2026-05-14T18:35:09-05:00 2025-06-30 470617373 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2024-07-01 465322209 PORT CITY OPERATING COMPANY LLC PORT 2099432000 3033 N 3RD AVENUE PHOENIX AZ 85013 NIKKI OCHOA CFO 2094676442 2026-05-14 1 1 MARK STOCKI P00642127 3032989100 2024 2025-03-06 01:10:19Z X DAVID ZIOLKOWSKI 1800 N CALIFORNIA ST STOCKTON CA 95204 1374872835 0 X WWW.DIGNITYHEALTH.ORG X 2014 CA AS AN AFFILIATE OF COMMONSPIRIT HEALTH ("COMMONSPIRIT"), PORT CITY OPERATING COMPANY, LLC, ("PORT CITY") IS COMMITTED TO MAKE THE HEALING PRESENCE OF GOD KNOWN BY IMPROVING THE HEALTH OF THE PEOPLE WE SERVE, ESPECIALLY THOSE WHO ARE VULNERABLE, WHILE WE ADVANCE SOCIAL JUSTICE FOR ALL. 7 4 0 154 2132572 0 5634672 54175932 852606532 808388795 15997511 26128281 4380453 3920334 878619168 892613342 13316097 13848262 0 0 0 0 0 0 0 791990434 776711366 805306531 790559628 73312637 102053714 958255865 1010834234 202181700 129535160 756074165 881299074 X PORT CITY LLC IS COMMITTED TO FURTHERING THE CHARITABLE AND COMMUNITY-BASED HEALTH CARE PURPOSES, MISSION, VISION AND CORE VALUES OF DIGNITY HEALTH AND KAISER FOUNDATION HOSPITALS BY PROMOTING HEALTH AND PROVIDING AND EXPANDING ACCESS TO HEALTH CARE SERVICES FOR A BROAD CROSS-SECTION OF THE INDIVIDUALS WHO RESIDE IN STOCKTON, CALIFORNIA AND THE SURROUNDING COMMUNITIES. 0 0 666249693 13848262 764956186 ST. JOSEPH'S MEDICAL CENTER (SJMC) OPERATES AND IS LICENSED AT THE SAME LEVEL WITH THE STATE OF CALIFORNIA, SERVING THE COUNTY OF SAN JOAQUIN AND OUTLYING AREAS. SJMC IS A 355-BED LICENSED ACUTE CARE FACILITY, PROVIDING GENERAL MEDICAL/ SURGICAL CARE, OBSTETRICS, NEONATAL ICU, EMERGENCY SERVICES, CANCER SERVICES, WITH SPECIALITIES IN CARDIAC SURGERY AND CARDIOVASCULAR CARE, RESPIRATORY, AND ORTHOPEDICS. THERE ARE NUMEROUS ANCILLARY AND OUTPATIENT SUPPORT SERVICES. PORT CITY IS COMMITTED TO FURTHERING THE CHARITABLE AND COMMUNITY-BASED HEALTH CARE PURPOSES, MISSION, VISION AND CORE VALUES OF DIGNITY HEALTH AND KAISER FOUNDATION HOSPITALS BY PROMOTING HEALTH AND PROVIDING AND EXPANDING ACCESS TO HEALTH CARE SERVICES FOR A BROAD CROSS-SECTION OF THE INDIVIDUALS WHO RESIDE IN STOCKTON, CALIFORNIA AND THE SURROUNDING COMMUNITIES. 32408835 29247631 ST. JOSEPH'S BEHAVIORAL HEALTH CENTER (BHC) OPERATES AND IS LICENSED AT THE SAME LEVEL WITH THE STATE OF CALIFORNIA, SERVING THE COUNTY OF SAN JOAQUIN AND OUTLYING AREAS. BHC IS A 35 BED ACUTE PSYCHIATRIC AND CHEMICAL DEPENDENCY HOSPITAL, PROVIDING BOTH INPATIENT AND OUTPATIENT SERVICES. 9698967 13690775 ST. JOSEPH'S MEDICAL CENTER HOME HEALTH (SJHHA) OPERATES AND IS LICENSED AS A HOSPITAL BASED HOME HEALTH AGENCY WITH THE STATE OF CALIFORNIA. SJHHA PROVIDES SKILLED NURSING CARE SERVICES, SOCIAL SERVICES, OCCUPATIONAL, PHYSICAL, AND SPEECH THERAPIES, AS WELL AS HOME HEALTH AIDES. 708357495 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 167 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 X 7 4 1 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 1 1 CA X LARA CARTOSCELLI ACCOUNTING DEPART 9166313334 3400 DATA DRIVE RANCHO CORDOVA CA 95670 X JOHN E PETERSDORF VICE CHAIR/ SECRETARY 2.00 50.00 X X 0 3765894 2099029 ROBERT QUINN MD BOARD MEMBER (THRU 11/29/24) 2.00 50.00 X 0 1286400 91867 DONALD J WILEY PRESIDENT AND CEO (THRU 11/8/24) 50.00 4.00 X 0 948606 267745 BENJAMIN BJ PREDUM BOARD MEMBER 2.00 50.00 X 0 985127 134538 SUE PIETRAFESO BOARD MEMBER 2.00 50.00 X 0 831317 62746 ANDREA NIKKI OCHOA CHIEF FINANCIAL OFFICER 45.00 5.00 X 0 407295 66279 DEBRA CUNNINGHAM CHAIR 2.00 0.00 X X 0 0 0 MARTY ARDRON BOARD MEMBER 2.00 0.00 X 0 0 0 APHRIEKAH DUHANEY-WEST BOARD MEMBER 2.00 0.00 X 0 0 0 PETER VALENZUELA BOARD MEMBER (EFF 6/26/25) 2.00 50.00 X 0 0 0 DAVID ZIOLKOWSKI PRESIDENT AND CEO (EFF 2/10/25) 50.00 4.00 X 0 0 0 0 8224639 2722204 0 0 1 0 ANESTHESIA SRV OF SAN JOAQUIN 450 MAMARONECK AVE STE 201 HARRISON NY 10528 MEDICAL/PHYSICIAN SERVICES 15423054 MEDICAL SOLUTIONS LLC 1010 N 102ND ST STE 300 OMAHA NE 68114 STAFFING SERVICES 8611310 INPATIENT SPECIALISTS OF CALIF PO BOX 742936 LOS ANGELES CA 900742936 MEDICAL/PHYSICIAN SERVICES 7976095 TOURO UNIVERSITY MEDICAL GROUP 1805 N CALIFORNIA ST STE 201 STOCKTON CA 95204 MEDICAL/PHYSICIAN SERVICES 7311584 ALPINE ORTHOPAEDIC MED GROUP 2488 N CALIFORNIA ST STOCKTON CA 952045288 MEDICAL/PHYSICIAN SERVICES 3232721 91 4173070 49714230 288632 10875 54175932 PATIENT NET OF CHARITY 900099 538769610 538769610 MEDICARE / MEDICAID PA 900099 265834554 265834554 STUDENT ROTATIONS 900099 1658844 1658844 PROGRAM RELATED RENTAL 900099 709372 709372 MEDICAL OFFICE BUILDIN 621300 593733 593733 822682 328479 494203 808388795 7216755 7216755 93659 0 93659 93659 93659 501171019 482259493 18911526 18911526 18911526 MANAGEMENT SERVICE AGR 561000 1638369 1638369 CAFETERIA 722514 1421449 1421449 AR FINANCE CHARGES 900099 309675 309675 457182 457182 3826675 892613342 807894592 2132572 28410246 X 13678548 13678548 169714 169714 39758 39758 74321 74321 1079819 1079819 582340179 534105613 48234566 2088245 11829 2076416 11229020 10496722 732298 28269744 516296 27753448 9263656 9090779 172877 567385 417726 149659 573291 529877 43414 2573749 2573749 20472412 20461578 10834 5662982 5662982 MEDICAL SUPPLIES 80442521 80442521 MED-CAL PROVIDER FEE 24653834 24653834 FOOD COST 3755291 3737153 18138 DUES AND SUBSCRIPTIONS 1407397 707961 699436 2217762 1100613 1117149 790559628 708357495 82202133 0 2690 2570 52225859 54511675 2394213 1627158 97404627 113093803 1127045 1445443 8132859 7527982 81863793 63798848 353089354 114558298 220108969 238531056 147672678 158677700 273446666 318120663 2435956 1376563 10310000 10310000 61130510 41810773 958255865 1010834234 108791024 84824813 306829 364206 6089287 9698000 86994560 34648141 202181700 129535160 X 755540985 880721366 533180 577708 756074165 881299074 958255865 1010834234 X 102053714 15437207 -4990 7738978 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 1 1527 0 0 0 0 1 72793 74320 0 PART II-B, LINE 1: SCHEDULE C, PART II - B, LINE 1D PORT CITY 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 THE ORGANIZATION'S ADVOCACY PRIORITIES; DIVISION-EMPLOYED ADVOCACY LEADERS WERE ABLE TO CREATE THEIR OWN LETTERS AS WELL. CENTRAL TO THE ORGANIZATION'S 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 HOSPITAL'S ADVOCACY ACTIVITIES ARE INEXTRICABLY LINKED TO ITS FUNDAMENTAL GOAL TO BUILD HEALTHIER COMMUNITIES. ONE DIMENSION OF THE ORGANIZATION'S 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. SCHEDULE C, PART II - B, LINE 1I LOBBYING EXPENDITURES PAID DIRECTLY BY THE FILING ORGANIZATION FOR ANNUAL MEMBERSHIP DUES: 340 B HEALTH: $217 ALLIANCE OF CATHOLIC HEALTHCARE: $ 4,559 AMERICAN ACADEMY OF FAMILY PHYSICIANS: $ 264 AMERICAN ACADEMY OF NEUROLOGY: $371 AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS: $585 AMERICAN COLLEGE OF EMERGENCY PHYSICIANS: $ 3,830 AMERICAN COLLEGE OF SURGEONS: $806 AMERICAN COLLEGE OF CARDIOLOGY: $ 204 AMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION: $8 AMERICAN HEART ASSOCIATION: $ 3,812 AMERICAN HOSPITAL ASSOCIATION: $ 9213 AMERICAN MEDICAL ASSOCIATION: $ 210 AMERICAN ORTHOPAEDIC ASSOCIATION: $47 AMERICAN SOCIETY OF ANESTHESIOLOGISTS: $ 7 AMERICAN SOCIETY OF HEALTH-SYSTEM PHARMACISTS: $ 833 AMERICAN UROLOGICAL ASSOCIATION: $378 ASSOCIATION FOR PROFESSIONALS IN INFECTION CONTROL AND EPIDEMIOLOGY: $1 CALIFORNIA CHAPTER OF THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS: $271 AMERICAN SOCIETY OF ECHOCARDIOGRAPHY CARDIOLOGY FELLOWSHIP: $110 HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA: $ 36,210 SACRAMENTO METRO CHAMBER: $8 SOCIETY FOR HEALTHCARE EPIDEMIOLOGY OF AMERICA: $3 CATHOLIC HEALTH ASSOCIATION $10,847 TOTAL EXPENDITURES PAID TO ORGANIZATIONS: $ 72,793 0 250000 14301 -25 264326 0 0 0 0 0.00000 1.00000 0.00000 0 0 14924873 14924873 217084560 57308208 159776352 267900 258046 9854 82237877 56580437 25657440 38574144 411607 38162537 238531056 CSH POOLED INVESTMENTS 318120663 F 318120663 PENSION PAYABLE 12224837 ASSET RETIREMENT OBLIGATION LIABILITY 20139953 DUE TO RELATED PARTIES 2283351 34648141 X PART V, LINE 4: THE FREY FAMILY ENDOWMENT FUND AT ST. JOSEPH'S CANCER INSTITUTE STANDS AS A CRITICAL SUPPORT FOR PATIENTS FACING ACUTE FINANCIAL BARRIERS DURING TREATMENT. INSPIRED BY PERSONAL EXPERIENCE, THE FREYS UNDERSTAND THAT A CANCER DIAGNOSIS OFTEN BRINGS SUDDEN, UNFORESEEN ECONOMIC BURDENS. THIS ENDOWMENT FUND IS SPECIFICALLY DESIGNED NOT TO PROVIDE ONGOING INCOME, BUT TO ACT AS A VITAL SAFETY NET, PREVENTING SHORT-TERM FINANCIAL HARDSHIP FROM ESCALATING INTO A CRISIS. ST. JOSEPH'S FOUNDATION, RECOGNIZED FOR ITS EXEMPLARY STEWARDSHIP OF PHILANTHROPIC INVESTMENTS, ENSURES THAT THESE FUNDS DIRECTLY REACH THOSE PATIENTS WHO NEED IMMEDIATE, TEMPORARY FINANCIAL ASSISTANCE, ALLOWING THEM TO FOCUS ON THEIR RECOVERY WITHOUT THE ADDED STRAIN OF OVERWHELMING BILLS. PART X, LINE 2: ST. JOSEPH'S MEDICAL CENTER OF STOCKTON AND ST. JOSEPH'S BEHAVIORAL HEALTH CENTER REVIEW ITS TAX QUARTERLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. 1 1 X 1 X 250.000000000000 1 X 500.000000000000 1 1 1 0 1 1 18470 9064102 9064102 0.01150 56402 217503416 168001654 49501762 0.06260 74872 226567518 168001654 58565864 0.07410 33 80719 4008617 701892 3306725 0.00420 10 988 43248819 10195456 33053363 0.04180 1 2309 640385 0 640385 0.00080 1 0 71266 2058 69208 0.00010 6 4238 1337152 0 1337152 0.00170 51 88254 49306239 10899406 38406833 0.04860 51 163126 275873757 178901060 96972697 0.12270 1 3248047 159247013 148735941 10511072 X 1 1 1 ST JOSEPH'S SURGERY CENTER LP SURGERY CENTER 0.66300 0.00000 0.13300 2 1 ST JOSEPH'S MEDICAL CENTER OF STOCKTON 1800 N CALIFORNIA ST STOCKTON CA 95204 WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORN 030000284 X X X X A 2 ST JOSEPH'S BEHAVIORAL HEALTH CENTER 2510 N CALIFORNIA ST STOCKTON CA 95204 WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORN 030000367 X A FACILITY GROUP A 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 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 PART V, SECTION A: PRESENTATION OF HOSPITALS' COMPLETE WEBSITE ADDRESSES:ST. JOSEPH'S MEDICAL CENTER OF STOCKTONWWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/STJOSEPHS-STOCKTONST. JOSEPH'S BEHAVIORAL HEALTH CENTERWWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/STJOSEPHSBEHAVIORAL PART V, SECTION B, LINE 3E: 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 1: ST JOSEPH'S MEDICAL CENTER OF STOCKTON, - FACILITY 2: ST JOSEPH'S BEHAVIORAL HEALTH CENTER FACILITY GROUP A PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT, A COMPREHENSIVE ASSESSMENT OF COMMUNITY HEALTH, WAS METICULOUSLY DEVELOPED THROUGH A MULTI-FACETED APPROACH, INCORPORATING INSIGHTS FROM 12 KEY INFORMANTS, 40 FOCUS GROUP DISCUSSIONS WITH 350 COMMUNITY RESIDENTS, AND IN-DEPTH DATA ANALYSES OF OVER 100 INDICATORS TO PAINT A ROBUST PICTURE OF HEALTH ISSUES AFFECTING RESIDENTS. THIS THOROUGH INVESTIGATION, ROOTED IN A SOCIAL DETERMINANTS OF HEALTH FRAMEWORK, EXTENDED BEYOND TRADITIONAL HEALTH METRICS TO EXAMINE SAN JOAQUIN COUNTY'S SOCIAL, ENVIRONMENTAL, AND ECONOMIC CONDITIONS, ALONGSIDE FACTORS RELATED TO DISEASES, CLINICAL CARE, AND PHYSICAL HEALTH, ULTIMATELY LEADING TO THE IDENTIFICATION OF THE COUNTY'S TOP HEALTH NEEDS AND THE SUBSEQUENT DEVELOPMENT OF THE HOSPITAL'S IMPLEMENTATION PLAN. BELOW IS THE FULL LIST OF ORGANIZATIONS THAT CONTRIBUTED TO THE DEVELOPMENT OF THE SAN JOAQUIN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT AND ITS PROCESS: 211 SAN JOAQUIN, DIGNITY HEALTH, ST. JOSEPH'S MEDICAL CENTER AND BEHAVIORAL HEALTH CENTER, SAN JOAQUIN COUNTY CHILDREN'S ALLIANCE, ADVENTIST HEALTH LODI MEMORIAL, EL CONCILIO, SAN JOAQUIN COUNTY COUNCIL OF GOVERNMENTS, AMILIA ADAMS WHOLE LIFE CENTER, EMERGENCY FOOD BANK, SAN JOAQUIN COUNTY OFFICE OF EDUCATION EARLY CHILDHOOD EDUCATION, SAN JOAQUIN COUNTY OFFICE OF EDUCATION COMPREHENSIVE HEALTH PROGRAMS, ASIAN PACIFIC SELF-DEVELOPMENT AND RESIDENTIAL ASSOCIATION (APSARA), HEALTH NET, SAN JOAQUIN COUNTY HEALTH CARE SERVICE AGENCY, BOYS AND GIRLS CLUB, HEALTH PLAN OF SAN JOAQUIN, SAN JOAQUIN COUNTY HUMAN SERVICE AGENCY: AGING AND COMMUNITY SERVICES, CATHOLIC CHARITIES DIOCESE OF STOCKTON, HISPANIC CHAMBER OF COMMERCE, SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES, CHILD ABUSE PREVENTION COUNCIL, KAISER PERMANENTE, SAN JOAQUIN HEALTH, CITY OF STOCKTON OFFICE OF THE MAYOR, CITY OF STOCKTON OFFICE OF VIOLENCE PREVENTION, LITTLE MANILA RISING, ST. MARY'S COMMUNITY SERVICES, COMMUNITY MEDICAL CENTERS, LOVE INC. MANTECA, STOCKTONIANS TAKING ACTION TO NEUTRALIZE DRUGS (STAND), DAMERON HOSPITAL, MARY MAGDALENE COMMUNITY SERVICES PUBLIC HEALTH ADVOCATES, STOCKTON NAACP, DATA CO-OP, REINVENT SOUTH STOCKTON COALITION, SUTTER HEALTH, DEPARTMENT OF HEALTH AND HUMAN SERVICES, REGION 9, SAN JOAQUIN COMMUNITY FOUNDATION, THIRD CITY COALITION, TRUST FOR PUBLIC LAND, FAITH IN THE VALLEY, SAN JOAQUIN PRIDE CENTER, UNIVERSITY OF THE PACIFIC SCHOOL OF HEALTH SCIENCES, FIRST 5 SAN JOAQUIN, SIERRA VISTA HOMES, RESIDENTS COUNCIL, VISIONARY HOME BUILDERS, HEALTH FORCE PARTNERS, SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES AND PREVAIL. FACILITY GROUP A PART V, SECTION B, LINE 6A: DIGNITY HEALTH, ST. JOSEPH'S MEDICAL CENTER AND BEHAVIORAL HEALTH CENTER, ADVENTIST HEALTH LODI MEMORIAL, KAISER PERMANENTE, COMMUNITY MEDICAL CENTERS, DAMERON HOSPITAL, SUTTER HEALTH, SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES FACILITY GROUP A PART V, SECTION B, LINE 6B: 211 SAN JOAQUIN, SAN JOAQUIN COUNTY CHILDREN'S ALLIANCE, EL CONCILIO, SAN JOAQUIN COUNTY COUNCIL OF GOVERNMENTS, AMILIA ADAMS WHOLE LIFE CENTER, EMERGENCY FOOD BANK, SAN JOAQUIN COUNTY OFFICE OF EDUCATION EARLY CHILDHOOD EDUCATION, SAN JOAQUIN COUNTY OFFICE OF EDUCATION COMPREHENSIVE HEALTH PROGRAMS, ASIAN PACIFIC SELF-DEVELOPMENT AND RESIDENTIAL ASSOCIATION (APSARA), HEALTH NET, SAN JOAQUIN COUNTY HEALTH CARE SERVICE AGENCY, BOYS AND GIRLS CLUB, HEALTH PLAN OF SAN JOAQUIN, SAN JOAQUIN COUNTY HUMAN SERVICE AGENCY: AGING AND COMMUNITY SERVICES, CATHOLIC CHARITIES DIOCESE OF STOCKTON, HISPANIC CHAMBER OF COMMERCE, SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES, CHILD ABUSE PREVENTION COUNCIL, SAN JOAQUIN HEALTH, CITY OF STOCKTON OFFICE OF THE MAYOR, CITY OF STOCKTON OFFICE OF VIOLENCE PREVENTION, LITTLE MANILA RISING, ST. MARY'S COMMUNITY SERVICES, LOVE INC. MANTECA, STOCKTONIANS TAKING ACTION TO NEUTRALIZE DRUGS (STAND), MARY MAGDALENE COMMUNITY SERVICES PUBLIC HEALTH ADVOCATES, STOCKTON NAACP, DATA CO-OP, REINVENT SOUTH STOCKTON COALITION, DEPARTMENT OF HEALTH AND HUMAN SERVICES, REGION 9, SAN JOAQUIN COMMUNITY FOUNDATION, THIRD CITY COALITION, TRUST FOR PUBLIC LAND, FAITH IN THE VALLEY, SAN JOAQUIN PRIDE CENTER, UNIVERSITY OF THE PACIFIC SCHOOL OF HEALTH SCIENCES, FIRST 5 SAN JOAQUIN, SIERRA VISTA HOMES, RESIDENTS COUNCIL, VISIONARY HOME BUILDERS, HEALTH FORCE PARTNERS, PREVAIL FACILITY GROUP A PART V, SECTION B, LINE 7D: THE 2025 (TY 2024) CHNA REPORT WAS ANNOUNCED AND DISSEMINATED TO OVER 350 CONTACTS VIA AN E-NEWSLETTER HIGHLIGHTING VARIOUS COMMUNITY HEALTH DEPARTMENT UPDATES. RECIPIENTS OF THE INFORMATION INCLUDE BOTH HOSPITAL STAFF, COMMUNITY BASED ORGANIZATION LEADERS, AND OTHER PUBLIC AND PRIVATE STAKEHOLDERS. ADDITIONALLY, ALL OTHER CONTRIBUTING HOSPITALS AND FUNDING PARTNERS HAVE ALSO SHARED WIDELY. THE CHNA REPORT WAS ALSO SHARED WITH ORGANIZATIONS APPLYING FOR THE COMMUNITY HEALTH IMPROVEMENT GRANT PROGRAM. FACILITY GROUP A PART V, SECTION B, LINE 11: ST. JOSEPH'S MEDICAL CENTER IS ADDRESSING ALL TEN SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). NO SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA ARE CURRENTLY NOT BEING ADDRESSED.ACCESS TO CARE - PROGRAM ACTIVITIES: THE HOSPITAL UTILIZED A MULTIPRONGED APPROACH INCLUDING THE CHRONIC DISEASE NAVIGATOR FOR REFERRALS TO PRIMARY CARE AND ACCESS TO CERTIFIED DIABETES CARE AND EDUCATION SPECIALISTS (CDCES). THE TEST AND CONNECT PROGRAM INTEGRATED OPT-OUT HIV, HEPATITIS C (HCV), AND SYPHILIS TESTING IN THE EMERGENCY DEPARTMENT WITH LINKAGE TO TREATMENT. THE HOMECOMING PROGRAM, IN PARTNERSHIP WITH CATHOLIC CHARITIES, OFFERED COMPREHENSIVE COMMUNITY CASE MANAGEMENT POST-DISCHARGE. WORKFORCE DEVELOPMENT INITIATIVES, INCLUDING GRADUATE MEDICAL EDUCATION (GME) AND TRAINING FOR NURSING AND PHARMACY STUDENTS, AIMED TO ADDRESS THE PROVIDER SHORTAGE. OTHER ACTIVITIES INCLUDED FINANCIAL ASSISTANCE, DONATIONS TO ST. MARY'S FREE DENTAL CLINIC, AND UTILIZATION OF THE CONNECTED COMMUNITY NETWORK (CCN).KEY METRICS & OUTCOMES: TEST AND CONNECT: PERFORMED 24,088 HIV TESTS, 18,279 HCV TESTS, AND 29,132 SYPHILIS TESTS. THE PROGRAM SUCCESSFULLY LINKED 18 INDIVIDUALS WITH HIV, 28 WITH HCV, AND 120 WITH SYPHILIS TO CARE. HOMECOMING PROGRAM: ASSESSED 471 UNDUPLICATED PERSONS, REFERRING 245 TO CATHOLIC CHARITIES. HOWEVER, THE GOAL OF MAINTAINING A 30-DAY HOSPITAL READMISSION RATE UNDER 15% WAS NOT MET, AS 51 (21%) OF ENROLLED PERSONS WERE READMITTED. GRADUATE MEDICAL EDUCATION (GME): GRADUATED THE FOURTH CLASS OF EMERGENCY MEDICINE AND FAMILY MEDICINE RESIDENTS, AND THE FIRST CLASSES OF ANESTHESIA AND PSYCHIATRY RESIDENTS.MENTAL/BEHAVIORAL HEALTH INCLUDING SUBSTANCE USE - PROGRAM ACTIVITIES: THE COMMUNITY HEALTH ADVOCATE (CHA) PROGRAM OFFERED SCREENING AND REFERRALS FOR MENTAL HEALTH/SUBSTANCE USE ISSUES. MENTAL HEALTH FIRST AID PROVIDED CERTIFICATED TRAINING TO HELP COMMUNITY MEMBERS AND PROVIDERS IDENTIFY AND RESPOND TO SIGNS OF MENTAL ILLNESSES AND ADDICTIONS. OTHER ACTIVITIES INCLUDED MENTAL HEALTH WORKSHOPS, TRAUMA INFORMED SYSTEMS TRAINING (TIS), AND THE CANINE KINDNESS: A PAWSITIVE CLASSROOM PROJECT. COMMUNITY BENEFIT OPERATIONS INCLUDED WELLNESS NAVIGATORS WHO PROVIDED MEDICATION-ASSISTED TREATMENT FOR OPIOID USE DISORDER, AND EXPANSION OF SPECIALTY CARE ACCESS THROUGH THE GME PSYCHOLOGY AND PSYCHIATRY RESIDENCY PROGRAM.KEY METRICS & OUTCOMES: OVER 21 INDIVIDUALS WERE NEWLY CERTIFIED THROUGH 4 TRAINING SESSIONS OF ADULT MENTAL HEALTH FIRST AID. THE CANINE KINDNESS PROGRAM REACHED 24 STUDENTS OVER 4 SESSIONS, RESULTING IN REPORTS OF STUDENTS FEELING HAPPIER AND LESS STRESSED.CHRONIC DISEASE/HEALTHY EATING ACTIVE LIVING (HEAL) PROGRAM ACTIVITIES: PROGRAMS FOCUSED ON DIABETES AND HEALTHY LIFESTYLE INCLUDED THE MONTHLY DIABETES POWER HOUR WORKSHOP, FREE ONE-ON-ONE CERTIFIED DIABETES EDUCATOR CONSULTATIONS, THE CHRONIC DISEASE NAVIGATOR REFERRAL SERVICE, AND THE DOCTOR UP YOUR MEALS WORKSHOP WITH HEALTHY FOOD DEMONSTRATIONS. HOSPITAL EFFORTS ALSO SUPPORTED THE SAN JOAQUIN COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) TO INCREASE PHYSICAL ACTIVITY THROUGH COMMUNITY PARK UTILIZATION.KEY METRICS & OUTCOMES: POWER HOUR: CONDUCTED 55 SESSIONS SERVING 560 PARTICIPANTS (198 UNIQUE). PARTICIPANTS RATED GAINING NEW KNOWLEDGE/SKILLS 4.8 OUT OF 5. CDCES CONSULTATIONS: SERVED 42 UNDUPLICATED PARTICIPANTS. THE AVERAGE KNOWN HBA1C FOR PARTICIPANTS DROPPED FROM 10.8% AT REFERRAL TO 7.8% AT A 3-MONTH CONSULT AND 6.0% AT A 6-MONTH CONSULT. DOCTOR UP YOUR MEALS: 12 CLASSES SERVED 119 PARTICIPANTS (35 UNIQUE).HOUSING PROGRAM ACTIVITIES: THE CHA PROGRAM SCREENED PATIENTS FOR HOUSING INSECURITY AND MADE REFERRALS. A COMMUNITY HEALTH SOCIAL WORKER SUPPORTED HOMELESS HEALTH INITIATIVE STRATEGIES AND COLLABORATED WITH SHELTER PARTNERS. THE HOSPITAL SUPPORTED PERMANENT AFFORDABLE HOUSING FOR LOW-INCOME SENIORS WITH A $3,850,000 LOAN TO DELTA COMMUNITY DEVELOPERS CORPORATION (DCDC). OTHER OPERATIONS UTILIZED THE CCN, SAN JOAQUIN CONTINUUM OF CARE (SJCOC), AND CAL AIM ENHANCED CARE MANAGEMENT PROGRAM.KEY METRICS & OUTCOMES: OUTCOMES ARE EXPECTED TO INCLUDE REFERRALS AND CONNECTIONS TO SHELTER/HOUSING ASSISTANCE AND RESIDENTIAL SUBSTANCE ABUSE TREATMENT. SPECIFIC QUANTITATIVE METRICS ON HOUSING PLACEMENTS ARE NOT PROVIDED IN THIS SECTION.ECONOMICS - PROGRAM ACTIVITIES: THE CHA PROGRAM PROVIDED SCREENING AND REFERRALS FOR FINANCIAL INSECURITY. OTHER PROGRAMS LEVERAGED THE CCN, SJCOC, AND CAL AIM ENHANCED CARE MANAGEMENT PROGRAM. THE HOSPITAL SUPPORTED COMMUNITY BUILDING WITH A $250,000 LOAN TO THE FEED THE HUNGER FUND TO PROVIDE CAPITAL TO SMALL FOOD ENTREPRENEURS IN UNDERSERVED COMMUNITIES. KEY METRICS & OUTCOMES: CHA PROGRAM: OF THE PATIENTS WHO SCREENED POSITIVE FOR A SOCIAL NEED, 33% (446 PERSONS) REPORTED NOT HAVING ENOUGH MONEY TO PAY BILLS, AND 12% (162 PERSONS) REPORTED A THREATENED UTILITY SHUT-OFF. GOAL: OUTCOMES ARE ANTICIPATED TO INCLUDE REFERRALS AND CONNECTIONS TO LIFE SKILLS, UTILITY ASSISTANCE, AND WORK READINESS PROGRAMS.SOCIAL SUPPORT - PROGRAM ACTIVITIES: THE CHA PROGRAM SCREENED FOR ISOLATION AND LONELINESS AND PROVIDED REFERRALS. MENTAL HEALTH PROGRAMMING SUPPORTED INDIVIDUALS AND FAMILIES. OPERATIONS INVOLVED THE CCN, SJCOC, CAL AIM ENHANCED CARE MANAGEMENT PROGRAM, CHIP, AND SAN JOAQUIN TRAUMA INITIATIVE.KEY METRICS & OUTCOMES: CHA PROGRAM: OF THE PATIENTS WHO SCREENED POSITIVE FOR A SOCIAL NEED, 22% (298 PERSONS) REPORTED OFTEN FEELING ALONE. HOMECOMING PROGRAM: OF THE 214 ENROLLED CLIENTS, 97% UTILIZED ADVANCE DIRECTIVE/PALLIATIVE CARE/POLST SERVICES, AND 100% WERE GIVEN ADDITIONAL HEALTH EDUCATION.COMMUNITY SAFETY - PROGRAM ACTIVITIES: THE CHA PROGRAM PROVIDED SCREENING AND REFERRALS FOR DOMESTIC VIOLENCE ISSUES. THE MENTAL HEALTH FIRST AID TRAINING AND PEACE PROJECT (FOCUSING ON VIOLENCE/SAFETY FOR UNHOUSED POPULATIONS) WORKED TO REDUCE VIOLENCE AND PROMOTE SAFETY. OTHER OPERATIONS INCLUDED THE CCN, CHIP, SAN JOAQUIN TRAUMA INITIATIVE, AND CAL AIM ENHANCED CARE MANAGEMENT PROGRAM. THE HOSPITAL APPROVED A $3.0 MILLION LOAN TO STOCKTONIANS TAKING ACTION TO NEUTRALIZE DRUGS (STAND) FOR THE DEVELOPMENT OF PERMANENT SUPPORTIVE HOUSING TO ADDRESS AREAS IMPACTED BY GANG/DRUG ACTIVITY.KEY METRICS & OUTCOMES: OVER 21 INDIVIDUALS WERE NEWLY CERTIFIED IN MENTAL HEALTH FIRST AID, WHICH ULTIMATELY AIMS TO IMPROVE COMMUNITY SAFETY.EDUCATION - PROGRAM ACTIVITIES: EDUCATION WAS INTEGRATED ACROSS MULTIPLE HEALTH NEEDS, INCLUDING THROUGH COMMUNITY CLASSES OFFERED BY MENTAL HEALTH AND CHRONIC DISEASE/HEAL PROGRAMS. WORKFORCE DEVELOPMENT INITIATIVES, SUCH AS THE GME PROGRAM, AIMED TO SUPPORT HIGHER EDUCATION. THE HOSPITAL HOSTED THE HEALTH CAREER EXPO, AN ANNUAL EVENT WHERE APPROXIMATELY 200 HIGH SCHOOL STUDENTS ENGAGED WITH MEDICAL PROFESSIONALS.KEY METRICS & OUTCOMES: HEALTH CAREER EXPO: ENGAGED APPROXIMATELY 200 HIGH SCHOOL STUDENTS. CHRONIC DISEASE PROGRAMS: 560 PARTICIPANTS ATTENDED 55 POWER HOUR SESSIONS; 119 PARTICIPATED IN 12 DOCTOR UP YOUR MEALS CLASSES.FOOD SECURITY - PROGRAM ACTIVITIES: THE CHA PROGRAM SCREENED AND REFERRED FOR FOOD INSECURITY. THE HOMECOMING PROGRAM PROVIDED MEAL ASSISTANCE IN PARTNERSHIP WITH CATHOLIC CHARITIES. THE HOSPITAL DONATED SURPLUS FOOD THROUGH THE REPLATE PROGRAM TO LOCAL NON-PROFIT ORGANIZATIONS, IN COMPLIANCE WITH SENATE BILL 1383. OTHER OPERATIONS LEVERAGED THE CCN, CHIP, AND CAL AIM ENHANCED CARE MANAGEMENT PROGRAM.KEY METRICS & OUTCOMES: REPLATE PROGRAM: DONATED 9,185 POUNDS OF SURPLUS FOOD IN FY25. CHA PROGRAM: OF THE PATIENTS WHO SCREENED POSITIVE FOR A SOCIAL NEED, 38% (514 PERSONS) REPORTED THAT THE FOOD THEY BOUGHT DIDN'T LAST AND THEY DIDN'T HAVE MONEY FOR MORE. HOMECOMING PROGRAM: 28% OF ENROLLED CLIENTS UTILIZED THE CC FOOD PANTRY.TRANSPORTATION - PROGRAM ACTIVITIES: THE CHA PROGRAM SCREENED FOR TRANSPORTATION ISSUES THAT INHIBIT ACCESS TO CARE AND PROVIDED REFERRALS. THE HOMECOMING PROGRAM ALSO PROVIDED TRANSPORTATION ASSISTANCE FOR BASIC NEEDS AND ACCESS TO CARE. COMMUNITY BENEFIT OPERATIONS INCLUDED DIRECT TRANSPORTATION ASSISTANCE, THE CCN, AND THE CAL AIM ENHANCED CARE MANAGEMENT PROGRAM.KEY METRICS & OUTCOMES: CHA PROGRAM: 12% OF POSITIVE SCREENS (162 PERSONS) REPORTED GOING WITHOUT HEALTH CARE IN THE PAST 12 MONTHS BECAUSE THEY LACKED A WAY TO GET THERE. HOMECOMING PROGRAM: 57% OF ENROLLED CLIENTS UTILIZED TRANSPORTATION SERVICES.ALL TEN SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE HOSPITAL'S MOST RECENT CHNA ARE BEING ADDRESSED THROUGH VARIOUS STRATEGIES AND PROGRAMS.***SEE PART V, SECTION B, LINE 11 CONTINUATION AFTER PART V, SECTION B, LINE 10A DISCLOSURE ON PART V, SECTION C*** FACILITY 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, LINE 7A: CHNA REPORT WEB SITE LOCATIONS FOR ST JOSEPH'S MEDICAL CENTER OF STOCKTON AND ST. JOSEPH'S BEHAVIORAL HEALTH CENTER ARE PROVIDED BELOW.HTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/STJOSEPHS-STOCKTON/ABOUT-US/COMMUNITY-PROGRAMS/COMMUNITY-HEALTH-NEEDS-ASSESMENTHTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/STJOSEPHSBEHAVIORAL/ABOUT-US/COMMUNITY-HEALTHSCHEDULE H, PART V, SECTION B, LINE 7BWWW.HEALTHIERSANJOAQUIN.ORG PART V, SECTION B, LINE 10A: THE HOSPITALS' FACILITY IMPLEMENTATION STRATEGY DOCUMENTS CAN BE ACCESSED ATHTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/STJOSEPHS-STOCKTON/ABOUT-US/COMMUNITY-PROGRAMS/COMMUNITY-HEALTH-NEEDS-ASSESMENTHTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/STJOSEPHSBEHAVIORAL/ABOUT-US/COMMUNITY-HEALTH PART V, SECTION B, LINE 11 (CONT'D): ST. JOSEPH'S BEHAVIORAL HEALTH CENTER:ST. JOSEPH'S BEHAVIORAL HEALTH CENTER'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IDENTIFIED TEN SIGNIFICANT HEALTH NEEDS WITHIN THE COMMUNITY. THE HOSPITAL'S RESPONSE IS FOCUSED ON FIVE OF THESE NEEDS, ALIGNED WITH ITS EXCLUSIVE DELIVERY OF BEHAVIORAL HEALTH SERVICES.ACCESS TO CARE - PROGRAM ACTIVITIES: THE HOSPITAL PROVIDED BEHAVIORAL EVALUATION SERVICES 24-HOURS DAILY TO ASSESS PATIENT NEEDS AND RISKS AND PROVIDE REFERRALS, REGARDLESS OF THE INDIVIDUAL'S ABILITY TO PAY OR ELIGIBILITY FOR CARE. FINANCIAL ASSISTANCE WAS PROVIDED THROUGH INTEREST-FREE PAYMENTS OR FREE SERVICES DEPENDING ON THE PATIENT'S FINANCIAL CIRCUMSTANCES. WORKFORCE DEVELOPMENT INITIATIVES INCLUDED GRADUATE MEDICAL EDUCATION (GME) (PSYCHIATRY RESIDENTS), MASTER'S LEVEL SOCIAL WORKER ROTATIONS, AND NURSING STUDENTS TO ADDRESS THE CULTURALLY DIVERSE HEALTHCARE PROVIDER SHORTAGE. IN-KIND SUPPORT OF COMMUNITY ORGANIZATIONS FOR SUPPORT GROUPS PROVIDED MEETING SPACES FOR GROUPS SUCH AS ALCOHOLICS ANONYMOUS, NARCOTICS ANONYMOUS, AND WOMEN IN RECOVERY. THE COMMUNITY HEALTH IMPROVEMENT GRANTS PROGRAM AWARDED FUNDING FOR PROGRAMS ADDRESSING ACCESS TO CARE.KEY METRICS & OUTCOMES: BEHAVIORAL EVALUATION SERVICES: COMPLETED EVALUATIONS FOR 2,309 UNINSURED INDIVIDUALS OR THOSE WHOSE INSURANCE DID NOT COVER THE SERVICES. BEHAVIORAL EVALUATION SERVICES: BUILDING ON A POPULATION SERVED LAST YEAR OF 1,915. WORKFORCE DEVELOPMENT INITIATIVES (GME): GRADUATED THE FIRST CLASS OF PSYCHIATRY RESIDENTS. IN-KIND SUPPORT: SERVED A TOTAL OF 1,246 PERSONS IN SUPPORT MEETINGS.MENTAL/BEHAVIORAL HEALTH INCLUDING SUBSTANCE USE - PROGRAM ACTIVITIES: THE BEHAVIORAL EVALUATION SERVICES PROVIDED 24-HOUR ASSESSMENTS FOR PATIENTS WITH BEHAVIORAL HEALTH AND SUBSTANCE USE ISSUES. IN-KIND SUPPORT PROVIDED MEETING SPACES FOR GROUPS LIKE THE NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI), ALCOHOLIC ANONYMOUS, AND NARCOTICS ANONYMOUS. AFTERCARE SUPPORT GROUPS WERE PROVIDED FOR PREVIOUSLY ADMITTED PATIENTS, INCLUDING WEEKLY SUPPORT GROUPS AND EDUCATION FROM NAMI AND MUSIC THERAPY. THE HOSPITAL COLLABORATED ON MATERNAL MENTAL HEALTH LISTENING SESSIONS AND PROVIDED EDUCATION ABOUT MENTAL/BEHAVIORAL HEALTH AND SUBSTANCE USE TREATMENT SERVICES TO THOSE EXPERIENCING HOMELESSNESS. WORKFORCE DEVELOPMENT INITIATIVES (GME) CONTINUED TO EXPAND THE PROFESSIONAL PIPELINE THROUGH THE GRADUATION OF PSYCHIATRY RESIDENTS. THE COMMUNITY HEALTH IMPROVEMENT GRANTS PROGRAM SUPPORTED PROGRAMS ADDRESSING MENTAL/BEHAVIORAL HEALTH.KEY METRICS & OUTCOMES: BEHAVIORAL EVALUATION SERVICES: COMPLETED 24-HOUR ASSESSMENTS FOR 2,309 UNINSURED INDIVIDUALS OR THOSE LACKING COVERAGE. IN-KIND SUPPORT: SERVED A TOTAL OF 1,246 PERSONS. AFTERCARE SUPPORT GROUPS: SERVED A TOTAL OF 531 PREVIOUSLY ADMITTED PATIENTS. WORKFORCE DEVELOPMENT INITIATIVES (GME): GRADUATED THE FIRST CLASS OF PSYCHIATRY RESIDENTS.SOCIAL SUPPORT - PROGRAM ACTIVITIES: COMMUNITY BENEFIT OPERATIONS SUPPORTED THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) AND OFFERED CLASSES AT LITTLE OR NO COST FOR IMPROVED SOCIAL SUPPORT FOR THOSE LIVING WITH MENTAL/BEHAVIORAL HEALTH ISSUES. DIRECT SUPPORT WAS PROVIDED THROUGH IN-KIND SUPPORT OF COMMUNITY ORGANIZATIONS FOR SUPPORT GROUPS AND AFTERCARE SUPPORT GROUPS. THROUGH THE COMMUNITY HEALTH IMPROVEMENT GRANTS PROGRAM, THE HOSPITAL EXTENDED FUNDING FOR PROGRAMS ADDRESSING SOCIAL SUPPORT.KEY METRICS & OUTCOMES: IN-KIND SUPPORT OF COMMUNITY ORGANIZATIONS FOR SUPPORT GROUPS: SERVED A TOTAL OF 1,246 PERSONS. AFTERCARE SUPPORT GROUPS: SERVED A TOTAL OF 531 PERSONS. TOTAL SERVED (COMBINED GROUPS): COLLECTIVELY SERVED A TOTAL OF 1,777 PERSONS.EDUCATION - PROGRAM ACTIVITIES: THE WORKFORCE DEVELOPMENT INITIATIVES (GME) PROGRAM GRADUATED THE FIRST CLASS OF PSYCHIATRY RESIDENTS. RESIDENTS ENGAGED IN DIDACTIC TRAININGS COVERING TOPICS SUCH AS CULTURAL COMPETENCY, HEALTH LITERACY, AND HEALTH DISPARITIES, AND PARTICIPATED IN A COMMUNITY ENGAGEMENT PROGRAM TO EXPERIENCE THE PROVISIONING OF SOCIAL SERVICES. COMMUNITY BENEFIT OPERATIONS OFFERED CLASSES FOR IMPROVED HEALTH EDUCATION AND HEALTH LITERACY, AND INCLUDED TRAINING ROTATIONS FOR MASTER'S LEVEL SOCIAL WORKER ROTATIONS AND NURSING STUDENTS. THE IN-KIND SUPPORT AND AFTERCARE SUPPORT GROUPS ALSO PROVIDED EDUCATIONAL COMPONENTS. GRANT FUNDING WAS PROVIDED THROUGH THE COMMUNITY HEALTH IMPROVEMENT GRANTS PROGRAM FOR PROGRAMS ADDRESSING EDUCATION.KEY METRICS & OUTCOMES: WORKFORCE DEVELOPMENT INITIATIVES (GME): GRADUATED THE FIRST CLASS OF PSYCHIATRY RESIDENTS. IN-KIND SUPPORT & AFTERCARE SUPPORT GROUPS: COLLECTIVELY SERVED A TOTAL OF 1,777 PERSONS.TRANSPORTATION - PROGRAM ACTIVITIES (FY25 SUMMARY): COMMUNITY BENEFIT OPERATIONS PROVIDED TRANSPORTATION ASSISTANCE FOR THOSE IN NEED, SPECIFICALLY AT NO COST TO INDIVIDUALS NEEDING POST-DISCHARGE ACCESS TO CARE. THE COMMUNITY HEALTH IMPROVEMENT GRANTS PROGRAM SUPPORTED PROGRAMS ADDRESSING TRANSPORTATION.KEY METRICS & OUTCOMES: TRANSPORTATION ASSISTANCE IS PROVIDED AT NO COST TO INDIVIDUALS NEEDING POST-DISCHARGE ACCESS TO CARE.THE FIVE SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED IN THE CHNA THAT ST. JOSEPH'S BEHAVIORAL HEALTH CENTER DOES NOT INTEND TO ADDRESS ARE: CHRONIC DISEASE/HEALTHY EATING AND LIVING (HEAL), HOUSING, ECONOMICS, COMMUNITY SAFETY, AND FOOD SECURITY. AS A HOSPITAL EXCLUSIVELY DELIVERING BEHAVIORAL HEALTH SERVICES, THESE BROADER SOCIAL AND PHYSICAL HEALTH NEEDS FALL OUTSIDE THE SCOPE OF WHAT THE FACILITY CAN ADDRESS. THESE CRITICAL NEEDS ARE BEING ADDRESSED BY ST. JOSEPH'S MEDICAL CENTER, OTHER HOSPITALS, AND VARIOUS COMMUNITY SERVICE ORGANIZATIONS IN THE REGION. PART V, SECTION B, LINE 16A, 16B AND 16C: ST. JOSEPH'S MEDICAL CENTER OF STOCKTON:HTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/STJOSEPHS-STOCKTON/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-INFORMATION/FINANCIAL-ASSISTANCEST. JOSEPH'S BEHAVIORAL HEALTH CENTER:HTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/STJOSEPHSBEHAVIORAL/PATIENTS-AND-VISITORS/PATIENTS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE 1 1 - ST JOSEPH'S SURGERY CENTER LP 1800 N CALIFORNIA STREET SUITE 1 STOCKTON CA 95204 SURGERY 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 MAYBE 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.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 7: PORT CITY OPERATING COMPANY, LLC, (PORT CITY) DBA ST. JOSEPH'S MEDICAL CENTER OF STOCKTON (SJMC) AND ST. JOSEPH'S BEHAVIORAL HEALTH CENTER (BHC) FOLLOWS THE METHOD USED BY COMMONSPIRIT HEALTH. FOR PURPOSES OF CALCULATING THE AMOUNTS PROVIDED IN THE TABLE, THE ORGANIZATION USES 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.SCHEDULE H, PART I, LINE 7B, COLUMN (F)BEGINNING IN 2009, THE STATE OF CALIFORNIA ESTABLISHED PROVIDER FEE PROGRAMS. THESE PROGRAMS ARE FUNDED BY QUALITY ASSURANCE FEES PAID BY PARTICIPATING HOSPITALS AND MATCHING FEDERAL FUNDS. PORT CITY'S HOSPITAL FACILITIES RECOGNIZED QUALITY ASSURANCE FEES DURING THE YEAR OF $24.7 MILLION WHICH ARE INCLUDED IN TOTAL COMMUNITY BENEFIT EXPENSE RELATED TO UNREIMBURSED MEDICAID (PART I, LINE 7B, COLUMN C), AND RECOGNIZED FEE-FOR-SERVICE SUPPLEMENTAL PAYMENTS OF $38.3 MILLION DURING THE YEAR REFLECTED UNDER THE MEDICAID PROGRAM AS DIRECT OFFSETTING REVENUE (PART I, LINE 7B, COLUMN D).SCHEDULE H, PART I, LINE 7IINCLUDED IN CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT IS $815,631 IN GRANTS TO A FUND ESTABLISHED BY THE CALIFORNIA HEALTH FOUNDATION AND TRUST ("CHFT") 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: N/A (THE HOSPITAL DID NOT ENGAGE IN COMMUNITY BUILDING ACTIVITIES DURING FY 2025). 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) 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 FINANCIAL ASSISTANCE, AND ARE OTHERWISE UNINSURED.PORT CITY PROVIDES FREE OR DISCOUNTED CARE TO UNINSURED OR UNDER-INSURED INDIVIDUALS THAT FALL INTO THREE CATEGORIES: AT OR BELOW 250%, 251%-400% OR 401%-500% OF THE FEDERAL POVERTY LEVEL. PORT CITY 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: PORT CITY FOLLOWS THE COMMONSPIRIT HEALTH FINANCIAL ASSISTANCE POLICY.PORT CITY 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, THE HOSPITAL 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 HEALTH'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 COMPLIES WITH PROVIDER REIMBURSEMENT MANUAL (PRM) 15-1, AND PRM 15-2, CHAPTER 40 (TRANSMITTAL 18). AS SUCH, THE FOLLOWING LANGUAGE PER THE 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 TO BE CONSIDERED IS A SEPARATE AVERAGE COST PER DIEM FOR EACH INTENSIVE CARE UNIT, CORONARY CARE UNIT, AND OTHER SPECIAL CARE INPATIENT HOSPITAL UNITS.COMMONSPIRIT HEALTH AND ITS SUBORDINATE CORPORATIONS BELIEVE THAT THE ENTIRE MEDICARE SHORTFALL FOR THE CONSOLIDATED ENTITIES, CONSTITUTES COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY COMMONSPIRIT HEALTH HOSPITALS IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITIES. THE HOSPITALS PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. PART III, LINE 9B: PORT CITY ENSURES THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. PORT CITY ALSO FOLLOWS COMMONSPIRIT HEALTH'S BILLING AND COLLECTION POLICY. COMMONSPIRIT'S 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 HOSPITAL FACILITIES OR THE 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 FINANCIAL ASSISTANCE OR FOR ASSISTANCE UNDER COMMONSPIRIT'S FINANCIAL ASSISTANCE POLICY, OR WHERE THE PATIENT IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH THE FACILITY VIA PAYMENT PLANS, PORT CITY 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 HOSPITAL PATIENT FINANCIAL ASSISTANCE DEPARTMENT. UPON ASSIGNMENT OF SUCH A PATIENT ACCOUNTS TO A COLLECTION AGENCY, PORT CITY REQUIRES THE AGENCY TO COMPLY WITH THE FAIR DEBT COLLECTION PRACTICES ACT. PART VI, LINE 2: ST. JOSEPH'S MEDICAL CENTER OF STOCKTON AND ST. JOSEPH'S BEHAVIORAL HEALTH:THE HOSPITALS TOGETHER HAVE VISIBILITY TO THE EMERGING HEALTH CARE NEEDS THROUGH THE COURSE OF SERVICE PROVISION OF FOLLOWING PROGRAMS: THE COMMUNITY HEALTH ADVOCATE PROGRAM AS A STRATEGY TO ADDRESS MULTIPLE IDENTIFIED UNMET NEEDS THROUGH A UNIVERSAL SCREENING OF THE SOCIAL DETERMINANTS OF HEALTH FOR PATIENTS IN THE HOSPITAL EMERGENCY DEPARTMENT; AND THE HOMECOMING PROGRAM THAT ASSESS THE HEALTH AND SOCIAL SERVICE NEEDS OF INDIVIDUALS POST HOSPITALIZATION BY PROVIDING SHORT-TERM CASE MANAGEMENT TO ENSURE A SAFE RECOVERY. ADDITIONALLY, THE CONNECTED COMMUNITY NETWORK OF SAN JOAQUIN IS A NETWORK OF HEALTH AND SOCIAL SERVICE PROVIDERS UNITED THROUGH A SHARED TECHNOLOGY PLATFORM THAT ALLOWS VISIBILITY TO COMMUNITY CARE COORDINATION AND HELPS TO ASSESS SERVICE GAPS AND CAPACITY ISSUES AMONG IN-NETWORK PROVIDERS. PART VI, LINE 3: INFORMATION ABOUT PORT CITY'S FINANCIAL ASSISTANCE PROGRAM AND A CONTACT NUMBER ARE MADE AVAILABLE TO PATIENTS AND THE PUBLIC. PATIENTS ARE INFORMED OF THE FACILITY'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 PORT CITY'S FACILITY MAY ELECT. SUCH INFORMATION IS PROVIDED IN THE PRIMARY LANGUAGES SPOKEN IN THE COMMUNITIES PORT CITY'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.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: ST. JOSEPH'S MEDICAL CENTER SERVES RESIDENTS OF STOCKTON ALONG WITH MEMBERS OF NEIGHBORING COMMUNITIES WITHIN SAN JOAQUIN COUNTY. THE OVERALL SERVICE AREA CONSISTS OF 24 ZIP CODES. THE POPULATION OF SAN JOAQUIN COUNTY IS APPROXIMATELY 762,000, WHILE THE CITY OF STOCKTON IS HOME TO ROUGHLY 387,000 RESIDENTS. ST. JOSEPH'S MEDICAL CENTER LIES IN ONE OF THE FASTEST GROWING COUNTIES IN CALIFORNIA, CONTAINING BOTH RURAL AND URBAN AREAS, WITH INDIVIDUAL CITIES SEPARATED BY AGRICULTURE AND OPEN SPACE LANDS. SAN JOAQUIN COUNTY IS CELEBRATED FOR ITS DIVERSE COMMUNITIES OF LATINOS AND AFRICAN AMERICANS AS WELL AS ASIAN IMMIGRANTS; BUT THERE IS ALSO A BIG GAP IN HEALTH OUTCOMES BETWEEN ETHNIC GROUPS. IT IS A COUNTY OF CONTRASTS, HOLDING IN ONE HAND GROWTH OPPORTUNITIES AND A VARIETY OF ASSETS AND RESOURCES TO SUPPORT HEALTH, AND ON THE OTHER HAND SIGNIFICANT CHALLENGES IN TERMS OF ECONOMIC SECURITY, HEALTH AND HEALTH DISPARITIES.TOTAL POPULATION: 779,445HISPANIC/LATINO: 43%WHITE: 29%ASIAN: 17%BLACK/AFRICAN AMERICAN: 7%MULTIPLE RACES: 4%PACIFIC ISLANDER/NATIVE HAWAIIAN: 1%AMERICAN INDIAN/ALASKA NATIVE: 0.2%(NOTE: RACE/ETHNICITY PERCENTAGES MAY NOT EQUAL 100% DUE TO ROUNDING.)MEDIAN HOUSEHOLD INCOME: $82,837LIVING IN POVERTY (<100 % FEDERAL POVERTY LEVEL): 13%CHILDREN IN POVERTY: 17%OLDER ADULTS (AGES 65+) IN POVERTY: 11%EMPLOYED (AGES 16+): 57%MEDICAID/PUBLIC INSURANCE ENROLLMENT: 43%INSURED (AGES 19-64): 91%ADULTS WITH NO HIGH SCHOOL DIPLOMA: 20%BACHELOR'S DEGREE OR HIGHER: 20%OTHER AREA HOSPITALS: 7WITHIN SAN JOAQUIN COUNTY THERE ARE A TOTAL OF SEVEN HOSPITALS, TWO BEHAVIORAL HEALTH HOSPITALS, AND TWO FEDERALLY QUALIFIED HEALTH CENTERS TO MEET THE ACCESS TO CARE NEEDS OF THOSE MEDICALLY UNDERSERVED. 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.HOSPITAL LEADERSHIP CONTRIBUTIONS TO COMMUNITY ORGANIZATIONS HOSPITAL LEADERS SIT ON MANY COMMUNITY BOARDS, STEERING COMMITTEES, AND OTHER COMMUNITY ADVISORY COMMITTEES INCLUDING THE SAN JOAQUIN BUSINESS COUNCIL, WOMEN'S CENTER YOUTH AND FAMILY SERVICES, CONTINUUM OF CARE, COMMUNITY PARTNERSHIP FOR FAMILIES OF SAN JOAQUIN, SAN JOAQUIN COMMUNITY FOUNDATION, SAN JOAQUIN HISPANIC CHAMBER OF COMMERCE AND REINVENT SOUTH STOCKTON COALITION. PART VI, LINE 6: PORT CITY IS 80% OWNED BY DIGNITY HEALTH AND THEREFORE AFFILIATED WITH ALL ENTITIES WITHIN COMMONSPIRIT HEALTH. AFFILIATES OF PORT CITY ALSO PROMOTE THE HEALTH OF ADDITIONAL COMMUNITIES IN CALIFORNIA, ARIZONA, AND 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 HEALTH AND ITS AFFILIATED CORPORATIONS, WHICH INCLUDES PORT CITY, 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 1 DIGNITY HEALTH MEDICAL FOUNDATION 3400 DATA DRIVE RANCHO CORDOVA CA 95670 680220314 501(C)(3) 10725778 0 MEDICAL FND SUPPORT ST JOSEPH'S FOUNDATION OF SAN JOAQUIN 1800 N CALIFORNIA STREET STOCKTON CA 95204 510432777 501(C)(3) 1296423 0 FOUNDATION SUPPORT CALIFORNIA HEALTH FOUNDATION AND TRUST 1215 K STREET SUITE 800 SACRAMENTO CA 95814 941498697 501(C)(3) 815631 0 COMMUNITY HEALTH DIGNITY HEALTH 3033 N 3RD AVE PHOENIX AZ 85013 941196203 501(C)(3) 150000 0 HOSPITAL SUPPORT UNIVERSITY OF THE PACIFIC 3601 PACIFIC AVE STOCKTON CA 95211 941156266 501(C)(3) 128407 0 COMMUNITY HEALTH LITTLE MANILA FOUNDATION 2154 S SAN JOAQUIN ST STOCKTON CA 95206 202661354 501(C)(3) 70000 0 COMMUNITY HEALTH SAN JOAQUIN COUNTY OFFICE OF EDUCATION EDUCATIONAL FOUNDATION PO BOX 213030 STOCKTON CA 95213 680342748 501(C)(3) 60000 0 COMMUNITY HEALTH ST MARYS DINING ROOM 545 W SONORA ST STOCKTON CA 95203 942687280 501(C)(3) 50000 0 COMMUNITY HEALTH CHILDRENS HOME OF STOCKTON 430 N PILGRIM ST STOCKTON CA 95205 940382320 501(C)(3) 45500 0 COMMUNITY HEALTH SECOND HARVEST OF THE GREATER VALLEY 1220 VANDERBILT CIR MANTECA CA 95337 680376587 501(C)(3) 40000 0 COMMUNITY HEALTH THE EMERGENCY FOOD BANK 7 W SCOTTS AVE STOCKTON CA 95203 680002165 501(C)(3) 40000 0 COMMUNITY HEALTH GOSPEL CENTER RESCUE MISSION INC 445 S SAN JOAQUIN ST STOCKTON CA 95203 941375835 501(C)(3) 40000 0 COMMUNITY HEALTH AMBULATORY SURGERY ACCESS COALITION 353 KEARNY ST STE 201 SAN FRANCISCO CA 94108 943180356 501(C)(3) 40000 0 COMMUNITY HEALTH UNITED WAY OF SAN JOAQUIN COUNTY 777 N PERSHING AVE SUITE 2B STOCKTON CA 95203 941279805 501(C)(3) 35700 0 COMMUNITY HEALTH HOSPICE OF SAN JOAQUIN 3888 PACIFIC AVE STOCKTON CA 95204 942777980 501(C)(3) 7500 0 COMMUNITY HEALTH FAMILY PROMISE OF SAN JOAQUIN COUNTY 6148 GETTYSBURG PL STOCKTON CA 95207 821794338 501(C)(3) 7000 0 COMMUNITY HEALTH 16 0 PROVISION OF FOOD/MEALS 7478 51226 FMV MEALS TRANSPORTATION 7086 29328 FMV TRANSPORTATION/BUS PASSES DONATION OF CLOTHING/OTHER TO PATIENTS/NEEDY 7372 58977 FMV MEDICAL SUPPLIES SCHOLARSHIPS 2 4476 DIRECT CASH ASSISTANCE 7 16000 PHARMACY CHARITY PRESCRIPTION 7 196 FMV PRESCRIPTIONS PROVISION OF MEDICAL SERVICES 50 9511 FMV MEDICAL SERVICES PART I, LINE 2: DONATIONS ARE PROVIDED TO THE COMMUNITY TO FURTHER THE MISSION OF THE MEDICAL CENTER AND SUPPORT VARIOUS COMMUNITY PROGRAMS. ST. JOSEPH'S MEDICAL CENTER PROVIDES DONATIONS TO SUPPORT COMMUNITY PROGRAMS THAT MEET SPECIFIC CRITERIA THROUGH ITS COMMUNITY HEALTH DEPARTMENT AND ALSO DONATES DIRECTLY TO VARIOUS COMMUNITY EVENTS AND PROGRAMS THROUGH THE MARKETING AND BUSINESS DEVELOPMENT DEPARTMENTS. 0 1 0 0 0 0 0 0 0 JOHN E PETERSDORF VICE CHAIR/ SECRETARY 0 734757 0 1868174 0 1162963 0 2048138 0 50891 0 5864923 0 1148724 ROBERT QUINN MD BOARD MEMBER (THRU 11/29/24) 0 569987 0 704314 0 12099 0 84326 0 7540 0 1378266 0 0 DONALD J WILEY PRESIDENT AND CEO (THRU 11/8/24) 0 481290 0 448375 0 18941 0 236700 0 31045 0 1216351 0 0 BENJAMIN BJ PREDUM BOARD MEMBER 0 621738 0 360675 0 2714 0 95038 0 39499 0 1119664 0 0 SUE PIETRAFESO BOARD MEMBER 0 563166 0 260493 0 7658 0 35971 0 26775 0 894063 0 0 ANDREA NIKKI OCHOA CHIEF FINANCIAL OFFICER 0 331934 0 72181 0 3180 0 43829 0 22450 0 473574 0 0 PART I, LINE 3 ALTHOUGH THE ORGANIZATION DOES NOT EMPLOY PERSONNEL, THE ORGANIZATION RELIED ON A RELATED ORGANIZATION, COMMONSPIRIT, THAT USED ONE OR MORE OF THE METHODS DESCRIBED IN SCHEDULE J, PART I, LINE 3, TO ESTABLISH THE ORGANIZATION'S CEO'S COMPENSATION: (1) PEOPLE AND COMPENSATION COMMITTEE OF THE COMMONSPIRIT BOARD OF STEWARDSHIP TRUSTEES; (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. PART I, LINE 4A: CERTAIN LISTED PERSONS ARE COVERED BY AN EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 9 TO 24 MONTHS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. NO PAYMENTS PURSUANT TO THE PLAN OCCURRED DURING 2024. PART I, LINE 4B CERTAIN OFFICERS ARE ELIGIBLE TO 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. NO PAYMENTS PURSUANT TO THE PLAN OCCURRED DURING 2024. DIGNITY HEALTH'S CERTAIN OFFICERS 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. A PAYMENT WAS MADE PURSUANT TO THE PLAN ARRANGEMENTS FOR ONE LISTED PERSON DURING 2024 INCLUDE J. PETERSDORF, $1,148,724. CERTAIN LISTED PERSON 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. NO PAYMENTS PURSUANT TO THE PLAN OCCURRED DURING 2024. 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 III SUPPLEMENTAL DISCLOSURES THE ORGANIZATION FOLLOWS COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY. COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST THE ORGANIZATION IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE 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 DIGNITY HEALTH 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 DIGNITY HEALTH'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. FORM 990, PART V, LINE 2A THE ORGANIZATION DOES NOT HAVE EMPLOYEES. THE ORGANIZATION UTILIZES THE EMPLOYEES OF DIGNITY HEALTH, A RELATED ORGANIZATION, PER THE EMPLOYEE LEASE AGREEMENT. THE SALARIES OF THESE EMPLOYEES ARE INCLUDED ON DIGNITY HEALTH'S FORM W-3 AND FEDERAL EMPLOYMENT TAX RETURNS. FORM 990, PART VI, SECTION A, LINE 2 CERTAIN REPORTABLE INDIVIDUALS HAVE BUSINESS RELATIONSHIPS WITH THE RELATED ENTITIES OF PORT CITY (INCLUDING FOR-PROFIT SUBSIDIARIES OR JOINT VENTURES) AS A RESULT OF SERVING AS OFFICERS OR BOARD MEMBERS OF THOSE ENTITIES. BOARD OFFICER MEMBERSHIP ON THE GOVERNING BODIES OF THOSE RELATED ENTITIES ARE AS FOLLOWS. N. OCHOA AND D. WILEY FORM 990, PART VI, SECTION A, LINE 6 PORT CITY IS 80% OWNED BY DIGNITY HEALTH AND 20% BY KAISER FOUNDATION HOSPITAL (KFH), BOTH 501(C)(3) EXEMPT ORGANIZATIONS. DIGNITY HEALTH IS THE MANAGING MEMBER OF PORT CITY. ON FEBRUARY 1, 2019, DIGNITY HEALTH AND CATHOLIC HEALTH INITIATIVES ("CHI"), A COLORADO NONPROFIT CORPORATION, EFFECTED A BUSINESS COMBINATION. ON THAT DATE, CHI CHANGED ITS NAME TO COMMONSPIRIT HEALTH AND BECAME THE SOLE CORPORATE MEMBER OF DIGNITY HEALTH. COMMONSPIRIT IS A CATHOLIC HEALTHCARE SYSTEM SPONSORED BY THE PUBLIC JURIDIC PERSON, CATHOLIC HEALTH CARE FEDERATION (CHCF"). FORM 990, PART VI, SECTION A, LINE 7A DIGNITY HEALTH AND KFH, KNOWN AS THE COMPANY MEMBERS, APPOINT A BOARD OF MANAGERS. FORM 990, PART VI, SECTION A, LINE 7B RESERVED RIGHTS OF THE COMPANY MEMBERS INCLUDE: SELL, LEASE, EXCHANGE OR OTHERWISE DISPOSE OF ALL, OR SUBSTANTIALLY ALL, OF THE ORGANIZATION'S PROPERTY, WITH OR WITHOUT THE GOODWILL, OUTSIDE OF THE ORDINARY COURSE OF THE ORGANIZATION'S ACTIVITIES, APPROVE A MERGER OR CONVERSION, UNDERTAKE ANY OTHER ACT OUTSIDE OF THE ORDINARY COURSE OF THE ORGANIZATION'S ACTIVITIES, AND AMEND THE ORGANIZATION'S AGREEMENT. FORM 990, PART VI, SECTION B, LINE 11B PORT CITY'S CFO REVIEWED THE FORM 990. IN ADDITION, COMMONSPIRIT'S TAX DEPARTMENT REVIEWED THE RETURN. DUE TO TIMING, THE FORM 990 WILL BE REVIEWED BY THE BOARD OF MANAGERS AND/OR SUBCOMMITTEE OF THE BOARD OF MANAGERS SUBSEQUENT TO FILING WITH THE INTERNAL REVENUE SERVICE. COPIES OF FORM 990, EXCLUDING COMPENSATION INFORMATION WERE PROVIDED VIA EMAIL TO EACH BOARD MEMBER PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS ADOPTED THE RELATED ORGANIZATION, COMMONSPIRIT'S CONFLICTS OF INTEREST POLICY. THE CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") WAS PUT 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 - 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 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 THE ORGANIZATION'S PERSONNEL IS COMPENSATED BY DIGNITY HEALTH. FOR 2024 COMPENSATION, COMPENSATION LEVELS FOR THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL WERE ESTABLISHED BY THE RELATED ORGANIZATION, COMMONSPIRIT. COMMONSPIRIT'S BOARD OF STEWARDSHIP TRUSTEES APPOINTS A PEOPLE AND COMPENSATION COMMITTEE, COMPRISED EXCLUSIVELY OF INDEPENDENT DIRECTORS, WHO ARE ACCOUNTABLE FOR SETTING REASONABLE COMPENSATION PRACTICES FOR THE ORGANIZATION. COMMONSPIRIT'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 MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTION. THE ORGANIZATION IS INCLUDED IN COMMONSPIRIT'S CONSOLIDATED FINANCIAL STATEMENTS WHICH ARE AVAILABLE ON COMMONSPIRIT'S WEBSITE AND UPON REQUEST. FORM 990, PART VII, SECTION A S. PIETRAFESO, B. PREDUM, R. QUINN, MD, AND J. PETERSDORF RECEIVED COMPENSATION FOR SERVICES PROVIDED TO A RELATED ORGANIZATION, DIGNITY HEALTH. A. N. OCHOA, D. WILEY AND D. ZIOLKOWSKI ARE EMPLOYEES OF DIGNITY HEALTH BUT PROVIDE SERVICES AS OFFICERS TO PORT CITY. FORM 990, PART IX, LINE 11G REVENUE CYCLE SERVICES: PROGRAM SERVICE EXPENSES 15,429,578. MANAGEMENT AND GENERAL EXPENSES 155,663. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,585,241. ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 435,578,815. MANAGEMENT AND GENERAL EXPENSES 45,307,591. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 480,886,406. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 66,509,481. MANAGEMENT AND GENERAL EXPENSES 1,045,905. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 67,555,386. MAINTENANCE/REPAIRS: PROGRAM SERVICE EXPENSES 9,030,068. MANAGEMENT AND GENERAL EXPENSES 939,280. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,969,348. PROFESSIONAL FEES/CONSULTING: PROGRAM SERVICE EXPENSES 1,261,914. MANAGEMENT AND GENERAL EXPENSES 131,260. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,393,174. LAUNDRY /LINEN: PROGRAM SERVICE EXPENSES 1,822,460. MANAGEMENT AND GENERAL EXPENSES 189,567. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,012,027. JANITORIAL/LANDSCAPE/STORAGE: PROGRAM SERVICE EXPENSES 1,102,792. MANAGEMENT AND GENERAL EXPENSES 114,709. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,217,501. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,370,505. MANAGEMENT AND GENERAL EXPENSES 350,591. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,721,096. FORM 990, PART XI, LINE 9: GAIN ON ADOPTION OF ASU 2017-07 7,738,978. 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 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. ALEGENT CREIGHTON CLINIC 12809 W DODGE RD OMAHA NE 68154 470765154 HOSPITAL NE 501(C)(3) LINE 3 ACH 0 ALEGENT CREIGHTON HEALTH 12809 W DODGE RD OMAHA NE 68154 470757164 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM 7500 MERCY RD OMAHA NE 68124 470484764 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - COMM MEM HOSPITAL OF MO VALLEY IA 631 N 8TH ST MISSOURI VALLEY IA 51555 420776568 HOSPITAL IA 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - IMMANUEL MEDICAL CENTER 6901 N 72ND ST OMAHA NE 68122 470376615 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER 104 W 17TH ST SCHUYLER NE 68661 470399853 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA PO BOX 368 CORNING IA 50841 420782518 HOSPITAL IA 501(C)(3) LINE 3 CHI NEBRASKA 0 ALVERNA APARTMENTS 300 SE 8TH AVE LITTLE FALLS MN 56345 411351177 LTERM CARE MN 501(C)(3) LINE 10 CSH 0 APPLETREE COURT 601 OAK ST BRECKENRIDGE MN 56520 411850500 SENIOR LIVING MN 501(C)(3) LINE 10 SFH 0 ARROYO GRANDE COMMUNITY HOSPITAL FOUNDATION 345 S HALCYON RD ARROYO GRANDE CA 93420 203256066 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DIGNITY HEALTH 0 BAKERSFIELD MEMORIAL HOSPITAL 420 34TH STREET BAKERSFIELD CA 93301 951802779 HOSPITAL CA 501(C)(3) LINE 3 DIGNITY COMMUNITY CARE 0 BARROW FOUNDATION UK 13 CHURCH STREET NUNNEY ENGLAND UK BA11 4LW 311724184 FUNDRAISING FOUNDATION UK 501(C)(3) PF N/A 0 BARROW NEUROLOGICAL FOUNDATION 350 WEST THOMAS ROAD PHOENIX AZ 85013 860174371 FUNDRAISING FOUNDATION AZ 501(C)(3) LINE 7 N/A 0 BAYLOR ST LUKE'S HEALTH VENTURES 17200 ST LUKES WAY STE 170 THE WOODLANDS TX 77384 274499340 PHYSICIANS TX 501(C)(3) LINE 12A, I SLHS 0 BAYLOR ST LUKE'S MEDICAL GROUP 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760458535 PHYSICIANS TX 501(C)(3) LINE 3 BSLHV 0 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 CATHOLIC HEALTH INITIATIVES - COLORADO 9100 EAST MINERAL CIRCLE CENTENNIAL CO 80112 840405257 HOSPITAL CO 501(C)(3) LINE 3 CSH 0 CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 9100 EAST MINERAL AVE CENTENNIAL CO 80112 840902211 FUNDRAISING FOUNDATION CO 501(C)(3) LINE 7 CHIC 0 CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 1150 KELLY JOHNSON BLVD 204 COLORADO SPRINGS CO 80920 270930004 FUNDRAISING FOUNDATION CO 501(C)(3) LINE 12A, I CSH 0 CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 460992796 TELEHEALTH CO 501(C)(3) LINE 12A, I CSH 0 CENTENNIAL MEDICAL GROUP INC 2700 STEWART PKWY ROSEBURG OR 97471 263946191 SURGERY CENTER OR 501(C)(3) LINE 10 CS OR 0 CENTRAL CALIFORNIA HEALTH CENTERS 300 OLD RIVER ROAD STE 200 BAKERSFIELD CA 93311 844171789 CLINIC CA 501(C)(3) LINE 3 DIGNITY COMMUNITY CARE 0 CENTRAL KANSAS MEDICAL CENTER 9100 E MINERAL CIRCLE CENTENNIAL CO 80112 480543724 INACTIVE KS 501(C)(3) LINE 3 CSH 0 CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PKWY S FARGO ND 58104 271966847 SENIOR LIVING MN 501(C)(3) LINE 10 CSH 0 CHI HEALTH FOUNDATION 12809 W DODGE RD OMAHA NE 68154 470648586 FUNDRAISING FOUNDATION NE 501(C)(3) LINE 7 ACH 0 CHI KENTUCKY INC 3900 OLYMPIC BLVD STE 400 ERLANGER KY 41018 202741651 INVESTMENTS KY 501(C)(3) LINE 12A, I CSH 0 CHI LIVING COMMUNITIES 930 S WYNN ROAD OREGON OH 43616 341892096 SENIOR LIVING OH 501(C)(3) LINE 12A, I SFH-OH 0 CHI MEMORIAL HOSPITAL - GEORGIA 100 GROSS CRESCENT CIRCLE FORT OGLETHORPE GA 30742 822748395 HOSPITAL GA 501(C)(3) LINE 3 MHCS 0 CHI NEBRASKA 12809 WEST DODGE ROAD OMAHA NE 68510 363233121 HOLDING CO NE 501(C)(3) LINE 12A, I CSH 0 CHI ST JOSEPH CHILDREN'S HEALTH 1929 LINCOLN HWY E STE 150 LANCASTER PA 17602 232342997 HEALTHCARE PA 501(C)(3) LINE 12A, I CSH 0 CHI ST JOSEPH'S CHILDREN 1516 5TH ST NW ALBUQUERQUE NM 87102 710897107 COMMUNITY NM 501(C)(3) LINE 12A, I CSH 0 CHI ST VINCENT HOSPITAL HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 710236913 HOSPITAL AR 501(C)(3) LINE 3 CHI-SVHS 0 CHI ST VINCENT HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125064 HOLDING CO AR 501(C)(3) LINE 12A, I SVIMC 0 CHI ST VINCENT MEDICAL GROUP HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125131 PHYSICIANS AR 501(C)(3) LINE 3 CHI-SVHS 0 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 470617373 HEALTHCARE CO 501(C)(3) LINE 12A, I N/A 0 COMMONSPIRIT HEALTH DIVERSIFIED HOLDINGS 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 421178204 REHABILITATION IA 501(C)(3) LINE 12A, I CSH 0 COMMONSPIRIT HEALTH FOUNDATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 853374038 FUNDRAISING FOUNDATION CO 501(C)(3) LINE 7 CSH 0 COMMONSPIRIT HEALTH OPERATING INVESTMENT POOL LLC 3033 N 3RD AVENUE PHOENIX AZ 85013 850919176 OPERATING INVESTMENTS DE 501(C)(3) LINE 12A, I CSH 0 COMMONSPIRIT HEALTH RESEARCH INSTITUTE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 271050565 RESEARCH CO 501(C)(3) LINE 12A, I CSH 0 COMMONSPIRIT KANSAS INC 401 EAST SPRUCE ST GARDEN CITY KS 67846 480543721 HOSPITAL KS 501(C)(3) LINE 3 CSH 0 COMMONSPIRIT MOUNTAIN REGION 9100 EAST MINERAL CIRCLE CENTENNIAL CO 80112 841335382 MANAGEMENT COMPANY CO 501(C)(3) LINE 12A, I CHIC 0 COMMONSPIRIT OREGON 2700 STEWART PKWY ROSEBURG OR 97471 930386868 HOSPITAL OR 501(C)(3) LINE 3 CSH 0 COMMUNITY HOSPITAL OF SAN BERNARDINO 1805 MEDICAL CENTER DRIVE SAN BERNARDINO CA 92411 951643373 HOSPITAL CA 501(C)(3) LINE 3 DIGNITY COMMUNITY CARE 0 COMMUNITY LIMITED CARE DIALYSIS CENTER 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 237419853 HOLDING CO OH 501(C)(2) GSH 0 COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION 631 N 8TH ST MISSOURI VALLEY IA 51555 421294399 FUNDRAISING FOUNDATION IA 501(C)(3) LINE 12A, I AH-CMHMV 0 CONTINUING CARE HOSPITAL ONE SAINT JOSEPH DRIVE LEXINGTON KY 40504 611400619 HOSPITAL KY 501(C)(3) LINE 3 SJHS 0 DIGNITY COMMUNITY CARE 3033 N 3RD AVENUE PHOENIX AZ 85013 815009488 HOSPITAL CO 501(C)(3) LINE 3 CSH 0 DIGNITY HEALTH 3033 N 3RD AVENUE PHOENIX AZ 85013 941196203 HOSPITAL CA 501(C)(3) LINE 3 CSH 0 DIGNITY HEALTH CONNECTED LIVING 200 MERCY OAKS DRIVE REDDING CA 96003 237115371 SENIOR CENTER SERVICES CA 501(C)(3) LINE 7 DIGNITY HEALTH 0 DIGNITY HEALTH FOUNDATION 3033 N 3RD AVENUE PHOENIX AZ 85013 462037641 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DIGNITY HEALTH 0 DIGNITY HEALTH FOUNDATION - INLAND EMPIRE 2101 N WATERMAN AVENUE SAN BERNARDINO CA 92404 237440086 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DIGNITY HEALTH 0 DIGNITY HEALTH FOUNDATION EAST VALLEY 475 SOUTH DOBSON ROAD CHANDLER AZ 85224 742418514 FUNDRAISING FOUNDATION AZ 501(C)(3) LINE 12A, I DIGNITY HEALTH 0 DIGNITY HEALTH MEDICAL FOUNDATION 3400 DATA DRIVE RANCHO CORDOVA CA 95670 680220314 MULTI-SPECIALTY OUTPATIENT MEDICAL CLINIC CA 501(C)(3) LINE 12A, I DIGNITY COMMUNITY CARE 0 DOMINICAN HEALTH SERVICES 1555 SOQUEL DRIVE SANTA CRUZ CA 95065 770056778 COMMUNITY HEALTH SYSTEM CA 501(C)(3) LINE 12A, I DIGNITY HEALTH 0 DOMINICAN HOSPITAL FOUNDATION 1555 SOQUEL DRIVE SANTA CRUZ CA 95065 942450442 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DIGNITY HEALTH 0 DOMINICAN OAKS CORPORATION 1555 SOQUEL DRIVE SANTA CRUZ CA 95065 770127719 OPERATION AND MANAGEMENT OF HOUSING COMPLEX TO ELDERLY PERSONS CA 501(C)(3) LINE 10 DHS 0 ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1455 BATTERSBY AVE ENUMCLAW WA 98022 910715805 HOSPITAL 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REPRESENT FUNDING FROM PARTNERSHIP VIA K-1 DISTRIBUTIONS.