2020-07-10T09:30:09-05:00 2019-06-30 990 2018-07-01 231913910 ST MARY MEDICAL CENTER STMA 2157102000 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 MARYANNE SPALLUCCI THMA REGIONAL CFO 2157102000 2020-07-10 170.232.237.226 2020-07-10 09:30:00 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 403A83BCAAA913A93C4B950ECE6CC8F4A14CBF47 2018 2021-01-29 14:40:06Z LARRY BRILLIANT 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 438472652 0 0928 X WWW.STMARYHEALTHCARE.ORG X 1974 PA TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES 15 13 2987 969 5132498 -558755 1766696 233892 410303958 411746578 14889281 17001131 10441239 9491051 437401174 438472652 1790947 1698802 0 0 174766147 180810877 0 0 0 213044420 206962543 389601514 389472222 47799660 49000430 852334691 939339390 153718721 181109813 698615970 758229577 X WE, ST. MARY MEDICAL CENTER AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES. AS A COMMUNITY OF CARING PEOPLE, WE ARE COMMITTED TO EXTENDING AND STRENGTHENING THE HEALING MINISTRY OF JESUS. 0 0 312302811 1698802 413217465 ST. MARY MEDICAL CENTER (SMMC) OF BUCKS COUNTY IS A 373-BED HOSPITAL LOCATED IN LANGHORNE, PA, THAT HAS BEEN IN OPERATION SINCE 1973. SMMC'S SERVICES INCLUDE A COMPREHENSIVE CARDIOVASCULAR PROGRAM; THE ONLY STATE-ACCREDITED TRAUMA CENTER IN BUCKS COUNTY; EMERGENCY SERVICES WITH A DEDICATED PEDIATRIC EMERGENCY CARE CENTER; A JOINT COMMISSION-CERTIFIED PRIMARY STROKE CENTER; NEUROSCIENCES; SPECIALIZED DIAGNOSTIC IMAGING; OBSTETRICS AND NICU; A JOINT COMMISSION-CERTIFIED JOINT REPLACEMENT PROGRAM; EXCEPTIONAL ORTHOPEDIC SURGICAL CAPABILITIES AND REHABILITATION; A JOINT COMMISSION-CERTIFIED SLEEP DISORDERS CENTER, A FREE STANDING INPATIENT REHABILITATION HOSPITAL; PAIN MANAGEMENT; WOUND HEALING AND HYPERBARIC MEDICINE CENTER; THE ST. MARY BREAST CENTER; AND THE ST. MARY REGIONAL CANCER CENTER. IN FY19 THE HOSPITAL PROVIDED 83,488 PATIENT DAYS OF HEALTH CARE SERVICES TO THE COMMUNITY. PLEASE SEE SCHEDULE H AND THE WEBSITE AT WWW.STMARYHEALTHCARE.ORG FOR ADDITIONAL INFORMATION. 312302811 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 512 0 1 2987 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 13 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 PA X BETH MCGUIGAN 2157105847 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 JIM WOODWARD SMMC CEO; THMA PRES/CEO AT 9/18 45.00 10.00 X X 0 772191 205901 MIKE WERT DIRECTOR; CHAIR 2.00 3.00 X X 0 0 0 REBECCA KERCHNER DIRECTOR; VICE CHAIR 2.00 0.00 X X 0 0 0 VERNON BRAMBLE DIRECTOR 2.00 1.00 X 0 0 0 EMILY BROWER DIR; TH SVP CLINICL INTEGR & PHY SVS 2.00 48.00 X 0 564268 144615 LOUIS DIFRANCO DIRECTOR 2.00 2.00 X 0 0 0 PEGGY EGAN OSF DIRECTOR 2.00 0.00 X 0 0 0 JOHN FENNINGHAM ESQ DIRECTOR 2.00 1.00 X 0 0 0 NADINE FISCHER DIRECTOR 2.00 1.00 X 0 0 0 FRANK GUARRIERI ESQ DIRECTOR 2.00 1.00 X 0 0 0 MONSIGNOR JOHN MARINE DIRECTOR 2.00 0.00 X 0 0 0 JIM MCCAFFREY DIRECTOR 2.00 2.00 X 0 0 0 JOSEPH MONAGLE DIRECTOR 2.00 3.00 X 0 0 0 ROBERT REILLY DO DIRECTOR 2.00 0.00 X 0 0 0 ASHISH SITAPARA MD DIRECTOR 2.00 3.00 X 0 0 0 LARRY BRILLIANT CMO; SMMC PRESIDENT AS OF 11/18 45.00 10.00 X 41145 540999 70248 CATHERINE MIKUS SECRETARY; GENERAL COUNSEL 2.00 48.00 X 0 327019 93449 MARYANNE SPALLUCCI TREASURER; SVP FINANCE 40.00 10.00 X 18529 369344 22908 JOAN ROSS EVP & COO 50.00 0.00 X 32109 454362 35530 BABER GHAURI MD PHYSICIAN 50.00 0.00 X 335803 0 37449 KARI MASTRO VP, PATIENT CARE & CNO 50.00 0.00 X 11705 312040 38627 LORAN AUGUST ADMIN DIRECTOR, QUALITY & CARE MGMT 50.00 0.00 X 302263 0 30941 KIMBERLY MOFFA VP & CHIEF HR OFFICER 50.00 0.00 X 18022 274662 16643 RAJANI WALSH MD PHYSICIAN 50.00 0.00 X 234864 0 19794 DANIEL MOEN FORMER OFFICER; SFMC TREN PRES/CEO 0.00 55.00 X 0 616639 46595 BRIAN BURGESS FORMER KEY EMP; MERCY SEPA SVP 0.00 50.00 X 0 413343 53356 MARY SWEENEY FORMER KEY EMPLOYEE; THMA CHRO 0.00 50.00 X 0 511054 45903 SHARON PROFERA FRMR OFFICER; ADM DIR, ACCTG/FINANCE 50.00 0.00 X 193657 0 40707 1188097 5155921 902666 203 1 1 0 FLORKOWSKI BUILDERS INC 2725 E CAMBRIA STREET PHILADELPHIA PA 19134 CONSTRUCTION SERVICES 4492152 RADIOLOGY AFFILIATES OF CENTRA 2501 KUSER ROAD HAMILTON NJ 08691 MEDICAL SERVICES 3448437 MIDDLETOWN ANESTESIA GROUP PC 1201 LANGHORNE-NEWTOWN RD LANGHORNE PA 19047 MEDICAL SERVICES 2360934 HCSC LAUNDRY PO BOX 25092 LEHIGH VALLEY PA 18002 LAUNDRY SERVICES 1277657 SOUND PHYSICIANS PO BOX 742936 LOS ANGELES CA 900742936 MEDICAL SERVICES 1223911 43 230589 3303 233892 NET PATIENT SERVICE REVENUE 622110 403078526 403078526 PHARMACY REVENUE 446110 8006122 2873624 5132498 OTHER PROGRAM REVENUE 622110 661930 661930 411746578 8639233 8639233 491393 0 491393 491393 491393 8348255 13643 0 0 8348255 13643 8361898 8361898 CAFETERIA REVENUE 722514 2396273 2396273 PROF SVC AGREEMT REVENUE 622110 1362146 1362146 MANAGEMENT REVENUE 551114 868334 868334 4372905 4372905 8999658 438472652 413217465 5132498 19888797 1698802 1698802 2380072 2380072 234364 234364 142151858 107001414 35150444 7791863 5814576 1977287 17678960 13178921 4500039 10573760 7825790 2747970 7169151 5305172 1863979 310136 310136 1594583 1594583 17670074 13690004 3980070 3910365 2894117 1016248 3955064 2927199 1027865 14277269 10566810 3710459 7856889 5814995 2041894 167338 123849 43489 108682 80437 28245 4813117 4813117 24903744 18431615 6472129 5080344 3760035 1320309 MEDICAL SUPPLIES 70718009 70718009 INTERCO. PURCHASED SVCS 15468353 11448348 4020005 HOSPITAL PROVIDER TAX 10952843 10952843 EQUIPMENT MAINTENANCE 8003448 5923466 2079982 10003134 9333292 669842 389472222 312302811 77169411 0 332887 16468405 6000000 45110502 41282550 9200867 8466076 1797903 766320 421721090 248880025 179479010 172841065 190491436 221607469 120858147 140908998 299063939 336998507 852334691 939339390 17758859 27956809 724627 774610 135235235 152378394 153718721 181109813 X 698615970 758229577 698615970 758229577 852334691 939339390 X 49000430 8487266 2125911 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 7404 0 0 0 7404 0 PART II-B, LINE 1: ST. MARY MEDICAL CENTER (SMMC) 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 SMMC WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. 10493855 10493855 235670317 111043670 124626647 75876 22236 53640 166192762 137814119 28378643 9288280 9288280 172841065 COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES 43356615 F HEDGE FUNDS 28904410 F EQUITY METHOD INVESTMENTS 68647973 C 140908998 MISCELLANEOUS RECEIVABLES 1605704 OTHER LONG-TERM ASSETS 612336 INVESTMENT IN UNCONSOL. AFFILIATES 372322 INTERCOMPANY OTHER LT ASSETS 23690920 INTERCOMPANY ACCOUNTS RECEIVABLES 310717225 336998507 INTERCOMPANY NOTES PAYABLE 118825152 OTHER CURRENT LIABILITIES 7150606 ASSET RETIREMENT OBLIGATION (FIN 47) 190384 INTERCOMPANY ACCOUNTS PAYABLE 25000906 DEFERRED COMPENSATION LIABILITY 1211346 152378394 1 1 X 1 X 250.000000000000 1 X 1 1 0 1 1 16803 3970740 3970740 0.01040 2691 38938931 31518007 7420924 0.01940 19494 42909671 31518007 11391664 0.02980 23 34697 2789133 5670 2783463 0.00730 3 535 1562274 478441 1083833 0.00280 5 7057 22601103 17785652 4815451 0.01260 14 9363 782865 782865 0.00200 45 51652 27735375 18269763 9465612 0.02470 45 71146 70645046 49787770 20857276 0.05450 1 1 1840 1840 0.00000 1 300 33775 33775 0.00010 2 301 35615 35615 0.00010 1 7425684 0 107194279 113400651 -6206372 X 1 1 1 ENDOSCOPY CENTER AT ST MARY'S LP MEDICAL SVCS - SURGERY CENTER 0.16350 0.83650 2 LANGHORNE MOB PARTNERS LP INVESTMENT AND OPERATIONS 0.36390 0.56150 3 SMMC MOB II LP INVESTMENT AND OPERATIONS 0.65750 0.19340 4 THE AMBULATORY SURGERY CENTER AT ST MARY LLC ASC SERVICES AND RELATED PROCEDURES 0.51000 0.49000 5 HEART INSTITUTE OF ST MARY LLC CO-MANAGEMENT AGREEMENT 0.10000 0.90000 6 ENDOSCOPY CENTER AT ST MARY MGMT LLC MEDICAL SERVICES MGMT. 0.16520 0.83480 2 1 ST MARY MEDICAL CENTER 1201 LANGHORNE-NEWTON ROAD LANGHORNE PA 19047 WWW.STMARYHEALTHCARE.ORG 710201 X X X X TRAUMA CENTER, NEONATAL ICU 2 ST MARY REHABILITATION HOSPITAL 1201 LANGHORNE-NEWTON ROAD LANGHORNE PA 19047 WWW.STMARYHEALTHCARE.ORG 23760101 X INPATIENT REHABILITATION ST MARY MEDICAL CENTER 1 0 0 1 X X X X X X X X X 18 1 1 0 1 X WWW.STMARYHEALTHCARE.ORG/COMMUNITYHEALTH X 1 18 1 WWW.STMARYHEALTHCARE.ORG/COMMUNITYHEALTH 0 1 X 250.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 ST MARY REHABILITATION HOSPITAL 2 0 0 1 X X X X X X X X X 18 1 1 0 1 X WWW.STMARYHEALTHCARE.ORG/COMMUNITYHEALTH X 1 18 1 WWW.STMARYHEALTHCARE.ORG/COMMUNITYHEALTH 0 1 X 250.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 0 X X 0 0 ST. MARY MEDICAL CENTER PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E:ST. MARY MEDICAL CENTER & ST. MARY REHABILITATION HOSPITAL:ST. MARY MEDICAL CENTER (SMMC) AND ST. MARY REHABILITATION HOSPITAL (SMRH) INCLUDED IN THEIR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORTS A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS, WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA. THE FOLLOWING IDENTIFIED UNMET COMMUNITY HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: 1. ACCESS TO MENTAL HEALTH CARE 2. ACCESS TO SUBSTANCE ABUSE TREATMENT 3. ACCESS TO CARE FOR THE UNINSURED, ESPECIALLY THOSE LIVING IN POVERTY4. CORONARY HEART DISEASE5. EDUCATION & AWARENESS FOR LUNG CANCER SCREENING6. ACCESS TO PRENATAL SERVICES7. EDUCATION & AWARENESS OF WOMEN'S HEALTH SCREENING (MAMMOGRAM)8. CONGESTIVE HEART FAILURE9. NUTRITION EDUCATION FOR ADULTS10. SMOKING CESSATION EDUCATION FOR EXPECTANT MOTHERS11. ACCESS TO BLOOD PRESSURE SCREENING12. CHRONIC LOWER RESPIRATORY DISEASE13. ACCESS TO DENTAL CARE FOR ADULTS AND CHILDREN14. EDUCATION & AWARENESS FOR SIGMOID/COLONOSCOPY15. EDUCATION & AWARENESS FOR WOMEN'S HEALTH SCREENING (PAP TEST) ST. MARY MEDICAL CENTER PART V, SECTION B, LINE 5: ST. MARY MEDICAL CENTER & ST. MARY REHABILITATION HOSPITAL:THE HOSPITALS JOINTLY SOLICITED AND TOOK INTO ACCOUNT INPUT FROM PERSONS OR ORGANIZATIONS THAT REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IT SERVES. THIS INPUT WAS SOLICITED FROM LOCAL COMMUNITY REPRESENTATIVES OF THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS IN THE SERVICE AREA AND FROM PUBLIC HEALTH OFFICIALS, SOCIAL SERVICE PROVIDERS, AND CLINICIANS.COMMUNITY ORGANIZATIONS AT THE EXTERNAL STAKEHOLDER MEETING ON SEPTEMBER 17, 2018 INCLUDED MEMBERS FROM LOCAL NONPROFIT HEALTH AND SOCIAL SERVICE AGENCIES, BUCKS COUNTY HEALTH DEPARTMENT, PUBLIC HEALTH EXPERTS, MEDICAL STAFF AND MANY COMMUNITY MEMBERS. STAKEHOLDERS AT THE MEETING WERE MOST OFTEN DIRECTORS, ADMINISTRATORS, AND MANAGERS AT THEIR RESPECTIVE ORGANIZATIONS. MANY OF THE STAKEHOLDERS WORKED IN SOCIAL WORK, SOCIAL SERVICES, AND HELD VARIOUS HEALTH ADMINISTRATION POSITIONS. INDIVIDUALS WORKED IN THEIR RESPECTIVE POSITIONS FOR AN AVERAGE OF SEVEN AND A HALF YEARS, RANGING FROM LESS THAN A YEAR TO 18 YEARS AT THEIR CURRENT POSITION.COMMUNITY ORGANIZATIONS AND STAKEHOLDERS REPRESENTING THE BROADER COMMUNITY AND UNDERSERVED INCLUDED:BUCKS COUNTY HEALTH DEPARTMENT OFFICE OF PERSONAL HEALTHBUCKS COUNTY HEALTH IMPROVEMENT PARTNERSHIPBUCKS COUNTY OPPORTUNITY COUNCILCATHOLIC HEALTH CARE SERVICES CATHOLIC SOCIAL SERVICESCOMMUNITY MEMBER & ST. MARY MISSION BOARD MEMBERFAMILY SERVICE ASSOCIATION BUCKS COUNTY & OPIOID BEHAVIORAL HEALTH CENTER OF EXCELLENCE FOR BUCKS COUNTYPENN COMMUNITY BANKST. MARY MEDICAL AND SOCIAL SERVICE PROVIDERS, FOUNDATION AND MISSION LEADERSHIP INCLUDED:ST. MARY COMMUNITY HEALTH & WELL-BEINGST. MARY FOUNDATIONST. MARY MISSION INTEGRATIONBENSALEM MINISTRIES CLINICS: ST. MARY ADULT HEALTH CENTER, ST. MARY CHILDREN'S HEALTH CENTER AND MOTHER BACHMANN MATERNITY CENTERSTAKEHOLDERS WERE ASKED TO COMPLETE A HEALTH RANKING WRITTEN EXERCISE TO EVALUATE THE PREVIOUSLY IDENTIFIED UNMET HEALTH NEEDS AND TO OBTAIN QUALITATIVE DATA ON CURRENT UNMET HEALTH NEEDS OF THE ST. MARY COMMUNITY. ST. MARY MEDICAL CENTER PART V, SECTION B, LINE 6A: SMMC PARTNERED WITH SMRH TO CONDUCT A JOINT CHNA. ST. MARY REHABILITATION HOSPITAL PART V, SECTION B, LINE 6A: SMRH PARTNERED WITH SMMC TO CONDUCT A JOINT CHNA. ST. MARY MEDICAL CENTER PART V, SECTION B, LINE 11: SMMC ADDRESSED THE FOLLOWING FOUR UNMET HEALTH NEEDS IN FISCAL YEAR 2019: 1) ACCESS TO MENTAL HEALTH CARE: PROVIDED ACCESS TO QUALITY MENTAL HEALTH SERVICES FOR LOW-INCOME UNINSURED PERSONS DIAGNOSED WITH A BEHAVIORAL HEALTH DISORDER, IN PARTNERSHIP WITH HEALTH AND SOCIAL SERVICE AGENCIES THROUGH OUR COMMUNITY BENEFIT GRANTS PROGRAM IN FY19. FAMILY SERVICE ASSOCIATION (FSA) PROVIDED MENTAL HEALTH COUNSELING AND TREATMENT FOR 111 INDIVIDUALS AT THE ST. MARY ADULT HEALTH AND CHILDREN'S HEALTH CENTERS. MENTAL HEALTH SCREENING AND INTERVENTION INCLUDED ASSESSMENT, INDIVIDUAL AND FAMILY THERAPY, MEDICATION MONITORING, DEPRESSION SCREENINGS, AND PSYCHIATRIC REFERRAL AS NEEDED FOR LOW-INCOME UNINSURED PATIENTS AT THE ABOVE REFERENCED HEALTH CENTERS. SMMC ALSO AWARDED GRANT SUPPORT TO FSA FOR SCHOOL-BASED MENTAL HEALTH COUNSELING SERVICES FOR 17 STUDENTS IN CRISIS. 2) ACCESS TO SUBSTANCE ABUSE TREATMENT:PROVIDED ACCESS TO SUBSTANCE ABUSE RECOVERY AND STABILIZATION SERVICES FOR 50 UNINSURED BUCKS COUNTY RESIDENTS THROUGH GRANT SUPPORT TO GAUDENZIA, INC. IN FY19.3) ACCESS TO CARE FOR THE UNINSURED, ESPECIALLY THOSE LIVING IN POVERTY:PROVIDED PRIMARY AND PREVENTIVE HEALTH CARE SERVICES FOR LOW-INCOME UNINSURED ELIGIBLE ADULTS AND CHILDREN THROUGH SUPPORT AND ENROLLMENT INTO MEDICAID AND ST. MARY FINANCIAL ASSISTANCE PROGRAMS. IN FY19, 26,322 MEDICAID BENEFICIARIES RECEIVED SERVICES AT ST. MARY, AND 16,803 PATIENTS QUALIFIED AND RECEIVED ST. MARY FINANCIAL ASSISTANCE. AT THE ST. MARY CHILDREN'S HEALTH CENTER, 3,900 CHILDREN RECEIVED MEDICAL CARE AND THE MOTHER BACHMANN MATERNITY CENTER DELIVERED 368 BABIES IN FY19. ST. MARY ALSO PROVIDED PRIMARY AND PREVENTIVE CARE FOR 768 AT THE ST. MARY ADULT HEALTH CENTER. 4) EDUCATION & AWARENESS OF WOMEN'S HEALTH SCREENING (MAMMOGRAM):IMPROVED ACCESS TO ROUTINE CANCER SCREENINGS AND EDUCATION FOR LOW-INCOME UNINSURED INDIVIDUALS, INCLUDING 63 MAMMOGRAMS FOR LOW-INCOME UNINSURED WOMEN AGES 40 AND UP WHO MEET SCREENING CRITERIA. THIS EFFORT WAS CARRIED OUT IN PARTNERSHIP WITH BUCKS COUNTY HEALTH IMPROVEMENT PARTNERSHIP, THE ST. MARY RADIOLOGY TEAM AND BREAST SURGEON AT ST. MARY BREAST CENTER, AND THE ST. MARY REGIONAL CANCER CENTER. ST. MARY ALSO CONTINUED TO ADDRESS NEEDS FROM THE FY16 CHNA. FOR EXAMPLE, ST. MARY PROVIDED HEALTHY AND HEART HEALTHY LIFESTYLES EDUCATION PROGRAMS FOR LOW-INCOME AND VULNERABLE PATIENT POPULATIONS INCLUDING: - COMMUNITY-BASED AND AFTER-SCHOOL PROGRAMS TO ENCOURAGE HEALTHY LIFESTYLES AND REDUCE CHILDHOOD OBESITY AMONG 21,950 CHILDREN(KIDSHAPE 2.0, KINDER CONNECTION, KINDERCATCH, NOW YOU'RE COOKING, CATCH, TEEN CUISINE, PLAYWORKS RECESS, CHOP CHOP COOKING CAMP AND TIME FOR TEENS CAMP). - DIABETES PREVENTION PROGRAM FOR 52 ADULTS AT RISK FOR TYPE 2 DIABETES.- INCREASED ACCESS TO HEALTHY AFFORDABLE FRESH FRUITS AND VEGETABLES FOR THOSE IN POVERTY AND THE BROADER COMMUNITY THROUGH FOOD INSECURITY PROGRAMS: FARM TO FAMILIES, FRESH CONNECT MOBILE FOOD PANTRY AND WEEKEND MEAL/BACKPACK FOOD PROGRAM, WHICH PROVIDED FOOD TO 15,557 COMMUNITY MEMBERS IN FY19. THESE HEALTHY LIFESTYLE PROGRAMS ARE CARRIED OUT IN PARTNERSHIP WITH BUCKS COUNTY LOCAL SCHOOL DISTRICTS AND SCHOOL NURSES, LOWER BUCKS YMCA, ST. CHRISTOPHER'S FOUNDATION FOR CHILDREN "FARM TO FAMILIES INITIATIVE," LANCASTER FARM FRESH, AND HUNGER AND NUTRITION COALITION. THOSE WHO ARE HOMELESS, OR THOSE AT RISK OF BECOMING HOMELESS, RECEIVED IMPROVED ACCESS TO EVICTION PREVENTION RESOURCES, HOUSING, AND CASE MANAGEMENT SERVICES THROUGH OUR GRANT SUPPORT, IN PARTNERSHIP WITH BUCKS COUNTY HOUSING GROUP, A NONPROFIT ORGANIZATION WHICH PROVIDED SUPPORTIVE HOUSING FOR 116 INDIVIDUALS.IN 2019, SMMC RECOGNIZED THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS, AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON THOSE HEALTH NEEDS WHICH IT DEEMED MOST PRESSING, UNDER-ADDRESSED, AND WITHIN ITS ABILITY TO INFLUENCE. SMMC WILL NOT BE TAKING ACTION ON THE FOLLOWING HEALTH NEEDS AS IDENTIFIED IN OUR 2019 CHNA:- CORONARY HEART DISEASE IS ALREADY BEING ADDRESSED THROUGH ESTABLISHED AND ONGOING HEALTHY LIFESTYLE PROGRAMS.- EDUCATION & AWARENESS FOR LUNG CANCER SCREENING WAS NOT RANKED AS HIGHLY AS OTHER NEEDS THAT WERE CHOSEN AND WILL NOT BE ADDRESSED.- ACCESS TO PRENATAL CARE SERVICES IS ALREADY PROVIDED FOR THOSE WHO ARE LOW INCOME, UNINSURED, AND UNDERINSURED EXPECTANT MOTHERS BY MOTHER BACHMANN MATERNITY CENTER OPERATED BY ST. MARY.- CONGESTIVE HEART FAILURE WAS NOT RANKED AS HIGHLY AS OTHER NEEDS THAT WERE CHOSEN AND WILL NOT BE ADDRESSED.- SMOKING CESSATION EDUCATION FOR EXPECTANT MOTHERS IS ALREADY BEING ADDRESSED THROUGH ROUTINE PRENATAL CARE SERVICES AT MOTHER BACHMANN MATERNITY CENTER FOR LOW-INCOME UNINSURED EXPECTANT MOTHERS WHO CURRENTLY SMOKE.- ACCESS TO BLOOD PRESSURE SCREENING WAS NOT RANKED AS HIGHLY AS OTHER NEEDS THAT WERE CHOSEN AND WILL NOT BE ADDRESSED.- CHRONIC LOWER RESPIRATORY DISEASE WAS NOT RANKED AS HIGHLY AS OTHER NEEDS THAT WERE CHOSEN AND WILL NOT BE ADDRESSED.- ACCESS TO DENTAL CARE FOR ADULTS AND CHILDREN IS NOT OUR AREA OF EXPERTISE AND WILL NOT BE ADDRESSED.- EDUCATION & AWARENESS FOR SIGMOID/COLONOSCOPY SCREENING WAS NOT RANKED AS HIGHLY AS OTHER NEEDS THAT WERE CHOSEN AND WILL NOT BE ADDRESSED.- EDUCATION & AWARENESS FOR WOMEN'S HEALTH SCREENING (PAPTEST) IS ALREADY BEING ADDRESSED THROUGH WOMEN'S HEALTH SCREENINGS PROVIDED AT ST. MARY ADULT HEALTH CENTER FOR LOW-INCOME UNINSURED AND UNDERINSURED WOMEN IN NEED.- NUTRITION EDUCATION OLDER ADULTS IS ALREADY ADDRESSING THROUGH ESTABLISHED AND ONGOING HEALTHY LIFESTYLE PROGRAMS. ST. MARY REHABILITATION HOSPITAL PART V, SECTION B, LINE 11: SMRH ADDRESSED THE FOLLOWING TWO UNMET HEALTH NEEDS IN FISCAL YEAR 2019: 1) ACCESS TO SUBSTANCE ABUSE TREATMENT AND EDUCATION:THROUGH EDUCATION AND ADVOCACY, IN COLLABORATION WITH BRAIN INJURY ASSOCIATION OF PA, SMRH INCREASED AWARENESS OF SUBSTANCE USE DISORDER AND PREVENTION OF BRAIN INJURIES AT ONE LOCAL COMMUNITY EDUCATION AWARENESS EVENT IN TYLER STATE PARK BUCKS COUNTY (RUN, WALK & STROLL TO PREVENT BRAIN INJURIES). SMRH ALSO PROVIDED ACCESS TO ACUTE CARE REHABILITATION SERVICES TOTALING $179,112 FOR LOW-INCOME, UNDERINSURED MEDICAID ELIGIBLE ADULTS.2) NUTRITION EDUCATION FOR ADULTS:CLINICAL THERAPY STAFF EDUCATED PATIENTS AND THEIR FAMILIES, AS WELL AS COMMUNITY MEMBERS, ABOUT THE IMPORTANCE OF SAFE AND APPROPRIATE EXERCISE AND ACTIVITY. THIS WAS CONDUCTED THROUGH MONTHLY SUPPORT GROUP MEETINGS HELD AT SMRH, INCLUDING STROKE, AMPUTEE AND PARKINSON'S SUPPORT GROUPS, AND ENGAGING COMMUNITY PARTICIPANTS IN WALKING AND NUTRITION EDUCATION ON THE ST. MARY REHABILITATION HOSPITAL WALKING TRAIL. NUTRITIONAL SERVICES STAFF ALSO EDUCATED PATIENTS AND THEIR FAMILIES ABOUT THE IMPORTANCE OF A HEALTHY AND BALANCED DIET. PARTICIPANTS LEARNED HOW TO PREPARE HEALTHY MEALS DURING A HANDS-ON PREPARATION AND TASTING EXPERIENCE AT THE ACTIVITIES OF DAILY LIVING CENTER ON THE SMRH CAMPUS.IN 2019, SMRH RECOGNIZED THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS, AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON THOSE HEALTH NEEDS WHICH IT DEEMED MOST PRESSING, UNDER-ADDRESSED, AND WITHIN ITS ABILITY TO INFLUENCE. SMRH WILL NOT TAKE ACTION ON THE FOLLOWING HEALTH NEEDS:- MENTAL HEALTH FOR THE UNINSURED AND UNDERINSURED - SMRH IS NOT DIRECTLY ADDRESSING THIS NEED BECAUSE IS BEING ADDRESSED BY SMMC AND OTHER COMMUNITY PARTNERS. - ACCESS TO CARE - SMRH IS NOT DIRECTLY ADDRESSING THIS NEED BECAUSE IT IS ALREADY BEING ADDRESSED BY SMMC AND OTHER COMMUNITY PARTNERS.- CORONARY HEART DISEASE - SMRH IS NOT DIRECTLY ADDRESSING THIS NEED BECAUSE IS ALREADY BEING ADDRESSED THROUGH ESTABLISHED AND ONGOING HEALTHY LIFESTYLE PROGRAMS BY SMMC.- EDUCATION & AWARENESS FOR LUNG CANCER SCREENING - SMRH IS NOT DIRECTLY ADDRESSING THIS NEED BECAUSE IT IS NOT OUR AREA OF EXPERTISE.- ACCESS TO PRENATAL CARE SERVICES - SMRH IS NOT DIRECTLY ADDRESSING THIS NEED BECAUSE IT IS NOT OUR AREA OF EXPERTISE AND IS BEING ADDRESSED BY SMMC.- EDUCATION & AWARENESS WOMEN'S HEALTH SCREENINGS (MAMMOGRAM) - SMRH IS NOT DIRECTLY ADDRESSING THIS NEED BECAUSE IT IS NOT OUR AREA OF EXPERTISE AND IT IS ALREADY BEING ADDRESSED THROUGH PRIMARY CARE AND PREVENTIVE SERVICES FOR LOW INCOME UNINSURED AND UNDERINSURED AT ST. MARY ADULT HEALTH CENTER.- CONGESTIVE HEART FAILURE - SMRH IS NOT DIRECTLY ADDRESSING THIS NEED BECAUSE IT IS NOT OUR AREA OF EXPERTISE.- SMOKING CESSATION EDUCATION EXPECTANT MOTHERS - SMRH IS NOT DIRECTLY ADDRESSING THIS NEED BECAUSE IT IS NOT OUR AREA OF EXPERTISE AND IS AVAILABLE THROUGH ROUTINE PRENATAL SERVICES AT MOTHER BACHMANN MATERNITY CENTER.- ACCESS TO BLOOD PRESSURE SCREENING - SMRH IS NOT DIRECTLY ADDRESSING THIS NEED BECAUSE IT IS NOT OUR AREA OF EXPERTISE.- CHRONIC LOWER RESPIRATORY DISEASE - SMRH IS NOT DIRECTLY ADDRESSING THIS NEED BECAUSE IT IS NOT OUR AREA OF EXPERTISE.- ACCESS TO DENTAL CARE ADULTS & CHILDREN - SMRH IS NOT DIRECTLY ADDRESSING THIS NEED BECAUSE IT IS NOT OUR AREA OF EXPERTISE.- EDUCATION & AWARENESS FOR SIGMOID/COLONOSCOPY SCREENING WAS NOT RANKED AS HIGHLY AS OTHER NEEDS THAT WERE CHOSEN AND WILL NOT BE ADDRESSED. ST. MARY 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. ST. MARY REHABILITATION HOSPITAL PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS. PART V, SECTION B, LINE 16A ST. MARY MEDICAL CENTER AND ST. MARY REHABILITATION CENTER:WWW.STMARYHEALTHCARE.ORG/FINANCIALASSISTANCE PART V, SECTION B, LINE 16B ST. MARY MEDICAL CENTER AND ST. MARY REHABILITATION CENTER:WWW.STMARYHEALTHCARE.ORG/FINANCIALASSISTANCE PART V, SECTION B, LINE 16C ST. MARY MEDICAL CENTER AND ST. MARY REHABILITATION CENTER:WWW.STMARYHEALTHCARE.ORG/FINANCIALASSISTANCE PART V, SECTION B, LINE 9 ST. MARY MEDICAL CENTER AND ST. MARY REHABILITATION CENTER:AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, EACH 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. 2 1 - THE AMBULATORY SURGERY CTR AT ST MARY 1203 LANGHORNE NEWTON ROAD LANGHORNE PA 19047 ASC SERVICES & RELATED PROCEDURES 2 - ENDOSCOPY CENTER AT ST MARY LP 1203 LANGHORNE NEWTON ROAD LANGHORNE PA 19047 MEDICAL SERVICES 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: ST. MARY MEDICAL CENTER (SMMC) PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT, WHICH IT SUBMITS TO THE STATE OF PA. IN ADDITION, SMMC 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, SMMC 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, $7,425,684, 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: SMMC SUPPORTED COMMUNITY BUILDING ACTIVITIES DESIGNED TO PROVIDE COMMUNITY SUPPORT AND TO ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS. THE HOSPITAL PROVIDED $35,615 IN COMMUNITY BUILDING SUPPORT INCLUDING: HABITAT FOR HUMANITY HOME REVITALIZATION PROGRAM FOR LOW-INCOME FAMILIES IN BUCKS COUNTY; UNITED WAY SCHOOL READINESS PROGRAM TO SUPPORT YOUTH ASSET DEVELOPMENT; AND WORKFORCE DEVELOPMENT PROGRAM TO INTEREST STUDENTS IN HEALTH PROFESSIONS THROUGH SHADOWING AND PRECEPTOR PROGRAM AT SMMC. 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: SMMC 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, SMMC IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, SMMC IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL. PART III, LINE 4: SMMC 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: SMMC 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 - SMMC AND SMRH ASSESS THE HEALTH STATUS OF THEIR 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 HOSPITALS EVALUATE PATIENT DATA, PURCHASE PRIMARY HEALTH STATUS AND DEMOGRAPHIC DATA REPRESENTATIVE OF OUR SERVICE AREA FROM PUBLIC HEALTH MANAGEMENT CORPORATION, AND CONTRACT WITH TRUVEN ANALYTICS GROUP TO PROVIDE ASSESSMENT OF INDEX OF CONCENTRATION OF VARIOUS DISEASE CATEGORIES. SMMC'S CEO CHAIRS THE BUCKS COUNTY HEALTH IMPROVEMENT PARTNERSHIP (BCHIP), WHICH IS A NON-PROFIT ORGANIZATION COMPRISED OF ACUTE-CARE HOSPITALS AND MEMBERS FROM THE BUCKS COUNTY HEALTH DEPARTMENT AND THE MEDICAL SOCIETY OF BUCKS COUNTY. THIS GROUP WORKS COLLABORATIVELY TO IDENTIFY AND REDUCE HEALTH DISPARITIES IN BUCKS COUNTY. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - SMMC AND SMRH COMMUNICATE 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. SMMC AND SMRH OFFER 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. SMMC AND SMRH HAVE ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. SMMC AND SMRH MAKE EVERY EFFORT TO ADHERE TO THE POLICY AND ARE COMMITTED TO IMPLEMENTING AND APPLYING THE POLICY FOR ASSISTING PATIENTS WITH LIMITED MEANS IN A PROFESSIONAL, CONSISTENT MANNER. PART VI, LINE 4: COMMUNITY INFORMATION - POPULATION SIZE AND TRENDS IMPACT THE NUMBER OF PERSONS USING AND NEEDING SERVICES IN AN AREA AND ARE IMPORTANT TO CONSIDER IN CHARACTERIZING AND PRIORITIZING HEALTH NEEDS. RELATEDLY, DEMOGRAPHIC CHARACTERISTICS SUCH AS AGE, GENDER, RACE/ETHNICITY, AND LANGUAGE CAN AFFECT THE PREVALENCE OF SPECIFIC DISEASES AND CONDITIONS AND BARRIERS TO CARE RELATED TO EDUCATIONAL ATTAINMENT, ECONOMIC STATUS, RACE, ETHNICITY, AND LANGUAGE.SOCIOECONOMIC CHARACTERISTICS SUCH AS EDUCATIONAL ATTAINMENT, EMPLOYMENT, AND INCOME IMPACT HEALTH STATUS AND ACCESS TO CARE. HIGH LEVELS OF EDUCATIONAL ATTAINMENT ARE RELATED TO HEALTH LITERACY, HEALTHIER BEHAVIORS, AND IMPROVED HEALTH STATUS. EMPLOYMENT AND INCOME AFFECT INSURANCE STATUS AND THE ABILITY TO PAY OUT OF POCKET FOR HEALTH CARE EXPENSES. KEY DEMOGRAPHIC CHARACTERISTICS OF SMMC AND SMRH SERVICE AREA IS HIGHLIGHTED BELOW.SMMC AND SMRH ARE LOCATED IN LANGHORNE, IN BUCKS COUNTY, PENNSYLVANIA. THE SERVICE AREA INCLUDES THE FOLLOWING ZIP CODES IN BUCKS COUNTY, PENNSYLVANIA: 18940, 18954, 18966, 18974, 18976, 18977, 19007, 19020, 19021, 19030, 19047, 19053, 19054, 19055, 19056, 19057, AND 19067. THE TOTAL POPULATION OF THIS SERVICE AREA IS APPROXIMATELY 414,000 RESIDENTS IN 2018. THE 65+ AGE GROUP IS ESTIMATED TO INCREASE 13% BETWEEN 2018-2023 THE CHILD POPULATION (AGE 0-17 YEARS) IS PREDICTED TO DECREASE 6% BETWEEN 2018-2023. IN THE SMMC AND SMRH SERVICE AREA, 20% OF RESIDENTS ARE BETWEEN THE AGES OF 0-17, 19% ARE BETWEEN 18-34, 42% ARE BETWEEN 34-64, AND 19% ARE 65 OR OLDER. APPROXIMATELY 84% OF RESIDENTS IDENTIFY AS WHITE, 6% IDENTIFY AS LATINO, 6% IDENTIFY AS BLACK, 6% IDENTIFY AS ASIAN, AND LESS THAN 5% IDENTIFY AS AN "OTHER" RACE/ETHNICITY. ENGLISH IS THE PREDOMINATELY SPOKEN LANGUAGE, WITH 87% OF RESIDENTS SPEAKING IT AT HOME. OTHER LANGUAGES REPORTED ARE SPANISH (4%) AND AN ASIAN LANGUAGE (2%).IN THE SMMC AND SMRH SERVICE AREA, 7% OF RESIDENTS HAVE LESS THAN A HIGH SCHOOL DEGREE, 57.2% OF RESIDENTS HAVE A HIGH SCHOOL DIPLOMA, AND 35.8% HAVE A COLLEGE DEGREE OR HIGHER. APPROXIMATELY 6% OF RESIDENTS ARE UNEMPLOYED. WHEN LOOKING AT POVERTY STATUS, 2.6% OF FAMILIES WITHOUT CHILDREN AND 7.1% OF FAMILIES WITH CHILDREN ARE LIVING WITH INCOMES 150% BELOW THE FPL. THE 2018 MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $87,960 FOR RESIDENTS IN THE SMMC AND SMRH SERVICE AREA. THE MAJORITY OF ADULTS (92%) IN THE SERVICE AREA HAVE HEALTH INSURANCE COVERAGE. HOWEVER, A SIZABLE PERCENTAGE OF ADULTS DO NOT HAVE ANY PRIVATE OR PUBLIC HEALTH INSURANCE; 8% OF ADULTS AGED 18-64 IN THE SERVICE AREA ARE UNINSURED. THE SMMC AND SMRH SERVICE AREA, COMPRISED MAINLY OF BUCKS COUNTY COMMUNITIES, APPEARS TO BE WEALTHY WHEN COMPARED TO OTHER PARTS OF SOUTHEASTERN PENNSYLVANIA (SEPA). HOWEVER, THE HIGH MEDIAN INCOME (NEARLY $87,960) AND LOW POVERTY RATES CONTRADICT SOME OF THE ECONOMIC NEED THAT IS PRESENT IN THIS SERVICE AREA. NEARLY ONE IN 15 (7%) HOUSEHOLDS WITH CHILDREN IN THE SERVICE AREA ARE LIVING IN POVERTY, AS ARE 2.6% OF HOUSEHOLDS WITHOUT CHILDREN. THE COMMUNITY MEETING PARTICIPANTS EMPHASIZED THE CHALLENGES THAT LOW-INCOME POPULATIONS IN THIS AREA FACE WHEN ACCESSING HEALTH CARE AND OTHER HEALTH-IMPACTING RESOURCES. IN ADDITION, THEY DISCUSSED SOME OF THE WAYS THAT FAMILIES WITH MODERATE INCOMES ARE STRUGGLING TO PAY THEIR BILLS AND ACCESS HEALTH CARE DUE TO HIGH HOUSING COSTS, MEDICAL BILLS, AND OTHER EXPENSES, WHILE STILL HAVING TOO MUCH INCOME TO QUALIFY FOR AID PROGRAMS. CONSUMERS AND SOCIAL SERVICE PROVIDERS ALIKE REPORT THAT IT IS VERY CHALLENGING TO FIND PRIMARY CARE PROVIDERS WHO ACCEPT MEDICAID. HAVING A USUAL SOURCE OF HEALTH CARE IS ASSOCIATED WITH BETTER HEALTH OUTCOMES, LOWER COSTS, AND FEWER HEALTH DISPARITIES. THE PERCENTAGE OF ST. MARY SERVICE AREA ADULTS WITHOUT A REGULAR SOURCE OF CARE (16%) WAS COMPARABLE TO THE REMAINDER OF THE SEPA REGION (14%). WHEN INDIVIDUALS DELAY OR PUT OFF OBTAINING HEALTH CARE AND MEDICAL PRESCRIPTIONS DUE TO COST, IT CAN IMPACT BOTH IMMEDIATE AND LONG-TERM HEALTH OUTCOMES. ADULTS IN THE ST. MARY SERVICE AREA WERE SIGNIFICANTLY LESS LIKELY TO NOT SEEK CARE DUE TO COST (8%). SOME INDIVIDUALS END UP USING THE EMERGENCY DEPARTMENT BECAUSE THE PRIMARY CARE PROVIDERS DO NOT HAVE SPACE IN THEIR SCHEDULE FOR URGENT CARE APPOINTMENTS - PARTICULARLY THE FEW THAT TAKE ALL INSURANCE PROVIDERS. ST. MARY SERVICE AREA PERFORMED BETTER THAN SEPA REGION IN EMERGENCY ROOM UTILIZATION: 24% OF ADULTS IN ST. MARY SERVICE AREA VISITED THE ER IN THE PAST YEAR COMPARED TO 28% OF ADULTS IN THE REMAINDER SEPA REGION. PART VI, LINE 5: ST. MARY MEDICAL CENTER: THE SMMC BOARD OF DIRECTORS IS A GROUP OF COMMITTED COMMUNITY MEMBERS WHO RESIDE IN THE SMMC SERVICE AREA. THE BOARD IS SELECTED BASED ON THEIR PERSONAL QUALIFICATIONS AND KEY COMPETENCIES AND THEIR COMMITMENT TO ST. MARY MINISTRIES AND VALUES. THE BOARD CONSISTS OF A DIVERSE GROUP OF INDIVIDUALS WHO ARE REPRESENTATIVE OF THE COMMUNITY. THE MEDICAL STAFF IS OPEN TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. SMMC HAS AN EMERGENCY DEPARTMENT, OPEN 24 HOURS A DAY, WHICH TREATS ALL PERSONS NEEDING CARE, REGARDLESS OF ABILITY TO PAY. THE MEDICAL CENTER'S ANNUAL SURPLUS IS USED TO BRING UP-TO-DATE TECHNOLOGY AND FACILITIES TO THE COMMUNITY, ENABLE OUTREACH AND SERVICES TO THE UNDERSERVED IN OUR COMMUNITY, TO RESPOND TO PUBLIC HEALTH NEEDS THAT IMPROVES OVERALL COMMUNITY HEALTH, AND TO IMPROVE THE QUALITY OF CARE.SMMC IS ACTIVELY PROMOTING HEALTH AND WELLNESS ON OUR MAIN CAMPUS BY ENFORCING OUR CURRENT NONSMOKING POLICY, WHICH INCLUDES E-CIGARETTES AND OTHER NICOTINE DELIVERY DEVICES. WE CONTINUE TO EMPLOY SECURITY PERSONNEL TO PATROL OUR CAMPUS TO ENFORCE THIS POLICY. SMMC ALSO SUPPORTED THE AMERICAN LUNG ASSOCIATION AT OUR STATE CAPITAL TO ADVOCATE RAISING THE LEGAL AGE TO PURCHASE TOBACCO PRODUCTS TO 21 YEARS OF AGE. THE GOAL OF SMMC, AS A MEMBER OF TRINITY HEALTH, IS TO REDUCE THE PREVALENCE OF SMOKING AT A RATE GREATER THAN THE NATIONAL AVERAGE IN OUR SERVICE AREA. IN ADDITION TO DECREASING SMOKING, SMMC WAS ALSO FOCUSED ON PROVIDING ACCESS TO HEALTHY PREPARED FOODS SERVED IN OUR CAFETERIA. IN ADDITION, SMMC EARNED GOLD LEVEL CERTIFICATION FROM THE MINDFUL BY SODEXO PROGRAM, WHICH FURTHER ENSURES THE SMMC CAFETERIA MEETS THE STANDARDS DESIGNED TO CREATE A HEALTHY ENVIRONMENT FOR CUSTOMERS.ACCESS TO FRESH AND AFFORDABLE FOOD OUTSIDE OF SMMC WAS ALSO A FOCUS IN FY19. SMMC IS ONE OF THE LEAD MEMBER AGENCIES IN THE HUNGER AND NUTRITION COALITION (HNC). THIS GROUP MET MONTHLY TO DEVELOP A PLAN TO ADDRESS FOOD INSECURITY IN OUR COMMUNITY, WHICH IS CURRENTLY 8.8% IN BUCKS COUNTY. EACH WEEK HNC PARTNER ORGANIZATIONS AND VOLUNTEERS DISTRIBUTED OVER 340,000 POUNDS OF FOOD TO RESIDENTS AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL AT THREE COUNTY FRESH CONNECT OPEN-AIR MARKETS. SMMC COLLEAGUES HELPED WITH FOOD DISTRIBUTION THROUGH MAINTAINING THE DONATED REFRIGERATED FOOD TRUCK, FOOD DISTRIBUTION, SAMPLE TASTING AND RECIPES FOR QUALIFIED PATRONS OF THE FOOD MARKET.ST. MARY TRAUMA DEPARTMENT PARTICIPATED ON PA STATE TRAUMA BOARD, TRAINING SMMC STAFF AND LOCAL EMERGENCY PERSONNEL ON STOP THE BLEED NATIONAL PROGRAM. ST. MARY REHABILITATION HOSPITAL: - THE MEDICAL STAFF IS OPEN TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. - SMRH FOLLOWS THE SMMC FINANCIAL ASSISTANCE POLICY AND ALLOWS FOR TREATMENT OF THOSE WHO ARE UNINSURED AND UNDERINSURED. - THE REHABILITATION HOSPITAL SPONSORS AND PARTICIPATES IN COMMUNITY ACTIVITIES RELATED TO ITS MISSION AND POPULATION SERVED, INCLUDING AN ANNUAL SPONSORSHIP OF THE BRAIN INJURY ASSOCIATION OF PENNSYLVANIA'S RUN-WALK-ROLL FOR BRAIN INJURY AT TYLER STATE PARK, AND HOSTING AND PARTICIPATING IN STROKE, PARKINSON'S DISEASE AND ESSENTIAL TREMOR COMMUNITY SUPPORT GROUPS. - SMRH INCLUDES COMMUNITY MEMBERS IN BOTH INFECTION PREVENTION AND SAFETY COMMITTEE MEETINGS. THESE MEMBERS ARE SELECTED BASED ON THEIR PERSONAL QUALIFICATIONS AND KEY COMPETENCIES AND THEIR COMMITMENT TO ST. MARY MINISTRIES AND VALUES. PART VI, LINE 6: SMMC 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 PA 0 BUCKS COUNTY DRAGON BOAT 1455 WRIGHTSTOWN ROAD UPPER MAKEFIELD PA 18940 461214416 501(C)(3) 25000 ENHANCE POPULATION HEALTH THROUGH SPONSORSHIP OF FOOD PANTRY COMMUNITY EVENT BUCKS COUNTY HEALTH IMPROVEMENT PARTNERSHIP 41 UNIVERSITY DRIVE 3RD FLOOR NEWTOWN PA 18940 232862339 501(C)(3) 21500 DUES AND SPONSORSHIP. BUCKS COUNTY HOUSING GROUP 626 JACKSONVILLE RD SUITE 140 WARMINSTER PA 18974 231878791 501(C)(3) 375000 ENHANCE POPULATION HEALTH THROUGH SUPPORTIVE HOUSING PROGRAMS AND CASE MANAGEMENT SERVICES. CATHOLIC HOUSING AND COMMUNITY SERVICES (DBA CATHOLIC HEALTH CARE SERVICES) 222 NORTH 17TH STREET PHILADELPHIA PA 19103 530196617 501(C)(3) 75000 ACCESS TO CARE MANAGEMENT FOR LOW INCOME FRAIL SENIORS LIVING WITH LIMITED SUPPORTS. CATHOLIC SOCIAL SERVICES 222 NORTH 17TH STREET PHILADELPHIA PA 19103 231352063 501(C)(3) 35000 ENHANCE POPULATION HEALTH FOR LOW INCOME IMMIGRANT POPULATION IN BUCKS COUNTY FAMILY SERVICE ASSOCIATION 4 CORNERSTONE DRIVE LANGHORNE PA 19047 231427224 501(C)(3) 92500 ACCESS TO BEHAVIORAL HEALTH COUNSELING FOR LOW INCOME BUCKS COUNTY STUDENTS IN CRISIS. FAMILY YMCA OF LOWER BUCKS 601 S OXFORD VALLEY ROAD FAIRLESS HILLS PA 19030 231433890 501(C)(3) 79000 ENHANCE POPULATION HEALTH TO PROMOTE HEALTHY LIFESTYLES ADULTS AND CHILDREN GAUDENZIA FOUNDATION INC 106 WEST MAIN STREET NORRISTOWN PA 19401 232141307 501(C)(3) 35000 ACCESS TO DETOX AND RECOVERY SERVICES FOR LOW INCOME UNINSURED AND UNDERINSURED ADULTS SISTERS OF ST FRANCIS 609 SOUTH CONVENT ROAD ASTON PA 19014 231352545 501(C)(3) 20000 IMPROVE ACCESS TO HEALTHCARE FOR SISTERS 9 0 PART I, LINE 2: DONATIONS MADE BY SMMC 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 JIM WOODWARD SMMC CEO; THMA PRES/CEO AT 9/18 0 576349 0 173669 0 22173 0 162862 0 43039 0 978092 0 0 EMILY BROWER DIR; TH SVP CLINICL INTEGR & PHY SVS 0 418632 0 128545 0 17091 0 111291 0 33324 0 708883 0 0 LARRY BRILLIANT CMO; SMMC PRESIDENT AS OF 11/18 17576 444113 0 92508 23569 4378 655 34908 986 33699 42786 609606 0 0 CATHERINE MIKUS SECRETARY; GENERAL COUNSEL 0 244793 0 71899 0 10327 0 68362 0 25087 0 420468 0 0 MARYANNE SPALLUCCI TREASURER; SVP FINANCE 11693 293724 0 71800 6836 3820 559 15086 92 7171 19180 391601 0 0 JOAN ROSS EVP & COO 14349 360659 0 88566 17760 5137 424 18198 400 16508 32933 489068 0 0 BABER GHAURI MD PHYSICIAN 311864 0 23630 0 309 0 12375 0 25074 0 373252 0 0 0 KARI MASTRO VP, PATIENT CARE & CNO 10710 272493 0 37722 995 1825 346 13632 880 23769 12931 349441 0 0 LORAN AUGUST ADMIN DIRECTOR, QUALITY & CARE MGMT 201519 0 14160 0 86584 0 9965 0 20976 0 333204 0 0 0 KIMBERLY MOFFA VP & CHIEF HR OFFICER 8924 225108 0 46159 9098 3395 1283 8841 77 6442 19382 289945 0 0 RAJANI WALSH MD PHYSICIAN 232890 0 0 0 1974 0 14051 0 5743 0 254658 0 0 0 DANIEL MOEN FORMER OFFICER; SFMC TREN PRES/CEO 0 384570 0 0 0 232069 0 12375 0 34220 0 663234 0 193241 BRIAN BURGESS FORMER KEY EMP; MERCY SEPA SVP 0 324588 0 72253 0 16502 0 24935 0 28421 0 466699 0 0 MARY SWEENEY FORMER KEY EMPLOYEE; THMA CHRO 0 371961 0 77726 0 61367 0 16500 0 29403 0 556957 0 0 SHARON PROFERA FRMR OFFICER; ADM DIR, ACCTG/FINANCE 170783 0 21793 0 1081 0 14957 0 25750 0 234364 0 0 0 PART I, LINE 3 ST. MARY MEDICAL CENTER (SMMC) IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. SMMC'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 SMMC'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. THESE AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: DANIEL MOEN - $193,241 COLUMN (F) OF SCHEDULE J, PART II INCLUDES THE PORTION OF THIS AMOUNT THAT WAS REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. 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: DANIEL MOEN - $29,616 MARY SWEENEY - $52,565 THE FOLLOWING ACCRUALS FOR 2018 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: LARRY BRILLIANT - $13,866 EMILY BROWER - $98,916 BRIAN BURGESS - $12,561 CATHERINE MIKUS - $47,737 JIM WOODWARD - $150,487 THE FOLLOWING ARE PARTICIPANTS 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). THE FOLLOWING PAYOUTS FOR 2018 FOR THESE PLANS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: LARRY BRILLIANT - $0 KARI MASTRO - $0 CATHERINE MIKUS - $1,104 KIMBERLY MOFFA - $0 JOAN ROSS - $0 MARYANNE SPALLUCCI - $0 BRIAN BURGESS - $0 DANIEL MOEN - $0 FORM 990, PART VI, SECTION A, LINE 2 BOARD MEMBERS MR. JAMES MCCAFFREY, AND MR. VERNON BRAMBLE, HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF SMMC IS TRINITY HEALTH CORPORATION. SEE LINE 7 FOR ADDITIONAL INFORMATION. FORM 990, PART VI, SECTION A, LINE 7A TRINITY HEALTH CORPORATION IS THE SOLE MEMBER OF SMMC. TRINITY HEALTH CORPORATION HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF SMMC. FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER, TRINITY HEALTH CORPORATION MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. TRINITY HEALTH CORPORATION MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, AND MODIFICATIONS TO GOVERNING DOCUMENTS. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 FOR SMMC IS REVIEWED BY MANAGEMENT. IN ADDITION, THE FORM 990 WAS REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD BEFORE IT WAS FILED WITH THE INTERNAL REVENUE SERVICE. 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 SMMC 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 SMMC, 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 SMMC 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 SMMC (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO SMMC OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF SMMC (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 SMMC. 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 SMMC IS ESTABLISHED BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING CEO AND VICE PRESIDENT 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 VICE PRESIDENT FINANCE OF SMMC 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 SMMC 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, SMMC INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. SMMC'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS FROM AFFILIATES 1,710,857. EQUITY GAIN IN UNCONSOLIDATED AFFILIATES 415,054. FORM 990, PART XII, LINE 2 SMMC'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY19 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. QUALITY HEALTH ALLIANCE LLC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 465686622 ACCOUNTABLE CARE ORGANIZATION PA 873348 5524670 ST MARY MEDICAL CENTER QUALITY HEALTH ALLIANCE-ACO LLC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 465675954 ACCOUNTABLE CARE ORGANIZATION PA 3050573 1958239 ST MARY 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 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