2020-08-14T09:38:24-05:00 2019-09-30 990 2018-10-01 060646813 SAINT FRANCIS HOSPITAL AND MEDICAL CENTER SAIN 8607144000 114 WOODLAND STREET MS-510358 HARTFORD CT 06105 JENNIFER SCHNEIDER SVP AND REGIONAL CFO 8607144000 2020-08-14 170.232.237.226 2020-08-14 09:38:10 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 403A83BCAAA913A93C4B950ECE6CC8F4A14CBF47 2018 2020-09-22 18:59:49Z THOMAS BURKE 114 WOODLAND STREET MS-510358 HARTFORD CT 06105 1000672690 0 0928 X WWW.TRINITYHEALTHOFNE.ORG X 1897 CT TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES 15 12 5148 446 2083188 0 3190143 3325954 902655792 958657597 6217349 4949280 63403122 27544151 975466406 994476982 425376 554457 0 0 312229988 287717765 0 0 0 576753418 588160745 889408782 876432967 86057624 118044015 942179503 1131536694 580898927 719685943 361280576 411850751 X WE, TRINITY HEALTH OF NEW ENGLAND AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES. SAINT FRANCIS HOSPITAL AND MEDICAL CENTER IS A MEMBER OF TRINITY HEALTH OF NEW ENGLAND AND TRINITY HEALTH. 0 0 777058928 554457 979767384 SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HAS BEEN AN ANCHOR INSTITUTION IN NORTH CENTRAL CONNECTICUT SINCE 1897. SAINT FRANCIS HOSPITAL AND MEDICAL CENTER IS LICENSED FOR 617 BEDS AND 65 BASSINETS, IS A MAJOR TEACHING HOSPITAL AND THE LARGEST CATHOLIC HOSPITAL IN NEW ENGLAND.SAINT FRANCIS HOSPITAL AND MEDICAL CENTER IS COMMITTED TO EXCEEDING THE EXPECTATIONS OF OUR PATIENTS AND FAMILIES BY PROVIDING WORLD-CLASS SERVICE IN A PROGRESSIVE, PEOPLE-CENTERED, COMPASSIONATE HEALTH CARE ENVIRONMENT.AT SAINT FRANCIS HOSPITAL AND MEDICAL CENTER WE REMAIN COMMITTED TO THE MISSION THAT HAS BEEN VIRTUALLY UNCHANGED DURING OUR 120-YEAR HISTORY - TO IMPROVE AND ENRICH THE LIVES OF INDIVIDUALS AND FAMILIES IN OUR REGION. COMPASSIONATE CARE, SUPERIOR TECHNOLOGY AND PREVENTION-ORIENTED EDUCATION WILL COMBINE IN CENTERS OF CLINICAL EXCELLENCE. DEDICATION TO OUR FOUNDING CORE VALUES WILL CREATE A SPIRITUAL AND HEALING ENVIRONMENT.PLEASE VISIT SCHEDULE H AND OUR WEBSITE FOR ADDITIONAL INFORMATION ABOUT SERVICES, RECOGNITIONS AND AWARDS: WWW.TRINITYHEALTHOFNE.ORG/LOCATION/SAINT-FRANCIS-HOSPITAL 777058928 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 297 0 1 5148 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 12 0 0 1 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 1 1 X DONNA GILBERT 8607149632 114 WOODLAND STREET MS-510358 HARTFORD CT 06105 JOHN RODIS MD DIRECTOR THROUGH 12/18; PRESIDENT 53.00 2.00 X X 0 1223346 50580 KEVIN O'CONNOR DIRECTOR, CHAIR AS OF 1/19 1.00 4.00 X X 0 0 0 P ANTHONY GIORGIO DIRECTOR, CHAIR THROUGH 12/18 1.00 1.00 X X 0 0 0 JAMES SMITH DIRECTOR, VICE CHAIR AS OF 1/19 1.00 4.00 X X 0 0 0 WALTER HARRISON DIRECTOR; VICE CHAIR THR 12/18 1.00 4.00 X X 0 0 0 BARBARA CALDERONE DIRECTOR, SECRETARY THROUGH 12/18 1.00 0.00 X X 0 0 0 MARY CARITAS SP DIRECTOR AS OF 1/19 1.00 13.00 X 0 0 0 BENJAMIN CARTER DIR AS OF 1/19; TRINITY EVP & CFO 1.00 54.00 X 0 1665531 67211 ADRIENNE COCHRANE DIRECTOR THROUGH 12/18 1.00 0.00 X 0 0 0 STEVEN COHEN MD DIRECTOR THROUGH 12/18; PHYSICIAN 5.00 1.00 X 41075 0 0 REGINALD EADIE MD DIRECTOR; TH OF NE PRESIDENT/CEO 1.00 54.00 X 0 901119 176849 ROBERT ELLIS DIRECTOR THROUGH 12/18 1.00 2.00 X 0 0 0 DOUGLAS GERARD MD DIRECTOR THROUGH 12/18 1.00 0.00 X 0 0 0 NAKIA HALL DIRECTOR AS OF 1/19 1.00 4.00 X 0 0 0 PHILIP KARANIAN MD DIRECTOR THROUGH 12/18 1.00 0.00 X 0 0 0 PATRICK KINNEY DIRECTOR THROUGH 12/18 1.00 0.00 X 0 0 0 PAUL MANCINONE DIRECTOR AS OF 1/19 1.00 11.00 X 0 0 0 JOYCE MANDELL DIRECTOR AS OF 1/19 1.00 4.00 X 0 0 0 ANNE MASSUCCO DIR THRU 12/18; MED STAFF SEC/TREAS 5.00 2.00 X 68750 0 0 ANGELA MATTIE DIRECTOR AS OF 1/19 1.00 4.00 X 0 0 0 JOSEPH MENGACCI DIRECTOR AS OF 1/19 1.00 4.00 X 0 0 0 GWENDOLYN MORASKI DIR AS OF 1/19; MEDICAL STAFF PRES 3.00 5.00 X 15787 0 0 BARBARA MULLEN CSJ DIRECTOR 1.00 4.00 X 0 0 0 ANTHONY POSTERARO III MD DIRECTOR THROUGH 12/18 1.00 0.00 X 0 0 0 JOANN PRICE DIRECTOR AS OF 1/19 1.00 4.00 X 0 0 0 CURTIS ROBINSON DIRECTOR AS OF 1/19 1.00 4.00 X 0 0 0 FRANKLIN ROSENBERG MD DIRECTOR THROUGH 12/18 1.00 0.00 X 0 0 0 JOSEPH SPALLUTO DIRECTOR THROUGH 12/18 1.00 0.00 X 0 0 0 ROBERT ANTHONY SECY AS OF 1/19; TH OF NE GEN CNSL 1.00 49.00 X 0 371799 74872 HEATHER HRUSKOCY ASST SECY THR 12/18; EXECUTIVE ASST 40.00 0.00 X 84069 0 29034 SHERI LEMIEUX ASST SECY AT 1/19; THONE EXEC ASST 1.00 39.00 X 0 108505 13039 JAMES HARRIS ASST TREAS THR 12/18; THONE DIR REIM 1.00 49.00 X 0 221529 37932 DAVID BITTNER TREASURER AS OF 1/19; TH OF NE CFO 1.00 49.00 X 0 627425 44986 JENNIFER SCHNEIDER VP FINANCE 42.00 8.00 X 25602 334066 61114 THOMAS BURKE SFHMC VP OPERATIONS 30.00 20.00 X 19285 278051 47106 MICHAEL GREY MD INTERIM CMO THR 12/18; CHAIR OF MED 10.00 40.00 X 0 511879 15103 LYNN ROSSINI VP CHIEF DEVELOPMENT OFFICER 0.00 50.00 X 41297 363123 42869 ROBERT FALAGUERRA VP FACILITIES, SUPPORT SVCS & CONSTR 50.00 0.00 X 31447 286015 69619 KIMBERLEE RICHARD CHIEF NURSING OFFICER 50.00 0.00 X 110273 206133 23851 DENNIS SPARKS VP HUMAN RESOURCES 50.00 0.00 X 17827 279483 48155 DERRICK AMATO ADMIN DIRECTOR, OCCUP HEALTH PRES 50.00 0.00 X 276430 0 31324 LINDA SHANLEY FORMER KE; TH OF NE VP AND CIO 0.00 50.00 X 0 373625 25088 JANEANNE LUBIN-SZAFRANSKI FORMER KEY EMPLOYEE 0.00 0.00 X 0 468287 34973 CHRISTOPHER DADLEZ FORMER OFFICER 0.00 0.00 X 0 5220180 935337 DENISE PETERSON FORMER KEY EMPLOYEE 0.00 0.00 X 197247 0 10160 929089 13440096 1839202 367 1 1 0 UCONN HEALTH CENTER 263 FARMINGTON AVENUE FARMINGTON CT 060301921 PHYSICIAN FEES 19195885 SLAM COLLABORATIVE INC 80 GLASTONBURY BLVD GLASTONBURY CT 06033 CONSTRUCTION SERVICES 4256142 YALE NEW HAVEN HOSPITAL 20 YORK STREET NEW HAVEN CT 06510 HEALTH CARE SERVICES 3895248 SMILOW CANCER CENTER PO BOX 8149 NEW HAVEN CT 06508 HEALTH CARE SERVICES 3622096 ALL PHASE ENTERPRISES INC 72 W STAFFORD RD 3C STAFFORD SPRINGS CT 06076 CONSTRUCTION SERVICES 2698755 111 718157 265173 2342624 3325954 NET PATIENT SERVICE REVENUE 622110 958657597 957365907 1291690 958657597 3628210 3628210 6332503 6195708 136795 136795 136795 1321070 0 1321070 1321070 1321070 OTHER PATIENT SERVICES 622110 10151725 10151725 INTERCOMPANY ALLOCATION REV 561000 7699857 7699857 CAFETERIA 722514 2745842 2745842 6809932 4549895 791498 1468539 27407356 994476982 979767384 2083188 9300456 X 468950 468950 85507 85507 2276862 125612 2151250 207407 207407 239159754 193057136 46102618 9329884 7520692 1809192 19538330 15731472 3806858 17205528 13764422 3441106 144587 144587 92956792 89018500 3938292 53877 53877 8107637 7762382 345255 358506 357208 1298 32972326 30975501 1996825 954925 859609 95316 10587717 10587717 34875464 31394358 3481106 5617631 5056905 560726 MEDICAL SUPPLIES 160563254 160563254 I/C PURCHASED SERVICES 123771803 112139661 11632142 HOSPITAL PROVIDER TAX 62578016 62578016 BAD DEBT EXPENSE 24044016 24044016 30574194 10914133 19660061 876432967 777058928 99374039 0 5455010 10780389 107882329 119414845 668222 668222 8774973 6449439 1983677 2336735 486467913 155147135 352333801 331320778 137878792 156192445 22005369 41205174 7050000 9004504 298147330 454164163 942179503 1131536694 267423164 307381584 26905 26905 2189066 2211129 311259792 410066325 580898927 719685943 X 263055186 318041544 33897006 31151111 64328384 62658096 361280576 411850751 942179503 1131536694 X 118044015 -7634724 -59839116 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 104073 0 0 0 104073 0 PART II-B, LINE 1: SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES. THESE GRANTS HAVE BEEN IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS, WHERE THE ORGANIZATIONS HAVE PROVIDED SAINT FRANCIS HOSPITAL AND MEDICAL CENTER WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. 81680669 77000 -2287209 12000000 67470460 77617503 4063166 81680669 69463359 8154144 77617503 65802167 3661192 69463359 70923245 -5121078 65802167 0.01000 0.92000 0.07000 0 0 8471217 8471217 300236485 49205548 251030937 1770000 425850 1344150 175106876 105515737 69591139 883335 883335 331320778 INTERCOMPANY ACCOUNTS RECEIVABLE 403236834 MISCELLANEOUS RECEIVABLES 5842372 INVESTMENT IN AFFILIATES 13718442 INTERCOMPANY OTHER ASSETS 10951361 REINSURANCE RECOVERY 17531221 OTHER LONG TERM ASSETS 2883933 454164163 INTERCOMPANY ACCOUNTS PAYABLE 113915561 ASSET RETIREMENT OBILIGATION 7184420 DEFERRED COMPENSATION LIABILITY 1097306 OTHER CURRENT LIABILITIES 16463552 INTERCOMPANY NOTES PAYABLE 266275021 OTHER LONG TERM LIABILITIES 5130465 410066325 PART V, LINE 4: ENDOWMENT FUNDS ARE USED FOR EDUCATION AND RESEARCH, BUILDING AND EQUIPMENT, PATIENT CARE, CANCER CENTER/RESEARCH, AND OTHER. 1 1 X 1 X 1 X 1 1 0 1 1 5036794 5036794 0.00590 208742440 163713370 45029070 0.05280 213779234 163713370 50065864 0.05870 2387231 65053 2322178 0.00270 32765977 10267433 22498544 0.02640 314768 61002 253766 0.00030 353803 353803 0.00040 35821779 10393488 25428291 0.02980 249601013 174106858 75494155 0.08850 3039 3039 0.00000 3039 3039 0.00000 1 24044016 0 168155554 167719409 436145 X 1 1 1 SAINT FRANCIS GI ENDOSCOPY LLC HEALTH CARE SERVICES - ENDOSCOPY 0.49000 0.51000 1 1 SAINT FRANCIS HOSPITAL AND MEDICAL CENTER 114 WOODLAND STREET MS-510358 HARTFORD CT 06105 WWW.TRINITYHEALTHOFNE.ORG LICENSE #54 X X X X SAINT FRANCIS HOSPITAL AND MEDICAL CENTE 1 0 0 1 X X X X X X X X X 18 1 1 1 1 X SEE SCHEDULE H, PART V, SECTION C X 1 18 1 SEE SCHEDULE H, PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 1 X 0 0 SAINT FRANCIS HOSPITAL AND MEDICAL CENTER PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E: SAINT FRANCIS HOSPITAL AND MEDICAL CENTER (SAINT FRANCIS HOSPITAL) INCLUDED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS, WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: HEALTH ISSUES:- ASTHMA - OBESITY & DIABETES- MENTAL HEALTH- SUBSTANCE ABUSE SOCIAL DETERMINANT OF HEALTH ISSUES:- ACCESS TO HEALTHY FOODS- STABLE HOUSING- NEIGHBORHOOD SAFETY SAINT FRANCIS HOSPITAL AND MEDICAL CENTER PART V, SECTION B, LINE 5: THE INPUT OF THE COMMUNITY, ESPECIALLY FROM THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS, WAS PRIORITIZED AS AN IMPORTANT PART OF THE CHNA PROCESS. BELOW ARE THE PRIMARY MECHANISMS FOR DATA COLLECTION AND COMMUNITY & STAKEHOLDER ENGAGEMENT: QUANTITATIVE AND QUALITATIVE DATA WAS 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. SAINT FRANCIS HOSPITAL PARTNERED WITH DATAHAVEN AND, IN PART, SPONSORED THE 2018 DATAHAVEN COMMUNITY WELLBEING SURVEY (DCWS) ALONG WITH 80 OTHER PUBLIC AND PRIVATE PARTNERS IN THE AREA. ORGANIZATIONS INVOLVED INCLUDED CAPITOL REGION COUNCIL OF GOVERNMENTS, UNIVERSITY OF HARTFORD, CONNECTICUT'S LEGISLATIVE COMMISSION ON AGING, DEPARTMENT OF COMMUNITY MEDICINE AND HEALTH CARE, UCONN SCHOOL OF MEDICINE, AMERICAN HEART ASSOCIATION, MANCHESTER HEALTH DEPARTMENT, NORTH CENTRAL DISTRICT HEALTH DEPARTMENT, CENTRAL CONNECTICUT HEALTH DISTRICT, CITY OF BRISTOL, CAROLYN FOUNDATION, PLANNED PARENTHOOD OF SOUTHERN NEW ENGLAND, LIBERTY BANK FOUNDATION, HEALTH EQUITY DATA ANALYTICS PROJECT (STATE OF CONNECTICUT), AND POWERING HEALTH LIVES (URBAN INSTITUTE AND ROBERT WOOD JOHNSON FOUNDATION).THE SURVEY COMPLETED LIVE, IN-DEPTH INTERVIEWS WITH OVER 3,000 RESIDENTS IN THE REGION VIA CELLULAR AND LANDLINE PHONE; ADDITIONAL INFORMATION ON SURVEY METHODS ARE POSTED AT DATAHAVEN (CTDATAHAVEN.ORG).AS PART OF THE CREATION OF THIS REPORT, BETWEEN FEBRUARY AND JUNE 2019, DATAHAVEN, THE CITY OF HARTFORD DEPARTMENT OF HEALTH AND HUMAN SERVICES, SAINT FRANCIS HOSPITAL, THE NORTH HARTFORD TRIPLE AIM COLLABORATIVE AT THE UNITED WAY OF CENTRAL AND NORTHEASTERN CONNECTICUT, CONNECTICUT CHILDREN'S MEDICAL CENTER, AND THE HARTFORD FOUNDATION FOR PUBLIC GIVING COLLECTED ADDITIONAL QUALITATIVE INPUT ON THE HEALTH AND HEALTH-RELATED CONCERNS THAT ARE MOST IMPORTANT TO THE GREATER HARTFORD COMMUNITY, AND TO RESIDENTS OF THE CITY OF HARTFORD IN PARTICULAR. THIS INPUT WAS GATHERED FROM:- A REGIONAL KEY INFORMANT MEETING HELD ON FEBRUARY 28, 2019 AT THE HARTFORD FOUNDATION FOR PUBLIC GIVING, WITH OVER 70 PARTICIPANTS. THESE KEY INFORMANTS REPRESENTED VARIOUS SECTORS, INCLUDING HEALTH CARE, EDUCATION, PUBLIC HEALTH, HOUSING, AND HUMAN SERVICES. AT THIS EVENT, DATAHAVEN ORGANIZED A "DATA WALK," WITH SMALL GROUPS CIRCULATING AMONG ABOUT A DOZEN POSTERS ON DIFFERENT TOPICS AND PROVIDING COMMENTS TO A FACILITATOR. ADDITIONALLY, A BRIEF PAPER SURVEY WAS COLLECTED FROM MEETING ATTENDEES. - FOCUS GROUPS FOR HARTFORD NORTH END (HELD ON APRIL 2, 2019 WITH 13 PARTICIPANTS) AND SOUTH END (HELD ON JUNE 11, 2019 WITH 11 PARTICIPANTS) COMMUNITY MEMBERS. - A SURVEY OF SCHOOL HEALTH CARE PROVIDERS (HELD ON MARCH 8, 2019 WITH 29 RESPONDENTS). SAINT FRANCIS HOSPITAL AND MEDICAL CENTER PART V, SECTION B, LINE 6A: SAINT FRANCIS HOSPITAL COLLABORATED WITH THE FOLLOWING HOSPITAL FACILITIES IN CONDUCTING ITS MOST RECENT CHNA: CONNECTICUT CHILDREN'S MEDICAL CENTER, MOUNT SINAI REHABILITATION HOSPITAL, JOHNSON MEMORIAL HOSPITAL AND SAINT MARY'S HOSPITAL. SAINT FRANCIS HOSPITAL AND MEDICAL CENTER PART V, SECTION B, LINE 6B: SAINT FRANCIS HOSPITAL COLLABORATED WITH THE FOLLOWING COMMUNITY ORGANIZATIONS WHILE CONDUCTING ITS MOST RECENT CHNA: THE CITY OF HARTFORD HEALTH AND HUMAN SERVICES, THE UNITED WAY, DATAHAVEN AND THE HARTFORD FOUNDATION FOR PUBLIC GIVING. SAINT FRANCIS HOSPITAL AND MEDICAL CENTER PART V, SECTION B, LINE 11: THE NEEDS IDENTIFIED IN THE CHNA ARE THE FOUNDATION FOR THE WELL BEING 360 TRANSFORMING COMMUNITIES INITIATIVE. THIS PROJECT INCLUDES A REALLOCATION OF COMMUNITY BENEFIT DOLLARS TO ADDRESS THE CHNA PRIORITIES BY INVESTING IN COMMUNITY RESOURCES ALREADY IN PLACE THAT HAVE SHOWN POSITIVE OUTCOMES. EVIDENCE BASED PROGRAMS, POLICY AND ADVOCACY, SYSTEM CHANGE APPROACHES AND COLLABORATIVE DEVELOPMENT ARE ALL STRATEGIES EMPLOYED BY THE WELL BEING 360 INITIATIVE TO MOVE THE NEEDLE ON HEALTH. FOCUS FOR FY19 INCLUDED CONTINUED DEVELOPMENT OF A HEALTH FOCUSED COLLABORATIVE, SUPPORT FOR LOCAL PARTNERS TO ADDRESS VIOLENCE PREVENTION; COLLABORATION WITH A LOCAL AGENCY TO ADDRESS ISSUES RELATED TO HOUSING INSECURITY AND SUPPORT FOR A VARIETY OF PROGRAMS THAT ADDRESS ACCESS TO HEALTHY FOODS. PARTNERSHIPS AND INVESTMENTS IN LOCAL AGENCIES HAVE ENABLED THE HOSPITAL TO IMPACT THE NEEDS IDENTIFIED IN THE CHNA:NEIGHBORHOOD SAFETY - INVESTMENTS FROM WELL BEING 360 HAVE CONTINUED IN FY19 TO LOCAL ORGANIZATIONS THAT CAN HAVE AN IMPACT ON THIS ISSUE, INCLUDING:GREATER HARTFORD HARM REDUCTION COALITION - AN OPIOID HARM REDUCTION AGENCYHARTFORD COMMUNITIES THAT CARE - A VIOLENCE PREVENTION AND RETALIATION REDUCTION PROGRAMNORTH HARTFORD TRIPLE AIM COLLABORATIVE - A HEALTH COLLABORATIVE BEING DEVELOPED TO ADDRESS DISPARITIES IN THE NORTH END OF HARTFORD INCLUDING IMPROVEMENT OF NEIGHBORHOOD SAFETYACCESS TO HEALTHY FOODS - THE WELL BEING 360 INVESTMENTS DURING FY19 CONTINUED TO FOCUS RESOURCES IN THIS AREA BY PARTNERING WITH THE FOLLOWING AGENCIES:COOKING MATTERS - A PROGRAM TO HELP FAMILIES LEARN HEALTHY LOW BUDGET COOKING SKILLSLIVE WELL DIABETES - A WORKSHOP SERIES THAT SUPPORTS THOSE SUFFERING FROM DIABETES AND PRE-DIABETESDIABETES PREVENTION PROGRAM- A COLLABORATION WITH THE YMCA TO PROVIDE THIS EVIDENCE BASED PROGRAM FOR FREE TO PATIENTS REFERRED FROM THE MEDICAL CLINICSUBSTANCE USE/TOBACCO - SUPPORT FOR CHANGES IN POLICY AT THE STATE LEVEL TO CHANGE SMOKING LAWS SO THAT A PERSON NEEDS TO BE 21 YEARS OLD TO PURCHASE TOBACCO (TOBACCO 21) ARE ALSO A PART OF THE WELL BEING 360 WORK. PARTNERING WITH THE GOVERNMENT RELATIONS DEPARTMENT AT THE REGIONAL HEALTH MINISTRY HAS ENABLED OUR HOSPITAL TO APPROACH THIS WORK AT A SYSTEMS LEVEL. STAFF FROM THE REGIONAL OFFICE, AS PART OF THE MATCH (MOBILIZING AGAINST TOBACCO FOR CONNECTICUT'S HEALTH) COALITION, PROPOSED POLICY CHANGES THAT SUPPORT NON-SMOKING BEHAVIOR AND ENGAGEMENT OF YOUTH WHICH RESULTED IN PASSAGE OF T21 LEGISLATION IN THE STATE OF CONNECTICUT. MENTAL HEALTH - THIS ISSUE WAS RECOGNIZED BY THE COMMUNITY AS A NEED TO HAVE BETTER ACCESS TO BEHAVIORAL HEALTH SERVICES AND SUPPORT FOR SOCIAL NEEDS. THESE ISSUES ARE BEING ADDRESSED WITH SYSTEM CHANGES WITHIN THE HOSPITAL AND BY SUPPORTING AGENCIES THAT CAN FACILITATE ROBUST REFERRALS. OUR PARTNER AGENCIES IN FY19 CONTINUE TO INCLUDE: 1.) THE CHRYSALIS CENTER - WHO PROVIDE SOCIAL SUPPORT WRAP AROUND SERVICES FOR HIGH NEED BEHAVIORAL HEALTH CLIENTS; 2.) COMMUNITY CARE TEAM - A COLLABORATION WITH LOCAL HOSPITALS TO COORDINATE SUPPORT FOR BEHAVIORAL HEALTH PATIENTS THAT FREQUENTLY USE THE EMERGENCY DEPARTMENT; AND 3.) CATHOLIC CHARITIES - A SOCIAL SERVICE AGENCY THAT IS PARTNERING WITH OUR PRIMARY CARE CLINIC TO PROVIDE NAVIGATION SUPPORT FOR PATIENTS WHO NEED TO CONNECT TO COMMUNITY RESOURCESSTABLE HOUSING - THIS IS A SIGNIFICANT ISSUE IN HARTFORD AND WAS IDENTIFIED BY THE COMMUNITY AS A CONCERN. IN FY19, THE HOSPITAL COLLABORATED WITH COMMUNITY SOLUTIONS, A LOCAL COMMUNITY BASED ORGANIZATION THAT WORKS TO SUPPORT ECONOMIC DEVELOPMENT FOR IMPOVERISHED NEIGHBORHOODS AND HAS A NATIONAL REPUTATION FOR SUPPORTING THOSE IN NEED OF STABLE HOUSING.SAINT FRANCIS HOSPITAL IS COMMITTED TO PROVIDING HIGH QUALITY CLINICAL SERVICES TO THE COMMUNITY. IN ORDER TO BE GOOD STEWARDS OF THE RESOURCES AVAILABLE FOR THIS WORK, THE COMMUNITY BENEFIT ACTIVITIES INCLUDED IN THE HOSPITAL'S PORTFOLIO ARE DESIGNED TO LEVERAGE THE SKILLS AND EXPERTISE OF THE HOSPITAL AND ITS STAFF. FOR THAT REASON, OBESITY AND DIABETES, AS WELL AS ASTHMA WERE NOT ADDRESSED. SAINT FRANCIS HOSPITAL AND MEDICAL CENTER PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS. SAINT FRANCIS HOSPITAL AND MEDICAL CENTER - PART V, SECTION B, LINE 7A: WWW.TRINITYHEALTHOFNE.ORG/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS SAINT FRANCIS HOSPITAL AND MEDICAL CENTER - PART V, SECTION B, LINE 9: AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, THE HOSPITAL'S IMPLEMENTATION STRATEGY WAS ADOPTED WITHIN 4 1/2 MONTHS AFTER THE FISCAL YEAR END THAT THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE TO THE PUBLIC. SAINT FRANCIS HOSPITAL AND MEDICAL CENTER - PART V, SECTION B, LINE 10A: WWW.TRINITYHEALTHOFNE.ORG/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS SAINT FRANCIS HOSPITAL AND MEDICAL CENTER - PART V, SECTION B, LINE 16A: WWW.TRINITYHEALTHOFNE.ORG/FOR-PATIENTS/BILLING-AND-FINANCIAL-RESOURCES/ SAINT FRANCIS HOSPITAL AND MEDICAL CENTER - PART V, SECTION B, LINE 16B: WWW.TRINITYHEALTHOFNE.ORG/FOR-PATIENTS/BILLING-AND-FINANCIAL-RESOURCES/ SAINT FRANCIS HOSPITAL AND MEDICAL CENTER - PART V, SECTION B, LINE 16C: WWW.TRINITYHEALTHOFNE.ORG/FOR-PATIENTS/BILLING-AND-FINANCIAL-RESOURCES/ 22 1 - ENFIELD ACCESS CENTER 7 ELM STREET ENFIELD CT 06082 MEDICAL OFFICES AND COMMUNITY EDUCATION SPACE / LABORATORY SERVICES 2 - BLOOMFIELD MEDICAL OFFICE & URGENT CARE 421 COTTAGE GROVE ROAD BLOOMFIELD CT 06002 WALK-IN CLINIC AND MEDICAL OFFICES / LABORATORY SERVICES 3 - WINDSOR - SF GI ENDOSCOPY CENTER 360 BLOOMFIELD AVENUE WINDSOR CT 06095 ENDOSCOPY 4 - WEST HARTFORD MEDICAL OFFICES 345 NORTH MAIN STREET WEST HARTFORD CT 06109 MEDICAL OFFICES AND IT TRAINING SPACE / LABORATORY SERVICES 5 - MANCHESTER MEDICAL OFFICES 515 WEST MIDDLE TPK MANCHESTER CT 06048 MEDICAL OFFICES AND COMMUNITY SPACE 6 - AVON ACCESS CENTER 35 NOD ROAD AVON CT 06001 MEDICAL OFFICES AND EDUCATION SPACE / LABORATORY SERVICES 7 - FARMINGTON MEDICAL OFFICES 11 SOUTH ROAD SUITE 200/220 FARMINGTON CT 06032 MEDICAL OFFICE/LABORATORY SERVICES 8 - GLASTONBURY ACCESS CENTER 31 SYCAMORE COMMONS GLASTONBURY CT 06033 MEDICAL OFFICES AND COMMUNITY EDUCATION SPACE / LABORATORY SERVICES 9 - EAST HARTFORD ACCESS CENTER 893 MAIN STREET EAST HARTFORD CT 06108 MEDICAL OFFICES / LABORATORY SERVICES 10 - ROCKY HILL MEDICAL OFFICES 546 CROMWELL AVE SUITE 100 ROCKY HILL CT 06067 MEDICAL OFFICE 11 - HARTFORD 500 BLUE HILLS AVE HARTFORD CT 06112 LABORATORY SERVICES 12 - HARTFORD 1000 ASYLUM ST STE 3209 HARTFORD CT 06103 LABORATORY SERVICES 13 - BLOOMFIELD 580 COTTAGE GROVE RD STE 105 BLOOMFIELD CT 06002 LABORATORY SERVICES 14 - ROCKY HILL 506 CROMWELL AVE ROCKY HILL CT 06067 LABORATORY SERVICES 15 - ROCKY HILL 2301 SILAS DEANE HWY ROCKY HILL CT 06067 LABORATORY SERVICES 16 - AVON 44 DALE RD STE 301 AVON CT 06001 LABORATORY SERVICES 17 - HARTFORD 19 WOODLAND ST STE 22 HARTFORD CT 06105 LABORATORY SERVICES 18 - BOLTON 921 BOSTON TURNPIKE BOLTON CT 06043 LABORATORY SERVICES 19 - SOUTH WINDSOR 435 BUCKLAND RD SOUTH WINDSOR CT 06074 LABORATORY SERVICES 20 - BARIATRIC CENTER AT SAINT FRANCIS 220 FARMINGTON AVE FARMINGTON CT 06032 MEDICAL OFFICES 21 - CENTER FOR HEALTH ENHANCEMENT 95 WOODLAND STREET HARTFORD CT 06105 COMMUNITY SPACE 22 - VERNON 428 HARTFORD TURNPIKE VERNON CT 06066 LABORATORY SERVICES PART I, LINE 3C: IN ADDITION TO LOOKING AT A MULTIPLE OF THE FEDERAL POVERTY GUIDELINES, OTHER FACTORS ARE CONSIDERED SUCH AS THE PATIENT'S FINANCIAL STATUS AND/OR ABILITY TO PAY AS DETERMINED THROUGH THE ASSESSMENT PROCESS. PART I, LINE 6A: SAINT FRANCIS HOSPITAL REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH (EIN 35-1443425) IN ITS AUDITED FINANCIAL STATEMENTS, AVAILABLE AT WWW.TRINITY-HEALTH.ORG.IN ADDITION, SAINT FRANCIS HOSPITAL INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. PART I, LINE 7: THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM. PART I, LN 7 COL(F): THE FOLLOWING NUMBER, $24,044,016, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F). PART II, COMMUNITY BUILDING ACTIVITIES: IN FY19, WE WORKED WITH AREA YOUTH WHO WANTED TO COME TO SAINT FRANCIS HOSPITAL TO EXPLORE CAREERS IN THE VAST FIELD OF HEALTH CARE. OUR JOB SHADOWING PROGRAM ENABLES LOCAL STUDENTS TO EXPERIENCE A VARIETY OF JOB SETTINGS TO HELP THEM BETTER UNDERSTAND THE VARIED ROLES THAT EXIST IN A HEALTH CARE INSTITUTION. WE ALSO WORKED CLOSELY WITH THE AMERICAN RED CROSS TO ENSURE THAT THE REGION HAS AN ADEQUATE BLOOD SUPPLY. WE ARRANGED ROOM RESERVATIONS ON THE HOSPITAL CAMPUS FOR THE RED CROSS TO RUN THEIR BLOOD DRIVES. WE HELPED TO ADVERTISE THE DRIVES BY PUTTING UP FLYERS, POSTING ELECTRONIC BULLETIN BOARD MESSAGING AND SENDING OUT EMAIL ANNOUNCEMENTS. WE ALSO MEET WITH RED CROSS CONTACTS PRIOR TO EACH DRIVE TO ENSURE SUCCESSFUL PARTICIPATION. PART III, LINE 2: METHODOLOGY USED FOR LINE 2 - ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE. AS A RESULT OF THE PAYMENT AND ADJUSTMENT ACTIVITY BEING POSTED TO BAD DEBT ACCOUNTS, WE ARE ABLE TO REPORT BAD DEBT EXPENSE NET OF THESE TRANSACTIONS. PART III, LINE 3: SAINT FRANCIS HOSPITAL USES A PREDICTIVE MODEL THAT INCORPORATES THREE DISTINCT VARIABLES IN COMBINATION TO PREDICT WHETHER A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE: (1) SOCIO-ECONOMIC SCORE, (2) ESTIMATED FEDERAL POVERTY LEVEL (FPL), AND (3) HOMEOWNERSHIP. BASED ON THE MODEL, CHARITY CARE CAN STILL BE EXTENDED TO PATIENTS EVEN IF THEY HAVE NOT RESPONDED TO FINANCIAL COUNSELING EFFORTS AND ALL OTHER FUNDING SOURCES HAVE BEEN EXHAUSTED. FOR FINANCIAL STATEMENT PURPOSES, SAINT FRANCIS HOSPITAL IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, SAINT FRANCIS HOSPITAL IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL. PART III, LINE 4: SAINT FRANCIS HOSPITAL IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE PATIENT ACCOUNTS RECEIVABLE, ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS FOOTNOTE FROM PAGE 14 OF THOSE STATEMENTS: "THE CORPORATION HAS AGREEMENTS WITH THIRD-PARTY PAYERS THAT PROVIDE FOR PAYMENTS TO THE CORPORATION'S HEALTH MINISTRIES AT AMOUNTS DIFFERENT FROM ESTABLISHED RATES. ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYERS AND OTHER CHANGES IN ESTIMATES ARE INCLUDED IN NET PATIENT SERVICE REVENUE AND ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS, AS FINAL SETTLEMENTS ARE DETERMINED. FOR PATIENT ACCOUNTS RECEIVABLE RESULTING FROM REVENUE RECOGNIZED PRIOR TO JULY 1, 2018, PATIENT ACCOUNTS RECEIVABLE WERE REPORTED AT ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYERS, AND OTHERS FOR SERVICES RENDERED. PRIOR TO THIS DATE, AN ALLOWANCE FOR DOUBTFUL ACCOUNTS WAS ESTABLISHED TO REDUCE THE CARRYING VALUE OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. GENERALLY, THIS ALLOWANCE WAS ESTIMATED BASED ON THE AGING OF ACCOUNTS RECEIVABLE AND THE HISTORICAL COLLECTION EXPERIENCE BY THE HEALTH MINISTRIES FOR EACH TYPE OF PAYER. UNDER THE PROVISIONS OF ACCOUNTING STANDARDS UPDATE ("ASU") NO. 2014-09 "REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606), "WHICH WAS ADOPTED EFFECTIVE JULY 1, 2018, AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME IS TREATED AS A RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS FOR WHICH THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYERS FOR RETROACTIVE ADJUSTMENTS, ARE RECEIVABLES IF THE RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. FOR PATIENT ACCOUNTS RECEIVABLE SUBSEQUENT TO THE ADOPTION OF ASU NO. 2014-09 ON JULY 1, 2018, THE ESTIMATED UNCOLLECTABLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT SERVICE REVENUE AND ACCOUNTS RECEIVABLE."PART III, LINE 5:TOTAL MEDICARE REVENUE REPORTED IN PART III, LINE 5 HAS BEEN REDUCED BY THE TWO PERCENT SEQUESTRATION REDUCTION. PART III, LINE 8: SAINT FRANCIS HOSPITAL DOES NOT BELIEVE ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS IS SIMILAR TO CATHOLIC HEALTH ASSOCIATION RECOMMENDATIONS, WHICH STATE THAT SERVING MEDICARE PATIENTS IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS AND THAT THE EXISTING COMMUNITY BENEFIT FRAMEWORK ALLOWS COMMUNITY BENEFIT PROGRAMS THAT SERVE THE MEDICARE POPULATION TO BE COUNTED IN OTHER COMMUNITY BENEFIT CATEGORIES.PART III, LINE 8: COSTING METHODOLOGY FOR LINE 6 - MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 27, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT. PART III, LINE 9B: THE HOSPITAL'S COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. CHARITY DISCOUNTS ARE APPLIED TO THE AMOUNTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. COLLECTION PRACTICES FOR THE REMAINING BALANCES ARE CLEARLY OUTLINED IN THE ORGANIZATION'S COLLECTION POLICY. THE HOSPITAL HAS IMPLEMENTED BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS. PART VI, LINE 2: NEEDS ASSESSMENT - THE CURTIS D. ROBINSON CENTER FOR HEALTH EQUITY WAS CREATED AT SAINT FRANCIS HOSPITAL TO SERVE AS A BRIDGE BETWEEN THE COMMUNITY AND THE HEALTH CARE SYSTEM. SINCE 2008, THE CENTER HAS PROVIDED MUCH NEEDED COMMUNITY OUTREACH AND ENGAGEMENT ACTIVITIES WITH A FOCUS ON ADDRESSING HEALTH DISPARITIES AND SUPPORTING COMMUNITY MEMBERS AS THEY ENGAGE WITH THE HEALTH CARE SYSTEM. EVENTS INCLUDED A TOWN HALL; COMMUNITY CONVERSATIONS; COLLABORATIVE PROGRAMS WITH THE FAITH COMMUNITY; PARTNERSHIPS WITH LOCAL NON-PROFIT AGENCIES; AND EVALUATION OF PROGRAM ACTIVITIES WHICH ALL PROVIDE FURTHER OPPORTUNITIES TO LEARN MORE ABOUT THE NEEDS OF THE COMMUNITY. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - SAINT FRANCIS HOSPITAL COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES, FEDERAL, STATE, AND LOCAL GOVERNMENT PROGRAMS, AND OTHER COMMUNITY-BASED CHARITABLE PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING FOR HEALTH CARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. SAINT FRANCIS HOSPITAL OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH PATIENT BROCHURES, MESSAGES ON PATIENT BILLS, POSTED NOTICES IN PUBLIC REGISTRATION AREAS INCLUDING EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES. SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE TO APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST PEOPLE IN NEED. INFORMATION REGARDING FINANCIAL ASSISTANCE PROGRAMS IS ALSO AVAILABLE ON HOSPITAL WEBSITES. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN OTHER LANGUAGES AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R), REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITAL. SAINT FRANCIS HOSPITAL HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. SAINT FRANCIS HOSPITAL MAKES EVERY EFFORT TO ADHERE TO THE POLICY AND IS COMMITTED TO IMPLEMENTING AND APPLYING THE POLICY FOR ASSISTING PATIENTS WITH LIMITED MEANS IN A PROFESSIONAL, CONSISTENT MANNER. PART VI, LINE 4: COMMUNITY INFORMATION - GREATER HARTFORD IS GENERALLY DEFINED AS THE AREA SERVED BY THE CAPITOL REGION COUNCIL OF GOVERNMENTS WHICH CONSISTS OF 38 CITIES AND TOWNS: THE CITY OF HARTFORD, THE CITY OF NEW BRITAIN, BERLIN, BLOOMFIELD, EAST HARTFORD, ENFIELD, MANCHESTER, NEWINGTON, PLAINVILLE, ROCKY HILL, VERNON, WEST HARTFORD, WETHERSFIELD, WINDSOR, AND WINDSOR LOCKS, AND THE 23 SUBURBS FURTHER OUT FROM THE CITY CENTER INCLUDING: ANDOVER, AVON, BOLTON, CANTON, COLUMBIA, COVENTRY, EAST GRANBY, EAST WINDSOR. AGE DISTRIBUTION - GREATER HARTFORD'S OLDER POPULATION IS CONTINUING TO GROW AND THE DEMAND FOR HEALTH SERVICES IS EXPECTED TO INCREASE AS A RESULT OF THIS AGING POPULATION. BETWEEN 2000 AND 2017, THE MEDIAN AGE IN GREATER HARTFORD INCREASED FROM 37.2 TO 40.1. THIS INCREASE IS IN LINE WITH CONNECTICUT'S OTHER MORE URBAN COUNTIES, WHILE THE STATE'S RURAL COUNTIES GENERALLY EXPERIENCED STEEPER INCREASES. OVERALL, THE MEDIAN AGE IN GREATER HARTFORD IS SLIGHTLY YOUNGER THAN THAT OF THE STATE (40.8), BUT OLDER THAN THAT OF THE U.S. FROM 1990 TO 2015, GREATER HARTFORD'S POPULATION OF YOUNG ADULTS AGES 18 TO 34 DECLINED BY 15 PERCENT, OR 39,985 PEOPLE. THE POPULATION OF OLDER SENIORS AGES 80 AND OVER INCREASED BY 55 PERCENT, OR 15,525 PEOPLE, AND THE POPULATION OF CHILDREN AGES 5 TO 17 INCREASED BY 14 PERCENT. THE POPULATION IS MUCH YOUNGER IN THE CITY OF HARTFORD. RACIAL AND ETHNIC DIVERSITY - THE TOWNS IN THE REGION VARY IN TERMS OF THEIR RACIAL AND ETHNIC COMPOSITION, WITH HARTFORD AND NEW BRITAIN HAVING THE LARGEST PERCENTAGE CHANGE IN NON-WHITE POPULATIONS.BELOW IS THE ETHNIC MAKE-UP OF THE 5 LARGEST CITIES & TOWNS: HARTFORD -15% WHITE, 35% BLACK, 44% HISPANIC, 3% OTHER NEW BRITAIN - 42% WHITE, 12% BLACK, 41% HISPANIC, 3% OTHEREAST HARTFORD - 34% WHITE, 25% BLACK, 34% HISPANIC, 4% OTHERMANCHESTER - 58% WHITE, 14% BLACK, 14% HISPANIC, 11% OTHER WEST HARTFORD -73% WHITE, 6% BLACK, 11% HISPANIC, 8% OTHERPOVERTY - THERE ARE WIDE GAPS IN HOUSEHOLD INCOME WITHIN THE REGION, AND LOW INCOME RATES ARE INCREASING AMONG FAMILIES WITH CHILDREN. THOSE WITH LOWER INCOMES HAVE INCREASED BARRIERS TO TRANSPORTATION AND OTHER ISSUES RELATED TO ACCESSING SERVICES. BELOW IS THE INDICATOR WITH THE PERCENTAGE OF HARTFORD RESIDENTS VERSUS CONNECTICUT AS A WHOLE: POVERTY RATE - 24%, 7% FOOD INSECURITY - 33%, 12% HOUSING INSECURITY - 12%, 6% IN EXCELLENT HEALTH - 48%, 62%WITHIN HARTFORD COUNTY THE FEDERAL HEALTH RESOURCES & SERVICES ADMINISTRATION HAS DESIGNATED SEVEN MEDICALLY UNDERSERVED AREAS/POPULATIONS. THERE ARE SEVEN OTHER HOSPITALS SERVING THIS COMMUNITY. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH - FREE LECTURES AND SEMINARS WERE OFFERED BY CLINICAL STAFF IN RESPONSE TO COMMUNITY REQUESTS; HOSPITAL STAFF SERVED ON NUMEROUS LOCAL AND STATE LEVEL BOARDS AND COMMITTEES; COMMUNITY BENEFIT DOLLARS WERE ALLOCATED TO SUPPORT THE TRANSFORMING COMMUNITIES INITIATIVE CALLED WELL BEING 360 AND PARTNERSHIPS WITH STATE AGENCIES AND LOCAL HEALTH CARE PROVIDERS, ALL SERVED TO SUPPORT OUR COMMITMENT TO IMPROVE COMMUNITY HEALTH. WELL BEING 360 IS PART OF A NATIONAL 5 YEAR TRINITY HEALTH EFFORT CALLED THE "TRANSFORMING COMMUNITIES INITIATIVE" (TCI) TO ENCOURAGE POLICY, SYSTEM AND ENVIRONMENTAL CHANGE THAT PROMOTE HEALTHY BEHAVIORS IN THE COMMUNITIES SERVED BY TRINITY HEALTH HOSPITALS. THE TCI PROGRAM IS MANAGED OUT OF THE CURTIS D. ROBINSON CENTER FOR HEALTH EQUITY AT SAINT FRANCIS HOSPITAL IN PARTNERSHIP WITH THE WELL BEING 360 STEERING COMMITTEE, WHICH IS A MULTI-SECTOR GROUP OF LEADERS INCLUDING THE CITY OF HARTFORD, TRINITY HEALTH OF NEW ENGLAND, WELLVILLE AND COMMUNITY SOLUTIONS LEADERSHIP. UNDER THE DIRECTION OF THE STEERING COMMITTEE, WELL BEING 360 IS INVESTING RESOURCES TO SUPPORT EVIDENCE-BASED AND INNOVATIVE SOLUTIONS TO REDUCE OBESITY, INCREASE ACCESS TO CARE AND ADDRESS PRIORITIES OUTLINED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. WELL BEING 360 IS ALSO INVESTING IN THE DEVELOPMENT TO SUPPORT THE PROGRAM ITSELF AND OTHER POPULATION HEALTH IMPROVEMENT WORK IN THE CATCHMENT AREA. THE NORTH HARTFORD TRIPLE AIM COLLABORATIVE INCLUDES STEERING COMMITTEE ORGANIZATIONS PLUS OTHER CRITICAL PARTNERS INCLUDING NORTH END RESIDENTS, CONNECTICUT CHILDREN'S MEDICAL CENTER, THE UNITED WAY OF CENTRAL AND SOUTHEASTERN CONNECTICUT, THE UNIVERSITY OF CONNECTICUT, AND THE CONNECTICUT HEALTH FOUNDATION. TOBACCO 21 - ACTIVITIES INCLUDED PARTICIPATION IN THE STATE TOBACCO COALITION - MOBILIZE AGAINST TOBACCO FOR CONNECTICUT'S HEALTH (MATCH) THAT PROPOSED POLICY CHANGES THAT SUPPORT NON-SMOKING BEHAVIOR AND ENGAGEMENT OF YOUTH, WHICH RESULTED IN PASSAGE OF TOBACCO 21 LEGISLATION IN THE STATE OF CONNECTICUT.NEW ENGLAND 61 DAY CHALLENGE - A HEALTHY LIFESTYLE INITIATIVE THAT INCLUDES EDUCATION ABOUT HEALTHY EATING, PHYSICAL ACTIVITY, AND POSITIVE BEHAVIORAL CHANGES. IT ENCOURAGES INDIVIDUALS AND GROUPS TO PARTICIPATE AND LEARN HOW TO MAKE SMART CHOICES AND DEVELOP HEALTHY BEHAVIORS. PARTICIPANTS IN THE CHALLENGE, PROMISE TO START TAKING THE STEPS TO A HEALTHIER LIFESTYLE. THE HOSPITAL SYSTEM OFFERS A VARIETY OF CLASSES AND PROGRAMS TO HELP INDIVIDUALS EAT HEALTHY, STAY ACTIVE AND MAKE POSITIVE CHANGES.SMOKE FREE CAMPUS - SMOKE FREE ELECTRONIC SIGNAGE MESSAGING WAS DISPLAYED THROUGHOUT THE HOSPITAL. SAINT FRANCIS HOSPITAL ALSO PROMOTED AND PARTICIPATED IN WORLD NO TOBACCO DAY (WNTD). THE ANNUAL CAMPAIGN IS AN OPPORTUNITY TO RAISE AWARENESS ON THE HARMFUL AND DEADLY EFFECTS OF TOBACCO USE AND SECOND-HAND SMOKE EXPOSURE, AND TO DISCOURAGE THE USE OF TOBACCO IN ANY FORM. BABY FRIENDLY - SAINT FRANCIS HOSPITAL IS ON THE PATH OF RECEIVING BABY FRIENDLY STATUS. BABY FRIENDLY HOSPITALS ARE RECOGNIZED FOR ENCOURAGING BREASTFEEDING AND MOTHER/BABY BONDING, WHICH IS KNOWN TO PROVIDE HEALTH BENEFITS FOR INFANTS, CHILDREN, AND MOTHERS. WE ARE A CENTER OF SUPPORT IN WHICH EVIDENCED-BASED CARE IS PROVIDED, EDUCATION IS FREE FROM COMMERCIAL INTERESTS, ALL INFANT FEEDING OPTIONS ARE POSSIBLE, AND INDIVIDUAL PREFERENCES ARE RESPECTED. WE AIM TO ENSURE THAT EVERY MOTHER IS FULLY INFORMED OF THE IMPORTANCE OF BREASTFEEDING AND THE HELP SHE NEEDS TO ACHIEVE HER BREASTFEEDING GOAL. PART VI, LINE 6: SAINT FRANCIS HOSPITAL IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH ANNUALLY REQUIRES THAT ALL MEMBER HOSPITALS DEFINE - AND ACHIEVE - SPECIFIC COMMUNITY HEALTH AND WELL-BEING GOALS. IN FISCAL YEAR 2019, EVERY TRINITY HEALTH ENTITY FOCUSED ON: 1. REDUCING TOBACCO USE 2. REDUCING OBESITY PREVALENCE3. ADDRESSING AT LEAST ONE SIGNIFICANT HEALTH NEED IDENTIFIED BY THEIR HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT4. ADDRESSING AT LEAST ONE SOCIAL INFLUENCER OF HEALTH TRINITY HEALTH ACKNOWLEDGES THAT SOCIAL INFLUENCERS OF HEALTH - SUCH AS ADEQUATE HOUSING, PERSONAL SAFETY AND ACCESS TO FOOD, EDUCATION, INCOME, AND HEALTH COVERAGE - HAVE A SIGNIFICANT IMPACT ON THE HEALTH OF ITS COMMUNITIES. IN AN EFFORT TO ADDRESS SOME OF THESE INFLUENCERS, TRINITY HEALTH LAUNCHED THE TRANSFORMING COMMUNITIES INITIATIVE (TCI) IN FISCAL YEAR 2016 TO ADVANCE COMMUNITY PARTNERSHIPS THAT FOCUS ON IMPROVING THE HEALTH AND WELL-BEING IN COMMUNITIES SERVED BY THE HOSPITALS OF TRINITY HEALTH. TCI IS A SHARED FUNDING MODEL AND TECHNICAL-ASSISTANCE INITIATIVE SUPPORTING EIGHT TRINITY HEALTH HOSPITALS AND THEIR COMMUNITY PARTNERS TO IMPLEMENT POLICY, SYSTEM, AND ENVIRONMENTAL CHANGE STRATEGIES TO PREVENT TOBACCO USE AND CHILDHOOD OBESITY, AND TO AFFECT CHANGE RELATED TO THE SOCIAL INFLUENCERS OF HEALTH. IN FISCAL YEAR 2019, TRINITY HEALTH INVESTED $3.7 MILLION IN TCI AND HAS LEVERAGED OVER $6.5 MILLION IN COMMUNITY MATCH FUNDING TO DATE. ADDITIONALLY, TRINITY HEALTH'S GOOD SAMARITAN INITIATIVE (GSI) INVESTED $751,000 IN NINE REGIONAL HEALTH MINISTRIES TO SUPPORT THE INTEGRATION OF 16 COMMUNITY HEALTH WORKERS INTO CARE MANAGEMENT TEAMS. TRINITY HEALTH CONTINUES TO EXPAND THE NATIONAL DIABETES PREVENTION PROGRAM THROUGH THE SUPPORT OF THE CENTERS FOR DISEASE CONTROL AND PREVENTION. IN ADDITION TO THE PROGRAMMATIC SPENDING DESCRIBED ABOVE, THE SYSTEM DEPLOYED NEW AND RENEWED LOANS OF $5.3 MILLION FOR PLACE-BASED INVESTING TO IMPROVE ACCESS TO AFFORDABLE HOUSING, HEALTHY FOODS, EDUCATION, AND ECONOMIC DEVELOPMENT. THE COMMUNITY-INVESTING PROGRAM ALSO HAS OUTSTANDING LOAN COMMITMENTS OF $6.0 MILLION TO COMMUNITY INFRASTRUCTURE PROJECTS, WHICH WILL BE DEPLOYED IN FUTURE YEARS.TRINITY HEALTH AND ITS MEMBER HOSPITALS ARE COMMITTED TO THE DELIVERY OF PEOPLE-CENTERED CARE AND SERVING AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN THE COMMUNITIES THEY SERVE. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITIES AND IS COMMITTED TO ADDRESSING THE UNIQUE NEEDS OF EACH COMMUNITY. IN FISCAL YEAR 2019, TRINITY HEALTH INVESTED NEARLY $1.2 BILLION IN COMMUNITY BENEFIT, SUCH AS INITIATIVES SUPPORTING THOSE WHO ARE POOR AND VULNERABLE, HELPING TO MANAGE CHRONIC CONDITIONS LIKE DIABETES, PROVIDING HEALTH EDUCATION, AND MOVING FORWARD POLICY, SYSTEM, AND ENVIRONMENTAL CHANGE.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG. 1 YWCA HARTFORD REGION 135 BROAD STREET HARTFORD CT 06105 060646993 501(C)(3) 5000 HELP WOMEN AND GIRL BRIDGE THE EDUCATIONAL, CAREER AND FINANCIAL GAPS SAINT FRANCIS HOSPITAL AND MEDICAL CENTER FOUNDATION 114 WOODLAND ST HARTFORD CT 06105 061008255 501(C)(3) 5000 COMMUNITY SUPPORT JOURNEY HOME 255 MAIN STREET HARTFORD CT 06106 800143570 501(C)(3) 17932 MISSION IS TO ENSURE A HOME FOR ALL COMMUNITY HEALTH NETWORK OF CONNECTICUT FOUNDATION INC 11 FAIRFIELD BLVD STE 1 WALLINGFORD CT 06492 200395748 501(C)(3) 13800 SUPPORT COOKING MATTERS OUTREACH HARTFORD COMMUNITIES THAT CARE 2550 MAIN STREET HARTFORD CT 06120 432080655 501(C)(3) 25000 HOSPITAL LINKED VIOLENCE INTERVENTION SAINT JOHN'S UNIVERSITY 2850 ABBEY PLAZA PO BOX 2222 COLLEGEVILLE MN 56321 453656162 501(C)(3) 165000 TO IGNITE THE SPIRITUAL IMAGINATION OF ALL PEOPLE AND FOSTER HOPE AND HEALING THROUGH THE ENGAGEMENT OF THE BIBLE. UNITED WAY OF CENTRAL AND NORTHEASTERN CONNECTICUT 30 LAUREL STREET HARTFORD CT 06106 060646653 501(C)(3) 144675 PROMOTE HEALTHY EATING IN HARTFORD 7 0 MULLANE/TRIOMPO NURSING AWARDS 11 9950 NURSING SCHOLARSHIP (WALDRON/TAYLOR) 3 9000 CARRABBA RESEARCH AWARD 1 500 EMPLOYEE CHILDREN'S SCHOLARSHIP FUND 15 15000 PATIENT ASSISTANCE 83 51057 PART I, LINE 2: DONATIONS MADE BY SAINT FRANCIS HOSPITAL AND MEDICAL CENTER TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE. DONATIONS ARE INCLUDED IN COMMUNITY BENEFITS IN SCHEDULE H IF THE CONTRIBUTION HAS BEEN FORMALLY RESTRICTED TO A COMMUNITY BENEFIT ACTIVITY THAT MEETS THE CRITERIA TO BE REPORTED ON SCHEDULE H. 1 1 0 0 0 0 0 0 0 JOHN RODIS MD DIRECTOR THROUGH 12/18; PRESIDENT 0 742562 0 276012 0 204772 0 12375 0 38205 0 1273926 0 0 BENJAMIN CARTER DIR AS OF 1/19; TRINITY EVP & CFO 0 957849 0 442453 0 265229 0 12375 0 54836 0 1732742 0 0 REGINALD EADIE MD DIRECTOR; TH OF NE PRESIDENT/CEO 0 712086 0 124577 0 64456 0 154456 0 22393 0 1077968 0 0 ROBERT ANTHONY SECY AS OF 1/19; TH OF NE GEN CNSL 0 294677 0 70246 0 6876 0 55009 0 19863 0 446671 0 0 JAMES HARRIS ASST TREAS THR 12/18; THONE DIR REIM 0 199159 0 21183 0 1187 0 14223 0 23709 0 259461 0 0 DAVID BITTNER TREASURER AS OF 1/19; TH OF NE CFO 0 444178 0 99044 0 84203 0 12375 0 32611 0 672411 0 0 JENNIFER SCHNEIDER VP FINANCE 25602 276918 0 54974 0 2174 16500 14201 1390 29023 43492 377290 0 0 THOMAS BURKE SFHMC VP OPERATIONS 19285 230215 0 45423 0 2413 12375 11124 1045 22562 32705 311737 0 0 MICHAEL GREY MD INTERIM CMO THR 12/18; CHAIR OF MED 0 389799 0 119399 0 2681 0 12375 0 2728 0 526982 0 0 LYNN ROSSINI VP CHIEF DEVELOPMENT OFFICER 41297 290853 0 56732 0 15538 12375 11037 1873 17584 55545 391744 0 0 ROBERT FALAGUERRA VP FACILITIES, SUPPORT SVCS & CONSTR 31447 234901 0 46101 0 5013 20625 18319 2117 28558 54189 332892 0 0 KIMBERLEE RICHARD CHIEF NURSING OFFICER 109916 158369 0 45883 357 1881 12375 6824 709 3943 123357 216900 0 0 DENNIS SPARKS VP HUMAN RESOURCES 17827 232268 0 45386 0 1829 16500 14574 0 17081 34327 311138 0 0 DERRICK AMATO ADMIN DIRECTOR, OCCUP HEALTH PRES 253351 0 21521 0 1558 0 9519 0 21805 0 307754 0 0 0 LINDA SHANLEY FORMER KE; TH OF NE VP AND CIO 0 328649 0 34606 0 10370 0 20153 0 4935 0 398713 0 0 JANEANNE LUBIN-SZAFRANSKI FORMER KEY EMPLOYEE 0 9313 0 56560 0 402414 0 16855 0 18118 0 503260 0 0 CHRISTOPHER DADLEZ FORMER OFFICER 0 74289 0 0 0 5145891 0 908526 0 26811 0 6155517 0 1598244 DENISE PETERSON FORMER KEY EMPLOYEE 55537 0 0 0 141710 0 0 0 10160 0 207407 0 0 0 PART I, LINE 3 SAINT FRANCIS HOSPITAL AND MEDICAL CENTER IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. SAINT FRANCIS HOSPITAL AND MEDICAL CENTER'S PRESIDENT IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF SAINT FRANCIS HOSPITAL AND MEDICAL CENTER'S PRESIDENT: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2018. THESE AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: CHRISTOPHER DALDEZ - $844,344 JANEANNE LUBIN-SZAFRANSKI - $377,600 DENISE PETERSON - $141,074 IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNTS, WHICH WERE UNPAID AS OF 12/31/18: CHRISTOPHER DADLEZ - $901,766 ($878,134 PAID IN 2019, AND $23,642 TO BE PAID IN 2020) JANEANNE LUBIN-SZAFRANSKI - $16,614(PAID IN 2019) THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2018. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. BENEFITS FOR PARTICIPANTS VESTED IN A PLAN WERE PAID OUT IN 2018, AND BENEFITS FOR PARTICIPANTS NOT YET VESTED IN A PLAN WERE ACCRUED IN 2018. THE FOLLOWING PAYOUTS FOR 2018 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: DAVID BITTNER - $68,932 BENJAMIN CARTER - $232,182 JOHN RODIS - $169,714 THE FOLLOWING ACCRUALS FOR 2018 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: ROBERT ANTHONY - $43,156 REGINALD EADIE - $143,579 THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH RESTORATION OR RETENTION PLAN. THE RESTORATION PLAN PROVIDES RETIREMENT BENEFITS FOR CERTAIN TRINITY HEALTH SYSTEM OFFICE EXECUTIVES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($275,000 IN 2018). THE FOLLOWING PAYOUTS FOR 2018 FOR THESE PLANS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: THOMAS BURKE - $0 JANEANNE LUBIN-SZAFRANSKI - $8,136 LYNN ROSSINI - $0 JENNIFER SCHNEIDER - $0 DENNIS SPARKS - $0 CHRISTOPHER DADLEZ RECEIVED A DISTRIBUTION OF $4,296,688 FROM A SUPPLEMENTAL NONQUALIFIED DEFERRED RETIREMENT PLAN IN CALENDAR YEAR 2018. THIS AMOUNT IS INCLUDED IN COLUMN B (III) OF SCHEDULE J, PART II. COLUMN (F) OF SCHEDULE J, PART II INCLUDES THE PORTION OF THIS AMOUNT THAT WAS REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. PRIME HEALTHCARE PC PHILIP KARANIAN, MD, DIRECTOR IS A PARTNER IN PRIME HEALTHCARE 128185 PAYMENTS MADE FOR RENT OF SPACE BY THE HOSPITAL 0 RADIOLOGY ASSOCIATES OF HARTFORD ANTHONY POSTERARO, III, MD, DIRECTOR, IS A PARTNER IN RADIOLOGY ASSOCIATES 394802 PAYMENTS MADE FOR HEALTH CARE SERVICES PROVIDED TO THE HOSPITAL 0 FORM 990, PART VI, SECTION A, LINE 4 SAINT FRANCIS HOSPITAL AND MEDICAL CENTER AMENDED ITS BYLAWS ON FEBRUARY 21, 2019. THE AMENDED BYLAWS NOW STATE THAT THE BOARD OF DIRECTORS WILL BE THE SAME AS THE BOARD OF DIRECTORS OF THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF SAINT FRANCIS HOSPITAL AND MEDICAL CENTER (SAINT FRANCIS HOSPITAL) IS TRINITY HEALTH OF NEW ENGLAND CORPORATION (TRINITY HEALTH OF NEW ENGLAND). SEE LINE 7 FOR ADDITIONAL INFORMATION. FORM 990, PART VI, SECTION A, LINE 7A TRINITY HEALTH OF NEW ENGLAND IS THE SOLE MEMBER OF SAINT FRANCIS HOSPITAL. TRINITY HEALTH OF NEW ENGLAND HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF SAINT FRANCIS HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER, TRINITY HEALTH OF NEW ENGLAND MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. TRINITY HEALTH OF NEW ENGLAND MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, AND MODIFICATIONS TO GOVERNING DOCUMENTS. AS THE PARENT OF THE NATIONAL TRINITY HEALTH SYSTEM, CERTAIN POWERS ARE RESERVED TO TRINITY HEALTH CORPORATION. THESE INCLUDE THE AUTHORITY TO ADOPT OR MODIFY THE ORGANIZATION'S GOVERNING DOCUMENTS, TO APPROVE MAJOR CHANGES SUCH AS A MERGER OR DISSOLUTION, AND TO APPROVE SIGNIFICANT FINANCE MATTERS IN EXCESS OF CERTAIN LIMITS ESTABLISHED BY TRINITY HEALTH CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE AUDIT AND COMPLIANCE COMMITTEE OF TRINITY HEALTH OF NEW ENGLAND HAS THE RESPONSIBILITY FOR OVERSEEING THE REVIEW OF THE FORM 990 INCLUDING ENSURING APPROPRIATE DIRECTORS AND/OR MANAGEMENT PERSONNEL HAVE REVIEWED AND ANY ISSUES ARE COMMUNICATED TO THIS COMMITTEE PRIOR TO FILING. EACH MEMBER OF THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM ONCE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C SAINT FRANCIS HOSPITAL HAS ADOPTED TRINITY HEALTH'S GOVERNANCE POLICY NO. 1, WHICH SETS FORTH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND PROCESSES. IT APPLIES TO ALL "INTERESTED PERSONS" OF SAINT FRANCIS HOSPITAL, WHICH INCLUDES DIRECTORS, PRINCIPAL OFFICERS, KEY EMPLOYEES, AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS. INTERESTED PERSONS ARE EXPECTED TO DISCHARGE THEIR DUTIES IN A MANNER THE PERSON REASONABLY BELIEVES TO BE IN THE BEST INTERESTS OF SAINT FRANCIS HOSPITAL AND TO AVOID SITUATIONS INVOLVING A CONFLICT OF INTEREST. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE PROVIDED TO INTERNAL LEGAL COUNSEL AND THE INTEGRITY AND COMPLIANCE OFFICER, FROM WHICH LEGAL COUNSEL PREPARES A REPORT FOR THE BOARD CHAIR AND CEO. A SUMMARY OF POTENTIAL CONFLICTS IS REVIEWED WITH THE BOARD OF DIRECTORS OF SAINT FRANCIS HOSPITAL (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO SAINT FRANCIS HOSPITAL OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF SAINT FRANCIS HOSPITAL (OR A DELEGATED COMMITTEE OF THE BOARD) IS RESPONSIBLE FOR THE REVIEW OF TRANSACTIONS TO DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS. IN THE EVENT OF AN ACTUAL CONFLICT, THE BOARD (OR A DELEGATED COMMITTEE OF THE BOARD) WILL EITHER AVOID THE CONFLICT OR APPROPRIATELY SCRUTINIZE THE TRANSACTION TO ENSURE IT IS IN THE BEST INTERESTS OF SAINT FRANCIS HOSPITAL. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE POLICY FURTHER ADDRESSES THE PROPER DOCUMENTATION OF THE PROCEEDINGS AND POTENTIAL DISCIPLINARY AND CORRECTIVE ACTION FOR VIOLATIONS OF THE POLICY. THE POLICY IS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 15 QUESTIONS 15A AND 15B ARE ANSWERED "NO" BECAUSE THE COMPENSATION FOR CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF SAINT FRANCIS HOSPITAL IS ESTABLISHED AND PAID BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING THE PRESIDENT AND VP FINANCE COMPENSATION, TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF THE PRESIDENT AND VP FINANCE OF SAINT FRANCIS HOSPITAL ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS. FOR OTHER EXECUTIVES WHO ARE NOT PART OF THE REBUTTABLE PRESUMPTION PROCESS, TRINITY HEALTH USES A MARKET ANALYSIS TO DETERMINE THE APPROPRIATENESS OF THE EXECUTIVE'S COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 SAINT FRANCIS HOSPITAL IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, SAINT FRANCIS HOSPITAL INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. SAINT FRANCIS HOSPITAL'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT LABOR: PROGRAM SERVICE EXPENSES 3,279,916. MANAGEMENT AND GENERAL EXPENSES 62,734. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,342,650. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 71,604,644. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 71,604,644. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 217,996. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 217,996. MISCELLANEOUS PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 5,707,824. MANAGEMENT AND GENERAL EXPENSES 2,962,543. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,670,367. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 2,184,615. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,184,615. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 6,241,501. MANAGEMENT AND GENERAL EXPENSES 695,019. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,936,520. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS FROM AFFLIATES 7,447,483. CHANGE IN DEFERRED RETIREMENT COST -67,460,199. OTHER TRANSACTIONS 173,600. FORM 990, PART XII, LINE 2: SAINT FRANCIS HOSPITAL'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY19 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH OF NEW ENGLAND AND TRINITY HEALTH, WHICH WERE BOTH AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. COLLABORATIVE LABORATORY SERVICES 114 WOODLAND STREET HARTFORD CT 06105 061520109 LAB SERVICES CT 14920727 3351208 SAINT FRANCIS HOSPITAL AND MEDICAL CENTER ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP 245 STATE ST SE GRAND RAPIDS MI 49503 272491974 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN 1 ALLEGANY FRANCISCAN MINISTRIES INC 33920 US HIGHWAY 19 NORTH SUITE 269 PALM HARBOR FL 34684 581492325 GRANT MAKING FL 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 ASYLUM HILL FAMILY MEDICINE CENTER INC 114 WOODLAND STREET HARTFORD CT 06105 061450170 HEALTH CARE SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 BAUM HARMON MERCY HOSPITAL 255 NORTH WELCH AVENUE PRIMGHAR IA 51245 421500277 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP 1 BAUM HARMON MERCY HOSPITAL AND CLINICS FOUNDATION 255 NORTH WELCH AVENUE PRIMGHAR IA 51245 262973307 FOUNDATION IA 501(C)(3) LINE 12A, I BAUM HARMON MERCY HOSPITAL 1 BEECHWOOD INC 2212 BURDETT AVE TROY NY 12180 141651563 TITLE HOLDING COMPANY NY 501(C)(2) N/A LTC (EDDY) INC 1 BETHLEHEM HAVEN OF PITTSBURGH 905 WATSON STREET PITTSBURGH PA 15219 251436685 HOMELESS SHELTER PA 501(C)(3) LINE 7 PITTSBURGH MERCY HEALTH SYSTEM INC 1 BEVERWYCK INC 40 AUTUMN DRIVE SLINGERLANDS NY 12159 141717028 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 BRIGHTSIDE INC 114 WOODLAND STREET HARTFORD CT 06105 042182395 HEALTH CARE SERVICES MA 501(C)(3) LINE 10 THE MERCY HOSPITAL INC 1 CAPITAL REGION GERIATRIC CENTER INC 421 WEST COLUMBIA STREET COHOES NY 12047 141701597 LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 CARING PARTNERS HOME HEALTH INC 1200 EARHART RD ANN ARBOR MI 48105 201681131 HOME HEALTH SERVICES MI 501(C)(3) LINE 10 GLACIER HILLS INC 1 CATHERINE MCAULEY HEALTH SERVICES CORP PO BOX 995 ANN ARBOR MI 48106 382507173 HEALTH CARE SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH-MICHIGAN 1 CATHOLIC HEALTH MINISTRIES 20555 VICTOR PARKWAY LIVONIA MI 48152 GOVERNANCE AND MANAGEMENT OF TRINITY HEALTH SYSTEM VT 501(C)(3) LINE 1 N/A 0 DILEY RIDGE MEDICAL CENTER 6150 EAST BROAD STREET COLUMBUS OH 43213 342032340 HEALTH CARE AND HOSPITAL SERVICES OH 501(C)(3) LINE 3 MOUNT CARMEL HEALTH SYSTEM 1 DUBUQUE MERCY HEALTH FOUNDATION 250 MERCY DRIVE DUBUQUE IA 52001 262227941 FOUNDATION IA 501(C)(3) LINE 12A, I MERCY HEALTH SERVICES-IOWA CORP 1 DYERSVILLE HEALTH FOUNDATION INC 1111 3RD STREET SW DYERSVILLE IA 52040 205383271 FOUNDATION IA 501(C)(3) LINE 12A, I MERCY HEALTH SERVICES-IOWA CORP 1 EAST NORRITON PHYSICIANS SERVICES INC ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 232515999 HEALTH CARE SERVICES PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK 1 EDDY LICENSED HOME CARE AGENCY 433 RIVER ST SUITE 3000 TROY NY 12180 141818568 HOME HEALTH SERVICES NY 501(C)(3) LINE 3 LTC (EDDY) INC 1 EMBRACING AGE INC 333 BUTTERNUT DRIVE DEWITT NY 13214 461051881 PACE PROGRAM NY 501(C)(3) LINE 12B, II ST JOSEPH'S HEALTH INC 1 EMPIRE HOME INFUSION SERVICE INC 10 BLACKSMITH DRIVE MALTA NY 12020 141795732 HOME HEALTH SERVICES NY 501(C)(3) LINE 10 HOME AIDE SERVICE OF EASTERN NEW YORK INC 1 FARREN CARE CENTER INC 114 WOODLAND STREET HARTFORD CT 06105 042501711 LONG TERM CARE MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC 1 FRANCISCAN ELDERCARE CORPORATION PO BOX 2500 WILMINGTON DE 19805 223008680 LONG TERM CARE (INACTIVE) DE 501(C)(3) LINE 10 ST FRANCIS HOSPITAL INC 1 GLACIER HILLS FOUNDATION 1200 EARHART RD ANN ARBOR MI 48105 208072723 FOUNDATION MI 501(C)(3) LINE 12A, I GLACIER HILLS INC 1 GLACIER HILLS INC 1200 EARHART RD ANN ARBOR MI 48105 381891500 SENIOR LIVING COMMUNITY MI 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES 1 GLEN EDDY INC 1 GLEN EDDY DRIVE NISKAYUNA NY 12309 141794150 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 GLOBAL HEALTH MINISTRY 20555 VICTOR PARKWAY LIVONIA MI 48152 421253527 HEALTH CARE SERVICES MI 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 GOOD SAMARITAN HOSPITAL INC 5401 LAKE OCONEE PARKWAY 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HERITAGE HOUSE NURSING CENTER INC 2920 TIBBITS AVE TROY NY 12180 141725101 LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 HOLY CROSS CARENET INC PO BOX 9184 FARMINGTON HILLS MI 48152 521945054 LONG TERM CARE MD 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES 1 HOLY CROSS HEALTH FOUNDATION INC 1500 FOREST GLEN ROAD SILVER SPRING MD 20910 208428450 FOUNDATION MD 501(C)(3) LINE 7 HOLY CROSS HEALTH INC 1 HOLY CROSS HEALTH INC 1500 FOREST GLEN ROAD SILVER SPRING MD 20910 520738041 HEALTH CARE AND HOSPITAL SERVICES MD 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 HOLY CROSS HOSPITAL INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 590791028 HEALTH CARE AND HOSPITAL SERVICES FL 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 HOLY CROSS OUTPATIENT SERVICES INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 465421068 HEALTH CARE SERVICES FL 501(C)(3) LINE 10 HOLY CROSS HOSPITAL INC 1 HOLY CROSS PRIMARY CARE INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 812531495 HEALTH 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