2022-05-16T09:00:07-05:00 2021-06-30 990 2020-07-01 473752176 ST MARY'S SACRED HEART HOSPITAL INC STMA 7063893939 367 CLEAR CREEK PARKWAY LAVONIA GA 30553 JANICE DUNN CHIEF FINANCIAL OFFICER 7063893939 2022-05-16 JANICE DUNN 999009999 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z D MONTEZ CARTER 367 CLEAR CREEK PARKWAY LAVONIA GA 30553 42361629 0 0928 X WWW.STMARYSSACREDHEART.ORG X 2015 GA TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES 8 7 405 33 0 0 3516763 92817 33750547 41189363 -36545 -100034 849129 1079449 38079894 42261595 4791 2276 0 0 18356394 18806671 0 0 0 20544491 25284235 38905676 44093182 -825782 -1831587 18420467 24588274 26550257 20296593 -8129790 4291681 X WE, ST. MARY'S HEALTH CARE SYSTEM AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES. ST. MARY'S SACRED HEART HOSPITAL IS A MEMBER OF ST. MARY'S HEALTH CARE SYSTEM AND TRINITY HEALTH. 0 0 39214651 2276 42155086 ST. MARY'S SACRED HEART HOSPITAL, LOCATED IN LAVONIA, GA, IS PROUD TO SERVE THE PEOPLE OF FRANKLIN, HART, STEPHENS AND BEYOND BY PROVIDING HIGH-QUALITY HEALTH CARE. ST. MARY'S SACRED HEART HOSPITAL IS LICENSED FOR 56 BEDS AND FEATURES INPATIENT AND OUTPATIENT SURGICAL SERVICES, EMERGENCY SERVICES, MEDICAL/SURGICAL INPATIENT NURSING CARE, CRITICAL CARE, A MOTHER/BABY UNIT, ADVANCED DIAGNOSTICS, REHABILITATION SERVICES, SLEEP DISORDERS CENTER, WELLNESS CENTER, AND AN OCCUPATIONAL HEALTH SERVICE. PLEASE VISIT OUR WEBSITE FOR ADDITIONAL INFORMATION ABOUT PROGRAMS AND SERVICES: WWW.STMARYSSACREDHEART.ORG 39214651 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 77 0 1 405 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 GA X JANICE DUNN 7063893938 1230 BAXTER STREET ATHENS GA 30606 D MONTEZ CARTER DIRECTOR; SMHCS PRESIDENT & CEO 2.00 53.00 X X 0 421461 114685 DANIEL POWELL FRMR OFFICER; SAMC INT CFO AT 3/21 0.00 50.00 X 0 381918 26925 JANICE DUNN TREASURER; CHIEF FINANCIAL OFFICER 2.00 48.00 X 0 332846 40470 JASON SMITH MD CHIEF MEDICAL OFFICER 2.00 48.00 X 0 328683 30595 JEFFREY ENGLISH PRESIDENT, SACRED HEART;SMHCS VP OPS 44.00 11.00 X 0 281256 38486 KAREN SCHULLER FORMER OFFICER 0.00 0.00 X 0 273418 1323 CASH MORRIS SECRETARY; VP & ASSOCIATE COUNSEL 1.00 49.00 X 0 190711 33579 DONNA TONEY MANAGER, PHARMACY 50.00 0.00 X 156389 0 23012 JENNIFER DICKERSON FORMER HC EMP; SMHCS MGR, PHARMACY 0.00 50.00 X 47436 97426 30502 LAUREN PAPKA DIR ADMINISTRATIVE & SUPPORT SVCS 50.00 0.00 X 125770 0 26825 A REGINA HOOPER DIRECTOR OF NURSING 50.00 0.00 X 143597 0 8015 BRENDA POWELL NURSE MANAGER 45.00 0.00 X 102591 0 17989 JOY ELROD REGISTERED NURSE 45.00 0.00 X 104020 0 15207 LESLIE FORDHAM DVM DIRECTOR; CHAIR 1.00 1.00 X X 0 0 0 NORA CHAMBERS DIRECTOR 1.00 0.00 X 0 0 0 LARRY FINGER DIRECTOR 1.00 0.00 X 0 0 0 JOHN HERRON DIRECTOR AS OF 1/21 1.00 0.00 X 0 0 0 RAM REDDY MD DIRECTOR 1.00 0.00 X 0 0 0 ROBERT RIDGWAY JR DIRECTOR 1.00 0.00 X 0 0 0 DIANE TONEY DIRECTOR 1.00 0.00 X 0 0 0 KEITH TURMAN DIRECTOR THROUGH 12/20 1.00 0.00 X 0 0 0 679803 2307719 407613 7 1 1 0 SOUND PHYSICIANS PO BOX 742936 LOS ANGELES CA 90074 PHYSICIAN SERVICES 1533679 SOUND PHYSICIANS OF GA II PO BOX 742936 LOS ANGELES CA 90074 PHYSICIAN SERVICES 1445502 GEORGIA ANESTHESIA SERVICES LLC PO BOX 654 LAVONIA GA 30553 PHYSICIAN SERVICES 792000 ANESTHESIA CONSULTANTS OF ATHENS 1230 BAXTER ST ATHENS GA 30606 PHYSICIAN SERVICES 575875 TEXCARE GROUP LLC 415 TWIN PINE DRIVE CHAPIN SC 29036 TRANSPORTATION HEAVY EQUIPMENT 193922 10 92817 92817 NET PATIENT SERVICE REVENUE 622110 41189363 41189363 41189363 15844 0 15844 15844 15844 36569 63465 -36569 -63465 -100034 -100034 OTHER RELATED REVENUE 622110 927003 927003 CAFETERIA REVENUE 722514 97882 97882 WELLNESS PROGRAM REVENUE 622110 38720 38720 1063605 42261595 42155086 0 13692 X 2276 2276 319742 319742 15392727 15346182 46545 1972184 1968619 3565 1122018 1071765 50253 10730992 6899588 3831404 26546 412 26134 515158 240456 274702 125249 96185 29064 1211233 1125653 85580 8523 2157 6366 2471 2471 484174 484174 1063924 1019547 44377 BAD DEBT EXPENSE 5087390 5087390 MEDICAL SUPPLIES EXP 4771690 4771690 EQUIPMENT MAINTENANCE 651777 649307 2470 HOSPITAL PROVIDER TAX 394082 394082 211026 52697 158329 44093182 39214651 4878531 0 28375 59195 5917499 8276697 806416 836640 85106 83293 18930768 8930707 10568607 10000061 1014464 5332388 18420467 24588274 3336626 4482263 6113516 286770 312247 16813345 15502083 26550257 20296593 X -8129790 4291681 -8129790 4291681 18420467 24588274 X -1831587 -375490 14628548 X X 0 1 X 1 1 1 X 0 0 0 0 0 1 3693 0 0 0 3693 0 PART II-B, LINE 1: ST. MARY'S SACRED HEART 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. MARY'S SACRED HEART HOSPITAL WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. 1025000 1025000 7173509 1097569 6075940 44357 44357 0 10679140 7788781 2890359 8762 8762 10000061 INTERCOMPANY ACCOUNTS RECEIVABLE 5067871 OPERATING LEASE RIGHT-OF-USE ASSETS 175902 MISCELLANEOUS RECEIVABLES 88615 5332388 INTERCOMPANY ACCOUNTS PAYABLE 3872182 INTERCOMPANY NOTES PAYABLE 11450674 OPERATING LEASE LIABILITIES 179227 15502083 1 1 X 1 X 1 X 1 0 1 1 1976150 1976150 0.05070 5349885 4012689 1337196 0.03430 7326035 4012689 3313346 0.08500 5 14 14175 14175 0.00040 2 20 10306 10306 0.00030 2 250 5868 5868 0.00020 9 284 30349 30349 0.00090 9 284 7356384 4012689 3343695 0.08590 1 650 650 0.00000 1 650 650 0.00000 1 5087390 0 8287552 8344263 -56711 X 1 1 1 1 ST MARY'S SACRED HEART HOSPITAL 367 CLEAR CREEK PARKWAY LAVONIA GA 30553 WWW.STMARYSSACREDHEART.ORG LICENSE #059-708 X X X ST MARY'S SACRED HEART HOSPITAL 0 0 1 X X X X X X X X X 18 1 1 1 1 X SEE SCHEDULE H, PART V, SECTION C X 1 18 1 SEE SCHEDULE H, PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 ST MARY'S SACRED HEART HOSPITAL PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E: ST. MARY'S SACRED HEART HOSPITAL INCLUDED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: 1. CARDIOVASCULAR HEALTH 2. NUTRITION, DIABETES, AND OBESITY3. BEHAVIORAL HEALTH4. MATERNAL AND CHILD HEALTH5. HEALTH CARE ACCESS6. REPRODUCTIVE HEALTH7. CEREBROVASCULAR HEALTH8. CANCER9. RESPIRATORY HEALTH10. INJURIES AND ACCIDENTS ST MARY'S SACRED HEART HOSPITAL PART V, SECTION B, LINE 5: ST. MARY'S HEALTH CARE SYSTEM (INCLUDING ST. MARY'S HOSPITAL, GOOD SAMARITAN HOSPITAL, AND ST. MARY'S SACRED HEART HOSPITAL) COLLABORATED WITH THE GOAL OF DEVELOPING A HOLISTIC UNDERSTANDING OF THE HEALTH PRIORITIES IN THE COMMUNITIES SERVED. COMMUNITY INPUT AND DATA WERE GATHERED FROM OCTOBER 2018 TO MARCH 2019.THE ST. MARY'S HEALTH CARE SYSTEM HOSPITAL SERVICE AREA WAS DEFINED AT THE PATIENT VISIT LEVEL. FOR THE PURPOSES OF THE CHNA, EXISTING PRIMARY AND SECONDARY DATA WERE GATHERED FROM LOCAL AND STATE HEALTH DEPARTMENTS AND FEDERAL DATA SOURCES. PRIMARY DATA WAS GATHERED THROUGH ADMINISTRATION OF A HOUSEHOLD SURVEY IN ATHENS-CLARKE COUNTY AND FOCUS GROUPS IN SURROUNDING COUNTIES TO GAIN INSIGHT INTO THE MOST PRESSING COMMUNITY HEALTH NEEDS. SPECIAL FOCUS WAS GIVEN TO POPULATIONS WHERE HEALTH DISPARITIES WERE PRESENT, INCLUDING THOSE WITHOUT HEALTH INSURANCE AND LOW-INCOME FAMILIES. THE COMMUNITY ADVISORY COMMITTEE ASSESSED THIS DATA IN ORDER TO PRIORITIZE THE HEALTH CONDITIONS AND RISK FACTORS FOR WHICH THE HOSPITAL COULD CONCENTRATE THEIR EFFORTS AND IMPROVE COMMUNITY HEALTH. FOLLOWING THE IDENTIFICATION AND PRIORITIZATION OF HEALTH NEEDS, THE ST. MARY'S HEALTH CARE SYSTEM STAFF WORKED WITH FACULTY FROM THE J.W. FANNING INSTITUTE FOR LEADERSHIP TO CONSTRUCT AN IMPLEMENTATION PLAN TO SYSTEMATICALLY ADDRESS THE HEALTH NEEDS IN THE SERVICE AREA. THROUGH THIS PROCESS, THE FOLLOWING NEEDS WERE RECOGNIZED AS THE MOST IMPORTANT ISSUES TO BE ADDRESSED TO IMPROVE THE HEALTH AND QUALITY OF LIFE IN OUR COMMUNITY: CARDIOVASCULAR HEALTH; CEREBROVASCULAR HEALTH; AND NUTRITION, DIABETES, AND OBESITY.THE CHNA USED A COMPREHENSIVE MIXED-METHODS APPROACH, WHICH INCLUDED A COMBINATION OF QUALITATIVE AND QUANTITATIVE DATA AND ANALYSES, ALLOWING FOR MORE CONFIDENCE IN THE FINDINGS AND IDENTIFICATION OF THE TOP HEALTH NEEDS. TO SOLICIT INPUT FROM PRIMARY SOURCES, A STRONG EMPHASIS WAS PLACED ON ADMINISTERING COMMUNITY SURVEYS, CONDUCTING FOCUS GROUPS, AND INTERVIEWING KEY STAFF MEMBERS AT THE HEALTH DEPARTMENT. UPON COMPLETION OF THE HEALTH DEPARTMENT INTERVIEWS, A METHODOLOGICAL APPROACH CALLED THEME ANALYSIS WAS USED. RESPONSES WERE EXAMINED FOR COMMON PHRASES, THEMES, AND POINTS OF DISCUSSION AND GROUPED INTO SPECIFIC HEALTH NEEDS (E.G., HUNGER, ACCESS TO HEALTH FOODS, AND MENTAL HEALTH). EACH HEALTH NEED WAS THEN RECORDED BY THE NUMBER OF TIMES THAT IT WAS IDENTIFIED, AND BY THE COUNTY OF ORIGIN FOR THE RESPONSE.WHERE SECONDARY DATA SOURCES WERE USED, A QUANTITATIVE APPROACH WAS APPLIED. POPULATION ESTIMATES, SUCH AS THE PERCENTAGE OF PEOPLE EXPERIENCING HEART DISEASE, WERE EXAMINED FOR EACH COUNTY IN THE SERVICE AREA AND AGGREGATED ACROSS COUNTIES. AVERAGES WERE CALCULATED FOR THESERVICE AREA COUNTIES IN AGGREGATE FORM WHERE APPROPRIATE. SECONDARY DATA WAS DOWNLOADED FROM THE HOSTING INSTITUTION'S WEBSITE. TIME TRENDS WERE ACCOUNTED FOR BY DOWNLOADING SEVERAL YEARS FOR EACH INDICATOR, AND WHERE POSSIBLE WE EXAMINED AT LEAST EIGHT YEARS OF DATA TO EXAMINE AND SHOW LONGITUDINAL MEASURES (TYPICALLY 2010-2017). WHEN DATA HAD LIMITED AVAILABILITY (FOR EXAMPLE, ONE CROSS SECTION, OR YEAR), THE LATEST AVAILABLE YEAR WAS COLLECTED AND REPORTED. ST MARY'S SACRED HEART HOSPITAL PART V, SECTION B, LINE 6A: THE 2018 CHNA WAS CONDUCTED BY ST. MARY'S HEALTH CARE SYSTEM, (INCLUDING ST. MARY'S HOSPITAL, ST. MARY'S SACRED HEART HOSPITAL, AND GOOD SAMARITAN HOSPITAL). ST MARY'S SACRED HEART HOSPITAL PART V, SECTION B, LINE 6B: THE 2018 CHNA WAS CONDUCTED IN COLLABORATION WITH THE UNIVERSITY OF GEORGIA - COLLEGE OF PUBLIC HEALTH AND THE J.W. FANNING INSTITUTE FOR LEADERSHIP.PART V, SECTION B, LINE 7A: ST. MARY'S HOSPITAL CHNA URL: WWW.STMARYSHEALTHCARESYSTEM.ORG/ABOUT-US/COMMUNITY-BENEFITPART V, SECTION B, LINE 10A:ST. MARY'S HOSPITAL STRATEGY URL: WWW.STMARYSHEALTHCARESYSTEM.ORG/ABOUT-US/COMMUNITY-BENEFIT ST MARY'S SACRED HEART HOSPITAL PART V, SECTION B, LINE 11: THE CHNA CONDUCTED IN FISCAL YEAR 2019 IDENTIFIED 10 SIGNIFICANT HEALTH NEEDS WITHIN THE ST. MARY'S HEALTH CARE SYSTEM'S COMMUNITY. THE FOLLOWING THREE NEEDS WERE RECOGNIZED BY ST. MARY'S HEALTH CARE SYSTEM'S LEADERSHIP COMMITTEE AS THE MOST SIGNIFICANT ISSUES THAT MUST BE ADDRESSED TO IMPROVE THE HEALTH AND QUALITY OF LIFE IN OUR COMMUNITY. THESE NEEDS WERE ADDRESSED IN FISCAL YEAR 2021 AS FOLLOWS:CARDIOVASCULAR HEALTH - IN FISCAL YEAR 2021, ST. MARY'S SACRED HEART HOSPITAL CONTINUED TO EXPLORE THE EXPANSION OF CARDIAC REHABILITATION SERVICES. ANNUAL CARDIAC AND EDUCATION SCREENING EVENTS WERE HELD IN COLLABORATION WITH OCONEE HEART AND VASCULAR CLINIC AND HEALTHWORKS.CEREBROVASCULAR HEALTH - ST. MARY'S SACRED HEART HOSPITAL IS A REMOTE TREATMENT STROKE CENTER, AS DESIGNATED BY THE GEORGIA DEPARTMENT OF PUBLIC HEALTH OFFICE OF EMS AND TRAUMA. STROKE EDUCATION WAS OFFERED TO THE COMMUNITY. NUTRITION, DIABETES AND OBESITY - IN FISCAL YEAR 2021, ST. MARY'S SACRED HEART HOSPITAL ADDRESSED DIABETES THROUGH THE DIABETES SUPPORT GROUP. STAFF ALSO PARTICIPATED IN A COMMUNITY HEALTH FAIR TO PROVIDE EDUCATION ON NUTRITION, OBESITY, AND DIABETES.ST. MARY'S SACRED HEART HOSPITAL ACKNOWLEDGES THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE HEALTH NEEDS WHICH IT DEEMED MOST PRESSING, UNDER-ADDRESSED, AND WITHIN ITS ABILITY TO INFLUENCE. THEREFORE, IN FISCAL YEAR 2021, ST. MARY'S SACRED HEART HOSPITAL DID NOT TAKE ACTION ON THE FOLLOWING HEALTH NEEDS: - REPRODUCTIVE HEALTH: ST. MARY'S SACRED HEART HOSPITAL DID NOT DIRECTLY ADDRESS THIS PARTICULAR NEED BECAUSE THE LOCAL PUBLIC HEALTH DEPARTMENT IS ADDRESSING THIS NEED IN THE COMMUNITY. HOWEVER, THE HOSPITAL PROVIDES REFERRALS. - CANCER: ST. MARY'S SACRED HEART HOSPITAL DID NOT DIRECTLY ADDRESS THIS PARTICULAR NEED BECAUSE THE HOSPITAL DOES NOT HAVE THE RESOURCES TO BECOME AN ONCOLOGY CENTER. HOWEVER, CANCER SCREENING IS AVAILABLE AT THE HOSPITAL.- BEHAVIORAL HEALTH: ST. MARY'S SACRED HEART HOSPITAL DID NOT DIRECTLY ADDRESS THIS PARTICULAR NEED BECAUSE ANOTHER LOCAL ORGANIZATION ADDRESSES THIS NEED IN THE COMMUNITY. HOWEVER, THE HOSPITAL EVALUATES AND PLACES EMERGENCY DEPARTMENT PATIENTS USING TELEPSYCHIATRY SERVICES. - RESPIRATORY HEALTH: ALTHOUGH ST. MARY'S SACRED HEART HOSPITAL DID NOT DIRECTLY ADDRESS THIS NEED, RESPIRATORY STAFF MEMBERS PARTICIPATED IN THE FREEDOM FROM SMOKING TRAINING PROGRAM.- MATERNAL AND CHILD: ST. MARY'S SACRED HEART HOSPITAL DID NOT DIRECTLY ADDRESS THIS PARTICULAR NEED BECAUSE THERE IS A STRONG LOCAL WOMEN, INFANTS AND CHILDREN (WIC) PROGRAM PRESENCE IN OUR COMMUNITY. - HEALTH CARE ACCESS: ST. MARY'S SACRED HEART HOSPITAL DID NOT DIRECTLY ADDRESS THIS PARTICULAR NEED SINCE THE DATA INDICATES A SHORTAGE OF DENTAL PROVIDERS, AND BECAUSE TRANSPORTATION IS IDENTIFIED AS THE MAIN BARRIER TO HEALTH CARE ACCESS. THE HOSPITAL DOES NOT HAVE THE RESOURCES TO ADDRESS THESE FACTORS AT THIS TIME. - ACCIDENTS AND INJURY: ST. MARY'S SACRED HEART HOSPITAL DID NOT DIRECTLY ADDRESS THIS PARTICULAR NEED BECAUSE THE HOSPITAL IS NOT A TRAUMA CENTER. THIS NEED IS BEING ADDRESSED BY THE COUNTY PUBLIC HEALTH DEPARTMENT, WHICH PROVIDES CAR SEAT EDUCATION, AND BY THE GA STATE PATROL OFFICE, WHICH PROVIDES SAFETY EDUCATION. ST MARY'S SACRED HEART HOSPITAL PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS. ST. MARY'S SACRED HEART HOSPITAL PART V, LINE 16A, FAP WEBSITE:WWW.STMARYSHEALTHCARESYSTEM.ORG/FOR-PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE ST. MARY'S SACRED HEART HOSPITAL PART V, LINE 16B, FAP APPLICATION WEBSITE:WWW.STMARYSHEALTHCARESYSTEM.ORG/FOR-PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE ST. MARY'S SACRED HEART HOSPITAL PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:WWW.STMARYSHEALTHCARESYSTEM.ORG/FOR-PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE 3 1 - HEALTHWORKS (ST MARY'S SACRED HEART) 355 CLEAR CREEK PARKWAY SUITE 1004 LAVONIA GA 30553 OCCUPATIONAL HEALTH AND OUTPATIENT LAB SERVICES (DRAW STATION) 2 - HEALTHWORKS (ST MARY'S SACRED HEART) 125 WEST GIBSON STREET HARTWELL GA 30643 OCCUPATIONAL HEALTH AND OUTPATIENT LAB SERVICES (DRAW STATION) 3 - HEALTHWORKS (ST MARY'S SACRED HEART) 461 COOK STREET SUITE F ROYSTON GA 30662 OCCUPATIONAL HEALTH AND OUTPATIENT LAB SERVICES (DRAW STATION) 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. MARY'S SACRED HEART 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.IN ADDITION, ST. MARY'S SACRED HEART HOSPITAL 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, $5,087,390, 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 I, LINE 5A: DURING FY21, DUE TO THE COVID-19 PANDEMIC, THE HOSPITAL SUSPENDED ITS TRADITIONAL ANNUAL BUDGET PROCESS AND USED A QUARTERLY PROCESS TO PLAN FOR FREE AND DISCOUNTED CARE UNDER ITS FINANCIAL ASSISTANCE POLICY. THIS CHANGE IN PROCESS DID NOT ALLOW THE HOSPITAL TO BUDGET FOR FINANCIAL ASSISTANCE EXPENSES ON AN ANNUAL BASIS. THE HOSPITAL IMPLEMENTED A NEW ROLLING FORECAST METHOD FOR FINANCIAL PLANNING IN FY22. THE ROLLING FORECAST WILL FACILITATE CONTINUOUS PLANNING, PERFORMANCE ASSESSMENT AND ACCOUNTABILITY. PART II, COMMUNITY BUILDING ACTIVITIES: ST. MARY'S SACRED HEART HOSPITAL PARTICIPATES IN SEVERAL COMMUNITY BUILDING ACTIVITIES THAT PROMOTE THE HEALTH OF THE COMMUNITIES SERVED BY IMPROVING ACCESS TO HEALTH SERVICES, ENHANCING PUBLIC HEALTH, AND ADVANCING KNOWLEDGE. ST. MARY'S SACRED HEART HOSPITAL PARTICIPATED IN THE FOLLOWING ACTIVITIES IN FISCAL YEAR 2021:COMMUNITY SUPPORT: ST. MARY'S SACRED HEART HOSPITAL STAFF MEMBERS DONATED THEIR TIME AND EXPERTISE TO A VARIETY OF ORGANIZATIONS THAT STRIVE TO IMPROVE COMMUNITY HEALTH AND WELL-BEING, INCLUDING THE FRANKLIN COUNTY HIGH SCHOOL BUSINESS ADVISORY COMMITTEE, EMMANUEL UNIVERSITY, AND THE UNIVERSITY OF GEORGIA. ST. MARY'S SACRED HEART HOSPITAL'S DIRECTOR OF ADMINISTRATIVE AND SUPPORT SERVICES AND DIRECTOR OF NURSING PARTICIPATE IN THE FRANKLIN COUNTY AND LAVONIA CHAMBERS OF COMMERCE. OTHER STAFF ALSO PARTICIPATED IN THE FRANKLIN COUNTY BOARD OF EDUCATION AND OTHER LOCAL GROUPS. 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: ST. MARY'S SACRED HEART HOSPITAL USES A PREDICTIVE MODEL THAT INCORPORATES THREE DISTINCT VARIABLES IN COMBINATION TO PREDICT WHETHER A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE: (1) SOCIO-ECONOMIC SCORE, (2) ESTIMATED FEDERAL POVERTY LEVEL (FPL), AND (3) HOMEOWNERSHIP. BASED ON THE MODEL, CHARITY CARE CAN STILL BE EXTENDED TO PATIENTS EVEN IF THEY HAVE NOT RESPONDED TO FINANCIAL COUNSELING EFFORTS AND ALL OTHER FUNDING SOURCES HAVE BEEN EXHAUSTED. FOR FINANCIAL STATEMENT PURPOSES, ST. MARY'S SACRED HEART HOSPITAL IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, ST. MARY'S SACRED HEART HOSPITAL IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL. PART III, LINE 4: ST. MARY'S SACRED HEART 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 8: ST. MARY'S SACRED HEART 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 COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. CHARITY DISCOUNTS ARE APPLIED TO THE AMOUNTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. COLLECTION PRACTICES FOR THE REMAINING BALANCES ARE CLEARLY OUTLINED IN THE ORGANIZATION'S COLLECTION POLICY. THE HOSPITAL HAS IMPLEMENTED BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS. PART VI, LINE 2: NEEDS ASSESSMENT - ST. MARY'S SACRED HEART 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. MARY'S SACRED HEART 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. MARY'S SACRED HEART 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. MARY'S SACRED HEART HOSPITAL HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. ST. MARY'S SACRED HEART 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. MARY'S SACRED HEART HOSPITAL IS LOCATED IN FRANKLIN COUNTY IN THE CITY OF LAVONIA, GA, BUT ALSO CONSIDERS HART COUNTY, WHICH BORDERS FRANKLIN COUNTY, TO BE IN ITS PRIMARY SERVICE AREA. FRANKLIN COUNTY HAS A TOTAL LAND AREA OF 262 SQUARE MILES, WHILE HART COUNTY'S LAND AREA IS 232 SQUARE MILES. FRANKLIN COUNTY HAS A POPULATION OF 22,048 AND HART COUNTY HAS A POPULATION OF 25,217. THE SURROUNDING AREAS IN FRANKLIN ARE DIVERSE IN TERMS OF POPULATION OF RURAL AND URBAN AREAS. CARNESVILLE AND MARTIN ARE LESS POPULATED THAN ROYSTON AND CANON. THE POPULATION DISTRIBUTION IN FRANKLIN COUNTY AMONG RURAL AND URBAN AREAS IS 11.1% URBAN AND 88.9% RURAL. IN HART COUNTY, 25.5% OF THE POPULATION IS URBAN AND 74.5% IS RURAL. ONLY 0.9% OF FRANKLIN COUNTY'S LAND AREA IS URBAN, WHILE 99.1% IS RURAL. IN HART COUNTY, 2.7% OF THE LAND IS URBAN AND 97.3% IS RURAL. THE CITY OF HARTWELL IS THE MOST POPULATED PART OF THE COUNTY.APPROXIMATELY 60% OF THE POPULATION IN FRANKLIN COUNTY IS BETWEEN 18 AND 64 YEARS OF AGE, AND 17% OF THE POPULATION IS AGE 65 AND OVER. THE MAJORITY RACE IS WHITE AT 87.3%, WITH AFRICAN AMERICAN AT 8.4% AND HISPANIC AND LATINO AT 3.9%. MALES MAKE UP 49.4% OF RESIDENTS. APPROXIMATELY 61% OF HART COUNTY'S POPULATION IS BETWEEN 18 AND 64 YEARS OF AGE, AND 18% OF THE POPULATION IS OVER THE AGE OF 65. HART COUNTY IS 77.4% WHITE, 18.7% AFRICAN AMERICAN, AND 3.1% HISPANIC OR LATINO. MALES MAKE UP 49.4% OF RESIDENTS.AN AVERAGE OF 77% OF HART COUNTY RESIDENTS AND 74% OF FRANKLIN COUNTY RESIDENTS GRADUATED HIGH SCHOOL, LOWER THAN GEORGIA'S AVERAGE OF 84%. AN AVERAGE OF 15% OF HART COUNTY RESIDENTS AND 14% OF FRANKLIN COUNTY RESIDENTS HAVE AT LEAST A BACHELOR'S DEGREE COMPARED TO GEORGIA'S HIGHER AVERAGE OF 28%.THE MOST RECENT DATA SHOWED THAT FRANKLIN COUNTY'S UNEMPLOYMENT RATE DROPPED FROM 10.8% IN AUGUST 2012 TO 9.4% IN APRIL 2013. HART COUNTY'S UNEMPLOYMENT RATE DROPPED FROM 11.1% IN AUGUST 2012 TO 9.8% IN APRIL 2013.MEDIAN HOUSEHOLD INCOMES IN FRANKLIN AND HART COUNTIES WERE APPROXIMATELY $36,739 AND $36,109, RESPECTIVELY. THESE MEDIAN INCOMES WERE WELL BELOW THE GEORGIA AVERAGE OF $49,347 AND THE U.S. AVERAGE OF $51,914.IN 2011, THE PERCENTAGE OF PEOPLE IN HART AND FRANKLIN COUNTIES WHOSE INCOME WAS BELOW THE POVERTY LEVEL WAS 23% AND 20%, RESPECTIVELY, COMPARED TO GEORGIA'S AVERAGE OF 16% AND THE U.S. AVERAGE OF 14%.IN ADDITION TO THE PRIMARY SERVICE COUNTIES OF FRANKLIN AND HART, THE HOSPITAL ALSO SERVES STEPHENS, ELBERT, AND BANKS COUNTIES. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH - ST. MARY'S SACRED HEART HOSPITAL IS GUIDED BY ST. MARY'S HEALTH CARE SYSTEM'S MISSION OF IMPROVING THE HEALTH OF THE PEOPLE OF OUR COMMUNITIES. ST. MARY'S SACRED HEART HOSPITAL IS A 56-BED FACILITY WHOSE SERVICES INCLUDE SURGICAL SERVICES, A MOTHER/BABY UNIT, AND CRITICAL CARE. IN ADDITION, ST. MARY'S SACRED HEART HOSPITAL OPERATES A 24-HOUR EMERGENCY DEPARTMENT THAT IS ACCESSIBLE TO ANYONE NEEDING CARE, REGARDLESS OF ABILITY TO PAY, AND MAINTAINS AN OPEN MEDICAL STAFF.AS A CATHOLIC, NOT-FOR-PROFIT HEALTH SYSTEM, ST. MARY'S SACRED HEART HOSPITAL IS COMMITTED TO STEWARDING OUR RESOURCES INTO PROGRAMS AND ACTIVITIES THAT STRIVE TO BENEFIT THE HEALTH OF THE COMMUNITIES WE SERVE. COMMUNITY BENEFIT MINISTRY IS THE PROCESS BY WHICH ST. MARY'S SACRED HEART HOSPITAL MEASURES AND REPORTS THE IMPACT ON OUR COMMUNITY OF HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION, RESEARCH, AND FINANCIAL AND IN-KIND CONTRIBUTIONS. COMMUNITY BENEFIT IS ALSO ONE OF THE JUSTIFICATIONS FOR OUR NOT-FOR-PROFIT TAX STATUS. WE ARE PROUD TO GIVE BACK TO FRANKLIN, HART AND STEPHENS COUNTIES THROUGH OUR COMMUNITY BENEFIT MINISTRY, AS WE WORK TO LIVE OUT OUR MISSION TO BE A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES.ST. MARY'S SACRED HEART HOSPITAL'S OVERALL RESPONSIVENESS TO THE NEEDS OF THE COMMUNITY IS EVIDENCED BY OUR WILLINGNESS TO PARTICIPATE IN A RANGE OF COMMITTEES, COALITIONS, PANELS, ADVISORY GROUPS, COMMISSIONS, AND BOARDS. OUR LEADERSHIP AND STAFF WERE MEMBERS OF THE FRANKLIN COUNTY AND LAVONIA CHAMBERS OF COMMERCE AND THE HART COUNTY POVERTY TASK FORCE. ST. MARY'S SACRED HEART HOSPITAL IS ACTIVELY INVOLVED IN NUMEROUS COMMUNITY EVENTS THAT BENEFIT EVERY AGE GROUP IN FRANKLIN AND HART COUNTIES. ST. MARY'S SACRED HEART HOSPITAL CONTINUED TO HOST, OR PARTICIPATE IN, COMMUNITY EVENTS TO PROVIDE FREE HEALTH SCREENINGS AND INFORMATION TO AREA RESIDENTS.ST. MARY'S SACRED HEART HOSPITAL TOOK SEVERAL STEPS IN FISCAL YEAR 2021 TO ADDRESS THE COVID-19 PANDEMIC, INCLUDING:- COORDINATING ACTIVITIES AND PROGRAMS WITH PUBLIC HEALTH AGENCIES, OTHER HOSPITALS, AND OTHER ORGANIZATIONS IN RESPONSE TO THE PANDEMIC- PROVIDING COMMUNITY HEALTH EDUCATION TO INFORM THE COMMUNITY ABOUT THE COVID-19 PANDEMIC- SUPPORTING DISCHARGED PATIENTS AND COVID-19 IMPACTED PATIENTS IN ACCESSING COMMUNITY RESOURCES FOR SOCIAL NEEDS- PARTICIPATING IN DISASTER RESPONSE EXERCISES AND SURGE CAPACITY PLANNING- COORDINATING THE WORK OF THOSE WHO ARE RESPONDING TO HOSPITAL STAFFING NEEDS- CONDUCTING IN-SERVICE TRAINING (FOR NEW, REASSIGNED, AND OTHER STAFF) EXPRESSLY IN RESPONSE TO THE PANDEMIC PART VI, LINE 6: ST. MARY'S SACRED HEART 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 THOSE WHO ARE POOR AND VULNERABLE 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 CARE3. IMPACTING SOCIAL INFLUENCERS OF HEALTHINVESTING 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 FISCAL YEAR 2021, TRINITY HEALTH INVESTED $1.2 BILLION IN COMMUNITY BENEFIT, SUCH AS INITIATIVES SUPPORTING THOSE WHO ARE POOR AND VULNERABLE, HELPING TO MANAGE CHRONIC CONDITIONS LIKE DIABETES, PROVIDING HEALTH EDUCATION, AND MOVING FORWARD POLICY, SYSTEM, AND ENVIRONMENTAL CHANGE. IN RESPONSE TO COVID-19, TRINITY HEALTH MEMBER HOSPITALS REDIRECTED SOME RESOURCES TO ADDRESS THE MOST URGENT SOCIAL AND MEDICAL NEEDS IN OUR COMMUNITIES, INCLUDING FOOD SUPPORT, EDUCATION SUPPORT, AND OUTREACH TO THOSE EXPERIENCING HOMELESSNESS.ADDITIONALLY, THROUGH TRINITY HEALTH'S COMMUNITY HEALTH INSTITUTE, $1.6 MILLION WAS INVESTED IN THE "IT STARTS HERE" COVID-19 VACCINE CAMPAIGN, COUPLING COMMUNITY ENGAGEMENT STRATEGIES AND SOCIAL MEDIA INFLUENCERS. THIS EFFORT DISTRIBUTED $1.1 MILLION IN CHWB GRANTS TO MEMBER HOSPITALS AND COMMUNITY-BASED ORGANIZATIONS IN SUPPORT OF COMMUNITY ENGAGEMENT STRATEGIES FOCUSED IN COMMUNITIES OF COLOR. OVER 80% OF DOLLARS AWARDED SUPPORTED PRIORITIZED COMMUNITIES, DEFINED AS 40% OF THE COMMUNITY BEING BLACK/LATINX AND/OR NATIVE AMERICAN. IT STARTS HERE LAUNCHED IN FEBRUARY, AND IN JUST UNDER FIVE MONTHS, MEMBER HOSPITALS AND THEIR COMMUNITY PARTNERS REACHED NEARLY 615,000 PEOPLE THROUGH OUTREACH AND EDUCATION, ENGAGED OVER 1,150 COMMUNITY CHAMPIONS, AND HELD OVER 700 VACCINE CLINICS THAT PROVIDED OVER 152,000 VACCINATIONS. IN ADDITION TO COMMUNITY EFFORTS, IT STARTS HERE FUNDED SOCIAL MEDIA CAMPAIGNS TO IMPROVE ACCESS TO COVID-19 VACCINATION INFORMATION BY ENGAGING LOCAL SOCIAL MEDIA INFLUENCERS WHO REPRESENT THE CULTURE AND ETHNICITY OF OUR LOCAL COMMUNITIES.BEYOND COVID-19 EFFORTS, TRINITY HEALTH COMMITTED MORE THAN $46 MILLION IN LOANS TO 31 NOT-FOR-PROFIT ORGANIZATIONS FOCUSING ON IMPROVING COMMUNITY CONDITIONS AROUND HOUSING, FACILITIES, EDUCATION, AND ECONOMIC DEVELOPMENT THROUGH OUR COMMUNITY INVESTING PROGRAM. THE PROGRAM MAKES LOW-INTEREST RATE LOANS TO SELECT COMMUNITY PARTNERS AND INTERMEDIARIES TO POSITIVELY IMPACT SOCIAL INFLUENCERS THAT DRIVE HEALTHY OUTCOMES FOR FAMILIES AND RESIDENTS LIVING IN THE COMMUNITIES WE SERVE. ADVANCING SOCIAL CARE:TRINITY HEALTH'S SOCIAL CARE PROGRAM WAS DEVELOPED TO PROMOTE HEALTHY BEHAVIORS WHILE HELPING PATIENTS, COLLEAGUES AND MEMBERS ACCESS ESSENTIAL NEEDS, SUCH AS TRANSPORTATION, CHILDCARE, OR AFFORDABLE MEDICATIONS. COMMUNITY HEALTH WORKERS ARE A KEY COMPONENT OF SOCIAL CARE AND SERVE AS LIAISONS BETWEEN HEALTH AND SOCIAL SERVICES AND THE COMMUNITY TO ADDRESS PATIENTS' SOCIAL NEEDS AND MITIGATE BARRIERS. TRINITY HEALTH'S COMMUNITY HEALTH WORKER HUB DRIVES INTEGRATION AND ASSIGNMENT OF COMMUNITY HEALTH WORKERS THROUGHOUT THE HEALTH SYSTEM. IT INCLUDES A NETWORK OF COMMUNITY HEALTH WORKERS AND COMMUNITY-BASED ORGANIZATIONS THAT TOGETHER, HELP SUPPORT INDIVIDUALS AND FAMILIES IN NEED. BECAUSE OF THEIR LIVED EXPERIENCES, COMMUNITY HEALTH WORKERS ARE TRUSTED MEMBERS OF THE COMMUNITY AND WORK CLOSELY WITH A PATIENT BY ASSESSING THEIR SOCIAL NEEDS, HOME ENVIRONMENT AND OTHER SOCIAL RISK FACTORS, AND ULTIMATELY CONNECT THE INDIVIDUAL TO SERVICES WITHIN THE COMMUNITY. IN FISCAL YEAR 2021, TRINITY HEALTH GREW ITS NETWORK OF COMMUNITY HEALTH WORKERS BY 15%, OVER 90 COMMUNITY HEALTH WORKERS, SPANNING NEARLY EVERY MEMBER HOSPITAL.ADDITIONALLY, WE CREATED THE TRINITY HEALTH COMMUNITY RESOURCE DIRECTORY, WHICH IS AN ONLINE PORTAL CONNECTING THOSE IN NEED TO FREE OR REDUCED-COST HEALTH AND SOCIAL SERVICE RESOURCES WITHIN THE COMMUNITY AND ACROSS ALL TRINITY HEALTH LOCATIONS. IN FISCAL YEAR 2021, THE COMMUNITY RESOURCE DIRECTORY YIELDED NEARLY 50,000 SEARCHES, OVER 1,000 REFERRALS, OVER 70 KEY ORGANIZATIONS CLAIMED THEIR PROGRAMS, AND OVER 900 SOCIAL NEEDS ASSESSMENTS WERE COMPLETED.TRINITY HEALTH CONTINUES TO EXPAND THE NATIONAL DIABETES PREVENTION PROGRAM THROUGH THE SUPPORT OF THE CENTERS FOR DISEASE CONTROL AND PREVENTION. EPIC, TRINITY HEALTH'S ELECTRONIC HEALTH RECORD, IDENTIFIED THE DIABETES PREVENTION PROGRAM AS A BEST PRACTICE FOR IDENTIFICATION OF AT-RISK PATIENTS, REFERRAL, AND BI-DIRECTIONAL COMMUNICATION. ADDITIONALLY, THE AMERICAN MEDICAL ASSOCIATION PRESENTED TRINITY HEALTH'S DIABETES PREVENTION PROGRAM APPROACH TO THEIR BOARD OF DIRECTORS AS A BEST PRACTICE FOR A POPULATION HEALTH, DATA-DRIVEN STRATEGY TO PREVENT DIABETES.IMPACTING SOCIAL INFLUENCERS OF HEALTH:IN PARTNERSHIP WITH THE INTERFAITH CENTER ON CORPORATE RESPONSIBILITY, THE INVESTOR ENVIRONMENTAL HEALTH NETWORK AND INVESTORS FOR OPIOID AND PHARMACEUTICAL ACCOUNTABILITY, TRINITY HEALTH USES ITS OWNERSHIP OF SHARES OF STOCK IN CORPORATIONS TO INFLUENCE CORPORATIONS' POLICIES AND PRACTICES THAT AFFECT SOCIAL INFLUENCERS OF HEALTH, THE LIVING CONDITIONS THAT CAN AFFECT THE HEALTH OF A COMMUNITY, SUCH AS HOUSING, FOOD, EDUCATION, HEALTH CARE, AND ECONOMICS. TRINITY HEALTH TAKES ACTION BY WRITING LETTERS TO COMPANIES, MEETING WITH CORPORATE MANAGEMENT, AND SUBMITTING AND SUPPORTING SHAREHOLDER RESOLUTIONS AS AGENDA ITEMS FOR COMPANIES' ANNUAL MEETINGS OF SHAREHOLDERS.FISCAL YEAR 2021 YIELDED MANY POSITIVE OUTCOMES IN ITS 180 COMPANY ENGAGEMENTS, INCLUDING 50 COMPANY DIALOGUES AND 16 FILED RESOLUTIONS LEADING TO CHANGES IN POLICIES AND PRACTICES AT 18 CORPORATIONS. FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG. 1 1 0 0 0 0 0 0 0 D MONTEZ CARTER DIRECTOR; SMHCS PRESIDENT & CEO 0 407629 0 0 0 13832 0 85621 0 29064 0 536146 0 0 DANIEL POWELL FRMR OFFICER; SAMC INT CFO AT 3/21 0 376949 0 0 0 4969 0 12825 0 14100 0 408843 0 0 JANICE DUNN TREASURER; CHIEF FINANCIAL OFFICER 0 327905 0 0 0 4941 0 12825 0 27645 0 373316 0 0 JASON SMITH MD CHIEF MEDICAL OFFICER 0 296806 0 0 0 31877 0 13287 0 17308 0 359278 0 0 JEFFREY ENGLISH PRESIDENT, SACRED HEART;SMHCS VP OPS 0 277606 0 0 0 3650 0 21015 0 17471 0 319742 0 0 KAREN SCHULLER FORMER OFFICER 0 10023 0 0 0 263395 0 301 0 1022 0 274741 0 0 CASH MORRIS SECRETARY; VP & ASSOCIATE COUNSEL 0 190537 0 0 0 174 0 8882 0 24697 0 224290 0 0 DONNA TONEY MANAGER, PHARMACY 155854 0 0 0 535 0 7269 0 15743 0 179401 0 0 0 JENNIFER DICKERSON FORMER HC EMP; SMHCS MGR, PHARMACY 47399 97350 0 0 37 76 2232 4585 9091 14594 58759 116605 0 0 LAUREN PAPKA DIR ADMINISTRATIVE & SUPPORT SVCS 124935 0 0 0 835 0 6014 0 20811 0 152595 0 0 0 A REGINA HOOPER DIRECTOR OF NURSING 143354 0 0 0 243 0 6424 0 1591 0 151612 0 0 0 PART I, LINE 3 ST. MARY'S SACRED HEART HOSPITAL IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. ST. MARY'S SACRED HEART HOSPITAL'S PRESIDENT 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. MARY'S SACRED HEART HOSPITAL'S PRESIDENT: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINES 4A-B THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2020. THIS AMOUNT IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: KAREN SCHULLER - $260,603 THE FOLLOWING IS A PARTICIPANT IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2020. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. BENEFITS FOR PARTICIPANTS VESTED IN A PLAN WERE PAID OUT IN 2020, AND BENEFITS FOR PARTICIPANTS NOT YET VESTED IN A PLAN WERE ACCRUED IN 2020. THE FOLLOWING ACCRUAL FOR 2020 IS INCLUDED IN COLUMN C OF SCHEDULE J, PART II: D. MONTEZ CARTER - $73,095 THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH RESTORATION PLAN. THE RESTORATION PLAN PROVIDES RETIREMENT BENEFITS FOR CERTAIN TRINITY HEALTH SYSTEM OFFICE EXECUTIVES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($285,000 FOR 2020). THE FOLLOWING PAYOUTS FOR 2020 FOR THIS PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: JANICE DUNN - $0 JEFFREY ENGLISH - $1,829 KAREN SCHULLER - $1,121 JASON SMITH, MD - $0 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF ST. MARY'S SACRED HEART HOSPITAL IS ST. MARY'S HEALTH CARE SYSTEM. SEE LINE 7 FOR ADDITIONAL INFORMATION. FORM 990, PART VI, SECTION A, LINE 7A ST. MARY'S HEALTH CARE SYSTEM IS THE SOLE MEMBER OF ST. MARY'S SACRED HEART HOSPITAL. ST. MARY'S HEALTH CARE SYSTEM HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF ST. MARY'S SACRED HEART HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER, ST. MARY'S HEALTH CARE SYSTEM MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. ST. MARY'S HEALTH CARE SYSTEM 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. MARY'S SACRED HEART 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 WITH THE INTERNAL REVENUE SERVICE. 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. MARY'S SACRED HEART 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. MARY'S SACRED HEART 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. MARY'S SACRED HEART 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. MARY'S SACRED HEART HOSPITAL (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO ST. MARY'S SACRED HEART 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. MARY'S SACRED HEART 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. MARY'S SACRED HEART 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 OF ST. MARY'S SACRED HEART HOSPITAL IS ESTABLISHED BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING PRESIDENT, SYSTEM CEO AND CFO COMPENSATION, TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF THE PRESIDENT, SYSTEM CEO AND CFO OF ST. MARY'S SACRED HEART HOSPITAL ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS. FOR OTHER EXECUTIVES WHO ARE NOT PART OF THE REBUTTABLE PRESUMPTION PROCESS, TRINITY HEALTH USES A MARKET ANALYSIS TO DETERMINE THE APPROPRIATENESS OF THE EXECUTIVE'S COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 ST. MARY'S SACRED HEART 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. MARY'S SACRED HEART HOSPITAL INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. ST. MARY'S SACRED HEART HOSPITAL'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G MISCELLANEOUS PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,128,867. MANAGEMENT AND GENERAL EXPENSES 3,588,215. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,717,082. MEDICAL SPECIALIST FEES: PROGRAM SERVICE EXPENSES 3,850,053. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,850,053. BILLING SERVICES: PROGRAM SERVICE EXPENSES 25,300. MANAGEMENT AND GENERAL EXPENSES 243,189. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 268,489. LAUNDRY AND LINEN SERVICES: PROGRAM SERVICE EXPENSES 205,250. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 205,250. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 690,118. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 690,118. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS FROM AFFLIATES 14,628,548. FORM 990, PART XII, LINE 2: ST. MARY'S SACRED HEART HOSPITAL'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY21 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. SACRED HEART ENTERPRISES LLC 1230 BAXTER STREET ATHENS GA 30306 352534772 MANAGEMENT GA 0 0 ST MARY'S SACRED HEART HOSPITAL COBB ENTERPRISES LLC 1230 BAXTER STREET ATHENS GA 30306 208356011 COLLECTION GA 0 0 SACRED HEART ENTERPRISES LLC ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP 245 STATE ST SE GRAND RAPIDS MI 49503 272491974 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN 1 ALLEGANY FRANCISCAN MINISTRIES INC 33920 US HIGHWAY 19 NORTH SUITE 269 PALM HARBOR FL 34684 581492325 GRANT MAKING FL 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 ASYLUM HILL FAMILY MEDICINE CENTER INC 114 WOODLAND STREET HARTFORD CT 06105 061450170 HEALTH CARE SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 BAUM HARMON MERCY HOSPITAL 255 NORTH WELCH AVENUE PRIMGHAR IA 51245 421500277 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP 1 BAUM HARMON MERCY HOSPITAL AND CLINICS FOUNDATION 255 NORTH WELCH AVENUE PRIMGHAR IA 51245 262973307 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501(C)(3) LINE 1 N/A 0 DILEY RIDGE MEDICAL CENTER 6150 EAST BROAD STREET COLUMBUS OH 43213 342032340 HEALTH CARE AND HOSPITAL SERVICES OH 501(C)(3) LINE 3 MOUNT CARMEL HEALTH SYSTEM 1 DUBUQUE MERCY HEALTH FOUNDATION 250 MERCY DRIVE DUBUQUE IA 52001 262227941 FOUNDATION IA 501(C)(3) LINE 12A, I MERCY HEALTH SERVICES-IOWA CORP 1 DYERSVILLE HEALTH FOUNDATION INC 1111 3RD STREET SW DYERSVILLE IA 52040 205383271 FOUNDATION IA 501(C)(3) LINE 12A, I MERCY HEALTH SERVICES-IOWA CORP 1 EAST NORRITON PHYSICIANS SERVICES INC ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 232515999 HEALTH CARE SERVICES PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK 1 EDDY LICENSED HOME CARE AGENCY 433 RIVER ST SUITE 3000 TROY NY 12180 141818568 HOME HEALTH SERVICES NY 501(C)(3) LINE 3 LTC (EDDY) INC 1 EMBRACING AGE INC 333 BUTTERNUT DRIVE DEWITT NY 13214 461051881 PACE PROGRAM NY 501(C)(3) LINE 12B, II ST JOSEPH'S HEALTH INC 1 EMPIRE HOME INFUSION SERVICE INC 10 BLACKSMITH DRIVE MALTA NY 12020 141795732 HOME 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