SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
MERCY CATHOLIC MEDICAL CENTER OF
SOUTHEASTERN PENNSYLVANIA
Employer identification number

23-1352191
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    4,978,750   4,978,750 1.490 %
b Medicaid (from Worksheet 3, column a) . . . . .     113,538,091 133,793,998 0 0 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     118,516,841 133,793,998 4,978,750 1.490 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     167,503   167,503 0.050 %
f Health professions education (from Worksheet 5) . . .     11,265,690 10,007,426 1,258,264 0.380 %
g Subsidized health services (from Worksheet 6) . . . .     20,003,559   20,003,559 5.970 %
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     543   543 0 %
j Total. Other Benefits . .     31,437,295 10,007,426 21,429,869 6.400 %
k Total. Add lines 7d and 7j .     149,954,136 143,801,424 26,408,619 7.890 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and
training for community members		            
6 Coalition building            
7 Community health improvement advocacy     2,643   2,643 0 %
8 Workforce development            
9 Other            
10 Total     2,643   2,643 0 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
29,534,005
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
0
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
61,099,225
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
67,484,911
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-6,385,686
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 MERCY FITZGERALD HOSPITAL
1500 LANSDOWNE AVE
DARBY,PA19023
WWW.TRINITYHEALTHMA.ORG/LOCATIONS/
391901 		X X   X     X      
2 MERCY PHILADELPHIA HOSPITAL
501 S 54TH STREET
PHILADELPHIA,PA19143
WWW.TRINITYHEALTHMA.ORG/LOCATIONS/
136001 		X X   X     X      
Schedule H (Form 990) 2018
Page 4
Schedule H (Form 990) 2018
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
MERCY FITZGERALD HOSPITAL
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SCHEDULE H, PART V, SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2018
Page 5
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
MERCY FITZGERALD HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, SECTION C
b
SEE PART V, SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Page 6
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
MERCY FITZGERALD HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2018
Page 7
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
MERCY FITZGERALD HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2018
Page 4
Schedule H (Form 990) 2018
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
MERCY PHILADELPHIA HOSPITAL
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		2
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SCHEDULE H, PART V, SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2018
Page 5
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
MERCY PHILADELPHIA HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, SECTION C
b
SEE PART V, SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Page 6
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
MERCY PHILADELPHIA HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2018
Page 7
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
MERCY PHILADELPHIA HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2018
Page 8
Schedule H (Form 990) 2018
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
MERCY FITZGERALD HOSPITAL PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E: THE CHNA CONDUCTED IN 2019 IDENTIFIED THE 15 SIGNIFICANT HEALTH NEEDS WITHIN THE MERCY CATHOLIC MEDICAL CENTER FITZGERALD HOSPITAL (MERCY FITZGERALD) COMMUNITY. THE NEEDS WERE THEN PRIORITIZED BASED ON A CROSS-FUNCTIONAL WORKGROUP, COMPRISED OF INTERNAL AND EXTERNAL STAKEHOLDERS' VIGOROUS GROUP DISCUSSION AND CONSENSUS BUILDING TO RANK AND PRIORITIZE THE IDENTIFIED UNMET HEALTH NEEDS. BASED ON GROUP DISCUSSION AND AGREEMENT UTILIZING THE NOMINAL GROUP PLANNING AND THE SIMPLEX METHODS, THE HEALTH NEEDS WERE GROUPED AND RANKED INTO FOUR CATEGORIES; BEGINNING WITH THE MOST IMPORTANT TO ADDRESS FOR THIS CHNA CYCLE: 1) NAVIGATIONAL AND EQUITABLE ACCESS TO CARE, 2) HEALTHY LIVING, 3) BEHAVIORAL HEALTH, AND 4) CHRONIC DISEASE CARE MANAGEMENT. 1. NAVIGATIONAL & EQUITABLE ACCESS TO CARE- ACCESS TO HEALTH CARE- HEALTH STATUS OF THE ELDERLY- ACCESS TO CARE FOR IMMIGRANTS- DENTAL CARE- ACCESS TO PRENATAL & CARE TO INFANTS2. HEALTHY LIVING- NUTRITION- OVERWEIGHT AND OBESITY3. BEHAVIORAL HEALTH- MENTAL HEALTH CARE- DRUG RELATED CAUSES OF DEATH- TOBACCO USE & SMOKING CESSATION4. CHRONIC CARE DISEASE MANAGEMENT- DIABETES- HYPERTENSION- HEART DISEASE- CANCER- STROKE
MERCY PHILADELPHIA HOSPITAL PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E: THE CHNA CONDUCTED IN 2019 IDENTIFIED 13 SIGNIFICANT HEALTH NEEDS WITHIN THE MERCY CATHOLIC MEDICAL CENTER PHILADELPHIA HOSPITAL (MERCY PHILADELPHIA) COMMUNITY. PLEASE NOTE THAT THE MERCY PHILADELPHIA NEEDS OVERLAP/MIRROR THE MERCY FITZGERALD COMMUNITY NEEDS. THE NEEDS WERE THEN PRIORITIZED BASED ON A CROSS-FUNCTIONAL WORKGROUP COMPRISED OF INTERNAL AND EXTERNAL STAKEHOLDERS' VIGOROUS GROUP DISCUSSION AND CONSENSUS BUILDING TO RANK AND PRIORITIZE THE IDENTIFIED UNMET HEALTH NEEDS. BASED ON GROUP DISCUSSION AND AGREEMENT UTILIZING THE NOMINAL GROUP PLANNING AND THE SIMPLEX METHODS, THE HEALTH NEEDS WERE GROUPED AND RANKED INTO FOUR CATEGORIES, BEGINNING WITH THE MOST IMPORTANT TO ADDRESS FOR THIS CHNA CYCLE: 1) NAVIGATIONAL AND EQUITABLE ACCESS TO CARE, 2) HEALTHY LIVING, 3) BEHAVIORAL HEALTH, AND 4) CHRONIC DISEASE CARE MANAGEMENT. 1. NAVIGATIONAL & EQUITABLE ACCESS TO CARE- ACCESS TO HEALTH CARE- HEALTH STATUS OF THE ELDERLY- ACCESS TO CARE FOR IMMIGRANTS- DENTAL CARE- ACCESS TO PRENATAL & CARE TO INFANTS2. HEALTHY LIVING- NUTRITION- OVERWEIGHT AND OBESITY3. BEHAVIORAL HEALTH- MENTAL HEALTH CARE- DRUG RELATED CAUSES OF DEATH4. CHRONIC CARE DISEASE MANAGEMENT- HYPERTENSION- HEART DISEASE- CANCER- STROKE
MERCY FITZGERALD HOSPITAL PART V, SECTION B, LINE 5: THIS INPUT WAS SOLICITED FROM KEY COMMUNITY MEMBERS AND CONSTITUENTS FOR THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS WITHIN THE SERVICE AREA. POTENTIAL PARTICIPANTS FOR THE MEETINGS WERE IDENTIFIED BY MERCY FITZGERALD STAFF WORKING WITH PUBLIC HEALTH MANAGEMENT CORPORATION (PHMC) AND INVITED BY MAIL OR ELECTRONIC MAIL TO ATTEND THE MEETING.- THE INPUT WAS RECEIVED AT THE COMMUNITY MEETING ON NOVEMBER 28, 2018. - ANYONE WHO COULD NOT ATTEND WAS INVITED TO SEND WRITTEN COMMENTS AT ANY TIME.THE COMMUNITY MEMBERS ATTENDING THE MEETING REPRESENTED THE ORGANIZATIONS LISTED BELOW, AND INCLUDED LOCAL GOVERNMENT, PUBLIC HEALTH EXPERTS, AND MEMBERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS:- SENIOR COMMUNITY SERVICES- DELAWARE COUNTY DEPARTMENT OF INTERCOMMUNITY HEALTH - FRIENDSHIP CIRCLE SENIOR CENTER- DARBY COMMUNITY DEVELOPMENT CORPORATION - PHILADELPHIA DEPARTMENT OF PUBLIC WELFARE- UPPER DARBY SENIOR CENTER- YMCA- DARBY FREE LIBRARY- THE COMMON MARKETPUBLIC HEALTH EXPERTS:- PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH- DELAWARE COUNTY DEPARTMENT OF INTERCOMMUNITY HEALTH
MERCY PHILADELPHIA HOSPITAL PART V, SECTION B, LINE 5: THIS INPUT WAS SOLICITED FROM KEY COMMUNITY MEMBERS AND CONSTITUENTS FOR THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS WITHIN THE SERVICE AREA AND FROM THE PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH. POTENTIAL PARTICIPANTS FOR THE MEETINGS WERE IDENTIFIED BY MERCY PHILADELPHIA STAFF WORKING WITH PHMC AND INVITED BY MAIL OR ELECTRONIC MAIL TO ATTEND THE MEETING.- THE INPUT WAS RECEIVED AT THE COMMUNITY MEETING ON NOVEMBER 27, 2018. - ANYONE WHO COULD NOT ATTEND WAS INVITED TO SEND WRITTEN COMMENTS AT ANY TIME.THE COMMUNITY MEMBERS ATTENDING THE MEETING REPRESENTED THE ORGANIZATIONS LISTED BELOW, AND INCLUDED LOCAL GOVERNMENT, PUBLIC HEALTH EXPERTS, AND MEMBERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS:- HORIZON HOUSE- PHILADELPHIA DEPT. OF PUBLIC HEALTH- COMMUNITY MEMBER, SENIOR HEALTH ADVOCATE- GALILEE BAPTIST CHURCH- FRENCH CATHOLIC ASSOCIATION (EAST AFRICAN IMMIGRANTS)- PATIENT ADVISORY COUNCILPUBLIC HEALTH EXPERTS:- PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH- DELAWARE COUNTY DEPARTMENT OF INTERCOMMUNITY HEALTH
MERCY FITZGERALD HOSPITAL PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED JOINTLY BETWEEN MERCY FITZGERALD AND MERCY PHILADELPHIA. AS OF JULY 1, 2019, KNOWN AS MERCY CATHOLIC MEDICAL CENTER, MERCY FITZGERALD CAMPUS AND MERCY PHILADELPHIA CAMPUS.
MERCY PHILADELPHIA HOSPITAL PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED JOINTLY BETWEEN MERCY FITZGERALD AND MERCY PHILADELPHIA. AS OF JULY 1, 2019, KNOWN AS MERCY CATHOLIC MEDICAL CENTER, MERCY FITZGERALD CAMPUS AND MERCY PHILADELPHIA CAMPUS.
MERCY FITZGERALD HOSPITAL PART V, SECTION B, LINE 11: MERCY FITZGERALD IDENTIFIED AND PRIORTIZED ITS SIGNIFICANT HEALTH NEEDS IN THE 2019 CHNA. THE MERCY HEALTH SYSTEM PRIORITIZATION WORK GROUP THEN RANKED THE NEEDS BY PREVALENCE, SEVERITY, AVAILABLE DATA, MAGNITUDE OF PERSONS AFFECTED, AND THE ABILITY OF THE HOSPITAL TO IMPACT THE NEED. THE NEEDS WERE CATEGORIZED AND RANKED UNDER THE FOUR CATEGORIES: (1) NAVIGATIONAL & EQUITABLE ACCESS TO CARE; (2) HEALTH LIVING; (3) BEHAVIORAL HEALTH; AND, (4) CHRONIC DISEASE CARE MANAGEMENT.1. NAVIGATIONAL & EQUITABLE ACCESS TO CARE: IMPROVE ACCESS TO HEALTHCARE SERVICES FOR PERSONS WHO ARE POOR AND VULNERABLE BY ADDRESSING THE FOLLOWING THREE NEEDS: (1) ACCESS TO HEALTH CARE FOR LOW-INCOME RESIDENTS AND UNINSURED; (2) ACCESS TO HEALTH CARE FOR THE ELDERLY; AND (3) ACCESS TO HEALTH CARE FOR THE IMMIGRANT POPULATION. IN FISCAL YEAR 2019, MERCY FITZGERALD:- PROVIDED ACCESS FOR THE IMMIGRANT POPULATION TO ACA/MEDICAID REFERRALS FOR INSURANCE ACCESS AND IDENTIFIED BASELINE UTILIZATION.- PROVIDED RESOURCES FOR ACCESSING PRESCRIPTION MEDICATIONS AND RESOURCES FOR LOW COST OR NO COST WHERE AVAILABLE. PROVIDED 3,000 CHARITABLE PRESCRIPTIONS AT NO CHARGE TO PATIENTS WHO WERE MEDICARE PENDING.- IMPLEMENTED A PROGRAM TO PROVIDE COPING TOOLS FOR THE ELDERLY AND CAREGIVERS AND INTERACTED WITH OVER 100 PARTICIPANTS.- IDENTIFIED THREE LOCAL LANGUAGES OF THE COMMUNITIES WE SERVE. MATERIALS WERE TRANSLATED, PRINTED AND DISTRIBUTED TO MISSION AND COMMUNITY OUTREACH DEPARTMENTS FOR USE IN THE COMMUNITY.2. HEALTHY LIVING: (1) ADDRESS OVERWEIGHT AND OBESITY; AND, (2) NUTRITION SPECIFICALLY FOOD INSECURITY. IN FISCAL YEAR 2019, MERCY FITZGERALD:- IMPLEMENTED A WEIGHT MANAGEMENT PROGRAM AT THE HOSPITAL, AS WELL AS CONTINUING OUR PARTNERSHIP WITH PLAYWORKS IN FIVE SCHOOLS (TWO SCHOOLS IN DELAWARE COUNTY AND THREE SCHOOLS IN WEST PHILADELPHIA) TO TEACH THE IMPORTANCE OF A STRUCTURED RECESS AND THE ROLL OUT OF A WATER BOTTLE PROGRAM TO HELP ELIMINATE SUGARY DRINKS FROM SCHOOLS.- CONTINUED TO ADDRESS THE SOCIAL INFLUENCERS OF HEALTH FOOD INSECURITY BY WORKING WITH THE MERCY PHYSICIAN NETWORK, PATIENTS WERE SCREENED IN FIVE PRIMARY CARE PRACTICES LOCATED IN THE SERVICE AREAS OF MERCY CATHOLIC MEDICAL CENTER, MERCY FITZGERALD AND MERCY PHILADELPHIA, AND NAZARETH HOSPITAL. A TOTAL OF 606 PATIENTS WERE IDENTIFIED AS FOOD INSECURE AND WERE REFERRED TO COMMUNITY BASED ORGANIZATIONS FOR ASSISTANCE.3. BEHAVIORAL HEALTH: IMPROVE ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE BY ADDRESSING THE NEED FOR THIS SERVICE FOR COMMUNITY RESIDENTS. IT SHOULD BE NOTED THAT THE FISCAL YEAR 2015 CHNA IDENTIFIED THIS NEED AS MENTAL AND BEHAVIORAL HEALTH, WHEREAS THE 2019 CHNA IDENTIFIES IT AS BEHAVIORAL HEALTH. IN FISCAL YEAR 2019, MERCY FITZGERALD:- IMPLEMENTED THE "PREVENT" PROGRAM IN PARTNERSHIP WITH THREE LOCAL SCHOOLS TO 125 EIGHTH GRADERS WHO SUCCESSFULLY COMPLETED THE FIVE SESSION PROGRAM FROM JANUARY TO MAY 2019 WITH A 100% RETENTION. THE "PREVENT" PROGRAM WAS CREATED TO PROVIDE STUDENTS WITH SKILLS TO ADDRESS POTENTIAL BEHAVIORAL ISSUES ASSOCIATED WITH OPIOID ADDICTION. PRE-ASSESSMENT AND POST-ASSESSMENT WAS COMPLETED BY THE PARTICIPANTS TO MEASURE THEIR COPING SKILLS.4. IMPROVE CHRONIC DISEASE PREVENTION AND MANAGEMENT NEEDS PER THE IMPLEMENTATION STRATEGY PLAN TO ADDRESS AND IMPROVE COMMUNITY HEALTH THROUGH SCREENINGS, EARLY DETECTION, AND EDUCATION FOR THE FOLLOWING SEVEN NEEDS: (1) CANCER; (2) SMOKING PREVENTION AND INTERVENTIONS; (3) HIGH BLOOD PRESSURE; (4) HEART DISEASE; (5) STROKE; AND, (6) DIABETES. IN FISCAL YEAR 2019, MERCY FITZGERALD:- ACHIEVED 58% IN YEAR ONE (FISCAL YEAR 2017), 66% IN YEAR TWO (FISCAL YEAR 2018) AND 69% IN YEAR THREE (FISCAL YEAR 2019) COLORECTAL SCREENINGS OF MERCY PHYSICIAN NETWORK PATIENTS SCREENED.- ACHIEVED 5% INCREASE YEAR OVER YEAR OF LOW DOSE CT LUNG CANCER SCREENINGS FOR A TOTAL OF 107 IN YEAR ONE (FISCAL YEAR 2017), 223 IN YEAR TWO (FISCAL YEAR 2018) AND 258 IN YEAR THREE (FISCAL YEAR 2019) MERCY PHYSICIAN NETWORK PATIENTS SCREENED.- ACHIEVED 5% INCREASE YEAR OVER IN REFERRALS TO SMOKING CESSATION OR REFERRAL QUIT LINE (1-800-QUITNOW).- INCREASED THE NUMBER OF NEW PATIENTS INTO DIABETIC EDUCATION PROGRAM BY 10% YEAR OVER YEAR.THE HOSPITAL ACKNOWLEDGES THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS, AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE HEALTH NEEDS WHICH IT DEEMED MOST PRESSING, UNDER-ADDRESSED, AND WITHIN ITS ABILITY TO INFLUENCE. DENTAL CARE - THE HOSPITAL DID NOT DIRECTLY ADDRESS THIS PARTICULAR NEED BECAUSE IT DOES NOT HAVE THE CAPACITY OR EXPERTISE TO ADDRESS THE NEED AND IT IS BEING ADDRESSED BY OTHER ORGANIZATIONS.ACCESS TO PRENATAL CARE AND CARE FOR INFANTS - THE HOSPITAL DID NOT DIRECTLY ADDRESS THIS PARTICULAR NEED BECAUSE IT IS NOT A BIRTHING FACILITY AND THE NEED IS BEING ADDRESSED BY OTHER ORGANIZATIONS.
MERCY PHILADELPHIA HOSPITAL PART V, SECTION B, LINE 11: MERCY PHILADELPHIA IDENTIFIED AND PRIORITIZED ITS SIGNIFICANT HEALTH NEEDS IN THE 2019 CHNA. THE MERCY HEALTH SYSTEM PRIORITIZATION WORKGROUP THEN RANKED THE NEEDS BY PREVALENCE, SEVERITY, AVAILABLE DATA, MAGNITUDE OF PERSONS AFFECTED, AND THE ABILITY OF THE HOSPITAL TO IMPACT THE NEED. THE NEEDS WERE CATEGORIZED AND RANKED UNDER THE FOUR CATEGORIES: (1) NAVIGATIONAL & EQUITABLE ACCESS TO CARE; (2) HEALTHY LIVING; (3) BEHAVIORAL HEALTH; AND, (4) CHRONIC DISEASE CARE MANAGEMENT. 1. NAVIGATIONAL & EQUITABLE ACCESS TO CARE: IMPROVE ACCESS TO HEALTHCARE SERVICES FOR PERSONS WHO ARE POOR AND VULNERABLE BY ADDRESSING THE FOLLOWING NEEDS: (1) ACCESS TO HEALTH CARE FOR LOW-INCOME RESIDENTS, UNINSURED AND OLDER ADULTS; AND (2) ACCESS TO HEALTH CARE FOR THE IMMIGRANT POPULATION. IN FISCAL YEAR 2019, MERCY PHILADELPHIA:- PROVIDED ACCESS FOR THE IMMIGRANT POPULATION TO ACA/MEDICAID REFERRALS FOR INSURANCE ACCESS AND IDENTIFIED BASELINE UTILIZATION.- PROVIDED RESOURCES FOR ACCESSING PRESCRIPTION MEDICATIONS AND RESOURCES FOR LOW COST OR NO COST WHERE AVAILABLE. PROVIDED 3,000 CHARITABLE PRESCRIPTIONS AT NO CHARGE TO PATIENTS WHO WERE MEDICARE PENDING.- IMPLEMENTED A PROGRAM TO PROVIDE COPING TOOLS FOR THE ELDERLY AND CAREGIVERS AND INTERACTED WITH OVER 100 PARTICIPANTS.- IDENTIFIED THREE LOCAL LANGUAGES OF THE COMMUNITIES WE SERVE. MATERIALS WERE TRANSLATED, PRINTED AND DISTRIBUTED TO MISSION AND COMMUNITY OUTREACH DEPARTMENTS FOR USE IN THE COMMUNITY.2. HEALTHY LIVING: (1) ADDRESS OVERWEIGHT AND OBESITY; AND (2) NUTRITION SPECIFICALLY FOOD INSECURITY. IN FISCAL YEAR 2019, MERCY PHILADELPHIA:- WORKING WITH THE MERCY PHYSICIAN NETWORK, PATIENTS WERE SCREED IN FIVE PRIMARY CARE PRACTICES LOCATED IN THE SERVICE AREAS OF MERCY FITZGERALD, MERCY PHILADELPHIA AND NAZARETH HOSPITAL. A TOTAL OF 606 PATIENTS WERE IDENTIFIED AS FOOD INSECURE AND WERE PROVIDED WITH REFERRALS TO COMMUNITY BASED ORGANIZATIONS FOR ASSISTANCE.- IN FISCAL YEAR 2019, THROUGH MERCY HEALTH SYSTEM (NOW TRINITY HEALTH OF THE MID-ATLANTIC REGION), CONTINUED COLLABORATING WITH PLAYWORKS IN FIVE SCHOOLS (TWO SCHOOLS IN DELAWARE COUNTY AND THREE SCHOOLS IN WEST PHILADELPHIA) TO TEACH THE IMPORTANCE OF PHYSICAL ACTIVITY THROUGH STRUCTURED RECESS.3. BEHAVIORAL HEALTH: IMPROVE ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE BY ADDRESSING THE NEED FOR THIS SERVICE FOR COMMUNITY RESIDENTS. IT SHOULD BE NOTED THAT THE FISCAL YEAR 2015 CHNA IDENTIFIED THIS NEED AS MENTAL AND BEHAVIORAL HEALTH, WHEREAS THE 2019 CHNA IDENTIFIES IT AS BEHAVIORAL HEALTH. IN FISCAL YEAR 2019, MERCY PHILADELPHIA:- IMPLEMENTED THE "PREVENT" PROGRAM IN PARTNERSHIP WITH THREE LOCAL SCHOOLS TO 125 EIGHTH GRADERS WHO SUCCESSFULLY COMPLETED THE FIVE SESSION PROGRAM FROM JANUARY TO MAY 2019 WITH A 100% RETENTION. THE "PREVENT" PROGRAM WAS CREATED TO PROVIDE STUDENTS WITH SKILLS TO ADDRESS POTENTIAL BEHAVIORAL ISSUES ASSOCIATED WITH OPIOID ADDICTION. PRE-ASSESSMENT AND POST-ASSESSMENT WAS COMPLETED BY THE PARTICIPANTS TO MEASURE THEIR COPING SKILLS.4. IMPROVED CHRONIC DISEASE PREVENTION AND MANAGEMENT NEEDS PER THE IMPLEMENTATION STRATEGY PLAN TO ADDRESS AND IMPROVE COMMUNITY HEALTH THROUGH SCREENINGS, EARLY DETECTION, AND EDUCATION FOR THE FOLLOWING FOUR NEEDS: (1) HYPERTENSION; (2) HEART DISEASE; (3) CANCER; AND, (4) STROKE. IN FISCAL YEAR 2019, MERCY PHILADELPHIA:- ACHIEVED 58% IN YEAR ONE (FISCAL YEAR 2017), 66% IN YEAR TWO (FISCAL YEAR 2018) AND 69% IN YEAR THREE (FISCAL YEAR 2019) COLORECTAL SCREENINGS OF MERCY PHYSICIAN NETWORK PATIENTS SCREENED.- ACHIEVED 5% INCREASE YEAR OVER YEAR OF LOW DOSE CT LUNG CANCER SCREENINGS FOR A TOTAL OF 107 IN YEAR ONE (FISCAL YEAR 2017), 223 IN YEAR TWO (FISCAL YEAR 2018) AND 258 IN YEAR THREE (FISCAL YEAR 2019) MERCY PHYSICIAN NETWORK PATIENTS SCREENED.- ACHIEVED 5% INCREASE YEAR OVER IN REFERRALS TO SMOKING CESSATION OR REFERRAL QUIT LINE (1-800-QUITNOW).- INCREASED THE NUMBER OF NEW PATIENTS INTO DIABETIC EDUCATION PROGRAM BY 10% YEAR OVER YEAR.THE HOSPITAL ACKNOWLEDGES THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS, AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE HEALTH NEEDS WHICH IT DEEMED MOST PRESSING, UNDER-ADDRESSED, AND WITHIN ITS ABILITY TO INFLUENCE. DENTAL CARE - THE HOSPITAL DID NOT DIRECTLY ADDRESS THIS PARTICULAR NEED BECAUSE IT DOES NOT HAVE THE CAPACITY OR EXPERTISE TO ADDRESS THE NEED AND IT IS BEING ADDRESSED BY OTHER ORGANIZATIONS.ACCESS TO PRENATAL CARE AND CARE FOR INFANTS - THE HOSPITAL DID NOT DIRECTLY ADDRESS THIS PARTICULAR NEED BECAUSE IT IS NOT A BIRTHING FACILITY AND THE NEED IS BEING ADDRESSED BY OTHER ORGANIZATIONS.
MERCY FITZGERALD HOSPITAL PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.
MERCY PHILADELPHIA HOSPITAL PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.
MERCY FITZGERALD HOSPITAL - PART V, SECTION B, LINE 7A: WWW.TRINITYHEALTHMA.ORG/ABOUT/CHNA
MERCY FITZGERALD HOSPITAL - PART V, SECTION B, LINE 10A: WWW.TRINITYHEALTHMA.ORG/ABOUT/CHNA
PART V, LINE 16A: MERCY FITZGERALD HOSPITAL AND MERCY PHILADELPHIA HOSPITALWWW.TRINITYHEALTHMA.ORG/PATIENTS-VISITORS/EPAY/FINANCIAL-ASSISTANCE
PART V, LINE 16B: MERCY FITZGERALD HOSPITAL AND MERCY PHILADELPHIA HOSPITALWWW.TRINITYHEALTHMA.ORG/PATIENTS-VISITORS/EPAY/FINANCIAL-ASSISTANCE
PART V, LINE 16C: MERCY FITZGERALD HOSPITAL AND MERCY PHILADELPHIA HOSPITALWWW.TRINITYHEALTHMA.ORG/PATIENTS-VISITORS/EPAY/FINANCIAL-ASSISTANCE
MERCY FITZGERALD HOSPITAL - 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.
MERCY PHILADELPHIA HOSPITAL - PART V, SECTION B, LINE 7A: WWW.TRINITYHEALTHMA.ORG/ABOUT/CHNA
MERCY PHILADELPHIA HOSPITAL - PART V, SECTION B, LINE 10A: WWW.TRINITYHEALTHMA.ORG/ABOUT/CHNA
MERCY PHILADELPHIA HOSPITAL - 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.
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2018
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Schedule H (Form 990) 2018
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?1
Name and address Type of Facility (describe)
1 1 - SISTER MARIE LENAHAN WELLNESS CENTER
1503 LANSDOWNE AVE
DARBY,PA19023 		WELLNESS CENTER, CARDIOLOGIST, ORTHOPEDIC MEDICINE, UROLOGIST
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2018
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Schedule H (Form 990) 2018
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
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: MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA (MERCY CATHOLIC MEDICAL CENTER) PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT, WHICH IT SUBMITS TO THE STATE OF PENNSYLVANIA. IN ADDITION, MERCY CATHOLIC MEDICAL CENTER 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.MERCY CATHOLIC MEDICAL CENTER ALSO INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE.
PART I, LINE 7: THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM.
PART I, LN 7 COL(F): THE FOLLOWING NUMBER, $ 29,534,005, 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 FITZGERALD HOSPITAL:ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENTS/SAFETY - ADVOCACY ON BEHALF OF COMMUNITY MEMBERS: THE COMMUNITY ADVISORY COMMITTEE IS A DISCIPLINARY TEAM THAT WORKS TOGETHER TO PLAN AND EXECUTE COMMUNITY PROGRAMS AND EVENTS. THESE PROGRAMS AND EVENTS ARE BASED ON THE NEEDS OF THE COMMUNITY IDENTIFIED IN OUR COMMUNITY NEEDS ASSESSMENT AS WELL AS THE NEEDS OF OUR COMMUNITY PARTNERS. THESE EVENTS INCLUDE COMMUNITY HEALTH FAIRS, HEALTH AND WELLNESS EDUCATION TO OUR SENIOR CENTERS AND VARIOUS COMMUNITY ORGANIZATIONS, FREE HEALTH SCREENS AND OUR DINE WITH THE DOCS EDUCATIONAL SERIES.MERCY PHILADELPHIA HOSPITAL:ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENTS/SAFETY: THE COMMUNITY ADVISORY COMMITTEE IS A MULTIDISCIPLINARY TEAM THAT WORKS TOGETHER TO PLAN AND EXECUTE COMMUNITY PROGRAMS AND EVENTS. THESE PROGRAMS AND EVENTS ARE BASED ON THE NEEDS OF THE COMMUNITY IDENTIFIED IN OUR COMMUNITY NEEDS ASSESSMENT AS WELL AS THE NEEDS OF OUR COMMUNITY PARTNERS. THESE EVENTS INCLUDE COMMUNITY HEALTH FAIRS, HEALTH AND WELLNESS EDUCATION TO OUR SENIOR CENTERS AND VARIOUS COMMUNITY ORGANIZATIONS, FREE HEALTH SCREENS AND OUR DINE WITH THE DOCS EDUCATIONAL SERIES.
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: MERCY CATHOLIC MEDICAL CENTER 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, MERCY CATHOLIC MEDICAL CENTER IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, MERCY CATHOLIC MEDICAL CENTER IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL.
PART III, LINE 4: MERCY CATHOLIC MEDICAL CENTER IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE PATIENT ACCOUNTS RECEIVABLE, ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS FOOTNOTE FROM PAGE 14 OF THOSE STATEMENTS: "THE CORPORATION HAS AGREEMENTS WITH THIRD-PARTY PAYERS THAT PROVIDE FOR PAYMENTS TO THE CORPORATION'S HEALTH MINISTRIES AT AMOUNTS DIFFERENT FROM ESTABLISHED RATES. ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYERS AND OTHER CHANGES IN ESTIMATES ARE INCLUDED IN NET PATIENT SERVICE REVENUE AND ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS, AS FINAL SETTLEMENTS ARE DETERMINED.FOR PATIENT ACCOUNTS RECEIVABLE RESULTING FROM REVENUE RECOGNIZED PRIOR TO JULY 1, 2018, PATIENT ACCOUNTS RECEIVABLE WERE REPORTED AT ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYERS, AND OTHERS FOR SERVICES RENDERED. PRIOR TO THIS DATE, AN ALLOWANCE FOR DOUBTFUL ACCOUNTS WAS ESTABLISHED TO REDUCE THE CARRYING VALUE OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. GENERALLY, THIS ALLOWANCE WAS ESTIMATED BASED ON THE AGING OF ACCOUNTS RECEIVABLE AND THE HISTORICAL COLLECTION EXPERIENCE BY THE HEALTH MINISTRIES FOR EACH TYPE OF PAYER. UNDER THE PROVISIONS OF ACCOUNTING STANDARDS UPDATE ("ASU") NO. 2014-09 "REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606)," WHICH WAS ADOPTED EFFECTIVE JULY 1, 2018, AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME IS TREATED AS A RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS FOR WHICH THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYERS FOR RETROACTIVE ADJUSTMENTS, ARE RECEIVABLES IF THE RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. FOR PATIENT ACCOUNTS RECEIVABLE SUBSEQUENT TO THE ADOPTION OF ASU NO. 2014-09 ON JULY 1, 2018, THE ESTIMATED UNCOLLECTABLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT SERVICE REVENUE AND ACCOUNTS RECEIVABLE."PART III, LINE 5:TOTAL MEDICARE REVENUE REPORTED IN PART III, LINE 5 HAS BEEN REDUCED BY THE TWO PERCENT SEQUESTRATION REDUCTION.
PART III, LINE 8: MERCY CATHOLIC MEDICAL CENTER DOES NOT BELIEVE ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS IS SIMILAR TO CATHOLIC HEALTH ASSOCIATION RECOMMENDATIONS, WHICH STATE THAT SERVING MEDICARE PATIENTS IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS AND THAT THE EXISTING COMMUNITY BENEFIT FRAMEWORK ALLOWS COMMUNITY BENEFIT PROGRAMS THAT SERVE THE MEDICARE POPULATION TO BE COUNTED IN OTHER COMMUNITY BENEFIT CATEGORIES.PART III, LINE 8: COSTING METHODOLOGY FOR LINE 6 - MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 27, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT.
PART III, LINE 9B: THE HOSPITAL'S COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. CHARITY DISCOUNTS ARE APPLIED TO THE AMOUNTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. COLLECTION PRACTICES FOR THE REMAINING BALANCES ARE CLEARLY OUTLINED IN THE ORGANIZATION'S COLLECTION POLICY. THE HOSPITAL HAS IMPLEMENTED BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS.
PART VI, LINE 2: NEEDS ASSESSMENT - MERCY FITZGERALD HOSPITAL (MERCY FITZGERALD) AND MERCY PHILADELPHIA HOSPITAL (MERCY PHILADELPHIA) ASSESS THE HEALTH STATUS OF THEIR COMMUNITIES, IN PARTNERSHIP WITH COMMUNITY COALITIONS, AS PART OF THE NORMAL COURSE OF OPERATIONS AND IN THE CONTINUOUS EFFORTS TO IMPROVE PATIENT CARE AND THE HEALTH OF THE OVERALL COMMUNITY. TO ASSESS THE HEALTH OF THE COMMUNITY, THE HOSPITALS 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.
PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - MERCY CATHOLIC MEDICAL CENTER COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES, FEDERAL, STATE, AND LOCAL GOVERNMENT PROGRAMS, AND OTHER COMMUNITY-BASED CHARITABLE PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE.FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING FOR HEALTH CARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE.MERCY CATHOLIC MEDICAL CENTER OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH PATIENT BROCHURES, MESSAGES ON PATIENT BILLS, POSTED NOTICES IN PUBLIC REGISTRATION AREAS INCLUDING EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES. SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE TO APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST PEOPLE IN NEED. INFORMATION REGARDING FINANCIAL ASSISTANCE PROGRAMS IS ALSO AVAILABLE ON HOSPITAL WEBSITES. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN OTHER LANGUAGES AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R), REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITAL.MERCY CATHOLIC MEDICAL CENTER HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. MERCY CATHOLIC MEDICAL CENTER MAKES EVERY EFFORT TO ADHERE TO THE POLICY AND IS COMMITTED TO IMPLEMENTING AND APPLYING THE POLICY FOR ASSISTING PATIENTS WITH LIMITED MEANS IN A PROFESSIONAL, CONSISTENT MANNER.
PART VI, LINE 4: COMMUNITY INFORMATION - THE MERCY FITZGERALD AND MERCY PHILADELPHIA COMMUNITIES OVERLAP.MERCY FITZGERALD IS LOCATED IN DARBY (ZIP CODE 19023), DELAWARE COUNTY. AS DESCRIBED IN ITS CURRENT CHNA, THE COMMUNITY SERVED, WHICH IS DEFINED AS MERCY FITZGERALD'S PRIMARY AND SECONDARY SERVICE AREAS, IS COMPRISED OF 11 ZIP CODES ACROSS SOUTHEASTERN DELAWARE COUNTY AND WEST/SOUTHWEST PHILADELPHIA. THE SERVICE AREA IS DIVERSE, WITH 74% OF THE TOTAL POPULATION OF 319,057 CONSIDERED RACIAL MINORITY. THE OVERALL POPULATION IS EXPECTED TO INCREASE BY 0.8% BETWEEN 2019 AND 2024, WHILE THE MINORITY POPULATION IS PROJECTED TO INCREASE 4.0%. A DECREASE OF 2.5% IS PROJECTED IN THE FEMALE CHILD BEARING AGE GROUP. WITH AN AVERAGE HOUSEHOLD INCOME OF $61,769 AND 29% OF TOTAL HOUSEHOLDS HAVE INCOME LESS THAN $25,000, THERE ARE POCKETS OF NEIGHBORHOODS THAT ARE ECONOMICALLY DISTRESSED. ADDITIONALLY, SOME AREAS HAVE BEEN DESIGNATED AS MEDICALLY UNDERSERVED AND PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREAS.MERCY PHILADELPHIA IS LOCATED IN KINGSESSING (ZIP CODE 19143), WEST PHILADELPHIA. AS DESCRIBED IN ITS CURRENT CHNA, THE COMMUNITY SERVED, WHICH IS DEFINED AS MERCY PHILADELPHIA'S PRIMARY AND SECONDARY SERVICE AREAS, IS COMPRISED OF FIVE ZIP CODES ACROSS WEST AND SOUTHWEST PHILADELPHIA. SECTIONS OF THE SERVICE AREA HAVE BEEN DESIGNATED BY THE STATE AND FEDERAL GOVERNMENT AS A MEDICALLY UNDERSERVED AND/OR PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREAS AND ARE ALSO ECONOMICALLY DISTRESSED. THE SERVICE AREA HAS A HIGH MINORITY POPULATION, 84% OF THE 238,166 TOTAL POPULATION. THE OVERALL POPULATION IS EXPECTED TO INCREASE BY 1.5% WHILE THE POPULATION OF FEMALES AT CHILDBEARING AGE IS PROJECTED TO DECREASE BY 1.3% BETWEEN 2019 AND 2024. THE AVERAGE HOUSEHOLD INCOME IS $47,397 AND 42% OF TOTAL HOUSEHOLDS HAVE INCOME LESS THAN $25,000.
PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH - OUR COMMUNITY BENEFIT ACTIVITIES IN TAX YEAR 2018 INCLUDED GOING DIRECTLY INTO UNDERSERVED COMMUNITIES/POPULATIONS AND PROVIDING HEALTH SCREENINGS, IMMUNIZATIONS, AND HEALTH CARE EDUCATION. PART OF OUR COMMUNITY BENEFIT PORTFOLIO INCLUDES PROVIDING ACCESS TO PRIMARY CARE PHYSICIANS IN A MEDICALLY UNDERSERVED AREA. IN ADDITION, WE MAINTAIN A 24-HOUR EMERGENCY ROOM, AN OPEN MEDICAL STAFF, AND A BOARD COMPRISED LARGELY OF INDEPENDENT MEMBERS OF THE COMMUNITY.IN TAX YEAR 2018, MERCY FITZGERALD AND MERCY PHILADELPHIA CONTINUED TO IMPLEMENT THE SMOKE FREE CAMPUS POLICY. A SYSTEM SYSTEM-WIDE POLICY THAT INCLUDES ALL CAMPUSES/BUILDINGS AND WAS EXPANDED TO INCLUDE ALL TOBACCO AND SMOKELESS TOBACCO PRODUCTS INCLUDING E-CIGARETTES, VAPORS, AND CHEWING TOBACCO. IN ADDITION, THE NEW HIRE POLICY ENCOURAGES ALL NEW COLLEAGUES TO TAKE ADVANTAGE OF THE SMOKING CESSATION CLASSES AND SMOKING CESSATION AIDS. MERCY HEALTH SYSTEM, NOW TRINITY HEALTH OF THE MID-ATLANTIC REGION AS OF JULY 1, 2019, IS A MEMBER OF THE BREATHE FREE PENNSYLVANIA COALITION, A COMBINED GROUP REPRESENTING THE AMERICAN HEART ASSOCIATION, THE AMERICAN STROKE ASSOCIATION AND THE AMERICAN CANCER SOCIETY IN PENNSYLVANIA AND CONTIGUOUS STATES. THE COALITION IS FOCUSED ON IMPROVING THE EXISTING CLEAN INDOOR AIR LAW IN PENNSYLVANIA BY REDUCING THE LOOPHOLES AND EXCEPTIONS THAT ALLOW FOR SMOKING INDOORS IN ESTABLISHMENTS SUCH AS CASINOS, CERTAIN THAT WOULD AMEND THE CLEAN INDOOR ACT: ELIMINATING EXCEPTIONS TO THE STATEWIDE SMOKING BAN; AND, PROVIDING FOR LOCAL ORDINANCES.TRINITY HEALTH OF THE MID-ATLANTIC REGION IS A PARTICIPATING MEMBER OF THE COLLABORATIVE OPPORTUNITIES TO ADVANCE COMMUNITY HEALTH (COACH) INITIATIVE. THE COACH INITIATIVE IS A COMMUNITY HEALTH COLLABORATIVE SPONSORED BY THE HOSPITAL AND HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA TO BRING TOGETHER HOSPITALS, PUBLIC HEALTH, AND COMMUNITY PARTNERS TO ADDRESS COMMUNITY HEALTH ISSUES IN SOUTHEASTERN PENNSYLVANIA. THE COLLABORATIVE, LAUNCHED IN SEPTEMBER 2015, INCLUDES 8 HEALTH SYSTEMS AND PUBLIC HEALTH STAKEHOLDERS (INCLUDING U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES, REGION III; THE PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH; AND THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH). WITH THE PARTICIPATING HOSPITALS COMPLETING THE 2019 CHNAS, THE NEEDS THAT COACH INITIATIVE HEALTH SYSTEM MEMBERS WILL ADDRESS OVER THE THREE YEAR PERIOD STARTING FISCAL YEAR 2020 ARE: (1) NAVIGATION AND ACCESS TO CARE; (2) FOOD INSECURITY; AND (3) BEHAVIORAL HEALTH, WHICH ALIGNS WITH THE NEEDS THAT MERCY FITZGERALD AND MERCY PHILADELPHIA WILL ADDRESS. IN FISCAL YEAR 2019, COACH MEMBERS FOCUSED ON ADDRESSING THE SOCIAL INFLUCENCERS OF HEALTH FOOD INSECURITY NEED THROUGH COMBINED SCREENINGS. 3,230 PATIENTS WERE IDENTIFIED AS FOOD INSECURE AND RECEIVED REFERRALS FOR ASSISTANCE TO COMMUNITY ORGANIZATIONS. HEALTH SYSTEMS FOLLOWING THE COACH INITIATIVE INCLUDE ARIA HEALTH, THE CHILDREN'S HOSPITAL OF PHILADELPHIA, EINSTEIN HEALTHCARE NETWORK, HOLY REDEEMER HEALTH SYSTEM, JEFFERSON HEALTH (INCLUDING ABINGTON JEFFERSON HEALTH AND ARIA HEALTH), TRINITY HEALTH OF THE MID-ATLANTIC REGION, TEMPLE HEALTH, AND THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM.
PART VI, LINE 6: AFFLILIATED HEALTH CARE SYSTEM - MERCY CATHOLIC MEDICAL CENTER IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH ANNUALLY REQUIRES THAT ALL MEMBER HOSPITALS DEFINE - AND ACHIEVE - SPECIFIC COMMUNITY HEALTH AND WELL-BEING GOALS. IN FISCAL YEAR 2019, EVERY TRINITY HEALTH ENTITY FOCUSED ON: 1. REDUCING TOBACCO USE 2. REDUCING OBESITY PREVALENCE3. ADDRESSING AT LEAST ONE SIGNIFICANT HEALTH NEED IDENTIFIED BY THEIR HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT4. ADDRESSING AT LEAST ONE SOCIAL INFLUENCER OF HEALTH TRINITY HEALTH ACKNOWLEDGES THAT SOCIAL INFLUENCERS OF HEALTH - SUCH AS ADEQUATE HOUSING, PERSONAL SAFETY AND ACCESS TO FOOD, EDUCATION, INCOME, AND HEALTH COVERAGE - HAVE A SIGNIFICANT IMPACT ON THE HEALTH OF ITS COMMUNITIES. IN AN EFFORT TO ADDRESS SOME OF THESE INFLUENCERS, TRINITY HEALTH LAUNCHED THE TRANSFORMING COMMUNITIES INITIATIVE (TCI) IN FISCAL YEAR 2016 TO ADVANCE COMMUNITY PARTNERSHIPS THAT FOCUS ON IMPROVING THE HEALTH AND WELL-BEING IN COMMUNITIES SERVED BY THE HOSPITALS OF TRINITY HEALTH. TCI IS A SHARED FUNDING MODEL AND TECHNICAL-ASSISTANCE INITIATIVE SUPPORTING EIGHT TRINITY HEALTH HOSPITALS AND THEIR COMMUNITY PARTNERS TO IMPLEMENT POLICY, SYSTEM, AND ENVIRONMENTAL CHANGE STRATEGIES TO PREVENT TOBACCO USE AND CHILDHOOD OBESITY, AND TO AFFECT CHANGE RELATED TO THE SOCIAL INFLUENCERS OF HEALTH. IN FISCAL YEAR 2019, TRINITY HEALTH INVESTED $3.7 MILLION IN TCI AND HAS LEVERAGED OVER $6.5 MILLION IN COMMUNITY MATCH FUNDING TO DATE. ADDITIONALLY, TRINITY HEALTH'S GOOD SAMARITAN INITIATIVE (GSI) INVESTED $751,000 IN NINE REGIONAL HEALTH MINISTRIES TO SUPPORT THE INTEGRATION OF 16 COMMUNITY HEALTH WORKERS INTO CARE MANAGEMENT TEAMS. TRINITY HEALTH CONTINUES TO EXPAND THE NATIONAL DIABETES PREVENTION PROGRAM THROUGH THE SUPPORT OF THE CENTERS FOR DISEASE CONTROL AND PREVENTION. IN ADDITION TO THE PROGRAMMATIC SPENDING DESCRIBED ABOVE, THE SYSTEM DEPLOYED NEW AND RENEWED LOANS OF $5.3 MILLION FOR PLACE-BASED INVESTING TO IMPROVE ACCESS TO AFFORDABLE HOUSING, HEALTHY FOODS, EDUCATION, AND ECONOMIC DEVELOPMENT. THE COMMUNITY-INVESTING PROGRAM ALSO HAS OUTSTANDING LOAN COMMITMENTS OF $6.0 MILLION TO COMMUNITY INFRASTRUCTURE PROJECTS, WHICH WILL BE DEPLOYED IN FUTURE YEARS.TRINITY HEALTH AND ITS MEMBER HOSPITALS ARE COMMITTED TO THE DELIVERY OF PEOPLE-CENTERED CARE AND SERVING AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN THE COMMUNITIES THEY SERVE. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITIES AND IS COMMITTED TO ADDRESSING THE UNIQUE NEEDS OF EACH COMMUNITY. IN FISCAL YEAR 2019, TRINITY HEALTH INVESTED NEARLY $1.2 BILLION IN COMMUNITY BENEFIT, SUCH AS INITIATIVES SUPPORTING THOSE WHO ARE POOR AND VULNERABLE, HELPING TO MANAGE CHRONIC CONDITIONS LIKE DIABETES, PROVIDING HEALTH EDUCATION, AND MOVING FORWARD POLICY, SYSTEM, AND ENVIRONMENTAL CHANGE.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG.
PART VI, LINE 7, REPORTS FILED WITH STATES PA
Schedule H (Form 990) 2018
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