2017-08-14T16:18:12-05:00 2016-09-30 111986323 MARCUM LLP CITY PLACE II 185 ASYLUM STREET HARTFORD CT 06103 990 2015-10-01 061422973 MOUNT SINAI REHABILITATION HOSPITAL INC MOUN 8607143500 114 WOODLAND STREET MS-510358 HARTFORD CT 06105 JENNIFER SCHNEIDER VP FINANCE 8607143500 2017-08-11 1 DOUGLAS FARRINGTON P00370668 8607600600 2015 2021-01-29 14:40:06Z JENNIFER SCHNEIDER 114 WOODLAND STREET MS-510358 HARTFORD CT 06105 52571670 0 X WWW.STFRANCISCARE.ORG X 1995 CT REHABILITATION SERVICES 12 7 266 62 0 0 322915 405668 45527991 49307584 20466 18890 62048 2839528 45933420 52571670 50 0 0 0 16590665 18142423 0 0 0 16546262 19234446 33136977 37376869 12796443 15194801 26038981 27205048 3115275 3044215 22923706 24160833 TO OPERATE A REHABILITATION HOSPITAL IN HARTFORD, CONNECTICUT, AND PROVIDE INPATIENT AND OUTPATIENT REHABILITATION SERVICES TO PERSONS WHO ARE DISABLED WITH PHYSICAL OR MENTAL HANDICAP. 0 0 34583585 52074515 TO PROVIDE COMPREHENSIVE INPATIENT AND OUTPATIENT MEDICAL REHABILITATION SERVICES IN THE GREATER HARTFORD CONNECTICUT COMMUNITY AS PART OF THE TRINITY HEALTH OF NEW ENGLAND CORPORATION, INC. HEALTH SYSTEM. 34583585 1 1 0 0 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 0 0 0 0 0 0 0 1 1 1 0 0 1 11 0 1 266 1 0 0 0 0 0 0 0 0 0 0 X 12 7 0 0 1 0 1 1 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X X DONNA GILBERT 8607149632 114 WOODLAND STREET MS 5-103-58 HARTFORD CT 06105 HOWARD W ORR JR CHAIRMAN 2.00 1.00 X X 0 0 0 DELORES GRAHAM VICE CHAIRMAN 1.00 0.00 X X 0 0 0 P ANTHONY GIORGIO PHD SECRETARY 1.00 1.00 X X 0 0 0 EDWARD S JOHNSON DDS DIRECTOR 1.00 0.00 X 0 0 0 JEANNINE MARA TREASURER 1.00 0.00 X X 0 0 0 JOHN SUISMAN DIRECTOR 1.00 2.00 X 236 0 18 MICHAEL E CUMMINGS DIRECTOR 1.00 0.00 X 0 0 0 WENDY E ELBERTH DIRECTOR 2.00 0.00 X 0 0 0 ANDREW MANDELL DIRECTOR 1.00 0.00 X 0 0 0 BRAD DAVIS DIRECTOR 2.00 0.00 X 0 0 0 SURENDRA KHERA MD DIRECTOR 1.00 56.00 X 0 504151 53890 ROBERT KRUG MD PRESIDENT & CEO 55.00 5.00 X X 579109 0 58943 MURTHAPPA N PRAKASH MD DIRECTOR 1.00 3.00 X 0 75000 0 DAVID BITTNER ASSISTANT TREASURER 2.00 63.00 X 0 546588 46817 JOHN RODIS MD ASSISTANT SECRETARY 1.00 59.00 X 0 999136 71578 ANNE-MARIE ALCIDE STAFF RN 55.00 0.00 X 192881 0 20870 MAURA A MURRAY EXECUTIVE DIRECTOR SERVICE 55.00 0.00 X 169938 0 24480 JANETTE M GORDON STAFF RN II 55.00 0.00 X 128379 0 19919 DONNA RICKETTS NURSE MANAGER 55.00 0.00 X 122057 0 21023 PHYLLIS O COX-GARVEY STAFF RN II 55.00 0.00 X 166987 0 19650 CHRISTOPHER M DADLEZ FORMER PRESIDENT & CEO 0.00 62.00 X 0 1715289 807101 1359587 3840164 1144289 25 1 1 0 0 40000 365668 405668 PATIENT CARE SERVICES 622110 49307584 49307584 49307584 18890 18890 59323 0 59323 59323 59323 INTERCOMPANY SALARY ALLOCATION 900099 2401227 2401227 CONTRACT REVENUE 900099 278089 278089 WELLNESS REVENUE 900099 54303 54303 46586 33312 13274 2780205 52571670 52074515 0 91487 679500 617043 62457 14066074 12773176 1292898 422312 383495 38817 1759047 1679214 79833 1215490 1103767 111723 19200 19200 3300313 2401092 899221 12949 12163 786 158405 96009 62396 432317 432317 105537 16865 88672 33 33 385788 385788 81135 81135 DRUGS 14064398 14064398 BAD DEBTS 268180 268180 MEDICAL SUPPLIES 210713 210713 LICENSES & FEES 48882 46284 2598 146596 93081 53515 37376869 34583585 2793284 0 4626014 10501852 10290493 10309383 2644726 1977191 49980 80904 1382696 385788 4919145 996908 86825 349431 3421798 2989379 26038981 27205048 2012503 2175262 1109 1102772 867844 3115275 3044215 X 21161028 22497570 1762678 1663263 22923706 24160833 26038981 27205048 X 15194801 -13957674 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 186061 3397 182664 877635 230892 646743 319000 151499 167501 996908 DUE FROM AFFILIATES 2988380 OTHER RECEIVABLES 999 2989379 DUE TO THIRD PARTIES REIMBURSEMENT AGENCIES 867844 867844 1 1 X 1 X 1 X 1 1 0 1 1 45080 45080 0.00120 27390 27390 0.00070 72470 72470 0.00190 2 308 25541 25541 0.00070 1 303 174408 139573 34835 0.00090 1 200 2400 2400 0.00010 4 811 202349 139573 62776 0.00170 4 811 274819 139573 135246 0.00360 52224 52224 0.00140 52224 52224 0.00140 0 268180 8713815 8585544 128271 X 1 1 1 1 MOUNT SINAI REHABILITATION HOSPITAL 490 BLUE HILLS AVENUE HARTFORD CT 06112 X MOUNT SINAI REHABILITATION HOSPITAL 1 0 0 1 X X X X X X X X 15 1 1 1 1 X SEE PART V, SECTION C X CT.GOV.DPH.COM X 1 13 1 SEE PART V, SECTION C 0 0 1 X 200.000000000000 400.000000000000 X X X X 1 1 X X X X 1 X WWW.STFRANCISCARE.ORG/BILLING-FINANCIAL-ASSISTANCE X WWW.STFRANCISCARE.ORG/BILLING-FINANCIAL-ASSISTANCE X WWW.STFRANCISCARE.ORG/BILLING-FINANCIAL-ASSISTANCE X X X X X 1 X 0 X X X X 1 X 0 0 MOUNT SINAI REHABILITATION HOSPITAL PART V, SECTION B, LINE 5: PERSONS INVOLVED IN PLANNING THE CHNA INCLUDED LEADERS OF LOCAL COMMUNITY AGENCIES; FAITH LEADERS; HEALTHCARE PROVIDERS; GOVERNMENT EMPLOYEES AND FOUNDATIONS STAFF. DURING THE DATA GATHERING PROCESS COMMUNITY MEMBERS WERE INTERVIEWED AND COMMUNITY CONVERSATIONS WERE HELD ONCE PRELIMINARY ANALYSIS WAS COMPLETED TO IDENTIFY PRIORITIES AND CONFIRM THE FINDINGS FROM THE PERSPECTIVE OF THOSE WHO LIVE AND WORK IN THE COMMUNITIES SERVED. ADDITIONALLY, HEALTH LEADERS FROM THE GREATER HARTFORD AREA WERE CONSULTED TO DETERMINE IF THE FINDINGS REFLECTED THEIR COMMUNITY NEEDS AS WELL. MOUNT SINAI REHABILITATION HOSPITAL PART V, SECTION B, LINE 6A: OTHER HOSPITAL FACILITIES WHO PARTICIPATED IN THE CHNA INCLUDED SAINT FRANCIS HOSPITAL AND MEDICAL CENTER; JOHNSON MEMORIAL HOSPITAL AND CONNECTICUT CHILDREN'S MEDICAL CENTER MOUNT SINAI REHABILITATION HOSPITAL PART V, SECTION B, LINE 6B: OTHER ORGANIZATIONS INCLUDED IN CONDUCTING THE CHNA INCLUDED HARTFORD FOUNDATION FOR PUBLIC GIVING, DATA HAVEN, HARTFORD HEALTH AND HUMAN SERVICES AND COMMUNITY SOLUTIONS MOUNT SINAI REHABILITATION HOSPITAL PART V, SECTION B, LINE 11: THE IMPLEMENTATION STRATEGY ADOPTED ON JANUARY 25, 2017 ADDRESSES THE NEEDS FOUND IN THE MOST RECENT CHNA INCLUDING:THE HEALTH PRIORITIES FOR THE MOUNT SINAI REHABILITATION HOSPITAL AND THE MANDELL CENTER FOR COMPREHENSIVE MULTIPLE SCLEROSIS CARE INCLUDE: - LACK OF COORDINATED AND COMPREHENSIVE CARE FOR MS PATIENTS - PATIENT FRUSTRATION WITH DISJOINTED REHABILITATION CARE - INCREASED NEED FOR RESEARCH TO BETTER UNDERSTAND MS TREATMENT OPTIONS - ACCESS TO COMPREHENSIVE REHABILITATION FACILITIES.THE IMPLEMENTATION STRATEGY IS DESIGNED TO ENHANCED PARTNERSHIPS TO INCREASE QUALITY OF LIFE. COMMUNITY PROGRAMS AT MOUNT SINAI ARE FOCUSED ON HELPING PATIENTS RE-LEARN AND RE-ORGANIZE THEIR LIVES TO INCLUDE MEANINGFUL ENRICHMENT ACTIVITIES. BELOW IS A LISTING OF THOSE PROGRAMS.COMMUNITY PROGRAMS - C.A.R.P COMMUNITY ADAPTIVE ROWING PROGRAM - GOLFERS IN MOTION - COMMUNITY SUPPORT GROUPS - STROKE - AMPUTEE - MULTIPLE SCLEROSIS - POWERFUL TOOLS FOR CAREGIVERS - ART THERAPY - PET THERAPY - EQUESTRIAN THERAPY MOUNT SINAI REHABILITATION HOSPITAL PART V, SECTION B, LINE 13B: PRESUMPTIVE SUPPORT:TH OF NE RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL INFORMATION THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON LIMITED AVAILABLE INFORMATION. WHEN SUCH APPROVAL IS GRANTED IS CLASSIFIED AS "PRESUMPTIVE SUPPORT."EXAMPLES OF PRESUMPTIVE SUPPORT CASES INCLUDE: A. DECEASED PATIENTS WITH NO KNOWN ESTATE B. HOMELESS C. UNEMPLOYED PATIENTS WITH NO SPOUSE OR ASSETS. D. NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS. E. OUT OF STATE MEDICAID IN WHICH WE ARE NOT A PROVIDER. F. PATIENT WHO IS CURRENTLY ON PUBLIC ASSISTANCE BUT WAS INELIGIBLE AT THE TIME OF SERVICE. G. DISCHARGED BANKRUPTCIES H. MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR PATIENTS WHO ARE NON-RESPONSIVE TO THE FAP APPLICATIONS PROCESS, OTHER SOURCES OF INFORMATION, IF AVAILABLE SHOULD BE USED TO MAKE AN INDIVIDUAL ASSESSMENT OF FINANCIAL NEED. THIS INFORMATION WILL ENABLE TH OF NE TO MAKE AN INFORMED DECISION ON THE FINANCIAL NEED OF NON-RESPONSIVE PATIENTS. DESCRIPTION: MOUNT SINAI REHABILITATION HOSPITAL IS CONNECTICUT'S ONLY FREESTANDING ACUTE CARE REHABILITATION HOSPITAL. IT WAS FOUNDED IN 1923 AND MERGED WITH SAINT FRANCIS HOSPITAL AND MEDICAL CENTER IN 1995. THE MOUNT SINAI REHABILITATION HOSPITAL HAS 60 LICENSED BEDS AND PROVIDES SPECIALIZED SERVICES FOR REHABILITATION IN BOTH THE INPATIENT AND OUTPATIENT SETTING. ADDITIONALLY THE HOSPITAL PROVIDES A COMPREHENSIVE SET OF SERVICES FOR THOSE WHO SUFFER WITH MULTIPLE SCLEROSIS AT THE MANDELL CENTER. MOUNT SINAI REHABILITATION HOSPITAL SHARES RESOURCES WITH SAINT FRANCIS HOSPITAL IN A VARIETY OF AREAS INCLUDING THE DEPARTMENTS OF: HUMAN RESOURCES, FINANCE, ACCOUNTING, ADMINISTRATION, ENGINEERING AND PURCHASING. SUPPLEMENTAL INFORMATION ABOUT COMMUNITY BENEFITS REPORTED ON THE SCHEDULE H FOR SAINT FRANCIS HOSPITAL INCLUDES ACTIVITIES FROM THESE SHARED DEPARTMENTS. MOUNT SINAI REHABILITATION HOSPITAL: PART V, LINE 7A, HOSPITAL FACILITY WEBSITE:WWW.SAINTFRANCISCARE.ORG/HOSPITAL-PUBLICATIONS PART I, LINE 3C: N/A PART I, LINE 6A: MOUNT SINAI REHABILITATION HOSPITAL PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT JOINTLY WITH SAINT FRANCIS HOSPITAL & MEDICAL CENTER, A RELATED ENTITY. THIS REPORT IS AVAILABLE ON THE SAINT FRANCIS HOSPITAL WEBSITE. PART I, LINE 7: MOUNT SINAI REHABILITATION HOSPITAL USES A COST ACCOUNTING SYSTEM WITHIN THE DECISION SUPPORT SYSTEM PRODUCT. IT IS A FULLY ABSORBED COSTING SYSTEM USING REMAPS OF EXPENSE AND REVENUES WHERE NEEDED. INDIRECT, OR OVERHEAD, COSTS ARE ALLOCATED USING STATISTICS IN ORDER TO ALLOCATE THE COSTS TO THE REVENUE PRODUCING DEPARTMENTS. THE METHOD OF ALLOCATING DOLLARS TO THE CHARGE ITEMS IS CURRENTLY PRIMARILY BASED ON A RCC METHOD USING OUR CHARGE ITEM PRICE AS THE DRIVER. WE HAVE INTERSPERSED SOME NATIONAL RVU'S FROM THE CMS FEE SCHEDULE TO MANY DEPARTMENTS AS WELL AS USING COSTS TO HELP ALLOCATE OUR PHARMACY AND SUPPLY EXPENSES. ALL CHARGE ITEMS OBTAIN A COST AND ALL PATIENT SEGMENTS ARE FULLY COSTED. PART I, LINE 7G: N/A PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 268,180. PART II, COMMUNITY BUILDING ACTIVITIES: THE HOSPITAL IS INVOLVED IN A VARIETY OF COMMUNITY BUILDING ACTIVITIES WHICH ADDRESS BOTH THE ROOT CAUSES OF HEALTH PROBLEMS SPECIFIC TO THE COMMUNITY SERVED AND WHICH TAKE A MORE GLOBAL APPROACH TO STRUCTURAL BARRIERS. REALLOCATION OF COMMUNITY BENEFIT DOLLARS FOR COMMUNITY TRANSFORMATION IS A NEW INITIATIVE WHICH WILL SUPPORT THIS WORK. COMMUNITY SUPPORT COLLABORATION AND RESEARCH WITH THE NATIONAL MS SOCIETY HAVE ENABLED MOUNT SINAI STAFF TO PROVIDE MUCH NEEDED COMMUNITY RESOURCES FOR THOSE WITH UNIQUE REHABILITATION NEEDS. PROFESSIONAL STAFF AT MOUNT SINAI SERVE ON LOCAL BOARDS AND AGENCIES RELATED TO THE NEEDS OF THOSE WITH REHABILITATION CHALLENGES. THEIR EXPERTISE AND KNOWLEDGE OF SYSTEM DESIGN IS OF SIGNIFICANT VALUE TO LOCAL AGENCIES. LEADERSHIP DEVELOPMENTIN THE AREA OF LEADERSHIP DEVELOPMENT AND TRAINING MOUNT SINAI OFFERS INTERNSHIPS AND STUDENT FELLOWSHIPS IN ALL AREAS OF REHAB MEDICINE AND IS SEEN AS A STRONG PARTNER WITH LOCAL COLLEGES AND OTHER "PARAPROFESSIONAL" PROGRAMS IN THIS AREA OF WORK. PART III, LINE 2: BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS BAD DEBT EXPENSE FROM FINANCIAL STATEMENTS, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. PART III, LINE 4: MOUNT SINAI REHABILITATION HOSPITAL ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT BY REFERENCE TO THE ESTABLISHED POLICIES OF THE HOSPITAL. ESSENTIALLY, THESE POLICIES DEFINE CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO PAYMENT IS ANTICIPATED. IN ASSESSING A PATIENT'S INABILITY TO PAY, THE HOSPITAL UTILIZES THE GENERALLY RECOGNIZED POVERTY INCOME LEVELS FOR THE STATE OF CONNECTICUT, BUT ALSO INCLUDES CERTAIN CASES WHERE INCURRED CHARGES ARE SIGNIFICANT WHEN COMPARED TO INCOMES. IN ADDITION, ALL SELF-PAY PATIENTS RECEIVE A 45% DISCOUNT FROM CHARGES, WHICH IS NOT INCLUDED IN NET PATIENT SERVICE REVENUE FOR FINANCIAL REPORTING PURPOSES. PART III, LINE 8: N/A FOR SHORTFALL REPORTED IN LINE 7.MEDICARE ALLOWABLE COSTS OF CARE ON LINE 6 WERE DETERMINED FROM THE MEDICARE COST REPORTS. PART III, LINE 9B: SEE PART III, LINE 4 PART VI, LINE 2: THE START OF THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WOULD LIKELY BE DEFINED AS THE FIRST MEETING WE HAD AS A TEAM BACK IN MARCH OF 2015. BUT REALLY IT BEGAN AS SOON AS THE LAST CHNA WAS PUBLISHED IN 2013. THE LESSONS LEARNED FROM THAT EXPERIENCE INFORMED OUR APPROACH AND LED US TO THE CENTERS OF DISEASE CONTROL HEALTH INVEST MODEL, WHICH PROVIDES A FRAMEWORK FOR UNDERSTANDING THE VOLUMES OF AVAILABLE DATA. WE ALSO HAD THE BENEFIT OF THE DATAHAVEN COMMUNITY HEALTH AND WELLBEING SURVEY, WHICH PROVIDES SIGNIFICANT INPUT FROM COMMUNITY MEMBERS.THE PURPOSE OF THE ASSESSMENT WAS TO GATHER INFORMATION ABOUT PERCEIVED HEALTH NEEDS FROM THE CITIZENS AND HEALTH CARE PROVIDERS OF THIS AREA.OVER THE LAST YEAR, THE ASSESSMENT CONSISTED OF DISCUSSIONS WITH LOCAL PROVIDERS, A COMMUNITY PHONE SURVEY AND INFORMATION GATHERED FROM LOCAL HEALTH DEPARTMENTS, COMMUNITY-BASED ORGANIZATIONS AND PROGRAM PARTICIPANTS.IN RECENT YEARS, THE WORLD OF HEALTHCARE HAS UNDERGONE TREMENDOUS UPHEAVAL; OLD NORMS HAVE IMPLODED AND NEW EXPECTATIONS HAVE TAKEN HOLD. MOUNT SINAI REHABILITATION HOSPITAL STRIVES TO FACILITATE AND ENHANCE INDIVIDUAL RECOVERY, FUNCTION, AND OPTIMAL PERFORMANCE WITH AN EMPHASIS ON THOSE POPULATIONS WITH IMPAIRMENTS THAT EITHER PLACE THEM AT RISK OR RESULT IN TEMPORARY AND/OR PERMANENT DISABILITY.THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS THE FIRST STEP IN A PROCESS DESIGNATED TO BETTER UNDERSTAND COMMUNITY NEEDS BY ENGAGING HEALTHCARE PROVIDERS, COMMUNITY LEADERS AND COMMUNITY MEMBERS IN A CONVERSATION ABOUT HOW TO IMPROVE HEALTH AND WELLBEING. WE ARE EXCITED TO SHARE WHAT WE HAVE LEARNED AND TO FIND WAYS TO COLLABORATE ON SOLUTIONS. THE EXCHANGES THAT TOOK PLACE DURING THE IMPLEMENTATION OF THE CHNA POINT TO READINESS FOR THE COLLABORATION ACROSS DISCIPLINES AND IN WAYS THAT RESPECT COMMUNITY INPUT. PART VI, LINE 3: PATIENTS' ABILITY TO PAY FOR HEALTH CARE IS ASSESSED DURING THE INTAKE PROCESS. IF IT BECOMES CLEAR THAT THE PATIENT DOES NOT HAVE COVERAGE OR HAS MINIMAL COVERAGE THEY ARE REFERRED TO A FINANCIAL COUNSELOR WHO REVIEWS THEIR CURRENT INCOME TO DETERMINE ELIGIBILITY FOR EITHER STATE ASSISTANCE OR HELP FROM MOUNT SINAI CHARITY CARE DOLLARS. IN AREAS OF THE HOSPITAL WHERE NEW PATIENTS ARRIVE: THE REHABILITATION CLINIC, THE MANDELL CENTER, AND THE ADMISSIONS AREA, SIGNAGE IS POSTED ABOUT THE FINANCIAL ASSISTANCE AVAILABLE TO ALL PATIENTS WHO QUALIFY. THIS INFORMATION OUTLINES, IN BOTH ENGLISH AND SPANISH, THE AVAILABILITY OF FINANCIAL COUNSELING AND ASSISTANCE FOR MEDICAL BILLS. ADDITIONALLY, A "PATIENT AND FAMILY INFORMATION NOTEBOOK" WHICH INCLUDES A CHAPTER ON THE AVAILABILITY OF FINANCIAL ASSISTANCE FOR PATIENTS WHO EITHER DO NOT HAVE COVERAGE OR ARE NOT COVERED FULLY BY THEIR HEALTH INSURANCE IS LOCATED IN EACH PATIENT ROOM. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS ALSO INCLUDED IN DISCHARGE MATERIALS. MOUNT SINAI DOES NOT TURN PATIENTS AWAY DUE TO THEIR INABILITY TO PAY. FINALLY, PATIENTS WHO HAVE NOT BEEN FORTHCOMING IN THEIR NEED FOR FINANCIAL ASSISTANCE PRIOR TO THE DELIVERY OF HEALTH CARE SERVICES ARE PROVIDED WITH INFORMATION ABOUT OUR CHARITY CARE POLICY WHEN THEY RECEIVE A BILL FOR THE SERVICES RENDERED. THEY ARE ENCOURAGED TO TALK TO A FINANCIAL COUNSELOR TO DISCUSS A PAYMENT PLAN AND TO DETERMINE IF THEY ARE ELIGIBLE FOR STATE ASSISTANCE OR IF A PORTION OF THEIR BILL CAN BE "WRITTEN OFF" TO CHARITY CARE. THE FINANCIAL ASSISTANCE POLICY IS REVIEWED AT A MINIMUM ON AN ANNUAL BASIS AND MORE OFTEN AS NEEDED. CLARIFICATIONS ABOUT THE CHANGES IMPLEMENTED DUE TO THE AFFORDABLE CARE ACT WERE INCORPORATED INTO THE POLICY IN JANUARY 2014; FURTHER EDITS WERE INCLUDED AND APPROVED IN NOVEMBER OF 2015. PART VI, LINE 4: MOUNT SINAI REHABILITATION HOSPITAL'S SERVICE AREA COMPRISES URBAN, SUBURBAN AND RURAL COMMUNITIES THAT TOGETHER FORM A RICH AND COMPLEX MIXTURE OF HIGHLY DIVERSE POPULATIONS-A RAINBOW SPECTRUM OF RACES AND ETHNICITIES, AND A HUGE RANGE OF SOCIOECONOMIC CATEGORIES. HARTFORD IS MUCH POORER, YOUNGER AND MORE DENSELY POPULATED THAN THE SURROUNDING TOWNS. GIVEN THIS INEQUITY AND THE PERCENTAGE OF MOUNT SINAI PATIENTS WHO ARE FROM THE CITY, THIS CHNA HAS A SIGNIFICANT FOCUS ON HARTFORD DATA AND THE CRITICAL HEALTH NEEDS FACING ITS RESIDENTS.THE CITY IS PROPORTIONATELY YOUNGER THAN THE REST OF THE STATE AS WELL AS THE COUNTRY; OVER 25 PERCENT OF ITS RESIDENTS ARE UNDER AGE 17, AND ONLY 9 PERCENT ARE OVER AGE 65, AS COMPARED TO 22 PERCENT AND 15 PERCENT FOR THE STATE AS A WHOLE. THIS AFFECTS AGE-RELATED HEALTH ISSUES SUCH AS SOME FORMS OF CANCER, VIOLENCE AND ACCIDENTAL INJURY. HARTFORD IS A CITY OF VIBRANT NEIGHBORHOODS-17 DISTINCT NEIGHBORHOODS, TO BE EXACT-WITH A VARIETY OF HOUSING STOCK RANGING FROM HIGH-RISE DOWNTOWN LUXURY APARTMENTS AND CONDOS TO HISTORIC HOUSES TO SINGLE-FAMILY HOMES AND A VARIETY OF RENTAL OPTIONS. THE CITY'S MANY NEIGHBORHOODS ARE SUPPORTED BY A ROSTER OF COMMUNITY ORGANIZATIONS THAT FOCUS ON ISSUES SUCH AS ECONOMIC DEVELOPMENT, HOUSING, AND ASSIMILATION OF NEW IMMIGRANTS, EDUCATION AND HISTORIC PRESERVATION. PART VI, LINE 5: WHEELCHAIR CLINIC:WHEN PROLONGED OR LIFETIME USE OF A WHEELCHAIR IS PRESCRIBED, THERE IS NO 'ONE SIZE FITS ALL' SOLUTION. EVERY WHEELCHAIR USER'S NEEDS MUST BE ADDRESSED IN THE CHOICE OF MANUAL OR POWER DRIVE, DESIGN, WEIGHT, AND, ESPECIALLY, IN WHEELCHAIR FIT. THE WHEELCHAIR CLINIC IS COMPRISED OF A PHYSICIAN, AN OCCUPATIONAL THERAPIST, AND A MEDICAL EQUIPMENT REPRESENTATIVE. THE PHYSICIAN AND OCCUPATIONAL THERAPIST PERFORM A COMPREHENSIVE EVALUATION THAT INCLUDES AN ASSESSMENT OF YOUR CURRENT AND PREDICTED FUTURE LIVING AND WORKING ENVIRONMENTS, A PHYSICAL THERAPY EVALUATION, AN ASSESSMENT OF ANY CURRENT MOBILITY EQUIPMENT BEING USED AND ITS ABILITY TO MEET NEEDS, CURRENT DIAGNOSIS AND PROGNOSIS, AND A FUNCTIONAL ASSESSMENT OF NEEDS REGARDING SEATING AND MOBILITY. ONCE A WHEELCHAIR HAS BEEN OBTAINED, THE WHEELCHAIR CLINIC WILL CONTINUE TO WORK TO ENSURE PROPER WHEELCHAIR POSITIONING. THIS IS IMPORTANT IN HELPING TO ESTABLISH AND MAINTAIN FUNCTIONAL INDEPENDENCE, WHILE PROMOTING GOOD POSTURE, BREATHING, AND DIGESTION, AND AVOIDING SKIN PROBLEMS.THE CONNECTICUT ADAPTIVE ROWING PROGRAM:THE CONNECTICUT ADAPTIVE ROWING PROGRAM PROVIDES INDIVIDUALS WITH A PHYSICAL DISABILITY OR VISUAL IMPAIRMENT THE OPPORTUNITY TO ENGAGE IN EXERCISE THAT MAKES USE OF ALL AVAILABLE MUSCLE GROUPS. THE PROGRAM IS BASED ON THE CONNECTICUT RIVER AT THE GREATER HARTFORD JAYCEES COMMUNITY BOATHOUSE IN HARTFORD'S RIVERSIDE PARK. IT IS LED BY THERAPEUTIC REHABILITATION SPECIALISTS AND PHYSICAL THERAPISTS FROM MOUNT SINAI REHABILITATION HOSPITAL. SAFETY IS A PRIORITY. PARTICIPANTS RECEIVE COMPREHENSIVE TRAINING BEFORE GOING OUT ON THE WATER WITH AN EXPERIENCED COACH. IN ADAPTIVE ROWING, BOATS ARE OUTFITTED WITH MODIFIED EQUIPMENT TO ACCOMMODATE DISABILITIES. THE TWO-PERSON SHELLS CAN BE OUTFITTED WITH FIXED SEATS TO PROVIDE SUPPORT AND ADDED SECURITY FOR INDIVIDUALS WITH LIMITED OR NO USE OF THEIR LEGS. PONTOONS ARE UTILIZED TO INCREASE STABILITY. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM -MOUNT SINAI REHABILITATION HOSPITAL IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH ANNUALLY REQUIRES THAT ALL MEMBER ORGANIZATIONS DEFINE - AND ACHIEVE - SPECIFIC COMMUNITY HEALTH AND WELL-BEING GOALS. IN FISCAL YEAR 2016, GOALS INCLUDED 1) PARTNERING WITH COMMUNITY ORGANIZATIONS IN INSURANCE ENROLLMENT ACTIVITIES TARGETED AT UNINSURED INDIVIDUALS TO IMPROVE ACCESS TO HEALTHCARE, 2) PARTICIPATING IN LOCAL ADVOCACY EFFORTS AIMED AT CURBING TOBACCO USE AND PREVENTING OBESITY, AND 3) DEVELOPMING A STRATEGY WITH MULTI-DISCIPLINARY TEAMS TO OPTIMIZE CARE FOR VULNERABLE PERSONS, WITH PARTICULAR FOCUS ON THOSE WHO ARE DUALLY ENROLLED IN MEDICAID AND MEDICARE.TRINITY HEALTH APPRECIATES THE IMPACT SOCIAL DETERMINANTS SUCH AS ADEQUATE HOUSING, SAFETY, ACCESS TO FOOD, EDUCATION, INCOME, AND HEALTH COVERAGE HAVE ON THE HEALTH OF THE COMMUNITY. IN FISCAL YEAR 2016, TRINITY HEALTH LAUNCHED THE TRANSFORMING COMMUNITIES INITIATIVE (TCI), AWARDING EIGHT COMMUNITIES FUNDING TO IMPROVE THE HEALTH AND WELL-BEING OF THEIR COMMUNITIES IN PARTNERSHIP WITH THE LOCAL TRINITY HEALTH MEMBER HOSPITAL. THE AWARDED PROGRAMS FOCUS ON POLICY, SYSTEM, AND ENVIRONMENTAL CHANGES THAT SPECIFICALLY IMPACT COMMUNITY IDENTIFIED AREAS OF NEED AND THAT WILL REDUCE OBESITY AND TOBACCO USE.AS A SYSTEM, TRINITY HEALTH SUPPORTED PROGRAMS AND ORGANIZATIONS WHO ADDRESS THESE SOCIAL DETERMINANTS OF HEALTH. PROGRAMS INCLUDE GRANTING SEVEN DACA "DREAMERS" LOW INTEREST LOANS, ENABLING RECIPIENTS TO ATTEND MEDICAL SCHOOL AT STRITCH SCHOOL OF MEDICINE, AND PROVIDING A GRANT TO THE U.S. SOCCER FOUNDATION TO FUND ITS SOCCER FOR SUCCESS PROGRAM IN NINE COMMUNITIES, OFFERING STUDENTS IN UNDERSERVED AREAS THE OPPORTUNITY TO SAFELY AND COST-EFFECTIVELY ENGAGE IN A HEALTHY AND ACTIVE LIFESTYLE.AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO OUR COMMUNITIES THROUGH PROGRAMS SERVING THOSE WHO ARE POOR AND UNINSURED, HELPING MANAGE CHRONIC CONDITIONS LIKE DIABETES, PROVIDING HEALTH EDUCATION, PROMOTING WELLNESS AND REACHING OUT TO UNDERSERVED POPULATIONS. ANNUALLY, THE ORGANIZATION INVESTS NEARLY $1 BILLION IN SUCH COMMUNITY BENEFITS AND WORKS TO ENSURE THAT ITS MEMBER HOSPITALS AND OTHER ENTITIES/AFFILIATES ENHANCE THE OVERALL HEALTH OF THE COMMUNITIES THEY SERVE BY ADDRESSING THE SPECIFIC NEEDS OF EACH COMMUNITY.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG.PART VI, LINE 7: COMMUNITY BENEFITS ARE REPORTED TO THE STATE'S OFFICE OF THE HEALTH CARE ADVOCATE IN CONNECTICUT. A COMMUNITY BENEFIT REPORT IS PUBLISHED AND WIDELY DISTRIBUTED IN THE LOCAL COMMUNITY AND IT IS POSTED ON THE WEBSITE FOR FULL VIEWING. PART VI, LINE 7, REPORTS FILED WITH STATES CT 0 1 0 0 0 0 0 0 0 SURENDRA KHERA MD DIRECTOR 0 404151 0 100000 0 0 0 23841 0 30049 0 558041 0 0 ROBERT KRUG MD PRESIDENT & CEO 489109 0 90000 0 0 0 21828 0 37115 0 638052 0 0 0 DAVID BITTNER ASSISTANT TREASURER 0 377165 0 155000 0 14423 0 15422 0 31395 0 593405 0 0 JOHN RODIS MD ASSISTANT SECRETARY 0 709136 0 290000 0 0 0 31000 0 40578 0 1070714 0 0 ANNE-MARIE ALCIDE STAFF RN 192881 0 0 0 0 0 6847 0 14023 0 213751 0 0 0 MAURA A MURRAY EXECUTIVE DIRECTOR SERVICE 157438 0 12500 0 0 0 8894 0 15586 0 194418 0 0 0 PHYLLIS O COX-GARVEY STAFF RN II 166987 0 0 0 0 0 3344 0 16306 0 186637 0 0 0 CHRISTOPHER M DADLEZ FORMER PRESIDENT & CEO 0 851337 0 795000 0 68952 0 757196 0 49905 0 2522390 0 0 PART I, LINE 3 DURING THE YEAR AN INDEPENDENT CONSULTANT WAS ENGAGED TO REVIEW COMPENSATION AND AN EXTERNAL MARKET ANALYSIS WAS PERFORMED AND REVIEWED BY THE COMPENSATION AND MANAGEMENT DEVELOPMENT COMMITTEE. PART I, LINE 4B CHRISTOPHER DADLEZ PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE YEAR WITH AN ESTIMATED BENEFIT OF $738,996. FORM 990, PART VI, SECTION A, LINE 4 ON OCTOBER 1, 2015 THE ORGANIZATION WAS TRANSFERRED TO THE OWNERSHIP OF TRINITY HEALTH CORPORATION, A 501(C)(3) CHARITABLE CORPORATION. AS THE SOLE MEMBER OF THE ORGANIZATION TRINITY HEALTH CORPORATION HAS RESERVED POWERS ESTABLISHED IN THE ORGANIZATION'S CERTIFICATE OF INCORPORATION AND BYLAWS THAT ALLOW IT TO RETAIN CONTROL OVER ITS STATUTORY OBLIGATIONS IN CARRYING OUT THE PURPOSES OF THE ORGANIZATION AS THE PARENT OF A LARGE CATHOLIC HEALTH SYSTEM. TRINITY HEALTH CORPORATION IS RESPONSIBLE FOR KEY STRATEGIC DECISIONS AND ISSUES THAT WILL SIGNIFICANTLY IMPACT THE TRINITY HEALTH SYSTEM. FORM 990, PART VI, SECTION A, LINE 6 TRINITY HEALTH OF NEW ENGLAND CORPORATION, INC. IS THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A TRINITY HEALTH OF NEW ENGLAND CORPORATION, INC. APPOINTS THE MOUNT SINAI REHABILIATION HOSPITAL, INC. BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 11 THE FINANCE COMMITTEE OF TRINITY HEALTH OF NEW ENGLAND CORPORATION,INC. (FORMERLY KNOWN AS SAINT FRANCIS CARE, INC.) HAS THE RESPONSIBILITY FOR OVERSEEING THE REVIEW OF THE FORM 990 INCLUDING ENSURING APPROPRIATE DIRECTORS AND/OR MANAGEMENT PERSONNEL HAVE REVIEWED, ANY ISSUES ARE COMMUNICATED TO THE COMMITTEE AND FORM 990S ARE AVAILABLE TO THE BOARD OF DIRECTORS. THE FORM 990 IS AVAILABLE ON THE BOARD'S INTERNAL SECURE WEB PORTAL. FORM 990, PART VI, SECTION B, LINE 12C THE POLICY INCLUDES AN OBLIGATION OF EACH BOARD MEMBER TO ANNUALLY DISCLOSE ALL MATERIAL FACTS AND RELATIONSHIPS AND REFRAIN FROM VOTING ON ANY MATTER WHEN THERE IS A CONFLICT OF INTEREST. THE GOVERNANCE AND NOMINATIONS COMMITTEE REVIEWS THE RESULTS OF THESE SUBMISSIONS ANNUALLY FOR COMPLIANCE WITH GOVERNANCE POLICIES. FORM 990, PART VI, SECTION B, LINE 15 REFER TO PART III OF SCHEDULE J FOR PROCESS. FORM 990, PART VI, SECTION C, LINE 19 A LINK ON THE TRINITY HEALTH OF NEW ENGLAND CORPORATION, INC. WEBSITE HAS BEEN ESTABLISHED FOR INDIVIDUALS TO REQUEST GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FORM 990 AND FINANCIAL STATEMENTS. FORM 990, PART XI, LINE 9: TRANSFER TO TRINITY HEALTH OF NEW ENGLAND CORPORATION, INC. -10,000,000. PURCHASE ACCOUNTING ADJUSTMENT - FIXED ASSETS -3,957,674. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS HAS DELEGATED ITS OVERSIGHT RESPONSIBILITY OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS TO THE FINANCE COMMITTEE OF TRINITY HEALTH OF NEW ENGLAND CORPORATION, INC. ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP 245 STATE ST SE GRAND RAPIDS MI 49503 272491974 HEALTHCARE SERVICES MI 501(C)(3) LINE 9 TRINITY HEALTH-MICHIGAN 1 ALBANY MEMORIAL HOSPITAL 600 NORTHERN BLVD ALBANY NY 12204 141338457 HEALTHCARE AND HOSPITAL SERVICES NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS 1 ALLEGANY FRANCISCAN MINISTRIES INC 33920 US HIGHWAY 19 NORTH SUITE 269 PALM HARBOR FL 34684 581492325 GRANT MAKING FL 501(C)(3) LINE 11A, I TRINITY HEALTH CORPORATION 1 ASYLUM HILL FAMILY MEDICINE CENTER INC 114 WOODLAND STREET HARTFORD CT 06105 061450170 HEALTHCARE SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORPORATION INC 1 BAUM HARMON MERCY HOSPITAL 255 NORTH WELCH AVENUE PRIMGHAR IA 51245 421500277 HEALTHCARE 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 11A, 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 1 BEVERWYCK INC 40 AUTUMN DRIVE SLINGERLANDS NY 12159 141717028 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 9 LTC (EDDY) INC 1 BRIGHTSIDE INC C/O SPHS 1221 MAIN STREET SUITE 213 HOLYOKE MA 01040 042182395 HEALTHCARE SERVICES MA 501(C)(3) LINE 9 THE MERCY HOSPITAL INC 1 CAPITAL REGION GERIATRIC CENTER INC 421 WEST COLUMBIA ST COHOES NY 12047 141701597 LONG TERM CARE NY 501(C)(3) LINE 9 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 9 GLACIER HILLS INC 1 CATHERINE MCAULEY HEALTH SERVICES CORP PO BOX 995 ANN ARBOR MI 48106 382507173 HEALTHCARE SERVICES (INACTIVE) 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 9 SAINT MICHAEL'S MEDICAL CENTER 1 COMMUNITY HEALTH PARTNERS OF SOUTH BEND PO BOX 3998 SOUTH BEND IN 46619 263051440 HEALTHCARE SERVICES IN 501(C)(3) LINE 3 SAINT JOSEPH REGIONAL MEDICAL CENTER INC 1 CRANBROOK HOSPICE CARE 1111 W LONG LAKE RD STE 102 TROY MI 48098 383320699 HOSPICE SERVICES MI 501(C)(3) LINE 9 TRINITY HOME HEALTH SERVICES 1 DILEY RIDGE MEDICAL CENTER 6150 EAST BROAD STREET COLUMBUS OH 43213 342032340 HEALTHCARE 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 11A, 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 11A, I MERCY HEALTH SERVICES-IOWA CORP 1 EAST NORRITON PHYSICIANS SERVICES INC ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 232515999 HEALTHCARE SERVICES PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK 1 EDDY LICENSED HOME CARE AGENCY 433 RIVER ST SUITE 3000 TROY NY 12180 141818568 HOME HEALTH SERVICES NY 501(C)(3) LINE 3 LTC (EDDY) INC 1 EMBRACING AGE INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT NY 13214 461051881 PACE PROGRAM NY 501(C)(3) LINE 9 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 9 LTC (EDDY) INC 1 FARREN CARE CENTER INC C/O SPHS 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 9 ST FRANCIS HOSPITAL 1 GLACIER HILLS FOUNDATION 1200 EARHART RD ANN ARBOR MI 48105 208072723 FOUNDATION MI 501(C)(3) LINE 11A, I GLACIER HILLS INC 1 GLACIER HILLS INC 1200 EARHART RD ANN ARBOR MI 48105 381891500 SENIOR LIVING COMMUNITY MI 501(C)(3) LINE 9 TRINITY CONTINUING CARE SERVICES 1 GLEN EDDY INC ONE GLEN EDDY DRIVE NISKAYUNA NY 12309 141794150 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 9 LTC (EDDY) INC 1 GLOBAL HEALTH MINISTRY 20555 VICTOR PARKWAY LIVONIA MI 48152 421253527 HEALTHCARE SERVICES MI 501(C)(3) LINE 11A, I TRINITY HEALTH CORPORATION 1 GOOD SAMARITAN HOSPITAL INC 5401 LAKE OCONEE PARKWAY GREENSBORO GA 30642 261720984 HEALTHCARE AND HOSPITAL SERVICES GA 501(C)(3) LINE 3 ST MARY'S HEALTH CARE SYSTEM INC 1 GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION 701 W NORTH AVE MELROSE PARK IL 60160 363332852 COMMUNITY OUTREACH IL 501(C)(3) LINE 9 GOTTLIEB MEMORIAL HOSPITAL 1 GOTTLIEB MEMORIAL FOUNDATION 701 W NORTH AVE MELROSE PARK IL 60160 743260011 FOUNDATION IL 501(C)(3) LINE 11C, III-FI N/A 0 GOTTLIEB MEMORIAL HOSPITAL 701 W NORTH AVE MELROSE PARK IL 60160 362379649 HEALTHCARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM 1 GRAND RAPIDS MEDICAL EDUCATION PARTNERS INC 945 OTTAWA AVE NW GRAND RAPIDS MI 49503 237270669 MEDICAL EDUCATION TRAINING PROGRAMS MI 501(C)(3) LINE 11A, I TRINITY HEALTH-MICHIGAN 1 HACKLEY HOSPITAL SELF INSURANCE PROFESSIONAL LIABILITY TRUST PO BOX 3302 MUSKEGON MI 49443 382299878 SELF INSURANCE MI 501(C)(3) LINE 11B, II MERCY HEALTH PARTNERS 1 HACKLEY LIFE COUNSELING 125 E SOUTHERN AVENUE MUSKEGON MI 49442 381386362 HEALTHCARE SERVICES MI 501(C)(3) LINE 9 MERCY HEALTH PARTNERS 1 HAWTHORNE RIDGE INC 30 COMMUNITY WAY EAST GREENBUSH NY 12061 800102840 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 9 LTC (EDDY) INC 1 HEART CENTER OF GREATER WATERBURY INC PO BOX 2153 WATERBURY CT 06722 830416893 MANAGEMENT CT 501(C)(3) LINE 11A, I N/A 0 HERITAGE HOUSE NURSING CENTER INC 2920 TIBBITS AVE TROY NY 12180 141725101 LONG TERM CARE NY 501(C)(3) LINE 9 LTC (EDDY) INC 1 HOLY CROSS CARENET INC PO BOX 9184 FARMINGTON HILLS MI 48152 521945054 LONG TERM CARE MD 501(C)(3) LINE 9 TRINITY CONTINUING CARE SERVICES 1 HOLY CROSS HEALTH FOUNDATION INC 1500 FOREST GLEN RD SILVER SPRING MD 20910 208428450 FOUNDATION MD 501(C)(3) LINE 7 HOLY CROSS HEALTH INC 1 HOLY CROSS HEALTH INC 1500 FOREST GLEN RD SILVER SPRING MD 20910 520738041 HEALTHCARE 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 HEALTHCARE AND HOSPITAL SERVICES FL 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 HOLY CROSS MEDICAL PROPERTIES INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 650666283 BUILDING MANAGEMENT SERVICES FL 501(C)(2) N/A HOLY CROSS HOSPITAL INC 1 HOLY CROSS OUTPATIENT SERVICES INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 465421068 HEALTHCARE SERVICES FL 501(C)(3) LINE 9 HOLY CROSS HOSPITAL INC 1 HOLY CROSS PRIMARY CARE INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 812531495 HEALTHCARE SERVICES FL 501(C)(3) LINE 9 HOLY CROSS HOSPITAL INC 1 HOME & COMMUNITY HEALTH SERVICES INC 201 CHESTNUT HILL ROAD STAFFORD SPRINGS CT 06076 810723591 HOME HEALTH SERVICES CT 501(C)(3) LINE 9 TRINITY HEALTH OF NEW ENGLAND CORPORATION 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 9 LTC (EDDY) INC 1 HOSPICE OF NORTH IOWA 232 SECOND STREET SE MASON CITY IA 50401 421173708 HOSPICE SERVICES IA 501(C)(3) LINE 9 MERCY HEALTH SERVICES-IOWA CORP 1 HOSPICE OF SIOUXLAND 4300 HAMILTON BLVD SIOUX CITY IA 51104 383320710 HOSPICE SERVICES IA 501(C)(3) LINE 11A, I N/A 0 HOSPICE OF WASHTENAW II 806 AIRPORT BLVD ANN ARBOR MI 48108 383320707 HOSPICE SERVICES (INACTIVE) MI 501(C)(3) LINE 11A, I TRINITY HEALTH-MICHIGAN 1 IHA HEALTH SERVICES CORPORATION 24 FRANK LLOYD WRIGHT DR LOBBY J ANN ARBOR MI 48106 383316559 HEALTHCARE SERVICES MI 501(C)(3) LINE 9 TRINITY HEALTH-MICHIGAN 1 JOHNSON HEALTH CARE INC 201 CHESTNUT HILL ROAD STAFFORD SPRINGS CT 06076 810709903 HEALTHCARE SERVICES CT 501(C)(3) LINE 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PROGRAM DE 501(C)(3) LINE 9 ST FRANCIS HOSPITAL 1 LIFE ST FRANCIS CORPORATION 1435 LIBERTY STREET HAMILTON NJ 08629 222797282 PACE PROGRAM NJ 501(C)(3) LINE 9 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 9 ST MARY MEDICAL CENTER 1 LOURDES ANCILLARY SERVICES 1600 HADDON AVENUE CAMDEN NJ 08103 222568525 VOLUNTEER SERVICE AUXILIARY NJ 501(C)(3) LINE 11B, II OUR LADY OF LOURDES HEALTH CARE SERVICES 1 LOURDES CARDIOLOGY SERVICES PC 1600 HADDON AVENUE CAMDEN NJ 08103 274357794 HEALTHCARE 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 HEALTHCARE 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 9 LOYOLA UNIVERSITY MEDICAL CENTER 1 LOYOLA UNIVERSITY HEALTH SYSTEM 2160 SOUTH FIRST AVENUE MAYWOOD IL 60153 363342448 HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT IL 501(C)(3) LINE 11B, II TRINITY HEALTH CORPORATION 1 LOYOLA UNIVERSITY MEDICAL CENTER 2160 SOUTH FIRST AVENUE MAYWOOD IL 60153 364015560 HEALTHCARE 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 11B, II ST PETER'S HEALTH PARTNERS 1 MARIAN COMMUNITY HOSPITAL 3805 WEST CHESTER PIKE STE 100 NEWTOWN SQUARE PA 19073 240711230 HEALTHCARE SERVICES (INACTIVE) PA 501(C)(3) LINE 9 MAXIS HEALTH SYSTEM 1 MARIAN HOME HEALTHCARE 801 5TH STREET SIOUX CITY IA 51101 383320705 HOME HEALTH SERVICES (INACTIVE) IA 501(C)(3) LINE 11A, I MERCY HEALTH SERVICES-IOWA CORP 1 MAXIS HEALTH SYSTEM 3805 WEST CHESTER PIKE STE 100 NEWTOWN SQUARE PA 19073 911940902 HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE) PA 501(C)(3) LINE 11A, I TRINITY HEALTH CORPORATION 1 MCAULEY CENTER INC 275 STEELE ROAD WEST HARTFORD CT 06117 061058086 SENIOR LIVING COMMUNITY CT 501(C)(3) LINE 9 MERCY COMMUNITY HEALTH INC 1 MCAULEY CLINIC CORPORATION PO BOX 992 ANN ARBOR MI 48106 382561013 HEALTHCARE SERVICES (INACTIVE) MI 501(C)(3) LINE 3 CATHERINE MCAULEY HEALTH SERVICES CORP 1 MCAULEY MINISTRIES 3333 FIFTH AVENUE PITTSBURGH PA 15213 943436142 GRANT MAKING PA 501(C)(3) LINE 11B, II PITTSBURGH MERCY HEALTH SYSTEM 1 MERCY AMICARE HOME HEALTHCARE OAKLAND 1111 W LONG LAKE RD STE 102 TROY MI 48098 383320698 HOME HEALTH SERVICES MI 501(C)(3) LINE 9 TRINITY HOME HEALTH SERVICES 1 MERCY AMICARE HOME HEALTHCARE PORT HURON 17410 COLLEGE PARKWAY STE 150 LIVONIA MI 48152 383320701 HOME HEALTH SERVICES MI 501(C)(3) LINE 9 TRINITY HOME HEALTH SERVICES 1 MERCY CARE FOUNDATION 424 DECATUR STREET ATLANTA GA 30312 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CHICAGO 1 MERCY HOSPITAL CADILLAC FOUNDATION 1820 44TH ST SE KENTWOOD MI 49508 203357131 FOUNDATION MI 501(C)(3) LINE 11A, I TRINITY HEALTH-MICHIGAN 1 MERCY HOSPITAL INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 590791034 HEALTHCARE SERVICES (INACTIVE) FL 501(C)(3) LINE 11B, II TRINITY HEALTH CORPORATION 1 MERCY HOSPITAL INC C/O SPHS 1221 MAIN STREET SUITE 213 HOLYOKE MA 01040 043398280 HEALTHCARE AND HOSPITAL SERVICES MA 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORPORATION INC 1 MERCY LIFE CENTER CORPORATION 1200 REEDSDALE STREET PITTSBURGH PA 15233 251604115 COMMUNITY OUTREACH PA 501(C)(3) LINE 9 PITTSBURGH MERCY HEALTH SYSTEM 1 MERCY LIFE OF ALABAMA PO BOX 7957 MOBILE AL 36670 273163002 PACE PROGRAM AL 501(C)(3) LINE 3 TRINITY HEALTH PACE 1 MERCY LIFE INC C/O SPHS 1221 MAIN STREET SUITE 213 HOLYOKE MA 01040 453086711 PACE PROGRAM MA 501(C)(3) LINE 3 SISTERS OF PROVIDENCE CARE CENTERS INC 1 MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA ONE WEST ELM STREET SUITE 100 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