2020-07-08T07:51:38-05:00 2019-06-30 990 2018-07-01 362170152 MERCY HOSPITAL AND MEDICAL CENTER MERC 3125672000 2525 SOUTH MICHIGAN AVENUE CHICAGO IL 606162477 SILIA MIGLIO VP, FINANCE 3125672000 2020-07-08 170.232.229.225 2020-07-08 07:51:30 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 9C641B9F59D9C316FC4BC3F2903C6453B7484E6A 2018 2021-01-29 14:40:06Z SEE SCHEDULE O CAROL GARIKES-SCHNEIDER 2525 SOUTH MICHIGAN AVENUE CHICAGO IL 606162477 255369069 0 0928 X WWW.MERCY-CHICAGO.ORG X 1852 IL TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES 8 5 2088 58 2936680 360198 5531254 2445854 244610856 249741053 57705 -82084 5229933 3170562 255429748 255275385 145325 1321737 0 0 125103169 133369682 0 0 0 159867081 153394996 285115575 288086415 -29685827 -32811030 98871678 99193048 167538722 203923692 -68667044 -104730644 X WE, MERCY HEALTH SYSTEM OF CHICAGO AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES.MHMC IS A MEMBER OF MERCY HEALTH SYSTEM OF CHICAGO AND TRINITY HEALTH. 0 0 254360101 1321737 251219827 MERCY HOSPITAL AND MEDICAL CENTER (MHMC) IN CHICAGO, ILLINOIS IS A 373-BED ACUTE CARE FACILITY WITH ITS PRIMARY MARKET IN THE SOUTH AND SOUTHWEST SIDE OF CHICAGO AND ADJACENT SUBURBS. IN ADDITION TO THE MAIN FACILITY WHICH IS LOCATED MINUTES FROM CHICAGO'S LOOP, MERCY HOSPITAL HAS A NETWORK OF HOSPITAL OWNED PRIMARY CARE CENTERS, PRIVATE PHYSICIAN OFFICES, AND A NUMBER OF SATELLITES LOCATED THROUGHOUT ITS SERVICE AREA.MHMC WAS FOUNDED IN 1852 AND HOLDS THE PRIVILEGE OF BEING CHICAGO'S FIRST CHARTERED TEACHING HOSPITAL. MHMC ENJOYS AFFILIATIONS WITH MAJOR ACADEMIC PROGRAMS AND CENTERS IN CHICAGO, INCLUDING THE UNIVERSITY OF ILLINOIS, UNIVERSITY OF CHICAGO, AND ITS SISTER TRINITY HEALTH FACILITY, LOYOLA UNIVERSITY MEDICAL CENTER. SINCE ITS INCEPTION, MHMC HAS HAD AN UNWAVERING COMMITMENT TO SERVING THE COMMUNITY, INCLUDING THE UNDER-INSURED AND UNDER-PRIVILEGED. IN FY19, THE HOSPITAL PROVIDED 53,775 PATIENT DAYS OF HEALTH CARE SERVICES TO THE COMMUNITY.MHMC'S COMMITMENT TO QUALITY IS DEMONSTRATED THROUGH THE FOLLOWING CENTERS OF EXCELLENCE: COMPREHENSIVE BREAST CENTER, DIABETES TREATMENT CENTER, DIZZINESS AND BALANCE CENTER, EAR, NOSE AND THROAT CENTER, EYE CENTER, FAMILY BIRTH CENTER, STROKE CENTER, SLEEP DISORDER CENTER, URINARY HEALTH CENTER, ACCREDITED BARIATRIC SURGERY CENTER AND LEADING HEART AND VASCULAR CENTER. MHMC IS RECOGNIZED AS A TOP PERFORMER IN CARDIAC CARE /HEART FAILURE, US NEWS 2017-2018 BEST HOSPITALS. MHMC IS ALSO CONSIDERED THE NATION'S TOP 100 FOR CARDIAC CARE BY THOMSON HEALTHCARE AND RECEIVED THE BLUE DISTINCTION CENTER FOR CARDIAC CARE, BLUE CROSS BLUE SHIELD.PLEASE VISIT SCHEDULE H AND OUR WEBSITE FOR ADDITIONAL INFORMATION ABOUT OUR SERVICES, RECOGNITIONS AND AWARDS:WWW.MERCY-CHICAGO.ORG 254360101 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 94 0 1 2088 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 8 5 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 X THOMAS SCHILLING 7082166933 2160 SOUTH FIRST AVENUE MAYWOOD IL 60153 CAROL GARIKES-SCHNEIDER DIRECTOR; PRESIDENT & CEO 52.00 3.00 X X 0 744640 46426 SUSAN GALLAGHER DIRECTOR; CHAIR 1.00 1.00 X X 0 0 0 MARY BURKE DIRECTOR; VICE CHAIR; TREAS AT 1/19 1.00 1.00 X X 0 0 0 KELLY RICHMOND POPE PHD CPA DIRECTOR & TREASURER THROUGH 12/18 1.00 1.00 X X 0 0 0 SALLY JEFFCOAT DIRECTOR; TRINITY HEALTH EVP 1.00 54.00 X 0 1621782 73096 MAX REED DIRECTOR 1.00 1.00 X 0 0 0 TONY SHU DIRECTOR 1.00 1.00 X 0 0 0 BETTY SMITH RSM DIRECTOR 1.00 1.00 X 0 0 0 JOSEPH WILLIAMS DIRECTOR 1.00 1.00 X 0 0 0 SILIA MIGLIO VP, FINANCE 47.00 3.00 X 0 296051 22377 JEFFREY MATHIS SECRETARY; GENERAL COUNSEL 1.00 39.00 X 0 224648 32463 MICHAEL DAVENPORT MD CHIEF MEDICAL OFFICER 49.00 1.00 X 0 483838 45571 JOAN ORMSBY CHIEF OPERATING OFFICER 49.00 1.00 X 0 327100 36073 DENNIS HONG MD PHYSICIAN 50.00 0.00 X 682012 0 42429 LUIS GARCIA MD PHYSICIAN 50.00 0.00 X 676704 0 43436 MICHAEL MARKOS MD PHYSICIAN 50.00 0.00 X 441081 0 40812 DILLON BANNIS MD PHYSICIAN 50.00 0.00 X 378893 0 16857 LAWRENCE STEINBERG MD PHYSICIAN 50.00 0.00 X 378240 0 43758 CARLA CAMPBELL FORMER KEY EMPLOYEE; VP CNO THR 9/18 50.00 0.00 X 0 260302 207031 MEGHAN KIEFFER FORMER OFFICER; LUMC ASSOC GEN CSL 0.00 40.00 X 0 314386 21996 JIM BIRCHLER FORMER OFFICER; TH CONTINGENT MGR 0.00 40.00 X 0 299000 8250 2556930 4571747 680575 140 1 1 0 NATIONAL GOVERNMENT SERVICES INC PO BOX 809074 CHICAGO IL 60680 CLAIMS PROCESSING 3350263 SODEXO INC & AFFILIATES 4880 PAYSPHERE CIRCLE CHICAGO IL 60674 FOOD SERVICE MANAGEMENT 3129392 IPC HEALTHCARE INC PO BOX 844929 LOS ANGELES CA 90084 PHYSICIAN STAFFING 2072772 SHIFTWISE PO BOX 70870 ST PAUL MN 55170 TEMPORARY MEDICAL STAFFING 1516495 SYNERGY-MCH LLC 1590 W ALGONQUIN ROAD HOFFMAN ESTATES IL 60192 PHYSICIAN SERVICES 1395968 100 291983 1819902 333969 2445854 NET PATIENT SERVICE REVENUE 622110 249401553 246705297 2696256 REFERENCE LAB 621500 339500 99076 240424 249741053 884538 0 884538 884538 884538 11600 93684 0 -93684 11600 -82084 -82084 OTHER RELATED REVENUE 622110 1478774 1478774 CAFETERIA REVENUE 722514 807250 807250 2286024 255275385 248283147 2936680 1609704 X 1232329 1232329 89408 89408 2002076 2002076 299266 299266 106716180 92029329 14686851 4178612 3593536 585076 12833652 10952877 1880775 7339896 6206905 1132991 80064 80064 129099 129099 60000 60000 882477 882477 43240561 38606327 4634234 901299 762174 139125 2821673 2386118 435555 9852140 8331357 1520783 11005696 9306849 1698847 76073 64330 11743 243866 206223 37643 3423104 3423104 2874370 2430680 443690 6890772 5827108 1063664 MEDICAL SUPPLIES 29077658 29077658 BAD DEBT 17328563 17328563 HOSPITAL PROVIDER TAX 11535655 11535655 I/C PURCHASED SERVICES 5780738 4888419 892319 7191188 6081152 1110036 288086415 254360101 33726314 0 137854 827383 10418672 10412885 34630194 34797691 3844 2715080 2943031 1702992 2503332 35048802 1759704 35391639 33289098 5038223 5946955 8833180 8472673 98871678 99193048 28394488 32046852 1273370 1332866 56549106 53338052 81321758 117205922 167538722 203923692 X -72132935 -108152552 287285 243302 3178606 3178606 -68667044 -104730644 98871678 99193048 X -32811030 -255488 -2997082 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 27512 1 60000 0 0 87512 0 PART II-B, LINE 1: MERCY HOSPITAL AND MEDICAL CENTER 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 MERCY HOSPITAL AND MEDICAL CENTER WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. MERCY HOSPITAL AND MEDICAL CENTER ALSO PAID A THIRD PARTY LOBBYING FIRM DURING THE YEAR TO LOBBY FOR OR AGAINST LEGISLATION DETERMINED TO BE OF INTEREST TO MERCY HOSPITAL AND MEDICAL CENTER. 3178606 3178606 3178606 3178606 0.00000 1.00000 0.00000 0 0 25085313 25085313 3949042 132605 3816437 6014447 1627099 4387348 33289098 MISCELLANEOUS RECEIVABLES 1942304 INTERCOMPANY ACCOUNTS RECEIVABLE 423175 OTHER CURRENT ASSETS 379256 INTERCOMPANY OTHER LT ASSETS 2184739 OTHER LONG TERM ASSETS 3543199 8472673 INTERCOMPANY ACCOUNTS PAYABLE 1984451 OTHER CURRENT LIABILITIES 3203545 INTERCOMPANY NOTES PAYABLE 28067355 OVERDRAFT IN POOLED INVESTMENT 83950571 117205922 PART V, LINE 4: MERCY HOSPITAL OPERATIONS SUPPORT, MEDICAL PROGRAM SUPPORT, COMMUNITY OUTREACH AND VARIOUS OTHER PATIENT PROGRAMS ENDOWMENTS HELD BY MERCY FOUNDATION, INC. FOR THE BENEFIT OF MERCY HOSPITAL AND MEDICAL CENTER ARE REPORTED ON THE FORM 990 OF MERCY FOUNDATION, INC. 1 1 X 1 X 1 X 600.000000000000 1 1 0 1 1 3281000 3281000 0.01210 98491468 96774000 1717468 0.00630 101772468 96774000 4998468 0.01840 5 16611 546644 546644 0.00200 3 771 5288203 5288203 0.01950 1 660 246216 246216 0.00090 3 9071 279468 279468 0.00100 12 27113 6360531 6360531 0.02340 12 27113 108132999 96774000 11358999 0.04180 1 17328563 0 49868901 52565795 -2696894 X 1 1 1 1 MERCY HOSPITAL AND MEDICAL CENTER 2525 SOUTH MICHIGAN AVENUE CHICAGO IL 606162477 WWW.MERCY-CHICAGO.ORG 0001578 X X X X MERCY HOSPITAL AND MEDICAL CENTER 1 0 0 1 X X X X X X X X X 18 1 1 1 1 X SEE SCHEDULE H, PART V, SECTION C X 1 18 1 SEE SCHEDULE H, PART V, SECTION C 0 1 X 200.000000000000 600.000000000000 X X X X X X 1 1 X X X 1 X WWW.MERCY-CHICAGO.ORG/FINANCIAL-ASSISTANCE X WWW.MERCY-CHICAGO.ORG/FINANCIAL-ASSISTANCE X WWW.MERCY-CHICAGO.ORG/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 MERCY HOSPITAL AND MEDICAL CENTER PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E:MERCY HOSPITAL AND MEDICAL CENTER (MHMC) INCLUDED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS 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. TARGETED CARE FOR PREVALENT HEALTH ISSUES: DIABETES, SUBSTANCE USE DISORDERS, VIOLENCE, MENTAL HEALTH2. ACCESS TO CARE, COMMUNITY RESOURCES, AND SYSTEMS IMPROVEMENTS: RESOURCES, REFERRALS, COORDINATION, AND CONNECTION TO COMMUNITY-BASED SERVICES; AND TRAUMA-INFORMED CARE3. STRUCTURAL AND SOCIAL INFLUENCERS OF HEALTH: ECONOMIC VITALITY AND WORKFORCE DEVELOPMENT; AND VIOLENCE AND COMMUNITY SAFETY MERCY HOSPITAL AND MEDICAL CENTER PART V, SECTION B, LINE 5: MHMC CONDUCTED THE FISCAL YEAR 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN PARTNERSHIP WITH THE ALLIANCE FOR HEALTH EQUITY. IT IS A PARTNERSHIP OF 37 HOSPITALS, SIX HEALTH DEPARTMENTS, AND NEARLY 50 COMMUNITY ORGANIZATIONS ACROSS CHICAGO AND COOK COUNTY, WORKING TO ASSESS COMMUNITY HEALTH NEEDS AND ASSETS, AND TO IMPLEMENT A SHARED PLAN TO MAXIMIZE HEALTH EQUITY AND WELLNESS IN CHICAGO AND COOK COUNTY. THE ALLIANCE FOR HEALTH EQUITY WAS DEVELOPED SO THAT PARTICIPATING ORGANIZATIONS CAN EFFICIENTLY SHARE RESOURCES AND WORK TOGETHER ON CHNA AND IMPLEMENTATION PLANNING TO ADDRESS COMMUNITY HEALTH NEEDS - ACTIVITIES THAT EVERY NONPROFIT HOSPITAL IS REQUIRED TO CONDUCT UNDER THE AFFORDABLE CARE ACT (ACA). THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI) IS SERVING AS THE PROCESS FACILITATOR AND BACKBONE ORGANIZATION FOR THE COLLABORATIVE CHNA AND IMPLEMENTATION PLANNING PROCESSES. BETWEEN OCTOBER 2018 AND FEBRUARY 2019, ALLIANCE FOR HEALTH EQUITY PARTNERS COLLECTED 5,934 COMMUNITY INPUT SURVEYS FROM INDIVIDUALS 18 OR OLDER LIVING IN CHICAGO AND SUBURBAN COOK COUNTY. THE SURVEYS WERE AVAILABLE ON PAPER AND ONLINE AND WERE DISSEMINATED IN ENGLISH, SPANISH, CHINESE, AND POLISH. THE SURVEYS INCLUDED QUESTIONS ASKING RESPONDENTS ABOUT THE HEALTH STATUS OF THEIR COMMUNITIES, COMMUNITY STRENGTHS, OPPORTUNITIES FOR IMPROVEMENT, AND PRIORITY HEALTH NEEDS. HOSPITALS, COMMUNITY-BASED ORGANIZATIONS, AND HEALTH DEPARTMENTS DISTRIBUTED THE SURVEYS WITH THE INTENTION OF GAINING INSIGHT FROM PRIORITY POPULATIONS THAT ARE TYPICALLY UNDERREPRESENTED IN ASSESSMENT PROCESSES. SOME OF THE PRIORITY POPULATIONS WERE COMMUNITIES OF COLOR, IMMIGRANTS, LGBTQ+ COMMUNITY MEMBERS, INDIVIDUALS WITH DISABILITIES, AND LOW-INCOME COMMUNITIES. BETWEEN AUGUST 2018 AND FEBRUARY 2019, 52 COMMUNITY INPUT SESSIONS (FOCUS GROUPS AND LEARNING MAP SESSIONS) WERE CONDUCTED WITH PRIORITY POPULATIONS SUCH AS VETERANS, INDIVIDUALS LIVING WITH MENTAL ILLNESS, COMMUNITIES OF COLOR, OLDER ADULTS, CAREGIVERS, TEENS AND YOUNG ADULTS, LGBTQ+ COMMUNITY MEMBERS, ADULTS AND TEENS EXPERIENCING HOMELESSNESS, FAMILIES WITH CHILDREN, FAITH COMMUNITIES, ADULTS WITH DISABILITIES, AND CHILDREN AND ADULTS LIVING WITH CHRONIC CONDITIONS SUCH AS DIABETES AND ASTHMA. MERCY HOSPITAL AND MEDICAL CENTER PART V, SECTION B, LINE 6A: COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PARTNER HOSPITALS: ADVOCATE AURORA CHILDREN'S HOSPITAL, ADVOCATE AURORA CHRIST MEDICAL CENTER, ADVOCATE AURORA ILLINOIS MASONIC MEDICAL CENTER, ADVOCATE AURORA LUTHERAN GENERAL HOSPITAL, ADVOCATE AURORA SOUTH SUBURBAN HOSPITAL, ADVOCATE AURORA TRINITY HOSPITAL, AMITA ADVENTIST MEDICAL CENTER LA GRANGE, AMITA ALEXIAN BROTHERS MEDICAL CENTER, ELK GROVE VILLAGE, AMITA HOLY FAMILY MEDICAL CENTER, AMITA RESURRECTION MEDICAL CENTER, AMITA ST. ALEXIUS MEDICAL CENTER AND ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL, AMITA SAINT FRANCIS HOSPITAL, AMITA SAINT JOSEPH HOSPITAL, AMITA SAINTS MARY AND ELIZABETH MEDICAL CENTER, ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO, JACKSON PARK HOSPITAL, THE LORETTO HOSPITAL, LOYOLA MEDICINE- GOTTLIEB MEMORIAL HOSPITAL, LOYOLA MEDICINE - LOYOLA UNIVERSITY MEDICAL CENTER, LOYOLA MEDICINE - MACNEAL HOSPITAL, MERCY HOSPITAL & MEDICAL CENTER, NORTHWESTERN MEMORIAL HOSPITAL, NORWEGIAN AMERICAN HOSPITAL, PALOS COMMUNITY HOSPITAL, ROSELAND COMMUNITY HOSPITAL, RUSH OAK PARK, RUSH UNIVERSITY MEDICAL CENTER, SINAI HEALTH SYSTEM - HOLY CROSS HOSPITAL, SINAI HEALTH SYSTEM - MOUNT SINAI HOSPITAL, SINAI HEALTH SYSTEM - SCHWAB REHABILITATION HOSPITAL, SOUTH SHORE HOSPITAL, SWEDISH COVENANT HOSPITAL, UNIVERSITY OF CHICAGO MEDICINE, UNIVERSITY OF CHICAGO MEDICINE-INGALLS MEMORIAL HOSPITAL, UNIVERSITY OF ILLINOIS HOSPITAL AND HEALTH SCIENCES SYSTEM, COOK COUNTY HEALTH - STROGER HOSPITAL, AND COOK COUNTY HEALTH - PROVIDENT HOSPITAL. MERCY HOSPITAL AND MEDICAL CENTER PART V, SECTION B, LINE 6B: THE MHMC CHNA WAS CONDUCTED WITH OTHER ORGANIZATIONS, WHICH INCLUDE: CHICAGO DEPARTMENT OF PUBLIC HEALTH, COOK COUNTY DEPARTMENT OF PUBLIC HEALTH, EVANSTON HEALTH AND HUMAN SERVICES DEPARTMENT, AND VILLAGE OF SKOKIE HEALTH DEPARTMENT. MERCY HOSPITAL AND MEDICAL CENTER PART V, SECTION B, LINE 11: THE MHMC CHNA IDENTIFIED AND PRIORITIZED THE FOLLOWING NEEDS: (1) TARGETED CARE FOR PREVALENT HEALTH ISSUES: DIABETES, SUBSTANCE USE DISORDERS, VIOLENCE, AND MENTAL HEALTH; (2) ACCESS TO CARE, COMMUNITY RESOURCES AND SYSTEMS IMPROVEMENT: RESOURCES, REFERRALS, COORDINATION, CONNECTION TO COMMUNITY-BASED SERVICES, AND TRAUMA INFORMED CARE; AND (3) STRUCTURAL AND SOCIAL INFLUENCERS OF HEALTH: ECONOMIC VITALITY AND WORKFORCE DEVELOPMENT. MHMC'S EFFORTS TO ADDRESS TARGETED CARE FOR PREVALENT HEALTH ISSUES FOCUSED ON DIABETES AND TOBACCO/NICOTINE ADDICTION. THE NATIONAL DIABETES PREVENTION PROGRAM WAS OFFERED TO PATIENTS AND COMMUNITY MEMBERS AT RISK FOR DEVELOPING DIABETES. MHMC CONTINUED TO ADDRESS TOBACCO USE BY OFFERING OUTPATIENTS PHARMACIST-LED CESSATION COUNSELING. MHMC ALSO SUPPORTED LEGISLATION TO INCREASE THE LEGAL AGE TO PURCHASE TOBACCO TO 21 YEARS OF AGE IN COOK COUNTY AND ILLINOIS. MHMC PARTNERED WITH OTHER COMMUNITY PROVIDERS TO INCREASE ACCESS TO CARE AND COMMUNITY RESOURCES. MERCY WAS AN IMPLEMENTATION SITE FOR NORTHWESTERN UNIVERSITY CHINESE CANCER NAVIGATOR PROGRAM. LAY NAVIGATORS WHO SPEAK CHINESE DIALECTS ARE CO-LOCATED AT MERCY HOSPITAL AND HELPED WOMEN WHO ARE RECEIVING TREATMENT FOR CERVICAL AND BREAST CANCER. THE GREATER CHICAGO FOOD DEPOSITORY RECEIVED FUNDS TO SUPPORT THEIR SUMMER MEALS PROGRAM. MERCY HOSPITAL'S SUPPORT PROVIDED THE PROGRAM WITH 42,469 FREE MEALS TO SCHOOL-AGED YOUTH WHILE THEY ARE ON SUMMER VACATION. ADDITIONALLY, FOUR CHICAGO PUBLIC SCHOOL HIGH SCHOOLS RECEIVED GRANT FUNDS TO UPDATE THEIR STUDENT LACTATION ROOMS.MHMC CONTINUED OUR PARTNERSHIP WITH CENTERS FOR NEW HORIZONS TO ADDRESS ECONOMIC VITALITY AND WORKFORCE DEVELOPMENT. MHMC PROVIDED RESOURCES TO SUPPORT A COMMUNITY-BASED MONITOR TECHNICIAN CERTIFICATION PROGRAM IMPLEMENTED BY CENTERS FOR NEW HORIZONS.MHMC ACKNOWLEDGES THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS, AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE HEALTH NEEDS WHICH IT DEEMED MOST PRESSING, UNDER-ADDRESSED, AND WITHIN ITS ABILITY TO INFLUENCE. MHMC DID NOT TAKE ACTION ON MENTAL HEALTH, VIOLENCE AND COMMUNITY SAFETY, AND TRAUMA INFORMED CARE. MHMC HAS LIMITED RESOURCES AND THE ORGANIZATION RECOGNIZES THAT IT MUST SET PRIORITIES. THEREFORE, MHMC COMMUNITY INVESTMENT WILL BE DIRECTED TOWARD THE THREE ISSUES WHERE IMPACT IS MOST LIKELY WITHIN OUR SERVICE AREA, TARGET POPULATION, AND COLLABORATIVE PARTNERS. MERCY HOSPITAL AND 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. MERCY HOSPITAL AND MEDICAL CENTER - PART V, SECTION B, LINE 7A: WWW.MERCY-CHICAGO.ORG/COMMUNITY-NEEDS-ASSESSMENT MERCY HOSPITAL AND MEDICAL CENTER - PART V, SECTION B, LINE 9: AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, THE HOSPITAL'S IMPLEMENTATION STRATEGY WAS ADOPTED WITHIN 4 1/2 MONTHS AFTER THE FISCAL YEAR END THAT THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE TO THE PUBLIC. MERCY HOSPITAL AND MEDICAL CENTER - PART V, SECTION B, LINE 10A: WWW.MERCY-CHICAGO.ORG/COMMUNITY-NEEDS-ASSESSMENT 13 1 - MERCY MEDICAL ON PULASKI - NORTH 5525 SOUTH PULASKI CHICAGO IL 60629 CLINIC - PRIMARY AND SPECIALTY PHYSICIANS 2 - MERCY MEDICAL IN CHATHAM 8541 SOUTH STREET CHICAGO IL 60619 CLINIC - PHYSICIAN OFFICES 3 - MERCY FAMILY HEALTH CENTER AT OAKWOOD SH 3753 SOUTH COTTAGE GROVE CHICAGO IL 60653 CLINIC - PRIMARY CARE PHYSICIANS 5 - MERCY MEDICAL AT DEARBORN 47 WEST POLK CHICAGO IL 60605 INTEGRATIVE MEDICINE, PRIMARY AND SPECIALTY PHYSICIANS 7 - MERCY MEDICAL AT 43RD STREET 4321 SOUTH PULASKI CHICAGO IL 60632 CLINIC - PRIMARY CARE PHYSICIANS 8 - MERCY MEDICAL IN BRIDGEPORT 3700 SOUTH WALLACE CHICAGO IL 60609 CLINIC - PRIMARY CARE PHYSICIANS 9 - MERCY MEDICAL ON MICHIGAN 2930 SOUTH MICHIGAN CHICAGO IL 60616 PHYSICAL THERAPY, HAND REHABILITATION & PRIMARY CARE PHYSICIANS 10 - MERCY MEDICAL IN CHINATOWN 2323 SOUTH WENTWORTH CHICAGO IL 60616 CLINIC - PRIMARY CARE PHYSICIANS 11 - MERCY MEDICAL GROUP AT HENRY BOOTH HOUSE 2907 S WABASH AVE CHICAGO IL 60616 CLINIC - PRIMARY CARE PHYSICIANS 12 - MERCY ADVANCED MRI LLC 2525 SOUTH MICHIGAN AVENUE CHICAGO IL 60616 SUB-LEASE MRI EQUIPMENT 14 - MERCY MEDICAL AT 2600 2600 SOUTH MICHIGAN AVENUE CHICAGO IL 60616 CLINIC - OCCUPATIONAL MEDICINE 15 - MERCY MEDICAL IN BRIDGEPORT 2837 SOUTH HALSTED CHICAGO IL 60608 CLINIC - PRIMARY CARE AND SPECIALTY PHYSICIANS 16 - MERCY MEDICAL 2850 SOUTH WABASH CHICAGO IL 60609 CLINIC - PRIMARY CARE PHYSICIANS 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: MHMC PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT, WHICH IT SUBMITS TO THE STATE OF ILLINOIS. IN ADDITION, MHMC REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH (EIN 35-1443425) IN ITS AUDITED FINANCIAL STATEMENTS, AVAILABLE AT WWW.TRINITY-HEALTH.ORG.IN ADDITION, MHMC 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, $17,328,563, 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 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: MHMC 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, MHMC IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, MHMC IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL. PART III, LINE 4: MHMC 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 14 OF THOSE STATEMENTS: "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.FOR PATIENT ACCOUNTS RECEIVABLE RESULTING FROM REVENUE RECOGNIZED PRIOR TO JULY 1, 2018, PATIENT ACCOUNTS RECEIVABLE WERE REPORTED AT ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYERS, AND OTHERS FOR SERVICES RENDERED. PRIOR TO THIS DATE, AN ALLOWANCE FOR DOUBTFUL ACCOUNTS WAS ESTABLISHED TO REDUCE THE CARRYING VALUE OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. GENERALLY, THIS ALLOWANCE WAS ESTIMATED BASED ON THE AGING OF ACCOUNTS RECEIVABLE AND THE HISTORICAL COLLECTION EXPERIENCE BY THE HEALTH MINISTRIES FOR EACH TYPE OF PAYER. UNDER THE PROVISIONS OF ACCOUNTING STANDARDS UPDATE ("ASU") NO. 2014-09 "REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606)," WHICH WAS ADOPTED EFFECTIVE JULY 1, 2018, 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 SUBSEQUENT TO THE ADOPTION OF ASU NO. 2014-09 ON JULY 1, 2018, THE ESTIMATED UNCOLLECTABLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT SERVICE REVENUE AND ACCOUNTS RECEIVABLE."PART III, LINE 5:TOTAL MEDICARE REVENUE REPORTED IN PART III, LINE 5 HAS BEEN REDUCED BY THE TWO PERCENT SEQUESTRATION REDUCTION. PART III, LINE 8: MHMC 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 - MHMC ASSESSED THE HEALTH CARE NEEDS OF THE COMMUNITY PRIMARILY THROUGH THE FINDINGS OF THE TRIANNUAL COMMUNITY HEALTH NEEDS ASSESSMENT. ADDITIONALLY, MHMC ASSESSED THE HEALTH CARE NEEDS OF THE COMMUNITY BY HAVING ONGOING DIALOGUE WITH COMMUNITY RESIDENTS, HEALTH CARE PROVIDERS AND LEADERS. EXAMPLES OF ORGANIZATIONS AND COMMUNITY LEADERS ARE AREA BUSINESS LEADERS, CHICAGO PUBLIC SCHOOLS, CITY OF CHICAGO, COMMUNITY HEALTH CENTERS, AND COMMUNITY AND STATE PUBLIC HEALTH DEPARTMENTS. MHMC HOSPITAL LEADERS SERVE ON AREA BOARDS AND PARTICIPATE IN COMMUNITY ORGANIZATIONS THAT HAVE AN INTEREST IN PROMOTING HEALTH AND WELLNESS IN THE COMMUNITY. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - MHMC 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. MHMC 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. MHMC HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. MHMC 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- MHMC IS LOCATED IN THE CITY OF CHICAGO WITHIN COOK COUNTY, ILLINOIS AND COVERS OVER 25 SQUARE MILES. MHMC'S SERVICE AREA REACHES NORTH INTO DOWNTOWN CHICAGO AND SOUTH TO 95TH STREET; IT IS BORDERED BY LAKE MICHIGAN TO THE EAST AND WESTERN AVENUE TO THE WEST. THIS AREA SPANS 21 CHICAGO ZIP CODES AND 40 OFFICIALLY RECOGNIZED NEIGHBORHOODS, INCLUDING THE ETHNICALLY DIVERSE NEIGHBORHOODS OF CHINATOWN, PILSEN, ARMOUR SQUARE, HYDE PARK, SOUTH SHORE, DOUGLAS, OAKLAND, FULLER PARK, GRAND BOULEVARD, CHATHAM, KENWOOD, AUBURN PARK, SOUTH LAWNDALE, AND OGDEN PARK. MHMC'S SERVICE AREA CONTINUES TO RAPIDLY GROW DUE TO AN ENHANCED COMMUNITY OUTREACH AND MARKETING PROGRAM. OUR CURRENT SERVICE AREA INCLUDES AN APPROXIMATE TOTAL POPULATION OF OVER 1.1 MILLION INDIVIDUALS. THE RACIAL/ETHNIC DEMOGRAPHICS OF THE RESIDENTS IN THE SERVICE ARE: 46% NON-HISPANIC AFRICAN AMERICAN/BLACK; 5% NON-HISPANIC ASIAN, 32% HISPANIC/LATINX; AND 15% NON-HISPANIC WHITE. MHMC SERVES AN IN-PATIENT AND OUT-PATIENT PAYER MIX OF 37% MEDICARE, 38% MEDICAID, 22% HMO/PPO, AND 3% OTHER SOURCES. BETWEEN 80% AND 90% OF THE POPULATION SERVED BY MHMC IS ECONOMICALLY CHALLENGED, UNDERSERVED, UNDERPRIVILEGED, AND UNINSURED. SERVICE AREA IDENTIFICATION OVER 80% OF THE INPATIENTS AND OUTPATIENTS THAT MERCY HOSPITAL AND MEDICAL CENTER SERVES LIVE IN THE ZIP CODES IDENTIFIED BELOW:60605 - LOOP, NEAR SOUTH SIDE60607 - LOOP, NEAR WEST SIDE, NEAR SOUTH SIDE60608 - BRIDGEPORT, LOWER WEST SIDE (PILSEN), MCKINLEY PARK, NEAR WEST SIDE60609 - ARMOUR SQUARE, BRIDGEPORT, DOUGLAS, FULLER PARK, GAGE PARK, GRAND BOULEVARD, MCKINLEY PARK, NEW CITY, WASHINGTON PARK60615 - GRAND BOULEVARD, HYDE PARK, KENWOOD, WASHINGTON PARK 60616 - DOUGLAS, BRIDGEPORT, LOWER WEST (PILSEN) AND NEAR SOUTH SIDE 60619 - CHATHAM, BURNSIDE, CALUMET HEIGHTS, GREATER GRAND CROSSING60621 - ENGLEWOOD60629 - CHICAGO LAWN, GAGE PARK, WEST ELSDON, WEST LAWN 60632 - ARCHER HEIGHTS, BRIGHTON PARK, GAGE PARK, GARFIELD RIDGE, WEST ELSDON 60636 - WEST ENGLEWOOD60637 - GREATER GRAND CROSSING, HYDE PARK, SOUTH SHORE, WASHINGTON PARK, WOODLAWN 60649 - SOUTH SHORE 60653 - DOUGLAS, BRONZEVILLE, GRAND BOULEVARD, KENWOOD, OAKLAND 60623 - SOUTH LAWNDALE (LITTLE VILLAGE), NORTH LAWNDALE60620 - AUBURN GRESHAM60628 - ROSELAND, PULLMAN, WEST PULLMAN60643 - BEVERLY60617 - SOUTH CHICAGO, EAST SIDE60638 - MIDWAY AIRPORT, GARFIELD RIDGE, CLEARING60804 - CICEROMHMC IS LOCATED WITHIN THREE DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREAS AND SEVEN LOW-INCOME POPULATION HEALTH PROFESSIONAL SHORTAGE AREAS. THERE ARE SIX MENTAL HEALTH POPULATION HEALTH PROFESSIONAL SHORTAGE AREAS IN THE SERVICE AREA AND ONE LOW-INCOME POPULATION MENTAL HEALTH PROFESSIONAL SHORTAGE AREA. PART VI, LINE 5: OTHER INFORMATION -IN ORDER TO MEET THE HEALTH CARE NEEDS OF THE RESIDENTS OF THE COMMUNITY AND TO MAINTAIN MHMC'S STATUS AS A VIABLE TEACHING HOSPITAL, MHMC IS CONSTANTLY EVALUATING AND STRENGTHENING ITS CLINICAL PROGRAMS ON THE MAIN HOSPITAL CAMPUS AND AT SATELLITE FACILITIES LOCATED THROUGHOUT THE CITY OF CHICAGO. AS AN ACTIVE PARTICIPANT IN THE HEALTH AND WELLNESS OF ITS COMMUNITY, MHMC IS DEDICATED TO PARTNERING WITH RESIDENTS, COMMUNITY LEADERS, AREA BUSINESSES, AND OTHER HEALTH PROVIDERS TO SUPPORT THE HEALTH NEEDS AND FOSTER THE ECONOMIC GROWTH OF THE DIVERSE COMMUNITIES SERVED BY THE INSTITUTION. IN FY19, THE MHMC BIRTH CENTER PROGRESSED THROUGH THE BABY-FRIENDLY HOSPITAL DESIGNATION STEPS AND CONTINUED IN PHASE 3 (OF FOUR) OF THE DESIGNATION PROCESS. BABY-FRIENDLY HOSPITALS ARE HOSPITALS THAT ARE RECOGNIZED FOR ENCOURAGING BREASTFEEDING AND MOTHER/BABY BONDING, WHICH IS KNOWN TO PROVIDE HEALTH BENEFITS FOR INFANTS, CHILDREN, AND MOTHERS. ADDITIONALLY, THE VENDING MACHINES AT MHMC EXCEED THE HEALTHY VENDING STANDARDS SET BY THE CITY OF CHICAGO. IN FY19, MHMC CONTINUED PLANNING TO USE COMMUNITY RESOURCE REFERRAL SOFTWARE, NOWPOW, TO ADDRESS ACCESS TO CARE AND COMMUNITY RESOURCES. THIS WILL ALLOW OUR SOCIAL WORK TEAM TO REFER PATIENTS TO COMMUNITY RESOURCES AND RECEIVE FOLLOW-UP INFORMATION FROM THE COMMUNITY PARTNER. MHMC ALSO PARTNERED WITH LYFT RIDESHARE SERVICE FOR PATIENT DISCHARGES. LYFT IS AVAILABLE FOR ABLE-BODIED PATIENTS WHO ARE DISCHARGED TO THEIR HOMES. IN PARTNERSHIP WITH THE ILLINOIS COALITION AGAINST TOBACCO, MHMC SUPPORTED EFFORTS TO RAISE THE LEGAL AGE TO USE TOBACCO TO 21 YEARS OLD IN COOK COUNTY AND THE STATE OF ILLINOIS.MHMC EXPANDED EFFORTS TO IMPACT THE SOCIAL INFLUENCERS OF HEALTH IN PARTNERSHIP WITH COMMUNITY PARTNERS. THE COMMUNITY BUILDERS AT OAKWOOD SHORES RECEIVED CAPACITY-BUILDING FUNDS TO ADDRESS COMMUNITY COHESION. CENTERS FOR NEW HORIZONS BEGAN DELIVERING A MONITOR TECHNICIAN PROGRAM TO HIGH APTITUDE COMMUNITY RESIDENTS. THE GREATER CHICAGO FOOD DEPOSITORY RECEIVED FUNDS TO EXPAND THE SUMMER MEALS PROGRAM THAT PROVIDES FREE LUNCH TO SCHOOL-AGED YOUTH. PART VI, LINE 6: MHMC 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 2019, EVERY TRINITY HEALTH ENTITY FOCUSED ON: 1. REDUCING TOBACCO USE 2. REDUCING OBESITY PREVALENCE3. ADDRESSING AT LEAST ONE SIGNIFICANT HEALTH NEED IDENTIFIED BY THEIR HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT4. ADDRESSING AT LEAST ONE SOCIAL INFLUENCER OF HEALTH TRINITY HEALTH ACKNOWLEDGES THAT 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 ITS COMMUNITIES. IN AN EFFORT TO ADDRESS SOME OF THESE INFLUENCERS, TRINITY HEALTH LAUNCHED THE TRANSFORMING COMMUNITIES INITIATIVE (TCI) IN FISCAL YEAR 2016 TO ADVANCE COMMUNITY PARTNERSHIPS THAT FOCUS ON IMPROVING THE HEALTH AND WELL-BEING IN COMMUNITIES SERVED BY THE HOSPITALS OF TRINITY HEALTH. 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 FISCAL YEAR 2019, TRINITY HEALTH INVESTED $3.7 MILLION IN TCI AND HAS LEVERAGED OVER $6.5 MILLION IN COMMUNITY MATCH FUNDING TO DATE. ADDITIONALLY, TRINITY HEALTH'S GOOD SAMARITAN INITIATIVE (GSI) INVESTED $751,000 IN NINE REGIONAL HEALTH MINISTRIES TO SUPPORT THE INTEGRATION OF 16 COMMUNITY HEALTH WORKERS INTO CARE MANAGEMENT TEAMS. TRINITY HEALTH CONTINUES TO EXPAND THE NATIONAL DIABETES PREVENTION PROGRAM THROUGH THE SUPPORT OF THE CENTERS FOR DISEASE CONTROL AND PREVENTION. IN ADDITION TO THE PROGRAMMATIC SPENDING DESCRIBED ABOVE, THE SYSTEM DEPLOYED NEW AND RENEWED LOANS OF $5.3 MILLION FOR PLACE-BASED INVESTING TO IMPROVE ACCESS TO AFFORDABLE HOUSING, HEALTHY FOODS, EDUCATION, AND ECONOMIC DEVELOPMENT. THE COMMUNITY-INVESTING PROGRAM ALSO HAS OUTSTANDING LOAN COMMITMENTS OF $6.0 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 2019, TRINITY HEALTH INVESTED NEARLY $1.2 BILLION IN COMMUNITY BENEFIT, SUCH AS INITIATIVES SUPPORTING THOSE WHO ARE POOR AND VULNERABLE, HELPING TO MANAGE CHRONIC CONDITIONS LIKE DIABETES, PROVIDING HEALTH EDUCATION, AND MOVING FORWARD POLICY, SYSTEM, AND ENVIRONMENTAL CHANGE.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG. PART VI, LINE 7, REPORTS FILED WITH STATES IL 1 CHICAGO KICS COMMUNITY ACADEMY 3135 S GILES AVE CHICAGO IL 60616 464669444 501(C)(3) 10000 GENERAL SUPPORT CENTERS FOR NEW HORIZONS INC 4150 S KING DRIVE CHICAGO IL 60653 362729721 501(C)(3) 36000 GENERAL SUPPORT TRUSTYCUP PRODUCTIONS 1818 N 22ND AVE MELROSE IL 60610 352424588 501(C)(3) 40000 GENERAL SUPPORT GREATER CHICAGO FOOD DEPOSITORY 4100 W ANN LURIE PLACE CHICAGO IL 60632 362971864 501(C)(3) 45000 GENERAL SUPPORT ILLINOIS HOSPITAL RESEARCH AND EDUCATIONAL FOUNDATION 1151 EAST WARRENVILLE ROAD NAPERVILLE IL 60563 237421930 501(C)(3) 1069233 GENERAL SUPPORT 5 0 SCHOLARSHIPS - NURSING 4 22618 FMV TUITION ASSISTANCE 48 66790 FMV PART I, LINE 2: DONATIONS MADE BY MERCY HOSPITAL AND 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 CAROL GARIKES-SCHNEIDER DIRECTOR; PRESIDENT & CEO 0 444397 0 198887 0 101356 0 8250 0 38176 0 791066 0 0 SALLY JEFFCOAT DIRECTOR; TRINITY HEALTH EVP 0 917976 0 424196 0 279610 0 12375 0 60721 0 1694878 0 0 SILIA MIGLIO VP, FINANCE 0 270994 0 24700 0 357 0 20625 0 1752 0 318428 0 0 JEFFREY MATHIS SECRETARY; GENERAL COUNSEL 0 200266 0 24092 0 290 0 7035 0 25428 0 257111 0 0 MICHAEL DAVENPORT MD CHIEF MEDICAL OFFICER 0 373726 0 100827 0 9285 0 12375 0 33196 0 529409 0 0 JOAN ORMSBY CHIEF OPERATING OFFICER 0 266353 0 57084 0 3663 0 13429 0 22644 0 363173 0 0 DENNIS HONG MD PHYSICIAN 678945 0 0 0 3067 0 12375 0 30054 0 724441 0 0 0 LUIS GARCIA MD PHYSICIAN 675196 0 0 0 1508 0 12375 0 31061 0 720140 0 0 0 MICHAEL MARKOS MD PHYSICIAN 440563 0 0 0 518 0 12375 0 28437 0 481893 0 0 0 DILLON BANNIS MD PHYSICIAN 378710 0 0 0 183 0 8250 0 8607 0 395750 0 0 0 LAWRENCE STEINBERG MD PHYSICIAN 377915 0 0 0 325 0 12375 0 31383 0 421998 0 0 0 CARLA CAMPBELL FORMER KEY EMPLOYEE; VP CNO THR 9/18 0 197187 0 0 0 63115 0 184266 0 22765 0 467333 0 0 MEGHAN KIEFFER FORMER OFFICER; LUMC ASSOC GEN CSL 0 280484 0 32079 0 1823 0 12375 0 9621 0 336382 0 0 JIM BIRCHLER FORMER OFFICER; TH CONTINGENT MGR 0 299000 0 0 0 0 0 8250 0 0 0 307250 0 0 PART I, LINE 3 MERCY HOSPITAL AND MEDICAL CENTER IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. MERCY HOSPITAL AND MEDICAL CENTER'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 MERCY HOSPITAL AND MEDICAL CENTER'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 2018. THIS AMOUNT IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: CARLA CAMPBELL - $45,091 IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNTS, WHICH WERE UNPAID AS OF 12/31/18: CARLA CAMPBELL - $168,067 (PAID IN 2019) THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2018. 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 2018, AND BENEFITS FOR PARTICIPANTS NOT YET VESTED IN A PLAN WERE ACCRUED IN 2018. THE FOLLOWING PAYOUTS FOR 2018 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: CAROL GARIKES-SCHNEIDER - $78,658 SALLY JEFFCOAT - $229,074 THE FOLLOWING IS A PARTICIPANT IN A TRINITY HEALTH RESTORATION OR RETENTION PLAN. THE RESTORATION PLAN PROVIDES RETIREMENT BENEFITS FOR CERTAIN TRINITY HEALTH SYSTEM OFFICE EXECUTIVES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($275,000 FOR 2018). JOAN ORMSBY THERE WAS NO PAYOUT FOR 2018 FOR THIS PARTICIPANT. ARCHES RETAIL DEVELOPMENT JOSEPH WILLIAMS, BOARD MEMBER, IS A 50% OWNER OF ARCHES RETAIL DEVELOPMENT 724476 RENTAL AGREEMENT 0 FORM 990, PAGE 1, DOING BUSINESS AS NAMES: MERCY CLINIC PHARMACY AT PULASKI MERCY COMMUNITY PHARMCY AT OAKWOOD SHORES MERCY PHYSICIAN BILLING MERCY MEDICAL GROUP COMMUNITY PHARMACY AT MERCY HOSPITAL LAKEFRONT BARIATRICS OF CHICAGO MERCY MEDICAL GROUP ANESTHESIA BILLING MERCY HOSPITAL & MEDICAL CENTER FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF MERCY HOSPITAL AND MEDICAL CENTER (MHMC) IS MERCY HEALTH SYSTEM OF CHICAGO. SEE LINE 7 FOR ADDITIONAL INFORMATION. FORM 990, PART VI, SECTION A, LINE 7A MERCY HEALTH SYSTEM OF CHICAGO IS THE SOLE MEMBER OF MHMC. MERCY HEALTH SYSTEM OF CHICAGO HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF MHMC. FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER, MERCY HEALTH SYSTEM OF CHICAGO MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. MERCY HEALTH SYSTEM OF CHICAGO 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 MHMC IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE 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 MHMC 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 MHMC, 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 MHMC 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 MHMC (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO MHMC OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF MHMC (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 MHMC. 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 MHMC IS ESTABLISHED AND PAID BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING CEO AND VP FINANCE 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 AND VP FINANCE OF MHMC 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 MHMC 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, MHMC INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. MHMC'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G MEDICAL SPECIALIST FEES: PROGRAM SERVICE EXPENSES 11,686,575. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,686,575. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 818,052. MANAGEMENT AND GENERAL EXPENSES 149,325. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 967,377. BILLING AND COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 1,671,754. MANAGEMENT AND GENERAL EXPENSES 305,157. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,976,911. MISCELLANEOUS PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 20,017,218. MANAGEMENT AND GENERAL EXPENSES 3,593,888. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,611,106. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 1,203,173. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,203,173. RECRUITING SERVICES: PROGRAM SERVICE EXPENSES 542,007. MANAGEMENT AND GENERAL EXPENSES 98,937. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 640,944. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 2,667,548. MANAGEMENT AND GENERAL EXPENSES 486,927. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,154,475. FORM 990, PART XI, LINE 9: ASSET IMPAIRMENT CHARGES -4,189,658. OTHER TRANSACTIONS 1,192,576. FORM 990, PART XII, LINE 2: MHMC'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY19 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. MERCY ADVANCED MRI LLC 2525 SOUTH MICHIGAN AVE CHICAGO IL 60616 262116721 SUBLEASE MRI EQUIPMENT IL 1572580 1770982 MERCY HOSPITAL AND MEDICAL CENTER 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 CARING PARTNERS HOME HEALTH INC 1200 EARHART RD ANN ARBOR MI 48105 201681131 HOME HEALTH SERVICES MI 501(C)(3) LINE 10 GLACIER HILLS INC 1 CATHERINE MCAULEY HEALTH SERVICES CORP PO BOX 995 ANN ARBOR MI 48106 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 HACKLEY LIFE COUNSELING 125 E SOUTHERN AVENUE MUSKEGON MI 49442 381386362 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 MERCY HEALTH PARTNERS 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 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 100 GOSSMAN DRIVE SOUTHERN PINES NC 28387 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 LOURDES 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LIVONIA MI 48152 383320698 HOME HEALTH SERVICES MI 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES 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 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