Attach to Form 990 or Form 990-EZ.
See separate instructions.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (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 monetary support | |||
|---|---|---|---|---|---|---|---|---|---|
| Yes | No | Yes | No | Yes | No | ||||
| Total | |||||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.).. | ||||||
| 11 | Total support (Add lines 7 through 10). | ||||||






Calendar year (or fiscal year beginning in) ![]() |
(a) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (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.).. | ||||||




| Facts And Circumstances Test |
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| Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
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| FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED): | WE DO NOT TAKE THESE RELATIONSHIPS FOR GRANTED. BY LISTENING AND RESPONDING TO COMMUNITY NEEDS, WE OFFER A PARTNERSHIP BUILT ON TRUST. YOU CAN COUNT ON OUR EMERGENCY DEPARTMENT WHEN YOU NEED IMMEDIATE HELP, OUR CLINICS AND REFERRAL SERVICES TO FIND A GOOD PHYSICIAN FOR YOUR FAMILY, AND RESPECTFUL PROFESSIONALS THROUGHOUT OUR INSTITUTION WHO WILL ENSURE YOUR DIGNITY REGARDLESS OF YOUR SITUATION IN LIFE. THE FOLLOWING SAINT FRANCIS COMMUNITY BENEFIT REPORT HIGHLIGHTS JUST A FEW OF THE WAYS WE FULFILL OUR MISSION TO SERVE. WE HOPE YOU HAVE DIRECTLY BENEFITED FROM OUR OUTREACH. WE ALSO HOPE YOU CONTINUE TO ENGAGE OUR GROWING COMMUNITY BENEFIT INITIATIVE BY SHARING YOUR THOUGHTS, JOINING IN OUR MISSION, AND EXPERIENCING WITH US THE JOY OF WORKING TO IMPROVE THE HEALTH OF EVERYONE IN OUR REGION. OUR MISSION: WE ARE COMMITTED TO HEALTH AND HEALING THROUGH EXCELLENCE, COMPASSIONATE CARE AND REVERENCE FOR THE SPIRITUALITY OF EACH PERSON. OUR CORE VALUES: 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 2014. 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 2014, SAINT FRANCIS PROVIDED $78,102,500 IN COMMUNITY BENEFIT, OF WHICH $5,967,252 REPRESENTS CHARITY CARE AND UNPAID COSTS OF MEDICAID. THESE FIGURES DO NOT TAKE INTO ACCOUNT AN ADDITIONAL $21,847,988 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 2014, SAINT FRANCIS PROVIDED COMMUNITY BENEFIT SERVICES TO 147,675 INDIVIDUALS WHO RECEIVED FINANCIAL ASSISTANCE FOR THEIR MEDICAL CARE AND SUPPORT THROUGH OUR COMMUNITY BENEFIT PROGRAMS. CHARITY CARE - $ 5,967,252 FREE OR DISCOUNTED HEALTH SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD TO PAY AND WHO MEET THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY CRITERIA ARE CATEGORIZED AS CHARITY CARE. THIS YEAR'S REPORT HIGHLIGHTS THE WORK OF THE FINANCIAL COUNSELORS WHO ADMINISTER CHARITY CARE, SOMETIMES REFERRED TO AS FINANCIAL RELIEF. CHARITY CARE IS REPORTED IN TERMS OF COSTS, NOT CHARGES. COMMUNITY BENEFIT SERVICES - $ 30,235,625 SERVICES PROVIDED TO MEET COMMUNITY NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT ARE REFERRED TO AS COMMUNITY BENEFIT SERVICES. INCLUDED HERE ARE CLINICAL PATIENT CARE SERVICES PROVIDED DESPITE A NEGATIVE MARGIN, PUBLIC HEALTH PROGRAMS, COMMUNITY OUTREACH AND EDUCATION, AND PARTNERSHIPS WITH LOCAL COMMUNITY AGENCIES. GOVERNMENT-SPONSORED HEALTHCARE - $ 41,899,623 GOVERNMENT-SPONSORED HEALTHCARE COMMUNITY BENEFITS INCLUDE UNPAID COSTS OF PUBLIC PROGRAMS FOR LOW-INCOME PERSONS. THESE INCLUDE THE SHORTFALL CREATED WHEN PAYMENTS ARE LESS THAN THE COST-OF-CARING FOR PROGRAM BENEFICIARIES. TOTAL COMMUNITY BENEFIT - $ 78,102,500 COMMUNITY BENEFIT - SERVICES WHAT ARE THE NUMBERS? COMMUNITY BENEFIT IS 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 $30,235,625. A. COMMUNITY HEALTH IMPROVEMENT SERVICES - $ 2,035,780 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 - ADAPTIVE ROWING PROGRAM - BREAST AND CERVICAL CANCER EDUCATION AND OUTREACH - BREASTFEEDING SUPPORT - CHILD ABUSE PREVENTION EDUCATION AND OUTREACH - CANCER SUPPORT GROUPS - CHILDBIRTH EDUCATION CLASSES - COLORECTAL SCREENING PROGRAM AND EDUCATION PROGRAM - CENTER FOR DIABETES & METABOLIC CARE PROGRAM EDUCATION AND OUTREACH - CURTIS D. ROBINSON CENTER FOR HEALTH EQUITY PROGRAMS: - COMMUNITY ENGAGEMENT ACTIVITIES - LANGUAGE SERVICES EDUCATION - MEN'S HEALTH EDUCATION - NAVIGATION SERVICES - PASTORAL COUNSELING TRAINING PROGRAM - GOLFERS IN MOTION - HEALTH PROMOTION ACTIVITIES - HEALTHY START AND PARENTING PROGRAMS - INTEGRATIVE HEALTH SERVICES - MEDICAL LEGAL PARTNERSHIP PROGRAM - VIOLENCE AND INJURY PREVENTION PROGRAM - WOMEN'S HEART PROGRAM OUTREACH COMMUNITY-BASED CLINICAL SERVICES - PREVENTIVE HEALTH SCREENINGS: - CARDIOVASCULAR RISK ASSESSMENT - CHILD SEAT SAFETY SCREENING - DIABETES SCREENING - MAMMOGRAMS - PROSTATE CANCER - SERVICES FOR CHILDREN AND FAMILIES IMPACTED BY CHILD ABUSE - SUPPORT FOR MALTA VAN HEALTHCARE SUPPORT SERVICES - CARDIAC REHAB AND WELLNESS - CARE MANAGEMENT SUPPORT SERVICES - DIABETES SUPPORT SERVICES - MULTIDISCIPLINARY CASE MANAGEMENT TEAM FOR CHILD ABUSE - NURTURING FAMILIES NETWORK CASE MANAGEMENT SERVICES - PROCUREMENT OF PHARMACEUTICALS FOR INDIGENT CLIENTS OTHER HEALTH IMPROVEMENT SERVICES - CAREGIVER SUPPORT SERVICES - HEALTH EQUITY FELLOWSHIP - LITERACY SUPPORT PROGRAMS - TRANSPORTATION SUPPORT - LANGUAGE SUPPORT SERVICES - THE AUXILIARY REPETITIONS THRIFT STORE - JOAN C. DAUBER EMERGENCY FOOD BANK - KEEP-THE-POWER-ON UTILITY CLINIC B. HEALTH PROFESSIONS EDUCATION - $ 24,803,442 THIS CATEGORY INCLUDES THE UNPAID COSTS OF UNDERGRADUATE TRAINING, INTERNSHIPS, CLERKSHIPS, RESIDENCIES, NURSING TRAINING, RESIDENCY EDUCATION, AND CONTINUING MEDICAL EDUCATION (CME) OFFERED TO PHYSICIANS OUTSIDE OF THE MEDICAL STAFF. - CONNECTICUT INSTITUTE FOR PRIMARY CARE INNOVATION (CIPCI) - DENTAL ASSISTANT AND DENTAL HYGIENIST TRAINING - DIETICIAN TRAINING - MEDICAL STUDENT EDUCATION - NURSES AND NURSING STUDENT EDUCATION - OB/GYN RESIDENCY TRAINING - OTHER HEALTH PROFESSIONAL EDUCATION - PHARM-D TRAINING SITE C. SUBSIDIZED HEALTH SERVICES - $ 2,382,497 THIS CATEGORY INCLUDES HEALTH SERVICES AND CLINICAL PROGRAMS THAT ARE PROVIDED DESPITE A FINANCIAL LOSS. THESE SERVICES ARE PROVIDED BECAUSE THEY MEET AN IDENTIFIED COMMUNITY NEED THAT IS NOT BEING FULFILLED BY THE GOVERNMENT OR ANOTHER NOT-FOR-PROFIT ORGANIZATION. - UNCOMPENSATED CARE - DENTAL CLINIC - UNCOMPENSATED CARE - FAMILY MEDICINE D. RESEARCH - $ 230,090 THIS CATEGORY INCLUDES CLINICAL AND COMMUNITY HEALTH RESEARCH THAT IS SHARED WITH THE PUBLIC AND FUNDED BY THE GOVERNMENT OR A TAX-EXEMPT ENTITY (INCLUDING THE ORGANIZATION ITSELF). - COMMUNITY RESEARCH GRANTS - FEDERAL RESEARCH GRANTS - STATE AND LOCAL RESEARCH GRANTS - TRAINEE RESEARCH GRANTS |
| FORM 990, PART III, LINE 4A | E. FINANCIAL AND IN-KIND DONATIONS - $ 237,064 THIS CATEGORY INCLUDES FUNDS AND IN-KIND SERVICES DONATED TO INDIVIDUALS NOT AFFILIATED WITH THE ORGANIZATION, OR TO COMMUNITY GROUPS AND OTHER NOT-FOR-PROFIT ORGANIZATIONS. IN-KIND SERVICES INCLUDE HOURS CONTRIBUTED BY STAFF TO THE COMMUNITY WHILE ON WORK TIME; OVERHEAD EXPENSES OF SPACE DONATED TO NOT-FOR-PROFIT COMMUNITY GROUPS; AND THE DONATION OF FOOD, EQUIPMENT, AND SUPPLIES. - DONATIONS TO CHARITABLE ORGANIZATIONS - IN-KIND USE OF FACILITIES - MEDICAL MISSION SUPPORT - SUPPORT FOR LOCAL COMMUNITY ORGANIZATIONS F. COMMUNITY-BUILDING ACTIVITIES - $ 238,668 THIS CATEGORY INCLUDES PROGRAMS THAT ADDRESS THE UNDERLYING SOCIAL PROBLEMS, SUCH AS POVERTY, HOMELESSNESS, AND ENVIRONMENTAL ISSUES. THESE ACTIVITIES SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF THE HEALTHCARE ORGANIZATION. - CREC MAGNET SCHOOL PARTNERSHIP - DISASTER PLANNING - BOARD MEMBERSHIPS - NEIGHBORHOOD ASSOCIATIONS G. COMMUNITY-BENEFIT OPERATIONS - $ 308,084 THIS CATEGORY INCLUDES THE COSTS ASSOCIATED WITH STAFFING THE COMMUNITY HEALTH DEPARTMENT AND COSTS ASSOCIATED WITH COMMUNITY BENEFIT PLANNING AND OPERATIONS. BRIDGING THE DIVIDE - 2014 COMMUNITY BENEFIT REPORT WELCOME SIR ISAAC NEWTON ONCE WROTE, "WE BUILD TOO MANY WALLS AND NOT ENOUGH BRIDGES." TODAY, MORE THAN EVER, WE NEED BRIDGES BETWEEN THE VOICES OF FAMILIES IN OUR COMMUNITIES AND HEALTHCARE PROVIDERS WHO SEEK TO FOCUS RESOURCES WHERE THEY ARE NEEDED MOST. WITH THE GREAT DIVERSITY OF OUR REGION, WE HAVE AN OPPORTUNITY TO IMPROVE THE HEALTH OF ALL THE COMMUNITIES WE SERVE, INCLUDING THE MOST VULNERABLE, BY PROVIDING CULTURALLY APPROPRIATE, COMMUNITY-INFORMED, PREVENTION-SMART RESOURCES THAT HARNESS THE MOST VISIONARY APPROACHES IN HEALTHCARE TODAY. OUR DESTINY MUST BE YOUR BESTCARE. OUR MISSION WILL HELP US BUILD BRIDGES THAT ENSURE YOUR HEALTH AND WELLNESS IS EASIER TO MAINTAIN BY PROVIDING BETTER ACCESS, LESS COMPLICATED SERVICES, MINDFUL OF ELIMINATING THE BARRIERS TO QUALITY CARE AND OUTCOMES. IN THE STORIES THAT FOLLOW, YOU WILL SEE MOVING EXAMPLES OF HOW OUR MISSION TO GIVE BACK TO OUR COMMUNITY IS MAKING A DIFFERENCE. IN 2014, OVER $78,102,500 WAS TARGETED TO COMMUNITY NEEDS. THAT AMOUNTS TO $213,979 EACH DAY. EVERY DOLLAR MUST PASS THE MISSION TEST TO BENEFIT THE COMMUNITIES WE SERVE, ESPECIALLY THOSE IN MOST NEED. ASK DEBORAH, WHOSE DESTINATION IN LIFE CROSSED A BRIDGE THAT INTRODUCED EASIER ACCESS TO CARE, MORE MEANINGFUL RELATIONSHIPS THAT ASSISTED ALL ASPECTS OF LIFE THAT MADE A DIFFERENCE IN HER OUTLOOK. OR REV. DAVID MASSEY, WHO ENGAGED PROVIDERS AT SAINT FRANCIS AS FAMILY...HONESTLY SHAPING THE WAY CARE NEEDED TO HAPPEN FOR HIM. TALK WITH MEMBERS OF THE BHUTAN COMMUNITY WHO SEE SAINT FRANCIS AS A NEIGHBORHOOD PARTNER HELPING THEM TRANSITION TO A NEW HOME. AFTER 118 YEARS, SAINT FRANCIS' MISSION IS WELL POSITIONED TO BUILD BRIDGES TO MORE PERSONAL HEALTH AND WELLNESS FOR YOU, AS WELL. WHERE RELATIONSHIPS MATTER MOST. WE VALUE OUR RELATIONSHIP WITH YOU AND YOUR FAMILY, AND WELCOME YOUR INSIGHTS! MORE THAN EVER, WE ARE HONORED TO BE A TRUSTED PROVIDER OF HEALTHCARE TO BENEFIT OUR COMMUNITIES! BRIDGING THE DIVIDE THE ROLE OF COMMUNITY IN HEALTHCARE IS CHANGING - NEVER BEFORE HAS THE HEALTHCARE SYSTEM FOCUSED SO MUCH ATTENTION ON THE NEEDS OF PATIENTS AND THE IDEA THAT RELATIONSHIPS WITH THE PEOPLE IN THE COMMUNITY CAN LEAD TO A BETTER SYSTEM FOR PROVIDING THE CARE AND SUPPORT NEEDED FOR OPTIMAL HEALTH. COMMUNITY BENEFIT IS EMBLEMATIC OF THAT CHANGE - FROM ITS START AS A SIMPLE PLAN FOR COLLECTING AND REPORTING DATA ABOUT COMMUNITY-BASED HOSPITAL ACTIVITIES, TO THE DEVELOPMENT OF A REQUIRED ANNUAL REPORTING TO THE IRS AND PERIODIC COMMUNITY HEALTH NEEDS ASSESSMENT AND THE SUBSEQUENT STRATEGIC IMPLEMENTATION PLAN DESIGNED TO ADDRESS THOSE NEEDS. COMMUNITY BENEFIT AT SAINT FRANCIS HAS EVOLVED TO TARGET RESOURCES WHERE THEY ARE NEEDED MOST AND TO BRIDGE THE DIVIDE BETWEEN THE SYSTEM OF HEALTHCARE DELIVERY AND THE CURRENT NEEDS OF COMMUNITY MEMBERS WHO CHOOSE SAINT FRANCIS AS THEIR HEALTHCARE PROVIDER. THE SAINT FRANCIS STRATEGIC IMPLEMENTATION PLAN FOR COMMUNITY BENEFIT IDENTIFIES FOUR PRIORITY AREAS OF WORK BASED ON THE FINDINGS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT COMPLETED IN 2012. (SEE CALL-OUT BOX.) THESE PRIORITIES HIGHLIGHT ISSUES THAT HAVE A SIGNIFICANT IMPACT ON HEALTH OUTCOMES FOR PATIENTS BOTH WITHIN THE HEALTHCARE SYSTEM AND IN THE COMMUNITY. THIS REPORT WILL IDENTIFY THOSE PRIORITIES AND THEN PROVIDE EXAMPLES OF PATIENTS WHO HAVE BENEFITED FROM OUR COMMITMENT TO PROVIDING SERVICES THAT TARGET COMMUNITY PRIORITIES AND IMPROVE HEALTH OUTCOMES. THESE STORIES ARE IMPORTANT, NOT ONLY FOR THOSE IN NEED OF CARE, BUT FOR US ALL. AS A COMMUNITY OF PEOPLE WHO PARTICIPATE TOGETHER IN A HEALTHCARE SYSTEM, WE NEED TO UNDERSTAND HOW THAT SYSTEM CAN HELP EACH OF US WHEN WE NEED IT MOST. BY HIGHLIGHTING A FEW EXAMPLES WE HOPE TO SHARE OUR PRIORITIES, DEMONSTRATE THE VALUE OF BRIDGING THE DIVIDE BETWEEN THE COMMUNITY AND THE HEALTHCARE SYSTEM, AND ENGAGE THE COMMUNITY IN THIS IMPORTANT DISCUSSION. STRATEGIC PRIORITIES FOR COMMUNITY BENEFIT: IMPROVE COMMUNICATION EXAMPLE: WORK WITH A NEW IMMIGRANT GROUP RESULTS IN BETTER UNDERSTANDING. REMOVE BARRIERS TO HEALTHCARE EXAMPLE: COLLABORATION WITH COMMUNITY AGENCY IMPROVES HEALTH OUTCOMES FOR A PATIENT. PROVIDE COORDINATED CARE EXAMPLE: A PATIENT WITH COMPLEX HEALTH ISSUES GETS THE SERVICES NEEDED TO RETURN TO HEALTH. TARGET SOCIAL DETERMINANTS OF HEALTH EXAMPLE: FINANCIAL COUNSELORS HELP PATIENTS ENROLL IN NEEDED HEALTH INSURANCE. IMPROVING COMMUNICATION THE WELCOMING COMMITTEE IS A SUB-COMMITTEE OF THE ASYLUM HILL NEIGHBORHOOD ASSOCIATION (WWW.ASYLUMHILL.ORG) AND HAS BEEN MEETING MONTHLY AT THE CURTIS D. ROBINSON CENTER FOR HEALTH EQUITY AT SAINT FRANCIS FOR THE PAST YEAR. THIS GROUP IS MADE UP OF MEMBERS FROM BOTH THE IMMIGRANT AND RECEIVING COMMUNITIES, AND FOCUSES ON SUPPORTING NEW IMMIGRANTS TO INTEGRATE INTO THE NEIGHBORHOOD AS WELL AS NAVIGATE THE SERVICES THEY NEED TO MAKE HARTFORD THEIR NEW HOME. THE SPACE IS OFFERED FREE TO COMMUNITY GROUPS, AND PROVIDES EASY ACCESS TO PARKING AND IS LOCATED RIGHT ON THE BUS LINE WHICH ENHANCES THE ABILITY OF GROUP MEMBERS TO ATTEND REGULARLY, THEREBY IMPROVING GROUP COHESIVENESS. MEMBERS HAIL FROM COUNTRIES THAT INCLUDE TOGO, CAMEROON, BHUTAN, BURMA, PERU, THE IVORY COAST, GHANA AND NEPAL. MANY ARE LEARNING ENGLISH AND ESTABLISHING THEMSELVES AND THEIR FAMILIES BY CONNECTING WITH FELLOW RESIDENTS, NEIGHBORHOOD AGENCIES AND INSTITUTIONS OFFERING THEM A RANGE OF SERVICES AND TARGETED ASSISTANCE. THE SUPPORT OF THE CENTER FACILITATES SUCH CONNECTIONS TO MULTIPLE RESOURCES AND SERVES AS A BRIDGE BETWEEN GROUP MEMBERS AND THE SERVICES THAT EXIST IN THE COMMUNITY. THIS PAST YEAR STAFF FROM THE URBAN LEAGUE, LOCATED IN THE SAME BUILDING, GAVE WORKSHOPS ON "BUYING YOUR FIRST HOME" AND "FINDING EMPLOYMENT," TOPICS THAT GROUP MEMBERS HAD ASKED TO LEARN MORE ABOUT. THE RELATIONSHIP WITH THE WELCOMING COMMITTEE WORKS BOTH WAYS IN THAT THE MEMBERS SOMETIMES SERVE AS A RESOURCE FOR SAINT FRANCIS. ONE EXAMPLE OF THIS IS WHEN A HOSPITAL CHAPLAIN WAS WORKING WITH A PATIENT WHOSE FAMILY MEMBER WAS DYING; SHE WAS NOT AWARE OF THE CULTURAL AND RELIGIOUS CUSTOMS OF THIS FAMILY AND WAS TRYING TO FIND A RELIGIOUS LEADER FROM WITHIN THAT COMMUNITY WHO COULD ASSIST THE FAMILY THROUGH THIS DIFFICULT TIME. BY CONTACTING A MEMBER OF THE WELCOMING COMMITTEE, AN APPROPRIATE RELIGIOUS LEADER WAS FOUND AND THE FAMILY FOUND SOME SOLACE DURING THIS DIFFICULT TIME. IN ANOTHER CASE, A SOCIAL WORKER FROM THE SAINT FRANCIS CHILDREN'S ADVOCACY CENTER HAD CONCERNS ABOUT COMMUNICATING APPROPRIATELY TO THE FAMILY MEMBER OF A CHILD WHO WAS SEXUALLY ABUSED. AGAIN, THE WELCOMING COMMITTEE SERVED AS A RESOURCE FOR FINDING THE INFORMATION NEEDED TO HELP THE STAFF MEMBER COMMUNICATE THIS SENSITIVE INFORMATION TO THE FAMILY IN A CULTURALLY APPROPRIATE MANNER. |
| FORM 990, PART III, LINE 4A | REMOVING BARRIERS TO HEALTHCARE MANAGEMENT OF A CHRONIC ILLNESS CAN BE A DIFFICULT TASK, BUT IT IS EVEN MORE CHALLENGING WHEN FACED WITH LIMITED RESOURCES AND INSUFFICIENT HEALTH INSURANCE COVERAGE. SAINT FRANCIS HAS PARTNERED WITH A NATIONAL ORGANIZATION CALLED COMMUNITY SOLUTIONS, WHICH IS ENGAGED LOCALLY IN COMMUNITY DEVELOPMENT DESIGNED TO IMPROVE THE QUALITY OF LIFE FOR THE RESIDENTS IN THE NORTH END OF HARTFORD. ONE FOCUS OF THIS PARTNERSHIP HAS BEEN TO HELP RESIDENTS FIND THE SERVICES THEY NEED TO MANAGE CHRONIC ILLNESS RATHER THAN USING THE HIGH-COST SERVICES OF THE EMERGENCY ROOM FOR THEIR HEALTHCARE. IN THE FIRST NINE MONTHS OF A PILOT PROJECT, PARTICIPANTS EXPERIENCED A 57 PERCENT DECREASE IN THEIR EMERGENCY ROOM USE. A SOCIAL WORKER FROM COMMUNITY SOLUTIONS, NADIA LUGO, SAYS HER CLIENT DEBORAH KNOWLES' STORY SHOWS HOW THE NEW APPROACH WORKS. DEBORAH IS A NORTH END RESIDENT BY WAY OF SOUTH CAROLINA. SHE LIVES IN A VERY CLEAN AND HOMEY APARTMENT, AND SHE HAS AN AMAZING SMILE - THAT BECOMES EVEN MORE AMAZING WHEN YOU LEARN SHE IS LIVING WITH CHRONIC BACK PAIN, CIRRHOSIS OF THE LIVER, DIABETES, AND HYPERTENSION. IT'S CLEAR WHEN YOU SIT IN HER KITCHEN THAT SHE LOVES TO COOK. SHE HAS A LARGE BAG OF ONIONS AND POTATOES ON THE SHELF IN THE CORNER ALONG WITH BIG BAGS OF BOTH RICE AND BEANS. SHE EVEN HAS A SET OF MEASURING CUPS ADORNING THE WALLS. "WHEN I WAS A KID WE MOVED TO SOUTH CAROLINA AND WE DIDN'T HAVE ANY FURNITURE IN OUR NEW HOUSE. MY MOM SAID SHE COULD BUY THE FURNITURE IF WE ALL AGREED TO EAT BEANS FOR A FULL MONTH. SO WE DID - AND WE GOT THAT FURNITURE. AND YOU KNOW - I STILL LOVE TO COOK BEANS." WHEN SHE MET NADIA, DEBORAH WAS USING THE EMERGENCY ROOM TO DEAL WITH HER HEALTH ISSUES. SHE DID NOT HAVE TRANSPORTATION, AND BECAUSE OF ACUTE BACK PAIN, SHE WAS UNABLE TO WALK TO THE BUS STOP. SOMETIMES HER MEDICAL CABS DID NOT SHOW UP, SO SHE WOULD CALL THE AMBULANCE TO GET TO THE EMERGENCY ROOM AND RECEIVE THE TREATMENT SHE NEEDED. THIS USE OF THE EMERGENCY ROOM WAS LOGICAL, BUT IT WAS ALSO EXPENSIVE AND TIME-CONSUMING FOR DEBORAH. NADIA HELPED HER DEVELOP A BETTER STRATEGY FOR MANAGING HER CHRONIC CONDITIONS. SINCE SHE MET NADIA, DEBORAH HAS SEEN HER QUALITY OF LIFE, AND HER HEALTH, IMPROVE SIGNIFICANTLY. SHE NOW HAS A PLAN SET UP WITH HER LANDLORD TO ADDRESS BACK RENT, AND A WALKER AND STABILITY BARS TO GET AROUND HER APARTMENT MORE EASILY. HER PRESCRIPTIONS ARE NOW DELIVERED TO HER HOME, AND SHE HAS GAINED CONTROL OF HER DIABETES THANKS TO A PRIMARY CARE DOCTOR AND A VISITING NURSE, WHO HELPS WITH HER INSULIN SHOTS. DEBORAH NO LONGER SPENDS THE DAY IN BED DEPRESSED AND IN CHRONIC PAIN. INSTEAD, SHE SAYS SHE WANTS TO GET OUTSIDE MORE AND VISIT HER FRIENDS AND FAMILY. SHE IS EVEN CONSIDERING ATTENDING THE VALENTINE'S DAY DANCE AT THE ELKS CLUB. COMMUNITY-BASED CARE COORDINATION HAS HELPED DEBORAH SPEND LESS TIME IN THE HOSPITAL AND MORE TIME DOING WHAT SHE LOVES. SHE IS FOREVER GRATEFUL TO NADIA FOR HELPING HER GET HER LIFE BACK. PROVIDING COORDINATED CARE PASTOR DAVID MASSEY HAS SEEN A LOT OF SAINT FRANCIS IN THE PAST FEW YEARS. FIRST HE WAS DIAGNOSED WITH HEART DISEASE, CONCURRENTLY HE HAD DIABETES AND THEN, JUST AS SOON AS HE RECOVERED HIS HEALTH, HE FOUND A LUMP ON THE SIDE OF HIS NECK. IT PROVED TO BE NASAL PHARYNX CANCER AND BECAME THE MOST DIFFICULT OF HIS HEALTH ISSUES TO ADDRESS. FOR ALMOST A YEAR HE RECEIVED RADIATION AND CHEMOTHERAPY TREATMENT AT THE SAINT FRANCIS/MOUNT SINAI REGIONAL CANCER CENTER. IT WAS A LONG AND DIFFICULT JOURNEY THAT INCLUDED MANY HEALTHCARE PROVIDERS. "I'VE BEEN AT SAINT FRANCIS A LOT LATELY, IT FEELS LIKE FAMILY TO ME AND ONE PERSON CAN MAKE A BIG DIFFERENCE." HEALTH ISSUES HAVE CHANGED REVEREND MASSEY IN MANY WAYS. THE FIRST THING YOU NOTICE IS THAT HIS WEIGHT HAS DROPPED FROM OVER 200 LBS. TO A SLIM 170 - A WEIGHT THAT HE DESCRIBES AS "LOOKING GOOD ON ME." HE ALSO SAYS HE HAS A LOT MORE KNOWLEDGE ABOUT HOW TO BE AN ADVOCATE FOR HIMSELF AND HE ACTIVELY PARTICIPATES IN HEALTHCARE DECISIONS. FOR EXAMPLE, WHEN HE SAW THAT HIS BLOOD SUGARS WERE NORMAL AFTER HAVING LOST ALL THAT WEIGHT HE SUGGESTED THAT HE STOP THE MEDICINE TO SEE IF HIS BLOOD SUGAR WAS NOW STABLE, AND HE WAS RIGHT. BEFORE THIS JOURNEY HE WAS NOT SO GOOD AT THAT. BUT NOW HE SAYS, "I'M HEALTHY IN MY MIND, AND I PLAY A ROLE IN MY HEALING AND MY CARE." PASTOR MASSEY IS A THOUGHTFUL, ARTICULATE PERSON - AND HE DESCRIBES HIMSELF AS "PARTICULAR." SO WHEN HE WAS NOT GETTING WHAT HE NEEDED FROM SAINT FRANCIS STAFF HE ASKED TO TALK WITH A SUPERVISOR AND THINGS IMPROVED; WHEN HE FELT THAT HE COULD BENEFIT FROM TAKING THE DIABETES CLASS A SECOND TIME HE ASKED TO BE ENROLLED IN THE NEXT CLASS; AND WHEN HE FOUND THE MUSIC IN THE CHEMOTHERAPY SUITE NOT TO HIS LIKING, THE STAFF FOUND SOMETHING MORE APPROPRIATE. PATIENTS APPRECIATE IT WHEN THEY ARE RECOGNIZED AS INDIVIDUALS AND HEALTHCARE PROVIDERS WORK TO COORDINATE THE CARE THEY NEED. ACKNOWLEDGEMENT FROM A HEALTHCARE PROVIDER OF THE STRUGGLE TO STAY POSITIVE WHEN YOU ARE SICK CAN GO A LONG WAY. THE SMALL THINGS CAN MAKE ALL THE DIFFERENCE IN HEALING. REVEREND MASSEY SAID IT BEST WHEN HE SAID, "I'VE BEEN AT SAINT FRANCIS A LOT LATELY, IT FEELS LIKE FAMILY TO ME AND ONE PERSON CAN MAKE A BIG DIFFERENCE." IMAGINE THE DIFFERENCE PASTOR MASSEY CAN MAKE WHEN HE SPEAKS TO HIS CONGREGATION OF OVER 1,700 PEOPLE ABOUT HIS INSIGHTS ON HEALTH AND THE COORDINATION OF HEALTHCARE SERVICES HE RECEIVED FROM SAINT FRANCIS. TARGETING SOCIAL DETERMINANTS OF HEALTH ISSUES ON THE MARGINS OF HEALTHCARE, BUT IN THE CENTER OF PEOPLE'S LIVES CAN HAVE A HUGE IMPACT ON HEALTH OUTCOMES. HOW MUCH MONEY SOMEONE MAKES, THE NEIGHBORHOOD THEY LIVE IN, THEIR LEVEL OF EDUCATION, THE TYPE OF WORK THEY DO, HOUSING, FOOD SECURITY, EXPOSURE TO VIOLENCE, EXPERIENCE OF TRAUMA - ALL OF THESE ISSUES ARE REFERRED TO AS THE "SOCIAL DETERMINANTS OF HEALTH" AND MUST BE ADDRESSED TO MAINTAIN GOOD HEALTH. AT SAINT FRANCIS, FIVE FULL-TIME FINANCIAL COUNSELORS HELP PATIENTS AND COMMUNITY MEMBERS ENROLL IN HEALTH INSURANCE - EITHER MEDICARE; MEDICAID, OR INSURANCE ON THE HEALTH EXCHANGE. PATIENTS ARE ALSO SCREENED TO DETERMINE IF THEY QUALIFY FOR RESOURCES AVAILABLE FOR A SPECIFIC ILLNESS OR AN EXPENSIVE DRUG. FINALLY, CHARITY CARE, OR "FINANCIAL RELIEF," IS OFFERED THROUGH THIS OFFICE TO THOSE WHO CANNOT GET HEALTH INSURANCE. THE STAFF IS A DIVERSE GROUP OF COMMITTED PROFESSIONALS - 4 OUT OF 5 ARE BILINGUAL; THEY WORK AT THE GENGRAS AND BURGDORF CLINICS; IN THE EMERGENCY ROOM; AND ON THE HOSPITAL FLOORS. THEY PROVIDE HELP WHEN IT IS NEEDED MOST. HERE IS WHAT THEY HAD TO SAY ABOUT THEIR WORK: TELL ME ABOUT A TYPICAL DAY IN THE LIFE OF A FINANCIAL COUNSELOR. "OUR WORK MOSTLY INCLUDES TALKING WITH PEOPLE TO FIND OUT THEIR NEEDS AND THEN MATCHING THEM UP WITH THE PROGRAMS THAT CAN HELP." CAN YOU TELL ME MORE ABOUT THOSE PROGRAMS? "WE PROVIDE INFORMATION ABOUT HEALTH INSURANCE THAT IS ON THE EXCHANGE (ACCESS HEALTH CT) AND INFORMATION ABOUT MEDICAID AND HUSKY, AND THEN WE ALSO WORK WITH PEOPLE TO SEE IF THEY QUALIFY FOR "FINANCIAL RELIEF," SOMETIMES CALLED CHARITY CARE, AND FINALLY WE HELP WITH PAYMENT PLANS." WHEN YOU SAY PAYMENT PLANS, WHAT DO YOU MEAN? "THIS IS WHEN SOMEONE HAS A BILL AND THEY CANNOT PAY IT ALL OFF BUT THEY CAN COME UP WITH A PLAN TO PAY IT OFF SLOWLY UNTIL IT IS FULLY PAID." WHERE DO YOU GET REFERRALS? "ALL OVER, THE EMERGENCY ROOM, THE 'DAILY REPORT' WHICH INCLUDES ALL THE IN-HOUSE SELF PAY PATIENTS, FROM CASE MANAGEMENT AND NOW WE ALSO GET REFERRALS FROM THE STATE 211 HELPLINE. THE FINANCIAL COUNSELORS AT SAINT FRANCIS ARE QUALIFIED TO HELP PEOPLE FIND HEALTH INSURANCE ON THE STATE HEALTH EXCHANGE. SO THAT MEANS WE MIGHT BE HELPING A PERSON WITH PRIVATE INSURANCE OR STATE COVERAGE AND IT ALSO MEANS THEY MIGHT NOT COME TO SAINT FRANCIS FOR THEIR HEALTHCARE." YOU MEAN YOU ARE SIGNING UP PEOPLE WHO JUST COME INTO THE HOSPITAL TO FIND HEALTH INSURANCE? "YES, NOW THAT WE ARE TRAINED TO DO THIS WORK WHEN PEOPLE CALL THE 211 HELPLINE THEY MIGHT REFER THEM TO US FOR ASSISTANCE WITH THEIR APPLICATION. RIGHT NOW IS THE "OPEN ENROLLMENT" PERIOD SO IT'S PRETTY BUSY WITH PEOPLE WHO ARE TRYING TO FIND INSURANCE ON THE EXCHANGE." TELL ME A LITTLE MORE ABOUT HOW YOU DO YOUR SCREENING? "WE HAVE TO LEARN ABOUT WHAT THEIR NEEDS ARE SO WE ASK IF THEY ARE CITIZENS, IF THEY HAVE INSURANCE OR NOT, IF THEY ARE FULLY INSURED OR IF THEY NEED MORE INSURANCE. WE NEED TO KNOW ABOUT THEIR INCOME, WHO THEY LIVE WITH, WHERE THEY WORK, IT'S A LOT OF INFORMATION THAT WE ASK FOR, SO BY THE END WE HAVE A CLEAR PICTURE OF WHAT IS GOING ON." |
| FORM 990, PART III, LINE 4A | DO YOU HAVE EXAMPLES OF PATIENTS THAT YOU HAVE HELPED? "I HELPED A FAMILY WITH 6 PEOPLE; 4 WERE UNDOCUMENTED AND THE 2 YOUNGEST CHILDREN WERE BORN HERE, SO THEY WERE U.S. CITIZENS. THEY WERE AFRAID TO ASK FOR HELP BECAUSE THEY THOUGHT THAT ONLY 2 OF THE KIDS WOULD QUALIFY FOR ASSISTANCE AND IN FILLING OUT THAT PAPERWORK THE OTHERS WOULD GET FOUND OUT. SO THEY DIDN'T FILL IT OUT FOR A LONG TIME. BUT I TALKED TO THEM AND EXPLAINED THE OTHERS WOULD QUALIFY FOR HELP FROM THE HOSPITAL AND IN THE END EVERYONE GOT THE HEALTHCARE THEY NEEDED." "I HAD A FAMILY WHERE THE MOTHER WAS VERY SICK, BUT SHE DIDN'T HAVE THE MONEY TO PAY FOR THE PREMIUM FOR HER HEALTH INSURANCE. THE MOTHER DID NOT SPEAK ENGLISH VERY WELL SO HER DAUGHTER HELPED WITH COMMUNICATING AND WITH FILLING OUT THE PAPERWORK NEEDED TO GET COVERAGE. THE DAUGHTER WAS PREGNANT AND VERY WORRIED ABOUT HER MOTHER WHO NEEDED SURGERY QUICKLY. SO WE EXPEDITED THE APPROVAL PROCESS AND THE MOTHER GOT HER SURGERY. THEN AFTER THE DAUGHTER HAD HER BABY WE COUNSELED HER TO TELL THE INSURANCE COMPANY ABOUT THIS CHANGE; AS A RESULT THE PREMIUM SHE WAS PAYING DECREASED SIGNIFICANTLY. SHE WAS SO HAPPY WHEN SHE GOT THIS NEWS SHE CAME IN TO THE OFFICE TO TELL THE NEWS." WHAT DO YOU WANT OTHERS TO KNOW ABOUT THE WORK THAT YOU DO? "WELL IT'S VERY REWARDING, YOU KNOW. WE SEE PEOPLE AT THEIR WORST AND THEN WITH OUR HELP THEY GET BETTER." "SOMETIMES BECAUSE OF OUR HELP, THEY ARE ALIVE. I ONCE WORKED WITH A WOMAN WHO NEEDED A HEART TRANSPLANT. SHE HAD 3 CHILDREN AND WAS VERY SICK. BUT WE HELPED HER AND NOW SHE IS DOING REALLY WELL." "WE HAVE TO DEVELOP TRUST BEFORE WE CAN HELP - SOMETIMES PEOPLE ARE TOO PROUD TO ASK FOR ASSISTANCE, BUT WE APPROACH IT BY MAKING A CONNECTION AND THEN TELLING THEM THE INFORMATION THEY NEED TO KNOW." "PEOPLE HAVE LOTS OF WRONG INFORMATION SO IT'S NICE TO BE ABLE TO TELL THEM WHAT WE HAVE TO OFFER." "ALSO, SOMETIMES WE ARE ACTUALLY SAVING THE HOSPITAL MONEY. ONE TIME I HAD A PATIENT WHO WAS VERY SICK WITH DIABETES AND HE WAS COMING INTO THE EMERGENCY ROOM AND ENDING UP IN THE ICU. HE WAS NOT HERE LEGALLY SO HE DIDN'T QUALIFY FOR MEDICAID OR OTHER INSURANCE. BUT WE FINALLY CONVINCED HIM TO SHARE THE DOCUMENTS WE NEEDED AND WERE ABLE TO GET HIM ON FINANCIAL RELIEF. THEN HE STARTED TAKING CONTROL OF HIS DIABETES AND HE WOULD COME INTO THE CLINIC INSTEAD OF GOING TO THE EMERGENCY ROOM." BRIDGE. NAVIGATE. SUPPORT. THE MISSION OF THE CURTIS D. ROBINSON CENTER FOR HEALTH EQUITY IS TO DEVELOP, DELIVER, AND SUPPORT INNOVATIVE HEALTH EQUITY SOLUTIONS WITH AND FOR THE COMMUNITIES SERVED BY SAINT FRANCIS CARE TO IMPROVE OVERALL HEALTH OUTCOMES. FOUNDED IN 2012 AFTER THE SAINT FRANCIS CARE BOARD OF DIRECTORS PASSED A RESOLUTION TO FOCUS ON SPECIFIC HEALTH EQUITY PRIORITIES, THE CENTER IS STAFFED WITH A MULTICULTURAL TEAM COMMITTED TO A COLLABORATIVE APPROACH TO ACHIEVING OPTIMAL HEALTH THROUGH COMMUNITY ENGAGEMENT, EDUCATION, HEALTH ADVOCACY AND RESEARCH. STAFF AT THE CENTER FOR HEALTH EQUITY FOCUS ON ACCOMPLISHING THE STRATEGIC PRIORITIES OUTLINED IN THIS REPORT BY: - BRIDGING THE DIVIDE BETWEEN HEALTHCARE PROVIDERS AND PATIENTS. - NAVIGATING THE HEALTHCARE SYSTEM TO FIND SOLUTIONS. - SUPPORTING THE COMMUNITY IN ADDRESSING HEALTH DISPARITIES. WE WELCOME YOU TO JOIN US IN THIS WORK! |
| FORM 990, PART VI, SECTION A, LINE 2 | P. ANTHONY GIORGIO, PHD (DIRECTOR) AND KARL KRAPEK (DIRECTOR) ARE BOTH 50% PARTNERS IN KEYSTONE CONSULTING, LLC, A RESIDENTIAL AND COMMERCIAL REAL ESTATE DEVELOPER AND DORSET CROSSING LLC AND 103 WOODLAND ST LLC (COMMERCIAL RENTAL REAL ESTATE). SAINT FRANCIS HOSPITAL AND MEDICAL CENTER PAID FOR LEASEHOLD IMPROVEMENTS AT OUR ACCESS CENTER IN SIMSBURY THAT IS OWNED BY KEYSTONE CONSULTING, LLC. AND RENTS SPACE AT OUR SIMSBURY ACCESS CENTER AND OUR HARTFORD INFORMATION TECHNOLOGY AND FINANCE CENTER LOCATION. PHILIP SCHULZ (DIRECTOR) RECEIVES A FIXED PENSION PAYMENT FROM PRICEWATERHOUSE COOPERS, A PORTION OF WHICH IS UNFUNDED. PWC PERFORMS CONSULTING SERVICES FOR SAINT FRANCIS HOSPITAL & MEDICAL CENTER. ALL TRANSACTIONS ARE PERFORMED AT ARM'S LENGTH AND FAIR MARKET TERMS. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE 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 IX, LINE 11G | PHYSICIANS FEES: PROGRAM SERVICE EXPENSES 55,332,330. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 55,332,330. SECURITY EXPENSE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,247,678. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,247,678. OUTSIDE LABORATORIES: PROGRAM SERVICE EXPENSES 2,901,095. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,901,095. COLLECTION FEES: PROGRAM SERVICE EXPENSES 41,412. MANAGEMENT AND GENERAL EXPENSES 2,240,511. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,281,923. DIALYSIS FEES: PROGRAM SERVICE EXPENSES 1,347,830. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,347,830. CONSULTING FEES: PROGRAM SERVICE EXPENSES 13,750. MANAGEMENT AND GENERAL EXPENSES 7,384,097. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,397,847. REGISTRY NURSES FEES: PROGRAM SERVICE EXPENSES 2,404,916. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,404,916. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,738,951. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,738,951. TEMPORARY LABOR: PROGRAM SERVICE EXPENSES 4,453,699. MANAGEMENT AND GENERAL EXPENSES 958,344. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,412,043. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,416,171. MANAGEMENT AND GENERAL EXPENSES 470,349. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,886,520. |
| FORM 990, PART XI, LINE 9: | INCREASE IN ASSETS HELD IN TRUST BY OTHERS 1,869,863. CHANGE IN PENSION FUNDING AND POSTRETIREMENT OBLIGATIONS -53,441,917. DECREASE IN INTEREST IN ST FRANCIS FOUNDATION -163,702. CHANGE IN FAIR MARKET VALUE OF SWAP -602,811. LOSS ON EXTINGUISHMENT OF DEBT -1,719,078. |
| 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: | IN THE ORIGINAL FILING OF THE FORM 990, THE TAX YEAR THAT THE HOSPITAL FACILITY LAST CONDUCTED A CHNA WAS INCORRECTLY REPORTED AS 2011. THE YEAR HAS BEEN CHANGED TO 2012 IN THE AMENDED FILING. ALSO, THE DATES REFERENCED IN THE EXPLANATIONS LISTED BELOW HAVE BEEN DELETED. THE FOLLOWING PARTS AND SCHEDULES OF THE FORM 990 WERE AMENDED: - SCHEDULE H, PART V, SECTION B, LINE 2 - SCHEDULE H, PART V, SECTION C, SUPPLEMENTAL INFORMATION FOR PART V, SECTION B (EXPLANATION FOR LINE 1J) - SCHEDULE H, PART VI, SUPPLEMENTAL INFORMATION, LINE 2 |
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