2015-08-13T06:40:28-05:00 2014-09-30 111986323 MARCUM LLP CITY PLACE II 185 ASYLUM STREET HARTFORD CT 06103 990 2013-10-01 060646813 ST FRANCIS HOSPITAL AND MEDICAL CENTER STFR 8607144000 114 WOODLAND STREET HARTFORD CT 06105 DAVID BITTNER SENIOR VICE PRESIDENT & CFO 8607144000 2015-08-11 1 DOUGLAS FARRINGTON P00370668 8607600600 2013 2016-02-25 16:41:14Z DAVID BITTNER 114 WOODLAND STREET HARTFORD CT 06105 798716892 0 X WWW.STFRANCISCARE.ORG X 1897 CT WE ARE COMMITTED TO HEALTH AND HEALING THROUGH EXCELLENCE, COMPASSIONATE CARE AND REVERENCE FOR THE SPIRITUALITY OF EACH PERSON. 34 23 4908 585 2818712 -876304 11536765 8694716 675613221 697685089 5068306 10830996 34276354 20751459 726494646 737962260 23553 836934 0 0 341516147 340961129 0 0 0 372621816 371279397 714161516 713077460 12333130 24884800 813434558 838054262 582507983 636626462 230926575 201427800 X WE ARE COMMITTED TO HEALTH AND HEALING THROUGH EXCELLENCE, COMPASSIONATE CARE AND REVERENCE FOR THE SPIRITUALITY OF EACH PERSON. 0 0 590410199 836934 711368791 AS THE LARGEST CATHOLIC HOSPITAL IN NEW ENGLAND WITH 117 YEARS OF SERVICE, SAINT FRANCIS HOSPITAL AND MEDICAL CENTER SHARES WITH OUR CAPITAL REGION A WONDERFUL TRADITION OF CARING. THROUGH OUR UNIVERSITY OF CONNECTICUT MEDICAL SCHOOL AFFILIATION, OUR MANY PARTNERSHIPS WITH OTHER SCHOOLS AND COMMUNITY AGENCIES, THROUGH OUR CLINICS AND OUTREACH PROGRAMS, AND OUR EMPLOYEES WHO VALUE REACHING OUT TO THOSE IN NEED, SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HONORS THE IMPORTANCE OF CLINICAL EXPERTISE AS WELL AS BUILDING RELATIONSHIPS THAT WILL LAST FOR GENERATIONS.SEE SCHEDULE O FOR CONTINUATION 590410199 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 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 1 1 1 0 0 0 1 363 0 1 4908 1 1 1 0 0 0 0 0 0 0 0 0 X 34 23 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 1 1 X X DONNA GILBERT 8607149632 114 WOODLAND STREET MS 5-103-58 HARTFORD CT 06105 REV THOMAS J BARRY JCL CHAIRMAN 1.00 1.00 X X 0 0 0 MOST REV HENRY J MANSELL DD CHAIRMAN, EX OFFICIO 2.00 1.00 X X 0 0 0 CHRISTOPHER M DADLEZ PRESIDENT & CEO 55.00 10.00 X X 1516996 0 894739 BARBARA J CALDERONE BSN JD SECRETARY 1.00 1.00 X X 0 0 0 L JEFFREY BALDWIN DIRECTOR 1.00 1.00 X 0 0 0 MOST REV LEONARD P BLAIR DIRECTOR 1.00 1.00 X 0 0 0 SURENDRA K CHAWLA MD DIRECTOR 1.00 1.00 X 0 0 0 ROBERT M ELLIS DIRECTOR 2.00 4.00 X 0 0 0 P ANTHONY GIORGIO PHD DIRECTOR 1.00 2.00 X 0 0 0 WALTER HARRISON PHD DIRECTOR 1.00 1.00 X 0 0 0 JEFFREY S HOFFMAN DIRECTOR 1.00 1.00 X 0 0 0 PETER G KELLY JD DIRECTOR 1.00 2.00 X 0 0 0 PATRICK J KINNEY DIRECTOR 1.00 2.00 X 0 0 0 KARL J KRAPEK DIRECTOR 1.00 1.00 X 0 0 0 SISTER DOLORES LAHR CSJ DIRECTOR 1.00 1.00 X 0 0 0 JOYCE D MANDELL DIRECTOR 1.00 1.00 X 0 0 0 JOHN J MARA MD DIRECTOR 1.00 1.00 X 0 0 0 REV MSGR JOHN MCCARTHY JCD JD DIRECTOR 1.00 1.00 X 0 0 0 DANIEL P O'CONNELL DIRECTOR / CHAIRMAN 2.00 3.00 X X 0 0 0 KEVIN J O'CONNOR JD DIRECTOR / VICE-CHAIRMAN 1.00 1.00 X X 0 0 0 JOHN D PAPANDREA MD DIRECTOR 1.00 1.00 X 0 0 0 CURTIS D ROBINSON DIRECTOR 2.00 2.00 X 0 0 0 JOHN W RODGERS MD DIRECTOR 1.00 1.00 X 0 0 0 DR GALO A RODRIGUEZ MPH DIRECTOR 1.00 1.00 X 0 0 0 ANDREW A SADANOWICZ DIRECTOR 1.00 1.00 X 0 0 0 SUSAN J SAPPINGTON DIRECTOR 1.00 1.00 X 0 0 0 HENRY S SCHERER JR DIRECTOR 2.00 3.00 X 0 0 0 PHILIP J SCHULZ DIRECTOR 2.00 2.00 X 0 0 0 JOSEPH J SPALLUTO DIRECTOR 1.00 2.00 X 0 0 0 JEAN-PIERRE VAN ROOY DIRECTOR 1.00 1.00 X 0 0 0 GEN R JOHN M WATKINS DIRECTOR 1.00 1.00 X 0 0 0 ADRIENNE W COCHRANE JD DIRECTOR 1.00 1.00 X 0 0 0 STEVEN T RUBY MD DIRECTOR / DEPT. CHAIRMAN 55.00 4.00 X 690480 0 18179 ANDREW J PINKES DIRECTOR 1.00 1.00 X 0 0 0 TIMOTHY L PRETE DIRECTOR 1.00 1.00 X 0 0 0 SHERI A LEMIEUX ASSISTANT SECRETARY 55.00 0.00 X 118865 0 6599 JOHN RODIS MD EXECUTIVE VP & COO 1.00 57.00 X 0 773627 34542 DAVID BITTNER SR VP FINANCE 55.00 10.00 X 345714 0 16058 TERESA M BOLTON HUMAN RESOURCES COUNSEL 55.00 1.00 X 306468 0 21401 ROBERT CHRISTOPHER HARTLEY SR VP PLANNING & FACILITIES 55.00 2.00 X 360972 0 45247 GREG MAKOUL SVP, CHIEF ACADEMIC OFFICER 55.00 0.00 X 438088 0 32277 JENNIFER SCHNEIDER VP FINANCE/CHIEF COMPLIANCE OFFICER 55.00 6.00 X 221960 0 33853 JOHN N GIAMALIS EVP & CHIEF ADMIN OFFICER 55.00 8.00 X 693200 0 23634 DAWN BRYANT SVP, CHIEF HUMAN RESOURCE OFFICER 55.00 0.00 X 303078 0 21067 LINDA SHANLEY VP AND CIO 55.00 0.00 X 319690 0 16572 E MERRITT MCDONOUGH JR SF FOUNDATION PRESIDENT 55.00 2.00 X 411254 0 42848 STUART ROSENBERG CEO-JMMC 55.00 0.00 X 305381 0 22055 JAMES W SCHEPKER VP MARKETING & BUSINESS DEVELOPMENT 55.00 0.00 X 292633 0 30981 ERNESTO M CANALIS MD DIRECTOR OF RESEARCH 55.00 0.00 X 291053 0 31136 ROBERT FALAGUERRA VP FACILITIES & SUPPORT SERVICES 55.00 2.00 X 242691 0 40050 NICOLE SCHULZ VP REVENUE CYCLE 55.00 0.00 X 241717 0 30632 PAUL F MITCHELL DMD FORMER DIRECTOR 0.00 57.00 X 0 263173 43232 KATHLEEN M ROCHE FORMER EXECUTIVE VP & COO 0.00 0.00 X 640052 0 10215 ARTHUR DETORE FORMER SVP CHIEF PHYSICIAN EXECUTIVE 0.00 0.00 X 561180 0 12220 REBECCA BURKE FORMER SVP, PATIENT CARE & CLINICAL SERVICE 0.00 0.00 X 322651 0 9293 8624123 1036800 1436830 337 1 1 0 UCONN SCHOOL OF MEDICINE 263 FARMINGTON AVE FARMINGTON CT 06030 PHYSICIAN FEES & SERVICES 15311219 DTZ INC - UNICCO 4002 SOLUTIONS CENTER CHICAGO IL 60677 CLEANING SERVICES 4002473 AMN HEALTHCARE INC PO BOX 910738 DALLAS TX 75391 TEMP NURSING SERVICES 2820832 TOTAL RENAL CARE INC PO BOX 8500-1607 PHILADELPHIA PA 19178 TESTING SERVICES 1333126 AMERICAN ADJUSTMENT BUREAU PO BOX 2758 WATERBURY CT 06723 COLLECTION SERVICES 1170265 77 4041621 3682766 970329 8694716 PATIENT REVENUE 622110 648781738 648781738 LABORATORY REVENUE 621511 36457140 35216406 1240734 PREMIUM INCOME 524298 11597045 11390076 206969 PARTNERSHIP REVENUE 541990 849166 873902 -24736 697685089 5051730 5051730 5559249 0 5559249 5559249 5559249 65838258 695640 60754632 0 5083626 695640 5779266 5779266 OTHER PATIENT SVCS 624190 10867950 9870636 997314 MEANINGFUL USE INCOME 900099 2326705 2326705 MISCELLANEOUS 900099 1884792 1486361 398431 112763 112763 15192210 737962260 709945824 2818712 16503008 X 810534 810534 26400 26400 8141519 8141519 260542495 212556837 47985658 17697399 14167240 3530159 35326933 28313425 7013508 19252783 15262836 3989947 973959 973959 626884 626884 138600 138600 178823 178823 85951133 71650154 14300979 1728785 3899 1724886 18529928 18047139 482789 13404452 13095658 308794 37772207 36166348 1605859 1600939 1600939 11722520 11620321 102199 36223786 36223786 10229709 288971 9940738 MEDICAL SUPPLIES 105416014 105416014 PROF LIAB INSURANCE 9017538 9017538 LAB EXPENSE 7821706 7821706 LAUNDRY EXPENSE 3075646 3075646 26866768 5244808 21621960 713077460 590410199 122667261 0 68155400 58225346 52396120 46781519 64514294 75441792 503910 545649 7188268 8854758 5784296 6724495 861232573 397734106 455215617 463498467 68471651 78640457 14699807 14134048 76505195 85207731 813434558 838054262 33941565 34284214 254325000 250530000 13131144 9706653 281110274 342105595 582507983 636626462 X 149862575 119753800 25614000 24355000 55450000 57319000 230926575 201427800 813434558 838054262 X 24884800 -325930 -54057645 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 168506 0 0 168506 0 68114560 2808685 70923245 64278125 3836435 68114560 60257184 4020941 64278125 62884485 -2627301 60257184 59910100 2974385 62884485 0.25000 0.75000 0.00000 1 0 6025317 6025317 483811300 158571899 325239401 1955667 1672729 282938 294944396 221609660 73334736 74495893 15879818 58616075 463498467 CHEFA BOND SERIES 956899 BOND ISSUANCE COST, LESS AMORTIZATION 1345848 ASSETS HELD IN TRUST 53033772 OTHER ASSETS 11116561 DUE FROM AFFILIATED ENTITIES 18754651 85207731 SALARIES & WAGES 35463229 ACCRUED EXPENSES & INTEREST 7322134 PENSION AND OTHER ACCRUED EXPENSES 245196851 DUE TO 3RD PARTY REIMBURSEMENT 14939351 PROFESSIONAL LIABILITY INS FUND 39184030 342105595 705558664 -325930 21798786 21472856 684085808 53876452 53876452 737962260 683697644 16806862 16806862 666890782 46186678 46186678 713077460 PART V, LINE 4: ENDOWMENT FUNDS ARE TO BE USED TO SUPPORT HEALTHCARE SERVICES. PART XI, LINE 2D - OTHER ADJUSTMENTS: INCOME FROM SUBSIDIARIES 21,798,786. PART XI, LINE 4B - OTHER ADJUSTMENTS: INCOME FROM ST. FRANCIS INDEMNITY CORPORATION, LLC 13,597,755. INCOME FROM COLLABORATIVE LAB SERVICES 36,457,234. NET TRANSFER FROM SAINT FRANCIS FOUNDATION 3,821,463. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES FROM SUBSIDIARIES 16,806,862. PART XII, LINE 4B - OTHER ADJUSTMENTS: EXPENSES FROM ST. FRANCIS INDEMNITY COMPANY, LLC 9,920,800. EXPENSES FROM COLLABORATIVE LAB SERVICES 36,265,878. 1 1 X 1 X 1 X 1 1 0 1 1 11021 5967252 5967252 0.00840 38356 29606194 29606194 0.04150 12293429 12293429 0.01720 49377 47866875 47866875 0.06710 21679 4663864 2745461 1918403 0.00270 508 27742405 9524637 18217768 0.02550 14928 2382497 2382497 0.00330 87 230090 230090 0.00030 7000 393151 156087 237064 0.00030 44202 35412007 12426185 22985822 0.03210 93579 83278882 12426185 70852697 0.09920 6774 130811 71600 59211 0.00010 66000 66000 0.00010 1074 113457 113457 0.00020 7848 310268 71600 238668 0.00040 0 6711462 189348550 191312865 -1964315 X 1 1 1 GRTR HTFD LITHOTRIPSY LLC HEALTH CARE SERVICES - LITHOTRIPSY 0.31800 0.07200 2 ST FRANCIS GI ENDOSCOPY LLC HEALTH CARE SERVICES - ENDOSCOPY 0.49000 0.51000 1 1 ST FRANCIS HOSPITAL AND MEDICAL CENTER 114 WOODLAND STREET HARTFORD CT 06105 X X X X SAINT FRANCIS HOSPITAL AND MEDICAL CENTE 1 1 X X X X X X X X X 11 1 1 1 X SAINTFRANCISCARE.COM X WWW.CT.GOV.DPH.COM X X X X X X 0 0 1 1 200.000000000000 1 250.000000000000 1 X X X 1 1 X X X X X 1 0 1 X 0 0 SAINT FRANCIS HOSPITAL AND MEDICAL CENTER PART V, SECTION B, LINE 1J: THE HOSPITAL AUGMENTED THE CHNA COMPLETED IN JANUARY 2012 IN PARTNERSHIP WITH THE OTHER HOSPITALS IN HARTFORD WITH INFORMATION FROM QUESTIONNAIRES WITH PATIENTS; FOCUS GROUPS WITH COMMUNITY MEMBERS AND INTERVIEWS WITH HEALTH CARE PROVIDERS SO AS TO GAIN A MORE COMPREHENSIVE PICTURE OF THE NEEDS AS WELL AS THE PRIORITIES. IT WAS APPROVED BY THE BOARD OF DIRECTORS AND SUBSEQUENTLY A COMMUNITY HEALTH IMPLEMENTATION STRATEGY WAS ADOPTED IN FEBRUARY 2014. A COMMUNITY HEALTH SURVEY WAS DEVELOPED THIS PAST YEAR TO ENGAGE COMMUNITY MEMBERS IN AN ONGOING DIALOGUE AND PRESENT CONTINUED OPPORTUNITIES FOR COMMUNITY INPUT. OVER 700 COMMUNITY HEALTH SURVEYS WERE COLLECTED USING THIS METHODOLOGY. SAINT FRANCIS HOSPITAL AND MEDICAL CENTER PART V, SECTION B, LINE 3: KEY INFORMANTS WHO REPRESENT THE COMMUNITY WERE INTERVIEWED AS A PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. THIS GROUP INCLUDED LEADERS OF NON-PROFIT ORGANIZATIONS; HUMAN SERVICE ORGANIZATIONS; CHURCH LEADERS AND OTHERS. SPECIFICALLY THE GROUPS CONSULTED INCLUDED: CT ASSOCIATION OF HUMAN SERVICES, THE VILLAGE, MALTA HOUSE OF CARE, INC., LATINO COMMUNITY SERVICES, CT VOICES FOR CHILDREN, BOYS AND GIRLS CLUBS, CASEY FAMILY SERVICES, INTERVAL HOUSE, GAY AND LESBIAN HEALTH COLLECTIVE, MY SISTER'S PLACE, GREATER HARTFORD INTERFAITH COALITION AND VARIOUS OTHERS. SAINT FRANCIS HOSPITAL AND MEDICAL CENTER PART V, SECTION B, LINE 4: THE CHNA WAS COMPLETED IN PARTNERSHIP WITH HARTFORD HOSPITAL; CONNECTICUT CHILDREN'S MEDICAL CENTER, UCONN MEDICAL CENTER AND THE CITY OF HARTFORD HEALTH AND HUMAN SERVICES DEPARTMENT. ADDITIONALLY A CONSULTANT WAS USED TO COMPLETE SOME OF THE DATA COLLECTION AND ANALYSIS. SAINT FRANCIS HOSPITAL AND MEDICAL CENTER PART V, SECTION B, LINE 7: THE IMPLEMENTATION STRATEGY WHICH ADDRESSES THE NEEDS FOUND IN THE CHNA HIGHLIGHTS FOUR AREAS OF WORK THAT WILL FOCUS OUR STRATEGIC INITIATIVES TO ADDRESS THE NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT, THEY INCLUDE: COMMUNICATION; STRUCTURAL ISSUES THAT IMPACT ACCESS TO CARE; CLINICAL AREAS OF NEED; AND SOCIAL DETERMINANTS OF HEALTH. DURING THIS PAST YEAR DISEASE PREVENTION HAS TAKEN ON A MORE SIGNIFICANT ROLE IN OUR STRATEGY (IN PART DUE TO COMMUNITY INPUT) AND HAS RESULTED IN A MORE SPECIFIC FOCUS FOR OUR CLINICAL CARE STRATEGIES.INITIATIVES ARE ALREADY IN PLACE TO IMPROVE COMMUNICATION BETWEEN PATIENTS AND PROVIDERS, THESE INCLUDE: - RELATIONSHIP BASED CARE - CENTER FOR HEALTH EQUITY STRATEGIC PLANNING - LANGUAGE SERVICES PROGRAM - DIVERSITY COLLABORATIVE TEAMINITIATIVES THAT ADDRESS THE STRUCTURAL BARRIERS TO ACCESSING CARE INCLUDE: - CONNECTICUT INSTITUTE FOR PRIMARY CARE INNOVATION - COMMUNITY AND POPULATION HEALTH MODEL - NAVIGATION SERVICES - EMERGENCY MEDICINE PRIMARY CARE COORDINATIONFOR CLINICAL SERVICES THE HOSPITAL HAS DEVELOPED THREE AREAS OF FOCUS BASED ON CONTINUED MONITORING OF HEALTH OUTCOMES. THESE INCLUDE: - BEHAVIORAL HEALTH - PREVENTION SCREENING - DIABETES AND OBESITY PREVENTIONSTRATEGIES TO ADDRESS THESE NEEDS AND TO MEASURE THE IMPACT OF OUR APPROACH ARE STILL UNDERWAY. SAINT FRANCIS PLACES A PREMIUM ON THE VALUE OF THE PROGRAMS DESIGNED TO ADDRESS COMMUNITY NEEDS AND WITH THE LEADERSHIP OF THE CURTIS D. ROBINSON CENTER FOR HEALTH EQUITY AT SAINT FRANCIS USES AN APPROACH THAT INVOLVES SIGNIFICANT COMMUNITY ENGAGEMENT. THUS WORK TO ADDRESS THESE NEEDS IS UNDERWAY BUT OUTCOMES ARE NOT YET AVAILABLE TO MEASURE IMPACT.THE SOCIAL DETERMINANTS OF HEALTH THAT WILL BE TARGETED BY SAINT FRANCIS IN PARTNERSHIP WITH COMMUNITY ORGANIZATIONS INCLUDE HOUSING, ACCESS TO HEALTHY FOOD, SECURITY AND EDUCATION. THE CORRESPONDING PARTNERSHIPS FOR THIS WORK INCLUDE THE COMMUNITY SOLUTIONS; THE HARTFORD FOOD SYSTEMS AND REACH COALITION; THE PEACE BUILDERS PROGRAM; AND THE HARTFORD ACADEMY FOR SCIENCE AND MATH.GIVEN THE COMPLEXITY OF THE SOCIAL DETERMINANTS OF HEALTH AND THE LONG-TERM INVESTMENT NEEDED TO HAVE AN IMPACT ON THESE NEEDS, THE WORK IN THIS AREA HAS JUST BEGUN. FINDING APPROPRIATE PARTNERS FOR THIS WORK TAKES TIME AND THE APPROACH TAKEN BY SAINT FRANCIS IS TO PARTNER WITH ORGANIZATIONS THAT HAVE A PROVEN TRACK RECORD AND ABILITY TO HAVE A SUSTAINED IMPACT ON THE DEVELOPMENT OF THE COMMUNITY AND ENHANCEMENT OF QUALITY OF LIFE FOR THOSE WHO LIVE HERE. 24 SIMSBURY OFFICES & URGENT CARE 1502 HOPMEADOW ST 30 DORSET CROSSING SIMSBURY CT 06070 MEDICAL OFFICES AND COMMUNITY SPACE ENFIELD ACCESS CENTER 7 ELM STREET ENFIELD CT 06082 MEDICAL OFFICES AND COMMUNITY EDUCATION SPACE / LABORATORY SERVICES BLOOMFIELD MEDICAL OFFICE & URGENT CARE 421 COTTAGE GROVE ROAD BLOOMFIELD CT 06002 WALK-IN CLINIC AND MEDICAL OFFICES / LABORATORY SERVICES WINDSOR - SF GI ENDOSCOPY CENTER 360 BLOOMFIELD AVENUE WINDSOR CT 06095 ENDOSCOPY WEST HARTFORD MEDICAL OFFICES 345 NORTH MAIN STREET WEST HARTFORD CT 06109 MEDICAL OFFICES AND IT TRAINING SPACE / LABORATORY SERVICES ELLINGTON MEDICAL OFFICE 137 WEST ROAD ELLINGTON CT 06029 MEDICAL OFFICES AND COMMUNITY SPACE / LABORATORY SERVICES MANCHESTER MEDICAL OFFICES 515 WEST MIDDLE TPK MANCHESTER CT 06048 MEDICAL OFFICES AND COMMUNITY SPACE AVON ACCESS CENTER 35 NOD ROAD AVON CT 06001 MEDICAL OFFICES AND EDUCATION SPACE / LABORATORY SERVICES FARMINGTON MEDICAL OFFICES 11 SOUTH ROAD SUITE 200 FARMINGTON CT 06032 MEDICAL OFFICE GLASTONBURY ACCESS CENTER 31 SYCAMORE COMMONS GLASTONBURY CT 06033 MEDICAL OFFICES AND COMMUNITY EDUCATION SPACE / LABORATORY SERVICES WEST HARTFORD 20 ISHAM ROAD WEST HARTFORD CT 06109 MEDICAL OFFICES HARTFORD 500 BLUE HILLS AVE HARTFORD CT 06112 LABORATORY SERVICES EAST HARTFORD ACCESS CENTER 893 MAIN STREET EAST HARTFORD CT 06108 MEDICAL OFFICES / LABORATORY SERVICES WINDSOR MEDICAL OFFICE 1080 DAY HILL ROAD WINDSOR CT 06095 MEDICAL OFFICE FARMINGTON 2 SPRING LANE FARMINGTON CT 06032 LABORATORY SERVICES HARTFORD 1000 ASYLUM ST STE 3209 HARTFORD CT 06103 LABORATORY SERVICES SOUTH WINDSOR MEDICAL OFFICE 1340 SULLIVAN AVENUE SOUTH WINDSOR CT 06074 MEDICAL OFFICES BLOOMFIELD 580 COTTAGE GROVE RD BLOOMFIELD CT 06002 LABORATORY SERVICES WEST HARTFORD 928 FARMINGTON AVE WEST HARTFORD CT 06107 LABORATORY SERVICES ROCKY HILL 506 CROMWELL AVE ROCKY HILL CT 06067 LABORATORY SERVICES ROCKY HILL 2301 SILAS DEANE HWY ROCKY HILL CT 06067 LABORATORY SERVICES AVON 44 DALE RD AVON CT 06001 LABORATORY SERVICES HARTFORD 19 WOODLAND ST HARTFORD CT 06105 LABORATORY SERVICES ROCKY HILL MEDICAL OFFICES 2080 SILAS DEANE HIGHWAY ROCKY HILL CT 06067 MEDICAL OFFICE PART I, LINE 3C: N/APART I, LINE 4: SAINT FRANCIS HOSPITAL AND MEDICAL CENTER ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT BY REFERENCE TO THE ESTABLISHED POLICIES OF SAINT FRANCIS HOSPITAL AND MEDICAL CENTER. ESSENTIALLY, THESE POLICIES DEFINE CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO PAYMENT IS ANTICIPATED. IN ASSESSING A PATIENT'S INABILITY TO PAY, SAINT FRANCIS HOSPITAL AND MEDICAL CENTER UTILIZES THE GENERALLY RECOGNIZED POVERTY INCOME LEVELS FOR THE STATE OF CONNECTICUT, BUT ALSO INCLUDES CERTAIN CASES WHERE INCURRED CHARGES ARE SIGNIFICANT WHEN COMPARED TO INCOMES. IN ADDITION, ALL SELF-PAY PATIENTS RECEIVE A 45% DISCOUNT FROM CHARGES WHICH IS NOT INCLUDED IN NET PATIENT SERVICE REVENUE FOR FINANCIAL REPORTING PURPOSES. PART I, LINE 6A: SAINT FRANCIS HOSPITAL AND MEDICAL CENTER PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT. THIS REPORT IS AVAILABLE ON THE SAINT FRANCIS HOSPITAL WEBSITE. PART I, LINE 7: SAINT FRANCIS HOSPITAL AND MEDICAL CENTER USES A COST ACCOUNTING SYSTEM WITHIN THE DECISION SUPPORT SYSTEM PRODUCT. IT IS A FULLY ABSORBED COSTING SYSTEM USING REMAPS OF EXPENSE AND REVENUES WHERE NEEDED. INDIRECT, OR OVERHEAD, COSTS ARE ALLOCATED USING STATISTICS IN ORDER TO ALLOCATE THE COSTS TO THE REVENUE PRODUCING DEPARTMENTS. THE METHOD OF ALLOCATING DOLLARS TO THE CHARGE ITEMS IS CURRENTLY PRIMARILY BASED ON A RCC METHOD USING OUR CHARGE ITEM PRICE AS THE DRIVER. WE HAVE INTERSPERSED SOME NATIONAL RVU'S FROM THE CMS FEE SCHEDULE TO MANY DEPARTMENTS AS WELL AS USING COSTS TO HELP ALLOCATE OUR PHARMACY AND SUPPLY EXPENSES. ALL CHARGE ITEMS OBTAIN A COST AND ALL PATIENT SEGMENTS ARE FULLY COSTED. PART II, COMMUNITY BUILDING ACTIVITIES: THE HOSPITAL IS INVOLVED IN A VARIETY OF COMMUNITY BUILDING ACTIVITIES WHICH ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS SPECIFIC TO THE COMMUNITY SERVED AND WHICH TAKE A MORE GLOBAL APPROACH TO STRUCTURAL BARRIERS.HOUSING SUPPORTTHE LOCAL NEIGHBORHOOD ASSOCIATIONS IN HARTFORD PLAY A CRITICAL ROLE IN ADVOCATING FOR IMPROVEMENTS IN HOUSING PARTICULARLY THOSE THAT IMPACT LOW INCOME RESIDENTS. STAFF FROM SAINT FRANCIS ATTENDS REGULAR BOARD MEETINGS AND ASSIST WHENEVER POSSIBLE WITH ADVOCATING ON BEHALF OF COMMUNITY RESIDENTS WITH RESPECT TO HOUSING. SAINT FRANCIS HAS ALSO FORMED A STRONG PARTNERSHIP THIS PAST YEAR WITH A LOCAL COMMUNITY DEVELOPMENT AGENCY CALLED COMMUNITY ACTION WHICH WORKS ON BEHALF OF LOW INCOME INDIVIDUALS AND FAMILIES TO FIND STABLE AND HEALTHY HOUSING.ECONOMIC DEVELOPMENTSAINT FRANCIS HAS A STRONG COMMITMENT TO INCREASING SPENDING WITH SMALL BUSINESS AND WOMEN AND MINORITY OWNED COMPANIES. THIS INITIATIVE IS CALLED THE SUPPLIER DIVERSITY PROJECT AND IS STAFFED BY A FULL TIME PERSON WHO WORKS TO IMPROVE RELATIONSHIPS WITH TARGETED BUSINESSES. AN ANNUAL EVENT, SPONSORED BY SAINT FRANCIS FOR MINORITY AND SMALL BUSINESS VENDORS IS HELD TO INCREASE THE PORTFOLIO OF BUSINESS TO THESE CRITICAL GROUPS. ONE EXAMPLE OF SUCCESS INCLUDES THE LANGUAGE SERVICES PROGRAM CONTRACT WHICH WAS AWARDED TO A LOCAL MINORITY AND WOMEN OWNED BUSINESS. THE SUPPLIER DIVERSITY PROGRAM IS DESIGNED TO SPUR ECONOMIC DEVELOPMENT AND THE GROWTH OF SMALL BUSINESSES.COMMUNITY SUPPORT SAINT FRANCIS HOSPITAL IS INVOLVED IN A WIDE ARRAY OF COMMUNITY SUPPORT PROGRAMS AND INITIATIVES; THEY RANGE FROM IMPROVING CHILDHOOD LITERACY TO DECREASING THE IMPACT OF UNINTENTIONAL INJURIES; AND PROVIDING SUPPORT TO STUDENTS AND INTERNS. THE REACH OUT AND READ (ROR) PROGRAM AT ST. FRANCIS HOSPITAL IN HARTFORD CONNECTICUT IS DESIGNED TO IMPROVE EARLY LITERACY SKILLS OF YOUNG CHILDREN AND TO EDUCATE FAMILIES ABOUT THE IMPORTANCE OF READING TO THEIR CHILDREN. THE PROGRAM HAS THREE BASIC COMPONENTS: FIRST, TRAINED VOLUNTEERS READ TO CHILDREN IN THE WAITING ROOM TO MODEL TECHNIQUES FOR READING ALOUD; SECOND, EACH CHILD IS GIVEN A NEW BOOK AFTER EACH WELL CHILD VISIT AT 6 MONTHS, 12 MONTHS, 18 MONTHS, AND ANNUALLY AT 2-5 YEAR VISITS; AND THIRD, TRAINED PRIMARY CARE PROVIDERS PROMOTE EARLY LITERACY BY EXPLAINING THE IMPORTANCE OF READING ALOUD TO FAMILIES AND ENCOURAGING THEM TO DO IT EVERY DAY. THE PROGRAM DISTRIBUTES OVER 1500 BOOKS PER YEAR TO CHILDREN. THE GOAL OF THE ROR PROGRAM AT ST. FRANCIS HOSPITAL AND MEDICAL CENTER IS TO INCREASE THE EXPOSURE OF YOUNG CHILDREN TO BOOKS AND TO READING AS AN ACTIVITY SO THAT THEY ARE READY FOR SCHOOL. ADDITIONALLY THE PROGRAM SEEKS TO EDUCATE PARENTS ABOUT THE IMPORTANCE OF READING AS AN ACTIVITY WHICH CAN IMPROVE LANGUAGE DEVELOPMENT AND ASSIST CHILDREN IN LEARNING THE SKILLS THEY NEED TO SUCCEED IN SCHOOL.THE VISION OF THE VIOLENCE & INJURY PREVENTION PROGRAM IS: TO IMPROVE THE HEALTH AND OVERALL WELL-BEING OF THE PEOPLE IN OUR SHARED COMMUNITY BY DEVELOPING AND IMPLEMENTING SUSTAINABLE, INNOVATIVE PREVENTION AND RESEARCH INITIATIVES THAT REDUCE THE OCCURRENCE AND CONSEQUENCE OF VIOLENCE AND INJURY. THE PROGRAM INCLUDES INITIATIVES TO PROMOTE THE USE OF CAR SEATS TO PREVENT INJURY, INCREASING AWARENESS OF CHILD ABUSE AND STEPS THAT CAN BE TAKEN TO PREVENT IT, A DOMESTIC VIOLENCE TRAINING PROGRAM FOR HEALTH CARE PROVIDERS, AND A PROGRAM TO HELP TEENS MAKE THE RIGHT CHOICE IN RISKY SITUATIONS CALLED LET'S NOT MEET BY ACCIDENT. RESOURCES TO ADDRESS ELDERLY FALLS AND GENERAL INJURY PREVENTION AWARENESS ARE ALSO AVAILABLE.LET'S NOT MEET BY ACCIDENT IS A COMPREHENSIVE EDUCATION PROGRAM TO ENCOURAGE TEENS TO MAKE HEALTHY DECISIONS IN RISKY SITUATIONS. IT IS PRESENTED BY THE VIOLENCE AND INJURY PREVENTION PROGRAM OF SAINT FRANCIS HOSPITAL AND MEDICAL CENTER AND MAKES USE OF THE HELICOPTER PAD, THE TRAUMA DEPARTMENT AND THE EMERGENCY ROOM TO SIMULATE A "MOCK ACCIDENT" SO THAT YOUTH CAN SEE FOR THEMSELVES THE RESULTS OF POOR DECISION MAKING. THE GOAL OF THE PROGRAM IS TO ENCOURAGE TEENS TO MAKE "HEALTHY CHOICES IN RISKY SITUATIONS". PARTICIPANTS LEARN THAT TRAUMATIC INJURIES CLAIM THE LIVES OF MORE AMERICANS UNDER AGE 34 THAN AIDS, CANCER, AND HEART DISEASE COMBINED.THE OFFICE OF EDUCATIONAL ACTIVITIES AT SAINT FRANCIS WORKS WITH OVER 118 STUDENTS, INTERNS AND FELLOWS EACH YEAR TO PROVIDE CRITICAL HAND-ON EDUCATIONAL EXPERIENCES DESIGNED TO ENHANCE THEIR MARKETABILITY AND TO EXPOSE THEM TO THE COMPLEXITIES OF PROVIDING HEALTHCARE. THE STUDENTS RANGE FROM UNDERGRADUATES WORKING ON A SUMMER INTERNSHIP TO PHD STUDENTS COMPLETING RESEARCH PROJECTS. IN EACH CASE THE GOAL IS TO MENTOR YOUTH AND PROVIDE MEANINGFUL EXPERIENCES FOR BECOMING A SUCCESSFUL PROFESSIONAL.ENVIRONMENTAL IMPROVEMENTSSAINT FRANCIS PLAYS A CRITICAL ROLE IN THE DISASTER PLANNING FOR THE CITY OF HARTFORD. THIS WORK INVOLVES A VARIETY OF COLLABORATIVE EFFORTS TO IMPROVE READINESS FOR DISASTER RESPONSE. THE HOSPITAL CONTRIBUTES SIGNIFICANT RESOURCES FOR THIS ENVIRONMENTAL IMPROVEMENT INITIATIVE. ADDITIONALLY STAFF SERVE ON THE BOARD OF LOCAL ORGANIZATIONS THAT ADVOCATE FOR ENVIRONMENTAL ISSUES INCLUDING THE ASYLUM HILL NEIGHBORHOOD ORGANIZATION; THE REACH COALITION AND THE NORTHEAST NEIGHBORHOOD IMPROVEMENT ASSOCIATION. LEADERSHIP DEVELOPMENTIN THE AREA OF LEADERSHIP DEVELOPMENT AND TRAINING SAINT FRANCIS FOCUSES ON AREAS OF EXPERTISE IN CLINICAL PASTORAL EDUCATION AND ON PASTORAL COUNSELING TRAINING. ADDITIONALLY, A FORMAL INTERNSHIP PROGRAM IS PROVIDED THROUGH THE CHAPLAINCY PROGRAM AT SAINT FRANCIS WHICH PROVIDES INTERNSHIP TRAINING TO CHAPLAINS ON AN ON-GOING BASIS.CLINICAL PASTORAL EDUCATION (CPE) IS AN INTERFAITH PROFESSIONAL EDUCATION PROGRAM FOR MINISTRY. IT BRINGS THEOLOGY STUDENTS, CLERGY OF ALL FAITHS, AND QUALIFIED LAY PEOPLE INTO SUPERVISED ENCOUNTERS WITH PERSONS IN CRISIS. PARTNERS IN CPE IS A UNIQUE PROGRAM CO-SPONSORED BY MERCY COMMUNITY HEALTH AND SAINT FRANCIS HOSPITAL & MEDICAL CENTER, TWO FAITH BASED ORGANIZATIONS. THE MISSION, CORE VALUES, AND VISION OF PARTNERS IN CPE INSTITUTIONS EMPHASIZE THE SPIRITUAL WELL-BEING OF PATIENTS, THEIR LOVED ONES, AND STAFF.THE WORK OF PASTORAL COUNSELING RELIES HEAVILY ON THE BRANCH OF PSYCHOLOGY THAT HONORS BLENDING SOUND CLINICAL INSIGHT WITH MEANINGFUL FORMS OF SPIRITUALITY IN EVERYDAY LIFE. CLASSES MOST OFTEN REFERENCE EXAMPLES OR "CASE STUDIES" (WITHOUT SPECIFIC REFERENCE TO ANY PARTICULAR NAME) TO GROUND THE COUNSELING SKILLS IN PRACTICAL MINISTRY. PARTICIPANTS ARE ENCOURAGED TO THOUGHTFULLY BRING THEIR SPIRITUAL AND RELIGIOUS ORIENTATION AND BELIEFS INTO THE CLASS TO CONSIDER HOW THEY CARE FOR THE SOUL WITH THEIR UNIQUE TRADITIONS. PARTICIPANTS ARE INTRODUCED TO IMPORTANT CLINICIANS IN THEIR LOCAL COMMUNITY TO WHOM THEY CAN RELY UPON WHEN NEEDED. THE CONTRIBUTIONS FOR THESE ACTIVITIES ARE INCLUDED IN THE COMMUNITY HEALTH IMPROVEMENT SECTION OF OUR DATA.COALITION BUILDINGIN THE AREAS OF COALITION BUILDING FORMAL PARTICIPATION WITH LOCAL ORGANIZATIONS SUCH AS THE CONNECTICUT HEALTH FOUNDATION FELLOWS PROGRAM; THE PUBLIC HEALTH ADVISORY COMMITTEE; THE PEACE BUILDERS VIOLENCE PREVENTION COALITION; AND THE INTERDENOMINATIONAL MINISTERIAL ALLIANCE TAKE PLACE ON A REGULAR BASIS. IN ADDITION, INFORMAL PARTNERSHIPS AND COLLABORATIVE RELATIONSHIPS WITH NUMEROUS COMMUNITY ORGANIZATIONS FACILITY BUILDING OF STRONG PARTNERSHIPS AND COALITIONS THAT WORK TO ADDRESS A MYRIAD OF PUBLIC HEALTH ISSUES FACING THE POPULATION SERVED BY SAINT FRANCIS HOSPITAL. EXECUTIVE STAFF AT SAINT FRANCIS ARE EXPECTED TO PARTICIPATE IN COMMUNITY IMPROVEMENT ACTIVITIES SUCH AS SERVING ON BOARDS, ASSISTING SMALL NON-PROFITS WITH FUNDRAISING ACTIVITIES, PROVIDING EXPERTISE AND IN-KIND SUPPORT AND PROVIDING MEETING SPACE FREE OF CHARGE. IN THE AREA OF WORKFORCE DEVELOPMENT SAINT FRANCIS PARTNERS WITH LOCAL NURSING SCHOOLS TO TRAINING NURSING STAFF TO ADDRESS AREAS OF HIGH NEED THROUGH OUT THE COUNTY. WORK IN THIS AREA ALSO INCLUDE PROVIDING INTERNSHIP OPPORTUNITIES FOR COLLEGE STUDENTS AS WELL AS HIGH SCHOOL STUDENTS DURING THE SUMMER MONTHS TO EXPOSE THEM TO THE TYPE OF WORK THAT CAN TAKE PLACE IN A HOSPITAL SETTING. SAINT FRANCIS PARTNERS WITH THE CAPITOL REGION EDUCATIONAL COUNCIL'S HEALTH EDUCATION PROFESSIONALS ACADEMY FOR TRAINING HIGH SCHOOL STUDENTS ABOUT THE MANY OPPORTUNITIES IN THE FIELD OF HEALTH. MASTERS AND PHD LEVEL STUDENT ARE ALSO RECRUITED FROM A VARIETY OF LOCAL UNIVERSITIES AND COLLEGES TO PARTICIPATE IN A VARIETY OF PROJECTS SO THAT THEY BETTER UNDERSTAND THE OPPORTUNITIES AVAILABLE IN THE WORKPLACE. FINALLY, CLASSES AND SUPPORT ARE OFFERED TO SUPPORT STAFF'S PARTICIPATION IN EDUCATIONAL PROGRAMS THAT ENABLE RNS TO BECOME BSNS IN ORDER TO IMPROVE THEIR EARNING POWER AND KNOWLEDGE BASE, AND ABILITY TO CONTINUE THEIR EDUCATION. SAINT FRANCIS OFFERS A WIDE ARRAY OF SUPPORT IN THE AREA OF WORKFORCE DEVELOPMENT AND HAS A LONG HISTORY OF DOING SO. PART II, COMMUNITY BUILDING ACTIVITIES (CONTINUED): ADVOCACY FOR HEALTH IMPROVEMENTSADVOCACY WORK AT SAINT FRANCIS IS DONE BY THOSE WITH HIGH LEVEL EXPERTISE IN AN AREA OF HEALTH CARE TO WHICH THEY CAN SPEAK WITH BOTH KNOWLEDGE AND CONVICTION. SOME EXAMPLES OF STAFF WHO HAVE BEEN ENGAGED IN ADVOCACY WORK IN THE PAST INCLUDE:DR. MARCUS MCKINNEY HAS DEVELOPED AN EXPERTISE IN HEALTH DISPARITIES AND IS INVOLVED IN THE STATE INNOVATION MODEL FOR REORGANIZING HEALTHCARE DELIVERY; THE ARIADNE LAB COLLABORATION WITH HARVARD UNIVERSITY AND THE DISPARITIES SOLUTION CENTER AT MASSACHUSETTS GENERAL HOSPITAL. THE CEO, CHRISTOPHER DADLEZ HAS IDENTIFIED HEALTH DISPARITIES AS AN AREA OF INTEREST AND IS ACTIVE IN ADVOCACY WORK ON THIS ISSUE.DR. LUIS DIEZ-MORALES IS ALSO INVOLVED WITH THE DISPARITIES SOLUTION CENTER AND HAS TAKEN ON A LEADERSHIP ROLE IN THE CURTIS D. ROBINSON CENTER FOR HEALTH EQUITY AT SAINT FRANCIS. HIS ROLE AS THE MEDICAL DIRECTOR OF THE AMBULATORY CARE CLINIC PROVIDES HIM WITH SIGNIFICANT REAL WORLD EXPERIENCE FOR HIS ADVOCACY WORK. DR. ADAM SILVERMAN IS LEADING A NUMBER OF INITIATIVES INCLUDING A GRANT TO BETTER UNDERSTAND THE ROLE OF COMMUNITY HEALTH WORKERS WITHIN A HOSPITAL SYSTEM. HIS CREATIVE APPROACH TO ADDRESSING THE TRIPLE AIMS OF HEALTH CARE IS PROVIDING CRITICAL INSIGHT INTO HOW TO IMPROVE CARE WHILE MAINTAINING A SUCCESSFUL BUSINESS MODEL. PART III, LINE 4: SAINT FRANCIS HOSPITAL AND MEDICAL CENTER ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT BY REFERENCE TO THE ESTABLISHED POLICIES OF THE HOSPITAL. ESSENTIALLY, THESE POLICIES DEFINE CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO PAYMENT IS ANTICIPATED. IN ASSESSING A PATIENT'S INABILITY TO PAY, THE HOSPITAL UTILIZES THE GENERALLY RECOGNIZED POVERTY INCOME LEVELS FOR THE STATE OF CONNECTICUT, BUT ALSO INCLUDES CERTAIN CASES WHERE INCURRED CHARGES ARE SIGNIFICANT WHEN COMPARED TO INCOMES. IN ADDITION, ALL SELF-PAY PATIENTS RECEIVE A 45% DISCOUNT FROM CHARGES WHICH IS NOT INCLUDED IN NET PATIENT SERVICE REVENUE FOR FINANCIAL REPORTING PURPOSES. PART III, LINE 8: NONE OF THE SHORTFALL WAS TREATED AS COMMUNITY BENEFIT. THE SOURCE OF THE COSTING METHODOLOGY WAS THE MEDICARE COST REPORT. PART III, LINE 9B: SEE PART III, LINE 4 PART III, LINE 2: BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS BAD DEBT EXPENSE FROM FINANCIAL STATEMENTS, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. PART VI, LINE 2: SAINT FRANCIS HOSPITAL PAIRED WITH THE THREE OTHER HOSPITALS LOCATED IN HARTFORD, MOUNT SINAI, CONNECTICUT CHILDREN'S MEDICAL CENTER, AND HARTFORD HOSPITAL, TO ENGAGE THE CITY OF HARTFORD HEALTH AND HUMAN SERVICES DEPARTMENT TO CONDUCT A COMMUNITY NEEDS ASSESSMENT. THE ASSESSMENT METHODOLOGY INCLUDED A NUMBER OF DATA GATHERING PROCESSES: REVIEW OF THE AVAILABLE SECONDARY DATA, INCLUSION OF DATA FROM A LOCAL HEALTH EQUITY INDEX AND TELEPHONE INTERVIEWS OF LOCAL KEY INFORMANTS. SECONDARY DATA PROFILE FINDINGS:HARTFORD IS A VERY DIVERSE (42% HISPANIC AND 37% AFRICAN AMERICAN), YOUNG (49% BETWEEN THE AGES OF 15-45), POOR (32% OF ALL PEOPLE BELOW THE POVERTY LEVEL) AND UNDER EDUCATED (32% OF 25 YEAR OLDS DID NOT GRADUATE FROM HIGH SCHOOL) CITY. THE UNEMPLOYMENT RATE IS 18% AND SAFETY IS A MAJOR CONCERN FOR RESIDENTS WITH RATES OF LARCENY, DRUG ABUSE, ASSAULT AND MURDER ALL HIGHER THAN STATE LEVELS. HEALTH ISSUES OF THE CITIES RESIDENTS INCLUDE HIGH RATES OF DIABETES, OBESITY, ASTHMA, DRUG ABUSE AND MENTAL ILLNESS. RATES OF HEART DISEASE AND CANCER ARE ON AVERAGE LOWER THAN THE REST OF THE STATE WHICH IS LIKELY DUE TO THE AGE OF THE CITY'S RESIDENTS. KEY INFORMANT INTERVIEW FINDINGS:RESULTS FROM THE KEY INFORMANT INTERVIEWS SERVED TO CLARIFY THE ISSUES THAT THOSE WORKING IN THE COMMUNITY SEE AS KEY COMMUNITY NEEDS. THE INFORMATION COLLECTED FROM THESE INTERVIEWS IDENTIFIED THE IMPORTANT HEALTH ISSUES AS DIABETES, OBESITY, MENTAL ILLNESS AND DRUG ABUSE ALL OF WHICH ARE ADDRESSED IN THE COMMUNITY HEALTH IMPLEMENTATION PLAN. ADDITIONALLY, KEY INFORMANTS FELT THAT NEIGHBORHOOD SAFETY WAS A MAJOR CONCERN AS IS THE QUALITY OF HOUSING AND THE LIMITED NUMBER OF JOB OPPORTUNITIES. QUALITATIVE DATADATA WAS GATHERED FROM COMMUNITY MEMBERS VIA FOCUS GROUPS; INFORMAL INTERVIEWS AND INTERACTIONS DURING COMMUNITY EVENTS. AS WELL AS QUESTIONNAIRES WITH PATIENTS IN THE WAITING ROOMS OF THE PRIMARY CARE CLINICS WERE ADMINISTERED TO LEARN ABOUT THE NEEDS PATIENTS SAW AS PRIORITIES.ON-GOING COMMUNITY HEALTH SURVEYA COMMUNITY HEALTH SURVEY WAS DEVELOPED TO ALLOW FOR ON-GOING COMMUNITY INPUT ON HEALTH PRIORITIES WITHIN VARIOUS COMMUNITY SETTINGS. OVER 700 SURVEYS WERE COMPLETED IN A VARIETY OF COMMUNITY SETTINGS THE RESULTS OF WHICH SERVED TO FOCUS ATTENTION ON THE HEALTH ISSUES OF HIGHEST PRIORITY WHEN ENGAGING COMMUNITY GROUPS. THE HIGHEST PRIORITY FOUND FROM COMMUNITY MEMBERS SURVEYED IS FOR INCREASED EDUCATION; TRAINING AND CLINICAL SERVICES FOR THOSE IMPACTED BY DIABETES AND OBESITY. PART VI, LINE 3: PATIENTS' ABILITY TO PAY FOR HEALTH CARE IS ASSESSED DURING THE INTAKE PROCESS. IF IT BECOMES CLEAR THAT THE PATIENT DOES NOT HAVE COVERAGE OR HAS MINIMAL COVERAGE THEY ARE REFERRED TO A FINANCIAL COUNSELOR WHO REVIEWS THEIR CURRENT INCOME TO DETERMINE ELIGIBILITY FOR EITHER STATE ASSISTANCE OR HELP FROM SAINT FRANCIS CHARITY CARE DOLLARS. THE FINANCIAL ASSISTANCE OFFICE AT SAINT FRANCIS IS STAFFED BY SIX FULL-TIME "FINANCIAL COUNSELORS" FOUR OF WHOM ARE BILINGUAL. THEY ARE POSITIONED THROUGHOUT THE INSTITUTION TO PROVIDE EASY ACCESS TO PATIENTS WHO NEED ASSISTANCE. IN AREAS OF THE HOSPITAL WHERE NEW PATIENTS ARRIVE: THE AMBULATORY CARE CLINIC, THE ADMISSIONS AREA, THE PEDIATRIC CLINIC AND THE EMERGENCY DEPARTMENT, SIGNAGE IS POSTED ABOUT THE FINANCIAL ASSISTANCE AVAILABLE TO ALL PATIENTS WHO QUALIFY. THIS INFORMATION OUTLINES, IN BOTH ENGLISH AND SPANISH, THE AVAILABILITY OF FINANCIAL COUNSELING AND ASSISTANCE FOR MEDICAL BILLS. ADDITIONALLY, A "PATIENT AND FAMILY INFORMATION NOTEBOOK" WHICH INCLUDES A CHAPTER ON THE AVAILABILITY OF FINANCIAL ASSISTANCE FOR PATIENTS WHO EITHER DO NOT HAVE COVERAGE OR ARE NOT COVERED FULLY BY THEIR HEALTH INSURANCE IS LOCATED IN EACH PATIENT ROOM. AS WELL, INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS ALSO INCLUDED IN DISCHARGE MATERIALS. SAINT FRANCIS DOES NOT TURN PATIENTS AWAY DUE TO THEIR INABILITY TO PAY. FINALLY, PATIENTS WHO HAVE NOT BEEN FORTHCOMING IN THEIR NEED FOR FINANCIAL ASSISTANCE PRIOR TO THE DELIVERY OF HEALTH CARE SERVICES ARE PROVIDED WITH INFORMATION ABOUT OUR CHARITY CARE POLICY WHEN THEY RECEIVE A BILL FOR THE SERVICES RENDERED. THEY ARE ENCOURAGED TO TALK TO A FINANCIAL COUNSELOR TO DISCUSS A PAYMENT PLAN AND TO DETERMINE IF THEY ARE ELIGIBLE FOR STATE ASSISTANCE OR IF A PORTION OF THEIR BILL CAN BE "WRITTEN OFF" TO CHARITY CARE. SAINT FRANCIS ALSO CONTRACTS WITH A COMPANY TO VISIT PATIENTS IN THEIR HOMES TO HELP THEM APPLY FOR STATE ASSISTANCE SO THAT THEY HAVE THEIR HEALTH COVERAGE IF THEY SHOULD NEED FURTHER ASSISTANCE. ADDITIONALLY, A DSS WORKER IS AVAILABLE ON-SITE FOR DIRECT ENROLLMENT INTO STATE AID PROGRAMS FOR WHICH PATIENTS QUALIFY. THIS POSITION IS FULL TIME AND HOUSED IN AN AREA OF THE HOSPITAL CLOSE TO THE AMBULATORY CLINIC (WHERE MOST PATIENTS WITHOUT COVERAGE ENTER THE HOSPITAL SYSTEM).SPECIAL FUNDING IS AVAILABLE FROM PRIVATE RESOURCES TO HELP CLIENTS PAY FOR SPECIFIC HEALTH CARE SERVICES INCLUDING: MAMMOGRAMS, CARDIOVASCULAR SCREENING, BREAST BIOPSIES, PROSTATE CANCER SCREENING AND TREATMENT AND OTHERS. THE FINANCIAL ASSISTANCE POLICY IS REVIEWED AT A MINIMUM ON AN ANNUAL BASIS AND MORE OFTEN AS NEEDED. CLARIFICATIONS ABOUT THE CHANGES IMPLEMENTED DUE TO THE AFFORDABLE CARE ACT WERE INCORPORATED INTO THE POLICY IN JANUARY 2014. PART VI, LINE 4: SAINT FRANCIS HOSPITAL AND MEDICAL CENTER SERVES PATIENTS FROM ALL OVER CONNECTICUT, AND NATIONALLY. THE MAJORITY OF OUR PATIENTS COME FROM HARTFORD COUNTY, WHICH INCLUDES THE STATE CAPITAL, HARTFORD, AND THIRTY-FIVE SURROUNDING URBAN AND SUBURBAN COMMUNITIES. HARTFORD IS THE CAPITAL OF THE STATE OF CONNECTICUT AND THE SEVENTH LARGEST CITY IN NEW ENGLAND. IT IS ONE OF THE OLDEST CITIES IN THE COUNTRY AND AT ONE POINT WAS ONE OF THE WEALTHIEST. THE POPULATION IN HARTFORD IS 125,000 WITH A PROPORTIONALLY YOUNGER AGE DISTRIBUTION THAN THE US OVERALL. THIS IMPACTS NUMEROUS ASPECTS OF HEALTH INCLUDING RATES OF SOME TYPES OF CANCER, VIOLENCE AND LEVELS OF UNINTENDED INJURY. OVER 70% OF CHILDREN IN THE HARTFORD PUBLIC SCHOOLS RECEIVED FREE OR REDUCED PRICE LUNCH. THE RATE OF INFANTS BORN LOW-BIRTH WEIGHT (LESS THAN 2500 G) IS 9.4%, WELL OVER THE NATIONAL AVERAGE OF 6.8%. HARTFORD IS AN URBAN COMMUNITY, THE MAJORITY OF HARTFORD RESIDENTS ARE MINORITIES WITH RESIDENTS REPORTING 42% LATINO (OF ANY RACE), 37% AFRICAN AMERICAN, 33% WHITE. A VERY LARGE PROPORTION OF LATINOS ARE FROM PUERTO RICO AND APPROXIMATELY 35% OF HARTFORD RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH. RECENT INCREASES IN IMMIGRANT POPULATIONS FROM COUNTRIES SUCH AS BURMA; INDONESIA; VIETNAM, WEST AFRICAN COUNTRIES AND FROM IRAN HAVE INCREASED THE DIVERSITY OF HARTFORD. MEDICAL SERVICES ARE READILY AVAILABLE IN HARTFORD WITH THREE MAJOR HOSPITALS INCLUDING A CHILDREN'S HOSPITAL, BUT ACCESS TO THOSE SERVICES VARIES WIDELY AMONG CITY RESIDENTS. THE CONNECTICUT HOSPITAL ASSOCIATION PROVIDED SAINT FRANCIS WITH A COMMUNITY HEALTH PROFILE BASED ON DATA COLLECTED BY THE HOSPITAL ABOUT PATIENT SERVICES PROVIDED. THIS PROFILE INCLUDES THE METRO HARTFORD AREA WHICH IS QUITE DISTINCT FROM THE CITY OF HARTFORD. THIS POPULATION OF THIS AREA IS OVER 750,000 PEOPLE WITH 64% WHITE; 14% AFRICAN AMERICAN; 15% LATINO; 5% ASIAN. THE POVERTY RATE IS AT 11%. THE TOP FIVE HEALTH CONDITIONS IDENTIFIED FROM INPATIENT DATA INCLUDE:HIGH BLOOD PRESSUREDEPRESSIONALCOHOL AND SUBSTANCE ABUSEHEART FAILUREDIABETESADDITIONALLY, THE REPORT HIGHLIGHTS A NUMBER OF HEALTH ISSUES THAT IMPACT BLACKS AND HISPANICS DISPROPORTIONATELY; THAT IS, THEY REPRESENT HEALTH DISPARITIES FOR THESE GROUPS. INCLUDED ARE: TEEN PREGNANCY; HIGH RATES OF LOW-BIRTH WEIGHT; HIGH INCIDENCE OF VIOLENCE, DIABETES, BREAST CANCER, HIGH BLOOD PRESSURE AND SEXUAL TRANSMITTED DISEASES. PART VI, LINE 5: THE HOSPITAL IS INVOLVED IN A VARIETY OF INITIATIVES THAT FOCUS ON IMPROVING THE HEALTH OF THE COMMUNITY OVERALL. COLLABORATIVE EFFORTS WITH THE CITY HEALTH DEPARTMENT, THE STATE DEPARTMENT OF SOCIAL SERVICES, THE DEPARTMENT OF MENTAL HEALTH AND ADDICTION SERVICES, LOCAL COMMUNITY FOUNDATIONS AND NON-PROFIT ORGANIZATIONS ARE NUMEROUS. SAINT FRANCIS HAS A LONG TRADITION OF PROVIDING FOR THE POOR AND THOSE MOST IN NEED. THE WORK DONE BY THE FOUNDING SISTERS CONTINUES TO INFORM AND INSPIRE THOSE WHO WORK AT SAINT FRANCIS. SOME SPECIFIC EXAMPLES OF WORK BEING DONE IN THIS AREA INCLUDE:CURTIS D. ROBINSON CENTER FOR HEALTH EQUITY - SERVING AS A BRIDGE BETWEEN COMMUNITY MEMBERS AND THE HOSPITAL SYSTEMTHE COMPREHENSIVE WOMEN'S HEALTH CENTER - PROVIDING FREE MAMMOGRAM AND BREAST CANCER TREATMENT SERVICES TO WOMEN IN NEED OF ASSISTANCE.THE JOAN C DAUBER FOOD BANK - PROVIDING FOOD TO FAMILIES IN NEEDLET'S NOT MEET BY ACCIDENT - TEEN VIOLENCE PREVENTIONKISS - CT KIDS IN SAFETY SEATS - PROVIDING FREE CAR SEATS AND INSPECTION FOR FAMILIES WITH YOUNG CHILDRENNURTURING FAMILIES NETWORK - TEEN PARENT SUPPORT PROGRAMHEALTHY START PROGRAM - WORKING TO PREVENT INFANT MORTALITYMEDICAL LEGAL PARTNERSHIP - LEGAL SUPPORT FOR FAMILIES WITH CHILDREN WHO HAVE SPECIAL NEEDSWOMEN'S HEART PROGRAM - FREE HEART HEALTH SCREENING AND ASSESSMENT IN THE COMMUNITYCHILDREN'S ADVOCACY CENTER - SUPPORT FOR CHILDREN AND FAMILIES IMPACTED BY CHILD SEXUAL ABUSEINTEGRATIVE MEDICINE - FREE MEDICAL SERVICES PROVIDED TO SUPPORT TRADITIONAL APPROACHES OF CARE PART VI, LINE 6: THE ORGANIZATION IS NOT A PART OF AN AFFILIATED HEALTH CARE SYSTEM.PART VI, LINE 7: COMMUNITY BENEFITS ARE REPORTED TO THE STATE'S OFFICE OF THE HEALTH CARE ADVOCATE IN CONNECTICUT. A COMMUNITY BENEFIT REPORT IS PUBLISHED AND WIDELY DISTRIBUTED IN THE LOCAL COMMUNITY AND IT IS POSTED ON THE WEBSITE FOR FULL VIEWING. PART VI, LINE 7, REPORTS FILED WITH STATES CT 1 HARTFORD SYMPHONY ORCHESTRA 100 PEARL ST 2ND FLOOR EAST TOWER HARTFORD CT 06103 060637319 501(C)(3) 27200 BOOK N/A SPONSORSHIP IN SUPPORT OF THE TALCOTT MOUNTAIN MUSIC FESTIVAL. MANDELL JEWISH COMMUNITY CENTER 335 BLOOMFIELD AVE WEST HARTFORD CT 06117 060662142 501(C)(3) 25000 BOOK N/A TO SUPPORT PROGRAMS AND SERVICES FOR THE SOCIAL, PHYSICAL, INTELLECTUAL AND CULTURAL ENJOYMENT AND DEVELOPMENT OF THE GREATER HARTFORD COMMUNITY. THE GREATER HARTFORD COMMUNITY FDTN INC TRAVELERS CHAMPIONSHIP 90 STATE HOUSE SQUARE 8TH FL HARTFORD CT 06103 421684133 501(C)(3) 377500 BOOK N/A TO SUPPORT COMMUNITY BASED EVENTS FOR THE BENEFIT OF THE CITIZENS, SOCIAL AND WELFARE ORGANIZATIONS AND OTHER INSTITUTIONS OF THE COMMUNITY. AMERICAN HEART ASSOCIATION FOUNDERS AFFILIATE PO BOX 4002012 DES MOINES IA 50340 135613797 501(C)(3) 10000 BOOK N/A TO SUPPORT PROGRAMS THAT FURTHER THE ASSOCIATIONS MISSION OF BUILDING HEALTHIER LIVES FREE OF CARDIOVASCULAR DISEASE AND STROKE. INCLUDING FUNDING FOR CUTTING EDGE RESEARCH, CONDUCTING LIFESAVING AND PUBLIC AND PROFESSIONAL EDUCATIONAL PROGAMS AND ADVOCATING TO PROTECT PUBLIC HEALTH. ANTI-DEFAMATION LEAGUE 1952 WHITNEY AVE HAMDEN CT 06517 131818723 501(C)(3) 10000 BOOK N/A TO SUPPORT PROGRAMS AND EDUCATION FOCUSING ON ANTI-SEMITISM AND ALL FORMS OF BIGOTRY, EXTREMISM, HATE CRIME, CIVIL RIGHTS, INTERFAITH AND INTER-GROUP UNDERSTANDING. ARTHRITIS FOUNDATION 35 COLD SPRING RD ROCKY HILL CT 06067 060672782 501(C)(3) 18100 BOOK N/A TO SUPPORT PROGRAMS AND SERVICES TO THOSE WHO SUFFER FROM ARTHRITIS, AS WELL AS TO FUND VITALLY IMPORTANT RESEARCH. CCSU FOUNDATION INC PO BOX 612 NEW BRITAIN CT 06050 237354328 501(C)(3) 5000 BOOK N/A SPONSORSHIP PROVIDED TO SUPPORT SCHOLARSHIPS, EDUCATIONAL PROGRAMS AND RESEARCH AT CCSU. CONNECTICUT FORUM 750 MAIN ST HARTFORD CT 06103 061343149 501(C)(3) 25000 BOOK N/A TO SUPPORT THE MISSION OF ENCOURAGING THE FREE AND ACTIVE EXCHANGE OF IDEAS IN FORUMS WHICH INFORM, CHALLENGE, ENTERTAIN, INSPIRE AND BUILD BRIDGES AMONG ALL PEOPLE AND ORGANIZATIONS IN OUR COMMUNITY. CT BRAIN TUMOR ALLIANCE PO BOX 370514 WEST HARTFORD CT 06137 260307367 501(C)(3) 5000 BOOK N/A TO SUPPORT PROGRAMS TO RAISE PUBLIC AWARENESS OF BRAIN TUMORS, ASSIST FAMILIES OF INDIVIDUALS WHO ARE AFFLICTED WITH BRAIN TUMORS AND SUPPORT RESEARCH AND TREATMENT OF BRAIN TUMORS, IN THE STATE OF CT. JEWISH FEDERATION OF GREATER HARTFORD 333 BLOOMFIELD AVE WEST HARTFORD CT 06117 060655482 501(C)(3) 6000 BOOK N/A SPONSORSHIP IN SUPPORT OF A WOMEN'S HEALTH PRESENTATION " WHATS IN YOUR GENES? BRCA?". THIS EDUCATIONAL FORUM WAS PRESENTED TO OFFER FAMILIES INFORMATION, PERSPECTIVE AND RESOURCES ON BREAST AND OVARIAN CANCERS. KOMEN CONNECTICUT 74 BATTERSON PARK ROAD FARMINGTON CT 06032 752844629 501(C)(3) 25000 BOOK N/A SUPPORT FOR THE RACE FOR THE CURE. PROCEED OF WHICH SUPPORTS THE EDUCATION OF WOMEN AND MEN IN OUR STATE ON THE IMPORTANCE OF EARLY DETECTION, FUNDING FREE SCREENING SERVICES AND PROVIDING SUPPORT TO THOSE DIAGNOSED WITH BREAST CANCER. LEAS FOUNDATION FOR LEUKEMIA RESEARCH 150 TRUMBULL ST 2ND FL HARTFORD CT 06103 061520923 501(C)(3) 25000 BOOK N/A TO PROMOTE AND HELP FUND ACTIVITIES ASSOCIATED WITH THE EDUCATION, RESEARCH AND TREATMENT OF LEUKEMIA AND ITS RELATED CANCERS. NATIONAL MULTIPLE SCLEROSIS SOCIETY 659 TOWER AVE HARTFORD CT 06112 060792055 501(C)(3) 20000 BOOK N/A IN SUPPORT OF PROGRAMS FOR CUTTING EDGE RESEARCH, DRIVING CHANGE THROUGH ADVOCACY, FACILITATING PROFESSIONAL EDUCATION AND PROVIDING PROGRAMS AND SERVICES THAT EMPOWER PEOPLE WITH MS AND THEIR FAMILIES TO MOVE THEIR LIVES FORWARD. NORTHSIDE INSTITUTIONS NEIGHBORHOOD 20 SARGENT ST HARTFORD CT 06105 223887275 501(C)(3) 25000 BOOK N/A TO REVITALIZE THE ASYLUM HILL COMMUNITY AREA BY PROVIDING AFFORDABLE HOUSING OPPORTUNITIES FOR LOW AND MODERATE INCOME FAMILIES AND INDIVIDUALS, BY FOSTERING AND DEVELOPING ECONOMIC OPPORTUNITIES WITHIN THE AREA AND OTHERWISE COMBATING COMMUNITY DETERIORATION. NUTMEG BIG BROTHERS BIG SISTERS 30 LAUREL ST STE 3 HARTFORD CT 06106 060850379 501(C)(3) 8000 BOOK N/A TO MAKE A POSITIVE DIFFERENCE IN THE LIVES OF CHILDREN AND YOUTH FACING ADVERSITY, PRIMARILY THROUGH PROFESSIONALLY SUPPORTED RELATIONSHIPS WITH CARING ADULT VOLUNTEERS. THE HARTT SCHOOL OF MUSIC 200 BLOOMFIELD AVE WEST HARTFORD CT 06117 060731360 501(C)(3) 20000 BOOK N/A SPONSORSHIP OF THE HARTT GALA, ALL NET PROCEEDS GO TOWARD SCHOLARSHIPS, TUITION ASSISTANCE AND EDUCATIONAL PROGRAMMING. UNIVERSITY OF HARTFORD 200 BLOOMFIELD AVE WEST HARTFORD CT 06117 060731360 501(C)(3) 5000 BOOK N/A SPONSORHIP OF THE STEM CONFERENCE HELD ANNUALLY TO EXPLORE AND DISCUSS IDEAS AND INNOVATIONS FOR STEM (SCIENCE, TECHNOLOGY, ENGINEERING AND MATHMATICS) CURRICULA. UNIVERSITY OF HARTFORD ATHLETICS DEPT 200 BLOOMFIELD AVE WEST HARTFORD CT 06117 060731360 501(C)(3) 50000 BOOK N/A SPONSORSHIP IN SUPPORT OF UNIVERSITY OF HARTFORD ATHLETICS. UNIVERSITY OF CONNECTICUT FOUNDATION INC 2131 HILLSIDE RD STORRS CT 06269 066070722 501(C)(3) 13734 BOOK N/A TO SUPPORT 2014 WHITE COAT GALA TO BENEFIT THE UCONN HEALTH CENTER. URBAN LEAGUE OF GREATER HARTFORD 140 WOODLAND ST HARTFORD CT 06105 066066491 501(C)(3) 5000 BOOK N/A TO PROMOTE THE SELF EMPOWERMENT OF INDIVIDUALS IN THE CT CAPITAL REGION TO ACHIEVE EDUCATIONAL, OCCUPATIONAL AND ECONOMIC EQUALITY FOR THEMSELVES AND THEIR FAMILIES. CITY OF HARTFORD HEALTH DEPARTMENT - MIOP 131 COVENTRY STREET HARTFORD CT 06112 066001870 170(C)(1) 105000 BOOK N/A TO SUPPORT THE MATERNAL INFANT AND OUTREACH PROGRAM WHICH WORKS TO IMPROVE THE LIVES OF EXPECTANT MOTHERS, THEIR CHILDREN AND THE COMMUNITY AT LARGE. 21 0 EMPLOYEE CHILDREN'S SCHOLARSHIP FUND 12 12000 BOOK N/A MULLANE SCHOLARSHIP FUND 5 5000 BOOK N/A TRIOMPO HEALING HEARTS & HANDS AWARD 17 5900 BOOK N/A S.A. CARRABBA, MD, AWARD (RESEARCH PROJECT) 1 500 BOOK N/A KATHLEEN WALDRON & MADELINE TAYLOR FUND 3 3000 BOOK N/A X X 1 1 X X X X X 1 1 0 0 0 0 0 0 0 CHRISTOPHER M DADLEZ PRESIDENT & CEO 873996 0 643000 0 0 0 849381 0 45358 0 2411735 0 0 0 STEVEN T RUBY MD DIRECTOR / DEPT. CHAIRMAN 636792 0 53688 0 0 0 5000 0 13179 0 708659 0 0 0 JOHN RODIS MD EXECUTIVE VP & COO 0 698627 0 75000 0 0 0 15000 0 19542 0 808169 0 0 DAVID BITTNER SR VP FINANCE 240714 0 105000 0 0 0 0 0 16058 0 361772 0 0 0 TERESA M BOLTON HUMAN RESOURCES COUNSEL 271468 0 35000 0 0 0 11375 0 10026 0 327869 0 0 0 ROBERT CHRISTOPHER HARTLEY SR VP PLANNING & FACILITIES 318972 0 42000 0 0 0 24614 0 20633 0 406219 0 0 0 GREG MAKOUL SVP, CHIEF ACADEMIC OFFICER 371088 0 67000 0 0 0 15000 0 17277 0 470365 0 0 0 JENNIFER SCHNEIDER VP FINANCE/CHIEF COMPLIANCE OFFICER 185960 0 36000 0 0 0 14368 0 19485 0 255813 0 0 0 JOHN N GIAMALIS EVP & CHIEF ADMIN OFFICER 564200 0 129000 0 0 0 0 0 23634 0 716834 0 0 0 DAWN BRYANT SVP, CHIEF HUMAN RESOURCE OFFICER 248078 0 55000 0 0 0 7500 0 13567 0 324145 0 0 0 LINDA SHANLEY VP AND CIO 269690 0 50000 0 0 0 0 0 16572 0 336262 0 0 0 E MERRITT MCDONOUGH JR SF FOUNDATION PRESIDENT 373254 0 38000 0 0 0 11400 0 31448 0 454102 0 0 0 STUART ROSENBERG CEO-JMMC 232381 0 73000 0 0 0 9250 0 12805 0 327436 0 0 0 JAMES W SCHEPKER VP MARKETING & BUSINESS DEVELOPMENT 247633 0 45000 0 0 0 11225 0 19756 0 323614 0 0 0 ERNESTO M CANALIS MD DIRECTOR OF RESEARCH 291053 0 0 0 0 0 24608 0 6528 0 322189 0 0 0 ROBERT FALAGUERRA VP FACILITIES & SUPPORT SERVICES 213691 0 29000 0 0 0 19156 0 20894 0 282741 0 0 0 NICOLE SCHULZ VP REVENUE CYCLE 201717 0 40000 0 0 0 12485 0 18147 0 272349 0 0 0 PAUL F MITCHELL DMD FORMER DIRECTOR 0 263173 0 0 0 0 0 24614 0 18618 0 306405 0 0 KATHLEEN M ROCHE FORMER EXECUTIVE VP & COO 431719 0 0 0 208333 0 0 0 10215 0 650267 0 0 0 ARTHUR DETORE FORMER SVP CHIEF PHYSICIAN EXECUTIVE 369930 0 0 0 191250 0 0 0 12220 0 573400 0 0 0 REBECCA BURKE FORMER SVP, PATIENT CARE & CLINICAL 108069 0 0 0 214582 0 0 0 9293 0 331944 0 0 0 PART I, LINES 4A-B KATHLEEN M. ROCHE RECEIVED A SEVERANCE BENEFIT OF $208,333. ARTHUR DETORE RECEIVED A SEVERANCE BENEFIT OF $191,250. REBECCA BURKE RECEIVED A SEVERANCE BENEFIT OF $214,582. CHRISTOPHER DADLEZ PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE YEAR WITH AN ESTIMATED BENEFIT OF $834,000. A STATE OF CT HEALTH & EDUCATIONAL FACILITY AUTHORITY REV BONDS - SERIES E 060806186 20774UZC2 2008-05-29 39745000 REFUND EXISTING DEBT ISSUED 11/93 0 0 0 B STATE OF CT HEALTH & EDUCATIONAL FACILITY AUTHORITY REV BONDS - SERIES H-M 060806186 2014-01-24 213215000 REFUND EXISTING DEBT ISSUED 6/08 AND 9/10 0 0 0 A 795000 39745000 629173 447069 38673020 1 0 1 1 B 1635000 213215000 1209100 212005900 1 0 1 1 A 0 1 0 0 0 0 1 B 0 1 1 1 1 1 0 0 1 A 0 0 0 1 1 0 NA 0 0 0 NA 0 0 1 B 0 0 0 1 1 0 NA 0 0 0 NA 0 0 1 A 0 B 0 SCHEDULE K, PART I, BOND ISSUES: ON JANUARY 24, 2014 SAINT FRANCIS HOSPITAL AND MEDICAL CENTER ENTERED INTO A FINANCING ARRANGEMENT WITH THE STATE OF CT HEALTH & EDUCATION FACILITY AUTHORITY (CHEFA) FOR THE PURPOSE OF REFUNDING AND REFINANCING THE SERIES D, F, AND G REVENUE BONDS. CHEFA SOLD $213,215,000 OF SERIES H-M BOND QUALIFIED TAX EXEMPT BONDS, WHICH MATURE SERIALLY FROM 2018 TO 2021 THROUGH PRIVATE PLACEMENT. JOHN N GIAMALIS EVP & CHIEF ADMIN OFFICER 205885 RENTAL OF OFFICE SPACE, TELECOMMUNICATIONS, AND ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS HEALTHCARE PARTNERS. JOHN N. GIAMALIS IS A BOARD MEMBER OF SAINT FRANCIS HEALTHCARE PARTNERS. 0 JOHN N GIAMALIS EVP & CHIEF ADMIN OFFICER 2701553 MANAGED CARE SERVICES FROM SAINT FRANCIS HEALTHCARE PARTNERS. JOHN N. GIAMALIS IS A BOARD MEMBER OF SAINT FRANCIS HEALTHCARE PARTNERS. 0 CHRISTOPHER DADLEZ CEO & PRESIDENT 205885 RENTAL OF OFFICE SPACE, TELECOMMUNICATIONS, AND ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS HEALTHCARE PARTNERS. CHRISTOPHER DADLEZ IS A BOARD MEMBER OF SAINT FRANCIS HEALTHCARE PARTNERS. 0 CHRISTOPHER DADLEZ CEO & PRESIDENT 2701553 MANAGED CARE SERVICES FROM SAINT FRANCIS HEALTHCARE PARTNERS. CHRISTOPHER DADLEZ IS A BOARD MEMBER OF SAINT FRANCIS HEALTHCARE PARTNERS. 0 REBECCA BURKE KEY EMPLOYEE 2533349 PURCHASE OF SERVICES FROM SAINT FRANCIS BEHAVIORAL HEALTH GROUP, P.C. REBECCA BURKE IS A DIRECTOR OF SAINT FRANCIS BEHAVIORAL HEALTH GROUP, P.C. 0 REBECCA BURKE KEY EMPLOYEE 856843 RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS BEHAVIORAL HEALTH GROUP, P.C. REBECCA BURKE IS A DIRECTOR OF SAINT FRANCIS BEHAVIORAL HEALTH GROUP, P.C. 0 REBECCA BURKE KEY EMPLOYEE 16744700 RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO COLLABORATIVE LABORATORY SERVICES. REBECCA BURKE IS A DIRECTOR OF COLLABORATIVE LABORATORY SERVICES. 0 REBECCA BURKE KEY EMPLOYEE 23043771 PURCHASE OF SERVICES AND SUPPLIES FROM COLLABORATIVE LABORATORY SERVICES. REBECCA BURKE IS A DIRECTOR OF COLLABORATIVE LABORATORY SERVICES. 0 DANIEL O'CONNELL DIRECTOR 205885 RENTAL OF OFFICE SPACE, TELECOMMUNICATIONS, AND ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS HEALTHCARE PARTNERS. DANIEL O'CONNELL IS A BOARD MEMBER OF SAINT FRANCIS HEALTHCARE PARTNERS. 0 DANIEL O'CONNELL DIRECTOR 2701553 MANAGED CARE SERVICES FROM SAINT FRANCIS HEALTHCARE PARTNERS. DANIEL O'CONNELL IS A BOARD MEMBER OF SAINT FRANCIS HEALTHCARE PARTNERS. 0 E MERRITT MCDONOUGH JR KEY EMPLOYEE 3745146 EMPLOYEE OF PEOPLE'S UNITED INSURANCE - PURCHASE OF INSURANCE SERVICES. 0 R CHRISTOPHER HARTLEY KEY EMPLOYEE 3075646 DIRECTOR OF TOTAL LAUNDRY COLLABORATIVE - LAUNDRY SERVICES. 0 PETER G KELLY JD DIRECTOR 101051 PETER KELLY'S DAUGHTER, BRIDGET KELLY, IS A PHYSICIAN ASSISTANT FOR SAINT FRANCIS HOSPITAL AND MEDICAL CENTER. 0 PHILIP J SCHULZ DIRECTOR 272349 PHILIP SCHULZ'S DAUGHTER-IN-LAW, NICOLE SCHULZ, IS THE VP OF REVENUE CYCLE FOR SAINT FRANCIS HOSPITAL AND MEDICAL CENTER. 0 JOHN N GIAMALIS EVP & CHIEF ADMIN OFFICER 476670 RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS CARE MEDICAL GROUP. JOHN N. GIAMALIS IS VICE PRESIDENT OF SAINT FRANCIS CARE MEDICAL GROUP. 0 KATHLEEN ROCHE EXECUTIVE VICE PRESIDENT & COO 476670 RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS CARE MEDICAL GROUP. KATHLEEN ROCHE IS A DIRECTOR OF SAINT FRANCIS CARE MEDICAL GROUP. 0 R CHRISTOPHER HARTLEY KEY EMPLOYEE 476670 RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS CARE MEDICAL GROUP. R. CHRISTOPHER HARTLEY IS A DIRECTOR OF SAINT FRANCIS CARE MEDICAL GROUP. 0 TERESA BOLTON KEY EMPLOYEE 476670 RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS CARE MEDICAL GROUP. TERESA BOLTON IS A DIRECTOR OF SAINT FRANCIS CARE MEDICAL GROUP. 0 P ANTHONY GIORGIO DIRECTOR 2476426 LEASE PAYMENTS AND LEASEHOLD IMPROVEMENTS FROM 103 WOODLAND STREET, LLC . P. ANTHONY GIORGIO IS A DIRECTOR OF SAINT FRANCIS HOSPITAL & MEDICAL GROUP, SAINT FRANCIS CARE, INC. AND MT. SINAI REHABILITATION CENTER, INC. 0 KARL KRAPEK DIRECTOR 2476426 LEASE PAYMENT AND LEASEHOLD IMPROVEMENTS FROM 103 WOODLAND STREET, LLC. KARL KRAPEK IS A DIRECTOR OF SAINT FRANCIS HOSPITAL & MEDICAL GROUP AND SAINT FRANCIS CARE, INC. 0 JEAN-PIERRE VAN ROOY DIRECTOR 202034 SON - DR. ERIC VAN ROOY IS AFFILLIATED WITH CONNECTICUT RADIATION ONCOLOGY WHICH HAS A PSA TO RUN THE CYBERKNIFE PROGRAM AT SFH. 0 JOHN D PAPANDREA MD DIRECTOR 110200 DR. JOHN PAPANDREA'S SPOUSE, DR. KATHLEEN KENNEDY, IS A CARDIOLOGIST IN A PRIVATE PRACTICE THAT PROVIDES PROFESSIONAL SERVICES TO SAINT FRANCIS HOSPITAL & MEDICAL CENTER. DR. JOHN PAPANDREA IS A DIRECTOR OF SAINT FRANCIS HOSPITAL & MEDICAL CENTER AND SAINT FRANCIS CARE, INC. 0 JOHN W RODGERS MD DIRECTOR 105963 DR. JOHN RODGERS IS A SHAREHOLDER IN A PRIVATE MEDICAL GROUP PRACTICE THAT SAINT FRANCIS HOSPITAL AND MEDICAL CENTER RENTS SPACE AND ASSOCIATED OCCUPANCY EXPENSES FOR MULTIPLE LOCATIONS. 0 JOHN RODIS EXECUTIVE VP & COO 205885 RENTAL OF OFFICE SPACE, TELECOMMUNICATIONS, AND ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS HEALTHCARE PARTNERS. JOHN RODIS IS A BOARD MEMBER OF SAINT FRANCIS HEALTHCARE PARTNERS. 0 DAVID BITTNER SR VP FINANCE 205885 RENTAL OF OFFICE SPACE, TELECOMMUNICATIONS, AND ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS HEALTHCARE PARTNERS. DAVID BITTNER IS A BOARD MEMBER OF SAINT FRANCIS HEALTHCARE PARTNERS. 0 JOHN RODIS EXECUTIVE VP & COO 2701553 MANAGED CARE SERVICES FROM SAINT FRANCIS HEALTHCARE PARTNERS. JOHN RODIS IS A BOARD MEMBER OF SAINT FRANCIS HEALTHCARE PARTNERS. 0 DAVID BITTNER SR VP FINANCE 2701553 MANAGED CARE SERVICES FROM SAINT FRANCIS HEALTHCARE PARTNERS. DAVID BITTNER IS A BOARD MEMBER OF SAINT FRANCIS HEALTHCARE PARTNERS. 0 P ANTHONY GIORGIO DIRECTOR 329680 LEASE PAYMENTS AND LEASEHOLD IMPROVEMENTS FROM DORSET CROSSING, LLC . P. ANTHONY GIORGIO IS A DIRECTOR OF SAINT FRANCIS HOSPITAL & MEDICAL GROUP, SAINT FRANCIS CARE, INC. AND MT. SINAI REHABILITATION CENTER, INC. 0 KARL KRAPEK DIRECTOR 329680 LEASE PAYMENT AND LEASEHOLD IMPROVEMENTS FROM DORSET CROSSING, LLC. KARL KRAPEK IS A DIRECTOR OF SAINT FRANCIS HOSPITAL & MEDICAL GROUP AND SAINT FRANCIS CARE, INC. 0 SUSAN J SAPPINGTON DIRECTOR 66300 DIRECTOR SAPPINGTON'S SPOUSE, JOSEPH SAPPINGTON, MD, IS A CARDIOLOGIST IN A PRIVATE PRACTICE THAT PROVIDES PROFESSIONAL SERVICES TO SAINT FRANCIS HOSPITAL & MEDICAL CENTER. SUSAN SAPPINGTON IS A DIRECTOR OF SAINT FRANCIS HOSPITAL & MEDICAL GROUP AND SAINT FRANCIS CARE, INC. 0 FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED): WE DO NOT TAKE THESE RELATIONSHIPS FOR GRANTED. BY LISTENING AND RESPONDING TO COMMUNITY NEEDS, WE OFFER A PARTNERSHIP BUILT ON TRUST. YOU CAN COUNT ON OUR EMERGENCY DEPARTMENT WHEN YOU NEED IMMEDIATE HELP, OUR CLINICS AND REFERRAL SERVICES TO FIND A GOOD PHYSICIAN FOR YOUR FAMILY, AND RESPECTFUL PROFESSIONALS THROUGHOUT OUR INSTITUTION WHO WILL ENSURE YOUR DIGNITY REGARDLESS OF YOUR SITUATION IN LIFE. THE FOLLOWING SAINT FRANCIS COMMUNITY BENEFIT REPORT HIGHLIGHTS JUST A FEW OF THE WAYS WE FULFILL OUR MISSION TO SERVE. WE HOPE YOU HAVE DIRECTLY BENEFITED FROM OUR OUTREACH. WE ALSO HOPE YOU CONTINUE TO ENGAGE OUR GROWING COMMUNITY BENEFIT INITIATIVE BY SHARING YOUR THOUGHTS, JOINING IN OUR MISSION, AND EXPERIENCING WITH US THE JOY OF WORKING TO IMPROVE THE HEALTH OF EVERYONE IN OUR REGION. OUR MISSION: WE ARE COMMITTED TO HEALTH AND HEALING THROUGH EXCELLENCE, COMPASSIONATE CARE AND REVERENCE FOR THE SPIRITUALITY OF EACH PERSON. OUR CORE VALUES: RESPECT: WE HONOR THE WORTH AND DIGNITY OF THOSE WE SERVE AND WITH WHOM WE WORK. INTEGRITY: WE ARE FAITHFUL, TRUSTWORTHY AND JUST. SERVICE: WE REACH OUT TO THE COMMUNITY, ESPECIALLY THOSE MOST IN NEED. LEADERSHIP: WE ENCOURAGE INITIATIVE, CREATIVITY, LEARNING AND RESEARCH. STEWARDSHIP: WE CARE FOR AND STRENGTHEN RESOURCES ENTRUSTED TO US. SAINT FRANCIS CARE IS A HEALTHCARE MINISTRY OF THE CATHOLIC ARCHDIOCESE OF HARTFORD. SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HAS A STORY TO TELL. IT IS A STORY OF OPPORTUNITIES TO REACH OUT TO NEIGHBORHOODS IN OUR CAPITAL REGION. GIVING BACK TO OUR COMMUNITY IS BOTH OUR MISSION AND OUR RESPONSIBILITY AS A CATHOLIC NOT-FOR-PROFIT HEALTHCARE PROVIDER. EVERY DAY OUR COMMUNITY CONNECTS WITH OUR HEALING MISSION BY ACCESSING QUALITY CARE, EDUCATION, RESEARCH, AND HEALTH PROMOTION ACTIVITIES. "COMMUNITY BENEFIT" IS A PLANNED, MANAGED, AND MEASURED APPROACH TO BOTH EVALUATING AND PROVIDING THOSE SERVICES IDENTIFIED AS HIGH PRIORITIES BY THE COMMUNITY. THIS IS ONE WAY TO TELL THE STORY OF SAINT FRANCIS' CONTINUING SERVICE OF OUTREACH. AS LONG AS PEOPLE NEED FINANCIAL HELP TO ACCESS THE BEST CARE, AS LONG AS THERE IS A NEED FOR HEALTH EDUCATION RESPONSIVE TO THE UNDER-SERVED, AND AS LONG AS THERE IS A NEED FOR INSPIRED CAREGIVERS WHO APPRECIATE THE DIGNITY OF EVERY LIFE, THERE WILL BE ROOM FOR SAINT FRANCIS' MISSION TO GROW AND NEW WAYS TO BENEFIT OUR COMMUNITY. SAINT FRANCIS HOSPITAL AND MEDICAL CENTER WAS ESTABLISHED BY THE SISTERS OF SAINT JOSEPH OF CHAMBERY IN 1897 IN A SMALL HOUSE ON WOODLAND STREET. THE MISSION WAS AMBITIOUS: WITH MODEST RESOURCES SAINT FRANCIS SOUGHT TO CARE FOR THE SICK IN OUR REGION REGARDLESS OF A PERSON'S ABILITY TO PAY. THE NECESSITY TO RESPOND TO SUCH NEEDS WAS NO LESS IN 2014. EVEN AS STATE AND NATIONAL LEADERS DELIBERATE OVER THE FUTURE OF HEALTHCARE, WE ARE COMMITTED TO ONE CLEAR PURPOSE: WE REACH OUT TO ALL WHO NEED HEALTHCARE. THIS COMMUNITY BENEFIT REPORT WILL HIGHLIGHT STORIES OF OUTREACH THROUGH EDUCATION, PREVENTION, TRAINING, AND GREATER ACCESS TO CARE TARGETED ACTIVITIES THAT TOUCH LIVES AND INVEST OUR MISSION IN THE HOMES OF OUR COMMUNITY. SAINT FRANCIS COMMUNITY BENEFIT ACTIVITY AT A GLANCE IN FISCAL YEAR 2014, SAINT FRANCIS PROVIDED $78,102,500 IN COMMUNITY BENEFIT, OF WHICH $5,967,252 REPRESENTS CHARITY CARE AND UNPAID COSTS OF MEDICAID. THESE FIGURES DO NOT TAKE INTO ACCOUNT AN ADDITIONAL $21,847,988 IN BAD DEBTS (PAYMENTS THAT HAVE NOT COME FROM CONSUMERS). WE DO NOT COUNT THIS FIGURE AS COMMUNITY BENEFIT BECAUSE, WHILE IT DOES ASSIST THOSE WHO NEED FINANCIAL ASSISTANCE, WE DID NOT INTENTIONALLY INITIATE THIS BENEFIT. THIS IS IN LINE WITH THE CATHOLIC HEALTH ASSOCIATION'S GUIDELINES. OUR MISSION PROUDLY SUPPORTS THE ROLE WE SERVE IN TIMES OF ECONOMIC DISTRESS. DURING 2014, SAINT FRANCIS PROVIDED COMMUNITY BENEFIT SERVICES TO 147,675 INDIVIDUALS WHO RECEIVED FINANCIAL ASSISTANCE FOR THEIR MEDICAL CARE AND SUPPORT THROUGH OUR COMMUNITY BENEFIT PROGRAMS. CHARITY CARE - $ 5,967,252 FREE OR DISCOUNTED HEALTH SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD TO PAY AND WHO MEET THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY CRITERIA ARE CATEGORIZED AS CHARITY CARE. THIS YEAR'S REPORT HIGHLIGHTS THE WORK OF THE FINANCIAL COUNSELORS WHO ADMINISTER CHARITY CARE, SOMETIMES REFERRED TO AS FINANCIAL RELIEF. CHARITY CARE IS REPORTED IN TERMS OF COSTS, NOT CHARGES. COMMUNITY BENEFIT SERVICES - $ 30,235,625 SERVICES PROVIDED TO MEET COMMUNITY NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT ARE REFERRED TO AS COMMUNITY BENEFIT SERVICES. INCLUDED HERE ARE CLINICAL PATIENT CARE SERVICES PROVIDED DESPITE A NEGATIVE MARGIN, PUBLIC HEALTH PROGRAMS, COMMUNITY OUTREACH AND EDUCATION, AND PARTNERSHIPS WITH LOCAL COMMUNITY AGENCIES. GOVERNMENT-SPONSORED HEALTHCARE - $ 41,899,623 GOVERNMENT-SPONSORED HEALTHCARE COMMUNITY BENEFITS INCLUDE UNPAID COSTS OF PUBLIC PROGRAMS FOR LOW-INCOME PERSONS. THESE INCLUDE THE SHORTFALL CREATED WHEN PAYMENTS ARE LESS THAN THE COST-OF-CARING FOR PROGRAM BENEFICIARIES. TOTAL COMMUNITY BENEFIT - $ 78,102,500 COMMUNITY BENEFIT - SERVICES WHAT ARE THE NUMBERS? COMMUNITY BENEFIT IS CATEGORIZED INTO THREE BROAD AREAS WHICH INCLUDE: CHARITY CARE, GOVERNMENT-SPONSORED HEALTHCARE, AND COMMUNITY BENEFIT SERVICES. THE FOLLOWING LIST OUTLINES, IN MORE DETAIL, THE COMMUNITY BENEFIT SERVICES PORTION, WHICH THIS PAST YEAR TOTALED $30,235,625. A. COMMUNITY HEALTH IMPROVEMENT SERVICES - $ 2,035,780 THESE ACTIVITIES ARE CARRIED OUT TO IMPROVE COMMUNITY HEALTH AND ARE USUALLY SUBSIDIZED BY THE HEALTHCARE ORGANIZATION. THERE ARE FOUR GROUPINGS WITHIN THIS CATEGORY: COMMUNITY HEALTH EDUCATION, COMMUNITY-BASED CLINICAL SERVICES, HEALTHCARE SUPPORT SERVICES AND OTHER COMMUNITY HEALTH IMPROVEMENT SERVICES. THE FOLLOWING IS A SAMPLE OF PROGRAMS AND ACTIVITIES IN EACH OF THESE CATEGORIES. COMMUNITY HEALTH EDUCATION - ADAPTIVE ROWING PROGRAM - BREAST AND CERVICAL CANCER EDUCATION AND OUTREACH - BREASTFEEDING SUPPORT - CHILD ABUSE PREVENTION EDUCATION AND OUTREACH - CANCER SUPPORT GROUPS - CHILDBIRTH EDUCATION CLASSES - COLORECTAL SCREENING PROGRAM AND EDUCATION PROGRAM - CENTER FOR DIABETES & METABOLIC CARE PROGRAM EDUCATION AND OUTREACH - CURTIS D. ROBINSON CENTER FOR HEALTH EQUITY PROGRAMS: - COMMUNITY ENGAGEMENT ACTIVITIES - LANGUAGE SERVICES EDUCATION - MEN'S HEALTH EDUCATION - NAVIGATION SERVICES - PASTORAL COUNSELING TRAINING PROGRAM - GOLFERS IN MOTION - HEALTH PROMOTION ACTIVITIES - HEALTHY START AND PARENTING PROGRAMS - INTEGRATIVE HEALTH SERVICES - MEDICAL LEGAL PARTNERSHIP PROGRAM - VIOLENCE AND INJURY PREVENTION PROGRAM - WOMEN'S HEART PROGRAM OUTREACH COMMUNITY-BASED CLINICAL SERVICES - PREVENTIVE HEALTH SCREENINGS: - CARDIOVASCULAR RISK ASSESSMENT - CHILD SEAT SAFETY SCREENING - DIABETES SCREENING - MAMMOGRAMS - PROSTATE CANCER - SERVICES FOR CHILDREN AND FAMILIES IMPACTED BY CHILD ABUSE - SUPPORT FOR MALTA VAN HEALTHCARE SUPPORT SERVICES - CARDIAC REHAB AND WELLNESS - CARE MANAGEMENT SUPPORT SERVICES - DIABETES SUPPORT SERVICES - MULTIDISCIPLINARY CASE MANAGEMENT TEAM FOR CHILD ABUSE - NURTURING FAMILIES NETWORK CASE MANAGEMENT SERVICES - PROCUREMENT OF PHARMACEUTICALS FOR INDIGENT CLIENTS OTHER HEALTH IMPROVEMENT SERVICES - CAREGIVER SUPPORT SERVICES - HEALTH EQUITY FELLOWSHIP - LITERACY SUPPORT PROGRAMS - TRANSPORTATION SUPPORT - LANGUAGE SUPPORT SERVICES - THE AUXILIARY REPETITIONS THRIFT STORE - JOAN C. DAUBER EMERGENCY FOOD BANK - KEEP-THE-POWER-ON UTILITY CLINIC B. HEALTH PROFESSIONS EDUCATION - $ 24,803,442 THIS CATEGORY INCLUDES THE UNPAID COSTS OF UNDERGRADUATE TRAINING, INTERNSHIPS, CLERKSHIPS, RESIDENCIES, NURSING TRAINING, RESIDENCY EDUCATION, AND CONTINUING MEDICAL EDUCATION (CME) OFFERED TO PHYSICIANS OUTSIDE OF THE MEDICAL STAFF. - CONNECTICUT INSTITUTE FOR PRIMARY CARE INNOVATION (CIPCI) - DENTAL ASSISTANT AND DENTAL HYGIENIST TRAINING - DIETICIAN TRAINING - MEDICAL STUDENT EDUCATION - NURSES AND NURSING STUDENT EDUCATION - OB/GYN RESIDENCY TRAINING - OTHER HEALTH PROFESSIONAL EDUCATION - PHARM-D TRAINING SITE C. SUBSIDIZED HEALTH SERVICES - $ 2,382,497 THIS CATEGORY INCLUDES HEALTH SERVICES AND CLINICAL PROGRAMS THAT ARE PROVIDED DESPITE A FINANCIAL LOSS. THESE SERVICES ARE PROVIDED BECAUSE THEY MEET AN IDENTIFIED COMMUNITY NEED THAT IS NOT BEING FULFILLED BY THE GOVERNMENT OR ANOTHER NOT-FOR-PROFIT ORGANIZATION. - UNCOMPENSATED CARE - DENTAL CLINIC - UNCOMPENSATED CARE - FAMILY MEDICINE D. RESEARCH - $ 230,090 THIS CATEGORY INCLUDES CLINICAL AND COMMUNITY HEALTH RESEARCH THAT IS SHARED WITH THE PUBLIC AND FUNDED BY THE GOVERNMENT OR A TAX-EXEMPT ENTITY (INCLUDING THE ORGANIZATION ITSELF). - COMMUNITY RESEARCH GRANTS - FEDERAL RESEARCH GRANTS - STATE AND LOCAL RESEARCH GRANTS - TRAINEE RESEARCH GRANTS FORM 990, PART III, LINE 4A E. FINANCIAL AND IN-KIND DONATIONS - $ 237,064 THIS CATEGORY INCLUDES FUNDS AND IN-KIND SERVICES DONATED TO INDIVIDUALS NOT AFFILIATED WITH THE ORGANIZATION, OR TO COMMUNITY GROUPS AND OTHER NOT-FOR-PROFIT ORGANIZATIONS. IN-KIND SERVICES INCLUDE HOURS CONTRIBUTED BY STAFF TO THE COMMUNITY WHILE ON WORK TIME; OVERHEAD EXPENSES OF SPACE DONATED TO NOT-FOR-PROFIT COMMUNITY GROUPS; AND THE DONATION OF FOOD, EQUIPMENT, AND SUPPLIES. - DONATIONS TO CHARITABLE ORGANIZATIONS - IN-KIND USE OF FACILITIES - MEDICAL MISSION SUPPORT - SUPPORT FOR LOCAL COMMUNITY ORGANIZATIONS F. COMMUNITY-BUILDING ACTIVITIES - $ 238,668 THIS CATEGORY INCLUDES PROGRAMS THAT ADDRESS THE UNDERLYING SOCIAL PROBLEMS, SUCH AS POVERTY, HOMELESSNESS, AND ENVIRONMENTAL ISSUES. THESE ACTIVITIES SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF THE HEALTHCARE ORGANIZATION. - CREC MAGNET SCHOOL PARTNERSHIP - DISASTER PLANNING - BOARD MEMBERSHIPS - NEIGHBORHOOD ASSOCIATIONS G. COMMUNITY-BENEFIT OPERATIONS - $ 308,084 THIS CATEGORY INCLUDES THE COSTS ASSOCIATED WITH STAFFING THE COMMUNITY HEALTH DEPARTMENT AND COSTS ASSOCIATED WITH COMMUNITY BENEFIT PLANNING AND OPERATIONS. BRIDGING THE DIVIDE - 2014 COMMUNITY BENEFIT REPORT WELCOME SIR ISAAC NEWTON ONCE WROTE, "WE BUILD TOO MANY WALLS AND NOT ENOUGH BRIDGES." TODAY, MORE THAN EVER, WE NEED BRIDGES BETWEEN THE VOICES OF FAMILIES IN OUR COMMUNITIES AND HEALTHCARE PROVIDERS WHO SEEK TO FOCUS RESOURCES WHERE THEY ARE NEEDED MOST. WITH THE GREAT DIVERSITY OF OUR REGION, WE HAVE AN OPPORTUNITY TO IMPROVE THE HEALTH OF ALL THE COMMUNITIES WE SERVE, INCLUDING THE MOST VULNERABLE, BY PROVIDING CULTURALLY APPROPRIATE, COMMUNITY-INFORMED, PREVENTION-SMART RESOURCES THAT HARNESS THE MOST VISIONARY APPROACHES IN HEALTHCARE TODAY. OUR DESTINY MUST BE YOUR BESTCARE. OUR MISSION WILL HELP US BUILD BRIDGES THAT ENSURE YOUR HEALTH AND WELLNESS IS EASIER TO MAINTAIN BY PROVIDING BETTER ACCESS, LESS COMPLICATED SERVICES, MINDFUL OF ELIMINATING THE BARRIERS TO QUALITY CARE AND OUTCOMES. IN THE STORIES THAT FOLLOW, YOU WILL SEE MOVING EXAMPLES OF HOW OUR MISSION TO GIVE BACK TO OUR COMMUNITY IS MAKING A DIFFERENCE. IN 2014, OVER $78,102,500 WAS TARGETED TO COMMUNITY NEEDS. THAT AMOUNTS TO $213,979 EACH DAY. EVERY DOLLAR MUST PASS THE MISSION TEST TO BENEFIT THE COMMUNITIES WE SERVE, ESPECIALLY THOSE IN MOST NEED. ASK DEBORAH, WHOSE DESTINATION IN LIFE CROSSED A BRIDGE THAT INTRODUCED EASIER ACCESS TO CARE, MORE MEANINGFUL RELATIONSHIPS THAT ASSISTED ALL ASPECTS OF LIFE THAT MADE A DIFFERENCE IN HER OUTLOOK. OR REV. DAVID MASSEY, WHO ENGAGED PROVIDERS AT SAINT FRANCIS AS FAMILY...HONESTLY SHAPING THE WAY CARE NEEDED TO HAPPEN FOR HIM. TALK WITH MEMBERS OF THE BHUTAN COMMUNITY WHO SEE SAINT FRANCIS AS A NEIGHBORHOOD PARTNER HELPING THEM TRANSITION TO A NEW HOME. AFTER 118 YEARS, SAINT FRANCIS' MISSION IS WELL POSITIONED TO BUILD BRIDGES TO MORE PERSONAL HEALTH AND WELLNESS FOR YOU, AS WELL. WHERE RELATIONSHIPS MATTER MOST. WE VALUE OUR RELATIONSHIP WITH YOU AND YOUR FAMILY, AND WELCOME YOUR INSIGHTS! MORE THAN EVER, WE ARE HONORED TO BE A TRUSTED PROVIDER OF HEALTHCARE TO BENEFIT OUR COMMUNITIES! BRIDGING THE DIVIDE THE ROLE OF COMMUNITY IN HEALTHCARE IS CHANGING - NEVER BEFORE HAS THE HEALTHCARE SYSTEM FOCUSED SO MUCH ATTENTION ON THE NEEDS OF PATIENTS AND THE IDEA THAT RELATIONSHIPS WITH THE PEOPLE IN THE COMMUNITY CAN LEAD TO A BETTER SYSTEM FOR PROVIDING THE CARE AND SUPPORT NEEDED FOR OPTIMAL HEALTH. COMMUNITY BENEFIT IS EMBLEMATIC OF THAT CHANGE - FROM ITS START AS A SIMPLE PLAN FOR COLLECTING AND REPORTING DATA ABOUT COMMUNITY-BASED HOSPITAL ACTIVITIES, TO THE DEVELOPMENT OF A REQUIRED ANNUAL REPORTING TO THE IRS AND PERIODIC COMMUNITY HEALTH NEEDS ASSESSMENT AND THE SUBSEQUENT STRATEGIC IMPLEMENTATION PLAN DESIGNED TO ADDRESS THOSE NEEDS. COMMUNITY BENEFIT AT SAINT FRANCIS HAS EVOLVED TO TARGET RESOURCES WHERE THEY ARE NEEDED MOST AND TO BRIDGE THE DIVIDE BETWEEN THE SYSTEM OF HEALTHCARE DELIVERY AND THE CURRENT NEEDS OF COMMUNITY MEMBERS WHO CHOOSE SAINT FRANCIS AS THEIR HEALTHCARE PROVIDER. THE SAINT FRANCIS STRATEGIC IMPLEMENTATION PLAN FOR COMMUNITY BENEFIT IDENTIFIES FOUR PRIORITY AREAS OF WORK BASED ON THE FINDINGS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT COMPLETED IN 2012. (SEE CALL-OUT BOX.) THESE PRIORITIES HIGHLIGHT ISSUES THAT HAVE A SIGNIFICANT IMPACT ON HEALTH OUTCOMES FOR PATIENTS BOTH WITHIN THE HEALTHCARE SYSTEM AND IN THE COMMUNITY. THIS REPORT WILL IDENTIFY THOSE PRIORITIES AND THEN PROVIDE EXAMPLES OF PATIENTS WHO HAVE BENEFITED FROM OUR COMMITMENT TO PROVIDING SERVICES THAT TARGET COMMUNITY PRIORITIES AND IMPROVE HEALTH OUTCOMES. THESE STORIES ARE IMPORTANT, NOT ONLY FOR THOSE IN NEED OF CARE, BUT FOR US ALL. AS A COMMUNITY OF PEOPLE WHO PARTICIPATE TOGETHER IN A HEALTHCARE SYSTEM, WE NEED TO UNDERSTAND HOW THAT SYSTEM CAN HELP EACH OF US WHEN WE NEED IT MOST. BY HIGHLIGHTING A FEW EXAMPLES WE HOPE TO SHARE OUR PRIORITIES, DEMONSTRATE THE VALUE OF BRIDGING THE DIVIDE BETWEEN THE COMMUNITY AND THE HEALTHCARE SYSTEM, AND ENGAGE THE COMMUNITY IN THIS IMPORTANT DISCUSSION. STRATEGIC PRIORITIES FOR COMMUNITY BENEFIT: IMPROVE COMMUNICATION EXAMPLE: WORK WITH A NEW IMMIGRANT GROUP RESULTS IN BETTER UNDERSTANDING. REMOVE BARRIERS TO HEALTHCARE EXAMPLE: COLLABORATION WITH COMMUNITY AGENCY IMPROVES HEALTH OUTCOMES FOR A PATIENT. PROVIDE COORDINATED CARE EXAMPLE: A PATIENT WITH COMPLEX HEALTH ISSUES GETS THE SERVICES NEEDED TO RETURN TO HEALTH. TARGET SOCIAL DETERMINANTS OF HEALTH EXAMPLE: FINANCIAL COUNSELORS HELP PATIENTS ENROLL IN NEEDED HEALTH INSURANCE. IMPROVING COMMUNICATION THE WELCOMING COMMITTEE IS A SUB-COMMITTEE OF THE ASYLUM HILL NEIGHBORHOOD ASSOCIATION (WWW.ASYLUMHILL.ORG) AND HAS BEEN MEETING MONTHLY AT THE CURTIS D. ROBINSON CENTER FOR HEALTH EQUITY AT SAINT FRANCIS FOR THE PAST YEAR. THIS GROUP IS MADE UP OF MEMBERS FROM BOTH THE IMMIGRANT AND RECEIVING COMMUNITIES, AND FOCUSES ON SUPPORTING NEW IMMIGRANTS TO INTEGRATE INTO THE NEIGHBORHOOD AS WELL AS NAVIGATE THE SERVICES THEY NEED TO MAKE HARTFORD THEIR NEW HOME. THE SPACE IS OFFERED FREE TO COMMUNITY GROUPS, AND PROVIDES EASY ACCESS TO PARKING AND IS LOCATED RIGHT ON THE BUS LINE WHICH ENHANCES THE ABILITY OF GROUP MEMBERS TO ATTEND REGULARLY, THEREBY IMPROVING GROUP COHESIVENESS. MEMBERS HAIL FROM COUNTRIES THAT INCLUDE TOGO, CAMEROON, BHUTAN, BURMA, PERU, THE IVORY COAST, GHANA AND NEPAL. MANY ARE LEARNING ENGLISH AND ESTABLISHING THEMSELVES AND THEIR FAMILIES BY CONNECTING WITH FELLOW RESIDENTS, NEIGHBORHOOD AGENCIES AND INSTITUTIONS OFFERING THEM A RANGE OF SERVICES AND TARGETED ASSISTANCE. THE SUPPORT OF THE CENTER FACILITATES SUCH CONNECTIONS TO MULTIPLE RESOURCES AND SERVES AS A BRIDGE BETWEEN GROUP MEMBERS AND THE SERVICES THAT EXIST IN THE COMMUNITY. THIS PAST YEAR STAFF FROM THE URBAN LEAGUE, LOCATED IN THE SAME BUILDING, GAVE WORKSHOPS ON "BUYING YOUR FIRST HOME" AND "FINDING EMPLOYMENT," TOPICS THAT GROUP MEMBERS HAD ASKED TO LEARN MORE ABOUT. THE RELATIONSHIP WITH THE WELCOMING COMMITTEE WORKS BOTH WAYS IN THAT THE MEMBERS SOMETIMES SERVE AS A RESOURCE FOR SAINT FRANCIS. ONE EXAMPLE OF THIS IS WHEN A HOSPITAL CHAPLAIN WAS WORKING WITH A PATIENT WHOSE FAMILY MEMBER WAS DYING; SHE WAS NOT AWARE OF THE CULTURAL AND RELIGIOUS CUSTOMS OF THIS FAMILY AND WAS TRYING TO FIND A RELIGIOUS LEADER FROM WITHIN THAT COMMUNITY WHO COULD ASSIST THE FAMILY THROUGH THIS DIFFICULT TIME. BY CONTACTING A MEMBER OF THE WELCOMING COMMITTEE, AN APPROPRIATE RELIGIOUS LEADER WAS FOUND AND THE FAMILY FOUND SOME SOLACE DURING THIS DIFFICULT TIME. IN ANOTHER CASE, A SOCIAL WORKER FROM THE SAINT FRANCIS CHILDREN'S ADVOCACY CENTER HAD CONCERNS ABOUT COMMUNICATING APPROPRIATELY TO THE FAMILY MEMBER OF A CHILD WHO WAS SEXUALLY ABUSED. AGAIN, THE WELCOMING COMMITTEE SERVED AS A RESOURCE FOR FINDING THE INFORMATION NEEDED TO HELP THE STAFF MEMBER COMMUNICATE THIS SENSITIVE INFORMATION TO THE FAMILY IN A CULTURALLY APPROPRIATE MANNER. FORM 990, PART III, LINE 4A REMOVING BARRIERS TO HEALTHCARE MANAGEMENT OF A CHRONIC ILLNESS CAN BE A DIFFICULT TASK, BUT IT IS EVEN MORE CHALLENGING WHEN FACED WITH LIMITED RESOURCES AND INSUFFICIENT HEALTH INSURANCE COVERAGE. SAINT FRANCIS HAS PARTNERED WITH A NATIONAL ORGANIZATION CALLED COMMUNITY SOLUTIONS, WHICH IS ENGAGED LOCALLY IN COMMUNITY DEVELOPMENT DESIGNED TO IMPROVE THE QUALITY OF LIFE FOR THE RESIDENTS IN THE NORTH END OF HARTFORD. ONE FOCUS OF THIS PARTNERSHIP HAS BEEN TO HELP RESIDENTS FIND THE SERVICES THEY NEED TO MANAGE CHRONIC ILLNESS RATHER THAN USING THE HIGH-COST SERVICES OF THE EMERGENCY ROOM FOR THEIR HEALTHCARE. IN THE FIRST NINE MONTHS OF A PILOT PROJECT, PARTICIPANTS EXPERIENCED A 57 PERCENT DECREASE IN THEIR EMERGENCY ROOM USE. A SOCIAL WORKER FROM COMMUNITY SOLUTIONS, NADIA LUGO, SAYS HER CLIENT DEBORAH KNOWLES' STORY SHOWS HOW THE NEW APPROACH WORKS. DEBORAH IS A NORTH END RESIDENT BY WAY OF SOUTH CAROLINA. SHE LIVES IN A VERY CLEAN AND HOMEY APARTMENT, AND SHE HAS AN AMAZING SMILE - THAT BECOMES EVEN MORE AMAZING WHEN YOU LEARN SHE IS LIVING WITH CHRONIC BACK PAIN, CIRRHOSIS OF THE LIVER, DIABETES, AND HYPERTENSION. IT'S CLEAR WHEN YOU SIT IN HER KITCHEN THAT SHE LOVES TO COOK. SHE HAS A LARGE BAG OF ONIONS AND POTATOES ON THE SHELF IN THE CORNER ALONG WITH BIG BAGS OF BOTH RICE AND BEANS. SHE EVEN HAS A SET OF MEASURING CUPS ADORNING THE WALLS. "WHEN I WAS A KID WE MOVED TO SOUTH CAROLINA AND WE DIDN'T HAVE ANY FURNITURE IN OUR NEW HOUSE. MY MOM SAID SHE COULD BUY THE FURNITURE IF WE ALL AGREED TO EAT BEANS FOR A FULL MONTH. SO WE DID - AND WE GOT THAT FURNITURE. AND YOU KNOW - I STILL LOVE TO COOK BEANS." WHEN SHE MET NADIA, DEBORAH WAS USING THE EMERGENCY ROOM TO DEAL WITH HER HEALTH ISSUES. SHE DID NOT HAVE TRANSPORTATION, AND BECAUSE OF ACUTE BACK PAIN, SHE WAS UNABLE TO WALK TO THE BUS STOP. SOMETIMES HER MEDICAL CABS DID NOT SHOW UP, SO SHE WOULD CALL THE AMBULANCE TO GET TO THE EMERGENCY ROOM AND RECEIVE THE TREATMENT SHE NEEDED. THIS USE OF THE EMERGENCY ROOM WAS LOGICAL, BUT IT WAS ALSO EXPENSIVE AND TIME-CONSUMING FOR DEBORAH. NADIA HELPED HER DEVELOP A BETTER STRATEGY FOR MANAGING HER CHRONIC CONDITIONS. SINCE SHE MET NADIA, DEBORAH HAS SEEN HER QUALITY OF LIFE, AND HER HEALTH, IMPROVE SIGNIFICANTLY. SHE NOW HAS A PLAN SET UP WITH HER LANDLORD TO ADDRESS BACK RENT, AND A WALKER AND STABILITY BARS TO GET AROUND HER APARTMENT MORE EASILY. HER PRESCRIPTIONS ARE NOW DELIVERED TO HER HOME, AND SHE HAS GAINED CONTROL OF HER DIABETES THANKS TO A PRIMARY CARE DOCTOR AND A VISITING NURSE, WHO HELPS WITH HER INSULIN SHOTS. DEBORAH NO LONGER SPENDS THE DAY IN BED DEPRESSED AND IN CHRONIC PAIN. INSTEAD, SHE SAYS SHE WANTS TO GET OUTSIDE MORE AND VISIT HER FRIENDS AND FAMILY. SHE IS EVEN CONSIDERING ATTENDING THE VALENTINE'S DAY DANCE AT THE ELKS CLUB. COMMUNITY-BASED CARE COORDINATION HAS HELPED DEBORAH SPEND LESS TIME IN THE HOSPITAL AND MORE TIME DOING WHAT SHE LOVES. SHE IS FOREVER GRATEFUL TO NADIA FOR HELPING HER GET HER LIFE BACK. PROVIDING COORDINATED CARE PASTOR DAVID MASSEY HAS SEEN A LOT OF SAINT FRANCIS IN THE PAST FEW YEARS. FIRST HE WAS DIAGNOSED WITH HEART DISEASE, CONCURRENTLY HE HAD DIABETES AND THEN, JUST AS SOON AS HE RECOVERED HIS HEALTH, HE FOUND A LUMP ON THE SIDE OF HIS NECK. IT PROVED TO BE NASAL PHARYNX CANCER AND BECAME THE MOST DIFFICULT OF HIS HEALTH ISSUES TO ADDRESS. FOR ALMOST A YEAR HE RECEIVED RADIATION AND CHEMOTHERAPY TREATMENT AT THE SAINT FRANCIS/MOUNT SINAI REGIONAL CANCER CENTER. IT WAS A LONG AND DIFFICULT JOURNEY THAT INCLUDED MANY HEALTHCARE PROVIDERS. "I'VE BEEN AT SAINT FRANCIS A LOT LATELY, IT FEELS LIKE FAMILY TO ME AND ONE PERSON CAN MAKE A BIG DIFFERENCE." HEALTH ISSUES HAVE CHANGED REVEREND MASSEY IN MANY WAYS. THE FIRST THING YOU NOTICE IS THAT HIS WEIGHT HAS DROPPED FROM OVER 200 LBS. TO A SLIM 170 - A WEIGHT THAT HE DESCRIBES AS "LOOKING GOOD ON ME." HE ALSO SAYS HE HAS A LOT MORE KNOWLEDGE ABOUT HOW TO BE AN ADVOCATE FOR HIMSELF AND HE ACTIVELY PARTICIPATES IN HEALTHCARE DECISIONS. FOR EXAMPLE, WHEN HE SAW THAT HIS BLOOD SUGARS WERE NORMAL AFTER HAVING LOST ALL THAT WEIGHT HE SUGGESTED THAT HE STOP THE MEDICINE TO SEE IF HIS BLOOD SUGAR WAS NOW STABLE, AND HE WAS RIGHT. BEFORE THIS JOURNEY HE WAS NOT SO GOOD AT THAT. BUT NOW HE SAYS, "I'M HEALTHY IN MY MIND, AND I PLAY A ROLE IN MY HEALING AND MY CARE." PASTOR MASSEY IS A THOUGHTFUL, ARTICULATE PERSON - AND HE DESCRIBES HIMSELF AS "PARTICULAR." SO WHEN HE WAS NOT GETTING WHAT HE NEEDED FROM SAINT FRANCIS STAFF HE ASKED TO TALK WITH A SUPERVISOR AND THINGS IMPROVED; WHEN HE FELT THAT HE COULD BENEFIT FROM TAKING THE DIABETES CLASS A SECOND TIME HE ASKED TO BE ENROLLED IN THE NEXT CLASS; AND WHEN HE FOUND THE MUSIC IN THE CHEMOTHERAPY SUITE NOT TO HIS LIKING, THE STAFF FOUND SOMETHING MORE APPROPRIATE. PATIENTS APPRECIATE IT WHEN THEY ARE RECOGNIZED AS INDIVIDUALS AND HEALTHCARE PROVIDERS WORK TO COORDINATE THE CARE THEY NEED. ACKNOWLEDGEMENT FROM A HEALTHCARE PROVIDER OF THE STRUGGLE TO STAY POSITIVE WHEN YOU ARE SICK CAN GO A LONG WAY. THE SMALL THINGS CAN MAKE ALL THE DIFFERENCE IN HEALING. REVEREND MASSEY SAID IT BEST WHEN HE SAID, "I'VE BEEN AT SAINT FRANCIS A LOT LATELY, IT FEELS LIKE FAMILY TO ME AND ONE PERSON CAN MAKE A BIG DIFFERENCE." IMAGINE THE DIFFERENCE PASTOR MASSEY CAN MAKE WHEN HE SPEAKS TO HIS CONGREGATION OF OVER 1,700 PEOPLE ABOUT HIS INSIGHTS ON HEALTH AND THE COORDINATION OF HEALTHCARE SERVICES HE RECEIVED FROM SAINT FRANCIS. TARGETING SOCIAL DETERMINANTS OF HEALTH ISSUES ON THE MARGINS OF HEALTHCARE, BUT IN THE CENTER OF PEOPLE'S LIVES CAN HAVE A HUGE IMPACT ON HEALTH OUTCOMES. HOW MUCH MONEY SOMEONE MAKES, THE NEIGHBORHOOD THEY LIVE IN, THEIR LEVEL OF EDUCATION, THE TYPE OF WORK THEY DO, HOUSING, FOOD SECURITY, EXPOSURE TO VIOLENCE, EXPERIENCE OF TRAUMA - ALL OF THESE ISSUES ARE REFERRED TO AS THE "SOCIAL DETERMINANTS OF HEALTH" AND MUST BE ADDRESSED TO MAINTAIN GOOD HEALTH. AT SAINT FRANCIS, FIVE FULL-TIME FINANCIAL COUNSELORS HELP PATIENTS AND COMMUNITY MEMBERS ENROLL IN HEALTH INSURANCE - EITHER MEDICARE; MEDICAID, OR INSURANCE ON THE HEALTH EXCHANGE. PATIENTS ARE ALSO SCREENED TO DETERMINE IF THEY QUALIFY FOR RESOURCES AVAILABLE FOR A SPECIFIC ILLNESS OR AN EXPENSIVE DRUG. FINALLY, CHARITY CARE, OR "FINANCIAL RELIEF," IS OFFERED THROUGH THIS OFFICE TO THOSE WHO CANNOT GET HEALTH INSURANCE. THE STAFF IS A DIVERSE GROUP OF COMMITTED PROFESSIONALS - 4 OUT OF 5 ARE BILINGUAL; THEY WORK AT THE GENGRAS AND BURGDORF CLINICS; IN THE EMERGENCY ROOM; AND ON THE HOSPITAL FLOORS. THEY PROVIDE HELP WHEN IT IS NEEDED MOST. HERE IS WHAT THEY HAD TO SAY ABOUT THEIR WORK: TELL ME ABOUT A TYPICAL DAY IN THE LIFE OF A FINANCIAL COUNSELOR. "OUR WORK MOSTLY INCLUDES TALKING WITH PEOPLE TO FIND OUT THEIR NEEDS AND THEN MATCHING THEM UP WITH THE PROGRAMS THAT CAN HELP." CAN YOU TELL ME MORE ABOUT THOSE PROGRAMS? "WE PROVIDE INFORMATION ABOUT HEALTH INSURANCE THAT IS ON THE EXCHANGE (ACCESS HEALTH CT) AND INFORMATION ABOUT MEDICAID AND HUSKY, AND THEN WE ALSO WORK WITH PEOPLE TO SEE IF THEY QUALIFY FOR "FINANCIAL RELIEF," SOMETIMES CALLED CHARITY CARE, AND FINALLY WE HELP WITH PAYMENT PLANS." WHEN YOU SAY PAYMENT PLANS, WHAT DO YOU MEAN? "THIS IS WHEN SOMEONE HAS A BILL AND THEY CANNOT PAY IT ALL OFF BUT THEY CAN COME UP WITH A PLAN TO PAY IT OFF SLOWLY UNTIL IT IS FULLY PAID." WHERE DO YOU GET REFERRALS? "ALL OVER, THE EMERGENCY ROOM, THE 'DAILY REPORT' WHICH INCLUDES ALL THE IN-HOUSE SELF PAY PATIENTS, FROM CASE MANAGEMENT AND NOW WE ALSO GET REFERRALS FROM THE STATE 211 HELPLINE. THE FINANCIAL COUNSELORS AT SAINT FRANCIS ARE QUALIFIED TO HELP PEOPLE FIND HEALTH INSURANCE ON THE STATE HEALTH EXCHANGE. SO THAT MEANS WE MIGHT BE HELPING A PERSON WITH PRIVATE INSURANCE OR STATE COVERAGE AND IT ALSO MEANS THEY MIGHT NOT COME TO SAINT FRANCIS FOR THEIR HEALTHCARE." YOU MEAN YOU ARE SIGNING UP PEOPLE WHO JUST COME INTO THE HOSPITAL TO FIND HEALTH INSURANCE? "YES, NOW THAT WE ARE TRAINED TO DO THIS WORK WHEN PEOPLE CALL THE 211 HELPLINE THEY MIGHT REFER THEM TO US FOR ASSISTANCE WITH THEIR APPLICATION. RIGHT NOW IS THE "OPEN ENROLLMENT" PERIOD SO IT'S PRETTY BUSY WITH PEOPLE WHO ARE TRYING TO FIND INSURANCE ON THE EXCHANGE." TELL ME A LITTLE MORE ABOUT HOW YOU DO YOUR SCREENING? "WE HAVE TO LEARN ABOUT WHAT THEIR NEEDS ARE SO WE ASK IF THEY ARE CITIZENS, IF THEY HAVE INSURANCE OR NOT, IF THEY ARE FULLY INSURED OR IF THEY NEED MORE INSURANCE. WE NEED TO KNOW ABOUT THEIR INCOME, WHO THEY LIVE WITH, WHERE THEY WORK, IT'S A LOT OF INFORMATION THAT WE ASK FOR, SO BY THE END WE HAVE A CLEAR PICTURE OF WHAT IS GOING ON." FORM 990, PART III, LINE 4A DO YOU HAVE EXAMPLES OF PATIENTS THAT YOU HAVE HELPED? "I HELPED A FAMILY WITH 6 PEOPLE; 4 WERE UNDOCUMENTED AND THE 2 YOUNGEST CHILDREN WERE BORN HERE, SO THEY WERE U.S. CITIZENS. THEY WERE AFRAID TO ASK FOR HELP BECAUSE THEY THOUGHT THAT ONLY 2 OF THE KIDS WOULD QUALIFY FOR ASSISTANCE AND IN FILLING OUT THAT PAPERWORK THE OTHERS WOULD GET FOUND OUT. SO THEY DIDN'T FILL IT OUT FOR A LONG TIME. BUT I TALKED TO THEM AND EXPLAINED THE OTHERS WOULD QUALIFY FOR HELP FROM THE HOSPITAL AND IN THE END EVERYONE GOT THE HEALTHCARE THEY NEEDED." "I HAD A FAMILY WHERE THE MOTHER WAS VERY SICK, BUT SHE DIDN'T HAVE THE MONEY TO PAY FOR THE PREMIUM FOR HER HEALTH INSURANCE. THE MOTHER DID NOT SPEAK ENGLISH VERY WELL SO HER DAUGHTER HELPED WITH COMMUNICATING AND WITH FILLING OUT THE PAPERWORK NEEDED TO GET COVERAGE. THE DAUGHTER WAS PREGNANT AND VERY WORRIED ABOUT HER MOTHER WHO NEEDED SURGERY QUICKLY. SO WE EXPEDITED THE APPROVAL PROCESS AND THE MOTHER GOT HER SURGERY. THEN AFTER THE DAUGHTER HAD HER BABY WE COUNSELED HER TO TELL THE INSURANCE COMPANY ABOUT THIS CHANGE; AS A RESULT THE PREMIUM SHE WAS PAYING DECREASED SIGNIFICANTLY. SHE WAS SO HAPPY WHEN SHE GOT THIS NEWS SHE CAME IN TO THE OFFICE TO TELL THE NEWS." WHAT DO YOU WANT OTHERS TO KNOW ABOUT THE WORK THAT YOU DO? "WELL IT'S VERY REWARDING, YOU KNOW. WE SEE PEOPLE AT THEIR WORST AND THEN WITH OUR HELP THEY GET BETTER." "SOMETIMES BECAUSE OF OUR HELP, THEY ARE ALIVE. I ONCE WORKED WITH A WOMAN WHO NEEDED A HEART TRANSPLANT. SHE HAD 3 CHILDREN AND WAS VERY SICK. BUT WE HELPED HER AND NOW SHE IS DOING REALLY WELL." "WE HAVE TO DEVELOP TRUST BEFORE WE CAN HELP - SOMETIMES PEOPLE ARE TOO PROUD TO ASK FOR ASSISTANCE, BUT WE APPROACH IT BY MAKING A CONNECTION AND THEN TELLING THEM THE INFORMATION THEY NEED TO KNOW." "PEOPLE HAVE LOTS OF WRONG INFORMATION SO IT'S NICE TO BE ABLE TO TELL THEM WHAT WE HAVE TO OFFER." "ALSO, SOMETIMES WE ARE ACTUALLY SAVING THE HOSPITAL MONEY. ONE TIME I HAD A PATIENT WHO WAS VERY SICK WITH DIABETES AND HE WAS COMING INTO THE EMERGENCY ROOM AND ENDING UP IN THE ICU. HE WAS NOT HERE LEGALLY SO HE DIDN'T QUALIFY FOR MEDICAID OR OTHER INSURANCE. BUT WE FINALLY CONVINCED HIM TO SHARE THE DOCUMENTS WE NEEDED AND WERE ABLE TO GET HIM ON FINANCIAL RELIEF. THEN HE STARTED TAKING CONTROL OF HIS DIABETES AND HE WOULD COME INTO THE CLINIC INSTEAD OF GOING TO THE EMERGENCY ROOM." BRIDGE. NAVIGATE. SUPPORT. THE MISSION OF THE CURTIS D. ROBINSON CENTER FOR HEALTH EQUITY IS TO DEVELOP, DELIVER, AND SUPPORT INNOVATIVE HEALTH EQUITY SOLUTIONS WITH AND FOR THE COMMUNITIES SERVED BY SAINT FRANCIS CARE TO IMPROVE OVERALL HEALTH OUTCOMES. FOUNDED IN 2012 AFTER THE SAINT FRANCIS CARE BOARD OF DIRECTORS PASSED A RESOLUTION TO FOCUS ON SPECIFIC HEALTH EQUITY PRIORITIES, THE CENTER IS STAFFED WITH A MULTICULTURAL TEAM COMMITTED TO A COLLABORATIVE APPROACH TO ACHIEVING OPTIMAL HEALTH THROUGH COMMUNITY ENGAGEMENT, EDUCATION, HEALTH ADVOCACY AND RESEARCH. STAFF AT THE CENTER FOR HEALTH EQUITY FOCUS ON ACCOMPLISHING THE STRATEGIC PRIORITIES OUTLINED IN THIS REPORT BY: - BRIDGING THE DIVIDE BETWEEN HEALTHCARE PROVIDERS AND PATIENTS. - NAVIGATING THE HEALTHCARE SYSTEM TO FIND SOLUTIONS. - SUPPORTING THE COMMUNITY IN ADDRESSING HEALTH DISPARITIES. WE WELCOME YOU TO JOIN US IN THIS WORK! FORM 990, PART VI, SECTION A, LINE 2 P. ANTHONY GIORGIO, PHD (DIRECTOR) AND KARL KRAPEK (DIRECTOR) ARE BOTH 50% PARTNERS IN KEYSTONE CONSULTING, LLC, A RESIDENTIAL AND COMMERCIAL REAL ESTATE DEVELOPER AND DORSET CROSSING LLC AND 103 WOODLAND ST LLC (COMMERCIAL RENTAL REAL ESTATE). SAINT FRANCIS HOSPITAL AND MEDICAL CENTER PAID FOR LEASEHOLD IMPROVEMENTS AT OUR ACCESS CENTER IN SIMSBURY THAT IS OWNED BY KEYSTONE CONSULTING, LLC. AND RENTS SPACE AT OUR SIMSBURY ACCESS CENTER AND OUR HARTFORD INFORMATION TECHNOLOGY AND FINANCE CENTER LOCATION. PHILIP SCHULZ (DIRECTOR) RECEIVES A FIXED PENSION PAYMENT FROM PRICEWATERHOUSE COOPERS, A PORTION OF WHICH IS UNFUNDED. PWC PERFORMS CONSULTING SERVICES FOR SAINT FRANCIS HOSPITAL & MEDICAL CENTER. ALL TRANSACTIONS ARE PERFORMED AT ARM'S LENGTH AND FAIR MARKET TERMS. FORM 990, PART VI, SECTION B, LINE 11 THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE HAS RESPONSIBILITY FOR REVIEWING THE FORM 990 AND WILL REPORT BACK TO THE FULL BOARD REGARDING THEIR REVIEW OF THE FORM 990. THE FORM 990 IS AVAILABLE ON THE BOARD'S INTERNAL SECURE WEB PORTAL. FORM 990, PART VI, SECTION B, LINE 12C THE POLICY INCLUDES AN OBLIGATION OF EACH BOARD MEMBER TO ANNUALLY DISCLOSE ALL MATERIAL FACTS AND RELATIONSHIPS AND REFRAIN FROM VOTING ON ANY MATTER WHEN THERE IS A CONFLICT OF INTEREST. THE GOVERNANCE AND NOMINATIONS COMMITTEE REVIEWS THE RESULTS OF THOSE SUBMISSIONS ON AN ANNUAL BASIS FOR COMPLIANCE WITH GOVERNANCE POLICIES. FORM 990, PART VI, SECTION B, LINE 15 AN EXTERNAL MARKET ANALYSIS IS PERFORMED & REVIEWED BY THE COMPENSATION AND MANAGEMENT DEVELOPMENT COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THERE IS A LINK ON THE SAINT FRANCIS EXTERNAL WEBSITE FOR INDIVIDUALS TO REQUEST THE FOLLOWING DOCUMENTS; (A) ANNUAL FINANCIAL STATEMENTS, (B) FORM 990, (C) CONFLICT OF INTEREST POLICIES AND (D) GOVERNING DOCUMENTS. THE ANNUAL REPORT IS CURRENTLY PUBLISHED ON THE EXTERNAL WEBSITE. FORM 990, PART IX, LINE 11G PHYSICIANS FEES: PROGRAM SERVICE EXPENSES 55,332,330. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 55,332,330. SECURITY EXPENSE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,247,678. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,247,678. OUTSIDE LABORATORIES: PROGRAM SERVICE EXPENSES 2,901,095. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,901,095. COLLECTION FEES: PROGRAM SERVICE EXPENSES 41,412. MANAGEMENT AND GENERAL EXPENSES 2,240,511. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,281,923. DIALYSIS FEES: PROGRAM SERVICE EXPENSES 1,347,830. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,347,830. CONSULTING FEES: PROGRAM SERVICE EXPENSES 13,750. MANAGEMENT AND GENERAL EXPENSES 7,384,097. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,397,847. REGISTRY NURSES FEES: PROGRAM SERVICE EXPENSES 2,404,916. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,404,916. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,738,951. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,738,951. TEMPORARY LABOR: PROGRAM SERVICE EXPENSES 4,453,699. MANAGEMENT AND GENERAL EXPENSES 958,344. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,412,043. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,416,171. MANAGEMENT AND GENERAL EXPENSES 470,349. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,886,520. FORM 990, PART XI, LINE 9: INCREASE IN ASSETS HELD IN TRUST BY OTHERS 1,869,863. CHANGE IN PENSION FUNDING AND POSTRETIREMENT OBLIGATIONS -53,441,917. DECREASE IN INTEREST IN ST FRANCIS FOUNDATION -163,702. CHANGE IN FAIR MARKET VALUE OF SWAP -602,811. LOSS ON EXTINGUISHMENT OF DEBT -1,719,078. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS HAS DELEGATED ITS OVERSIGHT RESPONSIBILITY OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS TO THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE. SAINT FRANCIS INDEMNITY COMPANY 76 ST PAUL ST SUITE 500 BURLINGTON VT 05401 900656448 MALPRACTICE INSURANCE VT 13418932 50239478 SAINT FRANCIS HOSPITAL & MEDICAL CENTER COLLABORATIVE LABORATORY SERVICES 114 WOODLAND STREET HARTFORD CT 06105 061520109 LAB SERVICES CT 36457234 7648496 SAINT FRANCIS HOSPITAL & MEDICAL CENTER ASYLUM HILL FAMILY MEDICAL CENTER 114 WOODLAND STREET HARTFORD CT 06105 061450170 HEALTH SERVICES CT 501(C)(3) LINE 3 SAINT FRANCIS CARE 0 ONE THOUSAND CORPORATION 1000 ASYLUM STREET HARTFORD CT 06105 060922325 PROPERTY MANAGEMENT CT 501(C)(2) SAINT FRANCIS HOSPITAL & MEDICAL CENTER 1 SAINT FRANCIS CARE INC 114 WOODLAND STREET HARTFORD CT 06105 061491191 SUPPORTS HEALTH CARE ORGANIZATIONS CT 501(C)(3) LINE 11A, I N/A 0 SAINT FRANCIS FOUNDATION INC 114 WOODLAND STREET HARTFORD CT 06105 061008255 FUNDRAISING CT 501(C)(3) LINE 11A, I SAINT FRANCIS CARE 0 MT SINAI REHABILITATION HOSPITAL INC 114 WOODLAND STREET HARTFORD CT 06105 061422973 HOSPITAL CT 501(C)(3) LINE 3 SAINT FRANCIS CARE 0 SAINT FRANCIS MEDICAL GROUP INC 114 WOODLAND STREET HARTFORD CT 06105 061450168 HEALTH SERVICES CT 501(C)(3) LINE 3 SAINT FRANCIS CARE 0 THE WOMEN'S AUXILIARY OF SAINT FRANCIS HOSPITAL AND MEDICAL CENTER INC 114 WOODLAND STREET HARTFORD CT 06105 060660403 SUPPORTS HOSPITAL CT 501(C)(3) LINE 11A, I SAINT FRANCIS HOSPITAL & MEDICAL CENTER 0 SAINT FRANCIS EMERGENCY MEDICAL GROUP INC 114 WOODLAND STREET HARTFORD CT 06105 451994612 HEALTH SERVICES CT 501(C)(3) LINE 3 SAINT FRANCIS MEDICAL GROUP INC 0 TOTAL LAUNDRY COLLABORATIVE 114 WOODLAND STREET HARTFORD CT 06105 208335788 LAUNDRY SERVICES CT SAINT FRANCIS HOSPITAL & MEDICAL CENTER RELATED -95679 -213179 0 0 0.86000 MEDWORKS LLC 375 EAST CEDAR STREET NEWINGTON CT 06111 061490483 REHABILITATION SERVICES CT SAINT FRANCIS HOSPITAL & MEDICAL CENTER RELATED -33522 -46325 0 0 0.50000 SAINT FRANCIS CARE MEDICAL GROUP PC 114 WOODLAND STREET HARTFORD CT 06105 061432373 HEALTH SERVICES CT SAINT FRANCIS CARE C 1248300 1.00000 0 SAINT FRANCIS BEHAVIORAL HEALTH GROUP 114 WOODLAND STREET HARTFORD CT 06105 061384686 BEHAVIOR HEALTH SERVICES CT SAINT FRANCIS HOSPITAL & MEDICAL CENTER C -707024 954578 1.00000 1 SAINT FRANCIS HEALTH CARE PARTNERS 95 WOODLAND ST FOURTH FLOOR HARTFORD CT 06105 061391257 MGMT AND ADMIN SERVICES CT SAINT FRANCIS HOSPITAL & MEDICAL CENTER C -105743 1304843 0.50000 1 SAINT FRANCIS HEALTHCARE PARTNERS ACO INC 95 WOODLAND ST FOURTH FLOOR HARTFORD CT 06105 461315402 MGMT AND ADMIN SERVICES CT SAINT FRANCIS HEALTH CARE PARTNERS C 0.50000 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 0