2023-05-15T17:36:18-05:00 2022-06-30 135565207 KPMG LLP 301 MAIN STREET SUITE 2150 BATON ROUGE LA 70801 990 2021-07-01 720408970 ST FRANCIS MEDICAL CENTER STFR 2259232701 4200 ESSEN LANE BATON ROUGE LA 70809 DR THOMAS GULLATT ADMINISTRATOR - FMOLHS 2259232701 2023-05-15 1 DR THOMAS GULLATT 999009999 MAXWELL BARLOW P01959439 2253444000 2023-05-15 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z THOMAS J GULLATT 4200 ESSEN LANE BATON ROUGE LA 70809 360779126 0 X WWW.STFRAN.COM X 1913 LA TO PROVIDE FOR THE CARE OF THE ILL, INJURED, OR DISABLED PERSONS (SEE SCHEDULE O) AND TO PROVIDE FOR THE RESEARCH, EDUCATION, AND THE ENHANCEMENT OF HEALTH OF THOSE IN NORTHEAST LOUISIANA. 19 15 2041 34 69350 43705 32043454 5355145 321306759 302915074 3943753 6202925 25191405 21430914 382485371 335904058 33850 24946 0 0 127144136 134885924 0 0 0 190895514 191607401 318073500 326518271 64411871 9385787 337131087 272580931 253102955 196196512 84028132 76384419 X SEE SCHEDULE O. 0 0 200594722 24946 295003345 ST. FRANCIS MEDICAL CENTER PROVIDES QUALITY HOSPITAL AND MEDICAL SERVICES PRIMARILY TO RESIDENTS OF NORTHEAST LOUISIANA. THE MEDICAL CENTER IS AN ACTIVE, CARING MEMBER OF THE COMMUNITIES IT SERVES. IN CARRYING OUT ITS MISSION OF MEETING THE HEALTHCARE NEEDS OF THE PEOPLE OF GOD, THE MEDICAL CENTER HAS ESTABLISHED A POLICY UNDER WHICH IT PROVIDES CARE TO NEEDY MEMBERS OF ITS COMMUNITIES. FOLLOWING THAT POLICY, HEALTH CARE SERVICES COSTING APPROXIMATELY, $4,583,599 WERE PROVIDED WITHOUT CHARGE. THE MEDICAL CENTER PROVIDED 276 LICENSED BEDS, 71,855 INPATIENT DAYS, 12,149 INPATIENT DISCHARGES, AND 53,684 ER VISITS IN THE YEAR ENDED JUNE 30, 2022. 25299266 29273293 ST. FRANCIS MEDICAL CENTER'S PHYSICIAN PRACTICE PROVIDES CARE TO THE NEEDY MEMBERS OF ITS COMMUNITIES. 225893988 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 25 0 1 2041 1 1 1 0 0 0 0 0 0 0 0 0 X 19 15 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 1 1 X AMANDA HYMEL 2257658496 5959 S SHERWOOD FOREST BLVD BATON ROUGE LA 70809 KRISTIN S WOLKART EX-OFFICIO, PRES/CEO SFMC 1.00 51.00 X X 0 591648 110478 CARRIE BAKER BOARD MEMBER 1.00 0.00 X 0 0 0 SR HELEN CAHILL BOARD MEMBER 1.00 4.00 X 0 0 0 JANET DURDEN VICE CHAIR 1.00 0.00 X X 0 0 0 THOMAS J GULLATT MD EX-OFFICIO, PRES/CEO SFMC 40.00 0.00 X X 543106 0 45611 HILL HINKLE MD BOARD MEMBER 1.00 0.00 X 0 0 0 LJ HOLLAND CHAIR 1.00 0.00 X X 0 0 0 JOHN JONES BOARD MEMBER 1.00 0.00 X 0 0 0 REV BRIAN MERCER BOARD MEMBER 1.00 0.00 X 0 0 0 ROLF MORSTEAD MD EX-OFFICIO:CHIEF OF STAFF 1.00 0.00 X 0 0 0 JOHN REA BOARD MEMBER 1.00 0.00 X 0 0 0 SR MARY ANN SEPULVADO OSF BOARD MEMBER 1.00 1.00 X 0 0 0 REV EVERETT SLACK BOARD MEMBER 1.00 0.00 X 0 0 0 WILLIAM SMART SECRETARY 1.00 0.00 X X 0 0 0 DR RON BERRY BOARD MEMBER 1.00 0.00 X 0 0 0 TARA HANEY BOARD MEMBER & FMOLHS COS 1.00 40.00 X 0 475366 76057 BISHOP FRANCIS MALONE BOARD MEMBER 1.00 0.00 X 0 0 0 SHERITA WILLIAMS BOARD MEMBER 1.00 0.00 X 0 0 0 WILLIAM BART LILES MD BOARD MEMBER 1.00 0.00 X 0 0 0 JEREMY ROGERS VP, CHIEF OPERATING OFFICER 41.00 1.00 X 341267 0 39486 JEFFREY D LIMBOCKER EVP, CHIEF FINANCIAL OFFICER 1.00 59.50 X 0 991087 185197 TERRI L HICKS FMOLHS 1.00 40.00 X 0 109574 12273 KAYLA B JOHNSON VP, PATIENT CARE SVCS 40.00 0.00 X 300735 0 51843 JOHN KAHL VP, OPS AND PHYSICIAN SVCS 40.00 0.00 X 254725 0 30709 SARAH AHMAD STAFF PHYSICIAN 40.00 0.00 X 685184 0 33382 JOHN D BRUCHHAUS STAFF PHYSICIAN 40.00 0.00 X 680734 0 54419 DARSHAN PATEL STAFF PHYSICIAN 40.00 0.00 X 685813 0 40081 JAMES G SMITH HOSPITALIST 40.00 0.00 X 718845 0 45642 RICHARD DEARMAN STAFF PHYSICIAN 40.00 0.00 X 842574 0 35579 5052983 2167675 760757 236 0 1 0 FMOL HEALTH SYSTEM 4200 ESSEN LANE BATON ROUGE LA 70809 MANAGEMENT SERVICES 44671932 SPECIALTY MGMT SER OF OUACHITA 101 CATALPA ST MONROE LA 71201 CONTRACT LABOR SVCS 16914846 NELA TITLE COMPANY LLC 2551 TOWER DR STE 6 MONROE LA 71201 LEGAL SERVICES 6369850 MORRISON MGMT SPECIALISTS 5801 PEACHTREE DUNWOODY RD ATLANTA GA 303421503 DIETARY SERVICES 5477567 TRIMEDX INC 5451 LAKEVIEW PARKWAY S DR INDIANAPOLIS IN 46268 MAINTENANCE SERVICES 5084210 73 4888045 467100 5355145 PATIENT SERVICE REVENUE 621500 294927867 294927867 OTHER 621500 4115782 4115782 CAFETERIA 722514 1521536 1521536 INCOME FROM EQUITY INVESTEES 523000 959205 889855 69350 MGT FEE INTERCOMPANY 621500 727593 727593 663091 663091 302915074 716246 716246 5 5 2108242 0 2108242 2108242 2108242 28557644 1804098 23820922 1054146 4736722 749952 5486674 5486674 INCREASE IN ACCRUED PENSION 19322672 19322672 19322672 335904058 324276638 69350 6202925 24946 24946 941334 672272 269062 110822001 79145690 31676311 2649125 1788874 860251 12520709 8474920 4045789 7952755 5370254 2582501 54462854 25767568 28695286 300616 273795 26821 110 110 193426 52256 141170 22138049 12247000 9891049 945793 255513 690280 17435923 13157628 4278295 851074 229924 621150 6559448 6335491 223957 256962 69420 187542 8693 2348 6345 4309736 32027 4277709 12274944 10102260 2172684 3718468 926220 2792248 MEDICAL SUPPLIES EXP 65046138 58187712 6858426 REPAIRS 2988753 2673621 315132 SPECIAL PROCEDURES 116414 104139 12275 326518271 225893988 100624283 0 88054581 22097641 34890565 34409800 10197 166642 6427342 6229574 2941403 2176479 367456927 267937051 99730463 99519876 99554709 90500828 1316350 1492009 4205477 15988082 337131087 272580931 39705855 38137694 31408546 12036145 115601574 114098296 66386980 31924377 253102955 196196512 X 83597302 75221122 430830 1163297 84028132 76384419 337131087 272580931 X 9385787 -14319732 -2709768 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10660508 10660508 191010126 139874197 51135929 1523692 1515703 7989 160967250 126547151 34420099 3295351 3295351 99519876 INVESTMENTS HELD AT FMOLHS 90500828 F 90500828 NET DUE TO/FROM AFFILIATES 9190957 SELF INSURANCE RECEIVABLE LONG TERM 3710809 INT IN NET ASSETS OF FND 1163297 INTERCOMPANY AR 7740 BOND INTEREST 1915279 15988082 RETIREMENT PAYABLE LONG TERM 26013713 OTHER LIABILITIES 5910664 31924377 X PART X, LINE 2: FIN 48 (ASC 740) FOOTNOTE: FMOLHS RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGEMENT OCCURS. NO RESERVES FOR UNCERTAIN TAX POSITIONS HAVE BEEN RECORDED. 1 1 X 1 X 250.000000000000 0 1 1 0 1 1 694296 694296 67625071 53742886 13882184 0.04250 68319367 54437182 13882184 0.04250 578545 578545 0.00180 138118 138118 0.00040 2168368 2168368 0.00660 150106 150106 0.00050 3035137 3035137 0.00930 71354504 54437182 16917321 0.05180 2869 2869 0.00000 536 536 0.00000 1119 1119 0.00000 4524 4524 0.00000 1 398244 62672193 71938756 -9266563 X 1 1 1 1 ST FRANCIS MEDICAL CENTER PO BOX 1901 MONROE LA 71210 WWW.FMOLHS.ORG/STFRAN X X X ST FRANCIS MEDICAL CENTER 1 0 0 1 X X X X X X X X X 21 1 0 0 1 X SEE PART V, SECTION C X 1 21 0 1 0 1 X 200.000000000000 0.000000000000 X X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X 1 X 0 X X X 1 X 0 0 ST. FRANCIS MEDICAL CENTER PART V, SECTION B, LINE 5: ST. FRANCIS MEDICAL CENTER, INC., CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2021. SFMC'S 2021 CHNA IS INTENDED TO BE AN OVERVIEW OF THE CURRENT HEALTH STATUS AND HEALTH PRIORITIES OF THE PEOPLE OF REGION 8 OF NORTHEAST LOUISIANA. SFMC DEFINES ITS COMMUNITY AS A SERVICE AREA THAT CAN BE BEST AFFECTED WITH MEASURABLY EFFECTIVE IMPLEMENTATION STRATEGIES THAT IMPROVE THE HEALTH AND WELLNESS OF THE PEOPLE SERVED. THE 2021 CHNA PRIORITY AREAS ARE DEFINED BY THE INFORMATION GATHERED FROM DATA SOURCES, INTERVIEWS, A FOCUS GROUP HOSTED OCTOBER 5, 2021, AND COMMUNITY SURVEYS WITH ATTENTION GIVEN TO VULNERABLE POPULATIONS, INCLUDING MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. FOCUS GROUP ATTENDEES' RESPONSES TO GUIDING QUESTIONS FOCUSED HEAVILY ON ACCESS TO CARE, MENTAL HEALTH, AND MAKING HEALTHY CHOICES. COMMUNITY SURVEY RESPONDENTS WERE ASKED TO RANK WHAT THEY FELT WERE THE TOP FOUR HEALTH ISSUES FACING NORTHEAST LOUISIANA RESIDENTS. AFTER EXAMINATION OF THE SURVEY DATA AND COMPARISON TO FEEDBACK GAINED FROM INTERVIEWS WITH COMMUNITY STAKEHOLDERS, SEVERAL OVERARCHING THEMES DEVELOPED: - CHRONIC DISEASE MANAGEMENT AFFECTS PATIENTS IN MANY STAGES OF LIFE AND ACROSS ALL SOCIOECONOMIC CLASSES. - OBESITY/SEDENTARY LIFESTYLES IS A MAJOR CONCERN FOR THE PEOPLE OF REGION 8 AND IS A CONTRIBUTING FACTOR TO OTHER HEALTH AND QUALITY-OF-LIFE CONCERNS. - ACCESS TO CARE CAN CAUSE SIGNIFICANT, NEGATIVE HEALTH IMPACTS. THE IDEA OF ACCESS IS MORE THAN LACK OF PHYSICIANS AND INABILITY TO PAY - IT CAN BE INABILITY TO UNDERSTAND HOW TO ACCESS CARE, DIVERSITY/INCLUSION ISSUES, AND SO MUCH MORE. - SUBSTANCE ABUSE IS A PERVASIVE PROBLEM THROUGHOUT REGION 8. - CARING FOR THE ELDERLY IS A PRIORITY AS PEOPLE ARE LIVING LONGER LIVES. SFMC CONSULTED WITH JACKIE WHITE, MD, MEDICAL DIRECTOR, REGION 8 OFFICE OF PUBLIC HEALTH, IN AN INTERVIEW ON OCTOBER 11, 2021, AS PART OF THE CHNA PROCESS. DR. WHITE ALSO PARTICIPATED IN THE SFMC FOCUS GROUP. IN A FOLLOW-UP MEETING ON NOVEMBER 8, 2021, WITH SFMC EXECUTIVE COUNCIL REPRESENTATIVES, DR. WHITE AND THE REGION 8 OPH TEAM DISCUSSED BEING A COLLABORATING PARTNER WITH SFMC THROUGHOUT THE 2021 CHNA IMPLEMENTATION PLAN MEASUREMENT PERIOD TO ADDRESS THE NEEDS OF VULNERABLE POPULATIONS WITHIN THE DEFINED COMMUNITY/SERVICE AREA AND THROUGHOUT REGION 8. DR. WHITE AND THE OPH TEAM UTILIZED SFMC'S PREVIOUS CHNA DOCUMENT IN RELATION TO ITS LINCOLN PARISH DATA AND WILL BE WORKING WITH SFMC ON THE 2021 CHNA IMPLEMENTATION PLAN. DR. WHITE AND HER TEAM SHARED THEIR REGIONAL OUTLINE OF HEALTH PRIORITIES AND CHALLENGES BOTH FROM PATIENT AND OPERATIONAL PERSPECTIVES, WHICH MIRRORED THE DATA ANALYSIS AND COMMUNITY SURVEY RESULTS SFMC RECEIVED DURING THE CHNA PROCESS. DISCUSSION DURING BOTH THE OCTOBER 11 AND NOVEMBER 8 MEETINGS CENTERED ON HOW THE ORGANIZATIONS CAN COLLABORATE TO ADDRESS THE PRIORITY AREAS IDENTIFIED IN THE CHNA IN BOTH SFMC'S DEFINED COMMUNITY AND THROUGHOUT REGION 8. BASED ON A COMPREHENSIVE DATA ANALYSIS AND FEEDBACK RECEIVED FROM THE COMMUNITY SURVEY AND INTERVIEWS, SFMC IDENTIFIED THE FOLLOWING HEALTH NEEDS AREAS FOR ITS 2021 CHNA (IN RANK ORDER): 1. CHRONIC DISEASE MANAGEMENT 2. ACCESS TO CARE 3. OBESITY / SEDENTARY LIFESTYLES 4. MENTAL HEALTH 5. SUBSTANCE ABUSE 6. HEART DISEASE/STROKE 7. CARE FOR THE ELDERLYST. FRANCIS MEDICAL CENTER HAS DECIDED TO ADDRESS THE TOP THREE IDENTIFIED NEEDS (CHRONIC DISEASE MANAGEMENT, ACCESS TO CARE, AND OBESITY/SEDENTARY LIFESTYLES), AND WILL NOT DIRECTLY ADDRESS THE REMAINING FOUR NEEDS LISTED ABOVE. HOWEVER, AS SFMC IMPLEMENTS STRATEGIES IN EACH OF THE THREE SELECTED PRIORITY AREAS, INDIRECT BENEFITS ARE EXPECTED FOR THE FOUR HEALTH CONCERNS THAT WERE NOT TARGETED DUE TO LINKAGES. SFMC WILL NOT ADDRESS THE IDENTIFIED NEEDS OF MENTAL HEALTH, SUBSTANCE ABUSE, HEART DISEASE/STROKE, AND CARE FOR THE ELDERLY BECAUSE; 1) THOSE NEEDS HAVE A LESSER AMOUNT OF WORK THAT STILL NEEDS TO TAKE PLACE TO SEE A POSITIVE IMPACT; 2) THOSE NEEDS WERE MENTIONED LESS FREQUENTLY DURING THE CHNA DEVELOPMENT PROCESS; AND 3) THE SELECTED NEEDS HAVE A MORE NOTEWORTHY INFLUENCE ON VULNERABLE COMMUNITY POPULATIONS THAT, IF BROUGHT UNDER CONTROL, COULD HAVE A DEEPER, MORE LASTING IMPACT ON THE PEOPLE AFFECTED.PART V, SECTION B, LINE 7AST. FRANCIS MEDICAL CENTER:THE CHNA CAN BE FOUND AT: HTTPS://STFRAN.COM/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT ST. FRANCIS MEDICAL CENTER PART V, SECTION B, LINE 11: DURING THE CURRENT YEAR, SFMC DEVELOPED ITS NEW COMMUNITY HEALTH NEEDS ASSESSMENT AND RELATED IMPLEMENTATION PLAN AND CONTINUED TO FOCUS ON THE IDENTIFIED COMMUNITY NEEDS OF CHRONIC DISEASE MANAGEMENT, OBESITY/SEDENTARY LIFESTYLES, SUBSTANCE ABUSE, ACCESS TO CARE, AND CARE FOR THE ELDERLY. IN THE CURRENT YEAR, SFMC HAD A TOTAL KNOWN IMPACT OF 84,211 LIVES. SPECIFIC ACTIONS TAKEN TO ADDRESS AREAS OF NEED INCLUDED MEDICATION SAFETY TIPS FOR SENIORS IN PARTNERSHIP WITH REGION 8 COUNCILS ON AGING, MEALS DISTRIBUTED THROUGH MEALS ON WHEELS, CHILDBIRTH, ABC'S OF BABY CARE, AND BREASTFEEDING CLASSES OFFERED THROUGH ONLINE CLASSES TO ADDRESS PATIENTS WITH TRANSPORTATION PROBLEMS AND TO ALLOW PATIENTS FROM THROUGHOUT REGION 8 TO ACCESS THE CLASS WHERE CLASSES ARE NOT OFFERED, REGIONAL TRAUMA OUTREACH TO ADDRESS PREVENTABLE HOSPITAL STAYS THROUGH "STOP THE BLEED" CLASSES, VARIOUS HEALTH FAIRS, FOOD DRIVES, AND DONATION DRIVES TARGETING POPULATIONS IN NEED, AND TOBACCO CESSATION EDUCATION EFFORTS THROUGHOUT REGION 8. SFMC PLACED A GREAT DEAL OF FOCUS ON THE SOCIAL DETERMINANTS OF HEALTH AS THEY RELATE TO EACH OF THESE AREAS AND WORKS CLOSELY WITH THE SFMC DIVERSITY, EQUITY, AND INCLUSION COUNCIL TO EDUCATE INTERNAL AUDIENCES AND TO MONITOR ACTIVITIES, SUCH AS HIRING PROCESSES AND COMMUNITY SUPPORT OF MINORITY-OWNED BUSINESSES. SFMC ENCOURAGED IMPROVEMENT IN ALL CATEGORIES AMONG ITS TEAM MEMBERS AND THEIR FAMILY MEMBERS THROUGH ITS TOTAL REWARDS PROGRAM, WHICH REWARDS TEAM MEMBERS WITH POINTS THROUGHOUT THE YEAR FOR LOGGING ACTIVITIES THAT ARE COMPLETED. TEAM MEMBERS ARE ENCOURAGED TO ENGAGE IN HEALTH IMPROVEMENT ACTIVITIES NOT ONLY FOR PHYSICAL HEALTH BUT ALSO FOR MENTAL AND SPIRITUAL HEALTH, AS WELL AS INCREASED INVOLVEMENT IN VOLUNTEERISM AND FINANCIAL WELL-BEING. ST. FRANCIS MEDICAL CENTER PART V, SECTION B, LINE 13H: PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE:1. THE PATIENT RECEIVING FREE CARE FROM A COMMUNITY CLINIC AND IS REFERRED TO THE HOSPITAL;2. STATE-FUNDED PRESCRIPTION PROGRAMS;3. HOMELESS, INDIGENT, OR HOMELESS CLINIC PATIENT;4. PATIENT'S CHILDREN WHO QUALIFY FOR OTHER FINANCIAL ASSISTANCE PROGRAMS;5. PATIENT ELIGIBLE FOR FOOD STAMPS;6. MEDICAID ELIGIBLE PATIENT;7. PATIENT IS DECEASED WITH NO KNOWN RESPONSIBLE PARTY;8. PATIENT IS INCARCERATED AND HAS NO OTHER RESPONSIBLE PARTY ST. FRANCIS MEDICAL CENTER PART V, SECTION B, LINE 16J: REGISTRATION PERSONNEL REFER PATIENTS THAT MAY HAVE DIFFICULTY PAYING FOR THEIR MEDICAL CARE TO FINANCIAL COUNSELORS TO DISCUSS QUALIFICATIONS FOR FULLY DISCOUNTED CARE. PART V, SECTION B, LINE 16: ST. FRANCIS MEDICAL CENTER:THE FINANCIAL ASSISTANCE POLICY, FAP APPLICATION FORM, AND A PLAIN LANGUAGE SUMMARY ARE AVAILABLE AT: HTTPS://FMOLHS.ORG/FINANCIAL-ASSISTANCE-POLICY/ 4 1 - COMMUNITY HEALTH CENTER 2600 TOWER DRIVE MONROE LA 71201 VARIOUS OUTPATIENT SERVICES 2 - NORTHEAST LA CANCER INSTITUTE 411 CALYPSO STREET MONROE LA 71210 CANCER TREATMENT AND IMAGING CENTER 3 - MONROE MRI CENTER 501 CATALPA STREET MONROE LA 71201 MRI SERVICES 4 - ST FRANCIS PET IMAGING OF MONROE PO BOX 1851 MONROE LA 71201 PET IMAGING SERVICES PART I, LINE 3C: FINANCIAL ASSISTANCE IS AVAILABLE FOR INDIVIDUALS WHO ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR ANY GOVERNMENT HEALTH CARE BENEFIT PROGRAM, AND WHO ARE UNABLE TO PAY FOR THEIR CARE. FULL AND PARTIAL DISCOUNTED CARE IS AVAILABLE IF INCOME AND ASSETS MEET CERTAIN FEDERAL POVERTY GUIDELINE LEVELS. DISCOUNTED CARE IS ALSO AVAILABLE FOR THOSE PATIENTS WITH CATASTROPHIC MEDICAL BILLS AND IS AVAILABLE IF MEDICAL BILLS EXCEED A CERTAIN PERCENTAGE OF INCOME AND ASSETS. FULLY DISCOUNTED CARE IS ALSO AVAILABLE WHERE THE PATIENT OR OTHER SOURCES CAN PROVIDE SUFFICIENT EVIDENCE OF PRESUMPTIVE ELIGIBILITY. PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE:1) PATIENT RECEIVING FREE CARE FROM A COMMUNITY CLINIC AND IS REFERRED TO THE HOSPITAL;2) STATE-FUNDED PRESCRIPTION PROGRAMS;3) HOMELESS, INDIGENT, OR HOMELESS CLINIC PATIENT;4) PATIENT'S CHILDREN WHO QUALIFY FOR OTHER FINANCIAL ASSISTANCE PROGRAMS;5) PATIENT ELIGIBLE FOR FOOD STAMPS;6) MEDICAID ELIGIBLE PATIENT;7) PATIENT IS DECEASED WITH NO KNOWN RESPONSIBLE PARTY;8) PATIENT IS INCARCERATED AND HAS NO OTHER RESPONSIBLE PARTY. PART I, LINE 7: THE COST-TO-CHARGE RATIO IS UTILIZED AS THE COSTING METHODOLOGY TO CALCULATE THE AMOUNTS REPORTED IN PART I LINES 7A-7D AND IS BASED ON THE COST ACCOUNTING SYSTEM OF THE ORGANIZATION. FOR PART I LINES 7E, 7F, 7G, 7H AND 7I, DIRECT COSTS WERE CAPTURED FROM THE HOSPITAL'S AUDITED FINANCIAL STATEMENT AND THE MEDICARE COST REPORT WHERE APPLICABLE. FOR PART I LINE 7G, COST FIGURES WERE CALCULATED FROM DEPARTMENTAL COSTS LESS DIRECT OFFSETTING REVENUE. PART I, LINE 7G: ST. FRANCIS MEDICAL CENTER PROVIDES SUBSIDIZED HEALTH SERVICES, INCLUDING SERVICES THAT PROVIDE PEDIATRIC NEUROLOGY, PEDIATRIC NEUROSURGERY, AND ADULT NEUROLOGY. THESE SPECIALIZED SERVICES ARE SUBSIDIZED BY ST. FRANCIS MEDICAL CENTER SINCE THESE ARE UNDER-SERVED SPECIALTY AREAS. PART I, LN 7 COL(F): FOR THE PURPOSE OF CALCULATING THE PERCENTAGE IN PART I, LINE 7, COLUMN F, FUNCTIONAL EXPENSES WERE USED WHICH DID NOT INCLUDE BAD DEBT EXPENSE. PART III, LINE 4: THE BAD DEBT FOOTNOTE IS ON PAGES 17 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE MEDICARE COST REPORT IS BASED ON REGULATORY REQUIREMENTS AND GUIDELINES. THE ORGANIZATION CURRENTLY DOES NOT BELIEVE THAT ANY SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. PART III, LINE 9B: PATIENTS WITH NO MEANS OF PAYMENT MAY APPLY FOR FINANCIAL ASSISTANCE. APPROVAL WILL BE BASED ON INCOME, ASSETS, AND MEDICAL EXPENSES AS SET FORTH IN THE FINANCIAL ASSISTANCE POLICY. ACCOUNTS MAY ALSO BE FULLY DISCOUNTED BASED ON A PRESUMPTIVE CHARITY SCORING SYSTEM WHICH IS SIMILAR TO CREDIT SCORING. TO THE EXTENT APPROPRIATE AND PERMITTED BY LAW, FINANCIAL COUNSELING AND SCREENINGS ARE CONDUCTED AT THE TIME OF ENCOUNTER TO ASSIST IN IDENTIFYING PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S POLICY. THESE PROCESSES HELPIDENTIFY (EARLY IN THE PROCESS) PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE. THIS HELPS KEEP QUALIFYING PATIENTS OUT OF THE HOSPITAL'S COLLECTION PROCESSES BECAUSE AMOUNTS COVERED BY FINANCIAL ASSISTANCE ARE NOT SUBJECT TO THE HOSPITAL'S COLLECTION PRACTICES. HOWEVER, IF IT ISDETERMINED THAT A PATIENT QUALIFIES FOR CHARITY CARE AFTER THE INDIVIDUAL'S ACCOUNT HAS BEEN SENT TO COLLECTIONS, THE DISCOUNTED AMOUNT IS IMMEDIATELY REMOVED FROM THE COLLECTIONS PROCESS. PART III, SECTION A, LINE 2: AMOUNTS REPRESENT THE ACTUAL CUSTOMER AMOUNTS DUE TO ST. FRANCIS MEDICAL CENTER THAT WERE WRITTEN OFF BECAUSE THEY WERE UNCOLLECTIBLE. PART VI, LINE 2: NEEDS ASSESSMENT: RESPONDING TO THE HEALTH NEEDS OF OUR COMMUNITY, ESPECIALLY TO THOSE MOST IN NEED, IS PRIMARY TO THE HOSPITAL'S MISSION. AS SUCH, ST. FRANCIS MEDICAL CENTER (SFMC) WORKS TO CONDUCT HEALTH CARE NEEDS ASSESSMENTS. THEY WORK CLOSELY WITH THE CHILDREN'S COALITION FOR NORTHEAST LOUISIANA, THE UNITED WAY OF NORTHEAST LOUISIANA, OUACHITA COUNCIL ON AGING, CATHOLIC CHARITIES OF NORTH LOUISIANA, NEW OPPORTUNITIES VISION ACHIEVEMENT (NOVA), EDWARD VIA COLLEGE OF OSTEOPATHIC MEDICINE, LIVING WELL FOUNDATION, LIFESHARE BLOOD CENTER, LSU AG CENTER, MONROE CITY SCHOOLS, OUACHITA PARISH SCHOOLS, NORTHEAST DELTA HUMAN SERVICES AUTHORITY, NORTHEAST LA WAR VETERAN'S HOME, ST. VINCENT DEPAUL PHARMACY, UNIVERSITY OF LOUISIANA AT MONROE, WEST OUACHITA SENIOR CENTER, AND OTHER COMMUNITY STAKEHOLDERS TO DEFINE COMMUNITY NEEDS AND TO CONSOLIDATE EFFORTS TO MEET THOSE COMMUNITY NEEDS. FOR EXAMPLE, SFMC'S TRAUMA OUTREACH PROGRAMS, SUCH AS "STOP THE BLEED," HAVE EXPANDED INTO THE COMMUNITY TO ADDRESS PREVENTABLE HOSPITAL STAYS AND ACCESS TO CARE, AND SFMC HAS IMPLEMENTED PROGRAMS TO ADDRESS IMMEDIATE COMMUNITY NEEDS, SUCH AS FAN DRIVES IN THE SUMMER, FOOD DRIVES THROUGHOUT THE YEAR, AND PRESCRIPTION TAKEBACK DAY PLANNING IN PARTNERSHIP WITH THE UNIVERSITY OF LOUISIANA AT MONROE SCHOOL OF PHARMACY. THE HOSPITAL CONDUCTED AN UPDATED COMMUNITY HEALTH NEEDS ASSESSMENT IN TAX YEAR 2018 AND 2021 AND WILL CONTINUE TO USE COMMUNITY-BASED DATA TO SUPPORT DECISIONS FOR OUTREACH IN THE COMMUNITY. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: PATIENTS ARE INFORMED THROUGH A PATIENT HANDBOOK THAT CONTAINS INFORMATION ON THE FINANCIAL POLICIES OF ST. FRANCIS MEDICAL CENTER. ADDITIONALLY, SIGNS ARE POSTED IN THE ADMISSIONS AREAS THAT FINANCIAL COUNSELING IS AVAILABLE UPON REQUEST. SYSTEMS AND TOOLS ARE UTILIZED TO CONDUCT HIGH LEVEL FINANCIAL SCREENING TO ASSIST IN IDENTIFYING PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS WORK CLOSELY WITH PATIENTS TO ASSIST WITH ENROLLMENT FOR THOSE WHO ARE ELIGIBLE FOR MEDICAID AS WELL AS ASSIST THOSE WHO ARE ELIGIBLE FOR HOSPITAL FINANCIAL ASSISTANCE IN DETERMINING ELIGIBILITY. PART VI, LINE 4: COMMUNITY INFORMATION:ST. FRANCIS MEDICAL CENTER (SFMC) IS A COMMUNITY-BASED, NOT-FOR-PROFIT HOSPITAL LOCATED IN MONROE, LOUISIANA, IN OUACHITA PARISH. FOR PURPOSE OF THE CHNA, THE HOSPITAL DEFINES ITS PRIMARY SERVICE AREA AS OUACHITA AND LINCOLN PARISHES. PURSUANT TO THE HOSPITAL'S LAST CHNA, SFMC'S PRIMARY SERVICE AREA HAS A POPULATION OF APPROXIMATELY OF 205,383. OF THOSE PEOPLE, 47,934 RESIDE IN LINCOLN PARISH, AND 157,150 RESIDE IN OUACHITA PARISH, AND THE SENIOR POPULATION COMPRISES 13.48% OF LINCOLN PARISH AND 13.28% OF OUACHITA PARISH. THE MEDIAN HOUSEHOLD INCOME IN LINCOLN PARISH IS $37,842, AND THE AVERAGE HOUSEHOLD INCOME IS $61,321. THE MEDIAN HOUSEHOLD INCOME IN OUACHITA PARISH IS $40,167, AND THE AVERAGE HOUSEHOLD INCOME IS $62,699. BOTH PARISHES REPORT LOWER MEDIAN HOUSEHOLD INCOME THAN LOUISIANA AS A WHOLE ($49,216). PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH:ST. FRANCIS MEDICAL CENTER (SFMC) PARTICIPATES IN COMMUNITY INVOLVEMENT ACTIVITIES BECAUSE IMPROVEMENTS TO A COMMUNITY DIRECT IMPACT THE IMPROVED HEALTH OF COMMUNITY RESIDENTS. COMMUNITY IMPROVEMENT ACTIVITIES INCLUDE THE FOLLOWING: PROVISION OF A MEDICAID CLINIC DEDICATED TO WOMEN'S AND CHILDREN'S HEALTH, CASH AND IN-KIND DONATIONS TO NOT-FOR-PROFIT ORGANIZATIONS ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH AND/OR SUPPORTING THE PRIORITY AREAS IDENTIFIED IN THE SFMC CHNA; PROGRAMS AND EDUCATIONAL OUTREACH THAT ADDRESS FOOD INSECURITY, DIVERSITY, EQUITY, AND INCLUSION, PREVENTABLE HOSPITAL STAYS, CARE FOR THE ELDERLY, OBESITY, AND TOBACCO CESSATION; ONGOING SPONSORSHIP OF BLOOD DRIVES TO SUPPORT THE LOCAL SUPPLY AVAILABLE TO PATIENTS. SFMC PROVIDES OCCUPANCY AND UTILITIES FREE OF CHARGE TO ST. VINCENT DEPAUL PHARMACY SO THAT UNINSURED, UNDERINSURED AND WORKING POOR MEDICALLY DISENFRANCHISED INDIVIDUALS AND FAMILIES HAVE ACCESS TO PRESCRIPTION MEDICATIONS. THIS ALLOWS THE PHARMACY TO SPEND ITS FUNDS ON ACTIVITIES THAT HAVE MORE DIRECT IMPACT ON PEOPLE IN NEED. SFMC PROVIDES MANAGEMENT OVERSIGHT OF COMMUNITY PROGRAMS AND ACTIVITIES, INCLUDING MEALS ON WHEELS AND COMMUNITY BENEFIT SALARY DOLLARS, AND PROUDLY SERVES AS THE DESIGNATED REGIONAL HOSPITAL FOR REGION 8 AND PROVIDES LEADERSHIP AND COORDINATION FOR EMERGENCY PREPAREDNESS ACTIVITIES. SFMC PROVIDES LEADERSHIP DEVELOPMENT AND TRAINING FOR ROMAN CATHOLIC PRIESTS TO SERVE IN THE SFMC COMMUNITY AND HAS MANY PROGRAMS DESIGNED TO PROMOTE LEADERSHIP DEVELOPMENT AND PROVIDE EXPOSURE TO VARIOUS CAREERS IN HEALTH CARE. SUCH PROGRAMS INCLUDE HEALTH INFORMATION MANAGEMENT, AHEC (AREA HEALTH EDUCATION CENTER) PROGRAM FOR STUDENTS PREPARING TO GRADUATE FROM HIGH SCHOOL, RADIOLOGY, LABORATORY, AND RESPIRATORY PROGRAMS, AS WELL AS PARTNERSHIPS WITH SEVERAL NURSING SCHOOLS AND A DEVELOPING RELATIONSHIP WITH THE EDWARD VIA COLLEGE OF OSTEOPATHIC MEDICINE LOCATED AT THE UNIVERSITY OF LOUISIANA AT MONROE. THE ROLE OF SFMC'S COMMUNITY IMPACT MANAGER EXPANDED IN THE CURRENT FISCAL YEAR TO ASSIST ORGANIZATIONS THROUGHOUT THE MINISTRY WITH PROGRAMMING AND ACCOUNTABILITY, AS WELL AS THE CHNA AND IMPLEMENTATION PLANNING PROCESS, AND ALSO EXPANDED WITHIN SFMC TO INCLUDE EXPANSION OF COMMUNITY EDUCATION AND OUTREACH. A MAJORITY OF THE GOVERNING BODY OF SFMC IS COMPRISED OF INDIVIDUALS FROM A BROAD CROSS-SECTION OF THE COMMUNITY WHO RESIDE IN THE PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR SOME OR ALL THE DEPARTMENTS, AS NEEDED, AND APPLIES SURPLUS FUNDS TO IMPROVEMENTS IN PATIENT ARE THROUGH INVESTMENT IN CLINICAL TECHNOLOGY, MEDICAL INFORMATION TECHNOLOGY, AND CONTINUED TRAINING OF CLINICAL STAFF. PART VI, LINE 6: ST. FRANCIS MEDICAL CENTER IS A NOT-FOR-PROFIT HOSPITAL, NON-STOCK MEMBER CORPORATION OF WHICH FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM, INC. (FMOL HEALTH SYSTEM) IS THE SOLE MEMBER. ST. FRANCIS MEDICAL CENTER IS PART OF THE FMOL HEALTH SYSTEM WHICH INCLUDES SEVERAL HOSPITALS AND TAX-EXEMPT AFFILIATES THROUGHOUT THE STATE OF LOUISIANA, AND ONE IN MISSISSIPPI. ST. FRANCIS MEDICAL CENTER SERVES THE COMMUNITY IN NORTHEASTERN LOUISIANA AND SOUTHERN ARKANSAS. OTHER RELATED HOSPITALS IN LOUISIANA INCLUDE:- OUR LADY OF LOURDES REGIONAL MEDICAL CENTER- OUR LADY OF THE LAKE HOSPITAL- ST. ELIZABETH HOSPITAL- OUR LADY OF THE LAKE ASSUMPTION HOSPITAL- OUR LADY OF THE ANGELS HOSPITALRELATED HOSPITAL IN MISSISSIPPI:- ST. DOMINIC JACKSON MEMORIAL HOSPITAL 0 1 0 0 0 0 0 0 0 JEFFREY D LIMBOCKER EVP, CHIEF FINANCIAL OFFICER 0 670983 0 234110 0 85994 0 160910 0 24287 0 1176284 0 60058 RICHARD DEARMAN STAFF PHYSICIAN 836568 0 0 0 6006 0 14500 0 21079 0 878153 0 0 0 JAMES G SMITH HOSPITALIST 670672 0 42177 0 5996 0 26100 0 19542 0 764487 0 0 0 JOHN D BRUCHHAUS STAFF PHYSICIAN 646869 0 30191 0 3674 0 26100 0 28319 0 735153 0 0 0 DARSHAN PATEL STAFF PHYSICIAN 592067 0 90828 0 2918 0 14500 0 25581 0 725894 0 0 0 SARAH AHMAD STAFF PHYSICIAN 679717 0 2550 0 2917 0 14500 0 18882 0 718566 0 0 0 KRISTIN S WOLKART EX-OFFICIO, PRES/CEO SFMC 0 423714 0 165187 0 2747 0 90358 0 20120 0 702126 0 0 THOMAS J GULLATT MD EX-OFFICIO, PRES/CEO SFMC 482842 0 56700 0 3564 0 26100 0 19511 0 588717 0 0 0 TARA HANEY BOARD MEMBER & FMOLHS COS 0 337959 0 136142 0 1265 0 59366 0 16691 0 551423 0 0 JEREMY ROGERS VP, CHIEF OPERATING OFFICER 266785 0 71735 0 2747 0 13535 0 25951 0 380753 0 0 0 KAYLA B JOHNSON VP, PATIENT CARE SVCS 230592 0 62494 0 7649 0 26100 0 25743 0 352578 0 0 0 JOHN KAHL VP, OPS AND PHYSICIAN SVCS 198526 0 55048 0 1151 0 11287 0 19422 0 285434 0 0 0 PART I, QUESTION 3: THE CEO IS PAID BY FMOL HEALTH SYSTEM, A RELATED TAX EXEMPT ORGANIZATION. THE FMOLHS BOARD OF DIRECTORS DESIGNATES A COMPENSATION COMMITTEE, MADE UP OF INDEPENDENT BOARD MEMBERS, TO REVIEW AND SET THE CEO'S COMPENSATION ANNUALLY. THE COMPENSATION COMMITTEE OBTAINS AND RELIES UPON COMPARABLE DATA INCLUDING A COMPENSATION STUDY/SURVEY FROM AN INDEPENDENT COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE REVIEWS COMPENSATION PACKAGES AND APPROPRIATE COMPENSATION IS DETERMINED AND APPROVED. THE BASIS FOR DETERMINATION IS THEN DOCUMENTED BY THE COMPENSATION COMMITTEE. THE CEO ALSO SIGNS A WRITTEN EMPLOYMENT AGREEMENT. PART I, QUESTION 4A: THE CFO IS ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE ONLY FOR TERMINATION OF EMPLOYMENT WITHOUT CAUSE FOR GOOD REASON AND FOR A CHANGE OF CONTROL. IF TRIGGERED, THE EXECUTIVE WOULD BE PAID HIS/HER BASE SALARY AND AN ANNUAL INCENTIVE AT TARGET AND PROVIDED RETIREMENT AND WELFARE BENEFITS FOR AN ENTITLEMENT PERIOD. THE ENTITLEMENT PERIOD IS 24 MONTHS. NO PAYMENTS WERE MADE UNDER THE PLAN IN THE CURRENT YEAR. TWO BOARD MEMBERS ARE ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE ONLY FOR A TERMINATION OF EMPLOYMENT WITHOUT CAUSE, FOR GOOD REASON OR DUE TO CHANGE OF CONTROL. IF TRIGGERED, THE EMPLOYEE WOULD BE PAID HIS/HER BASE SALARY AND PROVIDED RETIREMENT AND WELFARE BENEFITS FOR AN ENTITLEMENT PERIOD. THE ENTITLEMENT PERIOD IS GENERALLY 18 MONTHS. NO PAYMENTS WERE MADE UNDER THE PLAN IN THE CURRENT YEAR. PART I, LINE 4B: FMOLHS MAINTAINS THREE UNFUNDED DEFERRED COMPENSATION PLANS WHICH MEET THE REQUIREMENTS OF IRC SECTION 457(F) AND IRC SECTION 409A. THE PLANS PROVIDES FOR COMPENSATION TO BE DEFERRED AND PAID UPON THE OCCURRENCE OF CERTAIN EVENTS SUCH AS TERMINATION WITHOUT CAUSE, DISABILITY, DEATH OR ATTAINMENT OF A SPECIFIC PAYMENT DATE. PARTICIPATION IN THE PLANS IS LIMITED TO CERTAIN EXECUTIVES AND IS SUBJECT TO APPROVAL OF FMOLHS BOARD OF DIRECTORS OR A DESIGNATED COMMITTEE OF SUCH BOARD. IN THE CURRENT YEAR, JEFFREY LIMBOCKER RECEIVED A PAYMENT OF $83,247. OUACHITA REHAB ASSOCIATES LLC ENTITY MORE THAN 35% OWNED BY ROLF MORSTEAD, BOARD MEMBER 191867 PERFORMANCE OF SERVICES 0 FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: INSPIRED BY THE VISION OF ST. FRANCIS OF ASSISI AND IN THE TRADITION OF THE ROMAN CATHOLIC CHURCH, WE EXTEND THE HEALING MINISTRY OF JESUS CHRIST TO GOD'S PEOPLE, ESPECIALLY THOSE MOST IN NEED. WE CALL FORTH ALL WHO SERVE IN THIS HEALTHCARE MINISTRY, TO SHARE THEIR GIFTS AND TALENTS TO CREATE A SPIRIT OF HEALING - WITH REVERENCE AND LOVE FOR ALL OF LIFE, WITH JOYFULNESS OF SPIRIT, AND WITH HUMILITY AND JUSTICE FOR ALL THOSE ENTRUSTED TO OUR CARE. WE ARE, WITH GOD'S HELP, A HEALING AND SPIRITUAL PRESENCE FOR EACH OTHER AND FOR THE COMMUNITIES WE ARE PRIVILEGED TO SERVE. FORM 990, PART VI, SECTION A, LINE 6 FMOL HEALTH SYSTEM, INC. (AN IRS SECTION 501(C)(3) ORGANIZATION) IS THE SOLE MEMBER OF THE MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 7A FMOL HEALTH SYSTEM, INC. AS THE SOLE MEMBER OF THE MEDICAL CENTER, RETAINS THE POWER TO APPOINT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF ST. FRANCIS MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 7B THE RESERVED POWERS TO FMOL HEALTH SYSTEM, INC. ARE AS FOLLOWS: I. TO CHANGE PHILOSOPHY, OBJECTIVES AND PURPOSES OF CORPORATION. II. TO APPOINT OR REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF THE CORPORATION. III. TO AMEND, ALTER, MODIFY OR REPEAL THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION. IV. TO AUTHORIZE MERGER, CONSOLIDATION, OR AFFILIATION, OR PARTICIPATE IN JOINT VENTURES. V. TO DISSOLVE AND TO DISTRIBUTE ASSETS OF THE CORPORATION. VI. TO APPOINT AND/OR TERMINATE WITH OR WITHOUT CAUSE THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION. VII. TO ACQUIRE, PURCHASE, SELL, LEASE, TRANSFER, OR ENCUMBER ANY IMMOVABLE PROPERTY ON BEHALF OF THE CORPORATION. VIII. TO ADD TO OR INCUR LONG-TERM DEBT IN EXCESS OF $5 MILLION BY THE CORPORATION. IX. TO APPOINT THE FISCAL AUDITOR FOR THE CORPORATION. X. TO APPROVE ANY INCREMENT OR ADDITION TO THE CAPITAL DEBT OR EFFORTS TO RENEGOTIATE, MODIFY OR CHANGE THE EXISTING CAPITAL DEBT OBLIGATIONS OF THE CORPORATION. XI. TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION. XII. TO APPROVE A STRATEGIC BUSINESS PLAN OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B AFTER PREPARATION AND REVIEW OF FORM 990 BY KPMG LLP, THE TAXPAYER'S TAX ADVISORS, ONE OR MORE MEMBERS OF SENIOR MANAGEMENT REVIEWS THE RETURN. ST. FRANCIS MEDICAL CENTER'S GOVERNING BODY IS PROVIDED A COPY OF THE RETURN ELECTRONICALLY PRIOR TO THE FILING DATE AND IS GIVEN AN OPPORTUNITY TO REVIEW AND PROVIDE COMMENTS TO MANAGEMENT. FORM 990, PART VI, SECTION B, LINE 12C ST. FRANCIS MEDICAL CENTER HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY THAT REQUIRES EACH OFFICER, TRUSTEE, BOARD COMMITTEE MEMBER AND EMPLOYEE TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. COMPLETED DISCLOSURE FORMS ARE REVIEWED AND MAINTAINED BY THE CHIEF COMPLIANCE OFFICER. IF ANY TRUSTEE, BOARD COMMITTEE MEMBER OR SENIOR MANAGER HAS A POTENTIAL CONFLICT, THE EXECUTIVE COMMITTEE OF THE BOARD DETERMINES WHETHER ACTION NEEDS TO BE TAKEN AND COMMUNICATES ANY SUCH ACTION TO THE INDIVIDUAL. A POTENTIAL CONFLICT OF ANY OTHER EMPLOYEE IS REVIEWED BY THE CEO OR HIS DESIGNEE. THE EXECUTIVE COMMITTEE, CEO OR DESIGNEE, AS APPLICABLE, DETERMINES IF A CONFLICT OF INTEREST EXISTS OR CREATES THE APPEARANCE OF IMPROPRIETY. IF SUCH A DETERMINATION IS MADE, THE INDIVIDUAL WILL BE EXCUSED FROM PARTICIPATING IN THE BUSINESS DECISION. DURING THE YEAR, ANY CHANGE TO THE INFORMATION IN THE DISCLOSURE STATEMENT MUST BE DISCLOSED PROMPTLY TO THE CHIEF COMPLIANCE OFFICER, WHO TAKES APPROPRIATE ACTION. THE PROCESS ALSO REQUIRES AFFIRMATION FROM EACH INDIVIDUAL THAT SHE/HE (A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY; (C) HAS AGREED TO COMPLY WITH THE POLICY; AND (D) UNDERSTANDS THAT ST. FRANCIS MEDICAL CENTER IS A CHARITABLE ORGANIZATION AND THAT, IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. IN ADDITION TO THE ABOVE, ST. FRANCIS MEDICAL CENTER PROVIDES MECHANISMS FOR CONFIDENTIAL REPORTING OF COMPLIANCE ISSUES. THESE MECHANISMS INCLUDE AN ANONYMOUS HOTLINE AND WEB SITE WHERE INDIVIDUALS MAY RAISE ISSUES, SEEK CLARIFICATION, AND REPORT POSSIBLE CONFLICTS OF INTEREST OR OTHER CONCERNS. THESE REPORTS, INCLUDING REPORTS OF POSSIBLE CONFLICTS OF INTEREST, ARE REVIEWED AND INVESTIGATED BY THE CORPORATE COMPLIANCE DEPARTMENT AND APPROPRIATE ACTION IS TAKEN. FORM 990, PART VI, SECTION B, LINE 15B OUR BOARD OF DIRECTORS DESIGNATES AN EXECUTIVE COMMITTEE MADE UP OF INDEPENDENT BOARD MEMBERS TO REVIEW AND SET THE COMPENSATION ANNUALLY OF OUR OFFICERS AND KEY EMPLOYEES. THE EXECUTIVE COMMITTEE OBTAINS AND RELIES UPON COMPARABLE DATA INCLUDING INDUSTRY-WIDE COMPENSATION INFORMATION PROVIDED BY AN OUTSIDE CONSULTING FIRM. THE EXECUTIVE COMMITTEE REVIEWS COMPENSATION PACKAGES AND APPROPRIATE COMPENSATION IS DETERMINED AND APPROVED. THE BASIS FOR DETERMINATION IS THEN DOCUMENTED BY THE EXECUTIVE COMMITTEE. THE COMPENSATION FOR THE CEO OF ST. FRANCIS MEDICAL CENTER IS SET BY THE COMPENSATION COMMITTEE OF FMOL HEALTH SYSTEM (A RELATED TAX-EXEMPT ORGANIZATION) ACCORDING TO THEIR PAY PRACTICES WHICH ARE SIMILAR TO THOSE DESCRIBED ABOVE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CAPITAL TRANSFERS -2,709,768. SECTION 1.263(A)-3(N) ELECTION-BOOK CONFORMITY ELECTION: ST. FRANCIS MEDICAL CENTER IS MAKING THE ELECTION UNDER TREAS. REG. 1.263(A)-3(N) TO CAPITALIZE THOSE REPAIR AND MAINTENANCE COSTS THAT IT TREATS AS CAPITAL IMPROVEMENTS ON ITS BOOKS AND RECORDS FOR THE TAX YEAR ENDED JUNE 30, 2022. SECTION 1.263 (A)-1(F)- ELECTION- DE MINIMIS SAFE HARBOR ELECTION: ST. FRANCIS MEDICAL CENTER HEREBY MAKES THE DE MINIMIS SAFE HARBOR ELECTION UNDER SECTION 1.263(A)-1(F) OF THE TREASURY REGULATIONS, EFFECTIVE ONLY FOR THE TAX YEAR ENDING JUNE 30, 2022. TAXPAYER HAS AN APPLICABLE FINANCIAL STATEMENT FOR THE YEAR OF THE ELECTION. THIS ELECTION PERMITS THE TAXPAYER TO DEDUCT FOR TAX PURPOSES ANY ITEM DEDUCTED UNDER ITS BOOK POLICY THAT DOES NOT EXCEED $5,000 PER INVOICE(OR PER ITEM, AS SUBSTANTIATED BY THE INVOICE) OR ITEMS HAVING AN ECONOMIC USEFUL LIFE OF TWELVE MONTHS OR LESS AS DESCRIBED IN SECTION 1.263(A)-1(F)(1)(I). 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