2026-05-13T22:34:06-05:00 2025-06-30 135565207 KPMG LLP 55 SECOND ST STE 1400 SAN FRANCISCO CA 94105 990 2024-07-01 815009488 DIGNITY COMMUNITY CARE DIGN 6023072100 3033 N 3RD AVENUE PHOENIX AZ 85013 MICHAEL P BROWNING SEVP, CFO 3127417000 2026-05-13 1 1 MOLLIE LONGHOUSE P00294881 4159635100 2024 2025-03-06 01:10:19Z X MICHAEL P BROWNING 444 W LAKE ST 25TH FL CHICAGO IL 60606 4449692681 0 X WWW.DIGNITYHEALTH.ORG X 2017 CO AS AN AFFILIATE OF COMMONSPIRIT HEALTH (COMMONSPIRIT), DIGNITY COMMUNITY CARE IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE WE SERVE, ESPECIALLY THOSE WHO ARE VULNERABLE, WHILE WE ADVANCE SOCIAL JUSTICE FOR ALL. 4 0 17901 1276 2329485 397844 63500815 239072692 3729775010 3701229918 54889894 72970839 17035614 25700660 3865201333 4038974109 63266253 83507995 0 0 1761955270 1848915601 0 0 0 1944640432 1995194922 3769861955 3927618518 95339378 111355591 5121165862 5261191941 2399376410 2328284460 2721789452 2932907481 X SEE SCHEDULE O 0 0 3508050617 83507995 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3946 WILSHIRE BLVD LOS ANGELES CA 90010 STAFFING SERVICES 26916950 TEC AZ PHYSICIANS 70 S VAL VISTA DR GILBERT AZ 85296 MEDICAL SERVICES 18279642 VITALANT 9305 E VIA DE VENTURA SCOTTSDALE AZ 85258 BLOOD/TRANSFUSION SERVICES 11444907 SOCAL ANESTHESIA SOLUTIONS INC 12230 WORLD TRADE DR STE 250 SAN DIEGO CA 92128 MEDICAL SERVICES 8625000 512 64149373 172395016 2528303 1080989 239072692 PATIENT NET OF CHARITY & PRICE CO 900099 2519860639 2519860639 MEDICARE/MEDICAID PYMNTS 900099 1151788962 1151788962 MEDICAL OFFICE BUILDING 621300 8723979 8723979 MANAGEMENT SERVICES 900099 6131536 6131536 PROGRAM RELATED RENTAL INC 900099 3558791 3558791 11166011 11083917 82094 3701229918 56360479 56360479 712422 35772 676650 676650 676650 426655698 517988 410563326 0 16092372 517988 16610360 16610360 1532038 119474 1412564 1412564 CAFETERIA 722514 8551063 8551063 PARKING LOT 812930 3685217 3685217 EMPLOYEE RETENTION CREDIT 900099 2559344 2559344 8815822 2247391 6568431 23611446 4038974109 3701147824 2329485 96424108 X 83043600 83043600 464395 464395 1436654947 1341395226 95259721 86464483 85665220 799263 227173312 224440478 2732834 98622859 97651746 971113 335598 10500 325098 55750 55750 379432 271827 107605 914767 914767 653744426 502507996 151236430 12218188 300307 11917881 55248991 48043188 7205803 136998079 7646046 129352033 64259205 56940624 7318581 2702957 1488854 1214103 1595850 1238231 357619 86426303 86222412 203891 122578680 122265753 312927 29168939 28958944 209995 MEDICAL SUPPLIES 429866848 429453906 412942 MED PRVDR/OUT-OF-NTWK C 204095784 204095784 0 MEDI-CAL PROVIDER FEE 155780622 155780622 0 UBI TAXES PAID 145236 0 145236 38679267 30164958 8514309 3927618518 3508050617 419567901 0 15295 13796 795192913 923781822 10706360 13586249 503604361 526759665 6380978 329760 76087291 81518792 307350453 260284739 2570409199 611607003 1824257301 1958802196 154441837 137540612 249121288 272388426 737224552 822338360 22310773 21908213 434472460 241939311 5121165862 5261191941 466265911 471045775 6310213 6859616 25400498 34737597 1901399788 1815641472 2399376410 2328284460 X 2692161142 2994078921 29628310 -61171440 2721789452 2932907481 5121165862 5261191941 X 111355591 13541750 11061 86209627 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 1 31450 0 1 271827 0 0 1 76155 379432 0 SCHEDULE C, PART II-B, LINE 1D: DIGNITY COMMUNITY CARE ENGAGED IN LETTER-WRITING CAMPAIGNS, CO-SPONSORSHIP CAMPAIGNS, EDUCATION WITH MEMBERS OF CONGRESS, AND OTHER LOBBYING ACTIVITIES AIMED AT INFLUENCING PUBLIC POLICY. THIS IS DONE PRIMARILY THROUGH EMPLOYED DIVISION-LEVEL ADVOCACY LEADERS WITH LEADERSHIP AND GUIDANCE FROM NATIONAL EMPLOYEES. DRAFT LETTERS WERE PROVIDED ON DIGNITY COMMUNITY CARE ADVOCACY PRIORITIES; DIVISION-EMPLOYED ADVOCACY LEADERS WERE ABLE TO CREATE THEIR OWN LETTERS AS WELL. CENTRAL TO THE DIGNITY COMMUNITY CARE MISSION AND VISION IS A COMMITMENT TO ADVOCATE FOR SYSTEMIC CHANGES TO IMPROVE THE HEALTH AND WELL-BEING OF INDIVIDUALS AND COMMUNITIES WITH A SPECIFIC CONCERN FOR PERSONS WHO ARE POOR AND MARGINALIZED. THE DIGNITY COMMUNITY CARE ADVOCACY ACTIVITIES ARE INEXTRICABLY LINKED TO ITS FUNDAMENTAL GOAL TO BUILD HEALTHIER COMMUNITIES. ONE DIMENSION OF THE DIGNITY COMMUNITY CARE ADVOCACY PROGRAM FOCUSES ON PUBLIC POLICY ADVOCACY, WHICH INCLUDES ATTENTION TO FEDERAL LEGISLATIVE AND REGULATORY MEASURES, FORMATION OF POSITIONS ON PRIORITY ISSUES, AND POLITICAL ACTIVISM. THE COMMONSPIRIT HEALTH PUBLIC POLICY AGENDA INCLUDES BOTH TRADITIONAL HEALTH CARE POLICIES (E.G., PAYMENT ISSUES, QUALITY AND SAFETY, ETC.) AS WELL AS SOCIAL JUSTICE POLICIES. IN 2025, DIGNITY COMMUNITY CARE IN CALIFORNIA UNDERTOOK INTENSIVE LOBBYING TO INFLUENCE STATE REGULATIONS REGARDING SEISMIC SAFETY, EMPLOYEE WELL-BEING, STAFFING LEVELS, AND FINANCIAL REIMBURSEMENT FOR HEALTHCARE SERVICES. SIMULTANEOUSLY, THEY DEDICATED SIGNIFICANT REGULATORY ATTENTION TO THE OFFICE OF HEALTH CARE AFFORDABILITY, AIMING TO SHAPE POLICIES RELATED TO HEALTHCARE COSTS AND MARKET DYNAMICS. THESE COMBINED EFFORTS UNDERSCORE A COMPREHENSIVE STRATEGY TO PROTECT OPERATIONAL VIABILITY, ENSURE PATIENT AND STAFF SAFETY, AND ADVOCATE FOR SUSTAINABLE FINANCIAL MODELS WITHIN CALIFORNIA'S COMPLEX HEALTHCARE LANDSCAPE. IN 2025, DIGNITY COMMUNITY CARE'S ARIZONA ADVOCACY CONCENTRATED ON PROTECTING VULNERABLE POPULATIONS BY PRESERVING MEDICAID AND HOSPITAL FUNDING THROUGH EXTENSIVE ENGAGEMENT WITH POLICYMAKERS. THEY EDUCATED OFFICIALS ON THE IMPACT OF FUNDING CUTS, ENSURING THE CONTINUED MISSION AND VIABILITY OF SAFETY-NET PROVIDERS. ADDITIONALLY, DIGNITY COMMUNITY CARE CHAMPIONED REFORMS TO IMPROVE PRIVATE AMBULANCE SERVICES, ENHANCE TRANSPARENCY IN INSURANCE DECISIONS, AND LED EFFORTS TO DEVELOP STATE POLICY PROPOSALS FOR RURAL HEALTH PROGRAMS TO SECURE SUSTAINABLE FUNDING AND MITIGATE FEDERAL CUTS, ULTIMATELY SAFEGUARDING ACCESS TO CARE IN REMOTE COMMUNITIES. SCHEDULE C, PART II-B, LINE 1F AND 1I: LOBBYING EXPENDITURES PAID BY DIGNITY COMMUNITY CARE FOR ANNUAL MEMBERSHIP DUES WHERE THE ORGANIZATION IS A MEMBER OF HEALTHCARE ASSOCIATIONS WHOSE PURPOSES INCLUDE DIRECTING, DEVELOPING, AND AFFECTING PUBLIC POLICY AND LEGISLATION WITH REGARD TO ISSUES AFFECTING HEALTHCARE. THE ORGANIZATION PAID ANNUAL DUES TO THESE ASSOCIATIONS, WHICH MAY BE USED FOR LOBBYING PURPOSES AND OTHER SUCH LOBBYING ACTIVITIES REFLECTED ON LINES 1F AND 1I ABOVE. LOBBYING EXPENDITURES PAID BY THE RELATED ORGANIZATION, DIGNITY COMMUNITY CARE OR COMMONSPIRIT HEALTH, FOR ANNUAL MEMBERSHIP DUES WHERE EXPENSES ARE ALLOCATED TO DIGNITY COMMUNITY CARE HOSPITALS: 340 B HEALTH $1,156 CALIFORNIA HOSPITAL ASSOCIATION OF CALIFORNIA $251,827 LOBBYING EXPENDITURES PAID DIRECTLY BY THE HOSPITALS OF THE FILING ORGANIZATION FOR ANNUAL MEMBERSHIP DUES OR LOBBYING CONTRIBUTIONS: AMERICAN HOSPITAL ASSOCIATION $67,261 CALIFORNIA MEDICAL ASSOCIATION $21,088 SAN MATEO COUNTY ECONOMIC DEVELOPMENT ASSOCIATION $1,600 SOCIETY OF THORACIC SURGEONS $1,572 CENTRAL CITY ASSOCIATION OF LA $900 AMERICAN ACADEMY OF FAMILY PHYSICIANS $881 CALIFORNIA ASSOCIATION FOR ADULT DAY SERVICES $680 VALLEY INDUSTRY & COMMERCE ASSOCIATION $188 AMERICAN MEDICAL ASSOCIATION $180 CALIFORNIA ACADEMY OF FAMILY PHYSICIANS $144 SACRAMENTO METROPOLITAN CHAMBER OF COMMERCE $141 VARIOUS ORGANIZATION UNDER $100 $364 TOTAL EXPENDITURES PAID TO ORGANIZATIONS $347,982 33866329 33866329 25303806 967686 8373364 778527 33866329 385782959 385782959 1530191663 293914921 1236276742 7011638 2593876 4417762 486067476 306639562 179427914 161355463 8458644 152896819 1958802196 INVESTMENTS - OTHER SECURITIES 272388426 F 272388426 OWNERSHIP INTEREST HEALTH RELATED ENTITIES 751401977 F OWNERSHIP INTEREST HEALTH RELATED ENTITIES 32564986 C INVESTMENTS IN UNCONSOLIDATED FOUNDATIONS 38371397 F 822338360 DUE TO RELATED PARTIES 1538459230 PENSION PAYABLE 82866206 ASSET RETIREMENT OBLIGATIONS 16979681 ROU - LEASE LIABILITY -LT 126515238 OTHER LT LIABILITIES 10308013 MEDI-CAL PROVIDER FEE PAYABLE 40513104 1815641472 X PART V, LINE 4: THE ENDOWMENT FUNDS ARE NO LONGER IN THE POSSESSION OF THE ORGANIZATION. PART X, LINE 2: DIGNITY COMMUNITY CARE IS INCLUDED IN COMMONSPIRIT HEALTH'S FY2025 CONSOLIDATED 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 250.000000000000 1 X 500.000000000000 1 1 1 0 1 1 0 72162 67540400 14630 67525770 0.01720 0 385137 1246259938 946510960 299748978 0.07630 0 7 12540 161 12379 0.00000 457306 1313812878 946525751 367287127 0.09350 178 149571 43367581 28686826 14680755 0.00370 49 6891 50746954 9356240 41390714 0.01050 6 17824 19421606 17741034 1680572 0.00040 0 0 0 0 29 1072 5193114 49074 5144040 0.00130 262 175358 118729255 55833174 62896081 0.01590 262 632664 1432542133 1002358925 430183208 0.10940 0 0 0 0 0 0 0 0 1 0 37338 7198 30140 0.00000 0 0 0 0 0 0 0 0 2 36 14685 0 14685 0.00000 1 302 30530 18867 11663 0.00000 1 46 15543 0 15543 0.00000 0 0 5 384 98096 26065 72031 0.00000 1 23252988 587799165 668953288 -81154123 X 1 1 1 RENAISSANCE IMAGING CENTER AT NORTHRIDGE HOSPITAL LLC IMAGING 0.49000 0.00000 0.24520 2 TEMPLETON SURGERY CENTER LLC SURGERY 0.62650 0.00000 0.33740 3 SAN FRANCISCO CYBERKNIFE LLC CANCER 0.45260 0.00000 0.21000 4 NSC CHANNEL ISLANDS LLC SURGERY CENTER 0.27580 0.00000 0.32180 5 SOUTHWEST ORTHOPEDIC & SPINE HOSPITAL REAL ESTATE LLC REAL ESTATE 0.05960 0.00000 0.88100 6 ST JOSEPH'S OUTPATIENT SURGER CENTER LLC SURGERY 0.25000 0.00000 0.48110 7 SURGERY CENTER OF PEORIA LLC SURGERY 0.25630 0.00000 0.13890 8 SURGERY CENTER OF SCOTTSDALE LLC SURGERY 0.25000 0.00000 0.14920 9 WARNER PARK SURGERY CENTER LP SURGERY 0.28860 0.00000 0.40760 10 SURGERY CTR SCOTTS-GILBERT SURGERY 0.25000 0.00000 0.14920 11 SURGERY CTR SCOTTS-GLENDALE SURGERY 0.25000 0.00000 0.14920 12 SURGERY CTR OF SCOTTS-PHX MET SURGERY 0.25000 0.00000 0.14920 13 PHYSICIANS SURGERY CENTER OF TEMPE SURGERY 0.25000 0.00000 0.22820 14 SURGICAL ELITE OF AVONDALE LLC SURGERY 0.28510 0.00000 0.27290 15 SOUTHWEST ENDOSCOPY LLC SURGERY 0.26810 0.00000 0.20570 16 PARKWAY SURGERY CENTER LLC SURGERY 0.29340 0.00000 0.40520 17 PARKWAY RECOVERY CENTER LLC SURGERY 0.38300 0.00000 0.23550 18 PARKWAY SURGERY CENTER LLC-HORIZON SURGERY 0.29340 0.00000 0.40520 19 SAN MARTIN SURGERY CENTER LLC SURGERY 0.34120 0.00000 0.19000 20 ORTHOPEDIC AND SURGICAL SPECIALTY COMPANY LLC SURGERY 0.39190 0.00000 0.15300 21 DESERT RIDGE OUTPATIENT SURGERY SURGERY 0.26990 0.00000 0.15420 15 1 CHANDLER REGIONAL MEDICAL CENTER 475 SOUTH DOBSON ROAD CHANDLER AZ 85224 WWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIO H-9371 X X X X C 2 CALIFORNIA HOSPITAL MEDICAL CENTER-LOS ANGELES 1401 SOUTH GRAND AVENUE LOS ANGELES CA 90015 WWW.DIGNITYHEALTH.ORG/SOCAL/LOCATIONS 930000024 X X X X A 3 NORTHRIDGE HOSPITAL MEDICAL CENTER 18330 ROSCOE BOULEVARD NORTHRIDGE CA 91325 WWW.DIGNITYHEALTH.ORG/SOCAL/LOCATIONS 930000114 X X X X A 4 METHODIST HOSPITAL OF SACRAMENTO 7500 HOSPITAL DRIVE SACRAMENTO CA 95823 WWW.DIGNITYHEALTH.ORG/SACRAMENTO/LOCA 030000064 X X X X D 5 SEQUOIA HOSPITAL 170 ALAMEDA DE LAS PULGAS REDWOOD CITY CA 94062 WWW.DIGNITYHEALTH.ORG/BAYAREA/LOCATIO 220000045 X X X X A 6 GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER 1420 SOUTH CENTRAL AVENUE GLENDALE CA 91204 WWW.DIGNITYHEALTH.ORG/SOCAL/LOCATIONS 930000099 X X X A 7 FRENCH HOSPITAL MEDICAL CENTER 1911 JOHNSON AVENUE SAN LUIS OBISPO CA 93401 WWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/L 050000031 X X X A 8 WOODLAND MEMORIAL HOSPITAL 1325 COTTONWOOD STREET WOODLAND CA 95695 WWW.DIGNITYHEALTH.ORG/SACRAMENTO/LOCA 030000115 X X X D 9 AGH MESA LLC DBA DIGNITY HEALTH ARIZONA GENERAL HOSPITAL 9130 E ELLIOT RD MESA AZ 85212 WWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIO H-9245 X X X X EMERGENCY/MICROHOSPITAL W/ED AND SATELLITE EDS C 10 ARIZONA SPECIALTY HOSPITAL (FKA OASIS AND AOSH) 750 NORTH 40TH STREET PHOENIX AZ 85008 WWW.ARIZONASPECIALTYHOSPITAL.COM/ SH-5128 X ORTHOPEDIC/SPINE HOSPITAL B 11 AGH LAVEEN LLC DBA DIGNITY HEALTH ARIZONA GENERAL HOSPITAL 7171 S 51ST AVENUE LAVEEN AZ 85339 WWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIO H-6937 X X X X EMERGENCY/MICROHOSPITAL W/ED AND SATELLITE EDS C 12 ARIZONA SPINE AND JOINT HOSPITAL 4620 E BASELINE RD MESA AZ 85206 WWW.AZSPINEANDJOINT.COM/ SH-3711 X ORTHOPEDIC/SPINE HOSPITAL B 13 DIGNITY HEALTH REHABILITATION HOSPITAL (SIENA CAMPUS) 2930 SIENA HEIGHTS DRIVE HENDERSON NV 89052 WWW.DIGNITYHEALTHREHAB.COM/ 8975-HOS-0 X REHABILITATION CENTER 14 DIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL 1515 W CHANDLER BLVD CHANDLER AZ 85224 WWW.DIGNITYHEALTHEVREHAB.COM/ SH-7869 X REHABILITATION CENTER B 15 DIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL-GILBERT 1850 SOUTH SANTAN VILLAGE PARKWAY GILBERT AZ 85295 WWW.DIGNITYHEALTHEVREHAB.COM/ SH-7869 X REHABILITATION CENTER B FACILITY REPORTING GROUP A 0 0 1 X X X X X X X X X 24 1 0 0 1 X SEE PART V, SECTION C X X 1 25 1 SEE PART V, SECTION C 0 1 X 250.000000000000 500.000000000000 X X X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 FACILITY REPORTING GROUP B 0 0 1 X X X X X X X X X 24 1 1 1 1 X SEE PART V, SECTION C X 1 25 1 SEE PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 0 X X X 0 0 FACILITY REPORTING GROUP C 0 0 1 X X X X X X X X X 24 1 1 1 1 X SEE PART V, SECTION C X X 1 25 1 SEE PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 FACILITY REPORTING GROUP D 0 0 1 X X X X X X X X X 24 1 1 0 1 X SEE PART V, SECTION C X X 1 25 1 SEE PART V, SECTION C 0 1 X 250.000000000000 500.000000000000 X X X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 DIGNITY HEALTH REHABILITATION HOSPITAL ( 13 0 0 1 X X X X X X X X X 24 1 1 1 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X X 1 25 1 SEE PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 0 X X X 0 0 PART V, SECTION A: SCHEDULE H, PART V, SECTION A - WEBSITE ADDRESS1. CHANDLER REGIONAL MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/CHANDLERREGIONAL2. CALIFORNIA HOSPITAL MEDICAL CENTER-LOS ANGELESWWW.DIGNITYHEALTH.ORG/SOCAL/LOCATIONS/CALIFORNIAHOSPITAL3. NORTHRIDGE HOSPITAL MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/SOCAL/LOCATIONS/NORTHRIDGEHOSPITAL4. METHODIST HOSPITAL OF SACRAMENTOWWW.DIGNITYHEALTH.ORG/SACRAMENTO/LOCATIONS/METHODIST-HOSPITAL-OF-SACRAMENTO5. SEQUOIA HOSPITALWWW.DIGNITYHEALTH.ORG/BAYAREA/LOCATIONS/SEQUOIA6. GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTERWWW.DIGNITYHEALTH.ORG/SOCAL/LOCATIONS/GLENDALEMEMORIAL7. FRENCH HOSPITAL MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/LOCATIONS/FRENCHHOSPITAL8. WOODLAND MEMORIAL HOSPITALWWW.DIGNITYHEALTH.ORG/SACRAMENTO/LOCATIONS/WOODLAND-MEMORIAL-HOSPITAL9. AGH MESA LLC DBA DIGNITY HEALTH ARIZONA GENERAL HOSPITALWWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/ARIZONAGENERAL10. ARIZONA SPECIALTY HOSPITAL (FKA OASIS AND AOSH)HTTPS://ARIZONASPECIALTYHOSPITAL.COM/11. AGH LAVEEN LLC DBA DIGNITY HEALTH ARIZONA GENERAL HOSPITALWWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/ARIZONAGENERAL12. ARIZONA SPINE AND JOINT HOSPITALWWW.AZSPINEANDJOINT.COM/13. DIGNITY HEALTH REHABILITATION HOSPITAL (SIENA CAMPUS)WWW.DIGNITYHEALTHREHAB.COM/14. DIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITALWWW.DIGNITYHEALTHEVREHAB.COM/15. DIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL - GILBERTWWW.DIGNITYHEALTHEVREHAB.COM/ DIGNITY HEALTH REHABILITATION HOSPITAL (SIENA CAMPUS) PART V, SECTION B, LINE 5: FOR THE HOSPITAL'S 2025 (TY 2024) CHNA, THE NEVADA INSTITUTE FOR CHILDREN'S RESEARCH AND POLICY WORKED WITH THE SOUTHERN NEVADA HEALTH DISTRICT AND PARTNERS (SEE LIST) TO CONDUCT FOCUS GROUPS WITH SIX SPECIFIC PRIORITY POPULATIONS THROUGHOUT CLARK COUNTY. THESE GROUPS INCLUDE: (1) PEOPLE WITH DISABILITIES (2) OLDER ADULTS 60+ (3) RURAL COMMUNITIES (4) VETERANS (5) AMERICAN INDIAN/ALASKA NATIVES AND (6) RESIDENTS OF ZIP CODE 89101. ALONGSIDE THE FOCUS GROUPS, A YOUTH PHOTOVOICE PROJECT WAS CONDUCTED FOR YOUTH AGED 12-17 TO CAPTURE THE STRENGTHS AND OPPORTUNITIES FOR IMPROVEMENT IN OUR NEIGHBORHOODS AS SEEN THROUGH THE EYES OF YOUNG PEOPLE. A TOTAL OF EIGHT FOCUS GROUP SESSIONS WERE HELD BETWEEN OCTOBER 7 AND NOVEMBER 7, 2024 WITH A TOTAL OF 70 INDIVIDUALS. FOCUS GROUP RESPONSES WERE COMPARED ACROSS POPULATIONS TO DETERMINE COMMON STRENGTHS AND NEEDS ACROSS GROUPS, AS WELL AS HEALTHCARE NEEDS THAT MIGHT BE UNIQUE TO EACH SPECIFIC POPULATION. THE SOUTHERN NEVADA HEALTH DISTRICT (SNHD) UTILIZED THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) 2.0 FRAMEWORK TO CONDUCT COMMUNITY-WIDE HEALTH NEEDS ASSESSMENTS. THE GOAL OF MAPP IS TO ACHIEVE HEALTH EQUITY BY IDENTIFYING URGENT HEALTH ISSUES IN THE COMMUNITY AND BY ALIGNING COMMUNITY RESOURCES. THE MAPP PROCESS ENGAGED BOTH TRADITIONAL AND NON-TRADITIONAL STAKEHOLDERS TO COLLECT QUALITATIVE AND QUANTITATIVE DATA ACROSS THREE DISTINCT ASSESSMENTS WHICH INCLUDE THE COMMUNITY PARTNER ASSESSMENT, COMMUNITY CONTEXT ASSESSMENT, AND THE COMMUNITY STATUS ASSESSMENT. EACH ASSESSMENT WAS USED AS A COLLABORATIVE APPROACH TO IDENTIFYING THE COMMUNITY'S NEEDS AND STRENGTHS AND HOW TO ADDRESS THEM. THE HOSPITALS ALSO CONSULTED WITH KEY INFORMANTS FROM THE FOLLOWING ORGANIZATIONS: SOUTHERN NEVADA HEALTH DISTRICT PUBLIC HEALTH ADVISORY BOARD, OFFICE OF COMMUNICATIONS OFFICE OF EPIDEMIOLOGY & DISEASE SURVEILLANCE, THE NEVADA INSTITUTE FOR CHILDREN'S RESEARCH AND POLICY, AMERICAN HEART ASSOCIATION, CITY OF HENDERSON, CULINARY HEALTH FUND, CLARK COUNTY PARKS AND RECREATION, COMAGINE HEALTH, INTERMOUNTAIN HEALTH, NEVADA GOVERNOR'S OFFICE, NEVADA MINORITY HEALTH & EQUITY COALITION, NEVADA STATE UNIVERSITY, PACT COALITION, PUENTES, REGIONAL TRANSPORTATION COMMISSION OF SOUTHERN NEVADA, ROSEMAN UNIVERSITY, STRATEGIES 360, THE CENTER, THERE IS NO HERO IN HEROIN, THREE SQUARE, TOURO UNIVERSITY NEVADA, UNIVERSITY OF NEVADA LAS VEGAS SCHOOL OF MEDICINE, SCHOOL OF NURSING, TRANSPORTATION RESEARCH CENTER, YMCA. DIGNITY HEALTH REHABILITATION HOSPITAL (SIENA CAMPUS) PART V, SECTION B, LINE 6A: DIGNITY HEALTH ST. ROSE DOMINICAN SIENA CAMPUS, SAN MARTIN CAMPUS & ROSE DE LIMA CAMPUS, DIGNITY HEALTH ST. ROSE DOMINICAN REHABILITATION HOSPITAL, DIGNITY HEALTH ST. ROSE DOMINICAN NEIGHBORHOOD HOSPITALS (BLUE DIAMOND, NORTH DURANGO (FORMERLY CENTENNIAL), WEST FLAMINGO, SAHARA, NORTH LAS VEGAS) AND INTERMOUNTAIN HEALTH. DIGNITY HEALTH REHABILITATION HOSPITAL (SIENA CAMPUS) PART V, SECTION B, LINE 6B: SOUTHERN NEVADA HEALTH DISTRICT AND INTERMOUNTAIN HEALTH DIGNITY HEALTH REHABILITATION HOSPITAL (SIENA CAMPUS) PART V, SECTION B, LINE 7D: THE CHNA WAS MADE WIDELY AVAILABLE BY A NUMBER OF ADDITIONAL MEANS, INCLUDING: DIGNITY HEALTH COMMUNITY HEALTH WORK GROUP, DIGNITY HEALTH COMMUNITY HEALTH IMPROVEMENT APPLICANTS & GRANTEES, SOUTHERN NEVADA HEALTH DISTRICT COMMUNITY HEALTH IMPROVEMENT PLANNING COMMITTEE, SOUTHERN NEVADA HEALTH DISTRICT PRESS CONFERENCE, SOUTHERN NEVADA HEALTH DISTRICT CHA PARTNERS, UNLV INTERN PRESENTATION, HEAL WITH HUMANKINDNESS E-NEWSLETTER, SOCIAL MEDIA POSTINGS, ST. ROSE EMPLOYEE NEWSLETTERS. DIGNITY HEALTH REHABILITATION HOSPITAL (SIENA CAMPUS) PART V, SECTION B, LINE 11: THE HOSPITAL IS TAKING SEVERAL ACTIONS AND DEDICATING RESOURCES TO HELP ADDRESS SIGNIFICANT NEEDS, INCLUDING: ACCESS TO CARE: NEVADA HEALTH LINK & MEDICAID ENROLLMENT: 12,052 COUNSELING SESSIONS, 1,758 ENROLLED IN NHL & 287 MEDICAID. MEDICARE ASSISTANCE PROGRAM: 5,172. MEDICARE BENEFICIARY COUNSELING SESSIONS. $1,919,508 IN PHARMACY SAVINGS. HELPING HANDS PROGRAM: 8,282 ROUND-TRIP RIDES TO DOCTOR, PHARMACY. ENGELSTAD FOUNDATION RED ROSE PROGRAM NAVIGATION: 608 MAMMOGRAMS, 300 ULTRASOUNDS, 65 BIOPSIES, RESULTING IN 29 CANCER DIAGNOSIS AND 22 SURGICAL TREATMENT PATHWAYS COMMUNITY HUB: 340 PARTICIPANTS, 1909 VISITS WITH A CHW OPENING 4,988 PATHWAYS AND CLOSING 3,642 PATHWAYS HIV CASE MANAGEMENT: 357 CLIENTS RECEIVED MEDICAL CASE MANAGEMENT. GME FAMILY & INTERNAL MEDICINE RESIDENT CLINICS, PATIENT FINANCIAL ASSISTANCE, 2025 COMMUNITY HEALTH IMPROVEMENT GRANTEES: CARE CHEST FREE DME. CHRONIC DISEASE: DIABETES LIFESTYLE CENTER: 390 INDIVIDUALS RECEIVED DIABETES EDUCATION RESULTING IN AN A1C REDUCTION FROM 8.0% TO 6.6%. HIV PROGRAM: 713 CLIENTS WITH HIV SERVED. INNOVATIVE HEART HEALTH: 98 PARTICIPANTS. COGNITIVE STIMULATION THERAPY: 47 PARTICIPANTS WITH DEMENTIA, 77% IMPROVED COGNITION, 78% DECREASED DEPRESSION, 84% IMPROVED QUALITY OF LIFE CAREGIVERS: 20 WORKSHOPS IN ENGLISH & SPANISH WITH 200 PARTICIPANTS. 94 SUPPORT GROUP MEETINGS WITH 347 ATTENDEES. CHRONIC DISEASE SELF MANAGEMENT PROGRAMS: 29 CDSME WORKSHOPS IN ENGLISH & SPANISH WITH 283 PARTICIPANTS. BREAST CANCER - RED ROSE: 608 MAMMOGRAMS, 300 ULTRASOUNDS, 65 BIOPSIES, RESULTING IN 29 CANCER DIAGNOSIS AND 22 SURGICAL TREATMENT. PATHWAYS COMMUNITY HUB: 340 PARTICIPANTS, 1909 VISITS WITH A CHW OPENING 4,988 PATHWAYS AND CLOSING 3,642 PATHWAYS MENTAL & BEHAVIORAL HEALTH: 62 SENIOR PEER COUNSELING CLIENTS, PERINATAL MENTAL HEALTH DISORDERS 190 CLIENT NAVIGATION. CHRONIC DISEASE PREVENTION PROGRAMS FREE FITNESS PROGRAM: 2700 CLASSES AT 7 CENTERS WITH 28,387 ATTENDEES. FALL PREVENTION: PROVIDE TAI JI QUAN MOVEMENT FOR BETTER BALANCE 347 AND STEPPING ON FALL PREVENTION 107. SOCIAL DETERMINANTS OF HEALTH TRANSPORTATION: HELPING HANDS OF HENDERSON, 8,282 ROUND-TRIP RIDES TO DOCTOR, PHARMACY. PATHWAYS COMMUNITY HUB ROUNDTRIP RIDES. RED ROSE FINANCIAL ASSISTANCE GAS CARDS $15,370. BUS PASSES: ASSISTED 2,123 INDIVIDUALS WITH 24-HOUR BUS PASSES. 2025 COMMUNITY HEALTH IMPROVEMENT GRANTEE: LEND A HAND OF BOULDER CITY. FOOD SECURITY: WIC: 5,477 WOMEN, INFANTS & CHILDREN (WIC) CLIENTS RECEIVED EBT CARDS, NUTRITION EDUCATION AND BREASTFEEDING SUPPORT. GOLDEN GROCERY PROVIDED HOMEBOUND SENIORS WITH 3,371 FREE GROCERY DELIVERIES. FRUIT & VEGETABLE RX PROGRAM: DELIVERED 1,740 FRESH FRUIT & VEGETABLE BOXES TO FOOD INSURE CLIENTS WITH CHRONIC DISEASE. HIV FOOD PANTRY SERVED 307 CLIENTS WITH 1,560 FOOD BAGS, 554 SMITH'S GROCERY VOUCHERS, 8,078 PREPARED MEALS, 660 CASES OF NUTRITION SUPPLEMENTS. RED ROSE FINANCIAL ASSISTANCE GROCERY CARDS $52,464. 2025 COMMUNITY HEALTH IMPROVEMENT GRANTEES: BROOKE'S GOOD DEEDS MOAPA FOOD PANTRY, DESERT SPRING COMMUNITY FOOD PANTRY, SERVING OUR KIDS FOOD ASSISTANCE. HOUSING: EMERGENCY HOUSING PROJECT: LAUNCHED JULY 1, 2025. RED ROSE FINANCIAL ASSISTANCE RENT/HOUSING/UTILITIES ASSISTANCE 69 CLIENTS $120,103 RENT, $35,697 UTILITIES. DIGNITY HEALTH REHABILITATION HOSPITAL (SIENA CAMPUS) 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. IF APPLICABLE, BALANCES BELOW TEN DOLLARS ($10.00) WOULD BE ADJUSTED USING A SMALL BALANCE ADJUSTMENT AND NOT BILLED TO THE PATIENT/GUARANTOR.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. DIGNITY HEALTH REHABILITATION HOSPITAL (SIENA CAMPUS) PART V, SECTION B, LINE 21D: THE HOSPITAL DOES NOT MAINTAIN AN ORGANIZED EMERGENCY DEPARTMENT BUT WILL PROVIDE CARE APPROPRIATE TO THE SCOPE OF SERVICES TO INDIVIDUALS WHO PRESENT WITH CONDITIONS OF AN EMERGENT NATURE (E.G. VISITOR, ETC.) ACCORDING TO STATE/FEDERAL REGULATIONS. SCHEDULE H, PART V, SECTION B, LINE 3E: FACILITY REPORTING GROUPS A, B, C, D AND DIGNITY HEALTH REHABILITATION HOSPITAL (SIENA CAMPUS):THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 2: CALIFORNIA HOSPITAL MEDICAL CENTER-LOS ANGELES, - FACILITY 3: NORTHRIDGE HOSPITAL MEDICAL CENTER, - FACILITY 5: SEQUOIA HOSPITAL, - FACILITY 6: GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER, - FACILITY 7: FRENCH HOSPITAL MEDICAL CENTER FACILITY REPORTING GROUP A PART V, SECTION B, LINE 5: CALIFORNIA HOSPITAL MEDICAL CENTER-LOS ANGELES:A PRECISE AND CAREFULLY EXECUTED METHODOLOGY IS CRITICAL IN ASSERTING THE VALIDITY OF THE RESULTS GATHERED IN THE PRC COMMUNITY HEALTH SURVEY. THUS, TO ENSURE THE BEST REPRESENTATION OF THE POPULATION SURVEYED, A MIXED-MODE METHODOLOGY WAS IMPLEMENTED. THIS INCLUDED SURVEYS CONDUCTED VIA TELEPHONE (LANDLINE AND CELL PHONE), AS WELL AS THROUGH ONLINE QUESTIONNAIRES. THE SAMPLE DESIGN USED FOR THIS EFFORT CONSISTED OF A RANDOM SAMPLE OF 200 INDIVIDUALS AGE 18 AND OLDER IN THE SERVICE AREA. ONCE THE INTERVIEWS WERE COMPLETED, THESE WERE WEIGHTED IN PROPORTION TO THE ACTUAL POPULATION DISTRIBUTION SO AS TO APPROPRIATELY REPRESENT THE SERVICE AREA AS A WHOLE. ALL ADMINISTRATION OF THE SURVEYS, DATA COLLECTION, AND DATA ANALYSIS WAS CONDUCTED BY PRC. FOR STATISTICAL PURPOSES, THE MAXIMUM RATE OF ERROR ASSOCIATED WITH A SAMPLE SIZE OF 200 RESPONDENTS IS 6.9% AT THE 95 PERCENT CONFIDENCE LEVEL. TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY ALSO WAS IMPLEMENTED IN NOVEMBER/DECEMBER 2024 AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY CALIFORNIA HOSPITAL MEDICAL CENTER; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICES PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 62 COMMUNITY REPRESENTATIVES TOOK PART IN THE ONLINE KEY INFORMANT SURVEY, AS OUTLINED IN THE TABLE THAT FOLLOWS: PHYSICIANS (4), PUBLIC HEALTH REPRESENTATIVES (11), OTHER HEALTH PROVIDERS (2), SOCIAL SERVICES PROVIDERS (20), AND OTHER COMMUNITY LEADERS (25). REPRESENTATIVES INCLUDED BUT ARE NOT LIMITED TO CALIFORNIA HEALTH COLLABORATIVE, CANCER SUPPORT COMMUNITY LOS ANGELES, EISNER HEALTH, EL NIDO FAMILY CENTERS, LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH, MATERIAL AND CHILD HEALTH ACCESS, AND THE NATIONAL HEALTH FOUNDATION.NORTHRIDGE HOSPITAL MEDICAL CENTER:THE 2025 (TY 2024) CHNA INCORPORATES DATA FROM MULTIPLE SOURCES, INCLUDING PRIMARY RESEARCH (THROUGH THE PRC COMMUNITY HEALTH SURVEY AND PRC ONLINE KEY INFORMANT SURVEY), AS WELL AS SECONDARY RESEARCH (VITAL STATISTICS AND OTHER EXISTING HEALTH-RELATED DATA). IT ALSO ALLOWS FOR TRENDING AND COMPARISON TO BENCHMARK DATA AT THE STATE AND NATIONAL LEVELS. PRIMARY DATA COLLECTION. PRIMARY DATA REPRESENT THE MOST CURRENT INFORMATION PROVIDED IN THIS ASSESSMENT. THE PRC COMMUNITY HEALTH SURVEY PROVIDES AN AGGREGATE SNAPSHOT OF THE HEALTH EXPERIENCE, BEHAVIORS, AND NEEDS OF RESIDENTS IN THE COMMUNITY. THE PRC ONLINE KEY INFORMANT SURVEY ALLOWS KEY COMMUNITY LEADERS AND PROVIDERS IN THE AREA AN OPPORTUNITY TO GIVE EXTENSIVE QUALITATIVE INPUT ABOUT WHAT THEY SEE AS THE MOST PRESSING ISSUES IN THE POPULATIONS THEY SERVE. SECONDARY DATA COLLECTION. SECONDARY DATA PROVIDE INFORMATION FROM EXISTING DATA SETS (E.G., PUBLIC HEALTH RECORDS, CENSUS DATA, ETC.) THAT COMPLEMENT THE PRIMARY RESEARCH FINDINGS. TARGETED SURVEYS WERE CONDUCTED BETWEEN OCTOBER AND DECEMBER 2024 BY PRC VIA TELEPHONE OR THROUGH ONLINE QUESTIONNAIRES, AS WELL AS A COMMUNITY OUTREACH COMPONENT PROMOTED BY NHMC THROUGH SOCIAL MEDIA POSTING AND OTHER COMMUNICATIONS. ORGANIZATIONS REPRESENTED IN THE STAKEHOLDER INTERVIEWS INCLUDED: ALZHEIMER'S ASSOCIATION CALIFORNIA SOUTHLAND CHAPTER BOYS AND GIRLS CLUB OF THE WEST VALLEY CARE HARBOR CENTER FOR LIVING AND LEARNING HILLVIEW MENTAL HEALTH CENTER LOS ANGELES COUNTY DEPARTMENT OF HEALTH SERVICES LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH NORTHEAST VALLEY HEALTH CORPORATION ONEGENERATION PUEBLO Y SALUD SAMUEL DIXON FAMILY HEALTH CENTER SAN FERNANDO VALLEY COMMUNITY MENTAL HEALTH CENTER SAN FERNANDO COMMUNITY HEALTH CENTER SMILE DENTAL SERVICES SOUTHERN CALIFORNIA NEUROPSYCHOLOGY GROUP ST. MARY PHARMACY UBS FINANCIAL SERVICES UNIVERSITY OF CALIFORNIA, LOS ANGELES VISION Y COMPROMISO.SEQUOIA HOSPITAL:SEQUOIA HOSPITAL CONDUCTED INTERVIEWS WITH COMMUNITY STAKEHOLDERS TO OBTAIN INPUT ON HEALTH NEEDS, BARRIERS TO CARE AND RESOURCES AVAILABLE TO ADDRESS THE IDENTIFIED HEALTH NEEDS. TWENTY-THREE (23) INTERVIEWS WERE COMPLETED DURING OCTOBER AND NOVEMBER 2024. COMMUNITY STAKEHOLDERS IDENTIFIED BY THE HOSPITAL WERE CONTACTED AND ASKED TO PARTICIPATE IN THE INTERVIEWS. INTERVIEW PARTICIPANTS INCLUDED A BROAD RANGE OF STAKEHOLDERS CONCERNED WITH HEALTH AND WELLBEING IN SAN MATEO COUNTY WHO SPOKE ABOUT ISSUES AND NEEDS IN THE COMMUNITIES. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND REPRESENTATIVES OF THE FOLLOWING ORGANIZATIONS: SEQUOIA HEALTHCARE DISTRICT, SAN MATEO COUNTY BOARD OF SUPERVISORS, ST. VINCENT DE PAUL OF SAN MATEO COUNTY, UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, CITY OF REDWOOD CITY, CASA CICULO CULTURAL, THE KARAT SCHOOL PROJECT, PAUL KRUPKA CONSULTING, SUSTAINABLE SAN MATEO COUNTY, STREET LIFE MINISTRIES, SAN MATEO COUNTY OFFICE OF EDUCATION, PARENTVENTURE, CENTER FOR INDEPENDENCE OF INDIVIDUALS WITH DISABILITIES, STARVISTA, SAN MATEO COUNTY HEALTH, UPWARD SCHOLARS, SAN MATEO PRIDE CENTER, HEALTH PLAN OF SAN MATEO, SAMARITAN HOUSE, RAVENSWOOD FAMILY HEALTH NETWORK, SENIOR COASTSIDERS, ST. FRANCIS CENTER. A SURVEY WAS DISTRIBUTED TO ENGAGE COMMUNITY RESIDENTS AND OBTAIN INPUT ON HEALTH AND SOCIAL NEEDS. THE SURVEY WAS AVAILABLE IN AN ELECTRONIC FORMAT THROUGH A SURVEYMONKEY LINK. THE SURVEYS WERE AVAILABLE IN ENGLISH AND SPANISH FROM NOVEMBER 2024 TO FEBRUARY 2025. DURING THIS TIME, 175 USABLE SURVEYS WERE COLLECTED.GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER:GLENDALE MEMORIAL HOSPITAL (GMHHC) CONDUCTED QUALITATIVE KEY INFORMANT INTERVIEWS, FOCUS GROUPS WITH COMMUNITY MEMBERS IN SERVICE AREAS, AND INPUT FROM THE COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC HEALTH. THROUGH THESE DATA COLLECTION METHODS, GMHHC WAS ABLE TO OBTAIN INPUT ON HEALTH NEEDS, BARRIERS TO CARE, AND OTHER FACTORS THAT IMPACT OVERALL WELLNESS AND THE HEALTH OF OUR COMMUNITY. THROUGH KEY INFORMANT INTERVIEWS, INPUT WAS GATHERED FROM THE FOLLOWING ORGANIZATIONS: GLENDALE COMMUNITY COLLEGE LEADERSHIP, LOCAL LAW ENFORCEMENT, GLENDALE UNIFIED SCHOOL DISTRICT, JOURNEY OUT, AND LOCAL ELECTED OFFICIALS. ADDITIONALLY, FOCUS GROUPS INCLUDED VULNERABLE AND UNDERSERVED POPULATIONS SUCH AS INDIVIDUALS WITH LIMITED ENGLISH PROFICIENCY, HISPANIC/LATINX ORIGIN, LGBTQ+ , UNHOUSED INDIVIDUALS, PEOPLE WITH DISABILITIES, AND SOCIALLY DISADVANTAGED COMMUNITIES (E.G., YOUTH AND SENIOR AGE DEMOGRAPHICS). THE NINE FOCUS GROUPS ENGAGED 69 PARTICIPANTS AND WERE CONDUCTED IN ENGLISH, SPANISH, AND ARMENIAN. ORGANIZATIONS THAT WERE INVOLVED IN THE FOCUS GROUPS INCLUDED THE FOLLOWING: THE CAMPBELL CENTER, GLENDALE LIBRARY, GLENDALE POLICE AND FIRE DEPARTMENTS, GLENDALEOUT, GMHHC HOSPITAL TEAM, HIGHLAND PARK SENIOR CENTER, HOPE THROUGH HOUSING, HOUSING SERVICE PROVIDERS, AND YOUTH AND FAMILY SERVICE PROVIDERS.***SEE PART V, SECTION B, LINE 5 CONTINUATION ON PART V, SECTION C.*** FACILITY REPORTING GROUP A PART V, SECTION B, LINE 7D: CALIFORNIA HOSPITAL MEDICAL CENTER LOS ANGELES, NORTHRIDGE HOSPITAL MEDICAL CENTER, SEQUOIA HOSPITAL, GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER, FRENCH HOSPITAL MEDICAL CENTER:THE HOSPITALS' CHNA REPORT WAS ALSO SHARED WITH ORGANIZATIONS APPLYING FOR THE COMMUNITY HEALTH IMPROVEMENT GRANT PROGRAM.NORTHRIDGE HOSPITAL MEDICAL CENTER'S CHNA HAS BEEN MADE AVAILABLE TO SOME OF ITS COMMUNITY PARTNERS WHO HAVE REQUESTED A COPY OF THE REPORT. FINDINGS FROM THE CHNA HAVE BEEN SHARED AT MEETINGS AND COMMUNICATED TO LOCAL PARTNERS. THE CHNA REPORT WAS SHARED WITH A GROUP OF COLLEGE STUDENTS AT THE LOCAL UNIVERSITY AS PART OF THEIR HEALTH SCIENCE CLASS. GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER IS PART OF THE GLENDALE HEALTHIER COMMUNITY COALITION, WHICH IS COMPOSED OF LOCAL NOT-FOR-PROFIT ORGANIZATIONS IN THE COMMUNITY. A PRESENTATION WILL BE MADE WITH THE STAKEHOLDERS AS WELL AS SHARED WITH THE ORGANIZATIONS THAT PARTOOK IN THE INTERVIEWS AND FOCUS GROUPS.FRENCH HOSPITAL MEDICAL CENTER'S CHNA REPORT WAS SENT ELECTRONICALLY TO COMMUNITY PARTNERS, COMMUNITY BENEFIT COMMITTEE MEMBERS, AND HOSPITAL BOARD MEMBERS. FACILITY REPORTING GROUP A PART V, SECTION B, LINE 11: CALIFORNIA HOSPITAL MEDICAL CENTER-LOS ANGELES:THE 2025 (TY 2024) CHNA IDENTIFIED THE FOLLOWING SIGNIFICANT HEALTH NEEDS ON WHICH THE HOSPITAL WILL TAKE ACTIONS TO HELP ADDRESS: MENTAL HEALTH, SOCIAL DETERMINANTS: HOUSING, DIABETES, INJURY & VIOLENCE, SUBSTANCE USE, NUTRITION, PHYSICAL ACTIVITY & WEIGHT, AND ACCESS TO HEALTH CARE SERVICES. MENTAL HEALTH: CA BRIDGE PROGRAM, CA BEHAVIORAL HEALTH CLINIC, FAMILY PRESERVATION PROGRAM, WRAPAROUND SERVICES, WELCOME BABY, FREQUENT UTILIZER SYSTEMS ENGAGEMENT PROGRAM, EMOTIONAL WELLBEING SUPPORT GROUP AND COMMUNITY HEALTH IMPROVEMENT GRANTS. HOUSING: DIGNITY HEALTH HOMELESS INITIATIVE, FREQUENT UTILIZER SYSTEMS ENGAGEMENT, HOPE STREET MARGOLIS FAMILY CENTER, EARLY HEAD START, EARLY CHILDHOOD, LA PARTNERSHIP AND COMMUNITY HEALTH IMPROVEMENT GRANTS. DIABETES: DIABETES EMPOWERMENT EDUCATION PROGRAM, HEART HEALTH (HEALTHY EATING LIFESTYLE PROGRAM), COMMUNITY HEALTH SCREENINGS, AND CARDIOVASCULAR AWARENESS CLASSES. INJURY AND VIOLENCE: CA BEHAVIORAL CLINIC, FAMILY PRESERVATION PROGRAM, WRAPAROUND SERVICES PROGRAM, HUMAN TRAFFICKING RESPONSE INITIATIVE, VIOLENCE PREVENTION AND GUN SAFETY PROGRAM, STOP THE BLEED, HOPE STREET MARGOLIS FAMILY CENTER, AND WELCOME BABY. SUBSTANCE USE: CA BRIDGE PROGRAM AND FREQUENT UTILIZER SYSTEMS ENGAGEMENT. NUTRITION, PHYSICAL ACTIVITY & WEIGHT: HEART HELP (HEALTHY EATING LIFESTYLE PROGRAM), NUTRITION EDUCATION, DIABETES EMPOWERMENT EDUCATION PROGRAM, COMMUNITY HEALTH SCREENINGS, WELCOME BABY, HOPE STREET MARGOLIS FAMILY CENTER, REPLATE, COMMUNITY HEALTH IMPROVEMENT GRANTS AND FOOD SYSTEMS STRATEGY. ACCESS TO CARE: FINANCIAL ASSISTANCE, PARA SU SALUD, COORDINATED CARE INITIATIVE, FREQUENT UTILIZER SYSTEMS ENGAGEMENT, HOPE STREET MARGOLIS FAMILY CENTER, AND HEALTH SCREENINGS. NORTHRIDGE HOSPITAL MEDICAL CENTER:THE 2025 (TY 2024) CHNA IDENTIFIED THE FOLLOWING SIGNIFICANT HEALTH NEEDS ON WHICH THE HOSPITAL WILL TAKE ACTIONS TO HELP ADDRESS: MENTAL HEALTH: CONTINUE TO OFFER THE SAN FERNANDO VALLEY (SFV) HEALING PROJECT - MENTAL HEALTH AWARENESS TRAINING; CONTINUE TO OFFER THE SAN FERNANDO VALLEY RESOURCEFUL ADOLESCENT PROGRAM; CONTINUE TO OFFER THE ENHANCING YOUTH MENTAL HEALTH WELL-BEING PROGRAM; CONTINUE TO BUILD COMMUNITY PARTNERSHIPS AND PROVIDE GRANTS FOCUSED ON ADDRESSING MENTAL HEALTH NEEDS. THE NUMBER OF PEOPLE SERVED BY THESE PROGRAMS IN FY2025 INCLUDED: SFV HEALTH PROJECT - 647 PERSONS. SFV RESOURCEFUL ADOLESCENT PROGRAM - 239 PERSONS. ENHANCING YOUTH MENTAL HEALTH WELL-BEING - 158 PERSONS DIABETES: IMPLEMENT THE STEM (SCREEN, TEST, EMPOWER, AND MANAGE) DIABETES PROGRAM FOCUSED ON DIABETES PREVENTION, EDUCATION, AND DISEASE MANAGEMENT. CLIMATE, NATURE, AND HEALTH: CONTINUE TO OFFER THE LISTOS CALIFORNIA PROGRAM FOCUSED ON DISASTER PREPAREDNESS FOR NATURAL AND CLIMATE INCIDENTS. THE NUMBER OF PEOPLE SERVED BY LISTOS CALIFORNIA IN FY 2025 WAS 9,299 PERSONS. SUBSTANCE USE: CONTINUE TO OFFER THE SFV RESOURCEFUL ADOLESCENT PROGRAM PROMOTING POSITIVE SELF-IMAGE AND BEHAVIORS WITH MIDDLE AND HIGH SCHOOL YOUTH. NUTRITION, PHYSICAL ACTIVITY, AND WEIGHT: PROVIDE EDUCATIONAL WORKSHOPS AND EVENTS FOCUSED ON HEALTHY NUTRITION AND PHYSICAL ACTIVITY; INCORPORATE NUTRITION AND PHYSICAL ACTIVITY TOPICS INTO THE EDUCATIONAL PRESENTATIONS OF HEARTBEAT CA AND STEM DIABETES PROGRAMS. THE HEARTBEAT CA PROGRAM SERVED 1,224 PERSONS IN FY 2025. ACCESS TO HEALTH CARE SERVICES: CONTINUE TO OFFER THE COMMUNITY HEALTH WORKER FOR SUSTAINABLE OUTREACH & NAVIGATION PROGRAM (CHW-SON) PROVIDING COMMUNITY REFERRAL AND RESOURCE NAVIGATION SERVICES; CONTINUE TO OFFER FINANCIAL ASSISTANCE SERVICES TO LOW-INCOME AND UNINSURED PATIENTS AT THE HOSPITAL; PROVIDE FREE TRANSPORTATION SERVICES TO PATIENTS IN NEED. THE CHW-SON PROGRAM SERVED 560 PERSONS IN FY 2025. DISABLING CONDITIONS: CONTINUE TO OFFER THE LOCAL ELDER ABUSE PREVENTION (LEAP) ENHANCED MULTIDISCIPLINARY TEAM PROGRAM SERVING SENIORS AT RISK FOR MENTAL, PHYSICAL, AND EMOTIONAL ABUSE AND ELDERLY DEALING WITH DEMENTIA AND DIMINISHED CAPACITY; CONTINUE TO OFFER THE CANCER NAVIGATION PROGRAM TO LOW-INCOME PATIENTS.THE LEAP PROGRAM SERVED 4,263 PERSONS IN FY 2025. HEART DISEASE AND STROKE: CONTINUE TO OFFER THE HEARTBEAT CALIFORNIA PROGRAM FOCUSED ON THE PREVENTION AND MANAGEMENT OF CARDIOVASCULAR DISEASE AND HYPERTENSION. INJURY AND VIOLENCE: CONTINUE TO OFFER THE SCHOOLS AGAINST VIOLENCE - LA (SAVE-LA) PROGRAM FOCUSED ON REDUCING DATING VIOLENCE AND BULLYING ON SCHOOL CAMPUSES: CONTINUE TO OFFER CENTER FOR ASSAULT TREATMENT SERVICES (CATS) PROGRAM FOCUSED ON REDUCING THE INCIDENCE AND PROVIDING TREATMENT FOR SEXUAL ASSAULT; IMPLEMENT THE ADDRESSING VIOLENCE ACROSS THE AGES SPECTRUM (AVAAS) PROGRAM FOCUSED ON REDUCING SCHOOL-BASED AND COMMUNITY VIOLENCE. THE SAVE-LA PROGRAM SERVED 14,046 PERSONS IN FY2025. THE CENTER FOR ASSAULT TREATMENT SERVICES SERVED 3,980 PERSONS EXPERIENCING ABUSE/ASSAULT IN FY 2025 AND PROVIDED OUTREACH EDUCATION TO 3,091 PERSONS DURING THE SAME PERIOD. SEXUAL HEALTH: CONTINUE TO OFFER THE SCHOOLS AGAINST VIOLENCE - LA PROGRAM; CONTINUE TO OFFER THE CATS PROGRAM. FROM THE PRIORITIZED LIST OF NEEDS IDENTIFIED FROM THE 2025 (TY 2024) CHNA, NORTHRIDGE HOSPITAL MEDICAL CENTER WILL NOT BE FOCUSING ON HOUSING OR RESPIRATORY DISEASE. WHILE THE HOSPITAL DOES NOT HAVE THE EXPERTISE IN DEVELOPING AFFORDABLE HOUSING, IT WILL SUPPORT ORGANIZATIONS THROUGH GRANT FUNDING AND COMMONSPIRIT'S LOW COST LOAN PROGRAM THAT ARE TRYING TO ADDRESS THE NUMBER OF UNHOUSED INDIVIDUALS LIVING IN L.A.***SEE PART V, SECTION B, LINE 11 CONTINUATION AFTER PART V, SECTION B, LINE 10A DISCLOSURE ON PART V, SECTION C*** 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. IF APPLICABLE, BALANCES BELOW TEN DOLLARS ($10.00) WOULD BE ADJUSTED USING A SMALL BALANCE ADJUSTMENT AND NOT BILLED TO THE PATIENT/GUARANTOR.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 PAYMENTOPTIONS, 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'SCOOPERATION 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 MEDICAIDBENEFICIARY, 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.THE FOLLOWING REQUIREMENTS FOR ADDITIONAL HARDSHIP DISCOUNTS IS AN ADDENDUM OF THE FINANCIAL ASSISTANCE POLICY THAT APPLY TO PATIENTS RECEIVING SERVICES AT A COMMONSPIRIT HOSPITAL ORGANIZATION IN THE STATE OF CALIFORNIA ONLY.A PATIENT WHO RECEIVES DISCOUNTED CARE, BUT (1) WHOSE LIABILITY STILL EXCEEDS 30% OF THE SUM OF (A) HIS OR HER FAMILY INCOME, AND (B) HIS OR HER MONETARY ASSETS, AND (2) WHO DOES NOT HAVE THE ABILITY TO PAY HIS OR HER BILL, AS DETERMINED BY A REVIEW OF FACTORS SUCH AS PROJECTED FAMILY INCOME FOR THE COMING YEAR AND EXISTING OR ANTICIPATED HEALTH CARE LIABILITIES MAY BE GIVEN AN ADDITIONAL HARDSHIP DISCOUNT. FOR PURPOSES OF THE DETERMINATION OF THIS HARDSHIP DISCOUNT, THE COMMONSPIRIT HOSPITAL ORGANIZATION WILL NOT CONSIDER ASSETS IN RETIREMENT PLANS QUALIFIED UNDER THE INTERNAL REVENUE CODE IN EFFECT AT THE TIME OF THE DETERMINATION OR DEFERRED COMPENSATION PLANS.IF THE PATIENT MEETS ALL ELIGIBILITY CRITERIA, THE PATIENT WILL RECEIVE A HARDSHIP DISCOUNT, WHICH WILL REDUCE THE PATIENT'S REMAINING LIABILITY TO NO MORE THAN 30% OF THE SUM OF HIS OR HER (1) PATIENT FAMILY INCOME, AND (2) MONETARY ASSETS.A PATIENT MAY ALSO RECEIVE DISCOUNTS OR WAIVERS UNDER THIS ADDENDUM IF CONSIDERED HOMELESS OR TRANSIENT OR IF THEY PARTICIPATE IN A FEDERAL, STATE, OR LOCAL MANAGED INDIGENT CARE PROGRAM. PART V, SECTION B FACILITY REPORTING GROUP B FACILITY REPORTING GROUP B CONSISTS OF: - FACILITY 10: ARIZONA SPECIALTY HOSPITAL (FKA OASIS AND AOS, - FACILITY 12: ARIZONA SPINE AND JOINT HOSPITAL, - FACILITY 14: DIGNITY HEALTH EAST VALLEY REHABILITATION HOS, - FACILITY 15: DIGNITY HEALTH EAST VALLEY REHABILITATION HOS FACILITY REPORTING GROUP B PART V, SECTION B, LINE 5: ARIZONA SPECIALTY HOSPITAL (FKA OASIS AND AOSH), ARIZONA SPINE AND JOINT HOSPITAL, DIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL, DIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL GILBERT:THE HOSPITALS EXTENSIVELY INCORPORATED INPUT FROM PERSONS REPRESENTING THE COMMUNITY THROUGHOUT ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS. THIS WAS ACHIEVED THROUGH A MULTI-FACETED APPROACH INVOLVING DIRECT DATA COLLECTION AND COLLABORATIVE WORKSHOPS, PRIORITIZING A COMPREHENSIVE UNDERSTANDING OF COMMUNITY HEALTH NEEDS AND DISPARITIES. 1. SPECIFIC METHODS FOR GATHERING COMMUNITY INPUT INCLUDED: PRIMARY DATA COLLECTION: THE HOSPITALS UTILIZED SEVERAL PRIMARY DATA SOURCES TO DIRECTLY CAPTURE COMMUNITY PERSPECTIVES: COMMUNITY SURVEY: A) A 2023 COMMUNITY SURVEY WAS CONDUCTED, GATHERING BROAD INPUT FROM RESIDENTS ON HEALTH ISSUES IMPACTING THEM AND THEIR HOUSEHOLDS. B) FOCUS GROUPS: MULTIPLE FOCUS GROUPS WERE HELD, INCLUDING AN INITIAL ROUND IN SPRING 2023 AND A SUPPLEMENTAL GROUP IN WINTER 2024, TO DELVE DEEPER INTO SPECIFIC HEALTH CONCERNS AND EXPERIENCES. C) KEY INFORMANT INTERVIEWS: INTERVIEWS WERE CONDUCTED WITH KEY INDIVIDUALS WHO POSSESS SPECIALIZED KNOWLEDGE OF THE COMMUNITY AND ITS HEALTH LANDSCAPE. 2.CHNA PRIORITIZATION WORKSHOPS: A CRUCIAL STAGE, THE HOSPITALS FACILITATED BOTH IN-PERSON AND HYBRID (VIRTUAL/IN-PERSON) PRIORITIZATION WORKSHOPS. THESE WORKSHOPS SPECIFICALLY ENGAGED EXTERNAL STAKEHOLDERS (COMMUNITY-BASED ORGANIZATIONS, LOCAL TOWN REPRESENTATIVES, FAITH COMMUNITY AND GOVERNANCE, AND BROADER COMMUNITY MEMBERS) TO ALIGN ON AND PRIORITIZE SIGNIFICANT HEALTH NEEDS. THE STRUCTURED FEEDBACK GATHERED DURING THESE WORKSHOPS DIRECTLY INFORMED THE FINAL SELECTION OF PRIORITY AREAS. 3.APPLICATION OF AN EQUITY LENS: THROUGHOUT THE ENTIRE ASSESSMENT PROCESS, THE HOSPITALS APPLIED A HEALTH, SOCIAL, AND RACIAL EQUITY LENS. THIS APPROACH INHERENTLY REQUIRED UNDERSTANDING THE EXPERIENCES AND DISPROPORTIONATE IMPACTS ON VARIOUS COMMUNITY SEGMENTS, WHICH WOULD HAVE BEEN INFORMED BY THE INPUT GATHERED FROM DIVERSE COMMUNITY REPRESENTATIVES. THE HOSPITAL FACILITY CONSULTED THE FOLLOWING ORGANIZATIONAL AFFILIATIONS: MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH: THIS DEPARTMENT WAS A KEY CHNA COLLABORATOR AND PARTNER, ACTIVELY INVOLVED IN CONDUCTING THE ASSESSMENT AND FACILITATING WORKSHOPS. THEIR EXPERTISE AND DATA COLLECTION EFFORTS FOR THE WIDER COUNTY DIRECTLY INFORMED THE HOSPITALS' CHNA. SYNAPSE COALITION: THIS COALITION, CONSISTING OF NON-PROFIT AND FEDERALLY QUALIFIED HEALTH CARE PROVIDERS, IS A KEY CHNA COLLABORATOR THAT WORKS TO COLLECT DATA AND CONDUCT CHNAS. MEMBER ORGANIZATIONS OF SYNAPSE WOULD HAVE CONTRIBUTED TO THE COLLECTIVE DATA AND INSIGHTS. COMMUNITY-BASED ORGANIZATIONS: THESE ORGANIZATIONS WERE EXPLICITLY ENGAGED AS EXTERNAL STAKEHOLDERS IN THE PRIORITIZATION WORKSHOPS, CONTRIBUTING THEIR DIRECT KNOWLEDGE OF COMMUNITY NEEDS AND THE POPULATIONS THEY SERVE. LOCAL TOWN (REPRESENTATIVES): REPRESENTATIVES FROM LOCAL TOWN GOVERNMENTS PARTICIPATED IN THE PRIORITIZATION WORKSHOPS, OFFERING PERSPECTIVES ON MUNICIPAL SERVICES, COMMUNITY INFRASTRUCTURE, AND RESIDENT CONCERNS. FAITH COMMUNITY AND GOVERNANCE (REPRESENTATIVES): INDIVIDUALS FROM FAITH-BASED ORGANIZATIONS AND GOVERNANCE BODIES WERE INVOLVED IN THE PRIORITIZATION WORKSHOPS, HIGHLIGHTING THE SOCIAL AND SPIRITUAL DETERMINANTS OF HEALTH WITHIN THE COMMUNITY. COMMUNITY MEMBERS: WHILE NOT AN ORGANIZATIONAL AFFILIATION" IN THE TRADITIONAL SENSE, THE HOSPITALS EXPLICITLY INVOLVED INDIVIDUAL COMMUNITY MEMBERS IN PRIMARY DATA COLLECTION (SURVEYS, FOCUS GROUPS, KEY INFORMANT INTERVIEWS) AND DIRECTLY AS EXTERNAL STAKEHOLDERS IN THE PRIORITIZATION WORKSHOPS, ENSURING A DIRECT VOICE FROM THOSE BEING SERVED. FACILITY REPORTING GROUP B PART V, SECTION B, LINE 6A: MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH WAS THE VENDOR FOR SEVERAL ARIZONA HOSPITALS. THE CHNA WAS CONDUCTED FOR THE FOLLOWING HOSPITALS IN ARIZONA: ADELANTE HEALTHCARE, BANNER HEALTH HOSPITAL SYSTEM , DIGNITY HEALTH - CHANDLER REGIONAL MEDICAL CENTER, DIGNITY HEALTH - MERCY GILBERT MEDICAL CENTER, DIGNITY HEALTH - ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER AND ST. JOSEPH'S WESTGATE, DIGNITY HEALTH - ARIZONA GENERAL HOSPITAL MESA AND LAVEEN, NATIVE HEALTH, MAYO CLINIC HOSPITAL, PHOENIX CHILDREN'S HOSPITAL, SOUTHWEST ORTHOPEDIC AND SPINE HOSPITAL (OASIS HOSPITAL), ARIZONA SPINE AND JOINT HOSPITAL, ARIZONA ORTHOPEDIC SPECIALTY HOSPITAL, DIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL, VALLEYWISE. FACILITY REPORTING GROUP B PART V, SECTION B, LINE 6B: MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH, HEALTH IMPROVEMENT PARTNERSHIP OF MARICOPA COUNTY (A COLLABORATIVE OF SEVERAL NONPROFITS, AGENCIES, SCHOOLS, AND CHURCHES), AND ARIZONA STATE UNIVERSITY (CONTRACTED BY MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH TO CONDUCT FOCUS GROUPS AND CORRELATE DATA). KEY ORGANIZATIONS INCLUDED: ADELANTE HEALTHCARE, CIRCLE THE CITY, NATIVE HEALTH, VITALYST HEALTH FOUNDATION. FACILITY REPORTING GROUP B PART V, SECTION B, LINE 11: THE SIGNIFICANT COMMUNITY HEALTH NEED THE HOSPITALS ARE HELPING TO ADDRESS AND THAT FORM THE BASIS OF THE IMPLEMENTATION STRATEGY WAS IDENTIFIED IN THE HOSPITALS' MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE HOSPITALS ARE ADDRESSING THE ACCESS TO CARE SIGNIFICANT NEED IN THE CHNA. THE HOSPITALS PROVIDE PATIENT FINANCIAL ASSISTANCE FOR UNINSURED AND UNDERSURED PATIENTS WHO MEET THE ELIGIBILITY CRITERIA OF THE FINANCIAL ASSISTANCE POLICY. PATIENTS WILL HAVE ACCESS TO QUALITY, MEDICALLY NECESSARY HEALTH CARE SERVICES REGARDLESS OF INSURANCE STATUS OR ABILITY TO PAY FOR CARE. ARIZONA SPECIALTY HOSPITAL OFFERS ORTHOPEDIC SERVICES. THE ORTHOPEDIC SURGEONS AT ARIZONA SPECIALTY HOSPITAL PROVIDE COMPREHENSIVE CARE AND USE SOME OF THE LATEST TREATMENTS TO HELP PATIENTS AFFECTED BY ORTHOPEDIC INJURIES, DEGENERATIVE DISEASES, AND OTHER ORTHOPEDIC CONDITIONS. BECAUSE THE HOSPITAL DELIVERS A SPECIFIC SET OF SERVICES, IT HAS CHOSEN NOT TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS: CANCER, CHRONIC HEALTH CONDITIONS, MATERNAL AND CHILD HEALTH, MENTAL HEALTH, SOCIAL DETERMINANTS OF HEALTH, SUBSTANCE USE, VIOLENCE AND INJURY PREVENTION. AS A SPECIALTY HOSPITAL, IT HAS LIMITED CAPACITY AND RESOURCES BEYOND ITS SPECIFIC EXPERTISE. THE HOSPITAL MAY INDIRECTLY CONTRIBUTE TO THESE NEEDS BY SECURING AND MAINTAINING PARTNERSHIPS WITH COMMUNITY-BASED ORGANIZATIONS THAT ARE ADDRESSING OTHER NEEDS.ARIZONA SPINE & JOINT HOSPITAL IS AN ORTHOPEDIC SPECIALTY HOSPITAL THAT FOCUSES ON OFFERING A HIGH QUALITY ENVIRONMENT FOR SURGICAL PROCEDURES. BECAUSE THE HOSPITAL DELIVERS A SPECIFIC SET OF SERVICES, IT HAS CHOSEN NOT TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS: CANCER, CHRONIC HEALTH CONDITIONS, MATERNAL AND CHILD HEALTH, MENTAL HEALTH, SOCIAL DETERMINANTS OF HEALTH, SUBSTANCE USE, VIOLENCE AND INJURY PREVENTION. AS A SPECIALTY HOSPITAL, IT HAS LIMITED CAPACITY AND RESOURCES BEYOND ITS SPECIFIC EXPERTISE. THE HOSPITAL MAY INDIRECTLY CONTRIBUTE TO THESE NEEDS BY SECURING AND MAINTAINING PARTNERSHIPS WITH COMMUNITY-BASED ORGANIZATIONS THAT ARE ADDRESSING OTHER NEEDS.DIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL AND DIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL - GILBERT ARE INPATIENT ACUTE REHABILITATION HOSPITALS DEDICATED TO THE TREATMENT AND RECOVERY OF INDIVIDUALS WHO HAVE EXPERIENCED THE DEBILITATING EFFECTS OF A SEVERE INJURY OR ILLNESS. BECAUSE THE HOSPITALS DELIVER A SPECIFIC SET OF SERVICES, IT HAS CHOSEN NOT TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS: CANCER, CHRONIC HEALTH CONDITIONS, MATERNAL AND CHILD HEALTH, MENTAL HEALTH, SOCIAL DETERMINANTS OF HEALTH, SUBSTANCE USE, VIOLENCE AND INJURY PREVENTION. AS A SPECIALTY HOSPITALS, IT HAS LIMITED CAPACITY AND RESOURCES BEYOND ITS SPECIFIC EXPERTISE. THE HOSPITALS MAY INDIRECTLY CONTRIBUTE TO THESE NEEDS BY SECURING AND MAINTAINING PARTNERSHIPS WITH COMMUNITY-BASED ORGANIZATIONS THAT ARE ADDRESSING OTHER NEEDS. FACILITY REPORTING GROUP B 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. IF APPLICABLE, BALANCES BELOW TEN DOLLARS ($10.00) WOULD BE ADJUSTED USING A SMALL BALANCE ADJUSTMENT AND NOT BILLED TO THE PATIENT/GUARANTOR.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. FACILITY REPORTING GROUP B PART V, SECTION B, LINE 21D: ARIZONA SPECIALTY HOSPITAL (FKA OASIS AND AOSH), ARIZONA SPINE AND JOINT HOSPITAL, DIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL, DIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL - GILBERTTHE HOSPITALS DO NOT MAINTAIN AN ORGANIZED EMERGENCY DEPARTMENT BUT WILL PROVIDE CARE APPROPRIATE TO THE SCOPE OF SERVICES TO INDIVIDUALS WHO PRESENT WITH CONDITIONS OF AN EMERGENT NATURE (E.G. VISITOR, ETC.) ACCORDING TO STATE/FEDERAL REGULATIONS PART V, SECTION B FACILITY REPORTING GROUP C FACILITY REPORTING GROUP C CONSISTS OF: - FACILITY 1: CHANDLER REGIONAL MEDICAL CENTER, - FACILITY 9: AGH MESA LLC DBA DIGNITY HEALTH ARIZONA GENERA, - FACILITY 11: AGH LAVEEN LLC DBA DIGNITY HEALTH ARIZONA GEN FACILITY REPORTING GROUP C PART V, SECTION B, LINE 5: CHANDLER REGIONAL MEDICAL CENTER, AGH MESA LLC DBA DIGNITY HEALTH ARIZONA GENERAL HOSPITAL, AGH LAVEEN LLC DBA DIGNITY HEALTH ARIZONA GENERAL HOSPITAL:THE HOSPITALS EXTENSIVELY INCORPORATED INPUT FROM PERSONS REPRESENTING THE COMMUNITY THROUGHOUT ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS. THIS WAS ACHIEVED THROUGH A MULTI-FACETED APPROACH INVOLVING DIRECT DATA COLLECTION AND COLLABORATIVE WORKSHOPS, PRIORITIZING A COMPREHENSIVE UNDERSTANDING OF COMMUNITY HEALTH NEEDS AND DISPARITIES. 1. SPECIFIC METHODS FOR GATHERING COMMUNITY INPUT INCLUDED: PRIMARY DATA COLLECTION: THE HOSPITALS UTILIZED SEVERAL PRIMARY DATA SOURCES TO DIRECTLY CAPTURE COMMUNITY PERSPECTIVES: COMMUNITY SURVEY: A) A 2023 COMMUNITY SURVEY WAS CONDUCTED, GATHERING BROAD INPUT FROM RESIDENTS ON HEALTH ISSUES IMPACTING THEM AND THEIR HOUSEHOLDS. B) FOCUS GROUPS: MULTIPLE FOCUS GROUPS WERE HELD, INCLUDING AN INITIAL ROUND IN SPRING 2023 AND A SUPPLEMENTAL GROUP IN WINTER 2024, TO DELVE DEEPER INTO SPECIFIC HEALTH CONCERNS AND EXPERIENCES. C) KEY INFORMANT INTERVIEWS: INTERVIEWS WERE CONDUCTED WITH KEY INDIVIDUALS WHO POSSESS SPECIALIZED KNOWLEDGE OF THE COMMUNITY AND ITS HEALTH LANDSCAPE. 2.CHNA PRIORITIZATION WORKSHOPS: A CRUCIAL STAGE, THE HOSPITALS FACILITATED BOTH IN-PERSON AND HYBRID (VIRTUAL/IN-PERSON) PRIORITIZATION WORKSHOPS. THESE WORKSHOPS SPECIFICALLY ENGAGED EXTERNAL STAKEHOLDERS (COMMUNITY-BASED ORGANIZATIONS, LOCAL TOWN REPRESENTATIVES, FAITH COMMUNITY AND GOVERNANCE, AND BROADER COMMUNITY MEMBERS) TO ALIGN ON AND PRIORITIZE SIGNIFICANT HEALTH NEEDS. THE STRUCTURED FEEDBACK GATHERED DURING THESE WORKSHOPS DIRECTLY INFORMED THE FINAL SELECTION OF PRIORITY AREAS. 3.APPLICATION OF AN EQUITY LENS: THROUGHOUT THE ENTIRE ASSESSMENT PROCESS, THE HOSPITALS APPLIED A HEALTH, SOCIAL, AND RACIAL EQUITY LENS. THIS APPROACH INHERENTLY REQUIRED UNDERSTANDING THE EXPERIENCES AND DISPROPORTIONATE IMPACTS ON VARIOUS COMMUNITY SEGMENTS, WHICH WOULD HAVE BEEN INFORMED BY THE INPUT GATHERED FROM DIVERSE COMMUNITY REPRESENTATIVES. THE HOSPITAL FACILITY CONSULTED THE FOLLOWING ORGANIZATIONAL AFFILIATIONS: MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH: THIS DEPARTMENT WAS A KEY CHNA COLLABORATOR AND PARTNER, ACTIVELY INVOLVED IN CONDUCTING THE ASSESSMENT AND FACILITATING WORKSHOPS. THEIR EXPERTISE AND DATA COLLECTION EFFORTS FOR THE WIDER COUNTY DIRECTLY INFORMED THE HOSPITALS' CHNA. SYNAPSE COALITION: THIS COALITION, CONSISTING OF NON-PROFIT AND FEDERALLY QUALIFIED HEALTH CARE PROVIDERS, IS A KEY CHNA COLLABORATOR THAT WORKS TO COLLECT DATA AND CONDUCT CHNAS. MEMBER ORGANIZATIONS OF SYNAPSE WOULD HAVE CONTRIBUTED TO THE COLLECTIVE DATA AND INSIGHTS. COMMUNITY-BASED ORGANIZATIONS: THESE ORGANIZATIONS WERE EXPLICITLY ENGAGED AS EXTERNAL STAKEHOLDERS IN THE PRIORITIZATION WORKSHOPS, CONTRIBUTING THEIR DIRECT KNOWLEDGE OF COMMUNITY NEEDS AND THE POPULATIONS THEY SERVE. LOCAL TOWN (REPRESENTATIVES): REPRESENTATIVES FROM LOCAL TOWN GOVERNMENTS PARTICIPATED IN THE PRIORITIZATION WORKSHOPS, OFFERING PERSPECTIVES ON MUNICIPAL SERVICES, COMMUNITY INFRASTRUCTURE, AND RESIDENT CONCERNS. FAITH COMMUNITY AND GOVERNANCE (REPRESENTATIVES): INDIVIDUALS FROM FAITH-BASED ORGANIZATIONS AND GOVERNANCE BODIES WERE INVOLVED IN THE PRIORITIZATION WORKSHOPS, HIGHLIGHTING THE SOCIAL AND SPIRITUAL DETERMINANTS OF HEALTH WITHIN THE COMMUNITY. COMMUNITY MEMBERS: WHILE NOT AN ORGANIZATIONAL AFFILIATION" IN THE TRADITIONAL SENSE, THE HOSPITALS EXPLICITLY INVOLVED INDIVIDUAL COMMUNITY MEMBERS IN PRIMARY DATA COLLECTION (SURVEYS, FOCUS GROUPS, KEY INFORMANT INTERVIEWS) AND DIRECTLY AS EXTERNAL STAKEHOLDERS IN THE PRIORITIZATION WORKSHOPS, ENSURING A DIRECT VOICE FROM THOSE BEING SERVED. FACILITY REPORTING GROUP C PART V, SECTION B, LINE 6A: MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH WAS THE VENDOR FOR SEVERAL ARIZONA HOSPITALS. THE CHNA WAS CONDUCTED FOR THE FOLLOWING HOSPITALS IN ARIZONA: ADELANTE HEALTHCARE, BANNER HEALTH HOSPITAL SYSTEM, DIGNITY HEALTH - CHANDLER REGIONAL MEDICAL CENTER, DIGNITY HEALTH - MERCY GILBERT MEDICAL CENTER, DIGNITY HEALTH - ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER, ST. JOSEPH'S WESTGATE, DIGNITY HEALTH - ARIZONA GENERAL HOSPITAL MESA AND LAVEEN, NATIVE HEALTH, MAYO CLINIC HOSPITAL, PHOENIX CHILDREN'S HOSPITAL, SOUTHWEST ORTHOPEDIC AND SPINE HOSPITAL (OASIS HOSPITAL), ARIZONA SPINE AND JOINT HOSPITAL, ARIZONA ORTHOPEDIC SPECIALTY HOSPITAL, DIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL, VALLEYWISE. FACILITY REPORTING GROUP C PART V, SECTION B, LINE 6B: MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH, HEALTH IMPROVEMENT PARTNERSHIP OF MARICOPA COUNTY (A COLLABORATIVE OF SEVERAL NONPROFITS, AGENCIES, SCHOOLS, AND CHURCHES), AND ARIZONA STATE UNIVERSITY (CONTRACTED BY MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH TO CONDUCT FOCUS GROUPS AND CORRELATE DATA). KEY ORGANIZATIONS INCLUDED: ADELANTE HEALTHCARE, CIRCLE THE CITY, NATIVE HEALTH, VITALYST HEALTH FOUNDATION FACILITY REPORTING GROUP C PART V, SECTION B, LINE 7D: THE CHNA REPORT IS SHARED WITH 1) COMMONSPIRIT HEALTH (CSH) COMMUNITY HEALTH IMPROVEMENT PROGRAM APPLICANTS 2) CSH INVESTMENT PROGRAM APPLICANTS 2) COLLEGES AND UNIVERSITIES FOR STUDENT ASSIGNMENT/COURSE STUDY, NONPROFIT COALITIONS, AND FAITH COMMUNITY. FACILITY REPORTING GROUP C PART V, SECTION B, LINE 11: CHANDLER REGIONAL MEDICAL CENTER:THE HOSPITAL ADDRESSES ALL THE IDENTIFIED SIGNIFICANT HEALTH NEEDS THROUGH HOSPITAL OPERATED PROGRAMS AND SERVICES, COMMUNITY COLLABORATIVES/PARTNERSHIPS, COMMUNITY HEALTH IMPROVEMENT GRANTS PROGRAM, INVESTMENT PROGRAM AND CONTRACTED AGREEMENTS. BELOW IS A LISTING OF THE HOSPITALS IDENTIFIED NEEDS AND A FEW OF THE PROGRAMS CONFIRMED TO ADDRESS THE NEED: MENTAL HEALTH: ZERO SUICIDE, SPIRITUAL CARE LEAD -MENTAL HEALTH SUPPORT GROUP, JOURNEY OF MOTHERHOOD, PREGNANCY AND POSTPARTUM SUPPORT GROUP.- PREGNANCY AND POSTPARTUM SUPPORT GROUP: A PEER BASED SUPPORT GROUP THAT PROVIDES A SAFE, JUDGMENT-FREE PLACE TO CONNECT WITH OTHER MOMS IN SIMILAR STAGES OF LIFE AND EXPERIENCING SIMILAR CHALLENGES, INCLUDING DEPRESSION. FY25 - 126 SERVED.CHRONIC CONDITIONS: HEALTHIER LIVING PROGRAM WORKSHOPS, STROKE SURVIVOR SUPPORT GROUP AND EARLY CHILDHOOD ORAL HEALTH PROGRAM.- HEALTHIER LIVING: AN EVIDENCE-BASED PROGRAM COMPRISING 5 WORKSHOPS PROVIDES FREE- COMMUNITY-BASED HEALTH EDUCATION TO ADDRESS PREVENTABLE AND/OR MANAGEABLE CHRONIC DISEASES, CHRONIC PAIN, AND FALLS. FY25 - 169 SERVED.ACCESS TO CARE: FINANCIAL ASSISTANCE, CHILDREN HEARING AND VISION SCREENING, IMMUNIZATION CLINICS. CHILDREN'S MEDICAL AND DENTAL CLINIC.- DIGNITY HEALTH CHILDREN'S DENTAL CLINIC- FREE DENTAL CARE FOR UNINSURED CHILDREN. FY25 - 1,623 - APPOINTMENTS FOR 782 CHILDREN.- FINANCIAL ASSISTANCE FY25 - PEOPLE SERVED 6,183 - $12,425,849.VIOLENCE AND INJURY PREVENTION: MEDICAL SAFE HAVEN, MATTER OF BALANCE, STOP THE BLEED, CAR SEAT CLINIC.- D4 DIGNITY DOESN'T DRIVE DISTRACTED PARTNERSHIP WITH LOCAL HIGH SCHOOLS SAFE DRIVING PROGRAM FOCUSED ON YOUNG DRIVERS USING SIMULATED INTOXICATED DRIVING EXPERIENCE, GO-KART, FATAL VISION GOGGLES AND BATTLE OF THE BELT CREATED BY ARIZONA DEPARTMENT OF HEALTH SERVICES. FY25 - 201 SERVED.SOCIAL DETERMINANTS OF HEALTH (SDOH): PATHWAYS TO WELLNESS PROGRAM, (COMMUNITY HEALTH WORKERS), CHILDREN'S DENTAL CLINICS, AND COMMUNITY HEALTH IMPROVEMENT GRANT PROGRAM.- PATHWAYS TO WELLNESS - PATHWAYS TO WELLNESS INCORPORATES A CERTIFIED COMMUNITY HEALTH WORKER (CHW) WHO UTILIZES CULTURALLY RESPONSIVE SKILLS TO PARTNER WITH PARTICIPANTS IN CREATING PERSONALIZED ACTION PLANS DURING HOME VISITS. THE PROGRAM FOCUSES ON ADHERENCE TO MEDICAL APPOINTMENTS, INSURANCE NAVIGATION, AND CONNECTION TO SOCIAL SERVICES. FY25 - 60 SERVED.- ACTIVATE - PATIENT NAVIGATORS ADDRESS POST DISCHARGE NEEDS OF HIGH RISK PATIENTS (VETERANS, SENIORS, UNINSURED). NAVIGATION INCLUDES HOME VISITATION, MEDICATION RECONCILIATION, DME, AND CONNECTIONS TO BASIC NEEDS THAT INCLUDE TRANSPORTATION, FOOD, AND PRESCRIPTIONS. FY25 - 243 SERVED.- TRANSPORTATION ASSISTANCE. FY25 - 76 SERVED - $9,089.COMMUNITY HEALTH IMPROVEMENT GRANTS - COMMUNITY HEALTH IMPROVEMENT GRANTS: GRANTS PROGRAM IS FUNDED BY CONTRIBUTIONS FROM THE HOSPITAL AND AWARDS COMMUNITY NONPROFITS ADDRESSING THE HOSPITAL'S IDENTIFIED NEEDS AND HEALTH PRIORITIES: MENTAL HEALTH, CHRONIC DISEASE, CANCER, INJURY PREVENTION, ACCESS TO CARE AND SDOH: FY25 ALLOCATION-$353,500.AGH MESA LLC DBA DIGNITY HEALTH ARIZONA GENERAL HOSPITAL:THE SIGNIFICANT COMMUNITY HEALTH NEEDS THE HOSPITAL IS HELPING TO ADDRESS AND THAT FORM THE BASIS OF THIS DOCUMENT WERE IDENTIFIED IN THE HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA).IN CONJUNCTION WITH MERCY GILBERT MEDICAL CENTER AND CHANDLER REGIONAL MEDICAL CENTER, THE HOSPITAL ADDRESSES ALL THE IDENTIFIED SIGNIFICANT HEALTH NEEDS (ACCESS TO CARE, MENTAL HEALTH, CHRONIC DISEASE, CANCER, INJURY PREVENTION AND SOCIAL DETERMINANTS OF HEALTH) THROUGH HOSPITAL OPERATED PROGRAMS AND SERVICES, COMMUNITY COLLABORATIVES/PARTNERSHIPS, COMMUNITY HEALTHIMPROVEMENT GRANTS PROGRAM, INVESTMENT PROGRAM AND CONTRACTED AGREEMENTS. BELOW IS A LISTING OF THE HOSPITAL'S IDENTIFIED NEEDS AND A FEW OF THE PROGRAMS CONFIRMED TO ADDRESS THE NEED:SOCIAL DETERMINANTS OF HEALTH:- TRANSPORTATION ASSISTANCE. FY25 - 22 PEOPLE SERVED - $974, $157.- ACTIVATE - PATIENT NAVIGATORS ADDRESS POST DISCHARGE NEEDS OF HIGH RISK PATIENTS (VETERANS, SENIORS, UNINSURED). NAVIGATION INCLUDES HOME VISITATION, MEDICATION RECONCILIATION, DME, AND CONNECTIONS TO BASIC NEEDS THAT INCLUDE TRANSPORTATION, FOOD, AND PRESCRIPTIONS. FY25 - 168 SERVED.ACCESS TO CARE:- FINANCIAL ASSISTANCE. FY25 - 1,066 SERVED - $402,986.COMMUNITY HEALTH IMPROVEMENT GRANTS: GRANTS PROGRAM IS FUNDED BY CONTRIBUTIONS FROM THE HOSPITAL AND AWARDS COMMUNITY NONPROFITS ADDRESSING THE HOSPITAL'S IDENTIFIED NEEDS AND HEALTH PRIORITIES: MENTAL HEALTH, CHRONIC DISEASE, CANCER, INJURY PREVENTION, ACCESS TO CARE AND SOCIAL DETERMINANTS OF HEALTH: ALLOCATION FOR ARIZONA GENERAL: $62,000. A FEW OF THE FUNDED ORGANIZATIONS ARE LISTED BELOW.MENTAL HEALTH:- NURTURED BEGINNINGS - PERINATAL BEHAVIORAL HEALTH SUPPORT THAT INCLUDES INPATIENT BEDSIDE SUPPORT, OUTPATIENT COUNSELING SESSIONS, GROUP SESSIONS, AND SUPPORT FOR PARENTS WITH INFANTS IN THE NEONATAL INTENSIVE CARE UNIT - 3/1/2025 - 2/28/2026 - 2,120 SERVED.- NOT MY KID - YOUTH MENTAL HEALTH THROUGH YOUTH MENTAL HEALTH EDUCATION IN SCHOOLS, YOUTH MENTAL HEALTH WEEK AND A YOUTH MENTAL HEALTH SUMMIT. FROM 1/1/2024 - 12/31/2024 - 8,067 SERVED.CHRONIC DISEASE:MISSION OF MERCY - PRIMARY CARE, PRESCRIPTIONS AND CONSULTATIONS AND DISEASE MANAGEMENT EDUCATION FOR UNINSURED ADULTS WITH FOCUS ON CHRONIC DISEASE. FROM 1/12024 - 12/31/2024 - 61 SERVED WITH 390 VISITS, 1,279 PRESCRIPTIONS AND 76 DISEASE MANAGEMENT SESSIONS.- FRESCAZONA MEDICAL FOOD BOX - DIGNITY HEALTH MEDICAL GROUP - FAMILY PRACTICE RESIDENCY PROGRAM AND RESEARCH PROJECT SCREENS PATIENTS WHO IDENTIFY WITH CHRONIC CONDITIONS AND FOOD INSECURITY. PATIENTS ARE OFFERED TO ENROLL IN THE PROGRAM OFFERING DISEASE SPECIFIC MEDICAL FOOD BOXES, NUTRITION EDUCATION, CULTURALLY RELEVANT RECIPES AND CHRONIC DISEASE MANAGEMENT STRATEGIES BY A DIETITIAN. 3/1/2025 - 2/28/2026 - 130 SERVED.CANCER:- AMANDA HOPE RAINBOW ANGELS AMANDA HOPE RAINBOW ANGELS (AHRA) IN PARTNERSHIP WITH GOODWORKS COUNSELING AND LILY'S PAD SERVE CHILDREN WITH CANCER AND THEIR FAMILIES WITH COUNSELING AND SAFE PLAY DAYS FOR IMMUNIZED COMPROMISED CHILDREN. FROM 3/1/2025 - 2/28/2026 - 978 SERVED FOR COUNSELING, TRANSPORTATION AND PLAY DAYS.INJURY PREVENTION:- COMPASSION CONNECT - OUTREACH TO HOMELESS POPULATIONS TO SCREEN AND IDENTIFY HUMAN TRAFFICKING VICTIMS AND PROVIDE NEEDED RESOURCES. FROM 1/1/2024 - 12/31/2024 - 96 SERVED.- DESTINATION DIPLOMA - HOMELESS HIGH SCHOOL STUDENTS ARE IDENTIFIED AND SUPPORTED STIPENDS, SCHOOL SUPPLIES, EMERGENCY ASSISTANCE, REFERRALS TO FREE MEDICAL AND DENTAL CARE, ACCESS TO BASIC NEEDS, FOOD, FINANCIAL ASSISTANCE, AND MENTORING TO IMPROVE STUDENT HEALTH, STABILITY, EDUCATION AND GRADUATION RATES. 3/1/2025- 2/28/2026 - 33 STUDENTS SERVED AND 95% GRADUATED FROM HIGH SCHOOL.SOCIAL DETERMINANT OF HEALTH: FOOD - SNAP GAP - EDUCATING AND ASSISTING COMMUNITY MEMBERS REGARDING SNAP BENEFITS AND ACCESS TO FOOD. 3/1/2025- 2/28/2026 - 1,515 SERVED.ACCESS TO CARE:- COMPASSION CONNECT - HOPE - HEART - HEAL - FREE PRIMARY CARE AND DENTAL CARE TO UNDERSERVED. 3/1/2025 - 2/28/2026 - 553 SERVED.A FULL LISTING OF STRATEGIES/ACTIVITIES TO ADDRESS EACH NEED CAN BE VIEWED IN THE HOSPITAL'S 2025 IMPLEMENTATION STRATEGY PLAN POSTED ON THE HOSPITAL'S WEBSITE.***SEE PART V, SECTION B, LINE 11 CONTINUATION AFTER PART V, SECTION B, LINE 10A DISCLOSURE ON PART V, SECTION C*** FACILITY REPORTING GROUP C 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. IF APPLICABLE, BALANCES BELOW TEN DOLLARS ($10.00) WOULD BE ADJUSTED USING A SMALL BALANCE ADJUSTMENT AND NOT BILLED TO THE PATIENT/GUARANTOR.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 FACILITY REPORTING GROUP D FACILITY REPORTING GROUP D CONSISTS OF: - FACILITY 4: METHODIST HOSPITAL OF SACRAMENTO, - FACILITY 8: WOODLAND MEMORIAL HOSPITAL FACILITY REPORTING GROUP D PART V, SECTION B, LINE 5: METHODIST HOSPITAL OF SACRAMENTO:FOR THE 2025 (TY 2024) COMMUNITY HEALTH NEEDS ASSESSMENT, QUANTITATIVE DATA INCLUDED 23 INTERVIEWS WITH 43 COMMUNITY HEALTH EXPERTS, 12 FOCUS GROUPS CONDUCTED WITH A TOTAL OF 107 COMMUNITY RESIDENTS OR COMMUNITY-FACING SERVICE PROVIDERS, AND 63 RESPONSES TO THE COMMUNITY SERVICE PROVIDER SURVEY. THE HOSPITALS ENGAGED THE FOLLOWING ORGANIZATIONS: CARE FOR THE UNDOCUMENTED, COMMUNITY BASED VIOLENCE PREVENTION, CONNECTED COMMUNITY NETWORK, ELK GROVE CHAMBER OF COMMERCE INITIATIVE TO REDUCE AFRICAN AMERICAN CHILD DEATHS, CITY OF SACRAMENTO WHOLE PERSON CARE/ PATHWAYS TO HEALTH + HOUSING, WELLSPACE HEALTH CAPACITY BUILDING HEALTH, PROFESSIONS EDUCATION, HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA, MACK ROAD PARTNERSHIP, MENTAL HEALTH IMPROVEMENT COALITION, MERCY CLINIC LOAVES & FISHES, MERCY FAITH AND HEALTH PARTNERSHIP, MENTAL HEALTH CONSULTATIONS AND CONSERVATORSHIP SERVICES FINANCIAL ASSISTANCE FOR UNINSURED/UNDERINSURED AND LOW INCOME RESIDENTS, SACRAMENTO COUNTY HEALTH AUTHORITY COMMISSION.WOODLAND MEMORIAL HOSPITAL:FOR THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT, QUANTITATIVE DATA INCLUDED 24 INTERVIEWS WITH COMMUNITY HEALTH EXPERTS, 3 FOCUS GROUPS CONDUCTED WITH A TOTAL OF 24 COMMUNITY RESIDENTS OR COMMUNITY-FACING SERVICE PROVIDERS, AND 18 RESPONSES TO THE COMMUNITY SERVICE PROVIDER SURVEY. THE HOSPITALS CONSULTED WITH COMMUNITY-BASED ORGANIZATIONS, FAITH GROUPS, HEALTH DEPARTMENTS, AND SOCIAL SERVICE AGENCIES THAT HAVE CURRENT DATA OR RELEVANT INSIGHTS ABOUT THE COMMUNITY'S HEALTH NEEDS. THESE ORGANIZATIONS INCLUDED ENTITIES LIKE LONG BEACH FORWARD, THE LONG BEACH DEPARTMENT OF HEALTH AND HUMAN SERVICES, AND OTHER LOCAL AGENCIES INVOLVED IN COMMUNITY HEALTH AND SOCIAL SERVICES. THE HOSPITALS ENGAGED THE FOLLOWING ORGANIZATIONS: CARE FOR THE UNDOCUMENTED, COMMUNITY BASED VIOLENCE PREVENTION, CONNECTED COMMUNITY NETWORK, ELK GROVE CHAMBER OF COMMERCE, INITIATIVE TO REDUCE AFRICAN AMERICAN CHILD DEATHS, CITY OF SACRAMENTO WHOLE PERSON CARE/ PATHWAYS TO HEALTH + HOUSING, WELLSPACE HEALTH CAPACITY BUILDING, HEALTH PROFESSIONS EDUCATION, HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA, MACK ROAD PARTNERSHIP MENTAL HEALTH IMPROVEMENT COALITION, MERCY CLINIC LOAVES & FISHES, MERCY FAITH AND HEALTH PARTNERSHIP, MENTAL HEALTH CONSULTATIONS AND CONSERVATORSHIP SERVICES FINANCIAL ASSISTANCE FOR UNINSURED/UNDERINSURED AND LOW INCOME RESIDENTS SACRAMENTO COUNTY HEALTH AUTHORITY COMMISSION. FACILITY REPORTING GROUP D PART V, SECTION B, LINE 6A: METHODIST HOSPITAL OF SACRAMENTO:METHODIST HOSPITAL OF SACRAMENTO: MERCY HOSPITAL OF FOLSOM, MERCY SAN JUAN MEDICAL CENTER, MERCY GENERAL HOSPITAL, AND METHODIST HOSPITAL OF SACRAMENTO, UC DAVIS MEDICAL CENTER, SUTTER MEDICAL CENTER SACRAMENTO, SUTTER CENTER FOR PSYCHIATRYWOODLAND MEMORIAL HOSPITAL:SUTTER DAVIS HOSPITAL FACILITY REPORTING GROUP D PART V, SECTION B, LINE 7D: THE CHNA REPORT WAS ALSO SHARED WITH ORGANIZATIONS APPLYING FOR THE COMMUNITY HEALTH IMPROVEMENT GRANT PROGRAM. FACILITY REPORTING GROUP D PART V, SECTION B, LINE 11: METHODIST HOSPITAL OF SACRAMENTO AND WOODLAND MEMORIAL HOSPITAL: THE HOSPITALS ARE ADDRESSING OR DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: (1) ACCESS TO CARE, (2) MENTAL HEALTH & SUBSTANCE USE, (3) CHRONIC DISEASE PREVENTION & MANAGEMENT, AND (4) ACCESS TO RESOURCES.INITIATIVES THAT ADDRESS THESE PRIORITIES LARGELY TARGET VULNERABLE AND AT-RISK POPULATIONS, WITH EMPHASIS ON COLLABORATION WITH OTHER DIGNITY HEALTH HOSPITALS AND COMMUNITY PARTNERS. METHODIST HOSPITAL OF SACRAMENTO AND WOODLAND MEMORIAL HOSPITAL ARE ADDRESSING THESE NEEDS WITH NUMEROUS DIRECT SERVICE PROGRAMS, GRANT FUNDING TO THE COMMUNITY, PATIENT FINANCIAL ASSISTANCE, AND COMMUNITY PARTNERSHIPS DESCRIBED IN DETAIL IN EACH FACILITY'S IMPLEMENTATION STRATEGY, WHICH ARE AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS AT THESE HOSPITALS INCLUDE:RECUPERATIVE CARE PROGRAM: METHODIST HOSPITAL OF SACRAMENTO'S RECUPERATIVE CARE PROGRAM, A COLLABORATIVE INITIATIVE WITH REGIONAL PARTNERS INCLUDING DIGNITY HEALTH AND WELLSPACE, OFFERS NURSE-MANAGED RESPITE CARE FOR HOMELESS PATIENTS. THIS SPECIALIZED UNIT PROVIDES MEALS, BED REST, NURSING CARE, SELF-CARE EDUCATION, AND VITAL PHYSICAL, MENTAL HEALTH, AND SUBSTANCE ABUSE TREATMENT. THE PROGRAM ALSO DELIVERS CASE MANAGEMENT TO CONNECT PATIENTS WITH ESSENTIAL COMMUNITY RESOURCES. IN 2025, THE HOSPITAL INVESTED $43,000 TO SUPPORT 14 UNHOUSED PATIENTS, DIRECTLY ADDRESSING PRIORITY NEEDS IDENTIFIED IN ITS 2025 (TY 2024) CHNA.HOUSING WITH DIGNITY: IN 2025, METHODIST HOSPITAL OF SACRAMENTO PARTNERED WITH LUTHERAN SOCIAL SERVICES AND CENTENE, INVESTING $84,000 TO ADDRESS PRIORITY CHNA NEEDS BY HELPING 52 HOMELESS INDIVIDUALS WITH SEVERE CHRONIC HEALTH AND MENTAL HEALTH ISSUES SECURE AND MAINTAIN HOUSING, CARE, AND SERVICES. THE PROGRAM, INVOLVING HOSPITAL CASE MANAGERS AND LSS STAFF, PLACED PARTICIPANTS IN SUPPORTIVE STABILIZATION APARTMENTS WITH INTENSIVE CASE MANAGEMENT. EIGHT PATIENTS SUCCESSFULLY TRANSITIONED OUT OF THE PROGRAM INTO STABLE LIVING SITUATIONS, INCLUDING FAMILY REUNIFICATION, SUPPORTIVE HOUSING, OR INDEPENDENT LIVING.PATIENT NAVIGATOR PROGRAM: THE PATIENT NAVIGATOR PROGRAM EMPOWERS PATIENTS WHO FREQUENTLY USE EMERGENCY DEPARTMENTS FOR NON-URGENT CARE. NAVIGATORS CONNECT INDIVIDUALS WITH APPROPRIATE MEDICAL HOMES, FACILITATE FOLLOW-UP APPOINTMENTS, AND ADDRESS OTHER BARRIERS TO ACCESSING CARE. THIS INNOVATIVE PROGRAM IS A COLLABORATIVE EFFORT BETWEEN DIGNITY HEALTH, COMMUNITY HEALTHWORKS, AND EMPOWER YOLO. IN 2025, METHODIST HOSPITAL OF SACRAMENTO AND WOODLAND MEMORIAL HOSPITAL JOINTLY INVESTED $142,603 TO IMPROVE ACCESS TO CARE AND RESOURCES FOR 2,539 EMERGENCY DEPARTMENT PATIENTS IDENTIFIED WITH UNMET SOCIAL NEEDS.HEALTHIER LIVING PROGRAM: THE HEALTHIER LIVING PROGRAM EMPOWERS PARTICIPANTS TO EFFECTIVELY SELF-MANAGE THEIR CHRONIC HEALTH CONDITIONS BY TEACHING A DIVERSE RANGE OF PRACTICAL TOOLS. THESE WORKSHOPS ARE ACCESSIBLE TO INDIVIDUALS WITH CHRONIC CONDITIONS AND THEIR CAREGIVERS ALIKE. OFFERED AT THE COMMUNITY LEVEL THROUGH PARTNERSHIPS WITH MEDICAL CLINICS, FOOD BANKS, AND AFFORDABLE HOUSING DEVELOPMENTS, THE PROGRAM ENSURES UNDERSERVED POPULATIONS HAVE ACCESS TO PEER-LED HEALTH EDUCATION. IN 2025, METHODIST HOSPITAL OF SACRAMENTO AND WOODLAND MEMORIAL HOSPITAL JOINTLY INVESTED $89,583 IN CHRONIC DISEASE PREVENTION AND MANAGEMENT, DELIVERING 28 WORKSHOPS TO 299 INDIVIDUAL OTHER PROGRAMS AT THESE HOSPITALS NOT MENTIONED ABOVE INCLUDE RESOURCES FOR LOW-INCOME PATIENTS, RESOURCES FOR HOMELESS PATIENTS ,INTERNAL MEDICINE RESIDENCY PROGRAM, HEALTH PROFESSION EDUCATION - OTHER, HEALTH PROFESSION EDUCATION - NURSING, ONCOLOGY NURSE NAVIGATOR, HEALTHIER LIVING PROGRAM, FALLS PREVENTION PROGRAM, DISEASE-SPECIFIC SUPPORT GROUPS, SACRAMENTO PHYSICIANS' INITIATIVE TO REACH OUT, INNOVATE AND TEACH (SPIRIT), SAFE KIDS PROGRAM, DIGNITY HEALTH COMMUNITY HEALTH IMPROVEMENT GRANTS PROGRAM, AND SUBSTANCE USE PATIENT NAVIGATION PROGRAM.THE HOSPITALS DO NOT HAVE THE CAPACITY OR RESOURCES TO ADDRESS ALL PRIORITY HEALTH ISSUES. THE HOSPITALS ARE NOT ADDRESSING ACCESS TO FUNCTIONAL NEEDS, ACCESS TO DENTAL CARE AND PREVENTIVE SERVICES, AND HEALTHY PHYSICAL ENVIRONMENT, AND SAFE/VIOLENCE-FREE ENVIRONMENT AS THESE PRIORITIES ARE BEYOND THE CAPACITY AND EXPERTISE OF METHODIST HOSPITAL OF SACRAMENTO AND WOODLAND MEMORIAL HOSPITAL; HOWEVER, THE HOSPITALS WILL LOOK FOR OPPORTUNITIES TO COORDINATE AND COLLABORATE WITH OTHER ENTITIES THAT OFFER PROGRAMS THAT ADDRESS THESE NEEDS. MOREOVER, THE HOSPITALS HAVE CONTINUOUSLY ENGAGED IN COLLABORATIVE EFFORTS FOCUSING ON DEVELOPMENT OF A BROAD CLINICAL AND SOCIOECONOMIC PLANS WITH MULTI-DISCIPLINARY PARTNERS FROM HEALTH CARE, BUSINESS, SOCIAL SERVICES, GOVERNMENT, COMMUNITY-BASED ORGANIZATIONS AND WIDER SOCIETY. FACILITY REPORTING GROUP D 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. IF APPLICABLE, BALANCES BELOW TEN DOLLARS ($10.00) WOULD BE ADJUSTED USING A SMALL BALANCE ADJUSTMENT AND NOT BILLED TO THE PATIENT/GUARANTOR.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 PAYMENTOPTIONS, 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'SCOOPERATION 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 MEDICAIDBENEFICIARY, 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.THE FOLLOWING REQUIREMENTS FOR ADDITIONAL HARDSHIP DISCOUNTS IS AN ADDENDUM OF THE FINANCIAL ASSISTANCE POLICY THAT APPLY TO PATIENTS RECEIVING SERVICES AT A COMMONSPIRIT HOSPITAL ORGANIZATION IN THE STATE OF CALIFORNIA ONLY.A PATIENT WHO RECEIVES DISCOUNTED CARE, BUT (1) WHOSE LIABILITY STILL EXCEEDS 30% OF THE SUM OF (A) HIS OR HER FAMILY INCOME, AND (B) HIS OR HER MONETARY ASSETS, AND (2) WHO DOES NOT HAVE THE ABILITY TO PAY HIS OR HER BILL, AS DETERMINED BY A REVIEW OF FACTORS SUCH AS PROJECTED FAMILY INCOME FOR THE COMING YEAR AND EXISTING OR ANTICIPATED HEALTH CARE LIABILITIES MAY BE GIVEN AN ADDITIONAL HARDSHIP DISCOUNT. FOR PURPOSES OF THE DETERMINATION OF THIS HARDSHIP DISCOUNT, THE COMMONSPIRIT HOSPITAL ORGANIZATION WILL NOT CONSIDER ASSETS IN RETIREMENT PLANS QUALIFIED UNDER THE INTERNAL REVENUE CODE IN EFFECT AT THE TIME OF THE DETERMINATION OR DEFERRED COMPENSATION PLANS.IF THE PATIENT MEETS ALL ELIGIBILITY CRITERIA, THE PATIENT WILL RECEIVE A HARDSHIP DISCOUNT, WHICH WILL REDUCE THE PATIENT'S REMAINING LIABILITY TO NO MORE THAN 30% OF THE SUM OF HIS OR HER (1) PATIENT FAMILY INCOME, AND (2) MONETARY ASSETS.A PATIENT MAY ALSO RECEIVE DISCOUNTS OR WAIVERS UNDER THIS ADDENDUM IF CONSIDERED HOMELESS OR TRANSIENT OR IF THEY PARTICIPATE IN A FEDERAL, STATE, OR LOCAL MANAGED INDIGENT CARE PROGRAM. PART V, SECTION B, LINE 5/FACILITY REPORTING GROUP A (CONT'D): FRENCH HOSPITAL MEDICAL CENTER:THE 2025 (TY 2024) CHNA DATA COLLECTION PROCESS INCLUDED A COMPILATION OF PRIMARY AND SECONDARY DATA SOURCES, COMPRISING COMMUNITY ORGANIZATION FOCUS GROUPS, KEY INFORMANT INTERVIEWS, PUBLIC HEALTH STATISTICS, AND U.S. CENSUS DATA. PRIMARY QUALITATIVE DATA WAS OBTAINED THROUGH THE FACILITATION OF FOCUS GROUPS AND KEY INFORMANT INTERVIEWS WITH COMMUNITY STAKEHOLDERS. FOCUS GROUPS WERE HELD DURING THE SUMMER OF 2024, AND INCLUDED TARGETED MEMBERS OF VULNERABLE POPULATIONS, INCLUDING LGBTQ+, BLACK OR AFRICAN AMERICAN, THOSE WITH LIMITED ENGLISH PROFICIENCY, UNHOUSED, VETERANS, YOUTH, AND SENIORS. THIS MIXED-METHODS APPROACH VALIDATES DATA BY CROSS-VERIFYING FROM MULTIPLE SOURCES, PROVIDING A BROADER PERSPECTIVE OF THE COMMUNITY AND POPULATION HEALTH NEEDS. THIS INFORMATION WAS CORROBORATED WITH SECONDARY QUANTITATIVE DATA OBTAINED FROM DATASETS MAINTAINED BY GOVERNMENTAL AND NONGOVERNMENTAL ORGANIZATIONS AT THE LOCAL, STATE, AND NATIONAL LEVELS. THE FOLLOWING ORGANIZATIONS CONTRIBUTED COMMUNITY INPUT: SAN LUIS, OBISPO COUNTY PUBLIC HEALTH DEPARTMENT, FIRST 5 SAN LUIS OBISPO COUNTY, HOUSING AUTHORITIES AND HOMELESS OUTREACH ORGANIZATIONS, COMMUNITY CLINICS AND HEALTH CENTERS, LOCAL NONPROFITS SUPPORTING IMMIGRANT, INDIGENOUS, AND VULNERABLE POPULATIONS, BEHAVIORAL HEALTH AND SOCIAL SERVICE AGENCIES, YOUTH, SENIOR, AND DISABILITY SUPPORT ORGANIZATIONS. THE FHMC CHNA PREPARATION TEAM THOUGHTFULLY DETERMINED THE SIGNIFICANT COMMUNITY HEALTH NEEDS DURING COLLABORATIVE DISCUSSIONS AND PRESENTATIONS WITH SENIOR LEADERSHIP. QUALITATIVE DATA AND ANECDOTAL STORIES ALL POINTED TO THE IDENTIFIED COMMUNITY HEALTH NEEDS. THE SAME CONCERNS AND NEEDS CONSISTENTLY EMERGED AND WERE REITERATED THROUGHOUT MANY FOCUS GROUP MEETINGS AND KEY INFORMANT INTERVIEWS. PART V, SECTION B, LINE 7A - CHNA ON HOSPITAL FACILITY'S WEBSITE: CHNA REPORT WEBSITE LOCATIONS FOR EACH HOSPITAL FACILITY ARE PROVIDED BELOW.FACILITY REPORTING GROUP ACALIFORNIA HOSPITAL MEDICAL CENTER:HTTPS://WWW.DIGNITYHEALTH.ORG/SOCAL/LOCATIONS/CALIFORNIAHOSPITAL/ABOUT-US/COMMUNITY-HEALTH-PROGRAMS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-PLANNORTHRIDGE HOSPITAL MEDICAL CENTER:HTTPS://WWW.DIGNITYHEALTH.ORG/SOCAL/LOCATIONS/NORTHRIDGEHOSPITAL/ABOUT-US/COMMUNITY-BENEFIT-REPORTSSEQUOIA HOSPITAL:HTTPS://WWW.DIGNITYHEALTH.ORG/BAYAREA/LOCATIONS/SEQUOIA/ABOUT-US/COMMUNITY-BENEFITSGLENDALE MEMORIAL HOSPITAL & HEALTH CENTER:HTTPS://WWW.DIGNITYHEALTH.ORG/SOCAL/LOCATIONS/GLENDALEMEMORIAL/ABOUT-US/SERVING-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-PLANFRENCH HOSPITAL MEDICAL CENTER:HTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/LOCATIONS/FRENCHHOSPITAL/ABOUT-US/COMMUNITY-BENEFITSFACILITY REPORTING GROUP BARIZONA SPECIALTY HOSPITAL (FKA OASIS AND AOSH) :HTTPS://ARIZONASPECIALTYHOSPITAL.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENTARIZONA SPINE AND JOINT HOSPITAL:HTTPS://AZSPINEANDJOINT.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENTDIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL:HTTPS://WWW.DIGNITYHEALTHEVREHABCHANDLER.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTDIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL - GILBERT:HTTPS://WWW.DIGNITYHEALTHEVREHABGILBERT.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTFACILITY REPORTING GROUP CCHANDLER REGIONAL MEDICAL CENTER:HTTPS://WWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/CHANDLERREGIONAL/ABOUT-US/COMMUNITY-BENEFIT-OUTREACH/BENEFITS-REPORTSARIZONA GENERAL HOSPITAL - LAVEEN:ARIZONA GENERAL HOSPITAL - MESA:HTTPS://WWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/ARIZONAGENERAL/ABOUT-US/COMMUNITY-BENEFITFACILITY REPORTING GROUP DMETHODIST HOSPITAL OF SACRAMENTO:HTTPS://WWW.DIGNITYHEALTH.ORG/SACRAMENTO/ABOUT-US/COMMUNITY-HEALTH-AND-OUTREACH/HEALTH-NEEDS-ASSESSMENTWOODLAND MEMORIAL HOSPITAL:HTTPS://WWW.DIGNITYHEALTH.ORG/SACRAMENTO/ABOUT-US/COMMUNITY-HEALTH-AND-OUTREACH/HEALTH-NEEDS-ASSESSMENTDIGNITY HEALTH REHABILITATION HOSPITAL (SIENA CAMPUS):HTTPS://WWW.DIGNITYHEALTHREHAB.COM/PATIENTS-AND-CAREGIVERS/ADMISSIONS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ PART V, SECTION B, LINE 7B - CHNA ON OTHER WEBSITES: DIGNITY HEALTH REHABILITATION HOSPITAL (SIENA CAMPUS):HTTPS://WWW.HEALTHYSOUTHERNNEVADA.ORG/TILES/INDEX/DISPLAY?ID=356966798698245621 PART V, SECTION B, LINE 10A - IMPLEMENTATION STRATEGIES ON WEBSITES: DIGNITY COMMUNITY CARE HOSPITAL FACILITY IMPLEMENTATION STRATEGY DOCUMENTS CAN BE ACCESSED AT EACH HOSPITAL FACILITY'S WEBSITE, AT THE SAME LOCATIONS AS THEIR CHNA REPORTS LISTED IN PART V, SECTION B, LINE 7A ABOVE. PART V, SECTION B, LINE 11 /FACILITY REPORTING GROUP A (CONT'D): SEQUOIA HOSPITAL:SEQUOIA HOSPITAL WILL ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS. ACCESS TO HEALTH CARE: HEALTHY LIFESTYLES (CHRONIC DISEASES AND PREVENTIVE PRACTICES) HOUSING AND HOMELESSNESS. MENTAL HEALTH PROGRAMS & SERVICES ADDRESSING HEALTH NEED(S): ANEWVISTA: SEQUOIA HOSPITAL GRANTED ANEWVISTA $17,500 TO SUPPORT AND PROMOTE A DIGITAL LITERACY INITIATIVE FOR OLDER ADULTS THAT AIMS TO ENHANCE THEIR HEALTH AND WELL-BEING OUTCOMES. CHARITABLE CASH AND IN-KIND DONATIONS: PROVIDED $829,649 IN CASH AND IN-KIND DONATIONS TO COMMUNITY-BASED ORGANIZATIONS TO ADDRESS ACCESS TO HEALTH CARE. COMMUNITY BLOOD PRESSURE SCREENING: FREE BLOOD PRESSURE SCREENINGS FOR OLDER ADULTS PROVIDED BY AN RN AT COMMUNITY CENTERS. THE PROGRAM INCLUDES MONITORING SCREENING RESULTS, ONE-ON-ONE COUNSELING & CHRONIC DISEASE SELF-MANAGEMENT AND REFERRALS TO PHYSICIANS FOR ABNORMAL RESULTS. TOTAL SCREENING ENCOUNTERS: 677. ENCOUNTERS IDENTIFIED AS HYPERTENSIVE: 202 REFERRALS TO MEDICAL DOCTORS RESULTING FROM SCREENING: 72 COUNSELING ENCOUNTERS PROVIDED: 206 MEDICATION CARDS DISTRIBUTED DURING ENCOUNTERS: 230 COMMUNITY HEALTH IMPROVEMENT GRANTS PROGRAM: OFFERS GRANTS TO NONPROFIT COMMUNITY ORGANIZATIONS THAT PROVIDE ACCESS TO HEALTH CARE PROGRAMS AND SERVICES. GRANT RECIPIENT(S): SONRISAS DENTAL HEALTH SCHOOL SCREENING AND EDUCATION PROGRAM ($20,000) VILLAGES OF SAN MATEO COUNTY ($22,500), PENINSULA VOLUNTEERS, INC. ($25,000), ONE LIFE COUNSELING CENTER ($40,000), FINANCIAL ASSISTANCE FOR THE UNINSURED OR UNDERINSURED: PROVIDED $3,385,690 IN FINANCIAL ASSISTANCE (INCLUDING DISCOUNTS AND CHARITY CARE) TO THOSE WHO HAVE HEALTH CARE NEEDS AND ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR A GOVERNMENT PROGRAM OR OTHERWISE UNABLE TO PAY. HEALTH PROFESSIONS EDUCATION PROGRAM: THE HOSPITAL PARTNERS WITH EDUCATIONAL OR TRAINING PROGRAMS TO OFFER A CLINICAL SETTING FOR TRAINING AND EDUCATING 97 NURSING STUDENTS AND OTHER ALLIED HEALTH PROFESSIONALS. OPERATION ACCESS: SEQUOIA HOSPITAL PARTNERS WITH OPERATION ACCESS TO LINK DONATED SURGICAL PREVENTIVE CARE TO UNINSURED AND UNDERINSURED PATIENTS IN SAN MATEO COUNTY AT NO CHARGE TO PATIENTS. COMMUNITY SPACE SHARING PROGRAM: THIS PROGRAM OFFERS MEETING ROOM SPACE TO NONPROFIT ORGANIZATIONS ADDRESSING CHRONIC DISEASES AND PREVENTIVE PRACTICES. DIABETES EDUCATION EMPOWERMENT PROGRAM (D.E.E.P.): EVIDENCE BASED EDUCATIONAL PROGRAM DESIGNED TO ENGAGE COMMUNITY RESIDENTS IN SELF-MANAGEMENT PRACTICES FOR PREVENTION AND CONTROL OF DIABETES. MATTER OF BALANCE: AN EVIDENCE-BASED PROGRAM DESIGNED TO REDUCE THE FEAR OF FALLING AND INCREASE ACTIVITY LEVELS AMONG OLDER ADULTS. MATURING GRACEFULLY: IN COLLABORATION WITH THE SAN MATEO LIBRARIES AND FRIENDS OF THE BELMONT LIBRARY, THIS MONTHLY PROGRAM FOR OLDER ADULTS OFFERS PRESENTATIONS BY GUEST SPEAKERS ON VARIOUS HEALTH RELATED TOPICS. DISCHARGE PLANNING FOR HOMELESS PATIENTS: SUPPORTIVE SERVICES INCLUDE A MEAL, WEATHER-APPROPRIATE CLOTHING, MEDICATIONS, TRANSPORTATION, INFECTIOUS DISEASE SCREENING, VACCINATIONS, AND SCREENING FOR AFFORDABLE HEALTHCARE COVERAGE. THE SAN MATEO COUNTY COORDINATED ENTRY SYSTEM IS CONTACTED FOR SHELTER PLACEMENT. NEW PARENTS SUPPORT GROUP: THIS GROUP HELPS INDIVIDUALS NAVIGATE THE CHALLENGES OF PARENTING THROUGH STRUCTURED, INCLUSIVE, STRENGTH-BASED, AND EMPOWERING EXPERIENCES. TAKING EXISTING HOSPITAL AND COMMUNITY RESOURCES INTO CONSIDERATION, SEQUOIA HOSPITAL WILL NOT DIRECTLY ADDRESS THE REMAINING SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE CHNA, WHICH INCLUDE OVERWEIGHT AND OBESITY, SUBSTANCE USE, AND TUBERCULOSIS. KNOWING THERE ARE NOT SUFFICIENT RESOURCES TO ADDRESS ALL THE COMMUNITY HEALTH NEEDS, SEQUOIA HOSPITAL CHOSE TO CONCENTRATE ON THOSE HEALTH NEEDS THAT CAN MOST EFFECTIVELY BE ADDRESSED GIVEN THE ORGANIZATION'S AREAS OF FOCUS AND EXPERTISE. THE HOSPITAL HAS INSUFFICIENT RESOURCES TO EFFECTIVELY ADDRESS ALL THE IDENTIFIED NEEDS AND, IN SOME CASES, THE NEEDS ARE BEING ADDRESSED BY OTHERS IN THE COMMUNITY.GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER:THE FOUR SIGNIFICANT AND PRIORITIZED HEALTH NEEDS IDENTIFIED BY THE COMMUNITY HEALTH NEEDS ASSESSMENT ARE: (1) HOUSING FOR LOW-INCOME AND UNHOUSED POPULATIONS; (2) ACCESS TO BEHAVIORAL HEALTH CARE; (3) ACCESS TO HEALTHCARE; (4) COMMUNITY BELONGING. GMHHC IS PLANNING TO ADDRESS ALL OF THE PRIORITIZED NEEDS THROUGH SEVERAL PROGRAMS AND INITIATIVES. THIS INCLUDES PATIENT FINANCIAL ASSISTANCE, COMMUNITY HEALTH IMPROVEMENT GRANTS (RECIPIENTS PROVIDE PROGRAMS AND/OR SERVICES THAT ADDRESS OUR SIGNIFICANT COMMUNITY HEALTH NEEDS); 50PLUS SENIOR SERVICES PROGRAM (INCLUDES EDUCATION, WELL-BEING, SOCIAL, AND EXERCISE EVENTS FOR SENIORS IN OUR COMMUNITY); STROKE SUPPORT GROUP; DIABETES AND NUTRITION PROGRAM; COLLABORATION WITH THE GLENDALE HEALTHIER COMMUNITY COALITION; HEALTH PROFESSIONS EDUCATION (INTERNSHIPS TO STUDENTS ACROSS DEPARTMENTS SUCH AS IMAGING STUDIES/RADIOLOGY, PHARMACY, SURGERY, NUTRITION SERVICES, AND REHABILITATIVE SERVICES); COMMUNITY HEALTH FAIRS (EDUCATION AND SCREENINGS). PART V, SECTION B, LINE 11 /FACILITY REPORTING GROUP A (CONT'D): FRENCH HOSPITAL MEDICAL CENTER:THE FOLLOWING SIGNIFICANT COMMUNITY HEALTH NEEDS WERE DETERMINED BY THE 2025 CHNA REPORT: 1. CULTURALLY SENSITIVE AND ACCEPTING HEALTHCARE TRUSTED BY THE COMMUNITY. PROVIDE HEALTH CARE SERVICES THAT ACKNOWLEDGE THE PATIENT'S CULTURE AND TRADITIONS TO ENHANCE TRUST AMONG PROVIDER AND PATIENT. 2. READILY AVAILABLE HEALTHCARE AND NAVIGATION ASSISTANCE IN THE PATIENTS' SPOKEN LANGUAGE. PROVIDE INTERPRETATION SERVICES, FORMS AND LITERATURE IN THE PATIENTS' PREFERRED LANGUAGE. 3. UNMET VITAL CONDITIONS, INCLUDING TRANSPORTATION, FINANCES, HOUSING (INCLUDING THE UNHOUSED POPULATION), EDUCATION, THE ENVIRONMENT, AND CHILDCARE. BARRIERS TO BASIC NEEDS CAN AFFECT AN INDIVIDUAL'S HEALTH IN ALL ASPECTS: BODY, MIND, AND SPIRIT. 4. ACCESS TO IMPROVED BEHAVIORAL HEALTH, INCLUDING SUBSTANCE USE DISORDER TREATMENT, AND NAVIGATION OF SERVICES WITH A SPECIAL EMPHASIS ON THE UNHOUSED POPULATION. DEVELOPING LOW BARRIER CRITERIA TO BEHAVIORAL HEALTH AND SUBSTANCE ABUSE DISORDER TREATMENTS TO NEEDIEST. THE HOSPITAL INTENDS TO TAKE SEVERAL ACTIONS AND DEDICATE RESOURCES TO HELP ADDRESS EACH OF THESE NEEDS. 1. CULTURALLY SENSITIVE AND ACCEPTING HEALTHCARE TRUSTED BY THE COMMUNITY.: IMPLEMENT THE FOLLOWING PROGRAMS: COLIBR PROJECT CULTURAL AWARENESS TRAINING, SCHWARTZ ROUNDS, PEER TO PEER SUPPORT, AND HEALTH CARE HUMILITY SERIES. THE MAIN FOCUS OF THESE PROGRAMS IS TO IMPROVE PATIENT TRUST, HEALTH OUTCOMES, AND HEALTH CARE EXPERIENCES BY SHARING CULTURAL, HISTORICAL, AND LANGUAGE DIFFERENCES WHEN SERVING THE COMMUNITY. 80% OF THE COLIBR PROJECT TRAINING ATTENDEES WILL BE ABLE TO IDENTIFY 2 CULTURAL NORMS ON THEIR POST SURVEY. 2. READILY AVAILABLE HEALTHCARE AND NAVIGATION ASSISTANCE IN THE PATIENTS' SPOKEN LANGUAGE.: IMPLEMENT THE FOLLOWING: HERITAGE LANGUAGE IDENTIFIER TOOL, DIGNITY HEALTH INTERPRETER CERTIFICATION PROGRAM, AND INCREASE COVERAGE OF MIXTECO INTERPRETERS.THE MAIN GOAL IS TO IMPROVE PATIENT COMMUNICATION BETWEEN THE HEALTHCARE TEAM AND PATIENT TO ENHANCE HEALTH OUTCOMES AND HEALTHCARE EXPERIENCES. 40% OF THE HOSPITAL PATIENT INTERFACING STAFF WILL REPORT THE USE OF THE HERITAGE LANGUAGE IDENTIFIER TOOL MOST OF THE TIME AND INCREASE THE NUMBER OF STAFF THAT ARE CERTIFIED TO PROVIDE INTERPRET SERVICES BY 25%. 3. UNMET VITAL CONDITIONS, INCLUDING TRANSPORTATION, FINANCES, HOUSING (INCLUDING THE UNHOUSED POPULATION), EDUCATION, THE ENVIRONMENT, AND CHILDCARE.: THE FOLLOWING PROGRAMS WILL ASSIST IN ADDRESSING THE UNMET VITAL CONDITIONS: COMMUNITY HEALTH IMPROVEMENT GRANT PROGRAM, HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM, AND HOSPITAL'S PATIENT TRANSPORTATION PROGRAM. THESE PROGRAMS WILL HELP ADDRESS THE UNMET VITAL CONDITIONS AMONG THE MOST MARGINALIZED IN THE COMMUNITY. 4. ACCESS TO IMPROVED BEHAVIORAL HEALTH, INCLUDING SUBSTANCE USE DISORDER TREATMENT, AND NAVIGATION OF SERVICES WITH A SPECIAL EMPHASIS ON THE UNHOUSED POPULATION.: THE FOLLOWING PROGRAMS WILL INCREASE ACCESS TO THESE NEEDS: BEHAVIORAL WELLNESS SUPPORT GROUPS, BEHAVIORAL WELLNESS CENTER, COMMUNITY HEALTH GRANT PROGRAM, AND SUBSTANCE USE NAVIGATION PROGRAM. ALL OF THESE PROGRAMS WILL IMPROVE ACCESS TO BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER BY INCREASING ATTENDANCE BY 5% IN THE BEHAVIORAL SUPPORT GROUPS AS WELL AS A 5% IMPROVEMENT IN THE SUPPORT GROUP ATTENDEES' SELF EFFICACY PRE AND POST ASSESSMENTS. WHILE RESOURCES ARE AVAILABLE TO ADDRESS THE IDENTIFIED NEEDS OF THE COMMUNITY, THE NEEDS ARE TOO SIGNIFICANT FOR ANY ONE ORGANIZATION. MAKING A SUBSTANTIAL AND UPSTREAM IMPACT WILL REQUIRE THE COLLABORATIVE EFFORTS OF COMMUNITY ORGANIZATIONS, LOCAL GOVERNMENT, LOCAL BUSINESS LEADERS, AND OTHER INSTITUTIONS. EVERY PROGRAM IDENTIFIED WILL ENGAGE MULTIPLE, COMMUNITY, NON-GOVERNMENTAL ORGANIZATIONS TO EXECUTE THE PLANNED STRATEGY/PROGRAM SUCH AS: HERENCIA INDGENA, MICOP, SLO NOOR FREE MEDICAL AND DENTAL CLINICS, HEARST CANCER RESOURCE CENTER, PACIFIC CENTRAL COAST HEALTH CENTERS, GOOD SAMARITAN SHELTER, THE SALVATION ARMY, COMMUNITY COUNSELING CENTER, ECHO SHELTER, HOSPITAL ADMINISTRATION, AND CARE COORDINATION DEPARTMENT. PART V, SECTION B, LINE 11 /FACILITY REPORTING GROUP C (CONT'D): AGH LAVEEN LLC DBA DIGNITY HEALTH ARIZONA GENERAL:THE SIGNIFICANT COMMUNITY HEALTH NEEDS THE HOSPITAL IS HELPING TO ADDRESS AND THAT FORM THE BASIS OF THIS DOCUMENT WERE IDENTIFIED IN THE HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA).IN CONJUNCTION WITH ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER IN PHOENIX, THE HOSPITAL ADDRESSES ALL THE IDENTIFIED SIGNIFICANT HEALTH NEEDS THROUGH HOSPITAL OPERATED PROGRAMS AND SERVICES, COMMUNITY COLLABORATIVES/PARTNERSHIPS, COMMUNITY HEALTH IMPROVEMENT GRANTS PROGRAM AND CONTRACTED AGREEMENTS. BELOW IS A LISTING OF THE HOSPITAL'S IDENTIFIED NEEDS AND A FEW OF THE PROGRAMS CONFIRMED TO ADDRESS THE NEED:ACCESS TO CARE: ENROLLMENT ASSISTANCE FOR HEALTH INSURANCE AND OTHER GOVERNMENT RESOURCES, ACTIVATE PROGRAM, HOSPITAL-BASED COMMUNITY NAVIGATORS, LYFT TRANSPORTATION SERVICES, MOMOBILE, PATIENT FINANCIAL ASSISTANCE, COMMUNITY HEALTH WORKERS.CANCER: CANCER MEDICATION ASSISTANCE PROGRAM, CANCER RESOURCE NAVIGATOR, LIFESTYLE MANAGEMENT WORKSHOPS AND SUPPORT GROUPS.CHRONIC CONDITIONS: DIABETES EMPOWERMENT EDUCATION PROGRAM (DEEP), HEALTHIER LIVING PROGRAMS, MUHAMMED ALI PARKINSON'S CENTER PROGRAMS, AND STROKE PREVENTION EDUCATION, ACUTE PATIENT NAVIGATION POST-DISCHARGE (ACTIVATE). DEEP IS AN EVIDENCE-BASED PROGRAM COMPRISING 6 WORKSHOPS THAT PROVIDES FREE COMMUNITY-BASED HEALTH EDUCATION TO ADDRESS DIABETES AND RELATED SYMPTOMS. HEALTHIER LIVING IS AN EVIDENCE-BASED PROGRAM COMPRISING 6 WORKSHOPS THAT PROVIDES FREE COMMUNITY-BASED HEALTH EDUCATION TO ADDRESS PREVENTABLE AND/OR MANAGEABLE CHRONIC DISEASES.MENTAL HEALTH: MENTAL HEALTH FIRST AID, ANTI-STIGMA TRAINING, SUBSTANCE USE NAVIGATOR (SUN).SOCIAL DETERMINANTS OF HEALTH: COMMUNITY HEALTH WORKER PROGRAM, COMMUNITY HEALTH IMPROVEMENT GRANTS, LYFT TRANSPORTATION SERVICES.A FULL LISTING OF STRATEGIES/ACTIVITIES TO ADDRESS EACH NEED CAN BE VIEWED IN THE HOSPITAL'S 2025 IMPLEMENTATION STRATEGY PLAN POSTED ON THE HOSPITAL'S WEBSITE. PART V, SECTION B, LINE 16A, 16B AND 16C - FAP APPLICATION FORM WEBSITE: CHANDLER REGIONAL MEDICAL CENTER:WWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/CHANDLERREGIONAL/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-AND-PAYMENT/FINANCIAL-ASSISTANCECALIFORNIA HOSPITAL MEDICAL CENTER:WWW.DIGNITYHEALTH.ORG/CALIFORNIAHOSPITAL/PATIENTS-AND-VISITORS/PATIENTS/BILLING-AND-PAYMENT/PAYMENT-ASSISTANCENORTHRIDGE HOSPITAL MEDICAL CENTER:WWW.DIGNITYHEALTH.ORG/SOCAL/LOCATIONS/NORTHRIDGEHOSPITAL/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-AND-PAYMENT/FINANCIAL-ASSISTANCEMETHODIST HOSPITAL OF SACRAMENTO:WWW.DIGNITYHEALTH.ORG/SACRAMENTO/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-INFORMATION/PAYMENT-ASSISTANCESEQUOIA HOSPITAL:WWW.DIGNITYHEALTH.ORG/BAYAREA/LOCATIONS/SEQUOIA/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-AND-PAYMENT/FINANCIAL-ASSISTANCEGLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER:WWW.DIGNITYHEALTH.ORG/SOCAL/LOCATIONS/GLENDALEMEMORIAL/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-AND-PAYMENT/FINANCIAL-ASSISTANCEFRENCH HOSPITAL MEDICAL CENTER:WWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/LOCATIONS/FRENCHHOSPITAL/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-INFORMATION/FINANCIAL-ASSISTANCEWOODLAND MEMORIAL HOSPITAL:WWW.DIGNITYHEALTH.ORG/SACRAMENTO/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-INFORMATION/PAYMENT-ASSISTANCEARIZONA GENERAL HOSPITAL MESA:WWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/ARIZONAGENERAL/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-INFORMATION/FINANCIAL-ASSISTANCEARIZONA GENERAL HOSPITAL LAVEEN:WWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/ARIZONAGENERAL/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE1DIGNITY HEALTH REHABILITATION HOSPITAL (SIENA CAMPUS):HTTPS://WWW.DIGNITYHEALTHREHAB.COM/PATIENTS-AND-CAREGIVERS/ADMISSIONS/FINANCIAL-ASSISTANCE/ARIZONA SPECIALTY HOSPITAL (FKA SOUTHWEST ORTHOPEDIC AND SPINE HOSPITAL (OASIS/SOSH)):HTTPS://ARIZONASPECIALTYHOSPITAL.COM/FINANCIAL-INFORMATIONARIZONA SPINE AND JOINT HOSPITAL:HTTPS://AZSPINEANDJOINT.COM/FINANCIAL-INFORMATIONDIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL:HTTPS://WWW.DIGNITYHEALTHEVREHABCHANDLER.COM/PATIENT-EXPERIENCE/FINANCIAL-ASSISTANCEARIZONA SPECIALTY HOSPITAL (AKA ARIZONA ORTHOPEDIC SPECIALTY HOSPITAL (AOSH)):HTTPS://ARIZONASPECIALTYHOSPITAL.COM/FINANCIAL-INFORMATIONDIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL - GILBERT:HTTPS://WWW.DIGNITYHEALTHEVREHABGILBERT.COM/PATIENT-EXPERIENCE/FINANCIAL-ASSISTANCE 98 1 - DIGNITY HEALTH ARIZONA GENERAL ER-GLENDALE 8310 W CAMELBACK RD GLENDALE AZ 85305 EMERGENCY/URGENT CARE CENTERS 2 - DIGNITY HEALTH ARIZONA GENERAL ER-GLENDALE 5171 WEST OLIVE AVE GLENDALE AZ 85302 EMERGENCY/URGENT CARE CENTERS 3 - DIGNITY HEALTH ARIZONA GENERAL ER-GOODYEAR 251 N ESTRELLA PKWY GOODYEAR AZ 85338 EMERGENCY/URGENT CARE CENTERS 4 - DIGNITY HEALTH ARIZONA GENERAL ER-MESA-BAS 1910 S GILBERT RD MESA AZ 85204 EMERGENCY/URGENT CARE CENTERS 5 - DIGNITY HEALTH ARIZONA GENERAL ER-MESA-POW 1833 N POWER RD MESA AZ 85205 EMERGENCY/URGENT CARE CENTERS 6 - DIGNITY HEALTH ARIZONA GENERAL ER-AHWATUKE 4328 E CHANDLER BLVD PHOENIX AZ 85048 EMERGENCY/URGENT CARE CENTERS 7 - DIGNITY HEALTH ARIZONA GENERAL ER-GILBERT 4760 GERMANN RD GILBERT AZ 85926 EMERGENCY/URGENT CARE CENTERS 8 - DIGNITY HEALTH ARIZONA GENERAL ER-CHANDLER 1064 E RAY RD CHANDLER AZ 85225 EMERGENCY/URGENT CARE CENTERS 9 - DIGNITY HEALTH ARIZONA GENERAL ER-SURPRISE 14267 WEST BELL RD SURPRISE AZ 82374 EMERGENCY/URGENT CARE CENTERS 10 - DIGNITY HEALTH ARIZONA GENERAL ER-CHANDLER 2977 E GERMANN RD CHANDLER AZ 85286 EMERGENCY/URGENT CARE CENTERS 11 - ARIZONA DIAGNOSTIC IMAGING GROUP LLC-PHNX 3115 NORTH THIRD AVENUE SUITE 140 PHOENIX AZ 85013 IMAGING CENTER 12 - ARIZONA DIAGNOSTIC IMAGING GROUP LLC-PHNX 1840 WEST APACHE TRAIL APACHE JUNCTION AZ 85120 IMAGING CENTER 13 - ARIZONA DIAGNOSTIC IMAGING GROUP LLC-PHNX 4915 EAST BASELINE ROAD SUITE 116 GILBERT AZ 85234 IMAGING CENTER 14 - ARIZONA DIAGNOSTIC IMAGING GROUP LLC-PHNX 4530 EAST RAY ROAD SUITE 160 PHOENIX AZ 85044 IMAGING CENTER 15 - ARIZONA DIAGNOSTIC IMAGING GROUP LLC-PHNX 2653 WEST GUADALUPE ROAD SUITE 100 MESA AZ 85202 IMAGING CENTER 16 - ARIZONA DIAGNOSTIC IMAGING GROUP LLC-PHNX 1669 EAST MCMURRAY BOULEVARD CASA GRANDE AZ 85122 IMAGING CENTER 17 - ARIZONA DIAGNOSTIC IMAGING GROUP LLC-PHNX 3591 SOUTH MERCY ROAD SUITE 105 GILBERT AZ 85297 IMAGING CENTER 18 - ARIZONA DIAGNOSTIC IMAGING GROUP LLC-PHNX 9069 WEST THUNDERBIRD ROAD PEORIA AZ 85035 IMAGING CENTER 19 - ARIZONA DIAGNOSTIC IMAGING GROUP LLC-PHNX WEST FRYE ROAD SUITE 110 CHANDLER AZ 85224 IMAGING CENTER 20 - ARIZONA DIAGNOSTIC IMAGING GROUP LLC-PHNX 5891 WEST EUGIE AVENUE GLENDALE AZ 85304 IMAGING CENTER 21 - ARIZONA DIAGNOSTIC IMAGING GROUP LLC-PHNX 7330 NORTH 99TH AVENUE SUITE 125 GILBERT AZ 85297 IMAGING CENTER 22 - ARIZONA DIAGNOSTIC IMAGING GROUP LLC-PHNX 2501 EAST SOUTHERN AVENUE SUITE 8 9 AND TEMPE AZ 85282 IMAGING CENTER 23 - ARIZONA DIAGNOSTIC IMAGING GROUP LLC-PHNX 6811 EAST SUPERSTITION SPRINGS MESA AZ 85209 IMAGING CENTER 24 - ARIZONA DIAGNOSTIC IMAGING GROUP LLC-PHNX 1840 SOUTH STAPLEY DRIVE SUITE 101 MESA AZ 85204 IMAGING CENTER 25 - ARIZONA DIAGNOSTIC IMAGING GROUP LLC-PHNX 2201 WEST FAIRVIEW STREET CHANDLER AZ 85224 IMAGING CENTER 26 - ARIZONA DIAGNOSTIC IMAGING GROUP LLC-AZ BR 2653 WEST GUADALUPE ROAD SUITE 100 MESA AZ 85202 IMAGING CENTER 27 - ARIZONA DIAGNOSTIC IMAGING GROUP LLC-PHNX 3308 NORTH HIGLEY ROAD MESA AZ 85125 IMAGING CENTER 28 - ARIZONA DIAGNOSTIC IMAGING GROUP LLC-PHNX 7469 EAST MONTE CRISTO AVENUE SCOTTSDALE AZ 85260 IMAGING CENTER 29 - ARIZONA DIAGNOSTIC IMAGING GROUP LLC-PHNX 3686 SOUTH ROME STREET SUITE 200 GILBERT AZ 85297 IMAGING CENTER 30 - ARIZONA DIAGNOSTIC IMAGING GROUP LLC-PHNX 2302 NORTH 75TH AVENUE GLENDALE AZ 85304 IMAGING CENTER 31 - ARIZONA DIAGNOSTIC IMAGING GROUP LLC-PHNX 3003 NORTH 3RD STREET PHOENIX AZ 85012 IMAGING CENTER 32 - ARIZONA DIAGNOSTIC IMAGING GROUP LLC-AZ MO 3115 NORTH THIRD AVENUE SUITE 140 PHOENIX AZ 85013 IMAGING CENTER 33 - USP PHX-ARIZONA SPECIALTY SURGERY CENTER ( 2905 W WARNER RD SUITE 10 CHANDLER AZ 85224 SURGERY CENTER 34 - USP PHX-MOUNTAIN VIEW SURGERY CENTERS SCOT 8962 EAST DESERT COVE DRIVE SCOTTSDALE AZ 85260 SURGERY CENTER 35 - USP PHX-MOUNTAIN VIEW SURGER CENTERS-SCOTT 18555 N 79TH AVENUE SUITE C104 GLENDALE AZ 853088370 SURGERY CENTER 36 - USP PHX-MOUNTAIN VIEW SURGER CENTERS-SCOTT 2450 E GUADALUPE RD SUITE 101 GILBERT AZ 85234 SURGERY CENTER 37 - USP LV SURGERY CENTER-PARKWAY 100 N GREEN VALLEY PKWY 125 HENDERSON NV 89074 SURGERY CENTER 38 - USP LV SURGERY CENTER-DURANGO (SAN MARTIN) 8530 W SUNSET ROAD LAS VEGAS NV 89113 SURGERY CENTER 39 - USP LV SURGERY CENTER-HORIZON RIDGE SURGER 10561 JEFFREYS ST STE 130 HENDERSON NV 89052 SURGERY CENTER 40 - USP LV SURGERY CENTER-PARKWAY RECOVERY CEN 100 N GREEN VALLEY PKWY STE 330 HENDERSON NV 89074 SURGERY CENTER 41 - DIGNITY HEALTH ARIZONA GENERAL ER-TEMPE RU 5125 S RURAL ROAD TEMPE AZ 85282 EMERGENCY/URGENT CARE CENTERS 42 - DIGNITY HEALTH ARIZONA GENERAL ER-SAN TAN 1419 W HUNT HIGHWAY SAN TAN VALLEY AZ 85142 EMERGENCY/URGENT CARE CENTERS 43 - USP PHX-ST JOSEPH'S OUTPATIENT SURGERY CEN 240 WEST THOMAS ROAD PHOENIX AZ 85013 SURGERY CENTER 44 - DJV SELECT PHYSICAL THERAPY-SAHARA 4980 W SAHARA AVE SUITE 260 LAS VEGAS NV 89146 OUTPATIENT PHYSICAL REHABILITATION 45 - DJV SELECT PHYSICAL THERAPY-CORONADO PEDIA 750 CORONADO CENTER DRIVE SUITE 120 HENDERSON NV 89052 OUTPATIENT PHYSICAL REHABILITATION 46 - DJV SELECT PHYSICAL THERAPY-HENDERSON 400 N STEPHANIE ST SUITE 310 HENDERSON NV 89014 OUTPATIENT PHYSICAL REHABILITATION 47 - DJV SELECT PHYSICAL THERAPY-TENAYA 2650 NORTH TENAYA WAY 180 LAS VEGAS NV 89128 OUTPATIENT PHYSICAL REHABILITATION 48 - DJV SELECT PHYSICAL THERAPY-CRAIG ROAD 1550 W CRAIG RD SUITE 210 NORTH LAS VEGAS NV 89032 OUTPATIENT PHYSICAL REHABILITATION 49 - DJV SELECT PHYSICAL THERAPY-BELTWAY 2904 W HORIZON RIDGE PARKWAY SUITE 121 HENDERSON NV 89052 OUTPATIENT PHYSICAL REHABILITATION 50 - DJV SELECT PHYSICAL THERAPY-NELLIS 821 NORTH NELLIS BLVD SUITE 130 LAS VEGAS NV 89110 OUTPATIENT PHYSICAL REHABILITATION 51 - DJV SELECT PHYSICAL THERAPY-CENTENNIAL HIL 8675 W ROME BLVD SUITE 140 LAS VEGAS NV 89121 OUTPATIENT PHYSICAL REHABILITATION 52 - DJV SELECT PHYSICAL THERAPY-EAST FLAMINGO 2110 E FLAMINGO RD SUITE 314 LAS VEGAS NV 89119 OUTPATIENT PHYSICAL REHABILITATION 53 - DJV SELECT PHYSICAL THERAPY-SOUTH DURANGO 6048 SOUTH DURANGO DRIVE SUITE 100 LAS VEGAS NV 89113 OUTPATIENT PHYSICAL REHABILITATION 54 - DJV SELECT PHYSICAL THERAPY-RAIDERS WAY 1395 RAIDERS WAY SUITE 140 BLDG 2 LAS VEGAS NV 89121 OUTPATIENT PHYSICAL REHABILITATION 55 - DJV SELECT PHYSICAL THERAPY-BLUE DIAMOND 4855 BLUE DIAMOND RD SUITE 210 LAS VEGAS NV 89139 OUTPATIENT PHYSICAL REHABILITATION 56 - DJV SELECT PHYSICAL THERAPY-WEST FLAMINGO 9880 WEST FLAMINGO RD SUITE 26 LAS VEGAS NV 49147 OUTPATIENT PHYSICAL REHABILITATION 57 - DJV SELECT PHYSICAL THERAPY-CORONADO 750 CORONADO CENTER DRIVE SUITE 140 HENDERSON NV 89052 OUTPATIENT PHYSICAL REHABILITATION 58 - DJV SELECT PHYSICAL THERAPY-COLLEGE DR 555 COLLEGE DR SUITE C LAS VEGAS NV 89015 OUTPATIENT PHYSICAL REHABILITATION 59 - DJV SELECT PHYSICAL THERAPY-BOCA PARK 8740 W CHARLESTON BLVD SUITE 12 LAS VEGAS NV 89141 OUTPATIENT PHYSICAL REHABILITATION 60 - DJV SELECT PHYSICAL THERAPY-ALIANTE 2550 NATURE PARK DR SUITE 250 NORTH LAS VEGAS NV 89084 OUTPATIENT PHYSICAL REHABILITATION 61 - DJV SELECT PHYSICAL THERAPY-SOUTHERN HIGHL 10630 DEAN MARTIN DR SUITE 120 LAS VEGAS NV 89141 OUTPATIENT PHYSICAL REHABILITATION 62 - DJV SELECT PHYSICAL THERAPY-S JONES 7399 S JONES BLVD SUITE A5-A6 LAS VEGAS NV 89139 OUTPATIENT PHYSICAL REHABILITATION 63 - USP PHX-CENTER FOR ADVANCED SURGERY (FORME 604 WEST WARNER ROAD BLDG A CHANDLER AZ 85225 SURGERY CENTER 64 - USP PHX-CHANDLER ENDOSCOPY CENTER 2095 W PECOS ROAD SUITE 1 CHANDLER AZ 85224 SURGERY CENTER 65 - USP PHX-METRO SURGERY CENTER LP 3131 W PEORIA AVENUE PHOENIX AZ 95381 SURGERY CENTER 66 - USP PHX-ORTHOARIZONA SURGERY CENTER GILBER 1675 E MELROSE STREET SUITE 201 GILBERT AZ 85297 SURGERY CENTER 67 - USP PHX-THE ORTHOPEDIC SURGERY CENTER OF A 2262 E ROSE GARDEN LANE PHOENIX AZ 85024 HEALTH CENTER 68 - DIGNITY HEALTH MEDICAL GROUP NEVADA LLC 3001 ST ROSE PARKWAY HENDERSON NV 89502 MULTI-SPECIALTY CLINICS 69 - OMG ARIZONA LLC (SAN TAN VILLAGE) 2218 EAST WILLIAMS FIELD ROAD GILBERT AZ 85295 PRIMARY CARE CLINICS 70 - OMG ARIZONA LLC (BILTMORE) 2201 E CAMELBACK ROAD SUITE 101A PHOENIX AZ 85016 PRIMARY CARE CLINICS 71 - OMG ARIZONA LLC (KIERLAND COMMONS) 15210 N SCOTTSDALE ROAD SCOTTSDALE AZ 85254 PRIMARY CARE CLINICS 72 - OMG ARIZONA LLC (SCOTTSDALE FASHION SQUARE 7150 E CAMELBACK ROAD PHOENIX AZ 85251 PRIMARY CARE CLINICS 73 - OMG ARIZONA LLC (QUEEN CREEK) 20734 E MAYA RD LOT 4C STE 101 QUEEN CREEK AZ 85142 PRIMARY CARE CLINICS 74 - OMG ARIZONA LLC (TEMPE GATEWAY) 222 SOUTH MILL AVE SUITE 123 TEMPE AZ 85281 PRIMARY CARE CLINICS 75 - OMG ARIZONA LLC (DANA PARK) 1744 S VAL VISTA DRIVE SUITES 5-108 5- MESA AZ 85204 PRIMARY CARE CLINICS 76 - USP PHX-SOUTHWEST ENDOSCOPY LLC 2223 E BASELINE ROAD SUITE B GILBERT AZ 85234 IMAGING CENTER 77 - VALLEY PHYSICIANS SURGERY CENTER 18330 ROSCOE BOULEVARD NORTHRIDGE CA 91325 SURGERY CENTER 78 - NSC CHANNEL ISLANDS LLC 2030 WANKEL WAY OXNARD CA 93030 SURGERY CENTER 79 - USP PHX-SURGICAL ELITE OF AVONDALE LLC 10815 W MCDOWELL ROAD SUITE 101 AVONDALE AZ 85392 SURGERY CENTER 80 - USP PHX-WESTGATE SURGERY CENTER LLC 7330 N 99TH AVENUE SUITE 100 GLENDALE AZ 85307 SURGERY CENTER 81 - USP PHX-DESERT RIDGE OUTPATIENT SURGERY CE 20940 NORTH TATUM BOULEVARD SUITE 100 PHOENIX AZ 85050 SURGERY CENTER 82 - USP PHX-SURGERY CENTER OF PEORIA 13260 NORTH 94TH DRIVE SUITE 200 PEORIA AZ 85381 SURGERY CENTER 83 - DHHP SURGERY CENTERS LLC 1401 S GRAND AVENUE LOS ANGELES CA 90015 SURGERY CENTER 84 - GLENDALE ADVANCED IMAGING CENTER LLC 1510 COTNER AVE LOS ANGELES CA 90025 IMAGING CENTER 85 - RENAISSANCE IMAGING CENTER AT NORTHRIDGE H 18436 ROSCOE BOULEVARD NORTHRIDGE CA 91328 IMAGING CENTER 86 - USP PHX-SCOTTSDALE ENDOSCOPY ASC LLC 9787 N 91ST STREET SUITE 103 SCOTTSDALE AZ 85258 SURGERY CENTER 87 - WOODLAND ADULT DAY HEALTH 20 N COTTONWOOD STREET WOODLAND CA 95695 HEALTH CENTER 88 - DIGNITY HEALTH-COMMUNITY WELLNESS 1349 W CHANDLER BLVD STE 100 GILBERT AZ 85295 HEALTH CENTER 89 - TIA ARIZONA LLC 15051 N KIERLAND BLVD SCOTTSDALE AZ 85254 CLINIC 90 - NICU SEQUOIA LUCILE PACKARD CHILDREN HOSPI 170 ALAMEDA DE LAS PULGAS REDWOOD CITY CA 94062 NEONATAL HEALTHCARE 91 - ARIZONA DIAGNOSTIC IMAGING GROUP LLC-PHNX 2501 EAST SOUTHERN AVENUE SUITE 8 11 TEMPE AZ 85282 IMAGING CENTER 92 - ACCESS CLINICAL PARTNERS LLC 5555 GLENRIDGE CONNECTOR STE 700 ATLANTA GA 30342 OUTPATIENTS FACILITIES 93 - GOHEALTH URGENT CARE RAPID COVID-19 TESTIN 100 INTERNATIONAL TERMINAL LEVEL 3 A SIDE SAN FRANCISCO CA 94128 COVID TESTING SITE 94 - ARIZONA DIAGNOSTIC IMAGING GROUP LLC-PHNX 6145 NORTH 25TH AVENUE PHOENIX AZ 85017 IMAGING CENTER 95 - CYBERKNIFE (SAN FRANCISCO) 450 STANYAN STREET SAN FRANCISCO CA 94117 ONCOLOGY 96 - GOHEALTH URGENT CARE MANGEMENT LLC-SEQUOIA 5555 GLENRIDGE CONNECTOR STE 700 ATLANTA GA 30342 CLINIC 97 - GOHEALTH URGENT CARE MANGEMENT LLC-SAN FRA 5555 GLENRIDGE CONNECTOR STE 700 ATLANTA GA 30342 CLINIC 98 - CYBERKNIFE (REDWOOD CITY) 170 ALAMEDA DE LAS PULGAS REDWOOD CITY CA 94062 ONCOLOGY 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 AS DESCRIBED IN SCHEDULE H, PART V, SECTION B, LINE 13H, 3RD PARAGRAPH.- 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 OR FREE CARE 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 SPOUSE OR KNOWN ESTATE.CALIFORNIA HOSPITALS ONLY:THE FOLLOWING REQUIREMENTS FOR ADDITIONAL HARDSHIP DISCOUNTS IS AN ADDENDUM OF THE FINANCIAL ASSISTANCE POLICY THAT APPLY TO PATIENTS RECEIVING SERVICES AT A COMMONSPIRIT HOSPITAL ORGANIZATION IN THE STATE OF CALIFORNIA ONLY.A PATIENT WHO RECEIVES DISCOUNTED CARE, BUT (1) WHOSE LIABILITY STILL EXCEEDS 30% OF THE SUM OF (A) HIS OR HER FAMILY INCOME, AND (B) HIS OR HER MONETARY ASSETS, AND (2) WHO DOES NOT HAVE THE ABILITY TO PAY HIS OR HER BILL, AS DETERMINED BY A REVIEW OF FACTORS SUCH AS PROJECTED FAMILY INCOME FOR THE COMING YEAR AND EXISTING OR ANTICIPATED HEALTH CARE LIABILITIES MAY BE GIVEN AN ADDITIONAL HARDSHIP DISCOUNT. FOR PURPOSES OF THE DETERMINATION OF THIS HARDSHIP DISCOUNT, THE COMMONSPIRIT HOSPITAL ORGANIZATION WILL NOT CONSIDER ASSETS IN RETIREMENT PLANS QUALIFIED UNDER THE INTERNAL REVENUE CODE IN EFFECT AT THE TIME OF THE DETERMINATION OR DEFERRED COMPENSATION PLANS.IF THE PATIENT MEETS ALL ELIGIBILITY CRITERIA, THE PATIENT WILL RECEIVE A HARDSHIP DISCOUNT, WHICH WILL REDUCE THE PATIENT'S REMAINING LIABILITY TO NO MORE THAN 30% OF THE SUM OF HIS OR HER (1) PATIENT FAMILY INCOME, AND (2) MONETARY ASSETS.A PATIENT MAY ALSO RECEIVE DISCOUNTS OR WAIVERS UNDER THIS ADDENDUM IF CONSIDERED HOMELESS OR TRANSIENT OR IF THEY PARTICIPATE IN A FEDERAL, STATE, OR LOCAL MANAGED INDIGENT CARE PROGRAM. PART I, LINE 6A: EACH TAX-EXEMPT HOSPITAL FACILITY LISTED IN SCHEDULE H, PART V, EXCEPT FOR THOSE LISTED BELOW, PREPARED A SEPARATE COMMUNITY BENEFIT REPORT. CALIFORNIA HOSPITALS SUBMIT THEIR REPORTS TO THE DEPARTMENT OF HEALTH CARE ACCESS AND INFORMATION AND NEVADA HOSPITALS SUBMIT THEIR REPORTS TO THE NEVADA DEPARTMENT OF HEALTH AND HUMAN SERVICES. DIGNITY COMMUNITY CARE IS INCLUDED IN THE CONSOLIDATED COMMUNITY BENEFIT REPORT ON COMMONSPIRIT HEALTH'S ANNUAL AUDITED FINANCIAL STATEMENTS FOR ITS HOSPITALS AND THE HOSPITALS OF RELATED ORGANIZATIONS THAT ARE CONSOLIDATED FOR FINANCIAL REPORTING PURPOSES (SEE PART VI, LINE 6). COMMONSPIRIT'S FINANCIAL STATEMENTS ARE POSTED ON DIGNITY HEALTH'S EXTERNAL WEBSITE. THE INDIVIDUAL HOSPITALS' COMMUNITY BENEFIT REPORTS ARE MADE AVAILABLE TO THE PUBLIC ON EACH HOSPITAL'S WEBSITES, AND ARE AVAILABLE BY REQUEST.THE FOLLOWING HOSPITALS DID NOT PREPARE A SEPARATE COMMUNITY BENEFIT REPORT:DIGNITY HEALTH REHABILITATION HOSPITAL (SIENA CAMPUS)ARIZONA SPECIALTY HOSPITAL (FKA OASIS AND AOSH)ARIZONA SPINE AND JOINT HOSPITALDIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITALDIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL - GILBERT PART I, LINE 7: DIGNITY COMMUNITY CARE HOSPITALS USE A COST ACCOUNTING SYSTEM OR AN ADJUSTED COST TO CHARGE RATIO (CCR) 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 I, LINE 7B - MEDICAID:INCLUDED IN COMMUNITY BENEFIT EXPENSE FOR MEDICAID, COLUMN (C) IS $79.7 MILLION OF QUALITY ASSURANCE FEES ASSESSED TO DIGNITY COMMUNITY CARE IN ACCORDANCE WITH THE CALIFORNIA PROVIDER FEE PROGRAMS. INCLUDED IN DIRECT OFFSETTING REVENUE FOR MEDICAID, COLUMN (D) IS $159 MILLION IN SUPPLEMENTAL PAYMENTS RECEIVED UNDER THESE PROGRAMS.PART I, LINE 7I:INCLUDED IN CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT IS $2.5 MILLION IN GRANTS TO A FUND ESTABLISHED BY THE CALIFORNIA HEALTH FOUNDATION AND TRUST ("CHFT"). CHFT WAS ESTABLISHED FOR SEVERAL PURPOSES, INCLUDING AGGREGATING AND DISTRIBUTING FINANCIAL RESOURCES TO SUPPORT CHARITABLE ACTIVITIES AT VARIOUS HOSPITALS AND HEALTH SYSTEMS IN CALIFORNIA, CONSISTENT WITH CHFT'S MISSION OF SUPPORTING HEALTH CARE, ACCESS TO HEALTH CARE, RESEARCH AND EDUCATION. PART II, COMMUNITY BUILDING ACTIVITIES: DIGNITY COMMUNITY CARE'S WORK TO PROMOTE THE HEALTH OF THE COMMUNITIES SERVED EXTENDS BEYOND PROVIDING HEALTH CARE AND COMMUNITY HEALTH IMPROVEMENT SERVICES. DIGNITY COMMUNITY CARE TAKES A PROACTIVE APPROACH TO ADDRESSING THE SOCIAL, ECONOMIC AND ENVIRONMENTAL BARRIERS TO GOOD HEALTH, AND SUPPORTS THE WORLD HEALTH ORGANIZATION DEFINITION OF HEALTH AS A STATE OF COMPLETE PHYSICAL, MENTAL AND SOCIAL WELL-BEING, NOT MERELY THE ABSENCE OF DISEASE OR INFIRMITY. IN ADDITION TO THE EXAMPLES BELOW, DIGNITY COMMUNITY CARE HOSPITALS' PUBLICLY AVAILABLE ANNUAL COMMUNITY BENEFIT REPORTS EACH DESCRIBE SPECIFIC COMMUNITY BUILDING ACTIVITIES IN A SECTION TITLED "OTHER COMMUNITY HEALTH AND COMMUNITY BUILDING PROGRAMS."COMBINED WITH DIGNITY HEALTH, DIGNITY COMMUNITY CARE AND COMMONSPIRIT HEALTH, THE COMMONSPIRIT HEALTH COMMUNITY INVESTMENT PROGRAM (FORMERLY, THE DIGNITY HEALTH COMMUNITY INVESTMENT PROGRAM) HAS PROVIDED, SINCE 1990, LOW INTEREST LOANS AND LINES OF CREDIT TO NON-PROFIT ORGANIZATIONS THAT ARE ADDRESSING SOCIAL DETERMINANTS OF HEALTH PARTICULARLY IN DISTRESSED COMMUNITIES. THE PROGRAM INVESTS DIRECTLY IN INDIVIDUAL PROJECTS AND THROUGH COMMUNITY DEVELOPMENT FINANCIAL INSTITUTIONS. THE ORGANIZATION DOES NOT INCLUDE THE VALUE OF THESE LOANS AS COMMUNITY BUILDING, BUT THEACTIVITY DOES SERVE TO BUILD CAPACITY FOR COMMUNITY WELL-BEING.AS OF JUNE 30, 2025, THE COMMUNITY INVESTMENT PROGRAM CONSISTED OF 89 APPROVED INVESTMENTS TOTALING $257 MILLION SUPPORTING AFFORDABLE HOUSING, ACCESS TO HEALTHCARE, EARLY CHILDHOOD EDUCATION, CLIMATE RESILIENCE, ECONOMIC SECURITY, HEALTHY LIVING, AND OTHER COMMUNITY SERVICES. THE PROGRAM HAD A THREE-YEAR ANNUALIZED RETURN OF 2.25% AND A BLENDED INTEREST RATE OF 2.66%, BELOW THE BENCHMARK OF 2.87% WHICH IS THE ROLLING THREE-YEAR AVERAGE OF THE CONSUMER PRICE INDEX. NINETY-TWO PERCENT OF THE INVESTMENTS SUPPORT SPECIFIC PARTNERS AND PROJECTS IN COMMONSPIRIT HEALTH'S SERVICE AREA. THE LOAN PORTFOLIO IS DIVERSIFIED ACROSS A WIDE SPECTRUM OF SECTORS, WITH THE LARGEST BEING THE HOUSING SECTOR (51%) THAT INCLUDES THE CONSTRUCTION OF BOTH AFFORDABLE PERMANENT HOUSING AND TRANSITIONAL HOUSING. ACCESS TO HEALTH CARE (17.9%) IS AN INVESTMENT THAT INCLUDES HEALTH CLINICS AND OTHER COMMUNITY HEALTH-RELATED OUTREACH TO UNDERSERVED POPULATIONS. INCREASINGLY, CLIMATE RESILIENCE, EARLY CHILDHOOD EDUCATION, AND ECONOMIC SECURITY HAVE BECOME PROGRAM FOCUS AREAS IN ADDRESSING HEALTH-RELATED SOCIAL NEEDS AND IMPROVING THE HEALTH OF OUR COMMUNITIES.DIGNITY COMMUNITY CARE HOSPITALS DONATE THE USE OF MEETING SPACE TO COMMUNITY GROUPS AND SERVE AS MEMBERS OF COALITIONS THAT FOCUS ON THE WELL-BEING OF THEIR RESPECTIVE COMMUNITIES. DIGNITY COMMUNITY CARE ADVOCACY REPRESENTATIVES WORK TO IMPROVE ACCESS TO HEALTH CARE, PROMOTE THE HEALTH OF THE PUBLIC, AND ADVOCATE FOR SOCIAL JUSTICE, HUMAN RIGHTS AND A CLEAN AND HEALTHY ENVIRONMENT AS PART OF MISSION-DRIVEN ADVOCACY. IN MEDICALLY UNDERSERVED AREAS, EFFORTS TO RECRUIT PHYSICIANS AND OTHER HEALTH PROFESSIONALS ARE ONGOING, AS ARE PARTNERSHIPS WITH COMMUNITY COLLEGES AND UNIVERSITIES TO ADDRESS HEALTH CARE WORK-FORCE SHORTAGES. A NUMBER OF DIGNITY COMMUNITY CARE HOSPITALS OFFER HEALTH CAREER MENTORING PROJECTS AND PROVIDE SCHOOL-BASED AND COMMUNITY PROGRAMS THAT DRIVE ENTRY INTO HEALTH CAREERS.COMMUNITY BUILDING - COMMUNITY SUPPORT:DIGNITY COMMUNITY CARE FACILITIES LEAD AND/OR COLLABORATE WITH OTHER COMMUNITY-BASED ORGANIZATIONS TO SUPPORT THE HEALTHY DEVELOPMENT AND SUCCESS OF CHILDREN, YOUTH AND FAMILIES, WHICH ENGAGES AND STRENGTHENS THE COMMUNITIES SERVED. DIGNITY COMMUNITY CARE ALSO MAKES CHARITABLE DONATIONS TO ORGANIZATIONS FOR THE SUPPORT AND DEVELOPMENT OF UNDERSERVED YOUTH, DISASTER RELIEF, AND BASIC NEEDS FOR VULNERABLE POPULATIONS.COMMUNITY BUILDING - COALITION BUILDING:DIGNITY COMMUNITY CARE FACILITIES PROVIDE REPRESENTATION ON COMMUNITY COALITIONS AND BOARDS, HELP TO STIMULATE AND AT TIMES LEAD COLLABORATIVE PARTNERSHIPS TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY, AND HOST AND/OR PARTICIPATE IN COMMUNITY COALITION MEETINGS AND SPECIFIC PROJECTS AND INITIATIVES.COMMUNITY BUILDING - ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENT:ROOTED IN ITS HEALING MISSION, COMMONSPIRIT HEALTH/DIGNITY HEALTH/DIGNITY COMMUNITY CARE IS COMMITTED TO THE HEALTH OF ALL BY ADVOCATING FOR IMPROVED HEALTHCARE ACCESS, COVERAGE AND QUALITY, ESPECIALLY FOR THOSE WHO ARE POOR AND VULNERABLE. MOREOVER, WE ADVOCATE TO PROMOTE SOCIAL AND ENVIRONMENTAL JUSTICE IN THE POLICY AND COMMUNITY ARENAS, AS WELL AS THROUGH SHAREHOLDER ADVOCACY. WE INVEST IN PARTNERSHIPS AT THE LOCAL, STATE AND NATIONAL LEVELS TO BUILD COMMON GROUND AND ADVANCE MEANINGFUL SOLUTIONS TOGETHER.COMMUNITY BUILDING - WORKFORCE DEVELOPMENT:DIGNITY COMMUNITY CARE IS COMMITTED TO THE DEVELOPMENT OF THE HEALTH CARE WORKFORCE, AND ACTIVELY ENGAGES IN THE RECRUITMENT OF PHYSICIANS AND OTHER HEALTH PROFESSIONALS IN MEDICALLY UNDERSERVED AREAS. DIGNITY COMMUNITY CARE HAS ESTABLISHED A HEALTH PROFESSIONALS WORKFORCE DEVELOPMENT PARTNERSHIP WITH MOREHOUSE SCHOOL OF MEDICINE TO RECRUIT AND TRAIN BLACK CLINICIANS. DIGNITY COMMUNITY CARE SUPPORTS THE TRAINING AND RECRUITMENT OF UNDERREPRESENTED MINORITIES AND PARTICIPATES IN COMMUNITY WORKFORCE BOARDS AND PARTNERSHIPS. SEVERAL DIGNITY COMMUNITY CARE FACILITIES, AS WELL AS THE ORGANIZATION ITSELF, PARTNER WITH LOCAL COMMUNITY COLLEGES AND UNIVERSITIES TO ADDRESS THE HEALTH CARE WORKFORCE SHORTAGE AND ACTIVELY ENGAGE IN HEALTH CAREER MENTORING PROGRAMS. PART III, LINE 2: THE AMOUNT OF THE ORGANIZATION'S BAD DEBT AT COST IS DETERMINED BY APPLYING THE CCR (SEE PART 1, LINE 7 DISCLOSURE) 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 OR DISCOUNTED CARE TO UNINSURED OR UNDER-INSURED INDIVIDUALS THAT FALL INTO THE FOLLOWING CATEGORIES: IN ARIZONA AND NEVADA, UP TO 200% OR 201%-400% OF THE FEDERAL POVERTY LEVEL, IN CALIFORNIA UP TO 250%, 251%-400% OR 401%-500% OF THE FEDERAL POVERTY LEVEL. DIGNITY COMMUNITY CARE ALSO PROVIDES PATIENTS OPTIONS FOR UNINSURED PATIENT DISCOUNT AND SELF-PAY DISCOUNTS. IN CALIFORNIA, PATIENTS WHO ARE UNINSURED OR WITH HIGH MEDICAL COSTS ARE ELIGIBLE TO RECEIVE DISCOUNTED CARE IN ADDITION TO AN INTEREST-FREE EXTENDED PAYMENT PLAN THAT WILL ALLOW PAYMENT OF THE DISCOUNTED AMOUNT OVER TIME. DISCOUNTS ARE ACCOUNTED FOR AS DEDUCTIONS FROM REVENUE, NOT AS BAD DEBT EXPENSE. PART III, LINE 3: DIGNITY COMMUNITY CARE HOSPITALS FOLLOW THE COMMONSPIRIT HEALTH FINANCIAL ASSISTANCE POLICY.THE FILING ORGANIZATION MAKES EVERY EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UPON ADMISSION. COMMONSPIRIT HEALTH'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. COMMONSPIRIT HEALTH ALSO UTILIZES A WAYSTAR (FORMERLY PARO) SCORING SYSTEM TO ASSIST IN DETERMINING IF A PATIENT MAY QUALIFY FOR PAYMENT ASSISTANCE EVEN THOUGH THEY HAVE NOT APPLIED FOR IT. WAYSTAR IS 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, DIGNITY COMMUNITY CARE 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: THE FOLLOWING IS AN EXCERPT FROM COMMONSPIRIT'S CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2025, RELATED TO PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT REVENUE. THE ENTIRE FOOTNOTE CAN BE VIEWED IN THE ATTACHED COMMONSPIRIT HEALTH 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 18). 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 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 ITS 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. DIGNITY COMMUNITY CARE'S SHORTFALL, AS REPORTED ON PART III, SECTION B, LINE 7, OF $81 MILLION REPRESENTS THE FILING ORGANIZATION'S MEDICARE COST REPORTS. PART III, LINE 9B: DIGNITY COMMUNITY CARE FACILITIES ENSURE THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. DIGNITY COMMUNITY CARE ALSO FOLLOWS COMMONSPIRIT HEALTH'S COLLECTION POLICY. 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 DIGNITY COMMUNITY CARE FACILITY, OR BILLING COMPANY RETAINED BY DIGNITY COMMUNITY CARE, 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 DIGNITY COMMUNITY CARE'S FINANCIAL ASSISTANCE POLICY, OR WHERE THE PATIENT IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH THE FACILITY VIA PAYMENT PLANS, DIGNITY COMMUNITY CARE 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 DIGNITY COMMUNITY CARE. UPON ASSIGNMENT OF SUCH A PATIENT ACCOUNT TO A COLLECTION AGENCY, DIGNITY COMMUNITY CARE REQUIRES THE AGENCY TO COMPLY WITH THE FAIR DEBT COLLECTION PRACTICES ACT. PART VI, LINE 2: IN ADDITION TO EACH LICENSED HOSPITAL CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT AT LEAST EVERY THREE YEARS, DIGNITY COMMUNITY CARE AND ITS HOSPITALS ASSESS THE HEALTH NEEDS OF THE COMMUNITIES THEY SERVE BY WORKING COLLABORATIVELY WITH LOCAL FEDERALLY QUALIFIED HEALTH CENTERS, OTHER NON-PROFIT CLINICS, PUBLIC HEALTH DEPARTMENTS, AND OTHER HEALTH, SOCIAL SERVICE AND COMMUNITY ORGANIZATIONS TO IDENTIFY AND SERVE THE NEEDS OF VULNERABLE POPULATIONS. DIGNITY COMMUNITY CARE OBTAINS AND MAINTAINS KNOWLEDGE OF HEALTH NEEDS IN PART THROUGH REFERRAL RELATIONSHIPS, SERVICE PLANNING ACTIVITIES, COMMUNITY HEALTH PARTNERSHIPS, AND LOCAL ADVOCACY CONDUCTED IN CONJUNCTION WITH COMMUNITY PARTNERS. THE HOSPITALS UTILIZE DATABASES AND PLANNING TOOLS TO EVALUATE CHANGES IN CURRENT AND PROJECTED COMMUNITY NEED FOR HEALTH CARE SERVICES, INCLUDING PHYSICIANS.DIGNITY COMMUNITY CARE HOSPITALS CREATE AND MAKE AVAILABLE TO THE PUBLIC ANNUAL COMMUNITY BENEFIT REPORTS THAT SUMMARIZE IDENTIFIED HEALTH NEEDS, UPDATE COMMUNITY DEMOGRAPHIC INFORMATION, AND REPORT ON RECENT AND PLANNED COMMUNITY HEALTH PROGRAMS, INCLUDING GOALS, OBJECTIVES AND MEASURABLE RESULTS. 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 THE 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 THE FACILITY MAY ELECT. SUCH INFORMATION IS PROVIDED IN THE PRIMARY LANGUAGES SPOKEN IN THE COMMUNITIES COMMONSPIRIT HEALTH'S FACILITIES SERVE. 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. HOSPITALS' PUBLICLY AVAILABLE COMMUNITY HEALTH IMPLEMENTATION STRATEGIES STATE THAT 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, AND THAT THE POLICY, PLAIN LANGUAGE SUMMARY AND RELATED MATERIALS ARE AVAILABLE IN MULTIPLE LANGUAGES ON THE HOSPITAL'S WEBSITE. 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, A STATEMENT INFORMING PATIENTS HOW TO CONTACT US REGARDING FINANCIAL ASSISTANCE. ADDITIONALLY, CONTRACT TERMS WITH COLLECTION VENDORS WORKING ON BEHALF OF COMMONSPIRIT HEALTH REQUIRES 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: DIGNITY COMMUNITY CARE HOSPITALS DELIVER CARE TO DIVERSE COMMUNITIES ACROSS ARIZONA, CALIFORNIA, AND NEVADA. FOLLOWING ARE BRIEF DESCRIPTIONS AND DEMOGRAPHIC SUMMARIES OF THE COMMUNITIES SERVED BY DIGNITY COMMUNITY CARE HOSPITALS. DIGNITY COMMUNITY CARE HOSPITALS DEFINE THE COMMUNITY AS THE PRIMARY GEOGRAPHIC AREA SERVED BY THE HOSPITAL, BASED LARGELY ON THE ORIGINS OF THE TOP 75 PERCENT OF HOSPITAL DISCHARGES. FOR CHNA PURPOSES, SOME HOSPITALS USE THE COUNTY IN WHICH THEY ARE LOCATED AS THEIR COMMUNITYDEFINITION.CHANDLER REGIONAL MEDICAL CENTER:CHANDLER REGIONAL MEDICAL CENTER (CRMC) IS LOCATED IN MARICOPA COUNTY, THE FOURTH MOST POPULOUS COUNTY IN THE U.S., WITH A POPULATION OF OVER 4.4 MILLION PEOPLE.COVERING 9,202 SQUARE MILES, MARICOPA COUNTY IS COMPRISED OF NEARLY FIVE PERCENT OF INDIGENOUS LAND FROM TRIBES SUCH AS THE FORT MCDOWELL YAVAPAI NATION, GILA RIVER INDIAN COMMUNITY, SALT RIVER PIMA- MARICOPA INDIAN COMMUNITY, AND TOHONO O'ODHAM NATION.CRMC'S COMMUNITY IS DEFINED AS INDIVIDUALS RESIDING WITHIN THE PRIMARY SERVICE AREA (PSA) OF CRMC. THE PSA IS DEFINED BY THE TOP 75% OF CRMC'S INPATIENT AND OUTPATIENT DISCHARGES AND IS OUTLINED BY ZIP CODES THAT ENCOMPASS ALL POPULATIONS, INCLUDING LOW- INCOME AND UNDERSERVED POPULATIONS. CRMC'S PSA IS UNIQUE IN THAT IT OVERLAPS WITH THE GILA RIVER INDIAN COMMUNITY (GRIC). DURING FISCAL YEAR 2023, THE TOP 75% OF PATIENT ENCOUNTERS AT CRMC CAME FROM THE FOLLOWING ZIP CODES: 85044, 85048, 85121, 85122, 85128, 85138, 85139, 85142, 85147, 85202, 85204, 85210, 85212, 85224, 85225, 85226, 85233, 85248, 85249, 85282, 85283, 85284, 85286, 85295, 85296, 85297, 85298, AND 85339. (ED).CRMC'S PSA IS PREDOMINANTLY A SUBURBAN COMMUNITY, WHILE MARICOPA COUNTY AND ARIZONA ARE BOTH URBAN AND RURAL. TOTAL POPULATION 1,181,186. POPULATION BY RACE/ETHNICITY: 2% AMERICAN INDIAN/ALASKA NATIVE (NON-HISPANIC), 6% ASIAN AND NATIVE HAWAIIAN/PACIFIC ISLANDER (NON-HISPANIC), 6% BLACK/AFRICAN AMERICAN (NON-HISPANIC), 55% WHITE (NON-HISPANIC) AND 26% HISPANIC/LATINO POPULATION BY SEX: 50% MALE, 50% FEMALEPOPULATION BY AGE: 21% FOR 0-14 YEARS, 14% FOR 15-24 YEARS, 29% FOR 25-44 YEARS, 24% FOR 45-64 YEARS, 13% FOR 65 + YEARSNON-ENGLISH SPOKEN AT HOME: 21%, EDUCATION ATTAINMENT LESS THAN HIGH SCHOOL DIPLOMA OVER THE AGE OF 25: 3% LESS THAN 9TH GRADE, 4%- 9TH-12TH NO DIPLOMA MEDIAN HOUSEHOLD INCOME: $98,916UNEMPLOYMENT: 5%POVERTY BASED ON INCOME AND FAMILY THRESHOLD: 9% BELOW POVERTY LEVEL, ALL AGES, 3% BELOW POVERTY LEVEL UNDER THE AGE OF 18 UNINSURED: 9% MEDICAID: IP: 26%, ED: 35%NUMBER OF HOSPITALS IN THE AREA: 11 IN 2023CALIFORNIA HOSPITAL MEDICAL CENTER:CALIFORNIA HOSPITAL MEDICAL CENTER (CHMC) IS LOCATED AT 1401 S. GRAND AVE., LOS ANGELES, CA, 90015. THE HOSPITAL TRACKS ZIP CODES OF ORIGIN FOR ALL PATIENT ADMISSIONS AND INCLUDES ALL WHO RECEIVED CARE WITHOUT REGARD TO INSURANCE COVERAGE OR ELIGIBILITY FOR FINANCIAL ASSISTANCE. THE HOSPITAL DEFINES ITS PRIMARY SERVICE AREA THAT INCLUDES 36 ZIP CODES IN 10 CITIES WITHIN LOS ANGELES COUNTY, 17 OF WHICH ARE LOCATED IN THE CITY OF LOS ANGELES, AND 10 THAT ARE IN SOUTH LA, AND COMPRISES OF PORTIONS OF LOS ANGELES COUNTY SERVICE PLANNING AREAS (SPAS) 4, 6, 7, AND 8. THE POPULATION OF THE CHMC SERVICE AREA IS 1,822,453. CHILDREN AND YOUTH AGES 0-17, MAKE UP 23.65% OF THE POPULATION, 65.5% ARE ADULTS, AGES 18-64, AND 10.76% OF THE POPULATION IS SENIORS, AGES 65 AND OLDER. THE LARGEST PORTION OF THE POPULATION IN THE SERVICE AREA IDENTIFIES AS HISPANIC/LATINO (67.3%), 16.1% OF THE POPULATION IDENTIFIES AS BLACK/AFRICAN AMERICAN, 7.1% AS ASIAN, 6.8% AS WHITE. APPROXIMATELY 15.43% OF THE POPULATION IDENTIFIES AS MULTIRACIAL (TWO OR MORE RACES), 0.2% ARE AMERICAN INDIAN/ALASKAN NATIVE AND 0.1% ARE NATIVE HAWAIIAN/PACIFIC ISLANDER. IN THE SERVICE AREA, 34.2% OF THE POPULATION, 5 YEARS AND OLDER, SPEAK ONLY ENGLISH IN THE HOME. AMONG THE SERVICE AREA POPULATION, 9.4% OF PEOPLE <65 AND OLDER DO NOT HAVE HEALTH INSURANCE AND 52.4% OF THE PEOPLE HAVE MEDICAID. APPROXIMATELY, 21.4% OF PEOPLE ARE BELOW THE 100% FEDERAL POVERTY LEVEL. NORTHRIDGE HOSPITAL MEDICAL CENTER:THE HOSPITAL'S SERVICE REGION IS LOCATED IN NORTHERN LOS ANGELES IN SERVICE PLANNING AREA 2 (SPA 2) WITH OVER 1.5 MILLION RESIDENTS AND IS AN URBANIZED VALLEY THAT IS SURROUNDED BY THE SANTA SUSANA MOUNTAINS ON THE NORTHWEST, SIMI VALLEY TO THE WEST, THE SANTA MONICA MOUNTAINS TO THE SOUTH, THE VERDUGO MOUNTAINS TO THE EAST, AND THE SAN GABRIEL MOUNTAINS TO THE NORTHEAST. THE MOST DENSELY POPULATED REGION OF LOS ANGELES COUNTY SPANS CITIES, COMMUNITIES, AND INCORPORATED AREAS IN THE SAN FERNANDO AND SANTA CLARITA VALLEYS. A SUMMARY DESCRIPTION OF THE COMMUNITY IS BELOW, AND ADDITIONAL DETAILS CAN BE FOUND IN THE CHNA REPORT ONLINE. THE STUDY AREA FOR THE NEEDS ASSESSMENT (REFERRED TO AS "NHMC SERVICE REGION" IN THIS REPORT) REFLECTS COMMUNITIES THROUGHOUT THE SAN FERNANDO AND SANTA CLARITA VALLEYS IN LOS ANGELES, INCLUSIVE OF THE FOLLOWING ZIP CODES: 91302, 91303, 91304, 91306, 91307, 91311, 91316, 91324, 91325, 91326, 91330, 91331, 91335, 91340, 91342, 91343, 91344, 91345, 91350, 91351, 91352, 91354, 91355, 91356, 91364, 91367, 91387, 91401, 91402, 91403, 91405, 91406, 91411, 91605, AND 91606. THE SAN FERNANDO AND SANTA CLARITA VALLEYS ARE PREDOMINANTLY SUBURBAN REGIONS CHARACTERIZED BY A DIVERSE POPULATION AND A MIX OF URBAN AND RESIDENTIAL COMMUNITIES. THE SAN FERNANDO VALLEY, KNOWN FOR ITS RICH CULTURAL TAPESTRY, IS HOME TO VARIOUS ETHNIC GROUPS, INCLUDING SIGNIFICANT LATINO AND IMMIGRANT POPULATIONS. THE SANTA CLARITA VALLEY, WHILE MORE SUBURBAN AND NEWER IN DEVELOPMENT, ALSO ATTRACTS DIVERSE RESIDENTS. KEY ECONOMIC DRIVERS IN BOTH AREAS INCLUDE ENTERTAINMENT, RETAIL, AND HEALTHCARE SECTORS, WITH A GROWING EMPHASIS ON TECHNOLOGY AND EDUCATION. DESPITE THEIR ECONOMIC ADVANTAGES, THESE VALLEYS FACE NOTABLE HEALTH DISPARITIES, PARTICULARLY AMONG DISADVANTAGED AND MINORITY COMMUNITIES RELYING ON PUBLIC HEALTH SERVICES AND COMMUNITY CLINICS. KEY DEMOGRAPHICS OF THE HOSPITAL'S SERVICE REGION REPORTED IN THE MOST RECENT CHNA INCLUDE:TOTAL POPULATION SIZE: 1,500,327ASIAN/PACIFIC ISLANDER: 11.5%BLACK/AFRICAN AMERICAN- NON HISPANIC: 4.0%HISPANIC OR LATINO: 47.8%WHITE NON-HISPANIC: 32.5%ALL OTHER RACES: 4.2%% BELOW THE POVERTY LEVEL (FAMILIES): 13.2%POPULATION WITH NO HIGH SCHOOL DIPLOMA: 18.9%POPULATION COVERED BY MEDICAID: 32.5%POPULATION UNINSURED: 9.4%>> PART VI, LINE 4 CONTINUED AFTER PART VI, LINE 7 ON PART VI, PAGE 10<< 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.COMMUNITY HEALTH IMPROVEMENT GRANTS AND COMMUNITY INVESTMENTS: DIGNITY HEALTH HOSPITALS, TOGETHER WITH DIGNITY COMMUNITY CARE HOSPITALS, $7.3 MILLION IN FINANCIAL GRANTS TO LOCAL COMMUNITY ORGANIZATIONS TO ADDRESS SIGNIFICANT HEALTH NEEDS FROM CHNAS. GRANTEES SET PERFORMANCE GOALS AND REPORT ON PROGRESS AND RESULTS. AS OF JUNE 30, 2025, THE COMMUNITY INVESTMENT PROGRAM CONSISTED OF 89 APPROVED INVESTMENTS TOTALING $257 MILLION SUPPORTING AFFORDABLE HOUSING, ACCESS TO HEALTHCARE, EARLY CHILDHOOD EDUCATION, CLIMATE RESILIENCE, ECONOMIC SECURITY, HEALTHY LIVING, AND OTHER COMMUNITY SERVICES.DIGNITY COMMUNITY CARE HOSPITALS ARE IMPLEMENTING A FORMAL REFERRAL SYSTEM OF PATIENTS TO HEALTH IMPROVEMENT PROGRAMS AND SOCIAL SUPPORT SERVICES IN THEIR COMMUNITIES. THIS TECHNOLOGY-SUPPORTED SYSTEM INCLUDES COMMUNITY HEALTH STAFF, CARE COORDINATORS AND SOCIAL WORKERS IN THE HOSPITALS, PLUS SELECT COMMUNITY-BASED PARTNER ORGANIZATIONS. THIS CONNECTED COMMUNITY NETWORK INITIATIVE ADDRESSES THE NEEDS OF ALL PATIENTS, WITH A FOCUS ON HIGH-NEED AND VULNERABLE INDIVIDUALS, BEYOND ACUTE MEDICAL CARE. DIGNITY COMMUNITY CARE PROVIDES HOSPITAL SERVICES AND CARRIES OUT ITS MISSION AT THE HOSPITAL FACILITIES LISTED IN PART V, SECTION A. FOR DETAILED INFORMATION ON THE SERVICES AND COMMUNITY BENEFITS PROVIDED AT THESE FACILITIES, AS WELL AS COPIES OF THE COMMUNITY HEALTH NEEDS ASSESSMENTS, IMPLEMENTATION STRATEGIES AND COMMUNITY BENEFIT REPORTS FOR EACH FACILITY, VISIT THE HOSPITAL WEBSITES AS LISTED IN PART V, SECTION B, LINE 7A. PART VI, LINE 6: AFFILIATES OF DIGNITY COMMUNITY CARE ALSO PROMOTE THE HEALTH OF ADDITIONAL COMMUNITIES IN BAKERSFIELD, SAN BERNARDINO, SAN FRANCISCO, SAN ANDREAS, AND GRASS VALLEY/NEVADA CITY, CALIFORNIA, PHOENIX, CHANDLER AND GILBERT, ARIZONA, LAS VEGAS AND HENDERSON, NEVADA AND IN 21 ADDITIONAL STATES THROUGH THE ALLIANCE WITHIN THE COMMONSPIRIT SYSTEM. THESE AFFILIATES FOLLOW PRACTICES SIMILAR TO THOSE NOTED ABOVE IN DETERMINING THE UNMET HEALTHCARE NEEDS OF THEIR COMMUNITIES. TOTAL UNSPONSORED COMMUNITY BENEFIT EXPENSE NET OF OFFSETTING REVENUE FOR COMMONSPIRIT AND ITS AFFILIATED CORPORATIONS, WHICH INCLUDES DIGNITY COMMUNITY CARE, FOR THE YEAR ENDED JUNE 30, 2025, IS $3.1 BILLION. A SUMMARY OF COMMONSPIRIT'S COMMUNITY BENEFITS CAN BE VIEWED IN THE ATTACHED COMMONSPIRIT HEALTH CONSOLIDATED FINANCIAL STATEMENTS ON PAGE 41. PART VI, LINE 7, REPORTS FILED WITH STATES CA,NV SCHEDULE H, PART VI, LINE 4 - COMMUNITY INFORMATION CONTINUATION METHODIST HOSPITAL OF SACRAMENTO:METHODIST HOSPITAL OF SACRAMENTO IS LOCATED IN SACRAMENTO COUNTY AND SERVES THE ENTIRE COUNTY WHICH IS PRIMARILY A SUBURBAN AREA. THE 55 ZIP CODES THAT COMPRISE THE HOSPITALS PRIMARY SERVICE AREA ARE: 95608, 95610, 95621, 95628, 95630, 95655, 95662, 95670, 95671, 95683, 95742, 95821, 95825, 95827, 95864, 95626, 95652, 95660, 95673, 95815, 95833, 95834, 95835, 95837, 95838, 95841, 95842, 95843, 95811, 95814, 95816, 95817, 95818, 95819, 95820, 95826, 95615, 95624, 95632, 95638, 95639, 95641, 95680, 95690, 95693, 95757, 95758, 95822, 95823, 95824, 95828, 95829, 95830, 95831, AND 95832. BELOW IS A DESCRIPTION OF THE CORE DEMOGRAPHIC COMPOSITION OF THE HOSPITALS' PRIMARY SERVICE AREA (I.E., SACRAMENTO COUNTY) USING DATA OBTAINED FROM THE US CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY FOR THE 2019-2023 TIME PERIOD. TOTAL POPULATION: 1,584,047ETHNICITY & RACE:NOT HISPANIC OR LATINO: 76%WHITE: 41.5%BLACK OR AFRICAN AMERICAN: 9.1%AMERICAN INDIAN AND ALASKA NATIVE: 0.3%ASIAN: 17.2%NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER: 1.1%SOME OTHER RACE: 0.5%TWO OR MORE RACES: 6.3% HISPANIC OR LATINO (ANY RACE): 24%SOCIOECONOMIC STATUS: POVERTY AMONG FAMILIES W/CHILDREN: 16.1%UNEMPLOYMENT RATE: 4.1%NON-HIGH SCHOOL GRADUATES: 11.7%LIMITED ENGLISH PROFICIENCY: 6.2%ACCESS TO CARE: UNINSURED INDIVIDUALS: 2.7%MEDICAID BENEFICIARIES: 21%# OF NON-DIGNITY COMMUNITY CARE HOSPITALS (NON-PSYCHIATRIC) SERVING SACRAMENTO COUNTY: 5FEDERALLY DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREAS AND MEDICALLY UNDERSERVED AREAS OR POPULATIONS PRESENT? YES, ALL DESIGNATED MEDICALLY UNDERSERVED AREAS/LOW-INCOME POPULATIONS IN SACRAMENTO COUNTY ARE CONCENTRATED THE FRUITRIDGE, OAK PARK, DEL PASO, DOWNTOWN NEIGHBORHOODS HOUSEHOLD INCOME IN THE PAST 12 MONTHS IN 2023 INFLATION-ADJUSTED OF SACRAMENTO CITY AND WALNUT GROVE.SEQUOIA HOSPITAL:SEQUOIA HOSPITAL'S SERVICE AREA INCLUDES THE FOLLOWING ZIP CODES. 94027, 94002, 94010, 94019, 94020, 94025, 94301, 94303, 94304, 94306, 94028, 94061, 94062, 94063, 94065, 94070, 94401, 94402, 94403, AND 94404. THE POPULATION OF THE SERVICE AREA IS 524,799. CHILDREN AND YOUTH, AGES 0-17, MAKE UP 21.8% OF THE POPULATION, 61.9% ARE ADULTS, AGES 18-64, AND 16.3% OF THE POPULATION ARE SENIORS, AGES 65 AND OLDER. THE LARGEST PORTION OF THE POPULATION IN THE SERVICE AREA IS WHITE OR CAUCASIAN RESIDENTS (44.7%), 23.7% OF THE POPULATION ARE ASIAN RESIDENTS AND 22.2% ARE HISPANIC OR LATINO RESIDENTS. 5.2% OF THE POPULATION IDENTIFIES AS MULTIRACIAL (TWO-OR-MORE RACES), 2.3% ARE BLACK OR AFRICAN AMERICAN RESIDENTS, 1% ARE NATIVE HAWAIIAN OR PACIFIC ISLANDER RESIDENTS, AND 0.1% ARE AMERICAN INDIAN OR ALASKAN NATIVE RESIDENTS. AMONG THE RESIDENTS IN THE SERVICE AREA, 6.1% ARE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL) AND 13.9% ARE AT 200% OF FPL OR BELOW. IN THE SERVICE AREA, 5.9% OF CHILDREN LIVE IN POVERTY, 7.8% OF SENIOR ADULTS LIVE IN POVERTY, AND 16.1% OF FAMILIES WITH FEMALE HEAD OF HOUSEHOLD WITH MINOR CHILDREN LIVE IN POVERTY. THE UNEMPLOYMENT RATE IN THE SERVICE AREA AMONG THE CIVILIAN LABOR FORCE, AVERAGED OVER 5 YEARS, IS 4.4%. THE MEDIAN HOUSEHOLD INCOME IN THE SERVICE AREA IS $177,626. IN THE SERVICE AREA, 96.6% OF THE CIVILIAN, NON-INSTITUTIONALIZED POPULATION HAVE HEALTH INSURANCE, AND 98.1% OF CHILDREN, AGES 18 AND YOUNGER, HAVE HEALTH INSURANCE COVERAGE. AMONG COUNTY RESIDENTS, 9.9% HAVE MEDI-CAL COVERAGE. EDUCATIONAL ATTAINMENT IS A KEY DRIVER OF HEALTH. IN THE HOSPITAL SERVICE AREA, 8% OF ADULTS, AGES 25 AND OLDER, LACK A HIGH SCHOOL DIPLOMA, WHICH IS LOWER THAN THE STATE RATE (15.6%). 63.1% OF AREA ADULTS HAVE A BACHELOR'S OR HIGHER DEGREE. THE U.S. HEALTH SERVICES ADMINISTRATION (HRSA) DESIGNATES MEDICALLY UNDERSERVED AREAS/POPULATIONS (MUA) AS AREAS OR POPULATIONS HAVING TOO FEW PRIMARY CARE PROVIDERS, HIGH INFANT MORTALITY, HIGH POVERTY, OR A HIGH ELDERLY POPULATION. SAN MATEO COUNTY IS DESIGNATED AS AN MUA FOR PRIMARY CARE. THERE ARE THREE CATEGORIES OF HEALTH PROFESSIONS SHORTAGE AREA (HPSA) DESIGNATIONS BASED ON THE HEALTH DISCIPLINE THAT IS EXPERIENCING A SHORTAGE: 1) PRIMARY MEDICAL, 2) DENTAL, AND 3) MENTAL HEALTH. THE PRIMARY FACTOR USED TO DETERMINE A HPSA DESIGNATION IS THE NUMBER OF HEALTH PROFESSIONALS RELATIVE TO THE POPULATION WITH CONSIDERATION OF HIGH NEED. SAN MATEO COUNTY IS DESIGNATED AS A HPSA FOR PRIMARY CARE FOR LOW-INCOME POPULATIONS.GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER:GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER (GMHHC) IS LOCATED AT 1420 S. CENTRAL AVENUE IN GLENDALE, CALIFORNIA. THE HOSPITAL SERVES APPROXIMATELY 507,000 RESIDENTS WHO RESIDE IN THE URBAN POPULATION CENTERS OF THE CITY OF GLENDALE, THE CITY OF LOS ANGELES COMMUNITIES OF HOLLYWOOD, LOS FELIZ, GRIFFITH PARK, EAGLE ROCK, HIGHLAND PARK, AND GLASSELL PARK, AS WELL AS THE UNINCORPORATED AREA OF LA CRESCENTA. THE GMHHC SERVICE AREA IS PRIMARILY URBAN AND HOME TO A DIVERSE, MULTICULTURAL POPULATION. APPROXIMATELY 44.9% OF RESIDENTS IDENTIFY AS WHITE, NON-HISPANIC (WHICH INCLUDES A LARGE ARMENIAN POPULATION), 33.2% AS HISPANIC/LATINX,14.8% AS ASIAN, AND 2.2% AS BLACK OR AFRICAN AMERICAN. OVER HALF (57.1%) SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME, AND ABOUT 25.3% OF THESE INDIVIDUALS REPORT SPEAKING ENGLISH LESS THAN "VERY WELL." THE FOREIGN-BORN POPULATION ACCOUNTS FOR ROUGHLY 51.4% OF GLENDALE RESIDENTS, WITH THE U.S. CENSUS (2014-2018) IDENTIFYING THE TOP COUNTRIES OF ORIGIN, INCLUDING ARMENIA, KOREA, IRAN, THE PHILIPPINES, MEXICO, AND EL SALVADOR. THIS CULTURAL DIVERSITY IS ACCOMPANIED BY A BROAD RANGE OF DEMOGRAPHIC AND ECONOMIC CHARACTERISTICS. THE MEDIAN AGE OF 39.8 YEARS, REFLECTING A MIX OF FAMILIES, WORKING-AGE ADULTS, AND OLDER RESIDENTS. ECONOMIC INDICATORS REVEAL A MEDIAN HOUSEHOLD INCOME OF $90,355; HOWEVER,13.4% OF INDIVIDUALS AND 9.5% OF FAMILIES LIVE BELOW THE FEDERAL POVERTY LEVEL. APPROXIMATELY 7.4% OF RESIDENTS ARE UNINSURED, WHILE 38.3% RECEIVE PUBLIC HEALTH COVERAGE. AMONG ADULTS AGED 25 AND OLDER, 86.4% HAVE COMPLETED HIGH SCHOOL OR HIGHER. THE U.S. HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) HAS DESIGNATED SEVERAL OF THE HOSPITAL'S SERVICE AREAS (E.G., SOUTHEAST GLENDALE, GLASSELL PARK, HIGHLAND PARK, ETC.) AS MEDICALLY UNDERSERVED AREAS/POPULATIONS AND HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS), PARTICULARLY FOR PRIMARY CARE AND BEHAVIORAL HEALTH. THESE DESIGNATIONS REFLECT ONGOING BARRIERS TO TIMELY AND EQUITABLE ACCESS TO CARE. ADDITIONALLY, HIGH HOUSING COSTS AND POCKETS OF PERSISTENT POVERTY CONTINUE TO DRIVE HEALTH INEQUITIES ACROSS THE SERVICE AREAS. THESE CHALLENGES WERE FURTHER EXACERBATED BY THE EATON FIRE IN JANUARY 2025, WHICH INTENSIFIED HOUSING INSTABILITY AND INCREASED THE NEED FOR SOCIAL AND HEALTH SERVICES. SCHEDULE H, PART VI, LINE 4 - COMMUNITY INFORMATION FRENCH HOSPITAL MEDICAL CENTER:FRENCH HOSPITAL MEDICAL CENTER (FHMC) SERVES A COMMUNITY THAT EXTENDS OVER 35-MILES IN SAN LUIS OBISPO COUNTY INCLUDING THE COMMUNITIES OF THE CITY OF SAN LUIS OBISPO, ATASCADERO, TEMPLETON, MORRO BAY, LOS OSOS, CAMBRIA, AND PASO ROBLES. THE FHMC COMMUNITY DOES NOT EXCLUDE ANY LOW-INCOME OR UNDERSERVED POPULATIONS AND INCLUDES ALL MEMBERS OF THE COMMUNITY. THE COMMUNITIES SERVED BY THE HOSPITAL ALIGN WITH THE RESIDENCE LOCATION (CONTIGUOUS ZIP CODES) FOR 75% OF ALL INPATIENT DISCHARGES, EXCLUDING AREAS SERVED BY DIGNITY HEALTH ARROYO GRANDE COMMUNITY HOSPITAL, WHICH IS INCLUDED IN THE MARIAN REGIONAL MEDICAL CENTER NEEDS ASSESSMENT. THE COMMUNITY SERVED BY FHMC IS SUPPORTED BY THE SAN LUIS OBISPO COUNTY PUBLIC HEALTH DEPARTMENT, ADVENTIST HEALTH SIERRA VISTA REGIONAL MEDICAL CENTER, AND ADVENTIST HEALTH TWIN CITIES COMMUNITY HOSPITAL. THE COMMUNITY SERVED BY THE HOSPITAL INCLUDES THE FOLLOWING ZIP CODES:93401 AND 93405 (CITY OF SAN LUIS OBISPO)93402 (LOS OSOS)93422 (ATASCADERO)93424 (AVILA BEACH)93428 (CAMBRIA)93442 (MORRO BAY)93446 (PASO ROBLES)93465 (TEMPLETON)THE ZIP CODES MENTIONED ABOVE REPRESENT THE GEOGRAPHIC AREAS ASSIGNED BY THE U.S. POSTAL SERVICE FOR DELIVERY PURPOSES. HOWEVER, THE U.S. CENSUS DOES NOT PROVIDE POPULATION ESTIMATES BASED ON ZIP CODE, BUT RATHER USES "ZIP CODE TABULATION AREAS (ZCTAS) 2020". ZCTA 2020 DIFFERS SLIGHTLY AND AT TIMES IS LOCATED WITHIN A LARGER GEOGRAPHIC ZIP CODE, SUCH AS 93405. TO ACCURATELY REPORT U.S. CENSUS INFORMATION, THE FOLLOWING ZCTAS 2020 (WITHIN ZIP CODE 93405) WERE ALSO INCLUDED IN THE COMMUNITY SERVED ANALYSIS: ZCTA 93407 AND 93410 (CALIFORNIA POLYTECHNIC STATE UNIVERSITY); ZCTA 93409 (CALIFORNIA MEN'S COLONY). ACCORDING TO THE AMERICAN COMMUNITY SURVEY (2019-2023, 5-YEAR ESTIMATE), THE FHMC COMMUNITY IS HOME TO 187,261 RESIDENTS, WITH NEARLY 68% OF THE COMMUNITY IDENTIFYING AS WHITE ALONE, NOT HISPANIC OR LATINO(A). APPROXIMATELY ONE IN FIVE (21.7%) COMMUNITY MEMBERS IDENTIFY THEMSELVES AS HISPANIC OR LATINO(A). THE COMMUNITIES WITH THE MOST INDIVIDUALS THAT IDENTIFY THEMSELVES AS HISPANIC OR LATINO(A) ARE PASO ROBLES (93446) (13,895) AND ATASCADERO (93422) (7,258). THE ASIAN COMMUNITY ACCOUNTS FOR 3.8% OF THE TOTAL POPULATION, THERE ARE 2,249 BLACK COMMUNITY MEMBERS (1.2%), AND NEARLY 5% OF THE COMMUNITY IDENTIFIES THEMSELVES AS TWO OR MORE RACES. EXCLUDING ZCTA 93407, 93410, AND 93409, APPROXIMATELY ONE IN FIVE INDIVIDUALS WITHIN THE FHMC COMMUNITY (18.3%) RESIDE IN POVERTY, EXCEEDING COUNTY (13.5%) AND STATE (12.0%) RATES. THIS ACCOUNTS FOR APPROXIMATELY 6% OF FAMILIES AND 13% OF INDIVIDUALS IN THE COMMUNITY WHO ARE LIVING BELOW 100% OF THE FEDERAL POVERTY LEVEL. OVER 35% OF THE RESIDENTS OF THE COMMUNITY HAVE PUBLIC HEALTH INSURANCE COVERAGE. ONE IN FOUR SAN LUIS OBISPO COUNTY RESIDENTS IS COVERED BY MEDI-CAL/CENCAL, AND ABOUT 6% OF COMMUNITY MEMBERS HAVE NO HEALTH INSURANCE COVERAGE. NEARLY ONE-THIRD (32.3%) OF THE COMMUNITY IS AGE 55 AND OLDER, AND MANY RESIDE IN THE MORE GEOGRAPHICALLY ISOLATED COMMUNITIES. APPROXIMATELY HALF OF THE COMMUNITY MEMBERS IN EACH OF THE FOLLOWING LOCATIONS ARE AGE 55 AND OLDER: MORRO BAY (93442), CAMBRIA, (93428), AND AVILA BEACH (93424).WOODLAND MEMORIAL HOSPITAL:WOODLAND MEMORIAL HOSPITAL IS LOCATED IN YOLO COUNTY AND SERVES THE ENTIRE COUNTY WHICH IS PRIMARILY A SUBURBAN AREA. THE 17 ZIP CODES THAT COMPRISE THE HOSPITALS PRIMARY SERVICE AREA ARE: 95616, 95617, 95618, 95695, 95776, 95605, 95694, 95607, 95606, 95612, 95637, 95645, 95653, 95679, 95697, 95698, AND 95937. BELOW IS A DESCRIPTION OF THE CORE DEMOGRAPHIC COMPOSITION OF THE HOSPITALS' PRIMARY SERVICE AREA (I.E., YOLO COUNTY) USING DATA OBTAINED FROM THE US CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY FOR THE 2019-2023 TIME PERIOD. TOTAL POPULATION: 217,782ETHNICITY & RACE:NOT HISPANIC OR LATINO: 66.8%WHITE: 43%BLACK OR AFRICAN AMERICAN: 2.5%AMERICAN INDIAN AND ALASKA NATIVE: 0.4%ASIAN: 14.5%NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER: 0.4%SOME OTHER RACE: 0.5%TWO OR MORE RACES: 5.5% HISPANIC OR LATINO (ANY RACE): 33.2%SOCIOECONOMIC STATUS: POVERTY AMONG FAMILIES W/CHILDREN: 9.1%UNEMPLOYMENT RATE: 5.3%NON-HIGH SCHOOL GRADUATES: 11.5%LIMITED ENGLISH PROFICIENCY: 12.8%ACCESS TO CARE:UNINSURED INDIVIDUALS: 4.6%MEDICAID BENEFICIARIES: 4.1%# OF NON-DIGNITY COMMUNITY CARE HOSPITALS (NON-PSYCHIATRIC) SERVING SACRAMENTO COUNTY: 1 - SUTTER DAVIS HOSPITAL FEDERALLY DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREAS AND MEDICALLY UNDERSERVED AREAS OR POPULATIONS PRESENT? YESARIZONA GENERAL HOSPITAL MESA AND ARIZONA GENERAL HOSPITAL LAVEEN:ARIZONA GENERAL HOSPITAL MESA (AGHM) AND ARIZONA GENERAL HOSPITAL LAVEEN (AGHL) ARE LOCATED IN MARICOPA COUNTY, THE FOURTH MOST POPULOUS COUNTY IN THE U.S., WITH A POPULATION OF OVER 4.4 MILLION PEOPLE. COVERING 9,202 SQUARE MILES, MARICOPA COUNTY COMPRISES NEARLY FIVE PERCENT OF INDIGENOUS LAND FROM TRIBES SUCH AS THE FORT MCDOWELL YAVAPAI NATION, GILA RIVER INDIAN COMMUNITY, SALT RIVER PIMA MARICOPA INDIAN COMMUNITY, AND TOHONO O'ODHAM NATION. THE HOSPITALS' COMMUNITY IS DEFINED AS INDIVIDUALS RESIDING WITHIN THE PRIMARY SERVICE AREA (PSA) OF THE HOSPITALS. THE PSA IS DEFINED BY THE TOP 75% OF AGHM'S INPATIENT AND OUTPATIENT DISCHARGES AND IS OUTLINED BY ZIP CODES THAT ENCOMPASS ALL POPULATIONS, INCLUDING LOW INCOME AND UNDERSERVED POPULATIONS. THE HOSPITALS' PSA IS UNIQUE IN THAT IT OVERLAPS WITH THE GILA RIVER INDIAN COMMUNITY (GRIC). DURING FISCAL YEAR 2023, THE TOP 75% OF PATIENT ENCOUNTERS AT THE HOSPITALS CAME FROM THE FOLLOWING ZIP CODES: 85212, 85209, 85339, 85041, 85207, 85142, 85225, 85208, 85215, 85205, 85120, 85282, 85044, 85204, 85143, 85283, 85048, 85138, 85296, 85043, 85042, 85233, 85301, 85206, 85201, 85147, 85286, 85033, 85203, 85338, 85234, 85249, 85119, 85213, 85132, 85298, 85302, 85140, 85037. THE HOSPITALS' PSA IS PREDOMINANTLY A RURAL COMMUNITY.POPULATION: 1,781,556 POPULATION BY RACE/ETHNICITY: 2% AMERICAN INDIAN/ALASKA NATIVE (NON-HISPANIC), 4% ASIAN AND NATIVE HAWAIIAN/PACIFIC ISLANDER (NON-HISPANIC), 6% BLACK/AFRICAN AMERICAN (NON-HISPANIC), 52% WHITE (NON-HISPANIC) AND 33% HISPANIC/LATINO POPULATION BY SEX: 50% MALE, 50% FEMALEPOPULATION BY AGE: 21% FOR 0-14 YEARS, 13% FOR 15-24 YEARS, 28% FOR 25-44 YEARS, 24% FOR 45-64 YEARS, 14% FOR 65 + YEARSNON-ENGLISH SPOKEN AT HOME: 26%, UNEMPLOYMENT: 5%EDUCATION ATTAINMENT LESS THAN HIGH SCHOOL DIPLOMA OVER THE AGE OF 25: 5% LESS THAN 9TH GRADE, 6%- 9TH-12TH NO DIPLOMA MEDIAN HOUSEHOLD INCOME: $88,339POVERTY BASED ON INCOME AND FAMILY THRESHOLD: 11% BELOW POVERTY LEVEL, ALL AGES, 4% BELOW POVERTY LEVEL UNDER THE AGE OF 18UNINSURED: 11% MEDICAID: IP: 31%, ED: 43%NUMBER OF HOSPITALS IN THE AREA: 17 IN 2023 SCHEDULE H, PART VI, LINE 4 - COMMUNITY INFORMATION ARIZONA SPECIALTY HOSPITAL (FKA OASIS AND AOSH):ARIZONA SPINE AND JOINT HOSPITAL:DIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL:DIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL - GILBERT:THE ARIZONA JOINT VENTURE HOSPITALS (JVHS) SERVE PATIENTS ACROSS MARICOPA COUNTY AND ARIZONA; HENCE, THE COMMUNITY DEFINITION EXTENDS BEYOND THEIR PHYSICAL LOCATIONS. THE TABLE BELOW DESCRIBES THE DEMOGRAPHIC AND SOCIOECONOMIC PROFILE OF RESIDENTS IN MARICOPA COUNTY AND ARIZONA, FOR COMPARISON. MARICOPA COUNTY/ ARIZONA:TOTAL POPULATION SIZE: 4,430,871 / 7,172,282POPULATION BY RACE / ETHNICITY:AMERICAN INDIAN/ALASKA NATIVE (NON-HISPANIC): 1% / 4%ASIAN AND NATIVE HAWAIIAN/PACIFIC ISLANDER (NON-HISPANIC): 4% / 3%BLACK/AFRICAN AMERICAN (NON-HISPANIC): 5% / 4%WHITE (NON-HISPANIC): 53% / 53%HISPANIC / LATINO: 32% / 32%POPULATION BY SEX:MALE: 50% / 50%FEMALE: 50% / 50%POPULATION BY AGE GROUP:0-14 YEARS: 19% / 18%15-24 YEARS: 14% / 14%25-44 YEARS: 28% / 26%45-64 YEARS: 24% / 24%65+ YEARS: 16% / 18%LANGUAGES, AMONG THOSE 5 YEAR AND OLDER: 62025 COMMUNITY HEALTH IMPLEMENTATION STRATEGY ARIZONA JOINT VENTURE HOSPITALSMARICOPA COUNTY / ARIZONA:NON-ENGLISH LANGUAGES SPOKEN AT HOME: 26% / 26%POPULATION BY EDUCATIONAL ATTAINMENT (LESS THAN A HIGH SCHOOL DIPLOMA), AMONGTHOSE 25 YEARS AND OVER: LESS THAN 9TH GRADE: 5% / 5%9TH - 12TH GRADE, NO DIPLOMA: 6% / 6%EMPLOYMENT STATUS: UNEMPLOYED: 5% / 5%MEDIAN HOUSEHOLD INCOME: INCOME: $80,675 / $72,581POVERTY:BELOW POVERTY LEVEL ALL AGES: 12% / 13%BELOW POVERTY LEVEL ALL AGES UNDER 18 YEARS: 16% / 18%HEALTH INSURANCE COVERAGE: UNINSURED: 11% / 11%HEALTH INSURANCE TYPE: MEDICAID: 18% / 21%HEALTH PROFESSIONAL SHORTAGE AREA: YES / YESMEDICALLY UNDERSERVED AREA: YES / YESMEDICALLY UNDERSERVED, LOW INCOME, MINORITYPOPULATIONS: MEDICALLY UNDERSERVED, LOW INCOMEDIGNITY HEALTH REHABILITATION HOSPITAL (SIENA CAMPUS):THE GEOGRAPHIC AREA FOR THE CHNA IS CLARK COUNTY, THE COMMON COMMUNITY FOR ALL PARTNERS PARTICIPATING IN THE CHNA COLLABORATIVE. CLARK COUNTY IS THE NATION'S 14TH LARGEST COUNTY THAT SERVES MORE THAN 2.25 MILLION CITIZENS AND MORE THAN 46 MILLION VISITORS A YEAR. CLARK COUNTY SERVES A COMMUNITY LIVING IN RURAL OR URBAN AREAS. A KEY COMPONENT OF THE COUNTY'S ECONOMY IS TOURISM, AND AMONG ITS LARGEST INDUSTRIES ARE ACCOMMODATION AND FOOD SERVICE, RETAIL TRADE AND HEALTH CARE AND SOCIAL ASSISTANCE. ALL COUNTIES WITHIN NEVADA HAVE HAD TREMENDOUS POPULATION GROWTH WITHIN THE LAST DECADE. HOWEVER, THE MAJORITY OF THE POPULATION REMAINS WITHIN CLARK COUNTY, AND IT CONTINUES TO GROW. BETWEEN 2015 AND 2021 CLARK COUNTY'S POPULATION GREW FROM 2.11 MILLION TO 2.32 MILLION. CLARK COUNTY COMPRISES ONLY 7% (8,091 SQUARE MILES) OF NEVADA'S LAND MASS (110,567 SQUARE MILES) BUT CONTAINS 72% OF THE STATE'S TOTAL POPULATION. BECAUSE OF CLARK COUNTY'S CONTRIBUTION TO THE STATE POPULATION, CAUTION SHOULD BE EXERCISED WHEN COMPARING THE COUNTY TO THE STATE. DIGNITY HEALTH - ST. ROSE DOMINICAN ALSO SERVES AN INCREASINGLY DIVERSE POPULATION. THE LARGEST RACIAL GROUP, WHITE (NON-HISPANIC/LATINO ETHNICITY), MAKES UP 39.39% OF THE POPULATION, FOLLOWED BY THE POPULATIONS IDENTIFYING AS BLACK OR AFRICAN AMERICAN (11.66%) AND AS ASIAN (10.99%). NOTABLY, 31.45% OF CLARK COUNTY RESIDENTS IDENTIFY AS HISPANIC OR LATINO, A HIGHER PERCENTAGE THAN SEEN ACROSS NEVADA AND MUCH HIGHER THAN THE REST OF THE U.S. (U.S. CENSUS BUREAU). TWO-THIRDS OF CLARK COUNTY RESIDENTS SPOKE ONLY ENGLISH AT HOME AS OF 2014. AMONG THE REMAINING THIRD, THE RESIDENTS SPOKE SPANISH OR SPANISH CREOLE AT HOME. COMMUNITY DEMOGRAPHICS CLARK COUNTYTOTAL POPULATION: 2,293,764 RACE/ETHNICITY ASIAN/PACIFIC ISLANDER: 10.99% BLACK/AFRICAN AMERICAN - NON-HISPANIC: 11.66% HISPANIC OR LATINO: 31.45% WHITE NON-HISPANIC: 39.39% ALL OTHERS: 6.51% MEDIAN HOUSEHOLD INCOME: $73,845% BELOW POVERTY: 9.87% UNEMPLOYMENT: 7.42% NO HIGH SCHOOL DIPLOMA: 13.19% MEDICAID: 20.72% UNINSURED: 12.07% HOSPITALS SERVING THE COMMUNITY: 41FEDERALLY DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREA: YESMEDICALLY UNDERSERVED AREAS/POPULATIONS: YES- VETERANS- INDIVIDUALS WITH DISABILITIES - RURAL RESIDENTS- AMERICAN INDIAN/ALASKA NATIVE- SENIOR RESIDENTS 60+- RESIDENTS OF ZIP 89101 1 AMANDA HOPE RAINBOW ANGELS 340 E CORONADO RD STE 100 PHOENIX AZ 85004 462522889 501(C)(3) 54448 0 COMMUNITY HEALTH AMERICAN HEART ASSOCIATION INC 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 21290 0 COMMUNITY HEALTH ANEWVISTA COMMUNITY SERVICES INC 250 HILLVIEW AVE REDWOOD CITY CA 94062 844866177 501(C)(3) 17500 0 COMMUNITY HEALTH ARIZONA DIAMONDBACKS FOUNDATION INC 401 E JEFFERSON STREET PHOENIX AZ 85004 860901615 501(C)(3) 8500 0 COMMUNITY HEALTH ASCENCIA 1851 TYBURN ST GLENDALE CA 91204 204233822 501(C)(3) 30150 630 COST HYGIENE KITS COMMUNITY HEALTH AZ CHAPTER OF THE AMERICAN ACADEMY OF PEDIATRICS 2600 N CENTRAL AVE PHOENIX AZ 85004 860917603 501(C)(3) 56000 0 COMMUNITY HEALTH AZCEND FKA CHANDLER CHRISTIAN COMMUNITY CENTER 345 S CALIFORNIA ST CHANDLER AZ 85225 860428780 501(C)(3) 68836 0 COMMUNITY HEALTH BARROW NEUROLOGICAL FOUNDATION 350 W THOMAS ROAD PHOENIX AZ 850134409 860174371 501(C)(3) 6471 0 COMMUNITY HEALTH CALIFORNIA HEALTH FOUNDATION AND TRUST 1215 K STREET SUITE 800 SACRAMENTO CA 95814 941498697 501(C)(3) 2459408 0 COMMUNITY HEALTH CALIFORNIA HOSPITAL MEDICAL CENTER FOUNDATION 1401 SOUTH GRAND AVENUE LOS ANGELES CA 90015 954000909 501(C)(3) 1845905 0 FOUNDATION SUPPORT CALIFORNIA POLYTECHNIC STATE UNIVERSITY FOUNDATION 1 GRAND AVE SAN LUIS OBISPO CA 93407 204927897 501(C)(3) 62500 0 COMMUNITY HEALTH CANCER SUPPORT COMMUNITY LOS ANGELES 1990 S BUNDY DR LOS ANGELES CA 90025 330287070 501(C)(3) 85000 0 COMMUNITY HEALTH CHARLES R DREW UNIVERSITY OF MEDICINE AND SCIENCE 1731 E 120TH ST LOS ANGELES CA 90059 956151774 501(C)(3) 5940 0 COMMUNITY HEALTH COMMUNITIES LIFTING COMMUNITIES 515 S FIGUEROA ST SUITE 1300 LOS ANGELES CA 90071 853745993 501(C)(3) 7500 0 COMMUNITY HEALTH COMPASSION CONNECT INC 12135 SE LINCOLN ST PORTLAND OR 97216 262304524 501(C)(3) 40527 0 COMMUNITY HEALTH CREIGHTON COMMUNITY FOUNDATION INC 3219 E CAMELBACK RD SUITE 376 PHOENIX AZ 85018 462275877 501(C)(3) 50000 0 COMMUNITY HEALTH DAVIS PHOENIX COALITION PO BOX 1902 DAVIS CA 95617 465189631 501(C)(3) 7500 0 COMMUNITY HEALTH DIGNITY HEALTH 3033 N 3RD AVE PHOENIX AZ 85013 941196203 501(C)(3) 7205525 0 HOSPITAL SUPPORT DIGNITY HEALTH MEDICAL FOUNDATION 3400 DATA DRIVE RANCHO CORDOVA CA 95670 680220314 501(C)(3) 55103205 0 MEDICAL FND SUPPORT DISABLED SPORTS & FITNESS FOUNDATION INC 7822 ALABAMA ST CANOGA PARK CA 91303 263087689 35668 0 COMMUNITY HEALTH DOOR OF HOPE 221 E WALNUT ST STE 112 PASADENA CA 91101 954044568 501(C)(3) 25000 0 COMMUNITY HEALTH EMPOWER YOLO INC 175 WALNUT ST WOODLAND CA 95695 943027535 501(C)(3) 42215 0 COMMUNITY HEALTH FIVE CITIES MEALS ON WHEELS INC PO BOX 156 PISMO BEACH CA 93448 952932124 501(C)(3) 78000 0 COMMUNITY HEALTH FRENCH HOSPITAL MEDICAL CENTER FOUNDATION 1911 JOHNSON AVENUE SAN LUIS OBISPO CA 93401 203256125 501(C)(3) 1424470 0 FOUNDATION SUPPORT FRIENDS OF THE GREAT COMMISSION 4775 GRANBY CIRCLE COLORADO SPRINGS CO 80919 465506318 501(C)(3) 39000 0 COMMUNITY HEALTH GLENDALE MEMORIAL HEALTH FOUNDATION 1420 S CENTRAL AVENUE GLENDALE CA 91204 953625651 501(C)(3) 623421 0 FOUNDATION SUPPORT GLENDALE YOUTH ALLIANCE INC 1255 S CENTRAL AVE GLENDALE CA 91204 954453585 501(C)(3) 30600 0 COMMUNITY HEALTH GOOD SAMARITAN SHELTER 400 W PARK AVE SANTA MARIA CA 93458 770133375 501(C)(3) 32000 0 COMMUNITY HEALTH GREATER PHOENIX ECONOMIC COUNCIL 2 N CENTRAL AVE STE 2500 PHOENIX AZ 85004 860539979 501(C)(3) 7766 0 COMMUNITY HEALTH HARBOR CARE FOUNDATION INC PO BOX 3828 GRANADA HILLS CA 913940828 831583739 501(C)(3) 36000 0 COMMUNITY HEALTH HAROLD PUMP FOUNDATION 13636 VENTURA BLVD 416 SHERMAN OAKS CA 91423 954807001 501(C)(3) 35940 0 COMMUNITY HEALTH HAVEN HILLS INC PO BOX 260 CANOGA PARK CA 91305 953196247 501(C)(3) 50000 0 COMMUNITY HEALTH HEALTHY COMMUNITY FORUM 8928 VOLUNTEER LN SACRAMENTO CA 958263238 680377256 501(C)(3) 9600 0 COMMUNITY HEALTH HOME AGAIN LOS ANGELES 2406 N NAOMI ST UNIT A BURBANK CA 91510 262458342 501(C)(3) 24500 0 COMMUNITY HEALTH HOPE FOR ADDICTION INC 1500 S BOULDER ST UNIT D GILBERT AZ 85299 471315465 501(C)(3) 91216 0 COMMUNITY HEALTH HOUSE OF REFUGE INC 6935 E WILLIAMS FIELD RD MESA AZ 852126300 860662244 501(C)(3) 78166 0 COMMUNITY HEALTH JOURNEY OUT 7136 HASKELL AVE 125 VAN NUYS CA 91406 953817864 501(C)(3) 30000 0 COMMUNITY HEALTH KIDS COMMUNITY DENTAL CLINIC OF BURBANK 400 W ELMWOOD AVE BURBANK CA 91506 954791296 501(C)(3) 31500 0 COMMUNITY HEALTH LUMINA ALLIANCE PO BOX 125 SAN LUIS OBISPO CA 93401 953370729 501(C)(3) 77355 0 COMMUNITY HEALTH MAGGIES PLACE INC 4001 N 30TH STREET PHOENIX AZ 85016 860972675 501(C)(3) 61216 0 COMMUNITY HEALTH MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT 2601 E ROOSEVELT ST PHOENIX AZ 85008 860830701 GOVT 525280 0 COMMUNITY HEALTH MEALS ON WHEELS YOLO COUNTY INC PO BOX 528 WOODLAND CA 957760528 941599229 501(C)(3) 12500 0 COMMUNITY HEALTH MENTAL HEALTH ADVOCACY SERVICES INC 801 N BRAND BLVD STE 240 GLENDALE CA 91203 953371166 501(C)(3) 25000 0 COMMUNITY HEALTH MERCY FOUNDATION 3400 DATA DRIVE RANCHO CORDOVA CA 95670 237072762 501(C)(3) 28937 0 COMMUNITY HEALTH MISSION OF MERCY INC 360 E CORONADO RD SUITE 160 PHOENIX AZ 85004 860704883 501(C)(3) 61663 0 COMMUNITY HEALTH NORTHRIDGE HOSPITAL FOUNDATION 18300 ROSCOE BOULEVARD NORTHRIDGE CA 91328 237444901 501(C)(3) 1498678 0 FOUNDATION SUPPORT ONE GENERATION VALLEY SENIOR SERV & RESOURCES CTR 17400 VICTORY BLVD VAN NUYS CA 91406 954066979 501(C)(3) 42000 0 COMMUNITY HEALTH ONE LIFE COUNSELING CENTER 1303 SAN CARLOS AVE SAN CARLOS CA 94070 810919786 501(C)(3) 40000 0 COMMUNITY HEALTH PACIFIC CENTRAL COAST HEALTH CENTERS 1414 E MAIN STREET SUITE 201 SANTA MARIA CA 93454 770447575 501(C)(3) 6945517 0 CLINIC SUPPORT PAN DE VIDA FOUNDATION PO BOX 745 QUEEN CREEK AZ 85142 364560821 501(C)(3) 45000 0 COMMUNITY HEALTH PARTNERS IN CARE FOUNDATION 732 MOTT ST STE 150 SAN FERNANDO CA 91340 953954057 501(C)(3) 7500 0 COMMUNITY HEALTH PASTOR OF ST PHILOMENE PARISH 2320 EL CAMINO AVE SACRAMENTO CA 95821 453952203 501(C)(3) 6000 0 COMMUNITY HEALTH PASTOR OF ST ROBERT PARISH - SACRAMENTO 2251 IRVIN WAY SACRAMENTO CA 95822 453952067 501(C)(3) 6000 0 COMMUNITY HEALTH PENINSULA VOLUNTEERS INC 800 MIDDLE AVE MENLO PARK CA 94025 941294939 501(C)(3) 25000 0 COMMUNITY HEALTH REDWOOD CITY SEQUOIA AWARDS INC PO BOX 2355 REDWOOD CITY CA 94064 943148844 501(C)(3) 6750 0 COMMUNITY HEALTH RE-PLATE INC PO BOX 11338 OAKLAND CA 946110338 811005691 501(C)(3) 0 5294 COST MEALS COMMUNITY HEALTH RUBYS PLACE 20880 BAKER ROAD CASTRO VALLEY CA 94546 942212241 501(C)(3) 40000 0 COMMUNITY HEALTH SAFE PARKING LA PO BOX 17157 LOS ANGELES CA 90017 873148967 501(C)(3) 35000 0 COMMUNITY HEALTH SAMUEL DIXON FAMILY HEALTH CENTER INC 25115 AVE STANFORD STE A-104 VALENCIA CA 91355 954278726 501(C)(3) 50000 0 COMMUNITY HEALTH SEQUOIA HOSPITAL FOUNDATION 170 ALAMEDA DE LAS PULGAS REDWOOD CITY CA 940622799 942909990 501(C)(3) 1668068 0 FOUNDATION SUPPORT SOCIETY FOR THE BLIND INC 1238 S STREET SACRAMENTO CA 95811 941384666 501(C)(3) 42500 0 COMMUNITY HEALTH SONRISAS DENTAL HEALTH INC 430 N EL CAMINO REAL SAN MATEO CA 94401 943390196 501(C)(3) 20000 0 COMMUNITY HEALTH ST FRANCIS CENTER 1835 S HOPE ST LOS ANGELES CA 90015 954479271 501(C)(3) 85000 0 COMMUNITY HEALTH SUCCEED ACADEMY OF THE DIOCESE OF SACRAMENTO 2110 BROADWAY SACRAMENTO CA 95818 270470430 501(C)(3) 6000 0 COMMUNITY HEALTH TEMPE COMMUNITY ACTION AGENCY INC 2146 E APACHE BLVD TEMPE AZ 85281 860254820 501(C)(3) 63466 0 COMMUNITY HEALTH THE COMMUNITY SERVICE EDUCATION AND RESEARCH FUND 5380 ELVAS AVE SACRAMENTO CA 95819 237003581 501(C)(3) 8400 0 COMMUNITY HEALTH THRIVING PINK 501 2ND ST DAVIS CA 95616 812972130 501(C)(3) 6500 0 COMMUNITY HEALTH TRIUMPH FOUNDATION 27811 AVE HOPKINS UNIT 5 VALENCIA CA 91355 263295161 501(C)(3) 20000 0 COMMUNITY HEALTH UCSF HEALTH COMMUNITY HOSPITALS 900 HYDE ST SAN FRANCISCO CA 94109 941156295 501(C)(3) 0 189650 FMV ART COMMUNITY HEALTH UKRAINIAN AMERICAN HOUSE 5299 AUBURN BLVD SACRAMENTO CA 95841 833993982 501(C)(3) 50000 0 COMMUNITY HEALTH VILLAGES OF SAN MATEO COUNTY 809 LAUREL ST 813 SAN CARLOS CA 94070 473571718 501(C)(3) 22500 0 COMMUNITY HEALTH WEAVE INC 1900 K ST SACRAMENTO CA 95814 942493158 501(C)(3) 70000 0 COMMUNITY HEALTH WELLSPACE HEALTH INC 777 12TH ST STE 250 SACRAMENTO CA 95814 941713704 501(C)(3) 43000 0 COMMUNITY HEALTH WENDER WEIS FOUNDATION FOR CHILDREN 555 BRYANT ST PALO ALTO CA 94301 770381972 501(C)(3) 8500 0 COMMUNITY HEALTH WIND YOUTH SERVICES INC 815 S STREET SACRAMENTO CA 95811 237348227 501(C)(3) 86500 0 COMMUNITY HEALTH WOMENS HEALTH INNOVATIONS OF ARIZONA 1355 S HIGLEY RD SUITE 113 GILBERT AZ 85296 474784379 501(C)(3) 60500 0 COMMUNITY HEALTH WOODLAND MEMORIAL HOSPITAL FOUNDATION 1321 COTTONWOOD STREET WOODLAND CA 95695 946167964 501(C)(3) 638643 0 FOUNDATION SUPPORT WOODLANDS DINNER ON MAIN PO BOX 1083 WOODLAND CA 95776 813418520 501(C)(3) 10040 0 COMMUNITY HEALTH YOLO COUNTY CHILDRENS ALLIANCE 600 A ST DAVIS CA 95616 680526185 501(C)(3) 12271 0 COMMUNITY HEALTH YOLO COUNTY PUBLIC DEFENDER CARES COMMUNITY ASSISTANCE RE-ENTRY SUPPORT 814 N STREET WOODLAND CA 95695 852695533 501(C)(3) 25866 0 COMMUNITY HEALTH YOLO CRISIS NURSERY INC 1107 KENNEDY PLACE SUITE 5 DAVIS CA 95616 471006055 501(C)(3) 37634 0 COMMUNITY HEALTH YOLO FOOD BANK 233 HARTER AVE WOODLAND CA 95776 237111782 501(C)(3) 60000 0 COMMUNITY HEALTH YOUNG MENS CHRISTIAN ASSN OF METROPOLITAN LOS ANGELES 4301 W 3RD ST LOS ANGELES CA 90020 951644052 501(C)(3) 105000 0 COMMUNITY HEALTH 82 1 DIRECT CASH ASSISTANCE 68 93926 FINANCIAL ASSISTANCE TO PATIENTS/NEEDY 16 20648 SCHOLARSHIP 29 185920 DONATION OF CLOTHING/OTHER TO PATIENTS/NEEDY 125 104633 COST CLOTHING, HYGIENE KITS PROVISION OF FOOD/MEALS 5 59268 COST FOOD, MEALS PART I, LINE 2: FOR FY2025, DIGNITY COMMUNITY CARE HOSPITALS ALLOCATED $1,692,138 TO VARIOUS ORGANIZATIONS THROUGH THE COMMONSPIRIT COMMUNITY HEALTH IMPROVEMENT GRANTS PROGRAM. THE COMMONSPIRIT COMMUNITY HEALTH IMPROVEMENT GRANTS PROGRAM, WHICH WAS FORMERLY A DIGNITY HEALTH GRANTS PROGRAM, IS NOW ACTIVE IN FOUR OF FIVE GEOGRAPHIC REGIONS (THE MOUNTAIN REGION HAS A SIMILAR BUT DISTINCT GRANT PROGRAM) AS A STRATEGIC PHILANTHROPIC INITIATIVE THROUGH WHICH HOSPITALS ANNUALLY AWARD COMPETITIVE FINANCIAL GRANTS THAT FUND PROGRAMS AND SERVICES DELIVERED BY COLLABORATING, TAX-EXEMPT 501(C)(3) ORGANIZATIONS IN THEIR SERVICE AREAS. FUNDED PROJECTS ADDRESS ONE OR MORE SIGNIFICANT HEALTH NEEDS IN THE HOSPITALS' MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENTS AND COMMUNITY HEALTH IMPLEMENTATION STRATEGIES. THE COMMONSPIRIT SYSTEM COMMUNITY HEALTH DEPARTMENT ADMINISTERS THE PROGRAM NATIONALLY AND REVIEWS RECOMMENDED GRANT RECIPIENTS AND PROJECTS FOR COMPLIANCE WITH POLICIES AND PROCEDURES. LOCAL COMMUNITY HEALTH STAFF AND COMMITTEES INVITE, REVIEW AND RECOMMEND PROPOSALS. HOSPITAL PRESIDENTS AND MARKET PRESIDENTS REVIEW AND APPROVE GRANT AWARD RECOMMENDATIONS. EACH OF THE GRANT RECIPIENTS IS REQUIRED TO SUBMIT AN ANNUAL REPORT TO THE HOSPITAL THAT FUNDED IT. THE REPORTS REFLECT ACTIVITIES PERFORMED, OBJECTIVES, AND OUTCOMES REACHED BY THE GRANT RECIPIENTS. THIS PROGRAM IS ONE WAY WE ARE WORKING WITH OTHERS TO IMPROVE THE HEALTH AND WELL-BEING OF VULNERABLE AND UNDERSERVED POPULATIONS IN THE COMMUNITIES OUR HOSPITALS SERVE. BEGUN IN 1990, THE GRANT PROGRAM HELPS TO IMPROVE COMMUNITY HEALTH AND HEALTH EQUITY, AND ENHANCE LOCAL SERVICE SYSTEMS, VIA RESTRICTED CHARITABLE CONTRIBUTIONS FOR DEFINED PROJECTS. GRANTS ARE ALSO PROVIDED BY DIGNITY COMMUNITY CARE (AND ITS MEMBER HOSPITALS) TO NOT-FOR-PROFIT ORGANIZATIONS THAT FURTHER THE ORGANIZATION'S EXEMPT PURPOSE. GRANTS ARE PROVIDED TO THE FUNDRAISING FOUNDATIONS THAT SUPPORT DIGNITY COMMUNITY CARE AND ITS MEMBER HOSPITALS TO FUND THE OPERATIONS OF THOSE FOUNDATIONS. SEVERAL GRANTS ARE PROVIDED TO OTHER ORGANIZATIONS IN WHICH DIGNITY COMMUNITY CARE SUPPORTS COMMUNITY EFFORT, AND FOR OPERATIONAL SUPPORT OF THE MEDICAL FOUNDATION AND CLINICS. IN ADDITION, GRANTS ARE PROVIDED TO INDIVIDUALS, PRIMARILY PATIENTS, DUE TO FINANCIAL NEED OR URGENT, UNFORESEEN OCCURRENCES REQUIRING IMMEDIATE ACTION. EXAMPLES OF ASSISTANCE INCLUDE PHARMACY COSTS, TRANSPORTATION AND PAYMENTS OF UTILITIES FOR INDIGENT PATIENTS. THE GRANTS ARE APPROVED BY THE HOSPITAL'S ADMINISTRATION DEPARTMENT OR A DESIGNATED COMMITTEE. PART II $2,459,408 IN GRANT PAYMENTS TO THE CALIFORNIA HEALTH FOUNDATION AND TRUST, A 501(C)(3) PUBLIC BENEFIT CHARITY ESTABLISHED TO SPONSOR AND SUPPORT HEALTH CARE, WERE RECOGNIZED IN CONNECTION WITH THE CALIFORNIA PROVIDER FEE PROGRAMS IN FISCAL YEAR 2025. X 1 1 1 1 0 0 0 0 0 0 0 WRIGHT L LASSITER III PRESIDENT/ CEO, COMMONSPIRIT HEALTH 0 2871082 0 10901250 0 303839 0 75420 0 23728 0 14175319 0 0 TAMMARA WILCOX SYSTEM SVP PAYER STRATEGY & RELATION 0 500115 0 1834460 0 4133141 0 2744956 0 29451 0 9242123 0 2661926 TERIKA RICHARDSON MPH FACHE CHAIR/ PRESIDENT & CEO 0 2196630 0 5532500 0 35840 0 550000 0 30120 0 8345090 0 0 JULIE SPRENGEL PRESIDENT CALIFORNIA REGION 0 1842854 0 4797820 0 15090 0 413939 0 4890 0 7074593 0 0 JOHN E PETERSDORF SYSTEM SVP OPERATIONAL FINANCE 0 734757 0 1868174 0 1162963 0 2048138 0 50891 0 5864923 0 1148724 THOMAS MCGINN MD MPH SEVP, PHYSICIAN ENTERPRISE 0 1164410 0 3693282 0 343004 0 297884 0 41050 0 5539630 0 0 DANIEL J MORISSETTE CPA TREASURER/ SEVP, CHIEF FINANCIAL OFF 0 1702910 0 3332550 0 12642 0 91553 0 34182 0 5173837 0 0 DANIEL BARCHI MEM SEVP, CHIEF INFORMATION OFFICER 0 1390381 0 2711475 0 412642 0 367951 0 37397 0 4919846 0 0 MITCH MELFI ESQ JD SECRETARY/ VICE CHAIR/ SEVP, CHIEF L 0 1121560 0 3181925 0 318303 0 18925 0 26188 0 4666901 0 0 ROBERT WIEBE MD EVP, CHIEF MEDICAL OFFICER (THRU 1/1 0 1250613 0 2446579 0 349222 0 122358 0 6002 0 4174774 0 348094 SHERI SHAPIRO MBA SEVP, CHIEF STRATEGY OFFICER 0 1114850 0 2187900 0 168237 0 300825 0 41050 0 3812862 0 0 MICHELLE JOHNSON-TIDJANI ESQ JD BOARD MEMBER/ SEVP, CHIEF ADMINISTRA 0 1144280 0 2242500 0 78462 0 287500 0 39429 0 3792171 0 0 LILICIA BAILEY PHD MBA SEVP, CHIEF PEOPLE OFFICER 0 976783 0 1714167 0 379189 0 12075 0 19692 0 3101906 0 0 LISA ZUCKERMAN SYSTEM SVP TREASURY & STRATEGIC INVE 0 764967 0 2059703 0 9700 0 192068 0 70939 0 3097377 0 0 KATHLEEN SANFORD DBA RN FAAN FACH SEVP, CHIEF NURSING OFFICER 0 914805 0 1792752 0 276974 0 18925 0 35677 0 3039133 0 0 TIM BRICKER PRESIDENT CENTRAL REGION 0 1070057 0 1518117 0 12642 0 261781 0 27154 0 2889751 0 0 BENJIE M LOANZON SYSTEM SVP FINANCE AND CORPORATE CON 0 733143 0 1876193 0 9429 0 161427 0 34196 0 2814388 0 0 JON VAN BOENING FORMER KE (SVP OPERATIONS & CEO, CEN 0 343782 0 538200 0 1707663 0 183315 0 11673 0 2784633 0 0 SHELLY SCHLENKER EVP, CHIEF ADVOCACY OFFICER 0 609218 0 1191653 0 7719 0 760626 0 40619 0 2609835 0 0 DANIELLE WEBER SYSTEM SVP REVENUE CYCLE 0 625002 0 1722859 0 68811 0 57043 0 23815 0 2497530 0 0 ELAINE LISKO SYSTEM SVP AND GENERAL COUNSEL 0 714314 0 824420 0 135434 0 18925 0 19082 0 1712175 0 0 JONATHAN TIMMIS BOARD MEMBER (STARTED 7/1/24) 0 672981 0 856406 0 4522 0 129075 0 29140 0 1692124 0 0 PHIL FOSTER SYSTEM SVP ENTERPRISE RISK MGMT 0 665719 0 792683 0 73288 0 60589 0 29051 0 1621330 0 0 NANCY BUSSANI EVP, CHIEF PHILANTHROPY OFFICER 0 586520 0 767813 0 11262 0 195268 0 22265 0 1583128 0 0 SHAYAN ALAM FACULTY PHYSICIAN 592464 0 882641 0 884 0 29066 0 37534 0 1542589 0 0 0 NIMA DAVIS EVP, CHIEF COMPLIANCE OFFICER 0 522388 0 702833 0 2335 0 148832 0 46923 0 1423311 0 0 NICHOLAS E TESTA MD REGION CMO 790461 0 357000 0 2622 0 32403 0 26541 0 1209027 0 0 0 TRAVIS MESSINA SYSTEM SVP REAL ESTATE SERVICES 0 482088 0 582032 0 3280 0 94235 0 43402 0 1205037 0 0 FRANCISCO JAUME FACULTY PHYSICIAN 892071 0 235070 0 2576 0 33001 0 40465 0 1203183 0 0 0 ALYSSA C RIEDER FORMER KE (VP, CHIEF INVESTMENT OFFI 0 621638 0 432159 0 2622 0 82926 0 51186 0 1190531 0 0 EDMUNDO S JUSTINO FACULTY PHYSICIAN 574840 0 491785 0 1366 0 29226 0 33977 0 1131194 0 0 0 SAM SAFAVI-ABBASI FACULTY PHYSICIAN 1073494 0 10000 0 400 0 17250 0 6600 0 1107744 0 0 0 PART I, LINE 1A FIRST CLASS AND CHARTER TRAVEL AND UPGRADES TO SUCH ARE TREATED ON AN EXCEPTION BASIS ACCORDING TO COMMONSPIRIT HEALTH POLICY. COMMONSPIRIT HEALTH POLICY ALLOWS MEMBERS OF THE COMMONSPIRIT HEALTH BOARD OF STEWARDSHIP TRUSTEES TO BOOK BUSINESS CLASS FLIGHTS, OR FIRST CLASS IF BUSINESS CLASS IS NOT AVAILABLE, FOR FLIGHTS OF MORE THAN THREE HOURS DURATION. THIS POLICY EXCLUDES ANY PERSON WHO IS AN EMPLOYEE OF COMMONSPIRIT WHO MAY SERVE ON ANY BOARD OR BOARD COMMITTEE ASSOCIATED WITH COMMONSPIRIT OR ITS SUBSIDIARY. COMMONSPIRIT EMPLOYEE FIRST CLASS TRAVEL IS GENERALLY NOT PERMITTED BUT MAY BE UTILIZED IF APPROVED IN ADVANCE IN ACCORDANCE WITH COMMONSPIRIT'S POLICY. SUCH FIRST-CLASS TRAVEL WAS PROVIDED ONE HIGHEST COMPENSATED EMPLOYEE. NO AMOUNTS HAVE BEEN INCLUDED AS REPORTABLE COMPENSATION AS THESE TRAVEL EXPENSES WERE INCURRED FOR BUSINESS PURPOSES. PART I, LINE 3 THE ORGANIZATION RELIED ON A RELATED ORGANIZATION, COMMONSPIRIT HEALTH ("COMMONSPIRIT"), THAT USED ONE OR MORE OF THE METHODS DESCRIBED IN SCHEDULE J, PART I, LINE 3, TO ESTABLISH THE ORGANIZATION'S CEO'S COMPENSATION: (1) PEOPLE AND COMPENSATION COMMITTEE OF THE COMMONSPIRIT BOARD OF STEWARDSHIP TRUSTEES ("BOARD"); (2) INDEPENDENT COMPENSATION CONSULTANT; (3) COMPENSATION SURVEY OR STUDY; AND (4) APPROVAL BY THE BOARD OR PEOPLE AND COMPENSATION COMMITTEE. SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15A FOR ADDITIONAL INFORMATION. IN JUNE OF 2025, COMMONSPIRIT OBTAINED AN INDEPENDENT, OUTSIDE REVIEW OF THE APPROPRIATE ANNUAL STIPEND TO BE PROVIDED TO ITS BOARD AND BOARD COMMITTEE MEMBERS. THE REVIEW INCLUDED COMPARABILITY DATA AND A REPORT-OUT ON REASONABLE AND APPROPRIATE STIPEND RANGES. THE SPONSORSHIP AND GOVERNANCE COMMITTEE OF THE COMMONSPIRIT BOARD CONSIDERED THE DATA AND RANGES AND APPROVED REASONABLE AND APPROPRIATE STIPEND LEVELS BASED UPON THE STIPEND RANGES. COMMONSPIRIT PLANS TO REVIEW THE BOARD STIPEND LEVELS AT THE EARLIER OF EVERY THREE YEARS OR AS ADJUSTMENTS TO COMPENSATION ARE PROPOSED. PART I, LINES 4A-B PART I, 4A: IN ACCORDANCE WITH AN EXECUTIVE SEVERANCE POLICY, DIGNITY COMMUNITY CARE'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. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM DIGNITY HEALTH OR COMMONSPIRIT DURING THE 2024 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): T. WILCOX, $1,460,367 AND J. VAN BOENING, $1,701,245. PART I, 4B: 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. PAYMENTS PURSUANT TO THE PLAN ARRANGEMENT FOR ONE KEY EMPLOYEE OCCURRED DURING 2024 INCLUDE: T. WILCOX, $388,745. CERTAIN LISTED PERSONS 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 THREE KEY EMPLOYEES OCCURRED DURING 2024 INCLUDE J. PETERSDORF, $1,148,724; R. WIEBE, $348,094; T. WILCOX, $2,273,181. CERTAIN LISTED PERSONS PARTICIPATE IN THE COMMONSPIRIT HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP), A NONQUALIFIED RETIREMENT PLAN DESIGNED TO PROVIDE DEFERRED COMPENSATION TO KEY EXECUTIVES WHO HAVE CONTRIBUTED MATERIALLY TO THE SUCCESS OF OUR MINISTRY. THE SERP, WHICH BECAME EFFECTIVE IN 2024, IS INTENDED TO PROVIDE HIGHLY COMPENSATED INDIVIDUALS WITH ADDITIONAL RETIREMENT INCOME TO HELP OFFSET REGULATORY LIMITS IN PLACE ON QUALIFIED RETIREMENT PLANS AND SOCIAL SECURITY. EACH ANNUAL CONTRIBUTION IS SUBJECT TO A FOUR-YEAR VESTING OR RETENTION PERIOD. UPON COMPLETION OF THE APPLICABLE FOUR-YEAR RETENTION PERIOD FOR EACH ANNUAL CONTRIBUTION, VESTING WILL OCCUR, AND ANY ACCUMULATED BENEFIT UNDER THE PLAN WILL BE RECEIVED. ON THE FIRST DAY OF THE CALENDAR MONTH AFTER THE FOURTH ANNIVERSARY OF THE SERP BENEFIT, THE ANNUAL CONTRIBUTION AND ITS ASSOCIATED INVESTMENT GAINS OR LOSSES BECOME 100% VESTED. IN ADDITION, THE PARTICIPANT'S SERP BENEFIT BECOMES 100% VESTED UPON ANY OF THE FOLLOWING EVENTS. - REACHING THE AGE OF 65 (THE PLAN'S NORMAL RETIREMENT AGE) - DEATH, OR BECOME DISABLED UNDER THE LONG-TERM DISABILITY PLAN OR SOCIAL SECURITY SHOULD EMPLOYMENT END FOR ANY REASON OTHER THAN TERMINATION WITH SEVERANCE, RETIREMENT AT AGE 65 OR OLDER, DISABILITY, OR DEATH, UNVESTED SERP FUNDS ARE FORFEITED. IF EMPLOYMENT IS TERMINATED WITH SEVERANCE, THE TERMS AND CONDITIONS OUTLINED WITHIN THE SERP, AND NOT THOSE OF ANY SEVERANCE AGREEMENT, WILL CONTROL AND GOVERN PAYMENT ENTITLEMENT UNDER THE SERP. CERTAIN ELIGIBLE LISTED PERSONS RECEIVED AN ADDITIONAL PAYMENT DURING 2024 DUE TO A DELAY IN THE START DATE OF THE SERP. DURING 2024 THE FOLLOWING DISTRIBUTIONS WERE MADE BY COMMONSPIRIT FROM THE DEFERRED COMPENSATION PLAN: L. BAILEY, $342,650; D. BARCHI, $400,000; M. JOHNSON-TIDJANI, $71,700; E. LISKO, $41,875; T. MCGINN, $323,600; M. MELFI, $55,947; T. RICHARDSON, $31,600; K. SANFORD, $82,742 AND S. SHAPIRO, $161,400. CERTAIN LISTED PERSONS ARE ELIGIBLE TO PARTICIPATE IN THE CATHOLIC HEALTH INITIATIVES SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN, A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR REGION CEOS/PRESIDENTS AND OTHER DESIGNATED COMMONSPIRIT EXECUTIVES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. DURING 2024, THE FOLLOWING DISTRIBUTION WAS MADE PURSUANT TO THE COMMONSPIRIT DEFERRED COMPENSATION PLAN TO M. MELFI, $954. DUE TO THE "SUPER" VESTING RULES UNDER THE DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS INVOLUNTARY TERMINATION WITHOUT CAUSE, AGE, A COMBINATION OF AGE AND YEARS OF SERVICE, OR MORE THAN 5 YEARS OF PLAN PARTICIPATION ARE ELIGIBLE TO RECEIVE THEIR 2024 CONTRIBUTIONS IN CASH. DURING 2024, THE FOLLOWING PAYMENTS WERE MADE PURSUANT TO THE SUPER VESTING RULES: P. FOSTER, $64,840; E. LISKO, $67,718; M. MELFI, $224,064; K. SANFORD, $158,357 AND D. WEBER, $61,174. COMPENSATION AMOUNTS FOR THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS DISCUSSED ABOVE ARE REPORTED AS DEFERRED COMPENSATION IN THE YEAR ACCRUED (SCHEDULE J, PART II, COLUMN C) AND ARE REFLECTED AGAIN AS OTHER REPORTABLE COMPENSATION IN THE YEAR PAID (SCHEDULE J, PART II, COLUMN B(III)). SCHEDULE J, PART II DIGNITY COMMUNITY CARE FOLLOWS COMMONSPIRIT HEALTH'S EXECUTIVE COMPENSATION PHILOSOPHY. COMMONSPIRIT HEALTH'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST COMMONSPIRIT HEALTH AND ITS RELATED ORGANIZATIONS IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE THE ORGANIZATION 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 IT 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 PEOPLE AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND THE ORGANIZATION'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 2024. X 1 4900 COMPARABLE SALE X 6399 RESALE VALUE X 766711 RESALE VALUE X 3 32195 COMPARABLE SALE X FOOD AND WINE 21 195645 COMPARABLE SALE X TOYS 17 42856 COMPARABLE SALE X MEDICAL EQUIPMENT 1 23824 COMPARABLE SALE X ELECTRONICS 1 5210 COMPARABLE SALE X AWARDS 1 2796 COMPARABLE SALE X GIFT BAGS 1 453 COMPARABLE SALE 0 0 1 1 PART I, COLUMN (B): FOOD AND WINE: THE ORGANIZATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. TOYS: THE ORGANIZATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. DRUGS AND MEDICAL SUPPLIES: THE ORGANIZATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. MEDICAL EQUIPMENT: THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. ELECTRONICS: THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. ART - WORKS OF ART: THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. AWARDS: THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. GIFT BAGS: THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. PART I, LINE 32B: DIGNITY COMMUNITY CARE IS SUPPORTED BY VARIOUS FUNDRAISING FOUNDATIONS. AS SUPPORTING ORGANIZATIONS, THE FOUNDATIONS SOLICIT AND PROCESS NON-CASH CONTRIBUTIONS ON BEHALF OF DIGNITY COMMUNITY CARE'S HOSPITALS. FORM 990, PART III, LINE 1: OUR MISSION: AS AN AFFILIATE OF COMMONSPIRIT, OUR MISSION, VISION AND VALUES INFORM EVERY ASPECT OF OUR WORK EACH DAY, AND REMIND US THAT WE SERVE OUR PATIENTS, THEIR FAMILIES, OUR COMMUNITIES AND ALSO EACH OTHER. OUR MISSION, VISION AND VALUES WORK HAND IN HAND: THE FIRST STATES OUR PURPOSE, THE NEXT DECLARES OUR AMBITION, AND OUR VALUES GUIDE OUR ACTIONS AND SHAPE OUR CULTURE. TOGETHER, THEY HELP US ACHIEVE THE HEALTH CARE FUTURE WE'RE BEGINNING TO BUILD. OUR VISION: A HEALTHIER FUTURE FOR ALL INSPIRED BY FAITH, DRIVEN BY INNOVATION, AND POWERED BY OUR HUMANITY. WE ASPIRE TO BE A HEALTH CARE MINISTRY. THROUGH TEAMWORK AND INNOVATION, FAITH AND COMPASSION, ADVOCACY AND ACTION, WE ENDEAVOR EVERY DAY TO KEEP OUR PATIENTS HAPPY, HEALTHY, AND WHOLE. OUR VALUES: IN LIVING OUR MISSION, WE STRIVE TO DELIVER COMPASSIONATE, HIGH-QUALITY, AFFORDABLE HEALTH CARE; SERVE AND ADVOCATE FOR THOSE SISTERS AND BROTHERS WHO ARE POOR AND DISENFRANCHISED; AND PARTNER WITH OTHERS IN THE COMMUNITIES WE SERVE TO IMPROVE THE QUALITY OF LIFE. IN CARRYING OUT OUR HEALING MINISTRY, WE EMBODY THE VALUES OF COMPASSION, INCLUSION, INTEGRITY, EXCELLENCE AND COLLABORATION. THESE VALUES ARE FURTHER EXPLAINED BELOW. COMPASSION: CARE WITH LISTENING, EMPATHY AND LOVE. ACCOMPANY AND COMFORT THOSE IN NEED OF HEALING. INCLUSION: CELEBRATE EACH PERSON'S GIFTS AND VOICE. RESPECT THE DIGNITY OF ALL. INTEGRITY: INSPIRE TRUST THROUGH HONESTY. DEMONSTRATE COURAGE IN THE FACE OF INEQUITY. EXCELLENCE: SERVE WITH FULLEST PASSION, CREATIVITY, AND STEWARDSHIP. EXCEED EXPECTATIONS OF OTHERS AND OURSELVES. COLLABORATION: COMMIT TO THE POWER OF WORKING TOGETHER. BUILD AND NURTURE MEANINGFUL RELATIONSHIPS. FORM 990, PART III, LINE 4A: DIGNITY COMMUNITY CARE OWNS AND OPERATES 10 ACUTE CARE HOSPITALS THAT ARE WHOLLY OWNED, DISREGARDED ENTITIES, OR FOR WHICH DIGNITY COMMUNITY CARE IS THE SOLE MEMBER, AND 5 NON-ACUTE CARE HOSPITALS THROUGH JOINT VENTURES, THROUGHOUT THE CALIFORNIA, NEVADA AND ARIZONA DIVISIONS DURING THE YEAR ENDED JUNE 30, 2025. DIGNITY COMMUNITY CARE'S FACILITIES INCLUDE APPROXIMATELY 3,120 LICENSED ACUTE CARE BEDS AND APPROXIMATELY 343 LICENSED SKILLED NURSING BEDS AS OF JUNE 30, 2025. DIGNITY COMMUNITY CARE MAINTAINS A PROMINENT MARKET SHARE IN MANY OF ITS DIVISIONAL AREAS, AND MANY OF ITS HOSPITALS RANK AMONG THE FINEST IN THE NATION. WITH A SIGNIFICANT PRESENCE IN GREATER SACRAMENTO, SAN FRANCISCO BAY AREA, SOUTHERN CALIFORNIA, AND CENTRAL COAST, DIGNITY COMMUNITY CARE'S CALIFORNIA OPERATIONS ARE WELL DISPERSED THROUGHOUT THE STATE. DIGNITY COMMUNITY CARE'S HOSPITALS OPERATE EMERGENCY ROOMS THAT ARE OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY; ARE GOVERNED BY THE DIGNITY COMMUNITY CARE BOARD, WHICH IS PRIMARILY COMPRISED OF INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY; ENGAGE IN THE TRAINING AND EDUCATION OF HEALTHCARE PROFESSIONALS; AND PARTICIPATE IN MEDICAID, MEDICARE, TRICARE AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. DIGNITY COMMUNITY CARE IS A PUBLIC BENEFIT CORPORATION EXEMPT FROM TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. FORM 990, PART VI, SECTION A, LINE 2 CERTAIN REPORTABLE INDIVIDUALS HAVE BUSINESS RELATIONSHIPS. BELOW ARE REPORTABLE INDIVIDUALS WHO SERVE AS MEMBERS OF THE BOARD OF DIRECTORS OF DIGNITY COMMUNITY CARE FOR-PROFIT SUBSIDIARIES AND JOINT VENTURES: OPUSVI UK LTD. (FORMERLY DIGNITY HEALTH GLOBAL EDUCATION LTD.) - K. SANFORD, D. MORISSETTE, L. BAILEY NEXIFY HEALTH - S. SHAPIRO, K. SANFORD, D. BARCHI DIGNITY HEALTH BIOLIFE HOLDING - S. SHAPIRO, B. LOANZON, J. TIMMIS DIGNITY HEALTH HOLDING CORPORATION - D. MORISSETTE, M. MELFI, M JOHNSON-TIDJANI, T. RICHARDSON, J. TIMMIS, S. SHAPIRO STRATEGIC AND PHYSICIANS INSURANCE, LTD. - P. FOSTER, M. MELFI, D. MORISSETTE, J. SPRENGEL, R. WIEBE, T. RICHARDSON TOPTOLIFE - M. MELFI, D. MORISSETTE, T. RICHARDSON, S. SHAPIRO QUALCHOICE HEALTH, INC. - M. MELFI, P. FOSTER ALTERNATIVE INSURANCE MANAGEMENT SERVICES, INC. - M. MELFI, P. FOSTER CONIFER HEALTH SOLUTIONS, LLC - D. BARCHI, M. JOHNSON-TIDJANI FORM 990, PART VI, SECTION A, LINE 7A DIGNITY COMMUNITY CARE SHALL OPERATE IN ASSOCIATION WITH COMMONSPIRIT, THE HEALTH SYSTEM RESULTING FROM THE MINISTRY ALIGNMENT BETWEEN DIGNITY HEALTH AND CHI. AS PART OF THE ALIGNMENT, ON THE EFFECTIVE DATE OF FEBRUARY 1, 2019, DIGNITY HEALTH CAUSED TO TRANSFER NON-CATHOLIC OWNED COMMUNITY HOSPITALS, NON-CATHOLIC SUBSIDIARY HOSPITALS, AND CERTAIN OTHER NON-CATHOLIC OPERATIONS TO DIGNITY COMMUNITY CARE, A COLORADO NONPROFIT CORPORATION. DIGNITY COMMUNITY CARE HAS NO CORPORATE MEMBER, BUT HAS A SELF-PERPETUATING BOARD OF DIRECTORS CONSISTING OF BOTH CLASS A AND CLASS B DIRECTORS. EACH CLASS OF DIRECTORS HAS IDENTICAL VOTING, PARTICIPATION AND OTHER RIGHTS OVER DIGNITY COMMUNITY CARE. HOWEVER, ELECTION OF THE CLASS A DIRECTORS, WHICH CONSTITUTE A MAJORITY OF THE BOARD OF DIRECTORS, IS SUBJECT TO ACCEPTANCE BY COMMONSPIRIT. COMMONSPIRIT ALSO HOLDS RESERVED RIGHTS OVER DIGNITY COMMUNITY CARE THROUGH THE COMMONSPIRIT GOVERNANCE MATRIX AS A RESULT OF THE COMBINATION OF MAJORITY BOARD MEMBERSHIP AND RETAINED POWERS. FORM 990, PART VI, SECTION A, LINE 7B COMMONSPIRIT HAS SPECIFIC RESERVED RIGHTS AS SET FORTH IN THE SYSTEM GOVERNANCE MATRIX WITH RESPECT TO CERTAIN CORPORATE ACTIONS OF THE FILING ORGANIZATION AND ITS SUBSIDIARIES. THOSE RESERVED RIGHTS INCLUDE THE RIGHT TO: -APPROVE A SUBSTANTIAL CHANGE IN MISSION OR PHILOSOPHICAL DIRECTION OF DIGNITY COMMUNITY CARE -CLOSURE OF A HOSPITAL BY DIGNITY COMMUNITY CARE -APPROVE AMENDMENT OF THE ARTICLES AND BYLAWS OF DIGNITY COMMUNITY CARE -APPROVE INCURRENCE OF DEBT BY DIGNITY COMMUNITY CARE, INCLUDING WITHOUT LIMITATION, BORROWINGS, LOANS, ENCUMBRANCES, OPERATING LEASES AND CAPITAL LEASES, IN EXCESS OF THRESHOLDS AND WITHIN LIMITS ESTABLISHED BY COMMONSPIRIT HEALTH -APPROVE A JOINT VENTURE OR PARTNERSHIP HAVING DIGNITY COMMUNITY CARE AS A PARTY -APPROVE AN INCREASE OR DECREASE TO AN EXISTING JOINT VENTURE OR PARTNERSHIP INTEREST BY DIGNITY COMMUNITY CARE -APPROVE CREATION OF A NEW CORPORATION OR LIMITED LIABILITY COMPANY BY DIGNITY COMMUNITY CARE -APPROVE MERGER OR CONSOLIDATION OF DIGNITY COMMUNITY CARE -APPROVE DISSOLUTION OF DIGNITY COMMUNITY CARE -SELL OR DISPOSE OF (I) ASSETS IN EXCESS OF THRESHOLDS ESTABLISHED BY COMMONSPIRIT HEALTH OR (II) ALL OR SUBSTANTIALLY ALL OF AN OPERATING UNIT OF THE ASSETS OF DIGNITY COMMUNITY CARE -APPROVE AN ACQUISITION OF, OR NEW DIRECT INVESTMENT IN, AN ENTERPRISE BUSINESS LINE OR OTHER SUCH COMPANY OR CORPORATE ENTITY BY DIGNITY COMMUNITY CARE -APPROVE AN INCREASE OR DECREASE IN AN EXISTING DIRECT INVESTMENT IN AN ENTERPRISE BUSINESS LINE OR OTHER SUCH COMPANY OR CORPORATE ENTITY BY DIGNITY COMMUNITY CARE -APPOINTMENT OR TERMINATION OF A CEO BY DIGNITY COMMUNITY CARE -ADOPT LONG RANGE AND STRATEGIC PLANS BY DIGNITY COMMUNITY CARE -ADOPT CONSOLIDATED HEALTHCARE SYSTEM OPERATING AND CAPITAL BUDGET FOR DIGNITY COMMUNITY CARE -ADOPT VARIATIONS FROM OPERATING AND/OR CAPITAL BUDGET IN EXCESS OF THRESHOLD ESTABLISHED BY COMMONSPIRIT HEALTH BY DIGNITY COMMUNITY CARE IN ADDITION, COMMONSPIRIT HEALTH HAS RETAINED RIGHTS CONCERNING APPROVAL OF COMPENSATION PHILOSOPHY, INCENTIVE COMPENSATION DESIGN AND ESTABLISHMENT OF ANNUAL AND LONG TERM INCENTIVE GOALS, EXECUTIVE COMPENSATION PLANS AND REVIEW OF TOTAL REMUNERATION FOR REASONABLENESS. FORM 990, PART VI, SECTION B, LINE 11B THE RELATED ORGANIZATION'S SVP/FINANCE AND CORPORATE CONTROLLER OF COMMONSPIRIT REVIEWED THE DRAFT OF THIS FORM 990 WITH THE SEVP/CHIEF FINANCIAL OFFICER. THE REVIEW INCLUDED AN EXPLANATION OF EACH SCHEDULE OF THE FORM 990 AND THE PERTINENT INFORMATION CONTAINED ON EACH SCHEDULE. THE EVP/CHIEF COMPLIANCE OFFICER REVIEWED THE CONFLICT OF INTEREST SCHEDULES. THE ORGANIZATION'S SYSTEM VICE PRESIDENT OF FINANCE, ASSISTANT CORPORATE CONTROLLER REVIEWED THE COMPENSATION SCHEDULES AND DISCLOSURES WITH THE SEVP, CHIEF PEOPLE OFFICER AND THE COMMONSPIRIT BOARD PEOPLE AND COMPENSATION COMMITTEE (FORMERLY KNOWN AS THE HUMAN RESOURCES AND COMPENSATION COMMITTEE). THE COMPLETE COPY OF THE FORM 990 WAS PROVIDED TO THE ENTIRE BOARD OF DIRECTORS BEFORE THE RETURN WAS FILED. 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 AS SOON AS THEY BECOME AWARE OF IT AND AT LEAST ANNUALLY THEREAFTER (VIA A FORMAL SYSTEM-ADMINISTERED SURVEY) IF THE PERSON'S AFFILIATION WITH COMMONSPIRIT CONTINUES: - MEMBERS OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES AND DBA'S, RESPECTIVELY - 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 A FAILURE TO DISCLOSE MAY RESULT IN DISCIPLINARY OR CORRECTIVE ACTIONS. REVIEW, AND MANAGEMENT OF PERCEIVED, POTENTIAL, OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS AS FURTHER DESCRIBED BELOW. REPORTED POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE INITIALLY REVIEWED BY LEGAL, CORPORATE RESPONSIBILITY OR RESEARCH INTEGRITY STAFF. STANDARD MANAGEMENT APPROACHES PER COI POLICY ARE APPLIED TO DISCLOSED CONFLICTS. DISCLOSURES THAT IDENTIFY PERCEIVED, POTENTIAL, OR ACTUAL COIS THAT REQUIRE IMMEDIATE MATERIAL ACTION TO RESOLVE, WILL BE IDENTIFIED, AND, A CONFLICT OF INTEREST MANAGEMENT PLAN 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 OF 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 B, LINE 15 PART VI, SECTION B, LINE 15A DIGNITY COMMUNITY CARE'S OFFICERS AND KEY EMPLOYEES ARE EMPLOYEES OF DIGNITY HEALTH OR COMMONSPIRIT. COMMONSPIRIT'S BOARD OF STEWARDSHIP TRUSTEES APPOINTS A PEOPLE AND COMPENSATION COMMITTEE, COMPRISED EXCLUSIVELY OF INDEPENDENT MEMBERS, WHO ARE ACCOUNTABLE FOR SETTING REASONABLE COMPENSATION PACKAGES FOR EACH OFFICER AND CERTAIN KEY EMPLOYEES OF COMMONSPIRIT AND DIGNITY HEALTH (INCLUDING THE PRESIDENT/CEO). THE PEOPLE AND COMPENSATION COMMITTEE APPROVES, CONSISTENT WITH THE ORGANIZATION'S PHILOSOPHY AND PRINCIPLES, THE ANNUAL PERFORMANCE GOALS AND CRITERIA TO BE USED IN DETERMINING MERIT INCREASES AND VARIABLE COMPENSATION CRITERIA FOR OFFICERS AND KEY EXECUTIVES. THE PEOPLE AND COMPENSATION COMMITTEE ALSO ENGAGES AN INDEPENDENT CONSULTANT AS NECESSARY AND QUALIFIED INDEPENDENT COMPENSATION AND BENEFITS SPECIALISTS (INDEPENDENT EXPERTS) TO REVIEW, ANALYZE AND PROVIDE BENCHMARKING DATA FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGES OF OFFICERS AND KEY EXECUTIVES. APPROPRIATE COMPARABLE DATA IS OBTAINED FROM THE INDEPENDENT EXPERTS, (E.G., TOTAL ECONOMIC BENEFITS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR SIMILAR JOB RESPONSIBILITIES). KEY DELIBERATIONS OF THE PEOPLE AND COMPENSATION COMMITTEE ARE DOCUMENTED IN MEETING MINUTES WHICH ARE APPROVED AT THE NEXT COMMITTEE MEETING AND PROVIDED TO THE BOARD OF DIRECTORS. THE DOCUMENTATION OF THE DELIBERATIONS INCLUDES (A) THE TERMS OF THE AGREEMENT APPROVED AND THE DATE APPROVED; (B) THE MEMBERS OF THE PEOPLE AND COMPENSATION COMMITTEE WHO WERE PRESENT DURING DISCUSSION OF THE APPROVED AGREEMENT AND THOSE WHO VOTED ON IT; AND (C) THE COMPARABILITY DATA OBTAINED AND RELIED UPON BY THE COMMITTEE AND HOW THE DATA WAS OBTAINED. PART VI, SECTION B, LINE 15B DIGNITY COMMUNITY CARE'S OFFICERS AND KEY EMPLOYEES ARE EMPLOYEES OF DIGNITY HEALTH OR COMMONSPIRIT. COMMONSPIRIT'S BOARD OF STEWARDSHIP TRUSTEES APPOINTS A PEOPLE AND COMPENSATION COMMITTEE, COMPRISED EXCLUSIVELY OF INDEPENDENT DIRECTORS, WHO ARE ACCOUNTABLE FOR ADOPTING A REASONABLE COMPENSATION PHILOSOPHY AND SETTING REASONABLE COMPENSATION PRACTICES FOR THE ORGANIZATION. COMMONSPIRIT HEALTH'S COMPENSATION DEPARTMENT ENSURES THAT ITS PRACTICES ARE CONSISTENT WITH THE ORGANIZATION'S PHILOSOPHY, PRACTICES, AND PRINCIPLES, AS DETERMINED BY THE PEOPLE AND COMPENSATION COMMITTEE. WHEN NECESSARY, THE COMPENSATION DEPARTMENT ALSO ENGAGES AN INDEPENDENT CONSULTANT, AS WELL AS QUALIFIED INDEPENDENT COMPENSATION AND BENEFITS SPECIALISTS (INDEPENDENT EXPERTS) TO VALIDATE THE ORGANIZATION'S BENCHMARKING APPROACH FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGES FOR CERTAIN EXECUTIVES. APPROPRIATE COMPARABILITY DATA IS ALSO OBTAINED BY THE COMMONSPIRIT HEALTH COMPENSATION DEPARTMENT FROM INDEPENDENT THIRD-PARTY SALARY SURVEYS, AS PART OF THE ORGANIZATION'S COMPENSATION PRACTICES (E.G., TOTAL ECONOMIC BENEFITS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR SIMILAR JOB RESPONSIBILITIES). THE DOCUMENTATION OF COMPENSATION DECISIONS INCLUDES THE COMPARABILITY DATA OBTAINED AND RELIED UPON BY THE COMPENSATION DEPARTMENT AND THE SOURCES FROM WHICH THE DATA WAS OBTAINED. FORM 990, PART VI, SECTION C, LINE 19 FEDERAL TAX LAWS DO NOT REQUIRE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS AND POLICIES RELATED TO CONFLICTS OF INTEREST BE MADE AVAILABLE FOR PUBLIC INSPECTION. THE ORGANIZATION MAKES ITS CONSOLIDATED AUDITED FINANCIAL STATEMENTS AVAILABLE ON COMMONSPIRIT'S WEBSITE AND UPON REQUEST. THE FINANCIAL STATEMENTS ARE ATTACHED TO THIS FORM 990. PART VII, SECTION A, COLUMN (A): PRESENTATION OF COMPLETE NAMES AND TITLES OF CERTAIN INDIVIDUALS LISTED IN PART VII, SECTION A (2) TAMMARA WILCOX SYSTEM SVP PAYER STRATEGY & RELATIONSHIPS (THRU 9/6/24) (7) DANIEL J MORISSETTE, CPA TREASURER/ SEVP, CHIEF FINANCIAL OFFICER (9) MITCH MELFI, ESQ, JD SECRETARY/ VICE CHAIR/SEVP, CHIEF LEGAL OFFICER (10) ROBERT WIEBE, MD EVP, CHIEF MEDICAL OFFICER (THRU 1/10/25) (12) MICHELLE JOHNSON-TIDJANI, JD, MBA BOARD MEMBER/ SEVP, CHIEF ADMINISTRATIVE OFFICER (14) LISA ZUCKERMAN SYSTEM SVP TREASURY & STRATEGIC INVESTMENTS (15) KATHLEEN SANFORD, DBA, RN, FAAN, FACHE EVP, CHIEF NURSING OFFICER (17) BENJIE M LOANZON SYSTEM SVP FINANCE AND CORPORATE CONTROLLER (18) JON VAN BOENING FORMER KE (SVP OPERATIONS & CEO CENTRAL CALIFORNIA DIVISION (THRU 1/2/21)); SYSTEM SPECIAL PROJECTS LEADER (THRU 7/19/24) (30) ALYSSA C. RIEDER FORMER KE (VP, CHIEF INVESTMENT OFFICER) PART VII, SECTION A, COLUMN (E): JONATHAN TIMMIS IS COMPENSATED AS AN EMPLOYEE OF A RELATED ORGANIZATION, COMMONSPIRIT HEALTH, AND NOT FOR SERVING AS A BOARD MEMBER. FORM 990, PART IX, LINE 11G REVENUE CYCLE SERVICES: PROGRAM SERVICE EXPENSES 111,499,160. MANAGEMENT AND GENERAL EXPENSES 658,240. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 112,157,400. MEDICAL FEES: PROGRAM SERVICE EXPENSES 266,620,026. MANAGEMENT AND GENERAL EXPENSES 22,568,983. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 289,189,009. PROFESSIONAL FEES/CONSULTING: PROGRAM SERVICE EXPENSES 15,182,469. MANAGEMENT AND GENERAL EXPENSES 15,624,362. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,806,831. REPAIRS/MAINTENANCE/DEMOLITION: PROGRAM SERVICE EXPENSES 30,187,177. MANAGEMENT AND GENERAL EXPENSES 31,065,790. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 61,252,967. LAUNDRY & LINEN: PROGRAM SERVICE EXPENSES 5,798,443. MANAGEMENT AND GENERAL EXPENSES 5,967,209. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,765,652. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 73,220,721. MANAGEMENT AND GENERAL EXPENSES 75,351,846. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 148,572,567. FORM 990, PART XI, LINE 9: UNRESTRICTED FUND ACTIVITY-EARNINGS FRM EXEMPT CORPS HELD AS JOINT VENTURES 47,455,732. INTEREST IN NET ASSETS OF UNCONSOLIDATED FOUNDATIONS -98,073,671. TRANSFER OF JV CASH DISTRIBUTION & CAPITAL INVESTMENT FROM DCC -1,600,000. GAIN ON ADOPTION OF ASU 2017-17 29,550,165. CHANGE IN JV OWNERSHIP INTEREST -14,224,367. WIND DOWN OF SAN FRANCISCO OPERATIONS FOLLOWING UCSF HEALTH ACQUISITION 123,109,576. OTHER FUND BALANCE TRANSFERS -7,808. FORM 990, PART XII, LINE 2C: THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR. FORM 990, PART XII, LINE 3B - FINANCIAL STATEMENTS AND REPORTING: THE ORGANIZATION'S FEDERAL AWARDS WERE INCLUDED IN COMMONSPIRIT'S CONSOLIDATED UNIFORM GUIDANCE AUDITED SCHEDULE OF FEDERAL EXPENDITURES FOR THE PERIOD OF JULY 1, 2024 TO JUNE 30, 2025. 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L 240000 SEE PART VII PACIFIC CENTRAL COAST HEALTH CENTERS L 1934679 SEE PART VII RENAISSANCE IMAGING CENTER AT NORTHRIDGE HOSPITAL LLC L 165437 SEE PART VII COMMUNITY HOSPITAL SAN BERNARDINO M 84149 SEE PART VII DIGNITY HEALTH MEDICAL FOUNDATION M 4100869 SEE PART VII PACIFIC CENTRAL COAST HEALTH CENTERS M 878430 SEE PART VII TIA ARIZONA LLC R 1382719 SEE PART VII DIGNITYUSP PHOENIX II SURGERY CENTERS LLC S 499000 SEE PART VII DIGNITY-ABRAZO HEALTH NETWORK LLC DBA ARIZONA CARE NETWORK RISK SERVICES S 2000000 SEE PART VII SCHEDULE R, PART V, LINE 2 COLUMN (C) PART V, TRANSACTION TYPE A DIGNITY COMMUNITY CARE HOSPITALS LEASE FACILITIES AND/OR EQUIPMENT TO CERTAIN RELATED ORGANIZATIONS WHICH MAY INCLUDE WHOLLY-OWNED ORGANIZATIONS, MEDICAL FOUNDATIONS AND JOINT VENTURES. AMOUNTS REPORTED AS TRANSACTION TYPE "A" REPRESENT THE INTEREST AND RENT AMOUNTS CHARGED FOR SUCH AGREEMENTS. SUCH CHARGES REPRESENT FAIR MARKET VALUE OF THE AMOUNTS CHARGED UNDER THESE AGREEMENTS. PART V, TRANSACTION TYPE B AND C DIGNITY COMMUNITY CARE AND ITS HOSPITAL FACILITIES ARE SUPPORTED BY VARIOUS FUNDRAISING FOUNDATIONS. AS SUPPORTING ORGANIZATIONS, THE FOUNDATIONS OPERATE FOR THE BENEFIT OF, TO RAISE FUNDS FOR, OR TO CARRY OUT THE PURPOSES OF DIGNITY COMMUNITY CARE AND ITS HOSPITALS. AS A RESULT, PAYMENTS ARE MADE DIRECTLY TO DIGNITY COMMUNITY CARE FROM THE FOUNDATIONS OR DIRECTLY TO THE FOUNDATIONS FROM DIGNITY COMMUNITY CARE. AMOUNTS REPORTED UNDER TRANSACTION TYPE "B" INCLUDE FUNDS EXPENDED BY DIGNITY COMMUNITY CARE ON BEHALF OF THE FOUNDATIONS FOR OPERATIONAL EXPENSES. AMOUNTS REPORTED AS TRANSACTION TYPE "C" REPRESENT FUNDS RECEIVED AS GRANTS BY DIGNITY COMMUNITY CARE HOSPITALS FROM THE FOUNDATIONS. AMOUNTS REPORTED UNDER TRANSACTION TYPE "B" ALSO INCLUDE FUNDING SUPPORT TO DIGNITY HEALTH MEDICAL FOUNDATION (DHMF), WHICH OPERATES CLINICS IN THE COMMUNITIES SERVED BY DIGNITY COMMUNITY CARE HOSPITALS THROUGHOUT CALIFORNIA. DIGNITY COMMUNITY CARE ALSO PROVIDES FUNDING SUPPORT TO OTHER EXEMPT ORGANIZATIONS THAT PROVIDE SERVICES TO COMMUNITIES SERVED BY DIGNITY COMMUNITY CARE FACILITIES WHICH IS INCLUDED UNDER TRANSACTION TYPE "B". DIGNITY COMMUNITY CARE ALSO PROVIDES CAPITAL FUNDING TO RELATED ORGANIZATIONS, INCLUDING JOINT VENTURES, WHICH IS INCLUDED UNDER TRANSACTION TYPE "B". PART V, TRANSACTION TYPE J DIGNITY COMMUNITY CARE LEASES FACILITIES AND/OR EQUIPMENT TO A JOINT VENTURE. AMOUNT REPORTED AS TRANSACTION TYPE "J" REPRESENT THE AMOUNTS PAID FOR SUCH AGREEMENTS. PART V, TRANSACTION TYPE K DIGNITY COMMUNITY CARE LEASES FACILITIES AND/OR EQUIPMENT FROM DIGNITY HEALTH MEDICAL FOUNDATION. AMOUNTS REPORTED AS TRANSACTION TYPE "K" REPRESENT THE AMOUNTS PAID FOR SUCH AGREEMENTS. PART V, TRANSACTION TYPE L DIGNITY COMMUNITY CARE FACILITIES PERFORM VARIOUS SERVICES FOR RELATED ORGANIZATIONS WHICH INCLUDE WHOLLY-OWNED ORGANIZATIONS, DIGNITY HEALTH MEDICAL FOUNDATION AND JOINT VENTURES. THE SERVICES PROVIDED FOR SUCH ACTIVITIES INCLUDE CAPITATION AND CONTRACTED MANAGEMENT FEES. PART V, TRANSACTION TYPE M PHYSICIAN CLINIC SUPPORT SERVICES ARE PROVIDED TO DIGNITY COMMUNITY CARE HOSPITALS BY WHOLLY-OWNED ORGANIZATIONS AND DIGNITY HEALTH MEDICAL FOUNDATION. AMOUNTS REPORTED UNDER TRANSACTION TYPE "M" INCLUDE THE PAYMENTS MADE FOR HOSPITALISTS AND RISK POOL PROGRAMS AND MANAGEMENT FEES. PART V, TRANSACTION TYPE R AMOUNTS REPORTED UNDER TRANSACTION TYPE "R" REPRESENT TRANSFER OF ADDITIONAL CASH INVESTMENT IN THE JOINT VENTURE. PART V, TRANSACTION TYPE S AMOUNTS REPORTED UNDER TRANSACTION TYPE "S" REPRESENT FUNDING FROM PARTNERSHIPS VIA K-1 DISTRIBUTIONS AND TRANSFERS OF ASSETS FROM RELATED ORGANIZATIONS.