4A (Expenses $ 200594722 including grants of $ 24946) (Revenue $ 295003345)
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, $4,583,599 WERE PROVIDED WITHOUT CHARGE. THE MEDICAL CENTER PROVIDED 276 LICENSED BEDS, 71,855 INPATIENT DAYS, 12,149 INPATIENT DISCHARGES, AND 53,684 ER VISITS IN THE YEAR ENDED JUNE 30, 2022.

4B (Expenses $ 25299266 including grants of $ 0) (Revenue $ 29273293)
ST. FRANCIS MEDICAL CENTER'S PHYSICIAN PRACTICE PROVIDES CARE TO THE NEEDY MEMBERS OF ITS COMMUNITIES.

ST. FRANCIS MEDICAL CENTER
PART V, SECTION B, LINE 5: ST. FRANCIS MEDICAL CENTER, INC., CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2021. SFMC'S 2021 CHNA IS INTENDED TO BE AN OVERVIEW OF THE CURRENT HEALTH STATUS AND HEALTH PRIORITIES OF THE PEOPLE OF REGION 8 OF NORTHEAST LOUISIANA. SFMC DEFINES ITS COMMUNITY AS A SERVICE AREA THAT CAN BE BEST AFFECTED WITH MEASURABLY EFFECTIVE IMPLEMENTATION STRATEGIES THAT IMPROVE THE HEALTH AND WELLNESS OF THE PEOPLE SERVED. THE 2021 CHNA PRIORITY AREAS ARE DEFINED BY THE INFORMATION GATHERED FROM DATA SOURCES, INTERVIEWS, A FOCUS GROUP HOSTED OCTOBER 5, 2021, AND COMMUNITY SURVEYS WITH ATTENTION GIVEN TO VULNERABLE POPULATIONS, INCLUDING MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. FOCUS GROUP ATTENDEES' RESPONSES TO GUIDING QUESTIONS FOCUSED HEAVILY ON ACCESS TO CARE, MENTAL HEALTH, AND MAKING HEALTHY CHOICES. COMMUNITY SURVEY RESPONDENTS WERE ASKED TO RANK WHAT THEY FELT WERE THE TOP FOUR HEALTH ISSUES FACING NORTHEAST LOUISIANA RESIDENTS. AFTER EXAMINATION OF THE SURVEY DATA AND COMPARISON TO FEEDBACK GAINED FROM INTERVIEWS WITH COMMUNITY STAKEHOLDERS, SEVERAL OVERARCHING THEMES DEVELOPED: - CHRONIC DISEASE MANAGEMENT AFFECTS PATIENTS IN MANY STAGES OF LIFE AND ACROSS ALL SOCIOECONOMIC CLASSES. - OBESITY/SEDENTARY LIFESTYLES IS A MAJOR CONCERN FOR THE PEOPLE OF REGION 8 AND IS A CONTRIBUTING FACTOR TO OTHER HEALTH AND QUALITY-OF-LIFE CONCERNS. - ACCESS TO CARE CAN CAUSE SIGNIFICANT, NEGATIVE HEALTH IMPACTS. THE IDEA OF ACCESS IS MORE THAN LACK OF PHYSICIANS AND INABILITY TO PAY - IT CAN BE INABILITY TO UNDERSTAND HOW TO ACCESS CARE, DIVERSITY/INCLUSION ISSUES, AND SO MUCH MORE. - SUBSTANCE ABUSE IS A PERVASIVE PROBLEM THROUGHOUT REGION 8. - CARING FOR THE ELDERLY IS A PRIORITY AS PEOPLE ARE LIVING LONGER LIVES. SFMC CONSULTED WITH JACKIE WHITE, MD, MEDICAL DIRECTOR, REGION 8 OFFICE OF PUBLIC HEALTH, IN AN INTERVIEW ON OCTOBER 11, 2021, AS PART OF THE CHNA PROCESS. DR. WHITE ALSO PARTICIPATED IN THE SFMC FOCUS GROUP. IN A FOLLOW-UP MEETING ON NOVEMBER 8, 2021, WITH SFMC EXECUTIVE COUNCIL REPRESENTATIVES, DR. WHITE AND THE REGION 8 OPH TEAM DISCUSSED BEING A COLLABORATING PARTNER WITH SFMC THROUGHOUT THE 2021 CHNA IMPLEMENTATION PLAN MEASUREMENT PERIOD TO ADDRESS THE NEEDS OF VULNERABLE POPULATIONS WITHIN THE DEFINED COMMUNITY/SERVICE AREA AND THROUGHOUT REGION 8. DR. WHITE AND THE OPH TEAM UTILIZED SFMC'S PREVIOUS CHNA DOCUMENT IN RELATION TO ITS LINCOLN PARISH DATA AND WILL BE WORKING WITH SFMC ON THE 2021 CHNA IMPLEMENTATION PLAN. DR. WHITE AND HER TEAM SHARED THEIR REGIONAL OUTLINE OF HEALTH PRIORITIES AND CHALLENGES BOTH FROM PATIENT AND OPERATIONAL PERSPECTIVES, WHICH MIRRORED THE DATA ANALYSIS AND COMMUNITY SURVEY RESULTS SFMC RECEIVED DURING THE CHNA PROCESS. DISCUSSION DURING BOTH THE OCTOBER 11 AND NOVEMBER 8 MEETINGS CENTERED ON HOW THE ORGANIZATIONS CAN COLLABORATE TO ADDRESS THE PRIORITY AREAS IDENTIFIED IN THE CHNA IN BOTH SFMC'S DEFINED COMMUNITY AND THROUGHOUT REGION 8. BASED ON A COMPREHENSIVE DATA ANALYSIS AND FEEDBACK RECEIVED FROM THE COMMUNITY SURVEY AND INTERVIEWS, SFMC IDENTIFIED THE FOLLOWING HEALTH NEEDS AREAS FOR ITS 2021 CHNA (IN RANK ORDER): 1. CHRONIC DISEASE MANAGEMENT 2. ACCESS TO CARE 3. OBESITY / SEDENTARY LIFESTYLES 4. MENTAL HEALTH 5. SUBSTANCE ABUSE 6. HEART DISEASE/STROKE 7. CARE FOR THE ELDERLYST. FRANCIS MEDICAL CENTER HAS DECIDED TO ADDRESS THE TOP THREE IDENTIFIED NEEDS (CHRONIC DISEASE MANAGEMENT, ACCESS TO CARE, AND OBESITY/SEDENTARY LIFESTYLES), AND WILL NOT DIRECTLY ADDRESS THE REMAINING FOUR NEEDS LISTED ABOVE. HOWEVER, AS SFMC IMPLEMENTS STRATEGIES IN EACH OF THE THREE SELECTED PRIORITY AREAS, INDIRECT BENEFITS ARE EXPECTED FOR THE FOUR HEALTH CONCERNS THAT WERE NOT TARGETED DUE TO LINKAGES. SFMC WILL NOT ADDRESS THE IDENTIFIED NEEDS OF MENTAL HEALTH, SUBSTANCE ABUSE, HEART DISEASE/STROKE, AND CARE FOR THE ELDERLY BECAUSE; 1) THOSE NEEDS HAVE A LESSER AMOUNT OF WORK THAT STILL NEEDS TO TAKE PLACE TO SEE A POSITIVE IMPACT; 2) THOSE NEEDS WERE MENTIONED LESS FREQUENTLY DURING THE CHNA DEVELOPMENT PROCESS; AND 3) THE SELECTED NEEDS HAVE A MORE NOTEWORTHY INFLUENCE ON VULNERABLE COMMUNITY POPULATIONS THAT, IF BROUGHT UNDER CONTROL, COULD HAVE A DEEPER, MORE LASTING IMPACT ON THE PEOPLE AFFECTED.PART V, SECTION B, LINE 7AST. FRANCIS MEDICAL CENTER:THE CHNA CAN BE FOUND AT: HTTPS://STFRAN.COM/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT

ST. FRANCIS MEDICAL CENTER
"PART V, SECTION B, LINE 11: DURING THE CURRENT YEAR, SFMC DEVELOPED ITS NEW COMMUNITY HEALTH NEEDS ASSESSMENT AND RELATED IMPLEMENTATION PLAN AND CONTINUED TO FOCUS ON THE IDENTIFIED COMMUNITY NEEDS OF CHRONIC DISEASE MANAGEMENT, OBESITY/SEDENTARY LIFESTYLES, SUBSTANCE ABUSE, ACCESS TO CARE, AND CARE FOR THE ELDERLY. IN THE CURRENT YEAR, SFMC HAD A TOTAL KNOWN IMPACT OF 84,211 LIVES. SPECIFIC ACTIONS TAKEN TO ADDRESS AREAS OF NEED INCLUDED MEDICATION SAFETY TIPS FOR SENIORS IN PARTNERSHIP WITH REGION 8 COUNCILS ON AGING, MEALS DISTRIBUTED THROUGH MEALS ON WHEELS, CHILDBIRTH, ABC'S OF BABY CARE, AND BREASTFEEDING CLASSES OFFERED THROUGH ONLINE CLASSES TO ADDRESS PATIENTS WITH TRANSPORTATION PROBLEMS AND TO ALLOW PATIENTS FROM THROUGHOUT REGION 8 TO ACCESS THE CLASS WHERE CLASSES ARE NOT OFFERED, REGIONAL TRAUMA OUTREACH TO ADDRESS PREVENTABLE HOSPITAL STAYS THROUGH ""STOP THE BLEED"" CLASSES, VARIOUS HEALTH FAIRS, FOOD DRIVES, AND DONATION DRIVES TARGETING POPULATIONS IN NEED, AND TOBACCO CESSATION EDUCATION EFFORTS THROUGHOUT REGION 8. SFMC PLACED A GREAT DEAL OF FOCUS ON THE SOCIAL DETERMINANTS OF HEALTH AS THEY RELATE TO EACH OF THESE AREAS AND WORKS CLOSELY WITH THE SFMC DIVERSITY, EQUITY, AND INCLUSION COUNCIL TO EDUCATE INTERNAL AUDIENCES AND TO MONITOR ACTIVITIES, SUCH AS HIRING PROCESSES AND COMMUNITY SUPPORT OF MINORITY-OWNED BUSINESSES. SFMC ENCOURAGED IMPROVEMENT IN ALL CATEGORIES AMONG ITS TEAM MEMBERS AND THEIR FAMILY MEMBERS THROUGH ITS TOTAL REWARDS PROGRAM, WHICH REWARDS TEAM MEMBERS WITH POINTS THROUGHOUT THE YEAR FOR LOGGING ACTIVITIES THAT ARE COMPLETED. TEAM MEMBERS ARE ENCOURAGED TO ENGAGE IN HEALTH IMPROVEMENT ACTIVITIES NOT ONLY FOR PHYSICAL HEALTH BUT ALSO FOR MENTAL AND SPIRITUAL HEALTH, AS WELL AS INCREASED INVOLVEMENT IN VOLUNTEERISM AND FINANCIAL WELL-BEING."

ST. FRANCIS MEDICAL CENTER
PART V, SECTION B, LINE 13H: 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. 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

ST. FRANCIS MEDICAL CENTER
PART V, SECTION B, LINE 16J: 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 16:
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/

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 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 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, LN 7 COL(F):
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.

PART III, LINE 4:
THE BAD DEBT FOOTNOTE IS ON PAGES 17 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 HELPIDENTIFY (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 ISDETERMINED 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 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 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 (SFMC) WORKS TO CONDUCT HEALTH CARE NEEDS ASSESSMENTS. THEY WORK CLOSELY WITH THE CHILDREN'S COALITION FOR NORTHEAST LOUISIANA, THE UNITED WAY OF NORTHEAST LOUISIANA, OUACHITA COUNCIL ON AGING, CATHOLIC CHARITIES OF NORTH LOUISIANA, NEW OPPORTUNITIES VISION ACHIEVEMENT (NOVA), EDWARD VIA COLLEGE OF OSTEOPATHIC MEDICINE, LIVING WELL FOUNDATION, LIFESHARE BLOOD CENTER, LSU AG CENTER, MONROE CITY SCHOOLS, OUACHITA PARISH SCHOOLS, NORTHEAST DELTA HUMAN SERVICES AUTHORITY, NORTHEAST LA WAR VETERAN'S HOME, ST. VINCENT DEPAUL PHARMACY, UNIVERSITY OF LOUISIANA AT MONROE, WEST OUACHITA SENIOR CENTER, AND OTHER COMMUNITY STAKEHOLDERS TO DEFINE COMMUNITY NEEDS AND TO CONSOLIDATE EFFORTS TO MEET THOSE COMMUNITY NEEDS. FOR EXAMPLE, SFMC'S TRAUMA OUTREACH PROGRAMS, SUCH AS ""STOP THE BLEED,"" HAVE EXPANDED INTO THE COMMUNITY TO ADDRESS PREVENTABLE HOSPITAL STAYS AND ACCESS TO CARE, AND SFMC HAS IMPLEMENTED PROGRAMS TO ADDRESS IMMEDIATE COMMUNITY NEEDS, SUCH AS FAN DRIVES IN THE SUMMER, FOOD DRIVES THROUGHOUT THE YEAR, AND PRESCRIPTION TAKEBACK DAY PLANNING IN PARTNERSHIP WITH THE UNIVERSITY OF LOUISIANA AT MONROE SCHOOL OF PHARMACY. THE HOSPITAL CONDUCTED AN UPDATED COMMUNITY HEALTH NEEDS ASSESSMENT IN TAX YEAR 2018 AND 2021 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 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, AND ONE IN MISSISSIPPI. 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 HOSPITALRELATED HOSPITAL IN MISSISSIPPI:- ST. DOMINIC JACKSON MEMORIAL HOSPITAL

PART VI, LINE 4:
COMMUNITY INFORMATION:ST. FRANCIS MEDICAL CENTER (SFMC) IS A COMMUNITY-BASED, NOT-FOR-PROFIT HOSPITAL LOCATED IN MONROE, LOUISIANA, IN OUACHITA PARISH. FOR PURPOSE OF THE CHNA, THE HOSPITAL DEFINES ITS PRIMARY SERVICE AREA AS OUACHITA AND LINCOLN PARISHES. PURSUANT TO THE HOSPITAL'S LAST CHNA, SFMC'S PRIMARY SERVICE AREA HAS A POPULATION OF APPROXIMATELY OF 205,383. OF THOSE PEOPLE, 47,934 RESIDE IN LINCOLN PARISH, AND 157,150 RESIDE IN OUACHITA PARISH, AND THE SENIOR POPULATION COMPRISES 13.48% OF LINCOLN PARISH AND 13.28% OF OUACHITA PARISH. THE MEDIAN HOUSEHOLD INCOME IN LINCOLN PARISH IS $37,842, AND THE AVERAGE HOUSEHOLD INCOME IS $61,321. THE MEDIAN HOUSEHOLD INCOME IN OUACHITA PARISH IS $40,167, AND THE AVERAGE HOUSEHOLD INCOME IS $62,699. BOTH PARISHES REPORT LOWER MEDIAN HOUSEHOLD INCOME THAN LOUISIANA AS A WHOLE ($49,216).

PART VI, LINE 5:
PROMOTION OF COMMUNITY HEALTH:ST. FRANCIS MEDICAL CENTER (SFMC) PARTICIPATES IN COMMUNITY INVOLVEMENT ACTIVITIES BECAUSE IMPROVEMENTS TO A COMMUNITY DIRECT IMPACT THE IMPROVED HEALTH OF COMMUNITY RESIDENTS. COMMUNITY IMPROVEMENT ACTIVITIES INCLUDE THE FOLLOWING: PROVISION OF A MEDICAID CLINIC DEDICATED TO WOMEN'S AND CHILDREN'S HEALTH, CASH AND IN-KIND DONATIONS TO NOT-FOR-PROFIT ORGANIZATIONS ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH AND/OR SUPPORTING THE PRIORITY AREAS IDENTIFIED IN THE SFMC CHNA; PROGRAMS AND EDUCATIONAL OUTREACH THAT ADDRESS FOOD INSECURITY, DIVERSITY, EQUITY, AND INCLUSION, PREVENTABLE HOSPITAL STAYS, CARE FOR THE ELDERLY, OBESITY, AND TOBACCO CESSATION; ONGOING SPONSORSHIP OF BLOOD DRIVES TO SUPPORT THE LOCAL SUPPLY AVAILABLE TO PATIENTS. SFMC PROVIDES OCCUPANCY AND UTILITIES FREE OF CHARGE TO ST. VINCENT DEPAUL PHARMACY SO THAT UNINSURED, UNDERINSURED AND WORKING POOR MEDICALLY DISENFRANCHISED INDIVIDUALS AND FAMILIES HAVE ACCESS TO PRESCRIPTION MEDICATIONS. THIS ALLOWS THE PHARMACY TO SPEND ITS FUNDS ON ACTIVITIES THAT HAVE MORE DIRECT IMPACT ON PEOPLE IN NEED. SFMC PROVIDES MANAGEMENT OVERSIGHT OF COMMUNITY PROGRAMS AND ACTIVITIES, INCLUDING MEALS ON WHEELS AND COMMUNITY BENEFIT SALARY DOLLARS, AND 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 AND HAS MANY PROGRAMS DESIGNED TO PROMOTE LEADERSHIP DEVELOPMENT AND PROVIDE EXPOSURE TO VARIOUS CAREERS IN HEALTH CARE. SUCH PROGRAMS INCLUDE HEALTH INFORMATION MANAGEMENT, AHEC (AREA HEALTH EDUCATION CENTER) PROGRAM FOR STUDENTS PREPARING TO GRADUATE FROM HIGH SCHOOL, RADIOLOGY, LABORATORY, AND RESPIRATORY PROGRAMS, AS WELL AS PARTNERSHIPS WITH SEVERAL NURSING SCHOOLS AND A DEVELOPING RELATIONSHIP WITH THE EDWARD VIA COLLEGE OF OSTEOPATHIC MEDICINE LOCATED AT THE UNIVERSITY OF LOUISIANA AT MONROE. THE ROLE OF SFMC'S COMMUNITY IMPACT MANAGER EXPANDED IN THE CURRENT FISCAL YEAR TO ASSIST ORGANIZATIONS THROUGHOUT THE MINISTRY WITH PROGRAMMING AND ACCOUNTABILITY, AS WELL AS THE CHNA AND IMPLEMENTATION PLANNING PROCESS, AND ALSO EXPANDED WITHIN SFMC TO INCLUDE EXPANSION OF COMMUNITY EDUCATION AND OUTREACH. 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. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR SOME OR ALL THE DEPARTMENTS, AS NEEDED, AND APPLIES SURPLUS FUNDS TO IMPROVEMENTS IN PATIENT ARE THROUGH INVESTMENT IN CLINICAL TECHNOLOGY, MEDICAL INFORMATION TECHNOLOGY, AND CONTINUED TRAINING OF CLINICAL STAFF.