2026-05-14T08:46:04-05:00 2025-06-30 990 2024-07-01 590791028 HOLY CROSS HOSPITAL INC HOLY 9547718000 4725 NORTH FEDERAL HIGHWAY FORT LAUDERDALE FL 333084603 ELENA BARBERIS REG VP OF FINANCE 9547718000 2026-05-14 1 2024 2025-03-06 01:10:19Z SEE SCHEDULE O FOR LIST PIERRE MONICE 4725 NORTH FEDERAL HIGHWAY FORT LAUDERDALE FL 333084603 750772583 0 X WWW.HOLY-CROSS.COM X 1952 FL TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES 17 13 4133 104 1550077 924982 9678974 11453322 635031449 713693150 4519063 4582286 14506949 20866494 663736435 750595252 268626 295154 0 0 333793005 360786077 0 0 1021469 329633699 373348413 663695330 734429644 41105 16165608 499408485 500518585 313378257 290827520 186030228 209691065 WE, HOLY CROSS HOSPITAL AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES. HOLY CROSS HOSPITAL IS A MEMBER OF TRINITY HEALTH. 0 0 695824928 295154 726454716 HOLY CROSS HOSPITAL IS A 557-BED COMMUNITY HOSPITAL LOCATED IN FT. LAUDERDALE, FLORIDA, IN OPERATION SINCE 1955. THE HOSPITAL SPECIALIZES IN HEART BYPASS SURGERY, HIP AND KNEE REPLACEMENT, HEART FAILURE, AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE. THE HOSPITAL IS ALSO WELL-REGARDED IN THE SPECIALTIES OF GERIATRICS, GYNECOLOGY, ORTHOPEDICS AND UROLOGY. IN FY25, THE HOSPITAL SERVED THE COMMUNITY BY PROVIDING OVER 84,000 DAYS OF INPATIENT CARE, AND OVER 632,000 OUTPATIENT VISITS. HOLY CROSS IS THE ONLY FAITH-BASED ACUTE CARE HOSPITAL IN BROWARD COUNTY.PLEASE VISIT SCHEDULE H AND THE WEBSITE FOR ADDITIONAL INFORMATION ABOUT SERVICES, RECOGNITIONS AND AWARDS: WWW.HOLY-CROSS.COM 695824928 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 1 0 0 1 349 0 1 4133 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 17 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 X PAUL HUCKLE 9199092920 4725 N FEDERAL HIGHWAY FT LAUDERDALE FL 333084603 ROBERT CASALOU DIR; INT PRES & CEO THR 5/25 10.00 50.00 X X 0 2157996 49044 MARK DOYLE DIRECTOR; PRESIDENT & CEO THR 11/24 53.00 2.00 X X 0 964704 870976 GUILLERMO DAVILA MD DIRECTOR, PHYSICIAN - OB/GYN 50.00 0.00 X 846914 0 51025 PIERRE MONICE GCHSC PRES-4/24; DIR., PRES AT 5/25 53.00 2.00 X X 0 706149 105220 LARONDA HALLER DIRECTOR; TRINITY SVP DEI 1.00 49.00 X 0 644212 153320 JON KOTLER MD DIR; PHY - NUCLEAR MED THR 12/24 50.00 0.00 X 15358 0 1049 RUDY MOLINET DIRECTOR; CHAIR 1.00 2.00 X X 0 0 0 KAREN O'BYRNE DIRECTOR; VICE CHAIR 1.00 0.00 X X 0 0 0 SYBIL ALFRED DIRECTOR AS OF 1/25 1.00 0.00 X 0 0 0 JONATHAN AYERS DIRECTOR 1.00 0.00 X 0 0 0 LINDA CARTER DIRECTOR 1.00 0.00 X 0 0 0 JOHN CUNHA MD DIRECTOR 1.00 0.00 X 0 0 0 PABLO GUZMAN MD DIRECTOR 1.00 0.00 X 0 0 0 KEITH KOENIG DIRECTOR THROUGH 12/24 1.00 0.00 X 0 0 0 FRITZ LAPORTE DIRECTOR 1.00 0.00 X 0 0 0 PATRICIA MCKAY DIRECTOR 1.00 0.00 X 0 0 0 TAMECKA MCKAY DIRECTOR AS OF 1/25 1.00 0.00 X 0 0 0 KATHLEEN MCMANUS RSM DIRECTOR 1.00 0.00 X 0 0 0 BRIAN NELSON DIRECTOR 1.00 0.00 X 0 0 0 MARIE PARKER RSM DIRECTOR 1.00 0.00 X 0 0 0 AHMED AMEEN WAHEED MD DIRECTOR AS OF 2/25 1.00 0.00 X 0 0 0 KATHERINE GORRELL SECRETARY; GENERAL COUNSEL 48.00 2.00 X 0 289036 40076 TODD RADOSEVICH TREASURER; VP OF FINANCE THR 7/24 48.00 2.00 X 103651 108832 33712 ELENA BARBERIS TREASURER; VP OF FINANCE AS OF 10/24 20.00 30.00 X 0 59597 5685 JOSE LOPEZ MD CHIEF MEDICAL OFFICER 50.00 0.00 X 0 609504 58343 AARON BROOKING DO PHYSICIAN - NEUROLOGIST 50.00 0.00 X 1811024 0 45867 ROSS WODICKA MD PHYSICIAN - ORTHOPEDICS 50.00 0.00 X 1597629 0 56948 DANIEL WEITZ MD PHYSICIAN - CARDIOLOGY 50.00 0.00 X 1579444 0 51737 WILLIAM BURKE MD PHYSICIAN - ORTHOPEDICS 50.00 0.00 X 1497516 0 54607 JOSHUA PUROW MD PHYSICIAN - ORTHOPEDICS 50.00 0.00 X 1453208 0 55574 STONISH PIERCE FORMER KEY EMPLOYEE; ST. MARY CEO 0.00 55.00 X 0 801650 192627 DOUGLAS STRONG FORMER OFFICER, HCH CEO THR 10/24 0.00 55.00 X 0 770383 23642 RONALD BRANDENBURG FORMER OFFICER 0.00 0.00 X 0 165924 3463 8904744 7277987 1852915 638 1 1 0 UNIVERSITY OF MIAMI 8932 SW 97TH AVE MIAMI FL 33176 PHYSICIAN SERVICES 9502582 MPL CONSTRUCTION CORP 5329 ATLANTIC AVE STE 205 DELRAY BEACH FL 33484 CONSTRUCTION SERVICES 8062810 CCS CAPTURIS LLC 3131 TECHNOLOGY DR NW MANDAN ND 58554 BILLING SERVICES 5315427 SHEARWATER HEALTH INC 20 BURTON HILLS BLVD STE 400 NASHVILLE TN 37215 STAFFING SERVICES 4352299 SOUND PHYSICIANS PO BOX 742936 LOS ANGELES CA 90074 PHYSICIAN SERVICES 3637504 123 336000 302500 66292 10748530 66638 11453322 NET PATIENT SERVICE REVENUE 622110 712537032 712537032 REFERENCE LAB 621500 1156118 1156118 713693150 1939460 1939460 4533109 0 4533109 4533109 4533109 2175351 467475 0 0 2175351 467475 2642826 2642826 57837 336000 168361 -110524 -110524 8558 8970 -412 -412 SUPPORT SERVICES REVENUE 622110 2746001 2746001 CAFETERIA REVENUE 722514 2132678 2132678 WELLNESS CENTER REVENUE 713940 396217 2258 393959 11169425 11169425 16444321 750595252 726454716 1550077 11137137 295154 295154 3188174 914346 2273828 220044 50657 169387 303298199 288792172 13768899 737128 12772249 12136779 604529 30941 22008781 20899300 1056210 53271 19298630 18177074 1066929 54627 897281 787526 109755 2842792 2842792 280 280 231405 231405 56918545 52626048 4174317 118180 2334849 381724 1947208 5917 3418221 3286344 128052 3825 22097202 17704797 4392405 19506496 17698492 1808004 683670 665641 12784 5245 151216 149751 724 741 5553086 5553086 30675172 29291860 1377491 5821 5693696 5693696 MEDICAL SUPPLIES 142360378 142360378 UBI TAX EXPENSE 202390 202390 I/C PURCHASED SERVICES 29858709 29810061 48648 BAD DEBT 25743720 25743720 24179305 22603932 1569600 5773 734429644 695824928 37583247 1021469 925279 382370 776741 3849473 107774267 100973088 9853848 11905081 2015659 1925609 759119411 527440006 222704935 231679405 71641440 69587001 27674653 25736464 180 56041483 54480094 499408485 500518585 109210534 88127465 96069 204071654 202700055 313378257 290827520 X 153402153 175815643 32628075 33875422 186030228 209691065 499408485 500518585 X 16165608 5978645 1516584 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 5898 0 0 0 5898 0 PART II-B, LINE 1: HOLY CROSS HOSPITAL HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR ADVOCACY PURPOSES. THESE GRANTS HAVE BEEN IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS, WHERE THE ORGANIZATIONS HAVE PROVIDED HOLY CROSS HOSPITAL WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR ADVOCACY ACTIVITIES. 1940752 674406 2615158 1940752 1940752 1940752 1940752 1940752 1940752 1940752 1940752 0.00000 1.00000 0.00000 0 0 7402305 7402305 398221814 249427553 148794261 4233274 4229084 4190 326972761 273783369 53189392 22289257 22289257 231679405 COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES 5147293 F HEDGE FUNDS 2573646 F EQUITY METHOD INVESTMENTS 18015525 C 25736464 OTHER LONG-TERM ASSETS 889977 INVESTMENT IN UNCONSOL. AFFILIATES 1448709 INTERCOMPANY OTHER LONG-TERM ASSETS 31055615 INTERCOMPANY ACCOUNTS RECEIVABLE 8968044 OPERATING LEASE RIGHT-OF-USE ASSETS 11126748 MISCELLANEOUS RECEIVABLES 991001 54480094 INTERCOMPANY ACCOUNTS PAYABLE 21504227 INTERCOMPANY NOTES PAYABLE 142180411 OTHER CURRENT LIABILITIES 11853817 DEFERRED COMPENSATION LIABILITY 6095159 ANNUITIES PAYABLE 534700 OVERDRAFT IN POOLED INVESTMENT 4074830 OPERATING LEASE LIABILITIES 14216106 OTHER LONG TERM LIABILITIES 2240805 202700055 PART V, LINE 4: ENDOWMENTS CONSIST OF FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES, ALL OF WHICH SUPPORT THE ORGANIZATION'S MISSION HCH GOLF CLASSIC 275515 217678 57837 27609 28758 27693 17245 TENNIS 24842 24842 4506 775 1 93480 93480 17516 16182 28077 393837 336000 57837 27609 50780 43875 46097 168361 -110524 1 1 X 1 X 1 X 1 1 1 0 1 1 18454 11801899 11801899 0.01670 1209 32119498 19155613 12963885 0.01830 19663 43921397 19155613 24765784 0.03500 18 58907 3059960 1266741 1793219 0.00250 3 241 1436589 1436589 0.00200 2 142835 11443373 11443373 0.01610 2 4445 214094 166879 47215 0.00010 25 206428 16154016 1433620 14720396 0.02070 25 226091 60075413 20589233 39486180 0.05570 1 25743720 0 159656620 153413887 6242733 X 1 1 1 PHYSICIANS OUTPATIENT SURGERY CENTER LLC AMBULATORY SURGERY CENTER 0.63790 0.02000 0.31540 1 1 HOLY CROSS HOSPITAL INC 4725 N FEDERAL HIGHWAY FORT LAUDERDALE FL 333084603 WWW.HOLY-CROSS.COM LICENSE # 4069 X X X HOLY CROSS HOSPITAL INC 1 0 0 1 X X X X X X X X X 24 1 0 0 1 X SEE SCHEDULE H, PART V, SECTION C X 1 24 1 SEE SCHEDULE H, PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X WWW.HOLY-CROSS.COM/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE X WWW.HOLY-CROSS.COM/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE X WWW.HOLY-CROSS.COM/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 HOLY CROSS HOSPITAL, INC. PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E:HOLY CROSS HOSPITAL (HOLY CROSS) INCLUDED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED FACILITATED SELECTION PROCESS: 1.) INCREASE ACCESS TO CARE A.) FOR THE UNINSURED B.) THROUGH COMMUNITY HEALTH WORKER SERVICES2.) REDUCE THE INCIDENCE OF COMMUNICABLE AND INFECTIOUS DISEASES A.) HIV TESTING AND TREATMENT B.) INFECTIOUS SYPHILIS C.) CONGENITAL SYPHILIS3.) IMPROVE MATERNAL, INFANT, AND CHILD HEALTH A.) CERVICAL CANCER B.) INFANT MORTALITY (NON-WHITE) C.) IMMUNIZATIONS FOR CHILDREN (TWO YR OLDS, KINDERGARTEN, 7TH GRADERS)4.) ENHANCE HEALTH PREVENTION AND CHRONIC DISEASE PREVENTIVE CARE ACTIVITIES A.) OBESITY, BLACK ADULTS B.) CHRONIC DISEASES, DIABETES, AND HYPERTENSION C.) FOOD ENVIRONMENT HOLY CROSS HOSPITAL, INC. PART V, SECTION B, LINE 5: BETWEEN MAY AND DECEMBER 2024, HOLY CROSS ACTIVELY ENGAGED INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY IT SERVES. INPUT WAS GATHERED THROUGH MULTIPLE METHODS, INCLUDING VIRTUAL MEETINGS OF THE COMMUNITY NEEDS ASSESSMENT ADVISORY COUNCIL AND COMMUNITY-BASED FORUMS. THE PROCESS INVOLVED DEFINING THE COMMUNITY, ANALYZING SECONDARY DATA TO ASSESS HEALTH STATUS, AND COLLECTING PRIMARY QUALITATIVE DATA THROUGH SURVEYS, FOCUS GROUPS, AND COMMUNITY CONVERSATIONS. THE COMMUNITY HEALTH ADVISORY COUNCIL REVIEWED AND ANALYZED THE DATA TO IDENTIFY AND PRIORITIZE KEY HEALTH NEEDS WITHIN THE HOLY CROSS STRATEGIC PLANNING AREA. THIS COLLABORATIVE EFFORT CULMINATED IN THE DEVELOPMENT OF AN ACTION PLAN AND THE FORMULATION OF THE HOSPITAL'S IMPLEMENTATION STRATEGY.ORGANIZATIONS THAT COMPRISED THE HOLY CROSS COMMUNITY NEEDS ASSESSMENT ADVISORY COMMITTEE REPRESENTED MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS IN OUR SERVICE AREA. THESE INCLUDED: THE DEPARTMENT OF HEALTH - BROWARD COUNTY, BROWARD HOUSING AUTHORITY, YMCA OF SOUTH FLORIDA, THE URBAN LEAGUE OF BROWARD COUNTY, HOPE SOUTH FLORIDA, SOUTH FLORIDA HUNGER COALITION, BROWARD COUNTY MEDICAL ASSOCIATION, THE UNITED WAY, THE UNITED WAY COMMISSION ON SUBSTANCE ABUSE, THE CHILDREN'S SERVICES COUNCIL, SUNSERVE, BROWARD HEALTHY START COALITION, BROWARD SHERIFF'S OFFICE - COMMUNITY PROGRAMS, MEALS ON WHEELS OF SOUTH FLORIDA, CLINICA LUZ DEL MUNDO (LIGHT OF THE WORLD CLINIC), AMERICAN CANCER SOCIETY, WOMEN IN DISTRESS, JACK AND JILL CHILDREN'S CENTER, FAU CHRISTINE E. LYNN COLLEGE OF NURSING, HEALTHY FAMILIES BROWARD, SICKLE CELL DISEASE ASSOCIATION OF BROWARD COUNTY, HEALING ARTS INSTITUTE OF SOUTH FLORIDA, SOUTH FLORIDA INSTITUTE ON AGING, BOYS TOWN SOUTH FLORIDA, BROWARD COUNTY PUBLIC SCHOOLS FAMILY MATTERS THERAPEUTIC SERVICES, BROWARD SHERIFF'S OFFICE POMPANO BEACH, FIRST UNITED METHODIST CHURCH, AND WOMEN IMPACTING NEIGHBORHOODS, INC. TOGETHER, THIS DIVERSE GROUP OF INDIVIDUALS REPRESENTED NUMEROUS POPULATIONS THAT LIVE, PLAY, AND WORK IN THE BROWARD COMMUNITY.ADDITIONALLY, MANY COMMUNITY-BASED ORGANIZATIONS AND INDIVIDUALS WHO REPRESENT OR DIRECTLY SERVE MARGINALIZED POPULATIONS CONTRIBUTED VALUABLE INPUT TO THE CHNA PROCESS. THESE VOICES REPRESENTED INDIVIDUALS, FAMILIES, AND VETERANS EXPERIENCING HOMELESSNESS AND FOOD INSECURITY; WOMEN AND FAMILIES AT HIGH RISK FOR LOW BIRTHWEIGHT INFANTS AND ABUSE; FAMILIES LIVING BELOW THE FEDERAL POVERTY LEVEL; AT-RISK TEENS; INDIVIDUALS FACING PHYSICAL, EMOTIONAL, OR MENTAL ABUSE; SUBSTANCE USERS; AND THOSE LIVING WITH BEHAVIORAL AND MENTAL HEALTH DISORDERS. FEEDBACK WAS GATHERED FROM 117 PARTICIPANTS IN COMMUNITY CONVERSATIONS, FIVE FOCUS GROUPS INVOLVING 83 INDIVIDUALS FROM VULNERABLE POPULATIONS, AND 480 COMMUNITY SURVEYS COMPLETED IN ENGLISH, SPANISH, AND CREOLE BY A DIVERSE CROSS-SECTION OF THE COMMUNITY. HOLY CROSS HOSPITAL, INC. PART V, SECTION B, LINE 11: HOLY CROSS IS A DEDICATED COMMUNITY PARTNER, COLLABORATING WITH NUMEROUS PUBLIC AND COMMUNITY AGENCIES TO ENHANCE THE HEALTH AND WELL-BEING OF VULNERABLE RESIDENTS ACROSS BROWARD COUNTY. THE IMPLEMENTATION STRATEGY TARGETS SPECIFIC POPULATIONS MOST AFFECTED BY THE IDENTIFIED HEALTH NEEDS, WITH A FOCUS ON POLICY, SYSTEMS, AND ENVIRONMENTAL CHANGES THAT PROMOTE HEALTH AND WELL-BEING FOR ALL.BELOW ARE EXAMPLES OF PROGRAMS IMPLEMENTED IN FISCAL YEAR 2025 THAT WERE DESIGNED TO ADDRESS THE PRIORITY AREAS OUTLINED IN THE CHNA.INCREASE ACCESS TO CARE:A NURSE PRACTITIONER-LED PRIMARY CARE HEALTH CENTER, LOCATED IN THE SISTRUNK NEIGHBORHOOD (ZIP CODE 33311), PROVIDED ESSENTIAL SERVICES TO INDIVIDUALS WITH UNTREATED CHRONIC DISEASES AND RELATED HEALTH CONDITIONS. IN TOTAL, THE CENTER DELIVERED 2,374 PATIENT VISITS AND OFFERED CONVENIENT ACCESS TO A COMMUNITY HEALTH WORKER, WHO HELPED ADDRESS OUTSTANDING SOCIAL DETERMINANTS OF HEALTH.THE HOLY CROSS FAMILY HEALTH CENTER OPENED IN JUNE 2025, OFFERING COMPREHENSIVE SERVICES IN A SINGLE LOCATION TO IMPROVE ACCESS TO ESSENTIAL HEALTH AND SOCIAL CARE. SERVICES INCLUDE PRIMARY CARE, LABORATORY TESTING, SOCIAL SUPPORT, MEDICAL NUTRITION THERAPY, PEDIATRIC PHYSICAL, SPEECH, AND OCCUPATIONAL THERAPY. THIS INTEGRATED APPROACH EXPANDS ACCESS FOR RESIDENTS OF THE 33334 NEIGHBORHOOD AND SURROUNDING COMMUNITIES, HELPING TO ADDRESS CRITICAL HEALTH NEEDS IN A CONVENIENT AND COORDINATED SETTING.THE PARTNERS IN BREAST HEALTH PROGRAM PROVIDED ACCESS TO BREAST SCREENING AND DIAGNOSTIC SERVICES FOR LOWER-INCOME WOMEN, WITH A FOCUS ON REDUCING LATE-STAGE BREAST CANCER DIAGNOSES AND MORTALITY. IN TOTAL, 296 SERVICES WERE DELIVERED TO UNINSURED MINORITY WOMEN. THOSE DIAGNOSED WITH BREAST CANCER WERE PROMPTLY CONNECTED TO TREATMENT AND CARE. ADDITIONALLY, MORE THAN 3,000 INDIVIDUALS RECEIVED COMMUNITY-BASED EDUCATION AND PREVENTION SERVICES FOCUSED ON BREAST HEALTH.REDUCE THE INCIDENCE OF COMMUNICABLE AND INFECTIOUS DISEASES:IN RESPONSE TO THE SYNDEMIC OF HIV, HEPATITIS C, AND SYPHILIS IN BROWARD COUNTY, THE FRONTLINES OF COMMUNITIES IN THE U.S. PROGRAM PROVIDED OVER 3,500 SCREENINGS FOR THESE DISEASES IN THE EMERGENCY DEPARTMENT. PATIENTS WHO TESTED POSITIVE WERE PROMPTLY CONNECTED WITH APPROPRIATE CARE PARTNERS TO ENSURE TIMELY TREATMENT AND SUPPORT.IMPROVE MATERNAL, INFANT, AND CHILD HEALTH:REGULAR HOME AND COMMUNITY-BASED VISITS BY REGISTERED NURSES TO FIRST-TIME, HIGH-RISK MOTHERS BEGINNING EARLY IN PREGNANCY AND CONTINUING THROUGH THE CHILD'S SECOND BIRTHDAY HAVE HELPED SUPPORT THE DELIVERY OF FULL-TERM, HEALTHY BABIES. THIS PROGRAM EMPOWERS MOTHERS TO TRANSFORM THEIR LIVES AND BUILD BRIGHTER FUTURES FOR THEMSELVES AND THEIR CHILDREN.ENHANCE HEALTH PREVENTION AND CHRONIC DISEASE PREVENTION CARE ACTIVITIES:A TOTAL OF 227 DIABETES PREVENTION CLASSES WERE DELIVERED TO 1,532 INDIVIDUALS THROUGH BOTH IN-PERSON AND DISTANCE LEARNING FORMATS. ADDITIONALLY, THE DIABETES SELF-MANAGEMENT EDUCATION PROGRAM SUPPORTED 348 INDIVIDUALS THROUGH ONE-ON-ONE APPOINTMENTS, GROUP EDUCATION SESSIONS, AND SUPPORT GROUPS.YOUTH-FOCUSED LIFESTYLE CHANGE PROGRAMMING, SMARTMOVES, WAS PROVIDED TO CHILDREN AT RISK FOR DIABETES IN COLLABORATION WITH FAITH-BASED SUMMER PROGRAMS, FORT LAUDERDALE PARKS AND RECREATION, AND SELECTED HOUSING AUTHORITY SITES. THROUGH THIS INITIATIVE, 689 YOUTH PARTICIPATED IN 40 CLASSES. DURING THE SCHOOL YEAR, 5,259 STUDENTS AND TEACHERS ENGAGED IN CLASSROOM ACTIVITIES DESIGNED TO PROMOTE HEALTH AND WELL-BEING.IN PARTNERSHIP WITH LIFENET 4 FAMILIES AND THE SOUTH FLORIDA HUNGER COALITION, 7,344 INDIVIDUALS RECEIVED NON-PERISHABLE FOOD PACKAGES AND FRESH PRODUCE TO HELP ADDRESS FOOD INSECURITY. THROUGH THE SUMMER BREAK SPOT PROGRAM, 300 CHILDREN WERE PROVIDED WITH 21,975 PORTION-CONTROLLED, NUTRITIOUS MEALS AND SNACKS, INCLUDING BREAKFAST AND LUNCH OPTIONS. HOLY CROSS HOSPITAL, INC. PART V, SECTION B, LINE 13H: THE HOSPITAL 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, IT IS CLASSIFIED AS "PRESUMPTIVE SUPPORT." EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, HOMELESS PATIENTS, 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 DISADVANTAGED PATIENTS, A THIRD-PARTY MAY BE UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY ARE EXHAUSTED, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY DISADVANTAGED PATIENTS. HOLY CROSS HOSPITAL, INC. - PART V, SECTION B, LINE 7A: WWW.HOLY-CROSS.COM/ABOUT-US/CHWB/COMMUNITY-NEEDS-ASSESSMENT HOLY CROSS HOSPITAL, INC. - PART V, SECTION B, LINE 9: AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, THE HOSPITAL'S IMPLEMENTATION STRATEGY WAS ADOPTED WITHIN 4 1/2 MONTHS AFTER THE FISCAL YEAR END THAT THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE TO THE PUBLIC. HOLY CROSS HOSPITAL, INC. - PART V, SECTION B, LINE 10A: WWW.HOLY-CROSS.COM/ABOUT-US/CHWB/COMMUNITY-NEEDS-ASSESSMENT 31 1 - HOLY CROSS ORTHOPEDIC INSTITUTE 5597 N DIXIE HIGHWAY 2ND FLOOR FORT LAUDERDALE FL 33334 ORTHOPEDICS, SPINE, PODIATRY, REHABILITATION, SPORTS MED 2 - GALLAGHER ADULT PRACTICE 1900 E COMMERCIAL BLVD 101 FORT LAUDERDALE FL 33308 INTERNAL MEDICINE, FAMILY MEDICINE 3 - NEUROSCIENCE INSTITUTE 1931 NE 47TH STREET FORT LAUDERDALE FL 33308 NEUROLOGICAL CARE 4 - PAIN MANAGEMENT 5597 N DIXIE HIGHWAY 2ND FLOOR FORT LAUDERDALE FL 33334 PAIN MANAGEMENT 5 - RIO VISTA PRACTICE 1309 S FEDERAL HWY FORT LAUDERDALE FL 33316 INTERNAL MEDICINE, FAMILY MEDICINE, REHABILITATION 6 - GASTROENTEROLOGY PRACTICE 4701 N FEDERAL HIGHWAY B BLDG FORT LAUDERDALE FL 33308 GASTROENTEROLOGY PRACTICE 7 - UROLOGY 1930 NE 47TH STREET SUITE 205 FORT LAUDERDALE FL 33308 UROLOGY 8 - WILTON MANORS PRACTICE 1402 NE 26TH STREET FORT LAUDERDALE FL 33305 INTERNAL MEDICINE, PEDIATRICS PRACTICE, RESIDENT PRACTICE 9 - DOROTHY MANGURIAN COMP WOMEN'S CTR 1000 NE 56TH ST FORT LAUDERDALE FL 33334 AMBULATORY SURG, ORTHOPEDICS, WOMEN'S CENTER, IMAGING, LAB, FAMILY PRACTICE 10 - GALLAGHER PEDIATRICS 1900 E COMMERCIAL BLVD 202 FORT LAUDERDALE FL 33308 PEDIATRICS PRACTICE 11 - ENDO AND INTERNAL MEDICINE PRACTICE 4701-A N FEDERAL HIGHWAY FORT LAUDERDALE FL 33308 INTERNAL MEDICINE 12 - BROWARD MEDICAL GROUP 1100 E BROWARD BLVD FORT LAUDERDALE FL 33301 FAMILY PRACTICE 13 - BARIATRICSGENERAL SURGERY PRACTICE 4701-A-39 N FEDERAL HIGHWAY FORT LAUDERDALE FL 33308 BARIATRICS/GENERAL SURGERY PRACTICE, COLORECTAL SURGERY 14 - PHYSIATRY 1931 NE 47TH STREET FORT LAUDERDALE FL 33308 PHYSIATRY 15 - OBSTETRICS AND GYNECOLOGY PRACTICE 1000 NE 56 STREET FORT LAUDERDALE FL 33308 OB/GYN PRACTICE 16 - SPORTS MEDICINE 1000 NE 56TH STREET 2ND FLOOR FORT LAUDERDALE FL 33334 SPORTS MEDICINE 17 - GALT OCEAN MILE PRACTICE 4004 N OCEAN BLVD FORT LAUDERDALE FL 33308 FAMILY PRACTICE, INTERNAL MEDICINE 18 - RHEUMATOLOGY 4701 N FEDERAL HIGHWAY B BLDG FORT LAUDERDALE FL 33308 RHEUMATOLOGY 19 - LIGHTHOUSE POINT 2850 N FEDERAL HIGHWAY 2ND FLOOR LIGHTHOUSE POINT FL 33064 PRIMARY CARE 20 - FAMILY LIFE CENTER PRACTICE 1940 NE 47TH STREET SUITE 2 FORT LAUDERDALE FL 33308 FAMILY PRACTICE 21 - LIGHTHOUSE POINT PRACTICE 2850 N FEDERAL HIGHWAY 2ND FLOOR POMPANO BEACH FL 33064 FAMILY PRACTICE 22 - HOLY CROSS URGENT CARE & PHYSICIAN 3481 N UNIVERSITY DR CORAL SPRINGS FL 33065 ORTHOPEDICS, URGENT CARE 23 - PODIATRY 5597 N DIXIE HIGHWAY FORT LAUDERDALE FL 33334 PODIATRY 24 - THE LEONE CENTER FOR ORTHOPEDIC CARE 1000 NE 56TH STREET 2ND FLOOR FORT LAUDERDALE FL 33334 FAMILY PRACTICE 25 - BAYVIEW PRACTICE - MDVIP OFFICE 1124 BAYVIEW DRIVE FORT LAUDERDALE FL 33308 INTERNAL MEDICINE 26 - HOLY CROSS MEDICAL PLAZA 5601 N DIXIE HIGHWAY FORT LAUDERDALE FL 33334 INTERNAL MEDICINE, INFECTIOUS DISEASE, RHEUMATOLOGY, PAIN MANAGEMENT 27 - PRIMARY CARE MEDICINE GROUP 2000 NE 49TH STREET FORT LAUDERDALE FL 33308 FAMILY PRACTICE 28 - POMPANO BEACH OFFICE 1975 N FEDERAL HIGHWAY POMPANO BEACH FL 33062 MDVIP AND FAMILY MEDICINE 29 - POMPANO BEACH OFFICE 2335 E ATLANTIC BLVD SUITE 200 POMPANO BEACH FL 33062 FAMILY PRACTICE 30 - HOLY CROSS HEALTH CENTER SISTRUNK 1409 SISTRUNK BLVD SUITE 103 FORT LAUDERDALE FL 33311 FAMILY MEDICINE 31 - NORTH RIDGE INTERNAL MEDICINE 1940 NE 47TH STREET SUITE 1 FORT LAUDERDALE FL 33334 INTERNAL MEDICINE, RESIDENT PRACTICE, RHEUMATOLOGY 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: HOLY CROSS HOSPITAL (HOLY CROSS) PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT, WHICH IT SUBMITS TO THE STATE OF FLORIDA. IN ADDITION, HOLY CROSS REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH (EIN 35-1443425) IN ITS AUDITED FINANCIAL STATEMENTS, AVAILABLE AT WWW.TRINITY-HEALTH.ORG.HOLY CROSS ALSO INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON TRINITY HEALTH'S WEBSITE AT WWW.TRINITY-HEALTH.ORG/OUR-IMPACT/COMMUNITY-HEALTH-AND-WELL-BEING. PART I, LINE 7: THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM. PART I, LN 7 COL(F): THE FOLLOWING NUMBER, $25,743,720, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F). PART III, LINE 2: METHODOLOGY USED FOR LINE 2 - ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE. AS A RESULT OF THE PAYMENT AND ADJUSTMENT ACTIVITY BEING POSTED TO BAD DEBT ACCOUNTS, WE ARE ABLE TO REPORT BAD DEBT EXPENSE NET OF THESE TRANSACTIONS. PART III, LINE 3: HOLY CROSS USES A PREDICTIVE MODEL THAT INCORPORATES THREE DISTINCT VARIABLES IN COMBINATION TO PREDICT WHETHER A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE: (1) SOCIO-ECONOMIC SCORE, (2) ESTIMATED FEDERAL POVERTY LEVEL (FPL), AND (3) HOMEOWNERSHIP. BASED ON THE MODEL, CHARITY CARE CAN STILL BE EXTENDED TO PATIENTS EVEN IF THEY HAVE NOT RESPONDED TO FINANCIAL COUNSELING EFFORTS AND ALL OTHER FUNDING SOURCES HAVE BEEN EXHAUSTED. FOR FINANCIAL STATEMENT PURPOSES, HOLY CROSS IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, HOLY CROSS IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL. PART III, LINE 4: HOLY CROSS IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE PATIENT ACCOUNTS RECEIVABLE, ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS FOOTNOTE FROM PAGE 14 OF THOSE STATEMENTS: "AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME IS TREATED AS A RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS FOR WHICH THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYERS FOR RETROACTIVE ADJUSTMENTS, ARE RECEIVABLES IF THE RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. FOR PATIENT ACCOUNTS RECEIVABLE, THE ESTIMATED UNCOLLECTABLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT SERVICE REVENUE AND ACCOUNTS RECEIVABLE.THE CORPORATION HAS AGREEMENTS WITH THIRD-PARTY PAYERS THAT PROVIDE FOR PAYMENTS TO THE CORPORATION'S HEALTH MINISTRIES AT AMOUNTS DIFFERENT FROM ESTABLISHED RATES. ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYERS AND OTHER CHANGES IN ESTIMATES ARE INCLUDED IN NET PATIENT SERVICE REVENUE AND ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS, AS FINAL SETTLEMENTS ARE DETERMINED. ESTIMATED RECEIVABLES FROM THIRD-PARTY PAYERS ALSO INCLUDES AMOUNTS RECEIVABLE UNDER STATE MEDICAID PROVIDER TAX PROGRAMS."PART III, LINE 5:TOTAL MEDICARE REVENUE REPORTED IN PART III, LINE 5 HAS BEEN REDUCED BY THE TWO PERCENT SEQUESTRATION REDUCTION. PART III, LINE 8: THE IRS COMMUNITY BENEFIT OBJECTIVES INCLUDE RELIEVING OR REDUCING THE BURDEN OF GOVERNMENT TO IMPROVE HEALTH. TREATING MEDICARE PATIENTS CREATES SHORTFALLS THAT MUST BE ABSORBED BY HOSPITALS, WHICH PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. THEREFORE, THE HOSPITAL BELIEVES ANY MEDICARE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT. TRINITY HEALTH AND ITS HOSPITALS REPORT AS COMMUNITY IMPACT THE LOSS ON MEDICARE AND A HOST OF MANY OTHER EXPENSES DESIGNED TO SERVE PEOPLE EXPERIENCING POVERTY IN OUR COMMUNITIES. SEE SCHEDULE H, PART VI, LINE 5 FOR MORE INFORMATION.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 26, 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. THE HOSPITAL HAS IMPLEMENTED BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS. PART VI, LINE 2: NEEDS ASSESSMENT - HOLY CROSS REGULARLY ASSESSES THE HEALTH STATUS OF ITS COMMUNITY IN COLLABORATION WITH LOCAL COALITIONS, AS PART OF ITS ONGOING COMMITMENT TO IMPROVING PATIENT CARE AND OVERALL COMMUNITY WELL-BEING. TO EVALUATE COMMUNITY HEALTH, THE HOSPITAL UTILIZES A VARIETY OF DATA SOURCES, INCLUDING PATIENT RECORDS, PUBLIC HEALTH DATA, MARKET ANALYSES, AND GEOGRAPHIC MAPPING OF HIGH EMERGENCY DEPARTMENT AND INPATIENT SERVICE UTILIZATION. THESE INSIGHTS HELP IDENTIFY POPULATIONS THAT MAY LACK ACCESS TO PREVENTIVE CARE OR ARE UNINSURED, GUIDING EFFORTS TO ADDRESS GAPS IN SERVICES AND PROMOTE HEALTH EQUITY. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - HOLY CROSS COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS OFFERED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HEALTH CARE BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES, FEDERAL, STATE, AND LOCAL GOVERNMENT PROGRAMS, AND OTHER COMMUNITY-BASED CHARITABLE PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING FOR HEALTH CARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY FOR FINANCIAL SUPPORT PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. HOLY CROSS HOSPITAL OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. NOTIFICATION ABOUT FINANCIAL ASSISTANCE AND GOVERNMENT PROGRAMS, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH PATIENT BROCHURES, MESSAGES ON PATIENT BILLS, POSTED NOTICES IN PUBLIC REGISTRATION AREAS INCLUDING EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES. SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE TO APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST PEOPLE IN NEED. INFORMATION REGARDING FINANCIAL ASSISTANCE AND GOVERNMENT PROGRAMS IS ALSO AVAILABLE ON HOSPITAL WEBSITES. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN OTHER LANGUAGES AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R), REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITAL. PART VI, LINE 4: COMMUNITY INFORMATION - PER THE U.S. CENSUS BUREAU, BROWARD COUNTY HAS A TOTAL AREA OF 1,322.8 SQUARE MILES, OF WHICH 1,203.1 SQUARE MILES ARE LAND AND 119.7 SQUARE MILES (9.0%) ARE WATER. BROWARD COUNTY HAS APPROXIMATELY 471 SQUARE MILES OF DEVELOPABLE LAND, THE MAJORITY BEING BUILT UPON. THERE ARE AT LEAST 20 MAJOR HOSPITALS IN BROWARD COUNTY, SERVING A RANGE OF NEEDS FROM ACUTE CARE TO SPECIALIZED SERVICES.HOLY CROSS'S STRATEGIC PLANNING AREA IS INCLUSIVE OF PALM BEACH, BROWARD, AND MIAMI-DADE COUNTIES. BOTH PALM BEACH AND MIAMI-DADE COUNTIES ARE GEOGRAPHIC AREAS FOR FUTURE OPPORTUNITIES FOR INVESTMENT AND GROWTH OPPORTUNITIES. THIS AREA INCLUDES BROWARD COUNTY'S 84 UNIQUE ZIP CODES. HOLY CROSS'S FOCUSED SERVICE AREA IS REPRESENTED BY 90% OF THE HOSPITAL'S DISCHARGES, ENCOMPASSING A TOTAL OF 52 ZIP CODES.AS THE SIXTH LARGEST COUNTY IN FLORIDA BY LAND AREA, BROWARD COUNTY IS THE SECOND MOST POPULOUS COUNTY IN FLORIDA, AND ITS POPULATION SIZE INCREASED 12.3% SINCE 2010. APPROXIMATELY 18.5% OF THE POPULATION IS AGED 65 AND OLDER, AND 2.4% ARE AGED 85 AND OLDER. THE PERCENTAGE OF NON-CITIZENS IN THE COUNTY IS NOTABLY HIGHER THAN BOTH THE STATE AND NATIONAL AVERAGES.IMPACT OF POVERTY - 23.7% OF THE POPULATION LIVE WITH SEVERE HOUSING PROBLEMS AND 2,054 EXPERIENCE A LACK OF HOUSING. THESE NUMBERS REPRESENT A SIGNIFICANT NUMBER OF FAMILIES WITH CHILDREN, AS WELL AS SINGLE ADULTS. THE PROPORTION OF BROWARD COUNTY, FL RESIDENTS WITHOUT HEALTH COVERAGE IS 15.2%; 30,000 OF THESE ARE CHILDREN. APPROXIMATELY 25% OF THE POPULATION EXPERIENCES FOOD INSECURITY (APPROX. 270,000); 20% OF THESE ARE CHILDREN AND 9% ARE SENIORS. PART VI, LINE 5: OTHER INFORMATION - HOLY CROSS INVESTS IN EFFORTS TO IMPROVE THE SOCIAL, ECONOMIC, AND HEALTH CONDITIONS OF THE COMMUNITIES WE SERVE, PARTICULARLY THOSE EXPERIENCING POVERTY AND SYSTEMIC INEQUITIES. THIS IMPACT IS ACHIEVED THROUGH DIRECT INVESTMENTS, HOSPITAL-COMMUNITY PARTNERSHIPS, AND PROGRAMS THAT ADDRESS THE ROOT CAUSES OF POOR HEALTH AND ADVANCE HEALTH EQUITY FOR VULNERABLE POPULATIONS, GOING BEYOND TRADITIONAL CLINICAL CARE. TRANSFORMING COMMUNITY INITIATIVE: PROJECT REACH IS A COALITION OF COMMUNITY MEMBERS, LEADERS, AND ORGANIZATIONS DRIVING SYSTEMIC CHANGE. WITH A $300,000 GRANT FROM TRINITY HEALTH, THE INITIATIVE IS DEVELOPING SUSTAINABLE SOLUTIONS TO IMPROVE FOOD SECURITY IN THE SISTRUNK 33311 COMMUNITY.THE SECOND ANNUAL FOOD IS MEDICINE SYMPOSIUM, HELD IN PARTNERSHIP WITH THE SOUTH FLORIDA HUNGER COALITION AND THE FLORIDA HEALTH & NUTRITION COALITION, EXPLORED THE CHALLENGES, BARRIERS, AND OPPORTUNITIES RELATED TO HUNGER IN BROWARD COUNTY. FEATURED SPEAKERS INCLUDING EXPERTS FROM THE UNIVERSITY OF FLORIDA, CONGRESSWOMAN DEBBIE WASSERMAN SCHULTZ, LOCAL ADVOCATES, AND FOOD PANTRY LEADERS HIGHLIGHTED THE HEALTH IMPACTS OF FOOD INSECURITY. AS A RESULT OF THE SYMPOSIUM, THE FOOD INSECURITY STAKEHOLDER COALITION HAS EXPANDED AND CONTINUES TO CONVENE TO ADDRESS THESE ISSUES COUNTYWIDE. THE COALITION ADVOCATED AT THE STATE LEVEL FOR SUMMER EBT PROGRAMMING.HOLY CROSS' COMMITMENT TO COMMUNITY HEALTH EXTENDS BEYOND ITS WALLS. THROUGH DAILY INVESTMENTS BY THE COMMUNITY HEALTH AND WELL-BEING TEAM, THE HOSPITAL ACTIVELY ADDRESSES THE SOCIAL DETERMINANTS OF HEALTH THAT INFLUENCE INDIVIDUAL OUTCOMES. THESE EFFORTS INCLUDE EXPANDING ACCESS POINTS FOR CARE AND IMPLEMENTING INITIATIVES THAT PROMOTE ECONOMIC STABILITY AND EDUCATIONAL OPPORTUNITY. STRATEGIES TO IMPROVE ACCESS INCLUDE REGULAR EVALUATION AND ADJUSTMENT OF WAGES TO REFLECT MARKET VALUE, RAISING THE MINIMUM WAGE FOR ENTRY-LEVEL ROLES, AND OFFERING WORKFORCE DEVELOPMENT PROGRAMS THAT ENHANCE SKILLS AND PROVIDE EDUCATIONAL SCHOLARSHIPS.TO ADDRESS SOCIAL INFLUENCERS OF HEALTH, ASSESSMENTS ARE CONDUCTED IN BOTH AMBULATORY AND INPATIENT SETTINGS. PATIENTS ARE REFERRED TO COMMUNITY HEALTH WORKERS, WHO COLLABORATE TO RESOLVE UNMET NEEDS SUPPORTING OVERALL WELL-BEING WHILE HELPING TO REDUCE HOSPITALIZATIONS AND EMERGENCY DEPARTMENT VISITS. IN FISCAL YEAR 2025, THE COMMUNITY HEALTH WORKERS TEAM PLAYED A PIVOTAL ROLE IN ADVANCING EQUITY IN CHRONIC DISEASE MANAGEMENT, NOTABLY REDUCING DISPARITIES IN BLOOD PRESSURE CONTROL AMONG AMBULATORY PATIENTS.IN FISCAL YEAR 2025, TRINITY HEALTH ASSESSED THE TOTAL IMPACT ITS HOSPITALS HAVE ON COMMUNITY HEALTH. THIS ASSESSMENT INCLUDES TRADITIONAL COMMUNITY BENEFIT AS REPORTED IN PART I, COMMUNITY BUILDING AS REPORTED IN PART II, THE SHORTFALL ON MEDICARE SERVICES AS REPORTED IN PART III, AS WELL AS EXPENSES THAT ARE EXCLUDED FROM THE PART I COMMUNITY BENEFIT CALCULATION BECAUSE THEY ARE OFFSET BY EXTERNAL FUNDING. ALSO INCLUDED ARE ALL COMMUNITY HEALTH WORKERS, INCLUDING THOSE OPERATING IN OUR CLINICALLY INTEGRATED NETWORKS. OUR GOAL IN SHARING THE COMMUNITY IMPACT IS TO DEMONSTRATE HOW OUR CATHOLIC NOT-FOR-PROFIT HEALTH SYSTEM MAKES A DIFFERENCE IN THE COMMUNITIES WE SERVE - FOCUSING ON IMPACTING PEOPLE EXPERIENCING POVERTY - THROUGH FINANCIAL INVESTMENTS.HOLY CROSS' COMMUNITY IMPACT IN FISCAL YEAR 2025 TOTALED $56.6 MILLION. PART VI, LINE 6: HOLY CROSS IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH'S COMMUNITY HEALTH & WELL-BEING (CHWB) STRATEGY PROMOTES OPTIMAL HEALTH FOR PEOPLE EXPERIENCING POVERTY AND OTHER VULNERABILITIES IN THE COMMUNITIES WE SERVE - EMPHASIZING THE NECESSITY TO INTEGRATE CLINICAL AND SOCIAL CARE. TRINITY HEALTH CHWB TEAMS LEAD THE DEVELOPMENT AND IMPLEMENTATION OF TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) AND IMPLEMENTATION STRATEGIES WITH INTENTIONAL FOCUS ON ENGAGING COMMUNITIES AND RESIDENTS EXPERIENCING POVERTY AND OTHER VULNERABILITIES. TO FURTHER OUR COMMITMENT TO ACHIEVING HEALTH EQUITY AND THE COMMON GOOD, THE CHNA AND IMPLEMENTATION STRATEGIES FOSTER COLLECTIVE ACTION TO EQUITABLY ALLOCATE RESOURCES FROM THE HOSPITAL AND OTHER SOURCES TO ADDRESS THESE NEEDS IN COMMUNITIES MOST IMPACTED. TRINITY HEALTH AND ITS MEMBER HOSPITALS ARE COMMITTED TO THE DELIVERY OF PEOPLE-CENTERED CARE AND SERVING AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN THE COMMUNITIES WE SERVE. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITIES AND IS COMMITTED TO ADDRESSING THE UNIQUE NEEDS OF EACH COMMUNITY. IN FISCAL YEAR 2025 (FY25), TRINITY HEALTH CONTRIBUTED NEARLY $1.4 BILLION IN IRS-DEFINED COMMUNITY BENEFIT SPENDING TO AID THOSE WHO ARE EXPERIENCING POVERTY AND OTHER VULNERABILITIES, AND TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES IN WHICH WE SERVE. TRINITY HEALTH FURTHERED ITS COMMITMENT THROUGH AN ADDITIONAL $1.5 BILLION IN PROGRAMS AND INITIATIVES THAT IMPACT OUR COMMUNITIES - YIELDING A TOTAL COMMUNITY IMPACT OF $2.9 BILLION IN FY25.TRINITY HEALTH'S COMMUNITY INVESTING PROGRAM FINISHED FY25 WITH MORE THAN $68 MILLION COMMITTED TO BUILDING VITAL COMMUNITY RESOURCES. THESE FUNDS, IN COLLABORATION WITH 30 PARTNERS, WERE PAIRED WITH OTHER RESOURCES TO GENERATE MORE THAN $1.1 BILLION IN INVESTMENTS THAT SERVED COMMUNITIES WITHIN TRINITY HEALTH'S SERVICE AREAS. BETWEEN 2018 AND APRIL 2025, THESE INVESTMENTS HAVE BEEN INSTRUMENTAL IN CREATING MUCH-NEEDED COMMUNITY RESOURCES FOR THE PEOPLE THAT WE SERVE, NOTABLY:- SUPPORTED THE CREATION OF 15,700 UNITS OF AFFORDABLE HOUSING OVER THE LAST EIGHT YEARS (INCLUDING APPROXIMATELY 380 SUPPORTIVE HOUSING BEDS).- CREATED OR RETAINED AT LEAST 1,300 CHILDCARE SLOTS; 7,600 K-HIGH SCHOOL EDUCATION SLOTS; AND 2,400 EARLY CHILDHOOD EDUCATION SLOTS.- DEVELOPED AT LEAST 9.3 MILLION SQUARE FEET OF GENERAL REAL ESTATE OVER THE LAST EIGHT YEARS.- SINCE 2014, 920 STUDENTS HAVE RECEIVED $2.65 MILLION IN SCHOLARSHIPS THROUGH THE FRESNO STATE AND BOISE STATE SCHOLARSHIPS FUNDS.- APPROXIMATELY 12,900 FULL- AND PART-TIME POSITIONS HAVE BEEN EITHER CREATED OR MAINTAINED THROUGH PARTNER LENDING. IN FY25, OVER ONE MILLION PATIENTS SYSTEM-WIDE WERE SCREENED FOR HEALTH-RELATED SOCIAL NEEDS AT THEIR DOCTOR'S OFFICE. OF THOSE SCREENED, 27.4% IDENTIFIED AT LEAST ONE NEED AND MOST OFTEN IDENTIFIED FOOD ACCESS, FINANCIAL INSECURITY AND SOCIAL ISOLATION. AN ADDITIONAL 137,000 PATIENTS WERE SCREENED FOR SOCIAL NEEDS DURING AN IN-PATIENT HOSPITAL STAY WHERE TOP NEEDS INCLUDED FOOD ACCESS, TRANSPORTATION AND HOUSING.TRINITY HEALTH'S ELECTRONIC HEALTH RECORD (EPIC) INCLUDES A STANDARD SCREENING TOOL FOR PATIENT SOCIAL NEEDS, AND AN INTEGRATED COMMUNITY RESOURCE DIRECTORY THROUGH FINDHELP TO CONNECT PATIENTS TO FREE AND REDUCED COST SUPPORT PROGRAMS. THE COMMUNITY RESOURCE DIRECTORY YIELDED OVER 118,000 SEARCHES, AN INCREASE OF 34% OVER THE PRIOR YEAR. TOP SEARCHES INCLUDED HOUSING, FOOD ACCESS AND HEALTH CARE. BY COMBINING THEIR LIVED EXPERIENCE AND CONNECTIONS TO THE COMMUNITY WITH EFFECTIVE TRAINING AND INCLUSION IN THE CARE TEAM, COMMUNITY HEALTH WORKERS (CHW) PROVIDE PATIENT-CENTERED AND CULTURALLY RESPONSIVE INTERVENTIONS. CHW'S HAVE MANY COMPETENCIES, INCLUDING PATIENT OUTREACH AND ENGAGEMENT, CONDUCTING ASSESSMENTS, RESOURCE CONNECTION, HEALTH AND SOCIAL SERVICES SYSTEM NAVIGATION, GOAL-SETTING AND PROBLEM-SOLVING THROUGH ONGOING EDUCATION, ADVOCACY AND SUPPORT. IN FY25, TRINITY HEALTH'S 162 CHW'S SUCCESSFULLY ADDRESSED OVER 16,300 SOCIAL NEEDS. ONE SOCIAL NEED (SUCH AS ADDRESSING HOUSING OR FOOD NEEDS) CAN OFTEN TAKE MONTHS, OR EVEN A YEAR TO RESOLVE. WITH FUNDING THROUGH THE CENTERS FOR DISEASE CONTROL AND PREVENTION, TRINITY HEALTH WORKED WITH 23 PARTNERS AND 47 CERTIFIED LIFESTYLE COACHES NATIONWIDE TO DELIVER THE NATIONAL DIABETES PREVENTION PROGRAM, AN EVIDENCE-BASED, 12-MONTH LIFESTYLE CHANGE PROGRAM. THE GOAL OF THE PROGRAM IS TO LOSE A PERCENTAGE OF BASELINE WEIGHT, ATTEND SESSIONS REGULARLY, AND ENGAGE IN 150 MINUTES OF PHYSICAL ACTIVITY A WEEK. GROUP SESSIONS ARE FACILITATED BY A CDC CERTIFIED LIFESTYLE COACH AND OFFERED IN-PERSON, REMOTELY, OR VIRTUALLY AT A SELF-PACED RATE. ALL PARTICIPANTS ARE REGULARLY SCREENED FOR HEALTH-RELATED SOCIAL NEEDS AND ARE REFERRED TO A CHW TO ADDRESS IDENTIFIED NEEDS. IN FY25, TRINITY HEALTH CONDUCTED FOCUSED OUTREACH WITH NEARLY 165,000 ELIGIBLE PARTICIPANTS AND ENROLLED 1,074 PARTICIPANTS INTO THE LIFESTYLE CHANGE PROGRAM. PART VI, LINE 7, REPORTS FILED WITH STATES FL 1 BOLD JUSTICE PO BOX 4662 FORT LAUDERDALE FL 33338 202035967 501(C)(3) 7500 0 GENERAL SUPPORT AMERICAN HEART ASSOCIATION INC PO BOX 5027 BRONE IA 50950 135613797 501(C)(3) 20000 0 GENERAL SUPPORT AMERICAN CANCER SOCIETY INC PO BOX 17127 TAMPA FL 33682 131788491 501(C)(3) 15000 0 GENERAL SUPPORT WINTERFEST INC 512 NE 3RD AVENUE FORT LAUDERDALE FL 33301 650059092 501(C)(4) 15400 0 GENERAL SUPPORT THE COMPASSION HEALTH FOUNDATION 90 ALTON ROAD MIAMI BEACH FL 33139 853003981 501(C)(3) 6500 0 GENERAL SUPPORT 4 1 PART I, LINE 2: DONATIONS MADE BY HOLY CROSS HOSPITAL TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE. DONATIONS ARE INCLUDED IN COMMUNITY BENEFITS IN SCHEDULE H IF THE CONTRIBUTION HAS BEEN FORMALLY RESTRICTED TO A COMMUNITY BENEFIT ACTIVITY THAT MEETS THE CRITERIA TO BE REPORTED ON SCHEDULE H. 1 1 0 0 0 0 0 0 0 ROBERT CASALOU DIR; INT PRES & CEO THR 5/25 0 1148680 0 668200 0 341116 0 20425 0 28619 0 2207040 0 0 AARON BROOKING DO PHYSICIAN - NEUROLOGIST 1810160 0 0 0 864 0 16675 0 29192 0 1856891 0 0 0 MARK DOYLE DIRECTOR; PRESIDENT & CEO THR 11/24 0 521607 0 205804 0 237293 0 858073 0 12903 0 1835680 0 120750 ROSS WODICKA MD PHYSICIAN - ORTHOPEDICS 1595889 0 0 0 1740 0 16675 0 40273 0 1654577 0 0 0 DANIEL WEITZ MD PHYSICIAN - CARDIOLOGY 1577188 0 0 0 2256 0 16675 0 35062 0 1631181 0 0 0 WILLIAM BURKE MD PHYSICIAN - ORTHOPEDICS 1400067 0 91200 0 6249 0 20425 0 34182 0 1552123 0 0 0 JOSHUA PUROW MD PHYSICIAN - ORTHOPEDICS 1450181 0 0 0 3027 0 20425 0 35149 0 1508782 0 0 0 STONISH PIERCE FORMER KEY EMPLOYEE; ST. MARY CEO 0 528535 0 240139 0 32976 0 156644 0 35983 0 994277 0 7543 GUILLERMO DAVILA MD DIRECTOR, PHYSICIAN - OB/GYN 835090 0 0 0 11824 0 20425 0 30600 0 897939 0 0 0 PIERRE MONICE GCHSC PRES-4/24; DIR., PRES AT 5/25 0 491631 0 134459 0 80059 0 91511 0 13709 0 811369 0 69546 LARONDA HALLER DIRECTOR; TRINITY SVP DEI 0 397235 0 232200 0 14777 0 133510 0 19810 0 797532 0 0 DOUGLAS STRONG FORMER OFFICER, HCH CEO THR 10/24 0 732915 0 0 0 37468 0 20425 0 3217 0 794025 0 0 JOSE LOPEZ MD CHIEF MEDICAL OFFICER 0 492448 0 95232 0 21824 0 20425 0 37918 0 667847 0 9786 KATHERINE GORRELL SECRETARY; GENERAL COUNSEL 0 255101 0 33551 0 384 0 13301 0 26775 0 329112 0 0 TODD RADOSEVICH TREASURER; VP OF FINANCE THR 7/24 103262 72436 0 0 389 36396 6893 7237 11916 7666 122460 123735 0 0 RONALD BRANDENBURG FORMER OFFICER 0 0 0 0 0 165924 0 0 0 3463 0 169387 0 162461 PART I, LINE 3 HOLY CROSS HOSPITAL IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. HOLY CROSS 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 OF HOLY CROSS 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, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2024. THESE AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: RONALD BRANDENBURG - $162,461 MARK DOYLE - $95,731 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THIS AMOUNT THAT WAS REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNT, WHICH WAS UNPAID AS OF 12/31/24: MARK DOYLE - $837,648 ($622,253 PAID IN 2025 AND $215,395 TO BE PAID IN 2026) THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2024. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. PARTICIPANTS' VESTED BENEFITS WERE PAID OUT IN 2024, AND THEIR NON-VESTED BENEFITS FOR 2024 WERE ACCRUED. THE FOLLOWING PAYOUTS FOR 2024 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: ROBERT CASALOU - $289,445 MARK DOYLE - $126,295 PIERRE MONICE - $72,739 COLUMN (F) OF SCHEDULE J, PART II INCLUDES THE PORTION OF THIS AMOUNT THAT WAS REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING ACCRUALS FOR 2024 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: LARONDA HALLER - $113,085 PIERRE MONICE - $80,046 STONISH PIERCE - $139,969 THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH RESTORATION PLAN. THE RESTORATION PLAN PROVIDES RETIREMENT BENEFITS FOR CERTAIN TRINITY HEALTH SYSTEM OFFICE EXECUTIVES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($345,000 FOR 2024). THE FOLLOWING PAYOUTS FOR 2024 FOR THIS PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: JOSE LOPEZ - $17,582 STONISH PIERCE - $19,169 DOUGLAS STRONG - $0 COLUMN (F) OF SCHEDULE J, PART II INCLUDES THE PORTION OF THIS AMOUNT THAT WAS REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. LEO BARNAGUAD FAMILY MEMBER OF BOARD MEMBER FRITZ LAPORTE 50657 EMPLOYMENT 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1015496 DONOR PROVIDED GOODS/SERVICES TO HOLY CROSS HOSPITAL 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 522412 DONOR PROVIDED GOODS/SERVICES TO HOLY CROSS HOSPITAL 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 208584 DONOR PROVIDED GOODS/SERVICES TO HOLY CROSS HOSPITAL 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 170833 DONOR PROVIDED GOODS/SERVICES TO HOLY CROSS HOSPITAL 0 X 2 1400 X 1 3609 X 1 360 FMV X SEE PART II 31 61269 FMV 0 1 1 PART I, COLUMN (B): SCHEDULE M, PART I, LINE 25: SPECIAL EVENT ITEMS PART I, LINE 32B: FOR ANY STOCK CONTRIBUTIONS RECEIVED, THE TREASURY DEPARTMENT OF TRINITY HEALTH, A RELATED ORGANIZATION, HAS ESTABLISHED A PROCESS TO WORK WITH ITS EXTERNAL BANK TO ENSURE THE SECURITIES ARE SOLD IN A TIMELY MANNER IN THE PROCEEDS ARE INVESTED FOR THE BENEFITS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF HOLY CROSS HOSPITAL IS TRINITY HEALTH CORPORATION. SEE LINE 7 FOR ADDITIONAL INFORMATION. FORM 990, PART VI, SECTION A, LINE 7A TRINITY HEALTH CORPORATION IS THE SOLE MEMBER OF HOLY CROSS HOSPITAL. TRINITY HEALTH CORPORATION HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF HOLY CROSS HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER, TRINITY HEALTH CORPORATION MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL ROLLING BUDGET. TRINITY HEALTH CORPORATION MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, AND MODIFICATIONS TO GOVERNING DOCUMENTS. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 FOR HOLY CROSS HOSPITAL IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE FINANCE COMMITTEE AS WELL AS THE BOARD OF DIRECTORS. EACH MEMBER OF THE BOARD RECEIVES A DIGITAL 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 HOLY CROSS HOSPITAL HAS ADOPTED TRINITY HEALTH'S GOVERNANCE POLICY NO. 1, WHICH SETS FORTH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND PROCESSES. IT APPLIES TO ALL "INTERESTED PERSONS" OF HOLY CROSS HOSPITAL WHICH INCLUDES DIRECTORS, PRINCIPAL OFFICERS, KEY EMPLOYEES, AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS. INTERESTED PERSONS ARE EXPECTED TO DISCHARGE THEIR DUTIES IN A MANNER THE PERSON REASONABLY BELIEVES TO BE IN THE BEST INTERESTS OF HOLY CROSS HOSPITAL AND TO AVOID SITUATIONS INVOLVING A CONFLICT OF INTEREST. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE PROVIDED TO THE INTEGRITY AND COMPLIANCE OFFICER, WHO COLLABORATES WITH INTERNAL LEGAL COUNSEL TO ASSESS THE CONFLICT AND IDENTIFY A CONFLICT MANAGEMENT PLAN WHEN NECESSARY. ADDITIONALLY, THE INTEGRITY AND COMPLIANCE OFFICER ALONG WITH LEGAL COUNSEL PREPARES A REPORT FOR THE BOARD CHAIR AND CEO. A SUMMARY OF POTENTIAL CONFLICTS IS REVIEWED WITH THE BOARD OF DIRECTORS OF HOLY CROSS HOSPITAL (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO HOLY CROSS HOSPITAL OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF HOLY CROSS HOSPITAL (OR A DELEGATED COMMITTEE OF THE BOARD) IS RESPONSIBLE FOR THE REVIEW OF TRANSACTIONS TO DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS. IN THE EVENT OF AN ACTUAL CONFLICT, THE BOARD (OR A DELEGATED COMMITTEE OF THE BOARD) WILL EITHER AVOID THE CONFLICT OR APPROPRIATELY SCRUTINIZE THE TRANSACTION TO ENSURE IT IS IN THE BEST INTERESTS OF HOLY CROSS HOSPITAL. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE POLICY FURTHER ADDRESSES THE PROPER DOCUMENTATION OF THE PROCEEDINGS AND POTENTIAL DISCIPLINARY AND CORRECTIVE ACTION FOR VIOLATIONS OF THE POLICY. THE POLICY IS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 15 QUESTIONS 15A AND 15B ARE ANSWERED "NO" BECAUSE THE COMPENSATION FOR CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF HOLY CROSS HOSPITAL IS ESTABLISHED AND PAID BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING CEO AND VP OF FINANCE COMPENSATION, TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF THE CEO AND VP OF FINANCE OF HOLY CROSS HOSPITAL ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS. FOR OTHER EXECUTIVES WHO ARE NOT PART OF THE REBUTTABLE PRESUMPTION PROCESS, TRINITY HEALTH USES A MARKET ANALYSIS TO DETERMINE THE APPROPRIATENESS OF THE EXECUTIVE'S COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 HOLY CROSS HOSPITAL IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, HOLY CROSS HOSPITAL INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. HOLY CROSS HOSPITAL'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS TO AFFILIATES 2,017,725. EQUITY GAIN IN UNCONSOLIDATED AFFILIATES 982,260. OTHER TRANSACTIONS -1,196,594. ASSET IMPAIRMENT -286,807. FORM 990, PART XII, LINE 2: HOLY CROSS HOSPITAL'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY25 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. FORM 990, BOX C, DOING BUSINESS AS NAMES DOROTHY MANGURIAN COMPREHENSIVE WOMEN'S CENTER HARRY AND BEATRICE FELDMAN CENTER FOR OPTIMAL HEALTH HOLY CROSS HEALTH MINISTRIES HOLY CROSS CLINIC SERVICES HOLY CROSS HEALTH HOLY CROSS HEALTHPLEX HOLY CROSS HOSPITAL CLINICAL LAB HOLY CROSS HOSPITAL HEALTHPLEX MEDICAL PLAZA HOLY CROSS MEDICAL GROUP HOLY CROSS ORTHOPEDIC INSTITUTE HOLY CROSS RESEARCH CENTER HOLY CROSS URGENT CARE AND IMAGING HOLY CROSS URGENT CARE & PHYSICIAN OFFICES JIM MORAN HEART AND VASCULAR RESEARCH INSTITUTE MEDICAL PLAZA THE MICHAEL AND DIANNE BIENES COMPREHENSIVE CANCER CENTER ZACHARIAH FAMILY WELLNESS PAVILION HOLY CROSS PHYSICIAN PARTNERS LLC 4725 N FEDERAL HWY FT LAUDERDALE FL 33308 364712116 MEDICAL SERVICES FL 1841192 55738 HOLY CROSS HOSPITAL INC HOLY CROSS PHYSICIAN PARTNERS ACO LLC 4725 N FEDERAL HWY FT LAUDERDALE FL 33308 465530455 ACCOUNTABLE CARE ORGANIZATION FL 0 0 HOLY CROSS HOSPITAL INC HOLY CROSS URGENT CARE LLC 4725 N FEDERAL HWY FT LAUDERDALE FL 33308 854026585 MEDICAL SERVICES FL 0 0 HOLY CROSS HOSPITAL INC THPH OF FT LAUDERDALE 4725 N FEDERAL HWY FT LAUDERDALE FL 33308 854185977 MEDICAL SERVICES FL 0 0 HOLY CROSS HOSPITAL INC ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP 200 JEFFERSON AVE SE GRAND RAPIDS MI 49503 272491974 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN 1 ALLEGANY FRANCISCAN MINISTRIES INC 33920 US HIGHWAY 19 NORTH SUITE 269 PALM HARBOR FL 34684 581492325 GRANT MAKING FL 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 ASYLUM HILL FAMILY MEDICINE CENTER INC 114 WOODLAND STREET HARTFORD CT 06105 061450170 HEALTH CARE SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 BAUM HARMON MERCY HOSPITAL 1000 4TH STREET SW MASON CITY IA 50401 421500277 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP 1 BAUM HARMON MERCY HOSPITAL AND CLINICS FOUNDATION 1000 4TH STREET SW MASON CITY IA 50401 262973307 FOUNDATION IA 501(C)(3) LINE 12A, I BAUM HARMON MERCY HOSPITAL 1 BEECHWOOD INC 2212 BURDETT AVE TROY NY 12180 141651563 TITLE HOLDING COMPANY NY 501(C)(2) N/A LTC (EDDY) INC 1 BETHLEHEM HAVEN OF PITTSBURGH 905 WATSON STREET PITTSBURGH PA 15219 251436685 HOMELESS SHELTER PA 501(C)(3) LINE 7 PITTSBURGH MERCY HEALTH SYSTEM INC 1 BEVERWYCK INC 40 AUTUMN DRIVE SLINGERLANDS NY 12159 141717028 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 BRIGHTSIDE INC 114 WOODLAND STREET HARTFORD CT 06105 042182395 HEALTH CARE SERVICES MA 501(C)(3) LINE 10 THE MERCY HOSPITAL INC 1 CAPITAL REGION GERIATRIC CENTER INC 421 WEST COLUMBIA STREET COHOES NY 12047 141701597 LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 CATHERINE MCAULEY HEALTH SERVICE CORP 5315 ELLIOTT DR 102 YPSILANTI MI 48197 382507173 HEALTH CARE SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH-MICHIGAN 1 CATHOLIC HEALTH INITIATIVES - IOWA CORP 1111 6TH AVENUE DES MOINES IA 50314 420680448 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 MERCY HEALTH NETWORK INC 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 CENTRAL COMMUNITY HOSPITAL 901 DAVIDSON ST NW ELKADER IA 52043 420818642 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 MERCY COMMUNITY HOSPITAL GROUP LLC 1 COVENANT FOUNDATION INC 3421 WEST NINTH STREET WATERLOO IA 50702 421295784 FOUNDATION IA 501(C)(3) LINE 7 COVENANT MEDICAL CENTER INC 1 COVENANT MEDICAL CENTER INC 3421 WEST NINTH STREET WATERLOO IA 50702 421264647 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 WHEATON FRANCISCAN HEALTHCARE-IOWA INC 1 DILEY RIDGE MEDICAL CENTER 3100 EASTON SQUARE PL STE 300 COLUMBUS OH 43219 342032340 HEALTH CARE AND HOSPITAL SERVICES OH 501(C)(3) LINE 3 MOUNT CARMEL HEALTH SYSTEM 1 DUBUQUE MERCY HEALTH FOUNDATION 250 MERCY DRIVE DUBUQUE IA 52001 262227941 FOUNDATION IA 501(C)(3) LINE 12A, I MERCY HEALTH SERVICES-IOWA CORP 1 DYERSVILLE HEALTH FOUNDATION INC 1111 3RD STREET SW DYERSVILLE IA 52040 205383271 FOUNDATION IA 501(C)(3) LINE 12A, I MERCY HEALTH SERVICES-IOWA CORP 1 EDDY LICENSED HOME CARE AGENCY 433 RIVER ST SUITE 3000 TROY NY 12180 141818568 HOME HEALTH SERVICES NY 501(C)(3) LINE 3 LTC (EDDY) INC 1 EMBRACING AGE INC 333 BUTTERNUT DRIVE DEWITT NY 13214 461051881 PACE PROGRAM NY 501(C)(3) LINE 12B, II ST JOSEPH'S HEALTH INC 1 EMPIRE HOME INFUSION SERVICE INC 10 BLACKSMITH DRIVE MALTA NY 12020 141795732 HOME HEALTH SERVICES NY 501(C)(3) LINE 10 HOME AIDE SERVICE OF EASTERN NEW YORK INC 1 FARREN CARE CENTER INC PO BOX 9184 FARMINGTON HILLS MI 48333 042501711 LONG TERM CARE MA 501(C)(3) LINE 3 TRINITY CONTINUING CARE SERVICES 1 FRANCISCAN ELDERCARE CORPORATION PO BOX 2500 WILMINGTON DE 19805 223008680 LONG TERM CARE (INACTIVE) DE 501(C)(3) LINE 10 ST FRANCIS HOSPITAL INC 1 GENESIS HEALTH SERVICES FOUNDATION 1227 E RUSHOLME STREET DAVENPORT IA 52803 421421670 FOUNDATION IA 501(C)(3) LINE 7 GENESIS HEALTH SYSTEM 1 GENESIS HEALTH SYSTEM 1227 E RUSHOLME STREET DAVENPORT IA 52803 421418847 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 MERCY HEALTH NETWORK INC 1 GENESIS HEALTH SYSTEM (IL) 801 ILLINI DRIVE SILVIS IL 61282 363616314 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 MERCY HEALTH NETWORK INC 1 GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST 1227 E RUSHOLME STREET DAVENPORT IA 52803 391905171 EMPLOYEE BENEFIT TRUST IA 501(C)(3) LINE 12A, I GENESIS HEALTH SYSTEM 1 GENESIS MEDICAL CENTER ALEDO 409 NW 9TH AVENUE ALEDO IL 61231 454475683 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 GENESIS HEALTH SYSTEM (IL) 1 GLACIER HILLS FOUNDATION PO BOX 530009 LIVONIA MI 48152 208072723 FOUNDATION MI 501(C)(3) LINE 12A, I GLACIER HILLS INC 1 GLACIER HILLS INC PO BOX 500039 LIVONIA MI 48152 381891500 SENIOR LIVING COMMUNITY MI 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES 1 GLEN EDDY INC 1 GLEN EDDY DRIVE NISKAYUNA NY 12309 141794150 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 GLOBAL HEALTH MINISTRY 20555 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LINE 10 TRINITY CONTINUING CARE SERVICES 1 HERITAGE HOUSE NURSING CENTER INC 2920 TIBBITS AVE TROY NY 12180 141725101 LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 HOLY CROSS CARENET INC PO BOX 530009 LIVONIA MI 48152 521945054 LONG TERM CARE MD 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES 1 HOLY CROSS HEALTH FOUNDATION INC 1500 FOREST GLEN ROAD SILVER SPRING MD 20910 208428450 FOUNDATION MD 501(C)(3) LINE 7 HOLY CROSS HEALTH INC 1 HOLY CROSS HEALTH INC 1500 FOREST GLEN ROAD SILVER SPRING MD 20910 520738041 HEALTH CARE AND HOSPITAL SERVICES MD 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 HOLY CROSS HOSPITAL INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 590791028 HEALTH CARE AND HOSPITAL SERVICES FL 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 0 HOLY CROSS OUTPATIENT SERVICES INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 465421068 HEALTH CARE SERVICES FL 501(C)(3) LINE 10 HOLY CROSS HOSPITAL INC 1 HOLY CROSS PRIMARY CARE INC 4725 NORTH FEDERAL HIGHWAY FT 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