2021-05-17T08:40:28-05:00 2020-06-30 990 2019-07-01 510064326 ST FRANCIS HOSPITAL INC STFR 3024214100 PO BOX 2500 WILMINGTON DE 198050500 ANTHONY FANELLI VP REG FINANCIAL REPORTING 3024214100 2021-05-17 2019 2022-09-23 18:48:47Z SAINT FRANCIS HEALTHCARE BRANDON HARVATH PO BOX 2500 WILMINGTON DE 198050500 175734879 0 0928 X WWW.TRINITYHEALTHMA.ORG X 1923 DE TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES 15 11 1385 98 65791 -170487 718967 4151304 174040849 167059761 -88185 -381668 3626581 3576987 178298212 174406384 4000 2704 0 0 87650508 92228426 0 0 156153 89116957 87893316 176771465 180124446 1526747 -5718062 58993699 66277989 140130869 154942515 -81137170 -88664526 X WE, SAINT FRANCIS HOSPITAL AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES.ST. FRANCIS HOSPITAL (SAINT FRANCIS) IS A MEMBER OF TRINITY HEALTH OF THE MID-ATLANTIC REGION (THMA) AND TRINITY HEALTH. 0 0 152115376 2704 167295167 ST. FRANCIS HOSPITAL (SAINT FRANCIS) IS A COMMUNITY HOSPITAL LOCATED IN WILMINGTON, DELAWARE, IN OPERATION SINCE 1923. THE HOSPITAL PROVIDES A FULL SPECTRUM OF GENERAL MEDICAL SERVICES, INCLUDING EMERGENCY, DIAGNOSTIC TESTING, AND WOMEN'S HEALTH. SAINT FRANCIS ALSO OFFERS SPECIALIZED SURGICAL SERVICES, INCLUDING BARIATRIC SURGERY, AND IS THE ONLY HOSPITAL IN WILMINGTON TO OFFER PRECISION SURGERY VIA THE DA VINCI SURGICAL SYSTEM FOR MINIMALLY INVASIVE GYNECOLOGICAL AND PROSTATE SURGERIES. SAINT FRANCIS HAS ALSO BEEN OPERATING A SLEEP CENTER SINCE 1997, AND IS ONE OF THE FEW SLEEP CENTERS IN DELAWARE THAT IS ACCREDITED BY THE ACADEMY OF SLEEP MEDICINE. IN FY20 THE HOSPITAL PROVIDED OVER 21,000 PATIENT DAYS OF HEALTH CARE SERVICES TO INPATIENTS, SERVED OVER 218,000 OUTPATIENTS, 34,000 EMERGENCY ROOM VISITS, AND 26,000 HOME HEALTH VISITS. PLEASE SEE SCHEDULE H AND VISIT OUR WEBSITE FOR ADDITIONAL INFORMATION ABOUT SERVICES, RECOGNITIONS AND AWARDS: WWW.TRINITYHEALTHMA.ORG/LOCATION/SAINT-FRANCIS-HEALTHCARE 152115376 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 1 0 0 1 212 0 1 1385 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 11 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X ANTHONY FANELLI 6108866674 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE PA 190732329 JAMES WOODWARD DIR; CEO TRINITY HEALTH MID-ATLANTIC 2.00 53.00 X 0 968257 60268 EREV TUBB MD PHYSICIAN 50.00 0.00 X 696387 0 13791 DANIEL SINNOTT DIRECTOR; PRESIDENT & CEO 53.00 2.00 X X 0 536515 147530 YOLANDA HENDLEY MD PHYSICIAN 50.00 0.00 X 612386 0 41286 JAMES COSGROVE DO PHYSICIAN 50.00 0.00 X 592381 0 46328 MICHAEL HAMMOND TREAS & THMA REG CFO THR 1/20 2.00 48.00 X 0 544901 59681 RICHARD LEADER MD PHYSICIAN 50.00 0.00 X 496135 0 54361 JENNIFER KIRBY FORMER KE; VP PATIENT SERVICES/CNO 50.00 0.00 X 0 308133 232782 NANCY PETIT MD PHYSICIAN 50.00 0.00 X 425067 0 52124 CASSANDRA WILLIS-ABNER DIRECTOR; TH SVP DIV & INCLUSION 1.00 49.00 X 0 396947 77903 CATHERINE MIKUS SECRETARY; GENERAL COUNSEL 2.00 48.00 X 0 373119 94936 MARYANNE SPALLUCCI TREAS & THMA REG CFO AS OF 2/20 2.00 48.00 X 0 409511 21164 MICHAEL POLNEROW DO FORMER KEY EMPLOYEE 0.00 0.00 X 0 375652 5033 DAVID RICCI FORMER OFFICER 0.00 0.00 X 0 257608 7039 BRANDON HARVATH COO 50.00 0.00 X 0 201921 21294 RALPH GONZALEZ CHIEF MEDICAL OFFICER 50.00 0.00 X 0 189198 23101 MARY FINN FORMER OFFICER 0.00 0.00 X 0 172904 20092 JOSEPH DESANTIS DIRECTOR; CHAIR 1.00 5.00 X X 0 0 0 REBECCA KERCHNER DIRECTOR; VICE CHAIR 1.00 5.00 X X 0 0 0 TALYANA BROMBERG DIRECTOR 1.00 5.00 X 0 0 0 KATHRYN DOUGHERTY OSF DIRECTOR 1.00 5.00 X 0 0 0 KRISTEN FEDEN DIRECTOR THROUGH 11/19 1.00 5.00 X 0 0 0 MARIANNE GRACE DIRECTOR 1.00 5.00 X 0 0 0 SHAILA KAPUR DIRECTOR AS OF 1/20 1.00 5.00 X 0 0 0 SARAH LENAHAN DIRECTOR 1.00 5.00 X 0 0 0 CHRISTINE MCCANN RSM DIRECTOR 1.00 5.00 X 0 0 0 JAMES MONIHAN MD DIRECTOR AS OF 1/20 1.00 5.00 X 0 0 0 ROY ROPER DIRECTOR THROUGH 10/19 1.00 5.00 X 0 0 0 RICHELLE VIBLE DIRECTOR 1.00 5.00 X 0 0 0 PIERRE VIGILANCE MD DIRECTOR 1.00 5.00 X 0 0 0 MICHAEL WERT DIRECTOR 1.00 5.00 X 0 0 0 2822356 4734666 978713 140 1 1 0 CHRISTIANA MECHANICAL INC 109 SLEEPY HOLLOW DRIVE STE A MIDDLETOWN DE 19709 MAINTENANCE SERVICES 3371052 PREMIER ANESTHESIA OF PA PC 2655 NORTHWINDS PARKWAY ALPHARETTA GA 30009 ANESTHETISTS 2921964 SODEXO AFFILIATES 1100 N MARKET ST WILMINGTON DE 19801 DIETARY SERVICES 1636226 DSI SECURITY SERVICES 7601 S KOSTNER AVE STE 100 CHICAGO IL 60652 SECURITY SERVICES 1353089 OTIS ELEVATOR CO 300 CORNELL DR STE A1 WILMINGTON DE 19801 ELEVATOR REPAIR SERVICES 929628 62 10000 3414120 727184 4151304 NET PATIENT SERVICE REVENUE 622110 166934452 166934452 LABORATORY REVENUE 621500 65791 65791 RETAIL PHARMACY REVENUE 622110 59518 59518 167059761 3549038 938733 2610305 2610305 2610305 8094 332118 57644 -332118 -49550 -381668 -381668 CAFETERIA / COFFEE SHOP REVENUE 722514 592088 592088 PARKING GARAGE REVENUE 812930 73397 73397 EDUCATION PROGRAMS 622110 18773 18773 282424 282424 966682 174406384 167295167 65791 2894122 X 2704 2704 1026691 1026691 1287622 107706 1179916 75155467 68045198 6999744 110525 2862619 2564237 294218 4164 6647331 5964478 673179 9674 5248696 4760257 480743 7696 168435 168435 1714 1714 8492 8492 68273 68273 18203211 17227377 968867 6967 1029762 125192 904570 2089482 1147087 941123 1272 6490801 122719 6368082 3943635 3685728 257907 321313 293152 28009 152 174581 150693 23888 4050184 4050184 6053896 5228422 825172 302 1209695 1203745 4964 986 MEDICAL SUPPLIES 23773892 23773892 BAD DEBT 9038555 9038555 INTERCO. PURCHASED SVCS 5308810 1530131 3772579 6100 EQUIPMENT MAINTENANCE 2488383 2486908 1475 3470202 438576 3023311 8315 180124446 152115376 27852917 156153 174015 469953 16125133 10691655 3822856 4177304 284169 222140 101447974 68117642 29228642 33330332 142729 3274883 91254 1098751 9124901 13012971 58993699 66277989 11646032 13352950 228674 283355 4295178 4353608 123960985 136952602 140130869 154942515 X -81196991 -89393916 59821 729390 -81137170 -88664526 58993699 66277989 X -5718062 451071 -2260365 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 13153 0 0 0 13153 0 PART II-B, LINE 1: ST. FRANCIS HOSPITAL HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES. THESE GRANTS HAVE BEEN IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS, WHERE THE ORGANIZATIONS HAVE PROVIDED ST. FRANCIS HOSPITAL WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. ORGANIZATION EMPLOYEES ALSO ENGAGE IN ADVOCACY ON ISSUES RELATED TO HEALTH CARE AND HEALTH CARE PROVIDERS. SUCH ACTIVITIES CONSIST OF WRITTEN AND VERBAL COMMUNICATIONS WITH FEDERAL, STATE AND LOCAL ELECTED OFFICIALS AND GOVERNMENT AGENCIES. 339245 339245 1.00000 1 0 682112 682112 22828277 9917852 12910425 898971 203105 695866 73956815 57996685 15960130 3081799 3081799 33330332 MISCELLANEOUS RECEIVABLES 1068656 OTHER LONG-TERM ASSETS 32511 INTERCOMPANY OTHER LT ASSETS 8027640 INTERCOMPANY ACCOUNTS RECEIVABLE 1581299 OPERATING LEASE RIGHT-OF-USE ASSETS 2302865 13012971 INTERCOMPANY ACCOUNTS PAYABLE 4359492 INTERCOMPANY NOTES PAYABLE 105536291 OTHER CURRENT LIABILITIES 3550765 INTERCOMPANY OTHER LIABILITIES 265411 OVERDRAFT IN POOLED INVESTMENT 4415397 OPERATING LEASE LIABILITIES 2285756 DEFERED COMP LIABILITY 110278 MEDICARE CASH ADVANCES 16429212 136952602 PART V, LINE 4: THE ENDOWMENT FUNDS ARE USED TO SUPPORT THE HOSPITAL'S OPERATIONS, WHICH ENHANCES OUR ABILITY TO IDENTIFY AND SUPPORT THE CURRENT NEEDS OF OUR LOCAL COMMUNITY. 1 1 X 1 X 1 X 1 1 0 1 1 5136891 736066 4400825 0.02570 47528753 44793189 2735564 0.01600 52665644 45529255 7136389 0.04170 13 2988 104512 104512 0.00060 1 5548 3813216 1080000 2733216 0.01600 3 6231 1693591 612858 1080733 0.00630 2 60 1161 1161 0.00000 19 14827 5612480 1692858 3919622 0.02290 19 14827 58278124 47222113 11056011 0.06460 0 9038555 29396776 30876976 -1480200 X 1 1 1 1 ST FRANCIS HOSPITAL INC 701 NORTH CLAYTON STREET WILMINGTON DE 198050500 WWW.STFRANCISHEALTHCARE.ORG STATE ID# HSPTL-004 X X X X ST FRANCIS HOSPITAL 1 0 0 1 X X X X X X X X X 19 1 0 0 1 X SEE PART V, SECTION C X 1 19 1 SEE PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 ST. FRANCIS HOSPITAL PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E:ST. FRANCIS HOSPITAL, ALSO KNOWN AS SAINT FRANCIS HEALTHCARE (SAINT FRANCIS), INCLUDED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: - BEHAVIORAL HEALTH (SUBSTANCE USE AND MENTAL HEALTH DISORDERS)- TRAUMA AND ADVERSE CHILDHOOD EXPERIENCES- EQUITABLE ACCESS TO HEALTH CARE SERVICES- AFFORDABLE HOUSING- LACK OF EDUCATION- POVERTY- VIOLENCE/CRIME- FOOD INSECURITY - CHRONIC DISEASES- INFANT MORTALITY ST. FRANCIS HOSPITAL PART V, SECTION B, LINE 5: ON SEPTEMBER 19, 2019, SAINT FRANCIS OBTAINED INPUT FROM THE DELAWARE DIVISION OF PUBLIC HEALTH SENIOR LEADERSHIP GROUP (SLG). MEMBERS OF THE SLG INCLUDED THE PUBLIC HEALTH DIRECTOR, DEPUTY DIRECTOR, MEDICAL DIRECTOR, DENTAL DIRECTOR, AND SECTION CHIEFS WHO REPRESENTED COMMUNITY HEALTH, CHILD AND MATERNAL HEALTH, HEALTH PROMOTION AND DISEASE PREVENTION, EPIDEMIOLOGY, AND RURAL HEALTH. THE MEETING FORMAT INCLUDED A PRESENTATION OF THE CHNA DATA FOLLOWED BY A QUESTION AND ANSWER SESSION. ADDITIONALLY, ON OCTOBER 23, 2019, SAINT FRANCIS PARTICIPATED IN A DAY-LONG STATE HEALTH IMPROVEMENT PLAN (SHIP) STAKEHOLDER MEETING AT THE UNIVERSITY OF DELAWARE, SPONSORED AND LED BY DELAWARE'S DEPARTMENT OF HEALTH AND SOCIAL SERVICES. PUBLIC HEALTH STAKEHOLDERS WERE UPDATED ON SHIP PROGRESS TO DATE AND WERE INCLUDED IN A DISCUSSION AROUND ALIGNMENT BETWEEN THE SHIP PRIORITIES AND THE PRIORITIES OF STAKEHOLDERS AND PARTNERS.SAINT FRANCIS OBTAINED INPUT FROM THE FOLLOWING ORGANIZATIONS DURING A COMMUNITY ENGAGEMENT MEETING AT SAINT FRANCIS HOSPITAL ON OCTOBER 30, 2019: LATIN AMERICAN COMMUNITY CENTER, CATHOLIC CHARITIES, SALVATION ARMY, MINISTRY OF CARING, SUNDAY BREAKFAST MISSION, BOYS & GIRLS CLUB, WESTSIDE FAMILY HEALTHCARE (FQHC), DE COALITION AGAINST DOMESTIC VIOLENCE, AIDS DELAWARE, UNITED WAY DELAWARE, AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY, DE BREAST CANCER COALITION, CHILDREN & FAMILIES FIRST, ST. ELIZABETH HIGH SCHOOL, NATIONAL ASSOCIATION OF MENTAL ILLNESS, CONNECTIONS COMMUNITY SUPPORT PROGRAMS, YWCA, CITY OF WILMINGTON, NEW CASTLE COUNTY, NEMOURS, AND CHRISTIANA CARE HEALTH SYSTEM.AN ONLINE COMMUNITY SURVEY CONDUCTED THROUGH SURVEY MONKEY WAS MADE AVAILABLE TO COMMUNITY RESIDENTS AND SAINT FRANCIS EMPLOYEES BETWEEN AUGUST 1 AND SEPTEMBER 30, 2019. AMONG GENERAL QUESTIONS ABOUT HEALTH STATUS AND SOCIAL DETERMINANTS OF HEALTH, THE ONLINE SURVEY INCLUDED TWO COMMUNITY HEALTH RELATED QUESTIONS. ONE HUNDRED THIRTEEN INDIVIDUALS RESPONDED TO THE SURVEY. THE INPUT GATHERED WAS REPRESENTATIVE OF THE WILMINGTON POPULATION, WHICH INCLUDES THOSE WHO ARE AT OR BELOW POVERTY LEVEL, UNINSURED OR UNDERINSURED, HOMELESS, MINORITIES, AND IMMIGRANTS. SAINT FRANCIS SERVES THESE POPULATIONS. ST. FRANCIS HOSPITAL PART V, SECTION B, LINE 11: SAINT FRANCIS' IMPLEMENTATION STRATEGY IS DESIGNED TO ADDRESS THE PRIORITY AREAS IDENTIFIED IN THE CHNA. FOLLOWING ARE THE PRIORITIES ASSIGNED TO THE COMPONENTS OF THE IMPLEMENTATION STRATEGY:1. FOOD INSECURITY2. EQUITABLE ACCESS TO HEALTH CARE SERVICES3. BEHAVIORAL HEALTHTHE FOLLOWING ARE PROGRAM EXAMPLES OF HOW WE ARE ADDRESSING EACH NEED:FOOD INSECURITYSAINT FRANCIS LAUNCHED A FOOD INSECURITY PROGRAM IN MARCH 2020 IN PARTNERSHIP WITH BOTH THE FOOD BANK OF DELAWARE AND WITH BRIGHT SPOT FARMS, A LOCAL COMMUNITY-SUPPORTED AGRICULTURE ORGANIZATION. THE FOOD BANK'S MOBILE FOOD PANTRY VISITED SAINT FRANCIS MONTHLY TO DISTRIBUTE FOOD TO APPROXIMATELY 80 INDIVIDUALS OR FAMILIES. A BAG OF FRESH VEGETABLES WAS DISTRIBUTED WEEKLY THROUGH BRIGHT SPOT FARMS TO 30 INDIVIDUALS OR FAMILIES AS A SUPPLEMENT TO THE ITEMS THEY RECEIVED THROUGH THE MOBILE PANTRY. THE INDIVIDUALS OR FAMILIES WHO RECEIVED PRODUCE WERE IDENTIFIED AS FOOD INSECURE AND WERE DIAGNOSED WITH EITHER DIABETES OR OBESITY. FIFTEEN OF THE 30 BAGS OF FRESH PRODUCE WERE RESERVED FOR CLIENTS OF THE LATIN AMERICAN COMMUNITY CENTER, A LOCAL PARTNER SERVING OUR COMMUNITY'S LOW-INCOME HISPANIC POPULATION. GROCERY STORE GIFT CARDS WERE OFFERED TO SELECT FAMILIES WHO NEEDED EXTRA ASSISTANCE BUYING GROCERIES. EQUITABLE ACCESS TO HEALTH CARE SERVICES THE SAINT CLARE MOBILE MEDICAL OUTREACH VAN RECEIVED A $400,000 GRANT FROM HIGHMARK DELAWARE TO LAUNCH A MOBILE HEALTH PARTNERSHIP WITH THE UNIVERSITY OF DELAWARE. THE PARTNERSHIP EXPANDED SERVICES TO LOW-INCOME, MINORITY NEIGHBORHOODS SOUTH OF THE CITY OF WILMINGTON THAT HAD BEEN IDENTIFIED AS HIGH RISK FOR POOR HEALTH OUTCOMES. SERVICES PROVIDED INCLUDED PHYSICALS, IMMUNIZATIONS, COVID TESTING, AND OTHER POINT OF CARE SERVICES. ALL SERVICES WERE PROVIDED IN ENGLISH AND IN SPANISH. A NURSE PRACTITIONER AND A MEDICAL DIRECTOR SERVED AS PRECEPTORS FOR UNIVERSITY OF DELAWARE NURSING STUDENTS, PROVIDING THEM WITH AN OPPORTUNITY TO OBTAIN REAL WORLD, HANDS-ON EXPERIENCE IN SERVING UNDERREPRESENTED POPULATIONS.IN THE SUMMER OF 2019, THE SAINT CLARE VAN PARTNERED WITH THE SCREENING FOR LIFE PROGRAM TO ASSIST COMMUNITY MEMBERS WHO DO NOT QUALIFY FOR MEDICAID WITH COMPLETING AN APPLICATION TO RECEIVE FREE OR LOW-COST PREVENTATIVE CANCER SCREENINGS.BEHAVIORAL HEALTH SAINT FRANCIS' TINY STEPS PROGRAM INTEGRATED BEHAVIORAL HEALTH INTO ITS SPECTRUM OF PRE-CONCEPTION THROUGH POST-NATAL SERVICES. INTEGRATION PROVIDED RAPID MENTAL HEALTH EVALUATIONS AND TRIAGE FOR WOMEN AT RISK FOR DEPRESSION, ANXIETY AND AN ARRAY OF OTHER MENTAL HEALTH DISORDERS. IN-HOUSE COUNSELING SERVICES AND MEDICATION MANAGEMENT WERE OPERATIONALIZED IN FALL 2019. ALSO, IN FALL 2019, SAINT FRANCIS' CARE MANAGEMENT DEPARTMENT CONTRACTED WITH AN ADDICTION RECOVERY ORGANIZATION TO PROVIDE A PEER SUPPORT SPECIALIST IN THE EMERGENCY DEPARTMENT. THE PEER SUPPORT SPECIALIST HAS BEEN A CRITICAL LINK BETWEEN THOSE SUFFERING FROM OPIOID ADDICTION AND RECOVERY SERVICES. SAINT FRANCIS ACKNOWLEDGES THE WIDE RANGE OF PRIORITY ISSUES THAT EMERGED FROM THE CHNA PROCESS AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE HEALTH NEEDS WHICH IT DEEMED MOST PRESSING, UNDER-ADDRESSED, AND WITHIN ITS ABILITY TO INFLUENCE. SAINT FRANCIS DID NOT ADDRESS THE FOLLOWING NEEDS DURING FISCAL YEAR 2020 (FY20):TRAUMA/ADVERSE CHILDHOOD EXPERIENCES - SAINT FRANCIS DID NOT DIRECTLY ADDRESS THIS NEED DUE TO LACK OF RESOURCES REQUIRED TO FULLY IMPLEMENT A TRAUMA-INFORMED CARE PROGRAM. AFFORDABLE HOUSING - SAINT FRANCIS DID NOT DIRECTLY ADDRESS THIS NEED TO AVOID DUPLICATING EFFORTS ALREADY IN PROGRESS WITH CINNAIRE, A COMMUNITY REDEVELOPMENT CORPORATION. LACK OF EDUCATION - SAINT FRANCIS DID NOT DIRECTLY ADDRESS THIS NEED BECAUSE THE HOSPITAL LACKS EXPERTISE OR RESOURCES REQUIRED TO EFFECTIVELY ADDRESS GAPS IN EDUCATIONAL ATTAINMENT. POVERTY - SAINT FRANCIS DID NOT DIRECTLY ADDRESS THIS NEED BECAUSE OF RESOURCE CONSTRAINTS. HOWEVER, SAINT FRANCIS DOES ASSIST THOSE WHO ARE LIVING IN POVERTY THROUGH COMMUNITY BENEFIT PROGRAMS, INCLUDING FINANCIAL ASSISTANCE, THE SAINT CLARE MOBILE MEDICAL OUTREACH VAN, THE TINY STEPS PROGRAM, THE MOBILE FOOD PANTRY, AND THE CENTER OF HOPE.VIOLENCE/CRIME - SAINT FRANCIS DID NOT DIRECTLY ADDRESS THIS NEED BECAUSE OF THE SYSTEM'S RELATIVE LACK OF EXPERTISE OR RESOURCES REQUIRED TO EFFECTIVELY REDUCE CRIME AND VIOLENCE WITHIN THE COMMUNITY.INFANT MORTALITY - SAINT FRANCIS DID NOT DIRECTLY ADDRESS THIS NEED TO AVOID DUPLICATING EFFORTS CURRENTLY UNDERWAY THROUGH THE DELAWARE HEALTHY MOTHERS AND INFANT CONSORTIUM AND OTHER STATE-LED TASK FORCES.CHRONIC DISEASES - WHILE CHRONIC DISEASES WERE NOT DIRECTLY ADDRESSED IN FY20 DUE TO COMPETING PRIORITIES, SAINT FRANCIS WILL BEGIN ADDRESSING CHRONIC DISEASES IN FY21. ST. FRANCIS HOSPITAL PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS. PART V, SECTION B, LINE 7A: WWW.TRINITYHEALTHMA.ORG/COMMUNITY-BENEFIT/CHNA/SAINT-FRANCIS PART V, SECTION B, LINE 9: AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, THE HOSPITAL'S IMPLEMENTATION STRATEGY WAS ADOPTED WITHIN 4 1/2 MONTHS AFTER THE FISCAL YEAR END THAT THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE TO THE PUBLIC. PART V, SECTION B, LINE 10A: WWW.TRINITYHEALTHMA.ORG/COMMUNITY-BENEFIT/CHNA/SAINT-FRANCIS PART V, SECTION B, LINE 16A: WWW.TRINITYHEALTHMA.ORG/PATIENTS-VISITORS/PAY-YOUR-BILL/SAINT-FRANCIS/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 16B: WWW.TRINITYHEALTHMA.ORG/PATIENTS-VISITORS/PAY-YOUR-BILL/SAINT-FRANCIS/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 16C: WWW.TRINITYHEALTHMA.ORG/PATIENTS-VISITORS/PAY-YOUR-BILL/SAINT-FRANCIS/FINANCIAL-ASSISTANCE 5 1 - WOMEN TO WOMEN OBGYN 620 STANTON-CHRISTIANA ROAD SUITE 304 NEWARK DE 19713 EMPLOYED PHYSICIANS 2 - NORTH WILMINGTON WOMEN'S CENTER 2002 FOULK ROAD SUITE A WILMINGTON DE 19810 EMPLOYED PHYSICIANS 3 - CENTER OF HOPETINY STEPS 620 STANTON-CHRISTIANA ROAD SUITE 302 NEWARK DE 19713 EMPLOYED PHYSICIANS 4 - CHRISTIANA INST OF ADVANCED SURGERY 537 STANTON-CHRISTIANA ROAD SUITE 102 NEWARK DE 19713 BARIATRIC CARE 5 - THE WOMAN'S PLACE 1100 NORTH GRANT AVENUE WILMINGTON DE 19802 EMPLOYED PHYSICIANS PART I, LINE 3C: IN ADDITION TO LOOKING AT A MULTIPLE OF THE FEDERAL POVERTY GUIDELINES, OTHER FACTORS ARE CONSIDERED SUCH AS THE PATIENT'S FINANCIAL STATUS AND/OR ABILITY TO PAY AS DETERMINED THROUGH THE ASSESSMENT PROCESS. PART I, LINE 6A: ST. FRANCIS HOSPITAL (SAINT FRANCIS) PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT, WHICH IT SUBMITS TO THE STATE OF DELAWARE. IN ADDITION, SAINT FRANCIS REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH (EIN 35-1443425) IN ITS AUDITED FINANCIAL STATEMENTS, AVAILABLE AT WWW.TRINITY-HEALTH.ORG.IN ADDITION, SAINT FRANCIS INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. PART I, LINE 7: THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM. PART I, LN 7 COL(F): THE FOLLOWING NUMBER, $9,038,555, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F). PART III, LINE 2: METHODOLOGY USED FOR LINE 2 - ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE. AS A RESULT OF THE PAYMENT AND ADJUSTMENT ACTIVITY BEING POSTED TO BAD DEBT ACCOUNTS, WE ARE ABLE TO REPORT BAD DEBT EXPENSE NET OF THESE TRANSACTIONS. PART III, LINE 3: SAINT FRANCIS USES A PREDICTIVE MODEL THAT INCORPORATES THREE DISTINCT VARIABLES IN COMBINATION TO PREDICT WHETHER A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE: (1) SOCIO-ECONOMIC SCORE, (2) ESTIMATED FEDERAL POVERTY LEVEL (FPL), AND (3) HOMEOWNERSHIP. BASED ON THE MODEL, CHARITY CARE CAN STILL BE EXTENDED TO PATIENTS EVEN IF THEY HAVE NOT RESPONDED TO FINANCIAL COUNSELING EFFORTS AND ALL OTHER FUNDING SOURCES HAVE BEEN EXHAUSTED. FOR FINANCIAL STATEMENT PURPOSES, SAINT FRANCIS IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, SAINT FRANCIS IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL. PART III, LINE 4: SAINT FRANCIS IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE PATIENT ACCOUNTS RECEIVABLE, ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS FOOTNOTE FROM PAGE 13 OF THOSE STATEMENTS: "AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME IS TREATED AS A RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS FOR WHICH THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYERS FOR RETROACTIVE ADJUSTMENTS, ARE RECEIVABLES IF THE RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. FOR PATIENT ACCOUNTS RECEIVABLE, THE ESTIMATED UNCOLLECTABLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT SERVICE REVENUE AND ACCOUNTS RECEIVABLE.THE CORPORATION HAS AGREEMENTS WITH THIRD-PARTY PAYERS THAT PROVIDE FOR PAYMENTS TO THE CORPORATION'S HEALTH MINISTRIES AT AMOUNTS DIFFERENT FROM ESTABLISHED RATES. ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYERS AND OTHER CHANGES IN ESTIMATES ARE INCLUDED IN NET PATIENT SERVICE REVENUE AND ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS, AS FINAL SETTLEMENTS ARE DETERMINED."PART III, LINE 5:TOTAL MEDICARE REVENUE REPORTED IN PART III, LINE 5 HAS BEEN REDUCED BY THE TWO PERCENT SEQUESTRATION REDUCTION FOR THE PERIOD JULY 1, 2019 THROUGH APRIL 30, 2020. PART III, LINE 8: SAINT FRANCIS DOES NOT BELIEVE ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS IS SIMILAR TO CATHOLIC HEALTH ASSOCIATION RECOMMENDATIONS, WHICH STATE THAT SERVING MEDICARE PATIENTS IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS AND THAT THE EXISTING COMMUNITY BENEFIT FRAMEWORK ALLOWS COMMUNITY BENEFIT PROGRAMS THAT SERVE THE MEDICARE POPULATION TO BE COUNTED IN OTHER COMMUNITY BENEFIT CATEGORIES.PART III, LINE 8: COSTING METHODOLOGY FOR LINE 6 - MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 27, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT. PART III, LINE 9B: THE HOSPITAL'S COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. CHARITY DISCOUNTS ARE APPLIED TO THE AMOUNTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. COLLECTION PRACTICES FOR THE REMAINING BALANCES ARE CLEARLY OUTLINED IN THE ORGANIZATION'S COLLECTION POLICY. THE HOSPITAL HAS IMPLEMENTED BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS. PART VI, LINE 2: NEEDS ASSESSMENT - SAINT FRANCIS ASSESSES THE HEALTH STATUS OF ITS COMMUNITY, IN PARTNERSHIP WITH COMMUNITY COALITIONS, AS PART OF THE NORMAL COURSE OF OPERATIONS AND IN CONTINUOUS EFFORTS TO IMPROVE PATIENT CARE AND THE HEALTH OF THE OVERALL COMMUNITY. TO ASSESS THE HEALTH OF THE COMMUNITY, THE HOSPITAL MAY USE PATIENT DATA, PUBLIC HEALTH DATA, ANNUAL COUNTY HEALTH RANKINGS, MARKET STUDIES, AND GEOGRAPHICAL MAPS SHOWING AREAS OF HIGH UTILIZATION FOR EMERGENCY SERVICES AND INPATIENT CARE, WHICH MAY INDICATE POPULATIONS OF INDIVIDUALS WHO DO NOT HAVE ACCESS TO PREVENTATIVE SERVICES OR WHO ARE UNINSURED. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - SAINT FRANCIS COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES, FEDERAL, STATE, AND LOCAL GOVERNMENT PROGRAMS, AND OTHER COMMUNITY-BASED CHARITABLE PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING FOR HEALTH CARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. SAINT FRANCIS OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH PATIENT BROCHURES, MESSAGES ON PATIENT BILLS, POSTED NOTICES IN PUBLIC REGISTRATION AREAS INCLUDING EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES. SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE TO APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST PEOPLE IN NEED. INFORMATION REGARDING FINANCIAL ASSISTANCE PROGRAMS IS ALSO AVAILABLE ON HOSPITAL WEBSITES. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN OTHER LANGUAGES AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R), REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITAL. SAINT FRANCIS HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. SAINT FRANCIS MAKES EVERY EFFORT TO ADHERE TO THE POLICY AND IS COMMITTED TO IMPLEMENTING AND APPLYING THE POLICY FOR ASSISTING PATIENTS WITH LIMITED MEANS IN A PROFESSIONAL, CONSISTENT MANNER. PART VI, LINE 4: COMMUNITY INFORMATION - SAINT FRANCIS SERVES THE CITY OF WILMINGTON, WHICH HAS A POPULATION OF JUST OVER 70,000. WILMINGTON HAS SOME OF THE HIGHEST SOCIO-ECONOMIC NEEDS ZIP CODES IN THE STATE OF DELAWARE: 19801, 19802 AND 19805. SAINT FRANCIS HOSPITAL IS IN 19805, JUST BLOCKS FROM CENSUS TRACT 22, WHICH IS WESTSIDE WILMINGTON'S HIGHEST POVERTY AREA. ZIP CODES CONSIDERED HIGH NEED GENERALLY HAVE POORER HEALTH OUTCOMES THAN ZIP CODES IN MORE AFFLUENT NEIGHBORHOODS.WILMINGTON'S POPULATION IS RELATIVELY YOUNG WITH A MEDIAN AGE OF 36. CLOSE TO HALF OF THE CITY'S POPULATION IS BLACK; ANOTHER 34% IS NON-HISPANIC WHITE AND 11% IS HISPANIC. PROFOUND ECONOMIC DIFFERENCES EMERGE IN THE DEMOGRAPHICS WHEN COMPARING WILMINGTON TO NEW CASTLE COUNTY AND COMPARING CENSUS TRACT 22 TO BOTH THE COUNTY AND THE CITY. IT IS CLEAR FROM THE DEMOGRAPHICS THAT POCKETS OF POVERTY EXIST ALONGSIDE THE WEALTH GENERATED BY WILMINGTON'S BANKING AND CREDIT CARD INDUSTRIES. THE AVERAGE MEDIAN HOUSEHOLD INCOME FOR BLACK AND HISPANIC FAMILIES LIVING IN WILMINGTON IS ONE HALF THAT OF WHITE FAMILIES. NEARLY 65% OF HISPANIC HOUSEHOLDS LACK ENOUGH SAVINGS TO REPLACE INCOME AT THE POVERTY LEVEL FOR THREE MONTHS IF THEY WERE TO EXPERIENCE A SUDDEN JOB LOSS, MEDICAL EMERGENCY, OR OTHER FINANCIAL CRISIS. BLACK RESIDENTS LEAD IN INCOME POVERTY, WITH ROUGHLY 27% OF BLACK FAMILIES IN WILMINGTON EARNING BELOW THE FEDERAL POVERTY LEVEL FOR THE PAST 12 MONTHS. JUST OVER 40% OF WILMINGTON'S CHILDREN, AND OVER 60% OF CHILDREN LIVING IN CENSUS TRACT 22, LIVE BELOW POVERTY. WITH RESPECT TO EDUCATION, ALMOST 93% OF WHITE RESIDENTS HOLD A HIGH SCHOOL DEGREE OR HIGHER, COMPARED TO JUST OVER 81% OF BLACK RESIDENTS. MORE THAN 35% OF LATINOS IN WILMINGTON LACK A HIGH SCHOOL DEGREE.THE CITY'S HOMEOWNERSHIP RATE STANDS AT 58.2% FOR WHITE RESIDENTS, NEARLY 20% HIGHER THAN THAT FOR BLACK AND ASIAN RESIDENTS, AND ROUGHLY DOUBLE THAT FOR LATINO RESIDENTS. IN ADDITION TO SAINT FRANCIS, THE FOLLOWING HEALTH CENTERS ALSO SERVE THE CITY OF WILMINGTON: CHRISTIANA CARE HEALTH SYSTEM, WESTSIDE FAMILY HEALTHCARE (FQHC), HENRIETTA JOHNSON MEDICAL CENTER (FQHC), AND NEMOURS/A.I. DUPONT HOSPITAL FOR CHILDREN. PART VI, LINE 5: OTHER INFORMATION - RELATIONSHIPS BUILT WITH CATHOLIC SCHOOLS, COMMUNITY GROUPS, AND COMMUNITY PROGRAMS HAVE ALLOWED SAINT FRANCIS TO PROVIDE EDUCATION, SUPPORT, AND RESOURCES TO THE BROADER COMMUNITY. FOR EXAMPLE, SAINT FRANCIS HAS PARTNERED WITH THE LATIN AMERICAN COMMUNITY CENTER TO PROVIDE SERVICES AND EDUCATION TO PROMOTE HEART HEALTH AND STROKE AWARENESS AND PREVENTION TO THE HISPANIC COMMUNITY. SAINT FRANCIS ALSO CONDUCTED A HEALTH EDUCATION LECTURE SERIES AT BAYARD HOUSE, A HOME FOR HOMELESS PREGNANT WOMEN, WHICH PROVIDES EDUCATION ON PRENATAL HEALTH, NUTRITION, POSTPARTUM, LABOR AND DELIVERY, AND OTHER INFORMATION TO ASSIST IN A HEALTHY PREGNANCY. A SKILLS-BASED LECTURE SERIES, INTRODUCED IN FISCAL YEAR 2019 AND CONTINUED IN FISCAL YEAR 2020, INCLUDED PROFESSIONAL DEVELOPMENT TO HELP BAYARD HOUSE WOMEN WITH RESUME WRITING, PROFESSIONAL DRESS AND CONDUCT, AND INTERVIEW SKILLS, AND ALSO PROVIDED GED TESTING INFORMATION, AND ASSISTED LIVING INFORMATION. PARTNERING WITH THE WILMINGTON CONSORTIUM, HEALTHY NEIGHBORHOODS, AND OTHER COMMUNITY GROUPS PROVIDED SAINT FRANCIS WITH MORE OPPORTUNITIES TO REACH AND EDUCATE COMMUNITY MEMBERS THROUGH VARIOUS OUTLETS. IN FY 2020, SAINT FRANCIS AGAIN JOINED THE REACH RIVERSIDE HEALTH COMMITTEE TO HELP REBUILD EAST SIDE WILMINGTON. SAINT FRANCIS IS ALSO ON THE CORNERSTONE WEST/WEST SIDE GROWS STEERING COMMITTEE TO REBUILD PARKS AND GARDENS IN THE CITY. A MEMORANDUM OF UNDERSTANDING WITH THE DELAWARE COALITION AGAINST DOMESTIC VIOLENCE ESTABLISHED A REFERRAL SYSTEM FOR AN INCREASING NUMBER OF DOMESTIC VIOLENCE VICTIMS. SAINT FRANCIS BECAME BABY-FRIENDLY CERTIFIED IN FY 2020. BABY-FRIENDLY HOSPITALS ARE RECOGNIZED FOR ENCOURAGING BREASTFEEDING AND MOTHER/BABY BONDING, WHICH IS KNOWN TO PROVIDE HEALTH BENEFITS FOR INFANTS, CHILDREN, AND MOTHERS. BREASTFEEDING POLICIES HAVE BEEN UPDATED, STAFF HAVE BEEN AND CONTINUE TO BE EDUCATED ON BABY-FRIENDLY PROCESSES AND REQUIREMENTS, AND BREASTFEEDING CLASSES AND SUPPORT GROUPS ARE AVAILABLE AT SAINT FRANCIS AND OPEN TO THE COMMUNITY. THE SAINT FRANCIS SAINT CLARE MOBILE MEDICAL OUTREACH VAN BECAME A KEY ACCESS POINT FOR THE STATE'S COVID-10 TESTING PROGRAM. BETWEEN APRIL AND JUNE 30, 2020, THE ST. CLARE MEDICAL TEAM PERFORMED CLOSE TO 2,500 COVID TESTS IN HARD TO REACH AREAS OF NEW CASTLE COUNTY, WITH A SPECIAL FOCUS ON COMMUNITIES OF COLOR. ADDITIONALLY, SAINT FRANCIS' OUTREACH TEAM, SAINT FRANCIS LIFE CENTER, AND ONE OF OUR LOCAL FEDERALLY QUALIFIED HEALTH CENTERS PARTNERED TOGETHER TO TEST RESIDENTS OF SEVERAL SENIOR HIGH-RISE BUILDINGS. ALL TESTS WERE PERFORMED FREE OF CHARGE.IN ADDITION TO THE SAINT FRANCIS MOBILE TESTING PROGRAM, THE HOSPITAL SET UP A STAND-ALONE FEVER CLINIC WHERE COMMUNITY MEMBERS COULD GET SCREENED AND TESTED FOR THE COVID VIRUS BEFORE ENTERING THE HOSPITAL. SICK INDIVIDUALS PRESENTING AT THE FEVER CLINIC HAD IMMEDIATE ACCESS TO PHYSICIAN CARE. PART VI, LINE 6: SAINT FRANCIS IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH ANNUALLY REQUIRES THAT ALL MEMBER HOSPITALS DEFINE - AND ACHIEVE - SPECIFIC COMMUNITY HEALTH AND WELL-BEING GOALS. IN FISCAL YEAR 2020, EVERY TRINITY HEALTH ENTITY FOCUSED ON: 1. REDUCING TOBACCO USE 2. REDUCING OBESITY PREVALENCE3. ADDRESSING AT LEAST ONE SOCIAL INFLUENCER OF HEALTH 4. ADDRESSING AT LEAST ONE SIGNIFICANT HEALTH NEED IDENTIFIED BY THEIR HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENTADDITIONALLY, IN RESPONSE TO COVID-19, TRINITY HEALTH MEMBER HOSPITALS MOBILIZED NATIONAL INFRASTRUCTURE TO ASSESS THE MOST URGENT NEEDS IN THEIR COMMUNITIES. TRINITY HEALTH MEMBER HOSPITALS STRENGTHENED PARTNERSHIPS WITH COMMUNITY-BASED ORGANIZATIONS AND COLLABORATED WITH MEDICAL GROUPS AND CLINICALLY INTEGRATED NETWORKS PROVIDING DIRECT PATIENT CARE TO ENSURE THAT PATIENT SOCIAL NEEDS WERE MET IN THE COMMUNITY. LIKEWISE, MEMBER HOSPITALS ACCELERATED THEIR SOCIAL SERVICES RESPONSE BY ESTABLISHING SOCIAL CARE PROGRAMS TO CONNECT PATIENTS, COLLEAGUES AND COMMUNITY MEMBERS TO LOCAL SOCIAL SERVICES SUCH AS: FOOD, HOUSING, FINANCIAL ASSISTANCE AND ACCESS TO HEALTH CARE. FROM MARCH THROUGH JUNE, SOCIAL CARE MADE OVER 103,000 CONNECTIONS, AND TRINITY HEALTH PROVIDED OVER 44,000 MEDICAL SERVICES TO THOSE WHO ARE HOMELESS AND THROUGH COMMUNITY TESTING EVENTS. SOCIAL INFLUENCERS OF HEALTH - SUCH AS ADEQUATE HOUSING, PERSONAL SAFETY AND ACCESS TO FOOD, EDUCATION, INCOME, AND HEALTH COVERAGE - HAVE A SIGNIFICANT IMPACT ON THE HEALTH OF COMMUNITIES. IN AN EFFORT TO ADDRESS SOME OF THESE INFLUENCERS, TRINITY HEALTH INVESTED $3.7 MILLION IN THE TRANSFORMING COMMUNITIES INITIATIVE (TCI), WHICH INITIALLY LAUNCHED IN FISCAL YEAR 2016. TCI IS A SHARED FUNDING MODEL AND TECHNICAL-ASSISTANCE INITIATIVE SUPPORTING EIGHT TRINITY HEALTH HOSPITALS, AND THEIR COMMUNITY PARTNERS, TO IMPLEMENT POLICY, SYSTEM, AND ENVIRONMENTAL CHANGE STRATEGIES TO PREVENT TOBACCO USE AND CHILDHOOD OBESITY, AND TO AFFECT CHANGE RELATED TO THE SOCIAL INFLUENCERS OF HEALTH. IN ADDITION TO TRINITY HEALTH'S INVESTMENT, TCI HAS LEVERAGED OVER $12.4 MILLION IN COMMUNITY MATCH FUNDING TO DATE. IN FISCAL YEAR 2020, IN RESPONSE TO COVID-19, TCI SWIFTLY SHIFTED THEIR FOCUS IN MARCH TO ADDRESSING FOOD INSECURITY, HEALTH CARE WORKER PROTECTIVE EQUIPMENT, SUPPORTING CLOSED SCHOOLS TO EFFECTIVELY REACH CHILDREN, MENTAL HEALTH INTERVENTIONS, AND EMERGENCY AID/FINANCIAL ASSISTANCE DIRECTLY TO INDIVIDUALS IN NEED. OVERALL, TCI COMMUNITIES REDIRECTED NEARLY $520,000 TO SUPPORT COVID-19 RELATED NEEDS.TRINITY HEALTH CONTINUES TO EXPAND THE NATIONAL DIABETES PREVENTION PROGRAM (NDPP) THROUGH THE SUPPORT OF THE CENTERS FOR DISEASE CONTROL AND PREVENTION AND HELPED 2,374 PARTICIPANTS COLLECTIVELY LOSE 15,382 POUNDS FROM JANUARY 2018 THROUGH SEPTEMBER 2020. IN MARCH 2020, WITH THE SURGE OF COVID-19 SPREADING ACROSS THE COUNTRY, TRINITY HEALTH MEMBER HOSPITALS TRANSITIONED NEARLY 90% OF ALL IN-PERSON NDPP COHORTS TO AN ONLINE VERSION OF THE LIFESTYLE CHANGE PROGRAM.TRINITY HEALTH DEPLOYED $5.1 MILLION IN NEW AND RENEWED LOANS FOR PLACE-BASED INVESTING TO IMPROVE ACCESS TO AFFORDABLE HOUSING, HEALTHY FOODS, EDUCATIONAL SCHOLARSHIPS, AND ECONOMIC DEVELOPMENT. ADDITIONALLY, TRINITY HEALTH WORKED WITH ALL OF ITS BORROWERS THAT HAD LOANS COMING DUE IN THE MIDST OF THE SPRING COVID-19 SURGE TO EXTEND THEIR LOANS FOR SIX MONTHS. THIS ACTION ALLOWED MORE THAN $2.9 MILLION IN INVESTMENTS TO REMAIN IN THE FIELD AND PROVIDED BREATHING ROOM TO OUR COMMUNITY DEVELOPMENT FINANCIAL INSTITUTION PARTNERS THAT WERE SERVING OUR COMMUNITIES DURING THE CRISIS. THE COMMUNITY-INVESTING PROGRAM ALSO HAS OUTSTANDING LOAN COMMITMENTS OF $9.6 MILLION TO COMMUNITY INFRASTRUCTURE PROJECTS, WHICH WILL BE DEPLOYED IN FUTURE YEARS.TRINITY HEALTH AND ITS MEMBER HOSPITALS ARE COMMITTED TO THE DELIVERY OF PEOPLE-CENTERED CARE AND SERVING AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN THE COMMUNITIES THEY SERVE. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITIES AND IS COMMITTED TO ADDRESSING THE UNIQUE NEEDS OF EACH COMMUNITY. IN FISCAL YEAR 2020, TRINITY HEALTH INVESTED OVER $1.3 BILLION IN COMMUNITY BENEFIT, SUCH AS INITIATIVES SUPPORTING THOSE WHO ARE POOR AND VULNERABLE, HELPING TO MANAGE CHRONIC CONDITIONS LIKE DIABETES, PROVIDING HEALTH EDUCATION, AND MOVING FORWARD POLICY, SYSTEM, AND ENVIRONMENTAL CHANGE. COVID-19 ACCOUNTED FOR NEARLY $4.9 MILLION IN PROGRAMMATIC COMMUNITY BENEFIT EXPENSES AND ACTIVITIES, INCLUDING COMMUNITY TESTING AND EDUCATION, INCIDENT COMMAND CENTERS, SUPPORT FOR LOCAL ORGANIZATIONS (PROVIDING PPE, OTHER SUPPLIES, STAFF TIME), SOCIAL SUPPORTS (FOOD, HOUSING, MENTAL HEALTH, CHILDCARE), AND OTHER COMMUNITY DISASTER PREPAREDNESS EFFORTS.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG. PART VI, LINE 7, REPORTS FILED WITH STATES DE 1 1 0 0 0 0 0 0 0 JAMES WOODWARD DIR; CEO TRINITY HEALTH MID-ATLANTIC 0 695326 0 247407 0 25524 0 12600 0 47668 0 1028525 0 0 EREV TUBB MD PHYSICIAN 695779 0 0 0 608 0 12600 0 1191 0 710178 0 0 0 DANIEL SINNOTT DIRECTOR; PRESIDENT & CEO 0 390197 0 124596 0 21722 0 105468 0 42062 0 684045 0 0 YOLANDA HENDLEY MD PHYSICIAN 611953 0 0 0 433 0 12600 0 28686 0 653672 0 0 0 JAMES COSGROVE DO PHYSICIAN 587619 0 0 0 4762 0 21000 0 25328 0 638709 0 0 0 MICHAEL HAMMOND TREAS & THMA REG CFO THR 1/20 0 383567 0 81432 0 79902 0 16800 0 42881 0 604582 0 0 RICHARD LEADER MD PHYSICIAN 494542 0 0 0 1593 0 21000 0 33361 0 550496 0 0 0 JENNIFER KIRBY FORMER KE; VP PATIENT SERVICES/CNO 0 197738 0 45652 0 64743 0 210350 0 22432 0 540915 0 0 NANCY PETIT MD PHYSICIAN 423602 0 0 0 1465 0 21000 0 31124 0 477191 0 0 0 CASSANDRA WILLIS-ABNER DIRECTOR; TH SVP DIV & INCLUSION 0 329027 0 60627 0 7293 0 51283 0 26620 0 474850 0 0 CATHERINE MIKUS SECRETARY; GENERAL COUNSEL 0 302601 0 60610 0 9908 0 68101 0 26835 0 468055 0 0 MARYANNE SPALLUCCI TREAS & THMA REG CFO AS OF 2/20 0 316973 0 50554 0 41984 0 12600 0 8564 0 430675 0 0 MICHAEL POLNEROW DO FORMER KEY EMPLOYEE 0 0 0 19175 0 356477 0 288 0 4745 0 380685 0 343039 DAVID RICCI FORMER OFFICER 0 0 0 0 0 257608 0 0 0 7039 0 264647 0 228561 BRANDON HARVATH COO 0 179548 0 21965 0 408 0 7476 0 13818 0 223215 0 0 RALPH GONZALEZ CHIEF MEDICAL OFFICER 0 188733 0 0 0 465 0 7234 0 15867 0 212299 0 0 MARY FINN FORMER OFFICER 0 129827 0 41546 0 1531 0 7842 0 12250 0 192996 0 0 PART I, LINE 3 ST. FRANCIS HOSPITAL (SAINT FRANCIS) IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. SAINT FRANCIS' CEO IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF SAINT FRANCIS' CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2019. THESE AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: JENNIFER KIRBY - $53,478 MICHAEL POLNEROW - $343,039 DAVID RICCI - $228,561 COLUMN F OF SCHEDULE J, PART II, INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES $199,326 OF SEVERANCE FOR JENNIFER KIRBY WHICH WAS UNPAID AS OF 12/31/19. THE $199,326 WAS PAID AND INCLUDED IN JENNIFER KIRBY'S TAXABLE INCOME IN 2020. THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2019. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. BENEFITS FOR PARTICIPANTS VESTED IN A PLAN WERE PAID OUT IN 2019, AND BENEFITS FOR PARTICIPANTS NOT YET VESTED IN A PLAN WERE ACCRUED IN 2019. THE FOLLOWING PAYOUTS FOR 2019 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: MICHAEL HAMMOND - $58,407 DAVID RICCI - $20,421 JAMES WOODWARD - $0 THE FOLLOWING ACCRUALS FOR 2019 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: CATHERINE MIKUS - $47,101 DANIEL SINNOTT - $92,868 CASSANDRA WILLIS-ABNER - $38,683 THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH RESTORATION PLAN. THE RESTORATION PLAN PROVIDES RETIREMENT BENEFITS FOR CERTAIN TRINITY HEALTH SYSTEM OFFICE EXECUTIVES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($280,000 FOR 2019). THE FOLLOWING PAYOUTS FOR 2019 FOR THIS PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: JENNIFER KIRBY - $675 MICHAEL POLNEROW - $4,451 MARYANNE SPALLUCCI - $0 CASSANDRA WILLIS-ABNER - $0 RACHAEL NABHAN FAMILY MEMBER OF MICHAEL POLNEROW, FORMER KEY EMPLOYEE 82815 EMPLOYMENT ARRANGEMENT 0 GAIL SINNOTT FAMILY MEMBER OF DANIEL SINNOTT, PRESIDENT 24891 EMPLOYMENT ARRANGEMENT 0 ALLIED DIAGNOSTIC PATHOLOGY CONSULTANTS PA (ADPC) JAMES MONIHAN, DIRECTOR, CONTROLS MORE THAN 35% OF ADPC 248700 ST. FRANCIS HOSPITAL PURCHASES MEDICAL SERVICES FROM ADPC 0 ALLIED DIAGNOSTIC PATHOLOGY CONSULTANTS PA (ADPC) JAMES MONIHAN, DIRECTOR, CONTROLS MORE THAN 35% OF ADPC 69290 ST. FRANCIS HOSPITAL PROVIDES MEDICAL SERVICES TO ADPC 0 FORM 990, PART VI, SECTION A, LINE 4 THE ARTICLES OF INCORPORATION AND BYLAWS OF ST. FRANCIS WERE AMENDED AND RESTATED TO CHANGE THE SOLE MEMBER OF THE CORPORATION. EFFECTIVE 7/1/19, THE SOLE MEMBER IS TRINITY HEALTH OF THE MID-ATLANTIC REGION (THMA). FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF SAINT FRANCIS IS THMA. SEE LINE 7 FOR ADDITIONAL INFORMATION. FORM 990, PART VI, SECTION A, LINE 7A THMA IS THE SOLE MEMBER OF SAINT FRANCIS. THMA HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF SAINT FRANCIS. FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER, THMA MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. THMA MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, AND MODIFICATIONS TO GOVERNING DOCUMENTS. AS THE PARENT OF THE NATIONAL TRINITY HEALTH SYSTEM, CERTAIN POWERS ARE RESERVED TO TRINITY HEALTH CORPORATION. THESE INCLUDE THE AUTHORITY TO ADOPT OR MODIFY THE ORGANIZATION'S GOVERNING DOCUMENTS, TO APPROVE MAJOR CHANGES SUCH AS A MERGER OR DISSOLUTION, AND TO APPROVE SIGNIFICANT FINANCE MATTERS IN EXCESS OF CERTAIN LIMITS ESTABLISHED BY TRINITY HEALTH CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 FOR SAINT FRANCIS IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE EXECUTIVE COMMITTEE. EACH MEMBER OF THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C SAINT FRANCIS HAS ADOPTED TRINITY HEALTH'S GOVERNANCE POLICY NO. 1, WHICH SETS FORTH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND PROCESSES. IT APPLIES TO ALL "INTERESTED PERSONS" OF SAINT FRANCIS, WHICH INCLUDES DIRECTORS, PRINCIPAL OFFICERS, KEY EMPLOYEES, AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS. INTERESTED PERSONS ARE EXPECTED TO DISCHARGE THEIR DUTIES IN A MANNER THE PERSON REASONABLY BELIEVES TO BE IN THE BEST INTERESTS OF SAINT FRANCIS AND TO AVOID SITUATIONS INVOLVING A CONFLICT OF INTEREST. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE PROVIDED TO INTERNAL LEGAL COUNSEL AND THE INTEGRITY AND COMPLIANCE OFFICER, FROM WHICH LEGAL COUNSEL PREPARES A REPORT FOR THE BOARD CHAIR AND CEO. A SUMMARY OF POTENTIAL CONFLICTS IS REVIEWED WITH THE BOARD OF DIRECTORS OF SAINT FRANCIS (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO SAINT FRANCIS OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF SAINT FRANCIS (OR A DELEGATED COMMITTEE OF THE BOARD) IS RESPONSIBLE FOR THE REVIEW OF TRANSACTIONS TO DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS. IN THE EVENT OF AN ACTUAL CONFLICT, THE BOARD (OR A DELEGATED COMMITTEE OF THE BOARD) WILL EITHER AVOID THE CONFLICT OR APPROPRIATELY SCRUTINIZE THE TRANSACTION TO ENSURE IT IS IN THE BEST INTERESTS OF SAINT FRANCIS. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE POLICY FURTHER ADDRESSES THE PROPER DOCUMENTATION OF THE PROCEEDINGS AND POTENTIAL DISCIPLINARY AND CORRECTIVE ACTION FOR VIOLATIONS OF THE POLICY. THE POLICY IS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 15 QUESTIONS 15A AND 15B ARE ANSWERED "NO" BECAUSE THE COMPENSATION FOR CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF SAINT FRANCIS IS ESTABLISHED BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING CEO AND CFO COMPENSATION, TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF THE CEO AND CFO OF SAINT FRANCIS ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS. FOR OTHER EXECUTIVES WHO ARE NOT PART OF THE REBUTTABLE PRESUMPTION PROCESS, TRINITY HEALTH USES A MARKET ANALYSIS TO DETERMINE THE APPROPRIATENESS OF THE EXECUTIVE'S COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 SAINT FRANCIS IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, SAINT FRANCIS INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. SAINT FRANCIS' GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G MEDICAL SPECIALIST FEES: PROGRAM SERVICE EXPENSES 9,447,663. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,447,663. CONSULTING FEES: PROGRAM SERVICE EXPENSES 182,305. MANAGEMENT AND GENERAL EXPENSES 187,114. FUNDRAISING EXPENSES 6,842. TOTAL EXPENSES 376,261. MISC. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 7,093,071. MANAGEMENT AND GENERAL EXPENSES 776,513. FUNDRAISING EXPENSES 125. TOTAL EXPENSES 7,869,709. RECRUITMENT: PROGRAM SERVICE EXPENSES 76,567. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 76,567. COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,240. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,240. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 389,027. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 389,027. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 32,448. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,448. LAUNDRY AND LINEN SERVICES: PROGRAM SERVICE EXPENSES 6,296. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,296. FORM 990, PART XI, LINE 9: MERGER OF ST. FRANCIS FOUNDATION 436,932. OTHER EQUITY TRANSACTIONS 97,657. ASSET IMPAIRMENT -4,337. EQUITY TRANSFERS TO AFFILIATE -2,790,617. FORM 990, PART XII, LINE 2: SAINT FRANCIS' FINANCIAL STATEMENTS WERE INCLUDED IN THE FY20 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. DELAWARE CARE COLLABORATION DCC LLC 701 N CLAYTON STREET WILMINGTON DE 19805 474069475 ACCOUNTABLE CARE ORGANIZATION DE 4878728 5421 ST FRANCIS HOSPITAL INC ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP 245 STATE ST SE GRAND RAPIDS MI 49503 272491974 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN 1 ALLEGANY FRANCISCAN MINISTRIES INC 33920 US HIGHWAY 19 NORTH SUITE 269 PALM HARBOR FL 34684 581492325 GRANT MAKING FL 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 ASYLUM HILL FAMILY MEDICINE CENTER INC 114 WOODLAND STREET HARTFORD CT 06105 061450170 HEALTH CARE SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 BAUM HARMON MERCY HOSPITAL 255 NORTH WELCH AVENUE PRIMGHAR IA 51245 421500277 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP 1 BAUM HARMON MERCY HOSPITAL AND CLINICS FOUNDATION 255 NORTH WELCH AVENUE PRIMGHAR IA 51245 262973307 FOUNDATION IA 501(C)(3) LINE 12A, I BAUM HARMON MERCY HOSPITAL 1 BEECHWOOD INC 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OH 43213 342032340 HEALTH CARE AND HOSPITAL SERVICES OH 501(C)(3) LINE 3 MOUNT CARMEL HEALTH SYSTEM 1 DUBUQUE MERCY HEALTH FOUNDATION 250 MERCY DRIVE DUBUQUE IA 52001 262227941 FOUNDATION IA 501(C)(3) LINE 12A, I MERCY HEALTH SERVICES-IOWA CORP 1 DYERSVILLE HEALTH FOUNDATION INC 1111 3RD STREET SW DYERSVILLE IA 52040 205383271 FOUNDATION IA 501(C)(3) LINE 12A, I MERCY HEALTH SERVICES-IOWA CORP 1 EAST NORRITON PHYSICIANS SERVICES INC ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 232515999 HEALTH CARE SERVICES PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK 1 EDDY LICENSED HOME CARE AGENCY 433 RIVER ST SUITE 3000 TROY NY 12180 141818568 HOME HEALTH SERVICES NY 501(C)(3) LINE 3 LTC (EDDY) INC 1 EMBRACING AGE INC 333 BUTTERNUT DRIVE DEWITT NY 13214 461051881 PACE PROGRAM NY 501(C)(3) LINE 12B, II ST JOSEPH'S HEALTH INC 1 EMPIRE HOME INFUSION SERVICE INC 10 BLACKSMITH DRIVE MALTA NY 12020 141795732 HOME HEALTH SERVICES NY 501(C)(3) LINE 10 HOME AIDE SERVICE OF EASTERN NEW YORK INC 1 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COMMUNITY HEALTH SERVICES CORPORATION 701 W NORTH AVE MELROSE PARK IL 60160 363332852 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM 1 GOTTLIEB MEMORIAL FOUNDATION 701 WEST NORTH AVENUE MELROSE PARK IL 60160 743260011 FOUNDATION IL 501(C)(3) LINE 12C, III-FI N/A 0 GOTTLIEB MEMORIAL HOSPITAL 701 W NORTH AVE MELROSE PARK IL 60160 362379649 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM 1 HAWTHORNE RIDGE INC 30 COMMUNITY WAY EAST GREENBUSH NY 12061 800102840 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 HEART CENTER OF GREATER WATERBURY INC 114 WOODLAND STREET HARTFORD CT 06105 830416893 MANAGEMENT CT 501(C)(3) LINE 12A, I N/A 0 HERITAGE HOUSE NURSING CENTER INC 2920 TIBBITS AVE TROY NY 12180 141725101 LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 HOLY CROSS CARENET INC PO BOX 9184 FARMINGTON HILLS MI 48152 521945054 LONG TERM CARE MD 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES 1 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MEDICAL CENTER 1 LANGHORNE PHYSICIAN SERVICES INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 232571699 HEALTH CARE SERVICES PA 501(C)(3) LINE 10 ST MARY MEDICAL CENTER 1 LIFE AT LOURDES INC 2475 MCCLELLAN AVENUE PENNSAUKEN NJ 08109 261854750 PACE PROGRAM NJ 501(C)(3) LINE 3 TRINITY HEALTH PACE 1 LIFE AT ST FRANCIS HEALTHCARE INC 7TH AND CLAYTON STREETS WILMINGTON DE 19805 452569214 PACE PROGRAM DE 501(C)(3) LINE 10 ST FRANCIS HOSPITAL INC 1 LIFE ST FRANCIS CORPORATION 7500 K JOHNSON BOULEVARD BORDENTOWN NJ 08505 222797282 PACE PROGRAM NJ 501(C)(3) LINE 10 ST FRANCIS MEDICAL CENTER TRENTON NJ 1 LIFE ST JOSEPH OF THE PINES INC 4900 RAEFORD ROAD FAYETTEVILLE NC 28304 272159847 PACE PROGRAM NC 501(C)(3) LINE 3 TRINITY HEALTH PACE 1 LIFE ST MARY 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 262976184 PACE PROGRAM PA 501(C)(3) LINE 10 ST MARY MEDICAL CENTER 1 LOYOLA MEDICINE TRANSPORT LLC 905 W NORTH AVE MELROSE PARK IL 60160 474147171 TRANSPORTATION SERVICES IL 501(C)(3) LINE 10 LOYOLA 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