, THEREFORE, A REDUCTION IN THE NEED FOR DISCOUNTED OR UNREIMBURSED CARE. BECAUSE OF THAT, HOSPITALS ARE BEING ENCOURAGED TO FIND NEW WAYS TO DEMONSTRATE THE BENEFIT THEY OFFER TO THEIR COMMUNITIES. THE OFFICE'S MODEL OFFERS A STRATEGIC APPROACH THAT SHOWS HOW ITS PROGRAMS ARE LINKED TO CRITICAL COMMUNITY NEEDS AND HOW THEY ARE ADDRESSING THOSE NEEDS. ALSO, THE OFFICE'S FOCUS ON PREVENTIVE AND COST-EFFECTIVE MODELS OF CARE FOR CHILDREN IS TIMELY GIVEN THE SHIFT IN HE”

“The kohl's start childhood off right (scor) program is dedicated to decreasing obesity in hartford children from birth to age 2 by five percent. Scor is working to accomplish that goal through the following activities: 1) convene a collaborative of community partners who are mobilized to combat childhood obesity; 2) educate pediatric providers to counsel hartford families on healthy nutrition and activity and provide referrals to community resources for at risk 0-2 year olds; 3) train community outreach workers on counseling and supporting families with 0-2 year olds to utilize consistent healthy growth messaging; 4) connect hartford families to health promotion organizations during wellness events and sharing healthy eating messages; and 5) refer at risk families to child development infoline to connect them to community resources. The care coordination collaborative model is the signature innovation of connecticut children's cetner for care coordination. The model improves collaboration among care coordinators from diverse sectors including child health, early care and education, and family support. It also provides children and families with links to effective services. It works by bringing together care coordinators from several child-serving sectors for periodic meetings to learn about available services and how to help families access them, to review challenging cases and develop solutions for families, and to advocate for policy level solutions to help families address challenges they face connecting to services. Initially launched in the greater hartford area, the program has expanded across the state of connecticut and into additional states. The north hartford ascend is a cradle to career effort to ensure children living in the north hartford promise zone have the supports they need to reach their full potential. Ascend pipeline will address academic, social, economic and health inequities faced by families in north hartford, which have been exacerbated by the covid-19 pandemic. Partners will work to eliminate disparities in outcomes based on race, ethnicity, disabilities and other factors so children and families are able to thrive. The goal of ascend is to improve developmental outcomes so children are healthier in their earliest years and are ready to learn when they enter kindergarten, enhance academic outcomes by increasing standardized test scores and graduation rates while reducing absenteeism, and strenghten long-term well-being and quality of life so children can successfully transition to college or a career. Direct services --------------- the connecticut children's center for care coordination (the center) empowers families of all children, including those with special needs, by helping them advocate for access to appropriate medical, behavioral, educational, legal, and social services. The center also provides training and technical support for community-based primary care providers, supporting them to become medical homes for the children they serve. The connecticut children's healthy homes program improves the lives of children by making their homes healthier, safer and more energy efficient. The program provides qualified homeowners and tenants with inspections and plans for the removal of lead, asthma triggers, and safety hazards. It also provides financial assistance for remediation, relocation assistance during construction, referrals to low-cost or no-cost weatherization programs to increase energy efficiency, and education pertaining to healthy and safe homes. The hartford youth hiv identification and linkage consortium works to prevent the spread of hiv and other sexually transmitted diseases among youth. The program provides interactive prevention education, community engagement and outreach, and youth friendly hiv/std screenings. The consortium also links youth to medical care services, employment services and other community resources. The connecticut children's primary care center recently r”

“JAMES E. SHMERLING, DHA, FACHE IS INVOLVED IN THE LEADERSHIP AND MANAGEMENT OF THIS ORGANIZATION ON A FULL TIME BASIS. ADDITIONALLY, MR. SHMERLING IS EMPLOYED AND RECEIVES A FORM W-2 FROM THIS ORGANIZATION. HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH CONNECTICUT CHILDREN'S MEDICAL CENTER (EIN: 06-0646755). ACCORDINGLY, THIS ORGANIZATION FILED A 2023 FEDERAL FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO MR. SHMERLING'S COMPENSATION IN EXCESS OF $1M. CHRISTINE FINCK, M.D., FACS IS THE EXECUTIVE VICE PRESIDENT, SURGEON IN CHIEF OF THIS ORGANIZATION AND THUS, IS REPORTED AS A KEY EMPLOYEE ON THIS ORGANIZATION'S FEDERAL FORM 990. ALTHOUGH DR. FINCK RECEIVES A FEDERAL FORM W-2 FROM CONNECTICUT CHILDREN'S SPECIALTY GROUP; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, HER COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH CONNECTICUT CHILDREN'S MEDICAL CENTER. DR. FINCK is a Licensed Medical Provider whose compensation was for clinical services, AS WELL AS, NON-CLINICAL SERVICES. THIS ORGANIZATION WAS NOT REQUIRED TO FILE A FEDERAL FORM 4720 FOR ANY REMITTANCE OF EXCISE TAX RELATED TO DR. FINCK BECAUSE THE PORTION OF HER COMPENSATION ATTRIBUTABLE TO NON-CLINICAL SERVICES WAS NOT IN EXCESS OF $1M AND THUS EXEMPT FROM EXCISE TAX AS PROVIDED FOR UNDER INTERNAL REVENUE CODE SECTION 4960.”

“Other changes in net assets include: - change in equity interest in the net assets of connecticut children's foundation, inc.; a related internal revenue code section 501(c)(3) tax-exempt organization - $32,878,342; - change in funded status of pension and post-retirement plans - $6,036,694; - change in interest in net assets of connecticut children's foundation, inc.; a related internal revenue code section 501(c)(3) tax-exempt organization; due to transfers and forgiveness - ($78,083,290); - donor restricted change in equity interest in the net assets of connecticut children's foundation, inc.; a related internal revenue code section 501(c)(3) tax-exempt organization - $14,259,233; - net periodic pension credit - $1,742,744; and - donor restricted change in funds held in trust by others - $11,713,273.”

“The organization is an affiliate within ccmc corporation and subsidiaries; a tax-exempt integrated healthcare delivery system ("system"). An independent cpa firm audited the consolidated financial statements of connecticut children's medical center and subsidiaries, for the fiscal years ended september 30, 2024 and september 30, 2023; respectively. The audited consolidated financial statements contain consolidating schedules on an entity by entity basis. The independent cpa firm issued an unmodified opinion with respect to the audited consolidated financial statements. In addition, ccmc corporation and subsidiaries also received audited consolidated financial statements for the fiscal years ended september 30, 2024 and september 30, 2023; respectively. The audited consolidated financial statements contain consolidating schedules on an entity by entity basis. The independent cpa firm issued an unmodified opinion with respect to the consolidated audited financial statements. The organization's finance and audit committee assumes responsibility for the consolidated audited financial statements and the selection of an independent auditor.”

“The organization is an affiliate within ccmc corporation and subsidiaries; a tax-exempt integrated healthcare delivery system ("system"). The system engaged an independent accounting firm to prepare and issue a consolidated audit under the single audit act and omb circular a-133.”

“Description:purchased services total fees:25072305”

“Description:professional fees total fees:13572496”

“Description:contracted services total fees:13332082”

“Description:consulting fees total fees:5802511”

“Description:collection fees total fees:822574”

“Description:administrative fees total fees:427154”

“Description:agency fees total fees:125544”

“Description:other fees total fees:820643”