TY 2015 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) CHRISTOPHER M DADLEZ...................................................................... PRESIDENT & CEO / DIRECTOR	55.00 ................. 7.40	X		1,715,289	807,101
(2) BARBARA J CALDERONEBSNJD...................................................................... SECRETARY	1.00 ................. 0.00	X	X	0	0
(3) ROBERT M ELLIS...................................................................... DIRECTOR	2.00 ................. 2.00	X		0	0
(4) P ANTHONY GIORGIO PHD...................................................................... CHAIRMAN	1.00 ................. 1.00	X	X	0	0
(5) WALTER HARRISON PHD...................................................................... VICE-CHAIRMAN	1.00 ................. 0.00	X	X	0	0
(6) PATRICK J KINNEY...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0
(7) DR GALO A RODRIGUEZ MPH...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0
(8) JOSEPH J SPALLUTO...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0
(9) ADRIENNE W COCHRANE JD...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0
(10) MURTHAPPA N PRAKASH MD...................................................................... DIRECTOR	1.00 ................. 3.00	X		75,000	0
(11) JOHN F RODIS MD MBA...................................................................... PRESIDENT	55.00 ................. 5.00	X	X	999,136	71,578
(12) STEVEN COHEN MD...................................................................... DIRECTOR	1.00 ................. 0.00	X		30,900	0
(13) SISTER SUSAN CUNNINGHAM CSJ...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0
(14) DOUGLAS GERARD MD...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0
(15) ANTHONY POSTERARO III MD...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0
(16) FRANKLIN ROSENBERG MD...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0
(17) PHILLIP J KARANIAN MD...................................................................... DIRECTOR	1.00 ................. 0.00	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) HEATHER BOTTICELLO........................................................................ ASSISTANT SECRETARY	40.00 .......................0.00	X	X				79,801	0	22,344
(19) DAVID BITTNER........................................................................ CFO & SR VP FINANCE	55.00 .......................10.00			X			546,588	0	46,817
(20) ROBERT CHRISTOPHER HARTLEY........................................................................ SR VP PLANNING & FACILITIES	55.00 .......................2.00			X			372,168	0	58,972
(21) JENNIFER SCHNEIDER........................................................................ VP FINANCE	55.00 .......................6.00			X			307,820	0	45,678
(22) DAWN BRYANT........................................................................ SVP, CHIEF HUMAN RESOURCE OFFICER	55.00 .......................0.00			X			317,038	0	38,927
(23) LINDA SHANLEY........................................................................ VP AND CIO	55.00 .......................0.00			X			338,597	0	37,592
(24) DENISE PETERSON........................................................................ VP PROF NRSG PRACTICE & QUAL/CNO	55.00 .......................0.00			X			237,253	0	21,824
(25) JANEANNE LUBIN-SZAFRANSKI........................................................................ GENERAL COUNSEL & SVP LGL AFFAIRS	55.00 .......................2.00			X			415,258	0	34,371
(26) STUART ROSENBERG........................................................................ PRESIDENT-JMMC	55.00 .......................0.40				X		346,389	0	46,175
(27) JAMES W SCHEPKER........................................................................ VP MARKETING & BUSINESS DEVELOPMENT	55.00 .......................0.00				X		304,168	0	43,413
(28) DERRICK AMATO........................................................................ ADMINISTRATIVE DIRECTOR	55.00 .......................0.00				X		296,264	0	22,048
(29) NICOLE SCHULZ........................................................................ VP REVENUE CYCLE	55.00 .......................0.00				X		335,190	0	44,533
(30) LYNN ROSSINI........................................................................ VP CHIEF DEVELOPMENT OFFICER	55.00 .......................0.00				X		329,274	0	47,115
(31) STEVEN T RUBY MD........................................................................ FORMER DIRECTOR / DEPT. CHAIRMAN	55.00 .......................3.00					X	790,401	0	25,711
(32) PAUL F MITCHELL DMD........................................................................ FORMER DIRECTOR	0.00 .......................55.00					X	0	272,694	43,953
(33) SHERI A LEMIEUX........................................................................ FORMER ASSISTANT SECRETARY	55.00 .......................0.00					X	137,173	0	18,023
(34) TERESA M BOLTON........................................................................ FORMER HUMAN RESOURCES COUNSEL	55.00 .......................1.00					X	235,544	0	29,453
(35) GREG MAKOUL........................................................................ FORMER SVP, CAO	0.00 .......................0.00					X	340,162	0	13,161
(36) JOHN N GIAMALIS........................................................................ FORMER EVP & CAO	0.00 .......................0.00					X	433,930	0	13,840
(37) E MERRITT MCDONOUGH JR........................................................................ FORMER SF FDTN PRESIDENT	0.00 .......................0.00					X	292,356	0	11,746

(A) Name and business address	(B) Description of services	(C) Compensation
UCONN MEDICAL CENTER 263 FARMINGTON AVE FARMINGTON,CT06030	PHYSICIAN FEES & SERVICES	17,671,302
DTZ INC 4002 SOLUTIONS CENTER CHICAGO,IL60677	CLEANING SERVICES	3,835,734
AMN HEALTHCARE INC 2735 COLLECTIONS CENTER DR CHICAGO,IL60693	TEMP NURSING SERVICES	3,345,539
KFORCE INC 191 WEST STAFFORD RD ATLANTA,GA30384	TEMPORARY SERVICES	1,621,559
TOTAL RENAL CARE INC PO BOX 8500-1607 PHILADELPHIA,PA19178	HEMODIALYSIS SERVICES	1,212,825
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 53

- 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

2015

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 (Form 990 or 990-EZ))

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 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. 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—2014. 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—2015. 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—2014. 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) 2015

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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. 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—2014. 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) 2015

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 (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) 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 section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

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

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 9a) 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 9a) 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 section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b 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

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

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

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, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) 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) 2015

Page 6

Part V

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

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

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) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

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 2015 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-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

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) 2015

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

2015

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 other 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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) 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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization ST FRANCIS HOSPITAL AND MEDICAL CENTER		Employer identification number 06-0646813

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

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.) $ 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) (2015)

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

2015

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on 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-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

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) 2012	(b) 2013	(c) 2014	(d) 2015	(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) 2015

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 on 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? ..........................................................

Yes

643,913

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

Yes

65,812

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

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

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

709,725

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) 2015

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," on 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

2015

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" on 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" on 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on 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 on 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 on 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) 2015

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

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" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	65,802,167	70,923,245	68,114,560	64,278,125	60,257,184
b	Contributions ...
c	Net investment earnings, gains, and losses	3,661,192	-5,121,078	2,808,685	3,836,435	4,020,941
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......	69,463,359	65,802,167	70,923,245	68,114,560	64,278,125

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

Board designated or quasi-endowment SchDMd Bullet

15.760 %

Permanent endowment SchDMd Bullet

79.630 %

Temporarily restricted endowment SchDMd Bullet

4.610 %

The percentages on 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" on 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' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	7,940,000		7,940,000
b	Buildings	268,330,645	10,933,438	257,397,207
c	Leasehold improvements	1,890,000	110,774	1,779,226
d	Equipment ...	87,821,471	22,876,024	64,945,447
e	Other ...	68,579,561	9,882,734	58,696,827
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				390,758,707

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on 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
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) OTHER ASSETS				48,064,743
(2) DUE FROM AFFILIATED ENTITIES				49,783,992
(3) ASSETS LIMITED OR RESTRICTED BY BOARD				23,503,761
(4) ASSETS LIMITED OR RESTRICTED BY DONORS				74,736,702
(5) TRINITY HEALTH POOLED INVESTMENT PROGRAM				33,338,034
(6) DEFERRED COMP. TRUST				2,116,663
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				231,543,895

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
ACCRUED PENSION AND RETIREE HEALTH COSTS	231,615,021
DUE TO 3RD PARTY REIMBURSEMENT	8,955,979
SELF-INSURANCE RESERVES	49,698,335
OTHER LONG TERM LIABILITIES	11,213,554
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	301,482,889
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) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
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
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
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
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
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
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

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.

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on 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

2015

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? . . . . . .

Yes

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

Yes

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		(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) . . .	10,443	2,718,176		2,718,176	0.330 %
b	Medicaid (from Worksheet 3, column a) . . . . .	37,740	46,497,671		46,497,671	5.690 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .		18,396,862		18,396,862	2.250 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	48,183	67,612,709		67,612,709	8.270 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	12,105	2,397,112	895,151	1,501,961	0.180 %
f	Health professions education (from Worksheet 5) . . .		31,157,815	7,684,786	23,473,029	2.870 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .		178,023		178,023	0.020 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .
j	Total. Other Benefits . .	12,105	33,732,950	8,579,937	25,153,013	3.070 %
k	Total. Add lines 7d and 7j .	60,288	101,345,659	8,579,937	92,765,722	11.340 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

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.

		(b) Persons served (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	6,999	47,653	47,653	0.010 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building		29,210	29,210	0 %
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total	6,999	76,863	76,863	0.010 %

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. ......

14,575,173

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).....

184,276,978

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

158,548,616

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

25,728,362

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) 2015

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) 2015

Page 4

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 15

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

6 a

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

Yes

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): SEE PART V, PAGE 7

Other website (list url): 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): WWW.SAINTFRANCISCARE.ORG

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

12b

If "Yes" on 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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

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

Yes

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 400.000000000000%

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):

WWW.SAINTFRANCIS.ORG/FINANCIAL-ASSISTANCE

The FAP application form was widely available on a website (list url):

WWW.SAINTFRANCIS.ORG/HOSPITAL-PUBLICATIONS

A plain language summary of the FAP was widely available on a website (list url):
WWW.SAINTFRANCIS.ORG/FINANCIAL-ASSISTANCE

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) 2015

Page 6

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 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 19. (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) 2015

Page 7

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 PUBLISHED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT IN JUNE OF 2016. THE PROCESS BEGAN IN JANUARY OF 2015 WITH PARTNERSHIP DISCUSSIONS AND INVESTMENTS IN THE DATA HAVEN WELL BEING TELEPHONE SURVEY WHICH WAS USED TO GATHER PRIMARY DATA FROM RESIDENTS ABOUT THEIR HEALTH AND WELL-BEING. THIS PRIMARY DATA AND SECONDARY DATA INCLUDING CENSUS DATA; INFORMATION FROM THE SAINT FRANCIS COMMUNITY PROFILE FROM THE CT HOSPITAL ASSOCIATION; LOCAL REPORTS ON ASTHMA; OBESITY AND ACCESS TO HEALTHY FOODS AND OTHER RESOURCES. DATA WERE ANALYZED BY THE COMMUNITY HEALTH NEEDS ASSESSMENT PARTNERS AND RESULTS WERE USED TO DEVELOP KEY INFORMANT INTERVIEWS WHICH WERE COMPLETED IN JUNE - AUG OF 2015. FINALLY A PRIORITY SETTING ACTIVITY WITH COMMUNITY INPUT WAS COMPLETED PRIOR TO PUBLICATION. SUBSEQUENT TO THIS PUBLICATION AN IMPLEMENTATION STRATEGY WAS DEVELOPED AND APPROVED BY THE BOARD OF DIRECTORS.
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER	PART V, SECTION B, LINE 5: PERSONS INVOLVED IN PLANNING THE CHNA INCLUDED LEADERS OF LOCAL COMMUNITY AGENCIES; FAITH LEADERS; HEALTHCARE PROVIDERS; GOVERNMENT EMPLOYEES AND FOUNDATIONS STAFF. DURING THE DATA GATHERING PROCESS COMMUNITY MEMBERS WERE INTERVIEWED AND COMMUNITY CONVERSATIONS WERE HELD ONCE PRELIMINARY ANALYSIS WAS COMPLETED TO IDENTIFY PRIORITIES AND CONFIRM THE FINDINGS FROM THE PERSPECTIVE OF THOSE WHO LIVE AND WORK IN THE COMMUNITIES SERVED. ADDITIONALLY, HEALTH LEADERS FROM THE GREATER HARTFORD AREA WERE CONSULTED TO DETERMINE IF THE FINDINGS REFLECTED THEIR COMMUNITY NEEDS AS WELL.
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER	PART V, SECTION B, LINE 6A: OTHER HOSPITAL FACILITIES WHO PARTICIPATED IN THE CHNA INCLUDED MOUNT SINAI HOSPITAL; JOHNSON MEMORIAL HOSPITAL AND CONNECTICUT CHILDREN'S MEDICAL CENTER
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER	PART V, SECTION B, LINE 6B: OTHER ORGANIZATIONS INCLUDED IN CONDUCTING THE CHNA INCLUDED HARTFORD FOUNDATION FOR PUBLIC GIVING, DATA HAVEN, HARTFORD HEALTH AND HUMAN SERVICES AND COMMUNITY SOLUTIONS
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER	PART V, SECTION B, LINE 11: THE IMPLEMENTATION STRATEGY ADOPTED JANUARY 25, 2017 ADDRESSES THE NEEDS FOUND IN THE CHNA INCLUDING:1. COMMUNITY SAFETY & VIOLENCE2. FAMILY & SOCIAL SUPPORT3. EMPLOYMENT AND POVERTY4. ACCESS TO CAREA COPY OF THE COMMUNITY HEALTH IMPROVEMENT STRATEGY IS INCLUDED IN THE APPENDIX.ACTIVITIES HAVE BEEN DEVELOPED BY SAINT FRANCIS AND WITH COMMUNITY PARTNERS TO ADDRESS THE NEEDS IDENTIFIED, THEY INCLUDE:COMMUNITY SAFETY & VIOLENCE PREVENTION:- ANNUAL GUN BUY BACK EVENT- FUNDING OF HARTFORD COMMUNITIES THAT CARE - VIOLENCE PREVENTION TRAINING FOR YOUTH- SUPPORT FOR PEACE BUILDERS - TRAINEES TO SUPPORT CLINICAL STAFF AFTER VIOLENT EVENTSFAMILY & SOCIAL SUPPORT (INCREASE HEALTHY BEHAVIORS):SUPPORT FOR AGENCIES TO PROVIDE PROGRAMS TO FAMILIES NEEDING SUPPORT- YMCA - DIABETES PREVENTION PROGRAM- LIVE WELL DIABETES- COOKING MATTERSFAMILY & SOCIAL SUPPORT (TOBACCO CESSATION): - MATCH COALITION- REGIONAL HEALTH MINISTRIES AND POLICY SUPPORT FOR TOBACCO 21ACCESS TO CARE (BEHAVIORAL HEALTH SERVICES): DEVELOPMENT OF A COALITION OF BEHAVIORAL HEALTH PARTNERS TO SUPPORT HARTFORD'S NORTH END COMMUNITY INCLUDING- SAINT FRANCIS BEHAVIORAL HEALTH- GENGRAS AMBULATORY CARE CLINIC- INTERCOMMUNITY- WHEELER CLINIC- CATHOLIC CHARITIESTHE IMPLEMENTATION STRATEGY WILL BE ORGANIZED AS AN INITIATIVE CALLED WELL BEING 360 AND IS FUNDED IN PART WITH GRANT DOLLARS AND A REALLOCATION OF A PORTION OF THE COMMUNITY BENEFIT DOLLARS THAT SAINT FRANCIS HAS DEDICATED TO THIS WORK. A HEALTH COALITION IS BEING DEVELOPED WHICH WILL PARTNER WITH THE GREATER HARTFORD PROMISE ZONE TO ADDRESS THE BROADER ISSUES OF HOUSING AND EMPLOYMENT WHICH ARE NOT BEING ADDRESSED DIRECTLY BY THE HOSPITAL.
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER	PART V, SECTION B, LINE 13B: PRESUMPTIVE SUPPORT:TH OF NE RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL INFORMATION THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON LIMITED AVAILABLE INFORMATION. WHEN SUCH APPROVAL IS GRANTED IT IS CLASSIFED AS "PRESUMPTIVE SUPPORT."EXAMPLES OF PRESUMPTIVE SUPPORT CASES INCLUDE:A. DECEASED PATIENTS WITH NO KNOWN ESTATEB. HOMELESSC. UNEMPLOYED PATIENTS WITH NO SPOUSE OR ASSETS.D. NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS.E. OUT OF STATE MEDICAID IN WHICH WE ARE NOT A PROVIDER.F. PATIENT WHO IS CURRENTLY ON PUBLIC ASSISTANCE BUT WAS INELIGIBLE AT THE TIME OF SERVICE.G. DISCHARGED BANKRUPTCIESH. MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR PATIENTS WHO ARE NON-RESPONSIVE TO THE FAP APPLICATION PROCESS, OTHER SOURCES OF INFORMATION, IF AVAILABLE SHOULD BE USED TO MAKE AN INDIVIDUAL ASSESSMENT OF FINANCIAL NEED. THIS INFORMATION WILL ENABLE THNE TO MAKE AN INFORMED DECISION ON THE FINANCIAL NEED OF NON-RESPONSIVE PATIENTS.
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER:	PART V, LINE 7A, HOSPITAL FACILITY WEBSITE:WWW.SAINTFRANCISCARE.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS

Schedule H (Form 990) 2015

Page 8

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	1 - SIMSBURY OFFICES & URGENT CARE 1502 HOPMEADOW ST 30 DORSET CROSSING SIMSBURY,CT06070	MEDICAL OFFICES AND COMMUNITY SPACE
2	2 - ENFIELD ACCESS CENTER 7 ELM STREET ENFIELD,CT06082	MEDICAL OFFICES AND COMMUNITY EDUCATION SPACE / LABORATORY SERVICES
3	3 - BLOOMFIELD MEDICAL OFFICE & URGENT CARE 421 COTTAGE GROVE ROAD BLOOMFIELD,CT06002	WALK-IN CLINIC AND MEDICAL OFFICES / LABORATORY SERVICES
4	4 - WINDSOR - SF GI ENDOSCOPY CENTER 360 BLOOMFIELD AVENUE WINDSOR,CT06095	ENDOSCOPY
5	5 - WEST HARTFORD MEDICAL OFFICES 345 NORTH MAIN STREET WEST HARTFORD,CT06109	MEDICAL OFFICES AND IT TRAINING SPACE / LABORATORY SERVICES
6	6 - ELLINGTON MEDICAL OFFICE 137 WEST ROAD ELLINGTON,CT06029	MEDICAL OFFICES AND COMMUNITY SPACE / LABORATORY SERVICES
7	7 - MANCHESTER MEDICAL OFFICES 515 WEST MIDDLE TPK MANCHESTER,CT06048	MEDICAL OFFICES AND COMMUNITY SPACE
8	8 - AVON ACCESS CENTER 35 NOD ROAD AVON,CT06001	MEDICAL OFFICES AND EDUCATION SPACE / LABORATORY SERVICES
9	9 - FARMINGTON MEDICAL OFFICES 11 SOUTH ROAD SUITE 200 FARMINGTON,CT06032	MEDICAL OFFICE
10	10 - GLASTONBURY ACCESS CENTER 31 SYCAMORE COMMONS GLASTONBURY,CT06033	MEDICAL OFFICES AND COMMUNITY EDUCATION SPACE / LABORATORY SERVICES
11	11 - WEST HARTFORD 20 ISHAM ROAD WEST HARTFORD,CT06109	MEDICAL OFFICES
12	12 - HARTFORD 500 BLUE HILLS AVE HARTFORD,CT06112	LABORATORY SERVICES
13	13 - EAST HARTFORD ACCESS CENTER 893 MAIN STREET EAST HARTFORD,CT06108	MEDICAL OFFICES / LABORATORY SERVICES
14	14 - WINDSOR MEDICAL OFFICE 1080 DAY HILL ROAD WINDSOR,CT06095	MEDICAL OFFICE
15	15 - FARMINGTON 2 SPRING LANE FARMINGTON,CT06032	LABORATORY SERVICES
16	16 - HARTFORD 1000 ASYLUM ST STE 3209 HARTFORD,CT06103	LABORATORY SERVICES
17	17 - SOUTH WINDSOR MEDICAL OFFICE 1340 SULLIVAN AVENUE SOUTH WINDSOR,CT06074	MEDICAL OFFICES
18	18 - BLOOMFIELD 580 COTTAGE GROVE RD BLOOMFIELD,CT06002	LABORATORY SERVICES
19	19 - WEST HARTFORD 928 FARMINGTON AVE WEST HARTFORD,CT06107	LABORATORY SERVICES
20	20 - ROCKY HILL 506 CROMWELL AVE ROCKY HILL,CT06067	LABORATORY SERVICES
21	21 - ROCKY HILL 2301 SILAS DEANE HWY ROCKY HILL,CT06067	LABORATORY SERVICES
22	22 - AVON 44 DALE RD AVON,CT06001	LABORATORY SERVICES
23	23 - HARTFORD 19 WOODLAND ST HARTFORD,CT06105	LABORATORY SERVICES
24	24 - ROCKY HILL MEDICAL OFFICES 2080 SILAS DEANE HIGHWAY ROCKY HILL,CT06067	MEDICAL OFFICE

Schedule H (Form 990) 2015

Page 9

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. REALLOCATION OF COMMUNITY BENEFIT DOLLARS FOR COMMUNITY TRANSFORMATION IS A NEW INITIATIVE WHICH WILL SUPPORT THIS WORK. HOUSING SUPPORT: THE 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 STRONG PARTNERSHIPS THIS PAST YEAR WITH HOUSING EXPERTS INCLUDING STAFF AT: COMMUNITY SOLUTIONS; JOURNEY HOME AND THE PARTNERSHIP FOR A STRONGER COMMUNITY. ECONOMIC DEVELOPMENT:SAINT 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 OPPORTUNITIES FOR SMALL BUSINESS TO MEET LOCAL PURCHASERS. ADDITIONALLY, TRINITY HEALTH IS CONNECTED TO NATIONAL AND LOCAL COMMUNITY DEVELOPMENT FINANCE INSTITUTIONS WHICH WILL ENHANCE OPPORTUNITIES IN THIS AREA. COMMUNITY SUPPORT: SAINT FRANCIS HOSPITAL IS INVOLVED IN A WIDE ARRAY OF COMMUNITY SUPPORT PROGRAMS AND INITIATIVES INCLUDING A FOCUS ON: THE IMPACT OF UNINTENTIONAL INJURIES; AND PROVIDING SUPPORT TO STUDENTS AND INTERNS. 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 IMPROVEMENTS:SAINT 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 DEVELOPMENT:IN 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 WHEN NEEDED. THE CONTRIBUTIONS FOR THESE ACTIVITIES ARE INCLUDED IN THE COMMUNITY HEALTH IMPROVEMENT SECTION OF OUR DATA.
PART III, LINE 2:	BAD DEBT REPRESENTS ACTUAL EXPENSE AS REPORTED ON THE AUDITED FINANCIAL STATEMENTS.
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 VI, LINE 2:	SAINT FRANCIS' 2016 CHNA IS BASED ON AN ITERATIVE COMMUNITY ENGAGEMENT AND DATA COLLECTION STRATEGY THAT BEGAN IN JULY OF 2015 AND CONTINUED FOR THE NEXT NINE MONTHS. THE PROCESS COMMENCED WITH THE IDENTIFICATION OF A TEAM REPRESENTING HEALTHCARE, COMMUNITY DEVELOPMENT, GOVERNMENT AND LOCAL GROUPS AND COMMUNITY FOUNDATION AGENCIES. WORK OFFICIALLY BEGAN WITH AN AGREEMENT AMONG THESE GROUPS TO REVIEW EXISTING DATA SETS; TO ENGAGE DATAHAVEN (A NONPROFIT DATA-COLLECTION ORGANIZATION SPECIALIZING IN PUBLIC HEALTH) TO COMPLETE TELEPHONE INTERVIEWS OF COMMUNITY RESIDENTS; TO INVOLVE PROGRAM PARTICIPANTS AND CONDUCT INTERVIEWS AND DISCUSS PRIORITIES WITH "KEY INFORMANTS" (COMMUNITY LEADERS AND LEADERS OF PARTNER AGENCIES). ALL ASPECTS OF THE INFORMATION-GATHERING PROCESS WERE DESIGNED TO REACH BEYOND THE WALLS OF THE HOSPITAL TO GET ANSWERS TO THE QUESTIONS: WHO? WHAT? WHERE? HOW? THROUGHOUT, THE EMPHASIS WAS ON SIGNIFICANT COMMUNITY INPUT-IN THE FORM OF TELEPHONE INTERVIEWS WITH COMMUNITY MEMBERS, SURVEYS OF PROGRAM PARTICIPANTS, INFORMAL DISCUSSIONS WITH COMMUNITY LEADERS AND INTERVIEWS WITH KEY INFORMANTS TO GAIN A BETTER UNDERSTANDING OF WHAT IS AFFECTING THE HEALTH OF THE HARTFORD REGION. THE TEAM COLLECTED DATA AT THE LOCAL LEVEL TO FACILITATE AND IDENTIFY WHERE THE GREATEST NEEDS ARE CONCENTRATED AND GATHERED INFORMATION FROM COLLABORATIVE PARTNERS THROUGH KEY INFORMANT INTERVIEWS TO MAXIMIZE WHO SHOULD BE INCLUDED FOR COLLECTIVE IMPACT. THE RESULTING ASSESSMENT WILL SERVE AS A STARTING POINT TO DEVELOP DATA-DRIVEN GOALS AND STRATEGIES ON HOW TO ADDRESS THE NEEDS THAT HAVE BEEN IDENTIFIED.
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; FURTHER EDITS WERE INCLUDED AND APPROVED IN NOVEMBER 2015.
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.
PART VI, LINE 5:	COALITION BUILDING:SAINT FRANCIS IS TAKING A LEADERSHIP ROLE IN THE DEVELOPMENT OF A HEALTH COALITION CALLED THE NORTH HARTFORD TRIPLE AIM COLLABORATIVE. THIS PROCESS IS WELL UNDERWAY AND THE DESIGN PHASE OF THE WORK HAS NOW BEEN COMPLETED. THE COLLABORATIVE HAS PARTNERED WITH THE NORTH HARTFORD PROMISE ZONE TO SERVE AS THE HEALTH "ARM" OF THEIR WORK AND WILL BE ORGANIZING TO ENGAGE OTHERS TO JOIN. HARTFORD IS A SMALL CITY AND RESOURCES ARE VERY LIMITED; A COLLABORATIVE APPROACH TO SOLVING ISSUES RELATED TO HEALTH HAS BEEN WELL RECEIVED AND HAS ALREADY BEEN SUPPORTED BY NUMEROUS AGENCIES AT THE LOCAL, STATE AND NATIONAL LEVEL. EXECUTIVE STAFF AT SAINT FRANCIS IS EXPECTED TO PARTICIPATE IN COMMUNITY IMPROVEMENT ACTIVITIES SUCH AS SERVING ON BOARDS, ASSISTING SMALL NON-PROFITS WITH FUNDRAISING ACTIVITIES, PROVIDING EXPERTISE AND IN-KIND SUPPORT AND PROVIDING MEETING SPACE FREE OF CHARGE. ADVOCACY FOR HEALTH IMPROVEMENTS:ADVOCACY WORK AT SAINT FRANCIS IS DONE BY THOSE WITH HIGH LEVEL EXPERTISE IN AN AREA OF HEALTH CARE TO WHICH THEY CAN SPEAK WITH BOTH KNOWLEDGE AND CONVICTION. SAINT FRANCIS STAFF ARE ALSO ENGAGED WITH TOBACCO CESSATION ACTIVITIES AT THE COALITION LEVEL BY PARTICIPATION IN THE MATCH COALITION - A GROUP WORKING TO IMPROVE LAWS AND POLICIES WHICH LIMIT ACCESS TO TOBACCO BY YOUTH. THIS PARTNERSHIP EXTENDS TO TRINITY HEALTH CORPORATE WHICH IS ABLE TO PROVIDE A MYRIAD OF RESOURCES TO MOVE THIS AGENDA FORWARD. POLICY WORK IN THE AREAS OF SUPPORT FOR BREASTFEEDING AND ACCESS TO HEALTHY FOODS AS WELL AS WORK TO IMPROVE THE OPPORTUNITIES FOR ACTIVE LIVING HAS ALSO BECOME PRIORITIES FOR SAINT FRANCIS. 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 ADDITION 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 SYSTEM- THE 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 NEED- LET'S NOT MEET BY ACCIDENT: TEEN VIOLENCE PREVENTION- KISS - CT (KIDS IN SAFETY SEATS): PROVIDING FREE CAR SEATS AND INSPECTION FOR FAMILIES WITH YOUNG CHILDREN- NURTURING FAMILIES NETWORK: TEEN PARENT SUPPORT PROGRAM- HEALTHY START PROGRAM: WORKING TO PREVENT INFANT MORTALITY- MEDICAL LEGAL PARTNERSHIP: LEGAL SUPPORT FOR FAMILIES WITH CHILDREN WHO HAVE SPECIAL NEEDS- WOMEN'S HEART PROGRAM: FREE HEART HEALTH SCREENING AND ASSESSMENT IN THE COMMUNITY- CHILDREN'S ADVOCACY CENTER: SUPPORT FOR CHILDREN AND FAMILIES IMPACTED BY CHILD SEXUAL ABUSE- INTEGRATIVE MEDICINE: FREE MEDICAL SERVICES PROVIDED TO SUPPORT TRADITIONAL APPROACHES OF CARE
PART VI, LINE 6:	AFFILIATED HEALTH CARE SYSTEM:SAINT FRANCIS HOSPITAL IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH ANNUALLY REQUIRES THAT ALL MEMBER ORGANIZATIONS DEFINE - AND ACHIEVE - SPECIFIC COMMUNITY HEALTH AND WELL-BEING GOALS. IN FISCAL YEAR 2016, GOALS INCLUDED 1) PARTNERING WITH COMMUNITY ORGANIZATIONS IN INSURANCE ENROLLMENT ACTIVITIES TARGETED AT UNINSURED INDIVIDUALS TO IMPROVE ACCESS TO HEALTHCARE, 2) PARTICIPATING IN LOCAL ADVOCACY EFFORTS AIMED AT CURBING TOBACCO USE AND PREVENTING OBESITY, AND 3) DEVELOPING A STRATEGY WITH MULTI-DISCIPLINARY TEAMS TO OPTIMIZE CARE FOR VULNERABLE PERSONS, WITH PARTICULAR FOCUS ON THOSE WHO ARE DUALLY ENROLLED IN MEDICAID AND MEDICARE.TRINITY HEALTH APPRECIATES THE IMPACT SOCIAL DETERMINANTS SUCH AS ADEQUATE HOUSING, SAFETY, ACCESS TO FOOD, EDUCATION, INCOME, AND HEALTH COVERAGE HAVE ON THE HEALTH OF THE COMMUNITY. IN FISCAL YEAR 2016, TRINITY HEALTH LAUNCHED THE TRANSFORMING COMMUNITIES INITIATIVE (TCI), AWARDING EIGHT COMMUNITIES FUNDING TO IMPROVE THE HEALTH AND WELL-BEING OF THEIR COMMUNITIES IN PARTNERSHIP WITH THE LOCAL TRINITY HEALTH MEMBER HOSPITAL. THE AWARDED PROGRAMS FOCUS ON POLICY, SYSTEM, AND ENVIRONMENTAL CHANGES THAT SPECIFICALLY IMPACT COMMUNITY IDENTIFIED AREAS OF NEED AND THAT WILL REDUCE OBESITY AND TOBACCO USE.AS A SYSTEM, TRINITY HEALTH SUPPORTED PROGRAMS AND ORGANIZATIONS WHO ADDRESS THESE SOCIAL DETERMINANTS OF HEALTH. PROGRAMS INCLUDE GRANTING SEVEN DACA "DREAMERS" LOW INTEREST LOANS, ENABLING RECEIPIENTS TO ATTEND MEDICAL SCHOOL AT STRITCH SCHOOL OF MEDICINE, AND PROVIDING A GRANT TO THE U.S. SOCCER FOUNDATION TO FUND ITS SOCCER FOR SUCCESS PROGRAM IN NINE COMMUNITIES, OFFERING STUDENTS IN UNDERSERVED AREAS THE OPPORTUNITY TO SAFELY AND COST-EFFECTIVELY ENGAGE IN A HEALTHY AND ACTIVE LIFESTYLE.AS A NOT-FOR-PROFIT HEALTH SYTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO OUR COMMUNITIES THROUGH PROGRAMS SERVING THOSE WHO ARE POOR AND UNINSURED, HELPING MANAGE CHRONIC CONDITIONS LIKE DIABETES, PROVIDING HEALTH EDUCATION, PROMOTING WELLNESS AND REACHING OUT TO UNDERSERVED POPULATIONS. ANNUALLY, THE ORGANIZATION INVESTS NEARLY $1 BILLION IN SUCH COMMUNITY BENEFITS AND WORKS TO ENSURE THAT ITS MEMBER HOSPITALS AND OTHER ENTITIES/AFFILIATES ENHANCE THE OVERALL HEALTH OF THE COMMUNITIES THEY SERVE BY ADDRESSING THE SPECIFIC NEEDS OF EACH COMMUNITY.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG.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) 2015

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," on 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

2015

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" on 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	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance

(1) MANDELL JEWISH COMMUNITY CENTER 335 BLOOMFIELD AVE WEST HARTFORD,CT06117	06-0662142	501(C)(3)	72,600	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)	395,000	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)	16,000	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) SUSAN G KOMEN SOUTHERN NEW ENGLAND 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)	25,000	BOOK	N/A	TO PROMOTE AND HELP FUND ACTIVITIES ASSOCIATED WITH THE EDUCATION, RESEARCH AND TREATMENT OF LEUKEMIA AND ITS RELATED CANCERS.
(6) THE MALTA HOUSE OF CARE FOUNDATION 19 WOODLAND STREET HARTFORD,CT06105	20-3562371	501(C)(3)	10,000	BOOK	N/A	TO SUPPORT CLINIC SERVICES PROVIDED BY THE MALTA HOUSE OF CARE FREE MOBILE MEDICAL CLINIC
(7) HARTFORD SYMPHONY ORCHESTRA 100 PEARL ST 2ND FLOOR EAST TOWER HARTFORD,CT06103	06-0637319	501(C)(3)	7,500	BOOK	N/A	RHAPSODY SPONSOR FOR BRAVO! - TO SUPPORT HSO EDUCATION & COMMUNITY ENGAGEMENT PROGRAMS / SPONSORSHIP IN SUPPORT OF THE TALCOTT MOUNTAIN MUSIC FESTIVAL
(8) CONNECTICUT SCIENCE CENTER 250 COLUMBUS BLVD HARTFORD,CT06103	06-1538101	501(C)(3)	13,500	BOOK	N/A	THE CT SCIENCE CENTER OFFERS EXCITING TOOLS TO HELP EDUCATORS AND PARENTS BRING TEXTBOOKS TO LIFE. CREATING UNFORGETTABLE EXPERIENCES WITH SCIENCE MOTIVATES STUDENTS AND VISITORS OF ALL AGES TO ENTHUSIASTICALLY EMBRACE SCIENCE AT SCHOOL, AT HOME, AND IN THEIR COMMUNITIES.
(9) CATHOLIC CHARITIES ARCHDIOCESE OF CONNECTICUT 896 ASYLUM AVENUE HARTFORD,CT06105	06-0667607	501(C)(3)	16,000	BOOK	N/A	MOTIVATED BY CHRIST'S SOCIAL TEACHINGS AND RESPECT FOR THE RICHNESS OF DIVERSITY, CATHOLIC CHARITIES EXISTS TO PROMOTE THE DIGNITY, SELF-SUFFICIENCY AND HUMAN POTENTIAL OF THOSE IN NEED.
(10) CONNECTICUT FORUM 750 MAIN STREET SUITE 200 HARTFORD,CT06103	06-1343149	501(C)(3)	6,500	BOOK	N/A	TO SUPPORT THE MISSION OF ENCOURAGING THE FREE AND ACTIVE EXCHANGE OF IDEAS IN FORUMS WHICH INFORM, CHALLENGE, ENTERTAIN, INSPIRE AND BUILD BRIDGES AMONG ALL PEOPLE AND ORGANIZATIONS IN OUR COMMUNITY.
(11) CONNECTICUT CENTER FOR PRIMARY CARE 3 FARM GLEN BLVD FARMINGTON,CT06032	03-0441188	501(C)(3)	10,000	BOOK	N/A	CCPC ENGAGES IN RESEARCH AND EDUCATION THAT STRENGTHENS THE CENTRAL ROLE OF PRIMARY CARE IN AN EVOLVING HEALTHCARE SYSTEM. PLATINUM SPONSOR FOR ANNUAL PRIMARY CARE SUMMIT
(12) JEWISH FEDERATION OF GREATER HARTFORD 333 BLOOMFIELD AVE SUITE C WEST HARTFORD,CT06117	06-0655482	501(C)(3)	9,000	BOOK	N/A	SPONSORSHIP IN SUPPORT OF A WOMEN'S PHILANTHROPY EVENT "VOICES" / THE MISSION OF THE JEWISH FEDERATION OF GREATER HARTFORD IS TO ENHANCE, BUILD AND PERPETUATE JEWISH LIFE IN GREATER HARTFORD (GOLD SPONSOR - BUSINESS PARTNER)

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) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of non-cash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of non-cash assistance

(1) EMPLOYEE CHILDREN'S SCHOLARSHIP FUND	15	15,000	BOOK	N/A
(2) ANNUAL NURSING AWARD	11	9,800	BOOK	N/A
(3) S.A. CARRABBA, MD, AWARD (RESEARCH PROJECT)	2	500	BOOK	N/A
(3)
(4)
(5)
(6)
(7)

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) 2015

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" on 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

2015

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 on 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 on 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 on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

For persons listed on 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 on 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" on 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) 2015

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 on 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 on 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 / DIRECTOR	(i) (ii)	851,337 ------------- 0	795,000 ------------- 0	68,952 ------------- 0	757,196 ------------- 0	49,905 ------------- 0	2,522,390 ------------- 0	0 ------------- 0
2JOHN F RODIS MD MBAPRESIDENT	(i) (ii)	709,136 ------------- 0	290,000 ------------- 0	0 ------------- 0	31,000 ------------- 0	40,578 ------------- 0	1,070,714 ------------- 0	0 ------------- 0
3DAVID BITTNERCFO & SR VP FINANCE	(i) (ii)	377,165 ------------- 0	155,000 ------------- 0	14,423 ------------- 0	15,422 ------------- 0	31,395 ------------- 0	593,405 ------------- 0	0 ------------- 0
4ROBERT CHRISTOPHER HARTLEYSR VP PLANNING & FACILITIES	(i) (ii)	322,168 ------------- 0	50,000 ------------- 0	0 ------------- 0	24,534 ------------- 0	34,438 ------------- 0	431,140 ------------- 0	0 ------------- 0
5JENNIFER SCHNEIDERVP FINANCE	(i) (ii)	242,171 ------------- 0	60,000 ------------- 0	5,649 ------------- 0	17,698 ------------- 0	27,980 ------------- 0	353,498 ------------- 0	0 ------------- 0
6DAWN BRYANTSVP, CHIEF HUMAN RESOURCE OFFICER	(i) (ii)	242,038 ------------- 0	75,000 ------------- 0	0 ------------- 0	15,600 ------------- 0	23,327 ------------- 0	355,965 ------------- 0	0 ------------- 0
7LINDA SHANLEYVP AND CIO	(i) (ii)	283,597 ------------- 0	55,000 ------------- 0	0 ------------- 0	19,735 ------------- 0	17,857 ------------- 0	376,189 ------------- 0	0 ------------- 0
8DENISE PETERSONVP PROF NRSG PRACTICE & QUAL/CNO	(i) (ii)	219,253 ------------- 0	18,000 ------------- 0	0 ------------- 0	6,977 ------------- 0	14,847 ------------- 0	259,077 ------------- 0	0 ------------- 0
9JANEANNE LUBIN-SZAFRANSKIGENERAL COUNSEL & SVP LGL AFFAIRS	(i) (ii)	355,258 ------------- 0	60,000 ------------- 0	0 ------------- 0	5,588 ------------- 0	28,783 ------------- 0	449,629 ------------- 0	0 ------------- 0
10STUART ROSENBERGPRESIDENT-JMMC	(i) (ii)	310,229 ------------- 0	36,160 ------------- 0	0 ------------- 0	20,800 ------------- 0	25,375 ------------- 0	392,564 ------------- 0	0 ------------- 0
11JAMES W SCHEPKERVP MARKETING & BUSINESS DEVELOPMENT	(i) (ii)	254,168 ------------- 0	50,000 ------------- 0	0 ------------- 0	20,696 ------------- 0	22,717 ------------- 0	347,581 ------------- 0	0 ------------- 0
12DERRICK AMATOADMINISTRATIVE DIRECTOR	(i) (ii)	296,264 ------------- 0	0 ------------- 0	0 ------------- 0	8,200 ------------- 0	13,848 ------------- 0	318,312 ------------- 0	0 ------------- 0
13NICOLE SCHULZVP REVENUE CYCLE	(i) (ii)	275,190 ------------- 0	60,000 ------------- 0	0 ------------- 0	15,811 ------------- 0	28,722 ------------- 0	379,723 ------------- 0	0 ------------- 0
14LYNN ROSSINIVP CHIEF DEVELOPMENT OFFICER	(i) (ii)	274,274 ------------- 0	55,000 ------------- 0	0 ------------- 0	18,006 ------------- 0	29,109 ------------- 0	376,389 ------------- 0	0 ------------- 0
15STEVEN T RUBY MDFORMER DIRECTOR / DEPT. CHAIRMAN	(i) (ii)	765,401 ------------- 0	25,000 ------------- 0	0 ------------- 0	15,600 ------------- 0	10,111 ------------- 0	816,112 ------------- 0	0 ------------- 0
16PAUL F MITCHELL DMDFORMER DIRECTOR	(i) (ii)	0 ------------- 272,694	0 ------------- 0	0 ------------- 0	0 ------------- 20,800	0 ------------- 23,153	0 ------------- 316,647	0 ------------- 0
17SHERI A LEMIEUXFORMER ASSISTANT SECRETARY	(i) (ii)	97,173 ------------- 0	40,000 ------------- 0	0 ------------- 0	2,965 ------------- 0	15,058 ------------- 0	155,196 ------------- 0	0 ------------- 0
18TERESA M BOLTONFORMER HUMAN RESOURCES COUNSEL	(i) (ii)	215,994 ------------- 0	0 ------------- 0	19,550 ------------- 0	10,350 ------------- 0	19,103 ------------- 0	264,997 ------------- 0	0 ------------- 0
19GREG MAKOULFORMER SVP, CAO	(i) (ii)	43,872 ------------- 0	0 ------------- 0	296,290 ------------- 0	0 ------------- 0	13,161 ------------- 0	353,323 ------------- 0	0 ------------- 0
20JOHN N GIAMALISFORMER EVP & CAO	(i) (ii)	430 ------------- 0	0 ------------- 0	433,500 ------------- 0	0 ------------- 0	13,840 ------------- 0	447,770 ------------- 0	0 ------------- 0
21E MERRITT MCDONOUGH JRFORMER SF FDTN PRESIDENT	(i) (ii)	1,656 ------------- 0	0 ------------- 0	290,700 ------------- 0	0 ------------- 0	11,746 ------------- 0	304,102 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2015

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	TERESA M. BOLTON RECEIVED A SEVERANCE BENEFIT OF $19,550. GREG MAKOUL RECEIVED A SEVERANCE BENEFIT OF $296,290. JOHN N. GIAMALIS RECEIVED A SEVERANCE BENEFIT OF $433,500. E. MERRITT MCDONOUGH, JR. RECEIVED A SEVERANCE BENEFIT OF $290,700. CHRISTOPHER DADLEZ PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE YEAR WITH AN ESTIMATED BENEFIT OF $738,996.

Schedule J (Form 990) 2015

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

2015

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) 2015

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	PRESIDENT	16,392,876	RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO COLLABORATIVE LABORATORIES. JOHN RODIS IS PRESIDENT OF COLLABORATIVE LABORATORIES.		No
(2) JOHN RODIS	PRESIDENT	21,297,954	PURCHASE OF SERVICES AND SUPPLIES FROM COLLABORATIVE LABORATORY SERVICES. JOHN RODIS IS PRESIDENT OF COLLABORATIVE LABORATORY SERVICES.		No
(3) DAVID BITTNER	SR VP FINANCE & CFO	16,392,876	RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO COLLABORATIVE LABORATORIES. DAVID BITTNER IS THE TREASURER OF COLLABORATIVE LABORATORIES.		No
(4) DAVID BITTNER	SR VP FINANCE & CFO	21,297,954	PURCHASE OF SERVICES AND SUPPLIES FROM COLLABORATIVE LABORATORY SERVICES. DAVID BITTNER IS THE TREASURER OF COLLABORATIVE LABORATORY SERVICES.		No
(5) CHRISTOPHER DADLEZ	CEO & PRESIDENT THROUGH DECEMBER 2015	712,089	RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS HEALTHCARE PARTNERS. CHRISTOPHER DADLEZ IS VICE CHAIRMAN OF SAINT FRANCIS HEALTHCARE PARTNERS.		No
(6) CHRISTOPHER DADLEZ	CEO & PRESIDENT THROUGH DECEMBER 2015	2,731,130	MANAGED CARE SERVICES FROM SERVICES TO SAINT FRANCIS HEALTHCARE PARTNERS. CHRISTOPHER DADLEZ IS THE VICE CHAIRMAN OF SAINT FRANCIS HEALTHCARE PARTNERS.		No
(7) DAVID BITTNER	SR VP & CFO	712,089	RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS HEALTHCARE PARTNERS. DAVID BITTNER IS TREASURER OF SAINT FRANCIS HEALTHCARE PARTNERS.		No
(8) DAVID BITTNER	SR VP & CFO	2,731,130	MANAGED CARE SERVICES FROM SAINT FRANCIS HEALTHCARE PARTNERS. DAVID BITTNER IS TREASURER OF SAINT FRANCIS HEALTHCARE PARTNERS.		No
(9) JOHN RODIS	PRESIDENT	712,089	RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS HEALTHCARE PARTNERS. JOHN RODIS IS A DIRECTOR OF SAINT FRANCIS HEALTHCARE PARTNERS.		No
(10) JOHN RODIS	PRESIDENT	2,731,130	MANAGED CARE SERVICES FROM SAINT FRANCIS HEALTHCARE PARTNERS. JOHN RODIS IS A DIRECTOR OF SAINT FRANCIS HEALTHCARE PARTNERS.		No
(11) JOHN RODIS	PRESIDENT	846,477	RENTAL OF OFFICE SPACE, ADMINISTATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS BEHAVIORAL HEALTH GROUP, P.C. JOHN RODIS IS EXECUTIVE VICE PRESIDENT OF SAINT FRANCIS BEHAVIORAL HEALTH GROUP, P.C.		No
(12) JOHN RODIS	PRESIDENT	2,179,491	PURCHASE OF SERVICES FROM SAINT FRANCIS BEHAVIORAL HEALTH GROUP, P.C. JOHN RODIS IS EXECUTIVE VICE PRESIDENT OF SAINT FRANCIS BEHAVIORAL HEALTH GROUP, P.C.		No
(13) DAVID BITTNER	SR VP & CFO	1,637,837	RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS. DAVID BITTNER IS A DIRECTOR OF TOTAL LAUNDRY COLLABORATIVE.		No
(14) DAVID BITTNER	SR VP & CFO	3,156,998	PURCHASE OF LAUNDRY SERVICES. DAVID BITTNER IS A DIRECTOR OF TOTAL LAUNDRY COLLABORATIVE.		No
(15) JOHN RODIS	PRESIDENT	713,171	PURCHASE OF SERVICES FROM SAINT FRANCIS CARE MEDICAL GROUP. JOHN RODIS IS A DIRECTOR OF SAINT FRANCIS CARE MEDICAL GROUP.		No
(16) JOHN RODIS	PRESIDENT	449,404	RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS. JOHN RODIS IS A DIRECTOR OF SAINT FRANCIS CARE MEDICAL GROUP.		No
(17) R CHRISTOPHER HARTLEY	KEY EMPLOYEE	713,171	PURCHASE OF SERVICES FROM SAINT FRANCIS CARE MEDICAL GROUP. R. CHRISTOPHER HARTLEY IS A DIRECTOR OF SAINT FRANCIS CARE MEDICAL GROUP.		No
(18) R CHRISTOPHER HARTLEY	KEY EMPLOYEE	449,404	RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS. R. CHRISTOPHER HARTLEY IS A DIRECTOR OF SAINT FRANCIS CARE MEDICAL GROUP.		No
(19) JANEANNE LUBIN-SZAFRANSKI	DIRECTOR	713,171	PURCHASE OF SERVICES FROM SAINT FRANCIS CARE MEDICAL GROUP. JANEANNE LUBIN SZAFRANSKI IS A DIRECTOR OF SAINT FRANCIS CARE MEDICAL GROUP.		No
(20) JANEANNE LUBIN-SZAFRANSKI	DIRECTOR	449,404	RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS. JANEANNE LUBIN SZAFRANSKI IS A DIRECTOR OF SAINT FRANCIS CARE MEDICAL GROUP.		No
(21) DAVID BITTNER	KEY EMPLOYEE	713,171	PURCHASE OF SERVICES FROM SAINT FRANCIS CARE MEDICAL GROUP. DAVID BITTNER IS THE TREASURER OF SAINT FRANCIS CARE MEDICAL GROUP.		No
(22) DAVID BITTNER	KEY EMPLOYEE	449,404	RENTAL OF OFFICE SPACE, ADMINISTRATIVE & ACCOUNTING SERVICES TO SAINT FRANCIS. DAVID BITTNER IS THE TREASURER OF SAINT FRANCIS CARE MEDICAL GROUP.		No
(23) P ANTHONY GIORGIO	CHAIRMAN	292,849	P. ANTHONY GIORGIO IS A 50% OWNER IN A BUILDING THAT SFHMC RENTS SPACE.		No
(24) ANTHONY POSTERARO III MD	DIRECTOR	406,646	ANTHONY POSTERARO III, M.D. IS A PARTNER IN RADIOLOGY ASSOCIATES OF HARTFORD WHO PROVIDES HEALTHCARE SERVICES TO THE HOSPITAL.		No
(25) FRANKLIN ROSENBERG MD	DIRECTOR	1,069,503	FRANKLIN ROSENBERG, M.D. IS A PARTNER IN WOODLAND ANESTHESIOLOGY ASSOC. PC WHO PROVIDES HEALTHCARE SERVICES TO THE HOSPITAL.		No
(26) PHILLIP J KARANIAN MD	DIRECTOR	61,487	PHILLIP J. KARANIAN, M.D. IS A PARTNER IN PRIME HEALTHCARE WHO PROVIDES HEALTHCARE SERVICES TO THE HOSPITAL.		No
(27) STEVEN COHEN MD	DIRECTOR	42,000	STEVEN COHEN, M.D. IS A PARTNER IN GREATER HARTFORD CARDIOLOGY WHO PROVIDES HEALTHCARE SERVICES TO THE HOSPITAL.		No
(28) STEVEN COHEN MD	DIRECTOR	30,900	STEVEN COHEN, M.D. PROVIDED HEALTHCARE SERVICES TO THE HOSPITAL.		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) 2015

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

2015

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:	AT SAINT FRANCIS HOSPITAL AND MEDICAL CENTER, IT IS OUR MISSION TO BE A TRANSFORMATIVE, HEALING PRESENCE IN THE COMMUNITY. THIS IS AN OPPORTUNITY TO COMPLEMENT OUR HEALTH CARE ROLE BY CREATING PARTNERSHIPS THAT ADDRESS NEEDS OUTSIDE THE WALLS OF OUR HOSPITALS. WE ARE HONORED TO SHARE IN OUR ANNUAL COMMUNITY BENEFIT REPORT THE WAYS WE ARE TAKING ACTION IN LOCAL NEIGHBORHOODS THROUGH EDUCATIONAL FORUMS, ASSESSING HOW OUR COMMUNITY CAN ACHIEVE BETTER "WELLNESS, AND BRINGING NEEDED SERVICES CLOSER TO YOUR HOME. THE CURTIS D. ROBINSON CENTER FOR HEALTH EQUITY BRINGS IT ALL TOGETHER TO ASSURE EQUITABLE CARE FOR EVERY PERSON IN OUR COMMUNITY. FROM THE WELL BEING 360 PROGRAM DESIGNED TO ASSIST IN ACCESS TO HEALTHY FOODS, APPROPRIATE SOCIAL SERVICES, AND DIABETES EDUCATION TO SCREENING AND ENGAGEMENT IN THE COMMUNITY, OUR GOALS FOR COMMUNITY HEALTH AND WELL-BEING ARE MISSION INVESTMENTS WE GLADLY SHARE IN COOPERATION WITH OUR TRINITY HEALTH OF NEW ENGLAND FAMILY. WE ARE PLEASED TO WALK HAND IN HAND WITH THE COMMUNITIES WE SERVE! CREATING A HEALTHY COMMUNITY THE WORD CREATE" TAKES ON DIFFERENT SHADINGS FOR DIFFERENT PEOPLE. TO A SCULPTOR, IT CAN MEAN CARVING A ROUGH HUNK OF STONE INTO A GRACEFUL FORM. TO A PASTRY CHEF, IT CAN MEAN WHIPPING UP ORDINARY EGGS INTO A GRAVITY-DEFYING SOUFFLE. TO A VIOLINIST, IT MEANS RUBBING A BOW OVER FOUR STRINGS TO PRODUCE, NOT A SQUAWK, BUT A SOUND THAT PLEASES THE EAR AND THE HEART. AND TO A CHILD, THE WORD CAN MEAN SOMETHING AS SIMPLE AS DIPPING ALL 10 FINGERS INTO TUBS OF PAINT, SQUISHING THOSE PAINT-COVERED FINGERS ON A PIECE OF PAPER, AND MAKING A COLORFUL MASTERPIECE. APPLYING THE WORD CREATE" TO A HEALTH CARE INSTITUTION MIGHT SEEM UNEXPECTED. THE MEDICAL WORLD IS OFTEN SEEN AS ONE OF CLINICAL DATA AND SCIENTIFIC PROTOCOL. THAT'S TRUE TO A POINT, BUT IT'S IMPORTANT TO REMEMBER THAT EVERY INNOVATION REQUIRES IMAGINATION-AND CREATIVITY. AND THAT'S JUST AS TRUE FOR DEVELOPING A MIRACLE MEDICATION OR STRUCTURING A COMPLEX HEALTH CARE SYSTEM AS IT IS FOR WRITING A SYMPHONY. BROADENING THE DEFINITION OF COMMUNITY BENEFIT CREATING A HEALTHY COMMUNITY IS THE THEME FOR THIS YEAR'S COMMUNITY BENEFIT REPORT, WHICH PROVIDES A SUMMARY OF OUR WORK TO CREATE A COMMUNITY IN WHICH ALL RESIDENTS SHARE IN THE BLESSING OF GOOD HEALTH. CREATING A HEALTHY COMMUNITY REQUIRES AS MUCH KNOWLEDGE, SKILL, HEART, AND IMAGINATION AS ANY OTHER CREATIVE ENDEAVOR-AND IT IS ONE THAT WILL INVOLVE THE EFFORTS OF MANY, BOTH WITHIN AND OUTSIDE OUR WALLS. A HEALTHY COMMUNITY IS NOT SOMETHING THAT CAN BE CREATED BY A SINGLE ENTITY. WE WILL NEED PARTNERS TO SUCCEED. THE TERM "COMMUNITY BENEFIT" HAS LONG BEEN USED IN THE NONPROFIT WORLD, BUT SINCE THE PASSAGE OF THE AFFORDABLE CARE ACT, EVERY PARTICIPATING HEALTH CARE INSTITUTION HAS BEEN REQUIRED TO PUBLISH AN ANNUAL COMMUNITY BENEFIT REPORT (CBR) ON ITS EFFORTS TO PROMOTE HEALTH AND HEALING IN THE COMMUNITY IN RESPONSE TO HEALTH NEEDS THAT HAVE BEEN IDENTIFIED THERE. (THE AFFORDABLE CARE ACT ALSO REQUIRES HEALTH CARE INSTITUTIONS TO REGULARLY ASSESS COMMUNITY NEEDS AND PUBLISH THE RESULTS IN A DOCUMENT CALLED A COMMUNITY HEALTH NEEDS ASSESSMENT OR CHNA.) OUR COMMUNITY BENEFIT EFFORTS ARE UNDERTAKEN IN RESPONSE TO DATA IN THREE AREAS: - CHARITY CARE - FREE OR DISCOUNTED SERVICES OFFERED TO THOSE WHO CAN'T AFFORD TO PAY. - GOVERNMENT-SPONSORED HEALTH CARE - THE AMOUNT THE HOSPITAL MUST MAKE UP WHEN GOVERNMENT PAYMENTS FALL SHORT OF ACTUAL COSTS. - COMMUNITY BENEFITS SERVICES - ACTIVITIES DESIGNED TO ADDRESS COMMUNITY NEEDS, SUCH AS PUBLIC HEALTH PROGRAMS, OUTREACH EDUCATION, PARTNERSHIPS WITH LOCAL AGENCIES AND CLINICAL CARE PROVIDED DESPITE A NEGATIVE MARGIN. LIKE MANY IN THE HEALTH CARE FIELD, WE HAVE SEEN A NEED TO EXTEND OUR REACH EVEN FURTHER. WE BELIEVE THAT IN ORDER TO HELP OUR COMMUNITY ACHIEVE AND SUSTAIN THE BENEFITS OF GOOD HEALTH, WE MUST EXPAND THE HEALTH CARE FIELD'S TRADITIONAL CONCEPT OF COMMUNITY BENEFIT. OF COURSE, WE WILL ALWAYS FOCUS ON ACCESS TO HEALTH CARE AND HEALTH SERVICES, AND WE WILL STRIVE FOR THE VERY BEST HEALTH OUTCOMES POSSIBLE. BUT WE HAVE REDEFINED AND BROADENED THE TERM, SO THAT THE COMMUNITY BENEFIT SERVICES WE PROVIDE TAKE PLACE OUTSIDE THE HOSPITAL'S WALLS. NOW, WHEN WE TALK ABOUT COMMUNITY BENEFIT, WE TALK ABOUT NOTHING LESS THAN TRANSFORMING THE COMMUNITY TO IMPROVE OVERALL HEALTH AND WELL-BEING. THIS CHANGE, THOUGH NEW IN THE CONTEXT OF COMMUNITY BENEFIT, IS VERY MUCH AN EXTENSION OF OUR ORIGINAL MISSION. SINCE OUR FOUNDING IN 1897 BY THE SISTERS OF SAINT JOSEPH OF CHAMB RY, WE HAVE WELCOMED PEOPLE FROM HARTFORD'S ASYLUM HILL COMMUNITY, AS WELL AS THE ENTIRE CITY OF HARTFORD AND THE SURROUNDING AREA. FROM OUR EARLY DAYS AS A TWO-ROOM HOSPITAL TO OUR CURRENT STATUS AS NEW ENGLAND'S LARGEST CATHOLIC HOSPITAL, WITH 617 LICENSED INPATIENT BEDS, 65 BASSINETS AND FIVE CENTERS OF EXCELLENCE, WE HAVE MADE IT OUR MISSION TO SERVE PEOPLE AT EVERY STAGE OF LIFE, FROM EVERY WALK OF LIFE. AND WE HAVE ALWAYS MADE A SPECIAL EFFORT TO SERVE THE POOR AND THE MOST VULNERABLE OF SOCIETY. NOW, WE PLAN TO DO SO IN NEW WAYS. THIS CHANGE OWES, IN PART, TO OUR AFFILIATION WITH TRINITY HEALTH, ONE OF THE LARGEST HEALTH CARE SYSTEMS IN THE NATION. TRINITY HEALTH WAS BORN NEARLY 170 YEARS AGO AND NOW COMPRISES SOME 93 HOSPITALS AND 120 CONTINUING CARE FACILITIES, AS WELL AS HOME CARE AGENCIES AND OUTPATIENT CENTERS IN 22 STATES. TRINITY HEALTH'S MISSION AND VALUES-AND LONGTIME DEDICATION TO SERVICE-MATCH OUR OWN, AND THE RESOURCES AND BENEFITS AFFORDED TO US BY ITS REGIONAL APPROACH HAVE MADE IT POSSIBLE FOR US TO TAKE A BROADER, MORE COMPREHENSIVE VIEW OF HEALTH. BUT OUR BROADER VIEW OF THE CONCEPT OF COMMUNITY BENEFIT IS ALSO DUE TO OUR INCREASING AWARENESS THAT A HEALTH CARE SYSTEM'S SUCCESS IS INEXTRICABLY TIED TO CONDITIONS BEYOND THE WALLS OF THE HOSPITAL. TO REACH PEAK EFFECTIVENESS-TO ACHIEVE THE GREATEST GOOD FOR THE GREATEST NUMBER OF PEOPLE OF EVERY SOCIO-ECONOMIC STATUS-OUR EFFORTS MUST REACH BROADLY AND DEEPLY INTO THE COMMUNITY ITSELF, REMOVING AS MANY BARRIERS TO HEALTH AND HEALTH CARE AS WE CAN. WITH THIS IN MIND, WE SEEK TO: - DEVELOP AND IMPLEMENT POLICIES TO IMPROVE OR CREATE A CLIMATE FOR HEALTHY BEHAVIOR. - HAVE AN IMPACT ON COMMUNITY SYSTEMS THAT ARE POORLY DESIGNED AND DO NOT SERVE THE RESIDENTS WELL. - COLLABORATE WITH OTHER AGENCIES TO CHANGE THE PHYSICAL ENVIRONMENT IN WAYS THE LEAD TO BETTER HEALTH AND STRONGER COMMUNITY COHESION. WE ARE HEARTENED TO NOTE THAT INCREASINGLY, THE HEALTH AND SOCIAL SERVICES FIELDS HAVE RECOGNIZED THAT THAT IT IS NOT ENOUGH TO TREAT ONLY SYMPTOMS, BUT THAT THE ROOT CAUSES OF SOCIETY'S ILLS MUST BE ADDRESSED IF LONG-TERM PROGRESS IS TO BE ACHIEVED. THERE IS RECOGNITION, TOO, THAT SUCH EFFORTS MUST BE COORDINATED ACROSS DISCIPLINES, AND THAT INCREASINGLY LIMITED RESOURCES MUST BE LEVERAGED ACROSS COMMUNITIES AND AGENCIES. MANY HANDS WILL BE NEEDED TO GET TO A POINT AT WHICH THE CONDITIONS OF DAILY LIFE IN LOW-INCOME COMMUNITIES DO NOT POSE BARRIERS TO THE HEALTH AND WELL-BEING OF ITS RESIDENTS. THIS GOAL WILL NOT BE ACHIEVED OVERNIGHT. IT WILL REQUIRE A LONG-TERM COMMITMENT, BUT IT IS ONE THAT WE ARE READY AND EAGER TO MAKE. WE EXTEND AN INVITATION TO THE COMMUNITY-INDIVIDUALS AND INSTITUTIONS, GOVERNMENT, NONPROFIT, AND BUSINESS-TO WORK WITH US IN CREATING A HEALTHY COMMUNITY.
FORM 990, PART III, LINE 4A	THE COMMUNITY'S NEEDS ARE COMPLEX SAINT FRANCIS HOSPITAL AND MEDICAL CENTER'S SERVICE AREA IS HIGHLY DIVERSE: A MIX OF RACES AND ETHNICITIES; A RANGE OF SOCIOECONOMIC LEVELS; A POPULATION SPREAD OVER URBAN, SUBURBAN AND RURAL COMMUNITIES. IT IS COMPOSED OF 32 MUNICIPALITIES CENTERED IN HARTFORD AND EXTENDING TO THE SURROUNDING TOWNS. DESPITE THEIR DIFFERENCES, RESIDENTS OF THE VARIOUS CORNERS OF OUR SERVICE AREA STRUGGLE WITH MANY OF THE SAME HEALTH ISSUES: OBESITY, DIABETES, HEART DISEASE AND BEHAVIORAL HEALTH. YET, THE LARGEST NUMBERS OF PATIENTS SEEN AT SAINT FRANCIS HOSPITAL AND MEDICAL CENTER ARE FROM THE CITY OF HARTFORD ITSELF, WHOSE POPULATION IS YOUNGER, POORER AND MORE DENSELY DISTRIBUTED THAN THOSE OF THE SURROUNDING COMMUNITIES. FOR THE URBAN POOR, THE SIMPLE REALITIES OF DAILY LIFE POSE HUGE OBSTACLES TO ACHIEVING GOOD HEALTH. FOR MANY, MEANINGFUL ACCESS TO VITAL RESOURCES THAT MORE AFFLUENT COMMUNITIES TAKE FOR GRANTED-THINGS THAT PUBLIC HEALTH PROFESSIONALS CALL THE "SOCIAL DETERMINANTS OF GOOD HEALTH"- IS SORELY LACKING. IN FACT, IN APRIL 2015, OUR IMMEDIATE NEIGHBORHOOD OF NORTH HARTFORD-ONE OF THE CITY'S POOREST-WAS ONE OF 20 "HIGH-POVERTY, HIGH CAPACITY" COMMUNITIES NATIONWIDE TO BE DESIGNATED AS PROMISE ZONES BY THE U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT. (PROMISE ZONES RECEIVE VARIOUS FORMS OF FEDERAL SUPPORT BUT NO NEW DIRECT FUNDING.) TO CITE JUST A FEW STATISTICS, THIS 3.11-SQUARE MILE AREA IS HOME TO 23,950 PEOPLE, OF WHOM 49.3% LIVE IN POVERTY. THE PROMISE ZONE'S PER CAPITA INCOME IS $12,099. ONLY 38.3% GRADUATE FROM HIGH SCHOOL, AND UNEMPLOYMENT IS OVER 27%. ANNUAL LIFE EXPECTANCY THERE IS 10 YEARS LESS THAN IN NEIGHBORING COMMUNITIES.[1] THE CAUSES FOR THESE DISMAL HEALTH DISPARITIES ARE COMPLEX AND INTERTWINED, AND THEY PAINT A PICTURE OF THE ENORMITY OF THE COMMUNITY'S NEEDS. [1] COMMUNITY SOLUTIONS, "NORTH HARTFORD TRIPLE AIM COLLABORATIVE," DECEMBER 23, 2016. THE APPROACH WE ARE TAKING: WELL BEING 360, A TRANSFORMING COMMUNITIES INITIATIVE WITH SO MANY HIGH-PRIORITY NEEDS IN THE COMMUNITY INFLUENCING THE HEALTH AND WELL-BEING OF RESIDENTS, SAINT FRANCIS HOSPITAL AND MEDICAL CENTER IS TAKING A COMPREHENSIVE APPROACH TO ITS COMMUNITY BENEFIT PROGRAMS. WE HAVE LAUNCHED A MULTIFACETED INITIATIVE CALLED WELL BEING 360, A COLLABORATIVE EFFORT BETWEEN THE HOSPITAL, COMMUNITY GROUPS, ECONOMIC DEVELOPMENT AGENCIES AND THE CITY OF HARTFORD TO PROMOTE GOOD HEALTH BEYOND THE WALLS OF THE HOSPITAL. TRANSFORMING COMMUNITIES INITIATIVES WELL BEING 360 IS THE NAME THAT SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HAS GIVEN TO OUR LOCAL VERSION OF A NATIONAL EFFORT BY TRINITY HEALTH CALLED THE TRANSFORMING COMMUNITIES INITIATIVE (TCI). THUS FAR, TRINITY HEALTH HAS IDENTIFIED SAINT FRANCIS HOSPITAL AND MEDICAL CENTER AND SEVEN OTHER HEALTH CARE INSTITUTIONS THAT WILL DESIGN INDIVIDUALIZED LOCAL INITIATIVES WITH THIS PROGRAM. TRINITY HEALTH HAS PLEDGED TO INVEST $80 MILLION IN GRANTS, LOANS, COMMUNITY MATCHING DOLLARS AND SERVICES IN THESE COMMUNITIES OVER FIVE YEARS TO ADDRESS SEVERAL DEFINED FOCUS AREAS. WELL BEING 360 IN ITS INITIAL PHASE, WELL BEING 360 WILL DIRECT ITS EFFORTS AT THE NORTH HARTFORD PROMISE ZONE (WHICH COMPRISES THE CLAY ARSENAL, NORTHEAST AND UPPER ALBANY NEIGHBORHOODS), PLUS THE BLUE HILLS AND ASYLUM HILL NEIGHBORHOODS. OUR COVERAGE WILL EVENTUALLY EXPAND TO THE ENTIRE CITY. THE INVESTMENT PRIORITIES WILL BE ALIGNED WITH THE NEEDS IDENTIFIED IN THE SAINT FRANCIS HOSPITAL AND MEDICAL CENTER CHNA FOR 2016, THE TCI FOCUS AREAS IDENTIFIED BY TRINITY HEALTH, AND COMMUNITY ENGAGEMENT PRIORITIES OF THE HOSPITAL SYSTEM. A REALLOCATION OF THE HOSPITAL'S COMMUNITY BENEFIT FUNDS HAS BEEN COMMITTED TO THIS EFFORT. THE HOSPITAL'S CURTIS D. ROBINSON CENTER FOR HEALTH EQUITY IS THE LEAD AGENCY FOR WELL BEING 360 AND, WITH A STEERING COMMITTEE OF REPRESENTATIVES FROM COMMUNITY ORGANIZATIONS, IT WILL FOCUS ON OVERSEEING INVESTMENTS IN INNOVATIVE, EVIDENCE-BASED SOLUTIONS ON POLICY, SYSTEM, AND ENVIRONMENT CHANGE THAT ENGAGE THE COMMUNITY AND RESULT IN IMPROVED WELL-BEING FOR RESIDENTS. TOWARD THIS END, WE PLAN A MULTIFACETED APPROACH. WELL BEING 360 WILL: - DEVELOP A HEALTH COLLABORATIVE FOR HARTFORD'S NORTH END. THIS COLLABORATIVE WILL COMPRISE HEALTH CARE SYSTEMS, COMMUNITY-BASED ORGANIZATIONS, DEVELOPMENT AGENCIES, AND REPRESENTATIVES OF THE CITY OF HARTFORD. PARTNERS IN THE HEALTH COLLABORATIVE INCLUDE: - SAINT FRANCIS HOSPITAL AND MEDICAL CENTER - TRINITY HEALTH OF NEW ENGLAND - CITY OF HARTFORD, DEPARTMENT OF HEALTH AND HUMAN SERVICES - COMMUNITY SOLUTIONS, A NATIONAL ORGANIZATION FOCUSED ON COMMUNITY HEALTH AND DEVELOPMENT - INVEST HEALTH, A JOINT EFFORT OF THE REINVESTMENT FUND AND THE ROBERT WOOD JOHNSON FOUNDATION TO HELP LEADERS OF MID-SIZE CITIES IMPROVE THE HEALTH OF THEIR LOW-INCOME COMMUNITIES - WAY TO WELLVILLE, A 10-YEAR CHALLENGE SPONSORED BY THE NONPROFIT HEALTH INITIATIVE COORDINATING COUNCIL. - INCREASE PROGRAMMING FOR HEALTHY BEHAVIOR CHANGE. WELL BEING 360 WILL SUPPORT PROGRAMS THAT ENCOURAGE CHANGES IN DIET, EXERCISE, AND TOBACCO AND SUBSTANCE ABUSE AND OTHER HEALTHFUL PRACTICES. - IMPROVE PATIENT ACCESS TO SOCIAL SERVICE AGENCIES TO MERGE HEALTH CARE DELIVERY SYSTEMS WITH SOCIAL SUPPORT PROGRAMS (TO HELP PATIENTS WITH THEIR MOST SIGNIFICANT AND COMPLEX PROBLEMS). - CHANGE THE PHYSICAL ENVIRONMENT TO IMPROVE THE QUALITY OF LIFE IN THE NORTH END OF HARTFORD. CASE STUDIES TOWN HALL ON DIABETES ENGAGEMENT DIABETES HITS HARTFORD HARD. STATEWIDE, OVER 8% OF ADULTS ARE DIAGNOSED WITH DIABETES; IN HARTFORD, 12% OF ADULTS DIAGNOSED WITH THE DISEASE. DIABETES IS THE EIGHTH LEADING CAUSE OF DEATH IN CONNECTICUT. STATEWIDE, MORTALITY RATES ARE HIGHER AMONG BLACK AND HISPANIC RESIDENTS THAN MORTALITY RATES AMONG WHITES.[2] IT'S A SERIOUS DISEASE, BUT ONE THAT CAN OFTEN BE MANAGED IF THE PATIENT HAS THE NECESSARY RESOURCES. FOR THE URBAN POOR, HOWEVER, THE LACK OF THESE NECESSARY RESOURCES MAKES MANAGING THE DISEASE MUCH MORE DIFFICULT. IN NOVEMBER 2016, SAINT FRANCIS HOSPITAL AND MEDICAL CENTER'S CURTIS D. ROBINSON CENTER FOR HEALTH EQUITY DEVOTED ITS 6TH ANNUAL TOWN HALL MEETING TO "A COMMUNITY CONVERSATION ABOUT DIABETES." THE GOAL WAS TO PROVIDE A FORUM FOR INDIVIDUALS WITH DIABETES TO TELL THEIR STORIES AND LEARN FROM EXPERTS IN THE FIELD. OVER 70 MEMBERS OF THE PUBLIC ATTENDED THE MEETING, WHICH WAS FACILITATED BY A SIX-PERSON PANEL THAT INCLUDED PHYSICIANS, A NUTRITIONIST, A DIETITIAN, A PHARMACIST, AND AN ATTORNEY. BUT THE EDUCATION THAT TOOK PLACE AT THIS MEETING WAS NOT JUST FROM THE EXPERTS TO THE AUDIENCE. THE MEETING WAS DESIGNED TO GIVE PARTICIPANTS A PLATFORM TO EDUCATE THE HEALTH CARE PROVIDERS. ONE AFTER ANOTHER, PARTICIPANTS SHARED PERSONAL STORIES OF THEIR INTERACTIONS WITH THE HEALTH CARE SYSTEM, TOLD HOW THE CIRCUMSTANCES OF THEIR LIVES AFFECT THEIR HEALTH AND HOW THEY LIVE WITH DIABETES, AND DESCRIBED THE BARRIERS THEY ENCOUNTER IN MANAGING THE DISEASE. THEY RAISED MANY ISSUES, INCLUDING: - GETTING ACCESS TO HEALTHY FOOD IN THEIR NEIGHBORHOODS - FINDING PLACES WHERE THEY CAN EXERCISE AND ENHANCE PHYSICAL FITNESS - MAINTAINING A HEALTHY DIET - LEARNING TO USE INSULIN TO TREAT DIABETES. THE INFORMATION THAT EMERGED FROM THE MEETING WILL BE USED BY THE HOSPITAL AND OUR COMMUNITY PARTNERS TO DEVELOP STRATEGIES AND POLICIES TO PROMOTE HEALTHY LIFESTYLES. THIS DISCUSSION WAS BENEFICIAL FOR OUR HOSPITAL LEADERSHIP TEAM, AND GAVE INSIGHT ABOUT WHICH OUTREACH ORGANIZATIONS WE SHOULD ENGAGE TO CONFRONT THE ISSUE OF DIABETES MANAGEMENT IN THE COMMUNITY. [2] SAINT FRANCIS HOSPITAL AND MEDICAL CENTER, COMMUNITY HEALTH NEEDS ASSESSMENT REPORT, 2016 CASE STUDIES BREASTFEEDING, HERITAGE AND PRIDE: A BREASTFEEDING SUPPORT PROJECT IN 2014, THE W.K. KELLOGG FOUNDATION AWARDED A THREE-YEAR $498,980 GRANT TO SAINT FRANCIS HOSPITAL AND MEDICAL CENTER AND THE HARTFORD HISPANIC HEALTH COUNCIL (HHC) TO COLLABORATE ON A PROGRAM CALLED BREASTFEEDING: HERITAGE AND PRIDE. THE IMMEDIATE GOAL OF THE GRANT IS TO INCREASE THE RATE OF BREASTFEEDING AMONG AFRICAN AMERICAN AND LATINA MOTHERS WHO ARE PATIENTS AT THE HOSPITAL'S WOMEN'S HEALTH CENTER, AN OBSTETRICS AND GYNECOLOGICAL CLINIC. THE LONG-TERM GOAL IS NORMALIZATION OF THE PRACTICE.
FORM 990, PART III, LINE 4A	THE HERITAGE AND PRIDE PROGRAM, WHICH THE HHC DEVELOPED FOR USE ELSEWHERE IN THE CITY, RELIES ON AN OPERATING MODEL THAT IS UNIQUE IN CONNECTICUT: PEER COUNSELORS TEACH EXPECTANT AND NEW MOTHERS ABOUT BREASTFEEDING, AND ONCE THE BABIES ARE BORN, FOLLOW UP IN THE HOSPITAL, IN COMMUNITY CLINICS, AND AT HOME, TO OFFER SUPPORT AND ASSISTANCE. PEER COUNSELORS MUST BE FROM THE LOCAL COMMUNITY AND MUST HAVE BREASTFED THEIR OWN CHILDREN; THE PROGRAM IS BASED ON MOTHER-TO-MOTHER SUPPORT AND RELIES ON THE DEVELOPMENT OF PERSONAL RELATIONSHIPS BETWEEN COUNSELOR AND CLIENT. PEER COUNSELORS RECEIVE EXTENSIVE TRAINING BEFORE THEY BEGIN COUNSELING OTHERS. THE FACT THAT THEY MAKE FREE VISITS TO COMMUNITY CLINICS AND CLIENTS' HOMES IS UNIQUE AMONG LACTATION PROGRAMS. SINCE ITS INCEPTION, THE PROGRAM HAS MEASURED PEER COUNSELORS' EFFORTS TO INCREASE BREASTFEEDING INITIATION RATES AT KEY POINTS BEFORE AND AFTER BIRTH-IN PRENATAL VISITS, IN THE HOSPITAL, AND AFTER SIX MONTHS. THE HOPE WAS TO INCREASE THE RATE OF BREASTFEEDING INITIATION, AS WELL AS THE RATE OF MOTHERS WHO BREASTFEED FOR SIX MONTHS. THE RESULTS WERE IMPRESSIVE. IN THE FIRST YEAR OF THE PROGRAM, AUGUST 2015-JULY 2016, DESPITE THE FACT THAT THE PROGRAM WAS NOT FULLY STAFFED, MORE THAN 1,400 SUCCESSFUL CONTACTS WERE MADE. OF THE MOTHERS WHO ENTERED THE PROGRAM, 84.7% WERE BREASTFEEDING TWO WEEKS AFTER THEIR BABIES WERE BORN; 61% CONTINUED TO BREASTFEED AT SIX WEEKS; 41.9% WERE BREASTFEEDING AT THREE MONTHS; AND 12.8% WERE BREASTFEEDING AT SIX MONTHS. DURING THE CALENDAR YEAR 2016, OF THE MOTHERS ENROLLED IN THE PROGRAM, 99.4% INITIATED BREASTFEEDING; 40.6% BREASTFED EXCLUSIVELY WHILE IN THE HOSPITAL; 54.7% PRACTICED MIXED FEEDING IN THE HOSPITAL; AND JUST 4.7% FED THEIR BABIES ONLY FORMULA WHILE IN THE HOSPITAL. COMMUNITY BENEFIT \| SERVICES WHAT ARE THE ACTIVITIES? COMMUNITY BENEFIT REPORTING IS CATEGORIZED INTO THREE BROAD AREAS, WHICH INCLUDE: CHARITY CARE, GOVERNMENT-SPONSORED HEALTH CARE, AND COMMUNITY BENEFIT SERVICES. THE FOLLOWING LIST OUTLINES, IN MORE DETAIL, THE COMMUNITY BENEFIT SERVICES PORTION. A. COMMUNITY HEALTH IMPROVEMENT SERVICES 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 - ACCESS TO RECOVERY FOR SUBSTANCE ABUSE CLIENTS - BREAST AND CERVICAL CANCER EDUCATION AND OUTREACH - BREASTFEEDING SUPPORT - CHILD ABUSE PREVENTION EDUCATION AND OUTREACH - CHILDBIRTH EDUCATION CLASSES - COLORECTAL SCREENING PROGRAM - CENTER FOR DIABETES & METABOLIC CARE PROGRAM EDUCATION AND OUTREACH - CURTIS D. ROBINSON CENTER FOR HEALTH EQUITY - HEALTHY START AND PARENTING PROGRAMS - INTEGRATIVE HEALTH SERVICES CLASSES - MEDICAL LEGAL PARTNERSHIP PROGRAM - VIOLENCE AND INJURY PREVENTION PROGRAM - WOMEN'S HEART PROGRAM OUTREACH - PASTORAL COUNSELING PROGRAM - SUPPORT GROUPS COMMUNITY-BASED CLINICAL SERVICES - PREVENTIVE HEALTH SCREENINGS: - CARDIOVASCULAR RISK ASSESSMENT - DIABETES SCREENING - MAMMOGRAMS - PROSTATE CANCER - MALTA HOUSE OF CARE MOBILE MEDICAL CLINIC - CARDIAC REHAB AND WELLNESS - CASE MANAGEMENT SERVICES - PROCUREMENT OF PHARMACEUTICALS HEALTH CARE SUPPORT SERVICES - LANGUAGE SERVICES PROGRAM - FINANCIAL ASSISTANCE COUNSELING - TRANSPORTATION ASSISTANCE FOR CLINICAL APPOINTMENTS OTHER HEALTH IMPROVEMENT SERVICES - CAREGIVER SUPPORT SERVICES - LITERACY SUPPORT PROGRAMS - THE AUXILIARY AT SAINT FRANCIS - KEEP-THE-POWER-ON UTILITY CLINIC - LANGUAGE SERVICES PROGRAM B. HEALTH PROFESSIONS EDUCATION 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) - PRIMARY CARE TRAINING - CLINICAL PASTORAL EDUCATION MENTORSHIP - DENTAL ASSISTANT AND DENTAL HYGIENIST TRAINING - DIETITIAN 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 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. D. RESEARCH 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 - CLINICAL RESEARCH GRANTS - TRAINEE RESEARCH GRANTS E. FINANCIAL AND IN-KIND DONATIONS 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 THIS CATEGORY INCLUDES PROGRAMS THAT ADDRESS UNDERLYING SOCIAL PROBLEMS, SUCH AS POVERTY, HOMELESSNESS, AND ENVIRONMENTAL ISSUES. THESE ACTIVITIES SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF THE HEALTH CARE ORGANIZATION. - CREC MAGNET SCHOOL PARTNERSHIP - DISASTER PLANNING - HOUSING SUPPORT - NEIGHBORHOOD ASSOCIATION SUPPORT - BOARD INVOLVEMENT WITH LOCAL ORGANIZATIONS G. COMMUNITY-BENEFIT OPERATIONS THIS CATEGORY INCLUDES THE COSTS ASSOCIATED WITH ASSIGNED STAFF AND COMMUNITY HEALTH NEEDS AND/OR ASSETS ASSESSMENT, AS WELL AS OTHER COSTS ASSOCIATED WITH COMMUNITY BENEFIT STRATEGY AND OPERATIONS. COMMUNITY BENEFIT \| THE NUMBERS AT A GLANCE DURING 2016, SAINT FRANCIS HOSPITAL AND MEDICAL CENTER PROVIDED COMMUNITY BENEFIT SERVICES TO 67,287 INDIVIDUALS WHO RECEIVED FINANCIAL ASSISTANCE FOR THEIR MEDICAL CARE AND SUPPORT THROUGH OUR COMMUNITY BENEFIT PROGRAMS. CHARITY CARE $2,718,176 FREE OR DISCOUNTED HEALTH SERVICES ARE PROVIDED TO PERSONS WHO CANNOT AFFORD TO PAY AND WHO MEET THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY CRITERIA. CHARITY CARE IS REPORTED IN TERMS OF COSTS, NOT CHARGES. CHARITY CARE DOES NOT INCLUDE BAD DEBT, WHICH MAY BE REPORTED ELSEWHERE BUT NOT AS A COMMUNITY BENEFIT. COMMUNITY BENEFIT SERVICES $32,026,072 THESE ARE SERVICES PROVIDED TO MEET COMMUNITY NEEDS BECAUSE THE SERVICES WOULD OTHERWISE NOT BE AVAILABLE TO MEET PATIENT DEMAND. INCLUDED ARE CLINICAL PATIENT CARE SERVICES PROVIDED DESPITE A NEGATIVE MARGIN, PUBLIC HEALTH PROGRAMS, COMMUNITY OUTREACH AND EDUCATION, AND PARTNERSHIPS TO MEET COMMUNITY NEEDS. GOVERNMENT-SPONSORED HEALTH CARE $64,894,781 GOVERNMENT-SPONSORED HEALTH CARE COMMUNITY BENEFITS INCLUDE UNPAID COSTS OF PUBLIC PROGRAMS FOR LOW-INCOME PERSONS. THESE INCLUDE THE SHORTFALL CREATED WHEN A FACILITY RECEIVES PAYMENTS THAT ARE LESS THAN THE COST-OF-CARING FOR PROGRAM BENEFICIARIES. TOTAL COMMUNITY BENEFIT $99,638,781 SUMMARY COMMUNITY BENEFIT WAS PART OF SAINT FRANCIS HOSPITAL AND MEDICAL CENTER'S MISSION LONG BEFORE THAT TERM CAME INTO VOGUE-AND IT WILL INFORM OUR WORK FOR A LONG TIME TO COME. BUT NOW WE ARE REACHING BEYOND THE HOSPITAL'S WALLS WITH GREATER URGENCY, TO LEVERAGE INCREASINGLY STRAINED COMMUNITY RESOURCES AND PROMOTE GOOD HEALTH WHERE PEOPLE LIVE AND WORK, BEFORE PROBLEMS ARISE. SOME OF THE WORK WE ARE DOING WILL RESULT IN IMMEDIATE CHANGES-FOR EXAMPLE, INCREASING ACCESS TO PROGRAMS THAT SUPPORT BEHAVIOR CHANGE. SOME WILL TAKE SHAPE OVER THE NEXT SIX MONTHS-THE DEVELOPMENT OF THE COLLABORATIVE, FOR EXAMPLE, AND OUR SUPPORT FOR LOCAL AGENCIES WITH CAPACITY-BUILDING TO IMPROVE ACCESS BY THE COMMUNITY. SOME OF OUR WORK WILL BE MUCH LONGER-TERM-SUCH AS CHANGING THE ENVIRONMENT, IMPLEMENTING NEW POLICIES THAT LEAD TO BETTER HEALTH OUTCOMES, AND WORKING WITH PARTNERS TO IMPROVE EMPLOYMENT OPPORTUNITIES. WE ARE NOT DETERRED BY THE TIME FRAME. WE KNOW THAT THERE ARE NO QUICK FIXES TO DEEPLY ENTRENCHED SOCIAL NORMS. BUT SAINT FRANCIS HOSPITAL AND MEDICAL CENTER IS HERE TO STAY; WE HAVE BEEN HERE SINCE 1897, AND THIS IS OUR HOME. WE ARE INVESTED IN THIS COMMUNITY AND PLAN TO INCREASE THAT INVESTMENT OVER TIME. WE LOOK FORWARD TO COLLABORATING WITH RESIDENTS, BUSINESSES, LOCAL NONPROFITS, FAITH-BASED ORGANIZATIONS, GOVERNMENT AGENCIES, AND FOUNDATIONS IN CREATING A HEALTHY COMMUNITY.
FORM 990, PART VI, SECTION A, LINE 2	P. ANTHONY GIORGIO, PHD (DIRECTOR) IS A 50% PARTNER IN THE KEYSTONE COMPANIES, 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 THE KEYSTONE COMPANIES, LLC. AND RENTS SPACE AT OUR SIMSBURY ACCESS CENTER AND OUR HARTFORD INFORMATION TECHNOLOGY AND FINANCE CENTER LOCATION.
FORM 990, PART VI, SECTION A, LINE 4	ON OCTOBER 1, 2015 THE ORGANIZATION WAS TRANSFERRED TO THE OWNERSHIP OF TRINITY HEALTH CORPORATION, A 501(C)(3) CHARITABLE CORPORATION. AS THE SOLE MEMBER OF THE ORGANIZATION TRINITY HEALTH CORPORATION HAS RESERVED POWERS ESTABLISHED IN THE ORGANIZATION'S CERTIFICATE OF INCORPORATION AND BYLAWS THAT ALLOW IT TO RETAIN CONTROL OVER ITS STATUTORY OBLIGATIONS IN CARRYING OUT THE PURPOSES OF THE ORGANIZATION AS THE PARENT OF A LARGE CATHOLIC HEALTH SYSTEM. TRINITY HEALTH CORPORATION IS RESPONSIBLE FOR KEY STRATEGIC DECISIONS AND ISSUES THAT WILL SIGNIFICANTLY IMPACT THE TRINITY HEALTH SYSTEM.
FORM 990, PART VI, SECTION A, LINE 6	TRINITY HEALTH OF NEW ENGLAND CORPORATION, INC. IS THE SOLE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7A	TRINITY HEALTH OF NEW ENGLAND CORPORATION, INC. APPOINTS THE ST FRANCIS HOSPITAL AND MEDICAL CENTER BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11	THE FINANCE COMMITTEE OF TRINITY HEALTH OF NEW ENGLAND CORPORATION, INC. (FORMERLY KNOWN AS SAINT FRANCIS CARE, INC.) HAS THE RESPONSIBILITY FOR OVERSEEING THE REVIEW OF THE FORM 990 INCLUDING ENSURING APPROPRIATE DIRECTORS AND/OR 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 TRINITY HEALTH OF NEW ENGLAND CORPORATION, INC. 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 61,121,561. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 61,121,561. SECURITY EXPENSE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,331,736. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,331,736. OUTSIDE LABORATORIES: PROGRAM SERVICE EXPENSES 3,453,192. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,453,192. COLLECTION FEES: PROGRAM SERVICE EXPENSES 140,956. MANAGEMENT AND GENERAL EXPENSES 1,899,837. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,040,793. DIALYSIS FEES: PROGRAM SERVICE EXPENSES 1,414,346. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,414,346. CONSULTING FEES: PROGRAM SERVICE EXPENSES 6,639. MANAGEMENT AND GENERAL EXPENSES 9,468,805. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,475,444. REGISTRY NURSES FEES: PROGRAM SERVICE EXPENSES 1,297,560. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,297,560. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,938,482. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,938,482. TEMPORARY LABOR: PROGRAM SERVICE EXPENSES 5,150,512. MANAGEMENT AND GENERAL EXPENSES 1,081,564. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,232,076. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 14,084,379. MANAGEMENT AND GENERAL EXPENSES 199,556. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,283,935.
FORM 990, PART XI, LINE 9:	PURCHASE ACCOUNTING ADJUSTMENT -29,708,932. LOSS FROM EARLY EXTINGUISHMENT OF DEBT -4,034,284. TRANSFERS TO TRINITY HEALTH AND AFFILIATES -4,626,177. TRANSFERS FROM TRINITY HEALTH 43,990,947. NET CHANGE IN RETIREMENT PLAN RELATED ITEMS -40,161,741. EQUITY TRANSFER FROM SAINT FRANCIS FOUNDATION 3,804,799. TRANSFERS TO TRINITY ASSURANCE, LTD. -11,359,043. NET ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL ACQUISITIONS 283,889.
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 FINANCE COMMITTEE OF TRINITY HEALTH OF NEW ENGLAND CORPORATION, INC.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

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

2015

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	0	0	SAINT FRANCIS HOSPITAL & MEDICAL CENTER
(2) COLLABORATIVE LABORATORY SERVICES 114 WOODLAND STREET HARTFORD,CT06105 06-1520109	LAB SERVICES	CT	35,927,471	4,829,799	SAINT FRANCIS HOSPITAL & MEDICAL CENTER
(3) TOTAL LAUNDRY COLLABORATIVE LLC 114 WOODLAND STREET HARTFORD,CT06105 20-8335788	LAUNDRY SERVICES	CT	4,956,008	396,190	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)ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP 245 STATE ST SE GRAND RAPIDS,MI49503 27-2491974	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 9	TRINITY HEALTH-MICHIGAN	Yes
(2)ALBANY MEMORIAL HOSPITAL 600 NORTHERN BLVD ALBANY,NY12204 14-1338457	HEALTHCARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes
(3)ALLEGANY FRANCISCAN MINISTRIES INC 33920 US HIGHWAY 19 NORTH SUITE 269 PALM HARBOR,FL34684 58-1492325	GRANT MAKING	FL	501(C)(3)	LINE 11A, I	TRINITY HEALTH CORPORATION	Yes
(4)ASYLUM HILL FAMILY MEDICINE CENTER INC 114 WOODLAND STREET HARTFORD,CT06105 06-1450170	HEALTHCARE SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORPORATION INC	Yes
(5)BAUM HARMON MERCY HOSPITAL 255 NORTH WELCH AVENUE PRIMGHAR,IA51245 42-1500277	HEALTHCARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	Yes
(6)BAUM HARMON MERCY HOSPITAL AND CLINICS FOUNDATION 255 NORTH WELCH AVENUE PRIMGHAR,IA51245 26-2973307	FOUNDATION	IA	501(C)(3)	LINE 11A, I	BAUM HARMON MERCY HOSPITAL	Yes
(7)BEECHWOOD INC 2212 BURDETT AVE TROY,NY12180 14-1651563	TITLE HOLDING COMPANY	NY	501(C)(2)	N/A	LTC (EDDY) INC	Yes
(8)BETHLEHEM HAVEN OF PITTSBURGH 905 WATSON STREET PITTSBURGH,PA15219 25-1436685	HOMELESS SHELTER	PA	501(C)(3)	LINE 7	PITTSBURGH MERCY HEALTH SYSTEM	Yes
(9)BEVERWYCK INC 40 AUTUMN DRIVE SLINGERLANDS,NY12159 14-1717028	SENIOR LIVING COMMUNITY	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes
(10)BRIGHTSIDE INC C/O SPHS 1221 MAIN STREET SUITE 213 HOLYOKE,MA01040 04-2182395	HEALTHCARE SERVICES	MA	501(C)(3)	LINE 9	THE MERCY HOSPITAL INC	Yes
(11)CAPITAL REGION GERIATRIC CENTER INC 421 WEST COLUMBIA ST COHOES,NY12047 14-1701597	LONG TERM CARE	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes
(12)CARING PARTNERS HOME HEALTH INC 1200 EARHART RD ANN ARBOR,MI48105 20-1681131	HOME HEALTH SERVICES	MI	501(C)(3)	LINE 9	GLACIER HILLS INC	Yes
(13)CATHERINE MCAULEY HEALTH SERVICES CORP PO BOX 995 ANN ARBOR,MI48106 38-2507173	HEALTHCARE SERVICES (INACTIVE)	MI	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN	Yes
(14)CATHOLIC HEALTH MINISTRIES 20555 VICTOR PARKWAY LIVONIA,MI48152	GOVERNANCE AND MANAGEMENT OF TRINITY HEALTH SYSTEM	VT	501(C)(3)	LINE 1	N/A		No
(15)COLUMBUS ACQUISITION CORP 111 CENTRAL AVENUE NEWARK,NJ07102 26-2616342	INACTIVE ENTITY	NJ	501(C)(3)	LINE 9	SAINT MICHAEL'S MEDICAL CENTER	Yes
(16)COMMUNITY HEALTH PARTNERS OF SOUTH BEND PO BOX 3998 SOUTH BEND,IN46619 26-3051440	HEALTHCARE SERVICES	IN	501(C)(3)	LINE 3	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	Yes
(17)CRANBROOK HOSPICE CARE 1111 W LONG LAKE RD STE 102 TROY,MI48098 38-3320699	HOSPICE SERVICES	MI	501(C)(3)	LINE 9	TRINITY HOME HEALTH SERVICES	Yes
(18)DILEY RIDGE MEDICAL CENTER 6150 EAST BROAD STREET COLUMBUS,OH43213 34-2032340	HEALTHCARE AND HOSPITAL SERVICES	OH	501(C)(3)	LINE 3	MOUNT CARMEL HEALTH SYSTEM	Yes
(19)DUBUQUE MERCY HEALTH FOUNDATION 250 MERCY DRIVE DUBUQUE,IA52001 26-2227941	FOUNDATION	IA	501(C)(3)	LINE 11A, I	MERCY HEALTH SERVICES-IOWA CORP	Yes
(20)DYERSVILLE HEALTH FOUNDATION INC 1111 3RD STREET SW DYERSVILLE,IA52040 20-5383271	FOUNDATION	IA	501(C)(3)	LINE 11A, I	MERCY HEALTH SERVICES-IOWA CORP	Yes
(21)EAST NORRITON PHYSICIANS SERVICES INC ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN,PA19428 23-2515999	HEALTHCARE SERVICES	PA	501(C)(3)	LINE 3	MERCY PHYSICIAN NETWORK	Yes
(22)EDDY LICENSED HOME CARE AGENCY 433 RIVER ST SUITE 3000 TROY,NY12180 14-1818568	HOME HEALTH SERVICES	NY	501(C)(3)	LINE 3	LTC (EDDY) INC	Yes
(23)EMBRACING AGE INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT,NY13214 46-1051881	PACE PROGRAM	NY	501(C)(3)	LINE 9	ST JOSEPH'S HEALTH INC	Yes
(24)EMPIRE HOME INFUSION SERVICE INC 10 BLACKSMITH DRIVE MALTA,NY12020 14-1795732	HOME HEALTH SERVICES	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes
(25)FARREN CARE CENTER INC C/O SPHS 1221 MAIN STREET SUITE 213 HOLYOKE,MA01040 04-2501711	LONG TERM CARE	MA	501(C)(3)	LINE 3	THE MERCY HOSPITAL INC	Yes
(26)FRANCISCAN ELDERCARE CORPORATION PO BOX 2500 WILMINGTON,DE19805 22-3008680	LONG TERM CARE (INACTIVE)	DE	501(C)(3)	LINE 9	ST FRANCIS HOSPITAL	Yes
(27)GLACIER HILLS FOUNDATION 1200 EARHART RD ANN ARBOR,MI48105 20-8072723	FOUNDATION	MI	501(C)(3)	LINE 11A, I	GLACIER HILLS INC	Yes
(28)GLACIER HILLS INC 1200 EARHART RD ANN ARBOR,MI48105 38-1891500	SENIOR LIVING COMMUNITY	MI	501(C)(3)	LINE 9	TRINITY CONTINUING CARE SERVICES	Yes
(29)GLEN EDDY INC ONE GLEN EDDY DRIVE NISKAYUNA,NY12309 14-1794150	SENIOR LIVING COMMUNITY	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes
(30)GLOBAL HEALTH MINISTRY 20555 VICTOR PARKWAY LIVONIA,MI48152 42-1253527	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH CORPORATION	Yes
(31)GOOD SAMARITAN HOSPITAL INC 5401 LAKE OCONEE PARKWAY GREENSBORO,GA30642 26-1720984	HEALTHCARE AND HOSPITAL SERVICES	GA	501(C)(3)	LINE 3	ST MARY'S HEALTH CARE SYSTEM INC	Yes
(32)GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION 701 W NORTH AVE MELROSE PARK,IL60160 36-3332852	COMMUNITY OUTREACH	IL	501(C)(3)	LINE 9	GOTTLIEB MEMORIAL HOSPITAL	Yes
(33)GOTTLIEB MEMORIAL FOUNDATION 701 W NORTH AVE MELROSE PARK,IL60160 74-3260011	FOUNDATION	IL	501(C)(3)	LINE 11C, III-FI	N/A		No
(34)GOTTLIEB MEMORIAL HOSPITAL 701 W NORTH AVE MELROSE PARK,IL60160 36-2379649	HEALTHCARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	LOYOLA UNIVERSITY HEALTH SYSTEM	Yes
(35)GRAND RAPIDS MEDICAL EDUCATION PARTNERS INC 945 OTTAWA AVE NW GRAND RAPIDS,MI49503 23-7270669	MEDICAL EDUCATION TRAINING PROGRAMS	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH-MICHIGAN	Yes
(36)HACKLEY HOSPITAL SELF INSURANCE PROFESSIONAL LIABILITY TRUST PO BOX 3302 MUSKEGON,MI49443 38-2299878	SELF INSURANCE	MI	501(C)(3)	LINE 11B, II	MERCY HEALTH PARTNERS	Yes
(37)HACKLEY LIFE COUNSELING 125 E SOUTHERN AVENUE MUSKEGON,MI49442 38-1386362	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 9	MERCY HEALTH PARTNERS	Yes
(38)HAWTHORNE RIDGE INC 30 COMMUNITY WAY EAST GREENBUSH,NY12061 80-0102840	SENIOR LIVING COMMUNITY	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes
(39)HEART CENTER OF GREATER WATERBURY INC PO BOX 2153 WATERBURY,CT06722 83-0416893	MANAGEMENT	CT	501(C)(3)	LINE 11A, I	N/A		No
(40)HERITAGE HOUSE NURSING CENTER INC 2920 TIBBITS AVE TROY,NY12180 14-1725101	LONG TERM CARE	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes
(41)HOLY CROSS CARENET INC PO BOX 9184 FARMINGTON HILLS,MI48152 52-1945054	LONG TERM CARE	MD	501(C)(3)	LINE 9	TRINITY CONTINUING CARE SERVICES	Yes
(42)HOLY CROSS HEALTH FOUNDATION INC 1500 FOREST GLEN RD SILVER SPRING,MD20910 20-8428450	FOUNDATION	MD	501(C)(3)	LINE 7	HOLY CROSS HEALTH INC	Yes
(43)HOLY CROSS HEALTH INC 1500 FOREST GLEN RD SILVER SPRING,MD20910 52-0738041	HEALTHCARE AND HOSPITAL SERVICES	MD	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes
(44)HOLY CROSS HOSPITAL INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE,FL33308 59-0791028	HEALTHCARE AND HOSPITAL SERVICES	FL	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes
(45)HOLY CROSS MEDICAL PROPERTIES INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE,FL33308 65-0666283	BUILDING MANAGEMENT SERVICES	FL	501(C)(2)	N/A	HOLY CROSS HOSPITAL INC	Yes
(46)HOLY CROSS OUTPATIENT SERVICES INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE,FL33308 46-5421068	HEALTHCARE SERVICES	FL	501(C)(3)	LINE 9	HOLY CROSS HOSPITAL INC	Yes
(47)HOLY CROSS PRIMARY CARE INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE,FL33308 81-2531495	HEALTHCARE SERVICES	FL	501(C)(3)	LINE 9	HOLY CROSS HOSPITAL INC	Yes
(48)HOME & COMMUNITY HEALTH SERVICES INC 201 CHESTNUT HILL ROAD STAFFORD SPRINGS,CT06076 81-0723591	HOME HEALTH SERVICES	CT	501(C)(3)	LINE 9	TRINITY HEALTH OF NEW ENGLAND CORPORATION INC	Yes
(49)HOME AIDE SERVICE OF EASTERN NEW YORK INC 433 RIVER ST SUITE 3000 TROY,NY12180 14-1514867	HOME HEALTH SERVICES	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes
(50)HOSPICE OF NORTH IOWA 232 SECOND STREET SE MASON CITY,IA50401 42-1173708	HOSPICE SERVICES	IA	501(C)(3)	LINE 9	MERCY HEALTH SERVICES-IOWA CORP	Yes
(51)HOSPICE OF SIOUXLAND 4300 HAMILTON BLVD SIOUX CITY,IA51104 38-3320710	HOSPICE SERVICES	IA	501(C)(3)	LINE 11A, I	N/A		No
(52)HOSPICE OF WASHTENAW II 806 AIRPORT BLVD ANN ARBOR,MI48108 38-3320707	HOSPICE SERVICES (INACTIVE)	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH-MICHIGAN	Yes
(53)IHA HEALTH SERVICES CORPORATION 24 FRANK LLOYD WRIGHT DR LOBBY J ANN ARBOR,MI48106 38-3316559	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 9	TRINITY HEALTH-MICHIGAN	Yes
(54)JOHNSON HEALTH CARE INC 201 CHESTNUT HILL ROAD STAFFORD SPRINGS,CT06076 81-0709903	HEALTHCARE SERVICES	CT	501(C)(3)	LINE 9	TRINITY HEALTH OF NEW ENGLAND CORPORATION INC	Yes
(55)JOHNSON MEMORIAL HOSPITAL INC 201 CHESTNUT HILL ROAD STAFFORD SPRINGS,CT06076 47-5676956	HEALTHCARE AND HOSPITAL SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORPORATION INC	Yes
(56)JOHNSON MEMORIAL MEDICAL CENTER INC 201 CHESTNUT HILL ROAD STAFFORD SPRINGS,CT06076 81-0696923	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	CT	501(C)(3)	LINE 11B, II	TRINITY HEALTH OF NEW ENGLAND CORPORATION INC	Yes
(57)LANGHORNE MRI INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 23-2519529	HEALTHCARE SERVICES (INACTIVE)	PA	501(C)(3)	LINE 9	ST MARY MEDICAL CENTER	Yes
(58)LANGHORNE PHYSICIAN SERVICES INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 23-2571699	HEALTHCARE SERVICES	PA	501(C)(3)	LINE 9	ST MARY MEDICAL CENTER	Yes
(59)LIFE AT LOURDES INC 2475 MCCLELLAN AVENUE PENNSAUKEN,NJ08109 26-1854750	PACE PROGRAM	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES	Yes
(60)LIFE AT ST FRANCIS HEALTHCARE INC 7TH AND CLAYTON STREETS WILMINGTON,DE19805 45-2569214	PACE PROGRAM	DE	501(C)(3)	LINE 9	ST FRANCIS HOSPITAL	Yes
(61)LIFE ST FRANCIS CORPORATION 1435 LIBERTY STREET HAMILTON,NJ08629 22-2797282	PACE PROGRAM	NJ	501(C)(3)	LINE 9	ST FRANCIS MEDICAL CENTER TRENTON NJ	Yes
(62)LIFE ST JOSEPH OF THE PINES INC 100 GOSSMAN DRIVE SOUTHERN PINES,NC28387 27-2159847	PACE PROGRAM	NC	501(C)(3)	LINE 3	ST JOSEPH OF THE PINES INC	Yes
(63)LIFE ST MARY 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 26-2976184	PACE PROGRAM	PA	501(C)(3)	LINE 9	ST MARY MEDICAL CENTER	Yes
(64)LOURDES ANCILLARY SERVICES 1600 HADDON AVENUE CAMDEN,NJ08103 22-2568525	VOLUNTEER SERVICE AUXILIARY	NJ	501(C)(3)	LINE 11B, II	OUR LADY OF LOURDES HEALTH CARE SERVICES	Yes
(65)LOURDES CARDIOLOGY SERVICES PC 1600 HADDON AVENUE CAMDEN,NJ08103 27-4357794	HEALTHCARE SERVICES	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES	Yes
(66)LOURDES MEDICAL CENTER OF BURLINGTON COUNTY 218 SUNSET ROAD WILLINGBORO,NJ08046 22-3612265	HEALTHCARE AND HOSPITAL SERVICES	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES	Yes
(67)LOYOLA MEDICINE TRANSPORT LLC 905 W NORTH AVE MELROSE PARK,IL60160 47-4147171	TRANSPORATION SERVICES	IL	501(C)(3)	LINE 9	LOYOLA UNIVERSITY MEDICAL CENTER	Yes
(68)LOYOLA UNIVERSITY HEALTH SYSTEM 2160 SOUTH FIRST AVENUE MAYWOOD,IL60153 36-3342448	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	IL	501(C)(3)	LINE 11B, II	TRINITY HEALTH CORPORATION	Yes
(69)LOYOLA UNIVERSITY MEDICAL CENTER 2160 SOUTH FIRST AVENUE MAYWOOD,IL60153 36-4015560	HEALTHCARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	LOYOLA UNIVERSITY HEALTH SYSTEM	Yes
(70)LTC (EDDY) INC 2212 BURDETT AVE TROY,NY12180 22-2564710	MANAGEMENT SERVICES FOR LONG TERM CARE	NY	501(C)(3)	LINE 11B, II	ST PETER'S HEALTH PARTNERS	Yes
(71)MARIAN COMMUNITY HOSPITAL 3805 WEST CHESTER PIKE STE 100 NEWTOWN SQUARE,PA19073 24-0711230	HEALTHCARE SERVICES (INACTIVE)	PA	501(C)(3)	LINE 9	MAXIS HEALTH SYSTEM	Yes
(72)MARIAN HOME HEALTHCARE 801 5TH STREET SIOUX CITY,IA51101 38-3320705	HOME HEALTH SERVICES (INACTIVE)	IA	501(C)(3)	LINE 11A, I	MERCY HEALTH SERVICES-IOWA CORP	Yes
(73)MAXIS HEALTH SYSTEM 3805 WEST CHESTER PIKE STE 100 NEWTOWN SQUARE,PA19073 91-1940902	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE)	PA	501(C)(3)	LINE 11A, I	TRINITY HEALTH CORPORATION	Yes
(74)MCAULEY CENTER INC 275 STEELE ROAD WEST HARTFORD,CT06117 06-1058086	SENIOR LIVING COMMUNITY	CT	501(C)(3)	LINE 9	MERCY COMMUNITY HEALTH INC	Yes
(75)MCAULEY CLINIC CORPORATION PO BOX 992 ANN ARBOR,MI48106 38-2561013	HEALTHCARE SERVICES (INACTIVE)	MI	501(C)(3)	LINE 3	CATHERINE MCAULEY HEALTH SERVICES CORP	Yes
(76)MCAULEY MINISTRIES 3333 FIFTH AVENUE PITTSBURGH,PA15213 94-3436142	GRANT MAKING	PA	501(C)(3)	LINE 11B, II	PITTSBURGH MERCY HEALTH SYSTEM	Yes
(77)MERCY AMICARE HOME HEALTHCARE OAKLAND 1111 W LONG LAKE RD STE 102 TROY,MI48098 38-3320698	HOME HEALTH SERVICES	MI	501(C)(3)	LINE 9	TRINITY HOME HEALTH SERVICES	Yes
(78)MERCY AMICARE HOME HEALTHCARE PORT HURON 17410 COLLEGE PARKWAY STE 150 LIVONIA,MI48152 38-3320701	HOME HEALTH SERVICES	MI	501(C)(3)	LINE 9	TRINITY HOME HEALTH SERVICES	Yes
(79)MERCY CARE FOUNDATION 424 DECATUR STREET ATLANTA,GA30312 58-1448522	FOUNDATION	GA	501(C)(3)	LINE 7	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes
(80)MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN,PA19428 23-1352191	HEALTHCARE AND HOSPITAL SERVICES	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes
(81)MERCY COMMUNITY HEALTH INC 2021 ALBANY AVENUE WEST HARTFORD,CT06117 06-1492707	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	CT	501(C)(3)	LINE 11B, II	TRINITY CONTINUING CARE SERVICES	Yes
(82)MERCY FAMILY SUPPORT 1001 BALTIMORE PIKE SUITE 310 SPRINGFIELD,PA19064 23-2325059	HOME HEALTH SERVICES	PA	501(C)(3)	LINE 9	MERCY HOME HEALTH SERVICES	Yes
(83)MERCY FOUNDATION INC 2525 SOUTH MICHIGAN AVENUE CHICAGO,IL60616 36-3227350	FOUNDATION	IL	501(C)(3)	LINE 7	MERCY HEALTH SYSTEM OF CHICAGO	Yes
(84)MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE 888 TERRACE STREET MUSKEGON,MI49440 38-3321856	HOSPICE & HOME HEALTH SERVICES	MI	501(C)(3)	LINE 9	TRINITY HOME HEALTH SERVICES	Yes
(85)MERCY HEALTH FOUNDATION OF SOUTHEASTERN PENNSYLVANIA ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN,PA19428 23-2829864	FOUNDATION	PA	501(C)(3)	LINE 11B, II	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes
(86)MERCY HEALTH NETWORK INC 1111 6TH AVENUE DES MOINES,IA50314 42-1478417	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	DE	501(C)(3)	LINE 11B, II	N/A		No
(87)MERCY HEALTH PARTNERS 1500 E SHERMAN BLVD MUSKEGON,MI49444 38-2589966	HEALTHCARE AND HOSPITAL SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN	Yes
(88)MERCY HEALTH PLAN ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN,PA19428 22-2483605	MEDICAID MANAGED CARE PLAN	PA	501(C)(3)	LINE 11B, II	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes
(89)MERCY HEALTH SERVICES - IOWA CORP 1000 4TH STREET SW MASON CITY,IA50401 31-1373080	HEALTHCARE AND HOSPITAL SERVICES	DE	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes
(90)MERCY HEALTH SYSTEM OF CHICAGO 2525 SOUTH MICHIGAN AVENUE CHICAGO,IL60616 36-3163327	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	IL	501(C)(3)	LINE 11B, II	TRINITY HEALTH CORPORATION	Yes
(91)MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN,PA19428 23-2212638	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	PA	501(C)(3)	LINE 11C, III-FI	TRINITY HEALTH CORPORATION	Yes
(92)MERCY HEALTHCARE CENTER 114 WAWBEEK AVENUE TUPPER LAKE,NY12986 15-0532211	HEALTHCARE AND HOSPITAL SERVICES (INACTIVE)	NY	501(C)(3)	LINE 3	MERCY UIHLEIN HEALTH CORPORATION	Yes
(93)MERCY HEALTHCARE FOUNDATION - CLINTON 1410 N 4TH ST CLINTON,IA52732 42-1316126	FOUNDATION	IA	501(C)(3)	LINE 7	N/A		No
(94)MERCY HOME HEALTH 1001 BALTIMORE PIKE SUITE 310 SPRINGFIELD,PA19064 23-1352099	HOME HEALTH SERVICES	PA	501(C)(3)	LINE 9	MERCY HOME HEALTH SERVICES	Yes
(95)MERCY HOME HEALTH SERVICES 1001 BALTIMORE PIKE SUITE 310 SPRINGFIELD,PA19064 23-2325058	MANAGEMENT SERVICES FOR HOME HEALTH	PA	501(C)(3)	LINE 11B, II	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes
(96)MERCY HOSPITAL AND MEDICAL CENTER 2525 SOUTH MICHIGAN AVENUE CHICAGO,IL60616 36-2170152	HEALTHCARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF CHICAGO	Yes
(97)MERCY HOSPITAL CADILLAC FOUNDATION 1820 44TH ST SE KENTWOOD,MI49508 20-3357131	FOUNDATION	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH-MICHIGAN	Yes
(98)MERCY HOSPITAL INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE,FL33308 59-0791034	HEALTHCARE SERVICES (INACTIVE)	FL	501(C)(3)	LINE 11B, II	TRINITY HEALTH CORPORATION	Yes
(99)MERCY HOSPITAL INC C/O SPHS 1221 MAIN STREET SUITE 213 HOLYOKE,MA01040 04-3398280	HEALTHCARE AND HOSPITAL SERVICES	MA	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORPORATION INC	Yes
(100)MERCY LIFE CENTER CORPORATION 1200 REEDSDALE STREET PITTSBURGH,PA15233 25-1604115	COMMUNITY OUTREACH	PA	501(C)(3)	LINE 9	PITTSBURGH MERCY HEALTH SYSTEM	Yes
(101)MERCY LIFE OF ALABAMA PO BOX 7957 MOBILE,AL36670 27-3163002	PACE PROGRAM	AL	501(C)(3)	LINE 3	TRINITY HEALTH PACE	Yes
(102)MERCY LIFE INC C/O SPHS 1221 MAIN STREET SUITE 213 HOLYOKE,MA01040 45-3086711	PACE PROGRAM	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE CARE CENTERS INC	Yes
(103)MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN,PA19428 23-2627944	HEALTHCARE SERVICES	PA	501(C)(3)	LINE 3	MERCY PHYSICIAN NETWORK	Yes
(104)MERCY MEDICAL CENTER - CLINTON INC 1410 NORTH 4TH ST CLINTON,IA52732 42-1336618	HEALTHCARE AND HOSPITAL SERVICES	DE	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	Yes
(105)MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION 801 5TH STREET SIOUX CITY,IA51102 14-1880022	FOUNDATION	IA	501(C)(3)	LINE 7	MERCY HEALTH SERVICES-IOWA CORP	Yes
(106)MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA 1000 4TH STREET SW MASON CITY,IA50401 42-1229151	FOUNDATION	IA	501(C)(3)	LINE 7	MERCY HEALTH SERVICES-IOWA CORP	Yes
(107)MERCY MEDICAL CORPORATION PO BOX 7957 MOBILE,AL36670 63-6002215	PACE PROGRAM	AL	501(C)(3)	LINE 9	TRINITY HEALTH CORPORATION	Yes
(108)MERCY MEDICAL GROUP INC C/O SPHS 1221 MAIN STREET SUITE 213 HOLYOKE,MA01040 45-4884805	HEALTHCARE SERVICES	MA	501(C)(3)	LINE 3	THE MERCY HOSPITAL INC	Yes
(109)MERCY PHYSICIAN NETWORK ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN,PA19428 46-1187365	MANAGEMENT SERVICES FOR PHYSICIAN SERVICE ORGANIZATIONS	PA	501(C)(3)	LINE 11B, II	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes
(110)MERCY SENIOR CARE INC 424 DECATUR STREET ATLANTA,GA30312 58-1366508	COMMUNITY OUTREACH	GA	501(C)(3)	LINE 7	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes
(111)MERCY SERVICES DOWNTOWN INC 424 DECATUR STREET ATLANTA,GA30312 27-2046353	TITLE HOLDING COMPANY	GA	501(C)(3)	LINE 11B, II	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes
(112)MERCY SERVICES FOR AGING NONPROFIT HOUSING CORPORATION PO BOX 9184 FARMINGTON HILLS,MI48333 38-2719605	LONG TERM CARE	MI	501(C)(3)	LINE 9	TRINITY CONTINUING CARE SERVICES	Yes
(113)MERCY SPECIALIST PHYSICIANS INC C/O SPHS 1221 MAIN STREET SUITE 213 HOLYOKE,MA01040 26-4033168	HEALTHCARE SERVICES	MA	501(C)(3)	LINE 3	THE MERCY HOSPITAL INC	Yes
(114)MERCY SUBURBAN HOSPITAL ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN,PA19428 23-1396763	HEALTHCARE AND HOSPITAL SERVICES	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes
(115)MERCY UIHLEIN HEALTH CORPORATION 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE,NY19073 16-1535133	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE)	NY	501(C)(3)	LINE 11B, II	TRINITY HEALTH CORPORATION	Yes
(116)MISSION HEALTH CORPORATION 37595 SEVEN MILE ROAD LIVONIA,MI48152 38-3181557	BUILDING MANAGEMENT SERVICES	DE	501(C)(3)	LINE 11A, I	N/A		No
(117)MOUNT CARMEL COLLEGE OF NURSING 6150 EAST BROAD STREET COLUMBUS,OH43213 31-1308555	COLLEGE OF NURSING	OH	501(C)(3)	LINE 2	MOUNT CARMEL HEALTH SYSTEM	Yes
(118)MOUNT CARMEL HEALTH INSURANCE COMPANY 6150 EAST BROAD STREET COLUMBUS,OH43213 25-1912781	HEALTH INSURANCE	OH	501(C)(4)	N/A	MOUNT CARMEL HEALTH SYSTEM	Yes
(119)MOUNT CARMEL HEALTH PLAN INC 6150 EAST BROAD STREET COLUMBUS,OH43213 31-1471229	MEDICARE HMO	OH	501(C)(4)	N/A	MOUNT CARMEL HEALTH SYSTEM	Yes
(120)MOUNT CARMEL HEALTH SYSTEM 6150 EAST BROAD STREET COLUMBUS,OH43213 31-1439334	HEALTHCARE AND HOSPITAL SERVICES	OH	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes
(121)MOUNT CARMEL HEALTH SYSTEM FOUNDATION 6150 EAST BROAD STREET COLUMBUS,OH43213 31-1113966	FOUNDATION	OH	501(C)(3)	LINE 11A, I	MOUNT CARMEL HEALTH SYSTEM	Yes
(122)MOUNT CARMEL HOME CARE LLC 501 WEST SCHROCK ROAD WESTERVILLE,OH43081 26-2729300	HOME HEALTH SERVICES	OH	501(C)(3)	LINE 9	TRINITY HOME HEALTH SERVICES	Yes
(123)MOUNT SINAI HOSPITAL FOUNDATION INC 500 BLUE HILLS AVENUE HARTFORD,CT06112 22-2584082	FOUNDATION	CT	501(C)(3)	LINE 11C, III-FI	N/A		No
(124)MOUNT SINAI REHABILITATION HOSPITAL INC 114 WOODLAND STREET HARTFORD,CT06105 06-1422973	HEALTHCARE AND HOSPITAL SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORPORATION INC	Yes
(125)MOUNT ST JOSEPH 7 HIGHTOWER STREET WATERVILLE,ME04901 01-0274998	HEALTHCARE SERVICES	ME	501(C)(3)	LINE 3	MERCY COMMUNITY HEALTH INC	Yes
(126)MRI MOBILE SERVICES OF WEST MICHIGAN 1820 44TH STREET KENTWOOD,MI49508 38-3073745	HEALTHCARE SERVICES (INACTIVE)	MI	501(C)(3)	LINE 9	TRINITY HEALTH-MICHIGAN	Yes
(127)MUSKEGON COMMUNITY HEALTH PROJECT 565 W WESTERN AVENUE MUSKEGON,MI49440 91-1932918	COMMUNITY OUTREACH	MI	501(C)(3)	LINE 7	MERCY HEALTH PARTNERS	Yes
(128)NAZARETH HEALTH CARE FOUNDATION 2701 HOLME AVENUE PHILADELPHIA,PA19152 23-2300951	FOUNDATION	PA	501(C)(3)	LINE 11A, I	NAZARETH HOSPITAL	Yes
(129)NAZARETH HOSPITAL 2601 HOLME AVENUE PHILADELPHIA,PA19152 23-2794121	HEALTHCARE AND HOSPITAL SERVICES	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes
(130)NAZARETH PHYSICIAN SERVICES INC ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN,PA19428 20-3261266	HEALTHCARE SERVICES	PA	501(C)(3)	LINE 3	MERCY PHYSICIAN NETWORK	Yes
(131)NE PHYSICIAN SERVICES INC ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN,PA19428 23-2497355	HEALTHCARE SERVICES (INACTIVE)	PA	501(C)(3)	LINE 3	MERCY PHYSICIAN NETWORK	Yes
(132)OAKLAND MERCY HOSPITAL 601 EAST 2ND STREET OAKLAND,NE68045 20-8072234	HEALTHCARE AND HOSPITAL SERVICES	NE	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	Yes
(133)OAKLAND MERCY HOSPITAL FOUNDATION 601 E 2ND STREET OAKLAND,NE68045 31-1678345	FOUNDATION	NE	501(C)(3)	LINE 11A, I	OAKLAND MERCY HOSPITAL	Yes
(134)ONE THOUSAND CORPORATION 1000 ASYLUM AVENUE HARTFORD,CT06105 06-0922325	BUILDING MANAGEMENT SERVICES	CT	501(C)(2)	N/A	SAINT FRANCIS HOSPITAL AND MEDICAL CENTER	Yes
(135)OSUMOUNT CARMEL HEALTH ALLIANCE 6150 EAST BROAD STREET COLUMBUS,OH43213 31-1654603	COOPERATIVE HEALTHCARE DELIVERY SYSTEM	OH	501(C)(3)	LINE 11A, I	N/A		No
(136)OUR LADY OF LOURDES HEALTH CARE SERVICES INC 1600 HADDON AVENUE CAMDEN,NJ08103 22-2568528	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	NJ	501(C)(3)	LINE 11B, II	MAXIS HEALTH SYSTEM	Yes
(137)OUR LADY OF LOURDES HEALTH FOUNDATION INC 1600 HADDON AVENUE CAMDEN,NJ08103 22-2351960	FOUNDATION	NJ	501(C)(3)	LINE 7	OUR LADY OF LOURDES HEALTH CARE SERVICES	Yes
(138)OUR LADY OF LOURDES MEDICAL CENTER 1600 HADDON AVENUE CAMDEN,NJ08103 21-0635001	HEALTHCARE AND HOSPITAL SERVICES	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES	Yes
(139)OUR LADY OF MERCY LIFE CENTER 2 MERCYCARE LANE GUILDERLAND,NY12084 14-1743506	LONG TERM CARE	NY	501(C)(3)	LINE 3	ST PETER'S HOSPITAL	Yes
(140)PIONEER VALLEY CARDIOLOGY ASSOCIATES INC C/O SPHS 1221 MAIN STREET SUITE 213 HOLYOKE,MA01040 45-4208896	HEALTHCARE SERVICES	MA	501(C)(3)	LINE 3	THE MERCY HOSPITAL INC	Yes
(141)PITTSBURGH MERCY HEALTH SYSTEM 3333 5TH AVENUE PITTSBURGH,PA15213 25-1464211	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	PA	501(C)(3)	LINE 11B, II	TRINITY HEALTH CORPORATION	Yes
(142)PROBILITY THERAPY SERVICES 2058 S STATE STREET ANN ARBOR,MI48104 20-2020239	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 9	TRINITY HEALTH-MICHIGAN	Yes
(143)PROFESSIONAL MED TEAM 965 FORK STREET MUSKEGON,MI49442 38-2638284	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 9	MERCY HEALTH PARTNERS	Yes
(144)RIVERBEND MEDICAL GROUP INC 271 CAREW ST SPRINGFIELD,MA01104 81-1807730	HEALTHCARE SERVICES	MA	501(C)(3)	LINE 3	THE MERCY HOSPITAL INC	Yes
(145)SJ MANAGEMENT COMPANY OF SYRACUSE INC 301 PROSPECT AVENUE SYRACUSE,NY13203 27-1763712	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	NY	501(C)(3)	LINE 11C, III-FI	ST JOSEPH'S HOSPITAL HEALTH CENTER	Yes
(146)SAINT AGNES MEDICAL CENTER 1303 EAST HERNDON AVE FRESNO,CA93720 94-1437713	HEALTHCARE AND HOSPITAL SERVICES	CA	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes
(147)SAINT AGNES MEDICAL FOUNDATION (FKA PROFESSIONAL OFFICE CORPORATION) 1303 EAST HERNDON AVE FRESNO,CA93720 94-2839324	HEALTHCARE SERVICES	CA	501(C)(3)	LINE 11A, I	SAINT AGNES MEDICAL CENTER	Yes
(148)SAINT ALPHONSUS BUILDING COMPANY INC 1055 NORTH CURTIS RD BOISE,ID83706 82-0401011	BUILDING MANAGEMENT SERVICES	ID	501(C)(3)	LINE 9	SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC	Yes
(149)SAINT ALPHONSUS DIVERSIFIED CARE INC 1055 NORTH CURTIS RD BOISE,ID83706 94-3028978	HEALTHCARE SYSTEM SUPPORT	ID	501(C)(3)	LINE 11A, I	SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC	Yes
(150)SAINT ALPHONSUS FOUNDATION-BAKER CITY INC 3325 POCAHONTAS ROAD BAKER CITY,OR97814 94-3164869	FOUNDATION	OR	501(C)(3)	LINE 7	SAINT ALPHONSUS MEDICAL CENTER - BAKER CITY	Yes
(151)SAINT ALPHONSUS FOUNDATION-ONTARIO INC 351 SW 9TH STREET ONTARIO,OR97914 20-2683560	FOUNDATION	OR	501(C)(3)	LINE 7	SAINT ALPHONSUS MEDICAL CENTER-ONTARIO	Yes
(152)SAINT ALPHONSUS HEALTH SYSTEM INC 1055 N CURTIS ROAD BOISE,ID83706 27-1929502	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	ID	501(C)(3)	LINE 11B, II	TRINITY HEALTH CORPORATION	Yes
(153)SAINT ALPHONSUS MEDICAL CENTER ONTARIO VOLUNTEERS 351 SW 9TH STREET ONTARIO,OR97914 94-3059469	VOLUNTEER SERVICE AUXILIARY	OR	501(C)(3)	LINE 9	SAINT ALPHONSUS MEDICAL CENTER-ONTARIO	Yes
(154)SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC 3325 POCAHONTAS ROAD BAKER CITY,OR97814 27-1790052	HEALTHCARE AND HOSPITAL SERVICES	OR	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	Yes
(155)SAINT ALPHONSUS MEDICAL CENTER-NAMPA HEALTH FOUNDATION INC 1512 12TH AVENUE ROAD NAMPA,ID83686 26-1737256	FOUNDATION	ID	501(C)(3)	LINE 7	SAINT ALPHONSUS MEDICAL CENTER-NAMPA	Yes
(156)SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC 1512 12TH AVENUE ROAD NAMPA,ID83686 82-0200896	HEALTHCARE AND HOSPITAL SERVICES	ID	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	Yes
(157)SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC 351 SW 9TH STREET ONTARIO,OR97914 27-1789847	HEALTHCARE AND HOSPITAL SERVICES	OR	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	Yes
(158)SAINT ALPHONSUS REGIONAL MEDICAL CENTER 1055 NORTH CURTIS RD BOISE,ID83706 82-0200895	HEALTHCARE AND HOSPITAL SERVICES	ID	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	Yes
(159)SAINT FRANCIS EMERGENCY MEDICAL GROUP INC 114 WOODLAND STREET HARTFORD,CT06105 45-1994612	HEALTHCARE SERVICES	CT	501(C)(3)	LINE 11B, II	TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC	Yes
(160)SAINT FRANCIS HOSPITAL AND MEDICAL CENTER FOUNDATION INC 114 WOODLAND STREET HARTFORD,CT06105 06-1008255	FOUNDATION	CT	501(C)(3)	LINE 11B, II	SAINT FRANCIS HOSPITAL AND MEDICAL CENTER	Yes
(161)TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATIONINC 114 WOODLAND STREET HARTFORD,CT06105 06-1450168	HEALTHCARE SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORPORATION INC	Yes
(162)SAINT JAMES CARE INC 111 CENTRAL AVENUE NEWARK,NJ07102 26-2616230	INACTIVE ENTITY	NJ	501(C)(3)	LINE 9	SAINT MICHAEL'S MEDICAL CENTER	Yes
(163)SAINT JOSEPH PACE INC 20555 VICTOR PARKWAY LIVONIA,MI48152 47-3129127	PACE PROGRAM	IN	501(C)(3)	LINE 7	TRINITY HEALTH PACE	Yes
(164)SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC PO BOX 670 PLYMOUTH,IN46563 35-1142669	HEALTHCARE AND HOSPITAL SERVICES	IN	501(C)(3)	LINE 3	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	Yes
(165)SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC 5215 HOLY CROSS PARKWAY MISHAWAKA,IN46545 35-0868157	HEALTHCARE AND HOSPITAL SERVICES	IN	501(C)(3)	LINE 3	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	Yes
(166)SAINT JOSEPH REGIONAL MEDICAL CENTER MISHAWAKA AUXILIARY INC 5215 HOLY CROSS PARKWAY MISHAWAKA,IN46545 35-6033285	VOLUNTEER SERVICE AUXILIARY	IN	501(C)(4)	N/A	SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC	Yes
(167)SAINT JOSEPH REGIONAL MEDICAL CENTER PLYMOUTH AUXILIARY INC 1915 LAKE AVENUE PLYMOUTH,IN46563 35-6043563	VOLUNTEER SERVICE AUXILIARY	IN	501(C)(3)	LINE 11B, II	SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC	Yes
(168)SAINT JOSEPH REGIONAL MEDICAL CENTER INC 5215 HOLY CROSS PARKWAY MISHAWAKA,IN46545 35-1568821	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	IN	501(C)(3)	LINE 11B, II	TRINITY HEALTH CORPORATION	Yes
(169)SAINT JOSEPH'S HEALTH SYSTEM INC 424 DECATUR STREET ATLANTA,GA30312 58-1744848	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	GA	501(C)(3)	LINE 11C, III-FI	TRINITY HEALTH CORPORATION	Yes
(170)SAINT JOSEPH'S MERCY CARE SERVICES INC 424 DECATUR STREET ATLANTA,GA30312 58-1752700	HEALTHCARE SERVICES	GA	501(C)(3)	LINE 7	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes
(171)SAINT JOSEPH'S TOWER INC PO BOX 9184 FARMINGTON HILLS,MI48333 31-1040468	SENIOR LIVING COMMUNITY	IN	501(C)(3)	LINE 9	TRINITY CONTINUING CARE SERVICES - INDIANA INC	Yes
(172)SAINT MARY'S AMICARE HOME HEALTHCARE 1430 MONROE NW STE 120 GRAND RAPIDS,MI49505 38-3320700	HOME HEALTH SERVICES	MI	501(C)(3)	LINE 9	TRINITY HOME HEALTH SERVICES	Yes
(173)SAINT MARY'S FOUNDATION 200 JEFFERSON ST SE GRAND RAPIDS,MI49503 38-1779602	FOUNDATION	MI	501(C)(3)	LINE 7	TRINITY HEALTH-MICHIGAN	Yes
(174)SAINT MARY'S HOSPITAL FOUNDATION INC 56 FRANKLIN STREET WATERBURY,CT06706 22-2528400	FOUNDATION	CT	501(C)(3)	LINE 7	SAINT MARY'S HOSPITAL INC	Yes
(175)SAINT MARY'S HOSPITAL INC 56 FRANKLIN STREET WATERBURY,CT06706 06-0646844	HEALTHCARE AND HOSPITAL SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORPORATION INC	Yes
(176)SAINT MICHAEL'S MEDICAL CENTER 111 CENTRAL AVENUE NEWARK,NJ07102 26-2616046	HEALTHCARE AND HOSPITAL SERVICES	NJ	501(C)(3)	LINE 3	MAXIS HEALTH SYSTEM	Yes
(177)SAMARITAN CHILD CARE CENTER INC 2213 BURDETT AVE TROY,NY12180 14-1710225	CHILD CARE	NY	501(C)(3)	LINE 9	ST PETER'S HEALTH PARTNERS	Yes
(178)SAMARITAN HOSPITAL 2215 BURDETT AVE TROY,NY12180 14-1338544	HEALTHCARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes
(179)SENIOR CARE CONNECTION INC 504 STATE ST SCHENECTADY,NY12305 14-1708754	PACE PROGRAM	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes
(180)SETON AUXILIARY INC 1300 MASSACHUSETTS AVENUE TROY,NY12180 14-1505031	VOLUNTEER SERVICE AUXILIARY	NY	501(C)(3)	LINE 9	SETON HEALTH SYSTEM INC	Yes
(181)SETON HEALTH AT SCHUYLER RIDGE RESIDENTIAL HEALTHCARE 1 ABELE BLVD CLIFTON PARK,NY12065 14-1756230	LONG TERM CARE	NY	501(C)(3)	LINE 9	SETON HEALTH SYSTEM INC	Yes
(182)SETON HEALTH FOUNDATION INC 1300 MASSACHUSETTS AVENUE TROY,NY12180 22-2345416	FOUNDATION	NY	501(C)(3)	LINE 11A, I	SETON HEALTH SYSTEM INC	Yes
(183)SETON HEALTH SYSTEM INC 1300 MASSACHUSETTS AVENUE TROY,NY12180 14-1776186	HEALTHCARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes
(184)SISTERS OF PROVIDENCE CARE CENTERS INC C/O SPHS 1221 MAIN STREET SUITE 213 HOLYOKE,MA01040 22-2541103	LONG TERM CARE	MA	501(C)(3)	LINE 3	THE MERCY HOSPITAL INC	Yes
(185)SISTERS OF PROVIDENCE HEALTH SYSTEM INC 1221 MAIN STREET SUITE 213 HOLYOKE,MA01040 04-3398374	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	MA	501(C)(3)	LINE 11B, II	TRINITY HEALTH CORPORATION	Yes
(186)SJHSJOC HOLDINGS INC 424 DECATUR STREET ATLANTA,GA30312 47-2299757	HEALTHCARE SYSTEM SUPPORT	GA	501(C)(3)	LINE 11B, II	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes
(187)ST AGNES CONTINUING CARE CENTER ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN,PA19428 23-2840137	PACE PROGRAM	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes
(188)ST AGNES CONTINUING CARE CENTER FOUNDATION ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN,PA19428 23-2415137	FOUNDATION	PA	501(C)(3)	LINE 11A, I	ST AGNES CONTINUING CARE CENTER	Yes
(189)ST FRANCIS FOUNDATION PO BOX 2500 WILMINGTON,DE19805 51-0374158	FOUNDATION	DE	501(C)(3)	LINE 11A, I	ST FRANCIS HOSPITAL	Yes
(190)ST FRANCIS HOSPITAL INC PO BOX 2500 WILMINGTON,DE19805 51-0064326	HEALTHCARE AND HOSPITAL SERVICES	DE	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes
(191)ST FRANCIS MEDICAL CENTER FOUNDATION INC 601 HAMILTON AVENUE TRENTON,NJ08629 52-1025476	FOUNDATION	NJ	501(C)(3)	LINE 7	ST FRANCIS MEDICAL CENTER TRENTON NJ	Yes
(192)ST FRANCIS MEDICAL CENTER TRENTON NJ 601 HAMILTON AVENUE TRENTON,NJ08629 22-3431049	HEALTHCARE AND HOSPITAL SERVICES	NJ	501(C)(3)	LINE 3	MAXIS HEALTH SYSTEM	Yes
(193)ST JAMES MERCY HEALTH SYSTEM INC 411 CANISTEO STREET HORNELL,NY14843 22-3127184	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	NY	501(C)(3)	LINE 11B, II	TRINITY HEALTH CORPORATION	Yes
(194)ST JOSEPH MERCY OAKLAND FOUNDATION 44405 WOODWARD AVE PONTIAC,MI48341 35-2356789	FOUNDATION	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH-MICHIGAN	Yes
(195)ST JOSEPH OF THE PINES INC 100 GOSSMAN DRIVE SOUTHERN PINES,NC28387 56-0694200	LONG TERM CARE	NC	501(C)(3)	LINE 3	TRINITY CONTINUING CARE SERVICES	Yes
(196)ST JOSEPH'S COLLEGE OF NURSING AT ST JOSEPH'S HOSPITAL HEALTH CENTER 206 PROSPECT AVENUE SYRACUSE,NY13203 20-2497520	COLLEGE OF NURSING	NY	501(C)(3)	LINE 2	ST JOSEPH'S HOSPITAL HEALTH CENTER	Yes
(197)ST JOSEPH'S HEALTH CENTER PROPERTIES INC 301 PROSPECT AVENUE SYRACUSE,NY13203 23-7219294	BUILDING MANAGEMENT SERVICES	NY	501(C)(3)	LINE 11B, II	ST JOSEPH'S HEALTH INC	Yes
(198)ST JOSEPH'S HEALTH INC 301 PROSPECT AVENUE SYRACUSE,NY13203 47-4754987	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	NY	501(C)(3)	LINE 11B, II	TRINITY HEALTH CORPORATION	Yes
(199)ST JOSEPH'S HOSPITAL HEALTH CENTER 301 PROSPECT AVENUE SYRACUSE,NY13203 15-0532254	HEALTHCARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST JOSEPH'S HEALTH INC	Yes
(200)ST JOSEPH'S HOSPITAL HEALTH CENTER FOUNDATION INC 301 PROSPECT AVENUE SYRACUSE,NY13203 22-2149775	FOUNDATION	NY	501(C)(3)	LINE 11A, I	ST JOSEPH'S HEALTH INC	Yes
(201)ST JOSEPH'S MEDICAL PC 301 PROSPECT AVENUE SYRACUSE,NY13203 27-3899821	HEALTHCARE SERVICES	NY	501(C)(3)	LINE 11A, I	ST JOSEPH'S HOSPITAL HEALTH CENTER	Yes
(202)ST JOSEPH'S PHYSICIAN HEALTH PC 301 PROSPECT AVENUE SYRACUSE,NY13203 16-1516863	HEALTHCARE SERVICES	NY	501(C)(3)	LINE 11A, I	ST JOSEPH'S HOSPITAL HEALTH CENTER	Yes
(203)ST MARY BUILDING AND DEVELOPMENT 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 46-1827502	TITLE HOLDING COMPANY	PA	501(C)(2)	N/A	ST MARY MEDICAL CENTER	Yes
(204)ST MARY EMERGENCY MEDICAL SERVICES 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 46-5354512	HEALTHCARE SERVICES	PA	501(C)(3)	LINE 9	ST MARY MEDICAL CENTER	Yes
(205)ST MARY HOME INCORPORATED 2021 ALBANY AVENUE WEST HARTFORD,CT06117 06-0646843	LONG TERM CARE	CT	501(C)(3)	LINE 3	MERCY COMMUNITY HEALTH INC	Yes
(206)ST MARY MEDICAL CENTER 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 23-1913910	HEALTHCARE AND HOSPITAL SERVICES	PA	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes
(207)ST MARY MEDICAL CENTER FOUNDATION INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 23-2567468	FOUNDATION	PA	501(C)(3)	LINE 7	ST MARY MEDICAL CENTER	Yes
(208)ST MARY'S FOUNDATION INC 1230 BAXTER STREET ATHENS,GA30606 58-2544232	FOUNDATION	GA	501(C)(3)	LINE 11A, I	ST MARY'S HEALTH CARE SYSTEM INC	Yes
(209)ST MARY'S GOOD SAMARITAN FOUNDATION INC 1230 BAXTER STREET ATHENS,GA30606 81-1660088	FOUNDATION	GA	501(C)(3)	LINE 11A, I	ST MARY'S HEALTH CARE SYSTEM INC	Yes
(210)ST MARY'S HEALTH CARE SYSTEM INC 1230 BAXTER STREET ATHENS,GA30606 58-0566223	HEALTHCARE AND HOSPITAL SERVICES	GA	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes
(211)ST MARY'S HIGHLAND HILLS INC 1230 BAXTER STREET ATHENS,GA30606 02-0576648	SENIOR LIVING COMMUNITY	GA	501(C)(3)	LINE 3	ST MARY'S HEALTH CARE SYSTEM INC	Yes
(212)ST MARY'S MEDICAL GROUP INC 1230 BAXTER STREET ATHENS,GA30606 26-1858563	HEALTHCARE SERVICES	GA	501(C)(3)	LINE 3	ST MARY'S HEALTH CARE SYSTEM INC	Yes
(213)ST MARY'S SACRED HEART HOSPITAL INC 367 CLEAR CREEK PARKWAY LAVONIA,GA30553 47-3752176	HEALTHCARE AND HOSPITAL SERVICES	GA	501(C)(3)	LINE 3	ST MARY'S HEALTH CARE SYSTEM INC	Yes
(214)ST MICHAEL'S FOUNDATION INC 111 CENTRAL AVENUE NEWARK,NJ07102 22-3311976	FOUNDATION	NJ	501(C)(3)	LINE 11A, I	SAINT MICHAEL'S MEDICAL CENTER	Yes
(215)ST PETER'S HEALTH PARTNERS 315 SOUTH MANNING BLVD ALBANY,NY12208 45-3570715	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	NY	501(C)(3)	LINE 11B, II	TRINITY HEALTH CORPORATION	Yes
(216)ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES PC 315 SOUTH MANNING BLVD ALBANY,NY12208 46-1177336	HEALTHCARE SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes
(217)ST PETER'S HOSPITAL 315 SOUTH MANNING BLVD ALBANY,NY12208 14-1348692	HEALTHCARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes
(218)ST PETER'S HOSPITAL FOUNDATION INC 310 SOUTH MANNING BLVD ALBANY,NY12208 22-2262982	FOUNDATION	NY	501(C)(3)	LINE 7	ST PETER'S HEALTH PARTNERS	Yes
(219)SUNNYVIEW HOSPITAL & REHABILITATION CENTER 1270 BELMONT AVE SCHENECTADY,NY12308 14-1338386	HEALTHCARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes
(220)SUNNYVIEW HOSPITAL & REHABILITATION CENTER FOUNDATION INC 1270 BELMONT AVE SCHENECTADY,NY12308 22-2505127	FOUNDATION	NY	501(C)(3)	LINE 11A, I	SUNNYVIEW HOSPITAL & REHABILITATION CENTER	Yes
(221)THE COMMUNITY HOSPICE FOUNDATION INC 295 VALLEY VIEW BLVD RENSSELAER,NY12144 22-2692940	FOUNDATION	NY	501(C)(3)	LINE 7	THE COMMUNITY HOSPICE INC	Yes
(222)THE COMMUNITY HOSPICE INC 295 VALLEY VIEW BLVD RENSSELAER,NY12144 14-1608921	HOSPICE SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes
(223)THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER 707 EAST CEDAR STREET SOUTH BEND,IN46617 35-1654543	FOUNDATION	IN	501(C)(3)	LINE 7	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	Yes
(224)THE JAMES A EDDY MEMORIAL GERIATRIC CENTER INC 2256 BURDETT AVE TROY,NY12180 22-2570478	LONG TERM CARE	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes
(225)THE MARJORIE DOYLE ROCKWELL CENTER INC 421 WEST COLUMBIA ST COHOES,NY12047 14-1793885	LONG TERM CARE	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes
(226)THE NORTHEAST HEALTH FOUNDATION INC 310 SOUTH MANNING BLVD ALBANY,NY12208 22-2743478	FOUNDATION	NY	501(C)(3)	LINE 7	ST PETER'S HEALTH PARTNERS	Yes
(227)THE WOMEN'S AUXILIARY OF SAINT FRANCIS HOSPITAL AND MEDICAL CENTER INC 114 WOODLAND STREET HARTFORD,CT06105 06-0660403	VOLUNTEER SERVICE AUXILIARY	CT	501(C)(3)	LINE 11B, II	N/A		No
(228)TRI-HOSPITAL EMERGENCY MEDICAL SERVICES 309 GRAND RIVER PORT HURON,MI48060 38-2485700	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 11A, I	N/A		No
(229)TRI-HOSPITAL MRI CENTER 4190 24TH AVENUE FORT GRATIOT,MI48054 38-2884297	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN	Yes
(230)TRINITY CONTINUING CARE SERVICES PO BOX 9184 FARMINGTON HILLS,MI48333 38-2559656	LONG TERM CARE	MI	501(C)(3)	LINE 9	TRINITY HEALTH CORPORATION	Yes
(231)TRINITY CONTINUING CARE SERVICES - INDIANA INC PO BOX 9184 FARMINGTON HILLS,MI48333 93-0907047	LONG TERM CARE	IN	501(C)(3)	LINE 9	TRINITY CONTINUING CARE SERVICES	Yes
(232)TRINITY HEALTH - MICHIGAN 20555 VICTOR PARKWAY LIVONIA,MI48152 38-2113393	HEALTHCARE AND HOSPITAL SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes
(233)TRINITY HEALTH OF NEW ENGLAND CORPORATION INC 114 WOODLAND STREET HARTFORD,CT06105 06-1491191	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	CT	501(C)(3)	LINE 11A, I	TRINITY HEALTH CORPORATION	Yes
(234)TRINITY HEALTH CORPORATION 20555 VICTOR PARKWAY LIVONIA,MI48152 35-1443425	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	IN	501(C)(3)	LINE 11B, II	CATHOLIC HEALTH MINISTRIES	Yes
(235)TRINITY HEALTH LIFE PENNSYLVANIA INC 20555 VICTOR PARKWAY LIVONIA,MI48152 47-5244984	PACE PROGRAM	PA	501(C)(3)	LINE 9	TRINITY HEALTH PACE	Yes
(236)TRINITY HEALTH PACE 20555 VICTOR PARKWAY LIVONIA,MI48152 47-3073124	PACE PROGRAM	MI	501(C)(3)	LINE 11B, II	TRINITY HEALTH CORPORATION	Yes
(237)TRINITY HEALTH WELFARE BENEFIT TRUST 20555 VICTOR PARKWAY LIVONIA,MI48152 20-8151733	RETIREE MEDICAL AND RETIREE LIFE INSURANCE	MI	501(C)(9)	N/A	TRINITY HEALTH CORPORATION	Yes
(238)TRINITY HOME HEALTH SERVICES 17410 COLLEGE PARKWAY STE 150 LIVONIA,MI48152 38-2621935	MANAGEMENT SERVICES FOR HOME HEALTH SYSTEM	MI	501(C)(3)	LINE 9	TRINITY HEALTH CORPORATION	Yes
(239)UIHLEIN MERCY CENTER 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE,PA19073 15-0532190	HEALTHCARE SERVICES (INACTIVE)	NY	501(C)(3)	LINE 3	MERCY UIHLEIN HEALTH CORPORATION	Yes
(240)UNIVERSITY HEIGHTS PROPERTY COMPANY INC 111 CENTRAL AVENUE NEWARK,NJ07102 22-3100162	TITLE HOLDING COMPANY	NJ	501(C)(2)	N/A	SAINT MICHAEL'S MEDICAL CENTER	Yes
(241)VILLA MARY IMMACULATE 301 HACKETT BLVD ALBANY,NY12208 14-1438749	LONG TERM CARE	NY	501(C)(3)	LINE 3	ST PETER'S HOSPITAL	Yes
(242)WESTSHORE HEALTH NETWORK 1820 44TH STREET KENTWOOD,MI49508 38-3280200	HEALTH NETWORK	MI	501(C)(4)	N/A	MERCY HEALTH PARTNERS	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2015

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) ADVENT REHABILITATION LLC 607 DEWEY AVENUE SUITE 300 GRAND RAPIDS,MI49504 38-3306673	REHABILITATION THERAPY SERVICES	MI	N/A
(2) BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP 793 W STATE STREET COLUMBUS,OH43222 31-1608125	MEDICAL OFFICE BUILDING RENTAL	OH	N/A
(3) CATHERINE HORAN BUILDING ASSOCIATES LP 1221 MAIN STREET SUITE 105 HOLYOKE,MA01040 04-2723429	PROPERTY MANAGEMENT	MA	N/A
(4) CENTENNIAL SURGUNIT LLC 502 CENTENNIAL BLVD SUITE 1 VOORHEES,NJ08043 22-3580847	HEALTHCARE SERVICES	NJ	N/A
(5) CENTER FOR DIGESTIVE CARE LLC 5300 ELLIOTT DRIVE YPSILANTI,MI48197 03-0447062	PROVIDE GASTROINTESTINAL SERVICES	MI	N/A
(6) CENTRAL NEW JERSEY HEART SERVICES LLC PO BOX 148 BAYONNE,NJ07002 20-8525458	CARDIAC PROGRAM	NJ	N/A
(7) CLINTON IMAGING SERVICES LLC 615 VALLEY VIEW DR STE 202 MOLINE,IL61265 41-2044739	MRI DIAGNOSTIC SERVICES	IA	N/A
(8) DIAGNOSTIC IMAGING OF SOUTHBURY LLC 385 MAIN STREET SOUTH SOUTHBURY,CT06488 06-1487582	IMAGING CENTER	CT	N/A
(9) FOREST PARK IMAGING LLC 1000 4TH STREET SW MASON CITY,IA50401 13-4365966	X-RAY AND MAMMOGRAPHY SERVICES	IA	N/A
(10) FRANCES WARDE MEDICAL LABORATORY 300 WEST TEXTILE ROAD ANN ARBOR,MI48104 38-2648446	LABORATORY	MI	N/A
(11) GATEWAY HEALTH PLAN LP 444 LIBERTY AVE SUITE 2100 PITTSBURGH,PA15222 25-1691945	MEDICAID & MEDICARE/SPECIAL NEEDS MANAGED CARE ORGANIZATION	PA	N/A
(12) GREATER HARTFORD LITHOTRIPSY LLC 144 WOODLAND ST HARTFORD,CT06105 06-1578891	LITHOTRIPSY SERVICES	CT	ST FRANCIS HOSPITAL AND MEDICAL CENTER	RELATED	40,904	37,346		No		Yes		34.200 %
(13) HAWARDEN REGIONAL HEALTH CLINICS LLC 1122 AVENUE L HAWARDEN,IA51023 20-1444339	MEDICAL CLINIC	IA	N/A
(14) IDAHO ASC HOLDINGS LLC 1055 N CURTIS ROAD BOISE,ID83706 36-4729605	HOLDING COMPANY FOR AMBULATORY SURGERY	ID	N/A
(15) INNOVATIVE HEALTH ALLIANCE OF NEW YORK LLC 14 COLUMBIA CIRCLE DRIVE ALBANY,NY12203 46-5676066	ACCOUNTABLE CARE ORGANIZATION	NY	N/A
(16) LOYOLA AMBULATORY SURGERY CENTER AT OAKBROOK LP 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209 36-4119522	SURGICAL SERVICES	IL	N/A
(17) MAGNETIC RESONANCE SERVICES PARTNERSHIP 1416 SIXTH STREET SW MASON CITY,IA50401 42-1328388	MRI SERVICES	IA	N/A
(18) MASON CITY AMBULATORY SURGERY CENTER LLC 990 4TH STREET SW MASON CITY,IA50401 20-1960348	SURGERY-SAME DAY	IA	N/A
(19) MCE MOB IV LIMITED PARTNERSHIP 793 W STATE STREET COLUMBUS,OH43222 42-1544707	MEDICAL OFFICE BUILDING RENTAL	OH	N/A
(20) MDRMRI TECHNICAL SERVICES LLC 5640 EAST TAFT ROAD 3770 SYRACUSE,NY13220 16-1590982	MRI SERVICES	NY	N/A
(21) MEDILUCENT MOB I 793 W STATE STREET COLUMBUS,OH43222 20-4911370	MEDICAL OFFICE BUILDING RENTAL	OH	N/A
(22) MEDWORKS LLC 375 EAST CEDAR STREET NEWINGTON,CT06111 06-1490483	REHABILITATION SERVICES	CT	SAINT FRANCIS HOSPITAL AND MEDICAL CENTER	RELATED	69,273	37,397		No			No	51.000 %
(23) MERCY ADVANCED MRI LLC 2525 SOUTH MICHIGAN AVE CHICAGO,IL60616 26-2116721	SUBLEASE MRI EQUIPMENT	IL	N/A
(24) MERCY HEART CTR OP SERVICES LLC 1000 4TH STREET SW MASON CITY,IA50401 13-4237594	CARDIOVASCULAR SERVICES	IA	N/A
(25) MERCYMANOR PARTNERSHIP PO BOX 10086 TOLEDO,OH43699 52-1931012	NURSING HOME	PA	N/A
(26) MERCYUSP HEALTH VENTURES LLC 15305 DALLAS PARKWAY STE 1600 LB 28 ADDISON,TX75001 47-1290300	OUTPATIENT SURGERY	IA	N/A
(27) MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP 793 W STATE STREET COLUMBUS,OH43222 31-1369473	MEDICAL OFFICE BUILDING RENTAL	OH	N/A
(28) NAUGATUCK VALLEY MRI LIMITED PARTNERSHIP 1389 WEST MAIN ST WATERBURY,CT06708 06-1239526	IMAGING CENTER	CT	N/A
(29) NAZARETH MEDICAL OFFICE BUILDING ASSOCIATES LP C/O NAZARETH HOSP 2601 HOLME AVE PHILADELPHIA,PA19152 23-2388040	MEDICAL OFFICE BUILDING	PA	N/A
(30) PHYSICIANS OUTPATIENT SURGERY CENTER LLC 1000 NE 56TH STREET OAKLAND PARK,FL33334 35-2325646	AMBULATORY SURGERY CENTER	FL	N/A
(31) RADISSON SJH PROPERTIES LLC 5000 CAMPUSWOOD DRIVE SUITE 100 EAST SYRACUSE,NY13057 46-1892799	MEDICAL OFFICE BUILDING	NY	N/A
(32) SARMED OUTPATIENT PHARMACY LLC 999 N CURTIS RD STE 102 BOISE,ID83706 51-0483218	PHARMACY	ID	N/A
(33) SIXTY FOURTH STREET LLC 2373 64TH ST STE 2200 BYRON CENTER,MI49315 20-2443646	PROVIDE OUTPATIENT SURGICAL CARE	MI	N/A
(34) SJLS LLC 7650 SE 27TH ST STE 200 MERCER ISLAND,WA98040 20-1796650	DIALYSIS SERVICES	NY	N/A
(35) SJV MANAGEMENT LLC 200 CENTURY PKWY STE 200E MOUNT LAUREL,NJ08054 20-2273476	RADIOLOGY	NJ	N/A
(36) SMMC MOB II LP 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 36-4559869	INVESTMENT AND OPERATION OF A MEDICAL BUILDING	PA	N/A
(37) ST AGNES LONG-TERM INTENSIVE CARE LLP C/O MHS ONE WEST ELM ST STE 100 CONSHOHOCKEN,PA19428 20-0984882	LONG TERM INTENSIVE CARE	PA	N/A
(38) ST ALPHONSUS CALDWELL CANCER CTR LLC 3123 MEDICAL DR CALDWELL,ID83605 82-0526861	HEALTH CARE SERVICES	ID	N/A
(39) ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP 793 W STATE STREET COLUMBUS,OH43222 31-1603660	MEDICAL OFFICE BUILDING RENTAL	OH	N/A
(40) ST JOSEPH'S IMAGING ASSOCIATES PLLC 104 UNION AVE SUITE 905 SYRACUSE,NY13203 16-1104293	RADIOLOGY SERVICES	NY	N/A
(41) ST MARY REHABILITATION HOSPITAL LLP 680 SOUTH FORTH STREET LOUISVILLE,KY40202 27-3938747	HEALTHCARE SERVICES	DE	N/A
(42) ST PETER'S AMBULATORY SURGERY CENTER LLC 1375 WASHINGTON AVENUE STE 201 ALBANY,NY12206 46-0463892	OUTPATIENT SURGERY	NY	N/A
(43) TAMARACK MEDICAL CLINIC LLC 402 LAKE CASCADE PARKWAY CASCADE,ID83611 20-1637921	OUTPATIENT MEDICAL SERVICES	ID	N/A
(44) THE AMBULATORY SURGERY CENTER AT ST MARY LLC 1203 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 23-2871206	OUTPATIENT SURGERY	PA	N/A
(45) TRINITY HEALTH PARTNERS LLC 20555 VICTOR PARKWAY LIVONIA,MI48152 47-2798085	POPULATION HEALTH MANAGEMENT	DE	N/A
(46) WOODLAND IMAGING CENTER LLC 5301 E HURON RIVER DR ANN ARBOR,MI48106 76-0820959	RADIOLOGY/ IMAGING	MI	N/A

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) AFFILIATED MANAGEMENT SERVICES CORPORATION INC 1300 MASSACHUSETTS AVENUE TROY,NY12180 14-1668024	REAL ESTATE	NY	N/A	C				Yes
(2) CARBONDALE PHYSICIANS' SERVICES INC 100 LINCOLN AVE CARBONDALE,PA18407 23-2365077	PHARMACY	PA	N/A	C				Yes
(3) CATHERINE HORAN BUILDING CORP 1233 MAIN STREET HOLYOKE,MA01040 04-2938160	BUILDING MANAGEMENT	MA	N/A	C				Yes
(4) CHESTNUT RISK SERVICES LTD 11 VICTORIA STREET HAMILTON BD	INSURANCE	BD	N/A	C				Yes
(5) DIVERSIFIED COMMUNITY SERVICES INC 1233 MAIN STREET HOLYOKE,MA01040 04-3128890	MEDICAL SERVICES	MA	N/A	C				Yes
(6) FHS SERVICES INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT,NY13214 27-2995699	MEDICAL SERVICES	NY	N/A	C				Yes
(7) FRANCISCAN ASSOCIATES INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT,NY13214 20-2991688	MEDICAL SERVICES	NY	N/A	C				Yes
(8) FRANCISCAN HEALTH SUPPORT INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT,NY13214 16-1236354	MEDICAL SERVICES	NY	N/A	C				Yes
(9) FRANCISCAN MANAGEMENT SERVICES INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT,NY13214 16-1351193	MANAGEMENT SERVICES	NY	N/A	C				Yes
(10) FRANKLIN MEDICAL GROUP PC 56 FRANKLIN ST WATERBURY,CT06706 06-1470493	PHYSICIAN OFFICE	CT	N/A	C				Yes
(11) GOTTLIEB MANAGEMENT SERVICES INC 701 W NORTH AVE MELROSE PARK,IL60160 36-3330529	MANAGEMENT SERVICES	IL	N/A	C				Yes
(12) HEF INC 1820 44TH STREET SE KENTWOOD,MI49508 38-3086401	OFFICE STAFFING	MI	N/A	C				Yes
(13) HACKLEY HEALTH MANAGEMENT INC 1820 44TH STREET SE KENTWOOD,MI49508 38-2961814	WEIGHT MANAGEMENT	MI	N/A	C				Yes
(14) HACKLEY HEALTH VENTURES INC 1820 44TH STREET SE KENTWOOD,MI49508 38-2589959	OTHER MEDICAL SERVICES	MI	N/A	C				Yes
(15) HACKLEY HEALTHCARE EQUIPMENT CORP 1820 44TH STREET SE KENTWOOD,MI49508 38-2578569	HOME MEDICAL EQUIPMENT	MI	N/A	C				Yes
(16) HACKLEY PROFESSIONAL PHARMACY INC 1820 44TH STREET SE KENTWOOD,MI49508 38-2447870	PHARMACY	MI	N/A	C				Yes
(17) HEALTH CARE MANAGEMENT ADMINISTRATORS INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT,NY13214 16-1450960	HEALTHCARE MANAGEMENT	NY	N/A	C				Yes
(18) HEALTH MANAGEMENT SERVICES ORG INC 500 GROVE STREET SUITE 100 HADDON HEIGHTS,NJ08035 22-3366580	MEDICAL ADMINISTRATION	NJ	N/A	C				Yes
(19) HOLY CROSS PRIVATE HOME SERVICES CORP 1500 FOREST GLEN RD SILVER SPRING,MD20910 52-1986562	HOME CARE SERVICES	MD	N/A	C				Yes
(20) HPC CO-OWNERS ASSOCIATION 1700 CLINTON MUSKEGON,MI49442 27-0734448	CONDOMINIUM ASSOCIATION	MI	N/A	C				Yes
(21) HURON ARBOR CORPORATION 5301 EAST HURON RIVER DR ANN ARBOR,MI48106 38-2475644	PROVIDES OFFICE RENTAL SPACE	MI	N/A	C				Yes
(22) IHA AFFILIATION CORPORATION 24 FRANK LLOYD WRIGHT DR LOBBY J ANN ARBOR,MI48106 38-3188895	MEDICAL MANAGEMENT	MI	N/A	C				Yes
(23) LANGHORNE SERVICES II INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 25-3795549	GENERAL PARTNER OF LMOB PARTNERS, II	PA	N/A	C				Yes
(24) LANGHORNE SERVICES INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 23-2625981	GENERAL PARTNER OF LMOB PARTNERS	PA	N/A	C				Yes
(25) LIFECARE PHYSICIANS PC 601 HAMILTON AVENUE TRENTON,NJ08629 26-1649038	HEALTH CARE SERVICES	NJ	N/A	C				Yes
(26) LOURDES MEDICAL ASSOCIATES PA 500 GROVE STREET SUITE 100 HADDON HEIGHTS,NJ08035 22-3361862	MEDICAL SERVICES	NJ	N/A	C				Yes
(27) LOURDES URGENT CARE SERVICES PC 1600 HADDON AVENUE CAMDEN,NJ08103 46-4188202	URGENT CARE CENTER	NJ	N/A	C				Yes
(28) MARYLAND CARE GROUP INC 1500 FOREST GLEN RD SILVER SPRING,MD20910 52-1815313	HEALTHCARE HOLDING	MD	N/A	C				Yes
(29) MCMC EASTWICK INC C/O MHS ONE WEST ELM STREET STE 100 CONSHOHOCKEN,PA19428 23-2184261	MEDICAL OFFICE BUILDINGS	PA	N/A	C				Yes
(30) MEDNOW INC 1512 12TH AVENUE ROAD NAMPA,ID83686 82-0389927	MEDICAL SERVICES	ID	N/A	C				Yes
(31) MERCY HOME CARE INC 1233 MAIN STREET HOLYOKE,MA01040 04-3317426	HEALTH CARE SERVICES	MA	N/A	C				Yes
(32) MERCY INPATIENT MEDICAL ASSOCIATES INC 1233 MAIN STREET HOLYOKE,MA01040 04-3029929	MEDICAL SERVICES	MA	N/A	C				Yes
(33) MERCY MEDICAL SERVICES 801 5TH STREET SIOUX CITY,IA51101 42-1283849	PRIMARY CARE PHYSICIANS	IA	N/A	C				Yes
(34) MERCY SERVICES CORPORATION 2525 SOUTH MICHIGAN AVENUE CHICAGO,IL60616 36-3227348	DORMANT	IL	N/A	C				Yes
(35) MOUNT CARMEL HEALTH PROVIDERS INC 6150 EAST BROAD STREET COLUMBUS,OH43213 31-1382442	MEDICAL SERVICES	OH	N/A	C				Yes
(36) NURSING NETWORK INC 4725 NORTH FEDERAL HIGHWAY FORT LAUDERDALE,FL33308 59-1145192	MEDICAL SERVICES	FL	N/A	C				Yes
(37) PHYSICIANS MEDICAL OFFICE BUILDING CONDOMINIUM TRUST 1221 MAIN STREET SUITE 108 HOLYOKE,MA01040 04-6608649	PROPERTY MANAGEMENT	MA	N/A	C				Yes
(38) SAINT ALPHONSUS HEALTH ALLIANCE INC 1055 NORTH CURTIS ROAD BOISE,ID83706 82-0524649	ACCOUNTABLE CARE ORGANIZATION	ID	N/A	C				Yes
(39) SAINT ALPHONSUS PHYSICIANS PA 1055 NORTH CURTIS ROAD BOISE,ID83706 33-1078261	HEALTH CARE SERVICES (INACTIVE)	ID	N/A	C				Yes
(40) SAINT FRANCIS BEHAVIORAL HEALTH GROUP PC 114 WOODLAND STREET STE 4312 HARTFORD,CT06105 06-1384686	MEDICAL SERVICES	CT	SAINT FRANCIS HOSPITAL AND MEDICAL CENTER INC	C	-1,535,398	1,023,533	100.000 %	Yes
(41) SAINT FRANCIS CARE MEDICAL GROUP PC 114 WOODLAND STREET HARTFORD,CT06105 06-1432373	MEDICAL SERVICES	CT	SAINT FRANCIS HOSPITAL AND MEDICAL CENTER INC	C	-749,049	1,245,451	100.000 %	Yes
(42) SAMARITAN MEDICAL OFFICE BUILDING INC 2212 BURDETT AVENUE TROY,NY12180 14-1607244	REAL ESTATE	NY	N/A	C				Yes
(43) SJM PROPERTIES INC 411 CANISTEO STREET HORNELL,NY14843 16-1294991	PROPERTY HOLDINGS	NY	N/A	C				Yes
(44) SJPE PRACTICE MANAGEMENT SERVICES INC 301 PROSPECT AVE SYRACUSE,NY13203 45-4164964	MANAGEMENT SERVICES	NY	N/A	C				Yes
(45) SJRMC HOLDINGS INC 5215 HOLY CROSS PARKWAY MISHAWAKA,IN46545 47-4763735	PROPERTY HOLDINGS	IN	N/A	C				Yes
(46) ST ELIZABETH HEALTH SUPPORT SERVICES INC 2209 GENESEE STREET UTICA,NY13501 16-1540486	MEDICAL SERVICES	NY	N/A	C				Yes
(47) ST MARY'S HIGHLAND HILLS VILLAGE INC 1230 BAXTER STREET ATHENS,GA30606 58-2276801	ASSISTED LIVING	GA	N/A	C				Yes
(48) SYSTEM COORDINATED SERVICES INC 1233 MAIN STREET HOLYOKE,MA01040 04-2938161	LAB SERVICES	MA	N/A	C				Yes
(49) THRE SERVICES LLC 20555 VICTOR PARKWAY LIVONIA,MI48152 45-2603654	REAL ESTATE BROKERAGE SERVICES	MI	N/A	C				Yes
(50) TRINITY ASSURANCE LTD PO BOX 1051 GRAND CAYMAN GRAND CAYMAN CJ 98-0453602	PROVISION OF INSURANCE COVERAGE	CJ	N/A	C				Yes
(51) TRINITY HEALTH ACO INC 20555 VICTOR PARKWAY LIVONIA,MI48152 47-3794666	ACCOUNTABLE CARE ORGANIZATION	DE	N/A	C				Yes
(52) TRINITY HEALTH EMPLOYEE BENEFIT TRUST 20555 VICTOR PARKWAY LIVONIA,MI48152 38-3410377	GRANTOR TRUST	MI	N/A	T				Yes
(53) TRINITY SENIOR SERVICES MANAGEMENT INC PO BOX 9184 FARMINGTON HILLS,MI48333 37-1572595	SENIOR SERVICES	PA	N/A	C				Yes
(54) WEST SHORE PROFESSIONAL BUILDING CONDOMINIUM 1820 44TH STREET SE KENTWOOD,MI49508 38-2700166	CONDOMINIUM ASSOCIATION	MI	N/A	C				Yes
(55) WORKPLACE HEALTH OF GRAND HAVEN INC 1820 44TH STREET SE KENTWOOD,MI49508 38-3112035	OCCUPATIONAL HEALTH	MI	N/A	C				Yes
(56) SAINT FRANCIS HEALTH CARE PARTNERS 95 WOODLAND ST FOURTH FLOOR HARTFORD,CT06105 06-1391257	MGMT AND ADMIN SERVICES	CT	TRINITY HEALTH OF NEW ENGLAND CORPORATION INC	C	3,488		50.000 %	Yes
(57) SAINT FRANCIS HEALTHCARE PARTNERS ACO INC 95 WOODLAND ST FOURTH FLOOR HARTFORD,CT06105 46-1315402	MGMT AND ADMIN SERVICES	CT	TRINITY HEALTH OF NEW ENGLAND CORPORATION INC	C			50.000 %	Yes

Schedule R (Form 990) 2015

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

Yes

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

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

Yes

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

Yes

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

Yes

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) .......................

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

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

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

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

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) ............................

Yes

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
(1) TRINITY HEALTH OF NEW ENGLAND CORPORATION INC	A	58,990	PER BOOKS
(2) TRINITY HEALTH OF NEW ENGLAND CORPORATION INC	O	3,360,985	PER BOOKS
(3) TRINITY HEALTH OF NEW ENGLAND CORPORATION INC	P	2,698,534	PER BOOKS
(4) TRINITY HEALTH OF NEW ENGLAND CORPORATION INC	R	5,000,000	PER BOOKS
(5) ASYLUM HILL FAMILY MEDICINE CENTER INC	A	194,180	PER BOOKS
(6) ASYLUM HILL FAMILY MEDICINE CENTER INC	P	1,187,608	PER BOOKS
(7) COLLABORATIVE LABORATORY SERVICES LLC	A	725,276	PER BOOKS
(8) COLLABORATIVE LABORATORY SERVICES LLC	P	9,926,549	PER BOOKS
(9) COLLABORATIVE LABORATORY SERVICES LLC	Q	3,671,444	PER BOOKS
(10) JOHNSON MEMORIAL HOSPITAL INC	D	5,748,110	PER BOOKS
(11) JOHNSON MEMORIAL HOSPITAL INC	R	9,823,164	PER BOOKS
(12) MOUNT SINAI HOSPITAL FOUNDATION	Q	300,000	PER BOOKS
(13) MOUNT SINAI REHABILITATION HOSPITAL INC	A	94,507	PER BOOKS
(14) MOUNT SINAI REHABILITATION HOSPITAL INC	O	2,234,887	PER BOOKS
(15) MOUNT SINAI REHABILITATION HOSPITAL INC	Q	12,582,287
(16) ONE THOUSAND CORPORATION	O	147,703	PER BOOKS
(17) ONE THOUSAND CORPORATION	Q	105,255	PER BOOKS
(18) ONE THOUSAND CORPORATION	P	1,579,056	PER BOOKS
(19) ONE THOUSAND CORPORATION	S	8,110,552	PER BOOKS
(20) SAINT FRANCIS BEHAVIORAL HEALTH GROUP PC	A	105,532	PER BOOKS
(21) SAINT FRANCIS BEHAVIORAL HEALTH GROUP PC	O	50,285	PER BOOKS
(22) SAINT FRANCIS BEHAVIORAL HEALTH GROUP PC	Q	2,876,349	PER BOOKS
(23) SAINT FRANCIS CARE MEDICAL GROUP PC	A	52,696	PER BOOKS
(24) SAINT FRANCIS CARE MEDICAL GROUP PC	Q	1,703,852	PER BOOKS
(25) SAINT FRANCIS EMERGENCY MEDICAL GROUP INC	O	215,671	PER BOOKS
(26) SAINT FRANCIS EMERGENCY MEDICAL GROUP INC	Q	5,250,000	PER BOOKS
(27) SAINT FRANCIS EMERGENCY MEDICAL GROUP INC	P	3,016,807	PER BOOKS
(28) SAINT FRANCIS HOSPITAL AND MEDICAL CENTER FOUNDATION INC	C	2,700,683	PER BOOKS
(29) SAINT FRANCIS HOSPITAL AND MEDICAL CENTER FOUNDATION INC	O	1,223,542	PER BOOKS
(30) SAINT FRANCIS INDEMNITY COMPANY LLC	S	4,033,544	PER BOOKS
(31) TOTAL LAUNDRY COLLABORATIVE LLC	O	1,594,639	PER BOOKS
(32) TOTAL LAUNDRY COLLABORATIVE LLC	Q	650,000	PER BOOKS
(33) TOTAL LAUNDRY COLLABORATIVE LLC	P	3,156,998	PER BOOKS
(34) TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC	Q	36,289,703	PER BOOKS
(35) TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC	A	1,866,873	PER BOOKS
(36) TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC	P	4,276,306	PER BOOKS
(37) TRINITY HEALTH CORPORATION	E	248,000,000	PER BOOKS
(38) THE WOMEN'S AUXILIARY OF ST FRANCIS HOSP & MED CTR	C	442,988	PER BOOKS
(39) TRINITY HEALTH CORPORATION	C	100,000	PER BOOKS
(40) SAINT FRANCIS HOSPITAL AND MEDICAL CENTER FOUNDATION INC	Q	2,114,439	PER BOOKS

Schedule R (Form 990) 2015

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) 2015

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) 2015

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	17
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	9
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	5,262
6	Total number of volunteers (estimate if necessary) .............	6	555
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	2,347,300
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	10,382,181	5,704,286
9	Program service revenue (Part VIII, line 2g) .........	697,116,965	786,769,013
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	7,918,182	7,680,958
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	22,232,294	35,351,102
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	737,649,622	835,505,359
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	686,250	663,900
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)	343,255,144	338,569,372
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)....	382,310,083	478,250,583
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	726,251,477	817,483,855
19	Revenue less expenses. Subtract line 18 from line 12.......	11,398,145	18,021,504
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	817,609,157	753,218,691
21	Total liabilities (Part X, line 26).............	663,859,903	621,943,785
22	Net assets or fund balances. Subtract line 21 from line 20.....	153,749,254	131,274,906

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 672,622,599 including grants of $ 663,900 ) (Revenue $ 809,268,816 )
	SEE SCHEDULE O

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 expenses672,622,599

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	9,275,699	272,694	1,544,375

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	3,243,671
e	Government grants (contributions)		1e	1,693,065

f	All other contributions, gifts, grants, and similar amounts not included above		1f	767,550

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......		5,704,286

			Business Code
2a	PATIENT REVENUE	622110	745,504,245	745,504,245
b	LABORATORY REVENUE	621511	35,927,471	34,688,899	1,238,572
c	LAUNDRY REVENUE	812300	4,956,008	4,956,008
d	PARTNERSHIP REVENUE	541990	381,289	368,922	12,367
e
f	All other program service revenue.
g Total.Add lines 2a–2f.....			786,769,013

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			3,717,079			3,717,079
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		6,447,240
b	Less: rental expenses		0
c	Rental income or (loss)		6,447,240
d	Net rental income or (loss)......			6,447,240			6,447,240
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	1,918,793	18,841,623
b	Less: cost or other basis and sales expenses	0	16,796,537
c	Gain or (loss)	1,918,793	2,045,086
d	Net gain or (loss).....			3,963,879			3,963,879
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..
Business Code			Miscellaneous Revenue
11a	OTHER PATIENT SVCS		624190	9,240,730	8,584,997	655,733
b	INTERCOMPANY ALLOCATION INCOME		900099	8,199,965	8,199,965
c	NON-INTERCOMPANY ALLOCATION INCOM		900099	2,733,218	2,733,218
d	All other revenue ....			8,729,949	2,981,623	440,628	5,307,698
e	Total. Add lines 11a–11d ......			28,903,862
12	Total revenue. See Instructions......			835,505,359	808,017,877	2,347,300	19,435,896

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	638,600	638,600
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	25,300	25,300
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	6,498,393	105,900	6,392,493
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	265,181,351	214,715,371	50,465,980
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	12,557,574	10,132,386	2,425,188
9	Other employee benefits .......	34,953,275	28,033,233	6,920,042
10	Payroll taxes ...........	19,378,779	15,358,069	4,020,710
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	1,617,544		1,617,544
c	Accounting ...........	1,330,568		1,330,568
d	Lobbying ...........	643,913		643,913
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	74,334		74,334
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	104,589,125	88,607,627	15,981,498
12	Advertising and promotion ....	1,495,024	3,699	1,491,325
13	Office expenses .......	15,794,281	14,840,951	953,330
14	Information technology ......	13,719,190	13,706,753	12,437
15	Royalties ..
16	Occupancy ...........	40,449,551	38,468,285	1,981,266
17	Travel ............	1,319,876	1,319,876
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	9,040,805	8,115,509	925,296
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	44,248,313	44,248,313
23	Insurance ...	11,051,091	301,830	10,749,261
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	123,080,845	123,080,845
b	HOSPITAL TAX	38,215,460	38,215,460
c	PROVISION FOR BAD DEBTS	15,047,055	15,047,055
d	LAB EXPENSE	8,040,890	8,040,890
e	All other expenses	48,492,718	9,616,647	38,876,071
25	Total functional expenses. Add lines 1 through 24e	817,483,855	672,622,599	144,861,256	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).

1	Cash–non-interest-bearing ........			48,119,752	1	16,251,839
2	Savings and temporary cash investments .........			52,046,968	2	2,168,307
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			70,386,496	4	74,960,659
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 ....			566,992	7	888,262
8	Inventories for sale or use ........			9,701,459	8	8,912,030
9	Prepaid expenses and deferred charges ......			8,724,005	9	4,018,516
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	434,561,677
b	Less: accumulated depreciation	10b	43,802,970	456,166,870	10c	390,758,707
11	Investments—publicly traded securities .			83,759,484	11
12	Investments—other securities. See Part IV, line 11 .....			18,802,515	12	16,666,476
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14	7,050,000
15	Other assets. See Part IV, line 11 ...........			69,334,616	15	231,543,895
16	Total assets. Add lines 1 through 15 (must equal line 34)...			817,609,157	16	753,218,691

17	Accounts payable and accrued expenses .....	38,257,732	17	75,800,162
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	246,119,985	20	0
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 ..	5,331,951	23	244,660,734
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	374,150,235	25	301,482,889
26	Total liabilities. Add lines 17 through 25..	663,859,903	26	621,943,785

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	76,152,826	27	46,398,727
28	Temporarily restricted net assets ...........	24,417,140	28	29,565,529
29	Permanently restricted net assets	53,179,288	29	55,310,650
	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 ...........	153,749,254	33	131,274,906
34	Total liabilities and net assets/fund balances ........	817,609,157	34	753,218,691