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 private foundations)
MediumBullet Do not enter Social Security numbers on this form as it may be made public. By law, the IRS
generally cannot redact the information on the form.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
A For the 2013 calendar year, or tax year beginning 10-01-2013 , 2013, and ending 09-30-2014
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 province, country, and ZIP or foreign postal code
HARTFORD, CT06105
D Employer identification number

06-0646813
E Telephone number

G Gross receipts $ 798,716,892
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
subordinates?
H(b)
Are all subordinates
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 34
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 23
5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) ...... 5 4,908
6 Total number of volunteers (estimate if necessary) ............. 6 585
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 2,818,712
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b -876,304
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 11,536,765 8,694,716
9 Program service revenue (Part VIII, line 2g) ......... 675,613,221 697,685,089
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 5,068,306 10,830,996
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 34,276,354 20,751,459
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 726,494,646 737,962,260
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 23,553 836,934
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) 341,516,147 340,961,129
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–24e).... 372,621,816 371,279,397
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 714,161,516 713,077,460
19 Revenue less expenses. Subtract line 18 from line 12....... 12,333,130 24,884,800
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 813,434,558 838,054,262
21 Total liabilities (Part X, line 26)............. 582,507,983 636,626,462
22 Net assets or fund balances. Subtract line 21 from line 20..... 230,926,575 201,427,800
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 Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2013)
Form 990 (2013)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line 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 organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations 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 $ 590,410,199 including grants of $ 836,934 ) (Revenue $ 711,368,791 )
AS THE LARGEST CATHOLIC HOSPITAL IN NEW ENGLAND WITH 117 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 expensesMediumBullet590,410,199
Form 990 (2013)
Form 990 (2013)
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 (see instructions)? 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, or have a section 501(h) election in effect during the tax year? 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
Click to see attachment............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which 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 for escrow or custodial account liability; 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 temporarily restricted endowments, permanent endowments, 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, line 10?
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 VIIClick 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 VIIIClick 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 IXClick 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 XClick 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 XClick to see attachment.........................
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII 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 and XII 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, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
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 (see instructions)....
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
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H.... Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or 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, line 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 lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................ 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
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If so, 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 employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? 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 direct or indirect 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, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, 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
35b
 
No
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 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
363
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
4,908
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” to line 3b, 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, securities account, or other financial 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 as charitable contributions?...
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.
See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the 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 amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2013)
Form 990 (2013)
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 or note to any line 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
34
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
23
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
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
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
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete 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 this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did 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 15a or 15b, 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," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take 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 made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletDONNA GILBERT114 WOODLAND STREET MS 5-103-58HARTFORDCT06105 (860) 714-9632
Form 990 (2013)
Form 990 (2013)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line 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. 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 organization compensated any current officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(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; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) REV THOMAS J BARRY JCL........................................................................
CHAIRMAN
1.00
.......................1.00
X   X       0 0 0
(2) MOST REV HENRY J MANSELL DD........................................................................
CHAIRMAN, EX OFFICIO
2.00
.......................1.00
X   X       0 0 0
(3) CHRISTOPHER M DADLEZ........................................................................
PRESIDENT & CEO
55.00
.......................10.00
X   X       1,516,996 0 894,739
(4) BARBARA J CALDERONE BSN JD........................................................................
SECRETARY
1.00
.......................1.00
X   X       0 0 0
(5) L JEFFREY BALDWIN........................................................................
DIRECTOR
1.00
.......................1.00
X           0 0 0
(6) MOST REV LEONARD P BLAIR........................................................................
DIRECTOR
1.00
.......................1.00
X           0 0 0
(7) SURENDRA K CHAWLA MD........................................................................
DIRECTOR
1.00
.......................1.00
X           0 0 0
(8) ROBERT M ELLIS........................................................................
DIRECTOR
2.00
.......................4.00
X           0 0 0
(9) P ANTHONY GIORGIO PHD........................................................................
DIRECTOR
1.00
.......................2.00
X           0 0 0
(10) WALTER HARRISON PHD........................................................................
DIRECTOR
1.00
.......................1.00
X           0 0 0
(11) JEFFREY S HOFFMAN........................................................................
DIRECTOR
1.00
.......................1.00
X           0 0 0
(12) PETER G KELLY JD........................................................................
DIRECTOR
1.00
.......................2.00
X           0 0 0
(13) PATRICK J KINNEY........................................................................
DIRECTOR
1.00
.......................2.00
X           0 0 0
(14) KARL J KRAPEK........................................................................
DIRECTOR
1.00
.......................1.00
X           0 0 0
(15) SISTER DOLORES LAHR CSJ........................................................................
DIRECTOR
1.00
.......................1.00
X           0 0 0
(16) JOYCE D MANDELL........................................................................
DIRECTOR
1.00
.......................1.00
X           0 0 0
(17) JOHN J MARA MD........................................................................
DIRECTOR
1.00
.......................1.00
X           0 0 0
Form 990 (2013)
Form 990 (2013)
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 (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(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; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) REV MSGR JOHN MCCARTHY JCD JD........................................................................
DIRECTOR
1.00
.......................1.00
X           0 0 0
(19) DANIEL P O'CONNELL........................................................................
DIRECTOR / CHAIRMAN
2.00
.......................3.00
X   X       0 0 0
(20) KEVIN J O'CONNOR JD........................................................................
DIRECTOR / VICE-CHAIRMAN
1.00
.......................1.00
X   X       0 0 0
(21) JOHN D PAPANDREA MD........................................................................
DIRECTOR
1.00
.......................1.00
X           0 0 0
(22) CURTIS D ROBINSON........................................................................
DIRECTOR
2.00
.......................2.00
X           0 0 0
(23) JOHN W RODGERS MD........................................................................
DIRECTOR
1.00
.......................1.00
X           0 0 0
(24) DR GALO A RODRIGUEZ MPH........................................................................
DIRECTOR
1.00
.......................1.00
X           0 0 0
(25) ANDREW A SADANOWICZ........................................................................
DIRECTOR
1.00
.......................1.00
X           0 0 0
(26) SUSAN J SAPPINGTON........................................................................
DIRECTOR
1.00
.......................1.00
X           0 0 0
(27) HENRY S SCHERER JR........................................................................
DIRECTOR
2.00
.......................3.00
X           0 0 0
(28) PHILIP J SCHULZ........................................................................
DIRECTOR
2.00
.......................2.00
X           0 0 0
(29) JOSEPH J SPALLUTO........................................................................
DIRECTOR
1.00
.......................2.00
X           0 0 0
(30) JEAN-PIERRE VAN ROOY........................................................................
DIRECTOR
1.00
.......................1.00
X           0 0 0
(31) GEN R JOHN M WATKINS........................................................................
DIRECTOR
1.00
.......................1.00
X           0 0 0
(32) ADRIENNE W COCHRANE JD........................................................................
DIRECTOR
1.00
.......................1.00
X           0 0 0
(33) STEVEN T RUBY MD........................................................................
DIRECTOR / DEPT. CHAIRMAN
55.00
.......................4.00
X           690,480 0 18,179
(34) ANDREW J PINKES........................................................................
DIRECTOR
1.00
.......................1.00
X           0 0 0
(35) TIMOTHY L PRETE........................................................................
DIRECTOR
1.00
.......................1.00
X           0 0 0
(36) SHERI A LEMIEUX........................................................................
ASSISTANT SECRETARY
55.00
.......................0.00
    X       118,865 0 6,599
(37) JOHN RODIS MD........................................................................
EXECUTIVE VP & COO
1.00
.......................57.00
      X     0 773,627 34,542
(38) DAVID BITTNER........................................................................
SR VP FINANCE
55.00
.......................10.00
      X     345,714 0 16,058
(39) TERESA M BOLTON........................................................................
HUMAN RESOURCES COUNSEL
55.00
.......................1.00
      X     306,468 0 21,401
(40) ROBERT CHRISTOPHER HARTLEY........................................................................
SR VP PLANNING & FACILITIES
55.00
.......................2.00
      X     360,972 0 45,247
(41) GREG MAKOUL........................................................................
SVP, CHIEF ACADEMIC OFFICER
55.00
.......................0.00
      X     438,088 0 32,277
(42) JENNIFER SCHNEIDER........................................................................
VP FINANCE/CHIEF COMPLIANCE OFFICER
55.00
.......................6.00
      X     221,960 0 33,853
(43) JOHN N GIAMALIS........................................................................
EVP & CHIEF ADMIN OFFICER
55.00
.......................8.00
      X     693,200 0 23,634
(44) DAWN BRYANT........................................................................
SVP, CHIEF HUMAN RESOURCE OFFICER
55.00
.......................0.00
      X     303,078 0 21,067
(45) LINDA SHANLEY........................................................................
VP AND CIO
55.00
.......................0.00
      X     319,690 0 16,572
(46) E MERRITT MCDONOUGH JR........................................................................
SF FOUNDATION PRESIDENT
55.00
.......................2.00
      X     411,254 0 42,848
(47) STUART ROSENBERG........................................................................
CEO-JMMC
55.00
.......................0.00
        X   305,381 0 22,055
(48) JAMES W SCHEPKER........................................................................
VP MARKETING & BUSINESS DEVELOPMENT
55.00
.......................0.00
        X   292,633 0 30,981
(49) ERNESTO M CANALIS MD........................................................................
DIRECTOR OF RESEARCH
55.00
.......................0.00
        X   291,053 0 31,136
(50) ROBERT FALAGUERRA........................................................................
VP FACILITIES & SUPPORT SERVICES
55.00
.......................2.00
        X   242,691 0 40,050
(51) NICOLE SCHULZ........................................................................
VP REVENUE CYCLE
55.00
.......................0.00
        X   241,717 0 30,632
(52) PAUL F MITCHELL DMD........................................................................
FORMER DIRECTOR
0.00
.......................57.00
          X 0 263,173 43,232
(53) KATHLEEN M ROCHE........................................................................
FORMER EXECUTIVE VP & COO
0.00
.......................0.00
          X 640,052 0 10,215
(54) ARTHUR DETORE........................................................................
FORMER SVP CHIEF PHYSICIAN EXECUTIVE
0.00
.......................0.00
          X 561,180 0 12,220
(55) REBECCA BURKE........................................................................
FORMER SVP, PATIENT CARE & CLINICAL SERVICE
0.00
.......................0.00
          X 322,651 0 9,293
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 8,624,123 1,036,800 1,436,830
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet337
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. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
UCONN SCHOOL OF MEDICINE263 FARMINGTON AVEFARMINGTONCT06030 PHYSICIAN FEES & SERVICES 15,311,219
DTZ INC - UNICCO4002 SOLUTIONS CENTERCHICAGOIL60677 CLEANING SERVICES 4,002,473
AMN HEALTHCARE INCPO BOX 910738DALLASTX75391 TEMP NURSING SERVICES 2,820,832
TOTAL RENAL CARE INCPO BOX 8500-1607PHILADELPHIAPA19178 TESTING SERVICES 1,333,126
AMERICAN ADJUSTMENT BUREAUPO BOX 2758WATERBURYCT06723 COLLECTION SERVICES 1,170,265
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet77
Form 990 (2013)
Form 990 (2013)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 4,041,621
e Government grants (contributions)1e 3,682,766
f All other contributions, gifts, grants, and
similar amounts not included above
1f
970,329
g Noncash contributions included in lines
1a-1f:$
 
h Total. Add lines 1a-1f.......MediumBullet 8,694,716
 Program Service RevenueAmt Business Code
2a PATIENT REVENUE 622110 648,781,738 648,781,738    
b LABORATORY REVENUE 621511 36,457,140 35,216,406 1,240,734  
c PREMIUM INCOME 524298 11,597,045 11,390,076 206,969  
d PARTNERSHIP REVENUE 541990 849,166 873,902 -24,736  
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 697,685,089
 OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 5,051,730     5,051,730
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents 5,559,249  
b Less: rental expenses 0  
c Rental income or (loss) 5,559,249  
d Net rental income or (loss).......MediumBullet 5,559,249     5,559,249
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 65,838,258 695,640
b Less: cost or other basis and sales expenses 60,754,632 0
c Gain or (loss) 5,083,626 695,640
d Net gain or (loss)..........MediumBullet 5,779,266     5,779,266
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 624190 10,867,950 9,870,636 997,314  
b MEANINGFUL USE INCOME 900099 2,326,705 2,326,705    
c MISCELLANEOUS 900099 1,884,792 1,486,361 398,431  
d All other revenue .... 112,763     112,763
e Total. Add lines 11a–11d ...... MediumBullet 15,192,210
12 Total revenue. See Instructions......MediumBullet 737,962,260 709,945,824 2,818,712 16,503,008
Form 990 (2013)
Form 990 (2013)
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).Check if Schedule O contains a response or note to any line in this Part IX ...............
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 United States. See Part IV, line 21 810,534 810,534
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 26,400 26,400
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 8,141,519   8,141,519  
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 260,542,495 212,556,837 47,985,658  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 17,697,399 14,167,240 3,530,159  
9 Other employee benefits ....... 35,326,933 28,313,425 7,013,508  
10 Payroll taxes ........... 19,252,783 15,262,836 3,989,947  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 973,959   973,959  
c Accounting ........... 626,884   626,884  
d Lobbying ........... 138,600   138,600  
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 178,823   178,823  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 85,951,133 71,650,154 14,300,979  
12 Advertising and promotion .... 1,728,785 3,899 1,724,886  
13 Office expenses ....... 18,529,928 18,047,139 482,789  
14 Information technology ...... 13,404,452 13,095,658 308,794  
15 Royalties ..        
16 Occupancy ........... 37,772,207 36,166,348 1,605,859  
17 Travel ............ 1,600,939 1,600,939    
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings ....        
20 Interest ........... 11,722,520 11,620,321 102,199  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 36,223,786 36,223,786    
23 Insurance .............. 10,229,709 288,971 9,940,738  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a MEDICAL SUPPLIES 105,416,014 105,416,014    
b PROF LIAB INSURANCE 9,017,538 9,017,538    
c LAB EXPENSE 7,821,706 7,821,706    
d LAUNDRY EXPENSE 3,075,646 3,075,646    
e All other expenses 26,866,768 5,244,808 21,621,960  
25 Total functional expenses. Add lines 1 through 24e 713,077,460 590,410,199 122,667,261 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2013)
Form 990 (2013)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 68,155,400 1 58,225,346
2 Savings and temporary cash investments ......... 52,396,120 2 46,781,519
3 Pledges and grants receivable, net ...........   3  
4 Accounts receivable, net ............. 64,514,294 4 75,441,792
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6  
7 Notes and loans receivable, net ............. 503,910 7 545,649
8 Inventories for sale or use .............. 7,188,268 8 8,854,758
9 Prepaid expenses and deferred charges .......... 5,784,296 9 6,724,495
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 861,232,573
b Less: accumulated depreciation ..... 10b 397,734,106 455,215,617 10c 463,498,467
11 Investments—publicly traded securities .......... 68,471,651 11 78,640,457
12 Investments—other securities. See Part IV, line 11 ..... 14,699,807 12 14,134,048
13 Investments—program-related. See Part IV, line 11 .....   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 76,505,195 15 85,207,731
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 813,434,558 16 838,054,262
Liabilities 17 Accounts payable and accrued expenses ......... 33,941,565 17 34,284,214
18 Grants payable .................   18  
19 Deferred revenue ................   19  
20 Tax-exempt bond liabilities ............. 254,325,000 20 250,530,000
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other 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 .. 13,131,144 23 9,706,653
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 281,110,274 25 342,105,595
26 Total liabilities. Add lines 17 through 25......... 582,507,983 26 636,626,462
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 149,862,575 27 119,753,800
28 Temporarily restricted net assets ........... 25,614,000 28 24,355,000
29 Permanently restricted net assets ........... 55,450,000 29 57,319,000
Organizations that do not follow SFAS 117 (ASC 958), 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 ........... 230,926,575 33 201,427,800
34 Total liabilities and net assets/fund balances ........ 813,434,558 34 838,054,262
Form 990 (2013)
Form 990 (2013)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
737,962,260
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
713,077,460
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
24,884,800
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
230,926,575
5
Net unrealized gains (losses) on investments ...............
5
-325,930
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-54,057,645
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
201,427,800
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line 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
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 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?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
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 (2013)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
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.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
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 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
Provide the following information about the supported organization(s).
(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  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) right arrow (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.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (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).  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here.................................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 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) right arrow (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.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (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.)..            
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2013

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.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Name of the 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 on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, 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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 2
Name of organization
ST FRANCIS HOSPITAL AND MEDICAL CENTER
 
Employer identification number

06-0646813
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
RESTRICTED
RESTRICTED
 

   
RESTRICTED
RESTRICTED
RESTRICTED, RESTRICTEDRESTRICTED

$RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 3
Name of organization
ST FRANCIS HOSPITAL AND MEDICAL CENTER
 
Employer identification number

06-0646813
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 4
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
that total 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 $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  

Use duplicate copies of Part III if additional space is needed.
(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) (2013)

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.SchCMd Bullet Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
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 35c (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 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 function 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 Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2013

Schedule C (Form 990 or 990-EZ) 2013
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 SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
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) 2010 (b) 2011 (c) 2012 (d) 2013 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e))
 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))
 
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2013


Schedule C (Form 990 or 990-EZ) 2013
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)).
For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(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? .........................................
Yes
 
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
 
168,506
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? ..........................
 
No
 
j
Total. Add lines 1c through 1i ...............................
168,506
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 carry over 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) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible 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
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
Schedule C (Form 990 or 990EZ) 2013

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, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions. SchDMd Bullet Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
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 can 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 through 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, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax 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 section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, 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 (ASC 958), 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 XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), 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 (ASC 958) 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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, 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 XIII.
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 XIII 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 XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 68,114,560 64,278,125 60,257,184 62,884,485 59,910,100
b Contributions ........          
c Net investment earnings, gains, and losses 2,808,685 3,836,435 4,020,941 -2,627,301 2,974,385
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........
         
f Administrative expenses ....          
g End of year balance ...... 70,923,245 68,114,560 64,278,125 60,257,184 62,884,485
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet25.000 %
b
Permanent endowment SchDMd Bullet75.000 %
c
Temporarily restricted endowment SchDMd Bullet0 %
The percentages in lines 2a, 2b, and 2c should equal 100%.
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 XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (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 ................   483,811,300 158,571,899 325,239,401
c Leasehold improvements ............   1,955,667 1,672,729 282,938
d Equipment ................   294,944,396 221,609,660 73,334,736
e Other .................   74,495,893 15,879,818 58,616,075
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 463,498,467
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) CHEFA BOND SERIES 956,899
(2) BOND ISSUANCE COST, LESS AMORTIZATION 1,345,848
(3) ASSETS HELD IN TRUST 53,033,772
(4) OTHER ASSETS 11,116,561
(5) DUE FROM AFFILIATED ENTITIES 18,754,651




Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 85,207,731
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  
SALARIES & WAGES 35,463,229
ACCRUED EXPENSES & INTEREST 7,322,134
PENSION AND OTHER ACCRUED EXPENSES 245,196,851
DUE TO 3RD PARTY REIMBURSEMENT 14,939,351
PROFESSIONAL LIABILITY INS FUND 39,184,030




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 342,105,595
2. Liability for uncertain tax positions In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1 705,558,664
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a -325,930
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d 21,798,786
e Add lines 2a through 2d ..................... 2e 21,472,856
3 Subtract line 2e from line 1..................... 3 684,085,808
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 XIII.) ........... 4b 53,876,452
c Add lines 4a and 4b....................... 4c 53,876,452
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 737,962,260
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1 683,697,644
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 XIII.) ............ 2d 16,806,862
e Add lines 2a through 2d...................... 2e 16,806,862
3 Subtract line 2e from line 1..................... 3 666,890,782
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 XIII.) ............ 4b 46,186,678
c Add lines 4a and 4b....................... 4c 46,186,678
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 713,077,460
Part XIII
Supplemental Information
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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
PART V, LINE 4: ENDOWMENT FUNDS ARE TO BE USED TO SUPPORT HEALTHCARE SERVICES.
PART XI, LINE 2D - OTHER ADJUSTMENTS: INCOME FROM SUBSIDIARIES 21,798,786.
PART XI, LINE 4B - OTHER ADJUSTMENTS: INCOME FROM ST. FRANCIS INDEMNITY CORPORATION, LLC 13,597,755. INCOME FROM COLLABORATIVE LAB SERVICES 36,457,234. NET TRANSFER FROM SAINT FRANCIS FOUNDATION 3,821,463.
PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES FROM SUBSIDIARIES 16,806,862.
PART XII, LINE 4B - OTHER ADJUSTMENTS: EXPENSES FROM ST. FRANCIS INDEMNITY COMPANY, LLC 9,920,800. EXPENSES FROM COLLABORATIVE LAB SERVICES 36,265,878.
Schedule D (Form 990) 2013

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.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
ST FRANCIS HOSPITAL AND MEDICAL CENTER
 
Employer identification number

06-0646813
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance 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 discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did 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
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance 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 Financial Assistance at cost
(from Worksheet 1) ..
  11,021 5,967,252   5,967,252 0.840 %
b Medicaid (from Worksheet 3,
column a) ....
  38,356 29,606,194   29,606,194 4.150 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) .
    12,293,429   12,293,429 1.720 %
d Total Financial Assistance
and Means-Tested
Government Programs .
  49,377 47,866,875   47,866,875 6.710 %
Other Benefits
  21,679 4,663,864 2,745,461 1,918,403 0.270 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) ..
  508 27,742,405 9,524,637 18,217,768 2.550 %
g Subsidized health services
(from Worksheet 6) ..
  14,928 2,382,497   2,382,497 0.330 %
h Research (from Worksheet 7)   87 230,090   230,090 0.030 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8)
  7,000 393,151 156,087 237,064 0.030 %
j Total. Other Benefits ..   44,202 35,412,007 12,426,185 22,985,822 3.210 %
k Total. Add lines 7d and 7j .   93,579 83,278,882 12,426,185 70,852,697 9.920 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(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            
2 Economic development            
3 Community support   6,774 130,811 71,600 59,211 0.010 %
4 Environmental improvements     66,000   66,000 0.010 %
5 Leadership development and training for community members            
6 Coalition building   1,074 113,457   113,457 0.020 %
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total   7,848 310,268 71,600 238,668 0.040 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did 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. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
6,711,462
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
189,348,550
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
191,312,865
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-1,964,315
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
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(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 31.800 %   7.200 %
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) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?1
Name, address, primary website address, and state license number
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 ST FRANCIS HOSPITAL AND MEDICAL CENTER
114 WOODLAND STREET
HARTFORD,CT06105
X X   X     X      
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
SAINT FRANCIS HOSPITAL AND MEDICAL CENTE
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)
1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 12
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 250.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 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?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual 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? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference Explanation
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER PART V, SECTION B, LINE 1J: THE HOSPITAL AUGMENTED THE CHNA COMPLETED IN PARTNERSHIP WITH THE OTHER HOSPITALS IN HARTFORD WITH INFORMATION FROM QUESTIONNAIRES WITH PATIENTS; FOCUS GROUPS WITH COMMUNITY MEMBERS AND INTERVIEWS WITH HEALTH CARE PROVIDERS SO AS TO GAIN A MORE COMPREHENSIVE PICTURE OF THE NEEDS AS WELL AS THE PRIORITIES. IT WAS APPROVED BY THE BOARD OF DIRECTORS AND SUBSEQUENTLY A COMMUNITY HEALTH IMPLEMENTATION STRATEGY WAS ADOPTED. A COMMUNITY HEALTH SURVEY WAS DEVELOPED THIS PAST YEAR TO ENGAGE COMMUNITY MEMBERS IN AN ONGOING DIALOGUE AND INFORMATION FROM THIS WILL BE ANALYZED TO INFORM OUR NEXT CHNA.
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER PART V, SECTION B, LINE 3: KEY INFORMANTS WHO REPRESENT THE COMMUNITY WERE INTERVIEWED AS A PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. THIS GROUP INCLUDED LEADERS OF NON-PROFIT ORGANIZATIONS; HUMAN SERVICE ORGANIZATIONS; CHURCH LEADERS AND OTHERS. SPECIFICALLY THE GROUPS CONSULTED INCLUDED: CT ASSOCIATION OF HUMAN SERVICES, THE VILLAGE, MALTA HOUSE OF CARE, INC., LATINO COMMUNITY SERVICES, CT VOICES FOR CHILDREN, BOYS AND GIRLS CLUBS, CASEY FAMILY SERVICES, INTERVAL HOUSE, GAY AND LESBIAN HEALTH COLLECTIVE, MY SISTER'S PLACE, GREATER HARTFORD INTERFAITH COALITION AND VARIOUS OTHERS.
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER PART V, SECTION B, LINE 4: THE CHNA WAS COMPLETED IN PARTNERSHIP WITH HARTFORD HOSPITAL; CONNECTICUT CHILDREN'S MEDICAL CENTER, UCONN MEDICAL CENTER AND THE CITY OF HARTFORD HEALTH AND HUMAN SERVICES DEPARTMENT. ADDITIONALLY A CONSULTANT WAS USED TO COMPLETE SOME OF THE DATA COLLECTION AND ANALYSIS.
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER PART V, SECTION B, LINE 7: THE IMPLEMENTATION STRATEGY WHICH ADDRESSES THE NEEDS FOUND IN THE CHNA HIGHLIGHTS FOUR AREAS OF WORK THAT WILL FOCUS OUR STRATEGIC INITIATIVES TO ADDRESS THE NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT, THEY INCLUDE: COMMUNICATION; STRUCTURAL ISSUES THAT IMPACT ACCESS TO CARE; CLINICAL AREAS OF NEED; AND SOCIAL DETERMINANTS OF HEALTH. DURING THIS PAST YEAR DISEASE PREVENTION HAS TAKEN ON A MORE SIGNIFICANT ROLE IN OUR STRATEGY (IN PART DUE TO COMMUNITY INPUT) AND HAS RESULTED IN A MORE SPECIFIC FOCUS FOR OUR CLINICAL CARE STRATEGIES.INITIATIVES ARE ALREADY IN PLACE TO IMPROVE COMMUNICATION BETWEEN PATIENTS AND PROVIDERS, THESE INCLUDE: - RELATIONSHIP BASED CARE - CENTER FOR HEALTH EQUITY STRATEGIC PLANNING - LANGUAGE SERVICES PROGRAM - DIVERSITY COLLABORATIVE TEAMINITIATIVES THAT ADDRESS THE STRUCTURAL BARRIERS TO ACCESSING CARE INCLUDE: - CONNECTICUT INSTITUTE FOR PRIMARY CARE INNOVATION - COMMUNITY AND POPULATION HEALTH MODEL - NAVIGATION SERVICES - EMERGENCY MEDICINE PRIMARY CARE COORDINATIONFOR CLINICAL SERVICES THE HOSPITAL HAS DEVELOPED THREE AREAS OF FOCUS BASED ON CONTINUED MONITORING OF HEALTH OUTCOMES. THESE INCLUDE: - BEHAVIORAL HEALTH - PREVENTION SCREENING - DIABETES AND OBESITY PREVENTIONSTRATEGIES TO ADDRESS THESE NEEDS AND TO MEASURE THE IMPACT OF OUR APPROACH ARE STILL UNDERWAY. SAINT FRANCIS PLACES A PREMIUM ON THE VALUE OF THE PROGRAMS DESIGNED TO ADDRESS COMMUNITY NEEDS AND WITH THE LEADERSHIP OF THE CURTIS D. ROBINSON CENTER FOR HEALTH EQUITY AT SAINT FRANCIS USES AN APPROACH THAT INVOLVES SIGNIFICANT COMMUNITY ENGAGEMENT. THUS WORK TO ADDRESS THESE NEEDS IS UNDERWAY BUT OUTCOMES ARE NOT YET AVAILABLE TO MEASURE IMPACT.THE SOCIAL DETERMINANTS OF HEALTH THAT WILL BE TARGETED BY SAINT FRANCIS IN PARTNERSHIP WITH COMMUNITY ORGANIZATIONS INCLUDE HOUSING, ACCESS TO HEALTHY FOOD, SECURITY AND EDUCATION. THE CORRESPONDING PARTNERSHIPS FOR THIS WORK INCLUDE THE COMMUNITY SOLUTIONS; THE HARTFORD FOOD SYSTEMS AND REACH COALITION; THE PEACE BUILDERS PROGRAM; AND THE HARTFORD ACADEMY FOR SCIENCE AND MATH.GIVEN THE COMPLEXITY OF THE SOCIAL DETERMINANTS OF HEALTH AND THE LONG-TERM INVESTMENT NEEDED TO HAVE AN IMPACT ON THESE NEEDS, THE WORK IN THIS AREA HAS JUST BEGUN. FINDING APPROPRIATE PARTNERS FOR THIS WORK TAKES TIME AND THE APPROACH TAKEN BY SAINT FRANCIS IS TO PARTNER WITH ORGANIZATIONS THAT HAVE A PROVEN TRACK RECORD AND ABILITY TO HAVE A SUSTAINED IMPACT ON THE DEVELOPMENT OF THE COMMUNITY AND ENHANCEMENT OF QUALITY OF LIFE FOR THOSE WHO LIVE HERE.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?24
Name and address Type of Facility (describe)
1 SIMSBURY OFFICES & URGENT CARE
1502 HOPMEADOW ST 30 DORSET
CROSSING
SIMSBURY,CT06070
MEDICAL OFFICES AND COMMUNITY SPACE
2 ENFIELD ACCESS CENTER
7 ELM STREET
ENFIELD,CT06082
MEDICAL OFFICES AND COMMUNITY EDUCATION SPACE / LABORATORY SERVICES
3 BLOOMFIELD MEDICAL OFFICE & URGENT CARE
421 COTTAGE GROVE ROAD
BLOOMFIELD,CT06002
WALK-IN CLINIC AND MEDICAL OFFICES / LABORATORY SERVICES
4 WINDSOR - SF GI ENDOSCOPY CENTER
360 BLOOMFIELD AVENUE
WINDSOR,CT06095
ENDOSCOPY
5 WEST HARTFORD MEDICAL OFFICES
345 NORTH MAIN STREET
WEST HARTFORD,CT06109
MEDICAL OFFICES AND IT TRAINING SPACE / LABORATORY SERVICES
6 ELLINGTON MEDICAL OFFICE
137 WEST ROAD
ELLINGTON,CT06029
MEDICAL OFFICES AND COMMUNITY SPACE / LABORATORY SERVICES
7 MANCHESTER MEDICAL OFFICES
515 WEST MIDDLE TPK
MANCHESTER,CT06048
MEDICAL OFFICES AND COMMUNITY SPACE
8 AVON ACCESS CENTER
35 NOD ROAD
AVON,CT06001
MEDICAL OFFICES AND EDUCATION SPACE / LABORATORY SERVICES
9 FARMINGTON MEDICAL OFFICES
11 SOUTH ROAD SUITE 200
FARMINGTON,CT06032
MEDICAL OFFICE
10 GLASTONBURY ACCESS CENTER
31 SYCAMORE COMMONS
GLASTONBURY,CT06033
MEDICAL OFFICES AND COMMUNITY EDUCATION SPACE / LABORATORY SERVICES
11 WEST HARTFORD
20 ISHAM ROAD
WEST HARTFORD,CT06109
MEDICAL OFFICES
12 HARTFORD
500 BLUE HILLS AVE
HARTFORD,CT06112
LABORATORY SERVICES
13 EAST HARTFORD ACCESS CENTER
893 MAIN STREET
EAST HARTFORD,CT06108
MEDICAL OFFICES / LABORATORY SERVICES
14 WINDSOR MEDICAL OFFICE
1080 DAY HILL ROAD
WINDSOR,CT06095
MEDICAL OFFICE
15 FARMINGTON
2 SPRING LANE
FARMINGTON,CT06032
LABORATORY SERVICES
16 HARTFORD
1000 ASYLUM ST STE 3209
HARTFORD,CT06103
LABORATORY SERVICES
17 SOUTH WINDSOR MEDICAL OFFICE
1340 SULLIVAN AVENUE
SOUTH WINDSOR,CT06074
MEDICAL OFFICES
18 BLOOMFIELD
580 COTTAGE GROVE RD
BLOOMFIELD,CT06002
LABORATORY SERVICES
19 WEST HARTFORD
928 FARMINGTON AVE
WEST HARTFORD,CT06107
LABORATORY SERVICES
20 ROCKY HILL
506 CROMWELL AVE
ROCKY HILL,CT06067
LABORATORY SERVICES
21 ROCKY HILL
2301 SILAS DEANE HWY
ROCKY HILL,CT06067
LABORATORY SERVICES
22 AVON
44 DALE RD
AVON,CT06001
LABORATORY SERVICES
23 HARTFORD
19 WOODLAND ST
HARTFORD,CT06105
LABORATORY SERVICES
24 ROCKY HILL MEDICAL OFFICES
2080 SILAS DEANE HIGHWAY
ROCKY HILL,CT06067
MEDICAL OFFICE
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.
Form and Line Reference Explanation
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER PART V, SECTION B, LINE 1J: THE HOSPITAL AUGMENTED THE CHNA COMPLETED IN PARTNERSHIP WITH THE OTHER HOSPITALS IN HARTFORD WITH INFORMATION FROM QUESTIONNAIRES WITH PATIENTS; FOCUS GROUPS WITH COMMUNITY MEMBERS AND INTERVIEWS WITH HEALTH CARE PROVIDERS SO AS TO GAIN A MORE COMPREHENSIVE PICTURE OF THE NEEDS AS WELL AS THE PRIORITIES. IT WAS APPROVED BY THE BOARD OF DIRECTORS AND SUBSEQUENTLY A COMMUNITY HEALTH IMPLEMENTATION STRATEGY WAS ADOPTED. A COMMUNITY HEALTH SURVEY WAS DEVELOPED THIS PAST YEAR TO ENGAGE COMMUNITY MEMBERS IN AN ONGOING DIALOGUE AND INFORMATION FROM THIS WILL BE ANALYZED TO INFORM OUR NEXT CHNA.
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER PART V, SECTION B, LINE 3: KEY INFORMANTS WHO REPRESENT THE COMMUNITY WERE INTERVIEWED AS A PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. THIS GROUP INCLUDED LEADERS OF NON-PROFIT ORGANIZATIONS; HUMAN SERVICE ORGANIZATIONS; CHURCH LEADERS AND OTHERS. SPECIFICALLY THE GROUPS CONSULTED INCLUDED: CT ASSOCIATION OF HUMAN SERVICES, THE VILLAGE, MALTA HOUSE OF CARE, INC., LATINO COMMUNITY SERVICES, CT VOICES FOR CHILDREN, BOYS AND GIRLS CLUBS, CASEY FAMILY SERVICES, INTERVAL HOUSE, GAY AND LESBIAN HEALTH COLLECTIVE, MY SISTER'S PLACE, GREATER HARTFORD INTERFAITH COALITION AND VARIOUS OTHERS.
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER PART V, SECTION B, LINE 4: THE CHNA WAS COMPLETED IN PARTNERSHIP WITH HARTFORD HOSPITAL; CONNECTICUT CHILDREN'S MEDICAL CENTER, UCONN MEDICAL CENTER AND THE CITY OF HARTFORD HEALTH AND HUMAN SERVICES DEPARTMENT. ADDITIONALLY A CONSULTANT WAS USED TO COMPLETE SOME OF THE DATA COLLECTION AND ANALYSIS.
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER PART V, SECTION B, LINE 7: THE IMPLEMENTATION STRATEGY WHICH ADDRESSES THE NEEDS FOUND IN THE CHNA HIGHLIGHTS FOUR AREAS OF WORK THAT WILL FOCUS OUR STRATEGIC INITIATIVES TO ADDRESS THE NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT, THEY INCLUDE: COMMUNICATION; STRUCTURAL ISSUES THAT IMPACT ACCESS TO CARE; CLINICAL AREAS OF NEED; AND SOCIAL DETERMINANTS OF HEALTH. DURING THIS PAST YEAR DISEASE PREVENTION HAS TAKEN ON A MORE SIGNIFICANT ROLE IN OUR STRATEGY (IN PART DUE TO COMMUNITY INPUT) AND HAS RESULTED IN A MORE SPECIFIC FOCUS FOR OUR CLINICAL CARE STRATEGIES.INITIATIVES ARE ALREADY IN PLACE TO IMPROVE COMMUNICATION BETWEEN PATIENTS AND PROVIDERS, THESE INCLUDE: - RELATIONSHIP BASED CARE - CENTER FOR HEALTH EQUITY STRATEGIC PLANNING - LANGUAGE SERVICES PROGRAM - DIVERSITY COLLABORATIVE TEAMINITIATIVES THAT ADDRESS THE STRUCTURAL BARRIERS TO ACCESSING CARE INCLUDE: - CONNECTICUT INSTITUTE FOR PRIMARY CARE INNOVATION - COMMUNITY AND POPULATION HEALTH MODEL - NAVIGATION SERVICES - EMERGENCY MEDICINE PRIMARY CARE COORDINATIONFOR CLINICAL SERVICES THE HOSPITAL HAS DEVELOPED THREE AREAS OF FOCUS BASED ON CONTINUED MONITORING OF HEALTH OUTCOMES. THESE INCLUDE: - BEHAVIORAL HEALTH - PREVENTION SCREENING - DIABETES AND OBESITY PREVENTIONSTRATEGIES TO ADDRESS THESE NEEDS AND TO MEASURE THE IMPACT OF OUR APPROACH ARE STILL UNDERWAY. SAINT FRANCIS PLACES A PREMIUM ON THE VALUE OF THE PROGRAMS DESIGNED TO ADDRESS COMMUNITY NEEDS AND WITH THE LEADERSHIP OF THE CURTIS D. ROBINSON CENTER FOR HEALTH EQUITY AT SAINT FRANCIS USES AN APPROACH THAT INVOLVES SIGNIFICANT COMMUNITY ENGAGEMENT. THUS WORK TO ADDRESS THESE NEEDS IS UNDERWAY BUT OUTCOMES ARE NOT YET AVAILABLE TO MEASURE IMPACT.THE SOCIAL DETERMINANTS OF HEALTH THAT WILL BE TARGETED BY SAINT FRANCIS IN PARTNERSHIP WITH COMMUNITY ORGANIZATIONS INCLUDE HOUSING, ACCESS TO HEALTHY FOOD, SECURITY AND EDUCATION. THE CORRESPONDING PARTNERSHIPS FOR THIS WORK INCLUDE THE COMMUNITY SOLUTIONS; THE HARTFORD FOOD SYSTEMS AND REACH COALITION; THE PEACE BUILDERS PROGRAM; AND THE HARTFORD ACADEMY FOR SCIENCE AND MATH.GIVEN THE COMPLEXITY OF THE SOCIAL DETERMINANTS OF HEALTH AND THE LONG-TERM INVESTMENT NEEDED TO HAVE AN IMPACT ON THESE NEEDS, THE WORK IN THIS AREA HAS JUST BEGUN. FINDING APPROPRIATE PARTNERS FOR THIS WORK TAKES TIME AND THE APPROACH TAKEN BY SAINT FRANCIS IS TO PARTNER WITH ORGANIZATIONS THAT HAVE A PROVEN TRACK RECORD AND ABILITY TO HAVE A SUSTAINED IMPACT ON THE DEVELOPMENT OF THE COMMUNITY AND ENHANCEMENT OF QUALITY OF LIFE FOR THOSE WHO LIVE HERE.
Schedule H (Form 990) 2013
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
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
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. Part II can be duplicated if additional space is needed.
(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
(1) HARTFORD SYMPHONY ORCHESTRA
100 PEARL ST 2ND FLOOR EAST TOWER
HARTFORD,CT06103
06-0637319 501(C)(3) 27,200   BOOK N/A SPONSORSHIP IN SUPPORT OF THE TALCOTT MOUNTAIN MUSIC FESTIVAL.
(2) MANDELL JEWISH COMMUNITY CENTER
335 BLOOMFIELD AVE
WEST HARTFORD,CT06117
06-0662142 501(C)(3) 25,000   BOOK N/A TO SUPPORT PROGRAMS AND SERVICES FOR THE SOCIAL, PHYSICAL, INTELLECTUAL AND CULTURAL ENJOYMENT AND DEVELOPMENT OF THE GREATER HARTFORD COMMUNITY.
(3) THE GREATER HARTFORD COMMUNITY FDTN INC TRAVELERS CHAMPIONSHIP
90 STATE HOUSE SQUARE 8TH FL
HARTFORD,CT06103
42-1684133 501(C)(3) 377,500   BOOK N/A TO SUPPORT COMMUNITY BASED EVENTS FOR THE BENEFIT OF THE CITIZENS, SOCIAL AND WELFARE ORGANIZATIONS AND OTHER INSTITUTIONS OF THE COMMUNITY.
(4) AMERICAN HEART ASSOCIATION FOUNDERS AFFILIATE
PO BOX 4002012
DES MOINES,IA50340
13-5613797 501(C)(3) 10,000   BOOK N/A TO SUPPORT PROGRAMS THAT FURTHER THE ASSOCIATIONS MISSION OF BUILDING HEALTHIER LIVES FREE OF CARDIOVASCULAR DISEASE AND STROKE. INCLUDING FUNDING FOR CUTTING EDGE RESEARCH, CONDUCTING LIFESAVING AND PUBLIC AND PROFESSIONAL EDUCATIONAL PROGAMS AND ADVOCATING TO PROTECT PUBLIC HEALTH.
(5) ANTI-DEFAMATION LEAGUE
1952 WHITNEY AVE
HAMDEN,CT06517
13-1818723 501(C)(3) 10,000   BOOK N/A TO SUPPORT PROGRAMS AND EDUCATION FOCUSING ON ANTI-SEMITISM AND ALL FORMS OF BIGOTRY, EXTREMISM, HATE CRIME, CIVIL RIGHTS, INTERFAITH AND INTER-GROUP UNDERSTANDING.
(6) ARTHRITIS FOUNDATION
35 COLD SPRING RD
ROCKY HILL,CT06067
06-0672782 501(C)(3) 18,100   BOOK N/A TO SUPPORT PROGRAMS AND SERVICES TO THOSE WHO SUFFER FROM ARTHRITIS, AS WELL AS TO FUND VITALLY IMPORTANT RESEARCH.
(7) CCSU FOUNDATION INC
PO BOX 612
NEW BRITAIN,CT06050
23-7354328 501(C)(3) 5,000   BOOK N/A SPONSORSHIP PROVIDED TO SUPPORT SCHOLARSHIPS, EDUCATIONAL PROGRAMS AND RESEARCH AT CCSU.
(8) CONNECTICUT FORUM
750 MAIN ST
HARTFORD,CT06103
06-1343149 501(C)(3) 25,000   BOOK N/A TO SUPPORT THE MISSION OF ENCOURAGING THE FREE AND ACTIVE EXCHANGE OF IDEAS IN FORUMS WHICH INFORM, CHALLENGE, ENTERTAIN, INSPIRE AND BUILD BRIDGES AMONG ALL PEOPLE AND ORGANIZATIONS IN OUR COMMUNITY.
(9) CT BRAIN TUMOR ALLIANCE
PO BOX 370514
WEST HARTFORD,CT06137
26-0307367 501(C)(3) 5,000   BOOK N/A TO SUPPORT PROGRAMS TO RAISE PUBLIC AWARENESS OF BRAIN TUMORS, ASSIST FAMILIES OF INDIVIDUALS WHO ARE AFFLICTED WITH BRAIN TUMORS AND SUPPORT RESEARCH AND TREATMENT OF BRAIN TUMORS, IN THE STATE OF CT.
(10) JEWISH FEDERATION OF GREATER HARTFORD
333 BLOOMFIELD AVE
WEST HARTFORD,CT06117
06-0655482 501(C)(3) 6,000   BOOK N/A SPONSORSHIP IN SUPPORT OF A WOMEN'S HEALTH PRESENTATION " WHATS IN YOUR GENES? BRCA?". THIS EDUCATIONAL FORUM WAS PRESENTED TO OFFER FAMILIES INFORMATION, PERSPECTIVE AND RESOURCES ON BREAST AND OVARIAN CANCERS.
(11) KOMEN CONNECTICUT
74 BATTERSON PARK ROAD
FARMINGTON,CT06032
75-2844629 501(C)(3) 25,000   BOOK N/A SUPPORT FOR THE RACE FOR THE CURE. PROCEED OF WHICH SUPPORTS THE EDUCATION OF WOMEN AND MEN IN OUR STATE ON THE IMPORTANCE OF EARLY DETECTION, FUNDING FREE SCREENING SERVICES AND PROVIDING SUPPORT TO THOSE DIAGNOSED WITH BREAST CANCER.
(12) LEAS FOUNDATION FOR LEUKEMIA RESEARCH
150 TRUMBULL ST 2ND FL
HARTFORD,CT06103
06-1520923 501(C)(3) 25,000   BOOK N/A TO PROMOTE AND HELP FUND ACTIVITIES ASSOCIATED WITH THE EDUCATION, RESEARCH AND TREATMENT OF LEUKEMIA AND ITS RELATED CANCERS.
(13) NATIONAL MULTIPLE SCLEROSIS SOCIETY
659 TOWER AVE
HARTFORD,CT06112
06-0792055 501(C)(3) 20,000   BOOK N/A IN SUPPORT OF PROGRAMS FOR CUTTING EDGE RESEARCH, DRIVING CHANGE THROUGH ADVOCACY, FACILITATING PROFESSIONAL EDUCATION AND PROVIDING PROGRAMS AND SERVICES THAT EMPOWER PEOPLE WITH MS AND THEIR FAMILIES TO MOVE THEIR LIVES FORWARD.
(14) NORTHSIDE INSTITUTIONS NEIGHBORHOOD
20 SARGENT ST
HARTFORD,CT06105
22-3887275 501(C)(3) 25,000   BOOK N/A TO REVITALIZE THE ASYLUM HILL COMMUNITY AREA BY PROVIDING AFFORDABLE HOUSING OPPORTUNITIES FOR LOW AND MODERATE INCOME FAMILIES AND INDIVIDUALS, BY FOSTERING AND DEVELOPING ECONOMIC OPPORTUNITIES WITHIN THE AREA AND OTHERWISE COMBATING COMMUNITY DETERIORATION.
(15) NUTMEG BIG BROTHERS BIG SISTERS
30 LAUREL ST STE 3
HARTFORD,CT06106
06-0850379 501(C)(3) 8,000   BOOK N/A TO MAKE A POSITIVE DIFFERENCE IN THE LIVES OF CHILDREN AND YOUTH FACING ADVERSITY, PRIMARILY THROUGH PROFESSIONALLY SUPPORTED RELATIONSHIPS WITH CARING ADULT VOLUNTEERS.
(16) THE HARTT SCHOOL OF MUSIC
200 BLOOMFIELD AVE
WEST HARTFORD,CT06117
06-0731360 501(C)(3) 20,000   BOOK N/A SPONSORSHIP OF THE HARTT GALA, ALL NET PROCEEDS GO TOWARD SCHOLARSHIPS, TUITION ASSISTANCE AND EDUCATIONAL PROGRAMMING.
(17) UNIVERSITY OF HARTFORD
200 BLOOMFIELD AVE
WEST HARTFORD,CT06117
06-0731360 501(C)(3) 5,000   BOOK N/A SPONSORHIP OF THE STEM CONFERENCE HELD ANNUALLY TO EXPLORE AND DISCUSS IDEAS AND INNOVATIONS FOR STEM (SCIENCE, TECHNOLOGY, ENGINEERING AND MATHMATICS) CURRICULA.
(18) UNIVERSITY OF HARTFORD ATHLETICS DEPT
200 BLOOMFIELD AVE
WEST HARTFORD,CT06117
06-0731360 501(C)(3) 50,000   BOOK N/A SPONSORSHIP IN SUPPORT OF UNIVERSITY OF HARTFORD ATHLETICS.
(19) UNIVERSITY OF CONNECTICUT FOUNDATION INC
2131 HILLSIDE RD
STORRS,CT06269
06-6070722 501(C)(3) 13,734   BOOK N/A TO SUPPORT 2014 WHITE COAT GALA TO BENEFIT THE UCONN HEALTH CENTER.
(20) URBAN LEAGUE OF GREATER HARTFORD
140 WOODLAND ST
HARTFORD,CT06105
06-6066491 501(C)(3) 5,000   BOOK N/A TO PROMOTE THE SELF EMPOWERMENT OF INDIVIDUALS IN THE CT CAPITAL REGION TO ACHIEVE EDUCATIONAL, OCCUPATIONAL AND ECONOMIC EQUALITY FOR THEMSELVES AND THEIR FAMILIES.
(21) CITY OF HARTFORD HEALTH DEPARTMENT - MIOP
131 COVENTRY STREET
HARTFORD,CT06112
06-6001870 170(C)(1) 105,000   BOOK N/A TO SUPPORT THE MATERNAL INFANT AND OUTREACH PROGRAM WHICH WORKS TO IMPROVE THE LIVES OF EXPECTANT MOTHERS, THEIR CHILDREN AND THE COMMUNITY AT LARGE.
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
21
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2013

Schedule I (Form 990) 2013
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.
Part III can be duplicated 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 FUND 12 12,000   BOOK N/A
(2) MULLANE SCHOLARSHIP FUND 5 5,000   BOOK N/A
(3) TRIOMPO HEALING HEARTS & HANDS AWARD 17 5,900   BOOK N/A
(4) S.A. CARRABBA, MD, AWARD (RESEARCH PROJECT) 1 500   BOOK N/A
(5) KATHLEEN WALDRON & MADELINE TAYLOR FUND 3 3,000   BOOK N/A




Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
Schedule I (Form 990) 2013


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, line 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
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 or provision of all of 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
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
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 Regulations 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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (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 as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)CHRISTOPHER M DADLEZPRESIDENT & CEO (i)
(ii)
873,996
0
643,000
0
0
0
849,381
0
45,358
0
2,411,735
0
0
0
(2)STEVEN T RUBY MDDIRECTOR / DEPT. CHAIRMAN (i)
(ii)
636,792
0
53,688
0
0
0
5,000
0
13,179
0
708,659
0
0
0
(3)JOHN RODIS MDEXECUTIVE VP & COO (i)
(ii)
0
698,627
0
75,000
0
0
0
15,000
0
19,542
0
808,169
0
0
(4)DAVID BITTNERSR VP FINANCE (i)
(ii)
240,714
0
105,000
0
0
0
0
0
16,058
0
361,772
0
0
0
(5)TERESA M BOLTONHUMAN RESOURCES COUNSEL (i)
(ii)
271,468
0
35,000
0
0
0
11,375
0
10,026
0
327,869
0
0
0
(6)ROBERT CHRISTOPHER HARTLEYSR VP PLANNING & FACILITIES (i)
(ii)
318,972
0
42,000
0
0
0
24,614
0
20,633
0
406,219
0
0
0
(7)GREG MAKOULSVP, CHIEF ACADEMIC OFFICER (i)
(ii)
371,088
0
67,000
0
0
0
15,000
0
17,277
0
470,365
0
0
0
(8)JENNIFER SCHNEIDERVP FINANCE/CHIEF COMPLIANCE OFFICER (i)
(ii)
185,960
0
36,000
0
0
0
14,368
0
19,485
0
255,813
0
0
0
(9)JOHN N GIAMALISEVP & CHIEF ADMIN OFFICER (i)
(ii)
564,200
0
129,000
0
0
0
0
0
23,634
0
716,834
0
0
0
(10)DAWN BRYANTSVP, CHIEF HUMAN RESOURCE OFFICER (i)
(ii)
248,078
0
55,000
0
0
0
7,500
0
13,567
0
324,145
0
0
0
(11)LINDA SHANLEYVP AND CIO (i)
(ii)
269,690
0
50,000
0
0
0
0
0
16,572
0
336,262
0
0
0
(12)E MERRITT MCDONOUGH JRSF FOUNDATION PRESIDENT (i)
(ii)
373,254
0
38,000
0
0
0
11,400
0
31,448
0
454,102
0
0
0
(13)STUART ROSENBERGCEO-JMMC (i)
(ii)
232,381
0
73,000
0
0
0
9,250
0
12,805
0
327,436
0
0
0
(14)JAMES W SCHEPKERVP MARKETING & BUSINESS DEVELOPMENT (i)
(ii)
247,633
0
45,000
0
0
0
11,225
0
19,756
0
323,614
0
0
0
(15)ERNESTO M CANALIS MDDIRECTOR OF RESEARCH (i)
(ii)
291,053
0
0
0
0
0
24,608
0
6,528
0
322,189
0
0
0
(16)ROBERT FALAGUERRAVP FACILITIES & SUPPORT SERVICES (i)
(ii)
213,691
0
29,000
0
0
0
19,156
0
20,894
0
282,741
0
0
0
(17)NICOLE SCHULZVP REVENUE CYCLE (i)
(ii)
201,717
0
40,000
0
0
0
12,485
0
18,147
0
272,349
0
0
0
(18)PAUL F MITCHELL DMDFORMER DIRECTOR (i)
(ii)
0
263,173
0
0
0
0
0
24,614
0
18,618
0
306,405
0
0
(19)KATHLEEN M ROCHEFORMER EXECUTIVE VP & COO (i)
(ii)
431,719
0
0
0
208,333
0
0
0
10,215
0
650,267
0
0
0
(20)ARTHUR DETOREFORMER SVP CHIEF PHYSICIAN EXECUTIVE (i)
(ii)
369,930
0
0
0
191,250
0
0
0
12,220
0
573,400
0
0
0
(21)REBECCA BURKEFORMER SVP, PATIENT CARE & CLINICAL (i)
(ii)
108,069
0
0
0
214,582
0
0
0
9,293
0
331,944
0
0
0
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
PART I, LINES 4A-B KATHLEEN M. ROCHE RECEIVED A SEVERANCE BENEFIT OF $208,333. ARTHUR DETORE RECEIVED A SEVERANCE BENEFIT OF $191,250. REBECCA BURKE RECEIVED A SEVERANCE BENEFIT OF $214,582. CHRISTOPHER DADLEZ PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE YEAR WITH AN ESTIMATED BENEFIT OF $834,000.
Schedule J (Form 990) 2013

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 Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
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   X   X   X
B STATE OF CT HEALTH & EDUCATIONAL FACILITY AUTHORITY REV BONDS - SERIES H-M
 
06-0806186   01-24-2014 213,215,000 REFUND EXISTING DEBT ISSUED 6/08 AND 9/10   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 795,000 1,635,000    
2 Amount of bonds legally defeased . . . . . . . . . . .        
3 Total proceeds of issue . . . . . . . . . . . . . . 39,745,000 213,215,000    
4 Gross proceeds in reserve funds . . . . . . . . . . . . 629,173      
5 Capitalized interest from proceeds . . . . . . . . . . .        
6 Proceeds in refunding escrows . . . . . . . . . . . .        
7 Issuance costs from proceeds . . . . . . . . . . . . 447,069 1,209,100    
8 Credit enhancement from proceeds . . . . . . . . . . .        
9 Working capital expenditures from proceeds . . . . . . . . . 38,673,020      
10 Capital expenditures from proceeds . . . . . . . . . . .        
11 Other spent proceeds . . . . . . . . . . . . . . 212,005,900 212,005,900    
12 Other unspent proceeds . . . . . . . . . . . . . .        
13 Year of substantial completion . . . . . . . . . . . .
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        
16 Has the final allocation of proceeds been made? . . . . . . . . X   X          
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . 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        
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . . X   X          
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
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 of bond-financed property? . . . . . . . . . . . .   X X          
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X          
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X X          
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any 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 Does the bond issue meet the private security or payment test? . . . . .   X   X        
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X        
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . .
X   X          
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X        
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X   X        
b Exception to rebate? . . . . . . . .   X   X        
c No rebate due? . . . . . . . . X   X          
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . . X   X          
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X        
b Name of provider . . . . . . . . . NA
 
NA
 
 
 
 
 
c Term of hedge . . . . . . . . . .        
d Was the hedge superintegrated? . . . .   X   X        
e Was the hedge terminated? . . . . . .   X   X        
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X        
b Name of provider . . . . . . . . . NA
 
NA
 
 
 
 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .   X   X        
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X        
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X          
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?   X   X        
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
SCHEDULE K, PART I, BOND ISSUES: ON JANUARY 24, 2014 SAINT FRANCIS HOSPITAL AND MEDICAL CENTER ENTERED INTO A FINANCING ARRANGEMENT WITH THE STATE OF CT HEALTH & EDUCATION FACILITY AUTHORITY (CHEFA) FOR THE PURPOSE OF REFUNDING AND REFINANCING THE SERIES D, F, AND G REVENUE BONDS. CHEFA SOLD $213,215,000 OF SERIES H-M BOND QUALIFIED TAX EXEMPT BONDS, WHICH MATURE SERIALLY FROM 2018 TO 2021 THROUGH PRIVATE PLACEMENT.
Schedule K (Form 990) 2013

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, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
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) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by 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-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)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 assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2013
Schedule L (Form 990 or 990-EZ) 2013
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) JOHN N GIAMALIS EVP & CHIEF ADMIN OFFICER 205,885 RENTAL OF OFFICE SPACE, TELECOMMUNICATIONS, AND ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS HEALTHCARE PARTNERS. JOHN N. GIAMALIS IS A BOARD MEMBER OF SAINT FRANCIS HEALTHCARE PARTNERS.   No
(2) JOHN N GIAMALIS EVP & CHIEF ADMIN OFFICER 2,701,553 MANAGED CARE SERVICES FROM SAINT FRANCIS HEALTHCARE PARTNERS. JOHN N. GIAMALIS IS A BOARD MEMBER OF SAINT FRANCIS HEALTHCARE PARTNERS.   No
(3) CHRISTOPHER DADLEZ CEO & PRESIDENT 205,885 RENTAL OF OFFICE SPACE, TELECOMMUNICATIONS, AND ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS HEALTHCARE PARTNERS. CHRISTOPHER DADLEZ IS A BOARD MEMBER OF SAINT FRANCIS HEALTHCARE PARTNERS.   No
(4) CHRISTOPHER DADLEZ CEO & PRESIDENT 2,701,553 MANAGED CARE SERVICES FROM SAINT FRANCIS HEALTHCARE PARTNERS. CHRISTOPHER DADLEZ IS A BOARD MEMBER OF SAINT FRANCIS HEALTHCARE PARTNERS.   No
(5) REBECCA BURKE KEY EMPLOYEE 2,533,349 PURCHASE OF SERVICES FROM SAINT FRANCIS BEHAVIORAL HEALTH GROUP, P.C. REBECCA BURKE IS A DIRECTOR OF SAINT FRANCIS BEHAVIORAL HEALTH GROUP, P.C.   No
(6) REBECCA BURKE KEY EMPLOYEE 856,843 RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS BEHAVIORAL HEALTH GROUP, P.C. REBECCA BURKE IS A DIRECTOR OF SAINT FRANCIS BEHAVIORAL HEALTH GROUP, P.C.   No
(7) REBECCA BURKE KEY EMPLOYEE 16,744,700 RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO COLLABORATIVE LABORATORY SERVICES. REBECCA BURKE IS A DIRECTOR OF COLLABORATIVE LABORATORY SERVICES.   No
(8) REBECCA BURKE KEY EMPLOYEE 23,043,771 PURCHASE OF SERVICES AND SUPPLIES FROM COLLABORATIVE LABORATORY SERVICES. REBECCA BURKE IS A DIRECTOR OF COLLABORATIVE LABORATORY SERVICES.   No
(9) DANIEL O'CONNELL DIRECTOR 205,885 RENTAL OF OFFICE SPACE, TELECOMMUNICATIONS, AND ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS HEALTHCARE PARTNERS. DANIEL O'CONNELL IS A BOARD MEMBER OF SAINT FRANCIS HEALTHCARE PARTNERS.   No
(10) DANIEL O'CONNELL DIRECTOR 2,701,553 MANAGED CARE SERVICES FROM SAINT FRANCIS HEALTHCARE PARTNERS. DANIEL O'CONNELL IS A BOARD MEMBER OF SAINT FRANCIS HEALTHCARE PARTNERS.   No
(11) E MERRITT MCDONOUGH JR KEY EMPLOYEE 3,745,146 EMPLOYEE OF PEOPLE'S UNITED INSURANCE - PURCHASE OF INSURANCE SERVICES.   No
(12) R CHRISTOPHER HARTLEY KEY EMPLOYEE 3,075,646 DIRECTOR OF TOTAL LAUNDRY COLLABORATIVE - LAUNDRY SERVICES.   No
(13) PETER G KELLY JD DIRECTOR 101,051 PETER KELLY'S DAUGHTER, BRIDGET KELLY, IS A PHYSICIAN ASSISTANT FOR SAINT FRANCIS HOSPITAL AND MEDICAL CENTER.   No
(14) PHILIP J SCHULZ DIRECTOR 272,349 PHILIP SCHULZ'S DAUGHTER-IN-LAW, NICOLE SCHULZ, IS THE VP OF REVENUE CYCLE FOR SAINT FRANCIS HOSPITAL AND MEDICAL CENTER.   No
(15) JOHN N GIAMALIS EVP & CHIEF ADMIN OFFICER 476,670 RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS CARE MEDICAL GROUP. JOHN N. GIAMALIS IS VICE PRESIDENT OF SAINT FRANCIS CARE MEDICAL GROUP.   No
(16) KATHLEEN ROCHE EXECUTIVE VICE PRESIDENT & COO 476,670 RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS CARE MEDICAL GROUP. KATHLEEN ROCHE IS A DIRECTOR OF SAINT FRANCIS CARE MEDICAL GROUP.   No
(17) R CHRISTOPHER HARTLEY KEY EMPLOYEE 476,670 RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS CARE MEDICAL GROUP. R. CHRISTOPHER HARTLEY IS A DIRECTOR OF SAINT FRANCIS CARE MEDICAL GROUP.   No
(18) TERESA BOLTON KEY EMPLOYEE 476,670 RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS CARE MEDICAL GROUP. TERESA BOLTON IS A DIRECTOR OF SAINT FRANCIS CARE MEDICAL GROUP.   No
(19) P ANTHONY GIORGIO DIRECTOR 2,476,426 LEASE PAYMENTS AND LEASEHOLD IMPROVEMENTS FROM 103 WOODLAND STREET, LLC . P. ANTHONY GIORGIO IS A DIRECTOR OF SAINT FRANCIS HOSPITAL & MEDICAL GROUP, SAINT FRANCIS CARE, INC. AND MT. SINAI REHABILITATION CENTER, INC.   No
(20) KARL KRAPEK DIRECTOR 2,476,426 LEASE PAYMENT AND LEASEHOLD IMPROVEMENTS FROM 103 WOODLAND STREET, LLC. KARL KRAPEK IS A DIRECTOR OF SAINT FRANCIS HOSPITAL & MEDICAL GROUP AND SAINT FRANCIS CARE, INC.   No
(21) JEAN-PIERRE VAN ROOY DIRECTOR 202,034 SON - DR. ERIC VAN ROOY IS AFFILLIATED WITH CONNECTICUT RADIATION ONCOLOGY WHICH HAS A PSA TO RUN THE CYBERKNIFE PROGRAM AT SFH.   No
(22) JOHN D PAPANDREA MD DIRECTOR 110,200 DR. JOHN PAPANDREA'S SPOUSE, DR. KATHLEEN KENNEDY, IS A CARDIOLOGIST IN A PRIVATE PRACTICE THAT PROVIDES PROFESSIONAL SERVICES TO SAINT FRANCIS HOSPITAL & MEDICAL CENTER. DR. JOHN PAPANDREA IS A DIRECTOR OF SAINT FRANCIS HOSPITAL & MEDICAL CENTER AND SAINT FRANCIS CARE, INC.   No
(23) JOHN W RODGERS MD DIRECTOR 105,963 DR. JOHN RODGERS IS A SHAREHOLDER IN A PRIVATE MEDICAL GROUP PRACTICE THAT SAINT FRANCIS HOSPITAL AND MEDICAL CENTER RENTS SPACE AND ASSOCIATED OCCUPANCY EXPENSES FOR MULTIPLE LOCATIONS.   No
(24) JOHN RODIS EXECUTIVE VP & COO 205,885 RENTAL OF OFFICE SPACE, TELECOMMUNICATIONS, AND ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS HEALTHCARE PARTNERS. JOHN RODIS IS A BOARD MEMBER OF SAINT FRANCIS HEALTHCARE PARTNERS.   No
(25) DAVID BITTNER SR VP FINANCE 205,885 RENTAL OF OFFICE SPACE, TELECOMMUNICATIONS, AND ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS HEALTHCARE PARTNERS. DAVID BITTNER IS A BOARD MEMBER OF SAINT FRANCIS HEALTHCARE PARTNERS.   No
(26) JOHN RODIS EXECUTIVE VP & COO 2,701,553 MANAGED CARE SERVICES FROM SAINT FRANCIS HEALTHCARE PARTNERS. JOHN RODIS IS A BOARD MEMBER OF SAINT FRANCIS HEALTHCARE PARTNERS.   No
(27) DAVID BITTNER SR VP FINANCE 2,701,553 MANAGED CARE SERVICES FROM SAINT FRANCIS HEALTHCARE PARTNERS. DAVID BITTNER IS A BOARD MEMBER OF SAINT FRANCIS HEALTHCARE PARTNERS.   No
(28) P ANTHONY GIORGIO DIRECTOR 329,680 LEASE PAYMENTS AND LEASEHOLD IMPROVEMENTS FROM DORSET CROSSING, LLC . P. ANTHONY GIORGIO IS A DIRECTOR OF SAINT FRANCIS HOSPITAL & MEDICAL GROUP, SAINT FRANCIS CARE, INC. AND MT. SINAI REHABILITATION CENTER, INC.   No
(29) KARL KRAPEK DIRECTOR 329,680 LEASE PAYMENT AND LEASEHOLD IMPROVEMENTS FROM DORSET CROSSING, LLC. KARL KRAPEK IS A DIRECTOR OF SAINT FRANCIS HOSPITAL & MEDICAL GROUP AND SAINT FRANCIS CARE, INC.   No
(30) SUSAN J SAPPINGTON DIRECTOR 66,300 DIRECTOR SAPPINGTON'S SPOUSE, JOSEPH SAPPINGTON, MD, IS A CARDIOLOGIST IN A PRIVATE PRACTICE THAT PROVIDES PROFESSIONAL SERVICES TO SAINT FRANCIS HOSPITAL & MEDICAL CENTER. SUSAN SAPPINGTON IS A DIRECTOR OF SAINT FRANCIS HOSPITAL & MEDICAL GROUP AND SAINT FRANCIS CARE, INC.   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2013

Additional Data


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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.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
ST FRANCIS HOSPITAL AND MEDICAL CENTER
 
Employer identification number

06-0646813
Return Reference Explanation
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
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

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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" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.
MediumBullet
Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2013
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 (if applicable) 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 13,418,932 50,239,478 SAINT FRANCIS HOSPITAL & MEDICAL CENTER
 
(2) COLLABORATIVE LABORATORY SERVICES
114 WOODLAND STREET
HARTFORD,CT06105
06-1520109
LAB SERVICES CT 36,457,234 7,648,496 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 entity?
Yes No
(1) ASYLUM HILL FAMILY MEDICAL CENTER

114 WOODLAND STREET

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

1000 ASYLUM STREET

HARTFORD,CT06105
06-0922325
PROPERTY MANAGEMENT CT 501(C)(2)   SAINT FRANCIS HOSPITAL & MEDICAL CENTER
 
Yes
 
(3) SAINT FRANCIS CARE INC

114 WOODLAND STREET

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

114 WOODLAND STREET

HARTFORD,CT06105
06-1008255
FUNDRAISING CT 501(C)(3) LINE 11A, I SAINT FRANCIS CARE
 
 
No
(5) MT SINAI REHABILITATION HOSPITAL INC

114 WOODLAND STREET

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

114 WOODLAND STREET

HARTFORD,CT06105
06-1450168
HEALTH SERVICES CT 501(C)(3) LINE 3 SAINT FRANCIS CARE
 
 
No
(7) 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) LINE 11A, I SAINT FRANCIS HOSPITAL & MEDICAL CENTER
 
 
No
(8) SAINT FRANCIS EMERGENCY MEDICAL GROUP INC

114 WOODLAND STREET

HARTFORD,CT06105
45-1994612
HEALTH SERVICES CT 501(C)(3) LINE 3 SAINT FRANCIS MEDICAL GROUP INC
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
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) TOTAL LAUNDRY COLLABORATIVE

114 WOODLAND STREET
HARTFORD,CT06105
20-8335788
LAUNDRY SERVICES CT SAINT FRANCIS HOSPITAL & MEDICAL CENTER
 
RELATED -95,679 -213,179   No     No 86.000 %
(2) MEDWORKS LLC

375 EAST CEDAR STREET
NEWINGTON,CT06111
06-1490483
REHABILITATION SERVICES CT SAINT FRANCIS HOSPITAL & MEDICAL CENTER
 
RELATED -33,522 -46,325   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
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) SAINT FRANCIS CARE MEDICAL GROUP PC

114 WOODLAND STREET
HARTFORD,CT06105
06-1432373
HEALTH SERVICES CT SAINT FRANCIS CARE
 
C   1,248,300 100.000 %   No
(2) SAINT FRANCIS BEHAVIORAL HEALTH GROUP

114 WOODLAND STREET
HARTFORD,CT06105
06-1384686
BEHAVIOR HEALTH SERVICES CT SAINT FRANCIS HOSPITAL & MEDICAL CENTER
 
C -707,024 954,578 100.000 % Yes  
(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 -105,743 1,304,843 50.000 % Yes  
(4) SAINT FRANCIS HEALTHCARE PARTNERS ACO INC

95 WOODLAND ST FOURTH FLOOR
HARTFORD,CT06105
46-1315402
MGMT AND ADMIN SERVICES CT SAINT FRANCIS HEALTH CARE PARTNERS
 
C     50.000 %   No






Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
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 or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
 
No
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 related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved





Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
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)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(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 Yes No






























Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2013
Additional Data


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