2020-08-13T09:38:40-05:00 2019-09-30 135565207 KPMG LLP 1601 MARKET STREET PHILADELPHIA PA 19103 990 2018-10-01 060646554 BRIDGEPORT HOSPITAL BRID 2036886088 267 GRANT STREET BRIDGEPORT CT 06610 EUGENE COLUCCI SENIOR VP/CFO 2036886088 2020-08-13 0 PHILLIP E GROFF P01247783 2672561756 204.60.184.1 2020-08-13 08:16:51 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 92B1AF50188E2513D8B6235CB7079BCA53FBBF5D 2018 2020-09-23 17:36:50Z EUGENE COLUCCI 267 GRANT ST BRIDGEPORT CT 06610 685059322 0 X WWW.BRIDGEPORTHOSPITAL.ORG X 1878 CT TO OPERATE AN ACUTE CARE HOSPITAL IN BRIDGEPORT, CONNECTICUT. 13 9 3270 497 396524 0 1620067 4326940 550381889 569298868 5447682 4121607 40951853 48724982 598401491 626472397 404286 555967 0 0 214136550 232536685 0 0 0 316564816 354042508 531105652 587135160 67295839 39337237 672075816 746612659 342949581 414502847 329126235 332109812 X TO OPERATE AN ACUTE CARE HOSPITAL IN BRIDGEPORT, CONNECTICUT FOR THE CARE AND TREATMENT OF PERSONS SUFFERING FROM DISEASE OR OTHER PHYSICAL OR MENTAL CONDITIONS WITHOUT REGARD TO RACE, COLOR, CREED, SEX, AGE OR ABILITY TO PAY. 0 0 512581732 555967 610727160 SCHEDULE OGUIDED BY A SINGLE STRATEGY TO PROVIDE UNPARALLELED VALUE TO THE PATIENTS AND COMMUNITY SERVICED, BRIDGEPORT HOSPITAL CONTINUED TO FOCUS ON IMPROVING THE QUALITY, SAFETY AND EFFICIENCY OF THE SERVICES AND CARE PROVIDED.THE HOSPITAL, AS A MEMBER OF YALE NEW HAVEN HEALTH, PRESERVED COMMUNITY ACCESS TO HEALTHCARE SERVICES WITH THE INTEGRATION OF BRIDGEPORT HOSPITAL AND MILFORD HOSPITAL IN JUNE. UNDER THE AGREEMENT, APPROVED BY THE STATE OF CONNECTICUT'S OFFICE OF HEALTH STRATEGY, MILFORD HOSPITAL BECAME A CAMPUS OF BRIDGEPORT HOSPITAL. RECOGNIZING THE CRITICAL ROLE THE FORMER MILFORD HOSPITAL PLAYED IN THE DELIVERY OF HEALTH CARE TO THE REGION, PLANS INCLUDED DEVELOPING THE MILFORD CAMPUS INTO A STATE-OF-THE-ART COMMUNITY HOSPITAL AND CENTER FOR GERONTOLOGIC HEALTH. THE CAMPUS ALSO RETAINED THE YALE NEW HAVEN HOSPITAL REHABILITATION AND WELLNESS CENTER.MORE PATIENTS SOUGHT CARE AT BRIDGEPORT HOSPITAL DURING THE YEAR, LEADING TO DAILY RECORDS FOR INPATIENT VOLUME AND EMERGENCY DEPARTMENT VISITS. THE HOSPITAL ATTRIBUTED THE SURGE IN PATIENT VOLUME TO AN AGING POPULATION COUPLED WITH COMPLEX MEDICAL CONDITIONS. TO ENSURE THE BEST CARE POSSIBLE, THE HOSPITAL IDENTIFIED ADDITIONAL BED SPACE IN MEDICAL/SURGICAL UNITS AS WELL AS PROCEDURAL AND SPECIALTY AREAS TO PROVIDE SEAMLESS CARE WITH EXTRA STAFF AND RESOURCES. RECOGNIZED FOR ITS FOCUS ON THE HIGHEST STANDARDS OF CARE FOR OLDER ADULTS, BRIDGEPORT HOSPITAL BECAME THE FIRST HOSPITAL IN CONNECTICUT TO EARN GERIATRIC EMERGENCY CARE ACCREDITATION FROM THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS.STUDYING INCREASED PATIENT VOLUME IN THE EMERGENCY DEPARTMENT, UPWARDS OF 300 NON-EMERGENCY PATIENTS A MONTH, THE HOSPITAL OPENED A NEW, DEDICATED AMBULANCE ENTRANCE SPECIFICALLY FOR PATIENTS WITHOUT LIFE-THREATENING SYMPTOMS. DESIGNED TO ALLEVIATE TRAFFIC CONGESTION AT THE EMERGENCY DEPARTMENT, THE NEW ENTRANCE PROVIDED A MORE CONVENIENT, EFFICIENT ENTRY POINT FOR PATIENTS, AMBULANCE PERSONNEL AND EMERGENCY VEHICLES.ONGOING, DEDICATED EFFORTS TO BECOME A HIGH RELIABILITY ORGANIZATION (HRO) RESULTED IN POSITIVE OUTCOMES. BRIDGEPORT HOSPITAL, WHICH EMBARKED ON THE HRO JOURNEY MORE THAN FIVE YEARS AGO, IMPLEMENTED SIGNIFICANT WORK TO REDUCE HOSPITAL-ACQUIRED INFECTIONS. DAILY SAFETY HUDDLES, ALONG WITH THE SAFETY COACH PROGRAM, INCREASED COMMUNICATION ABOUT POTENTIAL SAFETY CONCERNS.BRIDGEPORT HOSPITAL ALSO ACHIEVED CLINICAL MILESTONES. THE HOSPITAL WAS THE ONLY ONE IN CONNECTICUT WITH A MORTALITY RATE OF ZERO FOR THE FIRST 100 PATIENTS UNDERGOING TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR) PROCEDURE AN EFFECTIVE OPTION FOR HEART VALVE REPLACEMENT DUE TO NARROWING OF THE AORTA IN HIGH-RISK PATIENTS WHO ARE NOT APPROPRIATE FOR SURGERY. WITH HOSPITAL STAYS AND RECOVERY TIME TYPICALLY SHORTER THAN THE OPEN-CHEST APPROACH, THE PROCEDURE CONTRIBUTED TO BETTER PATIENT OUTCOMES.THE CONNECTICUT BURN CENTER AT BRIDGEPORT HOSPITAL BECAME THE FIRST FACILITY IN CONNECTICUT TO USE RECELL "SPRAY-ON SKIN" TO TREAT BURN VICTIMS. THE AUTOLOGOUS CELL HARVESTING SYSTEM IS A NEW WAY OF SKIN GRAFTING THAT USES MUCH SMALLER DONOR SITES, WHICH IS PARTICULARLY BENEFICIAL TO PATIENTS WITH LARGE BURNS WHO HAVE LIMITED HEALTHY SKIN TO USE FOR GRAFTING.AS AN ADDED INVESTMENT IN CANCER CARE, THE HOSPITAL STANDARDIZED 3D MAMMOGRAPHY THROUGHOUT THE BRIDGEPORT CAMPUS. THE 3D IMAGING, WHEN COMBINED WITH A STANDARD MAMMOGRAM, CAN REDUCE THE NEED FOR FOLLOW-UP IMAGING, DETECT SLIGHTLY MORE CANCERS THAN A STANDARD MAMMOGRAM ALONE, AND CAN IMPROVE DETECTION OF CANCER IN DENSE BREAST TISSUE. THE HUMAN RIGHTS CAMPAIGN FOUNDATION AWARDED BRIDGEPORT HOSPITAL ITS LGBTQ HEALTHCARE EQUALITY LEADER DESIGNATION IN THE HEALTHCARE EQUALITY INDEX 2019. THE HOSPITAL WAS RECOGNIZED FOR IMPLEMENTING LGBTQ-INCLUSIVE POLICIES AND PRACTICES IN PATIENT-CENTERED CARE, PATIENT SERVICES AND SUPPORT, FULLY INCLUSIVE EMPLOYEE BENEFITS AND POLICIES, AND PATIENT AND COMMUNITY ENGAGEMENT.RECOGNIZED FOR WORK WITH THE COMMUNITY, BRIDGEPORT HOSPITAL AND ST. VINCENT'S MEDICAL CENTER SHARED THE 2019 CONNECTICUT HOSPITAL ASSOCIATION COMMUNITY SERVICE AWARD FOR ITS LEADERSHIP AND SUPPORT OF THE KNOW YOUR NUMBERS (KYN) CARDIOVASCULAR WELLNESS CAMPAIGN. THE PROGRAM PROVIDED OVER 200 SCREENINGS FOR THE UNDERSERVED AT LOCAL FOOD PANTRIES IN 2019. ALMOST 20 PERCENT OF PARTICIPANTS WERE REFERRED FOR FOLLOW-UP MEDICAL CARE AND OTHER COMMUNITY RESOURCES. BRIDGEPORT HOSPITAL ALSO STARTED HOSTING THE CT FOOD BANK MOBILE FOOD PANTRY ONCE A MONTH, WHICH SERVES OVER 150 FAMILIES EACH VISIT, AND ADDED A FARMERS' MARKET THAT ACCEPTS SNAP EACH WEEK DURING THE SUMMER GROWING SEASON.THROUGHOUT THE YEAR, BRIDGEPORT HOSPITAL DEMONSTRATED A STRONG COMMITMENT TO PATIENT CARE, CLINICAL QUALITY, PATIENT SAFETY AND SOUND FINANCIAL STEWARDSHIP TO THE PEOPLE AND COMMUNITIES IT SERVES. 512581732 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 260 0 3270 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 13 9 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X DENIS DONEGAN 2036886088 789 HOWARD AVENUE NEW HAVEN CT 06519 WILLIAM JENNINGS PRESIDENT & CEO/TRU./EX OFFICIO 31.00 9.00 X X 841552 210388 302620 VINCENT PETRINI TRUSTEE/EX-OFFICIO 6.00 34.00 X 118879 673646 242732 THOMAS LENCI TRUSTEE 1.00 0.00 X 0 0 0 RONALD NOREN VICE CHAIRMAN/TRUSTEE 1.00 0.00 X X 0 0 0 RICHARD MEISENHEIMER TRUSTEE 1.00 2.00 X 0 0 0 NEWMAN MARSILIUS III TRUSTEE 1.00 1.00 X 0 0 0 MICHAEL IVY INTERIM CEO/TRUSTEE 7.00 33.00 X X 150642 740732 117995 MEREDITH REUBEN TRUSTEE 1.00 1.00 X 0 0 0 KENNETH LIPOW TRUSTEE/EX-OFFICIO 1.00 0.00 X 0 0 0 JOHN FALCONI CHAIRMAN/TRUSTEE 1.00 2.00 X X 0 0 0 JEFFREY TENGEL TRUSTEE 1.00 0.00 X 0 0 0 GARY ZIMMERMAN VICE CHAIRMAN/TRUSTEE 1.00 0.00 X X 106600 0 0 FRED MCKINNEY TRUSTEE 1.00 0.00 X 0 0 0 EDDY RODRIGUEZ TRUSTEE 1.00 0.00 X 0 0 0 ADRIENNE HOUEL TRUSTEE 1.00 0.00 X 0 0 0 RYAN O'CONNELL VP OF PERFORMANCE & RISK 25.00 15.00 X 197128 312247 69096 PAMELA SCAGLIARINI COO & SECRETARY 38.00 2.00 X 793386 0 247620 MELISSA TURNER SR. VP HUMAN RESOURCE 20.00 20.00 X 276926 276926 157478 MARYELLEN KOSTURKO SR. VP PATIENT CARE 40.00 0.00 X 470946 0 29724 MARY CHRISTOFFERSEN VP OF NURSING 40.00 0.00 X 289366 0 33169 MARC LOMBARDI ASSISTANT SECRETARY 3.00 37.00 X 19438 278910 35927 JOHN SKELLY SR. VP & TREASURER 36.00 4.00 X 594909 66101 215617 GINA CALDER VP OF AMBULATORY SERVICES 40.00 0.00 X 282862 0 22802 CAROLYN SALSGIVER SR. VP STRATEGY & BUSINESS 8.00 32.00 X 103256 413028 180275 THOMAS LAMONTE PHYSICIAN 40.00 0.00 X 396891 0 46093 ROCKMAN FERRIGNO PHYSICIAN 40.00 0.00 X 654173 0 75290 JONATHAN MAISEL PHYSICIAN 40.00 0.00 X 443360 0 45656 GUILLERMO KATIGBAK PHYSICIAN 40.00 0.00 X 390213 0 39132 FRANCISCO GARRIDO PHYSICIAN 40.00 0.00 X 605645 0 32644 GAYLE CAPOZZALO TRUSTEE/EX-OFFICIO (CURRENT YR COMP) 1.00 39.00 X 0 1346320 38120 GAYLE CAPOZZALO TRUSTEE/EX-OFFICIO (VESTED DEFERRED) 1.00 39.00 X 0 131149 0 6736172 4449447 1931990 350 1 1 0 NURSEFINDERS INC PO BOX 910738 DALLAS TX 753910738 STAFFING 4280062 SHEPLEY BULFINCH RICHARDSON ABBOT I 2 SEAPORT LN BOSTON MA 02210 ARCHITECTURE SERVICE 3045290 UNITEX TEXTILE RENTAL INC 155 SOUTH TERRACE AVE MOUNT VERNON NY 10550 LAUNDRY/SERVICE 2161925 UNIVERSAL PROTECTION SERVICE LP PO BOX 828854 PHILADELPHIA PA 191828854 SECURITY SERVICE 2146257 NATIONAL GOVERNMENT SERVICES 8115 KNUE RD INDIANAPOLIS IN 46250 MEDICARE SERVICES 1331097 48 2833682 1493258 4326940 INPATIENT REVENUE 621990 315004761 315004761 OUTPATIENT REVENUE 621990 253897537 253897537 LABORATORY SERVICES 621500 216639 216639 MANAGEMENT SERVICE - N 621500 163270 163270 SESSION LEASE 621500 16661 16661 569298868 2680225 -46 2680271 2180887 664824 1516063 1516063 1516063 59293283 70200 57922101 0 1371182 70200 1441382 1441382 OTHER OPERATING INCOME 900099 31725226 31725226 PEDIATRIC ANCILLARY RE 900099 10100136 10100136 CAFETERIA/VENDING OTHE 900099 2571247 2571247 2812310 2812310 47208919 626472397 610727660 396524 11021273 X 17535 17535 538432 538432 9307107 930711 8376396 187846362 160001002 27845360 1142020 956442 185578 21139929 17704691 3435238 13101267 10972311 2128956 29964 25095 4869 121956 121956 192863613 174237606 18626007 7250648 6072418 1178230 17873563 14969109 2904454 703536 548758 154778 8234623 6896497 1338126 7127562 5969333 1158229 29418242 24637778 4780464 8880559 7437468 1443091 MEDICAL SUPPLIES 75423459 75423459 PROPERTY TAX 3535864 2961286 574578 OTHER MISC EXPENSES 1081230 905530 175700 DUES,FEES AND MEMBERSHI 943743 790385 153358 553946 463930 90016 587135160 512581732 74553428 0 78566170 41412288 56312304 73092763 6104697 7068902 16675922 17448135 660736014 337819397 293285212 322916617 44387867 51982753 37528070 31745126 17217110 75743386 121998464 125202689 672075816 746612659 65280402 75358933 22682378 20106591 96462274 94609822 158524527 224427501 342949581 414502847 X 264023174 266043405 41831933 42777785 23271128 23288622 329126235 332109812 672075816 746612659 X 39337237 -102622 -36251038 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 500 0 0 1 51589 0 1 69867 121956 0 PART II-B, LINE 1: THE AMOUNT REPORTED IN "OTHER ACTIVITIES" REPRESENTS A PORTION OF PROFESSIONAL DUES ATTRIBUTABLE TO LOBBYING DURING FY 2019. ALSO, THE HEALTH SYSTEM OFFICIALS HAD MEETINGS AND CONTACTS WITH STATE GOVERNMENT OFFICIALS,INCLUDING STATE LEGISLATORS AND THEIR STAFF TO DISCUSS VARIOUS HEALTH CARE REFORM PROPOSALS. BRIDGEPORT HOSPITAL IS PART OF A CONTROLLED GROUP WITH THE FOLLOWING LOBBYING EXPENSES: NORTHEAST MEDICAL GROUP INC EIN 06-1330992 $ 41,010 GREENWICH HOSPITAL EIN 06-0646659 $ 83,487 LAWRENCE + MEMORIAL HOSPITAL EIN 06-0646704 $ 78,566 LMW HEALTHCARE, INC. EIN 46-0543230 $ 59,458 YALE NEW HAVEN HOSPITAL EIN 06-0646652 $ 591,010 0 26628000 654000 1075000 26207000 26140000 2087000 1599000 26628000 24648000 2453000 961000 26140000 23226000 2106000 684000 24648000 23470000 634000 878000 23226000 0.08700 0.20600 0.70700 0 0 43338313 43338313 288299397 111633128 176666269 33753496 17148352 16605144 284841069 209037917 75803152 10503739 10503739 322916617 OTHER RECEIVABLES 2058220 INTEREST IN BRIDGEPORT HOSPITAL FOUNDATION,INC. 93773327 INTEREST IN BRIDGEPORT HOSPITAL AUXILIARY 498580 INTEREST IN CENTURY FINANCIAL SERVICES 776226 THIRD PARTY RECEIVABLES 2626336 PROFESSIONAL LIABILITIES INSURANCE RECOVERIES RECEIVABLES 25470000 125202689 SELF INSURANCE 23113946 ASSET RETIREMENT OBLIGATIONS 9026479 PENSION OBLIGATION 103075000 THIRD PARTY PAYABLE 24226339 DUE TO AFFILIATES 39515737 MALPRACTICE GROSS LIABILITY 25470000 224427501 X PART V, LINE 4: INTENDED USES FOR ENDOWMENT FUNDS THE ENDOWED FUNDS' INTENDED USE IS TO GENERATE INCOME TO SUPPORT BRIDGEPORT HOSPITAL PROGRAM SERVICE FUNCTIONS AND OTHER OPERATIONS IN ACCORDANCE WITH THE BRIDGEPORT HOSPITAL POOLED INVESTMENT POLICY, INCLUDING TO PROVIDE FREE CARE, ALL IN ACCORDANCE WITH AND BASED ON DONORS' WISHES. PART X, LINE 2: BRIDGEPORT HOSPITAL IS INCLUDED IN THE CONSOLIDATED YALE NEW HAVEN HEALTH SYSTEM AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS. FOLLOWING IS THE FOOTNOTE FROM THE CONSOLIDATED FINANCIAL STATEMENTS: MOST ENTITIES WITHIN THE SYSTEM ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE CODE, AND ARE GENERALLY EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. PROVISIONS FOR INCOME TAXES AND DEFERRED TAXES, WHICH ARE NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS, HAVE BEEN MADE FOR THE TAXABLE ENTITIES LISTED ABOVE UNDER THE DESCRIPTION OF THE SYSTEM. U.S. GAAP REQUIRES THE SYSTEM TO EVALUATE TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE COURSE OF PREPARING THE SYSTEM'S TAX RETURNS TO DETERMINE WHETHER THE TAX POSITIONS ARE "MORE-LIKELY THAN-NOT" OF BEING SUSTAINED BY THE APPLICABLE TAX AUTHORITY BASED UPON THE TECHNICAL MERITS OF THE POSITION. THE SYSTEM RECOGNIZES THE EFFECT OF TAX POSITIONS ONLY IF THEY ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. THIS EVALUATION HAD NO IMPACT ON THE OPERATIONS OF THE SYSTEM AS OF AND FOR THE YEARS ENDED SEPTEMBER 30, 2019 AND 2018. 1 1 1 X 250.000000000000 1 X 550.000000000000 1 1 1 0 1 1 22347 59639637 40154920 19484717 0.03320 120862 144820850 100099487 44721363 0.07620 0 0 0 143209 204460487 140254407 64206080 0.10940 12 8485 1261329 0 1261329 0.00210 3 179 11926746 0 11926746 0.02030 2 10832 5339243 4022578 1316665 0.00220 0 0 0 0 1 66802 141605 0 141605 0.00020 18 86298 18668923 4022578 14646345 0.02480 18 229507 223129410 144276985 78852425 0.13420 0 0 0 0 1 0 1400 0 1400 0.00000 3 1109 28028 0 28028 0.00000 0 0 0 0 0 0 0 0 1 0 1262 0 1262 0.00000 0 0 0 0 1 0 2700 0 2700 0.00000 0 0 0 0 6 1109 33390 33390 0.00000 1 17937092 209903765 221747021 -11843256 X 1 1 1 NONE NONE 1 1 BRIDGEPORT HOSPITAL 267 GRANT STREET BRIDGEPORT CT 06610 WWW.BRIDGEPORTHOSPITAL.ORG 0040 X X X X X BRIDGEPORT HOSPITAL 1 0 0 1 X X X X X X X X X X 18 1 1 1 1 X SEE PART V SUPPLEMENTAL INFORMATION X SEE PART V SUPPLEMENTAL INFORMATION X 1 18 1 SEE PART V SUPPLEMENTAL INFORMATION 0 1 X 250.000000000000 550.000000000000 X X X X 1 1 X X X 1 X SEE PART V X SEE PART V X SEE PART V X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION A: THIS STATE LICENSE FOR THE HOSPITAL LOCATION LISTED IN SCHEDULE H, PART V, SECTION A, ALSO COVERS VARIOUS SATELLITE LOCATIONS OPERATED UNDER AND EXPRESSLY LISTED ON THE SAME STATE HOSPITAL LICENSE. BRIDGEPORT HOSPITAL PART V, SECTION B, LINE 5: COMMUNITY ENGAGEMENT AND FEEDBACK WERE AN INTEGRAL PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. BRIDGEPORT HOSPITAL, THROUGH THE HEALTH IMPROVEMENT ALLIANCE, SOUGHT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL THROUGH FOCUS GROUPS AND KEY INFORMANT INTERVIEWS WITH COMMUNITY MEMBERS AND COMMUNITY STAKEHOLDERS, AS WELL AS INCLUSION OF BOTH COMMUNITY PARTNERS AND AREA RESIDENTS IN THE PRIORITIZATION AND IMPLEMENTATION PLANNING PROCESS. PUBLIC HEALTH AND HEALTH CARE PROFESSIONALS SHARED KNOWLEDGE AND EXPERTISE ABOUT HEALTH ISSUES, WHILE LEADERS AND REPRESENTATIVES OF NON-PROFIT AND COMMUNITY-BASED ORGANIZATIONS PROVIDED INSIGHT ON THE COMMUNITY SERVED BY BRIDGEPORT HOSPITAL, INCLUDING MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS. BRIDGEPORT HOSPITAL PART V, SECTION B, LINE 6A: ST. VINCENT'S MEDICAL CENTER, ALSO LOCATED IN BRIDGEPORT, IS PART OF THE HEALTH IMPROVEMENT ALLIANCE, WHICH CONDUCTED THE COMMUNITY HEALTH NEEDS ASSESSMENT. BRIDGEPORT HOSPITAL PART V, SECTION B, LINE 6B: YES, THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS SPEARHEADED, FUNDED, AND MANAGED BY THE HEALTH IMPROVEMENT ALLIANCE, WHICH INCLUDES BRIDGEPORT HOSPITAL, ST. VINCENT'S MEDICAL CENTER, CITY OF BRIDGEPORT DEPARTMENT OF HEALTH AND SOCIAL SERVICES, FAIRFIELD HEALTH DEPARTMENT, MONROE HEALTH DEPARTMENT, TRUMBULL HEALTH DEPARTMENT, STRATFORD HEALTH DEPARTMENT, OPTIMUS HEALTHCARE, SOUTHWEST COMMUNITY HEALTH CENTER, AMERICARES FREE CLINIC OF BRIDGEPORT, LLC. THE ORGANIZATIONS ARE REPRESENTATIVE OF THOSE IN THE COMMUNITY WHO SERVE UNDERSERVED, LOW-INCOME, AND HARD TO REACH POPULATIONS. REPRESENTATIVES FROM THESE ORGANIZATIONS PROVIDE REGULAR INPUT AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN IMPLEMENTATION PROCESS BY ROUTINELY ATTENDING MONTHLY COALITION MEETINGS, PROVIDING FEEDBACK AND GUIDANCE AT EACH STAGE OF THE CHNA PROCESS, IDENTIFYING SPECIFIC POPULATIONS FOR COMMUNITY CONVERSATIONS, RESPONDING TO KEY INFORMANT SURVEYS, ATTENDING COMMUNITY FORUMS AND PRIORITIZATION SESSIONS, AND BY BEING VALUED COMMUNITY PARTNERS.THE HEALTH IMPROVEMENT ALLIANCE FORMERLY THE PRIMARY CARE ACTION GROUP WAS FOUNDED IN 2003 WITH THE MISSION TO IMPROVE THE HEALTH OF THE COMMUNITY. HIA'S VISION IS TO WORK TOGETHER AS A COALITION TO IDENTIFY, PRIORITIZE, AND MEASURABLY IMPROVE THE HEALTH OF THEIR COMMUNITY THROUGH HEALTH CARE PREVENTION, EDUCATION, AND SERVICES. TO DEVELOP A SHARED VISION AND PLAN FOR THE COMMUNITY AND HELP SUSTAIN LASTING CHANGE, THE PCAG ASSESSMENT AND PLANNING PROCESS AIMED TO ENGAGE AGENCIES, ORGANIZATIONS, AND RESIDENTS IN THE AREA THROUGH PARTICIPATORY AND COLLABORATIVE APPROACHES.PART V, SECTION B, LINE 7A - HOSPITAL FACILITY'S WEBSITE HTTPS://WWW.BRIDGEPORTHOSPITAL.ORG/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT.ASPXPART V, SECTION B, LINE 7B - OTHER WEBSITES (LIST URL):HTTPS://WWW.TRUMBULL-CT.GOV/DOCUMENTCENTER/VIEW/3468/2019-CHNA-IMPLEMENTATION-PLAN-PDF?BIDID=; HTTPS://FAIRFIELDCT.ORG/HEALTHDATA; HTTP://WWW.TOWNOFSTRATFORD.COM/HEALTH/DATA; HTTP://WWW.MONROECT.ORG/HEALTH PART V, SECTION B, LINE 10A:HTTPS://WWW.BRIDGEPORTHOSPITAL.ORG/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT.ASPX BRIDGEPORT HOSPITAL PART V, SECTION B, LINE 11: IN FEBRUARY 2019, HEALTH IMPROVEMENT ALLIANCE MEMBERS AND THEIR COMMUNITY PARTNERS (INCLUDING THOSE WITH PUBLIC HEALTH DEPARTMENTS AND / OR KNOWLEDGE, INFORMATION, OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY OR MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS) REVIEWED THE PRIMARY AND SECONDARY CHNA DATA AND DETERMINED, BY GROUP CONSENSUS, THAT THE 2016 PRIORITIES WOULD BE MAINTAINED MOVING FORWARD FOR THE 2019 CHNA. IN 2019, CONCURRENT WITH THE COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN PROCESS, HIA RESTRUCTURED ITS TASK FORCES TO FOCUS ON THREE PRIORITY AREAS: HEALTHY LIFESTYLES, BEHAVIORAL HEALTH AND ACCESS TO CARE. AS PART OF THE CHNA ENGAGEMENT PROCESS, HEALTH EQUITY SOLUTIONS (HES) WORKED WITH HIA TO DEVELOP A PROCESS TO PRIORITIZE HEALTH ISSUES FOR THE GREATER BRIDGEPORT REGION. FOLLOWING DATA COLLECTION FROM THE 2018 DATAHAVEN COMMUNITY WELLBEING SURVEY, KEY INFORMANT INTERVIEWS, AND COMMUNITY CONVERSATIONS, EACH OF THE THREE HIA TASK FORCES MET WITH HEALTH EQUITY SOLUTIONS TO PRIORITIZE HEALTH ISSUES, DEVELOP MEASURABLE GOALS, SET INDICATORS, AND IDENTIFY STRATEGIES AND ACTIONS FOR EACH PRIORITY. BASED ON THE FEEDBACK FROM THE PRIORITIZATION SESSIONS, COMMUNITY HEALTH IMPROVEMENT PLANS (CHIPS) WERE DEVELOPED FOR EACH OF THE THREE PRIORITY AREAS. THESE FOCUS AREAS WILL BE ADDRESSED THROUGH A SOCIAL DETERMINANTS OF HEALTH LENS.BRIDGEPORT HOSPITAL RECOGNIZES THAT PARTNERSHIPS WITH COMMUNITY AGENCIES HAVE THE BROADEST REACH TO IMPROVE COMMUNITY HEALTH ISSUES. AS SUCH, THE HOSPITAL IS PROVIDING FACILITATION SUPPORT FOR THE IMPLEMENTATION OF THE COMMUNITY-WIDE HEALTH IMPROVEMENT PLAN THAT WILL FOCUS ON ALL THREE AREAS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (HEALTHY LIFESTYLES, AND BEHAVIORAL HEALTH AND ACCESS TO CARE). BRIDGEPORT HOSPITAL FOLLOWED THE SAME PROCESS DETAILED ABOVE WITHIN ITS OWN FACILITY AND DEVELOPED A COMMUNITY HEALTH IMPROVEMENT PLAN OUTLINING SPECIFIC GOALS, OBJECTIVES AND STRATEGIES TO PURSUE FOR THE NEXT THREE-YEAR CYCLE. PROGRESS ON BOTH PLANS WILL BE MONITORED REGULARLY USING A MONITORING TOOL DEVELOPED TO TRACK THE SPECIFIC GOALS, OBJECTIVES, AND STRATEGIES IDENTIFIED IN EACH AREA. BRIDGEPORT HOSPITAL PART V, SECTION B, LINE 13H: THESE PROGRAMS COVER MEDICALLY NECESSARY CARE ONLY.PART V, SECTION B, LINE 16A, 16B AND 16C:HTTPS://WWW.BRIDGEPORTHOSPITAL.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE.ASPX BRIDGEPORT HOSPITAL PART V, SECTION B, LINE 18E: THE FINANCIAL ASSISISTANCE POLICY PERMITS BRIDGEPORT HOSPITAL TO PLACE A PROPERTY LIEN. SCHEDULE H, PART V, SECTION D THE FACILITY LOCATIONS LISTED IN SCHEDULE H, PART V, SECTION D, INCLUDE OFF-CAMPUS OUTPATIENT HEALTH CARE FACILITIES THAT BRIDGEPORT HOSPITAL OPERATED DURING THE TAX YEAR UNDER ITS STATE HOSPITAL LICENSE.PART V, SECTION B, LINE 3J:QUANTITATIVE AND QUALITATIVE DATA WERE COLLECTED AND REVIEWED THROUGHOUT THE CHNA PROCESS. SECONDARY DATA SOURCES INCLUDED, BUT WERE NOT LIMITED TO, THE U.S. CENSUS, U.S. BUREAU OF LABOR STATISTICS, CENTERS FOR DISEASE CONTROL AND PREVENTION, STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH, CONNECTICUT HEALTH INFORMATION MANAGEMENT EXCHANGE (CHIME), AS WELL AS LOCAL ORGANIZATIONS AND AGENCIES. TYPES OF DATA INCLUDED VITAL STATISTICS BASED ON BIRTH AND DEATH RECORDS. IN ADDITION, HIA PARTNERED WITH DATAHAVEN AND, IN PART, SPONSORED THE 2018 DATAHAVEN COMMUNITY WELLBEING SURVEY, HIRED HEALTH EQUITY SOLUTIONS TO CONDUCT COMMUNITY CONVERSATIONS IN THE GREATER BRIDGEPORT REGION, WORKED WITH THE YALE SCHOOL OF PUBLIC HEALTH STUDENT CONSULTING GROUP TO CONDUCT AND LATER ANALYZE KEY INFORMANT SURVEYS, AND A STUDENT PRACTICUM TEAM ALSO FROM THE YALE SCHOOL OF PUBLIC HEALTH TO IDENTIFY COMMUNITY RESOURCES. HEALTH OUTCOMES AND RISK FACTORS RELATED TO CHRONIC DISEASE, MENTAL HEALTH AND SUBSTANCE ABUSE, MORTALITY AND MORBIDITY INCLUDE SELF-REPORTED HEALTH STATUS, NEIGHBORHOOD ENVIRONMENTS AND FINANCIAL STRESS. KEY FINDINGS FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE GREATER BRIDGEPORT REGION INCLUDE HEALTH OUTCOMES AND FINDINGS AS THEY RELATE TO THE TOP THREE HEALTH PRIORITIES THAT WERE SELECTED FOR ACTION PLANNING AT A REGIONAL LEVEL: HEALTHY LIFESTYLES, ACCESS TO CARE AND BEHAVIORAL HEALTH. SIGNIFICANT HEALTH ISSUES IDENTIFIED INCLUDE OBESITY RATES, MEDICAL CONDITIONS AND COMPLICATIONS FROM OBESITY (E.G. HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, DIABETES, HEART DISEASE, ETC.), SMOKING (INCLUDING E-CIGARETTE) PREVALENCE RATES, COMMUNITY NEED FOR MENTAL HEALTH SERVICES, AND SUPPORT, FINANCIAL STRESS, CHALLENGES RELATED TO ACCESS TO MEDICAL CARE AND TYPE OF INSURANCE COVERAGE LEADING TO FEELINGS OF DISCRIMINATION. 25 1 - BRIDGEPORT HOSPITAL 5520 PARK AVENUE TRUMBULL CT 06611 OBGYN, DIAGNOSTIC RADIOLOGY, GEN SURGERY, DRAW STATION, RAD ONC, GASTRO 2 - BRIDGEPORT HOSPITAL 1305 POST ROAD FAIRFIELD CT 06824 CARDIAC REHABILITATION CARDIOVASCULAR DISEASE, NUTRITION 3 - BRIDGEPORT HOSPITAL 4699 MAIN STREET BRIDGEPORT CT 06610 DIAGNOSTIC RADIOLOGY 4 - BRIDGEPORT HOSPITAL 226 MILL HILL AVENUE BRIDGEPORT CT 06610 REHAB PRIM CARE, OBGYN, CARDIOV DISEASE, DERMATOLOGY, ENDOCRIN, DIAB & METAB 5 - BRIDGEPORT HOSPITAL 999 SILVER LANE TRUMBULL CT 06611 CARDIOVASCULAR DISEASE 6 - BRIDGEPORT HOSPITAL 425 POST ROAD FAIRFIELD CT 06824 DIAGNOSTIC RADIOLOGY 7 - BRIDGEPORT HOSPITAL 25 GERMANTOWN ROAD DANBURY CT 06810 CARDIOVASCULAR DISEASE 8 - BRIDGEPORT HOSPITAL 309 STILLSON ROAD FAIRFIELD CT 06824 DRAW STATION, DIAGNOSTIC RADIOLOGY, EMERGENCY MEDICINE 9 - BRIDGEPORT HOSPITAL 2909 MAIN STREET STRATFORD CT 06614 DIAGNOSTIC RADIOLOGY 10 - BRIDGEPORT HOSPITAL 20 COMMERCE PARK MILFORD CT 06460 CARDIOVASCULAR DISEASE 11 - BRIDGEPORT HOSPITAL 3585 MAIN STREET STRATFORD CT 06614 REHABILITATION 12 - BRIDGEPORT HOSPITAL 4 CORPORATE DRIVE SHELTON CT 06484 REHABILITATION 13 - BRIDGEPORT HOSPITAL 2600 POST ROAD SOUTHPORT CT 06890 REHABILITATION, DRAW STATION 14 - BRIDGEPORT HOSPITAL 30 PROSPECT STREET RIDGEFIELD CT 06877 CARDIOVASCULAR DISEASE 15 - BRIDGEPORT HOSPITAL 40 COMMERCE PARK MILFORD CT 06460 DRAW STATION 16 - BRIDGEPORT HOSPITAL 887 BRIDGEPORT AVENUE SHELTON CT 06484 DIAGNOSTIC RADIOLOGY, DRAW STATION 17 - BRIDGEPORT HOSPITAL 2750 RESERVOIR AVE TRUMBULL CT 06611 REHABILITATION 18 - BRIDGEPORT HOSPITAL 2 IVY BROOK ROAD SHELTON CT 06484 CARDIOVASCULAR DISEASE 19 - BRIDGEPORT HOSPITAL 15 CORPORATE DRIVE TRUMBULL CT 06611 DRAW STATION 20 - BRIDGEPORT HOSPITAL 111 BEACH ROAD FAIRFIELD CT 06824 GENETICS 21 - BRIDGEPORT HOSPITAL 1070 MAIN STREET BRIDGEPORT CT 06610 SLEEP MEDICINE 22 - BRIDGEPORT HOSPITAL 1558 BARNUM AVENUE BRIDGEPORT CT 06610 PSYCHIATRY 23 - BRIDGEPORT HOSPITAL 1825 BARNUM AVENUE STRATFORD CT 06614 DRAW STATION 24 - BRIDGEPORT HOSPITAL 129 KINGS HIGHWAY NORTH WESTPORT CT 06883 DRAW STATION 25 - BRIDGEPORT HOSPITAL 849 BOSTON POST ROAD SUITE 204 MILFORD CT 06460 DRAW STATION PART I, LINE 3C: THE FINANCIAL ASSISTANCE POLICY PROVIDES THAT THE PATIENT MUST SUBMIT A FINANCIAL ASSISTANCE APPLICATION. PART I, LINE 7: THE HOSPITAL USES A COST ACCOUNTING SYSTEM, STRATAJAZZ, TO CALCULATE THE AMOUNTS PRESENTED IN PART I, LINE 7. THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS. PART II, COMMUNITY BUILDING ACTIVITIES: BRIDGEPORT HOSPITAL, ALONG WITH MANY OTHER HOSPITALS ACROSS THE COUNTRY, UTILIZES THE COMMUNITY BENEFITS INVENTORY FOR SOCIAL ACCOUNTABILITY (CBISA) DATABASE DEVELOPED BY LYON SOFTWARE TO CATALOG ITS COMMUNITY BENEFIT AND COMMUNITY BUILDING ACTIVITIES AND THE GUIDELINES DEVELOPED BY THE CATHOLIC HOSPITAL ASSOCIATION (CHA) IN ORDER TO CATALOG THESE BENEFITS. THESE TWO ORGANIZATIONS HAVE WORKED TOGETHER FOR OVER 30 YEARS TO PROVIDE SUPPORT TO NON-FOR-PROFIT HOSPITALS TO DEVELOP AND SUSTAIN EFFECTIVE COMMUNITY BENEFIT PROGRAMS.THE MOST RECENT VERSION OF THE CHA GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT DEFINES COMMUNITY BUILDING ACTIVITIES AS PROGRAMS THAT ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS AND ENVIRONMENTAL PROBLEMS. THESE ACTIVITIES ARE CATEGORIZED INTO EIGHT DISTINCT AREAS INCLUDING PHYSICAL IMPROVEMENT AND HOUSING, ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT, ENVIRONMENTAL IMPROVEMENTS, LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS, COALITION BUILDING, ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENTS, AND WORKFORCE DEVELOPMENT. BRIDGEPORT HOSPITAL IS INCREASINGLY AWARE OF HOW SOCIAL DETERMINANTS IMPACT THE HEALTH OF INDIVIDUALS AND COMMUNITIES. A PERSON'S HEALTH AND CHANCES OF BECOMING SICK AND DYING EARLY ARE GREATLY INFLUENCED BY POWERFUL SOCIAL FACTORS SUCH AS EDUCATION, INCOME, NUTRITION, HOUSING AND NEIGHBORHOODS. DURING FISCAL YEAR 2019, BRIDGEPORT HOSPITAL PROVIDED $33,390 IN FINANCIAL AND IN-KIND DONATIONS TO SUPPORT JOB TRAINING, ECONOMIC DEVELOPMENT AND OTHER ESSENTIAL SERVICES. THE HOSPITAL CONSIDERS THESE INVESTMENTS PART OF ITS OVERALL COMMITMENT OF BUILDING STRONGER NEIGHBORHOODS. EXAMPLES BELOW FOCUS ON THE AREAS OF REVITALIZING OUR NEIGHBORHOODS AND CREATING EDUCATIONAL OPPORTUNITIES.REVITALIZING OUR NEIGHBORHOODSSEVERAL YEARS AGO, THE CITY OF BRIDGEPORT ORGANIZED NEIGHBORHOOD REVITALIZATION ZONES (NRZS) IN ORDER TO EXPAND AND IMPROVE BUSINESS AND HOUSING IN LOW-TO-MODERATE INCOME NEIGHBORHOODS OR AREAS WITHIN NEIGHBORHOODS. THE NRZS RECEIVE TECHNICAL ASSISTANCE FROM THE CITY AND OUTSIDE CONSULTANTS, AND ENGAGE NEIGHBORHOOD RESIDENTS, NON-PROFITS, BUSINESSES AND FAITH-BASED ORGANIZATIONS TO MEET AND FORM STAKEHOLDER GROUPS. THESE GROUPS IDENTIFY THE PRIORITIES AND NEEDS OF THE NEIGHBORHOODS AND ARE ELIGIBLE TO BORROW STATE MONEY TO PURCHASE BLIGHTED PROPERTIES OR OFFER LOW-INTEREST LOANS TO QUALIFYING BUSINESSES FOR FACADE IMPROVEMENTS. HOSPITAL LEADERSHIP HAS BEEN ACTIVELY ENGAGED IN THE NRZ PROCESS FROM THE ONSET WITH REPRESENTATIVES SERVING ON COMMITTEES ORGANIZED IN THE CITY'S EAST END, EAST SIDE AND MILL HILL NEIGHBORHOODS, WHICH ARE LOCATED NEAR THE HOSPITAL. BRIDGEPORT HOSPITAL, ALONG WITH OTHER AREA BUSINESSES, IS A FOUNDING MEMBER OF THE SEAVIEW AVENUE BUSINESS ALLIANCE. THE SEAVIEW AVENUE BUSINESS ALLIANCE IS A NON-PROFIT ORGANIZATION DEDICATED TO IMPROVING STREETSCAPES AND IMPROVING THE AREA ALONG THE SEAVIEW AVENUE CORRIDOR. THE ORGANIZATION ALSO PROVIDES ANNUAL SCHOLARSHIPS TO STUDENTS GRADUATING FROM HARDING HIGH SCHOOL WHO PLAN TO ATTEND COLLEGE. THE HOSPITAL PROVIDE ONGOING FINANCIAL AND IN-KIND SUPPORT FOR THESE EFFORTS.CREATING EDUCATIONAL OPPORTUNITIESHIGHER EDUCATIONAL ATTAINMENT IS ASSOCIATED WITH BETTER HEALTH STATUS AND LONGER LIFE. FOR EXAMPLE, ADULTS AGED 25-50 YEARS WHO HAVE A COLLEGE DEGREE WILL ON AVERAGE LIVE FIVE YEARS LONGER THAN THOSE WITH LESS THAN A HIGH SCHOOL EDUCATION. A SCHOOL SUPPLY DRIVE WAS HELD AT THE HOSPITAL FOR STUDENTS AT THE HALL ELEMENTARY SCHOOL, LOCATED IN THE MILL HILL NEIGHBORHOOD OF BRIDGEPORT. HOSPITAL EMPLOYEES CONTRIBUTED HUNDREDS OF ITEMS RANGING FROM PENS AND PENCILS TO NOTEBOOKS, BACKPACKS AND OTHER ITEMS TO HELP ASSIST OVER 250 STUDENTS TO BEGIN THEIR SCHOOL YEAR. BRIDGEPORT HOSPITAL STAFF ALSO COLLABORATED WITH HALL ELEMENTARY SCHOOL AND OTHERS FOR THE ANNUAL "MOCK TRIAL" THROUGH THE HOSPITAL'S LEGAL & RISK MANAGEMENT DEPARTMENT, WHICH PROVIDES STUDENTS AN OPPORTUNITY TO PARTICIPATE IN AN ACTUAL TRIAL AT THE FEDERAL COURTHOUSE COMPLETE WITH A SUPERIOR COURT JUDGE. AS MENTIONED IN THE PREVIOUS SECTION, BRIDGEPORT HOSPITAL, THROUGH THE SEAVIEW AVENUE BUSINESS ALLIANCE, PROVIDED SCHOLARSHIPS TO SENIORS FROM HARDING HIGH SCHOOL WHO WILL BE ATTENDING COLLEGE. THE HOSPITAL IS ALSO A MEMBER OF THE BRIDGEPORT CHILD ADVOCACY COALITION, WHICH IS A COALITION OF ORGANIZATIONS, PARENTS AND OTHER CONCERNED INDIVIDUALS COMMITTED TO IMPROVING THE WELL-BEING OF BRIDGEPORT'S CHILDREN THROUGH RESEARCH, ADVOCACY, COMMUNITY EDUCATION AND MOBILIZATION. PART III, LINE 2: IN ACCORDANCE WITH THE ESTABLISHED POLICIES OF THE HOSPITAL, DURING THE REGISTRATION, BILLING AND COLLECTION PROCESS A PATIENT'S ELIGIBILITY FOR FREE CARE FUNDS IS DETERMINED. FOR PATIENTS WHO WERE DETERMINED BY THE HOSPITAL TO HAVE THE ABILITY TO PAY BUT DID NOT, THE UNCOLLECTED AMOUNTS ARE BAD DEBT EXPENSE. THE HOSPITAL'S COST ACCOUNTING SYSTEM UTILIZES PATIENT-SPECIFIC DATA TO ACCUMULATE AND DERIVE COSTS RELATED TO THESE BAD DEBT ACCOUNTS.DUE TO THE ADOPTION OF ASU NO. 2014-09 REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606) BAD DEBT EXPENSE IS NO LONGER REPORTED ON THE AUDITED FINANCIAL STATEMENTS. RATHER IT IS TREATED AS A PRICE CONCESSION. BAD DEBT IS DETERMINED IF THERE WAS AN ADVERSE EVENT THAT PREVENTED A PATIENT FROM BEING ABLE TO PAY THE EXPECTED AMOUNT. FOR THE PATIENTS WHO WERE DETERMINED BY THE HOSPITAL TO HAVE THE ABILITY TO PAY UNCOLLECTED AMOUNTS BUT DID NOT, THESE UNCOLLECTED AMOUNTS ARE TREATED AS IMPLICIT PRICE CONCESSIONS. THE HOSPITAL IS REPORTING BOTH BAD DEBT AND IMPLICIT PRICE CONCESSIONS ON SCHEDULE H, PART III, LINE 2. PART III, LINE 3: THE ORGANIZATION DOES NOT CURRENTLY HAVE A METHODOLOGY TO ACCURATELY QUANTIFY OR ESTIMATE THE AMOUNT OF BAD DEBT EXPENSE THAT WOULD BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. PART III, LINE 4: BRIDGEPORT HOSPITAL IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR YALE NEW HAVEN HEALTH SERVICES CORPORATION (YNHHSC). THE CONSOLIDATED FINANCIAL STATEMENTS FOR YNHHSC INCLUDES THE FOLLOWING FOOTNOTE REGARDING UNCOMPENSATED CARE AND COMMUNITY BENEFIT EXPENSE ON PAGE 25:THE SYSTEM'S COMMITMENT TO COMMUNITY SERVICE IS EVIDENCED BY SERVICES PROVIDED TO THE POOR AND BENEFITS PROVIDED TO THE BROADER COMMUNITY. SERVICES PROVIDED TO THE POOR INCLUDE SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTHCARE BECAUSE OF INADEQUATE RESOURCES, AND/OR WHO ARE UNINSURED OR UNDERINSURED. THE SYSTEM PROVIDES FREE CARE PROGRAMS FOR QUALIFYING PATIENTS. IN ACCORDANCE WITH THE ESTABLISHED POLICIES OF THE SYSTEM, DURING THE REGISTRATION, BILLING, AND COLLECTION PROCESS, A PATIENT'S ELIGIBILITY FOR FREE CARE FUNDS IS DETERMINED. FOR PATIENTS WHO WERE DETERMINED BY THE SYSTEM TO HAVE THE ABILITY TO PAY BUT DID NOT, THE UNCOLLECTED AMOUNTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS. FOR PATIENTS WHO DO NOT AVAIL THEMSELVES OF ANY FREE CARE PROGRAM, AND WHOSE ABILITY TO PAY CANNOT BE DETERMINED BY THE SYSTEM, CARE GIVEN BUT NOT PAID FOR IS CLASSIFIED AS CHARITY CARE.TOGETHER, CHARITY CARE AND FREE CARE REPRESENT UNCOMPENSATED CARE. THE ESTIMATED COST OF TOTAL UNCOMPENSATED CARE IS APPROXIMATELY $88.9 MILLION AND $86.8 MILLION FOR THE YEARS ENDED SEPTEMBER 30, 2019 AND 2018, RESPECTIVELY. THE ESTIMATED COST OF UNCOMPENSATED CARE IS BASED ON THE RATIO OF COST TO CHARGES, AS DETERMINED BY CLAIMS ACTIVITY. THE ALLOCATION BETWEEN IMPLICIT PRICE CONCESSION AND CHARITY CARE IS DETERMINED BASED ON MANAGEMENT'S ANALYSIS ON THE PREVIOUS 12 MONTHS OF HOSPITAL DATA. THIS ANALYSIS CALCULATES THE ACTUAL PERCENTAGE OF ACCOUNTS WRITTEN OFF OR DESIGNATED AS IMPLICIT PRICE CONCESSIONS VERSUS CHARITY CARE WHILE TAKING INTO ACCOUNT THE TOTAL COSTS INCURRED BY THE SYSTEM FOR EACH ACCOUNT ANALYZED.THE CONNECTICUT DISPROPORTIONATE SHARE HOSPITAL PROGRAM (CDSHP) WAS ESTABLISHED TO PROVIDE FUNDS TO HOSPITALS FOR THE PROVISION OF UNCOMPENSATED CARE AND IS FUNDED, IN PART, BY AN ASSESSMENT ON HOSPITAL NET PATIENT SERVICE REVENUE. THE SYSTEM MADE PAYMENTS INTO THE CDSHP OF $333.1 MILLION AND $367.0 MILLION FOR THE YEARS ENDED SEPTEMBER 30, 2019 AND 2018, RESPECTIVELY, FOR THE ASSESSMENT.DURING THE YEARS ENDED SEPTEMBER 30, 2019 AND 2018, THE SYSTEM RECEIVED $155.1 MILLION AND $202.8 MILLION, RESPECTIVELY, IN CDSHP DISTRIBUTIONS, OF WHICH APPROXIMATELY $92.0 MILLION AND 126.2 MILLION WAS RELATED TO CHARITY CARE. THESE ARE RECORDED IN NET PATIENT SERVICE REVENUE. ADDITIONALLY, THE SYSTEM PROVIDES BENEFITS FOR THE BROADER COMMUNITY, WHICH INCLUDES SERVICES PROVIDED TO OTHER NEEDY POPULATIONS THAT MAY NOT QUALIFY AS POOR BUT NEED SPECIAL SERVICES AND SUPPORT. BENEFITS INCLUDE THE COST OF HEALTH PROMOTION AND EDUCATION OF THE GENERAL COMMUNITY, INTERNS AND RESIDENTS, HEALTH SCREENINGS, AND MEDICAL RESEARCH. THE BENEFITS ARE PROVIDED THROUGH THE COMMUNITY HEALTH CENTERS, SOME OF WHICH SERVICE NON ENGLISH SPEAKING RESIDENTS, DISABLED CHILDREN, AND VARIOUS COMMUNITY SUPPORT GROUPS. THE SYSTEM VOLUNTARILY ASSISTS WITH THE DIRECT FUNDING OF SEVERAL CITY OF NEW HAVEN PROGRAMS, INCLUDING AN ECONOMIC DEVELOPMENT PROGRAM AND A YOUTH INITIATIVE PROGRAM. IN ADDITION TO THE QUANTIFIABLE SERVICES DEFINED ABOVE, THE SYSTEM PROVIDES ADDITIONAL BENEFITS TO THE COMMUNITY THROUGH ITS ADVOCACY OF COMMUNITY SERVICE BY EMPLOYEES. THE SYSTEM'S EMPLOYEES SERVE NUMEROUS ORGANIZATIONS THROUGH BOARD REPRESENTATION, MEMBERSHIP IN ASSOCIATIONS AND OTHER RELATED ACTIVITIES. THE SYSTEM ALSO SOLICITS THE ASSISTANCE OF OTHER HEALTHCARE PROFESSIONALS TO PROVIDE THEIR SERVICES AT NO CHARGE THROUGH PARTICIPATION IN VARIOUS COMMUNITY SEMINARS AND TRAINING PROGRAMS. PART III, LINE 8: THE ENTIRE MEDICARE LOSS PRESENTED SHOULD BE TREATED AS A COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO MEDICARE BENEFICIARIES, IRS REVENUE RULING 69-545 INDICATES THAT HOSPITALS OPERATE FOR THE PROMOTION OF HEALTH IN THE COMMUNITY WHEN IT PROVIDES CARE TO PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, THE HOSPITAL PROVIDES CARE TO MEDICARE PATIENTS REGARDLESS OF MEDICARE SHORTFALLS (REDUCING THE BURDEN ON THE GOVERNMENT), AND MANY OF THE MEDICARE PARTICIPANTS WOULD HAVE QUALIFIED FOR THE CHARITY CARE OR OTHER MEANS TESTED PROGRAMS ABSENT BEING ENROLLED IN THE MEDICARE PROGRAM. THE MEDICARE SHORTFALL REPORTED IS DETERMINED BY THE HOSPITAL'S COST ACCOUNTING SYSTEM, STRATAJAZZ. PART III, LINE 9B: IT IS THE HOSPITAL'S POLICY TO TREAT ALL PATIENTS EQUITABLY WITH RESPECT AND COMPASSION, FROM THE BEDSIDE TO THE BILLING OFFICE. THE HOSPITAL WILL PURSUE PATIENT ACCOUNTS, DIRECTLY AND THROUGH ITS COLLECTION AGENTS, FAIRLY AND CONSISTENTLY TAKING INTO CONSIDERATION DEMONSTRATED FINANCIAL NEED. AS PART OF ITS COLLECTION PROCESS, THE HOSPITAL WILL MAKE REASONABLE EFFORTS TO DETERMINE IF AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER ITS FINANCIAL ASSISTANCE POLICY. IN THE EVENT A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THE HOSPITAL WILL NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTION AS DEFINED BY LAW AND HOSPITAL POLICY. PART VI, LINE 2: COMMUNITY NEEDS ARE ROUTINELY REVIEWED AND ADDRESSED AS PART OF THE OPERATIONS AND SERVICE LINE TEAMS AT BRIDGEPORT HOSPITAL. THESE MULTI-DISCIPLINARY GROUPS PROVIDE ANALYSIS AND INSIGHT INTO PATIENT UTILIZATION TRENDS ACROSS OUR DELIVERY OF CARE AND ARE REVIEWED IN TANDEM WITH CARE MANAGEMENT AND PATIENT SATISFACTION RESULTS AND OTHER COMMUNITY FEEDBACK. COUPLED WITH THE COMMUNITY NEEDS ASSESSMENT, THIS INFORMATION ASSISTS WITH THE DEVELOPMENT OF NEW INITIATIVES, PARTNERSHIPS, PROGRAMS AND SERVICES TO BENEFIT OUR COMMUNITY. PART VI, LINE 3: BRIDGEPORT HOSPITAL INFORMS INDIVIDUALS ABOUT ITS FINANCIAL ASSISTANCE PROGRAMS ON ITS WEBSITE, THROUGH VISIBLE POSTINGS AND COMMUNICATIONS AT POINTS OF REGISTRATION AND FRONT LINE ACCESS. THE FINANCIAL ASSISTANCE POLICY, APPLICATION AND SUMMARY ARE AVAILABLE ON REQUEST WITHOUT CHARGE BY MAIL, INCLUDING AT ADMITTING DEPARTMENT. FURTHER, PATIENTS RECEIVE A SUMMARY OF FINANCIAL ASSISTANCE PROGRAMS, INCLUDING ELIGIBILITY REQUIREMENTS THROUGH A FIRST STATEMENT MAILER AS PART OF THE BILLING PROCESS. THESE COMMUNICATIONS INCLUDE TELEPHONE NUMBERS AND POINT OF CONTACT FOR INDIVIDUALS TO VISIT OR CALL. THE HOSPITAL HAS RESOURCES TO ASSIST PATIENTS WITH STATE OF CONNECTICUT MEDICAID APPLICATIONS. PART VI, LINE 4: TO DEFINE COMMUNITY FOR CHNA PURPOSES, THIS GREATER BRIDGEPORT COMMUNITY HEALTH NEEDS ASSESSMENT USES A GEOGRAPHIC APPROACH FOCUSING ON SIX TOWNS WITHIN FAIRFIELD COUNTY, CT: BRIDGEPORT, EASTON, FAIRFIELD, MONROE, STRATFORD, AND TRUMBULL. THESE COMMUNITIES ARE SERVED BY BOTH BRIDGEPORT HOSPITAL AND ST. VINCENT'S MEDICAL CENTER REPRESENTING AT LEAST 75% OF TOTAL DISCHARGES AND DO NOT OVERLAP WITH CHNA AREAS IDENTIFIED BY OTHER ACUTE CARE HOSPITALS AND/OR COLLABORATIONS. UPON DEFINING THE GEOGRAPHIC AREA AND POPULATION SERVED IN GREATER BRIDGEPORT, HIA WAS DILIGENT TO ENSURE THAT NO GROUPS, ESPECIALLY MINORITY, LOW-INCOME OR MEDICALLY UNDER-SERVED, WERE EXCLUDED.NUMEROUS FACTORS ARE ASSOCIATED WITH THE HEALTH OF A COMMUNITY INCLUDING WHAT RESOURCES AND SERVICES ARE AVAILABLE AS WELL AS WHO LIVES IN THE COMMUNITY. WHILE INDIVIDUAL CHARACTERISTICS SUCH AS AGE, GENDER, RACE, AND ETHNICITY HAVE AN IMPACT ON PEOPLE'S HEALTH, THE DISTRIBUTION OF THESE CHARACTERISTICS ACROSS A COMMUNITY IS ALSO CRITICALLY IMPORTANT AND CAN AFFECT THE NUMBER AND TYPE OF SERVICES AND RESOURCES AVAILABLE. THE GREATER BRIDGEPORT AREA HAS A TOTAL POPULATION OF 330,000. THE TYPICAL BRIDGEPORT RESIDENT IS 34 YEARS OLD, BUT MOST TOWNS IN THE REGION HAVE A MEDIAN AGE THAT IS AT LEAST 10 YEARS HIGHER THAN THAT. THE POPULATION OF OLDER ADULTS IS PROJECTED TO GROW SIGNIFICANTLY THROUGHOUT THE REGION OVER THE NEXT 20 YEARS. THE TOWNS IN THE REGION VARY DRAMATICALLY IN TERMS OF THEIR RACIAL AND ETHNIC COMPOSITION. THE COMMUNITIES OF EASTON, FAIRFIELD, MONROE AND TRUMBULL ARE OVER 80% WHITE AND STRATFORD IS TWO-THIRDS WHITE. BY CONTRAST, CLOSE TO 80% OF BRIDGEPORT'S POPULATION IS NON-WHITE; HISPANICS AND AFRICAN-AMERICANS EACH COMPRISE MORE THAN ONE THIRD OF BRIDGEPORT'S RESIDENTS. BRIDGEPORT BENEFITS FROM HIGH RATES OF IMMIGRATION, BUT ABOUT 23 PERCENT OF ITS POPULATION STRUGGLES WITH LOW ENGLISH PROFICIENCY, ABOUT TWICE THE RATE OF CONNECTICUT OVERALL (8 PERCENT).INCOME AND POVERTY ARE CLOSELY CONNECTED TO HEALTH OUTCOMES. A HIGHER INCOME MAKES IT EASIER TO LIVE IN A SAFE NEIGHBORHOOD WITH GOOD SCHOOLS AND MANY RECREATIONAL OPPORTUNITIES. HIGHER WAGE EARNERS ARE BETTER ABLE TO BUY MEDICAL INSURANCE AND MEDICAL CARE, PURCHASE NUTRITIOUS FOODS, AND OBTAIN QUALITY CHILD CARE THAN THOSE EARNING LOWER WAGES. COMMUNITIES WHERE RESIDENTS HAVE LOWER INCOME LEVELS HAVE BEEN SHOWN TO HAVE HIGHER RATES OF ASTHMA, DIABETES, AND HEART DISEASE, AND LOWER LIFE EXPECTANCIES. THERE ARE WIDE GAPS IN MEDIAN HOUSEHOLD INCOME RATES WITHIN THE GREATER BRIDGEPORT REGION. THE TOWNS OF EASTON, FAIRFIELD, MONROE, AND TRUMBULL ARE AFFLUENT WITH MEDIAN INCOMES SUBSTANTIALLY HIGHER THAN NATIONAL AND STATE AVERAGES. STRATFORD, WHICH HAS A LONG HISTORY AS AN INDUSTRIAL TOWN, WAS DESCRIBED BY RESIDENTS AS BLUE COLLAR AND MIDDLE CLASS. BRIDGEPORT HAS A HIGH POVERTY RATE AND A LOWER MEDIAN INCOME THAT BOTH STATE AND NATIONAL AVERAGES, AND CERTAIN NEIGHBORHOODS SUCH AS THE EAST END HAVE RATES OF CONCENTRATED POVERTY AND OTHER CONDITIONS THAT RANK THEM AMONG THE MOST ECONOMICALLY-DISADVANTAGED NEIGHBORHOODS IN THE NORTHEAST US. ONLY 18% OF BRIDGEPORT ADULTS AGE 25 AND OVER HAVE A COLLEGE DEGREE OR HIGHER, LESS THAN HALF THE RATE FOR THE STATE; STRATFORD ALSO FALLS BELOW THE STATE RATE WITH ONLY 33% OF THE RESIDENTS HAVING A COLLEGE DEGREE OR HIGHER. THE PROPORTION OF RESIDENTS WITH A COLLEGE DEGREE OR HIGHER IN EASTON, FAIRFIELD, MONROE AND TRUMBULL IS GREATER THAN THAT OF THE STATE, WITH FAIRFIELD'S ADULTS HAVING A COLLEGE EDUCATIONAL ATTAINMENT RATE OF 63%. PART VI, LINE 5: AS A COMMUNITY HEALTH CARE SERVICES PROVIDER, BRIDGEPORT HOSPITAL REMAINS ATTENTIVE TO HEALTH AND WELL-BEING THROUGH EDUCATION, OUTREACH AND OTHER INNOVATIVE SERVICES. DURING FISCAL YEAR 2019, BRIDGEPORT HOSPITAL PROVIDED $78.9 MILLION IN COMMUNITY BENEFITS THROUGH FINANCIAL AND IN-KIND CONTRIBUTIONS IN FIVE WIDE-RANGING PROGRAMS GUARANTEEING ACCESS TO CARE; PROMOTING HEALTH AND WELLNESS; ADVANCING CAREERS IN HEALTH CARE; RESEARCH; AND CREATING HEALTHIER COMMUNITIES. BRIDGEPORT HOSPITAL ALSO CONTRIBUTES TO THE COMMUNITY IN WAYS THAT ARE NOT QUANTIFIED AS PART OF COMMUNITY BENEFITS AND SERVES AS AN IMPORTANT COMMUNITY RESOURCE. THIS INCLUDES HAVING A COMMUNITY-BASED BOARD OF TRUSTEES WITH MANY MEMBERS RESIDING OR WORKING IN THE AREA SERVED BY THE HOSPITAL. THE HOSPITAL ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. IN FISCAL YEAR 2019 THERE WERE A TOTAL OF 1,522 MEMBERS OF THE BRIDGEPORT HOSPITAL MEDICAL STAFF. BRIDGEPORT HOSPITAL, FOUNDED IN 1878, IS A 501-BED URBAN TEACHING HOSPITAL SERVING 21,219 INPATIENTS AND 341,878 OUTPATIENT ENCOUNTERS IN 2019. BRIDGEPORT HOSPITAL IS ONE OF THE LARGEST PRIVATE EMPLOYERS IN BRIDGEPORT WITH 3,306 EMPLOYEES IN 2019. PART VI, LINE 6: THE YALE NEW HAVEN HEALTH SYSTEM'S FUNDAMENTAL MISSION IS TO ENSURE THAT THE DELIVERY NETWORKS SUCH AS BRIDGEPORT HOSPITAL ASSOCIATED WITH THE SYSTEM PROMOTE THE HEALTH OF THE COMMUNITIES THEY SERVE AND ENSURE THAT ALL PATIENTS HAVE ACCESS TO APPROPRIATE HEALTHCARE SERVICES. THE YALE NEW HAVEN HEALTH SYSTEM REQUIRES ITS HOSPITALS TO INCORPORATE PLANS TO PROMOTE HEALTHY COMMUNITIES WITHIN THE HOSPITAL'S EXISTING BUSINESS PLANS AND IMPLEMENTATION STRATEGIES FOR WHICH THEY ARE HELD ACCOUNTABLE. IN ADDITION, REGULAR REPORTING ON COMMUNITY BENEFITS IS REQUIRED ON A QUARTERLY BASIS. PART VI, LINE 7, REPORTS FILED WITH STATES CT 1 TAXI TRANSPORTAION VOUCHERS 2192 43847 FMV A TAXI VOUCHER PROGRAM OFFERS TAXI CAB SERVICES AT REDUCED RATES FOR ELIGIBLE PATIENTS. CARE COORDINATION 161 494585 PART I, LINE 2: BRIDGEPORT HOSPITAL ("BH") CARRIES OUT DUE DILIGENCE IN PROVIDING MONETARY ASSISTANCE ONLY TO QUALIFYING 501(C)(3) ORGANIZATIONS THAT COMPLEMENT ITS MISSION OR SUPPORT THE GREATER GOOD IN THE COMMUNITIES SERVES. NONE OF THE AMOUNTS REPORTED ON SCHEDULE I, PART III ARE GRANTS. THESE AMOUNTS ARE ASSISTANCES GIVEN TO CHARITABLE ORGANIZATIONS TO ASSIST IN THE FURTHERANCE OF THEIR CHARITABLE MISSION. BH VERIFIES EACH ORGANIZATION'S EIN AS LISTED ON IRS FORM W-9 THAT HAS BEEN SUBMITTED TO BH. ASSISTANCE DONATED BY BH TO THESE QUALIFYING ORGANIZATIONS IS NOT OUTCOMES-BASED AND IS GIVEN IN SUPPORT OF AN INDIVIDUAL ORGANIZATION'S FUNDRAISING EVENTS OR IN SUPPORT OF DIRECT SERVICES. BH MAINTAINS FULL AND COMPLETE RECORDS OF ALL MONETARY ASSISTANCE PROVIDED, HOWEVER DOES NOT MONITOR SPECIFIC FUNDS. 0 1 0 0 0 0 0 1 0 WILLIAM JENNINGS PRESIDENT & CEO/TRU./EX OFFICIO 532429 133107 226582 56646 82541 20635 240685 60171 1411 353 1083648 270912 0 0 VINCENT PETRINI TRUSTEE/EX-OFFICIO 74895 424405 23325 132173 20659 117068 33598 190387 2812 15935 155289 879968 0 0 MICHAEL IVY INTERIM CEO/TRUSTEE 102834 505649 23386 114994 24422 120089 16603 81642 3338 16412 170583 838786 0 0 RYAN O'CONNELL VP OF PERFORMANCE & RISK 155244 245902 26048 41260 15836 25085 19090 30237 7651 12118 223869 354602 0 0 PAMELA SCAGLIARINI COO & SECRETARY 501380 0 142051 0 149955 0 228785 0 18835 0 1041006 0 0 0 MELISSA TURNER SR. VP HUMAN RESOURCE 175964 175964 47928 47928 53034 53034 69534 69534 9205 9205 355665 355665 0 0 MARYELLEN KOSTURKO SR. VP PATIENT CARE 340934 0 97845 0 32167 0 28581 0 1143 0 500670 0 0 0 MARY CHRISTOFFERSEN VP OF NURSING 240207 0 28150 0 21009 0 21433 0 11736 0 322535 0 0 0 MARC LOMBARDI ASSISTANT SECRETARY 15609 223969 2580 37026 1249 17915 1144 16415 1197 17171 21779 312496 438 6288 JOHN SKELLY SR. VP & TREASURER 415745 46194 88153 9795 91011 10112 177209 19690 16846 1872 788964 87663 0 0 GINA CALDER VP OF AMBULATORY SERVICES 241953 0 37677 0 3232 0 16493 0 6309 0 305664 0 0 0 CAROLYN SALSGIVER SR. VP STRATEGY & BUSINESS 70194 280778 17712 70850 15350 61400 32173 128690 3882 15530 139311 557248 0 0 THOMAS LAMONTE PHYSICIAN 386644 0 7540 0 2707 0 30360 0 15733 0 442984 0 0 0 ROCKMAN FERRIGNO PHYSICIAN 583347 0 18726 0 52100 0 59364 0 15926 0 729463 0 0 0 JONATHAN MAISEL PHYSICIAN 432980 0 8626 0 1754 0 29850 0 15806 0 489016 0 0 0 GUILLERMO KATIGBAK PHYSICIAN 379975 0 7597 0 2641 0 27150 0 11982 0 429345 0 0 0 FRANCISCO GARRIDO PHYSICIAN 592820 0 12217 0 608 0 15715 0 16929 0 638289 0 0 0 GAYLE CAPOZZALO TRUSTEE/EX-OFFICIO (CURRENT YR COMP) 0 398863 0 271950 0 675507 0 25325 0 12795 0 1384440 0 151250 GAYLE CAPOZZALO TRUSTEE/EX-OFFICIO (VESTED DEFERRED) 0 0 0 0 0 131149 0 0 0 0 0 131149 0 0 PART I, LINE 3 THE FILING ORGANIZATION DOES NOT HAVE AND/OR COMPENSATE ITS OWN CEO/EXECUTIVE DIRECTOR. INDIVIDUALS LISTED ON PART VII AS OFFICERS OF THE CORPORATION ARE EMPLOYEES OF A RELATED ORGANIZATION(S) AND COMPENSATED THROUGH THE RESPECTIVE RELATED ORGANIZATION(S). THE METHOD(S) USED BY THE RELATED ORGANIZATION(S) FOR DETERMINING COMPENSATION FOR THESE INDIVIDUALS ARE: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -WRITTEN EMPLOYMENT CONTRACT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4B THE INDIVIDUALS LISTED BELOW ARE PARTICIPANTS IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THESE ACCRUALS ARE INCLUDED IN THE AMOUNTS REPORTED IN PART II, COLUMN C (DEFERRED COMPENSATION) AND REPRESENTS BOTH THE REPORTING ENTITY'S AND RELATED ENTITY'S COMBINED AMOUNTS CONSISTENT WITH THE COMPENSATION REPORTING PER IRS INSTRUCTIONS. SEVERANCE NONQUALIFIED EQUITY-BASED WILLIAM M. JENNINGS $0 $173,892 $0 PAMELA SCAGLIARINI 0 119,056 0 VINCENT PETRINI 0 119,235 0 JOHN SKELLY 0 103,806 0 MELISSA TURNER 0 82,430 0 CAROLYN SALSGIVER 0 82,103 0 THE INDIVIDUAL LISTED BELOW BECAME VESTED IN BENEFITS VALUED AT THE AMOUNT RESPECTIVELY REPORTED DURING THE REPORTING YEAR. INCLUDED IN SECTION II, COLUMN B (III) IS AMOUNT VESTED DURING THE 2018 CALENDAR YEAR THAT WAS RECOGNIZED AS TAXABLE EVENTS AND REPORTED IN THE INDIVIDUAL 2018 CALENDAR YEAR FORM W-2. GAYLE CAPOZZALO $131,149 THE SUPPLEMENTAL RETIREMENT INCOME PLAN (SRIP) / EXECUTIVE DEFERRED COMPENSATION ACCOUNT PLAN (EDCAP) ARE DESIGNED TO ENSURE THE PAYMENT OF A COMPETITIVE LEVEL OF RETIREMENT INCOME WHEN ADDED TO OTHER SOURCES OF RETIREMENT INCOME IN ORDER TO ATTRACT AND RETAIN KEY MANAGEMENT EMPLOYEES SERVING AS CORPORATE OFFICERS. THE PLAN PROVIDES SUPPLEMENTAL RETIREMENT INCOME THROUGH AN UNFUNDED, NONQUALIFIED DEFERRED COMPENSATION ARRANGEMENT UNDER SECTION 457(F) AND THROUGH A DEFERRED COMPENSATION PLAN UNDER SECTION 409A OF THE INTERNAL REVENUE CODE AND A MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES' PLAN UNDER THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 (ERISA). PART I, LINE 7 NON-FIXED PAYMENTS PROVIDED THE SHORT TERM INCENTIVE PLAN IS A VARIABLE COMPENSATION PLAN WHICH PROVIDES ONE-TIME PAYMENTS TO ELIGIBLE MEMBERS OF MANAGEMENT IN RECOGNITION OF THE ACCOMPLISHMENT OF KEY ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE OBJECTIVES. PERFORMANCE LEVELS ARE ESTABLISHED AND REVIEWED ANNUALLY AT THRESHOLD, TARGET AND MAXIMUM LEVELS, ACCORDING TO PLANNED "STRETCH" GOALS AND OBJECTIVES. INCENTIVE AWARD OPPORTUNITIES ARE ESTABLISHED ACCORDING TO MARKET PRACTICES BASED ON EACH ELIGIBLE POSITION'S RESPONSIBILITIES, PERFORMANCE AND LEVEL OF AUTHORITY. PERFORMANCE RELATIVE TO STIP AWARD OPPORTUNITIES INCORPORATES A BROAD SPECTRUM OF PRE-DEFINED FINANCIAL AND NON-FINANCIAL METRICS THAT ARE ALIGNED WITH ORGANIZATIONAL MISSION AND VALUES. A CHEFA- SERIES D 060806186 20774YJE8 2012-05-31 40467946 REFINANCING A & C ISSUED 92 & 95 0 0 0 A 16870000 40467953 775780 39692173 2012 1 0 1 1 A 0 0 1 1 0 0 0 0 1 A 0 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CHEFA- SERIES D DATE THE REBATE COMPUTATION WAS PERFORMED: 05/31/2017 PART III - PRIVATE BUSINESS USE THIS SECTION IS NOT REQUIRED TO BE COMPLETED AS THE BOND REFUNDED PRE-2003 BOND ISSUANCES. PART III, LINE 3C THE ORGANIZATION HAS IN-HOUSE LEGAL STAFF WHO PROVIDE ROUTINE REVIEW OF MANAGEMENT OR SERVICE CONTRACTS OR RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY TO ENSURE THAT SUCH AGREEMENTS ARE COMPLIANT WITH APPLICABLE SAFE HARBORS. IN-HOUSE COUNSEL CONSULTS WITH THE HOSPITAL'S OUTSIDE BOND COUNSEL AS NEEDED, INCLUDING ON NON-ROUTINE ISSUES. EBP SUPPLY SOLUTIONS SEE SCHEDULE O 312748 SEE PART V 0 PART IV, COLUMN D BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSNAME OF INTERESTED PERSON: EBP SUPPLY SOLUTIONSTRUSTEE MEREDITH REUBEN IS THE SOLE STOCKHOLDER AND CHIEF EXECUTIVE OFFICER OF EBP SUPPLY SOLUTIONS, INC. AFTER PERFORMING AN OBJECTIVE REVIEW PROCESS, WHICH INCLUDED A COMPARISON TO COMPETITIVE ALTERNATIVES AVAILABLE IN THE MARKETPLACE AND IN WHICH MS. REUBEN WAS NOT INVOLVED, THE HOSPITAL PURCHASED JANITORIAL AND FOOD SERVICE SUPPLIES AND SERVICES FROM EBP SUPPLY SOLUTIONS, INC.AMOUNT OF TRANSACTION: $312,748 FORM 990, PART VI PART I, LINE 4 & PART VI, LINE 1B NUMBER OF INDEPENDENT VOTING MEMBERS OF THE GOVERNING BODY THE ORGANIZATION SOUGHT TO CONFIRM THE INDEPENDENCE OF EACH VOTING MEMBER OF ITS GOVERNING BODY BY REQUESTING THAT EACH SUCH VOTING MEMBER RESPOND TO A QUESTIONNAIRE CONTAINING THE PERTINENT INSTRUCTIONS AND DEFINITIONS AND DESIGNED TO ELICIT THE INFORMATION NECESSARY TO DETERMINE INDEPENDENCE. IN THE EVENT THAT THE ORGANIZATION DOES NOT RECEIVE A RESPONSE FROM ANY SUCH VOTING MEMBER, THE ORGANIZATION REVIEWS OTHER INFORMATION KNOWN TO IT REGARDING THE VOTING MEMBER AND MAKES A REASONABLE ASSESSMENT OF INDEPENDENCE BASED ON THAT INFORMATION. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIPS BETWEEN OFFICERS, DIRECTORS, TRUSTEES, OR KEY EMPLOYEES CERTAIN OF THE ORGANIZATION'S CURRENT OFFICERS AND/OR TRUSTEES MAY SERVE AS OFFICERS AND/OR DIRECTORS OF TAX-EXEMPT AND TAXABLE AFFILIATES WITHIN THE ORGANIZATION'S CORPORATE SYSTEM OR JOINT VENTURES IN WHICH THE ORGANIZATION'S CORPORATE SYSTEM HAS AN OWNERSHIP INTEREST. THE INDIVIDUAL OFFICERS AND/OR TRUSTEES DO NOT HAVE PERSONAL FINANCIAL INTERESTS IN SUCH AFFILIATES AND SERVE ONLY AS A FUNCTION OF THEIR ROLES WITH THE ORGANIZATION OR WITHIN THE ORGANIZATION'S CORPORATE SYSTEM. FORM 990, PART VI, SECTION A, LINE 6 THE ENTITY IS A CONNECTICUT NON-STOCK CORPORATION. ITS SOLE MEMBER OF BRIDGEPORT HOSPITAL IS YALE NEW HAVEN HEALTH SERVICES CORPORATION ("YNHHS"), ITSELF A CONNECTICUT NON-STOCK CORPORATION EXEMPT FROM FEDERAL INCOME TAX AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. FORM 990, PART VI, SECTION A, LINE 7A YNHHS HAS THE AUTHORITY TO DESIGNATE ONE REPRESENTATIVE OF YNHHS TO SERVE AS A TRUSTEE OF THE HOSPITAL AND FURTHER TO APPROVE NOMINEES TO THE HOSPITAL'S BOARD OF TRUSTEES IN ACCORDANCE WITH THE HOSPITAL'S BYLAWS. FORM 990, PART VI, SECTION A, LINE 7B THE YALE NEW HAVEN HEALTH SERVICES CORPORATION, AS THE ENTITY'S SOLE MEMBER, HAS THE RIGHTS, POWERS AND PRIVILEGES SET FORTH IN THE HOSPITAL'S BYLAWS, INCLUDING, IN PART, THE AUTHORITY TO APPROVE THE NOMINEES TO THE HOSPITAL'S BOARD OF TRUSTEES, AMENDMENTS TO THE GOVERNING DOCUMENTS, OPERATING AND CAPITAL BUDGETS, INITIATION OF MAJOR NEW PROGRAMS AND CLINICAL SERVICES OR THE DISCONTINUATION OR CONSOLIDATION OF SUCH PROGRAMS, CERTAIN FUNDAMENTAL CORPORATION TRANSACTIONS, AND THE ISSUANCE AND INCURRENCE OF INDEBTEDNESS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 TAX RETURN AND ATTACHED SCHEDULES WERE PREPARED BY EMPLOYEES OF THE YNHHS TAX DEPARTMENT. THE RETURN IS INITIALLY REVIEWED BY THE EXECUTIVE DIRECTOR OF CORPORATE FINANCE. SUBSEQUENTLY, IT IS SENT TO KPMG LLP FOR THEIR INITIAL REVIEW. AFTER ALL COMMENTS FROM THE ABOVE GROUPS ARE RECEIVED AND REVIEWED, THE RETURN IS THEN REVIEWED BY THE CHIEF FINANCIAL OFFICER OF THE HOSPITAL AND A FINAL VERSION OF THE RETURN IS SENT BACK TO KPMG LLP FOR FINAL REVIEW. PRIOR TO FILING, THE ORGANIZATION MADE AVAILABLE A COMPLETE COPY OF THE RETURN TO ITS BOARD OF TRUSTEES BY WEB PORTAL. FORM 990, PART VI, SECTION B, LINE 12C BRIDGEPORT HOSPITAL IS COVERED UNDER THE YALE NEW HAVEN HEALTH SYSTEM CONFLICT OF INTEREST POLICY APPROVED AND ADOPTED BY THE SYSTEM COMPLIANCE COMMITTEE, WHICH HAS BEEN DELEGATED THE AUTHORITY TO APPROVE AND ADOPT COMPLIANCE POLICIES ON BEHALF OF THE ENTITIES IN THE SYSTEM. THE YALE NEW HAVEN HEALTH SYSTEM CONFLICT OF INTEREST POLICY AND INDIVIDUAL ANNUAL DISCLOSURE FORM APPLIES TO A POOL OF EMPLOYEES, BOARD MEMBERS AND NON-BOARD MEMBERS SERVING ON BOARD COMMITTEES. THESE "COVERED INDIVIDUALS" ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT, UPON BEGINNING EMPLOYMENT OR OTHERWISE BECOMING A COVERED INDIVIDUAL AND ANNUALLY THEREAFTER. COVERED INDIVIDUALS ARE ALSO REQUIRED TO PROMPTLY REPORT CHANGES TO THEIR MOST RECENTLY COMPLETED DISCLOSURE STATEMENT. THESE DISCLOSURE STATEMENTS AND REPORTS ARE REVIEWED BY THE OFFICE OF PRIVACY AND CORPORATE COMPLIANCE AND/OR THE LEGAL AND RISK SERVICES DEPARTMENT TO ENSURE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. IF A POTENTIAL CONFLICT ARISES, THE PRESIDENT AND CEO WOULD CONSULT WITH THE BOARD CHAIRPERSON AND THE LEGAL AND RISK SERVICES DEPARTMENT TO DEVELOP A PLAN TO MITIGATE ANY ACTUAL CONFLICT OF INTEREST. FOR EXAMPLE, A VOTING BOARD OR COMMITTEE MEMBER WOULD BE REQUIRED TO RECUSE HIMSELF OR HERSELF FROM VOTING ON MATTERS WITH WHICH SHE OR HE HAD AN ACTUAL OR POTENTIAL CONFLICT AND THE ACTUAL OR POTENTIAL CONFLICT WOULD BE DISCLOSED TO OTHER VOTING MEMBERS. FORM 990, PART VI, SECTION B, LINE 15 FORM 990, PART VI, SECTION B, LINE 15A: COMPENSATION PROCESS FOR TOP OFFICIALS: THE TOP BRIDGEPORT HOSPITAL OFFICIAL IS AN EMPLOYEE OF YNHHS. THE YNHHS COMPENSATION AND LEADERSHIP DEVELOPMENT COMMITTEE (THE "YNHHS COMPENSATION COMMITTEE"), WHICH INCLUDES A REPRESENTATIVE OF THE HOSPITAL, IS RESPONSIBLE FOR (1) DETERMINING THE OVERALL TOTAL COMPENSATION STRATEGY FOR YNHHS OFFICER-LEVEL EXECUTIVES, (2) APPROVING ALL COMPENSATION AND BENEFITS DECISIONS FOR YNHHS OFFICER-LEVEL EXECUTIVES, AND (3) REPORTING SUCH ACTIONS TO THE FULL YNHHS BOARD OF TRUSTEES ON AN ANNUAL BASIS. IN ADDITION, THE YNHHS COMPENSATION COMMITTEE EXPRESSLY DETERMINES THE REASONABLENESS OF TOTAL COMPENSATION AND BENEFITS FOR ALL YNHHS OFFICER-LEVEL EXECUTIVES, AND ASSURES THAT ALL OFFICER-LEVEL EXECUTIVE COMPENSATION DECISIONS ARE MADE AFTER THOROUGH CONSIDERATION OF AND COMPARISON TO THE MARKET PRACTICES OF OTHER SIMILARLY SITUATED ORGANIZATIONS. THE YNHHS COMPENSATION COMMITTEE CONSISTS OF TRUSTEES WHO DO NOT HAVE MATERIAL FINANCIAL INTERESTS THAT COULD BE AFFECTED BY THE OFFICER-LEVEL EXECUTIVE COMPENSATION DECISIONS MADE BY THE COMMITTEE. THE COMPARABILITY DATA USED TO ASSIST THE COMMITTEES IN ITS COMPENSATION DELIBERATIONS IS COMPILED BY AN INDEPENDENT, NATIONAL COMPENSATION CONSULTING FIRM THAT IS RETAINED BY AND REPORTS DIRECTLY TO THE YNHHS COMPENSATION COMMITTEE. THE DATA COLLECTED BY THE CONSULTANT CONSISTS OF MARKET INFORMATION FOR EXECUTIVES IN FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED ORGANIZATIONS. THE DELIBERATIONS AND DECISIONS OF THE YNHHS COMPENSATION COMMITTEE IS CONTEMPORANEOUSLY DOCUMENTED, REVIEWED AND APPROVED BY THE COMMITTEE, AND PROVIDED TO THE BOARD OF TRUSTEES OF YNHHS AND THE BRIDGEPORT HOSPITAL. FORM 990, PART VI, SECTION B, LINE 15B: COMPENSATION PROCESS FOR OFFICERS CERTAIN OFFICER-LEVEL EXECUTIVES ARE EMPLOYEES OF YNHHS, OTHER OFFICER-LEVEL EXECUTIVES ARE EMPLOYED DIRECTLY BY BRIDGEPORT HOSPITAL; COMPENSATION DETERMINATIONS OF YNHHS EMPLOYEES ARE MADE BY THE YNHHS COMPENSATION COMMITTEE. COMPENSATION OF OFFICER-LEVEL EXECUTIVES EMPLOYED DIRECTLY BY BRIDGEPORT HOSPITAL IS APPROVED BY THE BRIDGEPORT HOSPITAL'S COMPENSATION COMMITTEE AND BOARD OF TRUSTEES. FOR OFFICER-LEVEL EXECUTIVES EMPLOYED BY BRIDGEPORT HOSPITAL'S EXECUTIVE COMPENSATION COMMITTEES IS RESPONSIBLE FOR (1) DETERMINING THE OVERALL TOTAL COMPENSATION STRATEGY FOR ITS OFFICER-LEVEL EXECUTIVES, (2) APPROVING ALL COMPENSATION AND BENEFITS DECISIONS FOR OFFICER-LEVEL EXECUTIVES, AND (3) REPORTING SUCH ACTIONS TO THE FULL BOARD ON AN ANNUAL BASIS, AS APPLICABLE. IN ADDITION, THE EXECUTIVE COMPENSATION COMMITTEE EXPRESSLY DETERMINES THE REASONABLENESS OF TOTAL COMPENSATION AND BENEFITS FOR ALL OFFICER-LEVEL EXECUTIVES EMPLOYED BY BRIDGEPORT HOSPITAL, AND ASSURES THAT ALL OFFICER-LEVEL EXECUTIVE COMPENSATION DECISIONS ARE MADE AFTER THOROUGH CONSIDERATION OF AND COMPARISON TO THE MARKET PRACTICES OF OTHER SIMILARLY SITUATED ORGANIZATIONS. THE EXECUTIVE COMPENSATION COMMITTEE CONSISTS OF BOARD MEMBERS WHO DO NOT HAVE MATERIAL FINANCIAL INTERESTS THAT COULD BE AFFECTED BY THE COMPENSATION DECISIONS MADE BY THE COMMITTEE. THE COMPARABILITY DATA USED TO ASSIST THE EXECUTIVE COMPENSATION COMMITTEE IN ITS COMPENSATION DELIBERATIONS ARE COMPILED BY AN INDEPENDENT, NATIONAL COMPENSATION CONSULTING FIRM THAT IS RETAINED BY AND REPORTS DIRECTLY TO THE EXECUTIVE COMPENSATION COMMITTEE. THE DATA COLLECTED BY THE CONSULTANT CONSISTS OF MARKET INFORMATION FOR EXECUTIVES IN FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED ORGANIZATIONS. THE DELIBERATIONS AND DECISIONS OF THE EXECUTIVE COMPENSATION COMMITTEES ARE CONTEMPORANEOUSLY DOCUMENTED, REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE, AND PROVIDED TO THE BRIDGEPORT HOSPITAL BOARD. FORM 990, PART VI, SECTION C, LINE 19 COPIES OF ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 84,325,159. MANAGEMENT AND GENERAL EXPENSES 16,361,598. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 100,686,757. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 78,798,001. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 78,798,001. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 11,114,446. MANAGEMENT AND GENERAL EXPENSES 2,264,409. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,378,855. FORM 990, PART XI, LINE 9: INCREASE IN UNRESTRICTED NET ASSETS - PENSION LIABILITY -38,701,453. NET CHANGE IN INTEREST IN FOUNDATION 2,372,542. OTHER CHANGES -27,433. TRANSFERS FROM BHA 105,306. BRIDGEPORT HOSPITAL AUXILIARY INC 267 GRANT STREET BRIDGEPORT CT 06610 066042500 SYSTEM SUPPORT SERVICES CT 501C3 LINE 12A, I BRIDGEPORT HOSPITAL 1 BRIDGEPORT HOSPITAL FOUNDATION INC 267 GRANT STREET BRIDGEPORT CT 06610 222908698 SYSTEM SUPPORT SERVICES CT 501C3 LINE 7 BRIDGEPORT HOSPITAL 1 BRIDGEPORT HOSPITAL FRIENDS OF PEDIATRICS INC 120 COLUMBINE DRIVE TRUMBULL CT 06611 066048427 SYSTEM SUPPORT SERVICES CT 501C3 LINE 12A, I YALE NEW HAVEN HOSPITAL 1 GREENWICH HOSPITAL 5 PERRYRIDGE ROAD GREENWICH CT 06830 060646659 HEALTHCARE SERVICES CT 501C3 LINE 3 YALE NEW HAVEN HEALTH SERVICES CORP 1 HOME CARE PLUS INC 789 HOWARD AVE NEW HAVEN CT 06519 061044331 HOME HEALTHCARE SERVICES CT 501C3 LINE 10 YALE NEW HAVEN CARE CONTINUUM CORP 1 L&M HEALTHCARE INC 365 MONTAUK AVENUE NEW LONDON CT 06320 222553031 SYSTEM SUPPORT SERVICES CT 501C3 LINE 12A, I LAWRENCE MEMORIAL CORPORATION 1 LAWRENCE MEMORIAL CORPORATION 365 MONTAUK AVENUE NEW LONDON CT 06320 222553028 PROMOTE HEALTHCARE CT 501C3 LINE 12A, 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