2023-05-15T15:42:49-05:00 2022-06-30 990 2021-07-01 520738041 HOLY CROSS HEALTH INC HOLY 3017547000 1500 FOREST GLEN ROAD SILVER SPRING MD 209101484 ANNE D GILLIS CHIEF FINANCIAL OFFICER 3017547000 2023-05-15 ANNE GILLIS 999009999 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z SEE SCHEDULE O NORVELL COOTS MD 1500 FOREST GLEN ROAD SILVER SPRING MD 209101484 698076414 0 X WWW.HOLYCROSSHEALTH.ORG X 1959 MD TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES 15 12 4894 341 7600 2889 32783810 6192841 622399667 658452314 34712102 21183721 11277281 11382145 701172860 697211021 430106 385590 0 0 312526478 352818794 0 0 0 309500886 331932221 622457470 685136605 78715390 12074416 1151918907 1062516102 548571620 506977734 603347287 555538368 X WE, HOLY CROSS HEALTH AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES. WE CARRY OUT THIS MISSION IN OUR COMMUNITIES THROUGH OUR COMMITMENT TO BE THE MOST TRUSTED PROVIDER OF HEALTH CARE SERVICES. 0 0 591025081 385590 664610880 HOLY CROSS HEALTH IS A NOT-FOR-PROFIT HEALTH SYSTEM IN MONTGOMERY COUNTY, MD., DEDICATED TO IMPROVING THE HEALTH OF ITS COMMUNITY FOR MORE THAN 60 YEARS. HOLY CROSS SERVES OVER 160,000 PATIENTS EACH YEAR THROUGH A FULL RANGE OF INPATIENT, OUTPATIENT AND INNOVATIVE COMMUNITY-BASED SERVICES. HOLY CROSS HAS GROWN FROM A SINGLE HOSPITAL LOCATED IN SILVER SPRING, MD., INTO A SYSTEM OF HOSPITALS AND HEALTH CENTERS IN LOCATIONS THROUGHOUT THE COMMUNITY. HOLY CROSS GERMANTOWN HOSPITAL OPENED OCTOBER 1, 2014 AND IS THE FIRST HOSPITAL IN THE NATION TO BE LOCATED ON A COLLEGE CAMPUS. CARE IS ENHANCED BY AN EDUCATIONAL PARTNERSHIP, AND INCLUDES HIGH-QUALITY MEDICAL, SURGICAL, OBSTETRIC, EMERGENCY, AND BEHAVIORAL HEALTH SERVICES. HOLY CROSS HEALTH CENTERS ARE LOCATED IN SILVER SPRING, GAITHERSBURG, GERMANTOWN AND ASPEN HILL.FOR MORE INFORMATION SEE SCHEDULE H AND THE HOSPITAL WEBSITE: WWW.HOLYCROSSHEALTH.ORG. 591025081 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 513 0 1 4894 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 12 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 1 1 MD X ANNE GILLIS - CFO 3017547035 1500 FOREST GLEN RD SILVER SPRING MD 20910 NORVELL COOTS MD DIRECTOR; PRESIDENT & CEO 54.00 1.00 X X 0 818228 39259 LOUIS DAMIANO MD PRESIDENT HOLY CROSS HOSPITAL 55.00 0.00 X 0 560240 52637 TINA WEATHERWAX-GRANT DIR; TH SVP PUBLIC POLICY & ADVOCACY 1.00 49.00 X 0 450014 108013 RINY KARRAS PHYSICIAN 50.00 0.00 X 506239 0 18867 YANCY PHILLIPS MD CHIEF CLINICAL OFFICER 50.00 0.00 X 0 452998 46175 DOUG RYDER PRESIDENT HC GERMANTOWN HOSPITAL 55.00 0.00 X 0 456862 30582 GREG JOLISSAINT VP MILITARY AND VETERANS HEALTH 50.00 0.00 X 0 446600 33024 ANNICE CODY PRESIDENT HCH NETWORK 50.00 0.00 X 0 401159 54252 ANN BURKE VP MEDICAL AFFAIRS 50.00 0.00 X 398179 0 40422 ANNE GILLIS ASSISTANT TREASURER & CFO 49.00 1.00 X 0 364688 59053 ELIZABETH SIMPSON ASST SECRETARY; VP MANAGING COUNSEL 49.00 1.00 X 0 369878 42977 KRISTIN FELICIANO VP CHIEF STRATEGY OFFICER 50.00 0.00 X 0 360285 43204 ANTHONY DELUMBAN REGISTERED NURSE 50.00 0.00 X 368176 0 16069 DOUGLAS MURPHY MD DIRECTOR, ON CALL PHYSICIAN 3.00 0.00 X 50000 0 0 THOMAS MCELROY DIRECTOR; CHAIR 1.00 0.00 X X 0 0 0 AJAY GUPTA DIR;SEC THR 12/21;VICE CHAIR AT 1/22 1.00 0.00 X X 0 0 0 CARMEN LARSEN DIRECTOR; TREASURER AS OF 1/22 1.00 0.00 X X 0 0 0 MARILYN MOON DIRECTOR, TREASURER THROUGH 12/21 1.00 0.00 X X 0 0 0 ELSBETH MULVANEY CSC DIRECTOR, SECRETARY AS OF 1/22 1.00 0.00 X X 0 0 0 RUTH MARIE NICKERSON CSC DIRECTOR, VICE CHAIR THROUGH 12/21 1.00 1.00 X X 0 0 0 UMA AHLUWALIA DIRECTOR AS OF 1/22 1.00 0.00 X 0 0 0 SHARON FRIEDMAN DIRECTOR 1.00 0.00 X 0 0 0 DAVID ANTHONY HILL DIRECTOR AS OF 1/22 1.00 0.00 X 0 0 0 COURTNEY LANG DIRECTOR THROUGH 9/21 1.00 0.00 X 0 0 0 ROBIN MADDEN MD DIRECTOR 1.00 0.00 X 0 0 0 MARC POTASH DIRECTOR 1.00 0.00 X 0 0 0 ERIC SCHOOMAKER MD DIRECTOR 1.00 0.00 X 0 0 0 SHARLET WAGNER CSC DIRECTOR 1.00 0.00 X 0 0 0 JACQUELINE WATSON DO DIRECTOR 1.00 0.00 X 0 0 0 1322594 4680952 584534 708 0 1 0 HALLMARK HEALTH CARE SOLUTIONS INC PO BOX 22937 NEW YORK NY 10087 TEMPORARY MEDICAL STAFFING SERVICES 17228741 USACS INTEGRATED ACUTE CARE SVCS 4535 DRESSLER ROAD NW CANTON OH 44718 CLINICAL SERVICES 2791180 HOLY CROSS ANESTHESIOLOGY ASSO 2730 UNIVERSITY BLVD W 104 WHEATON MD 20902 CLINICAL SERVICES 2617347 WHITING TURNER CONTRACTING CO PO BOX 17596 BALTIMORE MD 21297 CONSTRUCTION SERVICES 2359791 CHILDRENS NATL MED 12211 PLUM ORCHARD DR STE 200 SILVER SPRING MD 20904 CLINICAL SERVICES 2185214 162 1387983 4495089 309769 6192841 NET PATIENT SERVICE REVENUE 622110 658452314 658444714 7600 658452314 14424941 14424941 1525333 0 1525333 1525333 1525333 6776543 847630 0 865393 6776543 -17763 6758780 6758780 RADIATION TREATMENT CENTER 622110 3399102 3399102 CAFETERIA REVENUE 722514 2583382 2583382 PARKING 812930 1107264 1107264 2767064 2767064 9856812 697211021 664610880 7600 26399700 X 257500 257500 128090 128090 3798988 50000 3748988 292875721 270916425 21959296 9648712 8925539 723173 25090692 23134915 1955777 21404681 19965244 1439437 2030157 2030157 147222 147222 75500 75500 770207 770207 85140220 74866724 10273496 1204596 41795 1162801 5616984 3662284 1954700 24846441 19997182 4849259 15908747 13384480 2524267 81843 77084 4759 250977 238741 12236 13680726 13680726 35365317 15548222 19817095 6756854 324882 6431972 MEDICAL SUPPLIES 87160116 87160116 BAD DEBT 26214922 26214922 INTERCO PURCHASED SVCS 14741813 1895839 12845974 EQUIPMENT MAINTENANCE 7801626 7757961 43665 4137953 766253 3371700 685136605 591025081 94111524 0 115374 154356 40657 58677 74331775 98798447 13719999 13378650 2354584 3108798 822656962 411530218 419036645 411126744 352509047 252483837 189071526 167376883 579660 739513 100159640 115290197 1151918907 1062516102 72243981 78663081 11302708 5597519 2122370 2362763 462902561 420354371 548571620 506977734 X 603263336 555438323 83951 100045 603347287 555538368 1151918907 1062516102 X 12074416 -54314815 -5568520 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 32807 1 75500 0 0 108307 0 PART II-B, LINE 1: HOLY CROSS HEALTH (HCH) HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES. THESE GRANTS HAVE BEEN IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS, WHERE THE ORGANIZATIONS HAVE PROVIDED HCH WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. MARYLAND HOSPITAL ASSOCIATION - $8,650 CATHOLIC HOSPITAL ASSOCIATION - $3,542 AMERICAN HOSPITAL ASSOCIATION - $4,944 PROFESSIONAL ORGANIZATIONS - $15,671 TOTAL - $32,807 ORGANIZATION EMPLOYEES ALSO ENGAGE IN ADVOCACY ON ISSUES RELATED TO HEALTH CARE AND HEALTH CARE PROVIDERS. SUCH ACTIVITIES CONSIST OF WRITTEN AND VERBAL COMMUNICATIONS WITH FEDERAL, STATE AND LOCAL ELECTED OFFICIALS AND GOVERNMENT AGENCIES. HCH ALSO PAID A THIRD PARTY LOBBYING FIRM DURING THE YEAR TO LOBBY FOR OR AGAINST LEGISLATION DETERMINED TO BE OF INTEREST TO HCH. 83951 16094 100045 54184 29767 83951 59668 -5484 54184 58397 1271 59668 50357 8040 58397 1.00000 0 0 493418 493418 619876563 267090369 352786194 25292 316 24976 192773367 144439533 48333834 136480 9351842 9488322 411126744 COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES 41844221 F EQUITY METHOD INVESTMENTS 104610552 C HEDGE FUNDS 20922110 F 167376883 MISCELLANEOUS RECEIVABLES 1123878 INTERCOMPANY ACCOUNTS RECEIVABLE 13397009 INVESTMENT IN UNCONSOL. AFFILIATES 50340577 INTERCOMPANY OTHER LT ASSETS 36593100 OPERATING LEASE RIGHT-OF-USE ASSETS 6839651 OTHER LONG TERM ASSETS 6995982 115290197 INTERCOMPANY ACCOUNTS PAYABLE 15352631 DEFERRED COMPENSATION LIABILITY 1318467 ASSET RETIREMENT OBLIGATION (ASC 410) 412886 OTHER LIABILITIES 13954537 INTERCOMPANY NOTES PAYABLE 372295730 GUARANTEES 1035310 LEASE LIABILITIES 13265133 MEDICARE CASH ADVANCES 2719677 420354371 PART V, LINE 4: THE PURPOSE OF THE LOUIS GALDIERI, M.D. MEMORIAL FUND ENDOWMENT IS TO PROVIDE AN AWARD TO A STUDENT(S) OF THE HOLY CROSS HOSPITAL SCHOOL OF RADIOLOGIC TECHNOLOGY WHO EXEMPLIFIES THE VALUES OF THE SCHOOL THROUGH TEAMWORK, INITIATIVE, CONCERN FOR OTHERS AND SCIENTIFIC CURIOSITY. 1 1 X 1 X 1 X 1 1 1 0 1 1 42849549 23083098 19766451 0.03000 163486694 148558705 14927989 0.02270 206336243 171641803 34694440 0.05270 57 148866 5674215 552074 5122141 0.00780 4 427 3637238 3637238 0.00550 12 90129 13643692 1825015 11818677 0.01790 2 333 216909 10225 206684 0.00030 1 75000 75000 76 239755 23247054 2462314 20784740 0.03150 76 239755 229583297 174104117 55479180 0.08420 1 26214922 0 119057655 111304603 7753052 X 1 1 2 1 HOLY CROSS HOSPITAL 1500 FOREST GLEN ROAD SILVER SPRING MD 20910 WWW.HOLYCROSSHEALTH.ORG MARYLAND LICENSE # 15-016 X X X X 2 HOLY CROSS GERMANTOWN HOSPITAL 19801 OBSERVATION DRIVE GERMANTOWN MD 20876 WWW.HOLYCROSSHEALTH.ORG MARYLAND LICENSE #015-080 X X X X HOLY CROSS HOSPITAL 1 0 0 1 X X X X X X X X X 19 1 1 1 1 X SEE SCHEDULE H, PART V, SECTION C X 1 19 1 SEE SCHEDULE H, PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X SEE SCHEDULE H, PART V, SECTION C X SEE SCHEDULE H, PART V, SECTION C X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 1 X 0 0 HOLY CROSS GERMANTOWN HOSPITAL 2 0 0 1 X X X X X X X X X 19 1 1 1 1 X SEE SCHEDULE H, PART V, SECTION C X 1 19 1 SEE SCHEDULE H, PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X SEE SCHEDULE H, PART V, SECTION C X SEE SCHEDULE H, PART V, SECTION C X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 1 X 0 0 HOLY CROSS HOSPITAL PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E: HOLY CROSS HOSPITAL (HCH) INCLUDED ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS, WHICH WERE IDENTIFIED THROUGH THEIR MOST RECENT CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE CONSIDERED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: 1. SOCIAL DETERMINANTS/INFLUENCERS OF HEALTH A. ACCESS TO CARE B. FOOD INSECURITY C. HOUSING2. VULNERABLE POPULATIONS A. SENIOR POPULATION B. MATERNAL/INFANT POPULATION3. CHRONIC DISEASES A. DIABETES B. CANCERS C. CARDIOVASCULAR HEALTH D. OBESITY E. BEHAVIORAL HEALTH HOLY CROSS GERMANTOWN HOSPITAL PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E: HOLY CROSS GERMANTOWN HOSPITAL (HCGH) INCLUDED ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS, WHICH WERE IDENTIFIED THROUGH THEIR MOST RECENT CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE CONSIDERED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: 1. SOCIAL DETERMINANTS/INFLUENCERS OF HEALTH A. ACCESS TO CARE B. FOOD INSECURITY C. HOUSING2. VULNERABLE POPULATIONS A. SENIOR POPULATION B. MATERNAL/INFANT POPULATION3. CHRONIC DISEASES A. DIABETES B. CANCERS C. CARDIOVASCULAR HEALTH D. OBESITY E. BEHAVIORAL HEALTH HOLY CROSS HOSPITAL PART V, SECTION B, LINE 5: HOLY CROSS HOSPITAL (HCH) HAS CONDUCTED NEEDS ASSESSMENTS FOR ALMOST 20 YEARS, AND HOLY CROSS GERMANTOWN HOSPITAL (HCGH) HAS CONDUCTED NEEDS ASSESSMENTS SINCE IT OPENED IN 2014. BOTH COLLABORATIVELY IDENTIFY UNMET COMMUNITY HEALTH CARE NEEDS IN A VARIETY OF WAYS. FOR THIS CHNA CYCLE, HCH AND HCGH AGAIN COLLABORATED WITH OTHER HEALTH CARE PROVIDERS TO SUPPORT HEALTHY MONTGOMERY, MONTGOMERY COUNTY'S COMMUNITY HEALTH IMPROVEMENT PROCESS. EXPERT GUIDANCE WAS PROVIDED FROM A PANEL OF EXTERNAL PARTICIPANTS WITH EXPERTISE IN PUBLIC HEALTH AND INSIGHT INTO THE NEEDS OF OUR COMMUNITY. FIRST-HAND INFORMATION WAS GATHERED FROM COMMUNITY MEMBERS THROUGH COMMUNITY CONVERSATIONS CONDUCTED IN THE SPRING OF 2019 BY HOLY CROSS HEALTH (COMPRISED OF HCH AND HCGH), HEALTHY MONTGOMERY, AND THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE COMMUNITY NEED INDEX AND OTHER PUBLICLY AVAILABLE REPORTS AND NEEDS ASSESSMENTS WERE REVIEWED TO HELP IDENTIFY THE UNMET NEEDS IN COMMUNITIES THAT WOULD BENEFIT FROM OUR PROGRAMS AND SERVICES. INTERNAL DATA WAS USED TO CONDUCT AN EXTENSIVE ANALYSIS OF DEMOGRAPHICS, HEALTH INDICATORS AND OTHER DETERMINANTS OF HEALTH FOR THOSE SERVED BY HCH AND HCGH.ANNUALLY, HCH AND HCGH INVITE INPUT AND OBTAIN ADVICE FROM A GROUP OF EXTERNAL PARTICIPANTS THAT REPRESENT THE INTERESTS OF THE COMMUNITIES WE SERVE. THIS EXTERNAL REVIEW COMMITTEE REVIEWS OUR COMMUNITY BENEFIT PLAN, ANNUAL WORK PLAN, FOUNDATION/KEY BACKGROUND MATERIAL, AND DATA SUPPLEMENTS TO ADVISE US ON PRIORITY COMMUNITY NEEDS AND THE DIRECTION TO TAKE FOR THE FOLLOWING YEAR. EXTERNAL GROUP PARTICIPANTS INCLUDE THE PUBLIC HEALTH OFFICER AND THE DIRECTOR OF THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES; A VARIETY OF INDIVIDUALS FROM LOCAL AND STATE GOVERNMENTAL AGENCIES; AND LEADERS FROM COMMUNITY-BASED ORGANIZATIONS, FOUNDATIONS, CHURCHES, COLLEGES, COALITIONS, AND ASSOCIATIONS. THESE PARTICIPANTS ARE EXPERTS IN A RANGE OF AREAS, INCLUDING PUBLIC HEALTH, MINORITY POPULATIONS AND HEALTH DISPARITIES, SOCIAL DETERMINANTS OF HEALTH, HEALTH CARE, AND SOCIAL SERVICES. THROUGH GROUP DISCUSSION, THEY PROVIDE INPUT THAT HELPS TO ENSURE THAT WE HAVE IDENTIFIED AND RESPONDED TO THE MOST PRESSING COMMUNITY HEALTH CARE NEEDS.ON JUNE 5, 2019, THE EXTERNAL REVIEW COMMITTEE MET TO PROVIDE INPUT ON EXISTING AND EMERGING COMMUNITY NEEDS FOR THE CURRENT CHNA. A WIDE VARIETY OF ORGANIZATIONS REPRESENTING MULTIPLE COMMUNITIES WITHIN OUR COMMUNITY BENEFIT SERVICE AREA, WERE SOLICITED FOR INPUT. INPUT ON THE NEEDS OF LOW-INCOME, MINORITY, AND SENIOR POPULATIONS WERE PROVIDED BY THE HEALTH OFFICER AND DIRECTOR OF THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, A REPRESENTATIVE FROM THE MONTGOMERY COUNTY HOUSING PARTNERSHIP, AND A REPRESENTATIVE FROM THE MONTGOMERY COUNTY COLLABORATION COUNCIL FOR CHILDREN, YOUTH, AND FAMILIES. EXISTING AND EMERGING NEEDS OF THE MEDICALLY UNDERSERVED AND UNINSURED POPULATIONS WERE PROVIDED BY THE DIRECTOR OF THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, A REPRESENTATIVE FROM THE HOLY CROSS HEALTH CENTER - ASPEN HILL, AND BY A REPRESENTATIVE FROM THE MENTAL HEALTH ASSOCIATION OF MONTGOMERY COUNTY. INFORMATION ON THE BROADER NEEDS OF THE COMMUNITY WE SERVE WAS PROVIDED BY REPRESENTATIVES FROM THE MONTGOMERY COUNTY FOOD COUNCIL, THE NEXUS MONTGOMERY REGIONAL PARTNERSHIP, THE HEALTH CARE INITIATIVE FOUNDATION, THE MONTGOMERY COUNTY COUNCIL, AND THE SILVER SPRING VILLAGE. HOLY CROSS GERMANTOWN HOSPITAL PART V, SECTION B, LINE 5: HOLY CROSS HOSPITAL (HCH) HAS CONDUCTED NEEDS ASSESSMENTS FOR ALMOST 20 YEARS, AND HOLY CROSS GERMANTOWN HOSPITAL (HCGH) HAS CONDUCTED NEEDS ASSESSMENTS SINCE IT OPENED IN 2014. BOTH COLLABORATIVELY IDENTIFY UNMET COMMUNITY HEALTH CARE NEEDS IN A VARIETY OF WAYS. FOR THIS CHNA CYCLE, HCH AND HCGH AGAIN COLLABORATED WITH OTHER HEALTH CARE PROVIDERS TO SUPPORT HEALTHY MONTGOMERY, MONTGOMERY COUNTY'S COMMUNITY HEALTH IMPROVEMENT PROCESS. EXPERT GUIDANCE WAS PROVIDED FROM A PANEL OF EXTERNAL PARTICIPANTS WITH EXPERTISE IN PUBLIC HEALTH AND INSIGHT INTO THE NEEDS OF OUR COMMUNITY. FIRST-HAND INFORMATION WAS GATHERED FROM COMMUNITY MEMBERS THROUGH COMMUNITY CONVERSATIONS CONDUCTED IN THE SPRING OF 2019 BY HOLY CROSS HEALTH (COMPRISED OF HCH AND HCGH), HEALTHY MONTGOMERY, AND THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE COMMUNITY NEED INDEX AND OTHER PUBLICLY AVAILABLE REPORTS AND NEEDS ASSESSMENTS WERE REVIEWED TO HELP IDENTIFY THE UNMET NEEDS IN COMMUNITIES THAT WOULD BENEFIT FROM OUR PROGRAMS AND SERVICES. INTERNAL DATA WAS USED TO CONDUCT AN EXTENSIVE ANALYSIS OF DEMOGRAPHICS, HEALTH INDICATORS AND OTHER DETERMINANTS OF HEALTH FOR THOSE SERVED BY HCH AND HCGH.ANNUALLY, HCH AND HCGH INVITE INPUT AND OBTAIN ADVICE FROM A GROUP OF EXTERNAL PARTICIPANTS THAT REPRESENT THE INTERESTS OF THE COMMUNITIES WE SERVE. THIS EXTERNAL REVIEW COMMITTEE REVIEWS OUR COMMUNITY BENEFIT PLAN, ANNUAL WORK PLAN, FOUNDATION/KEY BACKGROUND MATERIAL, AND DATA SUPPLEMENTS TO ADVISE US ON PRIORITY COMMUNITY NEEDS AND THE DIRECTION TO TAKE FOR THE FOLLOWING YEAR. EXTERNAL GROUP PARTICIPANTS INCLUDE THE PUBLIC HEALTH OFFICER AND THE DIRECTOR OF THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES; A VARIETY OF INDIVIDUALS FROM LOCAL AND STATE GOVERNMENTAL AGENCIES; AND LEADERS FROM COMMUNITY-BASED ORGANIZATIONS, FOUNDATIONS, CHURCHES, COLLEGES, COALITIONS, AND ASSOCIATIONS. THESE PARTICIPANTS ARE EXPERTS IN A RANGE OF AREAS, INCLUDING PUBLIC HEALTH, MINORITY POPULATIONS AND HEALTH DISPARITIES, SOCIAL DETERMINANTS OF HEALTH, HEALTH CARE, AND SOCIAL SERVICES. THROUGH GROUP DISCUSSION, THEY PROVIDE INPUT THAT HELPS TO ENSURE THAT WE HAVE IDENTIFIED AND RESPONDED TO THE MOST PRESSING COMMUNITY HEALTH CARE NEEDS.ON JUNE 5, 2019, THE EXTERNAL REVIEW COMMITTEE MET TO PROVIDE INPUT ON EXISTING AND EMERGING COMMUNITY NEEDS FOR THE CURRENT CHNA. A WIDE VARIETY OF ORGANIZATIONS REPRESENTING MULTIPLE COMMUNITIES WITHIN OUR COMMUNITY BENEFIT SERVICE AREA, WERE SOLICITED FOR INPUT. INPUT ON THE NEEDS OF LOW-INCOME, MINORITY, AND SENIOR POPULATIONS WERE PROVIDED BY THE HEALTH OFFICER AND DIRECTOR OF THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, A REPRESENTATIVE FROM THE MONTGOMERY COUNTY HOUSING PARTNERSHIP, AND A REPRESENTATIVE FROM THE MONTGOMERY COUNTY COLLABORATION COUNCIL FOR CHILDREN, YOUTH, AND FAMILIES. EXISTING AND EMERGING NEEDS OF THE MEDICALLY UNDERSERVED AND UNINSURED POPULATIONS WERE PROVIDED BY THE DIRECTOR OF THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, A REPRESENTATIVE FROM THE HOLY CROSS HEALTH CENTER - ASPEN HILL, AND BY A REPRESENTATIVE FROM THE MENTAL HEALTH ASSOCIATION OF MONTGOMERY COUNTY. INFORMATION ON THE BROADER NEEDS OF THE COMMUNITY WE SERVE WAS PROVIDED BY REPRESENTATIVES FROM THE MONTGOMERY COUNTY FOOD COUNCIL, THE NEXUS MONTGOMERY REGIONAL PARTNERSHIP, THE HEALTH CARE INITIATIVE FOUNDATION, THE MONTGOMERY COUNTY COUNCIL, AND THE SILVER SPRING VILLAGE. HOLY CROSS HOSPITAL PART V, SECTION B, LINE 6A: AS A MEMBER OF HEALTHY MONTGOMERY, MONTGOMERY COUNTY'S COMMUNITY HEALTH IMPROVEMENT PROCESS, HOLY CROSS HOSPITAL CONDUCTED ITS CHNA WITH THE FOLLOWING HOSPITAL FACILITIES: HOLY CROSS GERMANTOWN HOSPITAL, SUBURBAN HOSPITAL, MEDSTAR MONTGOMERY MEDICAL CENTER, ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER (FORMERLY WASHINGTON ADVENTIST HOSPITAL), AND SHADY GROVE ADVENTIST HOSPITAL. HOLY CROSS GERMANTOWN HOSPITAL PART V, SECTION B, LINE 6A: AS A MEMBER OF HEALTHY MONTGOMERY, MONTGOMERY COUNTY'S COMMUNITY HEALTH IMPROVEMENT PROCESS, HOLY CROSS GERMANTOWN HOSPITAL CONDUCTED ITS CHNA WITH THE FOLLOWING HOSPITAL FACILITIES: HOLY CROSS HOSPITAL, SUBURBAN HOSPITAL, MEDSTAR MONTGOMERY MEDICAL CENTER, ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER (FORMERLY WASHINGTON ADVENTIST HOSPITAL), AND SHADY GROVE ADVENTIST HOSPITAL. HOLY CROSS HOSPITAL PART V, SECTION B, LINE 6B: AS MEMBERS OF HEALTHY MONTGOMERY, MONTGOMERY COUNTY'S COMMUNITY HEALTH IMPROVEMENT PROCESS, HOLY CROSS HOSPITAL AND HOLY CROSS GERMANTOWN HOSPITAL CONDUCTED THEIR CHNAS WITH THE FOLLOWING ORGANIZATIONS: MANNA FOOD SERVICES, MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, HOUSE OF DELEGATES, MARYLAND GENERAL ASSEMBLY, KAISER PERMANENTE, PRIMARY CARE COALITION OF MONTGOMERY COUNTY, MONTGOMERY COUNTY DEPARTMENT OF PLANNING, CAREFIRST BLUE CROSS BLUE SHIELD, AFRICAN AMERICAN HEALTH PROGRAM, ASIAN AMERICAN HEALTH INITIATIVE, PROYECTO SALUD HEALTH CENTER, LATINO HEALTH INITIATIVE, MONTGOMERY COUNTY PUBLIC SCHOOLS, MONTGOMERY COUNTY RECREATION DEPARTMENT, GEORGETOWN UNIVERSITY SCHOOL OF NURSING AND HEALTH STUDIES, MONTGOMERY COUNTY DEPARTMENT OF TRANSPORTATION, RONALD D PAUL COMPANIES, MONTGOMERY PARKS, MONTGOMERY COUNTY COLLABORATION, AND DEPARTMENT OF HOUSING AND COMMUNITY AFFAIRS. HOLY CROSS GERMANTOWN HOSPITAL PART V, SECTION B, LINE 6B: AS MEMBERS OF HEALTHY MONTGOMERY, MONTGOMERY COUNTY'S COMMUNITY HEALTH IMPROVEMENT PROCESS, HOLY CROSS HOSPITAL AND HOLY CROSS GERMANTOWN HOSPITAL CONDUCTED THEIR CHNAS WITH THE FOLLOWING ORGANIZATIONS: MANNA FOOD SERVICES, MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, HOUSE OF DELEGATES, MARYLAND GENERAL ASSEMBLY, KAISER PERMANENTE, PRIMARY CARE COALITION OF MONTGOMERY COUNTY, MONTGOMERY COUNTY DEPARTMENT OF PLANNING, CAREFIRST BLUE CROSS BLUE SHIELD, AFRICAN AMERICAN HEALTH PROGRAM, ASIAN AMERICAN HEALTH INITIATIVE, PROYECTO SALUD HEALTH CENTER, LATINO HEALTH INITIATIVE, MONTGOMERY COUNTY PUBLIC SCHOOLS, MONTGOMERY COUNTY RECREATION DEPARTMENT, GEORGETOWN UNIVERSITY SCHOOL OF NURSING AND HEALTH STUDIES, MONTGOMERY COUNTY DEPARTMENT OF TRANSPORTATION, RONALD D PAUL COMPANIES, MONTGOMERY PARKS, MONTGOMERY COUNTY COLLABORATION, AND DEPARTMENT OF HOUSING AND COMMUNITY AFFAIRS. HOLY CROSS HOSPITAL PART V, SECTION B, LINE 11: HOLY CROSS HOSPITAL (HCH) ADDRESSES THE UNMET NEEDS OF OUR COMMUNITY, IN ACCORDANCE WITH OUR MISSION AND IN ALIGNMENT WITH THE GOALS OF HEALTHY MONTGOMERY, OUR EXTERNAL REVIEW GROUP.KEY FINDINGS FROM ALL DATA SOURCES WERE REVIEWED AND THE MOST PRESSING NEEDS WERE INCORPORATED INTO A MULTI-YEAR IMPLEMENTATION STRATEGY, ADDRESSING THE NEEDS OF THE MOST VULNERABLE AND UNDERSERVED INDIVIDUALS AND FAMILIES. THE FOLLOWING LIST OF PROGRAMS DESCRIBES HOW HCH IS ADDRESSING EACH NEED:ACCESS TO HEALTH CARE: SINCE OPENING IN FISCAL YEAR 2004, THE HOLY CROSS HEALTH CENTERS, LOCATED IN ASPEN HILL, GAITHERSBURG, GERMANTOWN, AND SILVER SPRING, PROVIDE PRIMARY CARE SERVICES TO LOW-INCOME PATIENTS WHO ARE UNINSURED OR ARE ENROLLED IN MARYLAND PHYSICIANS CARE, A MARYLAND MEDICAID MANAGED CARE ORGANIZATION. IN FISCAL YEAR 2022 (FY22), THERE WERE 21,735 PATIENT VISITS AT THE TWO HEALTH CENTER'S LOCATIONS THAT SERVICE HOLY CROSS HOSPITAL (SILVER SPRING AND ASPEN HILL). HOUSING: HCH ADVOCATES FOR AFFORDABLE HOUSING ON A COUNTY AND STATE LEVEL AND JOINS TRINITY HEALTH, PARENT COMPANY OF HCH, TO ADVOCATE FOR POLICY CHANGES IN AFFORDABLE HOUSING ON A NATIONAL LEVEL. WE ALSO PARTNER WITH COMMUNITY-BASED HOUSING ORGANIZATIONS TO INCORPORATE HEALTH AND WELLNESS INTO SENIOR AND LOW-INCOME HOUSING TO CREATE AN ENVIRONMENT THAT FOCUSES ON WHOLE PERSON CARE.MATERNAL AND INFANT HEALTH: SINCE 1999, THOUSANDS OF PATIENTS HAVE BEEN ENTRUSTED TO OUR CARE THROUGH THE MATERNITY PARTNERSHIP PROGRAM, A COLLABORATIVE AGREEMENT BETWEEN HCH AND THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, TO PROVIDE MATERNITY SERVICES TO PATIENTS IN NEED, REGARDLESS OF THEIR ABILITY TO PAY. IN FY22, THROUGH THIS PARTNERSHIP, HCH OFFERED PRENATAL SERVICES TO 786 LOW-INCOME, PREGNANT WOMEN WHO LACKED HEALTH INSURANCE. OF THE MOTHERS IN THIS PROGRAM, 18 DELIVERED BABIES WITH A LOW BIRTH WEIGHT (<2500 GRAMS) RATE OF 2.09%. POST-DELIVERY, THESE MOTHERS AND NEWBORNS WERE REFERRED TO HOLY CROSS HEALTH CENTER IN GERMANTOWN FOR PRIMARY CARE. THE HEALTHY FAMILIES DEPARTMENT PROVIDED EDUCATION, BABY CARE PROGRAMS, AND SUPPORT SERVICES VIRTUALLY WITH 1,961 ENCOUNTERS. SENIORS: HCH PARTNERED WITH MULTIPLE GOVERNMENT, COMMUNITY, AND FAITH-BASED ORGANIZATIONS AND BUSINESSES, TO OFFER AN ARRAY OF OPTIONS IN GEOGRAPHICALLY ACCESSIBLE AREAS THROUGHOUT OUR SERVICE AREA TO HELP OLDER ADULTS MAINTAIN INDEPENDENCE, DECREASE ISOLATION, AND ENHANCE QUALITY OF LIFE. IN MARCH 2020, WITH THE ONSET OF COVID-19, ALMOST ALL CLASSES WERE MOVED TO A VIRTUAL SETTING (FIRST USING THE WEBEX PLATFORM, THEN MICROSOFT TEAMS). IN FY22, OUR VIRTUAL CLASSES HAD 9,197 ENCOUNTERS. THE MEDICAL ADULT DAY CENTER, WHICH PROVIDES MEDICAL, REHABILITATIVE, AND RECREATIONAL PROGRAMS FOR ADULTS WITH A CHRONIC HEALTH PROBLEM OR RECOVERING FROM AN ACUTE ILLNESS, RE-OPENED TO IN-PERSON SERVICES IN JANUARY 2022, AND HAD 3,269 IN-PERSON ENCOUNTERS IN FY22. HCH ALSO OFFERED FIVE MEMORY ACADEMY WORKSHOPS WITH 234 ENCOUNTERS.CARDIOVASCULAR HEALTH: SENIOR FIT, A FREE 45-MINUTE EXERCISE PROGRAM FOR SENIORS AGED 55 AND OVER, PROVIDES AGE-APPROPRIATE EXERCISE CLASSES. IN FY22, SENIOR FIT CLASSES REMAINED VIRTUAL, AND THE AVERAGE WEEKLY ATTENDANCE WAS 1,192 PARTICIPANTS, WITH 45,677 TOTAL VIRTUAL ENCOUNTERS FOR THE FISCAL YEAR. THE STANFORD UNIVERSITY CHRONIC DISEASE SELF-MANAGEMENT PROGRAM HAD FOUR VIRTUAL WORKSHOPS WITH 239 ENCOUNTERS IN FY22. HCH ALSO OFFERED ONE CANCER THRIVING AND SURVIVING WORKSHOP WITH 39 ENCOUNTERS (THIS IS A NEW STANFORD PROGRAM FOR HCH). COMMUNITY HEALTH CONTINUED TO OFFER SENIOR FIT, AN EVIDENCE-BASED PHYSICAL ACTIVITY PROGRAM FOR PEOPLE AGE 55+, BOTH VIRTUALLY AND IN-PERSON. IN FY22, THERE WERE 2,927 VIRTUAL FITNESS PARTICIPANTS AND 67,704 ENCOUNTERS. STROKE ACTIVITIES IN FY22 INCLUDED REGULAR EDUCATION MAILINGS ON PREVENTION OF STROKE TO 3,500 COMMUNITY MEMBERS. COMMUNITY HEALTH WORKERS ALSO PROVIDED 1,594 STROKE EDUCATION ENCOUNTERS ON CARDIOVASCULAR DISEASE, BLOOD PRESSURE, STROKE, CHOLESTEROL, NUTRITION, AND PHYSICAL ACTIVITY. DIABETES: THE DIABETES PREVENTION PROGRAM (DPP) IS A 12-MONTH LIFESTYLE MODIFICATION PROGRAM THAT OFFERS NUTRITIONAL GUIDANCE, EXERCISE SESSIONS, AND SUPPORT TO HELP PREVENT OR DELAY THE ONSET OF DIABETES. PARTICIPANTS RECEIVE TOOLS TO HELP THEM MONITOR ACTIVITY PATTERNS, EATING HABITS, AND PHYSICAL ACTIVITY TO ASSIST THEM IN ACHIEVING SUCCESS. DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT (DSME/S) HAS SHOWN TO BE COST-EFFECTIVE BY REDUCING HOSPITAL ADMISSIONS AND READMISSIONS AS WELL AS ESTIMATED LIFETIME HEALTH CARE COSTS RELATED TO A LOWER RISK FOR COMPLICATIONS. IN FY21, THE NEXUS MONTGOMERY REGIONAL PARTNERSHIP (NMRP), OF WHICH HCH IS A MEMBER, RECEIVED FUNDING TO EXPAND DIABETES EDUCATION FOR MEDICARE AND MEDICAID BENEFICIARIES. THROUGH THIS FUNDING, NMRP WAS ABLE TO INCORPORATE DPP AND DSME/S REFERRALS INTO MARYLAND'S DESIGNATED HEALTH INFORMATION EXCHANGE, CRISP, AND EDUCATE PROVIDERS ON THE REFERRAL PROCESS. IN FY22, THERE WERE THREE DPP COHORTS FROM SEPTEMBER 2021 THROUGH APRIL 2022 WITH 55 ENROLLEES AND AN AVERAGE WEIGHT LOSS OF 10-15 POUNDS. THERE WERE THREE DIABETES SELF-MANAGEMENT TRAINING (DSMT) COHORTS FROM AUGUST THROUGH DECEMBER 2021. IN FY22, HCH SHIFTED PRIORITY TO THE MOST VULNERABLE POPULATIONS AND OFFERING DIABETES EDUCATION TO INCREASE HEALTH EQUITY BY FUNNELING REFERRALS TO VARIOUS PROGRAMS AND INTRODUCING THE JEWISH SOCIAL SERVICES AGENCY (JSSA) IN CLASS AND TO NETWORK PARTNERS, USING THE NEW EHR TO DOCUMENT PARTICIPANT ACTIVITY ELECTRONICALLY AND BUILD OPPORTUNITY FOR SOCIAL SUPPORT AND INCREASED COLLABORATION WITH ORGANIZATIONS OFFERING DIABETES PROGRAMS. IN FY22, THERE WERE SIX DIABETES SELF-MANAGEMENT PROGRAM (DSMP) WORKSHOPS (4 VIRTUAL AND 2 IN-PERSON) WITH 367 ENCOUNTERS, AND 82% OF PARTICIPANTS COMPLETED THE WORKSHOP. BEHAVIORAL HEALTH: TO MEET THE GROWING NEED IN MONTGOMERY AND PRINCE GEORGE'S COUNTIES, BEHAVIORAL HEALTH SERVICES HAVE BEEN INCORPORATED INTO ALL FOUR OF OUR HCH CENTERS. IN FY22, THE HCH CENTERS HAD 826 BEHAVIORAL HEALTH VISITS AND 343 SOCIAL WORK VISITS, AND DEPRESSION SCREENINGS WERE PERFORMED AT 94.9% OF THE PRIMARY CARE VISITS TO THE HEALTH CENTERS. IN ADDITION, HCH ALSO IMPLEMENTED AN EVIDENCE-BASED PROGRAM TO PROVIDE NON-PHARMACEUTICAL PAIN MANAGEMENT SKILLS TO PARTICIPANTS DEALING WITH CHRONIC PAIN. STANFORD UNIVERSITY'S CHRONIC PAIN-SELF MANAGEMENT PROGRAM (CPSMP) IS DESIGNED TO HELP INDIVIDUALS BETTER MANAGE THEIR PAIN, DECREASE DEPRESSION, IMPROVE MENTAL HEALTH, AND INCREASE LIFE SATISFACTION. IN FY22, CPSMP HAD 239 VIRTUAL ENCOUNTERS WITH 80% OF PARTICIPANTS COMPLETING THE PROGRAM.CANCERS: HCH OFFERS BREAST CANCER EDUCATION, INFORMATION ON BREAST SELF-EXAMS, AND LINKS TO MAMMOGRAM SERVICES FOR UNINSURED/UNDERINSURED WOMEN IN MONTGOMERY AND PRINCE GEORGE'S COUNTIES. IN FY22, 783 HCH CENTER PATIENTS RECEIVED SCREENING AND/OR DIAGNOSTIC MAMMOGRAMS. HCH PROVIDED 899 VIRTUAL AND IN-PERSON BREAST CANCER EDUCATION ENCOUNTERS, AS WELL AS 2,171 TOBACCO-FREE LIVING VIRTUAL ENCOUNTERS. THERE WAS ONE CANCER THRIVING AND SURVIVING (CTS) WORKSHOP WITH 39 ENCOUNTERS. HCH PROVIDED OUTREACH AND EDUCATION ON CANCER PREVENTION (BREAST, CERVICAL, COLORECTAL, PROSTATE, LUNG, SKIN) VIRTUALLY AND IN-PERSON AT FAITH-BASED AND COMMUNITY-BASED ORGANIZATIONS IN 7,312 ENCOUNTERS. GRANT FUNDS FROM MCDHHS FOR FY23 HAS BEEN SECURED TO CONTINUE CANCER PREVENTION OUTREACH AND EDUCATION EFFORTS. HCH PROVIDED REFERRALS TO FOLLOW UP SERVICES (36 BREAST, 18 COLON/RECTAL, 602 GASTROENTEROLOGY, 18 WEIGHT MANAGEMENT, AND 9 TOBACCO CESSATION). FOOD INSECURITY: HCH CONTINUED ITS THREE-YEAR INITIATIVE TO ADDRESS FOOD INSECURITY IN MONTGOMERY COUNTY WITH THE GOAL OF REDUCING THE OVERALL FOOD INSECURITY RATE OF THE COUNTY FROM 7% TO 5.5% BY THE END OF THE PROJECT. THE INITIATIVE BUILDS PARTNERSHIPS IN THE COMMUNITY TO ADDRESS THE FOLLOWING FOUR PILLARS OF FOOD INSECURITY:PILLAR #1: USE AND UTILIZATION - CHOOSE, PREPARE, AND STORE FOOD. HCH'S "MOBILE KITCHEN" UNIT PROVIDES PROGRAMMING THAT FOCUSES ON FOOD LITERACY, PRACTICAL COOKING SKILLS, AND MEAL PLANNING. THE MOBILE KITCHEN WAS USED TO PROVIDE EDUCATION THROUGH VIDEO VIGNETTES SHARED ON SOCIAL MEDIA. PILLAR #2: ACCESSIBILITY - SUFFICIENT RESOURCES TO PRODUCE AND/OR PURCHASE FOOD. A COLLEAGUE NEEDS ASSESSMENT AND REFERRAL PROGRAM WAS ESTABLISHED TO ADDRESS ACCESS TO CARE, FOOD INSECURITY AND HOUSING ISSUES OF HCH COLLEAGUES. IN FY22, APPROXIMATELY 1,100 COLLEAGUES WERE ASSESSED, WITH 426 COLLEAGUES IDENTIFYING AS HAVING ONE OR MORE NEEDS, AND 88 OF THOSE COLLEAGUES WERE CONNECTED TO A COMMUNITY HEALTH WORKER AND RECEIVED ASSISTANCE. ADDITIONAL FUNDING WAS SECURED TO CREATE A COMMUNITY GARDEN, TO COMPLEMENT THE GREENHOUSE, AND BOTH ARE EXPECTED TO OPEN IN FY23.CONTINUED IN SCHEDULE H, PART V, SECTION C HOLY CROSS GERMANTOWN HOSPITAL PART V, SECTION B, LINE 11: HOLY CROSS GERMANTOWN HOSPITAL (HCGH) ADDRESSES THE UNMET NEEDS OF OUR COMMUNITY, IN ACCORDANCE WITH OUR MISSION AND IN ALIGNMENT WITH THE GOALS OF HEALTHY MONTGOMERY, OUR EXTERNAL REVIEW GROUP.KEY FINDINGS FROM ALL DATA SOURCES WERE REVIEWED, AND THE MOST PRESSING NEEDS WERE INCORPORATED INTO A MULTI-YEAR IMPLEMENTATION STRATEGY, ADDRESSING THE NEEDS OF THE MOST VULNERABLE AND UNDERSERVED INDIVIDUALS AND FAMILIES. THE FOLLOWING LIST OF PROGRAMS DESCRIBES HOW HCGH, AS PART OF HCH, IS ADDRESSING EACH NEED:ACCESS TO HEALTH CARE: SINCE OPENING IN FISCAL YEAR 2004, THE HCH CENTERS, LOCATED IN ASPEN HILL, GAITHERSBURG, GERMANTOWN, AND SILVER SPRING, HAVE PROVIDED PRIMARY CARE SERVICES TO LOW-INCOME PATIENTS WHO ARE UNINSURED OR ARE ENROLLED IN MARYLAND PHYSICIANS CARE, A MARYLAND MEDICAID MANAGED CARE ORGANIZATION. IN FY22, THERE WERE 12,376 PATIENT VISITS AT THE TWO HEALTH CENTER'S LOCATIONS THAT SERVICE HOLY CROSS GERMANTOWN HOSPITAL (GAITHERSBURG AND GERMANTOWN).HOUSING: HCH ADVOCATES FOR AFFORDABLE HOUSING ON A COUNTY AND STATE LEVEL AND JOINS TRINITY HEALTH, PARENT COMPANY OF HCH, TO ADVOCATE FOR POLICY CHANGES IN AFFORDABLE HOUSING ON A NATIONAL LEVEL. WE ALSO PARTNER WITH COMMUNITY-BASED HOUSING ORGANIZATIONS TO INCORPORATE HEALTH AND WELLNESS INTO SENIOR AND LOW-INCOME HOUSING TO CREATE AN ENVIRONMENT THAT FOCUSES ON WHOLE PERSON CARE.MATERNAL AND INFANT HEALTH: SINCE 1999, THOUSANDS OF PATIENTS HAVE BEEN ENTRUSTED TO OUR CARE THROUGH THE MATERNITY PARTNERSHIP PROGRAM, A COLLABORATIVE AGREEMENT BETWEEN HCH AND THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, TO PROVIDE MATERNITY SERVICES TO PATIENTS IN NEED, REGARDLESS OF THEIR ABILITY TO PAY. IN FY22, THROUGH THIS PARTNERSHIP, HCGH OFFERED PRENATAL SERVICES TO 457 LOW-INCOME, PREGNANT WOMEN WHO LACKED HEALTH INSURANCE. OF THE MOTHERS IN THIS PROGRAM, 7 DELIVERED BABIES WITH A LOW BIRTH WEIGHT (<2500 GRAMS) RATE OF 1.90%. POST-DELIVERY, THESE MOTHERS AND NEWBORNS WERE REFERRED TO HOLY CROSS HEALTH CENTER IN GERMANTOWN FOR PRIMARY CARE. THE HEALTHY FAMILIES DEPARTMENT PROVIDED EDUCATION, BABY CARE PROGRAMS, AND SUPPORT SERVICES VIRTUALLY WITH 1,961 ENCOUNTERS. SENIORS: HCH PARTNERED WITH MULTIPLE GOVERNMENT, COMMUNITY, AND FAITH-BASED ORGANIZATIONS AND BUSINESSES, TO OFFER AN ARRAY OF OPTIONS IN GEOGRAPHICALLY ACCESSIBLE AREAS THROUGHOUT OUR SERVICE AREA TO HELP OLDER ADULTS MAINTAIN INDEPENDENCE, DECREASE ISOLATION, AND ENHANCE QUALITY OF LIFE. IN MARCH 2020, WITH THE ONSET OF COVID-19, ALMOST ALL CLASSES WERE MOVED TO A VIRTUAL SETTING (FIRST USING THE WEBEX PLATFORM, THEN MICROSOFT TEAMS). IN FY22, OUR VIRTUAL CLASSES HAD 9,197 ENCOUNTERS. THE MEDICAL ADULT DAY CENTER, WHICH PROVIDES MEDICAL, REHABILITATIVE, AND RECREATIONAL PROGRAMS FOR ADULTS WITH A CHRONIC HEALTH PROBLEM OR RECOVERING FROM AN ACUTE ILLNESS, RE-OPENED TO IN-PERSON SERVICES IN JANUARY 2022 AND HAD 3,269 IN-PERSON ENCOUNTERS IN FY22. HCH ALSO OFFERED FIVE MEMORY ACADEMY WORKSHOPS WITH 234 ENCOUNTERS.CARDIOVASCULAR HEALTH: SENIOR FIT, A FREE 45-MINUTE EXERCISE PROGRAM FOR SENIORS AGED 55 AND OVER, PROVIDES AGE-APPROPRIATE EXERCISE CLASSES. IN FY22, SENIOR FIT CLASSES REMAINED VIRTUAL, AND THE AVERAGE WEEKLY ATTENDANCE WAS 1,192 PARTICIPANTS, WITH 45,677 TOTAL VIRTUAL ENCOUNTERS FOR THE FISCAL YEAR. THE STANFORD UNIVERSITY CHRONIC DISEASE SELF-MANAGEMENT PROGRAM HAD FOUR VIRTUAL WORKSHOPS WITH 239 ENCOUNTERS IN FY22. HCH ALSO OFFERED ONE CANCER THRIVING AND SURVIVING WORKSHOP WITH 39 ENCOUNTERS (THIS IS A NEW STANFORD PROGRAM FOR HCH). COMMUNITY HEALTH CONTINUED TO OFFER SENIOR FIT, AN EVIDENCE-BASED PHYSICAL ACTIVITY PROGRAM FOR PEOPLE AGE 55+ BOTH VIRTUALLY AND IN-PERSON. IN FY22, THERE WERE 2,927 VIRTUAL FITNESS PARTICIPANTS AND 67,704 ENCOUNTERS. STROKE ACTIVITIES IN FY22 INCLUDED REGULAR EDUCATION MAILINGS ON PREVENTION OF STROKE TO 3,500 COMMUNITY MEMBERS. COMMUNITY HEALTH WORKERS ALSO PROVIDED 1,594 STROKE EDUCATION ENCOUNTERS ON CARDIOVASCULAR DISEASE, BLOOD PRESSURE, STROKE, CHOLESTEROL, NUTRITION, AND PHYSICAL ACTIVITY. DIABETES: THE DIABETES PREVENTION PROGRAM (DPP) IS A 12-MONTH LIFESTYLE MODIFICATION PROGRAM THAT OFFERS NUTRITIONAL GUIDANCE, EXERCISE SESSIONS, AND SUPPORT TO HELP PREVENT OR DELAY THE ONSET OF DIABETES. PARTICIPANTS RECEIVE TOOLS TO HELP THEM MONITOR ACTIVITY PATTERNS, EATING HABITS, AND PHYSICAL ACTIVITY TO ASSIST THEM IN ACHIEVING SUCCESS. DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT (DSME/S) HAS BEEN SHOWN TO BE COST-EFFECTIVE BY REDUCING HOSPITAL ADMISSIONS AND READMISSIONS AS WELL AS ESTIMATED LIFETIME HEALTH CARE COSTS RELATED TO A LOWER RISK FOR COMPLICATIONS. IN FY21 THE NEXUS MONTGOMERY REGIONAL PARTNERSHIP (NMRP), OF WHICH HCH IS A MEMBER, RECEIVED FUNDING TO EXPAND DIABETES EDUCATION FOR MEDICARE AND MEDICAID BENEFICIARIES. THROUGH THIS FUNDING, NMRP WAS ABLE TO INCORPORATE DPP AND DSME/S REFERRALS INTO MARYLAND'S DESIGNATED HEALTH INFORMATION EXCHANGE, CRISP, AND EDUCATE PROVIDERS ON THE REFERRAL PROCESS. IN FY22, THERE WERE THREE DPP COHORTS FROM SEPTEMBER 2021 THROUGH APRIL 2022 WITH 55 ENROLLEES AND AN AVERAGE WEIGHT LOSS IS 10-15 POUNDS. THERE WERE THREE DIABETES SELF MANAGEMENT TRAINING (DSMT) COHORTS FROM AUGUST THROUGH DECEMBER 2021. IN FY22, HCH SHIFTED PRIORITY TO THE MOST VULNERABLE POPULATIONS AND OFFERING DIABETES EDUCATION TO INCREASE HEALTH EQUITY BY FUNNELING REFERRALS TO VARIOUS PROGRAMS AND INTRODUCING THE JEWISH SOCIAL SERVICES AGENCY (JSSA) IN CLASS AND TO NETWORK PARTNERS, USING THE NEW EHR TO DOCUMENT PARTICIPANT ACTIVITY ELECTRONICALLY AND BUILD OPPORTUNITY FOR SOCIAL SUPPORT AND INCREASED COLLABORATION WITH ORGANIZATIONS OFFERING DIABETES PROGRAMS. IN FY22, THERE WERE SIX DIABETES SELF-MANAGEMENT PROGRAM (DSMP) WORKSHOPS WITH 367 ENCOUNTERS AND 82% OF PARTICIPANTS COMPLETED THE WORKSHOP. BEHAVIORAL HEALTH: TO MEET THE GROWING NEED IN MONTGOMERY AND PRINCE GEORGE'S COUNTIES, BEHAVIORAL HEALTH SERVICES HAVE BEEN INCORPORATED INTO ALL FOUR OF OUR HCH CENTERS. IN FY22, THE HCH CENTERS HAD 826 BEHAVIORAL HEALTH VISITS AND 343 SOCIAL WORK VISITS AND DEPRESSION SCREENINGS WERE PERFORMED AT 94.9% OF THE PRIMARY CARE VISITS TO THE HEALTH CENTERS. IN ADDITION, HCH ALSO IMPLEMENTED AN EVIDENCE-BASED PROGRAM TO PROVIDE NON-PHARMACEUTICAL PAIN MANAGEMENT SKILLS TO PARTICIPANTS DEALING WITH CHRONIC PAIN. STANFORD UNIVERSITY'S CHRONIC PAIN-SELF MANAGEMENT PROGRAM (CPSMP) IS DESIGNED TO HELP INDIVIDUALS BETTER MANAGE THEIR PAIN, DECREASE DEPRESSION, IMPROVE MENTAL HEALTH, AND INCREASE LIFE SATISFACTION. IN FY22, CPSMP HAD 239 VIRTUAL ENCOUNTERS WITH 80% OF PARTICIPANTS COMPLETING THE PROGRAM.CANCERS: HCH OFFERS BREAST CANCER EDUCATION, INFORMATION ON BREAST SELF-EXAMS, AND LINKS TO MAMMOGRAM SERVICES FOR UNINSURED/UNDERINSURED WOMEN IN MONTGOMERY AND PRINCE GEORGE'S COUNTIES. IN FY22, 783 HCH CENTER PATIENTS RECEIVED SCREENING AND/OR DIAGNOSTIC MAMMOGRAMS. HOLY CROSS PROVIDED 899 VIRTUAL AND IN-PERSON BREAST CANCER EDUCATION ENCOUNTERS, AS WELL AS 2,171 TOBACCO-FREE LIVING VIRTUAL ENCOUNTERS. THERE WAS ONE CANCER THRIVING AND SURVIVING (CTS) WORKSHOPS WITH 39 ENCOUNTERS. HCH PROVIDED OUTREACH AND EDUCATION ON CANCER PREVENTION (BREAST, CERVICAL, COLORECTAL, PROSTATE, LUNG, SKIN) VIRTUALLY AND IN-PERSON AT FAITH-BASED AND COMMUNITY-BASED ORGANIZATIONS IN 7,312 ENCOUNTERS. GRANT FUNDS FROM MCDHHS FOR FY23 HAS BEEN SECURED TO CONTINUE CANCER PREVENTION OUTREACH AND EDUCATION EFFORTS. HCH PROVIDED REFERRALS TO FOLLOW UP SERVICES (36 BREAST, 18 COLON/RECTAL, 602 GASTROENTEROLOGY, 18 WEIGHT MANAGEMENT, AND 9 TOBACCO CESSATION). FOOD INSECURITY: HCH CONTINUED ITS THREE-YEAR INITIATIVE TO ADDRESS FOOD INSECURITY IN MONTGOMERY COUNTY WITH THE GOAL OF REDUCING THE OVERALL FOOD INSECURITY RATE OF THE COUNTY FROM 7% TO 5.5% BY OF THE END OF THE PROJECT. THE INITIATIVE BUILDS PARTNERSHIPS IN THE COMMUNITY TO ADDRESS THE FOLLOWING FOUR PILLARS OF FOOD INSECURITY:PILLAR #1: USE AND UTILIZATION - CHOOSE, PREPARE, AND STORE FOOD. HCH'S "MOBILE KITCHEN" UNIT PROVIDES PROGRAMMING THAT FOCUSES ON FOOD LITERACY, PRACTICAL COOKING SKILLS, AND MEAL PLANNING. THE MOBILE KITCHEN WAS USED TO PROVIDE EDUCATION THROUGH VIDEO VIGNETTES SHARED ON SOCIAL MEDIA. PILLAR #2: ACCESSIBILITY - SUFFICIENT RESOURCES TO PRODUCE AND/OR PURCHASE FOOD. A COLLEAGUE NEEDS ASSESSMENT AND REFERRAL PROGRAM WAS ESTABLISHED TO ADDRESS ACCESS TO CARE, FOOD INSECURITY AND HOUSING ISSUES OF HCH COLLEAGUES. IN FY22, APPROXIMATELY 1,100 COLLEAGUES WERE ASSESSED, WITH 426 COLLEAGUES IDENTIFYING AS HAVING ONE OR MORE NEEDS, AND 88 OF THOSE COLLEAGUES WERE CONNECTED TO A COMMUNITY HEALTH WORKER AND RECEIVED ASSISTANCE. ADDITIONAL FUNDING WAS SECURED TO CREATE A COMMUNITY GARDEN, TO COMPLEMENT THE GREENHOUSE, AND BOTH ARE EXPECTED TO OPEN IN FY23.CONTINUED IN SCHEDULE H, PART V, SECTION C HOLY CROSS HOSPITAL 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. HOLY CROSS GERMANTOWN HOSPITAL 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. HOLY CROSS HOSPITAL - PART V, SECTION B, LINE 7A: WWW.HOLYCROSSHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/COMMUNITY-BENEFIT-PLANNING/COMMUNITY-HEALTH-NEEDS-ASSESSMENT HOLY CROSS GERMANTOWN HOSPITAL - PART V, SECTION B, LINE 7A: WWW.HOLYCROSSHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/COMMUNITY-BENEFIT-PLANNING/COMMUNITY-HEALTH-NEEDS-ASSESSMENT HOLY CROSS HOSPITAL - PART V, SECTION B, LINE 10A: WWW.HOLYCROSSHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/COMMUNITY-BENEFIT-PLANNING/IMPLEMENTATION-PLAN HOLY CROSS GERMANTOWN HOSPITAL - PART V, SECTION B, LINE 10A: WWW.HOLYCROSSHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/COMMUNITY-BENEFIT-PLANNING/IMPLEMENTATION-PLAN HOLY CROSS HOSPITAL - PART V, SECTION B, LINE 11: CONTINUED FROM ABOVEPILLAR #3: AVAILABILITY - CONSISTENT SOURCE OF QUALITY FOOD. WITHIN THE EQUITABLE WELLNESS INITIATIVE (EWI), THERE WERE 144 HUNGRY HARVEST BOXES GIVEN TO PARTICIPANTS OF THE PROGRAM IN FY22. THE HCH CENTERS CONDUCT A SCREEN AND INTERVENE PROGRAM TO ADDRESS FOOD INSECURITY OF DIABETIC PATIENTS IN OUR DIABETES CARE TEAM. APPROXIMATELY 20 PATIENTS IN NEED WERE PROVIDED WITH A SIX-MONTH FOOD SUBSCRIPTION BOX SERVICE AND WERE LINKED TO ADDITIONAL RESOURCES.PILLAR #4: STABILITY - POLICIES, WEATHER CONDITIONS, EMPLOYMENT AND ECONOMIC FACTORS IMPACTING FOOD STABILITY. COLLEAGUES OF THE HCH COMMUNITY HEALTH DEPARTMENT ARE ACTIVE WITH THE MONTGOMERY COUNTY FOOD COUNCIL, WITH ONE COLLEAGUE SITTING ON THE BOARD OF DIRECTORS AND ANOTHER AS A VOTING MEMBER OF THE FOOD COUNCIL. HCH SUPPORTS THE FOOD COUNCIL IN OFFERING RECOMMENDATIONS AND GUIDING FUTURE RESEARCH, ANALYSIS, AND POLICY ACTIONS THAT WORK TOWARD ENHANCING FOOD SECURITY IN MONTGOMERY COUNTY.OBESITY: ALL PROGRAMS DIRECTLY ADDRESSING OBESITY WERE PAUSED DUE TO THE COVID-19 PANDEMIC, THEREFORE THIS NEED WAS NOT DIRECTLY ADDRESSED IN FY22. HOLY CROSS GERMANTOWN HOSPITAL - PART V, SECTION B, LINE 11: CONTINUED FROM ABOVEPILLAR #3: AVAILABILITY - CONSISTENT SOURCE OF QUALITY FOOD. WITHIN THE EQUITABLE WELLNESS INITIATIVE (EWI), THERE WERE 144 HUNGRY HARVEST BOXES GIVEN TO PARTICIPANTS OF THE PROGRAM IN FY22. THE HCH CENTERS CONDUCT A SCREEN AND INTERVENE PROGRAM TO ADDRESS FOOD INSECURITY OF DIABETIC PATIENTS IN OUR DIABETES CARE TEAM. APPROXIMATELY 20 PATIENTS IN NEED WERE PROVIDED WITH A SIX-MONTH FOOD SUBSCRIPTION BOX SERVICE AND WERE LINKED TO ADDITIONAL RESOURCES.PILLAR #4: STABILITY - POLICIES, WEATHER CONDITIONS, EMPLOYMENT AND ECONOMIC FACTORS IMPACTING FOOD STABILITY. COLLEAGUES OF THE HCH COMMUNITY HEALTH DEPARTMENT ARE ACTIVE WITH THE MONTGOMERY COUNTY FOOD COUNCIL, WITH ONE COLLEAGUE SITTING ON THE BOARD OF DIRECTORS AND ANOTHER AS A VOTING MEMBER OF THE FOOD COUNCIL. HCH SUPPORTS THE FOOD COUNCIL IN OFFERING RECOMMENDATIONS AND GUIDING FUTURE RESEARCH, ANALYSIS, AND POLICY ACTIONS THAT WORK TOWARD ENHANCING FOOD SECURITY IN MONTGOMERY COUNTY.OBESITY: ALL PROGRAMS DIRECTLY ADDRESSING OBESITY WERE PAUSED DUE TO THE COVID-19 PANDEMIC, THEREFORE THIS NEED WAS NOT DIRECTLY ADDRESSED IN FY22. HOLY CROSS HOSPITAL - PART V, SECTION B, LINE 16A: WWW.HOLYCROSSHEALTH.ORG/FOR-PATIENTS/BILLING-FINANCIAL-ASSISTANCE-AND-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM HOLY CROSS GERMANTOWN HOSPITAL - PART V, SECTION B, LINE 16A: WWW.HOLYCROSSHEALTH.ORG/FOR-PATIENTS/BILLING-FINANCIAL-ASSISTANCE-AND-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM HOLY CROSS HOSPITAL - PART V, SECTION B, LINE 16B: WWW.HOLYCROSSHEALTH.ORG/FOR-PATIENTS/BILLING-FINANCIAL-ASSISTANCE-AND-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM HOLY CROSS GERMANTOWN HOSPITAL - PART V, SECTION B, LINE 16B: WWW.HOLYCROSSHEALTH.ORG/FOR-PATIENTS/BILLING-FINANCIAL-ASSISTANCE-AND-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM HOLY CROSS HOSPITAL - PART V, SECTION B, LINE 16C: WWW.HOLYCROSSHEALTH.ORG/FOR-PATIENTS/BILLING-FINANCIAL-ASSISTANCE-AND-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM HOLY CROSS GERMANTOWN HOSPITAL - PART V, SECTION B, LINE 16C: WWW.HOLYCROSSHEALTH.ORG/FOR-PATIENTS/BILLING-FINANCIAL-ASSISTANCE-AND-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM 14 1 - CHESAPEAKE POTOMAC REGIONAL CANCER CT 11340 PEMBROOKE SQ SUITE 201 WALDORF MD 20603 CANCER TREATMENT 2 - CHESAPEAKE POTOMAC REGIONAL CANCER CT 30077 BUSINESS CENTER DR CHARLOTTE HALL MD 20622 CANCER TREATMENT 3 - DOCTORS REGIONAL CANCER CENTER 8116 GOOD LUCK RD SUITE 005 LANHAM MD 20706 CANCER TREATMENT 4 - DOCTORS REGIONAL CANCER CENTER 4901 TELSA DR SUITE A BOWIE MD 20715 CANCER TREATMENT 5 - HOLY CROSS RADIATION TREATMENT CENTER 2121 MEDICAL PARK DR SUITE 4 SILVER SPRING MD 20902 CANCER TREATMENT 6 - HOLY CROSS DIALYSIS CTR AT WOODMORE 11721 WOODMORE RD SUITE 190 MITCHELLVILLE MD 20721 DIALYSIS TREATMENT 7 - HC HEALTH PARTNERS IN KENSINGTON 3720 FARRAGUT AVE 2ND FLOOR KENSINGTON MD 20895 PRIMARY CARE 8 - HOLY CROSS HEALTH CTR - GAITHERSBURG 220 PERRY PARKWAY UNIT 5 GAITHERSBURG MD 20877 HEALTH CLINIC 9 - HOLY CROSS HEALTH CENTER - ASPEN HILL 13415 CONNECTICUT AVE 100 SILVER SPRING MD 20906 HEALTH CLINIC 10 - HOLY CROSS HEALTH PARTNERS AT ASBURY 201 RUSSELL AVE GAITHERSBURG MD 20877 PRIMARY CARE 11 - HOLY CROSS HEALTH CENTER - GERMANTOWN 12800 MIDDLEBROOK RD SUITE 206 GERMANTOWN MD 20874 HEALTH CLINIC 12 - HOLY CROSS HEALTH CTR - SILVER SPRING 7987 GEORGIA AVE SILVER SPRING MD 20910 HEALTH CLINIC 13 - HOLY CROSS RESOURCE CENTER 9805 DAMERON DR SILVER SPRING MD 20902 ADULT DAY CARE 14 - HOLY CROSS SENIOR SOURCE 8580 2ND AVE SILVER SPRING MD 20910 HEALTH SCREENING 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: HOLY CROSS HEALTH (HCH) PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT FOR HOLY CROSS HOSPITAL AND HOLY CROSS GERMANTOWN HOSPITAL, WHICH IT SUBMITS TO THE STATE OF MARYLAND. DUE TO MARYLAND'S UNIQUE ALL PAYER SYSTEM, THE VALUES REPORTED ON PART I, LINE 7B ARE DIFFERENT FROM THOSE REPORTED TO THE STATE OF MARYLAND. SEE PART I, LINE 7B BELOW. IN ADDITION, HCH 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.HCH 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, LINE 7A: MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE SETTING PROCESS AND ALL PAYERS, INCLUDING GOVERNMENTAL PAYERS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL PAYER SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYERS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAK OUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE.PART I, LINE 7B: THE VALUES REPORTED ARE DIFFERENT FROM THOSE REPORTED TO THE STATE OF MARYLAND. MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE SETTING PROCESS AND ALL PAYERS, INCLUDING GOVERNMENTAL PAYERS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO. THE EXCEPTION TO THIS IS THE IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE SETTING SYSTEM. PART I, LN 7 COL(F): THE FOLLOWING NUMBER, $26,214,922, 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: HCH 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, HCH IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, HCH IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL. PART III, LINE 4: HCH 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 8: HCH 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 - HEALTHY MONTGOMERY, MONTGOMERY COUNTY'S COMMUNITY HEALTH IMPROVEMENT PROCESS, IS SUPPORTED FINANCIALLY BY ALL SIX HOSPITALS IN MONTGOMERY COUNTY AND SERVES AS THE BASE FOR HOLY CROSS HOSPITAL'S AND HOLY CROSS GERMANTOWN HOSPITAL'S JOINT NEEDS ASSESSMENT. THE HEALTHY MONTGOMERY STEERING COMMITTEE IS COMPRISED OF GOVERNMENT AGENCIES, HOSPITAL SYSTEMS, MINORITY HEALTH PROGRAMS/INITIATIVES, ADVOCACY GROUPS, ACADEMIC INSTITUTIONS, COMMUNITY-BASED SERVICE PROVIDERS, AND OTHER STAKEHOLDERS. IT IS AN ONGOING, FORMAL COUNTY-WIDE PROCESS THAT USES PRIMARY AND SECONDARY DATA TO IDENTIFY AND ADDRESS KEY PRIORITY AREAS TO ACHIEVE OPTIMAL HEALTH AND WELL-BEING FOR ALL MONTGOMERY COUNTY RESIDENTS. IN ADDITION TO HEALTHY MONTGOMERY, WE USE A RANGE OF OTHER SPECIFIC NEEDS ASSESSMENTS AND REPORTS TO IDENTIFY UNMET NEEDS, ESPECIALLY FOR UNDERSERVED MINORITIES, SENIORS, AND WOMEN AND CHILDREN. OUR WORK IS BUILT ON PAST AVAILABLE NEEDS ASSESSMENTS, AND WE USE THESE DOCUMENTS AS REFERENCE TOOLS, INCLUDING THE FOLLOWING KEY RESOURCES: - AFRICAN AMERICAN HEALTH PROGRAM STRATEGIC PLAN TOWARD HEALTH EQUITY, 2009-2014- ASIAN AMERICAN HEALTH PRIORITIES, A STUDY OF MONTGOMERY COUNTY, MARYLAND, STRENGTHS, NEEDS, AND OPPORTUNITIES FOR ACTION, 2008- BLUEPRINT FOR LATINO HEALTH IN MONTGOMERY COUNTY, MARYLAND, 2017-2026- MONTGOMERY COUNTY FOOD COUNCIL'S COMMUNITY FOOD ACCESS ASSESSMENT; MONTGOMERY COUNTY MARYLAND, 2013-2015- HOMELESSNESS IN METROPOLITAN WASHINGTON: RESULTS AND ANALYSIS FROM THE ANNUAL POINT-IN-TIME (PIT) COUNT OF PERSONS EXPERIENCING HOMELESSNESS, MAY 2019- MARYLAND STATE HEALTH IMPROVEMENT PROCESS- MONTGOMERY COUNTY INTERAGENCY COMMISSION ON HOMELESSNESS ANNUAL REPORT, 2017- MONTGOMERY MOVING FORWARD'S CALL TO ACTION: EARLY CARE AND EDUCATION, 2018- PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT: HEALTH REPORT 2017- PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT 2017-2021 STRATEGIC PLAN- CONVENING PARTNERS TO BUILD BRIGHTER FUTURES IN MONTGOMERY COUNTY (MONTGOMERY COUNTY COLLABORATION COUNCIL'S 2018 ANNUAL REPORT)- UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE'S COUNTY HEALTH RANKINGS DATA- MATERNAL AND INFANT HEALTH REPORT FOR MONTGOMERY COUNTY, 2008-2017- HEALTH IN MONTGOMERY COUNTY REPORT, 2008-2016- TRANSFORMATIVE CHANGE: OUR ROLE IN ACHIEVING HEALTH EQUITY FOR PRINCE GEORGE'S COUNTY, 2018HOLY CROSS HEALTH REGULARLY PARTICIPATES IN A VARIETY OF COALITIONS, COMMISSIONS, COMMITTEES, PARTNERSHIPS AND PANELS, AND OUR COMMUNITY HEALTH WORKERS SPEND TIME IN THE COMMUNITY AS COMMUNITY PARTICIPANTS AND BRING BACK FIRST-HAND KNOWLEDGE OF COMMUNITY NEEDS. COMMUNITY NEED INDEX (CNI) IS ALSO USED TO IDENTIFY THE SEVERITY OF HEALTH DISPARITIES FOR EVERY ZIP CODE IN THE UNITED STATES AND DEMONSTRATES THE LINK BETWEEN COMMUNITY NEED, ACCESS TO CARE, AND PREVENTABLE HOSPITALIZATIONS (DIGNITY HEALTH, 2011). FOR EACH ZIP CODE IN THE UNITED STATES, THE CNI AGGREGATES FIVE SOCIOECONOMIC INDICATORS/BARRIERS TO HEALTH CARE ACCESS THAT ARE KNOWN TO CONTRIBUTE TO HEALTH DISPARITIES RELATED TO INCOME, EDUCATION, CULTURE/LANGUAGE, INSURANCE, AND HOUSING. CNI DATA IS USED TO IDENTIFY COMMUNITIES OF HIGH NEED AND DIRECT A RANGE OF COMMUNITY HEALTH AND FAITH-BASED COMMUNITY OUTREACH EFFORTS TO THESE AREAS.THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE'S COUNTY HEALTH RANKINGS DATA, AND HOLY CROSS HOSPITAL'S EMERGENCY DEPARTMENT AND DISCHARGE READMISSIONS DATA, WERE ALSO ANALYZED TO DETERMINE UNMET NEEDS OF THE POPULATION WE SERVE RESIDING IN MONTGOMERY AND PRINCE GEORGE'S COUNTIES. READMISSION DATA IS USED TO TRACK THE NUMBER OF PATIENTS WHO ARE READMITTED TO THE HOSPITAL WITHIN 30 DAYS OF DISCHARGE. AN ANALYSIS OF HOSPITAL READMISSIONS AND PREVENTION QUALITY INDICATORS ALLOWS US TO IDENTIFY SELECT INDICATORS RELATED TO COMMUNITY HEALTH NEEDS AND DEVELOP METHODOLOGIES AND PROGRAMS THAT WILL IMPROVE HEALTH OUTCOMES. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - HCH 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. HCH 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 HOSPITALS. HCH HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. HCH 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 -HOLY CROSS HOSPITAL SERVES A LARGE PORTION OF MONTGOMERY AND PRINCE GEORGE'S COUNTIES' RESIDENTS. OUR 19 ZIP CODE PRIMARY SERVICE AREA INCLUDES ALMOST 700,000 PEOPLE, OF WHOM ABOUT 69% ARE MINORITIES. AN ESTIMATED 1.8 MILLION PEOPLE IN 65 ZIP CODES MAKE UP OUR TOTAL SERVICE AREA, OF WHOM 71% ARE MINORITIES. OUR PRIMARY SERVICE AREA IS DERIVED FROM THE MARYLAND ZIP CODE AREAS FROM WHICH THE TOP 60% OF OUR FY13 DISCHARGES ORIGINATED. THE NEXT 15% CONTRIBUTE TO OUR SECONDARY SERVICE AREA. HOLY CROSS GERMANTOWN HOSPITAL OPENED ITS DOORS IN OCTOBER 2014 AND BEGAN SERVING RESIDENTS IN NORTHERN MONTGOMERY COUNTY. AN ESTIMATED 455,000 PEOPLE LIVE IN THE 17 ZIP CODES THAT MAKE UP OUR TOTAL SERVICE AREA, OF WHOM 62.5% ARE MINORITIES. OUR SIX ZIP CODE PRIMARY SERVICE AREA INCLUDES ABOUT 270,000 PEOPLE, OF WHOM 66% ARE MINORITIES.IN THE EARLY 1990'S, PRINCE GEORGE'S COUNTY BECAME A MAJORITY-MINORITY COUNTY, WHERE THE MINORITY POPULATION SURPASSES THE WHITE NON-HISPANIC POPULATION (FOX, 1996). DURING THE LAST CENSUS, MONTGOMERY COUNTY JOINED PRINCE GEORGE'S COUNTY AS ONE OF ONLY 336 "MAJORITY-MINORITY" COUNTIES IN THE COUNTRY (MONTGOMERY COUNTY PLANNING DEPARTMENT, 2011). THE FOREIGN-BORN POPULATION OF BOTH COUNTIES IS ALSO HIGHER THAN THE NATIONAL AVERAGE. THE LATEST FIGURES FROM THE U.S. CENSUS BUREAU SHOW THAT 32.3% OF THE POPULATION IN MONTGOMERY COUNTY AND 22.7% OF THE POPULATION IN PRINCE GEORGE'S COUNTY ARE OF FOREIGN BIRTH, SIGNIFICANTLY GREATER THAN THE STATE AND NATIONAL RATE OF 15.2% AND 13.6%, RESPECTIVELY (AMERICAN COMMUNITY SURVEY, 2015-2019). THE COMMUNITY WE SERVE HAS THE HIGHEST PERCENTAGE OF FOREIGN-BORN RESIDENTS (29.2%) IN THE STATE OF MARYLAND. IN MONTGOMERY COUNTY, 32.3% OF RESIDENTS ARE FOREIGN-BORN, 40% OF FOREIGN-BORN RESIDENTS SPEAK ENGLISH LESS THAN "VERY WELL", AND 7.0% AGED FIVE AND OVER ARE LINGUISTICALLY ISOLATED. IN PRINCE GEORGE'S COUNTY, MORE THAN 21% OF RESIDENTS ARE FOREIGN-BORN, OF WHICH 39% SPEAK ENGLISH LESS THAN "VERY WELL AND 4.9% OF THE POPULATION AGED FIVE AND OVER ARE LINGUISTICALLY ISOLATED, WITH THE MOST LINGUISTIC ISOLATION OCCURRING IN NORTHERN PRINCE GEORGE'S COUNTY. THE HIGHEST RATES OF LINGUISTIC ISOLATION FOR BOTH MONTGOMERY AND PRINCE GEORGE'S COUNTIES ARE AMONG LATINO AMERICANS AND ASIAN AMERICANS. PART VI, LINE 5: OTHER INFORMATION - HOLY CROSS HEALTH, COMPRISED OF HOLY CROSS HOSPITAL (HCH) AND HOLY CROSS GERMANTOWN HOSPITAL (HCGH), HAS A 15-MEMBER COMMUNITY BOARD COMPRISED OF A MAJORITY OF COMMUNITY MEMBERS THAT PROVIDE GOVERNANCE FOR BOTH HOSPITALS, AS WELL AS HOLY CROSS HEALTH NETWORK. TWO OF THE 15 BOARD MEMBERS ARE EMPLOYED BY TRINITY HEALTH, HOLY CROSS HEALTH'S PARENT CORPORATION. TWO BOARD MEMBERS LIVE OUTSIDE HOLY CROSS HEALTH'S LOCAL AREA, AND TWO SISTERS OF THE HOLY CROSS ARE BOARD MEMBERS.HOLY CROSS HEALTH HAS A VERY LARGE, DIVERSE MEDICAL STAFF OF 2,069 MEMBERS. THE MEDICAL STAFF OF HOLY CROSS HEALTH ARE ORGANIZED IN THE PUBLIC INTEREST, AND MEDICAL STAFF PRIVILEGES AT THE TWO HOSPITALS ARE OPEN AND AVAILABLE TO ALL QUALIFIED PHYSICIANS AND PROVIDERS. HCH IS THE LARGEST HOSPITAL EMERGENCY SERVICES PROVIDER IN MONTGOMERY AND PRINCE GEORGE'S COUNTIES. OVER 90,000 ACUTELY ILL PATIENTS ARE TREATED ANNUALLY, AND THE CENTER PROVIDES A WIDE RANGE OF EMERGENCY SERVICES 24/7/365, INCLUDING SEVERAL HIGHLY REGARDED SPECIALIZED EMERGENCY SERVICES THAT HAVE EARNED THE HOSPITAL A REPUTATION AS A PIONEER IN EMERGENCY CARE.THE HCGH EMERGENCY ROOM IS THE ONLY FULL-SERVICE EMERGENCY ROOM IN GERMANTOWN, MD. THE HOSPITAL'S EMERGENCY ROOM IS STAFFED BY A TEAM OF BOARD-CERTIFIED EMERGENCY MEDICINE PHYSICIANS, PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS, REGISTERED NURSES, AND PATIENT CARE TECHNICIANS. IT FEATURES AN ARRAY OF ACUTE EMERGENCY SERVICES, AS WELL AS SPECIALIZED EMERGENCY SERVICES.HOLY CROSS HEALTH HAS PARTNERED WITH THE FOUR OTHER HOSPITALS IN MONTGOMERY COUNTY AND A NETWORK OF COMMUNITY-BASED ORGANIZATIONS TO IMPLEMENT NEXUS MONTGOMERY, A POPULATION HEALTH IMPROVEMENT PLAN DESIGNED TO IMPROVE THE HEALTH STATUS OF THOSE MOST AT RISK OF AVOIDABLE HOSPITAL USE.COVID-19: THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) AWARDED HCH $1.4 MILLION IN FUNDING TO PROVIDE EQUITABLE ACCESS TO THE COVID-19 VACCINE BY REMOVING SOME OF THE BARRIERS THAT PROHIBIT VULNERABLE COMMUNITIES AND COMMUNITIES OF COLOR FROM RECEIVING THE VACCINE. THE TARGET ZIP CODES WERE DETERMINED BASED ON THE PERCENT VACCINATED, PERCENT MINORITY POPULATION, PERCENT UNINSURED, AND INCIDENCE RATE AND CASE-FATALITY RATE OF COVID-19. IN FY22, HOLY CROSS HEALTH COLLABORATED WITH LOCAL BUSINESSES, PUBLIC SCHOOLS, CHURCHES, ASSISTED LIVING FACILITIES, COMMUNITY ORGANIZATIONS, ETC. WITHIN THE TARGET ZIP CODES TO PROVIDE COVID-19 VACCINES AND EDUCATION TO THE COMMUNITY. THERE WERE 848 COVID-19 VACCINE CLINICS THROUGHOUT MONTGOMERY AND PRINCE GEORGE'S COUNTY IN FY22, WITH 9,775 VACCINES DOSES PROVIDED AND 26,068 PERSONS RECEIVED EDUCATION AND OUTREACH.PARTNERSHIPS: THROUGH TRINITY HEALTH'S COMMUNITY GRANTS AND HOLY CROSS HEALTH FOUNDATION KEVIN J SEXTON FUND, HCH OFFERED FUNDING OPPORTUNITIES IN FY22 TO THE FOLLOWING COMMUNITY PARTNERS WHO DIRECTLY ALIGN WITH INTERVENTIONS AND NEEDS IDENTIFIED IN OUR MOST CURRENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO ADVANCE THE CHNA IMPLEMENTATION STRATEGY AND/OR EMERGING NEED. - CROSS COMMUNITY, INC - THE EQUITY CENTER (TEC) SERVES THE GAITHERSBURG, MONTGOMERY VILLAGE, AND INTENTIONALLY LOCATE THEIR WORK AND EFFORTS IN AN AREA OF THE HIGHEST NEED WITH THE MOST VULNERABLE POPULATIONS IN THE COUNTY. THE FUNDING FROM HCH HELPED BUILD UP THE COMMUNITY HEALTH WORKER TEAM OF COMMUNITY JEDIS, ACTIVE MEMBERS OF THE COMMUNITIES; SERVE APPROXIMATELY 500 FAMILIES WEEKLY AT TEC WITH DRY FOOD, FRESH PRODUCE, DIAPERS, CLOTHING, AND FEMININE HYGIENE PRODUCTS; SET UP A VOLUNTEER INCOME TAX ASSISTANCE (VITA) SITE IN PARTNERSHIP WITH CASH MD TO HELP OVER 200 LOW INCOME EARNERS AND UNDOCUMENTED RESIDENTS FILE THEIR TAXES WITHOUT A FEE, SECURING $584K IN TAX REFUNDS AND CREDITS; AND PROVIDE FINANCIAL CLASSES AT TEC, IN COLLABORATION WITH COMMUNITY FINANCIAL ORGANIZATIONS, IN ENGLISH AND SPANISH, ON HOW TO MANAGE HOUSEHOLD MONEY, UNDERSTANDING AND REPAIRING CREDIT, BANKING, AND BUDGETING FOR BIG PURCHASES, LIKE HOME OWNERSHIP. - THE JOANN LELECK NATURE CLASSROOM, WHICH DESIRES TO STRENGTHEN ENVIRONMENTAL AND HEALTH RESILIENCY AMONG LOW-INCOME COMMUNITIES OF COLOR BY GROWING THE NUMBER OF YOUNG PEOPLE CONNECTED TO GREEN SPACES IN MONTGOMERY COUNTY. THERE IS INCREASING EVIDENCE THAT EXPOSURE TO PLANTS AND GREEN SPACE, AND PARTICULARLY TO GARDENING, IS BENEFICIAL TO CHILDREN'S MENTAL AND PHYSICAL HEALTH. THE EXPERIENTIAL LEARNING PROVIDED BY THE NATURE CLASSROOM PROMOTES DEEPER UNDERSTANDING OF MANY STEM CONCEPTS AND ENCOURAGES CREATIVITY. THESE BENEFITS ARE PARTICULARLY IMPORTANT FOR STUDENTS AT LELECK ELEMENTARY SCHOOL, WHICH HAS A HIGH PERCENTAGE OF CHILDREN QUALIFYING FOR FREE AND REDUCED MEALS (88.6%) AND MANY STUDENTS FOR WHICH ENGLISH IS A SECOND LANGUAGE (72.4%). THE JOANN LELECK NATURE CLASSROOM HELD MONTHLY LEARNING SESSIONS FOR OVER 100 1ST THROUGH 5TH GRADERS, AND MULTISENSORY, THERAPEUTIC EXERCISES IN THE GARDEN FOR 10 STUDENTS IN THE AFTERSCHOOL LINKAGES TO LEARNING PROGRAM. - IMPACT SILVER SPRING WAS ABLE TO CREATE THE FOUNDATIONAL STRUCTURE AND IMPLEMENTATION PLAN FOR SERENITY GARDEN, AS WELL AS SECURE A CERTIFIED MASTER GARDENER/NATURALIST, WHO IS THE STEWARD FOR THIS PROJECT. WHILE THE GARDEN IS STILL IN THE DEVELOPMENTAL PHASE, WE ARE CONFIDENT THAT IT WILL MEET OUR DESIRED OUTCOME OF STRENGTHENING ENVIRONMENTAL AND HEALTH RESILIENCY AMONG LOW-INCOME COMMUNITIES OF COLOR BY GROWING A NETWORK OF RESIDENTS CONNECTED TO GREEN SPACES IN MONTGOMERY COUNTY, INCREASING ACCESS TO FRESH PRODUCE, AND PROMOTING HEALTH AND WELLNESS ACTIVITIES. THE FOLLOWING COMPONENTS ARE PLANNED FOR THE GARDEN: (1) AN ENCLOSURE WITH RAISED BEDS FOR COMMUNITY MEMBERS TO ADOPT FOR GROWING FRUITS AND VEGETABLES, (2) A COMMUNAL GARDEN SPACE THAT WILL BE BOTH ORNAMENTAL AND PRODUCTIVE, (3) RESTORING NATIVE GRASSES AND FLOWERING PLANTS TO AN AREA THAT IS NOW OVERGROWN WITH INVASIVES SUCH AS POISON IVY, AND (4) A COMPOST TEAM CREATING NUTRIENT-RICH FERTILIZER FROM RECYCLED FOOD WASTE. - THE MARYLAND COMMUNITY HEALTH RESOURCES COMMISSION, AN INDEPENDENT COMMISSION WITHIN THE MARYLAND DEPARTMENT OF HEALTH WAS AWARDED FUNDING FOR THE EQUITABLE WELLNESS INITIATIVE (EWI), WHICH ADDRESS CHRONIC DISEASE PREVENTION AND MANAGEMENT OF TYPE 2 DIABETES AND LUNG HEALTH POST COVID-19 TO DECREASE DISPARITIES IN CARE AMONG AFRICAN AMERICAN AND LATINX POPULATIONS, WHO ARE CONSIDERED AT HIGH NEED FOR ACCESS TO HEALTH CARE. IN FY22, THERE WERE 72 TOTAL WORKSHOPS (BOTH VIRTUALLY AND IN-PERSON) WITH 190 TOTAL PARTICIPANTS; 82% OF WHICH WERE FROM THE TARGET POPULATION.SOCIAL CARE: HCH ADDRESS SOCIAL NEEDS, IN ADDITION TO THE CLINICAL CARE THEY PROVIDE, REALIZING THAT CLINICAL CARE ONLY ACCOUNTS FOR ABOUT 20% OF HEALTH OUTCOMES. IN FY22, HCH HAD 6,328 SOCIAL CARE ENCOUNTERS ASSESSING OR CONNECTING INDIVIDUALS TO SOCIAL SERVICES.- HCH IS PARTICIPATING IN THE ACCOUNTABLE HEALTH COMMUNITIES (AHC) PROGRAM, FUNDED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS), TO HELP CONNECT COMMUNITY MEMBERS WHO HAVE MEDICARE OR MEDICAID TO SERVICES IN OUR COMMUNITY THAT MAY IMPROVE THEIR HEALTH. MANY OF THESE SERVICES ARE LOW COST OR FREE OF CHARGE. IN FY22, 966 NEW BENEFICIARIES WERE SCREENED FOR THE AHC PROGRAM.- IN JANUARY 2022, HOLY CROSS HEALTH RECEIVED FUNDING FOR THE HEART PAYMENT PROGRAM WHICH PROVIDE ADDITIONAL SUPPORT TO MARYLAND PRIMARY CARE PROGRAM PARTICIPANTS SERVING SOCIOECONOMICALLY DISADVANTAGED POPULATIONS AND PROMOTES THE STATE'S AND CMS' GOAL TO ADVANCE HEALTH EQUITY. PLANNING AND PROGRAM DEVELOPMENT TOOK PLACE THE REMAINDER OF FY22, WITH IMPLEMENTATION TAKING PLACE IN EARLY JULY 2022 (FY23).- THE HOLY CROSS HEALTH COVID-19 EDUCATION AND SOCIAL NEEDS ASSESSMENT PROJECT, FUNDED BY THE EPIDEMIOLOGY CAPACITY PROJECT UNDER THE MARYLAND DEPARTMENT OF HEALTH, PROVIDED EDUCATION WITH LINKS TO COVID-19 TESTING AND VACCINATION IN COMMUNITIES HIT HARDEST BY THE VIRUS. TARGET COMMUNITIES INCLUDED AFRICAN AMERICAN AND LATIN AMERICAN THROUGHOUT MONTGOMERY COUNTY, WITH AN ELEVATED FOCUS ON MONTGOMERY VILLAGE, CLARKSBURG, AND GAITHERSBURG IN UPPER MONTGOMERY COUNTY; WHEATON AND ASPEN HILL IN MID-COUNTY; AND COLESVILLE AND BURTONSVILLE IN DOWN COUNTY WHERE THE MOST COVID-19 CASES WERE AT THE ONSET OF THE PANDEMIC. OVER THE PROGRAM PERIOD, COMMUNITY HEALTH WORKERS PROVIDED COVID-19 EDUCATION TO MORE THAN 2,000 COMMUNITY MEMBERS AT APPROXIMATELY 170 COMMUNITY EVENTS AND ENGAGEMENT SESSIONS; AND CONDUCTED 200 NEEDS ASSESSMENTS WITH LINKS TO SOCIAL SERVICES. PART VI, LINE 6: HCH 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. PART VI, LINE 7, REPORTS FILED WITH STATES MD 1 SISTERS OF THE HOLY CROSS FINANCIAL SERVICES ST MARYS LOURDES HALL NOTRE DAME IN 465565014 350868159 501(C)(3) 150000 0 SUPPORT FOR THE FORMAL MINISTRIES OF THE SISTERS OF THE HOLY CROSS NATIONAL INSTITUTES OF HEALTH 9000 ROCKVILLE PIKE BETHESDA MD 20892 520858115 501(C)(3) 47500 0 SUPPORT PALLIATIVE CARE FELLOWS EMPLOYED BY NATIONAL INSTITUTE OF HEALTH (NIH) AND PRACTICING AT HOLY CROSS PURSUANT TO THE INTERINSTITUTIONAL TRAINING AGREEMENT BETWEEN HOLY CROSS AND THE NIH MONTGOMERY COLLEGE FOUNDATION 9221 CORPORATE BLVD FL 3 ROCKVILLE MD 20850 521267008 501(C)(3) 60000 0 SUPPORT MONTGOMERY COLLEGE TO ACHIEVE EDUCATIONAL GOALS 3 0 TRANSPORTATION FOR PATIENTS 29 762 MEDICATION PURCHASED FOR PATIENTS 11 9656 SPECIALTY CARE FOR PATIENTS SUCH AS SONOGRAMS ETC. 67 12138 FOOD PROGRAMS 752 54461 PATIENT PERSONAL NEEDS 18 7691 SUPPORT FOR FAMILIES OF PATIENTS 157 41382 EMPLOYEE ASSISTANCE 1 2000 PART I, LINE 2: DONATIONS MADE BY HOLY CROSS HEALTH TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE. DONATIONS ARE INCLUDED IN COMMUNITY BENEFITS IN SCHEDULE H IF THE CONTRIBUTION HAS BEEN FORMALLY RESTRICTED TO A COMMUNITY BENEFIT ACTIVITY THAT MEETS THE CRITERIA TO BE REPORTED ON SCHEDULE H. 0 1 0 0 0 0 0 0 0 NORVELL COOTS MD DIRECTOR; PRESIDENT & CEO 0 526040 0 178579 0 113609 0 13050 0 26209 0 857487 0 0 LOUIS DAMIANO MD PRESIDENT HOLY CROSS HOSPITAL 0 396235 0 99562 0 64443 0 13050 0 39587 0 612877 0 0 TINA WEATHERWAX-GRANT DIR; TH SVP PUBLIC POLICY & ADVOCACY 0 328776 0 108971 0 12267 0 88040 0 19973 0 558027 0 0 RINY KARRAS PHYSICIAN 505414 0 0 0 825 0 13050 0 5817 0 525106 0 0 0 YANCY PHILLIPS MD CHIEF CLINICAL OFFICER 0 393763 0 39500 0 19735 0 17400 0 28775 0 499173 0 0 DOUG RYDER PRESIDENT HC GERMANTOWN HOSPITAL 0 289104 0 100959 0 66799 0 13050 0 17532 0 487444 0 0 GREG JOLISSAINT VP MILITARY AND VETERANS HEALTH 0 341130 0 84665 0 20805 0 13050 0 19974 0 479624 0 6735 ANNICE CODY PRESIDENT HCH NETWORK 0 329029 0 66766 0 5364 0 21750 0 32502 0 455411 0 0 ANN BURKE VP MEDICAL AFFAIRS 361033 0 34773 0 2373 0 17400 0 23022 0 438601 0 0 0 ANNE GILLIS ASSISTANT TREASURER & CFO 0 296516 0 61024 0 7148 0 21750 0 37303 0 423741 0 0 ELIZABETH SIMPSON ASST SECRETARY; VP MANAGING COUNSEL 0 289108 0 73328 0 7442 0 13050 0 29927 0 412855 0 0 KRISTIN FELICIANO VP CHIEF STRATEGY OFFICER 0 297145 0 60366 0 2774 0 13050 0 30154 0 403489 0 0 ANTHONY DELUMBAN REGISTERED NURSE 356529 0 10000 0 1647 0 13050 0 3019 0 384245 0 0 0 PART I, LINE 3 HOLY CROSS HEALTH (HCH) IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. HCH'S CEO IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF HCH'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4B THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2021. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. PARTICIPANTS' VESTED BENEFITS WERE PAID OUT IN 2021, AND THEIR NON-VESTED BENEFITS FOR 2021 WERE ACCRUED. THE FOLLOWING PAYOUTS FOR 2021 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: NORVELL COOTS - $89,290 LOUIS DAMIANO - $49,781 DOUG RYDER - $50,479 THE FOLLOWING ACCRUAL FOR 2021 IS INCLUDED IN COLUMN C OF SCHEDULE J, PART II: TINA WEATHERWAX-GRANT - $70,640 THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH RESTORATION PLAN. THE RESTORATION PLAN PROVIDES RETIREMENT BENEFITS FOR CERTAIN TRINITY HEALTH SYSTEM OFFICE EXECUTIVES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($290,000 FOR 2021). THE FOLLOWING PAYOUTS FOR 2021 FOR THIS PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: ANNICE CODY - $1,503 KRISTIN FELICIANO - $540 ANNE GILLIS - $639 TINA WEATHERWAX-GRANT - $0 GREG JOLISSAINT - $8,585 YANCY PHILLIPS - $3,216 ELIZABETH SIMPSON - $283 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF HOLY CROSS HEALTH (HCH) IS TRINITY HEALTH CORPORATION. SEE LINE 7 FOR ADDITIONAL INFORMATION. FORM 990, PART VI, SECTION A, LINE 7A TRINITY HEALTH CORPORATION IS THE SOLE MEMBER OF HCH. TRINITY HEALTH CORPORATION HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF HCH. FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER, TRINITY HEALTH CORPORATION MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. TRINITY HEALTH CORPORATION MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS AND MODIFICATIONS TO GOVERNING DOCUMENTS. FORM 990, PART VI, SECTION A, LINE 8B LINE 8B IS ANSWERED "NO" BECAUSE HOLY CROSS HEALTH HAD NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 FOR HCH IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE FINANCE COMMITTEE AS WELL AS THE BOARD OF DIRECTORS. EACH MEMBER OF THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C HCH HAS ADOPTED TRINITY HEALTH'S GOVERNANCE POLICY NO. 1, WHICH SETS FORTH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND PROCESSES. IT APPLIES TO ALL "INTERESTED PERSONS" OF HCH, WHICH INCLUDES DIRECTORS, PRINCIPAL OFFICERS, AND KEY EMPLOYEES. INTERESTED PERSONS ARE EXPECTED TO DISCHARGE THEIR DUTIES IN A MANNER THE PERSON REASONABLY BELIEVES TO BE IN THE BEST INTERESTS OF HCH AND TO AVOID SITUATIONS INVOLVING A CONFLICT OF INTEREST. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE PROVIDED TO THE INTEGRITY AND COMPLIANCE OFFICER. IF A POTENTIAL CONFLICT IS IDENTIFIED, THE INTEGRITY AND COMPLIANCE OFFICER SHARES THE DISCLOSURES WITH INTERNAL LEGAL COUNSEL, FROM WHICH LEGAL COUNSEL PREPARES A REPORT FOR THE BOARD CHAIR AND CEO. A SUMMARY OF POTENTIAL CONFLICTS IS REVIEWED WITH THE BOARD OF DIRECTORS OF HCH ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO HCH OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF HCH IS RESPONSIBLE FOR THE REVIEW OF TRANSACTIONS TO DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS. IN THE EVENT OF AN ACTUAL CONFLICT, THE BOARD WILL EITHER AVOID THE CONFLICT OR APPROPRIATELY SCRUTINIZE THE TRANSACTION TO ENSURE IT IS IN THE BEST INTERESTS OF HCH. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE POLICY FURTHER ADDRESSES THE PROPER DOCUMENTATION OF THE PROCEEDINGS AND POTENTIAL DISCIPLINARY AND CORRECTIVE ACTION FOR VIOLATIONS OF THE POLICY. THE POLICY IS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 15 QUESTIONS 15A AND 15B ARE ANSWERED "NO" BECAUSE THE COMPENSATION FOR HCH'S CEO, OFFICERS AND KEY MANAGEMENT OFFICIALS IS ESTABLISHED AND PAID BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING CEO, HOSPITAL PRESIDENTS AND CFO COMPENSATION, TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF THE CEO, HOSPITAL PRESIDENTS AND CFO OF HCH ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS. FOR OTHER EXECUTIVES WHO ARE NOT PART OF THE REBUTTABLE PRESUMPTION PROCESS, TRINITY HEALTH USES A MARKET ANALYSIS TO DETERMINE THE APPROPRIATENESS OF THE EXECUTIVE'S COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 HCH IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, HCH INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. HCH'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G MEDICAL SPECIALIST FEES: PROGRAM SERVICE EXPENSES 24,050,344. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,050,344. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 76,903. MANAGEMENT AND GENERAL EXPENSES 464,316. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 541,219. BILLING SERVICES: PROGRAM SERVICE EXPENSES 293,120. MANAGEMENT AND GENERAL EXPENSES 2,060,494. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,353,614. MISCELLANEOUS PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 10,426,964. MANAGEMENT AND GENERAL EXPENSES 7,512,386. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,939,350. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 1,125,974. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,125,974. RECRUITING SERVICES: PROGRAM SERVICE EXPENSES 99,252. MANAGEMENT AND GENERAL EXPENSES 204,258. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 303,510. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 37,406,107. MANAGEMENT AND GENERAL EXPENSES 32,042. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 37,438,149. LAUNDRY AND LINEN SERVICES: PROGRAM SERVICE EXPENSES 1,388,060. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,388,060. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS TO AFFILIATES -7,261,464. EQUITY GAIN IN UNCONSOL. AFFILIATES 4,643,934. ASSET IMPAIRMENT -2,950,990. FORM 990, PART XII, LINE 2: HCH'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY22 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. FORM 990, PAGE 1, PART C, DOING BUSINESS AS NAMES: HOLY CROSS HOSPITAL HOLY CROSS GERMANTOWN HOSPITAL HOLY CROSS HEALTH NETWORK HOLY CROSS DIALYSIS CENTER AT WOODMORE HOLY CROSS HEALTH CENTER HOLY CROSS HOSPITAL DIALYSIS HOLY CROSS HEALTH PARTNERS PROFESSIONAL SERVICES OF HOLY CROSS SENIOR FIT HOLY CROSS HEALTH CENTERS LLC 1500 FOREST GLEN ROAD SILVER SPRING MD 20910 822340203 PHYSICIAN NETWORK MD 0 2808751 HOLY CROSS HEALTH INC HOLY CROSS HEALTH PARTNERS LLC 1500 FOREST GLEN ROAD SILVER SPRING MD 20910 822391212 PHYSICIAN NETWORK MD 453249 77898 HOLY CROSS HEALTH INC ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP 200 JEFFERSON AVE SE GRAND RAPIDS MI 49503 272491974 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN 1 ALLEGANY FRANCISCAN MINISTRIES INC 33920 US HIGHWAY 19 NORTH SUITE 269 PALM HARBOR FL 34684 581492325 GRANT MAKING FL 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 ASYLUM HILL FAMILY MEDICINE CENTER INC 114 WOODLAND STREET HARTFORD CT 06105 061450170 HEALTH CARE SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 BAUM HARMON MERCY HOSPITAL 255 NORTH WELCH AVENUE PRIMGHAR IA 51245 421500277 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP 1 BAUM HARMON MERCY HOSPITAL AND CLINICS FOUNDATION 255 NORTH WELCH AVENUE PRIMGHAR IA 51245 262973307 FOUNDATION IA 501(C)(3) LINE 12A, I BAUM HARMON MERCY HOSPITAL 1 BEECHWOOD INC 2212 BURDETT AVE TROY NY 12180 141651563 TITLE HOLDING COMPANY NY 501(C)(2) N/A LTC (EDDY) INC 1 BETHLEHEM HAVEN OF PITTSBURGH 905 WATSON STREET PITTSBURGH PA 15219 251436685 HOMELESS SHELTER PA 501(C)(3) LINE 7 PITTSBURGH MERCY HEALTH SYSTEM INC 1 BEVERWYCK INC 40 AUTUMN DRIVE SLINGERLANDS NY 12159 141717028 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 BRIGHTSIDE INC 114 WOODLAND STREET HARTFORD CT 06105 042182395 HEALTH CARE SERVICES MA 501(C)(3) LINE 10 THE MERCY HOSPITAL INC 1 CAPITAL REGION GERIATRIC CENTER INC 421 WEST COLUMBIA STREET COHOES NY 12047 141701597 LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 CATHERINE MCAULEY HEALTH SERVICES CORP 5315 ELLIOTT DR 102 YPSILANTI MI 48197 382507173 HEALTH CARE SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH-MICHIGAN 1 CATHOLIC HEALTH MINISTRIES 20555 VICTOR PARKWAY LIVONIA MI 48152 GOVERNANCE AND MANAGEMENT OF TRINITY HEALTH SYSTEM VT 501(C)(3) LINE 1 N/A 0 DILEY RIDGE MEDICAL CENTER 3100 EASTON SQUARE PL STE 300 COLUMBUS OH 43219 342032340 HEALTH CARE AND HOSPITAL SERVICES OH 501(C)(3) LINE 3 MOUNT CARMEL HEALTH SYSTEM 1 DUBUQUE MERCY HEALTH FOUNDATION 250 MERCY DRIVE DUBUQUE IA 52001 262227941 FOUNDATION IA 501(C)(3) LINE 12A, I MERCY HEALTH SERVICES-IOWA CORP 1 DYERSVILLE HEALTH FOUNDATION INC 1111 3RD STREET SW DYERSVILLE IA 52040 205383271 FOUNDATION IA 501(C)(3) LINE 12A, I MERCY HEALTH SERVICES-IOWA CORP 1 EAST NORRITON PHYSICIANS SERVICES INC 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE PA 19073 232515999 HEALTH CARE SERVICES PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK 1 EDDY LICENSED HOME CARE AGENCY 433 RIVER ST SUITE 3000 TROY NY 12180 141818568 HOME HEALTH SERVICES NY 501(C)(3) LINE 3 LTC (EDDY) INC 1 EMBRACING AGE INC 333 BUTTERNUT DRIVE DEWITT NY 13214 461051881 PACE PROGRAM NY 501(C)(3) LINE 12B, II ST JOSEPH'S HEALTH INC 1 EMPIRE HOME INFUSION SERVICE INC 10 BLACKSMITH DRIVE MALTA NY 12020 141795732 HOME HEALTH SERVICES NY 501(C)(3) LINE 10 HOME AIDE SERVICE OF EASTERN NEW YORK INC 1 FARREN CARE CENTER INC 114 WOODLAND STREET HARTFORD CT 06105 042501711 LONG TERM CARE MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC 1 FRANCISCAN ELDERCARE CORPORATION PO BOX 2500 WILMINGTON DE 19805 223008680 LONG TERM CARE (INACTIVE) DE 501(C)(3) LINE 10 ST FRANCIS HOSPITAL INC 1 GLACIER HILLS FOUNDATION 1200 EARHART RD ANN ARBOR MI 48105 208072723 FOUNDATION MI 501(C)(3) LINE 12A, I GLACIER HILLS INC 1 GLACIER HILLS INC 1200 EARHART RD ANN ARBOR MI 48105 381891500 SENIOR LIVING COMMUNITY MI 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES 1 GLEN EDDY INC 1 GLEN EDDY DRIVE NISKAYUNA NY 12309 141794150 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 GLOBAL HEALTH MINISTRY 20555 VICTOR PARKWAY LIVONIA MI 48152 421253527 HEALTH CARE SERVICES MI 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 GOOD SAMARITAN HOSPITAL INC 5401 LAKE OCONEE PARKWAY GREENSBORO GA 30642 261720984 HEALTH CARE AND HOSPITAL SERVICES GA 501(C)(3) LINE 3 TRINITY HEALTH GEORGIA INC 1 GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION 701 W NORTH AVE MELROSE PARK IL 60160 363332852 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM 1 GOTTLIEB MEMORIAL FOUNDATION 701 WEST NORTH AVENUE MELROSE PARK IL 60160 743260011 FOUNDATION IL 501(C)(3) LINE 12D, III-O N/A 0 GOTTLIEB MEMORIAL HOSPITAL 701 W NORTH AVE MELROSE PARK IL 60160 362379649 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM 1 HAWTHORNE RIDGE INC 30 COMMUNITY WAY EAST GREENBUSH NY 12061 800102840 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 HEART CENTER OF GREATER WATERBURY INC 114 WOODLAND STREET HARTFORD CT 06105 830416893 MANAGEMENT CT 501(C)(3) LINE 12A, I N/A 0 HERITAGE HOUSE NURSING CENTER INC 2920 TIBBITS AVE TROY NY 12180 141725101 LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 HOLY CROSS CARENET INC PO BOX 9184 FARMINGTON HILLS MI 48152 521945054 LONG TERM CARE MD 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES 1 HOLY CROSS HEALTH FOUNDATION INC 1500 FOREST GLEN ROAD SILVER SPRING MD 20910 208428450 FOUNDATION MD 501(C)(3) LINE 7 HOLY CROSS HEALTH INC 1 HOLY CROSS HEALTH INC 1500 FOREST GLEN ROAD SILVER SPRING MD 20910 520738041 HEALTH CARE AND HOSPITAL SERVICES MD 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 0 HOLY CROSS HOSPITAL INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 590791028 HEALTH CARE AND HOSPITAL SERVICES FL 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 HOLY CROSS OUTPATIENT SERVICES INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 465421068 HEALTH CARE SERVICES FL 501(C)(3) LINE 10 HOLY CROSS HOSPITAL INC 1 HOLY CROSS PRIMARY CARE INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 812531495 HEALTH CARE SERVICES FL 501(C)(3) LINE 10 HOLY CROSS HOSPITAL INC 1 HOLY CROSS SENIOR SERVICES INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 832256461 HEALTH CARE SERVICES FL 501(C)(3) LINE 10 HOLY CROSS HOSPITAL INC 1 HOME AIDE SERVICE OF EASTERN NEW YORK INC 433 RIVER ST SUITE 3000 TROY NY 12180 141514867 HOME HEALTH SERVICES NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 HOSPICE OF NORTH IOWA 232 SECOND STREET SE MASON CITY IA 50401 421173708 HOSPICE SERVICES IA 501(C)(3) LINE 10 MERCY HEALTH SERVICES-IOWA CORP 1 HOSPICE OF SIOUXLAND 4300 HAMILTON BLVD SIOUX CITY IA 51104 383320710 HOSPICE SERVICES IA 501(C)(3) LINE 12A, I N/A 0 IHA HEALTH SERVICES CORPORATION 24 FRANK LLOYD WRIGHT DR LOBBY J ANN ARBOR MI 48106 383316559 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN 1 JOHNSON MEMORIAL HOSPITAL INC 114 WOODLAND STREET HARTFORD CT 06105 475676956 HEALTH CARE AND HOSPITAL SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 LANGHORNE MRI INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 232519529 HEALTH CARE SERVICES (INACTIVE) PA 501(C)(3) LINE 10 ST MARY MEDICAL CENTER 1 LANGHORNE PHYSICIAN SERVICES INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 232571699 HEALTH CARE SERVICES PA 501(C)(3) LINE 10 ST MARY MEDICAL CENTER 1 LIFE AT LOURDES INC 2475 MCCLELLAN AVENUE PENNSAUKEN NJ 08109 261854750 PACE PROGRAM NJ 501(C)(3) LINE 10 TRINITY HEALTH PACE 1 LIFE AT ST FRANCIS HEALTHCARE INC 1072 JUSTISON STREET WILMINGTON DE 19801 452569214 PACE PROGRAM DE 501(C)(3) LINE 10 TRINITY HEALTH PACE 1 LIFE ST FRANCIS CORPORATION 7500 K JOHNSON BOULEVARD BORDENTOWN NJ 08505 222797282 PACE PROGRAM NJ 501(C)(3) LINE 10 ST FRANCIS MEDICAL CENTER TRENTON NJ 1 LIFE ST JOSEPH OF THE PINES INC 4900 RAEFORD ROAD FAYETTEVILLE NC 28304 272159847 PACE PROGRAM NC 501(C)(3) LINE 10 TRINITY HEALTH PACE 1 LIFE ST MARY 2500 NORTHGATE ROAD TREVOSE PA 19053 262976184 PACE PROGRAM PA 501(C)(3) LINE 10 TRINITY HEALTH PACE 1 LOYOLA MEDICINE TRANSPORT LLC 905 W NORTH AVE MELROSE PARK IL 60160 474147171 TRANSPORTATION SERVICES IL 501(C)(3) LINE 10 LOYOLA UNIVERSITY MEDICAL CENTER 1 LOYOLA UNIVERSITY HEALTH SYSTEM 2160 SOUTH FIRST AVENUE MAYWOOD IL 60153 363342448 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT IL 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION 1 LOYOLA UNIVERSITY MEDICAL CENTER 2160 SOUTH FIRST AVENUE MAYWOOD IL 60153 364015560 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM 1 LTC (EDDY) INC 2212 BURDETT AVE TROY NY 12180 222564710 MANAGEMENT SERVICES FOR LONG TERM CARE NY 501(C)(3) LINE 12B, II ST PETER'S HEALTH PARTNERS 1 MAXIS HEALTH SYSTEM 20555 VICTOR PARKWAY LIVONIA MI 48152 911940902 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT PA 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 MCAULEY CENTER INC 275 STEELE ROAD WEST HARTFORD CT 06117 061058086 SENIOR LIVING COMMUNITY CT 501(C)(3) LINE 10 MERCY COMMUNITY HEALTH INC 1 MCAULEY MINISTRIES 3333 FIFTH AVENUE PITTSBURGH PA 15213 943436142 GRANT MAKING PA 501(C)(3) LINE 12B, II PITTSBURGH MERCY HEALTH SYSTEM INC 1 MERCY CARE CENTER 3753 SOUTH COTTAGE GROVE AVE CHICAGO IL 60653 853904921 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 MERCY CARE FOUNDATION INC 424 DECATUR STREET ATLANTA GA 30312 581448522 FOUNDATION GA 501(C)(3) LINE 7 SAINT JOSEPH'S HEALTH SYSTEM INC 1 MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA 3805 W CHESTER PIKE STE 100 NEWTOWN SQUARE PA 19073 231352191 HEALTH CARE AND HOSPITAL SERVICES PA 501(C)(3) LINE 3 TRINITY HEALTH OF THE MID-ATLANTIC REGION 1 MERCY COMMUNITY HEALTH INC 2021 ALBANY AVENUE WEST HARTFORD CT 06117 061492707 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT CT 501(C)(3) LINE 12B, II TRINITY CONTINUING CARE SERVICES 1 MERCY FAMILY SUPPORT 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE PA 19073 232325059 HOME HEALTH SERVICES PA 501(C)(3) LINE 10 MERCY HOME HEALTH SERVICES 1 MERCY FOUNDATION INC 2525 SOUTH MICHIGAN AVENUE CHICAGO IL 60616 363227350 FOUNDATION IL 501(C)(3) LINE 7 MERCY HEALTH SYSTEM OF CHICAGO 1 MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE 888 TERRACE STREET MUSKEGON MI 49440 383321856 HOME HEALTH SERVICES MI 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES 1 MERCY HEALTH FOUNDATION OF SOUTHEASTERN PENNSYLVANIA 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE PA 19073 232829864 FOUNDATION PA 501(C)(3) LINE 12B, II TRINITY HEALTH OF THE MID-ATLANTIC REGION 1 MERCY HEALTH NETWORK INC 1449 NW 128TH ST BLDG 5 CLIVE IA 50325 421478417 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT DE 501(C)(3) LINE 12C, III-FI N/A 0 MERCY HEALTH PARTNERS 1500 E SHERMAN BLVD MUSKEGON MI 49444 382589966 HEALTH CARE AND HOSPITAL SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH-MICHIGAN 1 MERCY HEALTH PLAN 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE PA 19073 222483605 MEDICAID MANAGED CARE PLAN PA 501(C)(3) LINE 12B, II TRINITY HEALTH OF THE MID-ATLANTIC REGION 1 MERCY HEALTH SERVICES - IOWA CORP 1000 4TH STREET SW MASON CITY IA 50401 311373080 HEALTH CARE AND HOSPITAL SERVICES DE 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 MERCY HEALTH SYSTEM OF CHICAGO 2525 SOUTH MICHIGAN AVENUE CHICAGO IL 60616 363163327 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT IL 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION 1 MERCY HEALTHCARE FOUNDATION - CLINTON 1410 N 4TH ST CLINTON IA 52732 421316126 FOUNDATION IA 501(C)(3) LINE 7 MERCY MEDICAL CENTER - CLINTON INC 1 MERCY HOME HEALTH 20555 VICTOR PARKWAY LIVONIA MI 48152 231352099 HOME HEALTH SERVICES PA 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES 1 MERCY HOME HEALTH SERVICES 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE PA 19073 232325058 MANAGEMENT SERVICES FOR HOME HEALTH PA 501(C)(3) LINE 12B, II TRINITY HEALTH OF THE MID-ATLANTIC REGION 1 MERCY HOSPITAL AND MEDICAL CENTER 2160 SOUTH FIRST AVENUE MAYWOOD IL 60153 362170152 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 MERCY HEALTH SYSTEM OF CHICAGO 1 MERCY HOSPITAL CADILLAC FOUNDATION 318 RIVER RIDGE DR NW SUITE 100 WALKER MI 49544 203357131 FOUNDATION MI 501(C)(3) LINE 12A, I TRINITY HEALTH-MICHIGAN 1 MERCY LIFE 1930 SOUTH BROAD STREET PHILADELPHIA PA 19145 232840137 PACE PROGRAM PA 501(C)(3) LINE 10 TRINITY HEALTH PACE 1 MERCY LIFE CENTER CORPORATION 1200 REEDSDALE STREET PITTSBURGH PA 15233 251604115 COMMUNITY OUTREACH PA 501(C)(3) LINE 10 PITTSBURGH MERCY HEALTH SYSTEM INC 1 MERCY LIFE OF ALABAMA PO BOX 7957 MOBILE AL 36670 273163002 PACE PROGRAM AL 501(C)(3) LINE 10 TRINITY HEALTH PACE 1 MERCY LIFE INC 200 HILLSIDE CIRCLE WEST SPRINGFIELD MA 01089 453086711 PACE PROGRAM MA 501(C)(3) LINE 10 TRINITY HEALTH PACE 1 MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE PA 19073 232627944 HEALTH CARE SERVICES PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK 1 MERCY MEDICAL CENTER - CLINTON INC 1410 NORTH 4TH ST CLINTON IA 52732 421336618 HEALTH CARE AND HOSPITAL SERVICES DE 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP 1 MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION 801 5TH STREET SIOUX CITY IA 51102 141880022 FOUNDATION IA 501(C)(3) LINE 7 MERCY HEALTH SERVICES-IOWA CORP 1 MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA 1000 4TH STREET SW MASON CITY IA 50401 421229151 FOUNDATION IA 501(C)(3) LINE 7 MERCY HEALTH SERVICES-IOWA CORP 1 MERCY MEDICAL CORPORATION PO BOX 7957 MOBILE AL 36670 636002215 PACE PROGRAM AL 501(C)(3) LINE 10 TRINITY HEALTH CORPORATION 1 MERCY MEDICAL GROUP INC 114 WOODLAND STREET HARTFORD CT 06105 454884805 HEALTH CARE SERVICES MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC 1 MERCY SENIOR CARE INC 424 DECATUR STREET ATLANTA GA 30312 581366508 COMMUNITY OUTREACH GA 501(C)(3) LINE 7 SAINT JOSEPH'S HEALTH SYSTEM INC 1 MERCY SERVICES DOWNTOWN INC 424 DECATUR STREET ATLANTA GA 30312 272046353 TITLE HOLDING COMPANY GA 501(C)(3) LINE 12B, II SAINT JOSEPH'S HEALTH SYSTEM INC 1 MERCY SERVICES 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