2013-08-14T13:56:06-05:00 2012-09-30 111986323 MARCUM LLP CITY PLACE II 185 ASYLUM STREET HARTFORD CT 06103 990 2011-10-01 060665979 THE WATERBURY HOSPITAL WATE 2035736000 64 ROBBINS STREET WATERBURY CT 06708 DAVID J PIZZUTO MD 2035736000 2013-08-13 1 DOUGLAS FARRINGTON P00370668 8605498500 2011 2016-03-07 17:11:31Z DARLENE STROMSTAD 64 ROBBINS STREET WATERBURY CT 06708 259953142 0 X WWW.WATERBURYHOSPITAL.ORG X 1951 CT WATERBURY HOSPITAL'S MISSION IS TO PROVIDE COMPASSIONATE HIGH QUALITY HEALTH CARE SERVICES THROUGH A FAMILY OF PROFESSIONALS AND SERVICES. 16 11 2240 188 3277398 12029 5432131 5262330 231768719 237337410 3389996 2785392 5501666 8133085 246092512 253518217 0 0 0 0 135820931 128197698 0 0 304464 110180428 115020471 246001359 243218169 91153 10300048 165252085 175531371 89880352 92647402 75371733 82883969 X WATERBURY HOSPITAL'S MISSION IS TO PROVIDE COMPASSIONATE HIGH QUALITY HEALTH CARE SERVICES THROUGH A FAMILY OF PROFESSIONALS AND SERVICES. 0 0 202930849 245315199 STATEMENT OF PURPOSEAS A NOT-FOR-PROFIT COMMUNITY HOSPITAL, WATERBURY HOSPITAL PROVIDES QUALITY HEALTH CARE TO ALL AREA INDIVIDUALS, REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, AGE, HANDICAP OR ABILITY TO PAY. HOWEVER, REIMBURSEMENT FOR SERVICES IS CRITICAL TO THE HOSPITAL'S STABILITY AND LONG-TERM OPERATION.SEE SCHEDULE O FOR CONTINUATION 202930849 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 1 322 0 1 2240 1 1 1 0 0 0 0 1 1 0 0 0 0 X 16 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 0 X X SCOTT BOWMAN 2035737333 64 ROBBINS STREET WATERBURY CT 06721 X DARLENE STROMSTAD 40.00 X X 248336 0 8843 CARL D CONTADINI 0.30 X X 0 0 0 JOHN A KELLY JR 0.30 X X 0 0 0 ANDREW K SKIPP 0.20 X X 0 0 0 CARL B SHERTER MD 0.30 X 78000 0 0 OJ BIZZOZERO JR MD 0.50 X 0 0 0 HENRY BORKOWSKI MD 40.30 X 667026 0 29945 RONALD J D'ANDREA MD 0.20 X 0 0 0 STEVEN L EISEN MD 0.10 X 0 306349 6650 JAMES H GATLING PHD 0.40 X 0 0 0 FREDERICK L LUEDKE 0.50 X 0 0 0 PATRICIA MCKINLEY 0.40 X 0 0 0 JOHN A MICHAELS 0.50 X 0 0 0 DAVID J PIZZUTO MD 20.00 X X 72120 0 0 WILLIAM J PIZZUTO PHD 0.90 X 0 0 0 AJ WASSERSTEIN 0.40 X 0 0 0 SANDRA IADAROLA 40.00 X 194426 0 15506 DIANE WOOLLEY 40.00 X 153280 0 21933 MICHAEL CEMENO 40.00 X 89576 0 4382 PETER PORRELLO 40.00 X 239449 0 24438 THOMAS REINHARDT 40.00 X 212003 0 19600 DONALD EDWARDSON 40.00 X 208409 0 13326 KINSON LEE 40.00 X 200376 0 24217 SREEDEVI NAMPOOTHIRI 40.00 X 197322 0 24913 JOHN H TOBIN 0.00 X 1262080 0 5581 COLLEEN SCOTT 0.00 X 314620 0 33814 MARY K MULSTON 0.00 X 205221 0 8971 MARY B PRYBYLO 0.00 X 252552 0 21672 STEVEN E SCHNEIDER 0.00 X 173314 0 18724 4768110 306349 282515 132 1 1 0 SODEXO INC AND AFFILIATES PO BOX 360170 PITTSBURGH PA 152516170 DIETARY, BUILDING SVCS, TRANSPORT 2267495 CERNER CORPORATION 2800 ROCKCREEK PARKWAY KANSAS CITY MO 64117 INFORMATION TECHNOLOGY 1392269 ACCESS REHAB CENTERS LLC 22 TOMPKINS STREET WATERBURY CT 06708 REHAB THERAPY SERVICES 1276925 LEADERS FOR TODAY LLC 50 RESNIK ROAD PLYMOUTH MA 02360 CONTRACTED EXECUTIVES 1226101 GREATER WATERBURY IMAGING CENTER 64 ROBBINS STREET WATERBURY CT 06708 IMAGING SERVICES 1117900 58 256331 4733897 272102 17000 5262330 NET PATIENT SERVICE RE 624100 227526138 227526138 CAW - NET PATIENT SERV 621110 6556710 6556710 LAB SERVICE REVENUE 621500 3109245 3109245 IMAGE REPAIRS & MAINTE 541900 145317 145317 237337410 2638562 2638562 429366 0 429366 429366 429366 6411877 16883 6281930 0 129947 16883 146830 146830 65310 256331 152995 -87685 -87685 MEANINGFUL USE INCOME 900099 3392498 3392498 PARTNERSHIPS 900099 1844066 1844066 CAW - OTHER INCOME 621110 1579205 1579205 975635 732653 22836 220146 7791404 253518217 242060636 3277398 2917853 8495433 6896837 1598596 89773579 82484934 7143067 145578 3949078 3590885 351849 6344 18050422 16407508 1613914 29000 7929186 7195688 721089 12409 1086636 27481 1059155 247543 247543 103132 103132 367820 367820 43608062 32308091 11268661 31310 550378 81723 465625 3030 10899981 9119647 1756114 24220 4578088 1239627 3338461 180373 83301 93866 3206 270581 244237 26344 1101603 1101603 279270 279270 8102127 8102127 6407547 6407547 MEDICAL/SURGICAL SUPPLI 25846371 25846281 90 BAD DEBT 10681151 10681151 DUES AND SUBSCRIPTIONS 373681 103329 269199 1153 FOOD 55918 22742 31157 2019 280209 189840 44174 46195 243218169 202930849 39982856 304464 445086 363707 10336179 23422100 3816321 2553347 23027509 26534083 3109790 3105602 1449521 1109204 265514060 222405856 42450842 43108204 10050122 11355420 57334007 61841260 200500 200500 13032208 1937944 165252085 175531371 34927900 32392727 25630879 25207100 29321573 35047575 89880352 92647402 X 28763004 30228350 6477454 7645420 40131275 45010199 75371733 82883969 165252085 175531371 X 10300048 -2787812 X X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 1 1 1 1 73544 1 1 1 29588 103132 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: A PORTION OF THE CT HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION FEES THAT ARE PAID BY THE WATERBURY HOSPITAL IS FOR LOBBYING ACTIVITIES. 48442875 6884672 536162 54791385 51457624 -2784813 229936 48442875 49308865 20 2729359 580620 51457624 50479712 10560 -512662 668745 49308865 0.05430 0.82150 0.12420 1 0 287549 287549 84587473 67702986 16884487 539905 432135 107770 174609868 151561382 23048486 5489265 2709353 2779912 43108204 FUNDS HELD IN TRUST BY OTHERS 42218163 F GREATER WATERBURY IMAGING CENTER 4634628 F ACCESS REHAB CENTERS 5142729 F IMAGING PARTNERS 360191 F ALLIANCE MEDICAL GROUP 6586211 F CARDIOLOGY ASSOCIATES OF GREATER WATERBURY 2899338 F 61841260 LIABILITIES OF CONSOLIDATED AFFILIATES 4763515 RESERVE FOR WORKER'S COMP/MALPRACTICE LIAB. LOSS 8932434 NONCONTROLLING INTEREST 3147542 DEFERRED LIAB. ON GIFT ANNUITY 210785 ASSET RETIREMENT OBLIGATION 2785468 CAPITAL LEASE LIABILITY 1566722 ACCRUED PENSION LIABILITY 5906712 DEFERRED LIAB. ON PLAN INVESTMENT FUND 13119 DEFERRED LIAB. ON SERP 156244 SWAP RATE LIABILITY 2938960 DUE TO AFFILIATES 3551101 DUE TO THIRD-PARTY REIMBURSEMENT AGENCIES 601272 SODEXO LIABILITY 473701 35047575 253518217 243218169 10300048 1483696 -4271508 -2787812 7512236 283891969 1483696 31128045 32611741 251280228 367820 1870169 2237989 253518217 280103740 37253391 37253391 242850349 367820 367820 243218169 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE ENDOWMENT FUNDS ARE USED FOR FREE CARE AND GENERAL HOSPITAL OPERATIONS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE HOSPITAL IS ALSO EXEMPT FROM STATE INCOME TAXES. ACCESS, GWIC, CAGW, AND IMAGING PARTNERS LLC ARE PARTNERSHIPS. FOR TAX PURPOSES, THESE PARTNERSHIP ARE PASS-THROUGH ENTITIES. TAXATION DOES NOT OCCUR AT THE PARTNERSHIP LEVEL. ACCORDINGLY, NO PROVISION FOR TAXES IS INCLUDED. AMG IS TAX EXEMPT UNDER SECTION 501(C)(3) OF THE CODE. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2012, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES THE HOSPITAL IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS PRIOR TO 2009. PART XI, LINE 8 - OTHER ADJUSTMENTS: INCREASE IN FAIR VALUE OF FUNDS HELD IN TRUST BY OTHERS 4,878,924. ALLIANCE SUBSIDY -8,966,551. PENSION LIABILITY ADJUSTMENT 366,769. INTEREST RATE SWAP ADJUSTMENT -524,547. INCOME FROM WATERBURY GASTROENTEROLGY -26,103. TOTAL TO SCHEDULE D, PART XI, LINE 8: -4,271,508. PART XII, LINE 2D - OTHER ADJUSTMENTS: INCOME FROM CONSOLIDATED AFFILIATE 30,975,050. FUNDRAISING EXPENSE 152,995. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT INCOME FROM PARTNERSHIP 1,844,066. WATERBURY GASTROENTEROLOGY INCOME 26,103. PART XIII, LINE 2D - OTHER ADJUSTMENTS: EXPENSE OF CONSOLIDATED AFFILIATE 37,100,396. FUNDRAISING EXPENSE 152,995. GALA 177355 136795 40560 36920 56692 GOLF TOURNAMENT 103910 92390 11520 22051 11261 1 40376 27146 13230 12789 13282 321641 256331 65310 71760 81235 152995 -87685 1 1 1 X 250.000000000000 1 X 1 1 0 0 364593 47086 317507 0.00130 37886 39283191 25597194 13685997 0.05630 8021 15534479 6233618 9300861 0.03820 45907 55182263 31877898 23304365 0.09580 66 23653 14516356 899112 13617244 0.05600 39 3012 20315335 7388705 12926630 0.05310 32 9039 14413506 10870072 3543434 0.01460 6 134 101490 0 101490 0.00040 6 64981 702414 197000 505414 0.00210 149 100819 50049101 19354889 30694212 0.12620 149 146726 105231364 51232787 53998577 0.22200 210 19959 0 19959 0.00010 487 604823 6090 598733 0.00250 286 33825 33825 0.00010 26 38849 38849 0.00020 0 43116 43116 0.00020 1009 740572 6090 734482 0.00310 1 2468672 364593 71088818 75312807 -4223989 X 1 1 1 1 THE WATERBURY HOSPITAL

64 ROBBINS STREET WATERBURY CT 06708

X X X X THE WATERBURY HOSPITAL 1 1 1 200.000000000000 1 200.000000000000 1 X X X X 1 1 X X 1 X X X 0 1 X 0 0 PART I, LINE 3C: N/A PART II: AS A LEADER IN THE DELIVERY OF HEALTHCARE SERVICES IN THE GREATER WATERBURY AREA, WATERBURY HOSPITAL (WH) IS COMMITTED TO STRENGTHENING THE WELFARE AND AWARENESS OF THE CITIZENS WITHIN ITS COMMUNITY. FROM STRENGTHENING THE CAREER PATHS OF WATERBURY AREA YOUTH; TO SUPPORTING THE UNINSURED AND UNDERINSURED THROUGH THE WATERBURY HEALTH ACCESS PROGRAM AND; PROVIDING TRANSPORT TO AND FROM MEDICAL APPOINTMENTS; WATERBURY HOSPITAL IS REMOVING THE BARRIERS TO QUALITY HEALTH CARE FOR ALL AND REMAINS FIRM IN ITS COMMITMENT TO A HEALTHIER, STRONGER, AND MORE PRODUCTIVE COMMUNITY.KEY PROGRAMS: YOUTH PIPELINE INITIATIVES: THE WATERBURY HOSPITAL YOUTH PIPELINE INITIATIVES WERE ESTABLISHED IN 2001 AS A PARTNERSHIP BETWEEN WATERBURY HOSPITAL AND WATERBURY PUBLIC SCHOOLS. THE MISSION OF THE PROGRAM IS: "TO CLOSE THE ACHIEVEMENT GAP FOR MINORITY AND ECONOMICALLY DISADVANTAGED STUDENTS IN WATERBURY SO THEY CAN MATRICULATE AND COMPETE NATIONALLY FOR PLACEMENT IN POST-SECONDARY EDUCATION PROGRAMS IN PREPARATION FOR HEALTH CAREERS". WATERBURY HOSPITAL IS COMMITTED TO ENHANCING AND ENRICHING THE ACADEMIC OPPORTUNITIES AND PERSONAL JOURNEYS OF OUR YOUTH, WHO ARE THE EMERGING WORKFORCE OF TOMORROW. TO THIS END, DURING 2012, WATERBURY HOSPITAL CONTINUED TO PROVIDE 383 STUDENTS AND PARENTS IN GREATER WATERBURY WITH UNIQUE EDUCATIONAL PROGRAMS THAT WILL ENHANCE THE OVERALL WELFARE OF OUR COMMUNITY.THE WH YOUTH PIPELINE INITIATIVES HAD FOUR FOCUS AREAS DURING FY 2012, INCLUDING: - PROVIDING EARLY ACQUAINTANCE WITH CAREERS IN HEALTHCARE (PEACH) - SINCE ITS INCEPTION IN 2004, WATERBURY HOSPITAL'S PROVIDING EARLY ACQUAINTANCE WITH CAREERS IN HEALTHCARE (PEACH) PROGRAM HAS ENGAGED ADMINISTRATORS, TEACHERS, AND STUDENTS AT WATERBURY'S NORTH END MIDDLE SCHOOL AND WEST SIDE MIDDLE SCHOOL TO ADDRESS PROJECTED SHORTAGES OF HEALTHCARE WORKERS AND TO CLOSE THE ACHIEVEMENT GAP FOR STUDENTS IN WATERBURY PUBLIC SCHOOLS. THROUGH THE PEACH PROGRAM, STUDENTS ENGAGE WITH HEALTHCARE WORKERS IN A NON-EMERGENCY SETTING AND ARE INFORMED OF THE VARIETY OF HEALTHCARE CAREER OPPORTUNITIES AVAILABLE IN OUR COMMUNITY. EACH SPRING, APPROXIMATELY 100 SEVENTH GRADERS FROM WATERBURY TAKE PART IN A DAY-LONG PEACH TOUR AT WATERBURY HOSPITAL, DURING WHICH THEY VISIT AT LEAST SIX HOSPITAL DEPARTMENTS AND COMPLETE HANDS-ON LEARNING ACTIVITIES WITH HOSPITAL STAFF. ANNUALLY, WATERBURY HOSPITAL ALSO OFFERS ITS PEACH SPRING BREAK EXPLORATION CAMP, THIS YEAR 38 MIDDLE SCHOOL STUDENTS FROM WATERBURY TOOK PART IN: SHADOWING AND HANDS-ON LEARNING ACTIVITIES AT THE HOSPITAL; CPR CERTIFICATION; AND EDUCATIONAL SESSIONS AT BRIDGEPORT'S DISCOVERY MUSEUM. - PARENT LEADERSHIP TRAINING INSTITUTE (PLTI) - IN 2012, TWENTY FOUR INDIVIDUALS FROM GREATER WATERBURY SUCCESSFULLY COMPLETED WATERBURY'S PLTI, A 20-WEEK CURRICULUM TEACHING LEADERSHIP AND ADVOCACY SKILLS. WATERBURY HOSPITAL HAS HOSTED THE WATERBURY PLTI SINCE 2000, AND THE PROGRAM HAS TRAINED AND GRADUATED OVER 175 AREA PARENTS. PLTI'S CORE MISSION IS TO IMPART LEADERSHIP AND ADVOCACY SKILLS TO PARENTS WHILE SIMULTANEOUSLY EDUCATING THEM ABOUT VOLUNTEERISM, CIVIC LIFE, AND THE PROCESS BY WHICH STATE AND LOCAL GOVERNMENTS ENACT AND CHANGE LAWS. EACH PARTICIPANT COMPLETES AND IMPLEMENTS A COMMUNITY PROJECT; EXAMPLES OF PROJECTS FROM 2012 INCLUDE: A "HIGH SCHOOL DRIVING EDUCATION" PROGRAM (A CITY-WIDE INITIATIVE TO INTRODUCE SAFE DRIVING TECHNIQUES IN HIGH SCHOOLS) AND "THE C.H.I.P. FORUM" (CHILDREN HAVING INVOLVED PARENTS - A SERIES OF WORKSHOPS TO UNDERLINE THE IMPORTANCE OF GIVING ENCOURAGEMENT AND SUPPORT TO OUR CHILDREN SO THEY CAN SUCCEED IN LIFE). - PARENTS SUPPORTING EDUCATIONAL EXCELLENCE (PSEE) - IN 2012, TWENTY-ONE INDIVIDUALS FROM GREATER WATERBURY SUCCESSFULLY COMPLETED WATERBURY'S PSEE, A 13-WEEK CURRICULUM CO-CREATED BY THE CONNECTICUT CENTER FOR SCHOOL CHANGE AND THE CONNECTICUT COMMISSION ON CHILDREN FOR PARENTS (DEFINED BROADLY AS PARENTS, GUARDIANS, FAMILY MEMBERS AND GRANDPARENTS) TO INSTILL LEADERSHIP SKILLS IN EDUCATION AND TO FACILITATE PARTNERSHIPS BETWEEN SCHOOL STAFF AND PARENTS TO IMPROVE STUDENT LEARNING. - WH SUMMER BRIDGE PROGRAM - DURING THE SUMMER OF 2012, TWENTY-EIGHT STUDENTS FROM WATERBURY, GRADES 6-11, PARTICIPATED IN THE WH SUMMER BRIDGE PROGRAM. 100% OF MEALS WERE SECURED FOR THE PROGRAM FROM CITY OF WATERBURY SUMMER FOOD PROGRAM AND 8 LOCAL RESTAURANTS/BUSINESSES. STUDENTS COMPLETED THE FOLLOWING MODULES: - 21.5 HOURS OF HOMEWORK AND STUDY SKILLS SESSIONS COMPLETED (LED BY STUDENT LEADERS), 15.5 HOURS OF MATH (PRE- ALGEBRA, GEOMETRY, ALGEBRA II AND CALCULUS) REVIEW SESSIONS; 26 HOURS OF SAT WRITING AND VOCABULARY; 13.5 HOURS OF READING FAHRENHEIT 45; 14 HOURS OF PHOTOGRAPHY TO COMPILE A PHOTO BOOK; 2 HOURS OF RESUME WRITING AND JOB APPLICATION; 15 HOURS OF JOB SHADOWING SESSIONS (RADIOLOGY, NUCLEAR MEDICINE, NURSING, MRI, CASE MANAGEMENT, DR. S. ARONIN (ID INPATIENT ROUNDING), ICU MEDICAL ROUNDS, HEALTH INFORMATION MANAGEMENT, ACCESS REHAB, BEHAVIORAL HEALTH, RESPIRATORY THERAPY, FINANCE, WH ID CLINIC, SECURITY, ORTHOPEDICS, PHARMACY, INFECTION CONTROL AND SURGERY. - 4 HOURS OF MS OFFICE COMPUTER SESSIONS - 2 FULL-DAY FIELD TRIPS COMPLETED: ONE TO YALE UNIVERSITY FOR AN ADMISSIONS INFO SESSION AND CAMPUS TOUR AND ONE TO HAMMONASSET STATE PARK INCLUDING THREE EDUCATIONAL SESSIONS AT MEIGS POINT NATURE CENTER - 3 HOURS OF HEALTHCARE CAREER SEARCHES - 3 HOURS OF COLLEGE ADMISSIONS PRESENTATIONS COMPLETED BY UCONN WATERBURY & YALE ROTC - 1 HOUR OF INDIVIDUAL ACADEMIC ADVISING - 2 HOURS OF TEAM BUILDING ACTIVITIES - 2 HOURS OF HEALTH TOPICS PRESENTATIONS COMPLETED, INCLUDING HIV 101 AND HEALTHCARE JEOPARDY.SUPPORT GROUPS - DURING 2012, WATERBURY HOSPITAL HOSTED SEVERAL SUPPORT GROUPS FOR ITS PATIENTS AND THEIR FAMILIES, INCLUDING: - BEHAVIORAL HEALTH'S PARENT AND SIBLING SUPPORT GROUP, WHICH OFFERS EMOTIONAL ASSISTANCE TO FAMILIES WHO HAVE CHILDREN IN TREATMENT; AND - ALCOHOLICS ANONYMOUS, SERVES OVER 4,000 PEOPLE ANNUALLY, MEETS WEEKLY THROUGHOUT THE YEAR, AND IS COORDINATED BY OUR BEHAVIORAL HEALTH DEPARTMENT. PART III, LINE 4: THE HOSPITAL 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 POSSIBLE. IN ASSESSING A PATIENT'S INABILITY TO PAY, THE HOSPITAL UTILIZES THE GENERALLY RECOGNIZED FEDERAL POVERTY INCOME LEVELS, BUT ALSO INCLUDES CERTAIN CASES WHERE INCURRED CHARGES ARE SIGNIFICANT WHEN COMPARED TO INCOMES AND ASSETS. THESE CHARGES ARE NOT INCLUDED IN NET PATIENT SERVICE REVENUES FOR FINANCIAL REPORTING PURPOSES. PART III, LINE 8: COSTING METHODOLOGY USED TO COMPUTE THE MEDICARE SHORTFALL AND ANY ASSOCIATED COMMUNITY BENEFIT IS A COMBINATION OF THE AMOUNT REPORTED ON LINE 7 AS WELL AS THE HEALTH PROFESSION EDUCATION LINE. A TOTAL SHORTFALL OF $4,223,989 WAS DERIVED FROM THE 2012 MEDICARE COST REPORT USING AN AHA APPROVED FORM FOR SCHEDULE H WORKSHEET B PPS AND IPF HOSPITALS AND $12,484,057 FROM THE HEALTH PROFESSIONS EDUCATION CALCULATION FOR A TOTAL OF $16,708,046. ALL OF THIS SHORTFALL SHOULD BE REPORTED AS A COMMUNITY BENEFIT. THE HOSPITAL COST ACCOUNTING SYSTEM SHOWS A SHORTFALL FROM ALL MEDICARE PROGRAMS (INCLUDING MANAGED MEDICARE) OF $24,784,117 (NET OF BAD DEBT AND FREE CARE). PART III, LINE 9B: WE HAVE SEVERAL CREDIT AND COLLECTION PROGRAMS GOVERNING PATIENTS WHO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE; PROMPT PAY DISCOUNT; SLIDING SCALE; PAYMENT ARRANGEMENTS; CHARITY CARE AND FREE BED FUNDS. ANY PATIENT EXPRESSING DIFFICULTY PAYING A BALANCE IS ENTITLED TO APPLY FOR FINANCIAL COUNSELING ASSISTANCE. CUSTOMER SERVICE REPRESENTATIVES WORK WITH THE PATIENTS TO DETERMINE PROGRAM QUALIFICATION BASED ON THE COMPLETION OF A FINANCIAL APPLICATION. CASES ARE PREPARED AND PRESENTED TO THE PATIENT ASSISTANCE COMMITTEE. APPROVED CASES WILL BE EITHER FULLY OR PARTIALLY WRITTEN OFF TO FREE BED FUNDS OR CHARITY CARE. THE WATERBURY HOSPITAL PART V, SECTION B, LINE 19D: ALL PATIENTS ARE CHARGED THE SAME. PART VI, LINE 2: WATERBURY HOSPITAL WORKS CLOSELY WITH LOCAL HEALTHCARE PROVIDERS AND COMMUNITY-BASED ORGANIZATIONS TO IDENTIFY HEALTHCARE NEEDS FOR UNDERSERVED PATIENTS THROUGHOUT THE WATERBURY COMMUNITY. THROUGH THESE COLLABORATIONS, WATERBURY HOSPITAL WORKS TO DEVELOP KEY PROGRAMMING FOR THE CITY'S VULNERABLE POPULATIONS, INCLUDING: THE WATERBURY HOSPITAL INFECTIOUS DISEASE CLINIC, WHICH PROVIDES COMPREHENSIVE HIV CARE TO 500 PEOPLE LIVING WITH HIV/AIDS; THE WATERBURY HEALTH ACCESS PROGRAM, WHICH PROVIDES COMPREHENSIVE CASE MANAGEMENT SERVICES TO OVER 3,000 UNINSURED AND UNDERINSURED PATIENTS ANNUALLY; AND THE WATERBURY HOSPITAL CHASE DIABETES DISEASE MANAGEMENT CLINIC, WHICH PROVIDES >150 DIABETICS WITH SELF-MANAGEMENT SKILLS AND CLINICAL CARE. IN THE FALL OF 2012, WATERBURY HOSPITAL BEGAN WORKING ON ITS COMMUNITY HEALTH NEEDS ASSESSMENT IN COLLABORATION WITH ST. MARY'S HOSPITAL, THE WATERBURY HEALTH DEPARTMENT, CONNECTICUT COMMUNITY FOUNDATION, STAYWELL HEALTH CENTER (FQHC), AND THE UNITED WAY OF GREATER WATERBURY. A STEERING COMMITTEE WAS FORMED, FUNDING WAS SECURED, AND AN RFP WAS ISSUED, RESULTING IN THE SUBMISSION OF THREE PROPOSALS. THE PROPOSALS WERE REVIEWED BY THE COMMITTEE AND HOLLERAN CONSULTING GROUP WAS SELECTED. UNDER THEIR GUIDANCE A WORK PLAN WAS ESTABLISHED, FORMAL MEETINGS WERE SCHEDULED, AND BASELINE SECONDARY DATA WAS COLLECTED. THE THREE-YEAR PLAN WILL BE ROLLED OUT TO THE PUBLIC IN SEPTEMBER 2013. PART VI, LINE 3: WE HAVE SIGNAGE, PT HANDBOOK, STATEMENT BACKERS & HANDOUTS THAT INFORM PATIENTS OF FREE BED FUNDS ETC. THE HOSPITAL 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 POSSIBLE. IN ASSESSING A PATIENT'S INABILITY TO PAY, THE HOSPITAL UTILIZES THE GENERALLY RECOGNIZED POVERTY INCOME LEVELS FOR THE STATE, BUT ALSO INCLUDES CERTAIN CASES WHERE INCURRED CHARGES ARE SIGNIFICANT WHEN COMPARED TO INCOMES. THESE CHARGES ARE NOT INCLUDED IN NET PATIENT SERVICE REVENUES FOR FINANCIAL REPORTING PURPOSES. PART VI, LINE 4: LOCATED IN A CITY OF 109,000 RESIDENTS, WATERBURY HOSPITAL IS CENTRALLY LOCATED IN WESTERN CONNECTICUT. IT IS ONE OF TWO HOSPITALS THAT SERVES THE CITY OF WATERBURY AND ITS SURROUNDING TOWNS, INCLUDING BEACON FALLS, BETHLEHEM, CHESHIRE, MIDDLEBURY, NAUGATUCK, PROSPECT, SOUTHBURY, THOMASTON, WATERTOWN, WOLCOTT, AND WOODBURY. OVERALL, THE CITY OF WATERBURY LAGS BEHIND THE STATE OF CONNECTICUT AND THE U.S. IN KEY MEASURABLE STATISTICS, AS SEEN IN TABLE 1, BELOW:TABLE 1: SELECTED CENSUS DATA, JULY 2012, QUICKFACTS.CENSUS.GOV: WATERBURY, CT, & U.S. WATERBURY CT U.S.MEDIAN HOUSEHOLD INCOME: $41,499 $69,243 $52,762PER CAPITA MONEY INCOME: $22,004 $37,627 $27,915% PERSONS BELOW POVERTY: 20.6% 9.5% 14.3%% HOUSEHOLDS MARRIED COUPLE FAMILY: 35.4% 51.0% 49.7%% OF OWNER-OCCUPIED HOMES: 49.7% 69.5% 66.9%% FOREIGN-BORN PERSONS: 14.4% 13.3% 12.8%% LANGUAGE NOT ENGLISH SPOKEN AT HOME, AGE 5+: 31.6% 20.8% 20.3%% HOUSEHOLDS WITH NO VEHICLE: 16.8% 8.3% 8.8%% MALE: 47.6% 48.7% 49.2%% FEMALE 52.4% 51.3% 50.8%% CAUCASIAN: 58.8% 77.6% 63.0%% AFRICAN-AMERICAN: 20.1% 10.1% 13.1%% HISPANIC: 31.2% 13.4% 16.9%% HIGH SCHOOL GRADUATES OR HIGHER: 79.4% 88.2% 84.6%% BACHELOR'S DEGREE OR HIGHER: 16.2% 35.1% 27.5%% OF PERSONS AGE 65 & OVER: 12.6% 14.2% 13.7%UNEMPLOYMENT RATE, MAY 2013: 10.8% 8.0% 7.6%INFANT MORTALITY PER 1,000 RESIDENTS: 9.83 6.2 6.8CRIME RATE (VIOLENT & PROPERTY) PER 100,000 RESIDENTS (2009): 6,379 2,981 3,466WATERBURY WAS ONCE A ROBUST MANUFACTURING CENTER. HOWEVER, OVER THE PAST 25 YEARS, THE INDUSTRIAL BASE THAT WAS THE CENTER OF WATERBURY'S ECONOMY FOR MOST OF THE 20TH CENTURY DWINDLED, LEAVING MANY UNEMPLOYED. ALTHOUGH THERE ARE JOBS AVAILABLE IN HEALTHCARE AND SERVICE SECTORS, HIGH UNEMPLOYMENT REMAINS A THREAT FOR MANY INDIVIDUALS IN THE GREATER WATERBURY AREA. THE CITY OF WATERBURY IS ALSO DESIGNATED A FEDERAL MUA (MEDICALLY UNDERSERVED AREA) AND HPSA (HEALTH PROFESSIONAL SHORTAGE AREA) FOR PRIMARY CARE, MENTAL HEALTH, AND DENTAL CARE. PART VI, LINE 5: REALIZING THE DIVERSE NEEDS OF RESIDENTS IN OUR COMMUNITY, WATERBURY HOSPITAL REMAINS DEDICATED TO PROVIDING COMPREHENSIVE HEALTH SERVICES TO ENSURE EVERY INDIVIDUAL HAS ACCESS TO APPROPRIATE, QUALITY HEALTHCARE. DURING 2012, WATERBURY HOSPITAL'S SPECTRUM OF SERVICES CONTINUED TO HAVE A POSITIVE IMPACT ON THE WELFARE OF WATERBURY'S CITIZENS. TO REMAIN CONSISTENT WITH WATERBURY HOSPITAL'S MISSION, MANY OF OUR SERVICES ARE TARGETED FOR VULNERABLE MEMBERS OF OUR COMMUNITY, INCLUDING THOSE WHO ARE UNINSURED OR UNDERINSURED.KEY PROGRAMS: WATERBURY HEALTH ACCESS PROGRAM: WATERBURY HOSPITAL IS AWARE OF THE ECONOMIC NEEDS MANY PATIENTS IN OUR COMMUNITY, AND, AS A RESULT, WE REMAIN COMMITTED TO THE WATERBURY HEALTH ACCESS PROGRAM. FOUNDED IN 2003 AS A PARTNERSHIP BETWEEN WATERBURY HOSPITAL, ST. MARY'S HOSPITAL, STAYWELL HEALTH CENTER (FQHC), AND THE WATERBURY HEALTH DEPARTMENT, THE WATERBURY HEALTH ACCESS PROGRAM IMPROVES ACCESS TO HIGH-QUALITY MEDICAL CARE BY PROVIDING COMPREHENSIVE CASE MANAGEMENT, PHARMACY ASSISTANCE, AND ACCESS TO PRIMARY AND SUB-SPECIALTY MEDICAL CARE FOR THE UNINSURED AND UNDERINSURED RESIDENTS OF THE GREATER WATERBURY REGION. DURING FY 2012, THE WATERBURY HEALTH ACCESS PROGRAM HAD OVER 3,700 ACTIVE CLIENTS. ADDITIONALLY, WATERBURY HOSPITAL PROVIDED $418,806 WORTH OF DONATED SERVICES TO WHAP PATIENTS.BEHAVIORAL HEALTH - WATERBURY HOSPITAL'S CENTER FOR BEHAVIORAL HEALTH IS ONE OF THE REGION'S LARGEST SERVICE PROVIDERS OFFERING A FULL CONTINUUM OF CARE FOR CHILDREN, ADOLESCENTS AND ADULTS. OUR SERVICES ALSO OUTREACH TO THE COMMUNITY THROUGH REGULAR PARTICIPATION IN HEALTH FAIRS, ELECTED MEMBERSHIP IN THE NORTHWEST REGIONAL MENTAL HEALTH BOARD, AS A HOST SITE TO NUMEROUS TWELVE-STEP MEETINGS AND THE PROVISION OF CASE MANAGEMENT AS WELL AS ACUTE SERVICES TO THE HOMELESS WITHIN THE CITY OF WATERBURY. BEHAVIORAL HEALTH CLINICIANS CAN ENGAGE CLIENTS TO HELP FACILITATE THEIR ENTRANCE INTO TREATMENT. WE PROVIDE PHONE SUPPORT, REFERRALS AND TRIAGING TEN HOURS A DAY SEVEN DAYS A WEEK. WITHIN OUR CRISIS CENTER WE OFFER SHORT TERM SERVICES TO HELP INDIVIDUALS OBTAIN MORE PERMANENT TREATMENT THAT BEST MEETS THEIR NEEDS. AMBULATORY SERVICES INCLUDE PARTIAL HOSPITAL PROGRAMS, INTENSIVE OUTPATIENT SERVICES, GROUP, INDIVIDUAL THERAPY AND MEDICATION MANAGEMENT TO PATIENTS EXPERIENCING MENTAL ILLNESS AND/ OR A SUBSTANCE USE DISORDER. FOR INDIVIDUALS EXPERIENCING ACUTE SYMPTOMS WE OFFER INPATIENT TREATMENT TO ADOLESCENTS AGED 12 AND UP AS WELL AS ADULT SERVICES. OUR EFFORTS ARE AIMED AT PROMOTING THE BENEFITS OF CLINICAL TREATMENT AS WELL AS POSITIVE LIFESTYLE CHOICES. EVERY EFFORT IS MADE TO EDUCATE CLIENTS, THEIR FAMILIES AND THE COMMUNITY ABOUT MENTAL ILLNESS AND THE IMPACT TREATMENT CAN HAVE ON ONE'S ILLNESS. THE ULTIMATE GOAL IS TO HELP PEOPLE FEEL BETTER, REDUCE OR RESOLVE SYMPTOMS AND TO MINIMIZE THE STIGMA OF MENTAL ILLNESS.BE WELL BUS - IN ORDER TO ENSURE THAT PATIENTS HAVE ACCESS TO MEDICAL APPOINTMENTS, AT THE HOSPITAL AND AT LOCAL PHYSICIANS' OFFICES, WATERBURY HOSPITAL'S BE WELL BUS PROVIDES TRANSPORTATION SERVICES TO PATIENTS FROM WATERBURY AND ELEVEN OF ITS SURROUNDING TOWNS. DURING FY 2012, THE BE WELL BUS COMPLETED OVER 4,170 TRANSPORTS TO AND FROM MEDICAL APPOINTMENTS. WATERBURY HOSPITAL HAS CONTRACTED WITH A TRANSPORTATION PROVIDER TO OFFER THE BUS SERVICE, AND AREA PROVIDERS PAY A SMALL FEE TO PARTICIPATE.HEART CENTER OF GREATER WATERBURY - FORMED IN COLLABORATION WITH SAINT MARY'S HOSPITAL, THE HEART CENTER OF GREATER WATERBURY PROVIDES DIVERSE MEDICAL SUPPORT INITIATIVES TO HELP EDUCATE RESIDENTS IN THE GREATER WATERBURY COMMUNITY ABOUT PERTINENT HEALTH AND WELLNESS ISSUES. THIS PAST YEAR, THE HEART CENTER CONDUCTED A SERIES OF HEALTH FAIRS AND VARIOUS HEALTH AND WELLNESS EDUCATION SESSIONS, INCLUDING "ASK THE NURSE," WHICH PROVIDES PATIENTS WITH COMPLIMENTARY BLOOD PRESSURE SCREENINGS AND HEALTH AWARENESS EDUCATION AND A "FREEDOM FROM SMOKING" SERIES TO HELP OUR RESIDENTS KICK THE HABIT. DURING FY 2012, THE HEART CENTER'S PROGRAMS SERVED OVER 3,280 RESIDENTS FROM THE GREATER WATERBURY AREA.FAMILY BIRTHING CENTER - PROVIDING A CHILD-CENTERED FOCUS, WATERBURY HOSPITAL'S FAMILY BIRTHING CENTER OFFERS EXPECTANT PARENTS A VARIETY OF CLASSES TO PREPARE THEM FOR THEIR BABY'S ARRIVAL. BETWEEN BREAST FEEDING, CHILDBIRTH, AND INFANT CARE CLASSES, OUR FAMILY BIRTHING CENTER PROVIDED VITAL INSTRUCTION TO OVER 120 PARENTS LAST YEAR. THANK GOD I'M FEMALE - FOR THE PAST 20 YEARS, WATERBURY HOSPITAL'S "THANK GOD I'M FEMALE" HAS SERVED AS AN ANNUAL WOMEN'S WELLNESS FORUM THAT FEATURES 40 EDUCATIONAL BOOTHS AND HEALTH-RELATED GIVEAWAYS. THE ULTIMATE GOAL OF THE FORUM IS TO EDUCATE ATTENDEES ABOUT STRESS, MENTAL WELL-BEING, HEART HEALTH, DIET, OSTEOPOROSIS AND BONE HEALTH, CHANGE OF LIFE, AND MORE. IN 2012, OVER 400 AREA RESIDENTS ATTENDED THE EVENT.EVERGREEN 50 CLUB - WATERBURY HOSPITAL'S EVERGREEN 50 CLUB IS AN ORGANIZATION COMPRISED OF OVER 15,000 MEMBERS OVER THE AGE OF 50. THE CLUB OFFERS WELLNESS PROGRAMMING, MEDICARE COUNSELING, AND HEALTH EDUCATION PRESENTATIONS ON A VARIETY OF TOPICS ARE PRESENTED BY HEALTH CARE PROFESSIONALS. PRESENTATION TOPICS INCLUDE: HOLISTIC HEALTH, VARICOSE VEIN TREATMENT, HEART DISEASE, SUMMER SKIN CARE, WEIGHT LOSS, BLOOD PRESSURE, BLADDER SCREENINGS, JOINT CARE AND REPLACEMENT, AND RESOLVING ADVERSE OUTCOMES WITH PATIENTS AND FAMILIES. ANNUALLY, THE EVERGREEN 50 CLUB HOSTS A HEALTH FAIR FOR ITS MEMBERS, WHICH PROVIDES FREE FLU SHOTS AND HEALTHCARE SCREENINGS.YALE PRIMARY CARE RESEARCH DAY - THROUGH COLLABORATION WITH ST. MARY'S HOSPITAL IN WATERBURY, CT, WATERBURY HOSPITAL HOSTED ITS ANNUAL YALE PRIMARY CARE RESEARCH DAY. DURING THE DAY, PHYSICIANS AND MEDICAL STUDENTS PRESENT RESEARCH PROJECTS TO THE PHYSICIAN COMMUNITY. HIGH SCHOOL STUDENTS ARE ALSO ENCOURAGED TO PARTICIPATE IN THE ACTIVITIES.WATERBURY HOSPITAL INFECTIOUS DISEASE CLINIC (WHIC) - CURRENT SERVICES: THE WHIC OFFERS A COMPREHENSIVE "ONE-STOP SHOPPING" MODEL THAT PROVIDES PATIENTS WITH ON-SITE PRIMARY AND SPECIALTY SERVICES, MEDICAL CASE MANAGEMENT, INDIVIDUALIZED MEDICATION ADHERENCE SERVICES, MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES, NUTRITION COUNSELING, INDIVIDUALIZED HIV EDUCATION, LABORATORY TESTING, AND RADIOLOGY SERVICES. WHIC'S PROVIDERS INCLUDE THREE BOARD-CERTIFIED/BOARD-ELIGIBLE INFECTIOUS DISEASE SPECIALISTS AS WELL AS AN ADVANCED PRACTITIONER NURSE, ALL WITH EXPERTISE IN THE MANAGEMENT OF PATIENTS WITH HIV/AIDS. IN FY 2012, WHIC SERVED AROUND 500 PEOPLE LIVING WITH HIV/AIDS (PLWHA). WHIC'S STAFF MEMBERS ACTIVELY PARTICIPATE IN STATEWIDE AND AREA COLLABORATIVES, SUCH AS THE CONNECTICUT HIV PLANNING CONSORTIUM (CHPC) AND THE RYAN WHITE PART A PLANNING COUNCIL, AND WHIC FACILITATES THE GREATER WATERBURY HIV CONSORTIUM. WHIC HAS A VERY ACTIVE CONSUMER ADVISORY GROUP (CAG), WHICH ORGANIZES SOCIAL AND TESTING EVENTS FOR THE COMMUNITY AND FACILITATES THE WATERBURY HOSPITAL PHOTOGRAPHY GROUP. THE WHIC ALSO HAS A HEPATITIS C CLINIC, RUN BY AN ADVANCED PRACTITIONER NURSE. FROM OCTOBER 2004 TO PRESENT, NEARLY 200 HEPATITIS C MONO AND CO-INFECTED (HEPATITIS C AND HIV) HAVE BEEN EVALUATED AT THE ID CLINIC. THE HEPATITIS C CLINIC PROVIDES A CONSULTATION WITH A NUTRITIONIST TO ADVISE ON HEALTHY EATING; COORDINATION WITH MENTAL HEALTH SERVICES; AND EDUCATIONAL SESSIONS ON SIDE EFFECT MANAGEMENT, THE IMPORTANCE OF HYDRATION AND ADHERENCE, AND POSITIVE COPING STRATEGIES.FORGING COMMUNITY PARTNERSHIPS: SINCE 2009, THE WHIC HAS SERVED AS THE LEAD AGENCY FOR RYAN WHITE PART A FEDERAL FUNDING REGION 2 OF THE NEW HAVEN/FAIRFIELD ELIGIBLE METROPOLITAN AREA. THE WHIC WAS CHOSEN AS LEAD AGENCY BY THE CONSENSUS OF OTHER LOCAL RYAN WHITE PART A AGENCIES DUE TO ITS EXPERTISE IN PATIENT CARE AND FISCAL MANAGEMENT. AS THE LEAD AGENCY, THE WHIC HAS FORMED LONGSTANDING PARTNERSHIPS WITH STAYWELL HEALTH CENTER, INC., HISPANOS UNIDOS, INC., NEW OPPORTUNITIES, INC., RECOVERY NETWORK OF PROGRAMS, INC., CONNECTICUT COUNSELING CENTERS, INC., AND THE WATERBURY HEALTH DEPARTMENT, ALL OF WHOM WORK ALONGSIDE THE WHIC TO PROVIDE PATIENTS IN THE REGION WITH: - PRIMARY HIV CARE; - MEDICAL CASE MANAGEMENT; - ORAL HEALTH CARE; - INPATIENT AND OUTPATIENT SUBSTANCE ABUSE TREATMENT; - HEALTH INSURANCE ASSISTANCE; - MENTAL HEALTH; - EARLY INTERVENTION SERVICES; - HOUSING ASSISTANCE; - EMERGENCY FINANCIAL ASSISTANCE; - MEDICAL TRANSPORTATION; AND - FOOD PANTRY. IN JUNE 2012, WHIC COLLABORATED WITH THE WATERBURY HEALTH DEPARTMENT, GRACE BAPTIST CHURCH, AND OTHER AREA AIDS SERVICE ORGANIZATIONS, TO ORGANIZE THE WATERBURY AIDS WALK AND RAISE AWARENESS ABOUT HIV/AIDS TREATMENT AND TESTING IN WATERBURY. 215 RESIDENTS PARTICIPATED IN THE EVENT.FOR THE PAST 12 YEARS, THE WHIC HAS PARTNERED WITH YALE UNIVERSITY'S PROJECT TRANSITIONS, A PROGRAM THAT INTEGRATES SUBSTANCE ABUSE TREATMENT AND CONTINGENCY MANAGEMENT INTO A COMPREHENSIVE JAIL RELEASE PROGRAM FOR PLWHA. THROUGH THIS PARTNERSHIP, YALE FUNDED A SUBSTANCE ABUSE COUNSELOR AND MEDICAL CASE MANAGER, BOTH OF WHOM ARE SPANISH SPEAKING AND LOCATED ON-SITE AT THE WHIC. THIS PROGRAM CONCLUDED IN AUGUST 2012.IN SEPTEMBER 2012, IN PARTNERSHIP WITH YALE UNIVERSITY, WATERBURY HOSPITAL BEGAN A CLINICAL TRIAL ENTITLED, "PROJECT NEW HOPE," TO TEST WHETHER EXTENDED-RELEASE NALTRERXONE IS A VIABLE OPTION FOR IMPROVING OPIOID, ALCOHOL AND HIV TREATMENT OUTCOMES FOR RELEASED HIV-POSITIVE CRIMINAL JUSTICE SYSTEM POPULATIONS. THIS PROGRAM IS SUPPORTED BY THE NATIONAL INSTITUTE ON DRUG ABUSE OF THE NATIONAL INSTITUTES OF HEALTH UNDER AWARD NUMBER R01DA030762.RESHAPING HIV TESTING STATEWIDE: SINCE 2008, PATIENTS VISITING WATERBURY HOSPITAL'S EMERGENCY DEPARTMENT ARE OFFERED FREE HIV TESTING WHILE WAITING TO BE EVALUATED OR TREATED FOR OTHER SYMPTOMS. IN ORDER TO OPTIMIZE THE NUMBER OF PEOPLE SCREENED FOR HIV, THE EMERGENCY DEPARTMENT'S PROGRAM USES AN OPT-OUT APPROACH. THE PROGRAM HAS SUCCESSFULLY SERVED AS A MODEL FOR OTHER HEALTHCARE INSTITUTIONS ACROSS THE STATE. THANKS, IN PART, TO WHIC'S LEADERSHIP, THE STATE OF CONNECTICUT NO LONGER LEGALLY REQUIRES PROVIDERS TO HAVE A SEPARATE CONSENT FORM FOR HIV TESTING.ENGAGING PATIENTS: IN 2009, THE WHIC ESTABLISHED ITS PEER ADVOCATE PROGRAM. THREE PATIENTS FROM THE CLINIC SERVE AS THE PEER ADVOCATES, WHO WORK WITH CLIENTS AT THE CLINIC AND USE A SOCIAL NETWORKS STRATEGY TO BRING DIFFICULT-TO-REACH CLIENTS IN FOR TESTING AND/OR CARE; THEY HAVE TRAVELED TO HIGH-RISK NEIGHBORHOODS ON THE WATERBURY HEALTH DEPARTMENT'S COMMUNITY HEALTH VAN TO OFFER COUNSELING AND TESTING AND HAVE PARTICIPATED IN AIDS AWARENESS DAYS TO FACILITATE THE LINKAGE OF NEWLY DIAGNOSED PATIENTS TO PRIMARY CARE. PEER ADVOCATES PARTICIPATE IN THE WHIC'S CARE TEAM AND CONTINUUM MEETINGS TO KEEP PROVIDERS AND LOCAL PARTNERS AWARE OF THE PATIENTS' ACTIVITIES AND NEEDS.THIS YEAR TWO PEER ADVOCATES PARTICIPATED IN THE WATERBURY PARENT LEADERSHIP TRAINING INSTITUTE, COMPLETING COMMUNITY PROJECTS ON "BAN THE BOX" - TO RAISE AWARENESS TO THE NEEDS OF EX-FELONS WHO HAVE BEEN REHABILITATED AND GIVEN APPROPRIATE RESTITUTION TO SOCIETY, TO BE ABLE TO REGAIN MEANINGFUL EMPLOYMENT IN ORDER TO SUSTAIN THEMSELVES AND LIVE PRODUCTIVE LIVES; AND "MARKETING THE WATERBURY HOSPITAL PHOTOGRAPHY GROUP," - A CAMPAIGN TO RAISE AWARENESS AND INCREASE MEMBERSHIP OF THE WATERBURY HOSPITAL PHOTOGRAPHY GROUP, RESPECTIVELY. THE LATTER CAMPAIGN WAS SUCCESSFUL IN MORE THAN DOUBLING THE MEMBERSHIP OF THE PHOTOGRAPHY GROUP, ENLISTING PARTICIPANTS FROM THE CHASE DIABETES CLINIC AND THE EVERGREEN 50 CLUB. A THIRD PEER ADVOCATE COMPLETED THE WATERBURY PARENTS SUPPORTING EDUCATIONAL EXCELLENCE PROGRAM AND SUBSEQUENTLY APPLIED HIS LEARNING TO ESTABLISH A MUSIC APPRECIATION CLASS FOR ELEMENTARY AND MIDDLE SCHOOL-AGE STUDENTS AT GRACE BAPTIST CHURCH IN WATERBURY.THE WHIC OFFERS ITS PATIENTS NATIONALLY-RECOGNIZED PEER AND SUPPORT PROGRAMS, INCLUDING ITS PROJECT PHOTOGRAPHY, WHICH WAS ESTABLISHED IN 2007 TO ENCOURAGE NON-COMPLIANT HIV/AIDS PATIENTS IN THE GREATER WATERBURY AREA TO BECOME MORE PROACTIVE IN THE SELF-MANAGEMENT OF THEIR DISEASE. PROJECT PHOTOGRAPHY HAS POSITIVELY TRANSFORMED ITS PARTICIPANT'S SELF-ESTEEM AND CONFIDENCE. PATIENT PROJECTS HAVE INCLUDED: (1) ENROLLING IN PHOTOGRAPHY CLASSES AT NAUGATUCK VALLEY COMMUNITY COLLEGE, (2) TAKING FIELD TRIPS TO BOSTON, (3) DONATING FRAMED PHOTOGRAPHS TO THE HOSPITAL'S ANNUAL FUNDRAISING GALA, (4) PRODUCING HOLIDAY GREETING CARDS FOR THE ID CLINIC, (5) CREATING TEAM PORTRAITS AT THE HOSPITAL'S FUNDRAISING GOLF TOURNAMENT, AND (6) CONSTRUCTING PHOTOGRAPHY EXHIBITS AT THE HOSPITAL, BARNES & NOBLE BOOKSTORE, AND SILAS BRONSON LIBRARY IN WATERBURY. PART VI, LINE 6: N/A REPORTS FILED WITH STATES PART VI, LINE 7 CT X 1 1 X X X X X 1 1 0 0 0 0 0 0 0 DARLENE STROMSTAD 248336 0 0 0 0 0 0 0 8843 0 257179 0 0 0 HENRY BORKOWSKI MD 667026 0 0 0 0 0 19875 0 10070 0 696971 0 0 0 STEVEN L EISEN MD 0 306349 0 0 0 0 0 4500 0 2150 0 312999 0 0 SANDRA IADAROLA 194426 0 0 0 0 0 5845 0 9661 0 209932 0 0 0 DIANE WOOLLEY 153280 0 0 0 0 0 4769 0 17164 0 175213 0 0 0 PETER PORRELLO 239449 0 0 0 0 0 7276 0 17162 0 263887 0 0 0 THOMAS REINHARDT 212003 0 0 0 0 0 6491 0 13109 0 231603 0 0 0 DONALD EDWARDSON 208409 0 0 0 0 0 6305 0 7021 0 221735 0 0 0 KINSON LEE 200376 0 0 0 0 0 12342 0 11875 0 224593 0 0 0 SREEDEVI NAMPOOTHIRI 197322 0 0 0 0 0 11995 0 12918 0 222235 0 0 0 JOHN H TOBIN 57179 0 0 0 1204901 0 3433 0 2148 0 1267661 0 0 0 COLLEEN SCOTT 152011 0 0 0 162609 0 14700 0 19114 0 348434 0 0 0 MARY K MULSTON 136821 0 0 0 68400 0 6116 0 2855 0 214192 0 0 0 MARY B PRYBYLO 118962 0 0 0 133590 0 7350 0 14322 0 274224 0 0 0 STEVEN E SCHNEIDER 173314 0 0 0 0 0 10449 0 8275 0 192038 0 0 0 PART I, LINES 4A-B DARLENE STROMSTAD SERP CONTRIBUTION: $75,000 COLLEEN SCOTT SEVERANCE PAY: $173,003 MARY K. MULSTON SEVERANCE PAY: $165,600 CONNECTICUT HEALTH & EDUCATIONAL FACILITIES AUTHORITY 060806186 NONEAVAIL 2010-12-22 25918000 REFINANCE/RETIRE EXISTING BONDS & FINANCE NEW MONEY FOR CAPITAL IMPROVEMENTS 0 1 0 19435000 19435000 25918000 403696 7234492 17638304 641508 2013 0 0 1 1 0 0 0 0 1 1 1 1 RBS CITIZEN'S NA 10.000000000000 0 0 0 0 0 CARL SHERTER TRUSTEE 75000 WATERBURY HOSPITAL PAID DR. SHERTER A TOTAL OF $75,000 FOR A CHIEF OF STAFF STIPEND. 0 PROGRAM SERVICE STATEMENT FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED): TOTAL COMMUNITY BENEFITS FOR FY 2012 BY CATEGORY: A. COMMUNITY HEALTH IMPROVEMENT SERVICES & COMMUNITY BENEFIT OPERATIONS BENEFIT: $12,882,762 PERSONS SERVED: 22,644 - COMMUNITY HEALTH EDUCATION - COMMUNITY-BASED CLINICAL SERVICES - HEALTH CARE SUPPORT SERVICES B. HEALTH PROFESSIONS EDUCATION BENEFIT: $20,197,202 PERSONS SERVED: 3,012 - PHYSICIANS/MEDICAL STUDENTS - NURSES/NURSING STUDENTS - OTHER HEALTH PROFESSIONS EDUCATION - SCHOLARSHIPS/FUNDING FOR PROFESSIONAL EDUCATION - OTHER D. RESEARCH BENEFIT: $101,490 PERSONS SERVED: 134 - CLINICAL RESEARCH - COMMUNITY HEALTH RESEARCH E. FINANCIAL AND IN-KIND CONTRIBUTIONS BENEFIT: $505,414 PERSONS SERVED: 64,981 - CASH DONATIONS - IN-KIND DONATIONS F. COMMUNITY BUILDING ACTIVITIES BENEFIT: $734,482 PERSONS SERVED: 1,009 - COMMUNITY SUPPORT - ENVIRONMENTAL IMPROVEMENTS - LEADERSHIP DEVELOPMENT/TRAINING COMMUNITY MEMBERS/ YOUTH PIPELINE - COALITION BUILDING - OTHER G. COMMUNITY BENEFIT OPERATIONS BENEFIT: $296,955 PERSONS SERVED: N/A - DEDICATED STAFF SUBTOTAL FOR COMMUNITY BENEFITS: $34,718,305 SUBTOTAL FOR PERSONS SERVED: 91,780 TRADITIONAL CHARITY CARE COSTS - FREE CARE: $364,593 - BAD DEBT: $2,468,672 - UNPAID MEDICAID COSTS: $13,685,997 - UNPAID MEDICARE COSTS: $4,223,989 SUBTOTAL FOR CHARITY CARE COSTS BENEFIT: $20,743,251 TOTAL BENEFIT - FY 2012: $55,461,556 CATEGORY A: COMMUNITY HEALTH IMPROVEMENT SERVICES TOTAL BENEFIT: $12,882,762 TOTAL PERSONS SERVED: 22,644 REALIZING THE DIVERSE NEEDS OF RESIDENTS IN OUR COMMUNITY, WATERBURY HOSPITAL REMAINS DEDICATED TO PROVIDING COMPREHENSIVE HEALTH SERVICES TO ENSURE EVERY INDIVIDUAL HAS ACCESS TO APPROPRIATE, QUALITY HEALTHCARE. DURING 2012, WATERBURY HOSPITAL'S SPECTRUM OF SERVICES CONTINUED TO HAVE A POSITIVE IMPACT ON THE WELFARE OF WATERBURY'S CITIZENS. TO REMAIN CONSISTENT WITH WATERBURY HOSPITAL'S MISSION, MANY OF OUR SERVICES ARE TARGETED FOR VULNERABLE MEMBERS OF OUR COMMUNITY, INCLUDING THOSE WHO ARE UNINSURED OR UNDERINSURED. KEY PROGRAMS: WATERBURY HEALTH ACCESS PROGRAM WATERBURY HOSPITAL IS AWARE OF THE ECONOMIC NEEDS MANY PATIENTS IN OUR COMMUNITY, AND, AS A RESULT, WE REMAIN COMMITTED TO THE WATERBURY HEALTH ACCESS PROGRAM. FOUNDED IN 2003 AS A PARTNERSHIP BETWEEN WATERBURY HOSPITAL, ST. MARY'S HOSPITAL, STAYWELL HEALTH CENTER (FQHC), AND THE WATERBURY HEALTH DEPARTMENT, THE WATERBURY HEALTH ACCESS PROGRAM IMPROVES ACCESS TO HIGH-QUALITY MEDICAL CARE BY PROVIDING COMPREHENSIVE CASE MANAGEMENT, PHARMACY ASSISTANCE, AND ACCESS TO PRIMARY AND SUB-SPECIALTY MEDICAL CARE FOR THE UNINSURED AND UNDERINSURED RESIDENTS OF THE GREATER WATERBURY REGION. DURING FY 2012, THE WATERBURY HEALTH ACCESS PROGRAM HAD OVER 3,700 ACTIVE CLIENTS. ADDITIONALLY, WATERBURY HOSPITAL PROVIDED $418,806 WORTH OF DONATED SERVICES TO WHAP PATIENTS. BEHAVIORAL HEALTH - WATERBURY HOSPITAL'S CENTER FOR BEHAVIORAL HEALTH IS ONE OF THE REGION'S LARGEST SERVICE PROVIDERS OFFERING A FULL CONTINUUM OF CARE FOR CHILDREN, ADOLESCENTS AND ADULTS. OUR SERVICES ALSO OUTREACH TO THE COMMUNITY THROUGH REGULAR PARTICIPATION IN HEALTH FAIRS, ELECTED MEMBERSHIP IN THE NORTHWEST REGIONAL MENTAL HEALTH BOARD, AS A HOST SITE TO NUMEROUS TWELVE-STEP MEETINGS AND THE PROVISION OF CASE MANAGEMENT AS WELL AS ACUTE SERVICES TO THE HOMELESS WITHIN THE CITY OF WATERBURY. BEHAVIORAL HEALTH CLINICIANS CAN ENGAGE CLIENTS TO HELP FACILITATE THEIR ENTRANCE INTO TREATMENT. WE PROVIDE PHONE SUPPORT, REFERRALS AND TRIAGING TEN HOURS A DAY SEVEN DAYS A WEEK. WITHIN OUR CRISIS CENTER WE OFFER SHORT TERM SERVICES TO HELP INDIVIDUALS OBTAIN MORE PERMANENT TREATMENT THAT BEST MEETS THEIR NEEDS. AMBULATORY SERVICES INCLUDE PARTIAL HOSPITAL PROGRAMS, INTENSIVE OUTPATIENT SERVICES, GROUP, INDIVIDUAL THERAPY AND MEDICATION MANAGEMENT TO PATIENTS EXPERIENCING MENTAL ILLNESS AND/ OR A SUBSTANCE USE DISORDER. FOR INDIVIDUALS EXPERIENCING ACUTE SYMPTOMS WE OFFER INPATIENT TREATMENT TO ADOLESCENTS AGED 12 AND UP AS WELL AS ADULT SERVICES. OUR EFFORTS ARE AIMED AT PROMOTING THE BENEFITS OF CLINICAL TREATMENT AS WELL AS POSITIVE LIFESTYLE CHOICES. EVERY EFFORT IS MADE TO EDUCATE CLIENTS, THEIR FAMILIES AND THE COMMUNITY ABOUT MENTAL ILLNESS AND THE IMPACT TREATMENT CAN HAVE ON ONE'S ILLNESS. THE ULTIMATE GOAL IS TO HELP PEOPLE FEEL BETTER, REDUCE OR RESOLVE SYMPTOMS AND TO MINIMIZE THE STIGMA OF MENTAL ILLNESS. BE WELL BUS - IN ORDER TO ENSURE THAT PATIENTS HAVE ACCESS TO MEDICAL APPOINTMENTS, AT THE HOSPITAL AND AT LOCAL PHYSICIANS' OFFICES, WATERBURY HOSPITAL'S BE WELL BUS PROVIDES TRANSPORTATION SERVICES TO PATIENTS FROM WATERBURY AND ELEVEN OF ITS SURROUNDING TOWNS. DURING FY 2012, THE BE WELL BUS COMPLETED OVER 4,170 TRANSPORTS TO AND FROM MEDICAL APPOINTMENTS. WATERBURY HOSPITAL HAS CONTRACTED WITH A TRANSPORTATION PROVIDE TO OFFER THE BUS SERVICE, AND AREA PROVIDERS PAY A SMALL FEE TO PARTICIPATE. HEART CENTER OF GREATER WATERBURY - FORMED IN COLLABORATION WITH SAINT MARY'S HOSPITAL, THE HEART CENTER OF GREATER WATERBURY PROVIDES DIVERSE MEDICAL SUPPORT INITIATIVES TO HELP EDUCATE RESIDENTS IN THE GREATER WATERBURY COMMUNITY ABOUT PERTINENT HEALTH AND WELLNESS ISSUES. THIS PAST YEAR, THE HEART CENTER CONDUCTED A SERIES OF HEALTH FAIRS AND VARIOUS HEALTH AND WELLNESS EDUCATION SESSIONS, INCLUDING "ASK THE NURSE," WHICH PROVIDES PATIENTS WITH COMPLIMENTARY BLOOD PRESSURE SCREENINGS AND HEALTH AWARENESS EDUCATION AND A "FREEDOM FROM SMOKING" SERIES TO HELP OUR RESIDENTS KICK THE HABIT. DURING FY 2012, THE HEART CENTER'S PROGRAMS SERVED OVER 3,280 RESIDENTS FROM THE GREATER WATERBURY AREA. FAMILY BIRTHING CENTER - PROVIDING A CHILD-CENTERED FOCUS, WATERBURY HOSPITAL'S FAMILY BIRTHING CENTER OFFERS EXPECTANT PARENTS A VARIETY OF CLASSES TO PREPARE THEM FOR THEIR BABY'S ARRIVAL. BETWEEN BREAST FEEDING, CHILDBIRTH, AND INFANT CARE CLASSES, OUR FAMILY BIRTHING CENTER PROVIDED VITAL INSTRUCTION TO OVER 120 PERSONS LAST YEAR. THANK GOD I'M FEMALE - FOR THE PAST 20 YEARS, WATERBURY HOSPITAL'S "THANK GOD I'M FEMALE" HAS SERVED AS AN ANNUAL WOMEN'S WELLNESS FORUM THAT FEATURES 40 EDUCATIONAL BOOTHS AND HEALTH-RELATED GIVEAWAYS. THE ULTIMATE GOAL OF THE FORUM IS TO EDUCATE ATTENDEES ABOUT STRESS, MENTAL WELL-BEING, HEART HEALTH, DIET, OSTEOPOROSIS AND BONE HEALTH, CHANGE OF LIFE, AND MORE. IN 2012, OVER 400 AREA RESIDENTS ATTENDED THE EVENT. EVERGREEN 50 CLUB - WATERBURY HOSPITAL'S EVERGREEN 50 CLUB IS AN ORGANIZATION COMPRISED OF OVER 15,000 MEMBERS OVER THE AGE OF 50. THE CLUB OFFERS WELLNESS PROGRAMMING, MEDICARE COUNSELING, AND HEALTH EDUCATION PRESENTATIONS ON A VARIETY OF TOPICS ARE PRESENTED BY HEALTH CARE PROFESSIONALS. PRESENTATION TOPICS INCLUDE: HOLISTIC HEALTH, VARICOSE VEIN TREATMENT, HEART DISEASE, SUMMER SKIN CARE, WEIGHT LOSS, BLOOD PRESSURE, BLADDER SCREENINGS, JOINT CARE AND REPLACEMENT, AND RESOLVING ADVERSE OUTCOMES WITH PATIENTS AND FAMILIES. ANNUALLY, THE EVERGREEN 50 CLUB HOSTS A HEALTH FAIR FOR ITS MEMBERS, WHICH PROVIDES FREE FLU SHOTS AND HEALTHCARE SCREENINGS. YALE PRIMARY CARE RESEARCH DAY - THROUGH COLLABORATION WITH ST. MARY'S HOSPITAL IN WATERBURY, CT, WATERBURY HOSPITAL HOSTED ITS ANNUAL YALE PRIMARY CARE RESEARCH DAY. DURING THE DAY, PHYSICIANS AND MEDICAL STUDENTS PRESENT RESEARCH PROJECTS TO THE PHYSICIAN COMMUNITY. HIGH SCHOOL STUDENTS ARE ALSO ENCOURAGED TO PARTICIPATE IN THE ACTIVITIES. WATERBURY HOSPITAL INFECTIOUS DISEASE CLINIC (WHIC) - CURRENT SERVICES: THE WHIC OFFERS A COMPREHENSIVE "ONE-STOP SHOPPING" MODEL THAT PROVIDES PATIENTS WITH ON-SITE PRIMARY AND SPECIALTY SERVICES, MEDICAL CASE MANAGEMENT, INDIVIDUALIZED MEDICATION ADHERENCE SERVICES, MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES, NUTRITION COUNSELING, INDIVIDUALIZED HIV EDUCATION, LABORATORY TESTING, AND RADIOLOGY SERVICES. WHIC'S PROVIDERS INCLUDE THREE BOARD-CERTIFIED/BOARD-ELIGIBLE INFECTIOUS DISEASE SPECIALISTS AS WELL AS AN ADVANCED PRACTITIONER NURSE, ALL WITH EXPERTISE IN THE MANAGEMENT OF PATIENTS WITH HIV/AIDS. IN FY 2012, WHIC SERVED AROUND 500 PEOPLE LIVING WITH HIV/AIDS (PLWHA). WHIC'S STAFF MEMBERS ACTIVELY PARTICIPATE IN STATEWIDE AND AREA COLLABORATIVES, SUCH AS THE CONNECTICUT HIV PLANNING CONSORTIUM (CHPC) AND THE RYAN WHITE PART A PLANNING COUNCIL, AND WHIC FACILITATES THE GREATER WATERBURY HIV CONSORTIUM. WHIC HAS A VERY ACTIVE CONSUMER ADVISORY GROUP (CAG), WHICH ORGANIZES SOCIAL AND TESTING EVENTS FOR THE COMMUNITY AND FACILITATES THE WATERBURY HOSPITAL PHOTOGRAPHY GROUP. THE WHIC ALSO HAS A HEPATITIS C CLINIC, RUN BY AN ADVANCED PRACTITIONER NURSE. FROM OCTOBER 2004 TO PRESENT, NEARLY 200 HEPATITIS C MONO- AND CO-INFECTED (HEPATITIS C AND HIV) PATIENTS HAVE BEEN EVALUATED AT THE ID CLINIC. THE HEPATITIS C CLINIC PROVIDES A CONSULTATION WITH A NUTRITIONIST TO ADVISE ON HEALTHY EATING; COORDINATION WITH MENTAL HEALTH SERVICES; AND EDUCATIONAL SESSIONS ON SIDE EFFECT MANAGEMENT, THE IMPORTANCE OF HYDRATION AND ADHERENCE, AND POSITIVE COPING STRATEGIES. FORGING COMMUNITY PARTNERSHIPS: SINCE 2009, THE WHIC HAS SERVED AS THE LEAD AGENCY FOR RYAN WHITE PART A FEDERAL FUNDING REGION 2 OF THE NEW HAVEN/FAIRFIELD ELIGIBLE METROPOLITAN AREA. THE WHIC WAS CHOSEN AS LEAD AGENCY BY THE CONSENSUS OF OTHER LOCAL RYAN WHITE PART A AGENCIES DUE TO ITS EXPERTISE IN PATIENT CARE AND FISCAL MANAGEMENT. AS THE LEAD AGENCY, THE WHIC HAS FORMED LONGSTANDING PARTNERSHIPS WITH STAYWELL HEALTH CENTER, INC., HISPANOS UNIDOS, INC., NEW OPPORTUNITIES, INC., RECOVERY NETWORK OF PROGRAMS, INC., CONNECTICUT COUNSELING CENTERS, INC., AND THE WATERBURY HEALTH DEPARTMENT, ALL OF WHOM WORK ALONGSIDE THE WHIC TO PROVIDE PATIENTS IN THE REGION WITH: - PRIMARY CARE; - MEDICAL CASE MANAGEMENT; - ORAL HEALTH CARE; - INPATIENT AND OUTPATIENT SUBSTANCE ABUSE TREATMENT; - HEALTH INSURANCE ASSISTANCE; - MENTAL HEALTH; - EARLY INTERVENTION SERVICES; - HOUSING ASSISTANCE; - EMERGENCY FINANCIAL ASSISTANCE; - MEDICAL TRANSPORTATION; AND - FOOD PANTRY. IN JUNE 2012, WHIC COLLABORATED WITH THE WATERBURY HEALTH DEPARTMENT, GRACE BAPTIST CHURCH, AND OTHER AREA AIDS SERVICE ORGANIZATIONS, TO ORGANIZE THE WATERBURY AIDS WALK AND RAISE AWARENESS ABOUT HIV/AIDS TREATMENT AND TESTING IN WATERBURY. 215 RESIDENTS PARTICIPATED IN THE EVENT. FOR THE PAST 12 YEARS, THE WHIC HAS PARTNERED WITH YALE UNIVERSITY'S PROJECT TRANSITIONS, A PROGRAM THAT INTEGRATES SUBSTANCE ABUSE TREATMENT AND CONTINGENCY MANAGEMENT INTO A COMPREHENSIVE JAIL RELEASE PROGRAM FOR PLWHA. THROUGH THIS PARTNERSHIP, YALE FUNDED A SUBSTANCE ABUSE COUNSELOR AND MEDICAL CASE MANAGER, BOTH OF WHOM ARE SPANISH SPEAKING AND LOCATED ON-SITE AT THE WHIC. THIS PROGRAM CONCLUDED IN AUGUST 2012. IN SEPTEMBER 2012, IN PARTNERSHIP WITH YALE UNIVERSITY, WATERBURY HOSPITAL BEGAN A CLINICAL TRIAL ENTITLED, "PROJECT NEW HOPE," TO TEST WHETHER EXTENDED-RELEASE NALTRERXONE IS A VIABLE OPTION FOR IMPROVING OPIOID, ALCOHOL AND HIV TREATMENT OUTCOMES FOR RELEASED HIV-POSITIVE CRIMINAL JUSTICE SYSTEM POPULATIONS. THIS PROGRAM IS SUPPORTED BY THE NATIONAL INSTITUTE ON DRUG ABUSE OF THE NATIONAL INSTITUTES OF HEALTH UNDER AWARD NUMBER R01DA030762. RESHAPING HIV TESTING STATEWIDE: SINCE 2008, PATIENTS VISITING WATERBURY HOSPITAL'S EMERGENCY DEPARTMENT ARE OFFERED FREE HIV TESTING WHILE WAITING TO BE EVALUATED OR TREATED FOR OTHER SYMPTOMS. PATIENTS IN THE EMERGENCY DEPARTMENT NOW HAVE TO OPT OUT OF TESTING. THE PROGRAM HAS SUCCESSFULLY SERVED AS A MODEL FOR OTHER HEALTHCARE INSTITUTIONS ACROSS THE STATE. THANKS, IN PART, TO WHIC'S LEADERSHIP, THE STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH NO LONGER REQUIRES PROVIDERS TO HAVE A SEPARATE CONSENT FORM FOR HIV TESTING. ENGAGING PATIENTS: IN 2009, THE WHIC ESTABLISHED ITS PEER ADVOCATE PROGRAM. THREE PATIENTS FROM THE CLINIC SERVE AS THE PEER ADVOCATES, WHO WORK WITH CLIENTS AT THE CLINIC AND USE A SOCIAL NETWORKS STRATEGY TO BRING DIFFICULT-TO-REACH CLIENTS IN FOR TESTING AND/OR CARE; THEY HAVE TRAVELED TO HIGH-RISK NEIGHBORHOODS ON THE WATERBURY HEALTH DEPARTMENT'S COMMUNITY HEALTH VAN TO OFFER COUNSELING AND TESTING AND HAVE PARTICIPATED IN AIDS AWARENESS DAYS TO FACILITATE THE LINKAGE OF NEWLY DIAGNOSED PATIENTS TO PRIMARY CARE. PEER ADVOCATES PARTICIPATE IN THE WHIC'S CARE TEAM AND CONTINUUM MEETINGS TO KEEP PROVIDERS AND LOCAL PARTNERS AWARE OF THE PATIENTS' ACTIVITIES AND NEEDS. THIS YEAR TWO PEER ADVOCATES PARTICIPATED IN THE WATERBURY PARENT LEADERSHIP TRAINING INSTITUTE, COMPLETING COMMUNITY PROJECTS ON "BAN THE BOX" - TO RAISE AWARENESS TO THE NEEDS OF EX-FELONS WHO HAVE BEEN REHABILITATED AND GIVEN APPROPRIATE RESTITUTION TO SOCIETY, TO BE ABLE TO REGAIN MEANINGFUL EMPLOYMENT IN ORDER TO SUSTAIN THEMSELVES AND LIVE PRODUCTIVE LIVES; AND "MARKETING THE WATERBURY HOSPITAL PHOTOGRAPHY GROUP," - A CAMPAIGN TO RAISE AWARENESS AND INCREASE MEMBERSHIP OF THE WATERBURY HOSPITAL PHOTOGRAPHY GROUP, RESPECTIVELY. THE LATTER CAMPAIGN WAS SUCCESSFUL IN MORE THAN DOUBLING THE MEMBERSHIP OF THE PHOTOGRAPHY GROUP, ENLISTING PARTICIPANTS FROM THE CHASE DIABETES CLINIC AND THE EVERGREEN 50 CLUB. A THIRD PEER ADVOCATE COMPLETED THE WATERBURY PARENTS SUPPORTING EDUCATIONAL EXCELLENCE PROGRAM AND SUBSEQUENTLY APPLIED HIS LEARNING TO ESTABLISH A MUSIC APPRECIATION CLASS FOR ELEMENTARY AND MIDDLE SCHOOL-AGE STUDENTS AT GRACE BAPTIST CHURCH IN WATERBURY. THE WHIC OFFERS ITS PATIENTS NATIONALLY-RECOGNIZED PEER AND SUPPORT PROGRAMS, INCLUDING ITS PROJECT PHOTOGRAPHY, WHICH WAS ESTABLISHED IN 2007 TO ENCOURAGE NON-COMPLIANT HIV/AIDS PATIENTS IN THE GREATER WATERBURY AREA TO BECOME MORE PROACTIVE IN THE SELF-MANAGEMENT OF THEIR DISEASE. PROJECT PHOTOGRAPHY HAS POSITIVELY TRANSFORMED ITS PARTICIPANT'S SELF-ESTEEM AND CONFIDENCE. PATIENT PROJECTS HAVE INCLUDED: (1) ENROLLING IN PHOTOGRAPHY CLASSES AT NAUGATUCK VALLEY COMMUNITY COLLEGE, (2) TAKING FIELD TRIPS TO BOSTON, (3) DONATING FRAMED PHOTOGRAPHS TO THE HOSPITAL'S ANNUAL FUNDRAISING GALA, (4) PRODUCING HOLIDAY GREETING CARDS FOR THE ID CLINIC, (5) CREATING TEAM PORTRAITS AT THE HOSPITAL'S FUNDRAISING GOLF TOURNAMENT, AND (6) CONSTRUCTING PHOTOGRAPHY EXHIBITS AT THE HOSPITAL, BARNES & NOBLE BOOKSTORE, AND SILAS BRONSON LIBRARY IN WATERBURY. CATEGORY B: HEALTH PROFESSIONS EDUCATION TOTAL BENEFIT: $20,197,202 TOTAL PERSONS SERVED: 3,012 SINCE IT FIRST AFFILIATED WITH THE YALE UNIVERSITY SCHOOL OF MEDICINE IN 1973, WATERBURY HOSPITAL HAS SERVED AS THE CLINICAL TRAINING SITE FOR THOUSANDS OF MEDICAL PROFESSIONALS IN TRAINING. DURING FY 2012, STUDENTS COMPLETED CLINICAL ROTATIONS, INTERNSHIPS, AND SHADOWING EXPERIENCES AT WATERBURY HOSPITAL. KEY PROGRAMS: YALE PRIMARY CARE INTERNAL MEDICINE RESIDENCY PROGRAM - DURING 2012, OUR YALE PRIMARY CARE INTERNAL MEDICINE RESIDENT ACTIVITIES INCLUDED: - PARTICIPATION IN RESEARCH DAYS AT YALE AND WATERBURY/ST. MARY'S HOSPITALS; - ACP REGIONAL AND NATIONAL MEETINGS; - THE ANNUAL HEALTH FAIR HELD AT THE WATERBURY YMCA; - HOME/OFFICE VISITS FOR CLINIC PATIENTS; AND - EDUCATIONAL SEMINARS HELD AT WATERBURY HOSPITAL AND YALE UNIVERSITY. AT WATERBURY HOSPITAL, WE SEEK TO TRAIN PHYSICIANS WHO DESIRE A GENERALIST BACKGROUND TO THEIR CAREERS IN MEDICINE. THIS PROGRAM IS UNIQUE IN THAT IT PROVIDES THE MEDICAL RESIDENTS THE OPPORTUNITY TO WORK EACH YEAR IN A TERTIARY MEDICAL CENTER AT YALE-NEW HAVEN HOSPITAL, A COMMUNITY HOSPITAL AT WATERBURY HOSPITAL, AND OUTPATIENT PRACTICE SITES THAT INCLUDE PRIVATE PRACTICE OFFICES AND COMMUNITY HEALTH CENTERS IS UNIQUE IN RESIDENCY TRAINING. OUR GRADUATES ARE HIGHLY SOUGHT AFTER BY PRIVATE PRACTICE OFFICES, HOSPITALIST PROGRAMS, AND FELLOWSHIP PROGRAMS THROUGHOUT THE COUNTRY. STUDENT NURSE INTERN PROGRAM (SNI) - THE SNI PROGRAM IS AVAILABLE FOR NURSING STUDENTS ENTERING THEIR SENIOR YEAR. THE PROGRAM PROVIDES THESE STUDENT NURSES WITH SHADOWING OPPORTUNITIES SO THEY CAN APPLY THEIR CONTENT KNOWLEDGE TO AUTHENTIC PATIENT CARE SITUATIONS. STAFF RNS SERVE AS THE STUDENTS' MENTORS AS THE STUDENTS ACCOMPANY THEM ON THEIR MEDICAL ROUNDS. THE GOALS OF THE PROGRAM ARE: (1) TO PROVIDE THE STUDENT NURSES WITH THE KNOWLEDGE AND SKILLS NECESSARY TO PASS THE NCLEX EXAM AND (2) TO SOCIALIZE THE STUDENT NURSE IN AN ATTEMPT TO DECREASE THE STRESS OF ASSIMILATING INTO THE HOSPITAL'S WORK ENVIRONMENT, SHOULD THEY BE HIRED AS GRADUATE NURSES AT WATERBURY HOSPITAL. PHYSICIAN'S ASSISTANT (PA) STUDENTS - P.A. STUDENTS FROM QUINNIPIAC UNIVERSITY COMPLETED CLINICAL ROUNDS IN SEVERAL DEPARTMENTS AROUND THE HOSPITAL, INCLUDING THE OPERATING ROOM, EMERGENCY DEPARTMENT, BEHAVIORAL HEALTH, AND RADIOLOGY. THE EXPERIENCE IS DESIGNED FOR THE STUDENT TO LEARN TO APPLY THE KNOWLEDGE GAINED FROM DIDACTIC COURSE WORK IN MEDICINE, SURGERY, AND THE BASIC AND BEHAVIORAL SCIENCES INTO THE CLINICAL ARENA RESULTING IN THE ABILITY TO SUCCESSFULLY MANAGE PATIENTS IN A THOROUGH AND COMPREHENSIVE MANNER. THE PRIMARY GOAL OF CLINICAL ROTATIONS IS TO EXPOSE THE STUDENT TO PATIENTS OF ALL AGES, PATIENTS IN A VARIETY OF DIFFERENT SETTINGS, AND PATIENTS WITH A BROAD RANGE OF MEDICAL, SURGICAL, AND PSYCHOSOCIAL PROBLEMS. THE P.A. STUDENTS PARTICIPATE IN: - HISTORY TAKING; - EXAMINING THE PATIENT; - ASSISTING IN AND/OR PERFORMING DIAGNOSTIC TESTING; - ASSISTING IN AND/OR PERFORMING THERAPEUTIC TASKS; - ORAL PRESENTATIONS; - MEDICAL DOCUMENTATION OF THE PATIENT ENCOUNTER; - FORMULATING A DIFFERENTIAL DIAGNOSIS AND PROBLEM LIST; - FORMULATING A TREATMENT PLAN; AND - COUNSELING OF PATIENTS REGARDING MEDICATION, DIET, AND LIFESTYLE CHANGES SUCH AS SMOKING CESSATION, EXERCISE, AND WELL-BEING. RADIOLOGY STUDENTS FROM NVCC - THE NAUGATUCK VALLEY COMMUNITY COLLEGE (NVCC) RADIOLOGY STUDENTS ARE INVOLVED WITH MANY ACTIVITIES WHILE ASSIGNED TO WATERBURY HOSPITAL. UNDER THE SUPERVISION OF A NVCC CLINICAL INSTRUCTOR AND HOSPITAL RADIOLOGIC TECHNOLOGISTS, THE STUDENTS ARE ASSIGNED TO THE VARIOUS RADIOGRAPHIC SUITES AND MODALITIES. DURING THEIR ASSIGNMENT, STUDENTS ARE PERFORMING OR ASSISTING WITH RADIOGRAPHIC PROCEDURES, INCLUDING CHEST X-RAYS, SKELETAL EXAMS, FLUOROSCOPIC PROCEDURES, MOBILE X-RAYS IN THE VARIOUS PATIENT UNITS, AND SURGICAL CASES. THE STUDENTS ALSO INCREASE THE NUMBER OF INDIVIDUALS AVAILABLE IN THE DEPARTMENT TO ASSIST IN MOVING AND TRANSPORTING PATIENTS AS WELL AS CHAPERONING SENSITIVE EXAMS. IN ADDITION TO THE DIAGNOSTIC RADIOLOGY THE STUDENTS ARE ASSIGNED TO EXPERIENCES IN INTERVENTIONAL RADIOLOGY, CT, MRI, NUCLEAR MEDICINE, AND ULTRASOUND. STUDENTS WORK IN THESE MODALITIES UNDER THE DIRECT SUPERVISION OF THE HOSPITAL STAFF. WATERBURY HOSPITAL'S AFFILIATION WITH NVCC AS A CLINICAL SITE FOR STUDENTS HAS MANY BENEFITS. PERHAPS THE SINGLE MOST IMPORTANT BENEFIT IS THE HOSPITAL HAS A CONTINUOUS STREAM OF POTENTIAL RADIOLOGY EMPLOYEES. STUDENTS ARE IN THE PROGRAM FOR 22 MONTHS AND IN THAT TIME BECOME VERY FAMILIAR WITH THE HOSPITAL EQUIPMENT, ROUTINES, PERSONAL, AND MISSION. THIS PROVIDES WATERBURY HOSPITAL WITH NEW EMPLOYEES WHO HAVE A STRONG SKILL SET AND PROVEN DEDICATION TO THE HOSPITAL COMMUNITY. CATEGORY D: RESEARCH TOTAL BENEFIT: $101,490 TOTAL PERSON SERVED: 134 DURING 2012, WATERBURY HOSPITAL PARTICIPATED IN SEVERAL CLINICAL TRIALS THAT BENEFITED RESIDENTS IN GREATER WATERBURY. THESE TRIALS INCLUDED: THE COMPUTED TOMOGRAPHY LASER MAMMOGRAPHY STUDY, WHICH EXAMINED PATIENTS WITH HETEROGENEOUSLY DENSE BREAST TISSUE; THE BIOMARKERS STUDY, WHICH EXPLORED THE IDENTIFICATION OF BIOMARKERS FOR PREDICTION OF RESPONSE TO PREOPERATIVE CHEMORADIOTHERAPY IN PATIENTS WITH RECTAL CANCER; THE ROCKING CHAIR STUDY, WHICH INVESTIGATED ROCKING CHAIR SINGLE WAVE MOTION INTERVENTION FOR POST-SURGICAL PATIENT CARE; THE YUKOV ULTRASOUND METHOD FOR NON-INVASIVE MALIGNANT TUMOR DETERMINATION STUDY; AND THE NEW HOPE STUDY, THAT ENROLLED OPIOID DEPENDENT, RELEASED, HIV POSITIVE PERSONS WHO WERE TRANSITIONING FROM JAIL BACK TO THE COMMUNITY. CATEGORY E: FINANCIAL & IN-KIND CONTRIBUTIONS TOTAL BENEFIT: $505,414 TOTAL PERSONS SERVED: 64,981 WATERBURY HOSPITAL CONTINUES TO PROVIDE FINANCIAL AND IN-KIND CONTRIBUTIONS TO MEMBERS OF OUR COMMUNITY. FROM UNITED WAY DONATIONS FROM HOSPITAL EMPLOYEES TO PARKING VOUCHERS FOR PATIENTS, WATERBURY HOSPITAL PROVIDED $505,414.00 WORTH OF FINANCIAL AND IN-KIND SUPPORT DURING 2012. LOCAL AGENCIES RECEIVING DONATIONS INCLUDED: - EASTER SEALS - HOMELESS CONNECT - MATTATUCK MUSEUM - PALACE THEATER - UNITED WAY OF GREATER WATERBURY - VNA HEALTH AT HOME - WATERBURY SYMPHONY ORCHESTRA - WATERBURY REGIONAL CHAMBER CATEGORY F: COMMUNITY BUILDING ACTIVITIES TOTAL BENEFIT: $734,482 TOTAL PERSONS SERVED: 1,009 AS A LEADER IN THE DELIVERY OF HEALTHCARE SERVICES IN THE GREATER WATERBURY AREA, WATERBURY HOSPITAL (WH) IS COMMITTED TO STRENGTHENING THE WELFARE AND AWARENESS OF THE CITIZENS WITHIN ITS COMMUNITY. FROM STRENGTHENING THE CAREER PATHS OF WATERBURY AREA YOUTH; TO SUPPORTING THE UNINSURED AND UNDERINSURED THROUGH THE WATERBURY HEALTH ACCESS PROGRAM AND; PROVIDING TRANSPORT TO AND FROM MEDICAL APPOINTMENTS; WATERBURY HOSPITAL IS REMOVING THE BARRIERS TO QUALITY HEALTH CARE FOR ALL AND REMAINS FIRM IN ITS COMMITMENT TO A HEALTHIER, STRONGER, AND MORE PRODUCTIVE COMMUNITY. KEY PROGRAMS: YOUTH PIPELINE INITIATIVES: THE WATERBURY HOSPITAL YOUTH PIPELINE INITIATIVES WERE ESTABLISHED IN 2001 AS A PARTNERSHIP BETWEEN WATERBURY HOSPITAL AND WATERBURY PUBLIC SCHOOLS. THE MISSION OF THE PROGRAM IS: "TO CLOSE THE ACHIEVEMENT GAP FOR MINORITY AND ECONOMICALLY DISADVANTAGED STUDENTS IN WATERBURY SO THEY CAN MATRICULATE AND COMPETE NATIONALLY FOR PLACEMENT IN POST-SECONDARY EDUCATION PROGRAMS IN PREPARATION FOR HEALTH CAREERS". WATERBURY HOSPITAL IS COMMITTED TO ENHANCING AND ENRICHING THE ACADEMIC OPPORTUNITIES AND PERSONAL JOURNEYS OF OUR YOUTH, WHO ARE THE EMERGING WORKFORCE OF TOMORROW. TO THIS END, DURING 2012, WATERBURY HOSPITAL CONTINUED TO PROVIDE 383 STUDENTS AND PARENTS IN GREATER WATERBURY WITH UNIQUE EDUCATIONAL PROGRAMS THAT WILL ENHANCE THE OVERALL WELFARE OF OUR COMMUNITY. THE WH YOUTH PIPELINE INITIATIVES HAD FOUR FOCUS AREAS DURING FY 2012, INCLUDING: - PROVIDING EARLY ACQUAINTANCE WITH CAREERS IN HEALTHCARE (PEACH) - SINCE ITS INCEPTION IN 2004, WATERBURY HOSPITAL'S PROVIDING EARLY ACQUAINTANCE WITH CAREERS IN HEALTHCARE (PEACH) PROGRAM HAS ENGAGED ADMINISTRATORS, TEACHERS, AND STUDENTS AT WATERBURY'S NORTH END MIDDLE SCHOOL AND WEST SIDE MIDDLE SCHOOL TO ADDRESS PROJECTED SHORTAGES OF HEALTHCARE WORKERS AND TO CLOSE THE ACHIEVEMENT GAP FOR STUDENTS IN WATERBURY PUBLIC SCHOOLS. THROUGH THE PEACH PROGRAM, STUDENTS ENGAGE WITH HEALTHCARE WORKERS IN A NON-EMERGENCY SETTING AND ARE INFORMED OF THE VARIETY OF HEALTHCARE CAREER OPPORTUNITIES AVAILABLE IN OUR COMMUNITY. EACH SPRING, APPROXIMATELY 100 SEVENTH GRADERS FROM WATERBURY TAKE PART IN A DAY-LONG PEACH TOUR AT WATERBURY HOSPITAL, DURING WHICH THEY VISIT AT LEAST SIX HOSPITAL DEPARTMENTS AND COMPLETE HANDS-ON LEARNING ACTIVITIES WITH HOSPITAL STAFF. ANNUALLY, WATERBURY HOSPITAL ALSO OFFERS ITS PEACH SPRING BREAK EXPLORATION CAMP, THIS YEAR 38 MIDDLE SCHOOL STUDENTS FROM WATERBURY TOOK PART IN: SHADOWING AND HANDS-ON LEARNING ACTIVITIES AT THE HOSPITAL; CPR CERTIFICATION; AND EDUCATIONAL SESSIONS AT BRIDGEPORT'S DISCOVERY MUSEUM. - PARENT LEADERSHIP TRAINING INSTITUTE (PLTI) - IN 2012, TWENTY FOUR INDIVIDUALS FROM GREATER WATERBURY SUCCESSFULLY COMPLETED WATERBURY'S PLTI, A 20-WEEK CURRICULUM TEACHING LEADERSHIP AND ADVOCACY SKILLS. WATERBURY HOSPITAL HAS HOSTED THE WATERBURY PLTI SINCE 2000, AND THE PROGRAM HAS TRAINED AND GRADUATED OVER 175 AREA PARENTS. PLTI'S CORE MISSION IS TO IMPART LEADERSHIP AND ADVOCACY SKILLS TO PARENTS WHILE SIMULTANEOUSLY EDUCATING THEM ABOUT VOLUNTEERISM, CIVIC LIFE, AND THE PROCESS BY WHICH STATE AND LOCAL GOVERNMENTS ENACT AND CHANGE LAWS. EACH PARTICIPANT COMPLETES AND IMPLEMENTS A COMMUNITY PROJECT; EXAMPLES OF PROJECTS FROM 2012 INCLUDE: A "HIGH SCHOOL DRIVING EDUCATION" PROGRAM (A CITY-WIDE INITIATIVE TO INTRODUCE SAFE DRIVING TECHNIQUES IN HIGH SCHOOLS) AND "THE C.H.I.P. FORUM" (CHILDREN HAVING INVOLVED PARENTS - A SERIES OF WORKSHOPS TO UNDERLINE THE IMPORTANCE OF GIVING ENCOURAGEMENT AND SUPPORT TO OUR CHILDREN SO THEY CAN SUCCEED IN LIFE). - PARENTS SUPPORTING EDUCATIONAL EXCELLENCE (PSEE) - IN 2012, TWENTY-ONE INDIVIDUALS FROM GREATER WATERBURY SUCCESSFULLY COMPLETED WATERBURY'S PSEE, A 13-WEEK CURRICULUM CO-CREATED BY THE CONNECTICUT CENTER FOR SCHOOL CHANGE AND THE CONNECTICUT COMMISSION ON CHILDREN FOR PARENTS (DEFINED BROADLY AS PARENTS, GUARDIANS, FAMILY MEMBERS AND GRANDPARENTS) TO INSTILL LEADERSHIP SKILLS IN EDUCATION AND TO FACILITATE PARTNERSHIPS BETWEEN SCHOOL STAFF AND PARENTS TO IMPROVE STUDENT LEARNING. - WH SUMMER BRIDGE PROGRAM - DURING THE SUMMER OF 2012, TWENTY-EIGHT STUDENTS FROM WATERBURY, GRADES 6-11, PARTICIPATED IN THE WH SUMMER BRIDGE PROGRAM. 100% OF MEALS WERE SECURED FOR THE PROGRAM FROM CITY OF WATERBURY SUMMER FOOD PROGRAM AND 8 LOCAL RESTAURANTS/BUSINESSES. STUDENTS COMPLETED THE FOLLOWING MODULES: - 21.5 HOURS OF HOMEWORK AND STUDY SKILLS SESSIONS COMPLETED (LED BY STUDENT LEADERS), 15.5 HOURS OF MATH (PRE- ALGEBRA, GEOMETRY, ALGEBRA II AND CALCULUS) REVIEW SESSIONS; 26 HOURS OF SAT WRITING AND VOCABULARY; 13.5 HOURS OF READING FAHRENHEIT 45; 14 HOURS OF PHOTOGRAPHY TO COMPILE A PHOTO BOOK; 2 HOURS OF RESUME WRITING AND JOB APPLICATION; 15 HOURS OF JOB SHADOWING SESSIONS (RADIOLOGY, NUCLEAR MEDICINE, NURSING, MRI, CASE MANAGEMENT, DR. S. ARONIN (ID INPATIENT ROUNDING), ICU MEDICAL ROUNDS, HEALTH INFORMATION MANAGEMENT, ACCESS REHAB, BEHAVIORAL HEALTH, RESPIRATORY THERAPY, FINANCE, WH ID CLINIC, SECURITY, ORTHOPEDICS, PHARMACY, INFECTION CONTROL AND SURGERY. - 4 HOURS OF MS OFFICE COMPUTER SESSIONS - 2 FULL-DAY FIELD TRIPS COMPLETED: ONE TO YALE UNIVERSITY FOR AN ADMISSIONS INFO SESSION AND CAMPUS TOUR AND ONE TO HAMMONASSET STATE PARK INCLUDING THREE EDUCATIONAL SESSIONS AT MEIGS POINT NATURE CENTER - 3 HOURS OF HEALTHCARE CAREER SEARCHES - 3 HOURS OF COLLEGE ADMISSIONS PRESENTATIONS COMPLETED BY UCONN WATERBURY & YALE ROTC - 1 HOUR OF INDIVIDUAL ACADEMIC ADVISING - 2 HOURS OF TEAM BUILDING ACTIVITIES - 2 HOURS OF HEALTH TOPICS PRESENTATIONS COMPLETED, INCLUDING HIV 101 AND HEALTHCARE JEOPARDY. SUPPORT GROUPS - DURING 2012, WATERBURY HOSPITAL HOSTED SEVERAL SUPPORT GROUPS FOR ITS PATIENTS AND THEIR FAMILIES, INCLUDING: - BEHAVIORAL HEALTH'S PARENT AND SIBLING SUPPORT GROUP, WHICH OFFERS EMOTIONAL ASSISTANCE TO FAMILIES WHO HAVE CHILDREN IN TREATMENT; AND - ALCOHOLICS ANONYMOUS, SERVES OVER 4,000 PEOPLE ANNUALLY, MEETS WEEKLY THROUGHOUT THE YEAR, AND IS COORDINATED BY OUR BEHAVIORAL HEALTH DEPARTMENT. FORM 990, PART VI, SECTION A, LINE 6 GREATER WATERBURY HEALTH NETWORK, INC. IS SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A GREATER WATERBURY HEALTH NETWORK, INC. ELECTS HOSPITAL BOARD. FORM 990, PART VI, SECTION A, LINE 7B GREATER WATERBURY HEALTH NETWORK, INC. HAS RESERVED POWERS FOR HOSPITAL TRANSACTIONS. FORM 990, PART VI, SECTION B, LINE 11 REVIEWED AND APPROVED BY ORGANIZATION'S AUDIT COMMITTEE. A COPY OF THE FORM 990 IS THEN PROVIDED TO EACH MEMBER OF THE BOARD BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE HOSPITAL COMPLIANCE OFFICER REVIEWS ANNUALLY THE SUBMISSION OF POTENTIAL/ACTUAL CONFLICT DECLARATIONS. THEY ARE ALSO REVIEWED ANNUALLY AT THE BOARD'S COMPLIANCE AND ETHICS COMMITTEE MEETING AND RECOMMENDATIONS FOR ACTION ARE MADE TO THE FULL BOARD AS NECESSARY. ADDITIONALLY, RESPONSES ARE PROFILED, BY MEMBER, FOR EACH COMMITTEE OF THE BOARD/NETWORK, AND DISTRIBUTED AT EACH COMMITTEE MEETING AS A WAY TO PROMOTE TRANSPARENCY. THE COMMITTEE CHAIR AND MEMBERS SHARE RESPONSIBILITY IN IDENTIFYING AND MANAGING THESE DECLARED CONFLICTS OF INTEREST WHEN MAKING BUSINESS DECISIONS ON BEHALF OF THE HOSPITAL. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMPENSATION IS UNDER THE PURVIEW OF THE BOARD OF TRUSTEES. THERE IS A COMPENSATION COMMITTEE AND THEY ALWAYS USE THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTANT WHO USES NATIONAL, STATE AND REGIONAL COMPENSATION SURVEY DATA FOR SIMILAR TAX EXEMPT COMMUNITY HOSPITALS. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL RESULTS ARE MADE AVAILABLE IN THE ANNUAL REPORT TO THE COMMUNITY. GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION A: AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: DARLENE STROMSTAD - 17.00 HRS. CARL D. CONTADINI - 0.30 HRS. JOHN A. KELLY, JR. - 0.30 HRS. ANDREW K. SKIPP - 0.20 HRS. CARL B. SHERTER, MD - 0.30 HRS. O.J. BIZZOZERO, JR., MD - 0.50 HRS. HENRY BORKOWSKI, MD - 0.30 HRS. RONALD D'ANDREA, MD - 0.20 HRS. STEVEN L. EISEN, MD - 40.10 HRS. JAMES H. GATLING, PH.D - 0.40 HRS. FREDERICK L. LUEDKE - 0.50 HRS. PATRICIA MCKINLEY - 0.40 HRS. JOHN A. MICHAELS - 0.50 HRS. DAVID J. PIZZUTO, MD - 6.00 HRS. WILLIAM J. PIZZUTO, PH.D - 0.90 HRS. AJ WASSERSTEIN - 0.40 HRS. SANDRA IADAROLA - 5.30 HRS. DIANE WOOLLEY - 5.00 HRS. MICHAEL CEMENO - 5.00 HRS. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 1,483,696. INCREASE IN FAIR VALUE OF FUNDS HELD IN TRUST BY OTHERS 4,878,924. ALLIANCE SUBSIDY -8,966,551. PENSION LIABILITY ADJUSTMENT 366,769. INTEREST RATE SWAP ADJUSTMENT -524,547. INCOME FROM WATERBURY GASTROENTEROLGY -26,103. TOTAL TO FORM 990, PART XI, LINE 5: -2,787,812. FORM 990, PART XII, LINE 2C: THE AUDIT COMMITTEE AND THE BOARD OF DIRECTORS HAS THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT. THE AUDIT COMMITTEE MAKES RECOMMENDATIONS TO THE BOARD OF DIRECTORS IN REGARD TO THE SELECTION OF AN INDEPENDENT AUDITOR. 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