2026-05-13T22:53:27-05:00 2025-06-30 135565207 KPMG LLP 55 SECOND ST STE 1400 SAN FRANCISCO CA 94105 990 2024-07-01 941196203 DIGNITY HEALTH DIGN 6023072100 3033 N 3RD AVENUE PHOENIX AZ 85013 MICHAEL P BROWNING SEVP, CFO 3127417000 2026-05-13 1 0 MOLLIE LONGHOUSE P00294881 4159635100 2024 2025-03-06 01:10:19Z X MICHAEL P BROWNING 444 W LAKE ST 25TH FL CHICAGO IL 60606 18748381138 0 X WWW.DIGNITYHEALTH.ORG X 1954 CA AS AN AFFILIATE OF COMMONSPIRIT HEALTH (COMMONSPIRIT), DIGNITY HEALTH IS COMMITTED TO MAKING THE HEALING PRESENCE OF GOD KNOWN IN OUR WORK BY IMPROVING THE HEALTH OF THE PEOPLE WE SERVE, ESPECIALLY THOSE WHO ARE VULNERABLE, WHILE WE ADVANCE SOCIAL JUSTICE FOR ALL. 4 0 50912 3010 4236467 2503904 177505546 524220970 10568644138 10331545989 424226635 527251598 95103731 236889287 11265480050 11619907844 295211516 321863132 0 0 5341774294 5352905192 0 0 0 5280789712 5292878966 10917775522 10967647290 347704528 652260554 18758289521 22781808773 9038973096 12172611135 9719316425 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12172611135 X 9421631169 10283352526 297685256 325845112 9719316425 10609197638 18758289521 22781808773 X 652260554 177258790 51247 60310622 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 1 97229 0 1 1576520 1 422030 0 1 354362 2450141 0 PART II-B, LINE 1, LINES 1F AND 1I: DIGNITY HEALTH IS A MEMBER OF HEALTHCARE ASSOCIATIONS WHOSE PURPOSES INCLUDE DIRECTING, DEVELOPING, AND AFFECTING PUBLIC POLICY AND LEGISLATION WITH REGARD TO ISSUES AFFECTING HEALTHCARE. LOBBYING EXPENDITURES ARE PAID BY THE FILING ORGANIZATION FOR ANNUAL MEMBERSHIP DUES, OF WHICH A PORTION MAY BE USED FOR LOBBYING PURPOSES, LOBBYING CONTRIBUTIONS AND OTHER SUCH LOBBYING ACTIVITIES, WHICH ARE REFLECTED ON LINES 1F AND 1I. 340B HEALTH $2,702 ALLIANCE OF CATHOLIC HEALTHCARE $71,566 AMERICAN HOSPITAL ASSOCIATION $134,456 CALIFORNIA HOSPITAL ASSOCIATION OF CALIFORNIA $495,909 CATHOLIC HEALTH ASSOCIATION $119,312 ACADEMY OF NUTRITION & DIETETICS CORP $120 AMERICAN ACADEMY OF FAMILY PHYSICIANS $1,235 AMERICAN ACADEMY OF NURSE PRACTITIONER $111 AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS $526 AMERICAN COLLEGE OF CARDIOLOGY $1,480 AMERICAN COLLEGE OF EMERGENCY PHYSICIANS $1,513 AMERICAN COLLEGE OF OBSTETRICIANS & GYNECOLOGISTS $330 AMERICAN COLLEGE OF PHYSICIANS $676 AMERICAN COLLEGE OF RADIOLOGY $2,048 AMERICAN COLLEGE OF SURGEONS $3,928 AMERICAN MEDICAL ASSOCIATION $1,260 AMERICAN OSTEOPATHIC ASSOCIATION $129 AMERICAN PSYCHIATRIC ASSOCIATION $148 AMERICAN SOCIETY OF COLON AND RECTAL SURGEONS $330 AMERICAN SOCIETY OF HEALTH-SYSTEMS PHARMACISTS $216 AMERICAN UROLOGICAL ASSOCIATION $100 ASSOCIATION OF PERIOPERATIVE REGISTERED NURSES $173 CASSIDY & ASSOCIATES INC $260,000 COALITION TO STRENGTHEN AMERICA'S HEALTHCARE $437,500 FERRARI PUBLIC AFFAIRS LLC $88,034 FRIENDS OF MERCED COLLEGE LOS BANOS FOR MEASURE P $7,500 GC GARCIA INC $46,578 GOODMAN SCHWARTZ LLC $99,000 GREATER LAS VEGAS CHAMBER OF COMMERCE $650 INFECTIOUS DISEASE SOCIETY OF AMERICA $117 LONG BEACH AREA CHAMBER OF COMMERCE $629 NATIONAL ASSOCIATION OF EPILEPSY CENTERS $120 NATIONAL ASSOCIATION OF RURAL HEALTH CLINICS $194 NATIONAL SOCIETY OF GENETIC COUNSELORS $171 NEVADA HOSPITAL ASSOCIATION $3,442 PRIVATE ESSENTIAL ACCESS COMMUNITY HOSPITALS INC $142,000 SACRAMENTO METROPOLITAN CHAMBER OF COMMERCE $327 SANTA CRUZ CHAMBER OF COMMERCE $600 SANTA CRUZ COUNTY BUSINESS $2,505 SOCIETY OF TEACHERS OF FAMILY MEDICINE $285 SOCIETY OF THORACIC SURGEONS $1,544 TRAUMA CENTER ASSOCIATION $600 VARIOUS OTHER ORGANIZATIONS UNDER $100 $818 TOTAL EXPENDITURES PAID TO ORGANIZATIONS $1,930,882 PART II-B, LINES 1B, 1D AND 1G: THE ORGANIZATION PAID FEES TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES, PAID COMPENSATION TO STAFF AND MANAGEMENT IN THE PERFORMANCE OF THEIR DUTIES IN ATTEMPTING TO INFLUENCE LEGISLATION, HELD MEETINGS WITH AND CALLED GOVERNMENT OFFICIALS, AND DEVELOPED AND SENT LETTERS. DIGNITY HEALTH 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 HEALTH ADVOCACY PRIORITIES; DIVISION-EMPLOYED ADVOCACY LEADERS WERE ABLE TO CREATE THEIR OWN LETTERS AS WELL. CENTRAL TO THE DIGNITY HEALTH 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 HEALTH ADVOCACY ACTIVITIES ARE INEXTRICABLY LINKED TO ITS FUNDAMENTAL GOAL TO BUILD HEALTHIER COMMUNITIES. ONE DIMENSION OF THE DIGNITY HEALTH 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 HEALTH 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. ADDITIONALLY IN 2025, DIGNITY HEALTH'S ADVOCACY EFFORTS ACROSS BOTH NEVADA AND ARIZONA FOCUSED ON SAFEGUARDING HEALTHCARE ACCESS AND STABILITY. IN NEVADA, THEY SUCCESSFULLY COUNTERED LEGISLATION THAT THREATENED HEALTHCARE WORKFORCE STABILITY AND SECURED SUSTAINABLE MEDICAID FUNDING TO ENSURE CONTINUOUS CARE FOR VULNERABLE PATIENTS. SIMULTANEOUSLY, IN ARIZONA, DIGNITY HEALTH PRIORITIZED PROTECTING VULNERABLE POPULATIONS BY PRESERVING CRUCIAL MEDICAID AND HOSPITAL FUNDING, IMPROVING PRIVATE AMBULANCE SERVICES, ENHANCING INSURANCE TRANSPARENCY, AND LEADING INITIATIVES FOR SUSTAINABLE RURAL HEALTH PROGRAMS TO COUNTER POTENTIAL FEDERAL FUNDING CUTS. OVERALL, DIGNITY HEALTH WORKED PROACTIVELY TO UPHOLD PATIENT CARE, SUPPORT HEALTHCARE PROVIDERS, AND MAINTAIN THE FINANCIAL VIABILITY OF HOSPITALS SERVING HIGH-NEED POPULATIONS IN CALIFORNIA, NEVADA AND ARIZONA. 176049330 176049330 154157524 4799957 25751390 833659 7825882 176049330 705313546 705313546 3234191471 799373850 2434817621 47002638 31804947 15197691 2014021482 1612084020 401937462 1127422187 38111110 1089311077 4646577397 CSH POOLED INVESTMENTS 4604886226 F 4604886226 INVESTMENTS IN UNCONSOLIDATED FOUNDATIONS 319062252 F INVESTMENTS IN HEALTH RELATED ENTITIES 837619565 F INVESTMENTS IN HEALTH RELATED ENTITIES 76414389 C 1233096206 OTHER LONG-TERM ASSETS 406698851 DUE FROM RELATED PARTIES 4942352267 PREPAID PENSION EXPENSE 73650 AR ERC COVID 237845664 5586970432 6838994 PENSION PAYABLE 521380703 DUE TO RELATED PARTIES 3155283062 ASSET RETIREMENT OBLIGATIONS 34644587 OTHER NON-CURRENT LIABILITIES 244795944 DEFERRED COMPENSATION 4099935 3967043225 X PART V, LINE 4: THE ENDOWMENT FUNDS ARE NO LONGER IN THE POSSESSION OF THE ORGANIZATION. THE ENDOWMENT FUNDS WERE TRANSFERRED TO THE RELATED ORGANIZATION, COMMONSPIRIT HEALTH OPERATING INVESTMENT POOL, LLC. PART X, LINE 2: DIGNITY HEALTH IS INCLUDED IN COMMONSPIRIT'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. 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HEALTH-ST ROSE DOMINICAN WEST 9880 W FLAMINGO LAS VEGAS NV 89147 WWW.STROSENH.ORG/LOCATIONS/WEST-FLAMI 8652-HOS-0 X X X NEIGHBORHOOD HOSPITAL B 26 DE NORTH DURANGO LLC DBA DIGNITY HEALTH-ST ROSE DOMINICAN NO 6675 N DURANGO DRIVE LAS VEGAS NV 89149 WWW.STROSENH.ORG/LOCATIONS/CENTENNIAL 11365-HOS-1 X X X NEIGHBORHOOD HOSPITAL FACILITY REPORTING GROUP A 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 FACILITY REPORTING GROUP B 0 0 1 X X X X X X X X X 24 1 1 1 1 X WWW.STROSENH.ORG/ABOUT/ 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 1 X 0 X X 1 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 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 E 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 1 X 0 0 FACILITY REPORTING GROUP F 0 0 1 X X X X X X X X X 24 1 1 1 1 X SEE PART V, SECTION C X HTTPS://WWW.HEALTHMATTERSINVC.ORG/ 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 G 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 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 ST MARY'S MEDICAL CENTER (SOLD 73124) 22 0 0 1 X X X X X X X X X 21 1 1 1 1 X SEE PART V, SECTION C X HTTP://WWW.SFHIP.ORG/ X X 1 22 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 DE NORTH DURANGO LLC DBA DIGNITY HEALTH 26 1 0 1 X X X X X X X X X 24 1 1 1 1 X WWW.STROSENH.ORG/ABOUT/ 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 1 X 0 X X 1 X 0 0 PART V, SECTION A: PRIMARY WEBSITE ADDRESS1. ST JOSEPH'S HOSPITAL AND MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/STJOSEPHS2. MARIAN REGIONAL MEDICAL CENTER, ARROYO GRANDEWWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/LOCATIONS/MARIANREGIONALWWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/LOCATIONS/ARROYO-GRANDE3. MERCY GENERAL HOSPITALWWW.DIGNITYHEALTH.ORG/SACRAMENTO/LOCATIONS/MERCY-GENERAL-HOSPITAL4. MERCY SAN JUAN MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/SACRAMENTO/LOCATIONS/MERCY-SAN-JUAN-MEDICAL-CENTER5. MERCY MEDICAL CENTER REDDINGWWW.DIGNITYHEALTH.ORG/NORTH-STATE/LOCATIONS/MERCY-REDDING6. ST ROSE DOMINICAN HOSPITAL - SIENAWWW.DIGNITYHEALTH.ORG/LAS-VEGAS/LOCATIONS/SIENA7. ST BERNARDINE MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/SOCAL/LOCATIONS/STBERNARDINEMEDICAL8. DOMINICAN HOSPITALWWW.DIGNITYHEALTH.ORG/BAYAREA/LOCATIONS/DOMINICAN9. ST JOHN'S REGIONAL MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/LOCATIONS/STJOHNSREGIONAL10. MERCY MEDICAL CENTER MERCEDWWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/MERCYMEDICAL-MERCED11. MERCY HOSPITAL (BAKERSFIELD)WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/MERCY-BAKERSFIELD12. ST MARY MEDICAL CENTER - LONG BEACHWWW.DIGNITYHEALTH.ORG/SOCAL/LOCATIONS/STMARYMEDICAL13. MERCY GILBERT MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/MERCYGILBERT14. MERCY HOSPITAL OF FOLSOMWWW.DIGNITYHEALTH.ORG/SACRAMENTO/LOCATIONS/MERCY-HOSPITAL-OF-FOLSOM15. ST ROSE DOMINICAN HOSPITAL - SAN MARTINWWW.DIGNITYHEALTH.ORG/LAS-VEGAS/LOCATIONS/SAN-MARTIN16. ST ELIZABETH COMMUNITY HOSPITALWWW.DIGNITYHEALTH.ORG/NORTH-STATE/LOCATIONS/STELIZABETHHOSPITAL17. ST JOHN'S HOSPITAL CAMARILLOWWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/LOCATIONS/PLEASANTVALLEY18. MERCY MEDICAL CENTER MT SHASTAWWW.DIGNITYHEALTH.ORG/NORTH-STATE/LOCATIONS/MERCY-MTSHASTA19. ST JOSEPH'S WESTGATE MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/WESTGATE20. ST ROSE DOMINICAN HOSPITAL - ROSE DE LIMAWWW.DIGNITYHEALTH.ORG/LAS-VEGAS/LOCATIONS/ROSE-DE-LIMA21. DE CRAIG RANCH LLC DBA DIGNITY HEALTH - ST ROSE DOMINICAN NORTH LAS VEGASWWW.STROSENH.ORG/LOCATIONS/NORTH-LAS-VEGAS/22. ST MARY'S MEDICAL CENTER (SOLD TO UCSF EFFECTIVE 7/31/24)WWW.DIGNITYHEALTH.ORG/BAYAREA/LOCATIONS/STMARYSNOTE: ST MARY'S MEDICAL CENTER WAS SOLD TO UCSF EFFECTIVE 7/31/24.23. DE BLUE DIAMOND LLC DBA DIGNITY HEALTH ST ROSE DOMINICAN BLUE DIAMONDWWW.STROSENH.ORG/LOCATIONS/BLUE-DIAMOND/24. DE SAHARA LLC DBA DIGNITY HEALTH - ST ROSE DOMINICAN SAHARAWWW.STROSENH.ORG/LOCATIONS/SAHARA/25. DE FLAMINGO LLC DBA DIGNITY HEALTH - ST ROSE DOMINICAN WEST FLAMINGOWWW.STROSENH.ORG/LOCATIONS/WEST-FLAMINGO/26. DE NORTH DURANGO (FORMERLY CENTENNIAL) LLC DBA DIGNITY HEALTH - ST ROSE DOMINICAN NORTH DURANGO (FORMERLY CENTENNIAL) (EFFECTIVE 6/26/25)WWW.STROSENH.ORG/LOCATIONS/CENTENNIAL/ ST MARY'S MEDICAL CENTER (SOLD 7/31/24) PART V, SECTION B, LINE 5: ST. MARY'S MEDICAL CENTER WAS SOLD EFFECTIVE JULY 31, 2024. THE ORGANIZATION REPORTS COMMUNITY BENEFIT AND 501(R) COMPLIANCE INFORMATION FOR THIS FACILITY ONLY FOR THE PERIOD DURING WHICH IT WAS OPERATED BY THE ORGANIZATION JULY 1, 2024 JULY 31, 2024. POST-SALE OPERATIONS ARE NOT INCLUDED IN THIS SCHEDULE H.THE DATA SOURCES FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDES DATA FROM PUBLIC HEALTH DEPARTMENTS AND COMMUNITY AGENCIES; SURVEYS, FOCUS GROUPS; INTERVIEWS; REVIEW OF OTHER ASSESSMENTS; AND INPUT FROM THE HOSPITAL'S COMMUNITY. THE 2022 (TY2021) CHNA REPORT INCLUDED FIVE FOCUS GROUPS LISTED BELOW. PARTICIPANTS OF THE HEALTH EQUITY/PARITY COALITIONS WERE COMPENSATED FOR THEIR TIME. AS PART OF OUR PARTNERSHIP WITH KAISER PERMANENTE, WE SHARED THE TRANSCRIPTS FROM THE FOCUS GROUPS AND KAISER SHARED THE TRANSCRIPTS FROM THEIR 15 KEY INFORMANT INTERVIEWS. WE COORDINATED INTERVIEWEES TO ENSURE WE DID NOT REACH OUT TO THE SAME GROUP TWICE. TO ANALYZE THE FOCUS GROUPS AND KEY INFORMANT INTERVIEWS, KEY HEALTH NEEDS WERE TABULATED FROM THE INTERVIEWS AND AGGREGATED TO PULL OUT KEY HEALTH NEEDS AND ILLUSTRATIVE QUOTES. FOCUS GROUPS WERE CONDUCTED WITH THE FOLLOWING FIVE GROUPS IN THE SUMMER AND FALL OF 2021: ASIAN PACIFIC ISLANDER HEALTH PARITY COALITION (APIHPC); RAFIKI AFRICAN AMERICAN HEALTH EQUITY COALITION; CHICANO / LATINO / INDIGENA HEALTH EQUITY COALITION (CLI); FUNDERS (INCLUDING BLUE SHIELD OF CALIFORNIA FOUNDATION, CALIFORNIA HEALTHCARE FOUNDATION, HIRSCH PHILANTHROPY PARTNERS, METTA FUND, NORTHERN CALIFORNIA GRANT MAKERS, ZELLERBACH FAMILY FOUNDATION); INSURERS (INCLUDING ANTHEM, BLUE SHIELD, CANOPY HEALTH, KAISER PERMANENTE, SAN FRANCISCO HEALTH PLAN) KEY INFORMANT INTERVIEWS WERE CONDUCTED AS PART OF THE KAISER CHNA, WITH PEOPLE FROM THE FOLLOWING 15 ORGANIZATIONS: BAYVIEW YMCA; COMPASS FAMILY SERVICES; GLIDE FOUNDATION; HUCKLEBERRY YOUTH PROGRAMS; KAISER PERMANENTE GREATER SAN FRANCISCO; LA CASA DE LAS MADRES; LAVENDER YOUTH RECREATION CENTER (LYRIC); MISSION ECONOMIC DEVELOPMENT AGENCY; NEMS (NORTH EAST MEDICAL SERVICES); ON LOK/30 ST. SENIOR CENTER; RAMS (RICHMOND AREA MULTI-SERVICES); SAN FRANCISCO AIDS FOUNDATION; SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH; SAN FRANCISCO HUMAN RIGHTS COMMISSION; SAN FRANCISCO UNIFIED SCHOOL DISTRICT. DE NORTH DURANGO LLC DBA DIGNITY HEALTH - ST. ROSE 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. ST MARY'S MEDICAL CENTER (SOLD 7/31/24) PART V, SECTION B, LINE 6A: SAINT FRANCIS MEMORIAL HOSPITAL, SUTTER CPMC AND UCSF MEDICAL CENTER DE NORTH DURANGO LLC DBA DIGNITY HEALTH - ST. ROSE 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), INTERMOUNTAIN HEALTH. ST MARY'S MEDICAL CENTER (SOLD 7/31/24) PART V, SECTION B, LINE 6B: SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH, ASIAN PACIFIC ISLANDER HEALTH PARITY COALITION, AFRICAN AMERICAN HEALTH EQUITY COALITION, CHICANO / LATINO / INDIGENA HEALTH EQUITY COALITION DE NORTH DURANGO LLC DBA DIGNITY HEALTH - ST. ROSE PART V, SECTION B, LINE 6B: SOUTHERN NEVADA HEALTH DISTRICT AND INTERMOUNTAIN HEALTH ST MARY'S MEDICAL CENTER (SOLD 7/31/24) PART V, SECTION B, LINE 7D: THE 2022 CHNA WAS EMAILED TO COMMUNITY PARTNERS. DE NORTH DURANGO LLC DBA DIGNITY HEALTH - ST. ROSE 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. ST MARY'S MEDICAL CENTER (SOLD 7/31/24) PART V, SECTION B, LINE 11: ST. MARY'S MEDICAL CENTER: (7/1/24-7/31/24)ACCESS TO WELCOMING HEALTHCARE: THE HOSPITAL IS ADDRESSING THE SIGNIFICANT HEALTH NEED BY BUILDING BRIDGES FOR OUR PATIENTS TO GET THE CARE THEY NEED. AS OVER 40% OF THE HOSPITAL'S PATIENTS ARE ON MEDI-CAL, FOCUSING ON THAT POPULATION ENSURES WE ARE DIRECTLY SERVING LOW-INCOME INDIVIDUALS. WE ARE FOCUSED ON TWO PATIENT POPULATIONS: SENIORS AND PERSONS WITH SUBSTANCE USE AND MENTAL HEALTH DISORDERS. BRIDGES INCLUDE CLEARER PATHWAYS TO HOUSING SOLUTIONS, FOLLOW UP CASE MANAGEMENT FROM A NON-PROFIT PROVIDER, POST-DISCHARGE SENIOR SERVICES, AND ADVOCACY FOR SUPPORT FOR THESE POPULATIONS. WORK WITH CARE PARTNERS TO SUPPORT PATIENTS' ACCESS TO MEDI-CAL'S CAL-AIM BENEFITS. PARTNERS AND PROGRAMS INCLUDE: STREET-BASED MEDICINE OUTREACH, SERIOUS ILLNESS PROGRAM FOR CHINESE SENIORS, COMMUNITY GRANTS PROGRAM, PATIENT FINANCIAL ASSISTANCE, AND DELANCEY STREET FOUNDATION. BEHAVIORAL HEALTH & SUBSTANCE USE: CONVENING WITH SFPD, SF DEPARTMENT OF PUBLIC HEALTH, AND SFFD ON CARE FOR PATIENTS UNDER 5150 HOLDS; COMMUNITY HEALTH WORKER SUBSTANCE USE NAVIGATOR PROGRAM GRANT WITH SAN FRANCISCO HEALTH PLAN TO INCREASE PATIENT'S KNOWLEDGE AND WILLINGNESS TO SEEK SUBSTANCE USE TREATMENT SERVICES.ECONOMIC OPPORTUNITY: THE HOSPITAL SUPPORTS THIS HEALTH NEED IN A VARIETY OF WAYS, BOTH BY SUPPORTING INDIVIDUALS TO BECOME THE NEXT GENERATIONS OF HEALTHCARE LEADERS, AND BUILDING FINANCIAL SUSTAINABILITY FOR COMMUNITY HEALTH WORKER PROGRAMS TO BUILD THE HEALTHCARE WORKFORCE AND SUPPORT CURRENT PATIENTS. THE HOSPITAL ALSO ENGAGES WITH THE SAN FRANCISCO COUNTY COLLABORATIVE PLANNING AND IMPLEMENTATION FOR CALAIM TO SUPPORT AND BUILD PARTNERSHIPS WITH NON-PROFIT'S EFFORTS TO BILL FOR AND SERVE MANAGED MEDICAL CLIENTS. DE NORTH DURANGO LLC DBA DIGNITY HEALTH - ST. ROSE PART V, SECTION B, LINE 11: THE HOSPITAL IS TAKING SEVERAL ACTIONS AND DEDICATING RESOURCES TO HELP ADDRESS SIGNIFICANT NEEDS, INCLUDING:1. ACCESS TO CARE: A) NEVADA HEALTH LINK & MEDICAID ENROLLMENT: 12,052 COUNSELING SESSIONS, 1,758 ENROLLED IN NHL & 287 MEDICAIDB) MEDICARE ASSISTANCE PROGRAM: 5,172 MEDICARE BENEFICIARY COUNSELING SESSIONS. $1,919,508 IN PHARMACY SAVINGSC) HELPING HANDS PROGRAM: 8,282 ROUND-TRIP RIDES TO DOCTOR, PHARMACYD) ENGELSTAD FOUNDATION RED ROSE PROGRAM NAVIGATION: 608 MAMMOGRAMS, 300 ULTRASOUNDS, 65 BIOPSIES, RESULTING IN 29 CANCER DIAGNOSIS AND 22 SURGICAL TREATMENTE) PATHWAYS COMMUNITY HUB: 340 PARTICIPANTS, 1909 VISITS WITH A CHW OPENING 4,988 PATHWAYS AND CLOSING 3,642 PATHWAYSF) HIV CASE MANAGEMENT: 357 CLIENTS RECEIVED MEDICAL CASE MANAGEMENT G) GME FAMILY & INTERNAL MEDICINE RESIDENT CLINICSH) PATIENT FINANCIAL ASSISTANCEI) 2025 COMMUNITY HEALTH IMPROVEMENT GRANTEES: CARE CHEST FREE DME 2. CHRONIC DISEASE: A) DIABETES LIFESTYLE CENTER: 390 INDIVIDUALS RECEIVED DIABETES EDUCATION RESULTING IN AN A1C REDUCTION FROM 8.0% TO 6.6%B) HIV PROGRAM: 713 CLIENTS WITH HIV SERVED C) INNOVATIVE HEART HEALTH: 98 PARTICIPANTSD) COGNITIVE STIMULATION THERAPY: 47 PARTICIPANTS WITH DEMENTIA, 77% IMPROVED COGNITION, 78% DECREASED DEPRESSION, 84% IMPROVED QUALITY OF LIFEE) CAREGIVERS: 20 WORKSHOPS IN ENGLISH & SPANISH WITH 200 PARTICIPANTS. 94 SUPPORT GROUP MEETINGS WITH 347 ATTENDEESF) CHRONIC DISEASE SELF MANAGEMENT PROGRAMS: 29 CDSME WORKSHOPS IN ENGLISH & SPANISH WITH 283 PARTICIPANTSG) BREAST CANCER - RED ROSE: 608 MAMMOGRAMS, 300 ULTRASOUNDS, 65 BIOPSIES, RESULTING IN 29 CANCER DIAGNOSIS AND 22 SURGICAL TREATMENTH) PATHWAYS COMMUNITY HUB: 340 PARTICIPANTS, 1909 VISITS WITH A CHW OPENING 4,988 PATHWAYS AND CLOSING 3,642 PATHWAYSI) MENTAL & BEHAVIORAL HEALTH: 62 SENIOR PEER COUNSELING CLIENTS, PERINATAL MENTAL HEALTH DISORDERS 190 CLIENT NAVIGATIONJ) CHRONIC DISEASE PREVENTION PROGRAMSI. FREE FITNESS PROGRAM: 2700 CLASSES AT 7 CENTERS WITH 28,387 ATTENDEESII. FALL PREVENTION: PROVIDE TAI JI QUAN MOVEMENT FOR BETTER BALANCE 347 AND STEPPING ON FALL PREVENTION 107 3. SOCIAL DETERMINANTS OF HEALTH A) TRANSPORTATION: I. HELPING HANDS OF HENDERSON, 8,282 ROUND-TRIP RIDES TO DOCTOR, PHARMACYII. PATHWAYS COMMUNITY HUBIII. ROUNDTRIP RIDESIV. RED ROSE FINANCIAL ASSISTANCE GAS CARDS $15,370V. BUS PASSES: ASSISTED 2,123 INDIVIDUALS WITH 24-HOUR BUS PASSESVI. 2025 COMMUNITY HEALTH IMPROVEMENT GRANTEE: LEND A HAND OF BOULDER CITYB) FOOD SECURITY: I. WIC: 5,477 WOMEN, INFANTS & CHILDREN (WIC) CLIENTS RECEIVED EBT CARDS, NUTRITION EDUCATION AND BREASTFEEDING SUPPORTII. GOLDEN GROCERY PROVIDED HOMEBOUND SENIORS WITH 3,371 FREE GROCERY DELIVERIESIII. FRUIT & VEGETABLE RX PROGRAM: DELIVERED 1,740 FRESH FRUIT & VEGETABLE BOXES TO FOOD INSURE CLIENTS WITH CHRONIC DISEASEIV. HIV FOOD PANTRY SERVED 307 CLIENTS WITH 1,560 FOOD BAGS, 554 SMITH'S GROCERY VOUCHERS, 8,078 PREPARED MEALS, 660 CASES OF NUTRITION SUPPLEMENTSV. RED ROSE FINANCIAL ASSISTANCE GROCERY CARDS $52,464VI. 2025 COMMUNITY HEALTH IMPROVEMENT GRANTEES: BROOKE'S GOOD DEEDS MOAPA FOOD PANTRY, DESERT SPRING COMMUNITY FOOD PANTRY, SERVING OUR KIDS FOOD ASSISTANCEC) HOUSING: I. EMERGENCY HOUSING PROJECT: LAUNCHED JULY 1, 2025II. RED ROSE FINANCIAL ASSISTANCE RENT/HOUSING/UTILITIES ASSISTANCE 69 CLIENTS $120,103 RENT, $35,697 UTILITIESIII. 2025 COMMUNITY HEALTH IMPROVEMENT GRANTEES: CATHOLIC CHARITIES, LIVING GRACE HOMES, HELP OF SOUTHERN NEVADA ST MARY'S MEDICAL CENTER (SOLD 7/31/24) 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.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. DE NORTH DURANGO LLC DBA DIGNITY HEALTH - ST. ROSE 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. SCHEDULE H, PART V, SECTION B, LINE 3E FACILITY REPORTING GROUPS A, B, C, D, E, F, G, ST MARY'S MEDICAL CENTER -SF AND DE NORTH DURANGO LLC DBA DIGNITY HEALTH - ST ROSE DOMINICAN NORTH DURANGO (FORMERLY CENTENNIAL: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 3: MERCY GENERAL HOSPITAL, - FACILITY 4: MERCY SAN JUAN MEDICAL CENTER, - FACILITY 7: ST BERNARDINE MEDICAL CENTER, - FACILITY 8: DOMINICAN HOSPITAL, - FACILITY 10: MERCY MEDICAL CENTER MERCED, - FACILITY 11: MERCY HOSPITAL (BAKERSFIELD), - FACILITY 14: MERCY HOSPITAL OF FOLSOM FACILITY REPORTING GROUP A PART V, SECTION B, LINE 5: MERCY SAN JUAN MEDICAL CENTER, MERCY GENERAL HOSPITAL, MERCY HOSPITAL OF FOLSOM: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 UNDOCUMENTEDCOMMUNITY BASED VIOLENCE PREVENTIONCONNECTED COMMUNITY NETWORKELK GROVE CHAMBER OF COMMERCEINITIATIVE TO REDUCE AFRICAN AMERICAN CHILD DEATHSCITY OF SACRAMENTO WHOLE PERSON CARE/ PATHWAYS TO HEALTH + HOUSINGWELLSPACE HEALTH CAPACITY BUILDINGHEALTH PROFESSIONS EDUCATIONHOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIAMACK ROAD PARTNERSHIPMENTAL HEALTH IMPROVEMENT COALITIONMERCY CLINIC LOAVES & FISHESMERCY FAITH AND HEALTH PARTNERSHIPMENTAL HEALTH CONSULTATIONS AND CONSERVATORSHIP SERVICESFINANCIAL ASSISTANCE FOR UNINSURED/UNDERINSURED AND LOW INCOME RESIDENTSSACRAMENTO COUNTY HEALTH AUTHORITY COMMISSIONST BERNARDINE MEDICAL CENTER:DATA WAS COLLECTED FROM LOCAL, COUNTY, AND STATE SOURCES TO PRESENT COMMUNITY DEMOGRAPHICS, SOCIAL DETERMINANTS OF HEALTH, HEALTH CARE ACCESS, BIRTH INDICATORS, LEADING CAUSES OF DEATH, CHRONIC DISEASES, HEALTH BEHAVIORS, MENTAL HEALTH, SUBSTANCE USE AND MISUSE, AND PREVENTIVE PRACTICES. WHERE AVAILABLE, THE DATA IS PRESENTED IN THE CONTEXT OF SAN BERNARDINO COUNTY AND CALIFORNIA, FRAMING THE SCOPE OF AN ISSUE AS IT RELATES TO THE BROADER COMMUNITY. THE REPORT INCLUDES BENCHMARK COMPARISON DATA, COMPARING COMMUNITY DATA FINDINGS WITH HEALTHY PEOPLE 2030 OBJECTIVES. IN ADDITION TO SECONDARY DATA, THE HOSPITAL INCORPORATED INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY THROUGH A THOROUGH ENGAGEMENT PROCESS. ELEVEN (11) INTERVIEWS WERE CONDUCTED DURING NOVEMBER AND DECEMBER 2024, AND FOUR FOCUS GROUPS TOOK PLACE IN JANUARY AND FEBRUARY 2025. THESE INTERVIEWS INCLUDED INPUT FROM A WIDE RANGE OF COMMUNITY INTERESTS, NOTABLY INDIVIDUALS WHO ARE LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, AS WELL AS LOCAL HEALTH DEPARTMENTS AND AGENCIES WITH CURRENT DATA OR RELEVANT INFORMATION ABOUT THE COMMUNITY'S HEALTH NEEDS. ORGANIZATIONS SUCH AS LONG BEACH FORWARD, THE LONG BEACH DEPARTMENT OF HEALTH AND HUMAN SERVICES, AND OTHERS SERVED AS KEY PARTNERS AND CO-LEADERS IN THIS PROCESS. THESE COLLABORATIONS ENSURED THAT THE VOICES OF THOSE MOST AFFECTED, SUCH AS IMMIGRANTS, REFUGEES, BLACK AND AFRICAN AMERICAN RESIDENTS, LGBTQ+ INDIVIDUALS, HOMELESS PEOPLE, AND VETERANS, WERE HEARD AND CONSIDERED IN IDENTIFYING PRIORITIES AND SHAPING STRATEGIES TO ADDRESS COMMUNITY HEALTH NEEDS.DOMINICAN HOSPITAL:KEY INFORMANT INTERVIEWS AND FOCUS GROUPS WERE CONDUCTED, WITH INPUT SOLICITED FROM 46 COMMUNITY LEADERS AND REPRESENTATIVES OF VARIOUS ORGANIZATIONS AND SECTORS. THESE REPRESENTATIVES EITHER WORK IN THE HEALTH FIELD OR IN A COMMUNITY BASED ORGANIZATION THAT FOCUSES ON IMPROVING HEALTH AND QUALITY OF LIFE CONDITIONS BY SERVING THOSE FROM IRS IDENTIFIED HIGH NEED TARGET POPULATIONS. ORGANIZATIONS REPRESENTED INCLUDED: SANTA CRUZ COMMUNITY HEALTH, ENCOMPASS COMMUNITY SERVICES, CENTRAL CALIFORNIA ALLIANCE FOR HEALTH, SALUD PARA LA GENTE, HOUSING MATTERS, SANTA CRUZ COUNTY HEALTH SERVICES AGENCY, SECOND HARVEST FOOD BANK, SANTA CRUZ COUNTY OFFICE OF EDUCATION, AND COMMUNITY ACTION BOARD.THE HOSPITAL OBTAINED INPUT AND KNOWLEDGE FROM THE PUBLIC HEALTH DEPARTMENT THROUGH FORMAL COLLABORATION AND CONSULTATION DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS.MERCY MEDICAL CENTER MERCED:MERCY MEDICAL CENTER MERCED CONDUCTED INTERVIEWS WITH COMMUNITY STAKEHOLDERS TO OBTAIN INPUT ON HEALTH NEEDS, BARRIERS TO CARE AND RESOURCES AVAILABLE TO ADDRESS THE IDENTIFIED HEALTH NEEDS. TELEPHONE INTERVIEWS WERE CONDUCTED NOVEMBER 2024 THROUGH JANUARY 2025. INTERVIEW PARTICIPANTS INCLUDED A BROAD RANGE OF STAKEHOLDERS CONCERNED WITH HEALTH AND WELLBEING IN MERCED COUNTY WHO SPOKE ABOUT ISSUES AND NEEDS IN THE COMMUNITIES SERVED BY THE HOSPITALS. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND REPRESENTATIVES OF ORGANIZATIONS SERVING MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, OR LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES. SECONDARY DATA WERE COLLECTED FROM LOCAL, COUNTY, AND STATE SOURCES TO PRESENT COMMUNITY DEMOGRAPHICS, SOCIAL DETERMINANTS OF HEALTH, HEALTH CARE ACCESS, BIRTH CHARACTERISTICS, LEADING CAUSES OF DEATH, ACUTE AND CHRONIC DISEASE, HEALTH BEHAVIORS, MENTAL HEALTH, SUBSTANCE USE, AND PREVENTIVE PRACTICES. WHERE AVAILABLE, THESE DATA ARE PRESENTED IN THE CONTEXT OF MERCED COUNTY AND CALIFORNIA, FRAMING THE SCOPE OF AN ISSUE AS IT RELATES TO THE BROADER COMMUNITY. ACCESS TO CARE: 211, ALIANZA NACIONAL DE CAMPESINA, ALPHA PREGNANCY HELP CENTER, BI-NATIONAL HEALTH WEEK, CALIFORNIA HEALTH COLLABORATIVE, CASTLE FAMILY HEALTH CENTERS, CENTRAL CALIFORNIA ALLIANCE FOR HEALTH, COMMUNITIES FOR A NEW CALIFORNIA, COMMUNITY HEALTH CENTERS OF AMERICA, CULTIVA CENTRAL VALLEY, FIRST 5, GOLDEN VALLEY HEALTH CENTERS, HEALTHY HOUSE, LENAE'S LACTATION, LIVINGSTON COMMUNITY HEALTH, UNITED WAY. BIRTH INDICATORS: ALL DADS MATTER BOOTCAMP FOR NEW DADS, ALL MOMS MATTER BOOTCAMP FOR NEW MOMS, ALPHA PREGNANCY HELP CENTER, BREASTFEEDING CAF SUPPORT GROUP, BREASTFEEDING WARM LINE, CASTLE FAMILY HEALTH CENTERS, CDC MILESTONE CHECKLIST, CHALLENGED FAMILY RESOURCE CENTER, COMMUNITY HEALTH CENTERS OF AMERICA, FIRST 5, GOLDEN VALLEY HEALTH CENTERS, HEAD START MERCED, LENAE'S LACTATION, LIVINGSTON COMMUNITY HEALTH, MERCED BREASTFEEDING NETWORK, MERCED COUNTY ALCOHOL AND DRUG SERVICES PERINATAL PROGRAM, MERCED COUNTY FAMILY HEALTH SERVICES, NURSING NOOK. CHRONIC DISEASES: ACE OVERCOMERS, ADVERSE CHILD EXPERIENCES INFORMED NETWORK OF CARE, CALIFORNIA HEALTH COLLABORATIVE, CASTLE FAMILY HEALTH CENTERS, CHALLENGED FAMILY RESOURCE CENTER, COMMUNITY HEALTH CENTERS OF AMERICA, CULTIVA LA SALUD, EVERY WOMAN COUNTS, GOLDEN VALLEY HEALTH CENTERS, LIVINGSTON COMMUNITY HEALTH, MERCED COUNTY AREA AGENCY ON AGING. OVERWEIGHT AND OBESITY: BOYS AND GIRLS CLUB, CALIFORNIA HEALTH COLLABORATIVE, CASTLE FAMILY HEALTH CENTERS, COMMUNITY HEALTH CENTERS OF AMERICA, COUNTY NUTRITION ACTION PLAN, COUNTY NUTRITION ACTION PLAN COALITION, CULTIVA LA SALUD, GOLDEN VALLEY HEALTH CENTERS, LIVINGSTON COMMUNITY HEALTH, MERCED COUNTY DEPARTMENT OF PUBLIC HEALTH.MERCY HOSPITAL BAKERSFIELD:SECONDARY DATA WERE COLLECTED FROM LOCAL, COUNTY, AND STATE SOURCES TO PRESENT COMMUNITY DEMOGRAPHICS, SOCIAL DETERMINANTS OF HEALTH, HEALTH CARE ACCESS, BIRTH CHARACTERISTICS, LEADING CAUSES OF DEATH, ACUTE AND CHRONIC DISEASE, HEALTH BEHAVIORS, MENTAL HEALTH, SUBSTANCE USE, AND PREVENTIVE PRACTICES. WHERE AVAILABLE, THESE DATA ARE PRESENTED IN THE CONTEXT OF KERN COUNTY AND CALIFORNIA, FRAMING THE SCOPE OF AN ISSUE AS IT RELATES TO THE BROADER COMMUNITY. MERCY HOSPITALS CONDUCTED INTERVIEWS WITH COMMUNITY STAKEHOLDERS TO OBTAIN INPUT ON HEALTH NEEDS, BARRIERS TO CARE AND RESOURCES AVAILABLE TO ADDRESS THE IDENTIFIED HEALTH NEEDS. TWENTY-ONE (21) INTERVIEWS WERE COMPLETED DURING OCTOBER 2024. COMMUNITY STAKEHOLDERS IDENTIFIED BY THE HOSPITALS WERE CONTACTED AND ASKED TO PARTICIPATE IN THE INTERVIEWS. INTERVIEW PARTICIPANTS INCLUDED A BROAD RANGE OF STAKEHOLDERS CONCERNED WITH HEALTH AND WELLBEING IN KERN COUNTY WHO SPOKE ABOUT ISSUES AND NEEDS IN THE COMMUNITIES. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND REPRESENTATIVES OF ORGANIZATIONS SERVING MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, OR LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES. THE SPECIFIC ORGANIZATIONAL AFFILIATIONS CONSULTED INCLUDE, BUT ARE NOT LIMITED TO:KERN COUNTY PUBLIC HEALTH DEPARTMENT AND RELATED PROGRAMSCOMMUNITY ACTION PARTNERSHIP OF KERNKERN COUNTY NETWORK FOR CHILDRENKERN COUNTY MENTAL HEALTH AND BEHAVIORAL HEALTH SERVICESKERN COUNTY HOMELESS COLLABORATIVE AND RELATED HOMELESS SERVICE AGENCIESFIRST 5 KERN (EARLY CHILDHOOD DEVELOPMENT)LOCAL CLINICS, HOSPITALS, AND COMMUNITY HEALTH CENTERSCOMMUNITY-BASED ORGANIZATIONS ADDRESSING SOCIAL DETERMINANTS LIKE HOUSING, FOOD SECURITY, AND VIOLENCE PREVENTIONA 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, AND IN A PAPER COPY FORMAT. THE ELECTRONIC AND PAPER SURVEYS WERE AVAILABLE IN ENGLISH AND SPANISH. THE SURVEYS WERE AVAILABLE FROM SEPTEMBER 2 TO NOVEMBER 18, 2024. DURING THIS TIME, 125 USABLE SURVEYS WERE COLLECTED. FACILITY REPORTING GROUP A PART V, SECTION B, LINE 6A: MERCY SAN JUAN MEDICAL CENTER, MERCY HOSPITAL OF FOLSOM, MERCY GENERAL HOSPITAL, AND METHODIST HOSPITAL OF SACRAMENTO, UC DAVIS MEDICAL CENTER, SUTTER MEDICAL CENTER SACRAMENTO, SUTTER CENTER FOR PSYCHIATRYST BERNARDINE MEDICAL CENTER:COMMUNITY HOSPITAL OF SAN BERNARDINODOMINICAN HOSPITAL:SUTTER MATERNITY & SURGERY CENTERMERCY MEDICAL CENTER MERCED:VALLEY CHILDREN'S HOSPITALMERCY HOSPITAL BAKERSFIELD:BAKERSFIELD MEMORIAL HOSPITAL, KERN MEDICAL, ADVENTIST HEALTH (BAKERSFIELD, DELANO AND TEHACHAPI VALLEY), VALLEY CHILDREN'S HEALTHCARE AND KAISER PERMANENTE FACILITY REPORTING GROUP A PART V, SECTION B, LINE 7D: MERCY SAN JUAN MEDICAL CENTER, MERCY GENERAL HOSPITAL, MERCY HOSPITAL OF FOLSOM, ST. BERNARDINE MEDICAL CENTER, DOMINICAN HOSPITAL:THE CHNA REPORT WAS SHARED WITH ORGANIZATIONS APPLYING FOR THE COMMUNITY HEALTH IMPROVEMENT GRANT PROGRAM.MERCY MEDICAL CENTER MERCED:THE CHNA REPORT IS ALSO MADE AVAILABLE UPON REQUEST IN ELECTRONIC AND HARDCOPY FORMATS. THE CHNA REPORT WAS ALSO SHARED WITH ORGANIZATIONS APPLYING FOR THE COMMUNITY HEALTH IMPROVEMENT GRANT PROGRAM.MERCY HOSPITAL BAKERSFIELD:THE CHNA IS ALSO PROVIDED TO THE COMMUNITY BENEFIT COMMITTEE MEMBERS AS WELL AS TO ORGANIZATIONS THAT ARE INVITED TO SUBMIT PROJECT PROPOSALS FOR THE COMMUNITY HEALTH IMPROVEMENT GRANT PROGRAM. FACILITY REPORTING GROUP A PART V, SECTION B, LINE 11: MERCY HOSPITAL OF FOLSOM, MERCY SAN JUAN MEDICAL CENTER, MERCY GENERAL HOSPITAL: THE SACRAMENTO COUNTY 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. THE SACRAMENTO COUNTY HOSPITALS 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: THE SACRAMENTO COUNTY HOSPITALS 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 $57,000 TO SUPPORT 84 UNHOUSED PATIENTS, DIRECTLY ADDRESSING PRIORITY NEEDS IDENTIFIED IN ITS 2025 CHNA.HOUSING WITH DIGNITY: IN 2025, THE SACRAMENTO COUNTY HOSPITALS PARTNERED WITH LUTHERAN SOCIAL SERVICES AND CENTENE, INVESTING $266,000 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 LS 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 AND COMMUNITY HEALTHWORKS. IN 2025, THE SACRAMENTO COUNTY HOSPITALS JOINTLY INVESTED $563,533 TO IMPROVE ACCESS TO CARE AND RESOURCES FOR 4,371 EMERGENCY DEPARTMENT PATIENTS IDENTIFIED WITH UNMET SOCIAL NEEDS. 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 MERCY HOSPITAL OF FOLSOM, MERCY SAN JUAN MEDICAL CENTER, AND MERCY GENERAL 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.ST BERNARDINE MEDICAL CENTER:ST. BERNARDINE MEDICAL CENTER (SBMC) WILL ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THROUGH DEDICATED PROGRAMS AND INITIATIVES MADE AVAILABLE TO PATIENTS AND THE LOCAL COMMUNITY. ACCESS TO HEALTH CARE, HOUSING & HOMELESSNESS, MENTAL HEALTH, SUBSTANCE USE & MISUSE, FOOD INSECURITY, OVERWEIGHT & OBESITY, PREVENTIVE PRACTICES, SEXUALLY TRANSMITTED INFECTIONS, AND BIRTH INDICATORS WILL BE PRIORITIZED. THE FOLLOWING STRATEGIES AND PROGRAMS WILL BE USED AS VEHICLES TO BEST MEET THE ABOVE NEEDS PRESENT WITHIN THE SERVICE AREA. THE FAMILY FOCUS CENTER WILL PRESENT HEALTH CARE TOPICS AND LOCAL RESOURCES FOR AT-RISK YOUTH AND YOUNG ADULTS TO ADDRESS THE BASIC NEED FOR HEALTH AND SAFETY VITAL CONDITIONS. THE FAMILY FOCUS CENTER SERVES 100+ YOUTH AND YOUNG ADULTS DAILY AND PROVIDES EDUCATIONAL ASSISTANCE, RECREATIONAL/SOCIAL OPPORTUNITIES, AND ASSISTANCE WITH ACCESS TO CARE, EMPLOYMENT, AND FOOD. THE BABY AND FAMILY CENTER WILL PRESENT HEALTH CARE TOPICS AND LOCAL RESOURCES FOR NEW/EXPECTANT MOTHERS AND FAMILIES INCLUDING CHILDBIRTH PREPARATION AND LACTATION SUPPORT MEETING THE LIFELONG LEARNING VITAL CONDITION. THE BABY AND FAMILY CENTER REACHES HUNDREDS OF EXPECTANT MOTHERS AND THEIR SUPPORT PARTNER ANNUALLY AND ENCOURAGES TIMELY PRENATAL AND POSTPARTUM CARE FOR MOTHER AND BABY.COMMUNITY HEALTH EDUCATION WILL ADDRESS A VARIETY OF ACCESS TO HEALTH CARE TOPICS, IDENTIFY LOCAL RESOURCES FOR PRIMARY AND PREVENTIVE CARE AND ASSIST PATIENTS AND RESIDENTS AS THEY NAVIGATE THE HEALTH CARE SYSTEM. EMPHASIS WILL BE PLACED ON CHRONIC DISEASE PREVENTION AND MANAGEMENT AND ACCESS TO CARE FOR THOSE NEEDING ASSISTANCE WITH HEALTH INSURANCE ENROLLMENT AND MEDICAL HOME IDENTIFICATION. THE COMMUNITY HEALTH IMPROVEMENT GRANTS OFFER FINANCIAL INVESTMENT TO NONPROFIT COMMUNITY ORGANIZATIONS THAT ADDRESS AT LEAST ONE OR MORE OF THE MOST RECENT SIGNIFICANT HEALTH NEEDS. IN FY 26, OVER $420,000 WAS AWARDED TO SIX NONPROFIT AGENCIES FOCUSED ON ACCESS TO CARE, MENTAL HEALTH/BEHAVIORAL HEALTH, FOOD INSECURITY, YOUTH AND YOUNG ADULT PROGRAMMING, VETERAN SERVICES, SENIOR CITIZEN PROGRAMS AND VIOLENCE PREVENTION EFFORTS. THE COMMUNITY HEALTH NAVIGATOR PROGRAM WILL ASSIST FREQUENT USERS OF THE EMERGENCY DEPARTMENT TO FIND A MEDICAL HOME AND PROVIDES CONNECTIONS TO SOCIAL SERVICE AGENCIES. OVER ONE THOUSAND PATIENTS AND COMMUNITY RESIDENTS WILL BE ASSISTED AND PROVIDED RESOURCES FOR BETTER HEALTH MANAGEMENT. THE TRANSITIONAL CARE CLINIC WILL ASSIST PERSONS IN IDENTIFYING AND SECURING A MEDICAL HOME AND CONNECT INDIVIDUALS TO LOCAL SOCIAL SERVICES. DISCHARGED PATIENTS FROM ST. BERNARDINE MEDICAL CENTER AND/OR COMMUNITY HOSPITAL CAN VISIT THE TRANSITIONAL CARE CLINIC THREE TIMES TO RECEIVE TIMELY MEDICAL CARE. THE SUBSTANCE ABUSE NAVIGATOR WILL SERVE THE EMERGENCY DEPARTMENT AS A PRIMARY ACCESS POINT FOR THE TREATMENT OF SUBSTANCE USE DISORDERS AND CO-OCCURRING MENTAL HEALTH CONDITIONS. TRAINED NAVIGATORS WILL IDENTIFY PATIENTS WHO WOULD BENEFIT FROM INITIATING MEDICATION FOR ADDICTION TREATMENT (MAT) OR MENTAL HEALTH SERVICES.THE EMERGENCY DEPARTMENT SYPHILIS/ HIV/HCV PROGRAM WILL PROVIDE INPATIENT AND COMMUNITY EDUCATION ON SEXUALLY TRANSMITTED INFECTION PREVENTION AND MANAGEMENT (E.G. SYPHILIS, HIV, HEP C). THE REPLATE PROGRAM REDIRECTS SURPLUS HOSPITAL FOOD TO LOCAL COMMUNITIES IN NEED. THE SBMC SUPPORT GROUPS (BARIATRIC, BREAST CANCER & BEREAVEMENT) ASSIST PERSONS WITH CHRONIC DISEASES AND/OR GRIEF TO IMPROVE THEIR EMOTIONAL WELL-BEING THROUGH MUTUAL SUPPORT, COPING STRATEGIES, AND PSYCHOEDUCATION.THE EYE CLINIC PROVIDES COMMUNITY EDUCATION ON A VARIETY OF PREVENTIVE CARE TOPICS RELATED TO EYE HEALTH. SBMC WILL PROVIDE SEASONAL VACCINES TO THE LOCAL COMMUNITY. IN FY26, 402 PATIENTS HAVE RECEIVED VISION SCREENINGS AND 194 PAIRS OF GLASSES HAVE BEEN DISTRIBUTED AT NO COST. SBMC'S VIOLENCE AND HUMAN TRAFFICKING PREVENTION AND RESPONSE TASKFORCE WILL ENSURE THAT TRAFFICKED PERSONS ARE IDENTIFIED IN HEALTH CARE SETTINGS AND ASSISTED WITH TRAUMA-INFORMED PATIENT CARE AND SERVICES. ST. BERNARDINE STAFF AND LEADERS ARE EDUCATED TO RECOGNIZE THE SIGNS OF A PERSON BEING TRAFFICKED AND ARE EQUIPPED WITH LOCAL RESOURCES TO PROVIDE TO VICTIMS. TAKING EXISTING HOSPITAL AND COMMUNITY RESOURCES INTO CONSIDERATION, ST. BERNARDINE MEDICAL CENTER WILL NOT DIRECTLY ADDRESS ENVIRONMENTAL HEALTH IN THE 2025 COMMUNITY HEALTH IMPLEMENTATION STRATEGY. KNOWING THAT THERE ARE NOT SUFFICIENT RESOURCES TO ADDRESS ALL THE COMMUNITY HEALTH NEEDS, ST. BERNARDINE MEDICAL CENTER HAS CHOSEN TO CONCENTRATE ON THOSE HEALTH NEEDS THAT CAN MOST EFFECTIVELY BE ADDRESSED GIVEN THE ORGANIZATION'S AREAS OF FOCUS AND EXPERTISE. ENVIRONMENTAL FACTORS, INCLUDING AIR QUALITY, WATER SAFETY, AND EXPOSURE TO POLLUTANTS, SIGNIFICANTLY INFLUENCE COMMUNITY WELL-BEING. ADDRESSING THESE ISSUES REQUIRES POLICY-LEVEL INTERVENTIONS AND ENVIRONMENTAL MANAGEMENT EFFORTS THAT EXTEND BEYOND THE HOSPITAL'S CORE MISSION AND CAPACITY.***SEE PART V, SECTION B, LINE 11 CONTINUATION AFTER PART V, SECTION B, LINE 10A*** 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 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.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 21: DE CRAIG RANCH LLC DBA DIGNITY HEALTH-ST ROSE, - FACILITY 23: DE BLUE DIAMOND LLC DBA DIGNITY HEALTH-ST ROS, - FACILITY 24: DE SAHARA LLC DBA DIGNITY HEALTH-ST ROSE DOMI, - FACILITY 25: DE FLAMINGO LLC DBA DIGNITY HEALTH-ST ROSE DO FACILITY REPORTING GROUP B PART V, SECTION B, LINE 5: FOR THE HOSPITALS' 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. FACILITY REPORTING GROUP B PART V, SECTION B, LINE 6A: DIGNITY HEALTH ST. ROSE DOMINICAN NEIGHBORHOOD HOSPITALS (BLUE DIAMOND, NORTH DURANGO (FORMERLY CENTENNIAL), WEST FLAMINGO, SAHARA, NORTH LAS VEGAS), DIGNITY HEALTH ST. ROSE DOMINICAN SIENA CAMPUS, SAN MARTIN CAMPUS & ROSE DE LIMA CAMPUS, DIGNITY HEALTH ST. ROSE DOMINICAN REHABILITATION HOSPITAL, INTERMOUNTAIN HEALTH FACILITY REPORTING GROUP B PART V, SECTION B, LINE 6B: SOUTHERN NEVADA HEALTH DISTRICT AND INTERMOUNTAIN HEALTH FACILITY REPORTING GROUP B 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. FACILITY REPORTING GROUP B PART V, SECTION B, LINE 11: THE HOSPITALS ARE TAKING SEVERAL ACTIONS AND DEDICATING RESOURCES TO HELP ADDRESS SIGNIFICANT NEEDS, INCLUDING:1. ACCESS TO CARE: A) NEVADA HEALTH LINK & MEDICAID ENROLLMENT: 12,052 COUNSELING SESSIONS, 1,758 ENROLLED IN NHL & 287 MEDICAIDB) MEDICARE ASSISTANCE PROGRAM: 5,172 MEDICARE BENEFICIARY COUNSELING SESSIONS. $1,919,508 IN PHARMACY SAVINGSC) HELPING HANDS PROGRAM: 8,282 ROUND-TRIP RIDES TO DOCTOR, PHARMACYD) ENGELSTAD FOUNDATION RED ROSE PROGRAM NAVIGATION: 608 MAMMOGRAMS, 300 ULTRASOUNDS, 65 BIOPSIES, RESULTING IN 29 CANCER DIAGNOSIS AND 22 SURGICAL TREATMENTE) PATHWAYS COMMUNITY HUB: 340 PARTICIPANTS, 1909 VISITS WITH A CHW OPENING 4,988 PATHWAYS AND CLOSING 3,642 PATHWAYSF) HIV CASE MANAGEMENT: 357 CLIENTS RECEIVED MEDICAL CASE MANAGEMENT G) GME FAMILY & INTERNAL MEDICINE RESIDENT CLINICSH) PATIENT FINANCIAL ASSISTANCEI) 2025 COMMUNITY HEALTH IMPROVEMENT GRANTEES: CARE CHEST FREE DME 2. CHRONIC DISEASE: A) DIABETES LIFESTYLE CENTER: 390 INDIVIDUALS RECEIVED DIABETES EDUCATION RESULTING IN AN A1C REDUCTION FROM 8.0% TO 6.6%B) HIV PROGRAM: 713 CLIENTS WITH HIV SERVED C) INNOVATIVE HEART HEALTH: 98 PARTICIPANTSD) COGNITIVE STIMULATION THERAPY: 47 PARTICIPANTS WITH DEMENTIA, 77% IMPROVED COGNITION, 78% DECREASED DEPRESSION, 84% IMPROVED QUALITY OF LIFEE) CAREGIVERS: 20 WORKSHOPS IN ENGLISH & SPANISH WITH 200 PARTICIPANTS. 94 SUPPORT GROUP MEETINGS WITH 347 ATTENDEESF) CHRONIC DISEASE SELF MANAGEMENT PROGRAMS: 29 CDSME WORKSHOPS IN ENGLISH & SPANISH WITH 283 PARTICIPANTSG) BREAST CANCER - RED ROSE: 608 MAMMOGRAMS, 300 ULTRASOUNDS, 65 BIOPSIES, RESULTING IN 29 CANCER DIAGNOSIS AND 22 SURGICAL TREATMENTH) PATHWAYS COMMUNITY HUB: 340 PARTICIPANTS, 1909 VISITS WITH A CHW OPENING 4,988 PATHWAYS AND CLOSING 3,642 PATHWAYSI) MENTAL & BEHAVIORAL HEALTH: 62 SENIOR PEER COUNSELING CLIENTS, PERINATAL MENTAL HEALTH DISORDERS 190 CLIENT NAVIGATIONJ) CHRONIC DISEASE PREVENTION PROGRAMSI. FREE FITNESS PROGRAM: 2700 CLASSES AT 7 CENTERS WITH 28,387 ATTENDEESII. FALL PREVENTION: PROVIDE TAI JI QUAN MOVEMENT FOR BETTER BALANCE 347 AND STEPPING ON FALL PREVENTION 107 3. SOCIAL DETERMINANTS OF HEALTH A) TRANSPORTATION: I. HELPING HANDS OF HENDERSON, 8,282 ROUND-TRIP RIDES TO DOCTOR, PHARMACYII. PATHWAYS COMMUNITY HUBIII. ROUNDTRIP RIDESIV. RED ROSE FINANCIAL ASSISTANCE GAS CARDS $15,370V. BUS PASSES: ASSISTED 2,123 INDIVIDUALS WITH 24-HOUR BUS PASSESVI. 2025 COMMUNITY HEALTH IMPROVEMENT GRANTEE: LEND A HAND OF BOULDER CITYB) FOOD SECURITY: I. WIC: 5,477 WOMEN, INFANTS & CHILDREN (WIC) CLIENTS RECEIVED EBT CARDS, NUTRITION EDUCATION AND BREASTFEEDING SUPPORTII. GOLDEN GROCERY PROVIDED HOMEBOUND SENIORS WITH 3,371 FREE GROCERY DELIVERIESIII. FRUIT & VEGETABLE RX PROGRAM: DELIVERED 1,740 FRESH FRUIT & VEGETABLE BOXES TO FOOD INSURE CLIENTS WITH CHRONIC DISEASEIV. HIV FOOD PANTRY SERVED 307 CLIENTS WITH 1,560 FOOD BAGS, 554 SMITH'S GROCERY VOUCHERS, 8,078 PREPARED MEALS, 660 CASES OF NUTRITION SUPPLEMENTSV. RED ROSE FINANCIAL ASSISTANCE GROCERY CARDS $52,464VI. 2025 COMMUNITY HEALTH IMPROVEMENT GRANTEES: BROOKE'S GOOD DEEDS MOAPA FOOD PANTRY, DESERT SPRING COMMUNITY FOOD PANTRY, SERVING OUR KIDS FOOD ASSISTANCEC) HOUSING: I. EMERGENCY HOUSING PROJECT: LAUNCHED JULY 1, 2025II. RED ROSE FINANCIAL ASSISTANCE RENT/HOUSING/UTILITIES ASSISTANCE 69 CLIENTS $120,103 RENT, $35,697 UTILITIESIII. 2025 COMMUNITY HEALTH IMPROVEMENT GRANTEES: CATHOLIC CHARITIES, LIVING GRACE HOMES, HELP OF SOUTHERN NEVADA 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 20C: THE HOSPITALS PROCESS COMPLETE FINANCIAL ASSISTANCE APPLICATIONS. FOR INCOMPLETE APPLICATIONS, THE HOSPITALS REACH OUT TO PATIENTS BY PHONE AND LETTER IN AN EFFORT TO OBTAIN MISSING INFORMATION IN ORDER TO MAKE A DETERMINATION OF ELIGIBILITY. FACILITY REPORTING GROUP B PART V, SECTION B, LINE 20D: THE HOSPITALS DO NOT HAVE A PRESUMPTIVE ELIGIBILITY PROCESS IN PLACE. PART V, SECTION B FACILITY REPORTING GROUP C FACILITY REPORTING GROUP C CONSISTS OF: - FACILITY 1: ST JOSEPH'S HOSPITAL AND MEDICAL CENTER, - FACILITY 13: MERCY GILBERT MEDICAL CENTER, - FACILITY 19: ST JOSEPH'S WESTGATE MEDICAL CENTER FACILITY REPORTING GROUP C PART V, SECTION B, LINE 5: ST JOSEPH'S HOSPITAL AND MEDICAL CENTER, ST JOSEPH'S WESTGATE MEDICAL CENTER: FOR THE 2025 (TY 2024) CHNA, HEALTH NEEDS WERE IDENTIFIED THROUGH THE COMBINED ANALYSIS OF PRIMARY AND SECONDARY DATA WITH TWO ROUNDS OF COMMUNITY INPUT. PRIMARY DATA SOURCES INCLUDE COMMUNITY SURVEYS, FOCUS GROUPS, AND KEY INFORMANT INTERVIEWS. THE HOSPITAL PARTNERED WITH MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH TO RECRUIT MEMBERS OF DIVERSE COMMUNITIES TO TAKE THE SURVEYS AND PARTICIPATE IN THE FOCUS GROUPS AND INTERVIEWS. IN BOTH ROUNDS OF DATA COLLECTION, FOCUS GROUPS AND INTERVIEWS INCLUDED REPRESENTATIVES OF MINORITY AND UNDERSERVED POPULATIONS WHO IDENTIFIED COMMUNITY CONCERNS AND ASSETS. A TOTAL OF 46 FOCUS GROUPS WERE HELD, 24 KEY INFORMANT INTERVIEWS CONDUCTED, AND OVER 18,000 COMMUNITY SURVEYS WERE COMPLETED THROUGHOUT THE PROCESS. FINALLY, A SERIES OF MEETINGS WERE HELD WITH KEY STAKEHOLDERS FROM THE HOSPITALS' PRIMARY SERVICE AREA. MEMBERS OF THE COMMUNITY BENEFIT COMMITTEE AND THE HEALTH EQUITY ALLIANCE PROVIDED INPUT ON THE SELECTION OF DATA INDICATORS, PROVIDED FEEDBACK ON DATA COLLECTED, AND AIDED IN THE SELECTION OF FINAL PRIORITIES. MEMBERSHIP OF THE COMMITTEES AND COLLABORATIONS INTENTIONALLY REPRESENT VULNERABLE AND DISENFRANCHISED POPULATIONS INCLUDING THE HOMELESS, UNINSURED/UNDERINSURED, MEDICAID, MEDICARE, IMMIGRANT, DISABLED, MENTALLY ILL, AND ELDERLY. THE MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH CONTRIBUTED INPUT AS PART OF ITS WORK TO PRODUCE THE CHNA REPORT WITH THE HOSPITALS.THE ORGANIZATIONS AND AFFILIATIONS EXPLICITLY CONSULTED INCLUDED, BUT WERE NOT LIMITED TO:MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTHSYNAPSE COALITION OF NON-PROFIT AND FEDERALLY QUALIFIED HEALTH CARE PROVIDERSCOMMUNITY BENEFIT AND HEALTH EQUITY COMMITTEE (CBHEC)HEALTH EQUITY ALLIANCE (HEA)LOCAL HOSPITALS, CLINICS, AND HEALTH SYSTEMSNON-PROFIT ORGANIZATIONS SUCH AS COMMUNITY CENTERS, HOUSING AGENCIES, AND SOCIAL SERVICE PROVIDERSMERCY GILBERT MEDICAL CENTER:MERCY GILBERT MEDICAL CENTER (MGMC) 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. SPECIFIC METHODS FOR GATHERING COMMUNITY INPUT INCLUDED: PRIMARY DATA COLLECTION: MGMC UTILIZED SEVERAL PRIMARY DATA SOURCES TO DIRECTLY CAPTURE COMMUNITY PERSPECTIVES. COMMUNITY SURVEY: A 2023 COMMUNITY SURVEY WAS CONDUCTED, GATHERING BROAD INPUT FROM RESIDENTS ON HEALTH ISSUES IMPACTING THEM AND THEIR HOUSEHOLDS. 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. KEY INFORMANT INTERVIEWS: INTERVIEWS WERE CONDUCTED WITH KEY INDIVIDUALS WHO POSSESS SPECIALIZED KNOWLEDGE OF THE COMMUNITY AND ITS HEALTH LANDSCAPE. CHNA PRIORITIZATION WORKSHOPS: A CRUCIAL STAGE, MGMC 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. APPLICATION OF AN EQUITY LENS: THROUGHOUT THE ENTIRE ASSESSMENT PROCESS, MGMC 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 MGMC'S 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, MGMC 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: ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER, ST. JOSEPH'S WESTGATE, MERCY GILBERT MEDICAL CENTER, ADELANTE HEALTHCARE, BANNER HEALTH HOSPITAL SYSTEM, CHANDLER REGIONAL MEDICAL CENTER, ARIZONA GENERAL HOSPITAL MESA AND LAVEEN, NATIVE HEALTH, MAYO CLINIC HOSPITAL, PHOENIX CHILDREN'S HOSPITAL, ARIZONA SPECIALTY HOSPITAL (FKA OASIS AND AOSH HOSPITALS), ARIZONA SPINE AND JOINT HOSPITAL, DIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL, VALLEYWISE. FACILITY REPORTING GROUP C PART V, SECTION B, LINE 6B: MARICOPA COUNTY, MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH, ADELANTE HEALTHCARE, CIRCLE THE CITY, NATIVE HEALTH, NEIGHBORHOOD OUTREACH ACCESS TO HEALTH, AND VITALYST HEALTH FOUNDATION. FACILITY REPORTING GROUP C PART V, SECTION B, LINE 7D: ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER, ST. JOSEPH'S WESTGATE MEDICAL CENTER:THE CHNA REPORT WAS ALSO SHARED WITH ORGANIZATIONS APPLYING FOR THE COMMUNITY HEALTH IMPROVEMENT GRANT PROGRAM.MERCY GILBERT MEDICAL CENTER: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: ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER:THE HOSPITALS ARE ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ACCESS TO CARE, 2) CHRONIC CONDITIONS, 3) CANCER, 4) MENTAL HEALTH, 5) SOCIAL DETERMINANTS OF HEALTH AND 6) VIOLENCE AND INJURY PREVENTION.THE HOSPITALS ARE ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: 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 - ACTIVATE PROGRAM - ACUTE PATIENT NAVIGATION POST-DISCHARGE. - MOMOBILE - FULLY EQUIPPED VEHICLE FOR MATERNITY CARE, PROVIDING EARLY AND CONTINUOUS PRENATAL CARE TO WOMEN IN ARIZONA COMMUNITIES. - PATIENT FINANCIAL ASSISTANCE - FREE OR DISCOUNTED CARE FOR PATIENTS WHO ARE UNINSURED OR UNDERINSURED. FY25 PERSONS SERVED - 16,918 TOTAL EXPENSE - $42,663,791.CHRONIC CONDITIONS: DIABETES EMPOWERMENT EDUCATION PROGRAM (DEEP), HEALTHIER LIVING PROGRAMS, MUHAMMED ALI PARKINSON'S CENTER PROGRAMS, AND STROKE PREVENTION EDUCATION, ACTIVATE. - HEALTHIER LIVING - EVIDENCE-BASED PROGRAM COMPRISING 6 WORKSHOPS PROVIDES FREE COMMUNITY-BASED HEALTH EDUCATION TO ADDRESS PREVENTABLE AND/OR MANAGEABLE CHRONIC DISEASES. - DEEP - EVIDENCE-BASED PROGRAM COMPRISING 6 WORKSHOPS PROVIDES FREE COMMUNITY-BASED HEALTH EDUCATION TO ADDRESS DIABETES AND RELATED SYMPTOMS.CANCER: CANCER MEDICATION ASSISTANCE PROGRAM, CANCER RESOURCE NAVIGATOR, LIFESTYLE MANAGEMENT WORKSHOPS AND SUPPORT GROUPS. - RESOURCE NAVIGATOR - PARTNERSHIP WITH CANCER SUPPORT COMMUNITY ARIZONA TO HAVE A NAVIGATOR ONSITE AT THE HOSPITAL MULTIPLE DAYS A WEEK TO HELP LOW-INCOME AND VULNERABLE CANCER PATIENTS CONNECT TO COMMUNITY RESOURCES. - MEDICATION ASSISTANCE - PHARMACY STAFF WORK TO IDENTIFY AND PROVIDE FREE & DISCOUNTED COST MEDICATION FOR LOW-INCOME PATIENTS AND ASSISTANCE WITH APPLICATION PROCESSES.MENTAL HEALTH: MENTAL HEALTH FIRST AID, ANTI-STIGMA TRAINING, SUBSTANCE USE NAVIGATOR (SUN). - SUN - SPECIALIZED CARE COORDINATOR EMBEDDED IN THE HOSPITAL WHO BRIDGES THE GAP BETWEEN ACUTE SUBSTANCE USE DISORDER (SUD) CARE AND LONG-TERM TREATMENT. - MENTAL HEALTH FIRST AID - TRAINING THAT GIVES YOU THE SKILLS TO RECOGNIZE WHEN SOMEONE IS FACING MENTAL HEALTH OR SUBSTANCE USE CHALLENGES AND THE TOOLS TO HELP.SOCIAL DETERMINANTS OF HEALTH: COMMUNITY HEALTH WORKER PROGRAM, COMMUNITY HEALTH IMPROVEMENT GRANTS, LYFT TRANSPORTATION SERVICES. - COMMUNITY HEALTH WORKER PROGRAM - 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. ST. JOSEPH'S WESTGATE MEDICAL CENTER:IN CONJUNCTION WITH ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER, THE HOSPITAL IS ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ACCESS TO CARE, 2) CHRONIC CONDITIONS, AND 3) MENTAL HEALTH.THE HOSPITAL IS ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. SOME PROGRAMS INCLUDE: 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 - ACTIVATE PROGRAM - ACUTE PATIENT NAVIGATION POST-DISCHARGE. - MOMOBILE - FULLY EQUIPPED VEHICLE FOR MATERNITY CARE, PROVIDING EARLY AND CONTINUOUS PRENATAL CARE TO WOMEN IN ARIZONA COMMUNITIES. - PATIENT FINANCIAL ASSISTANCE - FREE OR DISCOUNTED CARE FOR PATIENTS WHO ARE UNINSURED OR UNDERINSURED. FY25 PERSONS SERVED - 16,918 TOTAL EXPENSE - $42,663,791.CHRONIC CONDITIONS: DIABETES EMPOWERMENT EDUCATION PROGRAM (DEEP), HEALTHIER LIVING PROGRAMS, MUHAMMED ALI PARKINSON'S CENTER PROGRAMS, AND STROKE PREVENTION EDUCATION, ACTIVATE. - HEALTHIER LIVING - EVIDENCE-BASED PROGRAM COMPRISING 6 WORKSHOPS PROVIDES FREE COMMUNITY-BASED HEALTH EDUCATION TO ADDRESS PREVENTABLE AND/OR MANAGEABLE CHRONIC DISEASES. - DEEP - EVIDENCE-BASED PROGRAM COMPRISING 6 WORKSHOPS PROVIDES FREE COMMUNITY-BASED HEALTH EDUCATION TO ADDRESS DIABETES AND RELATED SYMPTOMS.MENTAL HEALTH: MENTAL HEALTH FIRST AID, ANTI-STIGMA TRAINING, SUBSTANCE USE NAVIGATOR (SUN). - SUN - SPECIALIZED CARE COORDINATOR EMBEDDED IN THE HOSPITAL WHO BRIDGES THE GAP BETWEEN ACUTE SUBSTANCE USE DISORDER (SUD) CARE AND LONG-TERM TREATMENT. - MENTAL HEALTH FIRST AID - TRAINING THAT GIVES YOU THE SKILLS TO RECOGNIZE WHEN SOMEONE IS FACING MENTAL HEALTH OR SUBSTANCE USE CHALLENGES AND THE TOOLS TO HELP.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. FY25 ALLOCATION-$1,033,000. THE HOSPITAL HAS CHOSEN NOT TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS DUE TO LIMITED CAPACITY OF HOSPITAL STAFF, LIMITED CAPACITY OF AVAILABLE HOSPITAL SERVICES, AND LIMITED RESOURCES. 1) MATERNAL AND CHILD HEALTH 2) SUBSTANCE USE 3) CANCER 4) SOCIAL DETERMINANTS OF HEALTH 5) SUBSTANCE USE AND 6) VIOLENCE AND INJURY PREVENTION. WHILE THE HOSPITAL WILL NOT DIRECTLY ADDRESS THE NEEDS LISTED BELOW, IT WILL INDIRECTLY SUPPORT WORK BEING DONE IN THE COMMUNITY TO ADDRESS THESE NEEDS THROUGH STRATEGIC GRANT MAKING AND INVESTMENTS. THE HOSPITAL WILL ALSO SECURE AND MAINTAIN KEY PARTNERSHIPS WITH COMMUNITY-BASED ORGANIZATIONS THAT ARE ADDRESSING THOSE NEEDS.***SEE PART V, SECTION B, LINE 11 CONTINUATION AFTER PART V, SECTION B, LINE 10A*** 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 2: MARIAN REGIONAL MEDICAL CENTER, ARROYO GRANDE, - FACILITY 5: MERCY MEDICAL CENTER REDDING, - FACILITY 16: ST ELIZABETH COMMUNITY HOSPITAL FACILITY REPORTING GROUP D PART V, SECTION B, LINE 5: MARIAN REGIONAL MEDICAL CENTER, ARROYO GRANDE: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 MARIAN REGIONAL MEDICAL CENTER (MRMC) 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.MERCY MEDICAL CENTER REDDING:MERCY MEDICAL CENTER REDDING CONSULTED WITH GANEY SCIENCE TO CONDUCT THE CHNA USING A COMPILATION OF PRIMARY QUALITATIVE AND SECONDARY QUANTITATIVE DATA SOURCES. BROAD INTERESTS OF THE COMMUNITY WERE SOLICITED AND TAKEN INTO ACCOUNT THROUGH PRIMARY DATA SOURCES, INCLUDING 17 DIFFERENT FOCUS GROUPS AND KEY INFORMANT INTERVIEWS WITH HEALTH EXPERTS, SOCIAL SERVICE PROVIDERS, AND MEDICAL PERSONNEL. THE INFORMATION GATHERED IN THE FOCUS GROUPS AND KEY INFORMANT INTERVIEWS WAS CORROBORATED WITH SECONDARY QUANTITATIVE DATA OBTAINED FROM DATASETS MAINTAINED BY GOVERNMENTAL AND NONGOVERNMENTAL ORGANIZATIONS AT THE LOCAL, STATE, AND NATIONAL LEVELS. THIS MIXED-METHODS APPROACH ENABLED THE CROSS-REFERENCING OF DATA TO VALIDATE INFORMATION AND PROVIDE A BROADER PERSPECTIVE OF COMMUNITY HEALTH NEEDS. PARTICIPATING ORGANIZATIONS IN ADDITION TO THE HOSPITAL INCLUDED: SHASTA COUNTY PUBLIC HEALTH, TEHAMA COUNTY PUBLIC HEALTH, GOOD NEWS RESCUE MISSION, ARCH COLLABORATIVE, SHASTA FAMILY YMCA, SHASTA COUNTY OFFICE OF EDUCATION, UNITED WAY OF NORCAL, SHASTA COMMUNITY HEALTH CENTER, NATIVE ROOTS NETWORK, CONNECTED LIVING SENIORS, SHASTA COUNTY COMMUNITY ORGANIZERS, POOR AND THE HOMELESS TEHAMA COUNTY COALITION, FAMILY COUNSELING CENTER, AND EMPOWER TEHAMA.ST. ELIZABETH COMMUNITY HOSPITAL:ST. ELIZABETH COMMUNITY HOSPITAL CONSULTED WITH GANEY SCIENCE TO CONDUCT THE CHNA USING A COMPILATION OF PRIMARY QUALITATIVE AND SECONDARY QUANTITATIVE DATA SOURCES. BROAD INTERESTS OF THE COMMUNITY WERE SOLICITED AND TAKEN INTO ACCOUNT THROUGH PRIMARY DATA SOURCES, INCLUDING 10 DIFFERENT FOCUS GROUPS AND KEY INFORMANT INTERVIEWS WITH HEALTH EXPERTS, SOCIAL SERVICE PROVIDERS, AND MEDICAL PERSONNEL. THE INFORMATION GATHERED IN THE FOCUS GROUPS AND KEY INFORMANT INTERVIEWS WAS CORROBORATED WITH SECONDARY QUANTITATIVE DATA OBTAINED FROM DATASETS MAINTAINED BY GOVERNMENTAL AND NONGOVERNMENTAL ORGANIZATIONS AT THE LOCAL, STATE, AND NATIONAL LEVELS. THIS MIXED-METHODS APPROACH ENABLED THE CROSS-REFERENCING OF DATA TO VALIDATE INFORMATION AND PROVIDE A BROADER PERSPECTIVE OF COMMUNITY HEALTH NEEDS. PARTICIPATING ORGANIZATIONS IN ADDITION TO THE HOSPITAL INCLUDED: TEHAMA COUNTY PUBLIC HEALTH, CORNING HEALTHCARE DISTRICT, TEHAMA COUNTY DEPARTMENT OF EDUCATION, EMPOWER TEHAMA, POOR AND THE HOMELESS TEHAMA COUNTY COALITION, FAMILY COUNSELING CENTER, TEHAMA COUNTY ELDER SERVICE PROVIDERS. FACILITY REPORTING GROUP D PART V, SECTION B, LINE 7D: MARIAN REGIONAL MEDICAL CENTER, ARROYO GRANDETHE CHNA REPORT WAS SENT ELECTRONICALLY TO COMMUNITY PARTNERS, COMMUNITY BENEFIT COMMITTEE MEMBERS, AND HOSPITAL BOARD MEMBERS. THE CHNA REPORT WAS ALSO SHARED WITH ORGANIZATIONS APPLYING FOR THE COMMUNITY HEALTH IMPROVEMENT GRANT PROGRAM.MERCY MEDICAL CENTER REDDING, ST. ELIZABETH COMMUNITY HOSPITAL: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: MARIAN REGIONAL MEDICAL CENTER, ARROYO GRANDE:THE FOLLOWING SIGNIFICANT COMMUNITY HEALTH NEEDS WERE DETERMINED BY THE 2025 (TY 2024) CHNA REPORT: CULTURALLY SENSITIVE AND ACCEPTING HEALTHCARE TRUSTED BY THE COMMUNITY. - PROVIDE HEALTH CARE SERVICES THAT ACKNOWLEDGES THE PATIENT'S CULTURE AND TRADITIONS TO ENHANCE TRUST AMONG PROVIDER AND PATIENT. READILY AVAILABLE HEALTHCARE AND NAVIGATION ASSISTANCE IN THE PATIENTS' SPOKEN LANGUAGE. -PROVIDE INTERPRETATION SERVICES, FORMS AND LITERATURE IN THE PATIENTS' PREFERRED LANGUAGE. 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 OF BODY, MIND, AND SPIRIT. 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. 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. 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 TOLL MOST OF THE TIME AND INCREASE THE NUMBER OF STAFF THAT ARE CERTIFIED TO PROVIDE INTERPRET SERVICES BY 25%. 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. 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: MARIAN FAMILY MEDICINE RESIDENCY PROGRAM, SLO NOOR FREE MEDICAL AND DENTAL CLINICS, MRMC/AGCH CARE COORDINATION AND SOCIAL WORK DEPARTMENTS, MISSION HOPE CANCER CENTER, PACIFIC CENTRAL COAST HEALTH CENTERS, MRMC COMMUNITY HEALTH DEPARTMENT, HERENCIA INDGENA, SANTA MARIA VALLEY FIGHTING BACK, SANTA BARBARA COUNTY DRUG AND ALCOHOL, GOOD SAMARITAN SHELTER, TRANSITIONS MENTAL HEALTH, COMMUNITY COUNSELING CENTER, AND COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST.***SEE PART V, SECTION B, LINE 11 CONTINUATION AFTER PART V, SECTION B, LINE 10A*** 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 BEADJUSTED 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 E FACILITY REPORTING GROUP E CONSISTS OF: - FACILITY 6: ST ROSE DOMINICAN HOSPITAL-SIENA, - FACILITY 15: ST ROSE DOMINICAN HOSPITAL-SAN MARTIN, - FACILITY 20: ST ROSE DOMINICAN HOSPITAL-ROSE DE LIMA FACILITY REPORTING GROUP E PART V, SECTION B, LINE 5: FOR THE HOSPITALS' 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. FACILITY REPORTING GROUP E 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), INTERMOUNTAIN HEALTH FACILITY REPORTING GROUP E PART V, SECTION B, LINE 6B: SOUTHERN NEVADA HEALTH DISTRICT AND INTERMOUNTAIN HEALTH FACILITY REPORTING GROUP E 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. FACILITY REPORTING GROUP E PART V, SECTION B, LINE 11: THE HOSPITALS ARE TAKING SEVERAL ACTIONS AND DEDICATING RESOURCES TO HELP ADDRESS SIGNIFICANT NEEDS, INCLUDING:1. ACCESS TO CARE: A) NEVADA HEALTH LINK & MEDICAID ENROLLMENT: 12,052 COUNSELING SESSIONS, 1,758 ENROLLED IN NHL & 287 MEDICAIDB) MEDICARE ASSISTANCE PROGRAM: 5,172 MEDICARE BENEFICIARY COUNSELING SESSIONS. $1,919,508 IN PHARMACY SAVINGSC) HELPING HANDS PROGRAM: 8,282 ROUND-TRIP RIDES TO DOCTOR, PHARMACYD) ENGELSTAD FOUNDATION RED ROSE PROGRAM NAVIGATION: 608 MAMMOGRAMS, 300 ULTRASOUNDS, 65 BIOPSIES, RESULTING IN 29 CANCER DIAGNOSIS AND 22 SURGICAL TREATMENTE) PATHWAYS COMMUNITY HUB: 340 PARTICIPANTS, 1909 VISITS WITH A CHW OPENING 4,988 PATHWAYS AND CLOSING 3,642 PATHWAYSF) HIV CASE MANAGEMENT: 357 CLIENTS RECEIVED MEDICAL CASE MANAGEMENT G) GME FAMILY & INTERNAL MEDICINE RESIDENT CLINICSH) PATIENT FINANCIAL ASSISTANCEI) 2025 COMMUNITY HEALTH IMPROVEMENT GRANTEES: CARE CHEST FREE DME 2. CHRONIC DISEASE: A) DIABETES LIFESTYLE CENTER: 390 INDIVIDUALS RECEIVED DIABETES EDUCATION RESULTING IN AN A1C REDUCTION FROM 8.0% TO 6.6%B) HIV PROGRAM: 713 CLIENTS WITH HIV SERVED C) INNOVATIVE HEART HEALTH: 98 PARTICIPANTSD) COGNITIVE STIMULATION THERAPY: 47 PARTICIPANTS WITH DEMENTIA, 77% IMPROVED COGNITION, 78% DECREASED DEPRESSION, 84% IMPROVED QUALITY OF LIFEE) CAREGIVERS: 20 WORKSHOPS IN ENGLISH & SPANISH WITH 200 PARTICIPANTS. 94 SUPPORT GROUP MEETINGS WITH 347 ATTENDEESF) CHRONIC DISEASE SELF MANAGEMENT PROGRAMS: 29 CDSME WORKSHOPS IN ENGLISH & SPANISH WITH 283 PARTICIPANTSG) BREAST CANCER - RED ROSE: 608 MAMMOGRAMS, 300 ULTRASOUNDS, 65 BIOPSIES, RESULTING IN 29 CANCER DIAGNOSIS AND 22 SURGICAL TREATMENTH) PATHWAYS COMMUNITY HUB: 340 PARTICIPANTS, 1909 VISITS WITH A CHW OPENING 4,988 PATHWAYS AND CLOSING 3,642 PATHWAYSI) MENTAL & BEHAVIORAL HEALTH: 62 SENIOR PEER COUNSELING CLIENTS, PERINATAL MENTAL HEALTH DISORDERS 190 CLIENT NAVIGATIONJ) CHRONIC DISEASE PREVENTION PROGRAMSI. FREE FITNESS PROGRAM: 2700 CLASSES AT 7 CENTERS WITH 28,387 ATTENDEESII. FALL PREVENTION: PROVIDE TAI JI QUAN MOVEMENT FOR BETTER BALANCE 347 AND STEPPING ON FALL PREVENTION 107 3. SOCIAL DETERMINANTS OF HEALTH A) TRANSPORTATION: I. HELPING HANDS OF HENDERSON, 8,282 ROUND-TRIP RIDES TO DOCTOR, PHARMACYII. PATHWAYS COMMUNITY HUBIII. ROUNDTRIP RIDESIV. RED ROSE FINANCIAL ASSISTANCE GAS CARDS $15,370V. BUS PASSES: ASSISTED 2,123 INDIVIDUALS WITH 24-HOUR BUS PASSESVI. 2025 COMMUNITY HEALTH IMPROVEMENT GRANTEE: LEND A HAND OF BOULDER CITYB) FOOD SECURITY: I. WIC: 5,477 WOMEN, INFANTS & CHILDREN (WIC) CLIENTS RECEIVED EBT CARDS, NUTRITION EDUCATION AND BREASTFEEDING SUPPORTII. GOLDEN GROCERY PROVIDED HOMEBOUND SENIORS WITH 3,371 FREE GROCERY DELIVERIESIII. FRUIT & VEGETABLE RX PROGRAM: DELIVERED 1,740 FRESH FRUIT & VEGETABLE BOXES TO FOOD INSURE CLIENTS WITH CHRONIC DISEASEIV. HIV FOOD PANTRY SERVED 307 CLIENTS WITH 1,560 FOOD BAGS, 554 SMITH'S GROCERY VOUCHERS, 8,078 PREPARED MEALS, 660 CASES OF NUTRITION SUPPLEMENTSV. RED ROSE FINANCIAL ASSISTANCE GROCERY CARDS $52,464VI. 2025 COMMUNITY HEALTH IMPROVEMENT GRANTEES: BROOKE'S GOOD DEEDS MOAPA FOOD PANTRY, DESERT SPRING COMMUNITY FOOD PANTRY, SERVING OUR KIDS FOOD ASSISTANCEC) HOUSING: I. EMERGENCY HOUSING PROJECT: LAUNCHED JULY 1, 2025II. RED ROSE FINANCIAL ASSISTANCE RENT/HOUSING/UTILITIES ASSISTANCE 69 CLIENTS $120,103 RENT, $35,697 UTILITIESIII. 2025 COMMUNITY HEALTH IMPROVEMENT GRANTEES: CATHOLIC CHARITIES, LIVING GRACE HOMES, HELP OF SOUTHERN NEVADA FACILITY REPORTING GROUP E 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 F FACILITY REPORTING GROUP F CONSISTS OF: - FACILITY 9: ST JOHN'S REGIONAL MEDICAL CENTER, - FACILITY 17: ST JOHN'S HOSPITAL CAMARILLO FACILITY REPORTING GROUP F PART V, SECTION B, LINE 5: THE 2025 (TY 2024) CHNA IS THE THIRD COUNTY-WIDE CHNA CONDUCTED BY VENTURA COUNTY COMMUNITY HEALTH IMPROVEMENT COLLABORATIVE, A FORMAL, CHARTER-BOUND PARTNERSHIP OF TEN LOCAL HEALTH CARE ORGANIZATIONS. THIS CHNA IS A COLLECTIVE EFFORT OF HOSPITALS, THE HEALTH DISTRICT, BEHAVIORAL AND PUBLIC HEALTH DEPARTMENTS, COMMUNITY CLINICS AND THE MEDI-CAL MANAGED CARE PLANS COMMITTED TO BETTER UNDERSTANDING VENTURA COUNTY'S HEALTH AND SOCIAL NEEDS.THE VENTURA COUNTY COMMUNITY HEALTH IMPROVEMENT COLLABORATIVE (VCCHIC) CONDUCTED A COMMUNITY SURVEY TO ASSESS THE NEEDS AND PRIORITIES OF RESIDENTS IN VENTURA COUNTY. THE SURVEY WAS WIDELY DISTRIBUTED TO VCCHIC PARTNERS AND COMMUNITY-BASED ORGANIZATIONS. THE SURVEY INCLUDED 42 QUESTIONS ABOUT ATTITUDES AND EXPERIENCES RELATED TO HEALTH CARE, MENTAL HEALTH, SUBSTANCE ABUSE, HOUSING SERVICES, DISCRIMINATION, AND DEMOGRAPHICS. A TOTAL OF 6,681 SURVEYS WERE COLLECTED. THE SURVEY WAS MADE AVAILABLE IN ENGLISH, SPANISH, AND BOTH ONLINE AND ON PAPER. SURVEY RESPONDENTS GENERALLY REFLECTED THE RACIAL AND ETHNICITY DIVERSITY OF VENTURA COUNTY AND WERE GEOGRAPHICALLY DISTRIBUTED ACROSS VENTURA COUNTY. CONDUENT AND VCCHIC PARTNERS FACILITATED FOCUS GROUPS WITH COMMUNITY MEMBERS REPRESENTING COMMUNITIES WHO MAY BE AT HIGHER RISK FOR POOR OUTCOMES OR MAY OTHERWISE BE UNDERREPRESENTED IN OTHER DATA COLLECTION PROCESSES. FOCUS GROUPS WERE CONDUCTED WITH THE FOLLOWING POPULATIONS: 1) ADOLESCENTS AND YOUNG ADULTS; 2) BLACK AND AFRICAN AMERICAN POPULATIONS; 3) FARMWORKERS (SPANISH AND MIXTECO); 4) GOLD COAST HEALTH PLAN COMMUNITY ADVISORY COMMITTEE; 5) HISPANIC AND LATINO POPULATIONS; 6) LGBTQIA+ POPULATIONS; 7) OLDER ADULTS AND THEIR CAREGIVERS; 8) PERSONS WITH DISABILITIES AND THEIR CAREGIVERS; 9) UNHOUSED AND HOUSING INSECURE INDIVIDUALS; AND 10) VETERANS. FACILITY REPORTING GROUP F PART V, SECTION B, LINE 6A: ST JOHN'S REGIONAL MEDICAL CENTER, ST JOHN'S HOSPITAL CAMARILLO, HOSPITAL MEMBERS OF THE VENTURA COUNTY COMMUNITY HEALTH IMPROVEMENT COLLABORATIVE: ADVENTIST HEALTH SIMI VALLEY, COMMUNITY MEMORIAL HOSPITAL. FACILITY REPORTING GROUP F PART V, SECTION B, LINE 6B: CAMARILLO HEALTH CARE DISTRICT, CLINICAS DEL CAMINO REAL, INC., GOLD COAST HEALTH PLAN, KAISER FOUNDATION HEALTH PLAN, VENTURA COUNTY BEHAVIORAL HEALTH, VENTURA COUNTY HEALTH CARE AGENCY COMMUNITY HEALTH CARE, VENTURA COUNTY PUBLIC HEALTH FACILITY REPORTING GROUP F PART V, SECTION B, LINE 7D: THE PROGRAM MANAGER OF COMMUNITIES LIFTING COMMUNITIES (CLC) AND A VENTURA COUNTY PUBLIC HEALTH EPIDEMIOLOGIST HAVE DONE SEVERAL 2025 (TY 2024) CHNA PUBLIC PRESENTATIONS BEFORE GROUPS SUCH AS BIRTH EQUITY STAKEHOLDERS, THE WELLNESS SYSTEM, THE VENTURA COUNTY HOSPITALS REGIONAL CONVENING, PACIFICA HIGH STUDENTS AND STAFF AS WELL AS A VCPH LEADERSHIP PRESENTATION TO THE VENTURA COUNTY BOARD OF SUPERVISORS. THE CHNA REPORT WAS ALSO SHARED WITH ORGANIZATIONS APPLYING FOR THE COMMUNITY HEALTH IMPROVEMENT GRANT PROGRAM. FACILITY REPORTING GROUP F PART V, SECTION B, LINE 11: ST. JOHN'S REGIONAL AND CAMARILLO HOSPITALS:THE 2025 (TY2024) CHNA IDENTIFIED 19 HEALTH NEEDS. THE VENTURA COUNTY COMMUNITY HEALTH IMPROVEMENT COLLABORATIVE (VCCHIC) WILL ADDRESS THREE NEEDS: BEHAVIORAL HEALTH, OLDER ADULTS' HEALTH AND WOMEN'S HEALTH. ST. JOHN'S HOSPITALS WILL ADDRESS THESE THREE NEEDS, AS WELL AS ACCESS TO CARE, MEASURING IMPACT BY THE NUMBER OF PEOPLE SERVED.ACCESS TO CARE: PATIENT FINANCIAL ASSISTANCE PROGRAM, FREE MEDICAL CLINIC (WITH VITUITY CARES FOUNDATION), AND COMMUNITY HEALTH IMPROVEMENT GRANTS FOR ORGANIZATIONS LIKE THE WESTMINSTER FREE CLINIC, WHICH ADDRESSES THE UNMET HEALTH NEEDS OF LOW-INCOME, VULNERABLE POPULATIONS.BEHAVIORAL HEALTH: MENTAL HEALTH RESOURCES AT ST. JOHN'S REGIONAL CANCER CENTER, DIABETES SUPPORT GROUPS, AND COMMUNITY HEALTH IMPROVEMENT GRANTS (SUCH AS THOSE FOR THE RESCUE MISSION ALLIANCE AND THE BOYS AND GIRL'S CLUBS OF GREATER OXNARD AND PORT HUENEME), WHICH WILL DELIVER CULTURALLY RESPONSIVE THERAPY ON SITE.OLDER ADULTS' HEALTH: ARTHRITIS EXERCISE CLASSES, DIABETES EMPOWERMENT EDUCATION PROGRAM, HEALTHY HEART PROGRAM, HEALTH SCREENINGS, INDIVIDUAL NUTRITION COUNSELING, WALKING PROGRAM, DIABETES SUPPORT GROUPS, ST. JOHN'S FOOD PANTRY AND COMMUNITY HEALTH IMPROVEMENT GRANTS, SUCH AS THOSE FROM LIVINGSTON MEMORIAL VISITING NURSES ASSOCIATION, WHICH IS WORKING ON IMPROVING HEALTH AND CAREGIVER CAPACITY IN UNDERSERVED COMMUNITIES.WOMEN'S HEALTH: ST. JOHN'S REGIONAL CANCER CENTER NURSE NAVIGATION, NUTRITIONAL COUNSELING, ANNUAL BREAST CANCER SYMPOSIUM, ST. JOHN'S FOOD PANTRY, INDIVIDUAL HEALTH EDUCATION, CHRONIC DISEASE PROGRAMS, HEALTHY HEART PROGRAM, HEALTH SCREENINGS AND COOKING DEMONSTRATIONS.DUE TO EXISTING HOSPITAL AND COMMUNITY RESOURCES, ST. JOHN'S REGIONAL MEDICAL CENTER AND ST. JOHN'S HOSPITAL CAMARILLO WILL NOT DIRECTLY ADDRESS THESE HEALTH NEEDS IDENTIFIED IN THE CHNA: ADOLESCENT AND CHILDREN'S HEALTH; ECONOMY; EDUCATION; ENVIRONMENTAL HEALTH; INFECTIOUS DISEASE; PREVENTION AND SAFETY; RESPIRATORY DISEASE; SOCIO-POLITICAL ENVIRONMENT; AND SUBSTANCE USE. FACILITY REPORTING GROUP F 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.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 G FACILITY REPORTING GROUP G CONSISTS OF: - FACILITY 12: ST MARY MEDICAL CENTER-LONG BEACH, - FACILITY 18: MERCY MEDICAL CENTER MT SHASTA FACILITY REPORTING GROUP G PART V, SECTION B, LINE 5: ST. MARY MEDICAL CENTER - LONG BEACH:SECONDARY DATA WERE COLLECTED FROM LOCAL, COUNTY, AND STATE SOURCES TO PRESENT COMMUNITY DEMOGRAPHICS, SOCIAL DETERMINANTS OF HEALTH, HEALTH CARE ACCESS, BIRTH CHARACTERISTICS, LEADING CAUSES OF DEATH, ACUTE AND CHRONIC DISEASE, HEALTH BEHAVIORS, MENTAL HEALTH, SUBSTANCE USE, AND PREVENTIVE PRACTICES. WHERE AVAILABLE, THESE DATA ARE PRESENTED IN THE CONTEXT OF LOS ANGELES COUNTY AND CALIFORNIA, FRAMING THE SCOPE OF AN ISSUE AS IT RELATES TO THE BROADER COMMUNITY. THE REPORT INCLUDES BENCHMARK COMPARISON DATA, COMPARING COMMUNITY DATA FINDINGS WITH HEALTHY PEOPLE 2030 OBJECTIVES. ST. MARY MEDICAL CENTER CONDUCTED INTERVIEWS WITH COMMUNITY STAKEHOLDERS TO OBTAIN INPUT ON HEALTH NEEDS, BARRIERS TO CARE AND RESOURCES AVAILABLE TO ADDRESS THE IDENTIFIED HEALTH NEEDS. TWENTY-FIVE (25) INTERVIEWS WERE COMPLETED DURING NOVEMBER 2024 THROUGH FEBRUARY 2025. INTERVIEW PARTICIPANTS INCLUDED A BROAD RANGE OF STAKEHOLDERS CONCERNED WITH HEALTH AND WELLBEING IN THE SERVICE AREA WHO SPOKE ABOUT ISSUES AND NEEDS IN THE COMMUNITIES. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND REPRESENTATIVES OF ORGANIZATIONS SERVING MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, OR LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES. ADDITIONALLY, SIX (6) LISTENING SESSIONS WERE COMPLETED THAT ENGAGED 55 PEOPLE FROM FEBRUARY TO MARCH 2025. THE LISTENING SESSIONS PURSUED PROPORTIONAL REPRESENTATION ACROSS AGES, GENDERS, AND RACE AND ETHNICITY. THE HOSPITAL WORKED WITH GROUPS LIKE LONG BEACH FORWARD, BLACK HISTORY LONG BEACH, THE LGBTQ CENTER OF LONG BEACH, AND OTHERS TO HEAR FROM PEOPLE WHO ARE OFTEN UNDERSERVED, SUCH AS IMMIGRANTS, BLACK AND AFRICAN AMERICAN RESIDENTS, LGBTQ+ INDIVIDUALS, HOMELESS PEOPLE, VETERANS, AND THOSE WITH DISABILITIES. THE HOSPITAL ALSO WORKED WITH MANY ORGANIZATIONS AND AGENCIES, INCLUDING CITY HEALTH DEPARTMENTS, NONPROFITS LIKE MEALS ON WHEELS AND FAMILIES IN GOOD HEALTH, AND HEALTHCARE PROVIDERS LIKE TCC FAMILY HEALTH AND PACIFIC ASIAN COUNSELING SERVICES.MERCY MEDICAL CENTER MT. SHASTA:MERCY MEDICAL CENTER MT. SHASTA CONSULTED WITH GANEY SCIENCE TO CONDUCT THE CHNA USING A COMPILATION OF PRIMARY QUALITATIVE AND SECONDARY QUANTITATIVE DATA SOURCES. BROAD INTERESTS OF THE COMMUNITY WERE SOLICITED AND TAKEN INTO ACCOUNT THROUGH PRIMARY DATA SOURCES, INCLUDING 17 DIFFERENT FOCUS GROUPS AND KEY INFORMANT INTERVIEWS WITH HEALTH EXPERTS, SOCIAL SERVICE PROVIDERS, AND MEDICAL PERSONNEL. THE INFORMATION GATHERED IN THE FOCUS GROUPS AND KEY INFORMANT INTERVIEWS WAS CORROBORATED WITH SECONDARY QUANTITATIVE DATA OBTAINED FROM DATASETS MAINTAINED BY GOVERNMENTAL AND NONGOVERNMENTAL ORGANIZATIONS AT THE LOCAL, STATE, AND NATIONAL LEVELS. THIS MIXED-METHODS APPROACH ENABLED THE CROSS-REFERENCING OF DATA TO VALIDATE INFORMATION AND PROVIDE A BROADER PERSPECTIVE OF COMMUNITY HEALTH NEEDS. PARTICIPATING ORGANIZATIONS IN ADDITION TO THE HOSPITAL INCLUDED: SISKIYOU COUNTY PUBLIC HEALTH, FAIRCHILD MEDICAL CENTER EMERGENCY DEPARTMENT & SOCIAL WORK, FAIRCHILD MEDICAL CENTER VISITING NURSES, HEALTHY SISKIYOU TEAM, SISKIYOU COUNTY HEALTH AND HUMAN SERVICES, SISKIYOU COUNTY OFFICE OF EDUCATION COMMUNITY SCHOOL COORDINATORS, SISKIYOU DOMESTIC VIOLENCE AND CRISIS CENTER, COLLEGE OF THE SISKIYOUS, SISKIYOU COUNTY SHERIFF, FOSTER AND HOMELESS YOUTH PROGRAM. FACILITY REPORTING GROUP G PART V, SECTION B, LINE 6A: ST. MARY MEDICAL CENTER - LONG BEACH:MEMORIALCARE LONG BEACH MEDICAL CENTER, MEMORIALCARE MILLER CHILDREN'S AND WOMEN'S HOSPITAL LONG BEACHMERCY MEDICAL CENTER MT SHASTA:FAIRCHILD MEDICAL CENTER FACILITY REPORTING GROUP G PART V, SECTION B, LINE 6B: ST. MARY MEDICAL CENTER - LONG BEACH:LONG BEACH DEPARTMENT OF HEALTH AND HUMAN SERVICES, TCC FAMILY HEALTH A FEDERALLY QUALIFIED HEALTH CENTERMERCY MEDICAL CENTER MT. SHASTA:SISKIYOU COUNTY PUBLIC HEALTH FACILITY REPORTING GROUP G PART V, SECTION B, LINE 7D: ST MARY MEDICAL CENTER (LB), MERCY MEDICAL CENTER MT SHASTA:THE CHNA REPORT WAS ALSO SHARED WITH ORGANIZATIONS APPLYING FOR THE COMMUNITY HEALTH IMPROVEMENT GRANT PROGRAM. FACILITY REPORTING GROUP G PART V, SECTION B, LINE 11: ST. MARY MEDICAL CENTER - LONG BEACH: THE HOSPITAL IS TAKING SEVERAL ACTIONS AND DEDICATE RESOURCES TO THESE NEEDS, INCLUDING SIGNIFICANT HEALTH NEEDS BEING ADDRESSED BELOW: ACCESS TO CARE: CARE PROGRAM: THE CARE PROGRAM IS A MULTIDISCIPLINARY HIV CARE AND SUPPORT PROJECT, BASED ON THE CAMPUS OF ST. MARY MEDICAL CENTER. CLIENTS OF THE CARE PROGRAM RECEIVE INTEGRATED HIGH QUALITY MEDICAL, DENTAL, HEALTH, AND PSYCHOSOCIAL SERVICES TO A HEAVILY IMPACTED POPULATION OF LOW-INCOME MEN, WOMEN, AND CHILDREN LIVING WITH HIV AND FOR THOSE AT HIGH RISK FOR ACQUIRING HIV. COMMUNITY HEALTH IMPROVEMENT GRANTS PROGRAM: OFFER GRANTS TO NONPROFIT COMMUNITY ORGANIZATIONS THAT PROVIDE HEALTH CARE ACCESS PROGRAMS AND SERVICES. IN FY25 THIS INCLUDED AN $84,250 GRANT TO MENTAL HEALTH AMERICA LOS ANGELES FOR HEALTHLINKS TO INCREASE ACCESS TO MENTAL HEALTH CARE FOR HOMELESS AND OTHER VULNERABLE POPULATIONS. FAMILIES IN GOOD HEALTH: FAMILIES IN GOOD HEALTH IS A MULTILINGUAL, MULTICULTURAL HEALTH AND SOCIAL EDUCATION PROGRAM FOR SOUTHEAST ASIAN RESIDENTS, LATINO RESIDENTS AND OTHER COMMUNITIES IN LONG BEACH. ITS MISSION IS TO HELP THE COMMUNITY MAKE INFORMED CHOICES AND GAIN ACCESS TO NEEDED HEALTH AND SOCIAL RESOURCES. FIGH ALSO OFFERS DISEASE MANAGEMENT PROGRAMS. FINANCIAL ASSISTANCE FOR MEDICALLY NECESSARY CARE: PROVIDE FINANCIAL ASSISTANCE TO THOSE WHO HAVE HEALTH CARE NEEDS AND ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR A GOVERNMENT PROGRAM OR OTHERWISE UNABLE TO PAY. LOW VISION CENTER: PROVIDE NO COST VISION SCREENING, OPTICAL AIDS, EDUCATION AND REFERRALS FOR PEOPLE WITH LIMITED VISION. COLLABORATORS INCLUDE: COMMUNITY CLINICS, THE WELCOME BABY PROGRAM, COMMUNITY-BASED ORGANIZATIONS, THE LGBTQ CENTER, SCHOOLS AND SCHOOL DISTRICTS, FAITH GROUPS, PUBLIC HEALTH AND CITY AGENCIES. CHRONIC DISEASE AND PREVENTION: BAZZENI WELLNESS CENTER: PROVIDE HEALTH EDUCATION, HEALTH SCREENINGS AND CHRONIC DISEASE PREVENTION SERVICES. CARE PROGRAM: CLIENTS OF THE CARE PROGRAM RECEIVE INTEGRATED HIGH QUALITY MEDICAL, DENTAL, HEALTH, AND PSYCHOSOCIAL SERVICES TO A HEAVILY IMPACTED POPULATION OF LOW-INCOME MEN, WOMEN, AND CHILDREN LIVING WITH HIV AND FOR THOSE AT HIGH RISK FOR ACQUIRING HIV. EVERY WOMAN COUNTS: PROVIDE MAMMOGRAM SERVICES TO UNDERSERVED WOMEN OLDER THAN AGE 40. CERVICAL SCREENINGS ARE OFFERED FOR WOMEN AGES 21 AND OLDER. FAMILIES IN GOOD HEALTH: FIGH OFFERS DISEASE MANAGEMENT PROGRAMS. FOOD SYSTEM ADVISORY COMMITTEE: THE HOSPITAL PARTICIPATES IN COMMONSPIRIT'S SYSTEMWIDE COMMITTEE TO ADDRESS FOOD INSECURITY ISSUES IN THE COMMUNITY, INCLUDING REDUCING BARRIERS TO ACCESSING HEALTHY FOOD. MOBILECARE UNIT: PROVIDE HEALTH CARE SCREENINGS, EDUCATION AND OUTREACH TO COMMUNITIES AT HIGH-RISK OF NEGATIVE HEALTH OUTCOMES.COLLABORATORS INCLUDE: COMMUNITY-BASED ORGANIZATIONS, PUBLIC HEALTH, FAITH COMMUNITY, SENIOR SERVICE AGENCIES, YOUTH ORGANIZATIONS, COMMUNITY CLINICS, SCHOOLS AND SCHOOL DISTRICTS HOUSING AND HOMELESSNESS: COMMUNITY HEALTH IMPROVEMENT GRANTS PROGRAM: OFFER GRANTS TO NONPROFIT COMMUNITY ORGANIZATIONS THAT PROVIDE HEALTH CARE ACCESS PROGRAMS AND SERVICES. IN FY25 THESE INCLUDED $218,500 IN GRANTS ADDRESSING BOTH HOUSING AND MENTAL HEALTH TO LONG BEACH RESCUE MISSION, MENTAL HEALTH AMERICA LOS ANGELES, AND THE PRECIOUS LAMB PRESCHOOL. COLLABORATORS INCLUDE: HOUSING DEVELOPERS, CITY AGENCIES, FUNDERS, FAITH COMMUNITY, COMMUNITY CLINICS, COMMUNITY-BASED ORGANIZATIONS, AND HOUSING AGENCIESMENTAL HEALTH: CARE PROGRAM: PROVIDE PSYCHOSOCIAL SERVICES TO A HEAVILY IMPACTED POPULATION OF LOW-INCOME MEN, WOMEN, AND CHILDREN LIVING WITH HIV AND FOR THOSE AT HIGH RISK FOR ACQUIRING HIV. COMMUNITY HEALTH IMPROVEMENT GRANTS PROGRAM: OFFER GRANTS TO NONPROFIT COMMUNITY ORGANIZATIONS THAT PROVIDE HEALTH CARE ACCESS PROGRAMS AND SERVICES. IN FY25 THESE INCLUDED $218,500 IN GRANTS ADDRESSING BOTH HOUSING AND MENTAL HEALTH TO LONG BEACH RESCUE MISSION, MENTAL HEALTH AMERICA LOS ANGELES, AND THE PRECIOUS LAMB PRESCHOOL. COLLABORATORS INCLUDE: SCHOOLS AND SCHOOL DISTRICTS, COMMUNITY-BASED ORGANIZATIONS, LAW ENFORCEMENT, AND REGIONAL COLLABORATIVES THAT SEEK TO SUPPORT MENTAL HEALTH AND CASE MANAGEMENT NEEDS.SIGNIFICANT HEALTH NEEDS NOT BEING DIRECTLY ADDRESSED:BIRTH INDICATORS, ECONOMIC INSECURITY, ENVIRONMENTAL POLLUTION, FOOD INSECURITY, OVERWEIGHT AND OBESITY, RACISM AND DISCRIMINATION, SUBSTANCE USE, AND VIOLENCE AND INJURY. KNOWING THAT THERE ARE NOT SUFFICIENT RESOURCES TO ADDRESS ALL THE COMMUNITY HEALTH NEEDS, ST. MARY MEDICAL CENTER CHOSE TO CONCENTRATE ON THOSE HEALTH NEEDS THAT CAN MOST EFFECTIVELY BE ADDRESSED GIVEN THE ORGANIZATION'S AREAS OF FOCUS AND EXPERTISE.***SEE PART V, SECTION B, LINE 11 CONTINUATION AFTER PART V, SECTION B, LINE 10A*** FACILITY REPORTING GROUP G 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.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. SCHEDULE H, 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 AMERCY SAN JUAN MEDICAL CENTER, MERCY GENERAL HOSPITAL, MERCY HOSPITAL OF FOLSOM:HTTPS://WWW.DIGNITYHEALTH.ORG/SACRAMENTO/ABOUT-US/COMMUNITY-HEALTH-AND-OUTREACH/HEALTH-NEEDS-ASSESSMENTST. BERNARDINE MEDICAL CENTER:HTTPS://WWW.DIGNITYHEALTH.ORG/SOCAL/LOCATIONS/STBERNARDINEMEDICAL/ABOUT-US/SERVING-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-PLANDOMINICAN HOSPITAL:HTTPS://WWW.DIGNITYHEALTH.ORG/BAYAREA/LOCATIONS/DOMINICAN/ABOUT-US/COMMUNITY-BENEFITS/BENEFITS-REPORTSMERCY MEDICAL CENTER MERCED:HTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/MERCYMEDICAL-MERCED/ABOUT-US/COMMUNITY-BENEFIT-REPORTMERCY HOSPITAL BAKERSFIELD:HTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/MERCY-BAKERSFIELD/ABOUT-US/COMMUNITY-BENEFIT-REPORT-HEALTH-NEEDS-ASSESSMENTFACILITY REPORTING GROUP CST. JOSEPH'S HOSPITAL AND MEDICAL CENTER:HTTPS://WWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/STJOSEPHS/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-BENEFIT-RESOURCESMERCY GILBERT MEDICAL CENTER:HTTPS://WWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/MERCYGILBERT/ABOUT-US/COMMUNITY-BENEFITS-OUTREACH/BENEFITS-REPORTSST. JOSEPH'S WESTGATE MEDICAL CENTER:HTTPS://WWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/WESTGATE/ABOUT-US/COMMUNITY-BENEFITFACILITY REPORTING GROUP DMARIAN REGIONAL MEDICAL CENTER, ARROYO GRANDE:HTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/LOCATIONS/MARIANREGIONAL/ABOUT-US/COMMUNITY-BENEFITSHTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/LOCATIONS/ARROYO-GRANDE/ABOUT-US/COMMUNITY-BENEFITSMERCY MEDICAL CENTER REDDING:HTTPS://WWW.DIGNITYHEALTH.ORG/NORTH-STATE/LOCATIONS/MERCY-REDDING/ABOUT-US/COMMUNITY-BENEFITST. ELIZABETH COMMUNITY HOSPITAL:HTTPS://WWW.DIGNITYHEALTH.ORG/NORTH-STATE/LOCATIONS/STELIZABETHHOSPITAL/ABOUT-US/COMMUNITY-BENEFITFACILITY REPORTING GROUP EST. ROSE DOMINICAN HOSPITAL - SIENA, ST. ROSE DOMINICAN HOSPITAL SANMARTIN, ST. ROSE DOMINICAN HOSPITAL - ROSE DE LIMA:HTTPS://WWW.DIGNITYHEALTH.ORG/LAS-VEGAS/ABOUT-US/SERVING-THE-COMMUNITYFACILITY REPORTING GROUP FST. JOHN'S REGIONAL MEDICAL CENTER:HTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/LOCATIONS/STJOHNSREGIONAL/ABOUT-US/COMMUNITY-BENEFITST. JOHN'S HOSPITAL CAMARILLO:HTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/LOCATIONS/PLEASANTVALLEY/ABOUT-US/COMMUNITY-BENEFITFACILITY REPORTING GROUP GST. MARY MEDICAL CENTER - LONG BEACH:HTTPS://WWW.DIGNITYHEALTH.ORG/SOCAL/LOCATIONS/STMARYMEDICAL/ABOUT-US/COMMUNITY-BENEFITSMERCY MEDICAL CENTER MT. SHASTA:HTTPS://WWW.DIGNITYHEALTH.ORG/NORTH-STATE/LOCATIONS/MERCY-MTSHASTA/ABOUT-US/COMMUNITY-BENEFIT ST. MARY'S MEDICAL CENTER:HTTPS://SFCOMMUNITYHOSPITALS.UCSFHEALTH.ORG/ST-MARYS/ABOUT-US/COMMUNITY-BENEFITS SCHEDULE H, PART V, SECTION B, LINE 7B - CHNA ON OTHER WEBSITES FACILITY REPORTING GROUP BDE CRAIG RANCH LLC DBA DIGNITY HEALTH - ST. ROSE DOMINICAN NORTH LAS VEGAS DE BLUE DIAMOND LLC DBA DIGNITY HEALTH - ST. ROSE DOMINICAN BLUE DIAMOND DE SAHARA LLC DBA DIGNITY HEALTH - ST. ROSE DOMINICAN SAHARA DE FLAMINGO LLC DBA DIGNITY HEALTH - ST. ROSE DOMINICAN WEST FLAMINGOHTTPS://WWW.HEALTHYSOUTHERNNEVADA.ORG/TILES/INDEX/DISPLAY?ID=356966798698245621FACILITY REPORTING GROUP EST. ROSE DOMINICAN HOSPITAL - SIENA, ST. ROSE DOMINICAN HOSPITAL SAN MARTIN, ST. ROSE DOMINICAN HOSPITAL - ROSE DE LIMAHTTPS://WWW.HEALTHYSOUTHERNNEVADA.ORG/TILES/INDEX/DISPLAY?ID=356966798698245621 DE NORTH DURANGO LLC DBA DIGNITY HEALTH ST. ROSE DOMINICAN NORTH DURANGO (FORMERLY CENTENNIAL)HTTPS://WWW.HEALTHYSOUTHERNNEVADA.ORG/TILES/INDEX/DISPLAY?ID=356966798698245621 SCHEDULE H, PART V, SECTION B, LINE 10A - IMPLEMENTATION STRATEGIES ON WEBSITESIMPLEMENTATION STRATEGY DOCUMENTS CAN BE ACCESSED AT EACH DIGNITY HEALTH 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) DOMINICAN HOSPITAL:THE FOLLOWING LISTS STRATEGIES AND PROGRAM ACTIVITIES THE DOMINICAN HOSPITAL HAS DELIVERED TO HELP ADDRESS SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY HEALTH NEEDS ASSESSMENT.BEHAVIORAL HEALTH: THE HOSPITAL'S MEDICAL GUIDANCE AREA, A SPECIALIZED AREA FOR PATIENTS WITH SUBSTANCE ABUSE AND MENTAL HEALTH DISORDERS. A PSYCHIATRIC REGISTERED NURSE IS PRESENT ON THE UNIT AS PART OF THE PSYCHIATRIC RESOURCE TEAM (PRT).THE HOSPITAL'S INITIATIVE TO ADDRESS MENTAL ILLNESS AND SUBSTANCE ABUSE ANTICIPATES IMPROVED CASE MANAGEMENT AND CARE COORDINATION, INCREASED FOCUS ON PREVENTION AND EARLY INTERVENTION, AND AN INCREASE IN EDUCATION FOR PROFESSIONALS REGARDING RISK ASSESSMENT, INTERVENTION STRATEGIES AND PROTOCOLS. THE PRT WORKS TO DECREASE THE SUICIDE RATE IN SANTA CRUZ COUNTY BY PROVING ACCESS TO BEHAVIORAL HEALTH SERVICES THROUGH COLLABORATION WITH THE COUNTY HEALTH SERVICES AGENCY. THE MGA PROVIDES CLINICAL CARE AND SUPPORT TO PATIENTS WITH SUBSTANCE ABUSE AND MENTAL HEALTH DISORDERS. HEALTH CARE ACCESS & DELIVERY: DOMINICAN'S PEP PROGRAM IS PART OF DOMINICAN'S WELLNESS CENTER. WELLNESS CENTER SERVICES ARE DESIGNED TO DELIVER A CONTINUUM OF CARE THROUGH A VARIETY OF HOSPITAL SERVICES, PROVIDE EARLY INTERVENTIONS TO HIGH-RISK PATIENT GROUPS, AND HELP REDUCE EMERGENCY ROOM VISITS AND UNNECESSARY HOSPITAL ADMISSIONS. IN FISCAL YEAR 2025 (FY25), JULY 1, 2024 - JUNE 30, 2025, THE NUMBER SERVED INCREASED TO 1441, UP 11 PERCENT FROM THE PREVIOUS YEAR. THE HOSPITAL CONTRIBUTION/PROGRAM EXPENSE WAS $1,632,059. THE HOSPITAL'S MOBILE WELLNESS CLINIC, WHICH BENEFITS FROM BILINGUAL STAFF, PROVIDES EVALUATION AND TREATMENT OF EPISODIC MEDICAL CONDITIONS, IDENTIFICATION OF MEDICAL HOMES FOR THOSE PATIENTS WITH CHRONIC NEEDS, AND IDENTIFICATION OF SOCIAL SERVICES AND RESOURCES IN THE COMMUNITY. IN FY25 THE MOBILE WELLNESS CLINIC HAD 495 VISITS AND 581 SCREENINGS.THE HOSPITAL'S HUMAN TRAFFICKING TASKFORCE, COMPRISED OF STAFF FROM THE ED, SOCIAL WORK, CASE MANAGEMENT, PATIENT REGISTRATION, SPONSORSHIP, AND MATERNAL CHILD HEALTH, AS WELL AS COMMUNITY PARTNERS. THE TASKFORCE MEETS EVERY OTHER MONTH TO REVIEW LOCAL CASES OF HUMAN TRACKING AND IDENTIFY STAFF TRAINING AND EDUCATION OPPORTUNITIES. THE GRADUATE MEDICAL EDUCATION FAMILY RESIDENCY PROGRAM PROMOTES HEALTH EQUITY FOR ALL BY TRAINING FAMILY PHYSICIANS TO PROVIDE EXCELLENT PATIENT-CENTERED WHOLE-PERSON CARE FOR ALL INDIVIDUALS, THROUGH A BIOPSYCHOSOCIAL-SPIRITUAL MODEL. THE HOSPITAL'S FY25 CONTRIBUTION/PROGRAM EXPENSE WAS $3,743,569.ECONOMIC SECURITY: AN EMERGENCY DEPARTMENT (ED) COMMUNITY HEALTH WORKER AND COMPLEX CARE RN, MEETS WITH CENTRAL COAST ALLIANCE FOR HEALTH (CCAH) PATIENTS IN THE ED TO HELP CONNECT OR RECONNECT THEM WITH PATIENT CARE PROVIDERS POST HOSPITAL DISCHARGE. SERVICES ALSO INCLUDE PROVISION OF FOOD, CLOTHING, AND MEDICATIONS FOR PATIENTS WHO ARE HOMELESS. IN FY25 DOMINICAN'S COMMUNITY HEALTH WORKER PROVIDED OVER 1,500 REFERRALS TO APPROXIMATELY 900 PATIENTS.BEYOND CLINICAL HEALTH SERVICES, THE HOSPITAL DOES NOT INTEND TO ADDRESS IDENTIFIED NEEDS OF HOUSING AND HOMELESSNESS, COMMUNITY SAFETY, HEALTH LIFESTYLES, CANCER, HEALTH DISEASE OR UNINTENDED INJURIES/ACCIDENTS. THESE NEEDS ARE BEYOND THE CAPACITY AND SERVICES OF THE HOSPITAL, BEING ADDRESSED BY A NUMBER OF OTHER ORGANIZATIONS IN THE COMMUNITY, OR NOT BEING PRIORITIZED DUE TO LIMITED RESOURCES.MERCY MEDICAL CENTER MERCED: SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED FROM AN ANALYSIS OF THE PRIMARY AND SECONDARY DATA SOURCES. INTERVIEWS WITH COMMUNITY STAKEHOLDERS WERE USED TO GATHER INPUT AND PRIORITIZE THE SIGNIFICANT HEALTH NEEDS. THE FOLLOWING CRITERIA WERE USED TO PRIORITIZE THE HEALTH NEEDS: THE PERCEIVED SEVERITY OF A HEALTH OR COMMUNITY ISSUE AS IT AFFECTS THE HEALTH AND LIVES OF THOSE IN THE COMMUNITY, IMPROVING OR WORSENING OF AN ISSUE IN THE COMMUNITY, AVAILABILITY OF RESOURCES TO ADDRESS THE NEED, AND THE LEVEL OF IMPORTANCE THE HOSPITAL SHOULD PLACE ON ADDRESSING THE ISSUE. ACCESS TO CARE: FAMILY PRACTICE CLINIC, FINANCIAL ASSISTANCE PROGRAM, GENERAL MEDICINE CLINIC, KIDS CARE PEDIATRIC CLINIC, AND MOBILE HEALTH CLINICS - OUR MOBILE HEALTH CLINIC ALLOWS US TO MEET THE NEEDS OF UNDERSERVED PATIENTS WHERE THEY ARE; INCLUDING LOW INCOME, HOMELESS, AND MINORITY PATIENTS WHO DON'T SEEK CARE DUE TO TRANSPORTATION ISSUES OR FEAR BASED REASONS. OPEN 190 DAYS AND SAW 985 PATIENTS. - EACH COMMUNITY MEMBER THAT ENGAGES WITH THE MOBILE UNIT IS ONE LESS PATIENT THAT WILL SEEK SERVICES IN THE EMERGENCY ROOM. NOT ALL INDIVIDUALS WHO ENGAGE WITH THE MOBILE UNIT TEAM WILL REGISTER TO BE SEEN. SOME INDIVIDUALS ONLY REQUEST ASSISTANCE WITH SOCIAL SUPPORT SUCH AS TRANSPORTATION, FOOD OR HOUSING.CHRONIC DISEASES: ACCESSIBLE YOGA, AMERICAN CANCER SOCIETY COLLABORATIVE, ASTHMA AWARENESS AND EDUCATION OUTREACH, CHRONIC DISEASE SELF-MANAGEMENT PROGRAM, CANCER SUPPORT GROUP, DIABETES EDUCATION AND EMPOWERMENT PROGRAM, DIABETES SUPPORT GROUP AND EDUCATIONAL PROGRAM, KINDNESS BOX PROGRAM, MERCY CANCER CENTER, NATIONAL DIABETES PREVENTION PROGRAM, STROKE SUPPORT AND RESOURCE CLASS, TOBACCO CESSATION CLINICS. - LIVING WELL WITH DIABETES: PARTICIPANTS IN THE MONTHLY DIABETES CLASSES LEARN HOW TO BETTER MANAGE THEIR DIABETES. OUR COMMUNITY HEALTH WORKERS REVIEW DISCHARGES AND REFER PATIENTS TO THE PROGRAM. WORKING THROUGH THE UNITE US PLATFORM, REFERRALS ARE REVIEWED, AND PATIENTS ARE ENROLLED IN THE AVAILABLE ENGLISH OR SPANISH PROGRAM. - CANCER CENTER: TO ADDRESS THE NEED IN THE COMMUNITY FOR SUPPORTIVE CANCER PROGRAMS, EDUCATION AND RESOURCES FOR CANCER PATIENTS, THEIR FAMILIES AND/OR CAREGIVERS. ACTIVITIES INCLUDE: MONTHLY SUPPORT GROUP WITH RELATED ACTIVITIES; WIG BANK; CANCER PREVENTION EDUCATION TO SCHOOL STUDENTS WITHIN THE LOCAL SCHOOL DISTRICT; EDUCATION TO THE GENERAL POPULATION ON CANCER RISK FACTORS AND SCREENING RECOMMENDATIONS; SOCIAL SUPPORT SERVICES SUPPORT FOR FOOD INSECURITY, EMOTIONAL, SOCIAL, AND TRANSPORTATION BARRIERS; NURSE NAVIGATION FOR ORAL CHEMOTHERAPY SUPPORT AND EDUCATION, BRIDGING GAPS BETWEEN PROVIDERS, SUPPORT TO PATIENTS AND CAREGIVERS, LOW DOSE CT PATIENTS BI-RADS 3 AND 4, AND INCIDENTAL NODULES; AND BREAST CANCER SCREENING EVENT. INFANT AND MATERNAL HEALTH: BABY CAFE, MATERNAL AND INFANT CARE EDUCATION, PRENATAL YOGA, CALIFORNIA LACTATION COALITION AND MERCED COUNTY BREASTFEEDING NETWORK.- FAMILY PLANNING AND MATERNAL AND INFANT HEALTH PROGRAMS WILL OFFER SUPPORT OF PREGNANCIES OCCURRING AT THE HEALTHIEST TIME OF A WOMAN'S LIFE. PROVIDE PROGRAMS, EDUCATION AND RESOURCES THAT SUPPORT FAMILIES IN THE PLANNING AND SPACING OF THEIR CHILDREN. PROVIDE THE SUPPORT AND RESOURCES TO IMPROVE MATERNAL AND INFANT HEALTH OUTCOMES IN THE COMMUNITY WE SERVE. - INJURY AND VIOLENCE: HUMAN TRAFFICKING COMMUNITY AWARENESS WORK, MEDICAL SAFE HAVEN.- NUTRITION, PHYSICAL ACTIVITY AND WEIGHT: COMMUNITY GRANTS PROGRAM, WALK WITH EASE, YOGA, ZUMBA, TAI CHI CLASSES. PART V, SECTION B, LINE 11 /FACILITY REPORTING GROUP A (CONT'D) MERCY HOSPITAL BAKERSFIELD:THE CHNA SERVED AS THE RESOURCE DOCUMENT FOR THE REVIEW OF HEALTH NEEDS AS IT PROVIDED STATISTICAL DATA ON THE SEVERITY OF ISSUES AND ALSO INCLUDED COMMUNITY INPUT ON THE HEALTH NEEDS. AS WELL, THE COMMUNITY PRIORITIZATION OF THE NEEDS WAS TAKEN INTO CONSIDERATION. AS A RESULT OF THE REVIEW OF NEEDS AND APPLICATION OF THE ABOVE CRITERIA, BAKERSFIELD MEMORIAL HOSPITAL CHOSE TO FOCUS ON: ACCESS TO CARE, CHRONIC DISEASE, FOOD INSECURITY, MENTAL HEALTH AND SUBSTANCE USE AND OVERWEIGHT AND OBESITY.ACCESS TO HEALTH CARE AND PREVENTIVE CARE:- COMMUNITY HEALTH INITIATIVE: INCREASES ACCESS TO HEALTH INSURANCE AND HEALTH CARE FOR HARD-TO-REACH INDIVIDUALS IN KERN COUNTY. PROVIDES APPLICATION ASSISTANCE AND EDUCATES FAMILIES ON THE IMPORTANCE OF PREVENTIVE CARE. IMPACT: ASSISTED 795 PEOPLE THROUGH THE MEDI-CAL/COVERED CALIFORNIA APPLICATION PROCESS, RESULTING IN 99% SUCCESSFULLY ENROLLING. 72% OF INDIVIDUALS ENROLLED RECEIVED UTILIZATION SERVICES. - COMMUNITY WELLNESS PROGRAM: PROVIDES COMMUNITY HEALTH SCREENINGS AND HEALTH EDUCATION ON A VARIETY OF PREVENTION TOPICS. IMPACT: 68% OF HEALTH SCREENING PARTICIPANTS REPORTED MAKING A POSITIVE LIFESTYLE CHANGE. 639 FLU SHOTS WERE PROVIDED.- HOMEMAKER CARE PROGRAM: PROVIDES IN-HOME SERVICES, LINKAGES TO HEALTH CARE RESOURCES AND SOCIAL SERVICES THAT IMPROVE THE QUALITY OF LIFE FOR VULNERABLE CLIENTS. IMPACT: IMPROVED THE QUALITY OF LIFE FOR 100% OF CLIENTS AS DETERMINED BY AN ANNUAL SURVEY. - OUTPATIENT NURSE NAVIGATOR PROGRAM: PROVIDES COMPREHENSIVE CASE MANAGEMENT TO PATIENTS IDENTIFIED AS BEING AT HIGH RISK FOR HOSPITAL READMISSION. SERVICES ARE INITIATED BY REFERRALS FROM THE CARE COORDINATION TEAM. IMPACT: 100% OF THE OUTPATIENT NURSE NAVIGATOR PROGRAM PATIENTS AVOIDED READMISSION TO THE HOSPITAL WITHIN 7 DAYS OF THEIR DISCHARGE DATE. - PRESCRIPTION PURCHASING: PURCHASE NECESSARY MEDICATIONS IN EMERGENCY SITUATIONS FOR PEOPLE WHO CANNOT AFFORD TO PURCHASE THE NEEDED MEDICINES. IMPACT: COVERED PRESCRIPTION COSTS FOR 346 CHARITY CARE PATIENTS. TRANSPORTATION: PROVIDES TRANSPORTATION SUPPORT TO VULNERABLE PEOPLE TO ACCESS HEALTH CARE SERVICES. IMPACT: A TOTAL OF 2,318 PEOPLE RECEIVED BUS PASSESCHRONIC DISEASES:- ASTHMA MANAGEMENT PROGRAM: ASTHMA EDUCATORS PROVIDE EDUCATION TO INDIVIDUALS AND MONITOR CLIENT USAGE OF RESCUE AND CONTROLLER MEDICATIONS. IMPACT: 100% OF ASTHMA MANAGEMENT PROGRAM PARTICIPANTS HAD THEIR ASTHMA "CONTROLLED" WHEN EXITING THE PROGRAM. - CHRONIC DISEASE/DIABETES SELF-MANAGEMENT PROGRAM: PROVIDES RESIDENTS WHO HAVE CHRONIC DISEASES, INCLUDING DIABETES, WITH THE KNOWLEDGE, TOOLS AND MOTIVATION NEEDED TO BECOME PROACTIVE IN THEIR HEALTH THROUGH SIX-WEEK WORKSHOPS. IMPACT: 100% OF PARTICIPANTS WITH A CHRONIC DISEASE WHO COMPLETED HEALTHIER LIVING SEMINARS REMAINED HEALTHIER AFTER THEIR SEMINARS, AS MEASURED BY THOSE WHO AVOIDED ADMISSIONS TO THE HOSPITAL OR EMERGENCY DEPARTMENT FOR THREE MONTHS FOLLOWING THEIR PARTICIPATION IN THE PROGRAM. - COMMUNITY WELLNESS PROGRAM: PROVIDES HEALTH EDUCATION ON NUTRITION, DIABETES, CHOLESTEROL AND HYPERTENSION. IMPACT: DELIVERED 11 CANCER EDUCATION CLASSES AND HOSTED 2 MAMMOGRAM SCREENING EVENTS, ENHANCING EARLY DETECTION AND AWARENESS. - HEALTH EQUITY PLAN ACTIVITIES: INCREASES AWARENESS AND CONFIDENCE AMONG PARTICIPANTS IN THE DIABETES SELF-MANAGEMENT PROGRAM BY PROVIDING THEM WITH KNOWLEDGE AND TOOLS TO ACTIVELY MANAGE THEIR HEALTH. IMPACT: OF 28 PARTICIPANTS WHO COMPLETED THE PROGRAM, ONLY 2 WERE ADMITTED TO THE HOSPITAL/ED W/IN 3 MONTHS. - HEALTHY KIDS IN HEALTHY HOMES: PROVIDES INFORMATION TO CHILDREN ON THE TOPICS OF NUTRITION, EXERCISE, AND LIFESTYLE IN AN EIGHT-SESSION PROGRAM. IMPACT: A TOTAL OF 625 STUDENTS PARTICIPATED IN 6 OUT OF 8 HKHH CLASSES TOTALING 96% COMPLETION RATE. FOOD INSECURITY:- LEARNING AND OUTREACH CENTERS: IN COLLABORATION WITH OTHER COMMUNITY SERVICE AGENCIES, PROVIDE REFERRAL SERVICES, FOOD, CLOTHING, AND EDUCATION TO THE MOST VULNERABLE AND NEEDY RESIDENTS OF THE COMMUNITY. IMPACT: PROVIDED EMERGENCY FOOD BOXES TO 26,000 INDIVIDUALS AND SERVED 5,800 MEALS TO VULNERABLE RESIDENTS, SIGNIFICANTLY ALLEVIATING FOOD INSECURITY. - REPLATE PROGRAM: FACILITATES FOOD DONATION BY COLLECTING THE HOSPITAL'S SURPLUS FOOD TO DISTRIBUTE TO COMMUNITIES FACING FOOD INSECURITY.MENTAL HEALTH AND SUBSTANCE USE:- ANTI-VAPING PROGRAM: OFFERS ANTI-VAPING EDUCATION PROGRAMS AT LOCAL SCHOOLS. IMPACT: EDUCATED 584 STUDENTS ON THE RISKS OF TOBACCO AND VAPING THROUGH OUR YOUTH TOBACCO PREVENTION PROGRAM. - ART AND SPIRITUALITY CENTER: PROVIDES OPPORTUNITIES FOR ARTISTIC EXPRESSION, MEDITATION, RELAXATION, AND CREATIVITY TO PROMOTE HEALTH AND WELL-BEING, AIDING IN PHYSICAL, MENTAL, AND EMOTIONAL RECOVERY, INCLUDING RELIEVING ANXIETY AND DECREASING THE PERCEPTION OF PAIN. IMPACT: 16,702 INDIVIDUALS WERE SERVED THROUGH THE ART AND SPIRITUALITY CENTER PROGRAMS. 100% OF PARTICIPANTS REPORTED FEELING A GENERAL SENSE OF WELL-BEING AND IMPROVED QUALITY OF LIFE AFTER COMPLETING THEIR WORKSHOP(S). - MENTAL HEALTH SUPPORT GROUPS: THE COMMUNITY HEALTH INITIATIVE PROVIDES FREE MENTAL HEALTH SUPPORT GROUPS TO INDIVIDUALS WHO LIVE WITH MENTAL HEALTH CHALLENGES. IMPACT: 92% OF INDIVIDUALS WHO COMPLETED AN EVALUATION REPORTED FEELING A SENSE OF WELL-BEING AFTER ATTENDING MENTAL HEALTH SUPPORT GROUP SESSIONS.OVERWEIGHT AND OBESITY:- COMMUNITY WELLNESS PROGRAM: PROVIDES HEALTH EDUCATION ON NUTRITION, DIABETES, CHOLESTEROL AND HYPERTENSION. IMPACT:95% OF HEALTH EDUCATION PARTICIPANTS SURVEYED REPORTED HAVING A BETTER UNDERSTANDING OF HOW TO LIVE A HEALTHY LIFESTYLE. - HEALTHY KIDS IN HEALTHY HOMES: PROVIDES INFORMATION TO CHILDREN ON NUTRITION, EXERCISE, AND LIFESTYLE IN AN EIGHT-SESSION PROGRAM. IMPACT: 96% OF CHILDREN WHO ATTENDED HEALTHY KIDS IN HEALTHY HOMES WORKSHOPS PARTICIPATED IN 6 OUT OF 8 CLASSES.CHNA SIGNIFICANT HEALTH NEEDS NOT BEING ADDRESSED:TAKING EXISTING HOSPITAL AND COMMUNITY RESOURCES INTO CONSIDERATION, MEMORIAL HOSPITAL WILL NOT DIRECTLY ADDRESS THE REMAINING SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE CHNA, WHICH INCLUDE BIRTH INDICATORS, CRIME AND SAFETY, ECONOMIC INSECURITY, EDUCATION, ENVIRONMENTAL CONDITIONS, HOUSING AND HOMELESSNESS, AND SEXUALLY TRANSMITTED INFECTIONS. KNOWING THERE ARE NOT SUFFICIENT RESOURCES TO ADDRESS ALL THE COMMUNITY HEALTH NEEDS, DIGNITY HEALTH 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. PART V, SECTION B, LINE 11 /FACILITY REPORTING GROUP C (CONT'D) MERCY GILBERT MEDICAL CENTER:IN CONJUNCTION WITH CHANDLER REGIONAL MEDICAL CENTER AND ARIZONA GENERAL HOSPITAL - MESA, 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 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: 172 SERVED. ACCESS TO CARE: FINANCIAL ASSISTANCE, CHILDREN'S HEARING & VISION SCREENING, IMMUNIZATION CLINICS. AND CHILDREN'S MEDICAL AND DENTAL CLINICS. - DIGNITY HEALTH CHILDREN'S DENTAL CLINIC- FREE DENTAL CARE FOR UNINSURED CHILDREN. IN FY25 THERE WERE 1,623 APPOINTMENTS FOR 782 CHILDREN.- FINANCIAL ASSISTANCE. FY25: PEOPLE SERVED 2,093 - $4,021,568VIOLENCE 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: 560 WERE SERVED. SOCIAL DETERMINANTS OF HEALTH: 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: 30 SERVED. - ACTIVATE - PATIENT NAVIGATORS ADDRESS POST DISCHARGE NEEDS OF HIGH-RISK PATIENTS (VETERANS, SENIORS, UNINSURED). NAVIGATION INCLUDES HOME VISITATION, MEDICATION RECONCILIATION, ME, AND CONNECTIONS TO BASIC NEEDS THAT INCLUDE TRANSPORTATION, FOOD, AND PRESCRIPTIONS. FY25: 78 SERVED. - TRANSPORTATION ASSISTANCE - 68 SERVED $1,352.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: FY25 ALLOCATION $ 179,000 - A FEW OF THE FUNDED ORGANIZATIONS ARE LISTED BELOW:MENTAL HEALTH: - 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. - 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. 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 - 12/312024 - 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: - 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. - 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.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 HOSPITALS 2025 IMPLEMENTATION STRATEGY PLAN POSTED ON THE HOSPITAL'S WEBSITE. PART V, SECTION B, LINE 11 /FACILITY REPORTING GROUP D (CONT'D) ST. ELIZABETH COMMUNITY HOSPITAL:THE HOSPITAL HAS MANY PROGRAMS, SERVICES, AND PARTNERSHIPS TO HELP ADDRESS ALL IDENTIFIED SIGNIFICANT COMMUNITY HEALTH NEEDS. ACCESS TO PRIMARY CARE, SPECIALISTS, AND DENTAL CARE AND ACCESS TO BEHAVIORAL HEALTH, INCLUDING SUBSTANCE USE DISORDER TREATMENT. INCREASING ACCESS TO CARE AND REDUCING SOCIAL DETERMINANTS OF HEALTH BARRIERS TO ACCESSING CARE IS ANTICIPATED TO REDUCE THE NUMBER OF UNNECESSARY ED VISITS AND HOSPITALIZATIONS AND IMPROVED HEALTHCARE UTILIZATION. COMMUNITY OUTREACH EVENTS: THE HOSPITAL REGULARLY ATTENDS COMMUNITY OUTREACH EVENTS, SUCH AS, LIFT (POOR AND THE HOMELESS HEALTH FAIR); LATINO MULTICULTURAL HEALTH FAIR; GREENVILLE RANCHERIA WELLNESS FAIR; SENIOR HEALTH FAIR; CORNING OLIVE FESTIVAL; BI NATIONAL HEALTH FAIRS OFFERING NUTRITION SERVICES CONSULTATION, AND BLOOD PRESSURE SCREENINGS. HIGH SCHOOL SPORTS PHYSICALS FOR ALL AREA HIGH SCHOOLS ARE OFFERED SUPPORTED BY THE CLINICS AND HOSPITAL STAFF WHEN APPROPRIATE. WORKFORCE DEVELOPMENT - IDENTIFY AND PARTNER WITH COMMUNITY ORGANIZATIONS WHO ARE LEADING WORKFORCE DEVELOPMENT EFFORTS TO INCREASE ACCESS TO A DIVERSE AND INCLUSIVE HEALTH CARE WORKFORCE, BOTH IN CLINICAL AND NONCLINICAL/CORPORATE SETTINGS AND IMPROVE HEALTH EQUITY. EDUCATION AND AWARENESS - PROVIDE EDUCATION AND AWARENESS AND REDUCE STIGMA IN THE COMMUNITY. BASIC NEEDS: EDUCATION, HOUSING, TRANSPORTATION, AND FOOD INSECURITY AND NAVIGATION OF CARE.TRANSPORTATION SERVICES - ENHANCES LOW-INCOME PATIENT AND FAMILY ACCESS TO CARE FOR THOSE WHO HAVE NO FORM OF TRANSPORTATION. THIS INCLUDES TRANSPORTATION TO SUBACUTE NURSING FACILITY/REHAB, HOME, MENTAL HEALTH, A TRANSITIONAL LIVING SITE, OR OUTPATIENT APPOINTMENTS AS PART OF A PATIENT'S DISCHARGE PLAN. PATH TRANSITIONAL CARE PROGRAM - PROVIDES SHORT-TERM TRANSITIONAL HOUSING AND COORDINATED CARE FOR HOMELESS ADULTS WHO ARE BEING DISCHARGED FROM THE HOSPITAL AND ARE RECOVERING FROM A NON-ACUTE ILLNESS OR INJURY CONDITION THAT WOULD BE EXACERBATED BY LIVING UNSHELTERED OR IN A PLACE NOT SUITABLE FOR RECOVERY. COMMUNITY HEALTH WORKER PROGRAM - A COLLABORATION WITH DIGNITY HEALTH CONNECTED LIVING TO ASSIST PATIENTS THAT RELY ON THE EMERGENCY DEPARTMENT FOR NON-URGENT NEEDS BY CONNECTING THEM TO LOCAL RESOURCES AND HELP NAVIGATION OF CARE. COMMUNITY BELONGING AND FREEDOM FROM VIOLENCE: REDUCING DISPARITIES AND ENHANCING COMMUNITY RELATIONS IS ANTICIPATED TO REDUCE RE-TRAUMATIZATION AND EMOTIONAL DISTRESS AND INCREASE EXPERIENCES OF INCLUSION AND TRUST. HOSPITAL ACTIVITIES THAT HELP ADDRESS THIS NEED: CULTURAL COMPETENCY AND HUMILITY TRAINING - PROVIDE TRAINING OPPORTUNITIES FOR STAFF AND COMMUNITY ORGANIZATIONS THAT ADDRESS THE SPECIFIC HEALTH NEEDS OF THE COMMUNITY. THIS COLLABORATION CAN IMPROVE CARE COORDINATION AND STRENGTHEN SOCIAL CONNECTIONS.COMMUNITY OUTREACH - FOSTER AN INCLUSIVE ENVIRONMENT BY PARTICIPATING IN CULTURALLY RESPONSIVE ACTIVITIES THAT CELEBRATE DIVERSE POPULATIONS (E.G., YOUTH SUMMITS, PRIDE EVENTS, HEALTH FAIRS).COMMUNITY ENGAGEMENT - STRENGTHEN TRUST AND RELATIONSHIPS WITH KEY POPULATIONS THROUGH TARGETED OUTREACH, ACTIVITIES, AND COMMUNICATION. HUMAN TRAFFICKING - A HUMAN TRAFFICKING TASKFORCE MADE UP OF MULTIDISCIPLINARY LEADERS WITH A VICTIM- CENTERED APPROACH ON STRATEGIES, INTERVENTIONS, AND POLICIES.MISSION AND MINISTRY FUND, UNITED AGAINST VIOLENCE GRANT - FACILITATE STRATEGY SESSIONS AND THE DEVELOPMENT OF A VIOLENCE PREVENTION/HUMAN TRAFFICKING COALITION IN TEHAMA COUNTY. THIS PLAN WILL BUILD UPON AND ALIGN EXISTING WORK IDENTIFIED DURING PLANNED ACTIVITIES. PART V, SECTION B, LINE 11 /FACILITY REPORTING GROUP G (CONT'D) MERCY MEDICAL CENTER MT. SHASTA:THE HOSPITAL HAS MANY PROGRAMS, SERVICES, AND PARTNERSHIPS TO HELP ADDRESS ALL IDENTIFIED SIGNIFICANT COMMUNITY HEALTH NEEDS. ACCESS TO HEALTH CARE, INCLUDING SPECIALTY CARE AND DENTAL CARE: INCREASING ACCESS TO CARE AND REDUCING SOCIAL DETERMINANTS OF HEALTH BARRIERS TO ACCESSING CARE IS ANTICIPATED TO REDUCE THE NUMBER OF UNNECESSARY ED VISITS AND HOSPITALIZATIONS. HOSPITAL ACTIVITIES THAT HELP ADDRESS THIS NEED:- BUILD COMMUNITY RESILIENCY/CREATING HEALTHY COMMUNITIES: THE HOSPITAL WILL PARTNER WITH SISKIYOU COUNTY HEALTH AND HUMAN SERVICES PUBLIC HEALTH DIVISION TO COORDINATE WHOLE PERSON CARE SYSTEMS IN SISKIYOU COUNTY WHICH ARE CULTURALLY APPROPRIATE.- WORKFORCE DEVELOPMENT: IDENTIFY AND PARTNER WITH COMMUNITY ORGANIZATIONS WHO ARE LEADING WORKFORCE DEVELOPMENT EFFORTS TO INCREASE ACCESS TO A DIVERSE AND INCLUSIVE HEALTH CARE WORKFORCE, BOTH IN CLINICAL AND NONCLINICAL/CORPORATE SETTINGS AND IMPROVE HEALTH EQUITY.- HEALTH EDUCATION OUTREACH: PROVIDE HEALTH EDUCATION AND OUTREACH AT COMMUNITY EVENTS THROUGHOUT THE YEAR. ACCESS TO BEHAVIORAL HEALTH, INCLUDING SUBSTANCE USE DISORDER TREATMENT AND NAVIGATION OF SERVICES:STRENGTHENING THE CONTINUUM OF CARE FOR BEHAVIORAL HEALTH, INCLUDING ENHANCED SUBSTANCE USE NAVIGATION IS ANTICIPATED TO INCREASE THE PERCENTAGE OF INDIVIDUALS RECEIVING TREATMENT. HOSPITAL ACTIVITIES THAT HELP ADDRESS THIS NEED: - EDUCATION AND AWARENESS: PROVIDE EDUCATION AND AWARENESS AND REDUCE STIGMA IN THE COMMUNITY. HELP ME GROW SISKIYOU PARENT SUPPORT: THE PROGRAM PROVIDES SOCIAL CONNECTIONS, REDUCES STRESS AND HELPS PARENTS IDENTIFY AND BECOME EDUCATED REGARDING THEIR CHILDREN'S DEVELOPMENTAL STAGES, PROVIDE RESOURCES AND PARENTING TOOLS.- SUBSTANCE USE NAVIGATION: THE SUBSTANCE USE NAVIGATION PROGRAM PROVIDES HIGH-QUALITY CARE FOR INDIVIDUALS WITH SUBSTANCE USE DISORDER. THE PROGRAM SEEKS TO FULLY INTEGRATE ADDICTION TREATMENT INTO STANDARD MEDICAL PRACTICE INCREASING ACCESS TO TREATMENT TO SAVE MORE LIVES. LOW-INCOME AND SUPPORTIVE HUMANE HOUSING AND UNMET VITAL CONDITIONS, INCLUDING TRANSPORTATION, EDUCATION, FOOD AND ECONOMIC STABILITY:IMPROVING HEALTH OUTCOMES FOR THOSE AT-RISK OF AND/OR EXPERIENCING HOMELESSNESS IS ANTICIPATED TO REDUCE UNNECESSARY ED VISITS AND HOSPITALIZATIONS. HOSPITAL ACTIVITIES THAT HELP ADDRESS THIS NEED: - SUMMER FOOD PROGRAM AND NUTRITIONAL EDUCATION: PROVIDE NUTRITIOUS LUNCHES DAILY FOR UP TO 100 AT-RISK K-8 CHILDREN AND PROVIDE NUTRITION EDUCATION TO HELP 220 YOUTH LEARN ABOUT HEALTHY EATING.- TRANSPORTATION ASSISTANCE: PROVIDE TRANSPORTATION SERVICES SUCH AS VAN SERVICE, TAXI VOUCHERS OR BUS TOKENS TO PATIENTS WHO NEED ASSISTANCE WITH RETURNING TO THEIR HOME AFTER RECEIVING SERVICES AT THE HOSPITAL.- COMMUNITY ENGAGEMENT: STRENGTHEN TRUST AND RELATIONSHIPS WITH KEY STAKEHOLDERS TO IMPROVE OVERALL WELL-BEING BY SUPPORTING AND EXPANDING EXISTING SUCCESSFUL PROJECTS AND ACTIVITIES THAT SUPPORT REGIONAL WELLNESS. VIOLENCE PREVENTION: REDUCING DISPARITIES AND ENHANCING COMMUNITY RELATIONS IS ANTICIPATED TO REDUCE RE-TRAUMATIZATION AND EMOTIONAL DISTRESS AND INCREASE EXPERIENCES OF INCLUSION AND TRUST. HOSPITAL ACTIVITIES THAT HELP ADDRESS THIS NEED:- MISSION AND MINISTRY FUND, UNITED AGAINST VIOLENCE GRANT. FACILITATE STRATEGY SESSIONS AND THE DEVELOPMENT OF A VIOLENCE PREVENTION/HUMAN TRAFFICKING COALITION IN SISKIYOU COUNTY. THIS PLAN WILL BUILD UPON AND ALIGN EXISTING WORK IDENTIFIED DURING PLANNED ACTIVITIES.- PREVENT VIOLENCE AND INTERVENE WHEN IT IS SUSPECTED: INCREASE HEALTH SYSTEM AND COMMUNITY CAPACITY TO IDENTIFY VICTIMS OF HUMAN TRAFFICKING AND RESPOND APPROPRIATELY.-SISKIYOU DOMESTIC VIOLENCE AND CRISIS CENTER: A DIGNITY HEALTH COMMUNITY GRANTS PROGRAM, THIS PROGRAM WILL PROVIDE 24-HOUR/7-DAY SHELTER STAFFING AT THE SISKIYOU DOMESTIC VIOLENCE AND CRISIS CENTER AND MOTELS FOR DOMESTIC VIOLENCE VICTIMS THAT DO NOT FIT THE SHELTER CRITERIA.- PROVIDE TRAUMA-INFORMED CARE FOR PATIENTS: EXPLORE ONGOING OPPORTUNITIES TO PROMOTE TRAUMA INFORMED CARE PRACTICES WITHIN THE BEHAVIORAL HEALTH SERVICE LINE.- HUMAN TRAFFICKING TASKFORCE: A HUMAN TRAFFICKING TASKFORCE MADE UP OF MULTIDISCIPLINARY LEADERS WITH A VICTIM- CENTERED APPROACH ON STRATEGIES, INTERVENTIONS AND POLICIES.TRAINING LED BY THE INTERNATIONAL RESCUE COMMITTEE (IRC): ANTI-TRAFFICKING OUTREACH AND TRAINING SPECIALIST FROM IRC WILL PROVIDE TRAININGS TO BRING AWARENESS AROUND HUMAN TRAFFICKING AND ITS VARIOUS FORMS AND RESOURCES AVAILABLE AT LOCAL AND NATIONAL LEVEL. PHYSICIANS, PHYSICIANS ASSISTANTS, NURSE PRACTITIONERS, NURSES, SOCIAL WORKERS, PHARMACISTS, POLICE, FIRE, HOSPITALITY, GOVERNMENT, AND OTHER COMMUNITY MEMBERS WILL BE INVITED. SCHEDULE H, PART V, SECTION B, LINE 16A, 16B AND 16C - FAP APPLICATION FORM FACILITY REPORTING GROUP AMERCY SAN JUAN MEDICAL CENTER, MERCY GENERAL HOSPITAL, MERCY HOSPITAL OF FOLSOM:WWW.DIGNITYHEALTH.ORG/SACRAMENTO/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-INFORMATION/PAYMENT-ASSISTANCEST. BERNARDINE MEDICAL CENTER:WWW.DIGNITYHEALTH.ORG/STBERNARDINEMEDICAL/PATIENTS-AND-VISITORS/PATIENTS/BILLING-AND-PAYMENTS/PAYMENT-ASSISTANCEDOMINICAN HOSPITAL:WWW.DIGNITYHEALTH.ORG/BAYAREA/LOCATIONS/DOMINICAN/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-AND-PAYMENT/FINANCIAL-ASSISTANCEMERCY MEDICAL CENTER MERCED:WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/MERCYMEDICAL-MERCED/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-INFORMATION/FINANCIAL-ASSISTANCEMERCY HOSPITAL (BAKERSFIELD)WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/MERCY-BAKERSFIELD/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-INFORMATION/FINANCIAL-ASSISTANCEFACILITY REPORTING GROUP BDE CRAIG RANCH LLC DBA DIGNITY HEALTH ST. ROSE DOMINICAN NORTH LAS VEGAS, DE BLUE DIAMOND LLC DBA DIGNITY HEALTH ST. ROSE DOMINICAN BLUE DIAMOND, DE SAHARA LLC DBA DIGNITY HEALTH ST. ROSE DOMINICAN SAHARA, DE FLAMINGO LLC DBA DIGNITY HEALTH ST. ROSE DOMINICAN WEST FLAMINGOWWW.STROSENH.ORG/HELPINGHANDS/FACILITY REPORTING GROUP CST JOSEPH'S HOSPITAL AND MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/STJOSEPHS/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-PAYMENT-INFORMATION/FINANCIAL-ASSISTANCEMERCY GILBERT MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/MERCYGILBERT/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-AND-PAYMENT/FINANCIAL-ASSISTANCEST JOSEPH'S WESTGATE MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/WESTGATE/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-AND-PAYMENT/FINANCIAL-ASSISTANCEFACILITY REPORTING GROUP DMARIAN REGIONAL MEDICAL CENTER, ARROYO GRANDEWWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/LOCATIONS/MARIANREGIONAL/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-INFORMATION/FINANCIAL-ASSISTANCEWWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/LOCATIONS/ARROYO-GRANDE/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-INFORMATION/FINANCIAL-ASSISTANCEMERCY MEDICAL CENTER REDDINGWWW.DIGNITYHEALTH.ORG/NORTH-STATE/LOCATIONS/MERCY-REDDING/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-INFORMATION/FINANCIAL-ASSISTANCEST. ELIZABETH COMMUNITY HOSPITALWWW.DIGNITYHEALTH.ORG/NORTH-STATE/LOCATIONS/STELIZABETHHOSPITAL/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-INFORMATION/FINANCIAL-ASSISTANCEFACILITY REPORTING GROUP EST. ROSE DOMINICAN HOSPITAL - SIENA, ST. ROSE DOMINICAN HOSPITAL SAN MARTIN, ST. ROSE DOMINICAN HOSPITAL - ROSE DE LIMAWWW.DIGNITYHEALTH.ORG/LAS-VEGAS/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-AND-PAYMENT/FINANCIAL-ASSISTANCEFACILITY REPORTING GROUP FST. JOHN'S REGIONAL MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/LOCATIONS/STJOHNSREGIONAL/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-AND-PAYMENT/FINANCIAL-ASSISTANCEST. JOHN'S HOSPITAL CAMARILLOWWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/LOCATIONS/PLEASANTVALLEY/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-AND-PAYMENT/FINANCIAL-ASSISTANCEFACILITY REPORTING GROUP GST. MARY MEDICAL CENTER - LONG BEACHWWW.DIGNITYHEALTH.ORG/SOCAL/LOCATIONS/STMARYMEDICAL/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-PAYMENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCEMERCY MEDICAL CENTER MT SHASTAHTTPS://WWW.DIGNITYHEALTH.ORG/NORTH-STATE/LOCATIONS/MERCY-MTSHASTA/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-INFORMATION/FINANCIAL-ASSISTANCEST. MARY'S MEDICAL CENTER:HTTPS://SFCOMMUNITYHOSPITALS.UCSFHEALTH.ORG/ST-MARYS/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-AND-PAYMENT/HELP-PAYING-YOUR-BILLDE NORTH DURANGO LLC DBA DIGNITY HEALTH ST. ROSE DOMINICAN NORTH DURANGO (FORMERLY CENTENNIAL):WWW.STROSENH.ORG/HELPINGHANDS/ 31 1 - DIGNITY HEALTH MEDICAL GROUP ARIZONA 500 W THOMAS RD PHOENIX AZ 85013 MULTI-SPECIALTY CLINICS 2 - DIGNITY HEALTH CANCER INSTITUTE 625 N 6TH STREET PHOENIX AZ 85004 CANCER CENTER 3 - VENTURA COUNTY IMAGING GROUP LLC 1510 COTNER AVE LOS ANGELES CA 90025 IMAGING CENTER 4 - PLAZA SURGERY CENTER 525 E PLAZA 100 SANTA MARIA CA 93454 SURGERY CENTER 5 - ST ROSE WOUND HEALING CENTER 2965 SIENA HEIGHTS DR STE 231 HENDERSON NV 89052 MULTI-SPECIALTY CLINICS 6 - NICU OPERATING CO OF SANTA CRUZ LLC 1555 SOQUEL DRIVE SANTA CRUZ CA 95065 NEONATAL HEALTHCARE 7 - HUGER MERCY LIVING CENTER 2345 W ORANGEWOOD PHOENIX AZ 85021 ASSISTED LIVING FACILITY 8 - SEVEN OAKS SURGERY CTR LLC 1801 ORANGE TREE LANE SUITE 240 REDLANDS CA 92374 SURGERY CENTER 9 - RADIATION ONCOLOGY CENTER OF VENTURA COU 5301 MISSION OAKS BOULEVARD SUITE A CAMARILLO CA 93012 SURGERY CENTER 10 - RADIATION ONCOLOGY CENTER OF VENTURA COU 1700 N ROSE AVENUE 120 OXNARDCAMARILLO CA 93030 IMAGING CENTER 11 - DIGNITY HEALTH-MERCY GILBERT SLEEP CENTE 3420 MERCY RD GILBERT AZ 85297 SLEEP CENTER 12 - ST ROSE CARDIOVASCULARTHORACIC SURGERY 7190 S CIMARRON RD LAS VEGAS NV 89113 MULTI-SPECIALTY CLINICS 13 - USRC DIGNITY HEALTH ACUTE LLC (US RENAL 1955 W FRYE ROAD CHANDLER AZ 85224 ACUTE CARE CLINIC 14 - USRC DIGNITY HEALTH ACUTE LLC (US RENAL 350 W THOMAS ROAD PHOENIX AZ 85013 ACUTE CARE CLINIC 15 - DHMGN-HENDERSON MULTI-SPECIALTY CLINIC 10001 S EASTERN AVE SUITE 203 HENDERSON NV 89052 MULTI-SPECIALTY CLINICS 16 - CBCC OUTSMARTING CANCER LLC 6501 TRUXTUN AVENUE BAKERSFIELD CA 93309 RADIATION / ONCOLOGY INCL CYBERKNIFE 17 - DAVITA & DIGNITY HEALTH DIALYSIS LLC 1700 N ROSE AVENUE 370 OXNARD CA 93030 DIALYSIS CENTER 18 - DIGNITY HEALTH-ASSOCIATED SURGICAL ASSOC 3367 S MERCY ROAD STE 150 GILBERT AZ 85297 WEIGHT LOSS CENTER 19 - THE BARBARA GREENSPUN WOMEN'S CARE CENTE 100 N GREEN VALLEY PKWY SUITE 330 HENDERSON NV 89074 HEALTH CENTER 20 - SANTA CRUZ SURGERY CENTER 3003 PAUL SWEET ROAD SANTA CRUZ CA 95065 SURGERY CENTER 21 - DHMGN-PAVILION URGENT CARE CLINIC 800 N GIBSON RD SUITE 101 HENDERSON NV 89011 URGENT CARE 22 - USRC DIGNITY HEALTH ACUTE LLC (US RENAL 3555 S VAL VISTA DRIVE GILBERT AZ 85297 ACUTE CARE CLINIC 23 - USRC DIGNITY HEALTH ACUTE LLC (US RENAL 9130 E ELLIOT RD MESA AZ 85212 ACUTE CARE CLINIC 24 - USRC DIGNITY HEALTH ACUTE LLC (US RENAL 7300 N 99TH AVE GLENDALE AZ 85305 ACUTE CARE CLINIC 25 - USRC DIGNITY HEALTH ACUTE LLC (US RENAL 7171 S 51ST AVE PHOENIX AZ 85539 ACUTE CARE CLINIC 26 - ADVANCED AMBULATORY SURGERY CENTER LP 1901 W LUGONIA AVENUE SUITE 100 REDLANDS CA 92374 SURGERY CENTER 27 - WESTERN DIAGNOSTIC SERVICES LAB 1414 E MAIN STREET STE 102 SANTA MARIA CA 93465 LABORATORY/PATHOLOGY 28 - GENESISCARE USA-CHW LLC (MT SHASTA) 902 PINE STREET MT SHASTA CA 96067 ONCOLOGY 29 - GENESISCARE USA-CHW LLC (REDDING) 963 BUTTE STREET REDDING CA 96001 ONCOLOGY 30 - DOMINICAN MAGNETIC RESONANCE IMAGING CEN 1545 SOQUEL DRIVE SANTA CRUZ CA 95065 IMAGING CENTER 31 - SANTA CRUZ COMPREHENSIVE IMAGING LLC 1685 COMMERCIAL WAY SANTA CRUZ CA 95065 IMAGING CENTER 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, 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 HEALTH IS INCLUDED IN THE CONSOLIDATED COMMUNITY BENEFIT REPORT IN COMMONSPIRIT'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 COMMONSPIRIT'S EXTERNAL WEB SITE. THE INDIVIDUAL HOSPITALS' COMMUNITY BENEFIT REPORTS ARE MADE AVAILABLE TO THE PUBLIC ON EACH HOSPITAL'S WEBSITES, AND ARE AVAILABLE BY REQUEST. PART I, LINE 7: DIGNITY HEALTH 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 $174.7 MILLION OF QUALITY ASSURANCE FEES ASSESSED TO DIGNITY HEALTH IN ACCORDANCE WITH THE CALIFORNIA PROVIDER FEE PROGRAMS. INCLUDED IN DIRECT OFFSETTING REVENUE FOR MEDICAID, COLUMN (D), IS $334 MILLION IN SUPPLEMENTAL PAYMENTS RECEIVED UNDER THESE PROGRAMS.PART I, LINE 7I:INCLUDED IN CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT IS $6 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 HEALTH'S WORK TO PROMOTE THE HEALTH OF THE COMMUNITIES SERVED EXTENDS BEYOND PROVIDING HEALTH CARE AND COMMUNITY HEALTH IMPROVEMENT SERVICES. DIGNITY HEALTH 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 HEALTH 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 THE ACTIVITY 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 HEALTH 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 HEALTH 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 HEALTH HOSPITALS OFFER HEALTH CAREER MENTORING PROJECTS AND PROVIDE SCHOOL-BASED AND COMMUNITY PROGRAMS THAT DRIVE ENTRY INTO HEALTH CAREERS. COMMUNITY BUILDING - PHYSICAL IMPROVEMENTS AND HOUSING:COMMONSPIRIT HEALTH COMMUNITY INVESTMENT PROGRAM AND HOMELESS HEALTH INITIATIVE ACTIVITIES IN SUPPORT OF QUALITY AFFORDABLE HOUSING AND SHELTER IS NOT REPORTED AS COMMUNITY BUILDING. HOSPITALS' SUPPORT FOR HOUSING-INSECURE AND UNHOUSED POPULATIONS, THROUGH DIRECT SERVICES AND CASH GRANTS TO OTHER ORGANIZATIONS, TYPICALLY ADDRESSES COMMUNITY HEALTH NEEDS ASSESSMENT NEEDS AND MEETS COMMUNITY BENEFIT OBJECTIVES.COMMUNITY BUILDING - COMMUNITY SUPPORT:DIGNITY HEALTH 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 HEALTH ALSO MAKES CHARITABLE DONATIONS TO ORGANIZATIONS FOR THE SUPPORT AND DEVELOPMENT OF UNDERSERVED YOUTH, DISASTER RELIEF, AND BASIC NEEDS FOR VULNERABLE POPULATIONS.COMMUNITY BUILDING - ENVIRONMENTAL IMPROVEMENTS:COMMONSPIRIT HEALTH IS ENGAGED IN ONGOING EFFORTS TO REDUCE COMMUNITY ENVIRONMENTAL HAZARDS IN THE AIR, WATER AND GROUND, AND THE SAFE REMOVAL OF OTHER TOXIC WASTE PRODUCTS, IN PART THROUGH SUSTAINABILITY AND IN PART THROUGH ADVOCACY. MOST OF THESE ACTIVITIES ARE NOT REPORTED AS COMMUNITY BUILDING EXPENSES. THE COMMITMENT OF COMMONSPIRIT HEALTH TO IMPROVE AND SUSTAIN THE ENVIRONMENT IS CODIFIED BY POLICIES, INCLUDING A SUSTAINABLE PROCUREMENT POLICY WHICH PURSUES MULTIPLE ENVIRONMENTAL GOALS TO REDUCE OUR ENVIRONMENTAL FOOTPRINT, SUPPORT ETHICAL SUPPLY CHAINS, AND FOSTER GREATER SOCIAL EQUITY WITHIN OUR COMMUNITIES AND BEYOND. COMMONSPIRIT HEALTH ATTEMPTS TO PURCHASE GOODS WITH RECYCLED CONTENT AND REDUCED PLASTIC CONTENT, AND ONCE PURCHASES REACH THE END OF THEIR INITIAL USE, COMMONSPIRIT HEALTH FOCUSES ON REUSE WITHIN THE HOSPITAL, TRANSFER TO OTHER USERS (SUCH AS COMMUNITY ORGANIZATIONS), RECYCLING, AND FINALLY, PROPER WASTE DISPOSAL. COMMONSPIRIT HEALTH HAS TRANSITIONED TO PRODUCTS THAT ARE FREE OF POLYVINYL CHLORIDE (PVC) AND DI (2-ETHYLHEXYL) PHTHALATE (DEHP) AND HAS ELIMINATED THE USE OF MERCURY. COMMONSPIRIT IS COMMITTED TO ACHIEVING NET-ZERO GREENHOUSE GAS EMISSIONS BY 2040 AND TO CUTTING OPERATIONAL EMISSIONS IN HALF BY 2030. OUR SYSTEM-WIDE CLIMATE ACTION PLAN, DESIGNED TO HELP US ACHIEVE THESE GOALS, CONSISTS OF THREE PILLARS: BUILDINGS AND OPERATIONS, SUPPLY CHAIN AND RESILIENT COMMUNITIES. IT IS AN EXTENSION OF OUR DECADES-LONG WORK TO CHANGE OUR OWN PRACTICES AND MOVE THE HEALTH CARE INDUSTRY TO EXAMINE ITS INFLUENCE ON THE QUALITY OF OUR AIR AND WATER AND OUR CLIMATE IMPACTS. INSPIRED BY POPE FRANCIS' LAUDATO SI ENCYCLICAL WE AFFIRMED OUT COMMITMENT TO THE LAUDATO SI ACTION PLATFORM. THIS INITIATIVE TO CHANGE THE WAY WE THINK AND ACT IN RELATIONSHIP WITH ONE ANOTHER AND OUR FRAGILE EARTH ALIGNS WITH COMMONSPIRIT'S MISSION TO MAKE THE HEALING PRESENCE OF GOD KNOWN IN OUR WORLD. COMMONSPIRIT HEALTH'S INVESTMENT POLICY SCREENS TO EXCLUDE FROM THE PORTFOLIO COMPANIES THAT EXTRACT AND/OR BURN THERMAL COAL, A PRODUCT WHICH HAS IMPACT ON THE HEALTH OF PERSONS, COMMUNITIES AND THE EARTH MAKES IT CONTRARY TO COMMONSPIRIT HEALTH'S HEALING MISSION. COMMUNITY BUILDING - LEADERSHIP DEVELOPMENT/TRAINING FOR COMMUNITY MEMBERS:DIGNITY HEALTH HOSPITALS ARE COMMITTED TO BUILDING HEALTHIER COMMUNITIES THROUGH PARTICIPATION IN AND CHARITABLE CONTRIBUTIONS TO LEADERSHIP DEVELOPMENT, PARTICULARLY OF ADOLESCENT, TEEN AND YOUNG ADULT LEADERSHIP, AND CAREER DEVELOPMENT FOR VULNERABLE POPULATIONS.COMMUNITY BUILDING - COALITION BUILDING:DIGNITY HEALTH 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 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 HEALTH 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 HEALTH HAS ESTABLISHED A HEALTH PROFESSIONALS WORKFORCE DEVELOPMENT PARTNERSHIP WITH MOREHOUSE SCHOOL OF MEDICINE TO RECRUIT AND TRAIN BLACK CLINICIANS. DIGNITY HEALTH SUPPORTS THE TRAINING AND RECRUITMENT OF UNDERREPRESENTED MINORITIES AND PARTICIPATES IN COMMUNITY WORKFORCE BOARDS AND PARTNERSHIPS. SEVERAL DIGNITY HEALTH 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 I, 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 HEALTH 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 HEALTH 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 HEALTH 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 HEALTH AND ITS SUBORDINATE CORPORATIONS BELIEVE THAT THE ENTIRE MEDICARE SHORTFALL FOR THE CONSOLIDATED ENTITIES CONSTITUTES COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY COMMONSPIRIT HOSPITALS IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITIES. THE HOSPITALS PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. DIGNITY HEALTH'S SHORTFALL, AS REPORTED ON PART III, SECTION B, LINE 7, OF $274 MILLION REPRESENTS THE FILING ORGANIZATION'S MEDICARE COST REPORTS. PART III, LINE 9B: DIGNITY HEALTH FACILITIES ENSURE THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. DIGNITY HEALTH 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 COMMONSPIRIT HEALTH FACILITY, OR BILLING COMPANY RETAINED BY COMMONSPIRIT HEALTH, IS UNABLE TO OBTAIN AN UPDATED ADDRESS THROUGH SKIP TRACING OR OTHER MEANS. FOR PATIENTS WHO HAVE AN APPLICATION PENDING FOR EITHER GOVERNMENT-SPONSORED ASSISTANCE OR FOR ASSISTANCE UNDER COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE POLICY, OR WHERE THE PATIENT IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH THE FACILITY VIA PAYMENT PLANS, DIGNITY HEALTH WILL NOT KNOWINGLY SEND THAT PATIENT'S BILL TO AN OUTSIDE COLLECTION AGENCY.ON SELF-PAY ACCOUNTS THAT DO NOT MEET THE CRITERIA NOTED ABOVE, THE INITIAL DETERMINATION OF ASSIGNMENT TO A COLLECTION AGENCY WILL VARY DEPENDING ON THE NATURE OF THE ACCOUNT WITH THE FINAL DECISION BEING AT THE DISCRETION OF THE BILLING COMPANY RETAINED BY COMMONSPIRIT HEALTH. UPON ASSIGNMENT OF SUCH A PATIENT ACCOUNT TO A COLLECTION AGENCY, COMMONSPIRIT HEALTH REQUIRES THE AGENCY TO COMPLY WITH THE FAIR DEBT COLLECTION PRACTICES ACT. PART VI, LINE 2: IN ADDITION TO EACH LICENSED HOSPITAL CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT AT LEAST EVERY THREE YEARS, DIGNITY HEALTH 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 HEALTH 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 HEALTH 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 WORKS, 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 HEALTH HOSPITALS DELIVER CARE TO DIVERSE COMMUNITIES ACROSS ARIZONA, CALIFORNIA AND NEVADA. FOLLOWING ARE BRIEF DESCRIPTIONS AND DEMOGRAPHIC SUMMARIES OF THE COMMUNITIES SERVED BY DIGNITY HEALTH HOSPITALS. DIGNITY HEALTH 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 COMMUNITY DEFINITION.ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER:ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER'S SERVICE AREA AND COMMUNITY SERVED IN THIS REPORT SPANS THE ENTIRETY OF MARICOPA COUNTY, THE FOURTH MOST POPULOUS COUNTY IN THE UNITED STATES. WITH AN ESTIMATED POPULATION OF OVER 4.4 MILLION AND GROWING, MARICOPA COUNTY IS HOME TO WELL OVER HALF OF ARIZONA'S RESIDENTS. MARICOPA COUNTY ENCOMPASSES 9,202 SQUARE MILES, INCLUDES 27 CITIES AND TOWNS, AND 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. MARICOPA COUNTY IS ETHNICALLY AND CULTURALLY DIVERSE; TOTAL POPULATION IS 4,430,871 AND 32% OF ALL RESIDENTS ARE LATINO/HISPANIC; 5% AFRICAN AMERICAN; 4% ASIAN AND NATIVE HAWAIIAN/PACIFIC ISLANDER; AND 1% AMERICAN INDIAN/ALASKA NATIVE. ACCORDING TO THE U.S. CENSUS BUREAU, 6% PERCENT OF THE POPULATION DOES NOT HAVE A HIGH SCHOOL DIPLOMA, 12% ARE LIVING BELOW THE FEDERAL POVERTY LEVEL, 26% HAVE NON-ENGLISH LANGUAGES SPOKEN AT HOME, AND 11% ARE UNINSURED. THERE ARE 18 FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS IN MARICOPA COUNTY AND 5 PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREAS.PHYSICALLY LOCATED IN THE HEART OF PHOENIX, ARIZONA, SJHMC DRAWS POPULATIONS FROM MARICOPA COUNTY, OTHER ARIZONA COUNTIES, AND EVEN FROM OUTSIDE THE STATE. SJHMC'S PRIMARY SERVICE AREA IS WITHIN THE URBAN INNER-CITY AREAS, AND IT ALSO SERVES THE SUBURBAN AND RURAL COMMUNITIES FOR HIGH-RISK SERVICES. ST. JOSEPH'S WESTGATE MEDICAL CENTER:ST. JOSEPH'S WESTGATE MEDICAL CENTER'S SERVICE AREA AND COMMUNITY SERVED IN THIS REPORT SPANS THE ENTIRETY OF MARICOPA COUNTY, THE FOURTH MOST POPULOUS COUNTY IN THE UNITED STATES. WITH AN ESTIMATED POPULATION OF OVER 4.4 MILLION AND GROWING, MARICOPA COUNTY IS HOME TO WELL OVER HALF OF ARIZONA'S RESIDENTS. MARICOPA COUNTY ENCOMPASSES 9,202 SQUARE MILES, INCLUDES 27 CITIES AND TOWNS, AND 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. MARICOPA COUNTY IS ETHNICALLY AND CULTURALLY DIVERSE; TOTAL POPULATION IS 4,430,871 AND 32% OF ALL RESIDENTS ARE LATINO/HISPANIC; 5% AFRICAN AMERICAN; 4% ASIAN AND NATIVE HAWAIIAN/PACIFIC ISLANDER; AND 1% AMERICAN INDIAN/ALASKA NATIVE. ACCORDING TO THE U.S. CENSUS BUREAU, 6% PERCENT OF THE POPULATION DOES NOT HAVE A HIGH SCHOOL DIPLOMA, 12% ARE LIVING BELOW THE FEDERAL POVERTY LEVEL, 26% HAVE NON-ENGLISH LANGUAGES SPOKEN AT HOME, AND 11% ARE UNINSURED. THERE ARE 18 FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS IN MARICOPA COUNTY AND 5 PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREAS.PHYSICALLY LOCATED IN GLENDALE, ARIZONA, SJWMC DRAWS POPULATIONS FROM MARICOPA COUNTY, OTHER ARIZONA COUNTIES, AND OCCASIONALLY FROM OUTSIDE THE STATE. SJWMC'S PRIMARY SERVICE AREA IS WITHIN THE URBAN INNER-CITY AREAS, AND IT ALSO SERVES THE SUBURBAN AND RURAL COMMUNITIES FOR HIGH-RISK SERVICES. MARIAN REGIONAL MEDICAL CENTER, ARROYO GRANDE:MARIAN REGIONAL MEDICAL CENTER, ARROYO GRANDE, WHICH INCLUDES MARIAN REGIONAL MEDICAL CENTER AND ARROYO GRANDE COMMUNITY HOSPITAL, IS LOCATED AT 1400 EAST CHURCH STREET IN SANTA MARIA, SANTA BARBARA COUNTY, CALIFORNIA. THE HOSPITAL ALSO OPERATES A SECOND FACILITY 17 MILES TO THE NORTH UNDER THE SAME HOSPITAL LICENSE, ARROYO GRANDE COMMUNITY HOSPITAL. ARROYO GRANDE COMMUNITY HOSPITAL IS LOCATED AT 345 SOUTH HALCYON ROAD IN ARROYO GRANDE, SAN LUIS OBISPO COUNTY, CALIFORNIA. THE HOSPITAL IS A MEMBER OF DIGNITY HEALTH, WHICH IS PART OF COMMONSPIRIT HEALTH. THE HOSPITALS SERVE APPROXIMATELY 234,000 INDIVIDUALS FROM THE URBAN AND RURAL AREAS OF NORTHERN SANTA BARBARA COUNTY AND SOUTHERN SAN LUIS OBISPO COUNTY, CALIFORNIA. THE COMMUNITY SERVED BY THE HOSPITAL PRIMARILY RESIDES WITHIN THE INCORPORATED AREAS OF ORCUTT, SANTA MARIA, GUADALUPE, NIPOMO, ARROYO GRANDE, GROVER BEACH, OCEANO, AND PISMO BEACH. THE COMMUNITY SERVED BY THE HOSPITAL INCLUDES THE FOLLOWING ZIP CODES: SANTA BARBARA COUNTY, 93434 (GUADALUPE), 93454 (SANTA MARIA), 93455 (SANTA MARIA AND ORCUTT), 93458 (SANTA MARIA). SAN LUIS OBISPO COUNTY: 93420 (ARROYO GRANDE), 93433 (GROVER BEACH), 93444 (NIPOMO), 93445 (OCEANO), 93449 (PISMO BEACH). THE HOSPITAL'S COMMUNITY DOES NOT EXCLUDE ANY LOW-INCOME OR UNDERSERVED POPULATIONS AND INCLUDES ALL MEMBERS OF THE COMMUNITY. THE COMMUNITY SERVED BY THE HOSPITAL ALIGNS WITH THE RESIDENCE LOCATION FOR MORE THAN 75% OF ALL INPATIENT DISCHARGES. MARIAN REGIONAL MEDICAL CENTER AND ARROYO GRANDE COMMUNITY HOSPITAL ARE THE ONLY ACUTE CARE HOSPITALS SERVING THE COMMUNITY. THEY ARE SUPPORTED BY THE SAN LUIS OBISPO COUNTY PUBLIC HEALTH DEPARTMENT AND SANTA BARBARA COUNTY PUBLIC HEALTH DEPARTMENTS. ACCORDING TO THE AMERICAN COMMUNITY SURVEY (2019-2023, 5-YEAR ESTIMATES), THE OVERALL COMMUNITY SERVED BY BOTH FACILITIES OF THE HOSPITAL IS HOME TO 234,668 RESIDENTS. THE COMMUNITY IS ETHNICALLY DIVERSE WITH OVER HALF (56%) OF THE RESIDENTS IDENTIFYING AS HISPANIC OR LATINO(A) ORIGIN, AND APPROXIMATELY ONE-THIRD (36%) CONSIDER THEMSELVES WHITE ALONE, NOT HISPANIC OR LATINO(A). THE REMAINING COMMUNITY MEMBERS EITHER IDENTIFY AS ASIAN (4%), TWO OR MORE RACES (3%), OR MEMBERS OF THE BLACK COMMUNITY (1%). NEARLY HALF (113,771) OF THE COMMUNITY SERVED BY THE HOSPITAL ARE MEMBERS OF MEDI-CAL. THE HOSPITAL SERVES THE CITY OF SANTA MARIA WHICH HAS APPROXIMATELY 110,000 RESIDENTS, OF WHICH 79.3% OF THE POPULATION IDENTIFY THEMSELVES AS HISPANIC OR LATINO(A). COMPARING SANTA MARIA TO ALL U.S. CITIES WITH POPULATIONS OVER 100,000, IT HAS THE 8TH HIGHEST PROPORTION OF HISPANIC OR LATINO(A) RESIDENTS. THE HOSPITAL SUPPORTS TWO DISTINCT COMMUNITIES: APPROXIMATELY TWO-THIRDS OF THE COMMUNITY RESIDE IN SANTA BARBARA COUNTY (153,637 INDIVIDUALS) AND COMMONLY UTILIZES MARIAN REGIONAL MEDICAL CENTER, AND ONE-THIRD OF THE COMMUNITY RESIDES IN SOUTHERN SAN LUIS OBISPO COUNTY (81,031 INDIVIDUALS) AND FREQUENTS ARROYO GRANDE COMMUNITY HOSPITAL. NORTHERN SANTA BARBARA COUNTY: APPROXIMATELY 70% OF THE NORTHERN SANTA BARBARA COUNTY COMMUNITY CONSIDER THEMSELVES OF HISPANIC OR LATINO(A) ORIGIN, WITH A MUCH LESSER 23% IDENTIFYING AS WHITE ALONE, NOT HISPANIC OR LATINO(A). THE REMAINING COMMUNITY MEMBERS EITHER IDENTIFY AS ASIAN (4%), TWO OR MORE RACES (2%), OR MEMBERS OF THE BLACK COMMUNITY (1%). APPROXIMATELY ONE IN SEVEN (14.3%) LIVE BELOW THE FEDERAL POVERTY LEVEL, WHICH INCREASES TO 28.2% IN GUADALUPE (93434) AND 17.9% IN SANTA MARIA (93458). IN THE CITY OF SANTA MARIA ONLY 62.8% OF THE POPULATION 25 YEARS AND OLDER HAVE ATTAINED A HIGH SCHOOL DEGREE OR EQUIVALENT. OVER HALF (57%) OF THE COMMUNITY MEMBERS RESIDING IN NORTHERN SANTA BARBARA COUNTY SPEAK A LANGUAGE OTHER THAN ENGLISH, AND ONE IN FOUR (26.2%) SPEAK ENGLISH LESS THAN VERY WELL. OVERALL, THE YOUTH AND YOUNG ADULT POPULATION RESIDING IN THE COMMUNITY IS ROBUST AND ACCOUNTS FOR APPROXIMATELY 40% OF THE POPULATION WITH A MEDIAN AGE OF 32.3. ACCORDING TO CENCAL, OVER HALF (61.5%) OF THE COMMUNITY ARE MEMBERS OF CENCAL WITH 87,951 CENCAL MEMBERS RESIDING IN THE CITY OF SANTA MARIA. SOUTHERN SAN LUIS OBISPO COUNTY: THE COMMUNITY SERVED BY THE HOSPITAL THAT RESIDES IN SOUTHERN SAN LUIS OBISPO COUNTY IS THE INVERSE OF THE SANTA BARBARA COUNTY COMMUNITY. OVERALL, 61.4% OF COMMUNITY MEMBERS IDENTIFY AS WHITE ALONE, NOT HISPANIC OR LATINO(A) AND A LESSER 29.4% IDENTIFY AS HISPANIC OR LATINO(A). THE REMAINING 9% PRIMARILY IDENTIFY AS ASIAN ALONE (2.8%) OR TWO OR MORE RACES (4.6%), WITH APPROXIMATELY 1% IDENTIFYING THEMSELVES AS MEMBERS OF THE BLACK COMMUNITY. APPROXIMATELY 8.6% OF THE SOUTHERN SAN LUIS OBISPO COUNTY COMMUNITY LIVE BELOW THE FEDERAL POVERTY LEVEL, WHICH IS LESS THAN THE RATE FOR THE ENTIRE COUNTY (12.8%) AND FOR THE STATE (12.0%). OVER 42% OF COMMUNITY MEMBERS LIVING IN SOUTHERN SAN LUIS OBISPO COUNTY HAVE PUBLIC HEALTH INSURANCE COVERAGE, WITH ONE IN FOUR COVERED BY CENCAL, AND ABOUT 5% HAVE NO HEALTH INSURANCE COVERAGE. THE SOUTHERN SAN LUIS OBISPO COUNTY COMMUNITY HAS A MEDIAN AGE OF 45.5, WITH OVER A THIRD (38%) BEING 55 AND OLDER.*** 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 HEALTH 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 HEALTH 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 HEALTH 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 AND LAS VEGAS AND HENDERSON, NEVADA AND IN 21 ADDITIONAL STATES THROUGH THE ALLIANCE WITHIN COMMONSPIRIT HEALTH 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 HEALTH, 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 MERCY GENERAL HOSPITAL, MERCY HOSPITAL OF FOLSOM, MERCY SAN JUAN MEDICAL CENTER:MERCY GENERAL HOSPITAL, MERCY HOSPITAL OF FOLSOM, AND MERCY SAN JUAN MEDICAL CENTER ARE LOCATED IN SACRAMENTO COUNTY AND SERVE 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 HEALTH HOSPITALS (NON-PSYCHIATRIC) SERVING SACRAMENTO COUNTY: 5 FEDERALLY 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.MERCY MEDICAL CENTER REDDING:THE HOSPITAL SERVES APPROXIMATELY 205,000 INDIVIDUALS WHO RESIDE IN THE NORTHERN END OF THE SACRAMENTO VALLEY AND THE RURAL FOOTHILLS AND OPEN RANGE AREAS SURROUNDING THE COMMUNITY TO THE NORTH, WEST AND EAST. THE INTERSTATE HIGHWAY I-5 CORRIDOR TRANSECTS THE COMMUNITY FROM SOUTH TO NORTH AND CONNECTS THE URBAN PARTS OF THE SERVICE AREA. THE COMMUNITY SERVED BY THE HOSPITAL INCLUDES THE GREATER REDDING AREA OF SHASTA COUNTY, ALONG WITH MULTIPLE SMALLER INCORPORATED COMMUNITIES SUCH AS SHASTA LAKE, BELLA VISTA, PALO CEDRO, CENTERVILLE, HAPPY VALLEY, ANDERSON, AND COTTONWOOD. THE HOSPITAL ALSO SERVES THE CITY OF RED BLUFF AND LAKE CALIFORNIA IN TEHAMA COUNTY. THE DEFINED COMMUNITY SERVED BY THE HOSPITAL INCLUDES THE INCORPORATED COMMUNITIES ALREADY MENTIONED, AND THE ENTIRE GEOGRAPHIC AREA OF EACH OF THE FOLLOWING ZIP CODES: 96001, 96002, 96003 (REDDING), 96007 (ANDERSON), 96019 (SHASTA LAKE), 96022 (COTTONWOOD), 96073 (PALO CEDRO), 96080 (RED BLUFF), 96088 (SHINGLETOWN). DEMOGRAPHICS WITHIN MERCY MEDICAL CENTER REDDING'S SERVICE AREA AS DERIVED FROM THE U.S. CENSUS INCLUDE: TOTAL POPULATION: 205,453MEDIAN AGE (YEARS): 40.7PERCENT HISPANIC OR LATINO(A): 12.6% PERCENT WHITE ALONE, NOT HISPANIC OR LATINO(A): 75.3% MEDIAN HOUSEHOLD INCOME RANGE: $71,746 PERCENT OF FAMILIES LIVING IN POVERTY (BELOW 100% FEDERAL POVERTY LEVEL): 8.1% UNEMPLOYMENT RATE: 6.3%PERCENT WITH LESS THAN A HIGH SCHOOL DIPLOMA, 25 YEARS AND OVER: 8.3%PERCENT, AGE 5 AND OLDER WHO SPEAK ENGLISH LESS THAN "VERY WELL": 5.1% PERCENT WITHOUT HEALTH INSURANCE: 6.6%NO. OF PARTNERSHIP HEALTHPLAN OF CALIFORNIA MEMBERS (MEDI-CAL ADMINISTRATOR): 70,125 ST. ROSE DOMINICAN HOSPITALS SIENA, SAN MARTIN AND DE LIMA: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/ETHNICITYASIAN/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 ST. BERNARDINE MEDICAL CENTER:ST. BERNARDINE MEDICAL CENTER SERVES 31 ZIP CODES IN 17 CITIES, 8 OF WHICH ARE LOCATED IN THE CITY OF SAN BERNARDINO A SUMMARY DESCRIPTION OF THE COMMUNITY IS PROVIDED BELOW, AND ADDITIONAL DETAILS CAN BE FOUND IN THE CHNA REPORT ONLINE.THE POPULATION OF THE HOSPITAL SERVICE AREA IS 1,233,495. CHILDREN AND YOUTH, AGES 0-17, MAKE UP 27.1% OF THE POPULATION, 61.9% ARE ADULTS, AGES 18-64, AND 11% OF THE POPULATION ARE SENIORS, AGES 65 AND OLDER. MOST OF THE POPULATION IN THE SERVICE AREA IDENTIFIES AS HISPANIC/LATINO (62%). 21.3% OF THE POPULATION IDENTIFIES AS WHITE/CAUCASIAN, 8.3% AS BLACK/AFRICAN AMERICAN. 5% AS ASIAN AND 2.5% OF THE POPULATION IDENTIFIES AS MULTIRACIAL (TWO-OR-MORE RACES), 0.2% AS AMERICAN INDIAN/ALASKAN NATIVE, AND 0.2% AS NATIVE HAWAIIAN/PACIFIC ISLANDER. THOSE WHO ARE OF SOME OTHER RACES REPRESENT 0.4% OF THE SERVICE AREA POPULATION. IN THE SERVICE AREA, 52.2% OF THE POPULATION, AGES 5 AND OLDER, SPEAK ONLY ENGLISH IN THE HOME. AMONG THE AREA POPULATION, 42.73% SPEAK SPANISH, 3.4% SPEAK AN ASIAN/PACIFIC ISLANDER LANGUAGE, AND 1.1% SPEAK AN INDO-EUROPEAN LANGUAGE IN THE HOME. AMONG THE RESIDENTS IN THE SERVICE AREA, 14.6% ARE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL) AND 35.6% ARE AT 200% OF FPL OR BELOW. IN SAN BERNARDINO COUNTY 12.2% OF THE POPULATION EXPERIENCED FOOD INSECURITY IN 2022. AMONG CHILDREN IN SAN BERNARDINO COUNTY, 17.9% LIVED IN HOUSEHOLDS THAT EXPERIENCED FOOD INSECURITY. ACCORDING TO THE CALIFORNIA DEPARTMENT OF SOCIAL SERVICES, 81.8% OF ELIGIBLE HOUSEHOLDS IN SAN BERNARDINO COUNTY PARTICIPATED IN THE CALFRESH FOOD STAMP PROGRAM. EDUCATIONAL ATTAINMENT IS A KEY DRIVER OF HEALTH. IN THE HOSPITAL SERVICE AREA, 22% OF ADULTS, AGES 25 AND OLDER, LACK A HIGH SCHOOL DIPLOMA, WHICH IS HIGHER THAN COUNTY (18.6%) AND STATE (15.6%) RATES. SCHEDULE H, PART VI, LINE 4 - COMMUNITY INFORMATION CONTINUATION DOMINICAN HOSPITAL:IN 2024, AN ESTIMATED 265,735 PEOPLE RESIDED IN SANTA CRUZ COUNTY (A DECREASE OF 2% SINCE 2020). SANTA CRUZ COUNTY HAS AN AGING POPULATION, WITH 18% UNDER 18 AND 20% AGED 65 OR OLDERSLIGHTLY OLDER THAN THE STATE OVERALL. THE MEDIAN AGE IS 41.2 YEARS, COMPARED TO 38.8 STATEWIDE. AMONG ADULTS OVER 25 YEARS OLD, 44% HOLD A BACHELOR'S DEGREE, HIGHER THAN THE STATE'S 37%. THE MAJORITY OF SANTA CRUZ COUNTY'S POPULATION IDENTIFIES AS WHITE, WITH SMALLER PROPORTIONS OF OTHER RACIAL AND ETHNIC GROUPS COMPARED TO THE STATE OVERALL. A TOTAL OF 58% IDENTIFY AS WHITE, MUCH HIGHER THAN CALIFORNIA'S 39%, WHILE 36% ARE LATINE, SLIGHTLY BELOW THE STATE'S 41%. ASIAN RESIDENTS MAKE UP 5%, WELL UNDER THE STATE'S 16%. FOREIGN-BORN RESIDENTS ACCOUNT FOR 18% (COMPARED TO 27% STATEWIDE), AND 13% HAVE LIMITED ENGLISH PROFICIENCY, LOWER THAN THE STATE'S 18%. THE REAL COST MEASURE FOR A TWO-ADULT, TWO-CHILD HOUSEHOLD IN SANTA CRUZ COUNTY IS $117,644 PER YEAR. WHILE 53% OF SANTA CRUZ COUNTY HOUSEHOLDS EARN $100,000 OR MORE, 24% EARN BETWEEN $50,000 AND $100,000, AND ANOTHER 24% EARN BELOW $50,000. ST. JOHN'S REGIONAL MEDICAL CENTER AND ST. JOHN'S CAMARILLO HOSPITAL:ST. JOHN'S REGIONAL MEDICAL CENTER IS LOCATED AT 1600 N. ROSE AVENUE, OXNARD, CA. IT SERVES THE COMMUNITIES OF THE CITY OF OXNARD (93030, 93033, 93035, AND 93036), PORT HUENEME (93041, 93042, AND 93043), CAMARILLO (93010, 93012), AND SOMIS (93066). VENTURA COUNTY HAS AN AREA OF LAND OF 1,843.1 SQUARE MILES, WHICH ENCOMPASSES 10 CITIES, 23 CENSUS-DESIGNATED PLACES, AND 15 OTHER UNINCORPORATED COMMUNITIES. ACCORDING TO 2024 CLARITAS POP-FACTS, VENTURA COUNTY HAS A POPULATION OF 831,225, A MEDIAN AGE OF 40.3 AND A MEDIAN HOUSEHOLD INCOME OF $103,111. ADDITIONALLY, 50.9% OF THE POPULATION IS FEMALE, 5.1% ARE BELOW FIVE YEARS OF AGE, 20.8% ARE BELOW 18 YEARS, 18.6% ARE 65 YEARS AND ABOVE AND 37.9% OF THE PEOPLE IN VENTURA COUNTY SPEAK A NON-ENGLISH LANGUAGE AT HOME, WITH THE MOST COMMON NON ENGLISH LANGUAGE BEING SPANISH (29.8%). THE HOMEOWNERSHIP RATE IS 60.4%, HOUSEHOLDS WITH AN INTERNET SUBSCRIPTION IS 95.9%, AND AMONG COUNTY RESIDENTS, 4.9% HAVE VETERAN STATUS AND 22.9% ARE FOREIGN BORN. IN VENTURA COUNTY, 45.4% OF RESIDENTS IDENTIFY AS HISPANIC/LATINO. THE HIGHEST PERCENTAGE OF INDIVIDUALS WITH A HIGH SCHOOL DEGREE RESIDED BY THE FOLLOWING ZIP CODES: 93033 (42.7%), 93040 (33.7%), 93060 (33%) AND 93030 (30.2%). NOTABLY, VENTURA COUNTY HAS A HIGHER PERCENTAGE OF POPULATION WITH AN ASSOCIATE DEGREE (10.2%) THAN CALIFORNIA (7.9%) AND A LOWER POVERTY RATE (9.7%) COMPARED TO THE STATE AND NATIONAL POVERTY RATES OF 12.0% AND 12.5%, RESPECTIVELY. MERCY MEDICAL CENTER MERCED:DIGNITY HEALTH MERCY MEDICAL CENTER MERCED (MMCM) IS LOCATED AT 333 MERCY AVENUE, MERCED, CA 95340. 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. FOR THE PURPOSES OF THIS REPORT, THE HOSPITAL DEFINES ITS PRIMARY SERVICE AREA TO INCLUDE SIX ZIP CODES IN FOUR CITIES. WHILE ONE CITY, CHOWCHILLA (AND MOST OF ITS ASSOCIATED ZIP CODE) IS IN MADERA COUNTY, ONLY MERCED COUNTY-LEVEL DATA ARE INCLUDED IN THIS REPORT. THE POPULATION OF THE SERVICE AREA IS 186,200. CHILDREN AND YOUTH, AGES 0-17, MAKE UP 27.6% OF THE POPULATION, 61.2% ARE ADULTS, AGES 18-64, AND 11.2% OF THE POPULATION ARE SENIORS, AGES 65 AND OLDER. THE LARGEST PORTION OF THE POPULATION IN THE SERVICE AREA ARE HISPANIC OR LATINO RESIDENTS (55.6%), 28.3% ARE WHITE OR CAUCASIAN RESIDENTS, 8.5% ARE ASIAN RESIDENTS, AND 4% ARE BLACK OR AFRICAN AMERICAN RESIDENTS. 2.6% OF THE POPULATION ARE NON-LATINO MULTIRACIAL (TWO-OR-MORE RACES) RESIDENTS, 0.4% ARE AMERICAN INDIAN OR ALASKAN NATIVE RESIDENTS, AND 0.3% ARE NATIVE HAWAIIAN OR PACIFIC ISLANDER RESIDENTS. THOSE WHO IDENTIFY WITH A RACE AND ETHNICITY NOT LISTED REPRESENT 0.3% OF THE POPULATION. IN THE SERVICE AREA, 52% OF THE POPULATION, 5 YEARS AND OLDER, SPEAK ONLY ENGLISH IN THE HOME. AMONG THE AREA POPULATION, 39.2% SPEAK SPANISH, 5.2% SPEAK AN ASIAN OR PACIFIC ISLANDER LANGUAGE, AND 3.2% SPEAK AN INDO-EUROPEAN LANGUAGE IN THE HOME. AMONG THE RESIDENTS IN THE SERVICE AREA, 20.6% ARE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL) AND 42.4% ARE AT 200% OF FPL OR BELOW. IN MERCED COUNTY, 16.6% OF THE POPULATION EXPERIENCED FOOD INSECURITY IN 2022. AMONG CHILDREN IN THE COUNTY, 23.1% LIVED IN HOUSEHOLDS THAT EXPERIENCED FOOD INSECURITY. FEEDING AMERICA ESTIMATED THAT 83% OF THOSE EXPERIENCING FOOD INSECURITY IN MERCED COUNTY, AND 73% OF COUNTY CHILDREN EXPERIENCING FOOD INSECURITY, WERE INCOME-ELIGIBLE FOR NUTRITIONAL PROGRAMS SUCH AS SNAP. EDUCATIONAL ATTAINMENT IS A KEY DRIVER OF HEALTH. IN THE HOSPITAL SERVICE AREA, 25.3% OF ADULTS, AGES 25 AND OLDER, LACK A HIGH SCHOOL DIPLOMA, WHICH IS HIGHER THAN THE STATE RATE (15.6%). 16.2% OF AREA ADULTS HAVE A BACHELOR'S OR HIGHER DEGREE. 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. FOR PRIMARY CARE, THE ATWATER AND CHOWCHILLA AREAS ARE DESIGNATED AS HPSAS, AS IS THE MERCED/MERCED SOUTHWEST AREA FOR LOW-INCOME RESIDENTS, AND THE LE GRAND/PLANADA AREA FOR THE MEDICAID ELIGIBLE POPULATION. THE CHOWCHILLA AREA IS DESIGNATED AS AN HPSA FOR MEDICAID ELIGIBLE RESIDENTS FOR DENTAL HEALTH, AND ALL OF MERCED AND MADERA COUNTIES ARE DESIGNATED AS HPSAS FOR MENTAL HEALTH.MERCY HOSPITAL BAKERSFIELD:KERN COUNTY PRESENTS A COMPLEX DEMOGRAPHIC, FEATURING A SIGNIFICANT URBAN CENTER IN BAKERSFIELD THAT SERVES AS ITS CORE. WHILE POCKETS OF SUBURBAN DEVELOPMENT CAN BE FOUND SURROUNDING THIS CITY AND WITHIN LARGER TOWNS, THE VAST MAJORITY OF THE COUNTY'S LAND AREA AND MANY OF ITS NUMEROUS SMALLER COMMUNITIES ARE DISTINCTLY RURAL. THEREFORE, KERN COUNTY IS BEST CHARACTERIZED AS A BLEND OF URBAN, SUBURBAN, AND PREDOMINANTLY RURAL COMMUNITIES. THE POPULATION OF THE SERVICE AREA IS 625,147. CHILDREN AND YOUTH, AGES 0-17, MAKE UP 29.8% OF THE POPULATION, 59.6% ARE ADULTS, AGES 18-64, AND 10.6% OF THE POPULATION ARE SENIORS, AGES 65 AND OLDER. THE LARGEST PORTION OF THE POPULATION IN THE SERVICE AREA ARE HISPANIC OR LATINO RESIDENTS (55.4%), 30.7% ARE WHITE OR CAUCASIAN RESIDENTS, 5.2% ARE ASIAN RESIDENTS, AND 5% ARE BLACK OR AFRICAN AMERICAN RESIDENTS. 2.7% OF THE POPULATION ARE NON-LATINO MULTIRACIAL (TWO-OR-MORE RACES) RESIDENTS, 0.4% ARE AMERICAN INDIAN OR ALASKAN NATIVE RESIDENTS, AND 0.1% ARE NATIVE HAWAIIAN OR PACIFIC ISLANDER RESIDENTS. AMONG THE RESIDENTS IN THE SERVICE AREA, 19.1% ARE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL) AND 42.1% ARE AT 200% OF FPL OR BELOW. IN THE SERVICE AREA, 25.7% OF CHILDREN LIVE IN POVERTY, 13.9% OF SENIOR ADULTS LIVE IN POVERTY, AND 44.6% OF FAMILIES WITH A 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 8%. THE MEDIAN HOUSEHOLD INCOME IN THE SERVICE AREA IS $71,566. IN THE SERVICE AREA, 92% OF THE CIVILIAN, NON-INSTITUTIONALIZED POPULATION HAVE HEALTH INSURANCE, AND 96.3% OF CHILDREN, AGES 18 AND YOUNGER, HAVE HEALTH INSURANCE COVERAGE. AMONG COUNTY RESIDENTS, 40.6% HAVE MEDI-CAL COVERAGE. EDUCATIONAL ATTAINMENT IS A KEY DRIVER OF HEALTH. IN THE HOSPITALS' SERVICE AREA, 22.4% OF ADULTS, AGES 25 AND OLDER, LACK A HIGH SCHOOL DIPLOMA, WHICH IS HIGHER THAN THE STATE RATE (15.6%). IN ADDITION TO DIGNITY HEALTH MERCY HOSPITAL DOWNTOWN AND MERCY HOSPITAL SOUTHWEST, THE SERVICE AREA CONTAINS THE FOLLOWING SIX HOSPITALS: DIGNITY HEALTH MEMORIAL HOSPITAL, ADVENTIST HEALTH BAKERSFIELD, GOOD SAMARITAN HOSPITAL, KERN MEDICAL, BAKERSFIELD BEHAVIORAL HEALTHCARE HOSPITAL, AND ENCOMPASS HEALTH REHABILITATION HOSPITAL OF BAKERSFIELD.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. MUCH OF THE SERVICE AREA, INCLUDING THE EAST BAKERSFIELD AREA, AND RURAL AREAS SURROUNDING AND BETWEEN TAFT AND ARVIN, AS WELL AS NORTH OF BAKERSFIELD, ARE DESIGNATED AS MEDICALLY UNDERSERVED AREAS (MUAS) FOR PRIMARY CARE. SCHEDULE H, PART VI, LINE 4 - COMMUNITY INFORMATION CONTINUATION ST. MARY MEDICAL CENTER:THE POPULATION OF THE SERVICE AREA IS 681,242. CHILDREN AND YOUTH, AGES 0-17, MAKE UP 22.9% OF THE POPULATION, 65.4% ARE ADULTS, AGES 18-64, AND 11.7% OF THE POPULATION ARE SENIORS, AGES 65 AND OLDER. THE LARGEST PORTION OF THE POPULATION IN THE SERVICE AREA ARE HISPANIC OR LATINO RESIDENTS (55%), 19.5% ARE WHITE OR CAUCASIAN RESIDENTS, 12.3% ARE BLACK OR AFRICAN AMERICAN RESIDENTS, 11.9% ARE ASIAN RESIDENTS, AND 2.7% OF THE POPULATION ARE NON-LATINO MULTIRACIAL RESIDENTS, 0.5% ARE NATIVE HAWAIIAN OR PACIFIC ISLANDER RESIDENTS, AND 0.2% ARE AMERICAN INDIAN OR ALASKAN NATIVE RESIDENTS. IN THE SERVICE AREA, 47% OF THE POPULATION, 5 YEARS AND OLDER, SPEAK ONLY ENGLISH IN THE HOME. AMONG THE AREA POPULATION, 44.3% SPEAK SPANISH, 6.7% SPEAK AN ASIAN OR PACIFIC ISLANDER LANGUAGE, AND 1.5% SPEAK AN INDO-EUROPEAN LANGUAGE IN THE HOME. AMONG THE RESIDENTS IN THE SERVICE AREA, 15.7% ARE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL) AND 36.2% ARE AT 200% OF FPL OR BELOW. THE MEDIAN HOUSEHOLD INCOME IN THE SERVICE AREA IS $77,432 AND THE UNEMPLOYMENT RATE IS 6.7%. EDUCATIONAL ATTAINMENT IS A KEY DRIVER OF HEALTH. IN THE HOSPITAL SERVICE AREA, 24.1% OF ADULTS, AGES 25 AND OLDER, LACK A HIGH SCHOOL DIPLOMA, WHICH IS HIGHER THAN THE STATE RATE (15.6%). 26.9% OF AREA ADULTS HAVE A BACHELOR'S OR HIGHER DEGREE. IN THE SERVICE AREA, 89.6% OF THE CIVILIAN, NON-INSTITUTIONALIZED POPULATION HAVE HEALTH INSURANCE, AND 95.3% OF CHILDREN, AGES 18 AND YOUNGER, HAVE HEALTH INSURANCE COVERAGE. AMONG SERVICE PLANNING AREA (SPA) 6 RESIDENTS, 40% HAVE MEDI-CAL COVERAGE AND 23.3% OF SPA 8 RESIDENTS HAVE MEDI-CAL COVERAGE. 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. NORTH LONG BEACH, LONG BEACH/WEST CENTRAL, LONG BEACH PORT AND COMPTON ARE DESIGNATED AS MUAS FOR PRIMARY CARE.MERCY GILBERT MEDICAL CENTER:MGMC IS LOCATED IN MARICOPA COUNTY (OUTLINED IN ORANGE BELOW), 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. MGMC'S COMMUNITY IS DEFINED AS INDIVIDUALS RESIDING WITHIN THE PRIMARY SERVICE AREA (PSA) OF MGMC. THE PSA IS DEFINED BY THE TOP 75% OF MGMC'S INPATIENT AND OUTPATIENT DISCHARGES AND IS OUTLINED BY ZIP CODES THAT ENCOMPASS ALL POPULATIONS, INCLUDING LOW- INCOME AND UNDERSERVED POPULATIONS. MGMC'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 MGMC CAME FROM THE FOLLOWING ZIP CODES: 85138, 85140, 85142, 85143, 85147, 85204, 85205, 85206, 85207, 85208, 85209, 85212, 85224, 85225, 85233, 85234, 85248, 85249, 85286, 85295, 85296, 85297, AND 85298. FIGURE 1 DISPLAYS A MAP OF MGMC'S COMMUNITY. MGMC'S PSA IS PREDOMINANTLY A SUBURBAN COMMUNITY:POPULATION:1,066,108 POPULATION BY RACE/ETHNICITY: 1% AMERICAN INDIAN/ALASKA NATIVE (NON-HISPANIC), 5% ASIAN AND NATIVE HAWAIIAN/PACIFIC ISLANDER (NON-HISPANIC), 4% BLACK/AFRICAN AMERICAN (NON-HISPANIC), 63% WHITE (NON-HISPANIC) AND 22% HISPANIC/LATINO POPULATION BY SEX: 49% MALE, 51% FEMALEPOPULATION BY AGE: 21% FOR 0-14 YEARS, 13% FOR 15-24YEARS, 27% FOR 25-44 YEARS, 25% FOR 45-64 YEARS, 15% FOR 65 + YEARSNON-ENGLISH SPOKEN AT HOME: 18%, UNEMPLOYMENT: 4%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: $98,916POVERTY BASED ON INCOME AND FAMILY THRESHOLD: 9% BELOW POVERTY LEVEL, ALL AGES, 3% BELOW POVERTY LEVEL UNDER THE AGE OF 18 UNINSURED: 11% MEDICAID: IP: 31%, ED: 43%NUMBER OF HOSPITALS IN THE AREA: 17 IN 2023ST. ELIZABETH COMMUNITY HOSPITAL:THE HOSPITAL SERVES APPROXIMATELY 70,000 COMMUNITY MEMBERS WHO PRIMARILY RESIDE IN THE CITIES OF RED BLUFF AND CORNING ALONG THE INTERSTATE HIGHWAY I-5 CORRIDOR IN THE SACRAMENTO VALLEY AND THE SURROUNDING RURAL FOOTHILLS, AGRICULTURAL AND RANGE LAND. THE INTERSTATE HIGHWAY I-5 CORRIDOR TRANSECTS THE COMMUNITY FROM SOUTH TO NORTH AND CONNECTS THE URBAN AREAS OF THE COMMUNITY. A SUMMARY DESCRIPTION OF THE COMMUNITY IS BELOW, AND ADDITIONAL DETAILS CAN BE FOUND IN THE CHNA REPORT ONLINE. THE CITY OF RED BLUFF SERVES AS THE COUNTY SEAT OF TEHAMA COUNTY AND IS HOME TO 14,592 RESIDENTS, MAKING IT THE LARGEST CITY (BY POPULATION) IN TEHAMA COUNTY. THE HOSPITAL ALSO SERVES THE COMMUNITIES OF COTTONWOOD, LAKE CALIFORNIA, BEND, PROBERTA, TEHAMA, RANCHO TEHAMA RESERVE, RICHFIELD, AND CORNING. THE COMMUNITY SERVED BY THE HOSPITAL INCLUDES THE FOLLOWING ZIP CODES: 96021 (CORNING), 96022 (COTTONWOOD), 96035 (GERBER), 96055 (LOS MOLINOS), 96078 (PROBERTA), 96080 (RED BLUFF), 96090 (RED BLUFF) DEMOGRAPHICS WITHIN ST. ELIZABETH COMMUNITY HOSPITAL'S SERVICE AREA AS DERIVED FROM THE U.S. CENSUS INCLUDE: TOTAL POPULATION: 70,584MEDIAN AGE (YEARS): 39.9PERCENT HISPANIC OR LATINO(A): 26.4% PERCENT WHITE ALONE, NOT HISPANIC OR LATINO(A): 64.7% MEDIAN HOUSEHOLD INCOME RANGE: $34,813 PERCENT OF FAMILIES LIVING IN POVERTY (BELOW 100% FEDERAL POVERTY LEVEL): 14.2% PERCENT WITH LESS THAN A HIGH SCHOOL DIPLOMA, 25 YEARS AND OVER: 13.6%PERCENT, AGE 5 AND OLDER WHO SPEAK ENGLISH LESS THAN "VERY WELL": 7.0% PERCENT WITHOUT HEALTH INSURANCE: 6.0%NO. OF PARTNERSHIP HEALTHPLAN OF CALIFORNIA MEMBERS (MEDI-CAL ADMINISTRATOR): 31,250MERCY MEDICAL CENTER MT. SHASTA:THE HOSPITAL SERVES APPROXIMATELY 44,000 INDIVIDUALS WHO RESIDE IN THE RURAL AND FRONTIER COMMUNITIES OF SISKIYOU COUNTY. A SUMMARY DESCRIPTION OF THE COMMUNITY IS BELOW, AND ADDITIONAL DETAILS CAN BE FOUND IN THE CHNA REPORT ONLINE. THE COMMUNITY SERVED BY THE HOSPITAL ENCOMPASSES ALL OF SISKIYOU COUNTY AND INCLUDES THE CITIES OF YREKA, WEED, AND MT. SHASTA, AND MULTIPLE SMALLER COMMUNITIES SUCH AS HORNBROOK, MONTAGUE, GRENADA, GAZELLE, LAKE SHASTINA, DUNSMUIR, AND MC CLOUD. THE HOSPITAL ALSO SERVES THE FOLLOWING ZIP CODES: 95568 (SOMES BAR), 96014 (CALLAHAN), 96023 (DORRIS), 96025 (DUNSMUIR), 96027 (ETNA), 96031 (FORKS OF SALMON), 96032 (FORT JONES), 96034 (GAZELLE), 96037 (GREENVIEW), 96038 (GRENADA), 96039 (HAPPY CAMP), 96044 (HORNBROOK), 96050 (KLAMATH RIVER), 96057 (MCCLOUD), 96058 (MACDOEL), 96064 (MONTAGUE), 96067 (MT. SHASTA), 96085 (SCOTT BAR), 96086 (SEIAD VALLEY), 96094 (WEED), 96097 (YREKA), 96134 (TULELAKE). DEMOGRAPHICS WITHIN MERCY MEDICAL CENTER MT. SHASTA'S SERVICE AREA AS DERIVED FROM THE U.S. CENSUS INCLUDE: TOTAL POPULATION: 43,834MEDIAN AGE (YEARS): 47.4PERCENT HISPANIC OR LATINO(A): 13.1% PERCENT WHITE ALONE, NOT HISPANIC OR LATINO(A): 74.2% MEDIAN HOUSEHOLD INCOME RANGE: $55,499 PERCENT OF FAMILIES LIVING IN POVERTY (BELOW 100% FEDERAL POVERTY LEVEL): 16.6% UNEMPLOYMENT RATE: 8.2%PERCENT WITH LESS THAN A HIGH SCHOOL DIPLOMA, 25 YEARS AND OVER: 8.9%PERCENT, AGE 5 AND OLDER WHO SPEAK ENGLISH LESS THAN "VERY WELL": 3.3% PERCENT WITHOUT HEALTH INSURANCE: 6.4%NO. OF PARTNERSHIP HEALTHPLAN OF CALIFORNIA MEMBERS (MEDI-CAL ADMINISTRATOR): 19,100ST. MARY'S MEDICAL CENTER:ST MARY'S SERVES SAN FRANCISCO AND THE GREATER BAY AREA, BUT A LARGE PORTION OF ITS PATIENT POPULATION COMES FROM THE RICHMOND, SUNSET, LAUREL HEIGHTS, AND HAIGHT ASHBURY AREAS. THE HOSPITAL SERVES A LARGE POPULATION OF SENIORS, PERSONS EXPERIENCING HOMELESS, MENTAL HEALTH AND SUBSTANCE USE CHALLENGES. IN 2022 THE NUMBER OF HOMELESS RESIDENTS IN THE PARK ABUTTING ST. MARY'S HAS INCREASED BY MORE THAN 100% FROM 83 TO172.TOTAL POPULATION: 831,456ASIAN/PACIFIC ISLANDER: 34.6%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 5.6%HISPANIC OR LATINO: 16.1%WHITE NON-HISPANIC: 38.1%ALL OTHERS: 5.6%% BELOW POVERTY: 5.1%UNEMPLOYMENT: 3.7%NO HIGH SCHOOL DIPLOMA: 11.4%MEDICAID: 18.5%UNINSURED: 4.0%OTHER AREA HOSPITALS: 8 SCHEDULE H, PART VI, LINE 4 - COMMUNITY INFORMATION CONTINUATION DE CRAIG RANCH LLC DBA ST. ROSE DOMINICAN - NORTH LAS VEGAS:DE BLUE DIAMOND LLC DBA ST. ROSE DOMINICAN - BLUE DIAMOND:DE SAHARA LLC DBA ST. ROSE DOMINICAN SAHARA:DE FLAMINGO LLC DBA ST. ROSE DOMINICAN - WEST FLAMINGO:DE NORTH DURANGO LLC DBA ST. ROSE DOMINICAN NORTH DURANGO (FORMERLY CENTENNIAL):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/ETHNICITYASIAN/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: YES- MEDICALLY UNDERSERVED AREAS/POPULATIONS: YES- VETERANS- INDIVIDUALS WITH DISABILITIES - RURAL RESIDENTS- AMERICAN INDIAN/ALASKA NATIVE- SENIOR RESIDENTS 60+- RESIDENTS OF ZIP 89101 1 ACE OVERCOMERS OF MERCED COUNTY 661 FAIRFIELD DR MERCED CA 95348 371653729 501(C)(3) 55100 0 COMMUNITY HEALTH ACOUSTIC NEUROMA ASSOCIATION 600 PEACHTREE PKWY SUITE 108 CUMMING GA 30041 232170836 501(C)(3) 10000 0 COMMUNITY HEALTH ALLAN HANCOCK COLLEGE 800 S COLLEGE DR SANTA MARIA CA 934546399 521692042 GOVT 375000 0 EDUCATION SUPPORT ALLAN HANCOCK COLLEGE FOUNDATION PO BOX 5170 SANTA MARIA CA 934565170 953143396 501(C)(3) 20000 0 EDUCATION SUPPORT ALLIANCE FOR PHARMACEUTICAL ACCESS INC 506 E PLAZA DR STE 5 SANTA MARIA CA 93454 203117940 501(C)(3) 60000 0 COMMUNITY HEALTH ALS ASSOCIATION ARIZONA CHAPTER 360 E CORONADO RD SUITE 140 PHOENIX AZ 85004 860727136 501(C)(3) 11500 0 COMMUNITY HEALTH ALZHEIMER'S DISEASE AND RELATED DISORDERS ASSOCIATIONS INC 225 N MICHIGAN AVE 17TH FL CHICAGO IL 60601 133039601 501(C)(3) 63700 0 COMMUNITY HEALTH ALZHEIMER'S DISEASE ASSOCIATION OF KERN COUNTY INC PO BOX 22108 BAKERSFIELD CA 93390 770017561 501(C)(3) 17250 0 COMMUNITY HEALTH AMANDA HOPE RAINBOW ANGELS 340 E CORONADO RD STE 100 PHOENIX AZ 85004 462522889 501(C)(3) 6552 0 COMMUNITY HEALTH AMERICAN CANCER SOCIETY INC 250 WILLIAMS ST ATLANTA GA 30303 131788491 501(C)(3) 7500 0 COMMUNITY HEALTH AMERICAN HEART ASSOCIATION WESTERN STATES AFFILIATE 2007 O STREET SACRAMENTO CA 95811 135613797 501(C)(3) 49471 0 COMMUNITY HEALTH AMERICAN LUNG 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2673 SAN MIGUEL CIR THOUSAND OAKS CA 91377 770563241 501(C)(3) 50000 0 COMMUNITY HEALTH WHISKEYTOWN ENVIRONMENTAL SCHOOL COMMUNITY 347 TOURMALINE WY REDDING CA 96003 453540719 501(C)(3) 25000 0 COMMUNITY HEALTH YOUTH CONNECTION INC 2005 RIDGE RD BOX 3309 BAKERSFIELD CA 933053309 770264875 501(C)(3) 51000 0 COMMUNITY HEALTH YOUTH VIOLENCE PREVENTION COUNCIL OF SHASTA COUNTY 1700 PINE ST STE 250 REDDING CA 96001 680381728 501(C)(3) 60000 0 COMMUNITY HEALTH 223 7 DIRECT CASH ASSISTANCE 263 81387 FINANCIAL ASSISTANCE TO PATIENTS/NEEDY 7532 353974 SCHOLARSHIP 28 46856 DONATION OF CLOTHING/OTHER TO PATIENTS/NEEDY 13868 282621 COST CAR SEATS, CLOTHING, BACKPACKS, SCHOOL SUPPLIES, TOYS, FLOWERS, WIGS, BRAS, PROSTHETICS MEDICAL SUPPLIES/EQUIPMENT TO PATIENTS/INDIGENTS 34 6725 COST DURABLE MEDICAL EQUIPMENT AND SUPPLIES PHARMACY CHARITY PRESCRIPTION 208 58154 COST PHARMACEUTICALS, MEDICATIONS, PRESCRIPTIONS PROVISION OF FOOD/MEALS 75011 180971 COST FOOD, MEALS PART I, LINE 2: IN FY2025, THE COMMUNITY HEALTH IMPROVEMENT GRANTS PROGRAM ALLOCATED FUNDS TO SUPPORT DIGNITY HEALTH AND ITS SUBSIDIARIES. $4,462,034 WAS PROVIDED BY DIGNITY HEALTH HOSPITALS TO VARIOUS ORGANIZATIONS. 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. OTHER GRANTS ARE PROVIDED BY DIGNITY HEALTH (AND ITS MEMBER HOSPITALS) TO NOT-FOR-PROFIT ORGANIZATIONS THAT FURTHER DIGNITY HEALTH'S EXEMPT PURPOSE. GRANTS ARE ALSO PROVIDED TO THE FUNDRAISING FOUNDATIONS THAT SUPPORT DIGNITY HEALTH AND ITS MEMBER HOSPITALS TO FUND THE OPERATIONS OF THOSE FOUNDATIONS. SEVERAL GRANTS ARE PROVIDED TO OTHER ORGANIZATIONS IN WHICH DIGNITY HEALTH SUPPORTS COMMUNITY EFFORT, AND FOR OPERATIONAL SUPPORT OF THE MEDICAL FOUNDATION AND CLINICS. IN ADDITION, GRANTS ARE PROVIDED TO INDIVIDUALS FOR SCHOLARSHIPS, AND PRIMARILY TO PATIENTS, DUE TO FINANCIAL NEED OR URGENT, UNFORESEEN OCCURRENCES REQUIRING IMMEDIATE ACTION. EXAMPLES OF ASSISTANCE INCLUDE PHARMACY COSTS, ROOM AND BOARD/LODGING AND SHELTERED MEALS FOR INDIGENT PATIENTS. THE GRANTS ARE APPROVED BY THE HOSPITAL'S ADMINISTRATION DEPARTMENT OR A DESIGNATED COMMITTEE. PART II $6,015,829 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. $15,900,000 IN GRANT PAYMENTS WERE PROVIDED TO THE UNIVERSITY OF ARIZONA, A GOVERNMENT INSTITUTION, TO SUPPORT THE DEVELOPMENT OF EDUCATION, TRAINING AND CLINICAL RESEARCH PROGRAMS. $9,450,000 IN GRANT PAYMENTS WERE PROVIDED TO ARIZONA STATE UNIVERSITY, A GOVERNMENT INSTITUTION, TO SUPPORT THE EDUCATION, TRAINING AND RESEARCH IN THE ADVANCEMENT OF IMAGING TECHNOLOGY AND DESIGN, BUILDING A HEALTHY CLINICAL FORCE AND ADVANCING THE UNDERSTANDING OF IMMUNOLOGY IN TRANSPLANTATION MEDICINE. $10,000,000 IN GRANT PAYMENTS TO THE MOREHOUSE SCHOOL OF MEDICINE, A NONPROFIT CORPORATION, ESTABLISHED TO SUPPORT ACADEMIC AND RESEARCH INITIATIVES, CLINICAL SERVICES, AND HEALTH EQUITY. X X X X 1 1 X X X X 1 1 0 0 0 0 0 0 0 WRIGHT L LASSITER III CHIEF EXECUTIVE OFFICER 2871082 0 10901250 0 303839 0 75420 0 23728 0 14175319 0 0 0 TAMMARA WILCOX SYSTEM SVP PAYER STRATEGY & RELATION 500115 0 1834460 0 4133141 0 2744956 0 29451 0 9242123 0 2661926 0 TERIKA RICHARDSON MPH FACHE CHAIR/ PRESIDENT & CHIEF OPERATING O 0 2196630 0 5532500 0 35840 0 550000 0 30120 0 8345090 0 0 ANTHONY SCOTT CARSWELL SYSTEM SVP MARKET STRATEGY DEVELOPME 376475 0 861233 0 3847713 0 2416123 0 41671 0 7543215 0 2241001 0 JULIE SPRENGEL PRESIDENT CALIFORNIA REGION 1842854 0 4797820 0 15090 0 413939 0 4890 0 7074593 0 0 0 JOHN E PETERSDORF SYSTEM SVP OPERATIONAL FINANCE 734757 0 1868174 0 1162963 0 2048138 0 50891 0 5864923 0 1148724 0 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 1702910 0 3332550 0 12642 0 91553 0 34182 0 5173837 0 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 TRACY N SKLAR SYSTEM SVP QUALITY 463550 0 1566344 0 863592 0 1641852 0 45574 0 4580912 0 854434 0 ROBERT WIEBE MD EVP, CHIEF MEDICAL OFFICER (THRU 1/1 1250613 0 2446579 0 349222 0 122358 0 6002 0 4174774 0 348094 0 SHERI SHAPIRO MBA SEVP, CHIEF STRATEGY OFFICER 0 1114850 0 2187900 0 168237 0 300825 0 41050 0 3812862 0 0 MICHELLE JOHNSON-TIDJANI JD MBA 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 764967 0 2059703 0 9700 0 192068 0 70939 0 3097377 0 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 ANNETTE LORENZI SYSTEM SVP PEOPLE OPERATIONS (THRU 7 262781 0 1584132 0 1018862 0 87167 0 22968 0 2975910 0 0 0 TIM BRICKER PRESIDENT CENTRAL REGION 1070057 0 1518117 0 12642 0 261781 0 27154 0 2889751 0 0 0 BENJIE M LOANZON SYSTEM SVP FINANCE AND CORPORATE CON 733143 0 1876193 0 9429 0 161427 0 34196 0 2814388 0 0 0 THOMAS KOPFENSTEINER STD SEVP, CHIEF MISSION OFFICER 0 850967 0 1657500 0 267765 0 20325 0 14587 0 2811144 0 0 JON VAN BOENING SYSTEM SPECIAL PROJECTS LEADER (THRU 343782 0 538200 0 1707663 0 183315 0 11673 0 2784633 0 0 0 RICHARD ROTH SYSTEM SVP STRATEGIC INNOVATION 649579 0 1770271 0 4388 0 158496 0 52334 0 2635068 0 0 0 SHELLY SCHLENKER EVP, CHIEF ADVOCACY OFFICER 609218 0 1191653 0 7719 0 760626 0 40619 0 2609835 0 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 586520 0 767813 0 11262 0 195268 0 22265 0 1583128 0 0 0 NIMA DAVIS EVP CHIEF COMPLIANCE OFFICER 0 522388 0 702833 0 2335 0 148832 0 46923 0 1423311 0 0 TRAVIS MESSINA SYSTEM SVP REAL ESTATE SERVICES 0 482088 0 582032 0 3280 0 94235 0 43402 0 1205037 0 0 ALYSSA C RIEDER FORMER KE (VP, CHIEF INVESTMENT OFFI 621638 0 432159 0 2622 0 82926 0 51186 0 1190531 0 0 0 PATRICK STEELE FORMER BOARD MEMBER (THRU 3/31/21) 0 0 0 0 0 151000 0 0 0 0 0 151000 0 0 CHRISTOPHER LOWNEY FORMER BOARD VICE CHAIR (THRU 3/31/2 0 0 0 0 0 150500 0 0 0 0 0 150500 0 0 PETER G HANELT CPA FORMER BOARD MEMBER (THRU 3/31/21) 0 0 0 0 0 136875 0 0 0 0 0 136875 0 0 ANTOINETTE HARDY-WALLER MJ BSN RN FORMER BOARD MEMBER (THRU 3/31/21) 0 0 0 0 0 130625 0 0 0 0 0 130625 0 0 PHOEBE YANG FORMER BOARD MEMBER (THRU 3/31/21) 0 0 0 0 0 121250 0 0 0 0 0 121250 0 0 GARY R YATES MD FORMER BOARD MEMBER (THRU 3/31/21) 0 0 0 0 0 121250 0 0 0 0 0 121250 0 0 ANGELA ARCHON FORMER BOARD MEMBER (THRU 3/31/21) 0 0 0 0 0 115000 0 0 0 0 0 115000 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 TO TWO OFFICERS, THREE KEY EMPLOYEES, AND TWO HIGHEST COMPENSATED EMPLOYEES. NO AMOUNTS HAVE BEEN INCLUDED AS REPORTABLE COMPENSATION AS THESE TRAVEL EXPENSES WERE INCURRED FOR BUSINESS PURPOSES. TRAVEL FOR COMPANIONS IS NOT PERMITTED BUT MAY BE UTILIZED IF APPROVED IN ADVANCE IN ACCORDANCE WITH COMMONSPIRIT'S POLICY. TRAVEL FOR COMPANIONS WAS PROVIDED TO ONE KEY EMPLOYEE. ALL SUCH COMPANION TRAVEL AND ASSOCIATED EXPENSES WERE INCLUDED AS TAXABLE COMPENSATION TO THE LISTED PERSON. TAX GROSS-UP PAYMENTS WERE PROVIDED TO ONE OFFICER AND ONE KEY EMPLOYEE. THESE GROSS-UP PAYMENTS WERE INCLUDED AS TAXABLE COMPENSATION TO THE LISTED PERSONS. SECURITY SERVICES, INCLUDING RESIDENCES, VEHICLES, AND A DRIVER, ARE PROVIDED TO ONE OFFICER PURSUANT TO A QUALIFIED SECURITY ASSESSMENT, AND AS SUCH, NO AMOUNTS HAVE BEEN REPORTED AS INCOME. PART I, LINE 3 DURING THE TAX YEAR, DIGNITY HEALTH USED THE FOLLOWING TO ESTABLISH THE CEO'S COMPENSATION: (1) PEOPLE AND COMPENSATION COMMITTEE OF THE COMMONSPIRIT HEALTH ("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 HEALTH'S LISTED PERSONS ARE PROVIDED WITH MARKET-STANDARD COMPENSATION RANGING FROM PAYMENTS OF 9-24 MONTHS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION. 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; A. CARSWELL, $1,599,687; A. LORENZI, $1,016,672 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 EMPLOYED BY DIGNITY HEALTH ARE ELIGIBLE TO PARTICIPATE IN NON-QUALIFIED 457(F) PLANS THAT ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE, AS REQUIRED BY THE IRS. THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR EXECUTIVES HIRED PRIOR TO JUNE 30, 2006. THE BENEFIT IS INTENDED TO BRIDGE THE DIFFERENCE, IF ANY, BETWEEN THE BENEFIT PROVIDED UNDER THE DIGNITY HEALTH EXCESS BENEFIT PLAN HAD BENEFIT SERVICE NOT BEEN FROZEN AT JANUARY 1, 2008, AND THE BENEFITS PROVIDED FROM ALL OTHER QUALIFIED AND NON-QUALIFIED PLANS. BENEFITS VEST UNDER THIS 457(F) PLAN AT THE LATER OF THE DATE THE PARTICIPANT ATTAINS AGE 62 OR IS CREDITED WITH 15 YEARS OF SERVICE. THE 2010 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR CERTAIN OFFICERS AND KEY EMPLOYEES, PRIMARILY THOSE WHO ARE NOT ELIGIBLE TO PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN OR THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN DESCRIBED ABOVE. THIS BENEFIT PROVIDES AN ANNUAL ACCRUAL OF 10% OF TOTAL COMPENSATION AND IS PAYABLE ANNUALLY ON JULY 1 ONCE VESTED, WHICH IS AGE 62 WITH 5 YEARS OF SERVICE. THE PLAN ALSO ALLOWS FOR SPECIAL AWARDS. PAYMENTS PURSUANT TO THE PLAN ARRANGEMENTS FOR THREE KEY EMPLOYEES AND TWO HIGHEST COMPENSATED EMPLOYEES OCCURRED DURING 2024 INCLUDE J. PETERSDORF, $1,148,724; R. WIEBE, $348,094; T. WILCOX, $2,273,181; A. CARSWELL, $2,241,001 AND T. SKLAR, $854,434. 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; T. KOPFENSTEINER, $42,500; 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 DISTRIBUTIONS WERE MADE BY COMMONSPIRIT FROM THE DEFERRED COMPENSATION PLAN: T. KOPFENSTEINER, $536 AND 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; T. KOPFENSTEINER, $173,191; 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 HEALTH 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. A CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY 680164610 130795DH7 2007-04-26 400000000 BOND E: CUSIP 130795DH7-SEE PART VI 1 0 0 B CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033LSZ1 2011-11-09 515217012 BOND O: CUSIP 13033LSZ1-SEE PART VI 1 0 0 C CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033LUD7 2012-06-27 140000000 BOND Q: CUSIP 13033LUD7-SEE PART VI 0 0 0 D ARIZONA HEALTH FACILITIES AUTHORITY 860453292 040507MV4 2012-06-27 75000000 BOND R: CUSIP 04057MV4-SEE PART VI 0 0 0 A 160575000 415050133 1538212 3068236 14157815 289056921 107228949 2010 1 1 1 1 B 350005000 515275288 17885926 207176334 290213028 2014 1 0 1 1 C 29670000 140000000 140000000 2014 1 0 1 1 D 38200000 75000000 75000000 2007 1 0 1 1 A 0 1 1 1 1 1 0.00950 0.00000 0.00950 0 1 0.00240 1 1 B 0 1 1 1 1 1 0.00630 0.00130 0.00760 0 0 1 C 0 1 1 1 1 1 0.00730 0.00000 0.00730 0 1 0.00780 1 1 D 0 1 1 1 1 1 0.00760 0.00000 0.00760 0 0 1 A 0 0 0 1 1 1 CITIGROUP & JPMORGAN 34.200000000000 0 1 0 1 1 B 1 1 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/15/2025 ISSUER NAME: CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/15/2025 ISSUER NAME: ARIZONA HEALTH FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/15/2025 ISSUER NAME: CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2021 BOND E: CUSIP 130795DH7 PART I, COLUMN (C) THE CSCDA 2007 SERIES ABC BONDS WERE EXCHANGED IN MAY 2008 FOR THE CSCDA 2008 SERIES CFG BONDS IN AN EXCHANGE PURSUANT TO NOTICE 2008-41 THAT WAS NOT TREATED AS A NEW ISSUANCE FOR PURPOSES OF SECTIONS 103 AND 141-150 OF THE INTERNAL REVENUE CODE. PART I, COLUMN (E) THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) REFUND PRIOR BOND ISSUES - CA 1995 SERIES A (ISSUED MAY 25, 1995); CA 1996 SERIES A (ISSUED MAY 30, 1996); AND CA 1999 SERIES A (ISSUED DECEMBER 9, 1999); AND FINANCE CAPITAL EXPENDITURES AT VARIOUS HOSPITAL FACILITIES. PART IV, LINE 2C THE MOST RECENT REBATE COMPUTATION DATE WAS 7/15/2025, AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE. PART IV, LINE 4A ALTHOUGH AT THE TIME OF SALE OF THE ABOVE SERIES OF BONDS, HEDGES WERE PROPERLY IDENTIFIED WITH RESPECT TO CSCDA 2007 SERIES ABC, SUCH HEDGES WERE DEEMED TERMINATED MAY 16, 2008 (CSCDA 2007 SERIES A WERE LATER EXCHANGED FOR CSCDA 2008 SERIES C FIXED RATE BONDS), MAY 14, 2009 (CSCDA 2007 SERIES C WERE EXCHANGED WITHOUT A REISSUANCE FOR CSCDA 2008 SERIES G AND LATER REFINANCED TO CHFFA 2009 SERIES A FIXED RATE BONDS) AND NOVEMBER 12, 2009 (CSCDA 2007 SERIES B WERE EXCHANGED WITHOUT A REISSUANCE FOR CSCDA 2008 SERIES F AND LATER REFINANCED WITH CHFFA 2009 SERIES G PUT BONDS) AS A RESULT OF EITHER THE REFINANCING OF THESE BONDS OR THE EXCHANGE (WITHOUT A REISSUANCE) AND CONVERSION OF THESE BONDS INTO LONG-TERM FIXED-RATE BONDS. THE CSCDA DEF BONDS ARE STILL OUTSTANDING AND CONTINUE TO HAVE HEDGES ASSOCIATED WITH THEM. PART IV, LINE 4E ALTHOUGH NONE OF THE INTEREST RATE SWAPS (EACH A "SWAP AND COLLECTIVELY THE "SWAPS") ENTERED INTO WITH RESPECT TO CERTAIN OF THE BOND ISSUES SET FORTH IN SCHEDULE K WERE ACTUALLY TERMINATED BY EITHER DIGNITY HEALTH, WHICH WAS THE PARTY TO THE SWAP, OR BY THE COUNTERPARTY TO THE PARTICULAR SWAP, EACH SWAP WAS DEEMED TERMINATED PURSUANT TO SECTION 1.148-4(H)(3)(IV)(A) OF THE TREASURY REGULATIONS AT THE TIME SUCH SWAP CEASED TO BE A "QUALIFIED HEDGE" WITH RESPECT TO THE BONDS WITH WHICH IT WAS ASSOCIATED. BOND O: CUSIP 13033LSZ1 PART I, COLUMN (E) THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) REFUND CHFFA 1993 SERIES A BONDS ISSUED ON MARCH 17, 1993, CHFFA 1996 SERIES E BONDS ISSUED ON DECEMBER 12, 1996, CHFFA 1997 SERIES A BONDS ISSUED ON OCTOBER 15, 1997 AND CHFFA 1998 SERIES A BONDS ISSUED ON DECEMBER 3, 1998 AND REFINANCE TAXABLE LINE OF CREDIT USED TO REFINANCE CHFFA 2004 SERIES H BONDS ISSUED ON APRIL 28, 2004 AND FINANCE CAPITAL EXPENDITURES AT VARIOUS HOSPITAL FACILITIES. PART II, LINE 11 BOND PROCEEDS WERE USED TO PAYOFF THE CHFFA 2004 SERIES H PUT BOND THAT CAME DUE ON 7/1/2011 THAT WAS FINANCED WITH A DRAW ON THE WORKING LINE OF CREDIT. PART IV, LINE 2C THE IRS REBATE CALCULATION DATE IS 7/1/2026. THE MOST RECENT COMPUTATION DATE WAS 7/1/25. AS OF 7/15/2025 IT WAS DETERMINED THAT A $102,582.34 REBATE LIABILITY WAS DUE NO LATER THAN 60 DAYS AFTER 7/1/2026. BOND Q: CUSIP 13033LUD7 PART I, COLUMN (F) REFUND CHFFA 2009 SERIES BC BONDS ISSUED ON MAY 14, 2009 AND CHFFA 2009 SERIES G BONDS ISSUED ON NOVEMBER 12, 2009. PART IV, LINE 2C THE MOST RECENT IRS REBATE COMPUTATION DATE WAS 4/15/2025, AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE. BOND R: CUSIP 040507MV4 PART I, COLUMN (F) REFUND INDUSTRIAL DEVELOPMENT AUTHORITY OF MARICOPA COUNTY ARIZONA 2009 SERIES B BONDS ISSUED ON MAY 14, 2009 AND ARIZONA HEALTH FACILITIES FINANCING AUTHORITY 2009 SERIES E BONDS ISSUED ON NOVEMBER 12, 2009. PART IV, LINE 2C THE MOST RECENT IRS REBATE COMPUTATION DATE WAS 4/15/2025, AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE. BOND T: CUSIP 13032ULN6 PART I, COLUMN (F) ADVANCE REFUNDED PRIOR BOND ISSUES - CSCDA 2007 SERIES KL (ISSUED APRIL 26, 2007); CSCDA 2007 SERIES GHIJ (EXCHANGED TO CSCDA 2008 SERIES ABDE BONDS ON MAY 16, 2008). PART IV, LINE 2C THE MOST RECENT IRS REBATE COMPUTATION DATE WAS 7/1/2021, AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE. A CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13032ULN6 2016-12-06 270095000 BOND T: CUSIP 13032ULN6-SEE PART VI 0 0 0 A 74035000 270095000 270095000 2010 0 1 1 1 A 0 1 1 1 1 1 0.02270 0.00590 0.02860 0 1 0.03930 1 1 A 0 0 0 1 0 0 0 0 1 A 1 X 1 300 RESALE VALUE X 100 RESALE VALUE X 352724 RESALE VALUE X TOYS 23 462699 COMPARABLE SALE X MEDICAL EQUIPMENT 5 148389 COMPARABLE SALE X FOOD AND WINE 11 94107 COMPARABLE SALE X BAR HOST AND ENTERTAINMENT 1 6000 COMPARABLE SALE X FLOWERS 3 2450 COST X GIFT BASKETS 1 250 COMPARABLE SALE X LOCKS 1 130 COMPARABLE SALE X GIFT CERTIFICATES/TICKETS (ENTERTAINMENT) 1 100 COMPARABLE SALE 0 0 1 1 PART I, COLUMN (B): TOYS: THE ORGANIZATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. MEDICAL EQUIPMENT: THE ORGANIZATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. FOOD AND WINE: THE ORGANIZATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. BAR HOST AND ENTERTAINMENT: THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. FLOWERS: THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. GIFT BASKET: THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. LOCKS: THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. GIFT CERTIFICATES/TICKETS (ENTERTAINMENT): THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. ART - WORKS OF ART: THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. PART I, LINE 32B: DIGNITY HEALTH IS SUPPORTED BY VARIOUS FUNDRAISING FOUNDATIONS. AS SUPPORTING ORGANIZATIONS, THE FOUNDATIONS SOLICIT AND PROCESS NON-CASH CONTRIBUTIONS ON BEHALF OF DIGNITY HEALTH'S HOSPITALS. FORM 990, PART III, LINE 1: OUR MISSION: AS COMMONSPIRIT HEALTH, WE MAKE THE HEALING PRESENCE OF GOD KNOWN IN OUR WORLD BY IMPROVING THE HEALTH OF THE PEOPLE WE SERVE, ESPECIALLY THOSE WHO ARE VULNERABLE, WHILE WE ADVANCE SOCIAL JUSTICE FOR ALL. OUR VISION: A HEALTHIER FUTURE FOR ALL INSPIRED BY FAITH, DRIVEN BY INNOVATION, AND POWERED BY OUR HUMANITY. OUR VALUES: 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 HEALTH IS A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION. DIGNITY HEALTH OWNS AND OPERATES 22 HOSPITALS THROUGHOUT MAJOR CALIFORNIA DIVISIONS AND IN THE ARIZONA AND NEVADA DIVISIONS DURING THE YEAR ENDED JUNE 30, 2025. DIGNITY HEALTH AND ITS SUBORDINATE CORPORATIONS' FACILITIES INCLUDED APPROXIMATELY 4,912 LICENSED ACUTE CARE BEDS AND APPROXIMATELY 169 LICENSED SKILLED NURSING BEDS AS OF JUNE 30, 2025. DIGNITY HEALTH 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, CENTRAL COAST, CENTRAL CALIFORNIA, AND NORTHERN CALIFORNIA, DIGNITY HEALTH'S CALIFORNIA OPERATIONS ARE WELL DISPERSED THROUGHOUT THE STATE. DIGNITY HEALTH'S HOSPITALS OPERATE EMERGENCY ROOMS THAT ARE OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY; HAVE COMMUNITY BOARDS IN WHICH PRIMARILY INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY COMPRISE A MAJORITY; ENGAGE IN THE TRAINING AND EDUCATION OF HEALTHCARE PROFESSIONALS; AND PARTICIPATE IN MEDICAID, MEDICARE, TRICARE AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. THIS ORGANIZATION 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 1A THE DIGNITY HEALTH BYLAWS PROVIDE THAT THE REQUIREMENTS AND PROVISIONS RELATING TO COMMITTEES OF THE BOARD SHALL BE THAT THE BOARD, AT ITS DISCRETION, MAY ESTABLISH STANDING OR AD HOC COMMITTEES FROM TIME TO TIME, AS NEEDED, PROVIDED HOWEVER, NO COMMITTEE THAT INCLUDES PERSONS WHO ARE NOT DIRECTORS OF THE BOARD MAY EXERCISE THE AUTHORITY OF THE BOARD. 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 HEALTH FOR-PROFIT SUBSIDIARIES OR 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 FRANCISCAN SERVICES INC - M. MELFI, T. KOPFENSTEINER 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 6 THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, COMMONSPIRIT, A 501(C)(3) EXEMPT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A DIGNITY HEALTH IS SUBJECT TO THE RESERVED RIGHTS OF THE SOLE CORPORATE MEMBER, COMMONSPIRIT, AS SET FORTH IN THE SYSTEM GOVERNANCE MATRIX AND THE BYLAWS, THE ACTIVITIES AND AFFAIRS OF THIS CORPORATION SHALL BE CONDUCTED AND ALL CORPORATE POWERS SHALL BE EXERCISED BY OR UNDER THE DIRECTION OF THE BOARD. THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION MAY SELECT NOMINEES QUALIFIED TO SERVE ON THE ORGANIZATION'S BOARD. COMMONSPIRIT, AS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, MAY APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE SYSTEM GOVERNANCE MATRIX AND WITH THE RECOMMENDATION OF COMMONSPIRIT'S PRESIDENT AND CHIEF OPERATING OFFICER (OR DESIGNEE). COMMONSPIRIT MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE ORGANIZATION'S BOARD WHETHER OR NOT THE BOARD FURNISHES THE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD IN ACCORDANCE WITH THE BYLAWS. FORM 990, PART VI, SECTION A, LINE 7B COMMONSPIRIT, AS THE SOLE CORPORATE MEMBER OF DIGNITY HEALTH, 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 HEALTH -CLOSURE OF A HOSPITAL BY DIGNITY HEALTH -APPROVE AMENDMENT OF THE ARTICLES AND BYLAWS OF DIGNITY HEALTH -APPROVE INCURRENCE OF DEBT BY DIGNITY HEALTH, 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 HEALTH AS A PARTY -APPROVE AN INCREASE OR DECREASE TO AN EXISTING JOINT VENTURE OR PARTNERSHIP INTEREST BY DIGNITY HEALTH -APPROVE CREATION OF A NEW CORPORATION OR LIMITED LIABILITY COMPANY BY DIGNITY HEALTH -APPROVE MERGER OR CONSOLIDATION OF DIGNITY HEALTH -APPROVE DISSOLUTION OF DIGNITY HEALTH -SELL OR DISPOSE OF (I) ASSETS IN EXCESS OF THRESHOLDS ESTABLISHED BY COMMONSPIRIT OR (II) ALL OR SUBSTANTIALLY ALL OF AN OPERATING UNIT OF THE ASSETS OF DIGNITY HEALTH -APPROVE AN ACQUISITION OF, OR NEW DIRECT INVESTMENT IN, AN ENTERPRISE BUSINESS LINE OR OTHER SUCH COMPANY OR CORPORATE ENTITY BY DIGNITY HEALTH -APPROVE AN INCREASE OR DECREASE IN AN EXISTING DIRECT INVESTMENT IN AN ENTERPRISE BUSINESS LINE OR OTHER SUCH COMPANY OR CORPORATE ENTITY BY DIGNITY HEALTH -APPOINTMENT OR TERMINATION OF A CEO BY DIGNITY HEALTH -ADOPT LONG RANGE AND STRATEGIC PLANS BY DIGNITY HEALTH -ADOPT CONSOLIDATED HEALTHCARE SYSTEM OPERATING AND CAPITAL BUDGET FOR DIGNITY HEALTH -ADOPT VARIATIONS FROM OPERATING AND/OR CAPITAL BUDGET IN EXCESS OF THRESHOLD ESTABLISHED BY COMMONSPIRIT BY DIGNITY HEALTH IN ADDITION, COMMONSPIRIT 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 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 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 FORM 990, PART VI, SECTION B, LINE 15A: 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 DIGNITY HEALTH (INCLUDING THE PRESIDENT/CEO). COMMONSPIRIT'S PEOPLE AND COMPENSATION COMMITTEE APPROVES, CONSISTENT WITH COMMONSPIRIT'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 PEOPLE AND COMPENSATION COMMITTEE AND HOW THE DATA WAS OBTAINED. FORM 990, PART VI, SECTION B, LINE 15B: 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 ITS WEBSITE AND UPON REQUEST. THE FINANCIAL STATEMENTS ARE ALSO 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) (3) TERIKA RICHARDSON, MPH, FACHE CHAIR/ PRESIDENT & CHIEF OPERATING OFFICER (4) ANTHONY SCOTT CARSWELL SYSTEM SVP MARKET STRATEGY DEVELOPMENT (THRU 6/28/24) (8) DANIEL J MORISSETTE, CPA TREASURER/ SEVP, CHIEF FINANCIAL OFFICER (10) MITCH MELFI, ESQ, JD SECRETARY/ VICE CHAIR/SEVP, CHIEF LEGAL OFFICER (12) ROBERT WIEBE, MD EVP, CHIEF MEDICAL OFFICER (THRU 1/10/25) (14) MICHELLE JOHNSON-TIDJANI, JD, MBA BOARD MEMBER/ SEVP, CHIEF ADMINISTRATIVE OFFICER (16) LISA ZUCKERMAN SYSTEM SVP TREASURY & STRATEGIC INVESTMENTS (17) KATHLEEN SANFORD, DBA, RN, FAAN, FACHE EVP, CHIEF NURSING OFFICER (18) ANNETTE LORENZI SYSTEM SVP PEOPLE OPERATIONS (THRU 7/5/24) (20) BENJIE M LOANZON SYSTEM SVP FINANCE AND CORPORATE CONTROLLER (22) JON VAN BOENING SYSTEM SPECIAL PROJECTS LEADER (THRU 7/19/24); FORMER KE (SVP OPERATIONS & CEO CENTRAL CALIFORNIA DIVISION (THRU 1/2/21)) (32) 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 MEDICAL FEES: PROGRAM SERVICE EXPENSES 683,681,714. MANAGEMENT AND GENERAL EXPENSES 16,743,525. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 700,425,239. REVENUE CYCLE SERVICES: PROGRAM SERVICE EXPENSES 264,172,729. MANAGEMENT AND GENERAL EXPENSES 1,365,714. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 265,538,443. PROFESSIONAL FEES/CONSULTING: PROGRAM SERVICE EXPENSES 92,821,452. MANAGEMENT AND GENERAL EXPENSES 79,727,042. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 172,548,494. REPAIRS/MAINTENANCE/DEMOLITION: PROGRAM SERVICE EXPENSES 73,677,671. MANAGEMENT AND GENERAL EXPENSES 63,283,893. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 136,961,564. OUTSOURCED MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 16,467,024. MANAGEMENT AND GENERAL EXPENSES 14,144,006. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,611,030. LAUNDRY & LINEN: PROGRAM SERVICE EXPENSES 14,122,845. MANAGEMENT AND GENERAL EXPENSES 12,130,522. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,253,367. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 339,017,757. MANAGEMENT AND GENERAL EXPENSES 291,192,203. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 630,209,960. FORM 990, PART XI, LINE 9: CHANGE IN ADDITIONAL MINIMUM PENSION LIABILITY 73,921,308. REVENUE FROM HEALTH-RELATED ACTIVITIES ORGANIZED AS CORPORATIONS/EXEMPT ORG 9,592,991. CHANGE IN INTEREST IN NET ASSETS OF UNCONSOLIDATED FOUNDATION/RELATED ENTIT 17,735,780. GAIN ON ADOPTION OF ASU 2017-17 87,246,976. INVESTMENT TRANSFERS TO COMMONSPIRIT -21,965,620. CHANGE IN EQUITY INTEREST IN JOINT VENTURES 14,673,851. RELEASE OF ENDOWMENT INVESTMENT EARNINGS FROM RESTRICTIONS 845,589. CLOSURE OF ACCOUNTS DUE TO RELATED ENTITY DISSOLUTION -3,229,922. TRANSFER OF TWO SAN FRANCISCO HOSPITALS TO UCSF HEALTH -117,591,137. OTHER FUND BALANCE TRANSFERS -919,194. 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. 399-401 EAST HIGHLAND MOB LLC 3400 DATA DRIVE RANCHO CORDOVA CA 95670 770483564 REAL PROPERTY CA 2485041 77662 DIGNITY HEALTH ALEGENT CREIGHTON CLINIC 12809 W DODGE RD OMAHA NE 68154 470765154 HOSPITAL NE 501(C)(3) LINE 3 ACH 0 ALEGENT CREIGHTON HEALTH 12809 W DODGE RD OMAHA NE 68154 470757164 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM 7500 MERCY RD OMAHA NE 68124 470484764 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - COMM MEM HOSPITAL OF MO VALLEY IA 631 N 8TH ST MISSOURI VALLEY IA 51555 420776568 HOSPITAL IA 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - IMMANUEL MEDICAL CENTER 6901 N 72ND ST OMAHA NE 68122 470376615 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH 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HEALTH VENTURES 17200 ST LUKES WAY STE 170 THE WOODLANDS TX 77384 274499340 PHYSICIANS TX 501(C)(3) LINE 12A, I SLHS 0 BAYLOR ST LUKE'S MEDICAL GROUP 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760458535 PHYSICIANS TX 501(C)(3) LINE 3 BSLHV 0 BENAROYA RESEARCH INSTITUTE AT VIRGINIA MASON 1201 9TH AVE SEATTLE WA 98101 910653422 RESEARCH WA 501(C)(3) LINE 4 VMFH 0 BORNEMANN HEALTHCARE CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 232187242 INACTIVE PA 501(C)(3) LINE 12A, I CSH 0 BURLESON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742759890 HOSPITAL TX 501(C)(3) LINE 3 SLH-CO 0 BURLESON ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742913931 REHABILITATION TX 501(C)(3) LINE 10 SJSC 0 CALIFORNIA HOSPITAL MEDICAL CENTER FOUNDATION 1401 SOUTH GRAND AVENUE LOS ANGELES CA 90015 954000909 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DIGNITY COMMUNITY CARE 0 CARRINGTON HEALTH CENTER 800 N 4TH ST CARRINGTON ND 58421 450227311 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 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HOSPITAL FOUNDATION B 694465 SEE PART VII ARROYO GRANDE COMMUNITY HOSPITAL FOUNDATION C 220728 SEE PART VII ARROYO GRANDE COMMUNITY HOSPITAL FOUNDATION L 257520 SEE PART VII CBCC OUTSMARTING CANCER LLC S 637500 SEE PART VII COASTAL SURGICAL SPECIALISTS INC K 155983 SEE PART VII COASTAL SURGICAL SPECIALISTS INC L 376067 SEE PART VII COASTAL SURGICAL SPECIALISTS INC S 2239941 SEE PART VII DE JV LLC S 10201091 SEE PART VII DIGNITY HEALTH CONNECTED LIVING A 444849 SEE PART VII DIGNITY HEALTH CONNECTED LIVING B 984677 SEE PART VII DIGNITY HEALTH CONNECTED LIVING L 385424 SEE PART VII DIGNITY HEALTH FOUNDATION - INLAND EMPIRE B 646399 SEE PART VII DIGNITY HEALTH FOUNDATION - INLAND EMPIRE C 1389981 SEE PART VII DIGNITY HEALTH FOUNDATION - INLAND EMPIRE L 583835 SEE PART VII DIGNITY HEALTH FOUNDATION EAST VALLEY B 1928426 SEE PART VII DIGNITY HEALTH FOUNDATION EAST VALLEY C 3539114 SEE PART VII DIGNITY HEALTH FOUNDATION EAST VALLEY L 1010119 SEE PART VII DOMINICAN HOSPITAL FOUNDATION B 1301068 SEE PART VII DOMINICAN HOSPITAL FOUNDATION C 4882593 SEE PART VII DOMINICAN HOSPITAL FOUNDATION L 638738 SEE PART VII DOMINICAN OAKS CORPORATION L 187970 SEE PART VII MARIAN REGIONAL MEDICAL CENTER FOUNDATION B 1179121 SEE PART VII MARIAN REGIONAL MEDICAL CENTER FOUNDATION C 4221908 SEE PART VII MARIAN REGIONAL MEDICAL CENTER FOUNDATION L 559489 SEE PART VII MERCY FOUNDATION BAKERSFIELD B 842319 SEE PART VII MERCY FOUNDATION BAKERSFIELD C 3192693 SEE PART VII MERCY FOUNDATION BAKERSFIELD L 396701 SEE PART VII MERCY MEDICAL CENTER FOUNDATION MERCED B 748531 SEE PART VII MERCY MEDICAL CENTER FOUNDATION MERCED C 1497409 SEE PART VII MERCY MEDICAL CENTER FOUNDATION MERCED L 492598 SEE PART VII NICU OPERATING CO OF SANTA CRUZ LLC L 5272043 SEE PART VII NICU OPERATING CO OF SANTA CRUZ LLC S 5470248 SEE PART VII NSC CHANNEL ISLANDS LLC L 173297 SEE PART VII NSC CHANNEL ISLANDS LLC S 54834 SEE PART VII PLAZA SURGERY CENTER LP L 992562 SEE PART VII PLAZA SURGERY CENTER LP S 323046 SEE PART VII PORT CITY OPERATING COMPANY LLC A 2478985 SEE PART VII PORT CITY OPERATING COMPANY LLC C 150000 SEE PART VII RBR MANAGEMENT LLC M 2719383 SEE PART VII RBR MANAGEMENT LLC S 702805 SEE PART VII SANTA CRUZ SURGERY CENTER LLC S 325000 SEE PART VII ST JOHN'S HEALTHCARE FOUNDATION B 954821 SEE PART VII ST JOHN'S HEALTHCARE FOUNDATION C 1925357 SEE PART VII ST JOHN'S HEALTHCARE FOUNDATION L 114189 SEE PART VII ST JOSEPH FOUNDATION OF SAN JOAQUIN L 505478 SEE PART VII ST JOSEPH'S FOUNDATION B 1826812 SEE PART VII ST JOSEPH'S FOUNDATION C 13013088 SEE PART VII ST JOSEPH'S FOUNDATION L 851906 SEE PART VII ST MARY HEALTH VENTURES L 725512 SEE PART VII ST MARY MEDICAL CENTER FOUNDATION B 1750713 SEE PART VII ST MARY MEDICAL CENTER FOUNDATION C 5404041 SEE PART VII ST MARY MEDICAL CENTER FOUNDATION L 1083207 SEE PART VII ST MARY'S MEDICAL CENTER FOUNDATION B 51110 SEE PART VII ST MARY'S MEDICAL CENTER FOUNDATION C 1894001 SEE PART VII ST ROSE DOMINICAN HEALTH FOUNDATION B 3581608 SEE PART VII ST ROSE DOMINICAN HEALTH FOUNDATION C 8993958 SEE PART VII ST ROSE DOMINICAN HEALTH FOUNDATION L 1080139 SEE PART VII SCHEDULE R, PART V LINE 2 COLUMN (C) PART V, TRANSACTION TYPE A DIGNITY HEALTH LEASES FACILITIES AND/OR EQUIPMENT TO CERTAIN RELATED ORGANIZATIONS (WHOLLY-OWNED ORGANIZATIONS AND JOINT VENTURES). AMOUNTS REPORTED AS TRANSACTION TYPE "A" REPRESENT THE AMOUNTS CHARGED FOR SUCH AGREEMENTS. SUCH CHARGES REPRESENT FAIR MARKET VALUE OF THE AMOUNTS CHARGED UNDER THESE AGREEMENTS. DIGNITY HEALTH PROVIDES LOANS TO RELATED ORGANIZATIONS (HOSPITALS, JOINT VENTURES AND WHOLLY-OWNED ORGANIZATIONS). AMOUNTS REPORTED AS TRANSACTION TYPE "A" REPRESENT THE INTEREST PAYMENTS CHARGED FOR THESE LOANS. PART V, TRANSACTION TYPE B AND C DIGNITY HEALTH 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 HEALTH AND ITS HOSPITALS. AS A RESULT, PAYMENTS ARE MADE DIRECTLY TO DIGNITY HEALTH FROM THE FOUNDATIONS OR DIRECTLY TO THE FOUNDATIONS FROM DIGNITY HEALTH. AMOUNTS REPORTED UNDER TRANSACTION TYPE "B" INCLUDE FUNDS EXPENDED BY DIGNITY HEALTH ON BEHALF OF THE FOUNDATIONS FOR OPERATIONAL EXPENSES. AMOUNTS REPORTED AS TRANSACTION TYPE "C" REPRESENT FUNDS RECEIVED AS GRANTS BY DIGNITY HEALTH HOSPITALS FROM THE FOUNDATIONS. AMOUNTS REPORTED UNDER TRANSACTION TYPE "B" ALSO INCLUDE FUNDING SUPPORT TO OTHER EXEMPT ORGANIZATIONS THAT PROVIDE SERVICES TO COMMUNITIES SERVED BY DIGNITY HEALTH FACILITIES WHICH IS INCLUDED UNDER TRANSACTION TYPE "B". DIGNITY HEALTH ALSO PROVIDES CAPITAL FUNDING TO CERTAIN RELATED ORGANIZATIONS, WHICH IS INCLUDED UNDER TRANSACTION TYPE "B". PART V, TRANSACTION TYPE K DIGNITY HEALTH LEASES FACILITY SPACE FROM A JOINT VENTURE FOR THE HOSPITAL'S CANCER PROGRAM. AMOUNTS REPORTED AS TRANSACTION TYPE "K" REPRESENT THE AMOUNTS PAID FOR SUCH AGREEMENTS. PART V, TRANSACTION TYPE L DIGNITY HEALTH FACILITIES PERFORM VARIOUS SERVICES FOR OTHER RELATED ORGANIZATIONS. DIGNITY HEALTH'S CONTROLLED ENTITIES ARE ASSESSED AN AMOUNT TO COVER THE SYSTEM OFFICE OPERATIONS. IN ADDITION, AN EXPENSE IS ALSO ASSESSED TO COVER CENTRALIZED INFORMATION TECHNOLOGY COSTS OF THE ORGANIZATION, CENTRALIZED ACCOUNTS PAYABLE, PAYROLL, ACCOUNTING, DECISION SUPPORT, AND CERTAIN OTHER MANAGEMENT SERVICES. PART V, TRANSACTION TYPE M A RELATED JOINT VENTURE PROVIDES AMBULANCE SERVICES TO DIGNITY HEALTH HOSPITALS LOCATED IN NEVADA. AMOUNTS REPORTED UNDER TRANSACTION TYPE "M" INCLUDE THE PAYMENTS FOR SUCH SERVICES. PART V, TRANSACTION TYPE R AMOUNTS REPORTED UNDER TRANSACTION TYPE "R" REPRESENT TRANSFER OF CASH AND PROPERTY 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.