1. Community Benefit Yvette Meléndez VP, Government and Community Alliances

2. Community Benefit It’s about our mission: “ To improve the health and healing of the people and communities we serve” 2

3. Community Benefit Today From To 3 Charity Care Strategic Health Promotion Treatment Prevention Emergency Room Chronic Disease Management Hospital Centric Community Collaborations

4. Impact of Affordable Care Act Regulatory Responsibilities Federal mandate to maintain tax exempt status – more than charity care – revised Federal rules issued December 2014 Complete community health needs assessment every 3 years or risk paying a $50,000 fine per year. Develop a Community Health Improvement Plan in response to the needs assessment. Review policies for financial assistance, billing and collection. IRS 990 Schedule H Additional Requirements 1)Charity care and defined community benefit information at cost 2)Community building activities 3)Bad debt and Medicare 4)Facility information 4

5. Community Health Needs Assessment by: 1)Identifying significant health needs of the community 2)Including requisites for improvement or maintenance of health status in the community at large, neighborhoods or populations experiencing disparities. For example, the need to address financial and other barriers to accessing care, to prevent illness, to ensure adequate nutrition or to address social, behavioral and environmental factors that influence health. 3)Hospitals must identify measures and resources available to address such health needs. Requirements for CHNA documentation require an evaluation of the impact of any actions taken once the CHNA has been completed as part of the Hospital’s implementation strategy. 5

6. Overview of Community Benefit Program Improved Health Outcomes: Priorities identified as part of five year goals measurement process Community Health Improvement Plan: Updated Community Health Improvement Plan Sept 30, 2015 Community Health Needs Assessment: System-wide assessment currently underway 6

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8. 8 Hartford Hospital Community Benefit 10/1/2012 - 9/30/2013 Benefit Total Community Health Improvement Services and Community Benefit Operations Includes all community health education, community based clinical services, clinical services provided to the community at no cost, and healthcare support services provided by Hartford Hospital, considered to be a benefit to the community and$6,665,796 also includes resources provided by Hartford Hospital, allocated solely to carrying out community benefit activities and furthering community benefit initiatives. Health Professionals Education Includes education of nurses and nursing students, other health$36,273,588 care professional education, and the Medical Library. Subsidized Health Services Includes all subsidized hospital outpatient services, women and infants services, behavioral health services, and other$3,492,073 hospital inpatient subsidized services. Research Includes not-for-porfit clinical research conducted at Hartford Hospital to advance the knowledge of the medical community.$12,726,896 Financial and In-Kind Contributions Includes all cash and in-kind contributions to area not-for-profits$7,794,220 Medicaid Shortfall Includes unpaid costs of Medicaid and Medicare$42,660,979 Charity Care Includes uncompensated care and charity care costs$8,960,183 Grand Totals$118,573,735 Includes all cash and in-kind contributions to area not-for-profits Committed to improving the health and well-being of the community

9. Community Health Needs: Current Priorities as Defined by CHNA Obesity Diabetes Cardiovascular Disease Behavioral Health 9