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 Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2016
Open to Public Inspection
Name of the organization
ST MARY MEDICAL CENTER
 
Employer identification number

23-1913910
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
 
No
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
 
 
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) . . . 		  17,725 4,487,873 -737 4,488,610 1.170 %
b Medicaid (from Worksheet 3, column a) . . . . .   2,589 36,777,711 28,859,117 7,918,594 2.060 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .   20,314 41,265,584 28,858,380 12,407,204 3.230 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4). 23 14,452 4,126,434 63,127 4,063,307 1.060 %
f Health professions education (from Worksheet 5) . . . 2 1,015 216,948 6,700 210,248 0.050 %
g Subsidized health services (from Worksheet 6) . . . . 4 5,443 17,998,898 13,417,634 4,581,264 1.190 %
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . . 38 56,517 1,585,497   1,585,497 0.410 %
j Total. Other Benefits . . 67 77,427 23,927,777 13,487,461 10,440,316 2.710 %
k Total. Add lines 7d and 7j . 67 97,741 65,193,361 42,345,841 22,847,520 5.940 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2016
Schedule H (Form 990) 2016
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 1   1,875   1,875 0 %
2 Economic development            
3 Community support 4 5,055 41,375   41,375 0.010 %
4 Environmental improvements            
5 Leadership development and
training for community members		            
6 Coalition building            
7 Community health improvement advocacy 1 1,000 750   750 0 %
8 Workforce development 3 550 130,000   130,000 0.030 %
9 Other            
10 Total 9 6,605 174,000   174,000 0.040 %
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
16,036,665
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
107,813,275
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
130,458,829
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-22,645,554
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 %
11 ENDOSCOPY CENTER AT ST MARY'S LP
  		MEDICAL SERVICES 16.350 %   83.650 %
22 LANGHORNE MOB PARTNERS LP
  		INVESTMENT AND OPERATIONS 32.610 %   59.920 %
33 SMMC MOB II LP
  		INVESTMENT AND OPERATIONS 65.750 %   19.340 %
44 THE AMBULATORY SURGERY CENTER AT ST MARY LLC
  		ASC SERVICES AND RELATED PROCEDURES 51.000 %   49.000 %
55 HEART INSTITUTE OF ST MARY LLC
  		CO-MANAGEMENT AGREEMENT 10.000 %   90.000 %
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2016
Schedule H (Form 990) 2016
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 ST MARY MEDICAL CENTER
1201 LANGHORNE-NEWTON ROAD
LANGHORNE,PA19047
WWW.STMARYHEALTHCARE.ORG
710201 		X X         X X TRAUMA CENTER, NEONATAL ICU  
2 ST MARY REHABILITATION HOSPITAL
1201 LANGHORNE-NEWTON ROAD
LANGHORNE,PA19047
WWW.STMARYHEALTHCARE.ORG/REHABHOSPITAL
23760101 		X               INPATIENT REHABILITATION  
Schedule H (Form 990) 2016
Schedule H (Form 990) 2016
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)
ST MARY MEDICAL CENTER
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 15
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 15
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) 2016
Schedule H (Form 990) 2016
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
ST MARY MEDICAL CENTER
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) 2016
Schedule H (Form 990) 2016
Page 6
Part VFacility Information (continued)

Billing and Collections
ST MARY MEDICAL CENTER
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) 2016
Schedule H (Form 990) 2016
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
ST MARY MEDICAL CENTER
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) 2016
Schedule H (Form 990) 2016
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)
ST MARY REHABILITATION 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 15
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 15
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) 2016
Schedule H (Form 990) 2016
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
ST MARY REHABILITATION 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) 2016
Schedule H (Form 990) 2016
Page 6
Part VFacility Information (continued)

Billing and Collections
ST MARY REHABILITATION 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   No
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2016
Schedule H (Form 990) 2016
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
ST MARY REHABILITATION 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) 2016
Schedule H (Form 990) 2016
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
ST. MARY MEDICAL CENTER PART V, SECTION B, LINE 5: COMMUNITY MEETINGS AND INTERVIEWS -ST. MARY MEDICAL CENTER (SMMC) SOLICITED AND TOOK INTO ACCOUNT INPUT FROM PERSONS OR ORGANIZATIONS THAT REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IT SERVES, INCLUDING: LOCAL CITY AND COUNTY HEALTH DEPARTMENTS FROM EACH OF THE FIVE COUNTIES IN SOUTHEASTERN PENNSYLVANIA; MEMBERS AND/OR REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS; AND WRITTEN COMMENTS RECEIVED ON THE MOST RECENT CHNA AND IMPLEMENTATION STRATEGY. IN GENERAL, INPUT WAS RECEIVED ON THE UNMET HEALTH CARE NEEDS, EXISTING HEALTH CARE RESOURCES, AND SPECIAL NEEDS OF MINORITY AND MEDICALLY UNDERSERVED POPULATIONS. THE COMMUNITY MEETING WAS GUIDED BY A SET OF WRITTEN QUESTIONS THAT FOCUSED ON PARTICIPANTS' PERCEPTIONS OF THE MOST IMPORTANT PHYSICAL AND BEHAVIORAL HEALTH PROBLEMS IN THE AREA, PROGRAMS THAT SUCCESSFULLY ADDRESS THESE ISSUES, GAPS IN SERVICES, BARRIERS TO CARE, VULNERABLE AND UNDERSERVED POPULATIONS, AND HOW TO BEST REACH INDIVIDUALS IN THE COMMUNITY. THIS INPUT WAS SOLICITED FROM 78 SERVICE AREA COMMUNITY REPRESENTATIVES OF THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS IN THE SERVICE AREA AND FROM PUBLIC HEALTH OFFICIALS, SOCIAL SERVICE PROVIDERS, AND CLINICIANS. POTENTIAL PARTICIPANTS FOR THE MEETINGS WERE IDENTIFIED BY ST. MARY STAFF WORKING WITH PUBLIC HEALTH MANAGEMENT CORPORATION, AND INVITED BY MAIL OR ELECTRONIC MAIL TO ATTEND THE MEETING. THE INPUT WAS RECEIVED AT COMMUNITY MEETINGS ON SEPTEMBER 16 AND 29, 2015 (SOCIAL SERVICE PROVIDERS AND CLINICIANS), SEPTEMBER 24, 2015 (ENGLISH-SPEAKING RESIDENTS) AND OCTOBER 6, 2015 (SPANISH-SPEAKING RESIDENTS) AT OUR LADY OF FATIMA CHURCH, BENSALEM, PA. 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.PERSONS AND ORGANIZATIONS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS: ST. MARY MEDICAL CENTER AND OTHER ORGANIZATIONS: CARE MANAGEMENT (3) ONCOLOGY PATIENT CARE AND CHIEF NURSING OFFICER (CNO) CHIEF MEDICAL OFFICER, ST. MARY PHYSICIAN GROUP CODING QUALITY & CLINICAL ANESTHESIA CHIEF MEDICAL INFORMATION OFFICER NEUROSCIENCE TEAM LEADER PHYSICIAN, ST. MARY PHYSICIAN GROUP COMMUNITY HEALTH REPS FROM CARDIOLOGY, ORTHOPEDICS, ONCOLOGY AND NEUROLOGY SERVICE LINES MEDICAL EXECUTIVE COMMITTEE MEMBERS MISSION & COMMUNITY HEALTH DEPARTMENT OF RADIOLOGY DEPARTMENT OF MEDICINE MOTHER BACHMANN MATERNITY CENTER & CHILDREN'S HEALTH CENTER EXECUTIVE VICE PRESIDENT & CHIEF OPERATING OFFICER (COO) CHOICEONE NETWORK OF VICTIM ASSISTANCE ST. MARY MEDICAL CENTER, CORPORATE FOUNDATIONS RELATIONS THE PEACE CENTER, GIRLS UNLIMITED OUR LADY OF FATIMA, PARENTING CENTER VITA EDUCATION SERVICES HEALTHLINK - DENTAL CLINIC FAMILY SERVICE ASSOCIATION LIBERTAE HALFWAY HOUSE AND LIBERTAE FAMILY HOUSE ADVOCATES FOR HOMELESS AND THOSE IN NEED LOWER BUCKS FAMILY YMCA BUCKS COUNTY HEALTH IMPROVEMENT PROJECT YWCA LOWER BUCKS FAMILY YMCA CATHOLIC SOCIAL SERVICES GAUDENZIA BUCKS COUNTY HOUSING GROUP A WOMAN'S PLACE (2) MINDING YOUR MIND FOUNDATION THE WAY HOME UNITED WAYLOCAL GOVERNMENT: BUCKS COUNTY DRUG & ALCOHOL COMMISSION, INC. BUCKS COUNTY CHILDREN AND YOUTH (2) BUCKS COUNTY DIVISION OF HUMAN SERVICES BUCKS COUNTY AREA AGENCY ON AGING
ST. MARY REHABILITATION HOSPITAL PART V, SECTION B, LINE 5: COMMUNITY MEETINGS AND INTERVIEWS -ST. MARY REHABILITATION HOSPITAL (SMRH) SOLICITED AND TOOK INTO ACCOUNT INPUT FROM PERSONS OR ORGANIZATIONS THAT REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IT SERVES, INCLUDING: LOCAL CITY AND COUNTY HEALTH DEPARTMENTS FROM EACH OF THE FIVE COUNTIES IN SOUTHEASTERN PENNSYLVANIA; MEMBERS AND/OR REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS; AND WRITTEN COMMENTS RECEIVED ON THE MOST RECENT CHNA AND IMPLEMENTATION STRATEGY. IN GENERAL, INPUT WAS RECEIVED ON THE UNMET HEALTH CARE NEEDS, EXISTING HEALTH CARE RESOURCES, AND SPECIAL NEEDS OF MINORITY AND MEDICALLY UNDERSERVED POPULATIONS. THE COMMUNITY MEETING WAS GUIDED BY A SET OF WRITTEN QUESTIONS THAT FOCUSED ON PARTICIPANTS' PERCEPTIONS OF THE MOST IMPORTANT PHYSICAL AND BEHAVIORAL HEALTH PROBLEMS IN THE AREA, PROGRAMS THAT SUCCESSFULLY ADDRESS THESE ISSUES, GAPS IN SERVICES, BARRIERS TO CARE, VULNERABLE AND UNDERSERVED POPULATIONS, AND HOW TO BEST REACH INDIVIDUALS IN THE COMMUNITY. THIS INPUT WAS SOLICITED FROM 78 SERVICE AREA COMMUNITY REPRESENTATIVES OF THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS IN THE SERVICE AREA AND FROM PUBLIC HEALTH OFFICIALS, SOCIAL SERVICE PROVIDERS, AND CLINICIANS. POTENTIAL PARTICIPANTS FOR THE MEETINGS WERE IDENTIFIED BY ST. MARY STAFF WORKING WITH PUBLIC HEALTH MANAGEMENT CORPORATION, AND INVITED BY MAIL OR ELECTRONIC MAIL TO ATTEND THE MEETING. THE INPUT WAS RECEIVED AT COMMUNITY MEETINGS ON SEPTEMBER 16 AND 29, 2015 (SOCIAL SERVICE PROVIDERS AND CLINICIANS), SEPTEMBER 24, 2015 (ENGLISH-SPEAKING RESIDENTS) AND OCTOBER 6, 2015 (SPANISH-SPEAKING RESIDENTS) AT OUR LADY OF FATIMA CHURCH, BENSALEM, PA. 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.PERSONS AND ORGANIZATIONS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS: ST. MARY MEDICAL CENTER AND OTHER ORGANIZATIONS: CARE MANAGEMENT (3) ONCOLOGY PATIENT CARE AND CHIEF NURSING OFFICER (CNO) CHIEF MEDICAL OFFICER, ST. MARY PHYSICIAN GROUP CODING QUALITY & CLINICAL ANESTHESIA CHIEF MEDICAL INFORMATION OFFICER NEUROSCIENCE TEAM LEADER PHYSICIAN, ST. MARY PHYSICIAN GROUP COMMUNITY HEALTH REPS FROM CARDIOLOGY, ORTHOPEDICS, ONCOLOGY AND NEUROLOGY SERVICE LINES MEDICAL EXECUTIVE COMMITTEE MEMBERS MISSION & COMMUNITY HEALTH DEPARTMENT OF RADIOLOGY DEPARTMENT OF MEDICINE MOTHER BACHMANN MATERNITY CENTER & CHILDREN'S HEALTH CENTER EXECUTIVE VICE PRESIDENT & CHIEF OPERATING OFFICER (COO) CHOICEONE NETWORK OF VICTIM ASSISTANCE ST. MARY MEDICAL CENTER, CORPORATE FOUNDATIONS RELATIONS THE PEACE CENTER, GIRLS UNLIMITED OUR LADY OF FATIMA, PARENTING CENTER VITA EDUCATION SERVICES HEALTHLINK - DENTAL CLINIC FAMILY SERVICE ASSOCIATION LIBERTAE HALFWAY HOUSE AND LIBERTAE FAMILY HOUSE ADVOCATES FOR HOMELESS AND THOSE IN NEED LOWER BUCKS FAMILY YMCA BUCKS COUNTY HEALTH IMPROVEMENT PROJECT YWCA LOWER BUCKS FAMILY YMCA CATHOLIC SOCIAL SERVICES GAUDENZIA BUCKS COUNTY HOUSING GROUP A WOMAN'S PLACE (2) MINDING YOUR MIND FOUNDATION THE WAY HOME UNITED WAYLOCAL GOVERNMENT: BUCKS COUNTY DRUG & ALCOHOL COMMISSION, INC. BUCKS COUNTY CHILDREN AND YOUTH (2) BUCKS COUNTY DIVISION OF HUMAN SERVICES BUCKS COUNTY AREA AGENCY ON AGING
ST. MARY MEDICAL CENTER PART V, SECTION B, LINE 6A: PARTNERED WITH SMRH TO CONDUCT A JOINT CHNA.
ST. MARY REHABILITATION HOSPITAL PART V, SECTION B, LINE 6A: PARTNERED WITH SMMC TO CONDUCT A JOINT CHNA.
ST. MARY MEDICAL CENTER PART V, SECTION B, LINE 11: THE UNMET HEALTH CARE NEEDS FOR THE ST. MARY SERVICE AREA WERE IDENTIFIED AND PRIORITIZED BY COMPARING THE HEALTH STATUS, ACCESS TO CARE, HEALTH BEHAVIORS, AND UTILIZATION OF SERVICES FOR RESIDENTS OF THE SERVICE AREA TO RESULTS FOR THE COUNTY AND STATE AND THE HEALTHY PEOPLE 2020 GOALS FOR THE NATION. THE MOST CURRENT 2016 NEEDS ASSESSMENT BUILDS UPON PREVIOUSLY IDENTIFIED UNMET HEALTH NEEDS FROM 2013. THE UNMET HEALTH NEEDS WERE PRIORITIZED BY THE SMMC BOARD OF TRUSTEES ON MAY 9, 2016 AND ARE SHOWN BELOW: 1) BEHAVIORAL HEALTH FOR THE UNINSURED AND UNDERINSURED; 2) ROUTINE CANCER SCREENINGS (IN PARTICULAR WOMEN'S HEALTH SCREENINGS); 3) EDUCATION PROGRAMS TO SUPPORT HEALTHY LIFESTYLES; 4) EDUCATION AND PROGRAMS TO ADDRESS CORONARY HEART DISEASE/CANCER (FOCUS OLDER ADULTS); AND 5) ACCESS TO CARE. THE MISSION-IDENTIFIED NEED TO BE INCLUDED IN THE PLAN: HOMELESSNESS. ADOPTION OF THE 2017-2019 COMMUNITY HEALTH IMPLEMENTATION STRATEGY BY THE ST. MARY HOSPITAL BOARD OF TRUSTEES OCCURRED ON SEPTEMBER 12, 2016 FOR SMMC. THE 2017-2019 ST. MARY COMMUNITY HEALTH IMPROVEMENT PLAN REFLECTS OUR OVERALL APPROACH TO COMMUNITY BENEFIT BY TARGETING THE CONNECTION BETWEEN COMMUNITY NEEDS IDENTIFIED IN THE FISCAL YEAR 2016 CHNA AND KEY STRENGTHS AND MISSION COMMITMENTS OF OUR ORGANIZATION NECESSARY TO BUILD A HEALTHY COMMUNITY. SMMC ADDRESSED THE FOLLOWING FIVE UNMET HEALTH NEEDS IN FISCAL YEAR 2017: 1) PROVIDED ACCESS TO QUALITY BEHAVIORAL HEALTH SERVICES AND EDUCATION PROGRAMS FOR LOW-INCOME, UNINSURED PERSONS DIAGNOSED WITH A BEHAVIORAL HEALTH DISORDER IN PARTNERSHIP WITH HEALTH AND SOCIAL SERVICE AGENCIES THROUGH OUR COMMUNITY BENEFIT GRANTS PROGRAM IN FY17. FAMILY SERVICE ASSOCIATION (FSA) PROVIDED MENTAL HEALTH COUNSELING AND TREATMENT FOR 96 PERSONS AT THE BUCKS COUNTY EMERGENCY SHELTER. TWO FSA CLINICIANS (ONE IS SPANISH SPEAKING) PROVIDED THE FOLLOWING MENTAL HEALTH SERVICES AT THE BUCKS COUNTY HEALTH IMPROVEMENT PARTNERSHIP (BCHIP) ADULT CLINIC: 14 INITIAL BEHAVIORAL HEALTH ASSESSMENTS; 206 INDIVIDUAL AND FAMILY THERAPY SESSIONS; 2 PSYCHIATRIC EVALUATIONS; 6 MEDICATION MONITORING SESSIONS; 79 FULL DEPRESSION SCREENINGS; AND 5 SUICIDE SEVERITY ASSESSMENTS FOR LOW-INCOME UNINSURED PATIENTS AT THE CLINIC. FSA BEHAVIORAL HEALTH CLINICIANS ALSO PROVIDED FOCUSED BEHAVIORAL HEALTH THERAPY AND INFORMATION AND REFERRAL FOR 40 CHILDREN AND THEIR FAMILIES ENROLLED AT THE ST. MARY CHILDREN'S HEALTH CENTER. GRANT SUPPORT WAS PROVIDED TO: GAUDENZIA AND TODAY, INC. FOR SUBSTANCE ABUSE RECOVERY AND STABILIZATION SERVICES FOR 5 UNINSURED PATIENTS; BUCKS COUNTY HOUSING GROUP FOR CASE MANAGEMENT SERVICES AND HOUSING FOR 12 FAMILIES (13 ADULTS, 22 CHILDREN) WHO WERE CHRONICALLY HOMELESS WITH MENTAL HEALTH DISORDER; AND FOR ANTI-BULLYING AND SUICIDE PREVENTION PROGRAMS FOR SCHOOL-AGED YOUTH THROUGH THE PEACE CENTER AND MINDING YOUR MIND FOUNDATION FOR 7,400 SCHOOL-AGED YOUTH IN BUCKS COUNTY. 2) IMPROVED ACCESS TO ROUTINE CANCER SCREENINGS AND EDUCATION FOR LOW-INCOME UNINSURED INDIVIDUALS, INCLUDING 258 MAMMOGRAMS FOR LOW INCOME UNINSURED WOMEN AGES 40 AND UP WHO MEET SCREENING CRITERIA. FIVE BREAST CANCER CASES WERE DIAGNOSED AND TREATED IN FY17. THIS EFFORT WAS CARRIED OUT IN PARTNERSHIP WITH BUCKS COUNTY HEALTH IMPROVEMENT PARTNERSHIP, THE ST. MARY RADIOLOGY TEAM AND BREAST SURGEONS AT ST. MARY BREAST CENTER, AND THE ST. MARY REGIONAL CANCER CENTER. 3) PROVIDED HEART HEALTHY LIFESTYLE EDUCATION PROGRAMS FOR LOW-INCOME AND VULNERABLE PATIENT POPULATIONS INCLUDING: A CHILDHOOD OBESITY PREVENTION PROGRAM FOR 3,452 SCHOOL-AGED YOUTH AND THEIR FAMILIES; A DIABETES SELF-MANAGEMENT AND PREVENTION PROGRAM FOR 17 ADULTS WITH DIABETES AND 25 ADULTS AT RISK FOR TYPE 2 DIABETES; AND INCREASED ACCESS TO HEALTHY AFFORDABLE FRESH FRUITS AND VEGETABLES FOR THOSE IN POVERTY AND THE BROADER COMMUNITY THROUGH TWO FOOD INSECURITY PROGRAMS, FARM TO FAMILIES AND FRESH CONNECT MOBILE FOOD PANTRY, WHICH REACHED 1,105 COMMUNITY MEMBERS IN FY17. THESE PROGRAMS ARE CARRIED OUT IN PARTNERSHIP WITH BUCKS COUNTY SCHOOL DISTRICT NURSES, ST. CHRISTOPHER'S FOUNDATION FOR CHILDREN "FARM TO FAMILIES INITIATIVE," LANCASTER FARM FRESH, BREAST FEEDING RESOURCE CENTER, PENN STATE UNIVERSITY, ST. MARY WELLNESS CENTER, AND LOWER BUCKS YMCA. 4) PROVIDED PRIMARY AND PREVENTIVE HEALTH CARE SERVICES FOR LOW-INCOME UNINSURED ELIGIBLE ADULTS AND CHILDREN THROUGH SUPPORT AND ENROLLMENT INTO MEDICAID AND ST. MARY FINANCIAL ASSISTANCE PROGRAMS. IN FY17, 2,589 MEDICAID PATIENTS RECEIVED SERVICES AT ST. MARY, AND 17,725 PATIENTS QUALIFIED AND RECEIVED ST. MARY FINANCIAL ASSISTANCE. AT THE ST. MARY CHILDREN'S HEALTH CENTER, 3,100 CHILDREN RECEIVED MEDICAL CARE AND THE MOTHER BACHMANN MATERNITY CENTER DELIVERED 445 BABIES IN FY17. ST. MARY ALSO PROVIDED GRANT SUPPORT AND CHARITY CARE FOR 777 BUCKS COUNTY HEALTH IMPROVEMENT PARTNERSHIP ADULT CLINIC PATIENTS. 5) THE HOMELESS, OR THOSE AT RISK OF BECOMING HOMELESS, RECEIVED IMPROVED ACCESS TO EVICTION PREVENTION RESOURCES, HOUSING, AND CASE MANAGEMENT SERVICES THROUGH OUR GRANT SUPPORT, IN PARTNERSHIP WITH THE FOLLOWING NONPROFIT ORGANIZATIONS: ADVOCATES FOR THE HOMELESS AND THOSE IN NEED, WHICH REACHED 7,356 INDIVIDUALS THROUGH CODE BLUE, WHEELS TO MEALS AND THOSE IN NEED MISSION; BUCKS COUNTY HOUSING GROUP, WHICH PROVIDED SUPPORTIVE HOUSING FOR 31 FAMILIES (95 INDIVIDUALS) AND DIVERSION FROM HOUSING CRISIS FOR 361 HOUSEHOLDS; INTERFAITH HOUSING VISIONS, WHICH PROVIDED EVICTION PREVENTION ASSISTANCE FOR 14 FAMILIES; AND WAY HOME, INC., WHICH PROVIDED CONGREGATE LIVING FOR 11 HOMELESS MALES.IN 2016, SMMC RECOGNIZED THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON THOSE HEALTH NEEDS WHICH IT DEEMED MOST PRESSING, UNDER-ADDRESSED, AND WITHIN ITS ABILITY TO INFLUENCE. SMMC DID NOT TAKE ADDITIONAL ACTION ON THE FOLLOWING HEALTH NEEDS:FALLS OLDER ADULTS - ST. MARY TRAUMA DEPARTMENT PROVIDES BALANCE EDUCATION AND HOME SAFETY PROGRAMS IN THE COMMUNITY. TO PREVENT DUPLICATION OF SERVICES, NO ADDITIONAL ACTION WILL BE TAKEN.ASTHMA IN ADULTS - THIS WAS THE FIRST TIME ASTHMA HAD BEEN SHOWN TO BE SIGNIFICANT IN THIS AREA, AND SINCE NO TREND HAS BEEN ESTABLISHED, OTHER LONGER STANDING NEEDS WERE PRIORITIZED. AFFORDABLE FOOD & SAFE PLACES TO PLAY - ALTHOUGH NOTED AT A COMMUNITY MEETING, SMMC HAS LITTLE IMPACT ON THE LONG-TERM PRICE OF FOOD AND THE "BUILT" ENVIRONMENT IN OUR COUNTY, AND THEREFORE, THIS NEED WAS NOT ADDRESSED BY THE HOSPITAL. SMMC DOES HOWEVER ALREADY HAVE FOOD INSECURITY PROGRAMS IN PLACE IN OUR HEART HEALTHY LIFESTYLE EDUCATION PROGRAMS.
ST. MARY REHABILITATION HOSPITAL PART V, SECTION B, LINE 11: SMRH CAME INTO SERVICE ON MAY 23, 2014, AND THEREFORE, IS NOT INCLUDED IN THE PRIOR COMMUNITY HEALTH NEEDS ASSESSMENT (2013) AND IMPLEMENTATION STRATEGY (2013-2015). IN 2016, SMMC AND SMRH COLLABORATED ON THEIR COMMUNITY HEALTH NEEDS ASSESSMENT FOR OUR SERVICE AREA. THE UNMET HEALTH CARE NEEDS FOR THE ST. MARY SERVICE AREA WERE IDENTIFIED AND PRIORITIZED BY COMPARING THE HEALTH STATUS, ACCESS TO CARE, HEALTH BEHAVIORS, AND UTILIZATION OF SERVICES FOR RESIDENTS OF THE SERVICE AREA TO RESULTS FOR THE COUNTY AND STATE AND THE HEALTHY PEOPLE 2020 GOALS FOR THE NATION. THE UNMET HEALTH NEEDS PRIORITIZED BY SMRH ON APRIL 28, 2016 WERE:1) BEHAVIORAL HEALTH FOR THE UNINSURED AND UNDERINSURED; 2) ROUTINE CANCER SCREENINGS (IN PARTICULAR WOMEN'S HEALTH SCREENINGS); 3) EDUCATION PROGRAMS TO SUPPORT HEALTHY LIFESTYLES; 4) EDUCATION AND PROGRAMS TO ADDRESS CORONARY HEART DISEASE/CANCER (FOCUS OLDER ADULTS); AND 5) ACCESS TO CARE. THE MISSION-IDENTIFIED NEED TO BE INCLUDED IN THE PLAN: HOMELESSNESS. ADOPTION OF THE 2017-2019 COMMUNITY HEALTH IMPLEMENTATION STRATEGY BY ST. MARY HOSPITAL BOARD OF TRUSTEES OCCURRED ON OCT 20, 2016 FOR SMRH. THE 2017-2019 ST. MARY COMMUNITY HEALTH IMPROVEMENT PLAN REFLECTS OUR OVERALL APPROACH TO COMMUNITY BENEFIT BY TARGETING THE CONNECTION BETWEEN COMMUNITY NEEDS IDENTIFIED IN THE FISCAL YEAR 2016 CHNA AND KEY STRENGTHS AND MISSION COMMITMENTS OF OUR ORGANIZATION NECESSARY TO BUILD A HEALTHY COMMUNITY.SMRH ADDRESSED THE UNMET HEALTH NEED OF HEART HEALTHY LIFESTYLE EDUCATION FOR LOW-INCOME AND VULNERABLE PATIENT POPULATIONS IN FY17. THE HOSPITAL TOOK THE FOLLOWING ACTIONS:CLINICAL THERAPY STAFF EDUCATED PATIENTS AND THEIR FAMILIES, AS WELL AS COMMUNITY MEMBERS, ABOUT THE IMPORTANCE OF SAFE AND APPROPRIATE EXERCISE AND ACTIVITY. THIS WAS CONDUCTED THROUGH MONTHLY SUPPORT GROUP MEETINGS HELD AT SMRH, INCLUDING STROKE, AMPUTEE AND PARKINSON'S SUPPORT GROUPS, AND ENGAGED COMMUNITY PARTICIPANTS IN WALKING AND NUTRITION EDUCATION DURING ST. MARY AND AMERICAN HEART ASSOCIATION HEART CHASE EDUCATIONAL EVENT LOCATED ON ST. MARY REHABILITATION HOSPITAL WALKING TRAIL.NUTRITIONAL SERVICES STAFF ALSO EDUCATED PATIENTS AND THEIR FAMILIES ABOUT THE IMPORTANCE OF A HEALTHY AND BALANCED DIET. PARTICIPANTS LEARNED HOW TO PREPARE HEALTHY MEALS DURING A HANDS-ON PREPARATION AND TASTING EXPERIENCE AT THE ACTIVITIES OF DAILY LIVING CENTER ON THE SMRH CAMPUS.IN 2016, SMRH RECOGNIZED THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS, AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON THOSE HEALTH NEEDS WHICH IT DEEMED MOST PRESSING, UNDER-ADDRESSED, AND WITHIN ITS ABILITY TO INFLUENCE. SMRH WILL NOT TAKE ADDITIONAL ACTION ON THE FOLLOWING HEALTH NEEDS:BEHAVIORAL HEALTH FOR THE UNINSURED AND UNDERINSURED, CANCER SCREENING EDUCATION AND AWARENESS, ACCESS TO CARE, AND HOMELESSNESS - SMRH DID NOT DIRECTLY ADDRESS THESE NEEDS BECAUSE THEY WERE ADDRESSED BY SMMC AND OTHER COMMUNITY PARTNERS. SMRH DID SUPPORT SMMC IN PROGRAMS ADDRESSING THESE NEEDS AS THEY RELATE TO SERVICES PROVIDED BY A REHABILITATION HOSPITAL.FALLS OLDER ADULTS - ST. MARY TRAUMA DEPARTMENT PROVIDES BALANCE EDUCATION AND HOME SAFETY PROGRAMS IN THE COMMUNITY. TO PREVENT DUPLICATION OF SERVICES, NO ADDITIONAL ACTION WILL BE TAKEN.ASTHMA IN ADULTS - THIS WAS THE FIRST TIME ASTHMA HAD BEEN SHOWN TO BE SIGNIFICANT IN THIS AREA, AND SINCE NO TREND HAS BEEN ESTABLISHED OTHER LONGER STANDING NEEDS WERE A PRIORITY. AFFORDABLE FOOD & SAFE PLACES TO PLAY - ALTHOUGH NOTED AT A COMMUNITY MEETING, SMRH HAS LITTLE IMPACT ON THE LONG-TERM PRICE OF FOOD AND THE "BUILT" ENVIRONMENT IN OUR COUNTY, AND THEREFORE, THIS NEED WAS NOT ADDRESSED BY THE HOSPITAL. SMRH DOES HOWEVER ALREADY HAVE FOOD INSECURITY PROGRAMS IN PLACE IN OUR HEART HEALTHY LIFESTYLE EDUCATION PROGRAMS.
ST. MARY MEDICAL CENTER 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.
ST. MARY REHABILITATION HOSPITAL PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.
PART V, SECTION B, LINE 7A ST. MARY MEDICAL CENTER AND ST. MARY REHABILITATION CENTER:HTTP://WWW.STMARYHEALTHCARE.ORG/COMMUNITYDASHBOARD
PART V, SECTION B, LINE 10A ST. MARY MEDICAL CENTER AND ST. MARY REHABILITATION CENTER:HTTP://WWW.STMARYHEALTHCARE.ORG/COMMUNITYDASHBOARD
PART V, SECTION B, LINE 16A ST. MARY MEDICAL CENTER AND ST. MARY REHABILITATION CENTER:HTTP://WWW.STMARYHEALTHCARE.ORG/FINANCIALASSISTANCE
PART V, SECTION B, LINE 16B ST. MARY MEDICAL CENTER AND ST. MARY REHABILITATION CENTER:HTTP://WWW.STMARYHEALTHCARE.ORG/FINANCIALASSISTANCE
PART V, SECTION B, LINE 16C ST. MARY MEDICAL CENTER AND ST. MARY REHABILITATION CENTER:HTTP://WWW.STMARYHEALTHCARE.ORG/FINANCIALASSISTANCE
PART V, SECTION B, LINE 9 ST. MARY MEDICAL CENTER AND ST. MARY REHABILITATION CENTER:AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, EACH 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) 2016
Schedule H (Form 990) 2016
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?2
Name and address Type of Facility (describe)
1 1 - THE AMBULATORY SURGERY CTR AT ST MARY
1203 LANGHORNE NEWTON ROAD
LANGHORNE,PA19047 		ASC SERVICES & RELATED PROCEDURES
2 2 - ENDOSCOPY CENTER AT ST MARY LP
1203 LANGHORNE NEWTON ROAD
LANGHORNE,PA19047 		MEDICAL SERVICES
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2016
Schedule H (Form 990) 2016
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: ST. MARY MEDICAL CENTER (SMMC) PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT, WHICH IT SUBMITS TO THE STATE OF PA. IN ADDITION, SMMC REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH (EIN 35-1443425) IN ITS AUDITED FINANCIAL STATEMENTS, AVAILABLE AT WWW.TRINITY-HEALTH.ORG. IN ADDITION, SMMC 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, $16,036,665, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE. 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: SMMC SUPPORTED COMMUNITY BUILDING ACTIVITIES DESIGNED TO ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS. THE HOSPITAL PROVIDED $174,000 IN COMMUNITY BUILDING SUPPORT INCLUDING: FOUNDATIONAL BUILDING BLOCKS FOR 55 YOUNG FAMILIES THROUGH LITERACY AND LIFE AND HEAD START EARLY CHILDHOOD EDUCATION AND PARENTING PROGRAMS; HOUSING ENHANCEMENTS THROUGH HABITAT FOR HUMANITY; FOOD PANTRY SUPPORT FOR BUCKS COUNTY HOUSING GROUP OPERATED PANTRIES THAT REACHED 5,000 COUNTY RESIDENTS; PRISON REENTRY ASSISTANCE WITH BUCKS COUNTY CORRECTIONAL FACILITY FOR 200 INMATES; CITIZENSHIP CLASSES FOR 200 PERMANENT RESIDENTS; AND 576 INSTRUCTIONAL HOURS OF ENGLISH AS A SECOND LANGUAGE CLASSES FOR 145 BUCKS COUNTY RESIDENTS WITH LIMITED ENGLISH PROFICIENCY.
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: SMMC 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, SMMC IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, SMMC IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL.
PART III, LINE 4: SMMC IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE FROM PAGE 14 OF THOSE STATEMENTS: "THE CORPORATION RECOGNIZES A SIGNIFICANT AMOUNT OF PATIENT SERVICE REVENUE AT THE TIME THE SERVICES ARE RENDERED EVEN THOUGH THE CORPORATION DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY AT THAT TIME. AS A RESULT, THE PROVISION FOR BAD DEBTS IS PRESENTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL PROVISIONS AND DISCOUNTS). FOR UNINSURED AND UNDERINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE CORPORATION ESTABLISHES AN ALLOWANCE TO REDUCE THE CARRYING VALUE OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. THIS ALLOWANCE IS ESTABLISHED BASED ON THE AGING OF ACCOUNTS RECEIVABLE AND THE HISTORICAL COLLECTION EXPERIENCE BY THE HEALTH MINISTRIES AND FOR EACH TYPE OF PAYOR. A SIGNIFICANT PORTION OF THE CORPORATION'S PROVISION FOR DOUBTFUL ACCOUNTS RELATES TO SELF-PAY PATIENTS, AS WELL AS CO-PAYMENTS AND DEDUCTIBLES OWED TO THE CORPORATION BY PATIENTS WITH INSURANCE."PART III, LINE 5:TOTAL MEDICARE REVENUE REPORTED IN PART III, LINE 5 HAS BEEN REDUCED BY THE TWO PERCENT SEQUESTRATION REDUCTION.
PART III, LINE 8: SMMC 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 - SMMC AND SMRH ASSESS THE HEALTH STATUS OF THEIR COMMUNITY, 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 EVALUATE PATIENT DATA, PURCHASE PRIMARY HEALTH STATUS AND DEMOGRAPHIC DATA REPRESENTATIVE OF OUR SERVICE AREA FROM PUBLIC HEALTH MANAGEMENT CORPORATION, AND CONTRACT WITH TRUVEN ANALYTICS GROUP TO PROVIDE ASSESSMENT OF INDEX OF CONCENTRATION OF VARIOUS DISEASE CATEGORIES. SMMC ALSO CONTRACTS WITH HEALTHY COMMUNITIES INSTITUTE TO MAKE COMMUNITY HEALTH DATA AND RESOURCES FOR BUCKS COUNTY WIDELY AVAILABLE TO THE PUBLIC ON OUR HOSPITAL WEBSITE, WHICH IS OPEN FOR ALL TO ACCESS. THIS WEBSITE CENTRALIZES PUBLIC HEALTH DATA WHICH ALLOWS FOR ASSESSMENT OF HEALTH DISPARITIES, AS WELL AS ASSISTS WITH PLACEMENT OF COMMUNITY BENEFIT RESOURCES USING GEOGRAPHIC INFORMATION SYSTEM (GIS) MAPPING TECHNOLOGY IN AREAS OF NEED IN THE COUNTY. ST. MARY COMMUNITY HEALTH HOSTS WORKSHOPS ON HOW TO ACCESS AND UTILIZE THE DATA ON OUR WEBSITE, WHICH HAS BEEN PERCEIVED AS AN INVALUABLE TOOL WHEN USED FOR GRANT WRITING BY OUR COMMUNITY PARTNERS. SMMC'S CEO CHAIRS THE BUCKS COUNTY HEALTH IMPROVEMENT PARTNERSHIP (BCHIP), WHICH IS A NON-PROFIT ORGANIZATION COMPRISED OF ACUTE-CARE HOSPITALS AND MEMBERS FROM THE BUCKS COUNTY HEALTH DEPARTMENT AND THE MEDICAL SOCIETY OF BUCKS COUNTY. THIS GROUP WORKS COLLABORATIVELY TO IDENTIFY AND REDUCE HEALTH DISPARITIES IN BUCKS COUNTY.
PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - SMMC AND SMRH ARE COMMITTED TO:- PROVIDING ACCESS TO QUALITY HEALTH CARE SERVICES WITH COMPASSION, DIGNITY AND RESPECT FOR THOSE WE SERVE, PARTICULARLY THE POOR AND THE UNDERSERVED IN OUR COMMUNITIES- CARING FOR ALL PERSONS, REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES- ASSISTING PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE CARE THEY RECEIVE - BALANCING NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO SUSTAIN VIABILITY AND PROVIDE THE QUALITY AND QUANTITY OF SERVICES FOR ALL WHO MAY NEED CARE IN A COMMUNITYIN ACCORDANCE WITH AMERICAN HOSPITAL ASSOCIATION RECOMMENDATIONS, SMMC AND SMRH HAVE ADOPTED THE FOLLOWING GUIDING PRINCIPLES WHEN HANDLING THE BILLING, COLLECTION AND FINANCIAL SUPPORT FUNCTIONS FOR OUR PATIENTS:- PROVIDE EFFECTIVE COMMUNICATIONS WITH PATIENTS REGARDING HOSPITAL BILLS- MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE FINANCIAL SUPPORT PROGRAMS- OFFER FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS- IMPLEMENT POLICIES FOR ASSISTING LOW-INCOME PATIENTS IN A CONSISTENT MANNER- IMPLEMENT FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES FOR ALL PATIENTS WITH PATIENT PAYMENT OBLIGATIONSSMMC AND SMRH COMMUNICATE 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 AND EXTERNAL PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. 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. FINANCIAL ASSISTANCE APPLICATIONS WILL BE ACCEPTED UNTIL ONE YEAR AFTER THE FIRST BILLING STATEMENT TO THE PATIENT. SMMC AND SMRH OFFER 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. SMMC AND SMRH HAVE ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. SMMC AND SMRH MAKE EVERY EFFORT TO ADHERE TO THE POLICY AND ARE COMMITTED TO IMPLEMENTING AND APPLYING THE POLICY FOR ASSISTING PATIENTS WITH LIMITED MEANS IN A PROFESSIONAL, CONSISTENT MANNER.
PART VI, LINE 4: COMMUNITY INFORMATION - SMMC AND SMRH ARE LOCATED IN LANGHORNE, IN BUCKS COUNTY, PENNSYLVANIA. THE SERVICE AREA INCLUDES THE FOLLOWING ZIP CODES IN BUCKS COUNTY, PENNSYLVANIA: 18901, 18940, 18954, 18966, 18974, 18976, 18977, 19007, 19020, 19021, 19030, 19047, 19053, 19054, 19055, 19056, 19057, AND 19067. THE TOTAL POPULATION OF THIS SERVICE AREA DECREASED TO APPROXIMATELY 445,513 RESIDENTS IN 2015 FROM 446,942 RESIDENTS IN 2013. IN THE SMMC AND SMRH SERVICE AREA, 20% OF RESIDENTS ARE BETWEEN THE AGES OF 0-17, 32% ARE BETWEEN 18-44, 31% ARE 45-64, AND 17% ARE 65 OR OLDER. APPROXIMATELY 83% OF RESIDENTS IDENTIFY AS WHITE, 6% IDENTIFY AS LATINO, 5% IDENTIFY AS BLACK, 5% IDENTIFY AS ASIAN, AND LESS THAN 2% IDENTIFY AS AN "OTHER" RACE/ETHNICITY. ENGLISH IS THE PREDOMINATELY SPOKEN LANGUAGE, WITH 87% OF RESIDENTS SPEAKING IT AT HOME. OTHER LANGUAGES REPORTED ARE SPANISH (3%) AND AN ASIAN LANGUAGE (2%).IN THE SMMC AND SMRH SERVICE AREA, 7% OF RESIDENTS HAVE LESS THAN A HIGH SCHOOL DEGREE, 59% OF RESIDENTS HAVE A HIGH SCHOOL DIPLOMA, AND 34% HAVE A COLLEGE DEGREE OR MORE. APPROXIMATELY 8% OF RESIDENTS ARE UNEMPLOYED. WHEN LOOKING AT POVERTY STATUS, 4% OF FAMILIES WITHOUT CHILDREN AND 7% OF FAMILIES WITH CHILDREN ARE LIVING WITH INCOMES 150% BELOW THE FPL. THE 2015 MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $77,466 FOR RESIDENTS IN THE SMMC AND SMRH SERVICE AREA. THE MAJORITY OF ADULTS (95%) IN THE SERVICE AREA HAVE HEALTH INSURANCE COVERAGE. HOWEVER, A SIZABLE PERCENTAGE OF ADULTS DO NOT HAVE ANY PRIVATE OR PUBLIC HEALTH INSURANCE; 5% OF ADULTS AGED 18-64 IN THE SERVICE AREA ARE UNINSURED, REPRESENTING 13,700 UNINSURED ADULTS. THIS PERCENTAGE OF UNINSURED ADULTS IS COMPARABLE TO BUCKS COUNTY AS A WHOLE (6%), AND LOWER THAN THE SOUTHEAST PENNSYLVANIA (SEPA) REGION, WHERE 9% OF ADULTS ARE UNINSURED. THE SMMC AND SMRH SERVICE AREA, COMPRISED MAINLY OF BUCKS COUNTY COMMUNITIES, APPEARS TO BE WEALTHY WHEN COMPARED TO OTHER PARTS OF SEPA. HOWEVER, THE HIGH MEDIAN INCOME (NEARLY $77,500) AND LOW POVERTY RATES CONTRADICT SOME OF THE ECONOMIC NEED THAT IS PRESENT IN THIS SERVICE AREA. NEARLY ONE IN FIFTEEN (7%) HOUSEHOLDS WITH CHILDREN IN THE SERVICE AREA IS LIVING IN POVERTY, AS ARE 4% OF HOUSEHOLDS WITHOUT CHILDREN. THE COMMUNITY MEETING PARTICIPANTS EMPHASIZED THE CHALLENGES THAT LOW-INCOME POPULATIONS IN THIS AREA FACE WHEN ACCESSING HEALTH CARE AND OTHER HEALTH-IMPACTING RESOURCES. IN ADDITION, THEY DISCUSSED SOME OF THE WAYS THAT FAMILIES WITH MODERATE INCOMES ARE STRUGGLING TO PAY THEIR BILLS AND ACCESS HEALTH CARE DUE TO HIGH HOUSING COSTS, MEDICAL BILLS, AND OTHER EXPENSES, WHILE STILL HAVING TOO MUCH INCOME TO QUALIFY FOR AID PROGRAMS. AS ONE MEETING ATTENDEE STATED, "THE ECONOMY IS STILL IN CRISIS FOR OUR WORKING CLASS FAMILIES." CONSUMERS AND SOCIAL SERVICE PROVIDERS ALIKE REPORT THAT IT IS VERY CHALLENGING TO FIND PRIMARY CARE PROVIDERS WHO ACCEPT MEDICAID AND MANY OF THE AFFORDABLE INSURANCE PLANS AVAILABLE THROUGH HEALTHCARE.GOV. ALTHOUGH MORE ADULTS IN THIS AREA WERE MORE LIKELY TO HAVE A REGULAR SOURCE OF CARE THAN OTHER SEPA ADULTS, ONE IN TEN (10%) STILL DID NOT HAVE A SOURCE OF CARE, AND ONE IN SEVEN (15%) DID NOT SEE A HEALTH CARE PROVIDER IN THE PAST YEAR. SOMETIMES A PHYSICIAN WILL TAKE INSURANCE BUT THE HOSPITAL AT WHICH THEY HAVE ADMITTING PRIVILEGES DOES NOT TAKE THAT INSURANCE. THE NEED TO GET LAB WORK DONE SEPARATELY FROM A DOCTOR'S VISIT IS ALSO VERY LOGISTICALLY CHALLENGING, ESPECIALLY FOR LOW-INCOME POPULATIONS. SOME INDIVIDUALS END UP USING THE EMERGENCY DEPARTMENT BECAUSE THE PRIMARY CARE PROVIDERS DO NOT HAVE SPACE IN THEIR SCHEDULE FOR URGENT CARE APPOINTMENTS - PARTICULARLY THE FEW THAT TAKE ALL INSURANCE PROVIDERS. TRANSPORTATION TO HEALTH CARE PROVIDERS IS A HUGE ISSUE IN THE SERVICE AREA, ACCORDING TO THE COMMUNITY MEETING ATTENDEES. SERVICES ARE DIFFICULT TO REACH IN THE EVENING OR ON THE WEEKEND BECAUSE OF BUS SCHEDULES, INCLUDING TO THE ST. MARY CAMPUS. FOR THOSE WITH INSURANCE-RELATED CHALLENGES TO FINDING PROVIDERS, TRANSPORTATION OUTSIDE THE AREA TO THE PROVIDER WHO WILL TAKE THE INSURANCE IS AN ADDITIONAL BARRIER. SPECIALIST REFERRALS ARE OFTEN IN PHILADELPHIA, WHICH CAN BE A VERY LONG, MULTI-STAGE TRIP ON PUBLIC TRANSPORTATION.HOMELESSNESS OR UNSTABLE HOUSING MAKES MEDICAL OUTCOMES WORSE FOR INDIVIDUALS WITH CHRONIC CONDITIONS. LOWER AND MODERATE INCOME FAMILIES OFTEN EXPERIENCE UNSTABLE HOUSING DUE TO THE COST OF HOUSING IN THE AREA. COMMUNITY MEETING ATTENDEES REPORTED THAT OVERCROWDED, MULTIGENERATIONAL OR EXTENDED FAMILY HOUSING IS COMMON, AND REPORTED THAT OVERCROWDED HOUSING IS LINKED TO MENTAL, BEHAVIORAL, AND/OR PHYSICAL HEALTH CHALLENGES IN ALL GENERATIONS OF RESIDENTS.
PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH - ST. MARY MEDICAL CENTER: THE SMMC BOARD OF DIRECTORS IS A GROUP OF COMMITTED COMMUNITY MEMBERS WHO RESIDE IN THE SMMC SERVICE AREA. THE BOARD IS SELECTED BASED ON THEIR PERSONAL QUALIFICATIONS AND KEY COMPETENCIES AND THEIR COMMITMENT TO ST. MARY MINISTRIES AND VALUES. THE BOARD CONSISTS OF A DIVERSE GROUP OF INDIVIDUALS WHO ARE REPRESENTATIVE OF THE COMMUNITY. THE MEDICAL STAFF IS OPEN TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. SMMC HAS AN EMERGENCY DEPARTMENT, OPEN 24 HOURS A DAY, WHICH TREATS ALL PERSONS NEEDING CARE, REGARDLESS OF ABILITY TO PAY. THE MEDICAL CENTER'S ANNUAL SURPLUS IS USED TO BRING UP-TO-DATE TECHNOLOGY AND FACILITIES TO THE COMMUNITY, ENABLE OUTREACH AND SERVICES TO THE UNDERSERVED IN OUR COMMUNITY, TO RESPOND TO PUBLIC HEALTH NEEDS THAT IMPROVES OVERALL COMMUNITY HEALTH, AND TO IMPROVE THE QUALITY OF CARE.SMMC IS ACTIVELY PROMOTING HEALTH AND WELLNESS ON OUR MAIN CAMPUS BY CHANGING OUR ENVIRONMENT TO EXPAND OUR CURRENT NONSMOKING POLICY TO INCLUDE E-CIGARETTES AND OTHER NICOTINE DELIVERY DEVICES. DOOR DECALS WERE PLACED AT ALL ENTRANCES TO OUR HOSPITAL AND AT OUR PHYSICIAN OWNED PRACTICES. EXTRA SECURITY PERSONNEL WERE HIRED TO PATROL OUR CAMPUS TO ENFORCE THIS POLICY. MATERIALS WERE ALSO MADE AVAILABLE TO DIRECT THEM TO SMOKING CESSATION CLASSES. SMMC ALSO SUPPORTED THE AMERICAN LUNG ASSOCIATION AT OUR STATE CAPITAL TO ADVOCATE RAISING THE LEGAL AGE TO PURCHASE TOBACCO PRODUCTS TO 21 YEARS OF AGE. THE GOAL OF SMMC, AS A MEMBER OF TRINITY HEALTH, IS TO REDUCE THE RATE OF SMOKING GREATER THAN THE NATIONAL AVERAGE IN OUR SERVICE AREA. BOTH SMOKE-FREE CAMPUS EXPANSION AND TOBACCO 21 ARE SUPPORTIVE OF THIS GOAL. SMMC HAS PARTNERED WITH SEVERAL STATEWIDE AND REGIONAL COALITIONS SUCH AS PACT (PENNSYLVANIA ALLIANCE TO CONTROL TOBACCO), PA BREATHE FREE COALITION, THE AMERICAN HEART/STROKE ASSOCIATION AND THE AMERICAN LUNG ASSOCIATION TO ADVANCE THE PA CLEAN INDOOR AIR ACT AND TOBACCO 21. COMMUNITY HEALTH STAFF ALSO PARTICIPATED IN ADVOCACY DAY IN HARRISBURG ON 5/2/2017. IN ADDITION TO DECREASING SMOKING, ST. MARY WAS ALSO FOCUSED ON PROVIDING ACCESS TO HEALTHY SNACKS AND PREPARED FOODS SERVED IN OUR CAFETERIA. VENDING MACHINES THROUGHOUT OUR HOSPITAL NOW STOCK 70% MORE HEALTHIER ITEMS, INCLUDING BOTH BEVERAGES AND SNACKS. SMMC ALSO REMOVED THE DEEP FRYERS FROM OUR CAFETERIA AND REPLACED THEM WITH CONVECTION OVENS, A HEALTHIER WAY TO PREPARE FOOD, THAT RESULTED IN THE DECREASE OF FAT CONTENT NORMALLY FOUND IN FRIED FOODS BY 80%. IN ADDITION, SMMC EARNED GOLD LEVEL CERTIFICATION FROM THE MINDFUL BY SODEXO PROGRAM, WHICH FURTHER ENSURES THE SMMC CAFETERIA MEETS THE STANDARDS DESIGNED TO CREATE A HEALTHY ENVIRONMENT FOR CUSTOMERS.ACCESS TO FRESH AND AFFORDABLE FOOD OUTSIDE OF SMMC WAS ALSO A FOCUS IN FY17. SMMC IS ONE OF THE LEAD MEMBER AGENCIES IN THE HUNGER AND NUTRITION COALITION (HNC). THIS GROUP MET MONTHLY TO DEVELOP A PLAN TO ADDRESS FOOD INSECURITY IN OUR COMMUNITY, WHICH IS CURRENTLY 8.8% IN BUCKS COUNTY. THE END RESULT WAS TO HOLD A WEEKLY "POP-UP" FOOD MARKET IN TWO OF THE POOREST AREAS IN OUR COUNTY. THIS MARKET WAS DESIGNED TO SERVE RESIDENTS AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. SMMC COLLEAGUES HELPED WITH FOOD DISTRIBUTION THROUGH THE DONATION OF A REFRIGERATED FOOD TRUCK, BAR CODE INVENTORY SYSTEM AND ALSO BY DISTRIBUTING FOOD, SAMPLE TASTING, AND RECIPES TO QUALIFIED PATRONS OF THE FOOD MARKET.THE SMMC BREAST FEEDING POLICY WAS RESTRUCTURED TO MEET THE BABY-FRIENDLY CRITERIA. THE BREAST FEEDING POLICY WAS INCORPORATED INTO THE HOSPITAL MANDATORIES TO IMPROVE COLLEAGUE KNOWLEDGE AND COMPLIANCE. SMMC CONTINUED TO WORK ON ITS BABY-FRIENDLY STATUS. BABY-FRIENDLY HOSPITALS ARE HOSPITALS THAT ARE RECOGNIZED FOR ENCOURAGING BREASTFEEDING AND MOTHER/BABY BONDING, WHICH IS KNOWN TO PROVIDE HEALTH BENEFITS FOR INFANTS, CHILDREN, AND MOTHERS. SMMC ALSO PARTNERED WITH THE BREAST FEEDING RESOURCE CENTER TO FURTHER SUPPORT THE BREAST FEEDING INITIATIVE. PROMOTION OF COMMUNITY HEALTH - ST. MARY REHABILITATION HOSPITAL: - THE MEDICAL STAFF IS OPEN TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY AND HAS HAD OVER 100 PHYSICIANS CREDENTIALED IN ITS FIRST YEAR OF OPERATION. - SMRH FOLLOWS THE SMMC FINANCIAL ASSISTANCE POLICY AND ALLOWS FOR TREATMENT OF THE UNINSURED AND UNDERINSURED. - THE REHABILITATION HOSPITAL SPONSORS AND PARTICIPATES IN COMMUNITY ACTIVITIES RELATED TO ITS MISSION AND POPULATION SERVED, INCLUDING AN ANNUAL SPONSORSHIP OF THE BRAIN INJURY ASSOCIATION OF PENNSYLVANIA'S RUN-WALK-ROLL FOR BRAIN INJURY AT TYLER STATE PARK, AND HOSTING AND PARTICIPATING IN STROKE, PARKINSON'S DISEASE AND ESSENTIAL TREMOR COMMUNITY SUPPORT GROUPS. - SMRH INCLUDES COMMUNITY MEMBERS IN BOTH INFECTION PREVENTION AND SAFETY COMMITTEE MEETINGS. THESE MEMBERS ARE SELECTED BASED ON THEIR PERSONAL QUALIFICATIONS AND KEY COMPETENCIES AND THEIR COMMITMENT TO ST. MARY MINISTRIES AND VALUES.
PART VI, LINE 6: SMMC IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH ANNUALLY REQUIRES THAT ALL MEMBER ORGANIZATIONS DEFINE - AND ACHIEVE - SPECIFIC COMMUNITY HEALTH AND WELL-BEING GOALS. IN FISCAL YEAR 2017, GOALS INCLUDED 1) PARTICIPATING IN LOCAL COALITION AND ADVOCACY EFFORTS AIMED AT CURBING TOBACCO USE AND PREVENTING OBESITY, 2) ASSESSING CAPACITY TO IDENTIFY AND SUPPORT INDIVIDUALS THAT ARE HOUSING INSECURE AND ACKNOWLEDGING OTHER BARRIERS INDIVIDUALS HAVE ACCESSING HEALTH CARE AND 3) EXPANDING ACCESS AND DELIVERY OF DIABETES PREVENTION PROGRAMS. TRINITY HEALTH ACKNOWLEDGES THE IMPACT SOCIAL DETERMINANTS SUCH AS ADEQUATE HOUSING, SAFETY, ACCESS TO FOOD, EDUCATION, INCOME, AND HEALTH COVERAGE HAVE ON THE HEALTH OF THE COMMUNITY. IN FISCAL YEAR 2016, TRINITY HEALTH LAUNCHED THE TRANSFORMING COMMUNITIES INITIATIVE (TCI), AWARDING EIGHT COMMUNITIES FUNDING TO IMPROVE THE HEALTH AND WELL-BEING OF THEIR COMMUNITIES IN PARTNERSHIP WITH THE LOCAL TRINITY HEALTH MEMBER HOSPITAL. THE AWARDED COMMUNITIES FOCUS ON POLICY, SYSTEM, AND ENVIRONMENTAL CHANGES THAT SPECIFICALLY IMPACT COMMUNITY IDENTIFIED NEEDS AND THAT WILL REDUCE CHILDHOOD OBESITY AND YOUTH TOBACCO USE. IN FISCAL YEAR 2017, TRINITY HEALTH INVESTED $2.7 MILLION IN TCI.AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO OUR COMMUNITIES THROUGH PROGRAMS SERVING THOSE WHO ARE POOR AND VULNERABLE, HELPING MANAGE CHRONIC CONDITIONS LIKE DIABETES, PROVIDING HEALTH EDUCATION, PROMOTING WELLNESS AND DEVELOPING PROGRAMS AND POLICIES TO SPECIFICALLY SUPPORT VULNERABLE POPULATIONS. ANNUALLY, THE ORGANIZATION INVESTS OVER $1.1 BILLION IN SUCH COMMUNITY BENEFITS AND WORKS TO ENSURE THAT ITS MEMBER HOSPITALS AND OTHER ENTITIES/AFFILIATES ENHANCE THE OVERALL HEALTH OF THE COMMUNITIES THEY SERVE BY ADDRESSING THE SPECIFIC NEEDS OF EACH COMMUNITY.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG.
PART VI, LINE 7, REPORTS FILED WITH STATES PA
Schedule H (Form 990) 2016
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