2023-05-12T13:09:11-05:00 2022-06-30 990 2021-07-01 271789847 SAINT ALPHONSUS MEDICAL CENTER - ONTARIO INC SAIN 5418817000 351 SW 9TH STREET ONTARIO OR 979142639 B LANNIE CHECKETTS TREASURER 5418817000 2023-05-12 B LANNIE CHECKETTS 999009999 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z SEE SCHEDULE O DINA ELLWANGER 351 SW 9TH STREET ONTARIO OR 979142639 88505979 0 0928 X WWW.SAINTALPHONSUS.ORG X 2010 OR TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES 16 14 512 16 0 0 176068 3455576 77098961 80884490 3227858 2387468 1902038 1774537 82404925 88502071 37111 6169 0 0 28461274 32207398 0 0 0 43900125 49627285 72398510 81840852 10006415 6661219 100480171 101948943 31928790 33280290 68551381 68668653 X WE, SAINT ALPHONSUS HEALTH SYSTEM AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES. SAINT ALPHONSUS MEDICAL CENTER-ONTARIO IS A MEMBER OF SAINT ALPHONSUS HEALTH SYSTEM AND TRINITY HEALTH. 0 0 73163283 6169 81860298 SAINT ALPHONSUS MEDICAL CENTER-ONTARIO (SAMC-ONTARIO) IS A COMMUNITY HOSPITAL LOCATED IN ONTARIO, OREGON. SAMC-ONTARIO IS A 49-BED ACUTE CARE HOSPITAL SERVING ONTARIO, AS WELL AS EASTERN OREGON AND SOUTHWESTERN IDAHO. THE HOSPITAL OFFERS A FULL RANGE OF SERVICES IN AN INPATIENT AND OUTPATIENT SETTING AS WELL AS 24 HOUR EMERGENCY CARE, SURGICAL SERVICES, CANCER CARE, MATERNITY CARE, NEUROLOGY, ORTHOPEDICS AND CRITICAL CARE, AMONG MANY OTHER SERVICES. SAMC-ONTARIO OFFERS CONVENIENT ACCESS TO HEALTH CARE SERVICES WITH TWO SEPARATE CLINIC LOCATIONS. PLEASE SEE SCHEDULE H AND VISIT OUR WEBSITE FOR ADDITIONAL INFORMATION ABOUT SERVICES, RECOGNITIONS AND AWARDS: WWW.SAINTALPHONSUS.ORG/ONTARIO 73163283 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 1 0 1 107 0 1 512 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 OR X STEPHANIE PLISCHKE 2083674504 6301 EMERALD BOISE ID 83706 ODETTE BOLANO DIRECTOR; SAHS PRESIDENT AND CEO 1.00 54.00 X X 0 1031302 212396 JOHN FOOTE MD PHYSICIAN 50.00 0.00 X 1130982 0 24125 RICHARD DAVIS MD PHYSICIAN 50.00 0.00 X 798153 0 22691 B LANNIE CHECKETTS TREASURER; SAHS CFO 2.00 48.00 X 0 529306 63226 STEPHANIE WESTERMEIER SECRETARY; SAHS VP & MANAGING CNSL 2.00 48.00 X 0 486766 105022 PAMELA BRUCE MD PHYSICIAN 50.00 0.00 X 455326 0 41864 PATRICIA ENGEL MD PHYSICIAN 50.00 0.00 X 381096 0 46304 FRANK SPOKAS MD PHYSICIAN 50.00 0.00 X 347851 0 31258 DINA ELLWANGER DIRECTOR; PRESIDENT, EASTERN OREGON 28.00 27.00 X X 0 264619 45104 JEAN BASOM FORMER KE; REGIONAL DIR SUPPLY CHAIN 2.00 48.00 X 0 193815 35421 DANIEL PUGA DIRECTOR; CHAIR 1.00 4.00 X X 0 0 0 MICHAEL BALLANTYNE DIRECTOR 1.00 4.00 X 0 0 0 CHRISTOPHER BOUNDS DIRECTOR THROUGH 12/21 1.00 4.00 X 0 0 0 SUZANNE BRENNAN CSC DIRECTOR 1.00 6.00 X 0 0 0 MICHAEL COUGHLIN MD DIRECTOR AS OF 1/22 1.00 4.00 X 0 0 0 VICKEN GARABEDIAN MD DIRECTOR 1.00 4.00 X 0 0 0 GERALDINE HOYLER CSC DIRECTOR 1.00 4.00 X 0 0 0 KIRK JACOBSON DIRECTOR 1.00 4.00 X 0 0 0 MAUREEN KIM LYNCH MD DIRECTOR THROUGH 7/21 1.00 4.00 X 0 0 0 SUSAN MORRIS DIRECTOR 1.00 4.00 X 0 0 0 TONI NIELSEN DIRECTOR 1.00 4.00 X 0 0 0 ANABEL ORTIZ-CHAVOLLA DIRECTOR 1.00 4.00 X 0 0 0 ADAM RICHINS DIRECTOR AS OF 1/22 1.00 4.00 X 0 0 0 LAURA ALVAREZ SCHRAG DIRECTOR 1.00 4.00 X 0 0 0 ANGELA TAYLOR DIRECTOR AS OF 1/22 1.00 4.00 X 0 0 0 MARIE GUADALUPE WISSEL DIRECTOR 1.00 4.00 X 0 0 0 3113408 2505808 627411 35 1 1 0 REHABILITATION MGMT ASSOCIATES INC 901 N CURTIS RD STE 204 BOISE ID 83706 REHABILITATION SERVICES 2215356 CEP AMERICA LLC 2100 POWELL ST SUITE 400 EMERYVILLE CA 94608 HEALTH CARE SERVICES 1174242 APOGEE MEDICAL MANAGEMENT 15059 N SCOTTSDALE RD STE 600 SCOTTSDALE AZ 85254 HEALTH CARE SERVICES 1162564 HALLMARK HEALTH CARE SOLUTIONS INC 5005 W OVERLAND RD BOISE ID 83708 INFORMATION TECHNOLOGY SERVICES 687107 APEX INTEGRATED SECURITY SOLUTIONS 187 E 50TH ST BOISE ID 83714 CONSTRUCTION SERVICES 238735 13 184393 3271183 3455576 NET PATIENT SERVICE REVENUE 622110 80884490 80884490 80884490 1663337 1663337 357296 0 357296 357296 357296 728039 0 3908 728039 -3908 724131 724131 OTHER RELATED REVENUE 900099 975808 975808 CAFETERIA REVENUE 722514 226897 226897 PHARMACY REVENUE 446110 214536 214536 1417241 88502071 81860298 0 3186197 X 5049 5049 1120 1120 309723 309723 61968 61968 26841322 26273587 567735 951220 937710 13510 2294760 2252275 42485 1748405 1712448 35957 743 743 88389 88389 10218246 10104308 113938 109141 28846 80295 773524 592298 181226 3035978 2441338 594640 1558944 1291365 267579 56917 55140 1777 14898 14108 790 766642 766642 4282436 3783355 499081 322629 138340 184289 MEDICAL SUPPLIES 11619017 11619017 I/C PURCHASED SERVICES 8284278 2656389 5627889 HOSPITAL PROVIDER TAX 3954937 3954937 BAD DEBT 3193330 3193330 1347236 1279713 67523 81840852 73163283 8677569 0 1529265 120634 10854400 11775121 17816 14689 1700773 1884420 71793 37362 66626432 31142851 36667683 35483581 28507317 29777394 15350094 19851597 5781030 3004145 100480171 101948943 9059101 9087082 149461 676759 606198 22043469 23587010 31928790 33280290 X 68551381 68668653 68551381 68668653 100480171 101948943 X 6661219 -6515883 -28064 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 7904 0 0 0 7904 0 PART II-B, LINE 1: SAINT ALPHONSUS MEDICAL CENTER-ONTARIO (SAMC-ONTARIO) 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 SAMC-ONTARIO WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. 1096460 1096460 41873268 15443807 26429461 22995908 15699044 7296864 660796 660796 35483581 COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES 4962899 F EQUITY METHOD INVESTMENTS 12407248 C HEDGE FUNDS 2481450 F 19851597 ASSET RETIREMENT OBLIGATION(FIN 47) 374583 INTERCOMPANY ACCOUNTS PAYABLE 4254564 INTERCOMPANY NOTES PAYABLE 18805098 OPERATING LEASE LIABILITIES 152765 23587010 1 1 X 1 X 1 X 1 1 1 0 1 1 1197750 1197750 0.01520 22840184 18324889 4515295 0.05740 24037934 18324889 5713045 0.07260 8 1426 244373 26477 217896 0.00280 2 70 92874 92874 0.00120 5 28 15400 15400 0.00020 15 1524 352647 26477 326170 0.00420 15 1524 24390581 18351366 6039215 0.07680 1 2 406 406 0.00000 1 2 406 406 0.00000 0 3193330 0 14238175 15647050 -1408875 X 1 1 1 1 ST ALPHONSUS MEDICAL CENTER-ONTARIO 351 SW 9TH ST ONTARIO OR 97914 WWW.SAINTALPHONSUS.ORG/ONTARIO LICENSE 14-1470 X X X ST ALPHONSUS MEDICAL CENTER-ONTARIO 1 0 0 1 X X X X X X X X X 19 1 0 0 1 X PART V, SECTION C X 1 19 1 PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 1 X 0 0 ST. ALPHONSUS MEDICAL CENTER-ONTARIO PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E:SAINT ALPHONSUS MEDICAL CENTER-ONTARIO (SAMC-ONTARIO) 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 THIS COMMUNITY-INVOLVED SELECTION PROCESS: 1. AFFORDABLE, SAFE HOUSING, INCLUDING HOMELESSNESS: AFFORDABLE AND MIXED-INCOME HOUSING DEVELOPMENT AND AVAILABILITY; HOMELESSNESS PREVENTION AND MITIGATION2. SUBSTANCE USE, INCLUDING TOBACCO AND VAPE USE: HARMFUL SUBSTANCE, TOBACCO, VAPE AND ELECTRONIC CIGARETTE USE RATES3. CHILDCARE AND EDUCATION: ACCESS TO AND AVAILABILITY OF AFFORDABLE, HIGH QUALITY CHILDCARE AND EARLY CHILDHOOD EDUCATION (I.E. PRE-K) AS WELL AS K-12 AND POST-SECONDARY EDUCATION OPPORTUNITIES4. ACCESS TO HEALTH CARE, INCLUDING ORAL HEALTH: ACCESS TO HEALTH CARE AND ORAL HEALTH CARE; AVAILABILITY OF LINGUISTICALLY AND CULTURALLY APPROPRIATE SERVICES5. TRANSPORTATION: ACCESS AND UTILIZATION OF PUBLIC TRANSIT; COMMUTE TIMES; NUMBER OF INDIVIDUALS WITH ACCESS TO CARS ST. ALPHONSUS MEDICAL CENTER-ONTARIO PART V, SECTION B, LINE 5: THE CHNA WAS CONDUCTED BETWEEN AUGUST 2019 AND JUNE 2020; IT WAS APPROVED BY THE BOARD ON JUNE 15, 2020. IN ADDITION TO SAINT ALPHONSUS, MEMBERS OF THE ADVISORY COMMITTEE INCLUDED: OREGON STATE UNIVERSITY (OSU) EXTENSION, SOUTHWEST DISTRICT HEALTH, VALLEY FAMILY HEALTH, OREGON DEPARTMENT OF HUMAN SERVICES, GOBHI, TREASURE VALLEY RELIEF NURSERY, COMMUNITY IN ACTION, TREASURE VALLEY COMMUNITY COLLEGE, EUVALCREE, ONTARIO SCHOOL DISTRICT, MALHEUR EDUCATION SERVICE DISTRICT, AND MALHEUR COUNTY HEALTH DEPARTMENT.SAINT ALPHONSUS HEALTH SYSTEM (SAHS) CONTRACTED WITH HEALTH RESOURCES IN ACTION TO PROVIDE PROJECT MANAGEMENT AND CONSULTATION AS WELL AS DEVELOPMENT OF DATA COLLECTION TOOLS. IN ADDITION, DATA INDICATORS WERE COLLECTED FROM A VARIETY OF SOURCES, INCLUDING THE TRINITY HEALTH DATA HUB, U.S. CENSUS, OREGON DEPARTMENT OF HUMAN SERVICES, COUNTY HEALTH RANKINGS, AND MANY OTHER SECONDARY DATA SOURCES. LITERATURE REVIEW AND SECONDARY DATA SOURCES WERE USED TO SELECT COLLECTIVE MEASURES/INDICATORS IN THE AREAS OF EDUCATION, FINANCIAL INDEPENDENCE, AND HEALTH AT THE REGIONAL, COUNTY AND CITY LEVEL. WHEREVER POSSIBLE, COMMUNITY HEALTH INDICATOR DATA WAS COLLECTED TO ALLOW COMPARISONS BETWEEN COUNTY, STATE AND NATIONAL RATES. ADDITIONAL COMMUNITY INPUT WAS COLLECTED BETWEEN AUGUST 2019 AND APRIL 2020 THROUGH 11 COMMUNITY FOCUS GROUPS WITH POPULATIONS SUCH AS IMMIGRANTS AND REFUGEES, NON-ENGLISH SPEAKERS, LGBTQIA+, OLDER ADULTS, PEOPLE EXPERIENCING HOMELESSNESS AND FOOD INSECURITY AND OTHERS, THROUGH 318 RESIDENT SURVEYS, AND THROUGH 11 INTERVIEWS WITH COMMUNITY LEADERS, FRONT LINE STAFF, AND SOCIAL SERVICE AND NONPROFIT ORGANIZATIONS.FOCUS GROUP HOSTS INCLUDED THE FOLLOWING ORGANIZATIONS SERVING IMPACTED POPULATIONS: CRADLE TO CAREER PARTNERS, EUVALCREE, FOUR RIVERS WELCOME CENTER, LGBTQIA+ PARTNERS, MALHEUR COUNTY COMMUNITY SERVICES, MALHEUR COUNTY UNITED FOR HOUSING TASK FORCE, NYSSA FOOD BANK, ORIGINS FAITH COMMUNITY, FRUITLAND HEALTH PLAZA, SOUTHWEST DISTRICT HEALTH - PAYETTE AND WASHINGTON COUNTY CHATS, WEISER LIBRARY, AND WEISER SENIOR CENTER.COMMUNITY INTERVIEWS INCLUDED THE FOLLOWING ORGANIZATION PARTICIPANTS: PROJECT DOVE, CITY OF ONTARIO, ANGEL WINGS, MALHEUR COUNTY, VALLEY FAMILY HEALTH, COMMUNITY IN ACTION, MALHEUR COUNTY SHERIFF, MALHEUR COUNTY COURT, MALHEUR COUNTY HEALTH DEPARTMENT, AND EASTERN OREGON BORDER ECONOMIC DEVELOPMENT REGION. ST. ALPHONSUS MEDICAL CENTER-ONTARIO PART V, SECTION B, LINE 11: THE CHNA WAS CONDUCTED AND POSTED BY THE END OF FISCAL YEAR 2020; AN UPDATED IMPLEMENTATION STRATEGY WAS ADOPTED IN SEPTEMBER 2020 FOR FISCAL YEARS 2021-2023. THESE DOCUMENTS WILL GUIDE THE COMMUNITY BENEFIT WORK FOR TAX YEARS 2020-2022. SAMC-ONTARIO IDENTIFIED FIVE SIGNIFICANT HEALTH NEEDS TO ADDRESS DURING THIS TIME PERIOD. THE IMPLEMENTATION STRATEGY WILL GUIDE HOW EACH OF THESE NEEDS ARE ADDRESSED. IN FISCAL YEAR 2022 (FY22), SAMC-ONTARIO DEVELOPED AND/OR SUPPORTED INITIATIVES TO IMPROVE THE FOLLOWING HEALTH NEEDS:AFFORDABLE, SAFE HOUSING, INCLUDING HOMELESSNESS: IN FY22, SAMC-ONTARIO INITIATIVES SUPPORTED LOCAL, AFFORDABLE HOUSING OPTIONS VIA PARTICIPATION IN A LOCAL HOUSING TASK FORCE, AND HOSTING "HOUSING AS HEALTH CARE" MEETINGS. SAMC-ONTARIO FACILITATED COMMUNITY AND FINANCIAL SUPPORT FOR THE PRESBYTERIAN COMMUNITY CARE CENTER CONVERSION TO AFFORDABLE HOUSING UNITS WITH ONSITE SPACE FOR HEALTH CARE AND SOCIAL SERVICES IN ONTARIO, WHICH INCLUDED CONSULTATION, DATA, AND LETTERS OF SUPPORT FOR LOW-INCOME HOUSING TAX CREDIT APPLICATIONS. SUBSTANCE USE, INCLUDING TOBACCO AND VAPE USE: AS PART OF FY22 INITIATIVES, SAMC-ONTARIO CONTINUED TO OFFER ONLINE AND ZOOM OPTIONS FOR TOBACCO CESSATION CURRICULUM THROUGH THE SAINT ALPHONSUS TOBACCO FREE LIVING PROGRAM. A TOBACCO TREATMENT SPECIALIST PROMOTED AVAILABLE COMMUNITY RESOURCES AND WORKED TO DECREASE COMMUNITY RATES OF TOBACCO AND E-CIGARETTE USE.CHILDCARE AND EDUCATION: IN FY22, SAMC-ONTARIO WORKED TO IMPROVE LOCAL GRADUATION RATES VIA PROVISION OF ENHANCED TRAINING AND DEVELOPMENT OPPORTUNITIES THROUGH EXISTING EDUCATIONAL INSTITUTIONS IN THE COMMUNITY, INCLUDING A PARTNERSHIP WITH TREASURE VALLEY COMMUNITY COLLEGE TO SUPPORT A MEDICAL ASSISTANT PROGRAM TO FILL NEEDED POSITIONS THROUGHOUT THE TREASURE VALLEY. SAMC-ONTARIO CONTINUED ITS SUPPORT OF THE TREASURE VALLEY TECHNICAL (TVT) PROGRAM BY SERVING AS AN EDUCATION SITE FOR CERTIFIED NURSING ASSISTANT (CNA) STUDENTS, PROVIDING SPEAKERS AND MENTORS TO STUDENTS, ACTING IN AN ADVISORY ROLE FOR THE TVT BOARD AND THE CNA PROGRAM, PROVIDING SUPPLIES FOR CNA CLASSES, AS WELL AS PROVIDING FREE MEDICAL SCREENING TO ALLOW CNA STUDENTS TO BE LICENSED IN THE STATE OF OREGON. ACCESS TO HEALTH CARE, INCLUDING ORAL HEALTH: IN FY22, SAMC-ONTARIO PROVIDED ENROLLMENT ASSISTANCE IN PUBLIC PROGRAMS, INCLUDING MEDICAID, FOR OREGON AND IDAHO. ADDITIONALLY, SAINT ALPHONSUS HEALTH SYSTEM CONTINUED TO DEVELOP A SOCIAL CARE HUB TO ASSESS THE SOCIAL CARE NEEDS (E.G., HOUSING, FOOD, CHILDCARE, EMPLOYMENT) OF SELECT PATIENT POPULATIONS, AND TO MAKE REFERRALS, INCLUDING ORAL HEALTH NEEDS, THROUGH COMMUNITY HEALTH WORKERS AND THE ADOPTION OF A COMMUNITY RESOURCE DIRECTORY.TRANSPORTATION: SAMC-ONTARIO CONTINUED TO PROVIDE SUPPORT TO LOCAL ORGANIZATIONS, INCLUDING LOCAL TAXIS, TO PROVIDE TRANSPORTATION ACCESS FOR HEALTH CARE APPOINTMENTS TO PATIENTS EXPERIENCING FINANCIAL BARRIERS.SAMC-ONTARIO ACKNOWLEDGES THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE HEALTH NEEDS WHICH IT DEEMED MOST PRESSING, UNDER-ADDRESSED, AND WITHIN ITS ABILITY TO INFLUENCE. SAMC-ONTARIO DID NOT TAKE ACTION ON THE FOLLOWING IDENTIFIED NEEDS IN FY22 DUE TO COMPETING PRIORITIES AND AN ATTEMPT TO REDUCE DUPLICATION OF EFFORTS:FINANCIAL STABILITY AND COST OF LIVING: SAMC-ONTARIO DID NOT DIRECTLY ADDRESS THIS COMMUNITY NEED BECAUSE IT IS ADDRESSED BY OTHER ORGANIZATIONS WITHIN THE COMMUNITY. HOWEVER, SAMC-ONTARIO IS COMMITTED TO PARTICIPATING IN AFFORDABLE AND MIXED-INCOME HOUSING PROJECTS, ASSISTING WITH PATIENT TRANSPORTATION NEEDS, AND MAKING REFERRALS FOR PATIENTS AND COLLEAGUES TO COMMUNITY-BASED RESOURCES TO ADDRESS BASIC NEEDS THROUGH THE SOCIAL CARE HUB AND A COMMUNITY RESOURCE DIRECTORY, AS OUTLINED IN OTHER STRATEGIES ADDRESSED IN THE CHNA.MENTAL HEALTH AND WELL-BEING: SAMC-ONTARIO DID NOT DIRECTLY ADDRESS THIS NEED BECAUSE IT IS ADDRESSED BY OTHER ORGANIZATIONS WITHIN THE COMMUNITY. SAMC-ONTARIO PROVIDES REFERRALS AND SUPPORT TO LIFEWAYS AND OTHER PROVIDERS OF BEHAVIORAL HEALTH SERVICES IN THE ONTARIO REGION. ADDITIONALLY, "QUESTION PERSUADE REFER" SUICIDE PREVENTION TRAINING IS MADE AVAILABLE TO SAMC-ONTARIO COLLEAGUES.CHRONIC DISEASES: SAMC-ONTARIO DID NOT DIRECTLY ADDRESS THIS NEED BECAUSE IT IS ADDRESSED BY OTHER ORGANIZATIONS WITHIN THE COMMUNITY. WHILE SAMC-ONTARIO AND SAINT ALPHONSUS MEDICAL GROUP FRUITLAND HEALTH PLAZA PROVIDE MEDICAL SERVICES FOR THE PREVENTION AND MITIGATION OF CHRONIC DISEASES, THEY ALSO PROVIDE REFERRALS FOR PATIENTS TO OTHER COMMUNITY-BASED SERVICES TO ADDRESS THEIR NEEDS RELATED TO CHRONIC DISEASES.WAGES AND JOB AVAILABILITY: SAMC-ONTARIO DID NOT DIRECTLY ADDRESS THIS NEED BECAUSE IT IS ADDRESSED BY OTHER ORGANIZATIONS WITHIN THE COMMUNITY AND IS OUTSIDE THE PURVIEW OF OUR HEALTH CARE ORGANIZATION. HOWEVER, SAMC-ONTARIO IS COMMITTED TO PROVIDING LIVABLE WAGES, ABOVE THE LOCAL MINIMUM WAGE, TO THE COLLEAGUES WE EMPLOY THROUGHOUT THE COMMUNITY.SEXUALLY TRANSMITTED INFECTIONS: SAMC-ONTARIO DID NOT DIRECTLY ADDRESS THIS NEED BECAUSE IT IS ADDRESSED BY OTHER ORGANIZATIONS WITHIN THE COMMUNITY. IN PARTICULAR, THE MALHEUR COUNTY HEALTH DEPARTMENT AND OTHERS PROVIDE THESE SERVICES AND ARE A REFERRAL SOURCE FOR SAMC-ONTARIO PATIENTS.FOOD SECURITY: SAMC-ONTARIO DID NOT DIRECTLY ADDRESS THIS NEED BECAUSE IT IS ADDRESSED BY OTHER ORGANIZATIONS WITHIN THE COMMUNITY. SAMC-ONTARIO STAFF DO PARTICIPATE IN THE WESTERN TREASURE VALLEY HUNGER RELIEF TASK FORCE AND SUPPORT OSU EXTENSION AND LOCAL FOOD PANTRIES FOR THE PROVISION OF FOOD. ADDITIONALLY, SAMC-ONTARIO ADDRESSES FOOD SECURITY THROUGH THE SOCIAL CARE HUB AND REFERRALS THROUGH A COMMUNITY RESOURCE DIRECTORY.PHYSICAL ACTIVITY AND RECREATION OPPORTUNITIES: SAMC-ONTARIO DID NOT DIRECTLY ADDRESS THIS NEED BECAUSE IT IS ADDRESSED BY OTHER ORGANIZATIONS WITHIN THE COMMUNITY AND IS OUTSIDE THE PURVIEW OF THE HEALTH SYSTEM. SAMC-ONTARIO DOES SPONSOR AND PROVIDE ATHLETIC TRAINERS TO THE ONTARIO SCHOOL DISTRICT AND TREASURE VALLEY COMMUNITY COLLEGE TO SUPPORT LOCAL ATHLETES. ST. ALPHONSUS MEDICAL CENTER-ONTARIO PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS. PART V, SECTION B, LINE 7A: WWW.SAINTALPHONSUS.ORG/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-NEEDS-ASSESSMENT/ PART V, SECTION B, LINE 9: AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, THE HOSPITAL'S IMPLEMENTATION STRATEGY WAS ADOPTED WITHIN 4 1/2 MONTHS AFTER THE FISCAL YEAR END THAT THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE TO THE PUBLIC. PART V, SECTION B, LINE 10A: WWW.SAINTALPHONSUS.ORG/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-NEEDS-ASSESSMENT/IMPLEMENTATION-STRATEGY PART V, LINE 16A, FAP WEBSITE: WWW.SAINTALPHONSUS.ORG/FOR-PATIENTS/AFTER-YOUR-VISIT/FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE/ PART V, LINE 16B, FAP APPLICATION WEBSITE: WWW.SAINTALPHONSUS.ORG/FOR-PATIENTS/AFTER-YOUR-VISIT/FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE/ PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: WWW.SAINTALPHONSUS.ORG/FOR-PATIENTS/AFTER-YOUR-VISIT/FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE/ 3 1 - SAMG FRUITLAND HEALTH PLAZA 910 NW 16TH ST FRUITLAND ID 83619 FAMILY MEDICINE, URGENT CARE, PODIATRY, ORTHOPEDICS, OCCUPATIONAL MED, PT 2 - SAMG ONTARIO 1050 SW 3RD AVE ONTARIO OR 97914 ENT, WOUND, MED ONC, SURGICAL SERVICES 3 - STARS PHYSICAL THERAPY 840 SW 4TH AVENUE STE 103 ONTARIO OR 97914 REHAB AND PHYSICAL THERAPY 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: SAINT ALPHONSUS MEDICAL CENTER-ONTARIO (SAMC-ONTARIO) PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT, WHICH IT SUBMITS TO THE STATE OF OREGON. IN ADDITION, SAMC-ONTARIO 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.SAMC-ONTARIO ALSO 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, $3,193,330, 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: COALITION BUILDING: IN FISCAL YEAR 2022, SAMC-ONTARIO STAFF PARTICIPATED IN SEVERAL COMMUNITY COALITIONS TO ADDRESS TRAUMA, MENTAL HEALTH AND HOUSING, INCLUDING PAYETTE COUNTY LEPC, TRAUMA ADVISORY BOARD, MALHEUR COUNTY MENTAL HEALTH, OREGON STATE TRAUMA ADVISORY BOARD, AND MALHEUR COUNTY HOUSING WORK GROUP. 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: SAMC-ONTARIO 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, SAMC-ONTARIO IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, SAMC-ONTARIO IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL. PART III, LINE 4: SAMC-ONTARIO 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: SAMC-ONTARIO 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: NEED ASSESSMENT - SAMC-ONTARIO ASSESSES THE HEALTH STATUS OF ITS COMMUNITY BOTH IN PARTNERSHIP WITH COMMUNITY COALITIONS AND AS PART OF THE NORMAL COURSE OF OPERATIONS, AND MAKES 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.SAMC-ONTARIO ALSO UTILIZES THE EXPERTISE OF PUBLIC HEALTH PARTNERS AND THEIR ANALYSIS OF COMMUNITY NEEDS. SAMC-ONTARIO EXAMINED SEVERAL OTHER LOCAL NEEDS ASSESSMENTS AND OBTAINED INPUT FROM ORGANIZATIONS INVOLVED IN THOSE ASSESSMENTS, INCLUDING OUR EXTERNAL REVIEW COMMITTEE (FOUR RIVERS HEALTHY COMMUNITIES OREGON), THE MALHEUR COUNTY HEALTH DEPARTMENT AND THE EASTERN OREGON COORDINATED CARE ORGANIZATION TO IDENTIFY NEEDS BEING ADDRESSED BY OTHER AGENCIES. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - SAMC-ONTARIO 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. SAMC-ONTARIO 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. SAMC-ONTARIO HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. SAMC-ONTARIO 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 - SAMC-ONTARIO IS SITUATED IN MALHEUR COUNTY, WHICH IS THE SECOND LARGEST COUNTY IN OREGON. LOCATED IN THE SOUTHEASTERN-MOST CORNER OF THE STATE, IT COVERS 9,926 SQUARE MILES. BY DEFINITION, MALHEUR COUNTY IS CONSIDERED "FRONTIER" WITH A MERE 3.2 PERSONS PER SQUARE MILE - ALTHOUGH THE POPULATION IS FAIRLY CLUSTERED TOGETHER IN SMALL COMMUNITIES. GEOGRAPHIC ISOLATION RESULTS IN CHALLENGES IN ACCESSING OREGON SERVICES. WHILE IDAHO IS IN CLOSE PROXIMITY, RESIDENTS OF MALHEUR COUNTY ARE OFTEN UNABLE TO UTILIZE GOVERNMENT SERVICES ACROSS STATE LINES. THE COUNTY HAS AN ESTIMATED TOTAL OF 31,571 RESIDENTS (APRIL 2020, CENSUS.GOV), OVER A THIRD OF WHOM LIVE IN THE CITY OF ONTARIO (11,645 RESIDENTS). THE LOCAL ECONOMY IS LARGELY BASED ON AGRICULTURE AND FARMING, AND THE COUNTY IS 94% RANGELAND.MALHEUR COUNTY IS NOTABLE FOR A HIGHER THAN AVERAGE HISPANIC/LATINO POPULATION (34.6%, 2015-2019, CENSUS.GOV), MANY OF WHOM ARE SEASONAL, OR MIGRANT, AGRICULTURE WORKERS. THIS IS ALSO EVIDENCED BY A HIGHER THAN AVERAGE PERCENTAGE OF LANGUAGES OTHER THAN ENGLISH SPOKEN AT HOME AT 25.3% (2015-2019, CENSUS.GOV). MALHEUR COUNTY IS ALSO NOTABLE FOR A POPULATION DENSITY OF 3.2 PERSONS PER SQUARE MILE, WHERE RESIDENTS MUST TRAVEL LONG DISTANCES FOR SERVICES. MALHEUR COUNTY HAS THE LOWEST MEDIAN HOUSEHOLD INCOME IN THE STATE AT $43,313, COMPARED TO $62,818 AT A STATE LEVEL AND $62,843 AT THE U.S. LEVEL. THE POVERTY LEVEL, AT 21.0%, IS THE HIGHEST OF THE THREE COUNTIES IN THE HOSPITAL'S SERVICE AREA, AND IS SIGNIFICANTLY ABOVE STATE (11.4%) AND U.S. (11.4%) LEVELS.ATTAINING SAFE, AFFORDABLE HOUSING AND THE ABILITY TO EARN A LIVABLE WAGE WERE THE HIGHEST RATED BARRIERS TO FINANCIAL STABILITY IDENTIFIED IN THE 2020 CHNA. LOW WAGES ALSO CONTRIBUTE TO THE OTHER MOST FREQUENTLY IDENTIFIED BARRIERS AS WELL, WITH INABILITY TO FIND OR MOVE UP INTO HIGHER PAYING JOBS IDENTIFIED AS A CONCERN. HIGH HOUSING COST BURDENS FURTHER EXACERBATE THE DIFFICULTIES OF THOSE WITH LOW INCOME LEVELS. PART VI, LINE 5: OTHER INFORMATION - SAMC-ONTARIO STRONGLY SUPPORTS HEALTH CARE WORKFORCE DEVELOPMENT EFFORTS, INCLUDING ANNUAL FINANCIAL SUPPORT TO THE TREASURE VALLEY COMMUNITY COLLEGE NURSING PROGRAM. IN ADDITION, SAMC-ONTARIO SERVES AS A KEY CLINICAL TRAINING SITE FOR NURSES AND OTHER ALLIED HEALTH PROFESSIONALS.SAMC-ONTARIO OFFERS A VARIETY OF HEALTH EDUCATION AND SCREENING OPPORTUNITIES FREE OF CHARGE, INCLUDING CARDIAC & STROKE SCREENINGS, FREE LIPID PROFILES, MAMMOGRAMS AND MORE. THESE SCREENINGS ARE AN OPPORTUNITY TO CONNECT PARTICIPANTS WITH A PRIMARY CARE PROVIDER FOR FURTHER HEALTH GUIDANCE. IN ADDITION, SAMC-ONTARIO ASSESSED AND ENGAGED IN COMMUNITY HEALTH WORK THAT ADDRESSED THE SOCIAL INFLUENCERS OF HEALTH.SAINT ALPHONSUS HEALTH SYSTEM'S EMERGENCY PREPAREDNESS EFFORTS ALLOWED FOR A RAPID RESPONSE TO THE ONGOING WAVES OF THE COVID-19 PANDEMIC. IN FY22, THOSE EFFORTS INCLUDED CONTINUED LEADERSHIP ENGAGEMENT WITH LOCAL HEALTH DEPARTMENTS AND OTHER COMMUNITY PARTNERS TO ADDRESS SUPPLY SHORTAGES, PREVENTION OF COMMUNITY SPREAD, AND FACILITY CAPACITY. SAHS PROVIDED PUBLIC MESSAGING AROUND VACCINE SAFETY AND EFFICACY AS WELL AS HOW TO HELP SLOW THE SPREAD OF COVID-19. SAMC-ONTARIO WORKED ALONGSIDE A COMMUNITY PARTNER, COMMUNITY IN ACTION, TO HELP PREVENT THE SPREAD OF COVID-19 IN THE POPULATION EXPERIENCING HOMELESSNESS THROUGH DEVELOPMENT OF LOCAL QUARANTINE AND ISOLATION PROCESSES IN MALHEUR COUNTY. SAHS PROVIDED MOBILE COVID-19 VACCINE CLINICS IN THE ONTARIO AREA TO REACH THOSE WHO WOULD OTHERWISE HAVE HAD DIFFICULTY ACCESSING THE VACCINE. PART VI, LINE 6: SAMC-ONTARIO 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 OR 0 1 0 0 0 0 0 0 0 ODETTE BOLANO DIRECTOR; SAHS PRESIDENT AND CEO 0 643594 0 280735 0 106973 0 179429 0 32967 0 1243698 0 81941 JOHN FOOTE MD PHYSICIAN 1130982 0 0 0 0 0 4350 0 19775 0 1155107 0 0 0 RICHARD DAVIS MD PHYSICIAN 798153 0 0 0 0 0 4350 0 18341 0 820844 0 0 0 B LANNIE CHECKETTS TREASURER; SAHS CFO 0 372146 0 94875 0 62285 0 21750 0 41476 0 592532 0 0 STEPHANIE WESTERMEIER SECRETARY; SAHS VP & MANAGING CNSL 0 336915 0 85250 0 64601 0 71960 0 33062 0 591788 0 54224 PAMELA BRUCE MD PHYSICIAN 444512 0 10000 0 814 0 17400 0 24464 0 497190 0 0 0 PATRICIA ENGEL MD PHYSICIAN 380775 0 0 0 321 0 13050 0 33254 0 427400 0 0 0 FRANK SPOKAS MD PHYSICIAN 332263 0 10000 0 5588 0 21750 0 9508 0 379109 0 0 0 DINA ELLWANGER DIRECTOR; PRESIDENT, EASTERN OREGON 0 209317 0 53750 0 1552 0 16212 0 28892 0 309723 0 0 JEAN BASOM FORMER KE; REGIONAL DIR SUPPLY CHAIN 0 172982 0 17654 0 3179 0 14681 0 20740 0 229236 0 0 PART I, LINE 3 SAINT ALPHONSUS MEDICAL CENTER-ONTARIO (SAMC-ONTARIO) IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. SAMC-ONTARIO'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 SAMC-ONTARIO'S PRESIDENT: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - WRITTEN EMPLOYMENT CONTRACT - FORM 990 OF OTHER ORGANIZATIONS - 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 PAYOUT FOR 2021 FOR THE PLAN IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: ODETTE BOLANO - $81,941 B. LANNIE CHECKETTS - $47,437 STEPHANIE WESTERMEIER - $54,224 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING ACCRUALS FOR 2021 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: ODETTE BOLANO - $166,379 STEPHANIE WESTERMEIER - $54,560 THE FOLLOWING INDIVIDUAL IS A PARTICIPANT IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN UNDER 457(F). THERE WERE NO PAYOUTS IN 2021. FRANK SPOKAS BRANDON ELLWANGER FAMILY MEMBER OF DINA ELLWANGER, DIRECTOR AND PRESIDENT 61968 EMPLOYMENT ARRANGEMENT 0 FORM 990, PAGE I, DOING BUSINESS AS NAMES: SAINT ALPHONSUS FRUITLAND HEALTH PLAZA SAINT ALPHONSUS MEDICAL CENTER - ONTARIO SAINT ALPHONSUS MEDICAL GROUP - ONTARIO SAINT ALPHONSUS MEDICAL GROUP RIVERSIDE ORTHOPEDICS FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF SAINT ALPHONSUS MEDICAL CENTER-ONTARIO (SAMC-ONTARIO) IS SAINT ALPHONSUS HEALTH SYSTEM. SEE LINE 7 FOR ADDITIONAL INFORMATION. FORM 990, PART VI, SECTION A, LINE 7A SAINT ALPHONSUS HEALTH SYSTEM IS THE SOLE MEMBER OF SAMC-ONTARIO. SAINT ALPHONSUS HEALTH SYSTEM HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF SAMC-ONTARIO. FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER, SAINT ALPHONSUS HEALTH SYSTEM MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. SAINT ALPHONSUS HEALTH SYSTEM 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 B, LINE 11B PRIOR TO FILING, THE FORM 990 FOR SAMC-ONTARIO IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE SAINT ALPHONSUS HEALTH SYSTEM PLANNING AND FINANCE COMMITTEE. 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 SAMC-ONTARIO 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 SAMC-ONTARIO, WHICH INCLUDES DIRECTORS, PRINCIPAL OFFICERS, KEY EMPLOYEES, AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS. INTERESTED PERSONS ARE EXPECTED TO DISCHARGE THEIR DUTIES IN A MANNER THE PERSON REASONABLY BELIEVES TO BE IN THE BEST INTERESTS OF SAMC-ONTARIO 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 SAMC-ONTARIO (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO SAMC-ONTARIO OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF SAMC-ONTARIO (OR A DELEGATED COMMITTEE OF THE BOARD) 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 (OR A DELEGATED COMMITTEE OF THE BOARD) WILL EITHER AVOID THE CONFLICT OR APPROPRIATELY SCRUTINIZE THE TRANSACTION TO ENSURE IT IS IN THE BEST INTERESTS OF SAMC-ONTARIO. 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 THE OFFICERS OF SAMC-ONTARIO IS ESTABLISHED BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING OFFICER 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 OFFICERS OF SAMC-ONTARIO 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. FORM 990, PART VI, SECTION C, LINE 19 SAMC-ONTARIO 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, SAMC-ONTARIO INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. SAMC-ONTARIO'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G MEDICAL SPECIALIST FEES: PROGRAM SERVICE EXPENSES 2,876,969. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,876,969. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 2,632,587. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,632,587. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 557,658. MANAGEMENT AND GENERAL EXPENSES 111,200. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 668,858. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 3,848,153. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,848,153. PURCHASED LAUNDRY/LINEN SERVICES: PROGRAM SERVICE EXPENSES 188,941. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 188,941. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,738. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,738. FORM 990, PART XI, LINE 9: EQUITY GAIN IN UNCONSOLIDATED AFFILIATES 636. EQUITY TRANSFERS TO AFFILIATES -28,700. FORM 990, PART XII, LINE 2: SAMC-ONTARIO'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY22 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. 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 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