2023-05-15T08:29:13-05:00 2022-06-30 990 2021-07-01 141348692 ST PETER'S HOSPITAL STPE 5185251550 315 SOUTH MANNING BLVD ALBANY NY 12208 JULIE EDMUNDS SMITH VP, ACUTE CARE FINANCE 3157032106 2023-05-09 JULIE EDMUNDS SMITH XXX-XX-XXXX 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z SEE SCHEDULE O KIM BAKER 315 SOUTH MANNING BLVD ALBANY NY 12208 713586850 0 0928 X WWW.SPHP.COM X 1871 NY TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES 12 9 4947 140 4982357 627570 6531635 8822308 673042152 676194683 12097969 8156858 16279046 20039347 707950802 713213196 0 0 0 0 253865870 272979197 0 0 0 382666583 441863633 636532453 714842830 71418349 -1629634 640626784 555329861 317445058 248416391 323181726 306913470 X WE, ST. PETER'S HEALTH PARTNERS AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES. FOUNDED IN COMMUNITY-BASED LEGACIES OF COMPASSIONATE HEALING, WE PROVIDE THE HIGHEST QUALITY COMPREHENSIVE CONTINUUM OF INTEGRATED HEALTH CARE, SUPPORTIVE HOUSING AND COMMUNITY SERVICES, ESPECIALLY FOR THE NEEDY AND VULNERABLE. ST. PETER'S HOSPITAL IS A MEMBER OF ST. PETER'S HEALTH PARTNERS AND TRINITY HEALTH. 0 0 666282354 0 687541288 AT ST. PETER'S HOSPITAL, CARING FOR THE COMMUNITY DATES BACK TO 1869 WHEN FOUR SISTERS OF MERCY FOUNDED ST. PETER'S HOSPITAL IN DOWNTOWN ALBANY, NY. TODAY, ST. PETER'S HOSPITAL PROVIDES KEY SERVICES TO THE COMMUNITY INCLUDING CARDIAC & VASCULAR CARE, CANCER CARE, WOMEN'S & CHILDREN'S SERVICES, ORTHOPEDIC CARE, GASTROENTEROLOGY, AND BARIATRIC CARE.ST. PETER'S HOSPITAL STRIVES TO INCREASE QUALITY OUTCOMES THROUGH CUTTING EDGE TECHNOLOGIES AND THE IMPLEMENTATION OF EVIDENCE-BASED PRACTICES. ST. PETER'S HOSPITAL IS COMMITTED TO PROVIDING SAFE, EFFECTIVE, COMPASSIONATE CARE TO PATIENTS BY OFFERING THE MOST ADVANCED TREATMENT OPTIONS IN A UNIQUE, CARING ENVIRONMENT AND HAS BEEN RECOGNIZED BY NATIONAL AND STATE HEALTH CARE QUALITY ORGANIZATIONS FOR EXCELLENCE IN CARE. ST. PETER'S HOSPITAL SERVES PATIENTS WITH COMPREHENSIVE MEDICAL CARE, FREE EDUCATIONAL PROGRAMS, AND A HOST OF COMMUNITY HEALTH SCREENINGS THROUGHOUT THE REGION. PLEASE VISIT SCHEDULE H AND OUR WEBSITE FOR ADDITIONAL INFORMATION ABOUT OUR SERVICES, RECOGNITIONS AND AWARDS: WWW.SPHP.COM/LOCATION/ST-PETER-S-HOSPITAL 666282354 1 1 0 1 0 0 0 0 0 1 1 1 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 0 0 0 0 0 0 1 1 1 0 0 1 316 0 1 4947 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 12 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 NY X JULIE EDMUNDS SMITH 3157032106 201 PROSPECT SYRACUSE NY 13203 BENJAMIN CARTER DIRECTOR THR 10/21; TH EVP & COO 1.00 54.00 X 0 2435049 90414 JAMES REED MD DIRECTOR; PRESIDENT & CEO 1.00 54.00 X X 0 1204151 114414 RONNIE LUYUN MD PHYSICIAN 50.00 0.00 X 955710 0 37915 REFAT ASSAD DO PHYSICIAN 50.00 0.00 X 844216 0 24795 KENNETH BAKER MD MEDICAL DIRECTOR, OB/GYN 50.00 0.00 X 821573 0 45992 STEVEN HANKS MD FORMER KE; SPHP CHIEF OPS & CLIN OFF 0.00 50.00 X 0 721567 143813 MICHAEL FINEGAN PRESIDENT, ACUTE CARE 30.00 22.00 X 0 775475 55381 AJAZ KHAN MD PHYSICIAN 50.00 0.00 X 771195 0 37254 THOMAS ROBERT SPHP VP, CFO & TREASURER 1.00 49.00 X 0 643445 133814 THOMAS MCCORMACK MD PHYSICIAN 50.00 0.00 X 716476 0 41550 THEA DALFINO MD CHIEF MEDICAL OFFICER, ACUTE CARE 30.00 20.00 X 437350 0 48293 LORI SANTOS VICE PRESIDENT, ACUTE CARE FINANCE 30.00 20.00 X 0 426710 35192 DAWN GEISERT DIR AT 11/21;TH CHIEF COMPLIANCE OFF 1.00 49.00 X 0 263696 66030 ALAN SANDERS MD FORMER KEY EMPLOYEE 0.00 0.00 X 236917 0 10982 ROBERT SWIDLER ESQ SECRETARY; VP LEGAL SERVICES 1.00 49.00 X 0 202445 16165 ROBERT MCCORMICK DIRECTOR; CHAIR 1.00 6.00 X X 0 0 0 KATHLEEN JIMINO DIR; TREAS THR 12/21; V CHR AT 1/22 1.00 6.00 X X 0 0 0 RONALD GUZIOR DIRECTOR & VICE CHAIR THROUGH 12/21 1.00 6.00 X X 0 0 0 MARY ANN LOGIUDICE RSM DIRECTOR; TREASURER AT 1/22 1.00 6.00 X X 0 0 0 GUHA BALA DIRECTOR 1.00 6.00 X 0 0 0 BARBARA COTTRELL DIRECTOR 1.00 6.00 X 0 0 0 GARY DAKE DIRECTOR 1.00 6.00 X 0 0 0 HAROLD GORDON ESQ DIRECTOR THROUGH 12/21 1.00 6.00 X 0 0 0 GEORGE HEARST III DIRECTOR 1.00 6.00 X 0 0 0 ROBERT JOHNSON III ESQ DIRECTOR THROUGH 12/21 1.00 6.00 X 0 0 0 MICHAEL KEEGAN DIRECTOR THROUGH 12/21 1.00 6.00 X 0 0 0 LEE MCELROY JR DIRECTOR AS OF 1/22 1.00 6.00 X 0 0 0 CURTIS POWELL DIRECTOR 1.00 6.00 X 0 0 0 MICHAEL WOLFF MD DIRECTOR 1.00 6.00 X 0 0 0 4783437 6672538 902004 387 1 1 0 HALLMARK HEALTHCARE SOLUTIONS 200 MOTOR PKWY STE D-26 HAUPPAUGE NY 11788 STAFFING SERVICES 13037764 ALBANY CARDIOTHORACIC SURGEONS 319 S MANNING BLVD SUITE 110 ALBANY NY 12208 PHYSICIAN SERVICES 5068154 QUEST DIAGNOSTICS PO BOX 829864 PHILADELPHIA PA 19182 LABORATORY SERVICES 4006173 MORRISON MGMT SPECIALISTS INC PO BOX 102289 ATLANTA GA 30368 FOOD SERVICE 2641339 AOW CONSTRUCTION LLC 30 ESSEX ST ALBANY NY 12206 CONSTRUCTION SERVICES 2215051 99 3061806 5755951 4551 8822308 NET PATIENT SERVICE REVENUE 622110 672500956 672500956 LAB SERVICES 621500 3693727 3693727 676194683 6064638 6064638 1117300 349833 767467 767467 767467 2116041 0 23821 2116041 -23821 2092220 2092220 SCHOOL OF NURSING 611310 2806227 2806227 CAFETERIA REVENUE 722514 2362811 2362811 PARKING REVENUE 812930 215343 215343 13887499 12234105 1288630 364764 19271880 713213196 687541288 4982357 11867243 X 1261298 1261298 301177 53278 247899 232658208 231326250 1331958 7372814 7328257 44557 15080234 14975461 104773 16305466 16108635 196831 1800 1800 17500 17500 209809 209809 73402571 71991751 1410820 89993 78512 11481 3877849 2918841 959008 313944 307074 6870 14960100 14628392 331708 79217 79217 595293 595293 5385612 5385612 25429774 24462339 967435 6467608 6467608 MEDICAL SUPPLIES 163662129 163662129 I/C PURCHASED SERVICES 121147205 79946460 41200745 BAD DEBT 9163871 9163871 UBI TAXES 4536 4536 17054822 16801574 253248 714842830 666282354 48560476 0 7045670 6337071 184945 521521 95917309 72743353 2949 64972 12733834 11051010 795031 1408283 848273688 613362627 243656158 234911061 159892384 119704165 78133691 71526355 42264813 37062070 640626784 555329861 47803270 55661052 639320 1410407 2787305 271179 266215163 191073753 317445058 248416391 X 305590165 288226572 17591561 18686898 323181726 306913470 640626784 555329861 X -1629634 -19406728 4768106 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 22197 0 0 0 22197 0 PART II-B, LINE 1: ST. PETER'S 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. PETER'S HOSPITAL WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. 11352271 -1079178 10273093 10011851 1340420 11352271 8955209 1056642 10011851 8543292 411917 8955209 8095179 448113 8543292 0.00000 1.00000 0.00000 0 0 14140193 14140193 424081163 256109071 167972092 1703060 1703060 0 400893680 355550496 45343184 7455592 7455592 234911061 COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES 17881589 F HEDGE FUNDS 8940794 F EQUITY METHOD INVESTMENTS 44703972 C 71526355 MISCELLANEOUS RECEIVABLES 1240607 OTHER LONG-TERM ASSETS 16355407 INVESTMENT IN UNCONSOLIDATED AFFILIATES 2241573 INTERCOMPANY ACCOUNTS RECEIVABLE 9171119 OPERATING LEASE RIGHT-OF-USE ASSETS 8053364 37062070 INTERCOMPANY ACCOUNTS PAYABLE 9961117 INTERCOMPANY NOTES PAYABLE 139753528 OTHER CURRENT LIABILITIES 9415293 OTHER LONG-TERM LIABILITIES 263512 DEFERRED COMPENSATION LIABILITY 6559020 OPERATING LEASE LIABILITIES 8386815 MEDICARE CASH ADVANCES 16732188 OVERDRAFT IN POOLED INVESTMENT 2280 191073753 PART V, LINE 4: ENDOWMENT FUNDS ARE USED FOR CANCER TREATMENT, THE STUDY OF CANCER TREATMENTS, AND NURSING SCHOLARSHIPS FOR EMPLOYEES 1 1 X 1 X 250.000000000000 1 X 1 1 0 1 1 1472051 559363 912688 0.00130 97439029 66713697 30725332 0.04350 98911080 67273060 31638020 0.04480 21 51486 1970990 73682 1897308 0.00270 3 53 2917645 1662442 1255203 0.00180 10 82268 8329787 4167717 4162070 0.00590 1 51125 51125 0.00010 4 133118 133118 0.00020 39 133807 13402665 5903841 7498824 0.01070 39 133807 112313745 73176901 39136844 0.05550 1 1 1059 1059 0.00000 1 65 38674 38674 0.00010 2 66 39733 39733 0.00010 0 9163871 1648830 122981083 137373830 -14392747 X 1 1 1 ST PETER'S AMBULATORY SURGERY CENTER LLC SURGERY CENTER 0.23360 0.76640 2 EVERETT ROAD ASC LLC SURGERY CENTER 0.20000 0.80000 1 1 ST PETER'S HOSPITAL 315 SOUTH MANNING BLVD ALBANY NY 12208 SPHP.COM/LOCATION/ST-PETER-S-HOSPITAL 0101004H X X X X ST PETER'S HOSPITAL 1 0 0 1 X X X X X X X X X 21 1 1 1 1 X SEE SCHEDULE H, PART V, SECTION C X 1 21 1 SEE SCHEDULE H, PART V, SECTION C 0 1 X 250.000000000000 400.000000000000 X X 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. PETER'S HOSPITAL PART V, SECTION B, LINE 3J: N/ALINE 3E: ST. PETER'S HOSPITAL INCLUDED IN ITS CHNA WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS, WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: 1. COVID-192. OBESITY3. DIABETES4. DRUG MISUSE5. MENTAL ILLNESS, INCLUDING SUICIDE6. HEART DISEASE7. SOCIAL DETERMINANTS OF HEALTH8. TOBACCO USE9. STROKE10. ASTHMA11. ALCOHOL MISUSE12. SEXUALLY TRANSMITTED INFECTIONS13. VIOLENCE14. CHILDHOOD LEAD EXPOSURE15. TICK-BORNE DISEASE16. INJURIES AND FALLS ST. PETER'S HOSPITAL PART V, SECTION B, LINE 5: ST. PETER'S HOSPITAL COLLABORATED WITH OTHER LOCAL HEALTH SYSTEMS, COUNTY HEALTH DEPARTMENTS AND COMMUNITY-BASED AGENCIES TO COMPLETE A SIX COUNTY (ALBANY, RENSSELAER, SCHENECTADY, SARATOGA, COLUMBIA, AND GREENE) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), LED BY THE HEALTHY CAPITAL DISTRICT (HCD). HCD IS AN INCORPORATED NOT-FOR-PROFIT WHICH WORKS WITH OTHERS IN THE COMMUNITY TO DETERMINE WAYS IN WHICH THE CAPITAL REGION COULD BE MORE EFFECTIVE IN IDENTIFYING AND ADDRESSING PUBLIC HEALTH PROBLEMS. FOR THE PURPOSES OF ITS CHNA, ST. PETER'S HOSPITAL USED DATA AND INFORMATION FROM THIS ASSESSMENT RELATING TO ALBANY AND RENSSELAER COUNTIES WHICH REPRESENT THE HOME ZIP CODES OF 69% OF ITS PATIENTS. THE HEALTH INDICATORS SELECTED FOR THIS REPORT WERE BASED ON A REVIEW OF AVAILABLE PUBLIC HEALTH DATA AND NEW YORK STATE PRIORITIES PROMULGATED THROUGH THE PREVENTION AGENDA FOR A HEALTHIER NEW YORK. THESE DATA SOURCES WERE SUPPLEMENTED BY A CAPITAL REGION COMMUNITY HEALTH SURVEY. THE 2021 COMMUNITY HEALTH SURVEY WAS CONDUCTED BETWEEN SEPTEMBER AND OCTOBER 2021 BY HCD WITH THE ASSISTANCE OF THE ALBANY, COLUMBIA, GREENE, RENSSELAER AND SCHENECTADY HEALTH DEPARTMENTS, AND ALBANY MEDICAL CENTER, COLUMBIA MEMORIAL, ELLIS, AND ST. PETER'S HEALTH PARTNERS HOSPITALS. THE SURVEY WAS A CONVENIENCE SAMPLE OF ADULT (18+ YEARS) RESIDENTS OF THE CAPITAL REGION AND HAD 2,104 TOTAL RESPONSES. THIS CONSUMER SURVEY WAS CONDUCTED TO LEARN ABOUT THE HEALTH NEEDS, BARRIERS, AND CONCERNS OF RESIDENTS IN THE CAPITAL REGION. A PRIORITIZATION WORKGROUP WAS FORMED, INCLUDING LOCAL HOSPITALS, HEALTH DEPARTMENTS, COMMUNITY MEMBERS AND ORGANIZATIONS REPRESENTING AND SERVING LOW-INCOME RESIDENTS, PEOPLE EXPERIENCING HOMELESSNESS, AND OTHER VULNERABLE POPULATIONS; FEDERALLY QUALIFIED HEALTH CENTERS; ADVOCACY GROUPS; ACADEMIC INSTITUTIONS; PUBLIC HEALTH DEPARTMENTS; PROVIDERS; AND HEALTH INSURERS. PARTICIPANTS WERE ENCOURAGED TO SHARE DATA AND OBSERVATIONS OF THEIR OWN, AND TO ADVOCATE FOR THE NEEDS OF THEIR CONSTITUENTS. ST. PETER'S HOSPITAL AND ITS STAKEHOLDERS STRATEGICALLY INVITED PARTNERS WITH ACCESS TO MEDICALLY UNDERSERVED POPULATIONS. THE FIRST MEETING WAS HELD ON NOVEMBER 9, 2021, AT WHICH HCD PRESENTED DATA ON THE HEATH ISSUES AND FACILITATED DISCUSSIONS. THE WORKGROUP THEN SELECTED THE TOP HEALTH ISSUES, BASED ON DATA- AND SURVEY-BASED SCORING, AND PROVIDED ORGANIZATIONAL SCORING ALONG WITH CONTRIBUTING FACTORS. IN THE SECOND MEETING, HELD ON NOVEMBER 23, 2021, WORKGROUP MEMBERS WERE BRIEFED ON THE RESULTS OF THEIR ORGANIZATIONAL SCORING. THE THIRD WORKGROUP MEETING, HELD ON DECEMBER 7, 2021, WAS OPEN TO THE PUBLIC AND HOSTED COMMUNITY PARTNERS TO ORIENT THEM TO THE PRIORITIZATION PROCESS, UPDATE THEM ON THE PROGRESS OF THE WORKGROUP, AND COLLECT THEIR INPUT AND SCORES FOR EACH OF THE HEALTH ISSUES. COMMUNITY PARTICIPANTS IN THE THIRD MEETING REPRESENTED THE FOLLOWING ORGANIZATIONS: ALBANY COUNTY DEPARTMENT OF HEALTH, ALBANY MEDICAL CENTER, ADDICTIONS CARE CENTER OF ALBANY, ALLIANCE FOR BETTER HEALTH, ALZHEIMER'S ASSOC. OF NORTHEASTERN NY, AMERICAN HEART ASSOCIATION, ARBOR HILL DEVELOPMENT CORP, BOYS AND GIRLS CLUB OF THE CAPITAL AREA, CAPITAL DISTRICT LATINOS, CAPITAL DISTRICT YMCA, CORNELL COOPERATIVE EXTENSION, MVP HEALTH CARE, RENSSELAER COUNTY DEPARTMENT OF HEALTH, ST. PETER'S HEALTH PARTNERS (INCLUDING ST. PETER'S HOSPITAL), CAPITAL DISTRICT TOBACCO-FREE COMMUNITIES AND UPPER HUDSON PLANNED PARENTHOOD. PARTICIPANTS WERE ENGAGED IN THE DATA PRESENTATIONS, RAISED MANY QUESTIONS, AND OFFERED THEIR PERSPECTIVES. COMMENTS WERE ADDRESSED AND CHANGES WERE INCORPORATED INTO THE FINAL DOCUMENT. THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED AND APPROVED IN MAY 2022. ST. PETER'S HOSPITAL PART V, SECTION B, LINE 6A: ST. PETER'S HOSPITAL CONDUCTED ITS CHNA IN COLLABORATION WITH THE FOLLOWING HOSPITAL FACILITIES: ALBANY MEDICAL CENTER, ELLIS HOSPITAL, SAMARITAN HOSPITAL, AND SUNNYVIEW HOSPITAL AND REHABILITATION CENTER. ST. PETER'S HOSPITAL PART V, SECTION B, LINE 6B: IN THE CHNA PROCESS, ST. PETER'S HOSPITAL WAS JOINED BY REPRESENTATIVES FROM COMMUNITY-BASED ORGANIZATIONS, BUSINESSES, CONSUMERS, SCHOOLS, ACADEMICS, AND THOSE WHO HAVE CONTACT WITH AND CARE FOR PEOPLE WITH CERTAIN CHRONIC DISEASES, SUCH AS DIABETES, ASTHMA AND BEHAVIORAL HEALTH ISSUES INCLUDING MENTAL HEALTH AND SUBSTANCE USE DISORDERS. A TOTAL OF 52 DIFFERENT ORGANIZATIONS IN OUR CAPITAL REGION PARTICIPATED, SUCH AS CATHOLIC CHARITIES, WHITNEY M. YOUNG, JR. FQHC, CENTRO CIVICO, CAPITAL DISTRICT PHYSICIANS HEALTH PLAN, FIDELIS CARE HEALTH PLAN, HUDSON VALLEY COMMUNITY COLLEGE, PROMESA/CAMINO NUEVA, THE FOOD PANTRIES FOR THE CAPITAL DISTRICT, CAPITAL ROOTS, AND SEVERAL SENIOR HOUSING ORGANIZATIONS. ST. PETER'S HOSPITAL PART V, SECTION B, LINE 11: DURING FY22, NEEDS FROM THE CURRENT CHNA WERE ADDRESSED. ST. PETER'S HOSPITAL TOOK THE LEAD ON SEVERAL OF THE HEALTH PRIORITIES FROM THE CHNA.REDUCE OBESITY & PREVENT DIABETES, INCLUDING FOOD INSECURITY, SOCIAL DETERMINANT OF HEALTH:ON AN OUTPATIENT BASIS, DIABETES EDUCATORS FROM ST. PETER'S HEALTH PARTNERS (SPHP) DIABETES AND ENDOCRINE CARE PROVIDED DIABETES PREVENTION PROGRAMS (DPP) AND OTHER APPROPRIATE DIABETES EDUCATION AS NEEDED. IN FY22, 2,500 PATIENTS RECEIVED OUTPATIENT DIABETES EDUCATION. DURING FY22, SPHP FACILITATED TEN DPP SESSIONS, WITH A TOTAL OF 230 PARTICIPANTS ENROLLED, WHICH WERE HELD IN ALBANY AND RENSSELAER COUNTIES. THIS PROGRAM IS GRANT FUNDED AND WAS PROVIDED AT NO CHARGE TO PARTICIPANTS. TO ADDRESS CHILDHOOD OBESITY IN FY22, ST, PETER'S HOSPITAL PARTNERED WITH OTHER HOSPITALS WITHIN SPHP, THE U.S. SOCCER FOUNDATION, AND THE TROY BOYS AND GIRLS CLUB, TO SUPPORT THE SOCCER FOR SUCCESS PROGRAM FOR CHILDREN WITHIN THE CITIES OF TROY, ALBANY, AND SCHENECTADY. SOCCER FOR SUCCESS IS AN AFTERSCHOOL PROGRAM THAT IS PROVEN TO HELP CHILDREN ESTABLISH HEALTHY HABITS AND DEVELOP CRITICAL LIFE SKILLS THROUGH CARING COACH/MENTORS AND FAMILY ENGAGEMENT. THE PROGRAM IS OFFERED FREE OF CHARGE TO CHILDREN. PARTICIPANTS LEARN SOCCER SKILLS AND ABOUT EATING RIGHT AND OTHER WAYS TO STAY HEALTHY, WHILE GAINING IMPORTANT DECISION MAKING AND RELATIONSHIP SKILLS FROM THEIR INTERACTIONS WITH COACH/MENTORS AND PEERS. DURING FY22, 1,500 CHILDREN PARTICIPATED IN SOCCER FOR SUCCESS AT NINE BOYS AND GIRLS CLUB SITES THROUGHOUT ALBANY AND RENSSELAER COUNTIES. OUT OF THESE PARTICIPANTS, 72% MAINTAINED OR DECREASED THEIR BMI AND 83% IMPROVED AT LEAST TWO LEVELS ON THEIR AEROBIC CAPACITY TEST (PHYSICAL ACTIVITY).SPHP AND ST. PETER'S HOSPITAL (FUNDED BY A GRANT THROUGH THE MOTHER CABRINI FOUNDATION) PARTNERED WITH THE REGIONAL FOOD BANK OF NORTHEASTERN NEW YORK AND SPHP DIABETES AND ENDOCRINE CARE TO PROVIDE A ST. PETER'S HEALTHY OPTIONS PROGRAM (SHOP) TO DIABETIC PATIENTS WHO IDENTIFY AS FOOD INSECURE. THE FREE PROGRAM PROVIDES FOOD-INSECURE PATIENTS, WHO ALSO HAVE A CHRONIC DISEASE, WITH SUPPLIES OF HEALTHY FOOD. THE GOAL IS TO TEACH THESE PATIENTS TO MAKE HEALTHY CHOICES, EDUCATE THEM ON THE BENEFITS OF EATING NUTRITIOUS FOOD AND PROVIDE THEM WITH THE TOOLS TO HELP MANAGE THEIR CHRONIC CONDITIONS THROUGH HEALTHY EATING. DURING FY22, FIVE COHORTS WERE OFFERED SERVING 100 INDIVIDUALS. AVERAGE A1C LEVELS DROPPED BY 2.1% PER PARTICIPANT.PREVENT MENTAL HEALTH AND SUBSTANCE USE DISORDERS:IN THE AREA OF MENTAL HEALTH, SPHP AND ST. PETER'S HOSPITAL FOCUSED ON THE PROMOTION OF WELL-BEING WITH OUR HEALTHY FAMILIES PROGRAM, WHICH IS A COMBINATION OF HOME-BASED AND VIRTUAL (DUE TO THE PANDEMIC) VISITATION PROGRAM THAT PROVIDES INFORMATION, EDUCATION, AND SUPPORT TO EXPECTING AND NEW PARENTS OF RENSSELAER COUNTY. A TOTAL OF 210 FAMILIES RECEIVED SERVICES FROM THE HEALTHY FAMILIES PROGRAM IN FY22. FUNDING IS PROVIDED BY THE NEW YORK STATE OFFICE OF CHILDREN AND FAMILY SERVICES. DURING FY22, LEADERSHIP STAFF FROM ST. PETER'S HOSPITAL WERE MEMBERS OF A WORKGROUP TO DEVELOP GOALS, OBJECTIVES AND INTERVENTIONS AROUND THE PREVENTION AGENDA FOCUS AREA OF PROMOTION OF WELL-BEING CONCEPT, SPECIFICALLY WITH LOCAL HEALTH DEPARTMENTS AND HOSPITALS. STAFF AT SPHP, INCLUDING ST. PETER'S HOSPITAL, WERE OFFERED TRAINING IN MENTAL HEALTH FIRST AID AND CRISIS DE-ESCALATION.DURING FY22, SUBSTANCE ABUSE NEEDS WERE ADDRESSED. ACTION PLANS WERE DEVELOPED TO INCREASE EDUCATION AND PRACTICE STRATEGIES TO REDUCE OPIOID OVERDOSE AND NON-MEDICAL USE OF OPIATES. HOSPITAL STAFF PROMOTED SAFE STORAGE AND PROPER DISPOSAL OF UNUSED PRESCRIPTION MEDICATIONS AND NARCAN (OPIOID OVERDOSE REVERSAL TREATMENT) TRAININGS IN THE COMMUNITY. ST. PETER'S HOSPITAL ACKNOWLEDGES THE WIDE RANGE OF HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS AND DETERMINED IT COULD EFFECTIVELY FOCUS ON ONLY THOSE HEALTH NEEDS WHICH IT DEEMED MOST PRESSING, UNDER-ADDRESSED AND WITHIN ITS ABILITY TO INFLUENCE. THUS, SECONDARY PRIORITIES SUCH AS COVID-19, HEART DISEASE, TOBACCO USE, STROKE, ASTHMA, ALCOHOL MISUSE, SEXUALLY TRANSMITTED INFECTIONS, VIOLENCE, CHILDHOOD LEAD EXPOSURE, TICK-BORNE DISEASE AND INJURIES AND FALLS WERE NOT DIRECTLY ADDRESSED BY THE ST. PETER'S HOSPITAL CHNA IMPLEMENTATION STRATEGIES. ST. PETER'S 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. ST. PETER'S HOSPITAL PART V, SECTION B, LINE 15E: ALTHOUGH NOT IN THE POLICY, OUR PROCESS DOES PROVIDE THE CONTACT INFORMATION OF NONPROFIT ORGANIZATIONS OR GOVERNMENT AGENCIES THAT MAY BE SOURCES OF ASSISTANCE WITH FAP APPLICATIONS. ST. PETER'S HOSPITAL - PART V, SECTION B, LINE 7A: WWW.SPHP.COM/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-REPORTS ST. PETER'S HOSPITAL - 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. ST. PETER'S HOSPITAL - PART V, SECTION B, LINE 10A: WWW.SPHP.COM/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-REPORTS ST. PETER'S HOSPITAL - PART V, SECTION B, LINE 16A: WWW.SPHP.COM/FOR-PATIENTS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE ST. PETER'S HOSPITAL - PART V, SECTION B, LINE 16B: WWW.SPHP.COM/FOR-PATIENTS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE ST. PETER'S HOSPITAL - PART V, SECTION B, LINE 16C: WWW.SPHP.COM/FOR-PATIENTS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE 11 1 - CANCER CARE - RADIATION ONCOLOGY 317 SOUTH MANNING BLVD ALBANY NY 12208 CANCER TREATMENT AND ONCOLOGY 2 - ST PETER'S SURGERY AND ENDOSCOPY CTR 1375 WASHINGTON AVE SUITE 201 ALBANY NY 12206 AMBULATORY SURGERY CENTER 3 - OP MEDICAL IMAGING 319 SOUTH MANNING BLVD ALBANY NY 12208 MEDICAL IMAGING, BREAST CENTER, LABS, ADVANCED HEART AND CONG. HEART FAILURE 4 - FAMILY HEALTH CENTER 126 SOUTH PEARL ST ALBANY NY 12208 ADULT MEDICINE, PEDIATRICS, OB/GYN SERVICES 5 - SIENA STUDENT CENTER 515 LOUDON ROAD LOUDONVILLE NY 12211 COLLEGE STUDENT HEALTH SERVICES 6 - PATIENT SERVICE CENTER 1365 WASHINGTON AVE ALBANY NY 12205 LABS 7 - PATIENT SERVICE CENTER 62 HACKETT BLVD ALBANY NY 12208 LABS 8 - ST PETER'S SERVICE CENTER 6 EXECUTIVE PARK DRIVE ALBANY NY 12203 LABS 9 - ST PETER'S SERVICE CENTER 1814 CENTRAL AVENUE ALBANY NY 12205 LABS 10 - NUCLEAR MEDICINE 7 PALISADES DRIVE ALBANY NY 12205 NUCLEAR MEDICINE AND ECHOCARDIOGRAMS 11 - EVERETT ROAD SURGERY CENTER 123 EVERETT ROAD ALBANY NY 12205 AMBULATORY SURGERY CENTER 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. PETER'S HOSPITAL PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT, WHICH IT SUBMITS TO THE STATE OF NEW YORK. IN ADDITION, ST. PETER'S HOSPITAL 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.ST. PETER'S HOSPITAL ALSO 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, $9,163,871, 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 II, COMMUNITY BUILDING ACTIVITIES: IN AN EFFORT TO FOSTER COMMUNITY SUPPORT, THE LEADERSHIP TEAM AT ST. PETER'S HOSPITAL PARTICIPATED IN A NUMBER OF ADVISORY BOARD MEETINGS CONCERNING VARIOUS HEALTH ISSUES, SUCH AS CANCER AND LIFE AND LAW TASKFORCE. ALSO, DURING FY22, IN THE AREA OF WORKFORCE DEVELOPMENT, ST. PETER'S HOSPITAL STAFF PROVIDED MENTORSHIP AND JOB SHADOWING FOR STUDENTS INTERESTED IN PURSUING EDUCATION AND CAREERS IN HEALTH SCIENCES, PARTICULARLY NURSING, PHYSICAL THERAPY AND OCCUPATIONAL THERAPY. 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: A PERCENTAGE OF THE HOSPITAL'S BAD DEBT EXPENSE IS REPORTED ON LINE 3. THIS PERCENTAGE IS BASED ON THE SELF-PAY ACCOUNTS WITH NO PAYMENTS THAT WERE TRANSFERRED TO BAD DEBT AS COMPARED TO ALL OTHER PAYORS. THE RATIONALE IS THAT THESE SELF-PAY PATIENTS WOULD HAVE QUALIFIED FOR FINANCIAL ASSISTANCE HAD THEY APPLIED. PART III, LINE 4: ST. PETER'S HOSPITAL 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 ONE PERCENT SEQUESTRATION REDUCTION FOR THE PERIOD APRIL 1, 2022 THROUGH JUNE 30, 2022. PART III, LINE 8: ST. PETER'S HOSPITAL 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 FINANCIAL ASSISTANCE 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 FINANCIAL ASSISTANCE 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 - ST. PETER'S HOSPITAL ASSESSES THE HEALTH STATUS OF ITS COMMUNITY, IN PARTNERSHIP WITH COMMUNITY COALITIONS, AS PART OF THE NORMAL COURSE OF OPERATIONS AND IN THE 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 ARE UNINSURED. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - ST. PETER'S HOSPITAL 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. ST. PETER'S HOSPITAL 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. ST. PETER'S HOSPITAL HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. ST. PETER'S HOSPITAL 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 - ST. PETER'S HOSPITAL IS LOCATED IN ALBANY, NY, WHICH IS IN ALBANY COUNTY AND IS ALSO THE CAPITAL OF NEW YORK STATE. FOR PURPOSES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, ST. PETER'S HOSPITAL DEFINES ITS PRIMARY SERVICE AREA AS ALBANY AND RENSSELAER COUNTIES, WHICH REPRESENT THE HOME ZIP CODE OF 69% OF ITS PATIENTS. THE COMMUNITY SERVED BY ST. PETER'S HOSPITAL INCLUDES THE COUNTIES OF ALBANY, RENSSELAER, AND SCHENECTADY, FORMING A REGION POPULARLY CALLED THE CAPITAL DISTRICT. THE THREE COUNTIES PROVIDE A RANGE OF GEOGRAPHY THAT INCLUDES URBAN, SUBURBAN, AND RURAL SETTINGS. THE COMBINED POPULATION IN ALBANY, RENSSELAER, AND SCHENECTADY COUNTIES WAS 80.7% NON-HISPANIC WHITE, 9.5% BLACK OR AFRICAN AMERICAN, 5.5% HISPANIC AND 4.3% OTHER RACES/ETHNICITIES IN 2020. IN GENERAL, PERSONS IN THE COMMUNITY SERVED BY ST. PETER'S HOSPITAL TEND TO BE BETTER EDUCATED AND HAVE A HIGHER INCOME THAN THOSE IN THE U.S. AS A WHOLE AND THE STATE OF NEW YORK. THERE IS A LOWER RATE OF UNEMPLOYMENT AND FEWER PERSONS WITHOUT HEALTH INSURANCE THAN THE STATE OR NATIONAL COMPARISONS. THE POPULATION FOR THE THREE-COUNTY SERVICE AREA IS 643,312. THERE ARE 276,563 HOUSING UNITS IN THE SERVICE AREA WITH AN AVERAGE OF 64% OWNER OCCUPIED. ON AVERAGE, 24% OF PERSONS LIVE AT OR BELOW THE 200% FEDERAL POVERTY LEVEL. THE MEDIAN HOUSEHOLD INCOME IS $67,621.HEALTH CARE ACCESS INDICATORS SHOW THE CAPITAL DISTRICT HAVING FEWER BARRIERS TO CARE THAN THE REST OF THE STATE. CAPITAL DISTRICT RESIDENTS, BOTH CHILDREN AND ADULTS, HAD HIGHER HEALTH INSURANCE COVERAGE RATES COMPARED TO THE REST OF THE STATE. WHILE THE CAPITAL DISTRICT HAD GOOD HEALTH INSURANCE COVERAGE, 3.25% OF RESIDENTS WERE NOT COVERED BY ANY FORM OF HEALTH INSURANCE. PART VI, LINE 5: OTHER INFORMATION - ST. PETER'S HOSPITAL PROVIDES A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES TO THE PEOPLE IN THE COMMUNITY IT SERVES, INCLUDING A 24-HOUR EMERGENCY ROOM THAT IS OPEN TO SERVE ALL IN NEED, REGARDLESS OF ABILITY TO PAY, A CANCER CENTER, CARDIAC CARE THAT IS RECOGNIZED FOR EXCELLENCE BY HEALTH AND HEART CARE ORGANIZATIONS, COMPLETE OBSTETRICAL AND NEWBORN SERVICES, DENTAL AND HEALTH CENTERS FOR UNINSURED AND UNDERINSURED MEMBERS OF OUR COMMUNITY, AND AN ARRAY OF SPECIALTY SERVICES AND ORTHOPEDIC SERVICES. ST. PETER'S CONDUCTS ITS ACTIVITIES AND ITS HEALTH CARE PURPOSE WITHOUT REGARD TO RACE, COLOR, CREED, RELIGION, GENDER, SEXUAL ORIENTATION, DISABILITY, AGE, OR NATIONAL ORIGIN. ONE OF THE TOP HEALTH CARE ORGANIZATIONS IN UPSTATE NEW YORK, ST. PETER'S HOSPITAL IS COMMITTED TO IMPROVING THE HEALTH AND WELL-BEING OF OUR COMMUNITY, NOT ONLY AS A CARING COMMUNITY MEMBER, BUT ALSO AS A CATALYST FOR CHANGE. AS SUCH, WE PARTICIPATE IN MANY COMMUNITY PARTNERSHIPS AIMED AT ASSESSING THE CURRENT HEALTH STATUS OF OUR COMMUNITY AND IDENTIFYING OPPORTUNITIES TO MAKE A DIFFERENCE IN THE HEALTH OF OUR CITIZENS, WITH PARTICULAR ATTENTION TO THOSE WHO ARE POOR AND VULNERABLE. AS WE HAVE DONE FOR MANY YEARS, WE CONTINUE TO PLAY A MAJOR ROLE IN THE HEALTHY CAPITAL DISTRICT INITIATIVE, AN ORGANIZATION DEDICATED TO IMPROVING THE HEALTH OF THE RESIDENTS OF ALBANY, RENSSELAER, AND SCHENECTADY COUNTIES. OUR PARTNERS IN THIS ENDEAVOR ARE THE LOCAL COUNTY HEALTH DEPARTMENTS, OTHER HEALTH CARE PROVIDERS, INSURERS, AND COMMUNITY MEMBERS. ST. PETER'S SUPPORTS MANY LOCAL COMMUNITY HEALTH SERVICES, CHURCHES, AND OTHER HEALTH CARE ORGANIZATIONS TO PROVIDE COMPREHENSIVE AND ACCESSIBLE HEALTH CARE SERVICES AND PROACTIVE HEALTH CARE PROGRAMS; THIS INCLUDES SITTING ON COMMUNITY BOARDS, COMMITTEES, AND ADVISORY GROUPS. ST. PETER'S ALSO PROVIDES SERVICES FOR THE BROADER COMMUNITY AS A PART OF ITS OVERALL COMMUNITY BENEFIT. ONE CATEGORY OF THESE EXPENSES IS FOR EDUCATING HEALTH CARE PROFESSIONALS. HELPING TO PREPARE FUTURE HEALTH CARE PROFESSIONALS IS A DISTINGUISHING CHARACTERISTIC OF NONPROFIT HEALTH CARE. THIS EDUCATION INCLUDES STUDENT INTERNSHIPS, CLINIC EXPERIENCE AND OTHER EDUCATION FOR PHYSICIANS, NURSES, PHYSICAL THERAPISTS, AND OTHER HEALTH CARE STUDENTS. AS A NONPROFIT ORGANIZATION THAT IS PART OF ST. PETER'S HEALTH PARTNERS (SPHP), ST. PETER'S HOSPITAL IS GUIDED BY A REGIONAL GOVERNING BOARD COMPRISED LARGELY OF INDEPENDENT COMMUNITY MEMBERS REPRESENTING THE MAKEUP OF THE AREA WE SERVE. ST. PETER'S HOSPITAL HAS AN OPEN MEDICAL STAFF COMPRISED OF QUALIFIED PHYSICIANS WHO WORK TO PROVIDE CARE TO OUR COMMUNITIES. ALL MEDICAL STAFF MUST UNDERGO A THOROUGH AND COMPREHENSIVE CREDENTIALING AND ORIENTATION PROCESS. NO PART OF THE INCOME OF ST. PETER'S HOSPITAL BENEFITS ANY PRIVATE INDIVIDUAL NOR IS ANY PRIVATE INTEREST BEING SERVED. ALL SURPLUS FUNDS ARE REINVESTED INTO THE FACILITY, EQUIPMENT, OR PROGRAMS OF THE HOSPITAL TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND OUR FACILITIES AND ADVANCE OUR MEDICAL TRAINING, EDUCATION, AND RESEARCH PROGRAMS.IN FY22, ST. PETER'S HOSPITAL REMAINED A "TOBACCO FREE" FACILITY, BANNING USE OF TRADITIONAL TOBACCO PRODUCTS, AS WELL AS ELECTRONIC VAPING DEVICES ON OUR PROPERTY. SIGNAGE IS VISIBLE ON THE GROUNDS OF SPHP FACILITIES, INCLUDING ST. PETER'S HOSPITAL, TO REFLECT CHANGES MADE IN FY16 TO THE SPHP SMOKE FREE ENVIRONMENT POLICY. IN ADDITION, OUR CENTER FOR HEALTH PROGRAMS AND THE CAPITAL DISTRICT TOBACCO FREE COMMUNITIES WORKED TO ADVOCATE FOR COUNTY LEVEL AND STATEWIDE LEGISLATION THAT WOULD END THE SALE OF FLAVORED TOBACCO PRODUCTS, INCLUDING MENTHOL AND VAPE PRODUCTS.THE ST. PETER'S HOSPITAL CHILDBIRTH CENTER CONTINUED TO HAVE BABY-FRIENDLY DESIGNATION. BABY-FRIENDLY HOSPITALS ARE HOSPITALS THAT ARE RECOGNIZED FOR ENCOURAGING BREASTFEEDING AND MOTHER/BABY BONDING, WHICH IS KNOWN TO PROVIDE HEALTH BENEFITS FOR INFANTS, CHILDREN, AND MOTHERS. ST. PETER'S HOSPITAL COLLABORATED WITH OTHER LOCAL HEALTH SYSTEMS, COUNTY HEALTH DEPARTMENTS AND COMMUNITY-BASED AGENCIES TO FORM WORKGROUPS TO FOCUS ON THE PRIORITIES OF THE CURRENT CHNA. DURING FY22, HOSPITAL STAFF WERE MEMBERS OF THE FOLLOWING WORKGROUPS RELATING TO THE COMMUNITY HEALTH IMPLEMENTATION STRATEGY: OBESITY/DIABETES TASKFORCE AND BEHAVIORAL HEALTH/SUBSTANCE ABUSE TASKFORCE. EACH GROUP MET ON A REGULAR BASIS THROUGHOUT FY22 TO STRATEGIZE, IMPLEMENT AND REPORT ON ACTIVITY RELATIVE TO THE GOALS SET FORTH IN THE CURRENT IMPLEMENTATION STRATEGY. THESE GROUPS WERE LED BY HEALTHY CAPITAL DISTRICT (HCD). HCD IS AN INCORPORATED NOT-FOR-PROFIT WHICH WORKS WITH OTHERS IN THE COMMUNITY TO DETERMINE WAYS IN WHICH THE CAPITAL REGION COULD BE MORE EFFECTIVE IN IDENTIFYING AND ADDRESSING PUBLIC HEALTH ISSUES.DURING FY22, SPHP, INCLUDING ST. PETER'S HOSPITAL, SCREENED PATIENTS FOR SOCIAL INFLUENCERS (DETERMINANTS) OF HEALTH IN OUR EMERGENCY DEPARTMENTS AND AMBULATORY SITES. THE QUESTIONS ADDRESSED A VARIETY OF ISSUES SUCH AS HOUSING, TRANSPORTATION, FOOD INSECURITY, HEALTH LITERACY AND ACCESS TO CARE. PATIENTS IN NEED OF ASSISTANCE WITH THESE ISSUES WERE GIVEN REFERRALS TO APPROPRIATE RESOURCES/SERVICES. DURING FY22, SPHP, INCLUDING ST. PETER'S HOSPITAL, PARTICIPATED IN COVID-19 EMERGENCY PREPAREDNESS EFFORTS IN A VARIETY OF ASPECTS. OUR SENIOR LEADERSHIP TEAM SERVED IN COMMAND CENTERS AND TASK FORCES TO MANAGE THIS HEALTH CRISIS, PARTNERING WITH EXTERNAL HOSPITAL SYSTEMS, LOCAL AND STATE DEPARTMENTS OF HEALTH, IN ORDER TO PROVIDE A COORDINATED EFFORT TO ADDRESS THE NEEDS OF OUR COMMUNITY WITH RESPECT TO THIS PANDEMIC. STAFF WERE ALSO RE-DEPLOYED TO CENTRALIZED COMMUNITY DRIVE-UP TESTING SITES TO ADMINISTER COVID-19 TESTING AND ASSIST WITH PATIENT REGISTRATION. FURTHERMORE, SPHP, INCLUDING ST. PETER'S HOSPITAL, CONDUCTED WELLNESS AND SOCIAL NEEDS ASSESSMENTS FOR COVID-19 PRESUMPTIVE OR POSITIVE PATIENTS WHO WERE UNDER SELF-QUARANTINE ORDERS. OUR SOCIAL CARE HUB CONTINUED TO SCREEN AND ADDRESS THE SOCIAL NEEDS OF OUR PATIENTS DURING THIS DIFFICULT TIME. PATIENTS NEEDING ASSISTANCE WITH FOOD, TRANSPORTATION, HOUSING, ACCESS TO CARE, CHILDCARE, ETC. WERE PROVIDED REFERRALS TO INTERNAL AND COMMUNITY ASSISTANCE PROGRAMS.DURING FY22, SPHP, INCLUDING ST. PETER'S HOSPITAL, WORKED ON COVID-19 VACCINATION OUTREACH AND EDUCATION. SPHP COMMUNITY HEALTH & WELL-BEING (CHWB), IN CONJUNCTION WITH CORPORATE COMMUNICATIONS, AND TRINITY HEALTH LAUNCHED A CAMPAIGN, TITLED "IT STARTS HERE". IT FOCUSED ON POPULATIONS THAT HAVE BEEN DISPROPORTIONATELY AFFECTED BY COVID-19 INFECTIONS AND DEATH, MAINLY COMMUNITIES OF COLOR, AND PEOPLE WHO ARE POOR AND UNDERSERVED. "IT STARTS HERE" SUPPORTED LOCAL COMMUNITIES IN ACCELERATING EFFORTS BY RAISING AWARENESS, EDUCATING THE PUBLIC AND OFFERING THE VACCINE IN COMMUNITY ACCESSIBLE LOCATIONS, PARTICULARLY FOR COMMUNITIES OF COLOR AND THOSE WHO ARE VULNERABLE. CHWB COLLABORATED WITH AND SUPPORTED LOCAL COMMUNITY-BASED ORGANIZATIONS THROUGH GRANT FUNDS AWARDED BY TRINITY HEALTH; THESE FUNDS ASSISTED IN BUILDING COMMUNITY CAPACITY TO VACCINATE, PROMOTE AWARENESS OF AND AVAILABILITY TO RECEIVE THE COVID-19 VACCINE. PART VI, LINE 6: ST. PETER'S HOSPITAL IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH'S COMMUNITY HEALTH AND WELL-BEING (CHWB) STRATEGY PROMOTES OPTIMAL HEALTH FOR PEOPLE EXPERIENCING POVERTY AND OTHER VULNERABILITIES IN THE COMMUNITIES WE SERVE BY CONNECTING SOCIAL AND CLINICAL CARE, ADDRESSING SOCIAL NEEDS, DISMANTLING SYSTEMIC RACISM, AND REDUCING HEALTH INEQUITIES. WE DO THIS BY: 1. INVESTING IN OUR COMMUNITIES, 2. ADVANCING SOCIAL CARE, AND 3. IMPACTING SOCIAL INFLUENCERS OF HEALTH.TO FURTHER OUR STRATEGY IN FISCAL YEAR 2022 (FY22), CHWB LAUNCHED TWO TRAINING SERIES TO ADVANCE HEALTH AND RACIAL EQUITY IN OUR COMMUNITIES.1. CHWB LEADER SERIES TO ADVANCE HEALTH AND RACIAL EQUITY: A YEAR-LONG PEER LEARNING SERIES TO BUILD THE CAPACITY OF OUR CHWB LEADERS TO DELIVER ON OUR CHWB STRATEGY WITH A FOCUS ON COMMUNITY LEADERSHIP AND ENGAGEMENT, AND THE USE OF A RACIAL EQUITY LENS IN ALL OF OUR DECISION MAKING. 2. COMMUNITY ENGAGEMENT TO ADVANCE RACIAL JUSTICE - PREPARING FOR IMPLEMENTATION STRATEGY: A FOUR-PART SERIES ON ENGAGING OUR COMMUNITIES IN MEANINGFUL WAYS USING A HEALTH EQUITY AND RACIAL EQUITY LENS TO BUILD LASTING PARTNERSHIPS AND IMPACTFUL IMPLEMENTATION STRATEGIES.INVESTING IN OUR COMMUNITIES - TRINITY HEALTH AND ITS MEMBER HOSPITALS ARE COMMITTED TO THE DELIVERY OF PEOPLE-CENTERED CARE AND SERVING AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN THE COMMUNITIES THEY SERVE. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITIES AND IS COMMITTED TO ADDRESSING THE UNIQUE NEEDS OF EACH COMMUNITY. IN FY22, TRINITY HEALTH CONTRIBUTED $1.37 BILLION IN COMMUNITY BENEFIT SPENDING TO AID THOSE WHO ARE VULNERABLE AND LIVING IN POVERTY, AND TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES IN WHICH WE SERVE. SOME EXAMPLES OF THESE INVESTMENTS INCLUDE: TRINITY HEALTH AWARDED OVER $1.6 MILLION IN COMMUNITY GRANTS THAT DIRECTLY ALIGN WITH INTERVENTIONS AND LOCAL PARTNERSHIPS IDENTIFIED IN ITS MEMBER HOSPITALS' COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IMPLEMENTATION STRATEGIES, INCLUDING ACCESS TO HEALTH CARE, MENTAL HEALTH, TRANSPORTATION, COMMUNITY ENGAGEMENT, FOOD ACCESS, AND HOUSING SUPPORTS. WITH A $1.2 MILLION INITIAL INVESTMENT, TRINITY HEALTH LAUNCHED ROUND 2 OF THE TRANSFORMING COMMUNITIES INITIATIVE (TCI), A FIVE-YEAR, INNOVATIVE FUNDING AND TECHNICAL ASSISTANCE INITIATIVE, PARTNERING WITH COMMUNITY-BASED ORGANIZATIONS AND RESIDENTS TO ADVANCE HEALTH AND RACIAL EQUITY IN NINE OF OUR COMMUNITIES EXPERIENCING HIGH POVERTY AND OTHER VULNERABILITIES. HEALTH MINISTRIES RECEIVING TCI FUNDING ARE COLLABORATING WITH A LOCAL MULTI-SECTOR COLLABORATIVE TO DEVELOP AND IMPLEMENT EVIDENCE-BASED STRATEGIES THAT ADVANCE HEALTH AND RACIAL EQUITY THROUGH ADDRESSING AT LEAST ONE ROOT CAUSE OF POOR HEALTH IDENTIFIED IN THE DEVELOPMENT OF THEIR MOST RECENT CHNA IMPLEMENTATION STRATEGY. TRINITY HEALTH AWARDED OVER $1 MILLION IN COVID-19 FUNDING TO SUPPORT NEW AND ONGOING COMMUNITY ENGAGEMENT AND MOBILIZATION EFFORTS AROUND MAKING THE COVID-19 VACCINATION ACCESSIBLE TO ALL ELIGIBLE POPULATIONS. THIS FUNDING WAS DESIGNED TO SUPPORT ALL COMMUNITIES TO ENSURE EASY AND EQUITABLE ACCESS TO THE VACCINE BY REMOVING BARRIERS FOR ALL PEOPLE TO RECEIVE THE VACCINE, ESPECIALLY COMMUNITIES THAT HAVE LESS THAN A 75% VACCINATION RATE. WITH THIS FUNDING, HEALTH MINISTRIES FACILITATED 3,200 COVID-19 VACCINE EVENTS, ADMINISTERED 80,000 COVID-19 VACCINE DOSES, AND REACHED 874,000 PEOPLE WITH EDUCATIONAL MATERIALS ON COVID-19 AND THE BENEFITS OF VACCINATION.IN ADDITION TO THE $1.37 BILLION IN COMMUNITY BENEFIT SPENDING, OUR COMMUNITY INVESTING PROGRAM HAD THE MOST ROBUST YEAR OF LENDING SINCE THE PROGRAM'S INCEPTION OVER 20 YEARS AGO: $17.8 MILLION IN NEW LOANS AND $8.3 MILLION IN LOAN RENEWALS WERE APPROVED, FOCUSING ON BUILDING AFFORDABLE HOUSING AND INCREASING ACCESS TO EDUCATION IN PARTNERSHIP WITH OUR HEALTH MINISTRIES. ADVANCING SOCIAL CARE - TRINITY HEALTH'S SOCIAL CARE PROGRAM WAS DEVELOPED TO ADDRESS SOCIAL NEEDS, SUCH AS ACCESS TO TRANSPORTATION, CHILDCARE, OR AFFORDABLE MEDICATIONS BY FACILITATING CONNECTIONS BETWEEN OUR PATIENTS, HEALTH CARE PROVIDERS AND COMMUNITY PARTNERS THAT PROMOTE HEALTHY BEHAVIORS. HIGHLIGHTS FROM FY22 INCLUDE THE FOLLOWING SUCCESSES:- LAUNCHED TRINITY HEALTH COMMUNITY HEALTH WORKER (CHW) CERTIFICATION PROGRAM, TRAINING 86 CHWS WITH 40+ HOURS OF TRAINING, AND INCREASED CHW STAFF ACROSS MOST HEALTH MINISTRIES- LAUNCHED A SYSTEM-WIDE ASSESSMENT OF LANGUAGE ACCESS SERVICES TO RECOMMEND SYSTEM STANDARDS THAT ENSURE CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES FOR ALL OF OUR PATIENTS, THEIR COMPANIONS, AND CAREGIVERS- ENGAGED OVER 1,100 PARTICIPANTS IN THE NATIONAL DIABETES PREVENTION PROGRAM, EXCEEDING OUR PROGRAM YEAR 5 GOAL- INCREASED THE NUMBER OF ACTIVE COMMUNITY PARTNER ORGANIZATIONS ON THE COMMUNITY RESOURCE DIRECTORY BY 120% FROM FISCAL YEAR 2021- ENGAGED 5,300+ PATIENTS WHO ARE DUALLY ENROLLED IN MEDICARE AND MEDICAID IN A SOCIAL CARE OR MEDICAL CARE ACTIVITY, IN SUPPORT OF REDUCING PREVENTABLE HOSPITALIZATIONS (SUCH AS DIABETES AND ASTHMA)IMPACTING SOCIAL INFLUENCERS OF HEALTH - LEVERAGING INVESTOR POWER TO CATALYZE CORPORATE SOCIAL RESPONSIBILITY, TRINITY HEALTH'S SHAREHOLDER ADVOCACY WORK FOCUSES ON DISMANTLING RACISM ACROSS FIVE STRATEGIC FOCUS AREAS BY HOLDING CORPORATIONS ACCOUNTABLE FOR THE HUMAN RIGHTS VIOLATIONS THOSE COMPANIES PERPETUATE IN THE U.S. AND BEYOND. IN FY22, TRINITY HEALTH FACILITATED OVER 135 SHAREHOLDER ADVOCACY ENGAGEMENTS, WITH GREAT SUCCESS:- FIVE BELOW COMMITTED TO ASSESS AND MANAGE THE RISKS/HAZARDS ASSOCIATED WITH CHEMICALS OF HIGH CONCERN CONTAINED IN THEIR PRIVATE LABEL PRODUCTS- UNILEVER AGREED TO STOP FOOD AND BEVERAGE MARKETING TO CHILDREN UNDER AGE 16, AND WILL ADOPT NEW TARGETS TO REDUCE SALT, ADDED SUGARS AND CALORIES, AND INCREASE SALES OF THEIR HEALTHIER PRODUCTS- PEPSICO SET GOALS TO INCREASE POSITIVE NUTRIENTS IN THEIR PRODUCTS- PDC ENERGY ACCELERATED ITS GOAL TO END ROUTINE FLARING OF METHANE, FROM 2030 TO 2025, THUS REDUCING ENVIRONMENTAL HEALTH RISKS AND GREENHOUSE GAS EMISSIONSADDITIONALLY, TRINITY HEALTH AND OTHER MEMBERS OF THE INTERFAITH CENTER ON CORPORATE RESPONSIBILITY GUN SAFETY GROUP SUBMITTED A SHAREHOLDER RESOLUTION ASKING STURM RUGER, ONE OF THE NATION'S LEADING MANUFACTURERS OF FIREARMS, TO CONDUCT AND PUBLISH AN INDEPENDENT HUMAN RIGHTS IMPACT ASSESSMENT OF ITS POLICIES, PRACTICES AND PRODUCTS, AND MAKE RECOMMENDATIONS FOR IMPROVEMENT. THE RESOLUTION RECEIVED A 68.5% VOTE IN FAVOR, WELL ABOVE THE THRESHOLD REQUIRED FOR THE RESOLUTION TO BE RESUBMITTED IN 2023, INDICATING A LARGE MAJORITY OF STURM RUGER INVESTORS BELIEVE THE COMPANY HAS TO ADDRESS ITS HUMAN RIGHTS IMPACTS. TRINITY HEALTH AND TRINITY HEALTH OF NEW ENGLAND ARE CITED AS PART OF THE GROUP WHO MOVED FORWARD THIS RESOLUTION.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG. PART VI, LINE 7, REPORTS FILED WITH STATES NY 0 1 0 0 0 0 0 0 0 BENJAMIN CARTER DIRECTOR THR 10/21; TH EVP & COO 0 1318933 0 845000 0 271116 0 17400 0 73014 0 2525463 0 0 JAMES REED MD DIRECTOR; PRESIDENT & CEO 0 703249 0 315908 0 184994 0 21750 0 92664 0 1318565 0 0 RONNIE LUYUN MD PHYSICIAN 949905 0 3620 0 2185 0 13050 0 24865 0 993625 0 0 0 REFAT ASSAD DO PHYSICIAN 843110 0 468 0 638 0 13050 0 11745 0 869011 0 0 0 KENNETH BAKER MD MEDICAL DIRECTOR, OB/GYN 818973 0 468 0 2132 0 21750 0 24242 0 867565 0 0 0 STEVEN HANKS MD FORMER KE; SPHP CHIEF OPS & CLIN OFF 0 507197 0 163850 0 50520 0 102281 0 41532 0 865380 0 36259 MICHAEL FINEGAN PRESIDENT, ACUTE CARE 0 466221 0 209588 0 99666 0 13050 0 42331 0 830856 0 0 AJAZ KHAN MD PHYSICIAN 769111 0 916 0 1168 0 12586 0 24668 0 808449 0 0 0 THOMAS ROBERT SPHP VP, CFO & TREASURER 0 449469 0 113656 0 80320 0 94632 0 39182 0 777259 0 67946 THOMAS MCCORMACK MD PHYSICIAN 708033 0 468 0 7975 0 17400 0 24150 0 758026 0 0 0 THEA DALFINO MD CHIEF MEDICAL OFFICER, ACUTE CARE 401580 0 20000 0 15770 0 17400 0 30893 0 485643 0 0 0 LORI SANTOS VICE PRESIDENT, ACUTE CARE FINANCE 0 348768 0 69486 0 8456 0 21750 0 13442 0 461902 0 0 DAWN GEISERT DIR AT 11/21;TH CHIEF COMPLIANCE OFF 0 255546 0 0 0 8150 0 54799 0 11231 0 329726 0 0 ALAN SANDERS MD FORMER KEY EMPLOYEE 121317 0 64421 0 51179 0 3577 0 7405 0 247899 0 0 0 ROBERT SWIDLER ESQ SECRETARY; VP LEGAL SERVICES 0 200500 0 0 0 1945 0 15000 0 1165 0 218610 0 0 PART I, LINE 3 ST. PETER'S HOSPITAL IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. ST. PETER'S HOSPITAL'S 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 ST. PETER'S HOSPITAL'S 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, LINE 4B THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2021. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. PARTICIPANTS' VESTED BENEFITS WERE PAID OUT IN 2021, AND THEIR NON-VESTED BENEFITS FOR 2021 WERE ACCRUED. THE FOLLOWING PAYOUTS FOR 2021 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: BENJAMIN CARTER - $227,500 MICHAEL FINEGAN - $81,506 STEVEN HANKS - $36,259 JAMES REED - $122,853 THOMAS ROBERT - $67,946 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING ACCRUALS FOR 2021 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: DAWN GEISERT - $45,938 STEVEN HANKS - $89,231 THOMAS ROBERT - $72,882 THE FOLLOWING IS A PARTICIPANT 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 ($290,000 FOR 2021). THE FOLLOWING PAYOUT FOR 2021 FOR THIS PLAN IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: LORI SANTOS - $1,913 LEIZBETH VALLEJO-SANDERS FAMILY MEMBER OF ALAN SANDERS, M.D., FORMER KEY EMPLOYEE 53278 EMPLOYMENT ARRANGEMENT 0 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF ST. PETER'S HOSPITAL IS ST. PETER'S HEALTH PARTNERS. SEE LINE 7 FOR ADDITIONAL INFORMATION. FORM 990, PART VI, SECTION A, LINE 7A ST. PETER'S HEALTH PARTNERS IS THE SOLE MEMBER OF ST. PETER'S HOSPITAL. ST. PETER'S HEALTH PARTNERS HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF ST. PETER'S HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER, ST. PETER'S HEALTH PARTNERS MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. ST. PETER'S HEALTH PARTNERS 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 ST. PETER'S HOSPITAL IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE BOARD OF DIRECTORS AFTER THE RETURN IS FILED. 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 ST. PETER'S HOSPITAL 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 ST. PETER'S HOSPITAL, 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 ST. PETER'S HOSPITAL AND TO AVOID SITUATIONS INVOLVING A CONFLICT OF INTEREST. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE PROVIDED TO THE INTEGRITY AND COMPLIANCE OFFICER. IF A POTENTIAL CONFLICT IS IDENTIFIED, THE INTEGRITY AND COMPLIANCE OFFICER SHARES THE DISCLOSURES WITH INTERNAL LEGAL COUNSEL, FROM WHICH LEGAL COUNSEL PREPARES A REPORT FOR THE BOARD CHAIR AND CEO. A SUMMARY OF POTENTIAL CONFLICTS IS REVIEWED WITH THE BOARD OF DIRECTORS OF ST. PETER'S HOSPITAL (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO ST. PETER'S HOSPITAL OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF ST. PETER'S HOSPITAL (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 ST. PETER'S HOSPITAL. 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 IS ESTABLISHED BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING COMPENSATION FOR THE CEO, CFO AND CERTAIN OTHER OFFICERS, 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 THESE INDIVIDUALS 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. FOR THE COMPENSATION OF OTHER KEY EMPLOYEES, ST. PETER'S HOSPITAL HAS A PROCESS FOR DETERMINING COMPENSATION WHICH INCLUDES THE FOLLOWING: COMPENSATION IS REVIEWED BY AN INDEPENDENT COMPENSATION CONSULTANT WHO REVIEWS THE SALARIES TO ENSURE THEY ARE WITHIN MARKET AND MARKET COMPETITIVE. THIS IS DONE ON AN ANNUAL BASIS, REVIEWED BY EITHER THE ORGANIZATION'S OR A RELATED ORGANIZATION'S COMPENSATION COMMITTEE AND COMMUNICATED TO THE OTHER KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 ST. PETER'S HOSPITAL 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, ST. PETER'S HOSPITAL INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. ST. PETER'S HOSPITAL'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G MEDICAL SPECIALIST FEES: PROGRAM SERVICE EXPENSES 17,310,150. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,310,150. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 110,837. MANAGEMENT AND GENERAL EXPENSES 17,565. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 128,402. BILLING AND COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 27,194. MANAGEMENT AND GENERAL EXPENSES 1,262,478. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,289,672. MISC. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 17,404,830. MANAGEMENT AND GENERAL EXPENSES 130,777. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,535,607. RECRUITING SERVICES: PROGRAM SERVICE EXPENSES 115,491. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 115,491. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 36,840,028. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 36,840,028. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 144,772. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 144,772. LAUNDRY AND LINEN SERVICES: PROGRAM SERVICE EXPENSES 38,449. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 38,449. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS FROM AFFILIATES 2,299,412. EQUITY GAIN IN UNCONSOL. AFFILIATES 1,862,819. OTHER TRANSACTIONS 605,875. FORM 990, PART XII, LINE 2: ST. PETER'S HOSPITAL'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY22 CONSOLIDATED FINANCIAL STATEMENTS OF ST. PETER'S HEALTH PARTNERS AND TRINITY HEALTH, WHICH WERE BOTH AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. FORM 990, PAGE 1, DOING BUSINESS AS NAMES MERCY CARES FOR KIDS, ST. PETER'S HOSPITAL LABORATORY, ST. PETER'S BEHAVIORAL HEALTH MANAGEMENT, ST. PETER'S ADDICTION RECOVERY CENTER, SPARC, ST. PETER'S HUDSON VALLEY HOSPICE, ST. PETER'S HOSPICE OF RENSSELAER COUNTY, DELMAR WOMEN'S HEALTH CARE ASSOCIATES, CAPITAL REGION SLEEP WAKE DISORDERS CENTER ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP 200 JEFFERSON AVE SE GRAND RAPIDS MI 49503 272491974 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN 1 ALLEGANY FRANCISCAN MINISTRIES INC 33920 US HIGHWAY 19 NORTH SUITE 269 PALM HARBOR FL 34684 581492325 GRANT MAKING FL 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 ASYLUM HILL FAMILY MEDICINE CENTER INC 114 WOODLAND STREET HARTFORD CT 06105 061450170 HEALTH CARE SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 BAUM HARMON MERCY HOSPITAL 255 NORTH WELCH AVENUE PRIMGHAR IA 51245 421500277 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP 1 BAUM HARMON MERCY HOSPITAL AND CLINICS FOUNDATION 255 NORTH WELCH AVENUE PRIMGHAR IA 51245 262973307 FOUNDATION IA 501(C)(3) LINE 12A, I BAUM HARMON MERCY HOSPITAL 1 BEECHWOOD INC 2212 BURDETT AVE TROY NY 12180 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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 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE PA 19073 232515999 HEALTH CARE SERVICES PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK 1 EDDY LICENSED HOME CARE AGENCY 433 RIVER ST SUITE 3000 TROY NY 12180 141818568 HOME HEALTH SERVICES NY 501(C)(3) LINE 3 LTC (EDDY) INC 1 EMBRACING AGE INC 333 BUTTERNUT DRIVE DEWITT NY 13214 461051881 PACE PROGRAM NY 501(C)(3) LINE 12B, II ST JOSEPH'S HEALTH INC 1 EMPIRE HOME INFUSION SERVICE INC 10 BLACKSMITH DRIVE MALTA NY 12020 141795732 HOME HEALTH SERVICES NY 501(C)(3) LINE 10 HOME AIDE SERVICE OF EASTERN NEW YORK INC 1 FARREN CARE CENTER INC 114 WOODLAND STREET HARTFORD CT 06105 042501711 LONG TERM CARE MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC 1 FRANCISCAN ELDERCARE CORPORATION PO BOX 2500 WILMINGTON DE 19805 223008680 LONG TERM CARE (INACTIVE) DE 501(C)(3) LINE 10 ST FRANCIS HOSPITAL INC 1 GLACIER HILLS FOUNDATION 1200 EARHART RD ANN ARBOR MI 48105 208072723 FOUNDATION MI 501(C)(3) LINE 12A, I GLACIER HILLS INC 1 GLACIER HILLS INC 1200 EARHART RD ANN ARBOR MI 48105 381891500 SENIOR LIVING COMMUNITY MI 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES 1 GLEN EDDY INC 1 GLEN EDDY DRIVE NISKAYUNA NY 12309 141794150 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 GLOBAL HEALTH MINISTRY 20555 VICTOR PARKWAY LIVONIA MI 48152 421253527 HEALTH CARE SERVICES MI 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 GOOD SAMARITAN HOSPITAL INC 5401 LAKE OCONEE PARKWAY GREENSBORO GA 30642 261720984 HEALTH CARE AND HOSPITAL SERVICES GA 501(C)(3) LINE 3 TRINITY HEALTH GEORGIA INC 1 GOTTLIEB COMMUNITY HEALTH SERVICES 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