2019-05-15T11:34:41-05:00 2018-06-30 990 2017-07-01 510064326 ST FRANCIS HOSPITAL INC STFR 3024214100 PO BOX 2500 WILMINGTON DE 198050500 MARY FINN VP FINANCE 3024214100 2019-05-15 170.232.227.252 2019-05-15 11:34:28 ED P 0E4C15207DC127BDB52450F77D4060F40C3F1AE4 7E530C01EC0DBF1FFF79A5BAD1379F9D370DED1E 2017 2019-02-21 02:37:17Z SAINT FRANCIS HEALTHCARE DANIEL SINNOTT PO BOX 2500 WILMINGTON DE 198050500 175753749 0 0928 X STFRANCISHEALTHCARE.ORG X 1923 DE TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES 15 13 1460 132 58035 -176786 1576129 726981 149791963 170346769 -134337 -476141 3630605 3586662 154864360 174184271 104677 3123 0 0 81730567 80935780 0 0 0 82780615 89851874 164615859 170790777 -9751499 3393494 67709006 65637430 149917450 146684229 -82208444 -81046799 X WE, SAINT FRANCIS HEALTHCARE AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES.ST. FRANCIS HOSPITAL (SAINT FRANCIS) IS A MEMBER OF ST. FRANCIS HEALTHCARE AND TRINITY HEALTH. 0 0 142846020 3123 170407517 ST. FRANCIS HOSPITAL (SAINT FRANCIS) IS A COMMUNITY HOSPITAL LOCATED IN WILMINGTON, DELAWARE, IN OPERATION SINCE 1923. THE HOSPITAL PROVIDES A FULL SPECTRUM OF GENERAL MEDICAL SERVICES, INCLUDING EMERGENCY, DIAGNOSTIC TESTING, AND WOMEN'S HEALTH. SAINT FRANCIS ALSO OFFERS SPECIALIZED SURGICAL SERVICES, INCLUDING BARIATRIC SURGERY, AND IS THE ONLY HOSPITAL IN WILMINGTON TO OFFER PRECISION SURGERY VIA THE DA VINCI SURGICAL SYSTEM FOR MINIMALLY INVASIVE GYNECOLOGICAL, PROSTATE AND HEART SURGERIES. SAINT FRANCIS HAS ALSO BEEN OPERATING A SLEEP CENTER SINCE 1997, AND IS ONE OF THE FEW SLEEP CENTERS IN DELAWARE THAT IS ACCREDITED BY THE ACADEMY OF SLEEP MEDICINE. IN FY18 THE HOSPITAL PROVIDED OVER 21,000 PATIENT DAYS OF HEALTH CARE SERVICES TO INPATIENTS, SERVED OVER 277,000 OUTPATIENTS, 37,000 EMERGENCY ROOM VISITS, AND 25,000 HOME HEALTH VISITS. PLEASE VISIT SCHEDULE H AND THE WEBSITE FOR ADDITIONAL INFORMATION ABOUT SERVICES, RECOGNITIONS AND AWARDS: WWW.STFRANCISHEALTHCARE.ORG 142846020 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 1 0 0 1 209 0 1 1460 1 1 1 0 0 0 0 0 0 0 0 0 X 15 13 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 X DALE SZAFRAN 3024214665 701 N CLAYTON ST WILMINGTON DE 19805 DANIEL SINNOTT DIRECTOR, PRES & CEO AS OF 11/17 53.00 2.00 X X 0 37539 11083 DAVID RICCI DIR & INT PRES & CEO THR 11/17 53.00 2.00 X X 0 744454 47188 DENNIS SALTER DIRECTOR; CHAIR 1.00 1.00 X X 0 0 0 JOSEPH DESANTIS DIRECTOR; VICE CHAIR AS OF 1/18 1.00 1.00 X X 0 0 0 CINDY HAYES MANN DIRECTOR; VICE CHAIR THROUGH 12/17 1.00 1.00 X X 0 0 0 RICHARD ANGIULLO DIRECTOR 1.00 1.00 X 0 0 0 MARK BRUCKER DIRECTOR 1.00 1.00 X 0 0 0 TINA GRANT DIRECTOR; TH VP STATE ADVOCACY 1.00 49.00 X 0 277624 20284 PATRICIA HUTCHISON OSF DIRECTOR 1.00 1.00 X 0 0 0 RALPH IERARDI MD DIRECTOR 1.00 1.00 X 0 0 0 THE VERY REV LEONARD KLEIN DIRECTOR 1.00 1.00 X 0 0 0 ELIZABETH LEE DIRECTOR 1.00 1.00 X 0 0 0 ALAN LEVIN DIRECTOR AS OF 1/18 1.00 1.00 X 0 0 0 VIVIAN MEDINILLA DIRECTOR 1.00 1.00 X 0 0 0 KEVIN SHANNON DIRECTOR 1.00 1.00 X 0 0 0 RICHELLE VIBLE DIRECTOR 1.00 1.00 X 0 0 0 JOHN NEWTON SECRETARY; GENERAL COUNSEL 49.00 1.00 X 0 301288 23484 MARY FINN TREASURER AND CFO AS OF 11/17 47.00 3.00 X 30218 0 70 BERNARD CITERONE TREAS & CFO THR 8/17 (PD BY MGMT CO) 47.00 3.00 X 0 0 0 MICHAEL POLNEROW DO VP MEDICAL AFFAIRS/CMO 50.00 0.00 X 502667 0 13364 EREV TUBB MD PHYSICIAN 50.00 0.00 X 687397 0 13481 JAMES COSGROVE DO PHYSICIAN 50.00 0.00 X 500222 0 46878 YOLANDA HENDLEY MD PHYSICIAN 50.00 0.00 X 463288 0 42261 JOANNE ILUSTRE DO PHYSICIAN 50.00 0.00 X 427052 0 23633 NANCY PETIT MD PHYSICIAN 50.00 0.00 X 406464 0 48887 BRIAN DIETZ FORMER OFFICER 0.00 0.00 X 0 560524 84165 JENNIFER KIRBY FORMER KE; VP PATIENT SERVICES/CNO 50.00 0.00 X 290995 0 23790 DALE SZAFRAN FORMER OFFICER; DIRECTOR OF FINANCE 45.00 0.00 X 136455 0 16080 3444758 1921429 414648 137 1 1 0 PREMIER ANESTHESIA OF PA PC 2655 NORTHWINDS PARKWAY ALPHARETTA GA 30009 ANESTHETISTS 2115343 VITAL SECURITY INVESTIGATIONS 1035 PRIMERA BLVD STE 1035 LAKE MARY FL 32746 SECURITY 1074117 SURGEONS FOR EMERGENCY CARE LLC 131 CONTINENTAL DR STE 215 NEWARK DE 19713 PHYSICIAN SERVICES 913992 SOUND PHYSICIANS PO BOX 742936 LOS ANGELES CA 90074 PHYSICIAN SERVICES 682951 IPC HEALTHCARE INC 4605 LANKERSHIM BLVD STE 617 NORTH HOLLYWOOD CA 91602 PHYSICIAN SERVICES 561538 29 600442 126539 726981 NET PATIENT SERVICE REVENUE 622110 170095485 170095485 RETAIL PHARMACY REVENUE 622110 193249 193249 LABORATORY REVENUE 621500 58035 58035 170346769 3840236 1090900 2749336 2749336 2749336 2437 478578 0 -478578 2437 -476141 -476141 CAFETERIA REVENUE 722514 611169 611169 PARKING GARAGE REVENUE 812930 107374 107374 118783 118783 837326 174184271 170407517 58035 2991738 X 3123 3123 1700272 1700272 1228538 166241 1062297 65948495 52655609 13292886 2354767 1854832 499935 4971851 3892425 1079426 4731857 3636829 1095028 41950 41950 11812 11812 19224526 16650441 2574085 704000 541083 162917 3013289 2315965 697324 6486805 4985654 1501151 3937678 3026436 911242 194787 149710 45077 103496 79545 23951 4255601 4255601 5021957 3859795 1162162 1140499 876569 263930 MEDICAL SUPPLIES 24929554 24929554 BAD DEBT 12924273 12924273 INTERCO. PURCHASED SVCS 4725597 3632018 1093579 EQUIPMENT MAINTENANCE 1987030 1527199 459831 1149020 883118 265902 170790777 142846020 27944757 0 346618 285305 22561846 23987800 3723497 3635021 301380 396854 84383466 59080224 25437587 25303242 15747 18168 13965 11616 15308366 11999424 67709006 65637430 27023060 14543002 253860 213886 4219213 4265948 184154 84873 118237163 127576520 149917450 146684229 X -82238161 -81106620 29717 59821 -82208444 -81046799 67709006 65637430 X 3393494 -6151 -2225698 X X 0 1 X 1 0 X 0 1 0 0 0 1 25030 1 2473 0 0 27503 0 PART II-B, LINE 1: ST. FRANCIS HOSPITAL HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES. THESE GRANTS HAVE BEEN IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS, WHERE THE ORGANIZATIONS HAVE PROVIDED ST. FRANCIS HOSPITAL WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. ORGANIZATION EMPLOYEES ALSO ENGAGE IN ADVOCACY ON ISSUES RELATED TO HEALTH CARE AND HEALTH CARE PROVIDERS. SUCH ACTIVITIES CONSIST OF WRITTEN AND VERBAL COMMUNICATIONS WITH FEDERAL, STATE AND LOCAL ELECTED OFFICIALS AND GOVERNMENT AGENCIES. 682112 682112 19941277 6722539 13218738 196961 89297 107664 62166420 52268388 9898032 1396696 1396696 25303242 MISCELLANEOUS RECEIVABLES 3931302 OTHER LONG-TERM ASSETS 32306 INTERCOMPANY OTHER LT ASSETS 7133351 INTERCOMPANY ACCOUNTS RECEIVABLES 902465 11999424 INTERCOMPANY ACCOUNTS PAYABLE 3645364 INTERCOMPANY NOTES PAYABLE 109386047 OTHER CURRENT LIABILITIES 2741950 INTERCOMPANY OTHER LIABILITIES 266151 OVERDRAFT IN POOLED INVESTMENT 11537008 127576520 1 1 X 1 X 1 X 1 1 1 0 1 1 3052181 2040000 1012181 0.00640 47063591 59776405 50115772 61816405 1012181 0.00640 7 6375 1191009 455127 735882 0.00470 1 5378 3697981 1080000 2617981 0.01660 1 818 391296 60439 330857 0.00210 1 10 686 0 686 0.00000 10 12581 5280972 1595566 3685406 0.02340 10 12581 55396744 63411971 4697587 0.02980 0 12924273 0 32455933 35116298 -2660365 X 1 1 1 1 ST FRANCIS HOSPITAL INC 701 NORTH CLAYTON STREET WILMINGTON DE 198050500 STFRANCISHEALTHCARE.ORG STATE ID# HSPTL-004 X X X X ST FRANCIS HOSPITAL 1 0 0 1 X X X X X X X X X 16 1 0 0 1 X SEE PART V, SECTION C X 1 16 1 SEE PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 ST. FRANCIS HOSPITAL PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E:SAINT FRANCIS HOSPITAL, ALSO KNOWN AS SAINT FRANCIS HEALTHCARE (SAINT FRANCIS), INCLUDED IN ITS CHNA WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED FOR TAX YEAR 2017 THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: - ACCESS TO CARE- OBESITY- SUBSTANCE USE- VIOLENCE ST. FRANCIS HOSPITAL PART V, SECTION B, LINE 5: SAINT FRANCIS ESTABLISHED A COMMITTEE THAT INCLUDED THE SAINT FRANCIS MISSION AND MINISTRY BOARD, EXECUTIVE BOARD MEMBERS, AND EXTERNAL LEADERS FROM HENRIETTA JOHNSON MEDICAL CENTER, CHRISTIANA CARE, AND THE DELAWARE CENTER AGAINST DOMESTIC VIOLENCE, TO GUIDE AND PARTICIPATE IN THE DEVELOPMENT AND ASSESSMENT OF OUR COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN. AN INITIAL MEETING WAS HELD AT SAINT FRANCIS HOSPITAL IN OCTOBER 2016 TO BEGIN CONVERSATIONS RELATED TO COMMUNITY ISSUES AND NEEDS. AFTER THE INITIAL MEETING, HOLLERAN CONSULTING WORKED WITH SAINT FRANCIS COMMUNITY BENEFIT LEADERS TO CREATE A KEY INFORMANT ONLINE SURVEY AND AN ONLINE COMMUNITY SURVEY. THE KEY INFORMANT SURVEY WAS OPEN FROM NOVEMBER 2016 TO DECEMBER 2016 AND WAS SENT TO A VARIETY OF EXTERNAL GROUPS INCLUDING, BUT NOT LIMITED TO, THE CITY OF WILMINGTON COUNCILMEN OF DISTRICTS 1-9, CITY OF WILMINGTON POLICE, MAYOR OFFICE STAFF AND OFFICIALS, DELAWARE DIVISION OF PUBLIC HEALTH, EZION-MOUNT CARMEL UNITED METHODIST CHURCH, THE PEACE KEEPERS, HENRIETTA JOHNSON MEDICAL CENTER, AND THE LATIN AMERICAN COMMUNITY CENTER (LACC). THE COMMUNITY SURVEY WAS OPEN TO WILMINGTON COMMUNITY MEMBERS FROM DECEMBER 2016 TO MARCH 2017 AND AVAILABLE AT SAINT FRANCIS LIFE CENTER, SAINT FRANCIS FAMILY PRACTICE OFFICE, AND VARIOUS HEALTH EVENTS. SURVEY RESPONSES WERE REPRESENTATIVE OF THE POPULATION IN WILMINGTON WHO ARE AT OR BELOW THE POVERTY LEVEL, UNINSURED AND UNDERINSURED, HOMELESS, AND/OR IMMIGRANTS. IN ADDITION TO THE ONLINE COMMUNITY SURVEY, MEMBERS OF THE CEASE VIOLENCE TASK FORCE WENT DOOR TO DOOR IN THE 19805 ZIP CODE AREA IN MARCH 2017 TO SURVEY THE COMMUNITY, SPECIFICALLY RELATED TO VIOLENCE AND SAFETY IN THE AREA. AFTER THAT SURVEY CONCLUDED, ANOTHER COMMITTEE MEETING WAS HELD AT SAINT FRANCIS TO DISCUSS THE RESULTS AND IDENTIFY HIGH PRIORITY AREAS OF COMMUNITY NEEDS. THE COMMUNITY HEALTH NEEDS ASSESSMENT AND THE COMMUNITY HEALTH IMPROVEMENT PLAN WERE PRESENTED AND APPROVED BY THE MISSION, MINISTRY AND ADVOCACY COMMITTEE OF THE BOARD OF DIRECTORS, AND BY THE FULL BOARD OF DIRECTORS. ST. FRANCIS HOSPITAL PART V, SECTION B, LINE 11: ALL OF THE COMMUNITY HEALTH NEEDS IDENTIFIED IN THE FY 2017 CHNA ARE BEING ADDRESSED BY SAINT FRANCIS IN FY 2018. BELOW IS A LIST OF THE IDENTIFIED NEEDS AND THE PROGRAMS ADDRESSING THEM: ACCESS TO CARE- THE SAINT FRANCIS SAINT CLARE MEDICAL OUTREACH MOBILE UNIT EXPANDED ITS SCHEDULE OF STOPS TO REACH MORE COMMUNITY MEMBERS IN NEED OF CLINICAL CARE. - THE SAINT CLARE MEDICAL OUTREACH MOBILE UNIT BUILT PARTNERSHIPS WITH COMMUNITY AND FAITH-BASED ORGANIZATIONS TO PROVIDE BASIC NEED SERVICES IN POOR AND HIGH VIOLENCE AREAS OF THE CITY.- THE SAINT CLARE MEDICAL OUTREACH MOBILE UNIT CREATED A PARTNERSHIP WITH DELAWARE FOOT AND ANKLE GROUP TO ADD PODIATRY SERVICES TO BRING NEEDED SPECIALIZED CARE TO THE COMMUNITY.OBESITY- SAINT FRANCIS FAMILY PRACTICE OFFICE PARTNERED WITH THE YMCA TO REFER PATIENTS TO ITS DIABETES PREVENTION PROGRAM (DPP). THE DPP PROGRAM TARGETS PATIENTS WHO ARE AT RISK OF DIABETES DUE TO BMI AND INDIVIDUAL NUTRITIONAL FACTORS. - SAINT FRANCIS OFFERED ZUMBA CLASSES TO ITS EMPLOYEES AS AN INTERNAL FOCUS ON OBESITY AND HEALTHY LIVING. - SAINT FRANCIS HOSTED HEALTHY KIDS EVENTS ONCE PER QUARTER IN DIFFERENT COMMUNITY CENTERS AROUND WILMINGTON TO ENCOURAGE HEALTHY EATING HABITS AMONG CHILDREN AND FAMILIES. - SAINT FRANCIS BUILT A PARTNERSHIP WITH THE FOOD BANK OF DELAWARE TO HAVE ITS MOBILE PANTRY AT SAINT FRANCIS HOSPITAL ONCE PER QUARTER TO ADDRESS FOOD INSECURITY AND PROMOTE HEALTHY EATING.SUBSTANCE USE- SAINT FRANCIS PARTNERED WITH THE AMERICAN LUNG ASSOCIATION (ALA) AND THE AMERICAN CANCER SOCIETY (ACS) TO LOBBY FOR TOBACCO POLICY CHANGES IN THE STATE OF DELAWARE.- SAINT FRANCIS PARTNERED WITH THE DELAWARE QUIT LINE TO REFER PATIENTS FOR SMOKING CESSATION ASSISTANCE.- SAINT FRANCIS CASE MANAGEMENT TEAM PARTNERED WITH STATE PEER SPECIALISTS TO HELP EDUCATE AND FIND ASSISTANCE FOR PATIENTS ADDICTED TO OPIOIDS.- SAINT FRANCIS ER PHYSICIAN AND EMS TEAMS BEGAN WORKING TOGETHER TO PROVIDE NARCAN AND OPIOID EDUCATION TO IDENTIFIED AREAS WITH HIGH HOMELESSNESS AND PROSTITUTION. VIOLENCE- SAINT FRANCIS IS A DESIGNATED LEVEL 3 TRAUMA FACILITY, MEANING THE HOSPITAL PROMPTLY CARES FOR PATIENTS WHO PRESENT WITH EMERGENCIES, SUCH AS COMMUNITY MEMBERS WHO HAVE BEEN INJURED DUE TO GUN VIOLENCE OR OTHER VIOLENT ACTS. THIS ALLOWS COMMUNITY MEMBERS TO BE SEEN CLOSER TO HOME AT SAINT FRANCIS, RATHER THAN TRAVEL DOWNSTATE FOR MEDICAL ASSISTANCE. THE INITIATIVE WAS SPECIFICALLY REQUESTED BY MEMBERS OF THE COMMUNITY DURING A TOWN HALL MEETING.- SAINT FRANCIS SPONSORED A TRAUMA CONFERENCE FOR EMS STAFF THAT OFFERED TRAUMA EDUCATION ON CLOSELY ASSESSING TRAUMA CASES TO DETERMINE THE LEVEL OF TRAUMA AND SEVERITY OF INJURY IN ORDER TO TRANSPORT PATIENTS TO THE BEST HOSPITAL FOR MEDICAL ATTENTION. EMS EDUCATION IS ONGOING TO BRING MORE SERIOUS INJURIES CAUSED BY VIOLENT CRIMES TO SAINT FRANCIS HOSPITAL FOR CARE. - THE SAINT CLARE VAN CONTINUED OFFERING CLINICAL SERVICES IN HIGH VIOLENCE AREAS OF THE CITY, INCLUDING THE HICKS ANDERSON COMMUNITY CENTER, WHICH IS LOCATED IN THE HEART OF THE CITY WITH THE HIGHEST VIOLENCE RATE. THE SAINT CLARE VAN INCLUDED THIS AREA AS ONE OF ITS WEEKLY STOPS TO PROVIDE MEDICAL ASSISTANCE TO THOSE COMMUNITY MEMBERS WHO MAY BE AFRAID TO LEAVE THEIR HOME DUE TO THE VIOLENCE IN THE AREA.- SAINT FRANCIS CONTINUED OFFERING SPACE FOR SUPPORT MEETINGS FOR THE NEW BEGINNING NEXT STEPS SUPPORT GROUP, WHICH OFFERS GUIDANCE AND SUPPORT FOR NEWLY RELEASED PRISONERS, WITH THE GOAL OF PREVENTING REENTRY INTO THE PRISON SYSTEM AND HELPING THEM FIND EMPLOYMENT, IN ADDITION TO OTHER SUPPORT SERVICES. - SAINT FRANCIS MADE A FINANCIAL CONTRIBUTION TO THE ANNUAL MARCH FOR PEACE. THE SAINT CLARE VAN AND EMS WERE PRESENT AT THE EVENT AND PARTICIPATED WITH OTHER COMMUNITY ORGANIZATIONS TO PLAN ACTIVITIES THAT PROMOTED PEACE THROUGHOUT THE WEEK, WHICH ALSO ALIGNED WITH THE FEAST OF SAINT FRANCIS TO PROMOTE PEACE AWARENESS. ST. FRANCIS HOSPITAL PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS. PART V, SECTION B, LINE 7A: HTTPS://WWW.STFRANCISHEALTHCARE.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.ASPX PART V, SECTION B, LINE 9: AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, THE HOSPITAL'S IMPLEMENTATION STRATEGY WAS ADOPTED WITHIN 4 1/2 MONTHS AFTER THE FISCAL YEAR END THAT THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE TO THE PUBLIC. PART V, SECTION B, LINE 10A: HTTPS://WWW.STFRANCISHEALTHCARE.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.ASPX PART V, SECTION B, LINE 16A: HTTPS://WWW.STFRANCISHEALTHCARE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 16B: HTTPS://WWW.STFRANCISHEALTHCARE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 16C: HTTPS://WWW.STFRANCISHEALTHCARE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE 7 1 - WOMEN TO WOMEN OBGYN 620 STANTON-CHRISTIANA ROAD SUITE 304 NEWARK DE 19713 EMPLOYED PHYSICIANS 2 - THE WOMAN'S PLACE 1100 NORTH GRANT AVENUE WILMINGTON DE 19802 EMPLOYED PHYSICIANS 3 - CENTER OF HOPETINY STEPS 620 STANTON-CHRISTIANA ROAD SUITE 302 NEWARK DE 19713 EMPLOYED PHYSICIANS 4 - NORTH WILMINGTON WOMEN'S CENTER 2002 FOULK ROAD SUITE A WILMINGTON DE 19810 EMPLOYED PHYSICIANS 5 - DELAWARE FAMILY MEDICINE 2002 FOULK ROAD SUITE D WILMINGTON DE 19810 EMPLOYED PHYSICIANS 6 - CHRISTIANA INST OF ADVANCED SURGERY 537 STANTON-CHRISTIANA ROAD SUITE 102 NEWARK DE 19713 BARIATRIC CARE 7 - SACRED HEART CENTER 915 N MADISON STREET WILMINGTON DE 19801 EMPLOYED PHYSICIANS PART I, LINE 3C: IN ADDITION TO LOOKING AT A MULTIPLE OF THE FEDERAL POVERTY GUIDELINES, OTHER FACTORS ARE CONSIDERED SUCH AS THE PATIENT'S FINANCIAL STATUS AND/OR ABILITY TO PAY AS DETERMINED THROUGH THE ASSESSMENT PROCESS. PART I, LINE 6A: ST. FRANCIS HOSPITAL (SAINT FRANCIS) PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT, WHICH IT SUBMITS TO THE STATE OF DELAWARE. IN ADDITION, SAINT FRANCIS 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, SAINT FRANCIS 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, $12,924,273, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F). PART III, LINE 2: METHODOLOGY USED FOR LINE 2 - ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE. AS A RESULT OF THE PAYMENT AND ADJUSTMENT ACTIVITY BEING POSTED TO BAD DEBT ACCOUNTS, WE ARE ABLE TO REPORT BAD DEBT EXPENSE NET OF THESE TRANSACTIONS. PART III, LINE 3: SAINT FRANCIS 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, SAINT FRANCIS IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, SAINT FRANCIS IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL. PART III, LINE 4: SAINT FRANCIS IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE FROM PAGE 14 OF THOSE STATEMENTS: "THE CORPORATION RECOGNIZES A SIGNIFICANT AMOUNT OF PATIENT SERVICE REVENUE AT THE TIME THE SERVICES ARE RENDERED EVEN THOUGH THE CORPORATION DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY AT THAT TIME. AS A RESULT, THE PROVISION FOR BAD DEBTS IS PRESENTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL PROVISIONS AND DISCOUNTS). FOR UNINSURED AND UNDERINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE CORPORATION ESTABLISHES AN ALLOWANCE TO REDUCE THE CARRYING VALUE OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. THIS ALLOWANCE IS ESTABLISHED BASED ON THE AGING OF ACCOUNTS RECEIVABLE AND THE HISTORICAL COLLECTION EXPERIENCE BY THE HEALTH MINISTRIES FOR EACH TYPE OF PAYOR. A SIGNIFICANT PORTION OF THE CORPORATION'S PROVISION FOR DOUBTFUL ACCOUNTS RELATES TO SELF-PAY PATIENTS, AS WELL AS CO-PAYMENTS AND DEDUCTIBLES OWED TO THE CORPORATION BY PATIENTS WITH INSURANCE."PART III, LINE 5:TOTAL MEDICARE REVENUE REPORTED IN PART III, LINE 5 HAS BEEN REDUCED BY THE TWO PERCENT SEQUESTRATION REDUCTION. PART III, LINE 8: SAINT FRANCIS 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 - SAINT FRANCIS REGULARLY USES DATA FROM THE STATE OF DELAWARE, THE CENTER FOR DISEASE CONTROL, AND THE BUREAU OF VITAL STATISTICS TO BETTER UNDERSTAND HEALTH CHALLENGES AND NEEDS. IN ADDITION, SAINT FRANCIS PARTICIPATES IN THE DELAWARE HEALTHTRACKER, A SERVICE OFFERED THROUGH THE DELAWARE HEALTHCARE ASSOCIATION TO GATHER AND ANALYZE STATISTICS RELATING TO HEALTH NEEDS IN OUR COMMUNITY. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - SAINT FRANCIS 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. SAINT FRANCIS 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. SAINT FRANCIS HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. SAINT FRANCIS 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 - SAINT FRANCIS IS LOCATED IN THE CITY OF WILMINGTON. THE HOSPITAL'S SERVICE AREA WAS DEFINED AS THE COMMUNITY FOR THE PURPOSES OF THIS ASSESSMENT. THE SERVICE AREA INCLUDES THE FOLLOWING ZIP CODES IN WILMINGTON, DELAWARE: 19801, 19802, 19804, 19805, AND 19806. WITHIN NEW CASTLE COUNTY, THE FOLLOWING ZIP CODES ARE ALSO SERVED BY SAINT FRANCIS: 19803 AND 19810 (TALLEYVILLE); 19809 (CLAYMONT); 19808 (PIKE CREEK); 19707 AND 19807 (HOCKESSIN); 19736 (YORKLYN); 19720 (NEW CASTLE); 19702, 19711, 19713, 19716 AND 19717 (NEWARK); AND 19701 (BEAR). IN KEEPING WITH NATIONAL TRENDS, DELAWARE'S POPULATION IS MORE DIVERSE THAN 10 YEARS AGO, WITH SIGNIFICANT INCREASES IN AFRICAN AMERICAN AND HISPANIC POPULATIONS. THE CMS COMPONENT WITH THE HIGHEST PERCENTAGE IN THE SAINT FRANCIS IMMEDIATE SERVICE AREA IS RACIAL AND ETHNIC MINORITIES AT 88%, FOLLOWED BY ADULTS AGE 65 AND OVER WHO ARE LIVING IN POVERTY AT 66.2%. TWO IN FIVE SINGLE FEMALE-HEADED HOUSEHOLDS WITH CHILDREN ARE LIVING IN POVERTY (44.4%). EIGHT PERCENT OF RESIDENTS IN THE PRIMARY SERVICE AREA DO NOT SPEAK ENGLISH AND 23.2% DO NOT HAVE HIGH SCHOOL DIPLOMAS.SAINT FRANCIS SERVES A DIVERSE COMMUNITY WHOSE MEMBERS ARE PRIMARILY AFRICAN AMERICAN, HISPANIC/LATINO, OR WHITE, AS WELL AS THOSE WHO ARE POOR AND VULNERABLE, INCLUDING THOSE WHO ARE AT OR BELOW THE POVERTY LEVEL, WHO HAVE LITTLE OR NO EDUCATION, WHO DO NOT SPEAK OR SPEAK LITTLE ENGLISH, OR WHO ARE UNINSURED OR UNDERINSURED. THE PERCENTAGE OF FAMILIES WITH CHILDREN AND SINGLE FEMALES WITH CHILDREN LIVING IN POVERTY ARE HIGHER IN THE WILMINGTON AND NEWARK AREAS OF DELAWARE. CENTER OF HOPE IS THE MAIN SERVICE AREA FOR NEWARK, SERVING A LARGE PERCENTAGE OF HISPANIC/LATINA WOMEN AND FAMILIES WITH CHILDREN. WITHIN THE STATE OF DELAWARE, A SIGNIFICANT NUMBER OF THOSE WHO ARE POOR WITHIN THE CITY AND THE SURROUNDING NEIGHBORHOODS PURSUE CARE AT SAINT FRANCIS. ALMOST 90% OF SAINT FRANCIS ADMISSIONS COME FROM THE EMERGENCY DEPARTMENT, WHERE THOSE IN NEED OF URGENT OR IMMEDIATE CARE SEEK ASSISTANCE. WHILE HOMELESS RATES HAVE REMAINED RELATIVELY STABLE IN DELAWARE, THERE HAS BEEN INCREASING ATTENTION TO THE HEALTH CARE NEEDS OF THOSE IN SHELTERS AND THOSE WHO ARE IN TRANSITION (MOVING OUT OF PRISON, THE MILITARY OR STABLE RELATIONSHIPS). PART VI, LINE 5: OTHER INFORMATION - SERVICES PROVIDED THROUGH CENTER OF HOPE, TINY STEPS, AND THE SAINT CLARE VAN HAVE CONTINUED TO ADDRESS THE PRE-CONCEPTION, PRENATAL HEALTH, HEALTH CARE, AND SERVICE NEEDS OF FAMILIES IN DELAWARE. THERE ARE NEW PROGRAMS WITHIN THOSE SERVICE AREAS, INCLUDING A PARTNERSHIP WITH THE YMCA'S DIABETES PREVENTION PROGRAM (DPP) AND THE CENTER OF HOPE OFFICE. CENTER OF HOPE WILL SCREEN AND REFER PATIENTS WHO ARE AT RISK OF DEVELOPING DIABETES TO THE YMCA DPP, WHERE THEY WILL BE ENROLLED IN SUPPORT CLASSES AND RECEIVE EDUCATION TO HELP PREVENT DIABETES. THE SAINT CLARE VAN HAS PARTNERED WITH CATHOLIC CHARITIES TO PROVIDE BASIC NEED SERVICES ALONGSIDE THE VAN AT DIFFERENT LOCATIONS AND TO PROVIDE SERVICES SUCH AS IMMIGRATION SUPPORT, ACCESS TO FOOD AND CLOTHES CLOSETS, AND OTHER ASSISTED LIVING SUPPORT. THE TINY STEPS PROGRAM CONTINUES ITS HEALTHY EATING INITIATIVE, HELPING TO ENCOURAGE HEALTHIER EATING HABITS IN FAMILIES. FAMILIES RECEIVE A PORTION PLATE, INSTRUCTION ON HOW TO READ NUTRITION LABELS, AND RECIPES FOR MEALS THAT COST LESS THAN FIVE DOLLARS TO PREPARE. OTHER RELATIONSHIPS BUILT WITH CATHOLIC SCHOOLS, COMMUNITY GROUPS, AND COMMUNITY PROGRAMS HAVE ALLOWED SAINT FRANCIS TO PROVIDE EDUCATION, SUPPORT, AND RESOURCES TO THE BROADER COMMUNITY. FOR EXAMPLE, SAINT FRANCIS HAS PARTNERED WITH THE LATIN AMERICAN COMMUNITY CENTER (LACC) TO PROVIDE SERVICES AND EDUCATION TO PROMOTE HEART HEALTH AND STROKE AWARENESS AND PREVENTION TO THE HISPANIC COMMUNITY. SAINT FRANCIS ALSO CONDUCTS A HEALTH EDUCATION LECTURE SERIES AT BAYARD HOUSE, A HOME FOR PREGNANT WOMEN, WHICH PROVIDES EDUCATION ON PRENATAL HEALTH, NUTRITION, POSTPARTUM, LABOR AND DELIVERY, AND OTHER INFORMATION TO ASSIST IN A HEALTHY PREGNANCY. A LECTURE SERIES WAS INTRODUCED TO INCLUDE PROFESSIONAL DEVELOPMENT TO HELP BAYARD HOUSE WOMEN WITH RESUME WRITING, PROFESSIONAL DRESS AND CONDUCT, AND INTERVIEW SKILLS, AS WELL AS PROVIDE INFORMATION ON GED TESTING, ASSISTED LIVING INFORMATION, AND SO ON. ADDITIONALLY, PARTNERING WITH THE WILMINGTON CONSORTIUM, HEALTHY NEIGHBORHOODS, THE HEALTH AMBASSADORS, AND OTHER COMMUNITY GROUPS HAS PROVIDED SAINT FRANCIS WITH MORE OPPORTUNITIES TO REACH AND EDUCATE COMMUNITY MEMBERS THROUGH VARIOUS OUTLETS. FOR ADDITIONAL INFORMATION, PLEASE VISIT WWW.DEHA.ORG FOR THE 10TH ANNUAL DEHA COMMUNITY BENEFIT REPORT.SAINT FRANCIS CONTINUES TO MAKE PROGRESS TOWARD BECOMING BABY-FRIENDLY CERTIFIED. BABY-FRIENDLY HOSPITALS ARE RECOGNIZED FOR ENCOURAGING BREASTFEEDING AND MOTHER/BABY BONDING, WHICH IS KNOWN TO PROVIDE HEALTH BENEFITS FOR INFANTS, CHILDREN, AND MOTHERS. BREASTFEEDING POLICIES HAVE BEEN UPDATED, STAFF HAVE BEEN AND CONTINUE TO BE EDUCATED ON BABY-FRIENDLY PROCESSES AND REQUIREMENTS, AND BREASTFEEDING CLASSES AND SUPPORT GROUPS ARE AVAILABLE AT SAINT FRANCIS AND OPEN TO THE COMMUNITY. SAINT FRANCIS CONTINUES TO WORK TO DEVELOP ELECTRONIC PROCESSES AND WORKFLOW MEASURES TO COMPLETE ALL NECESSARY STEPS TO BECOME BABY-FRIENDLY CERTIFIED WITHIN THE NEXT TWO YEARS. SAINT FRANCIS HAS ENSURED THAT 70% OF THE OPTIONS SOLD IN THE VENDING MACHINES MEET THE HEALTHIER STOCKING GUIDELINE STANDARDS. SAINT FRANCIS HAS PROMOTED HEALTHY VENDING AND HEALTHY EATING THROUGH SOCIAL MEDIA COMMUNICATIONS AS WELL AS LETTERS TO LOCAL SCHOOLS ENCOURAGING THEM TO CHANGE THEIR VENDING MACHINE OPTIONS TO HEALTHIER SNACK ALTERNATIVES. SAINT FRANCIS HAS UPDATED ITS SMOKE-FREE CAMPUS POLICY TO INCLUDE ELECTRONIC CIGARETTES AND CHEWING TOBACCO MATERIALS. SIGNAGE IS POSTED AROUND THE HOSPITAL TO EDUCATE AND ENFORCE THE POLICY AMONG VISITORS, PATIENTS AND EMPLOYEES. SAINT FRANCIS' PARTNERSHIP WITH THE AMERICAN CANCER SOCIETY AND THE AMERICAN LUNG ASSOCIATION HELPED TO PASS A STATE LAW THAT INCREASED THE CIGARETTE SALES TAX IN DELAWARE FROM $1.60 TO $2.10.SAINT FRANCIS PARTNERED WITH FOOD BANK OF DELAWARE AND IS INVOLVED WITH THE COLLECTIVE COMMUNITY IMPACT PROJECT (CCI) TO ADDRESS FOOD INSECURITIES AND PROMOTE HEALTHY EATING AMONG KIDS AND FAMILIES.ON APRIL 18, 2018, SAINT FRANCIS ALSO PARTNERED WITH THE AMERICAN CANCER SOCIETY CANCER ACTION NETWORK AND THE AMERICAN LUNG ASSOCIATION FOR THE 2018 DAY AT THE CAPITOL TO LOBBY FOR TOBACCO 21. THE DAY INCLUDED CONVERSATIONS WITH DELAWARE LAW MAKERS AT THE STATE CAPITOL TO ADVOCATE FOR CHANGES TO THE LEGAL AGE LIMIT TO PURCHASE TOBACCO AND TOBACCO RELATED PRODUCTS, INCLUDING E-CIGARETTES AND VAPES. PART VI, LINE 6: SAINT FRANCIS 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 MINISTRIES DEFINE - AND ACHIEVE - SPECIFIC COMMUNITY HEALTH AND WELL-BEING GOALS. IN FISCAL YEAR 2018, EVERY MINISTRY FOCUSED ON FOUR GOALS: 1. REDUCE TOBACCO USE 2. REDUCE OBESITY PREVALENCE3. ADDRESS AT LEAST ONE SIGNIFICANT HEALTH NEED IDENTIFIED IN THE MINISTRY COMMUNITY HEALTH NEEDS ASSESSMENT4. ADDRESS AT LEAST ONE SOCIAL DETERMINANT OF HEALTH TRINITY HEALTH ACKNOWLEDGES THE IMPACT SOCIAL DETERMINANTS SUCH AS ADEQUATE HOUSING, SAFETY, ACCESS TO FOOD, EDUCATION, INCOME, AND HEALTH COVERAGE HAVE ON THE HEALTH OF THE COMMUNITY. IN FISCAL YEAR 2016, TRINITY HEALTH LAUNCHED THE TRANSFORMING COMMUNITIES INITIATIVE (TCI) TO ADVANCE COMMUNITY PARTNERSHIPS THAT FOCUS ON IMPROVING THE HEALTH AND WELL-BEING IN COMMUNITIES SERVED BY THE MINISTRIES OF TRINITY HEALTH. TCI IS AN INNOVATIVE FUNDING MODEL AND TECHNICAL ASSISTANCE INITIATIVE SUPPORTING EIGHT COMMUNITIES USING POLICY, SYSTEM, AND ENVIRONMENTAL (PSE) CHANGE STRATEGIES TO PREVENT TOBACCO USE AND CHILDHOOD OBESITY, AS WELL AS ADDRESS SOCIAL DETERMINANTS OF HEALTH. TRINITY HEALTH INVESTED $3.6 MILLION IN FISCAL YEAR 2018 IN TCI. IN FISCAL YEAR 2018, TRINITY HEALTH LAUNCHED THE GOOD SAMARITAN INITIATIVE (GSI) TO SUPPORT THE MOST VULNERABLE PATIENTS' SOCIAL AND ECONOMIC NEEDS IN OUR SYSTEM THROUGH INTEGRATING COMMUNITY HEALTH WORKERS AS PART OF CARE TEAMS ACROSS NINE MINISTRIES. TRINITY HEALTH INVESTED OVER $260,000 IN FISCAL YEAR 2018 IN GSI. ADDITIONALLY, TRINITY HEALTH INVESTED $500,000 IN ELEVEN GRANTS TO IMPROVE THE BUILT ENVIRONMENT ACROSS EIGHT MINISTRIES. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO OUR COMMUNITIES THROUGH PROMOTING WELLNESS AND DEVELOPING PROGRAMS SPECIFICALLY SUPPORTING THOSE WHO ARE POOR AND VULNERABLE, HELPING MANAGE CHRONIC CONDITIONS LIKE DIABETES, PROVIDING HEALTH EDUCATION, AND MOVING FORWARD POLICY, SYSTEM AND ENVIRONMENTAL CHANGE. THE ORGANIZATION WORKS TO ENSURE THAT ITS MEMBER HOSPITALS AND OTHER ENTITIES/AFFILIATES ENHANCE THE OVERALL HEALTH OF THE COMMUNITIES THEY SERVE BY ADDRESSING THE SPECIFIC NEEDS OF EACH COMMUNITY. IN FISCAL YEAR 2018, TRINITY HEALTH INVESTED OVER $1.1 BILLION IN SUCH COMMUNITY BENEFITS.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG. PART VI, LINE 7, REPORTS FILED WITH STATES DE 1 1 0 0 0 0 0 0 0 DAVID RICCI DIR & INT PRES & CEO THR 11/17 0 450524 0 169457 0 124473 0 12150 0 35038 0 791642 0 0 TINA GRANT DIRECTOR; TH VP STATE ADVOCACY 0 218201 0 58565 0 858 0 15250 0 5034 0 297908 0 0 JOHN NEWTON SECRETARY; GENERAL COUNSEL 0 270223 0 29288 0 1777 0 12150 0 11334 0 324772 0 0 MICHAEL POLNEROW DO VP MEDICAL AFFAIRS/CMO 499746 0 0 0 2921 0 12150 0 1214 0 516031 0 0 0 EREV TUBB MD PHYSICIAN 684191 0 0 0 3206 0 12150 0 1331 0 700878 0 0 0 JAMES COSGROVE DO PHYSICIAN 497862 0 0 0 2360 0 20250 0 26628 0 547100 0 0 0 YOLANDA HENDLEY MD PHYSICIAN 462948 0 0 0 340 0 12150 0 30111 0 505549 0 0 0 JOANNE ILUSTRE DO PHYSICIAN 426733 0 0 0 319 0 12150 0 11483 0 450685 0 0 0 NANCY PETIT MD PHYSICIAN 405066 0 0 0 1398 0 16200 0 32687 0 455351 0 0 0 BRIAN DIETZ FORMER OFFICER 0 123999 0 105414 0 331111 0 55236 0 28929 0 644689 0 0 JENNIFER KIRBY FORMER KE; VP PATIENT SERVICES/CNO 288036 0 0 0 2959 0 12150 0 11640 0 314785 0 0 0 DALE SZAFRAN FORMER OFFICER; DIRECTOR OF FINANCE 136055 0 0 0 400 0 6210 0 9870 0 152535 0 0 0 PART I, LINE 3 ST. FRANCIS HOSPITAL (SAINT FRANCIS) IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. SAINT FRANCIS' 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 SAINT FRANCIS' CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINES 4A-B THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2017. THIS AMOUNT IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: BRIAN DIETZ - $220,941 IN ADDITION, COLUMN C OF SCHEDULE J INCLUDES THE FOLLOWING SEVERANCE AMOUNT, WHICH WAS UNPAID AS OF 12/31/17: BRIAN DIETZ - $49,712 (PAID IN 2018) THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2017. 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 2017, AND BENEFITS FOR PARTICIPANTS NOT YET VESTED IN A PLAN WERE ACCRUED IN 2017. THE FOLLOWING PAYOUTS FOR 2017 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: BRIAN DIETZ - $85,657 DAVID RICCI - $100,010 THE FOLLOWING ACCRUALS FOR 2017 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: DANIEL SINNOTT - $11,083 RACHAEL POLNEROW FAMILY MEMBER OF MICHAEL POLNEROW, KEY EMPLOYEE 90225 EMPLOYMENT ARRANGEMENT 0 SINNOTT EXECUTIVE CONSULTING DANIEL SINNOTT, PRESIDENT, OWNS >35% OF SINNOTT EXECUTIVE CONSULTING 316451 COMPANY PROVIDED CONSULTING SERVICES TO THE HOSPITAL 0 GAIL SINNOTT FAMILY MEMBER OF DANIEL SINNOTT, PRESIDENT 76016 EMPLOYMENT ARRANGEMENT 0 FORM 990, PART VI, SECTION A, LINE 3 SAINT FRANCIS HAS CONTRACTED WITH REVINT SOLUTIONS FOR THE PROVISION OF CFO SERVICES. IN CALENDAR YEAR 2017 SAINT FRANCIS PAID $304,219 TO REVINT SOLUTIONS FOR BERNARD CITERONE'S SERVICES AS CFO OF SAINT FRANCIS. SAINT FRANCIS DOES NOT KNOW HOW MUCH BERNARD CITERONE RECEIVED AS WAGES FROM REVINT SOLUTIONS IN CALENDAR 2017. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF SAINT FRANCIS IS TRINITY HEALTH CORPORATION. SEE LINE 7 FOR ADDITIONAL INFORMATION. FORM 990, PART VI, SECTION A, LINE 7A TRINITY HEALTH CORPORATION IS THE SOLE MEMBER OF SAINT FRANCIS. TRINITY HEALTH CORPORATION HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF SAINT FRANCIS. FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER, TRINITY HEALTH CORPORATION MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. TRINITY HEALTH CORPORATION MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, AND MODIFICATIONS TO GOVERNING DOCUMENTS. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 FOR SAINT FRANCIS IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE STEWARDSHIP COMMITTEE AND THE BOARD OF DIRECTORS. EACH MEMBER OF THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C SAINT FRANCIS 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 SAINT FRANCIS, 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 SAINT FRANCIS 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 SAINT FRANCIS (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO SAINT FRANCIS OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF SAINT FRANCIS (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 SAINT FRANCIS. 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 15B QUESTION 15A IS ANSWERED "NO" BECAUSE THE COMPENSATION FOR THE CEO OF SAINT FRANCIS IS ESTABLISHED BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING CEO COMPENSATION, TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF THE CEO OF SAINT FRANCIS ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS. FOR THE COMPENSATION OF OTHER EXECUTIVES, SAINT FRANCIS HAS A PROCESS FOR DETERMINING COMPENSATION WHICH INCLUDES THE FOLLOWING: THE BOARD HAS AN INDEPENDENT COMMITTEE REVIEW AND APPROVE ALL ELEMENTS OF REMUNERATION FOR ALL DISQUALIFIED PARTIES, AS WELL AS OTHER KEY MANAGEMENT. THE BOARD/COMMITTEE HAS AN ESTABLISHED COMPENSATION PHILOSOPHY WHICH DETAILS THE OBJECTIVES OF MARKET POSITIONING AND PAY ELEMENTS. THE COMMITTEE ENGAGES WITH EXTERNAL CONSULTANTS TO PROVIDE MARKET DATA COMPARING THE ORGANIZATION'S ROLES TO SIMILARLY SIZED HEALTH SYSTEMS UTILIZING BOTH TITLE AND JOB CONTENT COMPARISONS. THE COMMITTEE REVIEWS THE MARKET ANALYSIS, APPROVES ANY SALARY ADJUSTMENTS FOR THE EXECUTIVE POPULATION, CONSIDERS BOTH REASONABLENESS AND EFFECTIVENESS OF ALL REMUNERATIVE PROGRAMS AND ESTABLISHES THE DETAILED PERFORMANCE EXPECTATIONS WHICH ARE INCORPORATED INTO THE INCENTIVE PLAN. ALL OF THESE DISCUSSIONS AND DECISIONS ARE DOCUMENTED THROUGH THE PROVISION OF MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 SAINT FRANCIS 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, SAINT FRANCIS INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. SAINT FRANCIS' GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G MEDICAL SPECIALIST FEES: PROGRAM SERVICE EXPENSES 8,060,122. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,060,122. CONSULTING FEES: PROGRAM SERVICE EXPENSES 464,785. MANAGEMENT AND GENERAL EXPENSES 139,944. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 604,729. MISC. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 6,264,253. MANAGEMENT AND GENERAL EXPENSES 1,886,130. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,150,383. RECRUITMENT: PROGRAM SERVICE EXPENSES 15,509. MANAGEMENT AND GENERAL EXPENSES 4,670. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,179. COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 10,090. MANAGEMENT AND GENERAL EXPENSES 3,038. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,128. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 1,794,465. MANAGEMENT AND GENERAL EXPENSES 540,303. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,334,768. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 41,217. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 41,217. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS TO AFFILIATES -2,225,698. FORM 990, PART XII, LINE 2: SAINT FRANCIS' FINANCIAL STATEMENTS WERE INCLUDED IN THE FY18 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. DELAWARE CARE COLLABORATION DCC LLC 701 N CLAYTON STREET WILMINGTON DE 19805 474069475 ACCOUNTABLE CARE ORGANIZATION DE 0 17201 ST FRANCIS HOSPITAL INC ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP 245 STATE ST SE GRAND RAPIDS MI 49503 272491974 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN 1 ALLEGANY FRANCISCAN MINISTRIES INC 33920 US HIGHWAY 19 NORTH SUITE 269 PALM HARBOR FL 34684 581492325 GRANT MAKING FL 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 ASYLUM HILL FAMILY MEDICINE CENTER INC 114 WOODLAND STREET HARTFORD CT 06105 061450170 HEALTH CARE SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 BAUM HARMON MERCY HOSPITAL 255 NORTH WELCH AVENUE PRIMGHAR IA 51245 421500277 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP 1 BAUM HARMON MERCY HOSPITAL AND CLINICS FOUNDATION 255 NORTH WELCH AVENUE PRIMGHAR IA 51245 262973307 FOUNDATION IA 501(C)(3) LINE 12A, I BAUM HARMON MERCY HOSPITAL 1 BEECHWOOD INC 2212 BURDETT AVE TROY NY 12180 141651563 TITLE HOLDING COMPANY NY 501(C)(2) N/A LTC (EDDY) INC 1 BETHLEHEM HAVEN OF PITTSBURGH 905 WATSON STREET PITTSBURGH PA 15219 251436685 HOMELESS SHELTER PA 501(C)(3) LINE 7 PITTSBURGH MERCY HEALTH SYSTEM INC 1 BEVERWYCK INC 40 AUTUMN DRIVE SLINGERLANDS NY 12159 141717028 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 BRIGHTSIDE INC 1221 MAIN STREET SUITE 213 HOLYOKE MA 01040 042182395 HEALTH CARE SERVICES MA 501(C)(3) LINE 10 THE MERCY HOSPITAL INC 1 CAPITAL REGION GERIATRIC CENTER INC 421 WEST COLUMBIA 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 COLUMBUS ACQUISITION CORP 111 CENTRAL AVENUE NEWARK NJ 07102 262616342 INACTIVE ENTITY NJ 501(C)(3) LINE 10 SAINT MICHAEL'S MEDICAL CENTER 1 DILEY RIDGE MEDICAL CENTER 6150 EAST BROAD STREET COLUMBUS OH 43213 342032340 HEALTH CARE AND HOSPITAL SERVICES OH 501(C)(3) LINE 3 MOUNT CARMEL HEALTH SYSTEM 1 DUBUQUE MERCY HEALTH FOUNDATION 250 MERCY DRIVE DUBUQUE IA 52001 262227941 FOUNDATION IA 501(C)(3) LINE 12A, I MERCY HEALTH SERVICES-IOWA CORP 1 DYERSVILLE HEALTH FOUNDATION INC 1111 3RD STREET SW DYERSVILLE IA 52040 205383271 FOUNDATION IA 501(C)(3) LINE 12A, I MERCY HEALTH SERVICES-IOWA CORP 1 EAST NORRITON PHYSICIANS SERVICES INC ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 232515999 HEALTH CARE SERVICES PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK 1 EDDY LICENSED HOME CARE AGENCY 433 RIVER ST SUITE 3000 TROY NY 12180 141818568 HOME HEALTH SERVICES NY 501(C)(3) LINE 3 LTC (EDDY) INC 1 EMBRACING AGE INC 333 BUTTERNUT DRIVE DEWITT NY 13214 461051881 PACE PROGRAM NY 501(C)(3) LINE 10 ST JOSEPH'S HEALTH INC 1 EMPIRE HOME INFUSION SERVICE INC 10 BLACKSMITH DRIVE MALTA NY 12020 141795732 HOME HEALTH SERVICES NY 501(C)(3) LINE 10 HOME AIDE SERVICE OF EASTERN NEW YORK INC 1 FARREN CARE CENTER INC 1221 MAIN STREET SUITE 213 HOLYOKE MA 01040 042501711 LONG TERM CARE MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC 1 FRANCISCAN ELDERCARE CORPORATION PO BOX 2500 WILMINGTON DE 19805 223008680 LONG TERM CARE (INACTIVE) DE 501(C)(3) LINE 10 ST FRANCIS HOSPITAL 1 GLACIER HILLS FOUNDATION 1200 EARHART RD ANN ARBOR MI 48105 208072723 FOUNDATION MI 501(C)(3) LINE 12A, I GLACIER HILLS INC 1 GLACIER HILLS INC 1200 EARHART RD ANN ARBOR MI 48105 381891500 SENIOR LIVING COMMUNITY MI 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES 1 GLEN EDDY INC 1 GLEN EDDY DRIVE NISKAYUNA NY 12309 141794150 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 GLOBAL HEALTH MINISTRY 20555 VICTOR PARKWAY LIVONIA MI 48152 421253527 HEALTH CARE SERVICES MI 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 GOOD SAMARITAN HOSPITAL INC 5401 LAKE OCONEE PARKWAY GREENSBORO GA 30642 261720984 HEALTH CARE AND HOSPITAL SERVICES GA 501(C)(3) LINE 3 ST MARY'S HEALTH CARE SYSTEM INC 1 GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION 701 W NORTH AVE MELROSE PARK IL 60160 363332852 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 GOTTLIEB MEMORIAL HOSPITAL 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 GRAND RAPIDS MEDICAL EDUCATION PARTNERS 945 OTTAWA AVE NW GRAND RAPIDS MI 49503 237270669 MEDICAL EDUCATION TRAINING PROGRAMS MI 501(C)(3) LINE 12A, I TRINITY HEALTH-MICHIGAN 1 HACKLEY LIFE COUNSELING 125 E SOUTHERN AVENUE MUSKEGON MI 49442 381386362 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 MERCY HEALTH PARTNERS 1 HAWTHORNE RIDGE INC 30 COMMUNITY WAY EAST GREENBUSH NY 12061 800102840 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 HEART CENTER OF GREATER WATERBURY INC PO BOX 2153 WATERBURY CT 06722 830416893 MANAGEMENT CT 501(C)(3) LINE 12A, I N/A 0 HERITAGE HOUSE NURSING CENTER INC 2920 TIBBITS AVE TROY NY 12180 141725101 LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 HOLY CROSS CARENET INC PO BOX 9184 FARMINGTON HILLS MI 48152 521945054 LONG TERM CARE MD 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES 1 HOLY CROSS HEALTH FOUNDATION INC 10720 COLUMBIA PIKE SILVER SPRING MD 20901 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 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 OUR LADY OF LOURDES HEALTH CARE SERVICES 1 LIFE AT ST FRANCIS HEALTHCARE INC 7TH AND CLAYTON STREETS WILMINGTON DE 19805 452569214 PACE PROGRAM DE 501(C)(3) LINE 10 ST FRANCIS HOSPITAL 1 LIFE ST FRANCIS CORPORATION 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 ST JOSEPH OF THE PINES INC 1 LIFE ST MARY 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 262976184 PACE PROGRAM PA 501(C)(3) LINE 10 ST MARY MEDICAL CENTER 1 LOURDES ANCILLARY SERVICES 1600 HADDON AVENUE CAMDEN NJ 08103 222568525 VOLUNTEER SERVICE AUXILIARY NJ 501(C)(3) LINE 12B, II OUR LADY OF LOURDES HEALTH CARE SERVICES 1 LOURDES CARDIOLOGY SERVICES PC 1600 HADDON AVENUE CAMDEN NJ 08103 274357794 HEALTH CARE SERVICES NJ 501(C)(3) LINE 3 OUR LADY OF LOURDES HEALTH CARE SERVICES 1 LOURDES MEDICAL CENTER OF BURLINGTON COUNTY 218 SUNSET ROAD WILLINGBORO NJ 08046 223612265 HEALTH CARE AND HOSPITAL SERVICES NJ 501(C)(3) LINE 3 OUR LADY OF LOURDES HEALTH CARE SERVICES 1 LOYOLA MEDICINE TRANSPORT LLC 905 W NORTH AVE MELROSE PARK IL 60160 474147171 TRANSPORATION 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 3805 WEST CHESTER PIKE STE 100 NEWTOWN SQUARE PA 19073 911940902 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE) PA 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 MCAULEY CENTER INC 275 STEELE ROAD WEST HARTFORD CT 06117 061058086 SENIOR LIVING COMMUNITY CT 501(C)(3) LINE 10 MERCY COMMUNITY HEALTH INC 1 MCAULEY 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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 MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA 1 MERCY HEALTH NETWORK INC 1111 6TH AVENUE DES MOINES IA 50314 421478417 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT DE 501(C)(3) LINE 12B, II 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 MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA 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 HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA 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 MERCY HEALTHCARE CENTER 114 WAWBEEK AVENUE TUPPER LAKE NY 12986 150532211 HEALTH CARE AND HOSPITAL SERVICES (INACTIVE) NY 501(C)(3) LINE 3 MERCY UIHLEIN HEALTH CORPORATION 1 MERCY HEALTHCARE FOUNDATION - CLINTON 1410 N 4TH ST CLINTON IA 52732 421316126 FOUNDATION IA 501(C)(3) LINE 7 N/A 0 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 MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA 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 1820 44TH ST SE KENTWOOD MI 49508 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 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