2018-05-14T09:33:27-05:00 2017-06-30 990 2016-07-01 510064326 ST FRANCIS HOSPITAL INC STFR 3024214100 PO BOX 2500 WILMINGTON DE 198050500 MARY FINN VP FINANCE 3024214100 2018-05-14 2016 2022-09-23 18:48:47Z SAINT FRANCIS HEALTHCARE DANIEL SINNOTT PO BOX 2500 WILMINGTON DE 198050500 156196177 0 0928 X STFRANCISHEALTHCARE.ORG X 1923 DE TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES 14 12 1275 139 1516447 -149923 935507 1576129 142773193 149791963 -218310 -134337 3484794 3630605 146975184 154864360 76682 104677 0 0 76757850 81730567 14262 0 0 76243026 82780615 153091820 164615859 -6116636 -9751499 70560334 67709006 142140258 149917450 -71579924 -82208444 X WE, ST. FRANCIS HEALTHCARE AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES.ST. FRANCIS HOSPITAL IS A MEMBER OF ST. FRANCIS HEALTHCARE AND TRINITY HEALTH. 0 0 134170649 104677 150294623 ST. FRANCIS HOSPITAL IS A COMMUNITY HOSPITAL LOCATED IN WILMINGTON, DELAWARE, IN OPERATION SINCE 1923. THE HOSPITAL PROVIDES A FULL SPECTRUM OF GENERAL MEDICAL SERVICES, INCLUDING EMERGENCY, DIAGNOSTIC TESTING, AND WOMEN'S HEALTH. ST. FRANCIS ALSO OFFERS SPECIALIZED SURGICAL SERVICES, INCLUDING BARIATRIC SURGERY, AND IS THE ONLY HOSPITAL IN WILMINGTON TO OFFER PRECISION SURGERY VIA THE DA VINCI SURGICAL SYSTEM FOR MINIMALLY INVASIVE GYNECOLOGICAL, PROSTATE AND HEART SURGERIES. ST. FRANCIS HAS ALSO BEEN OPERATING A SLEEP CENTER SINCE 1997, AND IS ONE OF THE FEW SLEEP CENTERS IN DELAWARE THAT IS ACCREDITED BY THE ACADEMY OF SLEEP MEDICINE. IN FY17 THE HOSPITAL PROVIDED OVER 18,000 PATIENT DAYS OF HEALTH CARE SERVICES TO INPATIENTS, SERVED OVER 270,000 OUTPATIENTS, 35,000 EMERGENCY ROOM VISITS, AND 26,000 HOME HEALTH VISITS. PLEASE VISIT SCHEDULE H AND THE WEBSITE FOR ADDITIONAL INFORMATION ABOUT SERVICES, RECOGNITIONS AND AWARDS: WWW.STFRANCISHEALTHCARE.ORG 134170649 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 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 234 0 1 1275 1 1 1 0 0 0 0 0 0 0 0 0 X 14 12 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X DALE SZAFRAN 3024214665 701 N CLAYTON ST WILMINGTON DE 19805 DAVID RICCI DIRECTOR & INT PRES & CEO AS OF 4/17 52.00 3.00 X X 0 696440 45857 BRIAN DIETZ DIRECTOR, PRESIDENT, & CEO THR 4/17 52.00 3.00 X X 0 592280 26286 DENNIS SALTER DIRECTOR; CHAIR 1.00 1.00 X X 0 0 0 CINDY HAYES MANN DIRECTOR; VICE CHAIR 1.00 1.00 X X 0 0 0 RICHELLE VIBLE DIRECTOR 1.00 1.00 X 0 0 0 OSWALDO NICASTRO MD DIRECTOR THROUGH 12/16; PHYSICIAN 49.00 1.00 X 161584 0 8283 THE VERY REV LEONARD KLEIN DIRECTOR 1.00 1.00 X 0 0 0 RICHARD ANGIULLO DIRECTOR 1.00 1.00 X 0 0 0 ELIZABETH LEE DIRECTOR 1.00 1.00 X 0 0 0 MARK BRUCKER DIRECTOR 1.00 1.00 X 0 0 0 JOSEPH DESANTIS DIRECTOR 1.00 1.00 X 0 0 0 KEVIN SHANNON DIRECTOR 1.00 1.00 X 0 0 0 RALPH IERARDI MD DIRECTOR 1.00 1.00 X 0 0 0 PATRICIA HUTCHISON OSF DIRECTOR 1.00 1.00 X 0 0 0 VIVIAN MEDINILLA DIRECTOR 1.00 1.00 X 0 0 0 TINA GRANT DIRECTOR; TH VP STATE ADVOCACY 1.00 49.00 X 0 251283 18512 JOHN NEWTON SECRETARY; GENERAL COUNSEL 49.00 1.00 X 0 293029 22834 BERNARD CITERONE TREASURER; CFO (PD BY MGMT CO) 47.00 3.00 X 0 0 0 MICHAEL POLNEROW DO VP MEDICAL AFFAIRS/ CMO 50.00 0.00 X 516114 0 12687 AUDREY SERNYAK MD PHYSICIAN 50.00 0.00 X 653619 0 34018 EREV TUBB MD PHYSICIAN 50.00 0.00 X 540861 0 12708 JAMES COSGROVE DO PHYSICIAN 50.00 0.00 X 498283 0 44526 NANCY PETIT MD PHYSICIAN 50.00 0.00 X 400571 0 46308 RICHARD LEADER MD PHYSICIAN 50.00 0.00 X 383178 0 46086 JENNIFER KIRBY FORMER KE; VP PATIENT SERVICES/ CNO 50.00 0.00 X 298915 0 22793 DALE SZAFRAN FORMER OFFICER; DIRECTOR OF FINANCE 45.00 0.00 X 122676 0 14790 3575801 1833032 355688 93 1 1 0 PREMIER ANESTHESIA OF PA PC 2655 NORTHWINDS PARKWAY ALPHARETTA GA 30009 ANESTHETISTS 2529542 VITAL SECURITY INVESTIGATIONS 1035 PRIMERA BLVD STE 1035 LAKE MARY FL 32746 SECURITY 1083836 SURGEONS FOR EMERGENCY CARE LLC 131 CONTINENTAL DR STE 215 NEWARK DE 19713 PHYSICIAN SERVICES 868531 SOUND PHYSICIANS PO BOX 742936 LOS ANGELES CA 90074 PHYSICIAN SERVICES 798629 INPATIENT CONSULTANTS OF DE PO BOX 51472 LOS ANGELES CA 900515772 PHYSICIAN SERVICES 642866 33 1333064 243065 1576129 NET PATIENT SERVICE REVENUE 622110 149722354 149722354 LABORATORY REVENUE 621500 64959 64959 RETAIL PHARMACY REVENUE 622110 4650 4650 149791963 127647 127647 2021052 1066783 954269 954269 954269 3050 265034 0 -265034 3050 -261984 -261984 SERVICE AND SUPPLY REVENUE 622310 1451488 1451488 CAFETERIA REVENUE 722514 551494 551494 PARKING GARAGE REVENUE 812930 105735 105735 567619 567619 2676336 154864360 150294623 1516447 1477161 X 104677 104677 1633097 169867 1463230 743047 283873 459174 67783662 52209229 15574433 2420942 1858771 562171 4507597 3409108 1098489 4642222 3488567 1153655 109872 109872 36396 36396 22428474 18741934 3686540 589230 442798 146432 2801522 2105306 696216 5208317 3913980 1294337 4087197 3071473 1015724 316063 237517 78546 30063 22592 7471 3965128 3965128 4877975 3665732 1212243 1273591 957086 316505 MEDICAL SUPPLIES 22042596 22042596 BAD DEBT 8842390 8842390 INTERCO. PURCHASED SVCS 3220367 2420062 800305 EQUIPMENT MAINTENANCE 1487339 1117715 369624 1464095 1100248 363847 164615859 134170649 30445210 0 70019 346618 16746774 22561846 3672029 3723497 323560 301380 80265532 54827945 25902433 25437587 9305010 15747 8940107 13965 5600402 15308366 70560334 67709006 20204626 27023060 253860 4172376 4219213 280710 184154 117482546 118237163 142140258 149917450 X -71266618 -82238161 -313306 29717 -71579924 -82208444 70560334 67709006 X -9751499 1241060 -2118081 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 13440 0 0 0 13440 0 PART II-B, LINE 1: ST. FRANCIS HOSPITAL 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 ST. FRANCIS HOSPITAL WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. 682112 682112 17696085 5296521 12399564 196961 57044 139917 59220081 49374677 9845404 2470293 99703 2370590 25437587 MISCELLANEOUS RECEIVABLES 9952351 OTHER LONG-TERM ASSETS 64787 INTERCOMPANY OTHER LT ASSETS 5291228 15308366 INTERCOMPANY ACCOUNTS PAYABLE 2642275 INTERCOMPANY NOTES PAYABLE 111455147 OTHER CURRENT LIABILITIES 3962279 INTERCOMPANY OTHER LIABILITIES 177462 118237163 1 1 X 1 X 1 X 1 1 1 0 1 1 3248987 2428043 820944 0.00530 46995696 45969500 1026196 0.00660 50244683 48397543 1847140 0.01190 8 5604 1348525 473921 874604 0.00560 1 4395 3412431 1080000 2332431 0.01500 1 1035 357969 94990 262979 0.00170 10 11034 5118925 1648911 3470014 0.02230 10 11034 55363608 50046454 5317154 0.03420 1 131 131 0.00000 1 131 131 0.00000 1 8842390 0 28566424 32877744 -4311320 X 1 1 1 1 ST FRANCIS HOSPITAL INC 701 NORTH CLAYTON STREET WILMINGTON DE 198050500 STFRANCISHEALTHCARE.ORG STATE ID# HSPTL-004 X X X X ST FRANCIS HOSPITAL 1 0 0 1 X X X X X X X X X 16 1 0 0 1 X SEE PART V, SECTION C X 1 16 1 SEE PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X SEE PART V, 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 1 X 0 0 ST. FRANCIS HOSPITAL PART V, SECTION B, LINE 5: ST. FRANCIS HOSPITAL, ALSO KNOWN AS SAINT FRANCIS HEALTHCARE, ESTABLISHED A COMMITTEE THAT INCLUDED THE SAINT FRANCIS MISSION AND MINISTRY BOARD, EXECUTIVE BOARD MEMBERS, AND EXTERNAL LEADERS FROM HENRIETTA JOHNSON, CHRISTIANA CARE, AND THE DELAWARE CENTER AGAINST DOMESTIC VIOLENCE, TO GUIDE AND PARTICIPATE IN THE DEVELOPMENT AND ASSESSMENT OF OUR COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN. AN INITIAL MEETING WAS HELD AT ST. FRANCIS HOSPITAL IN OCTOBER OF 2016 TO BEGIN CONVERSATIONS RELATED TO COMMUNITY ISSUES AND NEEDS. AFTER THE INITIAL MEETING, HOLLERAN CONSULTING WORKED WITH SAINT FRANCIS COMMUNITY BENEFIT LEADERS TO CREATE A KEY INFORMANT ONLINE SURVEY AND AN ONLINE COMMUNITY SURVEY. THE KEY INFORMANT SURVEY WAS OPEN FROM NOVEMBER 2016-DECEMBER 2016 AND WAS SENT TO A VARIETY OF EXTERNAL GROUPS INCLUDING, BUT NOT LIMITED TO, THE CITY OF WILMINGTON COUNCILMEN OF DISTRICTS 1-9, CITY OF WILMINGTON POLICE, MAYOR OFFICE STAFF AND OFFICIALS, DELAWARE DIVISION OF PUBLIC HEALTH, EZION-MOUNT CARMEL UNITED METHODIST CHURCH, THE PEACE KEEPERS, HENRIETTA JOHNSON MEDICAL CENTER, AND THE LATIN AMERICAN COMMUNITY CENTER (LACC). THE COMMUNITY SURVEY WAS OPEN TO WILMINGTON COMMUNITY MEMBERS FROM DECEMBER 2016 - MARCH 2017 AND AVAILABLE AT SAINT FRANCIS LIFE CENTER, SAINT FRANCIS FAMILY PRACTICE OFFICE, AND VARIOUS HEALTH EVENTS. SURVEY RESPONSES WERE REPRESENTATIVE OF THE POPULATION IN WILMINGTON WHO ARE AT OR BELOW THE POVERTY LEVEL, UNINSURED AND UNDERINSURED, HOMELESS, AND/OR IMMIGRANTS. IN ADDITION TO THE ONLINE COMMUNITY SURVEY, MEMBERS OF THE CEASE VIOLENCE TASK FORCE WENT DOOR TO DOOR IN THE 19805 ZIP CODE AREA TO SURVEY THE COMMUNITY, SPECIFICALLY RELATED TO VIOLENCE AND SAFETY IN THE AREA. AFTER THAT SURVEY CONCLUDED, ANOTHER COMMITTEE MEETING WAS HELD AT ST. FRANCIS HOSPITAL TO DISCUSS THE RESULTS AND IDENTIFY HIGH PRIORITY AREAS OF COMMUNITY NEEDS. THE COMMUNITY HEALTH NEEDS ASSESSMENT AND THE COMMUNITY HEALTH IMPROVEMENT PLAN WERE PRESENTED AND APPROVED BY THE MISSION, MINISTRY AND ADVOCACY COMMITTEE OF THE BOARD OF DIRECTORS, AND BY THE FULL BOARD OF DIRECTORS. ST. FRANCIS HOSPITAL PART V, SECTION B, LINE 11: ALL OF THE COMMUNITY HEALTH NEEDS IDENTIFIED IN THE FY 2017 CHNA WERE ADDRESSED BY ST. FRANCIS HOSPITAL (ST. FRANCIS) IN FY 2017. BELOW IS A LIST OF THOSE NEEDS AND THE PROGRAMS ADDRESSING THEM: ACCESS TO CARE-THE SAINT FRANCIS SAINT CLARE MEDICAL OUTREACH MOBILE UNIT EXPANDED ITS SCHEDULE OF STOPS TO REACH MORE COMMUNITY MEMBERS IN NEED OF CLINICAL CARE. -THE SAINT CLARE MEDICAL OUTREACH MOBILE UNIT BUILT PARTNERSHIPS WITH COMMUNITY AND FAITH BASED ORGANIZATIONS TO PROVIDE BASIC NEED SERVICES IN POOR AND HIGH VIOLENCE AREAS OF THE CITY.OBESITY-SAINT FRANCIS FAMILY PRACTICE OFFICE PARTNERED WITH THE YMCA TO REFER PATIENTS TO ITS DIABETES PREVENTION PROGRAM (DPP). THE DPP PROGRAM TARGETS PATIENTS WHO ARE AT RISK OF DIABETES DUE TO BMI AND INDIVIDUAL NUTRITIONAL FACTORS. -ST. FRANCIS OFFERED ZUMBA CLASSES TO ITS EMPLOYEES AS AN INTERNAL FOCUS ON OBESITY AND HEALTHY LIVING. SUBSTANCE USE-ST. FRANCIS PARTNERED WITH THE AMERICAN LUNG ASSOCIATION (ALA) AND THE AMERICAN CANCER SOCIETY (ACS) TO LOBBY FOR TOBACCO POLICY CHANGES IN THE STATE OF DELAWARE.-ST. FRANCIS PARTNERED WITH THE DELAWARE QUIT LINE TO REFER PATIENTS FOR SMOKING CESSATION ASSISTANCE.-ST. FRANCIS CASE MANAGEMENT TEAM PARTNERED WITH STATE PEER SPECIALISTS TO HELP EDUCATE AND FIND ASSISTANCE FOR PATIENTS ADDICTED TO OPIOIDS.VIOLENCE-ST. FRANCIS HOSPITAL IS NOW A DESIGNATED LEVEL 3 TRAUMA FACILITY, MEANING THE HOSPITAL PROMPTLY CARES FOR PATIENTS WHO PRESENT WITH EMERGENCIES, SUCH AS COMMUNITY MEMBERS WHO HAVE BEEN INJURED DUE TO GUN VIOLENCE OR OTHER VIOLENT ACTS. THIS ALLOWS COMMUNITY MEMBERS TO BE SEEN CLOSER TO HOME AT ST. FRANCIS, RATHER THAN TRAVEL DOWNSTATE FOR MEDICAL ASSISTANCE. THE INITIATIVE WAS SPECIFICALLY REQUESTED BY MEMBERS OF THE COMMUNITY DURING A RECENT TOWN HALL MEETING.-ST. FRANCIS SPONSORS A TRAUMA CONFERENCE THAT OFFERS TRAUMA EDUCATION FOR EMS STAFF TO CLOSELY ASSESS TRAUMA CASES TO DETERMINE THE LEVEL OF TRAUMA AND SEVERITY OF INJURY TO TRANSPORT PATIENTS TO THE BEST HOSPITAL FOR MEDICAL ATTENTION. EMS EDUCATION IS ONGOING TO BRING MORE SERIOUS INJURIES CAUSED BY VIOLENT CRIMES TO ST. FRANCIS HOSPITAL FOR CARE. -THE SAINT CLARE VAN BEGAN OFFERING CLINICAL SERVICES IN HIGH VIOLENCE AREAS OF THE CITY, INCLUDING THE HICKS ANDERSON COMMUNITY CENTER, WHICH IS LOCATED IN THE HEART OF THE CITY WITH THE HIGHEST VIOLENCE RATE. THE SAINT CLARE VAN INCLUDED THIS AREA AS ONE OF ITS WEEKLY STOPS TO PROVIDE MEDICAL ASSISTANCE TO THAT COMMUNITY WHO MAY BE AFRAID TO LEAVE THEIR HOME DUE TO THE VIOLENCE IN THE AREA.-ST. FRANCIS OFFERS SPACE FOR SUPPORT MEETINGS AND HAS HIRED SEVERAL PEOPLE FOR THE NEW BEGINNING NEXT STEPS SUPPORT GROUP, WHICH OFFERS GUIDANCE AND SUPPORT FOR NEWLY RELEASED PRISONERS, WITH THE GOAL OF PREVENTING REENTRY INTO THE PRISON SYSTEM AND HELPING THEM FIND EMPLOYMENT IN ADDITION TO OTHER SUPPORT SERVICES. -ST. FRANCIS MADE A FINANCIAL CONTRIBUTION TO THE ANNUAL MARCH FOR PEACE. THE SAINT CLARE VAN AND EMS WERE PRESENT AT THE EVENT AND PARTICIPATED WITH OTHER COMMUNITY ORGANIZATIONS TO PLAN ACTIVITIES THAT PROMOTED PEACE THROUGHOUT THE WEEK, WHICH ALSO ALIGNED WITH THE FEAST OF ST. FRANCIS TO PROMOTE PEACE AWARENESS. ST. FRANCIS 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 7A: HTTPS://WWW.STFRANCISHEALTHCARE.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.ASPX 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. PART V, SECTION B, LINE 10A: HTTPS://WWW.STFRANCISHEALTHCARE.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.ASPX PART V, SECTION B, LINE 16A: HTTPS://WWW.STFRANCISHEALTHCARE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/ PART V, SECTION B, LINE 16B: HTTPS://WWW.STFRANCISHEALTHCARE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/ PART V, SECTION B, LINE 16C: HTTPS://WWW.STFRANCISHEALTHCARE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/ 7 1 - THE WOMAN'S PLACE 1100 NORTH GRANT AVENUE WILMINGTON DE 19802 EMPLOYED PHYSICIANS 2 - NORTH WILMINGTON WOMEN'S CENTER 2002 FOULK ROAD SUITE A WILMINGTON DE 19810 EMPLOYED PHYSICIANS 3 - DELAWARE FAMILY MEDICINE 2002 FOULK ROAD SUITE D WILMINGTON DE 19810 EMPLOYED PHYSICIANS 4 - CENTER OF HOPETINY STEPS 620 STANTON-CHRISTIANA ROAD SUITE 302 NEWARK DE 19713 EMPLOYED PHYSICIANS 5 - CHRISTIANA INST OF ADVANCED SURGERY 537 STANTON-CHRISTIANA ROAD SUITE 102 NEWARK DE 19713 BARIATRIC CARE 6 - WOMEN TO WOMEN OBGYN 620 STANTON-CHRISTIANA ROAD SUITE 304 NEWARK DE 19713 EMPLOYED PHYSICIANS 7 - SACRED HEART CENTER 915 N MADISON STREET WILMINGTON DE 19801 EMPLOYED 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: ST. FRANCIS HOSPITAL PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT, WHICH IT SUBMITS TO THE STATE OF DELAWARE. IN ADDITION, ST. FRANCIS HOSPITAL 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, ST. FRANCIS HOSPITAL 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, $8,842,390, 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: ST. FRANCIS HOSPITAL 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, ST. FRANCIS HOSPITAL IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, ST. FRANCIS HOSPITAL IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL. PART III, LINE 4: ST. FRANCIS HOSPITAL IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE FROM PAGE 14 OF THOSE STATEMENTS: "THE CORPORATION RECOGNIZES A SIGNIFICANT AMOUNT OF PATIENT SERVICE REVENUE AT THE TIME THE SERVICES ARE RENDERED EVEN THOUGH THE CORPORATION DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY AT THAT TIME. AS A RESULT, THE PROVISION FOR BAD DEBTS IS PRESENTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL PROVISIONS AND DISCOUNTS). FOR UNINSURED AND UNDERINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE CORPORATION ESTABLISHES AN ALLOWANCE TO REDUCE THE CARRYING VALUE OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. THIS ALLOWANCE IS ESTABLISHED BASED ON THE AGING OF ACCOUNTS RECEIVABLE AND THE HISTORICAL COLLECTION EXPERIENCE BY THE HEALTH MINISTRIES AND FOR EACH TYPE OF PAYOR. A SIGNIFICANT PORTION OF THE CORPORATION'S PROVISION FOR DOUBTFUL ACCOUNTS RELATES TO SELF-PAY PATIENTS, AS WELL AS CO-PAYMENTS AND DEDUCTIBLES OWED TO THE CORPORATION BY PATIENTS WITH INSURANCE."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: ST. FRANCIS HOSPITAL 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 - ST. FRANCIS HOSPITAL REGULARLY USES DATA FROM THE STATE OF DELAWARE, THE CENTER FOR DISEASE CONTROL, AND THE BUREAU OF VITAL STATISTICS TO BETTER UNDERSTAND HEALTH CHALLENGES AND NEEDS. IN ADDITION, ST. FRANCIS PARTICIPATES IN THE DELAWARE HEALTHTRACKER, A SERVICE OFFERED THROUGH THE DELAWARE HEALTHCARE ASSOCIATION TO GATHER AND ANALYZE STATISTICS RELATING TO HEALTH NEEDS IN OUR COMMUNITY. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE-ST. FRANCIS HOSPITAL IS COMMITTED TO:-PROVIDING ACCESS TO QUALITY HEALTH CARE SERVICES WITH COMPASSION, DIGNITY AND RESPECT FOR THOSE WE SERVE, PARTICULARLY THE POOR AND THE UNDERSERVED IN OUR COMMUNITIES-CARING FOR ALL PERSONS, REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES-ASSISTING PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE CARE THEY RECEIVE -BALANCING NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO SUSTAIN VIABILITY AND PROVIDE THE QUALITY AND QUANTITY OF SERVICES FOR ALL WHO MAY NEED CARE IN A COMMUNITYIN ACCORDANCE WITH AMERICAN HOSPITAL ASSOCIATION RECOMMENDATIONS, ST. FRANCIS HOSPITAL HAS ADOPTED THE FOLLOWING GUIDING PRINCIPLES WHEN HANDLING THE BILLING, COLLECTION AND FINANCIAL SUPPORT FUNCTIONS FOR OUR PATIENTS: -PROVIDE EFFECTIVE COMMUNICATIONS WITH PATIENTS REGARDING HOSPITAL BILLS-MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE FINANCIAL SUPPORT PROGRAMS-OFFER FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS-IMPLEMENT POLICIES FOR ASSISTING LOW-INCOME PATIENTS IN A CONSISTENT MANNER-IMPLEMENT FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES FOR ALL PATIENTS WITH PATIENT PAYMENT OBLIGATIONSST. FRANCIS HOSPITAL 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 AND EXTERNAL 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. FINANCIAL ASSISTANCE APPLICATIONS WILL BE ACCEPTED UNTIL ONE YEAR AFTER THE FIRST BILLING STATEMENT TO THE PATIENT. ST. FRANCIS HOSPITAL 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. 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.ST. FRANCIS HOSPITAL HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. ST. FRANCIS HOSPITAL 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- ST. FRANCIS HOSPITAL IS LOCATED IN THE CITY OF WILMINGTON. THE HOSPITAL'S SERVICE AREA WAS DEFINED AS THE COMMUNITY FOR THE PURPOSES OF THIS ASSESSMENT. THE SERVICE AREA INCLUDES THE FOLLOWING ZIP CODES IN WILMINGTON, DELAWARE: 19801, 19802, 19804, 19805, AND 19806. WITHIN NEW CASTLE COUNTY, THE FOLLOWING ZIP CODES ARE ALSO SERVED BY ST. FRANCIS: 19803 AND 19810 (TALLEYVILLE); 19809 (CLAYMONT); 19808 (PIKE CREEK); 19707 AND 19807 (HOCKESSIN); 19736 (YORKLYN); 19720 (NEW CASTLE); 19702, 19711, 19713, 19716 AND 19717 (NEWARK); AND 19701 (BEAR). IN KEEPING WITH NATIONAL TRENDS, DELAWARE'S POPULATION IS MORE DIVERSE THAN 10 YEARS AGO, WITH SIGNIFICANT INCREASES IN AFRICAN AMERICAN AND HISPANIC POPULATIONS. THE CMS COMPONENT WITH THE HIGHEST PERCENTAGE IN THE ST. FRANCIS HOSPITAL IMMEDIATE SERVICE AREA IS RACIAL AND ETHNIC MINORITIES AT 88%, FOLLOWED BY ADULTS AGE 65 AND OVER WHO ARE LIVING IN POVERTY AT 66.2%. TWO IN FIVE SINGLE FEMALE-HEADED HOUSEHOLDS WITH CHILDREN ARE LIVING IN POVERTY (44.4%). EIGHT PERCENT OF RESIDENTS IN THE PRIMARY SERVICE AREA DO NOT SPEAK ENGLISH AND 23.2% DO NOT HAVE HIGH SCHOOL DIPLOMAS.ST. FRANCIS HOSPITAL SERVES A DIVERSE COMMUNITY WHOSE MEMBERS ARE PRIMARILY AFRICAN AMERICAN, HISPANIC/LATINO, OR WHITE, AS WELL AS THOSE WHO ARE POOR AND VULNERABLE, INCLUDING THOSE WHO ARE AT OR BELOW THE POVERTY LEVEL, WHO HAVE LITTLE OR NO EDUCATION, WHO DO NOT SPEAK OR SPEAK LITTLE ENGLISH, OR WHO ARE UNINSURED OR UNDERINSURED. THE PERCENTAGE OF FAMILIES WITH CHILDREN AND SINGLE FEMALES WITH CHILDREN LIVING IN POVERTY ARE HIGHER IN THE WILMINGTON AND NEWARK AREAS OF DELAWARE. CENTER OF HOPE IS THE MAIN SERVICE AREA FOR NEWARK, SERVING A LARGE PERCENTAGE OF HISPANIC/LATINA WOMEN AND FAMILIES WITH CHILDREN. WITHIN THE STATE OF DELAWARE, A SIGNIFICANT NUMBER OF THOSE WHO ARE POOR WITHIN THE CITY AND THE SURROUNDING NEIGHBORHOODS PURSUE CARE AT ST. FRANCIS. ALMOST 90% OF ST. FRANCIS ADMISSIONS COME FROM THE EMERGENCY DEPARTMENT WHERE THOSE IN NEED OF URGENT OR IMMEDIATE CARE SEEK ASSISTANCE. WHILE HOMELESS RATES HAVE REMAINED RELATIVELY STABLE IN DELAWARE, THERE HAS BEEN INCREASING ATTENTION TO THE HEALTH CARE NEEDS OF THOSE IN SHELTERS AND THOSE WHO ARE IN TRANSITION (MOVING OUT OF PRISON, THE MILITARY OR STABLE RELATIONSHIPS). PART VI, LINE 5: OTHER INFORMATION - SERVICES PROVIDED THROUGH CENTER OF HOPE, TINY STEPS AND THE SAINT CLARE VAN HAVE CONTINUED TO ADDRESS THE PRE-CONCEPTION, PRENATAL HEALTH, HEALTH CARE AND SERVICE NEEDS OF FAMILIES IN DELAWARE. THERE ARE NEW PROGRAMS WITHIN THOSE SERVICE AREAS, INCLUDING A PARTNERSHIP WITH THE YMCA'S DIABETES PREVENTION PROGRAM (DPP) AND THE CENTER OF HOPE OFFICE. CENTER OF HOPE WILL SCREEN AND REFER PATIENTS WHO ARE AT RISK OF DEVELOPING DIABETES TO THE YMCA DPP WHERE THEY WILL BE ENROLLED IN SUPPORT CLASSES AND RECEIVE EDUCATION TO HELP PREVENT DIABETES. THE SAINT CLARE VAN HAS PARTNERED WITH CATHOLIC CHARITIES TO PROVIDE BASIC NEED SERVICES ALONGSIDE THE VAN AT DIFFERENT LOCATIONS TO PROVIDE SERVICES SUCH AS IMMIGRATION SUPPORT, ACCESS TO FOOD AND CLOTHES CLOSETS, AND OTHER ASSISTED LIVING SUPPORT. THE TINY STEPS PROGRAM CONTINUES ITS HEALTHY EATING INITIATIVE, HELPING TO ENCOURAGE HEALTHIER EATING HABITS IN FAMILIES. FAMILIES RECEIVE A PORTION PLATE, INSTRUCTION ON HOW TO READ NUTRITION LABELS, AND RECIPES FOR MEALS THAT COST LESS THAN FIVE DOLLARS TO PREPARE. OTHER RELATIONSHIPS BUILT WITH CATHOLIC SCHOOLS, COMMUNITY GROUPS, AND COMMUNITY PROGRAMS, HAVE ALLOWED ST. FRANCIS TO PROVIDE EDUCATION, SUPPORT, AND RESOURCES TO THE BROADER COMMUNITY. FOR EXAMPLE, ST. FRANCIS HAS PARTNERED WITH THE LATIN AMERICAN COMMUNITY CENTER (LACC) TO PROVIDE SERVICES AND EDUCATION TO PROMOTE HEART HEALTH AND STROKE AWARENESS AND PREVENTION TO THE HISPANIC COMMUNITY. ST. FRANCIS ALSO CONDUCTS A HEALTH EDUCATION LECTURE SERIES AT BAYARD HOUSE, A HOME FOR PREGNANT WOMEN, WHICH PROVIDES EDUCATION ON PRENATAL HEALTH, NUTRITION, POSTPARTUM, LABOR AND DELIVERY, AND OTHER INFORMATION TO ASSIST IN A HEALTHY PREGNANCY. A LECTURE SERIES WAS INTRODUCED TO INCLUDE PROFESSIONAL DEVELOPMENT TO HELP BAYARD HOUSE WOMEN WITH RESUME WRITING, PROFESSIONAL DRESS AND CONDUCT, AND INTERVIEW SKILLS, AS WELL AS PROVIDE INFORMATION ON GED TESTING, ASSISTED LIVING INFORMATION, ETC. ADDITIONALLY, PARTNERING WITH THE WILMINGTON CONSORTIUM, HEALTHY NEIGHBORHOODS, THE HEALTH AMBASSADORS, AND OTHER COMMUNITY GROUPS HAS PROVIDED ST. FRANCIS WITH MORE OPPORTUNITIES TO REACH AND EDUCATE COMMUNITY MEMBERS THROUGH VARIOUS OUTLETS. FOR ADDITIONAL INFORMATION, PLEASE VISIT WWW.DEHA.ORG FOR THE NINTH ANNUAL DEHA COMMUNITY BENEFIT REPORT.ST. FRANCIS HAS COMPLETED SIX OF TEN STEPS TO BECOME BABY-FRIENDLY CERTIFIED. BABY-FRIENDLY HOSPITALS ARE RECOGNIZED FOR ENCOURAGING BREASTFEEDING AND MOTHER/BABY BONDING, WHICH IS KNOWN TO PROVIDE HEALTH BENEFITS FOR INFANTS, CHILDREN, AND MOTHERS. BREASTFEEDING POLICIES HAVE BEEN UPDATED, STAFF HAS BEEN AND CONTINUES TO BE EDUCATED ON BABY-FRIENDLY PROCESSES AND REQUIREMENTS, AND BREASTFEEDING CLASSES AND SUPPORT GROUPS ARE AVAILABLE AT ST. FRANCIS AND OPEN TO THE COMMUNITY. ST. FRANCIS CONTINUES TO WORK TO DEVELOP ELECTRONIC PROCESSES AND WORKFLOW MEASURES TO COMPLETE ALL NECESSARY STEPS TO BECOME BABY-FRIENDLY CERTIFIED IN THE NEXT FISCAL YEAR. ST. FRANCIS HAS ENSURED THAT 70% OF THE OPTIONS SOLD IN THE VENDING MACHINES MEET THE HEALTHIER STOCKING GUIDELINE STANDARDS. ST. FRANCIS HAS PROMOTED HEALTHY VENDING AND HEALTHY EATING THROUGH SOCIAL MEDIA COMMUNICATIONS AS WELL AS LETTERS TO LOCAL SCHOOLS ENCOURAGING THEM TO CHANGE THEIR VENDING MACHINE OPTIONS TO HEALTHIER SNACK ALTERNATIVES. ST. FRANCIS HAS UPDATED ITS SMOKE-FREE CAMPUS POLICY TO INCLUDE ELECTRONIC CIGARETTES AND CHEWING TOBACCO MATERIALS. SIGNAGE IS POSTED AROUND THE HOSPITAL TO EDUCATE AND ENFORCE THE POLICY AMONG VISITORS, PATIENTS AND EMPLOYEES. ST. FRANCIS JOINED THE AMERICAN CANCER SOCIETY AND THE AMERICAN LUNG ASSOCIATION IN LOBBYING EFFORTS FOR AN INCREASE IN STATE TOBACCO TAX. THE STATE PASSED LEGISLATION IN 2017 TO INCREASE TAXES ON TOBACCO, VAPOR AND OTHER TOBACCO RELATED PRODUCTS. PART VI, LINE 6: ST. FRANCIS HOSPITAL 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 ORGANIZATIONS DEFINE - AND ACHIEVE - SPECIFIC COMMUNITY HEALTH AND WELL-BEING GOALS. IN FISCAL YEAR 2017, GOALS INCLUDED 1) PARTICIPATING IN LOCAL COALITION AND ADVOCACY EFFORTS AIMED AT CURBING TOBACCO USE AND PREVENTING OBESITY, 2) ASSESSING CAPACITY TO IDENTIFY AND SUPPORT INDIVIDUALS THAT ARE HOUSING INSECURE AND ACKNOWLEDGING OTHER BARRIERS INDIVIDUALS HAVE ACCESSING HEALTH CARE AND 3) EXPANDING ACCESS AND DELIVERY OF DIABETES PREVENTION PROGRAMS. TRINITY HEALTH ACKNOWLEDGES THE IMPACT SOCIAL DETERMINANTS SUCH AS ADEQUATE HOUSING, SAFETY, ACCESS TO FOOD, EDUCATION, INCOME, AND HEALTH COVERAGE HAVE ON THE HEALTH OF THE COMMUNITY. IN FISCAL YEAR 2016, TRINITY HEALTH LAUNCHED THE TRANSFORMING COMMUNITIES INITIATIVE (TCI), AWARDING EIGHT COMMUNITIES FUNDING TO IMPROVE THE HEALTH AND WELL-BEING OF THEIR COMMUNITIES IN PARTNERSHIP WITH THE LOCAL TRINITY HEALTH MEMBER HOSPITAL. THE AWARDED COMMUNITIES FOCUS ON POLICY, SYSTEM, AND ENVIRONMENTAL CHANGES THAT SPECIFICALLY IMPACT COMMUNITY IDENTIFIED NEEDS AND THAT WILL REDUCE CHILDHOOD OBESITY AND YOUTH TOBACCO USE. IN FISCAL YEAR 2017, TRINITY HEALTH INVESTED $2.7 MILLION IN TCI.AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO OUR COMMUNITIES THROUGH PROGRAMS SERVING THOSE WHO ARE POOR AND VULNERABLE, HELPING MANAGE CHRONIC CONDITIONS LIKE DIABETES, PROVIDING HEALTH EDUCATION, PROMOTING WELLNESS AND DEVELOPING PROGRAMS AND POLICIES TO SPECIFICALLY SUPPORT VULNERABLE POPULATIONS. ANNUALLY, THE ORGANIZATION INVESTS OVER $1.1 BILLION IN SUCH COMMUNITY BENEFITS AND WORKS TO ENSURE THAT ITS MEMBER HOSPITALS AND OTHER ENTITIES/AFFILIATES ENHANCE THE OVERALL HEALTH OF THE COMMUNITIES THEY SERVE BY ADDRESSING THE SPECIFIC NEEDS OF EACH COMMUNITY.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG. PART VI, LINE 7, REPORTS FILED WITH STATES DE 1 WILMINGTON FIREFIGHTERS ASSOCIATION LOCAL 1590 PO BOX 1132 WILMINGTON DE 19899 516021396 501(C)(5) 85508 SPONSORSHIP LEUKEMIA & LYMPHOMA SOCIETY INC 100 W 10TH ST SUITE 209 WILMINGTON DE 19801 135644916 501(C)(3) 5000 SPONSORSHIP DELAWARE STATE TROOPERS ASSOCIATION 6349 N DUPONT HWY CHESWOLD DE 19936 510123065 501(C)(5) 5000 SPONSORSHIP 1 2 PART I, LINE 2: DONATIONS MADE BY ST. FRANCIS HOSPITAL TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE. DONATIONS ARE INCLUDED IN COMMUNITY BENEFITS IN SCHEDULE H IF THE CONTRIBUTION HAS BEEN FORMALLY RESTRICTED TO A COMMUNITY BENEFIT ACTIVITY THAT MEETS THE CRITERIA TO BE REPORTED ON SCHEDULE H. 0 1 0 0 0 0 0 0 0 DAVID RICCI DIRECTOR & INT PRES & CEO AS OF 4/17 0 444499 0 114369 0 137572 0 11925 0 33932 0 742297 0 0 BRIAN DIETZ DIRECTOR, PRESIDENT, & CEO THR 4/17 0 353610 0 130446 0 108224 0 15900 0 10386 0 618566 0 0 OSWALDO NICASTRO MD DIRECTOR THROUGH 12/16; PHYSICIAN 161427 0 0 0 157 0 7235 0 1048 0 169867 0 0 0 TINA GRANT DIRECTOR; TH VP STATE ADVOCACY 0 211367 0 38887 0 1029 0 11523 0 6989 0 269795 0 0 JOHN NEWTON SECRETARY; GENERAL COUNSEL 0 266151 0 25124 0 1754 0 11925 0 10909 0 315863 0 0 MICHAEL POLNEROW DO VP MEDICAL AFFAIRS/ CMO 416395 0 96812 0 2907 0 11925 0 762 0 528801 0 0 0 AUDREY SERNYAK MD PHYSICIAN 612699 0 40000 0 920 0 11925 0 22093 0 687637 0 0 0 EREV TUBB MD PHYSICIAN 500774 0 36538 0 3549 0 11925 0 783 0 553569 0 0 0 JAMES COSGROVE DO PHYSICIAN 451485 0 43311 0 3487 0 19875 0 24651 0 542809 0 0 0 NANCY PETIT MD PHYSICIAN 391788 0 0 0 8783 0 15900 0 30408 0 446879 0 0 0 RICHARD LEADER MD PHYSICIAN 381940 0 0 0 1238 0 15900 0 30186 0 429264 0 0 0 JENNIFER KIRBY FORMER KE; VP PATIENT SERVICES/ CNO 236823 0 56354 0 5738 0 12438 0 10355 0 321708 0 0 0 DALE SZAFRAN FORMER OFFICER; DIRECTOR OF FINANCE 118913 0 0 0 3763 0 5636 0 9154 0 137466 0 0 0 PART I, LINE 3 ST. FRANCIS HOSPITAL IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. ST. FRANCIS HOSPITAL'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 ST. FRANCIS HOSPITAL'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4B THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2016. 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 2016, AND BENEFITS FOR PARTICIPANTS NOT YET VESTED IN A PLAN WERE ACCRUED IN 2016. THE FOLLOWING PAYOUTS FOR 2016 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: BRIAN DIETZ - $89,572 DAVID RICCI - $108,183 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 ($265,000 FOR 2016). THE FOLLOWING PAYOUTS FOR 2016 FOR THESE PLANS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: TINA GRANT - $32 RACHAEL POLNEROW FAMILY MEMBER OF MICHAEL POLNEROW, KEY EMPLOYEE 74332 COMPENSATION 0 SANDRA MANCILLA MD FAMILY MEMBER OF OSWALDO NICASTRO, DIRECTOR 209541 COMPENSATION 0 FORM 990, PART VI, SECTION A, LINE 3 ST. FRANCIS HOSPITAL HAS CONTRACTED WITH IMA CONSULTING FOR THE PROVISION OF CFO SERVICES. IN CALENDAR YEAR 2016 ST. FRANCIS HOSPITAL PAID $392,924 TO IMA CONSULTING FOR BERNARD CITERONE'S SERVICES AS CFO OF ST. FRANCIS HOSPITAL. ST. FRANCIS HOSPITAL DOES NOT KNOW HOW MUCH BERNARD CITERONE RECEIVED AS WAGES FROM IMA CONSULTING IN CALENDAR 2016. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF ST. FRANCIS HOSPITAL 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 ST. FRANCIS HOSPITAL. TRINITY HEALTH CORPORATION HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF ST. FRANCIS HOSPITAL. 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 ST. FRANCIS HOSPITAL IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE STEWARDSHIP COMMITTEE AND THE BOARD OF DIRECTORS. EACH MEMBER OF THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C ST. FRANCIS HOSPITAL 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 ST. FRANCIS HOSPITAL, 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 ST. FRANCIS HOSPITAL 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 ST. FRANCIS HOSPITAL (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO ST. FRANCIS HOSPITAL OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF ST. FRANCIS HOSPITAL (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 ST. FRANCIS HOSPITAL. 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 ST. FRANCIS HOSPITAL IS ESTABLISHED BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING CEO 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 OF ST. FRANCIS HOSPITAL 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 THE COMPENSATION OF OTHER EXECUTIVES, ST. FRANCIS HOSPITAL HAS A PROCESS FOR DETERMINING COMPENSATION WHICH INCLUDES THE FOLLOWING: THE BOARD HAS AN INDEPENDENT COMMITTEE REVIEW AND APPROVE ALL ELEMENTS OF REMUNERATION FOR ALL DISQUALIFIED PARTIES, AS WELL AS OTHER KEY MANAGEMENT. THE BOARD/COMMITTEE HAS AN ESTABLISHED COMPENSATION PHILOSOPHY WHICH DETAILS THE OBJECTIVES OF MARKET POSITIONING AND PAY ELEMENTS. THE COMMITTEE ENGAGES WITH EXTERNAL CONSULTANTS TO PROVIDE MARKET DATA COMPARING THE ORGANIZATION'S ROLES TO SIMILARLY SIZED HEALTH SYSTEMS UTILIZING BOTH TITLE AND JOB CONTENT COMPARISONS. THE COMMITTEE REVIEWS THE MARKET ANALYSIS, APPROVES ANY SALARY ADJUSTMENTS FOR THE EXECUTIVE POPULATION, CONSIDERS BOTH REASONABLENESS AND EFFECTIVENESS OF ALL REMUNERATIVE PROGRAMS AND ESTABLISHES THE DETAILED PERFORMANCE EXPECTATIONS WHICH ARE INCORPORATED INTO THE INCENTIVE PLAN. ALL OF THESE DISCUSSIONS AND DECISIONS ARE DOCUMENTED THROUGH THE PROVISION OF MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 ST. FRANCIS HOSPITAL 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, ST. FRANCIS HOSPITAL INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. ST. FRANCIS HOSPITAL'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G MEDICAL SPECIALIST FEES: PROGRAM SERVICE EXPENSES 7,594,110. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,594,110. CONSULTING FEES: PROGRAM SERVICE EXPENSES 912,008. MANAGEMENT AND GENERAL EXPENSES 301,597. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,213,605. MISC. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 9,373,602. MANAGEMENT AND GENERAL EXPENSES 3,099,812. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,473,414. RECRUITMENT: PROGRAM SERVICE EXPENSES 1,439. MANAGEMENT AND GENERAL EXPENSES 476. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,915. COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 7,775. MANAGEMENT AND GENERAL EXPENSES 2,571. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,346. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 853,000. MANAGEMENT AND GENERAL EXPENSES 282,084. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,135,084. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS TO AFFILIATES -2,470,924. NET ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL ACQUISITIONS 364,212. LOSS FROM DISCONTINUED OPERATIONS -11,369. FORM 990, PART XII, LINE 2: ST. FRANCIS HOSPITAL'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY17 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. DELAWARE CARE COLLABORATION DCC LLC 701 N CLAYTON STREET WILMINGTON DE 19805 474069475 ACCOUNTABLE CARE ORGANIZATION DE 0 4986 ST FRANCIS HOSPITAL INC ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP 245 STATE ST SE GRAND RAPIDS MI 49503 272491974 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN 1 ALLEGANY FRANCISCAN MINISTRIES INC 33920 US HIGHWAY 19 NORTH SUITE 269 PALM HARBOR FL 34684 581492325 GRANT MAKING FL 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 ASYLUM HILL FAMILY MEDICINE CENTER INC 114 WOODLAND STREET HARTFORD CT 06105 061450170 HEALTH CARE SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 BAUM HARMON MERCY HOSPITAL 255 NORTH WELCH AVENUE PRIMGHAR IA 51245 421500277 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP 1 BAUM HARMON MERCY HOSPITAL AND CLINICS FOUNDATION 255 NORTH WELCH AVENUE PRIMGHAR IA 51245 262973307 FOUNDATION IA 501(C)(3) LINE 12A, I BAUM HARMON MERCY HOSPITAL 1 BEECHWOOD INC 2212 BURDETT AVE TROY NY 12180 141651563 TITLE HOLDING COMPANY NY 501(C)(2) N/A LTC (EDDY) INC 1 BETHLEHEM HAVEN OF PITTSBURGH 905 WATSON STREET PITTSBURGH PA 15219 251436685 HOMELESS SHELTER PA 501(C)(3) LINE 7 PITTSBURGH MERCY HEALTH SYSTEM INC 1 BEVERWYCK INC 40 AUTUMN DRIVE SLINGERLANDS NY 12159 141717028 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 BRIGHTSIDE INC 1221 MAIN STREET SUITE 213 HOLYOKE MA 01040 042182395 HEALTH CARE SERVICES MA 501(C)(3) LINE 10 THE MERCY HOSPITAL INC 1 CAPITAL REGION GERIATRIC CENTER INC 421 WEST COLUMBIA ST 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 COLUMBUS ACQUISITION CORP 111 CENTRAL AVENUE NEWARK NJ 07102 262616342 INACTIVE ENTITY NJ 501(C)(3) LINE 10 SAINT MICHAEL'S MEDICAL CENTER 1 CRANBROOK HOSPICE CARE 1111 W LONG LAKE RD STE 102 TROY MI 48098 383320699 HOSPICE SERVICES MI 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES 1 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 SUITE 100 DEWITT NY 13214 461051881 PACE PROGRAM NY 501(C)(3) LINE 10 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 LTC (EDDY) INC 1 FARREN CARE CENTER INC 1221 MAIN STREET SUITE 213 HOLYOKE MA 01040 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 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 COMMUNITY OUTREACH IL 501(C)(3) LINE 10 GOTTLIEB MEMORIAL HOSPITAL 1 GOTTLIEB MEMORIAL FOUNDATION 701 W NORTH AVE 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 GRAND RAPIDS MEDICAL EDUCATION PARTNERS INC 945 OTTAWA AVE NW GRAND RAPIDS MI 49503 237270669 MEDICAL EDUCATION TRAINING PROGRAMS MI 501(C)(3) LINE 12A, I TRINITY HEALTH-MICHIGAN 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 PO BOX 2153 WATERBURY CT 06722 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 RD SILVER SPRING MD 20910 208428450 FOUNDATION MD 501(C)(3) LINE 7 HOLY CROSS HEALTH INC 1 HOLY CROSS HEALTH INC 1500 FOREST GLEN RD 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 MEDICAL PROPERTIES INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 650666283 BUILDING MANAGEMENT SERVICES FL 501(C)(2) N/A HOLY CROSS HOSPITAL INC 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 HEALTH CARE INC 114 WOODLAND STREET HARTFORD CT 06105 810709903 HEALTH CARE SERVICES CT 501(C)(3) LINE 10 TRINITY HEALTH OF NEW ENGLAND CORP INC 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 JOHNSON MEMORIAL MEDICAL CENTER INC 114 WOODLAND STREET HARTFORD CT 06105 810696923 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT CT 501(C)(3) LINE 12B, II 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 OUR LADY OF LOURDES HEALTH CARE SERVICES 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 1 LIFE ST FRANCIS CORPORATION 1435 LIBERTY STREET HAMILTON NJ 08629 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 ST JOSEPH OF THE PINES INC 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 ANCILLARY SERVICES 1600 HADDON AVENUE CAMDEN NJ 08103 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NY 12180 222564710 MANAGEMENT SERVICES FOR LONG TERM CARE NY 501(C)(3) LINE 12B, II ST PETER'S HEALTH PARTNERS 1 MARIAN COMMUNITY HOSPITAL 3805 WEST CHESTER PIKE STE 100 NEWTOWN SQUARE PA 19073 240711230 HEALTH CARE SERVICES (INACTIVE) PA 501(C)(3) LINE 10 MAXIS HEALTH SYSTEM 1 MARIAN HOME HEALTHCARE 801 5TH STREET SIOUX CITY IA 51101 383320705 HOME HEALTH SERVICES (INACTIVE) IA 501(C)(3) LINE 12A, I MERCY HEALTH SERVICES-IOWA CORP 1 MAXIS HEALTH SYSTEM 3805 WEST CHESTER PIKE STE 100 NEWTOWN SQUARE PA 19073 911940902 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE) PA 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 MCAULEY CENTER INC 275 STEELE ROAD WEST HARTFORD CT 06117 061058086 SENIOR LIVING COMMUNITY CT 501(C)(3) LINE 10 MERCY COMMUNITY HEALTH INC 1 MCAULEY CLINIC CORPORATION PO BOX 992 ANN ARBOR MI 48106 382561013 HEALTH CARE SERVICES (INACTIVE) MI 501(C)(3) LINE 3 CATHERINE MCAULEY HEALTH SERVICES CORP 1 MCAULEY MINISTRIES 3333 FIFTH AVENUE PITTSBURGH PA 15213 943436142 GRANT MAKING PA 501(C)(3) LINE 12B, II PITTSBURGH MERCY HEALTH SYSTEM INC 1 MEMORIAL HOSPITAL ALBANY NY 600 NORTHERN BLVD ALBANY NY 12204 141338457 HEALTH CARE AND HOSPITAL SERVICES NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS 1 MERCY AMICARE HOME HEALTHCARE OAKLAND 1111 W LONG LAKE RD STE 102 TROY MI 48098 383320698 HOME HEALTH SERVICES MI 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES 1 MERCY AMICARE HOME HEALTHCARE PORT HURON 17410 COLLEGE PARKWAY STE 150 LIVONIA MI 48152 383320701 HOME HEALTH SERVICES MI 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES 1 MERCY CARE FOUNDATION 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 MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA 1 MERCY COMMUNITY HEALTH INC 2021 ALBANY AVENUE WEST HARTFORD CT 06117 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