2014-05-14T12:55:38-05:00 2013-06-30 990 2012-07-01 381358196 HACKLEY HOSPITAL HACK 2317284952 1700 CLINTON STREET PO BOX 3302 MUSKEGON MI 494433302 GARY ALLORE 2317284952 2014-05-09 2012 2016-02-25 16:41:14Z SEE SCHEDULE O FOR LIST ROGER SPOELMAN 1700 CLINTON STREET PO BOX 3302 MUSKEGON MI 494433302 183007740 0 X WWW.MERCY-HEALTHPARTNERS.ORG X 1932 MI TO PROVIDE HEALTHCARE SERVICES 14 11 0 205 399059 -130635 382753 1176715 174815359 175326899 1151962 -1642839 4173792 2978393 180523866 177839168 1350 7700 0 0 80957495 80742948 0 0 0 90115859 91444673 171074704 172195321 9449162 5643847 121952020 106210118 142885157 120085022 -20933137 -13874904 X TO PROVIDE HEALTHCARE SERVICES - SEE SCHEDULE H FOR MORE INFORMATION 0 0 146205334 7700 177968270 HACKLEY HOSPITAL IS A 213-BED, NOT-FOR-PROFIT HOSPITAL LOCATED IN THE CITY OF MUSKEGON, MICHIGAN, WITH A 100-YEAR TRADITION OF PROVIDING QUALITY MEDICAL SERVICES TO THE POPULATION OF WESTERN MICHIGAN.HACKLEY HOSPITAL PROVIDES HEALTH CARE SERVICES REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, OR THE ABILITY TO PAY. ALTHOUGH REIMBURSEMENT OF SERVICES RENDERED IS CRITICAL TO THE OPERATION AND FINANCIAL STABILITY OF HACKLEY HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS HAVE THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. THEREFORE, IN KEEPING WITH THE HOSPITAL'S MISSION, THE COMMUNITY IS PROVIDED THE FOLLOWING:1) FREE OR SUBSIDIZED MEDICAL CARE TO INCOME-ELIGIBLE PATIENTS,2) SUBSIDIZED CARE PROVIDED TO PERSONS COVERED BY GOVERNMENT PROGRAMS,3) DONATED COMMUNITY HEALTH ACTIVITIES AND PROGRAMS.SEE SCHEDULE H FOR MORE INFORMATION. MISSION:WE, CHE TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES. 146205334 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 1 0 0 1 259 1 1 0 1 1 0 0 0 0 0 0 0 0 0 X 14 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X TAMARA RICCO 6166853573 1820 44TH STREET SE KENTWOOD MI 49508 X ROGER SPOELMAN 20.00 30.00 X X 0 724012 125216 MICHAEL GLUHANICH 2.00 X X 0 0 0 T BRUCE FOX 2.00 X X 0 0 0 MARK FAZAKERLEY 2.00 X 0 0 0 MICHAEL K OLTHOFF 2.00 X 0 0 0 DANA BRYANT 2.00 X 0 0 0 GREGORY C PITTMAN JD 2.00 X 0 0 0 SR MARY D PALASZEKRSM 2.00 X 0 0 0 SR MYRA BERGMAN RSM 2.00 X 0 0 0 FRANK BEDNAREK 2.00 X 0 0 0 YOUSIF HAMATI MD 2.00 X 0 16800 0 CAMILLE S JOURDEN-MARK 2.00 X 0 0 0 REV TIMOTHY VANDER HAAR 2.00 X 0 0 0 AMY HEISSER 2.00 X 0 0 0 PHILIP MCCORKLE 2.00 48.00 X 0 653026 57962 GREGORY LOOMIS 20.00 30.00 X 0 368881 52203 GARY ALLORE 20.00 30.00 X 0 334125 39015 JOSEPH SWEDISH 2.00 53.00 X 0 3233500 601476 KEDRICK ADKINS 2.00 53.00 X 0 1821619 126167 JEFFREY ALEXANDER 20.00 30.00 X 0 296754 30781 F REMINGTON SPRAGUE 20.00 30.00 X 0 413646 52036 MARY BOYD 20.00 30.00 X 0 333380 43063 KIMBERLY MAGUIRE 20.00 30.00 X 0 254309 36450 J RICHARD O'CONNELL 2.00 53.00 X 0 1036410 130423 JEFFREY SEARS 50.00 X 0 494504 28990 IVAN D CARROLL 50.00 X 0 357165 32752 BRUCE OLSON 50.00 X 0 323997 44711 KEVIN HESS 50.00 X 0 252490 36422 CHARLES FELDT 50.00 X 0 230305 37110 MICHAEL MURPHY 0.00 X 0 180882 16630 JOHN RATCHFORD 0.00 50.00 X 0 313716 42479 0 11639521 1533886 0 1 1 0 PINE REST CHRISTIAN MENTAL HEALTH SVCS PO BOX 165 GRAND RAPIDS MI 49501 HEALTH CARE SERVICES 1473922 MUSKEGON SURGICAL ASSOCIATES 1316 MERCURY DR MUSKEGON MI 49444 HEALTH CARE SERVICES 857894 PENTAX MEDICAL COMPANY 3 PARAGON DRIVE MONTVALE NJ 07645 MEDICAL PRODUCT SERVICES 535788 WEST MICHIGAN SHARED HOSPITAL LAUNDRY 3003 WALKENT DR NW GRAND RAPIDS MI 49544 LAUNDRY SERVICES 517784 UNITED EMERGENCY SERVICES 1140 MONROE AVE STE 150 GRAND RAPIDS MI 49503 HEALTH CARE SERVICES 470673 30 39359 385256 752100 1176715 NET PATIENT SVC REV 900099 175064570 175064570 REFERENCE LAB 621500 262329 262329 175326899 1605360 1605360 831325 57931 1575422 0 -744097 57931 -686166 -686166 82321 3313890 16630 -3313890 65691 -3248199 -3248199 202833 262630 -59797 -59797 MEDICARE/MEDICAID HIT 900099 1113652 1113652 CAFETERIA 900099 683926 683926 1926778 1790048 136730 3724356 177839168 177968270 399059 -1704876 7700 7700 79119 79119 60798323 57149968 3648355 4557994 4284450 273544 10789840 10141794 648046 4517672 4095909 421763 16528573 12187540 4341033 2024477 1661356 363121 8425261 68690 8356571 3874604 2020098 1854506 74000 35895 38105 80285 60659 19626 3330971 3330971 8037546 4016730 4020816 961137 961137 MEDICAL SUPPLIES 23529608 23529608 BAD DEBT 9601752 9601752 INTERCO PURCHASED SVCS 6298176 4530221 1767955 HOSPITAL PROVIDER TAX 4721603 4721603 3956680 3720134 236546 172195321 146205334 25989987 0 9834 6230 16167 15575 19844006 19540499 2614883 2534878 1055494 1985542 163436117 131407720 34737458 32028397 24786870 22165441 26419066 15836555 12468242 12097001 121952020 106210118 13261620 14211722 18806 72314 129604731 105800986 142885157 120085022 X -23481811 -16151294 1056483 1343769 1492191 932621 -20933137 -13874904 121952020 106210118 X 5643847 1594232 -179846 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 10774 0 0 0 10774 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: HACKLEY HOSPITAL HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES. THESE GRANTS HAVE BEEN IN THE FORM OF MEMBERSHIP DUES PAID TO NATIONAL HEALTH CARE ORGANIZATIONS, WHERE THE ORGANIZATIONS HAVE PROVIDED HACKLEY HOSPITAL WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. 1492191 196957 756527 932621 1594320 -11173 90956 1492191 1636005 500 118553 160738 1594320 1473309 2600 160096 1636005 1472499 810 1473309 1.00000 1 0 5148000 5148000 86353272 67904882 18448390 68960489 60808446 8152043 2974356 2694392 279964 32028397 COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES 4847925 F EQUITY METHOD INVESTMENTS 5817510 C HEDGE FUNDS 5171120 F 15836555 INTERCOMPANY RECEIVABLES 11141457 MISCELLANEOUS RECEIVABLES 508216 OTHER LONG-TERM ASSETS 20672 INVESTMENT IN UNCONSOL. AFFILIATES 426656 12097001 INTERCOMPANY NOTES PAYABLE 93638222 INTERCOMPANY ACCOUNTS PAYABLE 10549871 OTHER CURRENT LIABILITIES 1207977 ASSET RETIREMENT OBLIGATION (FIN 47) 384245 DEFERRED COMPENSATION LIABILITY 20671 105800986 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: SOME OF HACKLEY HOSPITAL'S ENDOWMENT FUNDS ARE FOR PATIENT RELATED PURPOSES. OTHER HACKLEY ENDOWMENT FUNDS ARE FOR NURSING EDUCATION AND TRAINING. 1 1 X 1 X 1 X 1 1 1 0 1 1 1 25571 6410549 1377924 5032625 0.03100 1 50947 33225257 27421196 5804061 0.03570 3 2637 2845007 2284851 560156 0.00340 5 79155 42480813 31083971 11396842 0.07010 9 13673 1206162 179376 1026786 0.00630 1 1277235 72927 1204308 0.00740 1 1501 12581141 6616901 5964240 0.03670 1 5251 5251 0.00000 12 15174 15069789 6869204 8200585 0.05040 17 94329 57550602 37953175 19597427 0.12050 3 3216 3216 0.00000 3 3216 3216 0 3486419 1065101 37011279 34458092 2553187 X 1 1 1 1 MERCY HEALTH PARTNERS HACKLEY CAMPUS

1700 CLINTON AVE MUSKEGON MI 49442

WWW.MERCYHEALTHMUSKEGON.COM X X X MERCY HEALTH PARTNERS HACKLEY CAMPUS 1 1 X X X X X X X X X X 12 1 1 1 X X X X X X X X X 0 0 1 1 200.000000000000 1 300.000000000000 1 X X X X X X 1 1 X X 1 0 X X X X 1 X 0 0 1 MERCY HEALTH PARTNERS LAKES CAMPUS

6401 PRAIRIE ST NORTON SHORES MI 49444

OUTPATIENT SERVICES, LAB, URGENT CARE, REHAB, IMAGING 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: HACKLEY HOSPITAL REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH IN ITS ANNUAL REPORT, AVAILABLE AT WWW.TRINITY-HEALTH.ORG.IN ADDITION, HACKLEY HOSPITAL INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. PART I, LINE 7: THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM. PART I, L7 COL(F): THE FOLLOWING NUMBER, $9,601,752, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F). PART II: COMMUNITY BUILDING ACTIVITIES - MERCY HEALTH IS ENGAGED IN THE COMMUNITY IN MANY WAYS. MERCY'S SISTER SIMONE COURTADE FUND PROVIDES GRANTS UP TO $10,000 TO SMALL NON-PROFITS THAT SERVE POOR AND UNDERSERVED POPULATIONS IN THE 3-COUNTY SERVICE AREA. THESE GRANTS ARE AWARDED TO ORGANIZATIONS THAT ADDRESS UNMET NEEDS IN THE COMMUNITIES. THE FY13 GRANTEES WERE:FIRST CONGREGATIONAL CHURCH SATURDAY MORNING BREAKFAST ADDRESSES FOOD INSECURITY OF UNDERSERVED POPULATION SEGMENTS IN THE NELSON NEIGHBORHOOD. SERVES A FREE WEEKLY BREAKFAST TO 280 PEOPLE. CATHOLIC CHARITIES LOAVES AND FISHES FOOD PANTRY PROVIDES FOOD AND REFERRALS TO 800 LOW-INCOME FAMILIES PER MONTH.CATHOLIC CHARITIES TEEN PARENT SERVICES PROVIDES HEALTH, PARENTING AND EDUCATION SERVICES TO TEENAGE PARENTS AND THEIR FAMILIES.CHRISTIANS FOR HEALTHCARE HEALTH ADVOCACY FOR LOW INCOME POPULATION SERVING AT-RISK PATIENTS WITH BP/DIABETES SCREENING AND REFERRAL TO PC HOMES.COMMUNITY ENCOMPASS MCLAUGHLIN GROWS FUNDING TO SUPPORT ORGANIC COMMUNITY FARM IN MCLAUGHLIN NEIGHBORHOOD. PROVIDES RESIDENTS ACCESS TO NUTRITIOUS, AFFORDABLE PRODUCE, FOSTERING A SENSE OF SOCIAL INTERACTION AND COMMUNITY. PRE- AND POST-TESTING IS PART OF MEASUREMENT IN THE EVALUATION SUCCESS. COMMUNITY ENCOMPASS SACRED SUDS PROVIDES LAUNDRY, SHOWER AND COMPUTER LAB ACCESS TO LOW-INCOME NEIGHBORHOOD; ORGANIZES NEIGHBORHOOD SELF-HELP AND AWARENESS PROJECTS.ESL MUSKEGON TUTOR-LEARNING ASSISTANT PROGRAM RECRUITS AND TRAINS NEW TUTORS UTILIZING THE LAUBACH ENGLISH AND READING CURRICULUM. EMPHASIS IS PLACED ON NON-ENGLISH SPEAKERS WITH AN OPTION OF STUDYING FOR THE CITIZENSHIP TEST. HOLTON COMMUNITY CENTER - HEALTH CHOICES PROGRAM ADDRESSES COMMUNITY HEALTH NEEDS BY PROVIDING FOOD PANTRY, COMMUNITY EDUCATION PROGRAMS, AND A COMMUNITY GARDEN. DEMONSTRATES COLLABORATION WITH OTHER COMMUNITY ORGANIZATIONS.LOVE INC HEALTHY EATING/HEALTHY LIVING PROVIDES THE APPLIANCES AND TRAINING NECESSARY TO RAISE THE NUTRITIONAL EDUCATIONAL LEVEL OF FAMILIES TO FOSTER STABILITY AND IMPROVED SCHOOL PERFORMANCE.MAP HEALTHY HELPING FOOD PANTRY DISTRIBUTES FOOD TO LOW-INCOME PEOPLE; PROVIDES HEALTHY EATING INFORMATION AND REFERRALS TO MSU EXTENSION FOR NUTRITION COUNSELING.MT. ZION COGIC CLUB 188PROVIDES MUSIC EDUCATION AND PERFORMANCE EXPERIENCE, MATH & READING PROGRAMS FOR STUDENTS AGES 5-8, PROMOTING CREATIVITY, COMMUNICATION, LEADERSHIP AND TEAMWORK SKILLS. KIDS FOOD BASKET SACK SUPPER PROGRAM IN MUSKEGON COUNTYPROVIDES SACK LUNCHES AT THE MARTIN LUTHER KING JR. ELEMENTARY SCHOOL.MAP COMMUNITY MEDICAL FUNDASSISTS 80 UNINSURED/UNDERINSURED PER MONTH TO OBTAIN PRESCRIPTION DRUGS, DURABLE MEDICAL EQUIPMENT AND SUPPLIES. MUSKEGON FAMILY WMCA YOUTH RECREATION PARKS PROGRAMTHE Y IS REPLACING A FOOD SERVICE AND RECREATION PROGRAM AT NEIGHBORHOOD PARKS NO LONGER OPERATED BY MUSKEGON HEIGHTS SCHOOL SYSTEM. THE 8-WEEK SUMMER PROGRAM SERVES 125-175 CHILDREN BETWEEN THE AGES OF 6 AND 16. THE MERCY HEALTH'S COLLABORATIVE, THE OCEANA COUNTY HEALTHCARE NEEDS AND OUTREACH SERVICES COMMITTEE MEETS AT THE LAKESHORE HOSPITAL TO BUILD A COMMUNITY OUTREACH & PLANNING FOR PREVENTION AND TREATMENT TO MEET THE HEALTH NEEDS OF UNDERSERVED RESIDENTS.SAFE KIDS WEST MICHIGAN IS A PROGRAM OF THE COMMUNITY DEVELOPMENT DEPARTMENT WORKING WITH WEST MICHIGAN FAMILIES TO PREVENT ACCIDENTAL INJURY TO CHILDREN AGES 0-14. COALITION BUILDINGTHE "COMMUNITY HEALTH IMPROVEMENT " PROGRAM INCLUDES COALITIONS LED BY MERCY HEALTH, TO DEVELOP COMMUNITY EFFORTS THAT ADDRESS HEALTH AND SAFETY ISSUES. THE MUSKEGON-OCEANA COUNTY HEALTH DISPARITIES REDUCTION COALITION WAS CONVENED IN 2010 TO ASSESS DISPARITIES IN ACCESS TO HEALTH CARE AND QUALITY OF CARE RELATING TO RACE, ETHNICITY AND LANGUAGE. THE COALITION COMPLETED A SECOND STRATEGIC ACTION PLAN IN AUGUST 2012 AND BEGAN IMPLEMENTING ITS PLAN IN FY13, STARTING IN JANUARY 2013. THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT NOTED DISPARITIES IN ACCESS TO CARE AND LANGUAGE SERVICES. SOCIAL SUPPORT SERVICES WERE ALSO NOTED AS SIGNIFICANT FACTORS CONTRIBUTING TO POOR HEALTH AMONG THE LOW-INCOME, UNINSURED AND MINORITY POPULATIONS OF MUSKEGON AND OCEANA COUNTIES. THE COALITION OF 59 INDIVIDUALS, REPRESENTING 33 COMMUNITY MEMBER ORGANIZATIONS FROM 3 COUNTIES, IS IN ITS THIRD YEAR OF A 3-YEAR GRANT AWARD TO IMPLEMENT ACTIVITIES AND PROGRAMS TO ADDRESS THE IDENTIFIED DISPARITIES. COALITION MEMBERS ARE CURRENTLY DISCUSSING PLANS FOR CONTINUING THE COALITION WITH SUSTAINING MEMBERS AND RESOURCES. THE COALITION WILL BE FOCUSING ON IMPROVED ACCESS TO CARE AND LANGUAGE SERVICES, HEALTH LITERACY, ASSURED QUALITY OF CARE AND SATISFACTORY PATIENT EXPERIENCE.THE HIV/AIDS COALITION IS SUPPORTED BY MERCY STAFF TO PROMOTE COMMUNITY AWARENESS, PUBLIC EDUCATION, AND TREATMENT RESOURCES. A STRATEGIC ACTION PLAN WAS COMPLETED IN 2011, AND PROGRESS IS BEING MADE ON IMPLEMENTING THE PLAN, STARTING WITH EXPANDING ITS MEMBERSHIP AND DEVELOPING PUBLIC AWARENESS EVENTS.HEALTH PROJECT'S AFRICAN AMERICAN LEADERSHIP TEAM WAS RECONVENED AND RE-CONSTITUTED IN 2012. IT IS IMPLEMENTING ITS 2012 STRATEGIC PLAN AND ASSISTING THE HOSPITAL SYSTEM IN DEVELOPING PROGRAMS AND PROCEDURES THAT AFFECT AFRICAN AMERICANS. DIABETES, HYPERTENSION, MENTAL HEALTH, HEALTH LITERACY AND PROVIDER CULTURAL COMPETENCY ARE ISSUES IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT AND CITED IN THE IMPLEMENTATION STRATEGY.DFC MUSKEGONTHE COALITION FOR A DRUG FREE MUSKEGON COUNTY CONTINUES ITS 8TH YEAR TO SUPPORT PREVENTION INITIATIVES TO REDUCE ALCOHOL, TOBACCO, AND OTHER DRUG USE OF MUSKEGON COUNTY YOUTH AND THEIR FAMILIES. THE COALITION CONVENES SIX ACTIVE SUBGROUPS FOCUSING ON DATA AND ACTIVE ISSUE-ORIENTED INITIATIVES.MUSKEGON ALCOHOL LIABILITY INITIATIVE (ALI)MUSKEGON ALI SUPPORTS ENHANCED LAW ENFORCEMENT EFFORTS AIMED AT ALCOHOL CONSUMPTION AND PURCHASE BY YOUTH, AS WELL AS STUDENT EDUCATION ON THE RISKS ASSOCIATED WITH DRINKING AND DRIVING. MUSKEGON ALI PARTNERS WITH SCHOOL SYSTEMS TO REINFORCE POSITIVE BEHAVIOR BASED ON RECOMMENDATIONS OF MICHIGAN'S INTEGRATED BEHAVIOR AND LEARNING SUPPORT INITIATIVE (MIBLSI). KNOWSMOKE THE KNOWSMOKE COALITION IS WORKING WITH THE COUNTY PUBLIC HEALTH AND COMMUNITY MENTAL HEALTH ON EFFORTS TO DESIGNATE ALL CAMPUSES, PARKS, AND BEACHES "SMOKE FREE." THE COALITION AND THE TEEN HEALTH CENTER YOUTH ADVISORY COMMITTEE WORKED TOGETHER TO DEVELOP SMOKE-FREE MESSAGES FOR DISPLAY IN SCHOOL ENVIRONMENTS.MUSKEGON AREA MEDICATION DISPOSAL PROGRAM (MAMDP)COALITION MEMBERS ESTABLISHED PERMANENT DISPOSAL SITES AT 13 POLICE STATIONS, 8 RETAIL PHARMACIES AND HOLDS TWO MEDICATION TAKE-BACK EVENTS EACH YEAR IN APRIL AND OCTOBER. THE GROUP COORDINATES LAW ENFORCEMENT AND PHYSICIAN WORKGROUP TO ENHANCE COMMUNICATION AND SHARE INFORMATION REGARDING THE TAKE BACK PROGRAMS, RISK MANAGEMENT OF DRUG USERS, AND LEGAL ISSUES SURROUNDING DIVERSION.PARTNERSHIP FOR SUCCESS II - TEAM MUSKEGON IS ONE OF EIGHT COMMUNITIES INCLUDED IN THE THREE-YEAR PARTNERSHIP GRANT FROM THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH'S BUREAU OF SUBSTANCE ABUSE SERVICES. IT IS A COMPREHENSIVE EFFORT LED BY THE COALITION FOR DRUG FREE MUSKEGON COUNTY TO BRIDGE THE GAP BETWEEN PREVENTION, SUBSTANCE ABUSE TREATMENT AND PRIMARY CARE. MUSKEGON END OF LIFE COALITIONTHE HEALTH PROJECT RECONVENED THE MUSKEGON END OF LIFE COALITION TO INITIATE PROFESSIONAL TRAINING AND PUBLIC AWARENESS CAMPAIGN ON THE USE OF ADVANCE CARE DIRECTIVES. IT IS PROVIDING COMPREHENSIVE TRAINING FOR MUSKEGON COUNTY MEDICAL PROFESSIONALS. THE COALITION INCLUDES LAKESHORE HEALTH NETWORK, MERCY HEALTH HOSPICE, HARBOR HOSPICE, AND LIFE CIRCLES. PART III, LINE 4: HACKLEY HOSPITAL IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE FROM PAGE 17 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 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 MINISTRY ORGANIZATION AND 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 2: METHODOLOGY USED FOR LINE 2 - BAD DEBT EXPENSE REPORTED ON LINE 2 IS SHOWN AT COST AND WAS CALCULATED USING A COST TO CHARGE RATIO METHODOLOGY.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: HACKLEY HOSPITAL USES A PREDICTIVE MODEL THAT INCORPORATES THREE DISTINCT VARIABLES IN COMBINATION TO PREDICT WHETHER A PATIENT QUALIFIES FOR CHARITY: (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. FY13 WAS THE FIRST YEAR HACKLEY HOSPITAL UTILIZED THE PREDICTIVE MODEL WITH RESULTS USED FOR ANALYSIS ONLY. STARTING IN FY14, HACKLEY HOSPITAL IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. PART III, LINE 8: HACKLEY HOSPITAL DOES NOT BELIEVE ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS IS SIMILAR TO CHA RECOMMENDATIONS, WHICH STATE THAT SERVING MEDICARE PATIENTS IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTHCARE 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. MERCY HEALTH PARTNERS HACKLEY CAMPUS PART V, SECTION B, LINE 1J: MERCY HEALTH 2013 CHNA ALSO INCLUDED:- INTRODUCTION AND MISSION REVIEW STATEMENT- LOOKING BACK AT THE 2009 CHNA: A PROGRESS REPORT- REFLECTIONS ON THE CHNA PROCESS: LESSONS LEARNED AND NEXT STEPS- 9 APPENDICES, INCLUDING (FOR ALL 3 COUNTIES): COMMUNITY, HEALTH AND ENVIRONMENTAL DATA TABLES; HEALTH DISPARITIES INDICATORS & REPORT CARD; UNIVERSITY OF WISCONSIN COUNTY HEALTH RANKINGS DATA; CALL 2-1-1 TOP HEALTH CARE AND RELATED SERVICE REQUESTS AND UNMET NEEDS; 2012 MICHIGAN PROFILE FOR HEALTH YOUTH SURVEY RESULTS; CONSUMER HEALTH ISSUES SURVEY QUESTIONNAIRE; COMMUNITY PARTICIPANTS IN FOCUS GROUPS. MERCY HEALTH PARTNERS HACKLEY CAMPUS PART V, SECTION B, LINE 3: THE CHNA PROCESS BEGAN WITH A STEERING COMMITTEE REPRESENTING A BROAD RANGE OF INTERESTS IN THE 3-COUNTY SERVICE AREA. PARTNER ORGANIZATIONS THAT PARTICIPATED INCLUDED: HEALTH PROJECT ADVISORY BOARD, UNITED WAY OF THE LAKESHORE, MUSKEGON COUNTY PUBLIC HEALTH, DISTRICT HEALTH DEPARTMENT #10, LAKESHORE HEALTH NETWORK, WESTSHORE PHARMACY, MERCY VNS & HARBOR HOSPICE, COMMUNITY MENTAL HEALTH SERVICES OF MUSKEGON COUNTY, WEST MICHIGAN COMMUNITY MENTAL HEALTH SYSTEM, HACKLEY COMMUNITY CARE CENTER (FQHC), MUSKEGON FAMILY CARE (FQHC), COMMUNITY ACTON LINE OF THE LAKESHORE (CALL 2-1-1), MUSKEGON AREA INTERMEDIATE SCHOOL DISTRICT, GRAND VALLEY STATE UNIVERSITY, UNITED WAY OF MASON COUNTY, CHILD ABUSE COUNCIL OF MUSKEGON COUNTY, AND PADNOS ALUMINUM. COMMUNITY PARTICIPATION AND INPUT: A SERIES OF ACTIVITIES AND CORRESPONDING STEPS WERE TAKEN TO ACHIEVE BROAD PUBLIC PARTICIPATION IN IDENTIFYING THE HEALTH CARE ISSUES AND NEEDS OF THE COMMUNITY. THE ACTIVITIES INCLUDED THE EXECUTION OF A DETAILED CONSUMER HEALTH SURVEY, ONE-ON-ONE INTERVIEWS WITH HEALTH CARE RECIPIENTS, INPUT FROM NATIVE AMERICANS GENERATED THROUGH LOCALLY ARRANGED TALKING CIRCLES, AND THE FACILITATION OF A SEQUENCE OF COMMUNITY CONVERSATIONS AND FOCUS GROUPS. A CONSUMER HEALTH ISSUES SURVEY INCORPORATED A RANGE OF QUESTIONS FOCUSING ON THE DEMOGRAPHIC CHARACTERISTICS AND PERSONAL WELL-BEING OF RESPONDENTS AND THEIR HOUSEHOLD MEMBERS, FEEDBACK ON ABILITY TO ACCESS HEALTH CARE SERVICES AND THE QUALITY OF CARE RECEIVED. SURVEY METHODOLOGIES INCLUDED VOLUNTEER-ADMINISTERED PAPER QUESTIONNAIRES AND ONLINE SURVEY VIA THE USE OF SURVEYMONKEY. FACILITATED COMMUNITY CONVERSATIONS TOOK PLACE IN TWO COUNTIES FOR A PERIOD OF 2-3 HOURS TO DISCUSS TOPICS RAISED BY THE SURVEY. FOCUS GROUPS WERE CONDUCTED AROUND THE TOPICAL AREAS RAISED IN THE SURVEYS AND FORUMS, INCLUDING ONE PHYSICIAN FOCUS GROUP. ONE-ON-ONE INTERVIEWS WERE CONDUCTED BY TRAINED INTERVIEWERS IN BOTH ENGLISH AND SPANISH WITH RESIDENTS ON THEIR HEALTH CARE EXPERIENCES.MERCY HEALTH'S 2013 CHNA INCLUDES THE FOLLOWING INFORMATION ELEMENTS: 1) DEMOGRAPHIC INFORMATION, HEALTH AND ENVIRONMENTAL DATA, DATA ON HEALTH DISPARITIES2) CONSUMER SURVEY, ADMINISTERED VIA PAPER QUESTIONNAIRES AT A VARIETY OF COMMUNITY VENUES AND ELECTRONIC MEDIA. RESPONSES TO THE SURVEY INCLUDED 2,084 SURVEYS.3) FOUR COMMUNITY FORUMS, CALLED "COMMUNITY CONVERSATIONS", IN TWO OF THE THREE COUNTIES. ABOUT 160 PEOPLE PARTICIPATED IN THE FOUR CONVERSATIONS.4) TEN FOCUS GROUPS ON DIFFERENT TOPICAL AREAS. SEVENTY-FIVE PEOPLE PARTICIPATED.5) FIFTY-TWO ONE-ON-ONE INTERVIEWS WERE CONDUCTED WITH CURRENT AND FORMER PATIENTS OF THE LOCAL HEALTH SYSTEM AND HUMAN SERVICE PROVIDERS. MERCY HEALTH PARTNERS HACKLEY CAMPUS PART V, SECTION B, LINE 4: THE 2013 CHNA WAS CONDUCTED WITH THE THREE HOSPITAL SYSTEM FACILITIES COMPRISING MERCY HEALTH: MERCY HEALTH/MERCY CAMPUS; MERCY HEALTH/HACKLEY CAMPUS AND MERCY HEALTH/LAKESHORE CAMPUS. THE MERCY AND HACKLEY CAMPUSES ARE ACUTE FACILITIES LOCATED IN MUSKEGON COUNTY, SERVING MUSKEGON, OCEANA AND NEWAYGO COUNTIES. THE LAKESHORE CAMPUS IS A CRITICAL CARE FACILITY SERVING OCEANA AND NEWAYGO COUNTIES MERCY HEALTH PARTNERS HACKLEY CAMPUS PART V, SECTION B, LINE 5C: MERCY HEALTH'S MARKETING DEPARTMENT PUBLISHED A 4-PAGE CHNA SUMMARY IN NOVEMBER 2012 AS AN INSERT IN THE LOCAL NEWSPAPER, THE MUSKEGON CHRONICLE, WITH AN APPROXIMATE CIRCULATION OF 35,000. A 10,000 COPY OVER-RUN WAS PRINTED AND HAS BEEN USED REPEATEDLY BY MERCY PERSONNEL FOR DISTRIBUTION AT MEETINGS, SPEAKING ENGAGEMENTS, CONFERENCES AND A VARIETY OF COMMUNITY OUTREACH EVENTS. IT IS ALSO AVAILABLE AT HEALTH PROJECT OFFICES AND ALL THREE MERCY HEALTH CAMPUSES.LINE 5A: HTTP://WWW.MERCYHEALTHMUSKEGON.COM/DOCUMENTS/MERCYHEALTHPARTNERS-MUSKEGON/MU68330%20HACKLEYCHNABOOK%20912.PDF MERCY HEALTH PARTNERS HACKLEY CAMPUS PART V, SECTION B, LINE 7: THERE ARE 3 NEEDS IDENTIFIED IN THE 2013 CHNA THAT THE HOSPITAL SYSTEM HAS NOT ADDRESSED:1. OBESITY, NUTRITION EDUCATION & ACCESS TO HEALTHY FOODS - IT WAS DETERMINED THAT THESE ISSUES ARE BEYOND THE PURVIEW AND CAPACITY FOR THE HOSPITAL SYSTEM TO ADDRESS. RATHER, DURING THE CHNA RANKING SESSIONS THEY WERE PLACED IN THE 'PUBLIC HEALTH' AND 'COMMUNITY' DOMAINS FOR TAKING LEAD ROLES. HOSPITAL LEADERSHIP DETERMINED THAT THE HOSPITAL SYSTEM DOES NOT HAVE THE HUMAN AND FINANCIAL RESOURCES NEEDED TO AFFECT THE POPULATION HEALTH CHANGE REQUIRED. THIS IS MORE APPROPRIATELY THE WORK OF PUBLIC HEALTH, THE SCHOOL DISTRICTS, AND COMMUNITY ORGANIZATIONS LIKE MSU EXTENSION. HOWEVER, THE IMPLEMENTATION STRATEGY CALLS FOR DEVELOPING STRONGER RELATIONSHIPS WITH THE ONE IN '21 COMMUNITY WELLNESS GROUP, AS WELL AS ALIGNING WITH SIMILAR GROUPS WITHIN THE EDUCATIONAL AND BUSINESS COMMUNITIES TO DEVELOP COMMUNITY WIDE STRATEGIES. 2. TEEN PREGNANCY - AS A CATHOLIC ORGANIZATION, THE HOSPITAL SYSTEM'S ETHICAL AND RELIGIOUS DIRECTIVES PROHIBIT THE DISPENSATION OF CONTRACEPTIVE INFORMATION AND DEVICES TO PATIENTS. HOWEVER, THE HOSPITAL SYSTEM HAS AN OPERATION PROGRAM TO PREVENT LOW BIRTH WEIGHT BABIES AMONG HIGH-RISK PREGNANT WOMEN - A CATEGORY OF PATIENTS THAT INCLUDES TEENAGE AND YOUNGER PREGNANT WOMEN.3. NATIVE AMERICAN HEALTH SERVICES - ALTHOUGH THE HOSPITAL SYSTEM DELIVERS ALL HEALTH SERVICES TO INDIVIDUAL NATIVE AMERICAN PATIENTS, CONTRACT ISSUES GOVERNING THE TRIBAL HEALTH CLINIC, LOCATED IN MANISTEE COUNTY, HAVE RESTRAINED ITS ABILITY TO PROVIDE SOME SERVICES TO TRIBAL MEMBERS IN OUR SERVICE AREA WHO ARE COVERED BY THEIR TRIBAL HEALTH COVERAGE, AS THIS COVERAGE DOES NOT REIMBURSE FOR CARE OUTSIDE A LIMITED RADIUS OF THE RESERVATION. HOSPITAL SYSTEM LEADERSHIP IS SEEKING APPROACHES TO RESOLVE THESE CONTRACT ISSUES. MERCY HEALTH PARTNERS HACKLEY CAMPUS PART V, SECTION B, LINE 12H: 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 HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS. MERCY HEALTH PARTNERS HACKLEY CAMPUS PART V, SECTION B, LINE 14G: DUE TO THE COMPLEXITY OF THE POLICY, COPIES OF THE FULL POLICY ARE ONLY PROVIDED ON REQUEST. STATEMENTS PROVIDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AND THE NUMBER(S) TO CALL ARE PROVIDED TO PATIENTS AT PRE-REGISTRATION, REGISTRATION, ON THE HOSPITAL WEBSITE, POSTINGS IN REGISTRATION AREAS AND ADMISSIONS OFFICES, AND INCLUDED ON ALL BILLING STATEMENTS SENT TO THE PATIENT/GUARANTOR. MERCY HEALTH PARTNERS HACKLEY CAMPUS PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 201% AND 300% OF THE FPG RECEIVE A WRITE OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE COMMERCIAL CONTRACTUAL ADJUSTMENT FOR ALL COMMERCIAL PAYERS. PART VI, LINE 2: MERCY HEALTH ASSESSES THE HEALTH STATUS OF ITS COMMUNITY IN THE NORMAL COURSE OF OPERATIONS AND IN THE CONTINUOUS EFFORTS TO IMPROVE PATIENT CARE AND THE HEALTH OF THE OVERALL COMMUNITY. THE HOSPITAL MAY USE PATIENT DATA, PUBLIC HEALTH DATA, ANNUAL COUNTY HEALTH RANKINGS, MARKET STUDIES AND GEOGRAPHICAL MAPS SHOWING AREAS OF HIGH UTILIZATION FOR EMERGENCY SERVICES AND INPATIENT CARE, WHICH MAY INDICATE POPULATIONS OF INDIVIDUALS WHO DO NOT HAVE ACCESS TO PREVENTATIVE SERVICES OR ARE UNINSURED, IN THE ASSESSMENT OF THE COMMUNITY. ADDITIONALLY, SEVERAL COMMUNITY COALITIONS AND WORK GROUPS ARE CONVENED AND SUPPORTED BY THE HEALTH PROJECT, MERCY HEALTH'S COMMUNITY BENEFIT SERVICE. THESE COALITIONS DESCRIBED IN PART II, QUESTION 1 ABOVE MEET REGULARLY TO DISCUSS HEALTH PROBLEMS, ISSUES AND CONCERNS AFFECTING THEIR RESPECTIVE TOPICAL AREAS AND/OR AFFINITY CONSTITUENCIES. THESE ISSUES MAY OR MAY NOT BE CITED IN THE CHNA, BUT IN ANY CASE, THE HEALTH PROJECT BRINGS THE ISSUES TO THE ATTENTION OF THE APPROPRIATE HOSPITAL SYSTEM LEADERSHIP FOR REVIEW AND RESOLUTION ACTIVITIES, IF POSSIBLE. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - MERCY HEALTH PARTNERS - HACKLEY CAMPUS IS COMMITTED TO:- PROVIDING ACCESS TO QUALITY HEALTHCARE SERVICES WITH COMPASSION, DIGNITY AND RESPECT FOR THOSE WE SERVE, PARTICULARLY THE POOR AND THE UNDERSERVED IN OUR COMMUNITIES- CARING FOR ALL PERSONS, REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES- ASSISTING PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE CARE THEY RECEIVE - BALANCING NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO SUSTAIN VIABILITY AND PROVIDE THE QUALITY AND QUANTITY OF SERVICES FOR ALL WHO MAY NEED CARE IN A COMMUNITYIN ACCORDANCE WITH AMERICAN HOSPITAL ASSOCIATION RECOMMENDATIONS, MERCY HEALTH PARTNERS - HACKLEY CAMPUS HAS ADOPTED THE FOLLOWING GUIDING PRINCIPLES WHEN HANDLING THE BILLING, COLLECTION AND FINANCIAL SUPPORT FUNCTIONS FOR OUR PATIENTS: - PROVIDE EFFECTIVE COMMUNICATIONS WITH PATIENTS REGARDING HOSPITAL BILLS- MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE FINANCIAL SUPPORT PROGRAMS- OFFER FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS- IMPLEMENT POLICIES FOR ASSISTING LOW-INCOME PATIENTS IN A CONSISTENT MANNER- IMPLEMENT FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES FOR ALL PATIENTS WITH PATIENT PAYMENT OBLIGATIONS.MERCY HEALTH PARTNERS - HACKLEY CAMPUS EFFECTIVELY COMMUNICATES 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 AND EXTERNAL 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. MERCY HEALTH PARTNERS - HACKLEY CAMPUS OFFERS IN-PERSON SUPPORT WITH FINANCIAL COUNSELORS, CASHIERS AND THE MUSKEGON COMMUNITY HEALTH PROJECT (A PART OF MERCY HEALTH PARTNERS). ANY REGISTRAR CAN MAKE A CONNECTION TO PATIENTS. MERCY HEALTH PARTNERS PUBLISHES THE PHONE NUMBERS FOR OUR CALL-IN SUPPORT, AND SHARED SERVICES ALSO PROVIDES PHONE SUPPORT. MERCY HEALTH PARTNERS HAS AN EXTERNAL VENDOR, FIRSTSOURCE, AND WE ALSO WORK WITH DEPARTMENT OF HUMAN SERVICES STAFF.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 HEALTHCARE SERVICES. MERCY HEALTH PARTNERS UTILIZES AN EXTERNAL VENDOR AS AN EXTENSION OF HOSPITAL SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. HOWEVER, DETERMINATION FOR FINANCIAL SUPPORT CAN BE MADE DURING ANY STAGE OF THE PATIENT'S STAY AFTER STABILIZATION OR COLLECTION CYCLE.BEGINNING IN 2010, MERCY HEALTH PARTNERS - HACKLEY CAMPUS ESTABLISHED A SINGLE ENROLLMENT FORM, APPLICABLE TO ALL CAMPUSES, FOR FINANCIAL ASSISTANCE THAT INCLUDES GATHERING ALL THE INFORMATION AND DOCUMENTATION NECESSARY TO DETERMINE ELIGIBILITY AND ENROLLMENT FOR A VARIETY OF ASSISTANCE PROGRAMS, INCLUDING HEALTH COVERAGE, FOOD STAMPS, PHARMACEUTICAL ASSISTANCE PROGRAMS, VISION AND HEARING SERVICES, BEHAVIORAL AND MENTAL HEALTH SERVICES, CHRONIC DISEASE SELF MANAGEMENT EDUCATION, AND DRUG AND ALCOHOL ABUSE COUNSELING AND TOBACCO CESSATION EDUCATION. THE SINGLE ENROLLMENT FORM IS USED ON ALL MERCY HEALTH PARTNER CAMPUSES. MERCY HEALTH PARTNERS BEGAN DEPLOYING COMMUNITY HEALTH WORKERS FROM THE MUSKEGON COMMUNITY HEALTH PROJECT AT ALL CAMPUSES, TO WORK WITH HOSPITAL DISCHARGE PATIENTS AND ENSURE THAT ALL ELIGIBLE PATIENTS ARE ENROLLED IN APPLICABLE ASSISTANCE PROGRAMS. THE HEALTH PROJECT ALSO SCREENS AND ENROLLS RESIDENTS FROM ALL PARTS OF THE SERVICE AREA, USING WIDE-REACHING OUTREACH STRATEGIES AND TECHNIQUES TO ENGAGE UNINSURED AND UNDERSERVED POPULATIONS.MERCY HEALTH PARTNERS - HACKLEY CAMPUS 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 THE PUBLICATION OF PATIENT BROCHURES, NOTICES OR MESSAGING INCLUDED ON PATIENT BILLS; POSTING OF NOTICES IN PUBLIC REGISTRATION AREAS, INCLUDING EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING AND REGISTRATION DEPARTMENTS; HOSPITAL PATIENT ACCOUNTING DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES THAT ARE LOCATED ON OUR CAMPUSES. SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE TO ACCESS HEALTH, AMERICAN RED CROSS, BENSON DRUGS, CATHOLIC CHARITIES OF WEST MICHIGAN, CITY OF MUSKEGON, CITY OF MUSKEGON HEIGHTS, COMMUNITY ACCESS LINE OF THE LAKESHORE, COMMUNITY MENTAL HEALTH SERVICES OF MUSKEGON COUNTY, COOPERATING CHURCHES, DISABILITY CONNECTION OF WEST MICHIGAN, EVERY WOMAN'S PLACE, GOODWILL INDUSTRIES, HACKLEY COMMUNITY CARE CENTER, HACKLEY PHARMACIES, LIFE COUNSELING, LIONS CLUBS OF MUSKEGON COUNTY, MISSION FOR AREA PEOPLE, MUSKEGON COUNTY PUBLIC HEALTH, MUSKEGON COUNTY DEPARTMENT OF HUMAN SERVICES/FAMILY RESOURCE CENTERS, MUSKEGON FAMILY CARE, MUSKEGON/OCEANA MICHIGAN WORKS!, THE SALVATION ARMY, SENIOR RESOURCES, URBAN LEAGUE, WESTSHORE PHARMACY, AND WEST MICHIGAN THERAPY. INFORMATION REGARDING FINANCIAL ASSISTANCE PROGRAMS IS ALSO AVAILABLE ON THE MERCY HEALTH PARTNERS' WEBSITE, AS WELL AS IN THE ADMISSION PACKAGE. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN SPANISH, REFLECTING THE OTHER PRIMARY LANGUAGE SPOKEN BY THE POPULATION SERVED BY OUR HOSPITAL. MERCY HEALTH PARTNERS HAS ESTABLISHED A WRITTEN POLICY, APPLICABLE TO ALL CAMPUSES, FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. MERCY HEALTH PARTNERS 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. MERCY HEALTH PARTNERS EDUCATES STAFF MEMBERS WHO WORK CLOSELY WITH PATIENTS (INCLUDING THOSE WORKING IN PATIENT REGISTRATION AND ADMITTING, FINANCIAL ASSISTANCE, CUSTOMER SERVICE, BILLING AND COLLECTIONS) ABOUT THESE POLICIES, WITH AN EMPHASIS ON TREATING ALL PATIENTS WITH DIGNITY AND RESPECT REGARDLESS OF THEIR INSURANCE STATUS OR THEIR ABILITY TO PAY FOR SERVICES. MERCY HEALTH PARTNERS' FRONTLINE REGISTRATION ASSOCIATES, CASHIERS AND THE MUSKEGON COMMUNITY HEALTH PROJECT RECEIVE TRAINING ON MAKING A CONNECTION TO A FINANCIAL COUNSELOR. PART VI, LINE 4: COMMUNITY INFORMATION - MERCY HEALTH PARTNERS - HACKLEY CAMPUS' SERVICE AREA INCLUDES NEWAYGO, OCEANA AND MUSKEGON COUNTIES, LOCATED IN CENTRAL WEST MICHIGAN, ON OR NEAR THE SHORELINE OF LAKE MICHIGAN. TOTAL POPULATION OF THE SERVICE AREA IS ABOUT 250,000 AND IS COMPRISED OF BOTH SIGNIFICANT RURAL AND URBAN AREAS. THE RURAL AREA IS CHARACTERIZED BY A CHIEFLY AGRICULTURAL, RECREATION AND TOURISM ECONOMY. THE METROPOLITAN AREA OF ABOUT 120,000 IS COMPRISED OF FIVE CITIES; THE LARGEST OF WHICH IS THE CITY OF MUSKEGON, WITH A POPULATION OF 38,401. MUSKEGON'S ECONOMY IS LARGELY MANUFACTURING AND SERVICE INDUSTRIES. THE POPULATION IS GENERALLY DIVERSE WITH MANY ETHNIC AND RACIAL POPULATION SEGMENTS. THE METROPOLITAN AREA HAS A SIGNIFICANT AFRICAN-AMERICAN POPULATION, WHILE OCEANA COUNTY HAS A HIGHER CONCENTRATION OF HISPANIC RESIDENTS.MUSKEGON COUNTY IS HOME TO THE COUNTY'S MAJOR HOSPITAL SYSTEM, MERCY HEALTH PARTNERS, WHICH RECENTLY MERGED WITH HACKLEY HOSPITAL AND NOW INCLUDES FOUR CAMPUSES, INCLUDING LAKESHORE HOSPITAL IN OCEANA COUNTY. BASED ON THE 2010 CENSUS, THERE WERE 172,188 PEOPLE, 65,654 HOUSEHOLDS, AND 44,690 FAMILIES RESIDING IN THE COUNTY. THE RACIAL MAKEUP WAS APPROXIMATELY 80% CAUCASIAN, 14.5% BLACK AND 1.3% FOR NATIVE AMERICAN, ASIAN, AND PACIFIC ISLANDER. THE MEDIAN HOUSEHOLD INCOME WAS $38,916, AND THE MEDIAN INCOME FOR A FAMILY WAS $51,519. ABOUT 12.4% OF FAMILIES AND 18.6% OF THE POPULATION WERE BELOW THE POVERTY LINE, INCLUDING 22.4% OF THOSE UNDER AGE 18 AND 8.7% OF THOSE AGES 65 OR OVER.OCEANA COUNTY IS A RURAL COUNTY ROUGHLY 41 MILES NORTH OF MUSKEGON AND 75 MILES NORTHWEST OF GRAND RAPIDS. THE RACIAL MAKEUP ACCORDING TO THE 2010 CENSUS WAS 91.9 % CAUCASIAN, WITH AFRICAN-AMERICAN, ASIAN, AND PACIFIC ISLANDER EACH COMPRISING 1.5% OF THE TOTAL POPULATION. ROUGHLY 13% OF THE POPULATION WAS HISPANIC OR LATINO, THE HIGHEST PERCENTAGE OF LATINOS OF ANY COUNTY IN MICHIGAN. RECENT ESTIMATES SHOW THE PERCENTAGE OF LATINOS AND AFRICAN-AMERICANS TO BE INCREASING, WHILE THE PERCENTAGE OF NON-HISPANIC WHITES IS DECREASING. THE CENSUS BUREAU ESTIMATES THE 2010 COUNTY POPULATION AT 26,570. THE AVERAGE HOUSEHOLD SIZE WAS 2.6 AND THE AVERAGE FAMILY SIZE WAS 3.04 IN 2010. MEDIAN INCOME WAS $39,543.NEWAYGO COUNTY IS HOME TO NESTLE-GERBER INDUSTRIES AND THE GERBER MEMORIAL HEALTH SERVICES, LOCATED IN FREMONT. THE GEOGRAPHIC PROXIMITY OF THE TWO URBAN CENTERS RESULTS IN SOME COUNTY RESIDENTS TRAVELING TO THE MUSKEGON AREA FOR HEALTHCARE SERVICES WHILE OTHERS USE THE SERVICES AVAILABLE IN GRAND RAPIDS. BASED ON THE 2010 CENSUS, THE RACIAL MAKEUP WAS APPROXIMATELY 93.5% CAUCASIAN, 1.2% BLACK, AND 0.9% FOR NATIVE AMERICAN, ASIAN, AND PACIFIC ISLANDER. THE CENSUS BUREAU ESTIMATES THE 2010 COUNTY POPULATION AT 48,460. THE MEDIAN HOUSEHOLD INCOME WAS $43,218 AND THE MEDIAN INCOME FOR A FAMILY WAS $49,499. ABOUT 13.5% OF FAMILIES AND 17.3% OF THE POPULATION WERE BELOW THE POVERTY LINE, INCLUDING APPROXIMATELY 24.6% OF THOSE UNDER AGE 18 AND 8.4% OF THAT AGE 65 OR OVER. PART VI, LINE 5: OTHER INFORMATION - THE MAJORITY OF THE GOVERNING BODY IS COMPRISED OF PEOPLE WHO RESIDE IN THE MERCY HEALTH PARTNERS' (LAKESHORE CAMPUS, HACKLEY CAMPUS AND MERCY CAMPUS) PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS. SINCE MERCY HEALTH PARTNERS IS THE ONLY HOSPITAL IN MUSKEGON COUNTY, STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. SURPLUS FUNDS ARE ALLOCATED TO IMPROVEMENTS IN PATIENT CARE, MEDICAL EDUCATION AND RESEARCH. THE SERVICE AREA HAS VERY HIGH RATES OF UNINSURED (MUSKEGON COUNTY 14%; OCEANA COUNTY 18%; NEWAYGO COUNTY 16%)-SO MERCY HEALTH'S FOCUS HAS BEEN ON ACCESS TO CARE. MERCY HEALTH'S HEALTH PROJECT HAS BEEN VERY PROACTIVE IN WORKING WITH MEDICAL CLINICS AND THE TWO FQHCS. THE DESIGN OF A SINGLE ENROLLMENT PROCESS HAS PROVEN TO MAKE APPLYING FOR ASSISTANCE LESS CUMBERSOME. THE NEW FORM INCLUDES ALL INFORMATION ESSENTIAL FOR DETERMINING ELIGIBILITY FOR MULTIPLE HEALTH AND HUMAN SERVICES, THUS STREAMLINING THE PROCESS OF ASSISTING PATIENTS TO RECEIVE SERVICES. THE WHEELS OF MERCY, A MOBILE UNIT, IS TAKEN TO VARIOUS AREAS THROUGH THE THREE COUNTIES, PROVIDING BLOOD PRESSURE, DIABETES, PULMONARY FUNCTION, VISION AND CHOLESTEROL SCREENINGS. ENROLLMENT ASSISTANCE INTO VARIOUS PROGRAMS IS ALSO PROVIDED. THE GOAL IS TO ALLEVIATE MANY EMERGENCY DEPARTMENT VISITS BY SCREENING AND ALERTING PATIENTS TO TREATABLE PROBLEMS THAT COULD ESCALATE INTO LIFE-THREATENING SITUATIONS.HEALTH PROJECT - PHARMACEUTICAL ACCESS PROGRAM INCLUDES TWO PROGRAMS: 1) MEANS-TESTED ELIGIBILITY SCREENING AND ENROLLMENT APPLICATION FOR PHARMACEUTICAL COMPANY PAPS; AND 2) ASSISTANCE TO PROCURE INTERIM MEDICATIONS AND SUPPLIES DURING APPLICATION PROCESS PERIOD. THIS PROGRAM COMPLEMENTS MAP'S COMMUNITY MEDICATION FUND IN PROVIDING LOW-INCOME, UNINSURED PERSONS WITH THE PRESCRIPTION DRUGS THEY NEED TO MANAGE CHRONIC DISEASES. REFERRALS ARE MADE BETWEEN THE TWO ORGANIZATIONS TO KEEP PACE WITH THE INCREASING NEED. THERE ARE NO OTHER KNOWN PROGRAMS IN THE AREA THAT SUPPLY INTERIM MEDICATIONS TO PATIENTS WAITING TO BE ENROLLED IN THE PAPS. THE HEALTH PROJECT'S PROGRAM GETS SOME SUPPORT FROM SEVERAL SMALL GRANTS, PRIVATE AND PUBLIC, AS WELL AS PROCEEDS FROM AN ANNUAL FUNDRAISING WALKATHON. HOWEVER OVER 80% OF THE FUNDING SUPPORT COMES FROM THE HOSPITAL SYSTEM.HEALTH PROJECT STAFF WERE REGIONAL LEADS FOR THE PLANNING EFFORTS AROUND THE AFFORDABLE CARE ACT ENROLLMENT PREPAREDNESS AND HEALTH REFORM. STAFF PROVIDED TECHNICAL ASSISTANCE AND COACHING TO OTHER REGIONAL HEALTH MINISTRIES WITHIN THE ORGANIZATION AS WELL AS COORDINATED STAFF TRAINING. IN PREPARATION FOR HEALTH REFORM, INTERNAL FINANCIAL ASSISTANCE POLICIES NEEDED REVIEW TO ACCOMMODATE CHANGES UNDER HEALTH REFORM. HEALTH PROJECT STAFF PROVIDED STAFF TRAINING AND INPUT ON MAKING THESE CHANGES OPERATIONAL FOR COMMUNITY BENEFIT STAFF.CHRISTIANS FOR HEALTHCARE PROVIDES BLOOD PRESSURE AND DIABETES SCREENING TO LOW-INCOME PEOPLE, REFERRALS TO PRIMARY CARE AND SOCIAL SERVICES, AS WELL AS ADVOCACY AND EDUCATION ON ACCESS TO SERVICES. LOCAL DIABETES RATES ARE SIGNIFICANTLY HIGHER THAN THE MICHIGAN AVERAGE. PERSISTENTLY HIGH RATES OF DIABETES IN MUSKEGON AND OCEANA COUNTIES, ESPECIALLY AMONG AFRICAN AMERICANS AND HISPANICS, IS A KEY FINDING OF THE 2009 AND 2012 COMMUNITY HEALTH NEEDS ASSESSMENTS. INCREASED SCREENING, PATIENT EDUCATION AND EARLY INTERVENTION TREATMENTS ARE NEEDED TO CURB THE IMPACT OF DIABETES AND ITS COMPLICATIONS. THE CHNA ALSO NOTED THE DANGER OF INCREASING IMPACTS OF CHRONIC DISEASES DUE TO HEALTH DISPARITIES IN ACCESS TO CARE EXPERIENCED BY THE POOR AND MINORITY POPULATIONS.LAKESHORE INITIATIVE FOR EVERYBODY'S KIDNEYS (LIFE-K). LIFE-K IS A MULTIDISCIPLINARY COLLABORATIVE DESIGNED TO BOLSTER THE AWARENESS OF CHRONIC KIDNEY DISEASE (CKD) IN THE COMMUNITY WHILE PROMOTING SCREENING OF AT-RISK INDIVIDUALS, EARLY DIAGNOSIS OF CKD, AND EMPHASIZING PREVENTATIVE CARE - WITH THE ULTIMATE GOAL OF REDUCING CKD PROGRESSION AND THE INCIDENCE OF END STAGE RENAL DISEASE (ESRD) IN OUR COMMUNITY. THE HEALTH PROJECT SUPPORTS THE COLLABORATIVE GROUP WITH INITIATIVES THAT INCLUDE SCREENING AND NAVIGATION TO ADDITIONAL SERVICES, INCLUDING ADDITIONAL CARE MANAGEMENT. MERCY HEALTH'S DEPARTMENTS ARE AGGRESSIVELY INVOLVED IN COMMUNITY PROGRAMS. FOR INSTANCE OUTREACH AND ENROLLMENT SPECIALISTS CONDUCT HEALTH AND HUMAN SERVICE ELIGIBILITY SCREENS ON ALL UNINSURED PATIENTS AT THE TIME OF DISCHARGE FROM THE HOSPITAL OR EMERGENCY DEPARTMENT. INCLUDED IN THE SCREENING IS ELIGIBILITY FOR MEDICAID, SCHIP OR OTHER AVAILABLE HEALTH COVERAGE, FOOD ASSISTANCE PROGRAM, MERCY HEALTH'S FINANCIAL ASSISTANCE, ET AL. MERCY HEALTH PARTICIPATES IN THE UNITED WAY DAY OF CARING. ALSO, EVERY YEAR, THE HEALTHY-U EVENT IS CONDUCTED TO EDUCATE THE COMMUNITY ABOUT HEART HEALTH, AND PROVIDE WORKSHOPS AND PROGRAMS AT NO COST. SUPPORT FOR EVENTS, SUCH AS THE AFRICAN-AMERICAN DIABETES CONFERENCE, MEN'S HEALTH FAIR AND SCREENING, AND THE WALK FOR DIABETES ARE CONDUCTED TO RAISE FUNDS FOR PHARMACEUTICAL PRODUCTS FOR PEOPLE WHO CAN'T AFFORD THEM. MERCY HEALTH CONDUCTS EXTENSIVE COMMUNITY-BASED SCREENINGS AT CHURCHES AND OTHER VENUES AROUND THE COMMUNITY. COMMUNITY SERVICES ARE PROVIDED TO BENEFIT EVERYONE IN THE COMMUNITY, SUCH AS BIRTHING CLASSES. ALL OF MERCY HEALTH SUPPORTS THE USE OF FACILITIES BY NON-PROFIT ORGANIZATIONS FOR MEETINGS AND SUPPORT OF COMMUNITY BENEFIT ACTIVITIES. A CERTAIN PERCENT OF EARNINGS FROM THE SISTER SIMONE FUND IS REDIRECTED BACK TO COMMUNITY GROUPS FOR PROJECTS TO IMPROVE THE HEALTH OF THE COMMUNITY. MEDICAL AND ADMINISTRATIVE STAFFS SIT ON COMMUNITY COALITIONS THAT TARGET AREAS OF COMMUNITY NEED, INCLUDING HIV/AIDS; DIABETES; CHILDHOOD OBESITY; HEALTH DISPARITIES, ASTHMA; ALCOHOL, TOBACCO AND SUBSTANCE ABUSE; AND YOUTH RISK BEHAVIORS. MERCY HEALTH ALSO GIVES MONEY TO SUPPORT THE COMMUNITY ACCESS LINE OF THE LAKESHORE (CALL 2-1-1) INFORMATION AND REFERRAL PHONE LINE; ACCESS HEALTH, A "3-SHARE" MODEL COMMUNITY HEALTH COVERAGE PROGRAM; AS WELL AS VISION SERVICES. MERCY HEALTH (ALL CAMPUSES) ARE INVOLVED WITH "ALIGNING FORCES FOR QUALITY: EQUITY AND LANGUAGE QUALITY" TO MEET THE TRINITY EQUITY IN CARE PROCESS OF DETERMINING WHETHER INEQUITIES EXIST IN CARE DUE TO RACE OR ETHNICITY. MERCY HEALTH'S MERCY HEALTH PHYSICIAN PARTNERS CONTINUES TO LEAD A HEALTH LITERACY INITIATIVE IN ITS PRIMARY CARE PRACTICES TO PROMOTE THE PATIENT CENTERED MEDICAL HOME CONCEPT AND THE "TEACH BACK" METHOD TO ENSURE PATIENT UNDERSTANDING OF THEIR HEALTH CONDITIONS, PLAN OF CARE AND TREATMENT REGIMENS.IN PARTNERSHIP WITH MERCY HEALTH PHYSICIAN PARTNERS, THE HEALTH PROJECT HAS BEEN OPERATING THE MUSKEGON AREA MEDICATION DISPOSAL PROJECT (MAMDP) SINCE LATE 2010. THE MEDICATION TAKE-BACK PROJECT REDUCES YOUTH ACCESS TO NON-PRESCRIBED MEDICATIONS, REDUCES THE NUMBER OF EXPIRED AND POTENTIALLY UNSAFE MEDICATIONS, ASSISTS LAW ENFORCEMENT WITH NEIGHBORHOOD SAFETY FOR THOSE SEEKING OUT DRUGS IN MEDICINE CABINETS AND REDUCES THE ENVIRONMENTAL IMPACT ON WATER QUALITY. IN FY2012, MAMDP ESTABLISHED PERMANENT BOXES IN ELEVEN POLICE STATIONS AND PERMANENT COLLECTION SITES AT FIVE MERCY HEALTH RETAIL PHARMACIES. THEY ALSO HELD TWO COLLECTION EVENTS AT AREA FIRE STATIONS. SINCE 2010, THE MAMDP PROJECT COLLECTED 12,000 POUNDS OF MEDICATIONS AND SHARPS WITH OVER 1,100 POUNDS OF THE MATERIALS WERE CLASSIFIED AS CONTROLLED SUBSTANCES. OVER 400 POUNDS OF SHARPS WERE COLLECTED. PART VI, LINE 6: HACKLEY HOSPITAL IS A MEMBER OF CHE TRINITY HEALTH, THE SECOND-LARGEST CATHOLIC HEALTH CARE SYSTEM IN THE COUNTRY. CHE TRINITY HEALTH ANNUALLY REQUIRES THAT ALL MEMBER ORGANIZATIONS DEFINE - AND ACHIEVE - COMMUNITY BENEFIT GOALS THAT INCLUDE IMPLEMENTING NEEDED SERVICES OR EXPANDING ACCESS TO SERVICES FOR LOW-INCOME INDIVIDUALS. AS A NOT-FOR-PROFIT HEALTH SYSTEM, CHE TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITY 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. OVERALL, THE ORGANIZATION INVESTS MORE THAN $800 MILLION 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 EACH COMMUNITY'S SPECIFIC NEEDS. FOR MORE INFORMATION ABOUT CHE TRINITY HEALTH, VISIT WWW.NEWHEALTHMINISTRY.ORG. 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: DONATIONS MADE BY HACKLEY HOSPITAL TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE. DONATIONS ARE INCLUDED IN COMMUNITY BENEFITS IN SCHEDULE H IF THE CONTRIBUTION HAS BEEN FORMALLY RESTRICTED TO A COMMUNITY BENEFIT ACTIVITY THAT MEETS THE CRITERIA TO BE REPORTED ON SCHEDULE H. 0 1 0 0 0 0 0 0 0 ROGER SPOELMAN 0 467996 0 155249 0 100767 0 103021 0 22195 0 849228 0 25924 PHILIP MCCORKLE 0 427388 0 142458 0 83180 0 25000 0 32962 0 710988 0 0 GREGORY LOOMIS 0 299220 0 65260 0 4401 0 35430 0 16773 0 421084 0 0 GARY ALLORE 0 271400 0 61821 0 904 0 18951 0 20064 0 373140 0 0 JOSEPH SWEDISH 0 1402192 0 786411 0 1044897 0 572762 0 28714 0 3834976 0 520902 KEDRICK ADKINS 0 784856 0 366716 0 670047 0 112792 0 13375 0 1947786 0 265335 JEFFREY ALEXANDER 0 238239 0 57336 0 1179 0 26213 0 4568 0 327535 0 0 F REMINGTON SPRAGUE 0 334652 0 74043 0 4951 0 37632 0 14404 0 465682 0 0 MARY BOYD 0 268486 0 63551 0 1343 0 38644 0 4419 0 376443 0 0 KIMBERLY MAGUIRE 0 205121 0 48525 0 663 0 18904 0 17546 0 290759 0 0 J RICHARD O'CONNELL 0 607209 0 284428 0 144773 0 97104 0 33319 0 1166833 0 0 JEFFREY SEARS 0 489530 0 0 0 4974 0 20000 0 8990 0 523494 0 0 IVAN D CARROLL 0 347594 0 0 0 9571 0 17500 0 15252 0 389917 0 0 BRUCE OLSON 0 319261 0 0 0 4736 0 27125 0 17586 0 368708 0 0 KEVIN HESS 0 252490 0 0 0 0 0 12500 0 23922 0 288912 0 0 CHARLES FELDT 0 203694 0 18209 0 8402 0 15746 0 21364 0 267415 0 0 MICHAEL MURPHY 0 139488 0 0 0 41394 0 4650 0 11980 0 197512 0 0 JOHN RATCHFORD 0 304778 0 0 0 8938 0 26062 0 16417 0 356195 0 0 PART I, LINE 3 HACKLEY HOSPITAL IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. HACKLEY HOSPITAL'S CEO IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION FOR HACKLEY HOSPITAL'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4B THE FOLLOWING ARE PARTICIPANTS IN THE TRINITY HEALTH CASH BALANCE RESTORATION AND RETENTION PLAN, A NONQUALIFIED PLAN, WHICH PROVIDES RETENTION BENEFITS PLUS RETIREMENT BENEFITS FOR CERTAIN ASSOCIATES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($250,000 FOR 2012). THE FOLLOWING ACCRUALS FOR 2012 FOR THIS PLAN ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS - $100,292 RICHARD O'CONNELL - $77,104 ROGER SPOELMAN - $68,609 JOSEPH SWEDISH - $543,977 PART II: THE FOLLOWING INDIVIDUALS ARE VESTED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING VESTED SERP AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: KEDRICK ADKINS - $185,540 JOSEPH SWEDISH - $530,000 COLUMN F OF SCHEDULE J INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. BLUE CROSS BLUE SHIELD OF MICHIGAN F. REMINGTON SPRAGUE, KEY EMPLOYEE, IS TRUSTEE OF BLUE CROSS BLUE SHIELD-MI 28933834 NET REVENUE FROM PROVISION OF MEDICAL SERVICES 0 PAMELA ALEXANDER FAMILY MEMBER OF JEFFREY ALEXANDER, KEY EMPLOYEE 79119 EMPLOYMENT ARRANGEMENT 0 DOING BUSINESS AS FORM 990, PART I, ITEM C DBA: MERCY HEALTH PARTNERS-WORK PLACE HEALTH DBA: MERCY HEALTH PARTNERS, HACKLEY CAMPUS DBA: WORKPLACE HEALTH SAINT MARY'S DBA: WORKPLACE HEALTH WHITEHALL DBA: MERCY HEALTH HACKLEY DBA: HACKLEY CORNERSTONE FOUNDATION DBA: MCCLEES CLINIC DBA: MERCY HEALTH HACKLEY CAMPUS FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF HACKLEY HOSPITAL IS MERCY HEALTH PARTNERS. SEE LINE 7 FOR ADDITIONAL INFORMATION. FORM 990, PART VI, SECTION A, LINE 7A MERCY HEALTH PARTNERS IS THE SOLE MEMBER OF HACKLEY HOSPITAL. MERCY HEALTH PARTNERS HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF TRUSTEES OF HACKLEY HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER, MERCY HEALTH PARTNERS MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. MERCY HEALTH PARTNERS MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, A MATERIAL CHANGE IN MISSION, AND MODIFICATIONS TO GOVERNING DOCUMENTS. FORM 990, PART VI, SECTION B, LINE 11 PRIOR TO FILING, THE FORM 990 FOR HACKLEY HOSPITAL IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE BOARD OF TRUSTEES. 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 HACKLEY HOSPITAL HAS ADOPTED A CONFLICT OF INTEREST POLICY WHICH CONTAINS THE ELEMENTS IN THE MODEL CONFLICT OF INTEREST POLICY ISSUED BY THE IRS. IT APPLIES TO ALL "INTERESTED PERSONS" OF HACKLEY HOSPITAL, WHICH INCLUDES TRUSTEES, PRINCIPAL OFFICERS AND EXECUTIVES, AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS. INTERESTED PERSONS ARE REQUIRED TO ACT AT ALL TIMES IN A MANNER CONSISTENT WITH HACKLEY HOSPITAL'S CHARITABLE PURPOSE AND SERVICE TO THE COMMUNITY AND TO AVOID CONFLICTS OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO HACKLEY HOSPITAL OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE BOARD OF TRUSTEES OF HACKLEY HOSPITAL IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF TRANSACTIONS WITH INTERESTED PERSONS, INCLUDING DETERMINING THAT SUCH TRANSACTIONS ARE FAIR AND REASONABLE TO HACKLEY HOSPITAL. 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 REVIEWED WITH THE BOARD OF TRUSTEES OF HACKLEY HOSPITAL ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 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 CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF HACKLEY HOSPITAL ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS. FORM 990, PART VI, SECTION C, LINE 19 HACKLEY HOSPITAL IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE ANNUAL REPORT (WHICH INCLUDES COMMUNITY BENEFIT MINISTRY INFORMATION) AND CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, HACKLEY HOSPITAL INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON TRINITY HEALTH'S WEBSITE AS WELL AS MERCY HEALTH PARTNER'S WEBSITE (WWW.MERCY-HEALTHPARTNERS.ORG). TRUSTEES: FORM 990, PART VII, SECTION A: SR. MYRA BERGMAN, RSM IS A MEMBER OF THE RELIGIOUS SISTERS OF MERCY. HAVING TAKEN A VOW OF POVERTY, SR. MYRA DID NOT RECEIVE COMPENSATION FOR THE SERVICES SHE PROVIDED AS VICE PRESIDENT, MISSION SERVICES FOR SAINT MARY'S HEALTH CARE (A DIVISION OF TRINITY HEALTH - MICHIGAN). INSTEAD, A TOTAL OF $161,313 WAS PAID BY TRINITY HEALTH - MICHIGAN DIRECTLY TO THE SISTERS OF MERCY FOR SR. MYRA'S SERVICES. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: EQUITY TRANSFERS TO/FROM AFFILIATES -396. INDIGENT CARE AGREEMENT CONTRIBUTION -1,411,439. INDIGENT CARE AGREEMENT REVENUE 1,377,924. OTHER TRANSACTIONS -145,935. FORM 990, PART XII, LINE 2: HACKLEY HOSPITAL'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY13 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP 245 STATE ST SE GRAND RAPIDS MI 49503 272491974 HEALTHCARE SERVICES MI 501(C)(3) LINE 9 TRINITY HEALTH-MICHIGAN 0 AMICARE HOSPICE SERVICES INC 20555 VICTOR PARKWAY LIVONIA MI 48152 382949053 PROVIDE HOSPICE SERVICES MI 501(C)(3) LINE 9 TRINITY HOME HEALTH SERVICES INC 0 AUXILIARY OF HOLY ROSARY HOSPITAL 351 SW 9TH STREET ONTARIO OR 97914 943059469 SUPPORTS SERVICES OF RELATED HOSPITAL OR 501(C)(3) LINE 9 SAINT ALPHONSUS MEDICAL CENTER-ONTARIO 0 BAUM HARMON MERCY HOSPITAL 255 NORTH WELCH AVENUE PRIMGHAR IA 51245 421500277 ACUTE/AMBULATORY HEALTHCARE SERVICES IA 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP 0 BAUM HARMON MERCY HOSPITAL & CLINICS FOUNDATION 255 NORTH WELCH AVENUE PRIMGHAR IA 51245 262973307 SUPPORT THE SERVICES OF RELATED HOSPITAL IA 501(C)(3) LINE 11A, I BAUM HARMON MERCY HOSPITAL 0 CATHERINE MCAULEY HEALTH SERVICES CORP PO BOX 995 ANN ARBOR MI 48106 382507173 FURTHER TRINITY HEALTH ACTIVITIES, ORGANIZE AND DEVELOP MEDICAL SERVICES MI 501(C)(3) LINE 11B, II TRINITY HEALTH-MICHIGAN 0 CHE TRINITY INC 20555 VICTOR PARKWAY LIVONIA MI 48152 900931907 HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT IN 501(C)(3) LINE 11B, II N/A 0 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 0 CRANBROOK HOSPICE CARE 1111 W LONG LAKE RD STE 102 TROY MI 48098 383320699 PROVIDE HOSPICE HEALTH SERVICES MI 501(C)(3) LINE 11A, I TRINITY HOME HEALTH SERVICES INC 0 DILEY RIDGE MEDICAL CENTER 6150 EAST BROAD STREET COLUMBUS OH 43213 342032340 HOSPITAL CAMPUS IN FAIRFIELD COUNTY OHIO OH 501(C)(3) LINE 3 MOUNT CARMEL HEALTH SYSTEM 0 DUBUQUE MERCY HEALTH FOUNDATION INC 250 MERCY DRIVE DUBUQUE IA 52001 262227941 SUPPORT THE SERVICES OF RELATED HOSPITAL IA 501(C)(3) LINE 11A, I MERCY HEALTH SERVICES-IOWA CORP 0 DYERSVILLE HEALTH FOUNDATION INC 1111 3RD STREET SW DYERSVILLE IA 52040 205383271 SUPPORT THE SERVICES OF RELATED HOSPITAL IA 501(C)(3) LINE 11A, I MERCY HEALTH SERVICES-IOWA CORP 0 GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION 701 W NORTH AVE MELROSE PARK IL 60160 363332852 SUPPORT THE SERVICES OF RELATED HOSPITAL IL 501(C)(3) LINE 9 GOTTLIEB MEMORIAL HOSPITAL 0 GOTTLIEB MEMORIAL FOUNDATION 701 W NORTH AVE MELROSE PARK IL 60160 743260011 SUPPORT THE SERVICES OF RELATED HOSPITAL IL 501(C)(3) LINE 11C, III-FI N/A 0 GOTTLIEB MEMORIAL HOSPITAL 701 W NORTH AVE MELROSE PARK IL 60160 362379649 HEALTHCARE SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM 0 HACKLEY HOSPITAL 1700 CLINTON ST PO BOX 3302 MUSKEGON MI 494433302 381358196 HEALTHCARE SERVICES MI 501(C)(3) LINE 3 MERCY HEALTH PARTNERS 0 HACKLEY HOSPITAL SELF INSURANCE PROFESSIONAL LIABILITY TRUST PO BOX 3302 MUSKEGON MI 494433302 382299878 SELF INSURANCE FOR GENERAL AND MALPRACTICE LIABILITY MI 501(C)(3) LINE 11C, III-FI MERCY HEALTH PARTNERS 0 HACKLEY LIFE COUNSELING 1352 TERRACE ST MUSKEGON MI 494423545 381386362 COUNSELING, EDUCATION, AND SUPPORT MI 501(C)(3) LINE 9 MERCY HEALTH PARTNERS 0 HACKLEY VISITING NURSE SERVICES AND HOSPICE INC 888 TERRACE ST MUSKEGON MI 49440 381359598 PROVIDE HOME HEALTH CARE SERVICES MI 501(C)(3) LINE 7 MERCY HEALTH PARTNERS 0 HOLY CROSS CARENET INC PO BOX 9184 FARMINGTON HILLS MI 48333 521945054 LONG-TERM CARE AND REHABILITATION FOR THE ELDERLY MD 501(C)(3) LINE 9 TRINITY CONTINUING CARE SERVICES 0 HOLY CROSS HEALTH FOUNDATION INC 11801 TECH ROAD SILVER SPRING MD 20904 208428450 CHARITABLE FUNDRAISING MD 501(C)(3) LINE 11A, I HOLY CROSS HEALTH INC 0 HOLY CROSS HEALTH INC 1500 FOREST GLEN RD SILVER SPRING MD 209101484 520738041 HEALTHCARE SERVICES MD 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 0 HOLY CROSS MEDICAL CENTER 20555 VICTOR PARKWAY LIVONIA MI 48152 951985442 HEALTHCARE SERVICES (FORMERLY) CA 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 0 HOSPICE OF NORTH IOWA 232 SECOND STREET SE MASON CITY IA 504016208 421173708 HOSPICE HEALTH CARE SERVICES IA 501(C)(3) LINE 7 MERCY HEALTH SERVICES-IOWA CORP 0 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 HEALTH CARE SERVICES MI 501(C)(3) LINE 11A, I TRINITY HEALTH-MICHIGAN 0 IHA HEALTH SERVICES CORPORATION 24 FRANK LLOYD WRIGHT DR LOBBY J ANN ARBOR MI 48106 383316559 PROVIDES OFFICE-BASED MEDICAL CARE MI 501(C)(3) LINE 9 TRINITY HEALTH-MICHIGAN 0 LAKESHORE COMMUNITY HOSPITAL INC 72 S STATE STREET SHELBY MI 494551228 382549295 ACUTE HEALTHCARE SERVICES MI 501(C)(3) LINE 3 MERCY HEALTH PARTNERS 0 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 0 LOYOLA UNIVERSITY MEDICAL CENTER 2160 SOUTH FIRST AVENUE MAYWOOD IL 60153 364015560 HEALTHCARE SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM 0 MARIAN HOME HEALTHCARE 801 5TH STREET SIOUX CITY IA 51101 383320705 PROVIDE HOME HEALTH CARE SERVICES IA 501(C)(3) LINE 11A, I MERCY HEALTH SERVICES-IOWA CORP 0 MARYCREST HEIGHTS PO BOX 9184 FARMINGTON HILLS MI 48333 270291722 PROVIDES HOUSING FOR ELDERLY INDIVIDUALS MI 501(C)(3) LINE 11A, I TRINITY CONTINUING CARE SERVICES 0 MCAULEY CLINIC CORPORATION PO BOX 992 ANN ARBOR MI 48106 382561013 HEALTHCARE SERVICES (FORMERLY) MI 501(C)(3) LINE 3 CATHERINE MCAULEY HEALTH SERVICES CORP 0 MERCY AMICARE HOME HEALTHCARE OAKLAND 1111 W LONG LAKE RD STE 102 TROY MI 48098 383320698 PROVIDE HOME HEALTH CARE SERVICES MI 501(C)(3) LINE 11A, I TRINITY HOME HEALTH SERVICES INC 0 MERCY AMICARE HOME HEALTHCARE PORT HURON 505 HURON AVENUE PORT HURON MI 48060 383320701 PROVIDE HOME HEALTH CARE SERVICES MI 501(C)(3) LINE 11A, I TRINITY HOME HEALTH SERVICES INC 0 MERCY FOUNDATION INC 2525 SOUTH MICHIGAN AVENUE CHICAGO IL 60616 363227350 SUPPORTS THE SERVICES OF RELATED HEALTH CARE SYSTEM IL 501(C)(3) LINE 11A, I MERCY HEALTH SYSTEM OF CHICAGO 0 MERCY 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