2026-05-14T18:21:01-05:00 2025-06-30 470617373 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2024-07-01 480543721 COMMONSPIRIT KANSAS INC COMM 6202722222 3033 N 3RD AVE PHOENIX AZ 85013 TADD RICHERT CFO 6202722222 2026-05-14 1 0 PAMELA KROHN P01210500 3032989100 2024 2025-03-06 01:10:19Z X ST CATHERINE HOSPITAL TWILLA LEE 3033 N 3RD AVE PHOENIX AZ 85013 169109262 0 X HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/ X 1931 KS FOR MORE THAN SEVENTY YEARS, COMMONSPIRIT KANSAS, INC. F/K/A ST. CATHERINE HOSPITAL'S MISSION HAS BEEN TO SERVE FAMILIES WITH QUALITY HEALTH CARE IN A CHRISTIAN ENVIRONMENT WHEREIN THE HEALING OF THE WHOLE PERSON CAN TAKE PLACE. 3 0 861 15 0 0 7861 11978 159993774 164155109 1347684 2198887 1905841 2716766 163255160 169082740 23610 302294 0 0 73825782 78777648 0 0 0 101537709 104873397 175387101 183953339 -12131941 -14870599 222712549 338116611 128931430 256367502 93781119 81749109 X COMMONSPIRIT KANSAS, INC. IS THE TRUSTED LEADER OF PERSON-CENTERED HEALTH, PROVIDING PATIENTS WITH WHOLE PERSON CARE; HARMONIZING MIND, BODY, AND SPIRIT. OUR CAREGIVERS ARE FUELED BY A PURPOSE, UNITED IN A SHARED MISSION, AND POWERED TO SERVE OTHERS. AS WE LIVE OUT THAT MISSION EACH DAY, WE ARE COMMITTED TO CREATING HEALTHIER AND SAFER COMMUNITIES. 0 0 139422144 302294 164155109 WE ARE A DIVERSE COMMUNITY OF CAREGIVERS CONNECTED AND FUELED BY OUR INDIVIDUAL PASSIONS AND PURPOSES TO CHANGE THE WORLD AROUND US. WHILE INDIVIDUALLY INSPIRED, WE ARE COLLECTIVELY UNIFIED BY OUR MISSION. THIS PROCESS PRESENTS AN OPPORTUNITY TO FULFILL OUR COMMITMENT TO OUR ORGANIZATIONAL MISSION TO "EXTEND THE HEALING MINISTRY OF CHRIST BY CARING FOR THOSE WHO ARE ILL AND BY NURTURING THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES". 139422144 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 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 X 0 0 861 1 0 0 0 0 0 0 0 0 0 0 0 0 X 3 0 0 0 1 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 1 1 KS X MIKALYN KLUTH 3032906500 9100 EAST MINERAL CIRCLE CENTENNIAL CO 80112 THOMAS MCGINN MD BOARD MEMBER/CSH SEVP, CHIEF PHYSICIAN EXECUTIVE O 1.00 49.00 X 0 5200696 338934 DANIEL MORISSETTE CO-CHAIR/CSH SEVP, CHIEF FINANCIAL OFFICER (THRU 0 1.00 49.00 X X 0 5048102 125735 MITCH MELFI ESQ VICE CHAIR/CSH SEVP, CHIEF LEGAL OFFICER 1.00 49.00 X X 0 4621788 45113 PETER BANKO FORMER CEO/PRESIDENT MOUNTAIN REGION 0.00 50.00 X 0 3848349 107380 SHERI SHAPIRO CHAIR/SEVP CSH CHIEF STRATEGY OFFICER 1.00 49.00 X X 0 3470987 341875 ANDREW GAASCH PRESIDENT MOUNTAIN REGION 1.00 49.00 X 0 2146430 284175 MATT BROWN FORMER INTERIM PRESIDENT MTN REGION/INTERIM PRESID 0.00 50.00 X 0 1825312 176408 ZEFERINO ARROYO MD PHYSICIAN 40.00 0.00 X 906349 0 33176 ALOK SHAH PHYSICIAN 40.00 0.00 X 896988 0 40303 THOMAS DONOHOE SECRETARY/SR VP LEGAL SERVICES & GENERAL COUNSEL ( 1.00 49.00 X 0 871055 59958 ROBERT MORREN PHYSICIAN 40.00 0.00 X 722631 0 65376 RICHARD HALL PHYSICIAN 40.00 0.00 X 723348 0 59154 WILLIAM FREUND PHYSICIAN 40.00 0.00 X 711433 0 46812 TADD RICHERT TREASURER/MTN. REGION CFO 1.00 49.00 X 0 647401 69350 CHRISTINE MCSWEENEY FORMER INTERIM CEO, ST CATHERINE HOSPITAL 0.00 50.00 X 0 597793 60755 TWILLA LEE PRESIDENT COMMONSPIRIT KANSAS 45.00 5.00 X 0 568012 25048 BRYAN STUCKY FORMER SECRETARY 50.00 0.00 X 373574 0 55348 SHAWNA ROARK FORMER OFFICER 0.00 50.00 X 0 265788 52790 KATHERINE BROOKS SECRETARYSVP, MTN. REGION GENERAL COUNCEL 1.00 49.00 X 0 232656 34210 4334323 29344369 2021900 127 1 1 0 FREESTATE CONNECT 4704 E OAKLAND ST WITCHITA KS 67218 MEDICAL SERVICES 5297024 LIFEPOINT REHABILITATION LLC PO BOX 502096 SAINT LOUIS MO 63150 PHYSICAL THERAPY 3779453 US ANESTHESIA PARTNERS OF COLORADO PO BOX 840862 DALLAS TX 75284 MEDICAL SERVICES 3149589 CARDIOSOLUTION PHYSICIANS PO BOX 631666 CINCINNATI OH 45263 MEDICAL SERVICES 1898679 CLINICAL COLLEAGUES KS PA PO BOX 746444 ATLANTA GA 30374 MEDICAL SERVICES 1881412 25 11978 11978 NET PATIENT SERVICES 900099 163317259 163317259 0 0 PRODUCT SALES 446199 508346 508346 0 0 MEALS ON WHEELS 624210 188396 188396 0 0 FEES FOR SERVICES 900099 141108 141108 0 0 164155109 527018 527018 35146 0 35146 35146 35146 1638744 33125 0 0 1638744 33125 1671869 1671869 24793 26522 -1729 -1729 PHARMACY SERVICES 446110 1839773 0 0 1839773 CAFETERIA 722100 756593 0 0 756593 86983 86983 2683349 169082740 164155109 0 4915653 X 302294 302294 64040233 57636210 6404023 2670590 2323413 347177 8104334 7212857 891477 3962491 3447367 515124 14914 14914 19169 19169 43821158 28921964 14899194 3363146 2925937 437209 4420383 3845733 574650 232158 116079 116079 21390961 4355280 17035681 3512729 2810183 702546 1400289 1400289 MEDICAL SUPPLIES 20444128 20444128 0 0 REPAIRS AND MAINTENANCE 3669147 3669147 0 0 STATE PROVIDER TAX 1411552 1411552 DUES & SUBSCRIPTIONS 408864 0 408864 0 764799 764799 183953339 139422144 44531195 0 13915 17588 108930082 233141241 0 0 42641233 26883423 11571 0 0 0 0 0 4510784 4685311 317221 102023 162865865 132064663 26185353 30801202 192415 3252 38358405 41914230 0 0 0 0 1551570 568341 222712549 338116611 5773980 10653006 0 0 270345 0 0 0 0 0 0 0 0 0 0 0 122887105 245714496 128931430 256367502 X 93551698 81519688 229421 229421 93781119 81749109 222712549 338116611 X -14870599 1387978 1450611 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 19169 0 0 0 19169 0 PART II-B, LINE 1: THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: KANSAS HOSPITAL ASSOCIATION - $12,709. AMERICAN HOSPITAL ASSOCIATION - $4,266. CATHOLIC HEALTH ASSOCIATION - $2,082. ALLOCATED 340B DUES-$112. 2431419 2431419 66488955 50249598 16239357 9145981 5768176 3377805 81163556 76046889 5116667 3635954 3635954 30801202 CSH OPERATING POOL 41914230 F 41914230 INTERCOMPANY PAYABLES 245328824 LEASE LIABILITIES 385672 245714496 X PART X, LINE 2: COMMONSPIRIT KANSAS, INC.'S FINANCIAL INFORMATION IS INCLUDED IN COMMONSPIRIT HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS, WHICH INCLUDES THE FOLLOWING DISCLOSURE: COMMONSPIRIT REVIEWS ITS TAX POSITIONS QUARTERLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. 1 1 X 1 X 1 X 1 1 1 0 1 1 2 7387467 7387467 0.04020 753 18391576 5344505 13047071 0.07090 755 25779043 5344505 20434538 0.11110 5 24268 275592 2000 273592 0.00150 5 36 473035 473035 0.00260 1 59500 59500 0.00030 11 24304 808127 2000 806127 0.00440 11 25059 26587170 5346505 21240665 0.11550 1 350 2453 2453 0.00000 2 64 1438 1438 0.00000 1 541 541 0.00000 4 414 4432 4432 0.00000 1 53497686 35289187 38223026 -2933839 X 1 1 1 HEARTLAND ONCOLOGY LLC HEALTHCARE 0.51000 0.00000 0.49000 3 1 ST CATHERINE HOSPITAL-GARDEN CITY 401 EAST SPRUCE STREET GARDEN CITY KS 67846 HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/ H-208-001 X X X A 2 BOB WILSON MEMORIAL HOSPITAL 415 N MAIN ST ULYSSES KS 67880 HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/ H-034-001 X X X A 3 ST CATHERINE HOSPITAL-DODGE CITY 3001 AVENUE A DODGE CITY KS 67801 HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/ H029002-2 X X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 24 1 0 0 1 X WWW.MOUNTAIN.COMMONSPIRIT.ORG/COMMUNITYHEALTH X X 1 25 1 HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/COMMUNITY-IMPACT/COMMUNITY-BENEFIT 0 1 X 150.000000000000 250.000000000000 X X X X X 1 1 X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. PART V, SECTION B, LINE 5 ST. CATHERINE HOSPITAL-GARDEN CITY AND ST. CATHERINE HOSPITAL - DODGE CITY INCORPORATED INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY IN THE DEVELOPMENT OF ITS 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE ASSESSMENT WAS CONDUCTED IN ALIGNMENT WITH COMMONSPIRIT HEALTH USING A COMPREHENSIVE, COMMUNITY-INFORMED APPROACH. INPUT WAS GATHERED THROUGH MULTIPLE METHODS, INCLUDING A COMMUNITY-WIDE SURVEY, STAKEHOLDER FOCUS GROUPS, PARTICIPATION IN COMMUNITY FORUMS, AND ENGAGEMENT IN MEETINGS HOSTED BY PARTNER ORGANIZATIONS CONDUCTING RELATED ASSESSMENTS. TO MINIMIZE DUPLICATION AND RESPECT COMMUNITY MEMBERS' TIME, THE HOSPITAL ALSO RELIED ON EXISTING QUALITATIVE DATA COLLECTED BY PUBLIC HEALTH AND COMMUNITY PARTNERS. THE HOSPITAL CONVENED A CHNA COMMITTEE COMPOSED OF COMMUNITY LEADERS REPRESENTING HEALTH CARE SERVICES, PUBLIC HEALTH, EDUCATION, BEHAVIORAL HEALTH, AND ORGANIZATIONS ADVOCATING FOR SYSTEMIC CHANGE. THIS COMMITTEE REVIEWED QUANTITATIVE DATA, PROVIDED CONTEXTUAL INSIGHT BASED ON LIVED AND PROFESSIONAL EXPERIENCE, AND PRIORITIZED IDENTIFIED HEALTH NEEDS USING THE LIVEWELL FINNEY COUNTY COMMUNITY HEALTH COALITION PRIORITIZATION METHODOLOGY. PARTICULAR EMPHASIS WAS PLACED ON OBTAINING INPUT FROM ORGANIZATIONS AND INDIVIDUALS SERVING MEDICALLY UNDERSERVED POPULATIONS, THOSE AT HIGHER RISK FOR ADVERSE HEALTH OUTCOMES, AND COMMUNITIES EXPERIENCING HEALTH INEQUITIES. ORGANIZATIONS AND COMMUNITY REPRESENTATIVES CONSULTED DURING THE CHNA PROCESS INCLUDED, BUT WERE NOT LIMITED TO: CITY OF GARDEN CITY COMMUNITY MEMBERS AT LARGE; COMPASS BEHAVIORAL HEALTH; GARDEN CITY COMMUNITY COLLEGE; GARDEN CITY PUBLIC SCHOOLS USD 457; FINNEY COUNTY; FINNEY COUNTY HEALTH DEPARTMENT; FINNEY COUNTY LOCAL HEALTH EQUITY ACTION TEAM; KSU RESEARCH AND EXTENSIONTHE LIVEWELL FINNEY COUNTY COMMUNITY HEALTH COALITION REPRESENTING THE HOSPITAL'S SERVICE AREA AND COUNTIES SERVED. BRIGHT BEGINNINGS EARLY CHILDHOOD, CENTRAL CARE CANCER CENTER, CITY OF DODGE CITY COMMUNITY MEMBERS AT LARGE, DODGE CITY COMMUNITY COLLEGE, FORD COUNTY HEALTH DEPARTMENT, FORD COUNTY RETIRED SENIOR VOLUNTARY SERVICES, FORD COUNTY SHERIFF, GENESIS FAMILY HEALTH (LOCAL FQHC),HOSPICE OF THE PRAIRIE, DODGE CITY FORD COUNTY ECONOMIC DEVELOPMENT CORPORATION, DODGE CITY PUBLIC SCHOOLS USD 443, DODGE CITY YMCA, FORD COUNTY EMERGENCY MEDICAL SERVICES REPRESENTING THE HOSPITAL'S SERVICE AREA AND COUNTIES SERVED. INPUT RECEIVED WAS CONSIDERED AND INCORPORATED INTO THE IDENTIFICATION AND PRIORITIZATION OF COMMUNITY HEALTH NEEDS.BOB WILSON MEMORIAL HOSPITAL (BWMH) ACTIVELY SOUGHT AND INCORPORATED COMPREHENSIVE INPUT FROM A DIVERSE RANGE OF COMMUNITY REPRESENTATIVES AND ORGANIZATIONS TO INFORM ITS 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), ENSURING THAT IDENTIFIED HEALTH PRIORITIES ACCURATELY REFLECTED THE NEEDS AND CONCERNS OF GRANT COUNTY RESIDENTS, PARTICULARLY MEDICALLY UNDERSERVED AND VULNERABLE POPULATIONS. KEY ORGANIZATIONAL CONSULTATIONS INCLUDED THE GRANT COUNTY HEALTH DEPARTMENT, WHOSE PRELIMINARY 2024 CHNA DATA WAS UTILIZED, AND IMMUNIZE KANSAS FOR GENERAL PUBLIC HEALTH INSIGHTS. CRITICAL COMMUNITY COALITION PARTNERS SUCH AS LIVEWELL FINNEY COUNTY WERE INSTRUMENTAL, AS BWMH COLLABORATED THROUGH GRANT COUNTY LOCAL HEALTH EQUITY ACTION TEAM (LHEAT) INITIATIVES, ADOPTED THEIR PRIORITIZATION METHOD, AND WORKED JOINTLY ON INITIATIVES INCLUDING PROMOTING THE 988 SUICIDE & CRISIS LIFELINE, STRENGTHENING TOBACCO CESSATION PROGRAMS, AND DEVELOPING LOCAL WALKING TRAILS. ADDITIONALLY, BWMH BENEFITED FROM PRELIMINARY DATA PROVIDED BY IMPACT ULYSSES AND PARTNERED WITH WOMEN OF PURPOSE TO OFFER FREE CANCER SCREENINGS AND SPORTS PHYSICALS, DIRECTLY ADDRESSING HEALTH EQUITY. COMMUNITY REPRESENTATIVES, INCLUDING GRANT COUNTY PROMOTORAS DE SALUD, PROVIDED INVALUABLE GRASSROOTS INPUT AND SUPPORTED CULTURALLY RESPONSIVE CARE. THE HOSPITAL ALSO GATHERED DIRECT FEEDBACK FROM COMMUNITY MEMBERS AT LARGE THROUGH A COUNTY-WIDE SURVEY AND FOCUSED STAKEHOLDER GROUPS, FURTHER BROADENING THE SCOPE OF COMMUNITY PERSPECTIVES. THIS INPUT WAS SYSTEMATICALLY INTEGRATED THROUGH A DEDICATED CHNA COMMITTEE, COMPRISED OF BOTH HOSPITAL STAFF AND COMMUNITY STAKEHOLDERS FROM PUBLIC HEALTH AND COMMUNITY ORGANIZATIONS, WHICH CRITICALLY REVIEWED DATA AND UTILIZED A STRUCTURED PRIORITIZATION METHOD. THIS COLLABORATIVE APPROACH DIRECTLY SHAPED THE HOSPITAL'S COMMITMENT TO ADDRESSING CRITICAL COMMUNITY-IDENTIFIED BARRIERS, INCLUDING PROVIDER SHORTAGES AFFECTING ACCESS TO CARE, LIMITED AVAILABILITY OF TIMELY BEHAVIORAL HEALTH SERVICES, AND CARE COORDINATION CHALLENGES FOR CHRONIC DISEASE MANAGEMENT. BWMH'S ENGAGEMENT WITH THESE DIVERSE VOICES AND ORGANIZATIONS RESULTED IN STRATEGIES THAT ARE RESPONSIVE AND RELEVANT TO THE UNIQUE HEALTH CARE LANDSCAPE OF GRANT COUNTY. PART V, SECTION B, LINE 11 FACILITY NAME : ST. CATHERINE HOSPITAL - GARDEN CITY ST. CATHERINE HOSPITAL - GARDEN CITY AND COMMUNITY STAKEHOLDERS IDENTIFIED THREE SIGNIFICANT NEEDS IN THEIR COMMUNITY, WHICH THEY PRIORITIZED AND FOCUSED ON IN THEIR 2025 COMMUNITY HEALTH IMPLEMENTATION PLAN. THE PRIORITY NEEDS IDENTIFIED WERE: 1. BEHAVIORAL HEALTH 2. ACCESS TO CARE AND 3. CHRONIC DISEASE MANAGEMENT.BEHAVIORAL HEALTH - SUICIDE PREVENTION:TO ADDRESS THE CHNA-IDENTIFIED NEED RELATED TO MENTAL AND BEHAVIORAL HEALTH, ST. CATHERINE HOSPITAL - GARDEN CITY IMPLEMENTED SEVERAL SUICIDE PREVENTION INITIATIVES DURING FY25.ZERO SUICIDE WAS INTRODUCED IN THE THIRD QUARTER OF FY25. EARLY IMPLEMENTATION EFFORTS FOCUSED ON IMPROVING THE IDENTIFICATION OF SUICIDE RISK THROUGH UNIVERSAL SCREENING. THE HOSPITAL ADOPTED THE COLUMBIA SUICIDE SEVERITY RATING SCALE (C-SSRS). INITIAL C-SSRS SCREENING PERCENTAGES WERE LOW; HOWEVER, AFTER DEVELOPING TARGETED NURSE EDUCATION AND DISTRIBUTING TIP SHEETS ON BEST SCREENING PRACTICES, SCREENING RATES INCREASED BY 16% BETWEEN JANUARY AND JUNE 2025.BECAUSE COMMONSPIRIT DOES NOT HAVE AN IN-HOUSE BEHAVIORAL HEALTH TEAM TO COMPLETE SAFETY ASSESSMENTS FOR HIGH-RISK PATIENTS, NEW PARTNERSHIPS WERE ESTABLISHED WITH COMPASS BEHAVIORAL HEALTH TO PROVIDE THESE ASSESSMENTS. THIS COLLABORATION HAS ALLOWED ST. CATHERINE HOSPITAL TO IDENTIFY OPPORTUNITIES TO STRENGTHEN COMMUNICATION AND COORDINATION WITH COMPASS, THUS IMPROVING THE CONTINUUM OF SUICIDE CARE.IN ADDITION, EMPLOYEES AT ST. CATHERINE HOSPITAL PARTICIPATED IN THE FIRST-EVER ZERO SUICIDE WORKFORCE SURVEY TO BETTER UNDERSTAND STAFF CONFIDENCE AND COMPETENCE IN PROVIDING SUICIDE CARE. RESULTS FROM THIS SURVEY INFORMED KEY NEXT STEPS FOR FY26, INCLUDING DEVELOPING CLEARER WORKFLOWS AND DELIVERING ROLE-SPECIFIC SUICIDE RISK TRAINING TO BUILD CAPACITY AND STRENGTHEN CARE CONSISTENCY ACROSS KANSAS.FY25 ALSO MARKED THE INTRODUCTION OF EDUCATION AND OUTREACH SURROUNDING THE 988 SUICIDE AND CRISIS LIFELINE (NEW TO COMMONSPIRIT KANSAS HOSPITALS). TO INCREASE AWARENESS OF CRISIS RESOURCES AND PROMOTE HELP-SEEKING BEHAVIORS, ACTIVITIES INCLUDED DISPLAYING 988 SUICIDE AND CRISIS LIFELINE POSTERS IN ENGLISH AND SPANISH IN ALL CLINIC ROOMS AT SIENA MEDICAL AND PLAZA MEDICAL. A "YOU MATTER" MENTAL HEALTH AWARENESS BULLETIN BOARD WAS ALSO MAINTAINED AT THE MAIN HOSPITAL FACILITY TO REINFORCE SUICIDE PREVENTION MESSAGING FOR PATIENTS, VISITORS, AND STAFF.MENTAL HEALTH - STIGMA REDUCTION:TO ADDRESS THE COMMUNITY NEED FOR MENTAL HEALTH PROMOTION AND STIGMA REDUCTION IDENTIFIED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), LIVEWELL FINNEY COUNTY, IN COLLABORATION WITH COMMONSPIRIT, IMPLEMENTED THE COMMUNITIES OF COMPASSION INITIATIVE TO REDUCE MENTAL HEALTH STIGMA AND PROMOTE EARLY HELP-SEEKING, WITH A FOCUS ON BLACK, LATINX, AND RURAL COMMUNITY MEMBERS. THE PROGRAM COMBINED MEDIA CAMPAIGNS, COMMUNITY CONNECTEDNESS EVENTS, AND PARTICIPATION IN LOCAL PUBLIC EVENTS TO RAISE AWARENESS AND PROVIDE ACCESS TO MENTAL HEALTH RESOURCES. LIVEWELL ESTABLISHED A COMPREHENSIVE MEDIA RELATIONS PLAN LEVERAGING PURCHASED AND EARNED MEDIA CHANNELS (RADIO, NEWSPAPER, BILLBOARD, AND SOCIAL MEDIA), PARTNERED WITH LOCAL MEDIA OUTLETS AND APPLIED LESSONS FROM AMBASSADOR ORGANIZATIONS. MEDIA CAMPAIGNS REACHED APPROXIMATELY 21% OF THE POPULATION IN FINNEY COUNTY. MESSAGING WAS TAILORED TO TARGET POPULATIONS BASED ON AMBASSADOR FEEDBACK. PARTNERED WITH 5 AMBASSADOR ORGANIZATIONS (SUICIDE COALITION MEMBERS), TRAINED THEM ON STIGMA MESSAGING, AND SUPPORTED MONTHLY OUTREACH EFFORTS. CONDUCTED 18 OUTREACH EVENTS REACHING 4,300 ADULTS WITH STIGMA REDUCTION MESSAGING. IN PARTNERSHIP WITH LIVEWELL MENTAL HEALTH FIRST AID AND MENTAL HEALTH FIRST AID TRAININGS FOR LOCAL GOVERNMENT EMPLOYEES, YOUTH AND SCHOOL COMMUNITIES AT SCHOOLS, THESE OUTREACH EVENTS INCLUDED HEALTH FAIRS. TRACKED STRATEGIES COLLECTED LESSONS LEARNED, AND MONITORED WEBSITE ENGAGEMENT. PILOT GROUPS PROVIDED QUALITATIVE DATA ON SHIFTS IN COMFORT DISCUSSING MENTAL HEALTH. IDENTIFIED AND PARTNERED WITH 4 FAITH ORGANIZATIONS, PROVIDING TRAINING AND STIGMA-REDUCTION MESSAGING MATERIALS FOR FAITH LEADERS TO INCORPORATE INTO SERVICES. CONDUCTED 8 ENGAGEMENTS (2 PER CONGREGATION) IN FAITH COMMUNITIES, REACHING APPROXIMATELY 650 CONGREGANTS. FEEDBACK HIGHLIGHTED INCREASED COMFORT IN BRINGING UP MENTAL HEALTH IN FAITH SETTINGS. HELD MONTHLY COMMUNITY OF PRACTICE SESSIONS FOR AMBASSADOR ORGANIZATIONS, OFFERING PEER LEARNING AND TECHNICAL ASSISTANCE. THESE SESSIONS FACILITATED REFINEMENT OF OUTREACH STRATEGIES AND DEEPENED AMBASSADOR SKILLSETS THROUGH QUARTERLY TRAININGS FOCUSED ON STIGMA REDUCTION AND DATA COLLECTION. SURVEYS SHOWED A 15% INCREASE IN AMBASSADOR CONFIDENCE DISCUSSING MENTAL HEALTH. PART V, SECTION B, LINE 11 CONTINUED: SUBSTANCE USE:TO ADDRESS THE SIGNIFICANT NEEDS RELATED TO SUBSTANCE USE IDENTIFIED IN THE CHNA, THE HOSPITAL HAS IMPLEMENTED MULTIPLE INITIATIVES FOCUSED ON OPIOID AND ALCOHOL USE DISORDERS. THE HOSPITAL IMPROVES EMERGENCY DEPARTMENT (ED) OUTCOMES BY INCREASING MOUD (MEDICATIONS FOR OPIOID USE DISORDER) INDUCTION RATES, INCLUDING BUPRENORPHINE INDUCTIONS, AND EXPANDING NALOXONE DISTRIBUTION TO SUPPORT OPIOID OVERDOSE REVERSAL. THE HOSPITAL LEADS AN OPIOID ADDICTION INTERVENTION AND PREVENTION OUTCOMES INITIATIVE, INCREASING COLLABORATION WITH TREATMENT PARTNERS TO ENSURE CONTINUITY OF CARE AND IMPROVE TRANSITIONS BACK TO THE COMMUNITY FOR INDIVIDUALS WITH OPIOID USE DISORDERS. EMERGENCY DEPARTMENTS ARE PROVIDED ACCESS TO RESOURCES THAT SUPPORT IMPROVED OUTCOMES WITH ED MOUD, ED ALTERNATIVES TO OPIOIDS (ALTOS), AND NALOXONE DISTRIBUTION TOOLS. THERE WAS A 100% ED MOUD INDUCTION RATE WITH 8 OUT OF THE 8 ELIGIBLE PATIENTS RECEIVING BUPRENORPHINE TO TREAT THEIR OUD. THERE WERE 23 NARCAN KITS DISPENSED TO PATIENTS IDENTIFIED AS AT-RISK FOR OVERDOSE. ADDITIONALLY, THERE IS ENGAGEMENT WITH COMMUNITY LEADERS, INCLUDING LAW ENFORCEMENT, IN THE EFFORT TO MONITOR OVERDOSE RATES AND RESPOND TO PUBLIC HEALTH CRISES SUCH AS A SPIKE IN OVERDOSE RATES. THE ALTOS RATE MAINTAINED OPTIMAL PERFORMANCE IN THE ED WITH SCORES DEMONSTRATING A LOWER NUMBER OF OPIOIDS PRESCRIBED AND A HIGHER NUMBER OF ALTERNATIVES UTILIZED TO MANAGE PAIN. SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) IS EXPANDED AND OPTIMIZED TO ENSURE TIMELY IDENTIFICATION AND SUPPORT FOR INDIVIDUALS AT RISK. UNIVERSAL PREVENTION AND EARLY INTERVENTION PROGRAMMING IS IMPLEMENTED TO IDENTIFY VARYING LEVELS OF RISK AND PROVIDE APPROPRIATE CARE AND CONNECTION TO RESOURCES. THE VALIDATED SCREENING TOOL FOR SUBSTANCE USE, AUDIT-C PLUS 2, IS EMBEDDED IN THE ELECTRONIC HEALTH RECORD SYSTEM AND AVAILABLE TO UTILIZE IN SCREENING PATIENTS FOR RISKY SUBSTANCE USE. IF POSITIVE, A HEALTHCARE PROFESSIONAL DELIVERS A BRIEF INTERVENTION WITH USE OF MOTIVATIONAL INTERVIEWING SKILLS TO SUPPORT CHANGE IN USE. ALCOHOL USE DISORDER IS A NEWLY IDENTIFIED NEED, AND THE HOSPITAL IS EXPLORING BEST PRACTICE MODELS FOR EMBEDDED PROGRAMMING AND SERVICES WITHIN THE HEALTHCARE SETTING, PARTNERS WITH COMMUNITY PROVIDERS TO DELIVER UNIFIED MESSAGING ON PREVENTION AND EARLY INTERVENTION, AND CONDUCTS ENVIRONMENTAL SCANS OF SUBSTANCE USE TREATMENT PROVIDERS TO UNDERSTAND COMMUNITY CAPACITY. COMMUNITY ENGAGEMENT THROUGH EVENTS, COMMITTEES, AND OTHER FORUMS IS UTILIZED TO EXPLORE OPPORTUNITIES FOR COLLABORATION. COMMUNITY-FACING WORK INCLUDED THE HOSPITAL IMPLEMENTED EDUCATION, YOUTH PREVENTION, AND HARM REDUCTION STRATEGIES IN COLLABORATION WITH COMMUNITY PARTNERS. PROGRAM ACTIVITIES DURING THE REPORTING PERIOD INCLUDED INSTALLING MEDICATION DISPOSAL BOXES AT SIENA MEDICAL AND THE SCH GARDEN CITY EMERGENCY DEPARTMENT; PARTICIPATING IN TAKING DOWN TOBACCO ACTIVITIES IN TOPEKA WITH THREE FINNEY COUNTY YOUTH; AND PROVIDING FREE NALOXONE DISTRIBUTION AND TRAINING ACROSS MULTIPLE COMMUNITY SETTINGS. THE HOSPITAL DELIVERED OPIOID OVERDOSE PREVENTION EDUCATION AT GARDEN CITY HIGH SCHOOL, REACHING 50 STUDENTS, AND DISTRIBUTED 25 NALOXONE KITS AT GARDEN CITY COMMUNITY COLLEGE DURING AN EVENT ATTENDED BY APPROXIMATELY 150 INDIVIDUALS. ADDITIONAL ACTIVITIES INCLUDED HOSTING NALOXONE TRAINING AT GARDEN CITY COMMUNITY COLLEGE WITH 30 PARTICIPANTS AND PARTICIPATING IN A DRUG AND ALCOHOL AWARENESS EVENT IN COLLABORATION WITH EMERGENCY MEDICAL SERVICES, DURING WHICH NALOXONE WAS DISTRIBUTED. YOUTH AND FAMILY ENGAGEMENT EFFORTS INCLUDED SUPPORTING YOUTH LEADERSHIP AND PREVENTION TRAINING AT GARDEN CITY COMMUNITY COLLEGE WITH 15 FINNEY COUNTY PARTICIPANTS, ASSISTING PARENTS DURING GARDEN CITY HIGH SCHOOL PARENT-TEACHER CONFERENCES WITH KANSAS COMMUNITIES THAT CARE SURVEY RELEASES, PARTICIPATING IN D.A.R.E. GRADUATION AT JENNIE BARKER ELEMENTARY SCHOOL, AND PROVIDING FUNDING FOR BOOKS THROUGH A DRUG-FREE COMMUNITIES GRANT. THE HOSPITAL ALSO PARTICIPATED IN UPSTREAM KANSAS YOUTH PREVENTION TRAINING WITH 12 ATTENDEES. THROUGH THESE COMBINED EFFORTS, THE HOSPITAL SUPPORTED SUBSTANCE USE PREVENTION, OVERDOSE EDUCATION, AND COMMUNITY AWARENESS ALIGNED WITH ITS CHNA IMPLEMENTATION STRATEGIES.ACCESS TO CARE:TO ADDRESS THE CHNA-IDENTIFIED NEED RELATED TO ACCESS TO CARE, THE HOSPITAL IMPLEMENTED COMMUNITY OUTREACH AND WORKFORCE SUPPORT STRATEGIES CONSISTENT WITH ITS IMPLEMENTATION STRATEGY. PROGRAM ACTIVITIES DURING THE REPORTING PERIOD INCLUDED PARTICIPATION IN THE NATIONAL NIGHT OUT COMMUNITY SERVICE FAIR, WHICH REACHED APPROXIMATELY 300 COMMUNITY MEMBERS, AND THE TYSON HEALTH FAIR, WHICH DREW APPROXIMATELY 1,500 ATTENDEES WITH A FOCUS ON TOBACCO PREVENTION AND HEALTH EDUCATION. THE HOSPITAL ALSO HOSTED A MEDICAL INTERPRETER TRAINING SESSION FOR AREA COMMUNITY HEALTH WORKERS, WITH 17 PARTICIPANTS, TO ENHANCE COMMUNICATION AND IMPROVE ACCESS TO HEALTHCARE SERVICES FOR NON-ENGLISH-SPEAKING INDIVIDUALS. IN ADDITION, THE HOSPITAL PROVIDED HEALTH EDUCATION AND RESOURCE INFORMATION THROUGH A TABLE DISPLAY AT THE FIRST CHRISTIAN CHURCH NAVAJO TACO DINNER. THROUGH THESE ACTIVITIES, THE HOSPITAL WORKED TO REDUCE BARRIERS TO CARE, INCREASE AWARENESS OF AVAILABLE SERVICES, AND IMPROVE ACCESS FOR UNDERSERVED POPULATIONS IN THE COMMUNITY.ACCESS TO CARE - HEALTH PROFESSIONS:ST. CATHERINE HOSPITAL GARDEN CITY PROVIDES HEALTH PROFESSIONS EDUCATION PROGRAMS THAT ADDRESS REGIONAL WORKFORCE NEEDS IN NURSING, PRIMARY CARE, ALLIED HEALTH, DIAGNOSTIC SERVICES, AND REHABILITATION FIELDS. THE HOSPITAL OFFERS SUPERVISED CLINICAL TRAINING AND PRECEPTORSHIPS FOR MEDICAL STUDENTS, NURSING STUDENTS, AND LEARNERS IN CLINICAL INFORMATICS, MEDICAL LABORATORY TECHNOLOGY, PHLEBOTOMY, PHYSICAL THERAPY, RADIOLOGY TECHNOLOGY, RESPIRATORY THERAPY, AND SURGICAL TECHNOLOGY. THESE EDUCATIONAL EXPERIENCES ARE PROVIDED AT NO COST TO STUDENTS OR ACADEMIC PARTNERS AND RELY ON HOSPITAL-EMPLOYED CLINICIANS AND EDUCATORS WHO DELIVER INSTRUCTION AND SUPERVISION. DURING THE TAX YEAR, THE HOSPITAL INCURRED APPROXIMATELY $456,766 IN COSTS TO SUPPORT THESE PROGRAMS WITH NO OFFSETTING REVENUE, RESULTING IN A NET COMMUNITY BENEFIT OF $456,766. BY SUPPORTING HANDS-ON CLINICAL EDUCATION ACROSS MULTIPLE DISCIPLINES, THE HOSPITAL STRENGTHENS THE REGIONAL HEALTHCARE WORKFORCE PIPELINE AND EXPANDS ESSENTIAL TRAINING OPPORTUNITIES THAT WOULD NOT OCCUR WITHOUT HOSPITAL SUPPORT.ACCESS TO CARE - WORKFORCE DEVELOPMENT:FOR PREPARATION FOR THE UPCOMING CHNA AND COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) GOALS, ST. CATHERINE HOSPITAL (SCGC) AND REGIONAL BEHAVIORAL HEALTH INITIATIVES STAFF COLLABORATED TO ESTABLISH A STRATEGY TO ADVANCE BH WORKFORCE DEVELOPMENT. THIS EFFORT FOCUSED ON CREATING EQUITABLE PATHWAYS AND PARTNERSHIPS ACROSS WESTERN KANSAS THROUGH PLANS TO IMPLEMENT BEHAVIORAL HEALTH SPECIALIST AND INTERN POSITIONS, COMPLEMENTING EXISTING COMMUNITY HEALTH WORKER PARTNERSHIPS. THE OVERARCHING GOAL IS TO ASSURE FUTURE ACCESS TO CARE NEEDS ARE MET FOR YOUTH AND ADULTS INTERESTED IN PURSUING BEHAVIORAL HEALTH PROFESSIONS THROUGHOUT THE REGION'S COMMUNITIES.CHRONIC DISEASE MANAGEMENT:TO ADDRESS THE CHNA-IDENTIFIED NEED RELATED TO CHRONIC DISEASE MANAGEMENT, THE HOSPITAL IMPLEMENTED PREVENTION-FOCUSED STRATEGIES IN COLLABORATION WITH COMMUNITY PARTNERS AND CONSISTENT WITH ITS IMPLEMENTATION STRATEGY. PROGRAM ACTIVITIES DURING THE REPORTING PERIOD INCLUDED IMPLEMENTING THE CDC DIABETES PREVENTION PROGRAM IN PARTNERSHIP WITH THE FINNEY COUNTY HEALTH DEPARTMENT TO REDUCE DIABETES RISK AND PROMOTE HEALTHY LIFESTYLE BEHAVIORS. IN ADDITION, THE HOSPITAL HOSTED A VIRTUAL WORKSITE WELLNESS TRAINING FOR AREA BUSINESSES, WITH 36 PARTICIPANTS REPRESENTING ORGANIZATIONS ACROSS GRANT, FORD, AND FINNEY COUNTIES. THROUGH THESE EFFORTS, THE HOSPITAL SUPPORTED CHRONIC DISEASE PREVENTION, RISK REDUCTION, AND WORKFORCE WELLNESS WITHIN THE COMMUNITIES IT SERVES.COMMUNITY HEALTH IMPROVEMENT GRANTS:FURTHER SUPPORTING COMMUNITY HEALTH EFFORTS, ST. CATHERINE HOSPITAL - GARDEN CITY AND BOB WILSON MEMORIAL HOSPITAL TOGETHER PROVIDED COMMUNITY HEALTH IMPROVEMENT GRANTS TO LOCAL 501(C)(3) NONPROFIT ORGANIZATIONS TO ADDRESS IDENTIFIED COMMUNITY HEALTH PRIORITIES AND ENHANCE SERVICES FOR VULNERABLE POPULATIONS. DURING THE REPORTING YEAR THE HOSPITALS CONTRIBUTED TO THE COMMUNITY HEALTH EQUITY AND ADVANCENT GRANT PROGRAM. SPECIFIC ORGANIZATIONS RECEIVING FUNDING FROM THE HOSPITAL TOTALING $59,500 INCLUDED FINNEY COUNTY COMMUNITY HEALTH COALITION AND TURNING POINT CHURCH OF THE NAZARENE, PROVIDING DIRECT SUPPORT TO IMPROVE COMMUNITY HEALTH AND WELL-BEING. PART V, SECTION B, LINE 11 CONTINUED: FACILITY INFORMATION : BOB WILSON HOSPITAL BOB WILSON HOSPITAL AND COMMUNITY STAKEHOLDERS IDENTIFIED THREE SIGNIFICANT NEEDS IN THEIR COMMUNITY, WHICH THEY PRIORITIZED AND FOCUSED ON IN THEIR 2025 COMMUNITY HEALTH IMPLEMENTATION PLAN. THE PRIORITY NEEDS IDENTIFIED WERE: 1. BEHAVIORAL HEALTH 2. ACCESS TO CARE AND 3. CHRONIC DISEASE MANAGEMENT.BEHAVIORAL HEALTH - SUICIDE PREVENTION:ZERO SUICIDE WAS INTRODUCED TO BOB WILSON HOSPITAL IN THE THIRD QUARTER OF FY25. EARLY IMPLEMENTATION EFFORTS FOCUSED ON IMPROVING THE IDENTIFICATION OF SUICIDE RISK THROUGH UNIVERSAL SCREENING USING THE COLUMBIA SUICIDE SEVERITY RATING SCALE (C-SSRS). INITIAL SCREENING PERCENTAGES WERE LOW AT BOB WILSON HOSPITAL; HOWEVER, AFTER DEVELOPING TARGETED NURSE EDUCATION ON ADMINISTERING THE C-SSRS AND DEVELOPING/DISTRIBUTING TIP SHEETS FOCUSED ON BEST SCREENING PRACTICES, SCREENING RATES INCREASED BY 41% BETWEEN JANUARY AND JUNE 2025. BECAUSE COMMONSPIRIT DOES NOT HAVE AN IN-HOUSE BEHAVIORAL HEALTH TEAM TO COMPLETE SAFETY ASSESSMENTS FOR PATIENTS WHO SCREEN AT HIGH RISK FOR SUICIDE, NEW PARTNERSHIPS WERE ESTABLISHED WITH COMPASS BEHAVIORAL HEALTH TO PROVIDE THESE ASSESSMENTS. THROUGH THIS COLLABORATION, BOB WILSON HOSPITAL HAS IDENTIFIED OPPORTUNITIES TO STRENGTHEN COMMUNICATION AND COORDINATION WITH COMPASS TO IMPROVE THE CONTINUUM OF SUICIDE CARE. IN ADDITION, EMPLOYEES AT BOB WILSON PARTICIPATED IN THE ZERO SUICIDE WORKFORCE SURVEY FOR THE FIRST TIME TO BETTER UNDERSTAND STAFF CONFIDENCE AND COMPETENCE IN PROVIDING SUICIDE CARE. RESULTS FROM THE SURVEY INFORMED KEY NEXT STEPS FOR FY26, INCLUDING DEVELOPING CLEARER WORKFLOWS AND DELIVERING ROLE-SPECIFIC SUICIDE RISK TRAINING TO BUILD CAPACITY AND STRENGTHEN CARE CONSISTENCY ACROSS KANSAS. FY25 ALSO MARKED THE INTRODUCTION OF EDUCATION AND OUTREACH SURROUNDING THE 988 SUICIDE AND CRISIS LIFELINE, WHICH WAS NEW TO COMMONSPIRIT KANSAS HOSPITALS. 988 MATERIALS WERE ORDERED ACROSS HOSPITAL CAMPUSES TO INCREASE AWARENESS AMONG PATIENTS, STAFF, AND VISITORS ABOUT HOW TO QUICKLY ACCESS IMMEDIATE MENTAL HEALTH AND CRISIS SUPPORT.SUBSTANCE USE:TO ADDRESS THE SIGNIFICANT NEEDS RELATED TO SUBSTANCE USE IDENTIFIED IN THE CHNA, THE HOSPITAL HAS IMPLEMENTED MULTIPLE INITIATIVES FOCUSED ON OPIOID AND ALCOHOL USE DISORDERS. THE HOSPITAL IMPROVES EMERGENCY DEPARTMENT (ED) OUTCOMES BY INCREASING MOUD (MEDICATIONS FOR OPIOID USE DISORDER) INDUCTION RATES, INCLUDING BUPRENORPHINE INDUCTIONS, AND EXPANDING NALOXONE DISTRIBUTION TO SUPPORT OPIOID OVERDOSE REVERSAL. THE HOSPITAL LEADS AN OPIOID ADDICTION INTERVENTION AND PREVENTION OUTCOMES INITIATIVE, INCREASING COLLABORATION WITH TREATMENT PARTNERS TO ENSURE CONTINUITY OF CARE AND IMPROVE TRANSITIONS BACK TO THE COMMUNITY FOR INDIVIDUALS WITH OPIOID USE DISORDERS. EMERGENCY DEPARTMENTS ARE PROVIDED ACCESS TO RESOURCES THAT SUPPORT IMPROVED OUTCOMES WITH ED MOUD, ED ALTERNATIVES TO OPIOIDS (ALTOS), AND NALOXONE DISTRIBUTION TOOLS.THE ALTO RATE APPROACHED BENCHMARK WITH THE QUALITY IMPROVEMENT PROJECT THAT MONITORED ED PROVIDERS' PRACTICE IN REDUCING THE NUMBER OF OPIOIDS PRESCRIBED AND INCREASING THE NUMBER OF ALTERNATIVES USED TO MANAGE PAIN. ADDITIONALLY, THERE WAS ENGAGEMENT WITH COMMUNITY LEADERS, INCLUDING LAW ENFORCEMENT, TO MONITOR OVERDOSE RATES AND RESPOND TO PUBLIC HEALTH EMERGENCIES SUCH AS A SPIKE IN OVERDOSE RATES. TOOLS ARE EMBEDDED IN THE ELECTRONIC HEALTH RECORD SYSTEM FOR ED PROVIDERS TO INITIATE A PATIENT ON BUPRENORPHINE IF THEY PRESENT WITH ACTIVE WITHDRAWAL AND OTHER ELIGIBILITY CRITERIA.SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) IS EXPANDED AND OPTIMIZED TO ENSURE TIMELY IDENTIFICATION AND SUPPORT FOR INDIVIDUALS AT RISK. UNIVERSAL PREVENTION AND EARLY INTERVENTION PROGRAMMING IS IMPLEMENTED TO IDENTIFY VARYING LEVELS OF RISK AND PROVIDE APPROPRIATE CARE AND CONNECTION TO RESOURCES.THE VALIDATED SCREENING TOOL FOR DETECTING RISKY SUBSTANCE USE IS EMBEDDED IN THE ELECTRONIC HEALTH RECORD SYSTEM. THE TOOL, WHICH IS ACCESSIBLE FOR UTILIZATION WITH PATIENTS, IS THE AUDIT-C PLUS (ALCOHOL USE DISORDER IDENTIFICATION TEST). WHEN A PATIENT SCREENS POSITIVE, THERE IS AN OPPORTUNITY FOR INTERVENTION WITH A BRIEF COUNSELING SESSION UTILIZING MOTIVATIONAL INTERVIEWING SKILLS TO SUPPORT CHANGE IN USE.ALCOHOL USE DISORDER IS A NEWLY IDENTIFIED NEED. THE HOSPITAL IS EXPLORING BEST PRACTICE MODELS FOR EMBEDDED PROGRAMMING AND SERVICES WITHIN THE HEALTHCARE SETTING, PARTNERS WITH COMMUNITY PROVIDERS TO DELIVER UNIFIED MESSAGING ON PREVENTION AND EARLY INTERVENTION, AND CONDUCTS ENVIRONMENTAL SCANS OF SUBSTANCE USE TREATMENT PROVIDERS TO UNDERSTANDING COMMUNITY CAPACITY. COMMUNITY ENGAGEMENT THROUGH EVENTS, COMMITTEES, AND OTHER FORUMS IS UTILIZED TO EXPLORE OPPORTUNITIES FOR COLLABORATION.ACCESS TO CARE:TO ADDRESS THE ACCESS TO CARE NEED, IDENTIFIED AS A TOP PRIORITY IN OUR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND REFLECTED IN OUR IMPLEMENTATION STRATEGY, BOB WILSON MEMORIAL HOSPITAL (BWMH) SUPPORTED BOTH COMMUNITY OUTREACH AND WORKFORCE CAPACITY EFFORTS DURING THIS REPORTING PERIOD.BWMH DIRECTLY ENGAGED WITH THE COMMUNITY BY PARTICIPATING IN THE ANNUAL GRANT COUNTY HEALTH FAIR. AT THIS SIGNIFICANT COMMUNITY EVENT, THE HOSPITAL PROVIDED VALUABLE ACCESS TO FREE CANCER SCREENINGS A KEY INTERVENTION FOR EARLY DETECTION AND OFFERED BODY COMPOSITION SCALE REPORTING, CONTRIBUTING TO HEALTH LITERACY AND PREVENTIVE CARE. THESE DIRECT SERVICES REACHED APPROXIMATELY 400 COMMUNITY MEMBERS, SIGNIFICANTLY REDUCING BARRIERS TO IMPORTANT HEALTH INFORMATION AND SCREENINGS.FURTHERMORE, BWMH ENHANCED ACCESS TO CARE FOR GRANT COUNTY RESIDENTS THROUGH THE STRATEGIC HIRING AND INTEGRATION OF A FULL-TIME COMMUNITY HEALTH WORKER (CHW), PHYSICALLY BASED AT THE HOSPITAL. THIS CHW SERVES AS A BRIDGE, CONNECTING INDIVIDUALS, PARTICULARLY UNDERSERVED AND VULNERABLE POPULATIONS, TO ESSENTIAL HEALTH AND SOCIAL RESOURCES, THEREBY ADDRESSING COMPLEX BARRIERS TO CARE. CONCURRENTLY, BWMH INVESTED IN PROFESSIONAL DEVELOPMENT FOR HEALTHCARE WORKFORCE CAPACITY BY ACTIVELY PARTICIPATING IN THE PHI COMMUNITY HEALTH WORKER MODEL TRAINING, WHICH DIRECTLY STRENGTHENED THE BWMH CHW PROGRAM'S ABILITY TO EFFECTIVELY NAVIGATE SOCIAL DETERMINANTS OF HEALTH AND IMPROVE SERVICE COORDINATION.ACCESS TO CARE - FINANCIAL ASSISTANCE PROGRAM:AS PART OF ITS CHNA IMPLEMENTATION PLAN, BOB WILSON HOSPITAL PROVIDES FINANCIAL NAVIGATION ENROLLMENT SPECIALISTS TO SUPPORT PATIENTS IN ACCESSING HEALTH INSURANCE AND FINANCIAL RESOURCES. THESE SPECIALISTS ASSIST UNINSURED, UNDERINSURED, AND MEDICALLY VULNERABLE INDIVIDUALS WITH MEDICAID, MARKETPLACE, AND OTHER BENEFIT ENROLLMENTS, AS WELL AS CHARITY CARE AND HOSPITAL FINANCIAL ASSISTANCE PROGRAMS. BY HELPING PATIENTS NAVIGATE COMPLEX INSURANCE AND PAYMENT SYSTEMS, THE SPECIALISTS REDUCE FINANCIAL BARRIERS TO CARE AND IMPROVE ACCESS TO NECESSARY HEALTH SERVICES.THE PROGRAM PROVIDED DIRECT ASSISTANCE, RESULTING IN ENROLLMENTS IN MEDICAID, MARKETPLACE PLANS, CHARITY CARE, OR OTHER SUPPORT PROGRAMS. THE HOSPITAL INCURRED EXPENSES TO OPERATE THIS PROGRAM WITH NO OFFSETTING REVENUE, RESULTING IN A NET COMMUNITY BENEFIT. THROUGH THESE SERVICES, BOB WILSON HOSPITAL SUPPORTS VULNERABLE POPULATIONS, PROMOTES HEALTH EQUITY, AND ENSURES THAT PATIENTS RECEIVE THE CARE THEY NEED WITHOUT FINANCIAL HARDSHIP.ACCESS TO CARE - WORKFORCE DEVELOPMENT:FOR PREPARATION FOR THE UPCOMING CHNA AND COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) GOALS, ST. CATHERINE HOSPITAL (SCGC) AND REGIONAL BEHAVIORAL HEALTH (BH) INITIATIVES STAFF COLLABORATED TO ESTABLISH A STRATEGY TO ADVANCE BH WORKFORCE DEVELOPMENT. THIS EFFORT FOCUSED ON CREATING EQUITABLE PATHWAYS AND PARTNERSHIPS ACROSS WESTERN KANSAS THROUGH PLANS TO IMPLEMENT BEHAVIORAL HEALTH SPECIALIST AND INTERN POSITIONS, COMPLEMENTING EXISTING COMMUNITY HEALTH WORKER PARTNERSHIPS. THE OVERARCHING GOAL IS TO ASSURE FUTURE ACCESS TO CARE NEEDS ARE MET FOR YOUTH AND ADULTS INTERESTED IN PURSUING BEHAVIORAL HEALTH PROFESSIONS THROUGHOUT THE REGION'S COMMUNITIES.CONTINUED : PART V, SECTION B, LINE 11 CONTINUED: CHRONIC DISEASE MANAGEMENT:TO ADDRESS CHRONIC DISEASE PREVENTION AND MANAGEMENT NEEDS IDENTIFIED IN THE CHNA AND ITS CORRESPONDING IMPLEMENTATION STRATEGY, THE HOSPITAL PROACTIVELY ENGAGED WITH COMMUNITY EMPLOYERS BY HOSTING A VIRTUAL WORKSITE WELLNESS TRAINING. THIS PROGRAMMATIC EFFORT, OFFERED DURING THE REPORTING PERIOD, WAS DESIGNED TO ENHANCE WORKPLACE HEALTH AND MITIGATE CHRONIC DISEASE RISK. THE TRAINING WAS OPEN TO BUSINESSES ACROSS GRANT, FORD, AND FINNEY COUNTIES, AND SUCCESSFULLY REACHED 36 PARTICIPANTS REPRESENTING DIVERSE ORGANIZATIONS. THROUGH THIS INTERVENTION, THE HOSPITAL DIRECTLY SUPPORTED REGIONAL WORKPLACE WELLNESS INITIATIVES AND CONTRIBUTED TO CHRONIC DISEASE RISK REDUCTION EFFORTS ACROSS ITS EXTENDED SERVICE AREA.COMMUNITY HEALTH IMPROVEMENT GRANTS:FURTHER SUPPORTING COMMUNITY HEALTH EFFORTS, ST. CATHERINE HOSPITAL - GARDEN CITY AND BOB WILSON MEMORIAL HOSPITAL TOGETHER PROVIDED COMMUNITY HEALTH IMPROVEMENT GRANTS TO LOCAL 501(C)(3) NONPROFIT ORGANIZATIONS TO ADDRESS IDENTIFIED COMMUNITY HEALTH PRIORITIES AND ENHANCE SERVICES FOR VULNERABLE POPULATIONS. DURING THE REPORTING YEAR THE HOSPITALS CONTRIBUTED TO THE COMMUNITY HEALTH EQUITY AND ADVANCENT GRANT PROGRAM. SPECIFIC ORGANIZATIONS RECEIVING FUNDING FROM THE HOSPITAL TOTALING $59,500 INCLUDED FINNEY COUNTY COMMUNITY HEALTH COALITION AND TURNING POINT CHURCH OF THE NAZARENE, PROVIDING DIRECT SUPPORT TO IMPROVE COMMUNITY HEALTH AND WELL-BEING. PART V, SECTION B, LINE 11 CONTINUED: ST. CATHERINE HOSPITAL - DODGE CITY AND COMMUNITY STAKEHOLDERS IDENTIFIED THREE SIGNIFICANT NEEDS IN THEIR COMMUNITY, WHICH THEY PRIORITIZED AND FOCUSED ON IN THEIR 2025 COMMUNITY HEALTH IMPLEMENTATION PLAN. THE PRIORITY NEEDS IDENTIFIED WERE: 1. BEHAVIORAL HEALTH 2. ACCESS TO CARE AND 3. CHRONIC DISEASE MANAGEMENT.BEHAVIORAL HEALTH - SUICIDE PREVENTION:TO ADDRESS THE CHNA-IDENTIFIED NEED RELATED TO MENTAL AND BEHAVIORAL HEALTH, ZERO SUICIDE WAS INTRODUCED TO ST. CATHERINE HOSPITAL (DODGE CITY) IN THE THIRD QUARTER OF FY25. EARLY IMPLEMENTATION EFFORTS FOCUSED ON IMPROVING THE IDENTIFICATION OF SUICIDE RISK THROUGH UNIVERSAL SCREENING USING THE COLUMBIA SUICIDE SEVERITY RATING SCALE (C-SSRS). INITIAL SCREENING PERCENTAGES WERE LOW AT ST. CATHERINE HOSPITAL; HOWEVER, AFTER DEVELOPING TARGETED NURSE EDUCATION ON ADMINISTERING THE C-SSRS AND DEVELOPING/DISTRIBUTING TIP SHEETS FOCUSED ON BEST SCREENING PRACTICES, SCREENING RATES INCREASED BY 15% BETWEEN JANUARY AND JUNE 2025. BECAUSE COMMONSPIRIT DOES NOT HAVE AN IN-HOUSE BEHAVIORAL HEALTH TEAM TO COMPLETE SAFETY ASSESSMENTS FOR PATIENTS WHO SCREEN AT HIGH RISK FOR SUICIDE, NEW PARTNERSHIPS WERE ESTABLISHED WITH COMPASS BEHAVIORAL HEALTH TO PROVIDE THESE ASSESSMENTS. THROUGH THIS COLLABORATION, ST. CATHERINE HOSPITAL HAS IDENTIFIED OPPORTUNITIES TO STRENGTHEN COMMUNICATION AND COORDINATION WITH COMPASS TO IMPROVE THE CONTINUUM OF SUICIDE CARE. IN ADDITION, EMPLOYEES AT ST. CATHERINE HOSPITAL PARTICIPATED IN THE ZERO SUICIDE WORKFORCE SURVEY FOR THE FIRST TIME TO BETTER UNDERSTAND STAFF CONFIDENCE AND COMPETENCE IN PROVIDING SUICIDE CARE. RESULTS FROM THE SURVEY INFORMED KEY NEXT STEPS FOR FY26, INCLUDING DEVELOPING CLEARER WORKFLOWS AND DELIVERING ROLE-SPECIFIC SUICIDE RISK TRAINING TO BUILD CAPACITY AND STRENGTHEN CARE CONSISTENCY ACROSS KANSAS. FY25 ALSO MARKED THE INTRODUCTION OF EDUCATION AND OUTREACH SURROUNDING THE 988 SUICIDE AND CRISIS LIFELINE, WHICH WAS NEW TO COMMONSPIRIT KANSAS HOSPITALS. 988 MATERIALS WERE ORDERED ACROSS HOSPITAL CAMPUSES TO INCREASE AWARENESS AMONG PATIENTS, STAFF, AND VISITORS ABOUT HOW TO QUICKLY ACCESS IMMEDIATE MENTAL HEALTH AND CRISIS SUPPORT.MENTAL HEALTH - STIGMA REDUCTION:TO ADDRESS BEHAVIORAL HEALTH STIGMA IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), ST. CATHERINE HOSPITAL (DODGE CITY) SUPPORTED COMMUNITY ENGAGEMENT EFFORTS DESIGNED TO INCREASE AWARENESS AND REDUCE BARRIERS TO CARE. DURING FY25, THE HOSPITAL PARTICIPATED IN THE INTERNATIONAL FAIR AT THE PARK, REACHING APPROXIMATELY 200 COMMUNITY MEMBERS WITH MENTAL HEALTH INFORMATION AND RESOURCES. THIS ACTIVITY DIRECTLY SUPPORTED COMMUNITY OUTREACH AND AWARENESS RELATED TO BEHAVIORAL HEALTH NEEDS, REFLECTING THE HOSPITAL'S ONGOING COMMITMENT TO STIGMA REDUCTION.ADDITIONALLY, ST. CATHERINE HOSPITAL (DODGE CITY) ALIGNED WITH THE BROADER COMMONSPIRIT HEALTH COMMUNITIES OF COMPASSION PROGRAM, WHICH AIMS TO REDUCE MENTAL HEALTH STIGMA AND PROMOTE EARLY HELP-SEEKING AMONG BLACK, LATINX, AND RURAL COMMUNITIES THROUGH PRIMARY AND SECONDARY PREVENTION STRATEGIES. SUBSTANCE USE: TO ADDRESS THE SIGNIFICANT NEEDS RELATED TO SUBSTANCE USE IDENTIFIED IN THE CHNA, THE HOSPITAL HAS IMPLEMENTED MULTIPLE INITIATIVES FOCUSED ON OPIOID AND ALCOHOL USE DISORDERS. THE HOSPITAL IMPROVES EMERGENCY DEPARTMENT (ED) OUTCOMES BY INCREASING MOUD (MEDICATIONS FOR OPIOID USE DISORDER) INDUCTION RATES, INCLUDING BUPRENORPHINE INDUCTIONS, AND EXPANDING NALOXONE DISTRIBUTION TO SUPPORT OPIOID OVERDOSE REVERSAL. THE HOSPITAL LEADS AN OPIOID ADDICTION INTERVENTION AND PREVENTION OUTCOMES INITIATIVE, INCREASING COLLABORATION WITH TREATMENT PARTNERS TO ENSURE CONTINUITY OF CARE AND IMPROVE TRANSITIONS BACK TO THE COMMUNITY FOR INDIVIDUALS WITH OPIOID USE DISORDERS. EMERGENCY DEPARTMENTS ARE PROVIDED ACCESS TO RESOURCES THAT SUPPORT IMPROVED OUTCOMES WITH ED MOUD, ED ALTERNATIVES TO OPIOIDS (ALTOS), AND NALOXONE DISTRIBUTION TOOLS.THERE WAS A 100% ED MOUD INDUCTION RATE WITH 4 OUT OF THE 4 ELIGIBLE PATIENTS RECEIVING BUPRENORPHINE TO TREAT THEIR OUD. THERE WERE 5 NALOXONE KITS DISPENSED TO PATIENTS IDENTIFIED AS AT-RISK FOR OVERDOSE. ADDITIONALLY, THERE IS ENGAGEMENT WITH COMMUNITY LEADERS, INCLUDING LAW ENFORCEMENT, IN THE EFFORT TO MONITOR OVERDOSE RATES AND RESPOND TO PUBLIC HEALTH CRISES SUCH AS A SPIKE IN OVERDOSE RATES. THE ALTOS RATE MAINTAINED OPTIMAL PERFORMANCE IN THE ED WITH SCORES DEMONSTRATING A LOWER NUMBER OF OPIOIDS PRESCRIBED AND A HIGHER NUMBER OF ALTERNATIVES UTILIZED TO MANAGE PAIN.SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) IS EXPANDED AND OPTIMIZED TO ENSURE TIMELY IDENTIFICATION AND SUPPORT FOR INDIVIDUALS AT RISK. UNIVERSAL PREVENTION AND EARLY INTERVENTION PROGRAMMING IS IMPLEMENTED TO IDENTIFY VARYING LEVELS OF RISK AND PROVIDE APPROPRIATE CARE AND CONNECTION TO RESOURCES.THE VALIDATED SCREENING TOOL FOR SUBSTANCE USE, AUDIT-C PLUS 2, IS EMBEDDED IN THE ELECTRONIC HEALTH RECORD SYSTEM AND AVAILABLE TO UTILIZE IN SCREENING PATIENTS FOR RISKY SUBSTANCE USE. IF POSITIVE, A HEALTHCARE PROFESSIONAL DELIVERS A BRIEF INTERVENTION WITH USE OF MOTIVATIONAL INTERVIEWING SKILLS TO SUPPORT CHANGE IN USE.ACCESS TO CARE:ACCESS TO CARE CONTINUES TO BE A TOP-PRIORITY COMMUNITY HEALTH NEED, AS CONSISTENTLY IDENTIFIED IN OUR COMMUNITY HEALTH NEEDS ASSESSMENTS AND REFLECTED IN OUR IMPLEMENTATION STRATEGY. DURING THIS REPORTING PERIOD, ST. CATHERINE HOSPITAL DODGE CITY STRATEGICALLY ADDRESSED ACCESS BARRIERS PRIMARILY THROUGH ENGAGEMENT AND LEADERSHIP IN REGIONAL AND SYSTEM-LEVEL INITIATIVES, LEVERAGING COLLABORATIVE PARTNERSHIPS TO ACHIEVE BROADER IMPACT ACROSS OUR SERVICE AREA.ACCESS TO CARE - HEALTH PROFESSIONS:ST. CATHERINE HOSPITAL DODGE CITY OFFERS HEALTH PROFESSIONS EDUCATION PROGRAMS THAT SUPPORT REGIONAL WORKFORCE NEEDS IN NURSING AND ALLIED HEALTH. THE HOSPITAL OFFERS SUPERVISED CLINICAL TRAINING AND PRECEPTORSHIPS FOR NURSING STUDENTS, MEDICAL LABORATORY TECHNOLOGY STUDENTS, RADIOLOGY TECHNOLOGY STUDENTS, AND RESPIRATORY THERAPY LEARNERS. THESE EDUCATIONAL EXPERIENCES ARE PROVIDED AT NO COST TO STUDENTS OR ACADEMIC PARTNERS AND RELY ON HOSPITAL-EMPLOYED CLINICIANS WHO DELIVER INSTRUCTION AND SUPERVISION. DURING THE TAX YEAR, THE HOSPITAL INCURRED APPROXIMATELY $16,269 IN COSTS TO SUPPORT THESE PROGRAMS WITH NO OFFSETTING REVENUE, RESULTING IN A NET COMMUNITY BENEFIT OF $16,269. BY OFFERING HANDS-ON CLINICAL EDUCATION ACROSS ESSENTIAL HEALTHCARE DISCIPLINES, THE HOSPITAL STRENGTHENS THE REGIONAL WORKFORCE PIPELINE AND EXPANDS TRAINING OPPORTUNITIES THAT WOULD NOT OCCUR WITHOUT HOSPITAL SUPPORT.ACCESS TO CARE - WORKFORCE DEVELOPMENT:FOR PREPARATION FOR THE UPCOMING COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) GOALS, ST. CATHERINE HOSPITAL (SCGC) AND REGIONAL BEHAVIORAL HEALTH (BH) INITIATIVES STAFF COLLABORATED TO ESTABLISH A STRATEGY TO ADVANCE BH WORKFORCE DEVELOPMENT. THIS EFFORT FOCUSED ON CREATING EQUITABLE PATHWAYS AND PARTNERSHIPS ACROSS WESTERN KANSAS THROUGH PLANS TO IMPLEMENT BEHAVIORAL HEALTH SPECIALIST AND INTERN POSITIONS, COMPLEMENTING EXISTING COMMUNITY HEALTH WORKER PARTNERSHIPS. THE OVERARCHING GOAL IS TO ASSURE FUTURE ACCESS TO CARE NEEDS ARE MET FOR YOUTH AND ADULTS INTERESTED IN PURSUING BEHAVIORAL HEALTH PROFESSIONS THROUGHOUT THE REGION'S COMMUNITIES.CHRONIC DISEASE MANAGEMENT:TO ADDRESS CHRONIC DISEASE PREVENTION AND MANAGEMENT NEEDS IDENTIFIED IN THE CHNA AND ITS CORRESPONDING IMPLEMENTATION STRATEGY, THE HOSPITAL PROACTIVELY ENGAGED WITH COMMUNITY EMPLOYERS BY HOSTING A VIRTUAL WORKSITE WELLNESS TRAINING. THIS PROGRAMMATIC EFFORT, OFFERED DURING THE REPORTING PERIOD, WAS DESIGNED TO ENHANCE WORKPLACE HEALTH AND MITIGATE CHRONIC DISEASE RISK. THE TRAINING WAS OPEN TO BUSINESSES ACROSS GRANT, FORD, AND FINNEY COUNTIES, AND SUCCESSFULLY REACHED 36 PARTICIPANTS REPRESENTING DIVERSE ORGANIZATIONS. THROUGH THIS INTERVENTION, THE HOSPITAL DIRECTLY SUPPORTED REGIONAL WORKPLACE WELLNESS INITIATIVES AND CONTRIBUTED TO CHRONIC DISEASE RISK REDUCTION EFFORTS ACROSS ITS EXTENDED SERVICE AREA. PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: ST. CATHERINE HOSPITAL-GARDEN CITY, - FACILITY 2: BOB WILSON MEMORIAL HOSPITAL, - FACILITY 3: ST. CATHERINE HOSPITAL-DODGE CITY FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 7D: THE CHNA REPORT WAS ALSO SHARED WITH ORGANIZATIONS APPLYING FOR GRANT FUNDING THROUGH THE COMMONSPIRIT HEALTH EQUITY AND ADVANCEMENT FUND. PART V, SECTION B, LINES 16A-16C WEBSITEHTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/PATIENT-TOOLS/BILLING-AND-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE-HOSPITAL-DISCOUNTED-CARE 19 1 - ULYSSES FAMILY PHYSICIANS - RHC 505 N MAIN ST ULYSSES KS 678802135 FAMILY CLINIC 2 - CENTURA FAMILY PRACTICE DODGE CITY 100 W ROSS BLVD STE 1B DODGE CITY KS 678017217 FAMILY CLINIC 3 - CMG GENERAL SURGERY DODGE CITY 108 W ROSS BLVD DODGE CITY KS 678012131 GENERAL SURGERY CLINIC 4 - CENTURA INTERNAL MEDICINE DODGE CITY 112 W ROSS BLVD STE A DODGE CITY KS 678017220 INTERNAL MEDICINE CLINIC 5 - CENTURA OBSTETRICS AND GYNECOLOGY 112 W ROSS BLVD STE D DODGE CITY KS 678017220 OB / GYN 6 - CENTURA ORTHOPEDICS DODGE CITY 112 W ROSS BLVD STE A DODGE CITY KS 678017220 ORTHOPEDIC CLINIC 7 - CENTURA PRIMARY CARE CIMARRON 106 N MAIN ST CIMARRON KS 678358880 PRIMARY CARE CLINIC 8 - CENTURA PEDIATRICS DODGE CITY 100 W ROSS BLVD STE 1B DODGE CITY KS 678017217 PEDIATRIC CLINIC 9 - SCH SURGERY WELCOME CENTER 401 E SPRUCE ST GARDEN CITY KS 678465679 PATIENT IN-TAKE CENTER 10 - SIENA FAMILY PRACTICE 311 E SPRUCE ST GARDEN CITY KS 678465679 FAMILY CLINIC 11 - SIENA INTERNAL MEDICINE 311 E SPRUCE ST GARDEN CITY KS 678465614 INTERNAL MEDICINE CLINC 12 - SIENA OCCUPATIONAL MEDICINE 311 E SPRUCE ST GARDEN CITY KS 678465614 OCCUPATIONAL THERAPY CLINIC 13 - CHPG PRIMARY CARE AND WOMENS HEALTH 2132 N KANSAS AVE STE C LIBERAL KS 679012098 PRIMARY CARE CLINIC AND WOMENS CLINIC 14 - SIENA PEDIATRICS 311 E SPRUCE ST GARDEN CITY KS 678455814 PEDIATRIC CLINIC 15 - SIENA UROLOGY 311 E SPRUCE ST GARDEN CITY KS 678465614 UROLOGY CLINIC 16 - CHPG PLAZA MEDICAL CENTER 911 N MAIN ST GARDEN CITY KS 678465561 MEDICAL CLINIC 17 - CENTURA TELENEUROLOGY KANSAS 401 E SPRUCE ST GARDEN CITY KS 678465679 NEUROLOGICAL CARE CLINIC 18 - SCH WOUND CARE CLINIC 311 E SPRUCE GARDEN CITY KS 678465614 WOUND CARE CLINIC 19 - SCH WOMENS CLINIC OBGYN 310 E WALNUT ST GARDEN CITY KS 678465572 WOMEN'S CARE CLINIC PART I, LINE 7: THE HOSPITALS USE 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 IS USED IN THE COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY (CBISA) SOFTWARE TO CALCULATE MEDICAID AND OTHER MEANS-TESTED PROGRAMS 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 INCLUDING COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH, AND CASH AND IN-KIND DONATIONS. PART II, COMMUNITY BUILDING ACTIVITIES: ST. CATHERINE - GARDEN CITY AND BOB WILSON MEMORIAL HOSPITALS' COMMUNITY BUILDING ACTIVITIES PROMOTED COMMUNITY HEALTH BY STRENGTHENING COMMUNITY CAPACITY, SUPPORTING CROSS-SECTOR COLLABORATION, AND ADVANCING ENVIRONMENTAL IMPROVEMENTS THAT REDUCE HEALTH RISKS. DURING THE REPORTING PERIOD, BOB WILSON MEMORIAL HOSPITAL AND ST. CATHERINE HOSPITAL GARDEN CITY SUPPORTED COMMUNITY BUILDING ACTIVITIES TOTALING $3,851, CLASSIFIED UNDER IRS SCHEDULE H CATEGORY F.THESE ACTIVITIES INCLUDED ACTIVE PARTICIPATION BY HOSPITAL REPRESENTATIVES IN COMMUNITY COALITIONS AND ADVISORY GROUPS, SUCH AS THE LOCAL HEALTH EQUITY ACTION TEAM (LHEAT), THE FINNEY COUNTY COMMUNITY HEALTH COALITION, AND COUNTY-LEVEL COALITION MEETINGS. THROUGH THESE ROLES, HOSPITAL STAFF CONTRIBUTED TO COLLABORATIVE PLANNING, INFORMATION-SHARING, AND COORDINATION AMONG HEALTH CARE, PUBLIC HEALTH, AND COMMUNITY-BASED ORGANIZATIONS. THIS COALITION-BUILDING AND ADVOCACY WORK SUPPORTED COMMUNITY-IDENTIFIED HEALTH PRIORITIES AND STRENGTHENED THE LOCAL INFRASTRUCTURE NEEDED TO ADDRESS SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY.IN ADDITION, ST. CATHERINE HOSPITAL GARDEN CITY SUPPORTED ENVIRONMENTAL IMPROVEMENT EFFORTS THROUGH THE INSTALLATION AND MAINTENANCE OF A MEDICATION DISPOSAL BOX LOCATED IN THE HOSPITAL EMERGENCY DEPARTMENT. THIS RESOURCE PROVIDED COMMUNITY MEMBERS WITH A SAFE AND ACCESSIBLE OPTION FOR PROPER MEDICATION DISPOSAL, SUPPORTING COMMUNITY SAFETY, INJURY PREVENTION, AND HARM REDUCTION BY REDUCING THE RISK OF MISUSE AND ACCIDENTAL EXPOSURE.COLLECTIVELY, THESE COMMUNITY BUILDING ACTIVITIES PROMOTED COMMUNITY HEALTH BY ENHANCING PARTNERSHIPS, SUPPORTING ADVOCACY AND COORDINATION ACROSS SECTORS, AND IMPLEMENTING ENVIRONMENTAL IMPROVEMENTS THAT CONTRIBUTE TO SAFER AND HEALTHIER COMMUNITIES, CONSISTENT WITH IRS SCHEDULE H AND CBISA REPORTING GUIDELINES.ST. CATHERINE HOSPITAL DODGE CITYTHE HOSPITAL'S COMMUNITY BUILDING ACTIVITIES PROMOTED COMMUNITY HEALTH BY SUPPORTING COLLABORATION AND COORDINATION AMONG LOCAL PARTNERS ADDRESSING COMMUNITY HEALTH NEEDS. DURING THE REPORTING PERIOD, ST. CATHERINE HOSPITAL DODGE CITY SUPPORTED COMMUNITY BUILDING ACTIVITIES TOTALING $581, CLASSIFIED UNDER IRS SCHEDULE H CATEGORY F.HOSPITAL REPRESENTATIVES PARTICIPATED IN A COUNTY-LEVEL COMMUNITY COALITION, CONTRIBUTING TO COLLABORATIVE PLANNING, INFORMATION-SHARING, AND COORDINATION AMONG COMMUNITY PARTNERS. THESE EFFORTS HELPED STRENGTHEN COMMUNITY CAPACITY, ALIGN RESOURCES, AND SUPPORT COLLECTIVE APPROACHES TO ADDRESSING HEALTH AND SOCIAL NEEDS WITHIN THE COMMUNITY.COLLECTIVELY, THESE COMMUNITY BUILDING ACTIVITIES ENHANCED PARTNERSHIP DEVELOPMENT AND COMMUNITY INFRASTRUCTURE AND PROMOTED COMMUNITY HEALTH THROUGH CROSS-SECTOR COLLABORATION DISTINCT FROM DIRECT PATIENT CARE. PART III, LINE 2: THE AMOUNT OF THE ORGANIZATION'S BAD DEBT AT COST IS DETERMINED BY APPLYING THE COST TO CHARGE RATIO TO PATIENT CHARGES THAT ARE DEEMED TO BE UNCOLLECTIBLE. THIS AMOUNT REPRESENTS THE COST OF SERVICES PROVIDED TO PATIENTS WHO ARE UNABLE OR REFUSE TO PAY THEIR BILLS AND DO NOT QUALIFY FOR FREE OR ADDITIONAL DISCOUNTED CARE, GOVERNMENT SPONSORED PROGRAMS OR OTHER PAYMENT ASSISTANCE, AND ARE OTHERWISE UNINSURED.THE FILING ORGANIZATION PROVIDES FREE CARE TO ANY PATIENT WHOSE FAMILY INCOME IS AT OR BELOW 150% OF THE FEDERAL POVERTY LEVEL, OR DISCOUNTED CARE TO UNINSURED OR UNDER-INSURED INDIVIDUALS WHOSE FAMILY INCOME IS ABOVE 151% BUT LOWER THAN 250% OF THE FEDERAL POVERTY LEVEL. THE FILING ORGANIZATION ALSO PROVIDES OPTIONS FOR INTEREST-FREE EXTENDED PAYMENT PLANS FOR PATIENTS WHO HAVE DEMONSTRATED GOOD FAITH AND ARE COOPERATING IN RESOLVING THEIR HOSPITAL BILLS. ALL ACCOUNTS FOR ELIGIBLE UNINSURED PATIENTS AT ALL FACILITIES RECEIVE AN AUTOMATIC UNINSURED DISCOUNT. THE EXPECTED PATIENT PAYMENT AMOUNT ON THE PATIENT'S BILL REFLECTS THIS DISCOUNT. DISCOUNTS ARE ACCOUNTED FOR AS DEDUCTIONS FROM REVENUE, NOT AS BAD DEBT EXPENSE. PART III, LINE 3: COMMONSPIRIT KANSAS, INC. MAKES EVERY EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UPON ADMISSION. COMMONSPIRIT KANSAS, INC.'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 KANSAS, INC. ALSO UTILIZES A WAYSTAR SCORING SYSTEM TO ASSIST IN DETERMINING IF A PATIENT MAY QUALIFY FOR PAYMENT ASSISTANCE EVEN THOUGH THEY HAVE NOT APPLIED FOR IT. WAYSTAR USES A METHODOLOGY THAT APPLIES CONSISTENT SCREENING AND APPLICATION STANDARDS TO ALL PATIENTS UTILIZING HISTORICAL DATA TO DEVELOP A PREDICTIVE MODEL FOR HEALTHCARE PAYMENT ASSISTANCE. IN ITS DEVELOPMENT, SPECIAL ATTENTION WAS PAID TO THOSE SOCIOECONOMIC FACTORS THAT MIGHT ADVERSELY AFFECT THOSE PATIENTS DESERVING THE MOST ATTENTION. OTHER CRITERIA ARE ALSO UTILIZED TO ENSURE THAT SERVICES THAT HAVE QUALIFIED AS FINANCIAL ASSISTANCE ARE NOT REPORTED AS BAD DEBT. AS SUCH, COMMONSPIRIT KANSAS, INC. 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: COMMONSPIRIT KANSES, INC. DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF COMMONSPIRIT HEALTH. THE FOLLOWING IS AN EXCERPT FROM COMMONSPIRIT'S CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2025, RELATED TO PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT REVENUE. THE ENTIRE FOOTNOTE CAN BE VIEWED IN THE ATTACHED COMMONSPIRIT CONSOLIDATED FINANCIAL STATEMENTS ON PAGES 11-12."PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNTS THAT REFLECT THE CONSIDERATION COMMONSPIRIT EXPECTS TO BE PAID IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING HEALTH INSURERS AND GOVERNMENT PROGRAMS) AND OTHERS AND INCLUDE CONSIDERATION FOR RETROACTIVE REVENUE ADJUSTMENTS DUE TO SETTLEMENT OF AUDITS AND REVIEWS. GENERALLY, PERFORMANCE OBLIGATIONS FOR PATIENTS RECEIVING INPATIENT ACUTE CARE SERVICES AND OUTPATIENT SERVICES ARE RECOGNIZED OVER TIME AS SERVICES ARE PROVIDED. NET PATIENT REVENUE IS PRIMARILY COMPRISED OF HOSPITAL AND PHYSICIAN SERVICES." PART III, LINE 8: COMMONSPIRIT HEALTH HOSPITALS PREPARE MEDICARE COST REPORTS IN A MANNER THAT COMPORTS WITH PROVIDER REIMBURSEMENT MANUAL (PRM) 15-1 AND PRM 15-2 CHAPTER 40 (TRANSMITTAL 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 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. COMMONSPIRIT KANSES, INC.'S SHORTFALL, AS REPORTED ON PART III, SECTION B, LINE 7, OF $2,933,839 REPRESENTS THE FILING ORGANIZATION'S MEDICARE COST REPORTS. PART III, LINE 9B: COMMONSPIRIT HEALTH ENSURES THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. COMMONSPIRIT HEALTH'S BILLING AND COLLECTION POLICY CONTAINS PROVISIONS THAT PROHIBIT THE COLLECTION OF AMOUNTS DUE FROM PATIENTS WHO THE ORGANIZATION KNOWS QUALIFY FOR FINANCIAL ASSISTANCE. ACCOUNTS WITH INCORRECT OR INCOMPLETE DEMOGRAPHIC INFORMATION ARE ASSIGNED TO A COLLECTION AGENCY IF THE COMMONSPIRIT HEALTH FACILITY, OR BILLING COMPANY RETAINED BY COMMONSPIRIT HEALTH, IS UNABLE TO OBTAIN AN UPDATED ADDRESS THROUGH SKIP TRACING OR OTHER MEANS. FOR PATIENTS WHO HAVE AN APPLICATION PENDING FOR EITHER GOVERNMENT-SPONSORED ASSISTANCE OR FOR ASSISTANCE UNDER COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE POLICY, OR WHERE THE PATIENT IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH THE FACILITY VIA PAYMENT PLANS, COMMONSPIRIT HEALTH WILL NOT KNOWINGLY SEND THAT PATIENT'S BILL TO AN OUTSIDE COLLECTION AGENCY. ON SELF-PAY ACCOUNTS THAT DO NOT MEET THE CRITERIA NOTED ABOVE, THE INITIAL DETERMINATION OF ASSIGNMENT TO A COLLECTION AGENCY WILL VARY DEPENDING ON THE NATURE OF THE ACCOUNT WITH THE FINAL DECISION BEING AT THE DISCRETION OF THE BILLING COMPANY RETAINED BY COMMONSPIRIT HEALTH. UPON ASSIGNMENT OF SUCH A PATIENT ACCOUNT TO A COLLECTION AGENCY, COMMONSPIRIT HEALTH REQUIRES THE AGENCY TO COMPLY WITH THE FAIR DEBT COLLECTION PRACTICES ACT. PART VI, LINE 3: INFORMATION ABOUT COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE PROGRAM AND A CONTACT NUMBER ARE MADE AVAILABLE TO PATIENTS AND THE PUBLIC. PATIENTS ARE INFORMED OF COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE PROGRAM VIA SIGNAGE IN ALL ADMITTING AREAS AND IN VARIOUS COMMON AREAS OF THE HOSPITAL. FINANCIAL ASSISTANCE PROGRAM INFORMATION NOTICES ARE POSTED IN THE EMERGENCY AND ADMITTING DEPARTMENTS AND AT OTHER PUBLIC PLACES AS EACH FACILITY MAY ELECT. SUCH INFORMATION IS PROVIDED IN THE PRIMARY LANGUAGES SPOKEN IN THE COMMUNITIES COMMONSPIRIT HEALTH SERVES. THE SIGNAGE INCLUDES NOTIFICATION THAT FURTHER DISCOUNTS MAY BE PROVIDED UPON THE COMPLETION AND SUBMISSION OF A FINANCIAL ASSISTANCE APPLICATION AND HOW TO REACH STAFF THAT CAN ASSIST WITH ANSWERING QUESTIONS AND GUIDE PATIENTS THROUGH THE APPLICATION PROCESS. INFORMATION CAN ALSO BE FOUND ON THE FACILITY WEBSITES. 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 AND A STATEMENT INFORMING PATIENTS HOW TO CONTACT US REGARDING FINANCIAL ASSISTANCE. ADDITIONALLY, CONTRACT TERMS WITH COLLECTION VENDORS WORKING ON BEHALF OF COMMONSPIRIT HEALTH REQUIRE THEY FOLLOW COMMONSPIRIT HEALTH FINANCIAL ASSISTANCE POLICY. ALSO, REFERRAL OF PATIENTS FOR FINANCIAL ASSISTANCE MAY BE MADE BY ANY MEMBER OF THE COMMONSPIRIT HOSPITAL ORGANIZATION NON-MEDICAL OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKERS, CASE MANAGERS, CHAPLAINS, AND RELIGIOUS SPONSORS. A REQUEST FOR ASSISTANCE MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS. PART VI, LINE 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 REPORTS ON ACTIVITIES AND PERFORMANCE. HOSPITAL AND MARKET COMMUNITY BOARDS OF COMMUNITY ADVISORS (OR THEIR DESIGNATED COMMITTEES) ARE RESPONSIBLE FOR ENSURING THAT THE HOSPITALS CONDUCT AND ADOPT COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES, TAKE ACTIONS TO HELP ADDRESS IDENTIFIED SIGNIFICANT HEALTH NEEDS WITH AN EMPHASIS ON POOR AND VULNERABLE POPULATIONS AND HEALTH EQUITY, AND MONITORING ACTIONS AND PROGRESS TOWARD IDENTIFIED GOALS. PART VI, LINE 6: THE ORGANIZATION IS AFFILIATED WITH COMMONSPIRIT HEALTH. COMMONSPIRIT HEALTH WAS CREATED BY THE ALIGNMENT OF CATHOLIC HEALTH INITIATIVES AND DIGNITY HEALTH IN EARLY 2019. COMMONSPIRIT HEALTH, A NONPROFIT, FAITH-BASED HEALTH SYSTEM IS COMMITTED TO BUILDING HEALTHIER COMMUNITIES, ADVOCATING FOR THOSE WHO ARE POOR AND VULNERABLE, AND INNOVATING HOW AND WHERE HEALING CAN HAPPEN BOTH INSIDE ITS HOSPITALS AND OUT IN THE COMMUNITY. COMMONSPIRIT HEALTH OWNS AND OPERATES HEALTH CARE FACILITIES IN 24 STATES AND IS THE SOLE CORPORATE MEMBER (PARENT CORPORATION) OF OTHER PRIMARILY NONPROFIT CORPORATIONS. COMMONSPIRIT HEALTH AND SUBSTANTIALLY ALL OF ITS DIRECT AFFILIATES AND SUBSIDIARIES HAVE BEEN GRANTED EXEMPTIONS FROM FEDERAL INCOME TAX AS CHARITABLE ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS OF SEPTEMBER 24, 2025, COMMONSPIRIT HEALTH IS COMPRISED OF APPROXIMATELY 2,300 CARE SITES, CONSISTING OF 138 HOSPITALS, INCLUDING ACADEMIC HEALTH CENTERS, MAJOR TEACHING HOSPITALS, AND CRITICAL ACCESS FACILITIES, COMMUNITY HEALTH SERVICES ORGANIZATIONS, ACCREDITED NURSING COLLEGES, HOME HEALTH AGENCIES, LIVING COMMUNITIES, A MEDICAL FOUNDATION AND OTHER AFFILIATED MEDICAL GROUPS, AND OTHER FACILITIES AND SERVICES THAT SPAN THE INPATIENT AND OUTPATIENT CONTINUUM OF CARE. AN ADDITIONAL 20 HOSPITALS ARE OPERATED THROUGH UNCONSOLIDATED JOINT VENTURES. IN FISCAL YEAR 2025, COMMONSPIRIT HEALTH PROVIDED MORE THAN $3.071 BILLION IN FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT FOR PROGRAMS AND SERVICES FOR THE POOR, FREE CLINICS, EDUCATION AND RESEARCH. FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT TOTALED MORE THAN $5.156 BILLION WITH THE INCLUSION OF THE UNPAID COSTS OF MEDICARE. THE HEALTH SYSTEM, WHICH GENERATED OPERATING REVENUES OF $39.1 BILLION IN FISCAL YEAR 2025, HAS TOTAL ASSETS OF APPROXIMATELY $57.26 BILLION.COMMONSPIRIT HEALTH PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES AS WELL AS CENTRALIZED SERVICES FOR ITS DIVISIONS. THE PROVISION OF CENTRALIZED MANAGEMENT AND SHARED SERVICES INCLUDING AREAS SUCH AS ACCOUNTING, HUMAN RESOURCES, PAYROLL AND SUPPLY CHAIN PROVIDES ECONOMIES OF SCALE AND PURCHASING POWER TO THE DIVISIONS. THE COST SAVINGS ACHIEVED THROUGH COMMONSPIRIT HEALTH'S CENTRALIZATION ENABLE DIVISIONS TO DEDICATE ADDITIONAL RESOURCES TO HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY. PART VI, LINE 7, REPORTS FILED WITH STATES KS PART VI, LINE 4 : COMMUNITY INFORMATION ST. CATHERINE HOSPITAL-GARDEN CITYTO DEFINE THE COMMUNITY FOR THE CHNA AND TO ANALYZE DEMOGRAPHIC AND HEALTH INDICATOR DATA, ST. CATHERINE HOSPITAL - GARDEN CITY USED ITS STARK-LAW SERVICE AREA. THE STARK-LAW SERVICE AREA IS DEFINED AS THE SMALLEST GROUP OF CONTIGUOUS ZIP CODES THAT TOGETHER ACCOUNT FOR AT LEAST 75% OF THE HOSPITAL'S INPATIENT ADMISSIONS.ST. CATHERINE HOSPITAL GARDEN CITY SERVES FINNEY COUNTY, KANSAS. THE HOSPITAL'S PRIMARY SERVICE AREA IS ANCHORED BY GARDEN CITY WHICH HAD AN ESTIMATED POPULATION OF 27,781 IN 2023, WHILE FINNEY COUNTY HAD AN ESTIMATED POPULATION OF 38,172 IN 2023. THE SERVICE AREA IS CHARACTERIZED AS A MIX OF URBAN AND RURAL COMMUNITIES, WITH GARDEN CITY SERVING AS A REGIONAL HUB FOR HEALTH CARE, EDUCATION, AND COMMERCE WITHIN A LARGELY RURAL REGION OF SOUTHWEST KANSAS.THE LOCAL ECONOMY IS PRIMARILY DRIVEN BY AGRICULTURE, INCLUDING FARMING, MEAT PROCESSING, AND FOOD PRODUCTION, SUPPORTED BY MAJOR EMPLOYERS SUCH AS TYSON FOODS. ADDITIONAL ECONOMIC SECTORS INCLUDE RETAIL, EDUCATION, AND HEALTH CARE. THE COUNTY'S MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $72,400; HOWEVER, ECONOMIC DISPARITIES EXIST, WITH AN ESTIMATED 11.7% OF RESIDENTS LIVING BELOW THE FEDERAL POVERTY LEVEL. CHILD POVERTY IS MORE PRONOUNCED, WITH NEARLY 17% OF CHILDREN LIVING IN HOUSEHOLDS BELOW THE POVERTY THRESHOLD.FINNEY COUNTY IS DISTINGUISHED BY SIGNIFICANT CULTURAL, ETHNIC, AND LINGUISTIC DIVERSITY. MORE THAN HALF OF THE POPULATION IDENTIFIES AS HISPANIC OR LATINO. APPROXIMATELY 51.5% OF RESIDENTS IDENTIFY AS WHITE, 4.0% AS AFRICAN AMERICAN, 4.0% AS ASIAN, AND THE REMAINDER AS MULTIRACIAL, AMERICAN INDIAN OR ALASKA NATIVE, NATIVE HAWAIIAN OR PACIFIC ISLANDER, OR OTHER RACES. GARDEN CITY PUBLIC SCHOOLS SERVE STUDENTS FROM HOUSEHOLDS SPEAKING MORE THAN 30 LANGUAGES, INCLUDING SPANISH, VIETNAMESE, SOMALI, BURMESE, AND ARABIC. BETWEEN 2010 AND 2020, THE COMMUNITY EXPERIENCED SIGNIFICANT DEMOGRAPHIC SHIFTS, INCLUDING GROWTH IN HISPANIC, AFRICAN AMERICAN, AND ASIAN POPULATIONS.POPULATIONS EXPERIENCING GREATER HEALTH DISPARITIES INCLUDE LOW-INCOME HOUSEHOLDS, IMMIGRANTS AND REFUGEES, UNINSURED INDIVIDUALS, MEDICAID RECIPIENTS, AND RURAL RESIDENTS WITH LIMITED TRANSPORTATION OPTIONS. HEALTH INSURANCE COVERAGE REMAINS A SIGNIFICANT CHALLENGE. WHILE JUST OVER HALF OF RESIDENTS ARE COVERED BY EMPLOYER-SPONSORED INSURANCE, APPROXIMATELY 18% OF RESIDENTS ARE ENROLLED IN MEDICAID, AND AN ESTIMATED 16% OF INDIVIDUALS UNDER AGE 65 ARE UNINSUREDRATES THAT EXCEED BOTH STATE AND NATIONAL AVERAGES. THESE COVERAGE GAPS CREATE BARRIERS TO ACCESSING PREVENTIVE, PRIMARY, AND SPECIALTY CARE.HEALTH OUTCOMES IN FINNEY COUNTY REFLECT BOTH STRENGTHS AND PERSISTENT CHALLENGES. DESPITE A RELATIVELY YOUNG POPULATION AND A LOW UNEMPLOYMENT RATE OF APPROXIMATELY 3.4%, THE COMMUNITY EXPERIENCES ELEVATED RATES OF CHRONIC DISEASE, OBESITY, SUBSTANCE USE DISORDERS, AND MENTAL HEALTH NEEDS. EDUCATIONAL ATTAINMENT IS A KEY SOCIAL DETERMINANT OF HEALTH, WITH NEARLY 29% OF ADULTS LACKING A HIGH SCHOOL DIPLOMA, CONTRIBUTING TO LOWER HEALTH LITERACY AND ADVERSE LONG-TERM HEALTH OUTCOMES.FINNEY COUNTY IS DESIGNATED BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION AS A MEDICALLY UNDERSERVED AREA AND IS ALSO DESIGNATED AS A PRIMARY CARE, DENTAL, AND MENTAL HEALTH PROFESSIONAL SHORTAGE AREA. ST. CATHERINE HOSPITAL GARDEN CITY IS THE ONLY HOSPITAL SERVING THE COUNTY AND PLAYS A CENTRAL ROLE IN THE LOCAL HEALTH CARE SAFETY NET, ALONGSIDE FEDERALLY QUALIFIED HEALTH CENTERS, RURAL HEALTH CLINICS, AND COMMUNITY-BASED BEHAVIORAL HEALTH PROVIDERS. DEMAND FOR HEALTH SERVICES FREQUENTLY EXCEEDS AVAILABLE CAPACITY. THESE GEOGRAPHIC, DEMOGRAPHIC, AND SOCIOECONOMIC CHARACTERISTICS INFORM THE HOSPITAL'S COMMUNITY BENEFIT STRATEGY AND HEALTH IMPROVEMENT EFFORTS.BOB WILSON HOSPITALTO DEFINE THE COMMUNITY FOR THE CHNA AND TO ANALYZE DEMOGRAPHIC AND HEALTH INDICATOR DATA, BOB WILSON MEMORIAL HOSPITAL USED ITS STARK-LAW SERVICE AREA. THE STARK-LAW SERVICE AREA IS DEFINED AS THE SMALLEST GROUP OF CONTIGUOUS ZIP CODES THAT TOGETHER ACCOUNT FOR AT LEAST 75% OF THE HOSPITAL'S INPATIENT ADMISSIONS.BOB WILSON MEMORIAL HOSPITAL (BWMH) SERVES GRANT COUNTY, KANSAS, WHICH IS IDENTIFIED AS A PREDOMINANTLY RURAL COMMUNITY. AS OF 2020, THE TOTAL POPULATION OF GRANT COUNTY WAS 7,352 RESIDENTS. THE COUNTY HAS EXPERIENCED A POPULATION DECLINE OF 6.09% BETWEEN 2010 AND 2020.DEMOGRAPHICALLY, GRANT COUNTY IS CHARACTERIZED BY ITS SIGNIFICANT ETHNIC DIVERSITY. OVER HALF OF ITS RESIDENTS, 52.53%, IDENTIFY AS HISPANIC, AND THE WHITE POPULATION (HISPANIC AND NON-HISPANIC) CONSTITUTES 57.44%. OTHER RACIAL GROUPS INCLUDE AFRICAN AMERICAN (0.14%), ASIAN (0.19%), NATIVE HAWAIIAN OR PACIFIC ISLANDER (0.07%), AMERICAN INDIAN OR ALASKAN NATIVE (2.23%), AND "SOME OTHER RACE" (20.54%), WITH 19.4% IDENTIFYING WITH TWO OR MORE RACES. THIS DIVERSITY HIGHLIGHTS THE IMPORTANCE OF CULTURALLY AND LINGUISTICALLY APPROPRIATE HEALTHCARE SERVICES.REGARDING SOCIOECONOMIC CONDITIONS, THE OVERALL POVERTY RATE IN GRANT COUNTY IS RELATIVELY LOW AT 5.42%, BELOW THE STATE AVERAGE, AND THE COUNTY MAINTAINS A LOW UNEMPLOYMENT RATE OF APPROXIMATELY 2.9%. HOWEVER, THE MEDIAN HOUSEHOLD INCOME IS LOWER THAN THE STATE AVERAGE, INDICATING POCKETS OF ECONOMIC VULNERABILITY WHERE AFFORDABILITY OF HEALTH CARE, HEALTHY FOODS, AND OTHER BASIC NEEDS REMAINS A CHALLENGE. EDUCATIONAL ATTAINMENT IS AN ADDITIONAL CONCERN, WITH NEARLY 19% OF ADULTS LACKING A HIGH SCHOOL DIPLOMAHEALTH INSURANCE COVERAGE ALSO PRESENTS BARRIERS TO CARE. APPROXIMATELY 17.4% OF RESIDENTS UNDER AGE 65 ARE UNINSURED, WHILE AN ESTIMATED 24% OF THE POPULATION IS ENROLLED IN MEDICAID, THOUGH MOST RESIDENTS HAVE COMMERCIAL COVERAGE. DESPITE RELATIVELY HIGH OVERALL INSURANCE COVERAGE, APPROXIMATELY 32% OF SURVEY RESPONDENTS REPORTED BEING UNABLE TO ACCESS NEEDED MEDICAL CARE IN THE PAST YEAR, MOST COMMONLY DUE TO COST, WAIT TIMES, OR INSURANCE LIMITATIONS.IN TERMS OF HEALTHCARE PROVISION, BWMH IS THE PRIMARY HOSPITAL SERVING THE COMMUNITY. THERE IS ONE HOSPITAL IN THE LOCAL AREA, ALONGSIDE ONE MENTAL HEALTH FACILITY, ONE DRUG/ALCOHOL TREATMENT FACILITY, AND ONE FEDERALLY QUALIFIED HEALTH CENTER. GRANT COUNTY FACES A SIGNIFICANT HEALTHCARE PROVIDER SHORTAGE, WITH ONLY 0.55 PRIMARY CARE PHYSICIANS PER 1,000 RESIDENTS AND 0.27 DENTISTS PER 1,000 RESIDENTS, BOTH OF WHICH ARE LOWER THAN STATE AND NATIONAL AVERAGES. WHILE GRANT COUNTY IS NOT DESIGNATED AS A FEDERALLY MEDICALLY UNDERSERVED AREA, THE CHNA CLEARLY INDICATES THAT THIS PROVIDER SHORTAGE, ALONG WITH ISSUES OF LANGUAGE ACCESS AND INSURANCE TYPE, CONTINUES TO SHAPE RESIDENTS' ABILITY TO OBTAIN TIMELY CARE, NECESSITATING CONTINUED INVESTMENTS IN PROVIDER RECRUITMENT AND RETENTION, AND CULTURALLY RESPONSIVE CARE DELIVERY. PART VI, LINE 4 : COMMUNITY INFORMATION CONTINUED ST. CATHERINE HOSPITAL-DODGE CITYTO DEFINE THE COMMUNITY FOR THE CHNA AND TO ANALYZE DEMOGRAPHIC AND HEALTH INDICATOR DATA, ST. CATHERINE HOSPITAL - DODGE CITY USED ITS STARK-LAW SERVICE AREA. THE STARK-LAW SERVICE AREA IS DEFINED AS THE SMALLEST GROUP OF CONTIGUOUS ZIP CODES THAT TOGETHER ACCOUNT FOR AT LEAST 75% OF THE HOSPITAL'S INPATIENT ADMISSIONS.ST. CATHERINE HOSPITAL DODGE CITY SERVES FORD COUNTY, KANSAS, WHICH HAD AN ESTIMATED POPULATION OF APPROXIMATELY 34,287 RESIDENTS IN 2020. DODGE CITY IS THE LARGEST COMMUNITY IN THE COUNTY AND FUNCTIONS AS A REGIONAL HUB FOR HEALTH CARE, COMMERCE, AND TRANSPORTATION IN A PREDOMINANTLY RURAL AREA OF SOUTHWEST KANSAS.THE LOCAL ECONOMY IS SUPPORTED BY AGRICULTURE, MEATPACKING, MANUFACTURING, TRANSPORTATION, AND HEALTH CARE. THE COUNTY'S MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $55,907, WHICH IS LOWER THAN THE KANSAS STATE AVERAGE, THOUGH THE UNEMPLOYMENT RATE REMAINS RELATIVELY LOW AT APPROXIMATELY 3.2%. ECONOMIC CHALLENGES PERSIST FOR MANY HOUSEHOLDS, CONTRIBUTING TO BARRIERS IN ACCESSING HEALTH CARE AND OTHER ESSENTIAL SERVICES.FORD COUNTY IS CHARACTERIZED BY SIGNIFICANT CULTURAL, ETHNIC, AND LINGUISTIC DIVERSITY. IN DODGE CITY, APPROXIMATELY 70.1% OF RESIDENTS IDENTIFY AS HISPANIC OR LATINO. COUNTY-WIDE, ABOUT 57.4% OF RESIDENTS IDENTIFY AS HISPANIC OR LATINO, 50.1% IDENTIFY AS WHITE, 2.9% AS AFRICAN AMERICAN, 1.2% AS ASIAN, AND THE REMAINDER AS AMERICAN INDIAN OR ALASKA NATIVE, NATIVE HAWAIIAN OR PACIFIC ISLANDER, MULTIRACIAL, OR OTHER RACES. MORE THAN HALF OF COUNTY RESIDENTS SPEAK SPANISH AT HOME, AND APPROXIMATELY 27.2% OF THE POPULATION IS FOREIGN-BORN. BETWEEN 2010 AND 2020, THE COUNTY EXPERIENCED SIGNIFICANT DEMOGRAPHIC SHIFTS, INCLUDING A DECLINE IN THE WHITE POPULATION AND GROWTH IN HISPANIC AND AFRICAN AMERICAN POPULATIONS.POPULATIONS EXPERIENCING GREATER HEALTH DISPARITIES INCLUDE LOW-INCOME HOUSEHOLDS, IMMIGRANTS AND REFUGEES, UNINSURED INDIVIDUALS, AND RURAL RESIDENTS WITH LIMITED TRANSPORTATION OPTIONS. HEALTH INSURANCE COVERAGE REMAINS A SIGNIFICANT CONCERN, WITH APPROXIMATELY 12.47% OF RESIDENTS LACKING INSURANCE AND 18% ENROLLED IN MEDICAID. COST OF CARE, TRANSPORTATION CHALLENGES, AND LIMITED AVAILABILITY OF SPECIALTY SERVICES ARE FREQUENTLY IDENTIFIED BARRIERS TO CARE.ACCESS TO HEALTH CARE PROVIDERS IS A PERSISTENT CHALLENGE IN FORD COUNTY. THE COUNTY HAS A HIGHER POPULATION-TO-PHYSICIAN RATIO THAN THE STATE AVERAGE, WITH APPROXIMATELY 2,818 RESIDENTS PER PHYSICIAN COMPARED TO 1,724 STATEWIDE, AND A HIGHER POPULATION-TO-DENTIST RATIO AS WELL. ACCORDING TO THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA), MOST OF FORD COUNTY IS DESIGNATED AS A MEDICALLY UNDERSERVED AREA (MUA), WITH 4 OF 7 CENSUS TRACTS FEDERALLY DESIGNATED AS MUAS OR MEDICALLY UNDERSERVED POPULATIONS (MUPS). ADDITIONALLY, THE ENTIRE COUNTY IS DESIGNATED AS A PRIMARY CARE, DENTAL, AND MENTAL HEALTH PROFESSIONAL SHORTAGE AREA (HPSA). ST. CATHERINE HOSPITAL DODGE CITY IS THE PRIMARY HOSPITAL SERVING THE COUNTY AND PLAYS A CENTRAL ROLE IN THE LOCAL HEALTH CARE SAFETY NET, ALONGSIDE FEDERALLY QUALIFIED HEALTH CENTERS, RURAL HEALTH CLINICS, AND COMMUNITY-BASED PROVIDERS. THESE ACCESS CHALLENGES CONTRIBUTE TO MEASURABLE DISPARITIES IN HEALTH OUTCOMES. 1 CARIN CLINIC 5150 ALLISON ST ARVADA CO 80002 841331444 501C3 10000 0 PROGRAM SUPPORT CHURCH OF THE NAZARENE GARDEN 2720 N CAMPUS DR GARDEN CITY KS 67846 800969438 501C3 9500 0 PROGRAM SUPPORT DODGE CITY PUBLIC SCHOOLS PO BOX 460 DODGE CITY KS 67801 480697984 GOVERNMENT 30000 0 PROGRAM SUPPORT FINNEY COUNTY COMMUNITY HEALTH 310 E WALNUT ST GARDEN CITY KS 67846 275247081 501C3 140000 0 PROGRAM SUPPORT GARDEN CITY COMMUNITY COLLEGE 801 N CAMPUS DR GARDEN CITY KS 67846 480698107 GOVERNMENT 7140 0 PROGRAM SUPPORT 5 0 PART I, LINE 2: FUNDS ARE USED IN FURTHERENCE OF THE PURPOSE OF THE GRANT. 1 1 0 0 0 0 0 0 0 THOMAS MCGINN MD BOARD MEMBER/CSH SEVP, CHIEF PHYSICI 0 1164410 0 3693282 0 343004 0 297884 0 41050 0 5539630 0 0 DANIEL MORISSETTE CO-CHAIR/CSH SEVP, CHIEF FINANCIAL O 0 1702910 0 3332550 0 12642 0 91553 0 34182 0 5173837 0 0 MITCH MELFI ESQ VICE CHAIR/CSH SEVP, CHIEF LEGAL OFF 0 1121560 0 3181925 0 318303 0 18925 0 26188 0 4666901 0 0 PETER BANKO FORMER CEO/PRESIDENT MOUNTAIN REGION 0 288437 0 2000000 0 1559912 0 10405 0 96975 0 3955729 0 0 SHERI SHAPIRO CHAIR/SEVP CSH CHIEF STRATEGY OFFICE 0 1114850 0 2187900 0 168237 0 300825 0 41050 0 3812862 0 0 ANDREW GAASCH PRESIDENT MOUNTAIN REGION 0 1043083 0 1096839 0 6508 0 236300 0 47875 0 2430605 0 0 MATT BROWN FORMER INTERIM PRESIDENT MTN REGION/ 0 852685 0 969173 0 3454 0 138435 0 37973 0 2001720 0 0 ZEFERINO ARROYO MD PHYSICIAN 797720 0 65222 0 43407 0 12075 0 21101 0 939525 0 0 0 ALOK SHAH PHYSICIAN 883385 0 0 0 13603 0 10014 0 30289 0 937291 0 0 0 THOMAS DONOHOE SECRETARY/SR VP LEGAL SERVICES & GEN 0 304268 0 284036 0 282751 0 7959 0 51999 0 931013 0 0 ROBERT MORREN PHYSICIAN 686800 0 31307 0 4524 0 10675 0 54701 0 788007 0 0 0 RICHARD HALL PHYSICIAN 601517 0 108029 0 13802 0 10675 0 48479 0 782502 0 0 0 WILLIAM FREUND PHYSICIAN 658414 0 9500 0 43519 0 10675 0 36137 0 758245 0 0 0 TADD RICHERT TREASURER/MTN. REGION CFO 0 520222 0 124699 0 2480 0 10675 0 58675 0 716751 0 0 CHRISTINE MCSWEENEY FORMER INTERIM CEO, ST CATHERINE HOS 0 410786 0 176802 0 10205 0 12075 0 48680 0 658548 0 0 TWILLA LEE PRESIDENT COMMONSPIRIT KANSAS 0 377300 0 180434 0 10278 0 2885 0 22163 0 593060 0 0 BRYAN STUCKY FORMER SECRETARY 309006 0 57540 0 7028 0 8050 0 47298 0 428922 0 0 0 SHAWNA ROARK FORMER OFFICER 0 214281 0 51057 0 450 0 8050 0 44740 0 318578 0 0 KATHERINE BROOKS SECRETARYSVP, MTN. REGION GENERAL CO 0 207102 0 25000 0 554 0 6708 0 27502 0 266866 0 0 PART I, LINE 3 DURING THE CALENDAR YEAR 2024, COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED BY COMMONSPIRIT HEALTH AND PAID BY COMMONSPIRIT MOUNTAIN REGION, RELATED ORGANIZATIONS. COMMONSPIRIT HEALTH USED ONE OR MORE OF THE METHODS DESCRIBED IN SCHEDULE J, PART I, LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) INDEPENDENT COMPENSATION CONSULTANT; (2) COMPENSATION SURVEY OR STUDY. SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15 FOR ADDITIONAL INFORMATION. SCH J, PART I, LINE 4A CERTAIN REPORTABLE INDIVIDUALS ARE COVERED BY AN EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 9 MONTHS TO 2 YEARS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. CERTAIN REPORTABLE INDIVIDUALS ARE COVERED BY A NON-EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 2 WEEKS TO 52 WEEKS OF BASE COMPENSATION, DEPENDING ON THE EMPLOYEE'S POSITION AND TENURE, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE 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): PETER BANKO, $1,557,847, THOMAS DONOHOE, $276,931. SCH J, PART I, LINE 4B 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 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: 1) REACHING THE AGE OF 65 (THE PLAN'S NORMAL RETIREMENT AGE), OR 2) 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: MITCH MELFI, $55,947, THOMAS MCGINN, $323,600, SHARI 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: MITCH MELFI, $954. DUE TO THE "SUPER" VESTING RULES UNDER CATHOLIC HEALTH INITIATIVE'S DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS INVOLUNTARY TERMINATION WITHOUT CAUSE, AGE, AGE AND YEARS OF SERVICE, OR MORE THAN 5 YEARS OF PLAN PARTICIPATION ARE ELIGIBLE TO RECEIVE THEIR 2024 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II. DURING 2024, THE FOLLOWING PAYMENTS WERE MADE PURSUANT TO THE SUPER VESTING RULES: MITCH MELFI, $224,064. SCHEDULE J, PART II COMMONSPIRIT KANSAS, INC. FOLLOWS COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY. COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST COMMONSPIRIT IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE COMMONSPIRIT TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES COMMONSPIRIT SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND COMMONSPIRIT'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL, AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE, REVENUES AND COMPLEXITY. PAYMENTS PURSUANT TO A LONG-TERM FINANCIAL PERFORMANCE GOAL WERE PAID IN CALENDAR YEAR 2024. BRADLEY STUCKY FAMILY MEMBER OF A FORMER BOARD MEMBER 170151 EMPLOYEE PAYROLL WAGES 0 BRANDON STUCKY FAMILY MEMBER OF A FORMER BOARD MEMBER 299775 EMPLOYEE PAYROLL WAGES 0 RACQUEL STUCKY FAMILY MEMBER OF A FORMER BOARD MEMBER 249310 EMPLOYEE PAYROLL WAGES 0 BLAKE STUCKY FAMILY MEMBER OF A FORMER BOARD MEMBER 364143 EMPLOYEE PAYROLL WAGES 0 PART V, LINE 1C: PAYMENTS TO VENDORS PAYMENTS TO VENDORS FOR ENTITIES THAT ARE PART OF COMMONSPIRIT MOUNTAIN REGION ARE MADE BY COMMONSPIRIT MOUNTAIN REGION. THEREFORE, NO FORMS 1099 ARE ISSUED BY COMMONSPIRIT KANSAS, INC. COMMONSPIRIT MOUNTAIN REGION FILES THE FORMS 1099 AND COMPLIES WITH THE BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS AND GAME WINNINGS. THE FORMS 1099 ISSUED ON BEHALF OF COMMONSPIRIT KANSAS, ARE REPORTED TO THE IRS. FORM 990, PART VI, SECTION A, LINE 4 IN CONNECTION WITH COMMONSPIRIT HEALTH'S SYSTEM WIDE GOVERNANCE ALIGNMENT AND CORPORATE RESTRUCTURING, THE ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS WERE AMENDED AND RESTATED. SEVERAL SIGNIFICANT CHANGES WERE MADE TO THE GOVERNING DOCUMENTS INCLUDING: 1. THE ORGANIZATION'S NAME WAS CHANGED TO COMMONSPIRIT KANSAS, INC. 2. BOARD OF DIRECTORS "BOARD AND STANDING COMMITTEES: A. THE NUMBER OF BOARD MEMBERS AND THE COMPOSITION OF THE BOARD HAS CHANGED. THE BOARD NOW CONSISTS OF THREE (3) DIRECTORS, WHO ARE APPOINTED BY THE CORPORATE MEMBER. ONE OF THOSE DIRECTORS IS THE REGION PRESIDENT, WHO SERVES AS AN EX OFFICIO VOTING BOARD MEMBER. THE NEW GOVERNING DOCUMENTS ELIMINATE FOUR STANDING BOARD COMMITTEES (GOVERNANCE, EXECUTIVE, AUDIT AND COMPLIANCE, AND QUALITY AND VALUE) WHILE MAINTAINING THE BOARD'S ABILITY BY RESOLUTION ADOPTED BY A MAJORITY OF THE DIRECTORS THEN IN OFFICE, TO ESTABLISH ONE OR MORE STANDING OR AD HOC COMMITTEES. 3. BOARD OF COMMUNITY ADVISORS: A. THE NEW GOVERNING DOCUMENTS REQUIRE THE BOARD TO ESTABLISH ONE OR MORE BOARDS OF COMMUNITY ADVISORS RELATED TO HOSPITALS OWNED AND OPERATED BY THE CORPORATION. ALL BOARDS OF COMMUNITY ADVISORS ARE TO BE OPERATED SUBSTANTIALLY IN ACCORDANCE WITH, AND HAVE THE RESPONSIBILITIES GENERALLY DESCRIBED IN, A SET OF BYLAWS, APPROVED BY THE BOARD (THE "BOARD OF COMMUNITY ADVISORS BYLAWS"). ANY PROPOSED AMENDMENT OR MODIFICATION TO THE BOARD OF COMMUNITY ADVISORS BYLAWS APPLICABLE TO A BOARD OF COMMUNITY ADVISORS IS SUBJECT TO APPROVAL BY THE BOARD. B. THE BOARD MAKES APPOINTMENTS TO THE BOARDS OF COMMUNITY ADVISORS. EACH BOARD OF COMMUNITY ADVISORS MUST CONSIST OF NO FEWER THAN SIX AND NO MORE THAN TWELVE MEMBERS. THE BOARD RETAINS THE POWER TO REMOVE MEMBERS OF THE BOARD OF COMMUNITY ADVISORS, WITH OR WITHOUT CAUSE. C. THE BOARD DELEGATED CERTAIN FIDUCIARY DUTIES TO THE BOARDS OF COMMUNITY ADVISORS, AND GRANTED THE BOARDS OF COMMUNITY ADVISORS AUTHORITY TO ACT ON BEHALF OF THE BOARD, WITH RESPECT TO THE FOLLOWING MATTERS FOR THE HOSPITAL(S) SUPPORTED BY THAT BOARD OF COMMUNITY ADVISORS: -MEDICAL STAFF MEMBERSHIP, CREDENTIALING, AND PRIVILEGES - QUALITY, SAFETY, AND PATIENT EXPERIENCE -APPROVE HOSPITAL POLICIES AND PROCEDURES IN ADDITION THE BOARD MAY DELEGATE OTHER DUTIES AND RESPONSIBILITIES, INCLUDING ADVISORY RESPONSIBILITIES WITH RESPECT TO THE SUPPORTED HOSPITALS, TO THE BOARDS OF COMMUNITY ADVISORS. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS COMMONSPIRIT HEALTH, A COLORADO NONPROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A PURSUANT TO SECTION 6.5 OF THE CORPORATION'S BYLAWS , WITH THE EXCEPTION OF AN EX OFFICIO DIRECTOR, THE CORPORATE MEMBER SHALL APPOINT AND APPROVE EACH MEMBER OF THE BOARD IN ACCORDANCE WITH THE GOVERNANCE MATRIX. PURSUANT TO SECTION 8.1 OF THE CORPORATION'S BYLAWS , THE BOARD MAY, BY RESOLUTION ADOPTED BY A MAJORITY OF THE DIRECTORS THEN IN OFFICE, ESTABLISH ONE OR MORE STANDING OR AD HOC COMMITTEES, AS NEEDED OR REQUIRED TO CONDUCT AND TRANSACT THE BUSINESS OF THE CORPORATION; PROVIDED, HOWEVER, NO COMMITTEE THAT INCLUDES PERSONS OTHER THAN DIRECTORS OF THE BOARD MAY EXERCISE THE AUTHORITY OF THE BOARD. (CHCF RESERVED RIGHTS) EXCEPT AS OTHERWISE PROVIDED IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE LAWS OF THE STATE OF ORGANIZATION, CATHOLIC HEALTH CARE FEDERATION ("CHCF") SHALL HAVE SUCH RIGHTS AS ARE RESERVED TO THE CORPORATE MEMBER, ACTING IN ITS CAPACITY AS THE MEMBERSHIP BODY OF CHCF, UNDER THE GOVERNANCE MATRIX. FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION'S CORPORATE MEMBER IS COMMONSPIRIT HEALTH. PURSUANT TO SECTION 5.4 OF THE ORGANIZATION'S BYLAWS, THE CORPORATE MEMBER SHALL HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE RESERVED TO THE COMMONSPIRIT HEALTH BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE COMMONSPIRIT HEALTH CHIEF EXECUTIVE OFFICER: -SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF THE COMMONSPIRIT KANSAS, INC. -AMENDMENT OF THE CORPORATE DOCUMENTS OF THE COMMONSPIRIT KANSAS, INC. -APPROVE MEMBERS OF THE COMMONSPIRIT KANSAS, INC. BOARD -REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE COMMONSPIRIT KANSAS, INC. -APPROVAL OF ISSUANCE OF DEBT BY COMMONSPIRIT KANSAS, INC. -APPROVAL OF PARTICIPATION OF COMMONSPIRIT KANSAS, INC. IN A JOINT VENTURE -APPROVAL OF FORMATION OF A NEW CORPORATION BY COMMONSPIRIT KANSAS, INC. -APPROVAL OF A MERGER INVOLVING THE COMMONSPIRIT KANSAS, INC. -APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE COMMONSPIRIT KANSAS, INC. -TO REQUIRE THE TRANSFER OF ASSETS BY THE COMMONSPIRIT KANSAS, INC. TO COMMONSPIRIT HEALTH TO ACCOMPLISH COMMONSPIRIT HEALTH'S GOALS AND OBJECTIVES, AND TO SATISFY COMMONSPIRIT HEALTH DEBTS. -ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR COMMONSPIRIT KANSAS, INC. PURSUANT TO THE ORGANIZATION'S BYLAWS, COMMONSPIRIT HEALTH MAY, IN EXERCISE OF ITS APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE." (CHCF RESERVED RIGHTS) EXCEPT AS OTHERWISE PROVIDED IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE LAWS OF THE STATE OF ORGANIZATION, CATHOLIC HEALTH CARE FEDERATION ("CHCF") SHALL HAVE SUCH RIGHTS AS ARE RESERVED TO THE CORPORATE MEMBER, ACTING IN ITS CAPACITY AS THE MEMBERSHIP BODY OF CHCF, UNDER THE GOVERNANCE MATRIX. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF THE FORM 990 IS REVIEWED BY MANAGEMENT AND MADE AVAILABLE TO THE TOP FINANCIAL OFFICIAL FOR CONSIDERATION AND REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") IN PLACE TO PROTECT THE INTERESTS OF COMMONSPIRIT HEALTH ("COMMONSPIRIT") IN CIRCUMSTANCES THAT MAY RESULT IN A CONFLICT BETWEEN PERSONAL INTERESTS OF A PERSON AND THE INTERESTS OF THE ORGANIZATION AND THOSE IT SERVES. COMMONSPIRIT'S COI POLICY APPLIES TO COMMONSPIRIT, ITS DIRECT AFFILIATES AND SUBSIDIARIES AND ANY RELATED ENTITY THE GOVERNING DOCUMENTS OF WHICH REQUIRE THE ENTITY TO COMPLY WITH COMMONSPIRIT POLICY (COLLECTIVELY THE "SYSTEM ENTITIES"). THE FOLLOWING PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST AS SOON AS THEY BECOME AWARE OF IT AND AT LEAST ANNUALLY THEREAFTER (VIA A FORMAL SYSTEM-ADMINISTERED SURVEY) IF THE PERSON'S AFFILIATION WITH COMMONSPIRIT CONTINUES: - MEMBERS OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - 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 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'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 THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN COMMONSPIRIT HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.COMMONSPIRIT.ORG FORM 990, PART IX, LINE 11G CONSULTING: PROGRAM SERVICE EXPENSES 407,767. MANAGEMENT AND GENERAL EXPENSES 210,062. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 617,829. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 6,549,958. MANAGEMENT AND GENERAL EXPENSES 3,374,221. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,924,179. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 1,432,943. MANAGEMENT AND GENERAL EXPENSES 738,183. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,171,126. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 9,894,093. MANAGEMENT AND GENERAL EXPENSES 5,096,957. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,991,050. OTHER FEES: PROGRAM SERVICE EXPENSES 10,637,203. MANAGEMENT AND GENERAL EXPENSES 5,479,771. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,116,974. FORM 990, PART XI, LINE 9: TRANSFER TO AFFILIATES 1,450,611. ALEGENT CREIGHTON CLINIC 12809 W DODGE RD OMAHA NE 68154 470765154 HOSPITAL NE 501(C)(3) LINE 3 ACH 0 ALEGENT CREIGHTON HEALTH 12809 W DODGE RD OMAHA NE 68154 470757164 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM 7500 MERCY RD OMAHA NE 68124 470484764 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - COMM MEM HOSPITAL OF MO VALLEY IA 631 N 8TH ST MISSOURI VALLEY IA 51555 420776568 HOSPITAL IA 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - IMMANUEL MEDICAL CENTER 6901 N 72ND ST OMAHA NE 68122 470376615 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER 104 W 17TH ST SCHUYLER NE 68661 470399853 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA PO BOX 368 CORNING IA 50841 420782518 HOSPITAL IA 501(C)(3) LINE 3 CHI NEBRASKA 0 ALVERNA APARTMENTS 300 SE 8TH AVE LITTLE FALLS MN 56345 411351177 LTERM CARE MN 501(C)(3) LINE 10 CSH 0 APPLETREE COURT 601 OAK ST BRECKENRIDGE MN 56520 411850500 SENIOR LIVING MN 501(C)(3) LINE 10 SFH 0 ARROYO GRANDE COMMUNITY HOSPITAL FOUNDATION 345 S HALCYON RD ARROYO GRANDE CA 93420 203256066 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 BAKERSFIELD MEMORIAL HOSPITAL 420 34TH STREET BAKERSFIELD CA 93301 951802779 HOSPITAL CA 501(C)(3) LINE 3 DCC 0 BAYLOR ST LUKE'S HEALTH VENTURES 17200 ST LUKES WAY STE 170 THE WOODLANDS TX 77384 274499340 PHYSICIANS TX 501(C)(3) LINE 12A, I SLHS 0 BAYLOR ST LUKE'S MEDICAL GROUP 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760458535 PHYSICIANS TX 501(C)(3) LINE 3 BSLHV 0 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 DCC 0 CARRINGTON HEALTH CENTER 800 N 4TH ST CARRINGTON ND 58421 450227311 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 CATHOLIC HEALTH INITIATIVES - COLORADO 9100 EAST MINERAL CIRCLE CENTENNIAL CO 80112 840405257 HOSPITAL CO 501(C)(3) LINE 3 CSH 0 CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 9100 EAST MINERAL AVE CENTENNIAL CO 80112 840902211 FUNDRAISING FOUNDATION CO 501(C)(3) LINE 7 CHIC 0 CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 1150 KELLY JOHNSON BLVD 204 COLORADO SPRINGS CO 80920 270930004 FUNDRAISING FOUNDATION CO 501(C)(3) LINE 12A, I CSH 0 CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 460992796 TELEHEALTH CO 501(C)(3) LINE 12A, I CSH 0 CENTENNIAL MEDICAL GROUP INC 2700 STEWART PKWY ROSEBURG OR 97471 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 DCC 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 DCC 0 COMMUNITY LIMITED CARE DIALYSIS CENTER 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 237419853 HOLDING CO OH 501(C)(2) GSH 0 COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION 631 N 8TH ST MISSOURI VALLEY IA 51555 421294399 FUNDRAISING FOUNDATION IA 501(C)(3) LINE 12A, I AH-CMHMV 0 CONTINUING CARE HOSPITAL ONE SAINT JOSEPH DRIVE LEXINGTON KY 40504 611400619 HOSPITAL KY 501(C)(3) LINE 3 SJHS 0 DIGNITY COMMUNITY CARE 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 DH 0 DIGNITY HEALTH FOUNDATION 3033 N 3RD AVENUE PHOENIX AZ 85013 462037641 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 DIGNITY HEALTH FOUNDATION - INLAND EMPIRE 2101 N WATERMAN AVENUE SAN BERNARDINO CA 92404 237440086 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 DIGNITY HEALTH FOUNDATION EAST VALLEY 475 SOUTH DOBSON ROAD CHANDLER AZ 85224 742418514 FUNDRAISING FOUNDATION AZ 501(C)(3) LINE 12A, I DH 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 DCC 0 DOMINICAN HEALTH SERVICES 1555 SOQUEL DRIVE SANTA CRUZ CA 95065 770056778 COMMUNITY HEALTH SYSTEM CA 501(C)(3) LINE 12A, I DH 0 DOMINICAN HOSPITAL FOUNDATION 1555 SOQUEL DRIVE SANTA CRUZ CA 95065 942450442 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 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 WA 501(C)(3) LINE 3 FHS 0 FLAGET HEALTHCARE INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 611345363 HOSPITAL KY 501(C)(3) LINE 3 KOH 0 FLAGET MEMORIAL HOSPITAL FOUNDATION INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 562351341 FUNDRAISING FOUNDATION KY 501(C)(3) LINE 12A, I FH 0 FRANCISCAN CARE CENTER 4111 N HOLLAND-SYLVANIA RD TOLEDO OH 43623 341931806 HEALTHCARE OH 501(C)(3) LINE 10 CHILC 0 FRANCISCAN FOUNDATION 1717 SOUTH J ST TACOMA WA 98405 911145592 FUNDRAISING FOUNDATION WA 501(C)(3) LINE 10 FHS 0 FRANCISCAN HEALTH SYSTEM 1717 SOUTH J ST TACOMA WA 98405 910564491 HOSPITAL WA 501(C)(3) LINE 3 CSH 0 FRANCISCAN MEDICAL GROUP 1313 BROADWAY STE 200 TACOMA WA 98402 911939739 PHYSICIANS WA 501(C)(3) LINE 10 FHS 0 FRENCH HOSPITAL MEDICAL CENTER FOUNDATION 1911 JOHNSON AVENUE SAN LUIS OBISPO CA 93401 203256125 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DCC 0 GARRISON MEMORIAL HOSPITAL 407 THIRD AVENUE SOUTHEAST GARRISON ND 58540 450227752 HOSPITAL ND 501(C)(3) LINE 3 SAMC 0 GLENDALE MEMORIAL HEALTH FOUNDATION 1420 SOUTH CENTRAL AVENUE GLENDALE CA 91204 953625651 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DCC 0 GLOBAL HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 201536108 INACTIVE CO 501(C)(3) LINE 12A, I CSH 0 GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311778403 EDUCATION OH 501(C)(3) LINE 2 GSH 0 GOOD SAMARITAN HOSPITAL PO BOX 1990 KEARNEY NE 68848 470379755 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 GOOD SAMARITAN HOSPITAL FOUNDATION 111 W 31ST ST KEARNEY NE 68847 470659443 FUNDRAISING FOUNDATION NE 501(C)(3) LINE 7 GSH-KN 0 GOOD SAMARITAN HOSPITAL FOUNDATION OF CINCINNATI INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311206047 FUNDRAISING FOUNDATION OH 501(C)(3) LINE 12A, I GSH 0 HARRISON MEDICAL CENTER 1800 NW MYHRE RD SILVERDALE WA 98383 910565546 HOSPITAL WA 501(C)(3) LINE 3 FHS 0 HEALTHCARE AND WELLNESS FOUNDATION 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 760761782 FUNDRAISING FOUNDATION MN 501(C)(3) LINE 12A, I SFMC-MN 0 JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC ONE SAINT JOSEPH DRIVE LEXINGTON KY 40504 611029768 HOSPITAL KY 501(C)(3) LINE 3 KOH 0 KENTUCKYONE HEALTH MEDICAL GROUP INC 100 E LIBERTY ST STE 800 LOUISVILLE KY 40202 611352729 PHYSICIANS KY 501(C)(3) LINE 10 KOH 0 KENTUCKYONE HEALTH INC ONE SAINT JOSEPH DRIVE LEXINGTON KY 40504 611029769 HEALTHCARE KY 501(C)(3) LINE 12A, I CSH 0 LAKEWOOD HEALTH CENTER 600 MAIN AVE S BAUDETTE MN 56623 410758434 HOSPITAL MN 501(C)(3) LINE 3 CSH 0 LAKEWOOD REGIONAL HEALTHCARE FOUNDATION 600 MAIN AVE S BAUDETTE MN 56623 411893795 FUNDRAISING FOUNDATION ND 501(C)(3) LINE 7 LHC 0 LEGACY FOUNDATION OF KENTUCKIANA INC 1451 HARRODSBURG RD STE D-308 LEXINGTON KY 40504 832170324 FUNDRAISING FOUNDATION KY 501(C)(3) LINE 12A, I KOH 0 LISBON AREA HEALTH SERVICES 905 MAIN ST LISBON ND 58054 820558836 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 LONGMONT UNITED HOSPITAL 1950 MOUNTAIN VIEW AVE LONGMONT CO 80501 840460697 HOSPITAL CO 501(C)(3) LINE 3 CHIC 0 MADISON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742761145 HOSPITAL TX 501(C)(3) LINE 3 SLH-CO 0 MADONNA MANOR INC 2344 AMSTERDAM ROAD VILLA HILLS KY 51017 610654635 ASSISTED LIVING KY 501(C)(3) LINE 10 CHILC 0 MARIAN REGIONAL MEDICAL CENTER FOUNDATION 1400 E CHURCH STREET SANTA MARIA CA 93454 953818027 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 MARK TWAIN MEDICAL CENTER 768 MOUNTAIN RANCH ROAD SAN ANDREAS CA 95249 680127677 HOSPITAL CA 501(C)(3) LINE 3 DCC 0 MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC 2525 DE SALES AVE CHATTANOOGA TN 37404 621839548 FUNDRAISING FOUNDATION TN 501(C)(3) LINE 7 MHCS 0 MEMORIAL HEALTH CARE SYSTEM INC 2525 DE SALES AVE CHATTANOOGA TN 37404 620532345 HOSPITAL TN 501(C)(3) LINE 3 CSH 0 MEMORIAL HEALTH PARTNERS FOUNDATION INC 5600 BRAINERD RD STE 500 CHATTANOOGA TN 37411 030417049 HEALTHCARE TN 501(C)(3) LINE 10 MHCS 0 MEMORIAL HEALTH SYSTEM OF EAST TEXAS PO BOX 1447 LUFKIN TX 75902 750755367 HOSPITAL TX 501(C)(3) LINE 3 SLH-CO 0 MEMORIAL MEDICAL CENTER - LIVINGSTON PO BOX 1447 LUFKIN TX 75902 760436439 HOSPITAL TX 501(C)(3) LINE 3 SLH-CO 0 MEMORIAL MEDICAL CENTER - SAN AUGUSTINE PO BOX 1447 LUFKIN TX 75902 752663904 HOSPITAL TX 501(C)(3) LINE 3 SLH-CO 0 MERCY FOUNDATION BAKERSFIELD PO BOX 119 BAKERSFIELD CA 93302 770201321 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 MERCY FOUNDATION INC 2700 STEWART PKWY ROSEBURG OR 97471 936088946 FUNDRAISING FOUNDATION OR 501(C)(3) LINE 7 CS OR 0 MERCY HEALTH CARE FOUNDATION PO BOX 368 CORNING IA 50841 421461064 FUNDRAISING FOUNDATION IA 501(C)(3) LINE 12A, I AHMH-CORNING 0 MERCY HEALTHCARE FOUNDATION 570 CHAUTAUQUA BLVD VALLEY CITY ND 58072 450435338 FUNDRAISING FOUNDATION ND 501(C)(3) LINE 12A, I MHVC 0 MERCY HOSPITAL OF DEVILS LAKE 1031 7TH ST NE DEVILS LAKE ND 58301 450227012 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 MERCY HOSPITAL OF DEVILS LAKE FOUNDATION 1031 7TH ST NE DEVILS LAKE ND 58301 352367360 FUNDRAISING FOUNDATION ND 501(C)(3) LINE 7 MHDL 0 MERCY HOSPITAL OF VALLEY CITY 570 CHAUTAUQUA BLVD VALLEY CITY ND 58072 450226553 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 MERCY MCMAHON TERRACE 3865 J STREET SACRAMENTO CA 95816 680117340 SENIOR CITIZEN'S HOUSING/RETIREMENT COMMUNITIES CA 501(C)(3) LINE 10 DH 0 MERCY MEDICAL CENTER 1301 15TH AVE WEST WILLISTON ND 58801 450231183 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 MERCY MEDICAL CENTER MERCED FOUNDATION 301 E 13TH STREET MERCED CA 95340 770035928 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 MERCY MEDICAL FOUNDATION 1301 15TH AVE WEST WILLISTON ND 58801 450381803 FUNDRAISING FOUNDATION ND 501(C)(3) LINE 12A, I MMC WILLISTON 0 NEBRASKA HEART HOSPITAL 7500 S 91ST ST LINCOLN NE 68526 392031968 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 NORTHLAND HEALTHCARE ALLIANCE 2223 EAST ROSSER AVENUE BISMARCK ND 58501 911845296 DIAGNOSTIC SERVICES ND 501(C)(3) LINE 7 SAMC 0 NORTHLAND PACE PROGRAM 2223 EAST ROSSER AVENUE BISMARCK ND 58501 261689193 HEALTHCARE ND 501(C)(3) LINE 10 NHA 0 NORTHRIDGE HOSPITAL FOUNDATION 18300 ROSCOE BLVD NORTHRIDGE CA 91328 237444901 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DCC 0 OAKES COMMUNITY HOSPITAL 1200 N 7TH ST OAKES ND 58474 450231675 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 OAKES COMMUNITY HOSPITAL FOUNDATION 1200 N 7TH ST OAKES ND 58474 710966606 FUNDRAISING FOUNDATION ND 501(C)(3) LINE 12A, I OCH 0 PACIFIC CENTRAL COAST HEALTH CENTERS 1414 E MAIN STREET SUITE 201 SANTA MARIA CA 93454 770447575 CLINIC CA 501(C)(3) LINE 3 DCC 0 PORT CITY OPERATING COMPANY LLC 3400 DATA DRIVE RANCHO CORDOVA CA 95670 465322209 HOSPITAL CA 501(C)(3) LINE 3 DH 0 PROVIDENCE CARE CENTER 2025 HAYES AVENUE SANDUSKY OH 44870 341658625 LTERM CARE OH 501(C)(3) LINE 10 CHILC 0 PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION 5055 PROVIDENCE DRIVE SANDUSKY OH 44870 341896807 LIVING COMM OH 501(C)(3) LINE 10 CHILC 0 SAINT CLARE'S COMMUNITY CARE INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 222876836 INACTIVE NJ 501(C)(3) LINE 12B, II SCHS 0 SAINT CLARE'S HEALTH SERVICES INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 223639733 INACTIVE NJ 501(C)(3) LINE 10 CSH 0 SAINT CLARE'S HOSPITAL INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 223319886 INACTIVE NJ 501(C)(3) LINE 3 SCHS 0 SAINT ELIZABETH FOUNDATION 555 S 70TH ST LINCOLN NE 68510 470625523 FUNDRAISING FOUNDATION NE 501(C)(3) LINE 7 SERMC 0 SAINT ELIZABETH REGIONAL MEDICAL CENTER 555 S 70TH ST LINCOLN NE 68510 470379836 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 SAINT FRANCIS MEDICAL CENTER 2620 W FAIDLEY GRAND ISLAND NE 68803 470376601 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 SAINT FRANCIS MEDICAL CENTER FOUNDATION PO BOX 9804 GRAND ISLAND NE 68802 470630267 FUNDRAISING FOUNDATION NE 501(C)(3) LINE 7 SFMC-NE 0 SAINT FRANCIS MEMORIAL HOSPITAL 900 HYDE STREET SAN FRANCISCO CA 94109 941156295 HOSPITAL CA 501(C)(3) LINE 3 DCC 0 SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC 305 ESTILL ST BEREA KY 40403 260152877 FUNDRAISING FOUNDATION KY 501(C)(3) LINE 7 SJHS 0 SAINT JOSEPH HEALTH SYSTEM INC ONE ST JOSEPHS DRIVE LEXINGTON KY 40504 611334601 HOSPITAL KY 501(C)(3) LINE 3 KOH 0 SAINT JOSEPH HOSPITAL FOUNDATION INC 701 BOB OLINK DR 200 LEXINGTON KY 40504 611159649 FUNDRAISING FOUNDATION KY 501(C)(3) LINE 12A, I SJHS 0 SAINT JOSEPH LONDON FOUNDATION INC 1001 SAINT JOSEPH LANE LONDON KY 40741 260438748 FUNDRAISING FOUNDATION KY 501(C)(3) LINE 7 SJHS 0 SAINT JOSEPH MOUNT STERLING FOUNDATION INC 225 FALCON DR MOUNT STERLING KY 40353 272884584 FUNDRAISING FOUNDATION KY 501(C)(3) LINE 7 SJHS 0 SAINT JOSEPH'S HOSPITAL FOUNDATION 2500 FAIRWAY STREET DICKINSON ND 58601 363418207 FUNDRAISING FOUNDATION ND 501(C)(3) LINE 12A, I SJHHC 0 SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC 104 W 17TH ST SCHUYLER NE 68661 363630014 FUNDRAISING FOUNDATION NE 501(C)(3) LINE 12A, I AHMHS 0 SIERRA NEVADA MEMORIAL-MINERS HOSPITAL 155 GLASSON WAY GRASS VALLEY CA 95945 941439787 HOSPITAL CA 501(C)(3) LINE 3 DCC 0 SJRMC JOPLIN MISSOURI 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 440545809 INACTIVE MO 501(C)(3) LINE 3 CSH 0 ST FRANCIS HOSPITAL SUPPORT CORPORATION 601 E MICHELTORENA STREET SANTA BARBARA CA 93103 770022302 INACTIVE CA 501(C)(3) LINE 12A, I DH 0 ST JOHN'S HEALTHCARE FOUNDATION 1600 NORTH ROSE AVENUE OXNARD CA 93030 202865781 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 ST JOSEPH'S FOUNDATION (PHOENIX) 350 WEST THOMAS ROAD PHOENIX AZ 85013 942941245 FUNDRAISING FOUNDATION AZ 501(C)(3) LINE 12A, I DH 0 ST JOSEPH'S FOUNDATION OF SAN JOAQUIN 1800 N CALIFORNIA STREET STOCKTON CA 95204 510432777 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 ST MARY MEDICAL CENTER FOUNDATION 1050 LINDEN AVENUE LONG BEACH CA 90813 237153876 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 ST MARY PROFESSIONAL BUILDING INC 1050 LINDEN AVENUE LONG BEACH CA 90813 237373088 INACTIVE CA 501(C)(3) LINE 12A, I DH 0 ST MARY'S MEDICAL CENTER FOUNDATION 450 STANYAN STREET SAN FRANCISCO CA 94117 943336143 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 ST ROSE DOMINICAN HEALTH FOUNDATION 3001 ST ROSE PARKWAY HENDERSON NV 89052 880349432 FUNDRAISING FOUNDATION NV 501(C)(3) LINE 12A, I DH 0 ST ALEXIUS MEDICAL CENTER 900 EAST BROADWAY AVENUE BISMARCK ND 58501 450226711 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 ST ANNE OC 1145 BROADWAY PLAZA STE 1200 TACOMA WA 98402 863590968 INACTIVE WA 501(C)(3) LINE 10 FHS 0 ST ANTHONY HOSPITAL 2801 ST ANTHONY WAY PENDLETON OR 97801 930391614 HOSPITAL OR 501(C)(3) LINE 3 CSH 0 ST ANTHONY HOSPITAL FOUNDATION 2801 ST ANTHONY WAY PENDLETON OR 97801 930992727 FUNDRAISING FOUNDATION OR 501(C)(3) LINE 12A, I SAH 0 ST ANTHONY'S HOSPITAL ASSOCIATION FOUR HOSPITAL DR MORRILTON AR 72110 710245507 HOSPITAL AR 501(C)(3) LINE 3 SVIMC 0 ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION 401 EAST SPRUCE ST GARDEN CITY KS 67846 200598702 FUNDRAISING FOUNDATION KS 501(C)(3) LINE 12A, I CS KS 1 ST CLARE COMMONS 12469 FIVE POINT ROAD TOLEDO OH 43551 270163752 LIVING COMM OH 501(C)(3) LINE 10 CHILC 0 ST DOMINIC OF ONTARIO OREGON 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 930433692 INVESTMENTS OR 501(C)(4) CSH 0 ST ELIZABETH HEALTH SERVICES 555 S 70TH ST LINCOLN NE 68510 363233120 INACTIVE NE 501(C)(3) LINE 3 SERMC 0 ST FRANCIS HOME 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 410729978 LTERM CARE MN 501(C)(3) LINE 10 CSH 0 ST FRANCIS LIFE CARE CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 222536017 INACTIVE NJ 501(C)(3) LINE 8 SCHS 0 ST FRANCIS MEDICAL CENTER 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 410695598 HOSPITAL MN 501(C)(3) LINE 3 CSH 0 ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742847594 LTERM CARE TX 501(C)(3) LINE 10 SJSC 0 ST JOSEPH MEDICAL CENTER INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 520591461 INACTIVE MD 501(C)(3) LINE 3 CSH 0 ST JOSEPH PHYSICIAN ASSOCIATES 2801 FRANCISCAN DRIVE BRYAN TX 77802 203159302 PHYSICIANS TX 501(C)(3) LINE 3 SJSC 0 ST JOSEPH PHYSICIAN ENTERPRISE INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 521311775 INACTIVE MD 501(C)(3) LINE 12A, I SJMC 0 ST JOSEPH REGIONAL HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 741282696 HOSPITAL TX 501(C)(3) LINE 3 SLH-CO 0 ST JOSEPH REGIONAL HEALTH PARTNERS 2801 FRANCISCAN DRIVE BRYAN TX 77802 454088170 HOSPITAL TX 501(C)(3) LINE 3 SJSC 0 ST JOSEPH REGIONAL HEALTH PARTNERS ACO 2801 FRANCISCAN DRIVE BRYAN TX 77802 463265423 HEALTHCARE TX 501(C)(3) LINE 10 SJSC 0 ST JOSEPH SERVICES CORPORATION 2801 FRANCISCAN DRIVE BRYAN TX 77802 742455161 MANAGEMENT TX 501(C)(3) LINE 12A, I SLHS 0 ST JOSEPH'S AREA HEALTH SERVICES 600 PLEASANT AVE PARK RAPIDS MN 56470 410695603 HOSPITAL MN 501(C)(3) LINE 3 CSH 0 ST JOSEPH'S HOSPITAL AND HEALTH CENTER 2500 FAIRWAY STREET DICKINSON ND 58601 450226429 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 ST LEONARD 8100 CLYO ROAD CENTERVILLE OH 45458 341940863 LIVING COMM OH 501(C)(3) LINE 10 CHILC 0 ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND 6624 FANNIN ST STE 2505 HOUSTON TX 77030 261947374 HOSPITAL TX 501(C)(3) LINE 3 SLH-CO 0 ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS 6624 FANNIN ST STE 2505 HOUSTON TX 77030 260335902 HOSPITAL TX 501(C)(3) LINE 3 SLHS 0 ST LUKE'S COMMUNITY HEALTH SERVICES 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760536234 HOSPITAL TX 501(C)(3) LINE 3 SLH-CO 0 ST LUKE'S FOUNDATION 1213 HERMANN DRIVE STE 855 HOUSTON TX 77004 453811485 FUNDRAISING FOUNDATION TX 501(C)(3) LINE 7 SLHS 0 ST LUKE'S HEALTH CLINICAL OPERATIONS 6624 FANNIN ST STE 2505 HOUSTON TX 77030 273733278 HOSPITAL TX 501(C)(3) LINE 3 SLHS 0 ST LUKE'S HEALTH SYSTEM CORPORATION PO BOX 20269 HOUSTON TX 77225 760536232 MANAGEMENT TX 501(C)(3) LINE 12A, I CSH 0 ST LUKE'S HOSPITAL AT THE VINTAGE 6624 FANNIN ST STE 2505 HOUSTON TX 77030 263734606 HOSPITAL TX 501(C)(3) LINE 3 SLH-CO 0 ST LUKE'S PROPERTIES CORPORATION 1213 HERMANN DRIVE STE 855 HOUSTON TX 77004 760531716 PROPERTY MGMT TX 501(C)(3) LINE 12A, I SLHS 0 ST LUKE'S SUGAR LAND PROPERTIES CORPORATION 6624 FANNIN ST STE 2505 HOUSTON TX 77030 454120549 PROPERTY MGMT TX 501(C)(3) LINE 12A, I SLCDC-SL 0 ST MARY'S COMMUNITY HOSPITAL 1301 GRUNDMAN BOULEVARD NEBRASKA CITY NE 68410 470443636 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ST MARY'S HOSPITAL FOUNDATION 1301 GRUNDMAN BLVD NEBRASKA CITY NE 68410 470707604 FUNDRAISING FOUNDATION NE 501(C)(3) LINE 7 SMCH 0 ST VINCENT FOUNDATION TWO ST VINCENT CIRCLE LITTLE ROCK AR 72205 510169537 FUNDRAISING FOUNDATION AR 501(C)(3) LINE 12A, I SVIMC 0 ST VINCENT INFIRMARY MEDICAL CENTER TWO ST VINCENT CIRCLE LITTLE ROCK AR 72205 710236917 HOSPITAL AR 501(C)(3) LINE 3 CSH 0 ST VINCENT MEDICAL GROUP TWO ST VINCENT CIRCLE LITTLE ROCK AR 72205 710830696 PHYSICIANS AR 501(C)(3) LINE 10 SVIMC 0 SYLVANIA FRANCISCAN HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 341412964 HOLDING CO OH 501(C)(3) LINE 12A, I CSH 0 SYLVANIA FRANCISCAN HEALTH FOUNDATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 455357161 INACTIVE OH 501(C)(3) LINE 12A, I SFH-OH 0 THE COMMONS OF PROVIDENCE 5000 PROVIDENCE DRIVE SANDUSKY OH 44870 341826097 ASSISTED LIVING OH 501(C)(3) LINE 10 CHILC 0 THE COMMUNITY HOSPITAL OF BRAZOSPORT 100 MEDICAL DRIVE LAKE JACKSON TX 77566 741385192 HOSPITAL TX 501(C)(3) LINE 3 SLH-CO 0 THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 310537486 HOSPITAL OH 501(C)(3) LINE 3 CSH 0 THE PHYSICIAN NETWORK 2000 Q ST STE 500 LINCOLN NE 68503 470780857 PHYSICIANS NE 501(C)(3) LINE 12A, I CHI NEBRASKA 0 TOTAL HEALTHCARE 9100 E MINERAL CIRCLE CENTENNIAL CO 80112 840927232 INACTIVE CO 501(C)(3) LINE 3 CHIC 0 TRINITY HEALTH FOUNDATION 380 SUMMIT AVENUE STEUBENVILLE OH 43952 311329423 FUNDRAISING FOUNDATION OH 501(C)(3) LINE 12A, I THS 0 TRINITY HEALTH SYSTEM 380 SUMMIT AVENUE STEUBENVILLE OH 43952 341818681 HEALTHCARE OH 501(C)(3) LINE 12A, I N/A 0 TRINITY HOSPITAL TWIN CITY 819 NORTH FIRST STREET DENNISON OH 44621 275401105 HOSPITAL OH 501(C)(3) LINE 3 THS 0 TRI-STATE HEALTH SERVICES INC ONE ROSS PARK BLVD STEUBENVILLE OH 43952 341522484 ASSISTED LIVING OH 501(C)(3) LINE 7 THS 0 UNITY FAMILY HEALTHCARE 815 SE 2ND ST LITTLE FALLS MN 56345 410721642 HOSPITAL MN 501(C)(3) LINE 3 CSH 0 VILLA NAZARETH INC 801 PAGE DR FARGO ND 58103 450226714 LTERM CARE ND 501(C)(3) LINE 10 CSH 0 VIRGINIA MASON FRANCISCAN HEALTH TACOMA FINANCIAL CENTER BUILDING 11 TACOMA WA 98402 861332353 HOLDING CO WA 501(C)(3) LINE 12A, I CSH 0 VIRGINIA MASON INSTITUTE 1100 9TH AVE SEATTLE WA 98101 263763656 EDUCATION WA 501(C)(3) LINE 10 VMMC 0 VIRGINIA MASON MEDICAL CENTER 1100 9TH AVE SEATTLE WA 98101 910565539 HOSPITAL WA 501(C)(3) LINE 3 VMFH 0 VISITING NURSE ASSOCIATION OF ST CLARE'S INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 221768334 INACTIVE NJ 501(C)(3) LINE 10 SCHS 0 YAVAPAI COMMUNITY HOSPITAL ASSOCIATION 1003 WILLOW CREEK ROAD PRESCOTT AZ 86301 860098923 HOSPITAL AZ 501(C)(3) LINE 3 DCC 0 YAVAPAI REGIONAL MEDICAL CENTER FOUNDATION 1003 WILLOW CREEK ROAD PRESCOTT AZ 86301 861038463 FUNDRAISING FOUNDATION AZ 501(C)(3) LINE 12A, I YRMC 0 AMERICAN MERCY HOME CARE LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND OH 45150 830486150 HOME HEALTH OH N/A N/A 0 0 ARIZONA CARE NETWORK - NEXT LLC 4222 E THOMAS RD STE 400 PHOENIX AZ 85018 474696671 CARE NETWORK AZ N/A N/A 0 0 ARIZONA CARE NETWORK LLC 4222 E THOMAS RD STE 400 PHOENIX AZ 85018 454494682 CARE NETWORK AZ N/A N/A 0 0 ARIZONA DIAGNOSTIC RADIOLOGY GROUP LLC 1510 COTNER AVENUE LOS ANGELES CA 90025 851067265 IMAGING CENTER DE N/A N/A 0 0 AUDUBON LAND COMPANY LLC 630 SOUTHPOINTE COURT 200 COLORADO SPRINGS CO 80906 841513085 REAL ESTATE CO N/A N/A 0 0 BAPTIST DEACONESS MADISON HOME CARE LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND OH 45140 933197463 HOME HEALTH KY N/A N/A 0 0 BAYLOR CHI ST LUKE'S HEALTH SERVICES LLC 3100 MAIN STE 566 HOUSTON TX 77002 472079184 HEALTHCARE SERVICES TX N/A N/A 0 0 BERGAN MERCY SURGERY CENTER LLC 7500 MERCY RD STE 4300 OMAHA NE 68124 208671994 AMBUL SURG CTR NE N/A N/A 0 0 BERYWOOD OFFICE PROPERTIES LLC 2501 CITICO AVENUE CHATTANOOGA TN 37404 621875199 HEALTHCARE SERVICES TN N/A N/A 0 0 BIOLIFE DIGNITY HEALTH INTERNATIONAL LTD 709 WING ON PLAZA 62 MODY ROAD TS HONG KONG CH HEALTH SERVICES CH N/A N/A 0 0 BLUEGRASS REGIONAL IMAGING CENTER 1218 SOUTH BROADWAY STE 310 LEXINGTON KY 40504 611386736 DIAGNOSTIC SERVICES KY N/A N/A 0 0 CBCC OUTSMARTING CANCER LLC 6501 TRUXTUN AVENUE BAKERSFIELD CA 93309 461602286 RADIATION / ONCOLOGY CA N/A N/A 0 0 CENTURA SUMMIT ORTHOPEDICS LLC 68 SCHOOL RD FRISCO CO 80443 871308304 DIAGNOSTIC SERVICES CO N/A N/A 0 0 CHER LLC 8610 EXPLORER DR 302 COLORADO SPRINGS CO 80902 205633472 DIAGNOSTIC SERVICES CO N/A N/A 0 0 CHICAMSURG SURGERY CENTERS LLC 1A BURTON HILLS BLVD NASHVILLE TN 37215 465683027 SURGERY CENTER CO N/A N/A 0 0 COLORADO SPRINGS CK LEASING LLC 630 SOUTHPOINTE COURT 200 COLORADO SPRINGS CO 80906 262982714 REAL ESTATE CO N/A N/A 0 0 COMMUNITY HEALTH AT HOME - INFUSION LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND OH 45140 833517309 HOME HEALTH IN N/A N/A 0 0 COMMUNITY HEALTH AT HOME LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND OH 45140 833536760 HOME HEALTH IN N/A N/A 0 0 COMMUNITY MERCY HOME CARE OF SPRINGFLD LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND OH 45150 311746556 HOME HEALTH OH N/A N/A 0 0 DE JV LLC 8686 NEW TRAILS DRIVE THE WOODLANDS TX 77381 320496548 EMERGENCY CARE NV N/A N/A 0 0 DEACONESS HOME HEALTH LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND OH 45140 843167946 HOME HEALTH IN N/A N/A 0 0 DH GLOBAL EDUCATION LTD (AKA OPUSVI LTD) 3 MORE LONDON RIVERSIDE 4TH FLOOR LONDON UK HEALTH SERVICES UK N/A N/A 0 0 DH PACIFICLINKAGE HEALTH INT'L LTD RMS 1318-20 HOLLYWOOD PLAZA 610 NA HONG KONG CH HEALTH SERVICES CH N/A N/A 0 0 DHHP SURGERY CENTERS LLC 1401 S GRAND AVENUE LOS ANGELES CA 90015 831847466 SURGERY DE N/A N/A 0 0 DHRT HOLDINGS LLC 3033 N 3RD AVENUE PHOENIX AZ 85013 352484591 HOLDING COMPANY DE N/A N/A 0 0 DIGITAL MEDICAL IMAGING LLC 1310 LAS TABLAS ROAD SUITE 206 TEMPLETON CA 93465 874209407 IMAGING CA N/A N/A 0 0 DIGNITY HEALTH AT HOME LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND OH 45150 824674115 DIAGNOSTIC SERVICES DE N/A N/A 0 0 DIGNITY HOME RECOVERY CARE LLC 3854 AMERICAN WAY SUITE A BATON ROUGE LA 70816 832832522 HOME RECOVERY PROGRAM DE N/A N/A 0 0 DIGNITYUSP LAS VEGAS SURGERY CENTERS LLC 14201 DALLAS PARKWAY DALLAS TX 75254 202999237 SURGERY TX N/A N/A 0 0 DIGNITYUSP NORCAL SURGERY CENTERS LLC 14201 DALLAS PARKWAY DALLAS TX 75254 202468509 SURGERY TX N/A N/A 0 0 DIGNITYUSP PHOENIX SURGERY CENTERS LLC 14201 DALLAS PARKWAY DALLAS TX 75254 134248908 SURGERY TX N/A N/A 0 0 DIGNITYUSPJOHN MUIR EAST BAY SURG CTRS LLC 14201 DALLAS PARKWAY DALLAS TX 75254 352584991 SURGERY TX N/A N/A 0 0 DIGNITY-ABRAZO HEALTH NETWORK LLC 4222 E THOMAS RD STE 400 PHOENIX AZ 85018 465477985 MANAGEMENT SERVICES AZ N/A N/A 0 0 DOMINICAN MAGNETIC RESONANCE IMAGING CENTER PO BOX 880 APTOS CA 95001 770095477 IMAGING CENTER CA N/A N/A 0 0 ECCS ACQUISITION COMPANY LLC 2940 NORTH CIRCLE DRIVE COLORADO SPRINGS CO 80909 352656413 AMBUL SURG CTR CO N/A N/A 0 0 ENDOSCOPY CENTER OF ARKANSAS 1024 NORTH UNIVERSITY AVE LITTLE ROCK AR 72207 201337002 DIAGNOSTIC SERVICES AR N/A N/A 0 0 FRANCISCAN MEDICAL PAVILION BONNEY LAKE LLC 6622 WOLLOCHET DR NW GIG HARBOR WA 98335 463494108 REAL ESTATE WA N/A N/A 0 0 FRANCISCAN SPECIALTY CARE LLC 330 SEVEN SPRINGS WAY BRENTWOOD TN 37027 813725123 DIAGNOSTIC SERVICES WA N/A N/A 0 0 GO PHYSICAL THERAPY LLC 3004 WEST FAIDLEY AVENUE GRAND ISLAND NE 68803 810653461 PHYSICAL THERAPY NE N/A N/A 0 0 GOOD SAMARITAN HOME CARE SVCS OF VINCENNE LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND OH 45150 201792869 HOME HEALTH OH N/A N/A 0 0 HC SL VINTAGE I LLC 1400 N WATER ST STE 500 MILWAUKEE WI 53202 270453767 PREPERTY HOLDING WI N/A N/A 0 0 HEALTH AT HOME HOLDCO LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND OH 45140 920827634 HOME HEALTH CO N/A N/A 0 0 HEALTHCARE SUPPORT SERVICES LLC PO BOX 9804 GRAND ISLAND NE 68802 721546196 INACTIVE NE N/A N/A 0 0 HEARTLAND ONCOLOGY LLC 2337 E CRAWFORD ST SALINA KS 67402 464265403 ONCOLOGY KS CS KS RELATED 261601 5065137 0 0 0.51000 INTUITIVE HEALTH OF PUGET SOUND LLC 3033 N 3RD AVE PHOENIX AZ 85013 880771168 INACTIVE WA N/A N/A 0 0 LAKESIDE AMBULATORY SURGICAL CENTER LLC 17030 LAKESIDE HILLS PLAZA STE 110 OMAHA NE 68130 204267902 AMBUL SURG CTR NE N/A N/A 0 0 LAKESIDE ENDOSCOPY CENTER LLC 17001 LAKESIDE HILLS PLZ STE 201 OMAHA NE 68130 205544496 ENDOSCOPY NE N/A N/A 0 0 LEXINGTON MBO PARTNERS LTD 4600 SOUTH SYRACUSE ST STE 500 DENVER CO 80237 651132855 REAL ESTATE CO N/A N/A 0 0 LINCOLN CK LEASING LLC 555 SOUTH 70TH STREET LINCOLN NE 68510 262496856 REAL ESTATE NE N/A N/A 0 0 LONGMONT UNITED HOSPITAL ORTHOPEDIC AND SPINE 1950 MOUNTAIN VIEW AVE LONGMONT CO 80501 454432224 ORTHOPEDIC SERVICES CO N/A N/A 0 0 MEMORIAL MEDICAL PLAZA 3838 SAN DIMAS SUITE B 201 BAKERSFIELD CA 93301 364510880 REAL ESTATE CA N/A N/A 0 0 MOUNTAIN MEDICAL IMAGING LLC 9100 EAST MINERAL CIRCLE CENTENNIAL CO 80112 870687391 MEDICAL IMAGING TX N/A N/A 0 0 NATIONAL PURCHASING PARTNERS LLC 17930 INTERNATIONAL BLVD STE 900 SEATAC WA 98188 203470995 GROUP PURCHASING WA N/A N/A 0 0 NEBRASKA SPINE HOSPITAL LLC 6901 N 72ND ST STE 20300 OMAHA NE 68122 270263191 SPINE HOSPITAL NE N/A N/A 0 0 NEXIFY HEALTH PRIVATE LIMITED 9TH FL MSR BLOCK KRISHE SAPPHIRE HYDERABAD IN IT SERVICES IN N/A N/A 0 0 NICU OPERATING CO OF SANTA CRUZ LLC 1555 SOQUEL DRIVE SANTA CRUZ CA 95065 460502935 NEONATAL HEALTHCARE CA N/A N/A 0 0 NORTH RIVER SURGERY CENTER LLC 2209 WILDWOOD AVE SHERWOOD AR 72120 710799771 AMBUL SURG CTR AR N/A N/A 0 0 NORTHERN PLAINS LABORATORY LLC 401 N 9 STREET BISMARCK ND 58501 841641341 DIAGNOSTIC SERVICES ND N/A N/A 0 0 NSC CHANNEL ISLANDS LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 770409291 AMBULATORY SURGICAL CENTER CA N/A N/A 0 0 ORTHOCOLORADO LLC 11650 WEST 2ND PLACE LAKEWOOD CO 80228 371577105 ORTHO HOSPITAL CO N/A N/A 0 0 PARK RAPIDS AREA HEALTH CARE 600 PLEASANT AVENUE S PARK RAPIDS MN 56470 204926259 HEALTHCARE SERVICES MN N/A N/A 0 0 PARKVIEW HEALTH AT HOME LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND OH 45140 991995656 HOME HEALTH IN N/A N/A 0 0 PEAK ONE SURGERY CENTER LLC PO BOX 4460 FRISCO CO 80443 201620230 SURGERY CENTER CO N/A N/A 0 0 PENINSULA RADIATION ONCOLOGY CENTER LLC 4230 BRIDGEPORT WAY W STE B UNIVERSITY PLACE WA 98466 870808610 HEALTHCARE SERVICES WA N/A N/A 0 0 PENRAD IMAGING LLC 1390 KELLY JOHNSON BLVD COLORADO SPRINGS CO 80920 841072619 MEDICAL IMAGING CO N/A N/A 0 0 PLAZA SURGERY CENTER LP 525 E PLAZA DRIVE SUITE 100 SANTA MARIA CA 93454 770573567 SURGERY CA N/A N/A 0 0 PMC HOSPITAL LLC 4600 E SAM HOUSTON PKWY SOUTH PASADENA TX 77505 273280598 HOSPITAL TX N/A N/A 0 0 PRECISION MEDICINE ALLIANCE LLC 3033 N 3RD AVE PHOENIX AZ 85013 352569159 DIAGNOSTIC SERVICES CO N/A N/A 0 0 RADIATION ONCOLOGY CENTERS OF VENTURA COUNTY 1700 N ROSE AVENUE SUITE 120 OXNARD CA 93030 770191706 IMAGING CA N/A N/A 0 0 RBR MANAGEMENT LLC 91 CORPORATE PARK DRIVE SUITE 120 HENDERSON NV 89074 271466450 AMBULANCE NV N/A N/A 0 0 REID-ANC HOME CARE SERVICES LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND OH 45150 371454747 HOME HEALTH IN N/A N/A 0 0 SAINT JOSEPH - SCA HOLDINGS LLC 1451 HARRODSBURG RD LEXINGTON KY 40503 453801157 INACTIVE DE N/A N/A 0 0 SAINT JOSEPH HEALTH ASC LLC ONE SAINT JOSEPH DRIVE LEXINGTON KY 40504 852155230 SURGERY KY N/A N/A 0 0 SANTA CRUZ COMPREHENSIVE IMAGING LLC PO BOX 880 APTOS CA 95001 010550623 IMAGING CA N/A N/A 0 0 SANTA CRUZ SURGERY CENTER LLC 3003 PAUL SWEET ROAD SANTA CRUZ CA 95065 770194916 SURGERY CA N/A N/A 0 0 SANTA MARIA MRI LLC 1310 LAS TABLAS ROAD SUITE 206 TEMPLETON CA 93465 770554581 IMAGING CA N/A N/A 0 0 SEVEN OAKS SURGERY CENTER LLC 1801 ORANGE TREE LANE SUITE 200 REDLANDS CA 92374 851559544 SURGERY CA N/A N/A 0 0 SOUTHEASTERN HOME CARE LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND OH 45150 271219638 HOME HEALTH OH N/A N/A 0 0 ST JOSEPH'S SURGERY CENTER LP 14201 DALLAS PARKWAY DALLAS TX 75254 201019390 SURGERY TX N/A N/A 0 0 ST ELIZABETH HOME CARE SERVICES LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND OH 45150 261236191 HOME HEALTH KY N/A N/A 0 0 ST FRANCIS LAND COMPANY 5390 N ACADEMY BLVD STE 300 COLORADO SPRINGS CO 80918 263134100 REAL ESTATE CO N/A N/A 0 0 ST LUKE'S DIAGNOSTIC CATH LAB LLP 6624 FANNIN ST STE 800 HOUSTON TX 77030 710959365 DIAGNOSTIC SERVICES TX N/A N/A 0 0 ST LUKE'S LAKESIDE HOSPITAL LLC 6624 FANNIN STE 2505 HOUSTON TX 77030 300427437 HOSPITAL TX N/A N/A 0 0 ST LUKE'S THE WOODLANDS SLEEP CENTER LLC PO BOX 4717 HOUSTON TX 77210 462795726 DIAGNOSTIC SERVICES TX N/A N/A 0 0 THE MEDICAL PAVILION AT ST JOHN'S 1600 ROSE AVENUE OXNARD CA 93030 770332349 REAL ESTATE CA N/A N/A 0 0 THREE SPRING IMAGING LLC 1 MERCADO ST STE 200A DURANGO CO 81301 813571570 HEALTHCARE SERVICES CO N/A N/A 0 0 TIA ARIZONA LLC 15051 N KIERLAND BLVD SUITE 200 SCOTTSDALE AZ 85254 863158670 CLINIC AZ N/A N/A 0 0 TOPTOLIFE LLC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 872868634 RETAIL CO N/A N/A 0 0 UCSF HEALTH- GOHEALTH URGENT CARE MGMT LLC 5555 GLENRIDGE CONNECTOR SUITE 700 ATLANTA GA 30342 352548698 MANAGEMENT SERVICES DE N/A N/A 0 0 VALLEY PHYSICIANS SURGERY CENTER AT NORTHRIDGE LLC 18330 ROSCOE BLVD NORTHRIDGE CA 91328 800864336 SURGERY CA N/A N/A 0 0 ALEGENT HEALTHCREIGHTON ST JOSEPH MANAGED CARE SVCS INC 12809 WEST DODGE RD OMAHA NE 68154 470802396 MANAGED CARE NE N/A C 0 ALLIANCE HEALTH PROVIDER OF BRAZOS VALLEY INC 2801 FRANCISCAN DRIVE BRYAN TX 77802 742466914 HEALTHCARE TX N/A C 0 ALTERNATIVE INSURANCE MANAGEMENT SERVICE INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 841112049 MANAGEMENT SERVICES CO N/A C 0 BC HOLDING COMPANY INC 1850 BLUEGRASS AVE LOUISVILLE KY 40215 311542851 INACTIVE KY N/A C 0 BRAZOSPORT HEALTH ALLIANCE 100 MEDICAL DRIVE LAKE JACKSON TX 77566 760518376 HEALTHCARE TX N/A C 0 CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH 3033 N 3RD AVE PHOENIX AZ 85013 272269511 LAB SERVICES CO N/A C 0 CENTER FOR INTEGRATIVE MEDICINE AT VIRGINIA MASON PC 1100 9TH AVE SEATTLE WA 98101 831583223 MEDICAL SERVICES WA N/A C 0 CHI ST LUKE'S HEALTH - MEMORIAL CONDOMINIUM ASSOCIATION INC 1201 W FRANK AVE LUFKIN TX 75904 834184717 CONDO ASSOC TX N/A C 0 COASTAL SURGICAL SPECIALISTS INC 921 OAK PARK BLVD SUITE 101 PISMO BEACH CA 93449 743000596 AMBULATORY SURGERY CENTER CA N/A S 0 DIGNITY HEALTH HOLDING CORPORATION 3033 N 3RD AVENUE PHOENIX AZ 85013 460675371 HOLDING CO NV N/A C 0 DIGNITY HEALTH PROVIDER RESOURCES INC 3033 N 3RD AVENUE PHOENIX AZ 85013 473366764 HEALTH PLAN CA N/A C 0 DIVERSIFIED HEALTH RESOURCES INC 100 MEDICAL DRIVE LAKE JACKSON TX 77566 760222679 HEALTHCARE TX N/A C 0 FRANCISCAN SERVICES INC 3033 N 3RD AVE PHOENIX AZ 85013 232487967 HOLDING CO CO N/A C 0 GALLERIA PAVILION OWNERS' ASSOCIATION 800 N GIBSON RD HENDERSON NV 89011 824275367 REAL ESTATE NV N/A C 0 GOOD SAMARITAN OUTREACH SERVICES 3033 N 3RD AVE PHOENIX AZ 85013 470659440 MEDICAL CLINIC NE N/A C 0 HARVESTPLAINS HEALTH OF IOWA 32129 WEYERHAEUSER WAY S STE 201 FEDERAL WAY WA 98001 473451750 INACTIVE WA N/A C 0 HEALTH AT HOME BLOCKER LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND DE 45150 884220080 HOME HEALTH CO N/A C 0 HEALTH SERVICES OF THE PACIFIC CENTRAL COAST INC 1400 E CHURCH STREET SANTA MARIA OH 93454 770074057 HEALTH SERVICES DE N/A C 0 HEALTH SYSTEMS ENTERPRISES INC 3033 N 3RD AVE PHOENIX AZ 85013 470664558 INACTIVE NE N/A C 0 HEALTHCARE MGMT SERVICES ORGANIZATION INC 1149 MARKET ST TACOMA WA 98402 911865474 INACTIVE WA N/A C 0 HIGHLINE MEDICAL GROUP 1717 S J STREET TACOMA WA 98405 911407026 MEDICAL SERVICES WA N/A C 0 MEDICAL OFFICE BUILDING HORIZONTAL PROPERTY REGIME INC 300 WERNER ST HOT SPRINGS AR 71913 710720429 REAL ESTATE AR N/A C 0 MEDQUEST 1602 11TH ST W WILLISTON ND 58801 450392137 SALE OF DME ND N/A C 0 MEMORIAL CV SERVICE LINE MANAGEMENT COMPANY LLC 1201 W FRANK AVE LUFKIN TX 75904 463622849 INACTIVE TX N/A C 0 MERCY SERVICES CORP 2700 STEWART PARKWAY ROSEBURG OR 97471 930824308 INACTIVE OR N/A C 0 MHI CLINICAL SERVICES 1201 W FRANK AVE LUFKIN TX 75904 461967952 HEALTHCARE TX N/A C 0 MILLENNIUM SURGERY CENTER INC 9300 STOCKDALE HWY 200 BAKERSFIELD CA 93311 770513445 OUTPATIENT SURGERY SERVICES CA N/A S 0 MOUNTAIN MANAGEMENT SERVICES INC 3033 N 3RD AVE PHOENIX AZ 85013 621570739 MANAGEMENT SERVICES TN N/A C 0 NORTH CENTRAL HEALTH CARE ALLIANCE PO BOX 5538 BISMARK ND 58506 450439894 HEALTHCARE ND N/A C 0 NORTHLAND MANAGEMENT SERVICES INC 2223 EAST ROSSER AVENUE BISMARCK ND 58501 450452840 MEDICAL EQUIPMENT ND N/A C 0 QUALCHOICE HEALTH PLAN SERVICES INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 461224037 ADMIN SERVICES CO N/A C 0 QUALCHOICE HEALTH INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 461222808 HOLDING CO CO N/A C 0 RIVERLINK HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 464380824 INSURANCE OH N/A C 0 ROSS PARK PHARMACY INC 3033 N 3RD AVE PHOENIX AZ 85013 341832654 PHARMACY OH N/A C 0 SAINT CLARE'S PRIMARY CARE INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 222441202 INACTIVE NJ N/A C 0 SJH SERVICES CORPORATION 3033 N 3RD AVE PHOENIX AZ 85013 232307408 INACTIVE CO N/A C 0 SJL PHYSICIAN MANANGEMENT SERVICES INC 3033 N 3RD AVE PHOENIX AZ 85013 270164198 INACTIVE KY N/A C 0 ST MARY HEALTH VENTURES INC 1050 LINDEN AVENUE LONG BEACH CA 90813 951912528 RETAIL PHARMACY CA N/A C 0 ST ANTHONY DEVELOPMENT COMPANY 3033 N 3RD AVE PHOENIX AZ 85013 931216943 ATHLETIC CLUB OR N/A C 0 ST JOSEPH DEVELOPMENT COMPANY INC 3033 N 3RD AVE PHOENIX AZ 85013 911480569 RENTAL WA N/A C 0 ST LUKE'S HEALTH SYSTEM HOLDINGS INC 6624 FANNIN STE 800 HOUSTON TX 77030 760637138 HOLDING CO TX N/A C 0 ST VINCENT COMMUNITY HEALTH SERVICES INC TWO ST VINCENT CIRCLE LITTLE ROCK AR 72205 710710785 HEALTHCARE AR N/A C 0 STE HOLDINGS 3033 N 3RD AVE PHOENIX AZ 85013 822383629 HOLDING CO NE N/A C 0 STRATEGIC AND PHYSICIANS INSURANCE LTD PO BOX 1051 GRAND CAYMAN ISL GRAND CAYMAN ISL CJ 981065338 CAPTIVE INSURANCE CJ N/A C 0 TOWSON MANAGEMENT INC 3033 N 3RD AVE PHOENIX AZ 85013 521710750 INACTIVE MD N/A C 0 TRINITY MANAGEMENT SERVICES ORGANIZATION 3033 N 3RD AVE PHOENIX AZ 85013 341471026 MGMT SERVICES OH N/A C 0 UNITED MEDICAL BUILDING CONDOMINIUM ASSOCIATION 1950 MOUNTAIN VIEW AVE LONGMONT CO 80501 841526130 REAL ESTATE CO N/A C 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 1