St Francis Home

“Pursuant to Section 8.6 of the Bylaws of St. Francis Home, the Executive Committee is composed of the board chair, the board vice chair, the President and CEO, each of whom shall serve as an ex officio voting member of the Executive Committee, and two voting members appointed by the Board of Directors. Each individual appointed to the Executive Committee shall serve for a term of one year or until his or her successor is duly appointed by the Board of Directors. The Executive Committee shall consist of only directors of the Corporation. Pursuant to Section 8.1 of the Corporation's bylaws, committees, such as the executive committee, that are granted the authority to act on behalf of the board of directors may include only directors of the corporation. Further, pursuant to Section 8.6 of the Corporation's bylaws, the executive committee has and may exercise such powers as may be delegated to it by the board of directors. The Executive Committee also possesses the power to transact routine business of the corporation in the interim period between regularly scheduled meetings of the board of directors.”

“The sole corporate member of st. Francis home is catholic health initiatives (chi), a colorado non-profit corporation.”

“The organization's sole corporate member has the power to remove, replace or appoint the members of the organization's governing body.”

“The organization's corporate member is catholic health initiatives (chi). Pursuant to section 5.2 of the organization's bylaws, the corporate member shall have the specific rights set forth in the governance matrix. Pursuant to the governance matrix the following rights are reserved to the chi board directly or through powers delegated to the chi chief executive officer: * substantial change in the mission or philosophy of st. Francis home; * amendment of the corporate documents of st. Francis home; * approve members of the st. Francis home board; * removal of a member of the governing body of st. Francis home; * approval of issuance of debt by st. Francis home; * approval of participation of st. Francis home in a joint venture; * approval of formation of a new corporation by st. Francis home; * approval of a merger involving st. Francis home; * approval of the sale of all or substantially all of the assets of st. Francis home; * to require the transfer of assets by the st. Francis home to chi to accomplish chi's goals and objectives, and to satisfy chi debts; * adoption of long range and strategic plans for st. Francis home. Pursuant to section 5.5.2 of the organization's bylaws, chi may, in exercise of its approval powers, grant or withhold approval in whole or in part, or may, in its complete discretion, after consultation with the board and the president and chief executive officer of the organization, recommend such other or different actions as it deems appropriate.”

“St. Francis home's board of directors has a form 990 review subcommittee that consists of at least two community members with tax return experience, st. Francis home's ceo, cfo and an accountant. When the return is prepared, it is reviewed by the chief financial officer, who presents it to the form 990 subcommittee for additional review. After any necessary revisions are made, the return is available to the board members prior to filing the return. Subsequently, chi tax department files the return with the appropriate federal agencies, making any non-substantive changes necessary to effect e-filing. Any such changes are not re-submitted to the board.”

“Catholic Health Initiatives ("CHI") has a Conflicts of Interest ("COI") policy in place to maintain the integrity of all of its activities. The policy applies to CHI Board of Stewardship Trustees and members of its committees; all board and board committee members of CHI Entities; all CHI employees; all CHI physicians (both employed and non-employed) and all physician administrators and leaders; advanced practice clinicians (both employed and non-employed); and all CHI research personnel (both employed and non-employed). Disclosure, review and management of perceived, potential or actual conflicts of interest are accomplished through a defined COI disclosure process. Each person has a general ongoing obligation to promptly and fully report to his/her direct manager, supervisor, medical staff office, board or board committee chair any situation or circumstance that may create a conflict of interest. The person must report the actual or potential conflict as soon as she/he becomes aware of it. In any situation where the person may be in doubt, a full disclosure should be made to permit an impartial and objective determination. In addition to the general ongoing obligation, there are initial disclosure obligations. The board, board committee members, and new employees are required to make disclosures at the time of their initial hiring/appointment. All non-employed, credentialed or contracted physicians are required to make disclosures at the time of their credentialing and during any subsequent reappointment or recredentialing. All researchers are required to make disclosures upon consideration of affiliation with a research sponsor. In addition to the general ongoing and initial disclosure obligations, there is an annual disclosure obligation. All corporate officers, board and board committee members, employees at the level of manager and above, researchers, supply chain employees, employed physicians, physician administrators and leaders, and employed advanced practice clinicians must complete a new conflict of interest disclosure annually. Disclosures of perceived, potential or actual conflicts involving financial interests are forwarded to the Conflicts of Interest Review Committee ("C-CIRC") or Legal Services Group for review depending on the position of the person involved. The C-CIRC reviews COI questionnaires containing disclosures of perceived or possible conflicts for employees at a level of manager or above, supply chain employees, researchers and physicians, physician administrators and leaders, and advanced practice clinicians (both employed and non-employed). In the determination of a conflict, a COI management plan will be developed for that person. With respect to those audiences for which the C-CIRC has review responsibility, the C-CIRC will facilitate development of any such conflict of interest management plan in collaboration with local CRP staff. A designated CHI Entity staff will be responsible for monitoring the COI management plan and for documenting monitoring activities. At its sole discretion, a CHI Entity may reject a Person's request to enter into the relationship in question, or require the relationship be sufficiently altered to avoid a potential COI. If the C-CIRC determines that there is a potential or actual conflict of interest that does not currently have appropriate controls to address the conflict of interest, it may recommend that the disclosing person be allowed to participate in the activity or transaction subject to restrictions as outlined in the COI management plan. If a Person does not agree with a determination made by the C-CIRC, its interpretation of the Policy or Addenda, or seeks an exemption or exception, the following steps should be followed. The Employee disputing the review decision, interpretation of the Policy, or seeking exemption or exception must present the matter to the Employee's immediate direct manager or supervisor for review and determination. If the Employee and”

“St. Francis home's financial statements are included in catholic health initiatives' consolidated audited financial statements that are available at www.catholichealthinit.org or at www.dacbond.com. The organization's conflict of interest policy and governing documents are available to the public upon request.”

“St. Francis Home was established in September 1952 as a non-profit, long term care provider. This 120-bed skilled nursing facility specializes in providing an individualized, home-like atmosphere for the residents. Units are broken into 20-bed neighborhoods, with separate kitchens, dining areas, living rooms, laundry facilities, etc. Residents can choose to get up when they want to and can order what they want for breakfast. St. Francis also offers inter-generational activities for the residents and youth in the community. The mission of St. Francis Home is to care for the frail elderly members of our community with dignity and to advocate for their health care needs. In fiscal year 2014, St. Francis Home put 40 of the 120 licensed beds on lay-away due to difficulties in recruiting adequate staffing to maintain safe quality care. Currently 80 beds are in use. As a tax-exempt 501(c)(3) long term care facility, St. Francis Home is committed to serving the needs of community. St. Francis Home requires the residents to demonstrate the ability to pay the facility fees and charges, which are set by the State of Minnesota, but will assist in locating payer sources the resident may be eligible for. All residents are charged the same rates, based on their care levels, regardless of their payer source. The 11-member, volunteer, Board of Directors leads St. Francis Home's commitment to promote the development of healthier communities, especially as it concerns our senior citizens. St. Francis Home is proud of its Catholic heritage and its ability to provide direct and indirect support to the communities it serves. Since the 1980's, St. Francis Home has been actively involved with its sister corporation, St. Francis Medical Center, with community health collaboration. Several times, St. Francis has taken the lead in organizing community teams and focus groups to look at health issues, set priorities and plans for improvement. That commitment continues today with St. Francis' membership on the Richland-Wilkin Healthy Communities, Inc Board of Directors, Breckenridge Active Living Committee, ACTIVE task force, Violence Prevention Task Force and other community groups. St. Francis Community Benefit Plan has been established in conjunction with its sister corporations of St. Francis Medical Center, Appletree Court, and the Healthcare and Wellness Foundation. The plan is based on our understanding of unique communities' needs derived from collaborative needs assessments, focus groups, and surveys conducted with our community partners. St. Francis conducted a Community Health Needs Assessment in 2013 in conjunction with the Public Health Departments from both Wilkin County, MN and Richland County, ND, as well as the two clinics in our community. The three main areas of need identified from the data collected were Obesity Management, Substance Use and Abuse, and Mental Health. II. QUANTITATIVE DESCRIPTION OF COMMUNITY BENEFIT BENEFITS FOR BROADER COMMUNITY: Community Health Improvement Services # of Persons - 600; Community Benefit - $126 COMMUNITY BUILDING ACTIVITIES # OF PERSONS - 41,405; COMMUNITY BENEFIT - $5,249 HEALTH PROFESSIONS EDUCATION # OF PERSONS - 116; COMMUNITY BENEFIT - $5,610 SUBSIDIZED HEALTH SERVICES # OF PERSONS - 0; COMMUNITY BENEFIT - $414,873 Community Health Improvement # of persons - 480; Community Benefit - $475 TOTAL BENEFITS FOR THE BROADER COMMUNITY: # OF PERSONS - 42,004; COMMUNITY BENEFIT - $426,810 As shown in the above table, St. Francis Home provided over $400,000 of subsidized care during fiscal year 2015. Much of this was due to non-reimbursed costs for services provided to Medicaid patients and other indigent care programs. Medicaid represents approximately 60.5% of the resident population for St. Francis Home. III. Qualitative Description of Community Benefit St. Francis Home served as a clinical setting for health profession students during throughout the year at an estimated value of $5,600.”

“Other Fees for Services - Total Expense: 4545081, Program Service Expense: 4408729, Management and General Expenses: 136352, Fundraising Expenses: ;”

“St. Francis home and chi's mission is to nurture the healing ministry of the church, supported by education and research. Fidelity to the gospel urges the corporation to emphasize human dignity and social justice as it creates healthier communities. The corporation, sponsored by a lay-religious partnership, calls other catholic sponsors and systems to unite to ensure the future of catholic health care. To fulfill this mission, the corporation, as a values-based organization, will assure the integrity of the ministry in both current and developing organizations and activities; research and develop new ministries that integrate health, education, pastoral, and social services; promote leadership development and formation for ministry throughout the entire organization; advocate for systemic changes with specific concern for persons who are poor, alienated, and underserved; and steward resources by general oversight of the entire organization.”