2023-05-10T06:31:21-05:00 2022-06-30 990 2021-07-01 350868157 SAINT JOSEPH REGIONAL MEDICAL CENTER- SOUTH BEND CAMPUS INC SAIN 5743355000 5215 HOLY CROSS PARKWAY MISHAWAKA IN 465451469 MELISSA LUKASICK CFO 5743355000 2023-05-10 MELISSA LUKASICK 999009999 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z (SEE SCHEDULE O FOR LIST) CHRISTOPHER KARAM 5215 HOLY CROSS PARKWAY MISHAWAKA IN 465451469 385581422 0 X WWW.SJMED.COM X 1958 IN 7 13 10 0 97 0 0 26158835 6191674 377789943 374457445 -33502 -619570 5222536 4589730 409137812 384619279 219700 130729 0 0 128981771 146209304 0 0 400045 249977364 273234695 379178835 419574728 29958977 -34955449 634818978 834699502 536083644 762956167 98735334 71743335 X WE, SAINT JOSEPH REGIONAL MEDICAL CENTER AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES.SJRMC-SOUTH BEND IS A MEMBER OF SAINT JOSEPH REGIONAL MEDICAL CENTER AND TRINITY HEALTH. 0 0 342772363 130729 377668791 SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS (SJRMC-SOUTH BEND), REFERRED TO AS "MISHAWAKA MEDICAL CENTER", IS LICENSED FOR 254 BEDS AND HAS BEEN DELIVERING QUALITY HEALTH CARE TO THE SOUTH BEND/MISHAWAKA, INDIANA AREA SINCE 1958. SJRMC-SOUTH BEND PROVIDES FREE CARE, SUBSIDIZES THE CARE OF MEDICARE AND MEDICAID PATIENTS WHERE THE GOVERNMENT REIMBURSEMENT IS BELOW COST, AND SPONSORS HEALTH PROGRAMS AND ACTIVITIES FOR THE COMMUNITY. THESE PROGRAMS INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, AND MEDICALLY UNDERSERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. SJRMC-SOUTH BEND OFFERS A FULL RANGE OF SERVICES IN AN INPATIENT AND OUTPATIENT SETTING AS WELL AS 24-HOUR EMERGENCY CARE, SURGICAL SERVICES, CANCER CARE, HEART AND STROKE CARE, REHABILITATION SERVICES, SENIOR BEHAVIORAL HEALTH CARE, AMONG MANY OTHER HEALTH CARE SERVICES. THE MISHAWAKA MEDICAL CENTER HOSPITAL OFFERS 263 PRIVATE INPATIENT ROOMS AND PROVIDED 59,647 PATIENT DAYS OF HEALTH CARE SERVICES IN FY22.PLEASE SEE SCHEDULE H AND VISIT OUR WEBSITE FOR ADDITIONAL INFORMATION ABOUT OUR SERVICES, RECOGNITION AND AWARDS: WWW.SJMED.COM/PATIENTS-AND-VISITORS/MISHAWAKA-MEDICAL-CENTER/ 342772363 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 225 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 13 10 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 IN X REBECCA MULLINS 5743354661 707 EAST CEDAR STREET SUITE 100 SOUTH BEND IN 466172000 CHAD TOWNER DIRECTOR, PRES & CEO THROUGH 9/21 10.00 45.00 X 0 753828 642636 CRAIG MILLER MD DIRECTOR AS OF 4/22; PHYSICIAN 2.00 48.00 X 0 586100 51195 CHRISTOPHER KARAM DIR; PRES SJRMC-SB; PRES SJRMC-PLY 35.00 20.00 X X 0 509009 114709 GENEVIEVE LANKOWICZ MD SJHS REGIONAL CHIEF MEDICAL OFFICER 30.00 20.00 X 0 441775 50441 JULIE WEST MD PHYSICIAN 50.00 0.00 X 0 405407 43528 JANICE DUNN FORMER OFFICER; CFO ST MARYS HEALTH 0.00 50.00 X 0 402730 42981 KEVIN HIGDON FORMER OFFICER 0.00 0.00 X 0 354011 88604 ERIC RINDLISBACHER DPM PODIATRY RESIDENCY ASSOCIATE 50.00 0.00 X 0 360163 42223 JASON GROVE DPM PODIATRY PROGRAM DIRECTOR 50.00 0.00 X 0 360033 39172 PAULA TOTH-RUSSELL MD DIRECTOR; PHYSICIAN SJHS 2.00 48.00 X 0 336846 51259 MUHAMMAD ANSARI MD PHYSICIAN 50.00 0.00 X 0 336719 42581 CHRISTOPHER JORDAN MD SPORTS MEDICINE DIRECTOR 50.00 0.00 X 0 322161 47137 ROBERT SINK TREASURER AS OF 4/22; CFO SJHS 10.00 40.00 X 0 290633 43533 JASON SCHULTZ SEC THR 4/22;VP STRATEGY & BUS DEV 10.00 40.00 X 0 289315 24882 JEFFREY MATHIS SECRETARY AT 4/22; SJHS GENL COUNSEL 10.00 40.00 X 0 248867 33798 DOUGLAS STRONG INTERIM CEO SJHS 9/21 TO 3/22 10.00 40.00 X 0 170837 6388 ABRAHAM MARCUS DIRECTOR; CHAIR 2.00 4.00 X X 0 0 0 CHRIS ROWLAND DIRECTOR; TREASURER THROUGH 4/22 2.00 2.00 X X 0 0 0 THE VERY REV JAMES FOSTER MD DIRECTOR 2.00 2.00 X 0 0 0 ANDREW HARTLEY DIRECTOR AS OF 4/22 2.00 2.00 X 0 0 0 MARIJO KELLY DIRECTOR 2.00 2.00 X 0 0 0 RODOLFO MONTERROSA DIRECTOR AS OF 4/22 2.00 2.00 X 0 0 0 SALVADOR MOYA DIRECTOR THROUGH 4/22 2.00 0.00 X 0 0 0 DANA NEER DIRECTOR AS OF 4/22 2.00 2.00 X 0 0 0 LOUIS PIERCE DIRECTOR THROUGH 4/22 2.00 1.00 X 0 0 0 NORMA RODRIQUEZ DIRECTOR AS OF 4/22 2.00 2.00 X 0 0 0 HARVEY WEINGARTEN DDS DIRECTOR 2.00 2.00 X 0 0 0 JACQUELINE WRIGHT DIRECTOR AS OF 4/22 2.00 2.00 X 0 0 0 0 6168434 1365067 0 1 1 0 HALLMARK HEALTH CARE SOLUTIONS INC 200 MOTOR PKWY STE D-26 HAUPPAUGE NY 11788 TEMP MEDICAL STAFF SERVICES 15771862 ST JOSEPH VALLEY ANESTHESIA PO BOX 1742 SOUTH BEND IN 46634 HEALTH CARE SERVICES 4033224 SOUND PHYSICIANS OF INDIANA 215 W 4TH ST 200 MISHAWAKA IN 46544 HEALTH CARE SERVICES 3320057 WEIGAND CONSTRUCTION CO INC 7808 HONEYWELL DR FORT WAYNE IN 46825 CONSTRUCTION SERVICES 3007935 LABCORP INDIANA INC PO BOX 8014 BURLINGTON NC 27216 LABORATORY SERVICES 2536684 30 2216203 3975471 6191674 NET PATIENT SERVICE REVENUE 622110 374457445 374457445 374457445 252035 252035 2115 0 2115 2115 2115 46500 918105 0 -918105 46500 -871605 -871605 97985 44038 53947 53947 PROVIDER SERVICE AGREE REV 622110 1778836 1778836 CAFETERIA & FOOD SERVICE REVENUE 722514 1322322 1322322 PROVIDER INCENTIVE REVENUE 622110 189823 189823 1242687 1242687 4533668 384619279 377668791 0 758814 X 130729 130729 565830 565830 121849159 118734918 3114241 4427921 4317908 110013 10649313 10368000 281313 8717081 8484043 233038 93974 93974 10418 10418 56680501 56530836 149665 416308 16263 400045 1898827 1416290 482537 165576 104868 60708 6740978 6449629 291349 82488 81243 1245 235742 206637 29105 10532074 10532074 14547632 4804695 9742937 2085330 2085330 MEDICAL SUPPLIES 71727258 71727258 INTERCO. PURCHASED SVCS 60250970 1328763 58922207 HOSPITAL PROVIDER TAX 24386199 24386199 BAD DEBT EXPENSE 21411995 21411995 1968425 1646041 322384 419574728 342772363 76402320 400045 9225 8825 51613780 51378166 3374203 3071010 9168439 8468673 673785 686421 467133019 205225152 265936189 261907867 12677073 8699838 4559664 3634264 286806620 496844438 634818978 834699502 21449454 31871683 8433245 6158027 506200945 724926457 536083644 762956167 X 98735334 71743335 98735334 71743335 634818978 834699502 X -34955449 -309665 8273115 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 289730 289730 306676035 91801646 214874389 2530859 1491379 1039480 117712023 111932127 5779896 39924372 39924372 261907867 OTHER LONG-TERM ASSETS 145800 MISCELLANEOUS RECEIVABLES 3126315 INTERCOMPANY ACCOUNTS RECEIVABLE 491116615 OPERATING LEASE RIGHT-OF-USE ASSETS 2455708 496844438 INTERCOMPANY NOTES PAYABLE 328974287 DEFERRED COMPENSATION LIABILITY 3248442 INTERCOMPANY ACCOUNTS PAYABLE 374912112 ASSET RETIREMENT OBLIGATION (FIN 47) 99235 OTHER LONG-TERM LIABILITIES 12006 OPERATING LEASE LIABILITIES 2538342 OTHER CURRENT LIABILITIES 65392 MEDICARE CASH ADVANCES 15076641 724926457 PART V, LINE 4: ENDOWMENTS HELD BY THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER FOR THE BENEFIT OF SJRMC-SOUTH BEND ARE REPORTED ON THE FORM 990 OF THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER. 1 1 X 1 X 1 X 1 1 0 1 1 3283043 3283043 0.00820 90973539 61532144 29441395 0.07390 94256582 61532144 32724438 0.08210 9 173029 2342082 1253498 1088584 0.00270 5 45 6657177 2680345 3976832 0.01000 7 22648 5650056 2861464 2788592 0.00700 10 281800 318812 112567 206245 0.00050 31 477522 14968127 6907874 8060253 0.02020 31 477522 109224709 68440018 40784691 0.10230 1 391 391 0.00000 1 360 160 200 0.00000 1 500 500 0.00000 1 2032 2032 0.00000 1 12702 12702 0.00000 1 2500 2500 0.00000 6 18485 160 18325 0.00000 0 21411995 0 65879766 86497368 -20617602 X 1 1 1 1 ST JOSEPH REG MED CTR-SOUTH BEND CAMPUS 5215 HOLY CROSS PARKWAY MISHAWAKA IN 46544 WWW.SJMED.COM/MISHAWAKA-MEDICAL-CENTER LICENSE #22-005012-1 X X X X SJRMC-SOUTH BEND CAMPUS 1 0 0 1 X X X X X X X X X 20 1 1 1 1 X SEE SCHEDULE H, PART V, SECTION C X X 1 20 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 WWW.SJMED.COM/PATIENTS-VISITORS/BILLING-AND-ASSISTANCE/FINANCIAL-ASSISTANCE X WWW.SJMED.COM/PATIENTS-VISITORS/BILLING-AND-ASSISTANCE/FINANCIAL-ASSISTANCE X WWW.SJMED.COM/PATIENTS-VISITORS/BILLING-AND-ASSISTANCE/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 SJRMC-SOUTH BEND CAMPUS PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E:SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND (SJRMC-SOUTH BEND) INCLUDED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS, WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS:1. ACCESS TO MENTAL HEALTH CARE2. IMPROVE NUTRITION AND EATING HABITS3. ACCESS TO WELLNESS RESOURCES (FRESH FOODS, NUTRITION CLASSES, GYMS, ETC.)4. ACCESS/AFFORDABILITY OF MEDICATION5. INCREASE PARTICIPATION IN PHYSICAL ACTIVITIES AND EXERCISE PROGRAMS SJRMC-SOUTH BEND CAMPUS PART V, SECTION B, LINE 5: DURING THE MONTHS OF AUGUST THROUGH NOVEMBER OF 2020, SURVEYS WERE USED TO GATHER INPUT FOR THE CHNA FROM PEOPLE REPRESENTING THE COMMUNITY SERVED BY THE HOSPITAL. SURVEYS WERE DISTRIBUTED IN ONLINE AND PRINTED FORMATS IN BOTH ENGLISH AND SPANISH, WHICH ENSURED A WIDE DISTRIBUTION OF THE SURVEY. THIS SURVEY WAS DELIVERED VIA INVITATION BASED ON A STRATIFIED RANDOM SAMPLING OF THE COMMUNITY-AT-LARGE USING A THIRD-PARTY DATABASE. TO ENSURE THE SURVEY SAMPLE REFLECTED A WIDE VARIETY OF SOCIOECONOMIC LEVELS, AGE AND RACE/ETHNICITY, IT WAS OFFERED TO COMMUNITY GROUPS VIA ORGANIZATIONS SUCH AS LA CASA DE AMISTAD, THE CENTER FOR THE HOMELESS, UNITED WAY OF ST. JOSEPH COUNTY, AND AT LOCAL FOOD PANTRIES. THESE GROUPS REPRESENT THE MEDICALLY UNDERSERVED, MINORITIES, LOW-INCOME INDIVIDUALS, ENTREPRENEUR GROUPS, HEALTH CARE WORKERS, ETC. THE COVID-19 PANDEMIC PREVENTED THE USE OF COMMUNITY EVENTS TO REACH MORE SURVEY PARTICIPANTS OR TO GAIN ADDITIONAL INSIGHT FROM INDIVIDUALS AS WAS DONE IN THE PAST. THIS RESULTED IN A LOWER SURVEY VOLUME THAN WAS SEEN IN PREVIOUS YEARS. THE PRINTED COPY OF THE SURVEY WAS ALSO USED WITH COMMUNITY GROUPS TO FACILITATE BROAD-BASED REPRESENTATION OF THE SENIOR 65+ AND UNDERSERVED POPULATIONS. THE SURVEY PARTICIPANTS WERE ASKED A SERIES OF QUESTIONS ABOUT TOPICS CRITICAL TO THE HEALTH OF THE COMMUNITY. A TOTAL OF 2,683 SURVEYS WERE COLLECTED, 1,402 OF WHICH WERE FOR ST. JOSEPH COUNTY.COMMUNITY HEALTH ADVISORY COMMITTEE MET ON FEBRUARY 26, 2021 TO DISCUSS HOW TO IMPROVE THE TOP FIVE IDENTIFIED NEEDS. MEMBERS OF THE COMMUNITY HEALTH ADVISORY COMMITTEE INCLUDED: YOUNG PROFESSIONALS, HEALTH EDUCATORS, PARKS DEPARTMENT EMPLOYEES, SENIORS, CLINICS, BUSINESS LEADERS, VETERANS, AND LATINO COMMUNITY LEADERS. THE FOCUS GROUPS WERE ASKED TO DISCUSS ISSUES THAT HAD BEEN IDENTIFIED AS IMPORTANT BY SAINT JOSEPH HEALTH SYSTEM.SAINT JOSEPH HEALTH SYSTEM (SJHS) COMPLETED A COMPREHENSIVE CHNA THAT WAS ADOPTED BY THE BOARD OF DIRECTORS ON MAY 28, 2021. SJHS PERFORMED THE CHNA IN COMPLIANCE WITH FEDERAL REQUIREMENTS FOR NOT-FOR-PROFIT HOSPITALS SET FORTH IN THE AFFORDABLE CARE ACT AND BY THE INTERNAL REVENUE SERVICE. THE ASSESSMENT TOOK INTO ACCOUNT INPUT FROM REPRESENTATIVES OF THE COMMUNITY, COMMUNITY MEMBERS, AND VARIOUS COMMUNITY ORGANIZATIONS. SJRMC-SOUTH BEND CAMPUS PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED IN COLLABORATION WITH SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS. SJRMC-SOUTH BEND CAMPUS PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH THE FOLLOWING COLLABORATING ORGANIZATIONS: BETHEL UNIVERSITY, BOYS AND GIRLS CLUBS OF ST. JOSEPH COUNTY, BOYS AND GIRLS CLUBS OF MARSHALL COUNTY, BOWEN CENTER, FOOD BANK OF NORTHERN INDIANA, INDIANA HEALTH INFORMATION EXCHANGE, LA CASA DE AMISTAD, MISHAWAKA PARKS DEPARTMENT, MARSHALL COUNTY BOARD OF HEALTH, MARSHALL COUNTY COUNCIL ON AGING, MARSHALL COUNTY NEIGHBORHOOD CENTER, OAKLAWN PSYCHIATRIC CENTER, PLYMOUTH SCHOOL BOARD, POOR HANDMAIDS, PURDUE EXTENSION, ST. JOSEPH COUNTY HEALTH DEPARTMENT, UNITED RELIGIOUS COMMUNITY OF ST. JOSEPH COUNTY, UNITY GARDENS, UNITED WAY OF MARSHALL COUNTY, UNITED WAY OF ST. JOSEPH COUNTY, AND UNIVERSITY OF NOTRE DAME. SJRMC-SOUTH BEND CAMPUS PART V, SECTION B, LINE 7D: ALL COMMUNITY HEALTH ADVISORY BOARD MEMBERS RECEIVED A PRINTED OR E-MAILED COPY OF THE COMPLETE CHNA. SJRMC-SOUTH BEND CAMPUS PART V, SECTION B, LINE 11: ON SEPTEMBER 15, 2021, THE BOARD APPROVED THE 2022 THROUGH 2024 THREE-YEAR IMPLEMENTATION STRATEGY BASED ON THE MAY 2021 CHNA. THE PLAN WAS DEVELOPED TO ADDRESS THE TOP FOUR OF FIVE SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA: ACCESS TO MENTAL HEALTH CARE, IMPROVE NUTRITION AND EATING HABITS, ACCESS TO WELLNESS RESOURCES, AND INCREASE PARTICIPATION IN PHYSICAL ACTIVITIES AND EXERCISE PROGRAMS. SIGNIFICANT NEEDS 'IMPROVE NUTRITION AND EATING HABITS AND 'ACCESS TO WELLNESS RESOURCES (FRESH FOODS, NUTRITION CLASSES, GYMS, ETC.)' HAVE BEEN COMBINED INTO ONE IMPLEMENTATION STRATEGY CATEGORY DUE TO THEIR SIMILAR NATURE.ACTIVITIES CARRIED OUT TO ADDRESS THE NEEDS IN FY22 INCLUDED:TO IMPROVE ACCESS TO MENTAL HEALTH, HEALTH AND WELLNESS EDUCATOR HOURS CONTINUED TO ADDRESS MULTIPLE CONCERNS FOR OUR LATINO COMMUNITY, INCLUDING MENTAL HEALTH AS IT RELATES TO THE PHYSICAL FEAR OF CONTRACTING THE COVID-19 VIRUS, THE RAMIFICATIONS OF ONE OF THEIR FRIENDS AND FAMILY MEMBERS CONTRACTING IT, AND THE STRESS ASSOCIATED WITH THE DECREASED SOCIAL CONNECTIONS AND CONCERNS FOR SAFETY DUE TO THE PANDEMIC. TO INCREASE ACCESS TO CLINICAL SERVICES, SJRMC-SOUTH BEND SUPPORTED OAKLAWN'S WORK TOWARDS SAME-DAY ACCESS FOR REFERRED PATIENTS; IN THE FIRST WEEK OF THE PROGRAM, CLINICIANS COMPLETED MORE THAN DOUBLE THE NUMBER OF INITIAL ASSESSMENTS COMPARED TO THOSE COMPLETED IN THE ENTIRE PREVIOUS MONTH, AND THE NO-SHOW RATE FOR APPOINTMENTS DROPPED TO ZERO. TO INCREASE AWARENESS SURROUNDING COMMUNITY EVENTS AND TRAININGS FOR MENTAL HEALTH, FINANCIAL SUPPORT WAS PROVIDED TO THE HEALTH IMPROVEMENT ALLIANCE TO UPDATE THE COMMUNITY CALENDAR PORTION OF THEIR WEBSITE. ADDITIONALLY, TWO INITIATIVES FOCUSED ON HARM REDUCTION IN YOUTH: (1) FINANCIAL SUPPORT WAS ALLOCATED TO SOURCES OF STRENGTH, A PROGRAM THAT COMBATS SUICIDES AMONG YOUTH THROUGH PEER EMPOWERMENT, ADVOCACY, AND ACTION AROUND MENTAL HEALTH, WHICH DEBUTED IN TWO MIDDLE SCHOOLS AND TWO HIGH SCHOOLS IN OUR COUNTY; AND (2) SCHOOL HEALTH STAFF AT NINE AREA SCHOOLS WERE INVITED TO PARTICIPATE IN A YOUTH MENTAL HEALTH FIRST AID COURSE TO EQUIP THEM TO MEET THE INCREASED NEEDS OF THE YOUTH THEY INTERACT WITH DAILY. FINANCIAL SUPPORT WAS ALSO PROVIDED TO UNITED HEALTH SERVICE'S SUICIDE PREVENTION WORK IN THE COUNTY'S COMMUNITY AT LARGE.TO IMPROVE NUTRITION AND EATING HABITS AND ACCESS TO WELLNESS RESOURCES, SJRMC-SOUTH BEND, THROUGH FUNDING FROM TRINITY HEALTH, SPONSORED THE RENOVATION OF THE CENTER FOR HOMELESS' CHAPEL SPACE INTO A MULTI-PURPOSE LEARNING SPACE FOR RESIDENTS OF THE CENTER, AND A SECOND-FLOOR KITCHENETTE TO BE UTILIZED AS A HEALTHY, BETWEEN MEALS FOOD PANTRY/HEALTHY CORNER STORE. FOOD LOCATED IN THE RENOVATED KITCHENETTE, WHICH WILL DEBUT IN FY23, WILL MEET USDA FOOD AND NUTRITION STANDARDS AND BE PROVIDED AT NO COST TO RESIDENTS; FUNDING FOR THE FIRST TWO MONTHS OF HEALTHY SNACKS WAS ALSO PROVIDED. SJRMC-SOUTH BEND DIABETES PREVENTION PROGRAM CLASSES CONTINUED FOR COUNTY MEMBERS, VETERANS, VULNERABLE POPULATIONS, AND SJHS COLLEAGUES IN AN ONLINE FORMAT IN BOTH ENGLISH AND SPANISH. DURING FY22, FOOD INSECURITY WAS COMBATED BY BRINGING FRESH PRODUCE, WHOLE GRAINS, AND REDUCED SODIUM OPTIONS TO OUR SERVICE AREA THROUGH THREE MOBILE FOOD PANTRIES, SERVING 250+ INDIVIDUALS, IN COLLABORATION WITH THE NORTHERN FOOD BANK OF INDIANA; FUNDING FOR THIS WAS MADE POSSIBLE THROUGH TRINITY HEALTH. SJRMC-SOUTH BEND ALSO FINANCIALLY SUPPORTED CULTIVATE FOOD RESCUE'S BACKPACK PROGRAM, WHICH PROVIDES HEALTHY, NUTRITIOUS MEALS TO STUDENTS WHO FACE FOOD INSECURITY, THEREBY IMPROVING THEIR PHYSICAL, ACADEMIC, AND SOCIAL OUTCOMES; 7,273 MEALS WERE PROVIDED AND 9,901 POUNDS OF FOOD WERE RESCUED AS A DIRECT RESULT OF THIS SUPPORT.SUPPORT FOR THE HEALTH AND WELLNESS EFFORTS OF THE LATINO COMMUNITY WAS ADDRESSED THROUGH A COMMUNITY FLU SHOT CLINIC AT LA CASA DE AMISTAD AND THROUGH THE PROVISION OF RESOURCES SPECIFIC TO COVID-19 SYMPTOMS, TESTING, AND MASKS BY OUR LATINO OUTREACH COORDINATOR. TOBACCO RISK ASSESSMENTS WERE ALSO ADMINISTERED DURING COVID-19 FOLLOW-UP CALLS MADE BY STAFF TO COMMUNITY MEMBERS, AND QUIT LINE NUMBER DISTRIBUTION AND INVITATIONS TO JOIN A VIRTUAL CESSATION CLASS WERE EXTENDED TO THOSE WHO QUALIFIED. ADDITIONALLY, BI-LINGUAL QR CODES AND WINDOW CLINGS LINKING THE COMMUNITY TO VARIOUS RESOURCES AND PROGRAMS WERE DISTRIBUTED AT COMMUNITY ORGANIZATIONS IN SAINT JOSEPH COUNTY TO REENGAGE THE COMMUNITY IN A NEW WAY SINCE THE ONSET OF THE COVID-19 PANDEMIC. TO ADDRESS HEALTH DISPARITIES, THESE RESOURCE MATERIALS WERE DISTRIBUTED WITH PARTICULAR ATTENTION TO AREAS IN THE COUNTY WITH HIGH VISIBILITY FOR THOSE EXPERIENCING HEALTH DISPARITIES; FOR EXAMPLE, SJRMC-SOUTH BEND PARTNERED WITH 100 BLACK MEN TO DISTRIBUTE THE WINDOW CLINGS TO BARBERSHOPS IN THE BLACK COMMUNITY.TO ACHIEVE INCREASED PARTICIPATION IN PHYSICAL ACTIVITIES AND EXERCISE PROGRAMS, SJRMC-SOUTH BEND PARTNERED WITH SJRMC-PLYMOUTH TO ENGAGE 15 MISHAWAKA, PLYMOUTH AND DIOCESE OF FORT WAYNE/SOUTH BEND SCHOOLS IN SAINT JOSEPH AND MARSHALL COUNTIES IN A WELLNESS CHALLENGE; 688 KIDS PARTICIPATED, WITH AN AVERAGE OF 1,597 EXTRA MINUTES OF ACTIVITY DURING THE MONTH OF FEBRUARY. ADDITIONALLY, THANKS TO FUNDING FROM TRINITY HEALTH, SJRMC-SOUTH BEND FUNDED AN ENCLOSED CARGO TRAILER TO MOBILIZE THE WORK OF THE SOUTH BEND BIKE GARAGE, A PAY-IT-FORWARD ORGANIZATION, TO SUPPORT UNDERSERVED AREAS. THE SOUTH BEND BIKE GARAGE'S MISSION IS TO GET MORE PEOPLE ON BIKES BY TEACHING COMMUNITY MEMBERS HOW TO FIX THEIR BIKE, PROVIDING THE TOOLS AND THE RESOURCES FOR THEM TO DO SO; OFFERING OPPORTUNITIES TO EARN A FREE BIKE TO THOSE WHO VOLUNTEER SIX HOURS TOWARD HELPING RESTORE DONATED BIKES; AND PROVIDING THE COMMUNITY WITH LOW-COST OPTIONS TO BUY DONATED BIKES. THIS NONPROFIT ORGANIZATION ALSO TEACHES BIKE SAFETY AT THEIR COMMUNITY EVENTS.SJRMC-SOUTH BEND DID NOT DIRECTLY ADDRESS ACCESS/AFFORDABILITY OF MEDICATION DUE TO COMPETING PRIORITIES. THE NEED FOR AFFORDABLE MEDICATION IS ALREADY BEING ADDRESSED AT SISTER MAURA BRANNICK HEALTH CENTER, A LOW-COST HEALTH CLINIC IN ST. JOSEPH COUNTY OPERATED BY THE HOSPITAL. THIS CENTER PROVIDES PRIMARY HEALTH CARE SERVICES AND MEDICATIONS TO INDIVIDUALS WHO ARE UNINSURED OR UNDERINSURED AND WHO FALL BELOW 200% OF THE FEDERALLY DESIGNATED POVERTY LEVEL. THIS HEALTH CENTER ADDRESSES PREVENTION OF DISEASE AND ILLNESS AND FOCUSES ON THE OVERALL HEALTH AND WELL-BEING OF EACH PATIENT. IN ADDITION TO PRIMARY AND PREVENTATIVE HEALTH CARE SERVICES, THE CLINIC OFFERS SPECIALTY CARE PROVIDED TO OUR PATIENTS BY VOLUNTEER PHYSICIANS. SJRMC-SOUTH BEND CAMPUS 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. SJRMC - SOUTH BEND - PART V, SECTION B, LINE 9: AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, THE HOSPITAL'S IMPLEMENTATION STRATEGY WAS ADOPTED WITHIN 4 1/2 MONTHS AFTER THE FISCAL YEAR END THAT THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE TO THE PUBLIC. FORM 990 PART V, SECTION B, LINE 7A - HOSPITAL FACILITY'S WEBSITE URL: WWW.SJMED.COM/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-2021 FORM 990 PART V, SECTION B, LINE 10 - HOSPITAL FACILITY'S WEBSITE URL: WWW.SJMED.COM/CHNA2020 1 1 - SPORTS MEDICINE INSTITUTE 611 E DOUGLAS RD SUITE 137 MISHAWAKA IN 46545 SPORTS MEDICINE CLINIC 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: SJRMC-SOUTH BEND PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT, WHICH IT SUBMITS TO THE STATE OF INDIANA. IN ADDITION, SJRMC-SOUTH BEND REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH (EIN 35-1443425) IN ITS AUDITED FINANCIAL STATEMENTS, AVAILABLE AT WWW.TRINITY-HEALTH.ORG.IN ADDITION, SJRMC-SOUTH BEND INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. PART I, LINE 7: THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM. PART I, LN 7 COL(F): THE FOLLOWING NUMBER, $21,411,995, 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 II, COMMUNITY BUILDING ACTIVITIES: OVER THE COURSE OF THE PAST YEAR, KEY CONTRIBUTIONS BY SJRMC-SOUTH BEND FOR COMMUNITY BUILDING RELATED ACTIVITIES INCLUDED CASH AND IN-KIND CONTRIBUTIONS AND COALITION BUILDING. MANY OF THE COMMUNITY BUILDING PROGRAMS AND ORGANIZATIONS THAT SJRMC-SOUTH BEND SUPPORTED PROVIDE ASSISTANCE TO LOW-INCOME OR VULNERABLE POPULATIONS AND/OR OFFER EDUCATION TO MEMBERS OF THE COMMUNITY WHO HELP THOSE POPULATIONS.CASH AND IN-KIND DONATIONS WERE MADE IN SUPPORT OF THE FOLLOWING AREAS: COMMUNITY SUPPORT TO THE STUDEBAKER NATIONAL MUSEUM, WHICH IS DEVOTED TO SHARING THE STORY OF THE AUTOMOTIVE AND INDUSTRIAL HISTORY OF SOUTH BEND AND THE GREATER REGION THROUGH EDUCATION, PRESERVATION, AND INTERPRETATION OF DESIGN AND INNOVATION; ECONOMIC DEVELOPMENT TO THE SOUTH BEND CHAMBER OF COMMERCE, WHICH PROMOTES BUSINESS GROWTH THROUGH RELATIONSHIPS, ADVOCACY AND ACCESS TO RESOURCES; LEADERSHIP DEVELOPMENT TO THE SOUTH BEND HERITAGE FOUNDATION, WHICH IS COMMITTED TO THE STABILIZATION AND ENHANCEMENT OF NEIGHBORHOODS IN OUR UNDERSERVED POPULATIONS AND RAISING MINORITY VOICE THROUGH OUTREACH AND AWARENESS ACTIVITIES; PHYSICAL IMPROVEMENT FOR THE UNDERSERVED TO REBUILDING TOGETHER, WHICH HELPS PEOPLE WHO CANNOT OTHERWISE AFFORD IT TO REPAIR AND MODIFY THEIR HOMES TO MAKE THEM SAFER AND HEALTHIER; AND WORKFORCE DEVELOPMENT TO ST. VINCENT DE PAUL, WHICH SUPPORTS PROGRAMS INTENDED TO RELIEVE EMERGENCIES, TO PROVIDE SUPPORT, AND TO ENCOURAGE SELF-SUFFICIENCY TO THE POOR AND UNDERSERVED IN ST. JOSEPH COUNTY. COALITION BUILDING WAS ACHIEVED THROUGH STAFF HOURS DEVOTED TO SERVICE ON THE FOLLOWING BOARDS: ST. MARGARET'S HOUSE, WHICH IMPROVES THE LIVES OF WOMEN AND CHILDREN BY ADDRESSING THEIR IMMEDIATE NEEDS; RIVER BEND CANCER SERVICES, WHICH IMPROVES THE QUALITY OF LIFE OF CANCER SURVIVORS AND THEIR FAMILIES IN OUR COMMUNITY THROUGH ADVOCACY, SUPPORT AND INNOVATIVE EDUCATIONAL PROGRAMS; ASSOCIATION FUNDRAISING PROFESSIONALS - MICHIANA CHAPTER, WHICH IMPROVES THE ECONOMIC DEVELOPMENT OF NONPROFIT FUNDRAISERS IN THE MICHIANA AREA THROUGH PROFESSIONAL DEVELOPMENT RESOURCES AND NETWORKING OPPORTUNITIES; OAKLAWN PSYCHIATRIC CENTER, THE LEADING PROVIDER OF MENTAL HEALTH AND ADDICTION SERVICES IN ELKHART AND ST. JOSEPH COUNTIES; CASIE CENTER (CHILD ABUSE SERVICES, INVESTIGATION AND EDUCATION), A CHILD ADVOCACY CENTER SERVING THE NEEDS OF CHILDREN AND FAMILIES IN ST. JOSEPH COUNTY, INDIANA; THE MEDICAL EDUCATION FOUNDATION AT IUSB, WHICH PROVIDES HIGH-QUALITY MEDICAL EDUCATION COMBINING THE TALENTS OF IU AND THE UNIVERSITY OF NOTRE DAME BY SPONSORING COLLABORATIVE RESEARCH IN CANCER, BIOENGINEERING AND INFECTIOUS DISEASE THAT IMPACTS THE QUALITY OF MEDICAL CARE AND SUPPORTS ECONOMIC DEVELOPMENT IN THE NEIGHBORING REGIONAL COMMUNITY; THE ST. JOSEPH COUNTY CHAMBER OF COMMERCE, WHICH OFFERS INFLUENCE, LEADERSHIP, ADVOCACY, PROGRAMS, RESOURCES AND EVENTS, ALL AIMED AT CREATING A PRO-BUSINESS CLIMATE; INDIANA HOSPITAL ASSOCIATION, WHICH PROVIDES INDIANA HOSPITALS WITH LEADERSHIP, REPRESENTATION, AND SUPPORT TO IMPROVE THE HEALTH OF INDIANA CITIZENS; PHM EDUCATION FOUNDATION, WHICH IS DEDICATED TO SUPPORTING OUR TEACHERS AND STUDENTS THROUGH INNOVATIVE CLASSROOM GRANTS AND HOSTING SEVERAL COVID-19 VACCINE CLINICS FOR STUDENTS IN GRADES K-12 IN OUR COMMUNITY; THE HEALTH IMPROVEMENT ALLIANCE, WHICH WORKS TO IMPROVE THE OVERALL HEALTH AND WELL-BEING OF OUR COMMUNITY BY FACILITATING PARTNERSHIPS, GROWING OPPORTUNITIES, AND CREATING A STRONG PUBLIC HEALTH INFRASTRUCTURE AND WORKFORCE; AND THE ROBINSON COMMUNITY LEARNING CENTER, WHICH STRENGTHENS THE NORTHEAST NEIGHBORHOOD OF SOUTH BEND THROUGH RELATIONSHIP BUILDING AND EDUCATIONAL OPPORTUNITIES. 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: SJRMC-SOUTH BEND 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, SJRMC-SOUTH BEND IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, SJRMC-SOUTH BEND IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL. PART III, LINE 4: SJRMC-SOUTH BEND IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE PATIENT ACCOUNTS RECEIVABLE, ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS FOOTNOTE FROM PAGE 13 OF THOSE STATEMENTS: "AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME IS TREATED AS A RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS FOR WHICH THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYERS FOR RETROACTIVE ADJUSTMENTS, ARE RECEIVABLES IF THE RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. FOR PATIENT ACCOUNTS RECEIVABLE, THE ESTIMATED UNCOLLECTABLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT SERVICE REVENUE AND ACCOUNTS RECEIVABLE.THE CORPORATION HAS AGREEMENTS WITH THIRD-PARTY PAYERS THAT PROVIDE FOR PAYMENTS TO THE CORPORATION'S HEALTH MINISTRIES AT AMOUNTS DIFFERENT FROM ESTABLISHED RATES. ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYERS AND OTHER CHANGES IN ESTIMATES ARE INCLUDED IN NET PATIENT SERVICE REVENUE AND ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS, AS FINAL SETTLEMENTS ARE DETERMINED."PART III, LINE 5:TOTAL MEDICARE REVENUE REPORTED IN PART III, LINE 5 HAS BEEN REDUCED BY THE ONE PERCENT SEQUESTRATION REDUCTION FOR THE PERIOD APRIL 1, 2022 THROUGH JUNE 30, 2022. PART III, LINE 8: SJRMC-SOUTH BEND DOES NOT BELIEVE ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS IS SIMILAR TO CHA 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 - SJRMC-SOUTH BEND ASSESSES THE HEALTH STATUS OF ITS COMMUNITY, IN PARTNERSHIP WITH COMMUNITY COALITIONS, AS PART OF THE NORMAL COURSE OF OPERATIONS AND IN THE CONTINUOUS EFFORTS TO IMPROVE PATIENT CARE AND THE HEALTH OF THE OVERALL COMMUNITY. TO ASSESS THE HEALTH OF THE COMMUNITY, THE HOSPITAL MAY USE PATIENT DATA, PUBLIC HEALTH DATA, ANNUAL COUNTY HEALTH RANKINGS, MARKET STUDIES, AND GEOGRAPHICAL MAPS SHOWING AREAS OF HIGH UTILIZATION FOR EMERGENCY SERVICES AND INPATIENT CARE, WHICH MAY INDICATE POPULATIONS OF INDIVIDUALS WHO DO NOT HAVE ACCESS TO PREVENTATIVE SERVICES OR ARE UNINSURED. TO INVESTIGATE NEW HEALTH TRENDS, QUESTIONS REGARDING COVID-19 WERE ADDED TO THE ASSESSMENT CONDUCTED IN FY21 TO GAUGE THE PANDEMIC'S IMPACT ON COMMUNITY MEMBERS. DATA GATHERED ON THIS TOPIC ALSO GUIDED SJRMC-SOUTH BEND AS IT BEGAN VACCINATING THE COMMUNITY AND ENGAGING IN VACCINATION CAMPAIGNS AND EDUCATION. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - SJRMC-SOUTH BEND 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. SJRMC-SOUTH BEND OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH PATIENT BROCHURES, MESSAGES ON PATIENT BILLS, POSTED NOTICES IN PUBLIC REGISTRATION AREAS INCLUDING EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES. SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE TO APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST PEOPLE IN NEED. INFORMATION REGARDING FINANCIAL ASSISTANCE PROGRAMS IS ALSO AVAILABLE ON HOSPITAL WEBSITES. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN OTHER LANGUAGES AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R), REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITAL. SJRMC-SOUTH BEND HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. SJRMC-SOUTH BEND 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 - SJRMC-SOUTH BEND SERVES APPROXIMATELY 903,000 PEOPLE IN A DIVERSE NINE-COUNTY HEALTH SYSTEM MARKET AREA IN INDIANA AND MICHIGAN AT TWO HOSPITAL CAMPUSES, ONE IN MISHAWAKA AND ONE IN PLYMOUTH. THE PRIMARY SERVICE AREA INCLUDES ST. JOSEPH, MARSHALL, AND ELKHART COUNTIES IN INDIANA, WHILE THE SECONDARY SERVICE AREA ENCOMPASSES FULTON, LA PORTE, PULASKI, AND STARKE COUNTIES IN INDIANA, AS WELL AS BERRIEN AND CASS COUNTIES IN MICHIGAN.THE SERVICE AREA INCLUDES SEVERAL MEDICALLY UNDERSERVED AREAS (MUA) AND MEDICALLY UNDERSERVED POPULATIONS (MUP). IN INDIANA, THESE INCLUDE PORTIONS OF ELKHART, LAPORTE, AND ST. JOSEPH COUNTIES. IN MICHIGAN, THEY INCLUDE PORTIONS OF BERRIEN, CASS, AND ST. JOSEPH COUNTIES.OTHER COMMUNITY HOSPITALS IN THE PRIMARY SERVICE AREA INCLUDE MEMORIAL HOSPITAL OF SOUTH BEND, ELKHART GENERAL HOSPITAL, AND GOSHEN HOSPITAL TO THE EAST, IN ELKHART COUNTY. HOSPITALS LOCATED IN THE SECONDARY SERVICE AREA INCLUDE NORTHWEST HEALTH LA PORTE HOSPITAL AND SAINT ANTHONY'S HOSPITAL TO THE WEST IN LA PORTE COUNTY, AND TO THE SOUTH, NORTHWEST HEALTH IN STARKE COUNTY AS WELL AS THREE CRITICAL ACCESS HOSPITALS (COMMUNITY HOSPITAL OF BREMEN, PULASKI MEMORIAL IN WINAMAC, AND WOODLAWN HOSPITAL IN ROCHESTER) AT WHICH PRIMARY CARE PROFESSIONALS WITH PRESCRIPTIVE PRIVILEGES FURNISH OUTPATIENT PRIMARY CARE SERVICES.COUNTIES ARE GENERALLY SUBURBAN OR RURAL IN NATURE, WITH THE EXCEPTION OF URBAN CITY-CENTERS IN ELKHART AND SOUTH BEND, THE FOURTH LARGEST CITY IN INDIANA. THE REGION OFFERS DIVERSITY, A STABLE ECONOMY, AND A FAMILY-FRIENDLY ENVIRONMENT, ALL WITHIN CLOSE PROXIMITY TO CHICAGO. AS IN MOST MIDWESTERN COMMUNITIES, THE SERVICE AREA POPULATION IS LARGELY MADE UP OF WHITE NON-HISPANIC INDIVIDUALS OF NORTHERN EUROPEAN DESCENT. MANY OF ST. JOSEPH COUNTY'S POPULATION DEMOGRAPHICS MIRROR THE DEMOGRAPHICS OF INDIANA. OVERALL, ST. JOSEPH COUNTY IS SLIGHTLY YOUNGER FROM THE PERSPECTIVE OF MEDIAN AGE AND OVERALL POPULATION. ST. JOSEPH COUNTY IS ALSO HOME TO A SLIGHTLY MORE DIVERSE POPULATION THAN THE STATE AS A WHOLE, AS IT HAS HIGHER PERCENTAGES OF AFRICAN AMERICAN RESIDENTS, 13% VERSUS 9% STATE-WIDE, AND HISPANIC RESIDENTS, 9% VERSUS 8% STATE-WIDE. THE TOTAL POPULATION FOR THE SYSTEM SERVICE AREA IS EXPECTED TO GROW 1% THROUGH 2025. COMPARED TO THE STATE OF INDIANA, THERE IS A LOWER PROJECTED POPULATION GROWTH, A HIGHER MEDIAN AGE, AND A LOWER PERCENTAGE OF PEOPLE WITH A BACHELOR'S DEGREE OR HIGHER. THE POPULATION AGED 65 AND OLDER IS EXPECTED TO GROW TO FROM 18% TO 19.6% OVER THE NEXT FIVE YEARS. OUR REGION INCLUDES A VARIETY OF QUALITY EDUCATION OPPORTUNITIES, INCLUDING BOTH PUBLIC AND PRIVATE SCHOOLS FROM PRESCHOOL THROUGH HIGH SCHOOL. THOSE PURSUING A HIGHER LEVEL OF EDUCATION HAVE SEVERAL OPTIONS, INCLUDING THE UNIVERSITY OF NOTRE DAME, INDIANA UNIVERSITY AT SOUTH BEND, ST. MARY'S COLLEGE, HOLY CROSS COLLEGE, ANCILLA COLLEGE, BETHEL COLLEGE, INDIANA TECH, AND IVY TECH STATE COLLEGE. APPROXIMATELY 20% OF THE POPULATION WITHIN THE SYSTEM'S SERVICE AREA EARNS AN ANNUAL SALARY OF $25,000 OR BELOW. HOUSEHOLD INCOME IS FAIRLY STABLE ACROSS THE PRIMARY SERVICE AREA, WITH AREAS OF HIGHEST AFFLUENCE IN THE GRANGER ZIP CODE AND PORTIONS OF ELKHART COUNTY. THE MEDIAN HOUSEHOLD INCOME IS $60,705 FOR ST. JOSEPH COUNTY AND $59,672 FOR MARSHALL COUNTY. THIS IS BELOW THE MEDIAN FOR INDIANA, ILLINOIS, MICHIGAN AND OHIO, AS WELL AS FOR THE U.S. IN THE STATE OF INDIANA, ACCORDING TO THE U.S. CENSUS BUREAU'S SMALL AREA INCOME AND POVERTY ESTIMATES (SAIPE), 12% OF FAMILIES LIVED IN POVERTY IN 2018. THIS IS DOWN FROM 14% IN 2016, AND 15% IN 2013. SJHS SERVES A LARGE MEDICAID POPULATION ACROSS MANY DELIVERY SITES, MOST OF WHOM ARE LOCATED IN ST. JOSEPH COUNTY. THE INPATIENT MEDICAID POPULATION SERVED BY MISHAWAKA MEDICAL CENTER EQUALS 14% OF THE HOSPITAL'S TOTAL OVERALL. [U.S. CENSUS BUREAU, SMALL AREA INCOME AND POVERTY ESTIMATES (SAIPE) PROGRAM, DECEMBER 2018]ESTIMATES OF UNINSURED INDIVIDUALS ARE 10.3% IN ST. JOSEPH COUNTY AND 12.7% IN MARSHALL COUNTY, TOTALING AROUND 27,268 INDIVIDUALS COMBINED. THIS IS COMPARED TO AN INDIANA RATE OF 9.7%. [U.S. CENSUS BUREAU/SMALL AREA HEALTH INSURANCE (SAHIE) PROGRAM/MARCH 2018] AS OF DECEMBER 2020, THE UNEMPLOYMENT RATE WAS 5% IN ST. JOSEPH COUNTY, WHICH WAS SLIGHTLY HIGHER THAN THE INDIANA RATE OF 4%, BUT LOWER THAN THE NATIONAL AVERAGE OF 6.5%. EDUCATION, HEALTH CARE, AND GOVERNMENT ARE THE MAJOR EMPLOYERS IN THIS LOCAL ECONOMY. IN MARSHALL COUNTY, THE UNEMPLOYMENT RATE WAS 3.4%, WHICH WAS SLIGHTLY LOWER THAN THE INDIANA RATE AND LOWER THAN THE NATIONAL AVERAGE. HEALTH CARE, MANUFACTURING, SERVICE AND FARMING ARE THE MAJOR EMPLOYERS IN THE LOCAL ECONOMY. PART VI, LINE 5: OTHER INFORMATION - SJRMC-SOUTH BEND EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS. BY DOING SO, IT ENSURES THAT HIGH QUALITY AND EASILY ACCESSIBLE CARE IS AVAILABLE IN A VARIETY OF PRIMARY AND SPECIALTY CARE AREAS.SJRMC-SOUTH BEND PRIDES ITSELF ON HAVING A NEW, STATE-OF-THE-ART MEDICAL CENTER THAT UTILIZES THE LATEST TECHNOLOGY, ELECTRONIC MEDICAL RECORDS, FULLY INTEGRATED MEDICAL TEAMS AND HIGHLY TRAINED STAFF TO PROVIDE CARE THAT IS SECOND TO NONE. RESIDENCY PROGRAMS IN FAMILY PRACTICE, PODIATRY, AND PHARMACY, AS WELL AS CLINICAL EDUCATION FOR NURSES AND ANCILLARY STAFF, PROVIDE ONGOING EDUCATION AND A "LABORATORY FOR LEARNING." SEVERAL NURSING SCHOOLS UTILIZE SJRMC-SOUTH BEND FOR THE CLINICAL COMPONENT OF THEIR NURSING EDUCATION. PARTICIPATING IN BOTH AN INTERNAL AND EXTERNAL "INTERNAL REVIEW BOARD", SJRMC-SOUTH BEND KEEPS PACE WITH THE EVER-GROWING COMPLEXITY OF HEALTH CARE AND PROVIDES LEADERSHIP IN AREAS SPECIFIC TO THE NEEDS OF ITS PATIENTS.SJRMC-SOUTH BEND IS A CERTIFIED "BABY-FRIENDLY" HOSPITAL. BABY-FRIENDLY HOSPITALS ARE HOSPITALS THAT ARE RECOGNIZED FOR ENCOURAGING BREASTFEEDING AND MOTHER/BABY BONDING, WHICH IS KNOWN TO PROVIDE HEALTH BENEFITS FOR INFANTS, CHILDREN, AND MOTHERS. SJRMC-SOUTH BEND PARTICIPATES IN MEDICARE, MEDICAID, TRICARE AND OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. THE HOSPITAL ALSO OFFERS CHARITY CARE AND CARE ON A SLIDING FEE SCALE. IN KEEPING WITH ITS MISSION STATEMENT AND VALUES, SJRMC-PLYMOUTH ASSURES UNINSURED PATIENTS RECEIVE THE SAME HIGH-QUALITY MEDICAL CARE AS THOSE WHO ARE INSURED. FINANCIAL ASSISTANCE IS PROVIDED TO ALL WHO ARE ELIGIBLE TO RECEIVE IT. POLICIES GOVERNING SUCH ASSISTANCE ARE READILY AVAILABLE FOR STAFF AND PATIENTS ALIKE. SJRMC-SOUTH BEND SPONSORS MULTIPLE SAFETY NET CLINICS THAT PROVIDE CARE FOR UNINSURED AND UNDERINSURED INDIVIDUALS. STAFFED PRIMARILY BY A MID-LEVEL PRACTITIONER IN A COLLABORATIVE AGREEMENT WITH LOCAL DOCTORS, THESE CLINICS SEE A HIGHLY DIVERSE POPULATION AND OFFER SPECIALIZED CARE FOR CHRONIC DISEASE MANAGEMENT, COUMADIN MANAGEMENT, SMOKING CESSATION, HIV/AIDS, AND SUBSTANCE ABUSE. ADVOCACY FOR VARIOUS HEALTH-RELATED ISSUES IS AT THE FOREFRONT AT SJRMC-SOUTH BEND, INCLUDING EFFORTS RELATED TO OBTAINING HEALTH CARE FOR ALL, ELIMINATING THE HEALTH CARE DISPARITIES AMONG DIVERSE POPULATIONS, AND OBTAINING AFFORDABLE PHARMACEUTICALS. SJRMC-SOUTH BEND CONTINUES TO BE A LEADER IN FOUNDING AND FUNDING PROGRAMS THAT IMPACT THE HEALTH OF ITS COMMUNITIES, SUCH AS PROVIDING LOCAL SCHOOLS WITH ATHLETIC TRAINERS. AS A FAITH-BASED HEALTH INSTITUTION, SJRMC-SOUTH BEND OFFERS PATIENTS, THEIR FAMILIES, AND THE BROADER COMMUNITY THE OPPORTUNITY TO ADDRESS THE SPIRITUAL NEEDS THAT ARISE AS ONE EXPERIENCES ILLNESS, CHRONIC HEALTH CONDITIONS, OR THE DYING PROCESS. THIS EXPERIENCE OF FAITH, THE PRESENCE OF A REFLECTION/PRAYER ROOM, AND ACCESS TO CHAPLAIN SERVICES AFFORD EVERYONE THE CERTITUDE THAT THE WHOLE PERSON AND HIS/HER CARE ARE ADDRESSED. SJRMC-SOUTH BEND AND SJRMC-PLYMOUTH ARE THE LEAD AGENCIES FOR LOCAL TOBACCO CONTROL IN OUR COUNTIES. IN ST. JOSEPH COUNTY, THE SMOKE FREE ST. JOE COALITION IS COMPRISED OF A VARIETY OF PROFESSIONALS AND COMMUNITY MEMBERS. WE HAVE REPRESENTATION FROM THE AFRICAN AMERICAN, LATINO AND CAUCASIAN COMMUNITIES. OUR FORMAL POSITIONS INCLUDE THE FOLLOWING: CO-CHAIR (BRADLEY LARGENT, BOWEN CENTER), CO-CHAIR (ANGELA CAVALIERI, HARPER CANCER RESEARCH INSTITUTE) AND SECRETARY (HEATHER GOULD, HEALTHLINC). OUR CHAIR REVIEWS MEETING AGENDAS PREPARED BY PROGRAM COORDINATORS AND LEADS COALITION MEETINGS. THE AGENDAS ARE REFLECTIVE OF THE PARTICULAR ISSUES THAT REQUIRE ADDRESSING BY THE COALITION. OUR VICE-CHAIR FULFILLS THE DUTIES OF THE CHAIR IN THEIR ABSENCE. OUR SECRETARY PREPARES MINUTES TO BE DISTRIBUTED TO THE COALITION. OUR PROGRAM COORDINATOR TAKES THE LEAD ON SOCIAL MEDIA POSTS AND PROVIDES MEETING NOTIFICATIONS WITH THE AGENDA TO COALITION PARTNERS AND SUPPORTERS. ALL MEMBERS OF THE STEERING COMMITTEE PROVIDE INPUT FOR AGENDA ITEMS AND COALITION MEETINGS. WE CURRENTLY HAVE 193 COALITION PARTNERS; HOWEVER, ONLY 10-15 CONSISTENTLY ATTEND MEETINGS. DUE TO COVID-19 AND RESTRICTIONS WITH IN-PERSON MEETINGS, WE HAVE HAD 18-20 ACTIVE PARTICIPANTS ATTEND VIRTUALLY. WE GATHERED INPUT AND SUPPORT FROM OTHER PARTNERS NOT ABLE TO ATTEND THE MEETINGS. WE ALSO HAVE 1,807 COMMUNITY SUPPORTERS IN OUR "IT'S ONLY FAIR!" SMOKE FREE ST. JOE POLICY SUPPORTERS EMAIL DATABASE/DISTRIBUTION LIST. SMOKE FREE ST. JOE COALITION MEETINGS ARE HELD EVERY MONTH FOR ONE HOUR AND INCLUDE AN EDUCATIONAL COMPONENT PERTAINING TO COALITION NEEDS AND INPUT FROM COALITION PARTNERS. ADVOCACY EFFORTS FOR FY22 CONTINUED TO INCLUDE SMOKE-FREE WORKPLACES, TOBACCO-FREE SCHOOLS, AND TOBACCO/VAPING EDUCATION AND CESSATION, ESPECIALLY AMONG THE YOUTH POPULATION.SCREENING FOR SOCIAL INFLUENCERS OF HEALTH (SIOHS) FOR ALL SJRMC-SOUTH BEND PATIENTS OCCURS ANNUALLY DURING A REGULAR ROUTINE OFFICE VISIT. THE SIOH HAS BEEN EMBEDDED INTO OUR ELECTRONIC HEALTH RECORD, AND IF A PATIENT HAS MYCHART, QUESTIONS ARE PUSHED OUT TO THEM PRIOR TO AN OFFICE VISIT. FINDHELP.ORG IS LINKED WITH OUR ELECTRONIC HEALTH RECORD. IF RESOURCES WERE INDICATED AS BEING NEEDED, THEY WERE MADE AVAILABLE TO THE PATIENT THROUGH THE END OF VISIT SUMMARY PROVIDED. CLINICAL STAFF ALSO HAVE THE ABILITY TO REFER PATIENTS TO OUR COMMUNITY HEALTH WORKER PROGRAM. SJRMC-SOUTH BEND HAS ESTABLISHED RELATIONSHIPS WITH THE AGENCY ON AGING CENTER AND FOOD BANKS TO HELP ASSIST WITH NEEDS. IN ADDITION TO WORKING WITH PATIENTS OF SJRMC-SOUTH BEND, OUR COMMUNITY HEALTH WORKERS RECEIVE AND RESPOND TO REFERRALS FROM COMMUNITY PARTNERS TO HELP ADDRESS THE SIOH NEEDS FACED IN OUR SERVICE AREA.SJRMC-SOUTH BEND CONTINUED RESPONDING TO THE COVID-19 PANDEMIC THROUGH OUR COVID-19 HOTLINE TO PROVIDE COVID-19 RELATED INFORMATION AND RESOURCES TO LOCAL RESIDENTS. BY CALLING THE LINE, RESIDENTS COULD SCHEDULE COVID-19 TESTING AND VACCINATION SERVICES, ASK BASIC QUESTIONS REGARDING COVID-19, AND/OR INDICATE THEY NEEDED ASSISTANCE WITH SOCIAL NEEDS SUCH AS FOOD, TRANSPORTATION AND CLEANING SUPPLIES/MASKS, WHICH WOULD BE ADDRESSED BY OUR COMMUNITY HEALTH WORKERS. SJRMC-SOUTH BEND ALSO CONTINUED TO OPERATE FEVER AND UPPER RESPIRATORY INFECTION (FURI) CLINICS TO PROVIDE ADEQUATE TRIAGE AND TESTING AT THE MEDICAL PRACTICES.IT STARTS HERE: SAINT JOSEPH HEALTH SYSTEM'S "IT STARTS HERE" CAMPAIGN IS A COVID-19 VACCINE EDUCATION OUTREACH CAMPAIGN PRIMARILY FOCUSING ON COMMUNITIES OF COLOR AND VULNERABLE POPULATIONS AND WAS FUNDED BY TRINITY HEALTH. SAINT JOSEPH HEALTH SYSTEM PARTNERED WITH THE FOLLOWING LOCAL COMMUNITY-BASED ORGANIZATIONS-TO SERVE POPULATIONS WITH LOW COVID-19 VACCINATION RATES IN ST. JOSEPH AND ELKHART COUNTIES; LA CASA DE AMISTAD, THE ROBINSON COMMUNITY LEARNING CENTER, THE BOYS & GIRLS CLUB OF SAINT JOSEPH COUNTY, THE CENTER FOR THE HOMELESS, THE ELKHART EDUCATION FOUNDATION, HOPE MINISTRIES, PROJECT IMPACT, THE ELKHART EXCEL CENTER, YMCA, THE ST. JOSEPH COUNTY DEPARTMENT OF HEALTH-ACHIEVING BIRTH EQUITY CONFERENCE, THE SOUTH BEND CHAPTER INDIANA BLACK EXPO, INC., THE NEXUS CENTER, THE SOUTH BEND FIREFIGHTERS ASSOCIATION-FIREFIGHTERS BLUES FESTIVAL, SOUTH BEND CUBS, AND THE ST. JOSEPH COUNTY 4H FAIR ASSOCIATION. SJHS PROVIDED DOOR-TO-DOOR OUTREACH WITH RESOURCE BAGS CONTAINING COVID-19 EDUCATION, MASKS, HAND SANITIZER AND HEALTH EDUCATION IN NEIGHBORHOODS AND ZIP-CODES WITH A HIGH PERCENTAGE OF MINORITY RESIDENTS AND LOW SOCIOECONOMIC STATUS POPULATIONS, AND SJHS HOSTED COVID-19 VACCINE CLINICS WITH PREVIOUSLY LISTED COMMUNITY PARTNERS WHO SERVE THESE POPULATIONS. SJHS ALSO PARTNERED WITH FORCE 5 MEDIA TO CREATE PHYSICAL AND DIGITAL BILLBOARDS IN ST. JOSEPH AND ELKHART COUNTIES. PART VI, LINE 6: SJRMC-SOUTH BEND 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 IN 1 CULTIVATE 403 PRAIRIE AVE SOUTH BEND IN 46613 813306113 501(C)(3) 10500 0 COMMUNITY BENEFIT LOGAN COMMUNITY RESOURCES PO BOX 1049 SOUTH BEND IN 46624 350965639 501(C)(3) 20000 0 COMMUNITY BENEFIT PHM EDUCATION FOUNDATION 55900 BITTERSWEET RD MISHAWAKA IN 46545 351996785 501(C)(3) 10000 0 COMMUNITY BENEFIT CENTER FOR THE HOMELESS 813 S MICHIGAN ST SOUTH BEND IN 46601 351768544 501(C)(3) 49492 0 CONTRIBUTION IU SCHOOL OF MEDICINE PO BOX 7072 INDIANAPOLIS IN 46207 356001673 501(C)(3) 15000 0 SPONSORSHIP OF EVENT 5 0 PART I, LINE 2: DONATIONS MADE BY SJRMC-SOUTH BEND 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. 1 1 0 0 0 0 0 0 0 CHAD TOWNER DIRECTOR, PRES & CEO THROUGH 9/21 0 364311 0 165009 0 224508 0 610160 0 32476 0 1396464 0 109835 CRAIG MILLER MD DIRECTOR AS OF 4/22; PHYSICIAN 0 584731 0 0 0 1369 0 17400 0 33795 0 637295 0 0 CHRISTOPHER KARAM DIR; PRES SJRMC-SB; PRES SJRMC-PLY 0 355274 0 90450 0 63285 0 79638 0 35071 0 623718 0 53308 GENEVIEVE LANKOWICZ MD SJHS REGIONAL CHIEF MEDICAL OFFICER 0 364332 0 74540 0 2903 0 13050 0 37391 0 492216 0 0 JULIE WEST MD PHYSICIAN 0 405011 0 0 0 396 0 11809 0 31719 0 448935 0 0 JANICE DUNN FORMER OFFICER; CFO ST MARYS HEALTH 0 328777 0 66300 0 7653 0 13050 0 29931 0 445711 0 0 KEVIN HIGDON FORMER OFFICER 0 52882 0 31517 0 269612 0 63206 0 25398 0 442615 0 0 ERIC RINDLISBACHER DPM PODIATRY RESIDENCY ASSOCIATE 0 359821 0 0 0 342 0 13050 0 29173 0 402386 0 0 JASON GROVE DPM PODIATRY PROGRAM DIRECTOR 0 318404 0 0 0 41629 0 11310 0 27862 0 399205 0 0 PAULA TOTH-RUSSELL MD DIRECTOR; PHYSICIAN SJHS 0 335430 0 0 0 1416 0 21750 0 29509 0 388105 0 0 MUHAMMAD ANSARI MD PHYSICIAN 0 336365 0 0 0 354 0 13050 0 29531 0 379300 0 0 CHRISTOPHER JORDAN MD SPORTS MEDICINE DIRECTOR 0 305879 0 16000 0 282 0 13050 0 34087 0 369298 0 0 ROBERT SINK TREASURER AS OF 4/22; CFO SJHS 0 251727 0 36162 0 2744 0 21750 0 21783 0 334166 0 0 JASON SCHULTZ SEC THR 4/22;VP STRATEGY & BUS DEV 0 240698 0 48000 0 617 0 13047 0 11835 0 314197 0 0 JEFFREY MATHIS SECRETARY AT 4/22; SJHS GENL COUNSEL 0 225536 0 23001 0 330 0 7655 0 26143 0 282665 0 0 DOUGLAS STRONG INTERIM CEO SJHS 9/21 TO 3/22 0 159067 0 0 0 11770 0 2386 0 4002 0 177225 0 0 PART I, LINE 3 SJRMC-SOUTH BEND IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. SJRMC-SOUTH BEND'S PRESIDENT IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF SJRMC-SOUTH BEND'S PRESIDENT: - 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, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2021. THESE AMOUNT ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: KEVIN HIGDON - $254,570 CHAD TOWNER - $99,735 IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNTS, WHICH WERE UNPAID AS OF 12/31/2021: CHAD TOWNER - $607,476 ($471,474 PAID IN 2022 AND $136,002 TO BE PAID IN 2023) KEVIN HIGDON - $61,824 (PAID IN 2022) 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: CHRISTOPHER KARAM - $53,308 CHAD TOWNER - $109,835 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING ACCRUAL FOR 2021 IS INCLUDED IN COLUMN C OF SCHEDULE J, PART II: CHRISTOPHER KARAM - $57,888 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: JANICE DUNN - $1,433 KEVIN HIGDON - $942 GENEVIEVE LANKOWICZ, MD - $0 ROBERT SINK - $0 DOUGLAS STRONG - $6,087 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF SJRMC-SOUTH BEND IS SAINT JOSEPH REGIONAL MEDICAL CENTER. SEE LINE 7 FOR ADDITIONAL INFORMATION. FORM 990, PART VI, SECTION A, LINE 7A SAINT JOSEPH REGIONAL MEDICAL CENTER IS THE SOLE MEMBER OF SJRMC-SOUTH BEND. SAINT JOSEPH REGIONAL MEDICAL CENTER HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF SJRMC-SOUTH BEND. FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER, SAINT JOSEPH REGIONAL MEDICAL CENTER MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. SAINT JOSEPH REGIONAL MEDICAL CENTER MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, AND MODIFICATIONS TO GOVERNING DOCUMENTS. AS THE PARENT OF THE NATIONAL TRINITY HEALTH SYSTEM, CERTAIN POWERS ARE RESERVED TO TRINITY HEALTH CORPORATION. THESE INCLUDE THE AUTHORITY TO ADOPT OR MODIFY THE ORGANIZATION'S GOVERNING DOCUMENTS, TO APPROVE MAJOR CHANGES SUCH AS A MERGER OR DISSOLUTION, AND TO APPROVE SIGNIFICANT FINANCE MATTERS IN EXCESS OF CERTAIN LIMITS ESTABLISHED BY TRINITY HEALTH CORPORATION. FORM 990, PART VI, SECTION A, LINE 8B LINE 8B IS ANSWERED "NO" BECAUSE SJRMC-SOUTH BEND 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 SJRMC-SOUTH BEND IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY 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 SJRMC-SOUTH BEND 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 SJRMC-SOUTH BEND, 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 SJRMC-SOUTH BEND 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 SJRMC-SB ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO SJRMC-SOUTH BEND OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF SJRMC-SOUTH BEND 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 SJRMC-SOUTH BEND. 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 CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF SJRMC-SOUTH BEND IS ESTABLISHED AND PAID BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING CEO, PRESIDENT 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, PRESIDENT AND CFO OF SJRMC-SOUTH BEND 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 SJRMC-SOUTH BEND 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, SJRMC-SOUTH BEND INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON TRINITY HEALTH'S WEBSITE. SJRMC-SOUTH BEND'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G MEDICAL SPECIALIST FEES: PROGRAM SERVICE EXPENSES 4,663,774. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,663,774. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 17,658,657. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,658,657. RECRUITMENT: PROGRAM SERVICE EXPENSES 78,470. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 78,470. CONSULTING FEES: PROGRAM SERVICE EXPENSES 18,726. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,726. MISC. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,818,004. MANAGEMENT AND GENERAL EXPENSES 44,285. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,862,289. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 30,207,965. MANAGEMENT AND GENERAL EXPENSES 105,380. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,313,345. BILLING SERVICES: PROGRAM SERVICE EXPENSES 2,812. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,812. LAUNDRY AND LINEN SERVICES: PROGRAM SERVICE EXPENSES 1,082,428. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,082,428. FORM 990, PART XI, LINE 9: ASSET IMPAIRMENT 1,078,115. EQUITY TRANSFERS FROM AFFILIATES 7,195,000. FORM 990, PART I, DOING BUSINESS AS: ELM ROAD SLEEP DISORDER CENTER ELM ROAD OCCUPATIONAL HEALTH ELM ROAD OUTPATIENT THERAPY/INDUSTRIAL REHABILITATION HEALTHY FAMILY CENTER MIDWIFERY OF MICHIANA MOBILE MEDICAL UNIT SR. MAURA BRANNICK HEALTH CENTER SAINT JOSEPH REGIONAL MEDICAL CENTER SJRMC REHABILITATION INSTITUTE SAINT JOSEPH REGIONAL MEDICAL CENTER REHABILITATION INSTITUTE SAINT JOSEPH REHABILITATION INSTITUTE SAINT JOSEPH PODIATRIC RESIDENCY CLINIC FAMILY MEDICINE CENTER OF SJRMC SAINT JOSEPH REGIONAL MEDICAL CENTER SPORTS MEDICINE INSTITUTE SR. MAURA BRANNICK DENTAL CENTER FAMILY MEDICINE FACULTY PHYSICIANS OUR LADY OF THE ROSARY HEALTH CENTER PEDIATRIC SPECIALTY CLINIC SPORTS MEDICINE INSTITUTE SAINT JOSEPH HEALTH SYSTEM SLEEP DISORDER CENTER - MISHAWAKA SJHS IMAGING CENTER AT MIDWWEST CARDIOLOGY SAINT JOSEPH FOOT AND ANKLE CENTER SAINT JOSEPH HEALTH SYSTEM-MISHAWAKA MEDICAL CENTER MISHAWAKA MEDICAL CENTER SAINT JOSEPH HEALTH SYSTEM IMAGING AND REHABILITATION 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 1 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 (FKA ST AGNES CONTINUING CARE CENTER) 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 FOR AGING NONPROFIT HOUSING CORPORATION PO BOX 9184 FARMINGTON HILLS MI 48333 382719605 LONG TERM CARE MI 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES 1 MERCY SPECIALIST PHYSICIANS INC 114 WOODLAND STREET HARTFORD CT 06105 264033168 HEALTH CARE SERVICES MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC 1 MERCY SUBURBAN HOSPITAL 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE PA 19073 231396763 HEALTH CARE AND HOSPITAL SERVICES PA 501(C)(3) LINE 3 TRINITY HEALTH OF THE MID-ATLANTIC REGION 1 MOUNT CARMEL COLLEGE OF NURSING 3100 EASTON SQUARE PL STE 300 COLUMBUS OH 43219 311308555 COLLEGE OF NURSING OH 501(C)(3) LINE 2 MOUNT CARMEL HEALTH SYSTEM 1 MOUNT CARMEL HEALTH INSURANCE COMPANY 3100 EASTON SQUARE PL STE 300 COLUMBUS OH 43219 251912781 HEALTH INSURANCE OH 501(C)(4) N/A MOUNT CARMEL HEALTH SYSTEM 1 MOUNT CARMEL HEALTH PLAN OF CONNECTICUT INC 3100 EASTON SQUARE PL STE 300 COLUMBUS OH 43219 873948434 MEDICARE HMO CT 501(C)(4) N/A MOUNT CARMEL HEALTH PLAN INC 1 MOUNT CARMEL HEALTH PLAN OF IDAHO INC 3100 EASTON SQUARE PL STE 300 COLUMBUS OH 43219 831422704 MEDICARE HMO ID 501(C)(4) N/A MOUNT CARMEL HEALTH PLAN INC 1 MOUNT CARMEL HEALTH PLAN OF NEW YORK INC 3100 EASTON SQUARE PL STE 300 COLUMBUS OH 43219 833278543 MEDICARE HMO NY 501(C)(4) N/A MOUNT CARMEL HEALTH PLAN INC 1 MOUNT CARMEL HEALTH PLAN INC 3100 EASTON SQUARE PL STE 300 COLUMBUS OH 43219 311471229 MEDICARE HMO OH 501(C)(4) N/A MOUNT CARMEL HEALTH SYSTEM 1 MOUNT CARMEL HEALTH SYSTEM 3100 EASTON SQUARE PL STE 300 COLUMBUS OH 43219 311439334 HEALTH CARE AND HOSPITAL SERVICES OH 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 MOUNT CARMEL HEALTH SYSTEM FOUNDATION 3100 EASTON SQUARE PL STE 300 COLUMBUS OH 43219 311113966 FOUNDATION OH 501(C)(3) LINE 12A, I MOUNT CARMEL HEALTH SYSTEM 1 MOUNT SINAI HOSPITAL FOUNDATION INC 114 WOODLAND STREET HARTFORD CT 06105 222584082 FOUNDATION CT 501(C)(3) LINE 12C, III-FI N/A 0 MOUNT SINAI REHABILITATION HOSPITAL INC 114 WOODLAND STREET HARTFORD CT 06105 061422973 HEALTH CARE AND HOSPITAL SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 MOUNT ST JOSEPH 20555 VICTOR PARKWAY LIVONIA MI 48152 010274998 LONG TERM CARE ME 501(C)(3) LINE 3 MERCY COMMUNITY HEALTH INC 1 MUSKEGON COMMUNITY HEALTH PROJECT 565 W WESTERN AVENUE MUSKEGON MI 49440 911932918 COMMUNITY OUTREACH MI 501(C)(3) LINE 7 MERCY HEALTH PARTNERS 1 NAZARETH HOSPITAL 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE PA 19073 232794121 HEALTH CARE AND HOSPITAL SERVICES PA 501(C)(3) LINE 3 TRINITY HEALTH OF THE MID-ATLANTIC REGION 1 NAZARETH PHYSICIAN SERVICES INC 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE PA 19073 203261266 HEALTH CARE SERVICES PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK 1 NE PHYSICIAN SERVICES INC 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE PA 19073 232497355 HEALTH CARE SERVICES (INACTIVE) PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK 1 OAKLAND MERCY HOSPITAL 601 EAST 2ND STREET OAKLAND NE 68045 208072234 HEALTH CARE AND HOSPITAL SERVICES NE 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP 1 OAKLAND MERCY HOSPITAL FOUNDATION 601 E 2ND 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