2021-05-13T12:43:22-05:00 2020-06-30 135565207 KPMG LLP 1225 17TH ST STE 800 DENVER CO 80202 990 2019-07-01 710236917 ST VINCENT INFIRMARY MEDICAL CENTER STVI 5015523000 2 ST VINCENT CIRCLE LITTLE ROCK AR 72205 TYLER BLAIR MKT VP OPERATIONAL FINANCE 5015523000 2021-05-13 1 MARK SHELTON P01203482 3032962323 2019 2022-09-23 18:48:47Z CHAD ADUDDELL 2 ST VINCENT CIRCLE LITTLE ROCK AR 72205 484170055 0 0928 X HTTP://WWW.CHISTVINCENT.COM/ X 1888 AR TO PROVIDE HOLISTIC CARE ADDRESSING THE PHYSICAL, SPIRITUAL, AND PSYCHO-SOCIAL NEEDS OF OUR PATIENTS IN A VARIETY OF SETTINGS, ALL SPRINGING FROM THE SAME MISSION AND FUNDAMENTAL PURPOSE. 18 14 3415 375 3926880 1494429 4906251 25719567 406300995 421709350 55265 520334 29532294 36220804 440794805 484170055 599758 580752 0 0 212184690 209771564 0 0 0 352814245 301503519 565598693 511855835 -124803888 -27685780 563401878 890857599 756876464 1099581605 -193474586 -208724006 AS AN AFFILIATE OF COMMONSPIRIT HEALTH, WE MAKE THE HEALING PRESENCE OF GOD KNOWN IN OUR WORLD BY IMPROVING THE HEALTH OF THE PEOPLE WE SERVE, ESPECIALLY THOSE WHO ARE VULNERABLE, WHILE WE ADVANCE SOCIAL JUSTICE FOR ALL. 0 0 469879815 580752 417782470 SEE SCHEDULE H 469879815 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 0 0 3415 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 18 14 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 1 0 AR X TYLER BLAIR 5015523000 2 ST VINCENT CIRCLE LITTLE ROCK AR 72205 LARRY SCHUMACHER SENIOR VP-OPERATIONS-CEO / BOARD MEMBER 1.00 50.00 X X 0 2159587 215816 THURSTON BAUER CARDIOVASCULAR SURGEON 40.00 0.00 X 2247528 0 39312 FREDERICK MEADORS CARDIOVASCULAR SURGEON 40.00 0.00 X 1530991 0 32545 FRANK BAUER CARDIOTHORACIC SURGEON 40.00 0.00 X 1486152 0 24918 MANGARAJU CHAKKA ELECTRO PHYSIOLOGIST 40.00 0.00 X 1391868 0 41069 THOMAS WALLACE ELECTRO PHYSIOLOGIST 40.00 0.00 X 1377415 0 41226 CHAD ADUDDELL MARKET CEO 55.00 0.00 X X 887593 0 41029 SAYYADUL SIDDIQUI MD BOARD MEMBER / VICE CHIEF OF STAFF 40.00 0.00 X 771346 0 40800 MARK MCGINNIS FORMER CFO / TREASURER 0.00 40.00 X 0 596982 99540 RANDY JORDAN CHIEF MEDICAL OFFICER 40.00 0.00 X 630031 0 39488 DOUGLAS ROSS MD PRESIDENT-ST VIN HS-MKT CMO 40.00 0.00 X 554232 25413 65431 MATTHEW TROUP PRESIDENT CONWAY REGIONAL 40.00 0.00 X 584574 0 56767 DAVID FOSTER PRESIDENT PHYSICIAN ENTERPRISE 40.00 0.00 X 0 524030 38803 LISA SAJOVITZ MD BOARD MEMBER / VICE CHIEF OF STAFF 0.00 40.00 X 0 514746 40978 SHAWN BARNETT MKT SVP COO CFO 40.00 0.00 X 492537 0 35498 BRYAN WILLIAMS CHI ST. VINCENT VP PATIENT CARE SERVICES 0.00 40.00 X 0 250451 35257 CHRISTOPHER STINES VP-OPERATIONS 40.00 0.00 X 242476 0 33971 LAURA COOK MKT SVP DEVELOPMENT 40.00 0.00 X 243957 0 29773 ANGELA LONGING CNO CONWAY REGIONAL 40.00 0.00 X 161066 66262 28153 GUS BLASS III BOARD MEMBER 1.00 0.00 X 0 0 0 BILL DILLARD III BOARD MEMBER 1.00 0.00 X 0 0 0 CHUCK ERWIN BOARD MEMBER 1.00 0.00 X 0 0 0 JILL FLAXMAN MD BOARD MEMBER/CHIEF OF STAFF (PARTIAL YEAR) 1.00 0.00 X 32369 1000 0 SR GERTRUDE FOSTER SCN BOARD MEMBER 1.00 0.00 X 0 0 0 ERIC JACKSON BOARD MEMBER 1.00 0.00 X 0 0 0 BAKER KURRUS BOARD CHAIR 1.00 0.00 X X 0 0 0 CHARLES NABHOLZ BOARD MEMBER 1.00 0.00 X 0 0 0 JAMES NEWMAN BOARD MEMBER 1.00 0.00 X 0 0 0 SR JUDITH RALEY SCN BOARD MEMBER 1.00 0.00 X 0 0 0 DR TEDD SAER BOARD MEMBER 1.00 0.00 X 0 0 0 SUSIE SMITH BOARD MEMBER 1.00 0.00 X 0 0 0 PHILLIP TAPPAN BOARD MEMBER 1.00 0.00 X 0 0 0 BARBARA G WILLIAMS PHD RN BOARD MEMBER 1.00 0.00 X 0 0 0 MARLIN BOYLE BOARD MEMBER 1.00 0.00 X 0 0 0 12634135 4138471 980374 251 1 1 0 CROTHALL HEALTHCARE INC 1500 LIBERTY RIDGE DRSTE 210 WAYNE PA 19087 HEALTHCARE CONSULTING 7402919 AMN HEALTHCARE 12400 HIGH BLUFF DR SAN DIEGO CA 92130 HEALTHCARE CONSULTING 6601867 SOUTHERN REGL ANESTHESIOLOGY 500 S UNIVERSITY AVE STE 500 LITTLE ROCK AR 72205 ANESTHESIOLOGY SERVICES 5643681 UNITY EMERGENCY PHYSICIANS LLP 1102 W MACARTHUR ST SHAWNEE OK 74804 EMERGENCY MEDICAL SERVICES 2247893 RENAL TREATMENT CENTERS SE LP 601 HAWAII ST EL SEGUNDO CA 90245 DIALYSIS SERVICES 1956800 83 119722 25570193 29652 25719567 NET PATIENT SERVICES 900099 413524802 409597922 3926880 CHIPS ASSESSMENT FEE 900099 6125884 6125884 RENTAL INCOME 900099 1412440 1412440 EQUITY CHANGES OF UNCO 900099 394264 394264 TUITION 611600 251960 251960 421709350 43272 43272 477062 0 477062 477062 477062 PHARMACY SERVICES 446110 6020266 6020266 MEDICAL SERVICES 621300 4578290 4578290 INTERCOMPANY TRANSACTI 900099 4050837 4050837 21571411 21571411 36220804 484170055 417782470 3926880 36741138 X 580752 580752 3389720 2033832 1355888 172110028 161333762 10776266 7976263 7365480 610783 15286179 13564360 1721819 11009374 10144243 865131 1121759 1121759 57138 57138 38092 38092 101082435 95774232 5308203 1277915 904285 373630 1345517 1066911 278606 30676927 12270812 18406115 8851031 8851031 497743 324250 173493 82577 7096 75481 3691986 3691986 10416132 10416132 7753780 7753780 3122187 2809969 312218 MEDICAL SUPPLIES 113573839 113573839 STATE PROVIDER TAX 8638925 8638925 REPAIRS AND MAINTENANCE 5049819 5049819 UNRELATED BUSINESS TAXE 260243 260243 3965474 3464076 501398 511855835 469879815 41976020 0 6254 6356 16679085 252624080 73720242 77014158 492316 12354701 12765652 2003637 2080320 394408100 316950067 56780279 77458033 401857680 468416684 563401878 890857599 35538428 112231894 1074986 16809983 2282216 717980834 970539728 756876464 1099581605 X -193474586 -208724006 -193474586 -208724006 563401878 890857599 X -27685780 12436360 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 38092 38092 0 PART II-B, LINE 1: THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION - $4,955 CATHOLIC HEALTH ASSOCIATION - $3,458 ARKANSAS HOSPITAL ASSOCIATION - $29,679 13646027 13646027 149880601 109260952 40619649 3343558 391643 2951915 225651295 206239409 19411886 1886619 1058063 828556 77458033 INTERCOMPANY RECEIVABLES 373779962 INVESTMENTS IN UNCONSOLIDATED ORGS - CONTROLLING INTEREST 2109478 INVESTMENTS IN UNCONSOLIDATED ORGS - NONCONTROLLING INTEREST 1619487 CASH SURRENDER VALUE OF LIFE INSURANCE 28899 INTERCOMPANY ACQUISITION RELATED RECEIVABLES 67636848 RIGHT OF USE ASSETS 23242010 468416684 52667 INTERCOMPANY PAYABLES 189536754 OTHER POST EMPLOYMENT BENEFITS 1226466 ENVIRONMENTAL REMEDIATION LIABILITY 1183118 CASH MGMT PROGRAM LIABILITIES 612730363 CHI DEBT MANAGEMENT PROGRAM 141253700 OTHER LIABILITIES 15295 LEASE LIABILITY 24541365 970539728 X PART X, LINE 2: ST. VINCENT INFIRMARY MEDICAL CENTER'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF COMMONSPIRIT HEALTH, A RELATED ORGANIZATION. COMMONSPIRIT HEALTH'S ASC 740 FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2020, READS AS FOLLOWS: COMMONSPIRIT HAS ESTABLISHED ITS STATUS AS AN ORGANIZATION EXEMPT FROM INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND THE LAWS OF THE STATES IN WHICH IT OPERATES, AND AS SUCH, IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. HOWEVER, COMMONSPIRIT'S EXEMPT ORGANIZATIONS ARE SUBJECT TO INCOME TAXES ON NET INCOME DERIVED FROM A TRADE OR BUSINESS, REGULARLY CARRIED ON, WHICH DOES NOT FURTHER THE ORGANIZATIONS' EXEMPT PURPOSES. NO SIGNIFICANT INCOME TAX PROVISION HAS BEEN RECORDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS FOR NET INCOME DERIVED FROM UNRELATED TRADE OR BUSINESS. COMMONSPIRIT'S FOR-PROFIT SUBSIDIARIES ACCOUNT FOR INCOME TAXES RELATED TO THEIR OPERATIONS. THE FOR-PROFIT SUBSIDIARIES RECOGNIZE DEFERRED TAX ASSETS AND LIABILITIES FOR TEMPORARY DIFFERENCES BETWEEN THE FINANCIAL REPORTING BASIS AND THE TAX BASIS OF THEIR ASSETS AND LIABILITIES, ALONG WITH NET OPERATING LOSS AND TAX CREDIT CARRYOVERS, FOR TAX POSITIONS THAT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION CRITERIA. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. INCOME TAX INTEREST AND PENALTIES ARE RECORDED AS INCOME TAX EXPENSE. FOR THE YEARS ENDED JUNE 30, 2020 AND 2019, COMMONSPIRIT'S TAXABLE ENTITIES RECORDED AN IMMATERIAL AMOUNT OF INTEREST AND PENALTIES AS PART OF THE PROVISION FOR INCOME TAXES. COMMONSPIRIT'S TAXABLE ENTITIES DID NOT HAVE ANY MATERIAL UNRECOGNIZED INCOME TAX EXPENSE AS OF JUNE 30, 2020 AND 2019. COMMONSPIRIT REVIEWS ITS TAX POSITIONS QUARTERLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. 1 1 X 1 X 300.000000000000 1 X 1 1 1 0 1 1 4411 2598846 2598846 0.00510 16177 23502496 12266052 11236444 0.02200 20588 26101342 12266052 13835290 0.02710 1 3168 317155 20153 297002 0.00060 1 922484 922484 0.00180 1 207162 207162 0.00040 1 629238 629238 0.00120 4 3168 2076039 20153 2055886 0.00400 4 23756 28177381 12286205 15891176 0.03110 1 19064393 0 146561163 218637719 -72076556 X 1 1 1 ST VINCENT BREAST CENTER MAMMOGRAPHY CENTER 0.50000 0.00000 0.50000 2 1 ST VINCENT MEDICAL CENTER NORTH 2215 WILDWOOD AVENUE SHERWOOD AR 72120 HTTP://WWW.CHISTVINCENT.COM AR4197 X X X A 2 ST VINCENT INFIRMARY MEDICAL CENTER 2 ST VINCENT CIRCLE LITTLE ROCK AR 72205 HTTP://WWW.CHISTVINCENT.COM AR4582 X X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 18 1 1 0 1 X SEE PART V, PAGE 8 X 1 18 0 1 0 1 X 300.000000000000 300.000000000000 X X X X 1 1 X X X 1 X HTTPS://WWW.CHISTVINCENT.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE X HTTPS://WWW.CHISTVINCENT.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE X HTTPS://WWW.CHISTVINCENT.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, LINE 7A, CHNA WEBSITE: HTTPS://WWW.CHISTVINCENT.COM/HEALTH-WELLNESS/COMMUNITY-NEEDS-ASSESSMENT PART V, SECTION B, LINE 13H: THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF THIRTY-FIVE DOLLARS ($35.00) WITH THE CHI HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW THIRTY-FIVE DOLLARS ($35) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS. THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION. PATIENT COOPERATION STANDARDS - A PATIENT MUST EXHAUST ALL OTHER PAYMENT OPTIONS, INCLUDING PRIVATE COVERAGE, FEDERAL, STATE AND LOCAL MEDICAL ASSISTANCE PROGRAMS, AND OTHER FORMS OF ASSISTANCE PROVIDED BY THIRD-PARTIES PRIOR TO BEING APPROVED. AN APPLICANT FOR FINANCIAL ASSISTANCE IS RESPONSIBLE FOR APPLYING TO PUBLIC PROGRAMS FOR AVAILABLE COVERAGE. HE OR SHE IS ALSO EXPECTED TO PURSUE PUBLIC OR PRIVATE HEALTH INSURANCE PAYMENT OPTIONS FOR CARE PROVIDED BY A CHI HOSPITAL ORGANIZATION WITHIN A HOSPITAL FACILITY. A PATIENT'S AND, IF APPLICABLE, ANY GUARANTOR'S COOPERATION IN APPLYING FOR APPLICABLE PROGRAMS AND IDENTIFIABLE FUNDING SOURCES, INCLUDING COBRA COVERAGE (A FEDERAL LAW ALLOWING FOR A TIME-LIMITED EXTENSION OF EMPLOYEE HEALTHCARE BENEFITS), SHALL BE REQUIRED. IF A HOSPITAL FACILITY DETERMINES THAT COBRA COVERAGE IS POTENTIALLY AVAILABLE, AND THAT A PATIENT IS NOT A MEDICARE OR MEDICAID BENEFICIARY, THE PATIENT OR GUARANTOR SHALL PROVIDE THE HOSPITAL FACILITY WITH INFORMATION NECESSARY TO DETERMINE THE MONTHLY COBRA PREMIUM FOR SUCH PATIENT, AND SHALL COOPERATE WITH HOSPITAL FACILITY STAFF TO DETERMINE WHETHER HE OR SHE QUALIFIES FOR HOSPITAL FACILITY COBRA PREMIUM ASSISTANCE, WHICH MAY BE OFFERED FOR A LIMITED TIME TO ASSIST IN SECURING INSURANCE COVERAGE. A HOSPITAL FACILITY SHALL MAKE AFFIRMATIVE EFFORTS TO HELP A PATIENT OR PATIENT'S GUARANTOR APPLY FOR PUBLIC AND PRIVATE PROGRAMS. PART V, SECTION B, LINE 3E: THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE CHNA. PART V, SECTION B, LINE 5: IN FEBRUARY 2019, A SURVEY WAS DISTRIBUTED TO MORE THAN 600 COMMUNITY AGENCIES IN THE PRIMARY AND SECONDARY COMMITMENT AREAS INCLUDING PUBLIC HEALTH OFFICIALS, PUBLIC SAFETY PERSONNEL, SCHOOLS, CHURCHES, AND MEDICAL PROVIDERS. THE SURVEY ASSESSED RESPONDENTS' PERSPECTIVES ABOUT THE GREATEST HEALTH NEEDS AND MOST VULNERABLE POPULATIONS IN THEIR COMMUNITIES. A TOTAL OF 111 COMPLETE SURVEYS WERE RECEIVED, FOR A RESPONSE RATE OF 18.5%. IN FEBRUARY AND MARCH 2019, SEVEN FOCUS GROUPS WERE CONDUCTED WITH COMMUNITY MEMBERS OF PULASKI, GARLAND AND CONWAY COUNTIES INCLUDING COMMUNITY RESIDENTS AND VULNERABLE POPULATIONS. THE FOCUS GROUPS EMPHASIZED DISCUSSIONS ABOUT COMMUNITY PROBLEMS, RESOURCES AND SOLUTIONS. A TOTAL OF 91 INDIVIDUALS BETWEEN THE AGES OF 18 AND 84 WITH A DIVERSE RANGE OF ETHNICITIES, BACKGROUNDS AND SOCIOECONOMIC DEMOGRAPHICS PARTICIPATED IN THE FOCUS GROUPS. INDIVIDUALS AND ORGANIZATIONS SURVEYED INCLUDE JERICHO WAY RESOURCE CENTER, CENTRAL ARKANSAS WATER, CHI ST. VINCENT MCAULEY SENIOR CENTER, LAKESIDE HIGH SCHOOL, TRINITY CHURCH OF HOT SPRINGS, CHI ST. VINCENT MORRILTON AUXILIARY. PART V, SECTION B, LINE 6A: CHI ST. VINCENT HOT SPRINGSCHI ST. VINCENT MORRILTON PART V, SECTION B, LINE 11: THROUGH THE MOST RECENT CHNA CONDUCTED IN 2019, THREE PRIMARY HEALTH NEEDS EMERGED: ACCESS TO CARE, CHRONIC DISEASE MANAGEMENT, AND MENTAL HEALTH. THE HOSPITAL HAS IDENTIFIED SEVERAL ACTIVITIES THAT CAN HELP ADDRESS THESE NEEDS IN AN ORGANIZED AND EFFECTIVE MANNER SUCH AS: (1) BUILDING A COMMUNITY COALITION FOR EACH FOCUS AREA. (2) CREATING A CHARITY CARE CLINIC IN THE PRIMARY COMMITMENT AREA. (3) PARTNER WITH LOCAL SENIOR CENTER IN OFFERING SOCIAL ACTIVITIES FOR SENIORS. (4) DESIGN AND IMPLEMENT IMPROVEMENT PROGRAMS. THESE ACTIVITIES WOULD EVENTUALLY DECREASE THE NUMBER OF OPIOID PRESCRIPTIONS WRITTEN PER CAPITA, INCREASE THE NUMBER OF COMMUNITY MEMBERS RECEIVING PRIMARY AND PRENATAL CARE, DECREASE YEARS OF POTENTIAL LIFE LOST, INCREASE LIFE EXPECTANCY, AND DECREASE INFANT MORTALITY. SV INFIRMARY AND NORTH (SHERWOOD): COMMUNITY OUTREACH FOR THE POORST. VINCENT CONTINUES TO SPONSOR ITS VOLUNTEERS-IN-MEDICINE PROGRAM THROUGH WHICH IT PROVIDES PRIMARY CARE TO THOSE WITHOUT HEALTH INSURANCE AT THREE CLINIC LOCATIONS IN GREATER LITTLE ROCK. IT USES THE SERVICES OF VOLUNTEER, RETIRED ST. VINCENT PHYSICIANS TO DELIVER THESE SERVICES AND IT MAINTAINS A NETWORK OF PHYSICIAN SPECIALISTS TO WHOM IT CAN ALSO REFER AS NEEDS ARISE.BEYOND THE DIRECT CARE PROVIDED AT THESE CLINICS, ST. VINCENT HAS DONATED MEDICAL SUPPLIES IN SEVERAL INSTANCES WHERE NEEDED, AS WELL AS MEDICATIONS THAT PATIENTS OTHERWISE COULD NOT AFFORD. IN TERMS OF PRIMARY CARE CLINICS, WE ALSO MAINTAIN OUR 40+ YEAR PARTNERSHIP WITH THE CITY OF LITTLE ROCK AT ST. VINCENT HEALTH CLINIC - EAST WHERE DENTAL SERVICES HAVE BEEN RESTORED AND HELP TO MEET A SIGNIFICANT NEED IN OUR COMMUNITY. THIS CLINIC ALSO PROVIDES FREE SCHOOL PHYSICALS TO MANY CHILDREN IN GREATER LITTLE ROCK EACH SUMMER. ST. VINCENT ALSO HAS A PROGRAM THAT SPECIFICALLY PROVIDES FINANCIAL COUNSELING AND SERVICES TO MEDICAID PATIENTS. IN FISCAL YEAR 2016 WE ACQUIRED ANOTHER CLINIC IN CONWAY ARKANSAS WHICH SERVES THE NEEDS OF THE UNINSURED AND UNDERINSURED. THE ST. VINCENT CONWAY INTERFAITH CLINIC PROVIDES MEDICAL AND DENTAL SERVICES TO LOW INCOME PERSONS IN FAULKNER COUNTY. IN FY 2019, THE CONWAY INTERFAITH DENTAL CLINIC PROVIDED FREE BLOOD PRESSURE SCREENINGS, DENTAL SCREENINGS AND FLUORIDE TREATMENTS FOR THE HOMELESS COMMUNITY THROUGH PROJECT HOMELESS CONNECT. THIS IS AN EVENT THAT CAPCA DOES ANNUALLY TO PROVIDE FREE SERVICES TO THE HOMELESS COMMUNITY.COMMUNITY OUTREACH FOR THE BROADER COMMUNITY ST. VINCENT CONTINUES TO BE ONE OF THE LARGEST PROVIDERS OF INPATIENT BEHAVIORAL HEALTH SERVICES TO MEDICAID PATIENTS IN THE STATE OF ARKANSAS. IN THIS SERVICE LINE, IT ACCEPTS A SIGNIFICANT NUMBER OF REFERRALS FROM DIFFERENT PARTS OF ARKANSAS THAT ARE OUTSIDE ITS PRIMARY SERVICE AREA. IF ST. VINCENT DID NOT OFFER THIS SERVICE, INPATIENT BEHAVIORAL HEALTH RESOURCES FOR MEDICAID PATIENTS WOULD BE SIGNIFICANTLY DIMINISHED IN THE BROADER COMMUNITY. ST. VINCENT ALSO ADDED AN INPATIENT GERIATRIC-PSYCHIATRIC UNIT IN FY 2019 IN ORDER TO SERVE THE MENTAL HEALTH NEEDS FOR THE SENIOR POPULATION. SIMILARLY, ST. VINCENT MAINTAINS EMERGENCY DEPARTMENTS AT BOTH ITS INFIRMARY AND NORTH CAMPUSES. UNDER THE STATE'S NEW TRAUMA SYSTEM, THE INFIRMARY EMERGENCY DEPARTMENT HAS BEEN DESIGNATED A TRAUMA 2 LOCATION AND NORTH A TRAUMA 3 SITE. IN ADDITION, ST. VINCENT PROVIDES COMMUNITY EDUCATION AND AWARENESS ON SEVERAL TOPICS SURROUNDING MENTAL HEALTH SUCH AS SIGNS TO RECOGNIZE SUICIDAL IDEATION AND HOW TO DEAL WITH TRAUMA.ST. VINCENT CONTINUES TO BE AN ENGAGED COMMUNITY PARTNER ENGAGING IN HEALTH PROMOTION ACTIVITIES INCLUDING HEALTH FAIR SCREENING FOR LOW INCOME COMMUNITIES LIKE THE LATINO COMMUNITY (IN CONJUNCTION WITH THE MEXICAN EMBASSY) AND A MINORITY HEALTH FAIR. ST. VINCENT'S ALSO PROVIDES MEDICAL SERVICES, SCREENINGS, EDUCATIONAL MATERIALS AND AID STATIONS AT THE LITTLE ROCK MARATHON, HEART WALK, SEVERAL EMPLOYERS AROUND THE STATE SUCH AS SOUTHWEST POWER POOL, CAMP ALDERSGATE, LOREAL, SEVERAL SCHOOL DISTRICTS AND ARKANSAS DEPARTMENT OF HEALTH. THESE SCREENING EVENTS PROVIDE AN OPPORTUNITY FOR PEOPLE TO LEARN MORE ABOUT HEALTHY EATING, MEAL PLANNING, AND ENCOURAGES HEART HEALTHY LIFESTYLES.IN 2020, ST. VINCENT INFIRMARY IS PARTNERING WITH STATE AND LOCAL AUTHORITIES TO PROVIDE THE COVID-19 VACCINE, FREE OF CHARGE, TO THE COMMUNITY ACCORDING TO THE ARKANSAS DEPARTMENT OF HEALTH'S PRIORITIZATION GUIDELINES.NEW OUTLOOK WOMEN'S CANCER RECOVERY PROGRAMST. VINCENT CONTINUES TO SPONSOR ITS NEW OUTLOOK WOMEN'S CANCER RECOVERY PROGRAM. THIS EFFORT PROVIDES NEEDED SUPPLIES AND EMOTIONAL SUPPORT TO WOMEN ACROSS ARKANSAS RECOVERING FROM VARIOUS FORMS AND STAGES OF CANCER. IT DOES SO AT NO COST TO THESE RECIPIENTS. THE PURPOSE OF THIS PROGRAM IS TO OFFER ALL ARKANSAS WOMEN DIAGNOSED WITH CANCER A FULL RANGE OF SUPPORTIVE, NON-MEDICAL SERVICES TO STRENGTHEN THE WHOLE WOMAN (BODY, MIND AND SPIRIT) REGARDLESS OF HER ECONOMIC SITUATION OR WHERE SHE IS RECEIVING TREATMENT. NEW OUTLOOK SERVICES REACH INTO EVERY COUNTY IN ARKANSAS, AND EVEN OTHER STATES WHEN WOMEN SEEK TREATMENT IN ARKANSAS. NEW OUTLOOK ALSO ASSISTS CHILDREN AND MEN UNDERGOING CANCER TREATMENT. SERVICES PROVIDED BY NEW OUTLOOK INCLUDE COUNSELING, REGULAR SUPPORT GROUP MEETINGS AT MULTIPLE LOCATIONS, WIGS AND HEADWEAR, COSMETIC MAKEOVERS, ACCESS TO A MEDICAL LIBRARY, STRESS MANAGEMENT CLASSES, MASTECTOMY AND LYMPHEDEMA SERVICES, AND REFERRALS TO PHYSICIANS FOR VARIOUS SERVICES. INTERN TRAINING SITEST. VINCENT SERVES AS A TRAINING SITE FOR NURSING INTERNS AS WELL AS STUDENTS PURSUING VARIOUS ALLIED HEALTH FIELDS SUCH AS RADIOLOGY, NUCLEAR MEDICINE, ULTRASOUND, AND RESPIRATORY SERVICES, ALLOWING FIRST AND SECOND YEAR STUDENTS FROM VARIOUS EDUCATIONAL PROGRAMS AROUND THE GREATER LITTLE ROCK AREA COMPLETE THEIR CLINICAL TRAINING AT ST. VINCENT. THESE STUDENTS GIVE BACK TO THE COMMUNITY BY VOLUNTEERING AT THE ALS WALK, SUSAN G. KOMEN WALK, AND WITH THE ARKANSAS FOOD BANK. IN ADDITION TO SERVING AS A TRAINING SITE FOR FUTURE HEALTH CARE PROFESSIONALS, ST. VINCENT ALSO DONATES FREE MEETING SPACES FOR VARIOUS STUDENT ASSOCIATIONS, PROFESSIONAL ASSOCIATIONS, LOCAL SUPPORT GROUPS AND SEVERAL CLINICAL ORGANIZATIONS. THESE MEETING SPACES HELP HOST A VARIETY OF EDUCATIONAL AND COMMUNITY EVENTS THAT BRING TOGETHER PEOPLE OF ALL AGES FOR PROFESSIONAL AND PERSONAL GROWTH. 5 1 - ST VINCENT DIABETES AND ENDOCRINOLOGY C TWO SHACKLEFORD WEST BLVD LITTLE ROCK AR 72211 FACILITY-BASED CLINIC 2 - ST VINCENT HEALTH CLINIC EAST 2500 EAST 6TH STREET LITTLE ROCK AR 72202 SLIDING FEE SCALE CLINIC 3 - ST VINCENT MEDICAL CLINIC MIDTOWNE 1100 NORTH UNIVERSITY SUITE 1 LITTLE ROCK AR 72207 FACILITY-BASED CLINIC 4 - NORTH RIVER SURGERY CENTER 2209 WILDWOOD AVENUE SHERWOOD AR 72120 AMBULATORY SURGERY CENTER 5 - ST VINCENT BREAST CENTER 500 S UNIVERSITY AVE SUITE 114 LITTLE ROCK AR 72205 MAMMOGRAPHY CENTER PART I, LINE 3C: UNLESS ELIGIBLE FOR PRESUMPTIVE FINANCIAL ASSISTANCE, THE FOLLOWING ELIGIBILITY CRITERIA MUST BE MET IN ORDER FOR A PATIENT TO QUALIFY FOR FINANCIAL ASSISTANCE: *THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF THIRTY-FIVE DOLLARS ($35.00) WITH THE CHI HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW THIRTY-FIVE DOLLARS ($35) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS. *THE PATIENT'S FAMILY INCOME MUST BE AT OR BELOW 300% OF THE FPG. *THE PATIENT MUST COMPLY WITH PATIENT COOPERATION STANDARDS AS DESCRIBED [IN THE FAP]. *THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION. FOR PATIENTS AND GUARANTORS WHO ARE UNABLE TO PROVIDE REQUIRED DOCUMENTATION, A HOSPITAL FACILITY MAY GRANT PRESUMPTIVE FINANCIAL ASSISTANCE BASED ON INFORMATION OBTAINED FROM OTHER RESOURCES. IN PARTICULAR, PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE: *RECIPIENT OF STATE-FUNDED PRESCRIPTION PROGRAMS; *HOMELESS OR ONE WHO RECEIVED CARE FROM A HOMELESS CLINIC; *PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC); *FOOD STAMP ELIGIBILITY; *SUBSIDIZED SCHOOL LUNCH PROGRAM ELIGIBILITY; *ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS (E.G., MEDICAID SPEND-DOWN); *LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS; OR *PATIENT IS DECEASED WITH NO KNOWN ESTATE. PART I, LINE 7: THE ORGANIZATION'S COST ACCOUNTING SYSTEM WAS USED TO REPORT FINANCIAL ASSISTANCE AND COMMUNITY BENEFITS IN PART I, LINE 7. THE ORGANIZATION'S COST ACCOUNTING SYSTEM ADDRESSES ALL OF THE PATIENTS SERVED BY ST. VINCENT INFIRMARY MEDICAL CENTER. PART III, LINE 2: THE ORGANIZATION HAS REPORTED BAD DEBT EXPENSE AT GROSS CHARGES WRITTEN OFF. THE ORGANIZATION'S BAD DEBT EXPENSE REPRESENTS AMOUNTS BILLED TO PATIENTS THAT WAS DEEMED UNCOLLECTIBLE AND DOES NOT INCLUDE ANY CHARGES THAT WERE ULTIMATELY REIMBURSED OR DISCOUNTED. PATIENT DISCOUNTS ARE RECORDED IN CONTRACTUAL ALLOWANCE OR FINANCIAL ASSISTANCE, AS APPROPRIATE, AS AN OFFSET TO GROSS REVENUE AND ARE NOT INCLUDED IN BAD DEBT EXPENSE. PART III, LINE 3: ST. VINCENT INFIRMARY MEDICAL CENTER DOES NOT BELIEVE THAT ANY PORTION OF BAD DEBT EXPENSE COULD REASONABLY BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SINCE AMOUNTS DUE FROM THOSE INDIVIDUALS' ACCOUNTS WILL BE RECLASSIFIED FROM BAD DEBT EXPENSE TO CHARITY CARE WITHIN 30 DAYS FOLLOWING THE DATE THAT THE PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE. PART III, LINE 4: ST VINCENT INFIRMARY MEDICAL CENTER DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF COMMONSPIRIT HEALTH. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS:COMMONSPIRIT RELIES ON THE RESULTS OF DETAILED REVIEWS OF HISTORICAL WRITE-OFFS AND COLLECTIONS IN ESTIMATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE. UPDATES TO THE HINDSIGHT ANALYSIS IS PERFORMED AT LEAST QUARTERLY USING PRIMARILY A ROLLING EIGHTEEN-MONTH COLLECTION HISTORY AND WRITE-OFF DATA. SUBSEQUENT CHANGES TO ESTIMATES OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO NET PATIENT REVENUE IN THE PERIOD OF CHANGE. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN A THIRD-PARTY PAYOR'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE IN PURCHASED SERVICES AND OTHER IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGE IN NET ASSETS. BAD DEBT EXPENSE FOR 2020 WAS NOT SIGNIFICANT. PART III, LINE 8: USING ESSENTIALLY THE SAME MEDICARE COST REPORT PRINCIPLES AS TO THE ALLOCATION OF GENERAL SERVICES COSTS AND "APPORTIONMENT" METHODS, THE "CHI WORKBOOK" CALCULATES A PAYERS' GROSS ALLOWABLE COSTS BY SERVICE (SO AS TO FACILITATE A CORRESPONDING COMPARISON BETWEEN GROSS ALLOWABLE COSTS AND ULTIMATE PAYMENTS RECEIVED). THE TERM "GROSS ALLOWABLE COSTS" MEANS COSTS BEFORE ANY DEDUCTIBLES OR CO-INSURANCE ARE SUBTRACTED. ST VINCENT INFIRMARY MEDICAL CENTER'S ULTIMATE REIMBURSEMENT WILL BE REDUCED BY ANY APPLICABLE COPAYMENT/ DEDUCTIBLE. WHERE MEDICARE IS THE SECONDARY INSURER, AMOUNTS DUE FROM THE INSURED'S PRIMARY PAYER WERE NOT SUBTRACTED FROM MEDICARE ALLOWABLE COSTS BECAUSE THE AMOUNTS ARE TYPICALLY IMMATERIAL. ALTHOUGH NOT PRESENTED ON THE MEDICARE COST REPORT, IN ORDER TO FACILITATE A MORE ACCURATE UNDERSTANDING OF THE "TRUE" COST OF SERVICES (FOR "SHORTFALL" PURPOSES) THE CHI WORKBOOK ALLOWS A HEALTH CARE FACILITY NOT TO OFFSET COSTS THAT MEDICARE CONSIDERS TO BE NON-ALLOWABLE, BUT FOR WHICH THE FACILITY CAN LEGITIMATELY ARGUE ARE RELATED TO THE CARE OF THE FACILITY'S PATIENTS. IN ADDITION, ALTHOUGH NOT REPORTABLE ON THE MEDICARE COST REPORT, THE CHI WORKBOOK INCLUDES THE COST OF SERVICES THAT ARE PAID VIA A SET FEE-SCHEDULE RATHER THAN BEING REIMBURSED BASED ON COSTS (E.G. OUTPATIENT CLINICAL LABORATORY). FINALLY, THE CHI WORKBOOK ALLOWS A FACILITY TO INCLUDE OTHER HEALTH CARE SERVICES PERFORMED BY A SEPARATE FACILITY (SUCH AS A PHYSICIAN PRACTICE) THAT ARE MAINTAINED ON SEPARATE BOOKS AND RECORDS (AS OPPOSED TO THE MAIN FACILITY'S BOOKS AND RECORDS WHICH HAS ITS COSTS OF SERVICE INCLUDED WITHIN A COST REPORT). TRUE COSTS OF MEDICARE COMPUTED USING THIS METHODOLOGY:TOTAL MEDICARE REVENUE: $146,561,163TOTAL MEDICARE COSTS: $218,637,719SURPLUS OR SHORTFALL ($72,076,556)ST VINCENT INFIRMARY MEDICAL CENTER BELIEVES THAT EXCLUDING MEDICARE LOSSES FROM COMMUNITY BENEFIT MAKES THE OVERALL COMMUNITY BENEFIT REPORT MORE CREDIBLE FOR THESE REASONS: UNLIKE SUBSIDIZED AREAS SUCH AS BURN UNITS OR BEHAVIORAL-HEALTH SERVICES, MEDICARE IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS. IN FACT, FOR-PROFIT HOSPITALS FOCUS ON ATTRACTING PATIENTS WITH MEDICARE COVERAGE, ESPECIALLY IN THE CASE OF WELL-PAID SERVICES THAT INCLUDE CARDIAC AND ORTHOPEDICS. SIGNIFICANT EFFORT AND RESOURCES ARE DEVOTED TO ENSURING THAT HOSPITALS ARE REIMBURSED APPROPRIATELY BY THE MEDICARE PROGRAM. THE MEDICARE PAYMENT ADVISORY COMMISSION (MEDPAC), AN INDEPENDENT CONGRESSIONAL AGENCY, CAREFULLY STUDIES MEDICARE PAYMENTS AND THE ACCESS TO CARE THAT MEDICARE BENEFICIARIES RECEIVE. THE COMMISSION RECOMMENDS PAYMENT ADJUSTMENTS TO CONGRESS ACCORDINGLY. THOUGH MEDICARE LOSSES ARE NOT INCLUDED BY CATHOLIC HOSPITALS AS COMMUNITY BENEFIT, THE CATHOLIC HEALTH ASSOCIATION GUIDELINES ALLOW HOSPITALS TO COUNT AS COMMUNITY BENEFIT SOME PROGRAMS THAT SPECIFICALLY SERVE THE MEDICARE POPULATION. FOR INSTANCE, IF HOSPITALS OPERATE PROGRAMS FOR PATIENTS WITH MEDICARE BENEFITS THAT RESPOND TO IDENTIFIED COMMUNITY NEEDS, GENERATE LOSSES FOR THE HOSPITAL, AND MEET OTHER CRITERIA, THESE PROGRAMS CAN BE INCLUDED IN THE CHA FRAMEWORK IN CATEGORY C AS "SUBSIDIZED HEALTH SERVICES." MEDICARE LOSSES ARE DIFFERENT FROM MEDICAID LOSSES, WHICH ARE COUNTED IN THE CHA COMMUNITY BENEFIT FRAMEWORK, BECAUSE MEDICAID REIMBURSEMENTS GENERALLY DO NOT RECEIVE THE LEVEL OF ATTENTION PAID TO MEDICARE REIMBURSEMENT. MEDICAID PAYMENT IS LARGELY DRIVEN BY WHAT STATES CAN AFFORD TO PAY, AND IS TYPICALLY SUBSTANTIALLY LESS THAN WHAT MEDICARE PAYS. PART III, LINE 9B: THE ORGANIZATION'S BILLING AND COLLECTIONS POLICY APPLIES TO ALL INDIVIDUALS PRESENTING FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. THE POLICY CONTAINS PROVISIONS FOR COLLECTING AMOUNTS DUE FROM THOSE PATIENTS WHO THE ORGANIZATION KNOWS TO QUALIFY FOR FINANCIAL ASSISTANCE EITHER THROUGH THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS OR THROUGH PRESUMPTIVE ELIGIBILITY PROCESSES. BEFORE ENGAGING IN EXTRAORDINARY COLLECTION ACTIONS (ECAS) TO OBTAIN PAYMENT FOR EMCARE, HOSPITAL FACILITIES MUST MAKE REASONABLE EFFORTS THROUGH ITS BILLING AND COLLECTIONS PROCESSES, PURSUANT TO TREAS. REG. 1.501(R)-6(C), TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE. IN NO EVENT WILL AN ECA BE INITIATED PRIOR TO 120 DAYS FROM THE DATE THE FACILITY PROVIDES THE FIRST POST-DISCHARGE BILLING STATEMENT (I.E., DURING THE NOTIFICATION PERIOD) UNLESS ALL REASONABLE EFFORTS HAVE BEEN MADE.HOSPITAL FACILITIES WILL NOT REFER ACCOUNTS FOR COLLECTION WHERE THE PATIENT HAS INITIALLY APPLIED FOR FINANCIAL ASSISTANCE, AND THE HOSPITAL FACILITY HAS NOT YET MADE REASONABLE EFFORTS WITH RESPECT TO THE ACCOUNT. FOR PATIENTS AND GUARANTORS WHO ARE UNABLE TO PROVIDE REQUIRED DOCUMENTATION, A HOSPITAL FACILITY MAY GRANT PRESUMPTIVE FINANCIAL ASSISTANCE BASED ON INFORMATION OBTAINED FROM OTHER RESOURCES. PATIENTS WHO QUALIFY FOR MEDICAID ARE PRESUMED TO QUALIFY FOR FULL CHARITY WRITE OFF. ANY CHARGES FOR DAYS OR SERVICES WRITTEN OFF (EXCLUDING MEDICAID DENIALS RELATED TO TIMELINESS OF BILLING, INSUFFICIENT MEDICAL RECORD DOCUMENTATION, MISSING INVOICES, AUTHORIZATION, OR ELIGIBILITY ISSUES) AS A RESULT OF A MEDICAID ARE BOOKED AS CHARITY.SOME MEDICAID PLANS OFFER COVERAGE FOR A LIMITED OR RESTRICTED LIST OF SERVICES. IF A PATIENT IS ELIGIBLE FOR MEDICAID, ANY CHARGES FOR DAYS OR SERVICES NOT COVERED BY THE PATIENT'S COVERAGE MAY BE WRITTEN OFF TO CHARITY WITHOUT A COMPLETED APPLICATION. THIS DOES NOT INCLUDE ANY SHARE OF COST (SOC) OR OTHER PATIENT COST-SHARING AMOUNTS SUCH AS DEDUCTIBLES OR COPAYMENTS, AS SUCH COSTS ARE DETERMINED BY THE STATE TO BE AN AMOUNT THAT THE PATIENT MUST PAY BEFORE THE PATIENT IS ELIGIBLE FOR MEDICAID. HEALTH AND HUMAN SERVICES (HSS) USES THE TERM "SPEND DOWN" INSTEAD OF SHARE OF COST.ALL COLLECTION ACTIVITIES CONDUCTED BY THE FACILITY, A DESIGNATED SUPPLIER, OR ITS THIRD-PARTY COLLECTION AGENTS WILL BE IN CONFORMANCE WITH ALL FEDERAL AND STATE LAWS GOVERNING DEBT COLLECTION PRACTICES. ALL THIRD-PARTY AGREEMENTS GOVERNING COLLECTION AND RECOVERY ACTIVITIES MUST INCLUDE A PROVISION REQUIRING COMPLIANCE WITH THE HOSPITAL FACILITIES' FINANCIAL ASSISTANCE AND BILLING AND COLLECTIONS POLICY AND INDEMNIFICATION FOR FAILURES AS A RESULT OF ITS NONCOMPLIANCE. THIS INCLUDES, BUT IS NOT LIMITED TO, AGREEMENTS BETWEEN THIRD PARTIES WHO SUBSEQUENTLY SELL OR REFER DEBT OF THE HOSPITAL FACILITY. PART VI, LINE 2: THE ORGANIZATION COMPLETED A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT FOR EACH OF OUR THREE HOSPITALS IN FY 2019. THIS WAS A PROCESS USING PRIMARY AND SECONDARY DATA. FOCUS GROUPS WERE HELD WITH COMMUNITY MEMBERS AND LEADERS FROM AROUND OUR PRIMARY SERVICE AREA. THE FINAL PHASES OF THE ASSESSMENT WERE COMPLETED AND PRESENTED TO THE SVIMC BOARD OF DIRECTORS IN FY 2019. FOLLOWING THE COMMUNITY HEALTH NEEDS ASSESSMENT, A HEALTH IMPLEMENTATION PLAN WAS CREATED TO FOCUS IMPROVEMENT ON SEVERAL AREAS SUCH AS: ACCESS TO CARE (PRIMARY CARE AND CHRONIC DISEASE MANAGEMENT), MENTAL HEALTH (SUBSTANCE ABUSE AND OPIOIDS, DOMESTIC VIOLENCE AND VIOLENT CRIME).ST. VINCENT HAS STRONG COLLABORATIVE RELATIONSHIPS WITH MANY ORGANIZATIONS IN THE COMMUNITY. THESE INCLUDE, BUT ARE NOT LIMITED TO, THE ARKANSAS DEPARTMENT OF HEALTH, THE LITTLE ROCK SCHOOL DISTRICT, THE LITTLE ROCK CHAMBER OF COMMERCE, EASTER SEALS-ARKANSAS AND CITY CONNECTIONS, AN ORGANIZATION INTENT ON MOBILIZING THE FAITH COMMUNITY TO ASSIST THE CITY OF LITTLE ROCK IN ADDRESSING PRESSING SOCIAL CHALLENGES. ST. VINCENT LEADERS SERVE ON A VARIETY OF COMMUNITY BOARDS AND CONSISTENTLY ATTEND COMMUNITY EVENTS DESIGNED TO STRENGTHEN LOCAL PROGRAMS AND SERVICES. A CONCERTED EFFORT IS MADE TO BE A VERY GOOD CORPORATE CITIZEN AND TO GIVE BACK TO THE COMMUNITY.ALSO, WITH RESPECT TO COMMUNITY BENEFIT AT ST. VINCENT, MISSION AND FINANCE WORK CLOSELY TOGETHER AND SEE ITS OVERSIGHT AS A SHARED RESPONSIBILITY. ST. VINCENT MAINTAINS AND ADMINISTERS ITS CHARITY CARE AND SELF-PAY POLICIES. IT COMMUNICATES THE CONTENT OF THESE POLICIES THROUGH A VARIETY OF METHODS THAT INCLUDE VISIBLE SIGNAGE, AS WELL AS INFORMATION DELIVERED FACE-TO-FACE AND BY TELEPHONE TO THE GENERAL PUBLIC BY TRAINED STAFF. IT MAINTAINS A COMMUNITY HEALTH WORKER PROGRAM IN ITS EMERGENCY DEPARTMENT THROUGH WHICH IT TRIES TO CONNECT REPEAT NON-EMERGENT PATIENTS WITH SOURCES OF PRIMARY CARE IN THE COMMUNITY. PART VI, LINE 3: NOTIFICATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE FROM CHI HOSPITAL ORGANIZATIONS SHALL BE DISSEMINATED BY VARIOUS MEANS, WHICH MAY INCLUDE, BUT NOT BE LIMITED TO: * CONSPICUOUS PUBLICATION OF NOTICES IN PATIENT BILLS; * NOTICES POSTED IN EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING/REGISTRATION DEPARTMENTS, BUSINESS OFFICES, AND AT OTHER PUBLIC PLACES AS A HOSPITAL FACILITY MAY ELECT; AND * PUBLICATION OF A SUMMARY OF THIS POLICY ON THE HOSPITAL FACILITY'S WEBSITE AND AT OTHER PLACES WITHIN THE COMMUNITIES SERVED BY THE HOSPITAL FACILITY AS IT MAY ELECT. SUCH NOTICES AND SUMMARY INFORMATION SHALL INCLUDE A CONTACT NUMBER AND SHALL BE PROVIDED IN ENGLISH, SPANISH, AND OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVED BY AN INDIVIDUAL HOSPITAL FACILITY, AS APPLICABLE. REFERRAL OF PATIENTS FOR FINANCIAL ASSISTANCE MAY BE MADE BY ANY MEMBER OF THE CHI HOSPITAL ORGANIZATION NON-MEDICAL OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKERS, CASE MANAGERS, CHAPLAINS, AND RELIGIOUS SPONSORS. A REQUEST FOR ASSISTANCE MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND, OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS.IN ADDITION, HOSPITAL REGISTRATION CLERKS ARE TRAINED TO PROVIDE CONSULTATION TO THOSE WHO HAVE NO INSURANCE OR POTENTIALLY INADEQUATE INSURANCE CONCERNING THEIR FINANCIAL OPTIONS INCLUDING APPLICATION FOR MEDICAID AND FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. COUNSELORS ASSIST MEDICARE ELIGIBLE PATIENTS IN ENROLLMENT BY PROVIDING REFERRALS TO THE APPROPRIATE GOVERNMENT AGENCIES. ONCE IT IS DETERMINED THAT THE PATIENT DOES NOT QUALIFY FOR ANY THIRD PARTY FUNDING, THE PATIENT IS VERBALLY NOTIFIED ABOUT THE EXISTENCE OF FINANCIAL ASSISTANCE APPLICATION AND ADDITIONAL SCREENING TAKES PLACE BY A HOSPITAL EMPLOYEE TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR CHARITY SERVICE PRIOR TO DISCHARGE. UPON REGISTRATION (AND ONCE ALL EMTALA REQUIREMENTS ARE MET), PATIENTS WHO ARE IDENTIFIED AS UNINSURED (AND NOT COVERED BY MEDICARE OR MEDICAID) ARE PROVIDED WITH A PACKET OF INFORMATION THAT ADDRESSES THE FINANCIAL ASSISTANCE POLICY, THE PLAIN LANGUAGE SUMMARY OF THAT POLICY, AND AN APPLICATION FOR ASSISTANCE. HOSPITAL REGISTRATION CLERKS READ THE ORGANIZATION'S MEDICAL ASSISTANCE POLICY TO THOSE WHO APPEAR TO BE INCAPABLE OF READING, AND PROVIDE TRANSLATORS FOR NON-ENGLISH-SPEAKING INDIVIDUALS. PATIENTS THAT HAVE BEEN DISCHARGED PRIOR TO CHARITY SCREENING, SUCH AS EMERGENCY ROOM PATIENTS, RECEIVE A WRITTEN NOTIFICATION OF POSSIBLE ELIGIBILITY FOR SERVICES. IF THE PATIENT IS DETERMINED NOT TO BE ELIGIBLE FOR GOVERNMENT ASSISTANCE, HE/SHE MAY NOTIFY THE HOSPITAL THAT THEY SEEK CHARITY ASSISTANCE. THE APPROPRIATE CHARITY FORM IS SENT TO THE PATIENT/GUARANTOR FOR COMPLETION AND THEN RETURNED TO THE HOSPITAL FOR EVALUATION AND QUALIFICATION. ONCE DETERMINATION OF ELIGIBILITY IS MADE, THE PATIENT IS SENT A NOTICE INFORMING HIM/HER IF THEY QUALIFY FOR FULL, PARTIAL, OR NO CHARITY CARE SERVICES.HOSPITAL FACILITIES MUST MAKE REASONABLE EFFORTS THROUGH ITS BILLING AND COLLECTIONS PROCESSES, PURSUANT TO TREAS. REG. 1.501(R)-6(C), TO DETERMINE WHETHER ANY INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE. PART VI, LINE 4: THE 2019 CHNA DEFINES ITS PRIMARY COMMITMENT AREAS PER IRS GUIDELINES AS THE DEMOGRAPHIC ZONES FROM WHICH THE MAJORITY OF HOSPITAL ADMISSIONS ORIGINATE. DEMOGRAPHIC ZONES ARE IDENTIFIED BY ZIP CODES FOR UNIQUE PATIENT MEDICAL RECORDS. ZIP CODES ARE THEN PLOTTED BY COUNTY TO IDENTIFY PRIMARY COMMITMENT AREAS. SECONDARY COMMITMENT AREAS ARE THOSE COUNTIES IMMEDIATELY ADJACENT TO PRIMARY COMMITMENT AREAS OR THOSE FROM WHICH THE LARGEST NUMBER OF HOSPITAL INPATIENT PATIENT ADMISSIONS ORIGINATE. ALTHOUGH CHI ST. VINCENT INFIRMARY AND CHI ST. VINCENT NORTH COMMUNITY BENEFIT ACTIVITIES MAY REACH BEYOND THESE DEMOGRAPHIC ZONES, EFFORTS WILL BE FOCUSED IN THESE AREAS. THROUGH THIS METHODOLOGY, CHI ST. VINCENT INFIRMARY IDENTIFIED PULASKI COUNTY AS THE PRIMARY SERVICE AREA, AND FAULKNER, LONOKE, JEFFERSON, GRANT, SALINE AND PERRY COUNTIES AS SECONDARY SERVICE AREA. SEVERAL FINDINGS ARE NOTABLE IN THE DEMOGRAPHIC INFORMATION FOR PULASKI COUNTY. WHILE THE POPULATION OF BLACK/AFRICAN AMERICANS ACROSS THE STATE VARIES ONLY SLIGHTLY FROM THE NATIONAL AVERAGE, THIS POPULATION IN PULASKI COUNTY IS MORE THAN 177% HIGHER THAN THE NATIONAL AVERAGE. AT THE SAME TIME, THE TOTAL POPULATION LIVING BELOW THE POVERTY LINE IS 22% HIGHER THAN THE NATIONAL AVERAGE WHILE THE MEDIAN HOUSEHOLD INCOME IS 15% LOWER. PART VI, LINE 5: THE ORGANIZATION'S HOSPITAL FACILITY(IES) PROMOTE HEALTH FOR THE BENEFIT OF THE COMMUNITY. MEDICAL STAFF PRIVILEGES IN THE HOSPITAL ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA, CONSISTENT WITH THE SIZE AND NATURE OF ITS FACILITIES. THE ORGANIZATION'S HOSPITAL FACILITY(IES) HAVE AN OPEN MEDICAL STAFF. ITS BOARD OF TRUSTEES IS COMPOSED OF PROMINENT CITIZENS IN THE COMMUNITY. EXCESS FUNDS ARE GENERALLY APPLIED TO EXPANSION AND REPLACEMENT OF EXISTING FACILITIES AND EQUIPMENT, AMORTIZATION OF INDEBTEDNESS, IMPROVEMENT IN PATIENT CARE, AND MEDICAL TRAINING, EDUCATION, AND RESEARCH. THE FACILITY(IES) TREAT PERSONS PAYING THEIR BILLS WITH THE AID OF PUBLIC PROGRAMS LIKE MEDICARE AND MEDICAID. ALL PATIENTS PRESENTING AT THE HOSPITAL FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE ARE TREATED REGARDLESS OF THEIR ABILITY TO PAY FOR SUCH TREATMENT.ST. VINCENT INFIRMARY MEDICAL CENTER (SVIMC) IS A TAX-EXEMPT ORGANIZATION AND IS INCLUDED IN A GROUP RULING ISSUED IN 2003 TO THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS WHICH APPLIED FOR RECOGNITION OF EXEMPTION ON BEHALF OF SUBORDINATE ORGANIZATIONS. OUR MISSION, VISION AND PRIMARY TAX-EXEMPT PURPOSE ARE FULFILLED THROUGH A COMPREHENSIVE NETWORK OF HEALTH SERVICES THAT ADDRESS THE NEEDS OF CITIZENS RESIDING IN THE GREATER LITTLE ROCK METROPOLITAN AREA, CENTRAL ARKANSAS AND BEYOND. ST. VINCENT HAS BEEN IN THE LITTLE ROCK COMMUNITY SINCE 1888 AND HAS COMPILED A DISTINGUISHED RECORD OF SERVICE THROUGHOUT THIS 131-YEAR PERIOD.SVIMC OPERATES ITS FACILITIES, PROGRAMS, AND SERVICES ON A NON-DISCRIMINATORY BASIS. ITS EMERGENCY DEPARTMENT IS OPEN TO ALL PEOPLE, REGARDLESS OF THEIR ABILITY TO PAY. IT HAS A BOARD OF DIRECTORS ON WHICH COMMUNITY REPRESENTATIVES SERVE WITH ENERGY AND COMMITMENT. IT SUPPORTS THE TRAINING AND EDUCATION OF VARIOUS HEALTH PROFESSIONALS. IT PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. THE ORGANIZATION PROVIDES A SIGNIFICANT AMOUNT OF CHARITY CARE EACH YEAR AND IS KNOWN FOR ITS COMMUNITY OUTREACH TO THOSE IN NEED. PART VI, LINE 6: THE ORGANIZATION IS AFFILIATED WITH COMMONSPIRIT HEALTH. COMMONSPIRIT HEALTH WAS CREATED BY THE ALIGNMENT OF CATHOLIC HEALTH INITIATIVES AND DIGNITY HEALTH AS A SINGLE MINISTRY IN EARLY 2019. COMMONSPIRIT HEALTH, A NONPROFIT, FAITH-BASED HEALTH SYSTEM IS COMMITTED TO BUILDING HEALTHIER COMMUNITIES, ADVOCATING FOR THOSE WHO ARE POOR AND VULNERABLE, AND INNOVATING HOW AND WHERE HEALING CAN HAPPEN BOTH INSIDE ITS HOSPITALS AND OUT IN THE COMMUNITY. COMMONSPIRIT HEALTH OWNS AND OPERATES HEALTH CARE FACILITIES IN 21 STATES AND IS THE SOLE CORPORATE MEMBER OF OTHER PRIMARILY NONPROFIT CORPORATIONS THAT ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES. COMMONSPIRIT HEALTH IS COMPRISED OF 137 HOSPITALS, INCLUDING ACADEMIC HEALTH CENTERS, MAJOR TEACHING HOSPITALS, AND CRITICAL ACCESS FACILITIES, COMMUNITY HEALTH SERVICES ORGANIZATIONS, ACCREDITED NURSING COLLEGES, HOME HEALTH AGENCIES, LIVING COMMUNITIES, A MEDICAL FOUNDATION AND OTHER AFFILIATED MEDICAL GROUPS, AND OTHER FACILITIES AND SERVICES THAT SPAN THE INPATIENT AND OUTPATIENT CONTINUUM OF CARE. IN FISCAL YEAR 2020, COMMONSPIRIT HEALTH PROVIDED MORE THAN $2.2 BILLION IN FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT FOR PROGRAMS AND SERVICES FOR THE POOR, FREE CLINICS, EDUCATION AND RESEARCH. FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT TOTALED MORE THAN $4.5 BILLION WITH THE INCLUSION OF THE UNPAID COSTS OF MEDICARE. THE HEALTH SYSTEM, WHICH GENERATED OPERATING REVENUES OF $29.57 BILLION IN FISCAL YEAR 2020, HAS TOTAL ASSETS OF APPROXIMATELY $46.77 BILLION.COMMONSPIRIT HEALTH PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES AS WELL AS CENTRALIZED SERVICES FOR ITS DIVISIONS. THE PROVISION OF CENTRALIZED MANAGEMENT AND SHARED SERVICES INCLUDING AREAS SUCH AS ACCOUNTING, HUMAN RESOURCES, PAYROLL AND SUPPLY CHAIN PROVIDES ECONOMIES OF SCALE AND PURCHASING POWER TO THE DIVISIONS. THE COST SAVINGS ACHIEVED THROUGH COMMONSPIRIT HEALTH'S CENTRALIZATION ENABLE DIVISIONS TO DEDICATE ADDITIONAL RESOURCES TO HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY. PART VI, LINE 7, REPORTS FILED WITH STATES AR 1 AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 30500 GALA PLEDGE ARKANSAS DEMOCRAT GAZETTE PO BOX 2221 LITTLE ROCK AR 72203 710450019 30000 PLATINUM SPONSORSHIP DIOCESE OF LITTLE ROCK 2500 N TYLER ST LITTLE ROCK AR 72207 710236871 501(C)(3) 25000 GOLF CLASSIC/DINNER DONATION UNIVERSITY OF ARKANSAS FOUNDATION INC 2801 S UNIVERSITY LITTLE ROCK AR 72204 716056774 501(C)(3) 339833 SPONSORSHIP ARKANSAS UROLOGY 1300 CENTERVIEW DRIVE LITTLE ROCK AR 72211 710782429 501(C)(3) 10000 SPONSORSHIP CATHOLIC HIGH SCHOOL FOUNDATION 6300 FATHER TRIBOU ST LITTLE ROCK AR 72205 710422983 501(C)(3) 10000 SPONSORSHIP MOUNT ST MARY ACADEMY 3224 KAVANAUGH BLVD LITTLE ROCK AR 72205 710261083 501(C)(3) 25000 SPONSORSHIP D1 SPORTS TRAINING LITTLE ROCK 10 VIEWPOINTE COVE LITTLE ROCK AR 72223 205179734 11000 SPONSORSHIP ARKANSAS UNITED SOCCER CLUB 16603 CANTRELL RD SUITE 4 LITTLE ROCK AR 72223 710594414 501(C)(3) 20000 SPONSORSHIP INK ENTERPRISES INC 400 CASEY DRIVE MAUMELLE AR 72113 710686299 9959 SPONSORSHIP 7 3 PART I, LINE 2: ST. VINCENT INFIRMARY MEDICAL CENTER USES MINIMAL FUNDS TO GIVE SPONSORSHIPS TO CERTAIN EVENTS. ST. VINCENT INFIRMARY MEDICAL CENTER'S CEO APPROVES ALL SPONSORSHIPS, AND THEY ARE PRIMARILY PROVIDED TO CHARITABLE ORGANIZATIONS OR TO EVENTS THAT PROMOTE COMMUNITY HEALTH. X X 0 1 0 0 0 0 0 1 0 LARRY SCHUMACHER SENIOR VP-OPERATIONS-CEO / BOARD MEM 0 1124447 0 903053 0 132087 0 189040 0 26776 0 2375403 0 112320 THURSTON BAUER CARDIOVASCULAR SURGEON 2246772 0 0 0 756 0 15187 0 24125 0 2286840 0 0 0 FREDERICK MEADORS CARDIOVASCULAR SURGEON 1525447 0 0 0 5544 0 15802 0 16743 0 1563536 0 0 0 FRANK BAUER CARDIOTHORACIC SURGEON 1480608 0 0 0 5544 0 15625 0 9293 0 1511070 0 0 0 MANGARAJU CHAKKA ELECTRO PHYSIOLOGIST 1366142 0 23794 0 1932 0 16675 0 24394 0 1432937 0 0 0 THOMAS WALLACE ELECTRO PHYSIOLOGIST 1352361 0 23794 0 1260 0 17101 0 24125 0 1418641 0 0 0 CHAD ADUDDELL MARKET CEO 590132 0 175594 0 121867 0 16359 0 24670 0 928622 0 47278 0 SAYYADUL SIDDIQUI MD BOARD MEMBER / VICE CHIEF OF STAFF 743940 0 23794 0 3612 0 16675 0 24125 0 812146 0 0 0 MARK MCGINNIS FORMER CFO / TREASURER 0 572438 0 0 0 24544 0 68632 0 30908 0 696522 0 0 RANDY JORDAN CHIEF MEDICAL OFFICER 595595 0 23794 0 10642 0 15513 0 23975 0 669519 0 0 0 DOUGLAS ROSS MD PRESIDENT-ST VIN HS-MKT CMO 488973 660 49999 24753 15260 0 42167 0 23010 254 619409 25667 0 0 MATTHEW TROUP PRESIDENT CONWAY REGIONAL 422709 0 132036 0 29829 0 32337 0 24430 0 641341 0 15090 0 DAVID FOSTER PRESIDENT PHYSICIAN ENTERPRISE 0 467908 0 43940 0 12182 0 15904 0 22899 0 562833 0 0 LISA SAJOVITZ MD BOARD MEMBER / VICE CHIEF OF STAFF 0 512800 0 0 0 1946 0 16675 0 24303 0 555724 0 0 SHAWN BARNETT MKT SVP COO CFO 442026 0 0 0 50511 0 20061 0 15437 0 528035 0 0 0 BRYAN WILLIAMS CHI ST. VINCENT VP PATIENT CARE SERV 0 208296 0 41468 0 687 0 12922 0 22335 0 285708 0 0 CHRISTOPHER STINES VP-OPERATIONS 227082 0 0 0 15394 0 25477 0 8494 0 276447 0 0 0 LAURA COOK MKT SVP DEVELOPMENT 226873 0 0 0 17084 0 14882 0 14891 0 273730 0 0 0 ANGELA LONGING CNO CONWAY REGIONAL 122871 66262 37564 0 631 0 13460 0 12997 1696 187523 67958 0 0 PART I, LINE 7 THE ORGANIZATION MAINTAINS A VARIABLE PAY PROGRAM FOR CERTAIN ELIGIBLE EMPLOYEES THAT PUTS A PORTION OF COMPENSATION AT RISK. AWARDS OF INCENTIVE COMPENSATION ARE MADE BASED UPON CERTAIN CRITERIA INCLUDING WORK HISTORY, KEY ROLE, EXECUTIVE TURNOVER AND FUTURE NEEDS. PART I, LINE 4A: FOR REPORTABLE INDIVIDUALS EMPLOYED PRIOR TO 2019, POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. OFFICERS, KEY EMPLOYEES AND CERTAIN HIGHLY COMPENSATED EMPLOYEES WHO BEGAN EMPLOYMENT AFTER NOVEMBER 1ST OF 2019 ARE COVERED BY A SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 9 MONTHS TO 2 YEARS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. PART I, LINE 4B: DURING THE 2019 CALENDAR YEAR, COMMONSPIRIT MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR DIVISION CEOS/HOSPITAL PRESIDENTS AND OTHER DESIGNATED COMMONSPIRIT EXECUTIVES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. DURING 2019 THE FOLLOWING DISTRIBUTIONS WERE MADE BY COMMONSPIRIT FROM THE DEFERRED COMPENSATION PLAN: CHAD ADUDDELL, $47,409; MATTHEW E. TROUP, $13,702; LAWRENCE P. SCHUMACHER, $112,633. DUE TO THE "SUPER" VESTING RULES UNDER COMMONSPIRIT'S DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS INVOLUNTARY TERMINATION WITHOUT CAUSE, AGE, AGE AND YEARS OF SERVICE, OR MORE THAN 5 YEARS OF PLAN PARTICIPATION ARE ELIGIBLE TO RECEIVE THEIR 2019 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II. DURING 2019, THE FOLLOWING PAYMENTS WERE MADE PURSUANT TO THE SUPER VESTING RULES: CHAD ADUDDELL, $54,198. FORM 990, PART VI, SECTION A, LINE 1 PURSUANT TO SECTION 8.6 OF THE BYLAWS OF ST. VINCENT INFIRMARY MEDICAL CENTER, THE EXECUTIVE COMMITTEE IS COMPOSED OF THE BOARD CHAIR, THE BOARD VICE CHAIR, THE PRESIDENT AND CEO, AND FIVE VOTING MEMBERS OF THE BOARD APPOINTED BY THE CHAIRPERSON, EACH OF WHOM SHALL SERVE AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE. EACH INDIVIDUAL APPOINTED TO THE EXECUTIVE COMMITTEE SHALL SERVE FOR A TERM OF ONE YEAR OR UNTIL HIS OR HER SUCCESSOR IS DULY APPOINTED BY THE BOARD OF DIRECTORS. PURSUANT TO SECTION 8.1 OF THE CORPORATION'S BYLAWS, COMMITTEES, SUCH AS THE EXECUTIVE COMMITTEE, THAT ARE GRANTED THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MAY INCLUDE ONLY DIRECTORS OF THE CORPORATION. FURTHER, PURSUANT TO SECTION 8.6 OF THE CORPORATION'S BYLAWS, THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE ALSO POSSESSES THE POWER TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 6 ACCORDING TO THE BYLAWS OF ST. VINCENT INFIRMARY MEDICAL CENTER THE ENTITY'S SOLE MEMBER IS COMMONSPIRIT HEALTH, A COLORADO NONPROFIT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS SHALL BE APPOINTED OR REFUSED BY THE CORPORATE MEMBER. THE CORPORATE MEMBER MAY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS, AND MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS AND WITH ENDORSEMENT OF THE SENIOR VICE PRESIDENT OF OPERATIONS. THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS SHOULD THE BOARD FAIL TO FURNISH THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION. (CHCF RESERVED RIGHTS) EXCEPT AS OTHERWISE PROVIDED IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE LAWS OF THE STATE OF ORGANIZATION, CATHOLIC HEALTH CARE FEDERATION ("CHCF") SHALL HAVE SUCH RIGHTS AS ARE RESERVED TO THE CORPORATE MEMBER, ACTING IN ITS CAPACITY AS THE MEMBERSHIP BODY OF CHCF, UNDER THE GOVERNANCE MATRIX. FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION'S CORPORATE MEMBER IS COMMONSPIRIT HEALTH. PURSUANT TO SECTION 5.4 OF THE ORGANIZATION'S BYLAWS, THE CORPORATE MEMBER SHALL HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE RESERVED TO THE COMMONSPIRIT HEALTH BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE COMMONSPIRIT HEALTH CHIEF EXECUTIVE OFFICER: * SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF THE ST. VINCENT INFIRMARY MEDICAL CENTER * AMENDMENT OF THE CORPORATE DOCUMENTS OF THE ST. VINCENT INFIRMARY MEDICAL CENTER * APPROVE MEMBERS OF THE ST. VINCENT INFIRMARY MEDICAL CENTER BOARD * REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE ST. VINCENT INFIRMARY MEDICAL CENTER * APPROVAL OF ISSUANCE OF DEBT BY ST. VINCENT INFIRMARY MEDICAL CENTER * APPROVAL OF PARTICIPATION OF ST. VINCENT INFIRMARY MEDICAL CENTER IN A JOINT VENTURE * APPROVAL OF FORMATION OF A NEW CORPORATION BY ST. VINCENT INFIRMARY MEDICAL CENTER * APPROVAL OF A MERGER INVOLVING THE ST. VINCENT INFIRMARY MEDICAL CENTER * APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE ST. VINCENT INFIRMARY MEDICAL CENTER * TO REQUIRE THE TRANSFER OF ASSETS BY THE ST. VINCENT INFIRMARY MEDICAL CENTER TO COMMONSPIRIT HEALTH TO ACCOMPLISH COMMONSPIRIT HEALTH'S GOALS AND OBJECTIVES, AND TO SATISFY COMMONSPIRIT HEALTH DEBTS. * ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR ST. VINCENT INFIRMARY MEDICAL CENTER PURSUANT TO SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, COMMONSPIRIT HEALTH MAY, IN EXERCISE OF ITS APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. (CHCF RESERVED RIGHTS) EXCEPT AS OTHERWISE PROVIDED IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE LAWS OF THE STATE OF ORGANIZATION, CATHOLIC HEALTH CARE FEDERATION ("CHCF") SHALL HAVE SUCH RIGHTS AS ARE RESERVED TO THE CORPORATE MEMBER, ACTING IN ITS CAPACITY AS THE MEMBERSHIP BODY OF CHCF, UNDER THE GOVERNANCE MATRIX. FORM 990, PART VI, SECTION B, LINE 11B ONCE THE RETURN IS PREPARED, THE RETURN IS REVIEWED BY THE CHIEF FINANCIAL OFFICER. AFTER THE RETURN IS REVIEWED BY THE CFO, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE CFO. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") IN PLACE TO MAINTAIN THE INTEGRITY OF ITS ACTIVITIES. THE POLICY APPLIES TO THE FOLLOWING PERSONS ("COVERED PERSONS"): MEMBERS OF THE COMMONSPIRIT HEALTH ("COMMONSPIRIT") BOARD OF STEWARDSHIP TRUSTEES AND ITS COMMITTEES; COMMONSPIRIT HEALTH CORPORATE OFFICERS; MEMBERS OF THE DIGNITY HEALTH BOARD OF STEWARDSHIP TRUSTEES AND ITS COMMITTEES. IN ADDITION, THE POLICY APPLIES TO ORGANIZATIONS THAT WERE AFFILIATES AND SUBSIDIARIES OF COMMONSPIRIT HEALTH PRIOR TO ITS AFFILIATION WITH DIGNITY HEALTH ("CHI ENTITIES"). COVERED PERSONS OF CHI ENTITIES INCLUDE: MEMBERS OF ANY CHI ENTITY DIRECT AFFILIATE OR SUBSIDIARY BOARD AND THEIR COMMITTEES; EMPLOYEES OF CHI ENTITIES; AND CHI ENTITY RESEARCHERS (AS DEFINED BY THE POLICY). DISCLOSURE, REVIEW AND MANAGEMENT OF PERCEIVED, POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS. ALL COVERED PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS AND MUST DISCLOSE THAT CONFLICT TO HIS/HER DIRECT MANAGER (OR OTHER PERSON AS IS APPROPRIATE PER POLICY). SUCH DISCLOSURE IS REQUIRED ON A TRANSACTIONAL BASIS AT THE TIME SUCH CONFLICTS ARISE, WHEN AN INDIVIDUAL BECOMES A COVERED PERSON (E.G. UPON HIRING OR BOARD APPOINTMENT), AND ANNUALLY THEREAFTER. DISCLOSURES OF PERCEIVED, POTENTIAL OR ACTUAL CONFLICTS ARE INITIALLY REVIEWED BY NATIONAL OR REGIONAL LEGAL OR CORPORATE RESPONSIBILITY TEAM MEMBERS TO DETERMINE WHETHER AN ACTUAL OR POTENTIAL CONFLICT MAY EXIST. IF IT IS DETERMINED THAT A POTENTIAL OR ACTUAL CONFLICT EXISTS, ISSUES ARE ELEVATED TO THE BOARD EXECUTIVE COMMITTEE OR BOARD CHAIR (FOR BOARD OR OFFICER CONFLICTS), OR THE CONFLICTS OF INTEREST REVIEW COMMITTEE (FOR ANY OTHER CONFLICT). THE PROCEDURES FOR ADDRESSING A CONFLICT RELATED TO A PROPOSED TRANSACTION IN THE CASE OF GOVERNING BODIES OR A CORPORATE OFFICER INCLUDE, BUT ARE NOT LIMITED TO 1) DISCLOSURE TO THE BOARD, 2) THE TRUSTEE OR CORPORATE OFFICER BEING EXCUSED FROM THE MEETING DURING DISCUSSION AND VOTE ON THE CONFLICT OF INTEREST (ALTHOUGH HE OR SHE MAY RESPOND TO PERTINENT QUESTIONS IF THE KNOWLEDGE IS RELEVANT), AND 3) BOARD APPROVAL OF THE TRANSACTION BY A MAJORITY OF DISINTERESTED MEMBERS. IN ADDITION, BOARDS CAREFULLY REVIEW AND SCRUTINIZE ANY NON-TRANSACTIONAL CONFLICTS OF INTEREST. IN SUCH CIRCUMSTANCES, BY A MAJORITY VOTE OF THE DISINTERESTED TRUSTEES, THE BOARD TAKES WHATEVER ACTION IS DEEMED APPROPRIATE. FOR CONFLICTS NOT INVOLVING A BOARD MEMBER OR OFFICER, THE CONFLICTS OF INTEREST REVIEW COMMITTEE ("C-CIRC") WILL FACILITATE A COI MANAGEMENT PLAN TO MITIGATE THE CONFLICT IF ADEQUATE CONTROLS AREN'T ALREADY IN PLACE. NOTWITHSTANDING THE FOREGOING, AT ITS SOLE DISCRETION, AN ENTITY MAY REJECT A PERSON'S REQUEST TO ENTER INTO THE RELATIONSHIP IN QUESTION, OR REQUIRE THE RELATIONSHIP BE SUFFICIENTLY ALTERED TO AVOID A POTENTIAL CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 LINE 15A: ST. VINCENT INFIRMARY MED CENTER USED GALLAGHER AS THE INDEPENDENT THIRD PARTY TO ASSESS EXECUTIVE COMPENSATION PROGRAMS AND TO ENSURE THE REASONABLENESS OF ACTUAL SALARIES AND TOTAL COMPENSATION PACKAGES. COMPENSATION OF THE SENIOR MOST EXECUTIVES WAS REVIEWED ANNUALLY. GALLAGHER REVIEWED BOTH MARKET DATA AND TOTAL COMPENSATION FOR OVERALL REASONABLENESS AND FOR COMPARABILITY TO THE NOT-FOR-PROFIT HEALTHCARE MARKET. THIS INDEPENDENT REVIEW WAS DELIVERED BY GALLAGHER TO THE ST. VINCENT BOARD COMMITTEE AT THEIR DECEMBER 2020 MEETING. LINE 15B: EXECUTIVE COMPENSATION IS REVIEWED BY A COMPENSATION COMMITTEE COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS. ALL SALARY LEVELS AND INCREASES ARE COMPARED TO INDUSTRY STANDARDS AND GUIDELINES FOR APPROPRIATENESS USING DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTANT. THE PROCESS IS DOCUMENTED IN THE COMPENSATION COMMITTEE MINUTES. THIS PROCESS WAS LAST UNDERTAKEN IN THE YEAR ENDED JUNE 30, 2020. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST FROM THE ADMINISTRATION DEPARTMENT. IN ADDITION, THE GOVERNING DOCUMENTS ARE AVAILABLE FROM THE ARKANSAS SECRETARY OF STATE. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN COMMONSPIRIT HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.COMMONSPIRIT.ORG. FORM 990, PART VI, LINE 16B: ST. VINCENT INFIRMARY MEDICAL CENTER HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER COMMONSPIRIT HEALTH'S SYSTEM-WIDE JOINT VENTURE MODEL OPERATING AGREEMENT INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT (1) THE EXEMPT ORGANIZATION AT ALL TIMES RETAINS CONTROL OVER THE VENTURE SUFFICIENT TO ENSURE THAT THE PARTNERSHIP FURTHERS THE EXEMPT PURPOSE OF THE ORGANIZATION; (2) IN ANY PARTNERSHIP IN WHICH THE EXEMPT ORGANIZATION IS A PARTNER, ACHIEVEMENT OF EXEMPT PURPOSES IS PRIORITIZED OVER MAXIMIZATION OF PROFITS FOR THE PARTNERS; (3) THE PARTNERSHIP DOES NOT ENGAGE IN ANY ACTIVITIES THAT WOULD JEOPARDIZE THE EXEMPT ORGANIZATION'S EXEMPTION; AND (4) RETURNS OF CAPITAL, ALLOCATIONS, AND DISTRIBUTIONS MUST BE MADE IN PROPORTION TO THE PARTNERS' RESPECTIVE OWNERSHIP INTERESTS. ANY JOINT VENTURE AGREEMENTS THAT DO NOT CONFORM TO THE MODEL AGREEMENT ARE GENERALLY REVIEWED BY COUNSEL. FORM 990, PART IX, LINE 11G OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 21,190,638. MANAGEMENT AND GENERAL EXPENSES 3,337,994. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,528,632. CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,970,209. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,970,209. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 19,341,964. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,341,964. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 28,278,747. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,278,747. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 26,962,883. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,962,883. FORM 990, PART XI, LINE 9: ASC 842 10,889,118. OTHER CHANGES IN NET ASSETS 1,547,242. 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