2022-05-16T11:39:04-05:00 2021-06-30 990 2020-07-01 510064326 ST FRANCIS HOSPITAL INC STFR 3024214100 PO BOX 2500 WILMINGTON DE 19805 ANTHONY FANELLI VP REG FINANCIAL REPORTING 3024214100 2022-05-16 ANTHONY FANELLI 999009999 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z SAINT FRANCIS HEALTHCARE JAMES WOODWARD PO BOX 2500 WILMINGTON DE 19805 190145122 0 0928 X WWW.TRINITYHEALTHMA.ORG X 1923 DE TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES 14 11 1331 12 68744 0 4151304 17393987 167059761 168153911 -381668 -338292 3576987 3863277 174406384 189072883 2704 292116 0 0 92228426 86515193 0 0 235507 87893316 90243471 180124446 177050780 -5718062 12022103 66277989 72917221 154942515 150147185 -88664526 -77229964 X WE, SAINT FRANCIS HOSPITAL AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES.ST. FRANCIS HOSPITAL (SAINT FRANCIS) IS A MEMBER OF TRINITY HEALTH OF THE MID-ATLANTIC REGION (THMA) AND TRINITY HEALTH. 0 0 158599985 292116 168678374 ST. FRANCIS HOSPITAL (SAINT FRANCIS) IS A COMMUNITY HOSPITAL LOCATED IN WILMINGTON, DELAWARE, IN OPERATION SINCE 1923. THE HOSPITAL PROVIDES A FULL SPECTRUM OF GENERAL MEDICAL SERVICES, INCLUDING EMERGENCY, DIAGNOSTIC TESTING, AND WOMEN'S HEALTH. SAINT FRANCIS ALSO OFFERS SPECIALIZED SURGICAL SERVICES, INCLUDING BARIATRIC SURGERY, AND IS THE ONLY HOSPITAL IN WILMINGTON TO OFFER PRECISION SURGERY VIA THE DA VINCI SURGICAL SYSTEM FOR MINIMALLY INVASIVE GYNECOLOGICAL AND PROSTATE SURGERIES. SAINT FRANCIS HAS ALSO BEEN OPERATING A SLEEP CENTER SINCE 1997, AND IS ONE OF THE FEW SLEEP CENTERS IN DELAWARE THAT IS ACCREDITED BY THE ACADEMY OF SLEEP MEDICINE. IN FY21 THE HOSPITAL PROVIDED OVER 19,000 PATIENT DAYS OF HEALTH CARE SERVICES TO INPATIENTS, SERVED OVER 234,000 OUTPATIENTS, 28,000 EMERGENCY ROOM VISITS, AND 27,000 HOME HEALTH VISITS. PLEASE SEE SCHEDULE H AND VISIT OUR WEBSITE FOR ADDITIONAL INFORMATION ABOUT SERVICES, RECOGNITIONS AND AWARDS: WWW.TRINITYHEALTHMA.ORG/LOCATION/SAINT-FRANCIS-HEALTHCARE 158599985 1 1 0 1 0 0 0 0 0 0 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 0 1 0 0 0 0 1 1 1 1 0 0 1 220 0 1 1331 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 14 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X ANTHONY FANELLI 6103552000 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE PA 190732329 JAMES WOODWARD DIR; CEO TRINITY HEALTH MID-ATLANTIC 1.00 54.00 X 0 1220501 64103 DANIEL SINNOTT DIRECTOR; PRESIDENT & CEO THRU 7/20 53.00 2.00 X X 0 415516 535498 JULIE WASHINGTON DIR AS OF 10/20; TH SVP CHIEF MKTG 1.00 49.00 X 0 629394 139349 JOSEPH PENNINGTON MD PHYSICIAN 50.00 0.00 X 632040 0 40919 JAMES COSGROVE DO PHYSICIAN 50.00 0.00 X 613164 0 47192 RICHARD LEADER MD PHYSICIAN 50.00 0.00 X 561098 0 55647 NANCY FAN MD PHYSICIAN 50.00 0.00 X 560885 0 50270 YOLANDA HENDLEY MD PHYSICIAN 50.00 0.00 X 542931 0 41527 MARYANNE SPALLUCCI TREASURER & THMA REGIONAL CFO 1.00 54.00 X 0 420293 66113 CATHERINE MIKUS SECRETARY; GENERAL COUNSEL 1.00 49.00 X 0 322219 92556 CASSANDRA WILLIS-ABNER DIRECTOR, TH SVP DIV & INC THR 9/20 1.00 49.00 X 0 331440 30533 RALPH GONZALEZ CHIEF MEDICAL OFFICER 50.00 0.00 X 0 304152 41412 BRANDON HARVATH DIR; PRES & COO FROM 8/20-6/21 55.00 0.00 X X 0 271112 37683 MICHAEL HAMMOND FORMER OFFICER 0.00 0.00 X 0 167568 13640 JOSEPH DESANTIS DIRECTOR; CHAIR 1.00 8.00 X X 0 0 0 REBECCA KERCHNER DIRECTOR; VICE CHAIR 1.00 8.00 X X 0 0 0 TALYANA BROMBERG DIRECTOR 1.00 8.00 X 0 0 0 KATHRYN DOUGHERTY OSF DIRECTOR 1.00 8.00 X 0 0 0 MARIANNE GRACE DIRECTOR 1.00 8.00 X 0 0 0 SHAILA KAPUR DIRECTOR 1.00 8.00 X 0 0 0 SARAH ELLEN LENAHAN DIRECTOR 1.00 8.00 X 0 0 0 CHRISTINE MCCANN RSM DIRECTOR 1.00 8.00 X 0 0 0 JAMES MONIHAN MD DIRECTOR 1.00 8.00 X 0 0 0 RICHELLE VIBLE DIRECTOR 1.00 8.00 X 0 0 0 PIERRE VIGILANCE MD DIRECTOR 1.00 8.00 X 0 0 0 MICHAEL WERT DIRECTOR 1.00 8.00 X 0 0 0 2910118 4082195 1256442 152 1 1 0 PREMIER ANESTHESIA OF PA PC 2655 NORTHWINDS PARKWAY ALPHARETTA GA 30009 ANESTHETISTS 2857622 CHRISTIANA MECHANICAL INC 109 SLEEPY HOLLOW DRIVE STE A MIDDLETOWN DE 19709 MAINTENANCE SERVICES 2136804 COMPHEALTH PO BOX 972651 DALLAS TX 75397 PHYSICIAN SERVICES 1343317 DSI SECURITY SERVICES 7601 S KOSTNER AVE STE 100 CHICAGO IL 60652 SECURITY SERVICES 1084991 MILESTONE CONSTRUCTION COMPANY 4 MILL PARK CT NEWARK DE 19713 CONSTRUCTION SERVICES 953355 39 75000 11055422 6263565 24339 17393987 NET PATIENT SERVICE REVENUE 622110 168032876 168032876 LABORATORY REVENUE 621500 68744 68744 RETAIL PHARMACY REVENUE 622110 52291 52291 168153911 3625273 718013 2907260 2907260 2907260 15934 330893 23333 -330893 -7399 -338292 -338292 CAFETERIA / COFFEE SHOP REVENUE 722514 348495 348495 PARKING GARAGE REVENUE 812930 14315 14315 EDUCATION PROGRAMS 622110 10000 10000 583207 583207 956017 189072883 168678374 68744 2931778 X 84630 84630 207486 207486 1120418 1120418 69045451 62864170 6015884 165397 2314757 2109144 200064 5549 9222681 8363165 837512 22004 4811886 4347124 452941 11821 231417 231417 2448 2448 19386255 18470273 904856 11126 622226 60471 560324 1431 2591678 1423726 1165639 2313 7085429 5692052 1393377 3684579 3548951 135628 74643 73460 1183 153011 153011 4066164 4066164 6402966 6185384 217236 346 1143991 1134835 7184 1972 MEDICAL SUPPLIES 23753040 23753040 BAD DEBT 11226597 11226597 INTERCO. PURCHASED SVCS 6830955 1905200 4913554 12201 EQUIPMENT MAINTENANCE 2208630 2206126 2504 779442 493559 284536 1347 177050780 158599985 18215288 235507 469953 31674 8007 10691655 16330120 4177304 3695611 222140 803223 109084214 72963882 33330332 36120332 3274883 2687003 1098751 1188689 13012971 12052562 66277989 72917221 13352950 14470916 283355 1058862 4353608 309352 136952602 134308055 154942515 150147185 X -89393916 -77847976 729390 618012 -88664526 -77229964 66277989 72917221 X 12022103 2462220 -3049762 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 17031 0 0 0 17031 0 PART II-B, LINE 1: ST. FRANCIS HOSPITAL 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. FRANCIS HOSPITAL 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. 339245 339245 339245 339245 682112 682112 24282749 11513745 12769004 822233 245481 576752 79673008 61204656 18468352 3624112 3624112 36120332 MISCELLANEOUS RECEIVABLES 809574 OTHER LONG-TERM ASSETS 14818 INTERCOMPANY OTHER LT ASSETS 8136252 INTERCOMPANY ACCOUNTS RECEIVABLE 540616 OPERATING LEASE RIGHT-OF-USE ASSETS 2551302 12052562 INTERCOMPANY ACCOUNTS PAYABLE 2808552 INTERCOMPANY NOTES PAYABLE 103610806 OTHER CURRENT LIABILITIES 4216554 INTERCOMPANY OTHER LIABILITIES 331324 OVERDRAFT IN POOLED INVESTMENT 20613221 OPERATING LEASE LIABILITIES 2587406 DEFERED COMP LIABILITY 140192 134308055 PART V, LINE 4: THE ENDOWMENT FUNDS ARE USED TO SUPPORT THE HOSPITAL'S OPERATIONS, WHICH ENHANCES OUR ABILITY TO IDENTIFY AND SUPPORT THE CURRENT NEEDS OF OUR LOCAL COMMUNITY. 1 1 X 1 X 1 X 1 0 1 1 2576188 2576188 0.01550 42221788 44718256 0 0.00000 44797976 44718256 2576188 0.01550 7 5166 797402 535403 261999 0.00160 1 4200185 823645 3376540 0.02040 3 18618 7368198 2797323 4570875 0.02760 1 75000 75000 12 23784 12440785 4231371 8209414 0.04960 12 23784 57238761 48949627 10785602 0.06510 0 11226597 0 28632628 33775720 -5143092 X 1 1 1 1 ST FRANCIS HOSPITAL INC 701 NORTH CLAYTON STREET WILMINGTON DE 198050500 WWW.TRINITYHEALTHMA.ORG STATE ID# HSPTL-004 X X X X ST FRANCIS HOSPITAL 1 0 0 1 X X X X X X X X X 19 1 0 0 1 X SEE PART V, SECTION C X 1 19 1 SEE PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X 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 1 X 0 X X X X 1 X 0 0 ST. FRANCIS HOSPITAL PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E:ST. FRANCIS HOSPITAL, ALSO KNOWN AS SAINT FRANCIS HEALTH CARE (SAINT FRANCIS), INCLUDED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS 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. BEHAVIORAL HEALTH (SUBSTANCE USE AND MENTAL HEALTH DISORDERS)2. TRAUMA AND ADVERSE CHILDHOOD EXPERIENCES3. EQUITABLE ACCESS TO HEALTH CARE SERVICES4. AFFORDABLE HOUSING5. LACK OF EDUCATION6. POVERTY7. VIOLENCE/CRIME8. FOOD INSECURITY 9. CHRONIC DISEASES10. INFANT MORTALITY ST. FRANCIS HOSPITAL PART V, SECTION B, LINE 5: ON SEPTEMBER 19, 2019, SAINT FRANCIS OBTAINED INPUT FROM THE DELAWARE DIVISION OF PUBLIC HEALTH SENIOR LEADERSHIP GROUP (SLG). MEMBERS OF THE SLG INCLUDED THE PUBLIC HEALTH DIRECTOR, DEPUTY DIRECTOR, MEDICAL DIRECTOR, DENTAL DIRECTOR, AND SECTION CHIEFS WHO REPRESENTED COMMUNITY HEALTH, CHILD AND MATERNAL HEALTH, HEALTH PROMOTION AND DISEASE PREVENTION, EPIDEMIOLOGY, AND RURAL HEALTH. THE MEETING FORMAT INCLUDED A PRESENTATION OF THE CHNA DATA FOLLOWED BY A QUESTION AND ANSWER SESSION. ADDITIONALLY, SAINT FRANCIS PARTICIPATED IN A DAY-LONG STATE HEALTH IMPROVEMENT PLAN (SHIP) STAKEHOLDER MEETING ON OCTOBER 23, 2019 AT THE UNIVERSITY OF DELAWARE, WHICH WAS SPONSORED AND LED BY DELAWARE'S DEPARTMENT OF HEALTH AND SOCIAL SERVICES. PUBLIC HEALTH STAKEHOLDERS WERE UPDATED ON SHIP PROGRESS TO DATE AND WERE INCLUDED IN A DISCUSSION AROUND ALIGNMENT BETWEEN THE SHIP PRIORITIES AND THE PRIORITIES OF STAKEHOLDERS AND PARTNERS.SAINT FRANCIS OBTAINED INPUT FROM THE FOLLOWING ORGANIZATIONS DURING A COMMUNITY ENGAGEMENT MEETING AT SAINT FRANCIS HOSPITAL ON OCTOBER 30, 2019: LATIN AMERICAN COMMUNITY CENTER, CATHOLIC CHARITIES, SALVATION ARMY, MINISTRY OF CARING, SUNDAY BREAKFAST MISSION, BOYS & GIRLS CLUB, WESTSIDE FAMILY HEALTHCARE, DELAWARE COALITION AGAINST DOMESTIC VIOLENCE, AIDS DELAWARE, UNITED WAY DELAWARE, AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY, DELAWARE BREAST CANCER COALITION, CHILDREN & FAMILIES FIRST, ST. ELIZABETH HIGH SCHOOL, NATIONAL ASSOCIATION OF MENTAL ILLNESS, CONNECTIONS COMMUNITY SUPPORT PROGRAMS, YWCA, CITY OF WILMINGTON, NEW CASTLE COUNTY, NEMOURS, AND CHRISTIANA CARE HEALTH SYSTEM.AN ONLINE COMMUNITY SURVEY CONDUCTED THROUGH SURVEY MONKEY WAS MADE AVAILABLE TO COMMUNITY RESIDENTS AND SAINT FRANCIS EMPLOYEES BETWEEN AUGUST 1 AND SEPTEMBER 30, 2019. AMONG GENERAL QUESTIONS ABOUT HEALTH STATUS AND SOCIAL DETERMINANTS OF HEALTH, THE ONLINE SURVEY INCLUDED TWO COMMUNITY HEALTH RELATED QUESTIONS. ONE HUNDRED THIRTEEN INDIVIDUALS RESPONDED TO THE SURVEY. THE INPUT GATHERED WAS REPRESENTATIVE OF THE WILMINGTON POPULATION, WHICH INCLUDES THOSE WHO ARE AT OR BELOW POVERTY LEVEL, UNINSURED OR UNDERINSURED, HOMELESS, MINORITIES, AND IMMIGRANTS. SAINT FRANCIS SERVES THESE POPULATIONS. ST. FRANCIS HOSPITAL PART V, SECTION B, LINE 11: SAINT FRANCIS' IMPLEMENTATION STRATEGY IS DESIGNED TO ADDRESS THE PRIORITY AREAS IDENTIFIED IN THE CHNA. FOLLOWING ARE THE NEEDS THAT ARE ADDRESSED IN THE IMPLEMENTATION STRATEGY:1. FOOD INSECURITY2. EQUITABLE ACCESS TO HEALTH CARE SERVICES3. BEHAVIORAL HEALTHBELOW ARE PROGRAM EXAMPLES OF HOW SAINT FRANCIS ADDRESSED EACH NEED WITHIN FISCAL YEAR 2021.FOOD INSECURITYSAINT FRANCIS CONTINUED AND EXPANDED ITS FOOD INSECURITY PROGRAM IN FISCAL YEAR 2021. IN PARTNERSHIP WITH THE FOOD BANK OF DELAWARE MOBILE FOOD PANTRY, SAINT FRANCIS CONTINUED TO OFFER GROCERY STORE STAPLES TO MORE THAN 80 FOOD INSECURE FAMILIES OR INDIVIDUALS PER MONTH. ADDITIONALLY, SAINT FRANCIS CONTRACTED WITH LANCASTER FARM FRESH PROGRAM TO SUPPLEMENT THE MOBILE FOOD PANTRY WITH HEALTHY FRUITS AND VEGETABLES. FORTY-FIVE FAMILIES AND INDIVIDUALS RECEIVE WEEKLY FRESH PRODUCE AT NO COST TO THEM. THE INDIVIDUALS OR FAMILIES WHO RECEIVED PRODUCE WERE IDENTIFIED AS FOOD INSECURE AND WERE DIAGNOSED WITH EITHER DIABETES OR OBESITY. WEEKLY, TWO THIRDS OF THE PRODUCE BOXES WERE DIVIDED AMONG A LOW-INCOME SENIOR LIVING FACILITY AND LOW-INCOME FAMILIES SERVED BY THE LATIN AMERICAN COMMUNITY CENTER. THE REMAINING FOOD BOXES WERE DISTRIBUTED TO OTHER COMMUNITY MEMBERS LIVING WITHIN THE ST. FRANCIS SERVICE AREA. GROCERY STORE GIFT CARDS WERE OFFERED THROUGHOUT THE YEAR AND ESPECIALLY DURING HOLIDAYS, TO SELECT FAMILIES WHO NEEDED EXTRA ASSISTANCE PURCHASING GROCERIES. THE BACKPACK MEAL PROGRAM LAUNCHED IN WINTER 2020, DELIVERED NON-PERISHABLE MEALS TO HOMELESS SHELTERS, CHURCHES, AND HEAD START PROGRAMS. BACKPACK MEALS PROVIDED WEEKEND MEALS FOR STUDENTS AND OTHERS WHO DID NOT HAVE ACCESS TO FOOD OUTSIDE THE NORMAL SCHOOL WEEK.EQUITABLE ACCESS TO HEALTH CARE SERVICESIN FALL 2020, THE ST. CLARE MEDICAL OUTREACH VAN PARTNERED WITH THE DELAWARE BREAST CANCER COALITION (DBCC) TO IMPROVE ACCESS TO MAMMOGRAMS AND OTHER CANCER SCREENINGS AT NO COST OR LOW COST TO ST. CLARE VAN PATIENTS. DBCC NAVIGATORS CONNECTED ST. CLARE VAN PATIENTS TO STAND ALONE MAMMOGRAPHY CENTERS, PROVIDED PATIENTS WITH TRANSPORTATION SERVICES, AND SUPPORTED PATIENTS WHO NEEDED FOLLOW-UP CARE. IN SPRING 2021, SAINT FRANCIS EXECUTED A FORMAL HOSPITAL-WIDE AGREEMENT WITH THE DELAWARE COALITION AGAINST DOMESTIC VIOLENCE TO OFFER WRAP AROUND SERVICES THROUGH REFERRALS TO A COMMUNITY HEALTH WORKER TRAINED IN TRAUMA INFORMED CARE. ALSO, IN SPRING 2021, THE ST. CLARE MEDICAL OUTREACH VAN OBTAINED TAKE HOME BLOOD PRESSURE KITS THROUGH A GRANT. PATIENTS WITH HIGH OR UNCONTROLLED BLOOD PRESSURE WERE IDENTIFIED AND KITS WERE DISTRIBUTED FREE OF CHARGE TO THE PATIENT. PATIENT EDUCATION ON USE OF THE KITS WAS PROVIDED AND BLOOD PRESSURE MONITORED FOR IMPROVEMENT.BEHAVIORAL HEALTH SERVICESSAINT FRANCIS CONTRACTED WITH CATHOLIC CHARITIES AND LAUNCHED VIRTUAL BEHAVIORAL HEALTH ASSESSMENTS FOR UNINSURED AND UNDERINSURED ST. CLARE VAN PATIENTS IN APRIL 2021. A LICENSED CLINICIAN WAS MADE AVAILABLE 8 HOURS PER WEEK TO PATIENTS. PATIENTS WERE SCHEDULED FOR FOLLOW-UP CARE OR FURTHER EVALUATION AS NEEDED. SAINT FRANCIS ACKNOWLEDGES THE WIDE RANGE OF PRIORITY 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. SAINT FRANCIS DID NOT ADDRESS THE FOLLOWING NEEDS DURING FISCAL YEAR 2021:TRAUMA/ADVERSE CHILDHOOD EXPERIENCES WAS NOT DIRECTLY ADDRESSED DUE TO LACK OF RESOURCES REQUIRED TO FULLY IMPLEMENT A TRAUMA-INFORMED CARE PROGRAM. AFFORDABLE HOUSING WAS NOT DIRECTLY ADDRESSED TO AVOID DUPLICATING EFFORTS ALREADY IN PROGRESS WITH CINNAIRE, A COMMUNITY REDEVELOPMENT CORPORATION. LACK OF EDUCATION WAS NOT DIRECTLY ADDRESSED BECAUSE THE HOSPITAL LACKS EXPERTISE OR RESOURCES REQUIRED TO EFFECTIVELY ADDRESS GAPS IN EDUCATIONAL ATTAINMENT. POVERTY WAS NOT DIRECTLY ADDRESSED BECAUSE OF RESOURCE CONSTRAINTS. HOWEVER, SAINT FRANCIS DOES ASSIST THOSE WHO ARE LIVING IN POVERTY THROUGH COMMUNITY BENEFIT PROGRAMS, INCLUDING FINANCIAL ASSISTANCE, THE SAINT CLARE MOBILE MEDICAL OUTREACH VAN, THE TINY STEPS PROGRAM, THE MOBILE FOOD PANTRY, AND THE CENTER OF HOPE.VIOLENCE/CRIME WAS NOT DIRECTLY ADDRESSED BECAUSE OF THE SYSTEM'S RELATIVE LACK OF EXPERTISE OR RESOURCES REQUIRED TO EFFECTIVELY REDUCE CRIME AND VIOLENCE WITHIN THE COMMUNITY.INFANT MORTALITY WAS NOT DIRECTLY ADDRESSED TO AVOID DUPLICATING EFFORTS CURRENTLY UNDERWAY THROUGH THE DELAWARE HEALTHY MOTHERS AND INFANT CONSORTIUM AND OTHER STATE-LED TASK FORCES; HOWEVER SAINT FRANCIS' TINY STEPS PROGRAM PROVIDES A FULL SPECTRUM OF SERVICES TO WOMEN OF REPRODUCTIVE AGE WHO ARE CONSIDERED TO BE AT HIGH RISK FOR POOR BIRTH OUTCOMES.CHRONIC DISEASE WAS NOT DIRECTLY ADDRESSED DUE TO COMPETING PRIORITIES, HOWEVER SOME ACTIVITIES ADDRESSING EQUITABLE ACCESS TO HEALTH CARE SERVICES ALSO ADDRESS CHRONIC DISEASE MANAGEMENT. ST. FRANCIS HOSPITAL 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. PART V, SECTION B, LINE 7A: WWW.TRINITYHEALTHMA.ORG/COMMUNITY-BENEFIT/CHNA/SAINT-FRANCIS 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. PART V, SECTION B, LINE 10A: WWW.TRINITYHEALTHMA.ORG/COMMUNITY-BENEFIT/CHNA/SAINT-FRANCIS PART V, SECTION B, LINE 16A: WWW.TRINITYHEALTHMA.ORG/PATIENTS-VISITORS/PAY-YOUR-BILL/SAINT-FRANCIS/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 16B: WWW.TRINITYHEALTHMA.ORG/PATIENTS-VISITORS/PAY-YOUR-BILL/SAINT-FRANCIS/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 16C: WWW.TRINITYHEALTHMA.ORG/PATIENTS-VISITORS/PAY-YOUR-BILL/SAINT-FRANCIS/FINANCIAL-ASSISTANCE 7 1 - SAINT FRANCIS WOMEN'S CENTER GREENHILL 532 GREENHILL AVE WILMINGTON DE 19805 EMPLOYED PHYSICIANS 2 - SAINT FRANCIS WOMENS CENTER NEWARK 620 STANTON-CHRISTIANA ROAD SUITE 304 NEWARK DE 19713 EMPLOYED PHYSICIANS 3 - SAINT FRANCIS FAMILY MEDICINE 2002 FOULK ROAD SUITE A WILMINGTON DE 19810 EMPLOYED PHYSICIANS & HEART/VASCULAR 4 - NORTH WILMINGTON WOMEN'S CENTER 2002 FOULK ROAD SUITE A WILMINGTON DE 19810 EMPLOYED PHYSICIANS 5 - CENTER OF HOPE 620 STANTON-CHRISTIANA ROAD SUITE 302 NEWARK DE 19713 EMPLOYED PHYSICIANS 6 - CHRISTIANA INST OF ADVANCED SURGERY 537 STANTON-CHRISTIANA ROAD SUITE 102 NEWARK DE 19713 BARIATRIC CARE 7 - CHRISTINA INST OF ADVANCED SURGERY 620 STANTON-CHRISTINA ROAD SUITE 206 NEWARK DE 19713 BARIATRIC CARES & HEART/VASCULAR 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. FRANCIS HOSPITAL (SAINT FRANCIS) PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT, WHICH IT SUBMITS TO THE STATE OF DELAWARE. IN ADDITION, SAINT FRANCIS 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, SAINT FRANCIS 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, $11,226,597, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE 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 I, LINE 5A: DURING FY21, DUE TO THE COVID-19 PANDEMIC, THE HOSPITAL SUSPENDED ITS TRADITIONAL ANNUAL BUDGET PROCESS AND USED A QUARTERLY PROCESS TO PLAN FOR FREE AND DISCOUNTED CARE UNDER ITS FINANCIAL ASSISTANCE POLICY. THIS CHANGE IN PROCESS DID NOT ALLOW THE HOSPITAL TO BUDGET FOR FINANCIAL ASSISTANCE EXPENSES ON AN ANNUAL BASIS. THE HOSPITAL IMPLEMENTED A NEW ROLLING FORECAST METHOD FOR FINANCIAL PLANNING IN FY22. THE ROLLING FORECAST WILL FACILITATE CONTINUOUS PLANNING, PERFORMANCE ASSESSMENT AND ACCOUNTABILITY. 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: SAINT FRANCIS USES A PREDICTIVE MODEL THAT INCORPORATES THREE DISTINCT VARIABLES IN COMBINATION TO PREDICT WHETHER A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE: (1) SOCIO-ECONOMIC SCORE, (2) ESTIMATED FEDERAL POVERTY LEVEL (FPL), AND (3) HOMEOWNERSHIP. 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, SAINT FRANCIS IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, SAINT FRANCIS IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL. PART III, LINE 4: SAINT FRANCIS 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 8: SAINT FRANCIS 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 COLLECTION 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 COLLECTION 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 - SAINT FRANCIS ASSESSES THE HEALTH STATUS OF ITS COMMUNITY, IN PARTNERSHIP WITH COMMUNITY COALITIONS, AS PART OF THE NORMAL COURSE OF OPERATIONS AND IN CONTINUOUS EFFORTS TO IMPROVE PATIENT CARE AND THE HEALTH OF THE OVERALL COMMUNITY. TO ASSESS THE HEALTH OF THE COMMUNITY, THE HOSPITAL MAY USE PATIENT DATA, PUBLIC HEALTH DATA, ANNUAL COUNTY HEALTH RANKINGS, MARKET STUDIES, AND GEOGRAPHICAL MAPS SHOWING AREAS OF HIGH UTILIZATION FOR EMERGENCY SERVICES AND INPATIENT CARE, WHICH MAY INDICATE POPULATIONS OF INDIVIDUALS WHO DO NOT HAVE ACCESS TO PREVENTATIVE SERVICES OR WHO ARE UNINSURED. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - SAINT FRANCIS 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. SAINT FRANCIS 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. SAINT FRANCIS HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. SAINT FRANCIS 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 - SAINT FRANCIS SERVES THE CITY OF WILMINGTON, WHICH HAS A POPULATION OF JUST OVER 70,000. WILMINGTON HAS SOME OF THE HIGHEST SOCIO-ECONOMIC NEEDS ZIP CODES IN THE STATE OF DELAWARE: 19801, 19802 AND 19805. SAINT FRANCIS HOSPITAL IS IN 19805, JUST BLOCKS FROM CENSUS TRACT 22, WHICH IS WESTSIDE WILMINGTON'S HIGHEST POVERTY AREA. ZIP CODES CONSIDERED HIGH NEED GENERALLY HAVE POORER HEALTH OUTCOMES THAN ZIP CODES IN MORE AFFLUENT NEIGHBORHOODS.WILMINGTON'S POPULATION IS RELATIVELY YOUNG WITH A MEDIAN AGE OF 36. CLOSE TO HALF OF THE CITY'S POPULATION IS BLACK; ANOTHER 34% IS NON-HISPANIC WHITE AND 11% IS HISPANIC. PROFOUND ECONOMIC DIFFERENCES EMERGE IN THE DEMOGRAPHICS WHEN COMPARING WILMINGTON TO NEW CASTLE COUNTY AND COMPARING CENSUS TRACT 22 TO BOTH THE COUNTY AND THE CITY. IT IS CLEAR FROM THE DEMOGRAPHICS THAT POCKETS OF POVERTY EXIST ALONGSIDE THE WEALTH GENERATED BY WILMINGTON'S BANKING AND CREDIT CARD INDUSTRIES. THE AVERAGE MEDIAN HOUSEHOLD INCOME FOR BLACK AND HISPANIC FAMILIES LIVING IN WILMINGTON IS ONE HALF THAT OF WHITE FAMILIES. NEARLY 65% OF HISPANIC HOUSEHOLDS LACK ENOUGH SAVINGS TO REPLACE INCOME AT THE POVERTY LEVEL FOR THREE MONTHS IF THEY WERE TO EXPERIENCE A SUDDEN JOB LOSS, MEDICAL EMERGENCY, OR OTHER FINANCIAL CRISIS. BLACK RESIDENTS LEAD IN INCOME POVERTY, WITH ROUGHLY 27% OF BLACK FAMILIES IN WILMINGTON EARNING BELOW THE FEDERAL POVERTY LEVEL FOR THE PAST 12 MONTHS. JUST OVER 40% OF WILMINGTON'S CHILDREN, AND OVER 60% OF CHILDREN LIVING IN CENSUS TRACT 22, LIVE BELOW POVERTY. WITH RESPECT TO EDUCATION, ALMOST 93% OF WHITE RESIDENTS HOLD A HIGH SCHOOL DEGREE OR HIGHER, COMPARED TO JUST OVER 81% OF BLACK RESIDENTS. MORE THAN 35% OF LATINOS IN WILMINGTON LACK A HIGH SCHOOL DEGREE.THE CITY'S HOMEOWNERSHIP RATE STANDS AT 58.2% FOR WHITE RESIDENTS, NEARLY 20% HIGHER THAN THAT FOR BLACK AND ASIAN RESIDENTS, AND ROUGHLY DOUBLE THAT FOR LATINO RESIDENTS. IN ADDITION TO SAINT FRANCIS, THE FOLLOWING HEALTH CENTERS ALSO SERVE THE CITY OF WILMINGTON: CHRISTIANA CARE HEALTH SYSTEM, WESTSIDE FAMILY HEALTHCARE, HENRIETTA JOHNSON MEDICAL CENTER, AND NEMOURS/A.I. DUPONT HOSPITAL FOR CHILDREN. PART VI, LINE 5: OTHER INFORMATION - THE SAINT FRANCIS SAINT CLARE MOBILE MEDICAL OUTREACH VAN WAS A KEY ACCESS POINT FOR THE STATE'S COVID-19 TESTING AND VACCINATION PROGRAMS. IN FISCAL YEAR 2021, THE ST. CLARE VAN'S MEDICAL TEAM PERFORMED OVER 3,000 COVID-19 TESTS IN HARD TO REACH AREAS OF NEW CASTLE COUNTY, WITH A SPECIAL FOCUS ON COMMUNITIES OF COLOR. ADDITIONALLY, SAINT FRANCIS' OUTREACH TEAM, SAINT FRANCIS LIFE CENTER, AND ONE OF OUR LOCAL FEDERALLY QUALIFIED HEALTH CENTERS PARTNERED TOGETHER TO TEST RESIDENTS OF SEVERAL SENIOR HIGH-RISE BUILDINGS. THE ST. CLARE VAN PARTNERED WITH CHURCHES THROUGHOUT WILMINGTON IN VACCINATING APPROXIMATELY 500 INDIVIDUALS IN NEIGHBORHOODS WITH HIGH TEST POSITIVITY AND LOW VACCINATION RATES.IN ADDITION TO THE SAINT FRANCIS MOBILE TESTING PROGRAM, THE HOSPITAL SET UP A STAND-ALONE FEVER CLINIC WHERE COMMUNITY MEMBERS COULD GET SCREENED AND TESTED FOR THE COVID-19 VIRUS BEFORE ENTERING THE HOSPITAL. SICK INDIVIDUALS PRESENTING AT THE FEVER CLINIC HAD IMMEDIATE ACCESS TO PHYSICIAN CARE.THE HOSPITAL'S VACCINE CLINIC ADMINISTERED 8,428 DOSES OF THE COVID-19 VACCINE TO NON-HOSPITAL INDIVIDUALS BETWEEN DECEMBER 2020 AND JUNE 30, 2021. ST. FRANCIS RECEIVED A $75,000 COVID-19 GRANT TO SUPPORT THE UNITED WAY DELAWARE AND ITS PARTNERING ORGANIZATIONS IN PROVIDING EDUCATION, OUTREACH, AND VACCINE CLINICS TO ZIP CODES 19801, 19802, AND 19805 IN THE CITY OF WILMINGTON. OVER 30,000 INDIVIDUALS WERE REACHED THROUGH EDUCATION AND OUTREACH; 37 VACCINE CLINICS WERE FACILITATED OR SUPPORTED; AND 41,000 INDIVIDUALS WERE VACCINATED. PART VI, LINE 6: SAINT FRANCIS 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 THOSE WHO ARE POOR AND VULNERABLE 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 CARE3. IMPACTING SOCIAL INFLUENCERS OF HEALTHINVESTING 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 FISCAL YEAR 2021, TRINITY HEALTH INVESTED $1.2 BILLION IN COMMUNITY BENEFIT, SUCH AS INITIATIVES SUPPORTING THOSE WHO ARE POOR AND VULNERABLE, HELPING TO MANAGE CHRONIC CONDITIONS LIKE DIABETES, PROVIDING HEALTH EDUCATION, AND MOVING FORWARD POLICY, SYSTEM, AND ENVIRONMENTAL CHANGE. IN RESPONSE TO COVID-19, TRINITY HEALTH MEMBER HOSPITALS REDIRECTED SOME RESOURCES TO ADDRESS THE MOST URGENT SOCIAL AND MEDICAL NEEDS IN OUR COMMUNITIES, INCLUDING FOOD SUPPORT, EDUCATION SUPPORT, AND OUTREACH TO THOSE EXPERIENCING HOMELESSNESS.ADDITIONALLY, THROUGH TRINITY HEALTH'S COMMUNITY HEALTH INSTITUTE, $1.6 MILLION WAS INVESTED IN THE "IT STARTS HERE" COVID-19 VACCINE CAMPAIGN, COUPLING COMMUNITY ENGAGEMENT STRATEGIES AND SOCIAL MEDIA INFLUENCERS. THIS EFFORT DISTRIBUTED $1.1 MILLION IN CHWB GRANTS TO MEMBER HOSPITALS AND COMMUNITY-BASED ORGANIZATIONS IN SUPPORT OF COMMUNITY ENGAGEMENT STRATEGIES FOCUSED IN COMMUNITIES OF COLOR. OVER 80% OF DOLLARS AWARDED SUPPORTED PRIORITIZED COMMUNITIES, DEFINED AS 40% OF THE COMMUNITY BEING BLACK/LATINX AND/OR NATIVE AMERICAN. IT STARTS HERE LAUNCHED IN FEBRUARY, AND IN JUST UNDER FIVE MONTHS, MEMBER HOSPITALS AND THEIR COMMUNITY PARTNERS REACHED NEARLY 615,000 PEOPLE THROUGH OUTREACH AND EDUCATION, ENGAGED OVER 1,150 COMMUNITY CHAMPIONS, AND HELD OVER 700 VACCINE CLINICS THAT PROVIDED OVER 152,000 VACCINATIONS. IN ADDITION TO COMMUNITY EFFORTS, IT STARTS HERE FUNDED SOCIAL MEDIA CAMPAIGNS TO IMPROVE ACCESS TO COVID-19 VACCINATION INFORMATION BY ENGAGING LOCAL SOCIAL MEDIA INFLUENCERS WHO REPRESENT THE CULTURE AND ETHNICITY OF OUR LOCAL COMMUNITIES.BEYOND COVID-19 EFFORTS, TRINITY HEALTH COMMITTED MORE THAN $46 MILLION IN LOANS TO 31 NOT-FOR-PROFIT ORGANIZATIONS FOCUSING ON IMPROVING COMMUNITY CONDITIONS AROUND HOUSING, FACILITIES, EDUCATION, AND ECONOMIC DEVELOPMENT THROUGH OUR COMMUNITY INVESTING PROGRAM. THE PROGRAM MAKES LOW-INTEREST RATE LOANS TO SELECT COMMUNITY PARTNERS AND INTERMEDIARIES TO POSITIVELY IMPACT SOCIAL INFLUENCERS THAT DRIVE HEALTHY OUTCOMES FOR FAMILIES AND RESIDENTS LIVING IN THE COMMUNITIES WE SERVE. ADVANCING SOCIAL CARE:TRINITY HEALTH'S SOCIAL CARE PROGRAM WAS DEVELOPED TO PROMOTE HEALTHY BEHAVIORS WHILE HELPING PATIENTS, COLLEAGUES AND MEMBERS ACCESS ESSENTIAL NEEDS, SUCH AS TRANSPORTATION, CHILDCARE, OR AFFORDABLE MEDICATIONS. COMMUNITY HEALTH WORKERS ARE A KEY COMPONENT OF SOCIAL CARE AND SERVE AS LIAISONS BETWEEN HEALTH AND SOCIAL SERVICES AND THE COMMUNITY TO ADDRESS PATIENTS' SOCIAL NEEDS AND MITIGATE BARRIERS. TRINITY HEALTH'S COMMUNITY HEALTH WORKER HUB DRIVES INTEGRATION AND ASSIGNMENT OF COMMUNITY HEALTH WORKERS THROUGHOUT THE HEALTH SYSTEM. IT INCLUDES A NETWORK OF COMMUNITY HEALTH WORKERS AND COMMUNITY-BASED ORGANIZATIONS THAT TOGETHER, HELP SUPPORT INDIVIDUALS AND FAMILIES IN NEED. BECAUSE OF THEIR LIVED EXPERIENCES, COMMUNITY HEALTH WORKERS ARE TRUSTED MEMBERS OF THE COMMUNITY AND WORK CLOSELY WITH A PATIENT BY ASSESSING THEIR SOCIAL NEEDS, HOME ENVIRONMENT AND OTHER SOCIAL RISK FACTORS, AND ULTIMATELY CONNECT THE INDIVIDUAL TO SERVICES WITHIN THE COMMUNITY. IN FISCAL YEAR 2021, TRINITY HEALTH GREW ITS NETWORK OF COMMUNITY HEALTH WORKERS BY 15%, OVER 90 COMMUNITY HEALTH WORKERS, SPANNING NEARLY EVERY MEMBER HOSPITAL.ADDITIONALLY, WE CREATED THE TRINITY HEALTH COMMUNITY RESOURCE DIRECTORY, WHICH IS AN ONLINE PORTAL CONNECTING THOSE IN NEED TO FREE OR REDUCED-COST HEALTH AND SOCIAL SERVICE RESOURCES WITHIN THE COMMUNITY AND ACROSS ALL TRINITY HEALTH LOCATIONS. IN FISCAL YEAR 2021, THE COMMUNITY RESOURCE DIRECTORY YIELDED NEARLY 50,000 SEARCHES, OVER 1,000 REFERRALS, OVER 70 KEY ORGANIZATIONS CLAIMED THEIR PROGRAMS, AND OVER 900 SOCIAL NEEDS ASSESSMENTS WERE COMPLETED.TRINITY HEALTH CONTINUES TO EXPAND THE NATIONAL DIABETES PREVENTION PROGRAM THROUGH THE SUPPORT OF THE CENTERS FOR DISEASE CONTROL AND PREVENTION. EPIC, TRINITY HEALTH'S ELECTRONIC HEALTH RECORD, IDENTIFIED THE DIABETES PREVENTION PROGRAM AS A BEST PRACTICE FOR IDENTIFICATION OF AT-RISK PATIENTS, REFERRAL, AND BI-DIRECTIONAL COMMUNICATION. ADDITIONALLY, THE AMERICAN MEDICAL ASSOCIATION PRESENTED TRINITY HEALTH'S DIABETES PREVENTION PROGRAM APPROACH TO THEIR BOARD OF DIRECTORS AS A BEST PRACTICE FOR A POPULATION HEALTH, DATA-DRIVEN STRATEGY TO PREVENT DIABETES.IMPACTING SOCIAL INFLUENCERS OF HEALTH:IN PARTNERSHIP WITH THE INTERFAITH CENTER ON CORPORATE RESPONSIBILITY, THE INVESTOR ENVIRONMENTAL HEALTH NETWORK AND INVESTORS FOR OPIOID AND PHARMACEUTICAL ACCOUNTABILITY, TRINITY HEALTH USES ITS OWNERSHIP OF SHARES OF STOCK IN CORPORATIONS TO INFLUENCE CORPORATIONS' POLICIES AND PRACTICES THAT AFFECT SOCIAL INFLUENCERS OF HEALTH, THE LIVING CONDITIONS THAT CAN AFFECT THE HEALTH OF A COMMUNITY, SUCH AS HOUSING, FOOD, EDUCATION, HEALTH CARE, AND ECONOMICS. TRINITY HEALTH TAKES ACTION BY WRITING LETTERS TO COMPANIES, MEETING WITH CORPORATE MANAGEMENT, AND SUBMITTING AND SUPPORTING SHAREHOLDER RESOLUTIONS AS AGENDA ITEMS FOR COMPANIES' ANNUAL MEETINGS OF SHAREHOLDERS.FISCAL YEAR 2021 YIELDED MANY POSITIVE OUTCOMES IN ITS 180 COMPANY ENGAGEMENTS, INCLUDING 50 COMPANY DIALOGUES AND 16 FILED RESOLUTIONS LEADING TO CHANGES IN POLICIES AND PRACTICES AT 18 CORPORATIONS. FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG. PART VI, LINE 7, REPORTS FILED WITH STATES DE 1 UNITED WAY OF DELAWARE 625 N ORANGE STREET 3RD FLOOR WILMINGTON DE 19801 510073399 501(C)(3) 75000 SUPPORT COVID-19 EDUCATION, OUTREACH AND VACCINE CLINICS IN WILMINGTON CONERSTONE WEST CDC 710 N LINCOLN ST WILMINGTON DE 19805 510387484 501(C)(3) 7100 FOOD INSECURITY PROGRAM 2 0 GIFT CARDS FOR FOOD 1120 38000 FOOD 17660 71486 FMV FOOD FOR 'BACKPACKS FOR KIDS' MEAL PROGRAM FOOD 5500 98000 FMV PRODUCE BOXES PART I, LINE 2: DONATIONS MADE BY ST. FRANCIS HOSPITAL TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENTS 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 REPORTED ON SCHEDULE H. 1 1 0 0 0 0 0 0 0 JAMES WOODWARD DIR; CEO TRINITY HEALTH MID-ATLANTIC 0 698011 0 0 0 522490 0 12825 0 51278 0 1284604 0 313872 DANIEL SINNOTT DIRECTOR; PRESIDENT & CEO THRU 7/20 0 267864 0 0 0 147652 0 496469 0 39029 0 951014 0 0 JULIE WASHINGTON DIR AS OF 10/20; TH SVP CHIEF MKTG 0 466702 0 40000 0 122692 0 113450 0 25899 0 768743 0 0 JOSEPH PENNINGTON MD PHYSICIAN 629647 0 0 0 2393 0 12825 0 28094 0 672959 0 0 0 JAMES COSGROVE DO PHYSICIAN 608167 0 0 0 4997 0 21375 0 25817 0 660356 0 0 0 RICHARD LEADER MD PHYSICIAN 559444 0 0 0 1654 0 21375 0 34272 0 616745 0 0 0 NANCY FAN MD PHYSICIAN 560168 0 0 0 717 0 17100 0 33170 0 611155 0 0 0 YOLANDA HENDLEY MD PHYSICIAN 542503 0 0 0 428 0 12825 0 28702 0 584458 0 0 0 MARYANNE SPALLUCCI TREASURER & THMA REGIONAL CFO 0 365679 0 0 0 54614 0 55221 0 10892 0 486406 0 3270 CATHERINE MIKUS SECRETARY; GENERAL COUNSEL 0 311899 0 0 0 10320 0 63250 0 29306 0 414775 0 0 CASSANDRA WILLIS-ABNER DIRECTOR, TH SVP DIV & INC THR 9/20 0 312313 0 0 0 19127 0 12825 0 17708 0 361973 0 0 RALPH GONZALEZ CHIEF MEDICAL OFFICER 0 303347 0 0 0 805 0 13611 0 27801 0 345564 0 0 BRANDON HARVATH DIR; PRES & COO FROM 8/20-6/21 0 270310 0 0 0 802 0 9890 0 27793 0 308795 0 0 MICHAEL HAMMOND FORMER OFFICER 0 103531 0 0 0 64037 0 3153 0 10487 0 181208 0 0 PART I, LINE 3 ST. FRANCIS HOSPITAL (SAINT FRANCIS) IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. SAINT FRANCIS' 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 SAINT FRANCIS' 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 2020. THE AMOUNT IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: DANIEL SINNOTT - $124,947 IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES $484,170 OF SEVERANCE FOR DANIEL SINNOTT WHICH WAS UNPAID AS OF 12/31/20. OF THE $484,170 TOTAL, $406,078 WAS PAID AND INCLUDED IN DANIEL SINNOTT'S TAXABLE INCOME IN 2021, AND $78,092 WILL BE PAID AND INCLUDED IN 2022. THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2020. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. BENEFITS FOR PARTICIPANTS VESTED IN A PLAN WERE PAID OUT IN 2020, AND BENEFITS FOR PARTICIPANTS NOT YET VESTED IN A PLAN WERE ACCRUED IN 2020. THE FOLLOWING PAYOUTS FOR 2020 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: MICHAEL HAMMOND - $59,863 JAMES WOODWARD - $495,936 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THE AMOUNT THAT WAS REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING ACCRUALS FOR 2020 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: CATHERINE MIKUS - $41,875 MARYANNE SPALLUCCI - $42,396 JULIE WASHINGTON - $100,625 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 ($285,000 FOR 2020). THE FOLLOWING PAYOUTS FOR 2020 FOR THIS PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: RALPH GONZALEZ - $0 MARYANNE SPALLUCCI - $5,991 CASSANDRA WILLIS-ABNER - $6,704 COLUMN F OF SCHEDULE SCHEDULE J, PART II INCLUDES THE PORTION OF THE AMOUNT THAT WAS REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. ALLIED DIAGNOSTIC PATHOLOGY CONSULTANTS PA (ADPC) JAMES MONIHAN, DIRECTOR, CONTROLS MORE THAN 35% OF ADPC 264829 ST. FRANCIS HOSPITAL PURCHASES MEDICAL SERVICES FROM ADPC 0 ALLIED DIAGNOSTIC PATHOLOGY CONSULTANTS PA (ADPC) JAMES MONIHAN, DIRECTOR, CONTROLS MORE THAN 35% OF ADPC 68744 ST. FRANCIS HOSPITAL PROVIDES MEDICAL SERVICES TO ADPC 0 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF SAINT FRANCIS IS THMA. SEE LINE 7 FOR ADDITIONAL INFORMATION. FORM 990, PART VI, SECTION A, LINE 7A THMA IS THE SOLE MEMBER OF SAINT FRANCIS. THMA HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF SAINT FRANCIS. FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER, THMA MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. THMA 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 SAINT FRANCIS IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE EXECUTIVE COMMITTEE. 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 SAINT FRANCIS 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 SAINT FRANCIS, 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 SAINT FRANCIS 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 SAINT FRANCIS (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO SAINT FRANCIS OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF SAINT FRANCIS (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 SAINT FRANCIS. 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 SAINT FRANCIS 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 SAINT FRANCIS 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 SAINT FRANCIS 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, SAINT FRANCIS INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. SAINT FRANCIS' GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G MEDICAL SPECIALIST FEES: PROGRAM SERVICE EXPENSES 9,736,763. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,736,763. CONSULTING FEES: PROGRAM SERVICE EXPENSES 67,312. MANAGEMENT AND GENERAL EXPENSES 116,850. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 184,162. MISC. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 6,649,853. MANAGEMENT AND GENERAL EXPENSES 673,217. FUNDRAISING EXPENSES 11,126. TOTAL EXPENSES 7,334,196. RECRUITMENT: PROGRAM SERVICE EXPENSES 23,165. MANAGEMENT AND GENERAL EXPENSES 1,964. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,129. COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 74,971. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 74,971. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 1,798,436. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,798,436. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 35,616. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,616. LAUNDRY AND LINEN SERVICES: PROGRAM SERVICE EXPENSES 159,128. MANAGEMENT AND GENERAL EXPENSES 37,854. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 196,982. FORM 990, PART XI, LINE 9: ASSET IMPAIRMENT -4,504. EQUITY TRANSFERS TO AFFILIATE -3,045,258. FORM 990, PART XII, LINE 2: SAINT FRANCIS' FINANCIAL STATEMENTS WERE INCLUDED IN THE FY21 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. DELAWARE CARE COLLABORATION DCC LLC 701 N CLAYTON STREET WILMINGTON DE 19805 474069475 ACCOUNTABLE CARE ORGANIZATION DE 0 3566 ST FRANCIS HOSPITAL INC ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP 245 STATE ST 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 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43213 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 ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 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 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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 CROSS CARENET INC PO BOX 9184 FARMINGTON HILLS MI 48152 521945054 LONG TERM CARE MD 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES 1 HOLY CROSS HEALTH FOUNDATION INC 1500 FOREST GLEN ROAD SILVER SPRING MD 20910 208428450 FOUNDATION MD 501(C)(3) LINE 7 HOLY CROSS HEALTH INC 1 HOLY CROSS HEALTH INC 1500 FOREST GLEN ROAD SILVER SPRING MD 20910 520738041 HEALTH CARE AND HOSPITAL SERVICES MD 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 HOLY CROSS HOSPITAL INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 590791028 HEALTH CARE AND HOSPITAL SERVICES FL 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 HOLY CROSS OUTPATIENT SERVICES INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 465421068 HEALTH CARE SERVICES FL 501(C)(3) LINE 10 HOLY CROSS HOSPITAL INC 1 HOLY CROSS PRIMARY CARE INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 812531495 HEALTH CARE SERVICES FL 501(C)(3) LINE 10 HOLY CROSS HOSPITAL INC 1 HOLY CROSS SENIOR SERVICES INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 832256461 HEALTH CARE SERVICES FL 501(C)(3) LINE 10 HOLY CROSS HOSPITAL INC 1 HOME AIDE SERVICE OF EASTERN NEW YORK INC 433 RIVER ST SUITE 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TRINITY HEALTH CORPORATION 1 LOYOLA UNIVERSITY MEDICAL CENTER 2160 SOUTH FIRST AVENUE MAYWOOD IL 60153 364015560 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM 1 LTC (EDDY) INC 2212 BURDETT AVE TROY NY 12180 222564710 MANAGEMENT SERVICES FOR LONG TERM CARE NY 501(C)(3) LINE 12B, II ST PETER'S HEALTH PARTNERS 1 MAXIS HEALTH SYSTEM 20555 VICTOR PARKWAY LIVONIA MI 48152 911940902 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT PA 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 MCAULEY CENTER INC 275 STEELE ROAD WEST HARTFORD CT 06117 061058086 SENIOR LIVING COMMUNITY CT 501(C)(3) LINE 10 MERCY COMMUNITY HEALTH INC 1 MCAULEY MINISTRIES 3333 FIFTH AVENUE PITTSBURGH PA 15213 943436142 GRANT MAKING PA 501(C)(3) LINE 12B, II PITTSBURGH MERCY HEALTH SYSTEM INC 1 MERCY CARE CENTER 20555 VICTOR PARKWAY LIVONIA MI 48152 853904921 HEALTH CARE AND HOSPITAL SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 MERCY CARE FOUNDATION INC 424 DECATUR STREET 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