2019-08-05T09:32:31-05:00 2018-09-30 990 2017-10-01 060646813 SAINT FRANCIS HOSPITAL AND MEDICAL CENTER SAIN 8607144000 114 WOODLAND STREET MS-510358 HARTFORD CT 06105 JENNIFER SCHNEIDER VP FINANCE 8607144000 2019-08-05 170.232.227.252 2019-08-05 09:32:03 ED P 5D794220C68C161820A811785299AFD302F4C684 8121CA463AABFA4EFE5158FD2073B628CA1C8F6D 2017 2019-02-21 02:37:17Z JOHN RODIS 114 WOODLAND STREET MS-510358 HARTFORD CT 06105 981731533 0 0928 X WWW.STFRANCISCARE.ORG/HARTFORD X 1897 CT TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES 16 10 5346 591 1225485 -473209 3782199 3190143 798272927 902655792 5502418 6217349 37276620 63403122 844834164 975466406 182782 425376 0 0 315933820 312229988 0 0 0 484375039 576753418 800491641 889408782 44342523 86057624 830149496 942179503 597739209 580898927 232410287 361280576 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 780785333 425376 958193316 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.STFRANCISCARE.ORG/HARTFORD 780785333 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 1 296 0 1 5346 1 1 1 0 0 0 0 0 0 0 0 0 X 16 10 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 1 1 1 X DONNA GILBERT 8607149632 114 WOODLAND STREET MS-510358 HARTFORD CT 06105 JOHN RODIS MD DIRECTOR, PRESIDENT 52.00 3.00 X X 97217 1098059 54077 P ANTHONY GIORGIO DIRECTOR, CHAIR 1.00 1.00 X X 0 0 0 WALTER HARRISON DIRECTOR, VICE CHAIR 1.00 0.00 X X 0 0 0 BARBARA CALDERONE DIRECTOR, SECRETARY 1.00 0.00 X X 0 0 0 ADRIENNE COCHRANE DIRECTOR 1.00 0.00 X 0 0 0 STEVEN COHEN MD DIRECTOR; PHYSICIAN 5.00 1.00 X 30700 6200 0 REGINALD EADIE MD DIR & TH OF NE PRES/CEO AS OF 3/18 1.00 54.00 X 0 0 0 ROBERT ELLIS DIRECTOR 1.00 2.00 X 0 0 0 DOUGLAS GERARD MD DIRECTOR 1.00 0.00 X 0 0 0 PHILIP KARANIAN MD DIRECTOR 1.00 0.00 X 0 0 0 PATRICK KINNEY DIRECTOR 1.00 0.00 X 0 0 0 ANNE MASSUCCO DIRECTOR; MEDICAL STAFF SEC/TREAS 5.00 2.00 X 75000 0 0 BARBARA MULLEN CSJ DIRECTOR 1.00 0.00 X 0 0 0 ANTHONY POSTERARO III MD DIRECTOR 1.00 0.00 X 0 0 0 GALO RODRIGUEZ MPH DIRECTOR THROUGH 12/17 1.00 0.00 X 0 0 0 FRANKLIN ROSENBERG MD DIRECTOR 1.00 0.00 X 0 0 0 JOSEPH SPALLUTO DIRECTOR 1.00 0.00 X 0 0 0 HEATHER HRUSKOCY ASST SECRETARY; EXECUTIVE ASST 40.00 0.00 X 86371 0 28491 JAMES HARRIS ASST TREAS 12/17; TH OF NE DIR REIM 1.00 49.00 X 0 211863 20457 JENNIFER SCHNEIDER VP FINANCE 42.00 8.00 X 343990 0 54009 THOMAS BURKE VP OPERATIONS 30.00 20.00 X 238651 0 38554 MICHAEL GREY MD CHAIR OF MEDICINE 10.00 40.00 X 0 463932 14910 LYNN ROSSINI SVP & CHIEF DEVELOPMENT OFFICER 0.00 50.00 X 376617 0 34244 DENISE PETERSON SVP & CNO THRU 4/18 50.00 0.00 X 366205 0 38346 DERRICK AMATO ADMIN DIRECTOR, OCCUP HEALTH PRES 50.00 0.00 X 299547 0 34647 ROBERT FALAGUERRA VP FACILITIES, SUPPORT SVCS & CONSTR 50.00 0.00 X 278761 0 49775 DENNIS SPARKS VP HUMAN RESOURCES 50.00 0.00 X 271601 0 29304 ROBERT CHRISTOPHER HARTLEY FORMER KEY EMPLOYEE 0.00 0.00 X 210409 0 5003 LINDA SHANLEY FORMER KE; TH OF NE VP AND CIO 0.00 50.00 X 0 349055 27710 SHERI LEMIEUX FORMER OFFICER; EXECUTIVE ASST 0.00 40.00 X 0 134731 13003 JANEANNE LUBIN-SZAFRANSKI FMR KE; TH OF NE SVP LEGAL THR 9/17 0.00 50.00 X 51587 481901 46724 DAVID BITTNER FORMER KEY EMPLOYEE, TH OF NE CFO 0.00 50.00 X 72171 603369 44804 CHRISTOPHER DADLEZ FMR OFFICER; TH OF NE PRES THR 12/17 0.00 55.00 X 0 1391238 78490 ADAM SILVERMAN FORMER KEY EMPLOYEE; TH OF NE VP 0.00 50.00 X 0 476366 29670 2798827 5216714 642218 378 1 1 0 UCONN HEALTH CENTER 263 FARMINGTON AVENUE FARMINGTON CT 060301921 PHYSICIAN FEES 18361517 EPIC 1979 MILKY WAY VERONA WI 53593 SOFTWARE MAINTENANCE FEES 7577989 TEK SYSTEMS INC 7437 RACE ROAD HANOVER MD 21076 TEMPORARY IT SERVICES 6976181 YALE NEW HAVEN HOSPITAL PO BOX 1403 NEW HAVEN CT 065041403 HEALTH CARE SERVICES 4867925 C&W FACILITY SERVICES INC 144 MAIN STREET EAST HARTFORD CT 06118 HOUSEKEEPING 3203924 139 724710 2305340 160093 3190143 NET PATIENT SERVICE REVENUE 622110 902655792 901464144 1191648 902655792 3694991 3694991 7386441 5324214 2062227 2062227 2062227 3463271 0 940913 3463271 -940913 2522358 2522358 INTERCOMPANY ALLOCATION REV 561000 41133583 41133583 OTHER PATIENT SERVICES 622110 9623974 9623974 CAFETERIA 722514 3085493 3085493 7497845 5971615 33837 1492393 61340895 975466406 958193316 1225485 12857462 X 402426 402426 22950 22950 2145119 105700 2039419 265955935 214256178 51699757 9854322 7928541 1925781 14687082 11844687 2842395 19587530 15670024 3917506 7201 7201 2940 2940 154462 154462 90455798 86301330 4154468 63562 5560 58002 9413157 8534098 879059 299583 294685 4898 34151820 31527704 2624116 1018100 916478 101622 10462014 10462014 38100590 34297567 3803023 7117825 6407357 710468 MEDICAL SUPPLIES 142196099 142196099 I/C PURCHASED SERVICES 124336425 112817553 11518872 HOSPITAL PROVIDER TAX 67201196 67201196 BAD DEBT EXPENSE 19148353 19148353 32624293 10444833 22179460 889408782 780785333 108623449 0 16676615 5455010 109093864 107882329 668222 668222 8663341 8774973 2620632 1983677 473044761 120710960 376727002 352333801 127662460 137878792 26313597 22005369 7050000 7050000 154673763 298147330 830149496 942179503 310367267 267423164 405034 26905 239493127 2189066 47473781 311259792 597739209 580898927 X 141865743 263055186 29334041 33897006 61210503 64328384 232410287 361280576 830149496 942179503 X 86057624 3553115 39259550 X X 0 1 X 1 1 1 X 0 0 0 0 0 1 58334 0 0 0 58334 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. 77617503 4063166 81680669 69463359 8154144 77617503 65802167 3661192 69463359 70923245 -5121078 65802167 68114560 2808685 70923245 0.15540 0.78760 0.05700 0 0 8360000 8360000 293644968 36231973 257412995 1770000 318466 1451534 162485242 84160521 78324721 6784551 6784551 352333801 INTERCOMPANY ACCOUNTS RECEIVABLE 256460621 MISCELLANEOUS RECEIVABLES 5604388 INVESTMENT IN AFFILIATES 9308413 INTERCOMPANY OTHER ASSETS 9539221 REINSURANCE RECOVERY 14221307 OTHER LONG TERM ASSETS 3013380 298147330 INTERCOMPANY ACCOUNTS PAYABLE 32812394 ASSET RETIREMENT OBILIGATION 6775724 DEFERRED COMPENSATION LIABILITY 1320150 OTHER CURRENT LIABILITIES 14424362 INTERCOMPANY NOTES PAYABLE 252819598 OTHER LONG TERM LIABILITIES 3107564 311259792 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 5086820 5086820 0.00580 214234856 164740253 49494603 0.05690 219321676 164740253 54581423 0.06270 3895388 1240807 2654581 0.00310 32429557 10820553 21609004 0.02480 244008 244008 0.00030 281542 281542 0.00030 36850495 12061360 24789135 0.02850 256172171 176801613 79370558 0.09120 49612 49612 0.00010 66163 66163 0.00010 115775 115775 0.00020 1 19148353 0 185120844 208217003 -23096159 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.STFRANCISCARE.ORG/HARTFORD 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 15 1 1 1 1 X SEE SCHEDULE H, PART V, SECTION C X SEE SCHEDULE H, PART V, SECTION C X 1 15 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 WWW.STFRANCISCARE.ORG/BILLING-FINANCIAL-ASSISTANCE X WWW.STFRANCISCARE.ORG/BILLING-FINANCIAL-ASSISTANCE X WWW.STFRANCISCARE.ORG/BILLING-FINANCIAL-ASSISTANCE 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 INCLUDED IN ITS CHNA WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS, WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: COMMUNITY SAFETY AND VIOLENCEFAMILY & SOCIAL SUPPORT EMPLOYMENT AND POVERTY ACCESS TO CARE - INTEGRATION OF CLINICAL AND COMMUNITY CARE (BEHAVIORAL HEALTH FOCUS)HOUSING INSECURITY SAINT FRANCIS HOSPITAL AND MEDICAL CENTER PART V, SECTION B, LINE 5: THE SAINT FRANCIS HOSPITAL AND MEDICAL CENTER (SAINT FRANCIS HOSPITAL) CHNA IS BASED ON AN ITERATIVE COMMUNITY ENGAGEMENT AND DATA COLLECTION STRATEGY THAT BEGAN IN JULY OF 2015 AND CONTINUED FOR THE NEXT ELEVEN MONTHS. THE CHNA RESEARCH TEAM FOR THE THREE TRINITY HEALTH HOSPITALS IN NORTHERN CONNECTICUT (JOHNSON MEMORIAL HOSPITAL, MOUNT SINAI REHABILITATION HOSPITAL (MOUNT SINAI HOSPITAL) AND SAINT FRANCIS HOSPITAL) INCLUDED REPRESENTATIVES FROM UNIVERSITY OF CONNECTICUT, CONNECTICUT CHILDREN'S MEDICAL CENTER, JOHNSON MEMORIAL HOSPITAL, SAINT FRANCIS HOSPITAL, MOUNT SINAI HOSPITAL, THE CURTIS D. ROBINSON CENTER FOR HEALTH EQUITY, COMMUNITY SOLUTIONS, THE HARTFORD FOUNDATION FOR PUBLIC GIVING, CITY OF HARTFORD HEALTH AND HUMAN SERVICES AND DATAHAVEN. THIS GROUP OF LOCAL AGENCIES PROVIDES SERVICES TO HARTFORD RESIDENTS WITH A TARGETED FOCUS ON LOW INCOME, MEDICALLY VULNERABLE, AND THE ELDERLY POPULATION. THE CHNA PROCESS INCLUDED MULTIPLE TECHNIQUES TO ENGAGE COMMUNITY MEMBER INPUT, INCLUDING A COMPREHENSIVE RANDOMIZED TELEPHONE SURVEY, A WRITTEN PARTICIPANT SURVEY, INTERVIEWS AND INFORMAL DISCUSSIONS WITH "KEY INFORMANTS"-COMMUNITY LEADERS AND LEADERS OF PARTNER AGENCIES. PRIOR TO PUBLICATION, A COMMUNITY MEETING TO PRIORITIZE FINDINGS FROM THE DATA WAS HELD WITH COMMUNITY MEMBERS, FAITH LEADERS, GOVERNMENT REPRESENTATIVES, HEALTH CARE LEADERS, LOCAL COMMUNITY AGENCY STAFF AND COMMUNITY DEVELOPMENT REPRESENTATIVES. 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, JOHNSON MEMORIAL HOSPITAL, AND MOUNT SINAI HOSPITAL. SAINT FRANCIS HOSPITAL AND MEDICAL CENTER PART V, SECTION B, LINE 6B: SAINT FRANCIS HOSPITAL ALSO COLLABORATED WITH THE FOLLOWING COMMUNITY ORGANIZATIONS WHILE CONDUCTING ITS MOST RECENT CHNA: CITY OF HARTFORD/DEPARTMENT OF HEALTH AND HUMAN SERVICES, COMMUNITY SOLUTIONS, DATAHAVEN, HARTFORD FOUNDATION FOR PUBLIC GIVING, AND THE UNIVERSITY OF CONNECTICUT MEDICAL SCHOOL. 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, WHICH BEGAN IN FEBRUARY 2016. 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 FY18 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:1) NEIGHBORHOOD SAFETY AND VIOLENCE PREVENTION WERE THE HIGHEST PRIORITIES OF THE COMMUNITY DURING THE CHNA COMMUNITY DISCUSSION. INVESTMENTS FROM WELL BEING 360 HAVE CONTINUED IN FY18 TO LOCAL ORGANIZATIONS THAT CAN HAVE AN IMPACT ON THIS ISSUE, INCLUDING:A. GREATER HARTFORD HARM REDUCTION COALITION - AN OPIOID HARM REDUCTION AGENCYB. HARTFORD COMMUNITIES THAT CARE - A VIOLENCE PREVENTION AND RETALIATION REDUCTION PROGRAMC. NORTH HARTFORD TRIPLE AIM COLLABORATIVE - A HEALTH COLLABORATIVE BEING DEVELOPED TO ADDRESS DISPARITIES IN THE NORTH END OF HARTFORD INCLUDING IMPROVEMENT OF NEIGHBORHOOD SAFETY2) FAMILY AND SOCIAL SUPPORT - ACCESS TO HEALTHY FOODS WAS ANOTHER PRIORITY IDENTIFIED IN THE CHNA. THE WELL BEING 360 INVESTMENTS DURING FY18 CONTINUED TO FOCUS RESOURCES IN THIS AREA BY PARTNERING WITH THE FOLLOWING AGENCIES:A. COOKING MATTERS - A PROGRAM TO HELP FAMILIES LEARN HEALTHY LOW BUDGET COOKING SKILLSB. LIVE WELL DIABETES - A WORKSHOP SERIES THAT SUPPORTS THOSE SUFFERING FROM DIABETES AND PRE-DIABETESC. DIABETES PREVENTION PROGRAM- A COLLABORATION WITH THE YMCA TO PROVIDE THIS EVIDENCE BASED PROGRAM FOR FREE TO PATIENTS REFERRED FROM THE MEDICAL CLINIC3) FAMILY AND SOCIAL SUPPORT - TOBACCO USEA. SUPPORT FOR CHANGES IN POLICY AT THE STATE LEVEL TO CHANGE SMOKING LAWS SO THAT YOU NEED TO BE 21 YEARS OLD TO PURCHASE TOBACCO (TOBACCO 21) ARE ALSO A PART OF THE WELL BEING 360 WORK. PARTNERING WITH THE GOVERNMENT AND RELATIONS DEPARTMENT AT THE REGIONAL HEALTH MINISTRY HAS ENABLED OUR SYSTEM TO APPROACH THIS WORK AT A SYSTEMS LEVEL B. STAFF FROM THE REGIONAL OFFICE HAS JOINED THE MATCH (MOBILIZING AGAINST TOBACCO FOR CONNECTICUT'S HEALTH) COALITION TO SUPPORT CHANGES THAT SUPPORT NON-SMOKING BEHAVIOR AND ENGAGEMENT OF YOUTH TO SUPPORT THE EFFORT DURING FY18 RESULTED IN PASSAGE OF T21 LEGISLATION IN THE CITY OF HARTFORD. 4) INTEGRATION OF COMMUNITY AND CLINICAL CARE - THIS ISSUE WAS ADDRESSED BY THE COMMUNITY AS A NEED TO HAVE BETTER ACCESS TO HEALTH CARE SERVICES, SPECIFICALLY 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 FY18 CONTINUE TO INCLUDE:A. CHRYSALIS CENTER - WHO PROVIDE SOCIAL SUPPORT WRAP AROUND SERVICES FOR HIGH NEED BEHAVIORAL HEALTH CLIENTSB. COMMUNITY CARE TEAM - A COLLABORATION WITH LOCAL HOSPITALS TO COORDINATE SUPPORT FOR BEHAVIORAL HEALTH PATIENTS THAT FREQUENTLY USE THE EMERGENCY DEPARTMENTC. 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 RESOURCES5) HOUSING INSECURITY IS A SIGNIFICANT ISSUE IN HARTFORD AND WAS IDENTIFIED BY THE COMMUNITY AS A CONCERN. IN FY18, 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. IN THIS PAST YEAR, WE COLLABORATED WITH COMMUNITY SOLUTIONS FOR A GRANT FROM THE RASKOB FOUNDATION WHICH WAS DESIGNED TO SUPPORT THE CREATION OF A LAND BANK AND A LAND TRUST TO STABILIZE AFFORDABLE HOUSING OPTIONS IN HARTFORD. 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. NOT ALL NEEDS IDENTIFIED IN THE CHNA ARE BEING ADDRESSED, FOR EXAMPLE POVERTY AND LACK OF EMPLOYMENT OPPORTUNITIES ARE ISSUES THE HOSPITAL IS NOT EQUIPPED TO DIRECTLY ADDRESS. ALTHOUGH PARTNERSHIPS WITH LOCAL AGENCIES HAVE TAKEN PLACE, THESE NEEDS WERE NOT INITIALLY ADDRESSED DUE TO THE LACK OF EXPERTISE AND RESOURCES IN THIS AREA. HOWEVER, OVER THE PAST 2 YEARS THE HOSPITAL HAS INVESTED RESOURCES IN LEADERSHIP STAFF TO BETTER UNDERSTAND HOW TO HAVE AN IMPACT IN THIS AREA. SPECIFICALLY, THE ANCHOR INSTITUTION APPROACH HAS BEEN EMBRACED AND IS TAKING SHAPE AS THE HOSPITAL BEGINS TO PARTNER WITH COMMUNITY DEVELOPMENT FINANCE INSTITUTIONS AND OTHERS WHO ARE FOCUSED ON COMMUNITY DEVELOPMENT AS A SOLUTION TO POVERTY AND EMPLOYMENT ISSUES. THIS WORK IS JUST GETTING UNDERWAY AND A NUMBER OF OPPORTUNITIES ARE NOW COMING TOGETHER THAT COULD ALLOW FOR THE HOSPITAL TO LEVERAGE RESOURCES AND HAVE A SIGNIFICANT IMPACT ON THESE NEEDS. 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.STFRANCISCARE.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-3068 SAINT FRANCIS HOSPITAL AND MEDICAL CENTER - PART V, SECTION B, LINE 7B: WWW.TRINITYHEALTHOFNE.ORG/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.STFRANCISCARE.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-3068 22 1 - SIMSBURY OFFICES & URGENT CARE 1502 HOPMEADOW ST 30 DORSET CROSSING SIMSBURY CT 06070 MEDICAL OFFICES AND COMMUNITY SPACE 2 - ENFIELD ACCESS CENTER 7 ELM STREET ENFIELD CT 06082 MEDICAL OFFICES AND COMMUNITY EDUCATION SPACE / LABORATORY SERVICES 3 - BLOOMFIELD MEDICAL OFFICE & URGENT CARE 421 COTTAGE GROVE ROAD BLOOMFIELD CT 06002 WALK-IN CLINIC AND MEDICAL OFFICES / LABORATORY SERVICES 4 - WINDSOR - SF GI ENDOSCOPY CENTER 360 BLOOMFIELD AVENUE WINDSOR CT 06095 ENDOSCOPY 5 - WEST HARTFORD MEDICAL OFFICES 345 NORTH MAIN STREET WEST HARTFORD CT 06109 MEDICAL OFFICES AND IT TRAINING SPACE / LABORATORY SERVICES 6 - MANCHESTER MEDICAL OFFICES 515 WEST MIDDLE TPK MANCHESTER CT 06048 MEDICAL OFFICES AND COMMUNITY SPACE 7 - AVON ACCESS CENTER 35 NOD ROAD AVON CT 06001 MEDICAL OFFICES AND EDUCATION SPACE / LABORATORY SERVICES 8 - FARMINGTON MEDICAL OFFICES 11 SOUTH ROAD SUITE 200 FARMINGTON CT 06032 MEDICAL OFFICE 9 - GLASTONBURY ACCESS CENTER 31 SYCAMORE COMMONS GLASTONBURY CT 06033 MEDICAL OFFICES AND COMMUNITY EDUCATION SPACE / LABORATORY SERVICES 10 - HARTFORD 500 BLUE HILLS AVE HARTFORD CT 06112 LABORATORY SERVICES 11 - EAST HARTFORD ACCESS CENTER 893 MAIN STREET EAST HARTFORD CT 06108 MEDICAL OFFICES / LABORATORY SERVICES 12 - HARTFORD 1000 ASYLUM ST STE 3209 HARTFORD CT 06103 LABORATORY SERVICES 13 - BLOOMFIELD 580 COTTAGE GROVE RD BLOOMFIELD CT 06002 LABORATORY SERVICES 14 - WEST HARTFORD 928 FARMINGTON AVE WEST HARTFORD CT 06107 LABORATORY SERVICES 15 - ROCKY HILL 506 CROMWELL AVE ROCKY HILL CT 06067 LABORATORY SERVICES 16 - ROCKY HILL 2301 SILAS DEANE HWY ROCKY HILL CT 06067 LABORATORY SERVICES 17 - AVON 44 DALE RD AVON CT 06001 LABORATORY SERVICES 18 - HARTFORD 19 WOODLAND ST HARTFORD CT 06105 LABORATORY SERVICES 19 - ROCKY HILL MEDICAL OFFICES 546 CROMWELL AVE SUITE 100 ROCKY HILL CT 06067 MEDICAL OFFICE 20 - BOLTON 921 BOSTON TURNPIKE BOLTON CT 06043 LABORATORY SERVICES 21 - SOUTH WINDSOR 435 BUCKLAND RD SOUTH WINDSOR CT 06074 LABORATORY SERVICES 22 - BARIATRIC CENTER AT SAINT FRANCIS 220 FARMINGTON AVE FARMINGTON CT 06032 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, $19,148,353, 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: TWO PROGRAMS TO SUPPORT THE HEALTH OF THE COMMUNITY WERE UNDERTAKEN IN FY18 INCLUSIVE OF SUPPORT FOR A CHILDREN'S LITERACY PROGRAM CALLED READ TO GROW, WHICH IS BASED ON EVIDENCE OF THE VALUE OF HAVING BOOKS IN THE HOMES OF YOUNG CHILDREN AS A WAY TO IMPROVE BOTH EDUCATIONAL OPPORTUNITIES AND KNOWLEDGE. OTHER PROGRAMS RUN BY THIS OFFICE INCLUDE SUPPORT FOR THE LOCAL MAGNET SCHOOL, WHICH HAS A FOCUS ON HEALTH AND SCIENCE, AS WELL AS A JOB SHADOWING PROGRAM THAT 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. THE OTHER ITEM THAT THE HOSPITAL SUPPORTS IN THIS AREA IS DISASTER PLANNING WHICH BRINGS TOGETHER AGENCIES FROM ACROSS THE GREATER HARTFORD REGION TO PARTICIPATE IN DRILLS THAT HELP TO IDENTIFY AREAS OF NEED OF IMPROVEMENT IN ORDER TO HAVE A SMOOTH RESPONSE TO ANY DISASTERS THAT MAY ARISE. 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 ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE FROM PAGE 14 OF THOSE STATEMENTS: "THE CORPORATION RECOGNIZES A SIGNIFICANT AMOUNT OF PATIENT SERVICE REVENUE AT THE TIME THE SERVICES ARE RENDERED EVEN THOUGH THE CORPORATION DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY AT THAT TIME. AS A RESULT, THE PROVISION FOR BAD DEBTS IS PRESENTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL PROVISIONS AND DISCOUNTS). FOR UNINSURED AND UNDERINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE CORPORATION ESTABLISHES AN ALLOWANCE TO REDUCE THE CARRYING VALUE OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. THIS ALLOWANCE IS ESTABLISHED BASED ON THE AGING OF ACCOUNTS RECEIVABLE AND THE HISTORICAL COLLECTION EXPERIENCE BY THE HEALTH MINISTRIES FOR EACH TYPE OF PAYOR. A SIGNIFICANT PORTION OF THE CORPORATION'S PROVISION FOR DOUBTFUL ACCOUNTS RELATES TO SELF-PAY PATIENTS, AS WELL AS CO-PAYMENTS AND DEDUCTIBLES OWED TO THE CORPORATION BY PATIENTS WITH INSURANCE."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 INCLUDING AN ANNUAL TOWN HALL; REGULAR 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 - HARTFORD HAS A POPULATION OF 125,000, SOME 44% OF ITS CITIZENS ARE HISPANIC/LATINO AND 35% ARE BLACK/AFRICAN AMERICAN, WITH SUBGROUPS THAT INCLUDE REFUGEES AND IMMIGRANTS FROM AFRICA, EASTERN EUROPE, THE MIDDLE EAST, ASIA, SOUTH AMERICA, AND THE WEST INDIES. ABOUT 22% OF THE TOTAL POPULATION IN HARTFORD IS FOREIGN BORN, BRINGING A TREMENDOUS DIVERSITY TO THE CITY. LEVELS OF POVERTY IN HARTFORD ARE HIGHER THAN THE STATE AS A WHOLE; 35% VS. 10% RESPECTIVELY. ADDITIONALLY, THE NEIGHBORHOODS AROUND THE HOSPITAL HAVE BEEN DESIGNATED AS A FEDERAL PROMISE ZONE IN LARGE PART DUE TO THE HIGH RATES OF POVERTY, LACK OF SAFETY AND POOR HEALTH OUTCOMES. THE CONNECTICUT TRINITY HEALTH OF NEW ENGLAND SERVICE AREA IS MADE UP OF A TOTAL OF 87 TOWNS WITH A TOTAL POPULATION OF ABOUT 1.5 MILLION AS OF 2017. THERE ARE A TOTAL OF 16 ACUTE CARE LOCATIONS THROUGHOUT THE COMMUNITY. WITHIN THE AREA, THE MEDIAN HOUSEHOLD INCOME IS $76,693, MEDIAN AGE IS 39.8 AND THE UNEMPLOYMENT RATE IS 5.4%. THE HEALTH AND RESOURCES AND SERVICES ADMINISTRATION HAS DESIGNATED 29 MEDICALLY UNDERSERVED AREAS/POPULATIONS FOR THE STATE OF CONNECTICUT. WITHIN THE TRINITY HEALTH OF NEW ENGLAND SERVICE AREA, THE FOLLOWING SERVICE AREAS WERE DESIGNATED AS MEDICALLY UNDERSERVED AREAS AND POPULATIONS: SAINT FRANCIS HOSPITAL SERVICE AREA TOWNS: CENTRAL BRISTOL, HARTFORD, NEW BRITAIN, MIDDLETOWN, MERIDENJOHNSON MEMORIAL HOSPITAL SERVICE AREA TOWNS: VERNONSAINT MARY'S HOSPITAL SERVICE AREA TOWNS: CENTRAL WATERBURYMOUNT SINAI HOSPITAL SERVES ALL OF THESE TOWNS. PART VI, LINE 5: OTHER INFORMATION - FREE LECTURES AND SEMINARS ARE OFFERED BY CLINICAL STAFF IN RESPONSE TO COMMUNITY REQUESTS; HOSPITAL STAFF SERVE ON NUMEROUS LOCAL AND STATE LEVEL BOARDS AND COMMITTEES; COMMUNITY BENEFIT DOLLARS HAVE BEEN ALLOCATED TO SUPPORT THE TRANSFORMING COMMUNITIES INITIATIVE CALLED WELL BEING 360 AND PARTNERSHIPS WITH STATE AGENCIES AND LOCAL HEALTH CARE PROVIDERS, ALL SERVE 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 THE PRIORITIES OUTLINED IN THE RECENTLY COMPLETED 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. STILL IN THE EARLY PHASE, 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. THE COLLABORATIVE IS LED BY COMMUNITY SOLUTIONS' GINA FEDERICO WHO ALSO SERVES AS THE ASSOCIATE DIRECTOR OF WELL BEING 360. MARY STUART IS THE HEALTH EQUITY PROGRAM OFFICER AND THE DIRECTOR OF THE WELL BEING 360 INITIATIVE. TOBACCO 21 - ACTIVITIES INCLUDE JOINING THE STATE TOBACCO COALITION - MOBILIZE AGAINST TOBACCO FOR CONNECTICUT'S HEALTH (MATCH) AND SUBMITTING A TOBACCO 21 BILL FOR VOTE BY THE LEGISLATURE (WHICH MADE IT OUT OF COMMITTEE BUT UNFORTUNATELY DID NOT PASS).SMOKE FREE CAMPUS - ACTIVITIES INCLUDE REVIEW OF CURRENT POLICY TO STRENGTHEN WORDING, UPDATING ELECTRONIC SIGNAGE THROUGHOUT THE HOSPITAL, AND PROMOTION THROUGH SOCIAL MEDIA.BREASTFEEDING AND BABY FRIENDLY - ACTIVITIES INCLUDE COMPLETION OF BABY FRIENDLY ASSESSMENT AND SUBMISSION FOR REVIEW, AND COMMUNITY CONVERSATION ABOUT OUR HOSPITAL'S COMMITMENT TO CREATING ENVIRONMENTS AND POLICIES THAT SUPPORT BREASTFEEDING, PUBLIC EDUCATION OR CALL TO ACTION TO THE BROADER COMMUNITY. 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 MINISTRIES DEFINE - AND ACHIEVE - SPECIFIC COMMUNITY HEALTH AND WELL-BEING GOALS. IN FISCAL YEAR 2018, EVERY MINISTRY FOCUSED ON FOUR GOALS: 1. REDUCE TOBACCO USE 2. REDUCE OBESITY PREVALENCE3. ADDRESS AT LEAST ONE SIGNIFICANT HEALTH NEED IDENTIFIED IN THE MINISTRY COMMUNITY HEALTH NEEDS ASSESSMENT4. ADDRESS AT LEAST ONE SOCIAL DETERMINANT OF HEALTH TRINITY HEALTH ACKNOWLEDGES THE IMPACT SOCIAL DETERMINANTS SUCH AS ADEQUATE HOUSING, SAFETY, ACCESS TO FOOD, EDUCATION, INCOME, AND HEALTH COVERAGE HAVE ON THE HEALTH OF THE COMMUNITY. IN FISCAL YEAR 2016, TRINITY HEALTH LAUNCHED THE TRANSFORMING COMMUNITIES INITIATIVE (TCI) TO ADVANCE COMMUNITY PARTNERSHIPS THAT FOCUS ON IMPROVING THE HEALTH AND WELL-BEING IN COMMUNITIES SERVED BY THE MINISTRIES OF TRINITY HEALTH. TCI IS AN INNOVATIVE FUNDING MODEL AND TECHNICAL ASSISTANCE INITIATIVE SUPPORTING EIGHT COMMUNITIES USING POLICY, SYSTEM, AND ENVIRONMENTAL (PSE) CHANGE STRATEGIES TO PREVENT TOBACCO USE AND CHILDHOOD OBESITY, AS WELL AS ADDRESS SOCIAL DETERMINANTS OF HEALTH. TRINITY HEALTH INVESTED $3.6 MILLION IN FISCAL YEAR 2018 IN TCI. IN FISCAL YEAR 2018, TRINITY HEALTH LAUNCHED THE GOOD SAMARITAN INITIATIVE (GSI) TO SUPPORT THE MOST VULNERABLE PATIENTS' SOCIAL AND ECONOMIC NEEDS IN OUR SYSTEM THROUGH INTEGRATING COMMUNITY HEALTH WORKERS AS PART OF CARE TEAMS ACROSS NINE MINISTRIES. TRINITY HEALTH INVESTED OVER $260,000 IN FISCAL YEAR 2018 IN GSI. ADDITIONALLY, TRINITY HEALTH INVESTED $500,000 IN ELEVEN GRANTS TO IMPROVE THE BUILT ENVIRONMENT ACROSS EIGHT MINISTRIES. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO OUR COMMUNITIES THROUGH PROMOTING WELLNESS AND DEVELOPING PROGRAMS SPECIFICALLY SUPPORTING THOSE WHO ARE POOR AND VULNERABLE, HELPING MANAGE CHRONIC CONDITIONS LIKE DIABETES, PROVIDING HEALTH EDUCATION, AND MOVING FORWARD POLICY, SYSTEM AND ENVIRONMENTAL CHANGE. THE ORGANIZATION WORKS TO ENSURE THAT ITS MEMBER HOSPITALS AND OTHER ENTITIES/AFFILIATES ENHANCE THE OVERALL HEALTH OF THE COMMUNITIES THEY SERVE BY ADDRESSING THE SPECIFIC NEEDS OF EACH COMMUNITY. IN FISCAL YEAR 2018, TRINITY HEALTH INVESTED OVER $1.1 BILLION IN SUCH COMMUNITY BENEFITS.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG. 1 AMERICAN CANCER SOCIETY 825 BROOK STREET ROCKY HILL CT 06067 131788491 501(C)(3) 5000 FUNDING AND CONDUCTING RESEARCH, SHARING EXPERT INFORMATION, SUPPORTING PATIENTS, AND SPREADING THE WORD ABOUT PREVENTION AMERICAN LIVER FOUNDATION 127 WASHINGTON STREET NORTH HAVEN CT 06473 362883000 501(C)(3) 7500 SUPPORT RESEARCH FOR THE PREVENTION, TREATMENT, AND CURE OF LIVER DISEASE AMERICAN RED CROSS 209 FARMINGTON AVENUE FARMINGTON CT 06032 530196605 501(C)(3) 10000 SUPPORT DISASTER RELIEF AND HELP PEOPLE DURING DISASTERS BILLINGS FORGE COMMUNITY WORKS 539 BORAD STREET HARTFORD CT 06106 261412551 501(C)(3) 5000 PROVIDE JOB TRAINING, FOOD ACCESS, AND SUSTAINABLE SOCIAL ENTERPRISES TO HELP PEOPLE CHANGE THEIR LIVES CATHOLIC CHARITIES INC 839-841 ASYLUM AVENUE HARTFORD CT 06105 060667607 501(C)(3) 10000 PROVIDE SERVICE TO PEOPLE IN NEED, TO ADVOCATE FOR JUSTICE IN SOCIAL STRUCTURES, AND TO CALL THE ENTIRE CHURCH AND OTHER PEOPLE OF GOOD WILL TO DO THE SAME CT BRAIN TUMOR ALLIANCE PO BOX 370514 WEST HARTFORD CT 06137 260307367 501(C)(3) 25000 SUPPORT PROGRAMS TO RAISE PUBLIC AWARENESS OF BRAIN TUMORS, ASSIST FAMILIES FOUNDATION FOR THE ADVANCEMENT OF CATHOLIC SCHOOLS 467 BLOOMFIELD BLOOMFIELD CT 06002 061359802 501(C)(3) 13200 SUPPORT STUDENTS AND THE CATHOLIC SCHOOLS OF THE ARCHDIOCESE OF HARTFORD HARC INC 900 ASYLUM AVENUE HARTFORD CT 06105 060710289 501(C)(3) 7500 HELP PEOPLE WITH INTELLECTUAL DISABILITY AND THEIR FAMILIES BY ADVOCATING FOR THEIR HUMAN AND CIVIL RIGHTS AND BY PROVIDING COMMUNITY-BASED SERVICES THROUGHOUT THEIR LIVES HARTFORD CHORALE 233 PEARL STREET 17 HARTFORD CT 06103 060884892 501(C)(3) 25000 ENRICH LIVES AND COMMUNITY THROUGH GREAT MUSIC HARTFORD SYMPHONY ORCHESTRA 166 CAPITOL AVE HARTFORD CT 06106 060637319 501(C)(3) 7500 ENRICH LIVES AND COMMUNITY THROUGH GREAT MUSIC JDRF (JUVENILE DIABETES RESEARCH) 20 BATTERSON PARK RD 302 FARMINGTON CT 06032 231907729 501(C)(3) 5000 IMPROVING LIVES TODAY AND TOMORROW BY ACCELERATING LIFE-CHANGING BREAKTHROUGHS TO CURE, PREVENT AND TREAT T1D AND ITS COMPLICATIONS JEWISH FAMILY SERVICES 333 BLOOMFIELD AVE A WEST HARTFORD CT 06117 060653062 501(C)(3) 5000 ENHANCE AND STRENGTHEN QUALITY OF LIFE THROUGH THE JEWISH TRADITION OF CARING AND COMPASSION JEWISH FEDERATION OF GREATER HARTFORD 333 BLLOOMFIELD AVE WEST HARTFORD CT 06117 060655482 501(C)(3) 5000 SUPPORT OF WOMEN'S PHILANTHROPY EVENT "VOICES" JORDAN PORCO FOUNDATION 225 ASYLUM ST HARTFORD CT 06103 275039555 501(C)(3) 7500 PREVENT SUICIDE, PROMOTE MENTAL HEALTH, AND CREATE A MESSAGE OF HOPE FOR YOUNG ADULTS JOURNEY HOME 255 MAIN ST HARTFORD CT 06106 800143570 501(C)(3) 7500 MISSION IS TO ENSURE A HOME FOR ALL JUNIOR ACHIEVEMENT OF SOUTHWEST NEW ENGLAND INC 70 FARMINGTON AVENUE HARTFORD CT 06105 060665972 501(C)(3) 47000 SUPPORT PROGRAMS FOCUSING ON JOB READINESS, FINANCIAL LITERACY AND ENTREPRENEURISM LEAS FOUNDATION FOR LEUKEMIA 150 TRUMBULL ST HARTFORD CT 06103 061520923 501(C)(3) 25000 TO PROMOTE AND HELP FUND ACTIVITIES ASSOCIATED WITH THE EDUCATION, RESEARCH AND TREATMENT OF LEUKEMIA MARCH OF DIMES 500 WINDING BROOK DRIVE GLASTONBURY CT 06033 131846366 501(C)(3) 5000 IMPROVE FOR THE HEALTH OF MOTHERS AND BABIES MAX CARES FOUNDATION 249 PEARL STREET HARTFORD CT 06103 474568220 501(C)(3) 9000 SUPPORT INDIVIDUALS FROM ALL WALKS OF LIFE NCCJ (NATIONAL CONFERENCE FOR COMMUNITY AND JUSTICE) 820 PROSPECT HILL RD WINDSOR CT 06095 141937658 501(C)(3) 5000 PROMOTES INCLUSION AND ACCEPTANCE BY PROVIDING EDUCATION AND ADVOCACY WHILE BUILDING COMMUNITIES THAT ARE RESPECTFUL AND JUST FOR ALL PINK AID INC 670 POST RD E WESTPORT CT 06880 471031835 501(C)(3) 5000 HELP UNDERSERVED LOCAL WOMEN SURVIVE BREAST CANCER TREATMENT WITH SUPPORT AND DIGNITY THE BRIDGE FAMILY CENTER 1022 FARMINGTON AVENUE WEST HARTFORD CT 06104 237013563 501(C)(3) 6500 FOSTER THE COURAGE AND STRENGTH IN CHILDREN AND FAMILIES TO MEET LIFE'S CHALLENGES AND BUILD FULFILLING LIVES THE BURTON & PHYLLIS HOFFMAN FOUNDATION 750 CONNECTICUT BLVD EAST HARTFORD CT 06108 061546659 501(C)(3) 5000 SUPPORT THE ARTS, HEALTH/MEDICINE, EDUCATION AND SOCIAL WELL-BEING THE BUSHNELL CENTER FOR THE PERFORMING 166 CAPITOL AVE HARTFORD CT 06106 060662112 501(C)(3) 6000 ENRICHING, ILLUMINATING, ENERGIZING, AND DELIGHTING THE SPIRIT OF THE COMMUNITY THE FRIENDS OF THE FARM AT HILLTOP PO BOX 372 SUFFIELD CT 06078 810595608 501(C)(3) 5000 HELP PEOPLE CONNECT WITH THE LAND AND LEARN FROM IT THE HARTFORD BISHOP'S FOUNDATION INC 467 BLOOMFIELD AVENUE BLOOMFIELD CT 06002 811546773 501(C)(3) 5000 GATHER AND DISTRIBUTE FINANCIAL RESOURCES TO SUPPORT THE MISSION OF THE ARCHDIOCESE OF HARTFORD THE MALTA HOUSE OF CARE FOUNDATION 99 PRATT ST 3RD FLOOR HARTFORD CT 06103 203562371 501(C)(3) 87588 PROVIDES HIGH-QUALITY, FREE PRIMARY HEALTH CARE TO UNINSURED ADULTS IN GREATER HARTFORD UNIVERSITY OF SAINT JOSEPH 1678 ASYLUM AVENUE WEST HARTFORD CT 06117 060646829 501(C)(3) 5500 SUPPORT NURSING EDUCATION URBAN LEAGUE OF GREATER HARTFORD INC 140 WOODLAND STREET HARTFORD CT 06105 066066491 501(C)(3) 5000 SUPPORT ADULT EDUCATION, YOUTH & WORKFORCE DEVELOPMENT WHEELER CLINIC INC 91 NORTHWEST DRIVE PLAINVILLE CT 06062 060867065 501(C)(3) 5000 PROVIDE EQUITABLE ACCESS TO INNOVATIVE CARE THAT IMPROVES HEALTH, RECOVERY AND GROWTH AT ALL STAGES OF LIFE WORLD AFFAIRS COUNCIL OF CONNECTICUT 1049 ASYLUM AVENUE HARTFORD CT 06105 060771570 501(C)(3) 10000 PROMOTE GREATER AWARENESS AND DIALOGUE ON IMPORTANT GLOBAL ISSUES YWCA HARTFORD REGION 135 BROAD STREET HARTFORD CT 06105 060646993 501(C)(3) 5000 WE ARE HELPING WOMEN AND GIRLS BRIDGE THE EDUCATIONAL, CAREER AND FINANCIAL GAPS TO PREPARE THEM FOR LIFE-LONG STABILITY AND ECONOMIC SECURITY SAINT FRANCIS HOSPITAL AND MEDICAL CENTER FOUNDATION 114 WOODLAND ST HARTFORD CT 06105 061008255 501(C)(3) 15138 COMMUNITY SUPPORT 33 0 EMPLOYEE CHILDREN'S SCHOLARSHIP FUND 13 13000 MULLANE NURSING AWARD 11 9950 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. X 1 1 1 1 0 0 0 0 0 0 0 JOHN RODIS MD DIRECTOR, PRESIDENT 96217 693657 0 226950 1000 177452 7991 12150 5133 28803 110341 1139012 0 0 JAMES HARRIS ASST TREAS 12/17; TH OF NE DIR REIM 0 195594 0 15113 0 1156 0 18665 0 1792 0 232320 0 0 JENNIFER SCHNEIDER VP FINANCE 288321 0 55233 0 436 0 20560 0 33449 0 397999 0 0 0 THOMAS BURKE VP OPERATIONS 207827 0 30524 0 300 0 10101 0 28453 0 277205 0 0 0 MICHAEL GREY MD CHAIR OF MEDICINE 0 349465 0 112000 0 2467 0 12150 0 2760 0 478842 0 0 LYNN ROSSINI SVP & CHIEF DEVELOPMENT OFFICER 311170 0 57000 0 8447 0 13650 0 20594 0 410861 0 0 0 DENISE PETERSON SVP & CNO THRU 4/18 282246 0 78723 0 5236 0 12150 0 26196 0 404551 0 0 0 DERRICK AMATO ADMIN DIRECTOR, OCCUP HEALTH PRES 297746 0 0 0 1801 0 9600 0 25047 0 334194 0 0 0 ROBERT FALAGUERRA VP FACILITIES, SUPPORT SVCS & CONSTR 239198 0 34739 0 4824 0 24516 0 25259 0 328536 0 0 0 DENNIS SPARKS VP HUMAN RESOURCES 236873 0 34200 0 528 0 17154 0 12150 0 300905 0 0 0 ROBERT CHRISTOPHER HARTLEY FORMER KEY EMPLOYEE 0 0 0 0 210409 0 0 0 5003 0 215412 0 207992 0 LINDA SHANLEY FORMER KE; TH OF NE VP AND CIO 0 307243 0 39772 0 2040 0 15975 0 11735 0 376765 0 0 SHERI LEMIEUX FORMER OFFICER; EXECUTIVE ASST 0 101607 0 33016 0 108 0 4108 0 8895 0 147734 0 0 JANEANNE LUBIN-SZAFRANSKI FMR KE; TH OF NE SVP LEGAL THR 9/17 51587 373587 0 105702 0 2612 4925 12150 3992 25657 60504 519708 0 0 DAVID BITTNER FORMER KEY EMPLOYEE, TH OF NE CFO 71671 420319 0 98250 500 84800 4734 12150 0 27920 76905 643439 0 0 CHRISTOPHER DADLEZ FMR OFFICER; TH OF NE PRES THR 12/17 0 854363 0 530419 0 6456 0 22657 0 55833 0 1469728 0 0 ADAM SILVERMAN FORMER KEY EMPLOYEE; TH OF NE VP 0 420316 0 55018 0 1032 0 12150 0 17520 0 506036 0 0 PART I, LINE 1A SAINT FRANCIS HOSPITAL AND MEDICAL CENTER PAID $5,364 FOR CLUB DUES IN CALENDAR YEAR 2017 FOR CHRISTOPHER DADLEZ, WHO UTILIZED THE CLUB FOR BUSINESS PURPOSES. BECAUSE THE CLUB WAS USED 100% FOR BUSINESS, THE DUES WERE NOT REPORTED AS TAXABLE INCOME. 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 INDIVIDUAL RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2017. THIS AMOUNT IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: ROBERT CHRISTOPHER HARTLEY - $207,992 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THIS AMOUNT THAT WAS REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2017. 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 2017, AND BENEFITS FOR PARTICIPANTS NOT YET VESTED IN A PLAN WERE ACCRUED IN 2017. THE FOLLOWING PAYOUTS FOR 2017 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: DAVID BITTNER - $74,118 JOHN RODIS - $161,256 CHRISTOPHER DADLEZ PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED DEFERRED RETIREMENT PLAN DURING THE YEAR. THERE WERE NO PAYMENTS FROM THIS PLAN DURING THE YEAR. RADIOLOGY ASSOCIATES OF HARTFORD ANTHONY POSTERARO, III, MD, DIRECTOR, IS A PARTNER IN RADIOLOGY ASSOCIATES 402881 PAYMENTS MADE FOR HEALTH CARE SERVICES PROVIDED TO THE HOSPITAL 0 PRIME HEALTHCARE PC PHILIP KARANIAN, MD, DIRECTOR IS A PARTNER IN PRIME HEALTHCARE 148253 PAYMENTS MADE FOR RENT OF SPACE BY THE HOSPITAL 0 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 15B QUESTION 15A IS ANSWERED "NO" BECAUSE THE COMPENSATION FOR THE PRESIDENT OF SAINT FRANCIS HOSPITAL IS ESTABLISHED AND PAID BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING THE PRESIDENT'S 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 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 OFFICERS AND KEY EMPLOYEES, THE PROCESS FOR DETERMINING COMPENSATION INCLUDED THE FOLLOWING: DURING THE YEAR, AN INDEPENDENT CONSULTANT WAS ENGAGED TO REVIEW COMPENSATION AND AN EXTERNAL MARKET ANALYSIS WAS PERFORMED AND REVIEWED BY THE COMPENSATION AND MANAGEMENT DEVELOPMENT COMMITTEE. THE BOARD REVIEWS COMPENSATION AND BONUSES FOR OFFICERS AND KEY EMPLOYEES ANNUALLY. 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 8,432,877. MANAGEMENT AND GENERAL EXPENSES 616,476. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,049,353. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 67,603,848. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 67,603,848. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,024,769. MANAGEMENT AND GENERAL EXPENSES 224,637. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,249,406. MISCELLANEOUS PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,776,153. MANAGEMENT AND GENERAL EXPENSES 85,397. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,861,550. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 1,807,246. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,807,246. OUTSIDE LABORATORIES: PROGRAM SERVICE EXPENSES 2,656,437. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,656,437. SECURITY SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,227,958. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,227,958. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS TO AFFLIATES 10,263,349. CHANGE IN DEFERRED RETIREMENT COST 28,613,113. OTHER TRANSACTIONS 383,088. FORM 990, PART XII, LINE 2: SAINT FRANCIS HOSPITAL'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY18 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 15816365 2807929 SAINT FRANCIS HOSPITAL AND MEDICAL CENTER TOTAL LAUNDRY COLLABORATIVE LLC 114 WOODLAND STREET HARTFORD CT 06105 208335788 LAUNDRY SERVICES CT 0 0 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 1221 MAIN STREET SUITE 213 HOLYOKE MA 01040 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 COLUMBUS ACQUISITION CORP 111 CENTRAL AVENUE NEWARK NJ 07102 262616342 INACTIVE ENTITY NJ 501(C)(3) LINE 10 SAINT MICHAEL'S MEDICAL CENTER 1 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 10 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 1221 MAIN STREET SUITE 213 HOLYOKE MA 01040 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 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 GREENSBORO GA 30642 261720984 HEALTH CARE AND HOSPITAL SERVICES GA 501(C)(3) LINE 3 ST MARY'S HEALTH CARE SYSTEM INC 1 GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION 701 W NORTH AVE MELROSE PARK IL 60160 363332852 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 GOTTLIEB MEMORIAL HOSPITAL 1 GOTTLIEB MEMORIAL FOUNDATION 701 WEST NORTH AVENUE MELROSE PARK IL 60160 743260011 FOUNDATION IL 501(C)(3) LINE 12C, III-FI N/A 0 GOTTLIEB MEMORIAL HOSPITAL 701 W NORTH AVE MELROSE PARK IL 60160 362379649 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM 1 GRAND RAPIDS MEDICAL EDUCATION PARTNERS 945 OTTAWA AVE NW GRAND RAPIDS MI 49503 237270669 MEDICAL EDUCATION TRAINING 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