2021-05-17T13:01:47-05:00 2020-06-30 990 2019-07-01 820200895 SAINT ALPHONSUS REGIONAL MEDICAL CENTER SAIN 2083672121 1055 NORTH CURTIS ROAD BOISE ID 83706 B LANNIE CHECKETTS TREASURER 2083672121 2021-05-17 2019 2022-09-23 18:48:47Z SEE SCHEDULE O DAVID MCFADYEN 1055 NORTH CURTIS ROAD BOISE ID 83706 701334754 0 0928 X WWW.SAINTALPHONSUS.ORG X 1958 ID TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES 15 13 0 1884 2596788 194960 2901915 16536251 678409609 645835228 8611496 6584684 29926147 31837813 719849167 700793976 1584263 2155916 0 0 313437154 309865213 0 0 1001410 378788181 369808570 693809598 681829699 26039569 18964277 721173257 795945477 262518508 339269502 458654749 456675975 X WE, SAINT ALPHONSUS HEALTH SYSTEM AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES. SAINT ALPHONSUS REGIONAL MEDICAL CENTER IS A MEMBER OF SAINT ALPHONSUS HEALTH SYSTEM AND TRINITY HEALTH. 0 0 568764538 2155916 672039701 SAINT ALPHONSUS REGIONAL MEDICAL CENTER (SARMC) IS A MEDICAL-SURGICAL/ACUTE CARE HOSPITAL LOCATED IN BOISE, IDAHO, WHOSE HISTORY STARTS OVER 100 YEARS AGO. SARMC SERVES RESIDENTS THROUGHOUT SOUTHWEST IDAHO, EASTERN OREGON AND NORTHERN NEVADA. SARMC OFFERS A FULL RANGE OF SERVICES IN AN INPATIENT AND OUTPATIENT SETTING AS WELL AS 24 HOUR EMERGENCY CARE, SURGICAL SERVICES, CANCER CARE, BREAST CARE, BRAIN INJURY PROGRAM, PEDIATRICS, SPINE CARE, AND STROKE CENTER AS WELL AS MANY OTHER SERVICES. SARMC OFFERS CONVENIENT ACCESS TO HEALTH CARE SERVICES WITH NUMEROUS HEALTH PLAZAS AND CLINIC LOCATIONS. PLEASE VISIT SCHEDULE H AND OUR WEBSITE FOR ADDITIONAL INFORMATION ABOUT SERVICES, RECOGNITIONS AND AWARDS: WWW.SAINTALPHONSUS.ORG/LOCATION/SAINT-ALPHONSUS-REGIONAL-MEDICAL-CENTER 568764538 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 0 0 0 0 0 1 0 0 1 0 0 0 0 1 1 1 0 0 1 606 4 1 0 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 0 OR X STEPHANIE PLISCHKE 2083674504 6301 EMERALD BOISE ID 83706 SALLY JEFFCOAT DIR; TRINITY HEALTH EVP THR 12/19 1.00 54.00 X 0 1666932 80042 CHRISTIAN ZIMMERMAN MD PHYSICIAN 50.00 0.00 X 0 1345864 42410 JOSEPH BROOKS MD PHYSICIAN 50.00 0.00 X 0 1279872 47289 ILYAS COLOMBOWALA MD PHYSICIAN 50.00 0.00 X 0 1280579 42009 MARCUS SHIPLEY DIR AS OF 1/20; TRINITY SVP & CIO 1.00 49.00 X 0 1271011 43828 ODETTE BOLANO DIRECTOR; SAHS PRESIDENT AND CEO 10.00 45.00 X 0 1092118 178528 LINDSAY SALES MD PHYSICIAN 50.00 0.00 X 0 931546 38604 BRUCE ANDERSEN MD PHYSICIAN 50.00 0.00 X 0 857868 44627 ANDREW COSENTINO DIRECTOR; PRESIDENT THROUGH 4/20 55.00 0.00 X X 0 479605 102634 B LANNIE CHECKETTS TREASURER; SAHS CFO 15.00 35.00 X 0 520862 52359 BLAINE PETERSEN FORMER OFFICER 0.00 0.00 X 0 501245 9247 STEPHANIE WESTERMEIER SECRETARY; SAHS VP & GENERAL COUNSEL 15.00 35.00 X 0 391494 93948 RODNEY REIDER FORMER OFFICER 0.00 0.00 X 0 350097 7425 RYAN HEYBORNE MD CHIEF MEDICAL OFFICER 50.00 0.00 X 0 297552 45449 MARCIE HARPER VP OF FINANCE 50.00 0.00 X 0 204991 43208 JEAN BASOM REGIONAL DIRECTOR SUPPLY CHAIN 15.00 35.00 X 0 185370 31753 DARREL ANDERSON DIRECTOR; CHAIR THROUGH 12/19 1.00 4.00 X X 0 0 0 GARY DYER DIRECTOR; CHAIR THROUGH 2/20 1.00 4.00 X X 0 0 0 KENT BAILEY DIRECTOR; CHAIR AS OF 3/20 1.00 4.00 X X 0 0 0 MICHAEL BALLANTYNE DIRECTOR AS OF 3/20 1.00 4.00 X 0 0 0 CHRISTOPHER BOUNDS DIRECTOR AS OF 1/20 1.00 4.00 X 0 0 0 SUZANNE BRENNAN CSC DIRECTOR 1.00 6.00 X 0 0 0 VICKEN GARABEDIAN MD DIRECTOR 1.00 4.00 X 0 0 0 STUART HARTLEY DIRECTOR THROUGH 12/19 1.00 4.00 X 0 0 0 GERALDINE HOYLER CSC DIRECTOR 1.00 4.00 X 0 0 0 JOHN KIRBY DIRECTOR THROUGH 12/19 1.00 4.00 X 0 0 0 RICK LAHUIS DIRECTOR AS OF 1/20 1.00 4.00 X 0 0 0 MAUREEN KIM LYNCH MD DIRECTOR 1.00 4.00 X 0 0 0 SUSAN MORRIS DIRECTOR AS OF 1/20 1.00 4.00 X 0 0 0 TONI NIELSEN DIRECTOR AS OF 1/20 1.00 4.00 X 0 0 0 KAYE O'RIORDAN DIRECTOR THROUGH 12/19 1.00 4.00 X 0 0 0 DANIEL PUGA DIRECTOR 1.00 4.00 X 0 0 0 MIKE REULING DIRECTOR THROUGH 12/19 1.00 4.00 X 0 0 0 LAURA ALVAREZ SCHRAG DIRECTOR AS OF 1/20 1.00 4.00 X 0 0 0 MARIE GUADALUPE WISSEL DIRECTOR AS OF 1/20 1.00 4.00 X 0 0 0 0 12657006 903360 0 1 1 0 REHABILITATION MANAGEMENT ASSOCIATES INC 901 N CURTIS BOISE ID 83706 REHABILITATION SERVICES 11296065 INTERMOUNTAIN MEDICAL IMAGING LLC 877 WEST MAIN ST BOISE ID 83706 RADIOLOGY SERVICES 8078804 ORTHOPAEDIC SPECIALISTS OF IDAHO 6225 N MEEKER STE 210 BOISE ID 83713 MEDICAL SERVICES 2884997 KREIZENBECK CONSTRUCTORS 11724 EXECUTIVE DR BOISE ID 83713 CONSTRUCTION SERVICES 2526587 BOISE ANESTHESIA PA PO BOX 4268 PORTLAND OR 97208 ANESTIOSLOGIST 2356791 72 1078360 553281 13697621 1206989 815859 16536251 NET PATIENT SERVICE REVENUE 622110 645835228 643238440 2596788 645835228 4392267 4392267 542473 0 542473 542473 542473 2266589 62670 0 136842 2266589 -74172 2192417 2192417 448186 1078360 395036 53150 53150 25115 8900 16215 16215 OTHER RELATED REVENUE 622110 28801261 28801261 CAFETERIA REVENUE 722514 2330742 2330742 PARKING REVENUE 812930 93972 93972 31225975 700793976 672039701 2596788 9621236 2110599 2110599 45317 45317 1112170 1112170 270336651 262625884 7479624 231143 7480683 7275897 198382 6404 13267796 12933668 322745 11383 17667913 16413388 1238589 15936 1037127 1037127 107264 107264 430342 430342 51658225 47545971 4107290 4964 2041751 1716628 281199 43924 8662809 6064567 2540711 57531 26086880 523845 25557381 5654 17339757 14487417 2852340 285896 255461 25247 5188 719091 716386 2284 421 7181239 7181239 32740684 16409357 16330207 1120 3767029 1241475 2525554 MEDICAL SUPPLIES 116708998 116708998 I/C PURCHASED SERVICES 58082351 12946846 45133816 1689 BAD DEBT 31360058 31360058 EQUIPMENT MAINTENANCE 7606115 7269236 336879 3992954 2932301 444600 616053 681829699 568764538 112063751 1001410 3222931 2016798 0 191598 862127 27328 125993896 96925290 257686 82895 11938234 12405039 623339 1146698 603799559 353313145 259488507 250486414 162905398 233393796 98701069 90667705 536667 256667 56643403 108345249 721173257 795945477 60117380 61375355 0 49462 3608354 3752778 198792774 274091907 262518508 339269502 X 455166711 452791941 3488038 3884034 458654749 456675975 721173257 795945477 X 18964277 -1788265 -19154786 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 56141 1 2119 0 0 58260 0 PART II-B, LINE 1: SAINT ALPHONSUS REGIONAL MEDICAL CENTER (SARMC) HAS ALSO 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 SARMC WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. ORGANIZATION EMPLOYEES ALSO ENGAGE IN ADVOCACY ON ISSUES RELATED TO HEALTH CARE AND HEALTH CARE PROVIERS. SUCH ACTIVITIES CONSIST OF WRITTEN AND VERBAL COMMUNICATIONS WITH FEDERAL, STATE AND LOCAL ELECTED OFFICIALS AND GOVERNMENT AGENCIES. 21923891 113841 57203 314997 21665532 16414783 4330441 1178667 21923891 15805236 1064733 11250 443936 16414783 14494409 1821364 119896 390641 15805236 15264825 -409988 117059 243369 14494409 1.00000 0 0 8559490 8559490 335891950 164477262 171414688 891987 90261 801726 240218733 188745622 51473111 18237399 18237399 250486414 COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES 25905058 F EQUITY METHOD INVESTMENTS 48571985 C HEDGE FUNDS 16190662 F 90667705 MISCELLANEOUS RECEIVABLES 1505601 INTERCOMPANY OTHER LT ASSETS 38871784 INTERCOMPANY ACCOUNTS RECEIVABLE 38640613 OPERATING LEASE RIGHT-OF-USE ASSETS 29327251 108345249 INTERCOMPANY ACCOUNTS PAYABLE 17269316 ASSET RETIREMENT OBLIGATION (FIN 47) 1022852 INTERCOMPANY NOTES PAYABLE 175370418 OPERATING LEASE LIABILITIES 30097826 MEDICARE CASH ADVANCES 50331495 274091907 PART V, LINE 4: THE INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS ARE FOR: - PROJECTS DESIGNED TO ELEVATE THE QUALITY OF HEALTH CARE (INTERNAL GRANTS) - PROJECTS TO MEET IMMEDIATE NEEDS RELATED TO PATIENT CARE QUALITY (OPPORTUNITY GRANTS) - PROJECTS FOR HEALTH AND WELFARE-RELATED COMMUNITY BENEFIT PROJECTS THAT MEET THE NEEDS OF THE POOR AND UNDERSERVED. FESTIVAL OF TREES 1112642 677654 434988 118894 96701 23073 146811 PROJECT HAITI 413904 400706 13198 4671 4886 1526546 1078360 448186 118894 101372 23073 151697 395036 53150 25115 8900 1 0.85000 25115 8900 8900 16215 ID 1 0 1 0 1.00000 JILL ALDAPE 1055 N CURTIS RD BOISE ID 83706 0 JILL ALDAPE EXECUTIVE DIRECTOR OF FOUNDATION AND OVERSEES ALL FOUNDATION EVENTS X 0 1 1 X 1 X 1 X 1 1 0 1 1 15773628 15773628 0.02420 99639774 77780499 21859275 0.03360 115413402 77780499 37632903 0.05780 23 46979 2016696 266385 1750311 0.00270 2 1350 807684 807684 0.00120 3 196 2141396 550348 1591048 0.00240 8 74 3550939 865302 2685637 0.00410 36 48599 8516715 1682035 6834680 0.01040 36 48599 123930117 79462534 44467583 0.06820 2 101550 101550 0.00020 2 85 69451 69451 0.00010 2 8 139776 139776 0.00020 6 93 310777 310777 0.00050 0 31360058 0 96639372 117116813 -20477441 X 1 1 1 1 SAINT ALPHONSUS REGIONAL MEDICAL CENTER 1055 N CURTIS ROAD BOISE ID 83706 WWW.SAINTALPHONSUS.ORG LICENSE 02 X X X X SAINT ALPHONSUS REGIONAL MEDICAL CENTER 1 0 0 1 X X X X X X X X X 19 1 1 1 1 X SEE PART V, SECTION C X 1 19 1 SEE 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 PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 1 X 0 0 SAINT ALPHONSUS REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E:SAINT ALPHONSUS REGIONAL MEDICAL CENTER (SARMC) UTILIZED A 35-PERSON ADVISORY COMMITTEE FACILITATED BY THE UNITED WAY OF THE TREASURE VALLEY AS AN EXTERNAL REVIEW COMMITTEE FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE ADVISORY COMMITTEE IDENTIFIED SIGNIFICANT HEALTH NEEDS FROM QUALITATIVE AND QUANTITATIVE DATA GATHERED DURING THE ASSESSMENT PROCESS, WHICH WERE THEN PRIORITIZED BASED ON PERSONS AFFECTED, IMPACT ON QUALITY OF LIFE, AND FEASIBILITY OF REASONABLE IMPACT. THE SIGNIFICANT HEALTH NEEDS AND HOW THEY ARE BEING ADDRESSED WERE DETAILED IN THE SARMC IMPLEMENTATION STRATEGY. SARMC FOCUSED ON DEVELOPING AND/OR SUPPORTING INITIATIVES, AND MEASURING THEIR EFFECTIVENESS, TO IMPROVE SOME OF THE FOLLOWING LIST OF PRIORITIZED HEALTH NEEDS: 1. AFFORDABLE, SAFE HOUSING AND HOMELESSNESS2. WAGES AND JOB AVAILABILITY3. COST OF LIVING4. MENTAL HEALTH AND WELL-BEING AND SUBSTANCE USE5. ACCESS TO AFFORDABLE HEALTHCARE, INCLUDING BEHAVIORAL AND DENTAL HEALTH6. EDUCATION, INCLUDING HIGH-QUALITY EARLY CHILDHOOD EDUCATION SAINT ALPHONSUS REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 5: THE CHNA WAS CONDUCTED BETWEEN AUGUST 2019 AND JUNE 2020 IN PARTNERSHIP WITH THE UNITED WAY OF TREASURE VALLEY (UWTV); IT WAS APPROVED BY THE BOARD ON JUNE 19, 2020. UWTV ORGANIZED A COMMUNITY ASSESSMENT SPONSOR GROUP COMPRISED OF SAINT ALPHONSUS HEALTH SYSTEM (SAHS), TRINITY HEALTH TRANSFORMING COMMUNITIES INITIATIVE, AND JPMORGAN CHASE & CO. ADDITIONAL ADVISORY GROUP MEMBERS INCLUDED: IDAHO DEPARTMENT OF HEALTH AND WELFARE, CENTRAL DISTRICT HEALTH, SOUTHWEST DISTRICT HEALTH, VALLEY REGIONAL TRANSIT, CITY OF BOISE, CITY OF CALDWELL, GENESIS COMMUNITY HEALTH, CATCH, INC., WOMEN'S AND CHILDREN'S ALLIANCE, AARP-IDAHO, IDAHO HOUSING AND FINANCE ASSOCIATION, IDAHO ASSOCIATION FOR THE EDUCATION OF YOUNG CHILDREN, IDAHO VOICES FOR CHILDREN, ST. LUKE'S HEALTH SYSTEM, WESTERN IDAHO COMMUNITY HEALTH COLLABORATIVE, IDAHO ORAL HEALTH ALLIANCE, IDAHO ANTI-TRAFFICKING COALITION AND UWTV.SAHS AND UWTV CONTRACTED WITH HEALTH RESOURCES IN ACTION (HRIA) TO PROVIDE PROJECT MANAGEMENT AND CONSULTATION AS WELL AS DEVELOPMENT OF DATA COLLECTION TOOLS. IN ADDITION, DATA INDICATORS WERE COLLECTED FROM A VARIETY OF SOURCES, INCLUDING THE TRINITY HEALTH DATA HUB, U.S. CENSUS, IDAHO DEPARTMENT OF HEALTH AND WELFARE, AND IDAHO STATE DEPARTMENT OF EDUCATION. ADDITIONAL SELF-REPORTED DEMOGRAPHICS, HEALTH BEHAVIORS, AS WELL AS OUTCOMES FROM LARGE, POPULATION-BASED SURVEYS SUCH AS BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, COUNTY HEALTH RANKINGS, IDAHO VITAL STATISTICS, AND MANY OTHER SECONDARY DATA SOURCES WERE COLLECTED. LITERATURE REVIEW AND SECONDARY DATA SOURCES WERE USED TO SELECT COLLECTIVE MEASURES/INDICATORS IN THE AREAS OF EDUCATION, FINANCIAL INDEPENDENCE, AND HEALTH AT THE REGIONAL, COUNTY AND CITY LEVEL.ADDITIONAL COMMUNITY INPUT WAS COLLECTED BETWEEN AUGUST 2019 AND APRIL 2020 THROUGH 16 COMMUNITY FOCUS GROUPS WITH POPULATIONS SUCH AS IMMIGRANTS AND REFUGEES, NON-ENGLISH SPEAKERS, LGBTQIA+, OLDER ADULTS, PEOPLE EXPERIENCING HOMELESSNESS AND FOOD INSECURITY AND OTHERS, 2,526 RESIDENT SURVEYS, AND 25 INTERVIEWS WITH COMMUNITY LEADERS, FRONT LINE STAFF, AND SOCIAL SERVICE AND NONPROFIT ORGANIZATIONS. FOCUS GROUP HOSTS INCLUDED THE FOLLOWING ORGANIZATIONS SERVING IMPACTED POPULATIONS: LIFE'S KITCHEN, NOTUS ELEMENTARY, ELMORE COUNTY HEALTH COALITION, INTERNATIONAL RESCUE COMMITTEE, CENTRAL DISTRICT HEALTH YOUTH BEHAVIORAL COMMITTEE, WESTERN IDAHO COMMUNITY ACTION PARTNERSHIP, INC. (WICAP), OWYHEE COMMUNITY HEALTH ACTION TEAM, UNITED WAY OF TREASURE VALLEY BUSINESS PARTNERS, IDAHO COMMUNITY HEALTH WORKERS ASSOCIATION, CATCH, JESSE TREE OF IDAHO, BOISE SCHOOL DISTRICT, SACAJAWEA ELEMENTARY, GENESIS COMMUNITY HEALTH PATIENT ADVISORY BOARD, GEM COUNTY COMMUNITY HEALTH ACTION TEAM, LBGTQIA+ VOLUNTEERS, AND MERCY HOUSING SENIOR. COMMUNITY INTERVIEWS INCLUDED THE FOLLOWING ORGANIZATION PARTICIPANTS: ADA COUNTY PARAMEDICS, ADA COUNTY COMMISSIONER, ALLIES LINKED FOR THE PREVENTION OF HIV AND AIDS, BOISE SCHOOL DISTRICT, BOISE STATE UNIVERSITY, BOYS & GIRLS CLUBS ADA, BOYS & GIRLS CLUBS NAMPA, CALDWELL HOUSING AUTHORITY, CATCH, CITY OF BOISE, CITY OF CALDWELL, ECONOMIC OPPORTUNITY-JANNUS, ELMORE COUNTY COMMISSIONERS, GENESIS COMMUNITY HEALTH, GLENNS FERRY, IDAHO ANTI-TRAFFICKING COALITION, IDAHO ASSOCIATION FOR THE EDUCATION OF YOUNG CHILDREN, IDAHO BUSINESS FOR EDUCATION, IDAHO COMMISSION ON AGING, IDAHO FOODBANK, IDAHO HOUSING AND FINANCE ASSOCIATION, IDAHO ORAL HEALTH ALLIANCE, IDAHO SUICIDE PREVENTION HOTLINE, INTERNATIONAL RESCUE COMMITTEE, JESSE TREE OF IDAHO, SOUTHWEST DISTRICT HEALTH, SPEEDY FOUNDATION, VALLEY REGIONAL TRANSIT, WESTERN IDAHO COMMUNITY HEALTH COLLABORATIVE, WICAP HEADSTART, WOMEN'S AND CHILDREN'S ALLIANCE, AND WYAKIN FOUNDATION. SAINT ALPHONSUS REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED IN PARTNERSHIP WITH SAINT ALPHONSUS MEDICAL CENTER - NAMPA. SAINT ALPHONSUS REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6B: THE CHNA WAS ALSO CONDUCTED IN PARTNERSHIP WITH THE FOLLOWING ORGANIZATIONS: THE UNITED WAY OF TREASURE VALLEY, TRINITY HEALTH TRANSFORMING COMMUNITIES INITIATIVE AND JPMORGAN CHASE CO. SAINT ALPHONSUS REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 11: A CHNA WAS CONDUCTED AND POSTED BY THE END OF FISCAL YEAR 2020; AN UPDATED IMPLEMENTATION STRATEGY WAS ADOPTED IN SEPTEMBER 2020 FOR FISCAL YEARS 2021-2023. THESE DOCUMENTS WILL GUIDE THE COMMUNITY BENEFIT WORK FOR TAX YEARS 2020-2022. SARMC IDENTIFIED FOUR SIGNIFICANT HEALTH NEEDS AND HOW THEY ARE BEING ADDRESSED WERE DETAILED IN THE SARMC IMPLEMENTATION STRATEGY. SARMC FOCUSED ON DEVELOPING AND/OR SUPPORTING INITIATIVES, AND MEASURING THEIR EFFECTIVENESS, TO IMPROVE THE FOLLOWING HEALTH NEEDS: AFFORDABLE, SAFE HOUSING AND HOMELESSNESS: IN FISCAL YEAR 2020, SARMC INITIATIVES INCLUDED CONTINUED SUPPORT OF BOISE'S "HOUSING FIRST" MODEL, NEW PATH, WHICH PROVIDED PERMANENT SHELTER AND SUPPORTIVE SERVICES TO AT LEAST 40 PEOPLE EXPERIENCING CHRONIC HOMELESSNESS; SARMC ALSO SUPPORTED JESSE TREE, TO PROVIDE EMERGENCY RENTAL ASSISTANCE; IN ADDITION, SARMC WORKED WITH LOCAL DEVELOPERS TO CREATE AFFORDABLE, LOW-INCOME HOUSING SOLUTIONS BY INVESTING IN THE FIRST LAND TRUST ESTABLISHED IN THE BOISE REGION. COST OF LIVING: IN FISCAL YEAR 2020, SARMC INITIATIVES INCLUDED SUPPORTING THE RIDES 2 WELLNESS PROGRAM IN PARTNERSHIP WITH VALLEY REGIONAL TRANSIT TO PROVIDE TRANSPORTATION TO/FROM HEALTHCARE APPOINTMENTS AT SAINT ALPHONSUS. ADDITIONALLY, SARMC STOOD UP A SOCIAL CARE HUB IN MARCH 2020 TO ASSESS THE SOCIAL CARE NEEDS (E.G. HOUSING, FOOD, CHILD CARE, EMPLOYMENT) OF SELECT PATIENT POPULATIONS, AND MAKE REFERRALS THROUGH COMMUNITY HEALTH WORKERS AND THE ADOPTION OF A COMMUNITY RESOURCE DIRECTORY (AUNT BERTHA). MENTAL HEALTH AND WELL-BEING AND SUBSTANCE USE: AS PART OF FISCAL YEAR 2020 INITIATIVES, SARMC OFFERED TOBACCO "QUIT" PROGRAMS; HIRED A TOBACCO TREATMENT SPECIALIST, INCREASED PUBLIC AWARENESS OF TOBACCO, E-CIGARETTE, ALCOHOL, AND DRUG USE PREVENTION AND CESSATION, WITH THE OBJECTIVE TO PROMOTE AVAILABLE COMMUNITY RESOURCES AND DECREASE COMMUNITY RATES OF TOBACCO AND E-CIGARETTE USE. SAHS CONTINUED TO LEAD THE TOBACCO 21 COALITION AND ADVANCING AN ADVOCACY AGENDA TO RAISE THE LEGAL AGE TO 21 FOR PURCHASE OF TOBACCO AND E-CIGARETTES/VAPES AND TO MAKE THE PURCHASE OF E-CIGARETTES MORE DIFFICULT FOR MINORS. PARITY LEGISLATION WAS PASSED IN MARCH 2020 THAT INCLUDED E-CIGARETTES IN THE STATE DEFINITION OF TOBACCO PRODUCTS, AND ESTABLISHED A RETAILER LICENSING PROGRAM FOR THOSE WHO SELL E-CIGARETTES. SUPPORT ALSO INCLUDED PARTICIPATING IN TOBACCO COALITIONS SUCH AS THE TOBACCO FREE IDAHO ALLIANCE, PROVIDING AN AFFORDABLE LUNG SCREENING PROGRAM, RAISING AWARENESS OF COMMUNITY RESOURCES SUCH AS IDAHO QUITLINE, AND UTILIZING EXISTING FORUMS TO PROVIDE COMMUNITY EDUCATION. SAINT ALPHONSUS TOBACCO FREE LIVING EXPANDED CURRICULUM INTO ONLINE OFFERINGS. SAHS ALSO IDENTIFIED A PHYSICIAN CHAMPION FOR OPIOID ABUSE ISSUES AND BEGAN EDUCATING PROVIDER AND COMMUNITY GROUPS ON THE TOPIC, AND CREATED A SAHS OPIOID WORKGROUP PROVIDING SUPPORT TO THE IDAHO OPD STRATEGIC OPIOID PLAN. IN FISCAL YEAR 2020, SARMC REPRESENTATIVES PARTICIPATED IN THE IDAHO SUICIDE PREVENTION ACTION COLLECTIVE, WHICH COLLABORATED UNDER THE ADMINISTRATIVE SUPPORT FROM THE IDAHO SUICIDE PREVENTION PROGRAM, TO REVIEW AND ALIGN THE GOALS AND OBJECTIVES OF A 5 YEAR (2019-2023) IDAHO SUICIDE PREVENTION PLAN. SARMC'S FAITH COMMUNITY NURSING AND SCHOOL HEALTH PROGRAMS ALSO IMPLEMENTED THE SIGNS OF SUICIDE PROGRAM FOR LOCAL MIDDLE AND HIGH SCHOOL STUDENTS, STAFF AND PARENTS TO TRAIN THEM TO RECOGNIZE THE SIGNS OF SUICIDE AND RESOURCES TO SEEK HELP. IN ADDITION, SARMC CONTINUED TO HAVE A MAJOR FOCUS ON THE SOCIAL INFLUENCERS OF HEALTH THAT WERE IDENTIFIED IN THE CHNA, WITH AN EMPHASIS ON PREVENTING FAMILY VIOLENCE, PREVENTING HOMELESSNESS, AND ASSISTING WITH TRANSPORTATION ISSUES. TO PREVENT VIOLENCE, SARMC: (1) CONTINUED TO BE A MAJOR SUPPORTER AND FACILITATOR FOR THE DARKNESS TO LIGHT PROGRAM, WHICH AIMS TO PREVENT CHILDHOOD SEXUAL ABUSE, AND (2) SUPPORTED THE LOCAL WOMEN'S AND CHILDREN'S SHELTER.ACCESS TO AFFORDABLE HEALTH CARE, INCLUDING MENTAL AND ORAL HEALTH CARE: INITIATIVES IN FISCAL YEAR 2020 INCLUDED CONTINUED ADVOCACY FOR LEGISLATIVE FUNDING OF MEDICAID EXPANSION; SUPPORTED ACCESS TO MENTAL HEALTH THROUGH ALLUMBAUGH HOUSE, AND TELEPSYCHIATRY; AND PARTNERED WITH AND/OR SUPPORTED OTHER SAFETY NET ORGANIZATIONS (GENESIS COMMUNITY HEALTH). SARMC FOCUSED ON IMPROVING ACCESS TO HEALTH CARE BY REMOVING BARRIERS AND PROVIDING SERVICES FOR THE POOR AND UNDERSERVED, THROUGH COMMUNITY PARTNERSHIPS. SARMC SUPPORTED SPECIAL REFUGEE CARE THROUGH ITS CENTER FOR GLOBAL HEALTH AND HEALING AND ALSO THE CARE (CULTURALLY APPROPRIATE RESOURCES AND EDUCATION) CLINIC FOR REFUGEE MOTHERS. IN ADDITION, SARMC SUPPORTED DENTAL CARE THROUGH THE ESTABLISHMENT OF A DENTAL CARE PROGRAM INTENDED TO PREVENT THE USE OF THE HOSPITAL EMERGENCY DEPARTMENT FOR DENTAL NEEDS THAT COULD BE TREATED ELSEWHERE MORE EFFICIENTLY AND EFFECTIVELY. SARMC ACKNOWLEDGED THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS AND DETERMINED THAT IT COULD NOT EFFECTIVELY FOCUS ON THE TWO REMAINING SIGNIFICANT NEEDS: WAGES AND JOB AVAILABILITY, AND EDUCATION INCLUDING HIGH-QUALITY EARLY CHILDHOOD EDUCATION. THESE NEEDS WERE NOT ADDRESSED IN FISCAL YEAR 2020 DUE TO LIMITED RESOURCES AND FEASIBILITY OF REASONABLE IMPACT, HOWEVER SARMC DOES PARTNER WITH A NUMBER OF ENTITIES IN THE COMMUNITY THAT ADDRESS THESE ISSUES. SAINT ALPHONSUS REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS. PART V, SECTION B, LINE 7A: WWW.SAINTALPHONSUS.ORG/ABOUT-US/COMMUNITY-BENEFITS/COMMUNITY-NEEDS-ASSESSMENT PART V, SECTION B, LINE 9: AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, THE HOSPITAL IMPLEMENTATION STRATEGY WAS ADOPTED WITHIN THE FIRST 4 1/2 MONTHS AFTER THE FISCAL YEAR END THAT THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE TO THE PUBLIC. PART V, SECTION B, LINE 10A: WWW.SAINTALPHONSUS.ORG/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-NEEDS-ASSESSMENT/IMPLEMENTATION-STRATEGY PART V, LINE 16A, FAP WEBSITE: WWW.SAINTALPHONSUS.ORG/FOR-PATIENTS/AFTER-YOUR-VISIT/FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE PART V, LINE 16B, FAP APPLICATION WEBSITE: WWW.SAINTALPHONSUS.ORG/FOR-PATIENTS/AFTER-YOUR-VISIT/FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE PART V, LINE 16C, FAP WEBSITE: WWW.SAINTALPHONSUS.ORG/FOR-PATIENTS/AFTER-YOUR-VISIT/FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE 38 1 - EAGLE HEALTH PLAZA 323 E RIVERSIDE DR STE 224 EAGLE ID 83616 ER, INTERNAL, PEDIATRIC, OB/GYN, HEART CARE, REHAB, RADIOLOGY, LAB, VISION 2 - FRUITLAND HEALTH PLAZA 910 NW 16TH ST FRUITLAND ID 83619 URGENT CARE, FAMILY, CARDIOLOGY, NEURO., PHYS. THER., ORTHO., LAB, RADIOLOGY 3 - MERIDIAN HEALTH PLAZA 3025 CHERRY LANE MERIDIAN ID 83642 URGENT CARE,PRIMARY CARE,DIABETES, SLEEP DIS., ORTHO, CARDI, LAB, PHYS. THER 4 - NAMPA HEALTH PLAZA 4400 E FLAMINGO NAMPA ID 83687 URGENT CARE, PRIMARY CARE, RADIOLOGY, DIABETES, VISION, LAB, DERMATOLOGY 5 - SAINT ALPHONSUS HOME HEALTH & HOSPICE 5959 S SHERWOOD FOREST BLVD BATON ROUGE LA 70816 HOME HEALTH AND HOSPICE 6 - SAINT ALPHONSUS REHABILITATION SERVICES 901 N CURTIS RD BOISE ID 83706 REHABILITION SERVICES 7 - ALLUMBAUGH HOUSE 400 N ALLUMBAUGH STREET BOISE ID 83704 SHORT-TERM MENTAL HEALTH CRISIS, DETOXIFICATION, SOBERING STATION 8 - LIFE FLIGHT NETWORK 3815 WEST RICKENBACKER STREET BOISE ID 83705 AIR MEDICAL TRANSPORT 9 - BOISE-OVERLAND FAMILY MEDICINE 10255 W OVERLAND RD BOISE ID 83709 FAMILY PRACTICE 10 - ST ALPHONSUS MEDICAL GROUP-MCMILLAN 12273 W MCMILLAN RD BOISE ID 83713 FAMILY PRACTICE, INTERNAL MEDICINE 11 - FINDLEY URGENT CARE 3587 S FEDERAL WAY BOISE ID 83715 URGENT CARE 12 - ST ALPHONSUS MEDICAL GROUP-EMERALD 6533 W EMERALD ST BOISE ID 83704 FAMILY MEDICINE, SPORTS MEDICINE, URGENT CARE 13 - ST ALPHONSUS MEDICAL GROUP-FEDERAL WAY 1880 W JUDITH LANE BOISE ID 83705 FAMILY PRACTICE 14 - ST ALPHONSUS MEDICAL GROUP-CALDWELL 1906 FAIRVIEW AVE STE 430 CALDWELL ID 83605 HEART CARE, NEUROLOGY 15 - CANCER CARE CENTER 3123 MEDICAL DRIVE CALDWELL ID 83605 ONCOLOGY 16 - ST ALPHONSUS MEDICAL GROUP-CALDWELL ELM 315 E ELM ST CALDWELL ID 83605 URGENT CARE, FAMILY PRACTICE, PEDIATRICS, WOUND HEALING 17 - CASCADE FAMILY PRACTICE 402 LAKE CASCADE PKWY CASCADE ID 83611 CARDIOLOGY 19 - CLINIC AT EAGLE 600 E STATE ST STE 200 EAGLE ID 83616 FAMILY PRACTICE 20 - EMMETT MEDICAL CENTER 1024 E LOCUST ST EMMETT ID 83617 WOUND HEALING & HYPERBARIC MEDICINE, CARDIOLOGY 21 - ST ALPHONSUS CANCER CARE CENTER 1202 E LOCUST ST EMMETT ID 83617 CANCER CARE 22 - ST ALPHONSUS MEDICAL GROUP HEART CARE 21 E MAPLE ST STE A HAILEY ID 83333 CARDIOLOGY 23 - WOOD RIVER MEDICAL CENTER 100 HOSPITAL DR STE 107 KETCHUM ID 83340 ORTHOPEDICS, CARDIOLOGY 24 - KUNA CLINIC 757 E WYTHE CREEK CT KUNA ID 83634 FAMILY MEDICINE, PEDIATRICS 25 - GARRITY CLINIC 1200 GARRITY BLVD NAMPA ID 83687 FAMILY PRACTICE 27 - ST ALPHONSUS MEDICAL GROUP - ONTARIO 1050 SW 3RD AVE ONTARIO OR 97914 OBGYN, WOMEN'S HEALTH, PULMONARY, ONCOLOGY, CARDIOLOGY 28 - ST ALPHONSUS GARRITY MOB 4424 E FLAMINGO AVE STE 200 NAMPA ID 83687 OBGYN, CARDIOLOGY, ORTHOPEDICS 29 - ST ALPHONSUS HEART CARE 1524 12TH AVE NAMPA ID 83686 CARDIOLOGY 30 - BROWN CROSSING HEALTH PLAZA 2141 E PARKCENTER BLVD BOISE ID 83706 URGENT CARE, FAMILY MEDICINE, PHYSICAL THERAPY 31 - LAKE HAZEL CLINIC 10583 W LAKE HAZEL RD BOISE ID 83709 FAMILY MEDICINE 32 - COPPER POINT CLINIC 3041 E COPPER POINT DR MERIDIAN ID 83642 FAMILY MEDICINE 33 - 12TH AVENUE CLINIC 1510 12TH AVENUE RD SUITE 200 NAMPA ID 83686 FAMILY MEDICINE, PODIATRY, DIABETES CARE 34 - KARCHER CLINIC 11035 W KARCHER RD NAMPA ID 83651 FAMILY MEDICINE, PEDIATRICS 35 - CITY OF STAR CLINIC 10717 W STATE ST STAR ID 83669 FAMILY MEDICINE, URGENT CARE 36 - STARS PHYSICAL THERAPY BOISE LIBERTY C 717 N LIBERTY ST BOISE ID 83704 PHYSICAL THERAPY 37 - STARS PHYSICAL THERAPY YMCA WEST BOISE 5959 N DISCOVERY PLACE BOISE ID 83713 PHYSICAL THERAPY 38 - STARS PHYSICAL THERAPY DOWNTOWN YMCA 1050 W STATE ST BOISE ID 83702 PHYSICAL THERAPY 39 - STARS PHYSICAL THERAPY MERIDIAN PEDIATRI 179 SW 5TH AVENUE MERIDIAN ID 83642 PEDIATRIC THERAPY 40 - STARS PHYSICAL THERAPY MERIDIAN TALUS 3875 E OVERLAND RD MERIDIAN ID 83642 PHYSICAL THERAPY PART I, LINE 3C: IN ADDITION TO LOOKING AT A MULTIPLE OF THE FEDERAL POVERTY GUIDELINES, OTHER FACTORS ARE CONSIDERED SUCH AS THE PATIENT'S FINANCIAL STATUS AND/OR ABILITY TO PAY AS DETERMINED THROUGH THE ASSESSMENT PROCESS. PART I, LINE 6A: SAINT ALPHONSUS REGIONAL MEDICAL CENTER (SARMC) PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT, WHICH IT SUBMITS TO THE STATE OF IDAHO. IN ADDITION, SARMC 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.SARMC ALSO INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. PART I, LINE 7: THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM. PART I, LN 7 COL(F): THE FOLLOWING NUMBER, $31,360,058, 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: SARMC STRIVES TO BE A TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES. SPECIFIC EXAMPLES OF THE FISCAL YEAR 2020 COMMUNITY BUILDING ACTIVITIES ARE DESCRIBED BELOW:COALITION BUILDING:PARTICIPATION IN LOCAL BOARDS AND TASK FORCES: SARMC PARTICIPATED IN A VARIETY OF LOCAL NONPROFIT BOARDS AND TASK FORCES AIMED AT IMPROVING THE HEALTH OF OUR COMMUNITY AND MAKING OUR COMMUNITY A MORE LIVABLE PLACE WHICH INCLUDED ACTIVE PARTICIPATION ON:- FAMILY MEDICINE RESIDENCY OF IDAHO BOARD: SARMC HELPED GUIDE THE CONTINUED DEVELOPMENT AND EXPANSION OF FAMILY MEDICINE RESIDENCY CAPACITY IN IDAHO, A CRITICAL NEED SINCE IDAHO RANKS 49TH NATIONWIDE IN PRIMARY CARE PHYSICIANS PER CAPITA. THROUGH THIS PARTNERSHIP, WE WERE ABLE TO SUPPORT A PSYCHIATRIC RESIDENCY PROGRAM BASED IN BOISE. - BOYS AND GIRLS CLUBS OF ADA COUNTY: ENHANCEMENT OF BEFORE AND AFTER-SCHOOL PROGRAMMING FOR LOCAL AT-RISK YOUTH. LOCAL CLUBS HAVE ALSO TAKEN ON A SIGNIFICANT ROLE IN PROVIDING MEALS AND ACTIVITY FOR LOW INCOME CHILDREN IN ADA AND CANYON COUNTIES AND HAVE RECEIVED NATIONAL AWARDS FOR THEIR NUTRITION PROGRAMMING.- TREASURE VALLEY YMCA: PROVIDES ACCESS TO LOW-INCOME AND VULNERABLE POPULATIONS FOR FITNESS, YOUTH EMPOWERMENT, AND MORE. THE YMCA ALSO HAS A HEALTHY LIVING CENTER FOR PEOPLE LIVING WITH CHRONIC ILLNESS. - UNITED WAYS OF TREASURE VALLEY(UWTV): UWTV IS THE CO-CONVENER OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), AND LEAD PARTNER IN THE TCI GRANT. IT IS ALSO FOCUSED ON BUILDING AND MOVING RESOURCES TO SIGNIFICANTLY IMPROVE COMMUNITIES AND NEIGHBORHOODS, HELPING PEOPLE AND FAMILIES BUILD RESILIENCY IN EDUCATION, FINANCIAL INDEPENDENCE AND HEALTH. SARMC PARTICIPATED IN SEVERAL OTHER NON-PROFIT BOARDS, SUCH AS:- AMERICAN HEART ASSOCIATION- FACES (FAMILY JUSTICE CENTER)- WOMEN AND CHILDREN'S ALLIANCE (PREVENT DOMESTIC ABUSE)- CHILDREN'S HOME SOCIETY (MENTAL HEALTH ASSISTANCE)- CATHOLIC CHARITIES OF IDAHO (SOCIAL SERVICE ARM OF CHURCH)- IDAHO BREASTFEEDING COALITION- IDAHO VOICES FOR CHILDREN- IDAHO ASSOCIATION FOR THE EDUCATION OF YOUNG CHILDREN- TOBACCO FREE IDAHO ALLIANCE - IDAHO COMMUNITY HEALTH WORKERS ASSOCIATION- IDAHO ALZHEIMER'S ASSOCIATION EXECUTIVE BOARDSAINT ALPHONSUS HEALTH SYSTEM (SAHS) COMMUNITY HEALTH AND WELL-BEING (CHWB) DEPARTMENT COLLEAGUES SIT ON A NUMBER OF COMMUNITY HEALTH RELATED COALITIONS SUCH AS THE BOISE/ADA COUNTY HOMELESS COALITION, IDAHO ASSET BUILDING NETWORK HOUSING WORK GROUP, BOISE CAMPAIGN TO END FAMILY HOMELESSNESS, OUR PATH HOME-BOISE CONTINUUM OF CARE, AND WESTERN IDAHO COMMUNITY HEALTH COLLABORATIVE.WE HAVE TAKEN HEALTH OUTREACH INTO THE COMMUNITY SETTING THROUGH OUR FAITH COMMUNITY NURSES, WHO PROVIDED HOMELESS FOOT CARE CLINICS. IN ADDITION, WE PROVIDED SPIRITUAL WELLNESS WORK THROUGH OUR FAITH COMMUNITY NURSES.ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENT: SARMC HAS BEEN AN ACTIVE PARTICIPANT IN ADVOCACY FOR HEALTH IMPROVEMENT INITIATIVES SUCH AS:- HEALTH CARE ACCESS FOR THOSE WHO ARE POOR: SAHS COLLABORATED WITH OTHER ORGANIZATIONS AND ASSOCIATIONS TO SUPPORT PASSAGE OF LEGISLATIVE FUNDING OF THE NEWLY PASSED IDAHO MEDICAID EXPANSION, SUSTAINING EFFORTS TO EDUCATE THE PUBLIC ABOUT BENEFITS OF CLOSING THE COVERAGE GAP. - MENTAL HEALTH ADVOCACY: PARTICIPATED IN NEW AND ONGOING COMMUNITY ROUNDTABLES ON MENTAL HEALTH. WITH A NEW OPPORTUNITY FOR AN ADA COUNTY CRISIS CENTER, SAHS PARTICIPATED IN A COALITION THAT ORGANIZED AND ESTABLISHED THE THIRD CRISIS CENTER FOR IDAHO IN THE TREASURE VALLEY COMMUNITY. - HOUSING AND HOMELESSNESS ADVOCACY: PARTICIPATED IN NEW AND ONGOING COMMUNITY ROUNDTABLES ADVOCATING FOR AFFORDABLE HOUSING AND HOUSING FIRST PROPOSAL AND IMPLEMENTATION FOR CHRONICALLY HOMELESS. WE ALSO SUPPORTED SMALLER HOMELESSNESS PREVENTION PROJECTS INCLUDING JESSE TREE, WHICH PROVIDES RENTAL ASSISTANCE FOR VULNERABLE FAMILIES AND THE GOOD SAMARITAN HOME WHICH PROVIDES LOW-INCOME HOUSING. THE SAHS CHWB TEAM ALSO PROVIDED PUBLIC SUPPORT FOR THE IDAHO FAIR HOUSING ACT DURING THE 2020 LEGISLATIVE SESSION TO REQUIRE NOTICE GIVEN TO TENANTS FOR SUBSTANTIAL CHANGES TO LEASE AGREEMENTS, AND PUBLICLY ADVOCATED FOR THE $15M ALLOCATION OF IDAHO CARES ACT FUNDS FOR RENTAL AND UTILITY ASSISTANCE.- HUMAN TRAFFICKING: NEW ATTENTION WAS GIVEN TO EXPLORING HUMAN TRAFFICKING RESOURCES AND COLLABORATIONS IN THE TREASURE VALLEY COMMUNITY AND BUILDING RELATIONSHIPS WITH COMMUNITY PARTNERS ON THIS TOPIC. SARMC ALSO INVITED THE IDAHO HUMAN TRAFFICKING COALITION TO PARTICIPATE IN THE 2020 CHNA. THIS IS PART OF PREVENTING VIOLENCE SOCIAL INFLUENCER OF HEALTH WORK.COMMUNITY SUPPORT: - REFUGEE RESOURCE STEERING COMMITTEE: SARMC PARTICIPATED IN THE ONGOING COLLABORATION AND STRATEGIC PLANNING AMONG COMMUNITY LEADERS WITH THE PRIMARY GOAL OF STRENGTHENING SUPPORTS FOR REFUGEE RESETTLEMENT IN THE GREATER BOISE AREA. THE STEERING COMMITTEE IS MADE UP OF COMMUNITY LEADERS ADDRESSING NEEDS AND RESOURCES RELATED TO TRANSPORTATION, EDUCATION, HOUSING, EMPLOYMENT, HEALTH, AND SOCIAL INTEGRATION.- DISASTER READINESS: ENSURING THAT SAINT ALPHONSUS AND THE COMMUNITY ARE PREPARED TO RESPOND IN DISASTER SCENARIOS. 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: SARMC 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, SARMC IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, SARMC IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL. PART III, LINE 4: SARMC IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE PATIENT ACCOUNTS RECEIVABLE, ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS FOOTNOTE FROM PAGE 13 OF THOSE STATEMENTS: "AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME IS TREATED AS A RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS FOR WHICH THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYERS FOR RETROACTIVE ADJUSTMENTS, ARE RECEIVABLES IF THE RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. FOR PATIENT ACCOUNTS RECEIVABLE, THE ESTIMATED UNCOLLECTABLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT SERVICE REVENUE AND ACCOUNTS RECEIVABLE.THE CORPORATION HAS AGREEMENTS WITH THIRD-PARTY PAYERS THAT PROVIDE FOR PAYMENTS TO THE CORPORATION'S HEALTH MINISTRIES AT AMOUNTS DIFFERENT FROM ESTABLISHED RATES. ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYERS AND OTHER CHANGES IN ESTIMATES ARE INCLUDED IN NET PATIENT SERVICE REVENUE AND ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS, AS FINAL SETTLEMENTS ARE DETERMINED." PART III, LINE 5:TOTAL MEDICARE REVENUE REPORTED IN PART III, LINE 5 HAS BEEN REDUCED BY THE TWO PERCENT SEQUESTRATION REDUCTION FOR THE PERIOD JULY 1, 2019 THROUGH APRIL 30, 2020. PART III, LINE 8: SARMC 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 - SARMC ASSESSED THE HEALTH STATUS OF ITS COMMUNITY, IN PARTNERSHIP WITH COMMUNITY COALITIONS, AS PART OF THE NORMAL COURSE OF OPERATIONS AND IN THE CONTINUOUS EFFORTS TO IMPROVE PATIENT CARE AND THE HEALTH OF THE OVERALL COMMUNITY. TO ASSESS THE HEALTH OF THE COMMUNITY, THE HOSPITAL USED PATIENT DATA, PUBLIC HEALTH DATA, ANNUAL COUNTY HEALTH RANKINGS, MARKET STUDIES AND GEOGRAPHICAL MAPS SHOWING AREAS OF HIGH UTILIZATION FOR EMERGENCY SERVICES AND INPATIENT CARE, WHICH MAY INDICATE POPULATIONS OF INDIVIDUALS WHO DO NOT HAVE ACCESS TO PREVENTATIVE SERVICES OR ARE UNINSURED.SARMC ALSO EVALUATED INPATIENT, OUTPATIENT, EMERGENCY DEPARTMENT, CLINICAL AND FINANCIAL DATA TO DETERMINE; (1) WHAT TYPE OF AMBULATORY-SENSITIVE CONDITIONS, THAT ARE OTHERWISE PREVENTABLE OR SHOULD BE WELL-MANAGED IN THE COMMUNITY SETTING, ARE TREATED IN THE EMERGENCY ROOM AND (2) TO WHAT QUANTIFIABLE EXTENT ARE THESE CASES INVOLVING PATIENTS WHO ARE UNINSURED OR UNDER-INSURED. WE BUILT SYSTEMS TO HELP CONNECT THESE MOST "AT-RISK" PATIENTS WITH OUR FINANCIAL ASSISTANCE PROGRAMS AND WITH CARE PROVIDERS WHO CAN ASSIST THEM MORE REGULARLY AT A MORE APPROPRIATE LEVEL OF CARE. EVALUATION OF HOSPITAL DATA ON INDIVIDUALS EXPERIENCING HOMELESSNESS LED TO GREATER SUPPORT FOR COMMUNITY EFFORTS TO PREVENT HOMELESSNESS. WE HAVE ALSO INCREASED CARE OUTREACH EFFORTS FOR THOSE WHO ARE EXPERIENCING HOMELESSNESS, AS WELL AS CONNECTING THEM WITH FINANCIAL ASSISTANCE, TO ACCESS CARE WITH OUR HOSPITAL AND WITH OTHER LOCAL HEALTH PROVIDERS.SARMC ALSO UTILIZED THE EXPERTISE OF PUBLIC HEALTH PARTNERS AND THEIR ANALYSIS OF COMMUNITY NEEDS. WWW.CHNA.ORG CONTINUED TO BE A GREAT RESOURCE TO THE HEALTH SYSTEM FOR EXAMINING PUBLICLY AVAILABLE DATA. SAHS RECEIVED REGULAR INPUT FROM PEER HEALTH ADVISORS WITHIN THE REFUGEE COMMUNITIES AND IMPLEMENTED PATIENT-FAMILY ADVISORY COUNCILS FOR COMMUNITY INPUT. SARMC ALSO HAD PERIODIC CONVERSATIONS WITH ALIGNED HEALTH CARE AND SOCIAL SUPPORT AGENCIES, LIKE CATHOLIC CHARITIES OF IDAHO, WHO SERVE THOSE WHO ARE POOR AND UNDERSERVED, REGARDING HEALTH TRENDS AND PRESSING NEEDS IN THEIR PATIENT/CUSTOMER POPULATIONS AND STRATEGIZED WAYS IN WHICH THE HEALTH SYSTEM COULD PARTNER IN SERVING THESE INDIVIDUALS. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - SARMC 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. SARMC OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH PATIENT BROCHURES, MESSAGES ON PATIENT BILLS, POSTED NOTICES IN PUBLIC REGISTRATION AREAS INCLUDING EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES. SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE TO APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST PEOPLE IN NEED. INFORMATION REGARDING FINANCIAL ASSISTANCE PROGRAMS IS ALSO AVAILABLE ON HOSPITAL WEBSITES. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN OTHER LANGUAGES AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R), REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITAL. SARMC HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. SARMC 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 - SARMC SERVES PATIENTS FROM THE PRIMARY, SECONDARY AND TERTIARY SERVICE AREAS LISTED BELOW:- PRIMARY SERVICE AREA (75% OF DISCHARGES): ADA AND CANYON COUNTIES- SECONDARY SERVICE AREA (75-90% OF DISCHARGES): BOISE, GEM, MALHEUR, ELMORE, PAYETTE, OWYHEE, BAKER AND UNION COUNTIES - TERTIARY SERVICE AREA (90-95% OF DISCHARGES): TWIN FALLS, VALLEY, WASHINGTON, ADAMS, BLAINE, CASSIA, GOODING AND JEROME COUNTIES- SARMC ALSO PARTICIPATES IN RURAL TELEHEALTH WORK, FOR EXAMPLE, SERVING PSYCHIATRY NEEDS IN NORTHERN IDAHO.AREA HOSPITAL FACILITIES WITHIN SARMC'S PRIMARY SERVICE AREA INCLUDE ST. LUKE'S BOISE AND MERIDIAN, ST. LUKE'S (ELKS) REHABILITATION CENTER, TREASURE VALLEY HOSPITAL, SAINT ALPHONSUS MEDICAL CENTER-NAMPA, SAINT ALPHONSUS REGIONAL REHABILITATION HOSPITAL, WEST VALLEY MEDICAL CENTER, SAINT ALPHONSUS MEDICAL CENTER-ONTARIO, SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY, GRANDE RONDE AND VALOR HEALTH (FORMERLY WALTER KNOX MEMORIAL HOSPITAL). SARMC'S PRIMARY SERVICE AREA IS A MIX OF URBAN AND RURAL COMMUNITIES WITHIN THE TREASURE VALLEY, BORDERED BY RUGGED MOUNTAINOUS TERRAIN AND DESERT. THE REGION HAS EXPERIENCED RAPID POPULATION GROWTH OVER THE PAST DECADE, WITH DRAMATIC GROWTH RATES IN ADA AND CANYON COUNTIES, THE TWO LARGEST COUNTIES IN THE SERVICE AREA:NET MIGRATION: THE DIFFERENCE BETWEEN HOW MANY PEOPLE MOVED IN AND HOW MANY MOVED OUT, IS ONE PART OF POPULATION CHANGE (INDICATORSIDAHO.ORG). FROM 2010 TO 2019: - ADA COUNTY GAINED 58,094 RESIDENTS THROUGH NET IN-MIGRATION AND HAD A NET MIGRATION RATE OF 14.8% (6.5% FOR IDAHO). - CANYON COUNTY GAINED 20,108 RESIDENTS THROUGH NET IN-MIGRATION AND HAD A NET MIGRATION RATE OF 10.6% (6.5% FOR IDAHO).- GEM COUNTY GAINED 899 RESIDENTS THROUGH NET IN-MIGRATION AND HAD A NET MIGRATION RATE OF 5.4% (6.5% FOR IDAHO).OTHER RELEVANT STATISTICS CHARACTERIZING SARMC'S PRIMARY SERVICE AREA ARE INCLUDED BELOW (CENSUS.GOV):TOTAL POPULATION (2019 ESTIMATE) AND GROWTH (2019, GROWTH 2010-2019):ADA COUNTY - 481,587 (22.7%)CANYON COUNTY - 229,849 (21.7%)ELMORE COUNTY - 27,511 (1.7%)GEM COUNTY - 18,112 (8.3%)MALHEUR COUNTY - 30,571 (-2.4%)PERCENT WHITE PERSONS NOT HISPANIC (2019):ADA COUNTY - 84.3%CANYON COUNTY - 70.0%ELMORE COUNTY - 72.4%GEM COUNTY - 87.3%MALHEUR COUNTY - 60.1%PERCENT HISPANIC/LATINO ORIGIN (2019):ADA COUNTY - 8.5%CANYON COUNTY - 25.6%ELMORE COUNTY - 17.8%GEM COUNTY - 8.6%MALHEUR COUNTY - 34.6%MEDIAN HOUSEHOLD INCOME (2014-2018):ADA COUNTY - $63,137CANYON COUNTY - $49,143ELMORE COUNTY - $46,715GEM COUNTY - $43,001MALHEUR COUNTY - $42,478PERSONS IN POVERTY (2014-2018):ADA COUNTY - 9.7%CANYON COUNTY - 11.5%ELMORE COUNTY - 12.9%GEM COUNTY - 13.4%MALHEUR COUNTY - 21.0%FOREIGN-BORN PERSONS, PERCENT (2014-2018):ADA COUNTY - 5.8%CANYON COUNTY - 8.4%ELMORE COUNTY - 8.9%GEM COUNTY - 3.0%MALHEUR COUNTY - 9.9%LANGUAGE OTHER THAN ENGLISH, SPOKEN AT HOME AGE 5+ (2014-2018):ADA COUNTY - 8.5%CANYON COUNTY - 18.5%ELMORE COUNTY - 13.7%GEM COUNTY - 7.9%MALHEUR COUNTY - 25.6%PERSONS WITHOUT HEALTH INSURANCE, UNDER 65, PERCENT (2014-2018):ADA COUNTY - 9.5%CANYON COUNTY - 16.9%ELMORE COUNTY - 14.1%GEM COUNTY - 16.1%MALHEUR COUNTY - 11.3%IN 2018 (INDICATORSIDAHO.ORG), 13% OF IDAHO'S POPULATION UNDER THE AGE OF 65, OR 190,472 PEOPLE, HAD NO HEALTH INSURANCE COVERAGE COMPARED TO 10% IN ALL OF THE U.S.; THE PERCENT UNDER AGE 65 WITHOUT HEALTH INSURANCE RANKED 7TH HIGHEST OUT OF THE U.S.'S 50 STATES; 6.1% OF CHILDREN UNDER THE AGE OF 19, OR 28,091 CHILDREN, HAD NO HEALTH INSURANCE COVERAGE COMPARED TO 5.2% OF ALL CHILDREN IN THE U.S.; THE PERCENT OF CHILDREN WITHOUT HEALTH COVERAGE RANKED 13TH HIGHEST OUT OF THE U.S.'S 50 STATES. THREE OF THE FOUR REFUGEE RESETTLEMENT AGENCIES IN IDAHO ARE LOCATED IN BOISE. THE MAJORITY OF REFUGEES THAT HAVE RESETTLED IN IDAHO SINCE 2008 HAVE BEEN LOCATED IN BOISE. SOME REFUGEES ARE HIGHLY EDUCATED WHILE OTHERS HAVE NEVER HAD THE OPPORTUNITY TO ATTEND SCHOOL. SEVERAL RESETTLEMENT AND ASSISTANCE AGENCIES ASSIST LOCALLY AND THROUGHOUT THE STATE. UPON REVIEW OF DEMOGRAPHIC AND SOCIO-ECONOMIC DATA AND TRENDS, SEVERAL FACTORS CLEARLY HAVE AN IMPACT ON THE HEALTH STATUS OF THE COMMUNITIES SERVED BY SARMC, WITH IMPLICATIONS FOR FUTURE PLANNING. POPULATION GROWTH, ESPECIALLY IN ADA AND CANYON COUNTIES, IS EXPECTED TO CONTINUE, WITH A GROWING HISPANIC POPULATION. THE SIGNIFICANT REFUGEE POPULATION CREATES GREATER LANGUAGE INTERPRETATION AND HEALTH EDUCATION NEEDS AS WELL.GROWTH IN IDAHO'S SENIOR POPULATION IS ALSO PROJECTED TO ACCELERATE, WHICH WILL LIKELY RESULT IN INCREASED HEALTH CARE SPENDING. MAMMOGRAPHY RATES, RATE OF LOW BIRTH WEIGHT BABIES, OVERWEIGHT AND OBESITY, TOBACCO USE, MENTAL HEALTH AND DRINKING/DRUG USE ARE ALSO OF GREAT CONCERN. THE REGION SEES A HIGH PREVALENCE OF MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES, WITH INADEQUATE PUBLIC BEHAVIORAL HEALTH SYSTEMS IN PLACE TO MEET THE EXISTING NEEDS FOR COMMUNITY-BASED AND INPATIENT SERVICES. PART VI, LINE 5: OTHER INFORMATION - CONSISTENT WITH ITS NONPROFIT STATUS, SARMC USED SURPLUS REVENUES TO REINVEST IN FACILITIES, TECHNOLOGY AND MEDICAL SERVICES FOR THE COMMUNITY, AND COLLABORATED WITH COMMUNITY PARTNERS BY INVESTING IN NEEDED COMMUNITY PROGRAMS SUCH AS ALLUMBAUGH HOUSE (SOBERING, DETOXIFICATION AND CRISIS MENTAL HEALTH SERVICES), AND NEW PATH (HOMELESSNESS PREVENTION AND SUPPORT SERVICES). SARMC ALSO ASSESSED AND ENGAGED IN COMMUNITY HEALTH WORK THAT ADDRESSED THE SOCIAL INFLUENCERS OF HEALTH. THERE WAS ADDITIONAL FOCUS AND ENGAGEMENT WITH SENIOR POPULATIONS AND REFUGEE POPULATIONS.PROVIDING EDUCATION AND WORKFORCE DEVELOPMENT FOR RURAL IDAHO AND OREGON:SARMC STRONGLY SUPPORTED HEALTH CARE WORKFORCE DEVELOPMENT EFFORTS, INCLUDING SUPPORT TO THE PSYCHIATRIC, DENTAL AND INTERNAL MEDICINE RESIDENCIES AND TREASURE VALLEY NURSING PROGRAMS. SARMC SERVED AS A KEY CLINICAL TRAINING SITE FOR NEW PHYSICIANS, NURSE PRACTITIONERS, NURSES, PHARMACISTS AND OTHER ALLIED HEALTH PROFESSIONALS, INCLUDING FAMILY MEDICAL RESIDENCY OF IDAHO.SARMC IS A LEVEL II TRAUMA CENTER AND CONTINUED TO TAKE A LEADERSHIP ROLE IN IMPROVING SYSTEMS OF CARE FOR TRAUMA PATIENTS. SARMC ALSO HOSTED AN ANNUAL SKI AND MOUNTAIN TRAUMA CONFERENCE TO TRAIN FIRST RESPONDERS (EMS, FIRE, SKI PATROL, ETC.) THROUGHOUT THE NORTHWEST ON BEST PRACTICES FOR TRAUMA CARE IN THE PRE-HOSPITAL SETTING. TRAUMA PREVENTION AND DISASTER PREPAREDNESS EFFORTS IN THE REGION ARE OFTEN LED BY SARMC STAFF, WHO IN THE PAST HAVE CHAMPIONED TOUGHER SEAT BELT AND HELMET LAWS. SARMC COORDINATED A REGIONAL TELEMEDICINE NETWORK THROUGHOUT WESTERN AND NORTHERN IDAHO AND EASTERN OREGON. SERVICES PROVIDED THROUGH THE NETWORK INCLUDE MUCH-NEEDED SERVICES SUCH AS TELEPSYCHIATRY, STROKE CARE, CLINICAL EDUCATION AND EMERGENCY MEDICINE CONSULTATIONS TO RURAL HOSPITALS IN REMOTE LOCATIONS, OFTEN PREVENTING UNNECESSARY TRANSPORTS AND ALLOWING PATIENTS TO BE CARED FOR CLOSER TO HOME. SARMC ALSO COLLABORATED WITH UWTV TO ADDRESS COMMUNITY NEEDS INCLUDING HEALTH, EDUCATION, AND INCOME. SARMC WAS REPRESENTED ON THE UNITED WAY BOARD OF DIRECTORS AND THE HEALTH VISION COUNCIL. IN ADDITION, SARMC HAS AN ANNUAL UNITED WAY WORKPLACE GIVING CAMPAIGN TO SUPPORT UNITED WAY INITIATIVES AND GRANTS TO LOCAL NONPROFITS PRODUCING MEASURABLE OUTCOMES IN ADDRESSING TOP COMMUNITY NEEDS.SAHS WAS EXTREMELY ACTIVE IN BOTH GRASSROOTS AND LEGISLATIVE EFFORTS AROUND LEGISLATIVE FUNDING IMPLEMENTATION OF IDAHO'S MEDICAID EXPANSION AS WELL AS IN COALITION BUILDING AND STRATEGIZING AROUND TOBACCO 21 AND TOBACCO PARITY LEGISLATION, WHICH ADDED E-CIGARETTES TO THE STATE DEFINITION OF TOBACCO PRODUCTS. SAHS WAS A LEAD ADVOCATE AND FUNDER OF A HOUSING FIRST EFFORT TO PREVENT HOMELESSNESS, IN ALIGNMENT WITH CHNA-FOCUSED SOCIAL INFLUENCERS OF HEALTH WORK. ADDITIONALLY, FINALLY, SAHS COLLABORATED IN A COMMUNITY ROUNDTABLE ON MENTAL HEALTH, INCLUDING ADVOCACY WORK IN SUPPORTING A LOCAL CRISIS CENTER.TRANSFORMING COMMUNITIES:SAHS PARTNERED WITH THE UWTV AND OTHER COMMUNITY STAKEHOLDERS IN THE TRANSFORMING COMMUNITIES INITIATIVE (TCI) SINCE 2016. 2020 MARKED THE LAST YEAR OF TCI FUNDING. TCI WORK INCLUDED THE PREVIOUSLY MENTIONED INITIATIVES TO ADVANCE TOBACCO 21 AND TOBACCO PARITY LEGISLATION. IT ALSO INCLUDED ADVOCACY FOR STATEWIDE EARLY CHILDHOOD EDUCATION, INCLUDING WORK TOWARD ESTABLISHING SYSTEMS FOR PUBLIC PRE-K ACROSS THE STATE. TCI FUNDS WERE USED TO CONTINUE THE EXPANSION OF THE COMMUNITY SCHOOL STRATEGY STATEWIDE. FINALLY, TCI FUNDS WERE PIVOTED TO COMMUNITY RESPONSE TO COVID-19 IN MARCH 2020. FUNDS WERE PROVIDED FOR CHILD CARE GRANTS TO KEEP BUSINESSES AFLOAT FOR ESSENTIAL WORKERS, TO SCHOOLS TO PROVIDE BASIC NEEDS TO RESIDENTS IN THEIR NEIGHBORHOODS, AND TO THE IDAHO FOODBANK FOR FOOD DISTRIBUTIONS. SAHS HAS COMPLETED SIGNIFICANT WORK (90%) TOWARDS ACHIEVING BABY FRIENDLY DESIGNATION AND IS COMMITTED TO BECOMING A BABY FRIENDLY HOSPITAL SYSTEM. BABY FRIENDLY HOSPITALS ARE RECOGNIZED FOR ENCOURAGING BREASTFEEDING AND MOTHER/BABY BONDING, WHICH IS KNOWN TO PROVIDE HEALTH BENEFITS FOR INFANTS, CHILDREN, AND MOTHERS. SAHS HAS ALSO ACHIEVED 70% HEALTHY VENDING CONTRACTS AND HAS A SMOKE-FREE CAMPUS POLICY THAT INCLUDES E-CIGARETTES.SAINT ALPHONSUS HEALTH SYSTEM'S EMERGENCY PREPAREDNESS EFFORTS ALLOWED FOR A RAPID RESPONSE TO THE COVID-19 PANDEMIC. IN FISCAL YEAR 2020, THOSE EFFORTS INCLUDED ENGAGING LEADERSHIP WITH LOCAL HEALTH DEPARTMENTS AND OTHER COMMUNITY PARTNERS TO ADDRESS SUPPLY SHORTAGES, PREVENTION OF COMMUNITY-SPREAD, AND FACILITY CAPACITY. SAHS CREATED AN INCIDENT COMMAND COMMUNICATION TOOL TO HELP THE HOSPITALS WORK CLOSELY WITH EXTERNAL PARTNERS WHILE ADDRESSING SHORTAGES IN PERSONAL PROTECTIVE EQUIPMENT (PPE), HAND SANITIZER, AND OTHER CRITICAL SUPPLIES. IN ADDITION, SAHS PROVIDED PUBLIC MESSAGING AROUND HOW TO HELP SLOW THE SPREAD OF COVID. SARMC WORKED ALONGSIDE COMMUNITY PARTNERS TO HELP PREVENT THE SPREAD OF COVID IN THE POPULATION EXPERIENCING HOMELESSNESS THROUGH DEVELOPMENT OF LOCAL QUARANTINE AND ISOLATION PROCESSES. PART VI, LINE 6: SARMC 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, HEALTHCARE 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 (I.E. 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 ID 1 WOMENS AND CHILDRENS ALLIANCE 720 WEST WASHINGTON ST BOISE ID 837025535 820204464 501(C)(3) 12500 FOR CORPORATE PILLARS VRT VALLEYRIDE 700 NE 2ND ST STE 100 MERIDIAN ID 836422672 820515697 501(C)(3) 20000 FOR COMMUNITY TRANSPORTATION PARTNERSHIP UNITED WAY OF TREASURE VALLEY PO BOX 16330 BOISE ID 83715 820299013 501(C)(3) 362465 GENERAL SUPPORT TREASURE VALLEY FAMILY YMCA 1177 W STATE ST BOISE ID 83702 820200908 501(C)(3) 24780 FOR CHRISTMAS RUN SPONSORSHIP SALT & LIGHT RADIO INC PO BOX 714 BOISE ID 837010714 262449342 501(C)(3) 5000 GENERAL SUPPORT RONALD MCDONALDS HOUSE 139 E WARM SPRINGS AVE BOISE ID 83712 943030996 501(C)(3) 35000 FOR CAPITAL CAMPAIGN MERCY HOUSING NORTHWEST IDAHO 540 N EAGLE RD EAGLE ID 836165389 820458396 501(C)(3) 10000 GENERAL SUPPORT MENDED HEARTS OF BOISE CHAPTER 380 3525 E LOUISE DR MERIDIAN ID 836426302 454381036 501(C)(3) 10000 GENERAL SUPPORT LEAP CHARITIES INC 1220 S VISTA AVE BOISE ID 837052530 261738122 501(C)(3) 82000 TO SUPPORT HOUSING PROJECT: CARITAS COMMONS JANNUS INC 1614 W JEFFERSON BOISE ID 83706 816035382 501(C)(3) 17050 2518 OTHER FOOD DONATION FOR EVENT FOR GENERAL SUPPORT IDAHO MONTANA AFF OF SUSAN G KOMEN 1203 S FIVE MILE RD BOISE ID 83709 752854965 501(C)(3) 20000 4080 OTHER SURVIVOR GIFTS FOR EVENTS TO SUPPORT RACE FOR THE CURE SPONSORSHIP IDAHO FOODBANK 3562 S TK AVE BOISE ID 83705 820425400 501(C)(3) 75900 TO SUPPORT THE FRESH APPROACH CAPITAL CAMPAIGN IDAHO DIAPER BANK INC 621 E KING ST 100 MERIDIAN ID 83642 465573014 501(C)(3) 5000 GENERAL SUPPORT ID DEPT OF HLTH AND WELFARE PO BOX 83720 BOISE ID 837200036 826000995 GOVERNMENT ORG 15000 GENERAL SUPPORT GENESIS COMMUNITY HEALTH INC 215 W 35TH STREET GARDEN CITY ID 83714 820505073 501(C)(3) 15000 ANNUAL EVENT SPONSORSHIP FACES OF HOPE FOUNDATION 417 S 6TH STREET BOISE ID 83702 204883532 501(C)(3) 27500 GENERAL SUPPORT CITY OF BOISE PO BOX 500 BOISE ID 83701 826000165 GOVERNMENT ORG 249999 TO SUPPORT SUBSTANCE TREATMENT SERVICES CATHOLIC CHARITIES OF IDAHO PO BOX 190123 BOISE ID 83719 820524367 501(C)(3) 6350 SHARE THE JOURNEY GALA SPONSOR BOYS & GIRLS CLUB OF ADA CNTY 610 E 42ND GARDEN CITY ID 83714 820481687 501(C)(3) 15000 WILD WEST AUCTION SPONSOR BOISE RESCUE MISSION PO BOX 1494 BOISE ID 83701 820259387 501(C)(3) 5000 SUPPORT MEDICAL RESPITE PROGRAM AMERICAN HEART ASSOCIATION PO BOX 4002030 DES MOINES IA 503402030 135613797 501(C)(3) 32750 GENERAL SUPPORT AMERICAN CANCER SOCIETY 375 EAST 100 SOUTH 1ST FLOOR SALT LAKE CITY UT 84111 522340031 501(C)(3) 6000 GENERAL SUPPORT 22 RENT AND UTILITIES ASSISTANCE 20 10324 SCHOLARSHIPS 1 1250 CARDS 2 8966 HEALTH CARE ASSISTANCE 62 24777 FMV RADIOLOGY SERVICES PART I, LINE 2: DONATIONS MADE BY SAINT ALPHONSUS REGIONAL MEDICAL CENTER TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE. DONATIONS ARE INCLUDED IN COMMUNITY BENEFITS IN SCHEDULE H IF THE CONTRIBUTION HAS BEEN FORMALLY RESTRICTED TO A COMMUNITY BENEFIT ACTIVITY THAT MEETS THE CRITERIA TO BE REPORTED ON SCHEDULE H. 1 1 0 0 0 0 0 0 0 SALLY JEFFCOAT DIR; TRINITY HEALTH EVP THR 12/19 0 936984 0 441598 0 288350 0 12600 0 67442 0 1746974 0 0 CHRISTIAN ZIMMERMAN MD PHYSICIAN 0 1335263 0 0 0 10601 0 12420 0 29990 0 1388274 0 0 JOSEPH BROOKS MD PHYSICIAN 0 1278097 0 0 0 1775 0 12600 0 34689 0 1327161 0 0 ILYAS COLOMBOWALA MD PHYSICIAN 0 1279358 0 0 0 1221 0 12600 0 29409 0 1322588 0 0 MARCUS SHIPLEY DIR AS OF 1/20; TRINITY SVP & CIO 0 794620 0 271756 0 204635 0 12600 0 31228 0 1314839 0 0 ODETTE BOLANO DIRECTOR; SAHS PRESIDENT AND CEO 0 632023 0 197823 0 262272 0 151819 0 26709 0 1270646 0 150263 LINDSAY SALES MD PHYSICIAN 0 927263 0 0 0 4283 0 12600 0 26004 0 970150 0 0 BRUCE ANDERSEN MD PHYSICIAN 0 852578 0 0 0 5290 0 12600 0 32027 0 902495 0 0 ANDREW COSENTINO DIRECTOR; PRESIDENT THROUGH 4/20 0 391679 0 51554 0 36372 0 73869 0 28765 0 582239 0 0 B LANNIE CHECKETTS TREASURER; SAHS CFO 0 363078 0 89214 0 68570 0 16800 0 35559 0 573221 0 0 BLAINE PETERSEN FORMER OFFICER 0 10950 0 0 0 490295 0 329 0 8918 0 510492 0 418305 STEPHANIE WESTERMEIER SECRETARY; SAHS VP & GENERAL COUNSEL 0 318585 0 63387 0 9522 0 66059 0 27889 0 485442 0 0 RODNEY REIDER FORMER OFFICER 0 0 0 0 0 350097 0 0 0 7425 0 357522 0 246273 RYAN HEYBORNE MD CHIEF MEDICAL OFFICER 0 272438 0 24878 0 236 0 12600 0 32849 0 343001 0 0 MARCIE HARPER VP OF FINANCE 0 175737 0 29104 0 150 0 10846 0 32362 0 248199 0 0 JEAN BASOM REGIONAL DIRECTOR SUPPLY CHAIN 0 168751 0 13536 0 3083 0 14056 0 17697 0 217123 0 0 PART I, LINE 3 SAINT ALPHONSUS REGIONAL MEDICAL CENTER (SARMC) IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. SARMC'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 SARMC'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINES 4A-B THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2019. THIS AMOUNT IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: BLAINE PETERSEN - $418,305 RODNEY REIDER - $246,273 COLUMN (F) OF SCHEDULE J, PART II INCLUDES THE PORTION OF THIS AMOUNT THAT WAS REPORTED IN PRIOR YEARS. 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: ODETTE BOLANO - $153,810 B. LANNIE CHECKETTS - $55,199 SALLY JEFFCOAT - $238,926 BLAINE PETERSEN - $61,076 RODNEY REIDER - $96,858 MARCUS SHIPLEY - $188,561 THE FOLLOWING ACCRUALS FOR 2019 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: ODETTE BOLANO - $139,219 ANDREW COSENTINO - $61,269 STEPHANIE WESTERMEIER - $49,259 COLUMN (F) OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING IS A PARTICIPANT IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN UNDER 457(F). THERE WERE NO PAYOUTS IN 2019. BRUCE ANDERSEN, MD CHRISTIAN ZIMMERMAN, MD SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 8078804 DONOR PROVIDED GOODS/SERVICES TO SARMC 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 343961 DONOR PROVIDED GOODS/SERVICES TO SARMC 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 342146 DONOR PROVIDED GOODS/SERVICES TO SARMC 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 184005 DONOR PROVIDED GOODS/SERVICES TO SARMC 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 174893 DONOR PROVIDED GOODS/SERVICES TO SARMC 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 116417 DONOR PROVIDED GOODS/SERVICES TO SARMC 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 105481 DONOR PROVIDED GOODS/SERVICES TO SARMC 0 X 111768 FMV X 13314 339690 FMV X 11611 102951 FMV X IN-KIND DONATIONS 2482 261450 FMV 0 1 1 PART I, LINE 32B: THE REPORTING ENTITY HAS USED THIRD PARTIES TO PROCESS OR SELL NON-CASH CONTRIBUTIONS WHEN SPECIFIC EXPERTISE IS WARRANTED. WHERE AN EXPERT APPRAISAL IS NECESSARY, A THIRD PARTY APPRAISER WILL BE ENGAGED. OCCASIONALLY THE SERVICES OF AN AGENT ARE ENGAGED TO SELL NON-CASH CONTRIBUTIONS THAT WILL NOT BE USED BY THE REPORTING ENTITY. FORM 990, PAGE 1, DOING BUSINESS AS: SAINT ALPHONSUS PHYSICIAN SERVICES SAINT ALPHONSUS MEDICAL GROUP SAINT ALPHONSUS FOUNDATION SAINT ALPHONSUS SAINT ALPHONSUS HEART INSTITUTE SAINT ALPHONSUS REGIONAL MEDICAL CENTER - BOISE FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF SAINT ALPHONSUS REGIONAL MEDICAL CENTER (SARMC) IS SAINT ALPHONSUS HEALTH SYSTEM. SEE LINE 7 FOR ADDITIONAL INFORMATION. FORM 990, PART VI, SECTION A, LINE 7A SAINT ALPHONSUS HEALTH SYSTEM IS THE SOLE MEMBER OF SARMC. SAINT ALPHONSUS HEALTH SYSTEM HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF SARMC. FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER, SAINT ALPHONSUS HEALTH SYSTEM MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. SAINT ALPHONSUS HEALTH SYSTEM MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, AND MODIFICATIONS TO GOVERNING DOCUMENTS. AS THE PARENT OF THE NATIONAL TRINITY HEALTH SYSTEM, CERTAIN POWERS ARE RESERVED TO TRINITY HEALTH CORPORATION. THESE INCLUDE THE AUTHORITY TO ADOPT OR MODIFY THE ORGANIZATION'S GOVERNING DOCUMENTS, TO APPROVE MAJOR CHANGES SUCH AS A MERGER OR DISSOLUTION, AND TO APPROVE SIGNIFICANT FINANCE MATTERS IN EXCESS OF CERTAIN LIMITS ESTABLISHED BY TRINITY HEALTH CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 FOR SARMC IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY SAINT ALPHONSUS HEALTH SYSTEM PLANNING AND FINANCE COMMITTEE. EACH MEMBER OF THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C SARMC 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 SARMC, 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 SARMC 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 SARMC (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO SARMC OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF SARMC (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 SARMC. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE POLICY FURTHER ADDRESSES THE PROPER DOCUMENTATION OF THE PROCEEDINGS AND POTENTIAL DISCIPLINARY AND CORRECTIVE ACTION FOR VIOLATIONS OF THE POLICY. THE POLICY IS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 15 QUESTIONS 15A AND 15B ARE ANSWERED "NO" BECAUSE THE COMPENSATION FOR CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF SARMC IS ESTABLISHED BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING PRESIDENT AND SYSTEM 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 PRESIDENT AND SYSTEM CFO OF SARMC 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 SARMC 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, SARMC INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. SARMC'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS TO AFFILIATES -18,155,188. ASSET IMPAIRMENT -999,598. FORM 990, PART XII, LINE 2: SARMC'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY20 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. 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 1 HOLY CROSS HOSPITAL INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 590791028 HEALTH CARE AND HOSPITAL SERVICES FL 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 HOLY CROSS OUTPATIENT SERVICES INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 465421068 HEALTH CARE SERVICES FL 501(C)(3) LINE 10 HOLY CROSS HOSPITAL INC 1 HOLY CROSS PRIMARY CARE INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 812531495 HEALTH CARE SERVICES FL 501(C)(3) LINE 10 HOLY CROSS HOSPITAL INC 1 HOLY CROSS SENIOR SERVICES INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 832256461 HEALTH CARE SERVICES FL 501(C)(3) LINE 10 HOLY CROSS HOSPITAL INC 1 HOME & 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) 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