2020-07-15T15:44:32-05:00 2019-06-30 KPMG LLP 301 Main Street Suite 2150 Baton Rouge LA 70801 990 2018-07-01 720408970 ST FRANCIS MEDICAL CENTER % AMANDA HYMEL STFR 3189664000 PO Box 1901 Monroe LA 71210 JEFF LIMBOCKER CFO/EVP 3189664000 2020-07-14 true BRITTANY ELLISER P01284594 2253444000 2020-07-11 199.206.0.5 72049520201975000018 2020-07-15 P EB850E1BCF32CA73DDA849DEBA9ACC48FFFF1BCD 606B868638B351F0DD3B21299E8CEABE66140F96 2018 2021-01-29 14:40:06Z Jeff Limbocker PO Box 1901 Monroe LA 71210 337006039 false 0928 X www.stfran.com X 1913 LA TO PROVIDE FOR THE CARE OF THE ILL, INJURED, OR DISABLED PERSONS AND TO PROVIDE FOR THE RESEARCH,EDUCATION AND THE ENHANCEMENT OF HEALTH OF THOSE IN NORTHEAST LOUISIANA. 15 13 1852 102 1205723 837023 900640 1846469 244061200 307647774 8181583 5892562 7912353 3673278 261055776 319060083 18148 19029 0 0 108113572 115836645 0 0 0 154840182 201851994 262971902 317707668 -1916126 1352415 271917014 260641986 244696420 241021855 27220594 19620131 X INSPIRED BY THE VISION OF ST. FRANCIS OF ASSISI AND IN THE TRADITION OF THE ROMAN CATHOLIC CHURCH, WE EXTEND THE HEALING MINISTRY OF JESUS CHRIST TO GOD'S PEOPLE, ESPECIALLY THOSE MOST IN NEED. WE CALL FORTH ALL WHO SERVE IN THIS HEALTHCARE MINISTRY, TO SHARE THEIR GIFTS AND TALENTS TO CREATE A SPIRIT OF HEALING - WITH REVERENCE AND LOVE FOR ALL OF LIFE, WITH JOYFULNESS OF SPIRIT, AND WITH HUMILITY AND JUSTICE FOR ALL THOSE ENTRUSTED TO OUR CARE. WE ARE, WITH GOD'S HELP, A HEALING AND SPIRITUAL PRESENCE FOR EACH OTHER AND FOR THE COMMUNITIES WE ARE PRIVILEGED TO SERVE. false false 199244556 19029 287637323 St. Francis Medical Center provides quality hospital and medical services primarily to residents of Northeast Louisiana. The Medical Center is an active, caring member of the communities it serves. In carrying out its mission of meeting the healthcare needs of the people of God, the Medical Center has established a policy under which it provides care to needy members of its communities. Following that policy, health care services costing approximately, $1,429,871 were provided without charge. The Medical Center provided 79,643 inpatient days, 14,339 inpatient discharges and 51,484 ER visits in the year ended June 30, 2019. 22320843 22478006 ST. FRANCIS MEDICAL CENTER'S PHYSICIAN PRACTICE PROVIDES CARE TO THE NEEDY MEMBERS OF ITS COMMUNITIES. 221565399 true true false false false false false false false false true true false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false true true true true false false true 138 0 true 1852 true true true false false false false false false false false false false false X 15 13 false true false false false true true true true false false true true true true true true false true true true X AMANDA HYMEL 2257658496 5959 S SHERWOOD FOREST BLVD BATON ROUGE LA 70809 X ROBERT KEITH WHITE MD DIRECTOR/PHYSICIAN 40.0 0.0 X 239134 0 3858 THOMAS J GULLATT MD DIRECTOR/PHYSICIAN 40.0 0.0 X 722030 0 60481 KRISTIN WOLKART CEO 2.0 58.0 X X 0 542747 72312 ROLF MORSTEAD MD Ex-Officio/Chief of Staff 1.0 0.0 X 0 0 0 SIDNEY BAILEY MD Director 1.0 0.0 X 0 0 0 NICK J BRUNO PH D Director 1.0 0.0 X 0 0 0 SR HELEN CAHILL Director 1.0 11.0 X 0 0 0 WILLIAM CHEEK CHAIRMAN 1.0 0.0 X X 0 0 0 BISHOP MICHAEL G DUCA Director 1.0 0.0 X 0 0 0 HILL HINKLE MD Director 1.0 0.0 X 0 0 0 SUSAN HOFFMAN DIRECTOR 1.0 1.0 X 0 0 0 SR MARY ANN SEPULVADO OSF Director 1.0 1.0 X 0 0 0 TONYA HUNTER MD Director 1.0 0.0 X 0 0 0 REV LARRY STAFFORD VICE CHAIR 1.0 1.0 X X 0 0 0 JOHN REA DIRECTOR 1.0 0.0 X 0 0 0 LJ HOLLAND SECRETARY 1.0 0.0 X X 0 0 0 REV EVERETT SLACK DIRECTOR 1.0 0.0 X 0 0 0 JANET DURDEN DIRECTOR 1.0 0.0 X 0 0 0 JEFF LIMBOCKER CFO/EVP 2.0 58.0 X 0 696323 138768 DAN MACKSOOD CONTRACT CFO 40.0 0.0 X 0 0 0 JEREMY ROGERS CFO & VP OF FINANCE 1.0 40.0 X 0 130579 8967 KAYLA JOHNSON VP Patient Care Services 40.0 0.0 X 268289 0 60726 SABRINA HOGAN VP Physician Services 40.0 0.0 X 261504 0 61994 JOHN D BRUCHHAUS PHYSICIAN 40.0 0.0 X 640301 0 57332 RONALD C HUBBARD PHYSICIAN 40.0 0.0 X 495110 0 25666 JAMES G SMITH HOSPITALIST 40.0 0.0 X 576383 0 51871 DARSHAN PATEL STAFF PHYSICIAN 40.0 0.0 X 532019 0 31631 RICHARD W FINCHER HOSPITALIST 40.0 0.0 X 501544 0 60228 4236314 1369649 633834 135 false true false FMOL Health System 4200 Essen Lane Baton Rouge LA 70809 Management Services 28676411 MORRISON MGMT SPECIALISTS 5801 Peachtree Dunwoody Rd Atlanta GA 30342 DIETARY SERVICES 4597425 Parish Anesthesia of Monroe 3900 N CAUSEWAY BLVD STE 625 Metarie LA 70002 ANESTHESIA SERVICES 3527841 SPECIALTY MGMT SER OF OUACHITA 101 CATALPA ST MONROE LA 71201 CONTRACT LABOR 4371295 TRIMEDX INC 5451 Lakeview Parkway S Dr Indianapolis IN 46268 MAINTENANCE SERVICE 3927892 112 601739 1244730 1846469 PATIENT SERVICE REVENUE 621500 291519656 291519656 Cafeteria 900099 1716506 1716506 Income from Equity Investees 900099 906193 787923 118270 Other 900099 11960268 11960268 Outreach lab 900099 1545151 457698 1087453 307647774 1145322 1145322 0 0 3673278 3673278 0 3673278 3673278 22552362 140834 17775412 170544 4776950 -29710 4747240 4747240 0 0 0 0 0 0 0 0 0 0 319060083 310115329 1205723 5892562 19029 19029 0 0 0 1154223 709568 444655 0 91181236 56054372 35126864 5537058 3403949 2133109 11354915 6980522 4374393 6609213 4063065 2546148 42922929 26387204 16535725 313548 192756 120792 0 0 0 186940 186940 29305722 18015920 11289802 584457 359299 225158 36963429 22723555 14239874 206122 126715 79407 0 6489518 3989482 2500036 582843 358307 224536 0 0 5269105 5269105 0 12855721 7903154 4952567 3016966 1854703 1162263 MEDICAL SUPPLIES EXPENSE 63154694 63154694 317707668 221565399 96142269 0 26970251 10740536 0 0 0 0 32799186 34237783 0 0 0 0 115000 115000 5903892 6430114 2434707 2914284 380929352 282699978 100030823 98229374 0 0 90456046 82534327 0 0 3736701 3736701 9470408 21703867 271917014 260641986 36467276 37912590 0 0 0 0 121705457 116370258 0 0 0 0 0 0 0 0 86523687 86739007 244696420 241021855 X 26221506 19344801 999088 275330 0 0 27220594 19620131 271917014 260641986 X 1352415 -3196541 597305 -6353642 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 14215251 14215251 203175448 144126126 59049322 3765338 3063669 701669 155409811 133221295 22188516 4363504 2288888 2074616 98229374 INVESTMENTS HELD AT FMOLHS 82534327 F 82534327 OTHER ASSETS 21703867 21703867 0 ACCRUED PENSION COSTS 79300123 GENERAL & PROFESSIONAL LIABILI 5069110 OTHER LIABILITIES 2369774 86739007 X FIN 48 (ASC 740) FOOTNOTE SCHEDULE D, PART XIII "FMOLHS recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgement occurs. No reserves for uncertain tax positions have been recorded." true true X true X 250. false true true false true true 685411 685411 0 0.00000 56435629 55307569 1128060 0.00360 57121040 55992980 1128060 0.00360 7893 7893 0.00020 57511 57511 0.00020 2141258 759378 1381881 0.00430 80901 80901 0.00030 2287563 759378 1528186 0.00500 59408603 56752358 2656246 0.00860 48067 48067 0.00020 42830 42830 0.00010 2845 2845 0.00010 93742 93742 0.00040 true 8452025 73873544 84212133 -10338589 X true true P&S SURGICAL HOSPITA MEDICAL SERVICES 0.5 0.0389 0.3748 2 1 ST FRANCIS MEDICAL CENTER PO BOX 1901 MONROE LA 71210 www.fmolhs.org/stfran X X X 2 P&S SURGERY CENTER LLC 312 GRAMMONT STREET MONROE LA 71201 www.pssurgery.com X X ST FRANCIS MEDICAL CENTER 1 false false true X X X X X X X X X 19 true false false true X SEE PART V, SECTION C X true 19 false true false true X 200. 0. X X X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X true X false X X X true X false false P&S SURGERY CENTER LLC 2 false false true X X X X X X X X X 19 true false false true X SEE PART V, SECTION C X true 19 false true false true X 150. 0. X X X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X true X false X X X true X false false PART V, SECTION B, LINE 5 ST. FRANCIS MEDICAL CENTER (SFMC) AND P&S SURGICAL HOSPITAL: THE ORGANIZATIONS ENGAGED KEY COMMUNITY PARTNERS THROUGH PERSONAL INTERVIEWS. SFMC TOOK INTO ACCOUNT INPUT FROM THOSE WITH SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH BY INTERVIEWING SHEILA HUTSON, WHO IS AN RN AT THE OFFICE OF PUBLIC HEALTH. ADDITIONALLY, SFMC ALSO TOOK INTO ACCOUNT INPUT FROM THOSE WHO REPRESENT A BROAD INTEREST IN THE COMMUNITY BY CONDUCTING AN ONLINE SURVEY. THE PARTICIPANTS WERE ASKED TO SELECT FOUR HEALTH ISSUES. PART V, SECTION B, LINE 7A ST. FRANCIS MEDICAL CENTER: THE CHNA CAN BE FOUND AT HTTPS://STFRAN.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT P&S SURGERY CENTER, LLC: THE CHNA CAN BE FOUND AT HTTPS://STFRAN.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT PART V, SECTION B, LINE 11 ST. FRANCIS MEDICAL CENTER DURING THE CURRENT YEAR, SFMC FOCUSED ON IDENTIFIED COMMUNITY NEEDS OF OBESITY/SEDENTARY LIFESTYLES, CHRONIC DISEASE MANAGEMENT, HEART ATTACK AND STROKE, AND SUBSTANCE ABUSE (TOBACCO USE). WHILE WORKING ON ITS NEXT CHNA, SFMC IDENTIFIED ADDITIONAL PRIORITY AREAS: CARE FOR THE ELDERLY AND ACCESS TO CARE, AND BEGAN WORKING ON AN IMPLEMENTATION PLAN AND RELATED STRATEGIES TO ADDRESS THESE PRIORITY AREAS. WHILE SFMC IDENTIFIED NINE HEALTH NEEDS, IT CHOSE NOT TO FOCUS ON MENTAL HEALTH, CANCER, HEART DISEASE/STROKE, AND PREVENTABLE HOSPITAL STAYS. HOWEVER, SINCE THERE ARE LINKAGES AMONG ALL OF THESE AREAS, SFMC ANTICIPATES THAT THE OUTCOMES OF THE NON FOCUS AREAS WILL IMPROVE DUE TO THE TIE-INS THAT EXIST. FOR EXAMPLE, WHILE SFMC DID NOT CHOOSE TO ADDRESS MENTAL HEALTH AS A PRIORITY AREA, WE DID CHOOSE SUBSTANCE ABUSE AND ACCESS TO CARE, WHICH COULD HAVE TIE-INS WITH MENTAL HEALTH. ADDITIONALLY, WE DID NOT ADDRESS CANCER, BUT WORK DONE IN THE PRIORITY AREAS OF ACCESS TO CARE AND CARE FOR THE ELDERLY MAY CONNECT PATIENTS WITH CANCER-RELATED CARE. ST. FRANCIS MEDICAL CENTER HAS DONE THE FOLLOWING TO HELP ADDRESS THE IDENTIFIED COMMUNITY HEALTH NEEDS OBESITY/SEDENTARY LIFESTYLES: SFMC ESTABLISHED GOALS REGARDING 1) RETENTION OF TWO CERTIFIED LACTATION COUNSELORS (STRETCH GOAL = 3; RESULT = 2), 2) NUMBER OF PATIENTS RECEIVING LACTATION COUNSELING (AVERAGE 200/QUARTER; STRETCH GOAL = 300; RESULT = 240), 3) PERCENTAGE OF PATIENTS RECEIVING BREASTFEEDING EDUCATION AS THEIR PRIMARY SOURCE OF INFORMATION ABOUT NEWBORN NUTRITION (GOAL = 90; STRETCH = 100; RESULT = 100), AND 4) PERCENTAGE OF ADULTS RECEIVING BMI SCREENINGS AND FOLLOW-UP EDUCATION (GOAL = 53; STRETCH = 55; RESULT = 55.35). CHRONIC DISEASE MANAGEMENT: AFTER ESTABLISHING A SPEAKERS BUREAU IN FY 2017, SFMC SET A GOAL TO PRESENT 24 EDUCATIONAL PROGRAMS / SPEAKING OPPORTUNITIES IN THE COMMUNITY RELATED TO HEALTH AND WELLNESS IN FY 2018 WITH A STRETCH TARGET OF 36 AND SURPASSED THE GOAL WITH 41. SFMC LOWERED ITS READMISSIONS RATE GOAL FROM THE PRIOR YEARS RATE OF 9.28% TO A BASELINE OF 8.61% AND MET THE FY STRETCH GOAL OF 8.3% WITH A FINAL AVERAGE OF 8.27%. HEART ATTACK AND STROKE: SFMC IMPROVED THE PERCENTAGE OF ST. FRANCIS MEDICAL GROUP PATIENTS RECEIVING EFFECTIVE CLINICAL CARE FOR CORONARY ARTERY DISEASE THROUGH ANTIPLATELET THERAPY FROM A PRIOR YEARS BASELINE OF 82.81% TO 83.95%. SFMC SET AND MET A STRETCH GOAL OF PROVIDING EDUCATION TO 100% OF NEW SFMC TEAM MEMBERS ABOUT HEART ATTACK AND STROKE. SFMC SET A GOAL TO IMPROVE TIME FROM HOSPITAL ARRIVAL TO PERCUTANEOUS INTERVENTION (PCI) FOR ELIGIBLE PATIENTS WITH HEART ATTACKS. THE BASELINE, WHICH WAS THE FY TARGET. SFMC MET THE STRETCH TARGET OF LESS THAN 75 MINUTES AT 100% EVERY QUARTER. SUBSTANCE USE (TOBACCO USE): SFMC DID NOT MEET ITS GOAL TO INCREASE THE NUMBER OF NEW PATIENTS WHO ATTEND AN INTAKE SESSION AND AT LEAST ONE COUNSELING SESSION (GOAL = 275; STRETCH GOAL = 325; RESULT = 172). SFMC PROVIDED 11 SUPPORT GROUP SESSIONS (GOAL = 4; STRETCH GOAL = 6). SFMC MET BOTH ITS GOALS RELATED TO HIRING A THIRD CERTIFIED TOBACCO TREATMENT SPECIALIST AND DEVELOPMENT OF A PROGRAM MANUAL TO PROVIDE PATIENTS WITH EASILY UNDERSTOOD EDUCATION MATERIALS TO INCREASE LONGTERM CESSATION SUCCESS. P&S SURGERY CENTER DURING THE CURRENT YEAR, P&S FOCUSED ON IDENTIFIED COMMUNITY NEEDS OF ACCESS TO DENTAL CARE AND OBESITY. WHILE IT IDENTIFIED NINE HEALTH NEEDS DURING ITS LAST CHNA, IT CHOSE NOT TO FOCUS ON CHRONIC DISEASE MANAGEMENT, CARE FOR THE ELDERLY, SUBSTANCE ABUSE, MENTAL HEALTH, HEART ATTACK/STROKE, COMMUNICABLE/INFECTIOUS DISEASE, AND NUTRITION/HEALTHY EATING. EACH NEED NOT ADDRESSED IS EITHER BEING ADDRESSED BY OTHER ORGANIZATIONS IN THE COMMUNITY OR P&S IS NOT EQUIPPED TO ADDRESS THE NEED. P&S DID THE FOLLOWING: ACCESS TO DENTAL CARE: P&S IS PROVIDING DENTAL CARE TO INDIVIDUALS WHO MIGHT NOT OTHERWISE HAVE ACCESS TO SUCH CARE. LAST YEAR, 270 CASES WERE HANDLED. IN THE CURRENT YEAR, 320 CASES WERE HANDLED. OBESITY: P&S HAS MET ALL ITS GOALS RELATED TO OBESITY: EMPLOYMENT/RETENTION OF ONE DIETITIAN; RETAINING CENTER OF EXCELLENCE DESIGNATION; RETAINING CENTER OF DISTINCTION DESIGNATION; PROVIDING A SUPPORT GROUP. PART V, SECTION B, LINE 16J St. Francis Medical Center and P&S SURGERY CENTER, LLC Registration personnel refer patients that may have difficulty paying for their medical care to financial counselors to discuss qualifications for fully discounted care. PART V, SECTION B, LINE 13H St. Francis Medical Center: Presumptive eligibility may be determined on the basis of individual life circumstances that may include: 1. The patient receiving free care from a community clinic and is referred to the hospital; 2. State-funded prescription programs; 3. Homeless, indigent, or homeless clinic patient; 4. Patients children who qualify for other financial assistance programs; 5. Patient eligible for food stamps; 6. Medicaid eligible patient; 7. Patient is deceased with no known responsible party; 8. Patient is incarcerated and has no other responsible party PART V, SECTION B, LINE 16 PART V, SECTION B, LINE 16A, 16B 16C ST. FRANCIS MEDICAL CENTER: THE FINANCIAL ASSISTANCE POLICY, FAP APPLICATION FORM, AND A PLAIN LANGUAGE SUMMARY ARE AVAILABLE AT: HTTPS://FMOLHS.ORG/FINANCIAL-ASSISTANCE-POLICY/ P&S SURGERY CENTER, LLC: THE FINANCIAL ASSISTANCE POLICY, FAP APPLICATION FORM, AND A PLAIN LANGUAGE SUMMARY ARE AVAILABLE AT: HTTPS://FMOLHS.ORG/FINANCIAL-ASSISTANCE-POLICY/ SUPPLEMENTAL INFORMATION P&S SURGERY CENTER WAS ACQUIRED BY ST. FRANCIS MEDICAL CENTER IN SEPTEMBER OF 2018, SO ALL LINKS TO P&S DOCUMENTS WILL BE TO ST. FRANCIS MEDICAL CENTER'S WEBSITE. 4 COMMUNITY HEALTH CENTER 2600 TOWER DRIVE MONROE LA 71201 VARIOUS OUTPATIENT SERVICES NORTHEAST LA CANCER INSTITUTE 411 CALYPSO STREET MONROE LA 71210 CANCER TREATMENT AND IMAGING CENTER Monroe MRI Center 501 Catalpa Street Monroe LA 71201 MRI SERVICES ST FRANCIS PET IMAGING OF MONROE PO BOX 1851 Monroe LA 71201 PET IMAGING SERVICES PART I, LINE 3C FINANCIAL ASSISTANCE IS AVAILABLE FOR INDIVIDUALS WHO ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR ANY GOVERNMENT HEALTH CARE BENEFIT PROGRAM, AND WHO ARE UNABLE TO PAY FOR THEIR CARE. FULL AND PARTIAL DISCOUNTED CARE IS AVAILABLE IF INCOME AND ASSETS MEET CERTAIN FEDERAL POVERTY GUIDELINE LEVELS. DISCOUNTED CARE IS ALSO AVAILABLE FOR THOSE PATIENTS WITH CATASTROPHIC MEDICAL BILLS AND IS AVAILABLE IF MEDICAL BILLS EXCEED A CERTAIN PERCENTAGE OF INCOME AND ASSETS. FULLY DISCOUNTED CARE IS ALSO AVAILABLE WHERE THE PATIENT OR OTHER SOURCES CAN PROVIDE SUFFICIENT EVIDENCE OF PRESUMPTIVE ELIGIBILITY. PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE: 1) PATIENT RECEIVING FREE CARE FROM A COMMUNITY CLINIC AND IS REFERRED TO THE HOSPITAL; 2) STATE-FUNDED PRESCRIPTION PROGRAMS; 3) HOMELESS, INDIGENT, OR HOMELESS CLINIC PATIENT; 4) PATIENT'S CHILDREN WHO QUALIFY FOR OTHER FINANCIAL ASSISTANCE PROGRAMS; 5) PATIENT ELIGIBLE FOR FOOD STAMPS; 6) MEDICAID ELIGIBLE PATIENT; 7) PATIENT IS DECEASED WITH NO KNOWN RESPONSIBLE PARTY; 8) PATIENT IS INCARCERATED AND HAS NO OTHER RESPONSIBLE PARTY. PART I, LINE 7G ST. FRANCIS MEDICAL CENTER PROVIDES SUBSIDIZED HEALTH SERVICES, INCLUDING SERVICES THAT PROVIDE PEDIATRIC NEUROLOGY, PEDIATRIC NEUROSURGERY, AND ADULT NEUROLOGY. THESE SPECIALIZED SERVICES ARE SUBSIDIZED BY ST. FRANCIS MEDICAL CENTER SINCE THESE ARE UNDER-SERVED SPECIALTY AREAS. PART I, LINE 7 THE COST-TO-CHARGE RATIO IS UTILIZED AS THE COSTING METHODOLOGY TO CALCULATE THE AMOUNTS REPORTED IN PART I LINES 7A-7D AND IS BASED ON THE COST ACCOUNTING SYSTEM OF THE ORGANIZATION. FOR PART I LINES 7E, 7F, 7G, 7H AND 7I, DIRECT COSTS WERE CAPTURED FROM THE HOSPITAL'S AUDITED FINANCIAL STATEMENT AND THE MEDICARE COST REPORT WHERE APPLICABLE. FOR PART I LINE 7G, COST FIGURES WERE CALCULATED FROM DEPARTMENTAL COSTS LESS DIRECT OFFSETTING REVENUE. PART III, LINE 4 THE BAD DEBT FOOTNOTE IS ON PAGE 19 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. PART III, LINE 8 THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE MEDICARE COST REPORT IS BASED ON REGULATORY REQUIREMENTS AND GUIDELINES. THE ORGANIZATION CURRENTLY DOES NOT BELIEVE THAT ANY SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. PART III, LINE 9B PATIENTS WITH NO MEANS OF PAYMENT MAY APPLY FOR FINANCIAL ASSISTANCE. APPROVAL WILL BE BASED ON INCOME, ASSETS, AND MEDICAL EXPENSES AS SET FORTH IN THE FINANCIAL ASSISTANCE POLICY. ACCOUNTS MAY ALSO BE FULLY DISCOUNTED BASED ON A PRESUMPTIVE CHARITY SCORING SYSTEM WHICH IS SIMILAR TO CREDIT SCORING. TO THE EXTENT APPROPRIATE AND PERMITTED BY LAW, FINANCIAL COUNSELING AND SCREENINGS ARE CONDUCTED AT THE TIME OF ENCOUNTER TO ASSIST IN IDENTIFYING PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S POLICY. THESE PROCESSES HELP IDENTIFY (EARLY IN THE PROCESS) PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE. THIS HELPS KEEP QUALIFYING PATIENTS OUT OF THE HOSPITAL'S COLLECTION PROCESSES BECAUSE AMOUNTS COVERED BY FINANCIAL ASSISTANCE ARE NOT SUBJECT TO THE HOSPITAL'S COLLECTION PRACTICES. HOWEVER, IF IT IS DETERMINED THAT A PATIENT QUALIFIES FOR CHARITY CARE AFTER THE INDIVIDUAL'S ACCOUNT HAS BEEN SENT TO COLLECTIONS, THE DISCOUNTED AMOUNT IS IMMEDIATELY REMOVED FROM THE COLLECTIONS PROCESS. PART VI, LINE 2 NEEDS ASSESSMENT: Responding to the health needs of our community, especially to those most in need, is primary to the hospital's mission. As such, St. Francis Medical Center, Inc. works to conduct health care needs assessments. They work closely with Families helping Families, The Wellspring, The Children's Coalition, YMCA and many other organizations to define community needs and to consolidate efforts to meet those community needs. For example, a school-based health center and a diabetes and nutrition center was initiated after a health care assessment identified the need. The hospital conducted an updated community based needs assessment in tax year 2018 and will continue to use community based data to support decisions for outreach in the community. PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: Patients are informed through a patient handbook that contains information on the financial policies of St. Francis Medical Center. Additionally, signs are posted in the Admissions areas that Financial Counseling is available upon request. Systems and tools are utilized to conduct high level financial screening to assist in identifying patients eligible for financial assistance. Financial counselors work closely with patients to assist with enrollment for those who are eligible for Medicaid as well as assist those who are eligible for HOSPITAL FINANCIAL ASSISTANCE in determining eligibility. PART VI, LINE 4 COMMUNITY INFORMATION: ST. FRANCIS MEDICAL CENTER (SFMC) IS A COMMUNITY-BASED, NOT-FOR-PROFIT HOSPITAL LOCATED IN MONROE, LOUISIANA THAT SERVES OUACHITA PARISH AND PORTIONS OF THE SURROUNDING PARISHES. FOR THE PURPOSE OF THE CHNA, SFMC DEFINES ITS PRIMARY SERVICE AREA AS LINCOLN AND OUACHITA PARISHES. PURSUANT TO THE HOSPITAL'S LAST CHNA, SFMC'S PRIMARY SERVICE AREA HAS A POPULATION OF APPROXIMATELY 205,383 AND THE SENIOR POPULATION COMPRISES ABOUT 13.48% OF THE TOTAL POPULATION. THE MEDIAN HOUSEHOLD INCOME IS $40,167 IN OUACHITA PARISH AND $37,842 IN LINCOLN PARISH. APPROXIMATELY 19% OF THE PARISH'S RESIDENTS LIVE BELOW THE POVERTY LEVEL. PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: St. Francis Medical Center participates in community improvement activities because it understands that improvements to a community have a direct link to the improved health of community residents. Community improvement activities include the following: SFMC provides occupancy and utilities free of charge to St. Vincent DePaul charitable pharmacy so that the poorest individuals in the community have access to prescription drugs. SFMC also provides occupancy free of charge to a primary health care clinic located in one of the poorest areas of Monroe. These activities allow the recipient organizations to spend their available funds on activities that have more direct impact on those in need. SFMC provides management oversight of community programs and activities, including Meals on Wheels, taxi and medication provided to the needy, and community benefit salary dollars. SMFC proudly serves as the designated regional hospital for Region 8 and provides leadership and coordination for emergency preparedness activities. SFMC provides leadership development and training for Roman Catholic Priests to serve in the SFMC Community. SFMC improves access to public health through its financial support of an adult day health care facility and a school based health center. SFMC has many programs designed to promote leadership development and provide exposure to various careers in health care. Such programs include health information management, sports medicine program, AHEC (area health education center) program, Carroll High School Housekeeping Program and the Jr. Volunteer Program. A majority of the governing body of SFMC is comprised of individuals from a broad cross-section of the community who reside in the primary service area and who are neither employees nor contractors of the organization. SFMC extends medical staff privileges to all qualified physicians in the community for some or all of the departments, as needed. SFMC applies surplus funds to improvements in patient care through investment in Clinical technology, medical information technology, and continued training of clinical staff. PART VI, LINE 6 St. Francis Medical Center is a not-for-profit hospital, non-stock member corporation of which Franciscan Missionaries of Our Lady Health System, Inc. (FMOL Health System) is the sole member. St. Francis Medical Center is part of the FMOL Health System which includes several hospitals and tax-exempt affiliates throughout the state of Louisiana. St. Francis Medical Center serves the community in Northeastern Louisiana and Southern Arkansas. Other related hospitals in Louisiana include: Our Lady of Lourdes Regional Medical Center Our Lady of the Lake Hospital St. Elizabeth Hospital Our Lady of the Lake Assumption Hospital OUR LADY OF THE ANGELS HOSPITAL PART III, SECTION A, LINE 2 AMOUNTS REPRESENT THE ACTUAL CUSTOMER AMOUNTS DUE TO ST. FRANCIS MEDICAL CENTER THAT WERE WRITTEN OFF BECAUSE THEY WERE UNCOLLECTIBLE. PART I, LINE 7F FOR THE PURPOSE OF CALCULATING THE PERCENTAGE IN PART I, LINE 7, COLUMN F, FUNCTIONAL EXPENSES WERE USED WHICH DID NOT INCLUDE BAD DEBT EXPENSE. false true false false false false false false false ROBERT KEITH WHITE MD DIRECTOR/PHYSICIAN 166836 0 71428 0 870 0 0 0 3858 0 242992 0 0 0 THOMAS J GULLATT MD DIRECTOR/PHYSICIAN 567568 0 150980 0 3482 0 41541 0 18940 0 782511 0 0 0 KRISTIN WOLKART CEO 0 428742 0 113430 0 575 0 47553 0 24759 0 615059 0 0 KAYLA JOHNSON VP Patient Care Services 228036 0 39184 0 1069 0 36345 0 24381 0 329015 0 0 0 SABRINA HOGAN VP Physician Services 217482 0 42207 0 1815 0 36027 0 25967 0 323498 0 0 0 JEFF LIMBOCKER CFO/EVP 0 535092 0 160416 0 815 0 114181 0 24587 0 835091 0 0 JOHN D BRUCHHAUS PHYSICIAN 574856 0 62563 0 2882 0 30820 0 26512 0 697633 0 0 0 RONALD C HUBBARD PHYSICIAN 388927 0 101961 0 4222 0 6875 0 18791 0 520776 0 0 0 JAMES G SMITH HOSPITALIST 510338 0 62563 0 3482 0 41541 0 10330 0 628254 0 0 0 DARSHAN PATEL STAFF PHYSICIAN 449020 0 80537 0 2462 0 6875 0 24756 0 563650 0 0 0 RICHARD W FINCHER HOSPITALIST 446309 0 51063 0 4172 0 41288 0 18940 0 561772 0 0 0 PART I, QUESTION 3 THE CEO IS PAID BY FMOL HEALTH SYSTEM, A RELATED TAX EXEMPT ORGANIZATION. THE FMOLHS BOARD OF DIRECTORS DESIGNATES A COMPENSATION COMMITTEE, MADE UP OF INDEPENDENT BOARD MEMBERS, TO REVIEW AND SET THE CEO'S COMPENSATION ANNUALLY. THE COMPENSATION COMMITTEE OBTAINS AND RELIES UPON COMPARABLE DATA INCLUDING A COMPENSATION STUDY/SURVEY FROM AN INDEPENDENT COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE REVIEWS COMPENSATION PACKAGES AND APPROPRIATE COMPENSATION IS DETERMINED AND APPROVED. THE BASIS FOR DETERMINATION IS THEN DOCUMENTED BY THE COMPENSATION COMMITTEE. THE CEO ALSO SIGNS A WRITTEN EMPLOYMENT AGREEMENT. PART I, QUESTION 4B FMOLHS maintains three unfunded deferred compensation plans which meet the requirements of IRC Section 457(f) and IRC Section 409A. The plans provide for compensation to be deferred and paid upon the occurrence of certain events such as termination without cause, disability, death or attainment of a specific payment date. Participation in the plans is limited to certain executives and is subject to approval of FMOLHS board of directors or a designated committee of such board. No one listed on Part VII, Section A received a payment from the plans in the current year. PART I, QUESTION 4A The CFO is entitled to a severance benefit. The payout of such benefit is remote as it is effective only for a termination of employment without cause, for good reason or due to change of control. If triggered, the executive would be paid his/her base salary and provided retirement and welfare benefits for an entitlement period. The entitlement period is 24 months. No payments were made under the plan in the current year. Two officers are entitled to a severance benefit. The payout of such benefit is remote as it is effective only for a termination of employment without cause, for good reason or due to change of control. If triggered, the employee would be paid his/her base salary and provided retirement and welfare benefits for an entitlement period. The entitlement period is generally 12 months. No payments were made under the plan in the current year. Part VI, Section A, Question 6 FMOL Health System, Inc. (an IRC Section 501(C)(3) organization) is the sole member of the medical center. PART VI, SECTION A, QUESTION 7A FMOL HEALTH SYSTEM, INC. AS THE SOLE MEMBER OF THE MEDICAL CENTER, RETAINS THE POWER TO APPOINT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF ST. FRANCIS MEDICAL CENTER. PART VI, SECTION A, QUESTION 7B THE RESERVED POWERS TO FMOL HEALTH SYSTEM, INC. ARE AS FOLLOWS: i. To change philosophy, objectives and purposes of corporation. ii. To appoint or remove the Members of the Board of Trustees and Officers of the corporation. iii. To amend, alter, modify or repeal the Articles of Incorporation and Bylaws of the corporation. iv. To authorize merger, consolidation, or affiliation, or participate in joint ventures. v. To dissolve and to distribute assets of the corporation. vi. To appoint and/or terminate with or without cause the Chief Executive Officer of the corporation. vii. To acquire, purchase, sell, lease, transfer, or encumber any immovable property on behalf of the corporation. viii. To add to or incur long-term debt in excess of $5 million by the Corporation. ix. To appoint the fiscal auditor for the corporation. x. To approve any increment or addition to the capital debt or efforts to renegotiate, modify or change the existing capital debt obligations of the corporation. xi. To approve the annual operating and capital budgets of the corporation. xii. To approve a strategic business plan of the corporation. Part VI, Section A, Question 11A AFTER PREPARATION AND REVIEW OF FORM 990 BY KPMG LLP, THE TAXPAYER'S TAX ADVISORS, ONE OR MORE MEMBERS OF SENIOR MANAGEMENT REVIEWS THE RETURN. ST. FRANCIS MEDICAL CENTER'S GOVERNING BODY IS PROVIDED A COPY OF THE RETURN ELECTRONICALLY PRIOR TO THE FILING DATE AND IS GIVEN AN OPPORTUNITY TO REVIEW AND PROVIDE COMMENTS TO MANAGEMENT. PART VI, SECTION B, QUESTION 12C St. Francis Medical Center has a comprehensive conflict of interest policy that requires each officer, trustee, board committee member and employee to complete a conflict of interest disclosure statement annually. Completed disclosure forms are reviewed and maintained by the Chief Compliance Officer. If any trustee, Board committee member or senior manager has a potential conflict, the Executive Committee of the Board determines whether action needs to be taken and communicates any such action to the individual. A potential conflict of any other employee is reviewed by the CEO or his designee. The Executive Committee, CEO or designee, as applicable, determines if a conflict of interest exists or creates the appearance of impropriety. If such a determination is made, the individual will be excused from participating in the business decision. During the year, any change to the information in the disclosure statement must be disclosed promptly to the Chief Compliance Officer, who takes appropriate action. The process also requires affirmation from each individual that she/he (a) has received a copy of the conflict of interest policy; (b) has read and understands the policy; (c) has agreed to comply with the policy; and (d) understands that St. Francis Medical Center is a charitable organization and that, in order to maintain its Federal tax exemption, it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. In addition to the above, St. Francis Medical Center provides mechanisms for confidential reporting of compliance issues. These mechanisms include an anonymous hotline and Web site where individuals may raise issues, seek clarification, and report possible conflicts of interest or other concerns. These reports, including reports of possible conflicts of interest, are reviewed and investigated by the Corporate Compliance Department and appropriate action is taken. PART VI, SECTION B, QUESTION 15A & 15B Our Board of Directors designates an executive committee made up of independent board members to review and set the compensation annually of our officers and key employees. The executive committee obtains and relies upon comparable data including industry-wide compensation information provided by an outside consulting firm. The executive committee reviews compensation packages and appropriate compensation is determined and approved. The basis for determination is then documented by the executive committee. The compensation for the CEO of St. Francis Medical Center is set by the compensation committee of FMOL Health System (a related tax-exempt organization) according to their pay practices which are similar to those described above. GOVERNING DOCUMENTS PART VI, SECTION C, QUESTION 19 The organization makes its governing documents, conflict of interest policy and financial statements available upon request. PART XI, QUESTION 9 CAPITAL TRANSFERS $(6,353,642) SECTION 1.263(A)-3(N) ELECTION-BOOK CONFORMITY ELECTION ST. FRANCIS MEDICAL CENTER is making the election under Treas. Reg. 1.263(a)-3(n) to capitalize those repair and maintenance costs that it treats as capital improvements on its books and records for the tax year ended JUNE 30, 2019. SECTION 1.263 (A)-1(F)- ELECTION- DE MINIMIS SAFE HARBOR ELECTION ST. FRANCIS MEDICAL CENTER hereby makes the de minimis safe harbor election under Section 1.263(a)-1(f) of the Treasury Regulations, effective only for the tax year ending June 30, 2019. Taxpayer has an Applicable Financial Statement for the year of the election. This election permits the taxpayer to deduct for tax purposes any item deducted under its book policy that does not exceed $5,000 per invoice (or per item, as substantiated by the invoice) or items having an economic useful life of twelve months or less as described in Section 1.263(a)-1(f)(1)(i). 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