4A (Expenses $ 34448137 including grants of $ 0) (Revenue $ 28453228)
INPATIENT SERVICES -MANCHESTER MEMORIAL HOSPITAL OFFERS COMPREHENSIVE MEDICAL SERVICES IN A 249 BED ACCUTE CARE COMMUNITY HOSPITAL, WITH A TOTAL OF 9,442 INPATIENTS TREATED IN FISCAL YEAR 2016. SERVICES ARE OFFERED TO THE COMMUNITY, REGARDLESS OF ANY INDIVIDUAL'S ABILITY TO PAY.

4B (Expenses $ 15628954 including grants of $ 0) (Revenue $ 32837730)
LABORATORY - WE ARE CAP ACCREDITED AND OFFER A WIDE RANGE OF CLINICAL TESTING PROCEDURES USING STATE-OF-THE-ART INSTRUMENTS TO PROVIDE TIMELY, ACCURATE RESULTS. OUR BOARD CERTIFIED PATHOLOGISTS UTILIZE STATE OF THE ART AUTOMATED EQUIPMENT PROVIDING RAPID TURNAROUND TIME, AND INTEGRATION OF TEST RESULTS WITH MEDICAL RECORDS.

4C (Expenses $ 11381317 including grants of $ 0) (Revenue $ 32200151)
EMERGENCY DEPARTMENT -EMERGENCY CARE IS OFFERED 24 HOURS PER DAY, AND PROVIDES NEEDED EMERGENCY MEDICAL CARE TO THE COMMUNITY, REGARDLESS OF ANY INDIVIDUAL'S ABILITY TO PAY.

4D (Expenses $ 104974356 including grants of $ 0) (Revenue $ 0)

MANCHESTER MEMORIAL HOSPITAL
Part V, Section B, Line 5: The assessments incorporate data from both quantitative and qualitative sources. Quantitative data input includes primary research (phone surveys) and secondary research (vital statistics and other existing health-related data); these quantitative components allow for comparison to benchmark data at the state and national levels. Qualitative data input includes primary research gathered through an online key informant survey (OKIS).The Community Health Needs Assessment was sponsored by a collaboration of community partners and relied on information provided by: public health and vital statistics data a variety of existing (secondary) data data representing the most recent BRFSS (Behavioral Risk Factor Surveillance System) prevalence and trends data (published online by the Centers for Disease Control and Prevention) state-wide risk factor data nationwide risk factor data Healthy People 2020 which provides science-based, 10-year national objectives for improving the health of all Americans phone surveys (based on the Centers for Disease Control Behavioral Risk Factor Surveillance Survey) And online key informant surveys.The participants for the online surveys included input from physicians and other health providers, public health experts, social service representatives, and community leaders. For a full listing of participating agencies, please reference the 2016 CHNA for Manchester Memorial Hospital or the 2016 CHNA for Rockville General Hospital.

MANCHESTER MEMORIAL HOSPITAL
Part V, Section B, Line 6a: FACILITY NAME: MANCHESTER MEMORIAL HOSPITALDESCRIPTION:THE CHNA WAS CONDUCTED BY EASTERN CONNECTICUT HEALTH NETWORK,WHICH INCLUDES MANCHESTER MEMORIAL HOSPITAL AND ROCKVILLEGENERAL HOSPITAL.

MANCHESTER MEMORIAL HOSPITAL
Part V, Section B, Line 11: FACILITY NAME: MANCHESTER MEMORIAL HOSPITALDESCRIPTION:I. Access to Healthcare Services:Strategy #1: Build the capacity of ECMPF primary care offices to provide primary and preventive healthcare services with at least 2 providers.Strategy #2: Expand the number of Family Practice Residents trained at ECHN from 25 residents per year to 33 and actively recruit graduates to practice locally. Strategy #3: Ensure that ECHN's hospital and home health care management programs as well as the ECHN hospitalist practitioners provide effective transitions of care for patients treated at ECHN facilities with an emphasis on communication with primary care physicians. II. Cancer Strategy 1: Colon Cancer - Colorectal screening and education Develop a marketing campaign for Colon Cancer Awareness Month each year to create awareness Hold a colonoscopy screening event to promote screenings, educate the community Promote the Open Access Program offered by local physicians at Evergreen Endoscopy Center that makes convenient appointments easier to obtain for screeningsStrategy 2: Lung Cancer - Promote and educate community on ECHN's Low Dose CT Screening Program Maintain ECHN's ACR accreditation as a Designated Cancer Screening Center Develop marketing and promotional material to create awareness of the need for screening and the community resources available Provide education to community and physicians through presence at health fairs and by hosting community education lecturesStrategy 3: Prostate Cancer - Host a Prostate Screening Event Determine eligibility and process to adhere to national standard of prostate screenings Collaborate with local physicians and health care workers to hold event Market and promote a prostate cancer screening eventStrategy #1: Educate women about the importance of preventative and screening services and lifestyle changes: Develop and coordinate educational lectures and seminars which will be offered to the community Publish information in ECHN's Better Being newsletter regarding health screenings, educational programs and lectures Participate in health fairs and community events Coordinate with ECHN providers to present educational programs and lectures related to women's health, diabetes and heart diseaseStrategy #2: Build community relationships to increase awareness of the ECHN Early Detection Program: The Community Health Navigator will engage and collaborate with community partners in order to provide education on program benefits and services available The Community Health Navigator will provide written material, in both English and Spanish, to community partners and providers detailing services available, and contact information for eligibilityStrategy 1: Freedom From Smoking: Provide program at least 3 times a year Advertise program through Better Being and with community partners Increase number of facilitators to 2 Provide program at multiple locationsStrategy 2: Offer smoking prevention presentation to public and private schools: Contact schools with 6th grade classes offering presentations Participate in health fairs at high schools and vocational schoolsStrategy 3: Provide CEU program to community primary care physicians: Provide education regarding available smoking prevention and cessation programsStrategy 4: Participate in health fairs: Provide material on nicotine addiction Provide material on Freedom From SmokingStrategy 1: Offer support to cancer survivors Established process to identify patients who have completed cancer therapy and provide patients with summary care plan which includes cancer diagnosis, stage and treatment receivedStrategy 2: Educate cancer survivors on managing lifestyle behaviors after treatment completion Survivorship care plan will also include road map for recommended follow up care Educate and encourage lifestyle changes to reduce cancer recurrence and/or improve quality of lifeIII. Heart Disease & StrokeStrategy #1: Provide education for cardiovascular disease risk factors and behavior modification Produce multi-year plan to improve health and reduce risky behaviors of our ECHN employees and families Provide community education lecture(s) on the signs and symptoms of stroke and heart attack, the early recognition of symptoms and importance of seeking immediate medical care Promote nutrition counseling services offered by local supermarkets and community centers to promote healthy diets Promote physical fitness activities/programs available in the community including fitness centers, cardiac rehabilitation programs, schools, parks and recreation programs Participate in community health fairs throughout service area where blood pressure, cholesterol, body fat composition analysis and education resources will be offeredStrategy #2: Promote the Freedom From Smoking cessation program Offer behavioral counseling on the short and long term physiologic benefits and quality of life benefits from smoking cessation Provide education about FDA approved smoking cessation medications Promote available smoking cessation programs to physicians in the community and hospitals as an option for patients who smokeStrategy #3: Promote cardiac rehabilitation Promote cardiac rehabilitation services to restore people who have had a heart condition or heart surgery to the highest possible physiological, emotional, social, and vocational levelIV. Infant Health & Family PlanningThis strategy will focus on the service areas of Manchester and Vernon Strategy #1: Improve access to care and education Continue family planning education sessions/tours Encourage the use of the Maternity Care Center (MCC) at Rockville General Hospital Provide information through ECHN digital boards, Readiness Committees, ECHN social media and ECHN Website Continue to publicize educational opportunities through Better Being magazine Continue the distribution of ECHN prenatal folders through the community practices that contain comprehensive topical informationStrategy #2: Increase preconception and first trimester pregnancy education Encourage regular ECHN birth class attendance Provide information through ECHN digital boards, Readiness Committees, ECHN social media and Website Pursue the development of a preconception and an early pregnancy class offering

MANCHESTER MEMORIAL HOSPITAL
Part V, Section B, Line 13h: DESCRIPTION:FAMILY SIZE IS USED WITH INCOME LEVEL.

MANCHESTER MEMORIAL HOSPITAL
Part V, Section B, Line 16i: DESCRIPTION:THE HOSPITAL COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE THROUGH NOTICES POSTED IN PUBLIC AREAS AROUND THE HOSPITAL, ON THE PATIENT BILLS, ON OUR WEBSITE, AND FOR SELECTED PRE-SCHEDULED SERVICES TO ENSURE THAT THE FINANCIAL CAPACITY OF PEOPLE WHO NEED HEALTH CARE SERVICES DOES NOT PREVENT THEM FROM SEEKING OR RECEIVING CARE.

MANCHESTER MEMORIAL HOSPITAL
Part V, Section B, Line 22d: DESCRIPTION:PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE WILL NOT BE CHARGED MORETHAN THE AMOUNT GENERALLY BILLED TO PATIENTS WITH INSURANCE FOREMERGENCY OR OTHER MEDICALLY NECESSARY CARE.

SCHEDULE H, PART II
DESCRIBE HOW BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITY:MANCHESTER MEMORIAL HOSPITAL (MMH), AS PART OF EASTERN CONNECTICUT HEALTH NETWORK, PROMOTES THE HEALTH OF THE COMMUNITIES IT SERVES BY COMMITTING THE EXPERTISE AND RESOURCES OFTHE ORGANIZATION TO A NUMBER OF COMMUNITY BUILDING ACTIVITIES THAT SUPPORT ASSOCIATIONS, BUSINESSES, PROGRAMS, INITIATIVES AND OTHER VALUABLE LOCAL COMMUNITY ASSETS. THROUGH GRANTS PROVIDEd BY THE FEDERAL AND STATE GOVERNMENTS, MMH OFFERS FREE SUPPORT PROGRAMS TO CHILDREN AND THEIR FAMILIES TO PROMOTE POSITIVE FAMILY LIFE SKILLS AND CHILD DEVELOPMENT. IN FY 2016, THESE PROGRAMS BENEFITED 581 INDIVIDUALS WITH MMH PROVIDING OVER $117,000 OF IN-KIND RESOURCES AND SERVICES. OTHER COMMUNITY BUILDING ACTIVITIES PERFORMED IN FY 2016 INCLUDE PARTICIPATION IN REGIONAL EXERCISES TO EVALUATE THE READINESS OF THE HOSPITAL'S EMERGENCY PREPAREDNESSCAPABILITIES; PARTICIPATION IN THE BABY FRIENDLY PRACTICES STATEWIDE COLLABORATIVE AND THE STATEWIDE CPQC INITIATIVE; SERVING ON THE BOARD AND EXECUTIVE COMMITTEE OF REGIONAL CHAMBERS OF COMMERCE IN SUPPORT OF THE LOCAL BUSINESS INDUSTRY; HOSTING ART EXHIBITS OFTHE MANCHESTER ART ASSOCIATION; WORKING WITH THE MANCHESTER VETERANS COUNCIL TO HONOR VETERANS IN AN ANNUAL VETERANS DAY CEREMONY FOR THE COMMUNITY; PARTNERING WITH THE LOCAL SCHOOL SYSTEMS AND COLLEGES IN VARIOUS WORKFORCE DEVELOPMENT PROGRAMS; ATTENDING SCHOOL READINESS COUNCIL MEETINGS; PROVIDING VOCATIONAL SERVICES AND EMPLOYMENT ASSISTANCE TO RESIDENTS; SERVING ON THE AMERICAN HOSPITAL ASSOCIATION'S REGIONAL POLICY BOARD; AND SERVING ON THE DEPARTMENT OF PUBLIC HEALTH'S OFFICE OF EMERGENCY MEDICAL SERVICE MEDICAL ADVISORY COMMITTEE, THE CONNECTICUT EMS ADVISORY BOARD, THE CONNECTICUT EMS ADVISORY COMMITTEE, THE REGIONAL MEDICAL ADVISORY COMMITTEE, THE REGIONAL ED STANDARDS BOARD, THE STATE EMS EDUCATION AND TRAINING COMMITTEE, AND EMS CLINICAL COORDINATORS. AS A RESULT OF THESEACTIVITIES, THERE HAS BEEN IMPROVED COLLABORATION AMONG COMMUNITY PROVIDERS AND OTHERS INVOLVED IN PROVIDING SERVICES TO CHILDREN, ADOLESCENTS AND THEIR FAMILIES AND OTHER ADULTS.

SCHEDULE H, PART III, LINE 2
METHODOLOGY USED TO ESTIMATE BAD DEBT:THE NETWORK PROVIDES FOR A PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE NETWORK ANALYZES CONTRACTUALLY DUEAMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITHDEDUCTIBLE AND CO-PAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE NETWORK RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THEBASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, THE NETWORK OFFERS A DISCOUNT OFF ITS STANDARD RATES FOR SERVICES PROVIDED. THE DIFFERENCE BETWEEN THE DISCOUNTED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED UNCOLLECTIBLE.

SCHEDULE H, PART III, LINE 4
FOOTNOTE IN ORGANIZATION'S FINANCIAL STATEMENTS DESCRIBING BAD DEBT:the Network provided for a provision for bad debts. For receivables associated with services provided to patients who have third-party coverage, the Network analyzed contractually due amounts and provided an allowance for doubtful accounts (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payer has not yet paid, or for payers who were known to be having financial difficulties that makethe realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and co-payment balances due for which third-party coverage existed for part of the bill), the Network recorded a significant provision for bad debts in the period of service on the basis of its past experience, which indicated that many patients were unable or unwilling to pay the portion of their bill for which they were financially responsible. For uninsured patients that did not qualify for financial assistance, the Network offered a discount off its standard rates for services provided. The difference between the discounted rates and the amounts actually collected after all reasonable collection efforts have been exhausted is written off against the allowance for doubtful accounts in the period they were determined uncollectible.

SCHEDULE H, PART III, LINE 8
DESCRIBE EXTENT ANY SHORTFALL FROM LINE 7 TREATED AS COMMUNITY BENEFIT AND COSTING METHOD USED:THE HOSPITAL PROVIDES QUALITY HEALTH CARE TO ALL, REGARDLESS OF THEIR ABILITY TO PAY. CHARITY CARE IS PROVIDED TO THOSE WHO ARE ELIGIBLE BASED ON MMH'S POLICY. MMH ALSO INCURS UNPAID COSTS FORGOVERNMENT PROGRAMS BECAUSE REIMBURSEMENT IS NOT SUFFICIENT TO COVER COSTS ASSOCIATED WITH MEDICARE AND MEDICAID PATIENTS. THE ORGANIZATION'S MEDICARE COST REPORT WAS USED TO CALCULATE ACTUAL COSTS REPORTED ON PART III, LINE 6. THE ACCESS TO HEALTHCARE BY PATIENTS COVERED BY MEDICARE IS A FUNDAMENTAL PART OF THE HOSPITAL'S COMMUNITY BENEFIT PROGRAM.

SCHEDULE H, PART III, LINE 9B
DID COLLECTION POLICY CONTAIN PROVISIONS ON COLLECTION PRACTICES FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR ASSISTANCE:INTERNAL AND EXTERNAL COLLECTION POLICIES AND PROCEDURES TAKE INTO ACCOUNT THE EXTENT TO WHICH A PATIENT IS QUALIFIED FOR CHARITY CARE OR DISCOUNTS. IN ADDITION, PATIENTS WHO QUALIFY FOR PARTIAL DISCOUNTS ARE REQUIRED TO MAKE A GOOD FAITH EFFORT TO HONOR PAYMENT AGREEMENTS WITH THE HOSPITAL, INCLUDING PAYMENT PLANS AND DISCOUNTED HOSPITAL BILLS. MMH IS COMMITTED TO WORKING WITH PATIENTS TO RESOLVE THEIR ACCOUNTS, AND AT ITS DISCRETION, MAY PROVIDE EXTENDED PAYMENT PLANS TO ELIGIBLE PATIENTS. MMH WILL NOT PURSUE LEGAL ACTION FOR NON-PAYMENT OF BILLS AGAINST CHARITY CARE PATIENTS WHO HAVE COOPERATED WITH THE HOSPITAL TO RESOLVE THEIR ACCOUNTS AND HAVE DEMONSTRATED THEIR INCOME AND/OR ASSETS ARE INSUFFICIENT TO PAY MEDICAL BILLS.

Part VI, Line 2:
In 2016, MMH collaborated with Rockville General Hospital, also an affiliate of ECHN, to conduct a comprehensive community health needs assessment (CHNA). The CHNA was a systematic, data-driven approach to determining the health status, behaviors and needs of residents in the service area of Manchester Memorial Hospital. Subsequently, the information was used to inform decisions and guide efforts to improve community health and wellness.The CHNA provides information so that communities may identify issues of greatest concern and decide to commit resources to those areas, thereby making the greatest possible impact on community health status. The CHNA will serve as a tool toward reaching three basic goals: To improve residents' health status, increase their life spans, and elevate their overall quality of life. A healthy community is not only one where its residents suffer little from physical and mental illness, but also one where its residents enjoy a high quality of life. To reduce the health disparities among residents. By gathering demographic information along with health status and behavior data, it will be possible to identify population segments that are most at-risk for various diseases and injuries. Intervention plans aimed at targeting these individuals may then be developed to combat some of the socio-economic factors which have historically had a negative impact on residents' health. To increase accessibility to preventive services for all community residents. More accessible preventive services will prove beneficial in accomplishing the first goal (improving health status, increasing life spans, and elevating the quality of life), as well as lowering the costs associated with caring for late-stage diseases resulting from a lack of preventive care.This assessment was conducted on behalf of the Eastern Connecticut Health Network and Manchester Memorial Hospital by Professional Research Consultants, Inc. (PRC). PRC is a nationally recognized healthcare consulting firm with extensive experience conducting Community Health Needs Assessments such as this in hundreds of communities across the United States since 1994.

Part VI, Line 3:
THE HOSPITAL COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE THROUGH NOTICES POSTED IN PUBLIC AREAS AROUND THE HOSPITAL, ON THE PATIENT BILLS, ON OUR WEBSITE, AND SELECTED PRE-SCHEDULED SERVICES TO ENSURE THAT THE FINANCIAL CAPACITY OF PEOPLE WHO NEED HEALTHCARE SERVICES DOES NOT PREVENT THEM FROM SEEKING OR RECEIVING CARE.

Part VI, Line 4:
ECHN's community, as defined for the purposes of the Community Health Needs Assessment, included each of the residential Zip Codes that comprise the hospital's town location including 06040 and 06042 for Manchester Memorial Hospital and 06066 for Rockville General Hospital. This community definition was determined because the majority of ECHN's patients originate from these areas for use of our hospital services.Demographics of the CommunityThe population of Manchester Memorial Hospital's service area is estimated at 58,253 people. It is predominantly non-Hispanic White (71.4%), but also has substantial African America (12.3%) and Hispanic (12%) populations.

Part VI, Line 5:
"o Community health education initiatives/programs are offered to the community and include lecture presentations; development and distribution of a wellness magazine to more than 150,000 households in the service area; and demonstrations and health fair participation. Examples of programs are o Lecture presentations, such as Coffee & Conversation: Breast Health Screening; Ending Obesity: Step by Step; Nutritional Needs During Pregnancy; Pre-diabetes, Let's Take Action!; and Embracing Wellness in the Midst of Cancer. o A Freedom from Smoking Program that is facilitated by an ALA Certified Health are Professional and includes eight 1- to 2-hour sessions over 7 weeks, the 4th session being Quit Day. The sessions is provided at the worksite or other location, daytime or evening.o Lunch and learn programs which are free workshops for cancer patients and their caregivers. o Presentations on women's health issues made in the community about breast cancer, preventative/screening recommendations, bone density exams, and free screening programs. In 2016, these presentations were made at the Manchester Area Conference of Churches, East Hartford Senior Center, Manchester Community College Health Information Table, Mobile Foodshare, Manchester Town Health Fair, Crossroads Annual Health Fair, South Windsor Wapping Fair, Town of Hartford CT Health I-Team Fair, 9th Annual Thinking of You Community Fair, and the Office of Migration, Refugee, and Immigration Services at Catholic Charities of Hartford. o The promotion and support of breastfeeding through breastfeeding classes, peer mentor programs, a new mother's support group, and lactation consultants. Other examples of community benefit include integrative medicine programs for stress reduction, a ""heart talk"" community program for people living with heart failure, regular cancer support group meetings, cancer caregiver workshops, diabetes self-management program, nutrition counseling for individuals already diagnosed with diabetes, family support groups for families who are dealing with behavioral health or addiction issues, teen smoking prevention lectures at area schools, and other lecture presentations. Over 97,000 people benefitted from these initiatives and programs in FY 16. Free health screenings including diabetic foot checks, lung cancer screening, mammograms, heart disease screenings, blood pressure, bone density, pap test and cervical cancer screenings, and vital sign checks are offered to the community. For example, blood pressure screenings were done during Wear Red Day; breast cancer and education screenings were done at Pink Ribbon Day; a Mammos and Mimosas event; and at a Big Y Breast Cancer awareness event. Targeting uninsured/underinsured populations, 124 people benefitted from all these services in FY 16. Healthcare support services are provided by the hospital to increase access and quality of care to individuals in need. Efforts include free transportation to behavioral health patients, assistance to enroll in public programs, referrals to social services, and help in finding physicians who accept Medicaid or other government programs. Nurse navigation services help patients and their loved ones navigate through the healthcare system, finding support and resources to manage symptoms, get a second opinion, schedule tests and treatment, find homecare services and coordinate care. A social worker who serves as a survivorship navigator is available to provide supportive counseling and assistance in locating resources to help with finances, disability, medical insurance, advance directives and post treatment survivorship care planning. Three thousand eight hundred fifty-four (3,854) people benefitted from these efforts in FY 16. Partnering with local educational institutions, Manchester Memorial Hospital provides a clinical setting for physicians and interns, medical students, nursing students, radiologic technicians, phlebotomy students, respiratory technicians, dietetic interns, pharmacy students, physical therapists and others from the University of New England College of Osteopathic Medicine, University of Connecticut, Manchester Community College, Goodwin College, Capital Community College, University of St. Joseph, Southern CT State University, Asnuntuck Community College, Naugatuck Valley Community College, and the University of Hartford. Presentations are also given to local groups on new emergency management services guidelines and updates, EMT education, paramedic skills training, regional skills validations, Narcan and CPAP training. Health services which are subsidized by the hospital include neonatal services, diabetes self-management, dialysis services and the behavioral health clinic. Specific research initiatives conducted by the hospital include an Institutional Review Committee, which has the primary responsibility to protect the rights and welfare of research subjects and to approve all research studies in accordance with federal regulations. The hospital also maintains a cancer registry and datebase. Financial and in-kind services and goods are donated to community groups and other not for profit organizations, including patient meals, local fundraisers, facility space to host blood drives, conference rooms for health support groups organizations' meetings, and for oncology clinical research. For example, the hospital provides free meeting space for the ACOA Support Group Adult Children of Alcoholics, Al-Anon, Alcoholics Anonymous, Not So Typical Autism Support Group, Brain Injury Alliance of CT Support Group, Narcotics Anonymous, Family Support Night, Older Adults Recovery & Support Group, ECHN Prostate Cancer Support Group, and Sweet Talk - Diabetes Support Group. The expertise and resources of the organization are dedicated to a number of community building activities that support associations, businesses, programs, initiatives and other valuable local community assets. o Through grants provided by the federal and state governments, MMH offers free support programs to prenatal individuals and parents to promote positive family life skills and child development. In FY 2016, these programs benefited 581 individuals with MMH providing over $117,000 in in-kind resources and services. Other community building activities performed in FY 2016 include participation in regional exercises to evaluate the readiness of the hospital's emergency preparedness capabilities; participation in the Baby Friendly Practices Statewide Collaborative and the statewide CPQC Initiative; serving on the Board and Executive Committee of regional Chambers of Commerce in support of the local business industry; hosting art exhibits of the Manchester Art Association; working with the Manchester Veterans Council to honor veterans in an annual Veterans Day ceremony for the community; partnering with the local school systems and colleges in various workforce development programs; attending School Readiness Council meetings; providing vocational services and employment assistance to residents; serving on the American Hospital Association's Regional Policy Board; and serving on the Department of Public Health's Office of Emergency Medical Service Medical Advisory Committee, the Connecticut EMS Advisory Board, the Connecticut EMS Advisory Committee, the Regional Medical Advisory Committee, the Regional ED Standards Board, the State EMS Education and Training Committee, and EMS Clinical Coordinators."

Part VI, Line 6:
MANCHESTER MEMORIAL HOSPITAL (MMH) IS AN AFFILIATE OF EASTERN CONNECTICUT HEALTH NETWORK (ECHN), A HEALTH CARE SYSTEM SERVING 19 TOWNS IN EASTERN CONNECTICUT. THE ECHN NETWORK OF AFFILIATESINCLUDES:MANCHESTER MEMORIAL HOSPITAL, A COMMUNITY HOSPITAL LICENSED FOR 249 BEDS AND 34 BASSINETS, THAT OFFERS MEDICAL AND SURGICAL SERVICES, 24-HOUR EMERGENCY CARE, MEDICAL IMAGING, A MODERN FAMILY BIRTHING CENTER AND NEONATOLOGY SERVICES, REHABILITATION SERVICES, ACERTIFIED SLEEP DISORDERS CENTER, INTENSIVE CARE SUITES, A WOUND HEALING CENTER WITH HYPERBARIC THERAPY, HOSPICE CARE, DIABETES SELF-MANAGEMENT PROGRAM, CARDIAC &PULMONARY REHABILITATION, A COMPREHENSIVE RANGE OF ADOLESCENT AND ADULT INPATIENT ANDOUTPATIENT BEHAVIORAL HEALTH SERVICES, NUTRITION COUNSELING, LABORATORY SERVICES, MEDICAL EDUCATION (FAMILY MEDICINE RESIDENCY & INTERNSHIP PROGRAM; UNECOM MEDICAL STUDENTS; AND CONTINUING EDUCATION) AND THE EASTERN CQNNECTiCUT CANER INSTITUTE AT THE JOHNA. DEQUATTRO CANCER CENTER.ROCKVILLE GENERAL HOSPITAL, A COMMUNITY HOSPITAL LICENSED FOR 102 BEDS, THAT OFFERS INPATIENT AND OUTPATIENT MEDICAL AND SURGICAL SERVICES, AMBULATORY (ONE-DAY) SURGERY, 24-HOUR EMERGENCY CARE, MEDICAL IMAGING, CARDIAC &PULMONARY REHABILITATION, PHYSICAL REHABILITATION, HOSPICE CARE, A MATERNITY CARE CENTER, OUTPATIENT ADOLESCENT BEHAVIORAL HEALTH SERVICES, AND LABRATORY SERVICES.WOODLAKE AT TOLLAND, A 130-BED LONG-TERM SKILLED NURSING CARE AND SHORT-TERM REHABILITATION FACILITY THAT OFFERS CUSTOMIZED REHABILITATION TREATMENT SERVICES INCLUDING JOINT REPLACEMENT REHABILITATION, ORTHOPEDIC POST-HOSPITAL CARE, STROKE/NEUROLOGICALREHAB, POST MEDICAL/SURGICAL RECONDITIONING, PRE-DISCHARGE HOME EVALUATIONS, PATIENT AND FAMILY INSTRUCTION, AND PERSONALIZED, PROGRESSIVE, AND INTERDISCIPLINARY CARE PLANS.EASTERN CONNECTICUT MEDICAL PROFESSIONALS FOUNDATION, INC. (ECMPF), A MULTI-SPECIALTY PHYSICIAN GROUP PRACTICE THAT OFFERS A FULL RANGE OF HEALTHCARE SERVICES, INCLUDING PRIMARY AND SPECIALTY CARE IN THE TOWNS OF EAST HARTFORD, ELLINGTON, MANCHESTER, SOUTH WINDSOR,TOLLAND AND VERNON/ROCKVILLE. GLASTONBURY WELLNESS CENTER COMBINES FITNESS AND MEDICAL SERVICES UNDER ONE ROOF, INCLUDING PHYSICIAN PRACTICES, LABORATORY DRAW SERVICES, MEDICAL IMAGING DIAGNOSTIC SERVICES, AND REHABILITATION SERVICES.ECHN MEDICAL BUILDINGS AT EVERGREEN WALK (SOUTH WINDSOR): 2400 TAMARACK AVENUE OCCUPANTS INCLUDE EVERGREEN ENDOSCOPY CENTER, CENTRAL CONNECTICUT GASTROENTEROLOGY, THE COLON & RECTAL SURGEONS OF GREATER HARTFORD, ECMPF PRIMARY CARE PHYSICIANS, RHEUMATOLOGY PHYSICIANS, WALDEN BEHAVIORAL CARE EATING DISORDERS CLINIC, ACCLAIM BEHAVIORAL SERVICES, LLC, AND LABORATORY SERVICES.2600 TAMARACK AVENUE INCLUDES THE WOMEN'S CENTER FOR WELLNESS, ECHN BREAST CARE COLLABORATIVE, AND THE OB/GYN GROUP OF EASTERN CONNECTICUT. THE CONFERENCE ROOM IS USED FOR COMMUNITY PROGRAMS.2800 TAMARACK AVENUE HOUSES EVERGREEN IMAGING CENTER, ECHN REHABILITATION SERVICES, A LABORATORY DRAW STATION, AND A SERIES OF MEDICAL PRACTICES (INCLUDING ORTHOPEDIC SURGERY, OPHTHALMOLOGY, AND OTOLARYNGOLOGY), CORPCARE, AND SOUTH WINDSOR URGENT CARE. 353 Main Street, Manchester houses Digestive Heath Specialists of Eastern CT, LLC and a gastroenterologist. 945 Main Street, Manchester houses digestive health physicians. 460 Hartford Turnpike, Vernon, includes an endocrinologist and Davita DialysisECHN MANCHESTER MEDICAL OFFICE BUILDINGS: 150 NORTH MAIN STREET OFFERS A VARIETY OF ADULT BEHAVIORAL HEALTH SERVICES. 130 HARTFORD ROAD, OFFERS PRIMARY CARE AND LABORATORY SERVICES. VISITING NURSE &HEALTH SERVICES OF CONNECTICUT, PROVIDES AT-HOME NURSING CARE AND HOSPICE CARE.ECHN HAS 388 PHYSICIANS (305 ACTIVE, 34 COURTESY, 16 CONSULTING, 33 PART-TIME), 105 ALLIED HEALTH PROFESSIONALS, 10 MEDICAL DEPARTMENTS AND 16 SERVICES AS WELL AS 18 UNIVERSITY OF NEW ENGLAND COLLEGE OF OSTEOPATHIC MEDICINE THIRD-YEAR MEDICAL STUDENTS AVAILABLE TO CAREFOR THE COMMUNITY. IN ADDITION, ECHN HAS 87 ELECTIVE STUDENTS FROM VARIOUS UNIVERSITIES WHO COME FOR ONE ROTATION PER YEAR.

ADDITIONAL INFORMATION
MANCHESTER MEMORIAL HOSPITAL IS A NOT-FOR-PROFIT 249-BED ACUTE CARE HOSPITAL THAT PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES FOR RESIDENTS OF MANCHESTER, CT AND SURROUNDING TOWNS. THE HOSPITAL IS A SUBSIDIARY OF EASTERN CONNECTICUT HEALTH NETWORK,INC., WHICH WAS FORMED IN 1995 BY A MERGER OF MMH CORP. AND ROCKVILLE AREA HEALTH SERVICES, INC. ECHN WAS ORGANIZED TO PROVIDE A BROADER HEALTH CARE SYSTEM FOR THE SURROUNDING COMMUNITIES WITH QUALITY MEDICAL CARE AT A REASONABLE COST AND TO FOSTER AN ENVIRONMENT CONDUCIVE TO HEALTH AND WELL BEING WHETHER IN THE HOME OR IN THE COMMUNITY.MANCHESTER MEMORIAL HOSPITAL PATIENTS NOT HAVING INSURANCE COVERING EMERGENCY OR OTHER MEDICALLY QUALIFIED CARE (UNINSURED PATIENTS), AS WELL AS UNDERINSURED PATIENTS, SUBJECT TO INCOME LIMITS AND FAMILY SIZE RECEIVE FREE OR DISCOUNTED CARE. MANCHESTER MEMORIAL HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. CHARGES FOR CARE PROVIDED TO PATIENTS ARE DETERMINED BY ESTABLISHED RATES, SUBJECT TO POSSIBLE ADJUSTMENTS OR DISCOUNTS FOR LOW INCOME PATIENTS; CONTRACTUAL DISCOUNTS, OR DISCOUNTS FOR PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICIES. CHARITY CARE FOR FY 2016 WAS $2,300,726 FOR 921 TOTAL APPROVED APPLICANTS. EXPENSES RELATED TO SERVICES PERFORMED FOR PATIENTS OF MANCHESTER MEMORIAL HOSPITAL CONTRIBUTE IMPORTANTLY TO ITS EXEMPT PURPOSE BECAUSE THE EXPENSES ARE INCURRED IN THE DIAGNOSIS, CURE, MITIGATION, TREATMENT AND PREVENTION OF DISEASE, AND FOR MEDICAL PURPOSES AFFECTING THE STRUCTURE OR FUNCTION OF THE HUMAN BODY. MANCHESTER MEMORIAL HOSPITAL PROVIDED NEEDED MEDICAL CARE TO THE COMMUNITY REGARDLESS OF ANY INDIVIDUAL'S ABILITY TO PAY. 9,442 INPATIENTS WERE CARED FOR IN FY16 REPRESENTING 44,775 PATIENT DAYS.198,558 OUTPATIENT VISITS WERE RECORDED.INCLUDED IN THE 9,442 INPATIENTS WERE 6,107 GOVERNMENT RELATEDPATIENTS. THE GOVERNMENT INPATIENTS FALL INTO THE FOLLOWING GROUPS.MEDICARE... 2,547MEDICARE MANAGED CARE... 929MEDICAID...2,586CHAMPUS...45TOTAL GOV PATIENTS... 6,107INCLUDED IN THE 198,558 OUTPATIENT VISITS WERE 119,886 GOVERNMENTRELATED VISITS. THE VISITS ARE A PRODUCT OF GROSS REVENUERELATIONSHIP TO TOTAL VISITS. THE GOVERNMENT VISITS FALL INTO THEFOLLOWING GROUPS.MEDICARE...65,893MEDICARE MANAGED CARE...28,122MEDICAID...25,125CHAMPUS...746TOTAL GOV PATIENTS...119,886THE HOSPITAL PROVIDED UNCOMPENSATED CARE TO 48,272 MEDICAIDPATIENTS FOR A NET COMMUNITY BENEFIT AMOUNT OF $11,685,255 AFTERMEDICAID REIMBURSEMENT.

SCHEDULE H, PART VI, LINE 7
STATE FILING OF COMMUNITY BENEFIT REPORT: CT