2020-06-15T14:17:47-05:00 2019-06-30 990 2018-07-01 820200895 SAINT ALPHONSUS REGIONAL MEDICAL CENTER SAIN 2083672121 1055 NORTH CURTIS ROAD BOISE ID 83706 B LANNIE CHECKETTS TREASURER 2083672121 2020-06-15 170.232.229.225 2020-06-15 14:17:35 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 403A83BCAAA913A93C4B950ECE6CC8F4A14CBF47 2018 2021-01-29 14:40:06Z SEE SCHEDULE O ANDREW COSENTINO 1055 NORTH CURTIS ROAD BOISE ID 83706 720258385 0 0928 X WWW.SAINTALPHONSUS.ORG X 1958 ID TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES 15 12 0 2281 1687688 0 2802670 2901915 672901588 678409609 8745774 8611496 20878440 29926147 705328472 719849167 1394963 1584263 0 0 300409850 313437154 0 0 541752 367266774 378788181 669071587 693809598 36256885 26039569 699604228 721173257 257184277 262518508 442419951 458654749 X WE, SAINT ALPHONSUS HEALTH SYSTEM AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES. SAINT ALPHONSUS REGIONAL MEDICAL CENTER IS A MEMBER OF SAINT ALPHONSUS HEALTH SYSTEM AND TRINITY HEALTH. 0 0 622873240 1584263 702985666 SAINT ALPHONSUS REGIONAL MEDICAL CENTER (SARMC) IS A MEDICAL-SURGICAL/ACUTE CARE HOSPITAL LOCATED IN BOISE, IDAHO, WHOSE HISTORY STARTS OVER 100 YEARS AGO. SARMC SERVES RESIDENTS THROUGHOUT SOUTHWEST IDAHO, EASTERN OREGON AND NORTHERN NEVADA. SARMC OFFERS A FULL RANGE OF SERVICES IN AN INPATIENT AND OUTPATIENT SETTING AS WELL AS 24 HOUR EMERGENCY CARE, SURGICAL SERVICES, CANCER CARE, BREAST CARE, BRAIN INJURY PROGRAM, PEDIATRICS, SPINE CARE, AND STROKE CENTER AS WELL AS MANY OTHER SERVICES. SARMC OFFERS CONVENIENT ACCESS TO HEALTH CARE SERVICES WITH NUMEROUS HEALTH PLAZAS AND CLINIC LOCATIONS. PLEASE VISIT SCHEDULE H AND OUR WEBSITE FOR ADDITIONAL INFORMATION ABOUT SERVICES, RECOGNITIONS AND AWARDS: WWW.SAINTALPHONSUS.ORG/LOCATION/SAINT-ALPHONSUS-REGIONAL-MEDICAL-CENTER 622873240 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 1 0 0 0 0 0 0 1 1 1 1 1 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 0 0 1 619 0 1 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 15 12 0 0 0 1 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 OR X STEPHANIE PLISCHKE 2083674504 6301 EMERALD BOISE ID 83706 ODETTE BOLANO DIR, PRESIDENT THRU 1/19; SAHS PRES 20.00 35.00 X X 0 632251 108875 ANDREW COSENTINO DIRECTOR; PRESIDENT AS OF 1/19 55.00 0.00 X X 0 0 0 DARREL ANDERSON DIRECTOR; CHAIR 1.00 4.00 X X 0 0 0 GARY DYER DIRECTOR; VICE CHAIR 1.00 4.00 X X 0 0 0 KENT BAILEY DIRECTOR 1.00 4.00 X 0 0 0 SUZANNE BRENNAN CSC DIRECTOR AS OF 2/19 1.00 4.00 X 0 0 0 VICKEN GARABEDIAN MD DIRECTOR 1.00 4.00 X 0 0 0 RONALD GRAVES DIRECTOR THROUGH 12/18 1.00 4.00 X 0 0 0 STUART HARTLEY DIRECTOR 1.00 4.00 X 0 0 0 MICHAEL HOLPER DIR THR 12/18; TRINITY HEALTH SVP 1.00 49.00 X 0 750932 49886 GERALDINE HOYLER CSC DIRECTOR 1.00 4.00 X 0 0 0 SALLY JEFFCOAT DIR AS OF 1/19; TRINITY HEALTH EVP 1.00 54.00 X 0 1621782 73096 GEORGE JUETTEN DIRECTOR THROUGH 12/18 1.00 4.00 X 0 0 0 JOHN KIRBY DIRECTOR 1.00 4.00 X 0 0 0 MAUREEN KIM LYNCH MD DIRECTOR 1.00 4.00 X 0 0 0 KAYE O'RIORDAN DIRECTOR 1.00 4.00 X 0 0 0 MIRIAM NOHEMI ARIZPE PARADES, CSC; DIRECTOR THROUGH 9/18 1.00 4.00 X 0 0 0 STACY PEARSON DIRECTOR THROUGH 10/18 1.00 4.00 X 0 0 0 DANIEL PUGA DIRECTOR AS OF 1/19 1.00 4.00 X 0 0 0 RODNEY REIDER DIRECTOR; SAHS PRES & CEO THRU 7/18 1.00 54.00 X 0 1014249 295716 MIKE REULING DIRECTOR 1.00 4.00 X 0 0 0 STEPHANIE WESTERMEIER SECRETARY; SAHS VP & GENERAL COUNSEL 15.00 35.00 X 0 413415 96253 B LANNIE CHECKETTS TREASURER; SAHS CFO 15.00 35.00 X 0 460090 53480 MARCIE HARPER VP OF FINANCE AS OF 8/18 50.00 0.00 X 0 179016 39995 JEAN BASOM REGIONAL DIRECTOR SUPPLY CHAIN 15.00 35.00 X 0 185690 31999 CHRISTIAN ZIMMERMAN MD PHYSICIAN 50.00 0.00 X 0 1290329 39267 JOSEPH BROOKS MD PHYSICIAN 50.00 0.00 X 0 1177614 45169 ILYAS COLOMBOWALA MD PHYSICIAN 50.00 0.00 X 0 1085895 43253 STEPHEN JONES MD PHYSICIAN 50.00 0.00 X 0 775386 41949 CARL KAPADIA MD PHYSICIAN 50.00 0.00 X 0 773119 40000 BLAINE PETERSEN FOMER OFFICER; LOYOLA UNIV. CFO 0.00 50.00 X 0 932932 475687 BRENT CHERNE FORMER KEY EMPLOYEE 0.00 0.00 X 0 160354 15921 JAMES LEDERER MD FORMER KEY EMPLOYEE 0.00 0.00 X 0 195424 15873 0 11648478 1466419 0 1 1 0 REHABILITATION MANAGEMENT ASSOCIATES INC 901 N CURTIS BOISE ID 83706 REHABILITATION SERVICES 10668551 INTERMOUNTAIN MEDICAL IMAGING LLC 877 WEST MAIN ST BOISE ID 83706 RADIOLOGY SERVICES 6778637 ORTHOPAEDIC SPECIALISTS OF IDAHO 6225 N MEEKER STE 210 BOISE ID 83713 MEDICAL SERVICES 3297297 BOISE ANESTESIA PA PO BOX 4268 PORTLAND OR 97208 ANESTIOSLOGISTS 2228328 CLEARVIEW CLEANING SERVICES 3660 W CHINDEN BLVD GARDEN CITY ID 83714 CLEANING SERVICES 1745155 82 830222 561515 176048 1334130 211899 2901915 NET PATIENT SERVICE REVENUE 622110 678409609 676721921 1687688 678409609 4032427 4032427 453036 0 453036 453036 453036 4552133 30287 0 3351 4552133 26936 4579069 4579069 413660 830222 395967 17693 17693 34587 9900 24687 24687 OTHER RELATED REVENUE 622110 26263745 26263745 CAFETERIA REVENUE 722514 3048135 3048135 PARKING REVENUE 812930 118851 118851 29430731 719849167 702985666 1687688 12273898 1508196 1508196 76067 76067 216011 216011 176275 176275 271930654 232573645 39051737 305272 8622579 7373637 1239263 9679 15092797 12932076 2143747 16974 17398838 14862289 2517041 19508 1243040 1061819 179827 1394 153903 153903 5200 5200 335444 335444 56274840 53532538 2721211 21091 2065937 1764748 298873 2316 3378052 2885571 488693 3788 26872852 22955102 3887620 30130 17077817 14588069 2470600 19148 362495 309648 52441 406 974305 832263 140950 1092 7491189 7491189 33235068 28389780 4808024 37264 3001675 2564065 434244 3366 MEDICAL SUPPLIES 125251697 125251697 I/C PURCHASED SERVICES 53648090 45826819 7761119 60152 BAD DEBT 36924523 36924523 EQUIPMENT MAINTENANCE 7259552 6201193 1050219 8140 3232502 2968306 262164 2032 693809598 622873240 70394606 541752 5359650 3222931 1422167 862127 123932320 125993896 396565 257686 10619211 11938234 800495 623339 595487742 335999235 269580988 259488507 143193817 162905398 86438505 98701069 816667 536667 57043843 56643403 699604228 721173257 56512005 60117380 3647471 3608354 197024801 198792774 257184277 262518508 X 438530243 455166711 3889708 3488038 442419951 458654749 699604228 721173257 X 26039569 3882953 -13687724 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 76353 1 2030 0 0 78383 0 PART II-B, LINE 1: SAINT ALPHONSUS REGIONAL MEDICAL CENTER (SARMC) HAS ALSO 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 SARMC WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. ORGANIZATION EMPLOYEES ALSO ENGAGE IN ADVOCACY ON ISSUES RELATED TO HEALTH CARE AND HEALTH CARE PROVIERS. SUCH ACTIVITIES CONSIST OF WRITTEN AND VERBAL COMMUNICATIONS WITH FEDERAL, STATE AND LOCAL ELECTED OFFICIALS AND GOVERNMENT AGENCIES. 16414783 4330441 1178667 21923891 15805236 1064733 11250 443936 16414783 14494409 1821364 119896 390641 15805236 15264825 -409988 117059 243369 14494409 15343853 260023 107588 231463 15264825 1.00000 0 0 8559490 8559490 377090481 187688965 189401516 195153716 148310270 46843446 14684055 14684055 259488507 COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES 30369560 F EQUITY METHOD INVESTMENTS 48085136 C HEDGE FUNDS 20246373 F 98701069 MISCELLANEOUS RECEIVABLES 1731205 INTERCOMPANY OTHER LT ASSETS 34820849 INTERCOMPANY ACCOUNTS RECEIVABLE 20091349 56643403 INTERCOMPANY ACCOUNTS PAYABLE 9607682 DEFERRED COMPENSATION LIABILITY 9128703 ASSET RETIREMENT OBLIGATION (FIN 47) 1033719 INTERCOMPANY NOTES PAYABLE 178599054 OTHER CURRENT LIABILITIES 422451 OTHER LONG TERM LIABILITIES 1165 198792774 PART V, LINE 4: THE INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS ARE FOR: - PROJECTS DESIGNED TO ELEVATE THE QUALITY OF HEALTH CARE (INTERNAL GRANTS) - PROJECTS TO MEET IMMEDIATE NEEDS RELATED TO PATIENT CARE QUALITY (OPPORTUNITY GRANTS) - PROJECTS FOR HEALTH AND WELFARE-RELATED COMMUNITY BENEFIT PROJECTS THAT MEET THE NEEDS OF THE POOR AND UNDERSERVED. FESTIVAL OF TREES 997792 595083 402709 70444 137299 179181 PROJECT HAITI 246090 235139 10951 4734 4309 1243882 830222 413660 70444 142033 183490 395967 17693 34587 9900 1 0.80000 34587 9900 9900 24687 ID 1 0 1 0 1.00000 0.00000 JILL ALDAPE 1055 N CURTIS RD BOISE ID 83706 0 JILL ALDAPE EXECUTIVE DIRECTOR OF FOUNDATION AND OVERSEES ALL FOUNDATION EVENTS X 0 1 1 X 1 X 1 X 1 1 0 1 1 14740060 14740060 0.02240 90452998 77690801 12762197 0.01940 105193058 77690801 27502257 0.04180 2846342 225652 2620690 0.00400 886545 886545 0.00130 1699472 584906 1114566 0.00170 2940855 19054 2921801 0.00440 8373214 829612 7543602 0.01140 113566272 78520413 35045859 0.05320 36484 36484 0.00010 37659 37659 0.00010 119639 119639 0.00020 193782 193782 0.00040 0 36924523 0 104534797 106987903 -2453106 X 1 1 1 1 SAINT ALPHONSUS REGIONAL MEDICAL CENTER 1055 N CURTIS ROAD BOISE ID 83706 WWW.SAINTALPHONSUS.ORG LICENSE 02 X X X X SAINT ALPHONSUS REGIONAL MEDICAL CENTER 1 0 0 1 X X X X X X X X 16 1 1 1 1 X SEE PART V, SECTION C X 1 16 1 SEE PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 1 X 0 0 SAINT ALPHONSUS REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E:SAINT ALPHONSUS REGIONAL MEDICAL CENTER (SARMC) INCLUDED IN ITS CHNA WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS, WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA. THE COMMUNITY HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS. THE SARMC EXTERNAL REVIEW COMMITTEE IDENTIFIED SIGNIFICANT HEALTH NEEDS, WHICH WERE THEN PRIORITIZED BASED ON PERSONS AFFECTED, IMPACT ON QUALITY OF LIFE, AND FEASIBILITY OF REASONABLE IMPACT. THE SIGNIFICANT HEALTH NEEDS AND HOW THEY ARE BEING ADDRESSED WERE DETAILED IN THE PUBLIC SARMC IMPLEMENTATION STRATEGY. SARMC FOCUSED ON DEVELOPING AND/OR SUPPORTING INITIATIVES, AND MEASURING THEIR EFFECTIVENESS, TO IMPROVE THE FOLLOWING HEALTH NEEDS: 1. HEALTHCARE ACCESS (INCLUDING MENTAL HEALTH)2. NUTRITION, PHYSICAL ACTIVITY AND WEIGHT STATUS3. HARMFUL SUBSTANCE USE4. ORAL HEALTHSARMC FORMED AN OVERARCHING GOAL TO CO-CREATE AND SUPPORT HEALTHY ENVIRONMENTS WITH COMMUNITY PARTNERS TO ENSURE A HEALTHY INFRASTRUCTURE FOR AN ACTIVE COMMUNITY, SAFETY AND ASSISTANCE FOR THOSE AT RISK. THEREFORE, SARMC PRIORITIZED ADDITIONAL NEEDS AROUND HOUSING AND HOMELESSNESS, UNSAFE RELATIONSHIPS, AND TRANSPORTATION. SAINT ALPHONSUS REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 5: THE CHNA WAS CONDUCTED BETWEEN AUGUST 2016 AND JUNE 2017; IT WAS APPROVED BY THE BOARD ON JUNE 8, 2017. THE UNITED WAY ORGANIZED A COMMUNITY ASSESSMENT SPONSOR GROUP COMPRISED OF SARMC, SAINT ALPHONSUS MEDICAL CENTER - NAMPA, ST. LUKE'S HEALTH SYSTEM, DELTA DENTAL OF IDAHO, AND IDAHO ASSOCIATION FOR THE EDUCATION OF YOUNG CHILDREN. ADDITIONAL ADVISORY GROUP MEMBERS INCLUDED: IDAHO DEPARTMENT OF HEALTH AND WELFARE, CENTRAL DISTRICT HEALTH DEPARTMENT, VALLEY REGIONAL TRANSIT, NAMPA CHAMBER OF COMMERCE, GENESIS COMMUNITY HEALTH, CATCH, INC., BOISE STATE UNIVERSITY, IDAHO HOUSING AND FINANCE ASSOCIATION, TREASURE VALLEY EDUCATION PARTNERSHIP, BLUE CROSS OF IDAHO FOUNDATION FOR HEALTH, AND THE UNITED WAY OF TREASURE VALLEY.RESEARCH PARTNER UTAH FOUNDATION COLLECTED DATA INDICATORS FROM A VARIETY OF SOURCES, INCLUDING COUNTY HEALTH RANKINGS, IDAHO VITAL STATISTICS, BRFSS, AND MANY OTHER SECONDARY DATA SOURCES. LITERATURE REVIEW AND SECONDARY DATA SOURCES WERE USED TO SELECT COLLECTIVE MEASURES/INDICATORS IN THE AREAS OF EDUCATION, FINANCIAL INDEPENDENCE, AND HEALTH AT THE REGIONAL, COUNTY AND CITY LEVEL.ADDITIONAL COMMUNITY INPUT WAS COLLECTED BETWEEN AUGUST 2016 AND JUNE 2017 THROUGH FOCUS GROUPS AND SURVEYS CONDUCTED WITH AFFECTED POPULATIONS, AND INTERVIEWS WITH COMMUNITY LEADERS AND LEADERS OF NONPROFIT ORGANIZATIONS. AFFECTED POPULATIONS INCLUDED FAMILIES SURVIVING VIOLENCE, PEOPLE EXPERIENCING HOMELESSNESS AND FOOD INSECURITY, REFUGEES AND IMMIGRANTS, AND LOW-INCOME/WORKING-POOR ADULTS AND CHILDREN.FOCUS GROUP HOSTS INCLUDED THE FOLLOWING ORGANIZATIONS SERVING IMPACTED POPULATIONS: BOYS & GIRLS CLUB OF NAMPA, CORPUS CHRISTI HOUSE, FAMILY ADVOCATES, GENESIS COMMUNITY HEALTH, IDAHO DEPARTMENT OF HEALTH AND WELFARE, IDAHO DEPARTMENT OF LABOR, IDAHO FOODBANK, LEARNING LAB, SALVATION ARMY-BOISE, SALVATION ARMY-NAMPA, ST. VINCENT DE PAUL, WESTERN IDAHO COMMUNITY ACTION PARTNERSHIP, INC., WOMEN'S & CHILDREN'S ALLIANCE, AND YMCA OF TREASURE VALLEYCOMMUNITY LEADER INTERVIEWS INCLUDED THE FOLLOWING ORGANIZATION PARTICIPANTS: VALLEY REGIONAL TRANSIT, PACIFICSOURCE HEALTH PLANS, BOYS & GIRLS CLUB OF ADA COUNTY, GENESIS COMMUNITY HEALTH, GIRAFFE LAUGH, TERRY REILLY HEALTH SERVICES, LEARNING LAB, MAYOR'S OFFICE - CITY OF BOISE, EMMETT VALLEY FRIENDSHIP COALITION, MAYOR'S OFFICE - CITY OF CALDWELL, ST. LUKE'S REGIONAL FAMILY PRACTICE, IDAHO ASSOCIATION FOR THE EDUCATION OF YOUNG CHILDREN, REPRESENTATIVE'S OFFICE - IDAHO STATE LEGISLATURE, SUPERINTENDENT'S OFFICE - NAMPA SCHOOL DISTRICT, SUPERINTENDENT'S OFFICE - EMMETT SCHOOL DISTRICT, COMPASS, SARMC, IDAHO FOODBANK, IDAHO HOUSING AND FINANCE ASSOCIATION, AND HOME PARTNERSHIP FOUNDATION BPA HEALTH SAINT ALPHONSUS REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED IN PARTNERSHIP WITH THE FOLLOWING HOSPITALS: SAINT ALPHONSUS MEDICAL CENTER - NAMPA AND ST. LUKE'S HEALTH SYSTEM. SAINT ALPHONSUS REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED IN PARTNERSHIP WITH THE FOLLOWING ORGANIZATIONS: DELTA DENTAL OF IDAHO, IDAHO ASSOCIATION FOR THE EDUCATION OF YOUNG CHILDREN, AND THE UNITED WAY OF TREASURE VALLEY. SAINT ALPHONSUS REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 11: A TRIENNIAL CHNA WAS PERFORMED AND POSTED BY THE END OF THE 2017 FISCAL YEAR; AN UPDATED IMPLEMENTATION STRATEGY WAS ADOPTED IN OCTOBER 2017 FOR IMPLEMENTATION IN FISCAL YEARS 2018-2020. THESE DOCUMENTS GUIDE THE COMMUNITY BENEFIT WORK FOR TAX YEARS 2017-2019.THE SARMC EXTERNAL REVIEW COMMITTEE IDENTIFIED FOUR SIGNIFICANT HEALTH NEEDS, WHICH WERE THEN PRIORITIZED BASED ON PERSONS AFFECTED, IMPACT ON QUALITY OF LIFE, AND FEASIBILITY OF REASONABLE IMPACT. THREE OF THE SIGNIFICANT HEALTH NEEDS AND HOW THEY ARE BEING ADDRESSED WERE DETAILED IN THE PUBLIC SARMC IMPLEMENTATION STRATEGY. SARMC FOCUSED ON DEVELOPING AND/OR SUPPORTING INITIATIVES, AND MEASURING THEIR EFFECTIVENESS, TO IMPROVE THE FOLLOWING HEALTH NEEDS: HEALTH CARE ACCESS (INCLUDING MENTAL HEALTH); NUTRITION, PHYSICAL ACTIVITY AND WEIGHT STATUS; AND HARMFUL SUBSTANCE USE. SARMC FORMED AN OVERARCHING GOAL TO CO-CREATE AND SUPPORT HEALTHY ENVIRONMENTS WITH COMMUNITY PARTNERS TO ENSURE A HEALTHY INFRASTRUCTURE FOR AN ACTIVE COMMUNITY, SAFETY AND ASSISTANCE FOR THOSE AT RISK (UNSAFE RELATIONSHIPS, HOMELESS, OR HUNGRY), AND HEALTH CARE ACCESS FOR ALL, ESPECIALLY THOSE MOST VULNERABLE. INITIATIVES IN FISCAL YEAR 2019 THAT ADDRESSED NUTRITION, PHYSICAL ACTIVITY AND WEIGHT STATUS INCLUDED: MEET ME MONDAY OBESITY PREVENTION COMMUNITY WALKING PROGRAM; GONOODLE NUTRITION AND ACTIVITY PROGRAMS IN TREASURE VALLEY SCHOOLS; YMCA HEALTHY LIVING BRANCH PARTNERSHIP; NUTRITION CONSULTATION SERVICES IN THE FAMILY CENTER; AND A DIABETES COMPREHENSIVE OUTPATIENT AND OUTREACH PROGRAM. SARMC WAS FOCUSED ON RAISING AWARENESS OF NUTRITION AND EXERCISE OPPORTUNITIES AND PROGRAMS TO ADDRESS HEALTH LITERACY AROUND WEIGHT MANAGEMENT, ACTIVE LIVING, AND HEALTHY CHOICES. THE OBJECTIVE WAS TO DEVELOP HEALTHY HABITS AND GET KIDS MOVING BY INCREASING THE NUMBER OF GONOODLE TEACHER USERS IN THE COMMUNITIES THAT SARMC SERVES. SARMC PROMOTED MEET ME MONDAY COMMUNITY WALKS AT SEVERAL COMMUNITY LOCATIONS. SARMC ALSO TOOK STEPS TO MEETING A BABY FRIENDLY DESIGNATION FOR PROMOTING BREASTFEEDING, A KNOWN HEALTH BENEFIT TO INFANTS AND MOTHERS. INITIATIVES IN FISCAL YEAR 2019 THAT ADDRESSED HARMFUL SUBSTANCE USE AND PREVENTION INCLUDED: SUPPORT FOR COMMUNITY INITIATIVES (TOBACCO 21); OFFERED TOBACCO "QUIT" PROGRAMS; AND SARMC FOCUSED ON INCREASING PUBLIC AWARENESS OF TOBACCO, ALCOHOL, AND DRUG USE PREVENTION AND CESSATION, WITH THE OBJECTIVE TO PROMOTE AVAILABLE COMMUNITY RESOURCES AND DECREASE COMMUNITY RATES OF TOBACCO USE. SARMC CONTINUED LEADING THE TOBACCO 21 COALITION AND ADVANCING AN ADVOCACY AGENDA TO RAISE THE LEGAL AGE TO 21 FOR PURCHASE OF TOBACCO AND E-CIGARETTES/VAPES. SUPPORT ALSO INCLUDED TOBACCO COALITIONS, PROVIDING AN AFFORDABLE LUNG SCREENING PROGRAM, RAISING AWARENESS OF COMMUNITY RESOURCES SUCH AS IDAHO QUITLINE, AND UTILIZING EXISTING FORUMS TO PROVIDE COMMUNITY EDUCATION. SAINT ALPHONSUS HEALTH SYSTEM ALSO IDENTIFIED A PHYSICIAN CHAMPION FOR OPIOID ABUSE ISSUES AND BEGAN EDUCATING PROVIDER AND COMMUNITY GROUPS ON THE TOPIC.ADDITIONALLY, THE HOSPITAL WAS INVOLVED IN A PARTNERSHIP THAT WAS AWARDED A TRINITY HEALTH TRANSFORMING COMMUNITIES INITIATIVE (TCI) GRANT, WHICH IS TO BE USED TO ADVANCE EFFORTS THAT REDUCE/PREVENT TOBACCO USE AND CHILDHOOD OBESITY.INITIATIVES IN FISCAL YEAR 2019 THAT ADDRESSED HEALTH CARE ACCESS INCLUDED: ADVOCACY FOR THE HEALTH INSURANCE EXCHANGE AND MEDICAID REDESIGN/EXPANSION; SUPPORTED ACCESS TO MENTAL HEALTH THROUGH ALLUMBAUGH HOUSE, SUICIDE HOTLINE AND PREVENTION IN SCHOOLS, TELEPSYCHIATRY, AND STATE SUICIDE PREVENTION COUNCIL; AND PARTNERED WITH AND/OR SUPPORTED OTHER SAFETY NET ORGANIZATIONS (GENESIS COMMUNITY HEALTH). SARMC FOCUSED ON IMPROVING ACCESS TO HEALTH CARE BY REMOVING BARRIERS AND PROVIDING SERVICES FOR THE POOR AND UNDERSERVED, ESPECIALLY VULNERABLE POPULATIONS: REFUGEES, SENIORS, WOMEN, CHILDREN, AND THE HOMELESS. THE OBJECTIVE WAS TO IMPROVE PATIENT HEALTH BY BUILDING COMMUNITY PARTNERSHIPS AND INCREASE ACCESS TO HEALTH CARE SERVICES TARGETED FOR THE LOW INCOME AND UNINSURED. SARMC SUPPORTED SPECIAL REFUGEE CARE THROUGH ITS CENTER FOR GLOBAL HEALTH AND HEALING AND ALSO THE CARE (CULTURALLY APPROPRIATE RESOURCES AND EDUCATION) CLINIC FOR REFUGEE MOTHERS.IN FISCAL YEAR 2019, SARMC CONTINUED TO HAVE A MAJOR FOCUS ON THE SOCIAL INFLUENCERS OF HEALTH THAT WERE IDENTIFIED IN THE CHNA, WITH AN EMPHASIS ON PREVENTING FAMILY VIOLENCE, PREVENTING HOMELESSNESS, AND ASSISTING WITH TRANSPORTATION ISSUES. TO PREVENT VIOLENCE, SARMC: (1) CONTINUED TO BE A MAJOR SUPPORTER AND FACILITATOR FOR THE DARKNESS TO LIGHT PROGRAM, WHICH AIMS TO PREVENT CHILDHOOD SEXUAL ABUSE, AND (2) SUPPORTED THE LOCAL WOMEN'S AND CHILDREN'S SHELTER. TO PREVENT AND INTERVENE IN HOMELESSNESS, SARMC CONTINUED SUPPORT FOR THE FIRST "HOUSING FIRST" MODEL IN BOISE, "NEW PATH" WHICH OPENED ITS DOORS IN FALL 2018 FOR AT LEAST 40 CHRONICALLY HOMELESS INDIVIDUALS TO RECEIVE PERMANENT SHELTER AND SUPPORTIVE SERVICES; SARMC ALSO SUPPORTED JESSE TREE, WHICH PROVIDES EMERGENCY RENTAL ASSISTANCE. FOR TRANSPORTATION ISSUES, IN FISCAL YEAR 2019, SARMC SUPPORTED A CONTINUED PILOT IN COLLABORATION WITH A LOCAL TRANSIT COMPANY THAT PROVIDES HEALTHCARE RIDES FOR LOW-INCOME INDIVIDUALS WHO DO NOT OTHERWISE HAVE TRANSPORTATION SUPPORT.SARMC ACKNOWLEDGED THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS, AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON THESE THREE PRIMARY HEALTH NEEDS. ONE ADDITIONAL HEALTH NEED, ORAL HEALTH, WAS NOT ADDRESSED WITHIN THE IMPLEMENTATION STRATEGY.SARMC CONTINUED TO PROVIDE EMERGENCY SUPPORT FOR ORAL HEALTH ISSUES, BUT LIMITED EXPERTISE AND RESOURCES EXCLUDE THIS AS AN AREA CHOSEN FOR ADDITIONAL ACTION. SEVERAL COMMUNITY PARTNERS PROVIDE ORAL HEALTH SUPPORT FOR PERSONS IN NEED, AND SARMC REFERRED PATIENTS TO THESE ORGANIZATIONS. SAINT ALPHONSUS REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS. PART V, SECTION B, LINE 7A: WWW.SAINTALPHONSUS.ORG/ABOUT-US/COMMUNITY-BENEFITS/COMMUNITY-NEEDS-ASSESSMENT PART V, SECTION B, LINE 9: AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, THE HOSPITAL IMPLEMENTATION STRATEGY WAS ADOPTED WITHIN THE FIRST 4 1/2 MONTHS AFTER THE FISCAL YEAR END THAT THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE TO THE PUBLIC. PART V, SECTION B, LINE 10A: WWW.SAINTALPHONSUS.ORG/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-NEEDS-ASSESSMENT/IMPLEMENTATION-STRATEGY PART V, LINE 16A, FAP WEBSITE: WWW.SAINTALPHONSUS.ORG/FOR-PATIENTS/AFTER-YOUR-VISIT/FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE PART V, LINE 16B, FAP APPLICATION WEBSITE: WWW.SAINTALPHONSUS.ORG/FOR-PATIENTS/AFTER-YOUR-VISIT/FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE PART V, LINE 16C, FAP WEBSITE: WWW.SAINTALPHONSUS.ORG/FOR-PATIENTS/AFTER-YOUR-VISIT/FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE 40 1 - EAGLE HEALTH PLAZA 323 E RIVERSIDE DR STE 224 EAGLE ID 83616 ER, INTERNAL, PEDIATRIC, OB/GYN, HEART CARE, REHAB, RADIOLOGY, LAB, VISION 2 - FRUITLAND HEALTH PLAZA 910 NW 16TH ST FRUITLAND ID 83619 URGENT CARE, FAMILY, CARDIOLOGY, NEURO., PHYS. THER., ORTHO., LAB, RADIOLOGY 3 - MERIDIAN HEALTH PLAZA 3025 CHERRY LANE MERIDIAN ID 83642 URGENT CARE,PRIMARY CARE,DIABETES, SLEEP DIS., ORTHO, CARDI, LAB, PHYS. THER 4 - NAMPA HEALTH PLAZA 4400 E FLAMINGO NAMPA ID 83687 URGENT CARE, PRIMARY CARE, RADIOLOGY, DIABETES, VISION, LAB, DERMATOLOGY 5 - SAINT ALPHONSUS HOME HEALTH & HOSPICE 5959 S SHERWOOD FOREST BLVD BATON ROUGE LA 70816 HOME HEALTH AND HOSPICE 6 - SAINT ALPHONSUS REHABILITATION SERVICES 901 N CURTIS RD BOISE ID 83706 REHABILITION SERVICES 7 - ALLUMBAUGH HOUSE 400 N ALLUMBAUGH STREET BOISE ID 83704 SHORT-TERM MENTAL HEALTH CRISIS, DETOXIFICATION, SOBERING STATION 8 - LIFE FLIGHT NETWORK 3815 WEST RICKENBACKER STREET BOISE ID 83705 AIR MEDICAL TRANSPORT 9 - BOISE-OVERLAND FAMILY MEDICINE 10255 W OVERLAND RD BOISE ID 83709 FAMILY PRACTICE 10 - ST ALPHONSUS MEDICAL GROUP-MCMILLAN 12273 W MCMILLAN RD BOISE ID 83713 FAMILY PRACTICE, INTERNAL MEDICINE 11 - FINDLEY URGENT CARE 3587 S FEDERAL WAY BOISE ID 83715 URGENT CARE 12 - ST ALPHONSUS MEDICAL GROUP-EMERALD 6533 W EMERALD ST BOISE ID 83704 FAMILY MEDICINE, SPORTS MEDICINE, URGENT CARE 13 - ST ALPHONSUS MEDICAL GROUP-FEDERAL WAY 1880 W JUDITH LANE BOISE ID 83705 FAMILY PRACTICE 14 - ST ALPHONSUS MEDICAL GROUP-CALDWELL 1906 FAIRVIEW AVE STE 430 CALDWELL ID 83605 HEART CARE, NEUROLOGY 15 - CANCER CARE CENTER 3123 MEDICAL DRIVE CALDWELL ID 83605 ONCOLOGY 16 - ST ALPHONSUS MEDICAL GROUP-CALDWELL ELM 315 E ELM ST CALDWELL ID 83605 URGENT CARE, FAMILY PRACTICE, PEDIATRICS, WOUND HEALING 17 - CASCADE FAMILY PRACTICE 402 LAKE CASCADE PKWY CASCADE ID 83611 CARDIOLOGY 18 - OASIS MEDICAL CENTER 3217 W BAVAIRA ST EAGLE ID 83616 FAMILY MEDICINE, INTERNAL MEDICINE, OB/GYN AND URGENT CARE 19 - CLINIC AT EAGLE 600 E STATE ST STE 200 EAGLE ID 83616 FAMILY PRACTICE 20 - EMMETT MEDICAL CENTER 1024 E LOCUST ST EMMETT ID 83617 WOUND HEALING & HYPERBARIC MEDICINE, CARDIOLOGY 21 - ST ALPHONSUS CANCER CARE CENTER 1202 E LOCUST ST EMMETT ID 83617 CANCER CARE 22 - ST ALPHONSUS MEDICAL GROUP HEART CARE 21 E MAPLE ST STE A HAILEY ID 83333 CARDIOLOGY 23 - WOOD RIVER MEDICAL CENTER 100 HOSPITAL DR STE 107 KETCHUM ID 83340 ORTHOPEDICS, CARDIOLOGY 24 - KUNA CLINIC 757 E WYTHE CREEK CT KUNA ID 83634 FAMILY MEDICINE, PEDIATRICS 25 - GARRITY CLINIC 1200 GARRITY BLVD NAMPA ID 83687 FAMILY PRACTICE 26 - SAINT ALPHONSUS IOWA CLINIC 211 W IOWA NAMPA ID 83686 FAMILY PRACTICE, PODIATRY, ORTHOPEDICS, OBGYN 27 - ST ALPHONSUS MEDICAL GROUP - ONTARIO 1050 SW 3RD AVE ONTARIO OR 97914 OBGYN, WOMEN'S HEALTH, PULMONARY, ONCOLOGY, CARDIOLOGY 28 - ST ALPHONSUS GARRITY MOB 4424 E FLAMINGO AVE STE 200 NAMPA ID 83687 OBGYN, CARDIOLOGY, ORTHOPEDICS 29 - ST ALPHONSUS HEART CARE 1524 12TH AVE NAMPA ID 83686 CARDIOLOGY 30 - BROWN CROSSING HEALTH PLAZA 2141 E PARKCENTER BLVD BOISE ID 83706 URGENT CARE, FAMILY MEDICINE, PHYSICAL THERAPY 31 - LAKE HAZEL CLINIC 10583 W LAKE HAZEL RD BOISE ID 83709 FAMILY MEDICINE 32 - COPPER POINT CLINIC 3041 E COPPER POINT DR MERIDIAN ID 83642 FAMILY MEDICINE 33 - 12TH AVENUE CLINIC 1510 12TH AVENUE RD SUITE 200 NAMPA ID 83686 FAMILY MEDICINE, PODIATRY, DIABETES CARE 34 - KARCHER CLINIC 11035 W KARCHER RD NAMPA ID 83651 FAMILY MEDICINE, PEDIATRICS 35 - CITY OF STAR CLINIC 10717 W STATE ST STAR ID 83669 FAMILY MEDICINE, URGENT CARE 36 - STARS PHYSICAL THERAPY BOISE LIBERTY C 717 N LIBERTY ST BOISE ID 83704 PHYSICAL THERAPY 37 - STARS PHYSICAL THERAPY YMCA WEST BOISE 5959 N DISCOVERY PLACE BOISE ID 83713 PHYSICAL THERAPY 38 - STARS PHYSICAL THERAPY DOWNTOWN YMCA 1050 W STATE ST BOISE ID 83702 PHYSICAL THERAPY 39 - STARS PHYSICAL THERAPY MERIDIAN PEDIATRI 179 SW 5TH AVENUE MERIDIAN ID 83642 PEDIATRIC THERAPY 40 - STARS PHYSICAL THERAPY MERIDIAN TALUS 3875 E OVERLAND RD MERIDIAN ID 83642 PHYSICAL THERAPY 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: SAINT ALPHONSUS REGIONAL MEDICAL CENTER (SARMC) PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT, WHICH IT SUBMITS TO THE STATE OF IDAHO. IN ADDITION, SARMC 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.SARMC ALSO 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, $36,924,523, 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: SARMC STRIVES TO BE A TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES. THROUGH OUR COMMUNITY NEEDS ASSESSMENT AND OTHER COMMUNITY DATA, WE LEARNED THAT SEVERAL AREAS CAN BENEFIT FROM OUR HEALTH CARE EXPERTISE AND MONETARY SUPPORT. SPECIFIC EXAMPLES OF OUR COMMUNITY BUILDING ACTIVITIES ARE DESCRIBED BELOW:COALITION BUILDING:PARTICIPATION IN LOCAL BOARDS AND TASK FORCES: SARMC LEADERS AND ASSOCIATES PARTICIPATED IN A VARIETY OF LOCAL NONPROFIT BOARDS AND TASK FORCES AIMED AT IMPROVING THE HEALTH OF OUR COMMUNITY MEMBERS AND MAKING OUR COMMUNITY A MORE LIVABLE PLACE. EXAMPLES OF BOARD PARTICIPATION INCLUDED:- FAMILY MEDICINE RESIDENCY OF IDAHO: THROUGH ACTIVE PARTICIPATION ON THE BOARD OF FAMILY MEDICINE RESIDENCY OF IDAHO, SARMC HAS HELPED GUIDE THE CONTINUING DEVELOPMENT AND EXPANSION OF FAMILY MEDICINE RESIDENCY CAPACITY IN IDAHO, A CRITICAL NEED SINCE IDAHO RANKS 49TH NATIONWIDE IN PRIMARY CARE PHYSICIANS PER CAPITA. THROUGH THIS PARTNERSHIP, WE ARE ABLE TO SUPPORT A PSYCHIATRIC RESIDENCY PROGRAM BASED IN BOISE. - BOYS AND GIRLS CLUBS OF ADA COUNTY: ENHANCEMENT OF BEFORE AND AFTER-SCHOOL PROGRAMMING FOR LOCAL AT-RISK YOUTH. LOCAL CLUBS HAVE ALSO TAKEN ON A SIGNIFICANT ROLE IN PROVIDING MEALS AND ACTIVITY FOR LOW INCOME CHILDREN IN ADA AND CANYON COUNTIES AND HAVE RECEIVED NATIONAL AWARDS FOR THEIR NUTRITION PROGRAMMING.- TREASURE VALLEY YMCA: YMCA PROVIDES ACCESS TO LOW-INCOME AND VULNERABLE POPULATIONS FOR FITNESS, YOUTH EMPOWERMENT, AND MORE. THE YMCA ALSO HAS A HEALTHY LIVING CENTER FOR PEOPLE LIVING WITH CHRONIC ILLNESS. - TOBACCO 21: SAINT ALPHONSUS HEALTH SYSTEM LED THE TOBACCO 21 COALITION THAT ADVOCATES FOR RAISING THE LEGAL TOBACCO SALES AGE TO 21 AND THE PREVENTION OF YOUTH AND TEEN VAPING. - UNITED WAY OF TREASURE VALLEY: UNITED WAY IS THE LEAD ORGANIZER FOR THE TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT, AND THE LEAD PARTNER IN THE TCI GRANT. IT IS ALSO FOCUSED ON BUILDING AND MOVING RESOURCES TO SIGNIFICANTLY IMPROVE COMMUNITIES AND NEIGHBORHOODS, HELPING PEOPLE AND FAMILIES BUILD RESILIENCY IN EDUCATION, FINANCIAL INDEPENDENCE AND HEALTH. SARMC PARTICIPATED IN SEVERAL OTHER NON-PROFIT BOARDS, SUCH AS:- AMERICAN HEART ASSOCIATION- FACES (FAMILY JUSTICE CENTER)- WOMEN AND CHILDREN'S ALLIANCE (PREVENT DOMESTIC ABUSE)- MEDICAL AND HOSPITAL ASSOCIATIONS AND NURSING ASSOCIATIONS- CHILDREN'S HOME SOCIETY (MENTAL HEALTH ASSISTANCE)- MARCH OF DIMES- CATHOLIC CHARITIES OF IDAHO (SOCIAL SERVICE ARM OF CHURCH)- IDAHO BREASTFEEDING COALITION- IDAHO VOICES FOR CHILDRENWE HAVE TAKEN HEALTH OUTREACH INTO THE COMMUNITY SETTING THROUGH OUR FAITH COMMUNITY NURSES, WHO ARE PROVIDING HOMELESS FOOT CARE CLINICS. IN ADDITION, WE ARE PROVIDING SPIRITUAL WELLNESS WORK THROUGH OUR FAITH COMMUNITY NURSES AND THE SAINT JOHN'S BIBLE PROGRAM.ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENT: SARMC HAS BEEN AN ACTIVE PARTICIPANT IN ADVOCACY FOR HEALTH IMPROVEMENT INITIATIVES SUCH AS:- HEALTH CARE ACCESS FOR THOSE WHO ARE POOR: SARMC JOINED A COALITION OF BUSINESS AND HEALTH ORGANIZATIONS TO SUPPORT MEDICAID EXPANSION AND REDESIGN AS PROPOSED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT; THIS WOULD EXTEND HEALTH COVERAGE TO OVER 70,000 ADULT IDAHOANS. SAINT ALPHONSUS HEALTH SYSTEM COLLABORATED WITH A NUMBER OF OTHER ORGANIZATIONS AND ASSOCIATIONS TO SUPPORT PASSAGE OF MEDICAID EXPANSION IN IDAHO, SUSTAINING EFFORTS TO EDUCATE THE PUBLIC ABOUT BENEFITS OF CLOSING THE COVERAGE GAP.- MENTAL HEALTH ADVOCACY: PARTICIPATED IN NEW AND ONGOING COMMUNITY ROUNDTABLES ON MENTAL HEALTH. WITH A NEW OPPORTUNITY FOR AN ADA COUNTY CRISIS CENTER, SAINT ALPHONSUS HEALTH SYSTEM PARTICIPATED IN A COALITION THAT HAS ORGANIZED AND ESTABLISHED THE THIRD CRISIS CENTER FOR IDAHO IN THE TREASURE VALLEY COMMUNITY. - HOUSING AND HOMELESSNESS ROUNDTABLE AND BOISE-ADA COUNTY HOMELESS COALITION: PARTICIPATED IN NEW AND ONGOING COMMUNITY ROUNDTABLES ADVOCATING AFFORDABLE HOUSING AND HOUSING FIRST PROPOSAL AND IMPLEMENTATION FOR CHRONICALLY HOMELESS. WE ALSO SUPPORTED SMALLER HOMELESSNESS PREVENTION PROJECTS INCLUDING JESSE TREE, WHICH PROVIDES RENTAL ASSISTANCE FOR VULNERABLE FAMILIES.- HUMAN TRAFFICKING: NEW ATTENTION WAS GIVEN TO EXPLORING HUMAN TRAFFICKING RESOURCES AND COLLABORATIONS IN THE TREASURE VALLEY COMMUNITY AND BUILDING RELATIONSHIPS WITH COMMUNITY PARTNERS ON THIS TOPIC. THIS IS PART OF PREVENTING VIOLENCE SOCIAL INFLUENCER OF HEALTH WORK.COMMUNITY SUPPORT: - REFUGEE RESOURCE STEERING COMMITTEE: SARMC PARTICIPATED IN THE ONGOING COLLABORATION AND STRATEGIC PLANNING AMONG COMMUNITY LEADERS WITH THE PRIMARY GOAL OF STRENGTHENING SUPPORTS FOR REFUGEE RESETTLEMENT IN THE GREATER BOISE AREA. THE STEERING COMMITTEE IS MADE UP OF COMMUNITY LEADERS ADDRESSING NEEDS AND RESOURCES RELATED TO TRANSPORTATION, EDUCATION, HOUSING, EMPLOYMENT, HEALTH, AND SOCIAL INTEGRATION.- DISASTER READINESS: ENSURING THAT SAINT ALPHONSUS AND THE COMMUNITY ARE PREPARED TO RESPOND IN DISASTER SCENARIOS. 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: SARMC 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, SARMC IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, SARMC IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL. PART III, LINE 4: SARMC IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE PATIENT ACCOUNTS RECEIVABLE, ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS FOOTNOTE FROM PAGE 14 OF THOSE STATEMENTS: "THE CORPORATION HAS AGREEMENTS WITH THIRD-PARTY PAYERS THAT PROVIDE FOR PAYMENTS TO THE CORPORATION'S HEALTH MINISTRIES AT AMOUNTS DIFFERENT FROM ESTABLISHED RATES. ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYERS AND OTHER CHANGES IN ESTIMATES ARE INCLUDED IN NET PATIENT SERVICE REVENUE AND ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS, AS FINAL SETTLEMENTS ARE DETERMINED.FOR PATIENT ACCOUNTS RECEIVABLE RESULTING FROM REVENUE RECOGNIZED PRIOR TO JULY 1, 2018, PATIENT ACCOUNTS RECEIVABLE WERE REPORTED AT ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYERS, AND OTHERS FOR SERVICES RENDERED. PRIOR TO THIS DATE, AN ALLOWANCE FOR DOUBTFUL ACCOUNTS WAS ESTABLISHED TO REDUCE THE CARRYING VALUE OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. GENERALLY, THIS ALLOWANCE WAS ESTIMATED BASED ON THE AGING OF ACCOUNTS RECEIVABLE AND THE HISTORICAL COLLECTION EXPERIENCE BY THE HEALTH MINISTRIES FOR EACH TYPE OF PAYER. UNDER THE PROVISIONS OF ACCOUNTING STANDARDS UPDATE ("ASU") NO. 2014-09 "REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606)," WHICH WAS ADOPTED EFFECTIVE JULY 1, 2018, AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME IS TREATED AS A RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS FOR WHICH THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYERS FOR RETROACTIVE ADJUSTMENTS, ARE RECEIVABLES IF THE RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. FOR PATIENT ACCOUNTS RECEIVABLE SUBSEQUENT TO THE ADOPTION OF ASU NO. 2014-09 ON JULY 1, 2018, THE ESTIMATED UNCOLLECTABLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT SERVICE REVENUE AND ACCOUNTS RECEIVABLE."PART III, LINE 5:TOTAL MEDICARE REVENUE REPORTED IN PART III, LINE 5 HAS BEEN REDUCED BY THE TWO PERCENT SEQUESTRATION REDUCTION. PART III, LINE 8: SARMC 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 - SARMC ASSESSED 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 USED 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.SARMC ALSO EVALUATED INPATIENT, OUTPATIENT, EMERGENCY DEPARTMENT, CLINICAL AND FINANCIAL DATA TO DETERMINE; (1) WHAT TYPE OF AMBULATORY-SENSITIVE CONDITIONS, THAT ARE OTHERWISE PREVENTABLE OR SHOULD BE WELL-MANAGED IN THE COMMUNITY SETTING, ARE TREATED IN THE EMERGENCY ROOM AND (2) TO WHAT QUANTIFIABLE EXTENT ARE THESE CASES INVOLVING PATIENTS WHO ARE UNINSURED OR UNDER-INSURED. WE BUILT SYSTEMS TO HELP CONNECT THESE MOST "AT-RISK" PATIENTS WITH OUR FINANCIAL ASSISTANCE PROGRAMS AND WITH CARE PROVIDERS WHO CAN ASSIST THEM MORE REGULARLY AT A MORE APPROPRIATE LEVEL OF CARE. EVALUATION OF HOSPITAL DATA ON HOMELESS INDIVIDUALS LED TO GREATER SUPPORT FOR COMMUNITY EFFORTS TO PREVENT HOMELESSNESS. WE HAVE ALSO INCREASED CARE OUTREACH EFFORTS FOR THOSE WHO ARE HOMELESS, AS WELL AS CONNECTING THEM WITH FINANCIAL ASSISTANCE, TO ACCESS CARE WITH OUR HOSPITAL AND WITH OTHER LOCAL HEALTH PROVIDERS.SARMC ALSO UTILIZED THE EXPERTISE OF PUBLIC HEALTH PARTNERS AND THEIR ANALYSIS OF COMMUNITY NEEDS. WWW.CHNA.ORG CONTINUED TO BE A GREAT RESOURCE TO THE HEALTH SYSTEM FOR EXAMINING PUBLICLY AVAILABLE DATA. SAINT ALPHONSUS HEALTH SYSTEM RECEIVED REGULAR INPUT FROM PEER HEALTH ADVISORS WITHIN THE REFUGEE COMMUNITIES AND IMPLEMENTED PATIENT-FAMILY ADVISORY COUNCILS FOR COMMUNITY INPUT. SARMC ALSO HAD PERIODIC CONVERSATIONS WITH ALIGNED HEALTH CARE AND SOCIAL SUPPORT AGENCIES, LIKE CATHOLIC CHARITIES OF IDAHO, WHO SERVE THOSE WHO ARE POOR AND UNDERSERVED, REGARDING HEALTH TRENDS AND PRESSING NEEDS IN THEIR PATIENT/CUSTOMER POPULATIONS AND STRATEGIZED WAYS IN WHICH THE HEALTH SYSTEM COULD PARTNER IN SERVING THESE INDIVIDUALS. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - SARMC 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. SARMC 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. SARMC HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. SARMC 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 - SARMC SERVES PATIENTS FROM THE PRIMARY, SECONDARY AND TERTIARY SERVICE AREAS LISTED BELOW:- PRIMARY SERVICE AREA (75% OF DISCHARGES): ADA AND CANYON COUNTIES- SECONDARY SERVICE AREA (75-90% OF DISCHARGES): BOISE, GEM, MALHEUR, ELMORE, PAYETTE, OWYHEE, BAKER AND UNION COUNTIES - TERTIARY SERVICE AREA (90-95% OF DISCHARGES): TWIN FALLS, VALLEY, WASHINGTON, ADAMS, BLAINE, CASSIA, GOODING AND JEROME COUNTIES- SARMC ALSO PARTICIPATES IN RURAL TELEHEALTH WORK, FOR EXAMPLE, SERVING PSYCHIATRY NEEDS IN NORTHERN IDAHO.AREA HOSPITAL FACILITIES WITHIN SARMC'S PRIMARY SERVICE AREA INCLUDE ST. LUKE'S BOISE AND MERIDIAN, ST. LUKE'S (ELKS) REHABILITATION CENTER, TREASURE VALLEY HOSPITAL, SAINT ALPHONSUS MEDICAL CENTER-NAMPA, WEST VALLEY MEDICAL CENTER, SAINT ALPHONSUS MEDICAL CENTER-ONTARIO, SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY, GRANDE RONDE AND VALOR HEALTH (FORMERLY WALTER KNOX MEMORIAL HOSPITAL). SARMC'S PRIMARY SERVICE AREA IS A MIX OF URBAN AND RURAL COMMUNITIES WITHIN THE TREASURE VALLEY, BORDERED BY RUGGED MOUNTAINOUS TERRAIN AND DESERT. THE REGION HAS EXPERIENCED RAPID POPULATION GROWTH OVER THE PAST DECADE, WITH DRAMATIC GROWTH RATES IN ADA AND CANYON COUNTIES, THE TWO LARGEST COUNTIES IN THE SERVICE AREA:- MIGRATION: NET MIGRATION, OR THE DIFFERENCE BETWEEN HOW MANY PEOPLE MOVED IN AND HOW MANY MOVED OUT, IS ONE PART OF POPULATION CHANGE (INDICATORSIDAHO.ORG)FROM 2010 TO 2018: - ADA COUNTY GAINED 77,601 RESIDENTS THROUGH NET IN-MIGRATION, AND HAD A NET MIGRATION RATE OF 19.8% COMPARED TO 11.9% FOR IDAHO. - CANYON COUNTY GAINED 34,576 RESIDENTS THROUGH NET IN-MIGRATION, AND HAD A NET MIGRATION RATE OF 18.3% COMPARED TO 11.9% FOR IDAHO.- GEM COUNTY, GAINED 915 RESIDENTS THROUGH NET IN-MIGRATION, AND HAD A NET MIGRATION RATE OF 5.5% COMPARED TO 11.9% FOR IDAHO.OTHER RELEVANT STATISTICS CHARACTERIZING SARMC'S PRIMARY SERVICE AREA ARE INCLUDED BELOW (CENSUS.GOV):TOTAL POPULATION (2018 ESTIMATE) AND GROWTH (2018, GROWTH 2010-2018):ADA COUNTY - 469,966 (19.8%)CANYON COUNTY - 223,499 (18.3%)ELMORE COUNTY - 27,259 (0.8%)GEM COUNTY - 17,634 (5.5%)MALHEUR COUNTY - 30,725 (-1.9%)PERCENT WHITE PERSONS NOT HISPANIC (2018):ADA COUNTY - 84.5%CANYON COUNTY - 70.1%ELMORE COUNTY - 72.5%GEM COUNTY - 87.6%MALHEUR COUNTY - 60.4%PERCENT HISPANIC/LATINO ORIGIN (2018):ADA COUNTY - 8.3%CANYON COUNTY - 25.6%ELMORE COUNTY - 17.4%GEM COUNTY - 8.4%MALHEUR COUNTY - 34.4%MEDIAN HOUSEHOLD INCOME (2012-2017):ADA COUNTY - $60,151CANYON COUNTY - $46,426ELMORE COUNTY - $45,154GEM COUNTY - $42,888MALHEUR COUNTY - $37,112PERSONS IN POVERTY (2012-2017):ADA COUNTY - 10.8%CANYON COUNTY - 15.5%ELMORE COUNTY - 12.9%GEM COUNTY - 13.5%MALHEUR COUNTY - 22.2%FOREIGN-BORN PERSONS, PERCENT (2012-2017):ADA COUNTY - 5.8%CANYON COUNTY - 7.9%ELMORE COUNTY - 10.0%GEM COUNTY - 3.5%MALHEUR COUNTY - 9.7%LANGUAGE OTHER THAN ENGLISH, SPOKEN AT HOME AGE 5+ (2012-2017):ADA COUNTY - 8.4%CANYON COUNTY - 18.0%ELMORE COUNTY - 14.8%GEM COUNTY - 8.9%MALHEUR COUNTY - 24.8%PERSONS WITHOUT HEALTH INSURANCE, UNDER 65, PERCENT (2012-2017):ADA COUNTY - 8.7%CANYON COUNTY - 14.6%ELMORE COUNTY - 13.5%GEM COUNTY - 14.2%MALHEUR COUNTY - 10.2%IN 2017, IDAHO'S UNINSURED RATE WAS 10.1%, WHICH IS HIGHER THAN THE NATIONAL AVERAGE UNINSURED RATE OF 8.7% (CENSUS.GOV). IN A RECENT EVALUATION OF MEDICAID EXPANSION EFFORTS (CLOSETHEGAPIDAHO.ORG), IT IS ESTIMATED THAT UP TO 78,000 LOW-INCOME IDAHOANS DO NOT HAVE HEALTH INSURANCE COVERAGE. IN 2016 (INDICATORSIDAHO.ORG), 12% OF IDAHO'S POPULATION UNDER THE AGE OF 65, OR 168,400 PEOPLE, HAD NO HEALTH INSURANCE COVERAGE COMPARED TO 11% IN ALL OF THE U.S.; THE PERCENT UNDER AGE 65 WITHOUT HEALTH INSURANCE RANKED 12TH HIGHEST OUT OF THE U.S.'S 50 STATES; 4.9% OF CHILDREN UNDER THE AGE OF 19, OR 19,505 CHILDREN, HAD NO HEALTH INSURANCE COVERAGE COMPARED TO 5.3% OF ALL CHILDREN IN THE U.S.; THE PERCENT OF CHILDREN WITHOUT HEALTH COVERAGE RANKED 28TH HIGHEST TO OUT OF THE U.S.'S 50 STATES. IN 1975, GOVERNOR JOHN EVANS ESTABLISHED THE INDOCHINESE REFUGEE ASSISTANCE PROGRAM IN RESPONSE TO THE NEED FOR ALL STATES TO PARTICIPATE IN THE RESETTLEMENT OF REFUGEES FLEEING THE OVERTHROW OF U.S. SUPPORTED GOVERNMENTS IN SOUTHEAST ASIA. IN IDAHO, THERE ARE FOUR DIFFERENT REFUGEE RESETTLEMENT AGENCIES, THREE OF WHICH ARE IN BOISE. THE LOCAL REFUGEE POPULATION HAS MORE THAN DOUBLED SINCE 2005. IDAHO RECEIVED AN AVERAGE OF 1,000 REFUGEES ANNUALLY SINCE 2008 (UNTIL CURRENT ADMINISTRATION REFUGEE LIMITING POLICIES), WITH ROUGHLY 70% RESETTLING IN BOISE (REFUGEES IN IDAHO, IDAHO AT A GLANCE, UNIVERSITY OF IDAHO, NOV 2016). IN 2015, 70% OF REFUGEE ARRIVALS IN IDAHO WERE WOMEN AND CHILDREN. SOME REFUGEES ARE HIGHLY EDUCATED WHILE OTHERS HAVE NEVER HAD THE OPPORTUNITY TO ATTEND SCHOOL. SEVERAL RESETTLEMENT AND ASSISTANCE AGENCIES ASSIST LOCALLY AND THROUGHOUT THE STATE. THERE WERE 703 ANNUAL REFUGEE ARRIVALS IN BOISE (1,015 IN IDAHO) IN 2015 (IDAHO OFFICE FOR REFUGEES). THE TOP COUNTRIES OF ORIGIN FOR REFUGEES RESETTLED IN IDAHO IN 2016 WERE CONGO, SYRIA, IRAQ, AFGHANISTAN, BHUTAN, BURMA, SUDAN, UKRAINE AND SOMALIA. UPON REVIEW OF DEMOGRAPHIC AND SOCIO-ECONOMIC DATA AND TRENDS, SEVERAL FACTORS CLEARLY HAVE AN IMPACT ON THE HEALTH STATUS OF THE COMMUNITIES SERVED BY SARMC, WITH IMPLICATIONS FOR FUTURE PLANNING. POPULATION GROWTH, ESPECIALLY IN ADA AND CANYON COUNTIES, IS EXPECTED TO CONTINUE, WITH A GROWING HISPANIC POPULATION. THE SIGNIFICANT REFUGEE POPULATION CREATES GREATER LANGUAGE INTERPRETATION AND HEALTH EDUCATION NEEDS AS WELL.GROWTH IN IDAHO'S SENIOR POPULATION IS ALSO PROJECTED TO ACCELERATE, WHICH WILL LIKELY RESULT IN INCREASED HEALTH CARE SPENDING. MAMMOGRAPHY RATES, RATE OF LOW BIRTH WEIGHT BABIES, OVERWEIGHT AND OBESITY, TOBACCO USE, MENTAL HEALTH AND DRINKING/DRUG USE ARE ALSO OF GREAT CONCERN. THE REGION SEES A HIGH PREVALENCE OF MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES, WITH INADEQUATE PUBLIC BEHAVIORAL HEALTH SYSTEMS IN PLACE TO MEET THE EXISTING NEEDS FOR COMMUNITY-BASED AND INPATIENT SERVICES. PART VI, LINE 5: OTHER INFORMATION - CONSISTENT WITH ITS NONPROFIT STATUS, SARMC USED SURPLUS REVENUES TO REINVEST IN FACILITIES, TECHNOLOGY AND MEDICAL SERVICES FOR THE COMMUNITY, AND COLLABORATED WITH COMMUNITY PARTNERS BY INVESTING IN NEEDED COMMUNITY PROGRAMS SUCH AS ALLUMBAUGH HOUSE (SOBERING, DETOXIFICATION AND CRISIS MENTAL HEALTH SERVICES), HOUSING FIRST (HOMELESSNESS PREVENTION AND SUPPORT SERVICES), AND GONOODLE HEALTH LITERACY CURRICULUM FOR SEVERAL AREA SCHOOL DISTRICTS. SARMC ALSO ASSESSED AND ENGAGED IN COMMUNITY HEALTH WORK THAT ADDRESSED THE SOCIAL INFLUENCERS OF HEALTH. THE ORGANIZATION IS FOCUSED ON PREVENTING VIOLENCE IN VULNERABLE POPULATIONS, INCLUDING WOMEN, CHILDREN, AND THOSE EXPERIENCING HOMELESSNESS. THERE WAS ADDITIONAL FOCUS AND ENGAGEMENT WITH SENIOR POPULATIONS AND REFUGEE POPULATIONS.PROVIDING EDUCATION AND WORKFORCE DEVELOPMENT FOR RURAL IDAHO AND OREGON:SARMC STRONGLY SUPPORTED HEALTH CARE WORKFORCE DEVELOPMENT EFFORTS, INCLUDING SUPPORT TO THE PSYCHIATRIC RESIDENCY, DENTAL RESIDENCY AND TREASURE VALLEY NURSING PROGRAMS. SARMC SERVED AS A KEY CLINICAL TRAINING SITE FOR NEW PHYSICIANS, NURSE PRACTITIONERS, NURSES, PHARMACISTS AND OTHER ALLIED HEALTH PROFESSIONALS, INCLUDING FAMILY MEDICAL RESIDENCY OF IDAHO.SARMC IS A LEVEL II TRAUMA CENTER AND CONTINUED TO TAKE A LEADERSHIP ROLE IN IMPROVING SYSTEMS OF CARE FOR TRAUMA PATIENTS. SARMC ALSO HOSTED AN ANNUAL SKI AND MOUNTAIN TRAUMA CONFERENCE TO TRAIN FIRST RESPONDERS (EMS, FIRE, SKI PATROL, ETC.) THROUGHOUT THE NORTHWEST ON BEST PRACTICES FOR TRAUMA CARE IN THE PRE-HOSPITAL SETTING. TRAUMA PREVENTION AND DISASTER PREPAREDNESS EFFORTS IN THE REGION ARE OFTEN LED BY STAFF AT SARMC, WHO IN THE PAST HAVE CHAMPIONED TOUGHER SEAT BELT AND HELMET LAWS. SARMC COORDINATED A REGIONAL TELEMEDICINE NETWORK THROUGHOUT WESTERN AND NORTHERN IDAHO AND EASTERN OREGON. SERVICES PROVIDED THROUGH THE NETWORK INCLUDE MUCH-NEEDED SERVICES SUCH AS TELEPSYCHIATRY, STROKE CARE, CLINICAL EDUCATION AND EMERGENCY MEDICINE CONSULTATIONS TO RURAL HOSPITALS IN REMOTE LOCATIONS, OFTEN PREVENTING UNNECESSARY TRANSPORTS AND ALLOWING PATIENTS TO BE CARED FOR CLOSER TO HOME. SARMC ALSO COLLABORATED WITH UNITED WAY OF TREASURE VALLEY TO ADDRESS COMMUNITY NEEDS INCLUDING HEALTH, EDUCATION, AND INCOME. SARMC WAS REPRESENTED ON THE UNITED WAY BOARD OF DIRECTORS AND THE HEALTH VISION COUNCIL. IN ADDITION, SARMC HAS AN ANNUAL UNITED WAY WORKPLACE GIVING CAMPAIGN TO SUPPORT UNITED WAY INITIATIVES AND GRANTS TO LOCAL NONPROFITS PRODUCING MEASURABLE OUTCOMES IN ADDRESSING TOP COMMUNITY NEEDS.SAINT ALPHONSUS HEALTH SYSTEM WAS EXTREMELY ACTIVE IN BOTH GRASSROOTS AND LEGISLATIVE EFFORTS AROUND MEDICAID EXPANSION IN IDAHO AS WELL AS IN COALITION BUILDING AND STRATEGIZING AROUND TOBACCO 21. SAINT ALPHONSUS HEALTH SYSTEM WAS A LEADING PARTICIPANT IN A LOCAL HOUSING AND HOMELESSNESS ROUNDTABLE AND MAIN ADVOCATE AND FUNDER OF A HOUSING FIRST EFFORT TO PREVENT HOMELESSNESS, IN ALIGNMENT WITH CHNA-FOCUSED SOCIAL INFLUENCERS OF HEALTH WORK. ADDITIONALLY, SAINT ALPHONSUS HEALTH SYSTEM COLLABORATED WITH COMMUNITY PARTNERS, SERVICE PROVIDERS, LEADERS, AND COMPETITORS TO PREVENT CHILDHOOD SEXUAL ABUSE. FINALLY, SAINT ALPHONSUS HEALTH SYSTEM COLLABORATED IN A COMMUNITY ROUNDTABLE ON MENTAL HEALTH, INCLUDING ADVOCACY WORK IN SUPPORTING A LOCAL CRISIS CENTER.TRANSFORMING COMMUNITIES:SAINT ALPHONSUS HEALTH SYSTEM PARTNERS WITH THE UNITED WAY OF TREASURE VALLEY AND OTHER COMMUNITY STAKEHOLDERS IN THE TRANSFORMING COMMUNITIES INITIATIVE (TCI). COMMUNITY PARTNERS IN THE TCI INCLUDE: SARMC, UNITED WAY OF TREASURE VALLEY, BOISE STATE UNIVERSITY, VITRUVIAN PLANNING, 9 LOCAL SCHOOL DISTRICTS, CITY OF BOISE, CITY OF CALDWELL, IDAHO ASSOCIATION FOR THE EDUCATION OF YOUNG CHILDREN, TOBACCO 21, CALDWELL HEALTH COALITION, ALBERTSONS, ZIONS BANK, GARDNER COMPANY AND ST. LUKE'S HEALTH SYSTEM.AS PART OF TCI EFFORTS, AND AS STATED ABOVE, SAINT ALPHONSUS HEALTH SYSTEM LED A STATEWIDE COALITION OF STAKEHOLDERS TO EDUCATE STATE LEGISLATORS ON THE CASE FOR RAISING THE SALE AGE OF TOBACCO FROM 18 TO 21 IN IDAHO. TCI PARTNERS BROUGHT DR. BONNIE HALPERN-FELSHER, A TEEN VAPING EXPERT FROM STANFORD, TO PRESENT THE CURRENT SCIENTIFIC EVIDENCE BEHIND THE REALITY AND DANGERS OF TEEN VAPE USE IN THE UNITED STATES TO IDAHO LEGISLATORS AND KEY COMMUNITY STAKEHOLDERS. ADDITIONAL LEGISLATIVE EFFORTS OF THE TCI COLLABORATIVE INCLUDED COALITION DEVELOPMENT AND LOBBYING SUPPORT FOR "PRESCHOOL THE IDAHO WAY" BILL. AS IDAHO IS ONE OF FOUR STATES WITHOUT STATE-FUNDED PRESCHOOL, THE BILL ESTABLISHED DEFINITIONS FOR HOME AND CENTER-BASED PRESCHOOLS, INCLUDING STAFF AND CURRICULUM REQUIREMENTS, AND WOULD CREATE A STATE FUND TO MATCH WITH LOCAL PRESCHOOL COLLABORATIVE DOLLARS. THE BILL DID NOT PASS OUT OF COMMITTEE.AS AN EXTENSION OF THE TCI WORK, THE UNITED WAY OF TREASURE VALLEY, SAINT ALPHONSUS HEALTH SYSTEM, AND VARIOUS COMMUNITY ORGANIZATIONS, REFERRED TO AS THE PROMISE PARTNERSHIP, FORMED A MONTHLY LEARNING COLLABORATIVE TO SUPPORT THE COMMUNITY SCHOOL COORDINATORS BY PROVIDING PROFESSIONAL DEVELOPMENT AND SHARING RESOURCES AND BEST PRACTICES. THE PROMISE PARTNERSHIP ALSO CONDUCTED SEVERAL COMMUNITY SCHOOL 101 AND POWER UP COMMUNITY SCHOOLS LEARNING SESSIONS FOR SCHOOL DISTRICTS AND COMMUNITY ORGANIZATIONS INTERESTED IN LEARNING MORE ABOUT HOW TO DEVELOP A COMMUNITY SCHOOL INFRASTRUCTURE IN THEIR RESPECTIVE COMMUNITIES. THESE EFFORTS ARE BEING EXPANDED STATEWIDE THROUGH PARTNERSHIP WITH THE IDAHO STATE DEPARTMENT OF EDUCATION. IN 2016, THERE WERE 0 COMMUNITY SCHOOLS IN IDAHO. AS A RESULT OF TCI, THERE WERE 22 COMMUNITY SCHOOLS IN THE STATE BY THE END OF 2018.SAINT ALPHONSUS HEALTH SYSTEM HAS COMPLETED SIGNIFICANT WORK (90%) TOWARDS ACHIEVING BABY FRIENDLY DESIGNATION AND IS COMMITTED TO BECOMING A BABY FRIENDLY HOSPITAL SYSTEM. BABY FRIENDLY HOSPITALS ARE RECOGNIZED FOR ENCOURAGING BREASTFEEDING AND MOTHER/BABY BONDING, WHICH IS KNOWN TO PROVIDE HEALTH BENEFITS FOR INFANTS, CHILDREN, AND MOTHERS. SAINT ALPHONSUS HEALTH SYSTEM HAS ALSO ACHIEVED 70% HEALTHY VENDING CONTRACTS AND HAS A SMOKE-FREE CAMPUS POLICY THAT INCLUDES E-CIGARETTES. PART VI, LINE 6: SARMC IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH ANNUALLY REQUIRES THAT ALL MEMBER HOSPITALS DEFINE - AND ACHIEVE - SPECIFIC COMMUNITY HEALTH AND WELL-BEING GOALS. IN FISCAL YEAR 2019, EVERY TRINITY HEALTH ENTITY FOCUSED ON: 1. REDUCING TOBACCO USE 2. REDUCING OBESITY PREVALENCE3. ADDRESSING AT LEAST ONE SIGNIFICANT HEALTH NEED IDENTIFIED BY THEIR HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT4. ADDRESSING AT LEAST ONE SOCIAL INFLUENCER OF HEALTH TRINITY HEALTH ACKNOWLEDGES THAT SOCIAL INFLUENCERS OF HEALTH - SUCH AS ADEQUATE HOUSING, PERSONAL SAFETY AND ACCESS TO FOOD, EDUCATION, INCOME, AND HEALTH COVERAGE - HAVE A SIGNIFICANT IMPACT ON THE HEALTH OF ITS COMMUNITIES. IN AN EFFORT TO ADDRESS SOME OF THESE INFLUENCERS, TRINITY HEALTH LAUNCHED THE TRANSFORMING COMMUNITIES INITIATIVE (TCI) IN FISCAL YEAR 2016 TO ADVANCE COMMUNITY PARTNERSHIPS THAT FOCUS ON IMPROVING THE HEALTH AND WELL-BEING IN COMMUNITIES SERVED BY THE HOSPITALS OF TRINITY HEALTH. TCI IS A SHARED FUNDING MODEL AND TECHNICAL-ASSISTANCE INITIATIVE SUPPORTING EIGHT TRINITY HEALTH HOSPITALS AND THEIR COMMUNITY PARTNERS TO IMPLEMENT POLICY, SYSTEM, AND ENVIRONMENTAL CHANGE STRATEGIES TO PREVENT TOBACCO USE AND CHILDHOOD OBESITY, AND TO AFFECT CHANGE RELATED TO THE SOCIAL INFLUENCERS OF HEALTH. IN FISCAL YEAR 2019, TRINITY HEALTH INVESTED $3.7 MILLION IN TCI AND HAS LEVERAGED OVER $6.5 MILLION IN COMMUNITY MATCH FUNDING TO DATE. ADDITIONALLY, TRINITY HEALTH'S GOOD SAMARITAN INITIATIVE (GSI) INVESTED $751,000 IN NINE REGIONAL HEALTH MINISTRIES TO SUPPORT THE INTEGRATION OF 16 COMMUNITY HEALTH WORKERS INTO CARE MANAGEMENT TEAMS. TRINITY HEALTH CONTINUES TO EXPAND THE NATIONAL DIABETES PREVENTION PROGRAM THROUGH THE SUPPORT OF THE CENTERS FOR DISEASE CONTROL AND PREVENTION. IN ADDITION TO THE PROGRAMMATIC SPENDING DESCRIBED ABOVE, THE SYSTEM DEPLOYED NEW AND RENEWED LOANS OF $5.3 MILLION FOR PLACE-BASED INVESTING TO IMPROVE ACCESS TO AFFORDABLE HOUSING, HEALTHY FOODS, EDUCATION, AND ECONOMIC DEVELOPMENT. THE COMMUNITY-INVESTING PROGRAM ALSO HAS OUTSTANDING LOAN COMMITMENTS OF $6.0 MILLION TO COMMUNITY INFRASTRUCTURE PROJECTS, WHICH WILL BE DEPLOYED IN FUTURE YEARS.TRINITY HEALTH AND ITS MEMBER HOSPITALS ARE COMMITTED TO THE DELIVERY OF PEOPLE-CENTERED CARE AND SERVING AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN THE COMMUNITIES THEY SERVE. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITIES AND IS COMMITTED TO ADDRESSING THE UNIQUE NEEDS OF EACH COMMUNITY. IN FISCAL YEAR 2019, TRINITY HEALTH INVESTED NEARLY $1.2 BILLION IN COMMUNITY BENEFIT, SUCH AS INITIATIVES SUPPORTING THOSE WHO ARE POOR AND VULNERABLE, HELPING TO MANAGE CHRONIC CONDITIONS LIKE DIABETES, PROVIDING HEALTH EDUCATION, AND MOVING FORWARD POLICY, SYSTEM, AND ENVIRONMENTAL CHANGE.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG. PART VI, LINE 7, REPORTS FILED WITH STATES ID 1 THE ST LUKE FOUNDATION FOR HAITI 3999 GREAT HARVEST CT DUMFRIES VA 22025 274377746 501(C)(3) 500902 24625 FMV MEDICAL SUPPLIES PROJECT HAITI FACES OF HOPE FOUNDATION 417 S 6TH ST BOISE ID 83702 204888582 501(C)(3) 32500 PROGRAM SUPPORT SUSAN G KOMEN BREAST CANCER FOUNDATION 1409 W MAIN ST BOISE ID 83702 751835298 501(C)(3) 20000 BOISE RACE FOR THE CURE TEAM UPCYCLE 380 S 8TH ST BOISE ID 83702 832508273 501(C)(3) 15000 TITLE SPONSOR HOME PARTNERSHIP FOUNDATION PO BOX 7899 BOISE ID 83707 753162969 501(C)(3) 15000 NEW PATH COMMUNITY HOUSING AMERICAN HEART ASSOCIATION 350 N 9TH ST BOISE ID 83702 135613797 501(C)(3) 13500 HEART WALK SPONSOR TREASURE VALLEY FAMILY YMCA 1177 W STATE ST BOISE ID 83702 820200908 501(C)(3) 12500 2018 CHRISTMAS RUN PRESENTING SPONSOR IDAHO CATHOLIC REGISTER 1501 S FEDERAL WAY BOISE ID 83705 820200748 501(C)(3) 10000 BUILDING OUR PAST BOYS & GIRLS CLUB OF ADA COUNTY 610 E 42ND GARDEN CITY ID 83714 820481687 501(C)(3) 10000 MISSION GRANT: BE FIT, BE HEALTHY IDAHO DIAPER BANK 621 E KING ST 100 MERIDIAN ID 83642 465573014 501(C)(3) 5690 DIAPERS OPERA IDAHO 513 S 8TH ST BOISE ID 83702 237331238 501(C)(3) 5540 SPONSORSHIP BLACK AND WHITE GALA 2019 WOMENS AND CHILDRENS ALLIANCE 720 W WASHINGTON BOISE ID 83702 820204464 501(C)(3) 5500 SUEB 5K/10 2018 SPONSOR SALVATION ARMY BOISE CORPS 1617 N 24TH ST BOISE ID 83702 941156347 501(C)(3) 5000 GARDEN PARTY SPONSOR IDAHO OSTEOPATHIC PHYSICIANS ASSOCIATION 13526 W TELEMARK ST BOISE ID 83713 743193243 501(C)(3) 5000 SPONSOR REDISCOVERING MEANING IN OUR WORK CONFERENCE GENESIS COMMUNITY HEALTH INC 215 W 35TH ST GARDEN CITY ID 83714 820505073 501(C)(3) 5000 SPRING 2019 BENEFIT SPONSORSHIP 15 1 RENT AND UTILITIES ASSISTANCE 25 14052 SCHOLARSHIPS 9 11250 HEALTH CARE ASSISTANCE 5000 50765 FMV RADIOLOGY SERVICES PART I, LINE 2: DONATIONS MADE BY SAINT ALPHONSUS REGIONAL MEDICAL CENTER TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE. DONATIONS ARE INCLUDED IN COMMUNITY BENEFITS IN SCHEDULE H IF THE CONTRIBUTION HAS BEEN FORMALLY RESTRICTED TO A COMMUNITY BENEFIT ACTIVITY THAT MEETS THE CRITERIA TO BE REPORTED ON SCHEDULE H. 1 1 0 0 0 0 0 0 0 ODETTE BOLANO DIR, PRESIDENT THRU 1/19; SAHS PRES 0 460338 0 136517 0 35396 0 90784 0 18091 0 741126 0 0 MICHAEL HOLPER DIR THR 12/18; TRINITY HEALTH SVP 0 447135 0 180396 0 123401 0 20625 0 29261 0 800818 0 0 SALLY JEFFCOAT DIR AS OF 1/19; TRINITY HEALTH EVP 0 917976 0 424196 0 279610 0 12375 0 60721 0 1694878 0 0 RODNEY REIDER DIRECTOR; SAHS PRES & CEO THRU 7/18 0 511870 0 185487 0 316892 0 258648 0 37068 0 1309965 0 0 STEPHANIE WESTERMEIER SECRETARY; SAHS VP & GENERAL COUNSEL 0 310437 0 90889 0 12089 0 68386 0 27867 0 509668 0 0 B LANNIE CHECKETTS TREASURER; SAHS CFO 0 354744 0 69532 0 35814 0 16500 0 36980 0 513570 0 0 MARCIE HARPER VP OF FINANCE AS OF 8/18 0 156511 0 22391 0 114 0 9518 0 30477 0 219011 0 0 JEAN BASOM REGIONAL DIRECTOR SUPPLY CHAIN 0 163470 0 19269 0 2951 0 14088 0 17911 0 217689 0 0 CHRISTIAN ZIMMERMAN MD PHYSICIAN 0 1280382 0 213 0 9734 0 11808 0 27459 0 1329596 0 0 JOSEPH BROOKS MD PHYSICIAN 0 1119799 0 71 0 57744 0 12375 0 32794 0 1222783 0 0 ILYAS COLOMBOWALA MD PHYSICIAN 0 1081858 0 0 0 4037 0 12375 0 30878 0 1129148 0 0 STEPHEN JONES MD PHYSICIAN 0 770119 0 0 0 5267 0 8250 0 33699 0 817335 0 0 CARL KAPADIA MD PHYSICIAN 0 772608 0 0 0 511 0 12375 0 27625 0 813119 0 0 BLAINE PETERSEN FOMER OFFICER; LOYOLA UNIV. CFO 0 563688 0 108996 0 260248 0 434805 0 40882 0 1408619 0 0 BRENT CHERNE FORMER KEY EMPLOYEE 0 79083 0 0 0 81271 0 0 0 15921 0 176275 0 0 JAMES LEDERER MD FORMER KEY EMPLOYEE 0 191741 0 0 0 3683 0 2634 0 13239 0 211297 0 0 PART I, LINE 3 SAINT ALPHONSUS REGIONAL MEDICAL CENTER (SARMC) IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. SARMC'S CEO IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF SARMC'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2018. THESE AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: BRENT CHERNE - $80,824 BLAINE PETERSEN - $153,306 RODNEY REIDER - $167,720 IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNTS, WHICH WERE UNPAID AS OF 12/31/18: BLAINE PETERSEN - $418,305 (PAID IN 2019) RODNEY REIDER - $ 246,273 (PAID IN 2019) THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2018. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. BENEFITS FOR PARTICIPANTS VESTED IN A PLAN WERE PAID OUT IN 2018, AND BENEFITS FOR PARTICIPANTS NOT YET VESTED IN A PLAN WERE ACCRUED IN 2018. THE FOLLOWING PAYOUTS FOR 2018 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: B. LANNIE CHECKETTS - $0 MICHAEL HOLPER - $105,295 SALLY JEFFCOAT - $229,074 BLAINE PETERSEN - $91,157 RODNEY REIDER - $130,718 THE FOLLOWING ACCRUALS FOR 2018 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: ODETTE BOLANO - $78,409 STEPHANIE WESTERMEIER - $51,886 THE FOLLOWING IS A PARTICIPANT IN A TRINITY HEALTH RESTORATION OR RETENTION PLAN. THE RESTORATION PLAN PROVIDES RETIREMENT BENEFITS FOR CERTAIN TRINITY HEALTH SYSTEM OFFICE EXECUTIVES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($275,000 FOR 2018). THE FOLLOWING PAYOUTS FOR 2018 FOR THESE PLANS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: STEPHANIE WESTERMEIER - $3,627 THE FOLLOWING ARE PARTICIPANTS IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN UNDER 457(F). THERE WERE NO PAYOUTS IN 2018. STEPHEN JONES, MD CHRISTIAN ZIMMERMAN, MD SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 6778637 SUBSTANTIAL CONTRIBUTOR 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1074677 SUBSTANTIAL CONTRIBUTOR 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 477030 SUBSTANTIAL CONTRIBUTOR 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 279043 SUBSTANTIAL CONTRIBUTOR 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 209902 SUBSTANTIAL CONTRIBUTOR 0 X 109574 FMV X 22192 FMV X TREE/GREENERY 0 80133 FMV 0 1 1 PART I, LINE 32B: THE REPORTING ENTITY HAS USED THIRD PARTIES TO PROCESS OR SELL NON-CASH CONTRIBUTIONS WHEN SPECIFIC EXPERTISE IS WARRANTED. WHERE AN EXPERT APPRAISAL IS NECESSARY, A THIRD PARTY APPRAISER WILL BE ENGAGED. OCCASIONALLY THE SERVICES OF AN AGENT ARE ENGAGED TO SELL NON-CASH CONTRIBUTIONS THAT WILL NOT BE USED BY THE REPORTING ENTITY. FORM 990, PAGE 1, DOING BUSINESS AS: SAINT ALPHONSUS PHYSICIAN SERVICES SAINT ALPHONSUS MEDICAL GROUP SAINT ALPHONSUS FOUNDATION SAINT ALPHONSUS SAINT ALPHONSUS HEART INSTITUTE SAINT ALPHONSUS REGIONAL MEDICAL CENTER - BOISE FORM 990, PART VI, SECTION A, LINE 5 SAINT ALPHONSUS REGIONAL MEDICAL CENTER (SARMC) BECAME AWARE OF A DIVERSION OF ASSETS DURING THE YEAR ENDED JUNE 30, 2019. A NOW FORMER EMPLOYEE DIVERTED HOSPITAL FUNDS BY EMBEZZLING MONEY OVER THE PERIOD FROM 2005 TO 2019. THE SUSPECTED DIVERSION WAS BROUGHT TO THE ATTENTION OF FINANCE LEADERS. THE HOSPITAL IMMEDIATELY CONDUCTED AN INTERNAL INVESTIGATION AND UPON SUBSTANTIATION OF THE THEFT, TERMINATED THE EMPLOYEE. THE HOSPITAL REFERRED THE RESULTS OF THE INVESTIGATION TO LAW ENFORCEMENT OFFICIALS, AND THE INDIVIDUAL WAS INDICTED AND PLED GUILTY TO FRAUD CHARGES. THE EMPLOYEE WAS SENTENCED TO 41 MONTHS IN PRISON AND ORDERED TO PAY RESTITUTION OF APPROXIMATELY $1.5 MILLION TO THE HOSPITAL. THE MATTER WAS REPORTED TO THE TRINITY HEALTH AUDIT COMMITTEE, AND IMMEDIATE CORRECTIVE ACTIONS WERE TAKEN TO STRENGTHEN INTERNAL CONTROLS AND TO ENSURE COMPLIANCE WITH HOSPITAL PRACTICES AND PROCEDURES. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF SARMC IS SAINT ALPHONSUS HEALTH SYSTEM. SEE LINE 7 FOR ADDITIONAL INFORMATION. FORM 990, PART VI, SECTION A, LINE 7A SAINT ALPHONSUS HEALTH SYSTEM IS THE SOLE MEMBER OF SARMC. SAINT ALPHONSUS HEALTH SYSTEM HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF SARMC. FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER, SAINT ALPHONSUS HEALTH SYSTEM MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. SAINT ALPHONSUS HEALTH SYSTEM MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, AND MODIFICATIONS TO GOVERNING DOCUMENTS. AS THE PARENT OF THE NATIONAL TRINITY HEALTH SYSTEM, CERTAIN POWERS ARE RESERVED TO TRINITY HEALTH CORPORATION. THESE INCLUDE THE AUTHORITY TO ADOPT OR MODIFY THE ORGANIZATION'S GOVERNING DOCUMENTS, TO APPROVE MAJOR CHANGES SUCH AS A MERGER OR DISSOLUTION, AND TO APPROVE SIGNIFICANT FINANCE MATTERS IN EXCESS OF CERTAIN LIMITS ESTABLISHED BY TRINITY HEALTH CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 FOR SARMC IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY SAINT ALPHONSUS HEALTH SYSTEM PLANNING AND FINANCE COMMITTEE. EACH MEMBER OF THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C SARMC 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 SARMC, 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 SARMC 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 SARMC (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO SARMC OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF SARMC (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 SARMC. 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 SARMC IS ESTABLISHED BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING CEO AND SYSTEM CFO COMPENSATION, TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF THE CEO AND SYSTEM CFO OF SARMC 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 SARMC 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, SARMC INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. SARMC'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS TO AFFILIATES -13,687,724. FORM 990, PART XII, LINE 2: SARMC'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY19 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP 245 STATE ST SE GRAND RAPIDS MI 49503 272491974 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN 1 ALLEGANY FRANCISCAN MINISTRIES INC 33920 US HIGHWAY 19 NORTH SUITE 269 PALM HARBOR FL 34684 581492325 GRANT MAKING FL 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 ASYLUM HILL FAMILY MEDICINE CENTER INC 114 WOODLAND STREET HARTFORD CT 06105 061450170 HEALTH CARE SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 BAUM HARMON MERCY HOSPITAL 255 NORTH WELCH AVENUE PRIMGHAR IA 51245 421500277 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP 1 BAUM HARMON MERCY HOSPITAL AND CLINICS FOUNDATION 255 NORTH WELCH AVENUE PRIMGHAR IA 51245 262973307 FOUNDATION IA 501(C)(3) LINE 12A, I BAUM HARMON MERCY HOSPITAL 1 BEECHWOOD INC 2212 BURDETT AVE TROY NY 12180 141651563 TITLE HOLDING COMPANY NY 501(C)(2) N/A LTC (EDDY) INC 1 BETHLEHEM HAVEN OF PITTSBURGH 905 WATSON STREET PITTSBURGH PA 15219 251436685 HOMELESS SHELTER PA 501(C)(3) LINE 7 PITTSBURGH MERCY HEALTH SYSTEM INC 1 BEVERWYCK INC 40 AUTUMN DRIVE SLINGERLANDS NY 12159 141717028 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 BRIGHTSIDE INC 114 WOODLAND STREET HARTFORD CT 06105 042182395 HEALTH CARE SERVICES MA 501(C)(3) LINE 10 THE MERCY HOSPITAL INC 1 CAPITAL REGION GERIATRIC CENTER INC 421 WEST COLUMBIA STREET COHOES NY 12047 141701597 LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 CARING PARTNERS HOME HEALTH INC 1200 EARHART RD ANN ARBOR MI 48105 201681131 HOME HEALTH SERVICES MI 501(C)(3) LINE 10 GLACIER HILLS INC 1 CATHERINE MCAULEY HEALTH SERVICES CORP PO BOX 995 ANN ARBOR MI 48106 382507173 HEALTH CARE SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH-MICHIGAN 1 CATHOLIC HEALTH MINISTRIES 20555 VICTOR PARKWAY LIVONIA MI 48152 GOVERNANCE AND MANAGEMENT OF TRINITY HEALTH SYSTEM VT 501(C)(3) LINE 1 N/A 0 DILEY RIDGE MEDICAL CENTER 6150 EAST BROAD STREET COLUMBUS OH 43213 342032340 HEALTH CARE AND HOSPITAL SERVICES OH 501(C)(3) LINE 3 MOUNT CARMEL HEALTH SYSTEM 1 DUBUQUE MERCY HEALTH FOUNDATION 250 MERCY DRIVE DUBUQUE IA 52001 262227941 FOUNDATION IA 501(C)(3) LINE 12A, I MERCY HEALTH SERVICES-IOWA CORP 1 DYERSVILLE HEALTH FOUNDATION INC 1111 3RD STREET SW DYERSVILLE IA 52040 205383271 FOUNDATION IA 501(C)(3) LINE 12A, I MERCY HEALTH SERVICES-IOWA CORP 1 EAST NORRITON PHYSICIANS SERVICES INC ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 232515999 HEALTH CARE SERVICES PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK 1 EDDY LICENSED HOME CARE AGENCY 433 RIVER ST SUITE 3000 TROY NY 12180 141818568 HOME HEALTH SERVICES NY 501(C)(3) LINE 3 LTC (EDDY) INC 1 EMBRACING AGE INC 333 BUTTERNUT DRIVE DEWITT NY 13214 461051881 PACE PROGRAM NY 501(C)(3) LINE 12B, II ST JOSEPH'S HEALTH INC 1 EMPIRE HOME INFUSION SERVICE INC 10 BLACKSMITH DRIVE MALTA NY 12020 141795732 HOME HEALTH SERVICES NY 501(C)(3) LINE 10 HOME AIDE SERVICE OF EASTERN NEW YORK INC 1 FARREN CARE CENTER INC 114 WOODLAND STREET HARTFORD CT 06105 042501711 LONG TERM CARE MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC 1 FRANCISCAN ELDERCARE CORPORATION PO BOX 2500 WILMINGTON DE 19805 223008680 LONG TERM CARE (INACTIVE) DE 501(C)(3) LINE 10 ST FRANCIS HOSPITAL INC 1 GLACIER HILLS FOUNDATION 1200 EARHART RD ANN ARBOR MI 48105 208072723 FOUNDATION MI 501(C)(3) LINE 12A, I GLACIER HILLS INC 1 GLACIER HILLS INC 1200 EARHART RD ANN ARBOR MI 48105 381891500 SENIOR LIVING COMMUNITY MI 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES 1 GLEN EDDY INC 1 GLEN EDDY DRIVE NISKAYUNA NY 12309 141794150 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 GLOBAL HEALTH MINISTRY 20555 VICTOR PARKWAY LIVONIA MI 48152 421253527 HEALTH CARE SERVICES MI 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 GOOD SAMARITAN HOSPITAL INC 5401 LAKE OCONEE PARKWAY GREENSBORO GA 30642 261720984 HEALTH CARE AND HOSPITAL SERVICES GA 501(C)(3) LINE 3 ST MARY'S HEALTH CARE SYSTEM INC 1 GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION 701 W NORTH AVE MELROSE PARK IL 60160 363332852 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM 1 GOTTLIEB MEMORIAL FOUNDATION 701 WEST NORTH AVENUE MELROSE PARK IL 60160 743260011 FOUNDATION IL 501(C)(3) LINE 12C, III-FI N/A 0 GOTTLIEB MEMORIAL HOSPITAL 701 W NORTH AVE MELROSE PARK IL 60160 362379649 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM 1 HACKLEY LIFE COUNSELING 125 E SOUTHERN AVENUE MUSKEGON MI 49442 381386362 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 MERCY HEALTH PARTNERS 1 HAWTHORNE RIDGE INC 30 COMMUNITY WAY EAST GREENBUSH NY 12061 800102840 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 HEART CENTER OF GREATER WATERBURY INC 114 WOODLAND STREET HARTFORD CT 06105 830416893 MANAGEMENT CT 501(C)(3) LINE 12A, I N/A 0 HERITAGE HOUSE NURSING CENTER INC 2920 TIBBITS AVE TROY NY 12180 141725101 LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 HOLY CROSS CARENET INC PO BOX 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INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 232571699 HEALTH CARE SERVICES PA 501(C)(3) LINE 10 ST MARY MEDICAL CENTER 1 LIFE AT LOURDES INC 2475 MCCLELLAN AVENUE PENNSAUKEN NJ 08109 261854750 PACE PROGRAM NJ 501(C)(3) LINE 3 TRINITY HEALTH PACE 1 LIFE AT ST FRANCIS HEALTHCARE INC 7TH AND CLAYTON STREETS WILMINGTON DE 19805 452569214 PACE PROGRAM DE 501(C)(3) LINE 10 ST FRANCIS HOSPITAL INC 1 LIFE ST FRANCIS CORPORATION 7500 K JOHNSON BOULEVARD BORDENTOWN NJ 08505 222797282 PACE PROGRAM NJ 501(C)(3) LINE 10 ST FRANCIS MEDICAL CENTER TRENTON NJ 1 LIFE ST JOSEPH OF THE PINES INC 100 GOSSMAN DRIVE SOUTHERN PINES NC 28387 272159847 PACE PROGRAM NC 501(C)(3) LINE 3 TRINITY HEALTH PACE 1 LIFE ST MARY 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 262976184 PACE PROGRAM PA 501(C)(3) LINE 10 ST MARY MEDICAL CENTER 1 LOURDES ANCILLARY SERVICES 1600 HADDON AVENUE CAMDEN NJ 08103 222568525 HEALTH CARE SYSTEM SUPPORT NJ 501(C)(3) LINE 12B, II OUR LADY OF LOURDES HEALTH CARE SERVICES 1 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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 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