2025-05-13T13:43:37-05:00 2024-06-30 470617373 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2023-07-01 470376601 SAINT FRANCIS MEDICAL CENTER SAIN 3083985407 2620 W FAIDLEY GRAND ISLAND NE 68803 NICK O'TOOL MARKET CFO 3083985407 2025-05-13 1 0 MARK STOCKI P00642127 3032989100 2023 2025-03-06 01:10:19Z CHI HEALTH ST FRANCIS TIM BRICKER 12809 WEST DODGE ROAD OMAHA NE 68154 142062190 0 0928 X WWW.CHIHEALTH.COM X 1887 NE AN ACUTE CARE HOSPITAL PROVIDING ADVANCED DIAGNOSTIC AND MEDICAL TREATMENT SERVICES TO CENTRAL NEBRASKA. HONORING OUR CATHOLIC TRADITION, WE CARE FOR ALL IN NEED, REGARDLESS OF ABILITY TO PAY. 15 10 820 228 110898 0 4949680 1982732 116919091 120436955 7934075 14156168 5325874 5329716 135128720 141905571 44760 369961 0 0 49868285 53621099 0 0 0 95308094 91611773 145221139 145602833 -10092419 -3697262 723920242 749225495 36461982 35527529 687458260 713697966 X AS AN AFFILIATE OF COMMONSPIRIT HEALTH, WE MAKE THE HEALING PRESENCE OF GOD KNOWN IN OUR WORLD BY IMPROVING THE HEALTH OF THE PEOPLE WE SERVE, ESPECIALLY THOSE WHO ARE VULNERABLE, WHILE WE ADVANCE SOCIAL JUSTICE FOR ALL. 0 0 26161849 73328 23871185 ST. FRANCIS IS EQUIPPED WITH STATE-OF-THE-ART OPERATING ROOMS, AND THE SURGEONS ON STAFF CONTINUE TO EXPAND THE PROCEDURES AVAILABLE ACROSS MANY SPECIALTIES INCLUDING ORTHOPEDICS, NEUROSURGERY, UROLOGY, AND BARIATRIC AND RECONSTRUCTIVE SURGERY. OTHER SURGICAL SPECIALTIES INCLUDE LAPAROSCOPIC, BREAST CANCER, COLORECTAL, COSMETIC, GASTROENTEROLOGY, GYNECOLOGICAL, SPINE, AND VASCULAR SURGERY. 11406600 104774 34108150 THE DIAGNOSTIC AND PATHOLOGY DEPARTMENTS AT ST. FRANCIS OFFERS AN ARRAY OF ON-SITE TESTING SERVICES. WE UTILIZE STATE-OF-THE-ART INSTRUMENTATION AND HAVE A HIGHLY SKILLED STAFF AVAILABLE 24/7. IN ADDITION TO OUR STAFF OF REGISTERED MEDICAL TECHNOLOGISTS AND PHLEBOTOMISTS, WE HAVE THREE PATHOLOGISTS ON SITE, A QUALIFIED HISTOLOGY TEAM, AND SECRETARIES WHO ARE BEYOND COMPARISON IN EFFICIENCY AND CUSTOMER SERVICE. TESTING CAPABILITIES VARY FROM ROUTINE SCREENING TESTS TO MORE SPECIALIZED TESTING SUCH AS PROTEIN ELECTROPHORESIS. WE ALSO HAVE A COMPREHENSIVE MICROBIOLOGY DEPARTMENT OPERATING SEVEN DAYS A WEEK. 6048056 31574 10278663 SAINT FRANCIS MEDICAL CENTER HAS STAYED COMMITTED TO KEEPING RESIDENTS OF GRAND ISLAND IN GOOD HEALTH. THROUGH THE YEARS, CHI HEALTH EMERGENCY DEPARTMENT (ST. FRANCIS) IS DEDICATED TO DELIVERING HIGH QUALITY, COMPASSIONATE CARE TO GRAND ISLAND AND NEARBY COMMUNITIES. 82689486 160285 52178957 OTHER SERVICES 82689486 160285 52178957 126305991 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 0 0 820 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 10 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 0 X NICK O'TOOL 4023434671 12809 WEST DODGE ROAD OMAHA NE 68154 JOHN PETERSDORF EX-OFFICIO BOARD MEMBER 1.00 49.00 X 0 2089747 992820 EVERT KUIPER FORMER PRESIDENT & CEO CHI HEALTH 0.00 0.00 X 0 2787233 48534 TIM BRICKER EX-OFFICIO BM/ PRESIDENT CENTRAL REGION 1.00 49.00 X X 0 2499192 116526 JEANETTE WOJTALEWICZ FORMER CFO CHI HEALTH 0.00 0.00 X 0 1344835 12367 EDWARD HANNON PRESIDENT (TERMED 2/2/24) 40.00 0.00 X 0 667493 43628 NICK OTOOL MARKET CFO 1.00 49.00 X 0 349020 50949 KIRTIBALA GUPTA MD BOARD MEMBER/PHYSICIAN 1.00 49.00 X 0 346502 47524 JACQUELINE LIESS PEDIATRIC NURSE 1.00 49.00 X 931 337385 45278 HEATHER MORGAN MD BOARD MEMBER/PHYSICIAN 1.00 49.00 X 0 320425 58377 CY XAYARATH TRAVELER RN, FORMER HCE 0.00 40.00 X 0 314746 55767 CHERYL ROTH FAMILY MEDICINE DOCTOR, FORMER HCE 0.00 40.00 X 0 290409 31854 SEVEHO NOUKPOZOUNKOU TRAVELER RN 30.00 10.00 X 228165 51373 38800 HEIDI SAUNDERS TRAVELER RN, FORMER HCE 0.00 40.00 X 0 256683 33899 LAURI RITCHIE TRAVELER RN, FORMER HCE 0.00 40.00 X 0 273050 12422 GARY ROSE TRAVELER TECHNOLOGIST 30.00 10.00 X 162244 78945 39829 ROBERT NORVELL DIRECTOR ONCOLOGY 35.00 5.00 X 223837 16452 14859 TERRI ADAMS TRAVELER THERAPIST 10.00 30.00 X 80330 149625 18389 STEVEN SCHIEBER PRESIDENT 40.00 0.00 X 0 0 0 KELLY BACON BOARD MEMBER 1.00 11.00 X 0 0 0 KENT BARNEY TREASURER 1.00 11.00 X X 0 0 0 KEVIN FITZGERALD SECRETARY 1.00 11.00 X X 0 0 0 SISTER NADINE HEIMANN OSF BOARD MEMBER 1.00 40.00 X 0 0 0 LG SEARCEY BOARD MEMBER 1.00 11.00 X 0 0 0 SISTER MAURITA SOUKUP CHAIR 1.00 11.00 X X 0 0 0 DAVE TAYLOR BOARD MEMBER 1.00 11.00 X 0 0 0 MARDELL WILSON EDD BOARD MEMBER 1.00 11.00 X 0 0 0 BILL YATES VICE CHAIR 1.00 11.00 X X 0 0 0 CYNTHIA ALLOWAY BOARD MEMBER 1.00 11.00 X 0 0 0 KATE CUTLER BOARD MEMBER 1.00 11.00 X 0 0 0 695507 12173115 1661822 85 1 1 0 MCCARTHY BUILDING COMPANIES 14217 DAYTON CIRCLE SUITE 8 OMAHA NE 68137 GENERAL CONSTRUCTION 9764644 ELECTRONIC SOUND INC 14627 INDUSTRIAL ROAD OMAHA NE 68144 COMMUNICATION SERVICES 1416344 AMERITEX SERVICES 1321 SOUTH 20TH ST OMAHA NE 68108 LAUNDRY/LINEN SERVICES 950347 SIRTEX MEDICAL INC 300 UNICORN PARK DR WOBURN MA 01801 ONCOLOGY SERVICES 215205 INARI MEDICAL INC 6100 OAK CANYONE SUITE 100 IRVINE CA 92618 MEDICAL SERVICES 214854 9 1877298 105434 1982732 NET PATIENT SERVICES 900099 120419003 120419003 0 0 PHARMACY SERVICES 446110 17952 17952 0 0 120436955 4415622 4415622 4209667 0 4209667 4209667 4209667 9759610 0 19064 9759610 -19064 9740546 9740546 135137 137555 -2418 -2418 INSURANCE 524298 511712 0 0 511712 CAFETERIA 722100 372677 0 0 372677 LABORATORY SERVICES 621500 141265 0 110898 30367 96813 96813 1122467 141905571 120436955 110898 19374986 X 369961 369961 41571251 36582701 4988550 1951209 1717064 234145 7349536 6467592 881944 2749103 2419211 329892 171720 163134 8586 8172 8172 38031190 35961048 2070142 4901 4901 2660346 2128277 532069 3082510 2157757 924753 8467676 7282201 1185475 53658 34878 18780 14212 5685 8527 100458 100458 2296414 2181593 114821 9416961 7721908 1695053 582508 582508 MEDICAL SUPPLIES 17522753 17522753 0 0 INTRACOMPANY ALLOCATION 6145716 0 6145716 0 REPAIRS AND MAINTENANCE 2348835 2231393 117442 0 RECRUITMENT AND RELOCAT 263094 249939 13155 0 440649 421029 19620 145602833 126305991 19296842 0 1200 1100 72513438 67153035 0 19756152 17772085 0 0 2378877 2313684 5811862 5881738 539607 686829 253088112 152630713 108055531 100457399 0 347259554 383541324 0 4117356 4117356 163486665 167300945 723920242 749225495 9594105 5756695 0 22200 87698 0 0 0 0 0 26845677 29683136 36461982 35527529 X 687454420 713694126 3840 3840 687458260 713697966 723920242 749225495 X -3697262 22811840 7125128 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 8172 0 0 0 8172 0 PART II-B, LINE 1: THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION - $3,561 CATHOLIC HEALTH ASSOCIATION - $1,536 NEBRASKA HOSPITAL ASSOCIATION - $3,075 2001085 333198 320490 2013793 2128750 41055 168720 2001085 1707092 562622 140964 2128750 1084049 785805 162762 1707092 1028062 233463 177476 1084049 0.80165 0.19835 0 1 1 785411 785411 110086128 50276613 59809515 7777341 743542 7033799 128018087 98548934 29469153 6421145 3061624 3359521 100457399 CSH OPERATING INVESTMENT POOL 383541324 F 383541324 INTERCOMPANY RECEIVABLES 133890558 RIGHT OF USE ASSETS 15838539 INVESTMENT IN UNCONSOLIDATED ORGANIZATIONS 11346979 DEFERRED COMPENSATION 6224869 167300945 PHYSICIAN RECRUIT GUARANTEES 238435 INTERCOMPANY PAYABLES 6756876 LT PORTION OF LEASE LIABILITIES 17574376 CURRENT PORTION OF LEASE LIABILITIES 4641363 ENVIRONMENTAL REMEDIATION LIABILITY 147933 OTHER LIABILITIES 324153 29683136 X PART V, LINE 4: THESE FUNDS ARE RAISED AND USED PRIMARILY FOR THE SUPPORT OF SAINT FRANCIS MEDICAL CENTER THROUGH COMMUNITY, GOVERNMENT, AND STAFF CONTRIBUTIONS. PERMANENT ENDOWMENT FUNDS ARE RAISED THROUGH STAFF CONTRIBUTIONS, AND ONLY THE EARNINGS ARE USED TO SUPPORT PROGRAMS OF SAINT FRANCIS MEDICAL CENTER. PART X, LINE 2: SAINT FRANCIS MEDICAL CENTER'S FINANCIAL INFORMATION IS INCLUDED IN COMMONSPIRIT HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS, WHICH INCLUDES THE FOLLOWING DISCLOSURE: COMMONSPIRIT REVIEWS ITS TAX POSITIONS QUARTERLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. 1 1 X 1 X 1 X 1 1 1 0 1 1 3013 3302614 0 3302614 0.02270 12428 18669326 13194056 5475270 0.03760 0 0 0 15441 21971940 13194056 8777884 0.06030 18 15315 404551 8164 396387 0.00270 3 463 730183 183437 546746 0.00380 0 0 0 0 1 0 2 0 2 0.00000 6 5477 347961 0 347961 0.00240 28 21255 1482697 191601 1291096 0.00890 28 36696 23454637 13385657 10068980 0.06920 1 0 13842 91 13751 0.00010 1 112 7052 0 7052 0.00000 2 112 20894 91 20803 0.00010 1 7521131 0 26866914 33990789 -7123875 X 1 1 1 GRAND ISLAND SURGICAL CENTER LLC SURGERY 0.50000 0.50000 3 1 SAINT FRANCIS MEDICAL CENTER 2620 W FAIDLEY GRAND ISLAND NE 68803 WWW.CHIHEALTH.COM 370001, LTCH014, MHSU011 X X X A 2 CHI HEALTH ST FRANCIS 2116 W FAIDLEY GRAND ISLAND NE 68803 WWW.CHIHEALTH.COM LTCH014 X LONG TERM CARE A 3 CHI HEALTH ST FRANCIS 2116 W FAIDLEY GRAND ISLAND NE 68803 WWW.CHIHEALTH.COM MHSU011 X MENTAL HEALTH SUBSTANCE ABUSE A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 21 1 1 1 1 X WWW.CHIHEALTH.COM/CHNA X X 1 22 1 WWW.CHIHEALTH.COM/CHNA 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X HTTPS://WWW.CHIHEALTH.COM/EN/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE.HTML X HTTPS://WWW.CHIHEALTH.COM/EN/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE.HTML X HTTPS://WWW.CHIHEALTH.COM/EN/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE.HTML X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B, LINE 3E: THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: SAINT FRANCIS MEDICAL CENTER, - FACILITY 2: CHI HEALTH ST. FRANCIS, - FACILITY 3: CHI HEALTH ST. FRANCIS FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5: IN CONDUCTING ITS MOST RECENT CHNA, CHI HEALTH ST. FRANCIS AND THE SKILLED NURSING UNIT TOOK 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. INPUT FROM THE COMMUNITY WAS PRIMARILY SOUGHT THROUGH TWO COMMUNITY-BASED MEETINGS. STAKEHOLDERS PARTICIPATING IN THESE INPUT SESSIONS REPRESENT LOW-INCOME, MINORITY POPULATIONS, MEDICALLY UNDERSERVED POPULATIONS, AND THE AGING POPULATION, AS WELL AS THOSE AFFECTED BY VIOLENCE. ON JUNE 15, 2021, 35 PARTICIPANTS GATHERED TO IDENTIFY FORCES IMPACTING THE HEALTH OF THE COMMUNITY AND REVIEW SECONDARY DATA RELATED TO HEALTH BEHAVIORS, ACCESS, AND OUTCOMES. THE GROUP ALSO REVIEWED AND APPROVED THE 5-QUESTION SURVEY THAT WAS THEN DISTRIBUTED TO THE COMMUNITY. ON SEPTEMBER 2, 2021, CENTRAL DISTRICT HEALTH DEPARTMENT (CDHD) CONVENED A BROAD GROUP OF COMMUNITY STAKEHOLDERS TO REVIEW DATA, AND FACILITATED DISCUSSION TO IDENTIFY THE TOP HEALTH NEEDS IN THE COMMUNITY. THE GROUP REVIEWED THE SECONDARY DATA FOR CDHD'S THREE-COUNTY REGION (HALL, HAMILTON, AND MERRICK COUNTIES), AND TOOK INTO CONSIDERATION PREVALENCE, MORTALITY, AND TREND WHERE POSSIBLE TO DETERMINE TOP NEEDS. FOLLOWING THE DATA PRESENTATION, THERE WAS A LARGE GROUP DIALOGUE AROUND THE DATA TO ADD CONTEXT AND UNCOVER MISSING ELEMENTS. FINALLY, PARTICIPANTS SPLIT INTO SMALLER GROUPS OF 3-4 TO PRIORITIZE THE TOP HEALTH NEEDS, AND AFTER A BRIEF SMALL GROUP DISCUSSION PERIOD EACH GROUP REPORTED OUT TO THE LARGER GROUP IN AN EFFORT TO IDENTIFY COMMON PRIORITIES ACROSS PARTICIPANTS. ORGANIZATIONS PROVIDING INPUT AT THE COMMUNITY ENGAGEMENT SESSIONS: AURORA COMMUNITY HEALTH, BRYAN HEALTH, BRYAN HEALTH MERRICK MEDICAL CENTER, CENTRAL DISTRICT HEALTH DEPARTMENT (CDHD), CDHD WIC DEPARTMENT, CDHD BOARD OF HEALTH, CENTRAL NEBRASKA DHHS, COUNCIL OF ALCOHOLISM AND ADDICTION, HALL COUNTY COMMISSIONER, HALL COUNTY COMMUNITY COLLABORATIVE (H3C), H3C BOARD OF DIRECTORS, HALL COUNTY HOUSING AUTHORITY, HALL COUNTY JUVENILE SERVICES, HEARTLAND HEALTH CENTER, HEARTLAND UNITED WAY, HEAD START, CFBD INC, CHI HEALTH, CHI HEALTH ST. FRANCIS, CITY OF AURORA, CITY OF GRAND ISLAND, CITY OF GRAND ISLAND CITY COUNCIL, GRAND ISLAND CHAMBER OF COMMERCE, GRAND ISLAND PARKS AND RECREATION, GRAND ISLAND PUBLIC SCHOOLS, GRAND ISLAND REGIONAL MEDICAL CENTER, GRAND ISLAND SALVATION ARMY, HOPE HARBOR, ICHOOSEPURPLE CONSULTING, MEMORIAL COMMUNITY HEALTH, MULTICULTURAL COALITION, NEBRASKA ASSOCIATION OF LOCAL HEALTH DIRECTORS, NEBRASKA EXTENSION, NORTHWEST PUBLIC SCHOOLS, PREVENTION PROJECT. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A: CHI HEALTH ST. FRANCIS AND THE SKILLED NURSING UNIT (SNU) LONG TERM CARE HOSPITAL CONDUCTED THIS CHNA JOINTLY. OTHER HEALTH SYSTEMS INVOLVED IN THE ASSESSMENT ARE GRAND ISLAND REGIONAL MEDICAL CENTER, MERRICK MEDICAL CENTER - BRYAN HEALTH, AND MEMORIAL COMMUNITY HEALTH. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6B: CENTRAL DISTRICT HEALTH DEPARTMENTNEBRASKA ASSOCIATION OF LOCAL HEALTH DEPARTMENTS FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 7D: AN OVERVIEW OF THE MOST RECENT CHNA WAS SHARED WITH THE CHI HEALTH ST. FRANCIS AND SNU COMMUNITY BOARD ON APRIL 28TH, 2022. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11: THE MOST RECENT CHNA AND CORRESPONDING IMPLEMENTATION PLAN WAS COMPLETED IN THE TAX REPORTING YEAR 2022. THE FOLLOWING OUTLINES THE CURRENT IMPLEMENTATION PLAN PRIORITIES AND STRATEGIES. THIS PLAN WAS POSTED PUBLICLY ON WWW.CHIHEALTH.COM/CHNA. THE COMMUNITY IDENTIFIED THE FOLLOWING PRIORITIES AS TOP HEALTH NEEDS THROUGH PRIMARY DATA COLLECTION, A SECONDARY DATA REVIEW, AND TWO COMMUNITY INPUT SESSIONS.TOP HEALTH NEEDS (FROM 2022 CHNA): 1. ACCESS TO CARE2. BEHAVIORAL HEALTH (INCLUDES MENTAL HEALTH & SUBSTANCE USE)3. CANCER4. CHRONIC DISEASE5. MATERNAL, INFANT, AND CHILD HEALTH6. SOCIAL DETERMINANTS OF HEALTH7. VIOLENCE/INJURYFOR THIS PLAN THE HOSPITAL PRIORITIZED THE FOLLOWING HEALTH NEEDS:PRIORITY HEALTH NEED #1: ACCESS TO CARETO ADDRESS THIS NEED THE HOSPITAL WILL IMPLEMENT THE FOLLOWING STRATEGIES IN FISCAL YEARS 2023- 2025:1.1 IDENTIFY AND ADDRESS KNOWN BARRIERS TO ACCESSING TIMELY AND EFFECTIVE HEALTH CARE IN HALL COUNTY, TO ENSURE SERVICES ARE COORDINATED, OPTIMIZED, AND PROMOTED.1.1.1 COLLABORATE WITH EXISTING SAFETY-NET AND HEALTH CARE PROVIDERS THROUGH A HEALTH DEPARTMENT-LED WORK GROUP TO IDENTIFY AND ADDRESS GAPS IN THE CONTINUUM OF HEALTH AND RELATED SERVICES FOR ALL. WORK MAY FOCUS ON: HEALTH CARE WORKFORCE (I.E. PROFESSIONAL DEVELOPMENT, INCREASING THE COMMUNITY HEALTH WORKER (CHW) WORKFORCE, ETC.) - CAPACITY BUILDING OF COMMUNITY PARTNERS - IDENTIFYING COMMON BARRIERS TO ACCESSING CARE AND COLLECTIVELY WORK TO ADDRESS BARRIERS FY24 ACTIONS AND IMPACT:CDHD CHW WORK:- CHWS COMPLETED THE UNMC COPH TRAINING. - DEVELOPED A CHE INFRASTRUCTURE, THROUGH UNMC GUIDANCE, THAT INCLUDES DATA COLLECTION AND ACCESS AND APPLICATION OF BEST PRACTICES.- SHARED RADIO INTERVIEWS, YOUTUBE VIDEOS, AND SOCIAL MEDIA COMMUNICATIONS ABOUT CHWS. CDHD CULTURALLY APPROPRIATE BEHAVIORAL HEALTHCARE WORK:- IDENTIFIED AND ADOPTED THE CREDIBLEMINDS COMMUNICATIONS CAMPAIGN. THE CAMPAIGN WILL BEGIN IN FY25.- ALL CHWS COMPLETED MENTAL HEALTH FIRST AID TRAINING. MEASURES:CHWS WHO COMPLETED THE UNMC COPH TRAINING: 101.1.2 IMPROVING COLLABORATION BETWEEN EMERGENCY DEPARTMENT AND SAFETY NET PROVIDERS TO ENSURE REFERRAL OF RELEVANT PATIENTS TO A MEDICAL HOME, COMMUNICATING WITH THE PATIENTS' PRIMARY CARE PHYSICIAN REGARDING ED VISIT, INCREASING OUTREACH TO REDUCE BARRIERS TO CARE (E.G. EXPLORING FURTHER PARTNERSHIP WITH JBS SWIFT). FY24 ACTIONS AND IMPACT:- PARTNERED WITH JBS EMPLOYEE HEALTH AND FACILITATED MULTIPLE BLOOD PRESSURE CLINICS FOR EMPLOYEES.- PROVIDED TRAUMA, STROKE, AND ED EDUCATION TO NEARBY CRITICAL ACCESS HOSPITALS.- COMPLETED QUESTIONS, PERSUADE, REFERE (QPR) SUICIDE PREVENTION TRAINING WITH REGION 3 BEHAVIORAL HEALTH'S SUICIDE PREVENTION COORDINATOR.- PARTNERED WITH CHILDREN'S HOSPITAL ON PROJECT AUSTIN, WHICH AIMS TO PROVIDE CONTINUITY OF CARE TO CHILDREN WITH MEDICAL COMPLEXITY AS THEY TRANSITION FROM THE HOSPITAL TO HOME. - SIGNED A MEMORANDUM OF UNDERSTANDING WITH CHILDREN'S HOSPITAL FOR THE PATIENT ASSISTANCE TEAM AT CHILDREN'S NEBRASKA (PATCH) PROGRAM, WHICH AIMS TO IMPROVE THE HOSPITAL EXPERIENCE FOR A CHILD WITH AUTISM SPECTRUM DISORDER OR OTHER DEVELOPMENTAL, NEUROLOGICAL, AND BEHAVIORAL CHALLENGES BY CREATING INDIVIDUALIZED ADAPTIVE CARE PLANS.- PARTNERED WITH MULTIPLE AREA NONPROFIT AGENCIES TO OFFER THE SUMMER SAFETY EVENT. - MET WITH THE POLICE DEPARTMENT TO DISCUSS STREAMLINING PROCESSES FOR INDIVIDUALS IN CUSTODY. - FACILITATED THE AMERICAN COLLEGE OF SURGEONS' STOP THE BLEED CLASS AT THE NEBRASKA STATE FAIR AND HUSKER HARVEST DAYS. OFFERED IT, BY REQUEST, TO ANY LOCAL ORGANIZATION.- FACILITATED TEDDY BEAR CLINICS AT THE LIBRARY, SUMMER SAFETY EVENT, AND OTHER CHILDREN'S EVENTS. TEDDY BEAR CLINICS ARE AN INTERACTIVE EVENT WHERE CHILDREN PERFORM MOCK MEDICAL PROCEDURES TO BECOME MORE AWARE AND COMFORTABLE WITH HOSPITALS AND MEDICAL EQUIPMENT. MEASURES: NO MEASURES TO REPORT.1.1.3 PROVIDE PREVENTION/WELLNESS AND SAFETY OUTREACH FOR CHRONIC DISEASE AND CONNECTION TO HEALTH CARE SERVICES. FY24 ACTIONS AND IMPACT:- CONTINUED TO POST STALL STORIESONE PAGE EDUCATIONAL FLYERS PLACED IN RESTROOMS.- FACILITATED TWO FREEDOM FROM SMOKING PROGRAMS.- FACILITATED THE DISCOVERY KIDS PROGRAM AT THREE ELEMENTARY SCHOOLS.- PLANNED AND HOSTED THE CHI HEALTH ST. FRANCIS SUMMER SPECTACULAR WELLNESS EVENT. MEASURES:- STALL STORY LOCATIONS: 149- FREEDOM FROM SMOKING PROGRAM PARTICIPANTS: 24- DISCOVERY KIDS PROGRAMS PARTICIPANTS: 166- CHI HEALTH ST. FRANCIS SUMMER SPECTACULAR WELLNESS EVENT PARTICIPANTS: 525- SCREENINGSFECAL OCCULT BLOOD TESTING (FOBT): 228SKIN CANCER SCREENINGS: 471.1.4 ASSESS AND ADDRESS GAPS IN ACCESSING HEALTHCARE SERVICES FOR THE AGING POPULATION SPECIFICALLY (SNU) FY24 ACTIONS AND IMPACT:- ACHIEVED INSTITUTE FOR HEALTHCARE IMPROVEMENT'S (IHI) LEVEL ONE AND LEVEL TWO AGE-FRIENDLY HEALTH SYSTEMS DISTINCTION. IHI RECOGNIZES CLINICAL CARE SETTINGS THAT ARE WORKING TOWARDS RELIABLE PRACTICE OF EVIDENCE-BASED INTERVENTIONS FOR ALL OLDER ADULTS IN THEIR CARE KNOWN AS THE 4MS (WHAT MATTERS, MEDICATIONS, MENTATION, MOBILITY). LEVEL ONE RECOGNIZES TEAMS WHO HAVE SUCCESSFULLY DEVELOPED PLANS TO IMPLEMENT THE 4MS. LEVEL TWO RECOGNIZES TEAMS THAT HAVE THREE MONTHS OF DATA OF OLDER ADULTS WHO RECEIVED 4MS CARE. MEASURES:- PATIENTS WHO RECEIVED 4MS CARE: 401.1.5 EXPLORE WORK RELATED TO SCHOOL-BASED PRIMARY HEALTH CARE AND DETERMINE NEED AND CAPACITY TO INCREASE/IMPROVE SERVICES ALREADY OFFERED BY CHI HEALTH ST. FRANCIS AND AFFILIATES IN SCHOOL SETTINGS. FY24 ACTIONS AND IMPACT:- CONTINUED SUPPORT OF THE WELLNESS CLINIC WITHIN GRAND ISLAND SENIOR HIGH SCHOOL TO ENSURE ACCESS TO BEHAVIORAL AND PHYSICAL HEALTH CARE FOR STUDENTS. MEASURES:- GRAND ISLAND SENIOR HIGH SCHOOL WELLNESS CLINIC- STUDENTS SERVED: 388- STUDENT VISITS TO PHYSICAL AND BEHAVIORAL HEALTH SERVICES: 2,735- VACCINES ADMINISTERED: 845- STAFF HOURS: 1,768- MENTAL HEALTH THERAPIST HOURS: 3,750- FAMILY NURSE PRACTITIONER HOURS: 9201.1.6 IMPLEMENT SOCIAL NEEDS SCREENING AND REFERRAL PROTOCOL USING UNITE US TO ENSURE EFFICIENT CONNECTION TO COMMUNITY BASED RESOURCES TO REMEDIATE UNMET HEALTH-RELATED SOCIAL NEEDS. FY24 ACTIONS AND IMPACT:- INTEGRATED UNITE US WITHIN THE ELECTRONIC HEALTH RECORD SYSTEM, EPIC, IN MAY 2024. - LAUNCHED UNIVERSAL HEALTH-RELATED SOCIAL NEEDS SCREENING OF ALL ADULT INPATIENT ADMISSIONS IN APRIL 2024. MEASURES:- PATIENTS IMPACTED BY UNITE US REFERRALS: 1- REFERRALS: 2*NOTE: COUNTS MAY BE SKEWED. REFERRAL TRACKING WAS BROKEN OUT BY HOSPITAL BEGINNING IN MAY 2024. PREVIOUSLY, ALL TRACKING WAS CENTRALIZED UNDER ONE HOSPITAL/CLINIC REPORTING ORGANIZATION.- 1.1.7 REVIEW AND BUILD CAPACITY FOR TRANSPORTATION SERVICES IN THE COMMUNITY. FY24 ACTIONS AND IMPACT: - THE DIRECTOR OF ACUTE CARE MANAGEMENT MET WITH CRANE PUBLIC TRANSIT TO DISCUSS TRANSPORTATION CONCERNS IN GRAND ISLAND. CRANE WAS NOT ABLE TO MAKE CHANGES TO THEIR CURRENT GRAND ISLAND ROUTES; HOWEVER, THEY ADDED A RURAL (OUTSIDE OF GRAND ISLAND) ROUTE. MEASURES: NO MEASURES TO REPORT. - 1.1.8 INVEST IN COMMUNITY ORGANIZATIONS FOCUSED ON ACCESS TO CARE THROUGH THE IMPLEMENTATION OF THE COMMUNITY HEALTH IMPROVEMENT GRANT (CHIG) PROGRAM. FY24 ACTIONS AND IMPACT: - AWARDED A CHIG TO THE MULTICULTURAL COALITION. THE MULTICULTURAL COALITION IS A GRAND ISLAND NONPROFIT WHOSE MISSION IS TO EMPOWER LOCAL FAMILIES BY ADDRESSING SOCIOECONOMIC BARRIERS THAT DISPROPORTIONATELY AFFECT MINORITY COMMUNITIES. THE MULTICULTURAL COALITION EMPLOYS A BILINGUAL COMMUNITY HEALTH WORKER WHO PERFORMS COMMUNITY OUTREACH, SHARES EDUCATION MATERIALS, COMPLETES ONSITE CONSULTATIONS, AND ASSISTS WITH SETTING APPOINTMENTS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH AND ACCESS TO HEALTHCARE. MEASURES:- CHIG FUNDS AWARDED (1/1/24-12/31/24): $70,850- 1.1.9 COMPLETE THE AMERICAN HOSPITAL ASSOCIATION'S HEALTH EQUITY TRANSFORMATION ASSESSMENT (HETA) AND UTILIZE RESULTS TO DEVELOP AN ACTION PLAN. FY24 ACTIONS AND IMPACT: - COMPLETED THE HETA ASSESSMENT. CREATED A HEALTH EQUITY ACTION PLAN AND FORMED A COMMITTEE TO ADVANCE THE WORK. MEASURES: NO MEASURES TO REPORT. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 13H: THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF TEN DOLLARS ($10.00) WITH THE COMMONSPIRIT HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW TEN DOLLARS ($10.00) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS. THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION. PATIENT COOPERATION STANDARDS - A PATIENT MUST COOPERATE WITH THE HOSPITAL FACILITY IN PROVIDING THE INFORMATION AND DOCUMENTATION NECESSARY TO DETERMINE ELIGIBILITY. SUCH COOPERATION INCLUDES COMPLETING ANY REQUIRED APPLICATIONS OR FORMS. THE PATIENT IS RESPONSIBLE FOR NOTIFYING THE HOSPITAL FACILITY OF ANY CHANGE IN FINANCIAL SITUATION THAT WOULD IMPACT THE ASSESSMENT OF ELIGIBILITY. A PATIENT MUST EXHAUST ALL OTHER PAYMENT OPTIONS, INCLUDING PRIVATE COVERAGE, FEDERAL, STATE AND LOCAL MEDICAL ASSISTANCE PROGRAMS, AND OTHER FORMS OF ASSISTANCE PROVIDED BY THIRD PARTIES PRIOR TO BEING APPROVED. AN APPLICANT FOR FINANCIAL ASSISTANCE IS RESPONSIBLE FOR APPLYING TO PUBLIC PROGRAMS FOR AVAILABLE COVERAGE. HE OR SHE IS ALSO EXPECTED TO PURSUE PUBLIC OR PRIVATE HEALTH INSURANCE PAYMENT OPTIONS FOR CARE PROVIDED BY A COMMONSPIRIT HOSPITAL ORGANIZATION WITHIN A HOSPITAL FACILITY. A PATIENT'S AND, IF APPLICABLE, ANY GUARANTOR'S COOPERATION IN APPLYING FOR APPLICABLE PROGRAMS AND IDENTIFIABLE FUNDING SOURCES, INCLUDING COBRA COVERAGE (A FEDERAL LAW ALLOWING FOR A TIME-LIMITED EXTENSION OF EMPLOYEE HEALTHCARE BENEFITS), SHALL BE REQUIRED. IF A HOSPITAL FACILITY DETERMINES THAT COBRA COVERAGE IS POTENTIALLY AVAILABLE, AND THAT A PATIENT IS NOT A MEDICARE OR MEDICAID BENEFICIARY, THE PATIENT OR GUARANTOR SHALL PROVIDE THE HOSPITAL FACILITY WITH INFORMATION NECESSARY TO DETERMINE THE MONTHLY COBRA PREMIUM FOR SUCH PATIENT, AND SHALL COOPERATE WITH HOSPITAL FACILITY STAFF TO DETERMINE WHETHER HE OR SHE QUALIFIES FOR HOSPITAL FACILITY COBRA PREMIUM ASSISTANCE, WHICH MAY BE OFFERED FOR A LIMITED TIME TO ASSIST IN SECURING INSURANCE COVERAGE. A HOSPITAL FACILITY SHALL MAKE AFFIRMATIVE EFFORTS TO HELP A PATIENT OR PATIENT'S GUARANTOR APPLY FOR PUBLIC AND PRIVATE PROGRAMS. PART V, SECTION B, LINE 11 (CONTINUED 1): PRIORITY HEALTH NEED #2: BEHAVIORAL HEALTHTO ADDRESS THIS NEED THE HOSPITAL WILL IMPLEMENT THE FOLLOWING STRATEGIES IN FISCAL YEARS 2023- 2025:2.1 ENGAGE WITH CENTRAL DISTRICT HEALTH DEPARTMENT, HALL COUNTY COMMUNITY COLLABORATIVE (H3C), AND OTHER COMMUNITY PARTNERS TO IMPROVE CLINICAL AND COMMUNITY-BASED BEHAVIORAL HEALTH SERVICES, AND ADDRESS GAPS IN CARE TO ENSURE BEHAVIORAL HEALTH SERVICES ARE OPTIMIZED WITHIN HALL COUNTY.2.1.1 PARTICIPATE IN AND SUPPORT A HEALTH DEPARTMENT LED WORK GROUP TO:- INCREASE KNOWLEDGE OF BEHAVIORAL HEALTH ACCESS POINTS - ALIGN EFFORTS, FORM PARTNERSHIPS TO LEVERAGE COMMUNITY RESOURCES AND IMPROVE ACCESS TO SERVICES - IDENTIFY AND SUPPORT PREVENTATIVE METHODS TO ADDRESS BEHAVIORAL HEALTH NEEDS PRIOR TO CRISIS FY24 ACTIONS AND IMPACT: NOT AVAILABLE AT TIME OF REPORTING. MEASURES: NO MEASURES TO REPORT.2.1.2 PROMOTE AND SUPPORT COMMUNITY-BASED TRAININGS AND PROGRAMS RELATED TO CRISIS RESPONSE FOR COMMUNITY-BASED PUBLIC HEALTH AND SOCIAL SERVICE PROVIDERS. ACTIVITIES MAY INCLUDE: - SUPPORTING REGION 3 STRATEGY TO CREATE A YOUTH SYSTEM OF CARE - COLLABORATING WITH LAW ENFORCEMENT ON INVOLUNTARY COMMITMENTS TO IMPROVE THE RELEVANT PLACEMENT FOR BEHAVIORAL HEALTH PATIENTS (CIVIL PROTECTIVE CUSTODY) AND EXPLORE OPPORTUNITIES TO ADVOCATE FOR LEGISLATIVE CHANGE ALLEVIATING CHALLENGES WITH PLACEMENT - CONTINUING SUPPORT TO FAMILY PROGRAMS SUPPORTING PARENTS AND BUILDING STRONGER FAMILY CONNECTIONS (I.E. ROOTED IN RELATIONSHIPS AND CIRCLE OF SECURITY) AND SOCIAL EMOTIONAL LEARNING FOR CHILDREN (I.E. DISCOVERY KIDS)- STRATEGIC PLANNING AROUND SUBSTANCE USE AND OVERDOSES, WITH A FOCUS ON YOUTH UNDER 25 FY24 ACTIONS AND IMPACT:- THE DIRECTOR OF ACUTE CARE MANAGEMENT ATTENDED QUARTERLY HALL COUNTY TOWN MEETINGS.- THE DIRECTOR OF ACUTE CARE MANAGEMENT ATTENDED CENTRAL DISTRICT HEALTH DEPARTMENT'S QUARTERLY COMMUNITY HEALTH IMPROVEMENT PLAN MEETINGS. MEASURES: NO MEASURES TO REPORT.2.1.3 EXPAND ACCESS TO RESOURCES AND PROVIDE SUPPORT FOR INDIVIDUALS WITH ALZHEIMER'S AND RELATED DEMENTIAS AND THEIR CAREGIVERS. FY24 ACTIONS AND IMPACT: NOT AVAILABLE AT TIME OF REPORTING. MEASURES: NO MEASURES TO REPORT.- 2.1.4 INVEST IN COMMUNITY ORGANIZATIONS FOCUSED ON BEHAVIORAL HEALTH THROUGH THE IMPLEMENTATION OF THE COMMUNITY HEALTH IMPROVEMENT GRANT (CHIG) PROGRAM. FY24 ACTIONS AND IMPACT: - AWARDED A CHIG TO THE MULTICULTURAL COALITION. THE MULTICULTURAL COALITION IS A GRAND ISLAND NONPROFIT WHOSE MISSION IS TO EMPOWER LOCAL FAMILIES BY ADDRESSING SOCIOECONOMIC BARRIERS THAT DISPROPORTIONATELY AFFECT MINORITY COMMUNITIES. THE MULTICULTURAL COALITION EMPLOYS A BILINGUAL COMMUNITY HEALTH WORKER WHO PERFORMS COMMUNITY OUTREACH, SHARES EDUCATION MATERIALS, COMPLETES ONSITE CONSULTATIONS, AND ASSISTS WITH SETTING APPOINTMENTS TO ADDRESS SOCIAL DETERMINANTS AND ACCESS TO HEALTHCARE, INCLUDING BEHAVIORAL HEALTHCARE. MEASURES:- CHIG FUNDS AWARDED (1/1/24-12/31/24): $70,8502.2 PROVIDE RESOURCES TO AND SUPPORT TO VICTIMS OF VIOLENCE2.2.1 SUPPORT VICTIMS OF VIOLENCE BY INCREASING THE CAPACITY OF STAFF TO RECOGNIZE AND RESPOND TO VIOLENCE, SUPPORT COMMUNITY PARTNERS LEADING VIOLENCE PREVENTION EFFORTS AND CARE FOR VICTIMS OF VIOLENCE, AND INCREASE THE FORENSIC NURSE EXAMINER WORKFORCE. FY24 ACTIONS AND IMPACT:- THE HEALTHY COMMUNITIES TEAM SUPPORTED THIS STRATEGY THROUGH A FY22-24 MISSION AND MINISTRY UNITED AGAINST VIOLENCE GRANT. THROUGHOUT FY24:* THE FORENSIC NURSE EXAMINER (FNE) PROGRAM MARKET MANAGER PROVIDED ONGOING EDUCATION ON INTIMATE PARTNER VIOLENCE (IPV), SEXUAL ASSAULT (SA), AND HUMAN TRAFFICKING (HT) IDENTIFICATION TO EMERGENCY DEPARTMENTS. * THE HOSPITAL-BASED HUMAN TRAFFICKING/VIOLENCE PREVENTION TASK FORCE, CO-LED BY THE ST. FRANCIS EMERGENCY DEPARTMENT NURSE DIRECTOR AND EMERGENCY DEPARTMENT MANAGER, CONTINUED TO MEET BI-MONTHLY. THE TASK FORCE IMPLEMENTED DEPARTMENT-SPECIFIC EDUCATION AT DEPARTMENT MEETINGS/HUDDLES AND INITIATED NEW PROJECTS TO IMPROVE THE IDENTIFICATION AND RESPONSE FOR HUMAN TRAFFICKING AND DOMESTIC VIOLENCE VICTIMS. THE TASK FORCE CO-LEADS REGULARLY ATTEND THE NEBRASKA HUMAN TRAFFICKING TASK FORCE MEETINGS LED BY THE NEBRASKA ATTORNEY GENERAL'S OFFICE. * WILLOW RISING, AN ORGANIZATION THAT ADVOCATES FOR AND SUPPORTS VICTIMS/SURVIVORS OF VIOLENCE, FACILITATED COMMUNITY TRAININGS. THE ORGANIZATION ALSO PROVIDED DOMESTIC VIOLENCE, SEXUAL ASSAULT, HUMAN TRAFFICKING, AND HEALTHY RELATIONSHIPS PRESENTATIONS AT SCHOOLS, BUSINESSES, CHURCHES, TOWN HALL/COUNTY MEETINGS, AND OTHER COMMUNITY SETTINGS. * THE GRAND ISLAND AREA COALITION ON TRAFFICKING (GI-ACT) CONTINUED TO MEET BI-MONTHLY IN FY24. MEMBERS INCLUDED LOCAL COUNSELING ORGANIZATIONS, ENCOURAGE ADVOCACY CENTER, UNITED WAY, JUVENILE PROBATION, THE GRAND ISLAND POLICE DEPARTMENT, YOUNG WOMEN'S CHRISTIAN ASSOCIATION (YWCA), CHI HEALTH ST. FRANCIS, AND WILLOW RISING.* HOSTED IN COLLABORATION WITH CREIGHTON UNIVERSITY'S OFFICE OF CONTINUING EDUCATION AND 11 COMMUNITY/STATE ORGANIZATIONS, INCLUDING WILLOW RISING, CATHOLIC CHARITIES, OMAHA POLICE DEPARTMENT, AND THE DOUGLAS COUNTY SHERIFF'S DEPARTMENT, THE SECOND ANNUAL MIDWEST REGIONAL ANTI-HUMAN TRAFFICKING CONFERENCE WAS HELD ON NOVEMBER 8, 2023 IN OMAHA, NE. CONFERENCE ATTENDEES RECEIVED ALL RESOURCES SUCH AS POWERPOINTS AND HANDOUTS VIA THE VIRTUAL EVENT APP. * CONTINUED TO OFFER THE HUMAN TRAFFICKING AWARENESS WEBINAR SERIES. THE WEBINARS WERE FREE, ONE-HOUR, AND OFFERED ONLINE FOR HEALTHCARE, LAW ENFORCEMENT AND SOCIAL SERVICE PROFESSIONALS. VARIOUS COMMUNITY ORGANIZATIONS AND SERVICE PROVIDERS ACROSS NEBRASKA AND SOUTHWEST IOWA SERVED AS PRESENTERS.* REQUIRED HUMAN TRAFFICKING 101, PEARR (TRAUMA-INFORMED APPROACH TO VICTIM ASSISTANCE IN HEALTH CARE SETTINGS), AND TRAUMA INFORMED CARE STAFF TRAINING VIA PATHWAYS. THE DIVISION RELEASES THESE TRAININGS ANNUALLY ON OCTOBER 1ST AND REQUIRES THEIR COMPLETION BY DECEMBER 31ST. MEASURES:- FNES ON STAFF: 3- IDENTIFIED IPV, SA, AND/OR HT CASES FOR WHICH FNES WERE CALLED TO PROVIDE SUPPORT: 10- HUMAN TRAFFICKING/VIOLENCE PREVENTION TASK FORCEMEMBERS: 14MEETINGS: 6- WILLOW RISING DOMESTIC VIOLENCE, SEXUAL ASSAULT, AND HUMAN TRAFFICKING SURVIVORS SUPPORTED: 1,000+ ACROSS FOUR COUNTIES IN THE ST. FRANCIS SERVICE AREACOMMUNITY PRESENTATION ATTENDEES: 3,000+- GI-ACTORGANIZATIONS RECEIVING THE COALITION'S REGULAR COMMUNICATIONS: 30ORGANIZATIONS THAT REGULARLY ATTEND MEETINGS: 6-8- MIDWEST REGIONAL ANTI-HUMAN TRAFFICKING CONFERENCE REGISTRANTS: 377LIVE ATTENDEES: 161 VIRTUAL AND 77 IN-PERSON FROM 22 DIFFERENT STATESCEUS: 786.5 CLAIMED BY 143 ELIGIBLE PROFESSIONALS- HUMAN TRAFFICKING AWARENESS WEBINAR SERIES (JULY-NOVEMBER 2023)WEBINARS: 3REGISTRANTS: 230LIVE ATTENDEES: 125- STAFF PATHWAYS TRAININGS (NEBRASKA AND IOWA COMPLETION RATES AS OF JANUARY 2024)HUMAN TRAFFICKING 101: 85% (11,194/13,128)PEARR TOOL: 90% (6893/7686**ASSIGNED TO DEFINED CLINICAL STAFF ONLY.TRAUMA-INFORMED CARE: 90% (7089/7854)THE HOSPITAL WILL NOT ADDRESS THE FOLLOWING HEALTH NEEDS FOR THE FOLLOWING REASONS: CANCER AND CHRONIC DISEASE: IN ORDER TO MEANINGFULLY ADDRESS THE SELECT PRIORITY HEALTH NEEDS ABOVE AND MAXIMIZE IMPACT, ST. FRANCIS & SNU DID NOT PRIORITIZE WORK IN THIS AREA. HOWEVER, THERE IS SIGNIFICANT OUTREACH AND PREVENTION WORK THAT WILL CONTINUE AT THE HOSPITAL, SUCH AS PARTICIPATION IN HEALTH FAIRS, PARTNERING WITH ORGANIZATIONS SERVING THE AGING POPULATION, AND A NUMBER OF EDUCATIONAL SUPPORT GROUPS THAT IMPACT THESE HEALTH AREAS. ADDITIONALLY, THERE ARE EXISTING BODIES OF WORK BEING LED BY COMMUNITY PARTNERS, AND ST. FRANCIS IS ENGAGED WITH THIS GROUP TO DETERMINE ITS ROLE IN ADDRESSING BARRIERS TO, AND PROMOTING HEALTHY EATING AND ACTIVE LIVING ACROSS THE COMMUNITY. MATERNAL, INFANT, AND CHILD HEALTH: THE PRIMARY FACTORS DRIVING THIS HEALTH NEED ARE RELATED TO A SHORTAGE OF OBSTETRICS AND GYNECOLOGICAL PROVIDERS. AS THE HOSPITAL WILL BE WORKING WITH THE HEALTH DEPARTMENT LED WORK GROUP TO IDENTIFY AND ADDRESS GAPS IN THE CONTINUUM OF HEALTHCARE AND HEALTH RELATED SERVICES FOR ALL, AND IN ORDER TO ENSURE RESOURCES CAN BE LEVERAGED TO MAKE IMPACT IN THE PRIORITIZED HEALTH NEED AREA ACCESS TO CARE, ST. FRANCIS & SNU WILL NOT BE WRITING A STRATEGY TO ADDRESS THIS SPECIFIC HEALTH NEED. HOWEVER, CHI HEALTH ST. FRANCIS IS WORKING WITH HEARTLAND HEALTH TO PROVIDE INCREASED OBSTETRICS AND GYNECOLOGICAL SERVICES AT THE FEDERALLY QUALIFIED HEALTH CENTER AND WILL CONTINUE TO EXPLORE OPPORTUNITIES TO IMPROVE HEALTH OUTCOMES BOTH INTERNALLY AND WITH PARTNERS. PART V, SECTION B, LINE 11 (CONTINUED 2): SOCIAL DETERMINANTS OF HEALTH: LEADERS REPRESENTING BOTH HOSPITALS ARE ACTIVELY ENGAGING ON A REGULAR BASIS WITH COMMUNITY PARTNERS WHO ARE CURRENTLY DOING WORK IN THIS AREA, SUCH AS GROW GRAND ISLAND, HALL COUNTY COMMUNITY COLLABORATIVE, AND CENTRAL DISTRICT HEALTH DEPARTMENT. MUCH OF THE WORK TO ADDRESS THIS HEALTH NEED AREA FOCUSES ON IMPROVING SOCIAL FACTORS SUCH AS POVERTY AND HOUSING. WHILE IT WILL BE IMPORTANT FOR THE HOSPITALS TO SUPPORT THIS WORK, THE COMMUNITY IS WORKING ON COLLECTIVE STRATEGIES AND THE HOSPITAL IS DETERMINING ITS ROLE IN SUPPORTING THE WORK AS CONVERSATIONS PROGRESS. AS SUCH, ST. FRANCIS & SNU WILL NOT WRITE A STRATEGY TO ACTIVELY ADDRESS THIS BROAD HEALTH NEED UNTIL THE HOSPITALS' ROLES BECOME CLEARER.VIOLENCE/ INJURY: IN ORDER TO MEANINGFULLY ADDRESS THE SELECTED PRIORITIES, THE HOSPITAL WILL NOT CREATE A SPECIFIC STRATEGY AROUND THIS HEALTH AREA. HOWEVER, VIOLENCE IN THE COMMUNITY WILL BE ADDRESSED THROUGH THE BEHAVIORAL HEALTH STRATEGY AS MANY OF THE PROGRAMS AND PARTNERS ADDRESSING THE NEED, ALSO SUPPORT WORK AROUND VIOLENCE PREVENTION RECOGNIZING THE RELATIONSHIP BETWEEN THE TWO. ADDITIONALLY, ST. FRANCIS FOUNDATION WILL CONTINUE TO FOCUS ON ADDRESSING HUMAN TRAFFICKING AND INTERPERSONAL VIOLENCE BY STRENGTHENING THE CAPACITY OF HEALTH CARE WORKERS TO RECOGNIZE AND ADDRESS VIOLENCE, AND ALSO SUPPORTING COMMUNITY PARTNERS WHO LEAD THIS WORK IN GRAND ISLAND AND SURROUNDING COMMUNITIES. THE FOUNDATION, HEALTHY COMMUNITIES TEAM, AND HOSPITAL STAFF ALSO SUPPORT SAFEKIDS, WHICH PROVIDES OUTREACH AND EDUCATION TO YOUTH TO PROTECT THEM FROM UNINTENTIONAL INJURY. PART I, LINE 3C: UNLESS ELIGIBLE FOR PRESUMPTIVE FINANCIAL ASSISTANCE, THE FOLLOWING ELIGIBILITY CRITERIA MUST BE MET IN ORDER FOR A PATIENT TO QUALIFY FOR FINANCIAL ASSISTANCE:* THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF TEN DOLLARS ($10.00) WITH THE COMMONSPIRIT HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW TEN DOLLARS ($10.00) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS.* THE PATIENT MUST COMPLY WITH PATIENT COOPERATION STANDARDS.* THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION (FAA).FOR PATIENTS AND GUARANTORS WHO ARE UNABLE TO PROVIDE REQUIRED DOCUMENTATION, A HOSPITAL FACILITY MAY GRANT PRESUMPTIVE FINANCIAL ASSISTANCE BASED ON INFORMATION OBTAINED FROM OTHER RESOURCES. IN PARTICULAR, PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE:* RECIPIENT OF STATE-FUNDED PRESCRIPTION PROGRAMS;* HOMELESS OR ONE WHO RECEIVED CARE FROM A HOMELESS CLINIC;* PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC);* FOOD STAMP ELIGIBILITY;*ELIGIBILITY OR REFERRALS FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS (E.G., MEDICAID);* LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS; OR* PATIENT IS DECEASED WITH NO KNOWN ESTATE. PART I, LINE 6A: THE 2023 COMMUNITY BENEFIT REPORT FOR ST. FRANCIS MEDICAL CENTER WAS PREPARED BY ALEGENT CREIGHTON HEALTH, DBA CHI HEALTH, A RELATED ORGANIZATION. THE COMMUNITY BENEFIT REPORT CONTAINS INFORMATION FOR SEVERAL RELATED ORGANIZATIONS IN IOWA AND NEBRASKA. PART I, LINE 7: COMMONSPIRIT HEALTH HOSPITALS USE A COST ACCOUNTING SYSTEM OR AN ADJUSTED COST TO CHARGE RATIO CALCULATED IN A MANNER CONSISTENT WITH WORKSHEET 2 FOR EACH REPORTING FACILITY, TO DERIVE THE REPORTED COSTS OF FINANCIAL ASSISTANCE, MEDICAID AND OTHER MEANS-TESTED PROGRAMS. WORKSHEET 3 OR THE EQUIVALENT IN THE COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY ("CBISA") SOFTWARE ARE USED TO CALCULATE EXPENSE AND REVENUE, INCLUDING WHERE APPLICABLE MEDICAID PROVIDER FEES AND PAYMENTS FROM UNCOMPENSATED CARE PROGRAMS. ACTUAL OR ESTIMATED COST AND ANY DIRECT OFFSETTING REVENUE IS REPORTED, AND SCHEDULE H WORKSHEETS OR THEIR EQUIVALENTS ARE USED, FOR OTHER COMMUNITY BENEFIT ACTIVITIES SUCH AS COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH, AND CASH AND IN-KIND DONATIONS. PART II, COMMUNITY BUILDING ACTIVITIES: CHI HEALTH HAS A HISTORY OF CENTRALIZED COMMUNITY BENEFIT INVESTMENTS, AS WELL AS HOSPITAL SPECIFIC INVESTMENTS THAT ADDRESS COMMUNITY HEALTH NEEDS WHICH INCLUDE SUPPORT OF LOCAL HEALTH COALITIONS, INVESTMENTS IN PARTNERSHIPS AND PROGRAMS THAT ADDRESS TOP COMMUNITY HEALTH NEEDS, PARTICIPATION IN LOCAL COMMITTEES AND BOARDS TIED TO TOP HEALTH NEEDS, AND INVESTMENTS IN MANY OTHER WAYS AS DESCRIBED IN OTHER AREAS OF THE SCHEDULE H NARRATIVE. CHI ST. FRANCIS MEDICAL CENTER SUPPORTS: - CHILD SAFETY COALITION - WORKFORCE DEVELOPMENT PART III, LINE 2: THE AMOUNT OF THE ORGANIZATION'S BAD DEBT AT COST IS DETERMINED BY APPLYING THE COST TO CHARGE RATIO TO PATIENT CHARGES THAT ARE DEEMED TO BE UNCOLLECTIBLE. THIS AMOUNT REPRESENTS THE COST OF SERVICES PROVIDED TO PATIENTS WHO ARE UNABLE OR REFUSE TO PAY THEIR BILLS AND DO NOT QUALIFY FOR FREE OR ADDITIONAL DISCOUNTED CARE, GOVERNMENT SPONSORED PROGRAMS OR OTHER PAYMENT ASSISTANCE, AND ARE OTHERWISE UNINSURED.THE FILING ORGANIZATION PROVIDES FREE CARE TO ANY PATIENT WHOSE FAMILY INCOME IS AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL, OR DISCOUNTED CARE TO UNINSURED OR UNDER-INSURED INDIVIDUALS WHOSE FAMILY INCOME IS ABOVE 201% BUT LOWER THAN 400% OF THE FEDERAL POVERTY LEVEL. THE FILING ORGANIZATION ALSO PROVIDES OPTIONS FOR INTEREST-FREE EXTENDED PAYMENT PLANS FOR PATIENTS WHO HAVE DEMONSTRATED GOOD FAITH AND ARE COOPERATING IN RESOLVING THEIR HOSPITAL BILLS. ALL ACCOUNTS FOR ELIGIBLE UNINSURED PATIENTS AT ALL FACILITIES RECEIVE AN AUTOMATIC UNINSURED DISCOUNT. THE EXPECTED PATIENT PAYMENT AMOUNT ON THE PATIENT'S BILL REFLECTS THIS DISCOUNT. DISCOUNTS ARE ACCOUNTED FOR AS DEDUCTIONS FROM REVENUE, NOT AS BAD DEBT EXPENSE. PART III, LINE 3: SAINT FRANCIS MEDICAL CENTER MAKES EVERY EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UPON ADMISSION. SAINT FRANCIS MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY IS COMMUNICATED TO PATIENTS UPON ADMISSION AND IS AVAILABLE IN THE LANGUAGES PRIMARILY SPOKEN IN THE COMMUNITY. IT IS ALSO POSTED IN VARIOUS COMMON AREAS OF THE HOSPITAL, SUCH AS EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL BUSINESS OFFICES LOCATED ON FACILITY CAMPUSES, AND OTHER PUBLIC PLACES, AND IS PROVIDED UPON BILLING IF ELIGIBILITY IS NOT PREVIOUSLY DETERMINED. ELIGIBILITY IS REEVALUATED AS NEEDED AND AMOUNTS ARE CLASSIFIED AS CHARITY AS SOON AS ELIGIBILITY IS KNOWN. SAINT FRANCIS MEDICAL CENTER ALSO UTILIZES UTILIZES A WAYSTAR SCORING SYSTEM TO ASSIST IN DETERMINING IF A PATIENT MAY QUALIFY FOR PAYMENT ASSISTANCE EVEN THOUGH THEY HAVE NOT APPLIED FOR IT. WAYSTAR USES A METHODOLOGY THAT APPLIES CONSISTENT SCREENING AND APPLICATION STANDARDS TO ALL PATIENTS UTILIZING HISTORICAL DATA TO DEVELOP A PREDICTIVE MODEL FOR HEALTHCARE PAYMENT ASSISTANCE. IN ITS DEVELOPMENT, SPECIAL ATTENTION WAS PAID TO THOSE SOCIOECONOMIC FACTORS THAT MIGHT ADVERSELY AFFECT THOSE PATIENTS DESERVING THE MOST ATTENTION. OTHER CRITERIA ARE ALSO UTILIZED TO ENSURE THAT SERVICES THAT HAVE QUALIFIED AS FINANCIAL ASSISTANCE ARE NOT REPORTED AS BAD DEBT. AS SUCH, SAINT FRANCIS MEDICAL CENTER DOES NOT BELIEVE THAT ANY AMOUNTS INCLUDED IN PART III, LINE 2, ARE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S PAYMENT ASSISTANCE POLICY, AND THEREFORE, NO PORTION OF BAD DEBT EXPENSE IS INCLUDED AS COMMUNITY BENEFIT EXPENSE. PART III, LINE 4: SAINT FRANCIS MEDICAL CENTER DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF COMMONSPIRIT HEALTH. THE FOLLOWING IS AN EXCERPT FROM COMMONSPIRIT'S CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2024, RELATED TO PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT REVENUE. THE ENTIRE FOOTNOTE CAN BE VIEWED IN THE ATTACHED COMMONSPIRIT CONSOLIDATED FINANCIAL STATEMENTS ON PAGES 11-12."PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNTS THAT REFLECT THE CONSIDERATION COMMONSPIRIT EXPECTS TO BE PAID IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING HEALTH INSURERS AND GOVERNMENT PROGRAMS), AND OTHERS, AND INCLUDE CONSIDERATION FOR RETROACTIVE REVENUE ADJUSTMENTS DUE TO SETTLEMENT OF AUDITS AND REVIEWS. GENERALLY, PERFORMANCE OBLIGATIONS FOR PATIENTS RECEIVING INPATIENT ACUTE CARE SERVICES AND OUTPATIENT SERVICES ARE RECOGNIZED OVER TIME AS SERVICES ARE PROVIDED. NET PATIENT REVENUE IS PRIMARILY COMPRISED OF HOSPITAL AND PHYSICIAN SERVICES." PART III, LINE 8: COMMONSPIRIT HEALTH HOSPITALS PREPARE MEDICARE COST REPORTS IN A MANNER THAT COMPORTS WITH PROVIDER REIMBURSEMENT MANUAL (PRM) 15-1 AND PRM 15-2 CHAPTER 40 (TRANSMITTAL 13). AS SUCH, THE FOLLOWING LANGUAGE PER PRM 15-1 DESCRIBES THE COMPUTATION OF COSTS PER THE MEDICARE COST REPORT: TOTAL ALLOWABLE COSTS OF A PROVIDER ARE APPORTIONED BETWEEN PROGRAM BENEFICIARIES AND OTHER PATIENTS SO THAT THE SHARE BORNE BY THE PROGRAM IS BASED UPON ACTUAL SERVICES RECEIVED BY PROGRAM BENEFICIARIES. THE RATIO OF COVERED BENEFICIARY CHARGES TO TOTAL PATIENT CHARGES FOR THE SERVICES OF EACH ANCILLARY DEPARTMENT IS APPLIED TO THE COST OF THE DEPARTMENT. ADDED TO THIS AMOUNT IS THE COST OF ROUTINE SERVICES FOR PROGRAM BENEFICIARIES, DETERMINED ON THE BASIS OF A SEPARATE AVERAGE COST PER DIEM FOR ALL PATIENTS FOR GENERAL ROUTINE PATIENT CARE AREAS. ANOTHER FACTOR CONSIDERED IS A SEPARATE AVERAGE COST PER DIEM FOR EACH INTENSIVE CARE UNIT, CORONARY CARE UNIT, AND OTHER SPECIAL CARE INPATIENT HOSPITAL UNITS. COMMONSPIRIT HEALTH AND ITS SUBORDINATE CORPORATIONS BELIEVE THAT THE ENTIRE MEDICARE SHORTFALL FOR THE CONSOLIDATED ENTITIES CONSTITUTES COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY COMMONSPIRIT HEALTH HOSPITALS IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITIES. THE HOSPITALS PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. SAINT FRANCIS MEDICAL CENTER'S SHORTFALL, AS REPORTED ON PART III, SECTION B, LINE 7, OF $7,123,875 REPRESENTS THE FILING ORGANIZATION'S MEDICARE COST REPORTS. PART III, LINE 9B: COMMONSPIRIT HEALTH ENSURES THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. COMMONSPIRIT HEALTH'S BILLING AND COLLECTION POLICY CONTAINS PROVISIONS THAT PROHIBIT THE COLLECTION OF AMOUNTS DUE FROM PATIENTS WHO THE ORGANIZATION KNOWS QUALIFY FOR FINANCIAL ASSISTANCE. ACCOUNTS WITH INCORRECT OR INCOMPLETE DEMOGRAPHIC INFORMATION ARE ASSIGNED TO A COLLECTION AGENCY IF THE COMMONSPIRIT HEALTH FACILITY, OR BILLING COMPANY RETAINED BY COMMONSPIRIT HEALTH, IS UNABLE TO OBTAIN AN UPDATED ADDRESS THROUGH SKIP TRACING OR OTHER MEANS. FOR PATIENTS WHO HAVE AN APPLICATION PENDING FOR EITHER GOVERNMENT-SPONSORED ASSISTANCE OR FOR ASSISTANCE UNDER COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE POLICY, OR WHERE THE PATIENT IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH THE FACILITY VIA PAYMENT PLANS, COMMONSPIRIT HEALTH WILL NOT KNOWINGLY SEND THAT PATIENT'S BILL TO AN OUTSIDE COLLECTION AGENCY. ON SELF-PAY ACCOUNTS THAT DO NOT MEET THE CRITERIA NOTED ABOVE, THE INITIAL DETERMINATION OF ASSIGNMENT TO A COLLECTION AGENCY WILL VARY DEPENDING ON THE NATURE OF THE ACCOUNT WITH THE FINAL DECISION BEING AT THE DISCRETION OF THE BILLING COMPANY RETAINED BY COMMONSPIRIT HEALTH. UPON ASSIGNMENT OF SUCH A PATIENT ACCOUNT TO A COLLECTION AGENCY, COMMONSPIRIT HEALTH REQUIRES THE AGENCY TO COMPLY WITH THE FAIR DEBT COLLECTION PRACTICES ACT. PART VI, LINE 3: INFORMATION ABOUT COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE PROGRAM AND A CONTACT NUMBER ARE MADE AVAILABLE TO PATIENTS AND THE PUBLIC. PATIENTS ARE INFORMED OF COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE PROGRAM VIA SIGNAGE IN ALL ADMITTING AREAS AND IN VARIOUS COMMON AREAS OF THE HOSPITAL. FINANCIAL ASSISTANCE PROGRAM INFORMATION NOTICES ARE POSTED IN THE EMERGENCY AND ADMITTING DEPARTMENTS AND AT OTHER PUBLIC PLACES AS EACH FACILITY MAY ELECT. SUCH INFORMATION IS PROVIDED IN THE PRIMARY LANGUAGES SPOKEN IN THE COMMUNITIES COMMONSPIRIT HEALTH SERVES. THE SIGNAGE INCLUDES NOTIFICATION THAT FURTHER DISCOUNTS MAY BE PROVIDED UPON THE COMPLETION AND SUBMISSION OF A FINANCIAL ASSISTANCE APPLICATION AND HOW TO REACH STAFF THAT CAN ASSIST WITH ANSWERING QUESTIONS AND GUIDE PATIENTS THROUGH THE APPLICATION PROCESS. INFORMATION CAN ALSO BE FOUND ON THE FACILITY WEBSITES. IF FINANCIAL ASSISTANCE ELIGIBILITY IS NOT DETERMINED PRIOR TO BILLING, INITIAL BILLING STATEMENTS TO PATIENTS INCLUDE A REQUEST TO THE PATIENT TO PROVIDE ANY INSURANCE INFORMATION THAT WAS VALID FOR THE DATES OF SERVICE BILLED AND A STATEMENT INFORMING PATIENTS HOW TO CONTACT US REGARDING FINANCIAL ASSISTANCE. ADDITIONALLY, CONTRACT TERMS WITH COLLECTION VENDORS WORKING ON BEHALF OF COMMONSPIRIT HEALTH REQUIRE THEY FOLLOW COMMONSPIRIT HEALTH FINANCIAL ASSISTANCE POLICY. ALSO, REFERRAL OF PATIENTS FOR FINANCIAL ASSISTANCE MAY BE MADE BY ANY MEMBER OF THE COMMONSPIRIT HOSPITAL ORGANIZATION NON-MEDICAL OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKERS, CASE MANAGERS, CHAPLAINS, AND RELIGIOUS SPONSORS. A REQUEST FOR ASSISTANCE MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS. PART VI, LINE 4: THE 2020 POPULATION FOR HALL COUNTY WAS 62,895, AND INCREASED BY 7.3% SINCE 2010. AS OF 2019, 13.9% OF RESIDENTS IN THE COUNTY WERE BORN OUTSIDE THE UNITED STATES AND 90.9% WERE CITIZENS, A SLIGHT INCREASE FROM 2018. IN 2019, 27.7% OF THE RESIDENTS IN HALL COUNTY WERE HISPANIC. HALL COUNTY IS UNIQUELY A MULTICULTURAL COMMUNITY. COMPARED TO NEIGHBORING COUNTIES OF HAMILTON AND MERRICK, WITH BETWEEN ONE AND TWO PERCENT OF THEIR POPULATIONS BEING FOREIGN BORN, THIS IS A SIGNIFICANT PORTION OF THE HALL COUNTY POPULATION, AND PRESENTS UNIQUE CHALLENGES FOR HEALTHCARE AND OTHER PUBLIC SECTOR SERVICES. A REVIEW OF THE SOCIOECONOMIC FACTORS SHOW HALL COUNTY IS SLIGHTLY BELOW THE STATE FOR MEDIAN HOUSEHOLD INCOME, AND SLIGHTLY HIGHER IN OVERALL POVERTY RATES. POVERTY RATES HAVE INCREASED SLIGHTLY FROM 12.0% IN 2018 TO 12.8% IN 2019 FOR HALL COUNTY, WHILE THERE WAS A DECREASE FROM 10.8% TO 9.2% FOR NEBRASKA OVERALL. THE PERCENTAGE OF CHILDREN IN POVERTY (17.2% FOR HALL COUNTY) HAS REMAINED THE SAME SINCE 2018, AND IS LOWER THAN THE STATE AT 18.5%. WHEN LOOKING AT THE PERCENTAGE OF CHILDREN IN POVERTY IN HALL COUNTY BY RACE AND ETHNICITY, WE SEE A LARGE DISPARITY WITH 21.9% OF HISPANIC OR LATINO AND 46.2% OF BLACK OR AFRICAN AMERICAN CHILDREN IN POVERTY. HALL COUNTY ALSO HAS A HIGHER PERCENT OF CHILDREN LIVING IN SINGLE PARENT HOUSEHOLDS AT 29% COMPARED TO 21% ACROSS THE STATE. THESE DISPARITIES ARE SEEN AT BOTH THE STATE AND NATIONAL LEVELS. SINCE THE 2019 CHNA, HALL COUNTY AND NEBRASKA OVERALL HAVE SEEN IMPROVEMENT IN UNEMPLOYMENT RATES. THE PERCENT OF THE POPULATION UNDER 65 YEARS OF AGE WITHOUT HEALTH INSURANCE HAS DROPPED FROM 13.4% DOWN TO 11.9% IN HALL COUNTY, AND FROM 9.6% TO 8.2% IN NEBRASKA OVERALL. HALL COUNTY IS DESIGNATED A HEALTH PROFESSIONAL SHORTAGE AREA IN MENTAL HEALTH WITH A HPSA SCORE OF 11. THE SCORE RANGES FROM 0-26 WHERE THE HIGHER THE SCORE, THE GREATER THE PRIORITY. HALL COUNTY IS CONSIDERED A MEDICALLY UNDERSERVED AREA IN PRIMARY CARE WITH AN INDEX OF MEDICAL UNSERVED SCORE OF 59.2 (TO QUALIFY FOR THIS DESIGNATION, THE SCORE MUST BE BELOW OR EQUAL TO 62.0 ON A SCALE OF 0 -100 WITH 100 BEING THE LOWEST NEED).GRAND ISLAND HAS A WIDE RANGE OF HEALTHCARE PROVIDERS, INCLUDING MEDICAL, DENTAL, AND MENTAL HEALTH SERVICES THAT NOT ONLY ADDRESS THE NEEDS OF THE LOCAL POPULATION, BUT ALSO RESIDENTS FROM THROUGHOUT CENTRAL NEBRASKA AND FROM ACROSS THE STATE. POPULATION HEALTH SERVICES ARE PROVIDED THROUGH COMMUNITY HEALTH WORKERS AND DIABETES EDUCATORS EMBEDDED WITHIN THE HEALTH DEPARTMENT AND MULTICULTURAL COALITION OF GRAND ISLAND. SOME OF THE PROMINENT HEALTH PROVIDERS AVAILABLE THROUGHOUT THE COUNTY, INCLUDE: -CHI HEALTH CLINICS IN GRAND ISLAND -GRAND ISLAND REGIONAL MEDICAL CENTER -HEARTLAND HEALTH CENTER -THIRD CITY COMMUNITY CLINIC -CHOICE FAMILY HEALTH CARE -URGENT CARE CLINICS (TWIN RIVERS, CHI HEALTH QUICK CARE) -CENTRAL DISTRICT HEALTH DEPARTMENT -CHI HEALTH ST. FRANCIS CANCER TREATMENT CENTER -CHI HEART HEALTH -GRAND ISLAND VA MEDICAL CENTER -GRAND ISLAND CLINIC -LITZENBERG MEMORIAL COUNTY HOSPITAL -MEMORIAL COMMUNITY HEALTH -MID-PLAINS CENTER FOR BEHAVIORAL HEALTH PART VI, LINE 5: FINANCIAL ASSISTANCE: IT IS THE POLICY OF COMMONSPIRIT HEALTH TO PROVIDE, WITHOUT DISCRIMINATION, EMERGENCY MEDICAL CARE AND MEDICALLY NECESSARY CARE IN COMMONSPIRIT HOSPITAL FACILITIES TO ALL PATIENTS, WITHOUT REGARD TO A PATIENT'S FINANCIAL ABILITY TO PAY. THIS HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY THAT DESCRIBES THE ASSISTANCE PROVIDED TO PATIENTS FOR WHOM IT WOULD BE A FINANCIAL HARDSHIP TO FULLY PAY THE EXPECTED OUT-OF-POCKET EXPENSES FOR SUCH CARE, AND WHO MEET THE ELIGIBILITY CRITERIA FOR SUCH ASSISTANCE. THE FINANCIAL ASSISTANCE POLICY, A PLAIN LANGUAGE SUMMARY AND RELATED MATERIALS ARE AVAILABLE IN MULTIPLE LANGUAGES ON THE HOSPITAL'S WEBSITE.USE OF SURPLUS FUNDS: AS A NOT-FOR-PROFIT HOSPITAL ORGANIZATION DEDICATED TO IMPROVING THE QUALITY OF LIFE, THE HOSPITAL REINVESTS ALL OF ITS SURPLUS FUNDS FROM OPERATING AND INVESTMENT ACTIVITIES TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND REPLACE EXISTING FACILITIES AND EQUIPMENT, INVEST IN TECHNOLOGICAL ADVANCEMENTS, SUPPORT COMMUNITY HEALTH PROGRAMS, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH. THIS ACTIVE REINVESTMENT OF FUNDS MAKES IT POSSIBLE FOR THE HOSPITAL TO DELIVER ON ITS MISSION, INCLUDING HELPING TO ENSURE THAT EVERYONE IN THE COMMUNITIES SERVED HAS ACCESS TO HEALTH CARE.OPEN MEDICAL STAFF: MEDICAL STAFF PRIVILEGES ARE OPEN TO PHYSICIANS WHOSE EXPERIENCE AND TRAINING ARE VERIFIED THROUGH A CREDENTIALING PROCESS. THE PROCESS INCLUDES GATHERING AND VERIFYING CREDENTIALS, ALLOWING THE MEDICAL STAFF TO EVALUATE AN APPLICANT'S QUALIFICATIONS, PREVIOUS EXPERIENCE, AND COMPETENCE, AND ULTIMATELY MAKING A DECISION TO GRANT OR DENY MEDICAL STAFF MEMBERSHIP AND CLINICAL PRIVILEGES ON THE BASIS OF AUTHENTIC AND VALID CREDENTIALS.ROLE OF THE BOARD: THE COMMONSPIRIT HEALTH BOARD AND SPECIFIC COMMITTEES HAVE ORGANIZATIONAL, POLICY-BASED ROLES TO OVERSEE COMMUNITY BENEFIT AND COMMUNITY HEALTH PROGRAMS, AND THEY RECEIVE REGULAR REPORTS ON ACTIVITIES AND PERFORMANCE. HOSPITAL COMMUNITY BOARDS (OR THEIR DESIGNATED COMMUNITY HEALTH OR COMMUNITY BENEFIT COMMITTEES) ARE RESPONSIBLE FOR ENSURING THAT THE HOSPITALS CONDUCT AND ADOPT COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES, TAKE ACTIONS TO HELP ADDRESS IDENTIFIED SIGNIFICANT HEALTH NEEDS WITH AN EMPHASIS ON POOR AND VULNERABLE POPULATIONS AND HEALTH EQUITY, AND MONITORING ACTIONS AND PROGRESS TOWARD IDENTIFIED GOALS. PART VI, LINE 6: THE ORGANIZATION IS AFFILIATED WITH COMMONSPIRIT HEALTH. COMMONSPIRIT HEALTH WAS CREATED BY THE ALIGNMENT OF CATHOLIC HEALTH INITIATIVES AND DIGNITY HEALTH IN EARLY 2019. COMMONSPIRIT HEALTH, A NONPROFIT, FAITH-BASED HEALTH SYSTEM IS COMMITTED TO BUILDING HEALTHIER COMMUNITIES, ADVOCATING FOR THOSE WHO ARE POOR AND VULNERABLE, AND INNOVATING HOW AND WHERE HEALING CAN HAPPEN BOTH INSIDE ITS HOSPITALS AND OUT IN THE COMMUNITY. COMMONSPIRIT HEALTH OWNS AND OPERATES HEALTH CARE FACILITIES IN 24 STATES AND IS THE SOLE CORPORATE MEMBER (PARENT CORPORATION) OF OTHER PRIMARILY NONPROFIT CORPORATIONS. COMMONSPIRIT HEALTH AND SUBSTANTIALLY ALL OF ITS DIRECT AFFILIATES AND SUBSIDIARIES HAVE BEEN GRANTED EXEMPTIONS FROM FEDERAL INCOME TAX AS CHARITABLE ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS OF SEPTEMBER 25, 2024, COMMONSPIRIT HEALTH IS COMPRISED OF APPROXIMATELY 2,300 CARE SITES, CONSISTING OF 137 HOSPITALS, INCLUDING ACADEMIC HEALTH CENTERS, MAJOR TEACHING HOSPITALS, AND CRITICAL ACCESS FACILITIES, COMMUNITY HEALTH SERVICES ORGANIZATIONS, ACCREDITED NURSING COLLEGES, HOME HEALTH AGENCIES, LIVING COMMUNITIES, A MEDICAL FOUNDATION AND OTHER AFFILIATED MEDICAL GROUPS, AND OTHER FACILITIES AND SERVICES THAT SPAN THE INPATIENT AND OUTPATIENT CONTINUUM OF CARE. AN ADDITIONAL 21 HOSPITALS ARE OPERATED THROUGH UNCONSOLIDATED JOINT VENTURES. IN FISCAL YEAR 2024, COMMONSPIRIT HEALTH PROVIDED MORE THAN $2.574 BILLION IN FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT FOR PROGRAMS AND SERVICES FOR THE POOR, FREE CLINICS, EDUCATION AND RESEARCH. FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT TOTALED MORE THAN $4.22 BILLION WITH THE INCLUSION OF THE UNPAID COSTS OF MEDICARE. THE HEALTH SYSTEM, WHICH GENERATED OPERATING REVENUES OF $37.5 BILLION IN FISCAL YEAR 2024, HAS TOTAL ASSETS OF APPROXIMATELY $54.73 BILLION.COMMONSPIRIT HEALTH PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES AS WELL AS CENTRALIZED SERVICES FOR ITS DIVISIONS. THE PROVISION OF CENTRALIZED MANAGEMENT AND SHARED SERVICES INCLUDING AREAS SUCH AS ACCOUNTING, HUMAN RESOURCES, PAYROLL AND SUPPLY CHAIN PROVIDES ECONOMIES OF SCALE AND PURCHASING POWER TO THE DIVISIONS. THE COST SAVINGS ACHIEVED THROUGH COMMONSPIRIT HEALTH'S CENTRALIZATION ENABLE DIVISIONS TO DEDICATE ADDITIONAL RESOURCES TO HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY. 1 THE MULTICULTURAL COALITION 325 W FOURTH STREET GRAND ISLAND NE 68801 383683695 501C3 70850 0 PROGRAM SUPPORT CENTRAL CATHOLIC DEVELOPMENT FOUNDATION 1200 N RUBY AVE GRAND ISLAND NE 68803 470619982 501C3 15000 0 PROGRAM SUPPORT SAINT FRANCIS MEDICAL CENTER FOUNDATION PO BOX 9804 GRAND ISLAND NE 68802 470630267 501C3 279172 0 PROGRAM SUPPORT 3 0 PART I, LINE 2: GRANTS ARE TO COMPANIES AND COMMUNITY ORGANIZATIONS WHO ENGAGE IN ACTIVITIES THAT BENEFIT THE COMMUNITY AT LARGE. NO CONSIDERATION IS RECEIVED IN EXCHANGE FOR THESE CONTRIBUTIONS, AS THEY ARE CONSIDERED TO BE A GIFT TO BE USED BY THE RECIPIENT IN ACCORDANCE WITH THEIR CHARITABLE PURPOSE. AS SUCH, USE OF THE FUNDS GIVEN TO THE GRANTEE IS NOT MONITORED BEYOND THE DISTRIBUTION. SAINT FRANCIS MEDICAL CENTER RELIES ON THOSE ORGANIZATIONS TO USE THE GRANTS IN ACCORDANCE WITH EACH ORGANIZATION'S EXEMPT PURPOSE. 1 1 0 0 0 0 0 0 0 JOHN PETERSDORF EX-OFFICIO BOARD MEMBER 0 645040 0 716812 0 727895 0 923913 0 68907 0 3082567 0 713173 EVERT KUIPER FORMER PRESIDENT & CEO CHI HEALTH 0 749566 0 0 0 2037667 0 20045 0 28489 0 2835767 0 0 TIM BRICKER EX-OFFICIO BM/ PRESIDENT CENTRAL REG 0 876719 0 1582430 0 40043 0 82634 0 33892 0 2615718 0 0 JEANETTE WOJTALEWICZ FORMER CFO CHI HEALTH 0 128679 0 132479 0 1083677 0 9698 0 2669 0 1357202 0 0 EDWARD HANNON PRESIDENT (TERMED 2/2/24) 0 373906 0 202249 0 91338 0 14694 0 28934 0 711121 0 55138 NICK OTOOL MARKET CFO 0 252554 0 96047 0 419 0 16660 0 34289 0 399969 0 0 KIRTIBALA GUPTA MD BOARD MEMBER/PHYSICIAN 0 342890 0 0 0 3612 0 18825 0 28699 0 394026 0 0 JACQUELINE LIESS PEDIATRIC NURSE 931 336118 0 800 0 467 0 16766 53 28459 984 382610 0 0 HEATHER MORGAN MD BOARD MEMBER/PHYSICIAN 0 319514 0 0 0 911 0 18500 0 39877 0 378802 0 0 CY XAYARATH TRAVELER RN, FORMER HCE 0 262351 0 800 0 51595 0 18317 0 37450 0 370513 0 0 CHERYL ROTH FAMILY MEDICINE DOCTOR, FORMER HCE 0 276910 0 0 0 13499 0 15613 0 16241 0 322263 0 0 SEVEHO NOUKPOZOUNKOU TRAVELER RN 196483 44243 0 800 31682 6330 13540 0 23686 1574 265391 52947 0 0 HEIDI SAUNDERS TRAVELER RN, FORMER HCE 0 228071 0 800 0 27812 0 13846 0 20053 0 290582 0 0 LAURI RITCHIE TRAVELER RN, FORMER HCE 0 269173 0 0 0 3877 0 12085 0 337 0 285472 0 0 GARY ROSE TRAVELER TECHNOLOGIST 158777 75953 0 800 3467 2192 0 8343 3538 27948 165782 115236 0 0 ROBERT NORVELL DIRECTOR ONCOLOGY 33890 16452 20489 0 169458 0 0 6111 1265 7483 225102 30046 0 0 TERRI ADAMS TRAVELER THERAPIST 75778 142475 0 0 4552 7150 8277 0 9502 610 98109 150235 0 0 PART I, LINE 3 DURING THE CALENDAR YEAR 2023, COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED BY COMMONSPIRIT HEALTH, A RELATED ORGANIZATION. COMMONSPIRIT HEALTH USED ONE OR MORE OF THE METHODS DESCRIBED IN SCHEDULE J, PART I, LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) COMPENSATION SURVEY OR STUDY; (4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART 1, LINE 4A: CERTAIN REPORTABLE INDIVIDUALS ARE COVERED BY AN EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 9 MONTHS TO 2 YEARS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. CERTAIN REPORTABLE INDIVIDUALS ARE COVERED BY A NON-EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 2 WEEKS TO 52 WEEKS OF BASE COMPENSATION, DEPENDING ON THE EMPLOYEE'S POSITION AND TENURE, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE 2023 CALENDAR YEAR, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUALS' W-2 INCOME AND REPORTABLE COMPENSATION ON PART VII AND SCHEDULE J, PART II, COLUMN (B)(III): EVERT KUIPER, $2,025,542; JEANETTE WOJTALEWICZ, $1,083,464; ROBERT NORVELL, $166,422. IN ACCORDANCE WITH AN EXECUTIVE SEVERANCE POLICY, DIGNITY HEALTH'S LISTED PERSONS ARE PROVIDED WITH MARKET-STANDARD COMPENSATION RANGING FROM PAYMENTS OF 9-24 MONTHS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION. PART 1, LINE 4B: DURING THE 2023 CALENDAR YEAR, COMMONSPIRIT HEALTH ("COMMONSPIRIT") MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR DIVISION CEOS/PRESIDENTS AND OTHER DESIGNATED COMMONSPIRIT EXECUTIVES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. DURING 2023 THE FOLLOWING DISTRIBUTIONS WERE MADE BY COMMONSPIRIT FROM THE DEFERRED COMPENSATION PLAN: EDWARD HANNON, $61,375. DUE TO THE "SUPER" VESTING RULES UNDER COMMONSPIRIT'S DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS INVOLUNTARY TERMINATION WITHOUT CAUSE, AGE, AGE AND YEARS OF SERVICE, OR MORE THAN 5 YEARS OF PLAN PARTICIPATION ARE ELIGIBLE TO RECEIVE THEIR 2023 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II. DURING 2023, THE FOLLOWING PAYMENTS WERE MADE PURSUANT TO THE SUPER VESTING RULES: EDWARD HANNON, $20,116. CERTAIN LISTED PERSONS EMPLOYED BY DIGNITY HEALTH PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN, A NONQUALIFIED SUPPLEMENTAL BENEFIT PLAN LIMITED TO PARTICIPANTS IN THE DIGNITY HEALTH RETIREMENT PLAN WHOSE BENEFITS ARE AFFECTED BY THE LIMITATIONS IMPOSED BY SECTIONS 401(A)(17) AND 415 OF THE INTERNAL REVENUE CODE. BENEFIT SERVICE UNDER THIS PLAN WAS FROZEN AS OF JANUARY 1, 2008. CERTAIN LISTED PERSONS EMPLOYED BY DIGNITY HEALTH ARE ELIGIBLE TO PARTICIPATE IN NON-QUALIFIED 457(F) PLANS THAT ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE, AS REQUIRED BY THE IRS. THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR EXECUTIVES HIRED PRIOR TO JUNE 30, 2006. THE BENEFIT IS INTENDED TO BRIDGE THE DIFFERENCE, IF ANY, BETWEEN THE BENEFIT PROVIDED UNDER THE DIGNITY HEALTH EXCESS BENEFIT PLAN HAD BENEFIT SERVICE NOT BEEN FROZEN AT JANUARY 1, 2008, AND THE BENEFITS PROVIDED FROM ALL OTHER QUALIFIED AND NON-QUALIFIED PLANS. BENEFITS VEST UNDER THIS 457(F) PLAN AT THE LATER OF THE DATE THE PARTICIPANT ATTAINS AGE 62 OR IS CREDITED WITH 15 YEARS OF SERVICE. THE 2010 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR CERTAIN OFFICERS AND KEY EMPLOYEES, PRIMARILY THOSE WHO ARE NOT ELIGIBLE TO PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN OR THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN DESCRIBED ABOVE. THIS BENEFIT PROVIDES AN ANNUAL ACCRUAL OF 10% OF TOTAL COMPENSATION AND IS PAYABLE ANNUALLY ON JULY 1 ONCE VESTED, WHICH IS AGE 62 WITH 5 YEARS OF SERVICE. THE PLAN ALSO ALLOWS FOR SPECIAL AWARDS. PAYMENTS PURSUANT TO THE PLAN ARRANGEMENTS FOR CERTAIN EMPLOYEES OCCURRED DURING 2023 AND INCLUDE J. PETERSDORF, $713,173. CERTAIN LISTED PERSONS EMPLOYED BY DIGNITY HEALTH PARTICIPATE IN THE DIGNITY HEALTH SUPPLEMENTAL EXECUTIVE RETENTION/RETIREMENT PLAN, A NONQUALIFIED SUPPLEMENTAL BENEFIT PLAN WHICH IN 2002 WAS OFFERED TO MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM BY THE DIGNITY HEALTH BOARD OF DIRECTORS AND WOULD BE PAID ONLY IF THE EXECUTIVES STAYED WITH THE ORGANIZATION FOR A SPECIFIED NUMBER OF YEARS AS THE PRIMARY PURPOSE OF THIS PLAN IS TO PROVIDE FOR THE RETENTION AND RETIREMENT OF THE PARTICIPANTS. THE EXECUTIVE MANAGEMENT TEAM IS RECRUITED FROM STABLE CAREERS IN ORGANIZATIONS FROM ACROSS THE COUNTRY AND FROM VARIOUS INDUSTRIES. DUTIES ARE BOTH EXTENSIVE AND COMPLEX AND REQUIRE SUBSTANTIAL AND DIVERSE EXPERIENCE AND SKILL SETS TO EXECUTE THEIR ROLES SUCCESSFULLY. THE CALCULATION FOR THE PAYMENTS TO EACH EXECUTIVE ARE BASED ON THE VALUE OF A FINAL AVERAGE PAY ANNUITY BENEFIT BASED ON RETIREMENT AGE AND SERVICE YEARS TO THE ORGANIZATION. DISTRIBUTION OCCURS EACH JULY 1 IF THE PLAN FORMULA WARRANTS A PAYMENT. NO PAYMENTS PURSUANT TO THE PLAN ARRANGEMENT OCCURRED DURING 2023. PART II: SAINT FRANCIS MEDICAL CENTER FOLLOWS COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY. COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST COMMONSPIRIT IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE COMMONSPIRIT TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES COMMONSPIRIT SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND COMMONSPIRIT'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL, AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE, REVENUES AND COMPLEXITY. PAYMENTS PURSUANT TO A LONG-TERM FINANCIAL PERFORMANCE GOAL WERE PAID IN CALENDAR YEAR 2023. PART V, LINE 1C: PAYMENTS TO VENDORS FOR ENTITIES THAT ARE PART OF COMMONSPIRIT HEALTH ARE MADE BY COMMONSPIRIT HEALTH. COMMONSPIRIT HEALTH FILES THE FORM 1099'S AND COMPLIES WITH THE BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS AND GAMING WINNINGS. THE 1099'S ISSUED BY COMMONSPIRIT HEALTH ON BEHALF OF CHI HEALTH SAINT FRANCIS ARE REPORTED TO THE IRS. FORM 990, PART VI, SECTION A, LINE 1A PURSUANT TO SECTION 8.1 OF THE CORPORATION'S BYLAWS, COMMITTEES, SUCH AS THE EXECUTIVE COMMITTEE, THAT ARE GRANTED THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MAY INCLUDE ONLY DIRECTORS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 2 MARDELL WILSON AND KEVIN FITZGERALD - BUSINESS RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S SOLE CORPORATE MEMBER IS CHI NEBRASKA, A NEBRASKA NONPROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A IN ACCORDANCE WITH THE ORGANIZATION'S CORPORATION BYLAWS, THE SOLE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE ORGANIZATION'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION'S CORPORATE MEMBER IS CHI NEBRASKA. PURSUANT TO SECTION 5.4.1 OF THE ORGANIZATION'S BYLAWS, CHI NEBRASKA, AND COMMONSPIRIT HEALTH (CHI NEBRASKA'S SOLE CORPORATE MEMBER) HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE RESERVED TO THE CHI NEBRASKA BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CHI NEBRASKA CHIEF EXECUTIVE OFFICER: - SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF SAINT FRANCIS MEDICAL CENTER - AMENDMENT OF THE CORPORATE DOCUMENTS OF SAINT FRANCIS MEDICAL CENTER - APPROVE MEMBERS OF SAINT FRANCIS MEDICAL CENTER'S BOARD - REMOVAL OF A MEMBER OF THE GOVERNING BODY OF SAINT FRANCIS MEDICAL CENTER - APPROVAL OF ISSUANCE OF DEBT BY SAINT FRANCIS MEDICAL CENTER - APPROVAL OF PARTICIPATION OF SAINT FRANCIS MEDICAL CENTER IN A JOINT VENTURE - APPROVAL OF FORMATION OF A NEW CORPORATION BY SAINT FRANCIS MEDICAL CENTER - APPROVAL OF A MERGER INVOLVING SAINT FRANCIS MEDICAL CENTER - APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF SAINT FRANCIS MEDICAL CENTER - TO REQUIRE THE TRANSFER OF ASSETS BY THE SAINT FRANCIS MEDICAL CENTER TO COMMONSPIRIT HEALTH TO ACCOMPLISH COMMONSPIRIT HEALTH 'S GOALS AND OBJECTIVES, AND TO SATISFY COMMONSPIRIT HEALTH DEBTS. - ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR SAINT FRANCIS MEDICAL CENTER. PURSUANT TO SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, COMMONSPIRIT HEALTH MAY, IN EXERCISE OF ITS APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. FORM 990, PART VI, SECTION B, LINE 11B FOLLOWING THE PREPARATION OF THE FORM 990 BY TAX ANALYSTS OF COMMONSPIRIT HEALTH, A RELATED ORGANIZATION, THE RETURN IS REVIEWED BY THE COMMONSPIRIT HEALTH TAX DIRECTOR AND THE LOCAL CHIEF FINANCIAL OFFICER. THE BOARD OF DIRECTORS ARE PROVIDED THE FINAL FORM 990 AND RELATED SCHEDULES TO REVIEW AND ARE ABLE ASK THE CHIEF FINANCIAL OFFICER AND TAX DIRECTOR QUESTIONS PRIOR TO FILING WITH THE IRS. UPON CHIEF FINANCIAL OFFICER APPROVAL AND SIGNATURE, THE TAX ANALYST FILES THE FINAL FORM 990 AS PRESENTED TO THE BOARD AND FINANCE COMMITTEE, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY IN ORDER TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") IN PLACE TO PROTECT THE INTERESTS OF COMMONSPIRIT HEALTH ("COMMONSPIRIT") IN CIRCUMSTANCES THAT MAY RESULT IN A CONFLICT BETWEEN PERSONAL INTERESTS OF A PERSON AND THE INTERESTS OF THE ORGANIZATION AND THOSE IT SERVES. COMMONSPIRIT'S COI POLICY APPLIES TO COMMONSPIRIT, ITS DIRECT AFFILIATES AND SUBSIDIARIES AND ANY RELATED ENTITY THE GOVERNING DOCUMENTS OF WHICH REQUIRE THE ENTITY TO COMPLY WITH COMMONSPIRIT POLICY (COLLECTIVELY THE "SYSTEM ENTITIES"). THE FOLLOWING PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST AT LEAST ANNUALLY (VIA A FORMAL SYSTEM-ADMINISTERED SURVEY) IF THE PERSON'S AFFILIATION WITH COMMONSPIRIT CONTINUES: - MEMBERS OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF COMMITTEES OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF THE EXECUTIVE LEADERSHIP TEAM ("ELT") OF COMMONSPIRIT - CORPORATE OFFICERS OF SYSTEM ENTITIES - EMPLOYED PHYSICIANS AND ADVANCED PRACTICE PROVIDERS - KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES AS SPECIFIED BY THE INTERNAL REVENUE SERVICE FOR FORM 990 PURPOSES WHO ARE NOT OTHERWISE INCLUDED IN THE CATEGORIES ABOVE - EMPLOYEES OF SYSTEM ENTITIES AT THE VICE PRESIDENT LEVEL AND ABOVE - ALL INDIVIDUALS ENGAGED IN RESEARCH AT INSTITUTIONS OWNED OR OPERATED BY A SYSTEM ENTITY - SELECT EMPLOYEES AS DETERMINED FROM TIME TO TIME BY LEADERSHIP DISCLOSURE, REVIEW, AND MANAGEMENT OF PERCEIVED, POTENTIAL, OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS. EACH PERSON IS REQUIRED TO PROMPTLY AND FULLY DISCLOSE ANY SITUATION OR CIRCUMSTANCE THAT MAY CREATE A CONFLICT OF INTEREST AS SOON AS SHE/HE BECOMES AWARE OF IT. IN ADDITION, AT THE INCEPTION OF AN INDIVIDUAL'S RELATIONSHIP WITH COMMONSPIRIT (E.G. HIRING, BOARD APPOINTMENT), AND FOR CERTAIN POSITIONS, ANNUALLY THEREAFTER, WRITTEN CONFLICT OF INTEREST DISCLOSURE FORMS MUST BE COMPLETED. A FAILURE TO DISCLOSE MAY RESULT IN DISCIPLINARY OR CORRECTIVE ACTIONS. REPORTED POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE INITIALLY REVIEWED BY LEGAL, CORPORATE RESPONSIBILITY OR RESEARCH INTEGRITY STAFF. IF NECESSARY, A CONFLICT OF INTEREST MANAGEMENT PLAN IS DEVELOPED, WHICH PLAN SHALL BE SUBJECT TO ACCEPTANCE BY THE APPROPRIATE DIRECT MANAGER, SUPERVISOR, MEDICAL STAFF OFFICE, BOARD OR BOARD COMMITTEE (FOR BOARD, BOARD COMMITTEE, ELT OR CORPORATE OFFICER CONFLICTS), OR OTHER APPROPRIATE INDIVIDUAL OR BODY. ONCE ACCEPTED, THE CONFLICT OF INTEREST MANAGEMENT PLAN IS COMMUNICATED TO THE PERSON WITH THE ACTUAL OR POTENTIAL CONFLICT AND THE INDIVIDUAL MUST CONDUCT THEMSELVES IN CONFORMITY WITH THE PLAN. IN THE EVENT THAT A TRANSACTIONAL CONFLICT INTEREST ARISES IN CONNECTION WITH A SYSTEM ENTITY BOARD MEETING, THE CONFLICTED INDIVIDUAL MUST DISCLOSE THAT CONFLICT PRIOR TO OR AT THE BEGINNING OF THE MEETING IN WHICH THE MATTER IS TO BE CONSIDERED. THE CONFLICTED INDIVIDUAL IS EXCLUDED FROM VOTING ON THE TRANSACTION AND IS PROHIBITED FROM USING PERSONAL INFLUENCE WITH RESPECT TO THE MATTER, BUT IS NOT PROHIBITED FROM PROVIDING INPUT IF REQUESTED TO DO SO. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN COMMONSPIRIT HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.COMMONSPIRIT.ORG. PART VI, LINE 16B: SAINT FRANCIS MEDICAL CENTER HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER COMMONSPIRIT HEALTH'S SYSTEM-WIDE JOINT VENTURE MODEL OPERATING AGREEMENT INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT (1) THE EXEMPT ORGANIZATION AT ALL TIMES RETAINS CONTROL OVER THE VENTURE SUFFICIENT TO ENSURE THAT THE PARTNERSHIP FURTHERS THE EXEMPT PURPOSE OF THE ORGANIZATION; (2) IN ANY PARTNERSHIP IN WHICH THE EXEMPT ORGANIZATION IS A PARTNER, ACHIEVEMENT OF EXEMPT PURPOSES IS PRIORITIZED OVER MAXIMIZATION OF PROFITS FOR THE PARTNERS; (3) THE PARTNERSHIP DOES NOT ENGAGE IN ANY ACTIVITIES THAT WOULD JEOPARDIZE THE EXEMPT ORGANIZATION'S EXEMPTION; (4) RETURNS OF CAPITAL, ALLOCATIONS, AND DISTRIBUTIONS MUST BE MADE IN PROPORTION TO THE PARTNERS' RESPECTIVE OWNERSHIP INTERESTS; AND (5) ALL CONTRACTS ENTERED INTO BY THE PARTNERSHIP WITH THE EXEMPT ORGANIZATION MUST BE AT ARM'S-LENGTH, WITH PRICES SET AT FAIR MARKET VALUE. ANY JOINT VENTURE AGREEMENTS THAT DO NOT CONFORM TO THE MODEL AGREEMENT ARE GENERALLY REVIEWED BY COUNSEL. FORM 990, PART IX, LINE 11G CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 3,218,983. MANAGEMENT AND GENERAL EXPENSES 357,665. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,576,648. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 10,446,481. MANAGEMENT AND GENERAL EXPENSES 549,815. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,996,296. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 7,723,645. MANAGEMENT AND GENERAL EXPENSES 395,718. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,119,363. CONSULTING: PROGRAM SERVICE EXPENSES 81,139. MANAGEMENT AND GENERAL EXPENSES 4,270. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 85,409. OTHER FEES: PROGRAM SERVICE EXPENSES 14,490,800. MANAGEMENT AND GENERAL EXPENSES 762,674. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,253,474. FORM 990, PART XI, LINE 9: EQUITY CHANGES IN UNCONSOLIDATED ORGS 12,132,395. CNRS NONCONTROLLING INTEREST -5,027,400. NET ASSET TRANSFER 20,133. ALEGENT CREIGHTON CLINIC 12809 W DODGE RD OMAHA NE 68154 470765154 HOSPITAL NE 501(C)(3) LINE 3 ACH 0 ALEGENT CREIGHTON HEALTH 12809 W DODGE RD OMAHA NE 68154 470757164 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM 7500 MERCY RD OMAHA NE 68124 470484764 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - COMM MEM HOSPITAL OF MO VALLEY IA 631 N 8TH ST MISSOURI VALLEY IA 51555 420776568 HOSPITAL IA 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - IMMANUEL MEDICAL CENTER 6901 N 72ND ST OMAHA NE 68122 470376615 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER 104 W 17TH ST SCHUYLER NE 68661 470399853 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA PO BOX 368 CORNING IA 50841 420782518 HOSPITAL IA 501(C)(3) LINE 3 CHI NEBRASKA 0 ALVERNA APARTMENTS 300 SE 8TH AVE LITTLE FALLS MN 56345 411351177 LTERM CARE MN 501(C)(3) LINE 10 CSH 0 APPLETREE COURT 601 OAK ST BRECKENRIDGE MN 56520 411850500 SENIOR LIVING MN 501(C)(3) LINE 10 SFH 0 ARROYO GRANDE COMMUNITY HOSPITAL FOUNDATION 345 S HALCYON RD ARROYO GRANDE CA 93420 203256066 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 BAKERSFIELD MEMORIAL HOSPITAL 420 34TH STREET BAKERSFIELD CA 93301 951802779 HOSPITAL CA 501(C)(3) LINE 3 DCC 0 BAYLOR ST LUKE'S HEALTH VENTURES 17200 ST LUKES WAY STE 170 THE WOODLANDS TX 77384 274499340 PHYSICIANS TX 501(C)(3) LINE 12A, I SLHS 0 BAYLOR ST LUKE'S MEDICAL GROUP 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760458535 PHYSICIANS TX 501(C)(3) LINE 3 BSLHV 0 BORNEMANN HEALTHCARE CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 232187242 INACTIVE PA 501(C)(3) LINE 12A, I CSH 0 BRAZOSPORT REGIONAL PHYSICIAN SERVICES 100 MEDICAL DRIVE LAKE JACKSON TX 77566 800240261 PHYSICIANS TX 501(C)(3) LINE 3 TCHB 0 BURLESON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742759890 HOSPITAL TX 501(C)(3) LINE 3 SLH-CO 0 BURLESON ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742913931 REHABILITATION TX 501(C)(3) LINE 10 SJSC 0 CALIFORNIA HOSPITAL MEDICAL CENTER FOUNDATION 1401 SOUTH GRAND AVENUE LOS ANGELES CA 90015 954000909 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DCC 0 CARRINGTON HEALTH CENTER 800 N 4TH ST CARRINGTON ND 58421 450227311 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 CATHOLIC HEALTH INITIATIVES - COLORADO 9100 EAST MINERAL CIRCLE CENTENNIAL CO 80112 840405257 HOSPITAL CO 501(C)(3) LINE 3 CSH 0 CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 9100 EAST MINERAL AVE CENTENNIAL CO 80112 840902211 FUNDRAISING FOUNDATION CO 501(C)(3) LINE 7 CHIC 0 CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 1150 KELLY JOHNSON BLVD 204 COLORADO SPRINGS CO 80920 270930004 FUNDRAISING FOUNDATION CO 501(C)(3) LINE 12A, I CSH 0 CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 460992796 TELEHEALTH CO 501(C)(3) LINE 12A, I CSH 0 CENTENNIAL MEDICAL GROUP INC 2700 STEWART PKWY ROSEBURG OR 97471 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0 CHI ST JOSEPH CHILDREN'S HEALTH 1929 LINCOLN HWY E STE 150 LANCASTER PA 17602 232342997 HEALTHCARE PA 501(C)(3) LINE 12A, I CSH 0 CHI ST JOSEPH'S CHILDREN 1516 5TH ST NW ALBUQUERQUE NM 87102 710897107 COMMUNITY NM 501(C)(3) LINE 12A, I CSH 0 CHI ST VINCENT HOSPITAL HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 710236913 HOSPITAL AR 501(C)(3) LINE 3 CHI-SVHS 0 CHI ST VINCENT HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125064 HOLDING CO AR 501(C)(3) LINE 12A, I SVIMC 0 CHI ST VINCENT MEDICAL GROUP HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125131 PHYSICIANS AR 501(C)(3) LINE 3 CHI-SVHS 0 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 470617373 HEALTHCARE CO 501(C)(3) LINE 12A, I N/A 0 COMMONSPIRIT HEALTH FOUNDATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 853374038 FUNDRAISING FOUNDATION CO 501(C)(3) LINE 7 CSH 0 COMMONSPIRIT HEALTH OPERATING INVESTMENT POOL LLC 185 BERRY STREET STE 200 SAN FRANCISCO CA 94107 850919176 OPERATING INVESTMENTS DE 501(C)(3) LINE 12A, I CSH 0 COMMONSPIRIT HEALTH RESEARCH INSTITUTE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 271050565 RESEARCH CO 501(C)(3) LINE 12A, I CSH 0 COMMONSPIRIT MOUNTAIN REGION 9100 EAST MINERAL CIRCLE CENTENNIAL CO 80112 841335382 MANAGEMENT COMPANY CO 501(C)(3) LINE 12A, I CHIC 0 COMMUNITY HOSPITAL OF SAN BERNARDINO 1805 MEDICAL CENTER DRIVE SAN BERNARDINO CA 92411 951643373 HOSPITAL CA 501(C)(3) LINE 3 DCC 0 COMMUNITY LIMITED CARE DIALYSIS CENTER 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 237419853 HOLDING CO OH 501(C)(2) GSH 0 COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION 631 N 8TH ST MISSOURI VALLEY IA 51555 421294399 FUNDRAISING FOUNDATION IA 501(C)(3) LINE 12A, I AH-CMHMV 0 CONTINUING CARE HOSPITAL ONE SAINT JOSEPH DRIVE LEXINGTON KY 40504 611400619 HOSPITAL KY 501(C)(3) LINE 3 SJHS 0 DIGNITY COMMUNITY CARE 185 BERRY STREET STE 200 SAN FRANCISCO CA 94107 815009488 HOSPITAL CO 501(C)(3) LINE 3 CSH 0 DIGNITY HEALTH 185 BERRY STREET STE 200 SAN 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