2021-05-14T10:36:33-05:00 2020-06-30 990 2019-07-01 520738041 HOLY CROSS HEALTH INC HOLY 3017547034 1500 FOREST GLEN ROAD SILVER SPRING MD 209101484 ANNE GILLIS CHIEF FINANCIAL OFFICER 3017547034 2021-05-14 2019 2022-09-23 18:48:47Z SEE SCHEDULE O NORVELL COOTS MD 1500 FOREST GLEN ROAD SILVER SPRING MD 209101484 628942675 0 X WWW.HOLYCROSSHEALTH.ORG X 1959 MD TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES 15 13 4788 625 60430 -836 1805339 26418696 577286691 579881773 11259304 8024428 14709789 14395602 605061123 628720499 679355 830113 0 0 286217797 292422521 0 0 0 285185104 287007962 572082256 580260596 32978867 48459903 923534099 1036467989 480752096 561657208 442782003 474810781 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 496389937 830113 588174418 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. 496389937 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 540 0 1 4788 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 13 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 MARCUS SHIPLEY DIRECTOR THR 12/19; TRINITY HLTH SVP 1.00 49.00 X 0 1271011 43828 NORVELL COOTS MD DIRECTOR; PRESIDENT & CEO HCH 54.00 1.00 X X 0 675863 34472 LOUIS DAMIANO MD PRESIDENT HOLY CROSS HOSPITAL 55.00 0.00 X 0 537084 45796 DOUG RYDER PRESIDENT HC GERMANTOWN HOSPITAL 55.00 0.00 X 0 447737 27091 BLAIR EIG MD CHIEF MEDICAL OFFICER THROUGH 12/19 50.00 0.00 X 0 409925 49315 YANCY PHILLIPS MD CHIEF CLINICAL OFFICER AS OF 1/20 50.00 0.00 X 0 411040 40999 GREG JOLISSAINT VP MILITARY AND VETERANS HEALTH 50.00 0.00 X 0 403042 31991 ANNICE CODY PRESIDENT HCH NETWORK 50.00 0.00 X 0 386517 44116 ANN BURKE VP MEDICAL AFFAIRS 50.00 0.00 X 363696 0 39183 ANNE GILLIS CFO & ASSISTANT TREASURER 49.00 1.00 X 0 348903 53693 KRISTIN FELICIANO VP CHIEF STRATEGY OFFICER 50.00 0.00 X 0 348250 37591 ELIZABETH SIMPSON GENERAL COUNSEL & ASST SECRETARY 49.00 1.00 X 0 344927 38100 RHONIQUE SHIELDS VP MEDICAL AFFAIRS 50.00 0.00 X 316302 0 26230 ERIC CAWTHON PHYSICIAN ASSISTANT II 50.00 0.00 X 304572 0 32716 TINA GRANT DIR AT 1/20; TH VP PUBL POLICY & ADV 1.00 49.00 X 0 296472 22256 THOMAS MCELROY DIR; TREAS THRU 12/19; CHAIR AT 1/20 1.00 1.00 X X 0 0 0 SHARON FRIEDMAN DIRECTOR; CHAIR THROUGH 12/19 1.00 0.00 X X 0 0 0 RUTH MARIE NICKERSON CSC DIRECTOR; VICE CHAIR 1.00 2.00 X X 0 0 0 MARILYN MOON DIR; SEC THRU 12/19;TREAS AS OF 1/20 1.00 0.00 X X 0 0 0 AJAY GUPTA DIRECTOR; SECRETARY AS OF 1/20 1.00 0.00 X 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 DOUGLAS MURPHY MD DIRECTOR 1.00 0.00 X 0 0 0 HERCULES PINKNEY DIRECTOR THROUGH 12/19 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 JACQUELINE WATSON DO DIRECTOR AS OF 1/20 1.00 0.00 X 0 0 0 VERONIQUE WIEDOWER CSC DIRECTOR 1.00 0.00 X 0 0 0 984570 5880771 567377 361 0 1 0 STRATEGIC STAFFING SOLUTIONS 645 GRISWOLD ST STE 2900 DETROIT MI 482264206 RECRUITING SERVICES 2192886 CHILDRENS NATL MED 12211 PLUM ORCHARD DR STE 200 SILVER SPRING MD 20904 CLINICAL SERVICES 2151797 GEORGE WASHINGTON UNIV 2300 EYE ST NW ROSS HALL WASHINGTON DC 20037 HEALTH CARE SERVICES 1906292 HEALTH CAROUSEL LLC 3805 EDWARDS RD 700 CINCINNATI OH 45209 TEMPORARY LABOR 1655429 HCSC LAUNDRY PO BOX 8016 LANCASTER PA 176048016 LAUNDRY SERVICES 1625720 130 1523021 24658230 237445 26418696 NET PATIENT SERVICE REVENUE 622110 579881773 579821343 60430 579881773 5604736 5604736 1553391 0 1553391 1553391 1553391 2132287 509581 0 222176 2132287 287405 2419692 2419692 RADIATION TREATMENT CENTER 622110 4798042 4798042 CAFETERIA REVENUE 722514 3054322 3054322 PARKING 812930 1434814 1434814 3555033 3555033 12842211 628720499 588174418 60430 14066955 742811 742811 87302 87302 3895578 3895578 240279166 219212239 21066927 6516535 5964061 552474 23970667 21743702 2226965 17760575 16153590 1606985 1994657 1994657 92987 92987 75000 75000 558357 558357 54299164 44216224 10082940 2042684 24997 2017687 6790965 4918797 1872168 23506589 23386913 119676 14259130 11706214 2552916 684390 580773 103617 159022 151340 7682 14955378 14955378 35749542 14398375 21351167 5041795 503 5041292 MEDICAL SUPPLIES 81174973 81174973 BAD DEBT 24410918 24410918 INTERCO PURCHASED SVCS 9451254 1779831 7671423 EQUIPMENT MAINTENANCE 8260054 7830654 429400 3501103 955685 2545418 580260596 496389937 83870659 0 368136 333438 59668 48445 75656781 77686836 9603270 10613862 9061440 2084317 795826154 375625351 436832628 420200803 195217181 311288793 124322197 120677490 2875058 1672066 69537740 91861939 923534099 1036467989 67876931 61326005 1313315 7432642 1828393 63301992 409733457 429596569 480752096 561657208 X 442722335 474756597 59668 54184 442782003 474810781 923534099 1036467989 X 48459903 -3221658 -13209467 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 41941 1 75000 0 0 116941 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 - $16,302 CATHOLIC HOSPITAL ASSOCIATION - $3,163 AMERICAN HOSPITAL ASSOCIATION - $4,936 PROFESSIONAL ORGANIZATIONS - 17,540 TOTAL - $41,941 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. 59668 -5484 54184 58397 1271 59668 50357 8040 58397 42885 7472 50357 45057 -2172 42885 1.00000 0 0 493418 493418 607995646 234255994 373739652 184728603 141369357 43359246 77060 2531427 2608487 420200803 COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES 34479283 F EQUITY METHOD INVESTMENTS 64648655 C HEDGE FUNDS 21549552 F 120677490 MISCELLANEOUS RECEIVABLES 1035668 INTERCOMPANY ACCOUNTS RECEIVABLE 6621068 INVESTMENT IN UNCONSOL. AFFILIATES 36923024 INTERCOMPANY OTHER LT ASSETS 32164317 OPERATING LEASE RIGHT-OF-USE ASSETS 7939923 OTHER LONG TERM ASSETS 7177939 91861939 INTERCOMPANY ACCOUNTS PAYABLE 15902051 DEFERRED COMPENSATION LIABILITY 921064 ASSET RETIREMENT OBLIGATION (ASC 410) 412886 OTHER LIABILITIES 10044987 INTERCOMPANY NOTES PAYABLE 386676770 GUARANTEES 2754886 LEASE LIABILITIES 12883925 429596569 PART V, LINE 4: THE PURPOSE OF THE LOUIS GALDIERI, M.D. MEMORIAL FUND ENDOWMENT IS TO PROVIDE AN AWARD TO A STUDENT(S) OF THE HOLY CROSS HOSPITAL SCHOOL OF RADIOLOGIC TECHNOLOGY WHO EXEMPLIFIES THE VALUES OF THE SCHOOL THROUGH TEAMWORK, INITIATIVE, CONCERN FOR OTHERS AND SCIENTIFIC CURIOSITY. 1 1 X 1 X 1 X 1 1 0 1 1 38469706 20623684 17846022 0.03210 123947695 134414422 0 0.00000 162417401 155038106 17846022 0.03210 63 184836 4605862 198213 4407649 0.00790 4 213 3271863 0 3271863 0.00590 14 109223 11351888 1679154 9672734 0.01740 2 1326 249596 27875 221721 0.00040 1 176996 0 176996 0.00030 84 295598 19656205 1905242 17750963 0.03190 84 295598 182073606 156943348 35596985 0.06400 1 18 24434 24434 0.00000 1 2 4848 4848 0.00000 2 20 29282 29282 0.00000 1 24410918 0 116323309 104778352 11544957 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 IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS, WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: 1. 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 IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS, WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: 1. 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 HAS CONDUCTED NEEDS ASSESSMENTS FOR ALMOST 20 YEARS AND HOLY CROSS GERMANTOWN HOSPITAL 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, WHICH WERE 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 NEXT 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 FISCAL YEAR 2020 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 HAS CONDUCTED NEEDS ASSESSMENTS FOR ALMOST 20 YEARS AND HOLY CROSS GERMANTOWN HOSPITAL 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, WHICH WERE 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 NEXT 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 FISCAL YEAR 2020 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, INCLUDING WOMEN AND CHILDREN, SENIORS, AND RACIAL, ETHNIC AND LINGUISTIC MINORITIES. 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 CENTERS ARE THE LINCHPIN IN OUR COMMUNITY BENEFIT PROGRAM, HELPING TO CREATE A CONTINUUM OF CARE FOR AREA RESIDENTS IN GREATEST NEED. 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 2020 (FY20), THERE WERE 43,913 PATIENT VISITS AT THE FOUR HEALTH CENTERS AND 518 NEW OB/GYN ADMISSIONS. THESE HEALTH CENTERS PROVIDE A WIDE RANGE OF SERVICES TO LOW-INCOME AND UNINSURED INDIVIDUALS AND FAMILIES TO HELP MAINTAIN THEIR OPTIMAL HEALTH AND WELL-BEING: PRIMARY CARE, PREVENTIVE CARE (INCLUDING HEALTH SCREENINGS), CHRONIC DISEASE MANAGEMENT, BEHAVIORAL HEALTH, HEALTH EDUCATION, FOLLOW-UP CARE FOR EMERGENCY ROOM AND HOSPITAL VISITS, AND REFERRALS TO SPECIALTY CARE WHEN NEEDED. THROUGH THESE PATIENT-CENTERED MEDICAL HOMES, NURSE CARE MANAGERS WORK WITH PATIENTS ONE-ON-ONE TO DEVELOP CARE PLANS AND CREATE PRACTICAL STRATEGIES TO HELP THEM COPE WITH CHRONIC ILLNESSES AND PREVENT NEW HEALTH PROBLEMS. HOUSING: IN FY20, 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. ADDITIONALLY, HCH ADVOCATED FOR AFFORDABLE HOUSING ON A COUNTY AND STATE 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 (MCDHHS), TO PROVIDE MATERNITY SERVICES TO PATIENTS IN NEED, REGARDLESS OF THEIR ABILITY TO PAY. IN FY20, THROUGH THIS PARTNERSHIP, HCH OFFERED PRENATAL SERVICES TO 518 LOW-INCOME, PREGNANT WOMEN WHO LACKED HEALTH INSURANCE. PRENATAL SERVICES INCLUDE PRENATAL CARE, ROUTINE LABORATORY TESTS, PRENATAL CLASSES, AND A DENTAL SCREENING BY A DENTAL HYGIENIST.SENIORS: HOLY CROSS HAS A ROBUST COMMUNITY PROGRAM FOR SENIORS CALLED THE SENIOR SOURCE, AN AWARD-WINNING PROGRAM DEVELOPED IN PARTNERSHIP WITH MULTIPLE COMMUNITY PARTNERS SUCH AS THE HOUSING OPPORTUNITIES COMMISSION OF MONTGOMERY COUNTY, THE MARYLAND DEPARTMENT OF AGING, AND THE MCDHHS. THE SENIOR SOURCE IS A FREE-STANDING HEALTH AND WELLNESS CENTER FOR ACTIVE ADULTS AGE 55 AND OLDER LOCATED IN DOWNTOWN SILVER SPRING. OUR SENIOR PROGRAMS OFFER AN ARRAY OF OPTIONS TO HELP OLDER ADULTS MAINTAIN INDEPENDENCE, DECREASE ISOLATION, AND ENHANCE QUALITY OF LIFE. OUR CLASSES, RANGING FROM ART APPRECIATION TO ZUMBA, HAD 12,188 ENCOUNTERS IN FY20.CARDIOVASCULAR HEALTH: SENIOR FIT, A FREE 45-MINUTE EXERCISE PROGRAM FOR SENIORS AGED 55 AND OVER, PROVIDES AGE-APPROPRIATE EXERCISE CLASSES TO MINIMIZE SYMPTOMS OF CHRONIC DISEASE, IMPROVE STRENGTH, FLEXIBILITY AND CARDIOVASCULAR ENDURANCE, AND ENCOURAGE SELF-MANAGEMENT. IN FY20, 72 SENIOR FIT CLASSES WERE OFFERED EACH WEEK AT 23 GEOGRAPHICALLY ACCESSIBLE LOCATIONS IN MONTGOMERY AND PRINCE GEORGE'S COUNTIES. THE AVERAGE WEEKLY ATTENDANCE WAS 1,991 PARTICIPANTS, AND TOTAL ENCOUNTERS FOR THE YEAR WERE 77,217. IN MARCH OF 2020, IN RESPONSE TO THE COVID-19 PANDEMIC, ALL CLASSES WERE CONVERTED FROM IN-PERSON TO VIRTUAL, WITH MORE THAN 4,000 ENCOUNTERS EACH MONTH.OBESITY: KIDS FIT, A ONE-HOUR INTERACTIVE EXERCISE AND NUTRITION PROGRAM, TARGETS AT-RISK YOUTH TO IMPROVE FITNESS, TEAMWORK, AND KNOWLEDGE OF HEALTHY LIFESTYLE CHOICES AMONG CHILDREN AGES 6 TO 12 RESIDING IN LOW-INCOME HOUSING PROPERTIES. IN FY20, A TOTAL OF 26 KIDS FIT CLASSES WERE HELD AT FOUR HOUSING OPPORTUNITIES SITES IN MONTGOMERY COUNTY, WITH AN AVERAGE CLASS ATTENDANCE OF 14 AND TOTAL ENCOUNTERS OF 338.DIABETES: THE DIABETES PREVENTION PROGRAM 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. IN FY20, THE DIABETES PREVENTION PROGRAM ENROLLED 90 COMMUNITY MEMBERS, WITH AN AVERAGE WEIGHT LOSS OF 9.7% AT 12 MONTHS.BEHAVIORAL HEALTH: IN MONTGOMERY AND PRINCE GEORGE'S COUNTIES, 9.3% AND 9.7% OF THE POPULATION, RESPECTIVELY, SAID THAT THEY EXPERIENCED EIGHT OR MORE DAYS OF POOR MENTAL HEALTH IN THE PAST MONTH. THE LOW-INCOME, UNINSURED OR UNDERINSURED POPULATIONS HAVE LIMITED SERVICES AVAILABLE TO THEM TO ASSIST IN COPING WITH BEHAVIORAL HEALTH ISSUES. THERE ARE APPROXIMATELY 228,000 MEDICAID RECIPIENTS IN MONTGOMERY COUNTY, AND IT IS ESTIMATED THAT MORE THAN 102,000 COUNTY RESIDENTS ARE UNINSURED, 60,000 OF WHOM ARE MEDICAID INELIGIBLE DUE TO IMMIGRATION STATUS, ACCORDING TO THE MIGRATION POLICY INSTITUTE (PRIMARY CARE COALITION, 2019). TO MEET THIS GROWING NEED, BEHAVIORAL HEALTH SERVICES HAVE BEEN INCORPORATED INTO ALL FOUR OF OUR HOLY CROSS HEALTH CENTERS. PATIENTS USE BEHAVIORAL HEALTH SERVICES FOR COUNSELING, MEDICATION MANAGEMENT FOR MILD DEPRESSION, ANXIETY, COPING AND PANIC DISORDERS, AND FOR CASE MANAGEMENT TO ADDRESS AN IDENTIFIED SOCIAL DETERMINANT OF HEALTH NEED. IN FY20, THE HOLY CROSS HEALTH CENTERS HAD 786 BEHAVIORAL HEALTH VISITS AND 413 SOCIAL WORK VISITS. DEPRESSION SCREENINGS WERE PERFORMED AT 88.9% OF THE PRIMARY CARE VISITS TO THE HEALTH CENTERS.CANCERS: MAMMOGRAM ASSISTANCE PROGRAM SERVICES (MAPS) PROVIDES 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 FY20, 577 COMMUNITY MEMBERS RECEIVED FREE MAMMOGRAMS.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. IN FY20, THE MOBILE KITCHEN PROVIDED EDUCATION TO 11 COMMUNITY MEMBERS AND SHARED VIDEO VIGNETTES ON HOW TO PREPARE SIMPLE, NUTRITIOUS MEALS FOR COMMUNITY MEMBERS.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 414 COLLEAGUES WITH IDENTIFIED NEEDS WERE CONNECTED TO A COMMUNITY HEALTH WORKER, WITH 139 OF THOSE RECEIVING ASSISTANCE IN NAVIGATING COMMUNITY RESOURCES TO ADDRESS THEIR NEEDS.PILLAR #3: AVAILABILITY - CONSISTENT SOURCE OF QUALITY FOOD. DURING FY20, WE CONDUCTED THREE COMMUNITY/COLLEAGUE FOOD DISTRIBUTIONS AND PROVIDED 425 MEALS TO FOOD INSECURE COMMUNITY MEMBERS AND COLLEAGUES. WE ALSO PARTNERED WITH FAITH-BASED ORGANIZATIONS TO PROVIDE FACE MASKS, COVID-19 EDUCATION, AND NUTRITION EDUCATION AT 15 COMMUNITY FOOD DISTRIBUTION EVENTS SERVING MORE THAN 5,000 COMMUNITY MEMBERS IN AREAS HARDEST HIT BY COVID-19. 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 FOOD COUNCIL'S BOARD OF DIRECTORS, TO SUPPORT THE WORK OF 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 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, INCLUDING WOMEN AND CHILDREN, SENIORS, AND RACIAL, ETHNIC AND LINGUISTIC MINORITIES. 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 CENTERS ARE THE LINCHPIN IN OUR COMMUNITY BENEFIT PROGRAM, HELPING TO CREATE A CONTINUUM OF CARE FOR AREA RESIDENTS IN GREATEST NEED. 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 FY20, THERE WERE 43,913 PATIENT VISITS AT THE FOUR HEALTH CENTERS AND 518 NEW OB/GYN ADMISSIONS. THESE HEALTH CENTERS PROVIDE A WIDE RANGE OF SERVICES TO LOW-INCOME AND UNINSURED INDIVIDUALS AND FAMILIES TO HELP MAINTAIN THEIR OPTIMAL HEALTH AND WELL-BEING: PRIMARY CARE, PREVENTIVE CARE (INCLUDING HEALTH SCREENINGS), CHRONIC DISEASE MANAGEMENT, BEHAVIORAL HEALTH, HEALTH EDUCATION, FOLLOW-UP CARE FOR EMERGENCY ROOM AND HOSPITAL VISITS, PEDIATRIC HEALTH CARE, AND REFERRALS TO SPECIALTY CARE WHEN NEEDED. THROUGH THESE PATIENT-CENTERED MEDICAL HOMES, NURSE CARE MANAGERS WORK WITH PATIENTS ONE-ON-ONE TO DEVELOP CARE PLANS AND CREATE PRACTICAL STRATEGIES TO HELP THEM COPE WITH CHRONIC ILLNESSES AND PREVENT NEW HEALTH PROBLEMS. HOUSING: IN FY20, 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. ADDITIONALLY, HCH ADVOCATED FOR AFFORDABLE HOUSING ON A COUNTY AND STATE 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 (MCDHHS), TO PROVIDE MATERNITY SERVICES TO PATIENTS IN NEED, REGARDLESS OF THEIR ABILITY TO PAY. IN FY20, THROUGH THIS PARTNERSHIP, HCGH OFFERED PRENATAL SERVICES TO 361 LOW-INCOME, PREGNANT WOMEN WHO LACKED HEALTH INSURANCE. PRENATAL SERVICES INCLUDE PRENATAL CARE, ROUTINE LABORATORY TESTS, PRENATAL CLASSES, AND A DENTAL SCREENING BY A DENTAL HYGIENIST.SENIORS: HOLY CROSS HAS A ROBUST COMMUNITY PROGRAM FOR SENIORS CALLED THE SENIOR SOURCE, AN AWARD-WINNING PROGRAM DEVELOPED IN PARTNERSHIP WITH MULTIPLE COMMUNITY PARTNERS SUCH AS THE HOUSING OPPORTUNITIES COMMISSION OF MONTGOMERY COUNTY, THE MARYLAND DEPARTMENT OF AGING, AND THE MCDHHS. THE SENIOR SOURCE IS A FREE-STANDING HEALTH AND WELLNESS CENTER FOR ACTIVE ADULTS AGE 55 AND OLDER LOCATED IN DOWNTOWN SILVER SPRING. OUR SENIOR PROGRAMS OFFER AN ARRAY OF OPTIONS TO HELP OLDER ADULTS MAINTAIN INDEPENDENCE, DECREASE ISOLATION, AND ENHANCE QUALITY OF LIFE. OUR CLASSES, RANGING FROM ART APPRECIATION TO ZUMBA, HAD 12,188 ENCOUNTERS IN FY20.CARDIOVASCULAR HEALTH: SENIOR FIT, A FREE 45-MINUTE EXERCISE PROGRAM FOR SENIORS AGED 55 AND OVER, PROVIDES AGE-APPROPRIATE EXERCISE CLASSES TO MINIMIZE SYMPTOMS OF CHRONIC DISEASE, IMPROVE STRENGTH, FLEXIBILITY AND CARDIOVASCULAR ENDURANCE, AND ENCOURAGE SELF-MANAGEMENT. IN FY20, 72 SENIOR FIT CLASSES WERE OFFERED EACH WEEK AT 23 GEOGRAPHICALLY ACCESSIBLE LOCATIONS IN MONTGOMERY AND PRINCE GEORGE'S COUNTIES. THE AVERAGE WEEKLY ATTENDANCE WAS 1,991 PARTICIPANTS, AND TOTAL ENCOUNTERS FOR THE YEAR WERE 23,390. IN MARCH OF 2020, IN RESPONSE TO THE COVID-19 PANDEMIC, ALL CLASSES WERE CONVERTED FROM IN-PERSON TO VIRTUAL, WITH MORE THAN 4,000 ENCOUNTERS EACH MONTH.OBESITY: KIDS FIT, A ONE-HOUR INTERACTIVE EXERCISE AND NUTRITION PROGRAM, TARGETS AT-RISK YOUTH TO IMPROVE FITNESS, TEAMWORK, AND KNOWLEDGE OF HEALTHY LIFESTYLE CHOICES AMONG CHILDREN AGES 6 TO 12 RESIDING IN LOW-INCOME HOUSING PROPERTIES. IN FY20, A TOTAL OF 26 KIDS FIT CLASSES WERE HELD AT FOUR HOUSING OPPORTUNITIES SITES IN MONTGOMERY COUNTY, WITH AN AVERAGE CLASS ATTENDANCE OF 14 AND TOTAL ENCOUNTERS OF 338.DIABETES: THE DIABETES PREVENTION PROGRAM 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. IN FY20, THE DIABETES PREVENTION PROGRAM ENROLLED 90 COMMUNITY MEMBERS, WITH AN AVERAGE WEIGHT LOSS OF 9.7% AT 12 MONTHS.BEHAVIORAL HEALTH: IN MONTGOMERY AND PRINCE GEORGE'S COUNTIES, 9.3% AND 9.7% OF THE POPULATION, RESPECTIVELY, SAID THAT THEY EXPERIENCED EIGHT OR MORE DAYS OF POOR MENTAL HEALTH IN THE PAST MONTH. THE LOW-INCOME, UNINSURED OR UNDERINSURED POPULATIONS HAVE LIMITED SERVICES AVAILABLE TO THEM TO ASSIST IN COPING WITH BEHAVIORAL HEALTH ISSUES. THERE ARE APPROXIMATELY 228,000 MEDICAID RECIPIENTS IN MONTGOMERY COUNTY, AND IT IS ESTIMATED THAT MORE THAN 102,000 COUNTY RESIDENTS ARE UNINSURED, 60,000 OF WHOM ARE MEDICAID INELIGIBLE DUE TO IMMIGRATION STATUS, ACCORDING TO THE MIGRATION POLICY INSTITUTE (PRIMARY CARE COALITION, 2019). TO MEET THIS GROWING NEED, BEHAVIORAL HEALTH SERVICES HAVE BEEN INCORPORATED INTO ALL FOUR OF OUR HOLY CROSS HEALTH CENTERS. PATIENTS USE BEHAVIORAL HEALTH SERVICES FOR COUNSELING, MEDICATION MANAGEMENT FOR MILD DEPRESSION, ANXIETY, COPING AND PANIC DISORDERS, AND FOR CASE MANAGEMENT TO ADDRESS AN IDENTIFIED SOCIAL DETERMINANT OF HEALTH NEED. IN FY20, THE HOLY CROSS HEALTH CENTERS HAD 786 BEHAVIORAL HEALTH VISITS AND 413 SOCIAL WORK VISITS. DEPRESSION SCREENINGS WERE PERFORMED AT 88.9% OF THE PRIMARY CARE VISITS TO THE HEALTH CENTERS.CANCERS: MAMMOGRAM ASSISTANCE PROGRAM SERVICES (MAPS) PROVIDES 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 FY20, 577 COMMUNITY MEMBERS RECEIVED FREE MAMMOGRAMS.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. IN FY20, THE MOBILE KITCHEN PROVIDED EDUCATION TO 11 COMMUNITY MEMBERS AND SHARED VIDEO VIGNETTES ON HOW TO PREPARE SIMPLE, NUTRITIOUS MEALS FOR COMMUNITY MEMBERS.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 HOLY CROSS COLLEAGUES. APPROXIMATELY 414 COLLEAGUES WITH IDENTIFIED NEEDS WERE CONNECTED TO A COMMUNITY HEALTH WORKER, WITH 139 OF THOSE RECEIVING ASSISTANCE IN NAVIGATING COMMUNITY RESOURCES TO ADDRESS THEIR NEEDS. IN FY20, HCGH RECEIVED FUNDING TO IMPLEMENT A COMMUNITY GREENHOUSE ON ITS CAMPUS AND BEGAN PARTNERING WITH MONTGOMERY COLLEGE TO START A FARMERS MARKET ON THE JOINT CAMPUS OF HCGH AND MONTGOMERY COLLEGE; HOWEVER, THIS WAS PUT ON HOLD DURING THE PANDEMIC.PILLAR #3: AVAILABILITY - CONSISTENT SOURCE OF QUALITY FOOD. DURING FY20, WE CONDUCTED THREE COMMUNITY/COLLEAGUE FOOD DISTRIBUTIONS AND PROVIDED 425 MEALS TO FOOD INSECURE COMMUNITY MEMBERS AND COLLEAGUES. WE ALSO PARTNERED WITH FAITH-BASED ORGANIZATIONS TO PROVIDE FACE MASKS, COVID-19 EDUCATION, AND NUTRITION EDUCATION AT 15 COMMUNITY FOOD DISTRIBUTION EVENTS SERVING MORE THAN 5,000 COMMUNITY MEMBERS IN AREAS HARDEST HIT BY COVID-19. 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 FOOD COUNCIL'S BOARD OF DIRECTORS, TO SUPPORT THE WORK OF 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 - DOCTORS REGIONAL CANCER CENTER 8116 GOOD LUCK RD SUITE 005 LANHAM MD 20706 CANCER TREATMENT 2 - DOCTORS REGIONAL CANCER CENTER 4901 TELSA DR SUITE A BOWIE MD 20715 CANCER TREATMENT 3 - CHESAPEAKE POTOMAC REGIONAL CANCER CT 11340 PEMBROOKE SQ SUITE 201 WALDORF MD 20603 CANCER TREATMENT 4 - CHESAPEAKE POTOMAC REGIONAL CANCER CT 30077 BUSINESS CENTER DR CHARLOTTE HALL MD 20622 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 - HOLY CROSS HEALTH CENTER - ASPEN HILL 13975 CONNECTICUT AVE SUITE 250 ASPEN HILL MD 20906 HEALTH CLINIC 8 - HOLY CROSS HEALTH CTR - GAITHERSBURG 220 PERRY PARKWAY UNIT 5 GAITHERSBURG MD 20877 HEALTH CLINIC 9 - HC HEALTH PARTNERS IN KENSINGTON 3720 FARRAGUT AVE 2ND FLOOR KENSINGTON MD 20895 PRIMARY CARE 10 - HOLY CROSS RESOURCE CENTER 9805 DAMERON DR SILVER SPRING MD 20902 ADULT DAY 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 HEALTH PARTNERS AT ASBURY 201 RUSSELL AVE GAITHERSBURG MD 20877 PRIMARY 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, $24,410,918, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F). PART II, COMMUNITY BUILDING ACTIVITIES: AS COMMUNITIES THROUGHOUT MONTGOMERY COUNTY GROW MORE DIVERSE, CERTAIN POPULATIONS CONTINUE TO EXPERIENCE POORER HEALTH AND DISPROPORTIONATE RATES OF ILLNESS AND DEATH. HCH HAS PIONEERED INNOVATIVE EFFORTS TO BETTER MEET THE NEEDS OF VULNERABLE AND UNDERSERVED POPULATIONS, INCLUDING RACIAL, ETHNIC AND LINGUISTIC MINORITIES, THAT GO BEYOND CLINICAL CARE TO ADDRESS SOCIAL DETERMINANTS OF HEALTH ISSUES THAT HAVE AN INDIRECT IMPACT ON HEALTH STATUS.IN FISCAL YEAR 2020 (FY20), HCH PROVIDED $24,424 IN ECONOMIC DEVELOPMENT THROUGH ITS PARTNERSHIP WITH THE DON BOSCO CRISTO REY HIGH SCHOOL. THE DON BOSCO CRISTO REY WORK STUDY PROGRAM, A YOUTH ASSET DEVELOPMENT PROGRAM, PROVIDES LOW-INCOME STUDENTS AN OPPORTUNITY TO EARN 63 PERCENT OF THE COST OF THEIR COLLEGE PREP EDUCATION WHILE GAINING VALUABLE JOB EXPERIENCE.IN FY20, HCH ALSO PROVIDED FUNDS IN WORKFORCE DEVELOPMENT 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. THESE HARD-TO-HIRE INDIVIDUALS INCLUDE WOUNDED WARRIORS AND VETERANS RETURNING TO OUR COMMUNITY, HOMELESS INDIVIDUALS, SENIORS, AND AT-RISK YOUTH. 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 ALLOW 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 32.4% OF THE POPULATION IN MONTGOMERY COUNTY AND 20.7% OF THE POPULATION IN PRINCE GEORGE'S COUNTY ARE OF FOREIGN BIRTH, SIGNIFICANTLY GREATER THAN THE STATE AND NATIONAL RATE OF 14.2% AND 13.0%, RESPECTIVELY (COMMUNITY COMMONS, 2016). THE COMMUNITY WE SERVE HAS THE HIGHEST PERCENTAGE OF FOREIGN-BORN RESIDENTS (29.3%) IN THE STATE OF MARYLAND, AND THE MAJORITY OF THE TOTAL FOREIGN-BORN POPULATION IN MARYLAND RESIDE WITHIN MONTGOMERY COUNTY. IN MONTGOMERY COUNTY, 32.6% 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 AND DENTAL STAFF OF 1,927 MEMBERS. THE MEDICAL STAFFS 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:- EXPRESS CARE FOR PATIENTS WITH LESS SERIOUS MEDICAL ILLNESSES AND INJURIES TO REDUCE WAIT TIME AND SPEED TREATMENT- AN OBSERVATION ROOM FOR PATIENTS WHO REQUIRE MONITORING OVER TIME- THE NATION'S FIRST AND THE REGION'S ONLY SENIORS EMERGENCY CENTER- PEDIATRIC EMERGENCY CARE- PRIMARY STROKE CENTER DESIGNATION BY THE JOINT COMMISSION AND THE MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS)- CARDIAC INTERVENTIONAL CENTER DESIGNATION BY THE MIEMSSTHE 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 INCLUDING:- DIAGNOSIS AND TREATMENT OF PATIENTS WITH LESS SERIOUS MEDICAL ISSUES- RAPID STABILIZATION AND EVALUATION OF PATIENTS IN CRITICAL CONDITION- CARE FOR PATIENTS WHO REQUIRE EXTENDED MONITORING, BUT NOT INPATIENT HOSPITALIZATION- EMERGENCY PSYCHIATRIC SERVICES AND DIRECT ACCESS TO THE HOSPITAL'S INPATIENT ADULT BEHAVIORAL HEALTH UNITNO PART OF THE INCOME OF HOLY CROSS HEALTH INURES BENEFITS TO ANY PRIVATE INDIVIDUAL NOR IS ANY PRIVATE INTEREST BEING SERVED. ALL SURPLUS FUNDS ARE REINVESTED INTO THE FACILITY, EQUIPMENT, OR PROGRAMS OF THE HOSPITAL TO IMPROVE THE HEALTH OF THE COMMUNITY, IMPROVE THE QUALITY OF PATIENT CARE, EXPAND OUR FACILITIES, AND ADVANCE OUR MEDICAL TRAINING, EDUCATION AND RESEARCH PROGRAMS.HOLY CROSS HEALTH'S OVERALL RESPONSIVENESS TO THE NEEDS OF OUR COMMUNITY IS EVIDENCED BY OUR WILLINGNESS TO PARTICIPATE IN A RANGE OF COMMITTEES, COALITIONS, PANELS, ADVISORY GROUPS, COMMISSIONS, AND BOARDS. 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. IN FY20, 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 FY20 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. TOTAL STUDENT POPULATION REACHED BY THE STRATEGY OVER THE COURSE OF THE TCI: 81,016 STUDENTS IN 102 SCHOOLS.- PERCENTAGE OF MCPS SCHOOLS WITH LSWCS IN 2020: 49% (N=207)- PERCENTAGE OF HIGH SCHOOL STUDENTS WHO HAD OBESITY IN MONTGOMERY COUNTY, ACCORDING TO THE 2018 YOUTH RISK BEHAVIOR SURVEY: 8.6%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. TOTAL STUDENT POPULATION REACHED BY THE STRATEGY DURING THE REPORTING YEAR: 7,013 STUDENTS IN EIGHT SCHOOLS.- PERCENTAGE OF MCPS SCHOOLS PARTICIPATING IN SRTS STRATEGY IN 2020: 4% (N=207)- DATA COLLECTED THROUGH SRTS STUDENT TALLIES AT SALLY K. RIDE ELEMENTARY SCHOOL SHOW AN INCREASE IN THE PERCENTAGE OF STUDENTS WALKING AND BIKING TO SCHOOL, FROM 7.8% IN 2018 TO 10.7% IN 2019.3. 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. DURING FY20, PRIMARY CARE COALITION WORKED TO STABILIZE THE EXISTING FOOD SECURITY SCREENING AND REFERRAL SYSTEM AS WELL AS TO EXPAND THE REACH OF THE PROGRAM. THIS WORK INCLUDED SECURING COMMITMENTS FROM CLINICS TO ROUTINELY IMPLEMENT THE SCREENING TOOL, BUILDING A REFERRAL PROCESS WITH THE MONTGOMERY COUNTY FOOD COUNCIL, AND ESTABLISHING NEW PARTNERSHIPS WITH SCHOOL-BASED HEALTH CENTERS.TOTAL PATIENTS SCREENED FOR FOOD INSECURITY: 1,853.- NUMBER OF REFERRALS: 1,853- NUMBER CONNECTED WITH INTENSIVE SERVICES: 214- PERCENT CONNECTED WITH FOOD ASSISTANCE: 71%- IMPROVED BMI (OR ALREADY IN HEALTHY RANGE): 63%- IMPROVED A1C (OR MAINTAINED CONTROL): 55%4. HOLY CROSS HEALTH SUPPORTED THE MONTGOMERY COUNTY FOOD COUNCIL. ONE OF THE COUNCIL'S MAIN ACHIEVEMENTS THIS YEAR 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. - BASED ON THE MOST RECENT FEEDING AMERICA REPORT FROM 2018, THE FOOD INSECURITY RATE IN MONTGOMERY COUNTY RATE DROPPED FROM 7% (77,000 RESIDENTS) IN 2016 TO 6.1% IN 2017 (63,380 RESIDENTS), AND THEN ROSE TO 8.0% IN 2018 (83,700).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. EXAMPLES OF SUPPORT INCLUDE TRANSPORTATION ASSISTANCE; SPECIALTY CARE REFERRALS; FUNDS TO PAY FOR ITEMS SUCH AS DURABLE MEDICAL EQUIPMENT, GROCERIES, OR RENT; AND SUPPORT FOR COMMUNITY GROUPS AND ORGANIZATIONS ADDRESSING SOCIAL DETERMINANTS OF HEALTH ISSUES IN NEIGHBORHOODS SURROUNDING OUR 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 A SIX-MONTH FOOD SUBSCRIPTION BOX SERVICE AND WERE LINKED TO ADDITIONAL RESOURCES.COVID-19: HOLY CROSS HEALTH BEGAN INITIAL DISCUSSIONS OF THE DISEASE ON FEBRUARY 24, 2020 AND INITIATED AN INCIDENT MANAGEMENT CENTER (IMC) ON FEBRUARY 28, 2020. THE FIRST SUSPECTED CASE WAS SEEN AT HCH IN EARLY MARCH. THE IMC, WHICH CONTINUES TO MEET REGULARLY, CONSISTS OF THE FOLLOWING SECTIONS: IMC LEADER, PLANS, LOGISTICS, FINANCE, MEDICAL OPERATIONS, NURSING OPERATIONS, INFECTION CONTROL, AND COMMUNICATIONS. EACH SECTION INCLUDES SUB-SECTIONS BASED ON THE NATIONAL INCIDENT MANAGEMENT SYSTEM (NIMS) MODEL. TREATMENT DECISIONS ARE BASED ON GUIDANCE FROM THE CDC, WORLD HEALTH ORGANIZATION, AND LOCAL, STATE AND FEDERAL PARTNERS. IN ADDITION, HOLY CROSS HEALTH ADDED 214 BEDS OF CAPACITY BETWEEN ITS TWO HOSPITALS. HCH IN SILVER SPRING IS ONE OF SIX MEDICAL CENTERS IN MONTGOMERY COUNTY WHERE TENTS WERE USED FOR TRIAGE AND FOR THE TREATMENT OF PEOPLE WITH SYMPTOMS OF COVID-19. HOLY CROSS HEALTH CENTER PROVIDERS PERFORMED 6,040 TELEHEALTH VISITS FROM MARCH THROUGH JUNE. ALSO IN MARCH 2020, HCH DEVELOPED A SOCIAL CARE HUB TO ADDRESS THE GROWING SOCIAL NEEDS OF BOTH PATIENTS UNDER INVESTIGATION (PUI) AND OUR PATIENTS DIAGNOSED WITH COVID-19. 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. 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 ANNUALLY REQUIRES THAT ALL MEMBER HOSPITALS DEFINE - AND ACHIEVE - SPECIFIC COMMUNITY HEALTH AND WELL-BEING GOALS. IN FISCAL YEAR 2020, EVERY TRINITY HEALTH ENTITY FOCUSED ON: 1. REDUCING TOBACCO USE 2. REDUCING OBESITY PREVALENCE3. ADDRESSING AT LEAST ONE SOCIAL INFLUENCER OF HEALTH 4. ADDRESSING AT LEAST ONE SIGNIFICANT HEALTH NEED IDENTIFIED BY THEIR HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENTADDITIONALLY, IN RESPONSE TO COVID-19, TRINITY HEALTH MEMBER HOSPITALS MOBILIZED NATIONAL INFRASTRUCTURE TO ASSESS THE MOST URGENT NEEDS IN THEIR COMMUNITIES. TRINITY HEALTH MEMBER HOSPITALS STRENGTHENED PARTNERSHIPS WITH COMMUNITY-BASED ORGANIZATIONS AND COLLABORATED WITH MEDICAL GROUPS AND CLINICALLY INTEGRATED NETWORKS PROVIDING DIRECT PATIENT CARE TO ENSURE THAT PATIENT SOCIAL NEEDS WERE MET IN THE COMMUNITY. LIKEWISE, MEMBER HOSPITALS ACCELERATED THEIR SOCIAL SERVICES RESPONSE BY ESTABLISHING SOCIAL CARE PROGRAMS TO CONNECT PATIENTS, COLLEAGUES AND COMMUNITY MEMBERS TO LOCAL SOCIAL SERVICES SUCH AS: FOOD, HOUSING, FINANCIAL ASSISTANCE AND ACCESS TO HEALTH CARE. FROM MARCH THROUGH JUNE, SOCIAL CARE MADE OVER 103,000 CONNECTIONS, AND TRINITY HEALTH PROVIDED OVER 44,000 MEDICAL SERVICES TO THOSE WHO ARE HOMELESS AND THROUGH COMMUNITY TESTING EVENTS. SOCIAL INFLUENCERS OF HEALTH - SUCH AS ADEQUATE HOUSING, PERSONAL SAFETY AND ACCESS TO FOOD, EDUCATION, INCOME, AND HEALTH COVERAGE - HAVE A SIGNIFICANT IMPACT ON THE HEALTH OF COMMUNITIES. IN AN EFFORT TO ADDRESS SOME OF THESE INFLUENCERS, TRINITY HEALTH INVESTED $3.7 MILLION IN THE TRANSFORMING COMMUNITIES INITIATIVE (TCI), WHICH INITIALLY LAUNCHED IN FISCAL YEAR 2016. TCI IS A SHARED FUNDING MODEL AND TECHNICAL-ASSISTANCE INITIATIVE SUPPORTING EIGHT TRINITY HEALTH HOSPITALS, AND THEIR COMMUNITY PARTNERS, TO IMPLEMENT POLICY, SYSTEM, AND ENVIRONMENTAL CHANGE STRATEGIES TO PREVENT TOBACCO USE AND CHILDHOOD OBESITY, AND TO AFFECT CHANGE RELATED TO THE SOCIAL INFLUENCERS OF HEALTH. IN ADDITION TO TRINITY HEALTH'S INVESTMENT, TCI HAS LEVERAGED OVER $12.4 MILLION IN COMMUNITY MATCH FUNDING TO DATE. IN FISCAL YEAR 2020, IN RESPONSE TO COVID-19, TCI SWIFTLY SHIFTED THEIR FOCUS IN MARCH TO ADDRESSING FOOD INSECURITY, HEALTH CARE WORKER PROTECTIVE EQUIPMENT, SUPPORTING CLOSED SCHOOLS TO EFFECTIVELY REACH CHILDREN, MENTAL HEALTH INTERVENTIONS, AND EMERGENCY AID/FINANCIAL ASSISTANCE DIRECTLY TO INDIVIDUALS IN NEED. OVERALL, TCI COMMUNITIES REDIRECTED NEARLY $520,000 TO SUPPORT COVID-19 RELATED NEEDS.TRINITY HEALTH CONTINUES TO EXPAND THE NATIONAL DIABETES PREVENTION PROGRAM (NDPP) THROUGH THE SUPPORT OF THE CENTERS FOR DISEASE CONTROL AND PREVENTION AND HELPED 2,374 PARTICIPANTS COLLECTIVELY LOSE 15,382 POUNDS FROM JANUARY 2018 THROUGH SEPTEMBER 2020. IN MARCH 2020, WITH THE SURGE OF COVID-19 SPREADING ACROSS THE COUNTRY, TRINITY HEALTH MEMBER HOSPITALS TRANSITIONED NEARLY 90% OF ALL IN-PERSON NDPP COHORTS TO AN ONLINE VERSION OF THE LIFESTYLE CHANGE PROGRAM.TRINITY HEALTH DEPLOYED $5.1 MILLION IN NEW AND RENEWED LOANS FOR PLACE-BASED INVESTING TO IMPROVE ACCESS TO AFFORDABLE HOUSING, HEALTHY FOODS, EDUCATIONAL SCHOLARSHIPS, AND ECONOMIC DEVELOPMENT. ADDITIONALLY, TRINITY HEALTH WORKED WITH ALL OF ITS BORROWERS THAT HAD LOANS COMING DUE IN THE MIDST OF THE SPRING COVID-19 SURGE TO EXTEND THEIR LOANS FOR SIX MONTHS. THIS ACTION ALLOWED MORE THAN $2.9 MILLION IN INVESTMENTS TO REMAIN IN THE FIELD AND PROVIDED BREATHING ROOM TO OUR COMMUNITY DEVELOPMENT FINANCIAL INSTITUTION PARTNERS THAT WERE SERVING OUR COMMUNITIES DURING THE CRISIS. THE COMMUNITY-INVESTING PROGRAM ALSO HAS OUTSTANDING LOAN COMMITMENTS OF $9.6 MILLION TO COMMUNITY INFRASTRUCTURE PROJECTS, WHICH WILL BE DEPLOYED IN FUTURE YEARS.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 2020, TRINITY HEALTH INVESTED OVER $1.3 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. COVID-19 ACCOUNTED FOR NEARLY $4.9 MILLION IN PROGRAMMATIC COMMUNITY BENEFIT EXPENSES AND ACTIVITIES, INCLUDING COMMUNITY TESTING AND EDUCATION, INCIDENT COMMAND CENTERS, SUPPORT FOR LOCAL ORGANIZATIONS (PROVIDING PPE, OTHER SUPPLIES, STAFF TIME), SOCIAL SUPPORTS (FOOD, HOUSING, MENTAL HEALTH, CHILDCARE), AND OTHER COMMUNITY DISASTER PREPAREDNESS EFFORTS.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG. PART VI, LINE 7, REPORTS FILED WITH STATES MD 1 INSTITUTE FOR PUBLIC HEALTH INNOVATION 1301 CONNECTICUT AVE NW STE 200 WASHINGTON DC 20036 463039129 501(C)(3) 400000 SUPPORT THE CONTINUED ENGAGEMENT OF THE INSTITUTE FOR PUBLIC HEALTH INOVATION, WHICH WILL WORK IN PARTNERSHIP WITH THE MONTGOMERY COUNTY DEPRTMENT OF HEALTH & HUMAN SERVICES TO PROVIDE TECHNICAL ASSISTANCE & PROGRAM MANAGEMENT SUPPORT TO THE HEALTHY MONTGOMERY ACTION PLANNING, IMPLEMENTATION & EVALUATION PROCESSES SISTERS OF THE HOLY CROSS FINANCIAL SERVICES ST MARYS LOURDES HALL NOTRE DAME IN 465565014 350868159 501(C)(3) 160000 SUPPORT FOR THE FORMAL MINISTRIES OF THE SISTERS OF THE HOLY CROSS MONTGOMERY COLLEGE FOUNDATION 9221 CORPORATE BLVD ROCKVILLE MD 20850 521267008 501(C)(3) 46154 SUPPORT MONTGOMERY COLLEGE TO ACHIEVE EDUCATIONAL GOALS 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 4 0 RENT PAYMENTS ON BEHALF OF PATIENTS 27 34952 TRANSPORTATION FOR PATIENTS 33 874 MEDICATION PURCHASED FOR PATIENTS 17 1125 SPECIALTY CARE FOR PATIENTS SUCH AS SONOGRAMS ETC. 144 23534 FOOD PROGRAMS 344 24218 LEGAL ASSISTANCE 1 2150 PATIENT PERSONAL NEEDS 4 449 PART I, LINE 2: DONATIONS MADE BY HOLY CROSS HEALTH TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE. DONATIONS ARE INCLUDED IN COMMUNITY BENEFITS IN SCHEDULE H IF THE CONTRIBUTION HAS BEEN FORMALLY RESTRICTED TO A COMMUNITY BENEFIT ACTIVITY THAT MEETS THE CRITERIA TO BE REPORTED ON SCHEDULE H. 0 1 0 0 0 0 0 0 0 MARCUS SHIPLEY DIRECTOR THR 12/19; TRINITY HLTH SVP 0 794620 0 271756 0 204635 0 12600 0 31228 0 1314839 0 0 NORVELL COOTS MD DIRECTOR; PRESIDENT & CEO HCH 0 498182 0 155721 0 21960 0 12600 0 21872 0 710335 0 0 LOUIS DAMIANO MD PRESIDENT HOLY CROSS HOSPITAL 0 382470 0 86819 0 67795 0 12600 0 33196 0 582880 0 0 DOUG RYDER PRESIDENT HC GERMANTOWN HOSPITAL 0 280078 0 88036 0 79623 0 12600 0 14491 0 474828 0 0 BLAIR EIG MD CHIEF MEDICAL OFFICER THROUGH 12/19 0 337095 0 61391 0 11439 0 16800 0 32515 0 459240 0 0 YANCY PHILLIPS MD CHIEF CLINICAL OFFICER AS OF 1/20 0 329545 0 59379 0 22116 0 12600 0 28399 0 452039 0 0 GREG JOLISSAINT VP MILITARY AND VETERANS HEALTH 0 330373 0 64599 0 8070 0 16069 0 15922 0 435033 0 0 ANNICE CODY PRESIDENT HCH NETWORK 0 321935 0 58791 0 5791 0 16800 0 27316 0 430633 0 0 ANN BURKE VP MEDICAL AFFAIRS 328181 0 33259 0 2256 0 16800 0 22383 0 402879 0 0 0 ANNE GILLIS CFO & ASSISTANT TREASURER 0 287477 0 53735 0 7691 0 21000 0 32693 0 402596 0 0 KRISTIN FELICIANO VP CHIEF STRATEGY OFFICER 0 291168 0 53156 0 3926 0 12600 0 24991 0 385841 0 0 ELIZABETH SIMPSON GENERAL COUNSEL & ASST SECRETARY 0 280661 0 55813 0 8453 0 12600 0 25500 0 383027 0 0 RHONIQUE SHIELDS VP MEDICAL AFFAIRS 286975 0 28893 0 434 0 12600 0 13630 0 342532 0 0 0 ERIC CAWTHON PHYSICIAN ASSISTANT II 303125 0 0 0 1447 0 8400 0 24316 0 337288 0 0 0 TINA GRANT DIR AT 1/20; TH VP PUBL POLICY & ADV 0 246426 0 48069 0 1977 0 16800 0 5456 0 318728 0 0 PART I, LINE 3 HOLY CROSS HEALTH (HCH) IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. HCH'S CEO IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF HCH'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4B THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2019. 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 2019, AND BENEFITS FOR PARTICIPANTS NOT YET VESTED IN A PLAN WERE ACCRUED IN 2019. THE FOLLOWING PAYOUTS FOR 2019 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: NORVELL COOTS - $0 LOUIS DAMIANO - $54,493 DOUG RYDER - $64,077 MARCUS SHIPLEY - $188,561 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 ($280,000 FOR 2019). THE FOLLOWING PAYOUTS FOR 2019 FOR THIS PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: ANNICE CODY - $3,068 BLAIR EIG - $3,569 KRISTIN FELICIANO - $1,983 ANNE GILLIS - $2,135 TINA GRANT - $657 GREG JOLISSAINT - $0 YANCY PHILLIPS - $2,878 ELIZABETH SIMPSON - $2,412 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 INTERNAL LEGAL COUNSEL AND THE INTEGRITY AND COMPLIANCE OFFICER, 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 XI, LINE 9: EQUITY TRANSFERS TO AFFILIATES -14,388,352. EQUITY GAIN IN UNCONSOL. AFFILIATES 2,883,226. NET CUMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPLE 1,132,157. ASSET IMPAIRMENT -2,836,498. FORM 990, PART XII, LINE 2: HCH'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY20 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 2075002 HOLY CROSS HEALTH INC HOLY CROSS HEALTH PARTNERS LLC 1500 FOREST GLEN ROAD SILVER SPRING MD 20910 822391212 PHYSICIAN NETWORK MD 270737 62068 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 12C, III-FI 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 & COMMUNITY HEALTH SERVICES INC 114 WOODLAND STREET HARTFORD CT 06105 810723591 HOME HEALTH SERVICES CT 501(C)(3) LINE 10 TRINITY HEALTH OF NEW ENGLAND CORP 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 MARIAN HOME HEALTHCARE 801 5TH STREET SIOUX CITY IA 51101 383320705 HOME HEALTH SERVICES (INACTIVE) IA 501(C)(3) LINE 12A, I MERCY HEALTH SERVICES-IOWA CORP 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 MEMORIAL HOSPITAL ALBANY NY 600 NORTHERN BLVD ALBANY NY 12204 141338457 HEALTH CARE AND HOSPITAL SERVICES NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS 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 HEALTH CARE FOUNDATION 2701 HOLME AVENUE PHILADELPHIA PA 19152 232300951 FOUNDATION PA 501(C)(3) LINE 12A, I NAZARETH HOSPITAL 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 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