2022-05-16T16:17:16-05:00 2021-06-30 135565207 KPMG LLP 301 MAIN STREET SUITE 2150 BATON ROUGE LA 70801 990 2020-07-01 720408970 ST FRANCIS MEDICAL CENTER STFR 2259232701 4200 ESSEN LANE BATON ROUGE LA 70809 TERRI HICKS VP, FINANCE - CFO STF 2259232701 2022-05-13 1 TERRI HICKS 999009999 MAXWELL BARLOW P01959439 2253444000 2022-05-13 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z TERRI HICKS 4200 ESSEN LANE BATON ROUGE LA 70809 399701264 0 X WWW.STFRAN.COM X 1913 LA SEE SCHEDULE O 19 16 1935 57 235708 137359 4956246 32043454 313754505 321306759 2347315 3943753 3664493 25191405 324722559 382485371 24590 33850 0 0 119634516 127144136 0 0 0 209877300 190895514 329536406 318073500 -4813847 64411871 301207678 337131087 292628917 253102955 8578761 84028132 X SEE SCHEDULE O. 0 0 213059543 33850 314886561 ST. FRANCIS MEDICAL CENTER PROVIDES QUALITY HOSPITAL AND MEDICAL SERVICES PRIMARILY TO RESIDENTS OF NORTHEAST LOUISIANA. THE MEDICAL CENTER IS AN ACTIVE, CARING MEMBER OF THE COMMUNITIES IT SERVES. IN CARRYING OUT ITS MISSION OF MEETING THE HEALTHCARE NEEDS OF THE PEOPLE OF GOD, THE MEDICAL CENTER HAS ESTABLISHED A POLICY UNDER WHICH IT PROVIDES CARE TO NEEDY MEMBERS OF ITS COMMUNITIES. FOLLOWING THAT POLICY, HEALTH CARE SERVICES COSTING APPROXIMATELY, $3,393,405 WERE PROVIDED WITHOUT CHARGE. THE MEDICAL CENTER PROVIDED 276 LICENSED BEDS, 74,066 INPATIENT DAYS, 11,755 INPATIENT DISCHARGES, AND 43,034 ER VISITS IN THE YEAR ENDED JUNE 30, 2021. 27660808 31375895 ST. FRANCIS MEDICAL CENTER'S PHYSICIAN PRACTICE PROVIDES CARE TO THE NEEDY MEMBERS OF ITS COMMUNITIES. 240720351 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 7 0 1 1935 1 1 1 0 0 0 0 0 0 0 0 0 X 19 16 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 1 1 X AMANDA HYMEL 2257658496 5959 S SHERWOOD FOREST BLVD BATON ROUGE LA 70809 BISHOP FRANCIS MALONE BOARD MEMBER 1.00 0.00 X 0 0 0 CARRIE BAKER BOARD MEMBER 1.00 0.00 X 0 0 0 DR RON BERRY BOARD MEMBER 1.00 0.00 X 0 0 0 HILL HINKLE MD BOARD MEMBER 1.00 0.00 X 0 0 0 JL HOLLAND CHAIR 1.00 0.00 X X 0 0 0 JANET DURDEN VICE CHAIR 1.00 0.00 X X 0 0 0 JOHN JONES BOARD MEMBER 1.00 0.00 X 0 0 0 JOHN REA BOARD MEMBER 1.00 0.00 X 0 0 0 KRISTIN S WOLKART EX-OFFICIO, PRES/CEO SFMC 1.00 51.00 X X 0 523284 88957 REV BRIAN MERCER BOARD MEMBER 1.00 0.00 X 0 0 0 REV EVERETT SLACK BOARD MEMBER 1.00 0.00 X 0 0 0 ROLF MORSTEAD MD EX-OFFICIO:CHIEF OF STAFF 1.00 0.00 X 0 30012 0 SHERITA WILLIAMS BOARD MEMBER 1.00 0.00 X 0 0 0 SR HELEN CAHILL BOARD MEMBER 1.00 4.00 X 0 0 0 SR MARY SEPULVADO OSF BOARD MEMBER 1.00 1.00 X 0 0 0 TARA HANEY BOARD MEMBER 1.00 0.00 X 0 0 0 THOMAS J GULLATT MD DIRECTOR/PHYSICIAN 40.00 0.00 X 613083 0 73220 WILLIAM CHEEK BOARD MEMBER 1.00 0.00 X 0 0 0 WILLIAM SMART SECRETARY 1.00 0.00 X X 0 0 0 JEREMY ROGERS VP, CHIEF OPERATING OFFICER 1.00 41.00 X 0 289831 37173 JEFFREY LIMBOCKER EVP, CHIEF FINANCIAL OFFICER 1.00 59.50 X 0 971153 196661 KAYLA B JOHNSON VP, PATIENT CARE SVCS 40.00 0.00 X 269525 0 81436 JOHN KAHL VP, OPS AND PHYSICIAN SVCS 40.00 0.00 X 212003 0 24730 DARSHAN PATEL STAFF PHYSICIAN 40.00 0.00 X 593558 0 32696 JAMES G SMITH HOSPITALIST 40.00 0.00 X 645610 0 76287 JOHN D BRUCHHAUS HOSPITALIST 40.00 0.00 X 616977 0 72467 RICHARD KAMM HOSPITALIST 40.00 0.00 X 554983 0 17621 SARAH AHMAD STAFF PHYSICIAN 40.00 0.00 X 744424 0 27909 4250163 1814280 729157 151 0 1 0 FMOL HEALTH SYSTEM 4200 ESSEN LANE BATON ROUGE LA 70809 MANAGEMENT SERVICES 37418320 SPECIALTY MGMT SER OF OUACHITA 101 CATALPA ST MONROE LA 71201 CONTRACT LABOR SVCS 15924717 MORRISON MGMT SPECIALISTS 5801 PEACHTREE DUNWOODY RD ATLANTA GA 303421503 DIETARY SERVICES 5145786 TRIMEDX INC 5451 LAKEVIEW PARKWAY S DR INDIANAPOLIS IN 46268 MAINTENANCE SERVICES 4583968 CROTHALL HEALTHCARE INC C/O OLOL 5000 HENNESSY BLVD BATON ROUGE LA 70808 HOUSEKEEPING SERVICE 3679647 67 580205 31023148 440101 32043454 PATIENT SERVICE REVENUE 621500 304079056 304079056 OTHER 900099 14828346 14828346 CAFETERIA 722514 1401380 1401380 INCOME FROM EQUITY INVESTEES 523000 500299 275557 224742 OUTREACH LAB 621500 497678 486712 10966 321306759 731613 731613 -1579 -1579 3989746 0 3989746 3989746 3989746 18458414 1971198 15274021 1941872 3184393 29326 3213719 3213719 INCREASE IN ACCRUED PENSION 21201659 21201659 21201659 382485371 346262456 235708 3943753 33850 33850 1082471 989014 93457 105361877 96265238 9096639 1161862 1049755 112107 11967464 10818226 1149238 7570462 6839992 730470 53129673 26590580 26539093 132165 121455 10710 2590 2380 210 202796 202796 26068281 17911342 8156939 283708 92793 190915 15735760 4595007 11140753 299064 97816 201248 7340944 5362513 1978431 280421 91718 188703 28837 9432 19405 4303195 79723 4223472 11513146 10025719 1487427 3550022 821034 2728988 MEDICAL SUPPLIES EXPENS 64648265 55997933 8650332 REPAIRS 3187776 2761232 426544 OTHER EXPENSES 182087 157723 24364 MISCELLANEOUS 6784 5876 908 318073500 240720351 77353149 0 63700732 88054581 0 0 0 0 34482187 34890565 0 0 0 0 0 10197 6973006 6427342 3433362 2941403 360927937 261197474 102908383 99730463 0 0 76143400 99554709 0 0 3736701 1316350 9829907 4205477 301207678 337131087 36864554 39705855 0 0 37347049 31408546 117714677 115601574 0 0 0 0 0 0 0 0 100702637 66386980 292628917 253102955 X 8301999 83597302 276762 430830 8578761 84028132 301207678 337131087 X 64411871 19720236 -8682736 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 9008246 9008246 184923886 131374745 53549141 10099344 2833004 7266340 154848507 125531771 29316736 2047954 1457954 590000 99730463 INVESTMENTS HELD AT FMOLHS 99554709 F 99554709 OTHER LIABILITIES 4920094 DUE TO/FROM RELATED PARTIES -4142642 ACCRUED PENSION COST 65609528 66386980 X PART X, LINE 2: FIN 48 (ASC 740) FOOTNOTE: FMOLHS RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGEMENT OCCURS. NO RESERVES FOR UNCERTAIN TAX POSITIONS HAVE BEEN RECORDED. 1 1 X 1 X 250.000000000000 0 1 1 0 1 1 884651 884651 59709776 51136686 8573090 0.02700 60594427 52021337 8573090 0.02700 5667 666 5001 0.00000 614660 460996 153664 0.00050 1880511 1880511 0.00590 135515 700 134815 0.00040 2636353 462362 2173991 0.00680 63230780 52483699 10747081 0.03380 45122 45122 0.00010 45122 45122 0.00010 1 251916 74565774 82036781 -7471007 X 1 1 1 1 ST FRANCIS MEDICAL CENTER PO BOX 1901 MONROE LA 71210 WWW.FMOLHS.ORG/STFRAN X X X ST FRANCIS MEDICAL CENTER 1 0 0 1 X X X X X X X X X 19 1 0 0 1 X SEE PART V, SECTION C X 1 19 0 1 0 1 X 200.000000000000 0.000000000000 X X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X 1 X 0 X X X 1 X 0 0 ST. FRANCIS MEDICAL CENTER PART V, SECTION B, LINE 5: ST. FRANCIS MEDICAL CENTER (SFMC)THE ORGANIZATIONS ENGAGED KEY COMMUNITY PARTNERS THROUGH PERSONAL INTERVIEWS. SFMC TOOK INTO ACCOUNT INPUT FROM THOSE WITH SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH BY INTERVIEWING SHEILA HUTSON, WHO IS AN RN AT THE OFFICE OF PUBLIC HEALTH. ADDITIONALLY, SFMC ALSOTOOK INTO ACCOUNT INPUT FROM THOSE WHO REPRESENT A BROAD INTEREST IN THE COMMUNITY BY CONDUCTING AN ONLINE SURVEY. THE PARTICIPANTS WERE ASKED TO SELECT FOUR HEALTH ISSUES. ST. FRANCIS MEDICAL CENTER PART V, SECTION B, LINE 11: SFMC'S PREVIOUS CHNA IDENTIFIED FIVE PRIORITY AREAS: CHRONIC DISEASE MANAGEMENT, OBESITY/SEDENTARY LIFESTYLES, SUBSTANCE ABUSE, ACCESS TO CARE, AND CARE FOR THE ELDERLY. WHILE SFMC HAS BEEN ACTIVELY WORKING TO FIGHT COVID-19 FOR THE MAJORITY OF THE PREVIOUS CHNA MEASUREMENT PERIOD, IT HAS REMAINED AS ACTIVE AS POSSIBLE IN THE COMMUNITY/SERVICE AREA WHILE PROTECTING THE SAFETY OF THE RESIDENTS AND SFMC TEAM MEMBERS. MANY STORIES EMERGE FROM SFMC DAILY THE "GOOD CATCHES" OUR TEAM MEMBERS MAKE AS THEY GO ABOUT THEIR DAILY WORK. FOR EVERY DELAYED STRATEGY THAT RESULTED FROM THE COVID-19 PANDEMIC, THERE ARE MORE THAT TAKE THEIR PLACES TO HELP PATIENTS RESTORE HEALTH, HELP BABIES COME INTO THE WORLD, HELP PATIENTS CONNECT WITH LIFE-SUSTAINING RESOURCES, HELP FAMILIES UNDERSTAND HOW TO HELP LOVED ONES, AND SO MUCH MORE. CARING, COMPASSION, OUTREACH, AND CONSTANT SEARCH FOR IMPROVEMENT ARE AT THE FOUNDATION OF THE CHNA PROCESS, AND THEY ARE AT THE CENTER OF WHAT SFMC TRIES TO DO EACH DAY AS WE CARE FOR THOSE MOST IN NEED. SFMC CONTINUED TO DEVELOP AND PROMOTE ITS PALLIATIVE CARE PROGRAM TO DECREASE PREVENTABLE HOSPITALIZATIONS AND ASSIST FAMILIES SEEKING CARE NAVIGATION. PATIENTS RECEIVED PRESCRIPTION ASSISTANCE CARDS THROUGH CASE MANAGEMENT, THE TOBACCO CESSATION PROGRAM, WOMEN'S & CHILDREN'S SERVICES, AND THE ST. FRANCIS MEDICAL GROUP TO ASSIST NOT ONLY WITH CHRONIC DISEASE MANAGEMENT BUT WITH ACCESS TO CARE. PATIENTS WERE ALSO REFERRED TO UNITED WAY 2-1-1 FOR INFORMATION ON ACCESSING HEALTHCARE AND RELATED SERVICES AFTER DISCHARGE. SFMC PARTNERED WITH THE UNITED WAY IN EARLY 2021 TO UPDATE THE 2-1-1 DATABASE WITH EVIDENCE-BASED INFORMATION FOR NEW PARENTS AND TO INITIATE A STATEWIDE PROJECT TO HELP PARENTS HAVE 24-HOUR ACCESS TO PARENTING-SPECIFIC ASSISTANCE (PROJECT ONGOING). SFMC COLLABORATED WITH FAITH GROUPS TO SET UP COVID-19 VACCINATION CLINICS AND TO PROVIDE SAFETY INFORMATION ABOUT PROTECTING CONGREGANTS FROM CONTRACTING OR SPREADING THE VIRUS (E.G., MASK WEARING, HANDWASHING, ETC.). SFMC ALSO PROVIDED COVID-19 DRIVE-THROUGH TESTING SITES AT VARIOUS LOCATIONS IN THE AREA. DURING THE PANDEMIC, TEAM MEMBERS HELD FOOD DRIVES TO SUPPORT THE FOOD BANK OF NORTHEAST LOUISIANA AND INDIVIDUAL EFFORTS BY DEPARTMENTS TO SUPPORT NEEDS IN THE COMMUNITY. ADDITIONALLY, THE NUMBER OF LIFESHARE BLOOD DRIVES WAS INCREASED TO HELP FILL A CRITICAL NEED FOR BLOOD IN THE COMMUNITY. BETWEEN SEPTEMBER 2020 AND JUNE 2021 ALONE, 289 PINTS OF BLOOD WERE DONATED WITH A CONSERVATIVE ESTIMATE OF IN-KIND COMMUNITY BENEFIT OF $7,424 DONATED FACTORING IN TEAM MEMBER TIME SPENT COORDINATING THE EVENT AND DONATING DURING WORK HOURS. DURING THE PREVIOUS CHNA MEASUREMENT PERIOD, THE ST. FRANCIS MEDICAL GROUP ADDRESSED OBESITY/SEDENTARY LIFESTYLES BY INTRODUCING IDEAL PROTEIN, A MODIFIED KETO DIET COMBINED WITH PROFESSIONAL SUPPORT AND HEALTHY EATING EDUCATION THAT OFFERS A SCIENTIFIC APPROACH TO WEIGHT LOSS THROUGH A THREE-PHASE PROTOCOL AND PERSONALIZED, ONGOING SUPPORT FOR PARTICIPANTS. SFMC TEAM MEMBERS WERE CHALLENGED TO PARTICIPATE AT A REDUCED COST, AND OUTCOMES WERE POSITIVE FOR ALL PARTICIPANTS. THE PROGRAM WAS THEN PROMOTED TO THE PUBLIC THROUGH SFMG PHYSICIANS AND SOCIAL MEDIA OUTLETS AS A HEALTHY ALTERNATIVE FOR WEIGHT LOSS. SFMC ALSO CONTINUED ITS WORK WITH NEW MOTHERS TO COMBAT OBESITY FROM THE BEGINNING OF LIFE BY ONLY PASSING OUT BREASTFEEDING INFORMATION TO NEW MOTHERS. IN RESPONSE TO THE COVID-19 PANDEMIC, THE BREASTFEEDING AND BABY CARE CLASSES TRANSITIONED TO AN ONLINE FORMAT SO THE EDUCATION COULD CONTINUE TO BE PROVIDED, AND PARTICIPATION HAS BEEN CONSISTENT. NEW MOTHERS ARE CONTINUING TO REPORT INITIATION OF BREASTFEEDING, AND BREASTFEEDING IS THE ONLY METHOD DISCUSSED UNLESS THE MOTHER REQUESTS ALTERNATE EDUCATION/INFORMATION. A TOTAL OF 702 FAMILY MEMBERS WERE SERVED WITH EDUCATION CLASSES BOTH IN-PERSON AND ONLINE DURING THE CHNA MEASUREMENT PERIOD AS OF THE PUBLISHING OF THIS CHNA. IN THE PREVIOUS CHNA MEASUREMENT PERIOD, SFMC BEGAN THE PLANNING OF A PRESCRIPTION TAKEBACK DAY IN COLLABORATION WITH THE UNIVERSITY OF LOUISIANA AT MONROE COLLEGE OF PHARMACY. HOWEVER, DUE TO THE COVID-19 PANDEMIC, THE EVENT WAS PLACED ON HOLD. THE PLAN WILL BE REINITIATED DURING THE 2021 CHNA MEASUREMENT PERIOD, AND RESOURCES HAVE BEEN ALLOCATED. SFMC ALSO PLANS TO PARTNER WITH THE COUNCIL ON AGING AND THE WEST OUACHITA SENIOR CENTER TO CONDUCT SIMILAR EVENTS. SFMC PARTICIPATED IN THE PLANNING AND EXECUTION OF THE OUACHITA YOUTH LEADERSHIP SUMMIT IN PARTNERSHIP WITH THE CHILDREN'S COALITION FOR NORTHEAST LOUISIANA TO EDUCATE AUDIENCES ABOUT THE DANGERS OF VAPING IN YOUNG PEOPLE. IN TOTAL, 528 ADOLESCENTS AND ADULTS ATTENDED THE EVENT. ADDITIONALLY, IN THE PRIORITY AREA OF SUBSTANCE ABUSE, SFMC MET WITH NORTHEAST DELTA HUMAN SERVICES AUTHORITY TO DISCUSS PLANS TO WORK TOGETHER TO TREAT PATIENTS WHO NEED MENTAL HEALTH SERVICES AS WELL AS TOBACCO CESSATION; DISCUSSIONS ARE ONGOING. SFMC IMPLEMENTED A VIDEO VISIT PROGRAM IN FALL 2019 TO ADDRESS ACCESS TO CARE AND SUBSTANCE ABUSE FOR TOBACCO CESSATION PATIENTS BUT WAS UNABLE TO EXPAND THE VIDEO VISITS TO ADDITIONAL POPULATIONS (E.G., PRISON POPULATION, HOME HEALTH PATIENTS, ASSISTED LIVING CENTERS) AS MENTIONED IN THE IMPLEMENTATION STRATEGY DUE TO OTHER PROJECTS THAT TOOK PRIORITY AFTER THE COVID-19 PANDEMIC BEGAN. AT THE TIME OF THE PUBLISHING OF THIS CHNA, 2,244 TOBACCO CESSATION PATIENTS HAD COMPLETED A TELEHEALTH VISIT. THE SFMC TOBACCO CESSATION PROGRAM ALSO REDUCED ITS NO-SHOW RATE FROM 27% TO 11% BY INTRODUCING A TELEHEALTH PROGRAM, THEREBY KEEPING PATIENTS ON TRACK WITH THEIR APPOINTMENTS AND IMPROVING ACCESS TO CARE. BY PROMOTING THE AVAILABILITY OF TELEHEALTH, REFERRALS FROM HEALTHCARE PROVIDERS ALSO WENT UP FROM AN AVERAGE OF 33 PER MONTH TO 52 PER MONTH DURING THE CHNA MEASUREMENT PERIOD, WHICH HELPED MORE PATIENTS RECEIVE SERVICES. THE SFMC TOBACCO CESSATION PROGRAM WORKED CLOSELY WITH THE SFMG AND HOSPITALISTS TO INCREASE REFERRALS AND FOCUS ON OPERATIONAL ISSUES, SUCH AS HOW PROVIDERS PREFER TO SEND REFERRALS, MONTHLY REPORTS OF HOW MANY REFERRALS HAVE BEEN RECEIVED FROM EACH PROVIDER, FOLLOW-UP REPORTS ON PATIENTS, ETC., TO FOSTER RELATIONSHIPS AND BUILD THE PROVIDERS AS COMMUNITY ADVOCATES FOR THE PROGRAM. DISCUSSIONS BEGAN IN THE PREVIOUS CHNA PERIOD WITH AMERICORPS REGARDING THE DEPLOYMENT OF VOLUNTEERS TO THE SFMC EMERGENCY DEPARTMENT TO WORK AS NAVIGATORS FOR PATIENTS WITH SUBSTANCE USE DISORDERS. THIS PLAN WILL BE REINITIATED IN THE 2021 CHNA SINCE COVID-19 CASES ARE DECREASING. FMOLHS FOUNDED A DIVERSITY, EQUITY, & INCLUSION COUNCIL AT EACH OF ITS FACILITIES IN THE PREVIOUS CHNA MEASUREMENT PERIOD, AND SFMC WILL BE PILOTING COLLECTION OF COMMUNITY BENEFIT DATA RELATED TO THE DE&I COUNCIL WORK. THE SFMC COUNCIL HELD A MEET-AND-GREET IN THE HOSPITAL CAFETERIA SEPTEMBER 30, 2021, TO INTRODUCE THREE PROJECTS UNDERWAY (OVERCOMING IMPLICIT BIAS IN MATERNAL CARE, TUITION REIMBURSEMENT PROGRAM, AND CNA TO LPN PROGRAM). SFMC HOSTED THE UNITED WAY 2-1-1 TEAM ON-SITE IN FEBRUARY 2020 TO INTRODUCE TEAM MEMBERS TO THE SERVICE. INITIALLY, THE TEAM WAS SCHEDULED TO BE ON-SITE MONTHLY; HOWEVER, THE COVID-19 PANDEMIC PREVENTED THEIR RETURNING AFTER THE FIRST EVENT. INFORMATION HAS BEEN SHARED THROUGH OTHER METHODS, AND THE PLAN WILL BE REINITIATED WHEN APPROPRIATE. SFMC PROVIDED AN AVERAGE OF 548 MEALS PER MONTH AT A COST OF $4/MEAL TO MEALS ON WHEELS IN PARTNERSHIP WITH THE OUACHITA COUNCIL ON AGING DURING THE PREVIOUS CHNA MEASUREMENT PERIOD. DURING MANY MONTHS, THE NUMBER OF MEALS DELIVERED WAS HIGHER; HOWEVER, DUE TO THE LOWER NUMBER OF MEALS THAT WERE PROVIDED DUE TO DELIVERY RESTRICTIONS AND AVAILABLE DELIVERY STAFF DURING THE COVID-19 PANDEMIC, THE NUMBER OF MEALS PER MONTH DROPPED DRAMATICALLY IN SPRING 2020. PRIOR TO THE PANDEMIC, SFMC PARTNERED WITH A FARM-TO-WORK INITIATIVE AND PROMOTED THE AVAILABILITY OF FRESH FRUITS AND VEGETABLES TO BOTH ITS OWN TEAM MEMBERS AND BUSINESSES AND ORGANIZATIONS IN THE DOWNTOWN MONROE AREA AS WELL. THE SETUP WAS MADE AVAILABLE WHERE PASSERSBY AND HOSPITAL VISITORS COULD ACCESS THE PRODUCE. SFMC ATTEMPTS ON AN ONGOING BASIS TO MONITOR ACTIVITIES TO DETERMINE IF WHAT IS DONE IN THE COMMUNITY HELPS THE PEOPLE WE SERVE AND PROVIDES DIRECT COMMUNITY BENEFIT. MANY OF THESE ACTIVITIES FALL OUTSIDE THE PRIORITY AREAS CHOSEN FOR THE CHNAS AND ARE NOT CAPTURED ON A SCORECARD SUCH AS:- FREE FLU SHOTS FOR AUXILIARY MEMBERS, STUDENT INTERNS, OUTSIDE LICENSED INDEPENDENT PRACTITIONERS, AND CONTRACT/AGENCY PERSONNEL- FREE MAMMOGRAPHY SCREENINGS FOR ST. FRANCIS AUXILIARY MEMBERS WHO DO NOT HAVE INSURANCE TO COVER THE TOTAL COST(SEE SCHEDULE O) ST. FRANCIS MEDICAL CENTER PART V, SECTION B, LINE 13H: PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE:1. THE PATIENT RECEIVING FREE CARE FROM A COMMUNITY CLINIC AND IS REFERRED TO THE HOSPITAL;2. STATE-FUNDED PRESCRIPTION PROGRAMS;3. HOMELESS, INDIGENT, OR HOMELESS CLINIC PATIENT;4. PATIENT'S CHILDREN WHO QUALIFY FOR OTHER FINANCIAL ASSISTANCE PROGRAMS;5. PATIENT ELIGIBLE FOR FOOD STAMPS;6. MEDICAID ELIGIBLE PATIENT;7. PATIENT IS DECEASED WITH NO KNOWN RESPONSIBLE PARTY;8. PATIENT IS INCARCERATED AND HAS NO OTHER RESPONSIBLE PARTY ST. FRANCIS MEDICAL CENTER PART V, SECTION B, LINE 16J: REGISTRATION PERSONNEL REFER PATIENTS THAT MAY HAVE DIFFICULTY PAYING FOR THEIR MEDICAL CARE TO FINANCIAL COUNSELORS TO DISCUSS QUALIFICATIONS FOR FULLY DISCOUNTED CARE. PART V, SECTION B, LINE 7A ST. FRANCIS MEDICAL CENTER:THE CHNA CAN BE FOUND AT HTTPS://STFRAN.COM/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT PART V, SECTION B, LINE 16 PART V, SECTION B, LINE 16A, 16B 16CST. FRANCIS MEDICAL CENTER:THE FINANCIAL ASSISTANCE POLICY, FAP APPLICATION FORM, AND A PLAIN LANGUAGE SUMMARY ARE AVAILABLE AT: HTTPS://FMOLHS.ORG/FINANCIAL-ASSISTANCE-POLICY/ 4 1 - COMMUNITY HEALTH CENTER 2600 TOWER DRIVE MONROE LA 71201 VARIOUS OUTPATIENT SERVICES 2 - NORTHEAST LA CANCER INSTITUTE 411 CALYPSO STREET MONROE LA 71210 CANCER TREATMENT AND IMAGING CENTER 3 - MONROE MRI CENTER 501 CATALPA STREET MONROE LA 71201 MRI SERVICES 4 - ST FRANCIS PET IMAGING OF MONROE PO BOX 1851 MONROE LA 71201 PET IMAGING SERVICES PART I, LINE 3C: FINANCIAL ASSISTANCE IS AVAILABLE FOR INDIVIDUALS WHO ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR ANY GOVERNMENT HEALTH CARE BENEFIT PROGRAM, AND WHO ARE UNABLE TO PAY FOR THEIR CARE. FULL AND PARTIAL DISCOUNTED CARE IS AVAILABLE IF INCOME AND ASSETS MEET CERTAIN FEDERAL POVERTY GUIDELINE LEVELS. DISCOUNTED CARE IS ALSO AVAILABLE FOR THOSE PATIENTS WITH CATASTROPHIC MEDICAL BILLS AND IS AVAILABLE IF MEDICAL BILLS EXCEED A CERTAIN PERCENTAGE OF INCOME AND ASSETS. FULLY DISCOUNTED CARE IS ALSO AVAILABLE WHERE THE PATIENT OR OTHER SOURCES CAN PROVIDE SUFFICIENT EVIDENCE OF PRESUMPTIVE ELIGIBILITY. PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE:1) PATIENT RECEIVING FREE CARE FROM A COMMUNITY CLINIC AND IS REFERRED TO THE HOSPITAL;2) STATE-FUNDED PRESCRIPTION PROGRAMS;3) HOMELESS, INDIGENT, OR HOMELESS CLINIC PATIENT;4) PATIENT'S CHILDREN WHO QUALIFY FOR OTHER FINANCIAL ASSISTANCE PROGRAMS;5) PATIENT ELIGIBLE FOR FOOD STAMPS;6) MEDICAID ELIGIBLE PATIENT;7) PATIENT IS DECEASED WITH NO KNOWN RESPONSIBLE PARTY;8) PATIENT IS INCARCERATED AND HAS NO OTHER RESPONSIBLE PARTY. PART I, LINE 7: THE COST-TO-CHARGE RATIO IS UTILIZED AS THE COSTING METHODOLOGY TO CALCULATE THE AMOUNTS REPORTED IN PART I LINES 7A-7D AND IS BASED ON THE COST ACCOUNTING SYSTEM OF THE ORGANIZATION. FOR PART I LINES 7E, 7F, 7G, 7H AND 7I, DIRECT COSTS WERE CAPTURED FROM THE HOSPITAL'S AUDITED FINANCIAL STATEMENT AND THE MEDICARE COST REPORT WHERE APPLICABLE. FOR PART I LINE 7G, COST FIGURES WERE CALCULATED FROM DEPARTMENTAL COSTS LESS DIRECT OFFSETTING REVENUE. PART I, LINE 7G: ST. FRANCIS MEDICAL CENTER PROVIDES SUBSIDIZED HEALTH SERVICES, INCLUDING SERVICES THAT PROVIDE PEDIATRIC NEUROLOGY, PEDIATRIC NEUROSURGERY, AND ADULT NEUROLOGY. THESE SPECIALIZED SERVICES ARE SUBSIDIZED BY ST. FRANCIS MEDICAL CENTER SINCE THESE ARE UNDER-SERVED SPECIALTY AREAS. PART I, LN 7 COL(F): FOR THE PURPOSE OF CALCULATING THE PERCENTAGE IN PART I, LINE 7, COLUMN F, FUNCTIONAL EXPENSES WERE USED WHICH DID NOT INCLUDE BAD DEBT EXPENSE. PART III, LINE 4: THE BAD DEBT FOOTNOTE IS ON PAGES 17 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE MEDICARE COST REPORT IS BASED ON REGULATORY REQUIREMENTS AND GUIDELINES. THE ORGANIZATION CURRENTLY DOES NOT BELIEVE THAT ANY SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. PART III, LINE 9B: PATIENTS WITH NO MEANS OF PAYMENT MAY APPLY FOR FINANCIAL ASSISTANCE. APPROVAL WILL BE BASED ON INCOME, ASSETS, AND MEDICAL EXPENSES AS SET FORTH IN THE FINANCIAL ASSISTANCE POLICY. ACCOUNTS MAY ALSO BE FULLY DISCOUNTED BASED ON A PRESUMPTIVE CHARITY SCORING SYSTEM WHICH IS SIMILAR TO CREDIT SCORING. TO THE EXTENT APPROPRIATE AND PERMITTED BY LAW, FINANCIAL COUNSELING AND SCREENINGS ARE CONDUCTED AT THE TIME OF ENCOUNTER TO ASSIST IN IDENTIFYING PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S POLICY. THESE PROCESSES HELPIDENTIFY (EARLY IN THE PROCESS) PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE. THIS HELPS KEEP QUALIFYING PATIENTS OUT OF THE HOSPITAL'S COLLECTION PROCESSES BECAUSE AMOUNTS COVERED BY FINANCIAL ASSISTANCE ARE NOT SUBJECT TO THE HOSPITAL'S COLLECTION PRACTICES. HOWEVER, IF IT ISDETERMINED THAT A PATIENT QUALIFIES FOR CHARITY CARE AFTER THE INDIVIDUAL'S ACCOUNT HAS BEEN SENT TO COLLECTIONS, THE DISCOUNTED AMOUNT IS IMMEDIATELY REMOVED FROM THE COLLECTIONS PROCESS. PART III, SECTION A, LINE 2 AMOUNTS REPRESENT THE ACTUAL CUSTOMER AMOUNTS DUE TO ST. FRANCIS MEDICAL CENTER THAT WERE WRITTEN OFF BECAUSE THEY WERE UNCOLLECTIBLE. PART VI, LINE 2 NEEDS ASSESSMENT: RESPONDING TO THE HEALTH NEEDS OF OUR COMMUNITY, ESPECIALLY TO THOSE MOST IN NEED, IS PRIMARY TO THE HOSPITAL'S MISSION. AS SUCH, ST. FRANCIS MEDICAL CENTER, INC. WORKS TO CONDUCT HEALTH CARE NEEDS ASSESSMENTS. THEY WORK CLOSELY WITH FAMILIES HELPING FAMILIES, THE WELLSPRING, THE CHILDREN'S COALITION, YMCA AND MANY OTHER ORGANIZATIONS TO DEFINE COMMUNITY NEEDS AND TO CONSOLIDATE EFFORTS TO MEET THOSE COMMUNITY NEEDS. FOR EXAMPLE, A SCHOOL-BASED HEALTH CENTER AND A DIABETES AND NUTRITION CENTER WAS INITIATED AFTER A HEALTH CARE ASSESSMENT IDENTIFIED THE NEED. THE HOSPITAL CONDUCTED AN UPDATED COMMUNITY BASED NEEDS ASSESSMENT IN TAX YEAR 2018 AND WILL CONTINUE TO USE COMMUNITY BASED DATA TO SUPPORT DECISIONS FOR OUTREACH IN THE COMMUNITY. PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: PATIENTS ARE INFORMED THROUGH A PATIENT HANDBOOK THAT CONTAINS INFORMATION ON THE FINANCIAL POLICIES OF ST. FRANCIS MEDICAL CENTER. ADDITIONALLY, SIGNS ARE POSTED IN THE ADMISSIONS AREAS THAT FINANCIAL COUNSELING IS AVAILABLE UPON REQUEST. SYSTEMS AND TOOLS ARE UTILIZED TO CONDUCT HIGH LEVEL FINANCIAL SCREENING TO ASSIST IN IDENTIFYING PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS WORK CLOSELY WITH PATIENTS TO ASSIST WITH ENROLLMENT FOR THOSE WHO ARE ELIGIBLE FOR MEDICAID AS WELL AS ASSIST THOSE WHO ARE ELIGIBLE FOR HOSPITAL FINANCIAL ASSISTANCE IN DETERMINING ELIGIBILITY. PART VI, LINE 4 COMMUNITY INFORMATION:ST. FRANCIS MEDICAL CENTER (SFMC) IS A COMMUNITY-BASED, NOT-FOR-PROFIT HOSPITAL LOCATED IN MONROE, LOUISIANA THAT SERVES OUACHITA PARISH AND PORTIONS OF THE SURROUNDING PARISHES. FOR THE PURPOSE OF THE CHNA, SFMC DEFINES ITS PRIMARY SERVICE AREA AS LINCOLN AND OUACHITA PARISHES. PURSUANT TO THE HOSPITAL'S LAST CHNA, SFMC'S PRIMARY SERVICE AREA HAS A POPULATION OF APPROXIMATELY 205,383 AND THE SENIOR POPULATION COMPRISES ABOUT 13.48% OF THE TOTAL POPULATION. THE MEDIAN HOUSEHOLD INCOME IS $40,167 IN OUACHITA PARISH AND $37,842 IN LINCOLN PARISH. APPROXIMATELY 19% OF THE PARISH'S RESIDENTS LIVE BELOW THE POVERTY LEVEL. PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH:ST. FRANCIS MEDICAL CENTER PARTICIPATES IN COMMUNITY IMPROVEMENT ACTIVITIES BECAUSE IT UNDERSTANDS THAT IMPROVEMENTS TO A COMMUNITY HAVE A DIRECT LINK TO THE IMPROVED HEALTH OF COMMUNITY RESIDENTS. COMMUNITY IMPROVEMENT ACTIVITIES INCLUDE THE FOLLOWING: SFMC PROVIDES OCCUPANCY AND UTILITIES FREE OF CHARGE TO ST. VINCENT DEPAUL CHARITABLE PHARMACY SO THAT THE POOREST INDIVIDUALS IN THE COMMUNITY HAVE ACCESS TO PRESCRIPTION DRUGS. SFMC ALSO PROVIDES OCCUPANCY FREE OF CHARGE TO A PRIMARY HEALTH CARE CLINIC LOCATED IN ONE OF THE POOREST AREAS OF MONROE. THESE ACTIVITIES ALLOW THE RECIPIENT ORGANIZATIONS TO SPEND THEIR AVAILABLE FUNDS ON ACTIVITIES THAT HAVE MORE DIRECT IMPACT ON THOSE IN NEED. SFMC PROVIDES MANAGEMENT OVERSIGHT OF COMMUNITY PROGRAMS AND ACTIVITIES, INCLUDING MEALS ON WHEELS, TAXI AND MEDICATION PROVIDED TO THE NEEDY, AND COMMUNITY BENEFIT SALARY DOLLARS. SMFC PROUDLY SERVES AS THE DESIGNATED REGIONAL HOSPITAL FOR REGION 8 AND PROVIDES LEADERSHIP AND COORDINATION FOR EMERGENCY PREPAREDNESS ACTIVITIES. SFMC PROVIDES LEADERSHIP DEVELOPMENT AND TRAINING FOR ROMAN CATHOLIC PRIESTS TO SERVE IN THE SFMC COMMUNITY. SFMC IMPROVES ACCESS TO PUBLIC HEALTH THROUGH ITS FINANCIAL SUPPORT OF AN ADULT DAY HEALTH CARE FACILITY AND A SCHOOL BASED HEALTH CENTER. SFMC HAS MANY PROGRAMS DESIGNED TO PROMOTE LEADERSHIP DEVELOPMENT AND PROVIDE EXPOSURE TO VARIOUS CAREERS IN HEALTH CARE. SUCH PROGRAMS INCLUDE HEALTH INFORMATION MANAGEMENT, SPORTS MEDICINE PROGRAM, AHEC (AREA HEALTH EDUCATION CENTER) PROGRAM, CARROLL HIGH SCHOOL HOUSEKEEPING PROGRAM AND THE JR. VOLUNTEER PROGRAM. A MAJORITY OF THE GOVERNING BODY OF SFMC IS COMPRISED OF INDIVIDUALS FROM A BROAD CROSS-SECTION OF THE COMMUNITY WHO RESIDE IN THE PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION. SFMC EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR SOME OR ALL OF THE DEPARTMENTS, AS NEEDED. SFMC APPLIES SURPLUS FUNDS TO IMPROVEMENTS IN PATIENT CARE THROUGH INVESTMENT IN CLINICAL TECHNOLOGY, MEDICAL INFORMATION TECHNOLOGY, AND CONTINUED TRAINING OF CLINICAL STAFF. PART VI, LINE 6 ST. FRANCIS MEDICAL CENTER IS A NOT-FOR-PROFIT HOSPITAL, NON-STOCK MEMBER CORPORATION OF WHICH FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM, INC. (FMOL HEALTH SYSTEM) IS THE SOLE MEMBER. ST. FRANCIS MEDICAL CENTER IS PART OF THE FMOL HEALTH SYSTEM WHICH INCLUDES SEVERAL HOSPITALS AND TAX-EXEMPT AFFILIATES THROUGHOUT THE STATE OF LOUISIANA, AND ONE IN MISSISSIPPI. ST. FRANCIS MEDICAL CENTER SERVES THE COMMUNITY IN NORTHEASTERN LOUISIANA AND SOUTHERN ARKANSAS. OTHER RELATED HOSPITALS IN LOUISIANA INCLUDE:OUR LADY OF LOURDES REGIONAL MEDICAL CENTEROUR LADY OF THE LAKE HOSPITALST. ELIZABETH HOSPITALOUR LADY OF THE LAKE ASSUMPTION HOSPITALOUR LADY OF THE ANGELS HOSPITALRELATED HOSPITAL IN MISSISSIPPI:ST. DOMINIC JACKSON MEMORIAL HOSPITAL X 1 1 0 1 0 0 0 0 0 0 0 JEFFREY LIMBOCKER EVP, CHIEF FINANCIAL OFFICER 0 594289 0 299775 0 77089 0 170677 0 25984 0 1167814 0 54592 SARAH AHMAD STAFF PHYSICIAN 729884 0 11738 0 2802 0 7125 0 20784 0 772333 0 0 0 JAMES G SMITH HOSPITALIST 617831 0 21899 0 5880 0 53716 0 22571 0 721897 0 0 0 JOHN D BRUCHHAUS HOSPITALIST 596505 0 16914 0 3558 0 44157 0 28310 0 689444 0 0 0 THOMAS J GULLATT MD DIRECTOR/PHYSICIAN 504001 0 103202 0 5880 0 53716 0 19504 0 686303 0 0 0 DARSHAN PATEL STAFF PHYSICIAN 525081 0 65675 0 2802 0 7125 0 25571 0 626254 0 0 0 KRISTIN S WOLKART EX-OFFICIO, PRES/CEO SFMC 0 395349 0 125188 0 2747 0 68410 0 20547 0 612241 0 0 RICHARD KAMM HOSPITALIST 534586 0 17271 0 3126 0 7125 0 10496 0 572604 0 0 0 KAYLA B JOHNSON VP, PATIENT CARE SVCS 218313 0 46185 0 5027 0 54752 0 26684 0 350961 0 0 0 JEREMY ROGERS VP, CHIEF OPERATING OFFICER 0 238051 0 49945 0 1835 0 11400 0 25773 0 327004 0 0 JOHN KAHL VP, OPS AND PHYSICIAN SVCS 182125 0 28746 0 1132 0 5446 0 19284 0 236733 0 0 0 PART I, LINE 1A CHARTER TRAVEL WAS USED BY THREE BOARD MEMBERS, ONE KEY EMPLOYEE AND TWO HIGHEST COMPENSATED EMPLOYEES WHEN IT WAS DEEMED THE MOST EFFICIENT METHOD OF TRAVEL BETWEEN RELATED AND SUBSIDIARY HOSPITALS THROUGHOUT THE STATE OF LOUISIANA. THESE AMOUNTS WERE NOT INCLUDED IN EMPLOYEE COMPENSATION BECAUSE THE FLIGHTS WERE STRICTLY FOR BUSINESS PURPOSES. PART I, LINE 4B FMOLHS MAINTAINS THREE UNFUNDED DEFERRED COMPENSATION PLANS WHICH MEET THE REQUIREMENTS OF IRC SECTION 457(F) AND IRC SECTION 409A. THE PLANS PROVIDES FOR COMPENSATION TO BE DEFERRED AND PAID UPON THE OCCURRENCE OF CERTAIN EVENTS SUCH AS TERMINATION WITHOUT CAUSE, DISABILITY, DEATH OR ATTAINMENT OF A SPECIFIC PAYMENT DATE. PARTICIPATION IN THE PLANS IS LIMITED TO CERTAIN EXECUTIVES AND IS SUBJECT TO APPROVAL OF FMOLHS BOARD OF DIRECTORS OR A DESIGNATED COMMITTEE OF SUCH BOARD. IN THE CURRENT YEAR, JEFFREY LIMBOCKER RECEIVED A PAYMENT OF $74,342. PART I, QUESTION 3 THE CEO IS PAID BY FMOL HEALTH SYSTEM, A RELATED TAX EXEMPT ORGANIZATION. THE FMOLHS BOARD OF DIRECTORS DESIGNATES A COMPENSATION COMMITTEE, MADE UP OF INDEPENDENT BOARD MEMBERS, TO REVIEW AND SET THE CEO'S COMPENSATION ANNUALLY. THE COMPENSATION COMMITTEE OBTAINS AND RELIES UPON COMPARABLE DATA INCLUDING A COMPENSATION STUDY/SURVEY FROM AN INDEPENDENT COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE REVIEWS COMPENSATION PACKAGES AND APPROPRIATE COMPENSATION IS DETERMINED AND APPROVED. THE BASIS FOR DETERMINATION IS THEN DOCUMENTED BY THE COMPENSATION COMMITTEE. THE CEO ALSO SIGNS A WRITTEN EMPLOYMENT AGREEMENT. PART I, QUESTION 4A THE CFO IS ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE ONLY FOR TERMINATION OF EMPLOYMENT WITHOUT CAUSE FOR GOOD REASON AND FOR A CHANGE OF CONTROL. IF TRIGGERED, THE EXECUTIVE WOULD BE PAID HIS/HER BASE SALARY AND AN ANNUAL INCENTIVE AT TARGET AND PROVIDED RETIREMENT AND WELFARE BENEFITS FOR AN ENTITLEMENT PERIOD. THE ENTITLEMENT PERIOD IS 24 MONTHS. NO PAYMENTS WERE MADE UNDER THE PLAN IN THE CURRENT YEAR. A BOARD MEMBER IS ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE ONLY FOR A TERMINATION OF EMPLOYMENT WITHOUT CAUSE, FOR GOOD REASON OR DUE TO CHANGE OF CONTROL. IF TRIGGERED, THE EMPLOYEE WOULD BE PAID HIS/HER BASE SALARY AND PROVIDED RETIREMENT AND WELFARE BENEFITS FOR AN ENTITLEMENT PERIOD. THE ENTITLEMENT PERIOD IS GENERALLY 18 MONTHS. NO PAYMENTS WERE MADE UNDER THE PLAN IN THE CURRENT YEAR. OUACHITA REHAB ASSOCIATES LLC ENTITY MORE THAN 35% OWNED BY ROLF MORSTEAD, BOARD MEMBER 203079 PERFORMANCE OF SERVICES 0 FORM 990, PART I, LINE 1: TO PROVIDE FOR THE CARE OF THE ILL, INJURED, OR DISABLED PERSONS AND TO PROVIDE FOR THE RESEARCH, EDUCATION, AND THE ENHANCEMENT OF HEALTH OF THOSE IN NORTHEAST LOUISIANA. FORM 990, PART III, LINE 1 INSPIRED BY THE VISION OF ST. FRANCIS OF ASSISI AND IN THE TRADITION OF THE ROMAN CATHOLIC CHURCH, WE EXTEND THE HEALING MINISTRY OF JESUS CHRIST TO GOD'S PEOPLE, ESPECIALLY THOSE MOST IN NEED. WE CALL FORTH ALL WHO SERVE IN THIS HEALTHCARE MINISTRY, TO SHARE THEIR GIFTS AND TALENTS TO CREATE A SPIRIT OF HEALING - WITH REVERENCE AND LOVE FOR ALL OF LIFE, WITH JOYFULNESS OF SPIRIT, AND WITH HUMILITY AND JUSTICE FOR ALL THOSE ENTRUSTED TO OUR CARE. WE ARE, WITH GOD'S HELP, A HEALING AND SPIRITUAL PRESENCE FOR EACH OTHER AND FOR THE COMMUNITIES WE ARE PRIVILEGED TO SERVE. FORM 990, PART VI, SECTION A, LINE 6 FMOL HEALTH SYSTEM, INC. (AN IRS SECTION 501(C)(3) ORGANIZATION) IS THE SOLE MEMBER OF THE MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 7A FMOL HEALTH SYSTEM, INC. AS THE SOLE MEMBER OF THE MEDICAL CENTER, RETAINS THE POWER TO APPOINT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF ST. FRANCIS MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 7B THE RESERVED POWERS TO FMOL HEALTH SYSTEM, INC. ARE AS FOLLOWS: I. TO CHANGE PHILOSOPHY, OBJECTIVES AND PURPOSES OF CORPORATION. II. TO APPOINT OR REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF THE CORPORATION. III. TO AMEND, ALTER, MODIFY OR REPEAL THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION. IV. TO AUTHORIZE MERGER, CONSOLIDATION, OR AFFILIATION, OR PARTICIPATE IN JOINT VENTURES. V. TO DISSOLVE AND TO DISTRIBUTE ASSETS OF THE CORPORATION. VI. TO APPOINT AND/OR TERMINATE WITH OR WITHOUT CAUSE THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION. VII. TO ACQUIRE, PURCHASE, SELL, LEASE, TRANSFER, OR ENCUMBER ANY IMMOVABLE PROPERTY ON BEHALF OF THE CORPORATION. VIII. TO ADD TO OR INCUR LONG-TERM DEBT IN EXCESS OF $5 MILLION BY THE CORPORATION. IX. TO APPOINT THE FISCAL AUDITOR FOR THE CORPORATION. X. TO APPROVE ANY INCREMENT OR ADDITION TO THE CAPITAL DEBT OR EFFORTS TO RENEGOTIATE, MODIFY OR CHANGE THE EXISTING CAPITAL DEBT OBLIGATIONS OF THE CORPORATION. XI. TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION. XII. TO APPROVE A STRATEGIC BUSINESS PLAN OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B AFTER PREPARATION AND REVIEW OF FORM 990 BY KPMG LLP, THE TAXPAYER'S TAX ADVISORS, ONE OR MORE MEMBERS OF SENIOR MANAGEMENT REVIEWS THE RETURN. ST. FRANCIS MEDICAL CENTER'S GOVERNING BODY IS PROVIDED A COPY OF THE RETURN ELECTRONICALLY PRIOR TO THE FILING DATE AND IS GIVEN AN OPPORTUNITY TO REVIEW AND PROVIDE COMMENTS TO MANAGEMENT. FORM 990, PART VI, SECTION B, LINE 12C ST. FRANCIS MEDICAL CENTER HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY THAT REQUIRES EACH OFFICER, TRUSTEE, BOARD COMMITTEE MEMBER AND EMPLOYEE TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. COMPLETED DISCLOSURE FORMS ARE REVIEWED AND MAINTAINED BY THE CHIEF COMPLIANCE OFFICER. IF ANY TRUSTEE, BOARD COMMITTEE MEMBER OR SENIOR MANAGER HAS A POTENTIAL CONFLICT, THE EXECUTIVE COMMITTEE OF THE BOARD DETERMINES WHETHER ACTION NEEDS TO BE TAKEN AND COMMUNICATES ANY SUCH ACTION TO THE INDIVIDUAL. A POTENTIAL CONFLICT OF ANY OTHER EMPLOYEE IS REVIEWED BY THE CEO OR HIS DESIGNEE. THE EXECUTIVE COMMITTEE, CEO OR DESIGNEE, AS APPLICABLE, DETERMINES IF A CONFLICT OF INTEREST EXISTS OR CREATES THE APPEARANCE OF IMPROPRIETY. IF SUCH A DETERMINATION IS MADE, THE INDIVIDUAL WILL BE EXCUSED FROM PARTICIPATING IN THE BUSINESS DECISION. DURING THE YEAR, ANY CHANGE TO THE INFORMATION IN THE DISCLOSURE STATEMENT MUST BE DISCLOSED PROMPTLY TO THE CHIEF COMPLIANCE OFFICER, WHO TAKES APPROPRIATE ACTION. THE PROCESS ALSO REQUIRES AFFIRMATION FROM EACH INDIVIDUAL THAT SHE/HE (A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY; (C) HAS AGREED TO COMPLY WITH THE POLICY; AND (D) UNDERSTANDS THAT ST. FRANCIS MEDICAL CENTER IS A CHARITABLE ORGANIZATION AND THAT, IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. IN ADDITION TO THE ABOVE, ST. FRANCIS MEDICAL CENTER PROVIDES MECHANISMS FOR CONFIDENTIAL REPORTING OF COMPLIANCE ISSUES. THESE MECHANISMS INCLUDE AN ANONYMOUS HOTLINE AND WEB SITE WHERE INDIVIDUALS MAY RAISE ISSUES, SEEK CLARIFICATION, AND REPORT POSSIBLE CONFLICTS OF INTEREST OR OTHER CONCERNS. THESE REPORTS, INCLUDING REPORTS OF POSSIBLE CONFLICTS OF INTEREST, ARE REVIEWED AND INVESTIGATED BY THE CORPORATE COMPLIANCE DEPARTMENT AND APPROPRIATE ACTION IS TAKEN. FORM 990, PART VI, SECTION B, LINE 15B OUR BOARD OF DIRECTORS DESIGNATES AN EXECUTIVE COMMITTEE MADE UP OF INDEPENDENT BOARD MEMBERS TO REVIEW AND SET THE COMPENSATION ANNUALLY OF OUR OFFICERS AND KEY EMPLOYEES. THE EXECUTIVE COMMITTEE OBTAINS AND RELIES UPON COMPARABLE DATA INCLUDING INDUSTRY-WIDE COMPENSATION INFORMATION PROVIDED BY AN OUTSIDE CONSULTING FIRM. THE EXECUTIVE COMMITTEE REVIEWS COMPENSATION PACKAGES AND APPROPRIATE COMPENSATION IS DETERMINED AND APPROVED. THE BASIS FOR DETERMINATION IS THEN DOCUMENTED BY THE EXECUTIVE COMMITTEE. THE COMPENSATION FOR THE CEO OF ST. FRANCIS MEDICAL CENTER IS SET BY THE COMPENSATION COMMITTEE OF FMOL HEALTH SYSTEM (A RELATED TAX-EXEMPT ORGANIZATION) ACCORDING TO THEIR PAY PRACTICES WHICH ARE SIMILAR TO THOSE DESCRIBED ABOVE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CAPITAL TRANSFERS -8,682,736. SECTION 1.263(A)-3(N) ELECTION-BOOK CONFORMITY ELECTION ST. FRANCIS MEDICAL CENTER IS MAKING THE ELECTION UNDER TREAS. REG. 1.263(A)-3(N) TO CAPITALIZE THOSE REPAIR AND MAINTENANCE COSTS THAT IT TREATS AS CAPITAL IMPROVEMENTS ON ITS BOOKS AND RECORDS FOR THE TAX YEAR ENDED JUNE 30, 2021. SECTION 1.263 (A)-1(F)- ELECTION- DE MINIMIS SAFE HARBOR ELECTION ST. FRANCIS MEDICAL CENTER HEREBY MAKES THE DE MINIMIS SAFE HARBOR ELECTION UNDER SECTION 1.263(A)-1(F) OF THE TREASURY REGULATIONS, EFFECTIVE ONLY FOR THE TAX YEAR ENDING JUNE 30, 2021. TAXPAYER HAS AN APPLICABLE FINANCIAL STATEMENT FOR THE YEAR OF THE ELECTION. THIS ELECTION PERMITS THE TAXPAYER TO DEDUCT FOR TAX PURPOSES ANY ITEM DEDUCTED UNDER ITS BOOK POLICY THAT DOES NOT EXCEED $5,000 PER INVOICE(OR PER ITEM, AS SUBSTANTIATED BY THE INVOICE) OR ITEMS HAVING AN ECONOMIC USEFUL LIFE OF TWELVE MONTHS OR LESS AS DESCRIBED IN SECTION 1.263(A)-1(F)(1)(I). SCHEDULE H, PART V, SECTION B. QUESTION 11 - SUBSIDIZED HEALTH SERVICES FOR GROUPS SUCH AS LOUISIANA BAPTIST CHILDREN'S HOME, OBSTETRICS PATIENTS WHO DO NOT HAVE INSURANCE, PATIENTS ADMITTED THROUGH RURAL HOSPITALS WHEN THE PATIENT NEEDS A SERVICE THE RURAL HOSPITAL CANNOT PROVIDE, VETERAN'S ADMINISTRATION PATIENTS, PATIENTS APPLYING FOR DISABILITY, AND UNIVERSITY OF LOUISIANA AT MONROE ATHLETES - VOLUNTEER HOURS LOGGED ON BEHALF OF HEALTH-RELATED ORGANIZATIONS, SUCH AS AMERICAN HEART ASSOCIATION, AREA HEALTH EDUCATION CENTER (AHEC), THE CHILDREN'S COALITION FOR NORTHEAST LOUISIANA, SUSAN G. KOMEN FOR THE CURE, THE UNITED WAY OF NORTHEAST LOUISIANA, AND MORE - SUPPORT FOR ORGANIZATIONS FURTHERING HEALTH-RELATED PROGRAMS IN THE COMMUNITY IN THE FORM OF DONATIONS AND TIME SPENT HELPING WITH EVENTS, PROJECT ASSISTANCE, AND CONSULTING - ADMINISTRATIVE SUPPORT ON THE BOARDS OF COMMUNITY-BASED ORGANIZATIONS PROMOTING POSITIVE OUTCOMES FOR PEOPLE OF ALL AGES AND SOCIOECONOMIC BACKGROUNDS - MENTORING PROGRAMS WHICH PROVIDE HUNDREDS OF HOURS OF HANDS-ON CLINICAL INSTRUCTION FOR NURSING, RADIOLOGY, RESPIRATORY, HEALTH INFORMATION MANAGEMENT, AND LABORATORY STUDENTS - MEDICATIONS PROVIDED TO PATIENTS WHO CANNOT AFFORD TO PURCHASE THEM - TAXI EXPENSES FOR PATIENTS WHO DO NOT HAVE A SAFE MEANS OF TRAVEL TO REACH THEIR HOME WHEN THEY ARE DISCHARGED FROM SFMC - BACKPACKS AND SCHOOL SUPPLIES DONATED BY TEAM MEMBERS TO HELP CHILDREN WHOSE FAMILIES CANNOT AFFORD BACK-TO-SCHOOL COSTS - BREASTFEEDING AND BABY CARE CLASSES OFFERED ONLINE SO FAMILIES FROM THROUGHOUT THE REGION CAN ACCESS THE EDUCATION FROM THE CONVENIENCE OF THEIR HOMES REGARDLESS OF WHAT BARRIERS TO TRANSPORTATION THEY ARE EXPERIENCING - SUPPORT FOR A UNITED WAY-BASED LITERACY PROGRAM (READ. 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