2022-05-13T14:00:41-05:00 2021-06-30 990 2020-07-01 520738041 HOLY CROSS HEALTH INC HOLY 3017547034 1500 FOREST GLEN ROAD SILVER SPRING MD 209101484 ANNE D GILLIS CHIEF FINANCIAL OFFICER 3017547034 2022-05-13 ANNE GILLIS 999009999 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z SEE SCHEDULE O NORVELL COOTS MD 1500 FOREST GLEN ROAD SILVER SPRING MD 209101484 701474760 0 X WWW.HOLYCROSSHEALTH.ORG X 1959 MD TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES 15 12 4754 253 43443 3684 26418696 32783810 579881773 622399667 8024428 34712102 14395602 11277281 628720499 701172860 830113 430106 0 0 292422521 312526478 0 0 0 287007962 309500886 580260596 622457470 48459903 78715390 1036467989 1151918907 561657208 548571620 474810781 603347287 X WE, HOLY CROSS HEALTH AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES. WE CARRY OUT THIS MISSION IN OUR COMMUNITIES THROUGH OUR COMMITMENT TO BE THE MOST TRUSTED PROVIDER OF HEALTH CARE SERVICES. 0 0 538325768 430106 629336742 HOLY CROSS HEALTH IS A NOT-FOR-PROFIT HEALTH SYSTEM IN MONTGOMERY COUNTY, MD., DEDICATED TO IMPROVING THE HEALTH OF ITS COMMUNITY FOR MORE THAN 60 YEARS. HOLY CROSS SERVES OVER 160,000 PATIENTS EACH YEAR THROUGH A FULL RANGE OF INPATIENT, OUTPATIENT AND INNOVATIVE COMMUNITY-BASED SERVICES. HOLY CROSS HAS GROWN FROM A SINGLE HOSPITAL LOCATED IN SILVER SPRING, MD., INTO A SYSTEM OF HOSPITALS AND HEALTH CENTERS IN LOCATIONS THROUGHOUT THE COMMUNITY. HOLY CROSS GERMANTOWN HOSPITAL OPENED OCTOBER 1, 2014 AND IS THE FIRST HOSPITAL IN THE NATION TO BE LOCATED ON A COLLEGE CAMPUS. CARE IS ENHANCED BY AN EDUCATIONAL PARTNERSHIP, AND INCLUDES HIGH-QUALITY MEDICAL, SURGICAL, OBSTETRIC, EMERGENCY, AND BEHAVIORAL HEALTH SERVICES. HOLY CROSS HEALTH CENTERS ARE LOCATED IN SILVER SPRING, GAITHERSBURG, GERMANTOWN AND ASPEN HILL.FOR MORE INFORMATION SEE SCHEDULE H AND THE HOSPITAL WEBSITE: WWW.HOLYCROSSHEALTH.ORG. 538325768 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 1 0 0 1 519 0 1 4754 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 MD X ANNE GILLIS - CFO 3017547035 1500 FOREST GLEN RD SILVER SPRING MD 20910 NORVELL COOTS MD DIRECTOR; PRESIDENT & CEO 54.00 1.00 X X 0 893813 36816 LOUIS DAMIANO MD PRESIDENT HOLY CROSS HOSPITAL 55.00 0.00 X 0 467746 49062 YANCY PHILLIPS MD CHIEF CLINICAL OFFICER 50.00 0.00 X 0 420325 53685 RINY KARRAS PHYSICIAN 50.00 0.00 X 389752 0 21581 BLAIR EIG MD FORMER KEY EMPLOYEE 0.00 0.00 X 0 379772 18882 DOUG RYDER PRESIDENT HC GERMANTOWN HOSPITAL 55.00 0.00 X 0 366441 28947 GREG JOLISSAINT VP MILITARY AND VETERANS HEALTH 50.00 0.00 X 0 351261 30501 ANNICE CODY PRESIDENT HCH NETWORK 50.00 0.00 X 0 334368 47044 ANN BURKE VP MEDICAL AFFAIRS 50.00 0.00 X 327503 0 39592 ANNE GILLIS ASSISTANT TREASURER & CFO 49.00 1.00 X 0 303785 56422 KRISTIN FELICIANO VP CHIEF STRATEGY OFFICER 50.00 0.00 X 0 303202 37860 ELIZABETH SIMPSON ASST SECRETARY; GENERAL COUNSEL 49.00 1.00 X 0 296548 40873 ERIC CAWTHON PHYSICIAN ASSISTANT II 50.00 0.00 X 307285 0 24446 TINA WEATHERWAX-GRANT DIR; TH SVP PUBLIC POLICY & ADVOCACY 1.00 49.00 X 0 253711 20878 DOUGLAS MURPHY MD DIRECTOR, ON CALL PHYSICIAN 3.00 0.00 X 33300 0 0 THOMAS MCELROY DIRECTOR; CHAIR 1.00 0.00 X X 0 0 0 RUTH MARIE NICKERSON CSC DIRECTOR; VICE CHAIR 1.00 1.00 X X 0 0 0 AJAY GUPTA DIRECTOR; SECRETARY 1.00 0.00 X X 0 0 0 MARILYN MOON DIRECTOR; TREASURER 1.00 0.00 X X 0 0 0 SHARON FRIEDMAN DIRECTOR 1.00 0.00 X 0 0 0 COURTNEY LANG DIRECTOR 1.00 0.00 X 0 0 0 CARMEN LARSEN DIRECTOR 1.00 0.00 X 0 0 0 ROBIN MADDEN MD DIRECTOR 1.00 0.00 X 0 0 0 MARC POTASH DIRECTOR 1.00 0.00 X 0 0 0 ERIC SCHOOMAKER MD DIRECTOR 1.00 0.00 X 0 0 0 SHARLET WAGNER CSC DIRECTOR AS OF 6/21 1.00 0.00 X 0 0 0 JACQUELINE WATSON DO DIRECTOR 1.00 0.00 X 0 0 0 VERONIQUE WIEDOWER CSC DIRECTOR THR 1/21 1.00 0.00 X 0 0 0 1057840 4370972 506589 441 1 1 0 STRATEGIC STAFFING SOLUTIONS 645 GRISWOLD ST STE 2900 DETROIT MI 482264206 RECRUITING SERVICES 4447002 HOLY CROSS ANESTHESIOLOGY ASSO 2730 UNIVERSITY BLVD W 104 WHEATON MD 20902 CLINICAL SERVICES 2756445 USACS INTEGRATED ACUTE CARE SVCS 4535 DRESSLER ROAD NW CANTON OH 44718 HEALTH CARE SERVICES 2582806 WHITING TURNER CONTRACTING CO PO BOX 17596 BALTIMORE MD 21297 CONSTRUCTION SERVICES 2580678 CHILDRENS NATL MED 12211 PLUM ORCHARD DR STE 200 SILVER SPRING MD 20904 CLINICAL SERVICES 2181036 155 877685 31594230 311895 32783810 NET PATIENT SERVICE REVENUE 622110 622399667 622356224 43443 622399667 12535700 12535700 1532915 0 1532915 1532915 1532915 22176526 301776 0 301900 22176526 -124 22176402 22176402 RADIATION TREATMENT CENTER 622110 3457801 3457801 CAFETERIA REVENUE 722514 2337579 2337579 PARKING 812930 426269 426269 3522717 3522717 9744366 701172860 629336742 43443 39008865 X 324759 324759 105347 105347 3429175 33300 3395875 395972 395972 256065681 236525514 19540167 5522697 5131482 391215 27997826 25717878 2279948 19115127 17357104 1758023 1936720 1936720 132059 132059 75000 75000 737928 737928 70204998 62870022 7334976 865771 20399 845372 7067904 5214594 1853310 22323475 17855739 4467736 15225015 12839922 2385093 76634 62298 14336 200413 185262 15151 15066311 15066311 34984549 14666083 20318466 4813834 261453 4552381 MEDICAL SUPPLIES 90074043 90074043 BAD DEBT 21652993 21652993 INTERCO PURCHASED SVCS 12508785 1738132 10770653 EQUIPMENT MAINTENANCE 8000809 7979701 21108 3553645 706712 2846933 622457470 538325768 84131702 0 333438 115374 48445 40657 77686836 74331775 10613862 13719999 2084317 2354584 815123055 396086410 420200803 419036645 311288793 352509047 120677490 189071526 1672066 579660 91861939 100159640 1036467989 1151918907 61326005 72243981 7432642 11302708 63301992 2122370 429596569 462902561 561657208 548571620 X 474756597 603263336 54184 83951 474810781 603347287 1036467989 1151918907 X 78715390 54650470 -4829354 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 41884 1 75000 0 0 116884 0 PART II-B, LINE 1: HOLY CROSS HEALTH (HCH) HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES. THESE GRANTS HAVE BEEN IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS, WHERE THE ORGANIZATIONS HAVE PROVIDED HCH WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. MARYLAND HOSPITAL ASSOCIATION - $9,958 CATHOLIC HOSPITAL ASSOCIATION - $2,781 AMERICAN HOSPITAL ASSOCIATION - $5,235 PROFESSIONAL ORGANIZATIONS - $23,910 TOTAL - $41,884 ORGANIZATION EMPLOYEES ALSO ENGAGE IN ADVOCACY ON ISSUES RELATED TO HEALTH CARE AND HEALTH CARE PROVIDERS. SUCH ACTIVITIES CONSIST OF WRITTEN AND VERBAL COMMUNICATIONS WITH FEDERAL, STATE AND LOCAL ELECTED OFFICIALS AND GOVERNMENT AGENCIES. HCH ALSO PAID A THIRD PARTY LOBBYING FIRM DURING THE YEAR TO LOBBY FOR OR AGAINST LEGISLATION DETERMINED TO BE OF INTEREST TO HCH. 54184 29767 83951 59668 -5484 54184 58397 1271 59668 50357 8040 58397 42885 7472 50357 1.00000 0 0 493418 493418 615885124 251117432 364767692 192822383 144968978 47853405 136480 5785650 5922130 419036645 COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES 59422479 F EQUITY METHOD INVESTMENTS 97236785 C HEDGE FUNDS 32412262 F 189071526 MISCELLANEOUS RECEIVABLES 648650 INTERCOMPANY ACCOUNTS RECEIVABLE 6070338 INVESTMENT IN UNCONSOL. AFFILIATES 47696643 INTERCOMPANY OTHER LT ASSETS 31504097 OPERATING LEASE RIGHT-OF-USE ASSETS 7152952 OTHER LONG TERM ASSETS 7086960 100159640 INTERCOMPANY ACCOUNTS PAYABLE 16930792 DEFERRED COMPENSATION LIABILITY 1292263 ASSET RETIREMENT OBLIGATION (ASC 410) 412886 OTHER LIABILITIES 11053867 INTERCOMPANY NOTES PAYABLE 379621946 GUARANTEES 1096522 LEASE LIABILITIES 11852184 MEDICARE CASH ADVANCES 40642101 462902561 PART V, LINE 4: THE PURPOSE OF THE LOUIS GALDIERI, M.D. MEMORIAL FUND ENDOWMENT IS TO PROVIDE AN AWARD TO A STUDENT(S) OF THE HOLY CROSS HOSPITAL SCHOOL OF RADIOLOGIC TECHNOLOGY WHO EXEMPLIFIES THE VALUES OF THE SCHOOL THROUGH TEAMWORK, INITIATIVE, CONCERN FOR OTHERS AND SCIENTIFIC CURIOSITY. 1 1 X 1 X 1 X 1 0 1 1 40238419 25045030 15193389 0.02530 136141565 140282654 0 0.00000 176379984 165327684 15193389 0.02530 58 128573 6297653 319650 5978003 0.01000 4 168 3468871 0 3468871 0.00580 11 84809 12287887 1023924 11263963 0.01870 2 946 264303 25475 238828 0.00040 1 0 9321 0 9321 0.00000 76 214496 22328035 1369049 20958986 0.03490 76 214496 198708019 166696733 36152375 0.06020 1 21652993 0 119569064 120913635 -1344571 X 1 1 2 1 HOLY CROSS HOSPITAL 1500 FOREST GLEN ROAD SILVER SPRING MD 20910 WWW.HOLYCROSSHEALTH.ORG MARYLAND LICENSE # 15-016 X X X X 2 HOLY CROSS GERMANTOWN HOSPITAL 19801 OBSERVATION DRIVE GERMANTOWN MD 20876 WWW.HOLYCROSSHEALTH.ORG MARYLAND LICENSE #015-080 X X X X HOLY CROSS HOSPITAL 1 0 0 1 X X X X X X X X X 19 1 1 1 1 X SEE SCHEDULE H, PART V, SECTION C X 1 19 1 SEE SCHEDULE H, PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X SEE SCHEDULE H, PART V, SECTION C X SEE SCHEDULE H, PART V, SECTION C X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 1 X 0 0 HOLY CROSS GERMANTOWN HOSPITAL 2 0 0 1 X X X X X X X X X 19 1 1 1 1 X SEE SCHEDULE H, PART V, SECTION C X 1 19 1 SEE SCHEDULE H, PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X SEE SCHEDULE H, PART V, SECTION C X SEE SCHEDULE H, PART V, SECTION C X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 1 X 0 0 HOLY CROSS HOSPITAL PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E: HOLY CROSS HOSPITAL (HCH) INCLUDED ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS, WHICH WERE IDENTIFIED THROUGH THEIR MOST RECENT CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE CONSIDERED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: 1. SOCIAL DETERMINANTS/INFLUENCERS OF HEALTH A. ACCESS TO CARE B. FOOD INSECURITY C. HOUSING2. VULNERABLE POPULATIONS A. SENIOR POPULATION B. MATERNAL/INFANT POPULATION3. CHRONIC DISEASES A. DIABETES B. CANCERS C. CARDIOVASCULAR HEALTH D. OBESITY E. BEHAVIORAL HEALTH HOLY CROSS GERMANTOWN HOSPITAL PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E: HOLY CROSS GERMANTOWN HOSPITAL (HCGH) INCLUDED ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS, WHICH WERE IDENTIFIED THROUGH THEIR MOST RECENT CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE CONSIDERED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: 1. SOCIAL DETERMINANTS/INFLUENCERS OF HEALTH A. ACCESS TO CARE B. FOOD INSECURITY C. HOUSING2. VULNERABLE POPULATIONS A. SENIOR POPULATION B. MATERNAL/INFANT POPULATION3. CHRONIC DISEASES A. DIABETES B. CANCERS C. CARDIOVASCULAR HEALTH D. OBESITY E. BEHAVIORAL HEALTH HOLY CROSS HOSPITAL PART V, SECTION B, LINE 5: HOLY CROSS HOSPITAL (HCH) HAS CONDUCTED NEEDS ASSESSMENTS FOR ALMOST 20 YEARS, AND HOLY CROSS GERMANTOWN HOSPITAL (HCGH) HAS CONDUCTED NEEDS ASSESSMENTS SINCE IT OPENED IN 2014. BOTH COLLABORATIVELY IDENTIFY UNMET COMMUNITY HEALTH CARE NEEDS IN A VARIETY OF WAYS. FOR THIS CHNA CYCLE, HCH AND HCGH AGAIN COLLABORATED WITH OTHER HEALTH CARE PROVIDERS TO SUPPORT HEALTHY MONTGOMERY, MONTGOMERY COUNTY'S COMMUNITY HEALTH IMPROVEMENT PROCESS. EXPERT GUIDANCE WAS PROVIDED FROM A PANEL OF EXTERNAL PARTICIPANTS WITH EXPERTISE IN PUBLIC HEALTH AND INSIGHT INTO THE NEEDS OF OUR COMMUNITY. FIRST-HAND INFORMATION WAS GATHERED FROM COMMUNITY MEMBERS THROUGH COMMUNITY CONVERSATIONS CONDUCTED IN THE SPRING OF 2019 BY HOLY CROSS HEALTH (COMPRISED OF HCH AND HCGH), HEALTHY MONTGOMERY, AND THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE COMMUNITY NEED INDEX AND OTHER PUBLICLY AVAILABLE REPORTS AND NEEDS ASSESSMENTS WERE REVIEWED TO HELP IDENTIFY THE UNMET NEEDS IN COMMUNITIES THAT WOULD BENEFIT FROM OUR PROGRAMS AND SERVICES. INTERNAL DATA WAS USED TO CONDUCT AN EXTENSIVE ANALYSIS OF DEMOGRAPHICS, HEALTH INDICATORS AND OTHER DETERMINANTS OF HEALTH FOR THOSE SERVED BY HCH AND HCGH.ANNUALLY, HCH AND HCGH INVITE INPUT AND OBTAIN ADVICE FROM A GROUP OF EXTERNAL PARTICIPANTS THAT REPRESENT THE INTERESTS OF THE COMMUNITIES WE SERVE. THIS EXTERNAL REVIEW COMMITTEE REVIEWS OUR COMMUNITY BENEFIT PLAN, ANNUAL WORK PLAN, FOUNDATION/KEY BACKGROUND MATERIAL, AND DATA SUPPLEMENTS TO ADVISE US ON PRIORITY COMMUNITY NEEDS AND THE DIRECTION TO TAKE FOR THE FOLLOWING YEAR. EXTERNAL GROUP PARTICIPANTS INCLUDE THE PUBLIC HEALTH OFFICER AND THE DIRECTOR OF THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES; A VARIETY OF INDIVIDUALS FROM LOCAL AND STATE GOVERNMENTAL AGENCIES; AND LEADERS FROM COMMUNITY-BASED ORGANIZATIONS, FOUNDATIONS, CHURCHES, COLLEGES, COALITIONS, AND ASSOCIATIONS. THESE PARTICIPANTS ARE EXPERTS IN A RANGE OF AREAS, INCLUDING PUBLIC HEALTH, MINORITY POPULATIONS AND HEALTH DISPARITIES, SOCIAL DETERMINANTS OF HEALTH, HEALTH CARE, AND SOCIAL SERVICES. THROUGH GROUP DISCUSSION, THEY PROVIDE INPUT THAT HELPS TO ENSURE THAT WE HAVE IDENTIFIED AND RESPONDED TO THE MOST PRESSING COMMUNITY HEALTH CARE NEEDS.ON JUNE 5, 2019, THE EXTERNAL REVIEW COMMITTEE MET TO PROVIDE INPUT ON EXISTING AND EMERGING COMMUNITY NEEDS FOR THE CURRENT CHNA. A WIDE VARIETY OF ORGANIZATIONS REPRESENTING MULTIPLE COMMUNITIES WITHIN OUR COMMUNITY BENEFIT SERVICE AREA, WERE SOLICITED FOR INPUT. INPUT ON THE NEEDS OF LOW-INCOME, MINORITY, AND SENIOR POPULATIONS WERE PROVIDED BY THE HEALTH OFFICER AND DIRECTOR OF THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, A REPRESENTATIVE FROM THE MONTGOMERY COUNTY HOUSING PARTNERSHIP, AND A REPRESENTATIVE FROM THE MONTGOMERY COUNTY COLLABORATION COUNCIL FOR CHILDREN, YOUTH, AND FAMILIES. EXISTING AND EMERGING NEEDS OF THE MEDICALLY UNDERSERVED AND UNINSURED POPULATIONS WERE PROVIDED BY THE DIRECTOR OF THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, A REPRESENTATIVE FROM THE HOLY CROSS HEALTH CENTER - ASPEN HILL, AND BY A REPRESENTATIVE FROM THE MENTAL HEALTH ASSOCIATION OF MONTGOMERY COUNTY. INFORMATION ON THE BROADER NEEDS OF THE COMMUNITY WE SERVE WAS PROVIDED BY REPRESENTATIVES FROM THE MONTGOMERY COUNTY FOOD COUNCIL, THE NEXUS MONTGOMERY REGIONAL PARTNERSHIP, THE HEALTH CARE INITIATIVE FOUNDATION, THE MONTGOMERY COUNTY COUNCIL, AND THE SILVER SPRING VILLAGE. HOLY CROSS GERMANTOWN HOSPITAL PART V, SECTION B, LINE 5: HOLY CROSS HOSPITAL (HCH) HAS CONDUCTED NEEDS ASSESSMENTS FOR ALMOST 20 YEARS, AND HOLY CROSS GERMANTOWN HOSPITAL (HCGH) HAS CONDUCTED NEEDS ASSESSMENTS SINCE IT OPENED IN 2014. BOTH COLLABORATIVELY IDENTIFY UNMET COMMUNITY HEALTH CARE NEEDS IN A VARIETY OF WAYS. FOR THIS CHNA CYCLE, HCH AND HCGH AGAIN COLLABORATED WITH OTHER HEALTH CARE PROVIDERS TO SUPPORT HEALTHY MONTGOMERY, MONTGOMERY COUNTY'S COMMUNITY HEALTH IMPROVEMENT PROCESS. EXPERT GUIDANCE WAS PROVIDED FROM A PANEL OF EXTERNAL PARTICIPANTS WITH EXPERTISE IN PUBLIC HEALTH AND INSIGHT INTO THE NEEDS OF OUR COMMUNITY. FIRST-HAND INFORMATION WAS GATHERED FROM COMMUNITY MEMBERS THROUGH COMMUNITY CONVERSATIONS CONDUCTED IN THE SPRING OF 2019 BY HOLY CROSS HEALTH (COMPRISED OF HCH AND HCGH), HEALTHY MONTGOMERY, AND THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE COMMUNITY NEED INDEX AND OTHER PUBLICLY AVAILABLE REPORTS AND NEEDS ASSESSMENTS WERE REVIEWED TO HELP IDENTIFY THE UNMET NEEDS IN COMMUNITIES THAT WOULD BENEFIT FROM OUR PROGRAMS AND SERVICES. INTERNAL DATA WAS USED TO CONDUCT AN EXTENSIVE ANALYSIS OF DEMOGRAPHICS, HEALTH INDICATORS AND OTHER DETERMINANTS OF HEALTH FOR THOSE SERVED BY HCH AND HCGH.ANNUALLY, HCH AND HCGH INVITE INPUT AND OBTAIN ADVICE FROM A GROUP OF EXTERNAL PARTICIPANTS THAT REPRESENT THE INTERESTS OF THE COMMUNITIES WE SERVE. THIS EXTERNAL REVIEW COMMITTEE REVIEWS OUR COMMUNITY BENEFIT PLAN, ANNUAL WORK PLAN, FOUNDATION/KEY BACKGROUND MATERIAL, AND DATA SUPPLEMENTS TO ADVISE US ON PRIORITY COMMUNITY NEEDS AND THE DIRECTION TO TAKE FOR THE FOLLOWING YEAR. EXTERNAL GROUP PARTICIPANTS INCLUDE THE PUBLIC HEALTH OFFICER AND THE DIRECTOR OF THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES; A VARIETY OF INDIVIDUALS FROM LOCAL AND STATE GOVERNMENTAL AGENCIES; AND LEADERS FROM COMMUNITY-BASED ORGANIZATIONS, FOUNDATIONS, CHURCHES, COLLEGES, COALITIONS, AND ASSOCIATIONS. THESE PARTICIPANTS ARE EXPERTS IN A RANGE OF AREAS, INCLUDING PUBLIC HEALTH, MINORITY POPULATIONS AND HEALTH DISPARITIES, SOCIAL DETERMINANTS OF HEALTH, HEALTH CARE, AND SOCIAL SERVICES. THROUGH GROUP DISCUSSION, THEY PROVIDE INPUT THAT HELPS TO ENSURE THAT WE HAVE IDENTIFIED AND RESPONDED TO THE MOST PRESSING COMMUNITY HEALTH CARE NEEDS.ON JUNE 5, 2019, THE EXTERNAL REVIEW COMMITTEE MET TO PROVIDE INPUT ON EXISTING AND EMERGING COMMUNITY NEEDS FOR THE CURRENT CHNA. A WIDE VARIETY OF ORGANIZATIONS REPRESENTING MULTIPLE COMMUNITIES WITHIN OUR COMMUNITY BENEFIT SERVICE AREA, WERE SOLICITED FOR INPUT. INPUT ON THE NEEDS OF LOW-INCOME, MINORITY, AND SENIOR POPULATIONS WERE PROVIDED BY THE HEALTH OFFICER AND DIRECTOR OF THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, A REPRESENTATIVE FROM THE MONTGOMERY COUNTY HOUSING PARTNERSHIP, AND A REPRESENTATIVE FROM THE MONTGOMERY COUNTY COLLABORATION COUNCIL FOR CHILDREN, YOUTH, AND FAMILIES. EXISTING AND EMERGING NEEDS OF THE MEDICALLY UNDERSERVED AND UNINSURED POPULATIONS WERE PROVIDED BY THE DIRECTOR OF THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, A REPRESENTATIVE FROM THE HOLY CROSS HEALTH CENTER - ASPEN HILL, AND BY A REPRESENTATIVE FROM THE MENTAL HEALTH ASSOCIATION OF MONTGOMERY COUNTY. INFORMATION ON THE BROADER NEEDS OF THE COMMUNITY WE SERVE WAS PROVIDED BY REPRESENTATIVES FROM THE MONTGOMERY COUNTY FOOD COUNCIL, THE NEXUS MONTGOMERY REGIONAL PARTNERSHIP, THE HEALTH CARE INITIATIVE FOUNDATION, THE MONTGOMERY COUNTY COUNCIL, AND THE SILVER SPRING VILLAGE. HOLY CROSS HOSPITAL PART V, SECTION B, LINE 6A: AS A MEMBER OF HEALTHY MONTGOMERY, MONTGOMERY COUNTY'S COMMUNITY HEALTH IMPROVEMENT PROCESS, HOLY CROSS HOSPITAL CONDUCTED ITS CHNA WITH THE FOLLOWING HOSPITAL FACILITIES: HOLY CROSS GERMANTOWN HOSPITAL, SUBURBAN HOSPITAL, MEDSTAR MONTGOMERY MEDICAL CENTER, ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER (FORMERLY WASHINGTON ADVENTIST HOSPITAL), AND SHADY GROVE ADVENTIST HOSPITAL. HOLY CROSS GERMANTOWN HOSPITAL PART V, SECTION B, LINE 6A: AS A MEMBER OF HEALTHY MONTGOMERY, MONTGOMERY COUNTY'S COMMUNITY HEALTH IMPROVEMENT PROCESS, HOLY CROSS GERMANTOWN HOSPITAL CONDUCTED ITS CHNA WITH THE FOLLOWING HOSPITAL FACILITIES: HOLY CROSS HOSPITAL, SUBURBAN HOSPITAL, MEDSTAR MONTGOMERY MEDICAL CENTER, ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER (FORMERLY WASHINGTON ADVENTIST HOSPITAL), AND SHADY GROVE ADVENTIST HOSPITAL. HOLY CROSS HOSPITAL PART V, SECTION B, LINE 6B: AS MEMBERS OF HEALTHY MONTGOMERY, MONTGOMERY COUNTY'S COMMUNITY HEALTH IMPROVEMENT PROCESS, HOLY CROSS HOSPITAL AND HOLY CROSS GERMANTOWN HOSPITAL CONDUCTED THEIR CHNAS WITH THE FOLLOWING ORGANIZATIONS: MANNA FOOD SERVICES, MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, HOUSE OF DELEGATES, MARYLAND GENERAL ASSEMBLY, KAISER PERMANENTE, PRIMARY CARE COALITION OF MONTGOMERY COUNTY, MONTGOMERY COUNTY DEPARTMENT OF PLANNING, CAREFIRST BLUE CROSS BLUE SHIELD, AFRICAN AMERICAN HEALTH PROGRAM, ASIAN AMERICAN HEALTH INITIATIVE, PROYECTO SALUD HEALTH CENTER, LATINO HEALTH INITIATIVE, MONTGOMERY COUNTY PUBLIC SCHOOLS, MONTGOMERY COUNTY RECREATION DEPARTMENT, GEORGETOWN UNIVERSITY SCHOOL OF NURSING AND HEALTH STUDIES, MONTGOMERY COUNTY DEPARTMENT OF TRANSPORTATION, RONALD D PAUL COMPANIES, MONTGOMERY PARKS, MONTGOMERY COUNTY COLLABORATION, AND DEPARTMENT OF HOUSING AND COMMUNITY AFFAIRS. HOLY CROSS GERMANTOWN HOSPITAL PART V, SECTION B, LINE 6B: AS MEMBERS OF HEALTHY MONTGOMERY, MONTGOMERY COUNTY'S COMMUNITY HEALTH IMPROVEMENT PROCESS, HOLY CROSS HOSPITAL AND HOLY CROSS GERMANTOWN HOSPITAL CONDUCTED THEIR CHNAS WITH THE FOLLOWING ORGANIZATIONS: MANNA FOOD SERVICES, MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, HOUSE OF DELEGATES, MARYLAND GENERAL ASSEMBLY, KAISER PERMANENTE, PRIMARY CARE COALITION OF MONTGOMERY COUNTY, MONTGOMERY COUNTY DEPARTMENT OF PLANNING, CAREFIRST BLUE CROSS BLUE SHIELD, AFRICAN AMERICAN HEALTH PROGRAM, ASIAN AMERICAN HEALTH INITIATIVE, PROYECTO SALUD HEALTH CENTER, LATINO HEALTH INITIATIVE, MONTGOMERY COUNTY PUBLIC SCHOOLS, MONTGOMERY COUNTY RECREATION DEPARTMENT, GEORGETOWN UNIVERSITY SCHOOL OF NURSING AND HEALTH STUDIES, MONTGOMERY COUNTY DEPARTMENT OF TRANSPORTATION, RONALD D PAUL COMPANIES, MONTGOMERY PARKS, MONTGOMERY COUNTY COLLABORATION, AND DEPARTMENT OF HOUSING AND COMMUNITY AFFAIRS. HOLY CROSS HOSPITAL PART V, SECTION B, LINE 11: HOLY CROSS HOSPITAL ADDRESSES THE UNMET NEEDS OF OUR COMMUNITY, IN ACCORDANCE WITH OUR MISSION AND IN ALIGNMENT WITH THE GOALS OF HEALTHY MONTGOMERY, OUR EXTERNAL REVIEW GROUP.KEY FINDINGS FROM ALL DATA SOURCES WERE REVIEWED, AND THE MOST PRESSING NEEDS WERE INCORPORATED INTO AN IMPLEMENTATION STRATEGY. THIS MULTI-YEAR IMPLEMENTATION STRATEGY ADDRESSES THE MOST VULNERABLE AND UNDERSERVED INDIVIDUALS AND FAMILIES. THE FOLLOWING LIST OF PROGRAMS DESCRIBES HOW HCH IS ADDRESSING EACH NEED:ACCESS TO HEALTH CARE: SINCE OPENING IN FISCAL YEAR 2004, THE HOLY CROSS HEALTH CENTERS, LOCATED IN ASPEN HILL, GAITHERSBURG, GERMANTOWN, AND SILVER SPRING, HAVE PROVIDED MORE THAN 200,000 PATIENT VISITS. THESE PRIMARY CARE SITES SERVE LOW-INCOME PATIENTS WHO ARE UNINSURED OR ARE ENROLLED IN MARYLAND PHYSICIANS CARE, A MARYLAND MEDICAID MANAGED CARE ORGANIZATION. IN FISCAL YEAR 2021 (FY21), THERE WERE 40,634 PATIENT VISITS AT THE FOUR HEALTH CENTERS. HOUSING: IN FY21, HOLY CROSS HEALTH PROVIDED FUNDS TO SUPPORT HUMAN RESOURCE'S PATHWAYS TO INDEPENDENT EMPLOYMENT PROGRAM. THE PROGRAM WORKS WITH COMMUNITY AND GOVERNMENTAL ORGANIZATIONS TO HIRE INDIVIDUALS WHO ARE TRYING TO BREAK FROM THE CYCLE OF POVERTY CAUSED BY LACK OF ECONOMIC OPPORTUNITY, LACK OF EDUCATION/SKILLS, AND/OR PRIOR LEGAL OFFENSES. WE ALSO WORK WITH COMMUNITY-BASED ORGANIZATIONS AND HOUSING PARTNERS TO INCORPORATE HEALTH AND WELLNESS INTO SENIOR AND LOW-INCOME HOUSING TO CREATE AN ENVIRONMENT THAT FOCUSES ON WHOLE PERSON CARE. ADDITIONALLY, HCH ADVOCATES FOR AFFORDABLE HOUSING ON A COUNTY AND STATE LEVEL AND JOINS TRINITY HEALTH, PARENT COMPANY OF HOLY CROSS HEALTH, TO ADVOCATE FOR POLICY CHANGES IN AFFORDABLE HOUSING ON A NATIONAL LEVEL.MATERNAL AND INFANT HEALTH: SINCE 1999, THOUSANDS OF PATIENTS HAVE BEEN ENTRUSTED TO OUR CARE THROUGH THE MATERNITY PARTNERSHIP PROGRAM, A COLLABORATIVE AGREEMENT BETWEEN HCH AND THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, TO PROVIDE MATERNITY SERVICES TO PATIENTS IN NEED, REGARDLESS OF THEIR ABILITY TO PAY. IN FY21, THROUGH THIS PARTNERSHIP, HCH OFFERED PRENATAL SERVICES TO 733 LOW-INCOME, PREGNANT WOMEN WHO LACKED HEALTH INSURANCE. IN 2019, HOLY CROSS ALSO IMPLEMENTED A PROCESS TO LINK UNINSURED MATERNITY PARTNERSHIP PATIENTS TO PRIMARY CARE SERVICES FOR NEWBORNS AT THE HEALTH CENTER IN GERMANTOWN, WITH 69 UNIQUE NEWBORNS SEEN IN FY21.SENIORS: HOLY CROSS PARTNERED WITH MULTIPLE GOVERNMENT, COMMUNITY, AND FAITH-BASED ORGANIZATIONS AND BUSINESSES, TO OFFER AN ARRAY OF OPTIONS IN GEOGRAPHICALLY ACCESSIBLE AREAS THROUGHOUT OUR SERVICE AREA TO HELP OLDER ADULTS MAINTAIN INDEPENDENCE, DECREASE ISOLATION, AND ENHANCE QUALITY OF LIFE. IN MARCH 2020, WITH THE ONSET OF COVID-19, ALMOST ALL CLASSES WERE MOVED TO A VIRTUAL SETTING USING THE WEBEX PLATFORM. IN FY21, OUR VIRTUAL CLASSES HAD 9,374 ENCOUNTERS. CARDIOVASCULAR HEALTH: SENIOR FIT, A FREE 45-MINUTE EXERCISE PROGRAM FOR SENIORS AGED 55 AND OVER, PROVIDES AGE-APPROPRIATE EXERCISE CLASSES. IN FY21, SENIOR FIT CLASSES REMAINED VIRTUAL, AND THE AVERAGE WEEKLY ATTENDANCE WAS 1,192 PARTICIPANTS, WITH TOTAL VIRTUAL ENCOUNTERS FOR THE FISCAL YEAR AT 45,677. COMMUNITY-BASED CARDIOVASCULAR EDUCATION WAS PROVIDED VIRTUALLY TO 361 INDIVIDUALS. THE STANFORD UNIVERSITY CHRONIC DISEASE SELF-MANAGEMENT PROGRAM WAS ALSO TRANSITIONED TO A VIRTUAL PLATFORM AND HAD 495 ENCOUNTERS IN FY21 WITH 81% OF PARTICIPANTS COMPLETING THE PROGRAM.DIABETES: THE DIABETES PREVENTION PROGRAM (DPP) IS A 12-MONTH LIFESTYLE MODIFICATION PROGRAM THAT OFFERS NUTRITIONAL GUIDANCE, EXERCISE SESSIONS, AND SUPPORT TO HELP PREVENT OR DELAY THE ONSET OF DIABETES. PARTICIPANTS RECEIVE TOOLS TO HELP THEM MONITOR ACTIVITY PATTERNS, EATING HABITS, AND PHYSICAL ACTIVITY TO ASSIST THEM IN ACHIEVING SUCCESS. DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT (DSME/S) HAS BEEN SHOWN TO BE COST-EFFECTIVE BY REDUCING HOSPITAL ADMISSIONS AND READMISSIONS AS WELL AS ESTIMATED LIFETIME HEALTH CARE COSTS RELATED TO A LOWER RISK FOR COMPLICATIONS. IN FY21, THE NEXUS MONTGOMERY REGIONAL PARTNERSHIP (NMRP), OF WHICH HOLY CROSS HEALTH IS A MEMBER, RECEIVED FUNDING TO EXPAND DIABETES EDUCATION FOR MEDICARE AND MEDICAID BENEFICIARIES. THROUGH THIS FUNDING, NMRP WAS ABLE TO INCORPORATE DPP AND DSME/S REFERRALS INTO MARYLAND'S DESIGNATED HEALTH INFORMATION EXCHANGE, CRISP, AND EDUCATE PROVIDERS ON THE REFERRAL PROCESS. THE NEW PROCESS WILL ASSIST IN EXPANDING HCH'S DPP AND DSME/S PROGRAMS AND INCREASE PARTICIPANT ENROLLMENT. IN FY21, HCH OFFERED 3 DPP COHORTS AND 6 DMSE/S COHORTS. THE DSME/S HAD 363 VIRTUAL ENCOUNTERS AND DPP, ALSO HELD VIRTUALLY, ENROLLED 23 COMMUNITY MEMBERS. THE COMBINED COHORTS HAD AN AVERAGE WEIGHT LOSS OF 9.7% AT 12 MONTHS. IN ADDITION TO DSME/S, HOLY CROSS ALSO OFFERED THE STANFORD UNIVERSITY'S DIABETES SELF-MANAGEMENT PROGRAM (DSMP) IN ENGLISH AND SPANISH. ALL DSMP CLASSES WERE HELD VIRTUALLY AND THERE WERE 422 ENCOUNTERS WITH 79% OF PARTICIPANTS COMPLETING THE CLASS. BEHAVIORAL HEALTH: TO MEET THE GROWING NEED IN MONTGOMERY AND PRINCE GEORGE'S COUNTIES, BEHAVIORAL HEALTH SERVICES HAVE BEEN INCORPORATED INTO ALL FOUR OF OUR HOLY CROSS HEALTH CENTERS. IN FY21, THE HOLY CROSS HEALTH CENTERS HAD 776 BEHAVIORAL HEALTH VISITS AND 206 SOCIAL WORK VISITS AND DEPRESSION SCREENINGS WERE PERFORMED AT 94.9% OF THE PRIMARY CARE VISITS TO THE HEALTH CENTERS. IN ADDITION, HOLY CROSS ALSO IMPLEMENTED AN EVIDENCE-BASED PROGRAM TO PROVIDE NON-PHARMACEUTICAL PAIN MANAGEMENT SKILLS TO PARTICIPANTS DEALING WITH CHRONIC PAIN. STANFORD UNIVERSITY'S CHRONIC PAIN-SELF MANAGEMENT PROGRAM (CPSMP) IS DESIGNED TO HELP INDIVIDUALS BETTER MANAGE THEIR PAIN, DECREASE DEPRESSION AND IMPROVE MENTAL HEALTH, AND INCREASE LIFE SATISFACTION. IN FY21, CPSMP HAD 359 VIRTUAL ENCOUNTERS WITH 71% OF PARTICIPANTS COMPLETING THE PROGRAM.CANCERS: HOLY CROSS OFFERS BREAST CANCER EDUCATION, INFORMATION ON BREAST SELF-EXAMS, AND LINKS TO MAMMOGRAM SERVICES FOR UNINSURED/UNDERINSURED WOMEN IN MONTGOMERY AND PRINCE GEORGE'S COUNTIES. IN FY21, 321 SCREENING MAMMOGRAMS AND 334 DIAGNOSTIC MAMMOGRAMS WERE COMPLETED FOR HEALTH CENTER PATIENTS. THERE WERE 3,435 OUTREACH AND EDUCATION ENCOUNTERS ON CANCER PREVENTION PROVIDED VIRTUALLY AND IN PERSON AT COMMUNITY BARBERSHOPS. SMOKING CESSATION ENCOUNTERS, VIA VIRTUAL OUTREACH AND VIRTUAL FREEDOM FROM SMOKING CLASSES, TOTALED 1,062. WE ALSO DISTRIBUTED 235 COLORECTAL CANCER SCREENING KITS THROUGH OUR MC NEXT GENERATION WELLNESS PROGRAM.OBESITY: ALL PROGRAMS DIRECTLY ADDRESSING OBESITY WERE PAUSED DUE TO THE COVID-19 PANDEMIC, THEREFORE THIS NEED WAS NOT DIRECTLY ADDRESSED IN FY21.FOOD INSECURITY: IN 2019, HCH EMBARKED ON A THREE-YEAR INITIATIVE TO ADDRESS FOOD INSECURITY IN MONTGOMERY COUNTY. THE GOAL OF THE INITIATIVE IS TO REDUCE THE OVERALL FOOD INSECURITY RATE OF THE COUNTY FROM 7% TO 5.5% BY YEAR THREE OF THE PROJECT. THE INITIATIVE BUILDS PARTNERSHIPS IN THE COMMUNITY TO ADDRESS THE FOLLOWING FOUR PILLARS OF FOOD INSECURITY:PILLAR #1: USE AND UTILIZATION - CHOOSE, PREPARE AND STORE FOOD. HOLY CROSS'S "MOBILE KITCHEN" UNIT PROVIDES PROGRAMMING IN OUR COMMUNITY THAT FOCUSES ON FOOD LITERACY, PRACTICAL COOKING SKILLS, AND MEAL PLANNING. DUE TO THE COVID-19 PANDEMIC IN-PERSON CLASSES WERE NOT HELD; HOWEVER, THE MOBILE KITCHEN WAS USED TO PROVIDE EDUCATION THROUGH VIDEO VIGNETTES SHARED ON SOCIAL MEDIA. PILLAR #2: ACCESSIBILITY - SUFFICIENT RESOURCES TO PRODUCE AND/OR PURCHASE FOOD. A COLLEAGUE NEEDS ASSESSMENT AND REFERRAL PROGRAM WAS ESTABLISHED TO ADDRESS ACCESS TO CARE, FOOD INSECURITY AND HOUSING ISSUES OF HCH COLLEAGUES. APPROXIMATELY 800 COLLEAGUES WERE ASSESSED, WITH 329 COLLEAGUES IDENTIFYING AS HAVING ONE OR MORE NEEDS. NINETY PERCENT (296) OF COLLEAGUES WITH AN IDENTIFIED NEED WERE CONNECTED TO A COMMUNITY HEALTH WORKER AND RECEIVED ASSISTANCE.PILLAR #3: AVAILABILITY - CONSISTENT SOURCE OF QUALITY FOOD. DURING FY21, WE CONDUCTED EIGHTEEN COMMUNITY/COLLEAGUE FOOD DISTRIBUTIONS AND PROVIDED 1,927 FOOD PACKAGES TO 1,775 FOOD INSECURE COMMUNITY MEMBERS AND COLLEAGUES. WE ALSO PARTNERED WITH FAITH-BASED ORGANIZATIONS TO PROVIDE FACE MASKS AND COVID-19 EDUCATION AT TWO COMMUNITY FOOD DISTRIBUTION EVENTS SERVING MORE THAN 1,500 COMMUNITY MEMBERS.PILLAR #4: STABILITY - POLICIES, WEATHER CONDITIONS, EMPLOYMENT AND ECONOMIC FACTORS IMPACTING FOOD STABILITY. FIVE MEMBERS OF THE HOLY CROSS COMMUNITY HEALTH DEPARTMENT ARE ACTIVE ON THE MONTGOMERY COUNTY FOOD COUNCIL, WITH ONE MEMBER ON THE BOARD OF DIRECTORS, TO SUPPORT THE FOOD COUNCIL IN OFFERING RECOMMENDATIONS AND GUIDING FUTURE RESEARCH, ANALYSIS, AND POLICY ACTIONS THAT WORK TOWARD ENHANCING FOOD SECURITY IN MONTGOMERY COUNTY. HOLY CROSS GERMANTOWN HOSPITAL PART V, SECTION B, LINE 11: HOLY CROSS GERMANTOWN HOSPITAL (HCGH) ADDRESSES THE UNMET NEEDS OF OUR COMMUNITY, IN ACCORDANCE WITH OUR MISSION AND IN ALIGNMENT WITH THE GOALS OF HEALTHY MONTGOMERY, OUR EXTERNAL REVIEW GROUP.KEY FINDINGS FROM ALL DATA SOURCES WERE REVIEWED, AND THE MOST PRESSING NEEDS WERE INCORPORATED INTO AN IMPLEMENTATION STRATEGY. THIS MULTI-YEAR IMPLEMENTATION STRATEGY ADDRESSES THE MOST VULNERABLE AND UNDERSERVED INDIVIDUALS AND FAMILIES. THE FOLLOWING LIST OF PROGRAMS DESCRIBES HOW HCGH IS ADDRESSING EACH NEED:ACCESS TO HEALTH CARE: SINCE OPENING IN FISCAL YEAR 2004, THE HOLY CROSS HEALTH CENTERS, LOCATED IN ASPEN HILL, GAITHERSBURG, GERMANTOWN, AND SILVER SPRING, HAVE PROVIDED MORE THAN 200,000 PATIENT VISITS. THESE PRIMARY CARE SITES SERVE LOW-INCOME PATIENTS WHO ARE UNINSURED OR ARE ENROLLED IN MARYLAND PHYSICIANS CARE, A MARYLAND MEDICAID MANAGED CARE ORGANIZATION. IN FY21, THERE WERE 40,634 PATIENT VISITS AT THE FOUR HEALTH CENTERS AND 435 NEW OB/GYN ADMISSIONS AT HOLY CROSS GERMANTOWN HOSPITAL'S OB/GYN CLINIC. HOUSING: IN FY21, HOLY CROSS HEALTH PROVIDED FUNDS TO SUPPORT HUMAN RESOURCE'S PATHWAYS TO INDEPENDENT EMPLOYMENT PROGRAM. THE PROGRAM WORKS WITH COMMUNITY AND GOVERNMENTAL ORGANIZATIONS TO HIRE INDIVIDUALS WHO ARE TRYING TO BREAK FROM THE CYCLE OF POVERTY CAUSED BY LACK OF ECONOMIC OPPORTUNITY, LACK OF EDUCATION/SKILLS, AND/OR PRIOR LEGAL OFFENSES. WE ALSO WORK WITH COMMUNITY-BASED ORGANIZATIONS AND HOUSING PARTNERS TO INCORPORATE HEALTH AND WELLNESS INTO SENIOR AND LOW-INCOME HOUSING TO CREATE AN ENVIRONMENT THAT FOCUSES ON WHOLE PERSON CARE. ADDITIONALLY, HCH ADVOCATES FOR AFFORDABLE HOUSING ON A COUNTY AND STATE LEVEL AND JOINS TRINITY HEALTH, PARENT COMPANY OF HOLY CROSS HEALTH, TO ADVOCATE FOR POLICY CHANGES IN AFFORDABLE HOUSING ON A NATIONAL LEVEL.MATERNAL AND INFANT HEALTH: SINCE 1999, THOUSANDS OF PATIENTS HAVE BEEN ENTRUSTED TO OUR CARE THROUGH THE MATERNITY PARTNERSHIP PROGRAM, A COLLABORATIVE AGREEMENT BETWEEN HCH AND THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, TO PROVIDE MATERNITY SERVICES TO PATIENTS IN NEED, REGARDLESS OF THEIR ABILITY TO PAY. IN FY21, THROUGH THIS PARTNERSHIP, HCH OFFERED PRENATAL SERVICES TO 733 LOW-INCOME, PREGNANT WOMEN WHO LACKED HEALTH INSURANCE. IN 2019, HOLY CROSS ALSO IMPLEMENTED A PROCESS TO LINK UNINSURED MATERNITY PARTNERSHIP PATIENTS TO PRIMARY CARE SERVICES FOR NEWBORNS AT THE HEALTH CENTER IN GERMANTOWN, WITH 69 UNIQUE NEWBORNS SEEN IN FY21.SENIORS: HOLY CROSS PARTNERED WITH MULTIPLE GOVERNMENT, COMMUNITY, AND FAITH-BASED ORGANIZATIONS AND BUSINESSES, TO OFFER AN ARRAY OF OPTIONS IN GEOGRAPHICALLY ACCESSIBLE AREAS THROUGHOUT OUR SERVICE AREA TO HELP OLDER ADULTS MAINTAIN INDEPENDENCE, DECREASE ISOLATION, AND ENHANCE QUALITY OF LIFE. IN MARCH 2020, WITH THE ONSET OF COVID-19, ALMOST ALL CLASSES WERE MOVED TO A VIRTUAL SETTING USING THE WEBEX PLATFORM. IN FY21, OUR VIRTUAL CLASSES HAD 9,374 ENCOUNTERS.CARDIOVASCULAR HEALTH: SENIOR FIT, A FREE 45-MINUTE EXERCISE PROGRAM FOR SENIORS AGED 55 AND OVER, PROVIDES AGE-APPROPRIATE EXERCISE CLASSES. IN FY21, SENIOR FIT CLASSES REMAINED VIRTUAL, AND THE AVERAGE WEEKLY ATTENDANCE WAS 1,192 PARTICIPANTS, WITH TOTAL VIRTUAL ENCOUNTERS FOR THE FISCAL YEAR AT 45,677. COMMUNITY-BASED CARDIOVASCULAR EDUCATION WAS PROVIDED VIRTUALLY TO 361 INDIVIDUALS. THE STANFORD UNIVERSITY CHRONIC DISEASE SELF-MANAGEMENT PROGRAM WAS ALSO TRANSITIONED TO A VIRTUAL PLATFORM AND HAD 495 ENCOUNTERS IN FY21 WITH 81% OF PARTICIPANTS COMPLETING THE PROGRAM.DIABETES: THE DIABETES PREVENTION PROGRAM (DPP) IS A 12-MONTH LIFESTYLE MODIFICATION PROGRAM THAT OFFERS NUTRITIONAL GUIDANCE, EXERCISE SESSIONS, AND SUPPORT TO HELP PREVENT OR DELAY THE ONSET OF DIABETES. PARTICIPANTS RECEIVE TOOLS TO HELP THEM MONITOR ACTIVITY PATTERNS, EATING HABITS, AND PHYSICAL ACTIVITY TO ASSIST THEM IN ACHIEVING SUCCESS. DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT (DSME/S) HAS BEEN SHOWN TO BE COST-EFFECTIVE BY REDUCING HOSPITAL ADMISSIONS AND READMISSIONS AS WELL AS ESTIMATED LIFETIME HEALTH CARE COSTS RELATED TO A LOWER RISK FOR COMPLICATIONS. IN FY21 THE NEXUS MONTGOMERY REGIONAL PARTNERSHIP (NMRP), OF WHICH HOLY CROSS HEALTH IS A MEMBER, RECEIVED FUNDING TO EXPAND DIABETES EDUCATION FOR MEDICARE AND MEDICAID BENEFICIARIES. THROUGH THIS FUNDING, NMRP WAS ABLE TO INCORPORATE DPP AND DSME/S REFERRALS INTO MARYLAND'S DESIGNATED HEALTH INFORMATION EXCHANGE, CRISP, AND EDUCATE PROVIDERS ON THE REFERRAL PROCESS. THE NEW PROCESS WILL ASSIST IN EXPANDING HCH'S DPP AND DSME/S PROGRAMS AND INCREASE PARTICIPANT ENROLLMENT. IN FY21, HCH OFFERED 3 DPP COHORTS AND 6 DMSE/S COHORTS. THE DSME/S HAD 363 VIRTUAL ENCOUNTERS AND DPP, ALSO HELD VIRTUALLY, ENROLLED 23 COMMUNITY MEMBERS. THE COMBINED COHORTS HAD AN AVERAGE WEIGHT LOSS OF 9.7% AT 12 MONTHS. IN ADDITION TO DSME/S, HOLY CROSS ALSO OFFERED THE STANFORD UNIVERSITY'S DIABETES SELF-MANAGEMENT PROGRAM (DSMP) IN ENGLISH AND SPANISH. ALL DSMP CLASSES WERE HELD VIRTUALLY AND THERE WERE 422 ENCOUNTERS WITH 79% OF PARTICIPANTS COMPLETING THE CLASS.BEHAVIORAL HEALTH: TO MEET THE GROWING NEED IN MONTGOMERY AND PRINCE GEORGE'S COUNTIES, BEHAVIORAL HEALTH SERVICES HAVE BEEN INCORPORATED INTO ALL FOUR OF OUR HOLY CROSS HEALTH CENTERS. IN FY21, THE HOLY CROSS HEALTH CENTERS HAD 776 BEHAVIORAL HEALTH VISITS AND 206 SOCIAL WORK VISITS AND DEPRESSION SCREENINGS WERE PERFORMED AT 94.9% OF THE PRIMARY CARE VISITS TO THE HEALTH CENTERS. IN ADDITION, HOLY CROSS ALSO IMPLEMENTED AN EVIDENCE-BASED PROGRAM TO PROVIDE NON-PHARMACEUTICAL PAIN MANAGEMENT SKILLS TO PARTICIPANTS DEALING WITH CHRONIC PAIN. STANFORD UNIVERSITY'S CHRONIC PAIN-SELF MANAGEMENT PROGRAM (CPSMP) IS DESIGNED TO HELP INDIVIDUALS BETTER MANAGE THEIR PAIN, DECREASE DEPRESSION AND IMPROVE MENTAL HEALTH, AND INCREASE LIFE SATISFACTION. IN FY21, CPSMP HAD 359 VIRTUAL ENCOUNTERS WITH 71% OF PARTICIPANTS COMPLETING THE PROGRAM.CANCERS: HOLY CROSS OFFERS BREAST CANCER EDUCATION, INFORMATION ON BREAST SELF-EXAMS, AND LINKS TO MAMMOGRAM SERVICES FOR UNINSURED/UNDERINSURED WOMEN IN MONTGOMERY AND PRINCE GEORGE'S COUNTIES. IN FY21, 321 SCREENING MAMMOGRAMS AND 334 DIAGNOSTIC MAMMOGRAMS WERE COMPLETED FOR HEALTH CENTER PATIENTS. THERE WERE 3,435 OUTREACH AND EDUCATION ENCOUNTERS ON CANCER PREVENTION PROVIDED VIRTUALLY AND IN PERSON AT COMMUNITY BARBERSHOPS. SMOKING CESSATION ENCOUNTERS, VIA VIRTUAL OUTREACH AND VIRTUAL FREEDOM FROM SMOKING CLASSES, TOTALED 1,062. WE ALSO DISTRIBUTED 235 COLORECTAL CANCER SCREENING KITS THROUGH OUR MC NEXT GENERATION WELLNESS PROGRAM.OBESITY: ALL PROGRAMS DIRECTLY ADDRESSING OBESITY WERE PAUSED DUE TO THE COVID-19 PANDEMIC, THEREFORE THIS NEED WAS NOT DIRECTLY ADDRESSED IN FY21.FOOD INSECURITY: IN 2019, HCH EMBARKED ON A THREE-YEAR INITIATIVE TO ADDRESS FOOD INSECURITY IN MONTGOMERY COUNTY. THE GOAL OF THE INITIATIVE IS TO REDUCE THE OVERALL FOOD INSECURITY RATE OF THE COUNTY FROM 7% TO 5.5% BY YEAR THREE OF THE PROJECT. THE INITIATIVE BUILDS PARTNERSHIPS IN THE COMMUNITY TO ADDRESS THE FOLLOWING FOUR PILLARS OF FOOD INSECURITY:PILLAR #1: USE AND UTILIZATION - CHOOSE, PREPARE AND STORE FOOD. HOLY CROSS'S "MOBILE KITCHEN" UNIT PROVIDES PROGRAMMING IN OUR COMMUNITY THAT FOCUSES ON FOOD LITERACY, PRACTICAL COOKING SKILLS, AND MEAL PLANNING. DUE TO THE COVID-19 PANDEMIC IN-PERSON CLASSES WERE NOT HELD; HOWEVER, THE MOBILE KITCHEN WAS USED TO PROVIDE EDUCATION THROUGH VIDEO VIGNETTES SHARED ON SOCIAL MEDIA. PILLAR #2: ACCESSIBILITY - SUFFICIENT RESOURCES TO PRODUCE AND/OR PURCHASE FOOD. A COLLEAGUE NEEDS ASSESSMENT AND REFERRAL PROGRAM WAS ESTABLISHED TO ADDRESS ACCESS TO CARE, FOOD INSECURITY AND HOUSING ISSUES OF HCH COLLEAGUES. APPROXIMATELY 800 COLLEAGUES WERE ASSESSED, WITH 329 COLLEAGUES IDENTIFYING AS HAVING ONE OR MORE NEEDS. NINETY PERCENT (296) OF COLLEAGUES WITH AN IDENTIFIED NEED WERE CONNECTED TO A COMMUNITY HEALTH WORKER AND RECEIVED ASSISTANCE. IN FY21, ADDITIONAL FUNDING WAS SECURED TO IMPLEMENT THE CREATION OF A COMMUNITY GARDEN, TO COMPLEMENT THE GREENHOUSE.PILLAR #3: AVAILABILITY - CONSISTENT SOURCE OF QUALITY FOOD. DURING FY21, WE CONDUCTED EIGHTEEN COMMUNITY/COLLEAGUE FOOD DISTRIBUTIONS AND PROVIDED 1,927 FOOD PACKAGES TO 1,775 FOOD INSECURE COMMUNITY MEMBERS AND COLLEAGUES. WE ALSO PARTNERED WITH FAITH-BASED ORGANIZATIONS TO PROVIDE FACE MASKS AND COVID-19 EDUCATION AT TWO COMMUNITY FOOD DISTRIBUTION EVENTS SERVING MORE THAN 1,500 COMMUNITY MEMBERS. PILLAR #4: STABILITY - POLICIES, WEATHER CONDITIONS, EMPLOYMENT AND ECONOMIC FACTORS IMPACTING FOOD STABILITY. FIVE MEMBERS OF THE HOLY CROSS COMMUNITY HEALTH DEPARTMENT ARE ACTIVE ON THE MONTGOMERY COUNTY FOOD COUNCIL, WITH ONE MEMBER SITTING ON THE BOARD OF DIRECTORS, TO SUPPORT THE FOOD COUNCIL IN OFFERING RECOMMENDATIONS AND GUIDING FUTURE RESEARCH, ANALYSIS, AND POLICY ACTIONS THAT WORK TOWARD ENHANCING FOOD SECURITY IN MONTGOMERY COUNTY. HOLY CROSS HOSPITAL PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS. HOLY CROSS GERMANTOWN HOSPITAL PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS. HOLY CROSS HOSPITAL - PART V, SECTION B, LINE 7A: WWW.HOLYCROSSHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/COMMUNITY-BENEFIT-PLANNING/COMMUNITY-HEALTH-NEEDS-ASSESSMENT HOLY CROSS GERMANTOWN HOSPITAL - PART V, SECTION B, LINE 7A: WWW.HOLYCROSSHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/COMMUNITY-BENEFIT-PLANNING/COMMUNITY-HEALTH-NEEDS-ASSESSMENT HOLY CROSS HOSPITAL - PART V, SECTION B, LINE 10A: WWW.HOLYCROSSHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/COMMUNITY-BENEFIT-PLANNING/IMPLEMENTATION-PLAN HOLY CROSS GERMANTOWN HOSPITAL - PART V, SECTION B, LINE 10A: WWW.HOLYCROSSHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/COMMUNITY-BENEFIT-PLANNING/IMPLEMENTATION-PLAN HOLY CROSS HOSPITAL - PART V, SECTION B, LINE 16A: WWW.HOLYCROSSHEALTH.ORG/FOR-PATIENTS/BILLING-FINANCIAL-ASSISTANCE-AND-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM HOLY CROSS GERMANTOWN HOSPITAL - PART V, SECTION B, LINE 16A: WWW.HOLYCROSSHEALTH.ORG/FOR-PATIENTS/BILLING-FINANCIAL-ASSISTANCE-AND-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM HOLY CROSS HOSPITAL - PART V, SECTION B, LINE 16B: WWW.HOLYCROSSHEALTH.ORG/FOR-PATIENTS/BILLING-FINANCIAL-ASSISTANCE-AND-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM HOLY CROSS GERMANTOWN HOSPITAL - PART V, SECTION B, LINE 16B: WWW.HOLYCROSSHEALTH.ORG/FOR-PATIENTS/BILLING-FINANCIAL-ASSISTANCE-AND-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM HOLY CROSS HOSPITAL - PART V, SECTION B, LINE 16C: WWW.HOLYCROSSHEALTH.ORG/FOR-PATIENTS/BILLING-FINANCIAL-ASSISTANCE-AND-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM HOLY CROSS GERMANTOWN HOSPITAL - PART V, SECTION B, LINE 16C: WWW.HOLYCROSSHEALTH.ORG/FOR-PATIENTS/BILLING-FINANCIAL-ASSISTANCE-AND-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM 14 1 - CHESAPEAKE POTOMAC REGIONAL CANCER CT 11340 PEMBROOKE SQ SUITE 201 WALDORF MD 20603 CANCER TREATMENT 2 - CHESAPEAKE POTOMAC REGIONAL CANCER CT 30077 BUSINESS CENTER DR CHARLOTTE HALL MD 20622 CANCER TREATMENT 3 - DOCTORS REGIONAL CANCER CENTER 8116 GOOD LUCK RD SUITE 005 LANHAM MD 20706 CANCER TREATMENT 4 - DOCTORS REGIONAL CANCER CENTER 4901 TELSA DR SUITE A BOWIE MD 20715 CANCER TREATMENT 5 - HOLY CROSS RADIATION TREATMENT CENTER 2121 MEDICAL PARK DR SUITE 4 SILVER SPRING MD 20902 CANCER TREATMENT 6 - HOLY CROSS DIALYSIS CTR AT WOODMORE 11721 WOODMORE RD SUITE 190 MITCHELLVILLE MD 20721 DIALYSIS TREATMENT 7 - HC HEALTH PARTNERS IN KENSINGTON 3720 FARRAGUT AVE 2ND FLOOR KENSINGTON MD 20895 PRIMARY CARE 8 - HOLY CROSS HEALTH CTR - GAITHERSBURG 220 PERRY PARKWAY UNIT 5 GAITHERSBURG MD 20877 HEALTH CLINIC 9 - HOLY CROSS HEALTH CENTER - ASPEN HILL 13415 CONNECTICUT AVE 100 SILVER SPRING MD 20906 HEALTH CLINIC 10 - HOLY CROSS HEALTH PARTNERS AT ASBURY 201 RUSSELL AVE GAITHERSBURG MD 20877 PRIMARY CARE 11 - HOLY CROSS HEALTH CENTER - GERMANTOWN 12800 MIDDLEBROOK RD SUITE 206 GERMANTOWN MD 20874 HEALTH CLINIC 12 - HOLY CROSS HEALTH CTR - SILVER SPRING 7987 GEORGIA AVE SILVER SPRING MD 20910 HEALTH CLINIC 13 - HOLY CROSS RESOURCE CENTER 9805 DAMERON DR SILVER SPRING MD 20902 ADULT DAY CARE 14 - HOLY CROSS SENIOR SOURCE 8580 2ND AVE SILVER SPRING MD 20910 HEALTH SCREENING PART I, LINE 3C: IN ADDITION TO LOOKING AT A MULTIPLE OF THE FEDERAL POVERTY GUIDELINES, OTHER FACTORS ARE CONSIDERED SUCH AS THE PATIENT'S FINANCIAL STATUS AND/OR ABILITY TO PAY AS DETERMINED THROUGH THE ASSESSMENT PROCESS. PART I, LINE 6A: HOLY CROSS HEALTH (HCH) PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT FOR HOLY CROSS HOSPITAL AND HOLY CROSS GERMANTOWN HOSPITAL, WHICH IT SUBMITS TO THE STATE OF MARYLAND. DUE TO MARYLAND'S UNIQUE ALL PAYER SYSTEM, THE VALUES REPORTED ON PART I, LINE 7B ARE DIFFERENT FROM THOSE REPORTED TO THE STATE OF MARYLAND. SEE PART I, LINE 7B BELOW. IN ADDITION, HCH REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH (EIN 35-1443425) IN ITS AUDITED FINANCIAL STATEMENTS, AVAILABLE AT WWW.TRINITY-HEALTH.ORG.HCH INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. PART I, LINE 7: THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM.PART I, LINE 7A: MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE SETTING PROCESS AND ALL PAYERS, INCLUDING GOVERNMENTAL PAYERS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL PAYER SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYERS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAK OUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE.PART I, LINE 7B: THE VALUES REPORTED ARE DIFFERENT FROM THOSE REPORTED TO THE STATE OF MARYLAND. MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE SETTING PROCESS AND ALL PAYERS, INCLUDING GOVERNMENTAL PAYERS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO. THE EXCEPTION TO THIS IS THE IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE SETTING SYSTEM. PART I, LN 7 COL(F): THE FOLLOWING NUMBER, $21,652,993, 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 I, LINE 5A: DURING FY21, DUE TO THE COVID-19 PANDEMIC, THE HOSPITAL SUSPENDED ITS TRADITIONAL ANNUAL BUDGET PROCESS AND USED A QUARTERLY PROCESS TO PLAN FOR FREE AND DISCOUNTED CARE UNDER ITS FINANCIAL ASSISTANCE POLICY. THIS CHANGE IN PROCESS DID NOT ALLOW THE HOSPITAL TO BUDGET FOR FINANCIAL ASSISTANCE EXPENSES ON AN ANNUAL BASIS. THE HOSPITAL IMPLEMENTED A NEW ROLLING FORECAST METHOD FOR FINANCIAL PLANNING IN FY22. THE ROLLING FORECAST WILL FACILITATE CONTINUOUS PLANNING, PERFORMANCE ASSESSMENT AND ACCOUNTABILITY. PART III, LINE 2: METHODOLOGY USED FOR LINE 2 - ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE. AS A RESULT OF THE PAYMENT AND ADJUSTMENT ACTIVITY BEING POSTED TO BAD DEBT ACCOUNTS, WE ARE ABLE TO REPORT BAD DEBT EXPENSE NET OF THESE TRANSACTIONS. PART III, LINE 3: HCH USES A PREDICTIVE MODEL THAT INCORPORATES THREE DISTINCT VARIABLES IN COMBINATION TO PREDICT WHETHER A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE: (1) SOCIO-ECONOMIC SCORE, (2) ESTIMATED FEDERAL POVERTY LEVEL (FPL), AND (3) HOMEOWNERSHIP. BASED ON THE MODEL, CHARITY CARE CAN STILL BE EXTENDED TO PATIENTS EVEN IF THEY HAVE NOT RESPONDED TO FINANCIAL COUNSELING EFFORTS AND ALL OTHER FUNDING SOURCES HAVE BEEN EXHAUSTED. FOR FINANCIAL STATEMENT PURPOSES, HCH IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, HCH IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL. PART III, LINE 4: HCH IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE PATIENT ACCOUNTS RECEIVABLE, ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS FOOTNOTE FROM PAGE 13 OF THOSE STATEMENTS: "AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME IS TREATED AS A RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS FOR WHICH THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYERS FOR RETROACTIVE ADJUSTMENTS, ARE RECEIVABLES IF THE RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. FOR PATIENT ACCOUNTS RECEIVABLE, THE ESTIMATED UNCOLLECTABLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT SERVICE REVENUE AND ACCOUNTS RECEIVABLE.THE CORPORATION HAS AGREEMENTS WITH THIRD-PARTY PAYERS THAT PROVIDE FOR PAYMENTS TO THE CORPORATION'S HEALTH MINISTRIES AT AMOUNTS DIFFERENT FROM ESTABLISHED RATES. ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYERS AND OTHER CHANGES IN ESTIMATES ARE INCLUDED IN NET PATIENT SERVICE REVENUE AND ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS, AS FINAL SETTLEMENTS ARE DETERMINED." PART III, LINE 8: HCH DOES NOT BELIEVE ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS IS SIMILAR TO CATHOLIC HEALTH ASSOCIATION RECOMMENDATIONS, WHICH STATE THAT SERVING MEDICARE PATIENTS IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS AND THAT THE EXISTING COMMUNITY BENEFIT FRAMEWORK ALLOWS COMMUNITY BENEFIT PROGRAMS THAT SERVE THE MEDICARE POPULATION TO BE COUNTED IN OTHER COMMUNITY BENEFIT CATEGORIES.PART III, LINE 8: COSTING METHODOLOGY FOR LINE 6 - MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 27, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT. PART III, LINE 9B: THE HOSPITAL'S COLLECTION 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 COLLECTION POLICY. THE HOSPITAL HAS IMPLEMENTED BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS. PART VI, LINE 2: NEEDS ASSESSMENT - HEALTHY MONTGOMERY, MONTGOMERY COUNTY'S COMMUNITY HEALTH IMPROVEMENT PROCESS, IS SUPPORTED FINANCIALLY BY ALL SIX HOSPITALS IN MONTGOMERY COUNTY AND SERVES AS THE BASE FOR HOLY CROSS HOSPITAL'S AND HOLY CROSS GERMANTOWN HOSPITAL'S JOINT NEEDS ASSESSMENT. THE HEALTHY MONTGOMERY STEERING COMMITTEE IS COMPRISED OF GOVERNMENT AGENCIES, HOSPITAL SYSTEMS, MINORITY HEALTH PROGRAMS/INITIATIVES, ADVOCACY GROUPS, ACADEMIC INSTITUTIONS, COMMUNITY-BASED SERVICE PROVIDERS, AND OTHER STAKEHOLDERS. IT IS AN ONGOING, FORMAL COUNTY-WIDE PROCESS THAT USES PRIMARY AND SECONDARY DATA TO IDENTIFY AND ADDRESS KEY PRIORITY AREAS TO ACHIEVE OPTIMAL HEALTH AND WELL-BEING FOR ALL MONTGOMERY COUNTY RESIDENTS. IN ADDITION TO HEALTHY MONTGOMERY, WE USE A RANGE OF OTHER SPECIFIC NEEDS ASSESSMENTS AND REPORTS TO IDENTIFY UNMET NEEDS, ESPECIALLY FOR UNDERSERVED MINORITIES, SENIORS, AND WOMEN AND CHILDREN. OUR WORK IS BUILT ON PAST AVAILABLE NEEDS ASSESSMENTS, AND WE USE THESE DOCUMENTS AS REFERENCE TOOLS, INCLUDING THE FOLLOWING KEY RESOURCES: - AFRICAN AMERICAN HEALTH PROGRAM STRATEGIC PLAN TOWARD HEALTH EQUITY, 2009-2014- ASIAN AMERICAN HEALTH PRIORITIES, A STUDY OF MONTGOMERY COUNTY, MARYLAND, STRENGTHS, NEEDS, AND OPPORTUNITIES FOR ACTION, 2008- BLUEPRINT FOR LATINO HEALTH IN MONTGOMERY COUNTY, MARYLAND, 2017-2026- MONTGOMERY COUNTY FOOD COUNCIL'S COMMUNITY FOOD ACCESS ASSESSMENT; MONTGOMERY COUNTY MARYLAND, 2013-2015- HOMELESSNESS IN METROPOLITAN WASHINGTON: RESULTS AND ANALYSIS FROM THE ANNUAL POINT-IN-TIME (PIT) COUNT OF PERSONS EXPERIENCING HOMELESSNESS, MAY 2019- MARYLAND STATE HEALTH IMPROVEMENT PROCESS- MONTGOMERY COUNTY INTERAGENCY COMMISSION ON HOMELESSNESS ANNUAL REPORT, 2017- MONTGOMERY MOVING FORWARD'S CALL TO ACTION: EARLY CARE AND EDUCATION, 2018- PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT: HEALTH REPORT 2017- PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT 2017-2021 STRATEGIC PLAN- CONVENING PARTNERS TO BUILD BRIGHTER FUTURES IN MONTGOMERY COUNTY (MONTGOMERY COUNTY COLLABORATION COUNCIL'S 2018 ANNUAL REPORT)- UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE'S COUNTY HEALTH RANKINGS DATA- MATERNAL AND INFANT HEALTH REPORT FOR MONTGOMERY COUNTY, 2008-2017- HEALTH IN MONTGOMERY COUNTY REPORT, 2008-2016- TRANSFORMATIVE CHANGE: OUR ROLE IN ACHIEVING HEALTH EQUITY FOR PRINCE GEORGE'S COUNTY, 2018HOLY CROSS HEALTH REGULARLY PARTICIPATES IN A VARIETY OF COALITIONS, COMMISSIONS, COMMITTEES, PARTNERSHIPS AND PANELS, AND OUR COMMUNITY HEALTH WORKERS SPEND TIME IN THE COMMUNITY AS COMMUNITY PARTICIPANTS AND BRING BACK FIRST-HAND KNOWLEDGE OF COMMUNITY NEEDS. COMMUNITY NEED INDEX (CNI) IS ALSO USED TO IDENTIFY THE SEVERITY OF HEALTH DISPARITIES FOR EVERY ZIP CODE IN THE UNITED STATES AND DEMONSTRATES THE LINK BETWEEN COMMUNITY NEED, ACCESS TO CARE, AND PREVENTABLE HOSPITALIZATIONS (DIGNITY HEALTH, 2011). FOR EACH ZIP CODE IN THE UNITED STATES, THE CNI AGGREGATES FIVE SOCIOECONOMIC INDICATORS/BARRIERS TO HEALTH CARE ACCESS THAT ARE KNOWN TO CONTRIBUTE TO HEALTH DISPARITIES RELATED TO INCOME, EDUCATION, CULTURE/LANGUAGE, INSURANCE, AND HOUSING. CNI DATA IS USED TO IDENTIFY COMMUNITIES OF HIGH NEED AND DIRECT A RANGE OF COMMUNITY HEALTH AND FAITH-BASED COMMUNITY OUTREACH EFFORTS TO THESE AREAS.THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE'S COUNTY HEALTH RANKINGS DATA, AND HOLY CROSS HOSPITAL'S EMERGENCY DEPARTMENT AND DISCHARGE READMISSIONS DATA, WERE ALSO ANALYZED TO DETERMINE UNMET NEEDS OF THE POPULATION WE SERVE RESIDING IN MONTGOMERY AND PRINCE GEORGE'S COUNTIES. READMISSION DATA IS USED TO TRACK THE NUMBER OF PATIENTS WHO ARE READMITTED TO THE HOSPITAL WITHIN 30 DAYS OF DISCHARGE. AN ANALYSIS OF HOSPITAL READMISSIONS AND PREVENTION QUALITY INDICATORS ALLOWS US TO IDENTIFY SELECT INDICATORS RELATED TO COMMUNITY HEALTH NEEDS AND DEVELOP METHODOLOGIES AND PROGRAMS THAT WILL IMPROVE HEALTH OUTCOMES. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - HCH COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES, FEDERAL, STATE, AND LOCAL GOVERNMENT PROGRAMS, AND OTHER COMMUNITY-BASED CHARITABLE PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING FOR HEALTH CARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. HCH OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH PATIENT BROCHURES, MESSAGES ON PATIENT BILLS, POSTED NOTICES IN PUBLIC REGISTRATION AREAS INCLUDING EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES. SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE TO APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST PEOPLE IN NEED. INFORMATION REGARDING FINANCIAL ASSISTANCE PROGRAMS IS ALSO AVAILABLE ON HOSPITAL WEBSITES. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN OTHER LANGUAGES AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R), REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITALS. HCH HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. HCH MAKES EVERY EFFORT TO ADHERE TO THE POLICY AND IS COMMITTED TO IMPLEMENTING AND APPLYING THE POLICY FOR ASSISTING PATIENTS WITH LIMITED MEANS IN A PROFESSIONAL, CONSISTENT MANNER. PART VI, LINE 4: COMMUNITY INFORMATION -HOLY CROSS HOSPITAL SERVES A LARGE PORTION OF MONTGOMERY AND PRINCE GEORGE'S COUNTIES' RESIDENTS. OUR 19 ZIP CODE PRIMARY SERVICE AREA INCLUDES ALMOST 700,000 PEOPLE, OF WHOM ABOUT 69% ARE MINORITIES. AN ESTIMATED 1.8 MILLION PEOPLE IN 65 ZIP CODES MAKE UP OUR TOTAL SERVICE AREA, OF WHOM 71% ARE MINORITIES. OUR PRIMARY SERVICE AREA IS DERIVED FROM THE MARYLAND ZIP CODE AREAS FROM WHICH THE TOP 60% OF OUR FY13 DISCHARGES ORIGINATED. THE NEXT 15% CONTRIBUTE TO OUR SECONDARY SERVICE AREA. HOLY CROSS GERMANTOWN HOSPITAL OPENED ITS DOORS IN OCTOBER 2014 AND BEGAN SERVING RESIDENTS IN NORTHERN MONTGOMERY COUNTY. AN ESTIMATED 455,000 PEOPLE LIVE IN THE 17 ZIP CODES THAT MAKE UP OUR TOTAL SERVICE AREA, OF WHOM 62.5% ARE MINORITIES. OUR SIX ZIP CODE PRIMARY SERVICE AREA INCLUDES ABOUT 270,000 PEOPLE, OF WHOM 66% ARE MINORITIES.IN THE EARLY 1990'S, PRINCE GEORGE'S COUNTY BECAME A MAJORITY-MINORITY COUNTY, WHERE THE MINORITY POPULATION SURPASSES THE WHITE NON-HISPANIC POPULATION (FOX, 1996). DURING THE LAST CENSUS, MONTGOMERY COUNTY JOINED PRINCE GEORGE'S COUNTY AS ONE OF ONLY 336 "MAJORITY-MINORITY" COUNTIES IN THE COUNTRY (MONTGOMERY COUNTY PLANNING DEPARTMENT, 2011). THE FOREIGN-BORN POPULATION OF BOTH COUNTIES IS ALSO HIGHER THAN THE NATIONAL AVERAGE. THE LATEST FIGURES FROM THE U.S. CENSUS BUREAU SHOW THAT 32.3% OF THE POPULATION IN MONTGOMERY COUNTY AND 22.7% OF THE POPULATION IN PRINCE GEORGE'S COUNTY ARE OF FOREIGN BIRTH, SIGNIFICANTLY GREATER THAN THE STATE AND NATIONAL RATE OF 15.2% AND 13.6%, RESPECTIVELY (AMERICAN COMMUNITY SURVEY, 2015-2019). THE COMMUNITY WE SERVE HAS THE HIGHEST PERCENTAGE OF FOREIGN-BORN RESIDENTS (29.2%) IN THE STATE OF MARYLAND. IN MONTGOMERY COUNTY, 32.3% OF RESIDENTS ARE FOREIGN-BORN, 40% OF FOREIGN-BORN RESIDENTS SPEAK ENGLISH LESS THAN "VERY WELL", AND 7.0% AGED FIVE AND OVER ARE LINGUISTICALLY ISOLATED. IN PRINCE GEORGE'S COUNTY, MORE THAN 21% OF RESIDENTS ARE FOREIGN-BORN, OF WHICH 39% SPEAK ENGLISH LESS THAN "VERY WELL AND 4.9% OF THE POPULATION AGED FIVE AND OVER ARE LINGUISTICALLY ISOLATED, WITH THE MOST LINGUISTIC ISOLATION OCCURRING IN NORTHERN PRINCE GEORGE'S COUNTY. THE HIGHEST RATES OF LINGUISTIC ISOLATION FOR BOTH MONTGOMERY AND PRINCE GEORGE'S COUNTIES ARE AMONG LATINO AMERICANS AND ASIAN AMERICANS. PART VI, LINE 5: OTHER INFORMATION - HOLY CROSS HEALTH, COMPRISED OF HOLY CROSS HOSPITAL AND HOLY CROSS GERMANTOWN HOSPITAL, HAS A 15-MEMBER COMMUNITY BOARD COMPRISED OF A MAJORITY OF COMMUNITY MEMBERS THAT PROVIDE GOVERNANCE FOR BOTH HOSPITALS, AS WELL AS HOLY CROSS HEALTH NETWORK. TWO OF THE 15 BOARD MEMBERS ARE EMPLOYED BY TRINITY HEALTH, HOLY CROSS HEALTH'S PARENT CORPORATION. TWO BOARD MEMBERS LIVE OUTSIDE HOLY CROSS HEALTH'S LOCAL AREA, AND TWO SISTERS OF THE HOLY CROSS ARE BOARD MEMBERS.HOLY CROSS HEALTH HAS A VERY LARGE, DIVERSE MEDICAL STAFF OF 2,430 MEMBERS. THE MEDICAL STAFF OF HOLY CROSS HEALTH ARE ORGANIZED IN THE PUBLIC INTEREST, AND MEDICAL STAFF PRIVILEGES AT THE TWO HOSPITALS ARE OPEN AND AVAILABLE TO ALL QUALIFIED PHYSICIANS AND PROVIDERS. HCH IS THE LARGEST HOSPITAL EMERGENCY SERVICES PROVIDER IN MONTGOMERY AND PRINCE GEORGE'S COUNTIES. OVER 105,000 ACUTELY ILL PATIENTS ARE TREATED ANNUALLY, AND THE CENTER PROVIDES A WIDE RANGE OF EMERGENCY SERVICES 24/7/365, INCLUDING SEVERAL HIGHLY REGARDED SPECIALIZED EMERGENCY SERVICES THAT HAVE EARNED THE HOSPITAL A REPUTATION AS A PIONEER IN EMERGENCY CARE.THE HCGH EMERGENCY ROOM IS THE ONLY FULL-SERVICE EMERGENCY ROOM IN GERMANTOWN, MD. THE HOSPITAL'S EMERGENCY ROOM IS STAFFED BY A TEAM OF BOARD-CERTIFIED EMERGENCY MEDICINE PHYSICIANS, PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS, REGISTERED NURSES, AND PATIENT CARE TECHNICIANS. IT FEATURES AN ARRAY OF ACUTE EMERGENCY SERVICES, AS WELL AS SPECIALIZED EMERGENCY SERVICES.HOLY CROSS HEALTH HAS PARTNERED WITH THE FOUR OTHER HOSPITALS IN MONTGOMERY COUNTY AND A NETWORK OF COMMUNITY-BASED ORGANIZATIONS TO IMPLEMENT NEXUS MONTGOMERY, A POPULATION HEALTH IMPROVEMENT PLAN DESIGNED TO IMPROVE THE HEALTH STATUS OF THOSE MOST AT RISK OF AVOIDABLE HOSPITAL USE. IN FY16, TRINITY HEALTH'S TRANSFORMING COMMUNITIES INITIATIVE (TCI) AWARDED $500,000 TO A COMMUNITY COLLABORATIVE THAT INCLUDES HCH, THE INSTITUTE FOR PUBLIC HEALTH INNOVATION, AND HEALTHY MONTGOMERY, MONTGOMERY COUNTY'S LOCAL HEALTH IMPROVEMENT COALITION, TO FUND A MULTI-YEAR EFFORT TO IMPROVE THE HEALTH OF THE COMMUNITY. CULMINATING IN FY21, TCI FOCUSED ON COMMUNITY ENGAGEMENT AND ADOPTION OF INITIATIVES DESIGNED TO REDUCE OBESITY, PROMOTE TOBACCO-FREE LIVING, AND ADDRESS SOCIAL DETERMINANTS THAT IMPACT HEALTH OUTCOMES. SOME TCI ACCOMPLISHMENTS INCLUDE:1. HOLY CROSS HEALTH ASSISTED IN THE FORMATION OF LOCAL SCHOOL WELLNESS COUNCILS (LSWCS) IN MONTGOMERY COUNTY PUBLIC SCHOOLS (MCPS). THE COUNCILS SUPPORT STUDENT ACCESS TO HEALTHY FOODS, NUTRITION EDUCATION, INCREASE PHYSICAL ACTIVITY, DEVELOP SCHOOL GARDENS, AND ENHANCE INITIATIVES TO SUPPORT MENTAL HEALTH. 2. HOLY CROSS HEALTH PARTNERED WITH THE DEPARTMENT OF TRANSPORTATION TO EXPAND SAFE ROUTES TO SCHOOLS (SRTS). ONE OF THE MAIN ACCOMPLISHMENTS IN FY20 FOR THE SRTS STRATEGY WAS THE COMPLETION OF THE SRTS STORY MAP AND ASSESSMENTS, WHICH IS NOW AVAILABLE ONLINE IN AN ACCESSIBLE AND INTERACTIVE FORMAT. 3. HOLY CROSS HEALTH SUPPORTED FOOD AS MEDICINE IN ALL SAFETY NET CLINICS. ONE OF THE MAIN ACCOMPLISHMENTS OF THE FOOD AS MEDICINE STRATEGY WAS STABILIZING EXISTING FOOD SECURITY SCREENING SYSTEMS AND EXPANDING THE STRATEGY THROUGH NEW PARTNERSHIPS. 4. HOLY CROSS HEALTH SUPPORTED THE MONTGOMERY COUNTY FOOD COUNCIL. ONE OF THE COUNCIL'S MAIN ACHIEVEMENTS WAS CONDUCTING OUTREACH VIA SPANISH LANGUAGE MEDIA. THE COMMUNICATION ACTIVITIES HAVE ALLOWED THEM TO DISSEMINATE INFORMATION ABOUT FOOD SECURITY TO NON-ENGLISH SPEAKING POPULATIONS. ADDRESSING FOOD INSECURITY AS A ROOT CAUSE OF NEGATIVE HEALTH OUTCOMES IS IMPERATIVE. POPULATIONS DISPARATELY AFFECTED BY FOOD INSECURITY ARE LIKELY TO ALSO HAVE LIMITED ACCESS TO HEALTH CARE, HOUSING, AND EDUCATIONAL OPPORTUNITIES. 5. FOLLOWING ARE ADDITIONAL WAYS IN WHICH WE SERVE OUR COMMUNITIES:THE KEVIN J. SEXTON FUND TO INCREASE ACCESS AND IMPROVE COMMUNITY HEALTH PROVIDES DIRECT FINANCIAL SUPPORT TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH NEEDS OF PATIENTS AT THE HOLY CROSS HEALTH CENTERS. THE HOLY CROSS HEALTH CENTERS IMPLEMENTED A SCREEN AND INTERVENE PROGRAM TO ADDRESS FOOD INSECURITY OF DIABETIC PATIENTS IN OUR DIABETES CARE TEAM. PATIENTS IN NEED WERE PROVIDED WITH A SIX-MONTH FOOD SUBSCRIPTION BOX SERVICE AND WERE LINKED TO ADDITIONAL RESOURCES.COVID-19: IN FY21, HOLY CROSS HEALTH CENTER PROVIDERS PERFORMED 13,891 TELEHEALTH VISITS. HCH ALSO CONTINUED TO ADDRESS SOCIAL NEEDS OF BOTH PATIENTS UNDER INVESTIGATION (PUI) AND OUR PATIENTS DIAGNOSED WITH COVID-19 THROUGH OUR SOCIAL CARE HUB. COMMUNITY HEALTH WORKERS CONNECTED WITH EACH PUI/COVID-19 PATIENT; PROVIDED COVID-19 EDUCATION; SCREENED FOR HOUSING, FOOD, AND ACCESS TO CARE; AND CONNECTED EACH PATIENT TO AVAILABLE SOCIAL SERVICES. IN FY21, 1,493 PUI/COVID-19 PATIENTS WERE ASSESSED FOR SOCIAL NEEDS. PARTNERSHIPS: IN FY20, HOLY CROSS SOUGHT TO PROVIDE EARLY CARE AND EDUCATION PROGRAM TO PROVIDE UNLICENSED CHILDCARE PROVIDERS ACCESS TO NEEDED SAFETY AND CHILD DEVELOPMENT EDUCATION. IN FY21, WE REASSESSED THE PROGRAM BASED ON FEEDBACK FROM FIRST PILOT COHORT, INCREASED PARTNERSHIPS AND REDESIGNED THE PROGRAM TO INCREASE FOCUS ON SOCIAL AND EMOTIONAL LEARNING, SAFETY, AND KINDERGARTEN READINESS. A PARTNERSHIP WAS CREATED WITH MONTGOMERY COLLEGE TO INCREASE ECONOMIC DEVELOPMENT OPPORTUNITIES BY DESIGNING THE PROGRAM TO CREATE A PATHWAY FOR UNLICENSED CHILDCARE PROVIDERS WHO WANTED TO OBTAIN A LICENSE BUT FACED MULTIPLE BARRIERS.IN COLLABORATION WITH EVERYMIND AND THE THREE HOSPITAL SYSTEMS IN MONTGOMERY COUNTY, AN ONLINE SCREENING OF THE FILM "ANGST" WAS HELD, FOLLOWED BY A VIRTUAL PANEL DISCUSSION WITH EXPERTS IN THE FIELD OF ANXIETY MANAGEMENT AND TREATMENT. THE MARYLAND COMMUNITY HEALTH RESOURCES COMMISSION (CHRC), AN INDEPENDENT COMMISSION WITHIN THE MARYLAND DEPARTMENT OF HEALTH AWARDED HOLY CROSS FUNDING FOR THE EQUITABLE WELLNESS INITIATIVE (EWI), WHICH WILL ADDRESS CHRONIC DISEASE PREVENTION AND MANAGEMENT OF TYPE 2 DIABETES AND PULMONARY REHABILITATION POST COVID-19 TO DECREASE DISPARITIES IN CARE AMONG AFRICAN AMERICAN AND LATINX POPULATIONS. THE MEDICAL ADULT DAY CENTER, WHICH PROVIDES MEDICAL, REHABILITATIVE, AND RECREATIONAL PROGRAMS FOR ADULTS WITH A CHRONIC HEALTH PROBLEM OR ARE RECOVERING FROM AN ACUTE ILLNESS, WAS CLOSED TO IN PERSON SERVICES DURING FY21 DUE TO COVID-19. PARTICIPANTS AND THEIR FAMILIES WERE CONTACTED VIA TELEPHONE DAILY, INITIALLY SEVEN DAYS A WEEK AND THEN DECREASED TO FIVE DAYS IN THE SPRING. A TOTAL OF 10,276 ENCOUNTERS WERE MADE DURING FY21.HCH ALSO REALIZES THAT CLINICAL CARE ONLY ACCOUNTS FOR ABOUT 20% OF HEALTH OUTCOMES AND ADDRESS SOCIAL NEEDS IN ADDITION TO THE CLINICAL CARE THEY PROVIDE. IN FY21, HCH HAD 20,530 SOCIAL CARE ENCOUNTERS ASSESSING OR CONNECTING INDIVIDUALS TO SOCIAL SERVICES AND PROVIDED 1,137 FOOD CONNECTIONS, 136 HOUSING CONNECTIONS, AND 182 ACCESS TO HEALTHCARE CONNECTIONS. IN FY21, HOLY CROSS PARTNERED WITH PRIMARY CARE COALITION TO LAUNCH TRINITY HEALTH'S NATIONAL CAMPAIGN "IT STARTS HERE" TO RAISE AWARENESS, EDUCATE THE PUBLIC, AND OFFER VACCINATION CLINICS IN COMMUNITY ACCESSIBLE LOCATIONS, PARTICULARLY FOR COMMUNITIES OF COLOR AND THOSE WHO ARE VULNERABLE. SINCE RECEIVING FUNDING, HOLY CROSS HAD 13,733 ENCOUNTERS IN THE TARGET ZIP CODES OF 20906 (ASPEN HILL/LAYHILL), 20902 (WHEATON), 20904 (COLESVILLE), 20874 (DARNESTOWN), AND 20877 (GAITHERSBURG). THIRTY-FIVE (35) CHAMPIONS WERE IDENTIFIED, 42 VACCINE CLINICS WERE HELD, AND 3,786 INDIVIDUALS WERE VACCINATED (1,186 BLACK, 1,826 LATINX) IN FY21.THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) AWARDED HOLY CROSS $1.4M IN FUNDING FOR COVID-19 VACCINATIONS IN COMMUNITIES OF COLOR, SENIORS, AND POPULATIONS THAT HAVE BEEN DISPROPORTIONATELY AFFECTED BY COVID-19 INFECTIONS AND DEATH BY PROVIDING EQUITABLE ACCESS TO THE VACCINE BY REMOVING SOME OF THE BARRIERS THAT PROHIBIT VULNERABLE COMMUNITIES AND COMMUNITIES OF COLOR FROM RECEIVING THE VACCINE. THE TARGET ZIP CODES WERE DETERMINED BASED ON THE PERCENT VACCINATED, PERCENT MINORITY POPULATION, PERCENT UNINSURED, AND INCIDENCE RATE AND CASE-FATALITY RATE OF COVID-19. WE ANTICIPATE VACCINATING 16.5% OF THE UNVACCINATED INDIVIDUALS IN THESE TARGET ZIP CODES DURING THE FUNDING PERIOD OF MAY 2021 THROUGH JUNE 2022. PART VI, LINE 6: HCH IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH'S COMMUNITY HEALTH AND WELL-BEING (CHWB) STRATEGY PROMOTES OPTIMAL HEALTH FOR THOSE WHO ARE POOR AND VULNERABLE 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 CARE3. IMPACTING SOCIAL INFLUENCERS OF HEALTHINVESTING 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 FISCAL YEAR 2021, TRINITY HEALTH INVESTED $1.2 BILLION IN COMMUNITY BENEFIT, SUCH AS INITIATIVES SUPPORTING THOSE WHO ARE POOR AND VULNERABLE, HELPING TO MANAGE CHRONIC CONDITIONS LIKE DIABETES, PROVIDING HEALTH EDUCATION, AND MOVING FORWARD POLICY, SYSTEM, AND ENVIRONMENTAL CHANGE. IN RESPONSE TO COVID-19, TRINITY HEALTH MEMBER HOSPITALS REDIRECTED SOME RESOURCES TO ADDRESS THE MOST URGENT SOCIAL AND MEDICAL NEEDS IN OUR COMMUNITIES, INCLUDING FOOD SUPPORT, EDUCATION SUPPORT AND OUTREACH TO THOSE EXPERIENCING HOMELESSNESS.ADDITIONALLY, THROUGH TRINITY HEALTH'S COMMUNITY HEALTH INSTITUTE, $1.6 MILLION WAS INVESTED IN THE "IT STARTS HERE" COVID-19 VACCINE CAMPAIGN COUPLING COMMUNITY ENGAGEMENT STRATEGIES AND SOCIAL MEDIA INFLUENCERS. THIS EFFORT DISTRIBUTED $1.1 MILLION IN CHWB GRANTS TO MEMBER HOSPITALS AND COMMUNITY-BASED ORGANIZATIONS IN SUPPORT OF COMMUNITY ENGAGEMENT STRATEGIES FOCUSED IN COMMUNITIES OF COLOR. OVER 80% OF DOLLARS AWARDED SUPPORTED PRIORITIZED COMMUNITIES, DEFINED AS 40% OF THE COMMUNITY IS BEING BLACK/LATINX AND/OR NATIVE AMERICAN. IT STARTS HERE LAUNCHED IN FEBRUARY, AND IN JUST UNDER FIVE MONTHS, MEMBER HOSPITALS AND THEIR COMMUNITY PARTNERS REACHED NEARLY 615,000 PEOPLE THROUGH OUTREACH AND EDUCATION, ENGAGED OVER 1,150 COMMUNITY CHAMPIONS, AND HELD OVER 700 VACCINE CLINICS THAT PROVIDED OVER 152,000 VACCINATIONS. IN ADDITION TO COMMUNITY EFFORTS, IT STARTS HERE FUNDED SOCIAL MEDIA CAMPAIGNS TO IMPROVE ACCESS TO COVID-19 VACCINATION INFORMATION BY ENGAGING LOCAL SOCIAL MEDIA INFLUENCERS WHO REPRESENT THE CULTURE AND ETHNICITY OF OUR LOCAL COMMUNITIES.BEYOND COVID-19 EFFORTS, TRINITY HEALTH COMMITTED MORE THAN $46 MILLION IN LOANS TO 31 NOT-FOR-PROFIT ORGANIZATIONS FOCUSING ON IMPROVING COMMUNITY CONDITIONS AROUND HOUSING, FACILITIES, EDUCATION AND ECONOMIC DEVELOPMENT THROUGH OUR COMMUNITY INVESTING PROGRAM. THE PROGRAM MAKES LOW-INTEREST RATE LOANS TO SELECT COMMUNITY PARTNERS AND INTERMEDIARIES TO POSITIVELY IMPACT SOCIAL INFLUENCERS THAT DRIVE HEALTHY OUTCOMES FOR FAMILIES AND RESIDENTS LIVING IN THE COMMUNITIES WE SERVE. ADVANCING SOCIAL CARE:TRINITY HEALTH'S SOCIAL CARE PROGRAM WAS DEVELOPED TO PROMOTE HEALTHY BEHAVIORS WHILE HELPING PATIENTS, COLLEAGUES AND MEMBERS ACCESS ESSENTIAL NEEDS, SUCH AS TRANSPORTATION, CHILDCARE, OR AFFORDABLE MEDICATIONS. COMMUNITY HEALTH WORKERS ARE A KEY COMPONENT OF SOCIAL CARE AND SERVE AS LIAISONS BETWEEN HEALTH AND SOCIAL SERVICES AND THE COMMUNITY TO ADDRESS PATIENTS' SOCIAL NEEDS AND MITIGATE BARRIERS. TRINITY HEALTH'S COMMUNITY HEALTH WORKER HUB DRIVES INTEGRATION AND ASSIGNMENT OF COMMUNITY HEALTH WORKERS THROUGHOUT THE HEALTH SYSTEM. IT INCLUDES A NETWORK OF COMMUNITY HEALTH WORKERS AND COMMUNITY-BASED ORGANIZATIONS THAT TOGETHER, HELP SUPPORT INDIVIDUALS AND FAMILIES IN NEED. BECAUSE OF THEIR LIVED EXPERIENCES, COMMUNITY HEALTH WORKERS ARE TRUSTED MEMBERS OF THE COMMUNITY AND WORK CLOSELY WITH A PATIENT BY ASSESSING THEIR SOCIAL NEEDS, HOME ENVIRONMENT AND OTHER SOCIAL RISK FACTORS, AND ULTIMATELY CONNECT THE INDIVIDUAL TO SERVICES WITHIN THE COMMUNITY. IN FISCAL YEAR 2021, TRINITY HEALTH GREW ITS NETWORK OF COMMUNITY HEALTH WORKERS BY 15%, OVER 90 COMMUNITY HEALTH WORKERS, SPANNING NEARLY EVERY MEMBER HOSPITAL.ADDITIONALLY, WE CREATED THE TRINITY HEALTH COMMUNITY RESOURCE DIRECTORY, WHICH IS AN ONLINE PORTAL CONNECTING THOSE IN NEED TO FREE OR REDUCED-COST HEALTH AND SOCIAL SERVICE RESOURCES WITHIN THE COMMUNITY AND ACROSS ALL TRINITY HEALTH LOCATIONS. IN FISCAL YEAR 2021, THE COMMUNITY RESOURCE DIRECTORY YIELDED NEARLY 50,000 SEARCHES, OVER 1,000 REFERRALS, OVER 70 KEY ORGANIZATIONS CLAIMED THEIR PROGRAMS AND OVER 900 SOCIAL NEEDS ASSESSMENTS WERE COMPLETED.TRINITY HEALTH CONTINUES TO EXPAND THE NATIONAL DIABETES PREVENTION PROGRAM THROUGH THE SUPPORT OF THE CENTERS FOR DISEASE CONTROL AND PREVENTION. EPIC, TRINITY HEALTH'S ELECTRONIC HEALTH RECORD, IDENTIFIED THE DIABETES PREVENTION PROGRAM AS A BEST PRACTICE FOR IDENTIFICATION OF AT-RISK PATIENTS, REFERRAL AND BI-DIRECTIONAL COMMUNICATION. ADDITIONALLY, THE AMERICAN MEDICAL ASSOCIATION PRESENTED TRINITY HEALTH'S DIABETES PREVENTION PROGRAM APPROACH TO THEIR BOARD OF DIRECTORS AS A BEST PRACTICE FOR A POPULATION HEALTH, DATA-DRIVEN STRATEGY TO PREVENT DIABETES.IMPACTING SOCIAL INFLUENCERS OF HEALTH:IN PARTNERSHIP WITH THE INTERFAITH CENTER ON CORPORATE RESPONSIBILITY, THE INVESTOR ENVIRONMENTAL HEALTH NETWORK AND INVESTORS FOR OPIOID AND PHARMACEUTICAL ACCOUNTABILITY, TRINITY HEALTH USES ITS OWNERSHIP OF SHARES OF STOCK IN CORPORATIONS TO INFLUENCE CORPORATIONS' POLICIES AND PRACTICES THAT AFFECT SOCIAL INFLUENCERS OF HEALTH, THE LIVING CONDITIONS THAT CAN AFFECT THE HEALTH OF A COMMUNITY, SUCH AS HOUSING, FOOD, EDUCATION, HEALTHCARE, AND ECONOMICS. TRINITY HEALTH TAKES ACTION BY WRITING LETTERS TO COMPANIES, MEETING WITH CORPORATE MANAGEMENT, AND SUBMITTING AND SUPPORTING SHAREHOLDER RESOLUTIONS AS AGENDA ITEMS FOR COMPANIES' ANNUAL MEETINGS OF SHAREHOLDERS.FISCAL YEAR 2021 YIELDED MANY POSITIVE OUTCOMES IN ITS 180 COMPANY ENGAGEMENTS, INCLUDING 50 COMPANY DIALOGUES AND 16 FILED RESOLUTIONS LEADING TO CHANGES IN POLICIES AND PRACTICES AT 18 CORPORATIONS. FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG. PART VI, LINE 7, REPORTS FILED WITH STATES MD 1 SISTERS OF THE HOLY CROSS FINANCIAL SERVICES ST MARYS LOURDES HALL NOTRE DAME IN 465565014 350868159 501(C)(3) 155000 SUPPORT FOR THE FORMAL MINISTRIES OF THE SISTERS OF THE HOLY CROSS NATIONAL INSTITUTES OF HEALTH 9000 ROCKVILLE PIKE BETHESDA MD 20892 520858115 501(C)(3) 47500 SUPPORT PALLIATIVE CARE FELLOWS EMPLOYED BY NATIONAL INSTITUTE OF HEALTH (NIH) AND PRACTICING AT HOLY CROSS PURSUANT TO THE INTERINSTITUTIONAL TRAINING AGREEMENT BETWEEN HOLY CROSS AND THE NIH 2 0 RENT PAYMENTS ON BEHALF OF PATIENTS 13 19770 TRANSPORTATION FOR PATIENTS 50 1416 MEDICATION PURCHASED FOR PATIENTS 14 4072 SPECIALTY CARE FOR PATIENTS SUCH AS SONOGRAMS ETC. 98 21761 FOOD PROGRAMS 735 55532 PATIENT PERSONAL NEEDS 15 2796 PART I, LINE 2: DONATIONS MADE BY HOLY CROSS HEALTH TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE. DONATIONS ARE INCLUDED IN COMMUNITY BENEFITS IN SCHEDULE H IF THE CONTRIBUTION HAS BEEN FORMALLY RESTRICTED TO A COMMUNITY BENEFIT ACTIVITY THAT MEETS THE CRITERIA TO BE REPORTED ON SCHEDULE H. 1 1 0 0 0 0 0 0 0 NORVELL COOTS MD DIRECTOR; PRESIDENT & CEO 0 500210 0 0 0 393603 0 12825 0 23991 0 930629 0 243895 LOUIS DAMIANO MD PRESIDENT HOLY CROSS HOSPITAL 0 393235 0 0 0 74511 0 12825 0 36237 0 516808 0 0 YANCY PHILLIPS MD CHIEF CLINICAL OFFICER 0 392303 0 0 0 28022 0 17100 0 36585 0 474010 0 0 RINY KARRAS PHYSICIAN 389188 0 0 0 564 0 12825 0 8756 0 411333 0 0 0 BLAIR EIG MD FORMER KEY EMPLOYEE 0 15912 0 0 0 363860 0 3647 0 15235 0 398654 0 0 DOUG RYDER PRESIDENT HC GERMANTOWN HOSPITAL 0 284649 0 0 0 81792 0 12825 0 16122 0 395388 0 0 GREG JOLISSAINT VP MILITARY AND VETERANS HEALTH 0 339783 0 0 0 11478 0 12825 0 17676 0 381762 0 0 ANNICE CODY PRESIDENT HCH NETWORK 0 328192 0 0 0 6176 0 17100 0 29944 0 381412 0 0 ANN BURKE VP MEDICAL AFFAIRS 325186 0 0 0 2317 0 17100 0 22492 0 367095 0 0 0 ANNE GILLIS ASSISTANT TREASURER & CFO 0 295678 0 0 0 8107 0 21375 0 35047 0 360207 0 0 KRISTIN FELICIANO VP CHIEF STRATEGY OFFICER 0 299048 0 0 0 4154 0 12825 0 25035 0 341062 0 0 ELIZABETH SIMPSON ASST SECRETARY; GENERAL COUNSEL 0 287979 0 0 0 8569 0 12825 0 28048 0 337421 0 0 ERIC CAWTHON PHYSICIAN ASSISTANT II 281880 0 0 0 25405 0 8550 0 15896 0 331731 0 0 0 TINA WEATHERWAX-GRANT DIR; TH SVP PUBLIC POLICY & ADVOCACY 0 251641 0 0 0 2070 0 15104 0 5774 0 274589 0 0 PART I, LINE 3 HOLY CROSS HEALTH (HCH) IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. HCH'S CEO IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF HCH'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINES 4A-B THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2020. THIS AMOUNT IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: BLAIR EIG - $345,926 IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNTS, WHICH WERE UNPAID AS OF 12/31/20: BLAIR EIG - $2,682 (PAID IN 2021) THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2020. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. BENEFITS FOR PARTICIPANTS VESTED IN A PLAN WERE PAID OUT IN 2020, AND BENEFITS FOR PARTICIPANTS NOT YET VESTED IN A PLAN WERE ACCRUED IN 2020. THE FOLLOWING PAYOUTS FOR 2020 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: NORVELL COOTS - $370,571 LOUIS DAMIANO - $60,634 DOUG RYDER - $65,886 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. 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 ($285,000 FOR 2020). THE FOLLOWING PAYOUTS FOR 2020 FOR THIS PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: ANNICE CODY - $3,228 BLAIR EIG - $3,742 KRISTIN FELICIANO - $2,113 ANNE GILLIS - $2,159 TINA WEATHERWAX-GRANT - $452 GREG JOLISSAINT - $0 YANCY PHILLIPS - $3,279 ELIZABETH SIMPSON - $1,893 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1393424 DONOR PROVIDED GOODS/SERVICES TO HOLY CROSS HEALTH 0 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF HOLY CROSS HEALTH (HCH) IS TRINITY HEALTH CORPORATION. SEE LINE 7 FOR ADDITIONAL INFORMATION. FORM 990, PART VI, SECTION A, LINE 7A TRINITY HEALTH CORPORATION IS THE SOLE MEMBER OF HCH. TRINITY HEALTH CORPORATION HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF HCH. FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER, TRINITY HEALTH CORPORATION MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. TRINITY HEALTH CORPORATION MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS AND MODIFICATIONS TO GOVERNING DOCUMENTS. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 FOR HCH IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE FINANCE COMMITTEE AS WELL AS THE BOARD OF DIRECTORS. EACH MEMBER OF THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C HCH HAS ADOPTED TRINITY HEALTH'S GOVERNANCE POLICY NO. 1, WHICH SETS FORTH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND PROCESSES. IT APPLIES TO ALL "INTERESTED PERSONS" OF HCH, WHICH INCLUDES DIRECTORS, PRINCIPAL OFFICERS, 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 HCH AND TO AVOID SITUATIONS INVOLVING A CONFLICT OF INTEREST. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE PROVIDED TO THE INTEGRITY AND COMPLIANCE OFFICER. IF A POTENTIAL CONFLICT IS IDENTIFIED, THE INTEGRITY AND COMPLIANCE OFFICER SHARES THE DISCLOSURES WITH INTERNAL LEGAL COUNSEL, FROM WHICH LEGAL COUNSEL PREPARES A REPORT FOR THE BOARD CHAIR AND CEO. A SUMMARY OF POTENTIAL CONFLICTS IS REVIEWED WITH THE BOARD OF DIRECTORS OF HCH (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO HCH OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF HCH (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 HCH. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE POLICY FURTHER ADDRESSES THE PROPER DOCUMENTATION OF THE PROCEEDINGS AND POTENTIAL DISCIPLINARY AND CORRECTIVE ACTION FOR VIOLATIONS OF THE POLICY. THE POLICY IS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 15 QUESTIONS 15A AND 15B ARE ANSWERED "NO" BECAUSE THE COMPENSATION FOR HCH'S CEO, OFFICERS AND KEY MANAGEMENT OFFICIALS IS ESTABLISHED AND PAID BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING CEO, HOSPITAL PRESIDENTS AND CFO COMPENSATION, TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF THE CEO, HOSPITAL PRESIDENTS AND CFO OF HCH ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS. FOR OTHER EXECUTIVES WHO ARE NOT PART OF THE REBUTTABLE PRESUMPTION PROCESS, TRINITY HEALTH USES A MARKET ANALYSIS TO DETERMINE THE APPROPRIATENESS OF THE EXECUTIVE'S COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 HCH IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, HCH INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. HCH'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G MEDICAL SPECIALIST FEES: PROGRAM SERVICE EXPENSES 22,777,380. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,777,380. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 78,618. MANAGEMENT AND GENERAL EXPENSES 718,452. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 797,070. BILLING SERVICES: PROGRAM SERVICE EXPENSES 205,198. MANAGEMENT AND GENERAL EXPENSES 1,388,458. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,593,656. MISCELLANEOUS PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 10,461,312. MANAGEMENT AND GENERAL EXPENSES 5,080,820. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,542,132. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 1,267,657. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,267,657. RECRUITING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 140,260. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 140,260. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 26,351,253. MANAGEMENT AND GENERAL EXPENSES 6,500. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,357,753. LAUNDRY AND LINEN SERVICES: PROGRAM SERVICE EXPENSES 1,728,604. MANAGEMENT AND GENERAL EXPENSES 486. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,729,090. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS TO AFFILIATES -15,602,973. EQUITY GAIN IN UNCONSOL. AFFILIATES 10,773,619. FORM 990, PART XII, LINE 2: HCH'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY21 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. FORM 990, PAGE 1, PART C, DOING BUSINESS AS NAMES: HOLY CROSS HOSPITAL HOLY CROSS GERMANTOWN HOSPITAL HOLY CROSS HEALTH NETWORK HOLY CROSS DIALYSIS CENTER AT WOODMORE HOLY CROSS HEALTH CENTER HOLY CROSS HOSPITAL DIALYSIS HOLY CROSS HEALTH PARTNERS PROFESSIONAL SERVICES OF HOLY CROSS SENIOR FIT HOLY CROSS HEALTH CENTERS LLC 1500 FOREST GLEN ROAD SILVER SPRING MD 20910 822340203 PHYSICIAN NETWORK MD 0 2968829 HOLY CROSS HEALTH INC HOLY CROSS HEALTH PARTNERS LLC 1500 FOREST GLEN ROAD SILVER SPRING MD 20910 822391212 PHYSICIAN NETWORK MD 375875 48812 HOLY CROSS HEALTH INC ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP 245 STATE ST 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 6150 EAST BROAD STREET COLUMBUS OH 43213 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 ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 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 ST MARY'S HEALTH CARE SYSTEM INC 1 GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION 701 W NORTH AVE MELROSE PARK IL 60160 363332852 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM 1 GOTTLIEB MEMORIAL FOUNDATION 701 WEST NORTH AVENUE MELROSE PARK IL 60160 743260011 FOUNDATION IL 501(C)(3) LINE 12D, III-O N/A 0 GOTTLIEB MEMORIAL HOSPITAL 701 W NORTH AVE MELROSE PARK IL 60160 362379649 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM 1 HAWTHORNE RIDGE INC 30 COMMUNITY WAY EAST GREENBUSH NY 12061 800102840 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 HEART CENTER OF GREATER WATERBURY INC 114 WOODLAND STREET HARTFORD CT 06105 830416893 MANAGEMENT CT 501(C)(3) LINE 12A, I N/A 0 HERITAGE HOUSE NURSING CENTER INC 2920 TIBBITS AVE TROY NY 12180 141725101 LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 HOLY CROSS CARENET INC PO BOX 9184 FARMINGTON HILLS MI 48152 521945054 LONG TERM CARE MD 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES 1 HOLY CROSS HEALTH FOUNDATION INC 1500 FOREST GLEN ROAD SILVER SPRING MD 20910 208428450 FOUNDATION MD 501(C)(3) LINE 7 HOLY CROSS HEALTH INC 1 HOLY CROSS HEALTH INC 1500 FOREST GLEN ROAD SILVER SPRING MD 20910 520738041 HEALTH CARE AND HOSPITAL SERVICES MD 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 0 HOLY CROSS HOSPITAL INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 590791028 HEALTH CARE AND HOSPITAL SERVICES FL 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 HOLY CROSS OUTPATIENT SERVICES INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 465421068 HEALTH CARE SERVICES FL 501(C)(3) LINE 10 HOLY CROSS HOSPITAL INC 1 HOLY CROSS PRIMARY CARE INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 812531495 HEALTH CARE SERVICES FL 501(C)(3) LINE 10 HOLY CROSS HOSPITAL INC 1 HOLY CROSS SENIOR SERVICES INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 832256461 HEALTH CARE SERVICES FL 501(C)(3) LINE 10 HOLY CROSS HOSPITAL INC 1 HOME AIDE SERVICE OF EASTERN NEW YORK INC 433 RIVER ST SUITE 3000 TROY NY 12180 141514867 HOME HEALTH SERVICES NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 HOSPICE OF NORTH IOWA 232 SECOND STREET SE MASON CITY IA 50401 421173708 HOSPICE SERVICES IA 501(C)(3) LINE 10 MERCY HEALTH SERVICES-IOWA CORP 1 HOSPICE OF SIOUXLAND 4300 HAMILTON BLVD SIOUX CITY IA 51104 383320710 HOSPICE SERVICES IA 501(C)(3) LINE 12A, I N/A 0 IHA HEALTH SERVICES CORPORATION 24 FRANK LLOYD WRIGHT DR LOBBY J ANN ARBOR MI 48106 383316559 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN 1 JOHNSON MEMORIAL HOSPITAL INC 114 WOODLAND STREET HARTFORD CT 06105 475676956 HEALTH CARE AND HOSPITAL SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 LANGHORNE MRI INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 232519529 HEALTH CARE SERVICES (INACTIVE) PA 501(C)(3) LINE 10 ST MARY MEDICAL CENTER 1 LANGHORNE PHYSICIAN SERVICES INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 232571699 HEALTH CARE SERVICES PA 501(C)(3) LINE 10 ST MARY MEDICAL CENTER 1 LIFE AT LOURDES INC 2475 MCCLELLAN AVENUE PENNSAUKEN NJ 08109 261854750 PACE PROGRAM NJ 501(C)(3) LINE 3 TRINITY HEALTH PACE 1 LIFE AT ST FRANCIS HEALTHCARE INC 7TH AND CLAYTON STREETS WILMINGTON DE 19805 452569214 PACE PROGRAM DE 501(C)(3) LINE 10 ST FRANCIS HOSPITAL INC 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 3 TRINITY HEALTH PACE 1 LIFE ST MARY 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 262976184 PACE PROGRAM PA 501(C)(3) LINE 10 ST MARY MEDICAL CENTER 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 20555 VICTOR PARKWAY LIVONIA MI 48152 853904921 HEALTH CARE AND HOSPITAL SERVICES MI 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 ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 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 1001 BALTIMORE PIKE SUITE 310 SPRINGFIELD PA 19064 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 ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 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 ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 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 1001 BALTIMORE PIKE SUITE 310 SPRINGFIELD PA 19064 231352099 HOME HEALTH SERVICES PA 501(C)(3) LINE 10 MERCY HOME HEALTH SERVICES 1 MERCY HOME HEALTH SERVICES 1001 BALTIMORE PIKE SUITE 310 SPRINGFIELD PA 19064 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 2525 SOUTH MICHIGAN AVENUE CHICAGO IL 60616 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 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 3 TRINITY HEALTH PACE 1 MERCY LIFE INC 200 HILLSIDE CIRCLE WEST SPRINGFIELD MA 01089 453086711 PACE PROGRAM MA 501(C)(3) LINE 3 TRINITY HEALTH PACE 1 MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 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 PHYSICIAN NETWORK ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 461187365 MANAGEMENT SERVICES FOR PHYSICIAN SERVICE ORGANIZATIONS PA 501(C)(3) LINE 12B, II TRINITY HEALTH OF THE MID-ATLANTIC REGION 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 ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 231396763 HEALTH CARE AND HOSPITAL SERVICES PA 501(C)(3) LINE 3 TRINITY HEALTH OF THE MID-ATLANTIC REGION 1 MISSION HEALTH CORPORATION 37595 SEVEN MILE ROAD LIVONIA MI 48152 383181557 BUILDING MANAGEMENT SERVICES DE 501(C)(3) LINE 12A, I N/A 0 MOUNT CARMEL COLLEGE OF NURSING 6150 EAST BROAD STREET COLUMBUS OH 43213 311308555 COLLEGE OF NURSING OH 501(C)(3) LINE 2 MOUNT CARMEL HEALTH SYSTEM 1 MOUNT CARMEL HEALTH INSURANCE COMPANY 6150 EAST BROAD STREET COLUMBUS OH 43213 251912781 HEALTH INSURANCE OH 501(C)(4) N/A MOUNT CARMEL HEALTH SYSTEM 1 MOUNT CARMEL HEALTH PLAN OF IDAHO INC 6150 EAST BROAD STREET COLUMBUS OH 43213 831422704 MEDICARE HMO ID 501(C)(4) N/A MOUNT CARMEL HEALTH PLAN INC 1 MOUNT CARMEL HEALTH PLAN OF NEW YORK INC 6150 EAST BROAD STREET COLUMBUS OH 43213 833278543 MEDICARE HMO NY 501(C)(4) N/A MOUNT CARMEL HEALTH PLAN INC 1 MOUNT CARMEL HEALTH PLAN INC 6150 EAST BROAD STREET COLUMBUS OH 43213 311471229 MEDICARE HMO OH 501(C)(4) N/A MOUNT CARMEL HEALTH SYSTEM 1 MOUNT CARMEL HEALTH SYSTEM 6150 EAST BROAD STREET COLUMBUS OH 43213 311439334 HEALTH CARE AND HOSPITAL SERVICES OH 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 MOUNT CARMEL HEALTH SYSTEM FOUNDATION 6150 EAST BROAD STREET COLUMBUS OH 43213 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 7 HIGHTOWER STREET WATERVILLE ME 04901 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 2601 HOLME AVENUE PHILADELPHIA PA 19152 232794121 HEALTH CARE AND HOSPITAL SERVICES PA 501(C)(3) LINE 3 TRINITY HEALTH OF THE MID-ATLANTIC REGION 1 NAZARETH PHYSICIAN SERVICES INC ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 203261266 HEALTH CARE SERVICES PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK 1 NE PHYSICIAN SERVICES INC ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 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 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