4A (Expenses $ 136119140 including grants of $ 50000) (Revenue $ 116478440)
ST. FRANCIS MEDICAL CENTER TRENTON NJ (SFMC) IS AN ACUTE CARE TEACHING HOSPITAL LOCATED IN TRENTON, NEW JERSEY, AND HAS BEEN A LEADER IN PATIENT CARE FOR MORE THAN 140 YEARS. SFMC OPERATES 238 LICENSED BEDS AND HAS OVER 300 MEDICAL STAFF PHYSICIANS WHO REPRESENT ALL SPECIALTIES. DURING FISCAL YEAR 2022, SFMC'S DOCTORS, NURSES, NURSE PRACTITIONERS AND STAFF PROVIDED OVER 13,000 DAYS OF CARE AND PROVIDED HEALTH CARE SERVICES FOR OVER 64,000 OUTPATIENT VISITS. KNOWN AS THE HEART HOSPITAL, SFMC IS MERCER COUNTY'S ONLY COMPREHENSIVE CARDIAC SURGERY PROGRAM. OTHER PROGRAMS INCLUDE THE REGIONAL CANCER CENTER; COMPASSIONATE CARE HOSPICE; BEHAVIORAL HEALTH; AN ACCREDITED SLEEP DISORDERS CENTER; AND A DESIGNATED PRIMARY STROKE CENTER.EACH YEAR, ST. FRANCIS MEDICAL CENTER TRENTON NJ (SFMC) PROVIDES MILLIONS OF DOLLARS IN UNCOMPENSATED BENEFITS TO THE COMMUNITY. WE TAKE PRIDE IN PROVIDING HIGH-QUALITY MEDICAL TREATMENT AND SERVICES TO PROMOTE WELLNESS AND ENHANCE THE HEALTH OF THE COMMUNITY. FOR MORE THAN A DECADE, OUR MOBILE HEALTH TEAM HAS PROVIDED BETTER ACCESS TO CARE FOR ALL MEMBERS OF OUR COMMUNITY. THE MOBILE HEALTH TEAM COORDINATES WITH COMMUNITY AGENCIES, SUCH AS SCHOOLS, COUNCILS ON AGING, HEALTH CENTERS AND THE HOUSING AUTHORITY TO REACH THE PEOPLE WHO NEED THESE SERVICES THE MOST - SENIORS, TEENS AND FAMILIES WHO DO NOT HAVE ACCESS TO MEDICAL CARE. FREE EDUCATION AND SCREENINGS HAVE BEEN MADE AVAILABLE TO ALL.PLEASE VISIT SCHEDULE H AND OUR WEBSITE FOR ADDITIONAL INFORMATION ABOUT OUR SERVICES, RECOGNITIONS AND AWARDS: WWW.STFRANCISMEDICAL.ORG

SAINT FRANCIS MEDICAL CENTER TRENTON NJ
PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E:ST. FRANCIS MEDICAL CENTER - TRENTON (SFMC) INCLUDED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS, WHICH WERE 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. MENTAL HEALTH: PREVENTING, ADDRESSING, AND TREATING ADVERSE CHILDHOOD EXPERIENCES2. MATERNAL AND CHILD HEALTH: ACHIEVING EQUITABLE HEALTH OUTCOMES FOR BLACK MOMS AND BABIES3. EQUITABLE LIFE EXPECTANCY: EQUITABLE ACCESS TO SCREENING, PREVENTION, AND TREATMENT OF CHRONIC DISEASE 4. COVID-19: REDUCING DISPARITIES IN NEGATIVE OUTCOMES FROM COVID-19

SAINT FRANCIS MEDICAL CENTER TRENTON NJ
PART V, SECTION B, LINE 5: DURING 2021, REPRESENTATIVES FROM THE ST. FRANCIS MEDICAL CENTER AND TRENTON HEALTH TEAM (THT) PARTICIPATED IN THE GREATER MERCER PUBLIC HEALTH PARTNERSHIP COLLABORATIVE CHNA AND CHIP PROCESS FOR MERCER COUNTY. THE GREATER MERCER PUBLIC HEALTH PARTNERSHIP (GMPHP) IS A 501(C)3 COLLABORATION OF FIFTEEN CORE ORGANIZATIONS CONSISTING PRIMARILY OF HOSPITALS AND LOCAL AND COUNTY HEALTH DEPARTMENTS WHOSE MISSION IS TO MEASURABLY IMPROVE THE HEALTH OF GREATER MERCER COUNTY RESIDENTS. IN ADDITION, THE GMPHP COMMUNITY ADVISORY BOARD INCLUDES OVER 60 COMMUNITY NON-PROFITS, BUSINESSES, SCHOOLS, AND GOVERNMENTAL ORGANIZATIONS COMMITTED TO THE HEALTH OF MERCER COUNTY RESIDENTS. THE GMPHP WAS FORMED TO IDENTIFY COMMUNITY HEALTH NEEDS WITHIN MERCER COUNTY, TO WORK COLLABORATIVELY WITH STAKEHOLDERS, AND CREATE NOVEL STRATEGIES THAT LEVERAGE THE COLLECTIVE EXPERTISE OF THE PARTICIPANTS TO IMPLEMENT A MEANINGFUL AND MEASURABLE HEALTH IMPROVEMENT PLAN FOR MERCER COUNTY, NEW JERSEY. THIS COLLABORATIVE EFFORT IDENTIFIED FOUR PRIORITY HEALTH AREAS BASED ON QUANTITATIVE AND QUALITATIVE DATA THAT THE GROUP HAS AGREED UPON FOR COLLECTIVE ACTION. IN 2022, A WORKGROUP, COMPRISED OF KEY REPRESENTATIVES FROM ST. FRANCIS MEDICAL CENTER AND THT, WORKED ALONGSIDE THE 35TH STREET CONSULTING TEAM TO UPDATE THE GMPHP DATA, INCORPORATE ADDITIONAL ORIGINAL QUALITATIVE RESEARCH, AND SOLICIT FEEDBACK FROM KEY STAKEHOLDERS. THESE DATA ARE INCLUDED IN THE REPORT AND ARE DESIGNED TO GENERATE TRENTON-SPECIFIC PRIORITY ACTIONS IN ALIGNMENT WITH COLLECTIVE ACTION PRIORITIES AMONG THE TRENTON HEALTH TEAM AND GMPHP PARTNER AGENCIES.TO DETERMINE COMMUNITY PRIORITIES, STATISTICAL DATA AND QUALITATIVE FEEDBACK WERE ANALYZED. STATISTICAL DATA INCLUDES HEALTH INDICATORS AND SOCIOECONOMIC MEASURES TO DOCUMENT HEALTH DISPARITIES AND UNDERLYING INEQUITIES EXPERIENCED BY TRENTON. PERSPECTIVES ON DATA TRENDS AND DIRECT FEEDBACK ON COMMUNITY HEALTH PRIORITIES WERE COLLECTED VIA A SERIES OF EIGHT SMALL GROUP CONVERSATIONS WITH TRENTON AREA RESIDENTS, SERVICE PROVIDERS, PUBLIC HEALTH, COMMUNITY REPRESENTATIVES AND KEY STAKEHOLDERS. EMPHASIS WAS PLACED ON COLLECTING DIVERSE PERSPECTIVES FROM STAKEHOLDERS THAT WORK WITH COMMUNITIES OF COLOR, MEDICALLY UNDERSERVED, VULNERABLE, AND HISTORICALLY DISENFRANCHISED POPULATIONS. THIS PROCESS YIELDED THE SAME FOUR PRIORITIES IDENTIFIED AS THE COLLECTIVE ACTION PRIORITIES BY THE GMPHP PROCESS. IN RECOGNITION OF THE DIFFERENCES BETWEEN THE CITY OF TRENTON AND OTHER MUNICIPALITIES THROUGHOUT MERCER COUNTY, ST. FRANCIS MEDICAL CENTER AND THT ASKED EACH OF THE SMALL GROUP DISCUSSANTS INCLUDED IN THE FOCUS GROUPS AND COMMUNITY LISTENING SESSIONS TO RANK THESE PRIORITIES.

SAINT FRANCIS MEDICAL CENTER TRENTON NJ
PART V, SECTION B, LINE 6A: THE OTHER HOSPITAL FACILITIES INVOLVED IN THE COLLABORATIVE CHNA PROCESS INCLUDED: CAPITAL HEALTH MEDICAL CENTER-HOPEWELL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL-HAMILTON, AND SAINT LAWRENCE REHABILITATION CENTER.

SAINT FRANCIS MEDICAL CENTER TRENTON NJ
PART V, SECTION B, LINE 6B: SINCE 2013, ST. FRANCIS MEDICAL CENTER, THT AND ITS PARTNERS HAVE COLLABORATIVELY CONDUCTED A CHNA AND ADOPTED COMMON HEALTH PRIORITIES TO COLLECTIVELY ADDRESS HEALTH NEEDS FOR TRENTON. ST. FRANCIS MEDICAL CENTER AND THT ARE ALSO BOTH MEMBERS OF GMPHP. GMPHP IS A 501(C)3 COLLABORATION OF FIFTEEN CORE ORGANIZATIONS CONSISTING OF THE HOSPITALS MENTIONED ABOVE AND THE FOLLOWING LOCAL AND COUNTY HEALTH DEPARTMENTS: EAST WINDSOR HEALTH DEPARTMENT, EWING TOWNSHIP HEALTH DEPARTMENT, TOWNSHIP OF HAMILTON DIVISION OF HEALTH, LAWRENCE TOWNSHIP HEALTH DEPARTMENT, MERCER COUNTY DEPARTMENT OF HUMAN SERVICES, MONTGOMERY HEALTH DEPARTMENT, PRINCETON HEALTH DEPARTMENT, TOWNSHIP OF HOPEWELL DEPARTMENT OF HEALTH, TRENTON HEALTH DEPARTMENT, AND WEST WINDSOR HEALTH DEPARTMENT.IN ADDITION, THE GMPHP COMMUNITY ADVISORY BOARD INCLUDES OVER 60 COMMUNITY NON-PROFITS, BUSINESSES, SCHOOLS, AND GOVERNMENTAL ORGANIZATIONS COMMITTED TO THE HEALTH OF MERCER COUNTY RESIDENTS.

SAINT FRANCIS MEDICAL CENTER TRENTON NJ
PART V, SECTION B, LINE 7D: PART V, SECTION B, LINE 9:AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, THE HOSPITAL'S IMPLEMENTATION STRATEGY WAS ADOPTED WITHIN 4 1/2 MONTHS AFTER THE FISCAL YEAR END THAT THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE TO THE PUBLIC.PART V, SECTION B, LINE 7A CHNA URL:WWW.STFRANCISMEDICAL.ORG/ABOUT-US/COMMUNITY-OUTREACH/PART V, SECTION B, LINE 10A IMPLEMENTATION STRATEGY URL:WWW.STFRANCISMEDICAL.ORG/ABOUT-US/COMMUNITY-OUTREACH/

SAINT FRANCIS MEDICAL CENTER TRENTON NJ
"PART V, SECTION B, LINE 11: IN FISCAL YEAR 2022 (FY22), ST. FRANCIS MEDICAL CENTER ALONG WITH PARTNERS ACROSS TRENTON AND MERCER COUNTY CAME TOGETHER TO MAKE COVID-19 VACCINES AVAILABLE AS WIDELY AS POSSIBLE. AS PART OF THE ST. FRANCIS MEDICAL CENTER ""IT STARTS HERE"" CAMPAIGN, A VACCINE GUIDE WAS MADE AVAILABLE TO THE COMMUNITY WITH FACTS AND ACCESS INFORMATION. DESPITE THESE EFFORTS, IT QUICKLY BECAME CLEAR THAT LOW-INCOME PEOPLE OF COLOR LIVING IN TRENTON WERE NOT ACCESSING VACCINES AT THE SAME RATE AS NEIGHBORING TOWNS IN MERCER COUNTY. TO ADDRESS THIS DISPARITY, ST. FRANCIS MEDICAL CENTER, IN PARTNERSHIP WITH THT, WORKED TOGETHER ON GRASSROOTS EFFORTS, INCLUDING:- COMMUNITY CHAMPIONS/VACCINE AMBASSADORS PROVIDING DOOR-TO-DOOR OUTREACH/CANVASSING - VIRTUAL TOWNHALLS, COMMUNITY MEETINGS WITH LOCAL EXPERTS IN VARIOUS LANGUAGES - COORDINATING OUTREACH AND VACCINE EVENTS ALONGSIDE FOOD ASSISTANCE ORGANIZATIONS- USE OF MOBILE UNITS TO ADMINISTER VACCINES AT COMMUNITY LOCATIONS - LOCAL SOCIAL MEDIA INFLUENCERS TO PROVIDE VACCINE INFORMATION TO THEIR ONLINE FOLLOWERS - TELEPHONE OUTREACH TO ENSURE PATIENTS HAVE UPDATED INFORMATION AND ARE AWARE OF LOCAL VACCINATION OPPORTUNITIES - TRANSPORTATION TO VACCINE EVENTS - INTERPRETER SERVICES PROVIDED DURING VACCINE CLINICS - ADDITIONAL IPADS WERE PURCHASED WITH CYRACOM TRANSLATION CAPABILITIES TO FACILITATE VIRTUAL VISITS WITH FAMILY MEMBERS FOR PATIENTS IN THE HOSPITAL- HOSPITAL-BASED COVID-19 HOTLINE WAS CREATED, AND CONTINUES TO BE AN AVAILABLE OUTLET FOR THE COMMUNITY'S QUESTIONS AND CONCERNSIN FY22, SFMC DID NOT DIRECTLY ADDRESS THE FOLLOWING PRIORITIES: HOUSING, RACIAL/ETHNIC INEQUITIES, ADVERSE CHILDHOOD EXPERIENCES, MENTAL HEALTH AND SUBSTANCE USE DISORDERS, COMMUNITY SAFETY, FOOD INSECURITY, ACCESS, AND NUTRITION, AND MATERNAL AND CHILD HEALTH. THIS IS DUE TO MULTIPLE FACTORS, INCLUDING ONGOING AND EMERGENT NEEDS AS A RESULT OF THE COVID-19 PANDEMIC, AS WELL AS FINANCIAL RESTRICTIONS. SFMC ALSO WORKS IN PARTNERSHIP WITH TRENTON HEALTH TEAM AND OTHERS WHO HAVE THE ABILITY TO BETTER ADDRESS THE SAME ISSUES. SFMC CONTINUES TO ACKNOWLEDGE THE IMPACT OF THESE ISSUES WHILE FOCUSING ON THE EMERGING PRIORITIES IDENTIFIED BY QUANTITATIVE DATA AND COMMUNITY ENGAGEMENT EFFORTS."

SAINT FRANCIS MEDICAL CENTER TRENTON NJ
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.

PART V, SECTION B, LINE 16A:
WWW.STFRANCISMEDICAL.ORG/FOR-PATIENTS/BILLING-INSURANCE-AND-PAYMENTS/FINANCIAL-ASSISTANCE

PART V, SECTION B, LINE 16B:
WWW.STFRANCISMEDICAL.ORG/FOR-PATIENTS/BILLING-INSURANCE-AND-PAYMENTS/FINANCIAL-ASSISTANCE

PART V, SECTION B, LINE 16C:
WWW.STFRANCISMEDICAL.ORG/FOR-PATIENTS/BILLING-INSURANCE-AND-PAYMENTS/FINANCIAL-ASSISTANCE

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:
SFMC 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, SFMC 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, $4,440,069, 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 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:
SFMC 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, SFMC IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, SFMC IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL.

PART III, LINE 4:
"SFMC IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE PATIENT ACCOUNTS RECEIVABLE, ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS FOOTNOTE FROM PAGE 13 OF THOSE STATEMENTS: ""AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME IS TREATED AS A RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS FOR WHICH THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYERS FOR RETROACTIVE ADJUSTMENTS, ARE RECEIVABLES IF THE RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. FOR PATIENT ACCOUNTS RECEIVABLE, THE ESTIMATED UNCOLLECTABLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT SERVICE REVENUE AND ACCOUNTS RECEIVABLE.THE CORPORATION HAS AGREEMENTS WITH THIRD-PARTY PAYERS THAT PROVIDE FOR PAYMENTS TO THE CORPORATION'S HEALTH MINISTRIES AT AMOUNTS DIFFERENT FROM ESTABLISHED RATES. ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYERS AND OTHER CHANGES IN ESTIMATES ARE INCLUDED IN NET PATIENT SERVICE REVENUE AND ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS, AS FINAL SETTLEMENTS ARE DETERMINED.""PART III, LINE 5:TOTAL MEDICARE REVENUE REPORTED IN PART III, LINE 5 HAS BEEN REDUCED BY THE ONE PERCENT SEQUESTRATION REDUCTION FOR THE PERIOD APRIL 1, 2022 THROUGH JUNE 30, 2022."

PART III, LINE 8:
SFMC DOES NOT BELIEVE ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS IS SIMILAR TO CATHOLIC HEALTH ASSOCIATION RECOMMENDATIONS, WHICH STATE THAT SERVING MEDICARE PATIENTS IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS AND THAT THE EXISTING COMMUNITY BENEFIT FRAMEWORK ALLOWS COMMUNITY BENEFIT PROGRAMS THAT SERVE THE MEDICARE POPULATION TO BE COUNTED IN OTHER COMMUNITY BENEFIT CATEGORIES.PART III, LINE 8: COSTING METHODOLOGY FOR LINE 6 - MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 27, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT.

PART III, LINE 9B:
THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. CHARITY DISCOUNTS ARE APPLIED TO THE AMOUNTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. COLLECTION PRACTICES FOR THE REMAINING BALANCES ARE CLEARLY OUTLINED IN THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. THE HOSPITAL HAS IMPLEMENTED BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS.

PART VI, LINE 2:
NEEDS ASSESSMENT - IN ADDITION TO THE QUALITATIVE DATA COLLECTED THROUGH THE COLLABORATIVE GMPHP CHNA PROCESS, WHICH ST. FRANCIS MEDICAL CENTER AND THT PARTICIPATED IN DURING 2021, PRIMARY QUALITATIVE RESEARCH AMONG LOW INCOME AND MINORITY POPULATIONS IN THE TRENTON COMMUNITY WAS CONDUCTED IN MARCH 2022 SPECIFICALLY FOR THIS REPORT. A COMBINATION OF INTERVIEWS, SMALL GROUP DISCUSSIONS AND FOCUS GROUPS WAS CONDUCTED IN PERSON AND OVER ZOOM WITH BOTH INDIVIDUAL RESIDENTS AND GRASS ROOTS LEVEL PROVIDERS SERVING DIVERSE POPULATIONS THROUGHOUT TRENTON. THIS QUALITATIVE RESEARCH WAS CONDUCTED TO COLLECT PERSPECTIVES OF COMMUNITY STAKEHOLDERS RELATED TO HEALTH STATUS, CARE DELIVERY, ACCESS TO CARE, SOCIOECONOMIC MEASURES, AND SOCIAL CONTEXT. THE PRIMARY RESEARCH WAS CONDUCTED THROUGH THE FOLLOWING SMALL GROUP DISCUSSIONS AND FOCUS GROUPS:- ST. FRANCIS MEDICAL CENTER COVID-19 VACCINE CLINIC PATIENTS AND PROVIDERS- TRENTON HEALTH TEAM COMMUNITY HEALTH WORKER COLLABORATIVE - MATERNAL HEALTH STAKEHOLDER GROUP - ST. FRANCIS ASSISTED LIVING HOME CARE PROVIDERS - HIV/HEPATITIS C PATIENT GROUP FROM ST. FRANCIS MEDICAL CENTER- LIFE - ST. FRANCIS (PACE) HOME CARE PROVIDERS RESEARCH FINDINGS FROM SECONDARY DATA ANALYSIS WERE COMPARED TO QUALITATIVE RESEARCH FINDINGS TO COMPARE PERCEPTIONS TO STATISTICAL DATA, IDENTIFY ROOT CAUSES, AND CONTEXTUALIZE DATA TRENDS TO CONTRIBUTING FACTORS FOR IDENTIFIED HEALTH NEEDS.

PART VI, LINE 3:
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - SFMC 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. SFMC 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. SFMC HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. SFMC 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 - TRENTON, NEW JERSEY IS THE PRIMARY SERVICE AREA FOR ST. FRANCIS MEDICAL CENTER. TRENTON, NEW JERSEY'S CAPITOL CITY, IS LOCATED IN MERCER COUNTY.THE CITY OF TRENTON IS A MAJORITY MINORITY CITY. NEARLY HALF OF RESIDENTS IDENTIFY AS BLACK/AFRICAN AMERICAN (48.7%) AND 37.2% IDENTIFY AS HISPANIC OR LATINO OF ANY RACE. DIFFERENCES IN SOCIOECONOMIC AND HEALTH OUTCOMES ARE STARK COMPARED TO THE REST OF MERCER COUNTY. WITHIN TRENTON, THE MEDIAN HOUSEHOLD INCOME IS LESS THAN HALF OF THE COUNTY MEDIAN, AND MORE THAN TWICE AS MANY INDIVIDUALS AND CHILDREN LIVE IN POVERTY. THERE IS A NEARLY 17-YEAR GAP BETWEEN LIFE EXPECTANCY IN PARTS OF TRENTON (69.4 YEARS) AND THE HIGHEST LIFE EXPECTANCY IN MERCER COUNTY (86.5 YEARS IN THE NORTH CENTRAL AREA). OF NOTE, WHILE TRENTON IS A MAJORITY MINORITY COMMUNITY, POVERTY LEVELS ARE SIMILARLY HIGH ACROSS RACIAL AND ETHNIC GROUPS IN THE CITY, COMPOUNDING THE IMPACT OF DISADVANTAGES BASED ON HISTORICAL RACE-BASED BARRIERS SUCH AS LACK OF ACCESS TO QUALITY HOUSING, EMPLOYMENT RESTRICTIONS, AND OTHER RESOURCES.HOWEVER, TRENTON STANDS APART FROM ITS MERCER COUNTY NEIGHBORS WITH A LOWER LIFE EXPECTANCY THAN ANY OF ITS NEIGHBORING COMMUNITIES. THIS DISPARITY AND OTHERS POINT TOWARDS UNDERLYING INEQUITIES IN ECONOMIC OPPORTUNITIES, EDUCATION, HOUSING, AND SOCIAL STRUCTURES BETWEEN TRENTON AND ITS NEIGHBORS.THE WORK OF ST. FRANCIS MEDICAL CENTER, THT AND THEIR COLLABORATIVE PARTNERS IS TAKING DIRECT AIM ADDRESSING THE ROOTS OF THE INEQUITIES - ALSO CALLED SOCIAL DETERMINANTS OF HEALTH - THAT DRIVE THE DIFFERENCES IN LIFE EXPECTANCY, HEALTH OUTCOMES AND QUALITY OF LIFE BETWEEN THE PEOPLE OF TRENTON AND THE PEOPLE IN NEIGHBORING COMMUNITIES.HENRY J. AUSTIN HEALTH CENTER (HJAHC) IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) IN THE CITY OF TRENTON AND THE LARGEST NON-HOSPITAL BASED AMBULATORY CARE PROVIDER IN THE CITY. PRIMARY HEALTH CARE SERVICES INCLUDE ADULT MEDICINE, GYNECOLOGY, PEDIATRICS, HIV TREATMENT, DENTAL CARE, PODIATRY, AND OPHTHALMOLOGY. ADDITIONAL SERVICES ARE NUTRITION, SOCIAL SERVICE, SUBSTANCE ABUSE ASSESSMENT AND INTERVENTION, BEHAVIORAL HEALTH, TRANSLATION SERVICES, TRANSPORTATION, AND AN ONSITE PHARMACY. MOST FORMS OF HEALTH INSURANCE INCLUDING MEDICARE AND MEDICAID ARE ACCEPTED, AND THERE IS A SLIDING FEE SCALE FOR THE UNINSURED. HJAHC PROVIDES CARE TO APPROXIMATELY 13,000 INDIVIDUALS ANNUALLY GENERATING MORE THAN 50,000 VISITS FROM FOUR LOCATIONS. SFMC COLLABORATES WITH HJAHC ON MANY INITIATIVES, INCLUDING EDUCATION, TESTING AND VACCINATION FOR COVID-19.

PART VI, LINE 5:
"OTHER INFORMATION - SFMC HAS BEEN A CONSISTENT AND RELIABLE SOURCE OF ACCURATE INFORMATION, TESTING, TREATMENT, AND VACCINATION FOR COVID-19, IN PARTNERSHIP WITH TRENTON HEALTH TEAM, HENRY J. AUSTIN HEALTH CENTERS, AND MULTIPLE PUBLIC HEALTH PARTNERS, TO REACH, PROTECT AND SERVE DIVERSE, VULNERABLE, AND DISENFRANCHISED PEOPLE IN TRENTON AND THROUGHOUT THE AREA. CONSISTENT, WELCOMING, AND AVAILABLE SCREENING AND TESTING TOOK PLACE THROUGHOUT FY22 AT THE HOSPITAL, IN THE COMMUNITY AND VIRTUALLY. SFMC CONTINUES TO OFFER FREE SCREENINGS AT A VARIETY OF COMMUNITY AND FAITH-BASED EVENTS FOR CHRONIC DISEASE AND INJURY PREVENTION. SFMC ALSO PROVIDED TRANSPORTATION ASSISTANCE, FOOD AND FOOD VOUCHERS, MASKS, HAND SANITIZER AND OTHER PPE FOR PATIENTS AND COMMUNITY MEMBERS.AS AN ORGANIZATION, SFMC HAS COMMITTED RESOURCES FOR MEMBERSHIP FOR BOTH THE EXECUTIVE BOARD OF TRENTON HEALTH TEAM AND MEMBERSHIP ON THE COMMUNITY ADVISORY BOARD, AND REPRESENTATION ON THE PRIORITY TEAMS FOR CHRONIC DISEASE, AND HEALTH DISPARITIES/LITERACY. RESOURCES WERE ALSO COMMITTED TO THE GREATER MERCER PUBLIC HEALTH PARTNERSHIP (GMPHP) SO THAT SFMC COULD ACTIVELY PARTICIPATE IN ITS 2021 COUNTYWIDE CHNA AND CHIP PROCESS. STAFF WERE ASSIGNED AND PLAY AN ACTIVE ROLE IN THE GMPHP SERVING ON ITS BOARD AND VARIOUS SUB-COMMITTEES.THE USE OF IPADS PURCHASED WITH CYRACOM TRANSLATION CAPABILITIES FOR VIRTUAL VISITS WITH FAMILY MEMBERS WAS CONTINUED IN FY22.SFMC RECEIVED ""IT STARTS HERE"" GRANT FROM TRINITY HEALTH IN FEBRUARY 2021 TO LAUNCH A VACCINE EDUCATION CAMPAIGN ADDRESSING COMMON CONCERNS SURROUNDING THE VACCINE, ESPECIALLY CONCERNS OF THOSE WHO ARE VACCINE HESITANT. SFMC WAS AWARDED A SECOND $50,000 GRANT ""IT STARTS HERE ROUND 2"" GRANT FROM TRINITY HEALTH IN SEPTEMBER 2021 TO CONTINUE THE SUCCESSFUL COVID-19 VACCINATION EFFORTS IN TRENTON COMMUNITIES, AND TO CONTINUE TO MEET THE NEEDS OF VULNERABLE FAMILIES. THT IS THE COMMUNITY PARTNER FOR SFMC, AND AS SUCH, RECEIVED 100% OF THE FUNDS AS A CHARITABLE CONTRIBUTION. BY THE EARLY PART OF 2022, THT AND SFMC NOTICED A DROP IN ENGAGEMENT WITH VACCINATION MESSAGING AND OUTREACH FOR ALL POPULATIONS. IN RESPONSE, THE ""IT STARTS HERE ROUND 2"" FUNDING FROM SFMC CONTRIBUTED TO A SUCCESSFUL MEDIA CAMPAIGN DESIGNED BY THT AROUND COVID-19. THT DEVELOPED AND CONTRACTED WITH IHEART RADIO AND RITMO BROADCASTING TO DISSEMINATE RADIO AND DIGITAL STREAMING ADS PROMOTING COVID-19 VACCINES AND BOOSTER SHOTS. THE RADIO ADS RAN FOR 16 WEEKS BETWEEN MARCH AND JUNE 2022, WHICH DRAMATICALLY INCREASED VACCINATION AGAINST COVID-19 IN TRENTON AMONG DIVERSE AND VULNERABLE COMMUNITIES.IN APRIL 2022, THT REQUESTED AND RECEIVED A MODIFICATION TO THE ""IT STARTS HERE ROUND 2"" GRANT WHICH ALLOWED THEM TO USE FUNDING TO SUPPORT CARE MANAGEMENT AND FOOD ACCESS WORK. THIS FUNDING ENABLED THT AND SFMC TO MEET THE FOOD NEEDS OF OUR MEDICALLY VULNERABLE CLIENTS. THT LEVERAGED THESE FUNDS TO PARTNER WITH SNIPES FARM TO PROVIDE WEEKLY FRESH PRODUCE BOXES TO 150 SENIORS LIVING IN THREE TRENTON HOUSING AUTHORITY SENIOR BUILDINGS WHERE MANY SFMC PACE AND LIFE PARTICIPANTS LIVE. THIS SERVICE GAVE VULNERABLE SENIORS ACCESS TO HEALTHY, ORGANIC, LOCAL PRODUCE. IN ADDITION, PARTICIPANTS IN PROJECT DULCE, A DIABETES SELF-MANAGEMENT PROGRAM, WERE GIVEN GIFT CARDS PURCHASED WITH ""IT STARTS HERE ROUND 2"" FUNDS TO BUY FRESH FOODS AND HEALTHY GROCERIES. THESE INTERVENTIONS WERE PARTICULARLY IMPORTANT DURING THE SPRING AND SUMMER MONTHS OF 2022 WHEN INFLATION PUSHED FOOD PRICES OUT OF REACH FOR MANY PEOPLE. FINALLY, TRENTON AREA FREE FOOD FINDER, AN ONLINE RESOURCE THAT CONNECTS PEOPLE WITH FREE FOOD RESOURCES BASED ON LOCATION, HOURS OF OPERATION, AND OTHER CRITERIA, WAS UPDATED AND SIMPLIFIED USING RESOURCES FROM ""IT STARTS HERE ROUND 2"" FUNDING. DURING 2021, REPRESENTATIVES FROM SFMC PARTICIPATED IN THE GMPHP COLLABORATIVE CHNA AND CHIP PROCESS FOR MERCER COUNTY. GMPHP IS A 501(C)3 COLLABORATION OF FIFTEEN CORE ORGANIZATIONS CONSISTING PRIMARILY OF HOSPITALS AND LOCAL AND COUNTY HEALTH DEPARTMENTS WHOSE MISSION IS TO MEASURABLY IMPROVE THE HEALTH OF GREATER MERCER COUNTY RESIDENTS. IN ADDITION, THE GMPHP COMMUNITY ADVISORY BOARD INCLUDES OVER 60 COMMUNITY NON-PROFITS, BUSINESSES, SCHOOLS, AND GOVERNMENTAL ORGANIZATIONS COMMITTED TO THE HEALTH OF MERCER COUNTY RESIDENTS. THE GMPHP WAS FORMED TO IDENTIFY COMMUNITY HEALTH NEEDS WITHIN MERCER COUNTY, TO WORK COLLABORATIVELY WITH STAKEHOLDERS, AND CREATE NOVEL STRATEGIES THAT LEVERAGE THE COLLECTIVE EXPERTISE OF THE PARTICIPANTS TO IMPLEMENT A MEANINGFUL AND MEASURABLE HEALTH IMPROVEMENT PLAN FOR MERCER COUNTY, NEW JERSEY. THIS COLLABORATIVE EFFORT IDENTIFIED FOUR PRIORITY HEALTH AREAS BASED ON QUANTITATIVE AND QUALITATIVE DATA THAT THE GROUP HAS AGREED UPON FOR COLLECTIVE ACTION. THROUGHOUT FY22, GMPHP MET QUARTERLY TO SHARE PROGRESS TOWARDS THEIR COLLECTIVE ACTION GOALS, AND SFMC WAS AN ACTIVE PARTICIPANT.IN RECOGNITION OF THE DIFFERENCES BETWEEN THE CITY OF TRENTON AND OTHER MUNICIPALITIES THROUGHOUT MERCER COUNTY, SFMC AND THT COLLABORATED TO CREATE A TRENTON-SPECIFIC CHNA PRIORITIZATION PROCESS AND COLLECTIVE ACTION PLAN WHICH CREATED LOCAL ACTIONS THAT ALIGN WITH THE BROADER, COUNTY-WIDE COLLECTIVE ACTION PLAN. THE THT COMMUNITY ADVISORY BOARD MET MONTHLY TO DISCUSS PROGRESS AND PRIORITIES. DURING FY22, SFMC WAS AN ACTIVE PARTICIPANT IN THE THT COMMUNITY ADVISORY BOARD, AND A CONTRIBUTOR TO THE COLLECTIVE ACTION PLANNING, ACTIVITIES, AND EVENTS.VISITOR GUIDELINES ESTABLISHED WITH SAFETY AS THE TOP PRIORITY HAVE BEEN CONTINUED IN FY22. THESE GUIDELINES INCLUDED THE USE OF MASKING AND APPROPRIATE PPE ON OUR CAMPUSES, SYMPTOM AND TEMPERATURE CHECKS FOR ALL WHO ARRIVED AT OUR FACILITIES, AND SOCIAL DISTANCING WHEREVER POSSIBLE. TELEHEALTH APPOINTMENT CAPABILITIES HAVE BEEN CONTINUED AND EXPANDED OVER FY22. OUR COVID-19 INFORMATION LINK ON THE WEBSITE CONTINUED TO BE AN AVAILABLE OUTLET FOR RELIABLE INFORMATION. MATERIALS ON HOW TO GET A VACCINE IN NEW JERSEY, PROVIDED IN ENGLISH AND SPANISH TO PATIENTS AND THE COMMUNITY WERE CONTINUED AND UPDATED AS MORE RESOURCES WERE MADE AVAILABLE THROUGH OUR SOCIAL MEDIA CHANNELS. DURING FY22, SFMC ALONG WITH PARTNERS ACROSS TRENTON AND MERCER COUNTY CAME TOGETHER TO MAKE VACCINE AVAILABLE AS WIDELY AS POSSIBLE. AS PART OF THE SFMC ""IT STARTS HERE"" CAMPAIGN, A VACCINE GUIDE WAS MADE AVAILABLE TO THE COMMUNITY WITH FACTS AND ACCESS INFORMATION. DESPITE THESE EFFORTS, IT QUICKLY BECAME CLEAR THAT LOW-INCOME PEOPLE OF COLOR LIVING IN TRENTON WERE NOT ACCESSING VACCINE AT THE SAME RATE AS NEIGHBORING TOWNS IN MERCER COUNTY. TO ADDRESS THIS DISPARITY, SFMC IN PARTNERSHIP WITH THT WORKED TOGETHER ON GRASSROOTS EFFORTS, INCLUDING:- COMMUNITY CHAMPIONS/VACCINE AMBASSADORS PROVIDING DOOR-TO-DOOR OUTREACH/CANVASSING - VIRTUAL TOWNHALLS, COMMUNITY MEETINGS WITH LOCAL EXPERTS IN VARIOUS LANGUAGES - COORDINATING OUTREACH AND VACCINE EVENTS ALONGSIDE FOOD ASSISTANCE ORGANIZATIONS- USE OF MOBILE UNITS TO ADMINISTER VACCINES AT COMMUNITY LOCATIONS - LOCAL SOCIAL MEDIA INFLUENCERS TO PROVIDE VACCINE INFORMATION TO THEIR ONLINE FOLLOWERS - TELEPHONE OUTREACH TO ENSURE PATIENTS HAVE UPDATED INFORMATION AND ARE AWARE OF LOCAL VACCINATION OPPORTUNITIES - TRANSPORTATION TO VACCINE EVENTS - INTERPRETER SERVICES PROVIDED DURING VACCINE CLINICS THROUGH THE STRATEGIES LISTED ABOVE, SFMC HAD THE FOLLOWING IMPACT ADDRESSING COVID-19 DURING FY22:- 23,512 ENCOUNTERS WITH PATIENTS, - 4,799 VACCINES DOSES ADMINISTERED, - 16,704 INDIVIDUALS REACHED VIA OUTREACH AND EDUCATION AROUND COVID-19, AND - PARTICIPATED IN 159 DIFFERENT COVID-19 VACCINE EVENTS.DUE TO A SIGNIFICANT DECREASE IN VACCINE DEMAND, SFMC HELD ITS LAST WALK-IN COVID-19 VACCINE CLINIC ON TUESDAY, MAY 31, 2022. SINCE THEN, FLYERS AVAILABLE IN ENGLISH AND SPANISH ARE AVAILABLE IN THE LOBBY, EMERGENCY DEPARTMENT, AND ALL PATIENT CARE SETTINGS IN THE HOSPITAL THAT OUTLINE THE COMMUNITY ORGANIZATIONS THAT ARE OFFERING COVID-19 VACCINATION. INFORMATION ABOUT COMMUNITY ORGANIZATIONS THAT ARE CURRENTLY OFFERING COVID-19 VACCINATIONS IS ALSO AVAILABLE IN ENGLISH AND SPANISH ON THE SFMC WEBSITE."

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SFMC IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH'S COMMUNITY HEALTH AND WELL-BEING (CHWB) STRATEGY PROMOTES OPTIMAL HEALTH FOR PEOPLE EXPERIENCING POVERTY AND OTHER VULNERABILITIES IN THE COMMUNITIES WE SERVE BY CONNECTING SOCIAL AND CLINICAL CARE, ADDRESSING SOCIAL NEEDS, DISMANTLING SYSTEMIC RACISM, AND REDUCING HEALTH INEQUITIES. WE DO THIS BY: 1. INVESTING IN OUR COMMUNITIES, 2. ADVANCING SOCIAL CARE, AND 3. IMPACTING SOCIAL INFLUENCERS OF HEALTH.TO FURTHER OUR STRATEGY IN FISCAL YEAR 2022 (FY22), CHWB LAUNCHED TWO TRAINING SERIES TO ADVANCE HEALTH AND RACIAL EQUITY IN OUR COMMUNITIES.1. CHWB LEADER SERIES TO ADVANCE HEALTH AND RACIAL EQUITY: A YEAR-LONG PEER LEARNING SERIES TO BUILD THE CAPACITY OF OUR CHWB LEADERS TO DELIVER ON OUR CHWB STRATEGY WITH A FOCUS ON COMMUNITY LEADERSHIP AND ENGAGEMENT, AND THE USE OF A RACIAL EQUITY LENS IN ALL OF OUR DECISION MAKING. 2. COMMUNITY ENGAGEMENT TO ADVANCE RACIAL JUSTICE - PREPARING FOR IMPLEMENTATION STRATEGY: A FOUR-PART SERIES ON ENGAGING OUR COMMUNITIES IN MEANINGFUL WAYS USING A HEALTH EQUITY AND RACIAL EQUITY LENS TO BUILD LASTING PARTNERSHIPS AND IMPACTFUL IMPLEMENTATION STRATEGIES.INVESTING IN OUR COMMUNITIES - TRINITY HEALTH AND ITS MEMBER HOSPITALS ARE COMMITTED TO THE DELIVERY OF PEOPLE-CENTERED CARE AND SERVING AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN THE COMMUNITIES THEY SERVE. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITIES AND IS COMMITTED TO ADDRESSING THE UNIQUE NEEDS OF EACH COMMUNITY. IN FY22, TRINITY HEALTH CONTRIBUTED $1.37 BILLION IN COMMUNITY BENEFIT SPENDING TO AID THOSE WHO ARE VULNERABLE AND LIVING IN POVERTY, AND TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES IN WHICH WE SERVE. SOME EXAMPLES OF THESE INVESTMENTS INCLUDE:TRINITY HEALTH AWARDED OVER $1.6 MILLION IN COMMUNITY GRANTS THAT DIRECTLY ALIGN WITH INTERVENTIONS AND LOCAL PARTNERSHIPS IDENTIFIED IN ITS MEMBER HOSPITALS' COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IMPLEMENTATION STRATEGIES, INCLUDING ACCESS TO HEALTH CARE, MENTAL HEALTH, TRANSPORTATION, COMMUNITY ENGAGEMENT, FOOD ACCESS, AND HOUSING SUPPORTS. WITH A $1.2 MILLION INITIAL INVESTMENT, TRINITY HEALTH LAUNCHED ROUND 2 OF THE TRANSFORMING COMMUNITIES INITIATIVE (TCI), A FIVE-YEAR, INNOVATIVE FUNDING AND TECHNICAL ASSISTANCE INITIATIVE, PARTNERING WITH COMMUNITY-BASED ORGANIZATIONS AND RESIDENTS TO ADVANCE HEALTH AND RACIAL EQUITY IN NINE OF OUR COMMUNITIES EXPERIENCING HIGH POVERTY AND OTHER VULNERABILITIES. HEALTH MINISTRIES RECEIVING TCI FUNDING ARE COLLABORATING WITH A LOCAL MULTI-SECTOR COLLABORATIVE TO DEVELOP AND IMPLEMENT EVIDENCE-BASED STRATEGIES THAT ADVANCE HEALTH AND RACIAL EQUITY THROUGH ADDRESSING AT LEAST ONE ROOT CAUSE OF POOR HEALTH IDENTIFIED IN THE DEVELOPMENT OF THEIR MOST RECENT CHNA IMPLEMENTATION STRATEGY. TRINITY HEALTH AWARDED OVER $1 MILLION IN COVID-19 FUNDING TO SUPPORT NEW AND ONGOING COMMUNITY ENGAGEMENT AND MOBILIZATION EFFORTS AROUND MAKING THE COVID-19 VACCINATION ACCESSIBLE TO ALL ELIGIBLE POPULATIONS. THIS FUNDING WAS DESIGNED TO SUPPORT ALL COMMUNITIES TO ENSURE EASY AND EQUITABLE ACCESS TO THE VACCINE BY REMOVING BARRIERS FOR ALL PEOPLE TO RECEIVE THE VACCINE, ESPECIALLY COMMUNITIES THAT HAVE LESS THAN A 75% VACCINATION RATE. WITH THIS FUNDING, HEALTH MINISTRIES FACILITATED 3,200 COVID-19 VACCINE EVENTS, ADMINISTERED 80,000 COVID-19 VACCINE DOSES, AND REACHED 874,000 PEOPLE WITH EDUCATIONAL MATERIALS ON COVID-19 AND THE BENEFITS OF VACCINATION.IN ADDITION TO THE $1.37 BILLION IN COMMUNITY BENEFIT SPENDING, OUR COMMUNITY INVESTING PROGRAM HAD THE MOST ROBUST YEAR OF LENDING SINCE THE PROGRAM'S INCEPTION OVER 20 YEARS AGO: $17.8 MILLION IN NEW LOANS AND $8.3 MILLION IN LOAN RENEWALS WERE APPROVED, FOCUSING ON BUILDING AFFORDABLE HOUSING AND INCREASING ACCESS TO EDUCATION IN PARTNERSHIP WITH OUR HEALTH MINISTRIES. ADVANCING SOCIAL CARE - TRINITY HEALTH'S SOCIAL CARE PROGRAM WAS DEVELOPED TO ADDRESS SOCIAL NEEDS, SUCH AS ACCESS TO TRANSPORTATION, CHILDCARE, OR AFFORDABLE MEDICATIONS BY FACILITATING CONNECTIONS BETWEEN OUR PATIENTS, HEALTH CARE PROVIDERS AND COMMUNITY PARTNERS THAT PROMOTE HEALTHY BEHAVIORS. HIGHLIGHTS FROM FY22 INCLUDE THE FOLLOWING SUCCESSES:- LAUNCHED TRINITY HEALTH COMMUNITY HEALTH WORKER (CHW) CERTIFICATION PROGRAM, TRAINING 86 CHWS WITH 40+ HOURS OF TRAINING, AND INCREASED CHW STAFF ACROSS MOST HEALTH MINISTRIES- LAUNCHED A SYSTEM-WIDE ASSESSMENT OF LANGUAGE ACCESS SERVICES TO RECOMMEND SYSTEM STANDARDS THAT ENSURE CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES FOR ALL OF OUR PATIENTS, THEIR COMPANIONS, AND CAREGIVERS- ENGAGED OVER 1,100 PARTICIPANTS IN THE NATIONAL DIABETES PREVENTION PROGRAM, EXCEEDING OUR PROGRAM YEAR 5 GOAL- INCREASED THE NUMBER OF ACTIVE COMMUNITY PARTNER ORGANIZATIONS ON THE COMMUNITY RESOURCE DIRECTORY BY 120% FROM FISCAL YEAR 2021- ENGAGED 5,300+ PATIENTS WHO ARE DUALLY ENROLLED IN MEDICARE AND MEDICAID IN A SOCIAL CARE OR MEDICAL CARE ACTIVITY, IN SUPPORT OF REDUCING PREVENTABLE HOSPITALIZATIONS (SUCH AS DIABETES AND ASTHMA)IMPACTING SOCIAL INFLUENCERS OF HEALTH - LEVERAGING INVESTOR POWER TO CATALYZE CORPORATE SOCIAL RESPONSIBILITY, TRINITY HEALTH'S SHAREHOLDER ADVOCACY WORK FOCUSES ON DISMANTLING RACISM ACROSS FIVE STRATEGIC FOCUS AREAS BY HOLDING CORPORATIONS ACCOUNTABLE FOR THE HUMAN RIGHTS VIOLATIONS THOSE COMPANIES PERPETUATE IN THE U.S. AND BEYOND. IN FY22, TRINITY HEALTH FACILITATED OVER 135 SHAREHOLDER ADVOCACY ENGAGEMENTS, WITH GREAT SUCCESS:- FIVE BELOW COMMITTED TO ASSESS AND MANAGE THE RISKS/HAZARDS ASSOCIATED WITH CHEMICALS OF HIGH CONCERN CONTAINED IN THEIR PRIVATE LABEL PRODUCTS- UNILEVER AGREED TO STOP FOOD AND BEVERAGE MARKETING TO CHILDREN UNDER AGE 16, AND WILL ADOPT NEW TARGETS TO REDUCE SALT, ADDED SUGARS AND CALORIES, AND INCREASE SALES OF THEIR HEALTHIER PRODUCTS- PEPSICO SET GOALS TO INCREASE POSITIVE NUTRIENTS IN THEIR PRODUCTS- PDC ENERGY ACCELERATED ITS GOAL TO END ROUTINE FLARING OF METHANE, FROM 2030 TO 2025, THUS REDUCING ENVIRONMENTAL HEALTH RISKS AND GREENHOUSE GAS EMISSIONSADDITIONALLY, TRINITY HEALTH AND OTHER MEMBERS OF THE INTERFAITH CENTER ON CORPORATE RESPONSIBILITY GUN SAFETY GROUP SUBMITTED A SHAREHOLDER RESOLUTION ASKING STURM RUGER, ONE OF THE NATION'S LEADING MANUFACTURERS OF FIREARMS, TO CONDUCT AND PUBLISH AN INDEPENDENT HUMAN RIGHTS IMPACT ASSESSMENT OF ITS POLICIES, PRACTICES AND PRODUCTS, AND MAKE RECOMMENDATIONS FOR IMPROVEMENT. THE RESOLUTION RECEIVED A 68.5% VOTE IN FAVOR, WELL ABOVE THE THRESHOLD REQUIRED FOR THE RESOLUTION TO BE RESUBMITTED IN 2023, INDICATING A LARGE MAJORITY OF STURM RUGER INVESTORS BELIEVE THE COMPANY HAS TO ADDRESS ITS HUMAN RIGHTS IMPACTS. TRINITY HEALTH AND TRINITY HEALTH OF NEW ENGLAND ARE CITED AS PART OF THE GROUP WHO MOVED FORWARD THIS RESOLUTION.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG.