2026-05-11T16:47:25-05:00 2025-06-30 470617373 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2024-07-01 941439787 SIERRA NEVADA MEMORIAL - MINERS HOSPITAL SIER 5302746099 3033 N 3RD AVE PHOENIX AZ 85013 ROBERT LOWES CFO 5302256390 2026-05-11 1 1 MARK STOCKI P00642127 3032989100 2024 2025-03-06 01:10:19Z X ROBERT LOWES 2175 ROSALINE AVENUE REDDING CA 96049 492032946 0 X WWW.DIGNITYHEALTH.ORG/SACRAMENTO/LOCATIONS/SIERRA X 1934 CA AS AN AFFILIATE OF COMMONSPIRIT HEALTH ("COMMONSPIRIT"), SIERRA NEVADA MEMORIAL HOSPITAL IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE WE SERVE, ESPECIALLY THOSE WHO ARE VULNERABLE, WHILE WE ADVANCE SOCIAL JUSTICE FOR ALL. 11 8 1209 37 0 0 992841 2254298 211681261 213205477 9085872 13969627 355092 2047213 222115066 231476615 9217069 11521115 0 0 109729496 113775348 0 0 0 81517999 92401322 200464564 217697785 21650502 13778830 360484313 383622059 36321033 34697713 324163280 348924346 X SIERRA NEVADA MEMORIAL HOSPITAL ("SNMH") IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE WE SERVE, ESPECIALLY THOSE WHO ARE VULNERABLE, WHILE WE ADVANCE SOCIAL JUSTICE FOR ALL. 0 0 192858062 11521115 213205478 SEE SCHEDULE O 192858062 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 1 46 0 1 1209 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 8 1 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 1 1 CA X LARA CARTOSCELLI ACCOUNTING DEPART 9166313334 3400 DATA DRIVE RANCHO CORDOVA CA 95670 X MICHAEL KORPIEL BOARD MEMBER (THRU 6/30/25) 2.00 50.00 X 0 1249318 117101 SCOTT NEELEY MD PRESIDENT/ CEO 50.00 0.00 X X 0 732113 99447 TYLER HILL MD CMO 50.00 0.00 X 433075 0 45460 GREGORY T SMITH REGISTERED NURSE 50.00 0.00 X 301973 0 102368 DAVID HALL FORMER OFFICER (CFO) 0.00 50.00 X 0 324710 74213 ABDUL N WASAY REGISTERED NURSE 50.00 0.00 X 324529 0 68779 ROBERT LOWES CFO 25.00 25.00 X 0 313185 50835 JULIE OSTROM CNO 50.00 0.00 X 311727 0 44511 ALEX M CASTILLO REGISTERED NURSE 50.00 0.00 X 266615 0 58543 KELLIE J BOLLE DIRECTOR OF NURSING (THRU 4/26/24) 50.00 0.00 X 271201 0 30401 KATHERYN K KRAY DIRECTOR NURSING 50.00 0.00 X 255977 0 28497 ROBERT LONG VICE-CHAIR 2.00 2.00 X X 0 7500 0 STEPHANIE ORTIZ BOARD CHAIR 2.00 0.00 X X 0 0 0 THOMAS BOYLE MD BOARD MEMBER 2.00 0.00 X 0 0 0 JASON FOUYER BOARD MEMBER 2.00 0.00 X 0 0 0 DARYL GRIGSBY BOARD MEMBER 2.00 0.00 X 0 0 0 ANN GUERRA BOARD MEMBER 2.00 0.00 X 0 0 0 ALISON J LEHMAN BOARD MEMBER (THRU 6/30/25) 2.00 0.00 X 0 0 0 JENNIFER SINGER BOARD MEMBER 2.00 0.00 X 0 0 0 EDWARD SYLVESTER BOARD MEMBER 2.00 0.00 X 0 0 0 2165097 2626826 720155 321 1 1 0 SYNERGY SURGICALISTS PC 280 W KAGY BLVD BOZEMAN MT 59715 MEDICAL SERVICES 2510905 CEP AMERICA-ANESTHESIA VITUITY 2100 POWELL ST EMERYVILLE CA 946081803 MEDICAL/PHYSICIAN SERVICES 2178505 MEDICAL SOLUTIONS LLC 1010 N 102ND ST STE 300 OMAHA NE 68114 STAFFING SERVICES 1082708 CLARK ROOFING INC 2076 ACOMA ST SACRAMENTO CA 958153507 REPAIRS/MAINTENANCE 881703 COMPHEALTH PO BOX 972651 DALLAS TX 753972651 MEDICAL SERVICES 849722 38 541955 1542119 170224 2254298 PATIENT NET OF CHARITY AND BAD DE 900099 130037090 130037090 MEDICARE / MEDICAID PAYMENTS 900099 82729328 82729328 CRISIS STABILIZATION UNIT 900099 91734 91734 MANAGEMENT SERVICES 900099 74936 74936 PROGRAM RELATED RENTAL INCOME 900099 62518 62518 209871 209871 213205477 3764004 3764004 270761954 260556331 10205623 10205623 10205623 EMPLOYEE RETENTION CREDIT COVID 900099 1605400 1605400 CAFETERIA 900099 225556 225556 A/R FINANCE CHARGES 900099 184624 184624 31633 31633 2047213 231476615 213205477 0 16016840 X 11511580 11511580 9535 9535 829980 772480 57500 167500 167500 87829963 82525915 5304048 4420360 4279419 140941 14336698 13926880 409818 6190847 6020690 170157 103 103 19859 19859 585147 585147 35906184 26998923 8907261 853316 15490 837826 3239078 3051735 187343 8042529 473454 7569075 2782838 2678118 104720 275001 164527 110474 73162 49616 23546 642945 642945 6822708 6810022 12686 1913025 1913025 MEDICAL SUPPLIES 29767385 29767385 FOOD/OTHER SUPPLIES 692897 625372 67525 LICENSES AND TAXES 334490 147372 187118 EMPLOYEE APPAREL 191644 172968 18676 259011 133111 125900 217697785 192858062 24839723 0 1500 1500 9161076 6221419 15741 168494 25001493 30439641 277031 64519 3116003 3017382 10089137 8512763 95653157 42079623 56105605 53573534 82572438 87079245 152900036 174578452 9767557 10898422 2900000 2900000 8576696 6166688 360484313 383622059 15149735 16922871 209874 134034 1407344 20961424 16233464 36321033 34697713 X 315913495 339438294 8249785 9486052 324163280 348924346 360484313 383622059 X 13778830 8604958 23173 2354105 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 1 1838 0 0 0 0 1 18021 19859 0 PART II-B, LINE 1: SCHEDULE C, PART II - B, LINE 1D SIERRA NEVADA MEMORIAL HOSPITAL ENGAGED IN LETTER-WRITING CAMPAIGNS, CO-SPONSORSHIP CAMPAIGNS, EDUCATION WITH MEMBERS OF CONGRESS, AND OTHER LOBBYING ACTIVITIES AIMED AT INFLUENCING PUBLIC POLICY. THIS IS DONE PRIMARILY THROUGH EMPLOYED DIVISION-LEVEL ADVOCACY LEADERS WITH LEADERSHIP AND GUIDANCE FROM NATIONAL EMPLOYEES. DRAFT LETTERS WERE PROVIDED ON THE ORGANIZATION'S ADVOCACY PRIORITIES; DIVISION-EMPLOYED ADVOCACY LEADERS WERE ABLE TO CREATE THEIR OWN LETTERS AS WELL. CENTRAL TO THE ORGANIZATION'S MISSION AND VISION IS A COMMITMENT TO ADVOCATE FOR SYSTEMIC CHANGES TO IMPROVE THE HEALTH AND WELL-BEING OF INDIVIDUALS AND COMMUNITIES WITH A SPECIFIC CONCERN FOR PERSONS WHO ARE POOR AND MARGINALIZED. THE HOSPITAL'S ADVOCACY ACTIVITIES ARE INEXTRICABLY LINKED TO ITS FUNDAMENTAL GOAL TO BUILD HEALTHIER COMMUNITIES. ONE DIMENSION OF THE ORGANIZATION'S ADVOCACY PROGRAM FOCUSES ON PUBLIC POLICY ADVOCACY, WHICH INCLUDES ATTENTION TO FEDERAL LEGISLATIVE AND REGULATORY MEASURES, FORMATION OF POSITIONS ON PRIORITY ISSUES, AND POLITICAL ACTIVISM. THE COMMONSPIRIT HEALTH PUBLIC POLICY AGENDA INCLUDES BOTH TRADITIONAL HEALTH CARE POLICIES (E.G., PAYMENT ISSUES, QUALITY AND SAFETY, ETC.) AS WELL AS SOCIAL JUSTICE POLICIES. IN 2025, SNMH AND ITS AFFILIATED HOSPITALS IN CALIFORNIA UNDERTOOK INTENSIVE LOBBYING TO INFLUENCE STATE REGULATIONS REGARDING SEISMIC SAFETY, EMPLOYEE WELL-BEING, STAFFING LEVELS, AND FINANCIAL REIMBURSEMENT FOR HEALTHCARE SERVICES. SIMULTANEOUSLY, THEY DEDICATED SIGNIFICANT REGULATORY ATTENTION TO THE OFFICE OF HEALTH CARE AFFORDABILITY, AIMING TO SHAPE POLICIES RELATED TO HEALTHCARE COSTS AND MARKET DYNAMICS. THESE COMBINED EFFORTS UNDERSCORE A COMPREHENSIVE STRATEGY TO PROTECT OPERATIONAL VIABILITY, ENSURE PATIENT AND STAFF SAFETY, AND ADVOCATE FOR SUSTAINABLE FINANCIAL MODELS WITHIN CALIFORNIA'S COMPLEX HEALTHCARE LANDSCAPE. SCHEDULE C, PART II - B, LINE 1I LOBBYING EXPENDITURES PAID BY THE PARENT ORGANIZATION FOR ANNUAL MEMBERSHIP DUES WHERE EXPENSES ARE ALLOCATED TO THE HOSPITAL: 340B HEALTH; $56 AMERICAN ACADEMY OF FAMILY PHYSICIANS; $ 152 AMERICAN COLLEGE OF PHYSICIANS $57 AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES; $ 3 AMERICAN HOSPITAL ASSOCIATION; $5,540 AMERICAN OSTEOPATHIC ASSOCIATION; $ 24 CALIFORNIA MEDICAL ASSOCIATION; $ 170 HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA; $ 11,970 SACRAMENTO METRO CHAMBER; $9 SOCIETY OF TEACHERS OF FAMILY MEDICINE; $ 40 TOTAL EXPENDITURES PAID TO ORGANIZATIONS; $ 18,021 3161700 197325 3359025 2802118 359582 3161700 2748664 100 53354 2802118 2980176 295618 -527130 2748664 2307020 100 673056 2980176 0.00000 0.59000 0.41000 0 1 1 4182377 4182377 60130647 20294575 39836072 84750 84750 0 28685077 21002754 7682323 2570306 697544 1872762 53573534 POOLED INVESTMENTS 174578452 F 174578452 OTHER NON-CURRENT LIABILITIES 693533 DUE TO RELATED PARTIES 8946565 PENSION PAYABLE 6593366 16233464 X PART V, LINE 4: THE ENDOWMENT FUNDS ARE INTENDED TO BE USED TO SUPPORT ALZHEIMER'S RESEARCH, THE CANCER CENTER, THE CARDIAC PROGRAM AND OTHER HOSPITAL PROGRAM NEEDS. PART X, LINE 2: SNMH REVIEWS ITS TAX POSITIONS QUARTERLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. 1 1 X 1 X 250.000000000000 1 X 500.000000000000 1 1 1 0 1 1 0 9611 2578099 0 2578099 0.01180 0 20294 38425544 45269944 0 0.00000 29905 41003643 45269944 2578099 0.01180 11 1935 383748 0 383748 0.00180 3 174 1941603 361219 1580384 0.00730 1 20 781 0 781 0.00000 4 3 689784 0 689784 0.00320 19 2132 3015916 361219 2654697 0.01230 19 32037 44019559 45631163 5232796 0.02410 1 1218 0 1218 0.00000 1 1218 1218 0.00000 1 0 56111287 73950283 -17838996 X 1 1 1 GRASS VALLEY OUTPATIENT SURGERY CENTER OUTPATIENT SURGERY CENTER 0.23400 0.00000 0.29000 1 1 SIERRA NEVADA MEMORIAL - MINER'S HOSPITAL 155 GLASSON WAY GRASS VALLEY CA 95945 WWW.DIGNITYHEALTH.ORG/SACRAMENTO/LOCAT 230000152 X X X X SIERRA NEVADA MEMORIAL - MINER'S HOSPITA 1 0 0 1 X X X X X X X X X 24 1 0 0 1 X SEE PART V, SECTION C SEE PART V, SECTION C X 1 25 1 SEE PART V, SECTION C 0 1 X 250.000000000000 500.000000000000 X X X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION A: PRESENTATION OF HOSPITAL'S COMPLETE WEBSITE ADDRESS:HTTPS://WWW.DIGNITYHEALTH.ORG/SACRAMENTO/LOCATIONS/SIERRA-NEVADA-MEMORIAL-HOSPITAL SIERRA NEVADA MEMORIAL - MINER'S HOSPITAL PART V, SECTION B, LINE 5: FOR THE 2025 (TY 2024) CHNA REPORT, SNMH CONSULTED WITH GANEY SCIENCE TO CONDUCT THE CHNA USING A COMPILATION OF PRIMARY QUALITATIVE AND SECONDARY QUANTITATIVE DATA SOURCES. BROAD INTERESTS OF THE COMMUNITY WERE SOLICITED AND TAKEN INTO ACCOUNT THROUGH PRIMARY DATA SOURCES, INCLUDING 11 DIFFERENT FOCUS GROUPS AND KEY INFORMANT INTERVIEWS WITH HEALTH EXPERTS, SOCIAL SERVICE PROVIDERS, AND MEDICAL PERSONNEL. THE INFORMATION GATHERED IN THE FOCUS GROUPS AND KEY INFORMANT INTERVIEWS WAS CORROBORATED WITH SECONDARY QUANTITATIVE DATA OBTAINED FROM DATASETS MAINTAINED BY GOVERNMENTAL AND NONGOVERNMENTAL ORGANIZATIONS AT THE LOCAL, STATE, AND NATIONAL LEVELS. THIS MIXED-METHODS APPROACH ENABLED THE CROSS-REFERENCING OF DATA TO VALIDATE INFORMATION AND PROVIDE A BROADER PERSPECTIVE OF COMMUNITY HEALTH NEEDS. PARTICIPATING ORGANIZATIONS IN ADDITION TO THE HOSPITAL INCLUDED: NEVADA COUNTY PUBLIC HEALTH, FREED CENTER FOR INDEPENDENT LIVING, NORTH SAN JUAN COMMUNITY CENTER, COLOR ME HUMAN & HABITAT FOR HUMANITY, NEVADA CITY RANCHERIA NISENAN TRIBE AND CALIFORNIA HERITAGE, INDIGENOUS RESEARCH PROJECT, NEVADA COUNTY SUPERINTENDENT OF SCHOOLS, COMMUNITY SCHOOLS, BRIGHT FUTURES FOR YOUTH, FOOTHILLS COMPASSIONATE CARE, HOSPITALITY HOUSE, AND WOMEN OF WORTH. SIERRA NEVADA MEMORIAL - MINER'S HOSPITAL PART V, SECTION B, LINE 11: SIERRA NEVADA MEMORIAL HOSPITAL HAS MANY PROGRAMS, SERVICES, AND PARTNERSHIPS TO HELP ADDRESS ALL IDENTIFIED SIGNIFICANT COMMUNITY HEALTH NEEDS. THE FOLLOWING SIGNIFICANT HEALTH NEEDS LISTED BELOW INCLUDE:ACCESS TO BEHAVIORAL HEALTHCARE, INCLUDING SUBSTANCE USE DISORDER TREATMENT AND NAVIGATION OF SERVICES -STRENGTHENING THE CONTINUUM OF CARE FOR BEHAVIORAL HEALTH, INCLUDING ENHANCED SUBSTANCE USE NAVIGATION IS ANTICIPATED TO INCREASE THE PERCENTAGE OF INDIVIDUALS RECEIVING TREATMENT.HOSPITAL ACTIVITIES THAT HELP ADDRESS THIS NEED:- NEVADA COUNTY HEALTH COLLABORATIVE INTEGRATED NETWORK - A COLLABORATIVE NETWORK TO INCREASE ACCESS, INTEGRATION, AND COORDINATION OF RURAL HEALTH SERVICES INCLUDING PRIMARY CARE, BEHAVIORAL HEALTH, AND TELEMEDICINE.- CRISIS STABILIZATION UNIT - THE CRISIS STABILIZATION UNIT (CSU), OPERATED BY NEVADA COUNTY, IS A 23-HOUR 4-BED MENTAL HEALTH URGENT CARE AND CRISIS UNIT THAT PROVIDES PATIENTS IN ACUTE PSYCHIATRIC CRISES TO RECEIVE APPROPRIATE CARE FOR THEIR PSYCHIATRIC EMERGENCY.- MENTAL HEALTH CRISIS SUPPORT PARTNERSHIP - NEVADA COUNTY CONTRACTED MENTAL HEALTH CRISIS WORKERS TO ASSIST PATIENTS IN THE HOSPITAL'S EMERGENCY DEPARTMENT, PROVIDING SUPPORT, IDENTIFYING PLACEMENT, AND CREATING SAFE DISCHARGE PLANS.- SUBSTANCE USE NAVIGATION - FUNDED THROUGH GRANTS, THE SUBSTANCE USE NAVIGATION PROGRAM PROVIDES 24/7 HIGH-QUALITY CARE FOR INDIVIDUALS WITH SUBSTANCE USE DISORDER. THE PROGRAM SEEKS TO FULLY INTEGRATE ADDICTION TREATMENT INTO STANDARD MEDICAL PRACTICE INCREASING ACCESS TO TREATMENT TO SAVE MORE LIVES. - CARE TRANSITION INTERVENTION PROGRAM - COLLABORATIVE FOCUSING ON CARE TRANSITION AND PATIENT NAVIGATION BETWEEN ORGANIZATIONS AND DEVELOPS A "NO WRONG DOOR" SYSTEM OF REFERRAL.ACCESS TO PRIMARY HEALTH CARE AND DENTAL CARE - INCREASING ACCESS TO CARE AND REDUCING SOCIAL DETERMINANTS OF HEALTH BARRIERS TO ACCESSING CARE IS ANTICIPATED TO REDUCE THE NUMBER OF UNNECESSARY ED VISITS AND HOSPITALIZATIONS.HOSPITAL ACTIVITIES THAT HELP ADDRESS THIS NEED:- MOBILE CLINIC - A MOBILE ACUTE CARE CLINIC TO BROADEN SERVICE DELIVERY. THE UNIT, STAFFED BY AN ADVANCED PRACTICE PROVIDER AND MEDICAL ASSISTANT, WILL PROVIDE WALK-IN SERVICES AT FOUR DESIGNATED SITES WITHIN THE HOSPITAL'S PRIMARY SERVICE AREA. THIS OUTREACH ADDRESSES SIGNIFICANT BARRIERS TO CARE, INCLUDING TRANSPORTATION LIMITATIONS AND ISSUES OF HEALTHCARE PROFESSIONAL TRUST ENHANCING OUR COMMUNITY PRESENCE AND PARTNERSHIPS.- PATIENT NAVIGATOR PROGRAM - A COLLABORATION WITH PARTNERSHIP HEALTHPLAN, A MEDI-CAL MANAGED CARE PLAN, TO ASSIST PATIENTS THAT RELY ON THE EMERGENCY DEPARTMENT FOR NON-URGENT NEEDS BY CONNECTING THEM TO A MEDICAL HOME AND SCHEDULE FOLLOW UP APPOINTMENTS - HEALTH PROFESSIONS EDUCATION - PROVIDES A CLINICAL SETTING FOR TRAINING AND INTERNSHIPS FOR STUDENTS PURSUING HEALTH PROFESSIONS OTHER THAN PHYSICIANS AND NURSES. THIS INCLUDES, BUT IS NOT LIMITED TO EMT, PARAMEDICS, PHARMACY, RESPIRATORY THERAPY, PHYSICAL THERAPY, RADIOLOGY TECHNOLOGIST AND SURGICAL TECHNOLOGIST. - HEALTH PROFESSIONS EDUCATION- NURSING - PROVIDES CLINICAL SETTING FOR NURSING STUDENTS ENROLLED IN EDUCATION WITH AN OUTSIDE LOCAL COLLEGE OR UNIVERSITY FOR ADDITIONAL TRAINING AND EDUCATION. THIS INCLUDES, BUT IS NOT LIMITED TO UNDERGRADUATE NURSING, UNDERGRADUATE NURSING-PRECEPTORSHIP, NURSING BSN AND NURSING ADN. COMMUNITY BELONGING - REDUCING DISPARITIES AND ENHANCING COMMUNITY RELATIONS IS ANTICIPATED TO REDUCE RE-TRAUMATIZATION AND EMOTIONAL DISTRESS AND INCREASE EXPERIENCES OF INCLUSION AND TRUST.HOSPITAL ACTIVITIES THAT HELP ADDRESS THIS NEED:- CULTURAL COMPETENCY AND HUMILITY TRAINING - PROVIDE TRAINING OPPORTUNITIES FOR STAFF AND COMMUNITY ORGANIZATIONS THAT ADDRESS THE SPECIFIC HEALTH NEEDS OF THE COMMUNITY. THIS COLLABORATION CAN IMPROVE CARE COORDINATION AND STRENGTHEN SOCIAL CONNECTIONS.- COMMUNITY OUTREACH - FOSTER AN INCLUSIVE ENVIRONMENT BY PARTICIPATING IN CULTURALLY RESPONSIVE ACTIVITIES THAT CELEBRATE DIVERSE POPULATIONS (E.G., YOUTH SUMMITS, PRIDE EVENTS, HEALTH FAIRS).- COMMUNITY ENGAGEMENT - STRENGTHEN TRUST AND RELATIONSHIPS WITH KEY POPULATIONS THROUGH TARGETED OUTREACH, ACTIVITIES, AND COMMUNICATION.UNMET VITAL CONDITIONS, INCLUDING TRANSPORTATION, FINANCES, HOUSING (INCLUDING THE UNHOUSED POPULATION), AND EDUCATION - IMPROVED COORDINATION AND ACCESS TO BASIC NEEDS, RECUPERATIVE AND RESPITE SERVICES, AND MEDICAL REFERRALS IS ANTICIPATED TO REDUCE UNNECESSARY ED VISITS AND HOSPITALIZATIONS.HOSPITAL ACTIVITIES THAT HELP ADDRESS THIS NEED:- HEALTHSPAN - A COMMUNITY HEALTH COLLABORATIVE IN NEVADA COUNTY, CALIFORNIA DEDICATED TO IMPROVING OVERALL WELL-BEING BY SUPPORTING AND EXPANDING EXISTING SUCCESSFUL PROJECTS AND ACTIVITIES THAT SUPPORT REGIONAL WELLNESS.- COMMUNITY HEALTH WORKERS FOR RURAL REGIONS - THIS PROGRAM CONNECTS HEALTH AND SOCIAL SERVICES WITH COMMUNITY MEMBERS. COMMUNITY HEALTH WORKERS EDUCATE ON HEALTH, ENHANCE ACCESS TO CARE, AND CHAMPION HEALTH EQUITY BY EMPOWERING INDIVIDUALS TO MANAGE THEIR WELL-BEING AND NAVIGATE COMPLEX SYSTEMS. - MEDICAL RESPITE/RECUPERATIVE CARE PROGRAM - A COLLABORATIVE PARTNERSHIP WITH FOOTHILL HOUSE OF HOSPITALITY, SIERRA NEVADA MEMORIAL AND PARTNERSHIP LOCATED AT HOSPITALITY HOUSE TO PROVIDE A RESPITE/RECUPERATIVE CARE SHELTER FOR THOSE EXPERIENCING HOMELESSNESS AND WRAP AROUND SERVICES FOR UP TO 29 DAYS.- PATIENT NAVIGATOR PROGRAM - A COLLABORATION WITH PARTNERSHIP TO ASSIST PATIENTS THAT RELY ON THE EMERGENCY DEPARTMENT FOR NON-URGENT NEEDS BY CONNECTING THEM TO A MEDICAL HOME AND SCHEDULE FOLLOW UP APPOINTMENTS. - RESOURCES FOR LOW INCOME AND UNHOUSED PATIENTS - THE HOSPITAL PARTIALLY OR FULLY SUBSIDIZES THE COST OF TRANSPORTATION, MEDICATION, MEDICAL SUPPLIES, BASIC NEEDS, AND SHORT-TERM ROOM AND BOARD IN THE COMMUNITY FOR PATIENTS UNABLE TO ACCESS THESE RESOURCES AFTER BEING DISCHARGED FROM THE HOSPITAL.- CONNECTING YOUTH TO POSITIVE SOCIAL DETERMINANTS OF HEALTH - A PARTNERSHIP BETWEEN BRIGHT FUTURES FOR YOUTH, COMMUNITY BEYOND VIOLENCE, WESTERN SIERRA MEDICAL CLINIC, AND GRANITE WELLNESS TO IMPROVE ACCESS TO BASIC NEEDS, HEALTH CARE, MENTAL HEALTH SUPPORTS, SUBSTANCE USE PREVENTION AND INTERVENTION SERVICES. SIERRA NEVADA MEMORIAL - MINER'S HOSPITAL PART V, SECTION B, LINE 13H: THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF TEN DOLLARS ($10.00) WITH THE COMMONSPIRIT HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. IF APPLICABLE, BALANCES BELOW TEN DOLLARS ($10.00) WOULD BE ADJUSTED USING A SMALL BALANCE ADJUSTMENT AND NOT BILLED TO THE PATIENT/GUARANTOR.THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION.PATIENT COOPERATION STANDARDS - A PATIENT MUST COOPERATE WITH THE HOSPITAL FACILITY IN PROVIDING THE INFORMATION AND DOCUMENTATION NECESSARY TO DETERMINE ELIGIBILITY. SUCH COOPERATION INCLUDES COMPLETING ANY REQUIRED APPLICATIONS OR FORMS. THE PATIENT IS RESPONSIBLE FOR NOTIFYING THE HOSPITAL FACILITY OF ANY CHANGE IN FINANCIAL SITUATION THAT WOULD IMPACT THE ASSESSMENT OF ELIGIBILITY. A PATIENT MUST EXHAUST ALL OTHER PAYMENT OPTIONS, INCLUDING PRIVATE COVERAGE, FEDERAL, STATE AND LOCAL MEDICAL ASSISTANCE PROGRAMS, AND OTHER FORMS OF ASSISTANCE PROVIDED BY THIRD PARTIES PRIOR TO BEING APPROVED. AN APPLICANT FOR FINANCIAL ASSISTANCE IS RESPONSIBLE FOR APPLYING TO PUBLIC PROGRAMS FOR AVAILABLE COVERAGE. HE OR SHE IS ALSO EXPECTED TO PURSUE PUBLIC OR PRIVATE HEALTH INSURANCE PAYMENT OPTIONS FOR CARE PROVIDED BY A COMMONSPIRIT HOSPITAL ORGANIZATION WITHIN A HOSPITAL FACILITY. A PATIENT'S AND, IF APPLICABLE, ANY GUARANTOR'S COOPERATION IN APPLYING FOR APPLICABLE PROGRAMS AND IDENTIFIABLE FUNDING SOURCES, INCLUDING COBRA COVERAGE (A FEDERAL LAW ALLOWING FOR A TIME-LIMITED EXTENSION OF EMPLOYEE HEALTHCARE BENEFITS), SHALL BE REQUIRED. IF A HOSPITAL FACILITY DETERMINES THAT COBRA COVERAGE IS POTENTIALLY AVAILABLE, AND THAT A PATIENT IS NOT A MEDICARE OR MEDICAID BENEFICIARY, THE PATIENT OR GUARANTOR SHALL PROVIDE THE HOSPITAL FACILITY WITH INFORMATION NECESSARY TO DETERMINE THE MONTHLY COBRA PREMIUM FOR SUCH PATIENT AND SHALL COOPERATE WITH HOSPITAL FACILITY STAFF TO DETERMINE WHETHER HE OR SHE QUALIFIES FOR HOSPITAL FACILITY COBRA PREMIUM ASSISTANCE, WHICH MAY BE OFFERED FOR A LIMITED TIME TO ASSIST IN SECURING INSURANCE COVERAGE. A HOSPITAL FACILITY SHALL MAKE AFFIRMATIVE EFFORTS TO HELP A PATIENT OR PATIENT'S GUARANTOR APPLY FOR PUBLIC AND PRIVATE PROGRAMS.THE FOLLOWING REQUIREMENTS FOR ADDITIONAL HARDSHIP DISCOUNTS IS AN ADDENDUM OF THE FINANCIAL ASSISTANCE POLICY THAT APPLY TO PATIENTS RECEIVING SERVICES AT A COMMONSPIRIT HOSPITAL ORGANIZATION IN THE STATE OF CALIFORNIA ONLY.A PATIENT WHO RECEIVES DISCOUNTED CARE, BUT (1) WHOSE LIABILITY STILL EXCEEDS 30% OF THE SUM OF (A) HIS OR HER FAMILY INCOME, AND (B) HIS OR HER MONETARY ASSETS, AND (2) WHO DOES NOT HAVE THE ABILITY TO PAY HIS OR HER BILL, AS DETERMINED BY A REVIEW OF FACTORS SUCH AS PROJECTED FAMILY INCOME FOR THE COMING YEAR AND EXISTING OR ANTICIPATED HEALTH CARE LIABILITIES MAY BE GIVEN AN ADDITIONAL HARDSHIP DISCOUNT. FOR PURPOSES OF THE DETERMINATION OF THIS HARDSHIP DISCOUNT, THE COMMONSPIRIT HOSPITAL ORGANIZATION WILL NOT CONSIDER ASSETS IN RETIREMENT PLANS QUALIFIED UNDER THE INTERNAL REVENUE CODE IN EFFECT AT THE TIME OF THE DETERMINATION OR DEFERRED COMPENSATION PLANS.IF THE PATIENT MEETS ALL ELIGIBILITY CRITERIA, THE PATIENT WILL RECEIVE A HARDSHIP DISCOUNT, WHICH WILL REDUCE THE PATIENT'S REMAINING LIABILITY TO NO MORE THAN 30% OF THE SUM OF HIS OR HER (1) PATIENT FAMILY INCOME, AND (2) MONETARY ASSETS.A PATIENT MAY ALSO RECEIVE DISCOUNTS OR WAIVERS UNDER THIS ADDENDUM IF CONSIDERED HOMELESS OR TRANSIENT OR IF THEY PARTICIPATE IN A FEDERAL, STATE, OR LOCAL MANAGED INDIGENT CARE PROGRAM. SCHEDULE H, PART V, SECTION B, LINE 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 7A CHNA REPORT WEB SITE LOCATION FOR SNMH IS PROVIDED BELOW.HTTPS://WWW.DIGNITYHEALTH.ORG/SACRAMENTO/LOCATIONS/SIERRA-NEVADA-MEMORIAL-HOSPITAL/COMMUNITY-HEALTH-AND-COMMUNITY-BENEFIT PART V, SECTION B, LINE 10A THE HOSPITAL'S IMPLEMENTATION STRATEGY IS ALSO ON SNMH'S WEB SITE, AT THE SAME LOCATION AS THE CHNA REPORT LISTED IN PART V, SECTION B, LINE 7A ABOVE. SCHEDULE H, PART V, SECTION B, LINE 16A, 16B AND 16C HTTPS://WWW.DIGNITYHEALTH.ORG/SACRAMENTO/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-INFORMATION/PAYMENT-ASSISTANCE 1 1 - GRASS VALLEY SURGERY CENTER 408 SIERRA COLLEGE DRIVE GRASS VALLEY CA 95945 OUTPATIENT SURGERY CENTER PART I, LINE 3C: UNLESS ELIGIBLE FOR PRESUMPTIVE FINANCIAL ASSISTANCE, THE FOLLOWING ELIGIBILITY CRITERIA MUST BE MET IN ORDER FOR A PATIENT TO QUALIFY FOR FINANCIAL ASSISTANCE:- THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF TEN DOLLARS ($10.00) WITH THE COMMONSPIRIT HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW TEN DOLLARS ($10.00) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS.- THE PATIENT MUST COMPLY WITH PATIENT COOPERATION STANDARDS AS DESCRIBED IN SCHEDULE H, PART V, SECTION B, LINE 13H, 3RD PARAGRAPH.- THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION (FAA).FOR PATIENTS AND GUARANTORS WHO ARE UNABLE TO PROVIDE REQUIRED DOCUMENTATION, A HOSPITAL FACILITY MAY GRANT PRESUMPTIVE FINANCIAL ASSISTANCE BASED ON INFORMATION OBTAINED FROM OTHER RESOURCES. IN PARTICULAR, PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE:- RECIPIENT OF STATE-FUNDED PRESCRIPTION PROGRAMS;- HOMELESS OR ONE WHO RECEIVED CARE FROM A HOMELESS OR FREE CARE CLINIC;- PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC);- FOOD STAMP ELIGIBILITY;- ELIGIBILITY OR REFERRALS FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS (E.G., MEDICAID);- LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS; OR- PATIENT IS DECEASED WITH NO KNOWN SPOUSE OR KNOWN ESTATE.THE FOLLOWING REQUIREMENTS FOR ADDITIONAL HARDSHIP DISCOUNTS IS AN ADDENDUM OF THE FINANCIAL ASSISTANCE POLICY THAT APPLY TO PATIENTS RECEIVING SERVICES AT A COMMONSPIRIT HOSPITAL ORGANIZATION IN THE STATE OF CALIFORNIA ONLY.A PATIENT WHO RECEIVES DISCOUNTED CARE, BUT (1) WHOSE LIABILITY STILL EXCEEDS 30% OF THE SUM OF (A) HIS OR HER FAMILY INCOME, AND (B) HIS OR HER MONETARY ASSETS, AND (2) WHO DOES NOT HAVE THE ABILITY TO PAY HIS OR HER BILL, AS DETERMINED BY A REVIEW OF FACTORS SUCH AS PROJECTED FAMILY INCOME FOR THE COMING YEAR AND EXISTING OR ANTICIPATED HEALTH CARE LIABILITIES MAY BE GIVEN AN ADDITIONAL HARDSHIP DISCOUNT. FOR PURPOSES OF THE DETERMINATION OF THIS HARDSHIP DISCOUNT, THE COMMONSPIRIT HOSPITAL ORGANIZATION WILL NOT CONSIDER ASSETS IN RETIREMENT PLANS QUALIFIED UNDER THE INTERNAL REVENUE CODE IN EFFECT AT THE TIME OF THE DETERMINATION OR DEFERRED COMPENSATION PLANS.IF THE PATIENT MEETS ALL ELIGIBILITY CRITERIA, THE PATIENT WILL RECEIVE A HARDSHIP DISCOUNT, WHICH WILL REDUCE THE PATIENT'S REMAINING LIABILITY TO NO MORE THAN 30% OF THE SUM OF HIS OR HER (1) PATIENT FAMILY INCOME, AND (2) MONETARY ASSETS.A PATIENT MAY ALSO RECEIVE DISCOUNTS OR WAIVERS UNDER THIS ADDENDUM IF CONSIDERED HOMELESS OR TRANSIENT OR IF THEY PARTICIPATE IN A FEDERAL, STATE, OR LOCAL MANAGED INDIGENT CARE PROGRAM. PART I, LINE 7: FOR PURPOSES OF CALCULATING THE AMOUNTS PROVIDED IN THE TABLE, SNMH USES A COST ACCOUNTING SYSTEM OR AN ADJUSTED COST TO CHARGE RATIO (CCR) CALCULATED IN A MANNER CONSISTENT WITH WORKSHEET 2 FOR EACH REPORTING FACILITY, TO DERIVE THE REPORTED COSTS OF FINANCIAL ASSISTANCE, MEDICAID AND OTHER MEANS-TESTED PROGRAMS. WORKSHEET 3 OR THE EQUIVALENT IN THE COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY ("CBISA") SOFTWARE ARE USED TO CALCULATE EXPENSE AND REVENUE, INCLUDING WHERE APPLICABLE MEDICAID PROVIDER FEES AND PAYMENTS FROM UNCOMPENSATED CARE PROGRAMS. ACTUAL OR ESTIMATED COST AND ANY DIRECT OFFSETTING REVENUE IS REPORTED, AND SCHEDULE H WORKSHEETS OR THEIR EQUIVALENTS ARE USED, FOR OTHER COMMUNITY BENEFIT ACTIVITIES SUCH AS COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH, AND CASH AND IN-KIND DONATIONS.SCHEDULE H, PART I, LINE 7B, COLUMN (F)BEGINNING IN 2009, THE STATE OF CALIFORNIA ESTABLISHED PROVIDER FEE PROGRAMS. THESE PROGRAMS ARE FUNDED BY QUALITY ASSURANCE FEES PAID BY PARTICIPATING HOSPITALS AND MATCHING FEDERAL FUNDS. SIERRA NEVADA MEMORIAL HOSPITAL RECOGNIZED FEE-FOR-SERVICE SUPPLEMENTAL PAYMENTS OF $5.8 MILLION DURING THE YEAR REFLECTED UNDER THE MEDICAID PROGRAM AS DIRECT OFFSETTING REVENUE (PART I, LINE 7B, COLUMN D).SCHEDULE H, PART I, LINE 7I, COLUMN CTHE CALIFORNIA HOSPITAL ASSOCIATION CREATED A PRIVATE PROGRAM, THE CALIFORNIA HEALTH FOUNDATION AND TRUST ("CHFT"), ESTABLISHED FOR SEVERAL PURPOSES, INCLUDING AGGREGATING AND DISTRIBUTING FINANCIAL RESOURCES TO SUPPORT CHARITABLE ACTIVITIES AT VARIOUS HOSPITALS AND HEALTH SYSTEMS IN CALIFORNIA. DURING THE YEAR, SIERRA NEVADA MEMORIAL HOSPITAL (SNMH) RECORDED A PLEDGE TO A GRANT FUND ESTABLISHED BY CHFT IN THE AMOUNT $254,784. THE GRANT IS REPORTED UNDER OTHER BENEFITS (PART I, LINE 7I, COLUMN C), AS CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS. PART II, COMMUNITY BUILDING ACTIVITIES: IN FY2025, THE HOSPITAL ENGAGED IN COMMUNITY COLLABORATION THROUGH PARTICIPATION IN ONE MOBILE HEALTH COALITION MEETING, SUPPORTING ALIGNMENT OF EFFORTS TO ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS. PART III, LINE 2: THE AMOUNT OF THE ORGANIZATION'S BAD DEBT AT COST IS DETERMINED BY APPLYING THE CCR (SEE PART I, LINE 7 DISCLOSURE) TO PATIENT CHARGES THAT ARE DEEMED TO BE UNCOLLECTIBLE. THIS AMOUNT REPRESENTS THE COST OF SERVICES PROVIDED TO PATIENTS WHO ARE UNABLE OR REFUSE TO PAY THEIR BILLS AND DO NOT QUALIFY FOR FREE OR ADDITIONAL DISCOUNTED CARE, GOVERNMENT SPONSORED PROGRAMS OR OTHER PAYMENT ASSISTANCE AND ARE OTHERWISE UNINSURED.AS NOTED IN PART I, LINE 3B, SNMH PROVIDES FREE OR DISCOUNTED CARE TO UNINSURED OR UNDER-INSURED INDIVIDUALS THAT FALL INTO THREE CATEGORIES: AT OR BELOW 250%, 251%-400% OR 401%-500% OF THE FEDERAL POVERTY LEVEL. SNMH ALSO PROVIDES PATIENTS OPTIONS FOR UNINSURED PATIENT DISCOUNT AND SELF-PAY DISCOUNTS. IN CALIFORNIA, PATIENTS WHO ARE UNINSURED OR WITH HIGH MEDICAL COSTS ARE ELIGIBLE TO RECEIVE DISCOUNTED CARE IN ADDITION TO AN INTEREST-FREE EXTENDED PAYMENT PLAN THAT WILL ALLOW PAYMENT OF THE DISCOUNTED AMOUNT OVER TIME. DISCOUNTS ARE ACCOUNTED FOR AS DEDUCTIONS FROM REVENUE, NOT AS BAD DEBT EXPENSE.FOR FY25, SNMH IS REPORTING ZERO DOLLARS FOR BAD DEBT EXPENSE. THIS OUTCOME IS ATTRIBUTED TO THE YEAR-END BAD DEBT RESERVE BALANCE BEING IN A NET CREDIT POSITION, A DIRECT RESULT OF A CHANGE IN THE RESERVE CALCULATION METHODOLOGY IMPLEMENTED DURING THE TAX YEAR. THE CCR IS NOT APPLIED TO CREDIT BALANCES. PART III, LINE 3: SNMH FOLLOWS THE COMMONSPIRIT HEALTH FINANCIAL ASSISTANCE POLICY.SNMH MAKES EVERY EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UPON ADMISSION. COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE POLICY IS COMMUNICATED TO PATIENTS UPON ADMISSION AND IS AVAILABLE IN THE LANGUAGES PRIMARILY SPOKEN IN THE COMMUNITY. IT IS ALSO POSTED IN VARIOUS COMMON AREAS OF THE HOSPITAL, SUCH AS EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL BUSINESS OFFICES LOCATED ON FACILITY CAMPUSES, AND OTHER PUBLIC PLACES, AND IS PROVIDED UPON BILLING IF ELIGIBILITY IS NOT PREVIOUSLY DETERMINED. ELIGIBILITY IS REEVALUATED AS NEEDED AND AMOUNTS ARE CLASSIFIED AS CHARITY AS SOON AS ELIGIBILITY IS KNOWN. COMMONSPIRIT HEALTH ALSO UTILIZES A WAYSTAR (FORMERLY PARO) SCORING SYSTEM TO ASSIST IN DETERMINING IF A PATIENT MAY QUALIFY FOR PAYMENT ASSISTANCE EVEN THOUGH THEY HAVE NOT APPLIED FOR IT. WAYSTAR IS A METHODOLOGY THAT APPLIES CONSISTENT SCREENING AND APPLICATION STANDARDS TO ALL PATIENTS UTILIZING HISTORICAL DATA TO DEVELOP A PREDICTIVE MODEL FOR HEALTHCARE PAYMENT ASSISTANCE. IN ITS DEVELOPMENT, SPECIAL ATTENTION WAS PAID TO THOSE SOCIOECONOMIC FACTORS THAT MIGHT ADVERSELY AFFECT THOSE PATIENTS DESERVING THE MOST ATTENTION. OTHER CRITERIA ARE ALSO UTILIZED TO ENSURE THAT SERVICES THAT HAVE QUALIFIED AS FINANCIAL ASSISTANCE ARE NOT REPORTED AS BAD DEBT. AS SUCH, THE HOSPITAL DOES NOT BELIEVE THAT ANY AMOUNTS INCLUDED IN PART III, LINE 2, ARE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S PAYMENT ASSISTANCE POLICY, AND THEREFORE, NO PORTION OF BAD DEBT EXPENSE IS INCLUDED AS COMMUNITY BENEFIT EXPENSE. PART III, LINE 4: THE FOLLOWING IS AN EXCERPT FROM COMMONSPIRIT'S CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2025, RELATED TO PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT REVENUE. THE ENTIRE FOOTNOTE CAN BE VIEWED IN THE ATTACHED COMMONSPIRIT HEALTH CONSOLIDATED FINANCIAL STATEMENTS ON PAGES 11-12.PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNTS THAT REFLECT THE CONSIDERATION COMMONSPIRIT EXPECTS TO BE PAID IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING HEALTH INSURERS AND GOVERNMENT PROGRAMS), AND OTHERS, AND INCLUDE CONSIDERATION FOR RETROACTIVE REVENUE ADJUSTMENTS DUE TO SETTLEMENT OF AUDITS AND REVIEWS. GENERALLY, PERFORMANCE OBLIGATIONS FOR PATIENTS RECEIVING INPATIENT ACUTE CARE SERVICES AND OUTPATIENT SERVICES ARE RECOGNIZED OVER TIME AS SERVICES ARE PROVIDED. NET PATIENT REVENUE IS PRIMARILY COMPRISED OF HOSPITAL AND PHYSICIAN SERVICES. PART III, LINE 8: COMMONSPIRIT HEALTH HOSPITALS PREPARE MEDICARE COST REPORTS IN A MANNER THAT COMPORTS WITH PROVIDER REIMBURSEMENT MANUAL (PRM) 15-1, AND PRM 15-2, CHAPTER 40 (TRANSMITTAL 18). AS SUCH, THE FOLLOWING LANGUAGE PER THE PRM 15-1 DESCRIBES THE COMPUTATION OF COSTS PER THE MEDICARE COST REPORT:TOTAL ALLOWABLE COSTS OF A PROVIDER ARE APPORTIONED BETWEEN PROGRAM BENEFICIARIES AND OTHER PATIENTS SO THAT THE SHARE BORNE BY THE PROGRAM IS BASED UPON ACTUAL SERVICES RECEIVED BY PROGRAM BENEFICIARIES. THE RATIO OF COVERED BENEFICIARY CHARGES TO TOTAL PATIENT CHARGES FOR THE SERVICES OF EACH ANCILLARY DEPARTMENT IS APPLIED TO THE COST OF THE DEPARTMENT. ADDED TO THIS AMOUNT IS THE COST OF ROUTINE SERVICES FOR PROGRAM BENEFICIARIES, DETERMINED ON THE BASIS OF A SEPARATE AVERAGE COST PER DIEM FOR ALL PATIENTS FOR GENERAL ROUTINE PATIENT CARE AREAS. ANOTHER FACTOR TO BE CONSIDERED IS A SEPARATE AVERAGE COST PER DIEM FOR EACH INTENSIVE CARE UNIT, CORONARY CARE UNIT, AND OTHER SPECIAL CARE INPATIENT HOSPITAL UNITS.COMMONSPIRIT HEALTH AND ITS SUBORDINATE CORPORATIONS BELIEVE THAT THE ENTIRE MEDICARE SHORTFALL FOR THE CONSOLIDATED ENTITIES CONSTITUTES COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY COMMONSPIRIT HEALTH HOSPITALS IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITIES. THE HOSPITALS PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. SNMH'S SHORTFALL INCLUDES $17.8 MILLION REPORTED ON PART III, SECTION B, LINE 7. PART III, LINE 9B: SNMH ENSURES THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. SNMH ALSO FOLLOWS COMMONSPIRIT HEALTH'S COLLECTION POLICY. THE HOSPITAL'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 SNMH OR THE BILLING COMPANY RETAINED BY COMMONSPIRIT HEALTH IS UNABLE TO OBTAIN AN UPDATED ADDRESS THROUGH SKIP TRACING OR OTHER MEANS. FOR PATIENTS WHO HAVE AN APPLICATION PENDING FOR EITHER GOVERNMENT-SPONSORED FINANCIAL ASSISTANCE OR FOR ASSISTANCE UNDER COMMONSPIRIT 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, SNMH WILL NOT KNOWINGLY SEND THAT PATIENT'S BILL TO AN OUTSIDE COLLECTION AGENCY.ON SELF-PAY ACCOUNTS THAT DO NOT MEET THE CRITERIA NOTED ABOVE, THE INITIAL DETERMINATION OF ASSIGNMENT TO A COLLECTION AGENCY WILL VARY DEPENDING ON THE NATURE OF THE ACCOUNT WITH THE FINAL DECISION BEING AT THE DISCRETION OF THE HOSPITAL PATIENT FINANCIAL ASSISTANCE DEPARTMENT. UPON ASSIGNMENT OF SUCH A PATIENT ACCOUNT TO A COLLECTION AGENCY, SNMH REQUIRES THE AGENCY TO COMPLY WITH THE FAIR DEBT COLLECTION PRACTICES ACT. PART VI, LINE 2: IN ADDITION TO THE HOSPITAL CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT AT LEAST EVERY THREE YEARS, THE HOSPITAL ASSESSES THE HEALTH NEEDS OF THE COMMUNITY IT SERVES BY WORKING COLLABORATIVELY WITH LOCAL FEDERALLY QUALIFIED HEALTH CENTERS, OTHER NON-PROFIT CLINICS, PUBLIC HEALTH DEPARTMENTS, AND OTHER HEALTH, SOCIAL SERVICE AND COMMUNITY ORGANIZATIONS TO IDENTIFY AND SERVE THE NEEDS OF VULNERABLE POPULATIONS. THE HOSPITAL OBTAINS AND MAINTAINS KNOWLEDGE OF HEALTH NEEDS IN PART THROUGH REFERRAL RELATIONSHIPS, SERVICE PLANNING ACTIVITIES, COMMUNITY HEALTH PARTNERSHIPS, COMMUNITY GRANTS PROGRAM, AND LOCAL ADVOCACY CONDUCTED IN CONJUNCTION WITH COMMUNITY PARTNERS. THE HOSPITALS UTILIZE DATABASES AND PLANNING TOOLS TO EVALUATE CHANGES IN CURRENT AND PROJECTED COMMUNITY NEED FOR HEALTH CARE SERVICES, INCLUDING PHYSICIANS.THE HOSPITAL CREATES AND MAKES AVAILABLE TO THE PUBLIC AN ANNUAL COMMUNITY BENEFIT REPORT THAT SUMMARIZES IDENTIFIED HEALTH NEEDS, UPDATES COMMUNITY DEMOGRAPHIC INFORMATION, AND REPORTS ON RECENT AND PLANNED COMMUNITY HEALTH PROGRAMS, INCLUDING GOALS, OBJECTIVES AND MEASURABLE RESULTS. PART VI, LINE 3: COMMUNICATION OF THE FINANCIAL ASSISTANCE PROGRAM TO PATIENTS AND THE PUBLIC: INFORMATION ABOUT THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM AND A CONTACT NUMBER ARE MADE AVAILABLE TO PATIENTS AND THE PUBLIC. PATIENTS ARE INFORMED OF THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM VIA SIGNAGE IN ALL ADMITTING AREAS AND IN VARIOUS COMMON AREAS OF THE HOSPITAL. FINANCIAL ASSISTANCE PROGRAM INFORMATION NOTICES ARE POSTED IN THE EMERGENCY AND ADMITTING DEPARTMENTS AND AT OTHER PUBLIC PLACES AS THE HOSPITAL FACILITY MAY ELECT. SUCH INFORMATION IS PROVIDED IN THE PRIMARY LANGUAGES SPOKEN IN THE COMMUNITIES SNMH 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 WEBSITE.IF FINANCIAL ASSISTANCE ELIGIBILITY IS NOT DETERMINED PRIOR TO BILLING, INITIAL BILLING STATEMENTS TO PATIENTS INCLUDE A REQUEST TO THE PATIENT TO PROVIDE ANY INSURANCE INFORMATION THAT WAS VALID FOR THE DATES OF SERVICE BILLED, A STATEMENT INFORMING PATIENTS HOW TO CONTACT US REGARDING FINANCIAL ASSISTANCE. ADDITIONALLY, CONTRACT TERMS WITH COLLECTION VENDORS WORKING ON BEHALF OF COMMONSPIRIT HEALTH REQUIRES THEY FOLLOW COMMONSPIRIT HEALTH FINANCIAL ASSISTANCE POLICY. ALSO, REFERRAL OF PATIENTS FOR FINANCIAL ASSISTANCE MAY BE MADE BY ANY MEMBER OF SNMH NON-MEDICAL OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKS, CASE MANAGERS, CHAPLAINS, AND RELIGIOUS SPONSORS. A REQUEST FOR ASSISTANCE MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND, OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS. PART VI, LINE 4: SIERRA NEVADA MEMORIAL SERVES APPROXIMATELY 80,000 RESIDENTS WHO RESIDE IN THE RURAL, MOUNTAINOUS COMMUNITIES LOCATED ON THE WESTERN SLOPE OF THE SIERRA NEVADA FOOTHILLS AND EXTENDING INTO TAHOE NATIONAL FOREST. A SUMMARY DESCRIPTION OF THE COMMUNITY IS BELOW, AND ADDITIONAL DETAILS CAN BE FOUND IN THE CHNA REPORT ONLINE. THE LARGEST INCORPORATED AREA IN THE SNMH COMMUNITY IS THE CITY OF GRASS VALLEY, WHICH IS HOME TO 14,126 RESIDENTS. NEARLY ADJACENT TO GRASS VALLEY IS THE MUCH SMALLER CITY OF NEVADA CITY, WHERE 3,168 INDIVIDUALS RESIDE. NEVADA CITY SERVES AS THE COUNTY SEAT OF NEVADA COUNTY. THE HOSPITAL ALSO SERVES THE COMMUNITIES OF ALTA SIERRA, LAKE WILDWOOD, NORTH SAN JUAN, PENN VALLEY, SMARTSVILLE, AND WASHINGTON, CALIFORNIA. THE COMMUNITY SERVED BY THE HOSPITAL INCLUDES THE FOLLOWING ZIP CODES: 95945 - GRASS VALLEY; ALTA SIERRA, 95946 - PENN VALLEY, 95949 - GRASS VALLEY, 95959 - NEVADA CITY, 95960 - NORTH SAN JUAN, 95975 - ROUGH AND READY, 95977 - SMARTSVILLE, 95986 - WASHINGTON. DEMOGRAPHICS WITHIN SIERRA NEVADA MEMORIAL HOSPITAL'S SERVICE AREA AS DERIVED FROM THE U.S. CENSUS INCLUDE: TOTAL POPULATION: 79,880MEDIAN AGE (YEARS): 50.6HISPANIC OR LATINO(A): 9.9% WHITE ALONE, NOT HISPANIC OR LATINO(A): 81.8%BLACK/AFRICAN AMERICAN: 0.3%ASIAN/PACIFIC ISLANDER: 1.3%ALL OTHERS: 6.7%MEDIAN HOUSEHOLD INCOME RANGE: $40,099 - $100,909 PERCENT OF FAMILIES LIVING IN POVERTY (BELOW 100% FEDERAL POVERTY LEVEL): 7.2% UNEMPLOYMENT RATE: 4.5%PERCENT WITH LESS THAN A HIGH SCHOOL DIPLOMA, 25 YEARS AND OVER: 5.1%PERCENT, AGE 5 AND OLDER WHO SPEAK ENGLISH LESS THAN "VERY WELL": 2.3% PERCENT WITHOUT HEALTH INSURANCE: 5.3%NO. OF PARTNERSHIP HEALTHPLAN OF CALIFORNIA MEMBERS (MEDI-CAL ADMINISTRATOR): 28,772 PART VI, LINE 5: FINANCIAL ASSISTANCE: IT IS THE POLICY OF COMMONSPIRIT HEALTH TO PROVIDE, WITHOUT DISCRIMINATION, EMERGENCY MEDICAL CARE AND MEDICALLY NECESSARY CARE IN COMMONSPIRIT HOSPITAL FACILITIES TO ALL PATIENTS, WITHOUT REGARD TO A PATIENT'S FINANCIAL ABILITY TO PAY. THIS HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY THAT DESCRIBES THE ASSISTANCE PROVIDED TO PATIENTS FOR WHOM IT WOULD BE A FINANCIAL HARDSHIP TO FULLY PAY THE EXPECTED OUT-OF-POCKET EXPENSES FOR SUCH CARE, AND WHO MEET THE ELIGIBILITY CRITERIA FOR SUCH ASSISTANCE. THE FINANCIAL ASSISTANCE POLICY, A PLAIN LANGUAGE SUMMARY AND RELATED MATERIALS ARE AVAILABLE IN MULTIPLE LANGUAGES ON THE HOSPITAL'S WEBSITE.USE OF SURPLUS FUNDS: AS A NOT-FOR-PROFIT HOSPITAL ORGANIZATION DEDICATED TO IMPROVING THE QUALITY OF LIFE, THE HOSPITAL REINVESTS ALL OF ITS SURPLUS FUNDS FROM OPERATING AND INVESTMENT ACTIVITIES TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND REPLACE EXISTING FACILITIES AND EQUIPMENT, INVEST IN TECHNOLOGICAL ADVANCEMENTS, SUPPORT COMMUNITY HEALTH PROGRAMS, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH. THIS ACTIVE REINVESTMENT OF FUNDS MAKES IT POSSIBLE FOR THE HOSPITAL TO DELIVER ON ITS MISSION, INCLUDING HELPING TO ENSURE THAT EVERYONE IN THE COMMUNITIES SERVED HAS ACCESS TO HEALTH CARE.OPEN MEDICAL STAFF: MEDICAL STAFF PRIVILEGES ARE OPEN TO PHYSICIANS WHOSE EXPERIENCE AND TRAINING ARE VERIFIED THROUGH A CREDENTIALING PROCESS. THE PROCESS INCLUDES GATHERING AND VERIFYING CREDENTIALS, ALLOWING THE MEDICAL STAFF TO EVALUATE AN APPLICANT'S QUALIFICATIONS, PREVIOUS EXPERIENCE, AND COMPETENCE, AND ULTIMATELY MAKING A DECISION TO GRANT OR DENY MEDICAL STAFF MEMBERSHIP AND CLINICAL PRIVILEGES ON THE BASIS OF AUTHENTIC AND VALID CREDENTIALS.ROLE OF THE BOARD: THE COMMONSPIRIT HEALTH BOARD AND SPECIFIC COMMITTEES HAVE ORGANIZATIONAL, POLICY-BASED ROLES TO OVERSEE COMMUNITY BENEFIT AND COMMUNITY HEALTH PROGRAMS, AND THEY RECEIVE REGULAR REPORTS ON ACTIVITIES AND PERFORMANCE. HOSPITAL COMMUNITY BOARDS (OR THEIR DESIGNATED COMMUNITY HEALTH OR COMMUNITY BENEFIT COMMITTEES) ARE RESPONSIBLE FOR ENSURING THAT THE HOSPITALS CONDUCT AND ADOPT COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES, TAKE ACTIONS TO HELP ADDRESS IDENTIFIED SIGNIFICANT HEALTH NEEDS WITH AN EMPHASIS ON POOR AND VULNERABLE POPULATIONS AND HEALTH EQUITY, AND MONITORING ACTIONS AND PROGRESS TOWARD IDENTIFIED GOALS. PART VI, LINE 6: AFFILIATES OF SNMH PROMOTE THE HEALTH OF ADDITIONAL COMMUNITIES IN BAKERSFIELD, SAN BERNARDINO, SAN FRANCISCO, SAN ANDREAS, CALIFORNIA, PHOENIX, CHANDLER AND GILBERT, ARIZONA, LAS VEGAS AND HENDERSON, NEVADA AND IN 21 ADDITIONAL STATES THROUGH THE ALLIANCE WITHIN COMMONSPIRIT HEALTH SYSTEM. THESE AFFILIATES FOLLOW PRACTICES SIMILAR TO THOSE NOTED ABOVE IN DETERMINING THE UNMET HEALTHCARE NEEDS OF THEIR COMMUNITIES. TOTAL UNSPONSORED COMMUNITY BENEFIT EXPENSE NET OF OFFSETTING REVENUE FOR COMMONSPIRIT HEALTH AND ITS AFFILIATED CORPORATIONS, WHICH INCLUDES SNMH, FOR THE YEAR JUNE 30, 2025, IS $3.1 BILLION. A SUMMARY OF COMMONSPIRIT'S COMMUNITY BENEFITS CAN BE VIEWED IN THE ATTACHED COMMONSPIRIT HEALTH CONSOLIDATED FINANCIAL STATEMENTS ON PAGE 41. PART VI, LINE 7, REPORTS FILED WITH STATES CA 1 DIGNITY HEALTH MEDICAL FOUNDATION 3400 DATA DRIVE RANCHO CORDOVA CA 95670 680220314 501(C)(3) 10033506 0 MEDICAL FOUNDATION SUPPORT SIERRA NEVADA MEMORIAL HOSPITAL FOUNDATION 140 LITTON DRIVE GRASS VALLEY CA 95945 680005939 501(C)(3) 877566 0 FOUNDATION SUPPORT CALIFORNIA HEALTH FOUNDATION AND TRUST 1215 K STREET SUITE 800 SACRAMENTO CA 95814 941498697 501(C)(3) 254784 0 COMMUNITY HEALTH NEVADA COUNTY HEALTH AND HUMAN SERVICES 950 MAIDU AVENUE NEVADA CITY CA 95959 946000526 GOVT 240000 0 COMMUNITY HEALTH BRIGHT FUTURES FOR YOUTH 200 LITTON DR SUITE 308 GRASS VALLEY CA 95945 680262000 501(C)(3) 95000 0 COMMUNITY HEALTH 5 0 CLOTHING TO HOMELESS 21 9425 BOOK CLOTHING MEALS TO HOMELESS 11 110 BOOK FOOD PART I, LINE 2: THE ORGANIZATION'S CFO REVIEWS FINANCIAL INFORMATION MONTHLY AND APPROVES THE GRANT PAYMENT BASED ON THAT REVIEW. THE GRANTS TO THE FOUNDATION ARE BASED ON ACTUAL EXPENSES, NOT TO EXCEED THE APPROVED BUDGET. 1 0 0 0 0 0 0 0 0 MICHAEL KORPIEL BOARD MEMBER (THRU 6/30/25) 0 641061 0 595691 0 12566 0 89349 0 27752 0 1366419 0 0 SCOTT NEELEY MD PRESIDENT/ CEO 0 478661 0 200843 0 52609 0 66860 0 32587 0 831560 0 0 TYLER HILL MD CMO 357459 0 74435 0 1181 0 0 0 45460 0 478535 0 0 0 GREGORY T SMITH REGISTERED NURSE 286378 0 600 0 14995 0 71958 0 30411 0 404342 0 0 0 DAVID HALL FORMER OFFICER (CFO) 0 256671 0 61013 0 7026 0 36256 0 37957 0 398923 0 0 ABDUL N WASAY REGISTERED NURSE 323054 0 600 0 875 0 24663 0 44116 0 393308 0 0 0 ROBERT LOWES CFO 0 235006 0 77598 0 581 0 25010 0 25825 0 364020 0 0 JULIE OSTROM CNO 248170 0 39160 0 24397 0 0 0 44511 0 356238 0 0 0 ALEX M CASTILLO REGISTERED NURSE 264149 0 600 0 1866 0 43246 0 15297 0 325158 0 0 0 KELLIE J BOLLE DIRECTOR OF NURSING (THRU 4/26/24) 69134 0 0 0 202067 0 4726 0 25675 0 301602 0 0 0 KATHERYN K KRAY DIRECTOR NURSING 212594 0 33176 0 10207 0 0 0 28497 0 284474 0 0 0 PART I, LINE 3 ALTHOUGH THE ORGANIZATION EMPLOYS PERSONNEL, SNMH RELIED ON A RELATED ORGANIZATION, COMMONSPIRIT, THAT USED ONE OR MORE OF THE METHODS DESCRIBED IN SCHEDULE J, PART I, LINE 3, TO ESTABLISH THE ORGANIZATION'S CEO'S COMPENSATION: (1) PEOPLE AND COMPENSATION COMMITTEE OF THE COMMONSPIRIT BOARD OF STEWARDSHIP TRUSTEES; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) COMPENSATION SURVEY OR STUDY; AND (4) APPROVAL BY THE BOARD OR PEOPLE AND COMPENSATION COMMITTEE. SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15A FOR ADDITIONAL INFORMATION. PART I, LINE 4A CERTAIN LISTED PERSONS ARE COVERED BY AN EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 9 TO 24 MONTHS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. CERTAIN LISTED PERSONS ARE COVERED BY A NON-EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 2 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 INDIVIDUAL RECEIVED SEVERANCE PAYMENT DURING THE 2024 CALENDAR YEAR, AND THIS SEVERANCE PAYMENT WAS INCLUDED IN THE INDIVIDUAL'S W-2 INCOME AND REPORTABLE COMPENSATION ON PART VII AND SCHEDULE J, PART II, COLUMN (B)(III)): K. BOLLE, 162,773. SCHEDULE J, PART II SUPPLEMENTAL DISCLOSURES THE ORGANIZATION FOLLOWS COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY. COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST THE ORGANIZATION IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES IT SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY COMMONSPIRIT'S PEOPLE AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND THE ORGANIZATION'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE, REVENUES AND COMPLEXITY. PAYMENTS PURSUANT TO A LONG-TERM FINANCIAL PERFORMANCE GOAL WERE PAID IN CALENDAR YEAR 2024. THOMAS M BOYLE MD T. BOYLE, MD, BOARD MEMBER; SOLE PROPRIETOR 167500 PHYSICIAN/MEDICAL SERVICES 0 FORM 990, PART III, LINE 4A: SNMH'S MISSION IS TO CONTRIBUTE TO THE WELLNESS OF OUR COMMUNITY THROUGH THE PROVISION OF QUALITY SERVICES DELIVERED IN A COMPASSIONATE AND COST-EFFECTIVE MANNER, COLLABORATING WITH OTHERS IN THE COMMUNITY TO IMPROVE THE QUALITY OF LIFE. THE HOSPITAL OFFERS A WIDE RANGE OF SERVICES AND SPECIALTIES TO ACCOMMODATE THE GROWING NEEDS OF WESTERN NEVADA COUNTY. AS THE SOLE ACUTE CARE PROVIDER IN OUR SERVICE AREA, SNMH TREATS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. SNMH IS LICENSED WITH 104 ACUTE BEDS, SPECIALIZING IN ORTHOPEDICS, ONCOLOGY AND GENERAL MEDICAL SERVICE. SERVICES PROVIDED IN FISCAL YEAR 2025 INCLUDED 76,409 OUTPATIENT VISITS, 4,324 INPATIENT EMERGENCY VISITS, 26,816 OUTPATIENT EMERGENCY VISITS AND 2,122 INPATIENT AND OUTPATIENT SURGERIES. SNMH'S LIST OF INPATIENT, OUTPATIENT AND SUPPORT SERVICES IS QUITE EXHAUSTIVE. INPATIENT SERVICES INCLUDE ACUTE MEDICAL/SURGICAL CARE; INTENSIVE CARE; PHARMACY; ORTHOPEDIC AND GENERAL SURGERY; AND WOMEN & INFANT CARE UNIT. OUTPATIENT SERVICES: AMBULATORY TREATMENT CENTER; CARDIAC REHABILITATION; CARDIOPULMONARY; DIAGNOSTIC IMAGING; LABORATORY; OUTPATIENT SURGERY CENTER; NEUROLOGICAL REHABILITATION SERVICES; WOUND CARE CENTER; AMBULANCE; CANCER CENTER; AND EMERGENCY SERVICES. FORM 990, PART VI, SECTION A, LINE 2 CERTAIN REPORTABLE INDIVIDUALS HAVE BUSINESS RELATIONSHIPS WITH THE RELATED ENTITIES OF SIERRA NEVADA MEMORIAL HOSPITAL (INCLUDING FOR-PROFIT SUBSIDIARIES OR JOINT VENTURES) AS A RESULT OF SERVING AS OFFICERS OR BOARD MEMBERS OF THOSE ENTITIES. BOARD OFFICER MEMBERSHIP ON THE GOVERNING BODIES OF THOSE RELATED ENTITIES ARE AS FOLLOWS. S. NEELEY, R. LOWES - BUSINESS RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S SOLE CORPORATE MEMBER IS DIGNITY COMMUNITY CARE, A 501(C)(3) EXEMPT ORGANIZATION. ON FEBRUARY 1, 2019, DIGNITY HEALTH AND CATHOLIC HEALTH INITIATIVES ("CHI"), A COLORADO NONPROFIT CORPORATION, EFFECTED A BUSINESS COMBINATION. ON THAT DATE, CHI CHANGED ITS NAME TO COMMONSPIRIT AND BECAME THE SOLE CORPORATE MEMBER OF DIGNITY HEALTH. COMMONSPIRIT IS A CATHOLIC HEALTHCARE SYSTEM SPONSORED BY THE PUBLIC JURIDIC PERSON, CATHOLIC HEALTH CARE FEDERATION (CHCF"). AS PART OF THE ALIGNMENT, ON THE EFFECTIVE DATE OF FEBRUARY 1, 2019, DIGNITY HEALTH CAUSED TO TRANSFER NON-CATHOLIC OWNED COMMUNITY HOSPITALS, NON-CATHOLIC SUBSIDIARY HOSPITALS, AND CERTAIN OTHER NON-CATHOLIC OPERATIONS TO DIGNITY COMMUNITY CARE, A COLORADO NONPROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A DIGNITY COMMUNITY CARE, AS THE SOLE CORPORATE MEMBER, RATIFIES THE SELECTION OF MEMBERS AND THE DIGNITY COMMUNITY CARE BOARD APPROVES NEW BOARD MEMBERS OF THE ORGANIZATION. THE CORPORATE MEMBER CAN ELECT ONE MEMBER AND APPOINT TWO OTHER MEMBERS IF NOMINATED BY THE BOARD. FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION IS SUBJECT TO THE GOVERNANCE REQUIREMENTS OF THE COMMONSPIRIT GOVERNANCE MATRIX. THUS, MANY KEY DECISIONS ADDRESSED IN THE BYLAWS REQUIRE THE FOUNDATION TO ACT BY MAKING A "RECOMMENDATION," WHICH IS THEN FORMALLY ACTED ON BY THE DIGNITY COMMUNITY CARE BOARD. EXAMPLES INCLUDE AMENDING CORPORATE DOCUMENTS, APPROVING MEMBERS OF GOVERNING BOARD, APPROVING REMOVAL OF MEMBERS OF GOVERNING BOARD, APPROVAL OF DISSOLUTION AND SELLING OR DISPOSING OF ASSETS. RESERVED RIGHTS OF THE CORPORATE MEMBER INCLUDE ADOPTION OF MISSION AND PHILOSOPHY STATEMENTS, AMENDMENT OR RESTATEMENT OF ARTICLES OF INCORPORATION AND BYLAWS, DISSOLUTION OF THE CORPORATION, ACQUISITION OF ANOTHER CORPORATION, CREATION OF A NEW SUBSIDIARY, MERGER OR CONSOLIDATION WITH ANOTHER CORPORATION, PARTICIPATION AS A GENERAL OR LIMITED PARTNER IN ANY VENTURE, INCURRING LONG-TERM INDEBTEDNESS IN EXCESS OF NORMAL OPERATING REQUIREMENTS, RATIFICATION OF BOARD MEMBER APPOINTMENTS AND DISMISSALS, SELECTION AND REMOVAL OF INDEPENDENT AUDITORS, AND TRANSACTIONS OUTSIDE THE ORDINARY COURSE OF BUSINESS. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S CFO REVIEWED THE FORM 990. IN ADDITION, IN THE PROCESS OF PREPARATION, THE FORM 990 WAS REVIEWED BY ACCOUNTING AND FINANCE (REGIONAL DIGNITY HEALTH MANAGEMENT AND COMMONSPIRIT'S TAX DEPARTMENT). DUE TO TIMING, THE FORM 990 WILL BE SHARED WITH THE ORGANIZATION'S BOARD SUBSEQUENT TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS ADOPTED THE RELATED ORGANIZATION, COMMONSPIRIT'S CONFLICTS OF INTEREST POLICY. THE CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") WAS PUT IN PLACE TO PROTECT THE INTERESTS OF COMMONSPIRIT IN CIRCUMSTANCES THAT MAY RESULT IN A CONFLICT BETWEEN PERSONAL INTERESTS OF A PERSON AND THE INTERESTS OF THE ORGANIZATION AND THOSE IT SERVES. COMMONSPIRIT'S COI POLICY APPLIES TO COMMONSPIRIT, ITS DIRECT AFFILIATES AND SUBSIDIARIES AND ANY RELATED ENTITY THE GOVERNING DOCUMENTS OF WHICH REQUIRE THE ENTITY TO COMPLY WITH COMMONSPIRIT POLICY (COLLECTIVELY THE "SYSTEM ENTITIES"). THE FOLLOWING PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST AS SOON AS THEY BECOME AWARE OF IT AND AT LEAST ANNUALLY THEREAFTER (VIA A FORMAL SYSTEM-ADMINISTERED SURVEY) IF THE PERSON'S AFFILIATION WITH COMMONSPIRIT CONTINUES: - MEMBERS OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF COMMITTEES OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF THE EXECUTIVE LEADERSHIP TEAM ("ELT") OF COMMONSPIRIT - CORPORATE OFFICERS OF SYSTEM ENTITIES - EMPLOYED PHYSICIANS AND ADVANCED PRACTICE PROVIDERS - KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES AS SPECIFIED BY THE INTERNAL REVENUE SERVICE FOR FORM 990 PURPOSES WHO ARE NOT OTHERWISE INCLUDED IN THE CATEGORIES ABOVE - EMPLOYEES OF SYSTEM ENTITIES AT THE VICE PRESIDENT LEVEL AND ABOVE - ALL INDIVIDUALS ENGAGED IN RESEARCH AT INSTITUTIONS OWNED OR OPERATED BY A SYSTEM ENTITY. - SELECT EMPLOYEES AS DETERMINED FROM TIME TO TIME BY LEADERSHIP A FAILURE TO DISCLOSE MAY RESULT IN DISCIPLINARY OR CORRECTIVE ACTIONS. REVIEW, AND MANAGEMENT OF PERCEIVED, POTENTIAL, OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS AS FURTHER DESCRIBED BELOW. REPORTED POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE INITIALLY REVIEWED BY LEGAL, CORPORATE RESPONSIBILITY OR RESEARCH INTEGRITY STAFF. STANDARD MANAGEMENT APPROACHES PER COI POLICY ARE APPLIED TO DISCLOSED CONFLICTS. DISCLOSURES THAT IDENTIFY PERCEIVED, POTENTIAL, OR ACTUAL COIS THAT REQUIRE IMMEDIATE MATERIAL ACTION TO RESOLVE, WILL BE IDENTIFIED, AND A CONFLICT OF INTEREST MANAGEMENT PLAN DEVELOPED, WHICH PLAN SHALL BE SUBJECT TO ACCEPTANCE BY THE APPROPRIATE DIRECT MANAGER, SUPERVISOR, MEDICAL STAFF OFFICE, BOARD OR BOARD COMMITTEE (FOR BOARD, BOARD COMMITTEE, ELT OR CORPORATE OFFICER CONFLICTS), OR OTHER APPROPRIATE INDIVIDUAL OR BODY. ONCE ACCEPTED, THE CONFLICT OF INTEREST MANAGEMENT PLAN IS COMMUNICATED TO THE PERSON WITH THE ACTUAL OR POTENTIAL CONFLICT AND THE INDIVIDUAL MUST CONDUCT THEMSELVES IN CONFORMITY WITH THE PLAN. IN THE EVENT THAT A TRANSACTIONAL CONFLICT INTEREST ARISES IN CONNECTION WITH A SYSTEM ENTITY BOARD MEETING, THE CONFLICTED INDIVIDUAL MUST DISCLOSE THAT CONFLICT PRIOR TO OR AT THE BEGINNING OF THE MEETING IN WHICH THE MATTER IS TO BE CONSIDERED. THE CONFLICTED INDIVIDUAL IS EXCLUDED FROM VOTING ON THE TRANSACTION AND IS PROHIBITED FROM USING PERSONAL INFLUENCE WITH RESPECT TO THE MATTER, BUT IS NOT PROHIBITED FROM PROVIDING INPUT IF REQUESTED TO DO SO. FORM 990, PART VI, SECTION B, LINE 15 FOR 2024 COMPENSATION, COMPENSATION LEVELS FOR THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL WERE ESTABLISHED BY THE RELATED ORGANIZATION, COMMONSPIRIT. COMMONSPIRIT'S BOARD OF STEWARDSHIP TRUSTEES APPOINTS A PEOPLE AND COMPENSATION COMMITTEE, COMPRISED EXCLUSIVELY OF INDEPENDENT DIRECTORS, WHO ARE ACCOUNTABLE FOR 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 FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY BE MADE AVAILABLE FOR PUBLIC INSPECTION. THE ORGANIZATION IS INCLUDED IN COMMONSPIRIT'S CONSOLIDATED FINANCIAL STATEMENTS WHICH ARE AVAILABLE ON COMMONSPIRIT'S WEBSITE AND UPON REQUEST. FORM 990, PART VII, SECTION A: M. KORPIEL, S. NEELEY, R. LOWES AND D. HALL RECEIVED COMPENSATION FOR SERVICES PROVIDED FROM THE RELATED ORGANIZATION, DIGNITY HEALTH. IN 2025, COMMONSPIRIT OBTAINED AN INDEPENDENT, OUTSIDE REVIEW OF THE APPROPRIATE ANNUAL STIPEND TO BE PROVIDED TO ITS BOARD AND BOARD COMMITTEE MEMBERS. THE REVIEW INCLUDED COMPARABILITY DATA AND REPORTED OUT ON REASONABLE AND APPROPRIATE STIPEND RANGES. THE SPONSORSHIP AND GOVERNANCE COMMITTEE OF THE COMMONSPIRIT BOARD CONSIDERED THE DATA AND RANGES AND MADE A RECOMMENDATION TO THE COMMONSPIRIT BOARD AS TO REASONABLE AND APPROPRIATE STIPEND LEVELS, WHICH THE BOARD APPROVED. R. LONG IS A BOARD COMMITTEE MEMBER TO A RELATED ORGANIZATION, DIGNITY COMMUNITY CARE. R. LONG RECEIVED COMPENSATION FOR HIS SERVICES AS A BOARD COMMITTEE MEMBER FROM THE RELATED ORGANIZATION, COMMONSPIRIT. FORM 990, PART IX, LINE 11G REVENUE CYCLE SERVICE: PROGRAM SERVICE EXPENSES 5,103,506. MANAGEMENT AND GENERAL EXPENSES 42,756. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,146,262. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 15,506,108. MANAGEMENT AND GENERAL EXPENSES 44,121. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,550,229. ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 3,325,340. MANAGEMENT AND GENERAL EXPENSES 4,590,602. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,915,942. REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 1,480,898. MANAGEMENT AND GENERAL EXPENSES 2,044,367. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,525,265. PROFESSIONAL CONSULTING: PROGRAM SERVICE EXPENSES 600,578. MANAGEMENT AND GENERAL EXPENSES 829,093. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,429,671. LAUNDRY/LINEN: PROGRAM SERVICE EXPENSES 241,342. MANAGEMENT AND GENERAL EXPENSES 333,170. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 574,512. CASE MANAGEMENT SERVICES: PROGRAM SERVICE EXPENSES 51,501. MANAGEMENT AND GENERAL EXPENSES 71,097. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 122,598. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 689,650. MANAGEMENT AND GENERAL EXPENSES 952,055. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,641,705. FORM 990, PART XI, LINE 9: GAIN ON ADOPTION OF ASU 2017-17 1,122,836. INTEREST IN NET ASSETS OF UNCONSOLIDATED FOUNDATION 1,231,269. FORM 990, PART XII, LINE 2C: THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR. FORM 990, PART XII, LINE 3B THE ORGANIZATION'S FEDERAL AWARDS WERE INCLUDED IN COMMONSPIRIT'S CONSOLIDATED UNIFORM GUIDANCE AUDITED SCHEDULE OF FEDERAL EXPENDITURES FOR THE PERIOD OF JULY 1, 2024, TO JUNE 30, 2025. FORM 990, J WEBSITE: WWW.DIGNITYHEALTH.ORG/SACRAMENTO/LOCATIONS/SIERRA-NEVADA-MEMORIAL-HOSPIT AL ALEGENT CREIGHTON CLINIC 12809 W DODGE RD OMAHA NE 68154 470765154 HOSPITAL NE 501(C)(3) LINE 3 ACH 0 ALEGENT CREIGHTON HEALTH 12809 W DODGE RD OMAHA NE 68154 470757164 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM 7500 MERCY RD OMAHA NE 68124 470484764 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - COMM MEM HOSPITAL OF MO VALLEY IA 631 N 8TH ST MISSOURI VALLEY IA 51555 420776568 HOSPITAL IA 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - IMMANUEL MEDICAL CENTER 6901 N 72ND ST OMAHA NE 68122 470376615 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER 104 W 17TH ST SCHUYLER NE 68661 470399853 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA PO BOX 368 CORNING IA 50841 420782518 HOSPITAL IA 501(C)(3) LINE 3 CHI NEBRASKA 0 ALVERNA APARTMENTS 300 SE 8TH AVE LITTLE FALLS MN 56345 411351177 LTERM CARE MN 501(C)(3) LINE 10 CSH 0 APPLETREE COURT 601 OAK ST BRECKENRIDGE MN 56520 411850500 SENIOR LIVING MN 501(C)(3) LINE 10 SFH 0 ARROYO GRANDE COMMUNITY HOSPITAL FOUNDATION 345 S HALCYON RD ARROYO GRANDE CA 93420 203256066 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DIGNITY HEALTH 0 BAKERSFIELD MEMORIAL HOSPITAL 420 34TH STREET BAKERSFIELD CA 93301 951802779 HOSPITAL CA 501(C)(3) LINE 3 DIGNITY COMMUNITY CARE 0 BARROW FOUNDATION UK 13 CHURCH STREET NUNNEY ENGLAND UK BA11 4LW 311724184 FUNDRAISING FOUNDATION UK 501(C)(3) PF N/A 0 BARROW NEUROLOGICAL FOUNDATION 350 WEST THOMAS ROAD PHOENIX AZ 85013 860174371 FUNDRAISING FOUNDATION AZ 501(C)(3) LINE 7 N/A 0 BAYLOR ST LUKE'S HEALTH VENTURES 17200 ST LUKES WAY STE 170 THE WOODLANDS TX 77384 274499340 PHYSICIANS TX 501(C)(3) LINE 12A, I SLHS 0 BAYLOR ST LUKE'S MEDICAL GROUP 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760458535 PHYSICIANS TX 501(C)(3) LINE 3 BSLHV 0 BENAROYA RESEARCH INSTITUTE AT VIRGINIA MASON 1201 9TH AVE SEATTLE WA 98101 910653422 RESEARCH WA 501(C)(3) LINE 4 VMFH 0 BORNEMANN HEALTHCARE CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 232187242 INACTIVE PA 501(C)(3) LINE 12A, I CSH 0 BURLESON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742759890 HOSPITAL TX 501(C)(3) LINE 3 SLH-CO 0 BURLESON ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742913931 REHABILITATION TX 501(C)(3) LINE 10 SJSC 0 CALIFORNIA HOSPITAL MEDICAL CENTER FOUNDATION 1401 SOUTH GRAND AVENUE LOS ANGELES CA 90015 954000909 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DIGNITY COMMUNITY CARE 0 CARRINGTON HEALTH CENTER 800 N 4TH ST CARRINGTON ND 58421 450227311 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 CATHOLIC HEALTH INITIATIVES - COLORADO 9100 EAST MINERAL CIRCLE CENTENNIAL CO 80112 840405257 HOSPITAL CO 501(C)(3) LINE 3 CSH 0 CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 9100 EAST MINERAL AVE CENTENNIAL CO 80112 840902211 FUNDRAISING FOUNDATION CO 501(C)(3) LINE 7 CHIC 0 CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 1150 KELLY JOHNSON BLVD 204 COLORADO SPRINGS CO 80920 270930004 FUNDRAISING FOUNDATION CO 501(C)(3) LINE 12A, I CSH 0 CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 460992796 TELEHEALTH CO 501(C)(3) LINE 12A, I CSH 0 CENTENNIAL MEDICAL GROUP INC 2700 STEWART PKWY ROSEBURG OR 97471 263946191 SURGERY CENTER OR 501(C)(3) LINE 10 CS OR 0 CENTRAL CALIFORNIA HEALTH CENTERS 300 OLD RIVER ROAD STE 200 BAKERSFIELD CA 93311 844171789 CLINIC CA 501(C)(3) LINE 3 DIGNITY COMMUNITY CARE 0 CENTRAL KANSAS MEDICAL CENTER 9100 E MINERAL CIRCLE CENTENNIAL CO 80112 480543724 INACTIVE KS 501(C)(3) LINE 3 CSH 0 CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PKWY S FARGO ND 58104 271966847 SENIOR LIVING MN 501(C)(3) LINE 10 CSH 0 CHI HEALTH FOUNDATION 12809 W DODGE RD OMAHA NE 68154 470648586 FUNDRAISING FOUNDATION NE 501(C)(3) LINE 7 ACH 0 CHI KENTUCKY INC 3900 OLYMPIC BLVD STE 400 ERLANGER KY 41018 202741651 INVESTMENTS KY 501(C)(3) LINE 12A, I CSH 0 CHI LIVING COMMUNITIES 930 S WYNN ROAD OREGON OH 43616 341892096 SENIOR LIVING OH 501(C)(3) LINE 12A, I SFH-OH 0 CHI MEMORIAL HOSPITAL - GEORGIA 100 GROSS CRESCENT CIRCLE FORT OGLETHORPE GA 30742 822748395 HOSPITAL GA 501(C)(3) LINE 3 MHCS 0 CHI NEBRASKA 12809 WEST DODGE ROAD OMAHA NE 68510 363233121 HOLDING CO NE 501(C)(3) LINE 12A, I CSH 0 CHI ST JOSEPH CHILDREN'S HEALTH 1929 LINCOLN HWY E STE 150 LANCASTER PA 17602 232342997 HEALTHCARE PA 501(C)(3) LINE 12A, I CSH 0 CHI ST JOSEPH'S CHILDREN 1516 5TH ST NW ALBUQUERQUE NM 87102 710897107 COMMUNITY NM 501(C)(3) LINE 12A, I CSH 0 CHI ST VINCENT HOSPITAL HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 710236913 HOSPITAL AR 501(C)(3) LINE 3 CHI-SVHS 0 CHI ST VINCENT HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125064 HOLDING CO AR 501(C)(3) LINE 12A, I SVIMC 0 CHI ST VINCENT MEDICAL GROUP HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125131 PHYSICIANS AR 501(C)(3) LINE 3 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