2019-08-13T08:21:53-05:00 2018-09-30 135565207 KPMG LLP 1601 MARKET STREET PHILADELPHIA PA 19103 990 2017-10-01 060646554 BRIDGEPORT HOSPITAL BRID 2036886088 267 GRANT STREET BRIDGEPORT CT 06610 JOHN SKELLY SR. VP AND TREASURER 2036886088 2019-08-13 0 PHILLIP E GROFF P01247783 2672561756 204.60.184.1 2019-08-13 08:20:56 ED P BB12664BE1E3D4BC08488640412F20C0F7A39D48 5D794220C68C161820A811785299AFD302F4C684 2017 2019-02-21 02:37:17Z JOHN SKELLY 267 GRANT ST BRIDGEPORT CT 06610 627047711 0 X WWW.BRIDGEPORTHOSPITAL.ORG X 1878 CT TO OPERATE AN ACUTE CARE HOSPITAL IN BRIDGEPORT, CONNECTICUT. 15 10 3175 268 291485 0 2310631 1620067 482212927 550381889 830886 5447682 36932898 40951853 522287342 598401491 306944 404286 0 0 210401143 214136550 0 0 0 300268587 316564816 510976674 531105652 11310668 67295839 597231740 672075816 358844091 342949581 238387649 329126235 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 452213895 404286 585920984 SCHEDULE OBRIDGEPORT HOSPITAL CONTINUED TO PROVIDE ITS COMMUNITIES WITH ACCESS TO PATIENT-CENTERED, ACCESSIBLE CARE THROUGH CLINICAL INNOVATION, IMPROVED PATIENT SAFETY AND QUALITY CARE WHILE MAINTAINING STRONG FINANCIAL PERFORMANCE.CLINICAL PROGRAMS AND SERVICE LOCATIONS DESIGNED TO MEET PATIENTS' NEEDS INCLUDED THE OPENING OF A MODERNIZED NEONATAL INTENSIVE CARE UNIT AT THE BRIDGEPORT CAMPUS OF YALE NEW HAVEN CHILDREN'S HOSPITAL IN FEBRUARY 2018. THE UNIT PROVIDES HIGH-QUALITY, FAMILY-CENTERED CARE THROUGH 10 PRIVATE ROOMS, EIGHT SEMI-PRIVATE ROOMS AND AN OVERNIGHT ROOM FOR FAMILIES. THE HOSPITAL, ONE OF THE FIRST IN CONNECTICUT, INTRODUCED THE WORLD'S SMALLEST PACEMAKER, THE MICRA TRANSCATHETER PACING SYSTEM, FOR BRADYCARDIA. IN ADDITION, THE STRUCTURAL HEART PROGRAM PERFORMED ITS 100TH TRANSCATHETER AORTIC VALVE REPLACEMENT PROCEDURE. ADVANCING VISION CARE, BRIDGEPORT HOSPITAL WAS THE FIRST YALE NEW HAVEN HEALTH HOSPITAL TO USE THE HIGHLY PRECISE CATALYS FEMTOSECOND LASER FOR CATARACT SURGERY WITH UNPRECEDENTED SAFETY. IN ANOTHER FIRST, THE HOSPITAL'S UROLOGISTS WERE AMONG THE FIRST IN FAIRFIELD COUNTY TO USE SPACEOAR, A NEW FDA-APPROVED PROTECTIVE GEL USED IN RADIATION TREATMENT FOR PROSTATE CANCER. THE COMMITTEE ON TRAUMA OF THE AMERICAN COLLEGE OF SURGEONS EXTENDED THE HOSPITAL'S NATIONAL VERIFICATION AS A TRAUMA CENTER THROUGH FEBRUARY 2021- A RECOGNITION BRIDGEPORT HOSPITAL HAS MAINTAINED FOR NEARLY 30 YEARS.PARK AVENUE MEDICAL CENTER EXPANDED ACCESS WITH EXTENDED HOURS, MORE SERVICES AND ADDITIONAL MEDICAL PROVIDERS INCLUDING NORTHEAST MEDICAL GROUP PRIMARY CARE; A SMILOW CANCER HOSPITAL HEAD AND NECK CANCER CLINIC AND CLINICAL RESEARCH SUPPORT LABORATORY; GENERAL SURGERY; UROLOGIC GYNECOLOGY; PLASTIC AND RECONSTRUCTIVE SURGERY; AND YALE NEW HAVEN CHILDREN'S HOSPITAL NEPHROLOGY, OTOLARYNGOLOGY, ALLERGY/IMMUNOLOGY AND ADOLESCENT GYNECOLOGY PROGRAMS. MANY OF BRIDGEPORT HOSPITAL'S CLINICAL PROGRAMS GARNERED NATIONAL RECOGNITION FOR THEIR POSITIVE PATIENT OUTCOMES AND ATTENTION TO THE PATIENT EXPERIENCE. THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER PRESENTED AN OUTSTANDING ACHIEVEMENT AWARD TO THE HOSPITAL, ONE OF ONLY 16 U.S- ACCREDITED CANCER PROGRAMS TO RECEIVE THE AWARD. THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION BESTOWED TOP HONORS TO THE HOSPITAL FOR MEETING QUALITY MEASURES TO REDUCE THE TIME BETWEEN THE PATIENT'S ARRIVAL AT THE HOSPITAL AND TREATMENT WITH TPA. THE CONNECTICUT HOSPITAL ASSOCIATION GAVE ITS ANNUAL EXCELLENCE AWARD TO THE HOSPITAL FOR ENHANCEMENTS IN THE CARE OF HOSPITALIZED PATIENTS WITH CRITICAL HYPOGLYCEMIA. FOR CONSISTENTLY HIGH PATIENT SATISFACTION SCORES, PRESS GANEY HONORED THE YALE NEW HAVEN HOSPITAL REHABILITATION AND WELLNESS CENTER AT MILFORD HOSPITAL WITH ITS GUARDIAN OF EXCELLENCE AWARD. THE GERIATRIC AND PALLIATIVE CARE TEAM RECEIVED THE 2018 INTERNATIONAL EMPATHY AMPLIFIED AWARD RECOGNIZING THOSE WHO TRANSFORM CARE THROUGH COURTESY, COMMUNICATION AND COMPASSION.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. 452213895 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 345 0 3175 1 1 1 0 0 0 0 0 0 0 0 0 X 15 10 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 NEWMAN MARSILIUS III CHAIRMAN/DIRECTOR 1.00 2.00 X X 0 0 0 JOHN FALCONI VICE CHAIRMAN/DIRECTOR 1.00 1.00 X X 0 0 0 RONALD NOREN VICE CHAIRMAN/DIRECTOR 1.00 0.00 X X 0 0 0 GARY ZIMMERMAN VICE CHAIRMAN/DIRECTOR 1.00 0.00 X X 94550 0 0 WILLIAM JENNINGS PRESIDENT & CEO/DIR./EX OFFICIO 32.00 8.00 X X 1001784 250446 336766 GAYLE CAPOZZALO THRU 618 DIRECTOR/EX-OFFICIO 1.00 39.00 X 0 1164506 96481 PETER HURST DIRECTOR 1.00 0.00 X 0 0 0 THOMAS LENCI DIRECTOR 1.00 0.00 X 0 0 0 FRED MCKINNEY DIRECTOR 1.00 0.00 X 0 0 0 MEREDITH REUBEN DIRECTOR 1.00 1.00 X 0 0 0 EDDY RODRIGUEZ DIRECTOR 1.00 0.00 X 0 0 0 JEFFREY TENGEL DIRECTOR 1.00 0.00 X 0 0 0 ADRIENNE HOUEL DIRECTOR 1.00 0.00 X 0 0 0 GEORGE CARTER DIRECTOR 1.00 0.00 X 0 0 0 ED CASTILLO THRU 1217 DIRECTOR/EX-OFFICIO 1.00 0.00 X 64420 0 0 KENNETH LIPOW EFF 118 DIRECTOR/EX-OFFICIO 1.00 0.00 X 0 0 0 VINCENT PETRINI EFF 618 DIRECTOR/EX-OFFICIO 6.00 34.00 X 102875 582954 199121 JOHN SKELLY SR. VP & TREASURER 36.00 4.00 X 573723 63747 178947 PAMELA SCAGLIARINI COO & SECRETARY 38.00 2.00 X 703547 0 202956 MARC BRUNETTI THRU 1017 SR. VP SUPPORT OPERATIONS 40.00 0.00 X 331461 0 38028 MICHAEL IVY SR. VP MEDICAL AFFAIRS 8.00 32.00 X 149758 559995 125538 MARYELLEN KOSTURKO SR. VP PATIENT CARE 40.00 0.00 X 420387 0 36580 CAROLYN SALSGIVER SR. VP STRATEGY & BUSINESS 8.00 32.00 X 92018 368072 146147 MELISSA TURNER SR. VP HUMAN RESOURCE 20.00 20.00 X 233218 233218 123810 RYAN O'CONNELL VP OF PERFORMANCE & RISK 25.00 15.00 X 308953 181448 37453 GINA CALDER VP OF AMBULATORY SERVICES 40.00 0.00 X 254347 0 20630 MARY CHRISTOFFERSEN VP OF NURSING 40.00 0.00 X 254226 0 32588 MARC LOMBARDI EFF1017 ASSISTANT SECRETARY 3.00 37.00 X 18431 264249 33415 ROCKMAN FERRIGNO PHYSICIAN 40.00 0.00 X 660980 0 50590 FRANCISCO GARRIDO PHYSICIAN 40.00 0.00 X 576365 0 30890 JONATHAN MAISEL PHYSICIAN 40.00 0.00 X 450244 0 43760 GUILLERMO KATIGBAK PHYSICIAN 40.00 0.00 X 386135 0 37730 THOMAS LAMONTE PHYSICIAN 40.00 0.00 X 374352 0 43758 7051774 3668635 1815188 366 0 1 0 UNITEX TEXTILE RENTAL 155 SOUTH TERRACE AVE MOUNT VERNON NY 10550 LAUNDRY/SERVICE 2280402 UNIVERSAL PROTECTION SERVICE PO BOX 828854 PHILADELPHIA PA 191828854 SECURITY SERVICE 2232473 NURSEFINDERS INC PO BOX 910738 DALLAS TX 753910738 STAFFING 1842221 SHEPLEY BULFINCH RICHARDSON 2 SEAPORT LN BOSTON MA 02210 ARCHITECTURE SERVICE 1755846 DVA RENAL HEALTHCARE INC 30 COMMERCE RD STAMFORD CT 06902 MEDICAL/CLINICS 1151300 54 1620067 1620067 OUTPATIENT REVENUE 621990 313217803 313217803 INPATIENT REVENUE 621990 236872070 236872070 MANAGEMENT SERVICE - NEPC 621500 164285 164285 LABORATORY SERVICES 621500 103949 103949 RADIOLOGY SERVICES 621500 19406 19406 4376 4376 550381889 718681 -531 719212 1612749 380991 1231758 1231758 1231758 32994230 28251983 13246 4742247 -13246 4729001 4729001 OTHER OPERATING INCOME 900099 25908866 25908866 PEDIATRIC ANCILLARY REVENUE 900099 9600000 9600000 CAFETERIA/VENDING OTHER OPERATING 900099 2562962 2562962 1648267 30229 1618038 39720095 598401491 585628968 291485 10860971 X 16000 16000 388286 388286 5594627 559463 5035164 168695600 136874085 31821515 276343 220925 55418 27789933 22267717 5522216 11780047 9417657 2362390 438538 350593 87945 84177 67296 16881 110224 110224 144262559 125346478 18916081 6700039 5354166 1345873 14645724 11709559 2936165 632390 493264 139126 8256433 6600674 1655759 29648147 28321338 1326809 29813518 23834665 5978853 4982406 4843075 139331 MEDICAL SUPPLIES 69360689 69360689 PROPERTY TAX 3572470 2856041 716429 OTHER MISC EXPENSES 2492891 1970858 522033 DUES,FEES AND MEMBERSHI 853644 682453 171191 710967 568389 142578 531105652 452213895 78891757 0 26798530 78566170 51966224 56312304 5745014 6104697 19194011 16675922 616248860 322963648 278984370 293285212 39754584 44387867 36781420 37528070 17217110 17217110 120790477 121998464 597231740 672075816 56508402 65280402 25857928 22682378 98993676 96462274 177484085 158524527 358844091 342949581 X 172544548 264023174 42467932 41831933 23375169 23271128 238387649 329126235 597231740 672075816 X 67295839 545332 22897415 X 0 1 X 1 1 1 X 0 1 0 0 1 500 0 0 0 0 1 53195 0 1 56529 110224 0 PART II-B, LINE 1: THE AMOUNT REPORTED IN "OTHER ACTIVITIES" REPRESENTS A PORTION OF PROFESSIONAL DUES ATTRIBUTABLE TO LOBBYING DURING FY 2018. 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: YALE NEW HAVEN HOSPITAL EIN 06-0646652 $ 494,151 GREENWICH HOSPITAL EIN 06-0646659 $ 83,870 LAWRENCE + MEMORIAL HOSPITAL EIN 06-0646704 $ 82,331 NORTHEAST MEDICAL GROUP EIN 06-1330992 $ 42,848 LMW HEALTHCARE, INC. EIN 46-0543230 $ 12,797 0 26140000 2087000 1599000 26628000 24648000 2453000 961000 26140000 23226000 2106000 684000 24648000 23470000 634000 878000 23226000 41860000 2176000 2969000 4297000 42708000 0.08000 0.21000 0.71000 0 0 1654817 1654817 293190775 110335555 182855220 33753496 9938231 23815265 282922901 202689862 80233039 4726871 4726871 293285212 YALE ENDOWMENT POOL 37191908 F PRIVATE EQUITY 336162 F 37528070 OTHER RECEIVABLES 1319873 INTEREST IN BRIDGEPORT HOSPITAL FOUNDATION,INC. 91400783 INTEREST IN BRIDGEPORT HOSPITAL AUXILIARY 393274 INTEREST IN CENTURY FINANCIAL SERVICES 761459 DUE FROM AFFILIATES 2614129 THIRD PARTY RECEIVABLES 570092 PROFESSIONAL LIABILITIES INSURANCE RECOVERIES RECEIVABLES 24938854 121998464 SELF INSURANCE 19928203 ASSET RETIREMENT OBLIGATIONS 9499919 PENSION OBLIGATION 32318701 THIRD PARTY PAYABLE 24231124 DUE TO AFFILIATES 47607726 MALPRACTICE GROSS LIABILITY 24938854 158524527 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 SERVICES CORPORATION 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 YEAR ENDED SEPTEMBER 30, 2018 AND 2017. 1 1 1 X 250.000000000000 1 X 550.000000000000 1 1 1 0 1 1 21427 61665320 56755277 4910043 0.00920 119948 144358328 105851520 38506808 0.07250 0 0 0 141375 206023648 162606797 43416851 0.08170 11 2774 1255915 0 1255915 0.00240 3 183 13595279 0 13595279 0.02560 3 37794 30366199 25815396 4550803 0.00860 0 0 0 0 2 75852 212143 0 212143 0.00040 19 116603 45429536 25815396 19614140 0.03700 19 257978 251453184 188422193 63030991 0.11870 1 0 12500 0 12500 0.00000 1 0 29530 0 29530 0.00010 3 704 43094 0 43094 0.00010 0 0 0 0 0 0 0 0 1 0 1158 0 1158 0.00000 0 0 0 0 1 185 3937 0 3937 0.00000 7 0 0 0 14 889 90219 90219 0.00020 1 13097196 196582546 203745055 -7162509 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 16 1 1 1 1 X SEE PART V SUPPLEMENTAL INFORMATION X SEE PART V SUPPLEMENTAL INFORMATION X 1 16 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 PRIMARY CARE ACTION GROUP, 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, A MEMBER OF ASCENSION HEALTH SYSTEM, ALSO LOCATED IN BRIDGEPORT, IS PART OF THE PRIMARY CARE ACTION GROUP, WHICH CONDUCTED THE COMMUNITY HEALTH NEEDS ASSESSMENT. BRIDGEPORT HOSPITAL PART V, SECTION B, LINE 6B: THE CHNA FOR THE GREATER BRIDGEPORT REGION, WHICH SERVES AS THE CHNA FOR BRIDGEPORT HOSPITAL, WAS CONDUCTED IN COLLABORATION WITH THE PRIMARY CARE ACTION GROUP. PRIMARY CARE ACTION GROUP MEMBERS IN ADDITION TO BRIDGEPORT HOSPITAL AND ST. VINCENT'S MEDICAL CENTER INCLUDE BUT ARE NOT LIMITED TO THE 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, AND AMERICARES FREE CLINIC OF BRIDGEPORT, LLC. 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.STVINCENTS.ORG/COMMUNITY-WELLNESS/COMMUNITY-BENEFIT-PROGRAMS/COMMUNITY-HEALTH; HTTPS://WWW.CTDATAHAVEN.ORG/DATA-RESOURCES/FAIRFIELD-COUNTY-COMMUNITY-WELLBEING-INDEX-GREATER-BRIDGEPORT-PCAG-CHNA-CHAPTER; HTTPS://PORTAL.CT.GOV/OHS/HEALTH-SYSTEMS-PLANNING/COMMUNITY-NEEDS-ASSESSMENTS; HTTPS://WWW.BRIDGEPORTCT.GOV/FILESTORAGE/341650/341652/341932/342055/2016_PCAG_CHA_%26_CHIP.PDF; HTTP://WWW.TRUMBULL-CT.GOV/CONTENT/24599/24605/DEFAULT.ASPX; HTTP://WWW.TOWNOFSTRATFORD.COM/FILESTORAGE/39832/39846/39915/40728/PCAG_FFLD_COUNTY_CI_CHAPTER_FINAL_6_28_16.PDF; HTTPS://WWW.FAIRFIELDCT.ORG/HEALTHDATAPART V, SECTION B, LINE 10A:HTTPS://WWW.BRIDGEPORTHOSPITAL.ORG/ABOUT/COMMUNITY/HEALTH-NEEDS-ASSESSMENT.ASPX BRIDGEPORT HOSPITAL PART V, SECTION B, LINE 11: IN MARCH 2016, PCAG 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 2013 PRIORITIES WOULD BE MAINTAINED MOVING FORWARD FOR THE 2016 CHNA (ACCESS TO CARE, HEALTHY LIFESTYLES, CARDIAC & DIABETES, AND MENTAL HEALTH & SUBSTANCE ABUSE). PCAG, HEALTH DEPARTMENTS, AND HOSPITALS CONFIRMED THAT THERE WAS A NEED TO CONTINUE WORKING IN THE 2013 FOCUS AREAS AS THESE WERE STILL THE TOP HEALTH PRIORITY AREAS. ALL PRIMARY AND SECONDARY DATA THAT WAS COLLECTED, ANALYZED AND REVIEWED SUPPORTED THE CONTINUATION OF THE 2013 PRIORITY AREAS. TO LEARN MORE ABOUT HOW BRIDGEPORT HOSPITAL AND ITS COMMUNITY PARTNERS ARE MEETING THESE NEEDS PLEASE REVIEW THE PRIMARY CARE ACTION GROUP'S 2016 GREATER BRIDGEPORT REGION BRIDGEPORT HOSPITAL AND ST. VINCENT'S MEDICAL CENTER COLLABORATIVE COMMUNITY HEALTH ASSESSMENT AND IMPLEMENTATION PLAN.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 FOUR AREAS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. DURING FISCAL YEAR 2018 THROUGH THE PRIMARY CARE ACTION GROUP, BRIDGEPORT HOSPITAL AND ITS COMMUNITY PARTNERS CONTINUED TO FOCUS ON THE PRIORITY AREAS OF ACCESS TO CARE, HEALTHY LIFESTYLES, CARDIAC & DIABETES, AND MENTAL HEALTH & SUBSTANCE ABUSE. 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 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 3E:PLEASE SEE RESPONSE TO PART V, SECTION B, LINE 11 BELOW. 24 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 23 - BRIDGEPORT HOSPITAL 1558 BARNUM AVENUE BRIDGEPORT CT 06610 PSYCHIATRY 24 - BRIDGEPORT HOSPITAL 1825 BARNUM AVENUE STRATFORD CT 06614 DRAW STATION 25 - BRIDGEPORT HOSPITAL 129 KINGS HIGHWAY NORTH WESTPORT CT 06883 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 2018, BRIDGEPORT HOSPITAL PROVIDED $90,219 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. IN 2018, THE HOSPITAL PROVIDED 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. 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 20: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 THE PROVISION FOR BAD DEBTS. 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 PROVISION FOR BAD DEBTS REPRESENT UNCOMPENSATED CARE. THE ESTIMATED COST OF TOTAL UNCOMPENSATED CARE IS APPROXIMATELY $151.2 MILLION AND $154.8 MILLION FOR THE YEARS ENDED SEPTEMBER 30, 2018 AND 2017, RESPECTIVELY. THE ESTIMATED COST OF UNCOMPENSATED CARE IS BASED ON THE RATIO OF COST TO CHARGES, AS DETERMINED BY CLAIMS ACTIVITY.THE ESTIMATED COST OF CHARITY CARE PROVIDED WAS $86.8 MILLION AND $94.1 MILLION FOR THE YEARS ENDED SEPTEMBER 30, 2018 AND 2017, RESPECTIVELY. THE ESTIMATED COST OF CHARITY CARE IS BASED ON THE RATIO OF COST TO CHARGES. THE ALLOCATION BETWEEN BAD DEBT 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 BAD DEBT VERSUS CHARITY CARE WHILE TAKING INTO ACCOUNT THE TOTAL COSTS INCURRED BY THE SYSTEM FOR EACH ACCOUNT ANALYZED.FOR THE YEARS ENDED SEPTEMBER 30, 2018 AND 2017, PROVISION FOR BAD DEBTS, AT CHARGES, WAS $127.2 MILLION AND $112.4 MILLION, RESPECTIVELY. FOR THE YEARS ENDED SEPTEMBER 30, 2018 AND 2017, PROVISION FOR BAD DEBT AT COST WAS APPROXIMATELY $64.5 MILLION AND $60.7 MILLION, RESPECTIVELY. THE PROVISION FOR BAD DEBTS IS MULTIPLIED BY THE RATIO OF COST TO CHARGES FOR PURPOSES OF INCLUSION IN THE TOTAL UNCOMPENSATED CARE AMOUNT IDENTIFIED ABOVE.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. DURING THE YEARS ENDED SEPTEMBER 30, 2018 AND 2017, THE SYSTEM RECEIVED $202.8 MILLION AND $25.1 MILLION, RESPECTIVELY, IN CDSHP DISTRIBUTIONS, OF WHICH APPROXIMATELY $126.2 MILLION AND $14.3 MILLION WAS RELATED TO CHARITY CARE. THE SYSTEM MADE PAYMENTS INTO THE CDSHP OF $367.0 MILLION AND $200.3 MILLION FOR THE YEARS ENDED SEPTEMBER 30, 2018 AND 2017, RESPECTIVELY, FOR THE ASSESSMENT. 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: BRIDGEPORT HOSPITAL'S DEFINED COMMUNITY FOR COMMUNITY HEALTH NEEDS ASSESSMENT PURPOSES USES A GEOGRAPHIC APPROACH FOCUSING ON SIX CONTIGUOUS TOWNS WITHIN FAIRFIELD COUNTY, CT COMPRISING THE GREATER BRIDGEPORT AREA: BRIDGEPORT, EASTON, FAIRFIELD, MONROE, STRATFORD, AND TRUMBULL. 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 323,231 WITH AN AVERAGE AGE OF 37.8. ACCORDING TO ANALYSIS OF THE 2010-2014 AMERICAN COMMUNITY SURVEY THE RACIAL AND ETHNIC MAKEUP OF THE GREATER BRIDGEPORT AREA IS 53% WHITE (NON-HISPANIC), 18% BLACK (NON-HISPANIC), 22% HISPANIC AND 6% OTHER (NON-HISPANIC). THE CITY OF BRIDGEPORT, WHICH COMPRISES 45% OF THE GREATER BRIDGEPORT POPULATION HAS AN AVERAGE AGE OF FIVE YEARS LESS AND A DEMOGRAPHIC MAKEUP THAT IS MORE ETHNICALLY AND RACIALLY DIVERSE. 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. NEARLY 35% OF INDIVIDUALS LIVING IN GREATER BRIDGEPORT HAVE A BACHELOR'S DEGREE OR HIGHER WITH A MEDIAN HOUSEHOLD INCOME OF $73,929 COMPARED TO $41,204 IN THE CITY OF BRIDGEPORT.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 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, PCAG WAS DILIGENT TO ENSURE THAT NO GROUPS, ESPECIALLY MINORITY, LOW-INCOME OR MEDICALLY UNDER-SERVED, WERE EXCLUDED. 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 2018, BRIDGEPORT HOSPITAL PROVIDED $63.0 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 2018 THERE WERE A TOTAL OF 1,323 MEMBERS OF THE BRIDGEPORT HOSPITAL MEDICAL STAFF. BRIDGEPORT HOSPITAL, FOUNDED IN 1878, IS A 383-BED URBAN TEACHING HOSPITAL SERVING 21,445 INPATIENTS AND MORE THAN 316,025 OUTPATIENT ENCOUNTERS IN 2018. BRIDGEPORT HOSPITAL IS ONE OF THE LARGEST PRIVATE EMPLOYERS IN BRIDGEPORT WITH 2,705 EMPLOYEES IN 2018. 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 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 THE GREATER FAIRFIELD COUNTY FOUNDATION INC 383 MAIN AVENUE NORWALK CT 06851 061083893 501(C)(3) 10000 SUPPORT ORGANIZATION BRIDGEPORT HOSPITAL FOUNDATION INC 267 GRANT STREET BRIDGEPORT CT 06610 222908698 501(C)(3) 6000 SUPPORT ORGANIZATION 2 0 TAXI TRANSPORTAION VOUCHERS 3321 66427 FMV A TAXI VOUCHER PROGRAM OFFERS TAXI CAB SERVICES AT REDUCED RATES FOR ELIGIBLE PATIENTS. CARE COORDINATION 99 321859 FMV 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. X X X X X 0 1 0 0 0 0 0 1 0 WILLIAM JENNINGS PRESIDENT & CEO/DIR./EX OFFICIO 641964 160491 245794 61448 114026 28507 254352 63588 15061 3765 1271197 317799 0 0 GAYLE CAPOZZALO THRU 618 DIRECTOR/EX-OFFICIO 0 733835 0 279422 0 151249 0 84433 0 12048 0 1260987 0 0 VINCENT PETRINI EFF 618 DIRECTOR/EX-OFFICIO 67856 384515 22972 130175 12047 68264 27313 154776 2555 14477 132743 752207 0 0 JOHN SKELLY SR. VP & TREASURER 399468 44385 97405 10823 76850 8539 145482 16165 15570 1730 734775 81642 12562 1396 PAMELA SCAGLIARINI COO & SECRETARY 480942 0 128282 0 94323 0 185336 0 17620 0 906503 0 13251 0 MARC BRUNETTI THRU 1017 SR. VP SUPPORT OPERATIONS 221940 0 45287 0 64234 0 24781 0 13247 0 369489 0 33918 0 MICHAEL IVY SR. VP MEDICAL AFFAIRS 115645 432436 25964 97086 8149 30473 22772 85151 3717 13898 176247 659044 561 2100 MARYELLEN KOSTURKO SR. VP PATIENT CARE 330463 0 75592 0 14332 0 35569 0 1011 0 456967 0 0 0 CAROLYN SALSGIVER SR. VP STRATEGY & BUSINESS 63867 255469 16714 66856 11437 45747 25794 103174 3436 13743 121248 484989 883 3533 MELISSA TURNER SR. VP HUMAN RESOURCE 167887 167887 40000 40000 25331 25331 53308 53308 8597 8597 295123 295123 0 0 RYAN O'CONNELL VP OF PERFORMANCE & RISK 249584 146581 38763 22765 20606 12102 12469 7323 11126 6535 332548 195306 3299 1937 GINA CALDER VP OF AMBULATORY SERVICES 223642 0 19525 0 11180 0 14755 0 5875 0 274977 0 8225 0 MARY CHRISTOFFERSEN VP OF NURSING 223563 0 22299 0 8364 0 21612 0 10976 0 286814 0 0 0 MARC LOMBARDI EFF1017 ASSISTANT SECRETARY 14600 209319 2647 37949 1184 16981 1119 16045 1060 15191 20610 295485 0 0 ROCKMAN FERRIGNO PHYSICIAN 565117 0 45336 0 50527 0 35856 0 14734 0 711570 0 0 0 FRANCISCO GARRIDO PHYSICIAN 562770 0 12992 0 603 0 15531 0 15359 0 607255 0 0 0 JONATHAN MAISEL PHYSICIAN 436772 0 11799 0 1673 0 29300 0 14460 0 494004 0 0 0 GUILLERMO KATIGBAK PHYSICIAN 373638 0 9978 0 2519 0 26650 0 11080 0 423865 0 0 0 THOMAS LAMONTE PHYSICIAN 362144 0 9682 0 2526 0 29300 0 14458 0 418110 0 0 0 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 $137,228 $0 PAMELA SCAGLIARINI 0 76,054 0 VINCENT PETRINI 0 74,202 0 JOHN SKELLY 0 68,920 0 MELISSA TURNER 0 52,915 0 CAROLYN SALSGIVER 0 50,668 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 2017 CALENDAR YEAR THAT WAS RECOGNIZED AS TAXABLE EVENTS AND REPORTED IN THE INDIVIDUAL' 2017 CALENDAR YEAR FORM W-2. GAYLE CAPOZZALO $71,101 THE SUPPLEMENTAL RETIREMENT PLAN IS 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 14125000 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 272222 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: $272,222 FORM 990, PART I, LINE 7B UNRELATED BUSINESS TAXABLE INCOME FROM FORM 990-T THE AMOUNT REPORTED ON PART I, LINE 7B INCLUDES CERTAIN FRINGE BENEFIT EXPENSES SUBJECT TO UNRELATED BUSINESS TAXABLE INCOME UNDER IRC SECTION 512(A)(7) AMOUNTS THAT ARE NOT CLASSIFIED AS REVENUE AND, THEREFORE, NOT REPORTED AS SUCH ON FORM 990, PART VIII. 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 TRUSTEES GEORGE CARTER AND JEFFREY TENGEL ARE DIRECTORS AND OFFICERS OF THE SAME BUSINESS ENTITY. 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 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 OFFICIAL IS AN EMPLOYEE OF YNHHS. THE EXECUTIVE COMPENSATION COMMITTEES OF BRIDGEPORT HOSPITAL AND YNHHS STRIVE TO TAKE THE STEPS NECESSARY TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER FEDERAL TAX LAW. THE EXECUTIVE COMPENSATION COMMITTEES ARE RESPONSIBLE FOR (1) DETERMINING THE OVERALL TOTAL COMPENSATION STRATEGY FOR THEIR RESPECTIVE CORPORATE OFFICERS, (2) APPROVING ALL COMPENSATION AND BENEFITS DECISIONS FOR RESPECTIVE CORPORATE OFFICERS, AND (3) REPORTING SUCH ACTIONS TO THE FULL BRIDGEPORT HOSPITAL AND YNHHS BOARDS ON AN ANNUAL BASIS. IN ADDITION, THE EXECUTIVE COMPENSATION COMMITTEES EXPRESSLY DETERMINE THE REASONABLENESS OF TOTAL COMPENSATION AND BENEFITS FOR ALL CORPORATE OFFICERS, AND ASSURES THAT ALL OFFICER COMPENSATION DECISIONS ARE MADE AFTER THOROUGH CONSIDERATION OF AND COMPARISON TO THE MARKET PRACTICES OF OTHER SIMILARLY SITUATED NOT-FOR-PROFIT HEALTHCARE EXECUTIVES IN COMPARABLE ORGANIZATIONS. THE EXECUTIVE COMPENSATION COMMITTEES CONSIST OF BOARD MEMBERS WHO DO NOT HAVE MATERIAL FINANCIAL INTERESTS THAT COULD BE AFFECTED BY THE OFFICER COMPENSATION DECISIONS MADE BY THE COMMITTEES. THE COMPARABILITY DATA USED TO ASSIST THE EXECUTIVE COMPENSATION COMMITTEES IN THEIR COMPENSATION DELIBERATIONS ARE COMPILED BY AN INDEPENDENT, NATIONAL COMPENSATION CONSULTING FIRM THAT IS RETAINED BY AND REPORTS DIRECTLY TO THE EXECUTIVE COMPENSATION COMMITTEES. THE DATA COLLECTED BY THE CONSULTANT CONSISTS OF MARKET INFORMATION FOR EXECUTIVES IN FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS. THE DELIBERATIONS AND DECISIONS OF THE EXECUTIVE COMPENSATION COMMITTEES ARE CONTEMPORANEOUSLY DOCUMENTED, REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEES, AND PROVIDED TO THE BOARDS OF YNHHS AND THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 15B: COMPENSATION PROCESS FOR OFFICERS CERTAIN OFFICERS ARE EMPLOYEES OF YNHHS, OTHER OFFICERS ARE EMPLOYED DIRECTLY BY THE ORGANIZATION. COMPENSATION DETERMINATIONS OF YNHHS EMPLOYEES ARE MADE BOTH BY THE COMPENSATION COMMITTEES AND BOARDS OF YNHHS AND THE ORGANIZATION. COMPENSATION DETERMINATION OF THE ORGANIZATION EMPLOYEES ARE MADE BY THE ORGANIZATION'S COMPENSATION COMMITTEE AND BOARD. THE EXECUTIVE COMPENSATION COMMITTEES OF BRIDGEPORT HOSPITAL AND YNHHS STRIVE TO TAKE THE STEPS NECESSARY TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER FEDERAL TAX LAW. THE EXECUTIVE COMPENSATION COMMITTEES ARE RESPONSIBLE FOR (1) DETERMINING THE OVERALL TOTAL COMPENSATION STRATEGY FOR ALL THEIR RESPECTIVE CORPORATE OFFICERS, (2) APPROVING ALL COMPENSATION AND BENEFITS DECISIONS FOR CORPORATE OFFICERS, AND (3) REPORTING SUCH ACTIONS TO THE FULL BRIDGEPORT HOSPITAL AND YNHHS BOARD ON AN ANNUAL BASIS, AS APPLICABLE. IN ADDITION, THE EXECUTIVE COMPENSATION COMMITTEES, AS APPLICABLE, EXPRESSLY DETERMINE THE REASONABLENESS OF TOTAL COMPENSATION AND BENEFITS FOR ALL CORPORATE OFFICERS, AND ASSURES THAT ALL OFFICER COMPENSATION DECISIONS ARE MADE AFTER THOROUGH CONSIDERATION OF AND COMPARISON TO THE MARKET PRACTICES OF OTHER SIMILARLY SITUATED NOT-FOR-PROFIT HEALTHCARE EXECUTIVES IN COMPARABLE ORGANIZATIONS. THE EXECUTIVE COMPENSATION COMMITTEES CONSIST OF BOARD MEMBERS WHO DO NOT HAVE MATERIAL FINANCIAL INTERESTS THAT COULD BE AFFECTED BY THE OFFICER COMPENSATION DECISIONS MADE BY THE COMMITTEES. THE COMPARABILITY DATA USED TO ASSIST THE EXECUTIVE COMPENSATION COMMITTEES IN THEIR COMPENSATION DELIBERATIONS ARE COMPILED BY AN INDEPENDENT, NATIONAL COMPENSATION CONSULTING FIRM THAT IS RETAINED BY AND REPORTS DIRECTLY TO THE EXECUTIVE COMPENSATION COMMITTEES. THE DATA COLLECTED BY THE CONSULTANT CONSISTS OF MARKET INFORMATION FOR EXECUTIVES IN FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS. THE DELIBERATIONS AND DECISIONS OF THE EXECUTIVE COMPENSATION COMMITTEES ARE CONTEMPORANEOUSLY DOCUMENTED, REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEES, AND PROVIDED TO THE BOARDS OF YNHHS AND/OR THE ORGANIZATION, AS APPLICABLE. 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 76,709,100. MANAGEMENT AND GENERAL EXPENSES 16,666,715. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 93,375,815. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 40,074,579. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,074,579. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 8,562,799. MANAGEMENT AND GENERAL EXPENSES 2,249,366. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,812,165. FORM 990, PART XI, LINE 9: INCREASE IN UNRESTRICTED NET ASSETS - PENSION LIABILITY 14,765,000. NET CHANGE IN INTEREST IN FOUNDATION 5,061,318. NET CONTRIBUTION/RESTRICTED 481,993. OTHER CHANGES -72,713. TRANSFERS FROM BHF 2,661,817. ASSOCIATED SPECIALISTS OF SOUTHEASTERN CTINC - DISSOLVED 918 365 MONTAUK AVENUE NEW LONDON CT 06320 208006123 HEALTHCARE SERVICES CT 501C3 LINE 12A, I LAWRENCE MEMORIAL HOSPITAL INC 1 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 CORPORATION 1 LAWRENCE MEMORIAL CORPORATION 365 MONTAUK AVENUE NEW LONDON CT 06320 222553028 PROMOTE HEALTHCARE CT 501C3 LINE 12A, I YALE NEW HAVEN HEALTH SERVICES CORP 1 LAWRENCE AND MEMORIAL FOUNDATION INC - DISSOLVED ON 918 365 MONTAUK AVENUE NEW LONDON CT 06320 222553026 FUNDRAISING SERVICES CT 501C3 PF LAWRENCE MEMORIAL CORPORATION 1 LAWRENCE MEMORIAL HOSPITAL INC 365 MONTAUK AVENUE NEW LONDON CT 06320 060646704 HEALTHCARE SERVICES CT 501C3 LINE 3 LAWRENCE MEMORIAL CORPORATION 1 LMW HEALTHCARE INC 365 MONTAUK AVENUE NEW HAVEN CT 06320 460543230 HEALTHCARE SERVICES RI 501C3 LINE 3 LAWRENCE MEMORIAL CORPORATION 1 NORTHEAST MEDICAL GROUP INC 99 HAWLEY LANE STRATFORD CT 06614 061330992 HEALTHCARE SERVICES CT 501C3 LINE 10 YALE NEW HAVEN HEALTH SERVICES CORP 1 NORTHEAST MEDICAL GROUP PLLC 99 HAWLEY LANE STRATFORD CT 06614 352380180 HEALTHCARE SERVICES CT 501C3 LINE 12A, I NORTHEAST MEDICAL GROUP INC 1 PERRYRIDGE CORPORATION 5 PERRYRIDGE ROAD GREENWICH CT 06830 061207316 SYSTEM SUPPORT SERVICES CT 501C3 LINE 10 GREENWICH HOSPITAL 1 SOUTHERN CONNECTICUT HEALTH SYSTEM PROPERTIES INC 267 GRANT STREET BRIDGEPORT CT 06610 061297708 TITLE HOLDING CT 501C2 BRIDGEPORT HOSPITAL 1 THE GREENWICH HOSPITAL ENDOWMENT FUND INC 5 PERRYRIDGE ROAD GREENWICH CT 06830 061526642 SYSTEM SUPPORT SERVICES CT 501C3 LINE 12B, II GREENWICH HOSPITAL 1 THE WESTERLY HOSPITAL FOUNDATION INC 25 WELLS STREET WESTERLY RI 02891 050508064 FUNDRAISING SERVICES RI 501C3 LINE 12A, I LMW HEALTHCAREINC 1 VISITING NURSE ASSOCIATION OF SOUTHEREASTERN CONNECTICUT INC 403 NORTH FRONTAGE ROAD WATERFORD CT 06385 060646616 HOME HEALTHCARE SERVICES CT 501C3 LINE 10 LAWRENCE MEMORIAL CORPORATION 1 WESTERLY HOSPITAL AUXILIARY INC 25 WELLS STREET WESTERLY RI 02891 222507181 FUNDRAISING ACTIVITIES RI 501C3 LINE 12A, I LMW HEALTHCARE INC 1 YALE NEW HAVEN HEALTH SERVICES CORP 789 HOWARD AVE NEW HAVEN CT 06519 222529464 SYSTEM SUPPORT SERVICES CT 501C3 LINE 12A, I N/A 0 YALE NEW HAVEN HOSPITAL 20 YORK STREET NEW HAVEN CT 06504 060646652 HEALTHCARE SERVICES CT 501C3 LINE 3 YALE NEW HAVEN HEALTH SERVICES CORP 1 YALE-NEW HAVEN CARE CONTINUUM CORP 789 HOWARD AVE NEW HAVEN CT 06519 455235566 NURSING HOME CT 501C3 LINE 3 YALE NEW HAVEN HOSPITAL 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 SHORELINE ENDOSCOPY CENTER LLC 800 BOSTON POST ROAD GUILFORD CT 06437 900110459 HEALTHCARE SERVICES CT N/A SSC II LLC - 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