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50 Years of Growth Innovation in Healthcare Annual Report 2017 2018

Dear Supporters Our Board of Directors is excited to celebrate the Cornell Scott Hill Health Center s 50th anniversary It has prompted us to retrace our health center s trailblazing history of providing needed healthcare to an increasing number of Greater New Haven residents As a result we realize how much the health center has evolved to meet community needs Angel Fern ndezChavero President Board of Directors Our connection to the people of Greater New Haven has been a mainstay for 50 years For example more than half of our diverse board members are active health center patients who live and work in Greater New Haven communities This better enables us to understand the perspectives and needs of other patients and how the health center should change to meet those needs In addition we have nurtured innumerable relationships with individuals and organizations who have also become partners and supporters As we look to the immediate and longer term growth in our future we ask for your continued cooperation and support We encourage you to spread the word about our roots and leadership accomplishments in the civil rights and community health movements Spread the word about our state of the art evidence based integrated health care services that are available to everyone regardless of your insurance Dear Friends Cornell Scott Hill Health Center is celebrating 50 years of service to residents of Greater New Haven This momentous occasion makes me reflect on our journey since 1968 From our humble civil rights movement roots we ve become nationally recognized as community health care innovators and leaders who are at the forefront of providing high quality affordable health care to all and especially to our community s most challenged residents Today our 500 staff members provide the highest quality patientcentered integrated behavioral health dental primary and specialty medical services to more than 36 000 people We operate 23 care sites throughout Greater New Haven and we continue to evolve and expand our reach to meet community needs Accordingly we ve become the most significant provider of mental health and addiction treatment services in Connecticut Soon we will complete renovations of our main care site on Columbus Avenue and our Dixwell care site will also occupy 13 000 sq ft in the new Q House We re also renovating and expanding our Ansonia care site to occupy more than 12 000 sq ft And thanks to a 10 million grant from the State of Connecticut and other secured funds we will soon construct a 52 bed 31 000 sq ft replacement facility for our Grant Street Partnership program which offers integrated medical substance use and mental health treatment services status or ability to pay Spread the word about our growing number of new and renovated state of the art facilities Spread the word about the Community of Caring that has become the hallmark of the Cornell Scott Hill Health Center We also ask for your financial support and there are several ways to provide it You can make a donation via our new website at www cornellscott org You can also direct your donation to us when you visit www givegreater guidestar org And Amazon will donate to us 0 5 percent of every dollar you spend To enroll go to www amazonsmile com log into your account select accounts and lists scroll down to AmazonSmile select Cornell ScottHill Health Corporation as your charitable organization Thereafter Amazon will make a donation to us every time you make a purchase as long as you do so via www amazonsmile com Thank you for taking the time and making the effort to support the work we do for our community We cannot build upon our history and continue to evolve to meet community needs without your help Best regards Angel Fern ndez Chavero President Board of Directors We owe a huge debt of gratitude to the dedicated world class health care providers who are the foundation of our health center and who provide the highest quality care to every patient every day We are also immensely grateful to our many partners Of note our innovative partnership with Yale New Haven Hospital and Fair Haven Community Health Care will allow us to manage the ambulatory training site for Yale School of Medicine interns and residents and expand our reach offering our brand of integrated health care services to even more people in Greater New Haven This partnership is a shining example of how community support and our entrepreneurial spirit and penchant for collaboration have enabled our health center s growth As we celebrate our history we are inspired by our achievements to date and all the promise and progress that s in our future We look forward to partnering with the growing number of people who are becoming Cornell Scott Hill Health Center patients to build a healthier future Sincerely Michael R Taylor CEO Michael R Taylor Chief Executive Officer

Senior Leadership Team Steve Ho Chief Operations Officer Douglas Bruce M D Chief of Medicine Kelvin Kreho Chief Financial Officer Andrea Lobo Chief of Human Resources Who We Served 34 058 Unique Patients in 2017 34 581 Unique Patients in 2018 234 493 Visits in 2017 245 462 Visits in 2018 Demographics Ece Tek M D Chief of Behavioral Health Services Clark Woodruff Chief of Information Technology Vanessa Andrews Corporate Compliance Officer Gender Men 46 55 White Board of Directors Angel Fern ndez Chavero Board Chair Joshua Bird Treasurer Michael P Davis Director Nathan Jones 1st Vice Chair Rose Bradley Director Carleen Elliott Director Sheila Allen Bell 2nd Vice Chair Robert A Cole Director Awilda Figueroa D C Director Mabel Carroll Secretary Orlando Cordero Director William McClain Director 35 African American 8 Other 2 Asian 37 Hispanic Latino Women 54

First Health Center location opens at 428 Columbus Avenue formerly the Orange Street Bus Company garage Ophthalmology Clinic opens in November 1982 December 2 1968 Cornell Scott Hill Health Center Opens its Doors Hill Health Center celebrates its first year the hiring of Community Health Workers The federal government awards a grant of 339 158 in 1967 to Yale School of Medicine to operate pediatric services in the Hill Hildagarde serves as the Health Center s first logo and newsletter masthead Health Center float wins first prize in the Freddy Fixer Parade in 1974 Adult medical services are offered in 1970 with a grant from the U S Department of Health Education and Welfare 10 Year Anniversary Celebration

In house pharmacy reopens in 2002 Grant Street Partnership Graduates 1993 In 2009 Hill Health Center changes its name to Cornell Scott Hill Health Center to honor Cornell Scott s legacy South Central Rehabilitation Center opens in 1993 one of many expansions throughout the years Juan Candelaria Patient Advocate receives Community Service Award at the New Haven Hispanic Firefighters Association s 15th Anniversary Scholarship Banquet Women s Health and Pediatrics renovation ribbon cutting July 26 2017 Overdose Awareness Day August 31 2017 Cornell Scott Hill Health Center at Wilmont Crossing ribbon cutting September 14 2017 Legislative Breakfast New Haven May 24 2017 Recovery Wellness Center Press Conference November 28 2018 50th Anniversary Legacy Gala September 22 2018 Freddy Fixer Parade June 2 2018 Health Fairs HealthFest August 19 2017 and HillFest May 19 2018

30000 Medicare 10 10 25000 Private Insurance 12 12 20000 15000 Medicaid 63 64 Who Pays Us 2017 2018 10000 5000 2017 2018 Uninsured Sliding fee 15 14 0 665 578 Families Served by the Connecticut Food Bank Mobile Pantry Visits by Service 2017 2018 Medical 28 689 28 326 Dental 6 492 6 614 Mental Health 5 635 5 015 Substance Use 3 355 3 080 Other Professional 2 825 3 060 Vision Services 2 558 2 500 Enabling Services 818 1 097 Pharmacy 2017 2018 io n3 5 Ho 33 3 929 me less 2 625 3 590 Alcoh ep ol D en de 51 508 49 514 prescriptions filled Approximately 649 660 687 536 saved at 10 000 Rx Sliding fee Discounts 6 434 9 090 prescriptions filled using the 340B discounted drug pricing program 5 034 5 815 doses of flu vaccine distributed 9 93 HIV In f Asthma ecte 2 d 11 9 6 47 06 5 4 4 Hypertension 5 5 9 52 2 e D p g e u n r 6 den 3 33 D 8 t 2 2 3 2 s es r p De nt 2 4 93 5 26 Diab 0 2 8 2 3 3 etes 3 28 Prevailing Diagnosis 2017 2018 1 818 894 Summer Supper Meals Visits 5 days per week from June August 375 409 People Served by the CitySeed Mobile Market Visits every Thursday from July October 200 100 English 100 Spanish Rx Prescription Vouchers Distributed 34 37 Redeemed School Based Health Centers Served 2 201 of 3 370 registered students in 7 School Based Health Centers in 2017 927 Flu vaccines provided in 2017 Served 2 447 of 3 819 registered students in 8 School Based Health Centers in 2018 931 Flu vaccines provided in 2018 Healthy Meals For Children Holiday Food Baskets 75 100 Baskets Distributed

Quality Assessment Quality Improvement QAQI The Cornell Scott Hill Health Center continuously strives to improve the quality of care we provide our patients in order to measurably improve their health This year our team s clinical quality projects have included P launching a revised patient experience survey administered to nearly 4 000 patients annually P enhancing access to colorectal cancer screening for 1 200 patients P improving our management strategy for diabetic patients and P reducing Emergency Department utilization by more than 5 percent We exceed peer organizations performance on a regular basis in numerous clinical quality measures including Asthma management Diabetes management Chlamydia screening Lead screening in children Prenatal postpartum care Antidepressant therapy Attention deficit hyperactivity disorder ADHD treatment Substance use treatment ACCESS to Care 2017 2018 Our ACCESS to Care team works with individuals to enroll them in the best health insurance options Medicaid A 1 258 1 452 Medicaid B 46 29 Medicaid D 637 614 Qualified Health Plan 361 324 Financial Report for the years ending June 30 2017 2018 Figures represented in the millions 2017 2018 Operating Revenue Federal Grants 8 452 9 017 State Grants 1 994 2 067 City Grants Other Grants and Contracts 719 794 Grants and Contracts 11 165 11 878 Patient Service Revenue 41 640 42 678 3 532 Rent and Other Revenue 3 081 Total Operating Revenue 55 886 58 087 Expenditures Salary Expense 31 080 33 395 Fringe Benefit Expense 6 226 6 340 Contractual Services 2 704 2 777 Materials and Supplies 2 963 2 793 Furniture and Equipment 234 123 Facilities Support 2 735 2 630 Depreciation and Amortization 1 704 1 707 Insurance Coverages 271 271 Travel and Education 215 186 Legal and Accounting 470 381 Other Expenses 6 370 6 518 Total Expenditures 54 972 57 121 Surplus Deficit from Operations 914 966 Sliding Fee Scale 3 099 4043 Non Operating Income 24 16 Yale Free Care applications started 7 2017 151 375 Yale Free Care applications started 9 2017 94 282 Contribution to Fund Balance 938 950 SNAP 704 1934 Enrolled SNAP Seniors Enrolled 44 23

Ways to Give When you make a gift to the Cornell Scott Hill Health Center you are making a gift to improve the health and well being of the communities we serve You will help us bridge the gap between the funds we receive from participating insurers patient fees state federal and foundation grants and the cost of providing care Please support our mission Tax deductible gifts may be made by visiting our website at www cornellscott org directly by contacting Michelle Riley Manager Donor Fund Development at mriley cornellscott org or 203 503 3261 or by emailing Give2CSHHC cornellscott org You can also support us while you shop at smile amazon com Cornell Scott Hill Health Center is a private 501 c 3 nonprofit corporation governed by a community board of directors of which more than half are also patients Contributions are tax deductible to the extent provided by law Your gift may create another life changing opportunity for our patients Our Mission Our Values Cornell Scott Hill Health Center measurably improves the health and well being of the communities we serve by providing excellent and compassionate care accessible to all Professionalism Diversity Respect Integrity Excellence Accountability Compassion 400 428 Columbus Avenue New Haven CT 06519 203 503 3000 cornellscott org