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ObjectId: 201412209349300606 - Submission: 2014-08-08
TIN: 22-2672834
Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
Attach to Form 990.
See separate instructions.
OMB No. 1545-0047
20
12
Open to Public Inspection
Name of the organization
Hartford HealthCare Corporation
Employer identification number
22-2672834
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
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)
b
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
....
1b
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers,
directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a?
.......
2
3
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
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment?
................
4a
Yes
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan?
.........
4b
Yes
c
Participate in, or receive payment from, an equity-based compensation arrangement?
.........
4c
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization?
...........................
5a
No
b
Any related organization?
.........................
5b
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization?
...........................
6a
No
b
Any related organization?
.........................
6b
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III
............
7
Yes
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III
.............................
8
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)?
.........................
9
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2012
Page 2
Schedule J (Form 990) 2012
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 in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note.
The sum of columns (B)(i)-(iii) 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
reported as deferred
in prior Form 990
(i)
Base compensation
(ii)
Bonus & incentive compensation
(iii)
Other reportable compensation
(1)
Elliot T Joseph
Director - Pres & CEO
(i)
(ii)
0
1,113,869
0
498,420
0
111,794
0
335,604
0
50,512
0
2,110,199
0
0
(2)
Rocco Orlando MD
SVP
(i)
(ii)
0
468,271
0
139,077
0
23,889
0
120,976
0
36,536
0
788,749
0
0
(3)
James E Fantus
President - CLP
(i)
(ii)
291,324
0
73,317
0
724
0
44,159
0
27,390
0
436,914
0
0
0
(4)
Thomas J Marchozzi
EVP & CFO
(i)
(ii)
0
546,278
0
165,018
0
21,002
0
108,509
0
30,752
0
871,559
0
0
(5)
James M Blazar
SVP & Chief Strategy Officer
(i)
(ii)
0
410,711
0
103,809
0
6,089
0
90,359
0
30,279
0
641,247
0
0
(6)
Richard G Stys
SVP of Finance
(i)
(ii)
0
367,600
0
105,300
0
1,711
0
81,582
0
30,969
0
587,162
0
0
(7)
Sonal Shah
Chief Corp. Compl. Officer
(i)
(ii)
0
219,533
0
44,770
0
2,038
0
17,901
0
18,598
0
302,840
0
0
(8)
Jeffrey A Flaks
EVP
(i)
(ii)
0
628,837
0
208,912
0
19,052
0
120,981
0
39,807
0
1,017,589
0
0
(9)
Tracy A Church
SVP & Chief HR Officer
(i)
(ii)
0
339,398
0
103,020
0
27,420
0
77,971
0
30,789
0
578,598
0
0
(10)
Luis Taveras
SVP & Chief Information Officer
(i)
(ii)
0
423,134
0
84,840
0
1,035
0
93,061
0
28,736
0
630,806
0
0
(11)
Rita Parisi
VP
(i)
(ii)
0
248,026
0
72,611
0
12,701
0
70,173
0
27,017
0
430,528
0
0
(12)
Lucille A Janatka
SVP
(i)
(ii)
0
521,480
0
130,374
0
30,135
0
112,758
0
36,819
0
831,566
0
0
(13)
Kent I Stahl
VP
(i)
(ii)
0
344,475
0
88,546
0
2,245
0
17,321
0
14,887
0
467,474
0
0
(14)
Jeffrey L Walter
VP
(i)
(ii)
0
233,226
0
0
0
19,782
0
30,100
0
12,227
0
295,335
0
0
(15)
Clarence Silvia
VP
(i)
(ii)
0
621,708
0
142,744
0
25,775
0
222,100
0
19,517
0
1,031,844
0
0
(16)
Ellen D Rothberg
VP
(i)
(ii)
0
239,356
0
46,733
0
0
0
33,833
0
25,504
0
345,426
0
0
(17)
Stephen W Larcen
VP
(i)
(ii)
0
396,648
0
161,500
0
47,349
0
102,350
0
29,039
0
736,886
0
0
(18)
David Whitehead
SVP
(i)
(ii)
0
664,686
0
0
0
389,831
0
22,000
0
17,768
0
1,094,285
0
0
(19)
Anthony Mastroianni
CFO - CLP
(i)
(ii)
172,518
0
39,391
0
180
0
4,688
0
31,179
0
247,956
0
0
0
(20)
David J Molusis
CIO - CLP
(i)
(ii)
159,312
0
35,585
0
180
0
4,843
0
17,867
0
217,787
0
0
0
(21)
Gregory Makowski
Dir on Tech Ops - CLP
(i)
(ii)
201,660
0
46,311
0
516
0
6,190
0
31,826
0
286,503
0
0
0
(22)
John Presto
Sales Rep - CLP
(i)
(ii)
121,797
0
103,335
0
903
0
6,371
0
31,175
0
263,581
0
0
0
(23)
Laila O Mnayer
Dir. Molecular Path. - CLP
(i)
(ii)
204,635
0
21,100
0
276
0
6,325
0
31,512
0
263,848
0
0
0
(24)
Jaber Aslanzadeh
Dir. Microbiology - CLP
(i)
(ii)
176,280
0
17,923
0
516
0
5,254
0
11,373
0
211,346
0
0
0
(25)
Donna Handley
Former VP-HHC
(i)
(ii)
0
250,443
0
41,408
0
2,374
0
19,873
0
29,526
0
343,624
0
0
(26)
Stephan O'Neill
Former VP - HHC
(i)
(ii)
0
0
0
0
0
222,133
0
113
0
19,774
0
242,020
0
0
(27)
Carol S Garlick
Former VP - HHC
(i)
(ii)
0
175,463
0
37,177
0
1,168
0
20,585
0
17,425
0
251,818
0
0
(28)
Paul S Besson ESQ
Former VP - HHC
(i)
(ii)
0
0
0
0
0
144,060
0
0
0
11,225
0
155,285
0
0
(29)
Yvette Melendez
Former - VP-HHC
(i)
(ii)
0
230,501
0
47,648
0
2,116
0
19,624
0
11,604
0
311,493
0
0
(30)
Michele B Bush ESQ
Former - SVP & General Counsel
(i)
(ii)
0
107,319
0
0
0
330,926
0
10,948
0
19,320
0
468,513
0
0
(31)
Jamie M Roche MD
Former VP - HHC
(i)
(ii)
0
328,465
0
73,416
0
18,471
0
47,000
0
33,160
0
500,512
0
0
Schedule J (Form 990) 2012
Page 3
Schedule J (Form 990) 2012
Page
3
Part III
Supplemental Information
Complete this part to 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.
Identifier
Return Reference
Explanation
Part I, Line 1a
Please see Sch O, Part VI, Section B, Line 15 for comments regarding compensation.
Part I, Lines 4a-b
Mr. Stephan O'Neill (former Officer) severance payment began in September of 2011 and ended August 2012. Total severance payment in 2012 was $223,320. Mr. Paul Besson (former Officer) severance payment began in January of 2011 and ended May 2012. Total severance payment in 2012 was $143,771. Ms. Michele B. Bush (former SVP General Counsel) severance payment began in May 2012. Total severance payment in 2012 was $324,450. 2012 SERP accruals made on behalf of the following individual: Mr. Elliot Joseph $294,854 Mr. Thomas Marchozzi $71,508 Mr. James Fantus $36,659 Mr. Stephen Larcen $55,350 Mr. Jeffrey Walter $23,339 Mr. James Blazar $51,905 Ms. Tracy Church $44,642 Mr. Jeffrey Flaks $83,981 Dr. Rocco Orlando $60,226 Ms. Rita Parisi $29,820 Mr. Richard Stys $51,030 Mr. Luis Taveras $50,904
Part I, Line 7
Hartford Hospital (a related organization) has an At Risk Plan that encourages and rewards achievements of significant functional goals for management that contribute to organization(s) strategic and financial direction. The Plan utilizes market practice alignment to ensure competitive recruitment and retention. Awards are based on CEO and/or Compensation Committee discretionary assessment of annual performance and individual contribution to results.
Schedule J (Form 990) 2012
Additional Data
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