4A (Expenses $ 146965271 including grants of $ 0) (Revenue $ 135826160)
SAINT FRANCIS HOSPITAL IS CLASSIFIED AS AN URBAN HOSPITAL, WITH OUR PRIMARY SERVICE AREA COMPRISED OF A POPULATION OF APPROXIMATELY 320,000 PEOPLE, PROVIDING CARE IN DUTCHESS AND SURROUNDING COUNTIES IN NEW YORK STATE. IN THE YEAR 2013, THERE WERE 8,010 INPATIENT DISCHARGES, APPROXIMATELY 220,396 OUTPATIENT VISITS, AND 32,329 EMERGENCY DEPARTMENT VISITS TO OUR HOSPITAL. SAINT FRANCIS HOSPITAL AND HEALTH CENTERS OFFERS A WIDE RANGE OF MEDICAL SERVICES AND WELLNESS PROGRAMS. ADVANCED DIAGNOSTIC AND TREATMENT OPTIONS ARE COMPLIMENTED BY COMPASSIONATE CARE THAT IS THE HALLMARK OF SAINT FRANCIS HOSPITAL.THE HOSPITAL IS ORGANIZED TO PROVIDE DIAGNOSIS, MEDICAL, SURGICAL, AND BEHAVIORAL HOSPITAL CARE AND TREATMENT, AMBULATORY AND OUTPATIENT CARE, HOME CARE AND OTHER HOSPITAL AND HEALTH CARE RELATED SERVICES, AS WELL AS ACTIVITIES RELATING TO THE PROMOTION OF HEALTH. THESE SERVICES ARE RENDERED REGARDLESS OF RACE, CREED, SEX, COLOR, NATIONAL ORIGIN OR FINANCIAL STATUS AND ARE TO BE ADMINISTERED ACCORDING TO THE MORAL TEACHINGS OF THE ROMAN CATHOLIC CHURCH AND TO REFLECT THIS IDENTIFICATION IN THE POLICIES AND PRACTICES OF THE FACILITIES.IN DECEMBER 2013 THE ORGNAIZATION FILED FOR BANKRUPTCY.

ST. FRANCIS HOSPITAL-POUGHKEEPSIE
PART V, SECTION B, LINE 12I: THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE IS 60% OF TOTAL CHARGES.

ST. FRANCIS HOSPITAL-POUGHKEEPSIE
PART V, SECTION B, LINE 20D: THE HOSPITAL HAS AN UNINSURED/UNDERINSURED PATIENTS POLICY IN PLACE THAT GOVERNS WHAT THE HOSPITAL CAN BILL FOR EMERGENCY SERVICES. ANY EMERGENCY ROOM VISIT OF A NEW YORK STATE RESIDENT, REGARDLESS OF COUNTRY, WILL BE GIVEN A 40% DISCOUNT OFF OF CHARGES SO LONG AS THE PATIENT MEETS THE CRITERIA OUTLINED IN THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. ALL PATIENTS NOT RESIDING WITHIN NEW YORK STATE AND WHOSE SERVICES ARE NOT EMERGENCY ROOM RELATED ARE HANDLED ON AN INDIVIDUAL BASIS FOR CHARITABLE DISCOUNTS. THE HOSPITAL PROVIDES FREE CONFIDENTIAL HELP TO ALL PATIENTS SO THAT THE APPROPRIATE DISCOUNTS ARE OBTAINED, WHEN NEEDED. THE FINANCIAL COUNSEL WILL INFORM THE PATIENT IF HE OR SHE QUALIFIES FOR FREE OR LOW-COST INSURANCE, SUCH AS MEDICAID, CHILD HEALTH PLUS AND FAMILY HEALTH PLUS. ONCE THE FINANCIAL ASSISTANCE APPLICATION IS COMPLETED, THE HOSPITAL'S FINANCIAL COUNSELOR WILL PROVIDE DETAILS ABOUT THE SPECIFIC DISCOUNTS AVAILABLE.

PART I, LN 7 COL(F):
AS FURTHER CLARIFICATION, THE HOSPITAL NOTES THAT ITS BAD DEBT IS CALCULATED AS FOLLOWS: AS PART OF THE MONTHLY PROCESS TO REVIEW THE NET REALIZABLE VALUE OF THE ACCOUNTS RECEIVABLE BALANCE, MANAGEMENT CALCULATES THE ADJUSTMENT NEEDED TO FUND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS RESERVE. THIS IS RECORDED AS BAD DEBT EXPENSE. THIS CALCULATION USES HISTORICAL COLLECTION AND ADJUSTMENT PERCENTAGES ON EXISTING PATIENT ACCOUNTS, AND APPLIES THESE PERCENTAGES TO THE CURRENT ACCOUNTS RECEIVABLE BALANCE. AS ACCOUNTS ARE TRANSFERRED TO BAD DEBT THROUGHOUT THE YEAR, THE ACCOUNT BALANCES ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. TO CALCULATE THE COST BASIS OF THE BAD DEBT EXPENSE, MANAGEMENT APPLIED THE RATIO OF COST TO CHARGES FROM THE MEDICARE COST REPORT TO THE GROSS BAD DEBT AMOUNT.

PART II, COMMUNITY BUILDING ACTIVITIES:
THE HOSPITAL UNDERTAKES A NUMBER OF COMMUNITY BUILDING ACTIVITIES DURING THE COURSE OF THE YEAR THAT ARE NOT QUANTIFIABLE IN TERMS OF REVENUE AND EXPENSES AND DO NOT EASILY FIT WITHIN THE PARAMETERS OF THE COMMUNITY BUILDING ACTIVITIES TABLE OF SCHEDULE H. NEVERTHELESS, TO THE EXTENT THAT HOSPITAL EMPLOYEES UNDERTAKE COMMUNITY ACTIVITIES, THE HOSPITAL HAS ASKED THOSE INDIVIDUALS TO TRACK THEIR HOURS SO THAT THE HOSPITAL CAN QUANTIFY THE EXPENSE OF SUCH ACTIVITIES ON THE SCHEDULE H. TO THAT END, THE HOSPITAL IS REPORTING APPROXIMATELY $250,000 IN COMMUNITY BUILDING EXPENSE ON PART II. THE HOSPITAL DOES NOT GENERATE ANY REVENUE FROM THESE ACTIVITIES.IN 2013, THE HOSPITAL UNDERTOOK THE FOLLOWING COMMUNITY BUILDING ACTIVITIES:1. CONTINUING EDUCATION AND HEALTH AWARENESS PROGRAMS2. NURSING EDUCATION PROGRAMS FOR COMMUNITY NURSES3. EDUCATIONAL PROGRAMS FOR EMERGENCY MEDICAL STAFF4. DIABETES PROGRAMS5. BLOOD COLLECTION PROGRAMS IN CONJUNCTION WITH AMERICAN RED CROSS6. STUDENT TRAINING FOR LABORATORY PROGRAMS7. HEALTH SCREENINGS FOR UNINSURED INDIVIDUALS8. UNITED WAY CAMPAIGNS9. HOMECARE DEMONSTRATIONS10. WOMEN'S HEALTH FAIRS11. BREAST SCREENINGS

PART III, LINE 8:
ST. FRANCIS HOSPITAL UTILIZES COST REPORT WORKSHEETS, D-SERIES TO DETERMINE THE AMOUNTS REPORTED ON PART III, SECTION B, LINE 6 OF SCHEDULE H.

PART III, LINE 9B:
THE HOSPITAL HAS A WRITTEN DEBT COLLECTION POLICY. ALTHOUGH THE POLICY DOES NOT CONTAIN A SPECIFIC PROVISION ON COLLECTION PRACTICES TO BE APPLIED TO PATIENTS WHO QUALIFY FOR CHARITY CARE, THE POLICY DOES SPECIFICALLY NOTE THAT MEDICAID RECIPIENTS ARE EXEMPT FROM ANY COLLECTION PRACTICES. THE COLLECTION POLICY DOES INCLUDE PROVISIONS OUTLINING THE STEPS TO BE UNDERTAKEN BY THOSE WHO SUBMIT AN APPLICATION FOR FINANCIAL AID. ALL APPLICATIONS FOR FINANCIAL AID MUST BE COMPLETED AND PROCESSED BY STAFF WITHIN 110 DAYS OF SERVICE. NO COLLECTIONS NOTICES WILL BE SENT WHILE THE APPLICATION IS PENDING. IF THE APPLICATION IS GRANTED, THE HOSPITAL WILL NOT UNDERTAKE ANY COLLECTIONS ACTIVITIES ON THAT PATIENT. IF THE APPLICATION IS NOT COMPLETED, OR IS DENIED FOR ANY REASON, THE CUSTOMARY COLLECTIONS PROCESSES WILL TAKE PLACE.

PART VI, LINE 2:
THE HOSPITAL COMPLETED A COMMUNITY SERVICE PLAN MOST RECENTLY THAT COVERED THE 2010 THROUGH 2013 TAX YEARS. THE HOSPITAL'S SPECIFIC COMMUNITY NEEDS ASSESSMENT ACTIVITIES WILL BE DESCRIBED IN DETAIL ON THE SUCCEEDING YEAR'S FORM 990 AS THE REQUIREMENT TO IMPLEMENT THE COMMUNITY NEEDS ASSESSMENT DOES NOT TAKE EFFECT FOR THOSE TAXPAYERS WITH A YEAR END BEGINNING ON OR BEFORE MARCH 23, 2012.

PART VI, LINE 4:
ST. FRANCIS HOSPITAL COMPLETED AN EXTENSIVE COMMUNITY SERVICE PLAN IN SEPTEMBER 2011 AND MADE THIS DOCUMENT AVAILABLE TO THE PUBLIC BOTH ON ITS WEBSITE AND AT ITS BUSINESS LOCATION. SAINT FRANCIS HOSPITAL'S (SFH) COMMUNITY SERVICE PLAN IS ASSESSED ANNUALLY BY HOSPITAL LEADERSHIP. SFH ALSO WORKS IN COLLABORATION WITH LOCAL HOSPITALS AND THE DUTCHESS COUNTY DEPARTMENT OF HEALTH (DOH) IN ASSESSING COMMUNITY NEEDS, THEN OUR LEADERSHIP FURTHER DETERMINES WHICH PROGRAMS AND SERVICES SFH CAN IMPLEMENT OR ENHANCE TO HELP MEET IDENTIFIED COMMUNITY NEEDS. PUBLIC PARTICIPATION AND OUTREACH IS PART OF SAINT FRANCIS HOSPITAL'S MISSION AND HAS FROM OUR FOUNDING, BEEN PART OF OUR SERVICE TO THE COMMUNITY. IN 2013 THE DUTCHESS COUNTY DOH CONDUCTED A COMPREHENSIVE ANALYSIS, THROUGH WHICH FOUR COMMUNITY PRIORITIES WERE IDENTIFIED: DENTAL HEALTH, SUBSTANCE ABUSE TREATMENT SERVICES, ACCESS TO QUALITY CARE, AND TICK AND OTHER INSECT-BORNE ILLNESSES. SFH THEN ASSESSED ITS ROLE IN ADDRESSING THESE NEEDS.

PART VI, LINE 6:
ST FRANCIS HOSPITAL IS A MEMBER OF THE HASTINGS HEALTH SYSTEMS, INC.

PART VI, LINE 7, REPORTS FILED WITH STATES
NY