2021-08-13T09:55:31-05:00 2020-09-30 440160260 BKD LLP 1201 Walnut Suite 1700 Kansas City MO 64106 990 2019-10-01 832550272 SVMC Holdings Inc SVMC 8606966232 2800 Main Street Bridgeport CT 06606 Mark Keise VP of Finance 8606966282 2021-08-13 0 Michael Engle P00482834 8162216300 2019 2022-09-23 18:48:47Z St Vincent's Medical Center Christopher Given 2800 Main Street Bridgeport CT 06606 432643650 0 X www.stvincents.org X 2018 CT To improve the health and well-being of all people in the communities we serve. 12 11 5245 110 104297 0 0 9281183 0 421044660 0 70742 0 -510578 0 429886007 0 15000 0 0 0 164461045 0 0 313730 0 273008027 0 437484072 0 -7598065 0 272750174 0 89602979 0 183147195 X To improve the health and well-being of all people in the communities we serve. 0 0 388403813 15000 421044660 St. Vincent's Medical Center continues its mission of carrying on the work of the Daughters of Charity and their commitment to serve the sick and poor of Bridgeport. St. Vincent's Medical Center is a licensed 473-bed community teaching and referral hospital with a Level II trauma center and a 76-bed inpatient psychiatric facility in Westport. The Medical Center offers a full range of inpatient and outpatient services with regional centers of excellence in cardiology, surgery, cancer care, orthopedics, family birthing, behavioral health, and an array of specialized services.St. Vincent's Health Services includes the Medical Center, St. Vincent's Behavioral Health Services, St. Vincent's Special Needs Services, and St. Vincent's Medical Center Foundation. In 2010, the Medical Center broke ground on the Elizabeth M. Pfriem SWIM Center for Cancer Care, the renovated and expanded Michael J. Daly Emergency Department.The Elizabeth M. Pfriem SWIM Center for Cancer Care contains all oncology services in one place. These services encompass the full spectrum of cancer care and include community outreach, screening and prevention, diagnostic services, surgical and medical oncology, radiation therapy, interventional oncology, clinical trials, dedicated inpatient and outpatient cancer units, palliative care, pain management, integrative oncology, support services, patient and provider education and survivorship. The Center offers integrative oncology services, including a boutique, spa services, nutrition counseling, social work, financial counseling, a meditation area, support services and a survivorship program.The Michael J. Daly Center for Emergency and Trauma Care was renamed in December of 2009 as the first section of the expanded and refurbished emergency department which opened in the fall 2010. The completely renovated emergency department, tripled in size, holds 60 beds, includes specialized trauma and critical care suites, a "Fast Track" area for minor case needs, dedicated OB/GYN rooms, pediatric area, expanded Behavioral Health and Psychiatric area with focus on privacy and safety, improvements in diagnostic equipment, including its own CT scanner, ultrasound and X-ray equipment to expedite diagnosis and treatment of emergency room patients and a permanent decontamination facility for hazardous spills. 388403813 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 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 322 0 1 5245 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 12 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 CT X Carol Wardell 8606966232 181 Patricia M Genova Drive Newington CT 06111 Michael Daglio Former - President 0.00 60.00 X 0 1058682 182125 Vincent DiBattista Director & President 30.00 30.00 X X 0 815533 136336 Margaret Marchak Secretary (Regional) 20.00 40.00 X 0 850753 77083 Dan Gottschall VP, Medical Affairs 30.00 30.00 X 0 513740 61716 Dale Danowski VP, Patient Care 60.00 X 0 445301 67329 David Mack Chief Legal Officer 20.00 40.00 X 0 470090 37907 Christopher Given VP, Finance 30.00 30.00 X 0 440441 33991 Corina Marcu MD DIO/Chief QEO 30.00 30.00 X 0 350588 57869 Joseph Mattana MD Chairperson of Medicine 60.00 X 0 320463 67286 William Hoey VP, Mission Integration 60.00 X 328683 0 44919 Brooke Karlsen VP, Operations 60.00 X 0 254097 60198 Carol Birks Director 2.00 X 0 0 0 Peter Cimino MD Director 2.00 X 0 0 0 George Estrada Director 2.00 X 0 0 0 Helene Glotzer Director 2.00 X 0 0 0 Barbara Miller Director 2.00 X 0 0 0 Alfred Pavlis Director 2.00 X 0 0 0 Dara Richards Director 2.00 X 0 0 0 Lucy Teixeira Director 2.00 X 0 0 0 Deacon Patrick Toole Director 2.00 X 0 0 0 Strick Woods Director 2.00 X 0 0 0 John Petillo Chair 3.00 X X 0 0 0 328683 5519688 826759 1 1 1 1 Physicians for Womens Health LLC PO Box 1380 Avon CT 06001 Physician Services 1340775 Value Care Alliance LLC 4 Corporate Drive Shelton CT 06484 Health Care Services 1011408 DVA Renal Healthcare Inc PO Box 40308 Atlanta GA 31192 Dialysis Services 776590 Southwest Community Health Center Inc 46 Albion Street Bridgeport CT 06605 Family Health Center 554255 Connecticut Childrens Medical Center 282 Washington Street Hartford CT 06106 Physician Services 486300 29 4736905 4531622 12656 9281183 Net Patient Revenue 624100 416523523 416523523 Pharmacy 541700 4416840 4416840 Reference Testing 621500 104297 104297 421044660 72615 72615 2245192 2755770 -510578 -510578 -510578 1873 -1873 -1873 -1873 429886007 420940363 104297 -439836 X 15000 15000 144410 144410 133472297 114952811 18343762 175724 7530222 6478383 1041936 9903 14256171 12264835 1972587 18749 9057945 7630157 1414345 13443 360663 360663 37906 37906 90839354 90839354 68332 4265 64067 4820912 2842723 1920632 57557 16794384 10748406 6045978 5027621 4352653 672865 2103 75115 50037 25078 197256 164083 31217 1956 708840 708840 18173397 17755844 416474 1079 4090482 3911886 178596 Medical Supplies 63439358 63439358 Hospital Provider User 34410468 34410468 Purchased Services 27211453 13345417 13866036 Repairs & Maintenance 3016157 2715508 280178 20471 3736329 1773785 1949799 12745 437484072 388403813 48766529 313730 21615737 56881 820078 47538415 5502853 1454815 154740588 13576410 0 141164178 30045483 78672 0 24473062 0 272750174 25256775 326689 0 64019515 0 89602979 X 153101706 30045489 0 183147195 0 272750174 X -7598065 190745260 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 0 0 0 0 0 1 37906 0 0 37906 0 Part II-B, Line 1: SVMC Holdings, Inc. dba St. Vincent Medical Center paid annual dues to Connecticut Hospital Association (CHA). CHA conducts lobbying activities on behalf of its members. CHA allocates a portion of their dues as lobbying expenses. The portion of dues allocated as lobbying expenses is calculated under current Medicare rules. CHA conducts lobbying activities under current Medicare rules. Hughes & Cronin provided lobbying services on behalf of the organization during the fiscal year. Hughes & Cronin are paid as a public policy and government affairs consultant to assist in a broad range of legislative issues. In addition, the Organization occasionally asks its employees to volunteer their time to contact state legislators in an effort to lobby on its behalf. The total amount of dues allocated for lobbying expenses for FY20 was $37,906. 19652630 1690849 650404 267179 20425896 0.71000 0.29000 0 1 1 12755500 12755500 97169932 3557302 93612630 44815156 10019108 34796048 141164178 Security Deposits 101706 Other Non Current Assets 264737 Income Guarantee to Physicians 243333 ST/LT Malpractice Claims 1199636 Other Current Assets 69997 Right-of-Use Lease Assets 4819271 Due from Affiliates 17774382 24473062 Other Net Liabilities 54952749 Hospital Provider User Fee 7407629 Accrued Post Retirement Expenses 560145 Current Accrued Malpractice 257195 Long Term Accrued Malpractice 841797 64019515 Part V, Line 4: The Hospital has adopted investment and spending policies for endowment assets that attempt to provide a predictable stream of funding to mission related programs such as those described in Part III, lines 4a-d while seeking to maintain purchasing power of the endowment assets. Endowment assets include those assets of donor-restricted funds that the Hospital must hold in perpetuity or for a donor-specific period(s). Under this policy, the endowment assets are invested in a manner that is intended to produce a real return, net of inflation and investment management costs, of at least 4% over the long term. Actual returns in any given year may vary from this amount. The Hospital's endowment consists of hundreds of individual funds established for a variety of purposes including but not limited to patient care, research and capital needs. Net assets associated with endowment funds are classified and reported based on the existence or absence of donor-imposed restrictions. 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 0 4041270 0 4041270 0.00920 99330269 74109878 25220391 0.05760 103371539 74109878 29261661 0.06680 1968274 0 1968274 0.00450 7941042 5847551 2093491 0.00480 1737264 0 1737264 0.00400 15000 0 15000 0.00000 11661580 5847551 5814029 0.01330 115033119 79957429 35075690 0.08010 62436 62436 0.00010 1688 1688 0.00000 64124 64124 0.00010 0 22342164 0 78014233 91590779 -13576546 X 1 1 1 Connecticut Orthopedic Management LLC Management and Process Improvement of Orthopedic Service Lines 0.50000 0.50000 1 1 SVMC Holdings Inc dba St Vincent's Medical Center 2800 Main Street Bridgeport CT 06606 stvincents.org 0077 X X X X SVMC Holdings Inc dba St Vincent's Me 1 0 0 1 X X X X X X X X X 18 1 1 1 1 X See Part V, Page 8 X X 1 18 1 See Page V, Page 8 0 1 X 250.000000000000 400.000000000000 X X X X 1 1 X X X X X 1 X See Part V, Page 8 X See Part V, Page 8 X See Part V, Page 8 X X X X X X X 1 X 0 X X X X 1 X 0 0 SVMC Holdings, Inc. dba St. Vincent's Medical Ctr Part V, Section B, Line 5: Input from persons who represent broad interests of community served.According to 2019 Community Health Needs Assessment (CHNA), the CHNA "was spearheaded, funded, and managed by the Health Improvement Alliance" which is made up of organizations "representative of those in the community who serve underserved, low-income, and hard to reach populations". The HIA includes the following organizations:Providers Bridgeport Hospital/YNHHS St. Vincent's Medical Center Optimus Healthcare Southwest Community Health Center Americares Free Clinic of Bridgeport Greater Bridgeport Medical Assoc. Northeast Medical Group Pediatric Healthcare Associates Visiting Nurse Services of CT Health Departments City of Bridgeport Department of Health and Social Services Fairfield Health Department Monroe Health Department Trumbull Health Department Stratford Health Department Easton Health Department Government City of Bridgeport/City Council Town of Stratford/City Council Town of Fairfield Town of Trumbull Town of MonroeSchools Bridgeport Public School System Bridgeport Hospital School of Nursing Fairfield University School of Nursing Sacred Heart University School of Nursing St. Vincent's College Nursing Program Southern CT State University Housatonic Community College University of Bridgeport Faith Based Greater Bridgeport Council of Churches Catholic Charities Social Service Agencies Bridgeport Rescue Mission Council of Churches Hunger Outreach Network (HON) United Way of Coastal Fairfield County Wholesome Wave Central CT Coast YMCA YMCA Kolbe Daycare Center Green Village Initiative Businesses Bridgeport Regional Business Council Housing Supportive Housing Works Mental Health Providers Recovery Network of Programs The Connection Continuum of Care Liberation Programs Payers Community Health Network Access Health CT Value Options Advocacy Groups American Diabetes Association American Heart & Stroke Association Bridgeport Alliance for Young Children Bridgeport Child Advocacy Coalition Bridgeport Food Policy Council Southwestern Area Health Education Center DataHaven Hispanic Health Council State Agencies CT Department of Mental Health & Addiction Services/Greater Bridgeport Mental Health Services CT Department of Public Health CT Department of Social Services Southwest CT Mental Health BoardAccording to the 2019 CHNA, both qualitative and quantitative data was collected to compile the report. Quantitative data collection was initially built from the data collected in the 2016 CHNA. According to the 2019 CHNA document, additional data was obtained "from sources including, but not limited to, the U.S. Census, U.S. Bureau of Labor Statistics, Centers for Disease Control and Prevention, State of Connecticut Department of Public Health, Connecticut Health Information Management Exchange (CHIME), as well as local organizations and agencies. Types of data include vital statistics based on birth and death records." In addition, quantitative data was obtained through a Community Wellbeing Survey conducted by DataHaven. According to the 2019 CHNA, "The Community Wellbeing Survey team assisted the Health Improvement Alliance to gather quantitative primary data that were not provided by secondary sources and to understand public perceptions around health, including social determinants, and other issues. The Wellbeing Survey was conducted from March to November 2018 by the Siena College Research Institute. The Survey was administered to randomly-selected landlines and cell phones and resulted in in-depth interviews with 16,043 adults statewide including 1,715 adults living in Bridgeport, Easton, Fairfield, Monroe, Stratford and Trumbull. The survey was designed by DataHaven and the Siena College Research Institute, in consultation with local, state, and national experts including members of HIA. Interviews were weighted to be statistically representative of adults in each city, town or geographic region. Surveys were administered in both English and Spanish and zip codes were targeted to supplement samples of hard-to-reach populations."Qualitative data was obtained through community conversations and key informant surveys. According to the 2019 CHNA, "In February and March 2019, seven community conversations engaging a total of 114 individuals were conducted by Health Equity Solutions (HES) in the Greater Bridgeport region. The goals of the community conversations were to determine residents' perceptions of health strengths and needs in the Greater Bridgeport region; to identify gaps, challenges, and opportunities for addressing community needs more effectively; and to explore how these issues can be addressed in the future." Key informant surveys were conducted online and, according to the 2019 CHNA document, were "administered and analyzed by the Yale School of Public Health Student Consulting Group. The online survey was administered to two groups consisting of community leaders and health and human service providers, in the Greater Bridgeport area using Qualtrics, an online survey toolSurveys were designed to better understand the health needs of the Greater Bridgeport region and included qualitative and quantitative questions on community health initiatives, health related problems, barriers to good health, health services, and current outlooks."The document also describes how the medically underserved, low income, or minority populations were represented. The 2019 CHNA states, "Working with the Health Improvement Alliance (HIA), groups having a disproportionate burden of health issues were identified (i.e., lower-income adults, uninsured residents, individuals with limited English proficiency or Latino adults) as a priority to include in the community conversations. HIA members identified specific groups and/or organizations that fulfilled these criteria, and Health Equity Solutions organized and facilitated the following groups: uninsured residents from an urban free health clinic; a mixed group of community residents; residents affiliated with a Hispanic church; parish nurses; seniors from two urban/suburban senior centers; and community members of an urban/suburban community center." SVMC Holdings, Inc. dba St. Vincent's Medical Ctr Part V, Section B, Line 6a: The CHNA was conducted with the following Hospital Fcility:Bridgeport Hospital/Yale New Haven Health System SVMC Holdings, Inc. dba St. Vincent's Medical Ctr Part V, Section B, Line 6b: The CHNA was conducted with the following Non-Hospital Organizations:Optimus Healthcare; Southwest Community Health Center; Americares Free Clinic of Bridgeport; Greater Bridgeport Medical Assoc.; Northeast Medical Group;Pediatric Healthcare Associates; Visiting Nurse Services of CT; City of Bridgeport Department of Health and Social Services; Fairfield Health Department; Monroe Health Department;Trumbull Health Department; Stratford Health Department;Easton Health Department;City of Bridgeport/City Council; Town of Stratford/City Council;Town of Fairfield;Town of Trumbull; Town of Monroe;Bridgeport Public School System; Bridgeport Hospital School of Nursing; Fairfield University School of Nursing; Sacred Heart University School of Nursing; St. Vincent's College Nursing Program; Southern CT State University; Housatonic Community College; University of Bridgeport; Greater Bridgeport Council of Churches; Catholic Charities; Bridgeport Rescue Mission; Council of Churches Hunger Outreach Network (HON); United Way of Coastal Fairfield County; Wholesome Wave; Central CT Coast YMCA; YMCA Kolbe Daycare Center; Green Village Initiative; Bridgeport Regional Business Council; Supportive Housing Works;Recovery Network of Programs; The Connection; Continuum of Care; Liberation Programs; Community Health Network; Access Health CT; Value Options; American Diabetes Association; American Heart & Stroke Association; Bridgeport Alliance for Young Children Bridgeport Child Advocacy Coalition; Bridgeport Food Policy Council; Southwestern Area Health Education Center; DataHaven; Hispanic Health Council; CT Department of Mental Health & Addiction Services/Greater Bridgeport Mental Health Services; CT Department of Public Health; CT Department of Social Services; Southwest CT Mental Health BoardPart V, Section B, Line 7ahttps://stvincents.org/health-wellness/health-resources/community-health-needs-assessment SVMC Holdings, Inc. dba St. Vincent's Medical Ctr Part V, Section B, Line 7d: The needs assessment was published in 2018 and is available on the hospital's website. In addition, electronic copies are available upon request.Part V, Section B, Line 10a:https://stvincents.org/health-wellness/health-resources/community-health-needs-assessment SVMC Holdings, Inc. dba St. Vincent's Medical Ctr Part V, Section B, Line 11: The 2019 CHNA identified three top health priorities in the Greater Bridgeport area. These areas are healthy lifestyles, which includes cardiac disease and diabetes; behavioral health; and access to care. These are the same areas identified in the 2016 CHNA, but the goals have been adjusted to build upon the work already accomplished in the prior CHNA. Other findings that were not considered a priority in the CHNA and were not assigned to a focus area will not be addressed due to limitations on the available resources.The Medical Center's 2019 Community Health Improvement Plan includes the following implementation strategies:In the area of Healthy Lifestyles, the Medical Center plans to continue the Know Your Numbers program in the region, plans to try to increase the number of days per week adults in the area exercise, plans to decrease the rate of tobacco and e-cigarette use, and plans to increase access to healthy food and address other social determinants of health in the region. In the Access to Care area, the Medical Center plans to promote medical services in the region to increase the number of people who have a set medical provider "home", to create a model to promote continuity of care for patients by connecting them to a primary care resident physician, to promote dental services in the region to help increase the number of people receiving annual dental care, plans to increase access to specialty care providers, working with other partners to improve access to reliable medical transportation, and plans to increase Culturally and Linguistically Appropriate Services standards in the region.In the area of Behavioral Health, the Medical Center plans to increase access to mobile and community based behavioral health services, to develop targeted messaging to promote awareness of available behavioral health resources, plans to improve coordination of care for patients who frequent emergency departments in the region, and plans to continue organizing, coordinating and hosting the Behavioral Health Task Force meetings at St. Vincent's Medical Center. According to the 2019 CHNA document, "Since completing its last CHNA in 2016, the partnership has taken multiple steps to further enhance its focus in order to better serve our community. Those steps include: * In 2017, HIA conducted an internal survey to allow all members the opportunity to help guide the direction of the group by providing valuable feedback, including identifying new potential partners and determining monthly meeting schedules and locations. * In summer 2018, the Cardiovascular Disease and Diabetes Task Force and Obesity (Healthy Lifestyles) Task Force combined into one group under the name Healthy Lifestyles. The new combined group continues to meet monthly and work on all identified strategies and action steps from the 2016 CHNA. This new streamlined approach to these focus areas allowed for less duplication and more concentrated effort. * The PCAG partnership officially changed its name in early 2019 to the Health Improvement Alliance (HIA). This new name was chosen to more accurately reflect the current work being done by the group to improve the health of the surrounding community. In addition to the name change, a new tagline was developed, "Partnering to build healthier communities since 2003". What was once a group that came together to connect people to primary care has become a partnership working to improve health through multiple strategies and focus areas. * In 2017, a Tracking and Evaluation Subcommittee was formed and has since developed standardized forms, processes and semiannual dashboards to track progress towards goals for all of the task forces to utilize. * In 2018, a Communications Subcommittee was formed that helped with the development of the new partnership name, communications plan and website development (to be completed by summer 2019). This was all done in an effort to better communicate our work to the general public."The 2019 CHNA document also lists the following as the accomplishments of each task force from the 2016 CHNA: "Access to Care" Task Force Accomplishments: * Since 2016, the Access to Care Task Force has worked on a variety of issues that impact patients receiving and seeking appropriate medical care. They have focused their main strategies on patient transportation issues, availability of specialty care, seeking appropriate care in the appropriate setting, and asthma. * Developed and implemented a magnet and 1-page informational sheet for providers to distribute to patients. This magnet serves as a way for patients to easily identify the appropriate healthcare providers needed in certain medical situations, with a goal of decreased non-emergency trips to a hospital ED. * Created a specialty care database to identify gaps and needs in the region. * Created a dental referral form to pilot at Weisman AmeriCares Free Clinic of Bridgeport in order for their providers to refer patients with dental needs to local clinics. This pilot is still underway and the group is now planning on rolling this process out to other providers. * Developed a system and communicated it to local providers to help assist patients with setting up a dental appointment. * One of the initial accomplishments of the partnership in its early years, the Dispensary of Hope Greater Bridgeport, a free pharmacy that served over 4,500 patients in 2017 and has saved patients roughly $1.2 million in medication costs. * Stratford Health Department has been leading the regional work for Putting on AIRS. Putting on AIRS is an asthma self-management program designed to reduce environmental triggers in home and help to better control asthma symptoms. They have incorporated a Community Health Worker (CHW) onto the program team. Asthma patients now receive three education visits from Certified Asthma Educators, two visits from the CHW (phone call follow-ups) and one visit from an Environmentalist about housing issues. Since 2017, they have focused on indoor air quality and resolution of in home environmental triggers as well as the Social Determinants of Health that impact a patient's/family's ability to self-manage their asthma. First quarter analysis indicated an improvement in program completion. Behavioral Health Task Force Accomplishments:Since 2016, the Behavioral Health task force has worked to develop and implement a screening tool for mental health and substance abuse that could be integrated into different types of organizations. After development of the tool, potential sites to implement this new screener were identified, and staff at each site was trained to use the tool. In addition to this work, this group continues to oversee the work of the Community Care Team (CCT). The purpose of the CCT is to increase access to services by improving the coordination of care for frequent users of ED in local hospitals with behavioral health needs. * Developed a tool to integrate mental health and substance abuse screenings into urgent care and municipal settings. The tool has been utilized at municipal human services departments. * Supported public awareness campaigns to de-stigmatize issues around mental health and provide training to providers and support to patients and their families. Healthy Lifestyles Task Force Accomplishments:* In summer of 2018, the Cardiovascular Disease and Diabetes task force and Obesity (Healthy Lifestyles) task force combined into one group under the name Healthy Lifestyles. This combined task force has worked towards preventing chronic diseases, particularly cardiovascular disease and diabetes, through promoting healthy lifestyle choices. Know Your Numbers (KYN), a community-based health screening program for food pantries and other venues, that was developed by the Cardiovascular Disease and Diabetes Task Force in 2014, continued and was expanded upon by the Healthy Lifestyles Task Force. * Hosted an annual free family fitness event in Stratford 2016-2018 and Bridgeport in 2019. These events all included physical activity demonstrations and classes, information on local resources and activities for families to encourage movement and healthy lifestyle choices. * Offered six smoking cessation programs throughout Fairfield, Stratford and Trumbull. * Promoted healthy worksites through the creation of a Get Healthy Pledge. The pledge form contains three different types of initiatives that organizations could commit to. These included building a culture of health by integrating existing Get Healthy CT resources into the workplace, improving healthy eating options within the organization and increasing physical activity opportunities for employees. To date, 17 local organizations have signed the pledge to implement healthy eating and/or physical activity initiatives in their organization. SVMC Holdings, Inc. dba St. Vincent's Medical Ctr Part V, Section B, Line 13h: Family eligibility criteria for Financial Assistance also include family size, employment status, financial obligations, and amount and frequency of health care expenses. SVMC Holdings, Inc. dba St. Vincent's Medical Ctr Part V, Section B, Line 15e: In addition, patients may ask a nurse, physician, chaplain, or staff member from Patient Registration, Patient Financial Services, Case Coordination, or Social Services about initiating the Financial Assistance Application process.Part V, Line 16a, FAP website:https://stvincents.org/patients-visitors/patients/billing-insurance/financial-assistancePart V, Line 16b, FAP Application website:https://stvincents.org/patients-visitors/patients/billing-insurance/financial-assistancePart V, Line 16c, FAP Plain Language Summary website:https://stvincents.org/patients-visitors/patients/billing-insurance/financial-assistance SVMC Holdings, Inc. dba St. Vincent's Medical Ctr Part V, Section B, Line 16j: Patients are informed directly by staff of the availability of the Financial Assistance Policy. 10 1 - St Vincent's Behavioral Health Services 2400 Main Street Bridgeport CT 066065323 Outpatient Behavioral Health Services 2 - St Vincent's Behavioral Health Services 1 Lois Street Norwalk CT 06851 Outpatient Behavioral Health Services 3 - St Vincent's Center For Wound Healing 115 Technology Drive Trumbull CT 06611 Wound Care Services 4 - St Vincent's Center For Wound Healing 3272 Main Street Stratford CT 06614 Wound Care Services 5 - St Vincent's Heart and Vascular Center 2979 Main Street Bridgeport CT 06606 Heart and Vascular Services 6 - St Vincent's Heart and Vascular Center 3272 Main Street Stratford CT 06614 Heart and Vascular Services 7 - St Vincent's Heart and Vascular Center 40 Cross Street Norwalk CT 06851 Heart and Vascular Services 8 - St Vincent's Heart and Vascular Center 1177 Summer Street 5th Floor Stamford CT 06905 Heart and Vascular Services 9 - St Vincent's Heart and Vascular Center 115 Technology Drive Trumbull CT 06611 Heart and Vascular Services 10 - St Vincent's Heart and Vascular Center 425 Post Road Fairfield CT 06824 Heart and Vascular Services Part I, Line 3c: SVMC Holdings, Inc. dba St. Vincent's Medical Center used Federal Poverty Guidelines to determine eligibility. In addition, the hospital takes into consideration, medical indigency, insurance status, underinsurance status and other family eligibility criteria such as family size, employment and financial obligations.Part I, Line 6a:Although the organization does not prepare a formal Community Benefit Report, quarterly reports are submitted to Connecticut Hospital Association and Form 990 is submitted to the Connecticut Office of Health Strategy (OHS) annually. Part I, Line 7: The organization utilized an overall cost to charge ratio (RCC), developed from the Medicare Cost Report. Total expense was adjusted for: medicaid provider taxes, directly identified community benefit expense and community building expenses. This cost to charge ratio was used to calculate costs for Part I lines 7a, b, & g. The costs associated with the activities reported on Part I, Line 7e were captured using actual time multiplied by an average salary rate. The costs associated with Line 7h, were the actual costs reported in the organization's general ledger less any industry funded studies. These costs were removed from the calculations above to avoid duplication. Costs reported in Part III, Section B6, were calculated from the Medicare cost report and reduced for Medicare costs previously reported on Part I Lines 7f and g. Part I, Line 7g: No physician clinic costs were included in the Subsidized Health Services cost calculations. Part II, Community Building Activities: SVMC Holdings, Inc. d/b/a St. Vincent's Medical Center (SVMC) interacts with the community to address needs and facilitate appropriate responses. For FY20, SVMC expended $64,124 on community building activities. Part III, Line 3: A pre-bad debt financial assistance screening is in place to identify patients that may be eligible for financial assistance. Pre-bad debt accounts that are identified as meeting the requirements are adjusted prior to being sent to bad debt. Therefore, any bad debt expense that could have been attributable to charity care at the end of FY 2020 would be immaterial. Part III, Line 4: Please see the text of the footnote that describes bad debt expense beginning on page 30 of the Audited Financial Statement. The Footnote is also applicable Part III,Line 2. Part III, Line 8: Cost Reports were used to report Medicare allowable costs. Medicare defines allowable costs as those appropriate and helpful in developing and maintaining the operation of patient care facilities and activities. It specifically excludes certain costs that are not directly related to patient care. The hospital incurs additional expense related to the provision of care to Medicare patients that Medicare has deemed non-allowable. This additional expense includes costs of physician services (emergency on-call fees, Hospitalist Programs, recruitment, etc.), advertising costs, cafeteria costs for meals sold to visitors, etc. The Hospital attempts to collect coinsurance and deductibles from Medicare beneficiaries. To the extent collection efforts are unsuccessful, Medicare reimburses the hospital at 65% of unpaid amounts. The table reconciles the shortfall or surplus from Line 7 to the actual surplus or shortfall. The additional costs were allocated to Medicare based upon Medicare's percentage of total allowable costs. The unpaid co-insurance/deductibles were estimated using historical collection results. Any shortfall amounts have not been treated as Community Benefits. Part III, Line 9b: SVMC Holdings, Inc. dba St. Vincent's Medical Center has adopted the Financial Assistance Policy of its Parent Company, Hartford HealthCare Corporation. The following is included in the Financial Assistance Policy: Patients who are deemed ineligible for financial assistance or who receive a partial discount and do not pay their bills may be subject to the following Extraordinary Collection Action (ECAs):*Wage Garnishments*Liens on primary and secondary residences, bank or investment accounts, or other assets*Legal actions and reporting the matter to one or more credit rating agencies*Other ECAs not listed aboveIf an individual has not submitted an application within the first 120 days from the date on which Hartford HealthCare first issues its first, post-discharge billing statement, then Hartford HealthCare may begin engaging in the ECAs described above.ECAs may begin after the first 120 days from the date on which Hartford HealthCare issues its first, post-discharge billing statement. If the patient applies for assistance within 240 days from the first notification of the self-pay balance, and is granted assistance, Hartford HealthCare will take all reasonable available measures to remove any collection actions such as negative reporting to a credit bureau or liens that have been filed.Before Hartford HealthCare initiates any collection actions, it will issue a written notice to the last known address of record for the patient (or his/her family) that describes the specific collection activities it intends to initiate (or resume), provides a deadline after which such action(s) will be initiated (or resumed), and includes a plain language summary of this Policy. ECAs can begin no sooner than 30 days from the date written notice is transmitted. Patients who are ineligible for financial assistance, or qualify for partial financial assistance and who are cooperating in good faith to resolve the outstanding accounts, may be offered extended payment plans. No further collection action will be taken as long as the patient continues to meet the terms of the payment plan. Part VI, Line 2: SVMC Holdings, Inc. dba St. Vincent's Medical Center uses Emergency Room data to track increases in medical conditions such as falls, flu, drug overdoses, etc. and the same approach is taken in our outpatient clinics. Periodically information is surveyed to determine additional patients needs. Information is also tracked from other entities such as local area non-profits, government agencies and public schools. Part VI, Line 3: SVMC Holdings, Inc. dba St. Vincent's Medical Center provides information about its Financial Assistance Policy as follows: (1) Provides signage, brochures and/or a written plain language summary describing the policy along with financial assistance contact information in the emergency department, labor and delivery areas, discharge paperwork, other patient registration/admission areas, as well as in billing and collection communication.(2) Makes paper copies of the policy, financial assistance application, and plain language summary of the policy available upon request and without charge, by mail.(3) Posts the policy, plain language summary and financial assistance application on the website with clear linkage to such documents on the Hartford HealthCare and each affiliated hospital's home page.(4) Educates all admission and registration personnel, financial counselors, billing and collection specialists and social workers regarding the policy so that they can serve as an informational resource to patients.(5) Includes the tag line 'Please ask about our Financial Assistance Policy" in applicable Hartford HealthCare written publications. Part VI, Line 4: The primary service area (PSA) of St. Vincent's Medical Center (SVMC) consists of the city of Bridgeport and thesurrounding towns of Fairfield, Easton, Monroe, Trumbull, Stratford, and Shelton. According to the Community Health Needs Assessment, the total estimated population of the PSA as of 2019 is 330,000. Bridgeport comprises approximately 45% of the region's population. Bridgeport itself has a population of approximately 144,400. According to the US Census bureau's July 2019 estimates, Bridgeport's population is 20.3% White, 35.3% Black or African American, 40.0% Hispanic, and 4.4% other. The Connecticut Department of Labor reported that the unemployment rate in Bridgeport was 5.5% compared to 3.4% in Fairfield, 3.4% in Trumbull, and 4.4% in Stratford, Bridgeport's closest neighboring communities.In 2018, 48.4 % of Bridgeport children under the age of 18 lived in single-parent homes, 44.3 % of families in Bridgeport are headed by single females with children under the age of 18, 33.1% of Bridgeport children lived under the federal poverty level. Only 18% of Bridgeport adults age 25 and over have a college degree or higher,; Stratford has only 33% of the residents having a college degree or higher. The proportion of residents with a college degree or higher in Easton, Fairfield, Monroe and Trumbull is greater than that of the state, with Fairfield's adults having a college educational attainment rate of 63%. Part VI, Line 5: The majority of SVMC Holdings, Inc. dba St. Vincent's Medical Center's governing board is comprised of persons who either reside or work in its primary service area, and they are neither employees nor contractors of the Hospital.SVMC Holdings, Inc. dba St. Vincent's Medical Center extends medical staff privileges to all qualified physicians in its community. The Hospital has partnered with the City of Hartford Department of Health and Human Services and the Hispanic Health Center to provide health services to the underserved in the community. In addition, the Hospital participates in research projects with the Hispanic Health Council to improve community health and well-being.The Hospital has contracted to use the services of an organization to assist its patients in determining eligibility and applying for state and federal means-tested programs, as well as for the Hospital's Financial Assistance Program.As a tertiary health center, teaching hospital and Level 1 Trauma Center, SVMC Holdings, Inc. dba St. Vincent's Medical Center provides specialized services not available at other hospitals. These services are provided regardless of a patient's ability to pay. The hospital uses its surplus funds to provide additional benefits to its patients and the community it serves as detailed in Schedule O. Part VI, Line 6: Hartford HealthCare Corporation (HHC) is organized as a support organization to govern, manage and provide support services to its affiliates. HHC, through its affiliates including Hartford Hospital, strives to improve health using the "Triple Aim" model: improving quality and experience of care; improving health of the population (population health) and reducing costs. HHC and its affiliates including all supported organizations, develop and implement programs to improve the future of health care in our Southern New England region. This includes initiatives to improve the quality and accessibility of health care; create efficiency on both our internal operations and the utilization of health care; and provide patients with the most technically advanced and compassionate coordinated care. In addition, HHC continues to take important steps toward achieving its vision of being "nationally respected for excellence in patient care and most trusted for personalized, coordinated care".The affiliation with HHC creates a strong, integrated health care delivery system with a full continuum of care across a broader geographic area. This allows small communities easy and expedient access to the more extensive and specialized services the larger hospitals are able to offer. This includes continuing education of health care professionals at all the affiliated institutions through the Center of Education, Simulation and Innovation located at Hartford Hospital.The affiliation further enhances the affiliates' abilities to support their missions, identity, and respective community roles. This is achieved through integrated planning and communication to meet the changing needs of the region. This includes responsible decision making and appropriate sharing of services, resources and technologies, as well as cost containment strategies. Part VI, Line 7, Reports Filed With States CT 1 Make-A-Wish Connecticut 56 Commerce Drive Trumbull CT 06611 222710909 501(c)(3) 15000 See Part IV 1 0 Part I, Line 2: Upon issuing the grant, the hospital attaches a letter that restricts the use of the funds for a specific purpose. All of the grants are made to public charities to assist in funding their exempt programs. Therefore, extensive monitoring of the use of these funds by these entities is not warranted. Part II, Line 1(h) Purpose of Grant or Assistance The Make-A-Wish Foundation of Connecticut grants the wishes of children with life-threatening medical conditions to enrich the human experience with hope, strength, and joy. It is the founding principle of their vision to grant the wish of every eligible child. For the children, just the act of making their wish come true can give them the courage to comply with their medical treatments and the parents might finally feel like they can be optimistic. 0 1 0 0 0 0 0 1 0 Michael Daglio Former - President 0 733234 0 319459 0 5989 0 122154 0 59971 0 1240807 0 0 Vincent DiBattista Director & President 0 513422 0 242714 0 59397 0 87533 0 48803 0 951869 0 0 Margaret Marchak Secretary (Regional) 0 503824 0 259612 0 87317 0 19600 0 57483 0 927836 0 0 Dan Gottschall VP, Medical Affairs 0 404138 0 73790 0 35812 0 33400 0 28316 0 575456 0 0 Dale Danowski VP, Patient Care 0 344108 0 61753 0 39440 0 49467 0 17862 0 512630 0 0 David Mack Chief Legal Officer 0 327019 0 142033 0 1038 0 19600 0 18307 0 507997 0 0 Christopher Given VP, Finance 0 296070 0 129302 0 15069 0 27400 0 6591 0 474432 0 0 Corina Marcu MD DIO/Chief QEO 0 334666 0 14303 0 1619 0 26284 0 31585 0 408457 0 0 Joseph Mattana MD Chairperson of Medicine 0 316048 0 0 0 4415 0 32320 0 34966 0 387749 0 0 William Hoey VP, Mission Integration 254924 0 58672 0 15087 0 29478 0 15441 0 373602 0 0 0 Brooke Karlsen VP, Operations 0 209643 0 31373 0 13081 0 38886 0 21312 0 314295 0 0 Part I, Line 3 The Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare on behalf of SVMC Holdings, Inc., hires an outside consultant, Human Resources and Compensation Consulting Practice of Gallagher to determine best practices in governing executive compensation. Please refer to compensation narrative reported on Schedule O. Part I, Line 4b Hartford Healthcare Corporation, a related organization, maintains a 457(f) Supplemental Executive Retirement Plan (SERP). Participants include certain officers and key employees at the President & CEO, Executive Vice President and Senior Vice President levels that are reported by SVMC Holdings, Inc. on its Form 990, Part VII. Contributions are made by Hartford HealthCare Corporation to the plan based on a percentage of the participant's compensation. Participants vest in the plan at the earlier of reaching age 55 and having 5 years of service, death, disability, involuntary separation without reasonable cause, upon reaching age 65 or the occurence of a change in control. Each participant ceases to be eligible for further contributions by Hartford HealthCare Corporation on the date of the participant's separation from service. Participants receive a one-time lump sum payment of the accumulated amount during the 30-day period following the participant's separation from service. 2019 SERP Accruals were made on behalf of the following individuals: Vincent DiBattista $67,933 Michael Daglio $102,554 2019 SERP Payouts was made on behalf of the following individual: Margaret Marchak $21,554* *For this individual, vesting occurred, causing taxable income. This portion of the vested amount was used to pay the associated tax liability. The remaining balance was deposited into the employee SERP account. Part I, Line 7 Hartford HealthCare Corporation, a related organization, has a Compensation At Risk Plan that encourages and rewards achievements of significant functional goals. These goals contribute to the organization's strategic and financial direction. The plan utilizes market practice alignment to ensure competitive recruitment and retention. Awards are based on CEO and/or Hartford HealthCare Corporation's Compensation Committee discretionary assessment of overall organization performance and individual contribution to results. Schedule J Part II & Form 990, Part VII, Section A, Line 5 Compensation From Unrelated Organizations: The compensation reported for William Hoey and Christopher Given was paid by Ascension, an unrelated organization. The Compensation reported for Brooke Karlsen, Dan Gottschall, Dale Danowski, Corina Marcu, and Joseph Mattana, was paid by St. Vincents Medical Center, an unrelated organization. Form 990, Part VI, Section A, line 6 SVMC Holdings, Inc. is organized as a non-stock not for profit entity. Hartford HealthCare Corporation is the sole member. Form 990, Part VI, Section A, line 7a The sole member of the organization has the authority to approve/remove members of the governing body. Form 990, Part VI, Section A, line 7b The sole member of the organization has the right to review, approve, disapprove and deny significant transactions such as mergers, acquisitions, dissolutions etc. Form 990, Part VI, Section B, line 11b The Form 990 was prepared by Hartford HealthCare's Tax Department. It was then reviewed by an independent accounting firm. It was then forwarded to the organization's top management for review. The final Form was provided to the entire Board prior to submission to the Internal Revenue Services (IRS). Once the entire review process was completed, the Form was signed by the SVMC Holdings, Inc. President, and then filed with the IRS. Form 990, Part VI, Section B, line 12c The hospital's board has adopted the policy of the member, Hartford HealthCare Corporation (HHC). HHC's Conflict of Interest Policy (Policy) requires all covered individuals, including board members and officers, to provide a disclosure of relationships that create or have the appearance of creating a conflict of interest or commitment. The Policy requires updates if changes in circumstances arise during the year that either (a) create a new potential conflict of interest or commitment or (b) change or eliminate a conflict of interest or commitment previously disclosed. Conflict of interest disclosure statements are maintained by the HHC Office of Compliance and Integrity (OCI). Employee disclosures are reviewed by OCI in collaboration with the Covered Individuals' supervisor when deemed appropriate, to determine if there is a potential conflict. Oversight review of employee disclosures is provided by the HHC Conflict of Interest Committee. The Conflict of Interest Committee assesses and may recommend the conflicting interest either be (a) eliminated for a continued relationship with HHC/HHC Affiliate, or, (b) managed through a management plan. Oversight review of physician disclosures is provided by the HHC Physician Conflict Resolution Committee. The Physician Conflict Resolution Committee assesses and may recommend the conflicting interest either be (a) eliminated for continued relationship with HHC/HHC Affiliate, or, (b) managed through a management plan. Board member disclosures are reported to the HHC Nominating and Governance Committee for determinations of conflicts and the management of them, where applicable. Form 990, Part VI, Section B, line 15 The Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare on behalf of SVMC Holdings, Inc., hires an outside consultant, Human Resources and Compensation Consulting Practice of Gallagher to determine best practices in governing executive compensation. The following steps were taken: - The use of an Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare, on behalf of Hartford Hospital, established and regularly reviews Executive Compensation Philosophy; - The Committee regularly reviews scope and depth of positions taking into account complexity and the financial impact and accountability of all "disqualified persons; - National peer groups are selected for comparative purposes based on organizational size, operating revenue, geography and other relevant factors; - Analysis of current total compensation versus market is performed by independent third party compensation consulting firm and is then reviewed by the committee; - Recommendations are made based on market data analysis to ensure appropriate competitive positioning within parameters of compensation philosophy; - The CEO compensation is reviewed by the Committee and is based on comparative market information and organizational performance; - All changes are reviewed and approved by the Executive Compensation Committee; The compensation determination process for the CEO is reviewed on an annual basis. All other executive compensation is regularly reviewed for scope and depth of positions taking into account complexity and the financial impact and accountability. Form 990, Part VI, Section C, line 18 The Hospital's Form 990, 990T and Form 1023 and it attachments are available upon request. Form 990, Part VI, Section C, line 19 The Hospital's Financial Statements, Governing Documents and the Conflict of Interest Policy are available for inspection upon request at the Organization's address. Form 990, Part IX, line 11g Medical Professional Fees: Program service expenses 90,839,354. Management and general expenses 0. Fundraising expenses 0. Total expenses 90,839,354. Form 990, Part XI, line 9: Transfer to Affiliated Entity -822,798. FMV Adjustment to Assets Due to Hartford HealthCare Acquisition 191,568,058. St Vincent's Medical Center Co-Management LLC 2800 Main Street Bridgeport CT 06606 060646886 Management Company CT 0 0 SVMC Holdings Inc dba St Vincent's Medical Center Backus HealthCare Inc 326 Washington Street Norwich CT 06360 222481794 Supporting Organization CT 501(c)(3) 12 (a) Hartford HealthCare Corporation 1 Caring for Colleagues Employee Crisis Fund 100 Grand Street New Britian CT 06052 264469178 Employee Fund CT 501(c)(3) 7 Hartford HealthCare Corporation 1 Center for Hospice Care Southeast Connecticut Inc 227 Dunham Street Norwich CT 06360 222667260 Hospice CT 501(c)(3) 7 HHC Independence at Home 1 Connecticut Health System Inc 80 Seymour Street Hartford CT 06102 222779421 Coordination of Health Care Delivery CT 501(c)(3) 12 (c) Hartford HealthCare Corporation 1 Hartford HealthCare ACO Inc 1290 Silas Deane Hwy 2nd Floor Wethersfield CT 06109 460886367 Government Contracts CT 501(c)(3) 7 Hartford HealthCare Medical Group Inc 1 Hartford HealthCare At Home Inc 1290 Silas Deane Hwy Suite 4B Wethersfield CT 06109 060646938 Home Healthcare CT 501(c)(3) 10 Hartford HealthCare Corporation 1 Hartford HealthCare Corporation One State Street Suite 19 Hartford CT 06102 222672834 Support & Management Svcs. To HH and Affiliates CT 501(c)(3) 12 (c) N/A 0 Hartford HealthCare Endowment LLC 80 Seymour Street Hartford CT 06102 454181103 Investment Management CT 501(c)(3) 12 (a) Hartford HealthCare Corporation 1 Hartford HealthCare Independence At Home Inc 1290 Silas Deane Hwy Suite 4B Wethersfield CT 06109 061161422 Home Healthcare CT 501(c)(3) 10 Hartford HealthCare At Home Inc 1 Hartford Healthcare Medical Group Specialists PLLC 1290 Silas Dean Highway 2nd Floor Wethersfield CT 06109 371911194 Medical Services CT 501(c)(3) 10 Hartford HealthCare Medical Group Inc 1 Hartford HealthCare Medical Group Inc 1290 Silas Deane Highway 2nd Floor Wethersfield CT 06109 454456939 Medical Services CT 501(c)(3) 10 Hartford HealthCare Corporation 1 Hartford HealthCare Senior Services Inc 45 Meriden Avenue Southington CT 06489 222635676 Sub-Acute & Long Term Healthcare CT 501(c)(3) 10 Hartford HealthCare Corporation 1 Hartford Hospital 80 Seymour Street PO Box 5037 Hartford CT 06102 060646668 Healthcare Services CT 501(c)(3) 3 Hartford HealthCare Corporation 1 Hartford Hospital Auxiliary co Hartford Hospital 80 Seymour Street Hartford CT 06102 066040747 Fundraising CT 501(c)(3) 12 (a) Hartford Hospital 1 Midstate Medical Center 435 Lewis Avenue Meriden CT 06451 060646715 Healthcare Services CT 501(c)(3) 3 Hartford HealthCare Corporation 1 Midstate Medical Center Auxiliary 435 Lewis Avenue Meriden CT 06451 066063082 Fundraising CT 501(c)(3) 12 (a) Midstate Medical Center 1 Mulberry Gardens of Southington LLC 58 Mulberry Street Plantsville CT 06479 820586577 Assisted Living & Adult Day Care Facility CT 501(c)(3) 10 Hartford HealthCare Senior Services Inc 1 Natchaug Hospital Inc 189 Storrs Road Mansfield Center CT 06226 060966963 Behavioral Health CT 501(c)(3) 3 Hartford HealthCare Corporation 1 Rushford Center Inc 883 Paddock Avenue Meriden CT 06450 060932875 Substance Abuse Healthcare Services CT 501(c)(3) 7 Hartford HealthCare Corporation 1 Rushford Foundation Inc 883 Paddock Avenue Meriden CT 06450 061432692 Supporting Organization CT 501(c)(3) 12 (a) Rushford Center Inc 1 St Vincent's Development Inc 95 Merritt Boulevard Trumbull CT 06611 222554128 Holding Company CT 501(c)(25) St Vincent's Health Services Corp 1 St Vincent's Health Services Corp 2800 Main Street Bridgeport CT 06606 222558134 Supporting Organization CT 501(c)(3) 12 (a) SVMC Holdings Inc dba St Vincent's Medical Center 1 St Vincent's Multispecialty Group Inc 2800 Main Street Bridgeport CT 06606 800458769 Healthcare Services CT 501(c)(3) 12 (a) SVMC Holdings Inc dba St Vincent's Medical Center 1 St Vincent's Special Needs Center Inc 95 Merritt Boulevard Trumbull CT 06611 060702617 Residential Services for Handicapped CT 501(c)(3) 10 St Vincent's Health Services Corp 1 The Charlotte Hungerford Hospital 540 Litchfield Street PO Box 988 Torrington CT 06790 060646678 Healthcare Services CT 501(c)(3) 3 Hartford HealthCare Corporation 1 The Hospital of Central CT and Bradley Memorial 100 Grand Street New Britian CT 06052 060646768 Healthcare Services CT 501(c)(3) 3 Hartford HealthCare Corporation 1 The Orchards of Southington 34 Hobart Street Southington CT 06489 061490803 Residential Services for Senior Citizens CT 501(c)(3) 10 Hartford HealthCare Senior Services Inc 1 The William W Backus Hospital 326 Washington Street Norwich CT 06360 060250773 Hospital CT 501(c)(3) 3 Hartford HealthCare Corporation 1 Visiting Nurse Services of CT Inc 765 Fairfield Avenue Bridgeport CT 06604 060665196 Home Healthcare CT 501(c)(3) 10 Hartford HealthCare At Home Inc 1 WCMH Women's Auxiliary Inc 112 Mansfield Avenue Willimantic CT 06226 060677728 Fundraising CT 501(c)(3) 12 (a) Windham Community Memorial Hospital 1 Windham Community Memorial Hospital 112 Mansfield Avenue Willimantic CT 06226 060646966 Healthcare Services CT 501(c)(3) 3 Hartford HealthCare Corporation 1 Windham Hospital Foundation Inc 112 Mansfield Avenue Willimantic CT 06226 562546632 Supporting Organization CT 501(c)(3) 12 (a) Windham Community Memorial Hospital 1 Advanced Medical Imaging of NW CT LLC 57 Commercial Blvd Torrington CT 06790 061594854 Magnetic Resonance Imaging CT N/A Ambulance Service of Manchester LLC PO Box 300 Manchester CT 06450 061557358 Ambulatory Service CT N/A Central Connecticut Endoscopy Center 440 New Britain Avenue Plainville CT 06062 141855010 Endoscopy Svcs CT N/A Connecticut Imaging Partners LLC c/o Jefferson Radiology 1500 Concor Sunrise FL 33323 134298940 Imaging Services CT N/A Connecticut Orthopaedic Surgery Center LLC 205 Sub Way Milford CT 06461 134298940 Surgery Svcs CT N/A Constitution Surgery Center East LLC 174 Cross Road Waterford CT 06385 061574704 Surgery Svcs CT N/A CT GI Endoscopy Center LLC ( Bloomfield) 4 Northwestern Drive Bloomfield CT 06002 061573358 GI Services CT N/A Glastonbury Endoscopy Center LLC 300 Western Blvd Suite B Glastonbury CT 06033 261721234 Endoscopy Svcs CT N/A Glastonbury Surgery Center LLC 195 Eastern Boulevard Glastonbury CT 06033 262600828 Surgery Svcs CT N/A Hartford-Middlesex Clinical System LLC 80 Seymour Street Hartford CT 06110 061543605 Affiliate Support Services CT N/A HHC Hartford Surgery Center LLC 100 Avon Meadow Lane Avon CT 06001 812637261 Surgery Svcs CT N/A HHC Southington Surgery Center LLC 100 Avon Meadow Lane PO Box 1281 Avon CT 06001 465500829 Surgery Svcs CT N/A HHC Urgent Care Go Health LLC 2711 Centerville Road Suite 400 Avon CT 06001 815112698 Urgent Care Services DE N/A Med East Assoc LLC 1703 West Main Street Willimantic CT 06226 061469575 Outpatient Care Clinic CT N/A MedConn Collection Agency 2049 Silas Deane Highway Suite 305 Rocky Hill CT 06067 061408854 Collections Services CT N/A New Britain MRI Limited Partnership 100 Grand Street New Britain CT 06050 061271349 Magnetic resonance imaging CT N/A Rocky Hill Surgery Center LLC 1111 Cromwell Avenue Building 1 Rocky Hill CT 06067 833096156 Surgery Svcs CT N/A The Endoscopy Center of Northwest Connecticut LLC 245 Alvord Park Road Torrington CT 06790 061609993 Endoscopy Svcs CT N/A Wallingford Endoscopy Center LLC 85 Seymour Street Suite 1000 Hartford CT 06106 824601730 Endoscopy Svcs CT N/A Aetna Ambulance Service Inc PO Box 1150 Manchester CT 06045 060795431 Ambulance Services CT N/A C 1 Backus Medical Center Condo Assoc Inc 330 Washington Street Norwich CT 06360 061542647 Condo Association CT N/A C 1 CenConn Services Inc 100 Grand Street New Britain CT 06050 222836001 Billing Services CT N/A C 1 ConnCare Inc 326 Washington Street Norwich CT 06360 061387598 Health Care Services CT N/A C 1 HHMOB Corporation 80 Seymour Street PO Box 5037 Hartford CT 06102 061140244 Real Estate & Parking CT N/A C 1 Hartford HealthCare Indemnity Services Ltd FB Perry Bld 40 Church Street Hamilton BD Captive Insurance BD N/A C 1 Hartford Physician Services PC 80 Seymour Street Hartford CT 06102 061254082 Medical Services CT N/A C 1 Litchfield County Healthcare Service Corporation 540 Litchfield Street Torrington CT 06790 061227655 Management Services CT N/A C 1 Meriden Imaging Center 101 North Plains Industrial Road Meriden CT 06429 061541468 Imaging CT N/A S 1 Metro Wheelchair Service Inc PO Box 300 Manchester CT 06045 060878432 Wheelchair Services CT N/A C 1 Midstate Medical Group PC 435 Lewis Avenue Meriden CT 06450 204327968 Medical Services CT N/A C 1 Windham Professional Office Condo Assoc 112 Mansfield Avenue Willimantic CT 06226 061090041 Condo Association CT N/A C 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 Hartford Hospital S 341349 FMV Hartford HealthCare Medical Group Specialists PLLC O 1249898 FMV St Vincent's Special Needs Center Inc O 129720 FMV St Vincent's Special Needs Center Inc R 12817840 FMV St Vincent's Development Inc S 3813400 FMV St Vincent's Development Inc R 3817370 FMV St Vincent's Multispecialty Group Inc R 114682087 FMV St Vincent's Multispecialty Group Inc S 115529896 FMV St Vincent's Medical Center Foundation Inc C 4736905 FMV Schedule R, Part I, Columns D and E St. Vincent's Medical Center Co-Managment, LLC is a disregarded entity of SVMC Holdings, Inc. dba St. Vincent's Medical Center. All income and assets are recorded on the 990. There is no separate accounting maintained for the disregarded entity and thus, Schedule R, Part I, Columns D and E are not reported with values since not available.