2025-08-12T10:10:52-05:00 2024-09-30 990 2023-10-01 060646813 SAINT FRANCIS HOSPITAL AND MEDICAL CENTER SAIN 8607144000 114 WOODLAND STREET MS-510358 HARTFORD CT 06105 ANTONIO PERUGINO VP FINANCE AND CFO 8607144000 2025-08-12 1 2023 2025-03-06 01:10:19Z VALERIE POWELL-STAFFORD 114 WOODLAND STREET MS-510358 HARTFORD CT 06105 881546999 0 0928 X WWW.TRINITYHEALTHOFNE.ORG X 1897 CT TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES 14 11 297 138 2513164 0 7950669 8203982 908034685 851812170 3368558 3465114 11998407 13325567 931352319 876806833 499885 306348 0 0 272083917 272617557 0 0 0 654782191 659261247 927365993 932185152 3986326 -55378319 880798340 742755051 516602467 457353080 364195873 285401971 X WE, TRINITY HEALTH OF NEW ENGLAND AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES. SAINT FRANCIS HOSPITAL AND MEDICAL CENTER IS A MEMBER OF TRINITY HEALTH OF NEW ENGLAND AND TRINITY HEALTH. 0 0 828273465 306348 859080809 SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HAS BEEN AN ANCHOR INSTITUTION IN NORTH CENTRAL CONNECTICUT SINCE 1897. SAINT FRANCIS HOSPITAL AND MEDICAL CENTER IS LICENSED FOR 617 BEDS AND 65 BASSINETS, IS A MAJOR TEACHING HOSPITAL AND THE LARGEST CATHOLIC HOSPITAL IN NEW ENGLAND.SAINT FRANCIS HOSPITAL AND MEDICAL CENTER IS COMMITTED TO EXCEEDING THE EXPECTATIONS OF OUR PATIENTS AND FAMILIES BY PROVIDING WORLD-CLASS SERVICE IN A PROGRESSIVE, PEOPLE-CENTERED, COMPASSIONATE HEALTH CARE ENVIRONMENT.AT SAINT FRANCIS HOSPITAL AND MEDICAL CENTER WE REMAIN COMMITTED TO THE MISSION THAT HAS BEEN VIRTUALLY UNCHANGED DURING OUR 120-YEAR HISTORY - TO IMPROVE AND ENRICH THE LIVES OF INDIVIDUALS AND FAMILIES IN OUR REGION. COMPASSIONATE CARE, SUPERIOR TECHNOLOGY AND PREVENTION-ORIENTED EDUCATION WILL COMBINE IN CENTERS OF CLINICAL EXCELLENCE. DEDICATION TO OUR FOUNDING CORE VALUES WILL CREATE A SPIRITUAL AND HEALING ENVIRONMENT.PLEASE VISIT SCHEDULE H AND OUR WEBSITE FOR ADDITIONAL INFORMATION ABOUT SERVICES, RECOGNITIONS AND AWARDS: WWW.TRINITYHEALTHOFNE.ORG/LOCATION/SAINT-FRANCIS-HOSPITAL 828273465 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 1 513 0 1 297 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 14 11 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 X KRISTINE THURSTON 8607145648 114 WOODLAND STREET MS-510358 HARTFORD CT 06105 JAMES SMITH DIRECTOR, CHAIR THR 12/23 1.00 5.00 X X 0 0 0 JOANN PRICE DIR; V CHR THR 12/23; CHAIR AT 1/24 1.00 6.00 X X 0 0 0 WALTER HARRISON DIRECTOR; VICE CHAIR AS OF 1/24 1.00 5.00 X X 0 0 0 MOST REV JUAN MIGUEL BETANCOURT DIRECTOR 1.00 5.00 X 0 0 0 EMILY BROWER DIRECTOR; TRINITY SVP CLINICAL INTG 1.00 49.00 X 0 784604 177280 MONTEZ CARTER DIRECTOR; TH OF NE PRES/CEO 1.00 54.00 X 0 1367293 270752 GREGORY DAVIS DIRECTOR THROUGH 12/23 1.00 5.00 X 0 0 0 ROBERT GUMBARDO MD DIRECTOR 1.00 5.00 X 0 0 0 AROSHA JAYAWICKREMA DIRECTOR AS OF 1/24 1.00 5.00 X 0 0 0 JOHN KINNEY DIRECTOR AS OF 1/24 1.00 5.00 X 0 0 0 KARL KRAPEK DIRECTOR 1.00 5.00 X 0 0 0 NANCY KROEBER DIRECTOR 1.00 5.00 X 0 0 0 JOYCE MANDELL DIRECTOR THROUGH 12/23 1.00 5.00 X 0 0 0 BARBARA MULLEN CSJ DIRECTOR 1.00 5.00 X 0 0 0 CATHERINE SPATH MD DIRECTOR, MEDICAL STAFF PRESIDENT 1.00 49.00 X 0 523269 52055 MICHELLE THEROUX DIRECTOR 1.00 5.00 X 0 0 0 ROBERT ANTHONY SECRETARY; VP MANAGING COUNSEL 1.00 49.00 X 0 645595 124357 THOMAS BURKE PRESIDENT THROUGH 12/23 49.00 6.00 X 0 807971 42897 SEAN FITZPATRICKPD BY MGMT CO TREAS; INTERIM REG CFO AS OF 10/23 1.00 49.00 X 0 0 0 SHERI LEMIEUX ASST SEC; ASST TO TH OF NE PRES/CEO 1.00 39.00 X 0 109978 16181 DANIEL MOEN TRINITY EXEC;INTERIM PRES 12/23-6/24 50.00 0.00 X 0 844626 65257 VALERIE POWELL-STAFFORD PRESIDENT AS OF 6/24 50.00 5.00 X 0 0 0 DAVID SHAPIRO MD CHIEF MEDICAL OFFICER 50.00 0.00 X 0 633875 35838 LEE ANN JUDY REGISTERED NURSE 50.00 0.00 X 0 287038 37692 MARIJUNE CARD REGISTERED NURSE 50.00 0.00 X 0 283032 56018 GARY LAPOLLA OCCUPATIONAL HEALTH PHYSICIAN 50.00 0.00 X 0 280290 58645 ANGELA SAKAL CHIEF PERFUSIONIST 50.00 0.00 X 0 284491 47146 SHERIFA BELLO REGISTERED NURSE 50.00 0.00 X 0 273077 16385 JAMES HARRIS FORMER OFFICER; TH OF NE DIR OF REIM 0.00 50.00 X 0 231090 46392 DAVID BITTNER FORMER OFFICER 0.00 0.00 X 0 692380 571302 MICHAEL GREY MD FORMER KE; CHAIR OF MEDICINE 0.00 50.00 X 0 398401 18533 JENNIFER SCHNEIDER FORMER OFFICER 0.00 0.00 X 0 578473 388340 0 9025483 2025070 15 1 1 0 UCONN HEALTH CENTER 263 FARMINGTON AVENUE FARMINGTON CT 060301921 HEALTH CARE SERVICES 21673638 TURNER CONSTRUCTION COMPANY 2 SEAPORT LN SUITE 200 BOSTON MA 02210 CONSTRUCTION SERVICES 16640256 HALLMARK HEALTH CARE SOLUTIONS PO BOX 22937 NEW YORK NY 10087 STAFFING SERVICES 8767516 SMILOW CANCER CENTER PO BOX 8149 NEW HAVEN CT 06508 HEALTH CARE SERVICES 6776125 SONE HEALTH 200 DAY HILL RD WINDSOR CT 06095 HEALTH CARE SERVICES 4449746 93 5115981 2735396 352605 8203982 NET PATIENT SERVICE REVENUE 622110 851812170 849345706 2466464 851812170 3417599 3417599 5247017 4529825 717192 717192 717192 257856 0 210341 257856 -210341 47515 47515 OTHER PATIENT SERVICES 622110 5049803 5049803 INTERCOMPANY ALLOCATION REV 561000 3735713 3735713 CAFETERIA 722514 2558324 2558324 1264535 949587 46700 268248 12608375 876806833 859080809 2513164 7008878 229922 229922 76426 76426 1520580 1520580 220862492 177843470 43019022 2653929 2146903 507026 31296721 25076605 6220116 16283835 13027068 3256767 1627114 1627114 6802278 6802278 10018 10018 79585113 71626601 7958512 383685 383685 3944137 3549723 394414 474375 474375 23716521 21344869 2371652 144213 129792 14421 539890 431912 107978 9241845 9241845 25555011 22999510 2555501 8453778 7608400 845378 I/C PURCHASED SERVICES 222257867 200032080 22225787 MEDICAL SUPPLIES 192785818 192785818 HOSPITAL PROVIDER TAX 58174200 58174200 BAD DEBT EXPENSE 11057434 11057434 14507950 10032827 4475123 932185152 828273465 103911687 0 6917121 598375 5831594 4138635 106855309 109777537 11806578 9582329 3654035 3518687 603891363 285466980 307689797 318424383 117126816 119033943 35213661 15406047 8050000 8050000 277653429 154225115 880798340 742755051 117227811 171577336 82600 30025 1488755 397803301 285745719 516602467 457353080 X 264855807 170408171 99340066 114993800 364195873 285401971 880798340 742755051 X -55378319 14252468 -37668051 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 171985 0 0 0 171985 0 PART II-B, LINE 1: SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES. THESE GRANTS HAVE BEEN IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS, WHERE THE ORGANIZATIONS HAVE PROVIDED SAINT FRANCIS HOSPITAL AND MEDICAL CENTER WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. 73429363 2000 11086059 -56114 84573536 71082106 3000 3869257 1525000 73429363 86392305 769504 -16040426 39277 71082106 72728659 1051000 12612646 86392305 67470460 521000 4737199 72728659 0.01800 0.93400 0.04800 0 0 8471217 8471217 357434332 107831997 249602335 332612 167570 165042 227917502 177467413 50450089 9735700 9735700 318424383 INTERCOMPANY ACCOUNTS RECEIVABLE 134273377 MISCELLANEOUS RECEIVABLES 5559593 INVESTMENT IN UNCONSOLIDATED AFFILIATES 1639430 OTHER LONG TERM ASSETS 9926652 OPERATING LEASE RIGHT-OF-USE ASSETS 2826063 154225115 INTERCOMPANY ACCOUNTS PAYABLE 26772878 ASSET RETIREMENT OBLIGATION 9540164 INTERCOMPANY NOTES PAYABLE 242069347 OTHER LONG TERM LIABILITIES 689908 OPERATING LEASE LIABILITIES 6044277 OTHER CURRENT LIABILITIES 629145 285745719 PART V, LINE 4: ENDOWMENT FUNDS ARE USED FOR EDUCATION AND RESEARCH, BUILDING AND EQUIPMENT, PATIENT CARE, CANCER CENTER/RESEARCH, AND OTHER. 1 1 X 1 X 1 X 1 1 0 1 1 5140731 5140731 0.00560 236126383 166533133 69593250 0.07560 241267114 166533133 74733981 0.08120 8 3168 3260144 2482433 777711 0.00080 1 40607499 11205519 29401980 0.03190 2 4500 4622649 4622649 0.00500 1 320000 320000 0.00030 2 55417 55417 0.00010 14 7668 48865709 13687952 35177757 0.03810 14 7668 290132823 180221085 109911738 0.11930 0 11057434 0 119575676 126280811 -6705135 X 1 1 1 SAINT FRANCIS GI ENDOSCOPY LLC HEALTH CARE SERVICES - ENDOSCOPY 0.49000 0.51000 2 LIGHTHOUSE SURGERY CENTER LLC HEALTH CARE SERVICES 0.26000 0.74000 3 ROCKY HILL IMAGING CENTER LLC HEALTH CARE SERVICES 0.50000 0.50000 1 1 SAINT FRANCIS HOSPITAL AND MEDICAL CENTER 114 WOODLAND STREET MS-510358 HARTFORD CT 06105 WWW.TRINITYHEALTHOFNE.ORG LICENSE #54 X X X X SAINT FRANCIS HOSPITAL AND MEDICAL CENTE 1 0 0 1 X X X X X X X X X 21 1 1 1 1 X SEE SCHEDULE H, PART V, SECTION C X 1 21 1 SEE SCHEDULE H, PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 1 X 0 0 SAINT FRANCIS HOSPITAL AND MEDICAL CENTER PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E: SAINT FRANCIS HOSPITAL AND MEDICAL CENTER (SAINT FRANCIS HOSPITAL) INCLUDED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS, WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: HEALTH ISSUES:- ASTHMA- OBESITY & DIABETES- MENTAL HEALTH- SUBSTANCE ABUSESOCIAL DETERMINANTS OF HEALTH (SDOH) ISSUES:- ACCESS TO HEALTHY FOODS- STABLE HOUSING- NEIGHBORHOOD SAFETY SAINT FRANCIS HOSPITAL AND MEDICAL CENTER PART V, SECTION B, LINE 5: THIS CHNA FOCUSED ON HARTFORD COUNTY-LEVEL DATA AND DATA FOR SELECT COMMUNITIES AS AVAILABLE. THE INPUT OF THE COMMUNITY, ESPECIALLY FROM THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS, WAS PRIORITIZED AS AN IMPORTANT PART OF THE CHNA PROCESS. BELOW ARE THE PRIMARY MECHANISMS FOR DATA COLLECTION AND COMMUNITY & STAKEHOLDER ENGAGEMENT: LITERATURE REVIEW:- REVIEW OF EXISTING ASSESSMENT REPORTS PUBLISHED SINCE 2019 THAT WERE COMPLETED BY COMMUNITY AND REGIONAL AGENCIES SERVING THE HARTFORD AREA.- THIS ALSO INCLUDED A REVIEW OF THE PREVIOUS 2019 CHNA WHICH, IN SUMMARY, SHOWED THE FOLLOWING TOP SIGNIFICANT HEALTH NEEDS, SPLIT INTO TWO MAIN CATEGORIES OF HEALTH AND SOCIAL DETERMINANTS OF HEALTH (SDOH)QUANTITATIVE DATA COLLECTION AND ANALYSIS:- ANALYSIS OF SOCIAL, ECONOMIC, AND HEALTH DATA FROM TRINITY HEALTH CARES DATA HUB, DATAHAVEN, CT DEPARTMENT OF PUBLIC HEALTH, CT HOSPITAL ASSOCIATION, THE U.S CENSUS BUREAU, THE COUNTY HEALTH RANKINGREPORTS, AND A VARIETY OF OTHER DATA SOURCES.QUALITATIVE DATA COLLECTION AND ANALYSIS:- COMMUNITY CONVERSATIONS AND STAKEHOLDER PRIORITIZATION SESSIONS - OF THE 9 SESSIONS HELD, 2 WERE CONDUCTED IN SPANISH. (SPRING/SUMMER 2022)- HARTFORD KEY INFORMANT PRIORITIZATION SESSION WHICH INCLUDED PUBLIC HEALTH OFFICIALS. (SPRING 2022) SAINT FRANCIS HOSPITAL AND MEDICAL CENTER PART V, SECTION B, LINE 6A: SAINT FRANCIS HOSPITAL COLLABORATED WITH THE FOLLOWING HOSPITAL FACILITIES IN CONDUCTING ITS MOST RECENT CHNA: CONNECTICUT CHILDREN'S MEDICAL CENTER, HARTFORD HOSPITAL, MOUNT SINAI REHABILITATION HOSPITAL, JOHNSON MEMORIAL HOSPITAL AND SAINT MARY'S HOSPITAL. SAINT FRANCIS HOSPITAL AND MEDICAL CENTER PART V, SECTION B, LINE 6B: SAINT FRANCIS HOSPITAL COLLABORATED WITH THE FOLLOWING COMMUNITY ORGANIZATIONS WHILE CONDUCTING ITS MOST RECENT CHNA: DATAHAVEN AND THE UNITED WAY OF CENTRAL AND NORTHEASTERN CONNECTICUT. SAINT FRANCIS HOSPITAL AND MEDICAL CENTER PART V, SECTION B, LINE 11: PARTNERSHIPS AND INVESTMENTS IN LOCAL AGENCIES ENABLED THE HOSPITAL TO IMPACT THE NEEDS IDENTIFIED IN THE CHNA AND TO ADDRESS THE SOCIAL INFLUENCERS OF HEALTH (SIOH). WE CONTINUED OUR INVOLVEMENT IN HEALTH-FOCUSED COLLABORATIVES, SUPPORTING LOCAL PARTNERS TO ADDRESS MENTAL HEALTH, STABLE HOUSING, ACCESS TO HEALTHY FOODS AND NEIGHBORHOOD SAFETY. MENTAL HEALTH - THIS ISSUE WAS RECOGNIZED BY THE COMMUNITY AS A NEED TO HAVE BETTER ACCESS TO BEHAVIORAL HEALTH SERVICES AND SUPPORT FOR SOCIAL NEEDS. THESE ISSUES WERE ADDRESSED WITH SYSTEM CHANGES WITHIN THE HOSPITAL AND BY SUPPORTING AGENCIES THAT CAN FACILITATE ROBUST REFERRALS. OUR PARTNER AGENCIES INCLUDED: THE CHRYSALIS CENTER, WHO PROVIDED SOCIAL SUPPORT WRAP AROUND SERVICES FOR HIGH NEED BEHAVIORAL HEALTH CLIENTS; COMMUNITY CARE TEAM, A COLLABORATION WITH LOCAL HOSPITALS TO COORDINATE SUPPORT FOR BEHAVIORAL HEALTH PATIENTS THAT FREQUENTLY USE THE EMERGENCY DEPARTMENT; AND CATHOLIC CHARITIES, A SOCIAL SERVICE AGENCY THAT PARTNERED WITH OUR PRIMARY CARE CLINIC TO PROVIDE NAVIGATION SUPPORT FOR PATIENTS WHO NEED TO CONNECT TO COMMUNITY RESOURCES. STABLE HOUSING - THIS IS A SIGNIFICANT ISSUE IN HARTFORD AND WAS IDENTIFIED BY THE COMMUNITY AS A CONCERN. THE HOSPITAL COLLABORATED WITH COMMUNITY SOLUTIONS, A LOCAL COMMUNITY-BASED ORGANIZATION THAT WORKED TO SUPPORT ECONOMIC DEVELOPMENT FOR IMPOVERISHED NEIGHBORHOODS AND HAS A NATIONAL REPUTATION FOR SUPPORTING THOSE IN NEED OF STABLE HOUSING. ACCESS TO HEALTHY FOODS - THE "FOOD AS MEDICINE" PROGRAM, PROVIDED CLIENTS WITH FRESH FOOD PRESCRIPTIONS, NUTRITION COUNSELING, AND SUPPORT FOR MANAGING CHRONIC CONDITIONS THROUGH DIET. THE PROGRAM ALSO INCLUDED A TEACHING KITCHEN FOR EMPOWERING INDIVIDUALS TO MAKE POSITIVE CHANGES THROUGH HEALTHY EATING HABITS. THIS INITIATIVE ADDRESSED FOOD INSECURITY TO IMPROVE HEALTH OUTCOMES, PARTICULARLY FOR UNDERSERVED POPULATIONS. NEIGHBORHOOD SAFETY - COLLABORATION CONTINUED IN LOCAL ORGANIZATIONS THAT CAN HAVE AN IMPACT ON THIS ISSUE, INCLUDING GREATER HARTFORD HARM REDUCTION COALITION, AN OPIOID HARM REDUCTION AGENCY; HARTFORD COMMUNITIES THAT CARE, A VIOLENCE PREVENTION AND RETALIATION REDUCTION PROGRAM; AND NORTH HARTFORD TRIPLE AIM COLLABORATIVE, A HEALTH COLLABORATIVE DEVELOPED TO ADDRESS DISPARITIES IN THE NORTH END OF HARTFORD INCLUDING IMPROVEMENT OF NEIGHBORHOOD SAFETY. SAINT FRANCIS HOSPITAL ACKNOWLEDGES THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON THE HEALTH NEEDS WHICH IT DEEMED MOST PRESSING, UNDER-ADDRESSED, AND WITHIN ITS ABILITY TO INFLUENCE. SAINT FRANCIS HOSPITAL IS ALSO COMMITTED TO PROVIDING HIGH QUALITY CLINICAL SERVICES TO THE COMMUNITY. IN ORDER TO BE GOOD STEWARDS OF THE RESOURCES AVAILABLE FOR THIS WORK, THE COMMUNITY BENEFIT ACTIVITIES INCLUDED IN THE HOSPITAL'S PORTFOLIO ARE DESIGNED TO LEVERAGE THE SKILLS AND EXPERTISE OF THE HOSPITAL AND ITS STAFF. FOR THAT REASON, ASTHMA, OBESITY AND DIABETES, AND SUBSTANCE ABUSE WERE NOT SPECIFICALLY ADDRESSED. SAINT FRANCIS HOSPITAL AND MEDICAL CENTER PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON LIMITED AVAILABLE INFORMATION. WHEN SUCH APPROVAL IS GRANTED, IT IS CLASSIFIED AS "PRESUMPTIVE SUPPORT." EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, HOMELESS PATIENTS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY DISADVANTAGED PATIENTS, A THIRD-PARTY MAY BE UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY ARE EXHAUSTED, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY DISADVANTAGED PATIENTS. SAINT FRANCIS HOSPITAL AND MEDICAL CENTER - PART V, SECTION B, LINE 7A: WWW.TRINITYHEALTHOFNE.ORG/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS SAINT FRANCIS HOSPITAL AND MEDICAL CENTER - PART V, SECTION B, LINE 9: AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, THE HOSPITAL'S IMPLEMENTATION STRATEGY WAS ADOPTED WITHIN 4 1/2 MONTHS AFTER THE FISCAL YEAR END THAT THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE TO THE PUBLIC. SAINT FRANCIS HOSPITAL AND MEDICAL CENTER - PART V, SECTION B, LINE 10A: WWW.TRINITYHEALTHOFNE.ORG/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS SAINT FRANCIS HOSPITAL AND MEDICAL CENTER - PART V, SECTION B, LINE 16A: WWW.TRINITYHEALTHOFNE.ORG/FOR-PATIENTS/BILLING-AND-FINANCIAL-RESOURCES/ SAINT FRANCIS HOSPITAL AND MEDICAL CENTER - PART V, SECTION B, LINE 16B: WWW.TRINITYHEALTHOFNE.ORG/FOR-PATIENTS/BILLING-AND-FINANCIAL-RESOURCES/ SAINT FRANCIS HOSPITAL AND MEDICAL CENTER - PART V, SECTION B, LINE 16C: WWW.TRINITYHEALTHOFNE.ORG/FOR-PATIENTS/BILLING-AND-FINANCIAL-RESOURCES/ 20 1 - AVON ACCESS CENTER 35 NOD RD SUITE 105 AVON CT 06001 MEDICAL OFFICES 2 - AVON 44 DALE RD STE 301 AVON CT 06001 LABORATORY SERVICES 3 - BLOOMFIELD 580 COTTAGE GROVE ROAD BLOOMFIELD CT 06002 MEDICAL OFFICES 4 - BLOOMFIELD ACCESS CENTER 852 COTTAGE GROVE RD BLOOMFIELD CT 06002 MEDICAL OFFICES/RADIOLOGY/LABORATORY SERVICES 5 - FARMINGTON MEDICAL OFFICES 11 SOUTH ROAD SUITE 200 FARMINGTON CT 06032 MEDICAL OFFICES / LABORATORY SERVICES 6 - GLASTONBURY ACCESS CENTER 31 SYCAMORE STREET GLASTONBURY CT 06033 MEDICAL OFFICES AND COMMUNITY EDUCATION SPACE / LABORATORY SERVICES 7 - BOLTON 921 BOSTON TURNPIKE BOLTON CT 06043 LABORATORY SERVICES 8 - VERNON 428 HARTFORD TURNPIKE SUITE 201 VERNON CT 06066 LABORATORY SERVICES 9 - ROCKY HILL 476 CROMWELL AVE ROCKY HILL CT 06067 ACCESS CENTER/DIAGNOSTIC IMAGING/RADIOLOGY/LABORATORY SERVICES 10 - ROCKY HILL 546 CROMWELL AVE SUITE 100 ROCKY HILL CT 06067 MEDICAL OFFICE 11 - ENFIELD 140 HAZARD AVE ENFIELD CT 06082 MEDICAL OFFICES/LABORATORY SERVICES 12 - WINDSOR - SF GI ENDOSCOPY CENTER 360 BLOOMFIELD AVENUE WINDSOR CT 06095 ENDOSCOPY 13 - HARTFORD 1000 ASYLUM ST STE 3209 HARTFORD CT 06103 LABORATORY SERVICES 14 - HARTFORD 19 WOODLAND ST STE 22 HARTFORD CT 06105 LABORATORY SERVICES 15 - CENTER FOR HEALTH ENHANCEMENT 95 WOODLAND STREET HARTFORD CT 06105 COMMUNITY SPACE 16 - HARTFORD 1075 ASYLUM ST HARTFORD CT 06105 DIABETES AND ENDOCRINOLOGY CENTER 17 - EAST HARTFORD ACCESS CENTER 893 MAIN STREET STE 102 EAST HARTFORD CT 06108 MEDICAL OFFICES / LABORATORY SERVICES 18 - WEST HARTFORD MEDICAL OFFICES 345 NORTH MAIN STREET STE 112 WEST HARTFORD CT 06109 MEDICAL OFFICES AND IT TRAINING SPACE / LABORATORY SERVICES 19 - HARTFORD 500 BLUE HILLS AVE HARTFORD CT 06112 LABORATORY SERVICES/BEHAVIORAL HEALTH 20 - WETHERSFIELD 30 JORDAN LANE WETHERSFIELD CT 06109 LABORATORY SERVICES PART I, LINE 3C: IN ADDITION TO LOOKING AT A MULTIPLE OF THE FEDERAL POVERTY GUIDELINES, OTHER FACTORS ARE CONSIDERED SUCH AS THE PATIENT'S FINANCIAL STATUS AND/OR ABILITY TO PAY AS DETERMINED THROUGH THE ASSESSMENT PROCESS. PART I, LINE 6A: SAINT FRANCIS HOSPITAL REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH (EIN 35-1443425) IN ITS AUDITED FINANCIAL STATEMENTS, AVAILABLE AT WWW.TRINITY-HEALTH.ORG.SAINT FRANCIS HOSPITAL ALSO INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON TRINITY HEALTH'S WEBSITE AT WWW.TRINITY-HEALTH.ORG/OUR-IMPACT/COMMUNITY-HEALTH-AND-WELL-BEING. PART I, LINE 7: THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM. PART I, LN 7 COL(F): THE FOLLOWING NUMBER, $11,057,434, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F). PART III, LINE 2: METHODOLOGY USED FOR LINE 2 - ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE. AS A RESULT OF THE PAYMENT AND ADJUSTMENT ACTIVITY BEING POSTED TO BAD DEBT ACCOUNTS, WE ARE ABLE TO REPORT BAD DEBT EXPENSE NET OF THESE TRANSACTIONS. PART III, LINE 3: SAINT FRANCIS HOSPITAL USES A PREDICTIVE MODEL THAT INCORPORATES THREE DISTINCT VARIABLES IN COMBINATION TO PREDICT WHETHER A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE: (1) SOCIO-ECONOMIC SCORE, (2) ESTIMATED FEDERAL POVERTY LEVEL (FPL), AND (3) HOMEOWNERSHIP. BASED ON THE MODEL, CHARITY CARE CAN STILL BE EXTENDED TO PATIENTS EVEN IF THEY HAVE NOT RESPONDED TO FINANCIAL COUNSELING EFFORTS AND ALL OTHER FUNDING SOURCES HAVE BEEN EXHAUSTED. FOR FINANCIAL STATEMENT PURPOSES, SAINT FRANCIS HOSPITAL IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, SAINT FRANCIS HOSPITAL IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL. PART III, LINE 4: SAINT FRANCIS HOSPITAL IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE PATIENT ACCOUNTS RECEIVABLE, ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS FOOTNOTE FROM PAGE 14 OF THOSE STATEMENTS: "AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME IS TREATED AS A RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS FOR WHICH THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYERS FOR RETROACTIVE ADJUSTMENTS, ARE RECEIVABLES IF THE RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. FOR PATIENT ACCOUNTS RECEIVABLE, THE ESTIMATED UNCOLLECTABLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT SERVICE REVENUE AND ACCOUNTS RECEIVABLE.THE CORPORATION HAS AGREEMENTS WITH THIRD-PARTY PAYERS THAT PROVIDE FOR PAYMENTS TO THE CORPORATION'S HEALTH MINISTRIES AT AMOUNTS DIFFERENT FROM ESTABLISHED RATES. ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYERS AND OTHER CHANGES IN ESTIMATES ARE INCLUDED IN NET PATIENT SERVICE REVENUE AND ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS, AS FINAL SETTLEMENTS ARE DETERMINED. ESTIMATED RECEIVABLES FROM THIRD-PARTY PAYERS ALSO INCLUDES AMOUNTS RECEIVABLE UNDER STATE MEDICAID PROVIDER TAX PROGRAMS."PART III, LINE 5:TOTAL MEDICARE REVENUE REPORTED IN PART III, LINE 5 HAS BEEN REDUCED BY THE TWO PERCENT SEQUESTRATION REDUCTION. PART III, LINE 8: THE IRS COMMUNITY BENEFIT OBJECTIVES INCLUDE RELIEVING OR REDUCING THE BURDEN OF GOVERNMENT TO IMPROVE HEALTH. TREATING MEDICARE PATIENTS CREATES SHORTFALLS THAT MUST BE ABSORBED BY HOSPITALS, WHICH PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. THEREFORE, THE HOSPITAL BELIEVES ANY MEDICARE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT. TRINITY HEALTH AND ITS HOSPITALS REPORT AS COMMUNITY IMPACT THE LOSS ON MEDICARE AND A HOST OF MANY OTHER EXPENSES DESIGNED TO SERVE PEOPLE EXPERIENCING POVERTY IN OUR COMMUNITIES. SEE SCHEDULE H, PART VI, LINE 5 FOR MORE INFORMATION. PART III, LINE 8: COSTING METHODOLOGY FOR LINE 6 - MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 26, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT. PART III, LINE 9B: THE HOSPITAL'S COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. CHARITY DISCOUNTS ARE APPLIED TO THE AMOUNTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. THE HOSPITAL HAS IMPLEMENTED BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS. PART VI, LINE 2: NEEDS ASSESSMENT - THE CURTIS D. ROBINSON CENTER FOR HEALTH EQUITY WAS CREATED AT SAINT FRANCIS HOSPITAL TO SERVE AS A BRIDGE BETWEEN THE COMMUNITY AND THE HEALTH CARE SYSTEM. SINCE 2008, THE CENTER HAS PROVIDED MUCH NEEDED COMMUNITY OUTREACH AND ENGAGEMENT ACTIVITIES WITH A FOCUS ON ADDRESSING HEALTH DISPARITIES AND SUPPORTING COMMUNITY MEMBERS AS THEY ENGAGE WITH THE HEALTH CARE SYSTEM. COLLABORATIONS WITH THE FAITH COMMUNITY; PARTNERSHIPS WITH LOCAL NON-PROFIT AGENCIES; AND EVALUATION OF PROGRAM ACTIVITIES ALL PROVIDE FURTHER OPPORTUNITIES TO LEARN MORE ABOUT THE NEEDS OF THE COMMUNITY. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - SAINT FRANCIS HOSPITAL COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS OFFERED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HEALTH CARE BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES, FEDERAL, STATE, AND LOCAL GOVERNMENT PROGRAMS, AND OTHER COMMUNITY-BASED CHARITABLE PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING FOR HEALTH CARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY FOR FINANCIAL SUPPORT PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. SAINT FRANCIS HOSPITAL OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. NOTIFICATION ABOUT FINANCIAL ASSISTANCE AND GOVERNMENT PROGRAMS, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH PATIENT BROCHURES, MESSAGES ON PATIENT BILLS, POSTED NOTICES IN PUBLIC REGISTRATION AREAS INCLUDING EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES. SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE TO APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST PEOPLE IN NEED. INFORMATION REGARDING FINANCIAL ASSISTANCE AND GOVERNMENT PROGRAMS IS ALSO AVAILABLE ON HOSPITAL WEBSITES. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN OTHER LANGUAGES AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R), REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITAL. PART VI, LINE 4: COMMUNITY INFORMATION - THE COMMUNITY OF GREATER HARTFORD IS GENERALLY DEFINED AS THE AREA SERVED BY THE CAPITOL REGION COUNCIL OF GOVERNMENTS, WHICH CONSISTS OF 38 CITIES AND TOWNS ALONG WITH THE SUBURBS FURTHER OUT FROM THE HARTFORD CITY CENTER. THE POPULATION FOR EACH OF GREATER HARTFORD'S 38 CITIES, TOWNS, AND SUBURBS (WITH 2020 POPULATIONS) IS: ANDOVER (3,151), AVON (18,932), BERLIN (20,175), BLOOMFIELD (21,535), BOLTON (4,858,) CANTON (10,124), COLUMBIA (5,272), COVENTRY (12,235), EAST GRANBY (5,214), EAST HARTFORD (51,045), EAST WINDSOR (11,190), ELLINGTON (16,426), ENFIELD (42,141), FARMINGTON (26,712), GLASTONBURY (35,159), GRANBY (10,903), HARTFORD (121,054), HEBRON (9,098), MANCHESTER (59,713), MANSFIELD (25,892), MARLBOROUGH (6,133), NEW BRITAIN (74,135), NEWINGTON (30,536), PLAINVILLE (17,525), ROCKY HILL (20,845), SIMSBURY (24,517), SOMERS (10,255), SOUTH WINDSOR (26,918), SOUTHINGTON (43,501), STAFFORD (11,472), SUFFIELD (15,752), TOLLAND (14,563), VERNON (30,215), WEST HARTFORD (64,083), WETHERSFIELD (27,298), WILLINGTON (5,566), WINDSOR (29,492), WINDSOR LOCKS (12,613). THE DIVERSITY OF GREATER HARTFORD IS RELATIVELY SIMILAR TO STATEWIDE WITH 36% OF THE POPULATION BEING NON-WHITE. BOTH GREATER HARTFORD AND CONNECTICUT HAVE EXPERIENCED AN INCREASE IN DIVERSITY, ESPECIALLY AMONG THOSE UNDER 18. AMONG THE REGION'S FOREIGN-BORN POPULATION, THE MOST COMMON COUNTRIES OF ORIGIN ARE JAMAICA (IN HARTFORD) AND INDIA (IN MOST SURROUNDING SUBURBS) THE POPULATION DENSITY OF THE CITY OF HARTFORD IS OVER SEVEN TIMES AS DENSE AS THE POPULATION OF THE ENTIRE GREATER HARTFORD REGION. THE MAJORITY OF GREATER HARTFORD'S HOUSEHOLDS ARE FAMILY HOUSEHOLDS. HOWEVER, THE HOUSEHOLD MAKEUP WITHIN THE CITY OF HARTFORD IS DIFFERENT, WITH THE MAJORITY OF THE HOUSEHOLDS BEING NON-FAMILY HOUSEHOLDS. BETWEEN 2015 AND 2021, THE SHARE OF ADULTS WHO AGREE THAT THERE ARE SUITABLE EMPLOYMENT OPTIONS IN HARTFORD HAS INCREASED FROM 22% TO 40%. HOWEVER, THIS IS STILL THE SECOND LOWEST RATE FOR URBAN AREAS WITHIN THE STATE. IN 2021, 26% OF HARTFORD RESIDENTS HAD DIFFICULTY PAYING FOR FOOD AND 17% HAD DIFFICULTY PAYING FOR HOUSING COMPARED TO 11% AND 9%, RESPECTIVELY, STATEWIDE.WITHIN HARTFORD COUNTY THE FEDERAL HEALTH RESOURCES & SERVICES ADMINISTRATION HAS DESIGNATED SEVEN MEDICALLY UNDERSERVED AREAS/POPULATIONS. THERE ARE SEVEN OTHER HOSPITALS SERVING THIS COMMUNITY. PART VI, LINE 5: OTHER INFORMATION - THE HOSPITAL-BASED VIOLENCE INTERVENTION PROGRAM (HVIP) AT SAINT FRANCIS HOSPITAL BEGAN IN 2004 AS A PARTNERSHIP WITH A LOCAL COMMUNITY-BASED ORGANIZATION TO SUPPORT WRAP AROUND CARE FOR VICTIMS OF VIOLENCE TO ENSURE SOCIAL CARE NEEDS ARE MET WHEN PATIENTS ARE DISCHARGED INTO THE COMMUNITY. SAINT FRANCIS HOSPITAL HAS SINCE EVOLVED THE PROGRAM TO INCLUDE STRONGER COORDINATION OF SERVICES AND SUPPORT BY EMBEDDING AN HVIP SPECIALIST, WHO IS ALSO CERTIFIED AS A COMMUNITY HEALTH WORKER, WITHIN THE EMERGENCY DEPARTMENT TO BE THE LIAISON BETWEEN EMERGENCY DEPARTMENT STAFF AND FAMILIES. WITH THE INCLUSION OF DEDICATED STAFF, SAINT FRANCIS HOSPITAL HAS BEEN ABLE TO ADDRESS UNCONSCIOUS BIAS IN CARE AND HELP BUILD GREATER TRUST BETWEEN PATIENTS AND THEIR PROVIDERS. FUNDED BY TRINITY HEALTH, THE FOUR-YEAR TRANSFORMING COMMUNITIES INITIATIVE (TCI) SUPPORTED THE COMMUNITY TO BUILD CAPACITY FOR, AND SUCCESSFULLY IMPLEMENT, POLICY, SYSTEM, AND ENVIRONMENTAL CHANGE STRATEGIES. THIS COLLABORATION - INVOLVING THE LEAD COMMUNITY ORGANIZATION WITH A FULL-TIME TCI-FUNDED PROGRAM DIRECTOR, TRINITY HEALTH OF NEW ENGLAND/ST. FRANCIS HOSPITAL, AND OTHER PARTNERS - RECEIVED GRANT FUNDING AND TECHNICAL ASSISTANCE, AND PARTICIPATED IN PEER LEARNING OPPORTUNITIES. TRINITY HEALTH OF NEW ENGLAND PARTNERED WITH THE YWCA HARTFORD REGION TO SERVE AS THE LEAD COMMUNITY BASED ORGANIZATION SINCE IT IS A STRONG PILLAR IN THE COMMUNITY BY PROMOTING PEACE, JUSTICE, FREEDOM, AND DIGNITY FOR ALL. THE YWCA HARTFORD REGION'S GOAL IS TO BECOME A COMMUNITY WITH UNLIMITED OPPORTUNITIES TO UN-LIMIT OPPORTUNITY. THEY PROMOTE CHANGES AT A SYSTEMIC LEVEL AND THROUGH IMPROVED LIVES FOR INDIVIDUALS AND FAMILIES IN THE COMMUNITY. INCREASINGLY, THE PARAMOUNT THEME IS FOR EVERY ADULT TO ACHIEVE ECONOMIC SECURITY. YWCA PURSUES ITS MISSION THROUGH ADVOCACY, PROGRAMS, AND SERVICES. THE YWCA HELPS COMMUNITY MEMBERS BRIDGE THE EDUCATIONAL, CAREER AND FINANCIAL GAPS TO PREPARE THEM FOR LIFE-LONG STABILITY AND ECONOMIC SECURITY AND CONTINUE TO DO SO BY CREATING OPPORTUNITIES ONE PERSON AT A TIME.IN FISCAL YEAR 2024 (FY24), TRINITY HEALTH ASSESSED THE TOTAL IMPACT ITS HOSPITALS HAVE ON COMMUNITY HEALTH. THIS ASSESSMENT INCLUDES TRADITIONAL COMMUNITY BENEFIT AS REPORTED IN SCHEDULE H PART I, COMMUNITY BUILDING AS REPORTED IN PART II, THE SHORTFALL ON MEDICARE SERVICES AS REPORTED IN PART III, AS WELL AS EXPENSES THAT ARE EXCLUDED FROM THE PART I COMMUNITY BENEFIT CALCULATION BECAUSE THEY ARE OFFSET BY EXTERNAL FUNDING. ALSO INCLUDED ARE ALL COMMUNITY HEALTH WORKERS, INCLUDING THOSE OPERATING IN OUR CLINICALLY INTEGRATED NETWORKS. OUR GOAL IN SHARING THE COMMUNITY IMPACT IS TO DEMONSTRATE HOW OUR CATHOLIC NOT-FOR-PROFIT HEALTH SYSTEM MAKES A DIFFERENCE IN THE COMMUNITIES WE SERVE - FOCUSING ON IMPACTING PEOPLE EXPERIENCING POVERTY - THROUGH FINANCIAL INVESTMENTS. TRINITY HEALTH OF NEW ENGLAND, WHICH INCLUDES SAINT FRANCIS HOSPITAL AND MEDICAL CENTER, HAD A TOTAL COMMUNITY IMPACT IN FY24 OF $277.3 MILLION, AS OF TRINITY HEALTH'S YEAR-END OF JUNE 30, 2024. PART VI, LINE 6: SAINT FRANCIS HOSPITAL IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH'S COMMUNITY HEALTH & WELL-BEING (CHWB) STRATEGY PROMOTES OPTIMAL HEALTH FOR PEOPLE EXPERIENCING POVERTY AND OTHER VULNERABILITIES IN THE COMMUNITIES WE SERVE - EMPHASIZING THE NECESSITY TO INTEGRATE SOCIAL AND CLINICAL CARE. WE DO THIS BY: 1. ADDRESSING PATIENT SOCIAL NEEDS, 2. INVESTING IN OUR COMMUNITIES, AND 3. STRENGTHENING THE IMPACT OF OUR COMMUNITY BENEFIT. TRINITY HEALTH CHWB TEAMS LEAD THE DEVELOPMENT AND IMPLEMENTATION OF TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES AND FOCUS INTENTIONALLY ON ENGAGING COMMUNITIES AND RESIDENTS EXPERIENCING POVERTY AND OTHER VULNERABILITIES. WE BELIEVE THAT COMMUNITY MEMBERS AND COMMUNITIES THAT ARE THE MOST IMPACTED BY RACISM AND OTHER FORMS OF DISCRIMINATION EXPERIENCE THE GREATEST DISPARITIES AND INEQUITIES IN HEALTH OUTCOMES AND SHOULD BE INCLUSIVELY ENGAGED IN ALL COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT EFFORTS. THROUGHOUT OUR WORK, WE AIM TO DISMANTLE OPPRESSIVE SYSTEMS AND BUILD COMMUNITY CAPACITY AND PARTNERSHIPS.TRINITY HEALTH AND ITS MEMBER HOSPITALS ARE COMMITTED TO THE DELIVERY OF PEOPLE-CENTERED CARE AND SERVING AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN THE COMMUNITIES WE SERVE. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITIES AND IS COMMITTED TO ADDRESSING THE UNIQUE NEEDS OF EACH COMMUNITY. IN FISCAL YEAR 2024 (FY24), TRINITY HEALTH CONTRIBUTED NEARLY $1.3 BILLION IN COMMUNITY BENEFIT SPENDING TO AID THOSE WHO ARE EXPERIENCING POVERTY AND OTHER VULNERABILITIES, AND TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES IN WHICH WE SERVE. TRINITY HEALTH FURTHERED ITS COMMITMENT THROUGH AN ADDITIONAL $900 MILLION IN PROGRAMS AND INITIATIVES THAT IMPACT OUR COMMUNITIES - YIELDING A TOTAL COMMUNITY IMPACT OF $2.2 BILLION IN FY24.TRINITY HEALTH'S COMMUNITY INVESTING PROGRAM FINISHED FY24 WITH MORE THAN $68 MILLION COMMITTED TO BUILDING VITAL COMMUNITY RESOURCES. THESE FUNDS, IN PARTNERSHIP WITH 31 PARTNERS, WERE PAIRED WITH OTHER RESOURCES TO GENERATE MORE THAN $931.5 MILLION IN INVESTMENTS, WITH APPROXIMATELY 80% ($749.3 MILLION) OF THESE FUNDS SUPPORTING HIGH PRIORITY ZIP CODES WITHIN TRINITY HEALTH'S SERVICE AREAS (DEFINED AS RACIALLY/ETHNICALLY-DIVERSE COMMUNITIES WITH HIGH LEVELS OF POVERTY). BETWEEN 2018 AND APRIL 2024, THESE INVESTMENTS HAVE BEEN INSTRUMENTAL IN CREATING MUCH-NEEDED COMMUNITY RESOURCES FOR THE PEOPLE THAT WE SERVE, NOTABLY:- CREATING AT LEAST 1,100 CHILDCARE; 7,000 KINDERGARTEN THROUGH HIGH SCHOOL EDUCATION; AND 1,500 EARLY CHILDHOOD EDUCATION SLOTS.- DEVELOPING AT LEAST 7.3 MILLION SQUARE FEET OF GENERAL REAL ESTATE.- PROVIDING 872 STUDENTS NEARLY $2.5 MILLION IN SCHOLARSHIPS TO PURSUE CAREERS IN THE HEALTH PROFESSIONS.- SUPPORTING 10,800 FULL- AND PART-TIME POSITIONS INVOLVED IN THE CREATION OF THESE PROJECTS.- CREATING 12,100 UNITS OF AFFORDABLE HOUSING OVER THE LAST FIVE YEARS (INCLUDING 360 SUPPORTIVE HOUSING BEDS).ACROSS THE TRINITY HEALTH SYSTEM, OVER 875,000 (ABOUT 80%) OF THE PATIENTS SEEN IN PRIMARY CARE SETTINGS WERE SCREENED FOR SOCIAL NEEDS. ABOUT 28% OF THOSE SCREENED IDENTIFIED AT LEAST ONE SOCIAL NEED. THE TOP THREE NEEDS IDENTIFIED INCLUDED FOOD ACCESS, FINANCIAL INSECURITY AND SOCIAL ISOLATION. TRINITY HEALTH'S ELECTRONIC HEALTH RECORD (EPIC) MADE IT POSSIBLE FOR TRINITY HEALTH TO STANDARDIZE SCREENING FOR SOCIAL NEEDS AND CONNECT PATIENTS TO COMMUNITY RESOURCES THROUGH THE COMMUNITY RESOURCE DIRECTORY (CRD), COMMUNITY HEALTH WORKERS (CHW'S) AND OTHER SOCIAL CARE PROFESSIONALS. THE CRD (FINDHELP) YIELDED OVER 88,600 SEARCHES, WITH NEARLY 7,000 REFERRALS MADE AND NEARLY 400 ORGANIZATIONS ENGAGED THROUGH OUTREACH, TRAININGS, ONE-ON-ONE ENGAGEMENTS, AND COLLABORATIVES. CHW'S ARE FRONTLINE HEALTH PROFESSIONALS WHO ARE TRUSTED MEMBERS OF AND/OR HAVE A DEEP UNDERSTANDING OF THE COMMUNITY SERVED. BY COMBINING THEIR LIVED EXPERIENCE AND CONNECTIONS TO THE COMMUNITY WITH EFFECTIVE TRAINING, CHW'S PROVIDE PATIENT-CENTERED AND CULTURALLY RESPONSIVE INTERVENTIONS. CHW'S FULFILL MANY SKILLS AND FUNCTIONS INCLUDING OUTREACH, CONDUCTING ASSESSMENTS LIKE A SOCIAL NEEDS SCREENING OR A HEALTH ASSESSMENT, RESOURCE CONNECTION, SYSTEM NAVIGATION, GOAL-SETTING AND PROBLEM-SOLVING THROUGH ONGOING EDUCATION, ADVOCACY, AND SUPPORT. IN PRACTICE, SOME EXAMPLES ARE A CHW HELPING A PATIENT CONNECT WITH THEIR PRIMARY CARE DOCTOR, ASSISTING WITH A MEDICAID INSURANCE APPLICATION OR UNDERSTANDING THEIR BASIC INSURANCE BENEFITS, OR EMPOWERING A PATIENT TO ASK CLARIFYING QUESTIONS ABOUT THEIR MEDICATIONS OR PLAN OF CARE AT THEIR NEXT DOCTOR'S APPOINTMENT. IN FY24, CHW'S SUCCESSFULLY ADDRESSED NEARLY 16,000 SOCIAL NEEDS. ONE SOCIAL NEED (SUCH AS ADDRESSING HOUSING OR FOOD NEEDS) CAN OFTEN TAKE MONTHS, OR EVEN A YEAR TO SUCCESSFULLY CLOSE, WHICH MEANS THE NEED HAS BEEN FULLY MET AND IS NO LONGER IDENTIFIED AS A NEED. TRINITY HEALTH RECEIVED A NEW CENTER FOR DISEASE CONTROL AND PREVENTION GRANT (5-YEAR, $12.5 MILLION AWARD) IN JUNE 2024. SINCE ITS LAUNCH, WE HAVE CREATED 21 NEW MULTI-SECTOR PARTNERSHIPS ACROSS 16 STATES TO ACCELERATE HEALTH EQUITY IN DIABETES PREVENTION. THIS PAST FISCAL YEAR, OUR HUB ENROLLED NEARLY 700 PARTICIPANTS INTO THE 12-MONTH, EVIDENCE-BASED LIFESTYLE CHANGE PROGRAM (60% REPRESENTING BLACK, LATINX AND/OR 65+ POPULATIONS), REACHED OUT TO NEARLY 20,350 PATIENTS AT RISK FOR TYPE 2 DIABETES, RECEIVED OVER 1,350 POINT OF CARE REFERRALS FROM PHYSICIANS, AND SCREENED NEARLY 1,500 POTENTIAL PARTICIPANTS FOR HEALTH-RELATED SOCIAL NEEDS - PROVIDING CHW INTERVENTIONS WHEN REQUESTED. FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG. 1 AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 7500 0 TO IMPROVE FAMILY & COMMUNITY HEALTH AND PROVIDE PATIENT SUPPORT FOUNDATION FOR THE ADVOCACY OF CATHOLIC SCHOOLS 92 HOPMEADOW ST WEATOGUE CT 06089 061359802 501(C)(3) 7500 0 PROVIDE SCHOOL SCHOLARSHIPS HARTFORD MARATHON FOUNDATION 41 SEQUIN DR GLASTONBURY CT 06033 061415320 501(C)(3) 31000 0 SPONSORSHIP OF HARTFORD 5K AND WESTERN MASS 10 RACES MALTA HOUSE OF CARE INC 136 FARMINGTON AVE HARTFORD CT 06105 203562371 501(C)(3) 95333 0 TO PROVIDE GENERAL SUPPORT FOR MOBILE MEDICAL CLINIC 4 0 NURSING AWARDS 4 4000 COLLEAGUE ASSISTANCE 5 8602 UTILITIES 48 23017 HOUSING ASSISTANCE 22 11925 MORTGAGE 3 5419 RENT 14 8573 TRANSPORTATION 2 449 WATER 4 1750 CLOTHING 4960 FOOD 7731 PART I, LINE 2: DONATIONS MADE BY SAINT FRANCIS HOSPITAL AND MEDICAL CENTER TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE. DONATIONS ARE INCLUDED IN COMMUNITY BENEFITS IN SCHEDULE H IF THE CONTRIBUTION HAS BEEN FORMALLY RESTRICTED TO A COMMUNITY BENEFIT ACTIVITY THAT MEETS THE CRITERIA TO BE REPORTED ON SCHEDULE H. 1 1 0 0 0 0 0 0 0 MONTEZ CARTER DIRECTOR; TH OF NE PRES/CEO 0 820976 0 371250 0 175067 0 233475 0 37277 0 1638045 0 73095 DAVID BITTNER FORMER OFFICER 0 242750 0 0 0 449630 0 539240 0 32062 0 1263682 0 0 JENNIFER SCHNEIDER FORMER OFFICER 0 321533 0 105570 0 151370 0 352675 0 35665 0 966813 0 50000 EMILY BROWER DIRECTOR; TRINITY SVP CLINICAL INTG 0 469142 0 214731 0 100731 0 138440 0 38840 0 961884 0 78713 DANIEL MOEN TRINITY EXEC;INTERIM PRES 12/23-6/24 0 694676 0 111650 0 38300 0 19800 0 45457 0 909883 0 0 THOMAS BURKE PRESIDENT THROUGH 12/23 0 572467 0 203222 0 32282 0 9900 0 32997 0 850868 0 16042 ROBERT ANTHONY SECRETARY; VP MANAGING COUNSEL 0 460129 0 116357 0 69109 0 89318 0 35039 0 769952 0 55375 DAVID SHAPIRO MD CHIEF MEDICAL OFFICER 0 517871 0 103525 0 12479 0 19800 0 16038 0 669713 0 0 CATHERINE SPATH MD DIRECTOR, MEDICAL STAFF PRESIDENT 0 425396 0 45816 0 52057 0 19800 0 32255 0 575324 0 0 MICHAEL GREY MD FORMER KE; CHAIR OF MEDICINE 0 366218 0 26667 0 5516 0 14850 0 3683 0 416934 0 0 MARIJUNE CARD REGISTERED NURSE 0 278413 0 0 0 4619 0 17751 0 38267 0 339050 0 0 GARY LAPOLLA OCCUPATIONAL HEALTH PHYSICIAN 0 278380 0 0 0 1910 0 17613 0 41032 0 338935 0 0 ANGELA SAKAL CHIEF PERFUSIONIST 0 263536 0 19822 0 1133 0 12515 0 34631 0 331637 0 0 LEE ANN JUDY REGISTERED NURSE 0 282162 0 0 0 4876 0 21933 0 15759 0 324730 0 0 SHERIFA BELLO REGISTERED NURSE 0 273077 0 0 0 0 0 16385 0 0 0 289462 0 0 JAMES HARRIS FORMER OFFICER; TH OF NE DIR OF REIM 0 207021 0 21530 0 2539 0 17812 0 28580 0 277482 0 0 PART I, LINE 3 SAINT FRANCIS HOSPITAL AND MEDICAL CENTER IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. SAINT FRANCIS HOSPITAL AND MEDICAL CENTER'S PRESIDENT IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF SAINT FRANCIS HOSPITAL AND MEDICAL CENTER'S PRESIDENT: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2023. THESE AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: DAVID BITTNER - $294,437 JENNIFER SCHNEIDER - $89,329 IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNT, WHICH WAS UNPAID AS OF 12/31/23: DAVID BITTNER - $534,192 (PAID IN 2024) JENNIFER SCHNEIDER - $337,825 (PAID IN 2024) THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2023. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. PARTICIPANTS' VESTED BENEFITS WERE PAID OUT IN 2023, AND THEIR NON-VESTED BENEFITS FOR 2023 WERE ACCRUED. THE FOLLOWING PAYOUTS FOR 2023 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: ROBERT ANTHONY - $56,002 DAVID BITTNER - $137,699 EMILY BROWER - $79,604 THOMAS BURKE - $16,223 MONTEZ CARTER - $73,923 JENNIFER SCHNEIDER - $50,566 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING ACCRUALS FOR 2023 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: ROBERT ANTHONY - $74,468 EMILY BROWER - $123,590 MONTEZ CARTER - $213,675 THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH RESTORATION PLAN. THE RESTORATION PLAN PROVIDES RETIREMENT BENEFITS FOR CERTAIN TRINITY HEALTH SYSTEM OFFICE EXECUTIVES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($330,000 IN 2023). THE FOLLOWING PAYOUTS FOR 2023 FOR THIS PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: DANIEL MOEN - $10,598 DAVID SHAPIRO - $8,524 FORM 990, PART VI, SECTION A, LINE 3 TRINITY HEALTH OF NEW ENGLAND, THE SOLE MEMBER OF SAINT FRANCIS HOSPITAL AND MEDICAL CENTER, CONTRACTED WITH HEALTHSOURCE PARTNERS LLC FOR THE PROVISION OF INTERIM FINANCIAL MANAGEMENT SERVICES BY SEAN FITZPATRICK TO TRINITY HEALTH OF NEW ENGLAND AND ITS SUBSIDIARIES. IN CALENDAR YEAR 2023, TRINITY HEALTH OF NEW ENGLAND PAID $105,053 TO HEALTHSOURCE PARTNERS LLC FOR THESE SERVICES. SAINT FRANCIS HOSPITAL AND MEDICAL CENTER DOES NOT KNOW HOW MUCH SEAN FITZPATRICK RECEIVED AS WAGES FROM HEALTHSOURCE PARTNERS LLC IN CALENDAR YEAR 2023. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF SAINT FRANCIS HOSPITAL AND MEDICAL CENTER (SAINT FRANCIS HOSPITAL) IS TRINITY HEALTH OF NEW ENGLAND CORPORATION (TRINITY HEALTH OF NEW ENGLAND). SEE LINE 7 FOR ADDITIONAL INFORMATION. FORM 990, PART VI, SECTION A, LINE 7A TRINITY HEALTH OF NEW ENGLAND IS THE SOLE MEMBER OF SAINT FRANCIS HOSPITAL. TRINITY HEALTH OF NEW ENGLAND HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF SAINT FRANCIS HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER, TRINITY HEALTH OF NEW ENGLAND MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. TRINITY HEALTH OF NEW ENGLAND MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, AND MODIFICATIONS TO GOVERNING DOCUMENTS. AS THE PARENT OF THE NATIONAL TRINITY HEALTH SYSTEM, CERTAIN POWERS ARE RESERVED TO TRINITY HEALTH CORPORATION. THESE INCLUDE THE AUTHORITY TO ADOPT OR MODIFY THE ORGANIZATION'S GOVERNING DOCUMENTS, TO APPROVE MAJOR CHANGES SUCH AS A MERGER OR DISSOLUTION, AND TO APPROVE SIGNIFICANT FINANCE MATTERS IN EXCESS OF CERTAIN LIMITS ESTABLISHED BY TRINITY HEALTH CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE AUDIT AND COMPLIANCE COMMITTEE OF TRINITY HEALTH OF NEW ENGLAND HAS THE RESPONSIBILITY FOR OVERSEEING THE REVIEW OF THE FORM 990, INCLUDING ENSURING APPROPRIATE DIRECTORS AND/OR MANAGEMENT PERSONNEL HAVE REVIEWED AND ANY ISSUES ARE COMMUNICATED TO THIS COMMITTEE PRIOR TO FILING. EACH MEMBER OF THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C SAINT FRANCIS HOSPITAL HAS ADOPTED TRINITY HEALTH'S GOVERNANCE POLICY NO. 1, WHICH SETS FORTH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND PROCESSES. IT APPLIES TO ALL "INTERESTED PERSONS" OF SAINT FRANCIS HOSPITAL, WHICH INCLUDES DIRECTORS, PRINCIPAL OFFICERS, KEY EMPLOYEES, AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS. INTERESTED PERSONS ARE EXPECTED TO DISCHARGE THEIR DUTIES IN A MANNER THE PERSON REASONABLY BELIEVES TO BE IN THE BEST INTERESTS OF SAINT FRANCIS HOSPITAL AND TO AVOID SITUATIONS INVOLVING A CONFLICT OF INTEREST. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE PROVIDED TO THE INTEGRITY AND COMPLIANCE OFFICER, WHO COLLABORATES WITH INTERNAL LEGAL COUNSEL TO ASSESS THE CONFLICT AND IDENTIFY A CONFLICT MANAGEMENT PLAN WHEN NECESSARY. ADDITIONALLY, THE INTEGRITY AND COMPLIANCE OFFICER ALONG WITH LEGAL COUNSEL PREPARES A REPORT FOR THE BOARD CHAIR AND CEO. A SUMMARY OF POTENTIAL CONFLICTS IS REVIEWED WITH THE BOARD OF DIRECTORS OF SAINT FRANCIS HOSPITAL AND MEDICAL CENTER (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO SAINT FRANCIS HOSPITAL OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF SAINT FRANCIS HOSPITAL (OR A DELEGATED COMMITTEE OF THE BOARD) IS RESPONSIBLE FOR THE REVIEW OF TRANSACTIONS TO DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS. IN THE EVENT OF AN ACTUAL CONFLICT, THE BOARD (OR A DELEGATED COMMITTEE OF THE BOARD) WILL EITHER AVOID THE CONFLICT OR APPROPRIATELY SCRUTINIZE THE TRANSACTION TO ENSURE IT IS IN THE BEST INTERESTS OF SAINT FRANCIS HOSPITAL. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE POLICY FURTHER ADDRESSES THE PROPER DOCUMENTATION OF THE PROCEEDINGS AND POTENTIAL DISCIPLINARY AND CORRECTIVE ACTION FOR VIOLATIONS OF THE POLICY. THE POLICY IS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 15 QUESTIONS 15A AND 15B ARE ANSWERED "NO" BECAUSE THE COMPENSATION FOR CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF SAINT FRANCIS HOSPITAL IS ESTABLISHED AND PAID BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING THE PRESIDENT COMPENSATION, TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF THE PRESIDENT OF SAINT FRANCIS HOSPITAL ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS. FOR OTHER EXECUTIVES WHO ARE NOT PART OF THE REBUTTABLE PRESUMPTION PROCESS, TRINITY HEALTH USES A MARKET ANALYSIS TO DETERMINE THE APPROPRIATENESS OF THE EXECUTIVE'S COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 SAINT FRANCIS HOSPITAL IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, SAINT FRANCIS HOSPITAL INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON TRINITY HEALTH'S WEBSITE. SAINT FRANCIS HOSPITAL'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS TO AFFLIATES -49,175,000. CHANGE IN DEFERRED RETIREMENT COST 4,878,641. PARTNERSHIP AND STOCKHOLDERS EQUITY ACTIVITY 703,262. EQUITY GAIN IN UNCONSOLIDATED AFFILIATES 5,925,046. FORM 990, PART XII, LINE 2: SAINT FRANCIS HOSPITAL'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY24 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH OF NEW ENGLAND AND TRINITY HEALTH, WHICH WERE BOTH AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. COLLABORATIVE LABORATORY SERVICES 114 WOODLAND STREET HARTFORD CT 06105 061520109 LAB SERVICES CT 11253069 6229325 SAINT FRANCIS HOSPITAL AND MEDICAL CENTER ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP 200 JEFFERSON AVE SE GRAND RAPIDS MI 49503 272491974 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN 1 ALLEGANY FRANCISCAN MINISTRIES INC 33920 US HIGHWAY 19 NORTH SUITE 269 PALM HARBOR FL 34684 581492325 GRANT MAKING FL 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 ASYLUM HILL FAMILY MEDICINE CENTER INC 114 WOODLAND STREET HARTFORD CT 06105 061450170 HEALTH CARE SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 BAUM HARMON MERCY HOSPITAL 801 5TH STREET SIOUX CITY IA 51101 421500277 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP 1 BAUM HARMON MERCY HOSPITAL AND CLINICS FOUNDATION 801 5TH STREET SIOUX CITY IA 51101 262973307 FOUNDATION IA 501(C)(3) LINE 12A, I BAUM HARMON MERCY HOSPITAL 1 BEECHWOOD INC 2212 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