TY 2014 Form 990

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) REV THOMAS J BARRY JCL........................................................................ CHAIRMAN	1.00 .......................1.00	X	X	0	0
(2) CHRISTOPHER M DADLEZ........................................................................ PRESIDENT & CEO	55.00 .......................10.00	X	X	2,894,865	1,021,627
(3) BARBARA J CALDERONEBSNJD........................................................................ SECRETARY	1.00 .......................1.00	X	X	0	0
(4) L JEFFREY BALDWIN........................................................................ DIRECTOR	1.00 .......................1.00	X		0	0
(5) SURENDRA K CHAWLA MD........................................................................ DIRECTOR	1.00 .......................1.00	X		0	0
(6) ROBERT M ELLIS........................................................................ DIRECTOR	2.00 .......................4.00	X		0	0
(7) P ANTHONY GIORGIO PHD........................................................................ DIRECTOR	1.00 .......................2.00	X		0	0
(8) WALTER HARRISON PHD........................................................................ DIRECTOR	1.00 .......................1.00	X		0	0
(9) JEFFREY S HOFFMAN........................................................................ DIRECTOR	1.00 .......................1.00	X		0	0
(10) PETER G KELLY JD........................................................................ DIRECTOR	1.00 .......................2.00	X		0	0
(11) PATRICK J KINNEY........................................................................ DIRECTOR	1.00 .......................1.00	X		0	0
(12) KARL J KRAPEK........................................................................ DIRECTOR	2.00 .......................1.00	X		0	0
(13) SISTER DOLORES LAHR CSJ........................................................................ DIRECTOR	1.00 .......................1.00	X		0	0
(14) JOYCE D MANDELL........................................................................ DIRECTOR	1.00 .......................1.00	X		0	0
(15) JOHN J MARA MD........................................................................ DIRECTOR	1.00 .......................1.00	X		0	0
(16) REV MSGR JOHN MCCARTHY JCD JD........................................................................ DIRECTOR	1.00 .......................1.00	X		0	0
(17) DANIEL P O'CONNELL........................................................................ DIRECTOR / CHAIRMAN	2.00 .......................2.00	X	X	0	0

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) KEVIN J O'CONNOR JD........................................................................ DIRECTOR / VICE-CHAIRMAN	1.00 .......................1.00	X	X				0	0	0
(19) JOHN D PAPANDREA MD........................................................................ DIRECTOR	1.00 .......................1.00	X					0	0	0
(20) CURTIS D ROBINSON........................................................................ DIRECTOR	2.00 .......................2.00	X					0	0	0
(21) JOHN W RODGERS MD........................................................................ DIRECTOR	1.00 .......................1.00	X					0	0	0
(22) DR GALO A RODRIGUEZ MPH........................................................................ DIRECTOR	1.00 .......................1.00	X					0	0	0
(23) ANDREW A SADANOWICZ........................................................................ DIRECTOR	1.00 .......................1.00	X					0	0	0
(24) SUSAN J SAPPINGTON........................................................................ DIRECTOR	1.00 .......................1.00	X					0	0	0
(25) HENRY S SCHERER JR........................................................................ DIRECTOR	2.00 .......................3.00	X					0	0	0
(26) PHILIP J SCHULZ........................................................................ DIRECTOR	2.00 .......................2.00	X					0	0	0
(27) JOSEPH J SPALLUTO........................................................................ DIRECTOR	1.00 .......................1.00	X					0	0	0
(28) JEAN-PIERRE VAN ROOY........................................................................ DIRECTOR	1.00 .......................1.00	X					0	0	0
(29) GEN R JOHN M WATKINS........................................................................ DIRECTOR	1.00 .......................1.00	X					0	0	0
(30) ADRIENNE W COCHRANE JD........................................................................ DIRECTOR	1.00 .......................1.00	X					0	0	0
(31) STEVEN T RUBY MD........................................................................ DIRECTOR / DEPT. CHAIRMAN	55.00 .......................4.00	X					683,168	0	45,003
(32) ANDREW J PINKES........................................................................ DIRECTOR	1.00 .......................1.00	X					0	0	0
(33) TIMOTHY L PRETE........................................................................ DIRECTOR	1.00 .......................1.00	X					0	0	0
(34) MURTHAPPA N PRAKASH MD........................................................................ DIRECTOR	1.00 .......................2.00	X					21,833	0	0
(35) SHERI A LEMIEUX........................................................................ ASSISTANT SECRETARY	55.00 .......................1.00		X				133,537	0	19,122
(36) JOHN RODIS MD........................................................................ EXECUTIVE VP & COO	55.00 .......................3.00			X			914,647	0	59,160
(37) DAVID BITTNER........................................................................ SR VP FINANCE	55.00 .......................8.00			X			395,908	0	39,261
(38) ROBERT CHRISTOPHER HARTLEY........................................................................ SR VP PLANNING & FACILITIES	55.00 .......................2.00			X			362,587	0	59,239
(39) GREG MAKOUL........................................................................ SVP, CAO	55.00 .......................0.00			X			498,154	0	34,771
(40) JENNIFER SCHNEIDER........................................................................ VP FINANCE/CHIEF COMPLIANCE OFFICER	55.00 .......................6.00			X			278,987	0	46,358
(41) JOHN N GIAMALIS........................................................................ EVP & CAO	55.00 .......................8.00			X			724,755	0	54,761
(42) DAWN BRYANT........................................................................ SVP, CHIEF HUMAN RESOURCE OFFICER	55.00 .......................0.00			X			321,685	0	27,947
(43) LINDA SHANLEY........................................................................ VP AND CIO	55.00 .......................0.00			X			326,856	0	38,770
(44) E MERRITT MCDONOUGH JR........................................................................ SF FDTN PRESIDENT	55.00 .......................2.00			X			521,116	0	56,879
(45) DENISE PETERSON........................................................................ VP PROF NRSG PRACTICE & QUAL/CNO	55.00 .......................0.00			X			182,407	0	10,445
(46) ADAM SILVERMAN........................................................................ VP AMBULATORY STRATEGY	1.00 .......................58.00			X			0	346,050	24,011
(47) STUART ROSENBERG........................................................................ CEO-JMMC	55.00 .......................0.00				X		351,329	0	47,183
(48) JAMES W SCHEPKER........................................................................ VP MARKETING & BUSINESS DEVELOPMENT	55.00 .......................0.00				X		294,625	0	43,195
(49) ROBERT FALAGUERRA........................................................................ VP FACILITIES & SUPPORT SERVICES	55.00 .......................2.00				X		247,125	0	52,177
(50) DERRICK AMATO........................................................................ ADMINISTRATIVE DIRECTOR	55.00 .......................0.00				X		316,080	0	13,848
(51) NICOLE SCHULZ........................................................................ VP REVENUE CYCLE	55.00 .......................0.00				X		283,621	0	43,915
(52) PAUL F MITCHELL DMD........................................................................ FORMER DIRECTOR	0.00 .......................57.00					X	0	266,484	55,218
(53) TERESA M BOLTON........................................................................ FORMER HUMAN RESOURCES COUNSEL	55.00 .......................1.00					X	245,883	0	19,724
(54) KATHLEEN M ROCHE........................................................................ FORMER EXECUTIVE VP & COO	0.00 .......................0.00					X	287,380	0	5,985
(55) ARTHUR DETORE........................................................................ FORMER SVP,CHIEF PHYSICIAN EXECUTIVE	0.00 .......................0.00					X	263,612	0	5,985

(A) Name and business address	(B) Description of services	(C) Compensation
UCONN SCHOOL OF MEDICINE 263 FARMINGTON AVE FARMINGTON,CT06030	PHYSICIAN FEES & SERVICES	17,068,607
DTZ INC 4002 SOLUTIONS CENTER CHICAGO,IL60677	CLEANING SERVICES	3,738,258
MORRISON MANAGEMENT SPECIALISTS PO BOX 102289 ATLANTA,GA30368	MANAGEMENT SERVICES	3,498,709
AMN HEALTHCARE INC 2735 COLLECTIONS CENTER DR CHICAGO,IL60693	TEMP NURSING SERVICES	2,665,312
AMERICAN ADJUSTMENT BUREAU PO BOX 2758 WATERBURY,CT06723	COLLECTION SERVICES	1,486,022
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 57

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 domestic organizations and domestic governments. See Part IV, line 21 ....	659,800	659,800
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ....	26,450	26,450
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............
4	Benefits paid to or for members ....
5	Compensation of current officers, directors, trustees, and key employees ....	8,480,115		8,480,115
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 ....	264,319,054	213,369,198	50,949,856
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	17,718,340	14,664,448	3,053,892
9	Other employee benefits .......	33,438,601	26,597,062	6,841,539
10	Payroll taxes ...........	19,299,034	15,169,112	4,129,922
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	2,333,129		2,333,129
c	Accounting ...........	618,565		618,565
d	Lobbying ...........	111,300		111,300
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	125,141		125,141
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ....	89,852,910	72,292,997	17,559,913
12	Advertising and promotion ....	1,617,566	6,410	1,611,156
13	Office expenses .......	16,876,694	16,072,434	804,260
14	Information technology ......	15,155,635	14,915,238	240,397
15	Royalties ..
16	Occupancy ...........	39,321,451	37,289,389	2,032,062
17	Travel ............	1,630,113	1,630,113
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....
20	Interest ...........	11,151,596	11,151,596
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	38,113,285	38,113,285
23	Insurance ..............	11,971,391	290,443	11,680,948
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	106,528,549	106,528,549
b	LAB EXPENSE	7,520,916	7,520,916
c	PROF LIAB INSURANCE	5,548,198	5,548,198
d	LAUNDRY EXPENSE	3,273,650	3,273,650
e	All other expenses	30,559,994	5,095,506	25,464,488
25	Total functional expenses. Add lines 1 through 24e	726,251,477	590,214,794	136,036,683	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 if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	58,225,346	1	48,119,752
2	Savings and temporary cash investments .........	46,781,519	2	52,046,968
3	Pledges and grants receivable, net ...........		3
4	Accounts receivable, net .............	75,441,792	4	70,386,496
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 .............	545,649	7	566,992
8	Inventories for sale or use ..............	8,854,758	8	9,701,459
9	Prepaid expenses and deferred charges ..........	6,724,495	9	8,724,005
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	890,775,274
b	Less: accumulated depreciation .....	10b	434,608,404	463,498,467	10c	456,166,870
11	Investments—publicly traded securities ..........	78,640,457	11	83,759,484
12	Investments—other securities. See Part IV, line 11 .....	14,134,048	12	18,802,515
13	Investments—program-related. See Part IV, line 11 .....		13
14	Intangible assets ...............		14
15	Other assets. See Part IV, line 11 ...........	85,207,731	15	69,334,616
16	Total assets. Add lines 1 through 15 (must equal line 34)......	838,054,262	16	817,609,157
	17	Accounts payable and accrued expenses .........	34,284,214	17	38,257,732
18	Grants payable .................		18
19	Deferred revenue ................		19
20	Tax-exempt bond liabilities .............	250,530,000	20	246,119,985
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 ..	9,706,653	23	5,331,951
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....................	342,105,595	25	374,150,235
26	Total liabilities. Add lines 17 through 25.........	636,626,462	26	663,859,903
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	119,753,800	27	76,152,826
28	Temporarily restricted net assets ...........	24,355,000	28	24,417,140
29	Permanently restricted net assets ...........	57,319,000	29	53,179,288
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........	201,427,800	33	153,749,254
34	Total liabilities and net assets/fund balances ........	838,054,262	34	817,609,157

- TIN:

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.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations .............................

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2014

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)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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 VI.)..
11	Total support Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2013 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2014. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2013. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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) 2014

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)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2013 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2014 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2013 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2014. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2013. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2014

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Schedule A (Form 990 or 990-EZ) 2014

Page 5

Part IV

Supporting Organizations (continued)

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2014

Page 6

Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1. Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6
7	Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2014

Page 7

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2014 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2014	(iii) Distributable Amount for 2014
1 Distributable amount for 2014 from Section C, line 6
2 Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2014 distributable amount
i Carryover from 2009 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2014 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2014 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2015. Add lines 3j and 4c.
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......
e From 2014.......

Schedule A (Form 990 or 990-EZ) (2014)

Schedule A (Form 990 or 990-EZ) 2014

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... 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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 2

Name of organization ST FRANCIS HOSPITAL AND MEDICAL CENTER

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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 3

Name of organization ST FRANCIS HOSPITAL AND MEDICAL CENTER

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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 4

Name of organization
ST FRANCIS HOSPITAL AND MEDICAL CENTER

Employer identification number

06-0646813

Part III

Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. 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

(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

(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

(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

(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) (2014)

Additional Data

Software ID:
Software Version:

- TIN:

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

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), 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.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

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

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

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) 2014

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 Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(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? ......................................	Yes No

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2011	(b) 2012	(c) 2013	(d) 2014	(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) 2014

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)

Yes

(b)

Amount

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:

Volunteers? .........................................

Yes

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Yes

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Yes

173,046

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Total. Add lines 1c through 1i ...............................

173,046

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

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

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

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."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

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? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

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, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation

Schedule C (Form 990 or 990EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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 value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

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? ............

Yes No

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? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

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)? .......................................

Yes No

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.

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.

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)

Revenue included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

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:

Revenue included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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) 2014

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?........

Yes No

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.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

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 ....	70,923,245	68,114,560	64,278,125	60,257,184	62,884,485
b	Contributions ........
c	Net investment earnings, gains, and losses	-5,121,078	2,808,685	3,836,435	4,020,941	-2,627,301
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......	65,802,167	70,923,245	68,114,560	64,278,125	60,257,184

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

26.000 %

Permanent endowment SchDMd Bullet

74.000 %

Temporarily restricted endowment SchDMd Bullet

0 %

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

Yes

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

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		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	6,583,032		6,583,032
b	Buildings ................	494,821,210	172,372,322	322,448,888
c	Leasehold improvements ............	1,955,667	1,696,120	259,547
d	Equipment ................	303,569,358	238,118,787	65,450,571
e	Other .................	83,846,007	22,421,175	61,424,832
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				456,166,870

Schedule D (Form 990) 2014

Page 3

Part VII

InvestmentsOther 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.)

Part VIII

InvestmentsProgram 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.)

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				816,873
(2) BOND ISSUANCE COST, LESS AMORTIZATION				1,260,634
(3) ASSETS HELD IN TRUST				48,893,774
(4) OTHER ASSETS				5,855,453
(5) DUE FROM AFFILIATED ENTITIES				12,507,882




Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				69,334,616

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		35,135,864
ACCRUED EXPENSES & INTEREST		7,283,758
PENSION AND OTHER ACCRUED EXPENSES		274,663,884
DUE TO 3RD PARTY REIMBURSEMENT		12,527,529
PROFESSIONAL LIABILITY INS FUND		44,539,200




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		374,150,235
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) 2014

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	706,020,860
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	-4,417,161
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	24,208,446
e	Add lines 2a through 2d .....................			2e	19,791,285
3	Subtract line 2e from line 1.....................			3	686,229,575
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	51,420,047
c	Add lines 4a and 4b.......................			4c	51,420,047
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	737,649,622

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	704,052,394
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	19,742,130
e	Add lines 2a through 2d......................			2e	19,742,130
3	Subtract line 2e from line 1.....................			3	684,310,264
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	41,941,213
c	Add lines 4a and 4b.......................			4c	41,941,213
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	726,251,477

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 24,208,446.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	INCOME FROM ST. FRANCIS INDEMNITY CORPORATION, LLC 12,378,080. INCOME FROM COLLABORATIVE LAB SERVICES 34,434,043. NET TRANSFER FROM SAINT FRANCIS FOUNDATION 4,607,924.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	EXPENSES FROM SUBSIDIARIES 19,742,130.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	EXPENSES FROM ST. FRANCIS INDEMNITY COMPANY, LLC 6,362,341. EXPENSES FROM COLLABORATIVE LAB SERVICES 35,578,872.

Schedule D (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the TreasuryInternal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

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.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

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.

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:

Yes

100% 150% 200% Other %

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: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used 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.

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"? ..............

Yes

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

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

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? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

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) ..		10,609	4,163,345		4,163,345	0.570 %
b	Medicaid (from Worksheet 3, column a) ....		30,247	44,489,587		44,489,587	6.130 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .			23,688,735		23,688,735	3.260 %
d	Total Financial Assistance and Means-Tested Government Programs .		40,856	72,341,667		72,341,667	9.960 %
Other Benefits		17	19,061	3,584,693	2,007,594	1,577,099	0.220 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	17	19,061	3,584,693	2,007,594	1,577,099	0.220 %
f	Health professions education (from Worksheet 5) ..	4	682	30,269,163	9,821,823	20,447,340	2.820 %
g	Subsidized health services (from Worksheet 6) ..	1	7,852	507,674		507,674	0.070 %
h	Research (from Worksheet 7)	2		240,922		240,922	0.030 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	2	5,900	180,010		180,010	0.020 %
j	Total. Other Benefits ..	26	33,495	34,782,462	11,829,417	22,953,045	3.160 %
k	Total. Add lines 7d and 7j .	26	74,351	107,124,129	11,829,417	95,294,712	13.120 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014

Schedule H (Form 990) 2014

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	2	7,152	115,594	71,600	43,994	0.010 %
4	Environmental improvements	1		66,000		66,000	0.010 %
5	Leadership development and training for community members
6	Coalition building	1	25	83,693		83,693	0.010 %
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total	4	7,177	265,287	71,600	193,687	0.030 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

5,799,835

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. ......

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

Enter total revenue received from Medicare (including DSH and IME).....

182,021,149

Enter Medicare allowable costs of care relating to payments on line 5.....

197,005,627

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-14,984,478

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

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.......................

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 %	(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) 2014

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 (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	ST FRANCIS HOSPITAL AND MEDICAL CENTER 114 WOODLAND STREET HARTFORD,CT06105	X	X	X	X

Schedule H (Form 990) 2014

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 letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C..........

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 12....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SAINTFRANCISCARE.ORG

Other website (list url): WWW.CT.GOV.DPH.COM

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

Yes

If "Yes" (list url): SEE PART V, SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

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)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, 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) 2014

Page

Part VFacility Information (continued)

	SAINT FRANCIS HOSPITAL AND MEDICAL CENTE
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 250.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url): SEE PART V, SECTION C

The FAP application form was widely available on a website (list url): SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

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 all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

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Part VFacility Information (continued)

	SAINT FRANCIS HOSPITAL AND MEDICAL CENTE
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other 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?.........

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

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.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

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? ................................

If "Yes," explain in Section C.

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? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

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Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER	PART V, SECTION B, LINE 3J: THE HOSPITAL AUGMENTED THE CHNA COMPLETED IN MARCH 2012 (AND PUBLISHED IN 2013) 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 IN FEBRUARY 2014. A COMMUNITY HEALTH SURVEY WAS DEVELOPED THIS PAST YEAR TO ENGAGE COMMUNITY MEMBERS IN AN ONGOING DIALOG AND PRESENT CONTINUED OPPORTUNITIES FOR COMMUNITY INPUT. OVER 700 COMMUNITY HEALTH SURVEYS WERE COLLECTED AND ANALYZED USING THIS METHODOLOGY.
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER	PART V, SECTION B, LINE 5: 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 6A: 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 11: 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 PREVENTIONTHE 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.
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER:	PART V, LINE 16A, FAP WEBSITE:HTTP://WWW.SAINTFRANCISCARE.COM/PAY_YOUR_HOSPITAL_BILL_ONLINE/BILLING_AND_FINANCIAL_SERVICES.ASPX
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER:	PART V, LINE 16B, FAP APPLICATION WEBSITE:HTTP://WWW.SAINTFRANCISCARE.COM/PAY_YOUR_HOSPITAL_BILL_ONLINE/BILLING_AND_FINANCIAL_SERVICES.ASPX
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER:	PART V, LINE 10A, IMPLEMENTATION STRATEGY WEBSITE:WWW.SAINTFRANCISCARE.COM/ABOUT_US/HOSPITAL_PUBLICATIONS.ASPX
PART V, SECTION B, LINE 16	FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
SAINT FRANCIS HOSPITAL AND MEDICAL CENTE PART V, SECTION B, LINE 16A WEBSITE:	SEE PART V, SECTION C
SAINT FRANCIS HOSPITAL AND MEDICAL CENTE PART V, SECTION B, LINE 16B WEBSITE:	SEE PART V, SECTION C

Schedule H (Form 990) 2014

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) 2014

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
PART I, LINE 3C:	N/APART I, LINE 4: SAINT FRANCIS HOSPITAL AND MEDICAL CENTER ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT BY REFERENCE TO THE ESTABLISHED POLICIES OF SAINT FRANCIS HOSPITAL AND MEDICAL CENTER. ESSENTIALLY, THESE POLICIES DEFINE CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO PAYMENT IS ANTICIPATED. IN ASSESSING A PATIENT'S INABILITY TO PAY, SAINT FRANCIS HOSPITAL AND MEDICAL CENTER UTILIZES THE GENERALLY RECOGNIZED POVERTY INCOME LEVELS FOR THE STATE OF CONNECTICUT, BUT ALSO INCLUDES CERTAIN CASES WHERE INCURRED CHARGES ARE SIGNIFICANT WHEN COMPARED TO INCOMES. IN ADDITION, ALL SELF-PAY PATIENTS RECEIVE A 45% DISCOUNT FROM CHARGES WHICH IS NOT INCLUDED IN NET PATIENT SERVICE REVENUE FOR FINANCIAL REPORTING PURPOSES.
PART I, LINE 6A:	SAINT FRANCIS HOSPITAL AND MEDICAL CENTER PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT. THIS REPORT IS AVAILABLE ON THE SAINT FRANCIS HOSPITAL WEBSITE.
PART I, LINE 7:	SAINT FRANCIS HOSPITAL AND MEDICAL CENTER USES A COST ACCOUNTING SYSTEM WITHIN THE DECISION SUPPORT SYSTEM PRODUCT. IT IS A FULLY ABSORBED COSTING SYSTEM USING REMAPS OF EXPENSE AND REVENUES WHERE NEEDED. INDIRECT, OR OVERHEAD, COSTS ARE ALLOCATED USING STATISTICS IN ORDER TO ALLOCATE THE COSTS TO THE REVENUE PRODUCING DEPARTMENTS. THE METHOD OF ALLOCATING DOLLARS TO THE CHARGE ITEMS IS CURRENTLY PRIMARILY BASED ON A RCC METHOD USING OUR CHARGE ITEM PRICE AS THE DRIVER. WE HAVE INTERSPERSED SOME NATIONAL RVU'S FROM THE CMS FEE SCHEDULE TO MANY DEPARTMENTS AS WELL AS USING COSTS TO HELP ALLOCATE OUR PHARMACY AND SUPPLY EXPENSES. ALL CHARGE ITEMS OBTAIN A COST AND ALL PATIENT SEGMENTS ARE FULLY COSTED.
PART II, COMMUNITY BUILDING ACTIVITIES:	THE HOSPITAL IS INVOLVED IN A VARIETY OF COMMUNITY BUILDING ACTIVITIES WHICH ADDRESS BOTH THE ROOT CAUSES OF HEALTH PROBLEMS SPECIFIC TO THE COMMUNITY SERVED AND WHICH TAKE A MORE GLOBAL APPROACH TO STRUCTURAL BARRIERS.HOUSING SUPPORTTHE LOCAL NEIGHBORHOOD ASSOCIATIONS IN HARTFORD PLAY A CRITICAL ROLE IN ADVOCATING FOR IMPROVEMENTS IN HOUSING PARTICULARLY THOSE THAT IMPACT LOW INCOME RESIDENTS. STAFF FROM SAINT FRANCIS ATTENDS REGULAR BOARD MEETINGS AND ASSIST WHENEVER POSSIBLE WITH ADVOCATING ON BEHALF OF COMMUNITY RESIDENTS WITH RESPECT TO HOUSING. SAINT FRANCIS HAS ALSO FORMED A STRONG PARTNERSHIP THIS PAST YEAR WITH A LOCAL COMMUNITY DEVELOPMENT AGENCY CALLED COMMUNITY ACTION WHICH WORKS ON BEHALF OF LOW INCOME INDIVIDUALS AND FAMILIES TO FIND STABLE AND HEALTHY HOUSING.ECONOMIC DEVELOPMENTSAINT FRANCIS HAS A STRONG COMMITMENT TO INCREASING SPENDING WITH SMALL BUSINESS AND WOMEN AND MINORITY OWNED COMPANIES. THIS INITIATIVE IS CALLED THE SUPPLIER DIVERSITY PROJECT AND IS STAFFED BY A FULL TIME PERSON WHO WORKS TO IMPROVE RELATIONSHIPS WITH TARGETED BUSINESSES. AN ANNUAL EVENT, SPONSORED BY SAINT FRANCIS FOR MINORITY AND SMALL BUSINESS VENDORS IS HELD TO INCREASE THE PORTFOLIO OF BUSINESS TO THESE CRITICAL GROUPS. ONE EXAMPLE OF SUCCESS INCLUDES THE LANGUAGE SERVICES PROGRAM CONTRACT WHICH WAS AWARDED TO A LOCAL MINORITY AND WOMEN OWNED BUSINESS. THE SUPPLIER DIVERSITY PROGRAM IS DESIGNED TO SPUR ECONOMIC DEVELOPMENT AND THE GROWTH OF SMALL BUSINESSES.COMMUNITY SUPPORT SAINT FRANCIS HOSPITAL IS INVOLVED IN A WIDE ARRAY OF COMMUNITY SUPPORT PROGRAMS AND INITIATIVES; THEY RANGE FROM IMPROVING CHILDHOOD LITERACY TO DECREASING THE IMPACT OF UNINTENTIONAL INJURIES; AND PROVIDING SUPPORT TO STUDENTS AND INTERNS. THE REACH OUT AND READ (ROR) PROGRAM AT ST. FRANCIS HOSPITAL IN HARTFORD CONNECTICUT IS DESIGNED TO IMPROVE EARLY LITERACY SKILLS OF YOUNG CHILDREN AND TO EDUCATE FAMILIES ABOUT THE IMPORTANCE OF READING TO THEIR CHILDREN. THE PROGRAM HAS THREE BASIC COMPONENTS: FIRST, TRAINED VOLUNTEERS READ TO CHILDREN IN THE WAITING ROOM TO MODEL TECHNIQUES FOR READING ALOUD; SECOND, EACH CHILD IS GIVEN A NEW BOOK AFTER EACH WELL CHILD VISIT AT 6 MONTHS, 12 MONTHS, 18 MONTHS, AND ANNUALLY AT 2-5 YEAR VISITS; AND THIRD, TRAINED PRIMARY CARE PROVIDERS PROMOTE EARLY LITERACY BY EXPLAINING THE IMPORTANCE OF READING ALOUD TO FAMILIES AND ENCOURAGING THEM TO DO IT EVERY DAY. THE PROGRAM DISTRIBUTES OVER 1500 BOOKS PER YEAR TO CHILDREN. THE GOAL OF THE ROR PROGRAM AT ST. FRANCIS HOSPITAL AND MEDICAL CENTER IS TO INCREASE THE EXPOSURE OF YOUNG CHILDREN TO BOOKS AND TO READING AS AN ACTIVITY SO THAT THEY ARE READY FOR SCHOOL. ADDITIONALLY THE PROGRAM SEEKS TO EDUCATE PARENTS ABOUT THE IMPORTANCE OF READING AS AN ACTIVITY WHICH CAN IMPROVE LANGUAGE DEVELOPMENT AND ASSIST CHILDREN IN LEARNING THE SKILLS THEY NEED TO SUCCEED IN SCHOOL.THE VISION OF THE VIOLENCE & INJURY PREVENTION PROGRAM IS: TO IMPROVE THE HEALTH AND OVERALL WELL-BEING OF THE PEOPLE IN OUR SHARED COMMUNITY BY DEVELOPING AND IMPLEMENTING SUSTAINABLE, INNOVATIVE PREVENTION AND RESEARCH INITIATIVES THAT REDUCE THE OCCURRENCE AND CONSEQUENCE OF VIOLENCE AND INJURY. THE PROGRAM INCLUDES INITIATIVES TO PROMOTE THE USE OF CAR SEATS TO PREVENT INJURY, INCREASING AWARENESS OF CHILD ABUSE AND STEPS THAT CAN BE TAKEN TO PREVENT IT, A DOMESTIC VIOLENCE TRAINING PROGRAM FOR HEALTH CARE PROVIDERS, AND A PROGRAM TO HELP TEENS MAKE THE RIGHT CHOICE IN RISKY SITUATIONS CALLED LET'S NOT MEET BY ACCIDENT. RESOURCES TO ADDRESS ELDERLY FALLS AND GENERAL INJURY PREVENTION AWARENESS ARE ALSO AVAILABLE.LET'S NOT MEET BY ACCIDENT IS A COMPREHENSIVE EDUCATION PROGRAM TO ENCOURAGE TEENS TO MAKE HEALTHY DECISIONS IN RISKY SITUATIONS. IT IS PRESENTED BY THE VIOLENCE AND INJURY PREVENTION PROGRAM OF SAINT FRANCIS HOSPITAL AND MEDICAL CENTER AND MAKES USE OF THE HELICOPTER PAD, THE TRAUMA DEPARTMENT AND THE EMERGENCY ROOM TO SIMULATE A "MOCK ACCIDENT" SO THAT YOUTH CAN SEE FOR THEMSELVES THE RESULTS OF POOR DECISION MAKING. THE GOAL OF THE PROGRAM IS TO ENCOURAGE TEENS TO MAKE "HEALTHY CHOICES IN RISKY SITUATIONS". PARTICIPANTS LEARN THAT TRAUMATIC INJURIES CLAIM THE LIVES OF MORE AMERICANS UNDER AGE 34 THAN AIDS, CANCER, AND HEART DISEASE COMBINED.THE OFFICE OF EDUCATIONAL ACTIVITIES AT SAINT FRANCIS WORKS WITH OVER 118 STUDENTS, INTERNS AND FELLOWS EACH YEAR TO PROVIDE CRITICAL HAND-ON EDUCATIONAL EXPERIENCES DESIGNED TO ENHANCE THEIR MARKETABILITY AND TO EXPOSE THEM TO THE COMPLEXITIES OF PROVIDING HEALTHCARE. THE STUDENTS RANGE FROM UNDERGRADUATES WORKING ON A SUMMER INTERNSHIP TO PHD STUDENTS COMPLETING RESEARCH PROJECTS. IN EACH CASE THE GOAL IS TO MENTOR YOUTH AND PROVIDE MEANINGFUL EXPERIENCES FOR BECOMING A SUCCESSFUL PROFESSIONAL.ENVIRONMENTAL IMPROVEMENTSSAINT FRANCIS PLAYS A CRITICAL ROLE IN THE DISASTER PLANNING FOR THE CITY OF HARTFORD. THIS WORK INVOLVES A VARIETY OF COLLABORATIVE EFFORTS TO IMPROVE READINESS FOR DISASTER RESPONSE. THE HOSPITAL CONTRIBUTES SIGNIFICANT RESOURCES FOR THIS ENVIRONMENTAL IMPROVEMENT INITIATIVE. ADDITIONALLY STAFF SERVE ON THE BOARD OF LOCAL ORGANIZATIONS THAT ADVOCATE FOR ENVIRONMENTAL ISSUES INCLUDING THE ASYLUM HILL NEIGHBORHOOD ORGANIZATION; THE REACH COALITION AND THE NORTHEAST NEIGHBORHOOD IMPROVEMENT ASSOCIATION. LEADERSHIP DEVELOPMENTIN THE AREA OF LEADERSHIP DEVELOPMENT AND TRAINING SAINT FRANCIS FOCUSES ON AREAS OF EXPERTISE IN CLINICAL PASTORAL EDUCATION AND ON PASTORAL COUNSELING TRAINING. ADDITIONALLY, A FORMAL INTERNSHIP PROGRAM IS PROVIDED THROUGH THE CHAPLAINCY PROGRAM AT SAINT FRANCIS WHICH PROVIDES INTERNSHIP TRAINING TO CHAPLAINS ON AN ON-GOING BASIS.CLINICAL PASTORAL EDUCATION (CPE) IS AN INTERFAITH PROFESSIONAL EDUCATION PROGRAM FOR MINISTRY. IT BRINGS THEOLOGY STUDENTS, CLERGY OF ALL FAITHS, AND QUALIFIED LAY PEOPLE INTO SUPERVISED ENCOUNTERS WITH PERSONS IN CRISIS. PARTNERS IN CPE IS A UNIQUE PROGRAM CO-SPONSORED BY MERCY COMMUNITY HEALTH AND SAINT FRANCIS HOSPITAL & MEDICAL CENTER, TWO FAITH BASED ORGANIZATIONS. THE MISSION, CORE VALUES, AND VISION OF PARTNERS IN CPE INSTITUTIONS EMPHASIZE THE SPIRITUAL WELL-BEING OF PATIENTS, THEIR LOVED ONES, AND STAFF.THE WORK OF PASTORAL COUNSELING RELIES HEAVILY ON THE BRANCH OF PSYCHOLOGY THAT HONORS BLENDING SOUND CLINICAL INSIGHT WITH MEANINGFUL FORMS OF SPIRITUALITY IN EVERYDAY LIFE. CLASSES MOST OFTEN REFERENCE EXAMPLES OR "CASE STUDIES" (WITHOUT SPECIFIC REFERENCE TO ANY PARTICULAR NAME) TO GROUND THE COUNSELING SKILLS IN PRACTICAL MINISTRY. PARTICIPANTS ARE ENCOURAGED TO THOUGHTFULLY BRING THEIR SPIRITUAL AND RELIGIOUS ORIENTATION AND BELIEFS INTO THE CLASS TO CONSIDER HOW THEY CARE FOR THE SOUL WITH THEIR UNIQUE TRADITIONS. PARTICIPANTS ARE INTRODUCED TO IMPORTANT CLINICIANS IN THEIR LOCAL COMMUNITY TO WHOM THEY CAN RELY UPON WHEN NEEDED. THE CONTRIBUTIONS FOR THESE ACTIVITIES ARE INCLUDED IN THE COMMUNITY HEALTH IMPROVEMENT SECTION OF OUR DATA.COALITION BUILDINGIN THE AREAS OF COALITION BUILDING FORMAL PARTICIPATION WITH LOCAL ORGANIZATIONS SUCH AS THE CONNECTICUT HEALTH FOUNDATION FELLOWS PROGRAM; THE PUBLIC HEALTH ADVISORY COMMITTEE; THE PEACE BUILDERS VIOLENCE PREVENTION COALITION; AND THE INTERDENOMINATIONAL MINISTERIAL ALLIANCE TAKE PLACE ON A REGULAR BASIS. IN ADDITION, INFORMAL PARTNERSHIPS AND COLLABORATIVE RELATIONSHIPS WITH NUMEROUS COMMUNITY ORGANIZATIONS FACILITY BUILDING OF STRONG PARTNERSHIPS AND COALITIONS THAT WORK TO ADDRESS A MYRIAD OF PUBLIC HEALTH ISSUES FACING THE POPULATION SERVED BY SAINT FRANCIS HOSPITAL. EXECUTIVE STAFF AT SAINT FRANCIS ARE EXPECTED TO PARTICIPATE IN COMMUNITY IMPROVEMENT ACTIVITIES SUCH AS SERVING ON BOARDS, ASSISTING SMALL NON-PROFITS WITH FUNDRAISING ACTIVITIES, PROVIDING EXPERTISE AND IN-KIND SUPPORT AND PROVIDING MEETING SPACE FREE OF CHARGE.
PART II, COMMUNITY BUILDING ACTIVITIES (CONTINUED):	IN THE AREA OF WORKFORCE DEVELOPMENT SAINT FRANCIS PARTNERS WITH LOCAL NURSING SCHOOLS TO TRAINING NURSING STAFF TO ADDRESS AREAS OF HIGH NEED THROUGH OUT THE COUNTY. WORK IN THIS AREA ALSO INCLUDE PROVIDING INTERNSHIP OPPORTUNITIES FOR COLLEGE STUDENTS AS WELL AS HIGH SCHOOL STUDENTS DURING THE SUMMER MONTHS TO EXPOSE THEM TO THE TYPE OF WORK THAT CAN TAKE PLACE IN A HOSPITAL SETTING. SAINT FRANCIS PARTNERS WITH THE CAPITOL REGION EDUCATIONAL COUNCIL'S HEALTH EDUCATION PROFESSIONALS ACADEMY FOR TRAINING HIGH SCHOOL STUDENTS ABOUT THE MANY OPPORTUNITIES IN THE FIELD OF HEALTH. MASTERS AND PHD LEVEL STUDENT ARE ALSO RECRUITED FROM A VARIETY OF LOCAL UNIVERSITIES AND COLLEGES TO PARTICIPATE IN A VARIETY OF PROJECTS SO THAT THEY BETTER UNDERSTAND THE OPPORTUNITIES AVAILABLE IN THE WORKPLACE. FINALLY, CLASSES AND SUPPORT ARE OFFERED TO SUPPORT STAFF'S PARTICIPATION IN EDUCATIONAL PROGRAMS THAT ENABLE RNS TO BECOME BSNS IN ORDER TO IMPROVE THEIR EARNING POWER AND KNOWLEDGE BASE, AND ABILITY TO CONTINUE THEIR EDUCATION. SAINT FRANCIS OFFERS A WIDE ARRAY OF SUPPORT IN THE AREA OF WORKFORCE DEVELOPMENT AND HAS A LONG HISTORY OF DOING SO.ADVOCACY FOR HEALTH IMPROVEMENTSADVOCACY WORK AT SAINT FRANCIS IS DONE BY THOSE WITH HIGH LEVEL EXPERTISE IN AN AREA OF HEALTH CARE TO WHICH THEY CAN SPEAK WITH BOTH KNOWLEDGE AND CONVICTION. SOME EXAMPLES OF STAFF WHO HAVE BEEN ENGAGED IN ADVOCACY WORK IN THE PAST INCLUDE:DR. MARCUS MCKINNEY HAS DEVELOPED AN EXPERTISE IN HEALTH DISPARITIES AND IS INVOLVED IN THE STATE INNOVATION MODEL FOR REORGANIZING HEALTHCARE DELIVERY; THE ARIADNE LAB COLLABORATION WITH HARVARD UNIVERSITY AND THE DISPARITIES SOLUTION CENTER AT MASSACHUSETTS GENERAL HOSPITAL. THE CEO, CHRISTOPHER DADLEZ HAS IDENTIFIED HEALTH DISPARITIES AS AN AREA OF INTEREST AND IS ACTIVE IN ADVOCACY WORK ON THIS ISSUE.DR. LUIS DIEZ-MORALES IS ALSO INVOLVED WITH THE DISPARITIES SOLUTION CENTER AND HAS TAKEN ON A LEADERSHIP ROLE IN THE CURTIS D. ROBINSON CENTER FOR HEALTH EQUITY AT SAINT FRANCIS. HIS ROLE AS THE MEDICAL DIRECTOR OF THE AMBULATORY CARE CLINIC PROVIDES HIM WITH SIGNIFICANT REAL WORLD EXPERIENCE FOR HIS ADVOCACY WORK. DR. ADAM SILVERMAN IS LEADING A NUMBER OF INITIATIVES INCLUDING A GRANT TO BETTER UNDERSTAND THE ROLE OF COMMUNITY HEALTH WORKERS WITHIN A HOSPITAL SYSTEM. HIS CREATIVE APPROACH TO ADDRESSING THE TRIPLE AIMS OF HEALTH CARE IS PROVIDING CRITICAL INSIGHT INTO HOW TO IMPROVE CARE WHILE MAINTAINING A SUCCESSFUL BUSINESS MODEL.
PART III, LINE 4:	SAINT FRANCIS HOSPITAL AND MEDICAL CENTER ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT BY REFERENCE TO THE ESTABLISHED POLICIES OF THE HOSPITAL. ESSENTIALLY, THESE POLICIES DEFINE CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO PAYMENT IS ANTICIPATED. IN ASSESSING A PATIENT'S INABILITY TO PAY, THE HOSPITAL UTILIZES THE GENERALLY RECOGNIZED POVERTY INCOME LEVELS FOR THE STATE OF CONNECTICUT, BUT ALSO INCLUDES CERTAIN CASES WHERE INCURRED CHARGES ARE SIGNIFICANT WHEN COMPARED TO INCOMES. IN ADDITION, ALL SELF-PAY PATIENTS RECEIVE A 45% DISCOUNT FROM CHARGES WHICH IS NOT INCLUDED IN NET PATIENT SERVICE REVENUE FOR FINANCIAL REPORTING PURPOSES.
PART III, LINE 8:	NONE OF THE SHORTFALL WAS TREATED AS COMMUNITY BENEFIT. THE SOURCE OF THE COSTING METHODOLOGY WAS THE MEDICARE COST REPORT.
PART III, LINE 9B:	SEE PART III, LINE 4
PART III, LINE 2:	BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS BAD DEBT EXPENSE FROM FINANCIAL STATEMENTS, NET OF ACCOUNTS WRITTEN OFF AT CHARGES.
PART VI, LINE 2:	SAINT FRANCIS HOSPITAL PAIRED WITH THE THREE OTHER HOSPITALS LOCATED IN HARTFORD, MOUNT SINAI, CONNECTICUT CHILDREN'S MEDICAL CENTER, AND HARTFORD HOSPITAL, TO ENGAGE THE CITY OF HARTFORD HEALTH AND HUMAN SERVICES DEPARTMENT TO CONDUCT A COMMUNITY NEEDS ASSESSMENT. THE ASSESSMENT METHODOLOGY INCLUDED A NUMBER OF DATA GATHERING PROCESSES: REVIEW OF THE AVAILABLE SECONDARY DATA, INCLUSION OF DATA FROM A LOCAL HEALTH EQUITY INDEX AND TELEPHONE INTERVIEWS OF LOCAL KEY INFORMANTS. SECONDARY DATA PROFILE FINDINGS:HARTFORD IS A VERY DIVERSE (42% HISPANIC AND 37% AFRICAN AMERICAN), YOUNG (49% BETWEEN THE AGES OF 15-45), POOR (32% OF ALL PEOPLE BELOW THE POVERTY LEVEL) AND UNDER EDUCATED (32% OF 25 YEAR OLDS DID NOT GRADUATE FROM HIGH SCHOOL) CITY. THE UNEMPLOYMENT RATE IS 18% AND SAFETY IS A MAJOR CONCERN FOR RESIDENTS WITH RATES OF LARCENY, DRUG ABUSE, ASSAULT AND MURDER ALL HIGHER THAN STATE LEVELS. HEALTH ISSUES OF THE CITIES RESIDENTS INCLUDE HIGH RATES OF DIABETES, OBESITY, ASTHMA, DRUG ABUSE AND MENTAL ILLNESS. RATES OF HEART DISEASE AND CANCER ARE ON AVERAGE LOWER THAN THE REST OF THE STATE WHICH IS LIKELY DUE TO THE AGE OF THE CITY'S RESIDENTS. KEY INFORMANT INTERVIEW FINDINGS:RESULTS FROM THE KEY INFORMANT INTERVIEWS SERVED TO CLARIFY THE ISSUES THAT THOSE WORKING IN THE COMMUNITY SEE AS KEY COMMUNITY NEEDS. THE INFORMATION COLLECTED FROM THESE INTERVIEWS IDENTIFIED THE IMPORTANT HEALTH ISSUES AS DIABETES, OBESITY, MENTAL ILLNESS AND DRUG ABUSE ALL OF WHICH ARE ADDRESSED IN THE COMMUNITY HEALTH IMPLEMENTATION PLAN. ADDITIONALLY, KEY INFORMANTS FELT THAT NEIGHBORHOOD SAFETY WAS A MAJOR CONCERN AS IS THE QUALITY OF HOUSING AND THE LIMITED NUMBER OF JOB OPPORTUNITIES. QUALITATIVE DATADATA WAS GATHERED FROM COMMUNITY MEMBERS VIA FOCUS GROUPS; INFORMAL INTERVIEWS AND INTERACTIONS DURING COMMUNITY EVENTS. AS WELL AS QUESTIONNAIRES WITH PATIENTS IN THE WAITING ROOMS OF THE PRIMARY CARE CLINICS WERE ADMINISTERED TO LEARN ABOUT THE NEEDS PATIENTS SAW AS PRIORITIES.ON-GOING COMMUNITY HEALTH SURVEYA COMMUNITY HEALTH SURVEY WAS DEVELOPED TO ALLOW FOR ON-GOING COMMUNITY INPUT ON HEALTH PRIORITIES WITHIN VARIOUS COMMUNITY SETTINGS. OVER 700 SURVEYS WERE COMPLETED IN A VARIETY OF COMMUNITY SETTINGS THE RESULTS OF WHICH SERVED TO FOCUS ATTENTION ON THE HEALTH ISSUES OF HIGHEST PRIORITY WHEN ENGAGING COMMUNITY GROUPS. THE HIGHEST PRIORITY FOUND FROM COMMUNITY MEMBERS SURVEYED IS FOR INCREASED EDUCATION; TRAINING AND CLINICAL SERVICES FOR THOSE IMPACTED BY DIABETES AND OBESITY.
PART VI, LINE 3:	PATIENTS' ABILITY TO PAY FOR HEALTH CARE IS ASSESSED DURING THE INTAKE PROCESS. IF IT BECOMES CLEAR THAT THE PATIENT DOES NOT HAVE COVERAGE OR HAS MINIMAL COVERAGE THEY ARE REFERRED TO A FINANCIAL COUNSELOR WHO REVIEWS THEIR CURRENT INCOME TO DETERMINE ELIGIBILITY FOR EITHER STATE ASSISTANCE OR HELP FROM SAINT FRANCIS CHARITY CARE DOLLARS. THE FINANCIAL ASSISTANCE OFFICE AT SAINT FRANCIS IS STAFFED BY SIX FULL-TIME "FINANCIAL COUNSELORS" FOUR OF WHOM ARE BILINGUAL. THEY ARE POSITIONED THROUGHOUT THE INSTITUTION TO PROVIDE EASY ACCESS TO PATIENTS WHO NEED ASSISTANCE. IN AREAS OF THE HOSPITAL WHERE NEW PATIENTS ARRIVE: THE AMBULATORY CARE CLINIC, THE ADMISSIONS AREA, THE PEDIATRIC CLINIC AND THE EMERGENCY DEPARTMENT, SIGNAGE IS POSTED ABOUT THE FINANCIAL ASSISTANCE AVAILABLE TO ALL PATIENTS WHO QUALIFY. THIS INFORMATION OUTLINES, IN BOTH ENGLISH AND SPANISH, THE AVAILABILITY OF FINANCIAL COUNSELING AND ASSISTANCE FOR MEDICAL BILLS. ADDITIONALLY, A "PATIENT AND FAMILY INFORMATION NOTEBOOK" WHICH INCLUDES A CHAPTER ON THE AVAILABILITY OF FINANCIAL ASSISTANCE FOR PATIENTS WHO EITHER DO NOT HAVE COVERAGE OR ARE NOT COVERED FULLY BY THEIR HEALTH INSURANCE IS LOCATED IN EACH PATIENT ROOM. AS WELL, INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS ALSO INCLUDED IN DISCHARGE MATERIALS. SAINT FRANCIS DOES NOT TURN PATIENTS AWAY DUE TO THEIR INABILITY TO PAY. FINALLY, PATIENTS WHO HAVE NOT BEEN FORTHCOMING IN THEIR NEED FOR FINANCIAL ASSISTANCE PRIOR TO THE DELIVERY OF HEALTH CARE SERVICES ARE PROVIDED WITH INFORMATION ABOUT OUR CHARITY CARE POLICY WHEN THEY RECEIVE A BILL FOR THE SERVICES RENDERED. THEY ARE ENCOURAGED TO TALK TO A FINANCIAL COUNSELOR TO DISCUSS A PAYMENT PLAN AND TO DETERMINE IF THEY ARE ELIGIBLE FOR STATE ASSISTANCE OR IF A PORTION OF THEIR BILL CAN BE "WRITTEN OFF" TO CHARITY CARE. SAINT FRANCIS ALSO CONTRACTS WITH A COMPANY TO VISIT PATIENTS IN THEIR HOMES TO HELP THEM APPLY FOR STATE ASSISTANCE SO THAT THEY HAVE THEIR HEALTH COVERAGE IF THEY SHOULD NEED FURTHER ASSISTANCE.SPECIAL FUNDING IS AVAILABLE FROM PRIVATE RESOURCES TO HELP CLIENTS PAY FOR SPECIFIC HEALTH CARE SERVICES INCLUDING: MAMMOGRAMS, CARDIOVASCULAR SCREENING, BREAST BIOPSIES, PROSTATE CANCER SCREENING AND TREATMENT AND OTHERS. THE FINANCIAL ASSISTANCE POLICY IS REVIEWED AT A MINIMUM ON AN ANNUAL BASIS AND MORE OFTEN AS NEEDED. CLARIFICATIONS ABOUT THE CHANGES IMPLEMENTED DUE TO THE AFFORDABLE CARE ACT WERE INCORPORATED INTO THE POLICY IN JANUARY 2014.
PART VI, LINE 4:	SAINT FRANCIS HOSPITAL AND MEDICAL CENTER SERVES PATIENTS FROM ALL OVER CONNECTICUT, AND NATIONALLY. THE MAJORITY OF OUR PATIENTS COME FROM HARTFORD COUNTY, WHICH INCLUDES THE STATE CAPITAL, HARTFORD, AND THIRTY-FIVE SURROUNDING URBAN AND SUBURBAN COMMUNITIES. HARTFORD IS THE CAPITAL OF THE STATE OF CONNECTICUT AND THE SEVENTH LARGEST CITY IN NEW ENGLAND. IT IS ONE OF THE OLDEST CITIES IN THE COUNTRY AND AT ONE POINT WAS ONE OF THE WEALTHIEST. THE POPULATION IN HARTFORD IS 125,000 WITH A PROPORTIONALLY YOUNGER AGE DISTRIBUTION THAN THE US OVERALL. THIS IMPACTS NUMEROUS ASPECTS OF HEALTH INCLUDING RATES OF SOME TYPES OF CANCER, VIOLENCE AND LEVELS OF UNINTENDED INJURY. OVER 70% OF CHILDREN IN THE HARTFORD PUBLIC SCHOOLS RECEIVED FREE OR REDUCED PRICE LUNCH. THE RATE OF INFANTS BORN LOW-BIRTH WEIGHT (LESS THAN 2500 G) IS 9.4%, WELL OVER THE NATIONAL AVERAGE OF 6.8%. HARTFORD IS AN URBAN COMMUNITY, THE MAJORITY OF HARTFORD RESIDENTS ARE MINORITIES WITH RESIDENTS REPORTING 42% LATINO (OF ANY RACE), 37% AFRICAN AMERICAN, 33% WHITE. A VERY LARGE PROPORTION OF LATINOS ARE FROM PUERTO RICO AND APPROXIMATELY 35% OF HARTFORD RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH. RECENT INCREASES IN IMMIGRANT POPULATIONS FROM COUNTRIES SUCH AS BURMA; INDONESIA; VIETNAM, WEST AFRICAN COUNTRIES AND FROM IRAN HAVE INCREASED THE DIVERSITY OF HARTFORD. MEDICAL SERVICES ARE READILY AVAILABLE IN HARTFORD WITH THREE MAJOR HOSPITALS INCLUDING A CHILDREN'S HOSPITAL, BUT ACCESS TO THOSE SERVICES VARIES WIDELY AMONG CITY RESIDENTS. THE CONNECTICUT HOSPITAL ASSOCIATION PROVIDED SAINT FRANCIS WITH A COMMUNITY HEALTH PROFILE BASED ON DATA COLLECTED BY THE HOSPITAL ABOUT PATIENT SERVICES PROVIDED. THIS PROFILE INCLUDES THE METRO HARTFORD AREA WHICH IS QUITE DISTINCT FROM THE CITY OF HARTFORD. THIS POPULATION OF THIS AREA IS OVER 750,000 PEOPLE WITH 64% WHITE; 14% AFRICAN AMERICAN; 15% LATINO; 5% ASIAN. THE POVERTY RATE IS AT 11%. THE TOP FIVE HEALTH CONDITIONS IDENTIFIED FROM INPATIENT DATA INCLUDE:HIGH BLOOD PRESSUREDEPRESSIONALCOHOL AND SUBSTANCE ABUSEHEART FAILUREDIABETESADDITIONALLY, THE REPORT HIGHLIGHTS A NUMBER OF HEALTH ISSUES THAT IMPACT BLACKS AND HISPANICS DISPROPORTIONATELY; THAT IS, THEY REPRESENT HEALTH DISPARITIES FOR THESE GROUPS. INCLUDED ARE: TEEN PREGNANCY; HIGH RATES OF LOW-BIRTH WEIGHT; HIGH INCIDENCE OF VIOLENCE, DIABETES, BREAST CANCER, HIGH BLOOD PRESSURE AND SEXUAL TRANSMITTED DISEASES.
PART VI, LINE 5:	THE HOSPITAL IS INVOLVED IN A VARIETY OF INITIATIVES THAT FOCUS ON IMPROVING THE HEALTH OF THE COMMUNITY OVERALL. COLLABORATIVE EFFORTS WITH THE CITY HEALTH DEPARTMENT, THE STATE DEPARTMENT OF SOCIAL SERVICES, THE DEPARTMENT OF MENTAL HEALTH AND ADDICTION SERVICES, LOCAL COMMUNITY FOUNDATIONS AND NON-PROFIT ORGANIZATIONS ARE NUMEROUS. SAINT FRANCIS HAS A LONG TRADITION OF PROVIDING FOR THE POOR AND THOSE MOST IN NEED. THE WORK DONE BY THE FOUNDING SISTERS CONTINUES TO INFORM AND INSPIRE THOSE WHO WORK AT SAINT FRANCIS. SOME SPECIFIC EXAMPLES OF WORK BEING DONE IN THIS AREA INCLUDE:CURTIS D. ROBINSON CENTER FOR HEALTH EQUITY - SERVING AS A BRIDGE BETWEEN COMMUNITY MEMBERS AND THE HOSPITAL SYSTEMTHE COMPREHENSIVE WOMEN'S HEALTH CENTER - PROVIDING FREE MAMMOGRAM AND BREAST CANCER TREATMENT SERVICES TO WOMEN IN NEED OF ASSISTANCE.THE JOAN C DAUBER FOOD BANK - PROVIDING FOOD TO FAMILIES IN NEEDLET'S NOT MEET BY ACCIDENT - TEEN VIOLENCE PREVENTIONKISS - CT KIDS IN SAFETY SEATS - PROVIDING FREE CAR SEATS AND INSPECTION FOR FAMILIES WITH YOUNG CHILDRENNURTURING FAMILIES NETWORK - TEEN PARENT SUPPORT PROGRAMHEALTHY START PROGRAM - WORKING TO PREVENT INFANT MORTALITYMEDICAL LEGAL PARTNERSHIP - LEGAL SUPPORT FOR FAMILIES WITH CHILDREN WHO HAVE SPECIAL NEEDSWOMEN'S HEART PROGRAM - FREE HEART HEALTH SCREENING AND ASSESSMENT IN THE COMMUNITYCHILDREN'S ADVOCACY CENTER - SUPPORT FOR CHILDREN AND FAMILIES IMPACTED BY CHILD SEXUAL ABUSEINTEGRATIVE MEDICINE - FREE MEDICAL SERVICES PROVIDED TO SUPPORT TRADITIONAL APPROACHES OF CARE.
PART VI, LINE 6:	THE ORGANIZATION IS NOT A PART OF AN AFFILIATED HEALTH CARE SYSTEM.PART VI, LINE 7: COMMUNITY BENEFITS ARE REPORTED TO THE STATE'S OFFICE OF THE HEALTH CARE ADVOCATE IN CONNECTICUT. A COMMUNITY BENEFIT REPORT IS PUBLISHED AND WIDELY DISTRIBUTED IN THE LOCAL COMMUNITY AND IT IS POSTED ON THE WEBSITE FOR FULL VIEWING.
PART VI, LINE 7, REPORTS FILED WITH STATES	CT

Schedule H (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

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

2014

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

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? ....................................

Yes No

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 Domestic Organizations and Domestic Governments. 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 section if applicable	(d) Amount of cash grant	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance
(1) MANDELL JEWISH COMMUNITY CENTER 335 BLOOMFIELD AVE WEST HARTFORD,CT06117	06-0662142	501(C)(3)	75,000	BOOK	N/A	TO SUPPORT PROGRAMS AND SERVICES FOR THE SOCIAL, PHYSICAL, INTELLECTUAL AND CULTURAL ENJOYMENT AND DEVELOPMENT OF THE GREATER HARTFORD COMMUNITY.
(2) 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.
(3) CT BRAIN TUMOR ALLIANCE PO BOX 370514 WEST HARTFORD,CT06137	26-0307367	501(C)(3)	6,000	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.
(4) KOMEN CONNECTICUT 74 BATTERSON PARK ROAD FARMINGTON,CT06032	75-2844629	501(C)(3)	10,000	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.
(5) LEAS FOUNDATION FOR LEUKEMIA RESEARCH 150 TRUMBULL ST 2ND FL HARTFORD,CT06103	06-1520923	501(C)(3)	29,100	BOOK	N/A	TO PROMOTE AND HELP FUND ACTIVITIES ASSOCIATED WITH THE EDUCATION, RESEARCH AND TREATMENT OF LEUKEMIA AND ITS RELATED CANCERS.
(6) NORTHSIDE INSTITUTIONS NEIGHBORHOOD 20 SARGENT ST HARTFORD,CT06105	22-3887275	501(C)(3)	50,000	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.
(7) URBAN LEAGUE OF GREATER HARTFORD 140 WOODLAND ST HARTFORD,CT06105	06-6066491	501(C)(3)	5,560	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.
(8) MALTA HOUSE OF CARE 19 WOODLAND ST STE 21 HARTFORD,CT06105	20-3562424	501(C)(3)	87,590	BOOK	N/A	TO SUPPORT THE MISSION OF PROVIDING PRIMARY HEALTHCARE TO THE UNINSURED.

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2014

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. 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	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance
(1) EMPLOYEE CHILDREN'S SCHOLARSHIP FUND	11	11,000	BOOK	N/A
(2) MULLANE SCHOLARSHIP FUND	10	10,000	BOOK	N/A
(3) TRIOMPO HEALING HEARTS & HANDS AWARD	6	4,950	BOOK	N/A
(4) S.A. CARRABBA, MD, AWARD (RESEARCH PROJECT)	1	500	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) 2014

Additional Data

Software ID:
Software Version:

- TIN:

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

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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

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.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

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....

Yes

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? ..

Yes

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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

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:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

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 ............

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 .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2014

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 in column(B) reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1CHRISTOPHER M DADLEZPRESIDENT & CEO	(i) (ii)	886,803 ............................... 0	696,000 ............................... 0	1,312,062 ............................... 0	946,067 ............................... 0	75,560 ............................... 0	3,916,492 ............................... 0	1,312,062 ............................... 0
2STEVEN T RUBY MDDIRECTOR / DEPT. CHAIRMAN	(i) (ii)	668,168 ............................... 0	15,000 ............................... 0	0 ............................... 0	13,464 ............................... 0	31,539 ............................... 0	728,171 ............................... 0	0 ............................... 0
3SHERI A LEMIEUXASSISTANT SECRETARY	(i) (ii)	103,537 ............................... 0	30,000 ............................... 0	0 ............................... 0	2,946 ............................... 0	16,176 ............................... 0	152,659 ............................... 0	0 ............................... 0
4JOHN RODIS MDEXECUTIVE VP & COO	(i) (ii)	732,647 ............................... 0	182,000 ............................... 0	0 ............................... 0	23,992 ............................... 0	35,168 ............................... 0	973,807 ............................... 0	0 ............................... 0
5DAVID BITTNERSR VP FINANCE	(i) (ii)	320,908 ............................... 0	75,000 ............................... 0	0 ............................... 0	9,308 ............................... 0	29,953 ............................... 0	435,169 ............................... 0	0 ............................... 0
6ROBERT CHRISTOPHER HARTLEYSR VP PLANNING & FACILITIES	(i) (ii)	320,587 ............................... 0	42,000 ............................... 0	0 ............................... 0	24,134 ............................... 0	35,105 ............................... 0	421,826 ............................... 0	0 ............................... 0
7GREG MAKOULSVP, CAO	(i) (ii)	403,547 ............................... 0	0 ............................... 0	94,607 ............................... 0	19,012 ............................... 0	15,759 ............................... 0	532,925 ............................... 0	0 ............................... 0
8JENNIFER SCHNEIDERVP FINANCE/CHIEF COMPLIANCE OFFICER	(i) (ii)	228,987 ............................... 0	50,000 ............................... 0	0 ............................... 0	16,372 ............................... 0	29,986 ............................... 0	325,345 ............................... 0	0 ............................... 0
9JOHN N GIAMALISEVP & CAO	(i) (ii)	677,070 ............................... 0	0 ............................... 0	47,685 ............................... 0	28,024 ............................... 0	26,737 ............................... 0	779,516 ............................... 0	0 ............................... 0
10DAWN BRYANTSVP, CHIEF HUMAN RESOURCE OFFICER	(i) (ii)	273,685 ............................... 0	48,000 ............................... 0	0 ............................... 0	15,300 ............................... 0	12,647 ............................... 0	349,632 ............................... 0	0 ............................... 0
11LINDA SHANLEYVP AND CIO	(i) (ii)	276,856 ............................... 0	50,000 ............................... 0	0 ............................... 0	19,635 ............................... 0	19,135 ............................... 0	365,626 ............................... 0	0 ............................... 0
12E MERRITT MCDONOUGH JRSF FDTN PRESIDENT	(i) (ii)	424,216 ............................... 0	0 ............................... 0	96,900 ............................... 0	28,503 ............................... 0	28,376 ............................... 0	577,995 ............................... 0	0 ............................... 0
13DENISE PETERSONVP PROF NRSG PRACTICE & QUAL/CNO	(i) (ii)	172,407 ............................... 0	10,000 ............................... 0	0 ............................... 0	0 ............................... 0	10,445 ............................... 0	192,852 ............................... 0	0 ............................... 0
14ADAM SILVERMANVP AMBULATORY STRATEGY	(i) (ii)	0 ............................... 346,050	0 ............................... 0	0 ............................... 0	0 ............................... 15,300	0 ............................... 8,711	0 ............................... 370,061	0 ............................... 0
15STUART ROSENBERGCEO-JMMC	(i) (ii)	351,329 ............................... 0	0 ............................... 0	0 ............................... 0	20,400 ............................... 0	26,783 ............................... 0	398,512 ............................... 0	0 ............................... 0
16JAMES W SCHEPKERVP MARKETING & BUSINESS DEVELOPMENT	(i) (ii)	251,625 ............................... 0	43,000 ............................... 0	0 ............................... 0	14,615 ............................... 0	28,580 ............................... 0	337,820 ............................... 0	0 ............................... 0
17ROBERT FALAGUERRAVP FACILITIES & SUPPORT SERVICES	(i) (ii)	217,125 ............................... 0	30,000 ............................... 0	0 ............................... 0	22,790 ............................... 0	29,387 ............................... 0	299,302 ............................... 0	0 ............................... 0
18DERRICK AMATOADMINISTRATIVE DIRECTOR	(i) (ii)	316,080 ............................... 0	0 ............................... 0	0 ............................... 0	0 ............................... 0	13,848 ............................... 0	329,928 ............................... 0	0 ............................... 0
19NICOLE SCHULZVP REVENUE CYCLE	(i) (ii)	233,621 ............................... 0	50,000 ............................... 0	0 ............................... 0	15,061 ............................... 0	28,854 ............................... 0	327,536 ............................... 0	0 ............................... 0
20PAUL F MITCHELL DMDFORMER DIRECTOR	(i) (ii)	0 ............................... 266,484	0 ............................... 0	0 ............................... 0	0 ............................... 20,400	0 ............................... 34,818	0 ............................... 321,702	0 ............................... 0
21TERESA M BOLTONFORMER HUMAN RESOURCES COUNSEL	(i) (ii)	235,883 ............................... 0	10,000 ............................... 0	0 ............................... 0	11,064 ............................... 0	8,660 ............................... 0	265,607 ............................... 0	0 ............................... 0
22KATHLEEN M ROCHEFORMER EXECUTIVE VP & COO	(i) (ii)	0 ............................... 0	0 ............................... 0	287,380 ............................... 0	0 ............................... 0	5,985 ............................... 0	293,365 ............................... 0	0 ............................... 0
23ARTHUR DETOREFORMER SVP,CHIEF PHYSICIAN EXECUTIVE	(i) (ii)	0 ............................... 0	0 ............................... 0	263,612 ............................... 0	0 ............................... 0	5,985 ............................... 0	269,597 ............................... 0	0 ............................... 0

Schedule J (Form 990) 2014

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

GREG MAKOUL RECEIVED A SEVERANCE BENEFIT OF $94,607. JOHN N. GIAMALIS RECEIVED A SEVERANCE BENEFIT OF $47,685. E. MERRITT MCDONOUGH, JR. RECEIVED A SEVERANCE BENEFIT OF $96,900. KATHLEEN M. ROCHE RECEIVED A SEVERANCE BENEFIT OF $287,380. ARTHUR DETORE RECEIVED A SEVERANCE BENEFIT OF $263,612. CHRISTOPHER DADLEZ PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE YEAR WITH AN ESTIMATED BENEFIT OF $927,000.

Schedule J (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

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

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	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 . . . . . . . . . . . . . .	865,000		3,545,015
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) 2014

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 . .
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 . . . . . . .
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, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .		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 "Yes" to 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) 2014

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 BOND QUALIFIED TAX EXEMPT BONDS, WHICH MATURE SERIALLY FROM 2018 TO 2021 THROUGH PRIVATE PLACEMENT.

Schedule K (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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), section 501(c)(4), and 501(c)(29) 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	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

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?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ...... $

Part III

Grants or Assistance Benefiting 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) 2014

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?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) JOHN RODIS	EXECUTIVE VP & COO	16,790,970	RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO COLLABORATIVE LABORATORY SERVICES. JOHN RODIS IS PRESIDENT OF COLLABORATIVE LABORATORY SERVICES.		No
(2) JOHN RODIS	EXECUTIVE VP & COO	21,479,146	PURCHASE OF SERVICES AND SUPPLIES FROM COLLABORATIVE LABORATORY SERVICES. JOHN RODIS IS PRESIDENT OF COLLABORATIVE LABORATORY SERVICES.		No
(3) DAVID BITTNER	SR VP FINANCE	16,790,970	RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO COLLABORATIVE LABORATORY SERVICES. DAVID BITTNER IS A DIRECTOR OF COLLABORATIVE LABORATORY SERVICES.		No
(4) DAVID BITTNER	SR VP FINANCE	21,479,146	PURCHASE OF SERVICES AND SUPPLIES FROM COLLABORATIVE LABORATORY SERVICES. DAVID BITTNER IS A DIRECTOR OF COLLABORATIVE LABORATORY SERVICES.		No
(5) CHRISTOPHER DADLEZ	CEO & PRESIDENT	624,408	RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS HEALTHCARE PARTNERS. CHRISTOPHER DADLEZ IS A DIRECTOR OF SAINT FRANCIS HEALTHCARE PARTNERS.		No
(6) CHRISTOPHER DADLEZ	CEO & PRESIDENT	2,905,663	MANAGED CARE SERVICES FROM SAINT FRANCIS HEALTHCARE PARTNERS. CHRISTOPHER DADLEZ IS A DIRECTOR OF SAINT FRANCIS HEALTHCARE PARTNERS.		No
(7) JOHN RODIS	EXECUTIVE VP & COO	901,727	RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS BEHAVIORAL HEALTH GROUP, P.C. JOHN RODIS IS A DIRECTOR OF SAINT FRANCIS BEHAVIORAL HEALTH GROUP, P.C.		No
(8) JOHN RODIS	EXECUTIVE VP & COO	2,162,766	PURCHASE OF SERVICES FROM SAINT FRANCIS BEHAVIORAL HEALTH GROUP, P.C. JOHN RODIS IS A DIRECTOR OF SAINT FRANCIS BEHAVIORAL HEALTH GROUP, P.C.		No
(9) DANIEL O'CONNELL	DIRECTOR	624,408	RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS HEALTHCARE PARTNERS. DANIEL O'CONNELL IS A DIRECTOR OF SAINT FRANCIS HEALTHCARE PARTNERS.		No
(10) DANIEL O'CONNELL	DIRECTOR	2,905,663	MANAGED CARE SERVICES FROM SAINT FRANCIS HEALTHCARE PARTNERS. DANIEL O'CONNELL IS A DIRECTOR OF SAINT FRANCIS HEALTHCARE PARTNERS.		No
(11) JOHN D PAPANDREA MD	DIRECTOR	624,408	RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS HEALTHCARE PARTNERS. JOHN PAPANDREA IS A DIRECTOR OF SAINT FRANCIS HEALTHCARE PARTNERS.		No
(12) JOHN D PAPANDREA MD	DIRECTOR	2,905,663	MANAGED CARE SERVICES FROM SAINT FRANCIS HEALTHCARE PARTNERS. JOHN PAPANDREA IS A DIRECTOR OF SAINT FRANCIS HEALTHCARE PARTNERS.		No
(13) DAVID BITTNER	DIRECTOR	624,408	RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS HEALTHCARE PARTNERS. DAVID BITTNER IS A DIRECTOR OF SAINT FRANCIS HEALTHCARE PARTNERS.		No
(14) DAVID BITTNER	DIRECTOR	2,905,663	MANAGED CARE SERVICES FROM SAINT FRANCIS HEALTHCARE PARTNERS. DAVID BITTNER IS A DIRECTOR OF SAINT FRANCIS HEALTHCARE PARTNERS.		No
(15) JOHN RODIS	DIRECTOR	624,408	RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS HEALTHCARE PARTNERS. JOHN RODIS IS A DIRECTOR OF SAINT FRANCIS HEALTHCARE PARTNERS.		No
(16) JOHN RODIS	DIRECTOR	2,905,663	MANAGED CARE SERVICES FROM SAINT FRANCIS HEALTHCARE PARTNERS. JOHN RODIS IS A DIRECTOR OF SAINT FRANCIS HEALTHCARE PARTNERS.		No
(17) JOHN N GIAMALIS	EVP & CHIEF ADMIN OFFICER	624,408	RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS HEALTHCARE PARTNERS. JOHN N. GIAMALIS IS A DIRECTOR OF SAINT FRANCIS HEALTHCARE PARTNERS.		No
(18) JOHN N GIAMALIS	EVP & CHIEF ADMIN OFFICER	2,905,663	MANAGED CARE SERVICES FROM SAINT FRANCIS HEALTHCARE PARTNERS. JOHN N. GIAMALIS IS A DIRECTOR OF SAINT FRANCIS HEALTHCARE PARTNERS.		No
(19) DAVID BITTNER	DIRECTOR	3,273,650	DIRECTOR OF TOTAL LAUNDRY COLLABORATIVE - LAUNDRY SERVICES.		No
(20) JOHN RODIS	EXECUTIVE VP & COO	700,000	PURCHASE OF SERVICES FROM SAINT FRANCIS CARE MEDICAL GROUP. JOHN RODIS IS A DIRECTOR OF SAINT FRANCIS CARE MEDICAL GROUP.		No
(21) JOHN RODIS	EXECUTIVE VP & COO	512,009	RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS CARE MEDICAL GROUP. JOHN RODIS IS A DIRECTOR OF SAINT FRANCIS CARE MEDICAL GROUP.		No
(22) R CHRISTOPHER HARTLEY	KEY EMPLOYEE	700,000	PURCHASE OF SERVICES FROM SAINT FRANCIS CARE MEDICAL GROUP. R. CHRISTOPHER HARTLEY IS A DIRECTOR OF SAINT FRANCIS CARE MEDICAL GROUP.		No
(23) R CHRISTOPHER HARTLEY	KEY EMPLOYEE	512,009	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
(24) JANEANNE LUBIN-SZAFRANSKI	DIRECTOR	700,000	PURCHASE OF SERVICES FROM SAINT FRANCIS CARE MEDICAL GROUP. JANEANNE LUBIN-SZAFRANSKI IS A DIRECTOR OF SAINT FRANCIS CARE MEDICAL GROUP.		No
(25) JANEANNE LUBIN-SZAFRANSKI	DIRECTOR	512,009	RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS CARE MEDICAL GROUP. JANEANNE LUBIN-SZAFRANSKI IS A DIRECTOR OF SAINT FRANCIS CARE MEDICAL GROUP.		No
(26) DAVID BITTNER	DIRECTOR	700,000	PURCHASE OF SERVICES FROM SAINT FRANCIS CARE MEDICAL GROUP. DAVID BITTNER IS A DIRECTOR OF SAINT FRANCIS CARE MEDICAL GROUP.		No
(27) DAVID BITTNER	DIRECTOR	512,009	RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS CARE MEDICAL GROUP. DAVID BITTNER IS A DIRECTOR OF SAINT FRANCIS CARE MEDICAL GROUP.		No
(28) JOHN N GIAMALIS	EVP & CHIEF ADMIN OFFICER	700,000	PURCHASE OF SERVICES FROM SAINT FRANCIS CARE MEDICAL GROUP. JOHN N. GIAMALIS IS A DIRECTOR OF SAINT FRANCIS CARE MEDICAL GROUP.		No
(29) JOHN N GIAMALIS	EVP & CHIEF ADMIN OFFICER	512,009	RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS CARE MEDICAL GROUP. JOHN N. GIAMALIS IS A DIRECTOR OF SAINT FRANCIS CARE MEDICAL GROUP.		No
(30) TERESA BOLTON	KEY EMPLOYEE	700,000	PURCHASE OF SERVICES FROM SAINT FRANCIS CARE MEDICAL GROUP. TERESA BOLTON IS A DIRECTOR OF SAINT FRANCIS CARE MEDICAL GROUP.		No
(31) TERESA BOLTON	KEY EMPLOYEE	512,009	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
(32) PHILIP J SCHULZ	DIRECTOR	327,536	PHILIP SCHULZ'S DAUGHTER-IN-LAW, NICOLE SCHULZ, IS THE VP OF REVENUE CYCLE FOR SAINT FRANCIS HOSPITAL AND MEDICAL CENTER.		No
(33) PETER G KELLY JD	DIRECTOR	103,208	PETER KELLY'S DAUGHTER, BRIDGET KELLY, IS A PHYSICIAN ASSISTANT FOR SAINT FRANCIS HOSPITAL AND MEDICAL CENTER.		No
(34) P ANTHONY GIORGIO	DIRECTOR	1,630,088	P. ANTHONY GIORGIO IS A 50% OWNER IN TWO BUILDINGS THAT SAINT FRANCIS HOSPITAL AND MEDICAL CENTER RENTS SPACE.		No
(35) KARL KRAPEK	DIRECTOR	1,630,088	KARL KRAPEK IS A 50% OWNER IN TWO BUILDINGS THAT SAINT FRANCIS HOSPITAL AND MEDICAL CENTER RENTS SPACE.		No
(36) JEAN-PIERRE VAN ROOY	DIRECTOR	200,000	SON - DR. ERIC VAN ROOY IS AFFILLIATED WITH CONNECTICUT RADIATION ONCOLOGY WHICH HAS A PSA TO RUN THE CYBERKNIFE PROGRAM AT SFH.		No
(37) JOHN D PAPANDREA MD	DIRECTOR	127,700	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
(38) JOHN W RODGERS MD	DIRECTOR	89,687	DR. JOHN RODGERS IS A SHAREHOLDER IN A PRIVATE MEDICAL PRACTICE THAT PROVIDES PROFESSIONAL SERVICES TO SAINT FRANCIS HOSPITAL AND MEDICAL CENTER.		No
(39) SUSAN J SAPPINGTON	DIRECTOR	68,600	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 CENTER AND SAINT FRANCIS CARE, INC.		No
(40) E MERRITT MCDONOUGH JR	KEY EMPLOYEE	3,917,046	EMPLOYEE OF PEOPLE'S UNITED INSURANCE - PURCHASE OF INSURANCE SERVICES.		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) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Information about Schedule M (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

ST FRANCIS HOSPITAL AND MEDICAL CENTER

Employer identification number

06-0646813

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...	X	10	1,950,000	INDEPENDENT APPRAISAL
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( )
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that

it must hold for at least three years from the date of the initial contribution, and which is not required to be used

for exempt purposes for the entire holding period? ..................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2014)

Page 2

Part II

Supplemental Information. Provide the information required by Part I, lines 30b,
32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation

Schedule M (Form 990) (2014)

Additional Data

Software ID:
Software Version:

- TIN:

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 990-EZ 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

2014

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 SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFFORMING PRESENCE WITHIN OUR COMMUNITIES. OUR CORE VALUES: REVERENCE: WE HONOR THE SACREDNESS AND DIGNITY OF EVERY PERSON. COMMITMENT TO THOSE WHO ARE POOR: WE STAND WITH AND SERVE THOSE WHO ARE POOR, ESPECIALLY THOSE MOST VULNERABLE. JUSTICE: WE FOSTER RIGHT RELATIONSHIPS TO PROMOTE THE COMMON GOOD, INCLUDING SUSTAINABILITY OF EARTH. STEWARDSHIP: WE HONOR OUR HERITAGE AND HOLD OURSELVES ACCOUNTABLE FOR THE HUMAN, FINANCIAL AND NATURAL RESOURCES ENTRUSTED TO OUR CARE. INTEGRITY: WE ARE FAITHFUL TO WHO WE SAY WE ARE. 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 2015. 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 2015, SAINT FRANCIS PROVIDED $104,451,340 IN COMMUNITY BENEFIT, OF WHICH $4,163,345 REPRESENTS CHARITY CARE AND UNPAID COSTS OF MEDICAID. THESE FIGURES DO NOT TAKE INTO ACCOUNT AN ADDITIONAL $20,980,833 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 2015, SAINT FRANCIS PROVIDED COMMUNITY BENEFIT SERVICES TO 135,000 INDIVIDUALS, WHO RECEIVED FINANCIAL ASSISTANCE FOR THEIR MEDICAL CARE AND SUPPORT THROUGH OUR COMMUNITY BENEFIT PROGRAMS. CHARITY CARE - $ 4,163,345 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. CHARITY CARE IS REPORTED IN TERMS OF COSTS, NOT CHARGES. COMMUNITY BENEFIT SERVICES - $ 32,109,673 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 HEALTH CARE - $ 68,178,322 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 - $ 104,451,430 COMMUNITY BENEFIT - SERVICES WHAT ARE THE NUMBERS? COMMUNITY BENEFIT IS CATEGORIZED INTO THREE BROAD AREAS: CHARITY CARE, GOVERNMENT SPONSORED HEALTH CARE, AND COMMUNITY BENEFIT SERVICES. THE FOLLOWING LIST OUTLINES, IN MORE DETAIL, THE COMMUNITY BENEFIT SERVICES PORTION, WHICH THIS PAST YEAR TOTALED $32,109,673. A. COMMUNITY HEALTH IMPROVEMENT SERVICES - $ 1,471,531 THESE ACTIVITIES ARE CARRIED OUT TO IMPROVE COMMUNITY HEALTH AND ARE USUALLY SUBSIDIZED BY THE HEALTH CARE ORGANIZATION. THERE ARE FOUR GROUPINGS WITHIN THIS CATEGORY: COMMUNITY HEALTH EDUCATION, COMMUNITY-BASED CLINICAL SERVICES, HEALTH CARE 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 AND 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 OUTREACH PROGRAM COMMUNITY-BASED CLINICAL SERVICES - PREVENTIVE HEALTH SCREENINGS: - CARDIOVASCULAR RISK ASSESSMENT - CHILD SEAT SAFETY SCREENING - DIABETES SCREENING - MAMMOGRAMS - CANCER SCREENINGS - SUPPORT FOR MALTA HOUSE OF CARE MOBILE MEDICAL CLINIC - 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 - LITERACY SUPPORT PROGRAMS - TRANSPORTATION SUPPORT - LANGUAGE SUPPORT SERVICES - THE AUXILIARY REPETITIONS THRIFT STORE - JOAN C. DAUBER FOOD BANK - KEEP-THE-POWER-ON UTILITY CLINIC B. HEALTH PROFESSIONS EDUCATION - $ 29,160,233 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 - $ 507,674 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 D. RESEARCH - $ 240,922 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 - $ 180,010 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 - $ 193,687 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 - $ 355,616 THIS CATEGORY INCLUDES THE COSTS ASSOCIATED WITH STAFFING THE COMMUNITY HEALTH DEPARTMENT AND COSTS ASSOCIATED WITH COMMUNITY BENEFIT PLANNING AND OPERATIONS. WEAVING HEALTH AND COMMUNITY TOGETHER - COMMUNITY BENEFIT REPORT - 2015 WELCOME WHAT A SINGLE YEAR CAN BRING! SAINT FRANCIS HOSPITAL AND MEDICAL CENTER WAS WELCOMED INTO TRINITY HEALTH AT THE END OF 2015. BUILDING ON OUR HISTORY, WE ARE HONORED TO CELEBRATE OUR EXPANDED MISSION: WE SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFFORMING PRESENCE WITHIN OUR COMMUNITIES. WE ARE COMMITTED TO TRANSFORMING OUR COMMUNITIES: AS YOU WILL SEE IN THIS ANNUAL COMMUNITY BENEFIT REPORT, LAST YEAR'S INITIATIVES AND INVESTMENTS IN HEALTH CARE, EDUCATION AND OUTREACH, BUILT SYNERGIES WITH LOCAL PARTNERS TO ACHIEVE BETTER ACCESS TO CARE, BETTER STEWARDSHIP OF RESOURCES, AND BETTER OUTCOMES FOR EVERYONE WHOSE LIFE WE TOUCHED. IN 2015, WE INVESTED OVER $104 MILLION DOLLARS IN OUR COMMUNITIES. IN THIS REPORT YOU WILL SEE EXAMPLES OF HOW WE SPENT OUR RESOURCES - GIVING PRIORITY TO THOSE IN MOST NEED. THE FOUNDATION FOR CREATING A BLUEPRINT FOR COMMUNITY HEALTH AND WELLBEING IS SOLID, COMPLETE WITH A MODEL OF PARTNERSHIP THAT ENCOMPASSED COLLEAGUES IN HOUSING, EMPLOYMENT, TRANSPORTATION, AND SO MANY OTHER ASPECTS OF LIFE THAT MANY OF US TAKE FOR GRANTED. HEALTH AND WELLNESS PARTNERSHIPS ARE PART OF A SAFETY NET STRATEGY THAT BENEFITS YOU, YOUR FAMILY, AND ALL OF THE COMMUNITIES WE SERVE: ECONOMIC CHALLENGES DEMAND AN ALL-ENCOMPASSING STRATEGY WITH MISSION-DRIVEN PRINCIPLES. WE SERVE TOGETHER TO ASSURE EQUAL ACCESS TO BENEFITS FOR ALL. TRINITY HEALTH CONTRIBUTED OVER $980 MILLION DOLLARS IN 2015 TO BENEFIT COMMUNITIES ACROSS THIS GREAT COUNTRY. WHAT IS THE RESULT OF OUR PARTNERSHIPS? A HEALING FABRIC WOVEN TOGETHER BY MISSION, REGIONAL PRIORITIES, AND COMPASSIONATE CARE BY SAINT FRANCIS EMPLOYEES, WHO KEEP RESPONDING EVERY DAY TO ASSURE EQUITABLE OUTCOMES. THE STORIES THAT FOLLOW SAY IT BEST. MAY THEIR WORDS AND OUR MISSION INSPIRE YOU AND YOUR FAMILY! CREATING A WEB OF COMMUNITY HEALTH AND WELL BEING BY DEFINITION, WHEN SOMEONE IS ADMITTED TO THE HOSPITAL HE OR SHE BECOMES A PATIENT, IMPLYING ILLNESS, VULNERABILITY, UNCERTAINTY AND EMOTIONAL TURMOIL. THE PEOPLE HIGHLIGHTED IN THIS REPORT HAVE ALL BEEN PATIENTS AT SAINT FRANCIS HOSPITAL AND MEDICAL CENTER. THEY CAME TO THE HOSPITAL BECAUSE SOMEONE THAT CARES ABOUT THEM SUGGESTED THEY LOOK INTO A PROBLEM, OR THEY ATTENDED A COMMUNITY SCREENING EVENT THAT REVEALED AN UNDERLYING ILLNESS, OR THEY WERE LUCKY ENOUGH TO HAVE A PRIMARY CARE PROVIDER WHO MADE A REFERRAL FOR FOLLOW UP TO FIND OUT MORE ABOUT UNANSWERED QUESTIONS. THE STORIES HERE REVEAL PATTERNS OF RELIANCE AND INDEPENDENCE, EXPERIENCES OF STRENGTH AND WEAKNESS, MOMENTS OF HOPE AND FEAR. THROUGHOUT THE CYCLE OF HEALING, COMMUNITY MEMBERS BECOME PATIENTS, OVERCOME AILMENTS, AND RETURN TO HEALTH, CONSISTENTLY MOVING FROM ONE ROLE TO ANOTHER. BY RESPONDING TO THIS SHIFTING DYNAMIC AND SUPPORTING THEM DURING TIMES OF HEALTH AND ILLNESS, OUR HEALTH CARE SYSTEMS BECOME WOVEN INTO THE FABRIC OF OUR COMMUNITIES. JOHNNY: A STORY OF NEWFOUND TRUST BEING A PART OF A COMMUNITY IS IMPORTANT TO JOHNNY - HE'S LIVED IN THE NORTH END OF HARTFORD HIS ENTIRE LIFE. IN HIS NEIGHBORHOOD IT'S COMMON FOR PEOPLE TO NOT TRUST THE HEALTH CARE SYSTEM, ESPECIALLY IF YOU DON'T HAVE INSURANCE. "WHEN I CAME TO SAINT FRANCIS THEY TREATED ME REALLY WELL. THEY HELPED ME GET INSURANCE, THEY ASSISTED WITH MY RENT AND UTILITIES WHEN I COULDN'T WORK, AND MOST OF ALL, THEY TAUGHT ME THAT THE HOSPITAL IS A PART OF MY NEIGHBORHOOD TOO." FOR YEARS, JOHNNY TOOK CARE OF WHATEVER HEALTH PROBLEM HE HAD WITH "SELF-MEDICATION," AS HE DESCRIBES IT - "MOTRIN, WARM SALT WATER, HEATING PADS, AND WHATEVER SEEMED TO HELP." HE WAS VERY SICK WHEN HE FINALLY CAME TO SAINT FRANCIS. IN THE END IT WAS HIS PASTOR WHO PRODDED HIM TO GO AND SEE WHY HE WAS BLEEDING FROM HIS GUMS, WHY HIS TONGUE WAS SO DISCOLORED, AND, MOST NOTABLY, WHY HE DIDN'T HAVE ANY OF HIS USUAL VIBRANT ENERGY. "I'M SOMEONE WHO DOESN'T ASK FOR HELP VERY OFTEN AND I SURE DIDN'T WANT TO ASK FOR HELP FROM A HOSPITAL WHICH I THOUGHT WOULD TREAT ME LIKE A SECOND-CLASS PERSON BECAUSE I DIDN'T HAVE ANY HEALTH INSURANCE. SO, I DIDN'T GO TO THE HOSPITAL. IN FACT, I WAS BORN AT HOME AND NEVER WENT TO A HOSPITAL UNTIL HIS CANCER DIAGNOSIS AT AGE 56." WHEN HE FINALLY CAME TO THE EMERGENCY DEPARTMENT HE WAS IN SUCH BAD SHAPE THAT DOCTORS ADMITTED HIM, RAN SOME TESTS, AND QUICKLY BEGAN A BLOOD TRANSFUSION. WHEN THE TEST RESULTS CAME BACK, JOHNNY WAS DIAGNOSED WITH A TREATABLE FORM OF LEUKEMIA. THE TREATMENT PROTOCOL, HOWEVER, WOULD INCLUDE EIGHT ROUNDS OF CHEMOTHERAPY OVER THREE MONTHS - A LONG HAUL. "I SEE THIS BATTLE BETWEEN ME AND CANCER AS SIMILAR TO THE FIGHT BETWEEN GEORGE FOREMAN AND MUHAMMAD ALI. FOREMAN WAS AT THE PEAK OF HIS CAREER AND HAD WON MOST OF HIS FIGHTS IN THE SECOND OR THIRD ROUND. BUT ALI DID HIS HOMEWORK; HE TRAINED HARD AND HE OUTLASTED FOREMAN. IN FACT, HE WON IN THE EIGHTH ROUND - JUST LIKE ME. THE EIGHTH ROUND OF CHEMOTHERAPY WAS THE ONE THAT FINISHED MY TREATMENT." BY TELLING HIS STORY, JOHNNY HOPES TO LET OTHERS KNOW THAT THEY CAN GET THE HELP THEY NEED, NO MATTER WHO THEY ARE. "I LIVE ON THE THIRD FLOOR OF AN APARTMENT BUILDING IN ONE OF HARTFORD'S POOREST NEIGHBORHOODS. IN FACT, I CHOSE THE THIRD FLOOR BECAUSE I BELIEVE CROOKS ARE LAZY - THEY WON'T BOTHER COMING TO THE THIRD FLOOR TO ROB YOU. WHEN I CAME TO SAINT FRANCIS THEY TREATED ME REALLY WELL. THEY HELPED ME GET INSURANCE, THEY ASSISTED WITH MY RENT AND UTILITIES WHEN I COULDN'T WORK, AND MOST OF ALL, THEY TAUGHT ME THAT THE HOSPITAL IS A PART OF MY NEIGHBORHOOD TOO." IN THE END, JOHNNY SEES THE HOSPITAL AS PART OF THE COMMUNITY, JUST LIKE HIS CHURCH OR THE CORNER STORE. OF COURSE, HE WILL SAY THAT HE PREFERS NOT TO COME TO THE HOSPITAL AS OFTEN AS HE GOES TO CHURCH, BUT NOW HE SEES IT AS A RESOURCE THAT CAN PROVIDE SUPPORT FOR HIS HEALTH WHEN HE MOST NEEDS IT. CLEMENT: A HOLISTIC JOURNEY TO HEALTH AND HEALING CLEMENT WAS SURPRISED TO FIND HOW HELPFUL IT WAS TO GET ACUPUNCTURE WHILE UNDERGOING CANCER TREATMENT. HE HAD BEEN DIAGNOSED WITH MULTIPLE MYELOMA AND THE PAIN WAS DIFFICULT TO CONTROL. SOMETIMES IT WAS FINE, BUT THEN IT WOULD CHANGE. "ONE DAY MY LEGS AND BACK HURT SOMETHING TERRIBLE, LIKE THERE WERE NEEDLES IN MY FOOT ALL THE TIME. WHEN I TALKED TO DR. RABINOWE, SHE SUGGESTED I TALK WITH THE INTEGRATIVE MEDICINE TEAM TO SEE IF THEY HAD ANYTHING THAT MIGHT HELP." "CHRIS IS A GREAT RESOURCE FOR PATIENTS AND HE'S SO WILLING TO HELP. YOU KNOW, IN THE END, I ENJOYED IT." CLEMENT DID NOT KNOW ABOUT THE CENTER FOR INTEGRATIVE MEDICINE, WHICH OFFERS ACUPUNCTURE, MASSAGE, ART THERAPY, AND MIND/BODY MEDICINE SERVICES THAT CAN BE WOVEN INTO EACH PATIENT'S CLINICAL TREATMENT PLAN. PATIENTS' NEEDS VARY AS THEY MOVE THROUGH THE EXPERIENCE OF ILLNESS, AND INCLUDING INTEGRATIVE MEDICINE INTO THEIR THERAPEUTIC JOURNEY NOT ONLY SUPPORTS HEALTH AND HEALING BUT BUILDS RELATIONSHIPS WITH NEW CARE PROVIDERS, BINDING TOGETHER EMOTIONAL, SPIRITUAL AND PHYSICAL RESOURCES INTO THE FABRIC OF OUR HEALTH. CLEMENT HADN'T TRIED ACUPUNCTURE BEFORE AND DIDN'T REALLY KNOW MUCH ABOUT IT. AS A KOREAN WAR VETERAN WHO WAS NO STRANGER TO PAIN, HE HAD FIGURED OUT WAYS TO HANDLE IT. BUT HIS WIFE COULD SEE HE WAS STRUGGLING AND ENCOURAGED HIM TO GIVE ACUPUNCTURE A TRY. "I WASN'T SO SURE, BUT SHE REALLY SUPPORTED ME AND THOUGHT IT MIGHT HELP." ACUPUNCTURE BECAME A REGULAR PART OF HIS TREATMENT PLAN. AFTER EACH ROUND OF CHEMOTHERAPY, CLEMENT WOULD TURN TO LICENSED ACUPUNCTURIST CHRISTOPHER GAUNYA FOR HELP, SO THAT HE COULD CONTROL THE PAIN AND PARTICIPATE IN THE PHYSICAL THERAPY NEEDED FOR HIS RECOVERY.
FORM 990, PART III, LINE 4A	PATIENTS AND PRACTITIONERS - WOVEN TOGETHER "MY ROLE IS TO SUPPORT PATIENTS WITH MASSAGE WHICH CAN REALLY HELP THEM DURING TIMES OF NEED - IT'S A PHYSICAL ACTIVITY BUT SOMETIMES IT SEEMS TO CHANGE THEIR EMOTIONAL OUTLOOK MORE THAN THEIR PHYSICAL WELL-BEING. THE INTERCONNECTEDNESS OF PHYSICAL AND EMOTIONAL HEALTH IS NO SURPRISE TO ANYONE, BUT WHAT IS REMARKABLE IS THAT HOSPITALS LIKE SAINT FRANCIS CAN OFFER FREE OF CHARGE SERVICES THAT HELP SUPPORT PATIENTS WHEN THEY NEED IT MOST. ON MORE THAN ONE OCCASION CANCER PATIENTS HAVE SAID TO ME THAT MASSAGE GIVES THEM A RENEWED INNER STRENGTH TO GET THROUGH IT ALL." "I THINK THAT MASSAGE CAN MAKE THE DIFFERENCE BETWEEN FEELING HOPEFUL OR DEFEATED." - JULIE OLSON, MASSAGE THERAPIST, CENTER FOR INTEGRATIVE MEDICINE "WE HELD AN OUTREACH EVENT ABOUT PROSTATE CANCER SCREENING AT THE CITADEL OF LOVE, A VERY SMALL CHURCH IN HARTFORD. THIS LITTLE CHURCH OFFERS SUPPORT TO ANYONE WHO NEEDS HELP. THE GROUP OF MEN WE MET WITH WERE HOMELESS AND I WAS STRUCK BY HOW THEY CARED FOR EACH OTHER AND STAYED CONNECTED THROUGH THIS CHURCH. AS THEY WERE WAITING FOR THEIR TURN TO GET SCREENED THEY SHARED WITH ME HOW THEY DON'T REALLY EVER THINK ABOUT THEIR HEALTH. IT WAS OBVIOUS THAT MY JUST LISTENING AND SHOWING CONCERN WAS IMPORTANT TO THEM." "I LEFT THERE THINKING THEY HAD REALLY GIVEN ME A LOT. I HAD A MUCH BETTER UNDERSTANDING OF HOW HOMELESSNESS IMPACTS EVERYTHING IN YOUR LIFE." - JACQUELINE ORTIZ-MILLER, OUTREACH EDUCATION COORDINATOR, CURTIS D. ROBINSON CENTER FOR HEALTH EQUITY "IT'S INTERESTING, I WORK WITH LOTS OF FAMILIES AND WHEN THERE HAS BEEN SEXUAL ABUSE OF A CHILD IT CAN BE SO DIFFICULT TO GET TO THE OTHER SIDE. THIS ONE FAMILY REALLY IMPRESSED ME; A SINGLE MOM WITH THREE CHILDREN AND ONE OF THEM WAS ACTING OUT SO SHE KNEW SOMETHING WAS WRONG. WE HELPED HER COME UP WITH A PLAN TO SUPPORT THE CHILD AND TO KEEP THE FAMILY TOGETHER. THE FAMILY PARTICIPATED IN THERAPY TOGETHER AND REALLY FIGURED OUT HOW TO MAKE IT WORK. NOW SHE VOLUNTEERS WITH US AND HELPS TO SUPPORT OTHER FAMILIES GOING THROUGH THIS CRISIS." "WE WERE THERE FOR HER AND NOW SHE IS HERE FOR US." - REGINA DYTON, DIRECTOR, THE GREATER HARTFORD CHILDREN'S ADVOCACY CENTER "THINGS HAVE REALLY CHANGED FOR US OVER THE PAST FIVE YEARS. IT USED TO BE THAT WE ONLY SERVED PATIENTS AFTER THEY HAD TRIED EVERYTHING ELSE AND WERE STILL STRUGGLING, BUT LATELY WE SEE THEM EARLIER IN THEIR TREATMENT. PATIENTS DON'T WANT TO TAKE ANY MORE PAIN MEDICINE - IT OFTEN DOESN'T WORK WELL; IT'S EXPENSIVE; AND THERE ARE SIDE EFFECTS. ONCE THEY HEAR ABOUT THE OPTIONS THEY WANT TO GIVE IT A TRY." "I'M HOPEFUL AS INTEGRATIVE MEDICINE BECOMES MORE OF A PART OF THE SYSTEM IT WILL HELP PATIENTS AND WE KNOW IT COSTS A LOT LESS." - KATHLEEN MUELLER, MD, MEDICAL DIRECTOR, CENTER FOR INTEGRATIVE MEDICINE "PROVIDING HEALTH SCREENINGS TO PEOPLE IN THE COMMUNITY HAS CHANGED THE WAY I DO MY WORK. WHEN I TEACH PEOPLE ABOUT HEALTHY LIFESTYLES AND REDUCING THEIR RISK FOR HEART DISEASE I NEED TO UNDERSTAND THE "WHOLE" PERSON. DURING A CONVERSATION WITH A YOUNG WOMAN IN HARTFORD ABOUT HER SCREENING NUMBERS, SHE MENTIONED THAT SHE HAD GAINED WEIGHT DUE TO HER DIET AND LACK OF EXERCISE WHILE IN PRISON. HER MAIN CONCERN WAS NOT HER BLOOD PRESSURE, BUT THE SAFETY OF HER FAMILY." "I HAVE LEARNED THAT EVERYONE HAS A STORY AND TREATING PEOPLE FIRST WITH COMPASSION CAN HELP CLARIFY THE PATH TO PERSONAL HEALTH." - CLAIRE KARWACKI-MARUGG, MANAGER, WOMEN'S HEART PROGRAM
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 FINANCE COMMITTEE OF TRINITY HEALTH-NEW ENGLAND,INC. (FORMERLY KNOWN AS SAINT FRANCIS CARE, INC.) HAS THE RESPONSIBILITY FOR OVERSEEING THE REVIEW OF THE FORM 990 INCLUDING ENSURING APPROPRIATE DIRECTORS AND MANAGEMENT PERSONNEL HAVE REVIEWED, ANY ISSUES ARE COMMUNICATED TO THE COMMITTEE AND FORM 990S ARE AVAILABLE TO THE BOARD OF DIRECTORS. 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	THE BOARD REVIEWS COMPENSATION AND BONUS' FOR OFFICERS AND KEY EMPLOYEES ANNUALLY. DURING THE YEAR AN INDEPENDENT CONSULTANT WAS ENGAGED TO REVIEW COMPENSATION AND AN EXTERNAL MARKET ANALYSIS IS PERFORMED AND 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 56,462,463. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 56,462,463. SECURITY EXPENSE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,438,519. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,438,519. OUTSIDE LABORATORIES: PROGRAM SERVICE EXPENSES 2,588,391. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,588,391. COLLECTION FEES: PROGRAM SERVICE EXPENSES 152,683. MANAGEMENT AND GENERAL EXPENSES 2,389,499. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,542,182. DIALYSIS FEES: PROGRAM SERVICE EXPENSES 1,492,702. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,492,702. CONSULTING FEES: PROGRAM SERVICE EXPENSES 2,250. MANAGEMENT AND GENERAL EXPENSES 10,124,153. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,126,403. REGISTRY NURSES FEES: PROGRAM SERVICE EXPENSES 3,021,592. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,021,592. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,481,719. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,481,719. TEMPORARY LABOR: PROGRAM SERVICE EXPENSES 4,714,305. MANAGEMENT AND GENERAL EXPENSES 1,161,313. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,875,618. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,376,892. MANAGEMENT AND GENERAL EXPENSES 446,429. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,823,321.
FORM 990, PART XI, LINE 9:	DECREASE IN ASSETS HELD IN TRUST BY OTHERS -4,139,998. CHANGE IN PENSION FUNDING AND POSTRETIREMENT OBLIGATIONS -19,192,683. DECREASE IN INTEREST IN ST FRANCIS FOUNDATION -1,394,495. CHANGE IN FAIR MARKET VALUE OF SWAP -14,834,672. TRANSFER TO PARENT -14,005,487. DONATED PROPERTY -1,092,195.
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.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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	13,730,303	62,409,556	SAINT FRANCIS HOSPITAL & MEDICAL CENTER
(2) COLLABORATIVE LABORATORY SERVICES 114 WOODLAND STREET HARTFORD,CT06105 06-1520109	LAB SERVICES	CT	34,434,043	6,167,986	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?
(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	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) 2014

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
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) TOTAL LAUNDRY COLLABORATIVE 114 WOODLAND STREET HARTFORD,CT06105 20-8335788	LAUNDRY SERVICES	CT	SAINT FRANCIS HOSPITAL & MEDICAL CENTER	RELATED	-270,605	-265,101		No			No	85.890 %
(2) MEDWORKS LLC 375 EAST CEDAR STREET NEWINGTON,CT06111 06-1490483	REHABILITATION SERVICES	CT	SAINT FRANCIS HOSPITAL & MEDICAL CENTER	RELATED	22,478	-41,056		No			No	51.000 %

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?
(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		Yes	No
(1) SAINT FRANCIS CARE MEDICAL GROUP PC 114 WOODLAND STREET HARTFORD,CT06105 06-1432373	HEALTH SERVICES	CT	SAINT FRANCIS HOSPITAL & MEDICAL CENTER	C	-533,357	893,501	100.000 %	Yes
(2) SAINT FRANCIS BEHAVIORAL HEALTH GROUP 114 WOODLAND STREET HARTFORD,CT06105 06-1384686	BEHAVIOR HEALTH SERVICES	CT	SAINT FRANCIS HOSPITAL & MEDICAL CENTER	C	-1,524,954	1,190,451	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 CARE	C	14,711	1,934,091	50.000 %		No
(4) SAINT FRANCIS HEALTHCARE PARTNERS ACO INC 95 WOODLAND ST FOURTH FLOOR HARTFORD,CT06105 46-1315402	MGMT AND ADMIN SERVICES	CT	SAINT FRANCIS CARE	C			50.000 %		No

Schedule R (Form 990) 2014

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

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 . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

Yes

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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) 2014

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)	(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?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2014

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) 2014

Additional Data

Software ID:
Software Version:

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
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	22
5	Total number of individuals employed in calendar year 2014 (Part V, line 2a) ......	5	5,196
6	Total number of volunteers (estimate if necessary) .............	6	556
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	2,528,738
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-447,885

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	8,694,716	10,382,181
9	Program service revenue (Part VIII, line 2g) .........	697,685,089	697,116,965
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	10,830,996	7,918,182
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	20,751,459	22,232,294
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	737,962,260	737,649,622
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	836,934	686,250
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)	340,961,129	343,255,144
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	371,279,397	382,310,083
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	713,077,460	726,251,477
19	Revenue less expenses. Subtract line 18 from line 12.......	24,884,800	11,398,145
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	838,054,262	817,609,157
21	Total liabilities (Part X, line 26).............	636,626,462	663,859,903
22	Net assets or fund balances. Subtract line 21 from line 20.....	201,427,800	153,749,254

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 590,214,794 including grants of $ 686,250 ) (Revenue $ 712,051,701 )
	AS THE LARGEST CATHOLIC HOSPITAL IN NEW ENGLAND WITH 118 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 expenses590,214,794

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	10,550,160	612,534	1,824,584

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		4,607,924
e	Government grants (contributions)1e		2,974,954

f	All other contributions, gifts, grants, and similar amounts not included above1f		2,799,303

g	Noncash contributions included in lines 1a-1f:$		1,950,000
h	Total. Add lines 1a-1f.......			10,382,181
			Business Code
2a	PATIENT REVENUE		622110	649,231,568	649,231,568
b	LABORATORY REVENUE		621511	34,433,962	33,164,769	1,269,193
c	PREMIUM INCOME		524298	12,498,534	12,374,000	124,534
d	PARTNERSHIP REVENUE		541990	952,901	931,041	21,860
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			697,116,965
3	Investment income (including dividends, interest, and other similar amounts).......			5,614,181			5,614,181
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents	6,074,397
b	Less: rental expenses	0
c	Rental income or (loss)	6,074,397
d	Net rental income or (loss).......			6,074,397			6,074,397
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	34,236,918	1,522,412
b	Less: cost or other basis and sales expenses	33,455,329	0
c	Gain or (loss)	781,589	1,522,412
d	Net gain or (loss)..........			2,304,001			2,304,001
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..
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...
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..
Miscellaneous Revenue			Business Code
11a	OTHER PATIENT SVCS		624190	8,556,521	7,885,453	671,068
b	PHARMACY		900099	2,458,081			2,458,081
c	MISCELLANEOUS		900099	2,305,826	1,863,743	442,083
d	All other revenue ....			2,837,469	921,711		1,915,758
e	Total. Add lines 11a–11d ......			16,157,897
12	Total revenue. See Instructions......			737,649,622	706,372,285	2,528,738	18,366,418


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			58,225,346	1	48,119,752
2	Savings and temporary cash investments .........			46,781,519	2	52,046,968
3	Pledges and grants receivable, net ...........				3
4	Accounts receivable, net .............			75,441,792	4	70,386,496
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 .............			545,649	7	566,992
8	Inventories for sale or use ..............			8,854,758	8	9,701,459
9	Prepaid expenses and deferred charges ..........			6,724,495	9	8,724,005
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	890,775,274
b	Less: accumulated depreciation .....	10b	434,608,404	463,498,467	10c	456,166,870
11	Investments—publicly traded securities ..........			78,640,457	11	83,759,484
12	Investments—other securities. See Part IV, line 11 .....			14,134,048	12	18,802,515
13	Investments—program-related. See Part IV, line 11 .....				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			85,207,731	15	69,334,616
16	Total assets. Add lines 1 through 15 (must equal line 34)......			838,054,262	16	817,609,157
17	Accounts payable and accrued expenses .........			34,284,214	17	38,257,732
18	Grants payable .................				18
19	Deferred revenue ................				19
20	Tax-exempt bond liabilities .............			250,530,000	20	246,119,985
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 ..			9,706,653	23	5,331,951
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....................			342,105,595	25	374,150,235
26	Total liabilities. Add lines 17 through 25.........			636,626,462	26	663,859,903
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			119,753,800	27	76,152,826
28	Temporarily restricted net assets ...........			24,355,000	28	24,417,140
29	Permanently restricted net assets ...........			57,319,000	29	53,179,288
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........			201,427,800	33	153,749,254
34	Total liabilities and net assets/fund balances ........			838,054,262	34	817,609,157