2026-05-13T10:18:32-05:00 2025-06-30 990 2024-07-01 043398280 THE MERCY HOSPITAL INC MERC 8607144000 114 WOODLAND STREET MS-510358 HARTFORD CT 06105 ANTONIO PERUGINO VP FINANCE AND CFO 8607144000 2026-05-13 1 2024 2025-03-06 01:10:19Z SEE SCHEDULE O ROBERT ROOSE MD 114 WOODLAND STREET MS-510358 HARTFORD CT 06105 334006874 0 0928 X WWW.TRINITYHEALTHOFNE.ORG X 1898 MA TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES 13 10 1803 27 150003 0 31574223 26766517 302801091 304618322 64031 219907 2947495 2331838 337386840 333936584 349828 275785 0 0 99174400 104787887 0 0 0 226958937 239827572 326483165 344891244 10903675 -10954660 205298889 130833586 166215247 158242776 39083642 -27409190 X WE, TRINITY HEALTH OF NEW ENGLAND AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES. THE MERCY HOSPITAL IS A MEMBER OF TRINITY HEALTH OF NEW ENGLAND AND TRINITY HEALTH. 0 0 294604596 275785 305866874 THE MERCY HOSPITAL HAS ESTABLISHED ITSELF AS ONE OF THE LEADING PROVIDERS OF HEALTH CARE SERVICES IN WESTERN MASSACHUSETTS. THE MERCY HOSPITAL IS A FULL-SERVICE ACUTE CARE HOSPITAL WITH 182 BEDS PROVIDING SERVICES AND PROGRAMS FOR CARDIAC CARE, MATERNITY SERVICES, CANCER TREATMENT, EMERGENCY CARE, DIAGNOSTIC IMAGING, INTENSIVE CARE, CRITICAL CARE, AND SURGICAL PROCEDURES, IN AN INPATIENT AND OUTPATIENT SETTING. THE MERCY HOSPITAL ALSO PROVIDES A COMPREHENSIVE HOSPITAL-BASED REHABILITATION CENTER. PLEASE SEE SCHEDULE H AND THE WEBSITE AT WWW.TRINITYHEALTHOFNE.ORG/ABOUT-US/ FOR ADDITIONAL INFORMATION. 294604596 1 1 0 1 0 0 0 0 0 1 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 173 0 1 1803 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 13 10 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 MA X KRISTINE THURSTON 8607145648 114 WOODLAND STREET MS-510358 HARTFORD CT 06105 JOANN PRICE DIRECTOR; CHAIR 1.00 6.00 X X 0 0 0 WALTER HARRISON DIRECTOR; VICE CHAIR 1.00 5.00 X X 0 0 0 MOST REV JUAN MIGUEL BETANCOURT DIRECTOR 1.00 5.00 X 0 0 0 EMILY BROWER DIR;TRIN SVP CLINICAL INTG THR 12/24 1.00 49.00 X 0 911919 193826 MONTEZ CARTER DIR, TH OF NE PRES & CEO 1.00 54.00 X 0 1378384 281062 GARRETT CASEY DIRECTOR AS OF 1/25 1.00 6.00 X 0 0 0 TINA WEATHERWAX-GRANT DIRECTOR AS OF 1/25; TRINITY SVP 1.00 49.00 X 0 713595 182893 ROBERT GUMBARDO MD DIRECTOR THROUGH 12/24 1.00 5.00 X 0 0 0 AROSHA JAYAWICKREMA DIRECTOR 1.00 5.00 X 0 0 0 JOHN KINNEY DIRECTOR 1.00 5.00 X 0 0 0 WESLEY KNAUFT MD DIRECTOR, MED STAFF PRES AS OF 1/25 1.00 9.00 X 0 75000 0 KARL KRAPEK DIRECTOR 1.00 5.00 X 0 0 0 NANCY KROEBER DIRECTOR 1.00 5.00 X 0 0 0 BARBARA MULLEN CSJ DIRECTOR 1.00 5.00 X 0 0 0 JAMES SMITH DIRECTOR THROUGH 12/24 1.00 5.00 X 0 0 0 CATHERINE SPATH MD DIRECTOR, MED STAFF PRES THRU 12/24 1.00 49.00 X 0 473722 54288 MICHELLE THEROUX DIRECTOR 1.00 5.00 X 0 0 0 ROBERT ANTHONY SECRETARY; VP MANAGING COUNSEL 1.00 49.00 X 0 739424 135482 SEAN FITZPATRICKPD BY MGMT CO TREAS, INTERIM REG CFO THRU 11/24 1.00 49.00 X 0 0 0 ANTONIO PERUGINO TREASURER, VP FIN & CFO AS OF 11/24 1.00 49.00 X 0 87145 2353 SHERI LEMIEUX ASST SEC; ASST TO TH OF NE PRES/CEO 1.00 39.00 X 0 113904 13096 ROBERT ROOSE MD PRESIDENT 15.00 40.00 X 0 607300 131523 ASHA DHAMIJA MD CHIEF MEDICAL OFFICER 25.00 25.00 X 0 449007 56270 DANIEL KEENAN SVP GOVERNMENT RELATIONS 50.00 0.00 X 0 354632 22951 JAITEERTH AVADHANI CHIEF RADIATION PHYSICIST 50.00 0.00 X 289590 0 48748 SUJITH SASIDHARAN MEDICAL PHYSICIST 50.00 0.00 X 230012 0 46733 FATMA KIBODYA NURSE 50.00 0.00 X 222758 0 37381 PAUL WINKEL DO PHYSICIAN - OCCUPATIONAL MEDICINE 50.00 0.00 X 0 212406 13806 DEBORAH BITSOLI FORMER OFFICER; TH OF NE MG PRES 0.00 55.00 X 0 791839 127299 MIKE RYAN FORMER OFFICER, TH OF NE REG VP FIN 5.00 45.00 X 0 443118 50287 JENNIFER SCHNEIDER FORMER OFFICER 0.00 0.00 X 0 554018 2191 742360 7905413 1400189 262 1 1 0 HALLMARK HEALTH CARE SOLUTIONS INC 3000 ATRIUM WAY STE 299 MOUNT LAUREL NJ 08054 MEDICAL STAFFING 2171790 ADFINITAS HEALTH AT MERCY HOSPITAL 7250 PARKWAY DR STE 500 HANOVER MD 21076 PHYSICIAN FEES 1685613 SC ORTHOPEDICS OF NEW ENGLAND PC 401 CHESTNUT ST SPRINGFIELD MA 01104 PHYSICIAN FEES 1640080 RAYMOUND HOULE CONSTRUCTION INC 5 MILLER ST LUDLOW MA 01056 CONSTRUCTION SERVICES 1345148 UMS SPRINGFIELD URS LITHOTRIPSY LLC 1700 W PARK DR 410 WESTBOROUGH MA 01581 HEALTHCARE SERVICES 1179265 30 362500 24921162 1482855 26766517 NET PATIENT SERVICE REVENUE 622110 297703472 297703472 PHARMACY REVENUE 456110 6914850 6914850 304618322 290197 290197 267953 0 267953 267953 267953 70290 -70290 -70290 -70290 OTHER OPERATING REVENUE 622110 1110216 960213 150003 CAFETERIA REVENUE 722514 665330 665330 INTERCOMPANY REVENUE 622110 288339 288339 2063885 333936584 305866874 150003 1153190 238700 238700 37085 37085 1167280 1167280 85943328 85318805 624523 11168844 11061890 106954 6508435 6387980 120455 1012500 1012500 7130 7130 15305 15305 24748932 24507710 241222 252312 73164 179148 2122034 1605272 516762 99998 64396 35602 10063348 9638921 424427 29916 29731 185 128944 74150 54794 4037018 4037018 7892555 7497927 394628 5165459 4907186 258273 INTERCO PURCHASED SVCS 90911735 45025503 45886232 MEDICAL SUPPLIES 72870317 72870317 HOSPITAL PROVIDER TAX 12545421 12545421 BAD DEBT EXPENSE 3765814 3765814 4158834 3905106 253728 344891244 294604596 50286648 0 51279 56743 341580 737289 39161134 41974523 5665204 5585030 476098 358030 0 27287546 2595073 3382114 1062814 1390191 128658161 77349666 205298889 130833586 23010964 19967172 143204283 138275604 166215247 158242776 X 35397871 -32555246 3685771 5146056 39083642 -27409190 205298889 130833586 X -10954660 286192 -55824364 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 1 26530 0 0 0 26530 0 PART II-B, LINE 1: MERCY 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 MERCY HOSPITAL WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. 979437 448576 60910 1488923 711224 237942 30271 979437 645533 21658 44033 711224 732079 -28535 -58011 645533 654729 25547 51803 732079 0.00000 0.82057 0.17943 0 0 0 MISCELLANEOUS RECEIVABLES 6149118 OTHER LONG TERM ASSETS 45098 INTERCOMPANY ACCOUNTS RECEIVABLE 71155450 77349666 INTERCOMPANY ACCOUNTS PAYABLE 34628557 INTERCOMPANY NOTES PAYABLE 99728216 OTHER CURRENT LIABILITIES 2616363 OPERATING LEASE LIABILITIES 365865 LT ASSET RETIREMENT OBLIGATION 826327 OTHER LONG TERM LIABILITIES 110276 138275604 PART V, LINE 4: INCOME FROM ENDOWMENT FUNDS ARE USED TO PROVIDE PATIENT CARE. 1 1 X 1 X 1 X 1 1 0 1 1 1017214 1017214 0.00300 80137044 56832197 23304847 0.06830 81154258 56832197 24322061 0.07130 5 778 547599 212500 335099 0.00100 1 1696 193799 193799 0.00060 5 53381 22452012 1924686 20527326 0.06020 1 36850 36850 0.00010 12 55855 23230260 2137186 21093074 0.06190 12 55855 104384518 58969383 45415135 0.13320 1 3765814 0 69372951 73718453 -4345502 X 1 1 1 1 MERCY MEDICAL CENTER 271 CAREW ST SPRINGFIELD MA 01104 WWW.TRINITYHEALTHOFNE.ORG STATE LICENSE # VHFO X X X MERCY MEDICAL CENTER 1 0 0 1 X X X X X X X X X 24 1 1 1 1 X SEE SCHEDULE H, PART V, SECTION C X 1 24 1 SEE SCHEDULE H, PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X SEE SCHEDULE H, PART V, SECTION C X SEE SCHEDULE H, PART V, SECTION C X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 1 X 0 0 MERCY MEDICAL CENTER PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E: MERCY MEDICAL CENTER INCLUDED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: 1. SOCIAL AND ECONOMIC FACTORS OR "DETERMINANTS" THAT INFLUENCE HEALTH:- HOUSING AND HOMELESSNESS (MERCY MEDICAL CENTER FOCUS AREA)- LACK OF ACCESS AND AFFORDABILITY OF BASIC NEEDS - EDUCATIONAL ATTAINMENT- EMPLOYMENT AND INCOME- VIOLENCE AND TRAUMA- ENVIRONMENTAL EXPOSURES AND CLIMATE CRISIS2. BARRIERS TO HEALTHCARE ACCESS3. HEALTH BEHAVIORS AND OUTCOMES:- MATERNAL HEALTH AND BIRTH EQUITY (REGIONAL FOCUS AREA)- MENTAL HEALTH AND SUBSTANCE USE (REGIONAL FOCUS AREA)- CHRONIC CONDITIONS AND OTHER HEALTH OUTCOMES MERCY MEDICAL CENTER PART V, SECTION B, LINE 5: THE COALITION OF WESTERN MASSACHUSETTS HOSPITALS/INSURER ("THE COALITION") IS A PARTNERSHIP FORMED IN 2012 AMONG NONPROFIT HOSPITALS AND INSURERS IN THE REGION: BAYSTATE MEDICAL CENTER, BAYSTATE FRANKLIN MEDICAL CENTER, BAYSTATE NOBLE HOSPITAL, BAYSTATE WING HOSPITAL, COOLEY DICKINSON HOSPITAL, MERCY MEDICAL CENTER, AND HEALTH NEW ENGLAND. IN 2023, THE COALITION EXPANDED TO INCLUDE BERKSHIRE HEALTH SYSTEMS AND HOLYOKE HEALTH SYSTEM. THE COALITION MEMBERS SHARED RESOURCES AND PARTNERED TO CONDUCT THEIR 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND ADDRESSED REGIONAL NEEDS, WITH THE GOAL OF IMPROVING HEALTH OUTCOMES. BASED ON THE FINDINGS OF CHNA, EACH HOSPITAL DEVELOPED A HEALTH IMPROVEMENT PLAN TO ADDRESS SELECT PRIORITIZED NEEDS. THE CHNA DATA ALSO INFORMED COUNTY HEALTH IMPROVEMENT PLANS (CHIPS) AND OTHER COMMUNITY-PLANNING EFFORTS. KEY INFORMANT INTERVIEWS, COMMUNITY CHATS AND FOCUS GROUPS WERE CONDUCTED TO BOTH GATHER INFORMATION USED TO IDENTIFY PRIORITY HEALTH NEEDS AND ENGAGE THE COMMUNITY. KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH HEALTH CARE PROVIDERS, HEALTH CARE ADMINISTRATORS, LOCAL AND REGIONAL PUBLIC HEALTH OFFICIALS, AND LOCAL LEADERS THAT REPRESENT THE INTERESTS OF THE COMMUNITY OR THAT SERVE MEDICALLY UNDERSERVED, LOW-INCOME, OR POPULATIONS OF COLOR IN THE SERVICE AREA. INTERVIEWS WITH LOCAL AND REGIONAL PUBLIC HEALTH OFFICIALS WERE USED TO IDENTIFY PRIORITY HEALTH AREAS AND COMMUNITY FACTORS THAT CONTRIBUTE TO HEALTH NEEDS. COMMUNITY CHATS AND FOCUS GROUP PARTICIPANTS INCLUDED COMMUNITY ORGANIZATIONAL REPRESENTATIVES, COMMUNITY MEMBERS (LOW-INCOME, PEOPLE OF COLOR, AND OTHERS), AND OTHER COMMUNITY STAKEHOLDERS. KEY INFORMANT INTERVIEWS, COMMUNITY CHATS, AND FOCUS GROUPS WERE CONDUCTED FROM 2024 THROUGH EARLY 2025. FOCUS GROUPS, COMMUNITY CHATS, AND KEY INFORMANT INTERVIEWS WERE CONDUCTED, PRIMARILY IN HAMPDEN COUNTY BUT ALSO ACROSS THE REGION. THIS CHNA ALSO USED QUALITATIVE DATA FROM OTHER HOSPITAL SERVICE AREAS AS APPROPRIATE. BELOW IS A LIST OF PUBLIC HEALTH AND COMMUNITY REPRESENTATIVES, AND OTHER STAKEHOLDERS INVOLVED IN THE PROCESS, WHICH INCLUDED REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. THESE VULNERABLE POPULATIONS, WHICH INCLUDE CHILDREN, OLDER ADULTS, LATINOS, AFRICAN AMERICANS, AND REFUGEES, WERE REPRESENTED BY: FRANKLIN REGIONAL COUNCIL OF GOVERNMENTS, THE WOMEN'S FUND OF WESTERN MASSACHUSETTS, COLLABORATIVE FOR EDUCATIONAL SERVICES, ARMBROOK VILLAGE, WAY FINDERS, UNIVERSITY OF MASSACHUSETTS, SAMARITAN INN, SERVICENET, WESTERN MASSACHUSETTS VETERANS OUTREACH, UNITED CEREBRAL PALSY ASSOCIATION OF WESTERN MASSACHUSETTS, UNITED WAY OF THE FRANKLIN & HAMPSHIRE REGION, SPRINGFIELD DEPARTMENT OF HEALTH AND HUMAN SERVICES CITY OF SPRINGFIELD, DRUG FREE COMMUNITIES, MONTAGUE CATHOLIC SOCIAL MINISTRIES, UNITED WAY OF PIONEER VALLEY, HILLTOWN COMMUNITY HEALTH CENTER, STAVROS CENTER FOR INDEPENDENT LIVING, METROCARE OF SPRINGFIELD, CENTER FOR NEW AMERICANS, WESTERN MASS TRAINING CONSORTIUM, PARENT VILLAGES, MEN OF COLOR HEALTH AWARENESS, YOUNG WOMEN'S ADVISORY COUNCIL OF WESTERN MASSACHUSETTS, COMMUNITY ACTION PIONEER VALLEY, AND COMMUNITY FOUNDATION OF WESTERN MASSACHUSETTS. MERCY MEDICAL CENTER PART V, SECTION B, LINE 6A: MERCY MEDICAL CENTER IS A MEMBER OF THE COALITION OF WESTERN MASSACHUSETTS HOSPITALS AND CONDUCTED THE CHNA WITH THE FOLLOWING NON-PROFIT HOSPITALS: BAYSTATE MEDICAL CENTER, BAYSTATE FRANKLIN MEDICAL CENTER, BAYSTATE NOBLE HOSPITAL, BAYSTATE WING HOSPITAL, COOLEY DICKINSON HOSPITAL, SHRINERS CHILDREN'S NEW ENGLAND, BERKSHIRE HEALTH SYSTEMS, AND HEALTH NEW ENGLAND. MERCY MEDICAL CENTER PART V, SECTION B, LINE 6B: MERCY MEDICAL CENTER CONDUCTED THE CHNA WITH THE FOLLOWING ORGANIZATIONS: PUBLIC HEALTH INSTITUTE OF WESTERN MASSACHUSETTS, COLLABORATIVE FOR EDUCATIONAL SERVICES, FRANKLIN REGIONAL COUNCIL OF GOVERNMENTS, BERKSHIRE REGIONAL PLANNING COMMISSION, RAILROAD STREET YOUTH PROJECT, HILLTOWN COMMUNITY HEALTH CENTERS, INC., BREAKING OPPRESSION, QUABBIN HEALTH DISTRICT, SPRINGFIELD DEPARTMENT OF HEALTH AND HUMAN SERVICES, SERVICENET, AND THE BRIEN CENTER. MERCY MEDICAL CENTER PART V, SECTION B, LINE 11: DURING FISCAL YEAR 2025 (FY25), MERCY MEDICAL CENTER FOCUSED ITS COMMUNITY BENEFIT EFFORTS ON ADDRESSING HOUSING INSTABILITY AND RELATED ECONOMIC PRESSURES AFFECTING INDIVIDUALS AND FAMILIES IN SPRINGFIELD AND SURROUNDING COMMUNITIES. THESE CONDITIONS, HIGHLIGHTED THROUGH COMMUNITY INPUT AND THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT, CONTINUE TO HAVE A SIGNIFICANT INFLUENCE ON HEALTH OUTCOMES, PARTICULARLY FOR RESIDENTS LIVING IN POVERTY OR AT RISK OF DISPLACEMENT.MERCY MEDICAL CENTER AND TRINITY HEALTH INVESTED $330K IN FY25 TO SUPPORT POLICY, SYSTEMS AND ENVIRONMENTAL CHANGE WITHIN THE CITY OF SPRINGFIELD. THE TRANSFORMING COMMUNITIES INITIATIVE IS IN ITS 4TH YEAR OF A 5-YEAR COMMITMENT TO ADDRESS HOUSING. THE COLLABORATIVE HAS SUCCESSFULLY ADVOCATED FOR TENANTS' RIGHT TO COUNSEL AND IS WORKING TO FUND THE SPRINGFIELD HOUSING TRUST AND CREATE A TENANT SUPPORT OFFICE, WHICH AIMS TO STRENGTHEN HOUSING STABILITY, EXPAND ACCESS TO SAFE AND AFFORDABLE HOUSING, AND SUPPORT TENANTS NAVIGATING HOUSING CHALLENGES. MERCY MEDICAL CENTER'S ROLE EMPHASIZED PARTNERSHIP, ADVOCACY, AND COORDINATION WITH LOCAL STAKEHOLDERS RATHER THAN DIRECT SERVICE PROVISION, REFLECTING A LONGTERM APPROACH TO IMPROVING CONDITIONS THAT AFFECT HEALTH.IN ADDITION, MERCY MEDICAL CENTER CONTINUED LONG-STANDING COMMUNITY-BASED SERVICES THAT INTEGRATE CLINICAL CARE WITH SOCIAL SUPPORT FOR INDIVIDUALS EXPERIENCING HOMELESSNESS OR HOUSING INSECURITY. THESE SERVICES REMAINED AN IMPORTANT PART OF MERCY MEDICAL CENTER'S RESPONSE TO IMMEDIATE NEEDS WHILE ALSO SUPPORTING BROADER STABILITY FOR VULNERABLE POPULATIONS.MERCY MEDICAL CENTER ACKNOWLEDGES THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS AND IS COMMITTED TO ADHERING TO ITS MISSION AND REMAINING GOOD STEWARDS OF ITS RESOURCES. MERCY MEDICAL CENTER DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE HEALTH NEEDS WHICH ARE THE MOST PRESSING, UNDER-ADDRESSED AND WITHIN ITS ABILITY TO INFLUENCE. FOR THOSE REASONS, MERCY MEDICAL CENTER DID NOT ADDRESS THE FOLLOWING HEALTH NEEDS: MATERNAL HEALTH AND BIRTH EQUITY, YOUTH MENTAL HEALTH AND SUBSTANCE USE, CHRONIC CONDITIONS AND OTHER HEALTH OUTCOMES, BARRIERS TO HEALTHCARE ACCESS, LACK OF ACCESS AND AFFORDABILITY OF BASIC NEEDS, EDUCATIONAL ATTAINMENT, EMPLOYMENT AND INCOME, VIOLENCE AND TRAUMA, AND ENVIRONMENTAL EXPOSURES AND CLIMATE CRISIS. MERCY MEDICAL CENTER PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON LIMITED AVAILABLE INFORMATION. WHEN SUCH APPROVAL IS GRANTED, IT IS CLASSIFIED AS "PRESUMPTIVE SUPPORT." EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, HOMELESS PATIENTS, 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 DISADVANTAGED PATIENTS, A THIRD-PARTY MAY BE 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 ARE EXHAUSTED, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY DISADVANTAGED PATIENTS. MERCY HOSPITAL, INC. - 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. THE MERCY HOSPITAL - PART V, SECTION B, LINE 7A: WWW.TRINITYHEALTHOFNE.ORG/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS THE MERCY HOSPITAL - PART V, SECTION B, LINE 10A: WWW.TRINITYHEALTHOFNE.ORG/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS THE MERCY HOSPITAL - PART V, SECTION B, LINE 16A: WWW.TRINITYHEALTHOFNE.ORG/FOR-PATIENTS/BILLING-AND-FINANCIAL-RESOURCES/ THE MERCY HOSPITAL - PART V, SECTION B, LINE 16B: WWW.TRINITYHEALTHOFNE.ORG/FOR-PATIENTS/BILLING-AND-FINANCIAL-RESOURCES/ THE MERCY HOSPITAL - PART V, SECTION B, LINE 16C: WWW.TRINITYHEALTHOFNE.ORG/FOR-PATIENTS/BILLING-AND-FINANCIAL-RESOURCES/ 1 1 - WESTERN MASS PETCT IMAGING CENTER 271 CAREW STREET SPRINGFIELD MA 01104 IMAGING CENTER 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: MERCY HOSPITAL PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT, WHICH IT SUBMITS TO THE STATE OF MASSACHUSETTS. IN ADDITION, MERCY 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. MERCY HOSPITAL ALSO INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON TRINITY HEALTH'S WEBSITE AT WWW.TRINITY-HEALTH.ORG/OUR-IMPACT/COMMUNITY-HEALTH-AND-WELL-BEING 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, $ 3,765,814, 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: MERCY 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, MERCY HOSPITAL IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, MERCY 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: MERCY HOSPITAL 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: "AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME IS TREATED AS A RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS FOR WHICH THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYERS FOR RETROACTIVE ADJUSTMENTS, ARE RECEIVABLES IF THE RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. FOR PATIENT ACCOUNTS RECEIVABLE, THE ESTIMATED UNCOLLECTABLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT SERVICE REVENUE AND ACCOUNTS RECEIVABLE.THE CORPORATION HAS AGREEMENTS WITH THIRD-PARTY PAYERS THAT PROVIDE FOR PAYMENTS TO THE CORPORATION'S HEALTH MINISTRIES AT AMOUNTS DIFFERENT FROM ESTABLISHED RATES. ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYERS AND OTHER CHANGES IN ESTIMATES ARE INCLUDED IN NET PATIENT SERVICE REVENUE AND ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS, AS FINAL SETTLEMENTS ARE DETERMINED. ESTIMATED RECEIVABLES FROM THIRD-PARTY PAYERS ALSO INCLUDES AMOUNTS RECEIVABLE UNDER STATE MEDICAID PROVIDER TAX PROGRAMS."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: THE IRS COMMUNITY BENEFIT OBJECTIVES INCLUDE RELIEVING OR REDUCING THE BURDEN OF GOVERNMENT TO IMPROVE HEALTH. TREATING MEDICARE PATIENTS CREATES SHORTFALLS THAT MUST BE ABSORBED BY HOSPITALS, WHICH PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. THEREFORE, THE HOSPITAL BELIEVES ANY MEDICARE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT. TRINITY HEALTH AND ITS HOSPITALS REPORT AS COMMUNITY IMPACT THE LOSS ON MEDICARE AND A HOST OF MANY OTHER EXPENSES DESIGNED TO SERVE PEOPLE EXPERIENCING POVERTY IN OUR COMMUNITIES. SEE SCHEDULE H, PART VI, LINE 5 FOR MORE INFORMATION. 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 26, 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. 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 - MERCY HOSPITAL ASSESSES THE HEALTH STATUS OF ITS COMMUNITY, IN PARTNERSHIP WITH COMMUNITY COALITIONS, AS PART OF THE NORMAL COURSE OF OPERATIONS AND IN THE CONTINUOUS EFFORTS TO IMPROVE PATIENT CARE AND THE HEALTH OF THE OVERALL COMMUNITY. TO ASSESS THE HEALTH OF THE COMMUNITY, THE HOSPITAL MAY USE PATIENT DATA, PUBLIC HEALTH DATA, MARKET STUDIES, AND GEOGRAPHICAL MAPS SHOWING AREAS OF HIGH UTILIZATION FOR EMERGENCY SERVICES AND INPATIENT CARE, WHICH MAY INDICATE POPULATIONS OF INDIVIDUALS WHO DO NOT HAVE ACCESS TO PREVENTATIVE SERVICES OR ARE UNINSURED. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - MERCY HOSPITAL COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS OFFERED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HEALTH CARE 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 FOR FINANCIAL SUPPORT PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. MERCY HOSPITAL OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. NOTIFICATION ABOUT FINANCIAL ASSISTANCE AND GOVERNMENT PROGRAMS, 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 AND GOVERNMENT 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. PART VI, LINE 4: COMMUNITY INFORMATION - MERCY HOSPITAL'S SERVICE AREA INCLUDES 23 COMMUNITIES IN HAMPDEN COUNTY AND GRANBY, A CITY IN HAMPSHIRE COUNTY. HAMPDEN COUNTY IS HOME TO 467,871 RESIDENTS. SPRINGFIELD IS THE LARGEST CITY IN THE SERVICE AREA AND THE THIRD LARGEST IN MASSACHUSETTS. THREE ADJACENT CITIES (HOLYOKE, CHICOPEE, AND WEST SPRINGFIELD) JOIN SPRINGFIELD TO CREATE A DENSELY POPULATED URBAN CORE THAT HOUSES OVER HALF OF THE COUNTY'S POPULATION. EAST AND WEST OF THIS CENTRAL CORE ARE SMALLER COMMUNITIES, A MAJORITY WITH POPULATIONS UNDER 20,000. THE PIONEER VALLEY TRANSIT AUTHORITY, THE SECOND LARGEST PUBLIC TRANSIT SYSTEM IN THE STATE, SERVES 11 COMMUNITIES IN THE SERVICE AREA, AND CONNECTS SUBURBAN AREAS TO THE CORE CITIES AND SERVICES. SPANNING THE GEOGRAPHICALLY DIVERSE SERVICE AREA, ONE FINDS A WEALTH OF COMMUNITY-BASED ORGANIZATIONS, RESOURCES, AND COLLABORATIONS; A VIBRANT ARTS AND CULTURE SCENE; ANCHOR EDUCATION, HEALTH, AND CORPORATE INSTITUTIONS; A STRONG PHILANTHROPIC NETWORK; AND OTHER ASSETS THAT CONTRIBUTE TO THE REGION'S STATUS AS A DESTINATION TO LIVE, WORK, AND PLAY.ACCORDING TO CENSUS ESTIMATES, THE SERVICE AREA HAS BECOME SLIGHTLY MORE DIVERSE SINCE THE LAST COMMUNITY HEALTH NEEDS ASSESSMENT. HAMPDEN COUNTY EXPERIENCED SMALL INCREASES IN THE PROPORTION OF ALL RACIAL AND ETHNIC GROUPS EXCEPT WHITE RESIDENTS, ESPECIALLY IN THE LARGER CITIES. THE SERVICE AREA POPULATION IS NOW 60% WHITE, 23% LATINX, 8% BLACK, 5% TWO OR MORE RACES, AND 3% ASIAN. THE PROPORTION OF FOREIGN-BORN RESIDENTS IN THE SERVICE AREA IS CLOSE TO 9%, HALF THE STATEWIDE PROPORTION. IN SPRINGFIELD, ONE IN TEN RESIDENTS IS FOREIGN BORN.THE MEDIAN AGE OF THE COUNTY IS 39 YEARS AND CONTINUES TO CLOSELY MIRROR THE STATE, WHILE SPRINGFIELD REMAINS A RELATIVELY YOUNGER CITY WITH A MEDIAN AGE OF JUST OVER 33 YEARS. THE COUNTY HAS A HIGHER PROPORTION OF RESIDENTS WITH A DISABILITY (12%) THAN THE STATE OVERALL (8%), AND SPRINGFIELD'S PROPORTION OF RESIDENTS WITH A DISABILITY (16%) IS DOUBLE THAT OF THE STATE.HAMPDEN COUNTY CONTAINS SIX ACUTE CARE HOSPITAL FACILITIES. SEVERAL AREAS AND POPULATIONS IN HAMPDEN COUNTY ARE DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA). OVER 54% PERCENT OF HAMPDEN COUNTY RESIDENTS LIVE IN A HPSA. THE U.S. HEALTH RESOURCES AND SERVICES ADMINISTRATION - DESIGNATED MEDICALLY UNDERSERVED AREAS AND POPULATIONS (MUA/MUP) IN HAMPDEN COUNTY ARE PRIMARILY FOUND IN SPRINGFIELD, WEST SPRINGFIELD, WESTFIELD, BLANDFORD, AND CHESTER. MUA AND MUP ARE IDENTIFIED BASED ON AVAILABILITY OF PRIMARY CARE PROVIDERS, INFANT MORTALITY RATE, POVERTY RATE, AND PROPORTION OF OLDER ADULTS. PART VI, LINE 5: MERCY HOSPITAL PROMOTED THE HEALTH OF THE COMMUNITY BY OFFERING THE FOLLOWING:MERCY HOSPITAL HAS TWO COMMUNITY HEALTH WORKERS. SERVICES OFFERED TO INDIVIDUALS NEEDING ASSISTANCE IN SPRINGFIELD AND HAMPDEN COUNTY INCLUDED SOCIAL CARE SCREENINGS, EMPLOYMENT ASSISTANCE, AND RE-HOUSING. REFERRALS WERE MADE ON BEHALF OF CLIENTS THAT REQUIRE MENTAL HEALTH SERVICES, SUBSTANCE ABUSE TREATMENT SERVICES, AND SHELTER. IN NOVEMBER 2024, MERCY HOSPITAL MIGRATED ITS ELECTRONIC HEALTH RECORD SYSTEM TO AN ENTERPRISE WIDE EMR OWNED BY TRINITY HEALTH. THIS NEW EPIC SYSTEM CALLED TOGETHERCARE HAS EMBEDDED THE SOCIAL INFLUENCERS OF HEALTH SCREENING TOOL AND COMMUNITY RESOURCE DIRECTORY INTO THE PATIENT CHART. UPON ADMISSION, THE NURSING STAFF CAN INITIATE A SOCIAL NEEDS SCREENING TO IDENTIFY NON-MEDICAL NEEDS SUCH AS HOUSING, TRANSPORTATION AND FOOD INSECURITY. ONCE NEEDS ARE IDENTIFIED AND PATIENT SCREENS POSITIVE FOR A NEED, CASE MANAGEMENT WITH COMMUNITY HEALTH WORKERS ARE TRIAGED TO SUPPORT WRAP AROUND SERVICES AND CONNECTIONS TO COMMUNITY RESOURCES BEFORE DISCHARGE. MASSUP SPRINGFIELD - MASSUP IS A DIVERSE, PLACE-BASED COALITION THAT ADVOCATES FOR ALL SPRINGFIELD RESIDENTS TO ACCESS AND ENJOY HEALTHY FOOD. COLLABORATION MEMBERS INCLUDED MERCY MEDICAL CENTER, SPRINGFIELD FOOD POLICY COUNCIL, SQUARE ONE, OPEN PANTRY COMMUNITY SERVICES, GARDENING THE COMMUNITY, AND FERTILE GROUND. RACIAL EQUITY AND RESIDENT LEADERSHIP ARE THE FOUNDATION OF THIS COALITION. EFFORTS INCLUDED: REDUCE THE SNAP/HIP GAP, STATE, AND LOCAL ADVOCACY EFFORTS TO INCREASE ACCESS TO HEALTHY AND AFFORDABLE FOODS, ENGAGE AND MOBILIZE NEIGHBORHOOD COUNCILS AND COMMITTEES ADVOCATING FOR HEALTHY FOOD CHOICES, INCREASE SUPPLY OF FRESH FOOD IN CURRENT RETAIL STORES, AND INCREASE COMMUNITY GARDENS. THE FOCUS COMMUNITIES WERE SPRINGFIELD'S NORTH END, SOUTH END, MASON SQUARE, DOWNTOWN AND METRO CENTRAL NEIGHBORHOODS.IN FISCAL YEAR 2025, TRINITY HEALTH ASSESSED THE TOTAL IMPACT ITS HOSPITALS HAVE ON COMMUNITY HEALTH. THIS ASSESSMENT INCLUDES TRADITIONAL COMMUNITY BENEFIT AS REPORTED IN PART I, COMMUNITY BUILDING AS REPORTED IN PART II, THE SHORTFALL ON MEDICARE SERVICES AS REPORTED IN PART III, AS WELL AS EXPENSES THAT ARE EXCLUDED FROM THE PART I COMMUNITY BENEFIT CALCULATION BECAUSE THEY ARE OFFSET BY EXTERNAL FUNDING. ALSO INCLUDED ARE ALL COMMUNITY HEALTH WORKERS, INCLUDING THOSE OPERATING IN OUR ACCOUNTABLE CARE ORGANIZATION. OUR GOAL IN SHARING THE COMMUNITY IMPACT IS TO DEMONSTRATE HOW OUR CATHOLIC NOT-FOR-PROFIT HEALTH SYSTEM MAKES A DIFFERENCE IN THE COMMUNITIES WE SERVE - FOCUSING ON IMPACTING PEOPLE EXPERIENCING POVERTY - THROUGH FINANCIAL INVESTMENTS. TRINITY HEALTH OF NEW ENGLAND, WHICH INCLUDES MERCY HOSPITAL, HAD A TOTAL COMMUNITY IMPACT IN FISCAL YEAR 2025 OF $310.3 MILLION. PART VI, LINE 6: MERCY HOSPITAL IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH'S COMMUNITY HEALTH & WELL-BEING (CHWB) STRATEGY PROMOTES OPTIMAL HEALTH FOR PEOPLE EXPERIENCING POVERTY AND OTHER VULNERABILITIES IN THE COMMUNITIES WE SERVE - EMPHASIZING THE NECESSITY TO INTEGRATE CLINICAL AND SOCIAL CARE. TRINITY HEALTH CHWB TEAMS LEAD THE DEVELOPMENT AND IMPLEMENTATION OF TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) AND IMPLEMENTATION STRATEGIES WITH INTENTIONAL FOCUS ON ENGAGING COMMUNITIES AND RESIDENTS EXPERIENCING POVERTY AND OTHER VULNERABILITIES. TO FURTHER OUR COMMITMENT TO ACHIEVING HEALTH EQUITY AND THE COMMON GOOD, THE CHNA AND IMPLEMENTATION STRATEGIES FOSTER COLLECTIVE ACTION TO EQUITABLY ALLOCATE RESOURCES FROM THE HOSPITAL AND OTHER SOURCES TO ADDRESS THESE NEEDS IN COMMUNITIES MOST IMPACTED. 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 WE 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 2025 (FY25), TRINITY HEALTH CONTRIBUTED NEARLY $1.4 BILLION IN IRS-DEFINED COMMUNITY BENEFIT SPENDING TO AID THOSE WHO ARE EXPERIENCING POVERTY AND OTHER VULNERABILITIES, AND TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES IN WHICH WE SERVE. TRINITY HEALTH FURTHERED ITS COMMITMENT THROUGH AN ADDITIONAL $1.5 BILLION IN PROGRAMS AND INITIATIVES THAT IMPACT OUR COMMUNITIES - YIELDING A TOTAL COMMUNITY IMPACT OF $2.9 BILLION IN FY25.TRINITY HEALTH'S COMMUNITY INVESTING PROGRAM FINISHED FY25 WITH MORE THAN $68 MILLION COMMITTED TO BUILDING VITAL COMMUNITY RESOURCES. THESE FUNDS, IN COLLABORATION WITH 30 PARTNERS, WERE PAIRED WITH OTHER RESOURCES TO GENERATE MORE THAN $1.1 BILLION IN INVESTMENTS THAT SERVED COMMUNITIES WITHIN TRINITY HEALTH'S SERVICE AREAS. BETWEEN 2018 AND APRIL 2025, THESE INVESTMENTS HAVE BEEN INSTRUMENTAL IN CREATING MUCH-NEEDED COMMUNITY RESOURCES FOR THE PEOPLE THAT WE SERVE, NOTABLY:- SUPPORTED THE CREATION OF 15,700 UNITS OF AFFORDABLE HOUSING OVER THE LAST EIGHT YEARS (INCLUDING APPROXIMATELY 380 SUPPORTIVE HOUSING BEDS).- CREATED OR RETAINED AT LEAST 1,300 CHILDCARE SLOTS; 7,600 K-HIGH SCHOOL EDUCATION SLOTS; AND 2,400 EARLY CHILDHOOD EDUCATION SLOTS.- DEVELOPED AT LEAST 9.3 MILLION SQUARE FEET OF GENERAL REAL ESTATE OVER THE LAST EIGHT YEARS.- SINCE 2014, 920 STUDENTS HAVE RECEIVED $2.65 MILLION IN SCHOLARSHIPS THROUGH THE FRESNO STATE AND BOISE STATE SCHOLARSHIPS FUNDS.- APPROXIMATELY 12,900 FULL- AND PART-TIME POSITIONS HAVE BEEN EITHER CREATED OR MAINTAINED THROUGH PARTNER LENDING. IN FY25, OVER ONE MILLION PATIENTS SYSTEM-WIDE WERE SCREENED FOR HEALTH-RELATED SOCIAL NEEDS AT THEIR DOCTOR'S OFFICE. OF THOSE SCREENED, 27.4% IDENTIFIED AT LEAST ONE NEED AND MOST OFTEN IDENTIFIED FOOD ACCESS, FINANCIAL INSECURITY AND SOCIAL ISOLATION. AN ADDITIONAL 137,000 PATIENTS WERE SCREENED FOR SOCIAL NEEDS DURING AN IN-PATIENT HOSPITAL STAY WHERE TOP NEEDS INCLUDED FOOD ACCESS, TRANSPORTATION AND HOUSING.TRINITY HEALTH'S ELECTRONIC HEALTH RECORD (EPIC) INCLUDES A STANDARD SCREENING TOOL FOR PATIENT SOCIAL NEEDS, AND AN INTEGRATED COMMUNITY RESOURCE DIRECTORY THROUGH FINDHELP TO CONNECT PATIENTS TO FREE AND REDUCED COST SUPPORT PROGRAMS. THE COMMUNITY RESOURCE DIRECTORY YIELDED OVER 118,000 SEARCHES, AN INCREASE OF 34% OVER THE PRIOR YEAR. TOP SEARCHES INCLUDED HOUSING, FOOD ACCESS AND HEALTH CARE. BY COMBINING THEIR LIVED EXPERIENCE AND CONNECTIONS TO THE COMMUNITY WITH EFFECTIVE TRAINING AND INCLUSION IN THE CARE TEAM, COMMUNITY HEALTH WORKERS (CHW) PROVIDE PATIENT-CENTERED AND CULTURALLY RESPONSIVE INTERVENTIONS. CHW'S HAVE MANY COMPETENCIES, INCLUDING PATIENT OUTREACH AND ENGAGEMENT, CONDUCTING ASSESSMENTS, RESOURCE CONNECTION, HEALTH AND SOCIAL SERVICES SYSTEM NAVIGATION, GOAL-SETTING AND PROBLEM-SOLVING THROUGH ONGOING EDUCATION, ADVOCACY AND SUPPORT. IN FY25, TRINITY HEALTH'S 162 CHW'S SUCCESSFULLY ADDRESSED OVER 16,300 SOCIAL NEEDS. ONE SOCIAL NEED (SUCH AS ADDRESSING HOUSING OR FOOD NEEDS) CAN OFTEN TAKE MONTHS, OR EVEN A YEAR TO RESOLVE. WITH FUNDING THROUGH THE CENTERS FOR DISEASE CONTROL AND PREVENTION, TRINITY HEALTH WORKED WITH 23 PARTNERS AND 47 CERTIFIED LIFESTYLE COACHES NATIONWIDE TO DELIVER THE NATIONAL DIABETES PREVENTION PROGRAM, AN EVIDENCE-BASED, 12-MONTH LIFESTYLE CHANGE PROGRAM. THE GOAL OF THE PROGRAM IS TO LOSE A PERCENTAGE OF BASELINE WEIGHT, ATTEND SESSIONS REGULARLY, AND ENGAGE IN 150 MINUTES OF PHYSICAL ACTIVITY A WEEK. GROUP SESSIONS ARE FACILITATED BY A CDC CERTIFIED LIFESTYLE COACH AND OFFERED IN-PERSON, REMOTELY, OR VIRTUALLY AT A SELF-PACED RATE. ALL PARTICIPANTS ARE REGULARLY SCREENED FOR HEALTH-RELATED SOCIAL NEEDS AND ARE REFERRED TO A CHW TO ADDRESS IDENTIFIED NEEDS. IN FY25, TRINITY HEALTH CONDUCTED FOCUSED OUTREACH WITH NEARLY 165,000 ELIGIBLE PARTICIPANTS AND ENROLLED 1,074 PARTICIPANTS INTO THE LIFESTYLE CHANGE PROGRAM.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG. PART VI, LINE 7, REPORTS FILED WITH STATES MA 1 PARTNERS FOR A HEALTHIER COMMUNITY 127 STATE ST 4TH FLOOR SPRINGFIELD MA 01103 043342182 501(C)(3) 237500 0 TRANSFORMING COMMUNITIES INITIATIVE 1 0 BIRTH CERTIFICATES AND IDS 70 2653 CLOTHING 185 9074 SHELTER 7 2087 COLLEAGUE SUPPORT FUND 6 9500 UTILITY BILLS 21 10731 INFANT CAR SEATS 3 655 TRANSPORTATION 110 1630 OTHER MISCELLANEOUS ITEMS - FOOD, PERSONAL HYGIENE, ETC. 30 755 PART I, LINE 2: DONATIONS MADE BY THE MERCY 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. 1 1 0 0 0 0 0 0 0 MONTEZ CARTER DIR, TH OF NE PRES & CEO 0 846241 0 409155 0 122988 0 245931 0 35131 0 1659446 0 100506 EMILY BROWER DIR;TRIN SVP CLINICAL INTG THR 12/24 0 482855 0 285314 0 143750 0 159370 0 34456 0 1105745 0 116495 DEBORAH BITSOLI FORMER OFFICER; TH OF NE MG PRES 0 543485 0 146632 0 101722 0 108644 0 18655 0 919138 0 80069 TINA WEATHERWAX-GRANT DIRECTOR AS OF 1/25; TRINITY SVP 0 404373 0 219901 0 89321 0 151934 0 30959 0 896488 0 70640 ROBERT ANTHONY SECRETARY; VP MANAGING COUNSEL 0 488846 0 161250 0 89328 0 104331 0 31151 0 874906 0 70603 ROBERT ROOSE MD PRESIDENT 0 469522 0 122576 0 15202 0 93496 0 38027 0 738823 0 0 JENNIFER SCHNEIDER FORMER OFFICER 0 0 0 28240 0 525778 0 1836 0 355 0 556209 0 466860 CATHERINE SPATH MD DIRECTOR, MED STAFF PRES THRU 12/24 0 450008 0 21573 0 2141 0 20425 0 33863 0 528010 0 0 ASHA DHAMIJA MD CHIEF MEDICAL OFFICER 0 363557 0 80941 0 4509 0 16675 0 39595 0 505277 0 0 MIKE RYAN FORMER OFFICER, TH OF NE REG VP FIN 0 360795 0 80597 0 1726 0 16675 0 33612 0 493405 0 0 DANIEL KEENAN SVP GOVERNMENT RELATIONS 0 286963 0 60988 0 6681 0 20425 0 2526 0 377583 0 0 JAITEERTH AVADHANI CHIEF RADIATION PHYSICIST 273102 0 14607 0 1881 0 19595 0 29153 0 338338 0 0 0 SUJITH SASIDHARAN MEDICAL PHYSICIST 229779 0 0 0 233 0 15158 0 31575 0 276745 0 0 0 FATMA KIBODYA NURSE 219970 0 2500 0 288 0 17119 0 20262 0 260139 0 0 0 PAUL WINKEL DO PHYSICIAN - OCCUPATIONAL MEDICINE 0 212406 0 0 0 0 0 13806 0 0 0 226212 0 0 PART I, LINE 3 THE MERCY HOSPITAL IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. THE MERCY HOSPITAL'S PRESIDENT WAS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE MERCY HOSPITAL'S PRESIDENT: - 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 2024. THIS AMOUNT IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: JENNIFER SCHNEIDER - $337,825 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2024. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. PARTICIPANTS' VESTED BENEFITS WERE PAID OUT IN 2024, AND THEIR NON-VESTED BENEFITS FOR 2024 WERE ACCRUED. THE FOLLOWING PAYOUTS FOR 2024 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: ROBERT ANTHONY - $73,845 DEBORAH BITSOLI - $83,745 EMILY BROWER - $121,844 MONTEZ CARTER - $105,121 TINA WEATHERWAX-GRANT - $73,884 JENNIFER SCHNEIDER - $187,161 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING ACCRUALS FOR 2024 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: ROBERT ANTHONY - $83,906 DEBORAH BITSOLI - $88,219 EMILY BROWER - $138,945 MONTEZ CARTER - $225,506 TINA WEATHERWAX-GRANT - $131,509 ROBERT ROOSE - $76,821 THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH RESTORATION PLAN. THE RESTORATION PLAN PROVIDES RETIREMENT BENEFITS FOR CERTAIN TRINITY HEALTH SYSTEM OFFICE EXECUTIVES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($345,000 IN 2024). THE FOLLOWING PAYOUTS FOR 2024 FOR THIS PLAN ARE INCLUDED IN COLUMN B (III) OF SCHEDULE J, PART II: ASHA DHAMIJA - $3,437 DANIEL KEENAN - $150 ROBERT ROOSE - $7,178 MIKE RYAN - $0 FORM 990, PAGE 1, DOING BUSINESS AS NAMES: MERCY MEDICAL CENTER SR. MARY CARITAS CANCER CENTER @ MERCY MEDICAL CENTER HEALTHCARE FOR THE HOMELESS @ MERCY MEDICAL CENTER FORM 990, PART VI, SECTION A, LINE 3 TRINITY HEALTH OF NEW ENGLAND, THE SOLE MEMBER OF THE MERCY HOSPITAL, CONTRACTED WITH HEALTHSOURCE PARTNERS LLC FOR THE PROVISION OF INTERIM FINANCIAL MANAGEMENT SERVICES BY SEAN FITZPATRICK TO TRINITY HEALTH OF NEW ENGLAND AND ITS SUBSIDIARIES. IN CALENDAR YEAR 2024, TRINITY HEALTH OF NEW ENGLAND PAID $618,864 TO HEALTHSOURCE PARTNERS LLC FOR THESE SERVICES. THE MERCY HOSPITAL DOES NOT KNOW HOW MUCH SEAN FITZPATRICK RECEIVED AS WAGES FROM HEALTHSOURCE PARTNERS LLC IN CALENDAR YEAR 2024. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE MERCY HOSPITAL IS TRINITY HEALTH OF NEW ENGLAND CORPORATION (TRINITY HEALTH OF NEW ENGLAND). SEE LINE 7 FOR ADDITIONAL INFORMATION. FORM 990, PART VI, SECTION A, LINE 7A TRINITY HEALTH OF NEW ENGLAND IS THE SOLE MEMBER OF THE MERCY HOSPITAL. TRINITY HEALTH OF NEW ENGLAND HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF THE MERCY HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER, TRINITY HEALTH OF NEW ENGLAND MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. TRINITY HEALTH OF NEW ENGLAND MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS AND MODIFICATIONS TO GOVERNING DOCUMENTS. AS THE PARENT OF THE NATIONAL TRINITY HEALTH SYSTEM, CERTAIN POWERS ARE RESERVED TO TRINITY HEALTH CORPORATION. THESE INCLUDE THE AUTHORITY TO ADOPT OR MODIFY THE ORGANIZATION'S GOVERNING DOCUMENTS, TO APPROVE MAJOR CHANGES SUCH AS A MERGER OR DISSOLUTION, AND TO APPROVE SIGNIFICANT FINANCE MATTERS IN EXCESS OF CERTAIN LIMITS ESTABLISHED BY TRINITY HEALTH CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE AUDIT AND COMPLIANCE COMMITTEE OF TRINITY HEALTH OF NEW ENGLAND HAS THE RESPONSIBILITY FOR OVERSEEING THE REVIEW OF THE FORM 990, INCLUDING ENSURING APPROPRIATE DIRECTORS AND/OR MANAGEMENT PERSONNEL HAVE REVIEWED AND ANY ISSUES ARE COMMUNICATED TO THIS COMMITTEE PRIOR TO FILING. 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 THE MERCY 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 THE MERCY 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 THE MERCY 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 THE INTEGRITY AND COMPLIANCE OFFICER, WHO COLLABORATES WITH INTERNAL LEGAL COUNSEL TO ASSESS THE CONFLICT AND IDENTIFY A CONFLICT MANAGEMENT PLAN WHEN NECESSARY. ADDITIONALLY, THE INTEGRITY AND COMPLIANCE OFFICER ALONG WITH LEGAL COUNSEL PREPARES A REPORT FOR THE BOARD CHAIR AND CEO. A SUMMARY OF POTENTIAL CONFLICTS IS REVIEWED WITH THE BOARD OF DIRECTORS OF THE MERCY HOSPITAL (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO THE MERCY 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 THE MERCY 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 THE MERCY 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 THE MERCY HOSPITAL WAS ESTABLISHED BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING PRESIDENT AND CFO COMPENSATION, TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF THE PRESIDENT AND CFO OF THE MERCY 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 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 THE MERCY 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, THE MERCY HOSPITAL INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON TRINITY HEALTH'S WEBSITE. THE MERCY HOSPITAL'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: EQUITY GAIN IN UNCONSOLIDATED AFFILIATES 385,594. EQUITY TRANSFERS TO AFFILIATES -26,559,825. OTHER TRANSACTIONS -2,938,183. ASSET IMPAIRMENT -26,711,950. FORM 990, PART XII, LINE 2: THE MERCY HOSPITAL'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY25 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH OF NEW ENGLAND AND TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. MERCY CARE ALLIANCE LLC 1221 MAIN ST STE 213 HOLYOKE MA 01040 471561725 ACCOUNTABLE CARE ORGANIZATION MA 0 0 THE MERCY HOSPITAL INC MERCY HEALTH ACCOUNTABLE CARE ORGANIZATION 1221 MAIN ST STE 213 HOLYOKE MA 01040 821007572 ACCOUNTABLE CARE ORGANIZATION MA 1876990 3657504 THE MERCY HOSPITAL INC ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP 200 JEFFERSON AVE 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 1000 4TH STREET SW MASON CITY IA 50401 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 1000 4TH STREET SW MASON CITY IA 50401 262973307 FOUNDATION IA 501(C)(3) LINE 12A, I BAUM HARMON MERCY HOSPITAL 1 BEECHWOOD INC 2212 BURDETT AVE TROY NY 12180 141651563 TITLE HOLDING COMPANY NY 501(C)(2) N/A LTC (EDDY) INC 1 BETHLEHEM HAVEN OF PITTSBURGH 905 WATSON STREET PITTSBURGH PA 15219 251436685 HOMELESS SHELTER PA 501(C)(3) LINE 7 PITTSBURGH MERCY HEALTH SYSTEM INC 1 BEVERWYCK INC 40 AUTUMN DRIVE SLINGERLANDS NY 12159 141717028 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 BRIGHTSIDE INC 114 WOODLAND STREET HARTFORD CT 06105 042182395 HEALTH CARE SERVICES MA 501(C)(3) LINE 10 THE MERCY HOSPITAL INC 1 CAPITAL REGION GERIATRIC CENTER INC 421 WEST COLUMBIA STREET COHOES NY 12047 141701597 LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 CATHERINE MCAULEY HEALTH SERVICE CORP 5315 ELLIOTT DR 102 YPSILANTI MI 48197 382507173 HEALTH CARE SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH-MICHIGAN 1 CATHOLIC HEALTH INITIATIVES - IOWA CORP 1111 6TH AVENUE DES MOINES IA 50314 420680448 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 MERCY HEALTH NETWORK INC 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 CENTRAL COMMUNITY HOSPITAL 901 DAVIDSON ST NW ELKADER IA 52043 420818642 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 MERCY COMMUNITY HOSPITAL GROUP LLC 1 COVENANT FOUNDATION INC 3421 WEST NINTH STREET WATERLOO IA 50702 421295784 FOUNDATION IA 501(C)(3) LINE 7 COVENANT MEDICAL CENTER INC 1 COVENANT MEDICAL CENTER INC 3421 WEST NINTH STREET WATERLOO IA 50702 421264647 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 WHEATON FRANCISCAN HEALTHCARE-IOWA INC 1 DILEY RIDGE MEDICAL CENTER 3100 EASTON SQUARE PL STE 300 COLUMBUS OH 43219 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 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 PO BOX 9184 FARMINGTON HILLS MI 48333 042501711 LONG TERM CARE MA 501(C)(3) LINE 3 TRINITY CONTINUING CARE SERVICES 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 GENESIS HEALTH SERVICES FOUNDATION 1227 E RUSHOLME STREET DAVENPORT IA 52803 421421670 FOUNDATION IA 501(C)(3) LINE 7 GENESIS HEALTH SYSTEM 1 GENESIS HEALTH SYSTEM 1227 E RUSHOLME STREET DAVENPORT IA 52803 421418847 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 MERCY HEALTH NETWORK INC 1 GENESIS HEALTH SYSTEM (IL) 801 ILLINI DRIVE SILVIS IL 61282 363616314 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 MERCY HEALTH NETWORK INC 1 GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST 1227 E RUSHOLME STREET DAVENPORT IA 52803 391905171 EMPLOYEE BENEFIT TRUST IA 501(C)(3) LINE 12A, I GENESIS HEALTH SYSTEM 1 GENESIS MEDICAL CENTER ALEDO 409 NW 9TH AVENUE ALEDO IL 61231 454475683 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 GENESIS HEALTH SYSTEM (IL) 1 GLACIER HILLS FOUNDATION PO BOX 530009 LIVONIA MI 48152 208072723 FOUNDATION MI 501(C)(3) LINE 12A, I GLACIER HILLS INC 1 GLACIER HILLS INC PO BOX 500039 LIVONIA MI 48152 381891500 SENIOR LIVING COMMUNITY MI 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES 1 GLEN EDDY INC 1 GLEN EDDY DRIVE 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(EDDY) INC 1 HEARTWOOD LODGE TRINITY HEALTH PO BOX 530009 LIVONIA MI 48152 382602971 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES 1 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 530009 LIVONIA MI 48152 521945054 LONG TERM CARE MD 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES 1 HOLY CROSS HEALTH FOUNDATION INC 1500 FOREST GLEN ROAD SILVER SPRING MD 20910 208428450 FOUNDATION MD 501(C)(3) LINE 7 HOLY CROSS HEALTH INC 1 HOLY CROSS HEALTH INC 1500 FOREST GLEN ROAD SILVER SPRING MD 20910 520738041 HEALTH CARE AND HOSPITAL SERVICES MD 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 HOLY CROSS HOSPITAL INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 590791028 HEALTH CARE AND HOSPITAL SERVICES FL 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 HOLY CROSS OUTPATIENT SERVICES INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 465421068 HEALTH CARE SERVICES FL 501(C)(3) LINE 10 HOLY CROSS HOSPITAL INC 1 HOLY CROSS PRIMARY CARE INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 812531495 HEALTH CARE SERVICES FL 501(C)(3) LINE 10 HOLY CROSS HOSPITAL INC 1 HOLY CROSS SENIOR SERVICES INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 832256461 HEALTH CARE SERVICES FL 501(C)(3) LINE 10 HOLY CROSS HOSPITAL INC 1 HOME 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 NORTH OTTAWA COMMUNITY INC PO BOX 532020 LIVONIA MI 48153 382370192 HOSPICE SERVICES MI 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES 1 HOUSE OF MERCY 1111 6TH AVENUE DES MOINES IA 50314 421323808 HEALTH CARE SERVICES IA 501(C)(3) LINE 7 CATHOLIC HEALTH INITIATIVES - IOWA CORP 1 IHA HEALTH SERVICES CORPORATION 24 FRANK LLOYD WRIGHT DR LOBBY J ANN ARBOR MI 48105 383316559 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN 1 JOHNSON MEMORIAL HOSPITAL INC 114 WOODLAND STREET HARTFORD CT 06105 475676956 HEALTH CARE AND HOSPITAL SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 LANGHORNE MRI INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 232519529 HEALTH CARE SERVICES (INACTIVE) PA 501(C)(3) LINE 10 ST MARY MEDICAL CENTER 1 LIFE AT LOURDES INC 2475 MCCLELLAN AVENUE PENNSAUKEN NJ 08109 261854750 PACE PROGRAM NJ 501(C)(3) LINE 10 TRINITY HEALTH PACE 1 LIFE AT ST FRANCIS HEALTHCARE INC 1072 JUSTISON STREET WILMINGTON DE 19801 452569214 PACE PROGRAM DE 501(C)(3) LINE 10 TRINITY HEALTH PACE 1 LIFE ST JOSEPH OF THE PINES INC 4900 RAEFORD ROAD FAYETTEVILLE NC 28304 272159847 PACE PROGRAM NC 501(C)(3) LINE 10 TRINITY HEALTH PACE 1 LIFE ST MARY 2500 NORTHGATE ROAD TREVOSE PA 19053 262976184 PACE PROGRAM PA 501(C)(3) LINE 10 TRINITY HEALTH PACE 1 LOYOLA MEDICINE 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LINE 10 CATHOLIC HEALTH INITIATIVES - IOWA CORP 1 MERCY COLLEGE OF HEALTH SCIENCES 928 6TH AVENUE DES MOINES IA 50309 421511682 COLLEGE OF HEALTH SCIENCE IA 501(C)(3) LINE 2 CATHOLIC HEALTH INITIATIVES - IOWA CORP 1 MERCY COMMUNITY HEALTH INC PO BOX 530009 LIVONIA MI 48152 061492707 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT CT 501(C)(3) LINE 12B, II TRINITY CONTINUING CARE SERVICES 1 MERCY FAMILY SUPPORT 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE PA 19073 232325059 HOME HEALTH SERVICES PA 501(C)(3) LINE 10 MERCY HOME HEALTH SERVICES 1 MERCY FOUNDATION OF DES MOINES IOWA 1111 6TH AVENUE DES MOINES IA 50314 237358794 FOUNDATION IA 501(C)(3) LINE 7 CATHOLIC HEALTH INITIATIVES - IOWA CORP 1 MERCY FOUNDATION INC 2160 SOUTH FIRST AVENUE MAYWOOD IL 60153 363227350 FOUNDATION IL 501(C)(3) LINE 7 MERCY HEALTH SYSTEM OF CHICAGO 1 MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE PO BOX 532020 LIVONIA MI 48153 383321856 HOME HEALTH SERVICES MI 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES 1 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