2021-05-17T11:57:44-05:00 2020-06-30 990 2019-07-01 043398280 THE MERCY HOSPITAL INC MERC 8607144000 114 WOODLAND STREET MS-510358 HARTFORD CT 06105 JENNIFER SCHNEIDER SVP AND REGIONAL CFO 8607144000 2021-05-17 2019 2022-09-23 18:48:47Z X SEE SCHEDULE O DEBORAH BITSOLI 114 WOODLAND STREET MS-510358 HARTFORD CT 06105 362155493 0 0928 X WWW.TRINITYHEALTHOFNE.ORG X 1898 MA TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES 15 12 2801 114 2085577 0 2126273 34195497 315786646 301057412 922768 988355 33338682 25848501 352174369 362089765 465002 411683 0 0 143000833 135344581 0 0 0 211380297 216618203 354846132 352374467 -2671763 9715298 565783988 542089487 377287206 355044362 188496782 187045125 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 339186258 411683 323171460 THE MERCY HOSPITAL IS A FULL-SERVICE ACUTE CARE HOSPITAL IN SPRINGFIELD, MASSACHUSETTS. THE ACUTE PROGRAMS AND SERVICES INCLUDE CARDIAC CARE, MATERNITY SERVICES, CANCER TREATMENT, EMERGENCY CARE, DIAGNOSTIC IMAGING, INTENSIVE CARE, CRITICAL CARE, AND SURGICAL PROCEDURES, BOTH INPATIENT AND OUTPATIENT. THE MERCY HOSPITAL'S BEHAVORIAL HEALTH PROGRAMS AND SERVICES INCLUDE INPATIENT AND OUTPATIENT PSYCHIATRIC CARE FOR PEOPLE OF ALL AGES, SHORT-TERM RESIDENTIAL TREATMENT FOR PEOPLE WITH ACUTE PSYCHIATRIC AND/OR SUBSTANCE ABUSE PROBLEMS, AND INTENSIVE OUTPATIENT CHEMICAL DEPENDENCY PROGRAMS.PLEASE SEE SCHEDULE H AND THE WEBSITE AT WWW.TRINITYHEALTHOFNE.ORG/ABOUT-US/ FOR ADDITIONAL INFORMATION. 339186258 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 1 0 0 1 234 0 1 2801 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 12 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 MA X DONNA GILBERT 8607149632 114 WOODLAND STREET MS-510358 HARTFORD CT 06105 BENJAMIN CARTER DIRECTOR; TRINITY HEALTH EVP & COO 1.00 54.00 X 0 1736940 69299 REGINALD EADIE MD DIRECTOR; TH OF NE PRESIDENT & CEO 1.00 54.00 X 0 1389729 294091 MARK FULCO PRESIDENT THROUGH 11/19 48.00 7.00 X 0 560303 421873 DANIEL MOEN FORMER OFFICER; SFMC TREN PRES/CEO 0.00 55.00 X 0 673521 56221 THOMAS ROBERT FORMER OFFICER; SPHP TREAS & CFO 0.00 50.00 X 0 581857 126270 ROBERT ANTHONY SECRETARY; VP MANAGING COUNSEL 1.00 49.00 X 0 508296 105678 LEONARD PANSA FORMER KE; TH OF NE REG CHRO & SVP 1.00 49.00 X 0 539431 33860 STUART ROSENBERG VP OPERATIONS; JMH PRESIDENT 1.00 54.00 X 0 423725 60529 CHARLES FLINN FORMER KEY EMPLOYEE 0.00 0.00 X 0 349718 133962 VIKRAM SONDHI FORMER KEY EMPLOYEE;MEDICAL DIRECTOR 0.00 50.00 X 0 405048 45236 ROBERT ROOSE MD CHIEF MEDICAL OFFICER 49.00 1.00 X 0 414600 26640 JENNIFER SCHNEIDER TREASURER, SVP & REG CFO AT 10/19 1.00 49.00 X 0 373219 62504 DANIEL KEENAN SVP GOVERNMENT RELATIONS 45.00 5.00 X 0 302975 46163 ANNE CARTER PHYSICIAN 50.00 0.00 X 294938 0 8400 FRANCES MARTHONE CHIEF NURSING OFFICER THR 7/19 50.00 0.00 X 0 269596 31616 KATHLEEN HERSHON PSYCHIATRIST 50.00 0.00 X 279778 0 14594 BARRI BELNAP PHYSICIAN 50.00 0.00 X 270961 0 12193 JAMES HARRIS FORMER OFFICER;TH OF NE DIR OF REIMB 0.00 50.00 X 0 235981 44584 MARY TARAIL FORMER KEY EMPLOYEE; PSYCHIATRIST 32.00 0.00 X 245978 0 14759 BETH O'BRIEN FORMER OFFICER 0.00 0.00 X 0 232846 3327 DEAN VITARISI FORMER OFFICER 0.00 0.00 X 0 213866 13742 SHERI LEMIEUX ASST SEC; ASST TO TH OF NE PRES/CEO 1.00 39.00 X 0 112411 12843 DEBORAH BITSOLI PRESIDENT AS OF 12/19 48.00 7.00 X 0 95838 23351 GWENDOLYN MORASKI DIRECTOR; SFHMC MEDICAL STAFF PRES 1.00 10.00 X 0 75000 0 GUY DISTEFANO VP FINANCE AS OF 10/19 43.00 7.00 X 0 66871 4127 KEVIN O'CONNOR DIRECTOR; CHAIR 1.00 5.00 X X 0 0 0 JAMES SMITH DIRECTOR; VICE CHAIR 1.00 5.00 X X 0 0 0 MOST REV JUAN MIGUEL BETANCOURT DIRECTOR AS OF 1/20 1.00 5.00 X 0 0 0 MARY GEARY CARITAS SP DIRECTOR THROUGH 12/19 1.00 12.00 X 0 0 0 GREGORY DAVIS DIRECTOR AS OF 1/20 1.00 5.00 X 0 0 0 NAKIA HALL DIRECTOR 1.00 5.00 X 0 0 0 WALTER HARRISON DIRECTOR 1.00 5.00 X 0 0 0 PAUL MANCINONE DIRECTOR 1.00 11.00 X 0 0 0 JOYCE MANDELL DIRECTOR 1.00 5.00 X 0 0 0 ANGELA MATTIE DIRECTOR 1.00 5.00 X 0 0 0 JOSEPH MENGACCI DIRECTOR 1.00 5.00 X 0 0 0 BARBARA MULLEN CSJ DIRECTOR 1.00 5.00 X 0 0 0 JOANN PRICE DIRECTOR 1.00 5.00 X 0 0 0 CURTIS ROBINSON DIRECTOR THROUGH 12/19 1.00 6.00 X 0 0 0 DANIEL JANICAK PD BY MGMT CO INTERIM VP FINANCE THROUGH 10/19 44.00 6.00 X 0 0 0 1091655 9561771 1665862 262 1 1 0 BOSTON MEDICAL CENTER ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 PHYSICIAN SERVICES 3321451 PIONEER VALLEY CARDIOLOGY PC 300 STAFFORD ST SPRINGFIELD MA 01104 PHYSICIAN SERVICES 3303257 SMARTER HEALTHCARE PARTNERS PO BOX 204653 DALLAS TX 75320 MEDICAL STAFFING SERVICES 1837501 SC ORTHOPEDICS OF NEW ENGLAND PC 528 8TH STREET NE HICKORY NC 28601 PHYSICIAN SERVICES 1719798 ADFINITAS HEALTH AT MERCY HOSP 7250 PARKWAY DRIVE STE 500 HANOVER MD 21076 PHYSICIAN SERVICES 1266101 53 20600 462750 33338870 373277 34195497 NET PATIENT SERVICE REVENUE 622110 299075697 299075697 PHARMACY REVENUE 446110 1981715 73503 1908212 301057412 933604 933604 492333 0 492333 492333 492333 54751 0 54751 54751 54751 89857 65728 24129 24129 GOV'T SUBSIDY-DSTI PROGRAM 622110 14145502 14145502 INTERCOMPANY REVENUE 622110 2646257 2646257 CAFETERIA REVENUE 722514 1132414 1132414 7407866 7230501 177365 25332039 362089765 323171460 2085577 2637231 410183 410183 1500 1500 1236053 1236053 488345 260737 227608 112373393 108352865 4020528 8153813 7809140 344673 4232776 4099809 132967 8860201 8442576 417625 86 86 98113 98113 24363354 23457931 905423 554553 528414 26139 2993231 2852145 141086 5676667 5409098 267569 7930101 7556316 373785 159170 151668 7502 57881 55153 2728 4198990 4198990 13181834 12560510 621324 3050666 2906873 143793 INTERCO PURCHASED SVCS 84386977 80409405 3977572 MEDICAL SUPPLIES 58668299 58668299 BAD DEBT EXPENSE 3367259 3367259 EQUIPMENT MAINTENANCE 3087213 2941698 145515 4843809 4745689 98120 352374467 339186258 13188209 0 4501628 3547605 901313 586123 63583250 40761828 66304 61157 5881138 5796192 607454 716674 291125244 213579057 86559220 77546187 221163824 273626397 140255257 105554692 42264600 33892632 565783988 542089487 49503939 35875777 1180699 6314154 290015 295155 326312553 312559276 377287206 355044362 X 185437923 184380304 3058859 2664821 188496782 187045125 565783988 542089487 X 9715298 2927851 -14094806 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 1 115439 0 0 0 115439 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. 808233 -57904 -7876 87724 654729 871309 8906 71982 808233 2314700 4750 1448141 871309 331917 1968680 43603 29500 2314700 345256 -13339 331917 0.00000 1.00000 0.00000 0 0 1865627 1865627 103134057 52583151 50550906 2357714 1431252 926462 176551553 154843159 21708394 7216293 4721495 2494798 77546187 COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES 30158484 F HEDGE FUNDS 18849052 F EQUITY METHOD INVESTMENTS 56547156 C 105554692 MISCELLANEOUS RECEIVABLES 1767670 OTHER LONG TERM ASSETS 1177519 INVESTMENT IN UNCONSOL. AFFILIATES 262398 INTERCOMPANY ACCOUNTS RECEIVABLE 5881413 OTHER CURRENT ASSETS 1807001 OTHER INTERCOMPANY ASSETS 22985433 OPERATING LEASE RIGHT-OF-USE ASSETS 11198 33892632 INTERCOMPANY ACCOUNTS PAYABLE 153406829 INTERCOMPANY NOTES PAYABLE 109796663 OTHER CURRENT LIABILITIES 6538197 OTHER LONG-TERM LIABILITIES 899707 DEFERRED COMPENSATION LIABILITY 2194847 ANNUITIES PAYABLE 13803 OPERATING LEASE LIABILITIES 759853 MEDICARE CASH ADVANCES 38949377 312559276 PART V, LINE 4: INCOME FROM ENDOWMENT FUNDS ARE USED TO PROVIDE PATIENT CARE. 1 1 X 1 X 1 X 1 1 1 0 1 1 8873 3261916 3261916 0.00930 23433 97579021 76859927 20719094 0.05940 32306 100840937 76859927 23981010 0.06870 20 4586 724250 61458 662792 0.00190 1 235 149782 149782 0.00040 1 7869 1673507 1156186 517321 0.00150 2 4475 60092 60092 0.00020 24 17165 2607631 1217644 1389987 0.00400 24 49471 103448568 78077571 25370997 0.07270 1 2575 2575 0.00000 1 115 115 0.00000 1 1540 577467 450000 127467 0.00040 1 30 30 0.00000 1 40 40 0.00000 5 1540 580227 450000 130227 0.00040 0 3367259 0 86953008 98012768 -11059760 X 1 1 1 LIFEPATH PARTNERS LLC LABORATORY SERVICES 0.50000 0.00000 0.50000 1 1 MERCY HOSPITAL INC 271 CAREW ST SPRINGFIELD MA 01104 WWW.TRINITYHEALTHOFNE.ORG STATE LICENSE # VHFO X X X MERCY HOSPITAL INC 1 0 0 1 X X X X X X X X X 18 1 1 1 1 X SEE SCHEDULE H, PART V, SECTION C X 1 18 1 SEE SCHEDULE H, PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X 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 HOSPITAL, INC. PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E: MERCY HOSPITAL 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. COMMUNITY LEVEL SOCIAL AND ECONOMIC DETERMINANTS THAT IMPACT HEALTH: - HOUSING NEEDS - BUILT ENVIRONMENT (ACCESS TO HEALTHY FOOD, TRANSPORTATION, AND PLACES TO EXERCISE) - LACK OF RESOURCES TO MEET BASIC NEEDS - EDUCATIONAL ATTAINMENT - VIOLENCE AND TRAUMA - SOCIAL ENVIRONMENT AND SOCIAL ISOLATION - ENVIRONMENTAL EXPOSURES 2. BARRIERS TO ACCESSING QUALITY HEALTH CARE - INSURANCE AND HEALTH CARE RELATED CHALLENGES- LIMITED AVAILABILITY OF PROVIDERS - LACK OF TRANSPORTATION AND NEED FOR FINANCIAL ASSISTANCE - NEED FOR CULTURALLY SENSITIVE CARE - LACK OF CARE COORDINATION - HEALTH LITERACY AND LANGUAGE BARRIERS 3. HEALTH OUTCOMES- MENTAL HEALTH AND SUBSTANCE USE - CHRONIC HEALTH CONDITIONS - PHYSICAL ACTIVITY AND NUTRITION - INFANT AND PERINATAL HEALTH ADDITIONAL DESCRIPTIONS FOR EACH OF THE PRIORITIZED NEEDS AND SUB-NEEDS CAN BE FOUND IN THE HOSPITAL'S CHNA, WHICH IS LOCATED ON THE HOSPITAL'S WEBSITE: WWW.TRINITYHEALTHOFNE.ORG/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS MERCY HOSPITAL, INC. PART V, SECTION B, LINE 5: THE INPUT OF THE COMMUNITY AND OTHER IMPORTANT REGIONAL STAKEHOLDERS WAS PRIORITIZED BY THE COALITION AS AN IMPORTANT PART OF THE CHNA PROCESS. BELOW ARE THE PRIMARY MECHANISMS FOR COMMUNITY AND STAKEHOLDER ENGAGEMENT: THE CHNA REGIONAL ADVISORY COMMITTEE (RAC) INCLUDED REPRESENTATIVES FROM EACH HOSPITAL/INSURER COALITION MEMBER AS WELL AS PUBLIC HEALTH AND COMMUNITY STAKEHOLDERS FROM EACH HOSPITAL SERVICE AREA. STAKEHOLDERS ON THE RAC INCLUDED LOCAL AND REGIONAL PUBLIC HEALTH AND HEALTH DEPARTMENT REPRESENTATIVES; REPRESENTATIVES FROM LOCAL AND REGIONAL ORGANIZATIONS SERVING OR REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME OR POPULATIONS OF COLOR; AND INDIVIDUALS FROM ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY. THE COALITION CONDUCTED A STAKEHOLDER ANALYSIS TO ENSURE GEOGRAPHIC, SECTOR (E.G. SCHOOLS, COMMUNITY SERVICE ORGANIZATIONS, HEALTHCARE PROVIDERS, PUBLIC HEALTH, AND HOUSING), AND RACIAL/ETHNIC DIVERSITY OF RAC. THE RAC MET IN WORKGROUPS (DATA AND REPORTS, ENGAGEMENT AND DISSEMINATION, AND HEALTH EQUITY) TO GUIDE THE CONSULTANTS IN THE PROCESS OF CONDUCTING THE CHNA, AND TO PRIORITIZE COMMUNITY HEALTH NEEDS, CHNA FINDINGS, AND DISSEMINATION OF INFORMATION. ASSESSMENT METHODS AND FINDINGS WERE MODIFIED BASED ON THE STEERING COMMITTEE FEEDBACK. THE RAC CONSISTED OF 31 PEOPLE, INCLUDING COALITION MEMBERS AND CONSULTANTS. THE RAC MET MONTHLY FROM SEPTEMBER 2018 THROUGH JUNE 2019. KEY INFORMANT INTERVIEWS 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. FOCUS GROUP PARTICIPANTS INCLUDED COMMUNITY ORGANIZATIONAL REPRESENTATIVES, COMMUNITY MEMBERS (LOW-INCOME, PEOPLE OF COLOR, AND OTHERS), AND OTHER COMMUNITY STAKEHOLDERS. TOPICS AND POPULATIONS INCLUDED: SUBSTANCE USE, TRANSGENDER HEALTH, OLDER ADULTS, YOUTH, MENTAL HEALTH, CANCER CARE, GUN VIOLENCE, AND RURAL FOOD ACCESS. KEY INFORMANT INTERVIEWS AND FOCUS GROUPS WERE CONDUCTED FROM FEBRUARY 2019 THROUGH MARCH 2019. FOCUS GROUPS AND KEY INFORMANT INTERVIEWS ENGAGED ABOUT 210 PEOPLE, PRIMARILY IN HAMPDEN COUNTY BUT ALSO ACROSS THE REGION. THIS CHNA ALSO USED QUALITATIVE DATA FROM OTHER HOSPITAL SERVICE AREAS AS APPROPRIATE. THREE COMMUNITY CONVERSATIONS AND APPROXIMATELY 46 COMMUNITY CHATS WERE HELD THAT WERE PERTINENT TO MERCY'S CHNA. COMMUNITY CONVERSATIONS WERE LARGER BIDIRECTIONAL INFORMATION-SHARING MEETINGS THAT WERE CONDUCTED IN THE HOSPITAL'S SERVICE AREA, WITH ONE DONE IN SPANISH IN SPRINGFIELD. FOR COMMUNITY CHATS, RAC MEMBERS SHARED INFORMATION ABOUT THE CHNA AND GATHERED PRIORITIES IN REGULAR MEETINGS OF SERVICE PROVIDERS, COMMUNITY-BASED ORGANIZATIONS, AND GROUPS OF STAFF AND ADMINISTRATORS AT HOSPITALS. CONVERSATIONS AND CHATS WERE HELD FROM JANUARY 2019 THROUGH APRIL 2019 AND ENGAGED APPROXIMATELY 824 PEOPLE IN HAMPDEN COUNTY. COMMUNITY FORUM SESSIONS WERE HELD IN JUNE 2019 UPON COMPLETION OF THE CHNA REPORT. THE COMMUNITY LISTENING SESSIONS INCLUDED INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY AND COMMUNITY STAKEHOLDERS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. THESE SESSIONS HELPED TO OBTAIN INPUT ON THE PRIORITIZED HEALTH NEEDS THAT WERE IDENTIFIED IN THE CHNA AND TO GAIN FEEDBACK ON THE NEEDS THAT ARE THE FOCUS OF THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) PROCESS. 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: ACO PATIENT FAMILY ADVISORY COUNCIL, ALZHEIMER'S SUPPORT GROUP, ARMBROOK VILLAGE OLDER ADULT COMMUNITY, BAYSTATE COMMUNITY FACULTY HEALTH CARE PROFESSIONALS, BMC PATIENT FAMILY ADVISORY COUNCIL, BOYS AND GIRLS CLUB, BSEP CAREER INTERDISCIPLINARY, C3 MASON SQUARE, C3 SOUTH END, CARSON CENTER, CENTER FOR HUMAN DEVELOPMENT, CITY OF SPRINGFIELD PUBLIC HEALTH DEPARTMENT, COLLABORATIVE FOR EDUCATIONAL SERVICES, COMMUNITY ACTION PIONEER VALLEY, DEAN HIGH SCHOOL YOUTH COMMUNITY, EAST LONGMEADOW BOARD OF HEALTH, FALCETTI TOWERS COMMUNITY, FAMILY ADVOCACY CENTER'S HOMICIDE BEREAVEMENT PROGRAM, GANDAR COMMUNITY, GIRLS INC. SPRINGFIELD YOUTH COMMUNITY, GREATER SPRINGFIELD SENIOR SERVICES, HAMPDEN COUNTY HEALTH COALITION, HAMPDEN COUNTY SHERIFF'S DEPARTMENT, HEALTHY HILL INITIATIVE, HOLYOKE COMMUNITY COLLEGE, INTERFAITH COUNCIL, JEWISH FAMILY SERVICES, KAMP FOR KIDS, MA DEPARTMENT OF PUBLIC HEALTH - BUREAU OF SUBSTANCE USE SERVICES, MA DEPARTMENT OF PUBLIC HEALTH - DIVISION FOR PERINATAL/EARLY CHILDHOOD/SPECIAL NEEDS/CARE COORDINATION, MARTIN LUTHER KING FAMILY SERVICES, MASON SQUARE CAB, MASS IN MOTION, MASS MUTUAL, MASSACHUSETTS COUNCILS ON AGING, MATERNAL AND CHILD HEALTH COMMISSION, MEN OF COLOR HEALTH AWARENESS, MENTAL HEALTH ASSOCIATION, METROCARE OF SPRINGFIELD, MORGAN SCHOOL, NATIONAL ASSOCIATION OF HISPANIC NURSES OF WESTERN MA, NEW NORTH CITIZEN'S COUNCIL, NOBLE COMMUNITY CARE, NOBLE PATIENT FAMILY ADVISORY COUNCIL, OUT NOW YOUTH, PARENT VILLAGES, PATCH SERVICES BEHAVIORAL HEALTH NETWORK, PROJECT COACH YOUTH, SERVICENET, SHRINERS MEDICAL HOME, SPRINGFIELD DEPARTMENT OF HEALTH & HUMAN SERVICES, SQUARE ONE, STAVROS CENTER FOR INDEPENDENT LIVING, UNITY OF PIONEER VALLEY, UMASS SCHOOL OF PUBLIC HEALTH & HEALTH SCIENCES, WESTERN MA BLACK NURSES ASSOCIATION, WESTERN MA HEALTH EQUITY NETWORK, WESTERN MA VETERANS OUTREACH, WESTFIELD SENIOR CENTER, YOUNG CHILDREN'S COUNCIL. MERCY HOSPITAL, INC. PART V, SECTION B, LINE 6A: MERCY HOSPITAL IS A MEMBER OF THE COALITION OF WESTERN MASSACHUSETTS HOSPITALS AND COLLABORATED WITH THE FOLLOWING HOSPITALS IN CONDUCTING THE CHNA: BAYSTATE MEDICAL CENTER, BAYSTATE FRANKLIN MEDICAL CENTER, BAYSTATE NOBLE HOSPITAL, BAYSTATE WING HOSPITAL, COOLEY DICKINSON HOSPITAL, AND SHRINERS HOSPITAL FOR CHILDREN. MERCY HOSPITAL, INC. PART V, SECTION B, LINE 6B: MERCY HOSPITAL COLLABORATED WITH HEALTH NEW ENGLAND, A HEALTH INSURANCE PROVIDER, IN CONDUCTING THE CHNA. MERCY HOSPITAL, INC. PART V, SECTION B, LINE 11: MERCY HOSPITAL FOCUSED ON AND SUPPORTED INITIATIVES TO IMPROVE THE FOLLOWING SIGNIFICANT HEALTH NEEDS IN FISCAL YEAR 2020: BARRIERS TO ACCESSING QUALITY HEALTH CARE, AND HEALTH OUTCOMES. BARRIERS TO ACCESSING QUALITY HEALTH CARE - A SIGNIFICANT HEALTH NEED WAS FOUND IN REGARD TO HAMPDEN COUNTY RESIDENTS EXPERIENCING CHALLENGES IN ACCESSING CARE DUE TO THE SHORTAGE OF PROVIDERS. FIFTY-FOUR PERCENT OF HAMPDEN COUNTY RESIDENTS LIVE IN A HEALTH CARE PROFESSIONAL SHORTAGE AREA. THE FIRST IMPLEMENTED INITIATIVE IS IMPROVING HEALTH CARE SERVICES AND OUTCOMES TO INDIVIDUALS WHO ARE FREQUENT UTILIZERS OF THE EMERGENCY DEPARTMENT. THE IMPLEMENTATION STRATEGY'S GOAL IS TO EXPAND THE SERVICES TO HIGH-END UTILIZERS (HEU) OF THE EMERGENCY DEPARTMENT. TO ACCOMPLISH THIS GOAL AND TO ENCOURAGE HEALTHY OUTCOMES, MERCY HOSPITAL CONTINUED TO EMPLOY COMMUNITY OUTREACH WORKERS WHO PROVIDE INTENSIVE CASE MANAGEMENT SERVICES TO THE HEU PARTICIPANTS TO ASSESS THEIR INDIVIDUAL HEALTH ISSUES AND BEHAVIORS. THE COMMUNITY HEALTH OUTREACH WORKERS ALSO PROVIDED ASSISTANCE WITH ENROLLMENT IN HEALTH INSURANCE, SOLIDIFIED CONNECTIONS TO PRIMARY CARE, AND PROVIDED RESOURCES AND GUIDANCE TO ACCESS TRANSPORTATION, MENTAL HEALTH SERVICES AND HEALTH CARE EDUCATION. THE SECOND IMPLEMENTED INITIATIVE IS DEVISED TO IMPROVE HEALTH LITERACY, ALONG WITH ACCESS TO CERVICAL CANCER SCREENINGS AND MAMMOGRAMS FOR HOMELESS WOMEN. THE IMPLEMENTATION STRATEGY'S GOAL IS TO INCREASE THE NUMBER OF HOMELESS WOMEN WHO PARTICIPATE IN WOMEN'S HEALTH SCREENINGS. TO ACCOMPLISH THIS GOAL, MERCY HOSPITAL CONTINUED TO PERFORM CERVICAL CANCER SCREENINGS, AND ALSO VERIFIED THE CERVICAL SCREENING RECORDS AND MAMMOGRAMS PERFORMED INSIDE AND OUTSIDE OF THE MERCY HOSPITAL SYSTEM. ADDITIONALLY, MERCY HEALTH CONTINUED PROVIDING EDUCATION ON THE HEALTH RISKS PERTAINING TO WOMEN'S HEALTH. HEALTH OUTCOMES - THE SECOND SIGNIFICANT HEALTH NEED WAS FOUND TO BE A NEED TO INCREASE PHYSICAL ACTIVITY AND IMPROVE NUTRITION AMONG AREA RESIDENTS, ESPECIALLY THOSE WITH CHRONIC HEALTH CONDITIONS. MANAGING AND CONTROLLING CHRONIC HEALTH CONDITIONS REMAIN AN AREA OF PRIORITIZED HEALTH NEED FOR HAMPDEN COUNTY RESIDENTS. RESIDENTS CONTINUE TO EXPERIENCE HIGH RATES AND ASSOCIATED MORBIDITY, PARTICULARLY FOR OBESITY, DIABETES, CARDIOVASCULAR DISEASE, CANCER, AND ASTHMA. A HEALTHY DIET AND PHYSICAL ACTIVITY PLAY AN IMPORTANT ROLE IN PREVENTING AND MANAGING CHRONIC DISEASES.IN RESPONSE TO THIS HEALTH NEED, AN INITIATIVE WAS IDENTIFIED AND IMPLEMENTED TO IMPROVE PHYSICAL ACTIVITY AND NUTRITION THROUGH EDUCATION AND SPREADING AWARENESS AMONG DIFFERENT POPULATION GROUPS WITHIN THE COMMUNITY. A COMMUNITY HEALTH CHALLENGE WAS CONDUCTED TO IMPROVE COMMUNITY MEMBER HEALTH, CALLED THE STEP UP, EAT UP, & DRINK UP HEALTH CHALLENGE, WITH OVER 5,000 PARTICIPANTS. IT CONSISTED OF THREE PARTS: INCREASE DAILY STEPS AND PHYSICAL ACTIVITY; INCREASE DAILY SERVINGS OF FRUIT AND VEGETABLES; AND INCREASE DAILY WATER INTAKE. THE OBJECTIVE OF THE CHALLENGE WAS TO INCREASE THE PHYSICAL ACTIVITY LEVEL AND CONSUMPTION OF FRUIT AND VEGETABLES AMONG COMMUNITY PARTICIPANTS WHILE REDUCING THEIR SODA CONSUMPTION DURING THE CHALLENGE PERIOD. MERCY HOSPITAL IS COMMITTED TO ADHERING TO ITS MISSION AND REMAINING GOOD STEWARDS OF ITS RESOURCES SO IT CAN CONTINUE TO ENHANCE ITS CLINICAL ACTIVITIES AND TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE FOLLOWING AREAS HAVE BEEN IDENTIFIED IN THE CHNA AS NEEDS THAT WERE NOT ADDRESSED IN FISCAL YEAR 2020 FOR THE FOLLOWING REASONS: COMMUNITY LEVEL SOCIAL AND ECONOMIC DETERMINANTS THAT IMPACT HEALTH - MERCY HOSPITAL DID NOT DIRECTLY ADDRESS THIS PARTICULAR NEED BECAUSE MERCY HOSPITAL, ALTHOUGH PLAYING ITS ROLE IN THIS COLLECTIVE EFFORT, IS NOT QUALIFIED TO FULLY ADDRESS POVERTY IN THE COMMUNITY. MERCY HOSPITAL DOES, HOWEVER, TAKE STEPS TOWARD ADDRESSING THIS NEED THROUGH ITS VARIOUS COMMUNITY PARTNERS AND WAS INSTRUMENTAL IN HELPING THE LIVE WELL SPRINGFIELD TRANSFORMING COMMUNITIES INITIATIVE PARTNERSHIP, WHICH WAS AWARDED A GRANT OF UP TO $450,000 PER YEAR OVER FIVE YEARS TO IMPROVE THE HEALTH AND WELL-BEING OF THE RESIDENTS OF SPRINGFIELD. THE FUNDS ARE BEING USED TO PROVIDE SERVICES AND IMPROVE POLICIES THAT TARGET LOW-INCOME ADULTS AND CHILDREN DISPROPORTIONATELY IMPACTED BY HEALTH CONDITIONS RELATED TO POOR DIET, INACTIVITY, TOBACCO USE, AND OTHER SOCIAL DETERMINANTS. SPECIFIC STRATEGIES INCLUDE ENHANCING EARLY EDUCATION AND CARE SITES THROUGH NUTRITION AND PHYSICAL ACTIVITY, SCHOOL NUTRITION IMPROVEMENTS, COMPLETE STREETS INFRASTRUCTURE, AND TOBACCO USE PREVENTION. THE CORE PARTNERS ARE MERCY HOSPITAL AND LIVE WELL SPRINGFIELD, A MULTI-SECTOR COMMUNITY-BASED COALITION THAT INCLUDES OVER 26 ORGANIZATIONS WORKING IN THE CITY. MERCY HOSPITAL, INC. PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS. MERCY HOSPITAL, 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/ 2 1 - LIFEPATH PARTNERS LLC 299 CAREW STREET SPRINGFIELD MA 01104 LABORATORY 2 - 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. IN ADDITION, MERCY 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, $3,367,259, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F). PART II, COMMUNITY BUILDING ACTIVITIES: MERCY HOSPITAL PARTICIPATED IN SEVERAL COMMUNITY BUILDING ACTIVITIES IN FISCAL YEAR 2020, AS DESCRIBED BELOW:ECONOMIC DEVELOPMENT: MERCY HOSTED THE HUMAN SERVICE FORUM OF LOCAL HUMAN SERVICE PROVIDER ORGANIZATIONS TO EXPAND UPON THEIR MISSION OF ENHANCING THE CULTURAL COMPETENCE OF ORGANIZATIONS IN MEETING THE ECONOMIC NEEDS OF DIVERSE POPULATIONS. MERCY ALSO WORKED WITH DEVELOP SPRINGFIELD, WHICH FOSTERS URBAN DEVELOPMENT TO STRENGTHEN THE CITY'S ECONOMY, IMPROVE RESIDENTS' QUALITY OF LIFE, AND ADDRESS THE CHANGING NEEDS OF SPRINGFIELD NOW AND FOR THE LONG TERM.COALITION BUILDING: SEVERAL ACTIVITIES, COMMUNITY COLLABORATIONS AND EFFORTS OCCURRED THROUGH MERCY HOSPITAL'S TRANSFORMING COMMUNITIES INITIATIVE (TCI) PROGRAM AND ITS NUMEROUS PARTNERS WITHIN LIVE WELL SPRINGFIELD: SCHOOL WELLNESS - SPRINGFIELD PUBLIC SCHOOLS, SQUARE ONE, AND WAY FINDERS WORKED ON PROVIDING CONSISTENT FITNESS OPPORTUNITIES FOR YOUTH ALONG WITH AN EFFECTIVE PHYSICAL EDUCATION IN THE PUBLIC SCHOOL CURRICULUM; TOBACCO PREVENTION - MLK, JR. FAMILY SERVICES AND WAY FINDERS PROMOTED THE NEW MASSACHUSETTS AND CITY OF SPRINGFIELD'S SMOKING AGE OF 21, EDUCATING THE COMMUNITY ABOUT VAPING, THE EFFECTS OF FLAVORED TOBACCO AND PROMOTING SMOKE-FREE HOUSING; NUTRITION AND GARDENING - SPRINGFIELD PUBLIC SCHOOLS, SPRINGFIELD FOOD POLICY COUNCIL AND SQUARE ONE COLLABORATED ON HEALTHIER MEALS WITH LOCAL FRUITS AND VEGETABLES FOR PUBLIC SCHOOL STUDENTS, ALONG WITH IMPLEMENTING SCHOOL GARDENS AS A FOOD SOURCE AND TEACHING TOOL; AND COMPLETE STREETS - PIONEER VALLEY PLANNING COMMISSION AND WAY FINDERS TRAINED THE CITY'S YOUTH TO WALK AND BICYCLE SAFELY.ENVIRONMENTAL IMPROVEMENTS, ADVOCACY, AND WORKFORCE DEVELOPMENT: THE HUMAN SERVICE FORUM (HSF) WAS FOUNDED IN 1986 AS AN ASSOCIATION OF NONPROFIT AND PUBLIC AGENCIES AS WELL AS INDIVIDUALS PROVIDING HUMAN SERVICES. HSF WAS ENVISIONED BY ITS FOUNDERS TO BE A VEHICLE FOR COMMUNICATING THE IMPORTANT CONTRIBUTIONS OF HUMAN SERVICES TO THE QUALITY OF LIFE IN THE COMMUNITY, AND FOR MEMBERS TO NETWORK, ADDRESS PROBLEMS OF MUTUAL CONCERN, AND DISCUSS MAJOR TRENDS AND CHANGES IMPACTING HUMAN SERVICES.TODAY HSF INCLUDES 98 ORGANIZATIONS AND INDIVIDUALS WITH COLLECTIVE BUDGETS OF APPROXIMATELY $400 MILLION AND EMPLOYING MORE THAN 16,000 PEOPLE. PUBLIC OFFICIALS AND THE MEDIA RECOGNIZE HSF AS AN AUTHORITATIVE AND EFFECTIVE VOICE FOR THE HUMAN SERVICE COMMUNITY. HSF ACTIVITIES INCLUDE:- VARIOUS TRAINING PROGRAMS AND MEETINGS ADDRESSING COMMUNITY ISSUES- THROUGH ADVOCACY EFFORTS, HSF MEMBERS CONNECT WITH LEGISLATORS AND OTHER ELECTED AND APPOINTED OFFICIALS- RESEARCH ON THE IMPACT OF THE HUMAN SERVICE INDUSTRY IS ORGANIZED AND PUBLISHED 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 13 OF THOSE STATEMENTS: "AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME IS TREATED AS A RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS FOR WHICH THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYERS FOR RETROACTIVE ADJUSTMENTS, ARE RECEIVABLES IF THE RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. FOR PATIENT ACCOUNTS RECEIVABLE, THE ESTIMATED UNCOLLECTABLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT SERVICE REVENUE AND ACCOUNTS RECEIVABLE.THE CORPORATION HAS AGREEMENTS WITH THIRD-PARTY PAYERS THAT PROVIDE FOR PAYMENTS TO THE CORPORATION'S HEALTH MINISTRIES AT AMOUNTS DIFFERENT FROM ESTABLISHED RATES. ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYERS AND OTHER CHANGES IN ESTIMATES ARE INCLUDED IN NET PATIENT SERVICE REVENUE AND ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS, AS FINAL SETTLEMENTS ARE DETERMINED."PART III, LINE 5:TOTAL MEDICARE REVENUE REPORTED IN PART III, LINE 5 HAS BEEN REDUCED BY THE TWO PERCENT SEQUESTRATION REDUCTION FOR THE PERIOD JULY 1, 2019 THROUGH APRIL 30, 2020. PART III, LINE 8: MERCY 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 - 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, ANNUAL COUNTY HEALTH RANKINGS, MARKET STUDIES, AND GEOGRAPHICAL MAPS SHOWING AREAS OF HIGH UTILIZATION FOR EMERGENCY SERVICES AND INPATIENT CARE, WHICH MAY INDICATE POPULATIONS OF INDIVIDUALS WHO DO NOT HAVE ACCESS TO PREVENTATIVE SERVICES OR ARE UNINSURED. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - MERCY 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, FEDERAL, STATE, AND LOCAL GOVERNMENT PROGRAMS, AND OTHER COMMUNITY-BASED CHARITABLE PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING FOR HEALTH CARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. MERCY 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. SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE TO APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST PEOPLE IN NEED. INFORMATION REGARDING FINANCIAL ASSISTANCE PROGRAMS IS ALSO AVAILABLE ON HOSPITAL WEBSITES. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN OTHER LANGUAGES AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R), REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITAL. MERCY HOSPITAL HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. MERCY 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 - THE SERVICE AREA FOR MERCY INCLUDES ALL 23 COMMUNITIES WITHIN HAMPDEN COUNTY INCLUDING THE THIRD LARGEST CITY IN MASSACHUSETTS - SPRINGFIELD (POPULATION OVER 150,000). THREE ADJACENT CITIES (HOLYOKE, CHICOPEE AND WEST SPRINGFIELD) CREATE A DENSELY POPULATED URBAN CORE THAT INCLUDES OVER HALF OF THE POPULATION OF THE SERVICE AREA (270,000 PEOPLE). SMALLER COMMUNITIES EXIST TO THE EAST AND WEST OF THIS CENTRAL CORE AREA. MANY OF THESE COMMUNITIES HAVE POPULATIONS UNDER 20,000 PEOPLE. 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. THE SERVICE AREA HAS MORE RACIAL AND ETHNIC DIVERSITY THAN MANY OTHER PARTS OF WESTERN MASSACHUSETTS. COUNTY-WIDE, 24% OF THE POPULATION IS LATINO, 8% IS BLACK AND 2% IS ASIAN (AMERICAN COMMUNITY SURVEY [ACS], 2013-2017), THOUGH THIS DIVERSITY IS NOT EQUALLY SPREAD THROUGHOUT THE REGION AND TENDS TO BE CONCENTRATED IN THE URBAN CORE. A SUBSTANTIAL PROPORTION OF THE COUNTY'S POPULATION IS FROM OTHER COUNTRIES. IN 2017, 22% OF THE STATE'S IMMIGRANTS CAME TO WESTERN MASSACHUSETTS. WEST SPRINGFIELD HAS WELCOMED THE HIGHEST PROPORTION IN HAMPDEN COUNTY - 15% OF THE CITY'S POPULATION ARE IMMIGRANTS (US CENSUS, ACS, 2013-2017). ECONOMICALLY, THE MERCY SERVICE AREA IS HOME TO MANY OF THE LARGEST EMPLOYERS IN THE REGION, AS WELL AS NUMEROUS COLLEGES AND UNIVERSITIES, AND PROVIDES A STRONG ECONOMIC ENGINE FOR THE BROADER REGION. THE LARGEST INDUSTRIES AND EMPLOYERS INCLUDE HEALTH CARE, SERVICE, AND WHOLESALE TRADE AND MANUFACTURING. AT THE SAME TIME, THE COUNTY STRUGGLES WITH HIGHER RATES OF UNEMPLOYMENT AND POVERTY, LOWER HOUSEHOLD INCOMES, AND LOWER RATES OF EDUCATIONAL ATTAINMENT. THE MEDIAN HOUSEHOLD INCOME IN THE SERVICE AREA IS ABOUT $52,000 ($22,000 LESS THAN THE STATE), THE POVERTY RATE IS MORE THAN 60% HIGHER THAN STATEWIDE, AND THE CHILD POVERTY RATE IS AN ALARMING 27% - MORE THAN 1 OUT OF EVERY 4 CHILDREN IN HAMPDEN COUNTY IS LIVING IN POVERTY (ACS, 2013-2017). DESPITE BEING AT THE CORE OF THE KNOWLEDGE CORRIDOR REGION, ONLY 27% OF THE POPULATION AGE 25 AND OVER HAS A BACHELOR'S DEGREE, COMPARED TO 43% STATEWIDE. UNEMPLOYMENT IS SOMEWHAT HIGHER THAN THE STATE AVERAGE. THE MEDIAN AGE FOR THE SERVICE AREA IS SIMILAR TO THAT OF MASSACHUSETTS, ALTHOUGH IN SPRINGFIELD THE MEDIAN AGE IS ABOUT 33 YEARS OF AGE COMPARED TO 39 IN HAMPDEN COUNTY. THE POPULATION OVER 45 YEARS OLD IS GROWING AS A PERCENTAGE OF THE TOTAL POPULATION. BETWEEN 2010 AND 2035, THE PROPORTION OF PEOPLE OVER AGE 60 IS PROJECTED TO GROW FROM 20% OF THE POPULATION TO 28% IN HAMPDEN COUNTY, WITH THE NUMBER OF OLDER ADULTS INCREASING FROM APPROXIMATELY 92,000 IN 2010 TO AN ESTIMATED 140,000 IN 2035. IN HAMPDEN COUNTY 16% OF THE POPULATION HAS A DISABILITY COMPARED TO THE STATE AT 12%. IN SPRINGFIELD AND HOLYOKE, DISABILITY RATES ARE HIGH AT ALMOST 20% AND 17%, RESPECTIVELY. IN HAMPDEN COUNTY, 11% OF YOUTH UNDER 18 HAVE A DISABILITY (THE PERCENTAGE FOR THE STATE IS 7%). BY RACE AND ETHNICITY, 6% OF WHITE CHILDREN HAVE A DISABILITY, 10% OF LATINO CHILDREN, AND 6% OF BLACK CHILDREN (ACS, 2013-2017). PEOPLE WITH DISABILITIES TEND TO HAVE HIGHER RATES OF POVERTY AND LOWER LEVELS OF EDUCATION. IN HAMPDEN COUNTY, POVERTY RATES AMONG THOSE WITH A DISABILITY (27%) WERE MORE THAN DOUBLE THOSE AMONG PEOPLE WITHOUT A DISABILITY (12%). SIMILARLY, 30% OF THE POPULATION WITH A DISABILITY DID NOT HAVE A HIGH SCHOOL DIPLOMA, COMPARED TO 11% AMONG THOSE WITHOUT A DISABILITY (US CENSUS, ACS, 2013-2017).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: PROMOTION OF COMMUNITY HEALTH -MERCY HOSPITAL'S GOVERNING BODY IS ITS BOARD OF DIRECTORS, THE MAJORITY OF WHICH IS COMPRISED OF INDIVIDUALS WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS. THE ORGANIZATION EXTENDS MEDICAL PRIVILEGES TO QUALIFIED PHYSICIANS IN THE COMMUNITY FOR ITS DEPARTMENTS AND SPECIALTIES, PROVIDED THESE PHYSICIANS MEET THE QUALIFICATIONS OUTLINED AND CERTIFIED BY THE MEDICAL CREDENTIALING OFFICE. AS A NON-PROFIT ENTITY, ANY AND ALL OF MERCY HOSPITAL'S EXCESS FUNDS ARE USED TO FUND IMPROVEMENTS IN PATIENT CARE AND MEDICAL EDUCATION. TOBACCO ACCESS REDUCTION ADVOCACY: MERCY HOSPITAL IS A MEMBER OF TOBACCO FREE SPRINGFIELD (TFS) AND THE STATEWIDE TOBACCO FREE MASS (TFM) COALITION TO HELP PASS LOCAL AND STATEWIDE LEGISLATION TO REDUCE ACCESS TO TOBACCO PRODUCTS. MERCY PARTNERED WITH THE CITY OF SPRINGFIELD DEPARTMENT OF HEALTH, THE TOBACCO CESSATION AND PREVENTION PROGRAM FOR LOCAL ADVOCACY AND TECHNICAL ASSISTANCE, HOSTED TFS MEETINGS, AND LOBBIED AT THE MASSACHUSETTS STATE HOUSE ON YOUTH TOBACCO PREVENTION DAY TO HELP IN PERSUADING LEGISLATORS TO PASS THE BILLS TO FURTHER LIMIT THE ACCESS TO TOBACCO, ESPECIALLY FLAVORED TOBACCO WHICH INCLUDES MENTHOL, AND VAPING PRODUCTS.MERCY HOSPITAL FURTHER PROMOTES THE HEALTH OF THE COMMUNITY BY OFFERING THE FOLLOWING:HEALTH CARE FOR THE HOMELESS (HCH) - MERCY HOSPITAL'S DEPARTMENT OF COMMUNITY HEALTH PROVIDED CARE TO THE COMMUNITY'S HOMELESS POPULATION IN FRANKLIN, HAMPSHIRE, AND HAMPDEN COUNTIES THROUGH PRIMARY CARE SERVICES, HEALTH EDUCATION, CASE MANAGEMENT, MENTAL HEALTH SERVICES, AND FREE CLINICS TO MORE THAN 2,000 PERSONS EACH YEAR. VIETNAMESE HEALTH PROJECT (VHP) - THIS PROGRAM PROVIDED CASE MANAGEMENT AND INTERPRETATION SERVICES TO THE REFUGEE AND IMMIGRANT VIETNAMESE POPULATION IN THE GREATER SPRINGFIELD AREA. ANNUALLY, THIS COMMUNITY HEALTH OUTREACH PROGRAM REACHES NEARLY 800 VIETNAMESE PATIENTS. ADULTS AND CHILDREN IN PSYCHIATRIC AND/OR SUBSTANCE ABUSE DISTRESS - PROVIDENCE BEHAVIORAL HEALTH HOSPITAL, OPERATING UNDER THE SAME HOSPITAL LICENSE AS MERCY HOSPITAL, IS A 131-BED HOSPITAL LOCATED IN HOLYOKE, MASSACHUSETTS, THAT PROVIDED BOTH INPATIENT AND OUTPATIENT MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES FOR PEOPLE OF ALL AGES EXPERIENCING ACUTE PSYCHIATRIC DISTRESS AND/OR SEVERE SUBSTANCE ABUSE PROBLEMS.TRANSFORMING COMMUNITIES INITIATIVE (TCI) - THIS IS A PARTNERSHIP BETWEEN MERCY HOSPITAL AND LIVE WELL SPRINGFIELD (LWS) TO ADDRESS HEALTH DISPARITIES THROUGH TARGETED POLICY, SYSTEMS, AND ENVIRONMENTAL CHANGE IN SPRINGFIELD, MASSACHUSETTS, WITH A FOCUS ON THE SOCIAL INFLUENCERS OF HEALTH. LIVE WELL SPRINGFIELD IS A COMMUNITY MOVEMENT TO SUPPORT HEALTHY EATING AND ACTIVE LIVING WITH THE GOAL OF INCREASING ACCESS TO AND UTILIZATION OF HEALTHY FOOD AND PHYSICAL ACTIVITY OPTIONS FOR RESIDENTS IN SPRINGFIELD. POLICY FOCUSES INCLUDED: COMPLETE STREETS TO MAKE IT SAFER IN THE CITY FOR ALL MODES OF TRANSPORTATION; IMPROVING PHYSICAL ACTIVITY AND NUTRITION IN PRE-K AND K-12 ENVIRONMENTS TO PREVENT AND REDUCE CHRONIC DISEASE AND OBESITY; AND SMOKING/VAPING PREVENTION AMONG YOUTH. OTHER PROJECTS INCLUDED A MOBILE FARMERS' MARKET AND PARTNERSHIPS TO IMPROVE THE BUILT ENVIRONMENT IN PLACES WHERE PEOPLE LIVE, GROW, WORK, AND PLAY.COVID-19 EPIDEMIC - MERCY HOSPITAL, AS PART OF THE TRINITY HEALTH OF NEW ENGLAND HEALTH SYSTEM, WAS INVOLVED IN A MULTIFACETED PUBLIC HEALTH AWARENESS MEDIA CAMPAIGN REGARDING COVID-19 PREVENTION, TESTING AND TREATMENT WHICH INTENTIONALLY INCLUDED SPECIFIC MESSAGING FOR CHILDREN AND DIVERSE COMMUNITIES. TRINITY HEALTH OF NEW ENGLAND WAS ALSO ONE OF JUST FOUR HEALTH SYSTEMS IN THE UNITED STATES TO GAIN INITIAL APPROVAL FROM THE U.S. FOOD AND DRUG ADMINISTRATION (FDA) TO RUN A COVID-19 CONVALESCENT PLASMA PHASE-TWO CLINICAL TRIAL IN APRIL. THE PROSPECTIVE, INTERVENTIONAL STUDY EVALUATED THE SAFETY AND EFFICACY OF CONVALESCENT PLASMA TRANSFUSION IN CRITICALLY ILL COVID-19 PATIENTS. CONVALESCENT PLASMA WAS OBTAINED FROM RECOVERED DONORS AND ADMINISTERED TO ADULT PATIENTS WITH EITHER SEVERE OR CRITICAL COVID-19 ILLNESS. THE RESULTS WERE PUBLISHED FOR ALL MEDICAL PROFESSIONALS TO SEE IN THE INFECTIOUS DISEASES AND THERAPY JOURNAL. THE STUDY FOUND THAT CONVALESCENT PLASMA IS SAFE AND HAS THE POTENTIAL FOR POSITIVE IMPACT ON CLINICAL OUTCOMES, INCLUDING RECOVERY AND SURVIVAL IF GIVEN TO PATIENTS EARLY IN THE COURSE OF COVID-19. 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 ANNUALLY REQUIRES THAT ALL MEMBER HOSPITALS DEFINE - AND ACHIEVE - SPECIFIC COMMUNITY HEALTH AND WELL-BEING GOALS. IN FISCAL YEAR 2020, EVERY TRINITY HEALTH ENTITY FOCUSED ON: 1. REDUCING TOBACCO USE 2. REDUCING OBESITY PREVALENCE3. ADDRESSING AT LEAST ONE SOCIAL INFLUENCER OF HEALTH 4. ADDRESSING AT LEAST ONE SIGNIFICANT HEALTH NEED IDENTIFIED BY THEIR HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENTADDITIONALLY, IN RESPONSE TO COVID-19, TRINITY HEALTH MEMBER HOSPITALS MOBILIZED NATIONAL INFRASTRUCTURE TO ASSESS THE MOST URGENT NEEDS IN THEIR COMMUNITIES. TRINITY HEALTH MEMBER HOSPITALS STRENGTHENED PARTNERSHIPS WITH COMMUNITY-BASED ORGANIZATIONS AND COLLABORATED WITH MEDICAL GROUPS AND CLINICALLY INTEGRATED NETWORKS PROVIDING DIRECT PATIENT CARE TO ENSURE THAT PATIENT SOCIAL NEEDS WERE MET IN THE COMMUNITY. LIKEWISE, MEMBER HOSPITALS ACCELERATED THEIR SOCIAL SERVICES RESPONSE BY ESTABLISHING SOCIAL CARE PROGRAMS TO CONNECT PATIENTS, COLLEAGUES AND COMMUNITY MEMBERS TO LOCAL SOCIAL SERVICES SUCH AS: FOOD, HOUSING, FINANCIAL ASSISTANCE AND ACCESS TO HEALTH CARE. FROM MARCH THROUGH JUNE, SOCIAL CARE MADE OVER 103,000 CONNECTIONS, AND TRINITY HEALTH PROVIDED OVER 44,000 MEDICAL SERVICES TO THOSE WHO ARE HOMELESS AND THROUGH COMMUNITY TESTING EVENTS. SOCIAL INFLUENCERS OF HEALTH - SUCH AS ADEQUATE HOUSING, PERSONAL SAFETY AND ACCESS TO FOOD, EDUCATION, INCOME, AND HEALTH COVERAGE - HAVE A SIGNIFICANT IMPACT ON THE HEALTH OF COMMUNITIES. IN AN EFFORT TO ADDRESS SOME OF THESE INFLUENCERS, TRINITY HEALTH INVESTED $3.7 MILLION IN THE TRANSFORMING COMMUNITIES INITIATIVE (TCI), WHICH INITIALLY LAUNCHED IN FISCAL YEAR 2016. TCI IS A SHARED FUNDING MODEL AND TECHNICAL-ASSISTANCE INITIATIVE SUPPORTING EIGHT TRINITY HEALTH HOSPITALS, AND THEIR COMMUNITY PARTNERS, TO IMPLEMENT POLICY, SYSTEM, AND ENVIRONMENTAL CHANGE STRATEGIES TO PREVENT TOBACCO USE AND CHILDHOOD OBESITY, AND TO AFFECT CHANGE RELATED TO THE SOCIAL INFLUENCERS OF HEALTH. IN ADDITION TO TRINITY HEALTH'S INVESTMENT, TCI HAS LEVERAGED OVER $12.4 MILLION IN COMMUNITY MATCH FUNDING TO DATE. IN FISCAL YEAR 2020, IN RESPONSE TO COVID-19, TCI SWIFTLY SHIFTED THEIR FOCUS IN MARCH TO ADDRESSING FOOD INSECURITY, HEALTH CARE WORKER PROTECTIVE EQUIPMENT, SUPPORTING CLOSED SCHOOLS TO EFFECTIVELY REACH CHILDREN, MENTAL HEALTH INTERVENTIONS, AND EMERGENCY AID/FINANCIAL ASSISTANCE DIRECTLY TO INDIVIDUALS IN NEED. OVERALL, TCI COMMUNITIES REDIRECTED NEARLY $520,000 TO SUPPORT COVID-19 RELATED NEEDS.TRINITY HEALTH CONTINUES TO EXPAND THE NATIONAL DIABETES PREVENTION PROGRAM (NDPP) THROUGH THE SUPPORT OF THE CENTERS FOR DISEASE CONTROL AND PREVENTION AND HELPED 2,374 PARTICIPANTS COLLECTIVELY LOSE 15,382 POUNDS FROM JANUARY 2018 THROUGH SEPTEMBER 2020. IN MARCH 2020, WITH THE SURGE OF COVID-19 SPREADING ACROSS THE COUNTRY, TRINITY HEALTH MEMBER HOSPITALS TRANSITIONED NEARLY 90% OF ALL IN-PERSON NDPP COHORTS TO AN ONLINE VERSION OF THE LIFESTYLE CHANGE PROGRAM.TRINITY HEALTH DEPLOYED $5.1 MILLION IN NEW AND RENEWED LOANS FOR PLACE-BASED INVESTING TO IMPROVE ACCESS TO AFFORDABLE HOUSING, HEALTHY FOODS, EDUCATIONAL SCHOLARSHIPS, AND ECONOMIC DEVELOPMENT. ADDITIONALLY, TRINITY HEALTH WORKED WITH ALL OF ITS BORROWERS THAT HAD LOANS COMING DUE IN THE MIDST OF THE SPRING COVID-19 SURGE TO EXTEND THEIR LOANS FOR SIX MONTHS. THIS ACTION ALLOWED MORE THAN $2.9 MILLION IN INVESTMENTS TO REMAIN IN THE FIELD AND PROVIDED BREATHING ROOM TO OUR COMMUNITY DEVELOPMENT FINANCIAL INSTITUTION PARTNERS THAT WERE SERVING OUR COMMUNITIES DURING THE CRISIS. THE COMMUNITY-INVESTING PROGRAM ALSO HAS OUTSTANDING LOAN COMMITMENTS OF $9.6 MILLION TO COMMUNITY INFRASTRUCTURE PROJECTS, WHICH WILL BE DEPLOYED IN FUTURE YEARS.TRINITY HEALTH AND ITS MEMBER HOSPITALS ARE COMMITTED TO THE DELIVERY OF PEOPLE-CENTERED CARE AND SERVING AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN THE COMMUNITIES THEY SERVE. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITIES AND IS COMMITTED TO ADDRESSING THE UNIQUE NEEDS OF EACH COMMUNITY. IN FISCAL YEAR 2020, TRINITY HEALTH INVESTED OVER $1.3 BILLION IN COMMUNITY BENEFIT, SUCH AS INITIATIVES SUPPORTING THOSE WHO ARE POOR AND VULNERABLE, HELPING TO MANAGE CHRONIC CONDITIONS LIKE DIABETES, PROVIDING HEALTH EDUCATION, AND MOVING FORWARD POLICY, SYSTEM, AND ENVIRONMENTAL CHANGE. COVID-19 ACCOUNTED FOR NEARLY $4.9 MILLION IN PROGRAMMATIC COMMUNITY BENEFIT EXPENSES AND ACTIVITIES, INCLUDING COMMUNITY TESTING AND EDUCATION, INCIDENT COMMAND CENTERS, SUPPORT FOR LOCAL ORGANIZATIONS (PROVIDING PPE, OTHER SUPPLIES, STAFF TIME), SOCIAL SUPPORTS (FOOD, HOUSING, MENTAL HEALTH, CHILDCARE), AND OTHER COMMUNITY DISASTER PREPAREDNESS EFFORTS.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG. PART VI, LINE 7, REPORTS FILED WITH STATES MA 1 PIONEER VALLEY PLANNING COMMISSION 60 CONGRESS STREET FL 1 SPRINGFIELD MA 01104 042376717 GOVERNMENT 39996 TCI GRANT REIMBURSEMENT SQUARE ONE 1095 MAIN ST FL 2 SPRINGFIELD MA 01107 042103855 501(C)(3) 40000 TCI GRANT REIMBURSEMENT MARTIN LUTHER KING JR FAMILY SERVICES 106 WILBRAHAM ROAD SPRINGFIELD MA 01109 042647035 501(C)(3) 40194 TCI GRANT REIMBURSEMENT WAY FINDERS INC 120 MAPLE STREET STE 400 SPRINGFIELD MA 01103 042518368 501(C)(3) 41000 TCI GRANT REIMBURSEMENT PARTNERS FOR A HEALTHIER COMMUNITY INC 127 STATE STREET SPRINGFIELD MA 01101 043342182 501(C)(3) 169278 TCI GRANT REIMBURSEMENT SPRINGFIELD PARTNERS FOR COMMUNITY ACTION 721 STATE STREET SPRINGFIELD MA 01109 042374279 501(C)(3) 26145 TCI GRANT REIMBURSEMENT FERTILE GROUND PO BOX 61 WILLIAMSBURG MA 01096 270365818 19640 TCI GRANT REIMBURSEMENT SPRINGFIELD PUBLIC SCHOOLS 1550 MAIN STREET SPRINGFIELD MA 01103 046001415 PUBLIC SCHOOL 10000 TCI GRANT REIMBURSEMENT VALLEYBIKE SHARE C/O BEWEGEN TECHNOLOGIES INC AMHERST MA 01002 981406006 12000 TCI GRANT REIMBURSEMENT 7 2 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 BENJAMIN CARTER DIRECTOR; TRINITY HEALTH EVP & COO 0 988630 0 465109 0 283201 0 12600 0 56699 0 1806239 0 0 REGINALD EADIE MD DIRECTOR; TH OF NE PRESIDENT & CEO 0 993155 0 377491 0 19083 0 257049 0 37042 0 1683820 0 0 MARK FULCO PRESIDENT THROUGH 11/19 0 369933 0 86249 0 104121 0 390587 0 31286 0 982176 0 0 DANIEL MOEN FORMER OFFICER; SFMC TREN PRES/CEO 0 551390 0 100000 0 22131 0 12600 0 43621 0 729742 0 0 THOMAS ROBERT FORMER OFFICER; SPHP TREAS & CFO 0 440182 0 109463 0 32212 0 91511 0 34759 0 708127 0 0 ROBERT ANTHONY SECRETARY; VP MANAGING COUNSEL 0 415540 0 82117 0 10639 0 76415 0 29263 0 613974 0 0 LEONARD PANSA FORMER KE; TH OF NE REG CHRO & SVP 0 390729 0 74969 0 73733 0 16800 0 17060 0 573291 0 0 STUART ROSENBERG VP OPERATIONS; JMH PRESIDENT 0 349805 0 58184 0 15736 0 21000 0 39529 0 484254 0 0 CHARLES FLINN FORMER KEY EMPLOYEE 0 0 0 0 0 349718 0 126817 0 7145 0 483680 0 0 VIKRAM SONDHI FORMER KEY EMPLOYEE;MEDICAL DIRECTOR 0 376434 0 0 0 28614 0 16800 0 28436 0 450284 0 0 ROBERT ROOSE MD CHIEF MEDICAL OFFICER 0 348640 0 62083 0 3877 0 12600 0 14040 0 441240 0 0 JENNIFER SCHNEIDER TREASURER, SVP & REG CFO AT 10/19 0 316296 0 51398 0 5525 0 31558 0 30946 0 435723 0 0 DANIEL KEENAN SVP GOVERNMENT RELATIONS 0 253768 0 43985 0 5222 0 16800 0 29363 0 349138 0 0 ANNE CARTER PHYSICIAN 294938 0 0 0 0 0 8400 0 0 0 303338 0 0 0 FRANCES MARTHONE CHIEF NURSING OFFICER THR 7/19 0 166090 0 41400 0 62106 0 9551 0 22065 0 301212 0 0 KATHLEEN HERSHON PSYCHIATRIST 275264 0 0 0 4514 0 12581 0 2013 0 294372 0 0 0 BARRI BELNAP PHYSICIAN 270961 0 0 0 0 0 12193 0 0 0 283154 0 0 0 JAMES HARRIS FORMER OFFICER;TH OF NE DIR OF REIMB 0 193963 0 26152 0 15866 0 18346 0 26238 0 280565 0 0 MARY TARAIL FORMER KEY EMPLOYEE; PSYCHIATRIST 245978 0 0 0 0 0 14759 0 0 0 260737 0 0 0 BETH O'BRIEN FORMER OFFICER 0 0 0 0 0 232846 0 0 0 3327 0 236173 0 195193 DEAN VITARISI FORMER OFFICER 0 78970 0 36201 0 98695 0 1781 0 11961 0 227608 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 INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2019. THESE AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: CHARLES FLINN - $342,139 MARK FULCO - $31,462 FRANCES MARTHONE - $56,635 BETH O'BRIEN - $195,193 DEAN VITARISI - $96,842 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNTS, WHICH WERE UNPAID AS OF 12/31/19: CHARLES FLINN - $126,817 (PAID IN 2020) MARK FULCO - $377,549 (PAID IN 2020) THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2019. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. BENEFITS FOR PARTICIPANTS VESTED IN A PLAN WERE PAID OUT IN 2019, AND BENEFITS FOR PARTICIPANTS NOT YET VESTED IN A PLAN WERE ACCRUED IN 2019. THE FOLLOWING PAYOUTS FOR 2019 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: BENJAMIN CARTER - $250,889 MARK FULCO - $60,686 BETH O'BRIEN - $30,538 LEONARD PANSA - $58,174 THE FOLLOWING ACCRUALS FOR 2019 ARE INCLUDED IN COLUMN C OF SCHUEDLE J, PART II: ROBERT ANTHONY - $63,815 DEBORAH BITSOLI - $13,281 REGINALD EADIE - $244,449 THOMAS ROBERT - $70,511 JENNIFER SCHNEIDER - $14,758 THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH RESTORATION PLAN. THE RESTORATION PLAN PROVIDES RETIREMENT BENEFITS FOR CERTAIN TRINITY HEALTH SYSTEM OFFICE EXECUTIVES ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($280,000 IN 2019). THE FOLLOWING PAYOUTS FOR 2019 FOR THIS PLAN ARE INCLUDED IN COLUMN B (III) OF SCHEDULE J, PART II: DANIEL KEENAN - $1,702 DANIEL MOEN - $3,450 ROBERT ROOSE - $2,952 STUART ROSENBERG - $4,499 JENNIFER SCHNEIDER - $2,789 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 429097 DONOR PROVIDED GOODS/SERVICES TO THE MERCY HOSPITAL 0 FORM 990, PAGE 1, DOING BUSINESS AS NAMES: MERCY MEDICAL CENTER PROVIDENCE BEHAVORIAL HEALTH HOSPITAL SR. MARY CARITAS CANCER CENTER @ MERCY MEDICAL CENTER HEALTHCARE FOR THE HOMELESS @ MERCY MEDICAL CENTER SISTERS OF PROVIDENCE HEALTH SYSTEM FORM 990, PAGE 1, AMENDED RETURN: FORM 990 IS BEING AMENDED TO PROPERLY INCLUDE THE INFORMATION FOR SCHEDULE H, PART III, LINES 5, 6 AND 7, WHICH WAS INADVERTENTLY NOT INCLUDED ON THE ORIGINALLY FILED RETURN. FORM 990, PART VI, SECTION A, LINE 3 THE MERCY HOSPITAL HAS CONTRACTED WITH WITT KIEFFER FOR THE PROVISION OF INTERIM VICE PRESIDENT FINANCE SERVICES. IN CALENDAR YEAR 2019, THE MERCY HOSPITAL PAID $218,885 TO WITT KIEFFER FOR DANIEL JANICAK'S SERVICES AS INTERIM VICE PRESIDENT FINANCE OF THE MERCY HOSPITAL. THE MERCY HOSPITAL DOES NOT KNOW HOW MUCH DANIEL JANICAK RECEIVED AS WAGES FROM WITT KIEFFER IN CALENDAR 2019. 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 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 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 VICE PRESIDENT FINANCE COMPENSATION, TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF THE PRESIDENT AND VICE PRESIDENT FINANCE 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 BOTH ITS OWN WEBSITE AND 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 423,674. EQUITY TRANSFERS TO AFFILIATES -7,079,231. ASSET IMPAIRMENT -7,439,249. FORM 990, PART XII, LINE 2: THE MERCY HOSPITAL'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY20 CONSOLIDATED FINANCIAL STATEMENTS OF 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 874223 31096 THE MERCY HOSPITAL INC MERCY HEALTH ACCOUNTABLE CARE ORGANIZATION 1221 MAIN ST STE 213 HOLYOKE MA 01040 821007572 ACCOUNTABLE CARE ORGANIZATION MA 5475841 663321 THE MERCY 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 114 WOODLAND STREET HARTFORD CT 06105 042182395 HEALTH CARE SERVICES MA 501(C)(3) LINE 10 THE MERCY HOSPITAL INC 1 CAPITAL REGION GERIATRIC CENTER INC 421 WEST COLUMBIA STREET COHOES NY 12047 141701597 LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 CATHERINE MCAULEY HEALTH SERVICES CORP 5315 ELLIOTT DR 102 YPSILANTI MI 48197 382507173 HEALTH CARE SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH-MICHIGAN 1 CATHOLIC HEALTH MINISTRIES 20555 VICTOR PARKWAY LIVONIA MI 48152 GOVERNANCE AND MANAGEMENT OF TRINITY HEALTH SYSTEM VT 501(C)(3) LINE 1 N/A 0 DILEY RIDGE MEDICAL CENTER 6150 EAST BROAD STREET COLUMBUS OH 43213 342032340 HEALTH CARE AND HOSPITAL SERVICES OH 501(C)(3) LINE 3 MOUNT CARMEL HEALTH SYSTEM 1 DUBUQUE MERCY HEALTH FOUNDATION 250 MERCY DRIVE DUBUQUE IA 52001 262227941 FOUNDATION IA 501(C)(3) LINE 12A, I MERCY HEALTH SERVICES-IOWA CORP 1 DYERSVILLE HEALTH FOUNDATION INC 1111 3RD STREET SW DYERSVILLE IA 52040 205383271 FOUNDATION IA 501(C)(3) LINE 12A, I MERCY HEALTH SERVICES-IOWA CORP 1 EAST NORRITON PHYSICIANS SERVICES INC ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 232515999 HEALTH CARE SERVICES PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK 1 EDDY LICENSED HOME CARE AGENCY 433 RIVER ST SUITE 3000 TROY NY 12180 141818568 HOME HEALTH SERVICES NY 501(C)(3) LINE 3 LTC (EDDY) INC 1 EMBRACING AGE INC 333 BUTTERNUT DRIVE DEWITT NY 13214 461051881 PACE PROGRAM NY 501(C)(3) LINE 12B, II ST JOSEPH'S HEALTH INC 1 EMPIRE HOME INFUSION SERVICE INC 10 BLACKSMITH DRIVE MALTA NY 12020 141795732 HOME HEALTH SERVICES NY 501(C)(3) LINE 10 HOME AIDE SERVICE OF EASTERN NEW YORK INC 1 FARREN CARE CENTER INC 114 WOODLAND STREET HARTFORD CT 06105 042501711 LONG TERM CARE MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC 1 FRANCISCAN ELDERCARE CORPORATION PO BOX 2500 WILMINGTON DE 19805 223008680 LONG TERM CARE (INACTIVE) DE 501(C)(3) LINE 10 ST FRANCIS HOSPITAL INC 1 GLACIER HILLS FOUNDATION 1200 EARHART RD ANN ARBOR MI 48105 208072723 FOUNDATION MI 501(C)(3) LINE 12A, I GLACIER HILLS INC 1 GLACIER HILLS INC 1200 EARHART RD ANN ARBOR MI 48105 381891500 SENIOR LIVING COMMUNITY MI 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES 1 GLEN EDDY INC 1 GLEN EDDY DRIVE NISKAYUNA NY 12309 141794150 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 GLOBAL HEALTH MINISTRY 20555 VICTOR PARKWAY LIVONIA MI 48152 421253527 HEALTH CARE SERVICES MI 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 GOOD SAMARITAN HOSPITAL INC 5401 LAKE OCONEE PARKWAY GREENSBORO GA 30642 261720984 HEALTH CARE AND HOSPITAL SERVICES GA 501(C)(3) LINE 3 ST MARY'S HEALTH CARE SYSTEM INC 1 GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION 701 W NORTH AVE MELROSE PARK IL 60160 363332852 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM 1 GOTTLIEB MEMORIAL FOUNDATION 701 WEST NORTH AVENUE MELROSE PARK IL 60160 743260011 FOUNDATION IL 501(C)(3) LINE 12C, III-FI N/A 0 GOTTLIEB MEMORIAL HOSPITAL 701 W NORTH AVE MELROSE PARK IL 60160 362379649 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM 1 HAWTHORNE RIDGE INC 30 COMMUNITY WAY EAST GREENBUSH NY 12061 800102840 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 HEART CENTER OF GREATER WATERBURY INC 114 WOODLAND STREET HARTFORD CT 06105 830416893 MANAGEMENT CT 501(C)(3) LINE 12A, I N/A 0 HERITAGE HOUSE NURSING CENTER INC 2920 TIBBITS AVE TROY NY 12180 141725101 LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 HOLY CROSS CARENET INC PO BOX 9184 FARMINGTON HILLS MI 48152 521945054 LONG TERM CARE MD 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES 1 HOLY CROSS HEALTH FOUNDATION INC 1500 FOREST GLEN ROAD SILVER SPRING MD 20910 208428450 FOUNDATION MD 501(C)(3) LINE 7 HOLY CROSS HEALTH INC 1 HOLY CROSS HEALTH INC 1500 FOREST GLEN ROAD SILVER SPRING MD 20910 520738041 HEALTH CARE AND HOSPITAL SERVICES MD 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 HOLY CROSS HOSPITAL INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 590791028 HEALTH CARE AND HOSPITAL SERVICES FL 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 HOLY CROSS OUTPATIENT SERVICES INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 465421068 HEALTH CARE SERVICES FL 501(C)(3) LINE 10 HOLY CROSS HOSPITAL INC 1 HOLY CROSS PRIMARY CARE INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 812531495 HEALTH CARE SERVICES FL 501(C)(3) LINE 10 HOLY CROSS HOSPITAL INC 1 HOLY CROSS SENIOR SERVICES INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 832256461 HEALTH CARE SERVICES FL 501(C)(3) LINE 10 HOLY CROSS HOSPITAL INC 1 HOME & COMMUNITY HEALTH SERVICES INC 114 WOODLAND STREET HARTFORD CT 06105 810723591 HOME HEALTH SERVICES CT 501(C)(3) LINE 10 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 HOME AIDE SERVICE OF EASTERN NEW YORK INC 433 RIVER ST SUITE 3000 TROY NY 12180 141514867 HOME HEALTH SERVICES NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 HOSPICE OF NORTH IOWA 232 SECOND STREET SE MASON CITY IA 50401 421173708 HOSPICE SERVICES IA 501(C)(3) LINE 10 MERCY HEALTH SERVICES-IOWA CORP 1 HOSPICE OF SIOUXLAND 4300 HAMILTON BLVD SIOUX CITY IA 51104 383320710 HOSPICE SERVICES IA 501(C)(3) LINE 12A, I N/A 0 IHA HEALTH SERVICES CORPORATION 24 FRANK LLOYD WRIGHT DR LOBBY J ANN ARBOR MI 48106 383316559 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN 1 JOHNSON MEMORIAL HOSPITAL INC 114 WOODLAND STREET HARTFORD CT 06105 475676956 HEALTH CARE AND HOSPITAL SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 LANGHORNE MRI INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 232519529 HEALTH CARE SERVICES (INACTIVE) PA 501(C)(3) LINE 10 ST MARY MEDICAL CENTER 1 LANGHORNE PHYSICIAN SERVICES INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 232571699 HEALTH CARE SERVICES PA 501(C)(3) LINE 10 ST MARY MEDICAL CENTER 1 LIFE AT LOURDES INC 2475 MCCLELLAN AVENUE PENNSAUKEN NJ 08109 261854750 PACE PROGRAM NJ 501(C)(3) LINE 3 TRINITY HEALTH PACE 1 LIFE AT ST FRANCIS HEALTHCARE INC 7TH AND CLAYTON STREETS WILMINGTON DE 19805 452569214 PACE PROGRAM DE 501(C)(3) LINE 10 ST FRANCIS HOSPITAL INC 1 LIFE ST FRANCIS CORPORATION 7500 K JOHNSON BOULEVARD BORDENTOWN NJ 08505 222797282 PACE PROGRAM NJ 501(C)(3) LINE 10 ST FRANCIS MEDICAL CENTER TRENTON NJ 1 LIFE ST JOSEPH OF THE PINES INC 4900 RAEFORD ROAD FAYETTEVILLE NC 28304 272159847 PACE PROGRAM NC 501(C)(3) LINE 3 TRINITY HEALTH PACE 1 LIFE ST MARY 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 262976184 PACE PROGRAM PA 501(C)(3) LINE 10 ST MARY MEDICAL CENTER 1 LOYOLA MEDICINE TRANSPORT LLC 905 W NORTH AVE MELROSE PARK IL 60160 474147171 TRANSPORTATION SERVICES IL 501(C)(3) LINE 10 LOYOLA UNIVERSITY MEDICAL CENTER 1 LOYOLA UNIVERSITY HEALTH SYSTEM 2160 SOUTH FIRST AVENUE MAYWOOD IL 60153 363342448 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT IL 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION 1 LOYOLA UNIVERSITY MEDICAL CENTER 2160 SOUTH FIRST AVENUE MAYWOOD IL 60153 364015560 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM 1 LTC (EDDY) INC 2212 BURDETT AVE TROY NY 12180 222564710 MANAGEMENT SERVICES FOR LONG TERM CARE NY 501(C)(3) LINE 12B, II ST PETER'S HEALTH PARTNERS 1 MARIAN HOME HEALTHCARE 801 5TH STREET SIOUX CITY IA 51101 383320705 HOME HEALTH SERVICES (INACTIVE) IA 501(C)(3) LINE 12A, I MERCY HEALTH SERVICES-IOWA CORP 1 MAXIS HEALTH SYSTEM 20555 VICTOR PARKWAY LIVONIA MI 48152 911940902 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT PA 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 MCAULEY CENTER INC 275 STEELE ROAD WEST HARTFORD CT 06117 061058086 SENIOR LIVING COMMUNITY CT 501(C)(3) LINE 10 MERCY COMMUNITY HEALTH INC 1 MCAULEY MINISTRIES 3333 FIFTH AVENUE PITTSBURGH PA 15213 943436142 GRANT MAKING PA 501(C)(3) LINE 12B, II PITTSBURGH MERCY HEALTH SYSTEM INC 1 MEMORIAL HOSPITAL ALBANY NY 600 NORTHERN BLVD ALBANY NY 12204 141338457 HEALTH CARE AND HOSPITAL SERVICES NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS 1 MERCY CARE FOUNDATION INC 424 DECATUR STREET ATLANTA GA 30312 581448522 FOUNDATION GA 501(C)(3) LINE 7 SAINT JOSEPH'S HEALTH SYSTEM INC 1 MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 231352191 HEALTH CARE AND HOSPITAL SERVICES PA 501(C)(3) LINE 3 TRINITY HEALTH OF THE MID-ATLANTIC REGION 1 MERCY COMMUNITY HEALTH INC 2021 ALBANY AVENUE WEST HARTFORD CT 06117 061492707 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT CT 501(C)(3) LINE 12B, II TRINITY CONTINUING CARE SERVICES 1 MERCY FAMILY SUPPORT 1001 BALTIMORE PIKE SUITE 310 SPRINGFIELD PA 19064 232325059 HOME HEALTH SERVICES PA 501(C)(3) LINE 10 MERCY HOME HEALTH SERVICES 1 MERCY FOUNDATION INC 2525 SOUTH MICHIGAN AVENUE CHICAGO IL 60616 363227350 FOUNDATION IL 501(C)(3) LINE 7 MERCY HEALTH SYSTEM OF CHICAGO 1 MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE 888 TERRACE STREET MUSKEGON MI 49440 383321856 HOME HEALTH SERVICES MI 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES 1 MERCY HEALTH FOUNDATION OF SOUTHEASTERN PENNSYLVANIA ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 232829864 FOUNDATION PA 501(C)(3) LINE 12B, II TRINITY HEALTH OF THE MID-ATLANTIC REGION 1 MERCY HEALTH NETWORK INC 1449 NW 128TH ST BLDG 5 CLIVE IA 50325 421478417 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT DE 501(C)(3) LINE 12C, III-FI N/A 0 MERCY HEALTH PARTNERS 1500 E SHERMAN BLVD MUSKEGON MI 49444 382589966 HEALTH CARE AND HOSPITAL SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH-MICHIGAN 1 MERCY HEALTH PLAN ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 222483605 MEDICAID MANAGED CARE PLAN PA 501(C)(3) LINE 12B, II TRINITY HEALTH OF THE MID-ATLANTIC REGION 1 MERCY HEALTH SERVICES - IOWA CORP 1000 4TH STREET SW MASON CITY IA 50401 311373080 HEALTH CARE AND HOSPITAL SERVICES DE 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 MERCY HEALTH SYSTEM OF CHICAGO 2525 SOUTH MICHIGAN AVENUE CHICAGO IL 60616 363163327 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT IL 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION 1 MERCY HEALTHCARE FOUNDATION - CLINTON 1410 N 4TH ST CLINTON IA 52732 421316126 FOUNDATION IA 501(C)(3) LINE 7 MERCY MEDICAL CENTER - CLINTON INC 1 MERCY HOME HEALTH 1001 BALTIMORE PIKE SUITE 310 SPRINGFIELD PA 19064 231352099 HOME HEALTH SERVICES PA 501(C)(3) LINE 10 MERCY HOME HEALTH SERVICES 1 MERCY HOME HEALTH SERVICES 1001 BALTIMORE PIKE SUITE 310 SPRINGFIELD PA 19064 232325058 MANAGEMENT SERVICES FOR HOME HEALTH PA 501(C)(3) LINE 12B, II TRINITY HEALTH OF THE MID-ATLANTIC REGION 1 MERCY HOSPITAL AND MEDICAL CENTER 2525 SOUTH MICHIGAN AVENUE CHICAGO IL 60616 362170152 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 MERCY HEALTH SYSTEM OF CHICAGO 1 MERCY HOSPITAL CADILLAC FOUNDATION 318 RIVER RIDGE DR NW SUITE 100 WALKER MI 49544 203357131 FOUNDATION MI 501(C)(3) LINE 12A, I TRINITY HEALTH-MICHIGAN 1 MERCY LIFE CENTER CORPORATION 1200 REEDSDALE STREET PITTSBURGH PA 15233 251604115 COMMUNITY OUTREACH PA 501(C)(3) LINE 10 PITTSBURGH MERCY HEALTH SYSTEM INC 1 MERCY LIFE OF ALABAMA PO BOX 7957 MOBILE AL 36670 273163002 PACE PROGRAM AL 501(C)(3) LINE 3 TRINITY HEALTH PACE 1 MERCY LIFE INC 200 HILLSIDE CIRCLE WEST SPRINGFIELD MA 01089 453086711 PACE PROGRAM MA 501(C)(3) LINE 3 TRINITY HEALTH PACE 1 MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 232627944 HEALTH CARE SERVICES PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK 1 MERCY MEDICAL CENTER - CLINTON INC 1410 NORTH 4TH ST CLINTON IA 52732 421336618 HEALTH CARE AND HOSPITAL SERVICES DE 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP 1 MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION 801 5TH STREET SIOUX CITY IA 51102 141880022 FOUNDATION IA 501(C)(3) LINE 7 MERCY HEALTH SERVICES-IOWA CORP 1 MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA 1000 4TH STREET SW MASON CITY IA 50401 421229151 FOUNDATION IA 501(C)(3) LINE 7 MERCY HEALTH SERVICES-IOWA CORP 1 MERCY MEDICAL CORPORATION PO BOX 7957 MOBILE AL 36670 636002215 PACE PROGRAM AL 501(C)(3) LINE 10 TRINITY HEALTH CORPORATION 1 MERCY MEDICAL GROUP INC 114 WOODLAND STREET HARTFORD CT 06105 454884805 HEALTH CARE SERVICES MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC 1 MERCY PHYSICIAN NETWORK ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 461187365 MANAGEMENT SERVICES FOR PHYSICIAN SERVICE ORGANIZATIONS PA 501(C)(3) LINE 12B, II TRINITY HEALTH OF THE MID-ATLANTIC REGION 1 MERCY SENIOR CARE INC 424 DECATUR STREET ATLANTA GA 30312 581366508 COMMUNITY OUTREACH GA 501(C)(3) LINE 7 SAINT JOSEPH'S HEALTH SYSTEM INC 1 MERCY SERVICES DOWNTOWN INC 424 DECATUR STREET ATLANTA GA 30312 272046353 TITLE HOLDING COMPANY GA 501(C)(3) LINE 12B, II SAINT JOSEPH'S HEALTH SYSTEM INC 1 MERCY SERVICES FOR AGING NONPROFIT HOUSING CORPORATION PO BOX 9184 FARMINGTON HILLS MI 48333 382719605 LONG TERM CARE MI 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES 1 MERCY SPECIALIST PHYSICIANS INC 114 WOODLAND STREET HARTFORD CT 06105 264033168 HEALTH CARE SERVICES MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC 1 MERCY SUBURBAN HOSPITAL ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 231396763 HEALTH CARE AND HOSPITAL SERVICES PA 501(C)(3) LINE 3 TRINITY HEALTH OF THE MID-ATLANTIC REGION 1 MISSION HEALTH CORPORATION 37595 SEVEN MILE ROAD LIVONIA MI 48152 383181557 BUILDING MANAGEMENT SERVICES DE 501(C)(3) LINE 12A, I N/A 0 MOUNT CARMEL COLLEGE OF NURSING 6150 EAST BROAD STREET COLUMBUS OH 43213 311308555 COLLEGE OF NURSING OH 501(C)(3) LINE 2 MOUNT CARMEL HEALTH SYSTEM 1 MOUNT CARMEL HEALTH INSURANCE COMPANY 6150 EAST BROAD STREET COLUMBUS OH 43213 251912781 HEALTH INSURANCE OH 501(C)(4) N/A MOUNT CARMEL HEALTH SYSTEM 1 MOUNT CARMEL HEALTH PLAN OF IDAHO INC 6150 EAST BROAD STREET COLUMBUS OH 43213 831422704 MEDICARE HMO ID 501(C)(4) N/A MOUNT CARMEL HEALTH PLAN INC 1 MOUNT CARMEL HEALTH PLAN OF NEW YORK INC 6150 EAST BROAD STREET COLUMBUS OH 43213 833278543 MEDICARE HMO NY 501(C)(4) N/A MOUNT CARMEL HEALTH PLAN INC 1 MOUNT CARMEL HEALTH PLAN INC 6150 EAST BROAD STREET COLUMBUS OH 43213 311471229 MEDICARE HMO OH 501(C)(4) N/A MOUNT CARMEL HEALTH SYSTEM 1 MOUNT CARMEL HEALTH SYSTEM 6150 EAST BROAD STREET COLUMBUS OH 43213 311439334 HEALTH CARE AND HOSPITAL SERVICES OH 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 MOUNT CARMEL HEALTH SYSTEM FOUNDATION 6150 EAST BROAD STREET COLUMBUS OH 43213 311113966 FOUNDATION OH 501(C)(3) LINE 12A, I MOUNT CARMEL HEALTH SYSTEM 1 MOUNT SINAI HOSPITAL FOUNDATION INC 114 WOODLAND STREET HARTFORD CT 06105 222584082 FOUNDATION CT 501(C)(3) LINE 12C, III-FI N/A 0 MOUNT SINAI REHABILITATION HOSPITAL INC 114 WOODLAND STREET HARTFORD CT 06105 061422973 HEALTH CARE AND HOSPITAL SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 MOUNT ST JOSEPH 7 HIGHTOWER STREET WATERVILLE ME 04901 010274998 LONG TERM CARE ME 501(C)(3) LINE 3 MERCY COMMUNITY HEALTH INC 1 MUSKEGON COMMUNITY HEALTH PROJECT 565 W WESTERN AVENUE MUSKEGON MI 49440 911932918 COMMUNITY OUTREACH MI 501(C)(3) LINE 7 MERCY HEALTH PARTNERS 1 NAZARETH HEALTH CARE FOUNDATION 2701 HOLME AVENUE PHILADELPHIA PA 19152 232300951 FOUNDATION PA 501(C)(3) LINE 12A, I NAZARETH HOSPITAL 1 NAZARETH HOSPITAL 2601 HOLME AVENUE PHILADELPHIA PA 19152 232794121 HEALTH CARE AND HOSPITAL SERVICES PA 501(C)(3) LINE 3 TRINITY HEALTH OF THE MID-ATLANTIC REGION 1 NAZARETH PHYSICIAN SERVICES INC ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 203261266 HEALTH CARE SERVICES PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK 1 NE PHYSICIAN SERVICES INC ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 232497355 HEALTH CARE SERVICES (INACTIVE) PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK 1 OAKLAND MERCY HOSPITAL 601 EAST 2ND STREET OAKLAND NE 68045 208072234 HEALTH CARE AND HOSPITAL SERVICES NE 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP 1 OAKLAND MERCY HOSPITAL FOUNDATION 601 E 2ND STREET OAKLAND NE 68045 311678345 FOUNDATION NE 501(C)(3) LINE 12A, I OAKLAND MERCY HOSPITAL 1 OSUMOUNT CARMEL HEALTH ALLIANCE 6150 EAST BROAD STREET COLUMBUS OH 43213 311654603 COOPERATIVE HEALTH CARE DELIVERY SYSTEM OH 501(C)(3) LINE 12A, I N/A 0 OUR LADY OF MERCY LIFE CENTER 2 MERCYCARE LANE GUILDERLAND NY 12084 141743506 LONG TERM CARE NY 501(C)(3) LINE 3 ST PETER'S HOSPITAL 1 PIONEER VALLEY CARDIOLOGY ASSOCIATES INC 114 WOODLAND STREET HARTFORD CT 06105 454208896 HEALTH CARE SERVICES MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC 1 PITTSBURGH MERCY HEALTH SYSTEM INC 3333 5TH AVENUE PITTSBURGH PA 15213 251464211 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT PA 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION 1 PROBILITY THERAPY SERVICES 2058 S STATE STREET ANN ARBOR MI 48104 202020239 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN 1 PROFESSIONAL MED TEAM 965 FORK STREET MUSKEGON MI 49442 382638284 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 MERCY HEALTH PARTNERS 1 RIVERBEND MEDICAL GROUP INC 114 WOODLAND STREET HARTFORD CT 06105 811807730 HEALTH CARE SERVICES MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC 1 SJ MANAGEMENT COMPANY OF SYRACUSE INC 301 PROSPECT AVENUE SYRACUSE NY 13203 271763712 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT NY 501(C)(3) LINE 12A, I ST JOSEPH'S HOSPITAL HEALTH CENTER 1 SAINT AGNES MEDICAL CENTER 1303 EAST HERNDON AVE FRESNO CA 93720 941437713 HEALTH CARE AND HOSPITAL SERVICES CA 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 SAINT AGNES MEDICAL FOUNDATION 1303 EAST HERNDON AVE FRESNO CA 93720 942839324 HEALTH CARE SERVICES CA 501(C)(3) LINE 12A, I SAINT AGNES MEDICAL CENTER 1 SAINT ALPHONSUS DIVERSIFIED CARE INC 1055 NORTH CURTIS RD BOISE ID 83706 943028978 HEALTH CARE SYSTEM SUPPORT ID 501(C)(3) LINE 12A, I SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC 1 SAINT ALPHONSUS FOUNDATION-BAKER CITY INC 3325 POCAHONTAS ROAD BAKER CITY OR 97814 943164869 FOUNDATION OR 501(C)(3) LINE 7 SAINT ALPHONSUS MEDICAL CENTER - BAKER CITY 1 SAINT ALPHONSUS FOUNDATION-ONTARIO INC 351 SW 9TH STREET ONTARIO OR 97914 202683560 FOUNDATION OR 501(C)(3) LINE 7 SAINT ALPHONSUS MEDICAL CENTER-ONTARIO 1 SAINT ALPHONSUS HEALTH SYSTEM INC 1055 N CURTIS ROAD BOISE ID 83706 271929502 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT ID 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION 1 SAINT ALPHONSUS MEDICAL CENTER ONTARIO VOLUNTEERS 351 SW 9TH STREET ONTARIO OR 97914 943059469 VOLUNTEER SERVICE AUXILIARY OR 501(C)(3) LINE 10 SAINT ALPHONSUS MEDICAL CENTER-ONTARIO 1 SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC 3325 POCAHONTAS ROAD BAKER CITY OR 97814 271790052 HEALTH CARE AND HOSPITAL SERVICES OR 501(C)(3) LINE 3 SAINT ALPHONSUS HEALTH SYSTEM INC 1 SAINT ALPHONSUS MEDICAL CENTER-NAMPA HEALTH FOUNDATION INC 4300 E FLAMINGO AVENUE NAMPA ID 83687 261737256 FOUNDATION ID 501(C)(3) LINE 7 SAINT ALPHONSUS MEDICAL CENTER-NAMPA 1 SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC 4300 E FLAMINGO AVENUE NAMPA ID 83687 820200896 HEALTH CARE AND HOSPITAL SERVICES ID 501(C)(3) LINE 3 SAINT ALPHONSUS HEALTH SYSTEM INC 1 SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC 351 SW 9TH STREET ONTARIO OR 97914 271789847 HEALTH CARE AND HOSPITAL SERVICES OR 501(C)(3) LINE 3 SAINT ALPHONSUS HEALTH SYSTEM INC 1 SAINT ALPHONSUS REGIONAL MEDICAL CENTER 1055 NORTH CURTIS RD BOISE ID 83706 820200895 HEALTH CARE AND HOSPITAL SERVICES ID 501(C)(3) LINE 3 SAINT ALPHONSUS HEALTH SYSTEM INC 1 SAINT FRANCIS EMERGENCY MEDICAL GROUP INC 114 WOODLAND STREET HARTFORD CT 06105 451994612 HEALTH CARE SERVICES CT 501(C)(3) LINE 12B, II TRINITY HEALTH OF NEW ENGLAND PNO INC 1 SAINT FRANCIS HOSPITAL AND MEDICAL CENTER 114 WOODLAND STREET HARTFORD CT 06105 060646813 HEALTH CARE AND HOSPITAL SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 SAINT FRANCIS HOSPITAL AND MEDICAL CENTER FOUNDATION INC 114 WOODLAND STREET HARTFORD CT 06105 061008255 FOUNDATION CT 501(C)(3) LINE 7 SAINT FRANCIS HOSPITAL AND MEDICAL CENTER 1 SAINT JOSEPH PACE INC 20555 VICTOR PARKWAY LIVONIA MI 48152 473129127 PACE PROGRAM IN 501(C)(3) LINE 10 TRINITY HEALTH PACE 1 SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC PO BOX 670 PLYMOUTH IN 46563 351142669 HEALTH CARE AND HOSPITAL SERVICES IN 501(C)(3) LINE 3 SAINT JOSEPH REGIONAL MEDICAL CENTER INC 1 SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC 5215 HOLY CROSS PARKWAY MISHAWAKA IN 46545 350868157 HEALTH CARE AND HOSPITAL SERVICES IN 501(C)(3) LINE 3 SAINT JOSEPH REGIONAL MEDICAL CENTER INC 1 SAINT JOSEPH REGIONAL MEDICAL CENTER PLYMOUTH AUXILIARY INC 1915 LAKE AVENUE PLYMOUTH IN 46563 356043563 VOLUNTEER SERVICE AUXILIARY IN 501(C)(3) LINE 12A, I SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC 1 SAINT JOSEPH REGIONAL MEDICAL CENTER INC 5215 HOLY CROSS PARKWAY MISHAWAKA IN 46545 351568821 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT IN 501(C)(3) LINE 12C, III-FI TRINITY HEALTH CORPORATION 1 SAINT JOSEPH'S HEALTH SYSTEM INC 424 DECATUR STREET ATLANTA GA 30312 581744848 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT GA 501(C)(3) LINE 12C, III-FI TRINITY HEALTH CORPORATION 1 SAINT JOSEPH'S MERCY CARE SERVICES INC 424 DECATUR STREET ATLANTA GA 30312 581752700 HEALTH CARE SERVICES GA 501(C)(3) LINE 7 SAINT JOSEPH'S HEALTH SYSTEM INC 1 SAINT JOSEPH'S TOWER INC PO BOX 9184 FARMINGTON HILLS MI 48333 311040468 SENIOR LIVING COMMUNITY IN 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES - INDIANA INC 1 SAINT MARY'S AMICARE HOME HEALTHCARE 1430 MONROE NW STE 120 GRAND RAPIDS MI 49505 383320700 HOME HEALTH SERVICES MI 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES 1 SAINT MARY'S FOUNDATION 200 JEFFERSON ST SE GRAND RAPIDS MI 49503 381779602 FOUNDATION MI 501(C)(3) LINE 7 TRINITY HEALTH-MICHIGAN 1 SAINT MARY'S HOSPITAL FOUNDATION INC 114 WOODLAND STREET HARTFORD CT 06105 222528400 FOUNDATION CT 501(C)(3) LINE 7 SAINT MARY'S HOSPITAL INC 1 SAINT MARY'S HOSPITAL INC 114 WOODLAND STREET HARTFORD CT 06105 060646844 HEALTH CARE AND HOSPITAL SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 SAMARITAN CHILD CARE CENTER INC 2215 BURDETT AVE TROY NY 12180 141710225 CHILD CARE SERVICES NY 501(C)(3) LINE 10 ST PETER'S HEALTH PARTNERS 1 SAMARITAN HOSPITAL 2215 BURDETT AVE TROY NY 12180 141338544 HEALTH CARE AND HOSPITAL SERVICES NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS 1 SENIOR CARE CONNECTION INC 1938 CURRY ROAD SCHENECTADY NY 12303 141708754 PACE PROGRAM NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 SETON HEALTH AT SCHUYLER RIDGE RESIDENTIAL HEALTHCARE ONE ABELE BLVD CLIFTON PARK NY 12065 141756230 LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 SIOUXLAND PARAMEDICS INC PO BOX 3349 SIOUX CITY IA 51102 421185707 MEDICAL TRANSPORTATION SERVICES IA 501(C)(3) LINE 12A, I N/A 0 SISTERS OF PROVIDENCE CARE CENTERS INC 114 WOODLAND STREET HARTFORD CT 06105 222541103 LONG TERM CARE MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC 1 SJHSJOC HOLDINGS INC 424 DECATUR STREET ATLANTA GA 30312 472299757 HEALTH CARE SYSTEM SUPPORT GA 501(C)(3) LINE 12B, II SAINT JOSEPH'S HEALTH SYSTEM INC 1 ST AGNES CONTINUING CARE CENTER ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 232840137 PACE PROGRAM PA 501(C)(3) LINE 3 TRINITY HEALTH OF THE MID-ATLANTIC REGION 1 ST FRANCIS FOUNDATION PO BOX 2500 WILMINGTON DE 19805 510374158 FOUNDATION DE 501(C)(3) LINE 12A, I ST FRANCIS HOSPITAL INC 1 ST FRANCIS HOSPITAL INC PO BOX 2500 WILMINGTON DE 19805 510064326 HEALTH CARE AND HOSPITAL SERVICES DE 501(C)(3) LINE 3 TRINITY HEALTH OF THE MID-ATLANTIC REGION 1 ST FRANCIS MEDICAL ASSOCIATES PA 601 HAMILTON AVENUE TRENTON NJ 08629 832199054 HEALTH CARE SERVICES NJ 501(C)(3) LINE 3 ST FRANCIS MEDICAL CENTER TRENTON NJ 1 ST FRANCIS MEDICAL CENTER FOUNDATION INC 601 HAMILTON AVENUE TRENTON NJ 08629 521025476 FOUNDATION NJ 501(C)(3) LINE 7 ST FRANCIS MEDICAL CENTER TRENTON NJ 1 ST FRANCIS MEDICAL CENTER TRENTON NJ 601 HAMILTON AVENUE TRENTON NJ 08629 223431049 HEALTH CARE AND HOSPITAL SERVICES NJ 501(C)(3) LINE 3 MAXIS HEALTH SYSTEM 1 ST JAMES MERCY HEALTH SYSTEM INC 20555 VICTOR PARKWAY LIVONIA MI 48152 223127184 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE) NY 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 ST JOSEPH MERCY CHELSEA INC 775 S MAIN ST CHELSEA MI 48118 824757260 HEALTH CARE AND HOSPITAL SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH-MICHIGAN 1 ST JOSEPH OF THE PINES INC 100 GOSSMAN DRIVE SOUTHERN PINES NC 28387 560694200 LONG TERM CARE NC 501(C)(3) LINE 3 TRINITY CONTINUING CARE SERVICES 1 ST JOSEPH'S COLLEGE OF NURSING AT ST JOSEPH'S HOSPITAL HEALTH CENTER 206 PROSPECT AVENUE SYRACUSE NY 13203 202497520 COLLEGE OF NURSING NY 501(C)(3) LINE 2 ST JOSEPH'S HOSPITAL HEALTH CENTER 1 ST JOSEPH'S HEALTH CENTER PROPERTIES INC 301 PROSPECT AVENUE SYRACUSE NY 13203 237219294 BUILDING MANAGEMENT SERVICES NY 501(C)(3) LINE 12B, II ST JOSEPH'S HEALTH INC 1 ST JOSEPH'S HEALTH INC 301 PROSPECT AVENUE SYRACUSE NY 13203 474754987 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT NY 501(C)(3) LINE 12C, III-FI TRINITY HEALTH CORPORATION 1 ST JOSEPH'S HOSPITAL HEALTH CENTER 301 PROSPECT AVENUE SYRACUSE NY 13203 150532254 HEALTH CARE AND HOSPITAL SERVICES NY 501(C)(3) LINE 3 ST JOSEPH'S HEALTH INC 1 ST JOSEPH'S HOSPITAL HEALTH CENTER FOUNDATION INC 301 PROSPECT AVENUE SYRACUSE NY 13203 222149775 FOUNDATION NY 501(C)(3) LINE 12B, II ST JOSEPH'S HEALTH INC 1 ST JOSEPH'S MEDICAL PC 301 PROSPECT AVENUE SYRACUSE NY 13203 273899821 HEALTH CARE SERVICES NY 501(C)(3) LINE 12A, I ST JOSEPH'S HOSPITAL HEALTH CENTER 1 ST JOSEPH'S PHYSICIAN HEALTH PC 301 PROSPECT AVENUE SYRACUSE NY 13203 161516863 HEALTH CARE SERVICES NY 501(C)(3) LINE 12A, I ST JOSEPH'S HOSPITAL HEALTH CENTER 1 ST MARY BUILDING AND DEVELOPMENT 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 461827502 TITLE HOLDING COMPANY PA 501(C)(2) N/A ST MARY MEDICAL CENTER 1 ST MARY EMERGENCY MEDICAL SERVICES 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 465354512 HEALTH CARE SERVICES PA 501(C)(3) LINE 10 ST MARY MEDICAL CENTER 1 ST MARY HOME INCORPORATED 2021 ALBANY AVENUE WEST HARTFORD CT 06117 060646843 LONG TERM CARE CT 501(C)(3) LINE 3 MERCY COMMUNITY HEALTH INC 1 ST MARY MEDICAL CENTER 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 231913910 HEALTH CARE AND HOSPITAL SERVICES PA 501(C)(3) LINE 3 TRINITY HEALTH OF THE MID-ATLANTIC REGION 1 ST MARY'S FOUNDATION INC 1230 BAXTER STREET ATHENS GA 30606 582544232 FOUNDATION GA 501(C)(3) LINE 12A, I ST MARY'S HEALTH CARE SYSTEM INC 1 ST MARY'S GOOD SAMARITAN FOUNDATION INC 1230 BAXTER STREET ATHENS GA 30606 811660088 FOUNDATION GA 501(C)(3) LINE 12A, I ST MARY'S HEALTH CARE SYSTEM INC 1 ST MARY'S HEALTH CARE SYSTEM INC 1230 BAXTER STREET ATHENS GA 30606 580566223 HEALTH CARE AND HOSPITAL SERVICES GA 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 ST MARY'S HIGHLAND HILLS INC 1230 BAXTER STREET ATHENS GA 30606 020576648 SENIOR LIVING COMMUNITY GA 501(C)(3) LINE 3 ST MARY'S HEALTH CARE SYSTEM INC 1 ST MARY'S MEDICAL GROUP INC 1230 BAXTER STREET ATHENS GA 30606 261858563 HEALTH CARE SERVICES GA 501(C)(3) LINE 3 ST MARY'S HEALTH CARE SYSTEM INC 1 ST MARY'S SACRED HEART HOSPITAL INC 367 CLEAR CREEK PARKWAY LAVONIA GA 30553 473752176 HEALTH CARE AND HOSPITAL SERVICES GA 501(C)(3) LINE 3 ST MARY'S HEALTH CARE SYSTEM INC 1 ST PETER'S HEALTH PARTNERS 315 SOUTH MANNING BLVD ALBANY NY 12208 453570715 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT NY 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION 1 ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES PC 315 SOUTH MANNING BLVD ALBANY NY 12208 461177336 HEALTH CARE SERVICES NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS 1 ST PETER'S HOSPITAL 315 SOUTH MANNING BLVD ALBANY NY 12208 141348692 HEALTH CARE AND HOSPITAL SERVICES NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS 1 ST PETER'S HOSPITAL FOUNDATION INC 310 SOUTH MANNING BLVD ALBANY NY 12208 222262982 FOUNDATION NY 501(C)(3) LINE 7 ST PETER'S HEALTH PARTNERS 1 SUNNYVIEW HOSPITAL AND REHABILITATION CENTER 1270 BELMONT AVENUE SCHENECTADY NY 12308 141338386 HEALTH CARE AND HOSPITAL SERVICES NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS 1 SUNNYVIEW HOSPITAL AND REHABILITATION CENTER FOUNDATION INC 1270 BELMONT AVE SCHENECTADY NY 12308 222505127 FOUNDATION NY 501(C)(3) LINE 7 SUNNYVIEW HOSPITAL AND REHABILITATION CENTER 1 THE AUXILIARY OF ST JOSEPH'S HOSPITAL HEALTH CENTER INC 301 PROSPECT AVENUE SYRACUSE NY 13203 203018640 VOLUNTEER SERVICE AUXILIARY NY 501(C)(3) LINE 10 ST JOSEPH'S HOSPITAL HEALTH CENTER FOUNDATION INC 1 THE BURDETT CARE CENTER INC 2215 BURDETT AVE TROY NY 12180 272153849 HEALTH CARE SERVICES NY 501(C)(3) LINE 3 SAMARITAN HOSPITAL 1 THE COMMUNITY HOSPICE FOUNDATION INC 445 NEW KARNER RD ALBANY NY 12205 222692940 FOUNDATION NY 501(C)(3) LINE 7 THE COMMUNITY HOSPICE INC 1 THE COMMUNITY HOSPICE INC 445 NEW KARNER RD ALBANY NY 12205 141608921 HOSPICE SERVICES NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS 1 THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER INC 707 EAST CEDAR STREET STE 175 SOUTH BEND IN 46617 351654543 FOUNDATION IN 501(C)(3) LINE 7 SAINT JOSEPH REGIONAL MEDICAL CENTER INC 1 THE JAMES A EDDY MEMORIAL GERIATRIC CENTER INC 2256 BURDETT AVE TROY NY 12180 222570478 LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 THE MARJORIE DOYLE ROCKWELL CENTER INC 421 WEST COLUMBIA ST COHOES NY 12047 141793885 LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 THE MERCY HOSPITAL INC 114 WOODLAND STREET HARTFORD CT 06105 043398280 HEALTH CARE AND HOSPITAL SERVICES MA 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 0 THE NORTHEAST HEALTH FOUNDATION INC 310 SOUTH MANNING BLVD ALBANY NY 12208 222743478 FOUNDATION NY 501(C)(3) LINE 7 ST PETER'S HEALTH PARTNERS 1 THE WOMEN'S AUXILIARY OF SAINT FRANCIS HOSPITAL AND MEDICAL CENTER INC 114 WOODLAND STREET HARTFORD CT 06105 060660403 VOLUNTEER SERVICE AUXILIARY CT 501(C)(3) LINE 12B, II N/A 0 THHS OAKLAND FKA CRANBROOK HOSPICE CARE 20555 VICTOR PARKWAY LIVONIA MI 48152 383320699 HOSPICE SERVICES (INACTIVE) MI 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES 1 TRI-HOSPITAL EMERGENCY MEDICAL SERVICES 309 GRAND RIVER PORT HURON MI 48060 382485700 HEALTH CARE SERVICES MI 501(C)(3) LINE 12A, I N/A 0 TRINITY CONTINUING CARE SERVICES PO BOX 9184 FARMINGTON HILLS MI 48333 382559656 LONG TERM CARE MI 501(C)(3) LINE 10 TRINITY HEALTH CORPORATION 1 TRINITY CONTINUING CARE SERVICES - INDIANA PO BOX 9184 FARMINGTON HILLS MI 48333 930907047 LONG TERM CARE IN 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES 1 TRINITY CONTINUING CARE SERVICES - MASSACHUSETTS PO BOX 9184 FARMINGTON HILLS MI 48333 824005577 LONG TERM CARE MI 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES 1 TRINITY HEALTH - MICHIGAN 20555 VICTOR PARKWAY LIVONIA MI 48152 382113393 HEALTH CARE AND HOSPITAL SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 TRINITY HEALTH CORPORATION 20555 VICTOR PARKWAY LIVONIA MI 48152 351443425 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT IN 501(C)(3) LINE 12B, II CATHOLIC HEALTH MINISTRIES 1 TRINITY HEALTH LIFE PENNSYLVANIA INC PO BOX 9184 FARMINGTON HILLS MI 48333 475244984 PACE PROGRAM PA 501(C)(3) LINE 10 TRINITY HEALTH PACE 1 TRINITY HEALTH OF NEW ENGLAND CORPORATION INC 114 WOODLAND STREET HARTFORD CT 06105 061491191 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT CT 501(C)(3) LINE 12C, III-FI TRINITY HEALTH CORPORATION 1 TRINITY HEALTH OF NEW ENGLAND EMERGENCY MEDICAL SERVICES INC 114 WOODLAND STREET HARTFORD CT 06105 833546613 HEALTH CARE SERVICES CT 501(C)(3) LINE 10 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC 114 WOODLAND STREET HARTFORD CT 06105 061450168 HEALTH CARE SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 TRINITY HEALTH OF THE MID-ATLANTIC REGION ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 232212638 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT PA 501(C)(3) LINE 12C, III-FI TRINITY HEALTH CORPORATION 1 TRINITY HEALTH PACE PO BOX 9184 FARMINGTON HILLS MI 48333 473073124 PACE PROGRAM MI 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION 1 TRINITY HEALTH WELFARE BENEFIT TRUST 20555 VICTOR PARKWAY LIVONIA MI 48152 208151733 RETIREE MEDICAL AND RETIREE LIFE INSURANCE MI 501(C)(9) N/A TRINITY HEALTH CORPORATION 1 TRINITY HOME HEALTH SERVICES PO BOX 9184 FARMINGTON HILLS MI 48333 382621935 MANAGEMENT SERVICES FOR HOME HEALTH SYSTEM MI 501(C)(3) LINE 10 TRINITY HEALTH CORPORATION 1 VILLA MARY IMMACULATE 301 HACKETT BLVD ALBANY NY 12208 141438749 LONG TERM CARE NY 501(C)(3) LINE 3 ST PETER'S HOSPITAL 1 ADVENT REHABILITATION LLC 607 DEWEY AVENUE SUITE 300 GRAND RAPIDS MI 49504 383306673 REHABILITATION THERAPY SERVICES MI N/A BH VENTURE ONE LP 905 WATSON STREET PITTSBURGH PA 15219 384098074 REAL ESTATE PA N/A BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP 6150 EAST BROAD STREET COLUMBUS OH 43213 311608125 MEDICAL OFFICE BUILDING RENTAL OH N/A CATHERINE HORAN BUILDING ASSOCIATES LP 1221 MAIN STREET SUITE 105 HOLYOKE MA 01040 042723429 PROPERTY MANAGEMENT MA CATHERINE HORAN BUILDING CORPORATION EXCLUDED -2887 8023 0 1 0.01000 CENTER FOR DIGESTIVE CARE LLC 5300 ELLIOTT DRIVE YPSILANTI MI 48197 030447062 PROVIDE GASTROINTESTINAL SERVICES MI N/A CENTRAL NEW JERSEY HEART SERVICES LLC 45 SAPPHIRE DRIVE PRINCETON NJ 08550 208525458 CARDIAC PROGRAM NJ N/A CLINTON IMAGING SERVICES LLC 1410 N 4TH STREET CLINTON IA 52732 412044739 MRI DIAGNOSTIC SERVICES IA N/A DIAGNOSTIC IMAGING OF SOUTHBURY LLC 385 MAIN STREET SOUTH SOUTHBURY CT 06488 061487582 IMAGING CENTER CT N/A FOREST PARK IMAGING LLC 1000 4TH STREET SW MASON CITY IA 50401 134365966 X-RAY AND MAMMOGRAPHY SERVICES IA N/A FRANCES WARDE MEDICAL LABORATORY 300 WEST TEXTILE ROAD ANN ARBOR MI 48104 382648446 LABORATORY MI N/A GATEWAY HEALTH PLAN LP 444 LIBERTY AVE SUITE 2100 PITTSBURGH PA 15222 251691945 MEDICAID & MEDICARE/SPECIAL NEEDS MANAGED CARE ORGANIZATION PA N/A GREATER HARTFORD LITHOTRIPSY LLC 114 WOODLAND STREET HARTFORD CT 06105 061578891 LITHOTRIPSY SERVICES CT N/A HAWARDEN REGIONAL HEALTH CLINICS LLC 1122 AVENUE L HAWARDEN IA 51023 201444339 MEDICAL CLINIC IA N/A INTERMOUNTAIN MEDICAL IMAGING LLC 877 WEST MAIN ST STE 603 BOISE ID 83702 820514422 IMAGING CENTER ID N/A HEART INSTITUTE OF ST MARY LLC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 454903701 CARDIOVASCULAR SERVICES PA N/A LOYOLA AMBULATORY SURGERY CENTER AT OAKBROOK LP 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 364119522 SURGICAL SERVICES IL N/A MAGNETIC RESONANCE SERVICES PARTNERSHIP 1416 SIXTH STREET SW MASON CITY IA 50401 421328388 MRI SERVICES IA N/A MASON CITY AMBULATORY SURGERY CENTER LLC 990 4TH STREET SW MASON CITY IA 50401 201960348 SURGERY-SAME DAY IA N/A MCE MOB IV LIMITED PARTNERSHIP 6150 EAST BROAD STREET COLUMBUS OH 43213 421544707 MEDICAL OFFICE BUILDING RENTAL OH N/A MEDILUCENT MOB I 6150 EAST BROAD STREET COLUMBUS OH 43213 204911370 MEDICAL OFFICE BUILDING RENTAL OH N/A MEDWORKS LLC 375 EAST CEDAR STREET NEWINGTON CT 06111 061490483 REHABILITATION SERVICES CT N/A MERCY HEART CTR OP SERVICES LLC 1000 4TH STREET SW MASON CITY IA 50401 134237594 CARDIOVASCULAR SERVICES IA N/A MERCYMANOR PARTNERSHIP PO BOX 10086 TOLEDO OH 43699 521931012 NURSING HOME PA N/A MERCYUSP HEALTH VENTURES LLC 15305 DALLAS PARKWAY STE 1600 LB 28 ADDISON TX 75001 471290300 OUTPATIENT SURGERY IA N/A MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP 6150 EAST BROAD STREET COLUMBUS OH 43213 311369473 MEDICAL OFFICE BUILDING RENTAL OH N/A NAUGATUCK VALLEY MRI LLC 385 MAIN STREET SOUTH SOUTHBURY CT 06488 061239526 IMAGING CENTER CT N/A NAZARETH MEDICAL OFFICE BUILDING ASSOCIATES LP 2601 HOLME AVE PHILADELPHIA PA 19152 232388040 MEDICAL OFFICE BUILDING PA N/A OSWEGO HEALTH HOME CARE LLC 113 SCHUYLER STREET FULTON NY 13069 472463736 HOME HEALTH CARE NY N/A PHYSICIANS OUTPATIENT SURGERY CENTER LLC 1000 NE 56TH STREET OAKLAND PARK FL 33334 352325646 AMBULATORY SURGERY CENTER FL N/A PRIMARY CARE PHYSICIAN CENTER LLC 2160 SOUTH FIRST AVENUE MAYWOOD IL 75202 364038505 OFFICE BUILDING RENTAL IL N/A RADISSON SJH PROPERTIES LLC 5000 CAMPUSWOOD DRIVE SUITE 101 EAST SYRACUSE NY 13057 461892799 MEDICAL OFFICE BUILDING NY N/A SAINT AGNESUSP SURGERY CENTERS LLC 15305 DALLAS PARKWAY STE 1600 LB 28 ADDISON TX 75001 364896811 MEDICAL SERVICES CA N/A SIXTY FOURTH STREET LLC 2373 64TH ST STE 2200 BYRON CENTER MI 49315 202443646 PROVIDE OUTPATIENT SURGICAL CARE MI N/A SJLS LLC 7650 SE 27TH ST STE 200 MERCER ISLAND WA 98040 201796650 DIALYSIS SERVICES NY N/A SMMC MOB II LP 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 364559869 INVESTMENT AND OPERATION OF A MEDICAL BUILDING PA N/A ST AGNES LONG-TERM INTENSIVE CARE LLP C/O MHS ONE WEST ELM ST STE 100 CONSHOHOCKEN PA 19428 200984882 LONG TERM INTENSIVE CARE PA N/A ST ALPHONSUS CALDWELL CANCER CTR LLC 3123 MEDICAL DR CALDWELL ID 83605 820526861 HEALTH CARE SERVICES ID N/A ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP 6150 EAST BROAD STREET COLUMBUS OH 43213 311603660 MEDICAL OFFICE BUILDING RENTAL OH N/A ST JOSEPH'S IMAGING ASSOCIATES PLLC 104 UNION AVE SUITE 905 SYRACUSE NY 13203 161104293 RADIOLOGY SERVICES NY N/A ST MARY REHABILITATION HOSPITAL LLP 680 SOUTH FOURTH STREET LOUISVILLE KY 40202 273938747 HEALTH CARE SERVICES DE N/A ST PETER'S AMBULATORY SURGERY CENTER LLC 1375 WASHINGTON AVENUE STE 201 ALBANY NY 12206 460463892 OUTPATIENT SURGERY NY N/A THE AMBULATORY SURGERY CENTER AT ST MARY LLC 1203 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 272871206 OUTPATIENT SURGERY PA N/A TRINITY HEALTH OF NEW ENGLAND ACO LLC 1000 ASYLUM AVENUE 5TH FLOOR HARTFORD CT 06105 833165256 ACCOUNTABLE CARE ORGANIZATION CT N/A TRINITY HEALTH OF NEW ENGLAND URGENT CARE LLC 1000 ASYLUM AVENUE HARTFORD CT 06105 842665996 HEALTH CARE SERVICES DE N/A WOODLAND IMAGING CENTER LLC 5301 E HURON RIVER DR ANN ARBOR MI 48106 760820959 RADIOLOGY/ IMAGING MI N/A WOODLAND PARTNERS REAL ESTATE LLC 129 WOODLAND STREET HARTFORD CT 06105 833371094 REAL ESTATE CT N/A CALIFORNIA HEALTHCARE MANAGEMENT PARTNERS INC 1303 E HERNDON AVE FRESNO CA 93720 820961647 MANAGEMENT SERVICES CA N/A C 1 CATHERINE HORAN BUILDING CORPORATION 114 WOODLAND STREET HARTFORD CT 06105 042938160 BUILDING MANAGEMENT MA SYSTEM COORDINATED SERVICES INC C 2485 349829 1.00000 1 CENTRAL VALLEY HEALTH PLAN INC 1303 E HERNDON AVE FRESNO CA 93720 611846844 HEALTH INSURANCE CA N/A C 1 DIVERSIFIED COMMUNITY SERVICES INC 114 WOODLAND STREET HARTFORD CT 06105 043128890 MEDICAL SERVICES MA SYSTEM COORDINATED SERVICES INC C 1.00000 1 FHS SERVICES INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT NY 13214 272995699 MEDICAL SERVICES NY N/A C 1 FRANCISCAN ASSOCIATES INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT NY 13214 202991688 MEDICAL SERVICES NY N/A C 1 FRANCISCAN HEALTH SUPPORT INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT NY 13214 161236354 MEDICAL SERVICES NY N/A C 1 FRANCISCAN MANAGEMENT SERVICES INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT NY 13214 161351193 MANAGEMENT SERVICES NY N/A C 1 FRANKLIN MEDICAL GROUP PC 114 WOODLAND STREET HARTFORD CT 06105 061470493 PHYSICIAN OFFICE CT N/A C 1 GOTTLIEB MANAGEMENT SERVICES INC 701 W NORTH AVE MELROSE PARK IL 60160 363330529 MANAGEMENT SERVICES IL N/A C 1 HACKLEY HEALTH VENTURES INC 1820 44TH STREET SE KENTWOOD MI 49508 382589959 OTHER MEDICAL SERVICES MI N/A C 1 HACKLEY PROFESSIONAL PHARMACY INC 1820 44TH STREET SE KENTWOOD MI 49508 382447870 PHARMACY MI N/A C 1 HEALTH CARE MANAGEMENT ADMINISTRATORS INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT NY 13214 161450960 HEALTH CARE MANAGEMENT NY N/A C 1 HURON ARBOR CORPORATION 5301 EAST HURON RIVER DR ANN ARBOR MI 48106 382475644 PROVIDES OFFICE RENTAL SPACE MI N/A C 1 IHA AFFILIATION CORPORATION 24 FRANK LLOYD WRIGHT DR LOBBY J ANN ARBOR MI 48106 383188895 MEDICAL MANAGEMENT MI N/A C 1 LANGHORNE SERVICES II INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 263795549 GENERAL PARTNER OF LMOB PARTNERS, II PA N/A C 1 LANGHORNE SERVICES INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 232625981 GENERAL PARTNER OF LMOB PARTNERS PA N/A C 1 MACNEAL HEALTH PROVIDERS INC 750 PASQUINELLI DRIVE SUITE 216 WESTMONT IL 60059 363361297 MEDICAL SERVICES IL N/A C 1 MARYLAND CARE GROUP INC 1500 FOREST GLEN RD SILVER SPRING MD 20910 521815313 HEALTH CARE HOLDING MD N/A C 1 MCMC EASTWICK INC C/O MHS ONE WEST ELM STREET STE 100 CONSHOHOCKEN PA 19428 232184261 MEDICAL OFFICE BUILDINGS PA N/A C 1 MEDNOW INC 4300 E FLAMINGO AVE NAMPA ID 83687 820389927 MEDICAL SERVICES ID N/A C 1 MERCY INPATIENT MEDICAL ASSOCIATES INC 114 WOODLAND STREET HARTFORD CT 06105 043029929 MEDICAL SERVICES MA SYSTEM COORDINATED SERVICES INC C -2109868 2932451 1.00000 1 MERCY MEDICAL SERVICES 801 5TH STREET SIOUX CITY IA 51101 421283849 PRIMARY CARE PHYSICIANS IA N/A C 1 MERCY SERVICES CORPORATION 2525 SOUTH MICHIGAN AVENUE CHICAGO IL 60616 363227348 DORMANT IL N/A C 1 MOUNT CARMEL HEALTH PROVIDERS INC 6150 EAST BROAD STREET COLUMBUS OH 43213 311382442 MEDICAL SERVICES OH N/A C 1 NURSING NETWORK INC 4725 NORTH FEDERAL HIGHWAY FORT LAUDERDALE FL 33308 591145192 MEDICAL SERVICES FL N/A C 1 PROVIDENCE HOMECARE INC 114 WOODLAND STREET HARTFORD CT 06105 043317426 HEALTH CARE SERVICES MA SYSTEM COORDINATED SERVICES INC C 1.00000 1 SAINT ALPHONSUS HEALTH ALLIANCE INC 1055 NORTH CURTIS ROAD BOISE ID 83706 820524649 ACCOUNTABLE CARE ORGANIZATION ID N/A C 1 SAINT ALPHONSUS PHYSICIANS PA 1055 NORTH CURTIS ROAD BOISE ID 83706 331078261 HEALTH CARE SERVICES (INACTIVE) ID N/A C 1 SAINT FRANCIS BEHAVIORAL HEALTH GROUP PC 114 WOODLAND STREET HARTFORD CT 06105 061384686 MEDICAL SERVICES CT N/A C 1 SAINT FRANCIS CARE MEDICAL GROUP PC 114 WOODLAND STREET HARTFORD CT 06105 061432373 MEDICAL SERVICES CT N/A C 1 SAMARITAN MEDICAL OFFICE BUILDING INC 2212 BURDETT AVENUE TROY NY 12180 141607244 REAL ESTATE NY N/A C 1 SJM PROPERTIES INC 20555 VICTOR PARKWAY LIVONIA MI 48152 161294991 PROPERTY HOLDINGS NY N/A C 1 SJPE PRACTICE MANAGEMENT SERVICES INC 301 PROSPECT AVE SYRACUSE NY 13203 454164964 MANAGEMENT SERVICES NY N/A C 1 SJRMC HOLDINGS INC 5215 HOLY CROSS PARKWAY MISHAWAKA IN 46545 474763735 PROPERTY HOLDINGS IN N/A C 1 ST ELIZABETH HEALTH SUPPORT SERVICES INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT NY 13214 161540486 MEDICAL SERVICES NY N/A C 1 SYSTEM COORDINATED SERVICES INC 114 WOODLAND STREET HARTFORD CT 06105 042938161 LAB SERVICES MA THE MERCY HOSPITAL INC C 2627327 27247357 1.00000 1 THRE SERVICES LLC 20555 VICTOR PARKWAY LIVONIA MI 48152 452603654 REAL ESTATE BROKERAGE SERVICES MI N/A C 1 TRINITY ASSURANCE LTD PO BOX 1159 GRAND CAYMAN GRAND CAYMAN CJ 980453602 SELF-INSURANCE CJ N/A C 1 TRINITY HEALTH ACO INC 20555 VICTOR PARKWAY LIVONIA MI 48152 473794666 ACCOUNTABLE CARE ORGANIZATION DE N/A C 1 TRINITY HEALTH EMPLOYEE BENEFIT TRUST 20555 VICTOR PARKWAY LIVONIA MI 48152 383410377 GRANTOR TRUST MI N/A T 1 TRINITY SENIOR SERVICES MANAGEMENT INC PO BOX 9184 FARMINGTON HILLS MI 48333 371572595 SENIOR SERVICES PA N/A C 1 WORKPLACE HEALTH OF GRAND HAVEN INC 1820 44TH STREET SE KENTWOOD MI 49508 383112035 OCCUPATIONAL HEALTH MI N/A C 1 1 1 1 0 0 0 0 0 0 0 1 1 1 0 1 1 1 1 1 TRINITY HEALTH OF NEW ENGLAND CORPORATION INC M 62349744 PER BOOKS TRINITY HEALTH OF NEW ENGLAND CORPORATION INC Q 549219 PER BOOKS TRINITY HEALTH OF NEW ENGLAND CORPORATION INC O 1600988 PER BOOKS TRINITY HEALTH OF NEW ENGLAND CORPORATION INC P 101841624 PER BOOKS TRINITY HEALTH OF NEW ENGLAND CORPORATION INC S 78908626 PER BOOKS SYSTEM COORDINATED SERVICES INC A 171083 PER BOOKS SYSTEM COORDINATED SERVICES INC K 255042 PER BOOKS SYSTEM COORDINATED SERVICES INC L 1270056 PER BOOKS SYSTEM COORDINATED SERVICES INC M 9185108 PER BOOKS SYSTEM COORDINATED SERVICES INC P 11029319 PER BOOKS SYSTEM COORDINATED SERVICES INC Q 69198 PER BOOKS BRIGHTSIDE INC A 66093 PER BOOKS BRIGHTSIDE INC L 384449 PER BOOKS RIVERBEND MEDICAL GROUP INC A 19081 PER BOOKS RIVERBEND MEDICAL GROUP INC M 61998 PER BOOKS RIVERBEND MEDICAL GROUP INC P 761006 PER BOOKS SAINT FRANCIS HOSPITAL AND MEDICAL CENTER Q 2259533 PER BOOKS SAINT FRANCIS HOSPITAL AND MEDICAL CENTER O 137008 PER BOOKS SAINT FRANCIS HOSPITAL AND MEDICAL CENTER P 93577 PER BOOKS SAINT FRANCIS HOSPITAL AND MEDICAL CENTER R 6589468 PER BOOKS SAINT MARY'S HOSPITAL FOUNDATION INC Q 71393 PER BOOKS TRINITY CONTINUING CARE SERVICES Q 111449 PER BOOKS TRINITY HEALTH CORPORATION B 7079942 PER BOOKS TRINITY HEALTH CORPORATION C 450000 PER BOOKS TRINITY HEALTH CORPORATION M 25121049 PER BOOKS TRINITY HEALTH CORPORATION P 6881636 PER BOOKS TRINITY HEALTH CORPORATION Q 1254999 PER BOOKS TRINITY HEALTH CORPORATION R 4499680 PER BOOKS TRINITY HEALTH CORPORATION S 374762 PER BOOKS TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC P 214240 PER BOOKS SAINT MARY'S HOSPITAL INC Q 414500 PER BOOKS SAINT MARY'S HOSPITAL INC O 126101 PER BOOKS