Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 10-01-2010 and ending 09-30-2011
BCheck if applicable:
CName of organization
ST FRANCIS HOSPITAL AND MEDICAL CENTER
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
114 WOODLAND STREET
 
Room/suite
City or town, state or country, and ZIP + 4
HARTFORD, CT06105
D Employer identification number

06-0646813
E Telephone number

G Gross receipts $ 691,677,680
F Name and address of principal officer:
DAVID BITTNER
114 WOODLAND STREET
HARTFORD,CT06105
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.STFRANCISCARE.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1897
M State of legal domicile: CT
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: WE ARE COMMITTED TO HEALTH AND HEALING THROUGH EXCELLENCE, COMPASSIONATE CARE AND REVERENCE FOR THE SPIRITUALITY OF EACH PERSON.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 32
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 25
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 4,545
6 Total number of volunteers (estimate if necessary) .... 6 705
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 1,510,146
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 0
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 5,521,971 5,680,898
9 Program service revenue (Part VIII, line 2g) ......... 565,752,271 599,773,105
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 5,780,574 9,629,672
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 33,153,358 30,187,498
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 610,208,174 645,271,173
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 21,000 23,500
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 300,603,324 301,213,081
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 306,027,592 343,215,751
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 606,651,916 644,452,332
19 Revenue less expenses. Subtract line 18 from line 12...... 3,556,258 818,841
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 774,584,491 779,231,759
21 Total liabilities (Part X, line 26)............ 591,882,249 641,422,627
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 182,702,242 137,809,132
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: WE ARE COMMITTED TO HEALTH AND HEALING THROUGH EXCELLENCE, COMPASSIONATE CARE AND REVERENCE FOR THE SPIRITUALITY OF EACH PERSON.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 514,431,835 including grants of $ 23,500 ) (Revenue $ 612,803,435 )
AS THE LARGEST CATHOLIC HOSPITAL IN NEW ENGLAND WITH 114 YEARS OF SERVICE, SAINT FRANCIS HOSPITAL AND MEDICAL CENTER SHARES WITH OUR CAPITAL REGION A WONDERFUL TRADITION OF CARING. THROUGH OUR UNIVERSITY OF CONNECTICUT MEDICAL SCHOOL AFFILIATION, OUR MANY PARTNERSHIPS WITH OTHER SCHOOLS AND COMMUNITY AGENCIES, THROUGH OUR CLINICS AND OUTREACH PROGRAMS, AND OUR EMPLOYEES WHO VALUE REACHING OUT TO THOSE IN NEED, SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HONORS THE IMPORTANCE OF CLINICAL EXPERTISE AS WELL AS BUILDING RELATIONSHIPS THAT WILL LAST FOR GENERATIONS.SEE SCHEDULE O FOR CONTINUATION
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 514,431,835
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. ..... Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
 
No
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
Yes
 
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II........................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
Yes
 
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
303
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
4,545
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
32
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
25
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
 
No
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
 
No
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
 
No
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
DONNA GILBERT
114 WOODLAND STREET
HARTFORD,CT06105
(860) 714-9632
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) REV THOMAS J BARRY JCL
CHAIRMAN
 1.00 X   X       0 0 0
(2) MOST REV HENRY J MANSELL DD
CHAIRMAN, EX OFFICIO
 1.00 X   X       0 0 0
(3) CHRISTOPHER M DADLEZ
PRESIDENT & CEO
 55.00 X   X       1,298,398 0 53,864
(4) BARBARA J CALDERONE BSN JD
SECRETARY
 2.00 X   X       0 0 0
(5) L JEFFREY BALDWIN
DIRECTOR
 2.00 X           0 0 0
(6) SURENDRA K CHAWLA MD
DIRECTOR
 2.00 X           0 0 0
(7) ROBERT M ELLIS
DIRECTOR
 2.00 X           0 0 0
(8) P ANTHONY GIORGIO PHD
DIRECTOR
 2.00 X           0 0 0
(9) WALTER HARRISON PHD
DIRECTOR
 2.00 X           0 0 0
(10) JEFFREY S HOFFMAN
DIRECTOR
 2.00 X           0 0 0
(11) PETER G KELLY JD
DIRECTOR
 1.00 X           0 0 0
(12) KARL J KRAPEK
DIRECTOR
 2.00 X           0 0 0
(13) SISTER DOLORES LAHR CSJ
DIRECTOR
 1.00 X           0 0 0
(14) DAVID A LENTINI
DIRECTOR
 1.00 X           0 0 0
(15) JOYCE D MANDELL
DIRECTOR
 1.00 X           0 0 0
(16) JOHN J MARA MD
DIRECTOR
 2.00 X           0 0 0
(17) REV MSGR JOHN MCCARTHY JCD JD
DIRECTOR
 1.00 X           0 0 0
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) PAUL F MITCHELL DMD
DIRECTOR
 1.00 X           0 326,435 31,178
(19) DANIEL P O'CONNELL
DIRECTOR
 2.00 X           0 0 0
(20) KEVIN J O'CONNOR JD
DIRECTOR
 2.00 X           0 0 0
(21) JOHN D PAPANDREA MD
DIRECTOR
 1.00 X           0 0 0
(22) CURTIS D ROBINSON
DIRECTOR
 2.00 X           0 0 0
(23) JOHN W RODGERS MD
DIRECTOR
 1.00 X           0 0 0
(24) DR GALO A RODRIGUEZ MPH
DIRECTOR
 2.00 X           0 0 0
(25) ANDREW A SADANOWICZ
DIRECTOR
 1.00 X           0 0 0
(26) SUSAN J SAPPINGTON
DIRECTOR
 2.00 X           0 0 0
(27) HENRY S SCHERER JR
DIRECTOR
 2.00 X           0 0 0
(28) PHILIP J SCHULZ
DIRECTOR
 2.00 X           0 0 0
(29) ROSALIND E SHENKMAN LCSW
DIRECTOR
 1.00 X           0 0 0
(30) JEAN-PIERRE VAN ROOY
DIRECTOR
 2.00 X           0 0 0
(31) GEN R JOHN M WATKINS
DIRECTOR
 2.00 X           0 0 0
(32) STEVEN RUBY
DIRECTOR
 1.00 X           13,125 0 0
(33) E MERRITT MCDONOUGH JR
SECRETARY
 1.00 X   X       0 0 0
(34) JENNIFER SMITH-TURNER
DIRECTOR
 1.00 X           0 0 0
(35) RONALD D JARVIS
DIRECTOR
 1.00 X           0 0 0
(36) RICHARD GORDON JD
DIRECTOR
 1.00 X           0 0 0
(37) SHERI A LEMIEUX
ASSISTANT SECRETARY
 55.00     X       91,780 0 8,334
(38) TERESA M BOLTON
GENERAL COUNSEL
 55.00       X     257,886 0 22,322
(39) KATHLEEN A DEMATTEO
SR VP & CIO
 55.00       X     309,743 0 33,501
(40) ROBERT CHRISTOPHER HARTLEY
SR VP PLANNING & FACILITIES
 55.00       X     372,166 0 39,158
(41) GREG MAKOUL
SVP, CHIEF ACADEMIC OFFICER
 55.00       X     455,294 0 25,317
(42) PAUL F PENDERGAST
SENIOR VP & CDO
 55.00       X     458,014 0 56,160
(43) KATHLEEN M ROCHE
EXECUTIVE VP & COO
 55.00       X     617,879 0 39,747
(44) STEVEN ROSENBERG
SR VP & CFO
 55.00       X     540,387 0 11,914
(45) DONALD STRACESKI
INTERIM CFO
 55.00       X     316,600 0 42,208
(46) JENNIFER SCHNEIDER
CHIEF COMPLIANCE OFFICER
 55.00       X     204,115 0 25,669
(47) ARTHUR DETORE
SVP, CHIEF PHYSICIAN EXECUTIVE
 55.00       X     0 0 0
(48) REBECCA BURKE
SVP, PATIENT CARE & CLINICAL SERVICE, CNO
 55.00       X     212,068 0 6,289
(49) JEFF CHITESTER
SVP, CHIEF HUMAN RESOURCE OFFICER
 55.00       X     288,308 0 42,018
(50) JOHN N GIAMALIS
SENIOR VP & CFO
 55.00       X     0 0 0
(51) FRANK A BAUER
SECTION CHIEF
 55.00         X   331,319 0 27,730
(52) GEORGE H BARROWS
DEPT CHAIRMAN DIRECTOR
 55.00         X   318,257 0 28,530
(53) PAMELA KOWALCZYK
PROGRAM DIRECTOR
 55.00         X   298,652 0 30,072
(54) STEVEN WOLF MD
DEPT CHAIRMAN DIRECTOR
 55.00         X   365,507 0 29,167
(55) THOMAS W TURBIAK
ASSOCIATE DIRECTOR
 55.00         X   328,762 0 26,846
(56) HEMA DESILVA
FORMER DIRECTOR
 2.00           X 0 310,243 29,864
(57) MARTHA E HARTLE
FORMER ASSISTANT SECRETARY
 55.00           X 94,539 0 11,109
(58) EDWARD S JOHNSON
FORMER SR VP
 55.00           X 303,572 0 20,621
(59) MARY E INGUANTI
FORMER VP OPERATIONS
 55.00           X 305,415 0 12,438
(60) AMITKUMAR K MODY
FORMER EXEC VP & COO
             X 12,349 0 0
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 7,687,247 636,678 642,947
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet302
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
PRICEWATERHOUSE COOPERS LLP
ONE INTERNATIONAL PLACE
BOSTON,MA02110 		CONSULTING SERVICES 2,688,885
WOODLAND ANESTHESIOLOGY
114 WOODLAND ST MS 30301
HARTFORD,CT06105 		ANESTHESIOLOGY SERVICES 811,787
NAIR & LEVIN
707 BLOOMFIELD AVE
BLOOMFIELD,CT06002 		COLLECTION SERVICES 599,060
DAY PITNEY LLP
PO BOX 416234
BOSTON,MA02241 		LEGAL SERVICES 570,156
ERNST & YOUNG LLP
PO BOX 640382
PITTSBURGH,PA15264 		AUDIT SERVICES 569,100
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet16
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 428,716
e Government grants (contributions)1e 3,407,872
f All other contributions, gifts, grants, and
similar amounts not included above1f 		1,844,310
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 5,680,898
Program Service Revenue Business Code
2a PATIENT REVENUE 624,100 597,334,558 596,273,366 1,061,192  
b PARTNERSHIP REVENUE 541,900 2,567,905 2,564,885 3,020  
c PARTNERSHIP REVENUE 812,300 -129,358   -129,358  
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 599,773,105
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 5,052,865     5,052,865
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents 5,142,280  
b Less: rental expenses    
c Rental income or (loss) 5,142,280  
d Net rental income or (loss).......MediumBullet 5,142,280     5,142,280
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 50,905,330 77,984
b Less: cost or other basis and sales expenses 46,392,463 14,044
c Gain or (loss) 4,512,867 63,940
d Net gain or (loss)..........MediumBullet 4,576,807     4,576,807
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a OTHER PATIENT SVCS 624,100 11,439,596     11,439,596
b PREMIUM INCOME 524,298 9,114,201 8,538,909 575,292  
c MISCELLANEOUS 900,099 3,187,598 3,187,598    
d All other revenue .... 1,303,823 1,303,823    
e Total. Add lines 11a–11d ......MediumBullet 25,045,218
12 Total revenue. See Instructions....MediumBullet 645,271,173 611,868,581 1,510,146 26,211,548
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21    
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22 23,500 23,500
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 6,525,612   6,525,612  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 234,108,717 194,488,668 39,620,049  
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 12,636,236 10,385,174 2,251,062  
9 Other employee benefits ....... 31,148,510 25,387,444 5,761,066  
10 Payroll taxes ........... 16,794,006 13,529,885 3,264,121  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 17,790,647   17,790,647  
c Accounting ........... 366,411   366,411  
d Lobbying ........... 137,417   137,417  
e Professional fundraising. See Part IV, line 17..    
f Investment management fees ...... 219,438   219,438  
g Other .......... 82,486,740 66,636,415 15,850,325  
12 Advertising and promotion .... 1,583,252   1,583,252  
13 Office expenses ....... 121,149,902 120,261,590 888,312  
14 Information technology ...... 6,989,795 6,739,134 250,661  
15 Royalties ..        
16 Occupancy ........... 32,725,272 31,452,790 1,272,482  
17 Travel ............ 1,606,325 1,606,325    
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings ....        
20 Interest ........... 10,531,590 9,560,860 970,730  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 29,387,676 29,387,676    
23 Insurance .............. 13,008,748   13,008,748  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a PROF LIABILITY INSURANC 11,866,963   11,866,963  
b FOOD 1,869,099 1,869,099    
c RESIDENT TAX 1,779,098 1,779,098    
d HOSP DUES/FEES/MEMBERSH 1,550,739   1,550,739  
e PROF DUES/LICENSES 944,019   944,019  
f All other expenses 7,222,620 1,324,177 5,898,443  
25 Total functional expenses. Add lines 1 through 24f 644,452,332 514,431,835 130,020,497 0
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 64,107,707 1 57,455,081
2 Savings and temporary cash investments ....... 51,557,494 2 52,315,791
3 Pledges and grants receivable, net .........   3  
4 Accounts receivable, net ......... 63,545,420 4 66,709,118
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net ............. 1,223,954 7 943,954
8 Inventories for sale or use .............. 4,918,393 8 5,826,486
9 Prepaid expenses and deferred charges ............ 6,274,108 9 6,568,624
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 933,808,304
b Less: accumulated depreciation. ..... 10b 481,556,719 418,757,431 10c 452,251,585
11 Investments—publicly traded securities .......... 51,320,356 11 49,904,574
12 Investments—other securities. See Part IV, line 11 ...... 25,978,673 12 32,708,875
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 86,900,955 15 54,547,671
16 Total assets. Add lines 1 through 15 (must equal line 34)... 774,584,491 16 779,231,759
Liabilities 17 Accounts payable and accrued expenses . 41,547,611 17 30,550,768
18 Grants payable ..........   18  
19 Deferred revenue ..........   19  
20 Tax-exempt bond liabilities .......... 266,005,000 20 262,310,000
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 16,101,637 23 9,834,343
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 268,228,001 25 338,727,516
26 Total liabilities. Add lines 17 through 25..... 591,882,249 26 641,422,627
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 97,426,336 27 43,762,715
28 Temporarily restricted net assets ..... 36,394,960 28 46,527,888
29 Permanently restricted net assets ..... 48,880,946 29 47,518,529
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 182,702,242 33 137,809,132
34 Total liabilities and net assets/fund balances ..... 774,584,491 34 779,231,759
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
645,271,173
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
644,452,332
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
818,841
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
182,702,242
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
-45,711,950
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
137,809,132
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
ST FRANCIS HOSPITAL AND MEDICAL CENTER
 
Employer identification number

06-0646813
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
ST FRANCIS HOSPITAL AND MEDICAL CENTER
 
Employer identification number

06-0646813
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
ST FRANCIS HOSPITAL AND MEDICAL CENTER
  		Employer identification number

06-0646813
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
ST FRANCIS HOSPITAL AND MEDICAL CENTER
  		Employer identification number

06-0646813
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
ST FRANCIS HOSPITAL AND MEDICAL CENTER
  		Employer identification number

06-0646813
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
ST FRANCIS HOSPITAL AND MEDICAL CENTER
 
Employer identification number

06-0646813
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
Organization's
Totals 		(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		         
             
c Total lobbying expenditures          
             
d Grassroots non-taxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		          
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
180,733
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
 
No
 
j
Total. lines 1c through 1i ...................................
180,733
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ST FRANCIS HOSPITAL AND MEDICAL CENTER
 
Employer identification number

06-0646813
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 62,884,485 59,910,100 60,938,954
b Contributions ........     18,366
c Investment earnings or losses ... -2,627,301 2,974,385 -1,047,220
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........ 		     
f Administrative expenses ....      
g End of year balance ...... 60,257,184 62,884,485 59,910,100
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet28.000 %
b
Permanent endowment: SchDMd Bullet72.000 %
c
Term endowment: SchDMd Bullet  
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
Yes
 
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   6,025,317 6,025,317
b Buildings ................   492,689,158 160,979,165 331,709,993
c Leasehold improvements ............   4,300,354 4,191,350 109,004
d Equipment ................   399,381,078 305,637,978 93,743,100
e Other .................   31,412,397 10,748,226 20,664,171
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 452,251,585
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) CHEFA BOND SERIES 6,157,072
(2) BOND ISSUANCE COST, LESS AMORTIZATION 2,505,498
(3) ASSETS HELD IN TRUST 43,233,016
(4) OTHER ASSETS 2,652,085





Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 54,547,671
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
SALARIES & WAGES 30,428,477
ACCRUED EXPENSES & INTEREST 12,284,643
PENSION AND OTHER ACCRUED EXPENSES 282,681,629
DUE TO AFFILIATED ENTITIES 8,226,681
DUE TO 3RD PARTY REIMBURSEMENT 5,106,086




Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 338,727,516
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1 645,271,173
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2 644,452,332
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3 818,841
4 Net unrealized gains (losses) on investments .......................... 4 -6,634,449
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7 7,151,668
8 Other (Describe in Part XIV) ................................. 8 -46,229,169
9 Total adjustments (net). Add lines 4 - 8 ............................. 9 -45,711,950
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10 -44,893,109
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 672,441,020
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a -6,634,449
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d 46,336,653
e Add lines 2a through 2d ..................... 2e 39,702,204
3 Subtract line 2e from line 1..................... 3 632,738,816
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b 12,532,357
c Add lines 4a and 4b....................... 4c 12,532,357
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5 645,271,173
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1 679,842,015
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d 47,067,308
e Add lines 2a through 2d...................... 2e 47,067,308
3 Subtract line 2e from line 1..................... 3 632,774,707
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b 11,677,625
c Add lines 4a and 4b....................... 4c 11,677,625
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5 644,452,332
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: ENDOWMENT FUNDS ARE TO BE USED TO SUPPORT HEALTHCARE SERVICES.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE HOSPITAL AND MEDICAL CENTER AND ITS PRINCIPAL SUBSIDIARIES ARE TAX-EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. TAX PROVISIONS AND RELATED LIABILITIES FOR CERTAIN TAXABLE SUBSIDIARIES ARE NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. ASC 740-10, UNCERTAIN TAX POSITIONS, PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THIS INTERPRETATION ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, AND DISCLOSURE REQUIREMENTS FOR UNCERTAIN TAX POSITIONS. MANAGEMENT HAS EVALUATED THE IMPLICATIONS OF ASC 740-10 AND DETERMINED THAT ITS IMPACT ON THE CONSOLIDATED FINANCIAL STATEMENTS IS NOT SIGNIFICANT. THE SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HAS NET OPERATING LOSS CARRYFORWARDS RESULTING IN A DEFERRED TAX ASSET OF APPROXIMATELY $760,000, WHICH IS OFFSET BY A CORRESPONDING VALUATION ALLOWANCE OF THE SAME AMOUNT.
PART XI, LINE 8 - OTHER ADJUSTMENTS:   DECREASE IN ASSETS HELD IN TRUST BY OTHERS -1,362,417. DECREASE IN MINIMUM PENSION LIABILITY -34,806,346. INCREASE IN INTEREST IN ST FRANCIS FOUNDATION 1,702,000. NET PARTNERSHIP INCOME -2,510,101. CHANGE IN FAIR MARKET VALUE OF SWAP -10,674,433. PURCHASE OF MINORITY INTEREST IN SUBSIDIARY 2,452,287. OTHER CHANGES -1,030,159.
PART XII, LINE 2D - OTHER ADJUSTMENTS:   INCOME FROM SUSIDIARIES 30,929,830. BAD DEBT EXPENSE 15,406,823.
PART XII, LINE 4B - OTHER ADJUSTMENTS:   NET INCOME FROM PARTNERSHIP INVESTMENTS 2,510,101. INCOME FROM ST. FRANCIS INDEMNITY CORPORATION, LLC 9,593,540. NET TRANSFER FROM SAINT FRANCIS FOUNDATION 428,716.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:   EXPENSES FROM SUBSIDIARIES 31,660,485. BAD DEBTS 15,406,823.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:   EXPENSES FROM ST. FRANCIS INDEMNITY COMPANY, LLC 11,677,625.
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ST FRANCIS HOSPITAL AND MEDICAL CENTER
 
Employer identification number

06-0646813
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
Yes
 
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
 
No
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
 
6a
Does the organization prepare an annual community benefit report?.............
6a
Yes
 
6b
If "Yes," does the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs		 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) .. 		  12,817 4,959,303   4,959,303 0.770 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) . 		  38,051 28,310,557   28,310,557 4.390 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....            
dTotal Charity Care and
Means-Tested Government Programs ..... 		  50,868 33,269,860   33,269,860 5.160 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) .... 		  103,064 2,850,206   2,850,206 0.440 %
f Health professions education
(from Worksheet 5) .. 		  2,172 24,760,962 7,711,984 17,048,978 2.650 %
g Subsidized health services
(from Worksheet 6) .. 		  8,619 975,679   975,679 0.150 %
h Research (from Worksheet 7)   9 956,750   956,750 0.150 %
i Cash and in-kind contributions
to community groups
(from Worksheet 8) .. 		  16,574 547,411   547,411 0.080 %
jTotal Other Benefits ...   130,438 30,091,008 7,711,984 22,379,024 3.470 %
kTotal. Add lines 7d and 7j. ..   181,306 63,360,868 7,711,984 55,648,884 8.630 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing   5 3,224   3,224 0 %
2 Economic development            
3 Community support     47,998   47,998 0.010 %
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy   140 114,903   114,903 0.020 %
8 Workforce development            
9 Other            
10 Total   145 166,125   166,125 0.030 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense (at cost).....
2
5,688,734
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
 
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
188,142,324
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
183,363,070
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
4,779,254
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
Yes
 
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership% 		(e) Physicians'
profit % or stock
ownership %
11 GRTR HTFD LITHOTRIPSY LLC
  		HEALTH CARE SERVICES - LITHOTRIPSY 20.000 %   40.000 %
22 ST FRANCIS GI ENDOSCOPY LLC
  		HEALTH CARE SERVICES - ENDOSCOPY 49.000 %   51.000 %
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?1
Name and address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 SAINT FRANCIS HOSPITAL
114 WOODLAND STREET
HARTFORD,CT06105 		X X   X     X    
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:NA
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?  
Name and address Type of Facility (Describe)
1
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
    PART I, LINE 3C: N/APART I, LINE 4: SAINT FRANCIS HOSPITAL AND MEDICAL CENTER ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT BY REFERENCE TO THE ESTABLISHED POLICIES OF SAINT FRANCIS HOSPITAL AND MEDICAL CENTER. ESSENTIALLY, THESE POLICIES DEFINE CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO PAYMENT IS ANTICIPATED. IN ASSESSING A PATIENT'S INABILITY TO PAY, SAINT FRANCIS HOSPITAL AND MEDICAL CENTER UTILIZES THE GENERALLY RECOGNIZED POVERTY INCOME LEVELS FOR THE STATE OF CONNECTICUT, BUT ALSO INCLUDES CERTAIN CASES WHERE INCURRED CHARGES ARE SIGNIFICANT WHEN COMPARED TO INCOMES. IN ADDITION, ALL SELF-PAY PATIENTS RECEIVE A 35% DISCOUNT FROM CHARGES WHICH IS NOT INCLUDED IN NET PATIENT SERVICE REVENUE FOR FINANCIAL REPORTING PURPOSES.
    PART I, LINE 6A: SAINT FRANCIS HOSPITAL AND MEDICAL CENTER PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT. THIS REPORT IS AVAILABLE ON THE SAINT FRANCIS HOSPITAL WEBSITE.
    PART I, LINE 7: SAINT FRANCIS HOSPITAL AND MEDICAL CANTER USES A COST ACCOUNTING SYSTEM WITHIN THE DECISION SUPPORT SYSTEM PRODUCT. IT IS A FULLY ABSORBED COSTING SYSTEM USING REMAPS OF EXPENSE AND REVENUES WHERE NEEDED. INDIRECT, OR OVERHEAD, COSTS ARE ALLOCATED USING STATISTICS IN ORDER TO ALLOCATE THE COSTS TO THE REVENUE PRODUCING DEPARTMENTS. THE METHOD OF ALLOCATING DOLLARS TO THE CHARGE ITEMS IS CURRENTLY PRIMARILY BASED ON A RCC METHOD USING OUR CHARGE ITEM PRICE AS THE DRIVER. WE HAVE INTERSPERSED SOME NATIONAL RVU'S FROM THE CMS FEE SCHEDULE TO MANY DEPARTMENTS AS WELL AS USING COSTS TO HELP ALLOCATE OUR PHARMACY AND SUPPLY EXPENSES. ALL CHARGE ITEMS OBTAIN A COST AND ALL PATIENT SEGMENTS ARE FULLY COSTED.
    PART II: SAINT FRANCIS HOSPITAL AND MEDICAL CENTER IS INVOLVED IN A VARIETY OF COMMUNITY BUILDING ACTIVITIES WHICH ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS. SOME ARE SPECIFIC TO THE COMMUNITY SERVED AND OTHERS ARE MORE GLOBAL IN APPROACH, SUCH AS ADVOCACY WORK AND BOARD MEMBERSHIP IN LOCAL ORGANIZATION THAT PROVIDE CRITICAL SERVICES TO THOSE IN NEED. PHYSICAL IMPROVEMENTS AND HOUSINGHOUSING ISSUES ARE A MAJOR CONCERN THROUGHOUT HARTFORD AS EVIDENCED BY THE LOW PERCENTAGE OF HOME OWNERSHIP AND THE HIGH INCIDENCE OF LEAD POISONING IN CHILDREN WHO LIVE IN THE CITY. SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HAS PARTNERED FOR MANY YEARS IN A VARIETY OF HOUSING RELATED PROJECTS INCLUDING THE LEAD ACTION FOR MEDICAID PRIMARY PREVENTION (LAMPP) PROGRAM TO PROVIDE SERVICES TO FAMILIES IMPACTED BY LEAD POISONING. THE LAMPP PROGRAM WORKS WITH LANDLORDS AND HOMEOWNERS TO REMEDIATE HOMES THAT HAVE BEEN IDENTIFIED WITH HIGH LEVELS OF LEAD DUST WHICH CAN IMPACT THE HEALTH OF VULNERABLE CHILDREN. THE SAINT FRANCIS DEPARTMENT OF PEDIATRICS RUNS A LEAD SAFE HOUSE WITH LEAD FREE APARTMENTS THAT CAN BE USED BY THOSE ENROLLED IN LAMPP SO THAT THEY HAVE A PLACE TO STAY WHILE THEIR HOMES ARE REMEDIATED OF LEAD CONTAMINANTS. THE PARTNERSHIP ENABLES THE LAMPP PROGRAM TO EFFICIENTLY IMPROVE HOUSING CONDITIONS SO THAT CHILDREN ARE NOT AT RISK OF LEAD POISONING. THE SAINT FRANCIS FOUNDATION ALSO MAKES CONTRIBUTIONS TO ORGANIZATIONS THAT FOCUS ON HOUSING IN THE HARTFORD COMMUNITY SUCH AS THE SOUTH PARK INN (A HOMELESS SHELTER), HABITAT FOR HUMANITY, REBUILDING HARTFORD TOGETHER, AND SHELTER FOR WOMEN.ON AN ANNUAL BASIS THE DEPARTMENT OF ENGINEERING AT SAINT FRANCIS PARTNERS WITH REBUILDING HARTFORD TOGETHER AND WORKS TO REBUILD OR REMODEL A HOME FOR A FAMILY IN NEED OF ASSISTANCE. SAINT FRANCIS STAFF CONTRIBUTES TIME, MATERIALS AND EXPERTISE TO THE PROJECT AND PLAY A CRITICAL ROLE IN THE COORDINATION AND EXECUTION OF THE PROJECT. ADDITIONALLY, ONE MEMBER SITS ON THE BOARD OF DIRECTORS FOR REBUILDING HARTFORD TOGETHER ON A YEAR ROUND BASIS.ECONOMIC DEVELOPMENTTHE SAINT FRANCIS FOUNDATION MAKES CONTRIBUTIONS ON AN ANNUAL BASIS TO ENCOURAGE ECONOMIC DEVELOPMENT IN THE COMMUNITIES SERVED BY THE HOSPITAL. SOME EXAMPLES INCLUDE CONTRIBUTIONS TO CITY OF HARTFORD YOUTH SERVICES, THE CITY HEALTH AND HUMAN SERVICES DEPARTMENT, THE NORTHSIDE INSTITUTIONAL NEIGHBORHOOD ALLIANCE, THE HARTFORD BUSINESS JOURNAL, THE DRESS FOR SUCCESS FUNDRAISER, AND LEADERSHIP OF GREATER HARTFORD. ADDITIONALLY ADMINISTRATIVE STAFF AT SAINT FRANCIS SITS ON THE BOARDS OF A NUMBER OF ORGANIZATIONS THAT FOCUS ON THE ECONOMIC DEVELOPMENT OF OUR COMMUNITY, INCLUDING CREATING OPPORTUNITIES FOR YOUTH AND WORKING TO REDUCE VIOLENCE IN THE CITY.COMMUNITY SUPPORT SAINT FRANCIS HOSPITAL AND MEDICAL CENTER IS INVOLVED IN A WIDE ARRAY OF COMMUNITY SUPPORT PROGRAMS AND INITIATIVES. THEY RANGE FROM DECREASING THE IMPACT OF VIOLENT CRIMES ON THE COMMUNITY TO ASSISTING WITH LITERACY TO FACILITATING AN UNDERSTANDING OF WHAT CAN BE DONE TO PREVENT DOMESTIC VIOLENCE OR CHILD ABUSE. THE REACH OUT AND READ PROGRAM AT SAINT FRANCIS HOSPITAL AND MEDICAL CENTER IN HARTFORD CONNECTICUT IS DESIGNED TO IMPROVE EARLY LITERACY SKILLS OF YOUNG CHILDREN AND TO EDUCATE FAMILIES ABOUT THE IMPORTANCE OF READING TO THEIR CHILDREN. THE PROGRAM HAS THREE BASIC COMPONENTS: FIRST, TRAINED VOLUNTEERS READ TO CHILDREN IN THE WAITING ROOM TO MODEL TECHNIQUES FOR READING ALOUD; SECOND, EACH CHILD IS GIVEN A NEW BOOK AFTER EACH WELL CHILD VISIT AT 6 MONTHS, 12 MONTHS, 18 MONTHS, AND ANNUALLY AT 2-5 YEAR VISITS; AND THIRD, TRAINED PRIMARY CARE PROVIDERS PROMOTE EARLY LITERACY BY EXPLAINING THE IMPORTANCE OF READING ALOUD TO FAMILIES AND ENCOURAGING THEM TO DO IT EVERY DAY. THE PROGRAM DISTRIBUTES OVER 1500 BOOKS PER YEAR TO CHILDREN. THE GOAL OF THE ROR PROGRAM AT ST. FRANCIS HOSPITAL AND MEDICAL CENTER IS TO INCREASE THE EXPOSURE OF YOUNG CHILDREN TO BOOKS AND TO READING AS AN ACTIVITY SO THAT THEY ARE READY FOR SCHOOL. ADDITIONALLY THE PROGRAM SEEKS TO EDUCATE PARENTS ABOUT THE IMPORTANCE OF READING AS AN ACTIVITY WHICH CAN IMPROVE LANGUAGE DEVELOPMENT AND ASSIST CHILDREN IN LEARNING THE SKILLS THEY NEED TO SUCCEED IN SCHOOL. THE VISION OF THE VIOLENCE & INJURY PREVENTION PROGRAM IS: TO IMPROVE THE HEALTH AND OVERALL WELL-BEING OF THE PEOPLE IN OUR SHARED COMMUNITY BY DEVELOPING AND IMPLEMENTING SUSTAINABLE, INNOVATIVE PREVENTION AND RESEARCH INITIATIVES THAT REDUCE THE OCCURRENCE AND CONSEQUENCE OF VIOLENCE AND INJURY. THE PROGRAM INCLUDES INITIATIVES TO PROMOTE THE USE OF CAR SEATS TO PREVENT INJURY, INCREASING AWARENESS OF CHILD ABUSE AND STEPS THAT CAN BE TAKEN TO PREVENT IT, A DOMESTIC VIOLENCE TRAINING PROGRAM FOR HEALTH CARE PROVIDERS, AND A PROGRAM TO HELP TEENS MAKE THE RIGHT CHOICE IN RISKY SITUATIONS CALLED LET'S NOT MEET BY ACCIDENT. RESOURCES TO ADDRESS ELDERLY FALLS AND GENERAL INJURY PREVENTION AWARENESS ARE ALSO AVAILABLE. LET'S NOT MEET BY ACCIDENT IS A COMPREHENSIVE EDUCATION PROGRAM TO ENCOURAGE TEENS TO MAKE HEALTHY DECISIONS IN RISKY SITUATIONS. IT IS PRESENTED BY THE VIOLENCE AND INJURY PREVENTION PROGRAM OF SAINT FRANCIS HOSPITAL AND MEDICAL CENTER AND MAKES USE OF THE HELICOPTER PAD, THE TRAUMA DEPARTMENT AND THE EMERGENCY ROOM TO SIMULATE A "MOCK ACCIDENT" SO THAT YOUTH CAN SEE FOR THEMSELVES THE RESULTS OF POOR DECISION MAKING. THE GOAL OF THE PROGRAM IS TO ENCOURAGE TEENS TO MAKE "HEALTHY CHOICES IN RISKY SITUATIONS". PARTICIPANTS LEARN THAT TRAUMATIC INJURIES CLAIM THE LIVES OF MORE AMERICANS UNDER AGE 34 THAN AIDS, CANCER, AND HEART DISEASE COMBINED. SAINT FRANCIS HOSPITAL & MEDICAL CENTER FURTHER DEMONSTRATES ITS COMMITMENT TO PREVENTION BY SUPPORTING THE CHILD ADVOCACY CENTER AND PARTICIPATING REGULARLY IN THE CHILD PROTECTION TEAM MEETINGS. THIS WORK FOCUSES ON ISSUES REGARDING CHILD ABUSE/NEGLECT & CHILD ABUSE PREVENTION. THESE, ALONG WITH OTHER SAINT FRANCIS PROGRAMS, INCREASE THE UNDERSTANDING OF THE PROBLEM OF CHILD ABUSE; SERVE AS A RESOURCE FOR PATIENTS, FAMILIES AND STAFF; AND FOSTER AN ENVIRONMENT THAT IS COMMITTED TO CHILD ABUSE PREVENTION. PREVENTION EFFORTS ARE THE KEY IN ENDING CHILD ABUSE. REACHING CHILDREN & FAMILIES BEFORE THEY ARE IN A CRISIS IS NEEDED. THE BEST WAY TO OFFER THIS IS THROUGH CREATIVE, CONCRETE PROGRAMS THAT OFFER SUPPORT AND SOLUTIONS TO THE COMPLEX PROBLEMS FACING TODAY'S CHILDREN AND FAMILIES.THE HEALTHY START PROGRAM PROVIDES SUPPORT TO NEW MOMS BOTH DURING PREGNANCY AND DURING THE FIRST YEAR OF THEIR CHILD'S LIFE TO PREVENT INFANT MORTALITY. PARENTING SUPPORT, RESOURCE REFERRALS, AND HEALTH EDUCATION IS TAILORED TO EACH PATIENTS NEEDS AND PROVIDED IN A ONE-TO-ONE SETTING. THE PROGRAM IS CO-LOCATED WITH THE OBGYN CLINIC AND STAFF WORK HAND IN HAND WITH OTHER PARENTING SUPPORT PROGRAMS SUCH AS MATERNAL AND INFANT OUTREACH PROGRAM, COMADRONA PROGRAM, NURTURING FAMILIES AND FAMILY ENRICHMENT.LEADERSHIP DEVELOPMENTIN THE AREA OF LEADERSHIP DEVELOPMENT AND TRAINING SAINT FRANCIS HOSPITAL AND MEDICAL CENTER FOCUSES ON AREAS OF EXPERTISE IN PASTORAL COUNSELING TRAINING. CLASSES ARE HELD ON A REGULAR BASIS TO ASSIST RELIGIOUS LEADERS OF ALL DENOMINATIONS TO PARTICIPATE IN PASTORAL WORK THROUGHOUT THE COMMUNITY. ADDITIONALLY, A FORMAL INTERNSHIP PROGRAM IS PROVIDED THROUGH THE CHAPLAINCY PROGRAM AT SAINT FRANCIS WHICH PROVIDES INTERNSHIP TRAINING TO CHAPLAINS ON AN ON-GOING BASIS.CLINICAL PASTORAL EDUCATION (CPE) IS AN INTERFAITH PROFESSIONAL EDUCATION PROGRAM FOR MINISTRY. IT BRINGS THEOLOGY STUDENTS, CLERGY OF ALL FAITHS, AND QUALIFIED LAY PEOPLE INTO SUPERVISED ENCOUNTERS WITH PERSONS IN CRISIS. PARTNERS IN CPE IS A UNIQUE PROGRAM CO-SPONSORED BY MERCY COMMUNITY HEALTH AND SAINT FRANCIS HOSPITAL & MEDICAL CENTER, TWO FAITH BASED ORGANIZATIONS. THE MISSION, CORE VALUES, AND VISION OF PARTNERS IN CPE INSTITUTIONS EMPHASIZE THE SPIRITUAL WELL-BEING OF PATIENTS, THEIR LOVED ONES, AND STAFF.THE WORK OF PASTORAL COUNSELING RELIES HEAVILY ON THE BRANCH OF PSYCHOLOGY THAT HONORS BLENDING SOUND CLINICAL INSIGHT WITH MEANINGFUL FORMS OF SPIRITUALITY IN EVERYDAY LIFE. CLASSES MOST OFTEN REFERENCE EXAMPLES OR "CASE STUDIES" (WITHOUT SPECIFIC REFERENCE TO ANY PARTICULAR NAME) TO GROUND THE COUNSELING SKILLS IN PRACTICAL MINISTRY. PARTICIPANTS ARE ENCOURAGED TO THOUGHTFULLY BRING THEIR SPIRITUAL AND RELIGIOUS ORIENTATION AND BELIEFS INTO THE CLASS TO CONSIDER HOW THEY CARE FOR THE SOUL WITH THEIR UNIQUE TRADITIONS. PARTICIPANTS ARE INTRODUCED TO IMPORTANT CLINICIANS IN THEIR LOCAL COMMUNITY TO WHOM THEY CAN RELY WHEN NEEDED.SEE SCHEDULE O FOR CONTINUATION
    PART III, LINE 4: SAINT FRANCIS HOSPITAL AND MEDICAL CENTER ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT BY REFERENCE TO THE ESTABLISHED POLICIES OF THE HOSPITAL. ESSENTIALLY, THESE POLICIES DEFINE CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO PAYMENT IS ANTICIPATED. IN ASSESSING A PATIENT'S INABILITY TO PAY, THE HOSPITAL UTILIZES THE GENERALLY RECOGNIZED POVERTY INCOME LEVELS FOR THE STATE OF CONNECTICUT, BUT ALSO INCLUDES CERTAIN CASES WHERE INCURRED CHARGES ARE SIGNIFICANT WHEN COMPARED TO INCOMES. IN ADDITION, ALL SELF-PAY PATIENTS RECEIVE A 35% DISCOUNT FROM CHARGES WHICH IS NOT INCLUDED IN NET PATIENT SERVICE REVENUE FOR FINANCIAL REPORTING PURPOSES.
    PART III, LINE 8: N/A FOR SHORTFALL REPORTED IN LINE 7.MEDICARE ALLOWABLE COSTS OF CARE ON LINE 6 WERE DETERMINED FROM THE MEDICARE COST REPORTS.
    PART III, LINE 9B: SEE PART III, LINE 4
    PART VI, LINE 2: SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HAS PAIRED WITH THE THREE OTHER HOSPITALS LOCATED IN HARTFORD, MOUNT SINAI REHABILITATION HOSPITAL, CONNECTICUT CHILDREN'S MEDICAL CENTER, AND HARTFORD HOSPITAL, TO ENGAGE THE CITY OF HARTFORD HEALTH AND HUMAN SERVICES DEPARTMENT TO CONDUCT A COMMUNITY NEEDS ASSESSMENT. MEETINGS OF THE "COMMUNITY NEEDS ASSESSMENT WORKGROUP" TOOK PLACE OVER A 6 MONTH PERIOD EVERY TWO WEEKS TO DISCUSS THE DESIGN AND IMPLEMENTATION OF THE NEEDS ASSESSMENT. AN INVENTORY OF LOCAL RESOURCES WAS CONDUCTED TO DETERMINE HOW BEST TO MAKE USE OF RESOURCES AT THE LOCAL COLLEGES AND UNIVERSITIES, LOCAL COMMUNITY ORGANIZATION, CITY GOVERNMENT AND THE HOSPITALS THEMSELVES. AN OUTSIDE CONSULTANT WAS ENGAGED TO COMPLETE THE NEEDS ASSESSMENT ONCE THE WORK PLAN WAS AGREED UPON. THE ASSESSMENT METHODOLOGY INCLUDED A NUMBER OF DATA GATHERING PROCESSES: REVIEW OF THE AVAILABLE SECONDARY DATA, INCLUSION OF DATA FROM A LOCAL HEALTH EQUITY INDEX AND TELEPHONE INTERVIEWS OF LOCAL KEY INFORMANTS. SECONDARY DATA PROFILE FINDINGS:HARTFORD IS A VERY DIVERSE (42% HISPANIC AND 37% AFRICAN AMERICAN), YOUNG (49% BETWEEN THE AGES OF 15-45), POOR (32% OF ALL PEOPLE BELOW THE POVERTY LEVEL) AND UNDER EDUCATED (32% OF 25 YEAR OLDS DID NOT GRADUATE FROM HIGH SCHOOL) CITY. THE UNEMPLOYMENT RATE IS 18% AND SAFETY IS A MAJOR CONCERN FOR RESIDENTS WITH RATES OF LARCENY, DRUG ABUSE, ASSAULT AND MURDER ALL HIGHER THAN STATE LEVELS. HEALTH ISSUES OF THE CITIES RESIDENTS INCLUDE HIGH RATES OF DIABETES, OBESITY, ASTHMA, DRUG ABUSE AND MENTAL ILLNESS. RATES OF HEART DISEASE AND CANCER ARE ON AVERAGE LOWER THAN THE REST OF THE STATE WHICH IS LIKELY DUE TO THE AGE OF THE CITY'S RESIDENTS. KEY INFORMANT INTERVIEW FINDINGS:RESULTS FROM THE KEY INFORMANT INTERVIEWS SERVED TO CLARIFY THE ISSUES THAT THOSE WORKING IN THE COMMUNITY SEE AS KEY COMMUNITY NEEDS. INTERESTINGLY THE INFORMATION ON THE MOST IMPORTANT HEALTH ISSUES WAS RIGHT ON TARGET WITH DIABETES, OBESITY, MENTAL ILLNESS AND DRUG ABUSE ALL INCLUDED IN THE TOP 5 KEY HEALTH ISSUES. ADDITIONALLY KEY INFORMANTS FELT THAT NEIGHBORHOOD SAFETY WAS A MAJOR CONCERN AS IS THE QUALITY OF HOUSING AND THE LIMITED NUMBER OF JOB OPPORTUNITIES. MORE DATA TO BE COLLECTED:ANALYSIS OF SECONDARY DATA AND KEY INFORMANT DATA HIGHLIGHTS THE NEED FOR DIRECT COMMUNITY MEMBER INPUT INTO CLARIFYING NEEDS. FOCUS GROUPS HAVE BEEN PLANNED FOR JULY 2012 WHICH WILL RECRUIT COMMUNITY MEMBERS TO DISCUSS THEIR IMPRESSIONS OF THE HEALTH CARE SYSTEM IN HARTFORD AND THE NEEDS THAT ARE NOT CURRENTLY BEING ADDRESSED.
    PART VI, LINE 3: PATIENTS' ABILITY TO PAY FOR HEALTH CARE IS ASSESSED DURING THE INTAKE PROCESS. IF IT BECOMES CLEAR THAT THE PATIENT DOES NOT HAVE COVERAGE OR HAS MINIMAL COVERAGE, THEY ARE REFERRED TO A FINANCIAL COUNSELOR WHO REVIEWS THEIR CURRENT INCOME TO DETERMINE ELIGIBILITY FOR EITHER STATE ASSISTANCE OR HELP FROM SAINT FRANCIS CHARITY CARE DOLLARS. IN AREAS OF THE HOSPITAL WHERE NEW PATIENTS ARRIVE: THE AMBULATORY CARE CLINIC, THE ADMISSIONS AREA, THE PEDIATRIC CLINIC AND THE EMERGENCY DEPARTMENT, SIGNAGE IS POSTED ABOUT THE FINANCIAL ASSISTANCE AVAILABLE TO ALL PATIENTS WHO QUALIFY. THIS INFORMATION OUTLINES, IN BOTH ENGLISH AND SPANISH, THE AVAILABILITY OF FINANCIAL COUNSELING AND ASSISTANCE FOR MEDICAL BILLS. ADDITIONALLY, A "PATIENT AND FAMILY INFORMATION NOTEBOOK" WHICH INCLUDES A CHAPTER ON THE AVAILABILITY OF FINANCIAL ASSISTANCE FOR PATIENTS WHO EITHER DO NOT HAVE COVERAGE OR ARE NOT COVERED FULLY BY THEIR HEALTH INSURANCE IS LOCATED IN EACH PATIENT ROOM. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS ALSO INCLUDED IN DISCHARGE MATERIALS. SAINT FRANCIS DOES NOT TURN PATIENTS AWAY DUE TO THEIR INABILITY TO PAY. FINALLY, PATIENTS WHO HAVE NOT BEEN FORTHCOMING IN THEIR NEED FOR FINANCIAL ASSISTANCE PRIOR TO THE DELIVERY OF HEALTH CARE SERVICES ARE PROVIDED WITH INFORMATION ABOUT OUR CHARITY CARE POLICY WHEN THEY RECEIVE A BILL FOR THE SERVICES RENDERED. THEY ARE ENCOURAGED TO TALK TO A FINANCIAL COUNSELOR TO DISCUSS A PAYMENT PLAN AND TO DETERMINE IF THEY ARE ELIGIBLE FOR STATE ASSISTANCE OR IF A PORTION OF THEIR BILL CAN BE "WRITTEN OFF" TO CHARITY CARE. SAINT FRANCIS HOSPITAL AND MEDICAL CENTER ALSO CONTRACTS WITH A COMPANY TO VISIT PATIENTS IN THEIR HOMES TO HELP THEM APPLY FOR STATE ASSISTANCE SO THAT THEY HAVE THEIR HEALTH COVERAGE IF THEY SHOULD NEED FURTHER ASSISTANCE. ADDITIONALLY, A DSS WORKER IS AVAILABLE ON-SITE FOR DIRECT ENROLLMENT INTO STATE AID PROGRAMS FOR WHICH PATIENTS QUALIFY. THIS POSITION IS FULL TIME AND HOUSED IN AN AREA OF THE HOSPITAL CLOSE TO THE AMBULATORY CLINIC (WHERE MOST PATIENTS WITHOUT COVERAGE ENTER THE HOSPITAL SYSTEM).SPECIAL FUNDING IS AVAILABLE FROM PRIVATE RESOURCES TO HELP CLIENTS PAY FOR SPECIFIC HEALTH CARE SERVICES INCLUDING: MAMMOGRAMS, CARDIOVASCULAR SCREENING, BREAST BIOPSIES, PROSTATE CANCER SCREENING AND TREATMENT AND OTHERS.THE CHARITY CARE POLICY IS REVIEWED AT A MINIMUM ON AN ANNUAL BASIS AND MORE OFTEN AS NEEDED. CLARIFICATIONS ABOUT SELF PAY PATIENTS WERE ADDED IN APRIL OF 2011.
    PART VI, LINE 4: SAINT FRANCIS HOSPITAL AND MEDICAL CENTER SERVES PATIENTS FROM ALL OVER CONNECTICUT, AND NATIONALLY. THE MAJORITY OF OUR PATIENTS COME FROM HARTFORD COUNTY, WHICH INCLUDES THE STATE CAPITAL, HARTFORD, AND THIRTY-FIVE SURROUNDING URBAN AND SUBURBAN COMMUNITIES. HARTFORD IS THE CAPITAL OF THE STATE OF CONNECTICUT AND THE SEVENTH LARGEST CITY IN NEW ENGLAND. IT IS ONE OF THE OLDEST CITIES IN THE COUNTRY AND AT ONE POINT WAS ONE OF THE WEALTHIEST. THE POPULATION IN HARTFORD IS 125,000 WITH A PROPORTIONALLY YOUNGER AGE DISTRIBUTION THAN THE US OVERALL. THIS IMPACTS NUMEROUS ASPECTS OF HEALTH INCLUDING RATES OF SOME TYPES OF CANCER, VIOLENCE AND LEVELS OF UNINTENDED INJURY.OVER 70% OF CHILDREN IN THE HARTFORD PUBLIC SCHOOLS RECEIVED FREE OR REDUCED PRICE LUNCH. THE RATE OF INFANTS BORN LOW-BIRTH WEIGHT (LESS THAN 2500 G) IS 9.4%, WELL OVER THE NATIONAL AVERAGE OF 6.8%. HARTFORD IS AN URBAN COMMUNITY, THE MAJORITY OF HARTFORD RESIDENTS ARE MINORITIES WITH RESIDENTS REPORTING 42% LATINO (OF ANY RACE), 37% AFRICAN AMERICAN, 33% WHITE. A VERY LARGE PROPORTION OF LATINOS ARE FROM PUERTO RICO AND APPROXIMATELY 35% OF HARTFORD RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH.MEDICAL SERVICES ARE READILY AVAILABLE IN HARTFORD WITH THREE MAJOR HOSPITALS INCLUDING A CHILDREN'S HOSPITAL, BUT ACCESS TO THOSE SERVICES VARIES WIDELY AMONG CITY RESIDENTS.
    PART VI, LINE 6: SAINT FRANCIS HOSPITAL AND MEDICAL CENTER IS INVOLVED IN A VARIETY OF INITIATIVES THAT FOCUS ON IMPROVING THE HEALTH OF THE COMMUNITY OVERALL. COLLABORATIVE EFFORTS WITH THE CITY HEALTH DEPARTMENT, THE STATE DEPARTMENT OF SOCIAL SERVICES, THE DEPARTMENT OF MENTAL HEALTH AND ADDICTION SERVICES, LOCAL COMMUNITY FOUNDATIONS AND NON-PROFIT ORGANIZATIONS ARE NUMEROUS. SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HAS A LONG TRADITION OF PROVIDING FOR THE POOR AND THOSE MOST IN NEED. THE WORK DONE BY THE FOUNDING SISTERS CONTINUES TO INFORM AND INSPIRE THOSE WHO WORK AT SAINT FRANCIS. SOME SPECIFIC EXAMPLES OF WORK BEING DONE IN THIS AREA INCLUDE:THE MEN'S HEALTH INSTITUTE - WORKING TO DIAGNOSE AND TREAT PROSTATE CANCER IN AFRICAN AMERICAN MENTHE BREAST HEALTH CENTER - PROVIDING FREE MAMMOGRAM AND BREAST CANCER TREATMENT SERVICES TO WOMEN IN NEED OF ASSISTANCE.SAINT FRANCIS FOOD PANTRY AND EMERGENCY FOOD BANK - PROVIDING FOOD TO FAMILIES IN NEEDLET'S NOT MEET BY ACCIDENT - TEEN VIOLENCE PREVENTIONKISS - CT KIDS IN SAFETY SEATSNURTURING FAMILIES NETWORK - TEEN PARENT SUPPORT PROGRAMPARENT AID PROGRAM - PARENTING SUPPORT TO PREVENT CHILD ABUSE AND NEGLECTMEDICAL LEGAL PARTNERSHIP - LEGAL SUPPORT FOR FAMILIES WITH CHILDREN WHO HAVE SPECIAL NEEDSLEAD SAFE HOUSE - FREE HOUSING FOR FAMILIES IMPACTED BY LEAD POISONINGKEEP THE POWER ON - ASSISTANCE TO FAMILIES FOR PAYING UTILITY BILLS.WOMEN'S HEART PROGRAM - FREE HEART HEALTH SCREENING AND ASSESSMENTMEDICAL MISSIONS - SERVICES PROVIDED IN OTHER COUNTRIES FREE OF CHARGECHILDREN'S ADVOCACY CENTER - SUPPORT FOR CHILDREN AND FAMILIES IMPACTED BY CHILD SEXUAL ABUSEINTEGRATIVE MEDICINE - FREE MEDICAL SERVICES PROVIDED TO SUPPORT TRADITIONAL APPROACHES OF CARE.PEACE BUILDERS - PROGRAM TO DECREASE VIOLENCE IN THE CITY AND MONITOR THE ED AFTER A SHOOTINGCOMMUNITY ACCESS TO RECOVERY - SUPPORT FOR DRUG ADDICTED PARENTS AND SPOUSESCOMMUNITY DIABETES SUPPORT GROUP - SUPPORT FOR COMMUNITY MEMBERS WITH DIABETES
    PART VI, LINE 7: THE ORGANIZATION IS NOT A PART OF AN AFFILIATED HEALTH CARE SYSTEM.PART VI, LINE 7: COMMUNITY BENEFITS ARE REPORTED TO THE STATE'S OFFICE OF THE HEALTH CARE ADVOCATE IN CONNECTICUT. A COMMUNITY BENEFIT REPORT IS PUBLISHED AND WIDELY DISTRIBUTED IN THE LOCAL COMMUNITY AND IT IS POSTED ON THE WEBSITE FOR FULL VIEWING.
REPORTS FILED WITH STATES PART VI, LINE 7 CT
Schedule H (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
ST FRANCIS HOSPITAL AND MEDICAL CENTER
 
Employer identification number
06-0646813
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance






















2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
 
3
Enter total number of other organizations ................................ . Bullet Image
 
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance
(1) EMPLOYEE CHILDREN'S SCHOLARSHIP PROGRAM 12 12,000   BOOK  
(2) MULLANE SCHOLARSHIP FUND 5 5,000   BOOK  
(3) TRIOMPO HEALING HEARTS & HANDS AWARD 3 4,500   BOOK  
(4) S.A. CARRABBA, MD, AWARD (RESEARCH PROJECT) 1 500   BOOK  
(5) PATIENT SAFETY SCHOLARSHIPS 2 1,500   BOOK  





Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
Schedule I (Form 990) 2010


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ST FRANCIS HOSPITAL AND MEDICAL CENTER
 
Employer identification number

06-0646813
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) CHRISTOPHER M DADLEZ (i)
(ii)		 798,398
0 		500,000
0 		0
0 		14,700
0 		39,164
0 		1,352,262
0 		0
0
(2) PAUL F MITCHELL DMD (i)
(ii)		 0
253,935 		0
5,000 		0
67,500 		0
15,482 		0
15,696 		0
357,613 		0
0
(3) TERESA M BOLTON (i)
(ii)		 224,136
0 		33,750
0 		0
0 		10,125
0 		12,197
0 		280,208
0 		0
0
(4) KATHLEEN A DEMATTEO (i)
(ii)		 247,472
0 		62,271
0 		0
0 		13,077
0 		20,424
0 		343,244
0 		0
0
(5) ROBERT CHRISTOPHER HARTLEY (i)
(ii)		 305,434
0 		66,732
0 		0
0 		18,199
0 		20,959
0 		411,324
0 		0
0
(6) GREG MAKOUL (i)
(ii)		 355,294
0 		100,000
0 		0
0 		12,738
0 		12,579
0 		480,611
0 		0
0
(7) PAUL F PENDERGAST (i)
(ii)		 308,014
0 		150,000
0 		0
0 		13,544
0 		42,616
0 		514,174
0 		0
0
(8) KATHLEEN M ROCHE (i)
(ii)		 447,879
0 		170,000
0 		0
0 		14,700
0 		25,047
0 		657,626
0 		0
0
(9) STEVEN ROSENBERG (i)
(ii)		 540,387
0 		0
0 		0
0 		0
0 		11,914
0 		552,301
0 		0
0
(10) DONALD STRACESKI (i)
(ii)		 271,600
0 		45,000
0 		0
0 		15,893
0 		26,315
0 		358,808
0 		0
0
(11) JENNIFER SCHNEIDER (i)
(ii)		 173,319
0 		30,796
0 		0
0 		8,152
0 		17,517
0 		229,784
0 		0
0
(12) REBECCA BURKE (i)
(ii)		 152,068
0 		60,000
0 		0
0 		0
0 		6,289
0 		218,357
0 		0
0
(13) JEFF CHITESTER (i)
(ii)		 254,333
0 		33,975
0 		0
0 		11,420
0 		30,598
0 		330,326
0 		0
0
(14) FRANK A BAUER (i)
(ii)		 331,319
0 		0
0 		0
0 		17,150
0 		10,580
0 		359,049
0 		0
0
(15) GEORGE H BARROWS (i)
(ii)		 313,257
0 		5,000
0 		0
0 		19,600
0 		8,930
0 		346,787
0 		0
0
(16) PAMELA KOWALCZYK (i)
(ii)		 298,652
0 		0
0 		0
0 		19,600
0 		10,472
0 		328,724
0 		0
0
(17) STEVEN WOLF MD (i)
(ii)		 350,507
0 		15,000
0 		0
0 		14,700
0 		14,467
0 		394,674
0 		0
0
(18) THOMAS W TURBIAK (i)
(ii)		 314,918
0 		13,844
0 		0
0 		13,423
0 		13,423
0 		355,608
0 		0
0
(19) HEMA DESILVA (i)
(ii)		 0
293,104 		0
17,139 		0
0 		0
17,661 		0
12,203 		0
340,107 		0
0
(20) EDWARD S JOHNSON (i)
(ii)		 268,572
0 		35,000
0 		0
0 		14,322
0 		6,299
0 		324,193
0 		0
0
(21) MARY E INGUANTI (i)
(ii)		 305,415
0 		0
0 		0
0 		0
0 		12,438
0 		317,853
0 		0
0
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
  PART I, LINES 4A-B SEVERENCE PAYMENTS MADE DURING YEAR ENDED SEPTEMBER 30, 2011: JEFF CHITESTER = $295,512 MARY E. INGUANTI = $264,180 EDWARD S. JOHNSON = $303,627 CHRISTOPHER DADLEZ PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE YEAR.
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
ST FRANCIS HOSPITAL AND MEDICAL CENTER
 
Employer identification number
06-0646813
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer 		(i) Pool
financing
Yes No Yes No Yes No
A STATE OF CT HEALTH & EDUCATIONAL FACILITY AUTHORITY REV BONDS - SERIES E
  		06-0806186 20774UZC2 05-29-2008 39,745,000 REFUND EXISTING DEBT ISSUED 11/93 [11/10/93]   X   X   X
B STATE OF CT HEALTH & EDUCATIONAL FACILITY AUTHORITY REV BONDS - SERIES F
  		06-0806186 20774UZH1 06-30-2008 175,000,000 PARTIAL REPLACEMENT FACILITY AND RENOVATION OF EXISTING FACILITIES.   X   X   X
C STATE OF CT HEALTH & EDUCATIONAL FACILITY AUTHORITY REV BONDS - SERIES G
  		06-0806186 20774USF9 09-30-2010 29,870,000 REFUND EXISTING DEBT ISSUED 4/93 [4/10/93]   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . . 445,000   445,000  
2 Amount of bonds defeased . . . .        
3 Total proceeds of issue . . . . 39,745,000 175,000,000 29,870,000  
4 Gross proceeds in reserve funds . . 628,782      
5 Capitalized interest from proceeds. 13,186,671 13,186,671    
6 Proceeds in refunding escrow. . . . .        
7 Issuance costs from proceeds . . . 443,198 1,536,917 609,546  
8 Credit enhancement from proceeds.        
9 Working capital expenditures from proceeds . . 38,673,020   29,259,335  
10 Capital expenditures from proceeds . . 161,813,329 161,813,329    
11 Other spent proceeds . .        
12 Other unspent proceeds. . .        
13 Year of substantial completion . . . 2011 2011
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? X     X        
15 Were the bonds issued as part of an advance refunding issue?   X   X   X    
16 Has the final allocation of proceeds been made? . . X   X   X      
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X   X   X      
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X   X   X    
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . X   X   X      
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use?   X X     X    
b Are there any research agreements that may result in private business use of bond-financed property? . .   X X     X    
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? . X   X          
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet        
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet        
6 Total of lines 4 and 5 . . .. . . . . .        
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X   X   X      
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X   X   X    
2 Is the bond issue a variable rate issue? X   X   X      
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?   X   X   X    
b Name of provider . NA
  		NA
  		NA
  		 
 
c Term of hedge . .        
d Was the hedge superintegrated? .                
e Was a hedge terminated? .                
4a Were gross proceeds invested in a GIC? .   X   X   X    
b Name of provider . NA
  		NA
  		NA
  		 
 
c Term of GIC . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .                
5 Were any gross proceeds invested beyond an available temporary period? .   X   X   X    
6 Did the bond issue qualify for an exception to rebate? . . .   X   X   X    
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
Schedule K (Form 990) 2010

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ST FRANCIS HOSPITAL AND MEDICAL CENTER
 
Employer identification number

06-0646813
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) STEVEN ROSENBERG CFO & SR VP 932,630 RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS HEALTHCARE PARTNERS. STEVEN ROSENBERG WAS A DIRECTOR OF SAINT FRANCIS HEALTHCARE PARTNERS.   No
(2) STEVEN ROSENBERG CFO & SR VP 1,026,120 MANAGED CARE SERVICES FROM SAINT FRANCIS HEALTHCARE PARTNERS. STEVEN ROSENBERG WAS A DIRECTOR OF SAINT FRANCIS HEALTHCARE PARTNERS.   No
(3) STEVEN ROSENBERG CFO & SR VP 22,114,846 RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO COLLABORATIVE LABORATORY SERVICES. STEVEN ROSENBERG WAS PRESIDENT OF COLLABORATIVE LABORATORY SERVICES.   No
(4) STEVEN ROSENBERG CFO & SR VP 24,933,833 PURCHASE OF SERVICES AND SUPPLIES FROM COLLABORATIVE LABORATORY SERVICES. STEVEN ROSENBERG WAS PRESIDENT OF COLLABORATIVE LABORATORY SERVICES.   No
(5) JOHN N GIAMALIS SENIOR VP & CFO 932,630 RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS HEALTHCARE PARTNERS.   No
(6) JOHN N GIAMALIS SENIOR VP & CFO 1,026,120 MANAGED CARE SERVICES FROM SAINT FRANCIS HEALTHCARE PARTNERS.   No
(7) DONALD STRACESKI INTERIM CFO 24,933,833 PURCHASE OF SERVICES AND SUPPLIES FROM COLLABORATIVE LABORATORY SERVICES.   No
(8) CHRISTOPHER DADLEZ CEO & PRESIDENT 932,630 RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS HEALTHCARE PARTNERS. CHRISTOPHER DADLEZ IS A DIRECTOR OF SAINT FRANCIS HEALTHCARE PARTNERS.   No
(9) CHRISTOPHER DADLEZ CEO & PRESIDENT 1,026,120 MANAGED CARE SERVICES FROM SAINT FRANCIS HEALTHCARE PARTNERS. CHRISTOPHER DADLEZ IS A DIRECTOR OF SAINT FRANCIS HEALTHCARE PARTNERS.   No
(10) DANIEL O'CONNELL DIRECTOR 932,630 RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS HEALTHCARE PARTNERS. DANIEL O'CONNELL IS A DIRECTOR OF SAINT FRANCIS HEALTHCARE PARTNERS.   No
(11) DANIEL O'CONNELL DIRECTOR 1,026,120 MANAGED CARE SERVICES FROM SAINT FRANCIS HEALTHCARE PARTNERS. DANIEL O'CONNELL IS A DIRECTOR OF SAINT FRANCIS HEALTHCARE PARTNERS.   No
(12) JOHN N GIAMALIS DIRECTOR 591,232 HARTFORD FINANCIAL SERVICES GROUP - PURCHASE OF INSURANCE AND EMPLOYEE BENEFITS.   No
(13) E MERRITT MCDONOUGH JR DIRECTOR 1,442,570 EMPLOYEE OF PEOPLES UNITED INSURANCE - PURCHASE OF INSURANCE SERVICES.   No
(14) R CHRISTOPHER HARTLEY DIRECTOR 3,157,377 DIRECTOR OF TOTAL LAUNDRY COLLABORATIVE - LAUNDRY SERVICES.   No
(15) STEVEN ROSENBERG DIRECTOR 3,157,377 DIRECTOR OF TOTAL LAUNDRY COLLABORATIVE - LAUNDRY SERVICES.   No
(16) DONALD STRACESKI DIRECTOR 3,157,377 DIRECTOR OF TOTAL LAUNDRY COLLABORATIVE - LAUNDRY SERVICES.   No
(17) KATHLEEN ROCHE EXECUTIVE VICE PRESIDENT AND COO 932,630 RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS HEALTHCARE PARTNERS.   No
(18) KATHLEEN ROCHE EXECUTIVE VICE PRESIDENT AND COO 1,026,120 MANAGED CARE SERVICES FROM SAINT FRANCIS HEALTHCARE PARTNERS.   No
(19) CHRISTOPHER DADLEZ CEO & PRESIDENT 127,174 CHRISTOPHER DADLEZ ALONG WITH PETER KELLY, REV MSGR JOHN MCCARTHY, E MERRITT MCDONOUGH, DANIEL O'CONNELL, AND JEAN-PIERRE VAN ROOY ARE DIRECTORS ON THE BOARD OF ST FRANCIS HOSPITAL AND MEDICAL CENTER AND THE MALTA HOUSE OF CARE, INC. THE HOSPITAL HAS TRANSACTIONS WITH THE MALTA HOUSE OF CARE, INC.   No
(20) JOHN J MARA MD DIRECTOR 0 DIRECTOR JOHN MARA'S SPOUSE, JEANINE MARA, IS A BOARD MEMBER FOR MT SINAI REHAB HOSPITAL   No
(21) SURENDRA CHAWLA DIRECTOR 0 DIRECTORS SURENDRA CHAWLA'S SPOUSE, RANJANA CHAWLA, IS A BOARD MEMBER FOR SAINT FRANCIS FOUNDATION.   No
(22) JOHN J MARA MD DIRECTOR 175,547 SAINT FRANCIS HOSPITAL AND MEDICAL CENTER RENTS OFFICE SPACE TO HARTFORD ORTHOPEDIC SURGEONS. JOHN J. MARA, MD IS PRESIDENT OF HARTFORD ORTHOPEDIC SURGEONS.   No
(23) PHILIP J SCHULZ DIRECTOR 218,631 PHILIP SCHULZ'S DAUGHTER-IN-LAW, NICOLE SCHULZ, IS THE VP OF REVENUE CYCLE FOR SAINT FRANCIS HOSPITAL AND MEDICAL CENTER.   No
(24) PETER G KELLY JD DIRECTOR 96,311 PETER KELLY'S DAUGHTER, BRIDGET KELLY, IS A PHYSICIAN ASSISTANT FOR SAINT FRANCIS HOSPITAL AND MEDICAL CENTER.   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
ST FRANCIS HOSPITAL AND MEDICAL CENTER
 
Employer identification number

06-0646813
Identifier Return Reference Explanation
PROGRAM SERVICE STATEMENT FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED): WE DO NOT TAKE THESE RELATIONSHIPS FOR GRANTED. BY LISTENING AND RESPONDING TO COMMUNITY NEEDS, WE OFFER A PARTNERSHIP BUILT ON TRUST. YOU CAN COUNT ON OUR EMERGENCY DEPARTMENT WHEN YOU NEED IMMEDIATE HELP, OUR CLINICS AND REFERRAL SERVICES TO FIND A GOOD PHYSICIAN FOR YOUR FAMILY, AND RESPECTFUL PROFESSIONALS THROUGHOUT OUR INSTITUTION WHO WILL ENSURE YOUR DIGNITY REGARDLESS OF YOUR SITUATION IN LIFE. THE FOLLOWING SAINT FRANCIS COMMUNITY BENEFIT REPORT HIGHLIGHTS JUST A FEW OF THE WAYS WE FULFILL OUR MISSION TO SERVE. WE HOPE YOU HAVE DIRECTLY BENEFITED FROM OUR OUTREACH. WE ALSO HOPE YOU CONTINUE TO ENGAGE OUR GROWING COMMUNITY BENEFIT INITIATIVE BY SHARING YOUR THOUGHTS, JOINING IN OUR MISSION, AND EXPERIENCING WITH US THE JOY OF WORKING TO IMPROVE THE HEALTH OF EVERYONE IN OUR REGION. RESPONDING TO THE SCRIPTURAL CALL TO HEAL OUR MISSION IS: WE ARE COMMITTED TO HEALTH AND HEALING THROUGH EXCELLENCE, COMPASSIONATE CARE AND REVERENCE FOR THE SPIRITUALITY OF EACH PERSON. OUR CORE VALUES ARE: RESPECT: WE HONOR THE WORTH AND DIGNITY OF THOSE WE SERVE AND WITH WHOM WE WORK. INTEGRITY: WE ARE FAITHFUL, TRUSTWORTHY AND JUST. SERVICE: WE REACH OUT TO THE COMMUNITY, ESPECIALLY THOSE MOST IN NEED. LEADERSHIP: WE ENCOURAGE INITIATIVE, CREATIVITY, LEARNING AND RESEARCH. STEWARDSHIP: WE CARE FOR AND STRENGTHEN RESOURCES ENTRUSTED TO US. SAINT FRANCIS CARE IS A HEALTHCARE MINISTRY OF THE CATHOLIC ARCHDIOCESE OF HARTFORD. SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HAS A STORY TO TELL. IT IS A STORY OF OPPORTUNITIES TO REACH OUT TO NEIGHBORHOODS IN OUR CAPITAL REGION. GIVING BACK TO OUR COMMUNITY IS BOTH OUR MISSION AND OUR RESPONSIBILITY AS A CATHOLIC NOT-FOR-PROFIT HEALTHCARE PROVIDER. EVERY DAY OUR COMMUNITY CONNECTS WITH OUR HEALING MISSION BY ACCESSING QUALITY CARE, EDUCATION, RESEARCH, AND HEALTH PROMOTION ACTIVITIES. "COMMUNITY BENEFIT" IS A PLANNED, MANAGED, AND MEASURED APPROACH TO BOTH EVALUATING AND PROVIDING THOSE SERVICES IDENTIFIED AS HIGH PRIORITIES BY THE COMMUNITY. THIS IS ONE WAY TO TELL THE STORY OF SAINT FRANCIS' CONTINUING SERVICE OF OUTREACH. AS LONG AS PEOPLE NEED FINANCIAL HELP TO ACCESS THE BEST CARE, AS LONG AS THERE IS A NEED FOR HEALTH EDUCATION RESPONSIVE TO THE UNDER-SERVED, AND AS LONG AS THERE IS A NEED FOR INSPIRED CAREGIVERS WHO APPRECIATE THE DIGNITY OF EVERY LIFE, THERE WILL BE ROOM FOR SAINT FRANCIS' MISSION TO GROW AND NEW WAYS TO BENEFIT OUR COMMUNITY. SAINT FRANCIS HOSPITAL AND MEDICAL CENTER WAS ESTABLISHED BY THE SISTERS OF SAINT JOSEPH OF CHAMBERY IN 1897 IN A SMALL HOUSE ON WOODLAND STREET. THE MISSION WAS AMBITIOUS: WITH MODEST RESOURCES SAINT FRANCIS SOUGHT TO CARE FOR THE SICK IN OUR REGION REGARDLESS OF A PERSON'S ABILITY TO PAY. THE NECESSITY TO RESPOND TO SUCH NEEDS WAS NO LESS IN 2011. EVEN AS STATE AND NATIONAL LEADERS DELIBERATE OVER THE FUTURE OF HEALTHCARE, WE ARE COMMITTED TO ONE CLEAR PURPOSE: WE REACH OUT TO ALL WHO NEED HEALTHCARE. THIS COMMUNITY BENEFIT REPORT WILL HIGHLIGHT STORIES OF OUTREACH THROUGH EDUCATION, PREVENTION, TRAINING, AND GREATER ACCESS TO CARE TARGETED ACTIVITIES THAT TOUCH LIVES AND INVEST OUR MISSION IN THE HOMES OF OUR COMMUNITY. SAINT FRANCIS COMMUNITY BENEFIT ACTIVITY AT A GLANCE IN FISCAL YEAR 2011, SAINT FRANCIS PROVIDED $62,395,000 IN COMMUNITY BENEFIT, OF WHICH $4,959,303 REPRESENTS CHARITY CARE AND UNPAID COSTS OF MEDICAID. THESE FIGURES DO NOT TAKE INTO ACCOUNT AN ADDITIONAL $15,406,823 IN BAD DEBTS (PAYMENTS THAT HAVE NOT COME FROM CONSUMERS). WE DO NOT COUNT THIS FIGURE AS COMMUNITY BENEFIT BECAUSE, WHILE IT DOES ASSIST THOSE WHO NEED FINANCIAL ASSISTANCE, WE DID NOT INTENTIONALLY INITIATE THIS BENEFIT. THIS IS IN LINE WITH THE CATHOLIC HEALTH ASSOCIATION'S GUIDELINES. OUR MISSION PROUDLY SUPPORTS THE ROLE WE SERVE IN TIMES OF ECONOMIC DISTRESS. DURING 2011, SAINT FRANCIS PROVIDED COMMUNITY BENEFIT SERVICES TO OVER 168,800 INDIVIDUALS WHO RECEIVED FINANCIAL ASSISTANCE FOR THEIR MEDICAL CARE AND SUPPORT THROUGH OUR COMMUNITY BENEFIT PROGRAMS. CHARITY CARE - $ 4,495,303 FREE OR DISCOUNTED HEALTH SERVICES ARE PROVIDED TO PERSONS WHO CANNOT AFFORD TO PAY AND WHO MEET THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY CRITERIA. GENERALLY, A PATIENT RECORD AND BILL ARE GENERATED. CHARITY CARE IS REPORTED IN TERMS OF COSTS, NOT CHARGES. CHARITY CARE DOES NOT INCLUDE BAD DEBT, WHICH MAY BE REPORTED ELSEWHERE BUT NOT AS A COMMUNITY BENEFIT. GOVERNMENT-SPONSORED HEALTH SERVICES - $ 27,310,952 GOVERNMENT-SPONSORED HEALTHCARE COMMUNITY BENEFITS INCLUDE UNPAID COSTS OF PUBLIC PROGRAMS FOR LOW-INCOME PERSONS. IT INCLUDES THE SHORTFALL CREATED WHEN A FACILITY RECEIVES PAYMENTS THAT ARE LESS THAN THE COST OF CARING FOR PUBLIC PROGRAM BENEFICIARIES. COMMUNITY BENEFIT SERVICES - $ 30,124,745 AN ORGANIZATION PROVIDES THESE SERVICES BECAUSE THE COMMUNITY NEEDS THEM AND OTHER PROVIDERS ARE UNWILLING TO OFFER THEM, OR BECAUSE THE SERVICES WOULD OTHERWISE NOT BE AVAILABLE TO MEET PATIENT DEMAND. AMONG THEM ARE CLINICAL PATIENT CARE SERVICES THAT ARE PROVIDED DESPITE A NEGATIVE MARGIN - PUBLIC HEALTH PROGRAMS, COMMUNITY OUTREACH AND EDUCATION, AND PARTNERSHIPS TO MEET COMMUNITY NEEDS. TOTAL COMMUNITY BENEFIT - $ 62,395,000 COMMUNITY BENEFIT SERVICES WHAT ARE THE NUMBERS? AS NOTED EARLIER, COMMUNITY BENEFITS ARE CATEGORIZED INTO THREE BROAD AREAS WHICH INCLUDE: CHARITY CARE, GOVERNMENT-SPONSORED HEALTHCARE, AND COMMUNITY BENEFIT SERVICES. THE FOLLOWING LIST OUTLINES, IN MORE DETAIL, THE COMMUNITY BENEFIT SERVICES PORTION WHICH THIS PAST YEAR TOTALED $30,124,745. A. COMMUNITY HEALTH IMPROVEMENT SERVICES - $ 2,958,757 THESE ACTIVITIES ARE CARRIED OUT TO IMPROVE COMMUNITY HEALTH AND ARE USUALLY SUBSIDIZED BY THE HEALTHCARE ORGANIZATION. THERE ARE FOUR GROUPINGS WITHIN THIS CATEGORY: COMMUNITY HEALTH EDUCATION, COMMUNITY-BASED CLINICAL SERVICES, HEALTHCARE SUPPORT SERVICES AND OTHER COMMUNITY HEALTH IMPROVEMENT SERVICES. THE FOLLOWING IS A SAMPLE OF PROGRAMS AND ACTIVITIES IN EACH OF THESE CATEGORIES. COMMUNITY HEALTH EDUCATION - ACCESS TO RECOVERY FOR SUBSTANCE ABUSE CLIENTS - ADAPTIVE ROWING PROGRAM - BREAST AND CERVICAL CANCER EDUCATION AND OUTREACH - BREASTFEEDING SUPPORT - CHILD ABUSE PREVENTION EDUCATION AND OUTREACH - CHILDBIRTH EDUCATION CLASSES - DIABETES CARE PROGRAM EDUCATION AND OUTREACH - DOMESTIC VIOLENCE PREVENTION TRAINING - HEALTHY START AND PARENTING PROGRAM - INTEGRATIVE HEALTH SERVICES CLASSES - LEAD POISONING PREVENTION EDUCATION AND OUTREACH - MEDICAL LEGAL PARTNERSHIP PROGRAM - VIOLENCE AND INJURY PREVENTION PROGRAMS: - LET'S NOT MEET BY ACCIDENT - KIDS IN SAFETY SEATS - WOMEN'S HEART PROGRAM EDUCATION COMMUNITY-BASED CLINICAL SERVICES - DIABETES SCREENING - MALTA VAN SERVICES - PREVENTIVE HEALTH SCREENINGS: - MAMMOGRAMS - PAP SMEARS - PROSTATE CANCER - CARDIOVASCULAR RISK ASSESSMENT - CHILD SEAT SAFETY - SERVICES FOR CHILDREN AND FAMILIES IMPACTED BY CHILD ABUSE HEALTHCARE SUPPORT SERVICES - DIABETES SUPPORT SERVICES - EMERGENCY FOOD BANK - KEEP-THE-POWER-ON UTILITY CLINIC - MULTIDISCIPLINARY CASE MANAGEMENT TEAM FOR CHILD ABUSE - NURTURING FAMILIES NETWORK CASE MANAGEMENT SERVICES - PROCUREMENT OF MEDICINES FOR INDIGENT CLIENTS OTHER HEALTH IMPROVEMENT SERVICES - CAREGIVER SUPPORT SERVICES - LITERACY SUPPORT PROGRAMS B. HEALTH PROFESSIONAL EDUCATION - $ 23,475,929 INCLUDED HERE ARE THE UNPAID COSTS OF UNDERGRADUATE TRAINING, INTERNSHIPS, CLERKSHIPS, RESIDENCIES, NURSING TRAINING, RESIDENCY EDUCATION, AND CONTINUING MEDICAL EDUCATION (CME) OFFERED TO PHYSICIANS OUTSIDE OF THE MEDICAL STAFF. - ACADEMIC SUMMER MEDICINE CAMP - CLINICAL PASTORAL EDUCATION MENTORSHIP - COMMUNITY PASTORAL COUNSELING PROGRAM - DENTAL ASSISTANT AND DENTAL HYGIENIST TRAINING - DIETICIAN TRAINING - MEDICAL STUDENT EDUCATION - NURSES AND NURSING STUDENT EDUCATION - OTHER HEALTH PROFESSIONAL EDUCATION - PHARM-D TRAINING SITE - RESIDENCY TRAINING - SUPPORT OF CREC MEDICAL PROFESSION AND TEACHER EDUCATION MAGNET SCHOOL C. SUBSIDIZED HEALTH SERVICES - $ 1,975,284 THIS CATEGORY INCLUDES HEALTH SERVICES AND CLINICAL PROGRAMS THAT ARE PROVIDED DESPITE A FINANCIAL LOSS. THESE SERVICES ARE PROVIDED BECAUSE IT MEETS AN IDENTIFIED COMMUNITY NEED THAT IS NOT BEING FULFILLED BY THE GOVERNMENT OR OTHER NOT-FOR-PROFIT ORGANIZATION. - UNCOMPENSATED CARE - DENTAL CLINIC - UNCOMPENSATED CARE - FAMILY MEDICINE
    D. RESEARCH - $ 956,750 THIS CATEGORY INCLUDES CLINICAL AND COMMUNITY HEALTH RESEARCH THAT IS SHARED WITH THE PUBLIC AND FUNDED BY THE GOVERNMENT OR A TAX-EXEMPT ENTITY (INCLUDING THE ORGANIZATION ITSELF). - FEDERAL RESEARCH GRANTS - STATE AND LOCAL RESEARCH GRANTS - TRAINEE RESEARCH GRANTS - COMMUNITY RESEARCH GRANTS E. FINANCIAL AND IN-KIND DONATIONS - $ 434,566 THIS CATEGORY INCLUDES FUNDS AND IN-KIND SERVICES DONATED TO INDIVIDUALS NOT AFFILIATED WITH THE ORGANIZATION OR TO COMMUNITY GROUPS AND OTHER NOT-FOR-PROFIT ORGANIZATIONS. IN-KIND SERVICES INCLUDE HOURS CONTRIBUTED BY STAFF TO THE COMMUNITY WHILE ON WORK TIME; OVERHEAD EXPENSES OF SPACE DONATED TO NOT-FOR-PROFIT COMMUNITY GROUPS (SUCH AS FOR MEETINGS); AND THE DONATION OF FOOD, EQUIPMENT, AND SUPPLIES. - SUPPORT FOR LOCAL COMMUNITY ORGANIZATIONS - IN-KIND USE OF FACILITIES - DONATIONS TO CHARITABLE ORGANIZATIONS - MEDICAL MISSION SUPPORT F. COMMUNITY-BUILDING ACTIVITIES - $ 166,125 COMMUNITY-BUILDING ACTIVITIES INCLUDE PROGRAMS THAT ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS, AND ENVIRONMENTAL PROBLEMS. THESE ACTIVITIES SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF THE HEALTHCARE ORGANIZATION. COSTS FOR THESE ACTIVITIES INCLUDE CASH, IN-KIND DONATIONS, AND BUDGETED EXPENDITURES FOR THE DEVELOPMENT OF COMMUNITY-BUILDING PROGRAMS AND PARTNERSHIPS. G. COMMUNITY BENEFIT OPERATIONS - $ 58,232 COMMUNITY-BENEFIT OPERATIONS INCLUDE COSTS ASSOCIATED WITH ASSIGNED STAFF AND COMMUNITY HEALTH NEEDS AND/OR ASSETS ASSESSMENT, AS WELL AS OTHER COSTS ASSOCIATED WITH COMMUNITY BENEFIT STRATEGY AND OPERATIONS. COMMUNITY HEALTH OVER 115 YEARS AGO SAINT FRANCIS WAS FOUNDED IN RESPONSE TO A NEED. IT'S UNLIKELY THAT THE SISTERS OF SAINT JOSEPH OF CHAMBERY DID A FORMAL "NEEDS ASSESSMENT" OR HAD DISCUSSIONS ABOUT "HEALTH EQUITY" PRIOR TO DECIDING ON HOW TO PROVIDE CARE FOR THE PEOPLE THEY INTENDED TO SERVE. GIVEN THEIR LIFE'S WORK OF LIVING AMONG AND SERVING IMPOVERISHED COMMUNITIES, THEY LIKELY HAD A CLEAR PICTURE OF WHAT NEEDED TO BE DONE. OUR MISSION TO MEET THE NEEDS OF THOSE IN THE COMMUNITY HAS NOT CHANGED, BUT OUR NOTION OF HEALTHCARE AND HOW TO BEST MEET THE NEEDS OF THE COMMUNITY HAS UNDERGONE A DRAMATIC SHIFT OVER TIME. IT USED TO BE WHEN WE THOUGHT ABOUT HEALTH WE THOUGHT ABOUT A STETHOSCOPE, A SCALE AND PERHAPS A BLOOD PRESSURE CUFF. NOW, WHEN MOST PEOPLE TALK ABOUT HEALTH THEY ARE REFERRING TO HEALTH IN A MUCH BROADER WAY. THEY ARE THINKING ABOUT HEALTHY EATING AND EXERCISE, POSITIVE MENTAL OUTLOOK AND MANAGEMENT OF STRESS, PREVENTION OF ILLNESS AND GENERAL WELL-BEING. AS OUR NOTION OF HEALTH HAS CHANGED, SO HAS THE ROLE OF HOSPITALS. SO WHEN PEOPLE ASK QUESTIONS LIKE: "WHY DOES A HOSPITAL PROVIDE PROSTATE CANCER SCREENING IN LOCAL CHURCHES?" "HOW DOES A HOSPITAL DECIDE TO VISIT A FOOD PANTRY TO TALK ABOUT FREE MAMMOGRAPHY SCREENING?" "WHAT MAKES A HOSPITAL DECIDE TO OFFER PARENTING SUPPORT TO NEWLY PREGNANT FAMILIES?" THE ANSWER IS THE SAME AS IT WAS OVER 100 YEARS AGO - BECAUSE SAINT FRANCIS IS COMMITTED TO MEETING COMMUNITY NEEDS. THIS REPORT OUTLINES THREE PROGRAMS THAT DO THIS IMPORTANT WORK: THE CURTIS D. ROBINSON MEN'S HEALTH INSTITUTE WORKS TO PROVIDE PROSTATE CANCER TESTING TO HIGH-RISK MEN THROUGH OUTREACH TO AGENCIES AND FAITH ORGANIZATIONS, THE COMPREHENSIVE BREAST HEALTH CENTER REACHES OUT TO THE COMMUNITY TO INFORM WOMEN ABOUT MAMMOGRAPHY SCREENING AND FACILITATE FREE OR SUBSIDIZED SERVICES, AND THE HEALTHY START PROGRAM WORKS CLOSELY WITH THE OBGYN CLINIC TO ASSIST NEWLY PREGNANT FAMILIES IN NEED OF SUPPORT. THESE PROGRAMS ARE BY NO MEANS THE ONLY WORK BEING DONE AT SAINT FRANCIS TO ADDRESS THE NEEDS OF THE COMMUNITY - BUT WE HIGHLIGHT THEM HERE TO PROVIDE EXAMPLES OF COMMUNITY HEALTH PROGRAMS ADDRESSING HEALTH EQUITY. BY PROVIDING FREE-OF-CHARGE, OUTREACH/ EDUCATION/SCREENING SESSIONS IN COMMUNITY-BASED VENUES, SAINT FRANCIS BRINGS HEALTH LITERACY, HEALTHCARE, AND PREVENTIVE MEDICINE THAT LEAD TO LIFELONG HEALTH AND WELLNESS TO THOSE WHO NEED IT MOST. CURTIS D. ROBINSON MEN'S HEALTH INSTITUTE THE CURTIS D. ROBINSON MEN'S HEALTH INSTITUTE (CDRMHI) PROVIDES FREE SERVICES TO THE UNINSURED AND THE UNDERINSURED WHILE ADDRESSING RACIAL DISPARITIES AND HEALTH INEQUITIES AFFECTING THE TARGETED COMMUNITY. THE PROGRAM FOCUSES ON PATIENT EDUCATION, EARLY DIAGNOSIS AND APPROPRIATE TREATMENT FOR MEN AT RISK OF, OR WHO SCREEN POSITIVE FOR, PROSTATE CANCER. THE CDRMHI REACHES THE AFRICAN-AMERICAN AND OTHER AT-RISK POPULATIONS BY HOSTING COMMUNITY EVENTS WHICH INCLUDE OUTREACH, EDUCATION, AND TESTING (PROSTATE SPECIFIC ANTIGEN (PSA) BLOOD TESTS AND DIGITAL RECTAL EXAMS (DRE)). BY PARTNERING WITH CHURCHES AND COMMUNITY ORGANIZATIONS TO EDUCATE MEN AND THEIR FAMILIES ABOUT PROSTATE CANCER, THE PROGRAM IS ABLE TO REACH A POPULATION SOMETIMES DISTRUSTFUL OF MEDICAL SERVICES. ONE CLIENT RECENTLY NOTED, "I FEEL THAT THEY WANT ME TO DO WELL AND THEY TRY TO MAKE THAT HAPPEN." ANOTHER SAID, "THEY REALLY CARE FOR ME. BACK HOME I DIDN'T HAVE THAT." SCREENING RESULTS ARE SHARED DIRECTLY WITH PARTICIPANTS, AND INDIVIDUALIZED RECOMMENDATIONS REGARDING NEXT STEPS FOR CONTINUED SCREENING OR TREATMENT OPTIONS ARE DISCUSSED. PATIENTS ARE VERY GRATEFUL FOR THE SERVICES AND FREQUENTLY EXPRESS THEIR GRATITUDE. "I DON'T REALLY HAVE THE WORDS TO SAY MY THANKS. I JUST SAY A PRAYER OF THANKS TO GOD EVERY NIGHT THAT I FOUND THEM." FOR MANY PARTICIPANTS, THIS IS THE FIRST TIME THEY HAVE BEEN TESTED, AND SHARING RESULTS HAS A HUGE IMPACT ON THEIR LIVES. "YOU THINK ABOUT WHAT IF, YOU KNOW, WHAT IF...THANK GOD THEY CAUGHT IT IN TIME." PARTICIPANTS OFTEN PRESENT WITH CO-EXISTING CONDITIONS SUCH AS OBESITY, HIGH BLOOD PRESSURE OR STRESS RELATED SYMPTOMS AND OFTEN ARE NOT CONNECTED TO PRIMARY CARE SERVICES. SCREENING FOR DIABETES, CARDIOVASCULAR DISEASE, HYPERTENSION, AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE ARE FREQUENTLY RECOMMENDED TO PARTICIPANTS. TO MAINTAIN CONTINUITY OF CARE, MEN WITH ABNORMAL DRE OR PSA RESULTS ARE REFERRED TO SERVICES FOR FURTHER EXAMINATION, OFTEN WITH THE SAME DOCTOR WHO COMPLETED THE EXAM AT THE COMMUNITY EVENT. CONTACT WITH PRIMARY CARE PROVIDERS IS MADE AS INDICATED. WHEN SURGERY IS NEEDED, ACCESS TO MINIMALLY INVASIVE TREATMENT OPTIONS SUCH AS THE DA VINCI ROBOTIC SURGICAL SYSTEM ARE MADE AVAILABLE TO ALL PARTICIPANTS (REGARDLESS OF INSURANCE STATUS) TO MINIMIZE POTENTIAL NEGATIVE SIDE EFFECTS OF TREATMENT. THE MEN SERVED BY CDRMHI ARE SOMETIMES ON THE MARGINS OF SOCIETY AND HAVE LIMITED RESOURCES FOR DEALING WITH HEALTH PROBLEMS THAT SEEM INSURMOUNTABLE. THEIR PAST EXPERIENCES WITH HEALTHCARE ARE NOT ALL POSITIVE. WHEN THEY REALIZE THE COMMITMENT OF THE CDRMHI TEAM THEY ARE IMPACTED BY THAT. "I SENT THEM AN EMAIL AND THEN THEY CALLED MY HOUSE; NO DOCTOR HAS EVER CALLED MY HOUSE. THAT RIGHT THERE TOLD ME SOMETHING ABOUT HOW THESE PEOPLE ARE." THAT SENSE OF BEING UNDERSTOOD AND RESPECTED MAKES COMING BACK FOR FOLLOW-UP CARE AN EASIER TASK. COMPREHENSIVE BREAST HEALTH CENTER "WOMEN ARE AFRAID OF THE UNKNOWN, BUT BUILDING TRUSTING RELATIONSHIPS WITHIN THE COMMUNITY CAN EASE THE TALK ABOUT BREAST HEALTH ISSUES." - KIM JOHNSON, OUTREACH WORKER THE COMPREHENSIVE BREAST HEALTH CENTER PARTNERS WITH THE CONNECTICUT BREAST AND CERVICAL CANCER EARLY DETECTION PROGRAM AND THE CHARLOTTE JOHNSON HOLLFELDER AND KOMEN FOUNDATIONS TO PROVIDE FREE MAMMOGRAMS TO LOCAL WOMEN, 40 YEARS OLD OR OLDER, WHO HAVE NO INSURANCE OR WHO ARE UNDERINSURED, WHO HAVE NOT HAD A MAMMOGRAM IN THE PAST 12 MONTHS, AND WHO CAN PROVIDE THE NAME OF A REFERRING PHYSICIAN. MAMMOGRAMS ARE PERFORMED AT THE COMPREHENSIVE BREAST HEALTH CENTER AT SAINT FRANCIS. BY REACHING OUT INTO THE COMMUNITY TO PROVIDE FREE BREAST HEALTH EDUCATION SESSIONS IN A VARIETY OF VENUES INCLUDING THE URBAN LEAGUE, COMMUNITY PARKS, CHURCHES, SENIOR CENTERS, IN CONJUNCTION WITH COMMUNITY PARTNERS AND AT BUSINESS LOCATIONS, THE PROGRAM CAN TAILOR THE SERVICES TO MEET THE NEEDS OF THOSE IN ATTENDANCE. EACH SESSION PROVIDES INFORMATION ABOUT HOW TO PERFORM A BREAST SELF-EXAM, HOW TO RECOGNIZE BREAST CANCER EARLY WARNING SIGNS, HOW TO RECOGNIZE RISK FACTORS FROM YOUR FAMILY HISTORY AND LIFESTYLE CHANGES, SUCH AS EATING A HEALTHY DIET AND EXERCISING, THAT CAN HELP PREVENT BREAST CANCER. IN THIS PAST YEAR THE PROGRAM HAS SERVED OVER 1,000 WOMEN.
    KIM JOHNSON, AN OUTREACH WORKER, EXPLAINS "I COME HERE AS OFTEN AS I CAN. THERE ARE A LOT OF PEOPLE WHO COME TO THE FOOD PANTRY FOR HELP. AND I CAN SOMETIMES FOLLOW UP WITH WOMEN WHO NEED FURTHER CARE BUT DON'T KNOW WHAT TO DO NEXT. I THINK THEY'VE COME TO TRUST ME." THE COMPREHENSIVE BREAST CENTER KEEPS WOMEN INFORMED ABOUT BREAST HEALTH AND THE MOST RECENT SCREENING RECOMMENDATIONS TO HELP THEM MAKE APPROPRIATE DECISIONS FOR THEIR CARE. THIS CANNOT HAPPEN WITHOUT KNOWING THE COMMUNITY AND UNDERSTANDING WHAT FACTORS INFLUENCE WOMEN WHEN MAKING CRITICAL HEALTHCARE DECISIONS. MAMMOGRAPHY SCREENING IS A COMPLEX ISSUE AND RECOMMENDATIONS ABOUT WHO SHOULD BE SCREENED AND HOW OFTEN CHANGE OVER TIME. OUTREACH CONDUCTED BY COORDINATOR MICHELLE SAFO-AGYEMAN AND OUTREACH STAFF MEMBER KIM JOHNSON IS CRITICAL FOR WOMEN WHO DO NOT, FOR A VARIETY OF REASONS, VISIT THE DOCTOR ON A REGULAR BASIS. HEALTHY START PROGRAM HEALTHY START IS A PROGRAM FOR PREGNANT WOMEN AND THEIR FAMILIES UNTIL CHILDREN REACH AGE 3. IT OFFERS SUPPORT TO HELP WOMEN HAVE HEALTHY PREGNANCIES AND WORKS WITH FAMILIES TO PROVIDE A HEALTHY ENVIRONMENT FOR THEIR NEW CHILD. COUNSELING AND SUPPORTIVE SERVICES, INCLUDING HOME VISITS AND REFERRALS TO OTHER AREA PROVIDERS AS WELL AS SOCIAL SUPPORT FOR HOUSING, EMPLOYMENT AND EDUCATION ARE ALSO INCLUDED. EDUCATION ON HEALTH AND PARENTING TOPICS IS PROVIDED ON AN INDIVIDUAL BASIS BY A TRAINED SOCIAL WORKER. THE HEALTHY START PROGRAM IS DESIGNED TO PROVIDE COMPLETE SUPPORT TO FAMILIES WITH MULTIPLE NEEDS, AS DESCRIBED BY A SOCIAL WORK STAFF MEMBER, "IT'S HARD TO DESCRIBE THE IMPACT THIS PROGRAM CAN HAVE ON FAMILIES. IT'S JUST THAT SOME OF THE PEOPLE WE SERVE HAVE SO FEW RESOURCES, LIMITED COMMUNICATION SKILLS, AND HARDLY ANY KNOWLEDGE ABOUT HOW TO ACCESS RESOURCES, AND THEN THEY HAVE SUCH BAD FAMILY EXPERIENCES. IT'S A MIRACLE THEY CAN MANAGE TO LEARN TO BE SUCH POSITIVE ROLE MODELS FOR THEIR KIDS, BUT THEY DO." SHANTI'S STORY CLARIFIES SOME OF THE CHALLENGES FACED BY THE FAMILIES SERVED BY HEALTHY START. WHEN SHE TOLD HER FAMILY THAT SHE WAS PREGNANT, THEY WERE NOT SUPPORTIVE AND THEY KICKED HER OUT. "I WASN'T SURE WHAT I WAS GOING TO DO. IT WAS A BLESSING THAT I FOUND HEALTHY START. THEY HAVE HELPED ME FIND HOUSING, FOOD SUPPORT AND EVEN FURNITURE FOR MY NEW APARTMENT. WHEN I LOST MY JOB, THEY LET ME USE THE COMPUTER IN THEIR OFFICES TO LOOK FOR ANOTHER." HEALTHY START IS WELL CONNECTED TO THE AGENCIES IN THE COMMUNITY THAT CAN HELP PEOPLE WHO ENTER THE HEALTH- CARE SYSTEM BUT NEED SUPPORT FOR A VARIETY OF OTHER ISSUES. FREQUENTLY ISSUES SUCH AS HOUSING, FOOD SECURITY, AND ABUSE ARE HIGHER PRIORITIES THAN GOING TO THE DOCTOR. OFTEN THESE ISSUES ARE DESCRIBED AS "BARRIERS TO CARE" AND CONTRIBUTE TO PROBLEMS OF HEALTH DISPARITIES. HEALTHY START WORKS TO EDUCATE PREGNANT WOMEN ABOUT THE CRITICAL ROLE OF PRENATAL CARE WHILE FINDING THEM THE SUPPORT THEY NEED TO OVERCOME BARRIERS TO CARE SO THAT THEY CAN PARTICIPATE IN THE PRENATAL CARE THAT IS SO CRITICAL TO A HEALTHY BIRTH. "IT'S HARD TO DESCRIBE THE IMPACT THIS PROGRAM CAN HAVE ON FAMILIES." - YESINIA ACOSTA, HEALTHY START SOCIAL WORKER MALTA HOUSE OF CARE THE MALTA HOUSE OF CARE IS A MOBILE VAN THAT PROVIDES MEDICAL CARE TO INDIVIDUALS IN THEIR OWN NEIGHBORHOODS WHO DO NOT HAVE HEALTH INSURANCE OR CANNOT AFFORD HEALTHCARE. SAINT FRANCIS HOSPITAL AND MEDICAL CENTER SUPPORTS THE MISSION OF MALTA HOUSE OF CARE THROUGH FINANCIAL CONTRIBUTIONS, CLINICAL SERVICES AND DONATED TIME OF VOLUNTEER PHYSICIANS, NURSES AND SUPPORT STAFF. SAINT FRANCIS HOSPITAL AND MEDICAL CENTER WAS FOUNDED 115 YEARS AGO TO MEET THE GROWING NEEDS OF A POOR URBAN COMMUNITY IN HARTFORD. TODAY, OVER 350,000 PATIENTS FROM AROUND CONNECTICUT AND NEW ENGLAND VISIT SAINT FRANCIS FOR INPATIENT AND OUTPATIENT SERVICES EACH YEAR. THE HOSPITAL HAS TWO CAMPUSES, ONE IN THE NORTH END OF HARTFORD WHICH PROVIDES PRIMARY CARE SERVICES TO THE NEIGHBORHOODS IN THAT AREA OF THE CITY, AND THE MAIN HOSPITAL WHICH IS LOCATED IN THE ASYLUM HILL NEIGHBORHOOD EASILY ACCESSIBLE TO INTERSTATES 91 AND 84 AS WELL AS LOCAL BUS ROUTES. BELOW IS A SNAPSHOT OF THE SERVICES AND STAFF AT SAINT FRANCIS HOSPITAL AND MEDICAL CENTER. PATIENT SERVICE STATISTICS 35% OF ALL PATIENTS QUALIFY FOR MEDICAID; ANOTHER 36% FOR MEDICARE AND JUST OVER 6% ARE SELF-PAY PATIENTS. MEDICAL STAFF THE SAINT FRANCIS MEDICAL STAFF HAS MORE THAN 750 PHYSICIAN MEMBERS AND 250 ADVANCE PRACTICE PROFESSIONALS. APPROXIMATELY 20% OF THE PHYSICIANS ARE PRIMARY CARE PROVIDERS, WITH THE REMAINDER CONSISTING OF MEDICAL AND SURGICAL SPECIALTY AND SUBSPECIALTY PROVIDERS. ALL MEDICAL STAFF PHYSICIANS ARE REQUIRED TO BE BOARD CERTIFIED OR BOARD QUALIFIED. TRAINING FOR OVER 500 RESIDENTS AND FELLOWS IS PROVIDED EACH YEAR. PATIENT DIVERSITY PATIENTS WHO COME TO SAINT FRANCIS ARE 31% AFRICAN-AMERICAN; 21% HISPANIC; 6% OTHER RACES AND 42% WHITE. EMPLOYEE DIVERSITY AND OF THE 4,932 EMPLOYEES, 18% AFRICAN-AMERICAN; 10% HISPANIC; 4% OTHER RACES AND 68% ARE WHITE.
FORM 990, PART VI, SECTION A, LINE 2   P. ANTHONY GIORGIO, PHD (DIRECTOR) AND KARL KRAPEK (DIRECTOR) ARE BOTH 50% PARTNERS IN KEYSTONE COMPANIES, LLC, A RESIDENTIAL AND COMMERCIAL REAL ESTATE DEVELOPER. SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HAS NO TRANSACTIONS WITH THIS LLC. SAINT FRANCIS IS BUILDING AN ACCESS CENTER IN SIMSBURY OWNED BY KEYSTONE COMPANIES THAT WILL BE OCCUPIED IN THE FALL OF 2012. DAVID LENTINI (DIRECTOR) IS PRESIDENT OF CONNECTICUT BANK & TRUST, COMPANY. PHILIP SCHULZ (DIRECTOR), KARL KRAPEK (DIRECTOR), AND P. ANTHONY GIORGIO (DIRECTOR) ARE MEMBERS OF THE BOARD OF DIRECTORS OF CONNECTICUT BANK & TRUST, COMPANY. MT SINAI REHABILITATION HOSPITAL, A RELATED PARTY TO SAINT FRANCIS HOSPITAL & MEDICAL CENTER MAINTAINS A BUSINESS BANKING RELATIONSHIP WITH CBT. PHILIP SCHULZ (DIRECTOR) RECEIVES A FIXED PENSION PAYMENT FROM PRICEWATERHOUSE COOPERS, A PORTION OF WHICH IS UNFUNDED. PWC PERFORMS CONSULTING SERVICES FOR SAINT FRANCIS HOSPITAL & MEDICAL CENTER. ALL TRANSACTIONS ARE PERFORMED AT ARM'S LENGTH AND FAIR MARKET TERMS.
FORM 990, PART VI, SECTION B, LINE 11   THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE HAS RESPONSIBILITY FOR REVIEWING THE FORM 990 AND WILL REPORT BACK TO THE FULL BOARD REGARDING THEIR REVIEW OF THE FORM 990. THE FORM 990 IS AVAILABLE ON THE BOARD'S INTERNAL SECURE WEB PORTAL.
  FORM 990, PART VI, SECTION B, LINE 12C THE POLICY INCLUDES AN OBLIGATION OF EACH BOARD MEMBER TO ANNUALLY DISCLOSE ALL MATERIAL FACTS AND RELATIONSHIPS AND REFRAIN FROM VOTING ON ANY MATTER WHEN THERE IS A CONFLICT OF INTEREST. THE GOVERNANCE AND NOMINATIONS COMMITTEE REVIEWS THE RESULTS OF THOSE SUBMISSIONS ON AN ANNUAL BASIS FOR COMPLIANCE WITH GOVERNANCE POLICIES.
  FORM 990, PART VI, SECTION B, LINE 15 AN EXTERNAL MARKET ANALYSIS IS PERFORMED & REVIEWED BY THE COMPENSATION AND MANAGEMENT DEVELOPMENT COMMITTEE.
  FORM 990, PART VI, SECTION C, LINE 19 THERE IS A LINK ON THE SAINT FRANCIS EXTERNAL WEBSITE FOR INDIVIDUALS TO REQUEST THE FOLLOWING DOCUMENTS; (A) ANNUAL FINANCIAL STATEMENTS, (B) FORM 990, (C) CONFLICT OF INTEREST POLICIES AND (D) GOVERNING DOCUMENTS. THE ANNUAL REPORT IS CURRENTLY PUBLISHED ON THE EXTERNAL WEBSITE.
  FORM 990, PART VII, SECTION A: AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: REV. THOMAS J. BARRY, J.C.L. - 3.00 HRS MOST REV. HENRY J. MANSELL, D.D. - 5.00 HRS CHRISTOPHER M. DADLEZ - 12.00 HRS BARBARA J. CALDERONE, B.S.N., J.D. - 2.00 HRS L. JEFFREY BALDWIN - 2.00 HRS SURENDRA K. CHAWLA, M.D. - 2.00 HRS ROBERT M. ELLIS - 2.00 HRS P. ANTHONY GIORGIO, PH.D. - 4.00 HRS WALTER HARRISON, PH.D. - 2.00 HRS JEFFREY S. HOFFMAN - 2.00 HRS PETER G. KELLY, J.D. - 3.00 HRS KARL J. KRAPEK - 2.00 HRS SISTER DOLORES LAHR, CSJ - 1.00 HR DAVID A. LENTINI - 1.00 HR JOYCE D. MANDELL - 1.00 HR JOHN J. MARA, M.D. - 2.00 HR REV. MSGR JOHN MCCARTHY, J.C.D., J.D. - 1.00 HR PAUL F. MITCHELL, DMD - 56.00 HRS DANIEL P. O'CONNELL - 4.00 HRS KEVIN J. O'CONNOR, J.D. - 2.00 HRS JOHN D. PAPANDREA, M.D. - 1.00 HR CURTIS D. ROBINSON - 2.00 HRS JOHN W. RODGERS, M.D. - 1.00 HR DR. GALO A. RODRIGUEZ, MPH - 2.00 HRS ANDREW A. SADANOWICZ - 1.00 HR SUSAN J. SAPPINGTON - 2.00 HRS HENRY S. SCHERER, JR. - 2.00 HRS PHILIP J. SCHULZ - 2.00 HRS ROSALIND E. SHENKMAN, L.C.S.W. - 1.00 HR JEAN-PIERRE VAN ROOY - 2.00 HRS GEN. (R) JOHN M. WATKINS - 2.00 HRS STEVEN RUBY - 1.00 HR E. MERRITT MCDONOUGH, JR. - 1.00 HR JENNIFER SMITH-TURNER - 1.00 HR RONALD D. JARVIS - 1.00 HR RICHARD GORDON, JD - 1.00 HR SHERI A. LEMIEUX - 2.00 HRS TERESA M. BOLTON - 6.00 HRS ROBERT CHRISTOPHER HARTLEY - 2.00 HRS PAUL F. PENDERGAST - 2.00 HRS KATHLEEN M. ROCHE - 4.00 HRS STEVEN ROSENBERG - 4.00 HRS DONALD STRACESKI - 4.00 HRS JOHN N. GIAMALIS - 10.00 HRS HEMA DESILVA - 59.00 HRS EDWARD S. JOHNSON - 4.00 HRS
CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -6,634,449. PRIOR PERIOD ADJUSTMENTS: 7,151,668. DECREASE IN ASSETS HELD IN TRUST BY OTHERS -1,362,417. DECREASE IN MINIMUM PENSION LIABILITY -34,806,346. INCREASE IN INTEREST IN ST FRANCIS FOUNDATION 1,702,000. NET PARTNERSHIP INCOME -2,510,101. CHANGE IN FAIR MARKET VALUE OF SWAP -10,674,433. PURCHASE OF MINORITY INTEREST IN SUBSIDIARY 2,452,287. OTHER CHANGES -1,030,159. TOTAL TO FORM 990, PART XI, LINE 5: -45,711,950.
  FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS HAS DELEGATED ITS OVERSIGHT RESPONSIBILITY OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS TO THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE.
AMENDED RETURN   DURING FISCAL YEAR 2012, CERTAIN AMOUNTS REPORTED AS OF AND FOR THE YEAR ENDED SEPTEMBER 30, 2011 WERE RESTATED IN THE FINANCIAL STATEMENTS. THE FOLLOWING PARTS AND SCHEDULES OF THE FORM 990 WERE AMENDED AS A RESULT OF THE RESTATED FINANCIAL STATEMENTS: - FORM 990, PART III, LINE 4A, PROGRAM EXPENSE & REVENUE AMOUNTS - FORM 990, PART VIII, LINE 11C, MISCELLANEOUS REVENUE AMOUNT - FORM 990, PART IX, LINE 22, DEPRECIATION EXPENSE AMOUNT - FORM 990, PART X, LINE 2, SAVINGS AND TEMPORARY CASH INVESTMENTS AMOUNT - FORM 990, PART X, LINE 10B AND 10C, ACCUMULATED DEPRECIATION AMOUNT - FORM 990, PART X, LINE 12, INVESTMENTS - OTHER SECURITIES AMOUNT - FORM 990, PART X, LINE 15, OTHER ASSETS AMOUNT - FORM 990, PART X, LINE 27, UNRESTRICTED NET ASSETS - FORM 990, PART X, LINE 28, TEMPORARILY RESTRICTED NET ASSETS - FORM 990, PART XI, RECONCILIATION - SCHEDULE D, PART VI, LINE 1B(C) AND 1B(D), BUILDINGS ACCUMULATED DEPRECIATION AMOUNT - SCHEDULE D, PART IX, LINE 2, BOND ISSUANCE COST, LESS AMORTIZATION AMOUNT - SCHEDULE D, PART XI, RECONCILIATION INCLUDING A CHANGE IN THE INCREASE IN INTEREST IN ST. FRANCIS FOUNDATION REPORTED ON LINE 8 - OTHER ADJUSTMENTS - SCHEDULE D, PART XII, LINES 1, 3, AND 5 - SCHEDULE D, PART XIII, LINES 1, 3, AND 5 REFER TO THE ATTACHMENT AT THE END OF THE FINANCIAL STATEMENTS FOR A DETAILED BREAKOUT OF CHANGES TO THE AMENDED RETURN.
  SCHEDULE H, PART II, COMMUNITY BUILDING ACTIVITIES (CONTINUED): COALITION BUILDING IN THE AREAS OF COALITION BUILDING FORMAL PARTICIPATION IN LOCAL COALITIONS SUCH AS THE NORTHEND INSTITUTIONAL NEIGHBORHOOD ALLIANCE, THE COMMUNITY YOUTH VIOLENCE COALITION AND OTHERS TAKE PLACE ON A REGULAR BASIS. IN ADDITION, INFORMAL PARTNERSHIPS AND COLLABORATIVE RELATIONSHIPS WITH NUMEROUS COMMUNITY ORGANIZATIONS FACILITY BUILDING OF STRONG PARTNERSHIPS AND COALITIONS THAT WORK TO ADDRESS A MYRIAD OF PUBLIC HEALTH ISSUES FACING THE POPULATION SERVED BY SAINT FRANCIS HOSPITAL. SAINT FRANCIS IS A MEMBER OF THE CHA FALLS PROTECTION COLLABORATION WHICH IS A MULTIFACETED, MULTIDISCIPLINARY FALL PREVENTION PROGRAM THAT REACHES OLDER ADULTS VIA THE EXISTING HEALTH CARE SYSTEM AND COMMUNITY ORGANIZATIONS. A PRIMARY CONSEQUENCE OF FALLING IS FRACTURE, WHICH MAY LEAD TO SIGNIFICANT CHANGES ON AN OLDER PERSON'S QUALITY OF LIFE, EVERYDAY FUNCTIONING & INDEPENDENCE. FALLS IN THE ELDERLY CAN ALSO HAVE A LARGER IMPACT ON HEALTH CARE SERVICES AND OUR LARGER SOCIETY. IN AN EFFORT TO HELP PREVENT FALLS & RAISE AN AWARENESS OF SAFETY IN EVERYDAY ACTIVITIES. THE PROGRAM FOCUSES BOTH ON THE ACTIONS THAT CAN BE TAKEN IN THE HOSPITAL SETTING AND AT HOME, AFTER DISCHARGE, SO THAT PATIENTS LEARN THE BEHAVIORS THAT CAN HELP TO PREVENT FALLS. EXECUTIVE STAFF AT SAINT FRANCIS IS EXPECTED TO PARTICIPATE IN COMMUNITY IMPROVEMENT ACTIVITIES SUCH AS SERVING ON BOARDS, ASSISTING SMALL NON-PROFITS WITH FUNDRAISING ACTIVITIES, PROVIDING EXPERTISE AND IN-KIND SUPPORT AND PROVIDING MEETING SPACE FREE OF CHARGE. IN THE AREA OF WORKFORCE DEVELOPMENT SAINT FRANCIS PARTNERS WITH LOCAL NURSING SCHOOLS TO TRAINING NURSING STAFF TO ADDRESS AREAS OF HIGH NEED THROUGH OUT THE COUNTY. WORK IN THIS AREA ALSO INCLUDE PROVIDING INTERNSHIP OPPORTUNITIES FOR COLLEGE STUDENTS AS WELL AS HIGH SCHOOL STUDENTS DURING THE SUMMER MONTHS TO EXPOSE THEM TO THE TYPE OF WORK THAT CAN TAKE PLACE IN A HOSPITAL SETTING. SAINT FRANCIS PARTNERS WITH THE CAPITOL REGION EDUCATIONAL COUNCIL'S HEALTH EDUCATION PROFESSIONALS ACADEMY FOR TRAINING HIGH SCHOOL STUDENTS ABOUT THE MANY OPPORTUNITIES IN THE FIELD OF HEALTH. MASTERS AND PHD LEVEL STUDENT ARE ALSO RECRUITED FROM A VARIETY OF LOCAL UNIVERSITIES AND COLLEGES TO PARTICIPATE IN A VARIETY OF PROJECTS SO THAT THEY BETTER UNDERSTAND THE OPPORTUNITIES AVAILABLE IN THE WORKPLACE. FINALLY, CLASSES AND SUPPORT ARE OFFERED TO SUPPORT STAFF'S PARTICIPATION IN EDUCATIONAL PROGRAMS THAT ENABLE RNS TO BECOME BSNS IN ORDER TO IMPROVE THEIR EARNING POWER AND KNOWLEDGE BASE, AND ABILITY TO CONTINUE THEIR EDUCATION. SAINT FRANCIS OFFERS A WIDE ARRAY OF SUPPORT IN THE AREA OF WORKFORCE DEVELOPMENT AND HAS A LONG HISTORY OF DOING SO. ADVOCACY FOR HEALTH IMPROVEMENTS ADVOCACY WORK AT SAINT FRANCIS IS DONE BY THOSE WITH HIGH LEVEL EXPERTISE IN AN AREA OF HEALTH CARE TO WHICH THEY CAN SPEAK WITH BOTH KNOWLEDGE AND CONVICTION. SOME EXAMPLES OF STAFF WHO HAVE BEEN ENGAGED IN ADVOCACY WORK IN THE PAST INCLUDE: DR. KRISTEN ZARFOS WHO WORKED TIRELESSLY TO ADVOCATE FOR MAMMOGRAPHY SCREENING COVERAGE IN THE NEW HEALTH CARE REFORM LEGISLATION AT THE NATIONAL LEVEL. DR. ANITA KELSEY WORKED AT THE STATE LEVEL ON A REGULAR BASIS TO INCREASE THE PROFILE OF THE CRITICAL HEALTH ISSUE OF CARDIOVASCULAR DISEASE IN WOMEN. THOMAS ROMAN WHO IS VERY INVOLVED IN THE NATIONAL ALLIANCE FOR MENTAL ILLNESS IS THE CURRENT CHAIRPERSON FOR THAT ORGANIZATION AT THE STATE LEVEL. DR. MARCUS MCKINNEY HAS DEVELOPED AN EXPERTISE IN HEALTH DISPARITIES AND IS INVOLVED COLLABORATIONS AT THE STATE AND NATIONAL LEVEL TO ADDRESS THIS ISSUE. ADDITIONALLY CHRISTOPHER DADLEZ HAS IDENTIFIED HEALTH DISPARITIES AS AN AREA OF INTEREST AND IS ACTIVE IN ADVOCACY WORK ON THIS ISSUE.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


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SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ST FRANCIS HOSPITAL AND MEDICAL CENTER
 
Employer identification number

06-0646813
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity







(1) SAINT FRANCIS INDEMNITY COMPANY
76 ST PAUL ST SUITE 500
BURLINGTON,VT05401
90-0656448 		MALPRACTICE INSURANCE VT 9,374,102 42,730,681 SAINT FRANCIS HOSPITAL & MEDICAL CENTER
 










Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) ASYLUM HILL FAMILY MEDICAL CENTER

114 WOODLAND STREET

HARTFORD,CT06105
06-1450170 		HEALTH SERVICES CT 501(C)(3) 3 SAINT FRANCIS CARE
 
 
No
(2) ONE THOUSAND CORPORATION

1000 ASYLUM STREET

HARTFORD,CT06105
06-0922325 		MANAGEMENT CT 501(C)(2)   SAINT FRANCIS HOSPITAL & MEDICAL CENTER
 
 
No
(3) SAINT FRANCIS CARE INC

114 WOODLAND STREET

HARTFORD,CT06105
06-1491191 		SUPPORTS HEALTH CARE ORGANIZATIONS CT 501(C)(3) 11 TYPE 1 N/A
 
No
(4) SAINT FRANCIS FOUNDATION INC

114 WOODLAND STREET

HARTFORD,CT06105
06-1008255 		FUNDRAISING CT 501(C)(3) 11 TYPE 1 SAINT FRANCIS CARE
 
 
No
(5) THE CAMILLUS CORPORATION

1000 ASYLUM STREET

HARTFORD,CT06105
06-1051261 		SUPPORT HEALTH CARE ORGANIZATIONS CT 501(C)(3) 11 TYPE 1 SAINT FRANCIS CARE
 
 
No
(6) MT SINAI REHABILITATION HOSPITAL INC

114 WOODLAND STREET

HARTFORD,CT06105
06-1422973 		HOSPITAL CT 501(C)(3) 3 SAINT FRANCIS CARE
 
 
No
(7) SAINT FRANCIS MEDICAL GROUP INC

114 WOODLAND STREET

HARTFORD,CT06105
06-1450168 		HEALTH SERVICES CT 501(C)(3) 3 SAINT FRANCIS CARE
 
 
No
(8) THE WOMEN'S AUXILIARY OF SAINT FRANCIS HOSPITAL AND MEDICAL CENTER INC

114 WOODLAND STREET

HARTFORD,CT06105
06-0660403 		SUPPORTS HOSPITAL CT 501(C)(3) 11 TYPE 1 SAINT FRANCIS HOSPITAL & MEDICAL CENTER
 
 
No
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) COLLABORATIVE LABORATORY SERVICES

114 WOODLAND STREET
HARTFORD,CT06105
06-1520109 		LAB SERVICES CT SAINT FRANCIS HOSPITAL & MEDICAL CENTER
  		RELATED 1,110,882 8,381,325   No     No 100.000 %
(2) TOTAL LAUNDRY COLLABORATIVE

114 WOODLAND STREET
HARTFORD,CT06105
20-8335788 		LAUNDRY SERVICES CT SAINT FRANCIS HOSPITAL & MEDICAL CENTER
  		RELATED -129,358 2,766,190   No     No 54.000 %
(3) MEDWORKS LLC

375 EAST CEDAR STREET
NEWINGTON,CT06111
06-1490483 		REHABILITATION SERVICES CT SAINT FRANCIS HOSPITAL & MEDICAL CENTER
  		RELATED 62,206 40,150   No     No 50.000 %








Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership
(1) SAINT FRANCIS CARE MEDICAL GROUP PC
114 WOODLAND STREET
HARTFORD,CT06105
06-1432373 		HEALTH SERVICES CT SAINT FRANCIS HOSPITAL & MEDICAL CENTER
  		C -132,051 1,146,483 100.000 %
(2) SAINT FRANCIS BEHAVIORAL HEALTH GROUP
114 WOODLAND STREET
HARTFORD,CT06105
06-1384686 		BEHAVIOR HEALTH SERVICES CT SAINT FRANCIS HOSPITAL & MEDICAL CENTER
  		C -1,025,544 640,241 100.000 %
(3) SAINT FRANCIS HEALTH CARE PARTNERS
95 WOODLAND ST FOURTH FLOOR
HARTFORD,CT06105
06-1391257 		MGMT AND ADMIN SERVICES CT SAINT FRANCIS HOSPITAL & MEDICAL CENTER
  		C 11,538 1,300,806 50.000 %








Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
Yes
 
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1)
(2)
(3)
(4)
(5)
(6)
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


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