2017-11-06T16:23:13-06:00 2016-12-31 990 2016-01-01 480547719 ST FRANCIS HEALTH CENTER INC STFR 7852958000 1700 SW 7TH STREET TOPEKA KS 66606 ESSENCE MONTGOMERY VP & CFO 7852958000 2017-11-06 170.188.5.33 2017-11-06 10:55:43 MS P D592015B8FE208EA5042194ABEAF8E5B275B46FB D592015B8FE208EA5042194ABEAF8E5B275B46FB 2016 2021-01-29 14:40:06Z DAVID SETCHEL 1700 SW 7TH STREET TOPEKA KS 66606 239488395 0 0928 X WWW.STFRANCISTOPEKA.ORG X 1975 KS WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. 13 10 1932 181 620289 0 1730871 523614 261296489 232484636 14006290 4678659 1515775 1422048 278549425 239108957 713918 694530 0 0 122006209 119760269 0 0 0 168303549 189788661 291023676 310243460 -12474251 -71134503 368299798 86879700 19199632 60724526 349100166 26155174 X WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. 0 0 258391212 694530 233506230 ST. FRANCIS HEALTH HAS SERVED THE HEALTHCARE NEEDS OF TOPEKA, KAN., AND SURROUNDING COMMUNITIES SINCE 1909. AS PART OF SCL HEALTH, A FAITH-BASED, NONPROFIT HEALTH SYSTEM, ST. FRANCIS WORKS TO IMPROVE NOT ONLY THE HEALTH OF THOSE WE SERVE, BUT PEOPLE'S LIVES. WE BRING COMPASSIONATE CARE AND THE MOST ADVANCED TECHNOLOGY TO OUR PATIENTS BY WAY OF OUR ACUTE-CARE HOSPITAL AND MORE THAN 30 PHYSICIAN CLINICS THROUGHOUT THE REGION.ST. FRANCIS HEALTH EMBODIES A DIVERSE AND CARING COMMUNITY DEDICATED TO IMPROVING THE HEALTH AND WELFARE OF OTHERS. ST. FRANCIS EMPLOYEES HAVE PROVIDED INNOVATIVE, INSPIRED SERVICE FOR MORE THAN A CENTURY. WE CARE FOR THOUSANDS OF PATIENTS AND THEIR FAMILIES WITH THE SAME SPIRIT AND RESOLVE DEMONSTRATED BY THE RESOURCEFUL SISTERS WHO OPENED THE FACILITY. ST. FRANCIS HEALTH CENTER OPENED ON OCT. 17, 1909, WITH 40 BEDS. ASSEMBLING SCRAPS OF FABRIC AND FASHIONING THEM INTO COLORFUL QUILTS FOR PATIENTS WAS ONE OF THE FIRST ASPECTS OF BUSINESS THE SISTERS OF CHARITY OF LEAVENWORTH PURSUED. EVER MINDFUL OF THE COST OF THINGS, THEY WERE PRUDENT IN THEIR APPROACHES TO ENSURE THAT WHATEVER RESOURCES THEY HAD AVAILABLE COULD BE STRETCHED TO ACCOMMODATE THE NEEDS OF EVERYONE WHO SOUGHT ASSISTANCE FOR THEIR AILMENTS. TODAY, THE HOSPITAL HAS 378 LICENSED BEDS, A MEDICAL STAFF REPRESENTING NEARLY ALL SPECIALTIES, ADULT AND YOUTH VOLUNTEERS AND A THRIVING AUXILIARY. SKILLFULLY INTEGRATING TECHNOLOGY WITH TENDERNESS, ST. FRANCIS AND ITS EMPLOYEES HAVE FOSTERED A PREMIER REGIONAL HOSPITAL FEATURING THE NEWEST MEDICAL INNOVATIONS AND STATE-OF-THE-ART EQUIPMENT. ST. FRANCIS WAS THE FIRST IN THE AREA TO PURCHASE AN X-RAY MACHINE, ESTABLISH AN INTENSIVE CARE UNIT, INSTALL DIAGNOSTIC ULTRASOUND EQUIPMENT, CONDUCT A HEART TRANSPLANT, USE BEDSIDE COMPUTERS TO PROVIDE POINT OF SERVICE DOCUMENTATION AND PURCHASE A POSITRON EMISSION TOMOGRAPHY (PET) SCANNER. THE HOSPITAL IS ALSO ONE OF ONLY TWO NON-VETERANS ADMINISTRATION HOSPITALS IN KANSAS TO BAR CODE PHARMACEUTICALS TO PREVENT MEDICATION ERRORS FOR PATIENT SAFETY AND PEACE OF MIND. THE HEALING TOUCH OF ST. FRANCIS EXTENDS BEYOND THE WALLS OF THE HOSPITAL TO INCLUDE PROGRAMS FOCUSED ON PREVENTIVE MEDICINE, SUCH AS THE BREAST CENTER AND ITS SPIRIT OF WOMEN HEALTH IMPROVEMENT EVENTS AND PROGRAMS. THROUGH THE MARIAN DENTAL CLINIC, ST. FRANCIS HELPS THE WORKING POOR AND THE UNINSURED SECURE THE TREATMENT THEY NEED, FROM ROUTINE TEETH CLEANING TO CROWN AND DENTURE WORK.DURING 2016, ST. FRANCIS HAD THE FOLLOWING RESULTS:7,537 ADMISSIONS 493,805 OUTPATIENT VISITS34,879 EMERGENCY DEPARTMENT VISITS867 BIRTHS6,118 SURGERIES759,639 LABORATORY TESTSMISSIONWE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. VISIONINSPIRED BY OUR FAITH:WE WILL BE DISTINGUISHED AS THE TRUSTED PERSON-CENTERED PARTNER TO THOSE WHO ENGAGE WITH US IN THEIR PHYSICAL, MENTAL AND SPIRITUAL HEALTH DECISIONS.WE WILL SHARE ACCOUNTABILITY WITH OUR CLINICIANS, ASSOCIATES AND AFFILIATED STAKEHOLDERS TO DELIVER EXCEPTIONAL CARE THAT IS WELL-COORDINATED, ACCESSIBLE, AFFORDABLE, SAFE, AND RESULTS IN OPTIMAL OUTCOMES FOR INDIVIDUALS AND POPULATIONS.WE WILL GROW AS COMMUNITY-BASED HEALTH NETWORKS IN PARTNERSHIP WITH OTHERS WHO SHARE OUR VISION AND VALUES AND ALIGN WITH US TO BE AN ESSENTIAL PROVIDER TO THOSE WE SERVE.VALUES CARING SPIRIT WE HONOR THE SACRED DIGNITY OF EACH PERSON. EXCELLENCE WE SET AND SURPASS HIGH STANDARDS. GOOD HUMOR WE CREATE JOYFUL AND WELCOMING ENVIRONMENTS. INTEGRITY WE DO THE RIGHT THING WITH OPENNESS AND PRIDE. SAFETY WE DELIVER CARE THAT SEEKS TO ELIMINATE ALL HARM FOR PATIENTS AND ASSOCIATES. STEWARDSHIP WE ARE ACCOUNTABLE FOR THE RESOURCES ENTRUSTED TO US.ST. FRANCIS HEALTH CENTER IS A FULL-SERVICE HOSPITAL WITH A VARIETY OF HEALTHCARE SERVICES TO CARE FOR AND KEEP OUR COMMUNITY HEALTHY:ANTICOAGULATION CLINIC, BARIATRIC SERVICE, CARDIOLOGY SERVICES, CENTER FOR INFANT AND CHILD HEALTH, COMPREHENSIVE CANCER CENTER, COUMADIN CLINIC, DA VINCI SURGICAL ROBOT SERVICES, DIABETES CENTER, DIAGNOSTIC SERVICES, EMERGENCY SERVICES, FAMILY MEDICINE, HOME CARE, IMAGING CENTER, JOINT REPLACEMENT CENTER, LABORATORY SERVICES, NEUROLOGY SERVICES, NEW LIFE CENTER, OCCUPATIONAL MEDICINE, PAIN MANAGEMENT, PRIMARY CARE, PEDIATRICS, PULMONOLOGY REHABILITATION SERVICES, SPINE CENTER, SPORTS MEDICINE, VEIN CLINIC, WOMEN'S SERVICES, WOUND CENTER. 258391212 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 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 0 1 1 1 0 0 1 167 0 1 1932 1 1 1 0 0 0 0 1 1 0 0 0 0 X 13 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X KYLE ENGMAN 3038135543 500 ELDORADO BLVD SUITE 4200 BROOMFIELD CO 80021 WAYNE BASSO MEMBER 1.00 0.00 X 0 0 0 SR MARIANNA BAUDER MEMBER 1.00 0.00 X 0 0 0 NEIL DOBLER MEMBER 1.00 0.00 X 0 0 0 CARLYLE DUNSHEE MD MEMBER 1.00 0.00 X 0 0 0 CYNTHIA HORNBERGER SECRETARY 2.00 0.00 X X 0 0 0 JULIANN MAZACHEK VICE CHAIR 2.00 0.00 X X 0 0 0 JAMES OWEN MD MEMBER 1.00 0.00 X 0 0 0 GREG SCHWERDT CHAIR 2.00 0.00 X X 0 0 0 DAVID SETCHEL PRESIDENT ST FRANCIS HLTH CTR 50.00 0.00 X X 0 440785 74624 KATHLEEN TULIPANA MEMBER 1.00 50.00 X 0 230337 37992 WADE WELCH MD MEMBER 50.00 0.00 X 723790 0 47185 JEFF WIETHARN MEMBER 1.00 0.00 X 0 0 0 MARK YOUNG MEMBER 1.00 0.00 X 0 0 0 ESSENCE MONTGOMERY VP & CFO 50.00 0.00 X 0 202517 51605 LISA ALEXANDER VP PATIENT CARE SERVICES 50.00 0.00 X 0 202284 33647 JACKIE HYLAND MD CHIEF MEDICAL OFFICER 50.00 0.00 X 243781 0 0 ERIK OLSON VP MEDICAL GROUP 50.00 0.00 X 0 198439 45620 SUMER DHIR MD PHYSICIAN 50.00 0.00 X 1076126 0 43607 FLORIN NICOLAE MD PHYSICIAN 50.00 0.00 X 935340 0 46875 BERNITA BERNTSEN MD PHYSICIAN 50.00 0.00 X 899857 0 45887 JOHN JOLIFF MD PHYSICIAN 50.00 0.00 X 826634 0 38729 SWAPNA MAMIDIPALLY MD PHYSICIAN 50.00 0.00 X 752965 0 44992 THOMAS HAMILTON FORMER KEY EMPLOYEE 0.00 0.00 X 379940 0 82082 GWEN HELLER FORMER KEY EMPLOYEE 0.00 0.00 X 0 229437 50513 5838433 1503799 643358 125 1 1 1 TOPEKA ANESTHESIA & PAIN TREATMENT 1700 SW 7TH ST TOPEKA KS 66606 MEDICAL SERVICES 4368476 WEATHERBY LOCUMS PO BOX 972633 DALLAS TX 75397 CONTRACT LABOR 1914274 CHG COMPANIES INC PO BOX 972651 DALLAS TX 75397 CONTRACT LABOR 1237444 EMERGENCY MANAGEMENT MIDWEST PO BOX 634850 CINCINNATI OH 45263 MEDICAL SERVICES 1031849 RAIN RESOURCES LLC 760 TIMBER LN SHOREVIEW MN 55126 TECHNOLOGY SERVICES 602850 45 103118 308718 111778 523614 PATIENT SERVICE REVENUE 622110 232208224 231598408 609816 PATIENT REV - LIFESTAR 622110 276412 276412 232484636 4691329 4691329 578010 236665 341345 341345 341345 39686 52356 -12670 -12670 -12670 10778 1332 9446 9446 128275 89085 39190 39190 CAFETERIA SALES 722310 930674 920201 10473 MEDICAL STAFF FEES 900099 102046 102046 VENDING MACHINE COMMISSIONS 900099 24391 24391 -25044 -25044 1032067 239108957 232896414 620289 5068640 693995 693995 300 300 235 235 2264276 2213185 51091 93977169 91600828 2376341 4481680 4280735 200945 12977784 12871700 106084 6059360 5972187 87173 825 825 13068 13068 15163 15163 14358499 12467222 1891277 2227051 117213 2109838 798847 791688 7159 18868734 18868734 6188740 6179626 9114 250189 219294 30895 429119 418020 11099 44576837 44576837 2836187 2741715 94472 MEDICAL SUPPLIES 45201228 45201228 0 MAINTENANCE SERVICES 11584060 11455250 128810 BILLING & COLLECTION - 8981917 8981917 BAD DEBT EXPENSE 8453425 8453425 0 25004772 8136529 16868243 310243460 258391212 51852248 0 2884502 2655243 32959228 30673196 90175 0 5015131 5067842 4830511 3699405 278512519 239137408 67662437 39375111 2882332 3149554 251975482 2259349 368299798 86879700 19199632 16727984 47001 0 43949541 19199632 60724526 X 349100166 26155174 349100166 26155174 368299798 86879700 X -71134503 -251810489 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 15163 15163 0 PART II-B, LINE 1: PART II-B, LINE (1I): LOBBYING EXPENSES WERE DERIVED AS A PERCENTAGE OF DUES PAID TO THE KANSAS HOSPITAL ASSOCIATION. 4734186 234162 14404 4953944 4770140 12564 -35054 13464 4734186 5834197 109242 244925 1404608 13616 4770140 5142433 705491 2475 11252 5834197 4592958 563648 8013 6160 5142433 1.00000 0 1 1 7043758 7043758 133960492 133294089 666403 7771622 5607859 2163763 121232993 100235460 20997533 8503654 8503654 39375111 INTERCOMPANY PAYABLES 43949541 43949541 PART V, LINE 4: THE ORIGINAL ENDOWMENT FUNDS ARE NEVER USED. THE INVESTMENT EARNINGS ARE USED AS DESIGNATED BY THE DONOR AT THE TIME OF THEIR DONATION FOR VARIOUS USES INCLUDING; SCHOLARSHIPS, HEALTHCARE FOR THE POOR, HEALTH CENTER EYE SURGERY EQUIPMENT, MEDICAL EDUCATION, FACILITY IMPROVEMENT, RADIOLOGY SERVICES, ONCOLOGY AND DIABETES DEPARTMENT EXPENSES. ENDOWMENT FUNDS ARE HELD BY THE ST. FRANCIS HEALTH CENTER FOUNDATION. 1 1 X 1 X 1 X 1 1 1 0 1 1 7849267 0 7849267 0.02600 27167013 13963016 13203997 0.04380 35016280 13963016 21053264 0.06980 121022 1800 119222 0.00040 231025 2000 229025 0.00080 28127048 18752395 9374653 0.03110 143225 0 143225 0.00050 28622320 18756195 9866125 0.03280 63638600 32719211 30919389 0.10260 1828 0 1828 0.00000 104 0 104 0.00000 4858 0 4858 0.00000 1078 0 1078 0.00000 7868 7868 0.00000 1 8453425 0 75346990 95199016 -19852026 X 1 1 1 1 ST FRANCIS HEALTH CENTER INC 1700 SW 7TH STREET TOPEKA KS 66606 WWW.STFRANCISTOPEKA.ORG H-089-002 X X X X ST FRANCIS HEALTH CENTER INC 1 0 0 1 X X X X X X X X 16 1 1 1 1 X SEE PART V, SECTION C X 1 14 1 SEE PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X 1 1 X 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 HEALTH CENTER, INC. PART V, SECTION B, LINE 5: THE 2016 SHAWNEE COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT SOLICITED AND RECEIVED INPUT FROM A VARIETY OF SOURCES REPRESENTING THE BROAD SPECTRUM OF THE COMMUNITY. THE FIRST AND MOST IMPORTANT SOURCE WAS THE LEADERSHIP OF SHAWNEE COUNTY HEALTH AGENCY ON THE TEAM. THE PUBLIC HEALTH PERSPECTIVE IS VERY DIFFERENT THAN THE ACUTE CARE APPROACH OF THE TWO HOSPITALS.THE SECOND SOURCE OF COMMUNITY INPUT WAS THE HEARTLAND HEALTHY NEIGHBORHOODS FOCUS GROUPS. MANY OF THE 62 PARTICIPANTS WORK FOR ORGANIZATIONS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS. APPENDIX 1 OF THE CHNA LISTS THE 42 ORGANIZATIONS/AGENCIES THAT PARTICIPATED IN THESE FOCUS GROUPS.THE THIRD SOURCE OF COMMUNITY INPUT WAS THE EMAIL SURVEY. THIS SURVEY WAS SENT TO HEARTLAND HEALTHY NEIGHBORHOODS MEMBERSHIP WITH INSTRUCTIONS TO FORWARD IT ON TO OTHER CONTACTS. THE SURVEY WAS ALSO AVAILABLE THROUGH THE COMMUNITY RESOURCE COUNCIL'S ELECTRONIC NEWSLETTER. EMPLOYEES OF THE HEALTHY SHAWNEE COUNTY TASK FORCE MEMBERS ALSO RECEIVED THE SURVEY. A TOTAL OF 1362 COMPLETED SURVEYS WERE RECEIVED. THE FOURTH SOURCE OF COMMUNITY INPUT WAS FROM INTERVIEWS OF PERSONS WITH PUBLIC HEALTH EXPERTISE AND INSIGHT. 12 KEY COMMUNITY PROVIDERS WERE INTERVIEWED. AMONG THOSE INTERVIEWED INCLUDED THE EMERGENCY DEPARTMENT DIRECTORS OF BOTH HOSPITALS, THE MEDICAL DIRECTORS OF BOTH HOSPITALIST PROGRAMS AND THE DIRECTORS OF BOTH COMMUNITY SAFETY NET CLINICS. ST. FRANCIS HEALTH CENTER, INC. PART V, SECTION B, LINE 6A: AS PART OF THE HEALTHY SHAWNEE COUNTY TASK FORCE, THE ST. FRANCIS HEALTH CENTER CHNA WAS CONDUCTED IN A PARTNERSHIP WITH STORMONT-VAIL HEALTHCARE HOSPITAL FACILITY. ST. FRANCIS HEALTH CENTER, INC. PART V, SECTION B, LINE 6B: THE ST. FRANCIS HEALTH CENTER CHNA WAS CONDUCTED WITH THE PARTICIPATION OF SHAWNEE COUNTY HEALTH AGENCY.ST. FRANCIS HEALTH CENTER:PART V, SECTION B, LINE 7A: HTTPS://WWW.STFRANCISTOPEKA.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ST. FRANCIS HEALTH CENTER:PART V, SECTION B, LINE 10A: HTTPS://WWW.STFRANCISTOPEKA.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ ST. FRANCIS HEALTH CENTER, INC. PART V, SECTION B, LINE 11: IN 2016, THE COMPLETION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT CONFIRMED THE CONTINUED NEED TO FOCUS ON SEVERAL COMMON NEEDS FROM THE PREVIOUS CHNA. REMAINING IN COMPLIANCE WITH IMPLEMENTING THE IMPLEMENTATION PLAN, THE ORGANIZATION FOCUSED ON BOTH COMPLETING THE CURRENT IMPLEMENTATION PLAN AND FOCUSING ON THE KEY NEEDS COMING OUT OF THE MOST RECENT ASSESSMENT. THE ORGANIZATION DEVELOPED THE IMPLEMENTATION PLAN TO REFLECT THE NEEDS IDENTIFIED IN THE 2016 CHNA. THE IMPLEMENTATION PLAN WAS COMPLETED FOR PUBLISHING IN MAY 2017. IN 2016, THE ORGANIZATION CONTINUED TO FOCUS ON THREE MAJOR HEALTH PRIORITIES AS PART OF THE 2014 IMPLEMENTATION PLAN. THESE THREE MAJOR HEALTH PRIORITIES INCLUDED: 1. IMPROVED ACCESS TO CARE, TO TRANSPORTATION, AND TO HEALTH KNOWLEDGE 2. HEALTHY EATING, ACTIVE LIVING 3. HEALTHY BABIESAS THE 2016 CHNA WAS COMPLETED AND PUBLISHED, EIGHT COMMUNITY HEALTH NEEDS WERE IDENTIFIED. EACH NEED WAS EVALUATED BASED ON THE ORGANIZATION'S EXPERTISE, ABILITY TO CREATE MEANINGFUL IMPACT AND AVAILABILITY OF RESOURCES. THREE TOP PRIORITIES WERE SELECTED, INCLUDING: 1. HEALTHY EATING 2. SUBSTANCE ABUSE, WITH A POINTED FOCUS ON TOBACCO 3. ACCESS TO CAREWITH THE CONTINUATION OF WORK FOR THE MOST RECENT IMPLEMENTATION PLAN AND THE IDENTIFICATION OF PRIORITIES FROM THE 2016 CHNA, ST. FRANCIS HEALTH IS ADDRESSING THE SIGNIFICANT COMMUNITY HEALTH NEEDS THROUGH THE FOLLOWING ACTIONS:- PROVIDE REGULARLY SCHEDULED PUBLIC FORUMS, FREE OF CHARGE - INCLUDING BABY FAIR WITH EDUCATIONAL SESSIONS ON PRENATAL CARE AND HEALTHY PARENTING; EDUCATIONAL SESSIONS WITH CARDIOLOGISTS AND ONCOLOGISTS ON HEALTH RISKS AND PREVENTION OF MAJOR DISEASES.- CONTINUED COLLABORATION WITH COMMUNITY PARTNERS TO IDENTIFY AND SUPPORT CENTRALIZED ACCESS RESOURCES THROUGH INVOLVEMENT IN HEARTLAND HEALTHY NEIGHBORHOOD COMMUNITY WIDE IMPROVEMENT PROCESS WITH PARTICIPATION OF KEY LEADERS IN WORKGROUPS ACTIVITIES.- MAINTAINED COLLABORATIONS WHICH PROVIDE SERVICES TO IDENTIFIED VULNERABLE POPULATIONS - INCLUDING PARTNERSHIP WITH VALEO BEHAVIORAL HEALTH AND WASHBURN UNIVERSITY FOR INCREASED ACCESS TO PRIMARY CARE FOR MENTAL HEALTH PATIENTS; CONTINUED FINANCIAL AND OPERATIONAL SUPPORT TO MARIAN DENTAL CLINIC; AND PARTICIPATION AND SUPPORT OF THE SAFETY NET SUMMIT GROUP WITH PLANNED IMPLEMENTATION WITH SHAWNEE COUNTY HEALTH DEPARTMENT.- PARTICIPATE IN ACTIVITIES AND SERVICES WHICH INCREASE ACCESS AND AFFORDABILITY OF HEALTHCARE SERVICES, INCLUDING - PROVIDING EDUCATION TO PUBLIC ON INSURANCE COVERAGE AND FINANCIAL PLANNING FOR HEALTH CARE; PROVIDING COUNSELING TO INPATIENTS WHO LACK HEALTH INSURANCE COVERAGE BY CERTIFIED COUNSELORS; PROVIDING COUNSEL TO PUBLIC REGARDING QUESTIONS WITH INSURANCE COVERAGE THROUGH ACA; MAINTAINING EDUCATIONAL INFORMATION REGARDING INSURANCE COVERAGE AVAILABLE TO PUBLIC ONLINE.- PARTICIPATES IN AND CREATES OPPORTUNITY FOR ACTIVITIES AND SERVICES WHICH INCREASE AWARENESS OF HEALTHY EATING AND ACTIVE LIVING BY DELIVERING COMMUNITY WELLNESS EVENTS, SUCH AS THE WILD WELLNESS EVENT, FOCUSED ON TEACHING FAMILIES THE IMPORTANCE OF HEALTHY/BALANCED DIETS, DAILY PHYSICAL FITNESS, AND ROUTINE PREVENTIVE CARE; CREATED STRATEGIC PLAN FOR DELIVERY OF "MASTER GOOD HEALTH" FITNESS AND HEALTHY EATING PROGRAMS THROUGH SOCIAL MEDIA PLATFORMS AVAILABLE TO THE BROAD COMMUNITY THROUGH 2017. - PLAN PARTNERSHIP WITH MULTIPLE COMMUNITY ORGANIZATIONS TO INCREASE ACCESS TO HEALTHY FOODS FOR PATIENTS AND SURROUNDING NEIGHBORHOOD.- PROVIDE EXPERTISE AND AWARENESS OF SUBSTANCE ABUSE ISSUES IN COMMUNITY THROUGH EDUCATION AND PLANNING FOR PATIENTS WHO USE TOBACCO PRODUCTS TO RAISE AWARENESS OF HEALTH EFFECTS OF TOBACCO USE AND THE BENEFITS OF QUITTING FOR HEALTH AND WELLNESS; PARTICIPATION IN REVIEWING, UNDERSTANDING, AND PLANNING STRATEGY TO ADDRESS OPIOID CRISIS IN COMMUNITY THROUGH PARTNERSHIP WITH MULTIPLE ORGANIZATIONS.- PROVIDE EMPLOYEES WITH OPPORTUNITIES FOR HEALTHY EATING AND PHYSICAL ACTIVITY AT WORK THROUGH HEALTHY MEAL REWARDS PROGRAM; OFFERING HEALTHY EATING DEMONSTRATIONS AND SAMPLINGS; INCREASING THE NUMBER OF HEALTHY MEAL AND SNACK OPTIONS FOR EMPLOYEE AND VISITORS; OFFER EMPLOYEES FREE MEMBERSHIP TO LOCAL FITNESS CENTER AND PROVIDE ONSITE FITNESS EQUIPMENT TO INCREASE PHYSICAL ACTIVITY; INCREASING WELLNESS AWARENESS AND INCENTIVE OPTIONS THROUGH BIOMETRIC SCREENING FAIR, AND ONLINE EDUCATIONAL OPPORTUNITIES.- IN CREATING THE PROCESSES, ENVIRONMENT, AND CULTURE TO REDUCE INFANT MORTALITY, ST. FRANCIS HEALTH HAS INITIATED OR CONTINUED FOCUS ON PRENATAL CARE, HEALTHY NUTRITION, AND SAFE PARENTING PRACTICES BY: PROVIDING REGULARLY SCHEDULED AND FREE CHILDBIRTH PREPARATION, INFANT WELLNESS, AND SAFETY CLASSES TO NEW PARENTS; COLLABORATED WITH OUTPATIENT CLINICS TO INCREASE EARLY AWARENESS OF PRENATAL HEALTH CONCERNS (SUCH AS SMOKING) AND EDUCATION FOR SOLUTIONS AND EARLY INFORMATION ABOUT THE HEALTH BENEFITS OF BREASTFEEDING; MAINTAIN THE HIGH 5 FOR MOM AND BABY INITIATIVE WITH CONTINUED ADOPTION OF PRACTICES; ADVANCE TO AND PREPARE FOR FINAL REVIEW FOR "BABY FRIENDLY" ACCREDITATION; EDUCATE COMMUNITY ON SAFE SLEEP PRACTICES AND PROVIDE FREE SLEEP SACKS FOR BABIES TO REDUCE SUIDS AT HOME. THE OTHER COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2016 CHNA ARE VERY IMPORTANT. HOWEVER, DUE TO LIMITED AVAILABLE RESOURCES IN THE ORGANIZATION AND THE AVAILABILITY OF OTHER COMMUNITY ORGANIZATIONS AND PARTNERS WHO ARE BETTER EQUIPPED TO ADDRESS THESE NEEDS, ST. FRANCIS HEALTH CANNOT DIRECTLY ADDRESS ALL THE COMMUNITY HEALTH NEEDS. ST. FRANCIS HEALTH WILL CONTINUE TO PARTNER WITH OTHER COMMUNITY ORGANIZATIONS TO ENSURE ALL NEEDS ARE BEING ADDRESSED.ST. FRANCIS HEALTH CENTER:PART V, SECTION, B, LINE 16A, 16B, 16C: HTTP://WWW.STFRANCISTOPEKA.ORG/FOR-PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE-AND-CHARITY/ 37 1 - SFT ADVANCED WOUND CARE CENTER 634 MULVANE STE 100 TOPEKA KS 666061678 OUTPATIENT PHYSICIAN CLINIC 2 - SFT AT HUNTER'S RIDGE PHYS CLINIC 4646 NW FIELDING RD TOPEKA KS 66618 OUTPATIENT PHYSICIAN CLINIC 3 - SFT AT LAKE SHAWNEE PHYS CLINIC 3310 SE 29TH STE 300 TOPEKA KS 66605 OUTPATIENT PHYSICIAN CLINIC 4 - SFT FAM MED & READY CARE - BREWSTER 1101 SW 29TH ST TOPEKA KS 66611 OUTPATIENT PHYSICIAN CLINIC 5 - SFT GENERAL VASCULAR BARIATRIC SGY 6001 SW 6TH AVE STE 220 TOPEKA KS 666151011 OUTPATIENT PHYSICIAN CLINIC 6 - SFT HEALTH COMP CANCER CTR - MED ONC 1700 SW 7TH ST TOPEKA KS 66606 OUTPATIENT PHYSICIAN CLINIC 7 - SFT HLTH COMP CANCER CTR - OP MED 1700 SW 7TH ST TOPEKA KS 666061690 OUTPATIENT PHYSICIAN CLINIC 8 - SFT HEALTH ENDOCRINOLOGYDIABETES CTR 601 SW CORPORATE VIEW DR TOPEKA KS 666151244 OUTPATIENT PHYSICIAN CLINIC 9 - SFT HEALTH FAMILY MED - JEWELL 600 SW JEWELL TOPEKA KS 666061607 OUTPATIENT PHYSICIAN CLINIC 10 - SFT HEALTH FAMILY MED - LAKE SHAWNEE 3310 SE 29TH ST STE 300 TOPEKA KS 666052095 OUTPATIENT PHYSICIAN CLINIC 11 - SFT HEALTH FAM MEDICINE - MISSION WOODS 2835 SW MISSION WOODS DR TOPEKA KS 666145616 OUTPATIENT PHYSICIAN CLINIC 12 - SFT HEALTH FAM PRAC - HUNTERS RIDGE 4646 NW FIELDING RD TOPEKA KS 66618 OUTPATIENT PHYSICIAN CLINIC 13 - SFT HEALTH FAM PRAC - VALLEY FALLS 403 SYCAMORE VALLEY FALLS KS 660880216 OUTPATIENT PHYSICIAN CLINIC 14 - SFT HEALTH HEART & VASC CTR - ABILENE 511 NE 10TH ST ABILENE KS 67410 OUTPATIENT PHYSICIAN CLINIC 15 - SFT HEALTH HEART & VASC CTR - CARDIO 600 SW COLLEGE AVE TOPEKA KS 666061690 OUTPATIENT PHYSICIAN CLINIC 16 - SFT HEALTH HEART & VASC CTR - CARDIOTHOR 600 SW COLLEGE AVE STE 202 TOPEKA KS 666061690 OUTPATIENT PHYSICIAN CLINIC 17 - SFT HEALTH HEART & VASC CTR - GEARY 1102 ST MARYS RD STE 107 JUNCTION CITY KS 664414139 OUTPATIENT PHYSICIAN CLINIC 18 - SFT HEALTH HEART & VASC CTR - MORRIS 600 N WASHINGTON COUNCIL GROVE KS 668461422 OUTPATIENT PHYSICIAN CLINIC 19 - SFT HEALTH MED CLINIC - RIVER HILL 6001 SW 6TH AVE STE 320 TOPEKA KS 66615 OUTPATIENT PHYSICIAN CLINIC 20 - SFT HEALTH PAIN MANAGEMENT CENTER 634 SW MULVANE STE 104 TOPEKA KS 66606 OUTPATIENT PHYSICIAN CLINIC 21 - SFT HEALTH WOMENS CTR - HUNTERS RIDGE 634 MULVANE ST STE 209 TOPEKA KS 66606 OUTPATIENT PHYSICIAN CLINIC 22 - SFT HEALTH WOMENS CENTER - KICKAPOO 1117 GOLDFINCH RD HORTON KS 664399537 OUTPATIENT PHYSICIAN CLINIC 23 - SFT HEALTH WOMENS CENTER - LAKE SHAWNEE 3310 SE 29TH ST STE 300 TOPEKA KS 66605 OUTPATIENT PHYSICIAN CLINIC 24 - SFT HEALTH WOMENS CTR - MISSION WOOD 2835 SW MISSION WOODS DR TOPEKA KS 66614 OUTPATIENT PHYSICIAN CLINIC 25 - SFT HEALTH WOMEN'S CENTER - OBGYN 634 MULVANE ST STE 209 TOPEKA KS 66606 OUTPATIENT PHYSICIAN CLINIC 26 - SFT HEALTH WOMEN'S CENTER - PRAIRIE 11400 158TH RD MAYETTA KS 665098866 OUTPATIENT PHYSICIAN CLINIC 27 - SFT HEALTH WOMEN'S CENTER - TALLGRASS 601 CORPORATE VIEW DR TOPEKA KS 66614 OUTPATIENT PHYSICIAN CLINIC 28 - SFT MATERNAL CHILD SERVICES 1700 SW 7TH ST TOPEKA KS 666061690 OUTPATIENT PHYSICIAN CLINIC 29 - SFT NURSE PRACTITIONERS 1700 SW 7TH ST TOPEKA KS 666061690 OUTPATIENT PHYSICIAN CLINIC 30 - SFT OCCUPATIONAL MEDICINE 631 HORNE STE 200 TOPEKA KS 66606 OUTPATIENT PHYSICIAN CLINIC 31 - SFT PULMONOLOGY 1700 SW 7TH ST TOPEKA KS 666061690 OUTPATIENT PHYSICIAN CLINIC 32 - SFT SPORTS MEDICINE & REHABILITATION 801 SW FAIRLAWN RD TOPEKA KS 666062338 OUTPATIENT PHYSICIAN CLINIC 33 - TOPEKA NEUROLOGY AT SFT HEALTH 631 SW HORNE ST STE 420 TOPEKA KS 666061694 OUTPATIENT PHYSICIAN CLINIC 34 - TOPEKA NEUROLOGY SFT HLTH - NEWMAN 1301 W 12TH AVE EMPORIA KS 668012504 OUTPATIENT PHYSICIAN CLINIC 35 - TOPEKA NEUROLOGY SFT HEALTH - STONECR 4101 ANDERSON AVE MANHATTAN KS 665032157 OUTPATIENT PHYSICIAN CLINIC 36 - TOPEKA NEUROLOGY SFT HEALTH - WAMEGO 711 GLENN DR WAMEGO KS 665471179 OUTPATIENT PHYSICIAN CLINIC 37 - TOPEKA UROLOGY AT SFT HEALTH 1516 SW 6TH ST TOPEKA KS 666062729 OUTPATIENT PHYSICIAN CLINIC PART I, LINE 6A: THIS ORGANIZATION IS PART OF SCL HEALTH SYSTEM WHICH PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT ON A CONSOLIDATED BASIS. THE REPORT IS PREPARED BY THE PARENT COMPANY, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. PART I, LINE 7: THE AMOUNTS REPORTED ON FORM 990, SCHEDULE H, PART I, LINE 7A, 7B AND 7C WERE DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2, IN THE SCHEDULE H, FORM 990 INSTRUCTIONS. FORM 990, SCHEDULE H, PART I, LINES 7E, 7F, 7G, 7H AND 7I ARE REPORTED AT COST AS REPORTED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 8,453,425. PART II, COMMUNITY BUILDING ACTIVITIES: ST. FRANCIS HEALTH BELIEVES THAT PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS ARE KEY TO KEEPING THE LOCAL COMMUNITY HEALTHY. ST. FRANCIS HEALTH CONTINUED TO SPONSOR LOCAL ORGANIZATIONS WHO ARE COMMITTED TO CHANGE IN THE COMMUNITY IN THE AREAS OF HUNGER, HOMELESSNESS, EDUCATION, ARTS AND MUSIC, MENTAL HEALTH, PHYSICAL FITNESS AND WELLNESS, AND MORE. THROUGH THESE SPONSORSHIPS, ST. FRANCIS HEALTH ENABLED PARTNER ORGANIZATIONS TO FURTHER THEIR WORK IN THE COMMUNITY.ST. FRANCIS HEALTH ALSO PARTNERS WITH MANY ORGANIZATIONS THROUGH COMMUNITY AND BOARD LEADERSHIP. LEADERSHIP FURTHERS THE REACH AND NETWORK OF THE ORGANIZATIONS IN THE FOLLOWING AREAS: PAIN/OPIOID CRISIS MANAGEMENT, SAFETY NET CLINICS AND DENTAL CLINICS, HEALTH ASSOCIATIONS, AND ECONOMIC DEVELOPMENT ORGANIZATIONS. LEADERSHIP'S PARTICIPATION IN THESE KEY COMMUNITY BOARDS/COMMITTEES WILL ENSURE THE SOCIAL DETERMINANTS OF HEALTH ARE BEING ADDRESSED ACROSS THE COMMUNITY IN MULTIPLE AREAS OF FOCUS.PART III, LINE 1THE ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) STATEMENT NO. 15 TO THE EXTENT THAT HFMA STATEMENT NO. 15 FOLLOWS GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) FOR REPORTING BAD DEBT. PART III, LINE 2: THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS AT CHARGES AS RECORDED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS. PART III, LINE 4: THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS.THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN AND PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS.CERTAIN PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT BECAUSE THE ORGANIZATION DOES NOT HAVE SUFFICIENT INFORMATION TO DETERMINE IF THE PATIENT WOULD QUALIFY FOR FREE CARE OR FINANCIAL AID. THEREFORE, IT IS POSSIBLE THAT SOME BAD DEBT IS ACTUALLY CHARITY CARE. HOWEVER, IF A PATIENT ACCOUNT IS WRITTEN OFF TO BAD DEBT AND THE COLLECTION AGENCY LATER DETERMINES THAT THE PATIENT WOULD HAVE QUALIFIED FOR FREE CARE OR FINANCIAL AID, THEN THE BAD DEBT EXPENSE IS RECLASSIFIED TO CHARITY CARE. THE FOLLOWING IS THE TEXT OF THE FOOTNOTE IN THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBE THE BAD DEBT ALLOWANCE AND BAD DEBT EXPENSE: THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITION IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL COLLECTION EXPERIENCE BY PAYOR CATEGORY AND OTHER FACTORS. THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKE MODIFICATIONS TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS INCLUDES A RESERVE FOR BOTH UNINSURED PATIENTS AND BALANCES DUE FROM PATIENTS AFTER INSURANCE. PART III, LINE 8: THE ORGANIZATION BELIEVES THAT AT LEAST SOME PORTION OF THE COSTS WE INCUR IN EXCESS OF PAYMENTS RECEIVED FROM THE FEDERAL GOVERNMENT FOR PROVIDING MEDICAL SERVICES TO MEDICARE ENROLLEES AND BENEFICIARIES UNDER THE FEDERAL MEDICARE PROGRAM (SHORTFALL OR MEDICARE SHORTFALL) CONSTITUTES A COMMUNITY BENEFIT. PROVIDING THESE SERVICES CLEARLY LESSENS THE BURDENS OF THE GOVERNMENT BY ALLEVIATING THE FEDERAL GOVERNMENT FROM HAVING TO DIRECTLY PROVIDE THESE MEDICAL SERVICES. AS DEMONSTRATED AND CALCULATED ON FORM 990, SCHEDULE H, PART III, LINES 5, 6 AND 7, OUR MEDICARE "ALLOWABLE COSTS" CLEARLY EXCEED THE PAYMENTS WE RECEIVE FOR PROVIDING THESE MEDICAL SERVICES UNDER THE MEDICARE PROGRAM. BY ABSORBING THE MEDICARE SHORTFALL COSTS WE ARE PROVIDING A COMMUNITY BENEFIT AS WELL AS EASING THE BURDEN OF THE FEDERAL GOVERNMENT HAVING TO COVER THESE COSTS.TO ARRIVE AT THE FORM 990, SCHEDULE H, PART III, LINE 6 AMOUNT, WE USED ACTUAL MEDICARE CHARGES FROM INTERNAL RECORDS AND APPLIED AN ESTIMATED COST TO CHARGE RATIO TO DETERMINE THE MEDICARE ALLOWABLE COSTS. THE ESTIMATED MEDICARE COST TO CHARGE RATIO IS THE PRIOR PERIOD MEDICARE COST REPORT COST TO CHARGE RATIO. PART III, LINE 9B: AN INTEGRAL COMPONENT OF OUR MISSION IS TO BE GOOD FINANCIAL STEWARDS. THIS REQUIRES US TO DETERMINE WHICH PATIENTS ARE IN NEED OF CHARITY CARE AND WHICH ARE ABLE TO CONTRIBUTE SOME PAYMENT FOR CARE RECEIVED. WEMAINTAIN A BALANCE THAT ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TOTHOSE WHO NEED IT MOST AND ENSURE THAT WE MANAGE OUR RESOURCES SOWE CAN CONTINUE TO BE HERE WHEN PEOPLE NEED US MOST. THE ORGANIZATION NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND DISCHARGE. IN ADDITION, THE PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS. PATIENTS ARE CONTACTED MULTIPLE TIMES ABOUT UNPAID BALANCES PRIOR TO INITIATING ANY COLLECTION ACTION. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION PROCESS, THE ACCOUNT IS RECLASSIFIED AS FINANCIAL ASSISTANCE AND DEBT COLLECTION EFFORTS ARE CEASED. PART VI, LINE 2: ST. FRANCIS HEALTH IS REGULARLY ASSESSING COMMUNITY NEEDS THROUGH RELATIONSHIPS AND PARTNERSHIPS WITH ORGANIZATIONS IN THE COMMUNITY. WHILE THE CHNA GIVES AN ACTIVE PICTURE OF THE COMMUNITY, AT TIMES THERE ARE URGENT NEEDS IN THE COMMUNITY THAT ARISE. ONE SUCH EXAMPLE OF THIS IS THE PAIN MANAGEMENT/OPIOID CRISIS WORKGROUP THAT EMERGED IN PARTNERSHIP WITH SEVERAL TOPEKA ORGANIZATIONS TO BEGIN ADDRESSING THE DRAMATICALLY GROWING TREND IN OPIOID ADDICTION AND ABUSE. THROUGH PARTNERSHIPS AND RELATIONSHIPS WITH OTHER ORGANIZATIONS, ST. FRANCIS HEALTH CAN READILY RESPOND TO NEEDS AS THEY ARISE. PART VI, LINE 3: THE ORGANIZATION NOTIFIES PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND PRIOR TO DISCHARGE. NOTICES ABOUT THE FINANCIAL ASSISTANCE POLICY ARE DISPLAYED THROUGHOUT THE HOSPITAL. IN ADDITION, PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS. THE FINANCIAL ASSISTANCE POLICY AND APPLICATION ARE POSTED ON THE HOSPITAL'S WEBSITE. THE POLICY AND APPLICATION ARE ALSO AVAILABLE UPON REQUEST. THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN, PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS. PART VI, LINE 4: ST. FRANCIS HEALTH IS LOCATED IN THE CITY OF TOPEKA, KANSAS IN SHAWNEE COUNTY. THE HOSPITAL'S PRIMARY AND SECONDARY SERVICES AREA INCLUDES SHAWNEE COUNTY AND THE SURROUNDING COUNTIES, PARTICULARLY TO THE WEST TOWARD MANHATTAN, KANSAS AND TO THE SOUTH TOWARD EMPORIA, KANSAS. THE 2016 CHNA COVERED THE PRIMARY SERVICE AREA OF SHAWNEE COUNTY. THE DEMOGRAPHICS OF THE COMMUNITY ARE AS FOLLOWS:- SHAWNEE COUNTY RESIDENTS ACCOUNT FOR 74% OF ST. FRANCIS HEALTH INPATIENTS- 82% OF ST. FRANCIS HEALTH'S OUTPATIENTS ARE FROM SHAWNEE COUNTY- AFTER SHAWNEE COUNTY, THE SERVICE AREA OF BOTH HOSPITALS IS VERY RURAL WITH 12 COUNTIES CONTRIBUTING ANYWHERE FROM 1% TO 5% OF THEIR INPATIENT AND OUTPATIENT VOLUMES.TOPEKA IS THE MAJOR URBAN CENTER IN SHAWNEE COUNTY. WITH A POPULATION 178,406. SHAWNEE COUNTY IS THE THIRD LARGEST COUNTY IN THE STATE. IT IS ONE OF THE FEW URBAN COUNTIES IN KANSAS. THEREFORE IT IS MORE RACIALLY DIVERSE AND HAS A HIGHER RATE OF POVERTY THAN MOST OF THE STATE:- AFRICAN AMERICAN POPULATION IS 8.8%, STATE 6.3%- TWO OR MORE RACES IS 3.9%, STATE 2.8%- HISPANIC OR LATINO IS 11.6%, STATE 11.4%- PERSONS IN POVERTY IS 15.0%, STATE 13.6%- PERSONS WITHOUT HEALTH INSURANCE 13.9%, STATE 11.8% PART VI, LINE 5: IN 2016, ST. FRANCIS HEALTH HAS CONTINUED TO PROVIDE INTEGRATION OF PRIMARY CARE AND BEHAVIORAL HEALTH CARE SERVICES IN THE COMMUNITY. THIS PROJECT INCLUDES PARTNERSHIPS WITH ST. FRANCIS HEALTH, WASHBURN UNIVERSITY SCHOOL OF NURSING, AND VALEO BEHAVIORAL HEALTH TO IMBED AN APRN IN THE EXISTING LOCAL BEHAVIORAL HEALTH SERVICES OUTPATIENT CLINIC TO PROVIDE PRIMARY CARE SERVICES AND POPULATION HEALTH MANAGEMENT FOR A HISTORICALLY UNDERSERVED PEOPLE. ST. FRANCIS HEALTH CONTINUES TO PROVIDE FOCUSED SUPPORT FOR MARIAN DENTAL CLINIC, THE LOCAL DENTAL CLINIC FOR THE UNINSURED WHICH PROVIDES QUALITY DENTAL SERVICES FOR UNINSURED, LOW-INCOME PATIENTS. ST. FRANCIS HEALTH PROVIDES HEALTH SERVICES TO MARIAN CLINIC PATIENTS AND SUPPORTS THE CLINIC IN OTHER WAYS SUCH AS OPERATIONS SUPPORT, DONATING SUPPLIES, AND PROVIDING INFORMATION TECHNOLOGY AND FINANCIAL SYSTEMS MANAGEMENT. PART VI, LINE 6: THE ORGANIZATION IS A CONTROLLED ENTITY OF THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). SCLHS AND ITS AFFILIATED ENTITIES HAVE A COMMON CALLING AND MISSION: "WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE." WE STRIVE TO PROVIDE HIGH-QUALITY, COMPASSIONATE AND AFFORDABLE HEALTHCARE IN EACH OF OUR HOSPITAL SITES AND THEIR RESPECTIVE COMMUNITY, AS WELL AS IN A VARIETY OF OUTPATIENT SETTINGS AND IN THE HOME. SCLHS IS A FAITH-BASED, NONPROFIT HEALTHCARE ORGANIZATION THAT OPERATES NINE HOSPITALS, TWO SAFETY NET CLINICS, ONE CHILDREN'S MENTAL HEALTH CENTER AND MORE THAN 190 AMBULATORY SERVICE CENTERS IN THREE STATES - COLORADO, KANSAS AND MONTANA. THE HEALTH SYSTEM INCLUDES MORE THAN 15,000 FULL-TIME ASSOCIATES AND MORE THAN 500 EMPLOYED PROVIDERS.AS OUR HEALTH SYSTEM GROWS, WE'RE LEVERAGING THAT GROWTH TO ACHIEVE BENEFITS OF SCALE - IDENTIFYING COST AND OTHER ADVANTAGES THAT WE GAIN DUE TO OUR SIZE. WE'RE ALSO WORKING TO STREAMLINE AND UNIFY OUR SYSTEM-WIDE PROCESSES TO ELIMINATE COSTLY DUPLICATION OF EFFORT. WE ACTIVELY ENCOURAGE OUR PEOPLE TO PURSUE CREATIVE IDEAS THAT IMPROVE EFFICIENCY, SERVICE AND THE OVERALL CARE EXPERIENCE. WHEN OUR ASSOCIATES OR LEADERSHIP TEAMS IDENTIFY BEST PRACTICES IN ANY AREA OF CARE, WE RAPIDLY REPLICATE THOSE ACROSS ALL CARE SITES.THE ORGANIZATION PROMOTES THE HEALTH OF THE COMMUNITY BY DELIVERING DIRECT HIGH QUALITY HEALTHCARE SERVICES THAT ARE RESPONSIVE TO THE NEEDS OF ITS PATIENTS AND THEIR FAMILIES. THIS INCLUDES COORDINATING COMMUNITY BENEFIT PROCESSES, PROVIDING GUIDANCE WITH COMMUNITY NEEDS ASSESSMENTS, AND ESTABLISHING CONSISTENT FINANCIAL ASSISTANCE AND CHARITY CARE POLICIES AND PROCEDURES. ADDITIONALLY, SCLHS BENEFITS AFFILIATES THROUGH QUALITY IMPROVEMENT AND PERFORMANCE EXCELLENCE INITIATIVES; SYSTEM-WIDE INFORMATION TECHNOLOGY IMPLEMENTATION AND INFRASTRUCTURE; STRATEGIC AND OPERATIONS DIRECTION AND OVERSIGHT; SUPPLY CHAIN MANAGEMENT AND PURCHASING; FINANCE ADMINISTRATION AND REVENUE CYCLE SUPPORT, BENEFITS ADMINISTRATION, RISK MANAGEMENT; DISASTER PLANNING AND CRISIS ASSISTANCE, CENTRAL CASH MANAGEMENT AND INVESTMENT, INTERNAL AUDIT, LEGAL SERVICES, TAX SERVICES AND MISSION INTEGRATION. 1 ST FRANCIS HEALTH CENTER FOUNDATION INC 1700 SW 7TH STREET TOPEKA KS 66606 481092520 501(C)(3) 639536 SUPPORT MISSION HAYS MEDICAL CENTER INC 2220 CANTERBURY DRIVE HAYS KS 67601 480559088 501(C)(3) 8927 COST MEDICAL SUPPLIES SUPPORT MISSION 2 0 PART I, LINE 2: GRANTS RECEIVED FROM ST. FRANCIS HEALTH CENTER MUST ADDRESS ONE OF THE IDENTIFIED COMMUNITY HEALTH NEEDS IN THE ASSESSMENT REPORT FOR TOPEKA/SHAWNEE COUNTY SPONSORED BY THE UNITED WAY OF GREATER TOPEKA. ONLY ONE GRANT APPLICATION PER ORGANIZATION WILL BE ACCEPTED EACH YEAR. GRANTS CAN BE RENEWED AND FUNDED FOR A MAXIMUM OF THREE YEARS BASED ON THE PREVIOUS YEAR'S OUTCOMES AS DETERMINED BY COMMITTEE. THE GRANT CANNOT BE THE SOLE FUNDING SOURCE FOR ANY PROJECT REQUEST THAT EXCEEDS $1,000. THE ORGANIZATION RECEIVING THE GRANT IS REQUIRED TO SUBMIT AN INTERIM REPORT SIX MONTHS INTO THE GRANT YEAR. AT THE END OF THE GRANT YEAR A FINAL ACCOUNTING AND EVALUATION MUST BE SUBMITTED. BOTH REPORTS INCLUDE FINANCIAL INFORMATION AND A NARRATIVE REPORT DISCUSSING GOALS, OUTCOMES, FINANCIAL VARIANCES, AND PLANS TO OVERCOME VARIANCES. 0 1 0 0 0 0 0 1 0 DAVID SETCHEL PRESIDENT ST FRANCIS HLTH CTR 0 325888 0 100398 0 14499 0 54930 0 19694 0 515409 0 0 KATHLEEN TULIPANA MEMBER 0 202523 0 23330 0 4484 0 34913 0 3079 0 268329 0 0 WADE WELCH MD MEMBER 590601 0 121590 0 11599 0 19080 0 28105 0 770975 0 0 0 ESSENCE MONTGOMERY VP & CFO 0 125353 0 36780 0 40384 0 25905 0 25700 0 254122 0 0 LISA ALEXANDER VP PATIENT CARE SERVICES 0 188816 0 6284 0 7184 0 14304 0 19343 0 235931 0 0 JACKIE HYLAND MD CHIEF MEDICAL OFFICER 243781 0 0 0 0 0 0 0 0 0 243781 0 0 0 ERIK OLSON VP MEDICAL GROUP 0 159974 0 5036 0 33429 0 26149 0 19471 0 244059 0 0 SUMER DHIR MD PHYSICIAN 723669 0 342618 0 9839 0 16430 0 27177 0 1119733 0 0 0 FLORIN NICOLAE MD PHYSICIAN 692940 0 219299 0 23101 0 19080 0 27795 0 982215 0 0 0 BERNITA BERNTSEN MD PHYSICIAN 686023 0 201199 0 12635 0 16430 0 29457 0 945744 0 0 0 JOHN JOLIFF MD PHYSICIAN 645173 0 169750 0 11711 0 17514 0 21215 0 865363 0 0 0 SWAPNA MAMIDIPALLY MD PHYSICIAN 435874 0 309388 0 7703 0 19080 0 25912 0 797957 0 0 0 THOMAS HAMILTON FORMER KEY EMPLOYEE 331229 0 39736 0 8975 0 57568 0 24514 0 462022 0 0 0 GWEN HELLER FORMER KEY EMPLOYEE 0 203426 0 23849 0 2162 0 32303 0 18210 0 279950 0 0 PART I, LINE 3 COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH). COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE SCL HEALTH BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCL HEALTH AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO SCL HEALTH'S BOARD FOR APPROVAL OF ANY CHANGES TO COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA FOR PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY SCL HEALTH AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY SCL HEALTH'S BOARD, THE COMMITTEE EMPHASIZES THE IMPORTANCE OF ENSURING TOTAL REMUNERATION IS REASONABLE AND APPROPRIATE WHEN REVIEWING AND MAKING RECOMMENDATIONS WITH RESPECT TO COMPENSATION PACKAGES FOR THE OFFICERS AND SENIOR MANAGEMENT. AS PART OF THE REVIEW PROCESS, SCL HEALTH USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) WRITTEN EMPLOYMENT CONTRACTS 5) COMPENSATION SURVEYS AND STUDIES 6) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. PART I, LINE 4B SCHEDULE J, PART I, LINE 4B PAYMENTS FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN A RELATED ORGANIZATION PROVIDES NONQUALIFIED DEFERRED COMPENSATION PLANS (NQDC) KNOWN AS SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) FOR EXECUTIVES (SENIOR MANAGEMENT) TO COMPENSATE FOR REGULATORY IMPOSED LIMITATIONS IN QUALIFIED RETIREMENT PLANS AND TO PROVIDE A BENEFIT CONSISTENT WITH OTHER NOT FOR PROFIT HEALTH SYSTEMS. THESE PLANS ENABLE THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR THAT THEY PARTICIPATE. IN 2014, IN AN EFFORT TO REDUCE LONG-TERM COST AND HAVE GREATER CONTROL OVER FINANCIAL RISK, THE SERP WAS CONVERTED FROM A DEFINED BENEFIT (DB) TO A DEFINED CONTRIBUTION (DC) DESIGN. CERTAIN MEMBERS OF SENIOR MANAGEMENT WHOSE BENEFITS WERE CONVERTED FROM DB TO DC WOULD HAVE BEEN DISPROPORTIONATELY AND NEGATIVELY AFFECTED BY THE CHANGE, SO THE COMMITTEE DETERMINED IT WOULD BE APPROPRIATE TO GRANT "TRANSITION CREDITS" IN ORDER TO MITIGATE THE NEGATIVE IMPACT OF THE CHANGE ON THEIR RETIREMENT BENEFITS. THIS IS A COMMON APPROACH EMPLOYED BY OTHER ORGANIZATIONS UNDERGOING A SIMILAR TRANSITION. THE TRANSITION CREDITS VEST IN ACCORDANCE WITH THE TERMS OF THE DC SERP (I.E., AFTER THREE YEARS) AND ARE PAID TO THE EXECUTIVE UPON VESTING. NQDC SERP PLANS PRIOR TO 2014 PRIOR TO 2014, THE RELATED ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS 5 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN AFTER DECEMBER 31, 2013. THE RELATED ORGANIZATION HAS DETERMINED THAT THESE BENEFITS SHOULD BE SUBJECT TO TAXATION AS THE AMOUNTS ARE VESTED RATHER THAN WHEN THEY ARE RECEIVED. AS A RESULT, THE TOTAL NONQUALIFIED RETIREMENT PLAN BENEFITS, WHICH WERE VESTED IN THE CURRENT YEAR, ARE CONSIDERED TAXABLE AND THUS WERE TAXED TO THE PARTICIPANTS. FOR SOME OF THE PARTICIPANTS, AN AMOUNT EQUAL TO THE PARTICIPANT'S EXPECTED INCOME TAX LIABILITY WAS WITHDRAWN FROM THE PARTICIPANT'S ACCOUNT AND REMITTED TO THE FEDERAL AND STATE GOVERNMENTS AS WITHHOLDING ON THE TAXABLE BENEFIT. NO CASH PAYMENT IS MADE DIRECTLY TO THE PARTICIPANT AND THE REMAINING BENFIT AMOUNT STAYS IN THE RETIREMENT PLAN. THE AMOUNTS WITHDRAWN FROM THE PLAN FOR TAXES IN 2016 WERE: NONE FOR AMOUNTS CONTRIBUTED TO THE NQDC SERP PLAN PRIOR TO 2014, VESTED AMOUNTS ARE PAYABLE UPON THE END OF EMPLOYMENT. THE VESTED AMOUNTS WITHDRAWN INCLUDE AMOUNTS PREVIOUSLY TAXED TO THE RECIPIENT AND AMOUNTS TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENT'S W-2. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. NQDC SERP PLANS STARTING IN 2014 STARTING IN 2014, THE RELATED ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS ROLLING 3 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN BEFORE JANUARY 1, 2014. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. STARTING IN 2014, FOR CONTRIBUTIONS TO THE NQDC SERP PLAN, CERTAIN PARTICIPANTS ARE VESTED OR BECAME VESTED IN THE PLAN DURING 2016. VESTED AMOUNTS ARE PAYABLE TO THE RECIPIENT. THE VESTED AMOUNTS ARE TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENT'S W-2. THE AMOUNTS WITHDRAWN FROM THE NQDC SERP PLANS IN 2016 WERE: NONE IN ACCORDANCE WITH THE REQUIREMENTS OF SCHEDULE J, DEFERRED COMPENSATION EARNED OVER THE VESTING PERIOD IS REPORTED IN COLUMN C AND ANY AMOUNTS VESTED/PAID FROM A DEFERRED COMPENSATION PLAN ARE REPORTED IN COLUMN B(III). THUS, THE SAME AMOUNT WOULD BE REPORTED TWICE (FIRST WHEN IT ACCRUED DURING THE VESTING PERIOD AND AGAIN WHEN IT IS VESTED/PAID). THIS RESULTS IN THE APPEARANCE OF CERTAIN EXECUTIVES RECEIVING MORE THAN THEY ARE ACTUALLY PAID FROM THE DEFERRED COMPENSATION PLANS. COLUMN F IS INTENDED TO RECONCILE THIS DUPLICATION (BY REPORTING AMOUNTS INCLUDED IN COLUMN B(III) THAT HAD BEEN REPORTED AS DEFERRED COMPENSATION ON A SCHEDULE J FOR A PREVIOUS YEAR). HOWEVER, THE SIGNIFICANCE OF THE AMOUNTS LISTED IN COLUMN F IS OFTEN OVERLOOKED AND GIVEN THE COMPLEXITY OF THE SCHEDULE J REPORTING REQUIREMENTS, THE AMOUNTS SHOWN ARE EASILY MISUNDERSTOOD. TO DETERMINE TOTAL AMOUNT EARNED (RATHER THAN THE AMOUNT VESTED/PAID OUT) DURING THE YEAR, SUBTRACT THE AMOUNT IN COLUMN F FROM COLUMN E. PART I, LINE 7 THE AT RISK COMPENSATION PLAN WAS ESTABLISHED TO ENABLE THE HEALTH CARE SYSTEM AND ITS CARE SITES TO ATTRACT AND ENGAGE QUALIFIED LEADERS AND TO PROVIDE SUCH LEADERS WITH AN ADDITIONAL PERFORMANCE COMPENSATION OPPORTUNITY TO PROMOTE AND FURTHER ITS CHARITABLE MISSION, VISION, STRATEGIC PRIORITIES AND KEY INITIATIVES. THE PLAN OPERATES ON A CALENDAR-YEAR BASIS AND IS FUNDED EACH YEAR BY MEETING THRESHOLD LEVELS OF OPERATING INCOME. TARGET AWARD AMOUNTS ARE A PERCENTAGE OF LEADERS' BASE PAY AS DETERMINED BY THEIR SPECIFIC ROLE AT THE HEALTH CARE SYSTEM. ACTUAL AWARDS ARE PAID OUT BASED ON ATTAINMENT OF BOARD APPROVED GOALS, INCLUDING OPERATING INCOME, STEWARDSHIP, PATIENT EXPERIENCE, EMPLOYEE SAFETY AND COMMUNITY BENEFIT/MISSION TARGETS. AWARDS ARE BASED ON THE BOARD'S DETERMINATION ON HOW WELL THE HEALTH CARE SYSTEM PERFORMS RELATIVE TO THE PLAN'S STATED PERFORMANCE STANDARDS AND THE WEIGHT GIVEN TO EACH OF THE PERFORMANCE MEASURES AS DEFINED FOR THAT PLAN YEAR. THE AT RISK COMPENSATION PLANS ARE BASED ON A COMBINATION OF PERFORMANCE MEASURES. PERFORMANCE MEASURES INCLUDE OPERATING INCOME, STEWARDSHIP, PATIENT EXPERIENCE, EMPLOYEE SAFETY AND COMMUNITY BENEFIT/MISSION TARGETS. THE AT RISK COMPENSATION PLAN SHALL BE INTERPRETED, APPLIED AND ADMINISTERED AT ALL TIMES IN ACCORDANCE WITH CODE SECTION 409A AND GUIDANCE ISSUED THEREUNDER. THE HEALTH CARE SYSTEM RESERVES THE RIGHT TO AMEND OR TERMINATE THIS PLAN AT ANY TIME FOR ANY REASON. ADDITIONAL OFFICER AND BOARD DISCLOSURES THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) AND RELATED TAX EXEMPT ORGANIZATIONS CONSISTS OF NINE HOSPITALS, NINE FOUNDATIONS, TWO SAFETY-NET CLINICS, ONE CHILDREN'S MENTAL HEALTH CENTER AND MORE THAN 190 AMBULATORY SERVICE CENTERS IN THREE STATES. SCLHS AND RELATED TAX EXEMPT ORGANIZATIONS ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. IN KEEPING WITH SCLHS' CORE VALUE OF STEWARDSHIP, NO BOARD MEMBER SERVING ON THE BOARD OF DIRECTORS (BOARD) IS COMPENSATED FOR THAT SERVICE. SCLHS' BOARD COMPENSATION COMMITTEE (COMMITTEE) HAS RETAINED THE SERVICES OF AN INDEPENDENT COMPENSATION ADVISOR. THE COMPENSATION ADVISOR IS RESPONSIBLE FOR ADVISING THE COMMITTEE ON ALL MATTERS RELATING TO EXECUTIVE COMPENSATION INCLUDING SUPPORTING THE COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. THE SISTERS WHO SERVE AS OFFICERS AND/OR BOARD MEMBERS ARE MEMBERS OF THE SISTERS OF CHARITY OF LEAVENWORTH (A RELIGIOUS ORDER OF WOMEN). THE SISTERS HAVE TAKEN VOWS OF POVERTY AND RECEIVE NO COMPENSATION, EXPENSE ACCOUNT ALLOWANCE, OR CONTRIBUTIONS TO BENEFIT PLANS FOR THEIR SERVICES TO THE HEALTH CARE SYSTEM. HOWEVER, A PAYMENT IS MADE DIRECTLY TO THE SISTERS OF CHARITY OF LEAVENWORTH FOR THE SERVICES OF THOSE WHO PERFORM PROFESSIONAL, ADMINISTRATIVE, AND OTHER SUCH SERVICES. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR STOCKHOLDERS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE SOLE MEMBER OF ST. FRANCIS HEALTH CENTER, INC. FORM 990, PART VI, SECTION A, LINE 7A POWER TO ELECT OR APPOINT MEMBERS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC., THE SOLE MEMBER OF ST. FRANCIS HEALTH CENTER, INC., APPROVES MEMBERS OF ST. FRANCIS HEALTH CENTER, INC. BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS)HAS CERTAIN RESERVE POWERS TO APPROVE CHANGES TO THE ARTICLES OF INCORPORATION AND THE BYLAWS INCLUDING THE APPOINTMENT OR REMOVAL OF BOARD MEMBERS AND THE PRESIDENT/CEO. SCLHS ALSO HAS CERTAIN RESERVE POWERS OVER ANY CHANGE IN OWNERSHIP OF THE CORPORATION, CHANGE IN MISSION, ACQUISITION OF ASSETS, DISPOSAL OF ASSETS, LEASING OF ASSETS, INCURRENCE OF DEBT, MERGER OR DISSOLUTION, APPROVAL OF STRATEGIC PLANS AND BUDGETS, APPOINTMENT OF AUDITORS AND OVERSIGHT AND APPROVAL OF COMPENSATION AND BENEFITS FOR DIRECTORS, OFFICERS, KEY EMPLOYEES AND PHYSICIANS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF THE PARENT ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). THE FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING OF THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. ANY QUESTIONS ARE ADDRESSED TO THE TAX DIRECTOR OF SCLHS PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY ST. FRANCIS HEALTH CENTER, INC. AND THE PARENT ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (COLLECTIVELY REFERRED TO AS SCL HEALTH), REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY BY PROVIDING EDUCATION AND TRAINING FOR ITS EMPLOYEES, STAFF, OFFICERS AND DIRECTORS. PERSONS CONSIDERED TO BE IN AN INFLUENTIAL POSITION, SUCH AS BOARD MEMBERS, OFFICERS, PHYSICIANS, EXECUTIVES AND MANAGERS ARE ALL REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS TO DISCLOSE ANY POTENTIAL CONFLICT ISSUES. THESE STATEMENTS ARE CAREFULLY REVIEWED BY THE SCL HEALTH INTEGRITY AND COMPLIANCE DEPARTMENT AND APPROPRIATE LEADERSHIP. A REPORT IS PROVIDED TO SCLHS' PRESIDENT/CEO AND THE BOARD OF DIRECTORS. THE BUSINESS AND AFFAIRS OF SCL HEALTH WILL AT ALL TIMES BE CONDUCTED IN A MANNER THAT IS SOLELY IN THE BEST INTERESTS OF SCL HEALTH AND NOT BE INFLUENCED BY CONFLICTING INTERESTS OF PERSONS RESPONSIBLE FOR ADMINISTERING THOSE AFFAIRS. THE EXISTENCE OF ANY CONFLICTS OF INTEREST WILL BE DISCLOSED AND THE PROCEDURES SET FORTH HEREIN WILL BE FOLLOWED. CERTAIN TRANSACTIONS SUGGESTIVE OF A CONFLICT OF INTEREST ARE PROHIBITED. ANY PERSON IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER SCL HEALTH IS CONSIDERED AN INTERESTED PERSON. THIS TERM INCLUDES, BUT IS NOT LIMITED TO THE FOLLOWING: - BOARD MEMBERS, BOARD COMMITTEE MEMBERS, OFFICERS AND DIRECTORS; - SENIOR LEADERS AND EXECUTIVES (CEO, PRESIDENT, SVP, VP, EXECUTIVE DIRECTORS); - EMPLOYED PHYSICIANS AND PHYSICIANS IN MEDICAL STAFF LEADERSHIP ROLES (E.G., DEPARTMENT CHAIRS, MEMBERS OF MEDICAL STAFF COMMITTEES); - MEDICAL DIRECTORS OF CLINICAL PROGRAMS THAT ASSESS, REVIEW, RECOMMEND OR REQUEST PURCHASE OF ANY SPECIFIC PHARMACEUTICAL PRODUCTS, MEDICAL DEVICES, SUPPLIES AND/OR EQUIPMENT; - DEPARTMENT DIRECTORS AND MANAGERS; AND - OTHER SELECT INDIVIDUALS IDENTIFIED BY LEADERSHIP WHICH MAY INCLUDE, BUT IS NOT LIMITED TO, SUPPLY CHAIN AND FINANCE. UPON BECOMING AN INTERESTED PERSON AND ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO DISCLOSE ANY RELATIONSHIPS THAT CONSTITUTE OR MIGHT LEAD TO A CONFLICT OF INTEREST BY COMPLETING THE CURRENT CONFLICT OF INTEREST AND GIFT DISCLOSURE STATEMENT ("STATEMENT") AS APPROVED BY THE CHIEF INTEGRITY AND COMPLIANCE OFFICER. THE CHIEF INTEGRITY AND COMPLIANCE OFFICER WILL OVERSEE THE REVIEW OF THE STATEMENTS AND THE RESOLUTION OF ANY IDENTIFIED CONFLICTS OF INTEREST AND ALERT THE SCL HEALTH CEO AND/OR THE CHAIR OF THE SCL HEALTH BOARD OF DIRECTORS TO ANY ITEMS OF CONCERN. WHEN AN INTERESTED PERSON BECOMES AWARE OF A CONFLICT OF INTEREST WHICH HAS NOT BEEN DISCLOSED ON A STATEMENT, HE OR SHE SHALL CONTACT THE LOCAL COMPLIANCE AND PRIVACY OFFICER OR THE CHIEF INTEGRITY AND COMPLIANCE OFFICER, OBTAIN A STATEMENT FORM, COMPLETE AND RETURN IT TO THE SCL HEALTH INTEGRITY AND COMPLIANCE DEPARTMENT. WHENEVER AN INTERESTED PERSON BECOMES AWARE THAT AN ARRANGEMENT WITH RESPECT TO WHICH HE OR SHE HAS A CONFLICT OF INTEREST IS BEING CONSIDERED, THE INTERESTED PERSON MUST DISCLOSE ALL MATERIAL FACTS CONCERNING THE EXISTENCE AND NATURE OF THE CONFLICT OF INTEREST TO HIS OR HER SUPERVISOR (IF AN EMPLOYEE OTHER THAN THE ORGANIZATIONS SCL HEALTH CEO) OR TO THE APPLICABLE BOARD OR COMMITTEE CHAIR (IF THE SCL HEALTH CEO OR A BOARD OR COMMITTEE MEMBER), EVEN IF THE CONFLICT OF INTEREST HAS BEEN PREVIOUSLY DISCLOSED. WITH REGARD TO EMPLOYEES OTHER THAN THE SCL HEALTH CEO, THE INTERESTED PERSON'S SUPERVISOR WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. WITH REGARD TO THE SCL HEALTH CEO AND BOARD OR COMMITTEE MEMBERS, THE REMAINING MEMBERS OF THE BOARD OR COMMITTEE WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. PERSON(S) RESPONSIBLE FOR THE DETERMINATION SHOULD OBTAIN FURTHER GUIDANCE FROM THE SCL HEALTH INTEGRITY AND COMPLIANCE OR LEGAL DEPARTMENTS. UPON MAKING HIS OR HER DISCLOSURE, THE INTERESTED PERSON WILL LEAVE THE MEETING OR OTHERWISE REMOVE HIM OR HERSELF FROM THE DELIBERATIONS OR OTHER DECISION-MAKING PROCESS UNTIL SUCH TIME AS A DETERMINATION IS REACHED. IF A DETERMINATION HAS BEEN MADE THAT NO CONFLICT OF INTEREST EXISTS, THE INTERESTED PERSON MAY BE PRESENT AND PARTICIPATE IN THE DELIBERATION REGARDING THE TRANSACTION OR ARRANGEMENT. HOWEVER, IF AN INTERESTED PERSON HAS BEEN DETERMINED TO HAVE A CONFLICT OF INTEREST, HE OR SHE MAY NOT PARTICIPATE IN THE DELIBERATION OR DECISION REGARDING THE TRANSACTION OR ARRANGEMENT; BE PRESENT DURING THE DELIBERATION OR DECISION-MAKING; OR BE ALLOWED TO MAKE A PRESENTATION PRIOR TO THE DELIBERATION AND DECISION-MAKING ACTIVITIES. WHEN AN INTERESTED PERSON HAS A CONFLICT OF INTEREST, THE DECISION-MAKER/DECISION-MAKING BODY CONSIDERING THE TRANSACTION OR ARRANGEMENT WILL TAKE REASONABLE MEASURES, PRIOR TO APPROVING OR ENTERING INTO THE TRANSACTION OR ARRANGEMENT, TO ENSURE THAT THE PROPOSAL IS IN SCL HEALTH'S BEST INTERESTS. THE PROPOSED TRANSACTION OR ARRANGEMENT MAY PROCEED IF THE DECISION-MAKER/DECISION-MAKING BODY, AFTER HAVING BEEN FULLY INFORMED OF THE MATERIAL FACTS ESTABLISHING THE CONFLICT OF INTEREST, DETERMINES THAT THE TRANSACTION OR ARRANGEMENT IS IN SCL HEALTH'S BEST INTERESTS AND IS FAIR AND REASONABLE. A MAJORITY VOTE OF THE DISINTERESTED DECISION-MAKERS IS REQUIRED WHEN A DETERMINATION IS MADE BY A BOARD, COMMITTEE OR OTHER DECISION-MAKING BODY. MANAGEMENT OF POTENTIAL CONFLICTS IS DONE BY THE CHIEF INTEGRITY AND COMPLIANCE OFFICER AND/OR CARE SITE COMPLIANCE AND PRIVACY OFFICERS AND REPORTED ANNUALLY TO THE CARE SITE LEADERSHIP COMMITTEES AND/OR EXECUTIVE INTEGRITY AND COMPLIANCE COMMITTEE, THE AUDIT COMMITTEE, ORGANIZATIONAL INTEGRITY AND COMPLIANCE COMMITTEE OF THE SCL HEALTH BOARD OF DIRECTORS. ANY REPORTED CONFLICTS OR POTENTIAL CONFLICTS WILL ALSO BE REPORTED TO AND REVIEWED BY THE SCL HEALTH TAX DIRECTOR FOR COMPLIANCE WITH THE FORM 990 TAX RETURN. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH). COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE SCL HEALTH BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCL HEALTH AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO SCL HEALTH'S BOARD FOR APPROVAL OF ANY CHANGES TO COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA FOR PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY SCL HEALTH AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY SCL HEALTH'S BOARD, THE COMMITTEE EMPHASIZES THE IMPORTANCE OF ENSURING TOTAL REMUNERATION IS REASONABLE AND APPROPRIATE WHEN REVIEWING AND MAKING RECOMMENDATIONS WITH RESPECT TO COMPENSATION PACKAGES FOR THE OFFICERS AND SENIOR MANAGEMENT. AS PART OF THE REVIEW PROCESS, SCL HEALTH USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) WRITTEN EMPLOYMENT CONTRACTS 5) COMPENSATION SURVEYS AND STUDIES 6) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: TRANSFER OF SFT ACCOUNTABLE HEALTH NETWORK NET EXPENSES -114,710. EQUITY TRANSFER - REFUNDING OF KANSAS 2012 BOND ISSUE -32,467,007. EQUITY TRANSFER - REFUNDING OF KANSAS 2010 BOND ISSUE -163,662,319. EQUITY TRANSFER - MARIAN CLINIC -649,000. EQUITY TRANSFER - UNRECOGNIZED SERVICE COST IN PENSION PLAN -14,670,430. EQUITY TRANSFER - INTEREST EXPENSE IN EXCESS OF INTEREST INCOME -21,023,283. EQUITY TRANSFER - FUND UNRECOVERABLE COSTS OF FIXED ASSETS -20,558,442. TRANSFER OF MEDCARE ASSETS FROM SCLHS 1,334,702. 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