2023-05-15T08:45:55-05:00 2022-06-30 990 2021-07-01 150532254 ST JOSEPH'S HOSPITAL HEALTH CENTER STJO 3154485111 301 PROSPECT AVE SYRACUSE NY 13203 JULIE EDMUNDS SMITH VP FINANCE OPERATIONS ACUTE 3157032106 2023-05-10 JULIE EDMUNDS SMITH XXX-XX-XXXX 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z STEVEN HANKS 301 PROSPECT AVE SYRACUSE NY 13203 582597225 0 X WWW.SJHSYR.ORG X 1895 NY TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES 15 7 4325 238 -80271 0 35273106 13886653 551460754 546675412 8109461 4190865 37327694 17004332 632171015 581757262 45740821 27415264 0 0 261744708 251887385 0 0 0 296142770 332065371 603628299 611368020 28542716 -29610758 481683931 382872082 459639299 447345371 22044632 -64473289 X WE, ST. JOSEPH'S HOSPITAL HEALTH CENTER AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES. ST. JOSEPH'S HOSPITAL HEALTH CENTER IS A MEMBER OF ST. JOSEPH'S HEALTH AND TRINITY HEALTH. 0 0 557569103 27415264 563321142 ST. JOSEPH'S HEALTH IS A NON-PROFIT REGIONAL HEALTH CARE SYSTEM BASED IN SYRACUSE, NY. ST. JOSEPH'S HAS BEEN AN INNOVATIVE LEADER IN HEALTH CARE SINCE OUR FOUNDING IN 1869 AS THE FIRST HOSPITAL OPEN TO THE PUBLIC IN THE CITY OF SYRACUSE. OFFERING PRIMARY, SPECIALTY AND HOME CARE, A MAGNET-RECOGNIZED HOSPITAL, AND COLLABORATION WITH COMMUNITY PARTNERS, ST. JOSEPH'S HEALTH ADVANCES THE WELL-BEING OF THE COMMUNITIES WE SERVE THROUGH AN EXPANDING RANGE OF SERVICES TO ENSURE OUR PATIENTS ACHIEVE OPTIMUM LONG-TERM HEALTH.ST. JOSEPH'S HOSPITAL HEALTH CENTER HAS BEEN, AND REMAINS, THE BACKBONE OF OUR INTEGRATED SYSTEM, DELIVERING AWARD-WINNING CARE AND PROVIDING ENHANCED VALUE TO OUR PRIMARY, SPECIALIZED, AND PARTNER CARE FACILITIES THROUGHOUT THE REGION. THE 451-BED COMPREHENSIVE MEDICAL CARE INSTITUTION PROVIDES TOP-RATED CARDIAC AND ORTHOPEDIC CARE, GENERAL MEDICAL AND SURGICAL CARE, AND A LEVEL-III NICU. SPECIALTY SERVICES INCLUDE HEMODIALYSIS, MATERNITY SERVICES, A SEPARATE BIRTH CENTER, EMERGENCY CARE, INTENSIVE CARE, WOUND CARE, DENTAL SERVICES AND BEHAVIORAL HEALTH.ST. JOSEPH'S HOSPITAL HEALTH CENTER (ST. JOSEPH'S) ALSO OPERATES TWO STATE-OF-THE-ART AMBULATORY SURGERY CENTERS FOR OUTPATIENT SURGERY SERVICES THAT DO NOT REQUIRE AN OVERNIGHT STAY. LOCATED IN LIVERPOOL AND FAYETTEVILLE, THE AWARD-WINNING SURGERY CENTERS OFFER GENERAL SURGERY, UROLOGY, EAR, NOSE AND THROAT, ORTHOPEDICS, PODIATRY, DENTAL SURGERY, AND PAIN MANAGEMENT SERVICES.PLEASE SEE SCHEDULE H AND OUR WEBSITE FOR ADDITIONAL INFORMATION ABOUT OUR SERVICES, RECOGNITIONS AND AWARDS: WWW.SJHSYR.ORG 557569103 1 1 0 1 0 0 0 0 1 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 1 1 309 0 1 4325 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 X CORINNE ENGLISH 3157267991 301 PROSPECT AVE SYRACUSE NY 13203 BENJAMIN CARTER DIRECTOR THR 12/21; TH EVP, COO 1.00 54.00 X 0 2435049 90414 DANIEL ISACKSEN DIRECTOR AS OF 1/22; TH EVP, CFO 1.00 54.00 X 0 884171 199695 LESLIE PAUL LUKE DIRECTOR; PRESIDENT & CEO 50.00 5.00 X X 0 918044 62732 AHMED NIZAR MD PSYCHIATRIST 50.00 0.00 X 600296 0 40154 JANET READY CHIEF OPERATING OFFICER THR 3/22 50.00 0.00 X 0 511236 47222 PHILIP FALCONE MD CHIEF MEDICAL OFFICER 48.00 2.00 X 0 470366 61347 MEREDITH PRICE TREASURER; SVP & CFO 45.00 5.00 X 0 486398 44038 JAMES TUCKER MD PHYSICIAN 50.00 0.00 X 449387 0 16717 MARK MURPHY CHIEF STRATEGY OFFICER 47.00 3.00 X 0 390926 51998 ANNEMARIE CZYZ FORMER KEY EMPLOYEE 0.00 0.00 X 279050 102647 48651 DAWN BRINK-CYMERMAN MD DIRECTOR THROUGH 1/22; MPC PHYSICIAN 1.00 49.00 X 0 396371 15524 NARAYANA REDDY MD PSYCHIATRIST 50.00 0.00 X 354616 0 44636 RUSSELL FIRMAN MD PHYSICIAN 50.00 0.00 X 340705 0 41451 KENNETH MASTER MD PSYCHIATRIST 50.00 0.00 X 329444 0 20895 SANDRA SULIK MD FORMER KEY EMPLOYEE; MPC PHYSICIAN 0.00 50.00 X 0 241084 35562 PAUL DOMINSKI SECRETARY; ASSOCIATE COUNSEL 45.00 5.00 X 0 199815 36379 JOSEPH SPINALE DO FORMER KEY EMPLOYEE 0.00 0.00 X 0 226984 8108 SANTO DIFINO MD DIRECTOR; MPC PHYSICIAN 1.00 7.00 X 0 11200 0 GINA MYERS PHD DIRECTOR; CONSULTANT 3.00 4.00 X 2922 0 0 JOHN MARSHALL DIRECTOR; CHAIR 1.00 5.00 X X 0 0 0 TONY BAIRD DIRECTOR 1.00 4.00 X 0 0 0 HELEN MARIE BURNS RSM DIRECTOR 1.00 4.00 X 0 0 0 BARBARA JEAN DONOVAN OSF DIRECTOR 1.00 4.00 X 0 0 0 DENG GAI DIRECTOR 1.00 4.00 X 0 0 0 MUHAMMAD KHAN MD DIRECTOR AS OF 2/22 1.00 4.00 X 0 0 0 MICHAEL MEATH DIRECTOR 1.00 4.00 X 0 0 0 MERRIETTE POLLARD DIRECTOR 1.00 4.00 X 0 0 0 PAUL TREMONT DIRECTOR THROUGH 12/21 1.00 4.00 X 0 0 0 FANNY VILLARREAL DIRECTOR 1.00 4.00 X 0 0 0 WILLIAM WILDRIDGE III DIRECTOR AS OF 1/22 1.00 5.00 X 0 0 0 KERRI SWEET ZAVAGLIA ESQ DIRECTOR 1.00 4.00 X 0 0 0 2356420 7274291 865523 289 1 1 0 LABORATORY ALLIANCE OF CNY LLC PO BOX 2337 SYRACUSE NY 13220 LAB SERVICES 21148064 NATIONAL GOVERNMENT SERVICES 8115 KNUE RD INDIANAPOLIS IN 46250 CONSULTING SERVICES 6886380 AMERICAN ANESTHESIOLOGY OF SYRACUSE PO BOX 281034 ATLANTA GA 30384 MEDICAL SERVICES 5725671 HALLMARK HEALTHCARE SOLUTIONS 200 MOTOR PKWY STE D-26 HAUPPAUGE NY 11788 STAFFING SERVICES 5218048 SYRACUSE ORTHOPEDIC SPECIALISTS 5824 WIDEWATERS PKWY EAST SYRACUSE NY 13057 MEDICAL SERVICES 3039953 97 3350 2619666 10828641 434996 13886653 NET PATIENT SERVICE REVENUE 622110 546675412 546675412 546675412 2932130 2932130 1278836 839963 438873 438873 438873 802575 456160 0 0 802575 456160 1258735 1258735 OTHER RELATED REVENUE 622110 10315147 10315147 TUITION REVENUE 611310 6330583 6330583 INCOME FROM JOINT VENTURE 621500 -80271 -80271 16565459 581757262 563321142 -80271 4629738 X 27026295 27026295 388969 388969 3271493 3271493 1015023 349583 665440 204168309 186971029 17197280 7903703 7207404 696299 21224292 19319316 1904976 14304565 13350346 954219 357 357 405577 405577 83802 83802 86250 86250 292160 292160 67912625 62184169 5728456 2626751 297979 2328772 4764463 2750315 2014148 25787162 20465114 5322048 13883790 12627355 1256435 356345 335343 21002 176408 158194 18214 10287018 10287018 22623301 20134738 2488563 4332111 3855579 476532 MEDICAL SUPPLIES 116253671 116253671 I/C PURCHASED SERVICES 37822076 31279208 6542868 BAD DEBT EXPENSE 11068585 11068585 UNRELATED BUS INC TAXES 58756 58756 13244163 11199780 2044383 611368020 557569103 53798917 0 9119292 197707 2758908 2788153 95615 224736 65856103 56697547 159058 137728 11864479 11434034 1706297 1286805 405450710 192796649 210935578 212654061 83958849 17217547 44650453 10988824 2000000 50579299 67244940 481683931 382872082 78832066 56507516 1887270 2283865 3964642 3707764 1125635 1139154 373829686 383707072 459639299 447345371 X 7492444 -77799874 14552188 13326585 22044632 -64473289 481683931 382872082 X -29610758 -9840518 -47066645 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 36927 1 86250 0 0 123177 0 PART II-B, LINE 1: ST. JOSEPH'S HOSPITAL HEALTH CENTER (ST. JOSEPH'S) HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES. THESE GRANTS HAVE BEEN IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS, WHERE THE ORGANIZATIONS HAVE PROVIDED ST. JOSEPH'S WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. ORGANIZATION EMPLOYEES ALSO ENGAGE IN ADVOCACY ON ISSUES RELATED TO HEALTH CARE AND HEALTH CARE PROVIDERS. SUCH ACTIVITIES CONSIST OF WRITTEN AND VERBAL COMMUNICATIONS WITH FEDERAL, STATE AND LOCAL ELECTED OFFICIALS AND GOVERNMENT AGENCIES. ST. JOSEPH'S ALSO PAID A THIRD PARTY LOBBYING FIRM DURING THE YEAR TO LOBBY FOR OR AGAINST LEGISLATION DETERMINED TO BE OF INTEREST TO ST. JOSEPH'S. 0 1 X 14552188 438345 1663948 13326585 12867124 1768234 1555370 1638540 14552188 13242749 114994 40204 530823 12867124 13583609 1622841 181558 2145259 13242749 16371518 2482235 267286 5537430 13583609 0.00000 0.34830 0.65170 0 1 1 3925693 3925693 205386888 53439991 151946897 8482829 2588546 5894283 177597069 136768112 40828957 10058231 10058231 212654061 I/C ACCOUNTS RECEIVABLE 13669888 I/C OTHER ASSETS 33629056 INVESTMENT IN AFFILIATES 16055836 MISCELLANEOUS RECEIVABLES 3829182 OPERATING LEASE RIGHT-OF-USE ASSETS 60978 67244940 DEFERRED COMPENSATION LIABILITY 570046 I/C ACCOUNTS PAYABLE 16364606 I/C NOTES PAYABLE 319195999 OTHER CURRENT LIABILITIES 17634645 MEDICARE CASH ADVANCES 29880640 OPERATING LEASE LIABILITIES 61136 383707072 PART IV, LINE 2B: SAINT JOSEPH'S HOSPITAL HEALTH SYSTEM (ST. JOSEPH'S) HAS GUARANTEED A LINE OF CREDIT FOR LABORATORY ALLIANCE OF CENTRAL NEW YORK, LLC (LACNY). ST. JOSEPH'S OWNS 50% OF LACNY ALONG WITH ANOTHER NONPROFIT HOSPITAL. THE GUARANTEE AND THE RELATED COLLATERAL ARE RECORDED AS LIABILITIES ON THE ORGANIZATION'S BOOKS, AND THE AMOUNTS ARE REPORTED ON FORM 990, PART X, LINE 21. THE COLLATERAL IS HELD IN A SEPARATE BANK ACCOUNT FROM THE REST OF ST. JOSEPH'S OPERATIONS. PART V, LINE 4: ENDOWMENT FUNDS SUPPORT THE ORGANIZATION'S MISSION SERVICES, AND PROVIDE FOR EDUCATION AND TECHNOLOGY ADVANCEMENTS. 1 1 X 1 X 1 X 1 1 1 0 1 1 1295944 0 1295944 0.00220 100253974 68648166 31605808 0.05270 101549918 68648166 32901752 0.05490 6 1144227 719658 424569 0.00070 3 22102804 11578649 10524155 0.01750 10 13973909 6726272 7247637 0.01210 19 37220940 19024579 18196361 0.03030 19 138770858 87672745 51098113 0.08520 1 11068585 0 115455156 140370763 -24915607 X 1 1 1 BCP PARTNERS LLC WOMEN'S HEALTH AND CANCER CARE 0.14290 0.00000 0.51480 1 1 ST JOSEPH'S HOSPITAL HEALTH CENTER 301 PROSPECT AVE SYRACUSE NY 13203 WWW.SJHSYR.ORG 3301003H X X X X ST JOSEPH'S HOSPITAL HEALTH CENTER 1 0 0 1 X X X X X X X X X 20 1 0 1 1 X SEE SCHEDULE H, PART V, SECTION C X 1 20 1 SEE SCHEDULE H, PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X WWW.SJHSYR.ORG/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE X WWW.SJHSYR.ORG/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE X WWW.SJHSYR.ORG/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 ST. JOSEPH'S HOSPITAL HEALTH CENTER PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E: ST. JOSEPH'S HOSPITAL HEALTH CENTER (ST. JOSEPH'S) INCLUDED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS, WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: 1. PREVENTION OF CHRONIC DISEASES2. PREVENTION OF MENTAL AND SUBSTANCE USE DISORDERS 3. PROMOTION OF A HEALTHY ENVIRONMENT ST. JOSEPH'S HOSPITAL HEALTH CENTER PART V, SECTION B, LINE 5: INPUT WAS GARNERED FROM THE COMMUNITY BY MULTIPLE HUMAN-SERVICES ORGANIZATIONS SERVING ONONDAGA COUNTY. THE LARGEST SOURCE OF PRIMARY DATA USED TO DRIVE ST. JOSEPH'S CHNA WAS GATHERED IN COLLABORATION WITH THE 2019-2021 ONONDAGA COUNTY COMMUNITY HEALTH ASSESSMENT (CHA). THE HOSPITAL WAS AN ACTIVE PARTICIPANT ON THE ONONDAGA COUNTY CHA STEERING COMMITTEE, LED BY THE ONONDAGA COUNTY HEALTH DEPARTMENT (OCHD). THE 2019-2021 ONONDAGA COUNTY CHA USED COMMUNITY SURVEYS AND FOCUS GROUPS TO GATHER INFORMATION FROM COUNTY RESIDENTS REGARDING THE HEALTH NEEDS OF THE COMMUNITY.A COMMUNITY ENGAGEMENT SURVEY WAS DEVELOPED BY THE OCHD HEALTH ASSESSMENT AND DATA TEAM, WITH INPUT FROM THE STEERING COMMITTEE, TO BETTER UNDERSTAND THE COMMUNITY'S HEALTH ISSUES. IN ADDITION TO DEMOGRAPHIC INFORMATION, THE SURVEY CONSISTED OF FIVE MAIN SECTIONS: HEALTHY COMMUNITY, HEALTH PROBLEMS, HEALTH BEHAVIORS, HEATH SYSTEMS, AND ACCESS TO CARE. THE SURVEY WAS OFFERED FROM APRIL 22, 2019 THROUGH MAY 31, 2019 IN ENGLISH AND SPANISH AND DISTRIBUTED ONLINE, ON PAPER, AND THROUGH A VARIETY OF OUTLETS, INCLUDING AGENCY WEBSITES AND SOCIAL MEDIA PAGES. PAPER COPIES WERE ALSO DISTRIBUTED TO HEALTH DEPARTMENT CLINICS FOR PATIENTS TO COMPLETE AS THEY WAITED FOR APPOINTMENTS. STEERING COMMITTEE MEMBERS, HEALTH EQUITY COALITION PARTNERS, AND OTHER STAKEHOLDERS ASSISTED BY FORWARDING THE SURVEY LINK TO COMMUNITY LISTSERVS, AND PROMOTING IT TO AGENCY STAFF, INCLUDING THE STAFF OF THREE LARGE AREA HOSPITALS. THE SURVEY WAS DISTRIBUTED BROADLY THROUGHOUT THE COMMUNITY INCLUDING TO COUNTY LIBRARY PATRONS, YMCA MEMBERS, VISITORS TO THE CIVIC CENTER, AND PHARMACY CUSTOMERS AT A LARGE LOCAL GROCERY CHAIN. A TOTAL OF 3,025 SURVEY RESPONSES WERE RECEIVED FROM ONONDAGA COUNTY RESIDENTS.FOCUS GROUPS WERE ALSO CONDUCTED TO IDENTIFY THE HEALTH ISSUES IN POPULATIONS THAT ARE AT HIGHER RISK FOR POOR HEALTH OUTCOMES, AND POTENTIALLY UNDERREPRESENTED IN THE SURVEY RESPONSES. THE OCHD WORKED WITH COMMUNITY AGENCIES TO IDENTIFY APPROPRIATE FOCUS GROUPS. FIVE FOCUS GROUPS WERE HELD, REPRESENTING RACIALLY DIVERSE RESIDENTS, NEW AMERICANS, INDIVIDUALS LIVING WITH A DISABILITY, AND OLDER ADULTS. FOCUS GROUP MEETINGS TOOK PLACE BETWEEN MAY AND OCTOBER OF 2019.TO SOLICIT ADDITIONAL FEEDBACK ABOUT BARRIERS TO HEALTH THAT ARE IMPOSED BY SOCIAL AND ECONOMIC FACTORS, A SOCIAL DETERMINANTS OF HEALTH (SDOH) SURVEY WAS DEVELOPED BY THE OCHD HEALTH ASSESSMENT AND DATA TEAM. THE SDOH SURVEY WAS ADMINISTERED IN PERSON AT THE CENTRO TRANSPORTATION CENTER IN DOWNTOWN SYRACUSE. THE SURVEY INCLUDED SIX CATEGORIES OF SOCIAL AND ECONOMIC FACTORS THAT INFLUENCE HEALTH: ADVERSE EARLY LIFE EXPERIENCES, BUILT ENVIRONMENT AND NEIGHBORHOOD FACTORS, ECONOMIC STABILITY, EDUCATION, HEALTH AND HEALTH CARE, AND SOCIAL AND COMMUNITY CONTEXT. SURVEY RESPONDENTS WERE ASKED TO IDENTIFY THREE OF THESE CATEGORIES THAT REPRESENT THE GREATEST CHALLENGE TO BEING HEALTHY. DEMOGRAPHIC INFORMATION WAS COLLECTED AND SURVEY RESPONSES REMAINED ANONYMOUS. A TOTAL OF 20 COMPLETED SURVEYS WERE COLLECTED FROM ONONDAGA COUNTY RESIDENTS. THE SURVEY WAS ADMINISTERED MAY 15 AND 17, 2019. ST. JOSEPH'S HOSPITAL HEALTH CENTER PART V, SECTION B, LINE 6B: THE 2019-2021 ONONDAGA COUNTY COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT PLAN, WHICH INFORMED THE FY21 ST. JOSEPH CHNA, WAS CONDUCTED WITH THE ONONDAGA COUNTY HEALTH DEPARTMENT, CROUSE HEALTH, UPSTATE UNIVERSITY HOSPITAL, AND HEALTHECONNECTIONS. ST. JOSEPH'S HOSPITAL HEALTH CENTER PART V, SECTION B, LINE 11: THE FOLLOWING INITIATIVES WERE UNDERTAKEN BY ST. JOSEPH'S IN FY22 TO MEET THE GOAL OF PREVENTING CHRONIC DISEASE: 1. FURTHER DEVELOPED PROCESSES TO CONSISTENTLY SCREEN PATIENTS FOR BMI, DOCUMENTED A PLAN OF CARE FOR ABNORMAL BMI, AND REFERRED ELIGIBLE ST. JOSEPH'S PATIENTS TO PROGRAMS TO PROMOTE MAINTENANCE OF HEALTHY WEIGHT2. CONTINUED THE FAITH COMMUNITY NURSING PROGRAM TO BUILD ADDITIONAL CAPACITY IN THE COMMUNITY TO SUPPORT HEALTH AND WELLNESS (E.G., DIABETES PREVENTION, CONTROLLED HYPERTENSION, HEALTHY EATING, ETC.)3. PROVIDED PRIMARY CARE SERVICES FOR ADULTS AND CHILDREN IN UNDERSERVED LOCATIONS WITHIN THE ST. JOSEPH'S SERVICE AREA4. CONTINUED PARTICIPATION IN THE AMERICAN HEART ASSOCIATION'S "TARGET BP" PROGRAM AS WELL AS THE CHECK IT! CHALLENGE, TO PROMOTE THE REDUCTION OF UNCONTROLLED HYPERTENSION5. CONTINUED THE DIABETES PREVENTION PROGRAM IN COLLABORATION WITH FIRST MILE CARETHE FOLLOWING INITIATIVES WERE UNDERTAKEN IN FY22 TO MEET THE GOAL OF PREVENTING MENTAL AND SUBSTANCE USE DISORDERS:1. CONTINUED THE ZERO SUICIDE PROGRAM AT ST. JOSEPH'S HOSPITAL TO INCLUDE YOUTH IN ADDITION TO ADULTS, WITH STANDARD WORK OVER THE REPORTABLE YEAR INCLUDING BUT NOT LIMITED TO: STANDARDIZED SUICIDE ASSESSMENTS, STANDARDIZED SAFETY PLANS, STANDARDIZED POSTVENTION ACTIVITIES, AND POST-DISCHARGE FOLLOW-UP CALLS2. PROVIDED BEHAVIORAL HEALTH SERVICES FOR ADULTS AND CHILDREN WITHIN ST. JOSEPH'S SERVICE AREA, INCLUDING UNDERSERVED POPULATIONS3. CONTINUED TO OPERATE THE COMMUNITY'S ONLY COMPREHENSIVE PSYCHIATRIC EMERGENCY PROGRAM4. SOUGHT FUNDING TO SUPPORT A SECOND MOBILE CRISIS OUTREACH TEAMTHE FOLLOWING INITIATIVES WERE UNDERTAKEN IN FY22 TO MEET THE GOAL OF PROMOTING A HEALTHY AND SAFE ENVIRONMENT:1. PARTICIPATED IN ADVOCACY EFFORTS TO SUPPORT POLICIES AND PROGRAMS WHICH WILL IMPROVE ACCESS TO HEALTHY FOODS IN ONONDAGA COUNTY (AMERICAN HEART COMMUNITY ACTION COALITION AND THE SYRACUSE-ONONDAGA FOOD SYSTEMS ALLIANCE)2. MAINTAINED OPERATION OF A FOOD PANTRY TO INCREASE ACCESSIBILITY TO HEALTHY FOOD FOR UNDERSERVED PATIENTSST. JOSEPH'S ACKNOWLEDGES THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS, AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE HEALTH NEEDS WHICH IT DEEMED MOST PRESSING, UNDER-ADDRESSED, AND WITHIN ITS ABILITY TO INFLUENCE. ST. JOSEPH'S HAS NOT INCLUDED IN ITS IMPLEMENTATION PLAN SPECIFIC ACTION ON THE FOLLOWING HEALTH NEEDS: 1. PROMOTE HEALTHY WOMEN, INFANTS, AND CHILDREN - ST. JOSEPH'S DID NOT DIRECTLY ADDRESS THIS PARTICULAR NEED BECAUSE THERE ARE LIMITED RESOURCES IN THE COMMUNITY. ST. JOSEPH'S DID, HOWEVER, SUPPORT THE HEALTH OF MOMS AND BABIES THROUGH THE PROVISION OF OB/GYN AND PRIMARY CARE SERVICES FOR UNDERSERVED POPULATIONS.2. PREVENT COMMUNICABLE DISEASES - ST. JOSEPH'S DID NOT DIRECTLY ADDRESS THIS PARTICULAR NEED BECAUSE OF LIMITED RESOURCES IN THE COMMUNITY. ST. JOSEPH'S DID, HOWEVER, SECURE A GRANT THROUGH ITS PARENT ORGANIZATION, TRINITY HEALTH. THE GRANT PROVIDED "IT STARTS HERE" FUNDING TO A COMMUNITY PARTNER, INTERFAITH WORKS, FOR THE PURPOSE OF EDUCATING HIGH-RISK INDIVIDUALS ON THE BENEFITS OF COVID-19 VACCINATIONS. ST. JOSEPH'S HOSPITAL HEALTH CENTER PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS. ST. JOSEPH'S HOSPITAL HEALTH CENTER - PART V, SECTION B, LINE 7A: WWW.SJHSYR.ORG/ABOUT-US/FOR-OUR-COMMUNITY/HEALTH-NEEDS-ASSESSMENT ST. JOSEPH'S HOSPITAL HEALTH CENTER - PART V, SECTION B, LINE 9: AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, THE HOSPITAL'S IMPLEMENTATION STRATEGY WAS ADOPTED WITHIN 4 1/2 MONTHS AFTER THE FISCAL YEAR END THAT THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE TO THE PUBLIC. ST. JOSEPH'S HOSPITAL HEALTH CENTER - PART V, SECTION B, LINE 10A: WWW.SJHSYR.ORG/ABOUT-US/FOR-OUR-COMMUNITY/HEALTH-NEEDS-ASSESSMENT 14 1 - CENTER FOR WOUND CARE & HYPERBARIC 4000 MEDICAL CENTER DR STE 206 FAYETTEVILLE NY 13066 WOUND CARE AND HYPERBARIC MEDICINE 2 - PHYSICAL THERAPY NORTHEAST 4401 MEDICAL CENTER DR FAYETTEVILLE NY 13066 PHYSICAL THERAPY 3 - DENTAL CLINIC 101 UNION AVE SYRACUSE NY 13203 DENTAL CLINIC 4 - LABORATORY ALLIANCE OF CENTRAL NY 4870 NOTH JEFFERSON ST PULASKI NY 13142 CLINICAL AND ANATOMIC PATHOLOGY TESTING 5 - LABORATORY ALLIANCE OF CENTRAL NY 15 EAST GENESEE ST STE 230 BALDWINSVILLE NY 13027 CLINICAL AND ANATOMIC PATHOLOGY TESTING 6 - LABORATORY ALLIANCE OF CENTRAL NY 6221 ROUTE 31 STE 108B CICERO NY 13039 CLINICAL AND ANATOMIC PATHOLOGY TESTING 7 - LABORATORY ALLIANCE OF CENTRAL NY 5000 BRITTONFIELD PKWY STE A108 EAST SYRACUSE NY 13057 CLINICAL AND ANATOMIC PATHOLOGY TESTING 8 - LABORATORY ALLIANCE OF CENTRAL NY 260 TOWNSHIP BLVD STE 40 CAMILUS NY 13031 CLINICAL AND ANATOMIC PATHOLOGY TESTING 9 - LABORATORY ALLIANCE OF CENTRAL NY 5700 WEST GENESEE ST STE 209 CAMILUS NY 13031 CLINICAL AND ANATOMIC PATHOLOGY TESTING 10 - LABORATORY ALLIANCE OF CENTRAL NY 475 IRVING AVE STE 100 SYRACUSE NY 13210 CLINICAL AND ANATOMIC PATHOLOGY TESTING 11 - LABORATORY ALLIANCE OF CENTRAL NY 104 UNION AVE STE 802 SYRACUSE NY 13203 CLINICAL AND ANATOMIC PATHOLOGY TESTING 12 - LABORATORY ALLIANCE OF CENTRAL NY 4000 MEDICAL CENTER DR STE 210 FAYETTEVILLE NY 13066 CLINICAL AND ANATOMIC PATHOLOGY TESTING 13 - LABORATORY ALLIANCE OF CENTRAL NY 132 1/2 ALBANY ST STE ANXS-1 CAZENOVIA NY 13035 CLINICAL AND ANATOMIC PATHOLOGY TESTING 14 - LABORATORY ALLIANCE OF CENTRAL NY 5100 WEST TAFT RD SUITE 2F LIVERPOOL NY 13088 CLINICAL AND ANATOMIC PATHOLOGY TESTING PART I, LINE 3C: IN ADDITION TO LOOKING AT A MULTIPLE OF THE FEDERAL POVERTY GUIDELINES, OTHER FACTORS ARE CONSIDERED SUCH AS THE PATIENT'S FINANCIAL STATUS AND/OR ABILITY TO PAY AS DETERMINED THROUGH THE ASSESSMENT PROCESS. PART I, LINE 6A: ST. JOSEPH'S HOSPITAL HEALTH CENTER PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT, WHICH IT SUBMITS TO THE STATE OF NEW YORK. IN ADDITION, ST. JOSEPH'S REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH (EIN 35-1443425) IN ITS AUDITED FINANCIAL STATEMENTS, AVAILABLE AT WWW.TRINITY-HEALTH.ORG.IN ADDITION, ST. JOSEPH'S INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. PART I, LINE 7: THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM. PART I, LN 7 COL(F): THE FOLLOWING NUMBER, $11,068,585, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSES INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F). PART III, LINE 2: METHODOLOGY USED FOR LINE 2 - ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE. AS A RESULT OF THE PAYMENT AND ADJUSTMENT ACTIVITY BEING POSTED TO BAD DEBT ACCOUNTS, WE ARE ABLE TO REPORT BAD DEBT EXPENSE NET OF THESE TRANSACTIONS. PART III, LINE 3: ST. JOSEPH'S USES A PREDICTIVE MODEL THAT INCORPORATES TWO DISTINCT VARIABLES IN COMBINATION TO PREDICT WHETHER A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE: (1) SOCIO-ECONOMIC SCORE, AND (2) ESTIMATED FEDERAL POVERTY LEVEL (FPL). BASED ON THE MODEL, CHARITY CARE CAN STILL BE EXTENDED TO PATIENTS EVEN IF THEY HAVE NOT RESPONDED TO FINANCIAL COUNSELING EFFORTS AND ALL OTHER FUNDING SOURCES HAVE BEEN EXHAUSTED. FOR FINANCIAL STATEMENT PURPOSES, ST. JOSEPH'S IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, THE HOSPITAL IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL. PART III, LINE 4: ST. JOSEPH'S IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE PATIENT ACCOUNTS RECEIVABLE, ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS FOOTNOTE FROM PAGE 13 OF THOSE STATEMENTS: "AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME IS TREATED AS A RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS FOR WHICH THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYERS FOR RETROACTIVE ADJUSTMENTS, ARE RECEIVABLES IF THE RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. FOR PATIENT ACCOUNTS RECEIVABLE, THE ESTIMATED UNCOLLECTABLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT SERVICE REVENUE AND ACCOUNTS RECEIVABLE.THE CORPORATION HAS AGREEMENTS WITH THIRD-PARTY PAYERS THAT PROVIDE FOR PAYMENTS TO THE CORPORATION'S HEALTH MINISTRIES AT AMOUNTS DIFFERENT FROM ESTABLISHED RATES. ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYERS AND OTHER CHANGES IN ESTIMATES ARE INCLUDED IN NET PATIENT SERVICE REVENUE AND ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS, AS FINAL SETTLEMENTS ARE DETERMINED."PART III, LINE 5: TOTAL MEDICARE REVENUE REPORTED IN PART III, LINE 5 HAS BEEN REDUCED BY THE ONE PERCENT SEQUESTRATION REDUCTION FOR THE PERIOD APRIL 1, 2022 THROUGH JUNE 30, 2022. PART III, LINE 8: ST. JOSEPH'S DOES NOT BELIEVE ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS IS SIMILAR TO CATHOLIC HEALTH ASSOCIATION RECOMMENDATIONS, WHICH STATE THAT SERVING MEDICARE PATIENTS IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS AND THAT THE EXISTING COMMUNITY BENEFIT FRAMEWORK ALLOWS COMMUNITY BENEFIT PROGRAMS THAT SERVE THE MEDICARE POPULATION TO BE COUNTED IN OTHER COMMUNITY BENEFIT CATEGORIES.PART III, LINE 8: COSTING METHODOLOGY FOR LINE 6 - MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 27, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT. PART III, LINE 9B: THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. CHARITY DISCOUNTS ARE APPLIED TO THE AMOUNTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. COLLECTION PRACTICES FOR THE REMAINING BALANCES ARE CLEARLY OUTLINED IN THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. THE HOSPITAL HAS IMPLEMENTED BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS. PART VI, LINE 2: NEEDS ASSESSMENT - IN ADDITION TO THE CHNA, ST. JOSEPH'S PARTICIPATES IN THE COMMUNITY SERVICES PLAN (COMMUNITY HEALTH IMPROVEMENT PLAN/CHIP) PROCESS WITH THE ONONDAGA COUNTY HEALTH DEPARTMENT, CROUSE HOSPITAL, AND UPSTATE MEDICAL UNIVERSITY HOSPITAL. THIS PROCESS FACILITATES ANOTHER ASSESSMENT OF OUR COMMUNITY'S HEALTH NEEDS, AND REQUIRES THE SUBMISSION OF A SINGLE COLLECTIVE AND COMPREHENSIVE REPORT. IN RESPONSE TO THE NEEDS IDENTIFIED, AN ACTION PLAN IS CREATED, AND ALL PARTIES MEET QUARTERLY THEREAFTER TO DISCUSS PROGRESS WITH RESPECT TO PRIORITY INITIATIVES. ST. JOSEPH'S ALSO REVIEWS PATIENT DATA TRENDS TO CONTINUALLY ASSESS THE NEEDS OF PATIENTS, INCLUDING THE MOST VULNERABLE PATIENTS, AND TO IDENTIFY WHERE GAPS IN ACCESS TO CARE MAY EXIST. THIS PROCESS INCLUDES BUT IS NOT LIMITED TO SOCIAL INFLUENCERS OF HEALTH, CHRONIC DISEASE RISKS, AND ACCESS TO CARE.LASTLY, ST. JOSEPH'S CONTINUALLY SEEKS TO UNDERSTAND THE NEEDS OF THE COMMUNITY THROUGH PARTICIPATION IN COALITIONS, INCLUDING BUT NOT LIMITED TO THE TOBACCO ACTION COALITION OF ONONDAGA, THE AMERICAN HEART ASSOCIATION'S COMMUNITY ACTION COALITION, AND THE SYRACUSE-ONONDAGA FOOD SYSTEMS ALLIANCE. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - ST. JOSEPH'S COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES, FEDERAL, STATE, AND LOCAL GOVERNMENT PROGRAMS, AND OTHER COMMUNITY-BASED CHARITABLE PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING FOR HEALTH CARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. ST. JOSEPH'S OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH PATIENT BROCHURES, MESSAGES ON PATIENT BILLS, POSTED NOTICES IN PUBLIC REGISTRATION AREAS INCLUDING EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES. SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE TO APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST PEOPLE IN NEED. INFORMATION REGARDING FINANCIAL ASSISTANCE PROGRAMS IS ALSO AVAILABLE ON HOSPITAL WEBSITES. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN OTHER LANGUAGES AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R), REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITAL. ST. JOSEPH'S HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. ST. JOSEPH'S MAKES EVERY EFFORT TO ADHERE TO THE POLICY AND IS COMMITTED TO IMPLEMENTING AND APPLYING THE POLICY FOR ASSISTING PATIENTS WITH LIMITED MEANS IN A PROFESSIONAL, CONSISTENT MANNER. PART VI, LINE 4: COMMUNITY INFORMATION - APPROXIMATELY 64% OF ST. JOSEPH'S INPATIENT MARKET SHARE IS ATTRIBUTABLE TO ONONDAGA COUNTY ALONE, AND THE MAJORITY OF CURRENT OUTPATIENT HOSPITAL-BASED SERVICES AND CLINICS ARE LOCATED WITHIN ONONDAGA COUNTY. IN ADDITION, ONONDAGA COUNTY SERVES AS THE "HUB" FOR HEALTH CARE IN THE CENTRAL NEW YORK AREA, AS IT INCLUDES TWO ADDITIONAL HOSPITALS (CROUSE HOSPITAL AND UPSTATE MEDICAL UNIVERSITY HOSPITAL), AS WELL AS A FEDERALLY QUALIFIED HEALTH CENTER (SYRACUSE COMMUNITY HEALTH CENTER). ALL OF ONONDAGA COUNTY'S HOSPITALS, AS WELL AS SYRACUSE COMMUNITY HEALTH CENTER, ARE LOCATED WITHIN THE CITY OF SYRACUSE.ONONDAGA COUNTY IS HOME TO THE CITY OF SYRACUSE, WHICH IS THE LARGEST CITY IN CENTRAL NEW YORK. IT IS BORDERED BY OSWEGO, MADISON, CORTLAND, AND CAYUGA COUNTIES. MORE THAN 465,000 PEOPLE LIVE IN ONONDAGA COUNTY, ABOUT ONE-THIRD OF WHOM LIVE IN THE CITY OF SYRACUSE. ALTHOUGH ONONDAGA HAS JUST THE ONE CITY OF SYRACUSE, THE COUNTY ALSO HAS 14 VILLAGES, 19 TOWNS, AND PART OF THE ONONDAGA NATION TERRITORY. THE MAJORITY OF ONONDAGA COUNTY'S POPULATION IS WHITE (80%), ALTHOUGH THERE IS A HIGHER PROPORTION OF RACIAL MINORITIES LIVING IN THE CITY OF SYRACUSE COMPARED TO THE REST OF ONONDAGA COUNTY. FOR INSTANCE, NEARLY ONE-THIRD OF SYRACUSE CITY RESIDENTS ARE BLACK OR AFRICAN AMERICAN (29%), WHICH IS HIGHER THAN ONONDAGA COUNTY AS A WHOLE (11.8% BLACK/AFRICAN AMERICAN), AND NEW YORK STATE (17.7%). ONONDAGA COUNTY'S HIGH SCHOOL EDUCATION RATES, MEDIAN HOUSEHOLD INCOME, UNEMPLOYMENT RATE, AND POVERTY LEVELS ARE ROUGHLY COMPARABLE TO THOSE OF NEW YORK STATE; HOWEVER, SYRACUSE FARES WORSE ON THESE MEASURES COMPARED TO ONONDAGA OVERALL. SYRACUSE'S MEDIAN HOUSEHOLD INCOME IS ABOUT 60% OF ONONDAGA'S ($34,716 VS. $57,271), AND THE PERCENT LIVING IN POVERTY IS MORE THAN DOUBLE THAT OF ONONDAGA COUNTY (32.6% VS. 13.7%). PART VI, LINE 5: OTHER INFORMATION - OVER THE COURSE OF THE REPORTABLE YEAR, THE HOSPITAL ACTIVELY PARTICIPATED WITH THE SYRACUSE-ONONDAGA FOOD SYSTEMS ALLIANCE, A COALITION FOCUSED ON THE DEVELOPMENT OF AN EQUITABLE FOOD SYSTEM IN THE HOSPITAL'S SERVICE AREA. ALSO, ST. JOSEPH'S IS A MEMBER OF THE NORTHSIDE UP STEERING COMMITTEE, A COALITION FOCUSED ON COMMUNITY AND ECONOMIC DEVELOPMENT WITHIN SYRACUSE'S NORTHSIDE NEIGHBORHOOD. AS THE NORTHSIDE NEIGHBORHOOD CAN BE DESCRIBED AS AN ECONOMICALLY DEPRESSED REGION OF THE CITY OF SYRACUSE, THE WORK OF THIS COALITION IS INTENDED TO RESTORE VIBRANCY TO THE NEIGHBORHOOD THROUGH THE CULTIVATION OF OPPORTUNITIES FOR ITS CURRENT RESIDENTS AND STAKEHOLDERS.IN RESPONSE TO THE COVID-19 PANDEMIC, THE HOSPITAL ENGAGED IN MANY COMMUNITY PLANNING EFFORTS TO COORDINATE ST. JOSEPH'S RESPONSE WITH OTHER STAKEHOLDERS, AND TO SHARE BEST RESPONSE PRACTICES THROUGH EMERGENCY RESPONSE DRILLS AND CONFERENCE CALLS. ST. JOSEPH'S LAUNCHED SEVERAL INTERNAL PLANNING INITIATIVES TO DEVELOP A SYSTEM-WIDE RESPONSE, INCLUDING BUT NOT LIMITED TO PATIENT AND STAFF COVID-19 TESTING STATIONS AND PROTOCOLS; ENHANCED PATIENT, VISITOR, AND STAFF SCREENING PROTOCOLS; AND ENHANCED PERSONAL PROTECTIVE EQUIPMENT (PPE) STANDARDS AND PROTOCOLS. IN FY22, ST. JOSEPH'S COLLABORATED WITH INTERFAITH WORKS OF CENTRAL NEW YORK TO IMPLEMENT THE "IT STARTS HERE" PROGRAM, WHICH WAS FUNDED BY ITS PARENT ORGANIZATION, TRINITY HEALTH, TO EDUCATE AND ENCOURAGE VULNERABLE AND UNDERSERVED POPULATIONS ON COVID-19 VACCINATIONS.ST. JOSEPH'S COLLABORATES WITH THE HEALTHCARE ASSOCIATION OF NEW YORK STATE ON A MULTITUDE OF SIGNIFICANT POLICY INITIATIVES AND DEBATES AS POLICY DEVELOPS OVER THE COURSE OF THE FISCAL YEAR. FOR FY22, THESE INITIATIVES INCLUDED BUT ARE NOT LIMITED TO: COVID-19 ACUTE CARE SURGE CAPACITY, COVID-19 VACCINES, COVID-19 RELATED OPERATIONAL POLICIES, HEALTH SYSTEM REIMBURSEMENT POLICIES, ACUTE CARE STAFFING POLICY, WORKFORCE SHORTAGE AND DEVELOPMENT POLICY, AND MEDICAID SYSTEM TRANSFORMATION. ST. JOSEPH'S HAS IMPLEMENTED A SOCIAL INFLUENCERS OF HEALTH SCREENING TOOL, USED PRIMARILY BY OUTPATIENT CARE MANAGERS, NURSE COACHES, AND SOCIAL WORKERS, WHICH IDENTIFIES SOCIAL NEEDS IN ORDER TO ENHANCE RELATIONSHIPS AND REFERRALS WITH APPROPRIATE COMMUNITY RESOURCES. HEALTH HOME CARE MANAGEMENT FOR THE MEDICAID POPULATION CONTINUES TO BE A MEANS FOR SUPPORTING PATIENTS ON AN OUTPATIENT BASIS TO ENHANCE CONNECTIVITY TO RESOURCES. IN ADDITION, ST. JOSEPH'S EMPLOYED TWO COMMUNITY HEALTH WORKERS WITHIN SEPARATE PROGRAMS TO DIRECTLY ADDRESS SOCIAL DETERMINANTS OF HEALTH.ST. JOSEPH'S RECEIVED FUNDING FOR THE BEST FOOD FORWARD INITIATIVE, WHICH SUPPORTS CHILDREN AND NEW MOTHERS WITH DEVELOPMENTAL NEEDS AND IMPROVES COMPLIANCE WITH MILESTONE APPOINTMENTS. ST. JOSEPH'S ALSO CONTINUES TO BE A DESIGNATED "BABY FRIENDLY" HOSPITAL. ST. JOSEPH'S FULLY IMPLEMENTED STOCKING ALL SNACK MACHINES AND NEARLY ALL BEVERAGE MACHINES TO MEET TRINITY HEALTH'S TARGET OF 50% HEALTHY OFFERINGS. IN 2021, OUR NEWEST EDITION, FRESH EXPRESS, WAS ADDED TO OUR LOBBY AREA, MEETING 100% TARGET NUTRITIONAL STANDARDS. ST. JOSEPH'S HEALTH WORKED EFFECTIVELY WITH ITS CURRENT VENDING PROVIDER TO IMPLEMENT A CUSTOM SYSTEM FOR NUTRITIONAL STANDARDS; THIS WILLINGNESS TO COLLABORATE MADE THE TRANSITION POSSIBLE. EACH YEAR, REPRESENTATIVES FROM OUR HEALTH SYSTEM MEET WITH OUR LOCAL/STATE LEGISLATORS TO DISCUSS OUR PROGRAMS, INCLUDING THE SUCCESS OF OUR EFFORTS AT HELPING LOWER STATEWIDE SMOKING RATES AND STRESS THE UNMET NEEDS IN TOBACCO CONTROL EFFORTS AMONG VULNERABLE COMMUNITIES AND POPULATIONS.ST. JOSEPH'S CONTINUES TO EMPLOY THE INCIDENT COMMAND TEAM TO ENSURE THAT THE ORGANIZATION IS PREPARED FOR ANY EMERGENCY OR PUBLIC HEALTH-RELATED CRISIS. THIS TEAM'S PRIMARY FOCUS HAS BEEN, AND CONTINUES TO BE, THE COVID-19 PANDEMIC. PART VI, LINE 6: ST. JOSEPH'S IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH'S COMMUNITY HEALTH AND WELL-BEING (CHWB) STRATEGY PROMOTES OPTIMAL HEALTH FOR PEOPLE EXPERIENCING POVERTY AND OTHER VULNERABILITIES IN THE COMMUNITIES WE SERVE BY CONNECTING SOCIAL AND CLINICAL CARE, ADDRESSING SOCIAL NEEDS, DISMANTLING SYSTEMIC RACISM, AND REDUCING HEALTH INEQUITIES. WE DO THIS BY: 1. INVESTING IN OUR COMMUNITIES, 2. ADVANCING SOCIAL CARE, AND 3. IMPACTING SOCIAL INFLUENCERS OF HEALTH.TO FURTHER OUR STRATEGY IN FISCAL YEAR 2022 (FY22), CHWB LAUNCHED TWO TRAINING SERIES TO ADVANCE HEALTH AND RACIAL EQUITY IN OUR COMMUNITIES.1. CHWB LEADER SERIES TO ADVANCE HEALTH AND RACIAL EQUITY: A YEAR-LONG PEER LEARNING SERIES TO BUILD THE CAPACITY OF OUR CHWB LEADERS TO DELIVER ON OUR CHWB STRATEGY WITH A FOCUS ON COMMUNITY LEADERSHIP AND ENGAGEMENT, AND THE USE OF A RACIAL EQUITY LENS IN ALL OF OUR DECISION MAKING. 2. COMMUNITY ENGAGEMENT TO ADVANCE RACIAL JUSTICE - PREPARING FOR IMPLEMENTATION STRATEGY: A FOUR-PART SERIES ON ENGAGING OUR COMMUNITIES IN MEANINGFUL WAYS USING A HEALTH EQUITY AND RACIAL EQUITY LENS TO BUILD LASTING PARTNERSHIPS AND IMPACTFUL IMPLEMENTATION STRATEGIES.INVESTING IN OUR COMMUNITIES - TRINITY HEALTH AND ITS MEMBER HOSPITALS ARE COMMITTED TO THE DELIVERY OF PEOPLE-CENTERED CARE AND SERVING AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN THE COMMUNITIES THEY SERVE. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITIES AND IS COMMITTED TO ADDRESSING THE UNIQUE NEEDS OF EACH COMMUNITY. IN FY22, TRINITY HEALTH CONTRIBUTED $1.37 BILLION IN COMMUNITY BENEFIT SPENDING TO AID THOSE WHO ARE VULNERABLE AND LIVING IN POVERTY, AND TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES IN WHICH WE SERVE. SOME EXAMPLES OF THESE INVESTMENTS INCLUDE: TRINITY HEALTH AWARDED OVER $1.6 MILLION IN COMMUNITY GRANTS THAT DIRECTLY ALIGN WITH INTERVENTIONS AND LOCAL PARTNERSHIPS IDENTIFIED IN ITS MEMBER HOSPITALS' COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IMPLEMENTATION STRATEGIES, INCLUDING ACCESS TO HEALTH CARE, MENTAL HEALTH, TRANSPORTATION, COMMUNITY ENGAGEMENT, FOOD ACCESS, AND HOUSING SUPPORTS. WITH A $1.2 MILLION INITIAL INVESTMENT, TRINITY HEALTH LAUNCHED ROUND 2 OF THE TRANSFORMING COMMUNITIES INITIATIVE (TCI), A FIVE-YEAR, INNOVATIVE FUNDING AND TECHNICAL ASSISTANCE INITIATIVE, PARTNERING WITH COMMUNITY-BASED ORGANIZATIONS AND RESIDENTS TO ADVANCE HEALTH AND RACIAL EQUITY IN NINE OF OUR COMMUNITIES EXPERIENCING HIGH POVERTY AND OTHER VULNERABILITIES. HEALTH MINISTRIES RECEIVING TCI FUNDING ARE COLLABORATING WITH A LOCAL MULTI-SECTOR COLLABORATIVE TO DEVELOP AND IMPLEMENT EVIDENCE-BASED STRATEGIES THAT ADVANCE HEALTH AND RACIAL EQUITY THROUGH ADDRESSING AT LEAST ONE ROOT CAUSE OF POOR HEALTH IDENTIFIED IN THE DEVELOPMENT OF THEIR MOST RECENT CHNA IMPLEMENTATION STRATEGY. TRINITY HEALTH AWARDED OVER $1 MILLION IN COVID-19 FUNDING TO SUPPORT NEW AND ONGOING COMMUNITY ENGAGEMENT AND MOBILIZATION EFFORTS AROUND MAKING THE COVID-19 VACCINATION ACCESSIBLE TO ALL ELIGIBLE POPULATIONS. THIS FUNDING WAS DESIGNED TO SUPPORT ALL COMMUNITIES TO ENSURE EASY AND EQUITABLE ACCESS TO THE VACCINE BY REMOVING BARRIERS FOR ALL PEOPLE TO RECEIVE THE VACCINE, ESPECIALLY COMMUNITIES THAT HAVE LESS THAN A 75% VACCINATION RATE. WITH THIS FUNDING, HEALTH MINISTRIES FACILITATED 3,200 COVID-19 VACCINE EVENTS, ADMINISTERED 80,000 COVID-19 VACCINE DOSES, AND REACHED 874,000 PEOPLE WITH EDUCATIONAL MATERIALS ON COVID-19 AND THE BENEFITS OF VACCINATION.IN ADDITION TO THE $1.37 BILLION IN COMMUNITY BENEFIT SPENDING, OUR COMMUNITY INVESTING PROGRAM HAD THE MOST ROBUST YEAR OF LENDING SINCE THE PROGRAM'S INCEPTION OVER 20 YEARS AGO: $17.8 MILLION IN NEW LOANS AND $8.3 MILLION IN LOAN RENEWALS WERE APPROVED, FOCUSING ON BUILDING AFFORDABLE HOUSING AND INCREASING ACCESS TO EDUCATION IN PARTNERSHIP WITH OUR HEALTH MINISTRIES. ADVANCING SOCIAL CARE - TRINITY HEALTH'S SOCIAL CARE PROGRAM WAS DEVELOPED TO ADDRESS SOCIAL NEEDS, SUCH AS ACCESS TO TRANSPORTATION, CHILDCARE, OR AFFORDABLE MEDICATIONS BY FACILITATING CONNECTIONS BETWEEN OUR PATIENTS, HEALTH CARE PROVIDERS AND COMMUNITY PARTNERS THAT PROMOTE HEALTHY BEHAVIORS. HIGHLIGHTS FROM FY22 INCLUDE THE FOLLOWING SUCCESSES:- LAUNCHED TRINITY HEALTH COMMUNITY HEALTH WORKER (CHW) CERTIFICATION PROGRAM, TRAINING 86 CHWS WITH 40+ HOURS OF TRAINING, AND INCREASED CHW STAFF ACROSS MOST HEALTH MINISTRIES- LAUNCHED A SYSTEM-WIDE ASSESSMENT OF LANGUAGE ACCESS SERVICES TO RECOMMEND SYSTEM STANDARDS THAT ENSURE CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES FOR ALL OF OUR PATIENTS, THEIR COMPANIONS, AND CAREGIVERS- ENGAGED OVER 1,100 PARTICIPANTS IN THE NATIONAL DIABETES PREVENTION PROGRAM, EXCEEDING OUR PROGRAM YEAR 5 GOAL- INCREASED THE NUMBER OF ACTIVE COMMUNITY PARTNER ORGANIZATIONS ON THE COMMUNITY RESOURCE DIRECTORY BY 120% FROM FISCAL YEAR 2021- ENGAGED 5,300+ PATIENTS WHO ARE DUALLY ENROLLED IN MEDICARE AND MEDICAID IN A SOCIAL CARE OR MEDICAL CARE ACTIVITY, IN SUPPORT OF REDUCING PREVENTABLE HOSPITALIZATIONS (SUCH AS DIABETES AND ASTHMA)IMPACTING SOCIAL INFLUENCERS OF HEALTH - LEVERAGING INVESTOR POWER TO CATALYZE CORPORATE SOCIAL RESPONSIBILITY, TRINITY HEALTH'S SHAREHOLDER ADVOCACY WORK FOCUSES ON DISMANTLING RACISM ACROSS FIVE STRATEGIC FOCUS AREAS BY HOLDING CORPORATIONS ACCOUNTABLE FOR THE HUMAN RIGHTS VIOLATIONS THOSE COMPANIES PERPETUATE IN THE U.S. AND BEYOND. IN FY22, TRINITY HEALTH FACILITATED OVER 135 SHAREHOLDER ADVOCACY ENGAGEMENTS, WITH GREAT SUCCESS:- FIVE BELOW COMMITTED TO ASSESS AND MANAGE THE RISKS/HAZARDS ASSOCIATED WITH CHEMICALS OF HIGH CONCERN CONTAINED IN THEIR PRIVATE LABEL PRODUCTS- UNILEVER AGREED TO STOP FOOD AND BEVERAGE MARKETING TO CHILDREN UNDER AGE 16, AND WILL ADOPT NEW TARGETS TO REDUCE SALT, ADDED SUGARS AND CALORIES, AND INCREASE SALES OF THEIR HEALTHIER PRODUCTS- PEPSICO SET GOALS TO INCREASE POSITIVE NUTRIENTS IN THEIR PRODUCTS- PDC ENERGY ACCELERATED ITS GOAL TO END ROUTINE FLARING OF METHANE, FROM 2030 TO 2025, THUS REDUCING ENVIRONMENTAL HEALTH RISKS AND GREENHOUSE GAS EMISSIONSADDITIONALLY, TRINITY HEALTH AND OTHER MEMBERS OF THE INTERFAITH CENTER ON CORPORATE RESPONSIBILITY GUN SAFETY GROUP SUBMITTED A SHAREHOLDER RESOLUTION ASKING STURM RUGER, ONE OF THE NATION'S LEADING MANUFACTURERS OF FIREARMS, TO CONDUCT AND PUBLISH AN INDEPENDENT HUMAN RIGHTS IMPACT ASSESSMENT OF ITS POLICIES, PRACTICES AND PRODUCTS, AND MAKE RECOMMENDATIONS FOR IMPROVEMENT. THE RESOLUTION RECEIVED A 68.5% VOTE IN FAVOR, WELL ABOVE THE THRESHOLD REQUIRED FOR THE RESOLUTION TO BE RESUBMITTED IN 2023, INDICATING A LARGE MAJORITY OF STURM RUGER INVESTORS BELIEVE THE COMPANY HAS TO ADDRESS ITS HUMAN RIGHTS IMPACTS. TRINITY HEALTH AND TRINITY HEALTH OF NEW ENGLAND ARE CITED AS PART OF THE GROUP WHO MOVED FORWARD THIS RESOLUTION.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG. PART VI, LINE 7, REPORTS FILED WITH STATES NY 1 ST JOSEPH'S MEDICAL PC 301 PROSPECT AVE SYRACUSE NY 13203 273899821 501(C)(3) 25653000 0 GENERAL SUPPORT ST JOSEPH'S HEALTH AT HOME INC 7246 JANUS PARK DR LIVERPOOL NY 13088 871012253 501(C)(3) 1370276 0 GENERAL SUPPORT 2 0 SCHOLARSHIPS 344 388969 PART I, LINE 2: DONATIONS MADE BY ST. JOSEPH'S HOSPITAL HEALTH CENTER TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE. DONATIONS ARE INCLUDED IN COMMUNITY BENEFITS IN SCHEDULE H IF THE CONTRIBUTION HAS BEEN FORMALLY RESTRICTED TO A COMMUNITY BENEFIT ACTIVITY THAT MEETS THE CRITERIA TO BE REPORTED ON SCHEDULE H. 1 1 0 0 0 0 0 0 0 BENJAMIN CARTER DIRECTOR THR 12/21; TH EVP, COO 0 1318933 0 845000 0 271116 0 17400 0 73014 0 2525463 0 0 DANIEL ISACKSEN DIRECTOR AS OF 1/22; TH EVP, CFO 0 711106 0 125000 0 48065 0 169950 0 29745 0 1083866 0 0 LESLIE PAUL LUKE DIRECTOR; PRESIDENT & CEO 0 548021 0 250078 0 119945 0 13050 0 49682 0 980776 0 0 AHMED NIZAR MD PSYCHIATRIST 599672 0 0 0 624 0 13050 0 27104 0 640450 0 0 0 JANET READY CHIEF OPERATING OFFICER THR 3/22 0 418158 0 84000 0 9078 0 19538 0 27684 0 558458 0 0 PHILIP FALCONE MD CHIEF MEDICAL OFFICER 0 419707 0 41000 0 9659 0 18492 0 42855 0 531713 0 0 MEREDITH PRICE TREASURER; SVP & CFO 0 399828 0 80915 0 5655 0 13050 0 30988 0 530436 0 0 JAMES TUCKER MD PHYSICIAN 439721 0 0 0 9666 0 13050 0 3667 0 466104 0 0 0 MARK MURPHY CHIEF STRATEGY OFFICER 0 320454 0 64653 0 5819 0 21750 0 30248 0 442924 0 0 ANNEMARIE CZYZ FORMER KEY EMPLOYEE 278757 65633 0 34850 293 2164 15901 5849 21311 5590 316262 114086 0 0 DAWN BRINK-CYMERMAN MD DIRECTOR THROUGH 1/22; MPC PHYSICIAN 0 392484 0 0 0 3887 0 13050 0 2474 0 411895 0 0 NARAYANA REDDY MD PSYCHIATRIST 332628 0 20000 0 1988 0 17400 0 27236 0 399252 0 0 0 RUSSELL FIRMAN MD PHYSICIAN 339152 0 0 0 1553 0 13050 0 28401 0 382156 0 0 0 KENNETH MASTER MD PSYCHIATRIST 298558 0 30000 0 886 0 13050 0 7845 0 350339 0 0 0 SANDRA SULIK MD FORMER KEY EMPLOYEE; MPC PHYSICIAN 0 239533 0 0 0 1551 0 14674 0 20888 0 276646 0 0 PAUL DOMINSKI SECRETARY; ASSOCIATE COUNSEL 0 180966 0 18600 0 249 0 9286 0 27093 0 236194 0 0 JOSEPH SPINALE DO FORMER KEY EMPLOYEE 0 0 0 0 0 226984 0 0 0 8108 0 235092 0 217321 PART I, LINE 3 ST. JOSEPH'S IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. ST. JOSEPH'S CEO IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF ST. JOSEPH'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINES 4A-B THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2021. THIS AMOUNT IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: JOSEPH SPINALE, DO - $203,347 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THIS AMOUNT THAT WAS REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2021. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. PARTICIPANTS' VESTED BENEFITS WERE PAID OUT IN 2021, AND THEIR NON-VESTED BENEFITS FOR 2021 WERE ACCRUED. THE FOLLOWING PAYOUTS FOR 2021 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: BENJAMIN CARTER - $227,500 LESLIE PAUL LUKE - $97,253 THE FOLLOWING ACCRUAL FOR 2021 IS INCLUDED IN COLUMN C OF SCHEDULE J, PART II: DANIEL ISACKSEN - $161,250 THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH RESTORATION PLAN. THE RESTORATION PLAN PROVIDES RETIREMENT BENEFITS FOR CERTAIN TRINITY HEALTH SYSTEM OFFICE EXECUTIVES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($290,000 FOR 2021). THE FOLLOWING PAYOUTS FOR 2021 FOR THIS PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: ANNEMARIE CZYZ - $1,945 PHILIP FALCONE, MD - $0 MARK MURPHY - $1,689 MEREDITH PRICE - $3,634 JANET READY - $0 JOSEPH SPINALE, DO - $14,400 ARIANA MARSHALL FAMILY MEMBER OF JOHN MARSHALL, BOARD MEMBER 89023 EMPLOYMENT ARRANGEMENT 0 MARY MAYOM FAMILY MEMBER OF DENG GAI, BOARD MEMBER 49511 EMPLOYMENT ARRANGEMENT 0 ALEXA GAI FAMILY MEMBER OF DENG GAI, BOARD MEMBER 116059 EMPLOYMENT ARRANGEMENT 0 LAURA WILDRIDGE FAMILY MEMBER OF WILLIAM WILDRIDGE, BOARD MEMBER 83524 EMPLOYMENT ARRANGEMENT 0 JOSEPH CZYZ FAMILY MEMBER OF ANNEMARIE CZYZ, FORMER KEY EMPLOYEE 11466 EMPLOYMENT ARRANGEMENT 0 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF ST. JOSEPH'S HOSPITAL HEALTH CENTER IS ST. JOSEPH'S HEALTH. SEE LINE 7 FOR ADDITIONAL INFORMATION. FORM 990, PART VI, SECTION A, LINE 7A ST. JOSEPH'S HEALTH IS THE SOLE MEMBER OF ST. JOSEPH'S HOSPITAL HEALTH CENTER. ST. JOSEPH'S HEALTH HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF ST. JOSEPH'S HOSPITAL HEALTH CENTER. FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER, ST. JOSEPH'S HEALTH MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. ST. JOSEPH'S HEALTH MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, AND MODIFICATIONS TO GOVERNING DOCUMENTS. AS THE PARENT OF THE NATIONAL TRINITY HEALTH SYSTEM, CERTAIN POWERS ARE RESERVED TO TRINITY HEALTH CORPORATION. THESE INCLUDE THE AUTHORITY TO ADOPT OR MODIFY THE ORGANIZATION'S GOVERNING DOCUMENTS, TO APPROVE MAJOR CHANGES SUCH AS A MERGER OR DISSOLUTION, AND TO APPROVE SIGNIFICANT FINANCE MATTERS IN EXCESS OF CERTAIN LIMITS ESTABLISHED BY TRINITY HEALTH CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 FOR ST. JOSEPH'S IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE BOARD OF DIRECTORS AFTER THE RETURN IS FILED. EACH MEMBER OF THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C ST. JOSEPH'S HAS ADOPTED TRINITY HEALTH'S GOVERNANCE POLICY NO. 1, WHICH SETS FORTH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND PROCESSES. IT APPLIES TO ALL "INTERESTED PERSONS" OF ST. JOSEPH'S, WHICH INCLUDES DIRECTORS, PRINCIPAL OFFICERS, KEY EMPLOYEES, AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS. INTERESTED PERSONS ARE EXPECTED TO DISCHARGE THEIR DUTIES IN A MANNER THE PERSON REASONABLY BELIEVES TO BE IN THE BEST INTERESTS OF ST. JOSEPH'S AND TO AVOID SITUATIONS INVOLVING A CONFLICT OF INTEREST. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE PROVIDED TO THE INTEGRITY AND COMPLIANCE OFFICER. IF A POTENTIAL CONFLICT IS IDENTIFIED, THE INTEGRITY AND COMPLIANCE OFFICER SHARES THE DISCLOSURES WITH INTERNAL LEGAL COUNSEL, FROM WHICH LEGAL COUNSEL PREPARES A REPORT FOR THE BOARD CHAIR AND CEO. A SUMMARY OF POTENTIAL CONFLICTS IS REVIEWED WITH THE BOARD OF DIRECTORS OF ST. JOSEPH'S (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO ST. JOSEPH'S OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF ST. JOSEPH'S (OR A DELEGATED COMMITTEE OF THE BOARD) IS RESPONSIBLE FOR THE REVIEW OF TRANSACTIONS TO DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS. IN THE EVENT OF AN ACTUAL CONFLICT, THE BOARD (OR A DELEGATED COMMITTEE OF THE BOARD) WILL EITHER AVOID THE CONFLICT OR APPROPRIATELY SCRUTINIZE THE TRANSACTION TO ENSURE IT IS IN THE BEST INTERESTS OF ST. JOSEPH'S. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE POLICY FURTHER ADDRESSES THE PROPER DOCUMENTATION OF THE PROCEEDINGS AND POTENTIAL DISCIPLINARY AND CORRECTIVE ACTION FOR VIOLATIONS OF THE POLICY. THE POLICY IS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 15 QUESTIONS 15A AND 15B ARE ANSWERED "NO" BECAUSE THE COMPENSATION FOR CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF ST. JOSEPH'S IS ESTABLISHED BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING CEO AND CFO COMPENSATION, TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF THE CEO AND CFO OF ST. JOSEPH'S ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS. FOR OTHER EXECUTIVES WHO ARE NOT PART OF THE REBUTTABLE PRESUMPTION PROCESS, TRINITY HEALTH USES A MARKET ANALYSIS TO DETERMINE THE APPROPRIATENESS OF THE EXECUTIVE'S COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 ST. JOSEPH'S IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, ST. JOSEPH'S INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. ST. JOSEPH'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT LABOR: PROGRAM SERVICE EXPENSES 20,772,690. MANAGEMENT AND GENERAL EXPENSES 12,493. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,785,183. MEDICAL SPECIALIST FEES: PROGRAM SERVICE EXPENSES 15,257,424. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,257,424. LAUNDRY AND LINEN SERVICES: PROGRAM SERVICE EXPENSES 1,542,963. MANAGEMENT AND GENERAL EXPENSES 839. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,543,802. MISCELLANEOUS PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 5,257,802. MANAGEMENT AND GENERAL EXPENSES 4,014,610. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,272,412. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 703,898. MANAGEMENT AND GENERAL EXPENSES 314,476. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,018,374. BILLING SERVICES: PROGRAM SERVICE EXPENSES 35,134. MANAGEMENT AND GENERAL EXPENSES 1,226,937. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,262,071. RECRUITING SERVICES: PROGRAM SERVICE EXPENSES 21,367. MANAGEMENT AND GENERAL EXPENSES 159,101. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 180,468. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 18,592,891. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,592,891. FORM 990, PART XI, LINE 9: CHANGE IN DEFERRED RETIREMENT COST 4,255,182. EQUITY TRANSFERS TO AFFILIATES -47,694,392. INDIGENT CARE AGREEMENT -3,015,250. ASSET IMPAIRMENT 257,103. OTHER TRANSACTIONS -869,288. FORM 990, PART XII, LINE 2: ST. JOSEPH'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY22 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. CNY AIM LLC 301 PROSPECT AVENUE SYRACUSE NY 13203 811461678 ACCOUNTABLE CARE ORGANIZATION NY 2250000 7209108 ST JOSEPH'S HOSPITAL HEALTH CENTER CNY AIM IPA LLC 301 PROSPECT AVENUE SYRACUSE NY 13203 815385690 ACCOUNTABLE CARE ORGANIZATION NY 0 0 ST JOSEPH'S HOSPITAL HEALTH CENTER ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP 200 JEFFERSON AVE SE GRAND RAPIDS MI 49503 272491974 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN 1 ALLEGANY FRANCISCAN MINISTRIES INC 33920 US HIGHWAY 19 NORTH SUITE 269 PALM HARBOR FL 34684 581492325 GRANT MAKING FL 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 ASYLUM HILL FAMILY MEDICINE CENTER INC 114 WOODLAND STREET HARTFORD CT 06105 061450170 HEALTH CARE SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 BAUM HARMON MERCY HOSPITAL 255 NORTH WELCH AVENUE PRIMGHAR IA 51245 421500277 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP 1 BAUM HARMON MERCY HOSPITAL AND CLINICS FOUNDATION 255 NORTH WELCH AVENUE PRIMGHAR IA 51245 262973307 FOUNDATION IA 501(C)(3) LINE 12A, I BAUM HARMON MERCY HOSPITAL 1 BEECHWOOD INC 2212 BURDETT AVE TROY NY 12180 141651563 TITLE HOLDING COMPANY NY 501(C)(2) N/A LTC (EDDY) INC 1 BETHLEHEM HAVEN OF PITTSBURGH 905 WATSON STREET PITTSBURGH PA 15219 251436685 HOMELESS SHELTER PA 501(C)(3) LINE 7 PITTSBURGH MERCY HEALTH SYSTEM INC 1 BEVERWYCK INC 40 AUTUMN DRIVE SLINGERLANDS NY 12159 141717028 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 BRIGHTSIDE INC 114 WOODLAND STREET HARTFORD CT 06105 042182395 HEALTH CARE SERVICES MA 501(C)(3) LINE 10 THE MERCY HOSPITAL INC 1 CAPITAL REGION GERIATRIC CENTER INC 421 WEST COLUMBIA STREET COHOES NY 12047 141701597 LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 CATHERINE MCAULEY HEALTH SERVICES CORP 5315 ELLIOTT DR 102 YPSILANTI MI 48197 382507173 HEALTH CARE SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH-MICHIGAN 1 CATHOLIC HEALTH MINISTRIES 20555 VICTOR PARKWAY LIVONIA MI 48152 GOVERNANCE AND MANAGEMENT OF TRINITY HEALTH SYSTEM VT 501(C)(3) LINE 1 N/A 0 DILEY RIDGE MEDICAL CENTER 3100 EASTON SQUARE PL STE 300 COLUMBUS OH 43219 342032340 HEALTH CARE AND HOSPITAL SERVICES OH 501(C)(3) LINE 3 MOUNT CARMEL HEALTH SYSTEM 1 DUBUQUE MERCY HEALTH FOUNDATION 250 MERCY DRIVE DUBUQUE IA 52001 262227941 FOUNDATION IA 501(C)(3) LINE 12A, I MERCY HEALTH SERVICES-IOWA CORP 1 DYERSVILLE HEALTH FOUNDATION INC 1111 3RD STREET SW DYERSVILLE IA 52040 205383271 FOUNDATION IA 501(C)(3) LINE 12A, I MERCY HEALTH SERVICES-IOWA CORP 1 EAST NORRITON PHYSICIANS SERVICES INC 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE PA 19073 232515999 HEALTH CARE SERVICES PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK 1 EDDY LICENSED HOME CARE AGENCY 433 RIVER ST SUITE 3000 TROY NY 12180 141818568 HOME HEALTH SERVICES NY 501(C)(3) LINE 3 LTC (EDDY) INC 1 EMBRACING AGE INC 333 BUTTERNUT DRIVE DEWITT NY 13214 461051881 PACE PROGRAM NY 501(C)(3) LINE 12B, II ST JOSEPH'S HEALTH INC 1 EMPIRE HOME INFUSION SERVICE INC 10 BLACKSMITH DRIVE MALTA NY 12020 141795732 HOME HEALTH SERVICES NY 501(C)(3) LINE 10 HOME AIDE SERVICE OF EASTERN NEW YORK INC 1 FARREN CARE CENTER INC 114 WOODLAND STREET HARTFORD CT 06105 042501711 LONG TERM CARE MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC 1 FRANCISCAN ELDERCARE CORPORATION PO BOX 2500 WILMINGTON DE 19805 223008680 LONG TERM CARE (INACTIVE) DE 501(C)(3) LINE 10 ST FRANCIS HOSPITAL INC 1 GLACIER HILLS FOUNDATION 1200 EARHART RD ANN ARBOR MI 48105 208072723 FOUNDATION MI 501(C)(3) LINE 12A, I GLACIER HILLS INC 1 GLACIER HILLS INC 1200 EARHART RD ANN ARBOR MI 48105 381891500 SENIOR LIVING COMMUNITY MI 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES 1 GLEN EDDY INC 1 GLEN EDDY DRIVE NISKAYUNA NY 12309 141794150 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 GLOBAL HEALTH MINISTRY 20555 VICTOR PARKWAY LIVONIA MI 48152 421253527 HEALTH CARE SERVICES MI 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 GOOD SAMARITAN HOSPITAL INC 5401 LAKE OCONEE PARKWAY GREENSBORO GA 30642 261720984 HEALTH CARE AND HOSPITAL SERVICES GA 501(C)(3) LINE 3 TRINITY HEALTH GEORGIA INC 1 GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION 701 W NORTH AVE MELROSE PARK IL 60160 363332852 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM 1 GOTTLIEB MEMORIAL FOUNDATION 701 WEST NORTH AVENUE MELROSE PARK IL 60160 743260011 FOUNDATION IL 501(C)(3) LINE 12D, III-O N/A 0 GOTTLIEB MEMORIAL HOSPITAL 701 W NORTH AVE MELROSE PARK IL 60160 362379649 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM 1 HAWTHORNE RIDGE INC 30 COMMUNITY WAY EAST GREENBUSH NY 12061 800102840 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 HEART CENTER OF GREATER WATERBURY INC 114 WOODLAND STREET HARTFORD CT 06105 830416893 MANAGEMENT CT 501(C)(3) LINE 12A, I N/A 0 HERITAGE HOUSE NURSING CENTER INC 2920 TIBBITS AVE TROY NY 12180 141725101 LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 HOLY 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