2016-08-15T12:28:47-05:00 2015-09-30 111986323 MARCUM LLP CITY PLACE II 185 ASYLUM STREET HARTFORD CT 06103 990 2014-10-01 060646813 ST FRANCIS HOSPITAL AND MEDICAL CENTER STFR 8607144000 114 WOODLAND STREET HARTFORD CT 06105 JENNIFER SCHNEIDER VP FINANCE 8607144000 2016-08-15 1 DOUGLAS FARRINGTON P00370668 8607600600 2014 2016-09-27 15:27:22Z JENNIFER SCHNEIDER 114 WOODLAND STREET HARTFORD CT 06105 771104951 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 22 5196 556 2528738 -447885 8694716 10382181 697685089 697116965 10830996 7918182 20751459 22232294 737962260 737649622 836934 686250 0 0 340961129 343255144 0 0 0 371279397 382310083 713077460 726251477 24884800 11398145 838054262 817609157 636626462 663859903 201427800 153749254 X WE ARE COMMITTED TO HEALTH AND HEALING THROUGH EXCELLENCE, COMPASSIONATE CARE AND REVERENCE FOR THE SPIRITUALITY OF EACH PERSON. 0 0 590214794 686250 712051701 AS THE LARGEST CATHOLIC HOSPITAL IN NEW ENGLAND WITH 118 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 590214794 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 1 0 0 0 1 1 1 0 0 0 1 323 0 1 5196 1 1 1 0 0 0 0 0 0 0 0 0 X 34 22 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 CHRISTOPHER M DADLEZ PRESIDENT & CEO 55.00 10.00 X X 2894865 0 1021627 BARBARA J CALDERONEBSNJD SECRETARY 1.00 1.00 X X 0 0 0 L JEFFREY BALDWIN 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 1.00 X 0 0 0 KARL J KRAPEK DIRECTOR 2.00 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 2.00 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 1.00 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 683168 0 45003 ANDREW J PINKES DIRECTOR 1.00 1.00 X 0 0 0 TIMOTHY L PRETE DIRECTOR 1.00 1.00 X 0 0 0 MURTHAPPA N PRAKASH MD DIRECTOR 1.00 2.00 X 21833 0 0 SHERI A LEMIEUX ASSISTANT SECRETARY 55.00 1.00 X 133537 0 19122 JOHN RODIS MD EXECUTIVE VP & COO 55.00 3.00 X 914647 0 59160 DAVID BITTNER SR VP FINANCE 55.00 8.00 X 395908 0 39261 ROBERT CHRISTOPHER HARTLEY SR VP PLANNING & FACILITIES 55.00 2.00 X 362587 0 59239 GREG MAKOUL SVP, CAO 55.00 0.00 X 498154 0 34771 JENNIFER SCHNEIDER VP FINANCE/CHIEF COMPLIANCE OFFICER 55.00 6.00 X 278987 0 46358 JOHN N GIAMALIS EVP & CAO 55.00 8.00 X 724755 0 54761 DAWN BRYANT SVP, CHIEF HUMAN RESOURCE OFFICER 55.00 0.00 X 321685 0 27947 LINDA SHANLEY VP AND CIO 55.00 0.00 X 326856 0 38770 E MERRITT MCDONOUGH JR SF FDTN PRESIDENT 55.00 2.00 X 521116 0 56879 DENISE PETERSON VP PROF NRSG PRACTICE & QUAL/CNO 55.00 0.00 X 182407 0 10445 ADAM SILVERMAN VP AMBULATORY STRATEGY 1.00 58.00 X 0 346050 24011 STUART ROSENBERG CEO-JMMC 55.00 0.00 X 351329 0 47183 JAMES W SCHEPKER VP MARKETING & BUSINESS DEVELOPMENT 55.00 0.00 X 294625 0 43195 ROBERT FALAGUERRA VP FACILITIES & SUPPORT SERVICES 55.00 2.00 X 247125 0 52177 DERRICK AMATO ADMINISTRATIVE DIRECTOR 55.00 0.00 X 316080 0 13848 NICOLE SCHULZ VP REVENUE CYCLE 55.00 0.00 X 283621 0 43915 PAUL F MITCHELL DMD FORMER DIRECTOR 0.00 57.00 X 0 266484 55218 TERESA M BOLTON FORMER HUMAN RESOURCES COUNSEL 55.00 1.00 X 245883 0 19724 KATHLEEN M ROCHE FORMER EXECUTIVE VP & COO 0.00 0.00 X 287380 0 5985 ARTHUR DETORE FORMER SVP,CHIEF PHYSICIAN EXECUTIVE 0.00 0.00 X 263612 0 5985 10550160 612534 1824584 441 1 1 0 UCONN SCHOOL OF MEDICINE 263 FARMINGTON AVE FARMINGTON CT 06030 PHYSICIAN FEES & SERVICES 17068607 DTZ INC 4002 SOLUTIONS CENTER CHICAGO IL 60677 CLEANING SERVICES 3738258 MORRISON MANAGEMENT SPECIALISTS PO BOX 102289 ATLANTA GA 30368 MANAGEMENT SERVICES 3498709 AMN HEALTHCARE INC 2735 COLLECTIONS CENTER DR CHICAGO IL 60693 TEMP NURSING SERVICES 2665312 AMERICAN ADJUSTMENT BUREAU PO BOX 2758 WATERBURY CT 06723 COLLECTION SERVICES 1486022 57 4607924 2974954 2799303 1950000 10382181 PATIENT REVENUE 622110 649231568 649231568 LABORATORY REVENUE 621511 34433962 33164769 1269193 PREMIUM INCOME 524298 12498534 12374000 124534 PARTNERSHIP REVENUE 541990 952901 931041 21860 697116965 5614181 5614181 6074397 0 6074397 6074397 6074397 34236918 1522412 33455329 0 781589 1522412 2304001 2304001 OTHER PATIENT SVCS 624190 8556521 7885453 671068 PHARMACY 900099 2458081 2458081 MISCELLANEOUS 900099 2305826 1863743 442083 2837469 921711 1915758 16157897 737649622 706372285 2528738 18366418 X 659800 659800 26450 26450 8480115 8480115 264319054 213369198 50949856 17718340 14664448 3053892 33438601 26597062 6841539 19299034 15169112 4129922 2333129 2333129 618565 618565 111300 111300 125141 125141 89852910 72292997 17559913 1617566 6410 1611156 16876694 16072434 804260 15155635 14915238 240397 39321451 37289389 2032062 1630113 1630113 11151596 11151596 38113285 38113285 11971391 290443 11680948 MEDICAL SUPPLIES 106528549 106528549 LAB EXPENSE 7520916 7520916 PROF LIAB INSURANCE 5548198 5548198 LAUNDRY EXPENSE 3273650 3273650 30559994 5095506 25464488 726251477 590214794 136036683 0 58225346 48119752 46781519 52046968 75441792 70386496 545649 566992 8854758 9701459 6724495 8724005 890775274 434608404 463498467 456166870 78640457 83759484 14134048 18802515 85207731 69334616 838054262 817609157 34284214 38257732 250530000 246119985 9706653 5331951 342105595 374150235 636626462 663859903 X 119753800 76152826 24355000 24417140 57319000 53179288 201427800 153749254 838054262 817609157 X 11398145 -4417161 -54659530 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 173046 0 0 173046 0 70923245 -5121078 65802167 68114560 2808685 70923245 64278125 3836435 68114560 60257184 4020941 64278125 62884485 -2627301 60257184 0.26000 0.74000 0.00000 1 0 6583032 6583032 494821210 172372322 322448888 1955667 1696120 259547 303569358 238118787 65450571 83846007 22421175 61424832 456166870 CHEFA BOND SERIES 816873 BOND ISSUANCE COST, LESS AMORTIZATION 1260634 ASSETS HELD IN TRUST 48893774 OTHER ASSETS 5855453 DUE FROM AFFILIATED ENTITIES 12507882 69334616 SALARIES & WAGES 35135864 ACCRUED EXPENSES & INTEREST 7283758 PENSION AND OTHER ACCRUED EXPENSES 274663884 DUE TO 3RD PARTY REIMBURSEMENT 12527529 PROFESSIONAL LIABILITY INS FUND 44539200 374150235 706020860 -4417161 24208446 19791285 686229575 51420047 51420047 737649622 704052394 19742130 19742130 684310264 41941213 41941213 726251477 PART V, LINE 4: ENDOWMENT FUNDS ARE TO BE USED TO SUPPORT HEALTHCARE SERVICES. PART XI, LINE 2D - OTHER ADJUSTMENTS: INCOME FROM SUBSIDIARIES 24,208,446. PART XI, LINE 4B - OTHER ADJUSTMENTS: INCOME FROM ST. FRANCIS INDEMNITY CORPORATION, LLC 12,378,080. INCOME FROM COLLABORATIVE LAB SERVICES 34,434,043. NET TRANSFER FROM SAINT FRANCIS FOUNDATION 4,607,924. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES FROM SUBSIDIARIES 19,742,130. PART XII, LINE 4B - OTHER ADJUSTMENTS: EXPENSES FROM ST. FRANCIS INDEMNITY COMPANY, LLC 6,362,341. EXPENSES FROM COLLABORATIVE LAB SERVICES 35,578,872. 1 1 X 1 X 1 X 1 1 0 1 1 10609 4163345 4163345 0.00570 30247 44489587 44489587 0.06130 23688735 23688735 0.03260 40856 72341667 72341667 0.09960 17 19061 3584693 2007594 1577099 0.00220 4 682 30269163 9821823 20447340 0.02820 1 7852 507674 507674 0.00070 2 240922 240922 0.00030 2 5900 180010 180010 0.00020 26 33495 34782462 11829417 22953045 0.03160 26 74351 107124129 11829417 95294712 0.13120 2 7152 115594 71600 43994 0.00010 1 66000 66000 0.00010 1 25 83693 83693 0.00010 4 7177 265287 71600 193687 0.00030 0 5799835 182021149 197005627 -14984478 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 0 0 1 X X X X X X X X X 12 1 1 0 1 X SAINTFRANCISCARE.ORG X WWW.CT.GOV.DPH.COM X 1 13 1 SEE PART V, SECTION C 0 0 1 X 200.000000000000 250.000000000000 X X 1 1 X X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X 1 X 0 1 X 0 0 SAINT FRANCIS HOSPITAL AND MEDICAL CENTER PART V, SECTION B, LINE 3J: THE HOSPITAL AUGMENTED THE CHNA COMPLETED IN MARCH 2012 (AND PUBLISHED IN 2013) 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 DIALOG AND PRESENT CONTINUED OPPORTUNITIES FOR COMMUNITY INPUT. OVER 700 COMMUNITY HEALTH SURVEYS WERE COLLECTED AND ANALYZED USING THIS METHODOLOGY. SAINT FRANCIS HOSPITAL AND MEDICAL CENTER PART V, SECTION B, LINE 5: 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 6A: 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 11: 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 PREVENTIONTHE 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. SAINT FRANCIS HOSPITAL AND MEDICAL CENTER: PART V, LINE 16A, FAP WEBSITE:HTTP://WWW.SAINTFRANCISCARE.COM/PAY_YOUR_HOSPITAL_BILL_ONLINE/BILLING_AND_FINANCIAL_SERVICES.ASPX SAINT FRANCIS HOSPITAL AND MEDICAL CENTER: PART V, LINE 16B, FAP APPLICATION WEBSITE:HTTP://WWW.SAINTFRANCISCARE.COM/PAY_YOUR_HOSPITAL_BILL_ONLINE/BILLING_AND_FINANCIAL_SERVICES.ASPX SAINT FRANCIS HOSPITAL AND MEDICAL CENTER: PART V, LINE 10A, IMPLEMENTATION STRATEGY WEBSITE:WWW.SAINTFRANCISCARE.COM/ABOUT_US/HOSPITAL_PUBLICATIONS.ASPX PART V, SECTION B, LINE 16 FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY SAINT FRANCIS HOSPITAL AND MEDICAL CENTE PART V, SECTION B, LINE 16A WEBSITE: SEE PART V, SECTION C SAINT FRANCIS HOSPITAL AND MEDICAL CENTE PART V, SECTION B, LINE 16B WEBSITE: SEE PART V, SECTION C 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 BOTH 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. PART II, COMMUNITY BUILDING ACTIVITIES (CONTINUED): 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.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.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 MANDELL JEWISH COMMUNITY CENTER 335 BLOOMFIELD AVE WEST HARTFORD CT 06117 060662142 501(C)(3) 75000 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. CT BRAIN TUMOR ALLIANCE PO BOX 370514 WEST HARTFORD CT 06137 260307367 501(C)(3) 6000 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. KOMEN CONNECTICUT 74 BATTERSON PARK ROAD FARMINGTON CT 06032 752844629 501(C)(3) 10000 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) 29100 BOOK N/A TO PROMOTE AND HELP FUND ACTIVITIES ASSOCIATED WITH THE EDUCATION, RESEARCH AND TREATMENT OF LEUKEMIA AND ITS RELATED CANCERS. NORTHSIDE INSTITUTIONS NEIGHBORHOOD 20 SARGENT ST HARTFORD CT 06105 223887275 501(C)(3) 50000 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. URBAN LEAGUE OF GREATER HARTFORD 140 WOODLAND ST HARTFORD CT 06105 066066491 501(C)(3) 5560 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. MALTA HOUSE OF CARE 19 WOODLAND ST STE 21 HARTFORD CT 06105 203562424 501(C)(3) 87590 BOOK N/A TO SUPPORT THE MISSION OF PROVIDING PRIMARY HEALTHCARE TO THE UNINSURED. 7 0 EMPLOYEE CHILDREN'S SCHOLARSHIP FUND 11 11000 BOOK N/A MULLANE SCHOLARSHIP FUND 10 10000 BOOK N/A TRIOMPO HEALING HEARTS & HANDS AWARD 6 4950 BOOK N/A S.A. CARRABBA, MD, AWARD (RESEARCH PROJECT) 1 500 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 886803 0 696000 0 1312062 0 946067 0 75560 0 3916492 0 1312062 0 STEVEN T RUBY MD DIRECTOR / DEPT. CHAIRMAN 668168 0 15000 0 0 0 13464 0 31539 0 728171 0 0 0 SHERI A LEMIEUX ASSISTANT SECRETARY 103537 0 30000 0 0 0 2946 0 16176 0 152659 0 0 0 JOHN RODIS MD EXECUTIVE VP & COO 732647 0 182000 0 0 0 23992 0 35168 0 973807 0 0 0 DAVID BITTNER SR VP FINANCE 320908 0 75000 0 0 0 9308 0 29953 0 435169 0 0 0 ROBERT CHRISTOPHER HARTLEY SR VP PLANNING & FACILITIES 320587 0 42000 0 0 0 24134 0 35105 0 421826 0 0 0 GREG MAKOUL SVP, CAO 403547 0 0 0 94607 0 19012 0 15759 0 532925 0 0 0 JENNIFER SCHNEIDER VP FINANCE/CHIEF COMPLIANCE OFFICER 228987 0 50000 0 0 0 16372 0 29986 0 325345 0 0 0 JOHN N GIAMALIS EVP & CAO 677070 0 0 0 47685 0 28024 0 26737 0 779516 0 0 0 DAWN BRYANT SVP, CHIEF HUMAN RESOURCE OFFICER 273685 0 48000 0 0 0 15300 0 12647 0 349632 0 0 0 LINDA SHANLEY VP AND CIO 276856 0 50000 0 0 0 19635 0 19135 0 365626 0 0 0 E MERRITT MCDONOUGH JR SF FDTN PRESIDENT 424216 0 0 0 96900 0 28503 0 28376 0 577995 0 0 0 DENISE PETERSON VP PROF NRSG PRACTICE & QUAL/CNO 172407 0 10000 0 0 0 0 0 10445 0 192852 0 0 0 ADAM SILVERMAN VP AMBULATORY STRATEGY 0 346050 0 0 0 0 0 15300 0 8711 0 370061 0 0 STUART ROSENBERG CEO-JMMC 351329 0 0 0 0 0 20400 0 26783 0 398512 0 0 0 JAMES W SCHEPKER VP MARKETING & BUSINESS DEVELOPMENT 251625 0 43000 0 0 0 14615 0 28580 0 337820 0 0 0 ROBERT FALAGUERRA VP FACILITIES & SUPPORT SERVICES 217125 0 30000 0 0 0 22790 0 29387 0 299302 0 0 0 DERRICK AMATO ADMINISTRATIVE DIRECTOR 316080 0 0 0 0 0 0 0 13848 0 329928 0 0 0 NICOLE SCHULZ VP REVENUE CYCLE 233621 0 50000 0 0 0 15061 0 28854 0 327536 0 0 0 PAUL F MITCHELL DMD FORMER DIRECTOR 0 266484 0 0 0 0 0 20400 0 34818 0 321702 0 0 TERESA M BOLTON FORMER HUMAN RESOURCES COUNSEL 235883 0 10000 0 0 0 11064 0 8660 0 265607 0 0 0 KATHLEEN M ROCHE FORMER EXECUTIVE VP & COO 0 0 0 0 287380 0 0 0 5985 0 293365 0 0 0 ARTHUR DETORE FORMER SVP,CHIEF PHYSICIAN EXECUTIVE 0 0 0 0 263612 0 0 0 5985 0 269597 0 0 0 PART I, LINES 4A-B GREG MAKOUL RECEIVED A SEVERANCE BENEFIT OF $94,607. JOHN N. GIAMALIS RECEIVED A SEVERANCE BENEFIT OF $47,685. E. MERRITT MCDONOUGH, JR. RECEIVED A SEVERANCE BENEFIT OF $96,900. KATHLEEN M. ROCHE RECEIVED A SEVERANCE BENEFIT OF $287,380. ARTHUR DETORE RECEIVED A SEVERANCE BENEFIT OF $263,612. CHRISTOPHER DADLEZ PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE YEAR WITH AN ESTIMATED BENEFIT OF $927,000. 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 865000 39745000 629173 447069 38673020 1 0 1 1 B 3545015 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 BOND QUALIFIED TAX EXEMPT BONDS, WHICH MATURE SERIALLY FROM 2018 TO 2021 THROUGH PRIVATE PLACEMENT. JOHN RODIS EXECUTIVE VP & COO 16790970 RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO COLLABORATIVE LABORATORY SERVICES. JOHN RODIS IS PRESIDENT OF COLLABORATIVE LABORATORY SERVICES. 0 JOHN RODIS EXECUTIVE VP & COO 21479146 PURCHASE OF SERVICES AND SUPPLIES FROM COLLABORATIVE LABORATORY SERVICES. JOHN RODIS IS PRESIDENT OF COLLABORATIVE LABORATORY SERVICES. 0 DAVID BITTNER SR VP FINANCE 16790970 RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO COLLABORATIVE LABORATORY SERVICES. DAVID BITTNER IS A DIRECTOR OF COLLABORATIVE LABORATORY SERVICES. 0 DAVID BITTNER SR VP FINANCE 21479146 PURCHASE OF SERVICES AND SUPPLIES FROM COLLABORATIVE LABORATORY SERVICES. DAVID BITTNER IS A DIRECTOR OF COLLABORATIVE LABORATORY SERVICES. 0 CHRISTOPHER DADLEZ CEO & PRESIDENT 624408 RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS HEALTHCARE PARTNERS. CHRISTOPHER DADLEZ IS A DIRECTOR OF SAINT FRANCIS HEALTHCARE PARTNERS. 0 CHRISTOPHER DADLEZ CEO & PRESIDENT 2905663 MANAGED CARE SERVICES FROM SAINT FRANCIS HEALTHCARE PARTNERS. CHRISTOPHER DADLEZ IS A DIRECTOR OF SAINT FRANCIS HEALTHCARE PARTNERS. 0 JOHN RODIS EXECUTIVE VP & COO 901727 RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS BEHAVIORAL HEALTH GROUP, P.C. JOHN RODIS IS A DIRECTOR OF SAINT FRANCIS BEHAVIORAL HEALTH GROUP, P.C. 0 JOHN RODIS EXECUTIVE VP & COO 2162766 PURCHASE OF SERVICES FROM SAINT FRANCIS BEHAVIORAL HEALTH GROUP, P.C. JOHN RODIS IS A DIRECTOR OF SAINT FRANCIS BEHAVIORAL HEALTH GROUP, P.C. 0 DANIEL O'CONNELL DIRECTOR 624408 RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS HEALTHCARE PARTNERS. DANIEL O'CONNELL IS A DIRECTOR OF SAINT FRANCIS HEALTHCARE PARTNERS. 0 DANIEL O'CONNELL DIRECTOR 2905663 MANAGED CARE SERVICES FROM SAINT FRANCIS HEALTHCARE PARTNERS. DANIEL O'CONNELL IS A DIRECTOR OF SAINT FRANCIS HEALTHCARE PARTNERS. 0 JOHN D PAPANDREA MD DIRECTOR 624408 RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS HEALTHCARE PARTNERS. JOHN PAPANDREA IS A DIRECTOR OF SAINT FRANCIS HEALTHCARE PARTNERS. 0 JOHN D PAPANDREA MD DIRECTOR 2905663 MANAGED CARE SERVICES FROM SAINT FRANCIS HEALTHCARE PARTNERS. JOHN PAPANDREA IS A DIRECTOR OF SAINT FRANCIS HEALTHCARE PARTNERS. 0 DAVID BITTNER DIRECTOR 624408 RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS HEALTHCARE PARTNERS. DAVID BITTNER IS A DIRECTOR OF SAINT FRANCIS HEALTHCARE PARTNERS. 0 DAVID BITTNER DIRECTOR 2905663 MANAGED CARE SERVICES FROM SAINT FRANCIS HEALTHCARE PARTNERS. DAVID BITTNER IS A DIRECTOR OF SAINT FRANCIS HEALTHCARE PARTNERS. 0 JOHN RODIS DIRECTOR 624408 RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS HEALTHCARE PARTNERS. JOHN RODIS IS A DIRECTOR OF SAINT FRANCIS HEALTHCARE PARTNERS. 0 JOHN RODIS DIRECTOR 2905663 MANAGED CARE SERVICES FROM SAINT FRANCIS HEALTHCARE PARTNERS. JOHN RODIS IS A DIRECTOR OF SAINT FRANCIS HEALTHCARE PARTNERS. 0 JOHN N GIAMALIS EVP & CHIEF ADMIN OFFICER 624408 RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS HEALTHCARE PARTNERS. JOHN N. GIAMALIS IS A DIRECTOR OF SAINT FRANCIS HEALTHCARE PARTNERS. 0 JOHN N GIAMALIS EVP & CHIEF ADMIN OFFICER 2905663 MANAGED CARE SERVICES FROM SAINT FRANCIS HEALTHCARE PARTNERS. JOHN N. GIAMALIS IS A DIRECTOR OF SAINT FRANCIS HEALTHCARE PARTNERS. 0 DAVID BITTNER DIRECTOR 3273650 DIRECTOR OF TOTAL LAUNDRY COLLABORATIVE - LAUNDRY SERVICES. 0 JOHN RODIS EXECUTIVE VP & COO 700000 PURCHASE OF SERVICES FROM SAINT FRANCIS CARE MEDICAL GROUP. JOHN RODIS IS A DIRECTOR OF SAINT FRANCIS CARE MEDICAL GROUP. 0 JOHN RODIS EXECUTIVE VP & COO 512009 RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS CARE MEDICAL GROUP. JOHN RODIS IS A DIRECTOR OF SAINT FRANCIS CARE MEDICAL GROUP. 0 R CHRISTOPHER HARTLEY KEY EMPLOYEE 700000 PURCHASE OF SERVICES FROM SAINT FRANCIS CARE MEDICAL GROUP. R. CHRISTOPHER HARTLEY IS A DIRECTOR OF SAINT FRANCIS CARE MEDICAL GROUP. 0 R CHRISTOPHER HARTLEY KEY EMPLOYEE 512009 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 JANEANNE LUBIN-SZAFRANSKI DIRECTOR 700000 PURCHASE OF SERVICES FROM SAINT FRANCIS CARE MEDICAL GROUP. JANEANNE LUBIN-SZAFRANSKI IS A DIRECTOR OF SAINT FRANCIS CARE MEDICAL GROUP. 0 JANEANNE LUBIN-SZAFRANSKI DIRECTOR 512009 RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS CARE MEDICAL GROUP. JANEANNE LUBIN-SZAFRANSKI IS A DIRECTOR OF SAINT FRANCIS CARE MEDICAL GROUP. 0 DAVID BITTNER DIRECTOR 700000 PURCHASE OF SERVICES FROM SAINT FRANCIS CARE MEDICAL GROUP. DAVID BITTNER IS A DIRECTOR OF SAINT FRANCIS CARE MEDICAL GROUP. 0 DAVID BITTNER DIRECTOR 512009 RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS CARE MEDICAL GROUP. DAVID BITTNER IS A DIRECTOR OF SAINT FRANCIS CARE MEDICAL GROUP. 0 JOHN N GIAMALIS EVP & CHIEF ADMIN OFFICER 700000 PURCHASE OF SERVICES FROM SAINT FRANCIS CARE MEDICAL GROUP. JOHN N. GIAMALIS IS A DIRECTOR OF SAINT FRANCIS CARE MEDICAL GROUP. 0 JOHN N GIAMALIS EVP & CHIEF ADMIN OFFICER 512009 RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS CARE MEDICAL GROUP. JOHN N. GIAMALIS IS A DIRECTOR OF SAINT FRANCIS CARE MEDICAL GROUP. 0 TERESA BOLTON KEY EMPLOYEE 700000 PURCHASE OF SERVICES FROM SAINT FRANCIS CARE MEDICAL GROUP. TERESA BOLTON IS A DIRECTOR OF SAINT FRANCIS CARE MEDICAL GROUP. 0 TERESA BOLTON KEY EMPLOYEE 512009 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 PHILIP J SCHULZ DIRECTOR 327536 PHILIP SCHULZ'S DAUGHTER-IN-LAW, NICOLE SCHULZ, IS THE VP OF REVENUE CYCLE FOR SAINT FRANCIS HOSPITAL AND MEDICAL CENTER. 0 PETER G KELLY JD DIRECTOR 103208 PETER KELLY'S DAUGHTER, BRIDGET KELLY, IS A PHYSICIAN ASSISTANT FOR SAINT FRANCIS HOSPITAL AND MEDICAL CENTER. 0 P ANTHONY GIORGIO DIRECTOR 1630088 P. ANTHONY GIORGIO IS A 50% OWNER IN TWO BUILDINGS THAT SAINT FRANCIS HOSPITAL AND MEDICAL CENTER RENTS SPACE. 0 KARL KRAPEK DIRECTOR 1630088 KARL KRAPEK IS A 50% OWNER IN TWO BUILDINGS THAT SAINT FRANCIS HOSPITAL AND MEDICAL CENTER RENTS SPACE. 0 JEAN-PIERRE VAN ROOY DIRECTOR 200000 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 127700 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 89687 DR. JOHN RODGERS IS A SHAREHOLDER IN A PRIVATE MEDICAL PRACTICE THAT PROVIDES PROFESSIONAL SERVICES TO SAINT FRANCIS HOSPITAL AND MEDICAL CENTER. 0 SUSAN J SAPPINGTON DIRECTOR 68600 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 CENTER AND SAINT FRANCIS CARE, INC. 0 E MERRITT MCDONOUGH JR KEY EMPLOYEE 3917046 EMPLOYEE OF PEOPLE'S UNITED INSURANCE - PURCHASE OF INSURANCE SERVICES. 0 X 10 1950000 INDEPENDENT APPRAISAL 1 0 0 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 SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFFORMING PRESENCE WITHIN OUR COMMUNITIES. OUR CORE VALUES: REVERENCE: WE HONOR THE SACREDNESS AND DIGNITY OF EVERY PERSON. COMMITMENT TO THOSE WHO ARE POOR: WE STAND WITH AND SERVE THOSE WHO ARE POOR, ESPECIALLY THOSE MOST VULNERABLE. JUSTICE: WE FOSTER RIGHT RELATIONSHIPS TO PROMOTE THE COMMON GOOD, INCLUDING SUSTAINABILITY OF EARTH. STEWARDSHIP: WE HONOR OUR HERITAGE AND HOLD OURSELVES ACCOUNTABLE FOR THE HUMAN, FINANCIAL AND NATURAL RESOURCES ENTRUSTED TO OUR CARE. INTEGRITY: WE ARE FAITHFUL TO WHO WE SAY WE ARE. 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 2015. 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 2015, SAINT FRANCIS PROVIDED $104,451,340 IN COMMUNITY BENEFIT, OF WHICH $4,163,345 REPRESENTS CHARITY CARE AND UNPAID COSTS OF MEDICAID. THESE FIGURES DO NOT TAKE INTO ACCOUNT AN ADDITIONAL $20,980,833 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 2015, SAINT FRANCIS PROVIDED COMMUNITY BENEFIT SERVICES TO 135,000 INDIVIDUALS, WHO RECEIVED FINANCIAL ASSISTANCE FOR THEIR MEDICAL CARE AND SUPPORT THROUGH OUR COMMUNITY BENEFIT PROGRAMS. CHARITY CARE - $ 4,163,345 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. CHARITY CARE IS REPORTED IN TERMS OF COSTS, NOT CHARGES. COMMUNITY BENEFIT SERVICES - $ 32,109,673 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 HEALTH CARE - $ 68,178,322 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 - $ 104,451,430 COMMUNITY BENEFIT - SERVICES WHAT ARE THE NUMBERS? COMMUNITY BENEFIT IS CATEGORIZED INTO THREE BROAD AREAS: CHARITY CARE, GOVERNMENT SPONSORED HEALTH CARE, AND COMMUNITY BENEFIT SERVICES. THE FOLLOWING LIST OUTLINES, IN MORE DETAIL, THE COMMUNITY BENEFIT SERVICES PORTION, WHICH THIS PAST YEAR TOTALED $32,109,673. A. COMMUNITY HEALTH IMPROVEMENT SERVICES - $ 1,471,531 THESE ACTIVITIES ARE CARRIED OUT TO IMPROVE COMMUNITY HEALTH AND ARE USUALLY SUBSIDIZED BY THE HEALTH CARE ORGANIZATION. THERE ARE FOUR GROUPINGS WITHIN THIS CATEGORY: COMMUNITY HEALTH EDUCATION, COMMUNITY-BASED CLINICAL SERVICES, HEALTH CARE 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 AND 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 OUTREACH PROGRAM COMMUNITY-BASED CLINICAL SERVICES - PREVENTIVE HEALTH SCREENINGS: - CARDIOVASCULAR RISK ASSESSMENT - CHILD SEAT SAFETY SCREENING - DIABETES SCREENING - MAMMOGRAMS - CANCER SCREENINGS - SUPPORT FOR MALTA HOUSE OF CARE MOBILE MEDICAL CLINIC - 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 - LITERACY SUPPORT PROGRAMS - TRANSPORTATION SUPPORT - LANGUAGE SUPPORT SERVICES - THE AUXILIARY REPETITIONS THRIFT STORE - JOAN C. DAUBER FOOD BANK - KEEP-THE-POWER-ON UTILITY CLINIC B. HEALTH PROFESSIONS EDUCATION - $ 29,160,233 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 - $ 507,674 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 D. RESEARCH - $ 240,922 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 - $ 180,010 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 - $ 193,687 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 - $ 355,616 THIS CATEGORY INCLUDES THE COSTS ASSOCIATED WITH STAFFING THE COMMUNITY HEALTH DEPARTMENT AND COSTS ASSOCIATED WITH COMMUNITY BENEFIT PLANNING AND OPERATIONS. WEAVING HEALTH AND COMMUNITY TOGETHER - COMMUNITY BENEFIT REPORT - 2015 WELCOME WHAT A SINGLE YEAR CAN BRING! SAINT FRANCIS HOSPITAL AND MEDICAL CENTER WAS WELCOMED INTO TRINITY HEALTH AT THE END OF 2015. BUILDING ON OUR HISTORY, WE ARE HONORED TO CELEBRATE OUR EXPANDED MISSION: WE SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFFORMING PRESENCE WITHIN OUR COMMUNITIES. WE ARE COMMITTED TO TRANSFORMING OUR COMMUNITIES: AS YOU WILL SEE IN THIS ANNUAL COMMUNITY BENEFIT REPORT, LAST YEAR'S INITIATIVES AND INVESTMENTS IN HEALTH CARE, EDUCATION AND OUTREACH, BUILT SYNERGIES WITH LOCAL PARTNERS TO ACHIEVE BETTER ACCESS TO CARE, BETTER STEWARDSHIP OF RESOURCES, AND BETTER OUTCOMES FOR EVERYONE WHOSE LIFE WE TOUCHED. IN 2015, WE INVESTED OVER $104 MILLION DOLLARS IN OUR COMMUNITIES. IN THIS REPORT YOU WILL SEE EXAMPLES OF HOW WE SPENT OUR RESOURCES - GIVING PRIORITY TO THOSE IN MOST NEED. THE FOUNDATION FOR CREATING A BLUEPRINT FOR COMMUNITY HEALTH AND WELLBEING IS SOLID, COMPLETE WITH A MODEL OF PARTNERSHIP THAT ENCOMPASSED COLLEAGUES IN HOUSING, EMPLOYMENT, TRANSPORTATION, AND SO MANY OTHER ASPECTS OF LIFE THAT MANY OF US TAKE FOR GRANTED. HEALTH AND WELLNESS PARTNERSHIPS ARE PART OF A SAFETY NET STRATEGY THAT BENEFITS YOU, YOUR FAMILY, AND ALL OF THE COMMUNITIES WE SERVE: ECONOMIC CHALLENGES DEMAND AN ALL-ENCOMPASSING STRATEGY WITH MISSION-DRIVEN PRINCIPLES. WE SERVE TOGETHER TO ASSURE EQUAL ACCESS TO BENEFITS FOR ALL. TRINITY HEALTH CONTRIBUTED OVER $980 MILLION DOLLARS IN 2015 TO BENEFIT COMMUNITIES ACROSS THIS GREAT COUNTRY. WHAT IS THE RESULT OF OUR PARTNERSHIPS? A HEALING FABRIC WOVEN TOGETHER BY MISSION, REGIONAL PRIORITIES, AND COMPASSIONATE CARE BY SAINT FRANCIS EMPLOYEES, WHO KEEP RESPONDING EVERY DAY TO ASSURE EQUITABLE OUTCOMES. THE STORIES THAT FOLLOW SAY IT BEST. MAY THEIR WORDS AND OUR MISSION INSPIRE YOU AND YOUR FAMILY! CREATING A WEB OF COMMUNITY HEALTH AND WELL BEING BY DEFINITION, WHEN SOMEONE IS ADMITTED TO THE HOSPITAL HE OR SHE BECOMES A PATIENT, IMPLYING ILLNESS, VULNERABILITY, UNCERTAINTY AND EMOTIONAL TURMOIL. THE PEOPLE HIGHLIGHTED IN THIS REPORT HAVE ALL BEEN PATIENTS AT SAINT FRANCIS HOSPITAL AND MEDICAL CENTER. THEY CAME TO THE HOSPITAL BECAUSE SOMEONE THAT CARES ABOUT THEM SUGGESTED THEY LOOK INTO A PROBLEM, OR THEY ATTENDED A COMMUNITY SCREENING EVENT THAT REVEALED AN UNDERLYING ILLNESS, OR THEY WERE LUCKY ENOUGH TO HAVE A PRIMARY CARE PROVIDER WHO MADE A REFERRAL FOR FOLLOW UP TO FIND OUT MORE ABOUT UNANSWERED QUESTIONS. THE STORIES HERE REVEAL PATTERNS OF RELIANCE AND INDEPENDENCE, EXPERIENCES OF STRENGTH AND WEAKNESS, MOMENTS OF HOPE AND FEAR. THROUGHOUT THE CYCLE OF HEALING, COMMUNITY MEMBERS BECOME PATIENTS, OVERCOME AILMENTS, AND RETURN TO HEALTH, CONSISTENTLY MOVING FROM ONE ROLE TO ANOTHER. BY RESPONDING TO THIS SHIFTING DYNAMIC AND SUPPORTING THEM DURING TIMES OF HEALTH AND ILLNESS, OUR HEALTH CARE SYSTEMS BECOME WOVEN INTO THE FABRIC OF OUR COMMUNITIES. JOHNNY: A STORY OF NEWFOUND TRUST BEING A PART OF A COMMUNITY IS IMPORTANT TO JOHNNY - HE'S LIVED IN THE NORTH END OF HARTFORD HIS ENTIRE LIFE. IN HIS NEIGHBORHOOD IT'S COMMON FOR PEOPLE TO NOT TRUST THE HEALTH CARE SYSTEM, ESPECIALLY IF YOU DON'T HAVE INSURANCE. "WHEN I CAME TO SAINT FRANCIS THEY TREATED ME REALLY WELL. THEY HELPED ME GET INSURANCE, THEY ASSISTED WITH MY RENT AND UTILITIES WHEN I COULDN'T WORK, AND MOST OF ALL, THEY TAUGHT ME THAT THE HOSPITAL IS A PART OF MY NEIGHBORHOOD TOO." FOR YEARS, JOHNNY TOOK CARE OF WHATEVER HEALTH PROBLEM HE HAD WITH "SELF-MEDICATION," AS HE DESCRIBES IT - "MOTRIN, WARM SALT WATER, HEATING PADS, AND WHATEVER SEEMED TO HELP." HE WAS VERY SICK WHEN HE FINALLY CAME TO SAINT FRANCIS. IN THE END IT WAS HIS PASTOR WHO PRODDED HIM TO GO AND SEE WHY HE WAS BLEEDING FROM HIS GUMS, WHY HIS TONGUE WAS SO DISCOLORED, AND, MOST NOTABLY, WHY HE DIDN'T HAVE ANY OF HIS USUAL VIBRANT ENERGY. "I'M SOMEONE WHO DOESN'T ASK FOR HELP VERY OFTEN AND I SURE DIDN'T WANT TO ASK FOR HELP FROM A HOSPITAL WHICH I THOUGHT WOULD TREAT ME LIKE A SECOND-CLASS PERSON BECAUSE I DIDN'T HAVE ANY HEALTH INSURANCE. SO, I DIDN'T GO TO THE HOSPITAL. IN FACT, I WAS BORN AT HOME AND NEVER WENT TO A HOSPITAL UNTIL HIS CANCER DIAGNOSIS AT AGE 56." WHEN HE FINALLY CAME TO THE EMERGENCY DEPARTMENT HE WAS IN SUCH BAD SHAPE THAT DOCTORS ADMITTED HIM, RAN SOME TESTS, AND QUICKLY BEGAN A BLOOD TRANSFUSION. WHEN THE TEST RESULTS CAME BACK, JOHNNY WAS DIAGNOSED WITH A TREATABLE FORM OF LEUKEMIA. THE TREATMENT PROTOCOL, HOWEVER, WOULD INCLUDE EIGHT ROUNDS OF CHEMOTHERAPY OVER THREE MONTHS - A LONG HAUL. "I SEE THIS BATTLE BETWEEN ME AND CANCER AS SIMILAR TO THE FIGHT BETWEEN GEORGE FOREMAN AND MUHAMMAD ALI. FOREMAN WAS AT THE PEAK OF HIS CAREER AND HAD WON MOST OF HIS FIGHTS IN THE SECOND OR THIRD ROUND. BUT ALI DID HIS HOMEWORK; HE TRAINED HARD AND HE OUTLASTED FOREMAN. IN FACT, HE WON IN THE EIGHTH ROUND - JUST LIKE ME. THE EIGHTH ROUND OF CHEMOTHERAPY WAS THE ONE THAT FINISHED MY TREATMENT." BY TELLING HIS STORY, JOHNNY HOPES TO LET OTHERS KNOW THAT THEY CAN GET THE HELP THEY NEED, NO MATTER WHO THEY ARE. "I LIVE ON THE THIRD FLOOR OF AN APARTMENT BUILDING IN ONE OF HARTFORD'S POOREST NEIGHBORHOODS. IN FACT, I CHOSE THE THIRD FLOOR BECAUSE I BELIEVE CROOKS ARE LAZY - THEY WON'T BOTHER COMING TO THE THIRD FLOOR TO ROB YOU. WHEN I CAME TO SAINT FRANCIS THEY TREATED ME REALLY WELL. THEY HELPED ME GET INSURANCE, THEY ASSISTED WITH MY RENT AND UTILITIES WHEN I COULDN'T WORK, AND MOST OF ALL, THEY TAUGHT ME THAT THE HOSPITAL IS A PART OF MY NEIGHBORHOOD TOO." IN THE END, JOHNNY SEES THE HOSPITAL AS PART OF THE COMMUNITY, JUST LIKE HIS CHURCH OR THE CORNER STORE. OF COURSE, HE WILL SAY THAT HE PREFERS NOT TO COME TO THE HOSPITAL AS OFTEN AS HE GOES TO CHURCH, BUT NOW HE SEES IT AS A RESOURCE THAT CAN PROVIDE SUPPORT FOR HIS HEALTH WHEN HE MOST NEEDS IT. CLEMENT: A HOLISTIC JOURNEY TO HEALTH AND HEALING CLEMENT WAS SURPRISED TO FIND HOW HELPFUL IT WAS TO GET ACUPUNCTURE WHILE UNDERGOING CANCER TREATMENT. HE HAD BEEN DIAGNOSED WITH MULTIPLE MYELOMA AND THE PAIN WAS DIFFICULT TO CONTROL. SOMETIMES IT WAS FINE, BUT THEN IT WOULD CHANGE. "ONE DAY MY LEGS AND BACK HURT SOMETHING TERRIBLE, LIKE THERE WERE NEEDLES IN MY FOOT ALL THE TIME. WHEN I TALKED TO DR. RABINOWE, SHE SUGGESTED I TALK WITH THE INTEGRATIVE MEDICINE TEAM TO SEE IF THEY HAD ANYTHING THAT MIGHT HELP." "CHRIS IS A GREAT RESOURCE FOR PATIENTS AND HE'S SO WILLING TO HELP. YOU KNOW, IN THE END, I ENJOYED IT." CLEMENT DID NOT KNOW ABOUT THE CENTER FOR INTEGRATIVE MEDICINE, WHICH OFFERS ACUPUNCTURE, MASSAGE, ART THERAPY, AND MIND/BODY MEDICINE SERVICES THAT CAN BE WOVEN INTO EACH PATIENT'S CLINICAL TREATMENT PLAN. PATIENTS' NEEDS VARY AS THEY MOVE THROUGH THE EXPERIENCE OF ILLNESS, AND INCLUDING INTEGRATIVE MEDICINE INTO THEIR THERAPEUTIC JOURNEY NOT ONLY SUPPORTS HEALTH AND HEALING BUT BUILDS RELATIONSHIPS WITH NEW CARE PROVIDERS, BINDING TOGETHER EMOTIONAL, SPIRITUAL AND PHYSICAL RESOURCES INTO THE FABRIC OF OUR HEALTH. CLEMENT HADN'T TRIED ACUPUNCTURE BEFORE AND DIDN'T REALLY KNOW MUCH ABOUT IT. AS A KOREAN WAR VETERAN WHO WAS NO STRANGER TO PAIN, HE HAD FIGURED OUT WAYS TO HANDLE IT. BUT HIS WIFE COULD SEE HE WAS STRUGGLING AND ENCOURAGED HIM TO GIVE ACUPUNCTURE A TRY. "I WASN'T SO SURE, BUT SHE REALLY SUPPORTED ME AND THOUGHT IT MIGHT HELP." ACUPUNCTURE BECAME A REGULAR PART OF HIS TREATMENT PLAN. AFTER EACH ROUND OF CHEMOTHERAPY, CLEMENT WOULD TURN TO LICENSED ACUPUNCTURIST CHRISTOPHER GAUNYA FOR HELP, SO THAT HE COULD CONTROL THE PAIN AND PARTICIPATE IN THE PHYSICAL THERAPY NEEDED FOR HIS RECOVERY. FORM 990, PART III, LINE 4A PATIENTS AND PRACTITIONERS - WOVEN TOGETHER "MY ROLE IS TO SUPPORT PATIENTS WITH MASSAGE WHICH CAN REALLY HELP THEM DURING TIMES OF NEED - IT'S A PHYSICAL ACTIVITY BUT SOMETIMES IT SEEMS TO CHANGE THEIR EMOTIONAL OUTLOOK MORE THAN THEIR PHYSICAL WELL-BEING. THE INTERCONNECTEDNESS OF PHYSICAL AND EMOTIONAL HEALTH IS NO SURPRISE TO ANYONE, BUT WHAT IS REMARKABLE IS THAT HOSPITALS LIKE SAINT FRANCIS CAN OFFER FREE OF CHARGE SERVICES THAT HELP SUPPORT PATIENTS WHEN THEY NEED IT MOST. ON MORE THAN ONE OCCASION CANCER PATIENTS HAVE SAID TO ME THAT MASSAGE GIVES THEM A RENEWED INNER STRENGTH TO GET THROUGH IT ALL." "I THINK THAT MASSAGE CAN MAKE THE DIFFERENCE BETWEEN FEELING HOPEFUL OR DEFEATED." - JULIE OLSON, MASSAGE THERAPIST, CENTER FOR INTEGRATIVE MEDICINE "WE HELD AN OUTREACH EVENT ABOUT PROSTATE CANCER SCREENING AT THE CITADEL OF LOVE, A VERY SMALL CHURCH IN HARTFORD. THIS LITTLE CHURCH OFFERS SUPPORT TO ANYONE WHO NEEDS HELP. THE GROUP OF MEN WE MET WITH WERE HOMELESS AND I WAS STRUCK BY HOW THEY CARED FOR EACH OTHER AND STAYED CONNECTED THROUGH THIS CHURCH. AS THEY WERE WAITING FOR THEIR TURN TO GET SCREENED THEY SHARED WITH ME HOW THEY DON'T REALLY EVER THINK ABOUT THEIR HEALTH. IT WAS OBVIOUS THAT MY JUST LISTENING AND SHOWING CONCERN WAS IMPORTANT TO THEM." "I LEFT THERE THINKING THEY HAD REALLY GIVEN ME A LOT. I HAD A MUCH BETTER UNDERSTANDING OF HOW HOMELESSNESS IMPACTS EVERYTHING IN YOUR LIFE." - JACQUELINE ORTIZ-MILLER, OUTREACH EDUCATION COORDINATOR, CURTIS D. ROBINSON CENTER FOR HEALTH EQUITY "IT'S INTERESTING, I WORK WITH LOTS OF FAMILIES AND WHEN THERE HAS BEEN SEXUAL ABUSE OF A CHILD IT CAN BE SO DIFFICULT TO GET TO THE OTHER SIDE. THIS ONE FAMILY REALLY IMPRESSED ME; A SINGLE MOM WITH THREE CHILDREN AND ONE OF THEM WAS ACTING OUT SO SHE KNEW SOMETHING WAS WRONG. WE HELPED HER COME UP WITH A PLAN TO SUPPORT THE CHILD AND TO KEEP THE FAMILY TOGETHER. THE FAMILY PARTICIPATED IN THERAPY TOGETHER AND REALLY FIGURED OUT HOW TO MAKE IT WORK. NOW SHE VOLUNTEERS WITH US AND HELPS TO SUPPORT OTHER FAMILIES GOING THROUGH THIS CRISIS." "WE WERE THERE FOR HER AND NOW SHE IS HERE FOR US." - REGINA DYTON, DIRECTOR, THE GREATER HARTFORD CHILDREN'S ADVOCACY CENTER "THINGS HAVE REALLY CHANGED FOR US OVER THE PAST FIVE YEARS. IT USED TO BE THAT WE ONLY SERVED PATIENTS AFTER THEY HAD TRIED EVERYTHING ELSE AND WERE STILL STRUGGLING, BUT LATELY WE SEE THEM EARLIER IN THEIR TREATMENT. PATIENTS DON'T WANT TO TAKE ANY MORE PAIN MEDICINE - IT OFTEN DOESN'T WORK WELL; IT'S EXPENSIVE; AND THERE ARE SIDE EFFECTS. ONCE THEY HEAR ABOUT THE OPTIONS THEY WANT TO GIVE IT A TRY." "I'M HOPEFUL AS INTEGRATIVE MEDICINE BECOMES MORE OF A PART OF THE SYSTEM IT WILL HELP PATIENTS AND WE KNOW IT COSTS A LOT LESS." - KATHLEEN MUELLER, MD, MEDICAL DIRECTOR, CENTER FOR INTEGRATIVE MEDICINE "PROVIDING HEALTH SCREENINGS TO PEOPLE IN THE COMMUNITY HAS CHANGED THE WAY I DO MY WORK. WHEN I TEACH PEOPLE ABOUT HEALTHY LIFESTYLES AND REDUCING THEIR RISK FOR HEART DISEASE I NEED TO UNDERSTAND THE "WHOLE" PERSON. DURING A CONVERSATION WITH A YOUNG WOMAN IN HARTFORD ABOUT HER SCREENING NUMBERS, SHE MENTIONED THAT SHE HAD GAINED WEIGHT DUE TO HER DIET AND LACK OF EXERCISE WHILE IN PRISON. HER MAIN CONCERN WAS NOT HER BLOOD PRESSURE, BUT THE SAFETY OF HER FAMILY." "I HAVE LEARNED THAT EVERYONE HAS A STORY AND TREATING PEOPLE FIRST WITH COMPASSION CAN HELP CLARIFY THE PATH TO PERSONAL HEALTH." - CLAIRE KARWACKI-MARUGG, MANAGER, WOMEN'S HEART PROGRAM 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 FINANCE COMMITTEE OF TRINITY HEALTH-NEW ENGLAND,INC. (FORMERLY KNOWN AS SAINT FRANCIS CARE, INC.) HAS THE RESPONSIBILITY FOR OVERSEEING THE REVIEW OF THE FORM 990 INCLUDING ENSURING APPROPRIATE DIRECTORS AND MANAGEMENT PERSONNEL HAVE REVIEWED, ANY ISSUES ARE COMMUNICATED TO THE COMMITTEE AND FORM 990S ARE AVAILABLE TO THE BOARD OF DIRECTORS. 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 THE BOARD REVIEWS COMPENSATION AND BONUS' FOR OFFICERS AND KEY EMPLOYEES ANNUALLY. DURING THE YEAR AN INDEPENDENT CONSULTANT WAS ENGAGED TO REVIEW COMPENSATION AND AN EXTERNAL MARKET ANALYSIS IS PERFORMED AND 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 56,462,463. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 56,462,463. SECURITY EXPENSE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,438,519. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,438,519. OUTSIDE LABORATORIES: PROGRAM SERVICE EXPENSES 2,588,391. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,588,391. COLLECTION FEES: PROGRAM SERVICE EXPENSES 152,683. MANAGEMENT AND GENERAL EXPENSES 2,389,499. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,542,182. DIALYSIS FEES: PROGRAM SERVICE EXPENSES 1,492,702. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,492,702. CONSULTING FEES: PROGRAM SERVICE EXPENSES 2,250. MANAGEMENT AND GENERAL EXPENSES 10,124,153. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,126,403. REGISTRY NURSES FEES: PROGRAM SERVICE EXPENSES 3,021,592. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,021,592. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,481,719. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,481,719. TEMPORARY LABOR: PROGRAM SERVICE EXPENSES 4,714,305. MANAGEMENT AND GENERAL EXPENSES 1,161,313. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,875,618. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,376,892. MANAGEMENT AND GENERAL EXPENSES 446,429. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,823,321. FORM 990, PART XI, LINE 9: DECREASE IN ASSETS HELD IN TRUST BY OTHERS -4,139,998. CHANGE IN PENSION FUNDING AND POSTRETIREMENT OBLIGATIONS -19,192,683. DECREASE IN INTEREST IN ST FRANCIS FOUNDATION -1,394,495. CHANGE IN FAIR MARKET VALUE OF SWAP -14,834,672. TRANSFER TO PARENT -14,005,487. DONATED PROPERTY -1,092,195. 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. 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