2026-06-24T15:58:10-05:00 2025-06-30 470617373 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2024-07-01 840405257 CATHOLIC HEALTH INITIATIVES COLORADO CATH 3032906500 3033 N 3RD AVE PHOENIX AZ 85013 TADD RICHERT CFO 3032906500 2026-06-24 1 0 PAMELA KROHN P01210500 3032989100 2024 2025-03-06 01:10:19Z X X ANDREW GAASCH 3033 N 3RD AVE PHOENIX AZ 85013 3443001126 0 X HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/ X 1968 CO WE MAKE THE HEALING PRESENCE OF GOD KNOWN IN OUR WORLD BY IMPROVING THE HEALTH OF THE PEOPLE WE SERVE, ESPECIALLY THOSE WHO ARE VULNERABLE, WHILE WE ADVANCE SOCIAL JUSTICE FOR ALL. 4 0 16223 1067 0 0 4471367 15020684 3215712602 3339188008 23046680 35070833 52606678 53535642 3295837327 3442815167 5767151 4104181 0 0 1282117112 1450181518 0 0 0 1934521746 2183146402 3222406009 3637432101 73431318 -194616934 6053020485 5693831654 2973137136 2808741210 3079883349 2885090444 WE MAKE THE HEALING PRESENCE OF GOD KNOWN IN OUR WORLD BY IMPROVING THE HEALTH OF THE PEOPLE WE SERVE, ESPECIALLY THOSE WHO ARE VULNERABLE, WHILE WE ADVANCE SOCIAL JUSTICE FOR ALL. 0 0 2940641713 4104181 3339188008 CATHOLIC HEALTH INITIATIVES-COLORADO IS 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." 2940641713 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 0 0 16223 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 0 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 1 1 CO X MIKALYN KLUTH 3036738249 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 1.00 49.00 X X 0 5048102 125735 MITCH MELFI ESQ 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 BOARD MEMBER/CSH SEVP CHIEF STRATEGY OFFICER 1.00 49.00 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 SHAUNA GULLEY FORMER HCE 0.00 50.00 X 0 1538382 210417 JOEL MACDONALD PHYSICIAN 50.00 0.00 X 1497650 0 85489 MARCHYARN MAHATHANARUK PHYSICIAN 50.00 0.00 X 1513788 0 42046 ALLISON ROBERTS PHYSICIAN 50.00 0.00 X 1413902 0 9598 DENNIS KRAUS FORMER HCE 0.00 50.00 X 0 1202846 47523 WILLIAM HOWARTH PHYSICIAN 50.00 0.00 X 1224707 0 24330 CAMILLE AZAR PHYSICIAN GASTROENTEROLOGY 50.00 0.00 X 1180029 0 66964 KEVIN JENKINS FORMER KEY EMPLOYEE 0.00 50.00 X 0 1095719 55433 THOMAS DONOHOE SECRETARY/SVP LEGAL SERVICES & GENERAL COUNSEL (TH 1.00 49.00 X 0 871055 59958 TADD RICHERT TREASURER/MTN. REGION CFO 1.00 49.00 X 0 647401 69350 MIKE CAFASSO FORMER KEY EMPLOYEE 0.00 50.00 X 0 649149 43754 MATTHEW LEARY FORMER KEY EMPLOYEE 0.00 50.00 X 0 594514 53443 PATRICK SHARP FORMER KEY EMPLOYEE 0.00 0.00 X 0 560468 41273 CARRIE DAMON FORMER KEY EMPLOYEE 0.00 0.00 X 0 542091 24806 KEVIN WIKOFF FORMER KEY EMPLOYEE 0.00 49.00 X 0 523326 29382 KATHERINE BROOKS SECRETARY/SVP, MTN. REGION GENERAL COUNSEL 1.00 49.00 X 0 232656 34210 6830076 34619271 2317596 2428 1 1 0 VASCULAR CENTER OF COLORADO 2222 N NEVADA AVE SUITE 3000 COLORADO SPRINGS CO 80907 MEDICAL SERVICES 44453107 US ANESTHESIA PARTNERS OF COLORADO PO BOX 841069 DALLAS TX 75284 MEDICAL SERVICES 17568856 COLORADO SPRINGS SURGICAL ASSCOCIATION 2222 N NEVADA AVE SUITE 5017 COLORADO SPRINGS CO 80907 MEDICAL SERVICES 10004761 CARDIAC AND THORACIC SURGICAL ASSOCIATIO 2222 N NEVADA AVE SUITE 5011 COLORADO SPRINGS CO 80907 MEDICAL SERVICES 9692461 COMPREHENSIVE ORTHOPEDICS 913 W BAXTER DR SUITE 200 SOUTH JORDAN UT 84095 MEDICAL SERVICES 8555043 177 14775102 181396 64186 15020684 NET PATIENT SERVICES 900099 3324346102 3324346102 0 0 RENTAL TO AFFILIATES 531120 7721821 7721821 0 0 MANAGEMENT FEES 541610 7120085 7120085 0 0 3339188008 4384383 4384383 11299682 19386768 0 0 11299682 19386768 30686450 30686450 507954 185959 321995 321995 PHARMACY SERVICES 446110 25383224 0 0 25383224 CAFETERIA 722100 9987253 0 0 9987253 EDUCATION 611710 784836 0 0 784836 17058334 17058334 53213647 3442815167 3339188008 0 88606475 X 4104181 4104181 1174279409 775024410 399254999 46333772 39383706 6950066 150244161 142731953 7512208 79324176 67425550 11898626 196559 167075 29484 77040 77040 129058 129058 829062174 626217785 202844389 44927168 22463584 22463584 104874214 83899371 20974843 99812243 94821631 4990612 71597650 71597650 254146246 241438934 12707312 18569316 12998521 5570795 MEDICAL SUPPLIES 539334292 539334292 0 0 STATE PROVIDER TAX 181820354 181820354 0 0 REPAIRS AND MAINTENANCE 35055988 35055988 0 0 DUES & SUBSCRIPTIONS 3468430 2081058 1387372 0 75670 75670 3637432101 2940641713 696790388 0 49445 53420 210938520 97496214 257831 349626 1408162633 1046861043 0 0 0 0 0 0 105235329 109225193 35996609 25788196 3325376395 1636977379 1575463801 1688399016 0 0 390760466 235832802 0 0 699638266 852195061 1626517585 1637631083 6053020485 5693831654 122611729 211467550 0 315849 3170471 0 0 0 0 0 0 0 0 0 0 2850209558 2594103189 2973137136 2808741210 X 3078647844 2884066459 1235505 1023985 3079883349 2885090444 6053020485 5693831654 X -194616934 12014109 -12190080 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 129058 129058 0 PART II-B, LINE 1: CHI COLORADO PAID ANNUAL DUES TO VARIOUS MEMBERSHIP ORGANIZATIONS, A PORTION OF WHICH IS ALLOCATED TO LOBBYING. THE AMOUNT THAT REPRESENTS THIS ENTITY'S SHARE OF THE ALLOCATED LOBBYING EXPENSES IS AS FOLLOWS: COLORADO HEALTH ASSOCIATION - $64,335. AMERICAN HOSPITAL ASSOCIATION - $43,089. CATHOLIC HEALTH ASSOCIATION - $21,026. ALLOCATED 340B DUES -$608. 173334233 173334233 1293079499 490075413 803004086 442136430 223477488 218658942 1165757742 923424478 242333264 251068491 251068491 1688399016 RIGHT OF USE ASSETS 1380268911 INVESTMENTS IN UNCONSOLIDATED ORGS 59468475 ST. ANTHONY HOSPITAL - CAPITAL LEASE 81431503 SAH PARKING GARAGE EASEMENT 3457916 LOANS TO PHYSICIANS 1587311 INTERCOMPANY RECEIVABLES 111416967 1637631083 LEASE LIABILITIES 1451261950 INTERCOMPANY PAYABLES 1140452307 OTHER CURRENT LIABILITIES 1398009 SEVERENCE LIABILITY 161981 UE CLAIMS LIABILITY 386758 SALES TAX PAYABLE 59613 ENVIRONMENTAL REMEDIATION LIABILITY 2743 GIFT SHOP LIABILITY 305956 DEFERRED RENT 73872 2594103189 X PART X, LINE 2: CATHOLIC HEALTH INITIATIVES COLORADO'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 250.000000000000 1 X 1 1 1 0 1 1 0 92 154094295 0 154094295 0.04240 0 82880 900619669 440966213 459653456 0.12640 0 0 0 0 82972 1054713964 440966213 613747751 0.16880 85 104315 4960669 567596 4393073 0.00120 40 156 43987665 16906973 27080692 0.00740 0 0 0 0 0 0 0 0 25 8409 4615413 512 4614901 0.00130 150 112880 53563747 17475081 36088666 0.00990 150 195852 1108277711 458441294 649836417 0.17870 9 2134 239254 239254 0.00010 1 7528 7528 0.00000 1 746 746 0.00000 3 430 32121 32121 0.00000 14 2564 279649 279649 0.00010 1 207555854 369743037 482704934 -112961897 X 1 1 1 ORTHOCOLORADO LLC HOSPITAL 0.60000 0.00000 0.40000 16 1 PENROSE HOSPITAL 2222 N NEVADA AVE COLORADO SPRINGS CO 80907 HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG 010543 X X X X X X ICU & CCU, CANCER CENTER, IP REHAB C 2 ST ANTHONY HOSPITAL 11600 WEST 2ND PLACE LAKEWOOD CO 80228 HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG 010429 X X X X C 3 ST ANTHONY NORTH HOSPITAL 2551 W 84TH AVE WESTMINSTER CO 80031 HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG 010402 X X X X D 4 MERCY HOSPITAL 1010 THREE SPRINGS BLVD DURANGO CO 81301 HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG 011213 X X X D 5 ST MARY-CORWIN HOSPITAL 1008 MINNEQUA AVE PUEBLO CO 81004 HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG 010650 X X X A 6 ST FRANCIS HOSPITAL 6001 E WOODMAN RD COLORADO SPRINGS CO 80923 HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG 01H523 X X X BIRTH CENTER, NICU -IIIA, ICU C 7 ST ANTHONY SUMMIT HOSPITAL 340 PEAK ONE DRIVE FRISCO CO 80443 HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG 011155 X X X D 8 ST ELIZABETH HOSPITAL 1000 LINCOLN ST FORT MORGAN CO 80701 HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG 10130 X X X LEVEL III TRAUMA, ICU D 9 HOLY CROSS HOSPITAL - JORDAN VALLEY 3580 W 9000 S WEST JORDAN UT 84088 HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG 2023-HOSP-F23-106917 X X X A 10 HOLY CROSS HOSPITAL - DAVIS 1600 WEST ANTELOPE DRIVE LAYTON UT 84041 HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG 2023-HOSP-F23-106676 X X X A 11 ST THOMAS MORE HOSPITAL 1338 PHAY AVENUE CANON CITY CO 81212 HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG 010623 X X X D 12 HOLY CROSS HOSPITAL - SALT LAKE 1050 EAST SOUTH TEMPLE SALT LAKE CITY UT 84012 HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG 2023-HOSP-F23-107079 X X X A 13 ORTHOCOLORADO HOSPITAL 11650 WEST 2ND PLACE LAKEWOOD CO 80255 HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG 01U246 X X X C 14 HOLY CROSS HOSPITAL - JORDAN VALLEY WEST 3460 SOUTH 4155 WEST WEST VALLEY CITY UT 84120 HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG 2023-HOSP-F23-106535 X X X LEVEL III TRAUMA CENTER A 15 HOLY CROSS HOSPITAL - MOUNTAIN POINT 3000 N TRIUMPH BLVD LEHI UT 84043 HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG 2023-HOSP-F23-106465 X X X A 16 ST FRANCIS HOSPITAL-INTERQUEST 10860 NEW ALLEGIANCE DR COLORADO SPRINGS CO 80921 01VH9Q X X X B FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 24 1 1 1 1 X WWW.MOUNTAIN.COMMONSPIRIT.ORG/COMMUNITYHEALTH X X 1 25 1 WWW.MOUNTAIN.COMMONSPIRIT.ORG/COMMUNITYHEALTH 0 1 X 250.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X SEE SUPPLEMENTAL SECTION X SEE SUPPLEMENTAL SECTION X SEE SUPPLEMENTAL SECTION X X X X X X 1 X 0 X X X X 1 X 0 0 FACILITY REPORTING GROUP - B 1 1 1 X X X X X X X X X 24 1 1 0 1 X WWW.MOUNTAIN.COMMONSPIRIT.ORG/COMMUNITYHEALTH X X 1 25 1 WWW.MOUNTAIN.COMMONSPIRIT.ORG/COMMUNITYHEALTH 0 1 X 250.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X SEE SUPPLEMENTAL SECTION X SEE SUPPLEMENTAL SECTION X SEE SUPPLEMENTAL SECTION X X X X X X 1 X 0 X X X X 1 X 0 0 FACILITY REPORTING GROUP - C 0 0 1 X X X X X X X X X 24 1 1 0 1 X WWW.MOUNTAIN.COMMONSPIRIT.ORG/COMMUNITYHEALTH X X 1 25 1 WWW.MOUNTAIN.COMMONSPIRIT.ORG/COMMUNITYHEALTH 0 1 X 250.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X SEE SUPPLEMENTAL SECTION X SEE SUPPLEMENTAL SECTION X SEE SUPPLEMENTAL SECTION X X X X X X 1 X 0 X X X X 1 X 0 0 FACILITY REPORTING GROUP - D 0 0 1 X X X X X X X X X 24 1 0 0 1 X WWW.MOUNTAIN.COMMONSPIRIT.ORG/COMMUNITYHEALTH X X 1 25 1 WWW.MOUNTAIN.COMMONSPIRIT.ORG/COMMUNITYHEALTH 0 1 X 250.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X SEE SUPPLEMENTAL SECTION X SEE SUPPLEMENTAL SECTION X SEE SUPPLEMENTAL SECTION 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- ALL GROUPS PENROSE HOSPITAL, ST FRANCIS HOSPITAL AND ST FRANCIS INTERQUESTPENROSE HOSPITAL, ST FRANCIS HOSPITAL AND ST FRANCIS INTERQUEST HOSPITAL CONDUCTED ITS JOINT 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WITH SIGNIFICANT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY IT SERVES. THE HOSPITAL FACILITY ENGAGED BOTH EXTERNAL EXPERTS AND COMMUNITY STAKEHOLDERS TO ENSURE THAT THE ASSESSMENT REFLECTED THE HEALTH NEEDS, PRIORITIES, AND LIVED EXPERIENCES OF RESIDENTS WITHIN THE SERVICE AREA.THE CHNA WAS PREPARED WITH THE ASSISTANCE OF PROFESSIONAL RESEARCH CONSULTANTS (PRC), A NATIONALLY RECOGNIZED HEALTH CARE CONSULTING FIRM WITH EXTENSIVE EXPERIENCE CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS FOR HOSPITALS AND HEALTH SYSTEMS ACROSS THE UNITED STATES. PRC PROVIDED METHODOLOGICAL EXPERTISE, SURVEY DESIGN, DATA COLLECTION, STATISTICAL ANALYSIS, AND REPORTING.COMMUNITY INPUT WAS INCORPORATED THROUGH A MIXED-METHODS APPROACH THAT INCLUDED BOTH PRIMARY AND SECONDARY DATA SOURCES. PRIMARY DATA COLLECTION CONSISTED OF THE PRC COMMUNITY HEALTH SURVEY, WHICH GATHERED QUANTITATIVE INPUT DIRECTLY FROM ADULT RESIDENTS OF EL PASO COUNTY, COLORADO (THE HOSPITAL SERVICE AREA). SURVEYS WERE ADMINISTERED USING A MIXED-MODE METHODOLOGY, INCLUDING TELEPHONE INTERVIEWS AND ONLINE QUESTIONNAIRES, ENSURING BROAD PARTICIPATION ACROSS DEMOGRAPHIC AND GEOGRAPHIC GROUPS. TO FURTHER ENHANCE COMMUNITY ENGAGEMENT, PENROSE HOSPITAL, ST FRANCIS HOSPITAL AND ST FRANCIS INTERQUEST HOSPITAL AND COMMONSPIRIT MOUNTAIN REGION PROMOTED SURVEY PARTICIPATION THROUGH LOCAL OUTREACH AND COMMUNICATION CHANNELS.IN ADDITION, QUALITATIVE COMMUNITY INPUT WAS OBTAINED THROUGH THE PRC ONLINE KEY INFORMANT SURVEY, WHICH SOLICITED PERSPECTIVES FROM COMMUNITY LEADERS AND ORGANIZATIONS WITH KNOWLEDGE OF LOCAL HEALTH ISSUES AND THE POPULATIONS THEY SERVE. THESE RESPONDENTS REPRESENTED ORGANIZATIONS AND SECTORS INCLUDING, BUT NOT LIMITED TO LOCAL PUBLIC HEALTH, SOCIAL SERVICE ORGANIZATIONS, BEHAVIORAL HEALTH AND SUBSTANCE USE TREATMENT PROVIDERS, PRIMARY CARE, LOCAL GOVERNMENTS, SCHOOLS, FAITH-BASED ORGANIZATIONS, AND COMMUNITY-BASED NONPROFITS INCLUDING: AGEWELL MEDICAL ASSOCIATES, CATHOLIC CHARITIES OF CENTRAL COLORADO, COLORADO FAMILY MEDICINE RESIDENCY, COLORADO SPRINGS CHAMBER & ECONOMIC DEVELOPMENT CORPORATION, COLORADO SPRINGS, OFFICE OF THE MAYOR, COMMUNITY DENTAL HEALTH/SENIOR MOBILE DENTAL, D11 - PENROSE, DREAM CENTERS OF COLORADO SPRINGS WOMEN'S CLINIC, EL PASO PUBLIC HEALTH, HASEYA ADVOCATE PROGRAM, OSTEOPATHIC MEDICAL FOUNDATION, PEAK VISTA COMMUNITY HEALTH CENTERS, PIKES PEAK COMMUNITY COLLEGE, PIKES PEAK COMMUNITY HEALTH PARTNERSHIP, PIKES PEAK HOSPICE, PIKES PEAK WORKFORCE CENTER - SECTOR PARTNERSHIP, PLAINS TO PEAKS REGIONAL EMERGENCY MEDICAL AND TRAUMA ADVISORY COUNCIL, TRI-LAKES CARES, UC HEALTH PIKES PEAK REGION LEADERSHIP, WE FACE IT TOGETHER, WESTSIDE CARES, AND OTHER COMMUNITY-BASED ORGANIZATIONS SERVING LOW-INCOME, MINORITY, AND VULNERABLE POPULATIONS.THESE COMMUNITY REPRESENTATIVES PROVIDED INSIGHT INTO THE MOST PRESSING HEALTH CONCERNS, BARRIERS TO CARE, SERVICE GAPS, AND EMERGING ISSUES AFFECTING RESIDENTS OF THE SERVICE AREA.SECONDARY DATA SOURCES, INCLUDING PUBLIC HEALTH RECORDS, CENSUS DATA, AND OTHER EXISTING HEALTH-RELATED DATASETS, WERE ALSO INCORPORATED TO COMPLEMENT COMMUNITY INPUT AND PROVIDE CONTEXT FOR LOCAL HEALTH TRENDS. PRIMARY AND SECONDARY DATA WERE ANALYZED TOGETHER AND COMPARED WITH STATE AND NATIONAL BENCHMARKS TO IDENTIFY SIGNIFICANT COMMUNITY HEALTH NEEDS.THROUGH THIS COLLABORATIVE PROCESS, THE HOSPITALS TOOK INTO ACCOUNT THE INPUT OF COMMUNITY MEMBERS AND ORGANIZATIONS IN IDENTIFYING AND PRIORITIZING COMMUNITY HEALTH NEEDS, ENSURING THAT THE CHNA REFLECTS THE PERSPECTIVES AND EXPERIENCES OF THOSE WHO LIVE AND WORK IN THE COMMUNITY.ST. ANTHONY AND ORTHOCOLORADO HOSPITALST. ANTHONY AND ORTHOCOLORADO HOSPITAL CONDUCTED ITS 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WITH SIGNIFICANT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY IT SERVES. THE HOSPITAL FACILITY ENGAGED BOTH EXTERNAL EXPERTS AND COMMUNITY STAKEHOLDERS TO ENSURE THAT THE ASSESSMENT REFLECTED THE HEALTH NEEDS, PRIORITIES, AND LIVED EXPERIENCES OF RESIDENTS WITHIN THE SERVICE AREA.THE CHNA WAS PREPARED WITH THE ASSISTANCE OF PROFESSIONAL RESEARCH CONSULTANTS (PRC), A NATIONALLY RECOGNIZED HEALTH CARE CONSULTING FIRM WITH EXTENSIVE EXPERIENCE CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS FOR HOSPITALS AND HEALTH SYSTEMS ACROSS THE UNITED STATES. PRC PROVIDED METHODOLOGICAL EXPERTISE, SURVEY DESIGN, DATA COLLECTION, STATISTICAL ANALYSIS, AND REPORTING.COMMUNITY INPUT WAS INCORPORATED THROUGH A MIXED-METHODS APPROACH THAT INCLUDED BOTH PRIMARY AND SECONDARY DATA SOURCES. PRIMARY DATA COLLECTION CONSISTED OF THE PRC COMMUNITY HEALTH SURVEY, WHICH GATHERED QUANTITATIVE INPUT DIRECTLY FROM ADULT RESIDENTS OF JEFFERSON COUNTY AND CLEAR CREEK COUNTY, COLORADO (THE HOSPITAL SERVICE AREA). SURVEYS WERE ADMINISTERED USING A MIXED-MODE METHODOLOGY, INCLUDING TELEPHONE INTERVIEWS AND ONLINE QUESTIONNAIRES, ENSURING BROAD PARTICIPATION ACROSS DEMOGRAPHIC AND GEOGRAPHIC GROUPS. TO FURTHER ENHANCE COMMUNITY ENGAGEMENT,THE HOSPITALS AND COMMONSPIRIT MOUNTAIN REGION PROMOTED SURVEY PARTICIPATION THROUGH LOCAL OUTREACH AND COMMUNICATION CHANNELS.IN ADDITION, QUALITATIVE COMMUNITY INPUT WAS OBTAINED THROUGH THE PRC ONLINE KEY INFORMANT SURVEY, WHICH SOLICITED PERSPECTIVES FROM COMMUNITY LEADERS AND ORGANIZATIONS WITH KNOWLEDGE OF LOCAL HEALTH ISSUES AND THE POPULATIONS THEY SERVE. THESE RESPONDENTS REPRESENTED ORGANIZATIONS AND SECTORS INCLUDING, BUT NOT LIMITED TO LOCAL PUBLIC HEALTH, SOCIAL SERVICE ORGANIZATIONS, BEHAVIORAL HEALTH AND SUBSTANCE USE TREATMENT PROVIDERS, PRIMARY CARE, LOCAL GOVERNMENTS, SCHOOLS, FAITH-BASED ORGANIZATIONS, AND COMMUNITY-BASED NONPROFITS INCLUDING: BENEFITS IN ACTION, CARIN CLINIC, CCHA REGION 6, CHANDA CENTER FOR HEALTH, CITY OF GOLDEN, CLEAR CREEK PUBLIC HEALTH, COLORADO CHRISTIAN UNIVERSITY, COLORADO SAFETY NET COLLABORATIVE, DENVER REGIONAL COUNCIL OF GOVERNMENTS, EVERGREEN CHAMBER OF COMMERCE, EVERGREEN FIRE/RESCUE, FOOTHILLS REGIONAL EMERGENCY MEDICAL AND TRAUMA ADVISORY COUNCIL, FOOTHILLS REGIONAL HOUSING, FRONT RANGE AREA HEALTH EDUCATION CENTER, GOFARM, HEALTHY JEFFCO ALLIANCE, HEART MIND HAVEN, INTERMOUNTAIN HEALTH - LUTHERAN HOSPITAL, ST. JOSEPH HOSPITAL, JEFFCO ECONOMIC DEVELOPMENT CORPORATION, JEFFCO PROSPERITY PARTNERS, JEFFERSON CENTER, JEFFERSON COUNTY PUBLIC HEALTH, LA PLATA HEALTH IMPROVEMENT COALITION, LA PLATA YOUTH SERVICES, LAKEWOOD CONNECTS, MOUNTAIN RESOURCE CENTER, RECOVERYWORKS, RED ROCKS COMMUNITY COLLEGE, THE ACTION CENTER (LAKEWOOD), WEST METRO CHAMBER OF COMMERCE AND OTHER COMMUNITY-BASED ORGANIZATIONS SERVING LOW-INCOME, MINORITY, AND VULNERABLE POPULATIONS.THESE COMMUNITY REPRESENTATIVES PROVIDED INSIGHT INTO THE MOST PRESSING HEALTH CONCERNS, BARRIERS TO CARE, SERVICE GAPS, AND EMERGING ISSUES AFFECTING RESIDENTS OF THE SERVICE AREA.SECONDARY DATA SOURCES, INCLUDING PUBLIC HEALTH RECORDS, CENSUS DATA, AND OTHER EXISTING HEALTH-RELATED DATASETS, WERE ALSO INCORPORATED TO COMPLEMENT COMMUNITY INPUT AND PROVIDE CONTEXT FOR LOCAL HEALTH TRENDS. PRIMARY AND SECONDARY DATA WERE ANALYZED TOGETHER AND COMPARED WITH STATE AND NATIONAL BENCHMARKS TO IDENTIFY SIGNIFICANT COMMUNITY HEALTH NEEDS.THROUGH THIS COLLABORATIVE PROCESS, THE HOSPITALS TOOK INTO ACCOUNT THE INPUT OF COMMUNITY MEMBERS AND ORGANIZATIONS IN IDENTIFYING AND PRIORITIZING COMMUNITY HEALTH NEEDS, ENSURING THAT THE CHNA REFLECTS THE PERSPECTIVES AND EXPERIENCES OF THOSE WHO LIVE AND WORK IN THE COMMUNITY. PART V, SECTION B, LINE 5- ALL GROUPS-CONTINUED ST. ANTHONY NORTH HOSPITALST. ANTHONY NORTH HOSPITAL CONDUCTED ITS 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WITH SIGNIFICANT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY IT SERVES. THE HOSPITAL FACILITY ENGAGED BOTH EXTERNAL EXPERTS AND COMMUNITY STAKEHOLDERS TO ENSURE THAT THE ASSESSMENT REFLECTED THE HEALTH NEEDS, PRIORITIES, AND LIVED EXPERIENCES OF RESIDENTS WITHIN THE SERVICE AREA.THE CHNA WAS PREPARED WITH THE ASSISTANCE OF PROFESSIONAL RESEARCH CONSULTANTS (PRC), A NATIONALLY RECOGNIZED HEALTH CARE CONSULTING FIRM WITH EXTENSIVE EXPERIENCE CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS FOR HOSPITALS AND HEALTH SYSTEMS ACROSS THE UNITED STATES. PRC PROVIDED METHODOLOGICAL EXPERTISE, SURVEY DESIGN, DATA COLLECTION, STATISTICAL ANALYSIS, AND REPORTING.COMMUNITY INPUT WAS INCORPORATED THROUGH A MIXED-METHODS APPROACH THAT INCLUDED BOTH PRIMARY AND SECONDARY DATA SOURCES. PRIMARY DATA COLLECTION CONSISTED OF THE PRC COMMUNITY HEALTH SURVEY, WHICH GATHERED QUANTITATIVE INPUT DIRECTLY FROM ADULT RESIDENTS OF ADAMS AND BROOMFIELD COUNTY, COLORADO (THE ST.ANTHONYNORTH HOSPITAL SERVICE AREA). SURVEYS WERE ADMINISTERED USING A MIXED-MODE METHODOLOGY, INCLUDING TELEPHONE INTERVIEWS AND ONLINE QUESTIONNAIRES, ENSURING BROAD PARTICIPATION ACROSS DEMOGRAPHIC AND GEOGRAPHIC GROUPS. TO FURTHER ENHANCE COMMUNITY ENGAGEMENT, ST. ANTHONY NORTH AND COMMONSPIRIT MOUNTAIN REGION PROMOTED SURVEY PARTICIPATION THROUGH LOCAL OUTREACH AND COMMUNICATION CHANNELS.IN ADDITION, QUALITATIVE COMMUNITY INPUT WAS OBTAINED THROUGH THE PRC ONLINE KEY INFORMANT SURVEY, WHICH SOLICITED PERSPECTIVES FROM COMMUNITY LEADERS AND ORGANIZATIONS WITH KNOWLEDGE OF LOCAL HEALTH ISSUES AND THE POPULATIONS THEY SERVE. THESE RESPONDENTS REPRESENTED ORGANIZATIONS AND SECTORS INCLUDING, BUT NOT LIMITED TO LOCAL PUBLIC HEALTH, SOCIAL SERVICE ORGANIZATIONS, BEHAVIORAL HEALTH AND SUBSTANCE USE TREATMENT PROVIDERS, PRIMARY CARE, LOCAL GOVERNMENTS, SCHOOLS, FAITH-BASED ORGANIZATIONS, AND COMMUNITY-BASED NONPROFITS INCLUDING: ADAMS 12 FIVE STAR SCHOOLS, ADAMS COUNTY, ADAMS COUNTY HEALTH DEPARTMENT, ADAMS COUNTY REGIONAL ECONOMIC PARTNERSHIP, ADAMS COUNTY SCHOOL DISTRICT 14, ADELANTE COMMUNITY, AREA AGENCY ON AGING, BROOMFIELD, BENEFITS IN ACTION, BROOMFIELD COUNTY BOARD OF HEALTH, BROOMFIELD PUBLIC HEALTH, BROOMFIELD FISH, CITY AND COUNTY OF BROOMFIELD, CITY OF NORTHGLENN, CITY OF THORNTON, CITY OF WESTMINSTER, COLECTIVA, COMMUNITY REACH CENTER, COUNTY OF BROOMFIELD, CULTIVATE (BOULDER COUNTY RSVP BOARD INC.), FIVE STAR EDUCATION FOUNDATION, FRIENDS OF BROOMFIELD, INC., FRONT RANGE COMMUNITY COLLEGE, INTERMOUNTAIN HEALTH - GOOD SAMARITAN HOSPITAL, WESTMINSTER PUBLIC SCHOOLS AND OTHER COMMUNITY-BASED ORGANIZATIONS SERVING LOW-INCOME, MINORITY, AND VULNERABLE POPULATIONS.THESE COMMUNITY REPRESENTATIVES PROVIDED INSIGHT INTO THE MOST PRESSING HEALTH CONCERNS, BARRIERS TO CARE, SERVICE GAPS, AND EMERGING ISSUES AFFECTING RESIDENTS OF THE SERVICE AREA.SECONDARY DATA SOURCES, INCLUDING PUBLIC HEALTH RECORDS, CENSUS DATA, AND OTHER EXISTING HEALTH-RELATED DATASETS, WERE ALSO INCORPORATED TO COMPLEMENT COMMUNITY INPUT AND PROVIDE CONTEXT FOR LOCAL HEALTH TRENDS. PRIMARY AND SECONDARY DATA WERE ANALYZED TOGETHER AND COMPARED WITH STATE AND NATIONAL BENCHMARKS TO IDENTIFY SIGNIFICANT COMMUNITY HEALTH NEEDS.THROUGH THIS COLLABORATIVE PROCESS, ST. ANTHONY NORTH HOSPITAL TOOK INTO ACCOUNT THE INPUT OF COMMUNITY MEMBERS AND ORGANIZATIONS IN IDENTIFYING AND PRIORITIZING COMMUNITY HEALTH NEEDS, ENSURING THAT THE CHNA REFLECTS THE PERSPECTIVES AND EXPERIENCES OF THOSE WHO LIVE AND WORK IN THE COMMUNITY.MERCY HOSPITALMERCY HOSPITAL CONDUCTED ITS 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WITH SIGNIFICANT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY IT SERVES. THE HOSPITAL FACILITY ENGAGED BOTH EXTERNAL EXPERTS AND COMMUNITY STAKEHOLDERS TO ENSURE THAT THE ASSESSMENT REFLECTED THE HEALTH NEEDS, PRIORITIES, AND LIVED EXPERIENCES OF RESIDENTS WITHIN THE SERVICE AREA.THE CHNA WAS PREPARED WITH THE ASSISTANCE OF PROFESSIONAL RESEARCH CONSULTANTS (PRC), A NATIONALLY RECOGNIZED HEALTH CARE CONSULTING FIRM WITH EXTENSIVE EXPERIENCE CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS FOR HOSPITALS AND HEALTH SYSTEMS ACROSS THE UNITED STATES. PRC PROVIDED METHODOLOGICAL EXPERTISE, SURVEY DESIGN, DATA COLLECTION, STATISTICAL ANALYSIS, AND REPORTING.COMMUNITY INPUT WAS INCORPORATED THROUGH A MIXED-METHODS APPROACH THAT INCLUDED BOTH PRIMARY AND SECONDARY DATA SOURCES. PRIMARY DATA COLLECTION CONSISTED OF THE PRC COMMUNITY HEALTH SURVEY, WHICH GATHERED QUANTITATIVE INPUT DIRECTLY FROM ADULT RESIDENTS OF ARCHULETA, LA PLATA, MONTEZUMA AND SAN JUAN COUNTIES, COLORADO (THE HOSPITAL SERVICE AREA). SURVEYS WERE ADMINISTERED USING A MIXED-MODE METHODOLOGY, INCLUDING TELEPHONE INTERVIEWS AND ONLINE QUESTIONNAIRES, ENSURING BROAD PARTICIPATION ACROSS DEMOGRAPHIC AND GEOGRAPHIC GROUPS. TO FURTHER ENHANCE COMMUNITY ENGAGEMENT, MERCY HOSPITAL AND COMMONSPIRIT MOUNTAIN REGION PROMOTED SURVEY PARTICIPATION THROUGH LOCAL OUTREACH AND COMMUNICATION CHANNELS.IN ADDITION, QUALITATIVE COMMUNITY INPUT WAS OBTAINED THROUGH THE PRC ONLINE KEY INFORMANT SURVEY, WHICH SOLICITED PERSPECTIVES FROM COMMUNITY LEADERS AND ORGANIZATIONS WITH KNOWLEDGE OF LOCAL HEALTH ISSUES AND THE POPULATIONS THEY SERVE. THESE RESPONDENTS REPRESENTED ORGANIZATIONS AND SECTORS INCLUDING, BUT NOT LIMITED TO LOCAL PUBLIC HEALTH, SOCIAL SERVICE ORGANIZATIONS, BEHAVIORAL HEALTH AND SUBSTANCE USE TREATMENT PROVIDERS, PRIMARY CARE, LOCAL GOVERNMENTS, SCHOOLS, FAITH-BASED ORGANIZATIONS, AND COMMUNITY-BASED NONPROFITS INCLUDING : ALTERNATIVE HORIZONS, ARCHULETA PUBLIC HEALTH, CANCER SUPPORT COMMUNITY, CANCER SUPPORT COMMUNITY SOUTHWEST COLORADO, CANCER SUPPORT COMMUNITY SW CO, CARE AND SHARE FOOD BANK, CHRIST THE KING LUTHERAN CHURCH, CITY OF DURANGO, COMMUNITY COMPASSION OUTREACH, DURANGO CHAMBER OF COMMERCE, DURANGO FIRE DEPT, LA PLATA HEALTH IMPROVEMENT COALITION, LA PLATA YOUTH SERVICES, LOCAL FIRST, PINE RIVER SHARES, RAINBOW YOUTH CENTER, REGION 9 EDD, SAN JUAN COUNTY, SAN JUAN DEVELOPMENT, SAN JUAN PUBLIC HEALTH, SILVERTON SCHOOL DISTRICT, SOUTHERN COLORADO COMMUNITY ACTION AGENCY ROAD RUNNER TRANSIT, SOUTHERN UTE INDIAN TRIBE, SOUTHWESTERN AREA HEALTH EDUCATION CENTER, TOWN OF IGNACIO, UTE MOUNTAIN UTE HEALTH CENTER, WESTERN SLOPE NATIVE AMERICAN RESOURCE CENTER, WHOLE HEALTH FAMILY MEDICINE, AND OTHER COMMUNITY-BASED ORGANIZATIONS SERVING LOW-INCOME, MINORITY, AND VULNERABLE POPULATIONS.ST. MARY-CORWIN HOSPITALST. MARY-CORWIN HOSPITAL DIRECTLY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY THROUGH A COMPREHENSIVE AND COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS. THIS 2025 CHNA, CONDUCTED JOINTLY WITH OTHER MAJOR HEALTH ORGANIZATIONS IN PUEBLO COUNTY, UTILIZED A MULTI-FACETED APPROACH TO GATHER BOTH QUALITATIVE AND QUANTITATIVE DATA FROM DIVERSE COMMUNITY STAKEHOLDERS. THE PROCESS INTEGRATED COMMUNITY INPUT AT MULTIPLE STAGES, FROM INITIAL PLANNING AND STRATEGIC COMMUNITY ENGAGEMENT TO THE FINAL PRIORITIZATION OF HEALTH NEEDS. HEALTH EQUITY WAS A FOUNDATIONAL ASPECT, GUIDING DATA COLLECTION AND DECISION-MAKING THROUGH THE BAY AREA REGIONAL HEALTH INEQUITIES INITIATIVE (BARHII) FRAMEWORK.THE HOSPITAL CONSULTED WITH THE FOLLOWING ORGANIZATIONS AND REPRESENTATIVES: KEY CHNA COLLABORATORS INCLUDED: PUEBLO COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT (STAFF MEMBERS); A JOINT CHA ADVISORY TEAM COMPRISED OF REPRESENTATIVES FROM UCHEALTH PARKVIEW MEDICAL CENTER, PUEBLO COMMUNITY HEALTH CENTER, HEALTH SOLUTIONS, COMMONSPIRIT ST. MARY-CORWIN HOSPITAL, AND THE PUEBLO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT.COMMUNITY ENGAGEMENT PARTNERS CRUCIAL FOR REACHING UNDERSERVED POPULATIONS INCLUDED: PUEBLO COOPERATIVE CARE, THE PUEBLO SOUP KITCHEN, PUEBLO RESCUE MISSION, SENIOR RESOURCE DEVELOPMENT AGENCY (SRDA), AND CENTER TOWARD SELF RELIANCE. ACADEMIC PARTNERS FROM COLORADO STATE UNIVERSITY-PUEBLO PROVIDED EXPERTISE AND SUPPORT, INCLUDING FACULTY AND INTERN STUDENTS.ADDITIONALLY, INPUT WAS GATHERED FROM A TOTAL OF 42 LOCAL FORMAL AND INFORMAL COMMUNITY LEADERS THROUGH AN OPEN HOUSE AND ONLINE SURVEY. THESE LEADERS RANKED HEALTH PRIORITIES AND IDENTIFIED COMMUNITY ASSETS AND GAPS. A BROAD BASE OF COMMUNITY RESIDENTS PARTICIPATED, WITH 510 ENGAGING IN A COMMUNITY-WIDE SURVEY AND 26 PARTICIPATING IN THREE FOCUSED GROUP SESSIONS, INCLUDING SUPPORT GROUPS FOR INDIVIDUALS WITH LOW VISION AND BRAIN INJURY, AND ATTENDEES OF A SENIOR RESOURCE DEVELOPMENT AGENCY (SRDA) CONGREGATE MEAL. THIS STRUCTURED AND COLLABORATIVE METHODOLOGY ENSURED THAT THE IDENTIFIED HEALTH NEEDS ROBUSTLY REFLECTED THE CONCERNS AND EXPERIENCES OF THE DIVERSE COMMUNITIES SERVED BY ST. MARY-CORWIN HOSPITAL, INCLUDING ITS MOST VULNERABLE POPULATIONS. PART V, SECTION B, LINE 5- ALL GROUPS-CONTINUED ST. ANTHONY SUMMIT HOSPITALST. ANTHONY SUMMIT HOSPITAL CONDUCTED ITS 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WITH SIGNIFICANT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY IT SERVES. THE HOSPITAL FACILITY ENGAGED BOTH EXTERNAL EXPERTS AND COMMUNITY STAKEHOLDERS TO ENSURE THAT THE ASSESSMENT REFLECTED THE HEALTH NEEDS, PRIORITIES, AND LIVED EXPERIENCES OF RESIDENTS WITHIN THE SERVICE AREA.THE CHNA WAS PREPARED WITH THE ASSISTANCE OF PROFESSIONAL RESEARCH CONSULTANTS (PRC), A NATIONALLY RECOGNIZED HEALTH CARE CONSULTING FIRM WITH EXTENSIVE EXPERIENCE CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS FOR HOSPITALS AND HEALTH SYSTEMS ACROSS THE UNITED STATES. PRC PROVIDED METHODOLOGICAL EXPERTISE, SURVEY DESIGN, DATA COLLECTION, STATISTICAL ANALYSIS, AND REPORTING.COMMUNITY INPUT WAS INCORPORATED THROUGH A MIXED-METHODS APPROACH THAT INCLUDED BOTH PRIMARY AND SECONDARY DATA SOURCES. PRIMARY DATA COLLECTION CONSISTED OF THE PRC COMMUNITY HEALTH SURVEY, WHICH GATHERED QUANTITATIVE INPUT DIRECTLY FROM ADULT RESIDENTS OF SUMMIT COUNTY, COLORADO (THE ST.ANTHONY SUMMIT HOSPITAL SERVICE AREA). SURVEYS WERE ADMINISTERED USING A MIXED-MODE METHODOLOGY, INCLUDING TELEPHONE INTERVIEWS AND ONLINE QUESTIONNAIRES, ENSURING BROAD PARTICIPATION ACROSS DEMOGRAPHIC AND GEOGRAPHIC GROUPS. TO FURTHER ENHANCE COMMUNITY ENGAGEMENT, ST. ANTHONY SUMMIT AND COMMONSPIRIT MOUNTAIN REGION PROMOTED SURVEY PARTICIPATION THROUGH LOCAL OUTREACH AND COMMUNICATION CHANNELS.IN ADDITION, QUALITATIVE COMMUNITY INPUT WAS OBTAINED THROUGH THE PRC ONLINE KEY INFORMANT SURVEY, WHICH SOLICITED PERSPECTIVES FROM COMMUNITY LEADERS AND ORGANIZATIONS WITH KNOWLEDGE OF LOCAL HEALTH ISSUES AND THE POPULATIONS THEY SERVE. THESE RESPONDENTS REPRESENTED ORGANIZATIONS AND SECTORS INCLUDING, BUT NOT LIMITED TO LOCAL PUBLIC HEALTH, SOCIAL SERVICE ORGANIZATIONS, BEHAVIORAL HEALTH AND SUBSTANCE USE TREATMENT PROVIDERS, PRIMARY CARE, LOCAL GOVERNMENTS, SCHOOLS, FAITH-BASED ORGANIZATIONS, AND COMMUNITY-BASED NONPROFITS INCLUDING: AAA LTC, ARISE, BUILDING HOPE SUMMIT COUNTY, COLORADO MOUNTAIN COLLEGE BRECK/DILLON, THE COMBINED HOUSING AUTHORITY, FAMILY & INTERCULTURAL RESOURCE CENTER, HIGH COUNTRY CONSERVATION, MILE HIGH BH SUMMIT WELLNESS HUB, MIND SPRINGS HEALTH, MOUNTAIN PRIDE, NORTHWEST COLORADO COUNCIL OF GOVERNMENT, NORTHWEST REGIONAL HEALTHCARE COALITION, REGION 12 RCC HOSTED BY WEST MOUNTAIN HEALTH ALLIANCE, SUMMIT COMMUNITY CARE CLINIC, SUMMIT COUNTY GOVERNMENT, SUMMIT COUNTY PUBLIC HEALTH, SUMMIT COUNTY SHERIFF'S OFFICE, SUMMIT COUNTY YOUTH & FAMILY, THE SUMMIT RE-1 SCHOOL DISTRICT, THE SUMMIT CHAMBER, THE SUMMIT FOUNDATION, THE TOWN OF FRISCO, TREETOP, WESTERN AREA HEALTH EDUCATION AND OTHER COMMUNITY-BASED ORGANIZATIONS SERVING LOW-INCOME, MINORITY, AND VULNERABLE POPULATIONS.THESE COMMUNITY REPRESENTATIVES PROVIDED INSIGHT INTO THE MOST PRESSING HEALTH CONCERNS, BARRIERS TO CARE, SERVICE GAPS, AND EMERGING ISSUES AFFECTING RESIDENTS OF THE SERVICE AREA.SECONDARY DATA SOURCES, INCLUDING PUBLIC HEALTH RECORDS, CENSUS DATA, AND OTHER EXISTING HEALTH-RELATED DATASETS, WERE ALSO INCORPORATED TO COMPLEMENT COMMUNITY INPUT AND PROVIDE CONTEXT FOR LOCAL HEALTH TRENDS. PRIMARY AND SECONDARY DATA WERE ANALYZED TOGETHER AND COMPARED WITH STATE AND NATIONAL BENCHMARKS TO IDENTIFY SIGNIFICANT COMMUNITY HEALTH NEEDS.THROUGH THIS COLLABORATIVE PROCESS, ST. ANTHONY SUMMIT HOSPITAL TOOK INTO ACCOUNT THE INPUT OF COMMUNITY MEMBERS AND ORGANIZATIONS IN IDENTIFYING AND PRIORITIZING COMMUNITY HEALTH NEEDS, ENSURING THAT THE CHNA REFLECTS THE PERSPECTIVES AND EXPERIENCES OF THOSE WHO LIVE AND WORK IN THE COMMUNITY.ST. ELIZABETH HOSPITALST. ELIZABETH HOSPITAL'S 2024 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) THOROUGHLY INTEGRATED INPUT FROM DIVERSE COMMUNITY REPRESENTATIVES TO ENSURE A COMPREHENSIVE UNDERSTANDING OF LOCAL HEALTH PRIORITIES AND CHALLENGES. THIS WAS ACHIEVED THROUGH A MULTI-FACETED APPROACH COMBINING PRIMARY AND SECONDARY DATA SOURCES, AND WAS SUBSEQUENTLY UPDATED IN 2025 WITH POST-KEY INFORMANT INTERVIEWS INVOLVING SEVERAL PREVIOUS PARTICIPANTS. THE INITIAL CHNA INCORPORATED FOCUS GROUPS WITH COMMUNITY ORGANIZATIONS, INTERVIEWS WITH KEY STAKEHOLDERS, PUBLIC HEALTH STATISTICS, AND U.S. CENSUS DATA. PRIMARY QUALITATIVE DATA WAS GATHERED FROM FOCUS GROUP DISCUSSIONS AND KEY INFORMANT INTERVIEWS WITH COMMUNITY STAKEHOLDERS, WHICH WAS THEN VALIDATED BY SECONDARY QUANTITATIVE DATA FROM LOCAL, STATE, AND NATIONAL DATASETS MAINTAINED BY GOVERNMENTAL AND NONGOVERNMENTAL ORGANIZATIONS. THIS MIXED-METHODS APPROACH ENSURED DATA TRIANGULATION FROM DIVERSE SOURCES FOR A WELL-ROUNDED AND RELIABLE UNDERSTANDING OF COMMUNITY HEALTH NEEDS.ST. ELIZABETH HOSPITAL ORGANIZED SEVERAL ADVISORY SUBCOMMITTEE MEETINGS FOR THE CHNA, ENGAGING WITH A VARIETY OF COMMUNITY-BASED ORGANIZATIONS SELECTED FOR THEIR COMMUNITY CONNECTIONS, PARTICULARLY THOSE SERVING MEDICALLY UNDERSERVED INDIVIDUALS AND THOSE WITH SIGNIFICANT INFLUENCE ON OVERALL COMMUNITY HEALTH. TWO FOCUS GROUPS WERE CONDUCTED WITH LEADERS FROM COMMUNITY-BASED ORGANIZATIONS FREQUENTLY WORKING WITH UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. THE HOSPITAL COORDINATED THESE SESSIONS WITH CENTENNIAL BEHAVIORAL HEALTH (BROADER COMMUNITY AND BEHAVIORAL HEALTH NEEDS); SARA HOUSE (BROADER COMMUNITY, INTERPERSONAL VIOLENCE); UNITED WAY OF MORGAN COUNTY (BROADER COMMUNITY); RISING UP (BROADER COMMUNITY, INTERPERSONAL VIOLENCE); MORGAN COUNTY FAMILY CENTER (BROADER COMMUNITY, ECONOMIC HARDSHIP); INTERNATIONAL ASSOCIATION FOR REFUGEES (REFUGEE POPULATION); MORGAN COMMUNITY COLLEGE (BROADER COMMUNITY); ST. ELIZABETH CHAPLAIN/PASTOR (FAITH COMMUNITY AND BROADER COMMUNITY); CENTER FOR HEALTH PROGRESS (BROADER COMMUNITY, HEALTH INEQUITIES); FORT MORGAN COMMUNITY HOSPITAL ASSOCIATION (BROADER COMMUNITY); AND S.H.A.R.E., INC. (SELF HELP AND RESOURCE EXCHANGE) (LOW-INCOME COMMUNITY, SENIORS, AND THOSE WITH DISABILITIES).ADDITIONALLY, A HEALTHCARE PROVIDERS FOCUS GROUP WAS CONDUCTED WITH ELEVEN LOCAL PROVIDERS WHO SERVE THE COMMUNITY, INCLUDING THOSE WORKING WITH UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, AND WERE ASKED SIMILAR QUESTIONS TO IDENTIFY KEY HEALTH NEEDS OF ADULT AND YOUTH POPULATIONS. COMMUNITY LEADER INTERVIEWS WERE ALSO CONDUCTED WITH INDIVIDUALS FROM BREAK THE SILENCE (BROADER COMMUNITY, BEHAVIORAL HEALTH SUPPORT); FORT MORGAN POLICE CHIEF; MAYOR OF BRUSH, CO (BROADER COMMUNITY); MAYOR OF FORT MORGAN (BROADER COMMUNITY); MORGAN COUNTY COMMISSIONER, DISTRICT 3 (BROADER COMMUNITY); MORGAN COUNTY SCHOOL DISTRICT RE-3 (YOUTH AND FAMILIES); MORGAN COUNTY SHERIFF (BROADER COMMUNITY); PHYSICIAN LEADER (BROADER COMMUNITY); AND NORTHEAST COLORADO HEALTH DEPARTMENT (BROADER COMMUNITY). THIS EXTENSIVE COMMUNITY ENGAGEMENT AND ROBUST DATA COLLECTION PROCESS DIRECTLY INFORMED THE IDENTIFICATION OF PRIORITY HEALTH NEEDS AND THE DEVELOPMENT OF ST. ELIZABETH HOSPITAL'S IMPLEMENTATION STRATEGY TO ADDRESS THESE NEEDS, ENSURING OUR EFFORTS ARE RESPONSIVE AND IMPACTFUL TO THE COMMUNITY WE SERVE. PART V, SECTION B, LINE 5- ALL GROUPS-CONTINUED HOLY CROSS HOSPITAL JORDAN VALLEY, HOLY CROSS HOSPITAL SALT LAKE, HOLY CROSS HOSPITAL-WEST VALLEYTHE THREE COMMONSPIRIT HOLY CROSS HOSPITALS IN SALT LAKE COUNTY-HOLY CROSS HOSPITAL-SALT LAKE, HOLY CROSS HOSPITAL-JORDAN VALLEY, AND HOLY CROSS HOSPITAL-WEST VALLEY-SOLICITED, CONSIDERED, AND INCORPORATED INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CONDUCTED IN COLLABORATION WITH THE SALT LAKE COUNTY HEALTH DEPARTMENT. THE HOSPITALS AND THE HEALTH DEPARTMENT WORKED TOGETHER TO GATHER AND ANALYZE SECONDARY DATA, CONDUCT COMMUNITY PARTNER AND HOSPITAL STAFF MEETINGS, FACILITATE FOCUS GROUPS, AND COMPLETE KEY STAKEHOLDER INTERVIEWS, USING SHARED METHODOLOGIES, REPORT FORMATS, AND STAFF TO ENSURE A CONSISTENT AND COMPREHENSIVE APPROACH. COMMUNITY INPUT WAS COLLECTED BETWEEN JUNE AND OCTOBER 2024 AND INCLUDED PARTICIPATION FROM 166 INDIVIDUALS REPRESENTING MORE THAN 55 ORGANIZATIONS. ORGANIZATIONAL AFFILIATIONS CONSULTED INCLUDED THE SALT LAKE COUNTY HEALTH DEPARTMENT AND OTHER PUBLIC HEALTH AGENCIES; HOSPITAL ADMINISTRATION, CLINICAL LEADERSHIP, AND FRONTLINE STAFF FROM ALL THREE HOLY CROSS HOSPITALS; FEDERALLY QUALIFIED HEALTH CENTERS AND OTHER SAFETY-NET HEALTH CARE PROVIDERS; COMMUNITY-BASED AND NONPROFIT SOCIAL SERVICE ORGANIZATIONS; MENTAL HEALTH AND SUBSTANCE USE SERVICE PROVIDERS; ORGANIZATIONS SERVING SPANISH-SPEAKING COMMUNITIES, LGBTQ+ INDIVIDUALS, OLDER ADULTS, AND FORMERLY UNHOUSED RESIDENTS; EDUCATIONAL INSTITUTIONS AND SCHOOL DISTRICTS; LOCAL GOVERNMENT AGENCIES; AND COMMUNITY ADVOCACY AND POLICY ORGANIZATIONS. INPUT WAS OBTAINED THROUGH IN-PERSON AND VIRTUAL COMMUNITY PARTNER MEETINGS, HOSPITAL STAFF AND LEADERSHIP MEETINGS, SEVEN FOCUS GROUPS WITH PRIORITY AND UNDERSERVED POPULATIONS, AND KEY STAKEHOLDER INTERVIEWS WITH REPRESENTATIVES OF PUBLIC HEALTH, EDUCATION, HEALTH CARE, AND SOCIAL SERVICES. THIS INPUT WAS REVIEWED AND WEIGHED ALONGSIDE SECONDARY DATA AND RECENT STATE AND LOCAL ASSESSMENTS TO IDENTIFY SIGNIFICANT COMMUNITY HEALTH NEEDS. ON OCTOBER 24, 2024, COMMUNITY REPRESENTATIVES PARTICIPATED IN A FACILITATED PRIORITIZATION EXERCISE, USING A MULTI-STAGE DOT-VOTING PROCESS TO VALIDATE AND PRIORITIZE NEEDS BASED ON SCOPE, SEVERITY, DISPARITY, URGENCY, AND SOLVABILITY, ENSURING THAT THE FINAL CHNA FINDINGS AND SUBSEQUENT IMPLEMENTATION STRATEGIES FOR ALL THREE HOLY CROSS HOSPITALS REFLECT COMMUNITY-IDENTIFIED PRIORITIES AND PERSPECTIVES.HOLY CROSS HOSPITAL-DAVISCOMMONSPIRIT HOLY CROSS HOSPITAL-DAVIS SOLICITED AND CONSIDERED COMMUNITY INPUT THROUGH ITS PARTICIPATION IN THE DAVIS4HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PARTNERSHIP AND ENGAGEMENT WITH THE DAVIS4HEALTH STEERING COMMITTEE. THE HOSPITAL CONTRIBUTED TO THE CHNA PROCESS BY ASSISTING WITH THE COLLECTION AND ASSESSMENT OF SECONDARY DATA; PARTICIPATING IN COMMUNITY HEALTH SURVEYS, FOCUS GROUPS, KEY STAKEHOLDER INTERVIEWS, AND A STRUCTURED PRIORITIZATION MEETING; AND RELYING ON SHARED METHODOLOGIES AND STAFF TO SUPPORT THE ASSESSMENT.COMMUNITY INPUT WAS GATHERED DURING A MAY 17, 2023, STEERING COMMITTEE MEETING ATTENDED BY 53 PARTNERS REPRESENTING 21 AGENCIES AND ORGANIZATIONS. DURING THIS MEETING, PARTICIPANTS REVIEWED DATA AND IDENTIFIED PRIORITY HEALTH NEEDS THROUGH FACILITATED DISCUSSIONS, TEXT POLLING, AND DOT VOTING. ADDITIONAL INPUT WAS OBTAINED THROUGH AN ONLINE SURVEY FOR THOSE UNABLE TO ATTEND.THE HOSPITAL CONSULTED WITH REPRESENTATIVES FROM LOCAL PUBLIC HEALTH AGENCIES; COUNTY AND MUNICIPAL GOVERNMENT; HEALTHCARE PROVIDERS AND BEHAVIORAL HEALTH ORGANIZATIONS; AGING, DISABILITY, AND ADVOCACY GROUPS; EDUCATION SYSTEMS; FOOD, NUTRITION, AND SOCIAL SERVICE PROVIDERS; COMMUNITY-BASED AND NONPROFIT ORGANIZATIONS; BUSINESS AND ECONOMIC DEVELOPMENT ENTITIES; FAITH-BASED ORGANIZATIONS; MILITARY REPRESENTATIVES; AND CULTURAL AND ETHNIC ORGANIZATIONS, INCLUDING: DAVIS COUNTY HEALTH DEPARTMENT; CENTERVILLE CITY; DAVIS COUNTY BOARD OF HEALTH; DAVIS COUNTY COMMISSION; DAVIS COUNTY ECONOMIC DEVELOPMENT; DAVIS COUNTY SHERIFF; DAVIS COUNTY TOURISM; DEPARTMENT OF WORKFORCE SERVICES; LAYTON CITY; OFFICE OF REPRESENTATIVE CELESTE MALOY; OFFICE OF REPRESENTATIVE BLAKE MOORE; UTAH DEPARTMENT OF HEALTH & HUMAN SERVICES; AARP; ADULT PROTECTIVE SERVICES; BOUNTIFUL COMMUNITY FOOD PANTRY; CENTERVILLE CARES; CONTINUE MISSION; DAVIS COMMUNITY HOUSING AUTHORITY; DAVIS COMMUNITY LEARNING CENTER; DAVIS COUNTY DOMESTIC VIOLENCE COALITION; PROTECTIVE FACTORS FOR UTAH FAMILIES; FAMILY COUNSELING SERVICE OF NORTHERN UTAH; GRANDFAMILIES; CHILDREN'S SERVICE SOCIETY; HOPE CENTER; LAYTON COMMUNITY ACTION COUNCIL; LIVE STRONG HOUSE; MY DISCOVERY DESTINATION; NO HUNGER ZONE; OPEN DOORS; PTA; RED BARN FARM; SAFE HARBOR; SAPREA; THE CHILDREN'S CENTER UTAH; THE FAMILY PLACE; UNITED WAY; USU EXTENSION; UTAH PACIFIC ISLANDER HEALTH COALITION; VOCATIONAL REHABILITATION; DAVIS HEAD START; DAVIS SCHOOL DISTRICT; DAVIS TECHNICAL COLLEGE; DAVIS EDUCATION FOUNDATION; NUAMES; WEBER STATE UNIVERSITY; DAVIS BEHAVIORAL HEALTH; HEALTH CHOICE UTAH; INTERMOUNTAIN HEALTH; LAKEVIEW HOSPITAL; MIDTOWN COMMUNITY HEALTH CENTER; OGDEN CLINIC; NATIONS FOR CHRIST CHURCH; THE CHURCH OF JESUS CHRIST OF LATTER-DAY SAINTS; DAVIS CHAMBER OF COMMERCE; AND HILL AIR FORCE BASE.THESE EFFORTS ENSURED THAT THE PERSPECTIVES OF DIVERSE COMMUNITY SECTORS, INCLUDING UNDERSERVED POPULATIONS AND PUBLIC HEALTH EXPERTS, WERE INCORPORATED INTO THE CHNA. PART V, SECTION B, LINE 5- ALL GROUPS-CONTINUED ST. THOMAS MORE HOSPITALST. THOMAS MORE HOSPITAL CONDUCTED ITS 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WITH SIGNIFICANT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY IT SERVES. THE HOSPITAL FACILITY ENGAGED BOTH EXTERNAL EXPERTS AND COMMUNITY STAKEHOLDERS TO ENSURE THAT THE ASSESSMENT REFLECTED THE HEALTH NEEDS, PRIORITIES, AND LIVED EXPERIENCES OF RESIDENTS WITHIN THE SERVICE AREA.THE CHNA WAS PREPARED WITH THE ASSISTANCE OF PROFESSIONAL RESEARCH CONSULTANTS (PRC), A NATIONALLY RECOGNIZED HEALTH CARE CONSULTING FIRM WITH EXTENSIVE EXPERIENCE CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS FOR HOSPITALS AND HEALTH SYSTEMS ACROSS THE UNITED STATES. PRC PROVIDED METHODOLOGICAL EXPERTISE, SURVEY DESIGN, DATA COLLECTION, STATISTICAL ANALYSIS, AND REPORTING.COMMUNITY INPUT WAS INCORPORATED THROUGH A MIXED-METHODS APPROACH THAT INCLUDED BOTH PRIMARY AND SECONDARY DATA SOURCES. PRIMARY DATA COLLECTION CONSISTED OF THE PRC COMMUNITY HEALTH SURVEY, WHICH GATHERED QUANTITATIVE INPUT DIRECTLY FROM ADULT RESIDENTS OF FREMONT COUNTY, COLORADO (THE ST. THOMAS MORE HOSPITAL SERVICE AREA). SURVEYS WERE ADMINISTERED USING A MIXED-MODE METHODOLOGY, INCLUDING TELEPHONE INTERVIEWS AND ONLINE QUESTIONNAIRES, ENSURING BROAD PARTICIPATION ACROSS DEMOGRAPHIC AND GEOGRAPHIC GROUPS. TO FURTHER ENHANCE COMMUNITY ENGAGEMENT, ST. THOMAS MORE AND COMMONSPIRIT MOUNTAIN REGION PROMOTED SURVEY PARTICIPATION THROUGH LOCAL OUTREACH AND COMMUNICATION CHANNELS. IN ADDITION, QUALITATIVE COMMUNITY INPUT WAS OBTAINED THROUGH THE PRC ONLINE KEY INFORMANT SURVEY, WHICH SOLICITED PERSPECTIVES FROM COMMUNITY LEADERS AND ORGANIZATIONS WITH KNOWLEDGE OF LOCAL HEALTH ISSUES AND THE POPULATIONS THEY SERVE. THESE RESPONDENTS REPRESENTED ORGANIZATIONS AND SECTORS INCLUDING, BUT NOT LIMITED TO LOCAL PUBLIC HEALTH, SOCIAL SERVICE ORGANIZATIONS, BEHAVIORAL HEALTH AND SUBSTANCE USE TREATMENT PROVIDERS, PRIMARY CARE, LOCAL GOVERNMENTS, SCHOOLS, FAITH-BASED ORGANIZATIONS, AND COMMUNITY-BASED NONPROFITS INCLUDING: CATHOLIC CHARITIES OF SOUTHERN COLORADO, CHAFFEE DPHE HOST REGION 13, COTOPAXI RE-3, ECHO & FAMILY CENTER EARLY CHILDHOOD COUNCIL, FREMONT COUNTY COMMISSIONERS, FREMONT COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT, FREMONT COUNTY VETERAN SERVICES, FREMONT RE-2 SCHOOL DISTRICT, LOAVES AND FISHES MINISTRIES OF FREMONT COUNTY, SENIOR RESOURCE DEVELOPMENT AGENCY, SOUTHERN COLORADO ECONOMIC DEVELOPMENT DISTRICT, STAYWELL COUNSELING, AND UPPER ARKANSAS AREA COUNCIL OF GOVERNMENTS, AND OTHER COMMUNITY-BASED ORGANIZATIONS SERVING LOW-INCOME, MINORITY, AND VULNERABLE POPULATIONS.THESE COMMUNITY REPRESENTATIVES PROVIDED INSIGHT INTO THE MOST PRESSING HEALTH CONCERNS, BARRIERS TO CARE, SERVICE GAPS, AND EMERGING ISSUES AFFECTING RESIDENTS OF THE SERVICE AREA.SECONDARY DATA SOURCES, INCLUDING PUBLIC HEALTH RECORDS, CENSUS DATA, AND OTHER EXISTING HEALTH-RELATED DATASETS, WERE ALSO INCORPORATED TO COMPLEMENT COMMUNITY INPUT AND PROVIDE CONTEXT FOR LOCAL HEALTH TRENDS. PRIMARY AND SECONDARY DATA WERE ANALYZED TOGETHER AND COMPARED WITH STATE AND NATIONAL BENCHMARKS TO IDENTIFY SIGNIFICANT COMMUNITY HEALTH NEEDS.THROUGH THIS COLLABORATIVE PROCESS, ST. THOMAS MORE HOSPITAL TOOK INTO ACCOUNT THE INPUT OF COMMUNITY MEMBERS AND ORGANIZATIONS IN IDENTIFYING AND PRIORITIZING COMMUNITY HEALTH NEEDS, ENSURING THAT THE CHNA REFLECTS THE PERSPECTIVES AND EXPERIENCES OF THOSE WHO LIVE AND WORK IN THE COMMUNITY.HOLY CROSS HOSPITAL-MOUNTAIN POINTCOMMONSPIRIT HOLY CROSS HOSPITAL-MOUNTAIN POINT INCORPORATED COMMUNITY INPUT THROUGHOUT THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO ENSURE THAT IDENTIFIED PRIORITIES REFLECT THE EXPERIENCES, CONCERNS, AND EXPERTISE OF PERSONS REPRESENTING THE BROAD INTERESTS OF UTAH COUNTY. THE HOSPITAL CONDUCTED THE CHNA IN COLLABORATION WITH THE UTAH COUNTY HEALTH DEPARTMENT AND USED A MULTI-METHOD ENGAGEMENT APPROACH THAT INTEGRATED BOTH QUANTITATIVE AND QUALITATIVE COMMUNITY INPUT.COMMUNITY INPUT WAS SOLICITED AND CONSIDERED THROUGH A COUNTY-WIDE COMMUNITY HEALTH SURVEY, KEY INFORMANT INTERVIEWS, FOCUS GROUPS, AND A COMMUNITY PRIORITIZATION PROCESS, IN ADDITION TO THE REVIEW OF SECONDARY PUBLIC HEALTH AND DEMOGRAPHIC DATA. COMMUNITY FEEDBACK WAS USED TO VALIDATE DATA TRENDS, IDENTIFY VULNERABLE POPULATIONS AND GEOGRAPHIC AREAS, HIGHLIGHT HEALTH DISPARITIES, AND PROVIDE CONTEXT REGARDING ROOT CAUSES AND COMMUNITY ASSETS. SPECIAL EFFORTS WERE MADE TO INCLUDE INDIVIDUALS AND ORGANIZATIONS WITH EXPERTISE IN PUBLIC HEALTH AND THOSE REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, INCLUDING TARGETED FOCUS GROUPS WITH MEMBERS OF THE LATINO COMMUNITY AND THE USE OF BILINGUAL AND PAPER-BASED SURVEYS TO REDUCE BARRIERS TO PARTICIPATION.THE HOSPITAL AND THE UTAH COUNTY HEALTH DEPARTMENT RELIED ON SHARED METHODOLOGIES, DATA SOURCES, STAFF, AND REPORTING FORMATS TO ENSURE CONSISTENCY, OBJECTIVITY, AND TRANSPARENCY THROUGHOUT THE CHNA PROCESS. INPUT FROM COMMUNITY REPRESENTATIVES WAS EXPLICITLY CONSIDERED ALONGSIDE SECONDARY DATA AND FINDINGS FROM OTHER RECENT ASSESSMENTS WHEN IDENTIFYING AND PRIORITIZING SIGNIFICANT COMMUNITY HEALTH NEEDS, CONSISTENT WITH FEDERAL REQUIREMENTS UNDER INTERNAL REVENUE CODE SECTION 501(R).IN CONDUCTING THE CHNA, THE HOSPITAL SOLICITED AND CONSIDERED INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING INDIVIDUALS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. COMMUNITY INPUT PARTICIPANTS REPRESENTED A WIDE RANGE OF ORGANIZATIONAL AFFILIATIONS: THE UTAH COUNTY HEALTH DEPARTMENT AND OTHER LOCAL PUBLIC HEALTH AGENCIES; ACADEMIC PUBLIC HEALTH INSTITUTIONS, SUCH AS THE BRIGHAM YOUNG UNIVERSITY DEPARTMENT OF PUBLIC HEALTH; CITY AND MUNICIPAL GOVERNMENTS; SCHOOL DISTRICTS AND EDUCATIONAL ORGANIZATIONS; HOSPITALS, HEALTHCARE CLINICS, AND HEALTHCARE PROVIDERS; SOCIAL SERVICE AND COMMUNITY-BASED ORGANIZATIONS; FAITH-BASED ORGANIZATIONS; AND ORGANIZATIONS AND COMMUNITY LEADERS SERVING MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, INCLUDING LATINO COMMUNITY ORGANIZATIONS. SPECIFIC ORGANIZATIONS CONSULTED INCLUDED: ABILITY 1ST UTAH, ALPINE SCHOOL DISTRICT, ALPINE SCHOOL DISTRICT SCHOOL NURSES, BYU COMPREHENSIVE CLINIC, BYU PUBLIC HEALTH, EARLY LEARNING ESSENTIALS, FAMILY HAVEN, INTERMOUNTAIN PRIMARY CHILDREN'S HOSPITAL, INTERMOUNTAIN UTAH VALLEY HOSPITAL, MAG AGING & FAMILY SERVICES, MOUNTAINLANDS COMMUNITY HEALTH CENTER, PROJECT READ, QUALTRICS, UCHD EMERGENCY PREPAREDNESS & RESPONSE, UCHD HEALTH PROMOTION & PREVENTION, UCHD TOBACCO PROGRAM, UNITE US, UNITED WAY OF UTAH COUNTY, UNIVERSITY OF UTAH HEALTH PLANS, UTAH COUNTY, UTAH COUNTY ATTORNEY'S OFFICE, UTAH COUNTY HEALTH DEPARTMENT (UCHD) ADMINISTRATION, UTAH COUNTY WIC, UTAH STATE HOUSE OF REPRESENTATIVES, UTAH TRANSIT AUTHORITY, WASATCH BEHAVIORAL HEALTH, AND WASATCH COUNTY HEALTH DEPARTMENT. PART V, SECTION B, LINE 6A- GROUP A, B AND C PENROSE HOSPITAL, ST FRANCIS HOSPITAL AND ST FRANCIS INTERQUEST HOSPITAL CONDUCTED A JOINT CHNA.ST ANTHONY HOSPITAL AND ORTHOCOLORADO HOSPITAL CONDUCTED A JOINT CHNA.ST. MARY-CORWIN HOSPITAL : UCHEALTH - PARKVIEW MEDICAL CENTER.HOLY CROSS HOSPITAL-JORDAN VALLEY, HOLY CROSS HOSPITAL-WEST VALLEY, HOLY CROSS HOSPITAL-SALT LAKE COMPLETED A JOINT CHNA.HOLY CROSS HOSPITAL DAVIS: INTERMOUNTAIN HEALTH, LAKEVIEW HOSPITAL. PART V, SECTION B, LINE 6B- GROUP A ST. MARY-CORWIN HOSPITAL: PUEBLO COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT, PUEBLO COMMUNITY HEALTH CENTER, HEALTH SOLUTIONSHOLY CROSS HOSPITAL-JORDAN VALLEY, HOLY CROSS HOSPITAL-WEST VALLEY, HOLY CROSS HOSPITAL-SALT LAKE: SALT LAKE COUNTY HEALTH DEPARTMENTHOLY CROSS HOSPITAL-DAVIS: DAVIS COUNTY HEALTH DEPARTMENTHOLY CROSS HOSPITAL-MOUNTAIN POINT: UTAH COUNTY HEALTH DEPARTMENT PART V, SECTION B, LINE 7D-ALL GROUPS THE CHNA REPORT WAS ALSO SHARED WITH ORGANIZATIONS APPLYING FOR GRANT FUNDING THROUGH THE COMMONSPIRIT HEALTH EQUITY AND ADVANCEMENT FUND. PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 5: ST. MARY-CORWIN HOSPITAL, - FACILITY 9: HOLY CROSS HOSPITAL - JORDAN VALLEY, - FACILITY 10: HOLY CROSS HOSPITAL - DAVIS, - FACILITY 12: HOLY CROSS HOSPITAL - SALT LAKE, - FACILITY 14: HOLY CROSS HOSPITAL - JORDAN VALLEY WEST, - FACILITY 15: HOLY CROSS HOSPITAL - MOUNTAIN POINT PART V, SECTION B FACILITY REPORTING GROUP B FACILITY REPORTING GROUP B CONSISTS OF: - FACILITY 16: ST. FRANCIS HOSPITAL-INTERQUEST FACILITY REPORTING GROUP - B PART V, SECTION B, LINE 2: ST. FRANCIS HOSPITAL INTERQUEST IN COLORADO SPRINGS COLORADO OPENED JULY 2023. PART V, SECTION B FACILITY REPORTING GROUP C FACILITY REPORTING GROUP C CONSISTS OF: - FACILITY 1: PENROSE HOSPITAL, - FACILITY 2: ST. ANTHONY HOSPITAL, - FACILITY 6: ST. FRANCIS HOSPITAL, - FACILITY 13: ORTHOCOLORADO HOSPITAL PART V, SECTION B FACILITY REPORTING GROUP D FACILITY REPORTING GROUP D CONSISTS OF: - FACILITY 3: ST. ANTHONY NORTH HOSPITAL, - FACILITY 4: MERCY HOSPITAL, - FACILITY 7: ST. ANTHONY SUMMIT HOSPITAL, - FACILITY 8: ST. ELIZABETH HOSPITAL, - FACILITY 11: ST. THOMAS MORE HOSPITAL PART V, SECTION B, LINE 11-ALL GROUPS PENROSE HOSPITAL, ST FRANCIS HOSPITAL AND ST FRANCIS INTERQUEST PENROSE HOSPITAL, ST FRANCIS HOSPITAL AND ST FRANCIS INTERQUEST 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. MENTAL HEALTH 2. SUBSTANCE USE; AND 3. ACCESS TO CARE.MENTAL HEALTH - SUICIDE PREVENTIONPENROSE HOSPITAL AND ST. FRANCIS MEDICAL CENTER HAVE IMPLEMENTED A COMPREHENSIVE, SYSTEM-WIDE APPROACH TO ADDRESS THE COMMUNITY'S IDENTIFIED SUICIDE PREVENTION NEEDS. EFFORTS HAVE FOCUSED ON INCREASING EARLY IDENTIFICATION OF SUICIDE RISK THROUGH THE USE OF THE COLUMBIA-SUICIDE SEVERITY RATING SCALE (C-SSRS), IMPROVING ACCESS TO EVIDENCE-BASED CARE THROUGH UNIVERSAL SCREENING AND STREAMLINED REFERRAL PATHWAYS, AND ENHANCING CONTINUITY OF CARE VIA THE CARING CONNECTIONS POST-DISCHARGE FOLLOW-UP PROGRAM AND COORDINATION WITH COMMUNITY RESOURCES. TARGETED TRAINING FOR LEADERS AND STAFF HAS STRENGTHENED THE HOSPITAL'S CAPACITY TO DELIVER SAFE, EFFECTIVE SUICIDE CARE, WHILE DATA-INFORMED AUDITS HAVE IDENTIFIED GAPS AND GUIDED CONTINUOUS IMPROVEMENT IN CARE DELIVERY. DURING FY25, 91.7% OF PATIENTS WERE SCREENED FOR SUICIDE RISK, AND 64% OF HIGH-RISK PATIENTS HAD A DOCUMENTED SAFETY ASSESSMENT OR PLAN. ALL (100%) CARING CONNECTIONS FOLLOW-UP CONTACTS WERE ATTEMPTED WITHIN 72 HOURS POST-DISCHARGE, ENSURING TIMELY OUTREACH AND CONTINUITY OF CARE. IN ADDITION, 86% OF STAFF COMPLETED REQUIRED SUICIDE PREVENTION TRAINING, REFLECTING STRONG ORGANIZATIONAL COMMITMENT TO BUILDING AND SUSTAINING A CAPABLE AND COMPASSIONATE WORKFORCE EQUIPPED TO PROVIDE EVIDENCE-BASED SUICIDE CARE. IN FY25, PENROSE HOSPITAL AND ST. FRANCIS MEDICAL CENTER PARTICIPATED IN THE ZERO SUICIDE MONTHLY COLLABORATIVE MEETINGS HOSTED BY THE OFFICE OF SUICIDE PREVENTION WITHIN THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT (CDPHE), FOSTERING SHARED LEARNING, ALIGNMENT WITH STATE PRIORITIES, AND INTEGRATION OF EMERGING BEST PRACTICES INTO HOSPITAL WORKFLOWS. THE HOSPITAL ALSO JOINED A SPECIAL COLLABORATION WITH THE VETERANS ADMINISTRATION CALLED CONVENE, AIMED AT IDENTIFYING AND ADDRESSING GAPS IN CARE FOR VETERANS AND THEIR FAMILY MEMBERS. ADDITIONALLY, THE HOSPITAL ADVANCED COMMUNITY EDUCATION AND RESOURCE AWARENESS THROUGH THE DISTRIBUTION AND PROMOTION OF 988 CRISIS RESOURCES, WHICH REPLACED THE COLORADO CRISIS LINE, ENSURING THAT PATIENTS, FAMILIES, AND STAFF HAVE IMMEDIATE ACCESS TO MENTAL HEALTH AND SUICIDE PREVENTION SUPPORT.ST. FRANCIS INTERQUEST HOSPITAL HAS IMPLEMENTED A COMPREHENSIVE, SYSTEM-WIDE APPROACH TO ADDRESS THE COMMUNITY'S IDENTIFIED SUICIDE PREVENTION NEEDS. EFFORTS HAVE FOCUSED ON INCREASING EARLY IDENTIFICATION OF SUICIDE RISK THROUGH THE USE OF THE COLUMBIA-SUICIDE SEVERITY RATING SCALE (C-SSRS), IMPROVING ACCESS TO EVIDENCE-BASED CARE THROUGH UNIVERSAL SCREENING AND STREAMLINED REFERRAL PATHWAYS, AND ENHANCING CONTINUITY OF CARE VIA THE CARING CONNECTIONS POST-DISCHARGE FOLLOW-UP PROGRAM AND COORDINATION WITH COMMUNITY RESOURCES. TARGETED TRAINING FOR LEADERS AND STAFF HAS STRENGTHENED THE HOSPITAL'S CAPACITY TO DELIVER SAFE, EFFECTIVE SUICIDE CARE, WHILE DATA-INFORMED AUDITS HAVE IDENTIFIED GAPS AND GUIDED CONTINUOUS IMPROVEMENT IN CARE DELIVERY. DURING FY25, 95% OF PATIENTS WERE SCREENED FOR SUICIDE RISK, AND 73% OF HIGH-RISK PATIENTS HAD A DOCUMENTED SAFETY ASSESSMENT OR PLAN. ALL (100%) CARING CONNECTIONS FOLLOW-UP CONTACTS WERE ATTEMPTED WITHIN 72 HOURS POST-DISCHARGE, ENSURING TIMELY OUTREACH AND CONTINUITY OF CARE. IN ADDITION, 94% OF STAFF COMPLETED REQUIRED SUICIDE PREVENTION TRAINING, REFLECTING STRONG ORGANIZATIONAL COMMITMENT TO BUILDING AND SUSTAINING A CAPABLE AND COMPASSIONATE WORKFORCE EQUIPPED TO PROVIDE EVIDENCE-BASED SUICIDE CARE. IN FY25, ST. FRANCIS MEDICAL INTERQUEST HOSPITAL PARTICIPATED IN THE ZERO SUICIDE MONTHLY COLLABORATIVE MEETINGS HOSTED BY THE OFFICE OF SUICIDE PREVENTION WITHIN THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT (CDPHE), FOSTERING SHARED LEARNING, ALIGNMENT WITH STATE PRIORITIES, AND INTEGRATION OF EMERGING BEST PRACTICES INTO HOSPITAL WORKFLOWS. THE HOSPITAL ALSO JOINED A SPECIAL COLLABORATION WITH THE VETERANS ADMINISTRATION CALLED CONVENE, AIMED AT IDENTIFYING AND ADDRESSING GAPS IN CARE FOR VETERANS AND THEIR FAMILY MEMBERS. ADDITIONALLY, THE HOSPITAL ADVANCED COMMUNITY EDUCATION AND RESOURCE AWARENESS THROUGH THE DISTRIBUTION AND PROMOTION OF 988 CRISIS RESOURCES, WHICH REPLACED THE COLORADO CRISIS LINE, ENSURING THAT PATIENTS, FAMILIES, AND STAFF HAVE IMMEDIATE ACCESS TO MENTAL HEALTH AND SUICIDE PREVENTION SUPPORT.MENTAL HEALTH - STIGMA REDUCTIONTO ADDRESS THE COMMUNITY NEED FOR MENTAL HEALTH PROMOTION AND STIGMA REDUCTION IDENTIFIED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE HOSPITALS IMPLEMENTED A MULTI-FACETED STRATEGY.THE HOSPITALS SUPPORTED THE UPDATES TO THE LET'S TALK COLORADO AND HABLEMOS COLORADO WEBSITES TO IMPROVE ACCESS TO CULTURALLY RELEVANT MENTAL HEALTH INFORMATION AND RESOURCES FOR OUR COMMUNITY. USER ENGAGEMENT IS TRACKED AND ANALYZED TO INFORM CONTINUOUS IMPROVEMENT. FROM THE MAY 12, 2025 LAUNCH THROUGH JUNE 30, 2025, LET'S TALK COLORADO RECORDED 774 ACTIVE USERS, 2,297 PAGE VIEWS, AND AN AVERAGE ENGAGEMENT TIME OF 50 SECONDS, WHILE HABLEMOS COLORADO RECORDED 282 ACTIVE USERS, 822 PAGE VIEWS, AND AN AVERAGE ENGAGEMENT TIME OF 20 SECONDS. THESE DATA DEMONSTRATE INITIAL COMMUNITY INTEREST AND PROVIDE A BASELINE FOR FUTURE OUTREACH, PROGRAM REFINEMENT, AND RESOURCE UTILIZATION.THE HOSPITALS ALSO PARTICIPATED IN COMMONSPIRIT'S EFFORT TO ADVANCE A REGIONAL AMBASSADOR PROGRAM, A PARTNERSHIP WITH THE COLORADO HEALTH INSTITUTE (CHI) AND DIVERSITY-FOCUSED COMMUNITY ORGANIZATIONS. THIS INITIATIVE IS DESIGNED TO REDUCE STIGMA AND INCREASE AWARENESS AND ACCESS TO LOCALLY AVAILABLE, CULTURALLY RESPONSIVE MENTAL HEALTH CARE PROVIDERS AND COMMUNITY SUPPORT SERVICES. AS TRUSTED CBOS, AMBASSADORS REACHED 209,455 INDIVIDUALS STATEWIDE IN FY25, EXCEEDING TARGET OUTREACH GOALS FOR THE BROADER REGION. THE PROGRAM INCREASED COMMUNITY AWARENESS, STRENGTHENED PARTNERSHIPS, AND ENHANCED CAPACITY TO ADDRESS MENTAL HEALTH NEEDS IN CULTURALLY MEANINGFUL WAYS. THE ORGANIZATIONS FUNDED BY CHI FOR THIS STATEWIDE PROGRAM INCLUDED THE COLORADO IMMIGRANT RIGHTS COALITION AND THE MIEL FOUNDATION. PART V, SECTION B, LINE 11-ALL GROUPS-CONTINUED SUBSTANCE USEPENROSE HOSPITAL, ST FRANCIS HOSPITALTO 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 ED MOUD RATE WAS 94.74% WITH 18 OUT OF THE 19 ELIGIBLE PATIENTS BEING INDUCED WITH BUPRENOPRHINE TO TREAT OUD. A TOTAL OF 152 NARCAN KITS WERE DISPENSED TO PATIENTS IDENTIFIED AS AT-RISK FOR OVERDOSE. WITH 75 KITS DISPENSED AT PENROSE HOSPITAL AND 77 KITS AT ST FRANCIS. 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.THERE WERE 902 PATIENTS ADMINISTERED THE VALIDATED SCREENING TOOL FOR SUBSTANCE MISUSE, AUDIT-C PLUS 2 (ALCOHOL USE DISORDER IDENTIFICATION TEST). OF THOSE SCREENED, 607 RECEIVED A BRIEF INTERVENTION WITH MOTIVATIONAL INTERVIEWING SKILLS TO SUPPORT MAKING 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.ST FRANCIS INTERQUESTTO 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.SFI ENGAGED IN TRAINING PROGRAMS TO PREPARE FOR THE LAUNCH OF A QUALITY IMPROVEMENT PROJECT TO MONITOR THEIR ED MOUD PERFORMANCE. THE STANDARDIZED BEST PRACTICES AND EMBEDED TOOLS WERE MADE AVAILABLE FOR THEIR FACILITY TO ACCESS AND UTILIZE IN LATE FY25 WITH A PLAN FOR FULL ROLLOUT IN FY26. 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.THERE WERE 20 PATIENTS ADMINISTERED THE VALIDATED SCREENING TOOL FOR SUBSTANCE USE, AUDIT-C PLUS (ALCOHOL USE DISORDER IDENTIFICATION TEST), WITH 9 RECEIVING A BRIEF INTERVENTION WITH MOTIVATIONAL INTERVIEWING SKILLS TO SUPPORT CHANGE IN USE. THE TOOL IS EMBEDDED IN THEIR ELECTRONIC HEALTH RECORD SYSTEM AND AVAILABLE TO BE UTILIZED IN IDENTIFYING RISKY SUBSTANCE USE WITH PATIENTS. 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.ACCESS TO CARE - SCREENING AND CARE COORDINATION:PENROSE ST. FRANCIS HOSPITALS PROVIDES NO-COST SOCIAL DETERMINANTS OF HEALTH (SDOH) SCREENING TO IDENTIFY BARRIERS SUCH AS HOUSING INSTABILITY, FOOD INSECURITY, TRANSPORTATION CHALLENGES, FINANCIAL STRAIN, AND SAFETY CONCERNS. THESE EFFORTS SUPPORT CHNA PRIORITIES RELATED TO ACCESS TO MENTAL HEALTH CARE, REDUCING SUBSTANCE USE RISKS, SUICIDE PREVENTION, AND STRENGTHENING FOOD SECURITY. DURING THE FISCAL YEAR, 3,141 PATIENTS WERE SCREENED WITH A 91.84% SCREENING RATE, AND 34% HAD AT LEAST ONE IDENTIFIED NEED. COMMON NEEDS INCLUDED HOUSING INSTABILITY, FOOD INSECURITY, TRANSPORTATION ISSUES, AND UTILITY OR FINANCIAL STRESS. SCREENING ACROSS INPATIENT DEPARTMENTS HELPS IDENTIFY INDIVIDUALS WHOSE SOCIAL CIRCUMSTANCES MAY AFFECT HEALTH OUTCOMES AND ACCESS TO ONGOING CARE. BY IDENTIFYING NEEDS AND LINKING PATIENTS TO COMMUNITY RESOURCES, THE HOSPITAL SUPPORTS VULNERABLE POPULATIONS AND ADVANCES PROGRESS TOWARD CHNA PRIORITIES.ST. FRANCIS INTERQUEST HOSPITAL PROVIDES NO-COST SOCIAL DETERMINANTS OF HEALTH (SDOH) SCREENING TO IDENTIFY BARRIERS SUCH AS HOUSING INSTABILITY, FOOD INSECURITY, TRANSPORTATION CHALLENGES, FINANCIAL STRAIN, AND SAFETY CONCERNS. THESE EFFORTS SUPPORT CHNA PRIORITIES RELATED TO ACCESS TO MENTAL HEALTH CARE, REDUCING SUBSTANCE USE RISKS, SUICIDE PREVENTION, AND STRENGTHENING FOOD SECURITY. DURING THE FISCAL YEAR, 33 PATIENTS WERE SCREENED WITH A 91.67% SCREENING RATE, AND 54.55% HAD AT LEAST ONE IDENTIFIED NEED. COMMON NEEDS INCLUDED HOUSING INSTABILITY, FOOD INSECURITY, TRANSPORTATION ISSUES, AND UTILITY OR FINANCIAL STRESS. SCREENING ACROSS INPATIENT DEPARTMENTS HELPS IDENTIFY INDIVIDUALS WHOSE SOCIAL CIRCUMSTANCES MAY AFFECT HEALTH OUTCOMES AND ACCESS TO CARE. BY IDENTIFYING NEEDS AND LINKING PATIENTS TO COMMUNITY RESOURCES, THE HOSPITAL SUPPORTS VULNERABLE POPULATIONS AND ADVANCES PROGRESS TOWARD CHNA PRIORITIES.ADDITIONALLY, THE COMMUNITY HEALTH WORKER (CHW) FRESH MOUNTAIN REGION PROGRAM PROVIDES NO-COST NAVIGATION, OUTREACH, AND SOCIAL SUPPORT SERVICES FOR UNINSURED, UNDERINSURED, AND HIGH-RISK INDIVIDUALS EXPERIENCING BARRIERS RELATED TO SOCIAL DETERMINANTS OF HEALTH. CHWS ASSIST WITH SDOH SCREENING, BENEFITS APPLICATIONS, CARE COORDINATION, AND CONNECTIONS TO HOUSING, FOOD, TRANSPORTATION, AND OTHER COMMUNITY-BASED RESOURCES. THESE ACTIVITIES SUPPORT CHNA PRIORITIES RELATED TO ACCESS TO CARE, HEALTH EQUITY, AND SOCIAL AND ECONOMIC NEEDS. DURING 2025, THE PROGRAM SCREENED OVER 3,690 PATIENTS, OUTREACHED TO OVER 2,700 INDIVIDUALS, AND ENROLLED 41 HOUSEHOLDS IN SNAP FOOD BENEFITS. BY SUPPORTING VULNERABLE POPULATIONS AND IMPROVING ACCESS TO ESSENTIAL SERVICES, THE PROGRAM HELPS REDUCE AVOIDABLE EMERGENCY CARE UTILIZATION AND STRENGTHENS COMMUNITY WELL-BEING. PART V, SECTION B, LINE 11-ALL GROUPS-CONTINUED ACCESS TO CARE - HEALTH PROFESSIONSPENROSE ST. FRANCIS HEALTH SERVICES PROVIDES A BROAD RANGE OF HEALTH PROFESSIONS EDUCATION PROGRAMS THAT ADDRESS REGIONAL WORKFORCE SHORTAGES IN PRIMARY CARE, NURSING, ALLIED HEALTH, EMERGENCY RESPONSE, AND DIAGNOSTIC AND THERAPEUTIC SERVICES. THE HOSPITAL SUPPORTS SUPERVISED CLINICAL TRAINING, PRECEPTORSHIPS, CAPSTONE EXPERIENCES, AND RESIDENCY EDUCATION FOR LEARNERS IN FAMILY MEDICINE, NURSING, CERTIFIED NURSING ASSISTANTS, HEALTHCARE ADMINISTRATION, INFORMATICS AND HIM, DIETETICS, PARAMEDICINE/EMT, PHARMACY AND PHARMACY TECHNICIAN PROGRAMS, PHLEBOTOMY, RADIOLOGY TECHNOLOGY, MEDICAL LABORATORY SCIENCE, REHABILITATION THERAPIES (PT/OT/SPEECH), RESPIRATORY THERAPY, SOCIAL WORK, STERILE PROCESSING, AND SURGICAL TECHNOLOGY. THESE PROGRAMS ARE OFFERED AT NO COST TO STUDENTS OR ACADEMIC PARTNERS AND RELY ON HOSPITAL-EMPLOYED CLINICIANS AND EDUCATORS WHO PROVIDE INSTRUCTION AND SUPERVISION. DURING THE TAX YEAR, THE HOSPITAL INCURRED APPROXIMATELY $4.46 MILLION IN COSTS TO SUPPORT THESE PROGRAMS AND RECEIVED $307,621 IN OFFSETTING REVENUE, RESULTING IN A NET COMMUNITY BENEFIT OF $4.15 MILLION. BY PROVIDING HANDS-ON CLINICAL TRAINING ACROSS MULTIPLE DISCIPLINES, THE HOSPITAL STRENGTHENS THE REGIONAL HEALTHCARE WORKFORCE PIPELINE AND EXPANDS ESSENTIAL EDUCATION OPPORTUNITIES THAT WOULD NOT OCCUR WITHOUT HOSPITAL SUPPORT.ACCESS TO CARE - WORKFORCE DEVELOPMENTCOMMONSPIRIT HEALTH, PENROSE HOSPITAL AND ST. FRANCIS HOSPITAL (PH SFH) ADVANCED SEVERAL KEY PARTNERSHIPS WITH REGIONAL EDUCATION PARTNERS INCLUDING PIKES PEAK STATE COLLEGE, PUEBLO COMMUNITY COLLEGE, AND THE COLORADO COMMUNITY COLLEGE SYSTEM. CSH LED THE WORK TO CREATE THE STATE'S QUALIFIED BEHAVIORAL HEALTH ASSISTANT COMPETENCIES THAT ALLOW EXISTING DIRECT CARE WORKERS IN THE BEHAVIORAL HEALTH FIELD THE OPPORTUNITY TO EARN COMMUNITY COLLEGE CREDITS AND CERTIFICATE THROUGH DEMONSTRATION OF SKILLS AND KNOWLEDGE TESTING. THE ESTABLISHMENT OF A CSH BH WORKFORCE MODEL THAT INCLUDES EARN-WHILE-YOU-LEARN PATHWAYS WAS INCORPORATED AS A DEMONSTRATED PATHWAY MODEL FOR REGIONAL COLLABORATIVE WORK WITH THE SOUTHERN COLORADO REGIONAL HEALTHCARE SECTOR PARTNERSHIP. CSH'S REGIONAL BH DIRECTOR CO-CHAIRS THE WORKFORCE EDUCATIONAL PARTNERSHIP THAT SERVES AS THE ADVISORY BOARD FOR THE PIKES PEAK STATE COLLEGE BEHAVIORAL HEALTH PROGRAM AND PROVIDES LEADERSHIP CONSULTATION TO THE BH WORKFORCE AND ECOSYSTEM WORK GROUPS. THIS EMPLOYER-DRIVEN AND GUIDED WORK-SECTOR PARTNERSHIP WORKS TO DEVELOP AND ADVANCE EQUITABLE BH PROFESSIONAL PATHWAYS THROUGHOUT THE PIKES PEAK REGION'S COMMUNITIES TO REALIZE IMPROVEMENTS IN THE BH CARE AND TREATMENT OF INDIVIDUALS IN OUR COMMUNITIES.PH SFH'S TEAM OF BEHAVIORAL HEALTH SPECIALISTS (BHS) IMPLEMENTED SIGNIFICANT IMPROVEMENTS IN CARE AND TREATMENT FOR THE COMMUNITY. THIS INCLUDED THE PERFORMANCE OF SCREENING BRIEF INTERVENTION AND REFERRAL TO TREATMENT (SBIRT) SERVICES, SUPPORT OF THE HOSPITAL'S SOCIAL DETERMINANTS OF HEALTH SCREENING PROGRAM, AND INITIATIVES ADDRESSING MATERNAL MENTAL HEALTH AND OTHER PATIENT ACCESS TO CARE NEEDS. PH SFH ALSO ADVANCED A STRONG PARTNERSHIP BETWEEN THEIR CRISIS ASSESSMENT TEAM AND THE IRIS TELEHEALTH PSYCHIATRIC CONSULTATION SERVICE PROGRAM PH SFH INVESTED IN LAUNCHING. THIS NEW PARTNERSHIP WAS CREATED TO HELP ASSESS, TREAT, LINK AND ENHANCE THE CARE AND OUTCOMES OF PH'S AND SFH'S SUBSTANCE USE DISORDERED AND COMPLEX PSYCHIATRIC, NEUROCOMPLEX, AND BEHAVIORAL PATIENTS. PH AND SFH ALSO CREATED ACCESS TO CARE IMPROVEMENTS WITH ITS INVESTMENTS IN ITS INTEGRATED BEHAVIORAL HEALTH AMBULATORY PROGRAM AND SETT CLINIC WHICH PROVIDED KEY SUBSTANCE USE DISORDER AND COUNSELING ACCESS TO CLINIC PATIENTS AT THE SETT CLINIC, WOMEN'S CLINIC AND PRIMARY CARE SITES. PH ALSO INVESTED IN HAVING A SEPARATE BEHAVIORAL HEALTH OUTPATIENT CLINIC WHICH IS DEDICATED TO PROVIDING THERAPY AND MEDICATION MANAGEMENT SERVICES TO ITS CLINIC'S PATIENTS.COMMONSPIRIT HEALTH AND ST. FRANCIS INTERQUEST HOSPITAL (SFI) ADVANCED SEVERAL KEY PARTNERSHIPS WITH REGIONAL EDUCATION ENTITIES INCLUDING PIKES PEAK STATE COLLEGE, PUEBLO COMMUNITY COLLEGE, AND THE COLORADO COMMUNITY COLLEGE SYSTEM. COMMONSPIRIT HEALTH LED THE DEVELOPMENT OF THE STATE'S QUALIFIED BEHAVIORAL HEALTH ASSISTANT COMPETENCIES. THESE COMPETENCIES NOW PROVIDE EXISTING DIRECT CARE WORKERS IN THE BEHAVIORAL HEALTH FIELD THE OPPORTUNITY TO EARN COMMUNITY COLLEGE CREDITS AND CERTIFICATION THROUGH DEMONSTRATION OF SKILLS AND KNOWLEDGE TESTING. THE ESTABLISHMENT OF A COMMONSPIRIT HEALTH BEHAVIORAL HEALTH WORKFORCE MODEL, INCLUDING EARN-WHILE-YOU-LEARN PATHWAYS, WAS INCORPORATED AS A DEMONSTRATED PATHWAY MODEL FOR REGIONAL COLLABORATIVE EFFORTS WITH THE SOUTHERN COLORADO REGIONAL HEALTHCARE SECTOR PARTNERSHIP. COMMONSPIRIT HEALTH'S REGIONAL BEHAVIORAL HEALTH DIRECTOR CO-CHAIRS THE WORKFORCE AND EDUCATIONAL PARTNERSHIP, WHICH SERVES AS THE ADVISORY BOARD FOR THE PIKES PEAK STATE COLLEGE BEHAVIORAL HEALTH PROGRAM, AND PROVIDES LEADERSHIP CONSULTATION TO THE BEHAVIORAL HEALTH WORKFORCE AND ECOSYSTEM WORK GROUPS. THIS EMPLOYER-DRIVEN AND GUIDED SECTOR PARTNERSHIP WORKS TO DEVELOP AND ADVANCE EQUITABLE BEHAVIORAL HEALTH PROFESSIONAL PATHWAYS THROUGHOUT THE PIKES PEAK REGION'S COMMUNITIES, REALIZING IMPROVEMENTS IN THE BEHAVIORAL HEALTH CARE AND TREATMENT OF INDIVIDUALS. SFI ALSO FOSTERED A STRONG PARTNERSHIP BETWEEN ITS CRISIS ASSESSMENT TEAM, THE IRIS TELEHEALTH PSYCHIATRIC CONSULTATION SERVICE PROGRAM, AND COMMUNITY PROVIDERS. THIS COLLABORATION WAS CREATED TO HELP ASSESS, TREAT, LINK, AND ENHANCE THE CARE AND OUTCOMES OF SFI'S SUBSTANCE USE DISORDERED AND COMPLEX PSYCHIATRIC, NEUROCOMPLEX, AND BEHAVIORAL PATIENTS.COMMUNITY HEALTH IMPROVEMENT GRANTSFURTHER SUPPORTING COMMUNITY HEALTH EFFORTS, PENROSE HOSPITAL, ST FRANCIS HOSPITAL AND ST FRANCIS INTERQUEST HOSPITAL PROVIDES 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 PENROSE HOSPITAL, ST FRANCIS HOSPITAL AND ST FRANCIS INTERQUEST HOSPITAL CONTRIBUTED TO THE COMMUNITY HEALTH EQUITY AND ADVANCEMENT GRANT PROGRAM. SPECIFIC ORGANIZATIONS RECEIVING FUNDING FROM PENROSE HOSPITAL, ST FRANCIS HOSPITAL AND ST FRANCIS INTERQUEST HOSPITAL TOTALING $375,000 INCLUDED SOLID ROCK, CENTRO DE FAMILIA, INTERNATIONAL RESCUE COMMITTEE, ASCENDING TO HEALTH, BAKHITA MOUNTAIN HOME, CATHOLIC CHARITIES OF CENTRAL CO AND INSIDE OUT YOUTH SERVICES PROVIDING DIRECT SUPPORT TO IMPROVE COMMUNITY HEALTH AND WELL-BEING.IDENTIFIED HEALTH NEEDS NOT PRIORITIZEDTHE HOSPITALS RECOGNIZE HEART DISEASE AND STROKE AS IMPORTANT COMMUNITY HEALTH NEEDS; HOWEVER, DUE TO CAPACITY AND RESOURCE LIMITATIONS, THEY ARE UNABLE TO LEAD A DEDICATED INITIATIVE IN THIS AREA AT THIS TIME. THROUGH THE CHNA PRIORITIZATION PROCESS, HEART DISEASE AND STROKE RANKED FOURTH, FOLLOWING MENTAL HEALTH, ACCESS TO HEALTH CARE SERVICES, AND SUBSTANCE USE, AND WAS THEREFORE NOT SELECTED AS A PRIMARY FOCUS FOR THE IMPLEMENTATION STRATEGY. THE HOSPITALS WILL CONTINUE TO SUPPORT AND COLLABORATE WITH COMMUNITY PARTNERS AND PUBLIC HEALTH AGENCIES THAT ARE BETTER POSITIONED TO ADDRESS HEART DISEASE AND STROKE PREVENTION AND MANAGEMENT WITHIN THE COMMUNITY. PART V, SECTION B, LINE 11-ALL GROUPS-CONTINUED ST. ANTHONY HOSPITAL, ORTHOCOLORADO HOSPITALST. ANTHONY HOSPITALMENTAL HEALTH - SUICIDE PREVENTIONTO ADDRESS THE COMMUNITY NEED FOR SUICIDE PREVENTION IDENTIFIED IN THE CHNA, ST. ANTHONY HOSPITAL HAS IMPLEMENTED A COMPREHENSIVE, SYSTEM-WIDE APPROACH ST. ANTHONY HOSPITAL HAS IMPLEMENTED A COMPREHENSIVE, SYSTEM-WIDE APPROACH TO ADDRESS THE COMMUNITY'S IDENTIFIED SUICIDE PREVENTION NEEDS. EFFORTS HAVE FOCUSED ON INCREASING EARLY IDENTIFICATION OF SUICIDE RISK THROUGH THE USE OF THE COLUMBIA-SUICIDE SEVERITY RATING SCALE (C-SSRS), IMPROVING ACCESS TO EVIDENCE-BASED CARE THROUGH UNIVERSAL SCREENING AND STREAMLINED REFERRAL PATHWAYS, AND ENHANCING CONTINUITY OF CARE VIA THE CARING CONNECTIONS POST-DISCHARGE FOLLOW-UP PROGRAM AND COORDINATION WITH COMMUNITY RESOURCES. TARGETED TRAINING FOR LEADERS AND STAFF HAS STRENGTHENED THE HOSPITAL'S CAPACITY TO DELIVER SAFE, EFFECTIVE SUICIDE CARE, WHILE DATA-INFORMED AUDITS HAVE IDENTIFIED GAPS AND GUIDED CONTINUOUS IMPROVEMENT IN CARE DELIVERY. DURING FY25, 94% OF PATIENTS WERE SCREENED FOR SUICIDE RISK, AND 67% OF HIGH-RISK PATIENTS HAD A DOCUMENTED SAFETY ASSESSMENT OR PLAN. ALL (100%) CARING CONNECTIONS FOLLOW-UP CONTACTS WERE ATTEMPTED WITHIN 72 HOURS POST-DISCHARGE, ENSURING TIMELY OUTREACH AND CONTINUITY OF CARE. IN ADDITION, 92% OF STAFF COMPLETED REQUIRED SUICIDE PREVENTION TRAINING, REFLECTING STRONG ORGANIZATIONAL COMMITMENT TO BUILDING AND SUSTAINING A CAPABLE AND COMPASSIONATE WORKFORCE EQUIPPED TO PROVIDE EVIDENCE-BASED SUICIDE CARE. IN FY25, ST. ANTHONY HOSPITAL PARTICIPATED IN THE ZERO SUICIDE MONTHLY COLLABORATIVE MEETINGS HOSTED BY THE OFFICE OF SUICIDE PREVENTION WITHIN THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT (CDPHE), FOSTERING SHARED LEARNING, ALIGNMENT WITH STATE PRIORITIES, AND INTEGRATION OF EMERGING BEST PRACTICES INTO HOSPITAL WORKFLOWS. THE HOSPITAL ALSO JOINED A SPECIAL COLLABORATION WITH THE VETERANS ADMINISTRATION CALLED CONVENE, AIMED AT IDENTIFYING AND ADDRESSING GAPS IN CARE FOR VETERANS AND THEIR FAMILY MEMBERS. ADDITIONALLY, THE HOSPITAL ADVANCED COMMUNITY EDUCATION AND RESOURCE AWARENESS THROUGH THE DISTRIBUTION AND PROMOTION OF 988 CRISIS RESOURCES, WHICH REPLACED THE COLORADO CRISIS LINE, ENSURING THAT PATIENTS, FAMILIES, AND STAFF HAVE IMMEDIATE ACCESS TO MENTAL HEALTH AND SUICIDE PREVENTION SUPPORT.MENTAL HEALTH - STIGMA REDUCTIONTO ADDRESS THE COMMUNITY NEED FOR MENTAL HEALTH PROMOTION AND STIGMA REDUCTION IDENTIFIED IN THE CHNA, SAH IMPLEMENTED A COMPREHENSIVE STRATEGY CENTERED ON COMMUNITY PARTNERSHIPS. SAH CONTINUED ITS DIRECT SUPPORT FOR A REGIONAL INITIATIVE, PARTNERING WITH VARIOUS COMMUNITY-BASED ORGANIZATIONS (CBOS). THIS SUPPORT INVOLVED STRENGTHENING CBO CAPACITY THROUGH SHARED PROGRAM MANAGEMENT, ROBUST EVALUATIONS, STANDARDIZED REPORTING, CLEARLY DEFINED SCOPES OF WORK, AND VIBRANT COMMUNITIES OF PRACTICE. UTILIZING EVIDENCE-BASED INTERVENTIONS, INCLUDING QPR TRAINING, THIS INITIATIVE INCORPORATED SOCIAL DETERMINANTS OF HEALTH AND DEPLOYED CULTURALLY SPECIFIC CAMPAIGNS TO EFFECTIVELY REACH MARGINALIZED AND HIGH-RISK POPULATIONS. ADDITIONALLY, SAH PROVIDED SMALL GRANTS TO LOCAL 501(C)(3) NONPROFITS TO IMPROVE MENTAL HEALTH AWARENESS, KNOWLEDGE, AND ACCESS TO RESOURCES. A KEY COMPONENT OF THIS STRATEGY WAS SAH'S ADVANCEMENT OF AN AMBASSADOR PROGRAM, A PARTNERSHIP WITH THE COLORADO HEALTH INSTITUTE (CHI) AND LOCAL DIVERSITY-FOCUSED COMMUNITY ORGANIZATIONS. THIS INITIATIVE IS DESIGNED TO REDUCE STIGMA AND INCREASE AWARENESS OF, AND ACCESS TO, LOCALLY AVAILABLE, CULTURALLY RESPONSIVE MENTAL HEALTH CARE PROVIDERS AND COMMUNITY SUPPORT SERVICES. AS TRUSTED CBOS, THE COLORADO IMMIGRANT RIGHTS COALITION, CUENTA CONMIGO COOP, THE MIEL FOUNDATION, AND LATINAS COMMUNITY CONNECTIONS SERVED THE SAH SERVICE AREA, CONTRIBUTING TO THE AMBASSADOR PROGRAM'S SUCCESS. AMBASSADORS COLLECTIVELY REACHED 209,455 INDIVIDUALS IN FY2025, SIGNIFICANTLY EXCEEDING TARGET OUTREACH GOALS. THE AMBASSADOR PROGRAM SUCCESSFULLY INCREASED COMMUNITY AWARENESS, STRENGTHENED PARTNERSHIPS, AND ENHANCED THE CAPACITY TO ADDRESS MENTAL HEALTH NEEDS IN CULTURALLY MEANINGFUL WAYS. FURTHERMORE, SAH SUPPORTED THE UPDATING OF THE LET'S TALK COLORADO AND HABLEMOS COLORADO WEBSITES TO IMPROVE ACCESS TO CULTURALLY RELEVANT MENTAL HEALTH RESOURCES. ENGAGEMENT WITH THESE SITES IS ACTIVELY BEING TRACKED AND ANALYZED. FROM THE MAY 12, 2025 LAUNCH THROUGH JUNE 30, 2025, LET'S TALK COLORADO RECORDED 774 ACTIVE USERS, 2,297 PAGE VIEWS, AND AN AVERAGE ENGAGEMENT TIME OF 50 SECONDS. HABLEMOS COLORADO HAD 282 ACTIVE USERS, 822 PAGE VIEWS, AND AN AVERAGE ENGAGEMENT TIME OF 20 SECONDS. FURTHERMORE, SAH SUPPORTED THE UPDATING OF THE LET'S TALK COLORADO AND HABLEMOS COLORADO WEBSITES TO IMPROVE ACCESS TO CULTURALLY RELEVANT MENTAL HEALTH RESOURCES. ENGAGEMENT WITH THESE SITES IS ACTIVELY BEING TRACKED AND ANALYZED. FROM THE MAY 12, 2025 LAUNCH THROUGH JUNE 30, 2025, LET'S TALK COLORADO RECORDED 774 ACTIVE USERS, 2,297 PAGE VIEWS, AND AN AVERAGE ENGAGEMENT TIME OF 50 SECONDS. HABLEMOS COLORADO HAD 282 ACTIVE USERS, 822 PAGE VIEWS, AND AN AVERAGE ENGAGEMENT TIME OF 20 SECONDS. THESE INITIAL DATA POINTS DEMONSTRATE COMMUNITY INTEREST AND PROVIDE A VALUABLE BASELINE FOR FUTURE OUTREACH AND RESOURCE UTILIZATION.SUBSTANCE USETO 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 ED MOUD RATE OF INDUCTION WAS 98.39% WITH 61 OUT OF 62 ELIGIBLE ED PATIENTS BEING ADMINISTERED BY PRENORPHINE. 300 NARCAN KITS WERE DISPENSED TO PATIENTS IDENTIFIED AS HIGH-RISK FOR OVERDOSE. 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.THERE WERE 1,280 PATIENTS ADMINISTERED THE VALIDATED SCREENING TOOL FOR SUBSTANCE MISUSE, AUDIT-C PLUS 2 (ALCOHOL USE DISORDER IDENTIFICATION TEST). OF THOSE SCREENED, 609 RECEIVED A BRIEF INTERVENTION WITH MOTIVATIONAL INTERVIEWING SKILLS TO SUPPORT MAKING 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. PART V, SECTION B, LINE 11-ALL GROUPS-CONTINUED ACCESS TO CARE - SCREENING AND CARE COORDINATIONST. ANTHONY HOSPITAL PROVIDES SOCIAL DETERMINANTS OF HEALTH (SDOH) SCREENING TO IDENTIFY BARRIERS SUCH AS HOUSING INSTABILITY, FOOD INSECURITY, TRANSPORTATION CHALLENGES, FINANCIAL STRAIN, AND SAFETY CONCERNS. THESE EFFORTS SUPPORT CHNA PRIORITIES RELATED TO SUICIDE PREVENTION, REDUCING SUBSTANCE USE RISKS, IMPROVING HOUSING STABILITY, AND STRENGTHENING FOOD SECURITY. DURING THE FISCAL YEAR, 1,139 PATIENTS WERE SCREENED WITH AN 89.26% SCREENING RATE, AND 40.56% HAD AT LEAST ONE IDENTIFIED NEED. COMMON NEEDS INCLUDED HOUSING INSTABILITY, FOOD INSECURITY, TRANSPORTATION ISSUES, AND UTILITY OR FINANCIAL STRESS. SCREENING ACROSS INPATIENT DEPARTMENTS HELPS IDENTIFY INDIVIDUALS WHOSE SOCIAL CIRCUMSTANCES MAY AFFECT HEALTH OUTCOMES AND ACCESS TO ONGOING CARE. BY IDENTIFYING NEEDS AND LINKING PATIENTS TO COMMUNITY RESOURCES, THE HOSPITAL SUPPORTS VULNERABLE POPULATIONS AND ADVANCES PROGRESS ON CHNA PRIORITIES.ADDITIONALLY, THE COMMUNITY HEALTH WORKER (CHW) FRESH MOUNTAIN REGION PROGRAM PROVIDES NO-COST NAVIGATION, OUTREACH, AND SOCIAL SUPPORT SERVICES FOR UNINSURED, UNDERINSURED, AND HIGH-RISK INDIVIDUALS EXPERIENCING BARRIERS RELATED TO SOCIAL DETERMINANTS OF HEALTH. CHWS ASSIST WITH SDOH SCREENING, BENEFITS APPLICATIONS, CARE COORDINATION, AND CONNECTIONS TO HOUSING, FOOD, TRANSPORTATION, AND OTHER COMMUNITY-BASED RESOURCES. THESE ACTIVITIES SUPPORT CHNA PRIORITIES RELATED TO ACCESS TO CARE, HEALTH EQUITY, AND SOCIAL AND ECONOMIC NEEDS. DURING 2025, THE PROGRAM SCREENED OVER 3,690 PATIENTS, OUTREACHED TO OVER 2,700 INDIVIDUALS, AND ENROLLED 41 HOUSEHOLDS IN SNAP FOOD BENEFITS. BY SUPPORTING VULNERABLE POPULATIONS AND IMPROVING ACCESS TO ESSENTIAL SERVICES, THE PROGRAM HELPS REDUCE AVOIDABLE EMERGENCY CARE UTILIZATION AND STRENGTHENS COMMUNITY WELL-BEING.ACCESS TO CARE - HEALTH PROFESSIONSST. ANTHONY HOSPITAL PROVIDES A BROAD RANGE OF HEALTH PROFESSIONS EDUCATION PROGRAMS THAT HELP ADDRESS REGIONAL WORKFORCE SHORTAGES IN NURSING, PRIMARY CARE, ALLIED HEALTH, EMERGENCY RESPONSE, AND SPIRITUAL CARE. THE HOSPITAL OFFERS SUPERVISED CLINICAL TRAINING, PRECEPTORSHIPS, CAPSTONE EXPERIENCES, AND RESIDENCY EDUCATION FOR LEARNERS IN NURSING, MEDICINE, RADIOLOGY, LABORATORY SCIENCE, RESPIRATORY THERAPY, PHYSICAL AND OCCUPATIONAL THERAPY, PHARMACY, SURGICAL TECHNOLOGY, PARAMEDICINE/EMT, AND CHAPLAINCY. THESE PROGRAMS ARE PROVIDED AT NO COST TO STUDENTS OR ACADEMIC PARTNERS AND RELY ON HOSPITAL-EMPLOYED CLINICAL STAFF AND FACULTY WHO DELIVER INSTRUCTION AND SUPERVISION. DURING THE TAX YEAR, THE HOSPITAL INCURRED APPROXIMATELY $4.1 MILLION IN COSTS TO SUPPORT THESE PROGRAMS AND RECEIVED $187,195 IN OFFSETTING REVENUE, RESULTING IN A NET COMMUNITY BENEFIT OF $3.9 MILLION. BY SUPPORTING CLINICAL EDUCATION FOR EMERGING HEALTH PROFESSIONALS, THE HOSPITAL STRENGTHENS THE HEALTHCARE WORKFORCE PIPELINE, RESPONDS TO DOCUMENTED SHORTAGES ACROSS ESSENTIAL FIELDS, AND EXPANDS ACCESS TO TRAINING OPPORTUNITIES THAT WOULD NOT BE AVAILABLE WITHOUT HOSPITAL SUPPORT.TO ADDRESS THE BEHAVIORAL HEALTH WORKFORCE SHORTAGES AND INCREASE ACCESS TO CARE IDENTIFIED IN THE CHNA, ST. ANTHONY'S HOSPITAL (SAH) ACTIVELY PARTICIPATES IN AND BENEFITS FROM STRATEGIC REGIONAL PARTNERSHIPS AND INNOVATIVE CARE MODELS.COMMONSPIRIT HEALTH (CSH), IN COLLABORATION WITH REGIONAL EDUCATION PARTNERS INCLUDING FRONT RANGE COMMUNITY COLLEGE, METRO STATE UNIVERSITY, REGIS UNIVERSITY, ARAPAHOE COMMUNITY COLLEGE, AND THE COLORADO COMMUNITY COLLEGE SYSTEM, LED THE DEVELOPMENT OF THE STATE'S QUALIFIED BEHAVIORAL HEALTH ASSISTANT (QBHA) COMPETENCIES. THIS SIGNIFICANT INITIATIVE ALLOWS EXISTING DIRECT CARE WORKERS IN THE BEHAVIORAL HEALTH FIELD TO EARN COMMUNITY COLLEGE CREDITS AND CERTIFICATES THROUGH SKILLS AND KNOWLEDGE TESTING. THE ESTABLISHMENT OF THIS CSH BEHAVIORAL HEALTH (BH) WORKFORCE MODEL, INCLUDING EARN-WHILE-YOU-LEARN PATHWAYS, WAS INCORPORATED AS A DEMONSTRATED PATHWAY FOR REGIONAL COLLABORATIVE WORK. THIS MODEL IS BEING ADVANCED THROUGH THE JEFFERSON AND BOULDER COUNTY AND GREATER DENVER REGION'S BEHAVIORAL HEALTH WORK SECTOR PARTNERSHIP INITIATIVE. CSH'S REGIONAL BH DIRECTOR CO-CHAIRS THIS PARTNERSHIP, PROVIDING LEADERSHIP AND CONSULTATION TO ITS BH WORKFORCE AND ECOSYSTEM WORKGROUPS. THIS EMPLOYER-DRIVEN AND GUIDED PARTNERSHIP, THE LARGEST IN THE STATE, INCLUDES BROAD PARTICIPATION FROM BH EMPLOYERS, EDUCATORS, WORKFORCE AND COMMUNITY-BASED ORGANIZATIONS, AND STATE AGENCIES. IT IS DEDICATED TO ADVANCING COMMUNITY CONNECTIONS AND EQUITABLE BH PROFESSIONAL PATHWAYS TO IMPROVE BH CARE AND TREATMENT IN THE REGION.ADDITIONALLY, SAH HAS MADE SIGNIFICANT CONTRIBUTIONS TO WORKFORCE DEVELOPMENT AND ACCESS. SAH BEHAVIORAL HEALTH SPECIALISTS (BHS) PARTICIPATED IN THE DEVELOPMENT OF CAREER PATHWAY VIDEOS, SUPPORTING BH CAREER AWARENESS ACROSS COLORADO. SAH ADVANCED IMPROVED PATIENT OUTCOMES THROUGH ITS BHS, BEHAVIORAL HEALTH LEAD CLINICIAN, AND IRIS TELEHEALTH SERVICE MODEL. THIS MODEL IS DESIGNED TO ASSESS, TREAT, LINK, AND ENHANCE THE CARE FOR SAH'S PATIENTS WITH SUBSTANCE USE DISORDERS, COMPLEX PSYCHIATRIC, NEUROCOMPLEX, AND BEHAVIORAL NEEDS. SAH ALSO IMPROVED ACCESS TO CARE THROUGH INVESTMENTS IN ITS INTEGRATED BEHAVIORAL HEALTH AMBULATORY PROGRAM, WHICH PROVIDES ESSENTIAL COUNSELING SERVICES TO PATIENTS ACROSS ITS MULTIPLE PRIMARY CARE SITE CLINICS. PART V, SECTION B, LINE 11-ALL GROUPS-CONTINUED ORTHOCOLORADOMENTAL HEALTH - SUICIDE PREVENTIONORTHOCOLORADO HOSPITAL HAS IMPLEMENTED A COMPREHENSIVE, SYSTEM-WIDE APPROACH TO ADDRESS THE COMMUNITY'S IDENTIFIED SUICIDE PREVENTION NEEDS. EFFORTS HAVE FOCUSED ON INCREASING EARLY IDENTIFICATION OF SUICIDE RISK THROUGH THE USE OF THE COLUMBIA-SUICIDE SEVERITY RATING SCALE (C-SSRS), IMPROVING ACCESS TO EVIDENCE-BASED CARE THROUGH UNIVERSAL SCREENING AND STREAMLINED REFERRAL PATHWAYS, AND ENHANCING CONTINUITY OF CARE VIA THE CARING CONNECTIONS POST-DISCHARGE FOLLOW-UP PROGRAM AND COORDINATION WITH COMMUNITY RESOURCES. TARGETED TRAINING FOR LEADERS AND STAFF HAS STRENGTHENED THE HOSPITAL'S CAPACITY TO DELIVER SAFE, EFFECTIVE SUICIDE CARE, WHILE DATA-INFORMED AUDITS HAVE IDENTIFIED GAPS AND GUIDED CONTINUOUS IMPROVEMENT IN CARE DELIVERY. DURING FY25, 98% OF PATIENTS WERE SCREENED FOR SUICIDE RISK, AND 100% OF HIGH-RISK PATIENTS HAD A DOCUMENTED SAFETY ASSESSMENT OR PLAN. ALL (100%) CARING CONNECTIONS FOLLOW-UP CONTACTS WERE ATTEMPTED WITHIN 72 HOURS POST-DISCHARGE, ENSURING TIMELY OUTREACH AND CONTINUITY OF CARE. IN ADDITION, 94% OF STAFF COMPLETED REQUIRED SUICIDE PREVENTION TRAINING, REFLECTING STRONG ORGANIZATIONAL COMMITMENT TO BUILDING AND SUSTAINING A CAPABLE AND COMPASSIONATE WORKFORCE EQUIPPED TO PROVIDE EVIDENCE-BASED SUICIDE CARE. IN FY25, ORTHOCOLORADO HOSPITAL PARTICIPATED IN THE ZERO SUICIDE MONTHLY COLLABORATIVE MEETINGS HOSTED BY THE OFFICE OF SUICIDE PREVENTION WITHIN THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT (CDPHE), FOSTERING SHARED LEARNING, ALIGNMENT WITH STATE PRIORITIES, AND INTEGRATION OF EMERGING BEST PRACTICES INTO HOSPITAL WORKFLOWS. THE HOSPITAL ALSO JOINED A SPECIAL COLLABORATION WITH THE VETERANS ADMINISTRATION CALLED CONVENE, AIMED AT IDENTIFYING AND ADDRESSING GAPS IN CARE FOR VETERANS AND THEIR FAMILY MEMBERS. ADDITIONALLY, THE HOSPITAL ADVANCED COMMUNITY EDUCATION AND RESOURCE AWARENESS THROUGH THE DISTRIBUTION AND PROMOTION OF 988 CRISIS RESOURCES, WHICH REPLACED THE COLORADO CRISIS LINE, ENSURING THAT PATIENTS, FAMILIES, AND STAFF HAVE IMMEDIATE ACCESS TO MENTAL HEALTH AND SUICIDE PREVENTION SUPPORT.MENTAL HEALTH - STIGMA REDUCTIONTO ADDRESS THE COMMUNITY NEED FOR MENTAL HEALTH PROMOTION AND STIGMA REDUCTION IDENTIFIED IN THE CHNA, OCH IMPLEMENTED A COMPREHENSIVE STRATEGY CENTERED ON COMMUNITY PARTNERSHIPS.OCH CONTINUED ITS DIRECT SUPPORT FOR A REGIONAL INITIATIVE, PARTNERING WITH VARIOUS COMMUNITY-BASED ORGANIZATIONS (CBOS). THIS SUPPORT INVOLVED STRENGTHENING CBO CAPACITY THROUGH SHARED PROGRAM MANAGEMENT, ROBUST EVALUATIONS, STANDARDIZED REPORTING, CLEARLY DEFINED SCOPES OF WORK, AND VIBRANT COMMUNITIES OF PRACTICE. UTILIZING EVIDENCE-BASED INTERVENTIONS, INCLUDING QPR TRAINING, THIS INITIATIVE INCORPORATED SOCIAL DETERMINANTS OF HEALTH AND DEPLOYED CULTURALLY SPECIFIC CAMPAIGNS TO EFFECTIVELY REACH MARGINALIZED AND HIGH-RISK POPULATIONS. ADDITIONALLY, OCH PROVIDED SMALL GRANTS TO LOCAL 501(C)(3) NONPROFITS TO IMPROVE MENTAL HEALTH AWARENESS, KNOWLEDGE, AND ACCESS TO RESOURCES.A KEY COMPONENT OF THIS STRATEGY WAS OCH'S ADVANCEMENT OF AN AMBASSADOR PROGRAM, A PARTNERSHIP WITH THE COLORADO HEALTH INSTITUTE (CHI) AND LOCAL DIVERSITY-FOCUSED COMMUNITY ORGANIZATIONS. THIS INITIATIVE IS DESIGNED TO REDUCE STIGMA AND INCREASE AWARENESS OF, AND ACCESS TO, LOCALLY AVAILABLE, CULTURALLY RESPONSIVE MENTAL HEALTH CARE PROVIDERS AND COMMUNITY SUPPORT SERVICES.AS TRUSTED CBOS, THE COLORADO IMMIGRANT RIGHTS COALITION, CUENTA CONMIGO COOP, THE MIEL FOUNDATION, AND LATINAS COMMUNITY CONNECTIONS SERVED THE OCH SERVICE AREA, CONTRIBUTING TO THE AMBASSADOR PROGRAM'S SUCCESS. AMBASSADORS COLLECTIVELY REACHED 209,455 INDIVIDUALS IN FY2025, SIGNIFICANTLY EXCEEDING TARGET OUTREACH GOALS. THE AMBASSADOR PROGRAM SUCCESSFULLY INCREASED COMMUNITY AWARENESS, STRENGTHENED PARTNERSHIPS, AND ENHANCED THE CAPACITY TO ADDRESS MENTAL HEALTH NEEDS IN CULTURALLY MEANINGFUL WAYS.FURTHERMORE, OCH SUPPORTED THE UPDATING OF THE LET'S TALK COLORADO AND HABLEMOS COLORADO WEBSITES TO IMPROVE ACCESS TO CULTURALLY RELEVANT MENTAL HEALTH RESOURCES. ENGAGEMENT WITH THESE SITES IS ACTIVELY BEING TRACKED AND ANALYZED. FROM THE MAY 12, 2025 LAUNCH THROUGH JUNE 30, 2025, LET'S TALK COLORADO RECORDED 774 ACTIVE USERS, 2,297 PAGE VIEWS, AND AN AVERAGE ENGAGEMENT TIME OF 50 SECONDS. HABLEMOS COLORADO HAD 282 ACTIVE USERS, 822 PAGE VIEWS, AND AN AVERAGE ENGAGEMENT TIME OF 20 SECONDS. THESE INITIAL DATA POINTS DEMONSTRATE COMMUNITY INTEREST AND PROVIDE A VALUABLE BASELINE FOR FUTURE OUTREACH AND RESOURCE UTILIZATION. POINTS DEMONSTRATE COMMUNITY INTEREST AND PROVIDE A VALUABLE BASELINE FOR FUTURE OUTREACH AND RESOURCE UTILIZATION.SUBSTANCE USETO 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.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.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.ACCESS TO CARE - WORKFORCE DEVELOPMENTTO ADDRESS THE BEHAVIORAL HEALTH WORKFORCE SHORTAGES AND INCREASE ACCESS TO CARE IDENTIFIED IN THE CHNA, ORTHOCOLORADO HOSPITAL (OCH) ACTIVELY PARTICIPATES IN AND BENEFITS FROM STRATEGIC REGIONAL PARTNERSHIPS AND INNOVATIVE CARE MODELS.COMMONSPIRIT HEALTH (CSH), IN COLLABORATION WITH REGIONAL EDUCATION PARTNERS INCLUDING FRONT RANGE COMMUNITY COLLEGE, METRO STATE UNIVERSITY, REGIS UNIVERSITY, ARAPAHOE COMMUNITY COLLEGE, AND THE COLORADO COMMUNITY COLLEGE SYSTEM, LED THE DEVELOPMENT OF THE STATE'S QUALIFIED BEHAVIORAL HEALTH ASSISTANT (QBHA) COMPETENCIES. THIS SIGNIFICANT INITIATIVE ALLOWS EXISTING DIRECT CARE WORKERS IN THE BEHAVIORAL HEALTH FIELD TO EARN COMMUNITY COLLEGE CREDITS AND CERTIFICATES THROUGH SKILLS AND KNOWLEDGE TESTING. THE ESTABLISHMENT OF THIS CSH BEHAVIORAL HEALTH (BH) WORKFORCE MODEL, INCLUDING EARN-WHILE-YOU-LEARN PATHWAYS, WAS INCORPORATED AS A DEMONSTRATED PATHWAY FOR REGIONAL COLLABORATIVE WORK. THIS MODEL IS BEING ADVANCED THROUGH THE JEFFERSON AND BOULDER COUNTY AND GREATER DENVER REGION'S BEHAVIORAL HEALTH WORK SECTOR PARTNERSHIP INITIATIVE. CSH'S REGIONAL BH DIRECTOR CO-CHAIRS THIS PARTNERSHIP, PROVIDING LEADERSHIP AND CONSULTATION TO ITS BH WORKFORCE AND ECOSYSTEM WORKGROUPS. THIS EMPLOYER-DRIVEN AND GUIDED PARTNERSHIP, THE LARGEST IN THE STATE, INCLUDES BROAD PARTICIPATION FROM BH EMPLOYERS, EDUCATORS, WORKFORCE AND COMMUNITY-BASED ORGANIZATIONS, AND STATE AGENCIES. IT IS DEDICATED TO ADVANCING COMMUNITY CONNECTIONS AND EQUITABLE BH PROFESSIONAL PATHWAYS TO IMPROVE BH CARE AND TREATMENT IN THE REGION.ADDITIONALLY, OCH HAS MADE SIGNIFICANT CONTRIBUTIONS TO WORKFORCE DEVELOPMENT AND ACCESS. OCH BEHAVIORAL HEALTH SPECIALISTS (BHS) PARTICIPATED IN THE DEVELOPMENT OF CAREER PATHWAY VIDEOS, SUPPORTING BH CAREER AWARENESS ACROSS COLORADO. OCH ADVANCED IMPROVED PATIENT OUTCOMES THROUGH ITS BHS, BEHAVIORAL HEALTH LEAD CLINICIAN, AND IRIS TELEHEALTH SERVICE MODEL. THIS MODEL IS DESIGNED TO ASSESS, TREAT, LINK, AND ENHANCE THE CARE FOR OCH'S PATIENTS WITH SUBSTANCE USE DISORDERS, COMPLEX PSYCHIATRIC, NEUROCOMPLEX, AND BEHAVIORAL NEEDS. OCH ALSO IMPROVED ACCESS TO CARE THROUGH INVESTMENTS IN ITS INTEGRATED BEHAVIORAL HEALTH AMBULATORY PROGRAM, WHICH PROVIDES ESSENTIAL COUNSELING SERVICES TO PATIENTS ACROSS ITS MULTIPLE PRIMARY CARE SITE CLINICS. PART V, SECTION B, LINE 11-ALL GROUPS-CONTINUED ST. ANTHONY HOSPITAL AND ORTHOCOLORADO HOSPITALCOMMUNITY HEALTH IMPROVEMENT GRANTSFURTHER SUPPORTING COMMUNITY HEALTH EFFORTS, ST. ANTHONY HOSPITAL AND ORTHOCOLORADO HOSPITAL PROVIDES 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 ST. ANTHONY HOSPITAL AND ORTHOCOLORADO HOSPITAL CONTRIBUTED TO THE COMMUNITY HEALTH EQUITY AND ADVANCEMENT GRANT PROGRAM. SPECIFIC ORGANIZATIONS RECEIVING FUNDING FROM ST. ANTHONY HOSPITAL AND ORTHOCOLORADO HOSPITAL TOTALING $261,000 INCLUDED BROTHER JEFF'S CULTURAL CENTER, GO FARM, A LITTLE HELP, CARIN CLINIC, HEART MIND HAVEN, PROVIDING DIRECT SUPPORT TO IMPROVE COMMUNITY HEALTH AND WELL-BEING.IDENTIFIED HEALTH NEEDS NOT PRIORITIZEDST. ANTHONY HOSPITAL AND ORTHOCOLORADO HOSPITAL RECOGNIZE THE IMPORTANCE OF NUTRITION, PHYSICAL ACTIVITY, AND WEIGHT AS KEY FACTORS IN COMMUNITY HEALTH. HOWEVER, DUE TO CAPACITY AND RESOURCE LIMITATIONS, THE HOSPITALS ARE UNABLE TO LEAD A DEDICATED INITIATIVE IN THIS AREA AT THIS TIME. THROUGH THE CHNA PRIORITIZATION PROCESS, THIS NEED RANKED BELOW MENTAL HEALTH, ACCESS TO HEALTH CARE SERVICES, AND SUBSTANCE USE AND WAS THEREFORE NOT SELECTED AS A PRIMARY FOCUS FOR THE IMPLEMENTATION STRATEGY. ELEMENTS OF NUTRITION AND HEALTHY LIVING WILL CONTINUE TO BE INCORPORATED INTO BROADER COMMUNITY HEALTH EFFORTS, INCLUDING ACCESS TO CARE AND CHRONIC DISEASE MANAGEMENT INITIATIVES. THE HOSPITALS WILL ALSO CONTINUE TO SUPPORT AND COLLABORATE WITH LOCAL PUBLIC HEALTH AGENCIES, SCHOOLS, AND COMMUNITY-BASED ORGANIZATIONS ADDRESSING FOOD ACCESS, PHYSICAL ACTIVITY, AND WELLNESS IN JEFFERSON AND CLEAR CREEK COUNTIES.DIABETES WAS ALSO IDENTIFIED AS A SIGNIFICANT COMMUNITY HEALTH NEED BUT RANKED BELOW MENTAL HEALTH, ACCESS TO HEALTH CARE SERVICES, AND SUBSTANCE USE IN THE CHNA PRIORITIZATION PROCESS. WHILE THE HOSPITALS ARE NOT PURSUING A STANDALONE DIABETES STRATEGY, DIABETES-RELATED EDUCATION, SCREENING, AND MANAGEMENT WILL BE INTEGRATED INTO BROADER ACCESS TO CARE AND PRIMARY CARE EFFORTS. THE HOSPITALS WILL CONTINUE TO COLLABORATE WITH COMMUNITY PARTNERS, LOCAL PUBLIC HEALTH AGENCIES, AND SPECIALTY PROVIDERS THAT ARE BETTER POSITIONED TO LEAD COMPREHENSIVE DIABETES PREVENTION AND MANAGEMENT INITIATIVES WITHIN THE COMMUNITY.ST. ANTHONY NORTH HOSPITALST. ANTHONY NORTH 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. MENTAL HEALTH 2. SUBSTANCE USE; AND 3. ACCESS TO CARE.MENTAL HEALTH - SUICIDE PREVENTIONST. ANTHONY NORTH HOSPITAL HAS IMPLEMENTED A COMPREHENSIVE, SYSTEM-WIDE APPROACH TO ADDRESS THE COMMUNITY'S IDENTIFIED SUICIDE PREVENTION NEEDS. EFFORTS HAVE FOCUSED ON INCREASING EARLY IDENTIFICATION OF SUICIDE RISK THROUGH THE USE OF THE COLUMBIA-SUICIDE SEVERITY RATING SCALE (C-SSRS), IMPROVING ACCESS TO EVIDENCE-BASED CARE THROUGH UNIVERSAL SCREENING AND STREAMLINED REFERRAL PATHWAYS, AND ENHANCING CONTINUITY OF CARE VIA THE CARING CONNECTIONS POST-DISCHARGE FOLLOW-UP PROGRAM AND COORDINATION WITH COMMUNITY RESOURCES. TARGETED TRAINING FOR LEADERS AND STAFF HAS STRENGTHENED THE HOSPITAL'S CAPACITY TO DELIVER SAFE, EFFECTIVE SUICIDE CARE, WHILE DATA-INFORMED AUDITS HAVE IDENTIFIED GAPS AND GUIDED CONTINUOUS IMPROVEMENT IN CARE DELIVERY. DURING FY25, 92% OF PATIENTS WERE SCREENED FOR SUICIDE RISK, AND 74% OF HIGH-RISK PATIENTS HAD A DOCUMENTED SAFETY ASSESSMENT OR PLAN. ALL (100%) CARING CONNECTIONS FOLLOW-UP CONTACTS WERE ATTEMPTED WITHIN 72 HOURS POST-DISCHARGE, ENSURING TIMELY OUTREACH AND CONTINUITY OF CARE. IN ADDITION, 100% OF STAFF COMPLETED REQUIRED SUICIDE PREVENTION TRAINING, REFLECTING STRONG ORGANIZATIONAL COMMITMENT TO BUILDING AND SUSTAINING A CAPABLE AND COMPASSIONATE WORKFORCE EQUIPPED TO PROVIDE EVIDENCE-BASED SUICIDE CARE. IN FY25, ST. ANTHONY NORTH HOSPITAL PARTICIPATED IN THE ZERO SUICIDE MONTHLY COLLABORATIVE MEETINGS HOSTED BY THE OFFICE OF SUICIDE PREVENTION WITHIN THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT (CDPHE), FOSTERING SHARED LEARNING, ALIGNMENT WITH STATE PRIORITIES, AND INTEGRATION OF EMERGING BEST PRACTICES INTO HOSPITAL WORKFLOWS. THE HOSPITAL ALSO JOINED A SPECIAL COLLABORATION WITH THE VETERANS ADMINISTRATION CALLED CONVENE, AIMED AT IDENTIFYING AND ADDRESSING GAPS IN CARE FOR VETERANS AND THEIR FAMILY MEMBERS. ADDITIONALLY, THE HOSPITAL ADVANCED COMMUNITY EDUCATION AND RESOURCE AWARENESS THROUGH THE DISTRIBUTION AND PROMOTION OF 988 CRISIS RESOURCES, WHICH REPLACED THE COLORADO CRISIS LINE, ENSURING THAT PATIENTS, FAMILIES, AND STAFF HAVE IMMEDIATE ACCESS TO MENTAL HEALTH AND SUICIDE PREVENTION SUPPORT.MENTAL HEALTH - STIGMA REDUCTIONTO ADDRESS THE CRITICAL COMMUNITY NEED FOR MENTAL HEALTH PROMOTION AND STIGMA REDUCTION IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), COMMONSPIRIT AND SAN IMPLEMENTED A MULTIFACETED APPROACH LEVERAGING STRONG COMMUNITY PARTNERSHIPS.CENTRAL TO THESE EFFORTS WAS THE CONTINUED ADVANCEMENT OF AN AMBASSADOR PROGRAM, DEVELOPED IN PARTNERSHIP WITH THE COLORADO HEALTH INSTITUTE (CHI) AND A COALITION OF LOCAL AND REGIONAL DIVERSITY-FOCUSED COMMUNITY ORGANIZATIONS. THIS INCLUDED THE COLORADO IMMIGRANT RIGHTS COALITION, CONSTRUYENDO PODER, CUENTA CONMIGO COOP, THE MIEL FOUNDATION, AND LATINAS COMMUNITY CONNECTIONS. THIS INITIATIVE IS DESIGNED TO REDUCE STIGMA AND SIGNIFICANTLY INCREASE AWARENESS AND ACCESS TO LOCALLY AVAILABLE, CULTURALLY RESPONSIVE MENTAL HEALTH CARE PROVIDERS AND COMMUNITY SUPPORT SERVICES. AS TRUSTED COMMUNITY HEALTH ADVOCATES, AMBASSADORS SUCCESSFULLY REACHED 209,455 INDIVIDUALS IN FY2025, SURPASSING TARGET OUTREACH GOALS. THIS PROGRAM HAS DEMONSTRABLY INCREASED COMMUNITY AWARENESS, STRENGTHENED VITAL PARTNERSHIPS, AND ENHANCED OUR COLLECTIVE CAPACITY TO ADDRESS MENTAL HEALTH NEEDS IN CULTURALLY MEANINGFUL WAYS.BEYOND THE AMBASSADOR PROGRAM, COMMONSPIRIT AND SAN ALSO SUPPORTED A BROADER REGIONAL INITIATIVE IN PARTNERSHIP WITH VARIOUS COMMUNITY-BASED ORGANIZATIONS (CBOS). THIS INVOLVED PROVIDING DIRECT SUPPORT FOR CBO CAPACITY BUILDING THROUGH SHARED PROGRAM MANAGEMENT, COMPREHENSIVE EVALUATIONS, STREAMLINED REPORTING, DEVELOPMENT OF SCOPES OF WORK, AND FOSTERING COMMUNITIES OF PRACTICE. OUR INTERVENTIONS INCORPORATED EVIDENCE-BASED PRACTICES, SUCH AS QPR TRAINING, AND EXPLICITLY ADDRESSED SOCIAL DETERMINANTS OF HEALTH. CULTURALLY SPECIFIC CAMPAIGNS WERE DEPLOYED TO EXTEND REACH EFFECTIVELY TO MARGINALIZED AND HIGH-RISK POPULATIONS, ENSURING EQUITABLE ACCESS TO VITAL INFORMATION. FURTHERMORE, SMALL GRANTS WERE AWARDED TO LOCAL 501(C)(3) NONPROFITS, DIRECTLY IMPROVING MENTAL HEALTH AWARENESS, KNOWLEDGE, AND ACCESS TO RESOURCES WITHIN THE COMMUNITY.ADDITIONALLY, TO FURTHER IMPROVE ACCESS TO CULTURALLY RELEVANT MENTAL HEALTH RESOURCES, WE SUPPORTED THE UPDATING OF THE LET'S TALK COLORADO AND HABLEMOS COLORADO WEBSITES. ENGAGEMENT WITH THESE SITES IS ACTIVELY TRACKED AND ANALYZED. FROM THEIR LAUNCH ON MAY 12, 2025, THROUGH JUNE 30, 2025, LET'S TALK COLORADO RECORDED 774 ACTIVE USERS, 2,297 PAGE VIEWS, AND AN AVERAGE ENGAGEMENT TIME OF 50 SECONDS. HABLEMOS COLORADO ATTRACTED 282 ACTIVE USERS, 822 PAGE VIEWS, WITH AN AVERAGE ENGAGEMENT TIME OF 20 SECONDS. THESE INITIAL DATA POINTS DEMONSTRATE CLEAR COMMUNITY INTEREST AND PROVIDE A VALUABLE BASELINE FOR GUIDING FUTURE OUTREACH AND RESOURCE UTILIZATION STRATEGIES. PART V, SECTION B, LINE 11-ALL GROUPS-CONTINUED SUBSTANCE USETHE STRATEGIC FOCUS ON IMPROVING EMERGENCY DEPARTMENT (ED) OUTCOMES FOR OUD HAS RESULTED IN A MARKED SHIFT TOWARD IMMEDIATE, EVIDENCE-BASED INTERVENTION. A PRIMARY ACHIEVEMENT IS THE SUBSTANTIAL INCREASE IN MEDICATIONS FOR OPIOID USE DISORDER (MOUD) INDUCTION RATES, PARTICULARLY BUPRENORPHINE. AT SAN THIS WAS ACCOMPLISHED WITH THE SCOPE OF THE LEAD SOCIAL WORKER TO BE A RESOURCE THAT WAS AVAILABLE TO COMPLETE EVIDENCE-BASED INTERVENTIONS, SUCH AS SBIRT (SCREENING, BRIEF INTERVENTION, REFERRAL TO TREATMENT) AND BE CONSULTED FOR PATIENTS WITH SUD CARE NEEDS. THIS ENHANCED CAPABILITY ENSURES THAT INDIVIDUALS PRESENTING WITH OUD ARE NOT JUST TREATED FOR OVERDOSE OR WITHDRAWAL SYMPTOMS BUT ARE IMMEDIATELY CONNECTED WITH THE THERAPEUTIC SUPPORT NECESSARY FOR LONG-TERM RECOVERY, THUS DISRUPTING THE CYCLE OF RELAPSE UPON DISCHARGE. COMPLEMENTING THE MOUD INDUCTION SUCCESS, THE EXPANSION OF NALOXONE DISTRIBUTION HAS FUNDAMENTALLY EMPOWERED THE COMMUNITY AND FRONT-LINE RESPONDERS. BY PROVIDING THIS LIFE-SAVING OPIOID OVERDOSE REVERSAL MEDICATION DIRECTLY THROUGH THE ED AND AFFILIATED PROGRAMS, THE HOSPITAL HAS SIGNIFICANTLY INCREASED THE COMMUNITY'S CAPACITY TO PREVENT FATAL OVERDOSES. FURTHERMORE, THE OPIOID ADDICTION INTERVENTION AND PREVENTION OUTCOMES INITIATIVE HAS SUCCESSFULLY WOVEN A STRONGER SAFETY NET. 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. INCREASED COLLABORATION WITH A NETWORK OF COMMUNITY TREATMENT PARTNERS HAS STREAMLINED THE TRANSFER OF CARE FROM THE ACUTE HOSPITAL SETTING BACK INTO THE COMMUNITY. THIS IMPROVED COORDINATION HAS LED TO SMOOTHER TRANSITIONS, BETTER ADHERENCE TO TREATMENT PLANS, AND DEMONSTRABLY IMPROVED CONTINUITY OF CARE FOR INDIVIDUALS WITH OUD AND/OR OTHER SUBSTANCE USE DISORDER(S), TRANSLATING DIRECTLY INTO LOWER READMISSION RATES AND ENHANCED RECOVERY STABILITY. THE SYSTEMATIC PROVISION OF RESOURCES TO ED STAFFINCLUDING GUIDELINES FOR MOUD, EFFECTIVE ALTERNATIVES TO OPIOIDS (ALTOS) PAIN MANAGEMENT PROTOCOLS, AND EFFICIENT NALOXONE DISTRIBUTION TOOLS HAS STANDARDIZED AND ELEVATED THE QUALITY OF CARE DELIVERED IN HIGH-STRESS, CRITICAL MOMENTS.ACCESS TO CARE - SCREENING AND CARE COORDINATION:ST. ANTHONY NORTH HOSPITAL PROVIDES NO-COST SOCIAL DETERMINANTS OF HEALTH (SDOH) SCREENING TO IDENTIFY BARRIERS SUCH AS HOUSING INSTABILITY, FOOD INSECURITY, TRANSPORTATION CHALLENGES, FINANCIAL STRAIN, AND SAFETY CONCERNS. THESE EFFORTS SUPPORT CHNA PRIORITIES RELATED TO SUICIDE PREVENTION, IMPROVING HOUSING STABILITY, AND STRENGTHENING FOOD SECURITY. DURING THE FISCAL YEAR, 1,209 PATIENTS WERE SCREENED WITH A 90.77% SCREENING RATE, AND 30.69% HAD AT LEAST ONE IDENTIFIED NEED. COMMON NEEDS INCLUDED HOUSING INSTABILITY, FOOD INSECURITY, TRANSPORTATION ISSUES, AND UTILITY OR FINANCIAL STRESS. SCREENING ACROSS INPATIENT DEPARTMENTS HELPS IDENTIFY INDIVIDUALS WHOSE SOCIAL CIRCUMSTANCES MAY AFFECT HEALTH OUTCOMES AND ACCESS TO ONGOING CARE. BY IDENTIFYING NEEDS AND LINKING PATIENTS TO COMMUNITY RESOURCES, THE HOSPITAL SUPPORTS VULNERABLE POPULATIONS AND ADVANCES PROGRESS TOWARD CHNA PRIORITIES.ADDITIONALLY, THE COMMUNITY HEALTH WORKER (CHW) FRESH MOUNTAIN REGION PROGRAM PROVIDES NO-COST NAVIGATION, OUTREACH, AND SOCIAL SUPPORT SERVICES FOR UNINSURED, UNDERINSURED, AND HIGH-RISK INDIVIDUALS EXPERIENCING BARRIERS RELATED TO SOCIAL DETERMINANTS OF HEALTH. CHWS ASSIST WITH SDOH SCREENING, BENEFITS APPLICATIONS, CARE COORDINATION, AND CONNECTIONS TO HOUSING, FOOD, TRANSPORTATION, AND OTHER COMMUNITY-BASED RESOURCES. THESE ACTIVITIES SUPPORT CHNA PRIORITIES RELATED TO ACCESS TO CARE, HEALTH EQUITY, AND SOCIAL AND ECONOMIC NEEDS. DURING 2025, THE PROGRAM SCREENED OVER 3,690 PATIENTS, OUTREACHED TO OVER 2,700 INDIVIDUALS, AND ENROLLED 41 HOUSEHOLDS IN SNAP FOOD BENEFITS. BY SUPPORTING VULNERABLE POPULATIONS AND IMPROVING ACCESS TO ESSENTIAL SERVICES, THE PROGRAM HELPS REDUCE AVOIDABLE EMERGENCY CARE UTILIZATION AND STRENGTHENS COMMUNITY WELL-BEING.ACCESS TO CARE - HEALTH PROFESSIONSST. ANTHONY NORTH HOSPITAL PROVIDES A BROAD RANGE OF HEALTH PROFESSIONS EDUCATION PROGRAMS THAT ADDRESS REGIONAL WORKFORCE SHORTAGES IN PRIMARY CARE, NURSING, BEHAVIORAL HEALTH, ALLIED HEALTH, EMERGENCY RESPONSE, LABORATORY SCIENCE, AND SPIRITUAL CARE. THE HOSPITAL SUPPORTS SUPERVISED CLINICAL TRAINING, PRECEPTORSHIPS, RESIDENCY EDUCATION, AND EXPERIENTIAL LEARNING FOR STUDENTS IN FAMILY MEDICINE, NURSING, DIETETICS/NUTRITION, EMT/PARAMEDICINE, MEDICAL LABORATORY TECHNOLOGY, PHYSICAL AND OCCUPATIONAL THERAPY, RADIOLOGY TECHNOLOGY, RESPIRATORY THERAPY, SOCIAL WORK, STERILE PROCESSING, SURGICAL TECHNOLOGY, AND CLINICAL PASTORAL EDUCATION. THESE PROGRAMS ARE OFFERED AT NO COST TO STUDENTS OR ACADEMIC PARTNERS AND RELY ON HOSPITAL-EMPLOYED CLINICIANS AND EDUCATORS WHO PROVIDE INSTRUCTION AND SUPERVISION. DURING THE TAX YEAR, THE HOSPITAL INCURRED APPROXIMATELY $14.75 MILLION IN COSTS TO SUPPORT THESE PROGRAMS AND RECEIVED $11.52 MILLION IN OFFSETTING REVENUE, RESULTING IN A NET COMMUNITY BENEFIT OF $3.23 MILLION. BY OFFERING HANDS-ON CLINICAL EDUCATION ACROSS MULTIPLE DISCIPLINES, THE HOSPITAL STRENGTHENS THE REGIONAL HEALTHCARE WORKFORCE PIPELINE AND EXPANDS TRAINING OPPORTUNITIES THAT WOULD NOT OCCUR WITHOUT HOSPITAL SUPPORT.ACCESS TO CARE - WORKFORCE DEVELOPMENTCOMMONSPIRIT HEALTH AND ST ANTHONY NORTH HOSPITAL (SAN) ADVANCED SEVERAL KEY PARTNERSHIPS WITH REGIONAL EDUCATION PARTNERS INCLUDING FRONT RANGE COMMUNITY COLLEGE, METRO STATE, REGIS UNIVERSITY. ARAPAHOE COMMUNITY COLLEGE, AND THE COLORADO COMMUNITY COLLEGE SYSTEM. CSH LEAD THE WORK TO CREATED THE STATE'S QUALIFIED BEHAVIORAL HEALTH ASSISTANT COMPETENCIES THAT ALLOW EXISTING DIRECT CARE WORKERS IN THE BEHAVIORAL HEALTH FIELD THE OPPORTUNITY TO EARN THE COMMUNITY COLLEGE CREDITS AND CERTIFICATE THROUGH DEMONSTRATION OF SKILLS AND KNOWLEDGE TESTING. THE ESTABLISHMENT OF A CSH BH WORK FORCE MODEL THAT INCLUDES EARN WHILE YOU LEARN PATHWAYS WAS INCORPORATE AS A DEMONSTRATED PATHWAY MODEL FOR REGIONAL COLLABORATIVE WORK WITH THE JEFFERSON AND BOULDER COUNTY AND GREATER DENVER REGION'S BEHAVIORAL HEALTH WORK SECTOR PARTNERSHIP INITIATIVE. CSH'S REGIONAL BH DIRECTOR CO-CHAIRS THAT PARTNERSHIP AND PROVIDES LEADERSHIP CONSULTATION TO THE BH WORKFORCE AND ECOSYSTEM WORK GROUPS. THIS EMPLOYER DRIVEN AND GUIDED WORK SECTOR PARTNERSHIP IS THE LARGEST IN THE STATE AND HAS BROAD PARTICIPATION FROM BH EMPLOYERS, EDUCATORS, WORKFORCE AND COMMUNITY BASED ORGANIZATIONS, AND STATE AGENCIES DEDICATED TO ADVANCING IMPROVEMENTS IN COMMUNITY CONNECTIONS AND ADVANCING EQUITABLE BH PROFESSIONAL PATHWAYS THROUGHOUT THE REGION'S COMMUNITIES TO REALIZE IMPROVEMENTS IN THE BH CARE AND TREATMENT OF INDIVIDUALS IN OUR COMMUNITIES. ADDITIONALLY, SAN IS A MODEL SITE FOR A COMPLEX PATIENT SUPPORT SERVICE MANAGED BY A NEWLY CREATED BEHAVIORAL HEALTH LEAD CLINICIAN AND SUPPORTED BY OUR CONSULTATIVE LIAISON IRIS TELEHEALTH SERVICE TEAM. TOGETHER THEY TREAT, LINK AND ENHANCE THE CARE AND OUTCOMES OF SAN'S SUBSTANCE USE DISORDERED, COMPLEX PSYCHIATRIC, NEUROCOMPLEX, AND BEHAVIORAL PATIENTS HELPING TO CHANGE OUTCOMES FOR PATIENTS AT HIGH RISK OF READMISSION, RELAPSE AND BOARDING DUE TO LIMITED PLACEMENT OPTIONS FOR COMPLEX BEHAVIORAL PATIENTS IN COLORADO. SAN ALSO CREATED ACCESS TO CARE IMPROVEMENTS WITH ITS INVESTMENTS IN ITS INTEGRATED BEHAVIORAL HEALTH AMBULATORY PROGRAM AND FAMILY MEDICINE RESIDENCY WHICH PROVIDED KEY SUBSTANCE USE DISORDER AND COUNSELING ACCESS TO CLINIC PATIENTS AT THE RESIDENCY CLINIC AND PRIMARY CARE SITES.COMMUNITY HEALTH IMPROVEMENT GRANTSFURTHER SUPPORTING COMMUNITY HEALTH EFFORTS, ST. ANTHONY NORTH HOSPITAL PROVIDES 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,ST. ANTHONY NORTH HOSPITAL CONTRIBUTED TO THE COMMUNITY HEALTH EQUITY AND ADVANCEMENT GRANT PROGRAM. SPECIFIC ORGANIZATIONS RECEIVING FUNDING FROM ST. ANTHONY NORTH HOSPITAL TOTALING $113,500 INCLUDED THRIVING FAMILIES AND CHANDA CENTER FOR HEALTH, PROVIDING DIRECT SUPPORT TO IMPROVE COMMUNITY HEALTH AND WELL-BEING. PART V, SECTION B, LINE 11-ALL GROUPS-CONTINUED IDENTIFIED HEALTH NEEDS NOT PRIORITIZEDTHE COMPREHENSIVE CHNA UNDERSCORES THE DIVERSE HEALTH CHALLENGES FACING OUR COMMUNITY, INCLUDING NUTRITION, PHYSICAL ACTIVITY & WEIGHT. AS PART OF ITS CHNA IMPLEMENTATION STRATEGY, ST. ANTHONY NORTH HOSPITAL HAS MADE A STRATEGIC DECISION TO FOCUS ITS LIMITED CAPACITY AND RESOURCES ON MENTAL HEALTH, SUBSTANCE USE, AND ACCESS TO CARE. THIS APPROACH ALLOWS THE HOSPITAL TO DELIVER SUSTAINABLE INTERVENTIONS WHERE ITS EXPERTISE AND OPERATIONAL BANDWIDTH ARE BEST ALIGNED, RATHER THAN DILUTING EFFORTS ACROSS ALL IDENTIFIED HEALTH NEEDS ST. ANTHONY NORTH HOSPITAL REMAINS COMMITTED TO SUPPORTING COLLABORATIVE COMMUNITY-WIDE EFFORTS TO ADDRESS THE BROADER RANGE OF HEALTH PRIORITIES.MERCY HOSPITALMERCY 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. MENTAL HEALTH 2. SUBSTANCE USE; AND 3. ACCESS TO CARE.MENTAL HEALTH - SUICIDE PREVENTIONMERCY HOSPITAL HAS IMPLEMENTED A COMPREHENSIVE, SYSTEM-WIDE APPROACH TO ADDRESS THE COMMUNITY'S SUICIDE PREVENTION NEEDS. INITIATIVES FOCUS ON EARLY IDENTIFICATION OF SUICIDE RISK THROUGH THE COLUMBIA-SUICIDE SEVERITY RATING SCALE (C-SSRS), IMPROVING ACCESS TO EVIDENCE-BASED CARE THROUGH UNIVERSAL SCREENING AND STREAMLINED REFERRAL PATHWAYS, AND ENHANCING CONTINUITY OF CARE VIA THE CARING CONNECTIONS POST-DISCHARGE FOLLOW-UP PROGRAM AND COORDINATION WITH COMMUNITY RESOURCES. TARGETED TRAINING FOR LEADERS AND STAFF HAS STRENGTHENED THE HOSPITAL'S CAPACITY TO DELIVER SAFE, EFFECTIVE SUICIDE CARE, WHILE DATA-INFORMED AUDITS IDENTIFY GAPS AND GUIDE CONTINUOUS IMPROVEMENT.DURING FY25, 81.4% OF PATIENTS WERE SCREENED FOR SUICIDE RISK, AND 76% OF HIGH-RISK PATIENTS HAD A DOCUMENTED SAFETY ASSESSMENT OR PLAN. ALL (100%) CARING CONNECTIONS FOLLOW-UP CONTACTS WERE ATTEMPTED WITHIN 72 HOURS POST-DISCHARGE, ENSURING TIMELY OUTREACH AND CONTINUITY OF CARE. IN ADDITION, 95% OF STAFF COMPLETED REQUIRED SUICIDE PREVENTION TRAINING, REFLECTING A STRONG ORGANIZATIONAL COMMITMENT TO BUILDING AND SUSTAINING A CAPABLE AND COMPASSIONATE WORKFORCE.MERCY HOSPITAL PARTICIPATED IN THE ZERO SUICIDE MONTHLY COLLABORATIVE MEETINGS HOSTED BY THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT (CDPHE), FOSTERING SHARED LEARNING AND INTEGRATION OF EMERGING BEST PRACTICES. THE HOSPITAL ALSO JOINED THE VA CONVENE COLLABORATION TO IDENTIFY AND ADDRESS CARE GAPS FOR VETERANS AND THEIR FAMILIES. ADDITIONALLY, THE HOSPITAL PROMOTED COMMUNITY EDUCATION AND RESOURCE AWARENESS THROUGH DISTRIBUTION OF 988 CRISIS RESOURCES, ENSURING PATIENTS, FAMILIES, AND STAFF HAVE IMMEDIATE ACCESS TO MENTAL HEALTH SUPPORT.MENTAL HEALTH - STIGMA REDUCTIONTO ADDRESS THE COMMUNITY NEED FOR MENTAL HEALTH PROMOTION AND STIGMA REDUCTION IDENTIFIED IN THE CHNA, THE HOSPITAL CONTINUED SUPPORTING A REGIONAL INITIATIVE IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS (CBOS). THE HOSPITAL SUPPORTS CBO CAPACITY THROUGH SHARED PROGRAM MANAGEMENT, EVALUATIONS, REPORTING, SCOPES OF WORK, AND COMMUNITIES OF PRACTICE. EVIDENCE-BASED INTERVENTIONS, INCLUDING QPR TRAINING, INCORPORATE SOCIAL DETERMINANTS OF HEALTH, AND CULTURALLY SPECIFIC CAMPAIGNS EXTEND REACH TO MARGINALIZED OR HIGH-RISK POPULATIONS. SMALL GRANTS ARE PROVIDED TO LOCAL 501(C)(3) NONPROFITS TO IMPROVE MENTAL HEALTH AWARENESS, KNOWLEDGE, AND ACCESS TO RESOURCES.FOR FY2025, TWO COHORTS OF MENTAL HEALTH AMBASSADORS WERE SUPPORTED THROUGH COMMONSPIRIT HEALTH. LOCALLY, THE GOOD FOOD COLLECTIVE, CONSTRUYENDO PODER AND THE GRIEF CENTER OF SOUTHWEST COLORADO CONDUCTED OUTREACH TAILORED TO THEIR COMMUNITIES, ACTIVITIES INCLUDED DISTRIBUTING EDUCATIONAL MATERIALS, HOSTING HEALTH FAIRS, AND LEADING MENTAL HEALTH AWARENESS SESSIONS.AS TRUSTED CBOS, AMBASSADORS REACHED 209,455 INDIVIDUALS IN FY2025, EXCEEDING TARGET OUTREACH GOALS. THE PROGRAM INCREASED COMMUNITY AWARENESS, STRENGTHENED PARTNERSHIPS, AND ENHANCED CAPACITY TO ADDRESS MENTAL HEALTH NEEDS IN CULTURALLY MEANINGFUL WAYS.WE ALSO SUPPORTED THE UPDATING OF THE LET'S TALK COLORADO AND HABLEMOS COLORADO WEBSITES TO IMPROVE ACCESS TO CULTURALLY RELEVANT MENTAL HEALTH RESOURCES. ENGAGEMENT WITH THE SITES IS BEING TRACKED AND ANALYZED. FROM THE MAY 12, 2025 LAUNCH THROUGH JUNE 30, 2025, LET'S TALK COLORADO HAD 774 ACTIVE USERS, 2,297 PAGE VIEWS, AND AN AVERAGE ENGAGEMENT TIME OF 50 SECONDS. HABLEMOS COLORADO HAD 282 ACTIVE USERS, 822 PAGE VIEWS, AND AN AVERAGE ENGAGEMENT TIME OF 20 SECONDS. THESE DATA DEMONSTRATE INITIAL COMMUNITY INTEREST AND PROVIDE A BASELINE FOR FUTURE OUTREACH AND RESOURCE UTILIZATION.SUBSTANCE USETO 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. MERCY HOSPITAL IMPROVED 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. COMMONSPIRIT AND MERCY 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 DEPARTMENT PATIENTS ARE PROVIDED ACCESS TO RESOURCES THAT SUPPORT IMPROVED OUTCOMES WITH ED MOUD, ED ALTERNATIVES TO OPIOIDS (ALTOS), AND NALOXONE DISTRIBUTION TOOLS. MERCY DEMONSTRATED EXCELLENCE IN MOUD ADMINISTRATION WITH CONTINUING TO HAVE OVER A 90% INDUCTION RATE WITH PATIENTS IDENTIFIED AS ELIGIBLE. MERCY DISTRIBUTED 95 NALOXONE KITS AND PROVIDED KEY OPIOID OVERDOSE EDUCATION TO PATIENTS AND FAMILY MEMBERS.SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) WAS EXPANDED AND OPTIMIZED TO ENSURE TIMELY IDENTIFICATION AND SUPPORT FOR INDIVIDUALS AT RISK. UNIVERSAL PREVENTION AND EARLY INTERVENTION PROGRAMMING ALONG WITH ENHANCEMENT OF CARE COORDINATION WITH AXIS WHO RUNS A DETOX PROGRAM ACROSS FROM MERCY. SIGNIFICANT LEADERSHIP COLLABORATIONS TOOK PLACE TO IMPROVE OUTCOMES AND A CARE COORDINATION MODEL FOR TRANSITIONS OF CARE ENHANCEMENT WAS DEVELOPED. NEW PARTNERSHIPS WERE ADVANCED WITH ADVOCATES FOR RECOVERY TO IMPROVE RECOVERY SERVICE ACCESS. AFR WILL BE SEEKING TO EXPAND THEIR PROGRAM SERVICES IN THE GREATER DURANGO REGION THROUGH A SERIES OF COMMONSPIRIT SUPPORTED AND ALIGNED PROPOSALS.ACCESS TO CARE - SCREENING AND CARE COORDINATIONMERCY HOSPITAL PROVIDES SOCIAL DETERMINANTS OF HEALTH (SDOH) SCREENING TO IDENTIFY BARRIERS SUCH AS HOUSING INSTABILITY, FOOD INSECURITY, TRANSPORTATION CHALLENGES, FINANCIAL STRAIN, AND SAFETY CONCERNS. THESE EFFORTS SUPPORT CHNA-IDENTIFIED NEEDS RELATED TO ACCESS TO CARE. DURING THE FISCAL YEAR, 542 PATIENTS WERE SCREENED WITH A 94.26% SCREENING RATE, AND 33.95% HAD AT LEAST ONE IDENTIFIED NEED. COMMON NEEDS INCLUDED HOUSING INSTABILITY, FOOD INSECURITY, AND TRANSPORTATION ISSUES. SCREENING ACROSS INPATIENT DEPARTMENTS HELPS IDENTIFY INDIVIDUALS WHOSE SOCIAL CIRCUMSTANCES MAY AFFECT HEALTH OUTCOMES AND ACCESS TO CARE. BY IDENTIFYING NEEDS AND DIRECTING INDIVIDUALS TO COMMUNITY RESOURCES, THE HOSPITAL SUPPORTS VULNERABLE POPULATIONS AND ADVANCES PROGRESS TOWARD CHNA PRIORITIES.ADDITIONALLY, THE COMMUNITY HEALTH WORKER (CHW) FRESH MOUNTAIN REGION PROGRAM PROVIDES NO-COST NAVIGATION, OUTREACH, AND SOCIAL SUPPORT SERVICES FOR UNINSURED, UNDERINSURED, AND HIGH-RISK INDIVIDUALS EXPERIENCING BARRIERS RELATED TO SOCIAL DETERMINANTS OF HEALTH. CHWS ASSIST WITH SDOH SCREENING, BENEFITS APPLICATIONS, CARE COORDINATION, AND CONNECTIONS TO HOUSING, FOOD, TRANSPORTATION, AND OTHER COMMUNITY-BASED RESOURCES. THESE ACTIVITIES SUPPORT CHNA PRIORITIES RELATED TO ACCESS TO CARE, HEALTH EQUITY, AND SOCIAL AND ECONOMIC NEEDS. DURING 2025, THE PROGRAM SCREENED OVER 3,690 PATIENTS, OUTREACHED TO OVER 2,700 INDIVIDUALS, AND ENROLLED 41 HOUSEHOLDS IN SNAP FOOD BENEFITS. BY SUPPORTING VULNERABLE POPULATIONS AND IMPROVING ACCESS TO ESSENTIAL SERVICES, THE PROGRAM HELPS REDUCE AVOIDABLE EMERGENCY CARE UTILIZATION AND STRENGTHENS COMMUNITY WELL-BEING. PART V, SECTION B, LINE 11-ALL GROUPS-CONTINUED ACCESS TO CARE - HEALTH PROFESSIONSMERCY HOSPITAL PROVIDES HEALTH PROFESSIONS EDUCATION AND CLINICAL TRAINING PROGRAMS TO ADDRESS IDENTIFIED REGIONAL HEALTHCARE WORKFORCE SHORTAGES. THESE PROGRAMS SUPPORT COMMUNITY HEALTH NEEDS RELATED TO ACCESS TO CARE BY STRENGTHENING THE LOCAL HEALTHCARE WORKFORCE.MERCY HOSPITAL OFFERS SUPERVISED CLINICAL TRAINING AND PRECEPTORSHIPS FOR STUDENTS IN NURSING, PARAMEDICINE/EMT, MEDICAL LABORATORY TECHNOLOGY, PHARMACY, PHYSICAL THERAPY, RADIOLOGY TECHNOLOGY, RESPIRATORY THERAPY, AND SURGICAL TECHNOLOGY. THESE EDUCATIONAL EXPERIENCES ARE PROVIDED AT NO COST TO STUDENTS OR PARTNER SCHOOLS AND ARE DELIVERED BY HOSPITAL-EMPLOYED CLINICAL STAFF WHO PROVIDE INSTRUCTION AND SUPERVISION.DURING FY 2025, THE HOSPITAL INCURRED APPROXIMATELY $411,421 IN COSTS TO SUPPORT THESE PROGRAMS, WITH NO OFFSETTING REVENUE, RESULTING IN A NET COMMUNITY BENEFIT OF $411,421. BY SUPPORTING HANDS-ON CLINICAL EDUCATION FOR EMERGING HEALTH PROFESSIONALS, MERCY HOSPITAL ADVANCES ITS CHNA IMPLEMENTATION PLAN BY EXPANDING THE HEALTHCARE WORKFORCE PIPELINE AND IMPROVING ACCESS TO CARE FOR THE COMMUNITY IT SERVES.ACCESS TO CARE - WORKFORCE DEVELOPMENTCOMMONSPIRIT HEALTH AND MERCY HOSPITAL (MH) ADVANCED SEVERAL KEY PARTNERSHIPS WITH REGIONAL EDUCATION PARTNERS, INCLUDING FORT LEWIS COLLEGE, UNIVERSITY OF DENVER'S FOUR CORNERS ACCELERATED SOCIAL WORK PROGRAM, AND PUEBLO COMMUNITY COLLEGE'S DURANGO OUTREACH PROGRAM. CSH LED THE WORK TO CREATE THE STATE'S QUALIFIED BEHAVIORAL HEALTH ASSISTANT COMPETENCIES. THESE COMPETENCIES ALLOW EXISTING DIRECT CARE WORKERS IN THE BEHAVIORAL HEALTH FIELD THE OPPORTUNITY TO EARN COMMUNITY COLLEGE CREDITS AND A CERTIFICATE THROUGH DEMONSTRATION OF SKILLS AND KNOWLEDGE TESTING. THE ESTABLISHMENT OF THIS CSH BH WORKFORCE MODEL, WHICH INCLUDES "EARN WHILE YOU LEARN" PATHWAYS, WILL HELP THE GREATER DURANGO REGION ADVANCE THE IMPLEMENTATION OF A SUCCESSFUL FUTURE COMMUNITY COLLABORATIVE COLLECTIVE IMPACT BH WORKFORCE DEVELOPMENT MODEL. MH ALSO CREATED ACCESS TO CARE IMPROVEMENTS WITH ITS INVESTMENTS IN ITS INTEGRATED BEHAVIORAL HEALTH AMBULATORY PROGRAM, WHICH PROVIDED KEY MENTAL HEALTH COUNSELING AND PSYCHIATRIC MEDICATION MANAGEMENT ACCESS AT ITS THREE PRIMARY CARE AND/OR FAMILY MEDICINE SITES.COMMUNITY HEALTH IMPROVEMENT GRANTSFURTHER SUPPORTING COMMUNITY HEALTH EFFORTS, MERCY HOSPITAL PROVIDES 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, MERCY HOSPITAL CONTRIBUTED TO THE COMMUNITY HEALTH EQUITY AND ADVANCEMENT GRANT PROGRAM. SPECIFIC ORGANIZATIONS RECEIVING FUNDING FROM MERCY HOSPITAL TOTALING $79,500 INCLUDED DURANGO MUTUAL AID, COMPAEROS, AND RAINBOW YOUTH, PROVIDING DIRECT SUPPORT TO IMPROVE COMMUNITY HEALTH AND WELL-BEING. IDENTIFIED HEALTH NEEDS NOT PRIORITIZEDTHE COMPREHENSIVE CHNA UNDERSCORES THE DIVERSE HEALTH CHALLENGES FACING OUR COMMUNITY, INCLUDING DIABETES AND DISABLING CONDITIONS. AS PART OF ITS CHNA IMPLEMENTATION STRATEGY, MERCY HOSPITAL HAS MADE A STRATEGIC DECISION TO FOCUS ITS LIMITED CAPACITY AND RESOURCES ON MENTAL HEALTH, SUBSTANCE USE, AND ACCESS TO CARE. THIS APPROACH ALLOWS THE HOSPITAL TO DELIVER SUSTAINABLE INTERVENTIONS WHERE ITS EXPERTISE AND OPERATIONAL BANDWIDTH ARE BEST ALIGNED, RATHER THAN DILUTING EFFORTS ACROSS ALL IDENTIFIED HEALTH NEEDS. MERCY HOSPITAL REMAINS COMMITTED TO SUPPORTING COLLABORATIVE COMMUNITY-WIDE EFFORTS TO ADDRESS THE BROADER RANGE OF HEALTH PRIORITIES. PART V, SECTION B, LINE 11-ALL GROUPS-CONTINUED ST. MARY-CORWIN HOSPITALST. MARY-CORWIN HOSPITAL AND COMMUNITY STAKEHOLDERS IDENTIFIED TWO SIGNIFICANT NEEDS IN THEIR COMMUNITY, WHICH THEY PRIORITIZED AND FOCUSED ON IN THEIR 2025 COMMUNITY HEALTH IMPLEMENTATION PLAN. THE PRIORITY NEEDS IDENTIFIED WERE: 1. MENTAL HEALTH AND 2. SUBSTANCE USE.MENTAL HEALTH - SUICIDE PREVENTIONST. MARY CORWIN HOSPITAL HAS IMPLEMENTED A COMPREHENSIVE, SYSTEM-WIDE APPROACH TO ADDRESS THE COMMUNITY'S IDENTIFIED SUICIDE PREVENTION NEEDS. EFFORTS HAVE FOCUSED ON INCREASING EARLY IDENTIFICATION OF SUICIDE RISK THROUGH THE USE OF THE COLUMBIA-SUICIDE SEVERITY RATING SCALE (C-SSRS), IMPROVING ACCESS TO EVIDENCE-BASED CARE THROUGH UNIVERSAL SCREENING AND STREAMLINED REFERRAL PATHWAYS, AND ENHANCING CONTINUITY OF CARE VIA THE CARING CONNECTIONS POST-DISCHARGE FOLLOW-UP PROGRAM AND COORDINATION WITH COMMUNITY RESOURCES. TARGETED TRAINING FOR LEADERS AND STAFF HAS STRENGTHENED THE HOSPITAL'S CAPACITY TO DELIVER SAFE, EFFECTIVE SUICIDE CARE, WHILE DATA-INFORMED AUDITS HAVE IDENTIFIED GAPS AND GUIDED CONTINUOUS IMPROVEMENT IN CARE DELIVERY. DURING FY25, 94% OF PATIENTS WERE SCREENED FOR SUICIDE RISK, AND 82% OF HIGH-RISK PATIENTS HAD A DOCUMENTED SAFETY ASSESSMENT OR PLAN. ALL (100%) CARING CONNECTIONS FOLLOW-UP CONTACTS WERE ATTEMPTED WITHIN 72 HOURS POST-DISCHARGE, ENSURING TIMELY OUTREACH AND CONTINUITY OF CARE. IN ADDITION, 95% OF STAFF COMPLETED REQUIRED SUICIDE PREVENTION TRAINING, REFLECTING STRONG ORGANIZATIONAL COMMITMENT TO BUILDING AND SUSTAINING A CAPABLE AND COMPASSIONATE WORKFORCE EQUIPPED TO PROVIDE EVIDENCE-BASED SUICIDE CARE. IN FY25, ST. MARY CORWIN HOSPITAL PARTICIPATED IN THE ZERO SUICIDE MONTHLY COLLABORATIVE MEETINGS HOSTED BY THE OFFICE OF SUICIDE PREVENTION WITHIN THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT (CDPHE), FOSTERING SHARED LEARNING, ALIGNMENT WITH STATE PRIORITIES, AND INTEGRATION OF EMERGING BEST PRACTICES INTO HOSPITAL WORKFLOWS. THE HOSPITAL ALSO JOINED A SPECIAL COLLABORATION WITH THE VETERANS ADMINISTRATION CALLED CONVENE, AIMED AT IDENTIFYING AND ADDRESSING GAPS IN CARE FOR VETERANS AND THEIR FAMILY MEMBERS. ADDITIONALLY, THE HOSPITAL ADVANCED COMMUNITY EDUCATION AND RESOURCE AWARENESS THROUGH THE DISTRIBUTION AND PROMOTION OF 988 CRISIS RESOURCES, WHICH REPLACED THE COLORADO CRISIS LINE, ENSURING THAT PATIENTS, FAMILIES, AND STAFF HAVE IMMEDIATE ACCESS TO MENTAL HEALTH AND SUICIDE PREVENTION SUPPORT.MENTAL HEALTH - STIGMA REDUCTIONTO ADDRESS THE COMMUNITY NEED FOR MENTAL HEALTH PROMOTION AND STIGMA REDUCTION, AS IDENTIFIED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), ST. MARY CORWIN HOSPITAL INITIATED SEVERAL KEY PROGRAMS.AS PART OF THIS EFFORT, THE HOSPITAL SUPPORTED UPDATES TO THE LET'S TALK COLORADO AND HABLEMOS COLORADO WEBSITES TO IMPROVE ACCESS TO CULTURALLY RELEVANT MENTAL HEALTH INFORMATION AND RESOURCES. USER ENGAGEMENT IS TRACKED AND ANALYZED TO INFORM CONTINUOUS IMPROVEMENT. FROM THE MAY 12, 2025 LAUNCH THROUGH JUNE 30, 2025, LET'S TALK COLORADO RECORDED 774 ACTIVE USERS, 2,297 PAGE VIEWS, AND AN AVERAGE ENGAGEMENT TIME OF 50 SECONDS. DURING THE SAME PERIOD, HABLEMOS COLORADO RECORDED 282 ACTIVE USERS, 822 PAGE VIEWS, AND AN AVERAGE ENGAGEMENT TIME OF 20 SECONDS. THESE DATA DEMONSTRATE INITIAL COMMUNITY INTEREST AND PROVIDE A BASELINE FOR FUTURE OUTREACH, PROGRAM REFINEMENT, AND RESOURCE UTILIZATION.FURTHERMORE, ST. MARY CORWIN HOSPITAL, IN COLLABORATION WITH COMMONSPIRIT, CONTINUED TO ADVANCE A PARTNERSHIP WITH THE COLORADO HEALTH INSTITUTE (CHI) AND LOCAL AND REGIONAL DIVERSITY-FOCUSED COMMUNITY ORGANIZATIONS TO IMPLEMENT AN AMBASSADOR PROGRAM. THIS INITIATIVE IS DESIGNED TO REDUCE MENTAL HEALTH STIGMA AND INCREASE AWARENESS OF, AND ACCESS TO, LOCALLY AVAILABLE, CULTURALLY RESPONSIVE MENTAL HEALTH CARE PROVIDERS AND COMMUNITY SUPPORT SERVICES, AS WELL AS OTHER INITIATIVES AIMED AT IMPROVING ACCESS TO CARE. AS TRUSTED COMMUNITY-BASED ORGANIZATIONS (CBOS), AMBASSADORS REACHED 209,455 INDIVIDUALS IN FY2025, EXCEEDING TARGET OUTREACH GOALS. THIS PROGRAM INCREASED COMMUNITY AWARENESS, STRENGTHENED PARTNERSHIPS, AND ENHANCED CAPACITY TO ADDRESS MENTAL HEALTH NEEDS IN CULTURALLY MEANINGFUL WAYS. THE ORGANIZATIONS FUNDED BY THE COLORADO HEALTH INSTITUTE (CHI) THAT SERVED THE ENTIRE STATE OF COLORADO INCLUDED THE COLORADO IMMIGRANT RIGHTS COALITION AND THE MIEL FOUNDATION. WHILE THIS AMBASSADOR PROGRAM DID NOT FUND CBOS SPECIFICALLY IN THE SMC SERVICE AREA IN FY25, THE PROGRAM WILL BE EXPANDED TO THIS SERVICE AREA IN FY26.MENTAL HEALTH - INTEGRATED BEHAVIORAL HEALTHTHE HEALTHYSTEPS PROGRAM SUPPORTS THE HEALTH, WELL-BEING, AND SCHOOL READINESS OF BABIES AND TODDLERS, PARTICULARLY FOR FAMILIES IN LOW-INCOME COMMUNITIES. OUR HEALTHYSTEPS SPECIALISTS ATTEND WELL-CHILD CHECKS ALONGSIDE PRIMARY CARE PROVIDERS TO OFFER COMPREHENSIVE RESOURCES AND SUPPORT. THIS EVIDENCE-BASED, INTERDISCIPLINARY PROGRAM ADDRESSES COMMON AND COMPLEX CONCERNS, INCLUDING BEHAVIOR, SLEEP, FEEDING, ATTACHMENT, PARENTAL DEPRESSION, SOCIAL DETERMINANTS OF HEALTH, AND ADAPTING TO NEW PARENTHOOD, THEREBY AUGMENTING THE CAPACITY OF PRIMARY CARE PRACTICES.SUBSTANCE USETO 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 ED MOUD RATE OF INDUCTION WAS 100% WITH 26 OUT OF THE 26 ELIGIBLE PATIENTS BEING INITIATED ON BUPRENORPHINE TO TREAT THEIR OUD. THERE WAS A TOTAL OF 136 NALOXONE KITS DISPENSED TO PATIENTS IDENTIFIED AS AT-RISK FOR OVERDOSE. THE ALTOS RATE MAINTAINED OPTIMAL PERFORMANCE IN THE ED, 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.THERE WERE 193 PATIENTS ADMINISTERED THE VALIDATED SCREENING TOOL FOR SUBSTANCE USE, AUDIT C PLUS 2 (ALCOHOL USE IDENTIFICATION TEST), WITH 78 OF THOSE PATIENTS RECEIVING A BRIEF INTERVENTION WITH USE OF MOTIVATIONAL INTERVIEWING SKILLS TO SUPPORT CHANGE IN THEIR USE. PART V, SECTION B, LINE 11-ALL GROUPS-CONTINUED WORKFORCE DEVELOPMENT & ACCESS TO BEHAVIORAL HEALTH CARECOMMONSPIRIT HEALTH AND ST. MARY CORWIN HOSPITAL (SMC) HAVE ADVANCED SEVERAL KEY PARTNERSHIPS WITH REGIONAL EDUCATION ENTITIES, INCLUDING PUEBLO PUBLIC SCHOOL DISTRICT, PUEBLO COMMUNITY COLLEGE, AND THE COLORADO COMMUNITY COLLEGE SYSTEM. THESE COLLABORATIONS ARE AIMED AT INCREASING ACCESS TO QUALITY BEHAVIORAL HEALTH (BH) CARE THROUGH ROBUST WORKFORCE DEVELOPMENT, A PRIORITY IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA).COMMONSPIRIT HEALTH (CSH) LED THE CREATION OF THE STATE'S QUALIFIED BEHAVIORAL HEALTH ASSISTANT COMPETENCIES. THIS INITIATIVE ALLOWS EXISTING DIRECT CARE WORKERS IN THE BH FIELD TO EARN COMMUNITY COLLEGE CREDITS AND A CERTIFICATE THROUGH DEMONSTRATED SKILLS AND KNOWLEDGE TESTING. THIS ESTABLISHMENT OF A CSH BH WORKFORCE MODEL INCORPORATES "EARN WHILE YOU LEARN" PATHWAYS, SERVING AS A DEMONSTRATED MODEL FOR REGIONAL COLLABORATIVE WORK. THE PROGRAM IS DEDICATED TO ADVANCING COMMUNITY CONNECTIONS AND EQUITABLE BH PROFESSIONAL PATHWAYS THROUGHOUT THE REGION, ULTIMATELY IMPROVING BH CARE AND TREATMENT FOR INDIVIDUALS IN OUR COMMUNITIES.SMC'S DIRECT SUPPORT, INCLUDING THE PROVISION OF SPACE AND COLLABORATION WITH ITS EDUCATIONAL PARTNERS, HAS SIGNIFICANTLY ADVANCED HEALTH AND BEHAVIORAL HEALTH WORKFORCE DEVELOPMENT AND CAREER PATHWAYS. FURTHER ENHANCING CAREER OUTCOMES, SMC INVESTED IN ITS BEHAVIORAL HEALTH SERVICES (BHS) POSITIONS, INCLUDING THE CRISIS ASSESSMENT SPECIALIST ROLE. ADDITIONALLY, SMC'S INTEGRATION OF IRIS TELEHEALTH'S PSYCHIATRIC CONSULTATION LIAISON SERVICE PROGRAM HAS HELPED ASSESS, TREAT, LINK, AND ENHANCE CARE AND OUTCOMES FOR PATIENTS WITH SUBSTANCE USE DISORDER, COMPLEX PSYCHIATRIC CONDITIONS, NEUROCOMPLEX ISSUES, AND BEHAVIORAL CHALLENGES.SMC ALSO IMPROVED ACCESS TO CARE THROUGH ITS INTEGRATED BEHAVIORAL HEALTH AMBULATORY PROGRAM. THIS PROGRAM PROVIDED CRUCIAL COUNSELING AND BHS CARE COORDINATION SUPPORT TO PATIENTS IN ITS PRIMARY CARE AND RESIDENCY CLINICS. SMC'S RESIDENCY PROGRAM ACTIVELY SUPPORTS BH EDUCATION FOR ITS RESIDENTS AND PARTNERS WITH SEVERAL COMMUNITY PROVIDERS TO ENHANCE ACCESS TO NEEDED SOCIAL DETERMINANTS OF HEALTH SUPPORT.ACCESS TO CARE - SCREENING AND CARE COORDINATIONST. MARY-CORWIN HOSPITAL PROVIDES NO-COST SOCIAL DETERMINANTS OF HEALTH (SDOH) SCREENING TO IDENTIFY BARRIERS SUCH AS HOUSING INSTABILITY, FOOD INSECURITY, TRANSPORTATION CHALLENGES, FINANCIAL STRAIN, AND SAFETY CONCERNS. THESE EFFORTS SUPPORT CHNA PRIORITIES RELATED TO MALTREATMENT PREVENTION, STRENGTHENING FOOD SECURITY, AND ADVANCING HEALTH EQUITY. DURING THE FISCAL YEAR, 359 PATIENTS WERE SCREENED WITH A 90.43% SCREENING RATE, AND 38.44% HAD AT LEAST ONE IDENTIFIED NEED. COMMON NEEDS INCLUDED HOUSING INSTABILITY, FOOD INSECURITY, AND TRANSPORTATION ISSUES. SCREENING ACROSS INPATIENT DEPARTMENTS HELPS IDENTIFY INDIVIDUALS WHOSE SOCIAL CIRCUMSTANCES MAY AFFECT HEALTH OUTCOMES AND ACCESS TO ONGOING CARE. BY IDENTIFYING NEEDS AND LINKING PATIENTS TO COMMUNITY RESOURCES, THE HOSPITAL SUPPORTS VULNERABLE POPULATIONS AND ADVANCES PROGRESS TOWARD CHNA PRIORITIES. ADDITIONALLY, THE COMMUNITY HEALTH WORKER (CHW) FRESH MOUNTAIN REGION PROGRAM PROVIDES NO-COST NAVIGATION, OUTREACH, AND SOCIAL SUPPORT SERVICES FOR UNINSURED, UNDERINSURED, AND HIGH-RISK INDIVIDUALS EXPERIENCING BARRIERS RELATED TO SOCIAL DETERMINANTS OF HEALTH. CHWS ASSIST WITH SDOH SCREENING, BENEFITS APPLICATIONS, CARE COORDINATION, AND CONNECTIONS TO HOUSING, FOOD, TRANSPORTATION, AND OTHER COMMUNITY-BASED RESOURCES. THESE ACTIVITIES SUPPORT CHNA PRIORITIES RELATED TO ACCESS TO CARE, HEALTH EQUITY, AND SOCIAL AND ECONOMIC NEEDS. DURING 2025, THE PROGRAM SCREENED OVER 3,690 PATIENTS, OUTREACHED TO OVER 2,700 INDIVIDUALS, AND ENROLLED 41 HOUSEHOLDS IN SNAP FOOD BENEFITS. BY SUPPORTING VULNERABLE POPULATIONS AND IMPROVING ACCESS TO ESSENTIAL SERVICES, THE PROGRAM HELPS REDUCE AVOIDABLE EMERGENCY CARE UTILIZATION AND STRENGTHENS COMMUNITY WELL-BEING.ACCESS TO CARE - FINANCIAL ASSISTANCE PROGRAMAS PART OF ITS CHNA IMPLEMENTATION PLAN, 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 TO MANY PATIENTS, 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, HOSPITAL SUPPORTS VULNERABLE POPULATIONS, PROMOTES HEALTH EQUITY, AND ENSURES THAT PATIENTS RECEIVE THE CARE THEY NEED WITHOUT FINANCIAL HARDSHIP.ACCESS TO CARE - HEALTH PROFESSIONSST. MARY-CORWIN HOSPITAL PROVIDES A BROAD RANGE OF HEALTH PROFESSIONS EDUCATION PROGRAMS THAT HELP ADDRESS REGIONAL WORKFORCE SHORTAGES IN PRIMARY CARE, NURSING, ALLIED HEALTH, EMERGENCY RESPONSE, DIAGNOSTIC SCIENCES, AND SPIRITUAL CARE. THE HOSPITAL OFFERS SUPERVISED CLINICAL TRAINING, PRECEPTORSHIPS, AND RESIDENCY EDUCATION FOR LEARNERS IN FAMILY MEDICINE, NURSING, CHAPLAINCY, EMT/PARAMEDICINE, MEDICAL LABORATORY TECHNOLOGY, PHARMACY, RADIOLOGY TECHNOLOGY, DIETETICS, RESPIRATORY THERAPY, STERILE PROCESSING, SURGICAL TECHNOLOGY, AND PHLEBOTOMY. THESE PROGRAMS 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 $11.19 MILLION IN COSTS TO SUPPORT THESE PROGRAMS AND RECEIVED $4.89 MILLION IN OFFSETTING REVENUE, RESULTING IN A NET COMMUNITY BENEFIT OF $6.30 MILLION. BY OFFERING HANDS-ON CLINICAL EDUCATION ACROSS MULTIPLE HEALTH CARE DISCIPLINES, THE HOSPITAL STRENGTHENS THE REGIONAL WORKFORCE PIPELINE AND EXPANDS ESSENTIAL TRAINING OPPORTUNITIES THAT WOULD NOT OCCUR WITHOUT HOSPITAL SUPPORT.COMMUNITY HEALTH IMPROVEMENT GRANTSFURTHER SUPPORTING COMMUNITY HEALTH EFFORTS, THE HOSPITAL PROVIDES 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, ST. MARY-CORWIN HOSPITAL CONTRIBUTED TO THE COMMUNITY HEALTH EQUITY AND ADVANCEMENT GRANT PROGRAM. SPECIFIC ORGANIZATIONS RECEIVING FUNDING FROM ST. MARY-CORWIN HOSPITAL TOTALING $95,000 INCLUDED NEIGHBORWORKS SOUTHERN COLORADO AND POSADA, PROVIDING DIRECT SUPPORT TO IMPROVE COMMUNITY HEALTH AND WELL-BEING. PART V, SECTION B, LINE 11-ALL GROUPS-CONTINUED ST. ANTHONY SUMMIT HOSPITALST. ANTHONY SUMMIT 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. MENTAL HEALTH 2. SUBSTANCE USE; AND 3. ACCESS TO CARE.MENTAL HEALTH - SUICIDE PREVENTIONST. ANTHONY SUMMIT MEDICAL CENTER HAS IMPLEMENTED A COMPREHENSIVE, SYSTEM-WIDE APPROACH TO ADDRESS THE COMMUNITY'S IDENTIFIED SUICIDE PREVENTION NEEDS. EFFORTS HAVE FOCUSED ON INCREASING EARLY IDENTIFICATION OF SUICIDE RISK THROUGH THE USE OF THE COLUMBIA-SUICIDE SEVERITY RATING SCALE (C-SSRS), IMPROVING ACCESS TO EVIDENCE-BASED CARE THROUGH UNIVERSAL SCREENING AND STREAMLINED REFERRAL PATHWAYS, AND ENHANCING CONTINUITY OF CARE VIA THE CARING CONNECTIONS POST-DISCHARGE FOLLOW-UP PROGRAM AND COORDINATION WITH COMMUNITY RESOURCES. TARGETED TRAINING FOR LEADERS AND STAFF HAS STRENGTHENED THE HOSPITAL'S CAPACITY TO DELIVER SAFE, EFFECTIVE SUICIDE CARE, WHILE DATA-INFORMED AUDITS HAVE IDENTIFIED GAPS AND GUIDED CONTINUOUS IMPROVEMENT IN CARE DELIVERY.DURING FY25, 93% OF PATIENTS WERE SCREENED FOR SUICIDE RISK, AND 80% OF HIGH-RISK PATIENTS HAD A DOCUMENTED SAFETY ASSESSMENT OR PLAN. ALL (100%) CARING CONNECTIONS FOLLOW-UP CONTACTS WERE ATTEMPTED WITHIN 72 HOURS POST-DISCHARGE, ENSURING TIMELY OUTREACH AND CONTINUITY OF CARE. IN ADDITION, 87% OF STAFF COMPLETED REQUIRED SUICIDE PREVENTION TRAINING, REFLECTING STRONG ORGANIZATIONAL COMMITMENT TO BUILDING AND SUSTAINING A CAPABLE AND COMPASSIONATE WORKFORCE EQUIPPED TO PROVIDE EVIDENCE-BASED SUICIDE CARE.IN FY25, ST. ANTHONY SUMMIT PARTICIPATED IN THE ZERO SUICIDE MONTHLY COLLABORATIVE MEETINGS HOSTED BY THE OFFICE OF SUICIDE PREVENTION WITHIN THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT (CDPHE), FOSTERING SHARED LEARNING, ALIGNMENT WITH STATE PRIORITIES, AND INTEGRATION OF EMERGING BEST PRACTICES INTO HOSPITAL WORKFLOWS. THE HOSPITAL ALSO JOINED A SPECIAL COLLABORATION WITH THE VETERANS ADMINISTRATION CALLED CONVENE, AIMED AT IDENTIFYING AND ADDRESSING GAPS IN CARE FOR VETERANS AND THEIR FAMILY MEMBERS. ADDITIONALLY, THE HOSPITAL ADVANCED COMMUNITY EDUCATION AND RESOURCE AWARENESS THROUGH THE DISTRIBUTION AND PROMOTION OF 988 CRISIS RESOURCES, WHICH REPLACED THE COLORADO CRISIS LINE, ENSURING THAT PATIENTS, FAMILIES, AND STAFF HAVE IMMEDIATE ACCESS TO MENTAL HEALTH AND SUICIDE PREVENTION SUPPORT.MENTAL HEALTH STIGMA REDUCTIONTO ADDRESS THE COMMUNITY NEED FOR MENTAL HEALTH PROMOTION AND STIGMA REDUCTION IDENTIFIED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), BUILDING HOPE SUMMIT 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.DURING FY25, STIGMA REDUCTION MESSAGING REACHED OVER 300,000 IMPRESSIONS ACROSS DIGITAL AND TRADITIONAL MEDIA, WITH STRONG ENGAGEMENT ON VIDEO CONTENT. CONNECTEDNESS EVENTS WERE HELD MONTHLY, OFFERING FUN, HEALTHY, AND FREE ACTIVITIES IN ENGLISH AND SPANISH, ATTRACTING MORE THAN 600 PARTICIPANTS OVER THE YEAR. EVENTS INCLUDED YOGA, MINDFULNESS HIKE, ART WORKSHOPS, DANCE, AND FITNESS CLASSES, ALL DESIGNED TO SUPPORT EMOTIONAL WELL-BEING, NORMALIZE MENTAL HEALTH CONVERSATIONS, AND INCREASE COMMUNITY CONNECTIONS.BUILDING HOPE ALSO PARTICIPATED IN OVER 25 LOCAL PUBLIC EVENTS, PROVIDING RESOURCE TABLES AND PROMOTING CAMPAIGNS SUCH AS FACES OF HOPE AND IMPERFECT. THE HIRING OF A SPANISH-SPEAKING EVENTS COORDINATOR INCREASED ENGAGEMENT WITH SPANISH-SPEAKING COMMUNITY MEMBERS, RESULTING IN A 20% INCREASE IN INDIVIDUALS SEEKING MENTAL HEALTH SUPPORT. SURVEYS FROM CONNECTEDNESS EVENTS SHOWED HIGH SATISFACTION, WITH 79% OF ATTENDEES REPORTING INCREASED CONNECTION, 64% REPORTING REDUCED STIGMA, AND 88% REPORTING IMPROVED EMOTIONAL WELL-BEING.THE PROGRAM DEMONSTRATED EFFECTIVE COMMUNITY ENGAGEMENT, INCREASED ACCESS TO MENTAL HEALTH RESOURCES, AND MADE MEASURABLE PROGRESS IN REDUCING STIGMA AND PROMOTING WELL-BEING ACROSS SUMMIT COUNTY.AS PART OF THIS EFFORT, THE HOSPITAL SUPPORTED UPDATES TO THE LET'S TALK COLORADO AND HABLEMOS COLORADO WEBSITES TO IMPROVE ACCESS TO CULTURALLY RELEVANT MENTAL HEALTH INFORMATION AND RESOURCES. USER ENGAGEMENT IS TRACKED AND ANALYZED TO INFORM CONTINUOUS IMPROVEMENT. FROM THE MAY 12, 2025 LAUNCH THROUGH JUNE 30, 2025, LET'S TALK COLORADO RECORDED 774 ACTIVE USERS, 2,297 PAGE VIEWS, AND AN AVERAGE ENGAGEMENT TIME OF 50 SECONDS, WHILE HABLEMOS COLORADO RECORDED 282 ACTIVE USERS, 822 PAGE VIEWS, AND AN AVERAGE ENGAGEMENT TIME OF 20 SECONDS. THESE DATA DEMONSTRATE INITIAL COMMUNITY INTEREST AND PROVIDE A BASELINE FOR FUTURE OUTREACH, PROGRAM REFINEMENT, AND RESOURCE UTILIZATION.SUBSTANCE USETO 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 ED MOUD INDUCTION RATE WAS 100% WITH 6 OUT OF THE 6 ELIGIBLE PATIENTS BEING INDUCED WITH BUPRENROPHINE TO TREAT THEIR OUD. 36 NARCAN KITS WERE DISPENSED FOR THOSE IDENTIFIED AS AT-RISK FOR OVERDOSE. OF THOSE 36 KITS, 11 WERE KITS DISPENSED OUT OF LABOR & DELIVERY TO ADDRESS REDUCING MATERNAL 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.THERE WERE 190 PATIENTS SCREENED WITH THE USE OF THE VALIDATED SCREENING TOOL AUDIT-C PLUS 2, OF THOSE 84 RECEIVED A BRIEF INTERVENTION WITH MOTIVATION SKILLS TO SUPPORT CHANGE IN THEIR USE. THE AUDIT-C PLUS 2 TOOL IS EMBEDDED IN THE ELECTRONIC HEALTH RECORD SYSTEM AND IS UTILIZED BY BEHAVIORAL HEALTH PROFESSIONALS, SUCH AS BEHAVIORAL HEALTH SPECIALIST AND SOCIAL WORK, IN IDENTIFYING PATIENTS WITH RISKY SUBSTANCE USEALCOHOL 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. PART V, SECTION B, LINE 11-ALL GROUPS-CONTINUED ACCESS TO CARE - SCREENING AND CARE COORDINATIONST. ANTHONY SUMMIT HOSPITAL PROVIDES SOCIAL DETERMINANTS OF HEALTH (SDOH) SCREENING TO IDENTIFY BARRIERS SUCH AS HOUSING INSTABILITY, FOOD INSECURITY, TRANSPORTATION CHALLENGES, FINANCIAL STRAIN, AND SAFETY CONCERNS. THESE EFFORTS SUPPORT CHNA PRIORITIES RELATED TO IMPROVING ACCESS TO BEHAVIORAL HEALTH CARE, REDUCING SUBSTANCE USE RISKS, AND STRENGTHENING FOOD SECURITY. DURING THE FISCAL YEAR, 162 PATIENTS WERE SCREENED WITH A 85.71% SCREENING RATE, AND 37.65% HAD AT LEAST ONE IDENTIFIED NEED. COMMON NEEDS INCLUDED HOUSING INSTABILITY, FOOD INSECURITY, TRANSPORTATION ISSUES, AND UTILITY OR FINANCIAL STRESS. SCREENING ACROSS INPATIENT DEPARTMENTS HELPS IDENTIFY INDIVIDUALS WHOSE SOCIAL CIRCUMSTANCES MAY AFFECT HEALTH OUTCOMES AND ACCESS TO ONGOING CARE. BY IDENTIFYING NEEDS AND LINKING PATIENTS TO COMMUNITY RESOURCES, THE HOSPITAL SUPPORTS VULNERABLE POPULATIONS AND ADVANCES PROGRESS TOWARD CHNA PRIORITIES.ADDITIONALLY, THE COMMUNITY HEALTH WORKER (CHW) FRESH MOUNTAIN REGION PROGRAM PROVIDES NO-COST NAVIGATION, OUTREACH, AND SOCIAL SUPPORT SERVICES FOR UNINSURED, UNDERINSURED, AND HIGH-RISK INDIVIDUALS EXPERIENCING BARRIERS RELATED TO SOCIAL DETERMINANTS OF HEALTH. CHWS ASSIST WITH SDOH SCREENING, BENEFITS APPLICATIONS, CARE COORDINATION, AND CONNECTIONS TO HOUSING, FOOD, TRANSPORTATION, AND OTHER COMMUNITY-BASED RESOURCES. THESE ACTIVITIES SUPPORT CHNA PRIORITIES RELATED TO ACCESS TO CARE, HEALTH EQUITY, AND SOCIAL AND ECONOMIC NEEDS. DURING 2025, THE PROGRAM SCREENED OVER 3,690 PATIENTS, OUTREACHED TO OVER 2,700 INDIVIDUALS, AND ENROLLED 41 HOUSEHOLDS IN SNAP FOOD BENEFITS. BY SUPPORTING VULNERABLE POPULATIONS AND IMPROVING ACCESS TO ESSENTIAL SERVICES, THE PROGRAM HELPS REDUCE AVOIDABLE EMERGENCY CARE UTILIZATION AND STRENGTHENS COMMUNITY WELL-BEING.ACCESS TO CARE - FINANCIAL ASSISTANCE PROGRAMAS PART OF ITS CHNA IMPLEMENTATION PLAN, ST. ANTHONY SUMMIT 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 TO MANY PATIENTS, 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, ST. ANTHONY SUMMIT HOSPITAL SUPPORTS VULNERABLE POPULATIONS, PROMOTES HEALTH EQUITY, AND ENSURES THAT PATIENTS RECEIVE THE CARE THEY NEED WITHOUT FINANCIAL HARDSHIP.ACCESS TO CARE - HEALTH PROFESSIONSST. ANTHONY SUMMIT HOSPITAL PROVIDES HEALTH PROFESSIONS EDUCATION PROGRAMS THAT ADDRESS LOCAL WORKFORCE NEEDS IN NURSING, EMERGENCY MEDICAL SERVICES, PHARMACY, AND ALLIED HEALTH FIELDS. THE HOSPITAL OFFERS SUPERVISED CLINICAL TRAINING AND PRECEPTORSHIPS FOR NURSING STUDENTS, EMT AND PARAMEDIC STUDENTS, PHARMACY AND PHARMACY TECHNICIAN LEARNERS, AND RADIOLOGY TECHNOLOGY STUDENTS. 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 $149,954 IN COSTS TO SUPPORT THESE PROGRAMS WITH NO OFFSETTING REVENUE, RESULTING IN A NET COMMUNITY BENEFIT OF $149,954. 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 BE AVAILABLE WITHOUT HOSPITAL SUPPORT.ACCESS TO CARE - WORKFORCE DEVELOPMENTCSH LED THE CREATION OF THE STATE'S QUALIFIED BEHAVIORAL HEALTH ASSISTANT COMPETENCIES, WHICH ALLOW EXISTING DIRECT CARE WORKERS IN THE BEHAVIORAL HEALTH FIELD TO EARN COMMUNITY COLLEGE CREDITS AND CERTIFICATES THROUGH SKILLS AND KNOWLEDGE TESTING. THE ESTABLISHMENT OF THIS CSH BEHAVIORAL HEALTH WORKFORCE MODEL, INCLUDING ITS "EARN WHILE YOU LEARN" PATHWAYS, WAS INCORPORATED AS A DEMONSTRATED PATHWAY MODEL FOR FUTURE REGIONAL COLLABORATIVE WORK. THIS INITIATIVE SIGNIFICANTLY EXPANDS THE SKILLED BEHAVIORAL HEALTH WORKFORCE.ST. ANTHONY SUMMIT (SAS) MEDICAL CENTER INVESTED IN BRINGING PSYCHIATRIC CONSULTATION SERVICES TO ITS PATIENTS THROUGH THE ONBOARDING OF THE IRIS TELEHEALTH PROGRAM. THESE PSYCHIATRIC MEDICATION MANAGEMENT AND CONSULTATION SERVICES PROVIDE CRUCIAL ACCESS FOR COMPLEX BEHAVIORAL HEALTH AND BEHAVIORAL PATIENT NEEDS, IMPROVING PATIENT CARE AND OUTCOMES IN UNDERSERVED AREAS. ADDITIONALLY, SAS'S CONTINUED INVESTMENT IN THEIR BEHAVIORAL HEALTH SPECIALIST (BHS) MODEL HAS ADVANCED SIGNIFICANT IMPROVEMENTS IN CARE AND TREATMENT. BHS STAFF PERFORM SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT SERVICES; SUPPORT THE HOSPITAL'S SOCIAL DETERMINANTS OF HEALTH SCREENING PROGRAM; AND ADDRESS MATERNAL MENTAL HEALTH AND OTHER PATIENT ACCESS TO CARE AND SUPPORT NEEDS. SAS ALSO CREATED ACCESS TO CARE IMPROVEMENTS WITH ITS INVESTMENTS IN ITS INTEGRATED BEHAVIORAL HEALTH AMBULATORY PROGRAM, WHICH PROVIDES VITAL COUNSELING ACCESS TO PATIENTS AT ITS THREE SUMMIT COUNTY PRIMARY CARE SITE CLINICS.COMMUNITY HEALTH IMPROVEMENT GRANTSFURTHER SUPPORTING COMMUNITY HEALTH EFFORTS, ST. ANTHONY SUMMIT HOSPITAL PROVIDES 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, ST. ANTHONY SUMMIT HOSPITAL CONTRIBUTED TO THE COMMUNITY HEALTH EQUITY AND ADVANCEMENT GRANT PROGRAM. SPECIFIC ORGANIZATIONS RECEIVING FUNDING FROM THE HOSPITAL TOTALING $51,300 INCLUDED SMART BELLIES AND ST. GEORGE EPISCOPA PROVIDING, PROVIDING DIRECT SUPPORT TO IMPROVE COMMUNITY HEALTH AND WELL-BEING.IDENTIFIED HEALTH NEEDS NOT PRIORITIZEDTHE COMPREHENSIVE CHNA UNDERSCORES THE DIVERSE HEALTH CHALLENGES FACING OUR COMMUNITY, INCLUDING INFANT HEALTH. AS PART OF ITS CHNA IMPLEMENTATION STRATEGY, ST. ANTHONY SUMMIT HOSPITAL HAS MADE A STRATEGIC DECISION TO FOCUS ITS LIMITED CAPACITY AND RESOURCES ON MENTAL HEALTH, SUBSTANCE USE, AND ACCESS TO CARE. THIS APPROACH ALLOWS THE HOSPITAL TO DELIVER SUSTAINABLE INTERVENTIONS WHERE ITS EXPERTISE AND OPERATIONAL BANDWIDTH ARE BEST ALIGNED, RATHER THAN DILUTING EFFORTS ACROSS ALL IDENTIFIED HEALTH NEEDS. ST. ANTHONY SUMMIT HOSPITAL REMAINS COMMITTED TO SUPPORTING COLLABORATIVE COMMUNITY-WIDE EFFORTS TO ADDRESS THE BROADER RANGE OF HEALTH PRIORITIES. PART V, SECTION B, LINE 11-ALL GROUPS-CONTINUED ST. ELIZABETH HOSPITALST. ELIZABETH HOSPITAL AND COMMUNITY STAKEHOLDERS IDENTIFIED FIVE SIGNIFICANT NEEDS IN THEIR COMMUNITY, WHICH THEY PRIORITIZED AND FOCUSED ON IN THEIR 2025 COMMUNITY HEALTH IMPLEMENTATION PLAN. THE PRIORITY NEEDS IDENTIFIED WERE: 1. MENTAL HEALTH, 2. SUBSTANCE USE, 3. ACCESS TO CARE, 4. CHILD CARE, AND 5. FOOD INSECURITY.MENTAL HEALTH - SUICIDE PREVENTIONST. ELIZABETH HOSPITAL HAS IMPLEMENTED A COMPREHENSIVE, SYSTEM-WIDE APPROACH TO ADDRESS THE COMMUNITY'S IDENTIFIED SUICIDE PREVENTION NEEDS. EFFORTS HAVE FOCUSED ON INCREASING EARLY IDENTIFICATION OF SUICIDE RISK THROUGH THE USE OF THE COLUMBIA-SUICIDE SEVERITY RATING SCALE (C-SSRS), IMPROVING ACCESS TO EVIDENCE-BASED CARE THROUGH UNIVERSAL SCREENING AND STREAMLINED REFERRAL PATHWAYS, AND ENHANCING CONTINUITY OF CARE VIA THE CARING CONNECTIONS POST-DISCHARGE FOLLOW-UP PROGRAM AND COORDINATION WITH COMMUNITY RESOURCES. TARGETED TRAINING FOR LEADERS AND STAFF HAS STRENGTHENED THE HOSPITAL'S CAPACITY TO DELIVER SAFE, EFFECTIVE SUICIDE CARE, WHILE DATA-INFORMED AUDITS HAVE IDENTIFIED GAPS AND GUIDED CONTINUOUS IMPROVEMENT IN CARE DELIVERY. DURING FY25, 87% OF PATIENTS WERE SCREENED FOR SUICIDE RISK, AND 94% OF HIGH-RISK PATIENTS HAD A DOCUMENTED SAFETY ASSESSMENT OR PLAN. ALL (100%) CARING CONNECTIONS FOLLOW-UP CONTACTS WERE ATTEMPTED WITHIN 72 HOURS POST-DISCHARGE, ENSURING TIMELY OUTREACH AND CONTINUITY OF CARE. IN ADDITION, 89% OF STAFF COMPLETED REQUIRED SUICIDE PREVENTION TRAINING, REFLECTING STRONG ORGANIZATIONAL COMMITMENT TO BUILDING AND SUSTAINING A CAPABLE AND COMPASSIONATE WORKFORCE EQUIPPED TO PROVIDE EVIDENCE-BASED SUICIDE CARE. IN FY25, ST. ELIZABETH HOSPITAL PARTICPATED IN THE ZERO SUICIDE MONTHLY COLLABORATIVE MEETINGS HOSTED WITHIN THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIORNMENT (CDPHE), FOSTERING SHARED LEARNING, ALIGNMENT WITH STATE PRIORITIES, AND INTEGRATION OF BEST PRACTICES INTO HOSPITAL WORKFLOWS. THE HOSPITAL ALSO PARTICIPATED IN A SPECIAL COLLABORATION WITH THE VETERANS ADMINISTRATION CALLED CONVENE, AIMED AT IDENTIFYING AND ADDRESSING GAPS IN CARE FOR VETERANS AND THEIR FAMILY MEMBERS. THE HOSPITAL FURTHER ADVANCED COMMUNITY EDUCATION AND RESOURCE AWARENESS THROUGH THE DISTRIBUTION AND PROMOTION OF 988 CRISIS RESOURCES, WHICH REPLACED THE COLORADO CRISIS LINE, ENSURING THAT PATIENTS, FAMILIES, AND STAFF HAVE DIRECT ACCESS TO IMMEDIATE MENTAL HEALTH AND SUICIDE PREVENTION SUPPORT.MENTAL HEALTH STIGMA REDUCTIONTO ADDRESS THE COMMUNITY NEED FOR MENTAL HEALTH PROMOTION AND STIGMA REDUCTION IDENTIFIED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA).AS PART OF THIS EFFORT, THE HOSPITAL SUPPORTED UPDATES TO THE LET'S TALK COLORADO AND HABLEMOS COLORADO WEBSITES TO IMPROVE ACCESS TO CULTURALLY RELEVANT MENTAL HEALTH INFORMATION AND RESOURCES. USER ENGAGEMENT IS TRACKED AND ANALYZED TO INFORM CONTINUOUS IMPROVEMENT. FROM THE MAY 12, 2025 LAUNCH THROUGH JUNE 30, 2025, LET'S TALK COLORADO RECORDED 774 ACTIVE USERS, 2,297 PAGE VIEWS, AND AN AVERAGE ENGAGEMENT TIME OF 50 SECONDS, WHILE HABLEMOS COLORADO RECORDED 282 ACTIVE USERS, 822 PAGE VIEWS, AND AN AVERAGE ENGAGEMENT TIME OF 20 SECONDS. THESE DATA DEMONSTRATE INITIAL COMMUNITY INTEREST AND PROVIDE A BASELINE FOR FUTURE OUTREACH, PROGRAM REFINEMENT, AND RESOURCE UTILIZATION. TO ADDRESS THE COMMUNITY NEED FOR MENTAL HEALTH PROMOTION AND STIGMA REDUCTION IDENTIFIED IN THE CHNA, COMMONSPIRIT CONTINUED TO ADVANCE A PARTNERSHIP WITH THE COLORADO HEALTH INSTITUTE (CHI) AND LOCAL AND REGIONAL DIVERSITY-FOCUSED COMMUNITY ORGANIZATIONS TO IMPLEMENT AN AMBASSADOR PROGRAM. THIS INITIATIVE IS DESIGNED TO REDUCE STIGMA AND INCREASE AWARENESS OF, AND ACCESS TO, LOCALLY AVAILABLE, CULTURALLY RESPONSIVE MENTAL HEALTH CARE PROVIDERS AND COMMUNITY SUPPORT SERVICES, AS WELL AS OTHER INITIATIVES AIMED AT IMPROVING ACCESS TO CARE.AS TRUSTED CBOS, AMBASSADORS REACHED 209,455 INDIVIDUALS IN FY2025, EXCEEDING TARGET OUTREACH GOALS. THE PROGRAM INCREASED COMMUNITY AWARENESS, STRENGTHENED PARTNERSHIPS, AND ENHANCED CAPACITY TO ADDRESS MENTAL HEALTH NEEDS IN CULTURALLY MEANINGFUL WAYS. THE ORGANIZATIONS FUNDED BY CHI THAT SERVED THE ENTIRE STATE OF COLORADO INCLUDED THE COLORADO IMMIGRANT RIGHTS COALITION AND THE MIEL FOUNDATION. MENTAL HEALTH - INTEGRATED BEHAVIORAL HEALTHTHE HEALTHYSTEPS PROGRAM SUPPORTS THE HEALTH, WELL-BEING, AND SCHOOL READINESS OF BABIES AND TODDLERS, PARTICULARLY FOR FAMILIES IN LOW-INCOME COMMUNITIES. OUR HEALTHYSTEPS SPECIALISTS ATTEND WELL-CHILD CHECKS ALONGSIDE PRIMARY CARE PROVIDERS TO OFFER COMPREHENSIVE RESOURCES AND SUPPORT. THIS EVIDENCE-BASED, INTERDISCIPLINARY PROGRAM ADDRESSES COMMON AND COMPLEX CONCERNS, INCLUDING BEHAVIOR, SLEEP, FEEDING, ATTACHMENT, PARENTAL DEPRESSION, SOCIAL DETERMINANTS OF HEALTH, AND ADAPTING TO NEW PARENTHOOD, THEREBY AUGMENTING THE CAPACITY OF PRIMARY CARE PRACTICES.SUBSTANCE USETO 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 BEING ADMINISTERED BUPRENROPHINE TO TREAT THEIR OUD. A TOTAL OF 9 NARCAN KITS WERE DISPENSED TO PATIENTS IDENTIFIED AS AT-RISK FOR OVERDOSE. 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 AUDIT-C PLUS 2 IS EMBEDDED AND AVAILABLE TO UTILIZE AS PART OF THE ELECTRONIC HEALTH RECORD TO IDENTIFY PATIENTS ENGAGING IN RISKY SUBSTANCE USE. HALF OF THE PATIENTS RECEIVING THE SCREEN WAS FOLLOWED UP WITH 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. PART V, SECTION B, LINE 11-ALL GROUPS-CONTINUED ACCESS TO CARE - SCREENING AND CARE COORDINATIONST. ELIZABETH HOSPITAL PROVIDES SOCIAL DETERMINANTS OF HEALTH (SDOH) SCREENING TO IDENTIFY BARRIERS SUCH AS HOUSING INSTABILITY, FOOD INSECURITY, TRANSPORTATION CHALLENGES, FINANCIAL STRAIN, AND SAFETY CONCERNS. THESE EFFORTS SUPPORT CHNA PRIORITIES RELATED TO BEHAVIORAL HEALTH AND SUBSTANCE USE, IMPROVING ACCESS TO HEALTHCARE, ADDRESSING FOOD ACCESS, AND REDUCING SOCIAL BARRIERS THAT AFFECT FAMILIES, INCLUDING CHILDCARE NEEDS. DURING THE FISCAL YEAR, 183 PATIENTS WERE SCREENED WITH AN 89.71% SCREENING RATE, AND 29.51% HAD AT LEAST ONE IDENTIFIED NEED. COMMON NEEDS INCLUDED HOUSING INSTABILITY, FOOD INSECURITY, AND TRANSPORTATION ISSUES. SCREENING ACROSS INPATIENT DEPARTMENTS HELPS IDENTIFY INDIVIDUALS WHOSE SOCIAL CIRCUMSTANCES MAY IMPACT HEALTH OUTCOMES AND ACCESS TO CARE. BY IDENTIFYING NEEDS AND LINKING PATIENTS TO COMMUNITY RESOURCES, THE HOSPITAL SUPPORTS VULNERABLE POPULATIONS AND ADVANCES PROGRESS TOWARD CHNA PRIORITIES.ADDITIONALLY, THE COMMUNITY HEALTH WORKER (CHW) FRESH MOUNTAIN REGION PROGRAM PROVIDES NO-COST NAVIGATION, OUTREACH, AND SOCIAL SUPPORT SERVICES FOR UNINSURED, UNDERINSURED, AND HIGH-RISK INDIVIDUALS EXPERIENCING BARRIERS RELATED TO SOCIAL DETERMINANTS OF HEALTH. CHWS ASSIST WITH SDOH SCREENING, BENEFITS APPLICATIONS, CARE COORDINATION, AND CONNECTIONS TO HOUSING, FOOD, TRANSPORTATION, AND OTHER COMMUNITY-BASED RESOURCES. THESE ACTIVITIES SUPPORT CHNA PRIORITIES RELATED TO ACCESS TO CARE, HEALTH EQUITY, AND SOCIAL AND ECONOMIC NEEDS. DURING 2025, THE PROGRAM SCREENED OVER 3,690 PATIENTS, OUTREACHED TO OVER 2,700 INDIVIDUALS, AND ENROLLED 41 HOUSEHOLDS IN SNAP FOOD BENEFITS. BY SUPPORTING VULNERABLE POPULATIONS AND IMPROVING ACCESS TO ESSENTIAL SERVICES, THE PROGRAM HELPS REDUCE AVOIDABLE EMERGENCY CARE UTILIZATION AND STRENGTHENS COMMUNITY WELL-BEING.ACCESS TO CARE - HEALTH PROFESSIONSST. ELIZABETH HOSPITAL PROVIDES HEALTH PROFESSIONS EDUCATION PROGRAMS THAT SUPPORT REGIONAL WORKFORCE NEEDS IN NURSING, ALLIED HEALTH, DIAGNOSTIC SERVICES, AND REHABILITATION FIELDS. THE HOSPITAL OFFERS SUPERVISED CLINICAL TRAINING AND PRECEPTORSHIPS FOR STUDENTS IN NURSING, MEDICAL LABORATORY TECHNOLOGY, PHARMACY, PHLEBOTOMY, PHYSICAL THERAPY, RADIOLOGY TECHNOLOGY, AND STERILE PROCESSING. 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 $287,031 IN COSTS TO SUPPORT THESE PROGRAMS WITH NO OFFSETTING REVENUE, RESULTING IN A NET COMMUNITY BENEFIT OF $287,031. BY INVESTING IN HANDS-ON CLINICAL EDUCATION ACROSS MULTIPLE HEALTHCARE DISCIPLINES, THE HOSPITAL STRENGTHENS THE REGIONAL WORKFORCE PIPELINE AND EXPANDS ESSENTIAL TRAINING OPPORTUNITIES THAT WOULD NOT OCCUR WITHOUT HOSPITAL SUPPORT.ACCESS TO CARE - WORKFORCE DEVELOPMENTCSH LED THE WORK TO CREATE THE STATE'S QUALIFIED BEHAVIORAL HEALTH ASSISTANT COMPETENCIES THAT ALLOW EXISTING DIRECT CARE WORKERS IN THE BEHAVIORAL HEALTH FIELD THE OPPORTUNITY TO EARN COMMUNITY COLLEGE CREDITS AND A CERTIFICATE THROUGH DEMONSTRATION OF SKILLS AND KNOWLEDGE TESTING. THE ESTABLISHMENT OF A CSH BEHAVIORAL HEALTH WORKFORCE MODEL THAT INCLUDES EARN WHILE YOU LEARN PATHWAYS WAS INCORPORATED AS A DEMONSTRATED PATHWAY MODEL FOR FUTURE REGIONAL COLLABORATIVE WORK. SEH INVESTED IN BRINGING PSYCHIATRIC CONSULTATION SERVICES TO ITS PATIENTS THROUGH THE ONBOARDING OF THE IRIS TELEHEALTH PROGRAM. THESE PSYCHIATRIC MEDICATION MANAGEMENT AND CONSULTATION SERVICES PROVIDE THE ACCESS NEEDED TO SUPPORT COMPLEX BEHAVIORAL HEALTH AND BEHAVIORAL PATIENT NEEDS, IMPROVING PATIENT CARE AND OUTCOMES. ADDITIONALLY, SEH HAS A BHS POSITION THAT PROVIDES SUPPORT TO EMERGENCY DEPARTMENT AND CLINIC PATIENTS, PROVIDING ASSESSMENT, LINKAGES TO CARE, AND FOLLOW-UP SUPPORTIVE CONTACTS.CHILD CAREDURING FY25, ST. ELIZABETH HOSPITAL REPURPOSED APPROXIMATELY 6,169 SQUARE FEET OF HOSPITAL SPACE AND LEASED IT TO THE EVANS EARLY CHILDHOOD CENTER FOR A NOMINAL COST OF $1 PER MONTH. HOSPITAL SUPPORT EXTENDED BEYOND SPACE PROVISION, INCLUDING SIGNIFICANT TIME AND RESOURCES DEDICATED TO SPACE PREPARATION, INFRASTRUCTURE IMPROVEMENTS, SECURING REGULATORY AND LICENSING APPROVALS, AND ONGOING COORDINATION WITH CITY AND STATE AUTHORITIES TO ESTABLISH A LICENSED EARLY CHILDHOOD EDUCATION CENTER. THIS CRUCIAL INITIATIVE BECAME OPERATIONAL DURING FY25, SERVING 72 CHILDREN, WITH 44 PERCENT BEING CHILDREN OF HOSPITAL EMPLOYEES AND 56 PERCENT FROM THE BROADER COMMUNITY; SIGNIFICANTLY, APPROXIMATELY 29 PERCENT OF ENROLLED CHILDREN RECEIVED STATE CHILDCARE ASSISTANCE. IN TOTAL, THE HOSPITAL RECORDED APPROXIMATELY $262,806 IN COMMUNITY BENEFIT EXPENSE ASSOCIATED WITH SPACE PROVISION AND COMPREHENSIVE PROGRAM SUPPORT, REFLECTING A COLLABORATIVE EFFORT WITH EVANS EARLY CHILDHOOD CENTER AND LICENSING AUTHORITIES TO ADDRESS A CRITICAL COMMUNITY NEED.FOOD INSECURITY TO ADDRESS THE IDENTIFIED PRIORITY COMMUNITY NEED OF FOOD INSECURITY, AS OUTLINED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), ST. ELIZABETH HOSPITAL (SEH) EXPANDED ACCESS TO INNOVATIVE FOOD AS MEDICINE PROGRAMS. BUILDING ON A SUCCESSFUL PILOT INITIATIVE LED BY COMMONSPIRIT IN OCTOBER 2023, SEH WORKED WITH FOOD BANK OF THE ROCKIES TO BRING THEIR FOOD FOR HEALTH PROGRAM TO MORGAN COUNTY.THE FOOD FOR HEALTH PROGRAM IS A REFERRAL PROGRAM THAT PROVIDES MEDICALLY TAILORED GROCERIES TO SUPPORT PATIENTS' CHRONIC ILLNESS TREATMENT PLANS, DIRECTLY ADDRESSING SOCIAL DRIVERS OF HEALTH SUCH AS FOOD INSECURITY. OUR COMMONSPIRIT CAREGIVERS AT SEH MEET WITH QUALIFYING PATIENTS, PROVIDE NUTRITION EDUCATION OPPORTUNITIES, FACILITATE THE REFERRAL PROCESS, AND CONNECT THEM WITH RESOURCES TO SUPPORT THEIR OVERALL HEALTH. FOOD FOR HEALTH'S CORE MISSION, WHICH ALIGNS WITH SEH'S COMMITMENT TO COMMUNITY WELL-BEING, IS "TO BECOME A TRUSTED PARTNER OF HEALTHCARE ORGANIZATIONS, PURSUING THE SHARED GOALS OF ALLEVIATING FOOD INSECURITY AND SUPPORTING THE HEALTH OF INDIVIDUALS WITH CERTAIN CHRONIC DIAGNOSES. TO DOCUMENT PROGRESS TOWARD IMPROVED HEALTH OUTCOMES AND REDUCED MEDICAL COSTS FOR PROGRAM PARTICIPANTS OVER A 12-MONTH PERIOD. TO ASSIST IN CONNECTING PARTICIPANTS WITH LONG-TERM SUPPORT AFTER THEIR ENROLLMENT PERIOD CONCLUDES, INCLUDING WITH COMMUNITY HUNGER RELIEF PARTNERS AND ASSOCIATED SOCIAL SERVICES.PARTNERING WITH BOTH FOOD BANK OF THE ROCKIES AND THE LOCAL FOOD PANTRY, RISING UP, SEH SUCCESSFULLY ESTABLISHED THE FOUNDATION AND BROUGHT THESE VITAL RESOURCES INTO MORGAN COUNTY, MAKING THE PROGRAM AVAILABLE TO OUR COMMUNITY PATIENTS. THIS COLLABORATIVE EFFORT HAS BEEN INSTRUMENTAL. SINCE ITS LAUNCH IN MORGAN COUNTY AT THE BEGINNING OF 2025, SEH HAS ENROLLED 13 PATIENTS INTO THIS PROGRAM, WITH ONGOING ENROLLMENT CONTINUING TO ADDRESS THIS COMMUNITY NEED.COMMUNITY HEALTH IMPROVEMENT GRANTSFURTHER SUPPORTING COMMUNITY HEALTH EFFORTS, ST. ELIZABETH HOSPITAL PROVIDES 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 ST. ELIZABETH HOSPITAL CONTRIBUTED TO THE COMMUNITY HEALTH EQUITY AND ADVANCEMENT GRANT PROGRAM. SPECIFIC ORGANIZATIONS RECEIVING FUNDING FROM THE HOSPITAL TOTALING $21,500 INCLUDED UNITED WAY OF FORT MORGAN AND KIDS AT THEIR BEST PROVIDING DIRECT SUPPORT TO IMPROVE COMMUNITY HEALTH AND WELL-BEING. PART V, SECTION B, LINE 11-ALL GROUPS-CONTINUED HOLY CROSS HOSPITAL JORDAN VALLEYHOLY CROSS HOSPITAL JORDAN VALLEY, WAS ACQUIRED BY CHI COLORADO ON MAY 1, 2023. DUE TO THIS RECENT ACQUISITION, THE HOSPITAL COMPLETED ITS FIRST COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND ADOPTED IT IN JUNE 2025.HOLY CROSS HOSPITAL SALT LAKE, HOLY CROSS HOSPITAL JORDAN VALLEY, AND HOLY CROSS HOSPITAL WEST VALLEY AND COMMUNITY STAKEHOLDERS IDENTIFIED TWO SIGNIFICANT NEEDS IN THEIR COMMUNITY, WHICH THEY PRIORITIZED AND FOCUSED ON IN THEIR 2025 COMMUNITY HEALTH IMPLEMENTATION PLAN. THE PRIORITY NEEDS IDENTIFIED WERE: 1. MENTAL HEALTH AND 2. SOCIAL DETERMINANTS OF HEALTH.MENTAL HEALTH - SUICIDE PREVENTIONHOLY CROSS JORDAN VALLEY HOSPITAL HAS IMPLEMENTED A COMPREHENSIVE, SYSTEM-WIDE APPROACH TO ADDRESS THE COMMUNITY'S SUICIDE PREVENTION NEEDS. EFFORTS HAVE FOCUSED ON EARLY IDENTIFICATION OF SUICIDE RISK THROUGH THE USE OF THE C-SSRS SCREENING TOOL, IMPROVED ACCESS TO EVIDENCE-BASED CARE VIA THE CARING CONNECTIONS POST-DISCHARGE FOLLOW-UP PROGRAM AND COORDINATION WITH COMMUNITY RESOURCES, INCLUDING 988 SUICIDE AND CRISIS LIFELINE.TARGETED TRAINING FOR LEADERS AND EMPLOYEES WAS ALSO IMPLEMENTED TO INCREASE COMFORTABILITY AND CONFIDENCE IN PROVIDING SUICIDE CARE TO PATIENTS. DURING FY25, 87.2% OF PATIENTS WERE SCREENED FOR SUICIDE RISK AND AMONG THOSE WHO SCREENED POSITIVE, COMPLETION OF SAFETY ASSESSMENTS INCREASED BY 19% FOLLOWING QUALITY AUDITS. THE HOSPITAL ALSO LAUNCHED THE CARING CONNECTIONS PROGRAM, THROUGH WHICH A BEHAVIORAL HEALTH SPECIALIST CONTACTS PATIENTS IDENTIFIED AS HIGH RISK TO ENSURE ENGAGEMENT WITH RECOMMENDED RESOURCES. IN THE LATTER HALF OF FY25, CARE PACKAGES WERE DISTRIBUTED TO PATIENTS WITH SUICIDALITY, CONTAINING MEDICATION LOCK BAGS, GUN LOCKS, SELF-CARE ITEMS, 988 RESOURCE MATERIALS, AND CBT/DBT SKILL-BUILDING TOOLS TO FURTHER SUPPORT SAFETY AND RECOVERY AFTER DISCHARGE. IN FY25, HOLY CROSS JORDAN VALLEY HOSPITAL BEGAN NEW COLLABORATIONS WITH THE VETERANS ADMINISTRATION AND THE UTAH DEPARTMENT OF HEALTH AND HUMAN SERVICES TO STRENGTHEN ALIGNMENT BETWEEN HOSPITAL-BASED SUICIDE PREVENTION PRACTICES AND STATEWIDE INITIATIVES. THESE PARTNERSHIPS WILL CONTINUE TO IMPROVE CARE COORDINATION, SHARE DATA-INFORMED STRATEGIES, AND EXPANDS ACCESS TO EFFECTIVE, EVIDENCE-BASED INTERVENTIONS FOR INDIVIDUALS AT RISK FOR SUICIDE ACROSS THE COMMUNITY. SOCIAL DETERMINANTS OF HEALTH - EXPAND SCREENING AND CARE COORDINATIONHOLY CROSS HOSPITAL JORDAN VALLEY PROVIDES NO-COST SOCIAL DETERMINANTS OF HEALTH (SDOH) SCREENING TO IDENTIFY BARRIERS SUCH AS HOUSING INSTABILITY, FOOD INSECURITY, TRANSPORTATION CHALLENGES, FINANCIAL STRAIN, AND SAFETY CONCERNS. THESE EFFORTS SUPPORT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PRIORITIES RELATED TO IDENTIFYING SOCIAL NEEDS AND ENHANCING CARE COORDINATION.DURING FISCAL YEAR 2025, SDOH SCREENING EMERGED AS AN IDENTIFIED COMMUNITY NEED, AND AN SDOH COMMITTEE WAS ESTABLISHED TO IDENTIFY BARRIERS AND SERVICE GAPS AND TO INCREASE THE PERCENTAGE OF PATIENTS SCREENED. MEETINGS WERE HELD WITH VARIOUS CARE COORDINATION PLATFORM VENDORS TO EVALUATE FUNCTIONALITY AND WORKFLOWS AND TO WORK TOWARD SELECTING THE MOST APPROPRIATE PLATFORM FOR INTEGRATION INTO THE EPIC ELECTRONIC HEALTH RECORD.SCREENING ACROSS INPATIENT DEPARTMENTS HELPS IDENTIFY INDIVIDUALS WHOSE SOCIAL CIRCUMSTANCES MAY IMPACT HEALTH OUTCOMES AND ACCESS TO CONTINUED CARE. BY IDENTIFYING NEEDS AND LINKING PATIENTS TO APPROPRIATE COMMUNITY RESOURCES, THE HOSPITAL SUPPORTS VULNERABLE POPULATIONS AND ADVANCES PROGRESS TOWARD CHNA PRIORITIES RELATED TO SDOH SCREENING AND CARE COORDINATION.SOCIAL DETERMINANTS OF HEALTH - EXPAND COMMUNITY HEALTH WORKER MODELTHE COMMUNITY HEALTH WORKER (CHW) FRESH MOUNTAIN REGION PROGRAM PROVIDES NO-COST NAVIGATION, OUTREACH, AND SOCIAL SUPPORT SERVICES FOR UNINSURED, UNDERINSURED, AND HIGH-RISK INDIVIDUALS EXPERIENCING BARRIERS RELATED TO SOCIAL DETERMINANTS OF HEALTH. CHWS ASSIST WITH SDOH SCREENING, BENEFITS APPLICATIONS, CARE COORDINATION, AND CONNECTIONS TO HOUSING, FOOD, TRANSPORTATION, AND OTHER COMMUNITY-BASED RESOURCES. THESE ACTIVITIES SUPPORT CHNA PRIORITIES RELATED TO ACCESS TO CARE, HEALTH EQUITY, AND SOCIAL AND ECONOMIC NEEDS. DURING 2025, THE PROGRAM SCREENED OVER 3,690 PATIENTS, OUTREACHED TO OVER 2,700 INDIVIDUALS, AND ENROLLED 41 HOUSEHOLDS IN SNAP FOOD BENEFITS. BY SUPPORTING VULNERABLE POPULATIONS AND IMPROVING ACCESS TO ESSENTIAL SERVICES, THE PROGRAM HELPS REDUCE AVOIDABLE EMERGENCY CARE UTILIZATION AND STRENGTHENS COMMUNITY WELL-BEING.SOCIAL DETERMINANTS OF HEALTH - ACCESS TO CARE - FINANCIAL COUNSELINGAS PART OF ITS CHNA IMPLEMENTATION PLAN, THE 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.SOCIAL DETERMINANTS OF HEALTH - ACCESS TO CARE - HEALTH PROFESSIONSHOLY CROSS HOSPITAL JORDAN VALLEY PROVIDES HEALTH PROFESSIONS EDUCATION PROGRAMS THAT ADDRESS REGIONAL HEALTHCARE WORKFORCE NEEDS IN NURSING, EMERGENCY MEDICAL SERVICES, ALLIED HEALTH, DIAGNOSTIC SCIENCES, REHABILITATION THERAPIES, AND HIGH-SCHOOL HEALTHCARE CAREER DEVELOPMENT. THE HOSPITAL OFFERS SUPERVISED CLINICAL TRAINING, INTERNSHIPS, AND PRECEPTORSHIPS FOR STUDENTS IN NURSING, CERTIFIED NURSING ASSISTANT, DIETETICS AND NUTRITION, EMT AND PARAMEDICINE, MEDICAL LABORATORY TECHNOLOGY, PHARMACY AND PHARMACY TECHNICIAN PROGRAMS, PHYSICAL THERAPY, RADIOLOGIC TECHNOLOGY, RESPIRATORY THERAPY, AND SURGICAL TECHNOLOGY, AS WELL AS HEALTHCARE CAREER DISCERNMENT PROGRAMS FOR HIGH-SCHOOL STUDENTS.THESE EDUCATIONAL EXPERIENCES ARE PROVIDED AT NO COST TO STUDENTS OR ACADEMIC PARTNERS AND ARE SUPPORTED BY HOSPITAL-EMPLOYED CLINICIANS AND EDUCATORS WHO PROVIDE INSTRUCTION AND SUPERVISION. DURING THE TAX YEAR, THE HOSPITAL INCURRED $3,197,116 IN COSTS TO SUPPORT THESE PROGRAMS, WITH NO OFFSETTING REVENUE, RESULTING IN A NET COMMUNITY BENEFIT OF THE SAME AMOUNT. BY OFFERING HANDS-ON CLINICAL EDUCATION ACROSS MULTIPLE HEALTHCARE DISCIPLINES, HOLY CROSS HOSPITAL JORDAN VALLEY STRENGTHENS THE REGIONAL HEALTHCARE WORKFORCE PIPELINE AND EXPANDS ACCESS TO ESSENTIAL TRAINING OPPORTUNITIES THAT WOULD NOT OTHERWISE BE AVAILABLE IN THE COMMUNITY.COMMUNITY HEALTH IMPROVEMENT GRANTSFURTHER SUPPORTING COMMUNITY HEALTH EFFORTS, HOLY CROSS HOSPITAL JORDAN VALLEY PROVIDES COMMUNITY HEALTH IMPROVEMENT GRANTS TO LOCAL 501(C)(3) NONPROFIT ORGANIZATIONS. THESE GRANTS ADDRESS IDENTIFIED COMMUNITY HEALTH PRIORITIES AND ENHANCE SERVICES FOR VULNERABLE POPULATIONS.DURING THE REPORTING YEAR, HOLY CROSS HOSPITAL JORDAN VALLEY INVESTED IN THE COMMUNITY HEALTH EQUITY AND ADVANCEMENT GRANT PROGRAM. THE HOSPITAL'S DIRECT FUNDING TOTALED $25,000, WITH THE INN BETWEEN RECEIVING SUPPORT SPECIFICALLY TO IMPROVE COMMUNITY HEALTH AND WELL-BEING.HEALTH PRIORITIES NOT ADDRESSEDACCESS TO HEALTH SERVICES: COMMONSPIRIT HEALTH HOLY CROSS HOSPITALS SALT LAKE, JORDAN VALLEY, AND WEST VALLEY SUPPORT ACCESS TO CARE THROUGH TELEHEALTH, FINANCIAL ASSISTANCE, COMMUNITY PARTNERSHIPS, INTEGRATED CARE MODELS, AND WORKFORCE DEVELOPMENT. HOWEVER, THIS NEED WAS NOT SELECTED AS A FOCUS FOR THE IMPLEMENTATION STRATEGY DUE TO LIMITED RESOURCES AND THE PRIORITIZATION OF OTHER SIGNIFICANT COMMUNITY HEALTH NEEDS.PREVENTIVE HEALTH SERVICES AND HEALTH LITERACY: THE HOSPITALS SUPPORT PREVENTIVE CARE AND HEALTH LITERACY THROUGH COMMUNITY EDUCATION AND SCREENING ACTIVITIES. THIS NEED WAS NOT SELECTED AS A PRIMARY FOCUS FOR THE IMPLEMENTATION STRATEGY BECAUSE IT IS BEING ADDRESSED BY OTHER COMMUNITY ORGANIZATIONS AND OTHER NEEDS WERE IDENTIFIED AS HIGHER PRIORITIES. PART V, SECTION B, LINE 11-ALL GROUPS-CONTINUED HOLY CROSS HOSPITAL-SALT LAKEHOLY CROSS HOSPITAL SALT LAKE WAS ACQUIRED BY CHI COLORADO ON MAY 1, 2023. DUE TO THIS RECENT ACQUISITION, THE HOSPITAL COMPLETED ITS FIRST COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND ADOPTED IT IN JUNE 2025. HOLY CROSS HOSPITAL SALT LAKE, HOLY CROSS HOSPITAL JORDAN VALLEY, AND HOLY CROSS HOSPITAL WEST VALLEY AND COMMUNITY STAKEHOLDERS IDENTIFIED TWO SIGNIFICANT NEEDS IN THEIR COMMUNITY, WHICH THEY PRIORITIZED AND FOCUSED ON IN THEIR 2025 COMMUNITY HEALTH IMPLEMENTATION PLAN. THE PRIORITY NEEDS IDENTIFIED WERE: 1. MENTAL HEALTH AND 2. SOCIAL DETERMINANTS OF HEALTH.MENTAL HEALTH - SUICIDE PREVENTIONHOLY CROSS SALT LAKE HOSPITAL IMPLEMENTED A COMPREHENSIVE, SYSTEM-WIDE APPROACH TO ADDRESS COMMUNITY SUICIDE PREVENTION NEEDS IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). EFFORTS FOCUSED ON EARLY IDENTIFICATION OF SUICIDE RISK THROUGH THE USE OF THE COLUMBIA-SUICIDE SEVERITY RATING SCALE (C-SSRS), IMPROVING ACCESS TO EVIDENCE-BASED CARE THROUGH THE CARING CONNECTIONS POST-DISCHARGE FOLLOW-UP PROGRAM, AND ENHANCING COORDINATION WITH COMMUNITY RESOURCES, INCLUDING THE 988 SUICIDE AND CRISIS LIFELINE.TARGETED TRAINING FOR LEADERS AND EMPLOYEES WAS PROVIDED TO INCREASE COMFORT AND CONFIDENCE IN IDENTIFYING SUICIDE RISK AND SUPPORTING PATIENTS EXPERIENCING SUICIDAL IDEATION. DURING FISCAL YEAR 2025, 86 PERCENT OF PATIENTS WERE SCREENED FOR SUICIDE RISK. AMONG PATIENTS WHO SCREENED POSITIVE, COMPLETION OF SAFETY ASSESSMENTS INCREASED BY 26 PERCENT FOLLOWING QUALITY REVIEW AND IMPROVEMENT ACTIVITIES.THE HOSPITAL LAUNCHED THE CARING CONNECTIONS PROGRAM, THROUGH WHICH A BEHAVIORAL HEALTH SPECIALIST CONTACTS PATIENTS IDENTIFIED AS HIGH RISK AFTER DISCHARGE TO SUPPORT CONTINUED ENGAGEMENT WITH RECOMMENDED CARE AND COMMUNITY RESOURCES. IN THE LATTER HALF OF FY25, CARE PACKAGES WERE DISTRIBUTED TO PATIENTS EXPERIENCING SUICIDALITY AND INCLUDED MEDICATION LOCK BAGS, GUN LOCKS, SELF-CARE ITEMS, 988 RESOURCE MATERIALS, AND CBT/DBT SKILL-BUILDING TOOLS TO SUPPORT SAFETY AND RECOVERY FOLLOWING DISCHARGE.IN FY25, HOLY CROSS SALT LAKE HOSPITAL ESTABLISHED NEW COLLABORATIONS WITH THE VETERANS ADMINISTRATION AND THE UTAH DEPARTMENT OF HEALTH AND HUMAN SERVICES TO STRENGTHEN ALIGNMENT BETWEEN HOSPITAL-BASED SUICIDE PREVENTION EFFORTS AND STATEWIDE INITIATIVES. THESE PARTNERSHIPS SUPPORT CARE COORDINATION, DATA-INFORMED STRATEGIES, AND EXPAND ACCESS TO EFFECTIVE, EVIDENCE-BASED INTERVENTIONS FOR INDIVIDUALS AT RISK FOR SUICIDE ACROSS THE COMMUNITY.SOCIAL DETERMINANTS OF HEALTH - EXPAND SCREENING AND CARE COORDINATIONHOLY CROSS HOSPITAL SALT LAKE PROVIDES NO-COST SOCIAL DETERMINANTS OF HEALTH (SDOH) SCREENING TO IDENTIFY BARRIERS SUCH AS HOUSING INSTABILITY, FOOD INSECURITY, TRANSPORTATION CHALLENGES, FINANCIAL STRAIN, AND SAFETY CONCERNS. THESE EFFORTS SUPPORT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PRIORITIES RELATED TO IDENTIFYING SOCIAL NEEDS AND ENHANCING CARE COORDINATION.DURING FISCAL YEAR 2025, SDOH SCREENING EMERGED AS AN IDENTIFIED COMMUNITY NEED, AND AN SDOH COMMITTEE WAS ESTABLISHED TO IDENTIFY BARRIERS AND SERVICE GAPS AND TO INCREASE THE PERCENTAGE OF PATIENTS SCREENED. MEETINGS WERE HELD WITH VARIOUS CARE COORDINATION PLATFORM VENDORS TO EVALUATE FUNCTIONALITY AND WORKFLOWS AND TO WORK TOWARD SELECTING THE MOST APPROPRIATE PLATFORM FOR INTEGRATION INTO THE EPIC ELECTRONIC HEALTH RECORD.SCREENING ACROSS INPATIENT DEPARTMENTS HELPS IDENTIFY INDIVIDUALS WHOSE SOCIAL CIRCUMSTANCES MAY IMPACT HEALTH OUTCOMES AND ACCESS TO CONTINUED CARE. BY IDENTIFYING NEEDS AND LINKING PATIENTS TO APPROPRIATE COMMUNITY RESOURCES, THE HOSPITAL SUPPORTS VULNERABLE POPULATIONS AND ADVANCES PROGRESS TOWARD CHNA PRIORITIES RELATED TO SDOH SCREENING AND CARE COORDINATION.SOCIAL DETERMINANTS OF HEALTH - EXPAND COMMUNITY HEALTH WORKER MODELTHE COMMUNITY HEALTH WORKER (CHW) FRESH MOUNTAIN REGION PROGRAM PROVIDES NO-COST NAVIGATION, OUTREACH, AND SOCIAL SUPPORT SERVICES FOR UNINSURED, UNDERINSURED, AND HIGH-RISK INDIVIDUALS EXPERIENCING BARRIERS RELATED TO SOCIAL DETERMINANTS OF HEALTH. CHWS ASSIST WITH SDOH SCREENING, BENEFITS APPLICATIONS, CARE COORDINATION, AND CONNECTIONS TO HOUSING, FOOD, TRANSPORTATION, AND OTHER COMMUNITY-BASED RESOURCES. THESE ACTIVITIES SUPPORT CHNA PRIORITIES RELATED TO ACCESS TO CARE, HEALTH EQUITY, AND SOCIAL AND ECONOMIC NEEDS. DURING 2025, THE PROGRAM SCREENED OVER 3,690 PATIENTS, OUTREACHED TO OVER 2,700 INDIVIDUALS, AND ENROLLED 41 HOUSEHOLDS IN SNAP FOOD BENEFITS. BY SUPPORTING VULNERABLE POPULATIONS AND IMPROVING ACCESS TO ESSENTIAL SERVICES, THE PROGRAM HELPS REDUCE AVOIDABLE EMERGENCY CARE UTILIZATION AND STRENGTHENS COMMUNITY WELL-BEING.ACCESS TO CARE - FINANCIAL ASSISTANCE PROGRAMAS PART OF ITS CHNA IMPLEMENTATION PLAN, THE 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.ACCESS TO CARE - HEALTH PROFESSIONSHOLY CROSS HOSPITAL SALT LAKE PROVIDES HEALTH PROFESSIONS EDUCATION PROGRAMS THAT ADDRESS REGIONAL HEALTHCARE WORKFORCE NEEDS IN NURSING, EMERGENCY MEDICAL SERVICES, ALLIED HEALTH, DIAGNOSTIC SCIENCES, AND REHABILITATION THERAPIES. THE HOSPITAL OFFERS SUPERVISED CLINICAL TRAINING AND PRECEPTORSHIPS FOR STUDENTS IN NURSING, EMT AND PARAMEDICINE, MEDICAL LABORATORY TECHNOLOGY, NUTRITION AND DIETETICS, PHARMACY AND PHARMACY TECHNICIAN PROGRAMS, RADIOLOGIC TECHNOLOGY, RESPIRATORY THERAPY, PHYSICAL, SPEECH, AND OCCUPATIONAL THERAPY, AND SURGICAL TECHNOLOGY.THESE EDUCATIONAL EXPERIENCES ARE PROVIDED AT NO COST TO STUDENTS OR ACADEMIC PARTNERS AND ARE SUPPORTED BY HOSPITAL-EMPLOYED CLINICIANS AND EDUCATORS WHO PROVIDE INSTRUCTION AND SUPERVISION. DURING THE TAX YEAR, THE HOSPITAL INCURRED $973,516 IN COSTS TO SUPPORT THESE PROGRAMS, WITH NO OFFSETTING REVENUE, RESULTING IN A NET COMMUNITY BENEFIT OF THE SAME AMOUNT. BY SUPPORTING HANDS-ON CLINICAL EDUCATION ACROSS MULTIPLE HEALTHCARE DISCIPLINES, THE HOSPITAL STRENGTHENS THE REGIONAL HEALTHCARE WORKFORCE PIPELINE AND EXPANDS ESSENTIAL TRAINING OPPORTUNITIES THAT WOULD NOT OTHERWISE BE AVAILABLE WITHOUT HOSPITAL SUPPORT.SOCIAL DETERMINANTS OF HEALTH - ACCESS TO CARE - HEALTH PROFESSIONSHOLY CROSS HOSPITAL SALT LAKE PROVIDES HEALTH PROFESSIONS EDUCATION PROGRAMS THAT SUPPORT REGIONAL WORKFORCE NEEDS IN NURSING, EMERGENCY MEDICAL SERVICES, ALLIED HEALTH, DIAGNOSTIC SCIENCES, AND REHABILITATION THERAPIES. THE HOSPITAL OFFERS SUPERVISED CLINICAL TRAINING AND PRECEPTORSHIPS FOR STUDENTS IN NURSING, EMT/PARAMEDICINE, MEDICAL LABORATORY TECHNOLOGY, NUTRITION AND DIETETICS, PHARMACY AND PHARMACY TECHNICIAN PROGRAMS, RADIOLOGY TECHNOLOGY, RESPIRATORY, PHYSICAL, SPEECH, AND OCCUPATIONAL 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 $973,516 IN COSTS TO SUPPORT THESE PROGRAMS WITH NO OFFSETTING REVENUE, RESULTING IN A NET COMMUNITY BENEFIT OF $973,516. BY SUPPORTING HANDS-ON CLINICAL EDUCATION ACROSS MULTIPLE HEALTHCARE DISCIPLINES, THE HOSPITAL STRENGTHENS THE REGIONAL WORKFORCE PIPELINE AND EXPANDS ESSENTIAL TRAINING OPPORTUNITIES THAT WOULD NOT OCCUR WITHOUT HOSPITAL SUPPORT.COMMUNITY HEALTH IMPROVEMENT GRANTSFURTHER SUPPORTING COMMUNITY HEALTH EFFORTS, HOLY CROSS HOSPITAL SALT LAKE PROVIDES COMMUNITY HEALTH IMPROVEMENT GRANTS TO LOCAL 501(C)(3) NONPROFIT ORGANIZATIONS. THESE GRANTS ADDRESS IDENTIFIED COMMUNITY HEALTH PRIORITIES AND ENHANCE SERVICES FOR VULNERABLE POPULATIONS.DURING THE REPORTING YEAR, HOLY CROSS HOSPITAL SALT LAKE CONTRIBUTED TO THE COMMUNITY HEALTH EQUITY AND ADVANCEMENT GRANT PROGRAM. THE HOSPITAL'S DIRECT FUNDING TOTALED $100,000, WITH ORGANIZATIONS INCLUDING ASIAN ASSOCIATION OF UTAH AND THE INN BETWEEN RECEIVING THIS SUPPORT TO IMPROVE COMMUNITY HEALTH AND WELL-BEING. PART V, SECTION B, LINE 11-ALL GROUPS-CONTINUED HEALTH PRIORITIES NOT ADDRESSEDACCESS TO HEALTH SERVICES:COMMONSPIRIT HEALTH HOLY CROSS HOSPITALS SALT LAKE, JORDAN VALLEY, AND WEST VALLEY SUPPORT ACCESS TO CARE THROUGH TELEHEALTH, FINANCIAL ASSISTANCE, COMMUNITY PARTNERSHIPS, INTEGRATED CARE MODELS, AND WORKFORCE DEVELOPMENT. HOWEVER, THIS NEED WAS NOT SELECTED AS A FOCUS FOR THE IMPLEMENTATION STRATEGY DUE TO LIMITED RESOURCES AND THE PRIORITIZATION OF OTHER SIGNIFICANT COMMUNITY HEALTH NEEDS.PREVENTIVE HEALTH SERVICES AND HEALTH LITERACY:THE HOSPITALS SUPPORT PREVENTIVE CARE AND HEALTH LITERACY THROUGH COMMUNITY EDUCATION AND SCREENING ACTIVITIES. THIS NEED WAS NOT SELECTED AS A PRIMARY FOCUS FOR THE IMPLEMENTATION STRATEGY BECAUSE IT IS BEING ADDRESSED BY OTHER COMMUNITY ORGANIZATIONS AND OTHER NEEDS WERE IDENTIFIED AS HIGHER PRIORITIES.HOLY CROSS HOSPITAL WEST VALLEYHOLY CROSS HOSPITAL WEST VALLEY WAS ACQUIRED BY CHI COLORADO ON MAY 1, 2023. DUE TO THIS RECENT ACQUISITION, THE HOSPITAL COMPLETED ITS FIRST COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND ADOPTED IT IN JUNE 2025. HOLY CROSS HOSPITAL SALT LAKE, HOLY CROSS HOSPITAL JORDAN VALLEY, AND HOLY CROSS HOSPITAL WEST VALLEY AND COMMUNITY STAKEHOLDERS IDENTIFIED TWO SIGNIFICANT NEEDS IN THEIR COMMUNITY, WHICH THEY PRIORITIZED AND FOCUSED ON IN THEIR 2025 COMMUNITY HEALTH IMPLEMENTATION PLAN. THE PRIORITY NEEDS IDENTIFIED WERE: 1. MENTAL HEALTH AND 2. SOCIAL DETERMINANTS OF HEALTH.MENTAL HEALTH - SUICIDE PREVENTIONHOLY CROSS WEST VALLEY HOSPITAL IMPLEMENTED A COMPREHENSIVE, SYSTEM-WIDE APPROACH TO ADDRESS COMMUNITY SUICIDE PREVENTION NEEDS IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). EFFORTS FOCUSED ON EARLY IDENTIFICATION OF SUICIDE RISK THROUGH THE USE OF THE COLUMBIA-SUICIDE SEVERITY RATING SCALE (C-SSRS), IMPROVING ACCESS TO EVIDENCE-BASED CARE THROUGH THE CARING CONNECTIONS POST-DISCHARGE FOLLOW-UP PROGRAM, AND ENHANCING COORDINATION WITH COMMUNITY RESOURCES, INCLUDING THE 988 SUICIDE AND CRISIS LIFELINE.TARGETED TRAINING FOR LEADERS AND EMPLOYEES WAS PROVIDED TO INCREASE COMFORT AND CONFIDENCE IN IDENTIFYING SUICIDE RISK AND SUPPORTING PATIENTS EXPERIENCING SUICIDAL IDEATION. DURING FISCAL YEAR 2025, 84.2 PERCENT OF PATIENTS WERE SCREENED FOR SUICIDE RISK. AMONG PATIENTS WHO SCREENED POSITIVE, COMPLETION OF SAFETY ASSESSMENTS INCREASED BY 12 PERCENT FOLLOWING QUALITY REVIEW AND IMPROVEMENT ACTIVITIES.THE HOSPITAL LAUNCHED THE CARING CONNECTIONS PROGRAM, THROUGH WHICH A BEHAVIORAL HEALTH SPECIALIST CONTACTS PATIENTS IDENTIFIED AS HIGH RISK AFTER DISCHARGE TO SUPPORT CONTINUED ENGAGEMENT WITH RECOMMENDED CARE AND COMMUNITY RESOURCES. IN THE LATTER HALF OF FY25, CARE PACKAGES WERE DISTRIBUTED TO PATIENTS EXPERIENCING SUICIDALITY AND INCLUDED MEDICATION LOCK BAGS, GUN LOCKS, SELF-CARE ITEMS, 988 RESOURCE MATERIALS, AND CBT/DBT SKILL-BUILDING TOOLS TO SUPPORT SAFETY AND RECOVERY FOLLOWING DISCHARGE.IN FY25, HOLY CROSS WEST VALLEY HOSPITAL ALSO ESTABLISHED NEW COLLABORATIONS WITH THE VETERANS ADMINISTRATION AND THE UTAH DEPARTMENT OF HEALTH AND HUMAN SERVICES TO STRENGTHEN ALIGNMENT BETWEEN HOSPITAL-BASED SUICIDE PREVENTION EFFORTS AND STATEWIDE INITIATIVES. THESE PARTNERSHIPS SUPPORT CARE COORDINATION, DATA-INFORMED STRATEGIES, AND EXPANDED ACCESS TO EFFECTIVE, EVIDENCE-BASED INTERVENTIONS FOR INDIVIDUALS AT RISK FOR SUICIDE ACROSS THE COMMUNITY.SOCIAL DETERMINANTS OF HEALTH - EXPAND SCREENING AND CARE COORDINATIONHOLY CROSS HOSPITAL WEST VALLEY PROVIDES NO-COST SOCIAL DETERMINANTS OF HEALTH (SDOH) SCREENING TO IDENTIFY BARRIERS SUCH AS HOUSING INSTABILITY, FOOD INSECURITY, TRANSPORTATION CHALLENGES, FINANCIAL STRAIN, AND SAFETY CONCERNS. THESE EFFORTS SUPPORT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PRIORITIES RELATED TO IDENTIFYING SOCIAL NEEDS AND ENHANCING CARE COORDINATION.DURING FISCAL YEAR 2025, SDOH SCREENING EMERGED AS AN IDENTIFIED COMMUNITY NEED, AND AN SDOH COMMITTEE WAS ESTABLISHED TO IDENTIFY BARRIERS AND SERVICE GAPS AND TO INCREASE THE PERCENTAGE OF PATIENTS SCREENED. MEETINGS WERE HELD WITH VARIOUS CARE COORDINATION PLATFORM VENDORS TO EVALUATE FUNCTIONALITY AND WORKFLOWS AND TO WORK TOWARD SELECTING THE MOST APPROPRIATE PLATFORM FOR INTEGRATION INTO THE EPIC ELECTRONIC HEALTH RECORD.SCREENING ACROSS INPATIENT DEPARTMENTS HELPS IDENTIFY INDIVIDUALS WHOSE SOCIAL CIRCUMSTANCES MAY IMPACT HEALTH OUTCOMES AND ACCESS TO CONTINUED CARE. BY IDENTIFYING NEEDS AND LINKING PATIENTS TO APPROPRIATE COMMUNITY RESOURCES, THE HOSPITAL SUPPORTS VULNERABLE POPULATIONS AND ADVANCES PROGRESS TOWARD CHNA PRIORITIES RELATED TO SDOH SCREENING AND CARE COORDINATION.SOCIAL DETERMINANTS OF HEALTH - EXPAND COMMUNITY HEALTH WORKER MODELTHE COMMUNITY HEALTH WORKER (CHW) FRESH MOUNTAIN REGION PROGRAM PROVIDES NO-COST NAVIGATION, OUTREACH, AND SOCIAL SUPPORT SERVICES FOR UNINSURED, UNDERINSURED, AND HIGH-RISK INDIVIDUALS EXPERIENCING BARRIERS RELATED TO SOCIAL DETERMINANTS OF HEALTH. CHWS ASSIST WITH SDOH SCREENING, BENEFITS APPLICATIONS, CARE COORDINATION, AND CONNECTIONS TO HOUSING, FOOD, TRANSPORTATION, AND OTHER COMMUNITY-BASED RESOURCES. THESE ACTIVITIES SUPPORT CHNA PRIORITIES RELATED TO ACCESS TO CARE, HEALTH EQUITY, AND SOCIAL AND ECONOMIC NEEDS. DURING 2025, THE PROGRAM SCREENED OVER 3,690 PATIENTS, OUTREACHED TO OVER 2,700 INDIVIDUALS, AND ENROLLED 41 HOUSEHOLDS IN SNAP FOOD BENEFITS. BY SUPPORTING VULNERABLE POPULATIONS AND IMPROVING ACCESS TO ESSENTIAL SERVICES, THE PROGRAM HELPS REDUCE AVOIDABLE EMERGENCY CARE UTILIZATION AND STRENGTHENS COMMUNITY WELL-BEING.ACCESS TO CARE - FINANCIAL ASSISTANCE PROGRAMAS PART OF ITS CHNA IMPLEMENTATION PLAN, THE 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.ACCESS TO CARE - HEALTH PROFESSIONSHOLY CROSS HOSPITAL WEST VALLEY PROVIDES HEALTH PROFESSIONS EDUCATION PROGRAMS THAT ADDRESS REGIONAL WORKFORCE NEEDS IN NURSING, EMERGENCY MEDICAL SERVICES, ALLIED HEALTH, DIAGNOSTIC SCIENCES, AND REHABILITATION THERAPIES. THE HOSPITAL OFFERS SUPERVISED CLINICAL TRAINING AND PRECEPTORSHIPS FOR STUDENTS IN NURSING, EMT AND PARAMEDICINE, MEDICAL LABORATORY TECHNOLOGY, OCCUPATIONAL THERAPY, PHARMACY AND PHARMACY TECHNICIAN PROGRAMS, RADIOLOGIC TECHNOLOGY, SPEECH THERAPY, AND SURGICAL TECHNOLOGY.THESE EDUCATIONAL EXPERIENCES ARE PROVIDED AT NO COST TO STUDENTS OR ACADEMIC PARTNERS AND ARE SUPPORTED BY HOSPITAL-EMPLOYED CLINICIANS AND EDUCATORS WHO PROVIDE INSTRUCTION AND SUPERVISION. DURING THE TAX YEAR, THE HOSPITAL INCURRED $1,611,300 IN COSTS TO SUPPORT THESE PROGRAMS, WITH NO OFFSETTING REVENUE, RESULTING IN A NET COMMUNITY BENEFIT OF THE SAME AMOUNT.BY SUPPORTING HANDS-ON CLINICAL EDUCATION ACROSS MULTIPLE HEALTHCARE DISCIPLINES, THE HOSPITAL STRENGTHENS THE REGIONAL HEALTHCARE WORKFORCE PIPELINE AND EXPANDS ESSENTIAL TRAINING OPPORTUNITIES THAT WOULD NOT OTHERWISE BE AVAILABLE WITHOUT HOSPITAL SUPPORT.COMMUNITY HEALTH IMPROVEMENT GRANTSFURTHER SUPPORTING COMMUNITY HEALTH EFFORTS, HOLY CROSS HOSPITAL WEST VALLEY PROVIDES COMMUNITY HEALTH IMPROVEMENT GRANTS TO LOCAL 501(C)(3) NONPROFIT ORGANIZATIONS. THESE GRANTS ADDRESS IDENTIFIED COMMUNITY HEALTH PRIORITIES AND ENHANCE SERVICES FOR VULNERABLE POPULATIONS.DURING THE REPORTING YEAR, HOLY CROSS HOSPITAL WEST VALLEY CONTRIBUTED TO THE COMMUNITY HEALTH EQUITY AND ADVANCEMENT GRANT PROGRAM. THE HOSPITAL'S DIRECT FUNDING TOTALED $25,000, WITH MALIHEH FREE CLINIC RECEIVING THIS SUPPORT TO IMPROVE COMMUNITY HEALTH AND WELL-BEING.HEALTH PRIORITIES NOT ADDRESSEDACCESS TO HEALTH SERVICES:COMMONSPIRIT HEALTH HOLY CROSS HOSPITALS SALT LAKE, JORDAN VALLEY, AND WEST VALLEY SUPPORT ACCESS TO CARE THROUGH TELEHEALTH, FINANCIAL ASSISTANCE, COMMUNITY PARTNERSHIPS, INTEGRATED CARE MODELS, AND WORKFORCE DEVELOPMENT. HOWEVER, THIS NEED WAS NOT SELECTED AS A FOCUS FOR THE IMPLEMENTATION STRATEGY DUE TO LIMITED RESOURCES AND THE PRIORITIZATION OF OTHER SIGNIFICANT COMMUNITY HEALTH NEEDS.PREVENTIVE HEALTH SERVICES AND HEALTH LITERACY: THE HOSPITALS SUPPORT PREVENTIVE CARE AND HEALTH LITERACY THROUGH COMMUNITY EDUCATION AND SCREENING ACTIVITIES. THIS NEED WAS NOT SELECTED AS A PRIMARY FOCUS FOR THE IMPLEMENTATION STRATEGY BECAUSE IT IS BEING ADDRESSED BY OTHER COMMUNITY ORGANIZATIONS AND OTHER NEEDS WERE IDENTIFIED AS HIGHER PRIORITIES. PART V, SECTION B, LINE 11-ALL GROUPS-CONTINUED HOLY CROSS HOSPITAL-DAVISHOLY CROSS HOSPITAL DAVIS WAS ACQUIRED BY CHI COLORADO ON MAY 1, 2023. DUE TO THIS RECENT ACQUISITION, THE HOSPITAL COMPLETED ITS FIRST COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND ADOPTED IT IN JUNE 2025. HOLY CROSS DAVIS HOSPITAL AND COMMUNITY STAKEHOLDERS IDENTIFIED TWO SIGNIFICANT NEEDS IN THEIR COMMUNITY, WHICH THEY PRIORITIZED AND FOCUSED ON IN THEIR 2025 COMMUNITY HEALTH IMPLEMENTATION PLAN. THE PRIORITY NEEDS IDENTIFIED WERE: 1. MENTAL, EMOTIONAL AND SOCIAL WELL-BEING 2. ACCESS TO RESOURCES AND SERVICESMENTAL, EMOTIONAL AND SOCIAL WELL-BEING MENTAL HEALTH - SUICIDE PREVENTIONHOLY CROSS DAVIS HOSPITAL IMPLEMENTED A COMPREHENSIVE, SYSTEM-WIDE APPROACH TO ADDRESS COMMUNITY SUICIDE PREVENTION NEEDS IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). EFFORTS FOCUSED ON EARLY IDENTIFICATION OF SUICIDE RISK THROUGH THE USE OF THE COLUMBIA-SUICIDE SEVERITY RATING SCALE (C-SSRS), IMPROVING ACCESS TO EVIDENCE-BASED CARE THROUGH THE CARING CONNECTIONS POST-DISCHARGE FOLLOW-UP PROGRAM, AND ENHANCING COORDINATION WITH COMMUNITY RESOURCES, INCLUDING THE 988 SUICIDE AND CRISIS LIFELINE.MENTAL HEALTH - TRAINING COMPETENT AND CARING WORKFORCETARGETED TRAINING FOR LEADERS AND EMPLOYEES WAS PROVIDED TO INCREASE COMFORT AND CONFIDENCE IN IDENTIFYING SUICIDE RISK AND SUPPORTING PATIENTS EXPERIENCING SUICIDAL IDEATION. DURING FISCAL YEAR 2025, 87 PERCENT OF PATIENTS WERE SCREENED FOR SUICIDE RISK. AMONG PATIENTS WHO SCREENED POSITIVE, COMPLETION OF SAFETY ASSESSMENTS INCREASED BY 39 PERCENT FOLLOWING QUALITY REVIEW AND IMPROVEMENT ACTIVITIES.MENTAL HEALTH - SUPPORTING MENTAL, EMOTIONAL AND SOCIAL WELL-BEINGTHE HOSPITAL LAUNCHED THE CARING CONNECTIONS PROGRAM, THROUGH WHICH A BEHAVIORAL HEALTH SPECIALIST CONTACTS PATIENTS IDENTIFIED AS HIGH RISK AFTER DISCHARGE TO SUPPORT CONTINUED ENGAGEMENT WITH RECOMMENDED CARE AND COMMUNITY RESOURCES. IN THE LATTER HALF OF FY25, CARE PACKAGES WERE DISTRIBUTED TO PATIENTS EXPERIENCING SUICIDALITY AND INCLUDED MEDICATION LOCK BAGS, GUN LOCKS, SELF-CARE ITEMS, 988 RESOURCE MATERIALS, AND CBT/DBT SKILL-BUILDING TOOLS TO SUPPORT SAFETY AND RECOVERY FOLLOWING DISCHARGE.IN FY25, HOLY CROSS DAVIS HOSPITAL ESTABLISHED NEW COLLABORATIONS WITH THE VETERANS ADMINISTRATION AND THE UTAH DEPARTMENT OF HEALTH AND HUMAN SERVICES TO STRENGTHEN ALIGNMENT BETWEEN HOSPITAL-BASED SUICIDE PREVENTION EFFORTS AND STATEWIDE INITIATIVES. THESE PARTNERSHIPS SUPPORT CARE COORDINATION, DATA-INFORMED STRATEGIES, AND EXPAND ACCESS TO EFFECTIVE, EVIDENCE-BASED INTERVENTIONS FOR INDIVIDUALS AT RISK FOR SUICIDE ACROSS THE COMMUNITY.ACCESS TO RESOURCES AND SERVICESHOLY CROSS HOSPITAL DAVIS PROVIDES NO-COST SOCIAL DETERMINANTS OF HEALTH (SDOH) SCREENING TO IDENTIFY BARRIERS SUCH AS HOUSING INSTABILITY, FOOD INSECURITY, TRANSPORTATION CHALLENGES, FINANCIAL STRAIN, AND SAFETY CONCERNS. THESE EFFORTS SUPPORT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PRIORITIES RELATED TO IDENTIFYING SOCIAL NEEDS AND ENHANCING CARE COORDINATION.DURING FISCAL YEAR 2025, SDOH SCREENING EMERGED AS AN IDENTIFIED COMMUNITY NEED, AND AN SDOH COMMITTEE WAS ESTABLISHED TO IDENTIFY BARRIERS AND SERVICE GAPS AND TO INCREASE THE PERCENTAGE OF PATIENTS SCREENED. MEETINGS WERE HELD WITH VARIOUS CARE COORDINATION PLATFORM VENDORS TO EVALUATE FUNCTIONALITY AND WORKFLOWS AND TO WORK TOWARD SELECTING THE MOST APPROPRIATE PLATFORM FOR INTEGRATION INTO THE EPIC ELECTRONIC HEALTH RECORD.SCREENING ACROSS INPATIENT DEPARTMENTS HELPS IDENTIFY INDIVIDUALS WHOSE SOCIAL CIRCUMSTANCES MAY IMPACT HEALTH OUTCOMES AND ACCESS TO CONTINUED CARE. BY IDENTIFYING NEEDS AND LINKING PATIENTS TO APPROPRIATE COMMUNITY RESOURCES, THE HOSPITAL SUPPORTS VULNERABLE POPULATIONS AND ADVANCES PROGRESS TOWARD CHNA PRIORITIES RELATED TO SDOH SCREENING AND CARE COORDINATION.ADDITIONALLY, THE COMMUNITY HEALTH WORKER (CHW) FRESH MOUNTAIN REGION PROGRAM PROVIDES NO-COST NAVIGATION, OUTREACH, AND SOCIAL SUPPORT SERVICES FOR UNINSURED, UNDERINSURED, AND HIGH-RISK INDIVIDUALS EXPERIENCING BARRIERS RELATED TO SOCIAL DETERMINANTS OF HEALTH. CHWS ASSIST WITH SDOH SCREENING, BENEFITS APPLICATIONS, CARE COORDINATION, AND CONNECTIONS TO HOUSING, FOOD, TRANSPORTATION, AND OTHER COMMUNITY-BASED RESOURCES. THESE ACTIVITIES SUPPORT CHNA PRIORITIES RELATED TO ACCESS TO CARE, HEALTH EQUITY, AND SOCIAL AND ECONOMIC NEEDS. DURING 2025, THE PROGRAM SCREENED OVER 3,690 PATIENTS, OUTREACHED TO OVER 2,700 INDIVIDUALS, AND ENROLLED 41 HOUSEHOLDS IN SNAP FOOD BENEFITS. BY SUPPORTING VULNERABLE POPULATIONS AND IMPROVING ACCESS TO ESSENTIAL SERVICES, THE PROGRAM HELPS REDUCE AVOIDABLE EMERGENCY CARE UTILIZATION AND STRENGTHENS COMMUNITY WELL-BEING.ACCESS TO RESOURCES - FINANCIAL COUNSELINGAS PART OF ITS CHNA IMPLEMENTATION PLAN, THE 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.ACCESS TO RESOURCES - HEALTH PROFESSIONSHOLY CROSS HOSPITAL DAVIS PROVIDES HEALTH PROFESSIONS EDUCATION PROGRAMS THAT ADDRESS REGIONAL WORKFORCE NEEDS IN NURSING, EMERGENCY MEDICAL SERVICES, DIAGNOSTIC SCIENCES, REHABILITATION THERAPIES, AND ALLIED HEALTH FIELDS. THE HOSPITAL OFFERS SUPERVISED CLINICAL TRAINING, PRECEPTORSHIPS, AND REQUIRED PROVIDER CERTIFICATIONS FOR STUDENTS AND LEARNERS IN NURSING, EMT AND PARAMEDICINE, MEDICAL LABORATORY TECHNOLOGY, NUTRITION SERVICES, PHARMACY, PHLEBOTOMY, PHYSICAL THERAPY, RADIOLOGIC TECHNOLOGY, RESPIRATORY THERAPY, AND SURGICAL TECHNOLOGY.THESE PROGRAMS ARE PROVIDED AT NO COST TO STUDENTS OR ACADEMIC PARTNERS AND ARE SUPPORTED BY HOSPITAL-EMPLOYED CLINICIANS AND EDUCATORS WHO DELIVER INSTRUCTION AND SUPERVISION. DURING THE TAX YEAR, THE HOSPITAL INCURRED $1,140,000 IN COSTS TO SUPPORT THESE PROGRAMS AND RECEIVED $150 IN OFFSETTING REVENUE, RESULTING IN A NET COMMUNITY BENEFIT OF $1,139,850.BY OFFERING HANDS-ON CLINICAL EDUCATION ACROSS MULTIPLE HEALTHCARE DISCIPLINES, THE HOSPITAL STRENGTHENS THE REGIONAL HEALTHCARE WORKFORCE PIPELINE AND EXPANDS ESSENTIAL TRAINING OPPORTUNITIES THAT WOULD NOT OTHERWISE BE AVAILABLE WITHOUT HOSPITAL SUPPORT.COMMUNITY HEALTH IMPROVEMENT GRANTSFURTHER SUPPORTING COMMUNITY HEALTH EFFORTS, HOLY CROSS DAVIS HOSPITAL PROVIDES 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 HOSPITAL CONTRIBUTED TO THE COMMUNITY HEALTH EQUITY AND ADVANCEMENT GRANT PROGRAM. SPECIFIC ORGANIZATIONS RECEIVING FUNDING FROM THE HOSPITAL TOTALING $50,000 INCLUDED FAMILY PROMISE OF OGDEN, PROVIDING DIRECT SUPPORT TO IMPROVE COMMUNITY HEALTH AND WELL-BEING.HEALTH PRIORITIES NOT ADDRESSEDHOUSING WAS IDENTIFIED AS A COMMUNITY HEALTH PRIORITY; HOWEVER, THE HOSPITAL HAS CHOSEN NOT TO DIRECTLY ADDRESS THIS NEED AT THIS TIME DUE TO LIMITATIONS IN ORGANIZATIONAL CAPACITY AND SCOPE. HOUSING-RELATED NEEDS ARE CURRENTLY BEING ADDRESSED BY MULTIPLE COMMUNITY-BASED ORGANIZATIONS WITH PRIMARY EXPERTISE AND INFRASTRUCTURE IN THIS AREA, AND THE HOSPITAL CONTINUES TO COORDINATE AND REFER PATIENTS TO AVAILABLE COMMUNITY RESOURCES AS APPROPRIATE.HEALTH DISPARITIES WERE IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT; HOWEVER, THE HOSPITAL IS NOT DIRECTLY IMPLEMENTING PROGRAMS SPECIFICALLY TARGETING HEALTH DISPARITIES DURING THE CURRENT IMPLEMENTATION PERIOD. INSTEAD, THE HOSPITAL IS COLLABORATING WITH AND SUPPORTING COMMUNITY PARTNERS THAT ARE ACTIVELY ADDRESSING HEALTH DISPARITIES AMONG VULNERABLE AND UNDERSERVED POPULATIONS, CONSISTENT WITH THE HOSPITAL'S ROLE AND AVAILABLE RESOURCES.SOCIAL DETERMINANTS OF HEALTH (SDOH) WERE ALSO IDENTIFIED AS AN IMPORTANT COMMUNITY NEED. THE HOSPITAL HAS DETERMINED THAT IT IS NOT THE LEAD ORGANIZATION TO ADDRESS SDOH AT A SYSTEMIC LEVEL AND IS NOT PRIMARILY FOCUSING ITS RESOURCES ON THIS AREA AT THIS TIME. THESE NEEDS ARE BEING ADDRESSED BY ESTABLISHED COMMUNITY ORGANIZATIONS WITH SPECIALIZED CAPABILITIES. THE HOSPITAL CONTINUES TO PARTNER WITH AND SUPPORT COMMUNITY ORGANIZATIONS ENGAGED IN SDOH-RELATED INITIATIVES AND INTEGRATES REFERRALS AND COLLABORATION INTO PATIENT CARE WHEN APPROPRIATE. PART V, SECTION B, LINE 11-ALL GROUPS-CONTINUED ST. THOMAS MORE HOSPITALST. THOMAS MORE 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. MENTAL HEALTH 2. SUBSTANCE USE; AND 3. ACCESS TO CARE.MENTAL HEALTH - SUICIDE PREVENTIONST. THOMAS MORE HOSPITAL HAS IMPLEMENTED A COMPREHENSIVE, SYSTEM-WIDE APPROACH TO ADDRESS THE COMMUNITY'S SUICIDE PREVENTION NEEDS. INITIATIVES FOCUS ON EARLY IDENTIFICATION OF SUICIDE RISK THROUGH THE COLUMBIA-SUICIDE SEVERITY RATING SCALE (C-SSRS), IMPROVING ACCESS TO EVIDENCE-BASED CARE THROUGH UNIVERSAL SCREENING AND STREAMLINED REFERRAL PATHWAYS, AND ENHANCING CONTINUITY OF CARE VIA THE CARING CONNECTIONS POST-DISCHARGE FOLLOW-UP PROGRAM AND COORDINATION WITH COMMUNITY RESOURCES. TARGETED TRAINING FOR LEADERS AND STAFF HAS STRENGTHENED THE HOSPITAL'S CAPACITY TO DELIVER SAFE, EFFECTIVE SUICIDE CARE, WHILE DATA-INFORMED AUDITS IDENTIFY GAPS AND GUIDE CONTINUOUS IMPROVEMENT.DURING FY25, 85.8% OF PATIENTS WERE SCREENED FOR SUICIDE RISK, AND 62.9% OF HIGH-RISK PATIENTS HAD A DOCUMENTED SAFETY ASSESSMENT OR PLAN. ALL (100%) CARING CONNECTIONS FOLLOW-UP CONTACTS WERE ATTEMPTED WITHIN 72 HOURS POST-DISCHARGE, ENSURING TIMELY OUTREACH AND CONTINUITY OF CARE. IN ADDITION, 97% OF STAFF COMPLETED REQUIRED SUICIDE PREVENTION TRAINING, REFLECTING A STRONG ORGANIZATIONAL COMMITMENT TO BUILDING AND SUSTAINING A CAPABLE AND COMPASSIONATE WORKFORCE.ST. THOMAS MORE MEDICAL PARTICIPATED IN THE ZERO SUICIDE MONTHLY COLLABORATIVE MEETINGS HOSTED BY THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT (CDPHE), FOSTERING SHARED LEARNING AND INTEGRATION OF EMERGING BEST PRACTICES. THE HOSPITAL ALSO JOINED THE VA CONVENE COLLABORATION TO IDENTIFY AND ADDRESS CARE GAPS FOR VETERANS AND THEIR FAMILIES. ADDITIONALLY, THE HOSPITAL PROMOTED COMMUNITY EDUCATION AND RESOURCE AWARENESS THROUGH DISTRIBUTION OF 988 CRISIS RESOURCES, ENSURING PATIENTS, FAMILIES, AND STAFF HAVE IMMEDIATE ACCESS TO MENTAL HEALTH SUPPORT.MENTAL HEALTH STIGMA REDUCTIONTO ADDRESS THE COMMUNITY NEED FOR MENTAL HEALTH PROMOTION AND STIGMA REDUCTION IDENTIFIED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA).AS PART OF THIS EFFORT, THE HOSPITAL SUPPORTED UPDATES TO THE LET'S TALK COLORADO AND HABLEMOS COLORADO WEBSITES TO IMPROVE ACCESS TO CULTURALLY RELEVANT MENTAL HEALTH INFORMATION AND RESOURCES. USER ENGAGEMENT IS TRACKED AND ANALYZED TO INFORM CONTINUOUS IMPROVEMENT. FROM THE MAY 12, 2025 LAUNCH THROUGH JUNE 30, 2025, LET'S TALK COLORADO RECORDED 774 ACTIVE USERS, 2,297 PAGE VIEWS, AND AN AVERAGE ENGAGEMENT TIME OF 50 SECONDS, WHILE HABLEMOS COLORADO RECORDED 282 ACTIVE USERS, 822 PAGE VIEWS, AND AN AVERAGE ENGAGEMENT TIME OF 20 SECONDS. THESE DATA DEMONSTRATE INITIAL COMMUNITY INTEREST AND PROVIDE A BASELINE FOR FUTURE OUTREACH, PROGRAM REFINEMENT, AND RESOURCE UTILIZATION. TO ADDRESS THE COMMUNITY NEED FOR MENTAL HEALTH PROMOTION AND STIGMA REDUCTION IDENTIFIED IN THE CHNA, COMMONSPIRIT CONTINUED TO ADVANCE A PARTNERSHIP WITH THE COLORADO HEALTH INSTITUTE (CHI) AND LOCAL AND REGIONAL DIVERSITY-FOCUSED COMMUNITY ORGANIZATIONS TO IMPLEMENT AN AMBASSADOR PROGRAM. THIS INITIATIVE IS DESIGNED TO REDUCE STIGMA AND INCREASE AWARENESS OF, AND ACCESS TO, LOCALLY AVAILABLE, CULTURALLY RESPONSIVE MENTAL HEALTH CARE PROVIDERS AND COMMUNITY SUPPORT SERVICES, AS WELL AS OTHER INITIATIVES AIMED AT IMPROVING ACCESS TO CARE.AS TRUSTED CBOS, AMBASSADORS REACHED 209,455 INDIVIDUALS IN FY2025, EXCEEDING TARGET OUTREACH GOALS. THE PROGRAM INCREASED COMMUNITY AWARENESS, STRENGTHENED PARTNERSHIPS, AND ENHANCED CAPACITY TO ADDRESS MENTAL HEALTH NEEDS IN CULTURALLY MEANINGFUL WAYS. THE ORGANIZATIONS FUNDED BY CHI THAT SERVED THE ENTIRE STATE OF COLORADO INCLUDED THE COLORADO IMMIGRANT RIGHTS COALITION AND THE MIEL FOUNDATION. MENTAL HEALTH - INTEGRATED BEHAVIORAL HEALTHTHE HEALTHYSTEPS PROGRAM SUPPORTS THE HEALTH, WELL-BEING, AND SCHOOL READINESS OF BABIES AND TODDLERS, PARTICULARLY FOR FAMILIES IN LOW-INCOME COMMUNITIES. OUR HEALTHYSTEPS SPECIALISTS ATTEND WELL-CHILD CHECKS ALONGSIDE PRIMARY CARE PROVIDERS TO OFFER COMPREHENSIVE RESOURCES AND SUPPORT. THIS EVIDENCE-BASED, INTERDISCIPLINARY PROGRAM ADDRESSES COMMON AND COMPLEX CONCERNS, INCLUDING BEHAVIOR, SLEEP, FEEDING, ATTACHMENT, PARENTAL DEPRESSION, SOCIAL DETERMINANTS OF HEALTH, AND ADAPTING TO NEW PARENTHOOD, THEREBY AUGMENTING THE CAPACITY OF PRIMARY CARE PRACTICES.SUBSTANCE USETO 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 ED MOUD RATE OF INDUCTION WAS 94.12% WITH 16 OUT OF 17 ELIGIBLE PATIENTS BEING ADMINISTERED BUPRENORPHINE. THERE WERE 87 NARCAN KITS DISPENSED TO PATIENTS IDENTIFIED AS HIGH-RISK FOR OVERDOSE. 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.THERE WERE 196 PATIENTS ADMINISTERED THE VALIDATED SCREENING TOOL FOR SUBSTANCE MISUSE, AUDIT-C PLUS 2 (ALCOHOL USE DISORDER IDENTIFICATION TEST). OF THOSE SCREENED, 60 RECEIVED A BRIEF INTERVENTION WITH MOTIVATIONAL INTERVIEWING SKILLS TO SUPPORT MAKING 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.ACCESS TO CARE - SCREENING AND CARE COORDINATIONST. THOMAS MORE HOSPITAL PROVIDES NO-COST SOCIAL DETERMINANTS OF HEALTH (SDOH) SCREENING TO IDENTIFY BARRIERS SUCH AS HOUSING INSTABILITY, FOOD INSECURITY, TRANSPORTATION CHALLENGES, FINANCIAL STRAIN, AND SAFETY CONCERNS. THESE EFFORTS SUPPORT CHNA PRIORITIES RELATED TO IMPROVING ACCESS TO BEHAVIORAL HEALTH CARE, REDUCING SUBSTANCE USE RISKS, AND STRENGTHENING FOOD SECURITY. DURING THE FISCAL YEAR, 225 PATIENTS WERE SCREENED WITH A 96.57% SCREENING RATE, AND 38.67% HAD AT LEAST ONE IDENTIFIED NEED. COMMON NEEDS INCLUDED HOUSING INSTABILITY, FOOD INSECURITY, TRANSPORTATION ISSUES, AND UTILITY OR FINANCIAL STRESS. SCREENING ACROSS INPATIENT DEPARTMENTS HELPS IDENTIFY INDIVIDUALS WHOSE SOCIAL CIRCUMSTANCES MAY AFFECT HEALTH OUTCOMES AND ACCESS TO ONGOING CARE. BY IDENTIFYING NEEDS AND LINKING PATIENTS TO COMMUNITY RESOURCES, THE HOSPITAL SUPPORTS VULNERABLE POPULATIONS AND ADVANCES PROGRESS TOWARD CHNA PRIORITIES.ADDITIONALLY, THE COMMUNITY HEALTH WORKER (CHW) FRESH MOUNTAIN REGION PROGRAM PROVIDES NO-COST NAVIGATION, OUTREACH, AND SOCIAL SUPPORT SERVICES FOR UNINSURED, UNDERINSURED, AND HIGH-RISK INDIVIDUALS EXPERIENCING BARRIERS RELATED TO SOCIAL DETERMINANTS OF HEALTH. CHWS ASSIST WITH SDOH SCREENING, BENEFITS APPLICATIONS, CARE COORDINATION, AND CONNECTIONS TO HOUSING, FOOD, TRANSPORTATION, AND OTHER COMMUNITY-BASED RESOURCES. THESE ACTIVITIES SUPPORT CHNA PRIORITIES RELATED TO ACCESS TO CARE, HEALTH EQUITY, AND SOCIAL AND ECONOMIC NEEDS. DURING 2025, THE PROGRAM SCREENED OVER 3,690 PATIENTS, OUTREACHED TO OVER 2,700 INDIVIDUALS, AND ENROLLED 41 HOUSEHOLDS IN SNAP FOOD BENEFITS. BY SUPPORTING VULNERABLE POPULATIONS AND IMPROVING ACCESS TO ESSENTIAL SERVICES, THE PROGRAM HELPS REDUCE AVOIDABLE EMERGENCY CARE UTILIZATION AND STRENGTHENS COMMUNITY WELL-BEING. PART V, SECTION B, LINE 11-ALL GROUPS-CONTINUED ACCESS TO CARE - HEALTH PROFESSIONSST. THOMAS MORE HOSPITAL PROVIDES HEALTH PROFESSIONS EDUCATION PROGRAMS THAT SUPPORT REGIONAL WORKFORCE NEEDS IN NURSING, EMERGENCY RESPONSE, DIAGNOSTIC SCIENCES, REHABILITATION THERAPIES, AND ALLIED HEALTH FIELDS. THE HOSPITAL OFFERS SUPERVISED CLINICAL TRAINING AND PRECEPTORSHIPS FOR STUDENTS IN NURSING, MEDICAL LABORATORY TECHNOLOGY, PHARMACY, 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 WHO DELIVER INSTRUCTION AND SUPERVISION. DURING THE TAX YEAR, THE HOSPITAL INCURRED APPROXIMATELY $522,518 IN COSTS TO SUPPORT THESE PROGRAMS WITH NO OFFSETTING REVENUE, RESULTING IN A NET COMMUNITY BENEFIT OF $522,518. BY INVESTING IN HANDS-ON CLINICAL EDUCATION ACROSS MULTIPLE HEALTHCARE DISCIPLINES, THE HOSPITAL STRENGTHENS THE REGIONAL WORKFORCE PIPELINE AND EXPANDS ESSENTIAL TRAINING OPPORTUNITIES THAT WOULD NOT OCCUR WITHOUT HOSPITAL SUPPORT.ACCESS TO CARE - WORKFORCE DEVELOPMENTCOMMONSPIRIT HEALTH AND ST THOMAS MORE (STM) ADVANCED SEVERAL KEY PARTNERSHIPS WITH REGIONAL EDUCATION PARTNERS INCLUDING CANYON CITY PUBLIC SCHOOL DISTRICT, PUEBLO COMMUNITY COLLEGE, AND THE COLORADO COMMUNITY COLLEGE SYSTEM. CSH LED THE WORK TO CREATE THE STATE'S QUALIFIED BEHAVIORAL HEALTH ASSISTANT COMPETENCIES THAT ALLOW EXISTING DIRECT CARE WORKERS IN THE BEHAVIORAL HEALTH FIELD THE OPPORTUNITY TO EARN COMMUNITY COLLEGE CREDITS AND A CERTIFICATE THROUGH DEMONSTRATION OF SKILLS AND KNOWLEDGE TESTING. THE ESTABLISHMENT OF A CSH BH WORKFORCE MODEL THAT INCLUDES "EARN WHILE YOU LEARN" PATHWAYS WAS INCORPORATED AS A DEMONSTRATED PATHWAY MODEL FOR REGIONAL COLLABORATIVE WORK WITH THE FREMONT ECONOMIC DEVELOPMENT COUNCIL, LOCAL BH PROVIDERS, THE LOCAL COMMUNITY MENTAL HEALTH CENTER, STATE AGENCY PARTNERS, AND THE SOUTHERN COLORADO HEALTH SECTOR PARTNERSHIP BH WORKFORCE LIAISON. THIS COLLABORATION IS DEDICATED TO ADVANCING IMPROVEMENTS IN COMMUNITY CONNECTIONS AND PROMOTING EQUITABLE BH PROFESSIONAL PATHWAYS THROUGHOUT THE REGION'S COMMUNITIES TO REALIZE IMPROVEMENTS IN THE BH CARE AND TREATMENT OF INDIVIDUALS IN OUR COMMUNITIES. ADDITIONALLY, ONE OF STM'S BEHAVIORAL HEALTH SPECIALISTS (BHS) PARTICIPATED IN THE DEVELOPMENT OF CAREER PATHWAY VIDEOS TO SUPPORT BH CAREER PATHWAY AWARENESS ACROSS COLORADO. STM ADVANCED SIGNIFICANT IMPROVEMENTS IN CAREER OUTCOMES WITH ITS BHS POSITIONS WHO, ALONGSIDE THE CRISIS ASSESSMENT SPECIALIST, AND WITH THE INVESTMENT IN THE ONBOARDING OF IRIS TELEHEALTH'S PSYCHIATRIC CONSULTATION LIAISON SERVICE PROGRAM, HELPED ASSESS, TREAT, LINK, AND ENHANCE THE CARE AND OUTCOMES OF STM'S PATIENTS WITH SUBSTANCE USE DISORDER, COMPLEX PSYCHIATRIC CONDITIONS, NEUROCOMPLEX CONDITIONS, AND BEHAVIORAL PATIENTS. STM ALSO CREATED ACCESS TO CARE IMPROVEMENTS WITH ITS INVESTMENTS IN ITS INTEGRATED BEHAVIORAL HEALTH AMBULATORY PROGRAM, WHICH PROVIDED KEY COUNSELING AND BHS CARE COORDINATION SUPPORT ACCESS TO ITS PRIMARY CARE AND FAMILY SITE CLINIC PATIENTS.COMMUNITY HEALTH IMPROVEMENT GRANTSFURTHER SUPPORTING COMMUNITY HEALTH EFFORTS, ST. THOMAS MORE HOSPITAL PROVIDES 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, ST. THOMAS MORE HOSPITAL CONTRIBUTED TO THE COMMUNITY HEALTH EQUITY AND ADVANCEMENT GRANT PROGRAM. SPECIFIC ORGANIZATIONS RECEIVING FUNDING FROM THE HOSPITAL TOTALING $45,000 INCLUDED SERENITY RECOVERY CONNECTION, PROVIDING DIRECT SUPPORT TO IMPROVE COMMUNITY HEALTH AND WELL-BEING.IDENTIFIED HEALTH NEEDS NOT PRIORITIZEDTHE COMPREHENSIVE CHNA UNDERSCORES THE DIVERSE HEALTH CHALLENGES FACING OUR COMMUNITY, INCLUDING DIABETES, TOBACCO USE, DISABLING CONDITIONS,CANCER, NUTRITION, PHYSICAL ACTIVITY AND WEIGHT. AS PART OF ITS CHNA IMPLEMENTATION STRATEGY, ST. THOMAS MORE HOSPITAL HAS MADE A STRATEGIC DECISION TO FOCUS ITS LIMITED CAPACITY AND RESOURCES ON MENTAL HEALTH, SUBSTANCE USE, AND ACCESS TO CARE. THIS APPROACH ALLOWS THE HOSPITAL TO DELIVER SUSTAINABLE INTERVENTIONS WHERE ITS EXPERTISE AND OPERATIONAL BANDWIDTH ARE BEST ALIGNED, RATHER THAN DILUTING EFFORTS ACROSS ALL IDENTIFIED HEALTH NEEDS. ST. THOMAS MORE HOSPITAL REMAINS COMMITTED TO SUPPORTING COLLABORATIVE COMMUNITY-WIDE EFFORTS TO ADDRESS THE BROADER RANGE OF HEALTH PRIORITIES. PART V, SECTION B, LINE 11-ALL GROUPS-CONTINUED HOLY CROSS HOSPITAL-MOUNTAIN POINTHOLY CROSS HOSPITAL MOUNTAIN POINT WAS ACQUIRED BY CHI COLORADO ON MAY 1, 2023. DUE TO THIS RECENT ACQUISITION, THE HOSPITAL COMPLETED ITS FIRST COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND ADOPTED IT IN JUNE 2025. HOLY CROSS MOUNTAIN POINT AND COMMUNITY STAKEHOLDERS IDENTIFIED TWO SIGNIFICANT NEEDS IN THEIR COMMUNITY, WHICH THEY PRIORITIZED AND FOCUSED ON IN THEIR 2025 COMMUNITY HEALTH IMPLEMENTATION PLAN. THE PRIORITY NEEDS IDENTIFIED WERE: 1. MENTAL HEALTH AND 2. ACCESS TO CARE.MENTAL HEALTH - SUICIDE PREVENTIONHOLY CROSS MOUNTAIN POINT HOSPITAL HAS IMPLEMENTED A COMPREHENSIVE, SYSTEM-WIDE APPROACH TO ADDRESS COMMUNITY SUICIDE PREVENTION NEEDS IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). EFFORTS HAVE FOCUSED ON EARLY IDENTIFICATION OF SUICIDE RISK USING THE COLUMBIA-SUICIDE SEVERITY RATING SCALE (C-SSRS), IMPROVED ACCESS TO EVIDENCE-BASED CARE THROUGH THE CARING CONNECTIONS POST-DISCHARGE FOLLOW-UP PROGRAM, AND COORDINATION WITH COMMUNITY RESOURCES, INCLUDING THE 988 SUICIDE AND CRISIS LIFELINE.TARGETED TRAINING FOR LEADERS AND EMPLOYEES WAS IMPLEMENTED TO INCREASE COMFORT AND CONFIDENCE IN PROVIDING SUICIDE CARE TO PATIENTS. DURING FY25, 94 PERCENT OF PATIENTS WERE SCREENED FOR SUICIDE RISK, AND AMONG THOSE WHO SCREENED POSITIVE, COMPLETION OF SAFETY ASSESSMENTS INCREASED BY 28 PERCENT FOLLOWING QUALITY REVIEW AND IMPROVEMENT ACTIVITIES.THE HOSPITAL LAUNCHED THE CARING CONNECTIONS PROGRAM, THROUGH WHICH A BEHAVIORAL HEALTH SPECIALIST CONTACTS PATIENTS IDENTIFIED AS HIGH RISK TO SUPPORT ENGAGEMENT WITH RECOMMENDED RESOURCES. IN THE LATTER HALF OF FY25, CARE PACKAGES WERE DISTRIBUTED TO PATIENTS EXPERIENCING SUICIDALITY, INCLUDING MEDICATION LOCK BAGS, GUN LOCKS, SELF-CARE ITEMS, 988 RESOURCE MATERIALS, AND CBT/DBT SKILL-BUILDING TOOLS TO SUPPORT SAFETY AND RECOVERY AFTER DISCHARGE.IN FY25, HOLY CROSS MOUNTAIN POINT HOSPITAL ESTABLISHED NEW COLLABORATIONS WITH THE VETERANS ADMINISTRATION AND THE UTAH DEPARTMENT OF HEALTH AND HUMAN SERVICES TO STRENGTHEN ALIGNMENT BETWEEN HOSPITAL-BASED SUICIDE PREVENTION PRACTICES AND STATEWIDE INITIATIVES. THESE PARTNERSHIPS SUPPORT CARE COORDINATION, DATA-INFORMED STRATEGIES, AND EXPAND ACCESS TO EFFECTIVE, EVIDENCE-BASED INTERVENTIONS FOR INDIVIDUALS AT RISK FOR SUICIDE ACROSS THE COMMUNITY.ACCESS TO CARE - SOCIAL DETERMINANTS OF HEALTH SCREENING AND CARE COORDINATIONHOLY CROSS MOUNTAIN POINT PROVIDES NO-COST SOCIAL DETERMINANTS OF HEALTH (SDOH) SCREENING TO IDENTIFY BARRIERS SUCH AS HOUSING INSTABILITY, FOOD INSECURITY, TRANSPORTATION CHALLENGES, FINANCIAL STRAIN, AND SAFETY CONCERNS. THESE EFFORTS SUPPORT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PRIORITIES RELATED TO IDENTIFYING SOCIAL NEEDS AND ENHANCING CARE COORDINATION.DURING FISCAL YEAR 2025, SDOH SCREENING EMERGED AS AN IDENTIFIED COMMUNITY NEED, AND AN SDOH COMMITTEE WAS ESTABLISHED TO IDENTIFY BARRIERS AND SERVICE GAPS AND TO INCREASE THE PERCENTAGE OF PATIENTS SCREENED. MEETINGS WERE HELD WITH VARIOUS CARE COORDINATION PLATFORM VENDORS TO EVALUATE FUNCTIONALITY AND WORKFLOWS AND TO WORK TOWARD SELECTING THE MOST APPROPRIATE PLATFORM FOR INTEGRATION INTO THE EPIC ELECTRONIC HEALTH RECORD.SCREENING ACROSS INPATIENT DEPARTMENTS HELPS IDENTIFY INDIVIDUALS WHOSE SOCIAL CIRCUMSTANCES MAY IMPACT HEALTH OUTCOMES AND ACCESS TO CONTINUED CARE. BY IDENTIFYING NEEDS AND LINKING PATIENTS TO APPROPRIATE COMMUNITY RESOURCES, THE HOSPITAL SUPPORTS VULNERABLE POPULATIONS AND ADVANCES PROGRESS TOWARD CHNA PRIORITIES RELATED TO SDOH SCREENING AND CARE COORDINATION.ACCESS TO CARE - EXPAND COMMUNITY HEALTH WORKER MODELTHE COMMUNITY HEALTH WORKER (CHW) FRESH MOUNTAIN REGION PROGRAM PROVIDES NO-COST NAVIGATION, OUTREACH, AND SOCIAL SUPPORT SERVICES FOR UNINSURED, UNDERINSURED, AND HIGH-RISK INDIVIDUALS EXPERIENCING BARRIERS RELATED TO SOCIAL DETERMINANTS OF HEALTH. CHWS ASSIST WITH SDOH SCREENING, BENEFITS APPLICATIONS, CARE COORDINATION, AND CONNECTIONS TO HOUSING, FOOD, TRANSPORTATION, AND OTHER COMMUNITY-BASED RESOURCES. THESE ACTIVITIES SUPPORT CHNA PRIORITIES RELATED TO ACCESS TO CARE, HEALTH EQUITY, AND SOCIAL AND ECONOMIC NEEDS. DURING 2025, THE PROGRAM SCREENED OVER 3,690 PATIENTS, OUTREACHED TO OVER 2,700 INDIVIDUALS, AND ENROLLED 41 HOUSEHOLDS IN SNAP FOOD BENEFITS. BY SUPPORTING VULNERABLE POPULATIONS AND IMPROVING ACCESS TO ESSENTIAL SERVICES, THE PROGRAM HELPS REDUCE AVOIDABLE EMERGENCY CARE UTILIZATION AND STRENGTHENS COMMUNITY WELL-BEING.ACCESS TO CARE - FINANCIAL ASSISTANCE PROGRAMAS PART OF ITS CHNA IMPLEMENTATION PLAN, THE 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.ACCESS TO CARE - HEALTH PROFESSIONSHOLY CROSS HOSPITAL MOUNTAIN POINT PROVIDES HEALTH PROFESSIONS EDUCATION PROGRAMS THAT SUPPORT REGIONAL WORKFORCE NEEDS IN NURSING, EMERGENCY MEDICAL SERVICES, DIAGNOSTIC SCIENCES, ALLIED HEALTH, AND SURGICAL AND REHABILITATION SERVICES. THE HOSPITAL OFFERS SUPERVISED CLINICAL TRAINING AND PRECEPTORSHIPS FOR STUDENTS IN NURSING, EMT AND PARAMEDICINE, PHARMACY AND PHARMACY TECHNICIAN PROGRAMS, RADIOLOGY TECHNOLOGY, RESPIRATORY THERAPY, STERILE PROCESSING, AND SURGICAL TECHNOLOGY, ALONG WITH ADDITIONAL REQUIRED TRAINING AND CERTIFICATIONS FOR NURSES, TECHNICIANS, AND THERAPISTS.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 $1,202,351 IN COSTS TO SUPPORT THESE PROGRAMS WITH NO OFFSETTING REVENUE, RESULTING IN A NET COMMUNITY BENEFIT OF $1,202,351.BY OFFERING HANDS-ON CLINICAL EDUCATION ACROSS MULTIPLE HEALTHCARE DISCIPLINES, THE HOSPITAL STRENGTHENS THE REGIONAL WORKFORCE PIPELINE AND EXPANDS ESSENTIAL TRAINING OPPORTUNITIES THAT WOULD NOT OTHERWISE BE AVAILABLE WITHOUT HOSPITAL SUPPORT.COMMUNITY HEALTH IMPROVEMENT GRANTSFURTHER SUPPORTING COMMUNITY HEALTH EFFORTS, HOLY CROSS MOUNTAIN POINT HOSPITAL PROVIDES COMMUNITY HEALTH IMPROVEMENT GRANTS TO LOCAL 501(C)(3) NONPROFIT ORGANIZATIONS. THESE GRANTS ADDRESS IDENTIFIED COMMUNITY HEALTH PRIORITIES AND ENHANCE SERVICES FOR VULNERABLE POPULATIONS.DURING THE REPORTING YEAR, HOLY CROSS MOUNTAIN POINT HOSPITAL CONTRIBUTED TO THE COMMUNITY HEALTH EQUITY AND ADVANCEMENT GRANT PROGRAM. THE HOSPITAL'S DIRECT FUNDING TOTALED $33,000, WITH NAVAJO STRONG RECEIVING THIS SUPPORT TO IMPROVE COMMUNITY HEALTH AND WELL-BEING.HEALTH PRIORITIES NOT ADDRESSEDHOLY CROSS HOSPITAL MOUNTAIN POINT ACKNOWLEDGES THE SIGNIFICANCE OF AIR QUALITY, CHRONIC CONDITIONS, AND SOCIAL DETERMINANTS OF HEALTH AS IDENTIFIED COMMUNITY HEALTH NEEDS. HOWEVER, THESE AREAS WERE NOT SELECTED AS FOCAL POINTS FOR THIS IMPLEMENTATION STRATEGY FOR THE FOLLOWING REASONS: AIR QUALITY WAS NOT SELECTED DUE TO THE HOSPITAL'S RELATIVE LACK OF SPECIFIC EXPERTISE TO EFFECTIVELY ADDRESS THIS ENVIRONMENTAL NEED, WHICH IS CURRENTLY BEING ADDRESSED BY OTHER COMMUNITY ORGANIZATIONS AND GOVERNMENT AGENCIES. CHRONIC CONDITIONS AND SOCIAL DETERMINANTS OF HEALTH, WHILE ADDRESSED BY THE HOSPITAL THROUGH ONGOING EDUCATIONAL PROGRAMS, OUTREACH, SCREENING, CARE COORDINATION, AND RESOURCE NAVIGATION, WERE NOT CHOSEN AS KEY PRIORITIES FOR THIS STRATEGY DUE TO LIMITED HOSPITAL RESOURCES AND THE IDENTIFICATION OF OTHER SIGNIFICANT COMMUNITY HEALTH NEEDS THAT WERE RANKED AS HIGHER PRIORITIES IN THE ASSESSMENT PROCESS. PART V, SECTION B, LINES 16A-16C 16A-FAP AVAILABLE WEBSITEHTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/PATIENT-TOOLS/BILLING-AND-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE-HOSPITAL-DISCOUNTED-CARE16B-FAP APPLICATION FORM WEBSITEHTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/PATIENT-TOOLS/BILLING-AND-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE-HOSPITAL-DISCOUNTED-CARE16C-PLAIN LANGUAGE FAP SUMMARY WEBSITEHTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/PATIENT-TOOLS/BILLING-AND-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE-HOSPITAL-DISCOUNTED-CARE 189 1 - ACADEMY WOMENS HEALTHCARE ASSOCIATES 17230 JACKSON CREEK PKWY STE 300 MONUMENT CO 801327306 PHYSICIANS 2 - CHPG ARVADA SPORTS AND FAMILY MEDICINE 16280 W 64TH AVE ARVADA CO 800077413 PHYSICIAN CLINIC 3 - ASPEN RIDGE ENT - LAKEWOOD 11700 W 2ND PL STE 435 LAKEWOOD CO 802281732 OUTPATIENT CLINIC 4 - ASPEN RIDGE ENT - SUMMIT 360 PEAK ONE DR STE 300 FRISCO CO 804435948 OUTPATIENT CLINIC 5 - ASPEN RIDGE ENT - EVERGREEN 28000 MEADOW DR STE 210 EVERGREEN CO 804392116 OUTPATIENT CLINIC 6 - SOUTHERN COLORADO BREAST CARE SPECIALIST 6031 E WOODMEN RD STE 250BC COLORADO SPRINGS CO 809232623 PHYSICIAN OFFICE 7 - CENTURA HEALTH URGENT CARE BROADMOOR 1263 LAKE PLAZA DR STE 120 COLORADO SPRINGS CO 809063510 URGENT CARE 8 - CHPG BELMAR PRIMARY CARE 7551 W ALAMEDA AVE LAKEWOOD CO 802263205 PRIMARY CARE 9 - CHPG PRIMARY CARE BROADMOOR 1263 LAKE PLAZA DR STE 230 COLORADO SPRINGS CO 809063512 PRIMARY CARE 10 - CENTURA BARIATRIC SURGERY WESTMINSTER 500 W 144TH AVE STE 130 WESTMINSTER CO 800239326 GENERAL SURGERY 11 - CENTURA BREAST IMAGING 11700 W 2ND PL STE 100 MOP 2 LAKEWOOD CO 802281707 IMAGING MEDICAL FACILITY 12 - CCOM FRISCO 68 SCHOOL RD STE 200 FRISCO CO 804430000 OCCUPATIONAL MEDICINE 13 - CENTURA SUMMIT ORTHOPEDICS 68 SCHOOL RD STE 100 FRISCO CO 804430000 ORTHOPEDICS 14 - CENTURA SUMMIT ORTHOPEDICS (DME) 68 SCHOOL RD STE 100 FRISCO CO 804430000 ORTHOPEDICS 15 - CENTURA SUMMIT PHYSICAL THERAPY 68 SCHOOL RD STE 150 FRISCO CO 804430000 PHYSICAL THERAPY 16 - CENTURA URGENT CARE FORT MORGAN 1000 LINCOLN ST STE 101 FORT MORGAN CO 807013290 URGENT CARE 17 - CHPG THORNTON PRIMARY CARE - DENTAL 4075 E 128TH AVE THORNTON CO 802412201 PRIMARY CARE- DENTAL 18 - COMMONSPIRIT STRUCTURAL HEART PENROSE 2222 N NEVADA AVE STE 4001 COLORADO SPRINGS CO 809076863 MEDICAL FACILITY 19 - COMMONSPIRIT ENT LOWRY 8101 LOWRY BLVD STE 210 DENVER CO 802307195 OUTPATIENT CLINIC 20 - COMMONSPIRIT MEDICAL GROUP PRIMARY CARE 11960 LIONESS WAY STE 190 PARKER CO 801345640 PRIMARY CARE 21 - COLORADO SPRINGS CARDIOLOGY - N NEVADA 2222 N NEVADA AVE STE 4007 COLORADO SPRINGS CO 809076863 CARDIOLOGY PRACTICE 22 - CENTURA PHYSICAL THERAPY AT TRI-LAKES 17230 JACKSON CREEK PKWY STE 170 MONUMENT CO 801327303 PHYSICAL THERAPY 23 - CENTURA PHYSICAL THERAPY AT CHURCH RANCH 7233 CHURCH RANCH BLVD JUNIPER POD WESTMINSTER CO 800214094 PHYSICAL THERAPY 24 - AUDUBON CSSC 3010 N CIRCLE DR STE 120 COLORADO SPRINGS CO 809091182 PHYSICAL THERAPY 25 - LANGSTAFF-BROWN CSSC 41 N HWY 67 STE C WOODLAND PARK CO 808635009 PHYSICAL THERAPY 26 - CENTURA PHYSICAL THERAPY NEVADA 4925 N NEVADA AVE COLORADO SPRINGS CO 809188600 PHYSICAL THERAPY 27 - CENTURA PHYSICAL THERAPY- N CARE 6071 E WOODMEN RD STE 220 COLORADO SPRINGS CO 809232609 PHYSICAL THERAPY 28 - CENTURA CENTER FOR REHAB 4112 OUTLOOK BLVD STE 96 PUEBLO CO 810081667 REHAB 29 - CENTURA MERCY SPINE INSTITUTE MONTROSE 314 S 6TH ST MONTROSE CO 814015719 SPINE CARE 30 - CENTURA SPINE CARE 6011 E WOODMEN RD STE 360 COLORADO SPRINGS CO 809232606 SPINE CARE 31 - CARDIAC AND THORACIC SURGERY - N NEVADA 2312 N NEVADA AVE STE 235 COLORADO SPRINGS CO 809075312 CARDIAC AND THORACIC SURGERY 32 - CARDIAC AND THORACIC SURGERY - DURANGO 1 MERCADO ST STE 130 DURANGO CO 813017306 CARDIAC AND THORACIC SURGERY 33 - CARDIAC AND THORACIC SURGERY - PUEBLO 16 1008 MINNEQUA AVE PUEBLO CO 810043733 CARDIAC AND THORACIC SURGERY 34 - CARDIAC AND THORACIC SURGERY - SAH 11700 W 2ND PL STE 280 LAKEWOOD CO 802281717 CARDIAC AND THORACIC SURGERY 35 - CARDIAC AND THORACIC SURGERY - SUMMIT 360 PEAK ONE BLVD STE 390 FRISCO CO 804430000 CARDIAC AND THORACIC SURGERY 36 - ENDOCRINOLOGY DIABETES AND THYROID SPEC 360 PEAK ONE DR STE 300 FRISCO CO 804430000 PHYSICIAN PRACTICE 37 - ENDOCRINOLOGY DIABETES AND THYROID SPEC 11750 W 2ND PL STE 365 LAKEWOOD CO 802281731 PHYSICIAN PRACTICE 38 - ST THOMAS MORE HOSPITAL - EKG 1338 PHAY AVE CANON CITY CO 812122399 MEDICAL FACILITY 39 - CENTURA ENDOCRINOLOGY COLORADO SPRINGS 3027 N CIRCLE DR COLORADO SPRINGS CO 809091179 PHYSICIAN PRACTICE 40 - ST ANTHONY HEALTH CENTERS EVERGREEN 32214 ELLINGWOOD TRL STE 210 EVERGREEN CO 804399719 MEDICAL FACILITY 41 - CHPG GOLDEN PRIMARY CARE 750 WARNER DR GOLDEN CO 804015297 PRIMARY CARE 42 - CENTURA GYNECOLOGIC ONCOLOGY 6031 E WOODMEN RD STE 250GO COLORADO SPRINGS CO 809232623 PHYSICIAN OFFICE 43 - CMG GENERAL SURGERY PUEBLO WEST 729 E SPAULDING AVE PUEBLO WEST CO 810073512 GENERAL SURGERY 44 - MERCY SURGICAL ASSOCIATES 1 MERCADO ST STE 220 DURANGO CO 813017310 PHYSICIANS 45 - COLORADO SPRINGS SURGICAL ASSOCIATES A 2222 N NEVADA AVE STE 5017 COLORADO SPRINGS CO 809076865 PHYSICIANS 46 - STM SPECIALTY CLINIC - GENERAL SURGERY 1338 PHAY AVE BLDG D GS CANON CITY CO 812122326 GENERAL SURGERY 47 - CENTURA GENERAL SURGERY SUMMIT 360 PEAK ONE DR STE 300 FRISCO CO 804435948 GENERAL SURGERY 48 - CENTURA GENERAL SURGERY WESTMINSTER 500 W 144TH AVE STE 130 WESTMINSTER CO 800239326 GENERAL SURGERY 49 - ST MARY CORWIN PHYSICIAN PARTNERS - GAST 1020 LAKEVIEW AVE PUEBLO CO 810043508 PHYSICIANS 50 - CHPG SOUTHWEST GASTROENTEROLOGY 1010 THREE SPRINGS BLVD STE 270 DURANGO CO 813018296 GASTROENTEROLOGY PRACTICE 51 - PENROSE-ST FRANCIS HEALTH LEARNING CENT 3027 N CIRCLE DR COLORADO SPRINGS CO 809091179 LEARNING CENTER 52 - FOUR CORNERS INFECTIOUS DISEASE AND INTE 1010 THREE SPRINGS BLVD STE 255 DURANGO CO 813018296 OUTPATIENT CLINIC 53 - THE JOINT REPLACEMENT CENTER ST ANTHONY 500 W 144TH AVE STE 120 WESTMINSTER CO 800239326 MEDICAL FACILITY 54 - SOUTHERN COLORADO MATERNAL FETAL MEDICIN 6071 E WOODMEN RD STE 425 COLORADO SPRINGS CO 809232614 MEDICAL FACILITY 55 - MIT - CENTENNIAL CLINIC 327 S CAMINO DEL RIO UNIT 11B DURANGO CO 813037997 OUTPATIENT CLINIC 56 - MIT - THREE SPRINGS CLINIC 1 MERCADO ST STE 201 DURANGO CO 813017307 OUTPATIENT CLINIC 57 - CHPG MEDICAL ONCOLOGY SUMMIT 360 PEAK ONE DR STE 300 FRISCO CO 804435948 PHYSICIAN OFFICE 58 - CHPG PENROSE NEUROHOSPITALISTS 2222 N NEVADA AVE STE 5001 NH COLORADO SPRINGS CO 809076865 MEDICAL FACILITY 59 - CHPG PENROSE NEUROINTERVENTIONAL RADIOLO 2222 N NEVADA AVE STE 5001 NIR COLORADO SPRINGS CO 809076865 RADIOLOGY 60 - CENTURA NEUROSCIENCE SUMMIT 360 PEAK ONE DR STE 300 FRISCO CO 804430000 NEUROSCIENCE 61 - CHPG SOUTHWEST NEUROSCIENCE 1010 THREE SPRINGS BLVD STE 290 DURANGO CO 813018296 NEUROSCIENCE 62 - CHPG NEPHROLOGY CORTEZ 111 N PARK ST CORTEZ CO 813213340 NEPHROLOGY 63 - DURANGO NEPHROLOGY ASSOCIATES - DNA 1010 THREE SPRINGS BLVD STE 255 DURANGO CO 813018296 PHYSICIANS 64 - NEUROSURGERY ONE ARVADA 16280 W 64TH AVE ARVADA CO 800077413 NEURO SURGERY 65 - CHPG PENROSE NEUROSCIENCES - CO SPGS 2222 N NEVADA AVE STE 5001 COLORADO SPRINGS CO 809076865 NEUROSCIENCE 66 - NEUROSURGERY ONE SAH 11750 W 2ND PL STE 255 LAKEWOOD CO 802281726 NEURO SURGERY 67 - CHPG NEUROSCIENCE SAH 11750 W 2ND PL STE 255 LAKEWOOD CO 802281726 NEUROSCIENCE 68 - NEUROSURGERY ONE ST ANTHONY NORTH 14300 ORCHARD PKWY 2ND FL POD 1 WESTMINSTER CO 800239206 NEURO SURGERY 69 - CENTURA ORTHOPEDICS - AUDUBON CLINIC 3010 N CIRCLE DR STE 100 COLORADO SPRINGS CO 809091174 ORTHOPEDICS 70 - CENTURA ORTHOPEDICS NEVADA 4925 N NEVADA AVE COLORADO SPRINGS CO 809188600 ORTHOPEDICS 71 - ST MARY CORWIN PHYSICIAN PARTNERS - ORTH 4112 OUTLOOK BLVD STE 37 PUEBLO CO 810081667 ORTHO CLINIC 72 - MERCY ORTHOPEDIC ASSOCIATES 1 MERCADO ST STE 202 DURANGO CO 813017307 PHYSICIANS 73 - ASPEN RIDGE ENT - ORCHARD 14300 ORCHARD PKWY WESTMINSTER CO 800239206 OUTPATIENT CLINIC 74 - CHPG WESTMINSTER INTERNAL AND FAMILY MED 14300 ORCHARD PKWY WESTMINSTER CO 800239206 OUTPATIENT CLINIC 75 - CHPG NEUROSCIENCE ORCHARD 14300 ORCHARD PKWY WESTMINSTER CO 800239206 NEUROSCIENCE 76 - DIMENSIONS PAIN MANAGEMENT AT THE MEDICA 14300 ORCHARD PKWY FLOOR 2 POD 1 WESTMINSTER CO 800239206 PHYSICIAN PRACTICE 77 - WOMENS HEALTH SPECIALISTS AT ST ANTHONY 14300 ORCHARD PKWY FLOOR 3 POD 1 WESTMINSTER CO 800239206 WOMEN'S CARE CLINIC 78 - STM ORTHOPEDICS 1338 PHAY AVE BLDG D ORTHO CANON CITY CO 812122326 ORTHOPEDICS 79 - CHPG PEDIATRIC NORTH CARE 6071 E WOODMEN RD STE 225 COLORADO SPRINGS CO 809232611 PEDIATRIC CLINIC 80 - CHPG ST THOMAS MORE PEDIATRICS 1338 PHAY AVE BLDG D PEDS CANON CITY CO 812122326 PEDIATRIC CLINIC 81 - CHPG OUTPATIENT BEHAVIORAL HEALTH PRACTI 2925 PROFESSIONAL PL STE 101 COLORADO SPRINGS CO 809048125 BEHAVIORAL HEALTH 82 - PSF - ORNISH LIFESTYLE MEDICINE PROGRAM 6001 E WOODMEN RD COLORADO SPRINGS CO 809232601 OUTPATIENT CLINIC 83 - FOUR CORNERS PULMONARY AND CRITICAL CARE 1010 THREE SPRINGS BLVD STE 110 DURANGO CO 813018296 CRITICAL CARE 84 - CHPG HIGH COUNTRY PCP AND UC BRECKENRIDG 429 N PARK AVE BRECKENRIDGE CO 804240000 OUTPATIENT CLINIC 85 - CENTURA BRIGHTON MEDICAL GROUP 4700 E BROMLEY LN STE 101 BRIGHTON CO 806017821 MEDICAL FACILITY 86 - CHPG PRIMARY CARE BERTHOUD 549 MOUNTAIN AVE BERTHOUD CO 805130000 PRIMARY CARE 87 - MERCY FAMILY MEDICINE BAYFIELD 480 WOLVERINE DR STE 3 BAYFIELD CO 811229653 OUTPATIENT CLINIC 88 - SET FAMILY MEDICAL CLINICS 2864 S CIRCLE DR STE 450 COLORADO SPRINGS CO 809064170 MEDICAL FACILITY 89 - SET FAMILY DENTAL CLINIC 2864 S CIRCLE DR STE 450 COLORADO SPRINGS CO 809064170 DENTAL CLINIC 90 - FRISCO - FAMILY PRACTICE & PEDIATRICS - 360 PEAK ONE DR STE 260 FRISCO CO 804430000 OUTPATIENT CLINIC 91 - MERCY FAMILY MEDICINE HORSE GULCH 810 E 3RD ST STE 201 DURANGO CO 813015759 OUTPATIENT CLINIC 92 - CHPG PRIMARY CARE IDAHO SPRINGS 1969 MINER ST IDAHO SPRINGS CO 804520000 PRIMARY CARE 93 - MERCY FAMILY MEDICINE 1 MERCADO ST STE 160 DURANGO CO 813017309 OUTPATIENT CLINIC 94 - CHPG PRIMARY CARE NORTHGLENN 11310 HURON ST STE 100 NORTHGLENN CO 802343090 PRIMARY CARE 95 - PSF PRIMARY CARE HEALTH CARE SERVICES 3027 N CIRCLE DR COLORADO SPRINGS CO 809091179 PHYSICIAN OFFICE 96 - PENROSE MOUNTAIN PRIMARY CARE 41 STATE HIGHWAY 67 WOODLAND PARK CO 808635008 PRIMARY CARE 97 - CHPG PRIMARY CARE POWERS 6080 N CAREFREE CIR COLORADO SPRINGS CO 809222402 PRIMARY CARE 98 - CENTURA HEALTH PUEBLO WEST PRIMARY CARE 729 E SPAULDING AVE PUEBLO WEST CO 810073512 PRIMARY CARE 99 - CHPG PRIMARY CARE ST FRANCIS 7435 SISTERS GROVE STE 400 COLORADO SPRINGS CO 809232631 PRIMARY CARE 100 - ST THOMAS MORE FAMILY PRACTICE 1338 PHAY AVE BLDG D CANON CITY CO 812122326 FAMILY PRACTICE 101 - SILVERTHORNE FAMILY PRACTICE 265 TANGLEWOOD LN STE E-1 SILVERTHORNE CO 804985314 FAMILY PRACTICE 102 - DIMENSIONS PAIN MANAGEMENT AT SAH 11700 W 2ND PL STE 225 LAKEWOOD CO 802281707 PHYSICIAN PRACTICE 103 - DIMENSIONS PAIN MANAGEMENT SUMMIT 360 PEAK ONE DR STE 300 FRISCO CO 804430000 PHYSICIAN PRACTICE 104 - ST ANTHONY HEALTH CENTERS ASSOCIATED SUR 11700 W 2ND PL MOB 2 STE 210 LAKEWOOD CO 802281716 GENERAL SURGERY 105 - CENTURA BEHAVIORAL HEATH ST ANTHONY 11600 W 2ND PL LAKEWOOD CO 802281527 BEHAVIORAL HEALTH 106 - PALLIATIVE CARE - CHIC 2551 W 84TH AVE WESTMINSTER CO 800313807 PALLIATIVE CARE 107 - CENTURA EASTERN COLORADO ORTHOPEDIC CENT 1000 LINCOLN ST STE 100 FORT MORGAN CO 807013290 ORTHOPEDICS 108 - CENTURA GENERAL SURGERY FORT MORGAN 1000 LINCOLN ST STE 208 FORT MORGAN CO 807013290 GENERAL SURGERY 109 - CENTURA INTERNAL MEDICINE FORT MORGAN 1000 LINCOLN ST STE 200 FORT MORGAN CO 807013290 OUTPATIENT CLINIC 110 - CENTURA NEUROLOGY FORT MORGAN 1000 LINCOLN ST STE 207NEURO FORT MORGAN CO 807013290 NEUROLOGY 111 - CENTURA OBSTETRICS & GYNECOLOGY FORT MOR 1000 LINCOLN ST STE 203 FORT MORGAN CO 807013290 PHYSICIAN OFFICE 112 - CENTURA PRIMARY CARE FORT MORGAN 1000 LINCOLN ST STE 101 FORT MORGAN CO 807013290 PRIMARY CARE 113 - ROCKY MOUNTAIN SPORTS & FAMILY MEDICINE 4112 OUTLOOK BLVD STE 303 PUEBLO CO 810081667 PHYSICIAN CLINIC 114 - CENTURA SPORTS MEDICINE NEVADA 4925 N NEVADA AVE COLORADO SPRINGS CO 809188600 PHYSICIAN CLINIC 115 - CENTURA SPORTS MEDICINE ST ANTHONY 255 S ROUTT ST STE 300 LAKEWOOD CO 802282354 PHYSICIAN CLINIC 116 - ST ANTHONY HOSPITAL SENIOR HEALTH CENTER 500 W 144TH AVE STE 140 WESTMINSTER CO 800239324 SENIOR HEALTH 117 - SENIOR HEALTH FIRST AT ST ANTHONY HOSPIT 11700 W 2ND PL MED PLAZA 2 STE 450 LAKEWOOD CO 802281719 SENIOR HEALTH 118 - CHPG SAH INTERNAL MEDICINE 255 ROUTT ST STE 300 LAKEWOOD CO 802282354 OUTPATIENT CLINIC 119 - CENTURA MEDICAL ONCOLOGY PUEBLO 2004 LAKE AVE PUEBLO CO 810043536 PHYSICIAN OFFICE 120 - CENTURA RADIATION ONCOLOGY ST MARY CORWI 1008 MINNEQUA AVE PUEBLO CO 810043733 PHYSICIAN OFFICE 121 - ST ANTHONY FAMILY MEDICINE CENTER NORTH 14300 ORCHARD PKWY WESTMINSTER CO 800239206 PRIMARY CARE CLINIC 122 - CENTURA HEALTH URGENT CARE CANON CITY 3245 E US HWY 50 UNIT E CANON CITY CO 812129343 URGENT CARE CLINIC 123 - SUMMIT CARDIOLOGY 360 PEAK ONE DR STE 340 FRISCO CO 804430000 CARDIOLOGY PRACTICE 124 - CHPG TRI-LAKES PRIMARY CARE 17230 JACKSON CREEK PKWY STE 300 MONUMENT CO 801327306 PRIMARY CARE 125 - CENTURA TELENEUROLOGY COLORADO 2222 N NEVADA AVE STE 5001 COLORADO SPRINGS CO 809076865 TELENEUROLOGY 126 - CHPG THORNTON PRIMARY CARE 4075 E 128TH AVE THORNTON CO 802412201 PRIMARY CARE 127 - CHPG THORNTON WOMENS HEALTH 4075 E 128TH AVE THORNTON CO 802412201 WOMEN'S CARE CLINIC 128 - CENTURA HEALTH URGENT CARE FOUNTAIN 7955 FOUNTAIN MESA RD FOUNTAIN CO 808171535 URGENT CARE 129 - CHPG PENROSE COMMUNITY URGENT CARE 3027 N CIRCLE DR COLORADO SPRINGS CO 809091179 URGENT CARE 130 - CENTURA HEALTH URGENT CARE POWERS POINTE 5607 BARNES RD STE 140 COLORADO SPRINGS CO 809171347 URGENT CARE 131 - CENTURA HEALTH URGENT CARE TRI-LAKES 17230 JACKSON CREEK PKWY STE 120 MONUMENT CO 801327302 URGENT CARE 132 - CENTURA UROLOGY PUEBLO 1020 LAKEVIEW AVE PUEBLO CO 810043508 UROLOGY 133 - MERCY UROLOGY SERVICES 1010 THREE SPRINGS BLVD STE 270 DURANGO CO 813018296 UROLOGY 134 - CHPG VASCULAR AND GENERAL SURGERY - PENR 2222 N NEVADA AVE STE 5010 COLORADO SPRINGS CO 809076865 GENERAL SURGERY 135 - ACADEMY WOMENS HEALTHCARE ASSOCIATES-A C 6071 E WOODMEN RD STE 405 COLORADO SPRINGS CO 809232614 PHYSICIANS 136 - FRISCO - OBGYN SPECIALISTS 360 PEAK ONE DR STE 260 OB FRISCO CO 804430000 PHYSICIAN OFFICE 137 - GRANBY - OBGYN SPECIALISTS 1000 GRANBY PARK DR GRANBY CO 804460000 PHYSICIAN OFFICE 138 - CHPG WOMEN'S HEALTH PUEBLO WEST 729 E SPAULDING AVE PUEBLO WEST CO 810073512 WOMEN'S CARE CLINIC 139 - CENTURA OBSTETRICS AND GYNECOLOGY ST FR 6011 E WOODMEN RD STE 320 COLORADO SPRINGS CO 809232604 WOMEN'S CARE CLINIC 140 - STM OBGYN 1338 PHAY AVE BLDG D OB CANON CITY CO 812122326 WOMEN'S CARE CLINIC 141 - BEHAVIORAL HEALTH WEST VALLEY INPATIENT 3460 S 4155 W WEST VALLEY CITY UT 84120 PHYSICIAN OFFICE 142 - BEHAVIORAL HEALTH WEST VALLEY OUTPATIENT 4052 W 3390 S STE 105 WEST VALLEY CITY UT 84120 PHYSICIAN OFFICE 143 - BRAIN & SPINE SALT LAKE CITY 82 S 1100 E STE 103 SALT LAKE CITY UT 841021889 SPECIALTY PHYSICIAN PRACTICE 144 - BRAIN & SPINE WEST JORDAN 3590 W 9000 S STE 240 WEST JORDAN UT 840888864 SPECIALTY PHYSICIAN PRACTICE 145 - BREAST SURGERY LEHI MOUNTAIN POINT 3000 N TRIUMPH BLVD STE 110 LEHI UT 840437186 SPECIALTY PHYSICIAN PRACTICE 146 - BREAST SURGERY SALT LAKE CITY 82 S 1100 E STE 103 SALT LAKE CITY UT 841021889 SPECIALTY PHYSICIAN PRACTICE 147 - CARDIAC & THORACIC SURGERY SALT LAKE CIT 82 S 1100 E STE 200 SALT LAKE CITY UT 841021889 SPECIALTY PHYSICIAN PRACTICE 148 - CARDIOLOGY LEHI MOUNTAIN POINT 3000 N TRIUMPH BLVD STE 320 LEHI UT 840437188 SPECIALTY PHYSICIAN PRACTICE 149 - CARDIOLOGY MURRAY 5980 S FASHION BLVD MURRAY UT 841077362 SPECIALTY PHYSICIAN PRACTICE 150 - CARDIOLOGY SALT LAKE CITY 82 S 1100 E STE 200 SALT LAKE CITY UT 841021889 SPECIALTY PHYSICIAN PRACTICE 151 - CARDIOLOGY SOUTH VALLEY 13348 MARKET CENTER DR STE 210 RIVERTON UT 840658011 SPECIALTY PHYSICIAN PRACTICE 152 - CARDIOLOGY WEST JORDAN 3570 W 9000 S STE 110 WEST JORDAN UT 840888870 SPECIALTY PHYSICIAN PRACTICE 153 - CARDIOLOGY WEST VALLEY 3336 S 4155 W STE 203 WEST VALLEY CITY UT 84120 SPECIALTY PHYSICIAN PRACTICE 154 - ENDOCRINOLOGY WEST JORDAN 3590 W 9000 S STE 240 WEST JORDAN UT 840888864 SPECIALTY PHYSICIAN PRACTICE 155 - FAMILY MEDICINE KAYSVILLE 349 N FLINT ST STE 101 KAYSVILLE UT 840379808 FAMILY CLINIC 156 - FAMILY MEDICINE WEST JORDAN 1575 W 7000 S FL 1 WEST JORDAN UT 840843431 FAMILY CLINIC 157 - FOOT & ANKLE EAGLE MOUNTAIN 3943 E PONY EXPRESS PKWY STE 110 EAGLE MOUNTAIN UT 840055542 SPECIALTY PHYSICIAN PRACTICE 158 - FOOT & ANKLE LEHI MOUNTAIN POINT 3000 N TRIUMPH BLVD STE 110 LEHI UT 840437186 SPECIALTY PHYSICIAN PRACTICE 159 - GASTROENTEROLOGY WEST JORDAN 3590 W 9000 S STE 120 WEST JORDAN UT 840888858 SPECIALTY PHYSICIAN PRACTICE 160 - INTERNAL MEDICINE WEST JORDAN 3570 W 9000 S STE 100 WEST JORDAN UT 840888871 SPECIALTY PHYSICIAN PRACTICE 161 - MOUNTAIN SOLITUDE SKI CLINIC 12000 E BIG COTTONWOOD CANYON RD FL 1 BRIGHTON UT 841219710 SPECIALTY PHYSICIAN PRACTICE 162 - NEUROSCIENCE & REHABILITATION LEHI MOUNT 3000 N TRIUMPH BLVD STE 110 LEHI UT 840437186 SPECIALTY PHYSICIAN PRACTICE 163 - NEUROSCIENCE & REHABILITATION SALT LAKE 82 S 1100 E STE 103 SALT LAKE CITY UT 841021889 SPECIALTY PHYSICIAN PRACTICE 164 - NEUROSCIENCE & REHABILITATION WEST JORDA 3590 W 9000 S STE 240 WEST JORDAN UT 840888864 SPECIALTY PHYSICIAN PRACTICE 165 - OBSTETRICS & GYNECOLOGY LAYTON 1580 W ANTELOPE DR STE 290 LAYTON UT 840411179 OB/GYN PRACTICE 166 - OBSTETRICS & GYNECOLOGY MURRAY 5980 S FASHION BLVD MURRAY UT 841077362 OB/GYN PRACTICE 167 - OBSTETRICS & GYNECOLOGY SALT LAKE CITY 82 S 1100 E STE 403 SALT LAKE CITY UT 841024703 OB/GYN PRACTICE 168 - OBSTETRICS & GYNECOLOGY WEST VALLEY 3336 S 4155 W STE 301 WEST VALLEY CITY UT 84120 OB/GYN PRACTICE 169 - ORTHOPEDICS & SPORTS MEDICINE COTTONWOOD 6322 S 3000 E STE 140 COTTONWOOD HEIGHTS UT 841213555 SPECIALTY PHYSICIAN PRACTICE 170 - ORTHOPEDICS & SPORTS MEDICINE LAYTON 2132 N ROBINS DR STE 230 LAYTON UT 840417060 SPECIALTY PHYSICIAN PRACTICE 171 - ORTHOPEDICS & SPORTS MEDICINE LEHI MOUNT 3000 N TRIUMPH BLVD STE 110 LEHI UT 840437186 SPECIALTY PHYSICIAN PRACTICE 172 - ORTHOPEDICS & SPORTS MEDICINE MURRAY 5980 S FASHION BLVD MURRAY UT 841077362 SPECIALTY PHYSICIAN PRACTICE 173 - ORTHOPEDICS & SPORTS MEDICINE SALT LAKE 82 S 1100 E STE 303 SALT LAKE CITY UT 841021891 SPECIALTY PHYSICIAN PRACTICE 174 - ORTHOPEDICS & SPORTS MEDICINE SANDY 9350 S 150 E STE 460 SANDY UT 840705502 SPECIALTY PHYSICIAN PRACTICE 175 - ORTHOPEDICS & SPORTS MEDICINE WEST JORDA 3584 W 9000 S STE 405 WEST JORDAN UT 840885712 SPECIALTY PHYSICIAN PRACTICE 176 - ORTHOPEDICS & SPORTS MEDICINE WEST VALLE 3336 S 4155 W STE 102 WEST VALLEY CITY UT 84120 SPECIALTY PHYSICIAN PRACTICE 177 - PRIMARY CARE MURRAY 5980 S FASHION BLVD MURRAY UT 841077362 PRIMARY CARE CLINIC 178 - PRIMARY CARE SOUTH VALLEY 13348 MARKET CENTER DR STE 210 RIVERTON UT 840658011 PRIMARY CARE CLINIC 179 - PSYCHIATRIC HOSPITALISTS LAYTON 1600 W ANTELOPE DR LAYTON UT 840411142 SPECIALTY PHYSICIAN PRACTICE 180 - PULMONARYCRITICAL CARE & SLEEP MEDICINE 3000 N TRIUMPH BLVD STE 110 LEHI UT 840437186 SPECIALTY PHYSICIAN PRACTICE 181 - PULMONARY CRITICAL CARE & SLEEP MEDICI 3584 W 9000 S STE 401 WEST JORDAN UT 840885712 SPECIALTY PHYSICIAN PRACTICE 182 - SENIOR CARE SALT LAKE CITY 82 S 1100 E STE 403 SALT LAKE CITY UT 841021892 SENIOR CARE 183 - SPECIALTY SURGERY LEHI MOUNTAIN POINT 3000 N TRIUMPH BLVD STE 110 LEHI UT 840437186 SPECIALTY PHYSICIAN PRACTICE 184 - SPECIALTY SURGERY SALT LAKE CITY 82 S 1100 E STE 103 SALT LAKE CITY UT 841021889 SPECIALTY PHYSICIAN PRACTICE 185 - SPECIALTY SURGERY WEST JORDAN 3584 W 9000 S STE 304 WEST JORDAN UT 840884775 SPECIALTY PHYSICIAN PRACTICE 186 - SPINE CENTER WEST JORDAN 3584 W 9000 S STE 209 WEST JORDAN UT 840885711 SPECIALTY PHYSICIAN PRACTICE 187 - SURGICAL ONCOLOGY WEST JORDAN 3592 W 9000 S STE 210 WEST JORDAN UT 840888819 SPECIALTY PHYSICIAN PRACTICE 188 - WOUND CARE AT HOLY CROSS HOSPITAL-DAVIS 2132 N ROBINS DR STE 100 LAYTON UT 840417059 WOUND CARE PRACTICE 189 - WOUND CARE AT HOLY CROSS HOSPITAL-JORDAN 3590 W 9000 S STE 105 WEST JORDAN UT 840888858 WOUND CARE PRACTICE 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: PENROSE, ST. FRANCIS AND ST. FRANCIS INTERQUEST :HOSPITAL'S COMMUNITY BUILDING ACTIVITIES PROMOTED COMMUNITY HEALTH BY STRENGTHENING COMMUNITY CAPACITY, SUPPORTING COLLABORATION WITH COMMUNITY PARTNERS, AND ADDRESSING KEY SOCIAL DETERMINANTS OF HEALTH. DURING THE REPORTING PERIOD, PENROSE-ST. FRANCIS HOSPITALS SUPPORTED COMMUNITY-BUILDING ACTIVITIES TOTALING $35,410, CLASSIFIED UNDER IRS SCHEDULE H CATEGORY F.THESE ACTIVITIES INCLUDED PARTICIPATION IN CANCER CENTER RELATED COMMUNITY HEALTH IMPROVEMENT EFFORTS THAT SUPPORTED PREVENTION, EDUCATION, AND COORDINATION OF CARE WITH COMMUNITY PARTNERS. IN ADDITION, THE HOSPITAL PROVIDED CASH CONTRIBUTIONS TO COMMUNITY-BASED ORGANIZATIONS ADDRESSING FOOD SECURITY, BEHAVIORAL HEALTH AWARENESS, EARLY CHILDHOOD DEVELOPMENT, AND OTHER ESSENTIAL SOCIAL SERVICE NEEDS.BY SUPPORTING THESE ORGANIZATIONS AND INITIATIVES, THE HOSPITAL HELPED STRENGTHEN LOCAL SOCIAL INFRASTRUCTURE, ENHANCE COMMUNITY RESOURCES, AND IMPROVE CONDITIONS THAT INFLUENCE HEALTH AND WELL-BEING. COLLECTIVELY, THESE COMMUNITY BUILDING ACTIVITIES CONTRIBUTED TO IMPROVED COMMUNITY HEALTH BY FOSTERING PARTNERSHIPS, SUPPORTING PREVENTIVE EFFORTS, AND ADDRESSING SOCIAL AND ENVIRONMENTAL FACTORS THAT AFFECT HEALTH OUTCOMES ACROSS THE COMMUNITIES SERVED.ST. ANTHONY HOSPITAL AND ORTHOCOLORADO HOSPITALTHE HOSPITAL'S COMMUNITY BUILDING ACTIVITIES PROMOTED COMMUNITY HEALTH BY STRENGTHENING COMMUNITY LEADERSHIP, FOSTERING COLLABORATION WITH COMMUNITY PARTNERS, AND SUPPORTING HEALTH CARE WORKFORCE DEVELOPMENT. DURING THE REPORTING PERIOD, THE HOSPITALS SUPPORTED COMMUNITY-BUILDING ACTIVITIES TOTALING $162,314, CLASSIFIED UNDER IRS SCHEDULE H CATEGORY F.HOSPITAL REPRESENTATIVES PARTICIPATED IN COMMUNITY LEADERSHIP AND GOVERNANCE ACTIVITIES, INCLUDING SERVICE ON THE COLORADO HEALTH CARE ETHICS FORUM BOARD. THROUGH THESE ROLES, THE HOSPITAL CONTRIBUTED PROFESSIONAL EXPERTISE, ETHICAL GUIDANCE, AND STRATEGIC INPUT TO SUPPORT COMMUNITY DIALOGUE, DECISION-MAKING, AND COLLABORATION AROUND HEALTH AND SOCIAL ISSUES.THE HOSPITAL ALSO ENGAGED IN COMMUNITY SUPPORT AND RELATIONSHIP-BUILDING ACTIVITIES THROUGH SITE VISITS AND DIRECT ENGAGEMENT WITH COMMUNITY-BASED ORGANIZATIONS, SCHOOLS, AND SOCIAL SERVICE PARTNERS. THESE ACTIVITIES STRENGTHENED PARTNERSHIPS, ENHANCED COORDINATION, AND SUPPORTED A MORE CONNECTED COMMUNITY HEALTH AND SOCIAL SERVICE INFRASTRUCTURE.IN ADDITION, THE HOSPITALS SUPPORTED WORKFORCE DEVELOPMENT INITIATIVES BY PARTICIPATING IN SCHOOL-BASED CAREER EXPLORATION AND WORKFORCE PROGRAMS AND COLLABORATING WITH LOCAL SCHOOL DISTRICTS AND EDUCATIONAL PARTNERS. THESE EFFORTS PROMOTED AWARENESS OF HEALTH CARE CAREERS, SUPPORTED EARLY PIPELINE DEVELOPMENT, AND HELPED BUILD A SUSTAINABLE HEALTH CARE WORKFORCE TO MEET FUTURE COMMUNITY NEEDS.COLLECTIVELY, THESE COMMUNITY BUILDING ACTIVITIES CONTRIBUTED TO IMPROVED COMMUNITY HEALTH BY STRENGTHENING LEADERSHIP, ENHANCING COLLABORATION ACROSS SECTORS, AND SUPPORTING THE COMMUNITY CONDITIONS NECESSARY FOR ACCESS TO CARE AND LONG-TERM HEALTH AND WELL-BEING.ST. ANTHONY NORTH HOSPITALTHE HOSPITAL'S COMMUNITY BUILDING ACTIVITIES PROMOTED COMMUNITY HEALTH BY STRENGTHENING COMMUNITY CAPACITY, SUPPORTING COLLABORATION, AND ENHANCING WORKFORCE DEVELOPMENT. DURING THE REPORTING PERIOD, ST. ANTHONY NORTH HOSPITAL SUPPORTED COMMUNITY-BUILDING ACTIVITIES TOTALING $28,359, CLASSIFIED UNDER IRS SCHEDULE H CATEGORY F.HOSPITAL REPRESENTATIVES PARTICIPATED IN COMMUNITY BOARDS AND COMMITTEES RELATED TO TRAUMA SERVICES, NURSING, AND ECONOMIC DEVELOPMENT. THROUGH THESE ROLES, THE HOSPITAL CONTRIBUTED TO COLLABORATIVE PLANNING, GOVERNANCE, AND INFORMATION-SHARING WITH COMMUNITY PARTNERS, SUPPORTING COORDINATED SERVICES AND STRENGTHENING LOCAL SYSTEMS THAT AFFECT HEALTH AND SAFETY.IN ADDITION, ST. ANTHONY NORTH HOSPITAL SUPPORTED SHARED COMMUNITY RESOURCES BY MAKING HOSPITAL CONFERENCE SPACE AVAILABLE FOR COMMUNITY USE, INCLUDING MEETINGS FOR COMMUNITY GROUPS, PHYSICIAN ORGANIZATIONS, AND NURSING EDUCATION PROGRAMS. THESE ACTIVITIES FACILITATED COMMUNITY COLLABORATION, CONTINUING EDUCATION, AND PROFESSIONAL DEVELOPMENT THAT SUPPORT A STRONG AND WELL-PREPARED HEALTH CARE WORKFORCE.THE HOSPITAL ALSO SUPPORTED WORKFORCE DEVELOPMENT THROUGH PARTICIPATION IN LOCAL LEADERSHIP AND YOUTH DEVELOPMENT PROGRAMS THAT PROMOTE SKILL-BUILDING, CAREER AWARENESS, AND CAREER READINESS.COLLECTIVELY, THESE COMMUNITY BUILDING ACTIVITIES CONTRIBUTED TO IMPROVED COMMUNITY HEALTH BY STRENGTHENING LEADERSHIP, ENHANCING COMMUNITY PARTNERSHIPS, AND SUPPORTING THE INFRASTRUCTURE AND WORKFORCE NECESSARY TO MEET CURRENT AND FUTURE HEALTH NEEDS WITHIN THE COMMUNITIES SERVED.MERCY HOSPITALTHE HOSPITAL'S COMMUNITY BUILDING ACTIVITIES PROMOTED COMMUNITY HEALTH BY STRENGTHENING COMMUNITY CAPACITY, SUPPORTING WORKFORCE STABILITY, AND ADDRESSING KEY SOCIAL DETERMINANTS OF HEALTH. DURING THE REPORTING PERIOD, MERCY HOSPITAL DURANGO SUPPORTED COMMUNITY-BUILDING ACTIVITIES TOTALING $38,186.A SIGNIFICANT PORTION OF THESE ACTIVITIES FOCUSED ON HEALTH CARE WORKFORCE STABILIZATION THROUGH PHYSICIAN RECRUITMENT AND LOAN FORGIVENESS PROGRAMS. THESE EFFORTS HELPED ATTRACT AND RETAIN HEALTH CARE PROFESSIONALS WITHIN THE COMMUNITY, STRENGTHENING LOCAL HEALTH CARE CAPACITY AND IMPROVING LONG-TERM ACCESS TO MEDICAL SERVICES FOR RESIDENTS IN THE HOSPITAL'S SERVICE AREA.IN ADDITION, THE HOSPITAL SUPPORTED COMMUNITY NUTRITION AND FOOD ACCESS THROUGH ONGOING DONATIONS TO LOCAL SOUP KITCHEN PROGRAMS SERVING INDIVIDUALS AND FAMILIES EXPERIENCING FOOD INSECURITY. THESE ACTIVITIES STRENGTHENED ESSENTIAL COMMUNITY SERVICES AND SOCIAL INFRASTRUCTURE THAT ADDRESS BASIC NEEDS CRITICAL TO HEALTH AND WELL-BEING.COLLECTIVELY, THESE COMMUNITY BUILDING ACTIVITIES CONTRIBUTED TO IMPROVED COMMUNITY HEALTH BY ADDRESSING WORKFORCE SHORTAGES, SUPPORTING FOOD SECURITY, AND ENHANCING THE CONDITIONS NECESSARY FOR RESIDENTS TO ACHIEVE AND MAINTAIN GOOD HEALTH. 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 250% OF THE FEDERAL POVERTY LEVEL, OR DISCOUNTED CARE TO UNINSURED OR UNDER-INSURED INDIVIDUALS WHOSE FAMILY INCOME IS ABOVE 251% BUT LOWER THAN 400% 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: CATHOLIC HEALTH INITIATIVES COLORADO MAKES EVERY EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UPON ADMISSION. CATHOLIC HEALTH INITIATIVES COLORADO'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. CATHOLIC HEALTH INITIATIVES COLORADO 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, CATHOLIC HEALTH INITIATIVES COLORADO 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 II- COMMUNITY BUILDING (CONTINUED) ST. ELIZABETH HOSPITALTHE HOSPITAL'S COMMUNITY BUILDING ACTIVITIES PROMOTED COMMUNITY HEALTH BY STRENGTHENING COMMUNITY COLLABORATION, SUPPORTING RESOURCE COORDINATION, AND ENHANCING LOCAL CAPACITY TO ADDRESS HEALTH AND SOCIAL NEEDS. DURING THE REPORTING PERIOD, ST. ELIZABETH HOSPITAL SUPPORTED COMMUNITY-BUILDING ACTIVITIES TOTALING $7,528, CLASSIFIED UNDER IRS SCHEDULE H CATEGORY F.HOSPITAL STAFF PARTICIPATED IN COMMUNITY RESOURCE MEETINGS AND LOCAL COLLABORATIVE EFFORTS THAT BROUGHT TOGETHER HEALTH CARE PROVIDERS, SOCIAL SERVICE AGENCIES, AND COMMUNITY ORGANIZATIONS TO COORDINATE SERVICES, SHARE INFORMATION, AND SUPPORT COMMUNITY HEALTH INITIATIVES. THROUGH THIS ENGAGEMENT, THE HOSPITAL CONTRIBUTED TO STRONGER PARTNERSHIPS AND MORE EFFICIENT USE OF COMMUNITY RESOURCES.IN ADDITION, ST. ELIZABETH HOSPITAL SUPPORTED COMMUNITY COLLABORATION BY PROVIDING DONATED MEETING SPACE FOR COMMUNITY-BASED ORGANIZATIONS AND EMPLOYEE PARTICIPATION IN LOCAL GROUPS FOCUSED ON HEALTH AND SOCIAL SUPPORT. THESE ACTIVITIES HELPED FACILITATE COLLECTIVE PROBLEM-SOLVING AND STRENGTHENED THE SOCIAL INFRASTRUCTURE NECESSARY TO ADDRESS COMMUNITY HEALTH PRIORITIES.COLLECTIVELY, THESE COMMUNITY BUILDING ACTIVITIES CONTRIBUTED TO IMPROVED COMMUNITY HEALTH BY ENHANCING COORDINATION, SUPPORTING PARTNERSHIPS, AND BUILDING THE COMMUNITY CAPACITY NEEDED TO RESPOND TO IDENTIFIED HEALTH AND SOCIAL NEEDS WITHIN THE COMMUNITIES SERVED. PART III, LINE 4: CATHOLIC HEALTH INITIATIVES COLORADO 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. CATHOLIC HEALTH INITIATIVES COLORADO'S SHORTFALL, AS REPORTED ON PART III, SECTION B, LINE 7, OF $112,961,897 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 4: PENROSE HOSPITAL, ST FRANCIS HOSPITAL AND ST FRANCIS INTERQUESTTHE ORGANIZATION SERVES THE PENROSE HOSPITAL, ST FRANCIS HOSPITAL AND ST FRANCIS INTERQUEST HOSPITAL SERVICE AREA, PRIMARILY ENCOMPASSING EL PASO COUNTY, A PREDOMINANTLY URBAN REGION COVERING 2,126.42 SQUARE MILES. THIS COMMUNITY HAS A TOTAL POPULATION OF 736,008 RESIDENTS, ACCORDING TO THE LATEST CENSUS ESTIMATES, WITH 89.2% OF THE POPULATION CLASSIFIED AS URBAN. THE DEMOGRAPHIC COMPOSITION INCLUDES A MAJORITY WHITE POPULATION AT 66.4%, FOLLOWED BY HISPANIC RESIDENTS AT 18.3%, BLACK RESIDENTS AT 5.5%, AND ASIAN RESIDENTS AT 2.8%. NATIVE HAWAIIAN/PACIFIC ISLANDERS AND AMERICAN INDIAN OR ALASKA NATIVE POPULATIONS EACH CONSTITUTE 0.2% OF THE TOTAL. THE MEDIAN HOUSEHOLD INCOME IS $87,470, WITH 8.5% OF THE POPULATION LIVING BELOW 100% OF THE FEDERAL POVERTY LEVEL. THE UNEMPLOYMENT RATE FOR DECEMBER 2024 STANDS AT 4.6%. LANGUAGE DIVERSITY IS MINIMAL, AS ONLY 1.3% OF THE POPULATION AGED 5 AND OLDER ARE NON-ENGLISH SPEAKING. ACCESS TO HEALTHCARE IS A SIGNIFICANT CONCERN, WITH 8.2% OF THE POPULATION LACKING HEALTH INSURANCE AND 20.9% RELYING ON MEDICAID. THE SERVICE AREA IS DESIGNATED AS A HEALTH PROFESSIONAL SHORTAGE AREA AND INCLUDES MEDICALLY UNDERSERVED AREAS/POPULATIONS, SPECIFICALLY MULTIPLE MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. THE COMMUNITY IS SERVED BY THE ORGANIZATION AND FIVE OTHER HOSPITALS.ST. ANTHONY HOSPITAL AND ORTHOCOLORADO HOSPITALTHE ORGANIZATION SERVES A PREDOMINANTLY URBAN COMMUNITY, THE SAH/OCH SERVICE AREA, WHICH COMPRISES CLEAR CREEK AND JEFFERSON COUNTIES. THIS EXPANSIVE AREA COVERS 1,159.46 SQUARE MILES AND IS HOME TO A SIGNIFICANT POPULATION OF 589,073 RESIDENTS. THE DEMOGRAPHIC MAKEUP REVEALS A MAJORITY WHITE POPULATION AT 76.1%, WITH HISPANICS CONSTITUTING 15.8%, ASIANS 2.8%, BLACK RESIDENTS 1.1%, AMERICAN INDIAN OR ALASKA NATIVE INDIVIDUALS 0.3%, AND NATIVE HAWAIIAN/PACIFIC ISLANDERS 0.1%. THE COMMUNITY DEMONSTRATES ECONOMIC STABILITY WITH AN AVERAGE HOUSEHOLD INCOME OF $137,720 AND A LOW UNEMPLOYMENT RATE OF 4.3% AS OF DECEMBER 2024. A RELATIVELY SMALL PERCENTAGE OF THE POPULATION, 6.7%, LIVES BELOW 100% OF THE FEDERAL POVERTY LEVEL, AND ONLY 1.0% OF PEOPLE AGED 5 AND OLDER ARE NON-ENGLISH SPEAKING. HEALTHCARE ACCESS IS A NOTABLE CONCERN, WITH 6.3% OF RESIDENTS LACKING HEALTH INSURANCE AND 13.4% COVERED BY MEDICAID. FURTHERMORE, THE SERVICE AREA IS DESIGNATED AS A HEALTH PROFESSIONAL SHORTAGE AREA, AND IT INCLUDES MEDICALLY UNDERSERVED AREAS/POPULATIONS, SPECIFICALLY MULTIPLE MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. THE HEALTHCARE LANDSCAPE WITHIN THIS COMMUNITY IS SERVED BY THE ORGANIZATION AND FIVE OTHER HOSPITALS.ST. ANTHONY NORTH HOSPITALTO DEFINE THE COMMUNITY FOR THE CHNA AND TO ANALYZE DEMOGRAPHIC AND HEALTH INDICATOR DATA, ST. ANTHONY NORTH 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.ST. ANTHONY NORTH HOSPITAL SERVES A GEOGRAPHIC SERVICE AREA THAT INCLUDES ADAMS COUNTY AND BROOMFIELD COUNTY IN COLORADO. THIS SERVICE AREA, WHICH IS THE FOCUS OF THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), ENCOMPASSES APPROXIMATELY 1,199.71 SQUARE MILES AND HAS AN ESTIMATED TOTAL POPULATION OF 599,518 RESIDENTS, BASED ON THE MOST RECENT CENSUS DATA. THE SERVICE AREA IS PREDOMINANTLY URBAN, WITH APPROXIMATELY 96.3% OF RESIDENTS LIVING IN URBANIZED COMMUNITIES.THE POPULATION IS DEMOGRAPHICALLY DIVERSE. HISPANIC OR LATINO INDIVIDUALS REPRESENT 38.7% OF THE POPULATION, FOLLOWED BY WHITE RESIDENTS AT 49.6%, ASIAN RESIDENTS AT 4.3%, BLACK OR AFRICAN AMERICAN RESIDENTS AT 3.0%, AMERICAN INDIAN OR ALASKA NATIVE RESIDENTS AT 0.3%, AND NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER RESIDENTS AT 0.1%. APPROXIMATELY 4.0% OF THE POPULATION AGE FIVE AND OLDER SPEAKS A LANGUAGE OTHER THAN ENGLISH AT HOME.THE AVERAGE HOUSEHOLD INCOME IN THE SERVICE AREA IS $118,115; HOWEVER, ECONOMIC DISPARITIES REMAIN. APPROXIMATELY 8.9% OF RESIDENTS LIVE BELOW 100% OF THE FEDERAL POVERTY LEVEL, AND THE UNEMPLOYMENT RATE WAS 5.0% AS OF DECEMBER 2024. ACCESS TO HEALTH COVERAGE VARIES, WITH 10.5% OF RESIDENTS UNINSURED AND 23.4% ENROLLED IN MEDICAID.THE SERVICE AREA INCLUDES MULTIPLE MEDICALLY UNDERSERVED AREAS AND POPULATIONS AND IS DESIGNATED AS A HEALTH PROFESSIONAL SHORTAGE AREA. LOW-INCOME AND MINORITY POPULATIONS ARE PRESENT THROUGHOUT THE COMMUNITY AND EXPERIENCE DISPROPORTIONATE BARRIERS TO ACCESSING CARE. IN ADDITION TO SANH, FIVE OTHER HOSPITALS SERVE THE REGION, CONTRIBUTING TO A SHARED RESPONSIBILITY FOR ADDRESSING COMMUNITY HEALTH NEEDS.MERCY HOSPITALTO DEFINE THE COMMUNITY FOR THE CHNA AND TO ANALYZE DEMOGRAPHIC AND HEALTH INDICATOR DATA, MERCY 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.MERCY HOSPITAL SERVES A PREDOMINANTLY RURAL FOUR-COUNTY REGION IN SOUTHWESTERN COLORADO THAT INCLUDES ARCHULETA, LA PLATA, MONTEZUMA, AND SAN JUAN COUNTIES. THIS GEOGRAPHIC AREA ENCOMPASSES APPROXIMATELY 5,456 SQUARE MILES AND HAS AN ESTIMATED POPULATION OF 96,712 RESIDENTS, BASED ON THE MOST RECENT CENSUS DATA. THE SERVICE AREA IS CHARACTERIZED BY SMALL TOWNS AND RURAL COMMUNITIES WITH LIMITED ACCESS TO HEALTH CARE RESOURCES.THE POPULATION OF THE MERCY HOSPITAL SERVICE AREA IS PRIMARILY WHITE (75.3%), WITH NOTABLE MINORITY POPULATIONS INCLUDING HISPANIC RESIDENTS (13.2%) AND AMERICAN INDIAN OR ALASKA NATIVE RESIDENTS (5.6%), AS WELL AS SMALLER PROPORTIONS OF BLACK (0.4%) AND ASIAN (0.8%) RESIDENTS. THE REGION INCLUDES MULTIPLE MEDICALLY UNDERSERVED AREAS AND POPULATIONS AND IS DESIGNATED AS A HEALTH PROFESSIONAL SHORTAGE AREA.ECONOMIC AND ACCESS-RELATED CHALLENGES AFFECT A SIGNIFICANT PORTION OF THE POPULATION. APPROXIMATELY 12.1% OF RESIDENTS LIVE BELOW 100% OF THE FEDERAL POVERTY LEVEL, 11.0% LACK HEALTH INSURANCE, AND NEARLY ONE-QUARTER OF RESIDENTS (24.8%) ARE ENROLLED IN MEDICAID. WHILE THE AVERAGE HOUSEHOLD INCOME IS $98,440, DISPARITIES EXIST ACROSS THE SERVICE AREA, PARTICULARLY IN RURAL, TRIBAL, AND LOW-INCOME COMMUNITIES. THE UNEMPLOYMENT RATE AS OF DECEMBER 2024 WAS 4.4%.THE MERCY HOSPITAL SERVICE AREA ALSO INCLUDES POPULATIONS THAT MAY EXPERIENCE BARRIERS TO CARE, INCLUDING LOW-INCOME INDIVIDUALS, MINORITY POPULATIONS, AMERICAN INDIAN AND ALASKA NATIVE COMMUNITIES, ELDERLY RESIDENTS, AND RESIDENTS OF RURAL AND FRONTIER AREAS. ALTHOUGH MULTIPLE HOSPITALS OPERATE WITHIN THE REGION, GEOGRAPHIC DISTANCE, TRANSPORTATION LIMITATIONS, AND WORKFORCE SHORTAGES CONTINUE TO AFFECT ACCESS TO CARE FOR MANY RESIDENTS.ST. ANTHONY SUMMIT HOSPITALTO DEFINE THE COMMUNITY FOR THE CHNA AND TO ANALYZE DEMOGRAPHIC AND HEALTH INDICATOR DATA, ST. ANTHONY SUMMIT 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.ST. ANTHONY SUMMIT HOSPITAL SERVES THE SERVICE AREA WHICH INCLUDES FREMONT COUNTY WHICH COVERS APPROXIMATELY 1,533.83 SQUARE MILES AND HAS A TOTAL POPULATION OF 49,394 RESIDENTS. THE SERVICE AREA IS PREDOMINANTLY URBAN, WITH 70.7% OF THE POPULATION LIVING IN URBAN AREAS. THE COMMUNITY IS DEMOGRAPHICALLY COMPOSED OF 78.5% WHITE, 13.0% HISPANIC, 3.6% BLACK, 0.8% ASIAN, 1.0% AMERICAN INDIAN OR ALASKA NATIVE, AND 0.1% NATIVE HAWAIIAN OR PACIFIC ISLANDER.THE MEDIAN HOUSEHOLD INCOME IN THE SERVICE AREA IS $61,027, WITH 14.0% OF RESIDENTS LIVING BELOW THE FEDERAL POVERTY LEVEL. THE UNEMPLOYMENT RATE AS OF DECEMBER 2024 WAS 6.6%. A SMALL PERCENTAGE OF RESIDENTS (0.5%) AGE 5 AND OLDER ARE NON-ENGLISH SPEAKING. 8.7% OF THE POPULATION LACKS HEALTH INSURANCE, AND 28.9% ARE COVERED BY MEDICAID.FREMONT COUNTY IS DESIGNATED AS A HEALTH PROFESSIONAL SHORTAGE AREA AND CONTAINS MEDICALLY UNDERSERVED AREAS AND POPULATIONS, INCLUDING LOW-INCOME AND MINORITY GROUPS. THERE ARE NO OTHER HOSPITALS LOCATED WITHIN THE SERVICE AREA.THIS COMMUNITY PROFILE HELPS FRAME THE HOSPITAL'S PLANNING AND PROGRAMMING, ENSURING THAT SERVICES AND INTERVENTIONS TARGET THE SPECIFIC HEALTH NEEDS OF THE POPULATION IT SERVES. 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 CO,UT PART VI, LINE 4: COMMUNITY INFORMATION (CONTINUED) ST. ELIZABETH HOSPITALST. ELIZABETH HOSPITAL SERVES A PREDOMINANTLY RURAL COMMUNITY ACROSS MORGAN COUNTY AND PORTIONS OF NORTHEASTERN ADAMS COUNTY, COLORADO, ENCOMPASSING APPROXIMATELY 27,800 INDIVIDUALS OVER 1,117 SQUARE MILES. THE PRIMARY SERVICE AREA, COVERING COMMUNITIES LIKE FORT MORGAN, BRUSH, LOG LANE VILLAGE, AND WIGGINS (ZIP CODES 80701, 80723, 80705, AND 80654), ACCOUNTS FOR OVER 75% OF INPATIENT DISCHARGES, WITH ADDITIONAL RESIDENTS SERVED FROM ADJACENT WASHINGTON AND LOGAN COUNTIES. WHILE THE COMMUNITY IS PREDOMINANTLY RURAL, FORT MORGAN IS DESIGNATED AS A MAJORITY-MINORITY AREA. THE SERVICE AREA IS HIGHLY DIVERSE, WITH APPROXIMATELY 44% OF RESIDENTS IDENTIFYING AS AN ETHNICITY OTHER THAN WHITE ALONE, NON-HISPANIC, AND 37.1% IDENTIFYING AS HISPANIC OR LATINO(A). BLACK OR AFRICAN AMERICAN RESIDENTS CONSTITUTE ABOUT 3.2% OF THE POPULATION. FORT MORGAN ALONE INCLUDES RESIDENTS FROM OVER 40 NATIONALITIES SPEAKING MORE THAN 100 LANGUAGES, WITH 23.6% OF MORGAN COUNTY RESIDENTS AGED FIVE AND OLDER SPEAKING A LANGUAGE OTHER THAN ENGLISH AT HOME, MARKING THE COUNTY AS 6TH IN COLORADO FOR ITS PROPORTION OF FOREIGN-BORN RESIDENTS. THE POPULATION IS YOUNGER THAN THE STATE AVERAGE, WITH ABOUT ONE-THIRD OF RESIDENTS UNDER 25 AND MEDIAN AGES RANGING FROM 30.7 TO 36.7 YEARS.THE LOCAL ECONOMY IS LARGELY AGRICULTURE-BASED, WITH MAJOR EMPLOYERS IN FARMING, RANCHING, AND FOOD PROCESSING. THE MEDIAN HOUSEHOLD INCOME IN MORGAN COUNTY IS $75,407, THOUGH 9.8% OF FAMILIES LIVE BELOW 100% OF THE FEDERAL POVERTY LEVEL. EDUCATIONAL ATTAINMENT SHOWS 15.4% OF ADULTS AGED 25 AND OLDER LACK A HIGH SCHOOL DIPLOMA. HEALTH INSURANCE COVERAGE REMAINS A CHALLENGE, WITH APPROXIMATELY 10.8% OF MORGAN COUNTY RESIDENTS UNINSURED, AND RATES EXCEEDING 11% IN FORT MORGAN AND WIGGINS. A SIGNIFICANT PORTION OF RESIDENTS ARE MEDICAID RECIPIENTS, REFLECTING THE PRESENCE OF LOW-INCOME HOUSEHOLDS.THE COMMUNITY FACES SIGNIFICANT HEALTHCARE ACCESS CHALLENGES, WITH MORGAN COUNTY DESIGNATED AS A MEDICALLY UNDERSERVED AREA/POPULATION (MUA/P ID: 00436) BY HRSA, PARTICULARLY FOR PRIMARY CARE SERVICES FOR LOW-INCOME POPULATIONS. IT ALSO INCLUDES HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS), NOTABLY FOR MENTAL HEALTH PROVIDERS. IN ADDITION TO ST. ELIZABETH HOSPITAL, THE COMMUNITY IS SERVED BY EAST MORGAN COUNTY HOSPITAL. NO EXCLUSIONS ARE APPLIED TO DEFINE THE SERVICE AREA. AS OF THE 2024 COLORADO BALANCE OF STATE POINT-IN-TIME COUNT, 10 INDIVIDUALS FROM 10 HOUSEHOLDS WERE EXPERIENCING HOMELESSNESS IN MORGAN COUNTY. OVERALL, ST. ELIZABETH HOSPITAL SERVES A RURAL, GEOGRAPHICALLY DISPERSED, AND CULTURALLY DIVERSE COMMUNITY CHALLENGED BY ECONOMIC DISPARITIES, LANGUAGE BARRIERS, AND LIMITED HEALTHCARE ACCESS, HIGHLIGHTING ITS CRUCIAL ROLE AS A PROVIDER OF ESSENTIAL HEALTH SERVICES.HOLY CROSS HOSPITAL SALT LAKE, HOLY CROSS HOSPITAL JORDAN VALLEY, AND HOLY CROSS HOSPITAL WEST VALLEYTO DEFINE THE COMMUNITY FOR THE CHNA AND TO ANALYZE DEMOGRAPHIC AND HEALTH INDICATOR DATA, HOLY CROSS HOSPITAL SALT LAKE, HOLY CROSS HOSPITAL JORDAN VALLEY, AND HOLY CROSS HOSPITAL WEST VALLEY 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.THE COMMUNITY SERVED BY THE ORGANIZATION IS DEFINED AS SALT LAKE COUNTY, UTAH, A PREDOMINANTLY URBAN AND SUBURBAN COMMUNITY. THE COUNTY HAD AN ESTIMATED POPULATION OF APPROXIMATELY 1.2 MILLION RESIDENTS IN 2023 AND HAS EXPERIENCED SIGNIFICANT POPULATION GROWTH OVER THE PAST TWO DECADES, WITH AN INCREASE OF 14.8 PERCENT SINCE 2010. CONTINUED POPULATION GROWTH, ALONG WITH CHANGING DEMOGRAPHIC CHARACTERISTICS, HAS IMPORTANT IMPLICATIONS FOR CURRENT AND FUTURE COMMUNITY HEALTH NEEDS.SALT LAKE COUNTY HAS BECOME INCREASINGLY DIVERSE OVER TIME. IN 2023, 66.4 PERCENT OF THE POPULATION IDENTIFIED AS NON-HISPANIC WHITE, A DECLINE FROM 74.0 PERCENT IN 2010. THE HISPANIC OR LATINO POPULATION REPRESENTED 20.7 PERCENT OF COUNTY RESIDENTS IN 2023 AND EXPERIENCED THE LARGEST GROWTH BETWEEN 2010 AND 2023, INCREASING BY APPROXIMATELY 68,000 PEOPLE. RESIDENTS IDENTIFYING AS TWO OR MORE RACES INCREASED BY 35,115 PEOPLE AND REPRESENTED 4.6 PERCENT OF THE POPULATION, WHILE THE NON-HISPANIC ASIAN POPULATION INCREASED BY APPROXIMATELY 17,000 PEOPLE TO 4.2 PERCENT OF RESIDENTS. DEMOGRAPHIC CHARACTERISTICS SUCH AS AGE, RACE, ETHNICITY, EDUCATION, AND INCOME VARY CONSIDERABLY ACROSS THE COUNTY.SUBSTANTIAL GEOGRAPHIC VARIATION EXISTS IN HEALTH OUTCOMES AND SOCIOECONOMIC CONDITIONS. IN 2020, LIFE EXPECTANCY ACROSS CENSUS TRACTS IN SALT LAKE COUNTY VARIED BY MORE THAN 20 YEARS, RANGING FROM 66.1 YEARS TO 88.9 YEARS. NEIGHBORHOODS IN WESTERN AND NORTHWESTERN PORTIONS OF THE COUNTY, INCLUDING PARTS OF SALT LAKE CITY, WEST JORDAN, WEST VALLEY CITY, AND HERRIMAN, EXPERIENCED LOWER LIFE EXPECTANCY COMPARED TO OTHER AREAS. AGE AND RACIAL AND ETHNIC COMPOSITION ALSO VARY BY GEOGRAPHY, WITH SOME ZIP CODES HAVING HIGHER CONCENTRATIONS OF OLDER ADULTS OR RACIAL AND ETHNIC MINORITY POPULATIONS, INCLUDING ZIP CODES WITH HISPANIC OR LATINO POPULATIONS EXCEEDING 40 PERCENT AND OTHERS WITH HIGHER PROPORTIONS OF ASIAN OR BLACK RESIDENTS.THE COMMUNITY INCLUDES AREAS AND POPULATIONS THAT EXPERIENCE DISPARITIES IN ACCESS TO HEALTH CARE AND HEALTH OUTCOMES. FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS AND POPULATIONS ARE PRESENT WITHIN SALT LAKE COUNTY, REFLECTING ECONOMIC, LINGUISTIC, AND ACCESS-RELATED BARRIERS TO CARE FOR CERTAIN RESIDENTS. THESE CONDITIONS CONTRIBUTE TO UNEVEN ACCESS TO HEALTH SERVICES AND DIFFERENCES IN HEALTH STATUS ACROSS THE COMMUNITY.SALT LAKE COUNTY HAS A BROAD HEALTH CARE INFRASTRUCTURE TO SERVE ITS RESIDENTS, INCLUDING SEVENTEEN (17) LICENSED ACUTE CARE AND SPECIALTY HOSPITALS, APPROXIMATELY TWENTY (20) FEDERALLY QUALIFIED HEALTH CENTER SITES, AND FIVE (5) PUBLIC HEALTH CENTERS. IN ADDITION, NUMEROUS SOCIAL SERVICE ORGANIZATIONS AND COMMUNITY RESOURCES OPERATE THROUGHOUT THE COUNTY. DESPITE THE AVAILABILITY OF THESE RESOURCES, POPULATION GROWTH, DEMOGRAPHIC CHANGE, AND PERSISTENT DISPARITIES CONTINUE TO SHAPE COMMUNITY HEALTH NEEDS AND DEMAND FOR SERVICES. PART VI, LINE 4: COMMUNITY INFORMATION (CONTINUED) HOLY CROSS HOSPITAL DAVISCOMMONSPIRIT HOLY CROSS HOSPITAL DAVIS SERVES DAVIS COUNTY, UTAH, A RAPIDLY GROWING, PREDOMINANTLY SUBURBAN COMMUNITY ALONG THE WASATCH FRONT. DAVIS COUNTY IS THE THIRD MOST POPULOUS COUNTY IN THE STATE, WITH APPROXIMATELY 373,207 RESIDENTS IN 2023, PROJECTED TO REACH OVER 529,000 BY 2050.GEOGRAPHICALLY, THE COUNTY IS BORDERED BY THE WASATCH MOUNTAINS TO THE EAST AND THE GREAT SALT LAKE TO THE WEST, INCLUDING ANTELOPE ISLAND. MANY RESIDENTS COMMUTE TO NEIGHBORING COUNTIES FOR EMPLOYMENT, MAKING DAVIS COUNTY A "BEDROOM COMMUNITY." HEAVY RELIANCE ON INTERSTATE 15 CONTRIBUTES TO TRAFFIC AND AIR QUALITY CONCERNS, REFLECTED IN THE COUNTY'S LOWEST RANKING FOR PHYSICAL ENVIRONMENT IN THE COUNTY HEALTH RANKINGS AND ROADMAPS REPORT. THE HOSPITAL'S SERVICE AREA ENCOMPASSES ALL 15 INCORPORATED CITIES WITHIN DAVIS COUNTY, INCLUDING BOUNTIFUL, CENTERVILLE, CLEARFIELD, CLINTON, FARMINGTON, FRUIT HEIGHTS, HILL AIR FORCE BASE, KAYSVILLE, LAYTON, NORTH SALT LAKE, SOUTH WEBER, SUNSET, SYRACUSE, WEST BOUNTIFUL, WEST POINT, AND WOODS CROSS.DEMOGRAPHICALLY, DAVIS COUNTY HAS A YOUNG POPULATION, WITH NEARLY ONE IN THREE RESIDENTS UNDER AGE 18 AND A MEDIAN AGE OF 31.6 YEARS. THE POPULATION IS PREDOMINANTLY NON-HISPANIC WHITE (84.3%), FOLLOWED BY HISPANIC/LATINO (10.8%), ASIAN/ASIAN AMERICAN (3.4%), BLACK/AFRICAN AMERICAN (1.8%), NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER (1.5%), AND AMERICAN INDIAN OR ALASKA NATIVE (1.3%). WHILE THE MEDIAN HOUSEHOLD INCOME OF $92,300 IS THE HIGHEST ALONG THE WASATCH FRONT AND ABOVE STATE AND NATIONAL MEDIANS, THERE ARE NOTABLE INCOME DISPARITIES EXCEEDING $30,000 BETWEEN RACIAL AND ETHNIC GROUPS. OVERALL POVERTY RATES ARE LOW, AT 5.0% FOR PERSONS AND 5.0% FOR CHILDREN; HOWEVER, 57% OF FOOD-INSECURE HOUSEHOLDS EARN TOO MUCH TO QUALIFY FOR MAJOR FEDERAL NUTRITION ASSISTANCE PROGRAMS.REGARDING HEALTHCARE ACCESS AND COVERAGE, APPROXIMATELY 20,443 RESIDENTS (5.5%) ARE UNINSURED, A RATE LOWER THAN STATE AND NATIONAL AVERAGES. UNINSURED RATES ARE DISPROPORTIONATELY HIGHER AMONG FOREIGN-BORN NON-CITIZENS, HISPANIC/LATINO RESIDENTS, UNEMPLOYED INDIVIDUALS, AND THOSE WITH LOWER HOUSEHOLD INCOMES. APPROXIMATELY 39,411 RESIDENTS (10.7%) RECEIVE MEDICAID, WHICH IS LOWER THAN THE STATEWIDE RATE.DAVIS COUNTY IS SERVED BY THREE HOSPITALS: COMMONSPIRIT HOLY CROSS HOSPITAL DAVIS, INTERMOUNTAIN LAYTON HOSPITAL, AND LAKEVIEW HOSPITAL. ALTHOUGH THE COUNTY HAS COMPARATIVELY FAVORABLE PROVIDER-TO-PATIENT RATIOS, ACCESS CHALLENGES REMAIN, PARTICULARLY FOR MENTAL HEALTH SERVICES, UNINSURED AND UNDERINSURED POPULATIONS, AND RESIDENTS IN SPECIFIC GEOGRAPHIC AREAS. THE CHNA HIGHLIGHTS GAPS SUGGESTING THE PRESENCE OF UNDERSERVED POPULATIONS, INCLUDING A LACK OF FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) OR VOLUNTEER CLINICS IN THE SOUTHERN PART OF THE COUNTY. MIDTOWN COMMUNITY HEALTH CENTER, A FQHC IN CLEARFIELD, PROVIDES CRITICAL CARE TO UNDERSERVED RESIDENTS.THESE FINDINGS INFORM COMMONSPIRIT HOLY CROSS HOSPITAL DAVIS' COMMUNITY BENEFIT INITIATIVES, GUIDING PROGRAMS AND SERVICES THAT ADDRESS DISPARITIES IN ACCESS, HEALTH OUTCOMES, AND SUPPORT FOR VULNERABLE POPULATIONS WITHIN THE COMMUNITY.ST. THOMAS MORE HOSPITALTO DEFINE THE COMMUNITY FOR THE CHNA AND TO ANALYZE DEMOGRAPHIC AND HEALTH INDICATOR DATA, ST. THOMAS MORE 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.ST. THOMAS MORE HOSPITAL SERVES THE SERVICE AREA WHICH INCLUDES FREMONT COUNTY WHICH COVERS APPROXIMATELY 1,533.83 SQUARE MILES AND HAS A TOTAL POPULATION OF 49,394 RESIDENTS. THE SERVICE AREA IS PREDOMINANTLY URBAN, WITH 70.7% OF THE POPULATION LIVING IN URBAN AREAS. THE COMMUNITY IS DEMOGRAPHICALLY COMPOSED OF 78.5% WHITE, 13.0% HISPANIC, 3.6% BLACK, 0.8% ASIAN, 1.0% AMERICAN INDIAN OR ALASKA NATIVE, AND 0.1% NATIVE HAWAIIAN OR PACIFIC ISLANDER.THE MEDIAN HOUSEHOLD INCOME IN THE SERVICE AREA IS $61,027, WITH 14.0% OF RESIDENTS LIVING BELOW THE FEDERAL POVERTY LEVEL. THE UNEMPLOYMENT RATE AS OF DECEMBER 2024 WAS 6.6%. A SMALL PERCENTAGE OF RESIDENTS (0.5%) AGE 5 AND OLDER ARE NON-ENGLISH SPEAKING. 8.7% OF THE POPULATION LACKS HEALTH INSURANCE, AND 28.9% ARE COVERED BY MEDICAID.FREMONT COUNTY IS DESIGNATED AS A HEALTH PROFESSIONAL SHORTAGE AREA AND CONTAINS MEDICALLY UNDERSERVED AREAS AND POPULATIONS, INCLUDING LOW-INCOME AND MINORITY GROUPS. THERE ARE NO OTHER HOSPITALS LOCATED WITHIN THE SERVICE AREA.THIS COMMUNITY PROFILE HELPS FRAME THE HOSPITAL'S PLANNING AND PROGRAMMING, ENSURING THAT SERVICES AND INTERVENTIONS TARGET THE SPECIFIC HEALTH NEEDS OF THE POPULATION IT SERVES.HOLY CROSS HOSPITAL-MOUNTAIN POINTTHE COMMUNITY SERVED BY COMMONSPIRIT HOLY CROSS HOSPITAL MOUNTAIN POINT IS PRIMARILY UTAH COUNTY, UTAH, WHICH HAD AN ESTIMATED POPULATION OF 683,622 IN 2023. THE HOSPITAL DEFINES ITS COMMUNITY BASED ON PATIENT ORIGINS AND UTILIZATION PATTERNS, WITH APPROXIMATELY 83.0 PERCENT OF INPATIENT DISCHARGES AND 86 PERCENT OF EMERGENCY DEPARTMENT VISITS IN 2024 ATTRIBUTED TO RESIDENTS OF UTAH COUNTY.UTAH COUNTY IS A RAPIDLY GROWING COMMUNITY THAT INCLUDES BOTH URBAN AND SUBURBAN AREAS, WITH THE HOSPITAL ITSELF LOCATED IN LEHI. THE POPULATION IS PROJECTED TO INCREASE SIGNIFICANTLY; BETWEEN 2025 AND 2035, THE POPULATION IS EXPECTED TO INCREASE BY MORE THAN 172,000 PEOPLE (22.5 PCT). PARTICULARLY SIGNIFICANT IS THE GROWTH AMONG OLDER ADULTS, AS THE POPULATION AGE 65 AND OVER IS ANTICIPATED TO INCREASE BY 53.7 PERCENT (37,500 PEOPLE) BETWEEN 2025-2035, WHICH WILL LIKELY LEAD TO GREATER DEMAND FOR HEALTH SERVICES. DEMOGRAPHICALLY, THE COUNTY HAS A PREDOMINANTLY NON-HISPANIC WHITE POPULATION (83.7 PERCENT), A PROPORTION THAT EXCEEDS BOTH STATE AND NATIONAL AVERAGES. SOCIOECONOMIC INDICATORS SHOW THAT WHILE THE OVERALL POVERTY RATE (8.9 PERCENT) IS SLIGHTLY HIGHER THAN THE STATE AVERAGE, IT IS LOWER THAN THE U.S. AVERAGE. HOWEVER, POVERTY RATES ARE DISPROPORTIONATELY HIGHER FOR HISPANIC OR LATINO (12.1 PERCENT), BLACK (20.0 PERCENT), AND ASIAN (18.8 PERCENT) RESIDENTS COMPARED TO WHITE RESIDENTS (8.3 PERCENT) IN UTAH COUNTY. AREAS IN CENTRAL UTAH COUNTY, INCLUDING PROVO, OREM, AND SPANISH FORK, CONTAIN CONCENTRATIONS OF LOW-INCOME CENSUS TRACTS AND NEIGHBORHOODS WITH HIGH SOCIOECONOMIC DISADVANTAGE, EVIDENT IN THE AREA DEPRIVATION INDEX AND SOCIAL VULNERABILITY INDEX. THE PERCENTAGE OF THE POPULATION WITHOUT HEALTH INSURANCE IN UTAH COUNTY IS 7.8 PERCENT, LOWER THAN BOTH THE STATE (8.8 PERCENT) AND U.S. (8.7 PERCENT) AVERAGES.THE COMMUNITY INCLUDES FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS AND MEDICALLY UNDERSERVED POPULATIONS. IN 2025, UTAH COUNTY RECEIVED A MEDICALLY UNDERSERVED AREA DESIGNATION BY GOVERNOR'S EXCEPTION DUE TO THE PRESENCE OF POVERTY AND MIGRANT POPULATIONS, INDICATING ONGOING BARRIERS TO ACCESSING HEALTH CARE SERVICES FOR CERTAIN RESIDENTS.HEALTH CARE RESOURCES IN THE COMMUNITY INCLUDE TWELVE (12) LICENSED ACUTE CARE AND SPECIALTY HOSPITALS, SIX (6) FEDERALLY QUALIFIED HEALTH CENTER SITES, AND FIVE (5) PUBLIC HEALTH CENTERS. DESPITE THESE RESOURCES, HEALTH PROFESSIONAL SHORTAGE AREAS ARE PRESENT. UTAH COUNTY IS DESIGNATED AS A MENTAL HEALTH HEALTH PROFESSIONAL SHORTAGE AREA, AND THE LOW-INCOME POPULATION WITHIN THE OREM SERVICE AREA IS DESIGNATED AS A PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREA. IN ADDITION, SIX FEDERALLY QUALIFIED HEALTH CENTERS OPERATED BY MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC. WITHIN UTAH COUNTY HOLD HEALTH PROFESSIONAL SHORTAGE AREA DESIGNATIONS FOR PRIMARY CARE, MENTAL HEALTH, AND DENTAL HEALTH, UNDERSCORING PERSISTENT GAPS IN ACCESS TO CARE WITHIN THE COMMUNITY. PART VI, LINE 4: COMMUNITY INFORMATION (CONTINUED) ST. MARY-CORWIN HOSPITALST. MARY-CORWIN HOSPITAL SERVES A COMMUNITY THAT IS PRIMARILY URBAN WITH SURROUNDING SUBURBAN AND RURAL AREAS, ENCOMPASSING PUEBLO COUNTY, WHICH HAD AN ESTIMATED POPULATION OF 168,162 RESIDENTS IN 2020. PUEBLO COUNTY COVERS 2,386.2 SQUARE MILES, MAKING IT THE 13TH LARGEST COUNTY IN COLORADO.THE HOSPITAL'S SERVICE AREA INCLUDES THE CITY OF PUEBLO (ZIP CODES 81001, 81002, 81003, 81004, 81005, 81006, AND 81008) AND SURROUNDING COMMUNITIES INCLUDING PUEBLO WEST (81007), AVONDALE (81022), BEULAH (81023), BOONE (81025), COLORADO CITY (81019), RYE (81069), SALT CREEK (81006), AND VINELAND (81004). THE HOSPITAL DOES NOT EXCLUDE ANY LOW-INCOME OR UNDERSERVED POPULATIONS, AND THE DEFINED COMMUNITY REPRESENTS THE RESIDENCE OF MORE THAN 75% OF INPATIENT DISCHARGES.PUEBLO COUNTY CONSISTS OF 10 DISTINCT COMMUNITIES EXTENDING FROM THE SOUTHERN FRONT RANGE AND WET MOUNTAINS IN THE WEST TO THE ARKANSAS RIVER VALLEY AND GREAT PLAINS IN THE EAST. HISTORICALLY, THE COUNTY HAS BEEN SHAPED BY INDUSTRIAL AND AGRICULTURAL DEVELOPMENT, INCLUDING STEEL PRODUCTION AND FARMING, AND REFLECTS DEEP HISPANIC/LATINX ROOTS TIED TO THE ARKANSAS RIVER'S ROLE AS AN EARLY U.S.MEXICO BORDER AND TRADE CORRIDOR. THE COMMUNITY IS ALSO CHARACTERIZED BY LONGSTANDING CULTURAL DIVERSITY INFLUENCED BY GENERATIONS OF WORKERS DRAWN TO THE REGION.ACCORDING TO THE MOST RECENT CHNA DATA, 16.2% OF RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME, 9.1% ARE VETERANS, AND THE MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $58,723. AN ESTIMATED 14.8% OF RESIDENTS LIVE BELOW THE FEDERAL POVERTY LEVEL, AND MORE THAN HALF OF INSURED INDIVIDUALS ARE COVERED BY MEDICAID OR MEDICARE, INDICATING A SUBSTANTIAL LOW-INCOME AND ELDERLY POPULATION. THE EMPLOYMENT RATE IN PUEBLO COUNTY IS 51.7%. DEMOGRAPHIC SHIFTS BETWEEN 2010 AND 2020 INCLUDE A DECLINE IN THE WHITE POPULATION (-13.8%) AND GROWTH IN AFRICAN AMERICAN (13.04%), ASIAN (37.52%), AND HISPANIC (6.25%) POPULATIONS.THE PUEBLO COUNTY COMMUNITY IS SERVED BY TWO ACUTE CARE HOSPITALS: ST. MARY-CORWIN HOSPITAL AND UCHEALTH PARKVIEW MEDICAL CENTER.PUEBLO COUNTY INCLUDES FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS AND HEALTH PROFESSIONAL SHORTAGE AREAS, PARTICULARLY FOR PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES, REFLECTING ONGOING ACCESS CHALLENGES FOR LOW-INCOME, UNINSURED, AND MEDICAID-DEPENDENT POPULATIONS. 1 ROSE COMMUNITY FOUNDATION 4500 CHERRY CREEK DRIVE SOUTH SUITE 900 DENVER CO 80246 840920862 501(C)(3) 1336527 0 GENERAL OPERATING SUPPORT HEART MIND HAVEN 6833 S MILLER ST LITTLETON CO 80127 833158421 501(C)(3) 100000 0 GENERAL OPERATING SUPPORT CATHOLIC CHARITIES OF CENTRAL 228 NORTH CASCADE AVE COLORADO SPRINGS CO 80903 840586169 501(C)(3) 88000 0 GENERAL OPERATING SUPPORT BROTHER JEFFS CULTURAL CENTER 2836 WELTON ST DENVER CO 80205 320034993 501(C)(3) 80000 0 GENERAL OPERATING SUPPORT CHANDA PLAN FOUNDATION PARTNERSHIP 1870 W 122ND AVE SUITE 300 WESTMINSTER CO 80234 840872188 501(C)(3) 80000 0 GENERAL OPERATING SUPPORT INTERNATIONAL RESCUE COMMITTEE 1873 S BELLAIRE ST STE 500 DENVER CO 80222 135660870 501(C)(3) 80000 0 GENERAL OPERATING SUPPORT POSADA INC 827 E 4TH ST PUEBLO CO 81001 742473501 501(C)(3) 80000 0 GENERAL OPERATING SUPPORT CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 9100 E MINERAL AVE CENTENNIAL CO 80112 840902211 501(C)(3) 1275417 0 GENERAL OPERATING SUPPORT COLORADO SPRINGS CHAMBER OF COMMERCE 102 S TEJON ST SUITE 1200 COLORADO SPRINGS CO 80903 840174190 501(C)6 92958 0 GENERAL OPERATING SUPPORT BAKHITA MOUNTAIN HOME 2316 N WAHSATCH AVE 331 COLORADO SPRINGS CO 80907 831951199 501(C)(3) 52500 0 GENERAL OPERATING SUPPORT HIGH COUNTRY SOCCER ASSOCIATION PO BOX 19996 SILVERTHORNE CO 80498 364483956 501(C)(3) 50000 0 GENERAL OPERATING SUPPORT ASCENDING TO HEALTH RESPITE PO BOX 60039 COLORADO SPRINGS CO 80960 274584911 501(C)(3) 50000 0 GENERAL OPERATING SUPPORT ASIAN ASSOCIATION OF UT 155 S 300 W SALT LAKE CITY UT 84101 870333555 501(C)(3) 50000 0 GENERAL OPERATING SUPPORT CENTRO DE LA FAMILIA 1645 S MURRAY BVLD COLORADO SPRINGS CO 80916 841435999 501(C)(3) 50000 0 GENERAL OPERATING SUPPORT FAMILY PROMISE OF OGDEN 256 24TH ST OGDEN UT 84401 474944656 501(C)(3) 50000 0 GENERAL OPERATING SUPPORT GOFARM 1301 ARAPAHOE ST STE 105 GOLDEN CO 80401 472823438 501(C)(3) 50000 0 GENERAL OPERATING SUPPORT SOLID ROCK COMMUNITY DEVELOPMENT 2510 ARLINGTON DR APT 101 COLORADO SPRINGS CO 80910 260381727 501(C)(3) 50000 0 GENERAL OPERATING SUPPORT THE INN BETWEEN 1216 E 1300 S SALT LAKE CITY UT 84105 472329595 501(C)(3) 50000 0 GENERAL OPERATING SUPPORT SERENITY RECOVERY CONNECTION 985 W FILLMORE ST COLORADO SPRINGS CO 80907 471291133 501(C)(3) 45000 0 GENERAL OPERATING SUPPORT RAINBOW YOUTH 701 CAMINO DEL RIO STE 103A DURANGO CO 81301 821755251 OTHER 39500 0 GENERAL OPERATING SUPPORT THRIVING FAMILIES 191 YUMA ST DENVER CO 80223 841993572 501(C)(3) 33500 0 GENERAL OPERATING SUPPORT NAVAJO STRONG 333 EAST MAIN ST LEHI UT 84043 851414391 501(C)(3) 33000 0 GENERAL OPERATING SUPPORT RISING UP 527 STATE ST FORT MORGAN CO 80701 473562416 501(C)(3) 6040 0 GENERAL OPERATING SUPPORT ANTHEM RANCH COMMUNITY ASSOCIATION 16151 LOWELL BLVD BROOMFIELD CO 80023 203820603 501(C)(3) 6000 0 GENERAL OPERATING SUPPORT COLORADO STATE FAIR 1001 BEULAH AVE PUEBLO CO 81004 841145530 OTHER 5750 0 GENERAL OPERATING SUPPORT ROYAL GORGE CHAMBER ALLIANCE 424 MAIN ST CANON CITY CO 81212 840161613 501(C)6 5690 0 GENERAL OPERATING SUPPORT 22 4 PART I, LINE 2: ALL HEALTH EQUITY GRANTS ARE EVALUATED BY A TEAM OF SELECTED INDIVIDUALS. THE FUNDING AWARD IS VOTED ON BY THE TEAM BASED UPON THE INFORMATION PROVIDED BY THE ENTITIES REQUESTING FUNDING WHILE ENSURING THE REQUESTS ARE IN ALIGNMENT WITH OUR COMMUNITY BENEFIT FOCUS FOR A GIVEN YEAR. THE FUNDS ARE DISTRIBUTED IN COLLABORATION WITH THE REGION TEAM. 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 CHAIR/CSH SEVP, CHIEF LEGAL OFFICER 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 BOARD MEMBER/CSH SEVP CHIEF STRATEGY 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 SHAUNA GULLEY FORMER HCE 0 864398 0 667536 0 6448 0 155556 0 54861 0 1748799 0 0 JOEL MACDONALD PHYSICIAN 1487519 0 3000 0 7131 0 12075 0 73414 0 1583139 0 0 0 MARCHYARN MAHATHANARUK PHYSICIAN 1057146 0 434405 0 22237 0 10062 0 31984 0 1555834 0 0 0 ALLISON ROBERTS PHYSICIAN 1145104 0 267163 0 1635 0 9598 0 0 0 1423500 0 0 0 DENNIS KRAUS FORMER HCE 0 546071 0 0 0 656775 0 11017 0 36506 0 1250369 0 0 WILLIAM HOWARTH PHYSICIAN 1016465 0 206441 0 1801 0 0 0 24330 0 1249037 0 0 0 CAMILLE AZAR PHYSICIAN GASTROENTEROLOGY 1077962 0 88225 0 13842 0 8896 0 58068 0 1246993 0 0 0 KEVIN JENKINS FORMER KEY EMPLOYEE 0 293499 0 528347 0 273873 0 0 0 55433 0 1151152 0 0 THOMAS DONOHOE SECRETARY/SVP LEGAL SERVICES & GENER 0 304268 0 284036 0 282751 0 7959 0 51999 0 931013 0 0 TADD RICHERT TREASURER/MTN. REGION CFO 0 520222 0 124699 0 2480 0 10675 0 58675 0 716751 0 0 MIKE CAFASSO FORMER KEY EMPLOYEE 0 395061 0 239522 0 14566 0 10675 0 33079 0 692903 0 0 MATTHEW LEARY FORMER KEY EMPLOYEE 0 452476 0 106792 0 35246 0 12075 0 41368 0 647957 0 0 PATRICK SHARP FORMER KEY EMPLOYEE 0 0 0 0 0 560468 0 0 0 41273 0 601741 0 0 CARRIE DAMON FORMER KEY EMPLOYEE 0 0 0 0 0 542091 0 0 0 24806 0 566897 0 0 KEVIN WIKOFF FORMER KEY EMPLOYEE 0 421828 0 84869 0 16629 0 10272 0 19110 0 552708 0 0 KATHERINE BROOKS SECRETARY/SVP, MTN. REGION GENERAL C 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 AND PAID BY COMMONSPIRIT HEALTH, A RELATED ORGANIZATION. 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. IN ADDITION, THE PRESIDENT'S COMPENSATION, AS DETERMINED BY COMMONSPIRIT, IS REVIEWED AND APPROVED BY THE LOCAL BOARD. 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; CARRIE DAMON,$544,647; THOMAS DONOHOE,$276,931; KEVIN JENKINS,$269,078; PATRICK SHARP,$566,010; DENNIS KRAUS,$652,877. 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 THE CATHOLIC HEALTH INITIATIVES 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 CATHOLIC HEALTH INITIATIVES COLORADO 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 PEOPLE 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. AMENDED FORM 990 FORM 990 IS AMENDED TO REFLECT ACCURATE INFORMATION REPORTED ON SCHEDULE H, PART I, LINE 7. PART V, LINE 1C: PAYMENTS TO VENDORS PAYMENTS TO VENDORS FOR ENTITIES THAT ARE PART OF COMMONSPIRIT HEALTH ARE MADE BY COMMONSPIRIT HEALTH. THEREFORE, NO FORMS 1099 ARE ISSUED BY CATHOLIC HEALTH INITIATIVES COLORADO. COMMONSPIRIT HEALTH 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 CATHOLIC HEALTH INITIATIVES COLORADO ARE REPORTED TO THE IRS. FORM 990, PART VI, SECTION A, LINE 6 ACCORDING TO THE BYLAWS OF CATHOLIC HEALTH INITIATIVES-COLORADO, THE ENTITY'S SOLE MEMBER IS COMMONSPIRIT HEALTH, A COLORADO NONPROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE CORPORATE MEMBER HAS THE POWER TO APPOINT, REPLACE OR REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS. ACCORDING TO THE ORGANIZATION'S BYLAWS, THE SOLE MEMBER SHALL FILL ALL VACANCIES ON THE BOARD OF TRUSTEES CREATED BY REMOVAL, RESIGNATION, OR DEATH. FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION'S CORPORATE MEMBER IS COMMONSPIRIT HEALTH. PURSUANT TO SECTION 5.4.2 OF THE ORGANIZATION'S BYLAWS, THE CORPORATE MEMBER SHALL HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERNANCE MATRIX. IN ADDITION TO THE RIGHTS RESERVED TO THE CORPORATE MEMBER UNDER THE GOVERNANCE MATRIX, THE CORPORATE MEMBER SHALL HAVE THE POWER TO TRANSFER ASSETS OF THE CORPORATION OR TO REQUIRE THE CORPORATION TO TRANSFER ASSETS TO THE CORPORATE MEMBER, TO THE EXTENT NECESSARY TO ACCOMPLISH THE CORPORATE MEMBER'S GOALS AND OBJECTIVES, AND TO PROVIDE FOR THE PAYMENT OF ALL INDEBTEDNESS OF THE CORPORATE MEMBER OR AN ENTITY CONTROLLED BY, CONTROLLING, OR UNDER COMMON CONTROL WITH THE CORPORATE MEMBER, ISSUED OR INCURRED BY OR ON BEHALF OF THE CORPORATE MEMBER OR A CORPORATE MEMBER AFFILIATE IN FURTHERANCE OF THE CORPORATE MEMBER'S GOALS AND OBJECTIVES. THE CORPORATION SHALL NOT BE REQUIRED TO VIOLATE ITS CHARITABLE PURPOSES, THE TERMS OF ANY RESTRICTED GIFTS, OR THE COVENANTS OF ITS DEBT INSTRUMENTS AS A RESULT OF ANY ASSET TRANSFERS MADE OR DIRECTED BY THE CORPORATE MEMBER. THE CORPORATION SHALL NOT TRANSFER ASSETS TO ENTITIES OTHER THAN THE CORPORATE MEMBER OR CORPORATE MEMBER AFFILIATES WITHOUT THE APPROVAL OF THE CORPORATE MEMBER. 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 COMMONSPIRITHEALTH.ORG. PART VI, LINE 16B-EVAL OF PARTICIPATION IN JV ARRANGEMENTS CATHOLIC HEALTH INITIATIVES-COLORADO HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER, COMMONSPIRIT HEALTHS' ("CSH") SYSTEM-WIDE JOINT VENTURE MODEL OPERATING AGREEMENT INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT: (1) THE EXEMPT ORGANIZATION AT ALL TIMES RETAINS CONTROL OVER THE VENTURE SUFFICIENT TO ENSURE THAT THE PARTNERSHIP FURTHERS THE EXEMPT PURPOSE OF THE ORGANIZATION; (2) IN ANY PARTNERSHIP IN WHICH THE EXEMPT ORGANIZATION IS A PARTNER, ACHIEVEMENT OF EXEMPT PURPOSES IS PRIORITIZED OVER MAXIMIZATION OF PROFITS FOR THE PARTNERS; (3) THE PARTNERSHIP DOES NOT ENGAGE IN ANY ACTIVITIES THAT WOULD JEOPARDIZE THE EXEMPT ORGANIZATION'S EXEMPTION; (4) RETURNS OF CAPITAL, ALLOCATIONS, AND DISTRIBUTIONS MUST BE MADE IN PROPORTION TO THE PARTNERS' RESPECTIVE OWNERSHIP INTERESTS; AND (5) ALL CONTRACTS ENTERED INTO BY THE PARTNERSHIP WITH THE EXEMPT ORGANIZATION MUST BE AT ARM'SLENGTH, WITH PRICES SET AT FAIR MARKET VALUE. ANY JOINT VENTURE AGREEMENTS THAT DO NOT CONFORM TO THE MODEL AGREEMENT ARE GENERALLY REVIEWED BY COUNSEL. FORM 990, PART IX, LINE 11G OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 139,853,454. MANAGEMENT AND GENERAL EXPENSES 13,372,291. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 153,225,745. CONSULTING: PROGRAM SERVICE EXPENSES 219,885,571. MANAGEMENT AND GENERAL EXPENSES 142,446,434. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 362,332,005. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 53,090,154. MANAGEMENT AND GENERAL EXPENSES 9,368,851. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 62,459,005. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 30,457,547. MANAGEMENT AND GENERAL EXPENSES 5,374,861. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,832,408. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 182,931,059. MANAGEMENT AND GENERAL EXPENSES 32,281,952. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 215,213,011. FORM 990, PART XI, LINE 9: CHANGES IN EQUITY OF UNCONSOLIDATED ORGS 9,998,719. OTHER CHANGES 6,238,447. TRANSFER TO AFFILIATES -28,427,246. 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