2024-05-14T21:50:23+00:00 2023-06-30 350921680 CROWE LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 333014230 990 2022-07-01 840405257 Catholic Health Initiatives Colorado CATH 3032906500 9100 EAST MINERAL CIRCLE CENTENNIAL CO 80112 Andrew Gaasch Treasurer 2024-05-15 true Andrew Gaasch 999009999 Brittney Kocaj P01320603 9542028600 2022 2023-04-26 12:10:37Z ANDREW GAASCH 9100 EAST MINERAL CIRCLE CENTENNIAL CO 80112 2634730781 false 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 15607 823 21194057 0 14810163 6205225 2400917767 2567805784 35013330 17046511 23138678 43441159 2473879938 2634498679 2017424 489629 0 785930501 870368469 0 0 0 1411425266 1583044142 2199373191 2453902240 274506747 180596439 3370171721 5764900415 512144261 2763941579 2858027460 3000958836 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. false false 2210471611 489629 2546611727 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." 2210471611 true true false true false false false false false true true false true true true false true false false false false false false false false true true true false true false false false false false false false false false false false false true true true true false false true X 0 0 15607 true true true false false false false false false false false false false false X 4 0 false false false false true true true true true false false false true true true true true false false true true CO X Mikalyn Kluth 3036738249 9100 EAST MINERAL CIRCLE CENTENNIAL CO 80112 Kris Ordelheide SECRETARY/ SVP LEGAL THRU 1/29/2023 1.0 50.0 X X 0 1188577 193598 Mitch H Melfi ESQ Chair/SEVP, Chief Financial Officer/Treasurer 1.0 50.0 X X 0 2668866 38267 Dan Morissette Board Member/ CSH SEVP, Chief Financial Officer/Treasurer 1.0 50.0 X 0 3684455 503207 Elizabeth Shih Board Member/ SEVP, Chief Administrative Officer 1.0 50.0 X 0 3377442 809537 Thomas McGinn Board Member/Excecutive VP, Physician Enterprise 1.0 50.0 X 0 2547753 50756 Andrew Gaasch Treasurer / EVP & CFO 1.0 50.0 X 0 1263430 238379 PETER BANKO CEO / President 5.0 45.0 X 0 3734177 828093 Brian Erling CEO - PENROSE ST. FRANCIS HEALTH SERVICES THRU SEPT 2022 45.0 5.0 X 0 1912118 160688 Carrie Damon SVP & Chief Information Officer 5.0 45.0 X 0 1038442 203917 Dan Enderson Group President - Denver Metro 45.0 5.0 X 0 1659367 283858 Edward Sim EVP & COO - ST. ANTHONY HOSPITAL THRU NOV 2022 45.0 5.0 X 0 1745622 318566 Kevin Jenkins CEO - St. Anthony Hospital 45.0 5.0 X 0 872411 164131 Kevin Wikoff GROUP CFO & CFO - PENROSE ST. FRANCIS HEALTH SERVICES STARTING MARCH 2022 1.0 50.0 X 0 388323 41360 MATTHEW Leary VP OF FINANCE - DENVER METRO GROUP THROUGH APR 2023 / MARKET VP OF FINANCE & CFO - UTAH 1.0 50.0 X 0 565366 63113 Patrick Sharp CEO MERCY HOSPITAL THRU OCT 2022 / CEO PENROSE-ST. FRANCIS HEALTH SERVICES AS OF NOV 2022 45.0 5.0 X 0 675017 125112 Tadd Richert GROUP CFO & CFO - PENROSE ST. FRANCIS HEALTH SERVICES THRU OCT 2022 45.0 5.0 X 0 567374 61317 Thomas Gessel Group President, Greater Colorado & Kansas 45.0 5.0 X 0 1838169 307893 Dean Sanpei EVP and Chief Strategy Officer 1.0 50.0 X 0 1358841 242277 Dennis Kraus Executive Medical Director of Oncology and Enterprise 1.0 50.0 X 0 1125604 51085 Gary Litchtenberger SVP and Chief Transformation Officer 1.0 50.0 X 0 1551020 285906 Shauna Gulley Group President for the Physician Enterprise 1.0 50.0 X 0 1502536 260028 William Anderson Enterprise Executive Medical Director, Heart & Vascular 1.0 50.0 X 0 1054890 28799 Michael Murphy Former Interim CEO - Mercy Regional Medical Center 0.0 0.0 X 0 189381 13629 0 36509182 5273517 1440 true true false Vascular Center of Colorado LLC 2222 N Nevada Ave Suite 3000 Colorado Springs CO 80907 Medical Services 35138246 Colorado Springs Cardiologists PC 2222 N Nevada Ave Suite 4007 Colorado Springs CO 80907 Medical Services 17814322 Colorado Orthopedic Specialist 4105 Briargate Parkway Suite 300 Colorado Springs CO 80920 Medical Services 9775865 Cardiac and Thoracic Surgery Associates PC 2222 N Nevada Ave Suite 5011 Colorado Springs CO 80907 Medical Services 7383418 NEUROSURGERY ONE 7780 S Broadway Suite 350 Littleton CO 80112 Medical Services 7075328 148 6205225 6205225 NET PATIENT SERVICES 622110 2531286998 2531286998 RENTAL TO AFFILIATES 531120 6071713 6071713 CHPG INCENTIVE REVENUE 900099 7597745 7597745 Pharmacy 621990 21194057 21194057 Management Fee Revenue 541611 1379971 1379971 275300 275300 0 0 2567805784 9194608 9194608 0 0 5217417 2634486 5217417 2634486 7851903 7851903 791557 232102 559455 559455 CHILD CARE 722100 576825 576825 CAFETERIA REVENUE 722310 7047798 7047798 MICSCELLANEOUS REVENUE 900099 35257081 35257081 0 0 0 0 42881704 2634498679 2546611727 21194057 60487670 X 489629 489629 203010 203010 779043205 669977156 109066049 27666066 23516156 4149910 10640419 10108398 532021 52815769 44893404 7922365 482264 409924 72340 628911511 575166390 53745121 0 7281835 3640918 3640917 3521386 1760693 1760693 38361126 35292236 3068890 991333 693933 297400 26354498 25036773 1317725 149575815 142097024 7478791 12488252 8741776 3746476 Medical Supplies 401376153 401376153 State Provider Tax 159052444 159052444 R&M - Clinical Eng 21484055 21484055 Leases and Rents 38088406 28566305 9522101 95075064 57965234 37109830 0 2453902240 2210471611 243430629 0 20658529 44714078 325554262 400096617 385304156 549307156 0 0 0 0 61228219 88268268 33648081 44917825 2775525224 1393152681 1320950143 1382372543 478867409 439923158 0 104917628 715641804 639043294 2099658966 3370171721 5764900415 164681549 216835192 55454222 248274 0 0 292008490 2546858113 512144261 2763941579 X 2856859229 2999790605 1168231 1168231 2858027460 3000958836 3370171721 5764900415 X 180596439 5347271 -43012334 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 58642 58642 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 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 - $26,381 American Hospital Association - $ 20,993 Catholic Health Association - $11,268 104585907 104585907 1058172763 417595546 640577217 482330929 197899314 284431615 925602571 777657821 147944750 204833054 204833054 1382372543 BDI - CHIC Investment Mellon 406509039 F BDI - CSH Investments 31105519 F Board Designated Funds 1927399 F Common Investment Pool Donor Limited 381201 F 439923158 INVESTMENT IN UNCONSOLIDATED ORGS 449740200 OCH CAPITAL LEASE 88809386 PARKING GARAGE EASEMENT 4101250 MEDICAL RECORDS 127000 ROU Asset 1556881130 2099658966 ENVIRONMENTAL REMEDIATION 2743 INTERCOMPANY DEBT 2549049982 WORKERS COMPENSATION -2194612 2546858113 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote CATHOLIC HEALTH INITIATIVES COLORADO'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF COMMONSPIRIT HEALTH, A RELATED ORGANIZATION. COMMONSPIRIT HEALTH'S ASC 740 FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2023, READS AS FOLLOWS: CommonSpirit has established its status as an organization exempt from income taxes under Internal Revenue Code Section 501(c)(3) and the laws of the states in which it operates, and as such, is generally not subject to federal or state income taxes. However, CommonSpirit's exempt organizations are subject to income taxes on net income derived from a trade or business, regularly carried on, which does not further the organizations' exempt purposes. No significant income tax provision has been recorded in the accompanying consolidated financial statements for net income derived from unrelated trade or business. CommonSpirit's for-profit subsidiaries account for income taxes related to their operations. The for-profit subsidiaries recognize deferred tax assets and liabilities for temporary differences between the financial reporting basis and the tax basis of their assets and liabilities, along with net operating loss and tax credit carryovers, for tax positions that meet the more-likely-than-not recognition criteria. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs. COMMONSPIRIT'S TAXABLE INCOME ENTITIES DID NOT HAVE ANY MATERIAL UNRECOGNIZED INCOME TAX EXPENSE AS OF JUNE 30, 2023 AND 2022. COMMONSPIRIT REVIEWS ITS TAX POSITITIONS QUARTERLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPYING CONSOLIDATED FINANCIAL STATEMENTS. true true X true X 250 true X true true true false true true 38689202 38689202 0.0158 581020299 402509943 178510356 0.0727 4692 4692 0.0000 0 0 619714193 402509943 217204250 0.0885 1469838 1469838 0.0006 580611 580611 0.0002 129004 129004 0.0001 0 0.0 2881651 2881651 0.0012 0 0 5061104 0 5061104 0.0021 0 0 624775297 402509943 222265354 0.0906 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 0 0 753080174 989904779 -236824605 X true true ORTHOCOLORADO LLC HOSPITAL 0.6 0.0 0.4 15 1 PENROSE HOSPITAL 2222 N NEVADA AVE COLORADO SPRINGS CO 80907 https://www.mountain.commonspirit.org/location/penrose-hospital 010543 X X X X X X ICU & CCU, CANCER CENTER, IP REHAB A 2 ST ANTHONY HOSPITAL 11600 WEST 2ND PLACE LAKEWOOD CO 80228 https://www.mountain.commonspirit.org/location/st-anthony-hospital 010429 X X X X A 3 ST ANTHONY NORTH HOSPITAL 2551 W 84TH AVE WESTMINSTER CO 80031 https://www.mountain.commonspirit.org/location/st-anthony-north-hospital 010402 X X X X A 4 MERCY HOSPITAL 1010 THREE SPRINGS BLVD DURANGO CO 81301 https://www.mountain.commonspirit.org/location/mercy-hospital 011213 X X X A 5 ST MARY-CORWIN HOSPITAL 1008 MINNEQUA AVE Pueblo CO 81004 https://www.mountain.commonspirit.org/location/st-mary-corwin-hospital 010650 X X X A 6 ST FRANCIS HOSPITAL 6001 E WOODMAN RD COLORADO SPRINGS CO 80923 https://www.mountain.commonspirit.org/location/penrose-hospital 01H523 X X X BIRTH CENTER, NICU - IIIA, ICU A 7 ST ANTHONY SUMMIT HOSPITAL 340 PEAK ONE DRIVE FRISCO CO 80443 https://www.mountain.commonspirit.org/location/st-anthony-summit-hospital 011155 X X X A 8 St Elizabeth Hospital 1000 Lincoln St Fort Morgan CO 80701 https://www.mountain.commonspirit.org/location/st-elizabeth-hospital 10130 X X X Level III Trauma, ICU B 9 Holy Cross Hospital - Jordan Valley 3580 W 9000 S West Jordan UT 84088 https://www.mountain.commonspirit.org/location/holy-cross-hospital-jordan-valley 2023-HOSP-F23-106917 X X X B 10 Holy Cross Hospital - Davis 1600 West Antelope Drive Layton UT 84041 https://www.mountain.commonspirit.org/location/holy-cross-hospital-davis 2023-HOSP-F23-106676 X X X B 11 ST THOMAS MORE HOSPITAL 1338 PHAY AVENUE CANON CITY CO 81212 https://www.mountain.commonspirit.org/location/st-thomas-more-hospital 010623 X X X A 12 Holy Cross Hospital - Salt Lake 1050 East South Temple Salt Lake City UT 84102 https://www.mountain.commonspirit.org/location/holy-cross-hospital-salt-lake 2023-HOSP-F23-107079 X X X B 13 ORTHOCOLORADO HOSPITAL 11650 WEST 2ND PLACE LAKEWOOD CO 80255 https://www.mountain.commonspirit.org/location/orthocolorado-hospital 01U246 X X X A 14 Holy Cross Hospital - Jordan Valley West 3460 South 4155 West West Valley City UT 84120 https://www.mountain.commonspirit.org/location/holy-cross-hospital-jordan-valley-west 2023-HOSP-F23-106535 X X X LEVEL III TRAUMA CENTER B 15 Holy Cross Hospital - Mountain Point 3000 N Triumph Blvd LehI UT 84043 https://www.mountain.commonspirit.org/location/holy-cross-hospital-mountain-point 2023-HOSP-F23-106465 X X X B A false false true X X X X X X X X X 21 true true true true X HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/COMMUNITY-IMPACT/COMMUNITY-BENEFIT X true 21 true HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/COMMUNITY-IMPACT/COMMUNITY-BENEFIT false true X 250.0 400.0 X X X X X true true X X X true X HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/PATIENT-TOOLS/BILLING-AND-FINANCIALSERVICES/ FINANCIAL-HELP X HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/PATIENT-TOOLS/BILLING-AND-FINANCIALSERVICES/ FINANCIAL-HELP X HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/PATIENT-TOOLS/BILLING-AND-FINANCIALSERVICES/ FINANCIAL-HELP X X X X X X true X false X X X X true X false false B false true false false true X 250.0 450.0 X X X X X true true X X X true X HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/COMMUNITY-IMPACT/COMMUNITY-BENEFIT X HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/COMMUNITY-IMPACT/COMMUNITY-BENEFIT X HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/COMMUNITY-IMPACT/COMMUNITY-BENEFIT X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SEE THE NARRATIVE FOR LINE 11 FOR A DESCRIPTION OF THE NEEDS AND HOW THEY ARE ADDRESSED. Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - PENROSE HOSPITAL & ST. FRANCIS HOSPITAL . IN ORDER TO ASSESS THE NEEDS OF OUR COMMUNITY, WE CREATED A HOSPITAL SUBCOMMITTEE MADE UP OF KEY STAKEHOLDERS AND INDIVIDUALS WHO REPRESENTED THE BROADER INTERESTS OF OUR COMMUNITY. PUBLIC HEALTH REPRESENTATIVES ATTENDED EVERY MEETING AND PROVIDED INPUT INTO THE PROCESS OF NARROWING THE SELECTION OF HEALTH ISSUES. ONCE HEALTH NEEDS WERE PRIORITIZED, WE DETERMINED GROUPS AND INDIVIDUALS APPROPRIATE FOR FOCUS GROUPS, BEING SURE TO SOLICIT INPUT FROM UNDERSERVED OR MINORITY GROUPS WITHIN THE COMMUNITIES WE SERVE. THESE FOCUS GROUPS HELPED IDENTIFY PARTICULARLY IMPORTANT NEEDS AS SEEN BY OUR COMMUNITIES, HELP US IDENTIFY GAPS IN KNOWLEDGE, AND UNDERSTAND CURRENT EXTERNAL EFFORTS AROUND HEALTH NEEDS THAT COULD BE IMPROVED BY HEALTHCARE PARTICIPATION. PENROSE & ST FRANCIS HOSPITAL HOSPITAL CREATED A CHNA COMMITTEE TO REVIEW THE QUALITATIVE AND QUANTITATIVE HEALTH DATA AND PRIORITIZE HEALTH NEEDS IN OUR COMMUNITIES. THIS SUBCOMMITTEE WAS MADE UP OF BOTH HOSPITAL STAFF AND COMMUNITY STAKEHOLDERS INCLUDING REPRESENTATIVES FROM THE EL PASO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT. WE PRIORITIZED HEALTH NEEDS IN OUR COMMUNITY USING THE CENTURA HEALTH PRIORITIZATION METHOD, ADAPTED FROM THE HANLON METHOD FOR PRIORITIZING HEALTH PROBLEMS. FIRST, THE CHNA SUBCOMMITTEE RATED EACH IDENTIFIED NEED ON A SCALE OF 1-4 (LOW - HIGH) AGAINST THE SIZE OF THE PROBLEM AND THE SERIOUSNESS OF THE PROBLEM. THIS RANKING WAS CALCULATED BY ADDING THESE TWO RANKINGS TOGETHER. FOR THE TOP HEALTH INDICATORS, WE SCHEDULED MEETINGS FROM MARCH THROUGH NOVEMBER 2022 TO COLLECT INFORMATION ABOUT THAT WHICH IS ALREADY HAPPENING, GAPS RELATED TO EACH PRIORITY AND PUBLIC HEALTH QUALITATIVE DATA. BASED UPON THESE RESULTS, THE COMMITTEE IDENTIFIED THE PRIORITIES UPON WHICH TO FOCUS. THE STEERING COMMITTEE WAS MADE UP OF THE FOLLOWING ORGANIZATIONS AND REPRESENT THE FOLLOWING TARGET POPULATIONS: * PENROSE HOSPITAL, SERVING THE BROADER COMMUNITY * EL PASO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT, SERVING THE BROADER COMMUNITY * CATHOLIC CHARITIES, SERVING THE VULNERABLE AND UNDERREPRESENTED POPULATION * COLORADO SPRINGS OSTEOPATHIC FOUNDATION, SERVING THE BROADER COMMUNITY * COMMUNITY HEALTH PARTNERSHIP, SERVING THE VULNERABLE AND UNDERREPRESENTED POPULATION * INNOVATIONS IN AGING COLLABORATIVE, REPRESENTING SENIORS * NAMI COLORADO SPRINGS, PRESENTING THE BROADER COMMUNITY * SILVER KEY SENIORS SERVICES, REPRESENTING SENIORS * TRI-LAKES CARES, REPRESENTING THE VULNERABLE POPULATION * WESTSIDE CARES, REPRESENTING THE VULNERABLE POPULATION AND IMMIGRANT COMMUNITY Schedule H, Part V, Section B, Line 5 Facility A, 2 Facility A, 2 - ST ANTHONY HOSPITAL. IN ORDER TO ASSESS THE NEEDS OF OUR COMMUNITY, WE CREATED A HOSPITAL SUBCOMMITTEE MADE UP OF KEY STAKEHOLDERS AND INDIVIDUALS WHO REPRESENTED THE BROADER INTERESTS OF OUR COMMUNITY. PUBLIC HEALTH REPRESENTATIVES ATTENDED EVERY MEETING AND PROVIDED INPUT INTO THE PROCESS OF NARROWING THE SELECTION OF HEALTH ISSUES. ONCE HEALTH NEEDS WERE PRIORITIZED, WE DETERMINED GROUPS AND INDIVIDUALS APPROPRIATE FOR FOCUS GROUPS, BEING SURE TO SOLICIT INPUT FROM UNDERSERVED OR MINORITY GROUPS WITHIN THE COMMUNITIES WE SERVE. THESE FOCUS GROUPS HELPED IDENTIFY PARTICULARLY IMPORTANT NEEDS AS SEEN BY OUR COMMUNITIES, HELP US IDENTIFY GAPS IN KNOWLEDGE, AND UNDERSTAND CURRENT EXTERNAL EFFORTS AROUND HEALTH NEEDS THAT COULD BE IMPROVED BY HEALTHCARE PARTICIPATION. ST. ANTHONY HOSPITAL COLLABORATED WITH JEFFERSON COUNTY PUBLIC HEALTH AND LUTHERAN MEDICAL CENTER TO CONDUCT OUR COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS FROM MARCH THROUGH NOVEMBER 2022 TO COLLABORATIVELY TO COVER OUR SHARED SERVICE AREA AND TO INCLUDE CLEAR CREEK COUNTY IN THE DISCUSSIONS. TOGETHER WE IDENTIFIED OUR COMMUNITY HEALTH NEEDS ASSESSMENT STEERING COMMITTEE. ST. ANTHONY HOSPITAL ASSOCIATES ALSO PARTICIPATED IN THIS PROCESS THROUGH MEETING PARTICIPATION. WE HAVE ALIGNED PRIORITIES ACROSS COMMUNITY ASSESSMENT PARTNERS TO ENSURE GREATER MOVEMENT TOWARD THE SAME GOALS AND COMPLEMENTARY EFFORTS. IN ADDITION TO LOCAL PARTNERSHIPS, CENTURA HEALTH SITS ON THE METRO DENVER PARTNERSHIP FOR HEALTH, A PARTNERSHIP BETWEEN NONPROFIT HOSPITALS, METRO DENVER PUBLIC HEALTH DEPARTMENTS, REGIONAL ACCOUNTABLE ENTITIES AND HUMAN SERVICES DEPARTMENTS TO ALIGN COMMUNITY HEALTH EFFORTS ACROSS THE SEVEN-COUNTY REGION, OF WHICH JEFFERSON COUNTY IS A PART. THE STEERING COMMITTEE WAS MADE UP OF THE FOLLOWING ORGANIZATIONS AND REPRESENT THE FOLLOWING TARGET POPULATIONS: * CITY OF ARVADA, REPRESENTING THE BROADER COMMUNITY * CLEAR CREEK COUNTY, REPRESENTING THE BROADER COMMUNITY * COLORADO CHRISTIAN UNIVERSITY, REPRESENTING FAITH BASED COMMUNITIES * COLORADO COMMUNITY HEALTH ALLIANCE, REPRESENTING THE BROADER COMMUNITY * COMMUNITY FIRST FOUNDATION, REPRESENTING THE BROADER COMMUNITY WITH A FOCUS ON VULNERABLE POPULATIONS * EDGEWATER COLLECTIVE, REPRESENTING VULNERABLE COMMUNITY MEMBERS * EVERGREEN FIRE RESCUE, REPRESENTING THE BROADER COMMUNITY * JEFFERSON CENTER FOR MENTAL HEALTH, REPRESENGING THOSE NEEDING BEHAVIORAL HEALTH SERVICES * JEFFERSON COUNTY PUBLIC HEALTH, REPRESENTING THE BROADER COMMUNITY * JEFFERSON COUNTY HEADING HOME, REPRESENTING THE UNHOUSED AND AT-RISK OF BEING HOMELESS POPULATION * JEFFERSON COUNTY HUMAN SERVICES, REPRESENTING THE BROADER COMMUNITY * JEFFERSON COUNTY LIBRARY, REPRESENTING THE BROADER COMMUNITY * JEFFERSON COUNTY PUBLIC SCHOOLS, REPRESENTING THE BROADER COMMUNITY * METRO DENVER HOMELESS INITIATIVE, REPRESENTING THE UNHOUSED AND AT-RISK OF BEING HOMELESS POPULATION * RED ROCKS COMMUNITY COLLEGE, REPRESENTING THE BROADER COMMUNITY * ROOT POLICY, REPRESENTING THE VULNERABLE AND UNDERPRESENTED COMMUNITY * STRIDE COMMUNITY HEALTH CENTER, REPRESENTING THOSE SEEKING BEHAVIORAL HEALTH SERVICES * THE ACTION CENTER, REPRESENTING THE VULNERABLE * RESIDENTS, REPRESENTING THE BROADER COMMUNITY Schedule H, Part V, Section B, Line 5 Facility A, 3 Facility A, 3 - ST ANTHONY NORTH HOSPITAL. IN ORDER TO ASSESS THE NEEDS OF OUR COMMUNITY, WE CREATED A HOSPITAL SUBCOMMITTEE MADE UP OF KEY STAKEHOLDERS AND INDIVIDUALS WHO REPRESENTED THE BROADER INTERESTS OF OUR COMMUNITY. PUBLIC HEALTH REPRESENTATIVES ATTENDED EVERY MEETING AND PROVIDED INPUT INTO THE PROCESS OF NARROWING THE SELECTION OF HEALTH ISSUES. ONCE HEALTH NEEDS WERE PRIORITIZED, WE DETERMINED GROUPS AND INDIVIDUALS APPROPRIATE FOR FOCUS GROUPS, BEING SURE TO SOLICIT INPUT FROM UNDERSERVED OR MINORITY GROUPS WITHIN THE COMMUNITIES WE SERVE. THESE FOCUS GROUPS HELPED IDENTIFY PARTICULARLY IMPORTANT NEEDS AS SEEN BY OUR COMMUNITIES, HELP US IDENTIFY GAPS IN KNOWLEDGE, AND UNDERSTAND CURRENT EXTERNAL EFFORTS AROUND HEALTH NEEDS THAT COULD BE IMPROVED BY HEALTHCARE PARTICIPATION. ST. ANTHONY NORTH HOSPITAL COLLABORATED WITH BROOMFIELD AND TRI COUNTY PUBLIC HEALTH WITH THEIR REPRESENTATION ON OUR STEERING COMMITTEE. IN ADDITION TO SERVING ON OUR STEERING COMMITTEE, WE AGREED WITH THE PUBLIC HEALTH DEPARTMENTS TO ALIGN COMMUNITY-BASED EFFORTS IN ORDER TO AVOID DUPLICATION AND ADDRESS COMMUNITY HEALTH HOLISTICALLY. WE HAVE INTENTIONALLY ALIGNED STRATEGIES, AS APPLICABLE, TO ENSURE GREATER MOVEMENT TOWARD SAME GOALS AND COMPLEMENTARY EFFORTS. IN ADDITION TO THE PARTNERSHIPS WITH LOCAL PUBLIC HEALTH DEPARTMENTS, CENTURA HEALTH SITS ON THE METRO DENVER PARTNERSHIP FOR HEALTH, A PARTNERSHIP BETWEEN NONPROFIT HOSPITALS AND PUBLIC HEALTH DEPARTMENTS TO ALIGN EFFORTS ACROSS THE SEVEN-COUNTY REGION. OUR STEERING COMMITTEE MET FROM MARCH THROUGH NOVEMBER OF 2022 VIA ZOOM MEETINGS AND BY COMPLETING SURVEYS TO RANK AND PRIORITIZE OUR STRATEGIES AND PROGRAMS, INCLUDING ASSETS AND GAPS. ADDITIONALLY, THE HOSPITAL PROVIDED A SUMMARY OF OUR STRATEGIES TO OUR COMMUNITY ORGANIZATIONS AND MEMBERS TO GET ADDITIONAL FEEDBACK. THE STEERING COMMITTEE WAS MADE UP OF THE FOLLOWING ORGANIZATIONS AND REPRESENT THE FOLLOWING TARGET POPULATIONS: * ADAMS 12 SCHOOL DISTRICT, SERVING THE BROADER COMMUNITY * ADAMS COUNTY, SERVING THE BROADER COMMUNITY * BROOMFIELD COMMUNITY SERVICES NETWORK, SERVING THE BROADER COMMUNITY AND VULNERABLE POPULATION * BROOMFIELD COUNTY PUBLIC HEALTH, SERVING THE BROADER COMMUNITY * BROOMFIELD FISH, SERVING THOSE FACING FOOD INSECURITY * COLECTIVA, SERVING THE VULNERABLE AND UNDERREPRESENTED POPULATION * FOOD BANK OF THE ROCKIES, SERVING THOSE FACING FOOD INSECURITY * GROWING HOME, SERVING THE IMMIGRANT POPULATION * STATE OF COLORADO, HCPF, SERVING THE BROADER COMMUNITY * TRI COUNTY PUBLIC HEALTH, SERVING THE BROADER COMMUNITY * VUELA FOR HEALTH, SERVING THE HISPANIC COMMUNITY * WESTMINSTER PUBLIC SCHOOLS, SERVING THE BROADER COMMUNITY Schedule H, Part V, Section B, Line 5 Facility A, 4 Facility A, 4 - ST. ANTHONY SUMMIT. IN ORDER TO ASSESS THE NEEDS OF OUR COMMUNITY, WE CREATED A HOSPITAL SUBCOMMITTEE MADE UP OF KEY STAKEHOLDERS AND INDIVIDUALS WHO REPRESENTED THE BROADER INTERESTS OF OUR COMMUNITY. PUBLIC HEALTH REPRESENTATIVES ATTENDED EVERY MEETING AND PROVIDED INPUT INTO THE PROCESS OF NARROWING THE SELECTION OF HEALTH ISSUES. ONCE HEALTH NEEDS WERE PRIORITIZED, WE DETERMINED GROUPS AND INDIVIDUALS APPROPRIATE FOR FOCUS GROUPS, BEING SURE TO SOLICIT INPUT FROM UNDERSERVED OR MINORITY GROUPS WITHIN THE COMMUNITIES WE SERVE. THESE FOCUS GROUPS HELPED IDENTIFY PARTICULARLY IMPORTANT NEEDS AS SEEN BY OUR COMMUNITIES, HELP US IDENTIFY GAPS IN KNOWLEDGE, AND UNDERSTAND CURRENT EXTERNAL EFFORTS AROUND HEALTH NEEDS THAT COULD BE IMPROVED BY HEALTHCARE PARTICIPATION. EVERY FIVE YEARS, ALL PUBLIC HEALTH AGENCIES IN COLORADO ARE REQUIRED TO FOLLOW THE COLORADO HEALTH ASSESSMENT AND PLANNING SYSTEM (CHAPS) PROCESS TO CREATE A PUBLIC HEALTH IMPROVEMENT PLAN FOR SUBMISSION TO THE OFFICE OF PUBLIC HEALTH PRACTICE, PLANNING, AND LOCAL PARTNERSHIPS. SUMMIT COUNTY, COLORADO'S LAST PUBLIC HEALTH IMPROVEMENT PLAN WAS FOR 2017 - 2022. IN 2022, SUMMIT COUNTY PUBLIC HEALTH AND ST. ANTHONY SUMMIT MEDICAL CENTER, CENTURA HEALTH PARTNERED WITH OMNI INSTITUTE TO CONDUCT SUMMIT COUNTY'S COMMUNITY HEALTH NEEDS ASSESSMENT AND CORRESPONDING STRATEGIC COMMUNITY HEALTH IMPROVEMENT PLAN FOR 2023 - 2028. OUR STEERING COMMITTEE MET FROM FEBRUARY THROUGH NOVEMBER OF 2022 VIA ZOOM MEETINGS AND BY COMPLETING SURVEYS TO RANK AND PRIORITIZE OUR STRATEGIES AND PROGRAMS, INCLUDING ASSETS AND GAPS. ADDITIONALLY, THE HOSPITAL PROVIDED A SUMMARY OF OUR STRATEGIES TO OUR COMMUNITY ORGANIZATIONS AND MEMBERS TO GET ADDITIONAL FEEDBACK. OMNI INSTITUTE WANTS TO THANK THE MORE THAN 300 MEMBERS OF THE SUMMIT COUNTY, COLORADO COMMUNITY WHO CONTRIBUTED THEIR TIME AND EXPERTISE FOR THIS REPORT THROUGH SHARING THEIR INSIGHTS WITH OUR RESEARCH TEAM ON KEY HEALTH CONCERNS AND ASSETS VIA INTERVIEWS, FOCUS GROUPS, SURVEY, PHOTOVOICE. Schedule H, Part V, Section B, Line 5 Facility A, 5 Facility A, 5 - ST. MARY-CORWIN HOSPITAL . IN ORDER TO ASSESS THE NEEDS OF OUR COMMUNITY, WE CREATED A HOSPITAL SUBCOMMITTEE MADE UP OF KEY STAKEHOLDERS AND INDIVIDUALS WHO REPRESENTED THE BROADER INTERESTS OF OUR COMMUNITY. PUBLIC HEALTH REPRESENTATIVES ATTENDED EVERY MEETING AND PROVIDED INPUT INTO THE PROCESS OF NARROWING THE SELECTION OF HEALTH ISSUES. ONCE HEALTH NEEDS WERE PRIORITIZED, WE DETERMINED GROUPS AND INDIVIDUALS APPROPRIATE FOR FOCUS GROUPS, BEING SURE TO SOLICIT INPUT FROM UNDERSERVED OR MINORITY GROUPS WITHIN THE COMMUNITIES WE SERVE. THESE FOCUS GROUPS HELPED IDENTIFY PARTICULARLY IMPORTANT NEEDS AS SEEN BY OUR COMMUNITIES, HELP US IDENTIFY GAPS IN KNOWLEDGE, AND UNDERSTAND CURRENT EXTERNAL EFFORTS AROUND HEALTH NEEDS THAT COULD BE IMPROVED BY HEALTHCARE PARTICIPATION. TO GLEAN COMMUNITY LEADER PERSPECTIVES ON RISK FACTORS, BARRIERS, AND PRIORITY POPULATIONS FOR OBESITY AND BEHAVIORAL HEALTH, THE DELPHI METHOD WAS EMPLOYED. THE DELPHI METHOD IS A MULTI-ROUND APPROACH WHICH USES AN EXPERT PANEL TO ANONYMOUSLY OR CONFIDENTIALLY PROVIDE RESPONSES TO QUESTIONS IN AN INITIAL ROUND AND THEN PROVIDE FEEDBACK ON THE GROUP'S RESPONSES IN LATER ROUNDS WITH THE AIM OF REACHING GROUP CONSENSUS. PARTICIPANTS MUST COMPLETE EACH ROUND TO MOVE ON TO THE NEXT ROUND. THE DELPHI QUESTIONS MAY BE FOUND IN APPENDIX F.CHA PLANNING TEAM MEMBERS CREATED A LIST OF INFLUENTIAL AND KNOWLEDGEABLE LEADERS IN OBESITY AND/OR BEHAVIORAL HEALTH SECTORS. IN THE FIRST ROUND, AN ELECTRONIC SURVEY WAS CREATED USING GOOGLE FORMS, AND RESPONDENTS WERE ASKED TO GENERATE IDEAS ON SEVEN OPEN-ENDED QUESTIONS RELATED TO OBESITY AND BEHAVIORAL HEALTH. A LINK TO THE SURVEY WAS EMAILED TO THE POTENTIAL RESPONDENTS BY A DESIGNATED CHA PLANNING TEAM MEMBER. THE FIRST ROUND WAS LIVE IN GOOGLE FORMS FROM APRIL 5 UNTIL APRIL 16, 2021. A MEMBER OF THE PROJECT MANAGEMENT TEAM ANALYZED THE RESPONSES FROM ROUND ONE, GROUPING ITEMS INTO THEMES AND CREATING TEN RESPONSE OPTIONS FOR EACH QUESTION. FOR ROUND TWO, AN ELECTRONIC SURVEY WAS CREATED IN GOOGLE FORMS AND RESPONDENTS WERE ASKED TO RANK, IN PRIORITY ORDER, THE TEN OPTIONS FOR EACH OF SEVEN QUESTIONS FROM ROUND ONE. AGAIN, AN EMAIL WAS SENT TO EACH RESPONDENT BY A MEMBER OF THE PLANNING TEAM. ROUND TWO WAS LIVE IN GOOGLE FORMS FROM MAY 3 UNTIL MAY 12, 2021. IN ROUND THREE, A PERSONALIZED DOCUMENT WITH THE LEADERSHIP GROUP'S TOP FIVE RANKINGS FOR EACH QUESTION, THE PARTICIPANT'S INDIVIDUAL RANKING ON THE QUESTIONS, AND A SPACE TO EITHER CONFIRM OR CHANGE THEIR TOP FIVE RANK WAS CREATED AND EMAILED TO EACH PARTICIPANT. ROUND THREE WAS OPEN FROM MAY 20 UNTIL MAY 28, 2021. THE STEERING COMMITTEE WAS MADE UP OF THE FOLLOWING ORGANIZATIONS AND REPRESENT THE FOLLOWING TARGET POPULATIONS: * COLORADO STATE UNIVERSITY, SERVING THE BROADER COMMUNITY * PUEBLO WEST METRO DISTRICT, SERVING THE BROADER COMMUNITY * CROSSROADS' TURNING POINTS, INC., SERVING THE BROADER COMMUNITY * PUEBLO BOARD OF HEALTH, SERVING THE BROADER COMMUNITY * HEALTH COLORADO, SERVING THE MEDICAID COMMUNITY * NEIGHBORHOOD REPRESENTATIVE/ ADVOCATE, SERVING THE VULNERABLE AND UNDERREPRESENTED COMMUNITY * SENIOR RESOURCE DEVELOPMENT AGENCY, SERVING THE SENIOR COMMUNITY * PUEBLO COMMUNITY HEALTH CENTER, SERVING THE VULNERABLE AND MEDICALLY UNDERSERVED COMMUNITY * UNITED WAY OF PUEBLO COUNTY, SERVING THE BROADER COMMUNITY * PARKVIEW HEALTH SYSTEM, SERVING THE BROADER COMMUNITY * HEALTH SOLUTIONS, SERVING THOSE NEEDING BEHAVIORAL HEALTH SERVICES * PUEBLO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT, SERVING THE BROADER COMMUNITY Schedule H, Part V, Section B, Line 5 Facility A, 6 Facility A, 6 - ST. THOMAS MORE HOSPITAL. IN ORDER TO ASSESS THE NEEDS OF OUR COMMUNITY, WE CREATED A HOSPITAL SUBCOMMITTEE MADE UP OF KEY STAKEHOLDERS AND INDIVIDUALS WHO REPRESENTED THE BROADER INTERESTS OF OUR COMMUNITY. PUBLIC HEALTH REPRESENTATIVES ATTENDED EVERY MEETING AND PROVIDED INPUT INTO THE PROCESS OF NARROWING THE SELECTION OF HEALTH ISSUES. ONCE HEALTH NEEDS WERE PRIORITIZED, WE DETERMINED GROUPS AND INDIVIDUALS APPROPRIATE FOR FOCUS GROUPS, BEING SURE TO SOLICIT INPUT FROM UNDERSERVED OR MINORITY GROUPS WITHIN THE COMMUNITIES WE SERVE. THESE FOCUS GROUPS HELPED IDENTIFY PARTICULARLY IMPORTANT NEEDS AS SEEN BY OUR COMMUNITIES, HELP US IDENTIFY GAPS IN KNOWLEDGE, AND UNDERSTAND CURRENT EXTERNAL EFFORTS AROUND HEALTH NEEDS THAT COULD BE IMPROVED BY HEALTHCARE PARTICIPATION. ST. THOMAS MORE HOSPITAL PARTNERED WITH THE FREMONT COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT TO DEVELOP THE CHNA. WE LEVERAGE QUALITATIVE AND QUANTITATIVE SOURCES TO DEVELOP THE CHNA, INCLUDING THE COLLECTION OF DATA FROM THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT REGARDING CURRENT INDICATORS OF HEALTH FOR FREMONT COUNTY RESIDENTS AND SURVEYS OF RESIDENTS AND COMMUNITY LEADERS REGARDING THE TOP HEALTH CONCERNS FOR THE COUNTY. IN ADDITION TO OUR COLLABORATION WITH THE FREMONT COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT, ST. THOMAS MORE HOSPITAL ALSO PARTNERED WITH THE COLORADO HEALTH INSTITUTE TO CONVENE SUBJECT MATTER EXPERTS FROM COMMUNITY-BASED ORGANIZATIONS FOCUSED ON SPECIFIC HEALTH INDICATORS AND THEIR SOCIAL DETERMINANTS OF HEALTH DOMAINS. FREMONT COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT AND ST. THOMAS MORE HOSPITAL CONVENED A CHNA SUBCOMMITTEE WHICH MET FROM MARCH THROUGH NOVEMBER 2022 VIA ZOOM AND IN PERSON MEETINGS. THE STEERING COMMITTEE WAS MADE UP OF THE FOLLOWING ORGANIZATIONS AND REPRESENT THE FOLLOWING TARGET POPULATIONS: * ST. THOMAS MORE HOSPITAL, SERVING THE BROADER COMMUNITY * FREMONT COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT, SERVING THE BROADER COMMUNITY * FREMONT COUNTY EMERGENCY MANAGEMENT, SERVING THE BROADER COMMUNITY * CANON CITY SCHOOLS, SERVING THE BROADER COMMUNITY * CANON CITY SCHOOLS - RE-1, SERVING THE BROADER COMMUNITY * CITY OF CANON CITY, CHIEF OF POLICE, SERVING THE BROADER COMMUNITY * DEPARTMENT OF HUMAN SERVICES, FREMONT COUNTY, SERVING THE BROADER COMMUNITY * FLORENCE FIRE PROTECTION DISTRICT, SERVING THE BROADER COMMUNITY * HEALTH COLORADO, INC., SERVING THE MEDICAID COMMUNITY * HILDEBRAND CAMPUS OF CARE, SERVING THE VULNERABLE AND UNDERREPRESENTED COMMUNITY * LEAVES AND FISHES MINISTRIES, SERVING THE VULNERABLE AND UNDERREPRESENTED COMMUNITY * ROCKY MOUNTAIN BEHAVIORAL HEALTH, SERVING THOSE SEEKING BEHAVIORAL HEALTH SERVICES Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - PENROSE HOSPITAL AND ST FRANCIS HOSPITAL. PENROSE HOSPITAL AND ST FRANCIS HOSPITAL CONDUCTED A JOINT CHNA. Schedule H, Part V, Section B, Line 6a Facility A, 2 Facility A, 2 - ST ANTHONY HOSPITAL AND ORTHOCOLORADO HOSPITAL. ST ANTHONY HOSPITAL AND ORTHOCOLORADO HOSPITAL CONDUCTED A JOINT CHNA. Schedule H, Part V, Section B, Line 6b Facility A, 1 Facility A, 1 - PENROSE HOSPITAL AND ST. FRANCIS HOSPITAL. EL PASO COUNTY PUBLIC HEALTH (EPCPH) Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - PENROSE HOSPITAL & St. Francis Hospital. Penrose and St. Francis (PSF) and community stakeholders identified four significant needs in their community, which they prioritized and focused on in their 2022 Community Health Implementation Plan. The priority needs identified were: 1. Access to Care: Mental Health; 2. Disease and Injury: Suicide; 3. Risk Behaviors: Substance Use; and 4. Capacity Building: Food Security. Access to Care: Mental Health Goal 1: Stigma Reduction 1. PSF and Centura Health leadership advanced community collaboration to support MH stigma reduction, including helping to facilitate youth training in partnership with local organizations and school systems and partnering with Diversity Equity and Inclusion organizations to advance mental health and resiliency work. Goal 2: Community of Practice Behavioral Health Workforce 1. PSF and Centura BH Initiatives leadership advanced its goal by partnering with Community Health Partners to establish the Behavioral Health Action Network and to launch a regional Behavioral Health workforce collaborative group that helped secure funding for a regional school district to develop the first local Career Technical Education pathway for behavioral Health. 2. PSF and Centura worked with Forge Evolution and Solid Rock to provide youth with life skills, career readiness, and other tools to support youth. Through these partnerships, youth could explore careers, intern, and mentor others. PSF and Centura secured funding to provide scholarships to youth from diverse economically challenged backgrounds to attend a local Certified Nurse Assistant (CNA) program and access to CNA career opportunities. 3. In alignment with this community-facing workforce, skills, and resiliency work, PSF expanded its Behavioral Health Specialist and Specialist II program, advancing additional positions for employment and helping to secure workforce development pathways for these positions to advance professionally within Centura or our newly established group of regional employer partners. 4. PSF and partnering agencies, Catholic Charities of Colorado Springs. Tri Lakes Cares, Monument and West Side Cares Colorado Springs, through the service of three Faith Community Nurses have identified persons identified with mental health symptoms from the most vulnerable population in the community including the unhoused individuals and navigated them to appropriate treatment options. Disease and Injury Prevention: Suicide Goal 1 Zero Suicide 1. Post Discharge Follow-up a. PSF and Centura instituted a process where their integrated psychiatric assessment and social work team advanced referrals to Rocky Mountain Crisis Partners for post-discharge follow-up. 2. Best Practice implementation a. PSF associates participated in suicide prevention training to support this initiative work. Centura Health and PSF created workflows for patients screened with low and moderate risk and elevated risk, ensuring that all patients with any level of suicidality have a care pathway. b. PSF implemented best practice universal suicide screening protocols and staff training to advance its assessment and referral outcomes. Goal 2: Mental Health Community of Practice 1. Centura Health sponsored and helped manage the Communities of Practice MH forum and school partnership model. The Centura sponsored and supported 22-23 School Year Colorado School Mental Health Community of Practice (CoP) and had over 200 registered members from over 50 school districts, including several El Paso County School Districts, multiple Community Mental Health Centers including Diversus, State, and regional agencies, and clinicians serving youth. 2. This year, the CoP added a special year-end presentation on Behavioral Health Workforce Development and youth opportunities for high school co-current classes that included mental health support and resiliency training and the opportunity for internships, apprenticeship programs, and entry-level positions with career trajectory strategy to advance youth participants linking this work to our access initiative and PSF BH specialist pilot program. Risk Behaviors: Substance Use Goal 1 Opioid addiction intervention and prevention outcomes 1. PSF and Centura led an Opioid addiction intervention and prevention outcomes initiative where the network of emergency department providers nearly doubled the rate of patients treated for Opioid Use Disorder with MOUD (Medications for Opioid Use Disorder) across the healthcare system and connected patients to the continuum of care toward recovery. 2. Through collaboration with local and national partners, PSF saved lives by disseminating the overdose-antidote, naloxone. 3. Additionally, PSF emergency department providers reduced their administration and prescription of opioids and utilized more alternatives to treat pain to help prevent opioid addiction. 4. PSF is also advancing its capabilities to support mothers with potential substance use by advancing a program to expand Naloxone kit access to delivering mothers. Goal 2: Screening Brief Intervention and Referral to Treatment 1. To advance on increasing substance use screening, PSF expanded its BH Specialist II positions, adding support for both Emergency Department and Medical floor patient SBIRT and Social Determinants of Health screenings. For Capacity Building: Food Security Goal 1 Food Assistance: Increase utilization of and access to affordable, fresh produce and federal food assistance programs and enhancements 1. Food Assistance/ Utilization: a. Outreach, Ed., Destigmatization: 5 topical articles were published in all internal newsletters to educate associates about federal food assistance resources, de-stigmatizing program use. b. Screening & referrals*: Centura-secured grant funding supported 131 SNAP applications across the system. As of January 2023, at least one floor plus the ED at every site was implementing the EHR-integrated SDOH screening (includes food insecurity). Next month, go live for all inpatient units will take place at all sites. Case Managers receive a work queue of patients identified to have a social need, which prompts them to provide a printed summary of EHR-integrated 211 local resources. Centura has submitted a grant proposal seeking funds to expand SNAP outreach and enrollment services as SDOH screening implementation advances. c. Benefits acceptance: Centura participates in CO Blueprint to Hunger's Ensuring Access to Healthy Food in Colorado Communities workgroup and their WIC/SNAP retailers project team. This project team focuses on ensuring SNAP recipients have sufficient access to locations for SNAP/WIC redemption. They are actively involved in implementation and promotion of CO Department of Agriculture's Community Food Access Program established in spring of 2022 by CO HB-1380. This bill and its programs were inspired by a pilot project partially funded by Centura in 2021. Goal 2 Food Systems: Improve production, distribution, and procurement of fresh, affordable, and local food in low-food access communities. 1. Food Systems/Distribution: a. Local Produce Site Support: The Centura HEalth Equity grant provided a grant of $55,000 to Solid Rock Community Development Corporation to address food insecurity in the local region. Centura Penrose St. Francis Hospitals, in partnership with Tri-Lakes Cares and West Side Cares provided support for individuals in our community with food security. Diversity Equity and Inclusion Centura Health has prioritized Diversity, Equity, and Inclusion (DEI) within our system of care and recognizes that health equity also needs to be addressed in our communities. We will integrate equity into every strategy used to address our community health priorities. Goal 1: Advancing Community DEI partnerships related to Behavioral Health, Food Security and Social Justice. a. Centura's DEI Fund invested $1M to support regional grants to community organizations to advance community outcomes. b. PSF regional recipients included: a. Catholic Charities of Colorado Springs b. Embark Peer Coach Academy, Colorado Springs c. Face it TOGETHR, Colorado Springs d. Homeward Pikes Peak, Colorado Springs e. Second Chance Through Faith f. Solid Rock Community Development Corporation, Colorado Springs g. The Justice Center- Pikes Peak Justice and Pro Bono Center, Colorado Springs h. The Place, Colorado Springs Other Community Health Implementation Plan Facility Based Initiatives in FY 23 a. PSF Diversity& Inclusion Council closely partners with the local agencies like Colorado Springs Pioneers Museum to highlight diverse cultures through participating and volunteering in events and sharing it with the PSF employees. b. The Council continue Schedule H, Part V, Section B, Line 11 Facility A, 2 Facility A, 2 - MERCY HOSPITAL. Mercy Medical Center (MMC) and community stakeholders identified four significant needs in their community, which they prioritized and focused on in their 2022 Community Health Implementation Plan. The priority needs identified were: 1. Disease and Injury: Mental Health; 2. Risk Behaviors: Substance Use; 3. Disease and Injury Suicide; and 4. Capacity Building: Food Security. For Disease and Injury: Mental Health Goal 1 Regional Stigma Reduction Campaign 1. As part of the Zero Suicide effort lead by the Public Health and other local agencies, MMC actively participated in regional collaborative work group advancing BH stigma reduction work in the greater community Goal 2 School-based partnership program 1. MMC and Centura BH leadership advanced a workforce collaborative to apply for planning grant funds and continue to work directly with Pueblo Community College, employers including Health Solutions, to help develop a BH workforce community partnership model for the region. 2. MMC established a partnership with Fort Lewis College addressing BH situations, especially suicide and provided Suicide Prevention Training to two Student counselors. For Disease and Injury: Substance Use Goal 1 Opioid addiction intervention and prevention outcomes 1. MMC and Centura led an Opioid addiction intervention and prevention outcomes initiative where the network of emergency department providers nearly doubled the rate of patients treated for Opioid Use Disorder with MOUD (Medications for Opioid Use Disorder) across the healthcare system and connecting patients to the continuum of care toward recovery. 2. Through collaboration with local and national partners, MMC saved lives by disseminating the overdose-antidote, naloxone. Additionally, MMC emergency department providers reduced their administration and prescription of opioids and utilized more alternatives to treat pain to help prevent opioid addiction. Goal 2: Screening Brief Intervention and Referral to Treatment 1. To advance on increasing substance use screening at MMC, Centura began a pilot and training program to develop BH Specialist II positions to support Emergency Department and Medical floor patient screenings. 2. MMC is scheduled for further SBIRT expansion in FY24 with the implementation of a new Emergency Department evaluation services. For Disease and Injury: Suicide Goal 1 Zero Suicide 1. Post Discharge Follow-up Mercy partners with Axis Health/Columbine Behavioral Health for support related to post-discharge follow-up on suicidal patients. 2. Zero Suicide Best Practice implementation Mercy implemented best practice universal suicide screening protocols and staff training to advance its assessment and referral outcomes. Mercy advanced staff suicide training programs and partnered with the La Plata Suicide Prevention Collaborative to advance community suicide prevention efforts. 3. MMC provided a two-day Suicide Prevention Training through Zero Suicide Institute to eight frontline employees and four community members. Goal 2: Community of Practice 1. Centura Health sponsored and helped manage the Communities of Practice MH forum and school partnership model. The Centura sponsored and supported 22-23 School Year Colorado School Mental Health Community of Practice (CoP) and had over 200 registered members from over 50 school districts, including Mercy regional representation from Ignacio School District, multiple Community Mental Health Centers, including Axis, State, and regional agencies, and clinicians serving youth. 2. Community of Practice Consultation: Centura worked with Mercy regional education partners to advance a behavioral health workforce model that included support of student mental health and is working to facilitate a new Community of Practice for Behavioral Health Youth Workforce development in October of 2023. For Capacity Building: Food Security Goal 1 Food Assistance: Increase utilization of and access to affordable, fresh produce and federal food assistance programs and enhancements 1. Food Assistance/ Utilization: a. Outreach, Ed., Destigmatization: 5 topical articles were published in all internal newsletters to educate associates about federal food assistance resources, de-stigmatizing program use. b. Screening & referrals*: i. Centura-secured grant funding supported 131 SNAP applications across the system. As of January 2023, at least one floor plus the ED at every site was implementing the EHR-integrated SDOH screening (includes food insecurity). ii. Next month, go live for all inpatient units will take place at all sites. Case Managers receive a work queue of patients identified to have a social need, which prompts them to provide a printed summary of EHR-integrated 211 local resources. iii. Centura has submitted a grant proposal seeking funds to expand SNAP outreach and enrollment services as SDOH screening implementation advances. c. Food as Medicine: i. Centura secured grant funding to support Fresh to Flourish program enrolled 12 pts in new primary-care based produce prescription voucher program for low inc. pts at risk of food insecurity and chronic disease. ii. Two new food retailers who also accept SNAP / Double Up now contracted to accept the vouchers. Food Assistance/Access d. Benefits Acceptance: Mercy's existing employee produce distribution site was piloted as a farmstand for Fresh to Flourish participants. $400 of vouchers (40x$10) were utilized. Centura also participates in CO Blueprint to Hunger's Ensuring Access to Healthy Food in Colorado Communities workgroup and their WIC/SNAP retailers project team. This project team focuses on ensuring SNAP recipients have sufficient access to locations for SNAP/WIC redemption. They are actively involved in implementation and promotion of CO Department of Agriculture's Community Food Access Program established in spring of 2022 by CO HB-1380. This bill and its programs were inspired by a pilot project partially funded by Centura in 2021. Goal 2 Food Systems: Improve production, distribution, and procurement of fresh, affordable, and local food in low-food access communities. 1. Food Systems/Distribution & Production: Centura supported local community food navigators to explore opportunities for new sites to accept SNAP and WIC benefits. Diversity Equity and Inclusion Centura Health has prioritized Diversity, Equity, and Inclusion (DEI) within our system of care and recognizes that health equity also needs to be addressed in our communities. We will integrate equity into every strategy used to address our community health priorities. Goal 1: Advancing Community DEI partnerships related to Behavioral Health, Food Security and Social Justice. a. Centura's DEI Fund invested $1M to support regional grants to community organizations to advance community outcomes. b. MMC regional recipients included: i. Community Compassion Outreach- mental health and food security for BIPOC (Black, Indigenous, People of Color), Latinx, LGBTQ, homeless youth, and families. ii. Manna- Food security program serving native American, Latinx, homeless individuals and families. iii. Nourish Colorado- helping to support the broader community by addressing food security. iv. Southwestern Colorado Area Health Education Center- supporting social justice Schedule H, Part V, Section B, Line 11 Facility A, 3 Facility A, 3 - ST. MARY-CORWIN HOSPITAL. St. Mary-Corwin (SMC) and community stakeholders identified two significant needs in their community, which they prioritized and focused on in their 2022 Community Health Implementation Plan. The priority needs identified were: 1. Risk Behaviors: Maltreatment Prevention: and 2. Capacity Building: Food Security. For Risk Behaviors: Maltreatment Prevention Goal 1: Encourage Positive Parenting and Family Support 1. SMC Residency Clinic provided Adverse Childhood Experiences (ACEs) screening, supportive counseling, and referrals to families. 2. SMC and its clinics have worked collaboratively with Star Point, Catholic Charities, Valley-wide, and Health Solutions to assure linkages to needed family support. 3. SMC Community Health leadership facilitated the Pueblo Heroes program supporting youth resilience in partnership with Pueblo Department of Health and Environment. Goal 2: Facilitate Access to Services: 1. SMC is advancing its Social Determinants of Health program to screen all ED and inpatient Medicaid members and link them with services through the facility's new 2-11 regionally customized referral platform. Goal 3: Scale Parent Support Groups: 1. SMC collaborated with Catholic Charities to advance Parents as Teachers expanded referrals. For Capacity Building: Food Security Goal 1 Food Assistance: Increase utilization of and access to affordable, fresh produce and federal food assistance programs and enhancements 1. Food Assistance/ Utilization: a. Outreach, Ed., Destigmatization: 5 topical articles were published in all internal newsletters to educate associates about federal food assistance resources, de-stigmatizing program use. b. Screening & referrals: * Centura-secured grant funding supported 131 SNAP applications across the system. As of January 2023, at least one floor plus the ED at every site was implementing the EHR-integrated SDOH screening (includes food insecurity). Next month, go live for all inpatient units will take place at all sites. Case Managers receive a work queue of patients identified to have a social need, which prompts them to provide a printed summary of EHR-integrated 211 local resources. Centura has submitted a grant proposal seeking funds to expand SNAP outreach and enrollment services as SDOH screening implementation advances. c. Benefits acceptance: Noting a lack of fresh produce sites in the neighborhood, SMC worked with Pueblo Farmers Market (who accepts SNAP, WIC and Double Up) to expand a new location near St. Mary Corwin Hospital at Bessemer Park in Summer 2022. Centura also participates in CO Blueprint to Hunger's Ensuring Access to Healthy Food in Colorado Communities workgroup and their WIC/SNAP retailers project team. This project team focuses on ensuring SNAP recipients have sufficient access to locations for SNAP/WIC redemption. They are actively involved in implementation and promotion of CO Department of Agriculture's Community Food Access Program established in spring of 2022 by CO HB-1380. This bill and its programs were inspired by a pilot project partially funded by Centura in 2021. Goal 2 Food Systems: Improve production, distribution, and procurement of fresh, affordable, and local food in low-food access communities. 1. Food Systems/Distribution & Production: a. Local Produce Site Support/Community Farms and Gardens - SMC maintained and supported the operation of a community garden on their grounds, donating over 650lbs of fresh, local produce to emergency food assistance partners. Partnership with the local farmers market expanded fresh produce access in the community immediately surrounding the hospital. Schedule H, Part V, Section B, Line 11 Facility A, 4 Facility A, 4 - ST. ANTHONY SUMMIT HOSPITAL. St. Anthony Summit Hospital (SASH) and community stakeholders identified two significant needs in their community, which they prioritized and focused on in their Community Health Implementation Plan. The needs were: 1. Risk Behaviors: Substance Use; and 2. Capacity Building: Food Security For Disease and Injury: Substance Use Goal 1 Opioid addiction intervention and prevention outcomes 1. SASH and Centura led an Opioid addiction intervention and prevention outcomes initiative where the network of emergency department providers nearly doubled the rate of patients treated for Opioid Use Disorder with MOUD (Medications for Opioid Use Disorder) across the healthcare system by connecting patients to the continuum of care toward recovery. 2. Through collaboration with local and national partners, SASH saved lives by disseminating the overdose-antidote, naloxone. 3. Additionally, SASH emergency department providers reduced their administration and prescription of opioids and utilized more alternatives to treat pain to help prevent opioid addiction. Goal 2: Screening Brief Intervention and Referral to Treatment (SBIRT) 1. To advance on increasing substance use screening, SASH advanced its model of using BH Specialist II positions to support Emergency Department and Medical floor patient SBIRT screenings starting in the Spring of FY23. 2. SASH also continued to advance partnerships with Building Hope to improve patient access to post-discharge follow-up support. For Capacity Building: Food Security SASH's Goal was to increase utilization of and access to affordable, fresh produce and federal food assistance programs and enhancements and improve production, distribution, and procurement of fresh, affordable, and local food in low-food access communities. In advancing this goal in the first year, SASH implemented Social Determinants of Health screening for Medicaid patients and established a unique referral database for resource support specific to the SASH community, including health food access supports and enhanced partnerships with the Summit healthcare collaborative. In FY 2022, SASMC continued to advance its work with the High-Country Conservation Center (HC3) and WIC (Women, Infants, and Children) to expand community gardens and farms. It also worked with the Family and Intercultural Resource Center (FIRC) to enhance distribution to families in need. For Capacity Building: Food Security Goal 1 Food Assistance: Increase utilization of and access to affordable, fresh produce and federal food assistance programs and enhancements 1. Food Assistance/ Utilization: a. Outreach, Ed., Destigmatization: 5 topical articles were published in all internal newsletters to educate associates about federal food assistance resources, de-stigmatizing program use. b. Screening & referrals*: Centura-secured grant funding supported 131 SNAP applications across the system. As of January 2023, at least one floor plus the ED at every site was implementing the EHR-integrated SDOH screening (includes food insecurity). Go live for all inpatient units will take place at all sites. Case Managers receive a work queue of patients identified to have a social need, which prompts them to provide a printed summary of EHR-integrated 211 local resources. Centura has submitted a grant proposal seeking funds to expand SNAP outreach and enrollment services as SDOH screening implementation advances. c. Benefits acceptance: Centura participates in CO Blueprint to Hunger's Ensuring Access to Healthy Food in Colorado Communities workgroup and their WIC/SNAP retailers project team. This project team focuses on ensuring SNAP recipients have sufficient access to locations for SNAP/WIC redemption. They are actively involved in implementation and promotion of CO Department of Agriculture's Community Food Access Program established in spring of 2022 by CO HB-1380. This bill and its programs were inspired by a pilot project partially funded by Centura in 2021. Goal 2 Food Systems: Improve production, distribution, and procurement of fresh, affordable, and local food in low-food access communities. 1. Food Systems/Distribution: Local Produce Site Support: SASMC in partnership with High Country Conservation Center (HC3) produced 2,350.41 lbs. of fresh produce that was distributed to 221 families (804 individuals), 61% increase from previous year. 2. Food Systems/ Production: Community Gardens & Farms: SASH invested 12k in partnership with HC3 to install refrigeration systems to extend produce life and expand the community gardens in Frisco and Dillon Valley. Diversity Equity and Inclusion Centura Health has prioritized Diversity, Equity, and Inclusion (DEI) within our system of care and recognizes that health equity also needs to be addressed in our communities. We will integrate equity into every strategy used to address our community health priorities. Goal 1: Advancing Community DEI partnerships related to Behavioral Health, Food Security and Social Justice. 1. Centura's DEI Fund invested $1M to support regional grants to community organizations to advance community outcomes. 2. SASH regional recipients included: Advocates for Victims of Assault received 50k award. The fund helped to provide crisis intervention for 354 clients including safety, mental health, and emotional support services with three survivors completing "Pathways for Peace" program. Other Community Health Implementation Plan Facility Based Initiatives in FY 23 Trauma Injury Prevention aims to reduce deaths, disabilities, and the burden of injuries through advocacy and evidence-based prevention tine the communities we serve. Our program focus areas include older adult wellness, road-related safety, and first aid courses and programs. Through our efforts, St. Anthony Summit Hospital Trauma professionals invested over 172 hours serving 1843 community members. Schedule H, Part V, Section B, Line 11 Facility A, 5 Facility A, 5 - ST. THOMAS MORE HOSPITAL. St. Thomas More (STM) and community stakeholders identified three significant needs in their community, which they prioritized and focused on in their 2022 Community Health Implementation Plan. The priority needs identified were: 1. Access to Care: Mental Health; 2. Risk Behaviors: Substance Use; and 3. Capacity Building: Food Security. For Access to Care: Mental Health Goal 1 Regional Stigma Reduction Campaign 1. STM actively participated in regional collaborative work groups, including the Fremont Economic Development Council (FEDC), and sponsored Suicide Prevention awareness activities to advance BH stigma reduction work in their greater community. 2. Partnership with Colorado Suicide Prevention alliance to elevate awareness, sponsorship and participation in the Out-of-Darkness walk. 3. Partnership with SolVista to advance community training for healthcare professionals. 4. STM's clinic Integrated Behavioral Health team advanced the Health Steps program in partnership with community family serving agencies to promote mental health and healthy home environments. Goal 2 School-based partnership program 1. STM and Centura BH leadership advanced a workforce collaborative to help lead the BH workforce group of the FEDC. With FEDC support, STM received a grant to help advance the expansion of its workforce development pathway project through 2025. Risk Behaviors: Substance Use Goal 1 Opioid addiction intervention and prevention outcomes 1. STM and Centura led an Opioid addiction intervention and prevention outcomes initiative where the network of emergency department providers nearly doubled the rate of patients treated for Opioid Use Disorder with MOUD (Medications for Opioid Use Disorder) across the healthcare system and connected patients to the continuum of care toward recovery. 2. Through collaboration with local and national partners, STM saved lives by disseminating the overdose-antidote, naloxone. Additionally, STM emergency department providers reduced their administration and prescription of opioids and utilized more alternatives to treat pain to help prevent opioid addiction. Goal 2: Screening Brief Intervention and Referral to Treatment 1. To advance on increasing substance use screening at STM, Centura began a pilot and training program to develop BH Specialist II positions to support Emergency Department and Medical floor patient screenings. 2. STM is initiating their BH Specialist pilot, developing the model in the Fall with implementation set for Winter of 2023. 3. STM developed plans to further SBIRT expansion in FY24 with the implementation of a new Emergency Department evaluation service team in partnership with St. Mary-Corwin. For Capacity Building: Food Security Goal 1 Food Assistance: Increase utilization of and access to affordable, fresh produce and federal food assistance programs and enhancements 2. Food Assistance/ Utilization: a. Outreach, Ed., Destigmatization: 5 topical articles were published in all internal newsletters to educate associates about federal food assistance resources, de-stigmatizing program use. b. Screening & referrals*: i. Centura-secured grant funding supported 131 SNAP applications across the system. As of January 2023, at least one floor plus the ED at every site was implementing the EHR-integrated SDOH screening (includes food insecurity). ii. Next month, go live for all inpatient units will take place at all sites. Case Managers receive a work queue of patients identified to have a social need, which prompts them to provide a printed summary of EHR-integrated 211 local resources. iii. Centura has submitted a grant proposal seeking funds to expand SNAP outreach and enrollment services as SDOH screening implementation advances. c. Benefits acceptance: Centura participates in CO Blueprint to Hunger's Ensuring Access to Healthy Food in Colorado Communities workgroup and their WIC/SNAP retailers project team. This project team focuses on ensuring SNAP recipients have sufficient access to locations for SNAP/WIC redemption. They are actively involved in implementation and promotion of CO Department of Agriculture's Community Food Access Program established in spring of 2022 by CO HB-1380. This bill and its programs were inspired by a pilot project partially funded by Centura in 2021. Goal 2 Food Systems: Improve production, distribution, and procurement of fresh, affordable, and local food in low-food access communities. a. Food Systems/Distribution & Production: Local Food Donation i. STM donates apx 1500 prepared meals per month to local meals on wheels programs. Diversity Equity and Inclusion Centura Health has prioritized Diversity, Equity, and Inclusion (DEI) within our system of care and recognizes that health equity also needs to be addressed in our communities. We will integrate equity into every strategy used to address our community health priorities. Goal 1: Advancing Community DEI partnerships related to Behavioral Health, Food Security and Social Justice. a. Centura's DEI Fund invested $1M to support regional grants to community organizations to advance community outcomes. Other Community Health Implementation Plan Facility Based Initiatives in FY 23 Trauma Injury Prevention aims to reduce deaths, disabilities, and the burden of injuries through advocacy and evidence-based prevention tine the communities we serve. Our program focus areas include older adult wellness, road-related safety, and first aid courses and programs. Through our efforts, St. Thomas More Trauma professionals invested over 128 hours serving 639 community members. Schedule H, Part V, Section B, Line 11 Facility A, 6 Facility A, 6 - ORTHOCOLORADO HOSPITAL. OrthoColorado Hospital (OCH) due to the proximity of OrthoColorado to St. Anthony's Hospital combined their resources and worked together with community stakeholders to identify the priority areas of need and to create a combined Community Health Implementation Plan. The four significant needs identified in their community were: 1. Disease and Injury: Suicide; 2. Risk Behaviors: Substance Use; 3. Capacity Building: Food Security; and 4. Physical Environment: Housing Stability. For Disease and Injury: Suicide Goal 1 For Disease and Injury: Suicide Prevention Goal 1 Zero Suicide 1. Post Discharge Follow-up OCH became a partner in participating and implementing Zero Suicide best practice processes in partnership with SAH, Centura Zero Suicide system initiative leadership and the Colorado Office of Suicide Prevention. 2. During the first year of this goal, OCH partnered with Porter Hospital's caring contact program to support patients identified as needing post-discharge crisis follow-up support. 3. OCH and SAH participated in suicide prevention training to support this initiative work. 4. Centura Health and OCH and SAH created workflows for patients screened with low and moderate risk and elevated risk, ensuring that all patients with any level of suicidality have a care pathway. OCH implemented best practice universal suicide screening protocols and staff training to advance its assessment and referral outcomes. Goal 2 Community of Practice 1. Centura Health sponsored and helped manage the Communities of Practice MH forum and school partnership model. The Centura sponsored and supported 22-23 School Year Colorado School Mental Health Community of Practice (CoP) and had over 200 registered members from over 50 school districts, including Jefferson County Public Schools, multiple Community Mental Health Centers including Jefferson Center, State, and regional agencies, and clinicians serving youth. For Disease and Injury: Substance Use Goal 1 Opioid addiction intervention and prevention outcomes 1. OCH, SAH and Centura led an Opioid addiction intervention and prevention outcomes initiative where the network of emergency department providers nearly doubled the rate of patients treated for Opioid Use Disorder with MOUD (Medications for Opioid Use Disorder) across the healthcare system and by connecting patients to the continuum of care toward recovery. 2. Additionally, OCH providers reduced their administration and prescription of opioids and utilized more alternatives to treat pain to help prevent opioid addiction as a part of provider lead system initiative. Goal 2 Screening Brief Intervention and Referral to Treatment (SBIRT) 1. The advancement of substance abuse screening implementation is helping OCH to advance its capacity to identify patients in need of referral to treatment and to enhance the care service during their surgery. For Capacity Building: Food Security: Goal 1 Food Assistance: Increase utilization of and access to affordable, fresh produce and federal food assistance programs and enhancements 2. Food Assistance/ Utilization: a. Outreach, Ed., Destigmatization: 5 topical articles were published in all internal newsletters to educate associates about federal food assistance resources, de-stigmatizing program use. b. Screening & referrals*: Centura-secured grant funding supported 131 SNAP applications across the system. As of January 2023, at least one floor plus the ED at every site was implementing the EHR-integrated SDOH screening (includes food insecurity). Next month, go live for all inpatient units will take place at all sites. Case Managers receive a work queue of patients identified to have a social need, which prompts them to provide a printed summary of EHR-integrated 211 local resources. Centura has submitted a grant proposal seeking funds to expand SNAP outreach and enrollment services as SDOH screening implementation advances. c. Benefits acceptance: Centura participates in CO Blueprint to Hunger's Ensuring Access to Healthy Food in Colorado Communities workgroup and their WIC/SNAP retailers project team. This project team focuses on ensuring SNAP recipients have sufficient access to locations for SNAP/WIC redemption. They are actively involved in implementation and promotion of CO Department of Agriculture's Community Food Access Program established in spring of 2022 by CO HB-1380. This bill and its programs were inspired by a pilot project partially funded by Centura in 2021. For Physical Environment: Housing Stability Goal 1: Increase access to safe and stable housing and shelter within the community. Identify community members who report housing insecurity and refer them to appropriate resources in the community. 1. In advancing this goal in the first year, OCH implemented Social Determinants of Health screening for Medicaid patients and established a unique referral database for resource support specific to the OCH/SAH community. 2. Additionally, OCH and SAH established partnerships with The Action Center, Jefferson County Housing Authority, MetroWest Housing Solutions, Heading Home Coalition, Colorado Community Health Alliance, the region's Continuum of Care, and local community-based organizations to advance housing outcomes in the region. 3. Centura, OCH, and SAH also worked hard over the past year to advance housing access advocacy with the Colorado legislature and through local advocacy channels, including collaborative work with Jefferson County Human Services and Metro Denver Partnership for Health. Diversity Equity and Inclusion Centura Health has prioritized Diversity, Equity, and Inclusion (DEI) within our system of care and recognizes that health equity also needs to be addressed in our communities. We will integrate equity into every strategy used to address our community health priorities. Goal 1: Advancing Community DEI partnerships related to Behavioral Health, Food Security and Social Justice. 1. Centura's DEI Fund invested $1M to support regional grants to community organizations to advance community outcomes. 2. OCH and SAH regional recipients included: Heart Mind Haven ($100K) addressing homelessness and the unique needs of the LGBTQIA+ community in Lakewood and surrounding Jefferson County; The Jeffco action Center ($50K) and its support of ensuring food security for individuals in Jefferson County; support of the regional serving program Hunger Free Colorado ($75k) and also the Linkages program that supports LGBTQ+ mental health needs of youth and adults in Greater Denver. Schedule H, Part V, Section B, Line 11 Facility A, 7 Facility A, 7 - ST ANTHONY NORTH HOSPITAL. St. Anthony North (SAN) and community stakeholders identified three significant needs in their community, which they prioritized and focused on. The needs were: 1. Disease and Injury: Suicide; 2. Capacity Building: Food Security; and 3. Physical Environment: Housing Stability. For Disease and Injury: Disease and Injury: Suicide Prevention Goal 1: Zero Suicide 1. Post Discharge Follow-up a. SAN and Centura instituted a process where their integrated psychiatric assessment and social work team advanced referrals to Rocky Mountain Crisis Partners for post-discharge follow-up. 2. Best Practice implementation a. During the first year of this goal, SAN partnered with Porter Hospital's caring contact program to support individuals needing post-discharge crisis follow-up support. b. SAN associates participated in suicide prevention training to support this initiative work. Centura Health and SAN created workflows for patients screened with low and moderate risk and elevated risk, ensuring that all patients with any level of suicidality have a care pathway. c. SAN implemented best practice universal suicide screening protocols and staff training to advance its assessment and referral outcomes. Goal 2: Community of Practice 1. Centura Health sponsored and helped manage the Communities of Practice MH forum and school partnership model. The Centura sponsored and supported 22-23 School Year Colorado School Mental Health Community of Practice (CoP) and had over 200 registered members from over 50 school districts, including Boulder Valley School District and Adams 12, multiple Community Mental Health Centers, including Mental Health Partners and Community Reach, State, and regional agencies, and clinicians serving youth. 2. This year, the CoP added a special year-end presentation on Behavioral Health Workforce Development and youth opportunities for high school co-current classes that included mental health support and resiliency training and the opportunity for internships, apprenticeship programs, and entry-level positions with career trajectory strategy to advance youth participants linking this work to our access initiative and the SAN BH specialist pilot program that is scheduled to start in FY24. Additional Suicide Prevention: 1. In addition to this work, Centura and SAN secured funding during FY23 and led a partnership with Colorado Health Institute and local regional diversity outreach organizations to establish a regional ambassador's program to support lowering stigma and promote access to local culturally responsive mental health care providers and community support. For Capacity Building: Food Security SAN's Goal Goal 1 Food Assistance: Increase utilization of and access to affordable, fresh produce and federal food assistance programs and enhancements 1. Food Assistance/ Utilization: a. Outreach, Ed., Destigmatization: 5 topical articles were published in all internal newsletters to educate associates about federal food assistance resources, de-stigmatizing program use. b. Screening & referrals*: Centura-secured grant funding supported 131 SNAP applications across the system. As of January 2023, at least one floor plus the ED at every site was implementing the EHR-integrated SDOH screening (includes food insecurity). Next month, go live for all inpatient units will take place at all sites. Case Managers receive a work queue of patients identified to have a social need, which prompts them to provide a printed summary of EHR-integrated 211 local resources. Centura has submitted a grant proposal seeking funds to expand SNAP outreach and enrollment services as SDOH screening implementation advances. c. Benefits acceptance: Centura participates in CO Blueprint to Hunger's Ensuring Access to Healthy Food in Colorado Communities workgroup and their WIC/SNAP retailers project team. This project team focuses on ensuring SNAP recipients have sufficient access to locations for SNAP/WIC redemption. They are actively involved in implementation and promotion of CO Department of Agriculture's Community Food Access Program established in spring of 2022 by CO HB-1380. This bill and its programs were inspired by a pilot project partially funded by Centura in 2021. Goal 2 Food Systems: Improve production, distribution, and procurement of fresh, affordable, and local food in low-food access communities. 1. Food Systems/Distribution & Production a. Local Produce Site Support: SAN family medicine residency supports a community garden which provides healthy produce to patients. SAN made direct donations to help provide food resources to several community organizations that provide food assistance to families in our service area. They include Growing Home, Adams County Sheriff's Office Operation Free Bird, Rocky Mountain Food Bank, the Adams 12 Five Star Education Foundation's Student Resource Closets. All these programs are in our community's food desert areas. For Physical Environment: Housing Stability 1. Goal 1: Increase access to safe and stable housing and shelter within the community. Identify community members who report housing insecurity and refer them to appropriate resources in the community. a. In advancing this goal in the first year, SAN implemented Social Determinants of Health screening for Medicaid patients and established a unique referral database for resource support specific to the SAN community. b. SAN began working on advancing established partnerships with the Action Center, MetroWest Housing Solutions, Heading Home Coalition, Colorado Community Health Alliance, the region's Continuum of Care, and local community-based organizations to deliver this housing strategy. c. Centura also worked hard over the past year to advance housing access advocacy with the Colorado legislature and through local advocacy channels, including collaborative work with Adams County Human Services, Broomfield, Adams County Public Health, and Metro Denver Partnership for Health. d. SAN is an active partner with the Rocky Mountain Partnership (RMP). One of their main goal areas is to address housing in Adams County. e. SAN also provides financial support to Growing Home. One of their focus areas is housing stability for families. Diversity Equity and Inclusion Centura Health has prioritized Diversity, Equity, and Inclusion (DEI) within our system of care and recognizes that health equity also needs to be addressed in our communities. We will integrate equity into every strategy used to address our community health priorities. Goal 1: Advancing Community DEI partnerships related to Behavioral Health, Food Security and Social Justice. 1. Centura's DEI Fund invested $1M to support regional grants to community organizations to advance community outcomes. 2. SAH regional recipients included: a. Focus Points Family Resource Center received $90,000 to address food security for immigrants, refugees, and low-income Latinx families b. Hunger-Free Colorado received $75,000 to assist families experiencing food insecurity across the Denver Metro area. c. VIVE Wellness received $100,000 to address food security for immigrant families, especially Latinx, who are elderly, low-income, and food insecure. d. Friends of Broomfield received $50,000 to assist with meeting the needs of persons with intellectual and developmental disabilities. e. Muslim Youth for Positive Impact received $100,000 to assist with their youth mentoring program to empower the youth. f. Side by Side Together received $50,000 to assist those involved in the justice system in the Brighton area. g. Lil Friends received $100,000 to provide respite care and physical, occupational, and speech therapy for youth with intellectual or physical disabilities. h. Vuela for Health received $141,904 to assist with education and advocacy for the Latino community. Schedule H, Part V, Section B, Line 11 Facility A, 8 Facility A, 8 - ST. ANTHONY HOSPITAL. St. Anthony Hospital (SAH) and community stakeholders identified four significant needs in their community, which they prioritized and focused on. The needs were: 1. Disease and Injury: Suicide; 2. Risk Behaviors: Substance Use; 3. Capacity Building: Food Security; and 4. Physical Environment: Housing Stability. For Disease and Injury: Suicide Goal 1 For Disease and Injury: Suicide Prevention Goal 1 Zero Suicide Post Discharge Follow-up 1. SAH and Centura instituted a process where their integrated psychiatric assessment and social work team advanced referrals to Rocky Mountain Crisis Partners for post-discharge follow-up. 2. During the first year of this goal, SAH partnered with Porter Hospital's caring contact program to support individuals needing post-discharge crisis follow-up support. St. Anthony's associates participated in suicide prevention training to support this initiative work. 3. Centura Health and SAH created workflows for patients screened with low and moderate risk and elevated risk, ensuring that all patients with any level of suicidality have a care pathway. 4. SAH implemented best practice universal suicide screening protocols and staff training to advance its assessment and referral outcomes. Goal 2 Community of Practice 1. Centura Health sponsored and helped manage the Communities of Practice MH forum and school partnership model. The Centura sponsored and supported 22-23 School Year Colorado School Mental Health Community of Practice (CoP) and had over 200 registered members from over 50 school districts, including Jefferson County Public Schools, multiple Community Mental Health Centers including Jefferson Center, State, and regional agencies, and clinicians serving youth. 2. This year, the CoP added a special year-end presentation on Behavioral Health Workforce Development and youth opportunities for high school co-current classes that included mental health support and resiliency training and the opportunity for internships, apprenticeship programs, and entry-level positions with career trajectory strategy to advance youth participants linking this work to our access initiative and SAH BH (Behavioral Health) specialist pilot program. For Disease and Injury: Substance Use Goal 1 Opioid addiction intervention and prevention outcomes 1. SAH and Centura led an Opioid addiction intervention and prevention outcomes initiative where the network of emergency department providers nearly doubled the rate of patients treated for Opioid Use Disorder with MOUD (Medications for Opioid Use Disorder) across the healthcare system and by connecting patients to the continuum of care toward recovery. 2. Through collaboration with local and national partners, SAH saved lives by disseminating the overdose-antidote, naloxone. 3. Additionally, SAH emergency department providers reduced their administration and prescription of opioids and utilized more alternatives to treat pain to help prevent opioid addiction. Goal 2 Screening Brief Intervention and Referral to Treatment (SBIRT) 1. To advance on increasing substance use screening, SAH advanced its model of using BH Specialist II positions to support Emergency Department and Medical floor patient SBIRT screenings. 2. The SAH trauma team also started to advance mental health screening implementation for their trauma patients during the fiscal year. For Capacity Building: Food Security: Goal 1 Food Assistance: Increase utilization of and access to affordable, fresh produce and federal food assistance programs and enhancements 1. Food Assistance/ Utilization: a. Outreach, Ed., Destigmatization: 5 topical articles were published in all internal newsletters to educate associates about federal food assistance resources, de-stigmatizing program use. b. Screening & referrals*: Centura-secured grant funding supported 131 SNAP applications across the system. As of January 2023, at least one floor plus the ED at every site was implementing the EHR-integrated SDOH screening (includes food insecurity). Next month, go live for all inpatient units will take place at all sites. Case Managers receive a work queue of patients identified to have a social need, which prompts them to provide a printed summary of EHR-integrated 211 local resources. Centura has submitted a grant proposal seeking funds to expand SNAP outreach and enrollment services as SDOH screening implementation advances. c. Benefits acceptance: Centura participates in CO Blueprint to Hunger's Ensuring Access to Healthy Food in Colorado Communities workgroup and their WIC/SNAP retailers project team. This project team focuses on ensuring SNAP recipients have sufficient access to locations for SNAP/WIC redemption. They are actively involved in implementation and promotion of CO Department of Agriculture's Community Food Access Program established in spring of 2022 by CO HB-1380. This bill and its programs were inspired by a pilot project partially funded by Centura in 2021. For Physical Environment: Housing Stability Goal 1: Increase access to safe and stable housing and shelter within the community. Identify community members who report housing insecurity and refer them to appropriate resources in the community. 1. In advancing this goal in the first year, SAH implemented Social Determinants of Health screening for Medicaid patients and established a unique referral database for resource support specific to the SAH community. 2. Additionally, SAH established partnerships with The Action Center, Jefferson County Housing Authority, MetroWest Housing Solutions, Heading Home Coalition, Colorado Community Health Alliance, the region's Continuum of Care, and local community-based organizations to advance housing outcomes in the region. 3. Centura also worked hard over the past year to advance housing access advocacy with the Colorado legislature and through local advocacy channels, including collaborative work with Jefferson County Human Services and Metro Denver Partnership for Health. Diversity Equity and Inclusion Centura Health has prioritized Diversity, Equity, and Inclusion (DEI) within our system of care and recognizes that health equity also needs to be addressed in our communities. We will integrate equity into every strategy used to address our community health priorities. Goal 1: Advancing Community DEI partnerships related to Behavioral Health, Food Security and Social Justice. 1. Centura's DEI Fund invested $1M to support regional grants to community organizations to advance community outcomes. 2. SAH regional recipients included: Heart Mind Haven ($100K) addressing homelessness and the unique needs of the LGBTQIA+ community in Lakewood and surrounding Jefferson County; The Jeffco action Center ($50K) and its support of ensuring food security for individuals in Jefferson County; support of the regional serving program Hunger Free Colorado ($75k) and also the Linkages program that supports LGBTQ+ mental health needs of youth and adults in Greater Denver. Other Community Health Implementation Plan Facility Based Initiatives in FY 23 Trauma Injury Prevention aims to reduce deaths, disabilities, and the burden of injuries through advocacy and evidence-based prevention tine the communities we serve. Our program focus areas include older adult wellness, road-related safety, and first aid courses and programs. Through our efforts, St. Anthony Hospital Trauma professionals invested over 561 hours serving 1405 community members. Schedule H, Part V, Section B, Line 2 CHI COLORADO ACQUIRED ST. ELIZABETH HOSPITAL ON 5/1/2022 AND ACQUIRED THE FOLLOWING HOLY CROSS HOPSPITALS - JORDAN VALLEY, DAVIS, SALT LAKE, JORDAN VALLEY WEST, AND MOUNTAIN POINT ON 5/1/2023. 189 Academy Womens Healthcare Associates - Monument 17230 Jackson Creek Pkwy Ste 300 Monument CO 801327306 PHYSICIANS CHPG Arvada Sports and Family Medicine 16280 W 64th Ave Arvada CO 800077413 PHYSICIAN CLINIC Aspen Ridge ENT - Lakewood 11700 W 2nd Pl Ste 435 Lakewood CO 802281732 OUTPATIENT CLINIC Aspen Ridge ENT - Summit 360 Peak One Dr Ste 300 Frisco CO 804435948 OUTPATIENT CLINIC Aspen Ridge ENT - Evergreen 28000 Meadow Dr Ste 210 Evergreen CO 804392116 OUTPATIENT CLINIC Southern Colorado Breast Care Specialists 6031 E Woodmen Rd Ste 250BC Colorado Springs CO 809232623 PHYSICIAN OFFICE Centura Health Urgent Care Broadmoor 1263 Lake Plaza Dr Ste 120 Colorado Springs CO 809063510 Urgent Care CHPG Belmar Primary Care 7551 W Alameda Ave Lakewood CO 802263205 Primary Care CHPG Primary Care Broadmoor 1263 Lake Plaza Dr Ste 230 Colorado Springs CO 809063512 Primary Care Centura Bariatric Surgery Westminster 500 W 144th Ave Ste 130 Westminster CO 800239326 GENERAL SURGERY Centura Breast Imaging 11700 W 2nd Pl Ste 100 MOP 2 Lakewood CO 802281707 Imaging Medical facility CCOM Frisco 68 School Rd Ste 200 Frisco CO 804430000 Occupational medicine CENTURA SUMMIT ORTHOPEDICS 68 School Rd Ste 100 Frisco CO 804430000 ORTHOPEDICS Centura Summit Orthopedics (DME) 68 School Rd Ste 100 Frisco CO 804430000 ORTHOPEDICS Centura Summit Physical Therapy 68 School Rd Ste 150 Frisco CO 804430000 Physical Therapy Centura Urgent Care Fort Morgan 1000 Lincoln St Ste 101 Fort Morgan CO 807013290 Urgent Care CHPG Thornton Primary Care - Dental 4075 E 128th Ave Thornton CO 802412201 Primary Care- Dental CommonSpirit Structural Heart Penrose 2222 N Nevada Ave Ste 4001 Colorado Springs CO 809076863 Medical facility CommonSpirit ENT Lowry 8101 Lowry Blvd Ste 210 Denver CO 802307195 OUTPATIENT CLINIC CommonSpirit Medical Group Primary Care Meridian 11960 Lioness Way Ste 190 Parker CO 801345640 Primary Care Colorado Springs Cardiology - N Nevada 2222 N Nevada Ave Ste 4007 Colorado Springs CO 809076863 CARDIOLOGY PRACTICE Centura Physical Therapy at Tri-Lakes 17230 Jackson Creek Pkwy Ste 170 Monument CO 801327303 Physical Therapy Centura Physical Therapy at Church Ranch 7233 Church Ranch Blvd Juniper Pod Westminster CO 800214094 Physical Therapy Audubon CSSC 3010 N Circle Dr Ste 120 Colorado Springs CO 809091182 Physical Therapy Langstaff-Brown CSSC 41 N Hwy 67 Ste C Woodland Park CO 808635009 Physical Therapy Centura Physical Therapy Nevada 4925 N Nevada Ave Colorado Springs CO 809188600 Physical Therapy Centura Physical Therapy- N Care 6071 E Woodmen Rd Ste 220 Colorado Springs CO 809232609 Physical Therapy Centura Center for Rehab 4112 Outlook Blvd Ste 96 Pueblo CO 810081667 Rehab Centura Mercy Spine Institute Montrose 314 S 6th St Montrose CO 814015719 Spine Care Centura Spine Care 6011 E Woodmen Rd Ste 360 Colorado Springs CO 809232606 Spine Care Cardiac and Thoracic Surgery - N Nevada 2312 N Nevada Ave Ste 235 Colorado Springs CO 809075312 Cardiac and Thoracic Surgery CARDIAC AND THORACIC SURGERY - DURANGO 1 Mercado St Ste 130 Durango CO 813017306 Cardiac and Thoracic Surgery Cardiac and Thoracic Surgery - Pueblo 16th 1008 Minnequa Ave Pueblo CO 810043733 Cardiac and Thoracic Surgery CARDIAC AND THORACIC SURGERY - SAH 11700 W 2nd Pl Ste 280 Lakewood CO 802281717 Cardiac and Thoracic Surgery CARDIAC AND THORACIC SURGERY - SUMMIT 360 Peak One Blvd Ste 390 Frisco CO 804430000 Cardiac and Thoracic Surgery Endocrinology Diabetes and Thyroid Specialists of Colorado 360 Peak One Dr Ste 300 Frisco CO 804430000 Physician Practice Endocrinology Diabetes and Thyroid Specialists of Colorado 11750 W 2nd Pl Ste 365 Lakewood CO 802281731 Physician Practice St Thomas More Hospital - EKG 1338 Phay Ave Canon City CO 812122399 Medical facility Centura Endocrinology Colorado Springs 3027 N Circle Dr Colorado Springs CO 809091179 Physician Practice St Anthony Health Centers Evergreen 32214 Ellingwood Trl Ste 210 Evergreen CO 804399719 Medical facility CHPG Golden Primary Care 750 Warner Dr Golden CO 804015297 Primary Care Centura Gynecologic Oncology 6031 E Woodmen Rd Ste 250GO Colorado Springs CO 809232623 physician office CMG General Surgery Pueblo West 729 E Spaulding Ave Pueblo West CO 810073512 GENERAL SURGERY Mercy Surgical Associates 1 Mercado St Ste 220 Durango CO 813017310 PHYSICIANS Colorado Springs Surgical Associates A Centura Health Clinic 2222 N Nevada Ave Ste 5017 Colorado Springs CO 809076865 PHYSICIANS STM Specialty Clinic - General Surgery 1338 Phay Ave Bldg D GS Canon City CO 812122326 GENERAL SURGERY Centura General Surgery Summit 360 Peak One Dr Ste 300 Frisco CO 804435948 GENERAL SURGERY Centura General Surgery Westminster 500 W 144th Ave Ste 130 Westminster CO 800239326 GENERAL SURGERY St Mary Corwin Physician Partners - Gastro 1020 Lakeview Ave Pueblo CO 810043508 PHYSICIANS CHPG Southwest Gastroenterology 1010 Three Springs Blvd Ste 270 Durango CO 813018296 GASTROENTEROLOGY PRACTICE Penrose-St Francis Health Learning Center 3027 N Circle Dr Colorado Springs CO 809091179 Learning Center Four Corners Infectious Disease and Internal Medicine 1010 Three Springs Blvd Ste 255 Durango CO 813018296 outpatient clinic The Joint Replacement Center St Anthony North 500 W 144th Ave Ste 120 Westminster CO 800239326 Medical facility Southern Colorado Maternal Fetal Medicine 6071 E Woodmen Rd Ste 425 Colorado Springs CO 809232614 Medical facility MIT - Centennial Clinic 327 S Camino Del Rio Unit 11B Durango CO 813037997 outpatient clinic MIT - Three Springs Clinic 1 Mercado St Ste 201 Durango CO 813017307 outpatient clinic CHPG Medical Oncology Summit 360 Peak One Dr Ste 300 Frisco CO 804435948 physician office CHPG Penrose Neurohospitalists 2222 N Nevada Ave Ste 5001 NH Colorado Springs CO 809076865 Medical facility CHPG Penrose Neurointerventional Radiology 2222 N Nevada Ave Ste 5001 NIR Colorado Springs CO 809076865 radiology Centura Neuroscience Summit 360 Peak One Dr Ste 300 Frisco CO 804430000 NEUROSCIENCE CHPG Southwest Neuroscience 1010 Three Springs Blvd Ste 290 Durango CO 813018296 NEUROSCIENCE CHPG Nephrology Cortez 111 N Park St Cortez CO 813213340 nephrology Durango Nephrology Associates - DNA 1010 Three Springs Blvd Ste 255 Durango CO 813018296 PHYSICIANS Neurosurgery One Arvada 16280 W 64th Ave Arvada CO 800077413 NEURO SURGERY CHPG Penrose Neurosciences - CO Spgs 2222 N Nevada Ave Ste 5001 Colorado Springs CO 809076865 NEUROSCIENCE Neurosurgery One SAH 11750 W 2nd Pl Ste 255 Lakewood CO 802281726 NEURO SURGERY CHPG Neuroscience SAH 11750 W 2nd Pl Ste 255 Lakewood CO 802281726 NEUROSCIENCE Neurosurgery One St Anthony North 14300 Orchard Pkwy 2nd Fl Pod 1 Westminster CO 800239206 NEURO SURGERY Centura Orthopedics - Audubon Clinic 3010 N Circle Dr Ste 100 Colorado Springs CO 809091174 ORTHOPEDICS Centura Orthopedics Nevada 4925 N Nevada Ave Colorado Springs CO 809188600 ORTHOPEDICS St Mary Corwin Physician Partners - Ortho Clinic 4112 Outlook Blvd Ste 37 Pueblo CO 810081667 ORTHO CLINIC Mercy Orthopedic Associates 1 Mercado St Ste 202 Durango CO 813017307 PHYSICIANS Aspen Ridge ENT - Orchard 14300 Orchard Pkwy Westminster CO 800239206 outpatient clinic CHPG Westminster Internal and Family Medicine 14300 Orchard Pkwy Westminster CO 800239206 outpatient clinic CHPG Neuroscience Orchard 14300 Orchard Pkwy Westminster CO 800239206 NEUROSCIENCE Dimensions Pain Management at the Medical Pavilion 14300 Orchard Pkwy Floor 2 Pod 1 Westminster CO 800239206 Physician Practice Womens Health Specialists at St Anthony North Hospital 14300 Orchard Pkwy Floor 3 Pod 1 Westminster CO 800239206 WOMEN'S CARE CLINIC STM Orthopedics 1338 Phay Ave Bldg D Ortho Canon City CO 812122326 ORTHOPEDICS CHPG Pediatric North Care 6071 E Woodmen Rd Ste 225 Colorado Springs CO 809232611 pediatric clinic CHPG St Thomas More Pediatrics 1338 Phay Ave Bldg D Peds Canon City CO 812122326 pediatric clinic CHPG Outpatient Behavioral Health Practice 2925 Professional Pl Ste 101 Colorado Springs CO 809048125 BEHAVIORAL HEALTH PSF - Ornish Lifestyle Medicine Program - A Centura Clinic 6001 E Woodmen Rd Colorado Springs CO 809232601 outpatient clinic Four Corners Pulmonary and Critical Care Medicine 1010 Three Springs Blvd Ste 110 Durango CO 813018296 Critical care CHPG High Country PCP and UC Breckenridge 429 N Park Ave Breckenridge CO 804240000 outpatient clinic Centura Brighton Medical Group 4700 E Bromley Ln Ste 101 Brighton CO 806017821 Medical facility CHPG Primary Care Berthoud 549 Mountain Ave Berthoud CO 805130000 Primary Care Mercy Family Medicine Bayfield 480 Wolverine Dr Ste 3 Bayfield CO 811229653 outpatient clinic SET Family Medical Clinics 2864 S Circle Dr Ste 450 Colorado Springs CO 809064170 Medical facility SET Family Dental Clinic 2864 S Circle Dr Ste 450 Colorado Springs CO 809064170 dental clinic Frisco - Family Practice & Pediatrics - 260 360 Peak One Dr Ste 260 Frisco CO 804430000 outpatient clinic Mercy Family Medicine Horse Gulch 810 E 3rd St Ste 201 Durango CO 813015759 outpatient clinic CHPG Primary Care Idaho Springs 1969 Miner St Idaho Springs CO 804520000 Primary Care Mercy Family Medicine 1 Mercado St Ste 160 Durango CO 813017309 outpatient clinic CHPG Primary Care Northglenn 11310 Huron St Ste 100 Northglenn CO 802343090 Primary Care PSF Primary Care Health Care Services 3027 N Circle Dr Colorado Springs CO 809091179 Physician office Penrose Mountain Primary Care 41 State Highway 67 Woodland Park CO 808635008 Primary Care CHPG Primary Care Powers 6080 N Carefree Cir Colorado Springs CO 809222402 Primary Care Centura Health Pueblo West Primary Care 729 E Spaulding Ave Pueblo West CO 810073512 Primary Care CHPG Primary Care St Francis 7435 Sisters Grove Ste 400 Colorado Springs CO 809232631 Primary Care St Thomas More Family Practice 1338 Phay Ave Bldg D Canon City CO 812122326 Family Practice Silverthorne Family Practice 265 Tanglewood Ln Ste E-1 Silverthorne CO 804985314 Family Practice Dimensions Pain Management at SAH 11700 W 2nd Pl Ste 225 Lakewood CO 802281707 Physician Practice Dimensions Pain Management Summit 360 Peak One Dr Ste 300 Frisco CO 804430000 Physician Practice St Anthony Health Centers Associated Surgeons 11700 W 2nd Pl MOB 2 Ste 210 Lakewood CO 802281716 GENERAL SURGERY Centura Behavioral Heath St Anthony 11600 W 2nd Pl Lakewood CO 802281527 BEHAVIORAL HEALTH Palliative Care - CHIC 2551 W 84th Ave Westminster CO 800313807 Palliative Care Centura Eastern Colorado Orthopedic Center 1000 Lincoln St Ste 100 Fort Morgan CO 807013290 ORTHOPEDICS Centura General Surgery Fort Morgan 1000 Lincoln St Ste 208 Fort Morgan CO 807013290 General Surgery Centura Internal Medicine Fort Morgan 1000 Lincoln St Ste 200 Fort Morgan CO 807013290 outpatient clinic Centura Neurology Fort Morgan 1000 Lincoln St Ste 207Neuro Fort Morgan CO 807013290 NEUROLOGY Centura Obstetrics & Gynecology Fort Morgan 1000 Lincoln St Ste 203 Fort Morgan CO 807013290 physician office Centura Primary Care Fort Morgan 1000 Lincoln St Ste 101 Fort Morgan CO 807013290 Primary Care Rocky Mountain Sports & Family Medicine at Centura 4112 Outlook Blvd Ste 303 Pueblo CO 810081667 physician clinic Centura Sports Medicine Nevada 4925 N Nevada Ave Colorado Springs CO 809188600 physician clinic Centura Sports Medicine St Anthony 255 S Routt St Ste 300 Lakewood CO 802282354 physician clinic St Anthony Hospital Senior Health Center 500 W 144th Ave Ste 140 Westminster CO 800239324 Senior Health Senior Health First at St Anthony Hospital - West Clinic 11700 W 2nd Pl Med Plaza 2 Ste 450 Lakewood CO 802281719 Senior Health CHPG SAH Internal Medicine 255 Routt St Ste 300 Lakewood CO 802282354 outpatient clinic Centura Medical Oncology Pueblo 2004 Lake Ave Pueblo CO 810043536 physician office Centura Radiation Oncology St Mary Corwin 1008 Minnequa Ave Pueblo CO 810043733 physician office St Anthony Family Medicine Center North - Dental 14300 Orchard Pkwy Westminster CO 800239206 PRIMARY CARE CLINIC Centura Health Urgent Care Canon City 3245 E US Hwy 50 Unit E Canon City CO 812129343 urgent care clinic Summit Cardiology 360 Peak One Dr Ste 340 Frisco CO 804430000 CARDIOLOGY PRACTICE CHPG Tri-Lakes Primary Care 17230 Jackson Creek Pkwy Ste 300 Monument CO 801327306 Primary Care Centura Teleneurology Colorado 2222 N Nevada Ave Ste 5001 Colorado Springs CO 809076865 Teleneurology CHPG Thornton Primary Care 4075 E 128th Ave Thornton CO 802412201 Primary Care CHPG Thornton Womens Health 4075 E 128th Ave Thornton CO 802412201 WOMEN'S CARE CLINIC Centura Health Urgent Care Fountain 7955 Fountain Mesa Rd Fountain CO 808171535 urgent care CHPG Penrose Community Urgent Care 3027 N Circle Dr Colorado Springs CO 809091179 urgent care Centura Health Urgent Care Powers Pointe 5607 Barnes Rd Ste 140 Colorado Springs CO 809171347 urgent care Centura Health Urgent Care Tri-Lakes 17230 Jackson Creek Pkwy Ste 120 Monument CO 801327302 urgent care Centura Urology Pueblo 1020 Lakeview Ave Pueblo CO 810043508 UROLOGY Mercy Urology Services 1010 Three Springs Blvd Ste 270 Durango CO 813018296 UROLOGY CHPG Vascular and General Surgery - Penrose 2222 N Nevada Ave Ste 5010 Colorado Springs CO 809076865 General Surgery Academy Womens Healthcare Associates-A Centura Health Clinic 6071 E Woodmen Rd Ste 405 Colorado Springs CO 809232614 PHYSICIANS Frisco - OBGyn Specialists 360 Peak One Dr Ste 260 OB Frisco CO 804430000 PHYSICIAN OFFICE Granby - OBGyn Specialists 1000 Granby Park Dr Granby CO 804460000 PHYSICIAN OFFICE CHPG Women's Health Pueblo West 729 E Spaulding Ave Pueblo West CO 810073512 WOMEN'S CARE CLINIC Centura Obstetrics and Gynecology St Francis 6011 E Woodmen Rd Ste 320 Colorado Springs CO 809232604 WOMEN'S CARE CLINIC STM OBGYN 1338 Phay Ave Bldg D OB Canon City CO 812122326 WOMEN'S CARE CLINIC Behavioral Health West Valley Inpatient 3460 S 4155 W West Valley City UT 84120 PHYSICIAN OFFICE Behavioral Health West Valley Outpatient 4052 W 3390 S Ste 105 West Valley City UT 84120 PHYSICIAN OFFICE Brain & Spine Salt Lake City 82 S 1100 E Ste 103 Salt Lake City UT 841021889 SPECIALTY PHYSICIAN PRACTICE Brain & Spine West Jordan 3590 W 9000 S Ste 240 West Jordan UT 840888864 SPECIALTY PHYSICIAN PRACTICE Breast Surgery Lehi Mountain Point 3000 N Triumph Blvd Ste 110 Lehi UT 840437186 SPECIALTY PHYSICIAN PRACTICE Breast Surgery Salt Lake City 82 S 1100 E Ste 103 Salt Lake City UT 841021889 SPECIALTY PHYSICIAN PRACTICE Cardiac & Thoracic Surgery Salt Lake City 82 S 1100 E Ste 200 Salt Lake City UT 841021889 SPECIALTY PHYSICIAN PRACTICE Cardiology Lehi Mountain Point 3000 N Triumph Blvd Ste 320 Lehi UT 840437188 SPECIALTY PHYSICIAN PRACTICE Cardiology Murray 5980 S Fashion Blvd Murray UT 841077362 SPECIALTY PHYSICIAN PRACTICE Cardiology Salt Lake City 82 S 1100 E Ste 200 Salt Lake City UT 841021889 SPECIALTY PHYSICIAN PRACTICE Cardiology South Valley 13348 Market Center Dr Ste 210 Riverton UT 840658011 SPECIALTY PHYSICIAN PRACTICE Cardiology West Jordan 3570 W 9000 S Ste 110 West Jordan UT 840888870 SPECIALTY PHYSICIAN PRACTICE Cardiology West Valley 3336 S 4155 W Ste 203 West Valley City UT 84120 SPECIALTY PHYSICIAN PRACTICE Endocrinology West Jordan 3590 W 9000 S Ste 240 West Jordan UT 840888864 SPECIALTY PHYSICIAN PRACTICE Family Medicine Kaysville 349 N Flint St Ste 101 Kaysville UT 840379808 FAMILY CLINIC Family Medicine West Jordan 1575 W 7000 S Fl 1 West Jordan UT 840843431 FAMILY CLINIC Foot & Ankle Eagle Mountain 3943 E Pony Express Pkwy Ste 110 Eagle Mountain UT 840055542 SPECIALTY PHYSICIAN PRACTICE Foot & Ankle Lehi Mountain Point 3000 N Triumph Blvd Ste 110 Lehi UT 840437186 SPECIALTY PHYSICIAN PRACTICE Gastroenterology West Jordan 3590 W 9000 S Ste 120 West Jordan UT 840888858 SPECIALTY PHYSICIAN PRACTICE Internal Medicine West Jordan 3570 W 9000 S Ste 100 West Jordan UT 840888871 SPECIALTY PHYSICIAN PRACTICE Mountain Solitude Ski Clinic 12000 E Big Cottonwood Canyon Rd Fl 1 Brighton UT 841219710 SPECIALTY PHYSICIAN PRACTICE Neuroscience & Rehabilitation Lehi Mountain Point 3000 N Triumph Blvd Ste 110 Lehi UT 840437186 SPECIALTY PHYSICIAN PRACTICE Neuroscience & Rehabilitation Salt Lake City 82 S 1100 E Ste 103 Salt Lake City UT 841021889 SPECIALTY PHYSICIAN PRACTICE Neuroscience & Rehabilitation West Jordan 3590 W 9000 S Ste 240 West Jordan UT 840888864 SPECIALTY PHYSICIAN PRACTICE Obstetrics & Gynecology Layton 1580 W Antelope Dr Ste 290 Layton UT 840411179 OB/GYN PRACTICE Obstetrics & Gynecology Murray 5980 S Fashion Blvd Murray UT 841077362 OB/GYN PRACTICE Obstetrics & Gynecology Salt Lake City 82 S 1100 E Ste 403 Salt Lake City UT 841024703 OB/GYN PRACTICE Obstetrics & Gynecology West Valley 3336 S 4155 W Ste 301 West Valley City UT 84120 OB/GYN PRACTICE Orthopedics & Sports Medicine Cottonwood Heights 6322 S 3000 E Ste 140 Cottonwood Heights UT 841213555 SPECIALTY PHYSICIAN PRACTICE Orthopedics & Sports Medicine Layton 2132 N Robins Dr Ste 230 Layton UT 840417060 SPECIALTY PHYSICIAN PRACTICE Orthopedics & Sports Medicine Lehi Mountain Point 3000 N Triumph Blvd Ste 110 Lehi UT 840437186 SPECIALTY PHYSICIAN PRACTICE Orthopedics & Sports Medicine Murray 5980 S Fashion Blvd Murray UT 841077362 SPECIALTY PHYSICIAN PRACTICE Orthopedics & Sports Medicine Salt Lake City 82 S 1100 E Ste 303 Salt Lake City UT 841021891 SPECIALTY PHYSICIAN PRACTICE Orthopedics & Sports Medicine Sandy 9350 S 150 E Ste 460 Sandy UT 840705502 SPECIALTY PHYSICIAN PRACTICE Orthopedics & Sports Medicine West Jordan 3584 W 9000 S Ste 405 West Jordan UT 840885712 SPECIALTY PHYSICIAN PRACTICE Orthopedics & Sports Medicine West Valley 3336 S 4155 W Ste 102 West Valley City UT 84120 SPECIALTY PHYSICIAN PRACTICE Primary Care Murray 5980 S Fashion Blvd Murray UT 841077362 PRIMARY CARE CLINIC Primary Care South Valley 13348 Market Center Dr Ste 210 Riverton UT 840658011 PRIMARY CARE CLINIC Psychiatric Hospitalists Layton 1600 W Antelope Dr Layton UT 840411142 SPECIALTY PHYSICIAN PRACTICE PulmonaryCritical Care & Sleep Medicine Lehi Mountain Point 3000 N Triumph Blvd Ste 110 Lehi UT 840437186 SPECIALTY PHYSICIAN PRACTICE Pulmonary Critical Care & Sleep Medicine West Jordan 3584 W 9000 S Ste 401 West Jordan UT 840885712 SPECIALTY PHYSICIAN PRACTICE Senior Care Salt Lake City 82 S 1100 E Ste 403 Salt Lake City UT 841021892 SENIOR CARE Specialty Surgery Lehi Mountain Point 3000 N Triumph Blvd Ste 110 Lehi UT 840437186 SPECIALTY PHYSICIAN PRACTICE Specialty Surgery Salt Lake City 82 S 1100 E Ste 103 Salt Lake City UT 841021889 SPECIALTY PHYSICIAN PRACTICE Specialty Surgery West Jordan 3584 W 9000 S Ste 304 West Jordan UT 840884775 SPECIALTY PHYSICIAN PRACTICE Spine Center West Jordan 3584 W 9000 S Ste 209 West Jordan UT 840885711 SPECIALTY PHYSICIAN PRACTICE Surgical Oncology West Jordan 3592 W 9000 S Ste 210 West Jordan UT 840888819 SPECIALTY PHYSICIAN PRACTICE Wound Care at Holy Cross Hospital-Davis 2132 N Robins Dr Ste 100 Layton UT 840417059 WOUND CARE PRACTICE Wound Care at Holy Cross Hospital-Jordan Valley 3590 W 9000 S Ste 105 West Jordan UT 840888858 WOUND CARE PRACTICE Schedule H, Part VI, Line 4 COMMUNITY INFORMATION (CONTINUED) ORTHOCOLORADO HOSPITAL TO DEFINE OUR COMMUNITY FOR THE CHNA AND TO ANALYZE DEMOGRAPHIC AND HEALTH INDICATOR DATA, WE USED THE STARK-LAW SERVICE AREAS. THE STARK-LAW SERVICE AREA IS DEFINED AS THE LOWEST NUMBER OF CONTIGUOUS ZIP CODES THAT ACCOUNTS FOR 75% OF A HOSPITAL'S INPATIENT ADMISSIONS. THESE ZIP CODES HAVE A COMBINED POPULATION OF 1,143,793: RACE AND ETHNICITY: THE POPULATION IS 85 % WHITE, 2% BLACK, 3% ASIAN, 1% NATIVE AMERICAN/ALASKAN NATIVE, 0.06% NATIVE HAWAIIAN/PACIFIC ISLANDER, 6% SOME OTHER RACE, AND 3% MULTIPLE RACES. ADDITIONALLY, 33.1% ARE HISPANIC OR LATINO. EDUCATION LEVEL: IN OUR COMMUNITIES, 49% OF THE POPULATION HAS AN ASSOCIATE'S DEGREE OR HIGHER. CO AVERAGE IS 45% UNEMPLOYMENT RATE: 4%, CO AVERAGE IS 4% POPULATION WITH LIMITED ENGLISH PROFICIENCY: 8%, CO AVERAGE IS 7% HIGH SCHOOL GRADUATION RATE: 68%, CO AVERAGE IS 78% POPULATION LIVING IN HOUSEHOLDS WITH INCOME BELOW 200% OF FEDERAL POVERTY LEVEL: 28.2%, CO AVERAGE IS 29.6%. Schedule H, Part I, Line 6a Community benefit report prepared by related organization Centura Health Corporation Schedule H, Part I, Line 7g Subsidized Health Services THERE ARE NO PHYSICIAN CLINICS INCLUDED IN SUBSIDIZED HEALTH SERVICES. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance A COST ACCOUNTING SYSTEM WAS NOT USED TO COMPUTE AMOUNTS IN THE TABLE; RATHER COSTS IN THE TABLE WERE COMPUTED USING THE ORGANIZATION'S COST-TO-CHARGE RATIO. THE COST-TO CHARGE RATIO COVERS ALL PATIENT SEGMENTS. THE COST-TO-CHARGE RATIO FOR THE YEAR ENDED 6/30/2023 WAS COMPUTED USING THE FOLLOWING FORMULA: OPERATING EXPENSE (BEFORE RESTRUCTURING, IMPAIRMENT AND OTHER LOSSES) DIVIDED BY GROSS PATIENT REVENUE. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount FOR FINANCIAL STATEMENT PURPOSES, CHI COLORADO HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE. Schedule H, Part III, Line 3 Bad Debt Expense Methodology The organization is not reporting any bad debt expense and therefore there is not any amount that could be attributable to FAP-eligible patients. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote CATHOLIC HEALTH INITIATIVES COLORADO (CHIC) DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF COMMONSPIRIT HEALTH. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS: COMMONSPIRIT RELIES ON THE RESULTS OF DETAILED REVIEWS OF HISTORICAL WRITE-OFFS AND COLLECTIONS IN ESTIMATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE. UPDATES TO THE HINDSIGHT ANALYSIS IS PERFORMED AT LEAST QUARTERLY USING PRIMARILY A ROLLING EIGHTEEN MONTH COLLECTION HISTORY AND WRITE-OFF DATA. SUBSEQUENT CHANGES TO ESTIMATES OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO NET PATIENT REVENUE IN THE PERIOD OF CHANGE. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN A THIRD PARTY PAYOR'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE IN PURCHASED SERVICES AND OTHER IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGE IN NET ASSETS. BAD DEBT EXPENSE FOR 2023 AND 2022 WAS NOT SIGNIFICANT. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE ORGANIZATION APPLIES THE COST TO CHARGE RATIO CALCULATED IN IRS WORKSHEET 2 TO DETERMINE THE COST OF CARE PROVIDED TO MDEICARE PATIENTS. THE COST IS THEN EVALUATED AND ALL NON-ALLOWABLE COST IS REMOVED VIA ADJUSTMENTS. THE REMAINING ALLOWABLE COST IS THEN ALLOCATED TO APPROPRIATE PATIENT CARE AND NON-PATIENT CARE COST CENTERS BASED ON MEDICARE ALLOCATION PRINCIPLES. 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 Initiative's shortfall, as reported on Part III, Section b, line 7, of $ 236,824,605 million represents the filing organization's Medicare cost reports. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance CATHOLIC HEALTH INITIATIVES COLORADO'S (CHIC) DEBT COLLECTION POLICY PROVIDES FOR THE PERFORMANCE OF A REASONABLE REVIEW OF EACH PATIENT'S ACCOUNT PRIOR TO TURNING AN ACCOUNT OVER TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT. THE REVIEW OF PATIENT ACCOUNTS IS DONE TO ASSURE THAT THE PATIENT OR THEIR GUARANTOR IS NOT ELIGIBLE FOR ASSISTANCE THROUGH CHIC'S CHARITY CARE POLICY, UNINSURED DISCOUNT POLICY, OR ANOTHER FINANCIAL ASSISTANCE PROGRAM (I.E. MEDICAID). ONCE A PATIENT IS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE, COLLECTION ACTIONS ARE THEN SUSPENDED. Schedule H, Part V, Section B, Line 16a FAP website A - PENROSE HOSPITAL: Line 16a URL: HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/PATIENT-TOOLS/BILLING-AND-FINANCIALSERVICES/ FINANCIAL-HELP; B - St. Elizabeth Hospital: Line 16a URL: HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/COMMUNITY-IMPACT/COMMUNITY-BENEFIT; Schedule H, Part V, Section B, Line 16b FAP Application website A - PENROSE HOSPITAL: Line 16b URL: HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/PATIENT-TOOLS/BILLING-AND-FINANCIALSERVICES/ FINANCIAL-HELP; B - St. Elizabeth Hospital: Line 16b URL: HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/COMMUNITY-IMPACT/COMMUNITY-BENEFIT; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - PENROSE HOSPITAL: Line 16c URL: HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/PATIENT-TOOLS/BILLING-AND-FINANCIALSERVICES/ FINANCIAL-HELP; B - St. Elizabeth Hospital: Line 16c URL: HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/COMMUNITY-IMPACT/COMMUNITY-BENEFIT; Schedule H, Part VI, Line 2 Needs assessment THE CATHOLIC HEALTH INITIATIVES COLORADO (CHIC) HOSPITALS PROVIDE SEVERAL SERVICES AND RESOURCES TO THE COMMUNITIES IT SERVES BEYOND THE PRIORITIZED NEEDS SPECIFICALLY IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THEY SPONSOR WELLNESS EVENTS SUCH AS BREAST FEEDING EDUCATION, ASTHMA SCREENINGS, AND FINANCIALLY SUPPORTS WELLNESS INITIATIVES OF CITIES AND PUBLIC SCHOOLS. THEY ALSO PROVIDE TRANSPORTATION FOR LOW INCOME PATIENTS AND HOUSING AT NO COST OR VERY LOW COST FOR THE FAMILIES OF LOW INCOME PATIENTS OF THE HOSPITAL THAT ARE FAR FROM THEIR RESIDENCE. THEY ALSO SUPPORT, FINANCIALLY AND THROUGH VOLUNTEERISM, INITIATIVES SUCH AS SOUP KITCHENS AND MEALS ON WHEELS TO PROVIDE FOOD AND NUTRITION EDUCATION TO ADDRESS HUNGER ISSUES. HOSPITAL STAFF ALSO VOLUNTEER TO SERVE AS PRECEPTORS FOR STUDENTS OF LOCAL HEALTH PROFESSIONAL PROGRAMS AND SERVE ON BOARDS OF LOCAL COMMUNITY ORGANIZATIONS THAT PROVIDE SOCIAL SERVICES TO POPULATIONS IN NEED. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance NOTIFICATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE FROM CHI COLORADO SHALL BE DISSEMINATED BY VARIOUS MEANS, WHICH MAY INCLUDE, BUT NOT BE LIMITED TO: * CONSPICUOUS PUBLICATION OF NOTICES IN PATIENT BILLS; * NOTICES POSTED IN EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING/REGISTRATION DEPARTMENTS, BUSINESS OFFICES, AND AT OTHER PUBLIC PLACES AS A HOSPITAL FACILITY MAY ELECT; AND * PUBLICATION OF A SUMMARY OF THIS POLICY ON THE HOSPITAL FACILITY'S WEBSITE, AND AT OTHER PLACES WITHIN THE COMMUNITIES SERVED BY THE HOSPITAL FACILITY AS IT MAY ELECT. SUCH NOTICES AND SUMMARY INFORMATION SHALL INCLUDE A CONTACT NUMBER AND SHALL BE PROVIDED IN ENGLISH, SPANISH, AND OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVED BY AN INDIVIDUAL HOSPITAL FACILITY, AS APPLICABLE. REFERRAL OF PATIENTS FOR FINANCIAL ASSISTANCE MAY BE MADE BY ANY MEMBER OF THE CHI 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. IN ADDITION, HOSPITAL REGISTRATION CLERKS ARE TRAINED TO PROVIDE CONSULTATION TO THOSE WHO HAVE NO INSURANCE OR POTENTIALLY INADEQUATE INSURANCE CONCERNING THEIR FINANCIAL OPTIONS INCLUDING APPLICATION FOR MEDICAID AND FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. COUNSELORS ASSIST MEDICARE ELIGIBLE PATIENTS IN ENROLLMENT BY PROVIDING REFERRALS TO THE APPROPRIATE GOVERNMENT AGENCIES. ONCE IT IS DETERMINED THAT THE PATIENT DOES NOT QUALIFY FOR ANY THIRD-PARTY FUNDING, THE PATIENT IS VERBALLY NOTIFIED ABOUT THE EXISTENCE OF FINANCIAL ASSISTANCE APPLICATION AND ADDITIONAL SCREENING TAKES PLACE BY A HOSPITAL EMPLOYEE TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR CHARITY SERVICE PRIOR TO DISCHARGE. UPON REGISTRATION (AND ONCE ALL EMTALA REQUIREMENTS ARE MET), PATIENTS WHO ARE IDENTIFIED AS UNINSURED (AND NOT COVERED BY MEDICARE OR MEDICAID) ARE PROVIDED WITH A PACKET OF INFORMATION THAT ADDRESSES THE FINANCIAL ASSISTANCE POLICY, THE PLAIN LANGUAGE SUMMARY OF THAT POLICY, AND AN APPLICATION FOR ASSISTANCE. HOSPITAL REGISTRATION CLERKS READ THE ORGANIZATION'S MEDICAL ASSISTANCE POLICY TO THOSE WHO APPEAR TO BE INCAPABLE OF READING AND PROVIDE TRANSLATORS FOR NON-ENGLISH-SPEAKING INDIVIDUALS. PATIENTS THAT HAVE BEEN DISCHARGED PRIOR TO CHARITY SCREENING, SUCH AS EMERGENCY ROOM PATIENTS, RECEIVE A WRITTEN NOTIFICATION OF POSSIBLE ELIGIBILITY FOR SERVICES. IF THE PATIENT IS DETERMINED NOT TO BE ELIGIBLE FOR GOVERNMENT ASSISTANCE, HE/SHE MAY NOTIFY THE HOSPITAL THAT THEY SEEK CHARITY ASSISTANCE. THE APPROPRIATE CHARITY FORM IS SENT TO THE PATIENT/GUARANTOR FOR COMPLETION AND THEN RETURNED TO THE HOSPITAL FOR EVALUATION AND QUALIFICATION. ONCE DETERMINATION OF ELIGIBILITY IS MADE, THE PATIENT IS SENT A NOTICE INFORMING HIM/HER IF THEY QUALIFY FOR FULL, PARTIAL, OR NO CHARITY CARE SERVICES. HOSPITAL FACILITIES MUST MAKE REASONABLE EFFORTS THROUGH ITS BILLING AND COLLECTIONS PROCESSES, PURSUANT TO TREAS. REG. §1.501(R)-6(C), TO DETERMINE WHETHER ANY INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE. Schedule H, Part VI, Line 4 Community information PENROSE HOSPITAL TO DEFINE OUR COMMUNITY FOR THE CHNA AND TO ANALYZE DEMOGRAPHIC AND HEALTH INDICATOR DATA, WE USED THE STARK-LAW SERVICE AREAS. THE STARK-LAW SERVICE AREA IS DEFINED AS THE LOWEST NUMBER OF CONTIGUOUS ZIP CODES THAT ACCOUNTS FOR 75% OF A HOSPITAL'S INPATIENT ADMISSIONS. THESE ZIP CODES HAVE A COMBINED POPULATION OF 538K: RACE AND ETHNICITY: NATIVE AMERICAN/ALASKAN NATIVE 1.03%; ASIAN 3.08%; BLACK 6%; HISPANIC OR LATINO 17.8%; WHITE 70.77%; NATIVE HAWAIIAN/PACIFIC ISLANDER 0.42%; SOME OTHER RACE 5.9%; MULTIPLE RACES 12.8%. EDUCATION LEVEL: THE PERCENTAGE OF THE POPULATION IN THE PIKES PEAK REGION WITH AN ASSOCIATE DEGREE OR HIGHER IS 74.7%. THIS IS COMPARABLE TO THE COLORADO STATE AVERAGE OF 71%. UNEMPLOYMENT RATE: THE 4.6% UNEMPLOYMENT RATE IN OUR AREA IS HIGHER THAN THE STATE AVERAGE OF 3.9%. POPULATION WITH LIMITED ENGLISH PROFICIENCY: EL PASO COUNTY HAS A LOWER LEVEL OF RESIDENTS WITH A LIMITED ENGLISH PROFICIENCY THAN THE STATE AVERAGE. OUR SERVICE AREA IS AT 1.4% AND THE STATE AVERAGE OF 2.8%. HIGH SCHOOL GRADUATION RATE: 75.1% OF ADOLESCENTS ARE GRADUATING FROM HIGH SCHOOL WHICH IS A SLIGHTLY LOWER RATE THAN THE COLORADO STATE AVERAGE OF 77.3%. POPULATION LIVING IN HOUSEHOLDS WITH RATIO OF HOUSEHOLDS IN THE 80TH PERCENTILE TO INCOME AT THE 20TH PERCENTILE IS 4.3, COMPARED TO COLORADO'S RATE OF 4.5. ST. ANTHONY HOSPITAL AND ORTHOCOLORADO TO DEFINE OUR COMMUNITY FOR THE CHNA AND TO ANALYZE DEMOGRAPHIC AND HEALTH INDICATOR DATA, WE USED THE STARK-LAW SERVICE AREAS. THE STARK-LAW SERVICE AREA IS DEFINED AS THE LOWEST NUMBER OF CONTIGUOUS ZIP CODES THAT ACCOUNTS FOR 75% OF A HOSPITAL'S INPATIENT ADMISSIONS. THESE ZIP CODES HAVE A COMBINED POPULATION OF 1,143,793: RACE AND ETHNICITY: THE POPULATION IS 77.4% WHITE, 1.2% BLACK, 3% ASIAN, 0.5% NATIVE AMERICAN/ALASKAN NATIVE, 0.1% NATIVE HAWAIIAN/PACIFIC ISLANDER, 15.8% SOME OTHER RACE, AND 2% MULTIPLE RACES. ADDITIONALLY, 15.7% ARE HISPANIC OR LATINO. EDUCATION LEVEL: IN OUR COMMUNITIES, 48.5% OF THE POPULATION HAS AN ASSOCIATE'S DEGREE OR HIGHER. CO AVERAGE IS 44.7% UNEMPLOYMENT RATE: 3.8%, CO AVERAGE IS 4.0% POPULATION WITH LIMITED ENGLISH PROFICIENCY: 8.3%, CO AVERAGE IS 6.7% HIGH SCHOOL GRADUATION RATE: 67.6%, CO AVERAGE IS 77.6% POPULATION LIVING IN HOUSEHOLDS WITH INCOME BELOW 200% OF FEDERAL POVERTY LEVEL: 28.2%, CO AVERAGE IS 29.6% MERCY REGIONAL HOSPITAL TO DEFINE OUR COMMUNITY FOR THE CHNA AND TO ANALYZE DEMOGRAPHIC AND HEALTH INDICATOR DATA, WE USED THE STARK-LAW SERVICE AREAS. THE STARK-LAW SERVICE AREA IS DEFINED AS THE LOWEST NUMBER OF CONTIGUOUS ZIP CODES THAT ACCOUNTS FOR 75% OF A HOSPITAL'S INPATIENT ADMISSIONS. THESE ZIP CODES HAVE A COMBINED POPULATION OF 197,281: RACE AND ETHNICITY: NATIVE AMERICAN/ALASKAN NATIVE 1.39%; ASIAN 0.95%; BLACK 1.74%; HISPANIC OR LATINO 18.37%; WHITE 84.03%; NATIVE HAWAIIAN/PACIFIC ISLANDER 0.11%; SOME OTHER RACE 10.32%; MULTIPLE RACES 1.46%. EDUCATION LEVEL: POPULATION WITH ASSOCIATE'S DEGREE OR HIGHER: 73.1%. UNEMPLOYMENT RATE: 3% COMPARED TO COLORADO'S RATE OF 3.9%. POPULATION WITH LIMITED ENGLISH PROFICIENCY: 1.5% COMPARED TO COLORADO'S RATE OF 2.8%. HIGH SCHOOL GRADUATION RATE: 80.9% COMPARED TO COLORADO'S RATE OF 77.6%. RATIO OF HOUSEHOLDS IN THE 80TH % TO INCOME AT THE 20TH % IS 4.2 COMPARED TO COLORADO'S RATE OF 4.5 ST. MARY-CORWIN HOSPITAL TO DEFINE OUR COMMUNITY FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND TO ANALYZE DEMOGRAPHIC AND HEALTH INDICATOR DATA, WE USED THE STARK-LAW SERVICE AREAS. THE STARKLAW SERVICE AREA IS DEFINED AS THE LOWEST NUMBER OF CONTIGUOUS ZIP CODES THAT ACCOUNTS FOR 75% OF A HOSPITAL'S INPATIENT ADMISSIONS. THESE ZIP CODES HAVE A COMBINED POPULATION OF 188,587: RACE: 80.43% WHITE; 2.11% BLACK; 0.9% ASIAN; 4.03% NATIVE AMERICAN ETHNICITY: 42.99% HISPANIC/LATINO, NON-HISPANIC: 57.01% EDUCATION LEVEL: IN OUR COMMUNITY,63% OF THE POPULATION HAS AN ASSOCIATE'S DEGREE OR HIGHER. CO AVERAGE IS 72%. UNEMPLOYMENT RATE: 6%, CO AVERAGE IS 4%. POPULATION WITH LIMITED ENGLISH PROFICIENCY: 1%, CO AVERAGE IS 3%. HIGH SCHOOL GRADUATION RATE: 75%, CO AVERAGE IS 78%. RATIO OF HOUSEHOLDS IN THE 80TH % TO INCOME AT THE 20TH % IS 4.7 COMPARED TO COLORADO'S RATE OF 4.5. ST. FRANCIS HOSPITAL TO DEFINE OUR COMMUNITY FOR THE CHNA AND TO ANALYZE DEMOGRAPHIC AND HEALTH INDICATOR DATA, WE USED THE STARK-LAW SERVICE AREAS. THE STARK-LAW SERVICE AREA IS DEFINED AS THE LOWEST NUMBER OF CONTIGUOUS ZIP CODES THAT ACCOUNTS FOR 75% OF A HOSPITAL'S INPATIENT ADMISSIONS. THESE ZIP CODES HAVE A COMBINED POPULATION OF 527,449: RACE AND ETHNICITY: NATIVE AMERICAN/ALASKAN NATIVE 1.03%; ASIAN 3.08%; BLACK 6%; HISPANIC OR LATINO 17.8%; WHITE 70.77%; NATIVE HAWAIIAN/PACIFIC ISLANDER 0.42%; SOME OTHER RACE 5.9%; MULTIPLE RACES 12.8%. EDUCATION LEVEL: THE PERCENTAGE OF THE POPULATION IN THE PIKES PEAK REGION WITH AN ASSOCIATE DEGREE OR HIGHER IS 74.7%. THIS IS COMPARABLE TO THE COLORADO STATE AVERAGE OF 71%. UNEMPLOYMENT RATE: THE 5% UNEMPLOYMENT RATE IN OUR AREA IS HIGHER THAN THE STATE AVERAGE OF 4%. POPULATION WITH LIMITED ENGLISH PROFICIENCY: EL PASO COUNTY HAS A LOWER LEVEL OF RESIDENTS WITH A LIMITED ENGLISH PROFICIENCY THAN THE STATE AVERAGE. OUR SERVICE AREA IS AT 1.4% AND THE STATE AVERAGE OF 3%. HIGH SCHOOL GRADUATION RATE: 75% OF ADOLESCENTS ARE GRADUATING FROM HIGH SCHOOL WHICH IS A SLIGHTLY LOWER RATE THAN THE COLORADO STATE AVERAGE OF 77%. POPULATION LIVING IN HOUSEHOLDS WITH RATIO OF HOUSEHOLDS IN THE 80TH PERCENTILE TO INCOME AT THE 20TH PERCENTILE IS 4.3, COMPARED TO COLORADO'S RATE OF 4.5. ST. ANTHONY NORTH HOSPITAL TO DEFINE OUR COMMUNITY FOR THE CHNA AND TO ANALYZE DEMOGRAPHIC AND HEALTH INDICATOR DATA, WE USED THE STARK-LAW SERVICE AREAS. THE STARK-LAW SERVICE AREA IS DEFINED AS THE LOWEST NUMBER OF CONTIGUOUS ZIP CODES THAT ACCOUNTS FOR 75% OF A HOSPITAL'S INPATIENT ADMISSIONS. THESE ZIP CODES HAVE A COMBINED POPULATION OF 218,151: RACE AND ETHNICITY: WHITE, 55.5%; BLACK, 1.9%; ASIAN, 4.4%; NATIVE AMERICAN/ALASKAN NATIVE, 0.6%; NATIVE HAWAIIAN/PACIFIC ISLANDER, 0.1%; SOME OTHER RACE, 35.3%; MULTIPLE RACES, 2.2%. 35.2% OF OUR COMMUNITY IDENTIFIES AS HISPANIC OR LATINO EDUCATION LEVEL: POPULATION WITH ASSOCIATES LEVEL DEGREE OR HIGHER=47%, CO AVERAGE IS 45%. UNEMPLOYMENT RATE: 6 %, CO AVERAGE IS 4.0%. POPULATION WITH LIMITED ENGLISH PROFICIENCY: 5%, CO AVERAGE IS 7%. HIGH SCHOOL GRADUATION RATE: 73%, CO AVERAGE IS 78%. POPULATION LIVING IN HOUSEHOLDS WITH INCOME BELOW 200% OF FEDERAL POVERTY LEVEL: 19%, CO AVERAGE IS 29.6%. ST. ANTHONY SUMMIT HOSPITAL TO DEFINE OUR COMMUNITY FOR THE CHNA AND TO ANALYZE DEMOGRAPHIC AND HEALTH INDICATOR DATA, WE USED THE STARK-LAW SERVICE AREAS. THE STARK-LAW SERVICE AREA IS DEFINED AS THE LOWEST NUMBER OF CONTIGUOUS ZIP CODES THAT ACCOUNT FOR 75% OF A HOSPITAL'S INPATIENT ADMISSIONS. THESE ZIP CODES HAVE A COMBINED POPULATION OF 43,982: RACE: WHITE 81.6%; BLACK 1.5%; ASIAN 1.6%; NATIVE AMERICAN/ALASKAN NATIVE 0.3%; NATIVE HAWAIIAN/PACIFIC ISLANDER 1.6%; SOME OTHER RACE 6%; MULTIPLE RACES 1%. ETHNICITY: 15% OF THE POPULATION IN OUR SERVICE AREA REPORTS AS HISPANIC OR LATINO. EDUCATION LEVEL: IN OUR COMMUNITY, 49.0% OF THE POPULATION HAS AN ASSOCIATE'S DEGREE OR HIGHER; CO AVERAGE IS 45%. UNEMPLOYMENT RATE: 3%; CO AVERAGE IS 4%. POPULATION WITH LIMITED ENGLISH PROFICIENCY: 7%; CO AVERAGE IS 7%. HIGH SCHOOL GRADUATION RATE: 83%; CO AVERAGE IS 77.6%. RATIO OF HOUSEHOLDS IN THE 80TH % TO INCOME AT THE 20TH % IS 4.0 COMPARED TO COLORADO'S RATE OF 4.5. ST. THOMAS MORE HOSPITAL TO DEFINE OUR COMMUNITY FOR THE CHNA AND TO ANALYZE DEMOGRAPHIC AND HEALTH INDICATOR DATA, WE USED THE STARK-LAW SERVICE AREAS. THE STARK-LAW SERVICE AREA IS DEFINED AS THE LOWEST NUMBER OF CONTIGUOUS ZIP CODES THAT ACCOUNT FOR 75% OF A HOSPITAL'S INPATIENT ADMISSIONS. THESE ZIP CODES HAVE A COMBINED POPULATION OF 43,982: RACE: 81.66% WHITE, 3.78% BLACK, 0.69% ASIAN, 1.74% NATIVE AMERICAN/ALASKA NATIVE, 0.6% NATIVE HAWAIIAN/PACIFIC ISLANDER, 5.14% SOME OTHER RACE, AND 6.93% MULTIPLE RACES. ETHNICITY: 12.36% HISPANIC/LATINO, NON-HISPANIC: 87.64%. EDUCATION LEVEL: IN OUR COMMUNITY, 25% OF THE POPULATION HAS AN ASSOCIATE'S DEGREE OR HIGHER. CO AVERAGE IS 45% HIGH SCHOOL GRADUATION RATE: 23%, CO AVERAGE IS 78%. UNEMPLOYMENT RATE: 6%, CO AVERAGE IS 4%. POPULATION WITH LIMITED ENGLISH PROFICIENCY: 2%, CO AVERAGE IS 3%. RATIO OF HOUSEHOLDS IN THE 80TH % TO INCOME AT THE 20TH % IS 4.2 COMPARED TO COLORADO'S RATE OF 4.5 Holy Cross Hospitals were acquired by Centura on 5/1/2023. The five hospitals include Holy Cross Hospital - Jordan Valley, Holy Cross Hospital - Davis, Holy Cross Hospital - Salt Lake, Holy Cross Hospital - Jordan Valley West, and Holy Cross Hospital - Mountain Point. The five hospitals serve Salt Lake County, Davis County, and Utah County, the three most populous counties in Utah based on 2020 Census information. These counties in part comprise the Salt Lake City - Provo - Orem, Utah combined statistical area and the Ogden - Clearfield, Utah metropolitan statistical area. Schedule H, Part VI, Line 5 Promotion of community health THE CATHOLIC HEALTH INITIATIVES COLORADO (CHIC) HOSPITAL FACILITIES PROMOTE HEALTH FOR THE BENEFIT OF THE COMMUNITY. MEDICAL STAFF PRIVILEGES IN THE HOSPITAL ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA, CONSISTENT WITH THE SIZE AND NATURE OF ITS FACILITIES. CHIC HOSPITAL FACILITIES HAVE OPEN MEDICAL STAFFS. COMMUNITY HOSPITAL BOARDS OF TRUSTEES ARE COMPOSED OF A MAJORITY OF LOCAL COMMUNITY LEADERS LIVING IN THE HOSPITAL SERVICE AREA AND NOT SOLEY CONTRACTORS OR EMPLOYEES OF THE HOSPITAL SYSTEM. EXCESS FUNDS ARE GENERALLY APPLIED TO EXPANSION AND REPLACEMENT OF EXISTING FACILITIES AND EQUIPMENT, AMORTIZATION OF INDEBTEDNESS, IMPROVEMENT IN PATIENT CARE, AND MEDICAL TRAINING, EDUCATION, AND RESEARCH. THE FACILITIES TREAT PERSONS PAYING THEIR BILLS WITH THE AID OF PUBLIC PROGRAMS LIKE MEDICARE AND MEDICAID. ALL PATIENTS PRESENTING AT THE HOSPITALS FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE ARE TREATED REGARDLESS OF THEIR ABILITY TO PAY FOR SUCH TREATMENT. Schedule H, Part VI, Line 6 Affiliated health care system CATHOLIC HEALTH INITIATIVES COLORADO (CHIC) IS OPERATED AS PART OF CENTURA HEALTH CORPORATION (CENTURA). CENTURA AND ITS AFFILIATED ORGANIZATIONS ARE DEDICATED TO EXTENDING THE HEALING MINISTRY OF CHRIST BY CARING FOR THOSE WHO ARE ILL AND BY NURTURING THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES. SPECIFICALLY, CENTURA HAS LAUNCHED A SYSTEM WIDE STRATEGIC PLAN TO IMPROVE THE QUALITY, CONSISTENCY, AVAILABILITY, AND AFFORDABILITY OF HEALTHCARE TO COMMUNITIES THROUGHOUT COLORADO. THE THREE MAIN COMPONENTS OF THIS STRATEGY ARE (1) TO CONTINUE INVESTING IN TECHNOLOGY ADVANCEMENTS THAT IMPROVE THE QUALITY, COSTS, AND COORDINATION OF CARE INCLUDING THE ESTABLISHMENT OF ELECTRONIC HEALTH RECORDS LINKING OUR PHYSICIANS, CLINICS, HOSPITALS, LONG-TERM FACILITIES AND HOME CARE SERVICES; (2) PROVIDING WELLNESS CARE, THEREBY POTENTIALLY REDUCING HEALTH CARE COSTS BY HELPING PATIENTS TO MAINTAIN GOOD HEALTH, GROWING THE LEVEL OF SUPPORT AND OUTREACH PROVIDED TO RURAL COMMUNITIES, AND INCREASING ACCESS, AFFORDABILITY AND QUALITY OF HEALTH CARE; AND (3) COORDINATE AND DEVELOP SYSTEMS OF CARE, LOOKING TO EACH FACILITY AND ENTITY IN CENTURA TO SHARE BEST PRACTICES AND IMPROVE OVERALL EFFICIENCY AND COMMUNICATION SYSTEM-WIDE FROM BIRTH TO HOME CARE. Schedule H, Part VI, Line 7 State filing of community benefit report CO, KS true THE GOOD FOOD COLLECTIVE PO Box 25 Cortez CO 81321 260045741 501(c)(3) 87521 0 N/A N/A GENERAL OPERATING SUPPORT COLLEGE TRACK 112 Linden St Oakland CA 94607 943279613 501(c)(3) 65000 0 N/A N/A GENERAL OPERATING SUPPORT COLORADO SPRINGS CHAMBER OF CO 102 S Tejon St Suite 1200 Colorado Springs CO 80903 840174190 501(c)(3) 57500 0 N/A N/A GENERAL OPERATING SUPPORT COLORADO SPRINGS PHILHARMONIC PO Box 1266 Colorado Springs CO 80901 743091110 501(c)(3) 55000 0 N/A N/A GENERAL OPERATING SUPPORT ARRUPE JESUIT HIGH SCHOOL 4343 Utica St Denver CO 80212 020628872 501(c)(3) 22400 0 N/A N/A GENERAL OPERATING SUPPORT ADAMS COUNTY REGIONAL ECONOMIC Partnership 1870 W 122nd Ave Suit Westminster CO 80234 840872188 501(c)(6) 22350 0 N/A N/A GENERAL OPERATING SUPPORT CATHOLIC CHARITIES OF THE DIOCESE OF PUEBLO INC Diocese of Pueblo Inc 429 W 10th Pueblo CO 81003 840471001 501(c)(3) 20000 0 N/A N/A GENERAL OPERATING SUPPORT AMERICAN JUNIOR GOLF ASSOCIATION INC 1980 Sports Club Drive Braselton GA 30517 581433914 501(c)(3) 20000 0 N/A N/A GENERAL OPERATING SUPPORT MERCY HEALTH FOUNDATION 1010 Three Springs Blvd Durango CO 81301 840902211 501(c)(3) 12963 0 N/A N/A GENERAL OPERATING SUPPORT TEAM SUMMIT COLORADO 0800 Copper Rd 3307 Copper Mountain CO 80443 742529909 501(c)(3) 10000 0 N/A N/A GENERAL OPERATING SUPPORT FIRE FOUNDATION OF CO SPRINGS PO Box 8051 Colorado Springs CO 80933 813734979 501(c)(3) 10000 0 N/A N/A GENERAL OPERATING SUPPORT SOUTHERN COLORADO WOMENS CHAMBER OF COMMERCE Chamber of Commerce PO Box 49218 Colorado Springs CO 80949 841235063 501(c)(6) 7500 0 N/A N/A GENERAL OPERATING SUPPORT ROCKY MOUNTAIN PARTNERSHIP 1500 E 128th Ave Thornton CO 80241 453139024 501(c)(3) 7500 0 N/A N/A GENERAL OPERATING SUPPORT PUEBLO COMMUNITY COLLEGE FOUNDATION Foundation 900 W Orman Ave Pueblo CO 81004 840834567 501(c)(3) 6200 0 N/A N/A GENERAL OPERATING SUPPORT 12 2 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. GRANTS ARE GIVEN AT THE DISCRETION OF THE CATHOLIC HEALTH INITIATIVES COLORADO CEO. THE CEO MAKES REQUESTS FOR FUNDING, WHICH IS PAID OUT IN THE FORM OF A DONATION TO THE ENTITY OR USED TO REIMBURSE AN INVOICE SUBMITTED FOR AN EXPENSE FOR A SPECIFIC PURPOSE. Grants are always given for charitable purposes. true true false false false false false Mitch H Melfi ESQ Chair/SEVP, Chief Financial Officer/Treasurer 0 1015960 0 1440141 0 212765 0 17750 0 20517 0 2707133 0 0 Kris Ordelheide SECRETARY/ SVP LEGAL THRU 1/29/2023 0 601395 0 428430 0 158753 0 155448 0 38150 0 1382175 0 0 Thomas McGinn Board Member/Excecutive VP, Physician Enterprise 0 1045705 0 1496504 0 5544 0 17925 0 32831 0 2598509 0 0 Dan Morissette Board Member/ CSH SEVP, Chief Financial Officer/Treasurer 0 1557902 0 2114261 0 12292 0 453374 0 49833 0 4187662 0 0 Elizabeth Shih Board Member/ SEVP, Chief Administrative Officer 0 1100254 0 1713512 0 563676 0 712204 0 97333 0 4186979 0 505118 PETER BANKO CEO / President 0 1833268 0 1743952 0 156957 0 741441 0 86652 0 4562270 0 0 Andrew Gaasch Treasurer / EVP & CFO 0 741691 0 520620 0 1118 0 182073 0 56306 0 1501809 0 0 Michael Murphy Former Interim CEO - Mercy Regional Medical Center 0 0 0 0 0 189381 0 0 0 13629 0 203010 0 0 Carrie Damon SVP & Chief Information Officer 0 538181 0 498584 0 1677 0 145153 0 58764 0 1242359 0 0 Dan Enderson Group President - Denver Metro 0 851932 0 619513 0 187921 0 236376 0 47482 0 1943225 0 0 Brian Erling CEO - PENROSE ST. FRANCIS HEALTH SERVICES THRU SEPT 2022 0 427461 0 442252 0 1042405 0 98745 0 61943 0 2072806 0 0 Thomas Gessel Group President, Greater Colorado & Kansas 0 873360 0 854573 0 110236 0 241085 0 66808 0 2146062 0 0 Kevin Jenkins CEO - St. Anthony Hospital 0 483470 0 367249 0 21692 0 112799 0 51332 0 1036542 0 0 MATTHEW Leary VP OF FINANCE - DENVER METRO GROUP THROUGH APR 2023 / MARKET VP OF FINANCE & CFO - UTAH 0 428372 0 134838 0 2156 0 10675 0 52438 0 628479 0 0 Patrick Sharp CEO MERCY HOSPITAL THRU OCT 2022 / CEO PENROSE-ST. FRANCIS HEALTH SERVICES AS OF NOV 2022 0 457550 0 182260 0 35207 0 76164 0 48948 0 800129 0 0 Edward Sim EVP & COO - ST. ANTHONY HOSPITAL THRU NOV 2022 0 870255 0 787017 0 88350 0 259953 0 58613 0 2064188 0 0 Tadd Richert GROUP CFO & CFO - PENROSE ST. FRANCIS HEALTH SERVICES THRU OCT 2022 0 430672 0 135292 0 1409 0 7175 0 54142 0 628691 0 0 Kevin Wikoff GROUP CFO & CFO - PENROSE ST. FRANCIS HEALTH SERVICES STARTING MARCH 2022 0 306170 0 81552 0 601 0 10675 0 30685 0 429683 0 0 William Anderson Enterprise Executive Medical Director, Heart & Vascular 0 922293 0 99627 0 32970 0 10675 0 18124 0 1083689 0 0 Shauna Gulley Group President for the Physician Enterprise 0 769987 0 730924 0 1625 0 204671 0 55357 0 1762564 0 0 Dennis Kraus Executive Medical Director of Oncology and Enterprise 0 1011404 0 90737 0 23463 0 10675 0 40410 0 1176690 0 0 Gary Litchtenberger SVP and Chief Transformation Officer 0 800926 0 747602 0 2492 0 224391 0 61515 0 1836926 0 0 Dean Sanpei EVP and Chief Strategy Officer 0 685053 0 671216 0 2572 0 185531 0 56746 0 1601118 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation OUTSIDE CONSULTANTS ARE ENGAGED TO PROVIDE RECOMMENDATIONS TO CENTURA'S COMPENSATION COMMITTEE REGARDING THE COMPENSATION OF FACILITY CEOS AND CENTURA SENIOR EXECUTIVES. THE CONSULTANT'S RECOMMENDATIONS ARE THEN PRESENTED TO AND APPROVED BY THE COMPENSATION COMMITTEE. CENTURA'S HUMAN RESOURCES DEPARTMENT PERFORMS AN ANNUAL ANALYSIS OF THE MARKET TO DETERMINE COMPENSATION RANGES FOR THE REMAINDER OF CENTURA EXECUTIVES WHICH ARE REVIEWED AND APPROVED BY CENTURA'S SENIOR LEADERSHIP. OUTSIDE CONSULTANTS ARE ENGAGED TO PROVIDE RECOMMENDATIONS TO CENTURA'S COMPENSATION COMMITTEE. THE CONSULTANT'S RECOMMENDATIONS ARE THEN PRESENTED TO AND APPROVED BY THE COMPENSATION COMMITTEE. Schedule J, Part I, Line 4a Severance or change-of-control payment IN CALENDAR YEAR 2022 THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE: Michael Murphy - $191,174 Brian Erling - $190,481 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan During the 2022 calendar year, CommonSpirit maintained a supplemental non-qualified deferred compensation plan for Division CEOs/presidents and other designated CommonSpirit executives at the level of senior vice president and above. No reportable individuals received distributions from the CommonSpirit deferred compensation plan during 2022. Due to the "super" vesting rules under the deferred compensation plan, participants who have met certain requirements such as involuntary termination without cause, age, a combination of age and years of service, or more than 5 years of plan participation are eligible to receive their 2022 contributions in cash. During 2022, the following payments were made pursuant to the super vesting rules: M. Melfi, $202,097. Compensation amounts for the supplemental nonqualified retirement plans discussed above are reported as deferred compensation in the year accrued (Schedule J, Part II, column C) and are reflected again as other reportable compensation in the year paid (Schedule J, Part II, column B(iii)). IN ADDITION, CENTURA HEALTH CORPORATION, A RELATED TAX EXEMPT ORGANIZATION, PROVIDES SENIOR EXECUTIVES OF THE FILING ORGANIZATION'S MANAGEMENT TEAM THAT HOLD THE POSITION OF VICE-PRESIDENT OR ABOVE AN ALLOWANCE EQUIVALENT TO 10% OF BASE SALARY TO PURCHASE INSURANCE PRODUCTS OR CONTRIBUTE INTO A DEFERRED NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). IN ADDITION, A PENSION RESTORATION BENEFIT (PRB) IS PROVIDED WHICH CREDITS PARTICIPANTS WITH A BENEFIT THAT IS CALCULATED BASED ON THE EXCESS OF THE PARTICIPANT'S COMPENSATION OVER THE MAXIMUM ALLOWED FOR PENSION CONTRIBUTIONS. AMOUNTS DEFERRED ARE NOT REPORTED AS TAXABLE INCOME UNTIL/UNLESS A TRIGGERING EVENT OCCURS. THESE DEFERRED COMPENSATION PLANS HAVE A SUBSTANTIAL RISK OF FOREFEITURE PROVISIONS AND AN ELECTED VESTING SCHEDULE. DURING THE CALENDAR YEAR 2022, THE FOLLOWING INDIVIDUALS PARTICIPATED IN AND RECEIVED THE FOLLOWING AMOUNTS FROM THE SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLANS: SERP & PENSION RESTORATION CREDIT: PETER BANKO - $731,502 CARRIE DAMON - $132,752 DANIEL ENDERSON - $226,926 BRIAN ERLING - $88,070 ANDREW GAASCH - $174,898 THOMAS GESSEL - $230,410 KEVIN JENKINS - $102,124 KRIS ORDELHEIDE - $145,998 EDWARD SIM - $249,278 PATRICK SHARP - $65,489 SERP & PENSION RESTORATON LIQUIDATIONS: DANIEL ENDERSON - $183,113 BRIAN ERLING - $850,829 KEVIN JENKINS - $20,611 EDWARD SIM - $85,980 PETER BANKO - $152,149 THOMAS GESSEL - $105,428 Certain listed persons employed by Dignity Health are eligible to participate in non-qualified 457(f) plans that are subject to substantial risk of forfeiture, as required by the IRS. The 2007 Executive Deferred Compensation Plan is for executives hired prior to June 30, 2006. The benefit is intended to bridge the difference, if any, between the benefit provided under the Dignity Health Excess Benefit Plan had benefit service not been frozen at January 1, 2008, and the benefits provided from all other qualified and non-qualified plans. Benefits vest under this 457(f) plan at the later of the date the participant attains age 62 or is credited with 15 years of service. The 2010 Executive Deferred Compensation Plan is for certain officers and key employees, primarily those who are not eligible to participate in the Dignity Health Excess Benefit Plan or the 2007 Executive Deferred Compensation Plan described above. This benefit provides an annual accrual of 10% of total compensation and is payable annually on July 1 once vested, which is age 62 with 5 years of service. The plan also allows for special awards. Payments pursuant to the plan arrangements for one board member/officer occurred during 2022 include E. Shih, $505,118. Certain listed persons employed by Dignity Health participate in the Dignity Health Supplemental Executive Retention/Retirement Plan, a nonqualified supplemental benefit plan which in 2002 was offered to members of the executive management team by the Dignity Health Board of Directors and would be paid only if the executives stayed with the organization for a specified number of years as the primary purpose of this plan is to provide for the retention and retirement of the participants. The executive management team is recruited from stable careers in organizations from across the country and from various industries. Duties are both extensive and complex and require substantial and diverse experience and skill sets to execute their roles successfully. The calculation for the payments to each executive are based on the value of a final average pay annuity benefit based on retirement age and service years to the organization. Distribution occurs each July 1 if the plan formula warrants a payment. No payments pursuant to the plan arrangement occurred during 2022. Compensation amounts for the supplemental nonqualified retirement plans discussed above are reported as deferred compensation in the year accrued (Schedule J, Part II, column C) and are reflected again as reportable compensation in the year paid (Schedule J, Part II, column B(iii)). CommonSpirit's executive compensation philosophy is designed to assist CommonSpirit in attracting and retaining the caliber of executives required to enable CommonSpirit to fulfill its mission of providing high quality healthcare for all persons regardless of their ability to pay for services, improving the quality of life in the communities CommonSpirit serves, promoting patient and employee satisfaction, and ensuring financial stability. A substantial portion of executive compensation is performance based and is linked to organizational goals approved in advance by the Human Resources and Compensation Committee. These goals include attainment of annual and long-term financial performance, certain healthcare quality standards and CommonSpirit's commitment to serving the poor and disenfranchised in the communities it serves. Total compensation, which includes base salary, annual, and long-term incentive compensation, is established to approximate the prevailing market conditions for executives of companies of similar size, revenues and complexity. Payments pursuant to a long-term financial performance goal were paid in calendar year 2022. Form 990, Part V, Line 1a 2022 Form 1099 fillings Centura Health Corporation, a related tax exempt organization is the common paymaster for CHI Colorado therefore, all vendors, including independent contractors, are paid and reported by Centura Health Corporation on behalf of these named entities. Form 990, 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'S-LENGTH, 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 VI, Line 15 PROCESS USED TO ESTABLISH COMPENSATION THE ORGANIZATION'S PRESIDENT, TREASURER, SECRETARY AND KEY EMPLOYEES ARE EMPLOYED BY CENTURA HEALTH CORPORATION ("CENTURA"), A RELATED TAX EXEMPT ORGANIZATION. OUTSIDE CONSULTANTS ARE ENGAGED TO PROVIDE RECOMMENDATIONS TO CENTURA'S COMPENSATION COMMITTEE REGARDING THE COMPENSATION OF FACILITY CEO'S AND CENTURA SENIOR EXECUTIVES. THE CONSULTANT'S RECOMMENDATIONS ARE THEN PRESENTED TO AND APPROVED BY THE COMPENSATION COMMITTEE. CENTURA'S HUMAN RESOURCES DEPARTMENT PERFORMS ANALYSES OF THE MARKET TO DETERMINE COMPENSATION RANGES FOR THE REMAINDER OF CENTURA EXECUTIVES WHICH ARE REVIEWED AND APPROVED BY CENTURA'S SENIOR LEADERSHIP. FOR THOSE REPORTABLE INDIVIDUALS (I.E. BOARD MEMBERS AND BOARD OFFICERS) WHOSE COMPENSATION IS PAID BY COMMONSPIRIT HEALTH ("CSH"), THEIR COMPENSATION WAS SET BY A COMPENSATION COMMITTEE UTILIZING AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE COMPENSATION AMOUNTS THAT WERE BOARD APPROVED AND PAID TO THEM IN ACCORDANCE WITH A WRITTEN CONTRACT. Form 990, Part VI, Line 6 Classes of members or stockholders 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, Line 7a Members or stockholders electing members of governing body 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, Line 7b Decisions requiring approval by members or stockholders CATHOLIC HEALTH INITIATIVES-COLORADO'S ("CHIC") CORPORATE MEMBER IS COMMONSPIRIT HEALTH ("CSH"). PURSUANT TO SECTION 5.4.1 OF THE ORGANIZATION'S BYLAWS, THE CORPORATE MEMBER SHALL HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERNANCE MATRIX EXCEPT TO THE EXTENT OTHERWISE PROVIDED IN ORGANIZATION'S ARTICLES AND BYLAWS. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE HELD BY THE CHIC BOARD: - APPROVE MEMBERS OF THE CHIC BOARD - AMENDMENT OF THE CORPORATE DOCUMENTS OF CHIC - APPROVE REMOVAL OF A MEMBER OF THE GOVERNING BODY OF CHIC - ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR CHIC THE FOLLOWING RIGHTS ARE RESERVED TO THE COMMONSPIRIT HEALTH BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CSH CHIEF EXECUTIVE OFFICER: - SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF CHIC - REMOVAL OF A MEMBER OF THE GOVERNING BODY OF CHIC - APPROVAL OF ISSUANCE OF DEBT BY CHIC - APPROVAL OF PARTICIPATION OF CHIC IN A JOINT VENTURE - APPROVAL OF FORMATION OF A NEW CORPORATION BY CHIC - APPROVAL OF A MERGER INVOLVING CHIC - APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF CHIC - TO REQUIRE THE TRANSFER OF ASSETS BY CHIC TO CSH TO ACCOMPLISH CSH'S GOALS AND OBJECTIVES, AND TO SATISFY CSH DEBTS. PURSUANT TO SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, CSH MAY, IN EXERCISE OF ITS APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. IN ADDITION, PURSUANT TO THE AFFILIATION AGREEMENT BETWEEN CSH, CHIC, CENTURA HEALTH CORPORATION, AND ADVENT HEALTH, CERTAIN MATTERS AFFECTING CHIC MUST BE APPROVED BY BOTH PORTERCARE AND CSH. THOSE ITEMS INCLUDE: - THE TRANSFER OF ASSETS VALUED AT OVER $3,000,000 - THE ISSUANCE OF A DEBT INSTRUMENT IN EXCESS OF $250,000 - THE AMENDMENT OF THE ORGANIZING DOCUMENTS - THE ADMISSION OF A NEW SPONSOR - A MERGER OR DISSOLUTION OR REORGANIZATION - SETTLEMENT OF LEGAL PROCEEDINGS IN EXCESS OF $5,000,000 - CAPITAL EXPENDITURES IN EXCESS OF $2,000,000 Form 990, Part VI, Line 11b Review of form 990 by governing body 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, Line 12c Conflict of interest policy CENTURA HEALTH CORPORATION ("CHC") MANAGES THE DAILY ACTIVITIES OF THE ORGANIZATION UNDER A JOINT OPERATING AGREEMENT BETWEEN THE ADVENT HEALTHCARE SYSTEM AND COMMONSPIRIT HEALTH. THE ORGANIZATION HAS ADOPTED THE COI POLICY OF CHC. THE POLICY READS AS FOLLOWS: 1. CONFLICT OF INTEREST POLICY 1.1 CONSISTENT WITH CENTURA INTEGRITY STANDARDS, IT IS POLICY THAT EACH BOARD OF TRUSTEE MEMBER, CORPORATE OFFICER, AND KEY EMPLOYEE ACT AT ALL TIMES IN A MANNER THAT IS CONSISTENT WITH CENTURA'S MISSION AND VALUES BASED SERVICE TO THE COMMUNITY AND EXERCISE CARE THAT HE OR SHE DOES NOT HAVE ANY PERSONAL INTEREST WHICH MIGHT CONFLICT WITH OR APPEAR TO CONFLICT WITH THE INTEREST OF CENTURA OR WHICH MIGHT INFLUENCE THEIR JUDGMENT OR ACTIONS IN PERFORMING THEIR DUTIES. 1.1.1 IN CONNECTION WITH AN ACTUAL OR POSSIBLE TRANSACTION OR ARRANGEMENT INVOLVING CENTURA, ANY BOARD MEMBER, CORPORATE OFFICER, OR KEY EMPLOYEE WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST MUST DISCLOSE AND BE GIVEN THE OPPORTUNITY TO SHARE ALL MATERIAL FACTS WITH THE BOARD CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. 1.1.2 BOARD MEMBERS, CORPORATE OFFICERS, AND KEY EMPLOYEES ARE ALSO REQUIRED TO DISCLOSE ANY POSSIBLE CONFLICTS ON AN ANNUAL BASIS THROUGH THE CONFLICT OF INTEREST QUESTIONNAIRE. 2. PROCEDURE FOR DISCLOSING AND REVIEWING TRANSACTION OR ARRANGEMENT CONFLICT OF INTERESTS: 2.1 BOARD MEMBERS, CORPORATE OFFICERS, AND KEY EMPLOYEES THAT HAVE A FINANCIAL INTEREST IN ANY ACTUAL OR POSSIBLE TRANSACTION INVOLVING CENTURA ARE REQUIRED TO DISCLOSE THE FINANCIAL INTEREST. 2.1.1 IN ORDER TO DETERMINE IF A CONFLICT OF INTEREST EXISTS, THE INDIVIDUAL WHO IS CONSIDERED TO HAVE A FINANCIAL INTEREST MAY MAKE A PRESENTATION AT THE BOARD OR BOARD COMMITTEE MEETING. AFTER SUCH PRESENTATION, THE INDIVIDUAL SHALL LEAVE THE MEETING FOR DISCUSSION AND A VOTE ON THE ISSUE. 2.1.2 AFTER EXERCISING DUE DILLEGENCE, THE BOARD OR BOARD COMMITTEE SHALL DETERMINE WHETHER CENTURA CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION WITH REASONABLE EFFORTS FROM ANOTHER PERSON OR ENTITY. IF A MORE ADVANTAGEOUS TRANSACTION IS NOT REASONABLY ATTAINABLE, THE BOARD OR BOARD COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED MEMBERS WHETHER THE TRANSACTION IS IN CENTURA'S BEST INTEREST AND IS FAIR. 3. PROCEDURE FOR DISCLOSING AND REVIEWING OTHER CONFLICT OF INTERESTS: 3.1 BOARD MEMBERS, CORPORATE OFFICERS, AND KEY EMPLOYEES SHALL ALSO DISCLOSE IN ADVANCE TO CENTURA LEADERS ANY NON-TRANSACTIONAL ACTIONS OR RELATIONSHIPS THAT HAVE THE POTENTIAL TO CREATE A CONFLICT OF INTEREST. 3.1.1 THE BOARD OR BOARD COMMITTEE SHALL CAREFULLY REVIEW AND SCRUTINIZE ANY CONFLICT OF INTEREST. BY A MAJORITY VOTE OF THE DISINTERESTED MEMBERS, THE BOARD SHALL TAKE WHATEVER ACTION IS DEEMED APPROPRIATE WITH RESPECT TO THE BOARD MEMBER, CORPORATE OFFICER, OR KEY EMPLOYEE UNDER THE CIRCUMSTANCES, INCLUDING POSSIBLE CORRECTIVE ACTION, IN ORDER TO BEST PROTECT THE INTERESTS OF CENTURA. 3.1.2 ON AN ANNUAL BASIS, BOARD MEMBERS, CORPORATE OFFICERS, AND KEY EMPLOYEES WILL ALSO BE SENT AN EMAIL REQUESTING THEY COMPLETE THE BOARD MEMBER AND CORPORATE OFFICER CONFLICT OF INTEREST QUESTIONNAIRE BY THE SPECIFIED DUE DATE IN THE EMAIL. 3.1.3 THE CORPORATE RESPONSIBILITY DEPARTMENT SHALL NOTIFY THE CHAIRPERSON OF THE BOARD OF ANY POTENTIAL CONFLICTS AND THE CHAIRPERSON, OR DESIGNEE, SHALL PERFORM FURTHER INVESTIGATION AS HE OR SHE DEEMS APPROPRIATE. 4. RECORD OF PROCEEDINGS: 4.1 THE MINUTES OF THE BOARD AND BOARD COMMITTEE SHALL CONTAIN: 4.1.1 THE NAMES OF PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTEREST AND THE NATURE OF THE FINANCIAL INTEREST. 4.1.2 THE NAMES OF PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO ANY FINANCIAL INTEREST, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES, AND A RECORD OF THE BOARD OR BOARD COMMITTEE DECISION. 5. VIOLATIONS OF THE CONFLICTS OF INTEREST POLICY: 5.1 IF THE BOARD OR BOARD COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT AN INDIVIDUAL HAS FAILED TO DISCLOSE EITHER AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, OR ALL MATERIAL FACTS SURROUNDING AN ACTUAL OR POSSIBLE CONFLICT, THE INDIVIDUAL WILL BE GIVEN A CHANCE TO EXPLAIN. 5.1.1 AFTER HEARING THE RESPONSE, THE BOARD WILL CONDUCT SUCH ADDITIONAL INVESTIGATION AS APPROPRIATE. IF THE BOARD DETERMINES THAT THE INDIVIDUAL HAS IN FACT FAILED TO DISCLOSE AS REQUIRED BY THE CONFLICT OF INTEREST POLICY, THE BOARD SHALL TAKE APPROPRIATE DISCIPLINARY OR CORRECTIVE ACTION. Form 990, Part VI, Line 19 Required documents available to the public 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. Form 990, Part VIII, Line 2f Other Program Service Revenue Parking Lot Revenue - Total Revenue: 205793, Related or Exempt Function Revenue: 205793, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Education - Total Revenue: 39507, Related or Exempt Function Revenue: 39507, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Physician Fee Revenue - Total Revenue: 30000, Related or Exempt Function Revenue: 30000, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees Consulting & Contract Labor - Total Expense: 49514672, Program Service Expense: 42087471, Management and General Expenses: 7427201, Fundraising Expenses: ; Purchased Services - Total Expense: 53816935, Program Service Expense: 45744395, Management and General Expenses: 8072540, Fundraising Expenses: ; Support Allocation - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 31695631, Fundraising Expenses: ; Regional Pool - Total Expense: 2475466, Program Service Expense: 2475466, Management and General Expenses: , Fundraising Expenses: ; Physician Remuneration - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: , Fundraising Expenses: ; Medical Services - Total Expense: 51278100, Program Service Expense: 51278100, Management and General Expenses: , Fundraising Expenses: ; Works Comp Ins - Total Expense: 8665858, Program Service Expense: 7365979, Management and General Expenses: 1299879, Fundraising Expenses: ; Other Purchased Services - Total Expense: 31351590, Program Service Expense: 26101720, Management and General Expenses: 5249870, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Equity changes of unconsolidated orgs - -43012334; Peak One Surgery Center 350 Peak One Dr Frisco CO 80443 201620230 SURGICAL CENTER CO 4282609 3229081 CHI Colorado ALEGENT CREIGHTON CLINIC 12809 W DODGE RD OMAHA NE 68154 470765154 HOSPITAL NE 501(c)(3) 3 ACH false ALEGENT CREIGHTON HEALTH 12809 W DODGE RD OMAHA NE 68154 470757164 HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA false ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM 7500 MERCY RD OMAHA NE 68124 470484764 HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA false ALEGENT HEALTH - COMM MEM HOSPITAL OF MO VALLEY IA 631 N 8TH ST MISSOURI VALLEY IA 51555 420776568 HOSPITAL IA 501(c)(3) 3 CHI NEBRASKA false ALEGENT HEALTH - IMMANUEL MEDICAL CENTER 6901 N 72ND ST OMAHA NE 68122 470376615 HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA false ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER 104 W 17TH ST SCHUYLER NE 68661 470399853 HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA false ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA PO BOX 368 CORNING IA 50841 420782518 HOSPITAL IA 501(c)(3) 3 CHI NEBRASKA false ALVERNA APARTMENTS 300 SE 8TH AVE LITTLE FALLS MN 56345 411351177 LTERM CARE MN 501(c)(3) 10 CSH false APPLETREE COURT 601 OAK ST BRECKENRIDGE MN 56520 411850500 SENIOR LIVING MN 501(c)(3) 10 SFH false Arroyo Grande Community Hospital Foundation 345 S Halcyon Rd Arroyo Grande CA 93420 203256066 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH false Bakersfield Memorial Hospital 420 34TH Street Bakersfield CA 93301 951802779 HOSPITAL CA 501(c)(3) 3 DCC false Barrow Neurological Foundation 350 West Thomas Road Phoenix AZ 85013 860174371 FUNDRAISING FOUNDATION AZ 501(c)(3) 7 DH false BAYLOR ST LUKE'S HEALTH VENTURES 17200 ST LUKES WAY STE 170 THE WOODLANDS TX 77384 274499340 PHYSICIANS TX 501(c)(3) Type I SLHS false BAYLOR ST LUKE'S MEDICAL GROUP 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760458535 PHYSICIANS TX 501(c)(3) 3 BSLHV false BORNEMANN HEALTHCARE CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 232187242 INACTIVE PA 501(c)(3) Type I CSH false BRAZOSPORT HEALTH FOUNDATION INC 100 MEDICAL DRIVE LAKE JACKSON TX 77566 760080110 FUNDRAISING FOUNDATION TX 501(c)(3) Type I TCHB false BRAZOSPORT REGIONAL PHYSICIAN SERVICES 100 MEDICAL DRIVE LAKE JACKSON TX 77566 800240261 PHYSICIANS TX 501(c)(3) 3 TCHB false BURLESON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742759890 HOSPITAL TX 501(c)(3) 3 SLH-CO false BURLESON ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742913931 rehabilitation TX 501(c)(3) 10 SJSC false California Hospital Medical Center Foundation 1401 South Grand Avenue Los Angeles CA 90015 954000909 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DCC false CARRINGTON HEALTH CENTER 800 N 4TH ST CARRINGTON ND 58421 450227311 HOSPITAL ND 501(c)(3) 3 CSH false CATHOLIC HEALTH INITIATIVES - IOWA CORP 1111 6TH AVE DES MOINES IA 50314 420680448 HOSPITAL IA 501(c)(3) 3 CSH false CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 9100 East Mineral Ave Centennial CO 80112 840902211 FUNDRAISING FOUNDATION CO 501(c)(3) 7 CHIC false CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 1150 Kelly Johnson Blvd 204 COLORADO SPRINGS CO 80920 270930004 FUNDRAISING FOUNDATION CO 501(c)(3) Type I CSH false CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 460992796 Telehealth CO 501(c)(3) Type I CSH false CENTENNIAL MEDICAL GROUP INC 2700 STEWART PKWY ROSEBURG OR 97471 263946191 SURGERY CENTER OR 501(c)(3) 10 MMC - Roseburg false CENTRAL CALIFORNIA HEALTH CENTERS 300 OLD RIVER ROAD STE 200 BAKERSFIELD CA 93311 844171789 CLINIC CA 501(c)(3) 3 DCC false CENTRAL KANSAS MEDICAL CENTER 9100 E Mineral Circle Centennial CO 80112 480543724 INACTIVE KS 501(c)(3) 3 CSH false CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PKWY S FARGO ND 58104 271966847 SENIOR LIVING MN 501(c)(3) 10 CSH false CHI HEALTH FOUNDATION 12809 W DODGE RD OMAHA NE 68154 470648586 FUNDRAISING FOUNDATION NE 501(c)(3) 7 ACH false CHI KENTUCKY INC 3900 OLYMPIC BLVD STE 400 ERLANGER KY 41018 202741651 Investments KY 501(c)(3) Type I CSH false CHI LIVING COMMUNITIES 930 S Wynn Road Oregon OH 43616 341892096 Senior Living OH 501(c)(3) Type I SFH-OH false CHI Memorial Hospital - Georgia 100 GROSS CRESCENT CIRCLE FORT OGLETHORPE GA 30742 822748395 HOSPITAL GA 501(c)(3) 3 MHCS false CHI NATIONAL HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 451261716 HOME HEALTH CO 501(c)(3) 10 CSH NS false CHI NATIONAL SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 452532084 HOLDING CO CO 501(c)(3) Type I CSH false CHI NEBRASKA 12809 West Dodge Road Omaha NE 68510 363233121 HOLDING CO NE 501(c)(3) Type I CSH false CHI ST JOSEPH CHILDREN'S HEALTH 1929 LINCOLN HWY E STE 150 LANCASTER PA 17602 232342997 HEALTHCARE PA 501(c)(3) Type I CSH false CHI ST JOSEPH'S CHILDREN 1516 5TH ST NW ALBUQUERQUE NM 87102 710897107 COMMUNITY NM 501(c)(3) Type I CSH false CHI ST VINCENT HOSPITAL HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 710236913 HOSPITAL AR 501(c)(3) 3 CHI-SVHS false CHI ST VINCENT HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125064 HOLDING CO AR 501(c)(3) Type I SVIMC false CHI ST VINCENT MEDICAL GROUP HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125131 PHYSICIANS AR 501(c)(3) 3 CHI-SVHS false COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 470617373 HEALTHCARE CO 501(c)(3) Type I NA false CommonSpirit Health Foundation 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 853374038 FUNDRAISING FOUNDATION CO 501(c)(3) 7 CSH false COMMONSPIRIT HEALTH OPERATING INVESTMENT POOL LLC 185 BERRY STREET STE 200 SAN FRANCISCO CA 94107 850919176 Operating Investments DE 501(c)(3) Type I CSH false COMMONSPIRIT HEALTH RESEARCH INSTITUTE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 271050565 Research CO 501(c)(3) Type I CSH false Community Hospital of San Bernardino 1805 Medical Center Drive San Bernardino CA 92411 951643373 HOSPITAL CA 501(c)(3) 3 DCC false COMMUNITY LIMITED CARE DIALYSIS CENTER 625 Eden Park Drive 7th Floor CINCINNATI OH 45202 237419853 HOLDING CO OH 501(c)(2) GSH false COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION 631 N 8TH ST MISSOURI VALLEY IA 51555 421294399 FUNDRAISING FOUNDATION IA 501(c)(3) Type I AH-CMHMV false CONTINUING CARE HOSPITAL One Saint Joseph Drive LEXINGTON KY 40504 611400619 HOSPITAL KY 501(c)(3) 3 SJHS false Dignity Community Care 185 BERRY STREET STE 200 San Francisco CA 94107 815009488 HOSPITAL CO 501(c)(3) 3 CSH false DIGNITY HEALTH 185 BERRY STREET STE 200 SAN FRANCISCO CA 94107 941196203 HOSPITAL CA 501(c)(3) 3 CSH false Dignity Health Connected Living 200 Mercy Oaks Drive Redding CA 96003 237115371 Senior Center Services CA 501(c)(3) 7 DH false Dignity Health Foundation 185 BERRY STREET STE 200 San Francisco CA 94107 462037641 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH false Dignity Health Foundation - Inland Empire 2101 N Waterman Avenue San Bernardino CA 92404 237440086 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH false Dignity Health Foundation East Valley 475 South Dobson Road Chandler AZ 85224 742418514 FUNDRAISING FOUNDATION AZ 501(c)(3) Type I DH false Dignity Health Medical Foundation 3400 Data Drive Rancho Cordova CA 95670 680220314 MULTI-SPECIALTY OUTPATIENT MEDICAL CLINIC CA 501(c)(3) Type I DCC false Dominican Health Services 1555 Soquel Drive Santa Cruz CA 95065 770056778 Community Health System CA 501(c)(3) Type I DH false Dominican Hospital Foundation 1555 Soquel Drive Santa Cruz CA 95065 942450442 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH false Dominican Oaks Corporation 1555 Soquel Drive Santa Cruz CA 95065 770127719 Operation and management of housing complex to elderly persons CA 501(c)(3) 10 DHS false ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1455 BATTERSBY AVE ENUMCLAW WA 98022 910715805 HOSPITAL WA 501(c)(3) 3 FHS false FLAGET HEALTHCARE INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 611345363 HOSPITAL KY 501(c)(3) 3 KOH false FLAGET MEMORIAL HOSPITAL FOUNDATION INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 562351341 FUNDRAISING FOUNDATION KY 501(c)(3) Type I FH false FRANCISCAN CARE CENTER 4111 N HOLLAND-SYLVANIA RD TOLEDO OH 43623 341931806 HEALTHCARE OH 501(c)(3) 10 CHILC false FRANCISCAN FOUNDATION 1717 SOUTH J ST TACOMA WA 98405 911145592 FUNDRAISING FOUNDATION WA 501(c)(3) 10 FHS false FRANCISCAN HEALTH SYSTEM 1717 SOUTH J ST TACOMA WA 98405 910564491 HOSPITAL WA 501(c)(3) 3 CSH false FRANCISCAN MEDICAL GROUP 1313 BROADWAY STE 200 TACOMA WA 98402 911939739 PHYSICIANS WA 501(c)(3) 10 FHS false French Hospital Medical Center Foundation 1911 Johnson Avenue San Luis Obispo CA 93401 203256125 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DCC false GARRISON MEMORIAL HOSPITAL 407 THIRD AVENUE SOUTHEAST GARRISON ND 58540 450227752 HOSPITAL ND 501(c)(3) 3 SAMC false Glendale Memorial Health Foundation 1420 South Central Avenue Glendale CA 91204 953625651 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DCC false GLOBAL HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 201536108 INACTIVE CO 501(c)(3) Type I CSH false GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE 625 Eden Park Drive 7th Floor CINCINNATI OH 45202 311778403 EDUCATION OH 501(c)(3) 2 GSH false GOOD SAMARITAN HOSPITAL PO BOX 1990 KEARNEY NE 68848 470379755 HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA false GOOD SAMARITAN HOSPITAL FOUNDATION 111 W 31ST ST KEARNEY NE 68847 470659443 FUNDRAISING FOUNDATION NE 501(c)(3) 7 GSH-KN false GOOD SAMARITAN HOSPITAL FOUNDATION OF CINCINNATI INC 625 Eden Park Drive 7th Floor CINCINNATI OH 45202 311206047 FUNDRAISING FOUNDATION OH 501(c)(3) Type I GSH false HARRISON MEDICAL CENTER 1800 NW Myhre Rd Silverdale WA 98383 910565546 HOSPITAL WA 501(c)(3) 3 FHS false HEALTHCARE AND WELLNESS FOUNDATION 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 760761782 FUNDRAISING FOUNDATION MN 501(c)(3) Type I SFMC-MN false HOUSE OF MERCY 1111 6TH AVE DES MOINES IA 50314 421323808 ASSISTED LIVING IA 501(c)(3) 7 CHI-IA CORP false JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC One Saint Joseph Drive LEXINGTON KY 40504 611029768 HOSPITAL KY 501(c)(3) 3 KOH false KENTUCKYONE HEALTH MEDICAL GROUP INC 100 E Liberty St Ste 800 LOUISVILLE KY 40202 611352729 PHYSICIANS KY 501(c)(3) 10 JHSMH false KENTUCKYONE HEALTH INC One Saint Joseph Drive LEXINGTON KY 40504 611029769 HEALTHCARE KY 501(c)(3) Type I CSH false LAKEWOOD HEALTH CENTER 600 MAIN AVE S BAUDETTE MN 56623 410758434 HOSPITAL MN 501(c)(3) 3 CSH false LAKEWOOD REGIONAL HEALTHCARE FOUNDATION 600 MAIN AVE S BAUDETTE MN 56623 411893795 FUNDRAISING FOUNDATION ND 501(c)(3) 7 LHC false LEGACY FOUNDATION OF KENTUCKIANA INC 1451 HARRODSBURG RD STE D-308 LEXINGTON KY 40504 832170324 FUNDRAISING FOUNDATION KY 501(c)(3) Type I KOH false LISBON AREA HEALTH SERVICES 905 MAIN ST LISBON ND 58054 820558836 HOSPITAL ND 501(c)(3) 3 CSH false Longmont United Hospital 1950 Mountain View Ave Longmont CO 80501 840460697 Hospital CO 501(c)(3) 3 CHIC false LUFKIN VISION ACQUISITIONS PO BOX 1447 LUFKIN TX 75901 820563768 PROPERTY MGMT TX 501(c)(3) Type I MHSET false MADISON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742761145 HOSPITAL TX 501(c)(3) 3 SLH-CO false MADONNA MANOR INC 2344 AMSTERDAM ROAD VILLA HILLS KY 51017 610654635 ASSISTED LIVING KY 501(c)(3) 10 CHILC false Marian Regional Medical Center Foundation 1400 E Church Street Santa Maria CA 93454 953818027 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH false Mark Twain Medical Center 768 Mountain Ranch Road San Andreas CA 95249 680127677 HOSPITAL CA 501(c)(3) 3 DCC false MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC 2525 DE SALES AVE CHATTANOOGA TN 37404 621839548 FUNDRAISING FOUNDATION TN 501(c)(3) 7 MHCS false MEMORIAL HEALTH CARE SYSTEM INC 2525 DE SALES AVE CHATTANOOGA TN 37404 620532345 HOSPITAL TN 501(c)(3) 3 CSH false MEMORIAL HEALTH PARTNERS FOUNDATION INC 5600 BRAINERD RD STE 500 CHATTANOOGA TN 37411 030417049 HEALTHCARE TN 501(c)(3) 10 MHCS false MEMORIAL HEALTH SYSTEM OF EAST TEXAS PO BOX 1447 LUFKIN TX 75902 750755367 HOSPITAL TX 501(c)(3) 3 SLH-CO false MEMORIAL MEDICAL CENTER - LIVINGSTON PO BOX 1447 LUFKIN TX 75902 760436439 HOSPITAL TX 501(c)(3) 3 SLH-CO false MEMORIAL MEDICAL 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DHS Related 59081 0 false true 0 Santa Cruz Surgery Center LLC 3003 PAUL SWEET ROAD SANTA CRUZ CA 95065 770194916 SURGERY CA DH Related 323767 335889 false true 0.5 Seven Oaks Surgery Center LLC 1801 Orange Tree Lane Suite 200 Redlands CA 92374 851559544 Surgery CA DH Related 267452 423073 false true 0.25 Southeastern Home Care LLC 6281 Tri Ridge Blvd Ste 300 Loveland OH 45150 271219638 HOME HEALTH OH HAHH Related 269535 47489 false true 0.6 St Joseph's Surgery Center LP 15305 Dallas Parkway Suite 1600 LB 28 Addison TX 75001 201019390 Surgery TX Port City Related -63850 3448388 false true 0.68 St Elizabeth Home Care Services LLC 6281 Tri Ridge Blvd Ste 300 Loveland OH 45150 261236191 HOME HEALTH KY HAHH Related 2605123 3358159 false true 0.5 ST FRANCIS LAND COMPANY 5390 N ACADEMY BLVD STE 300 COLORADO SPRINGS CO 80918 263134100 REAL ESTATE CO CHIC Related 219414 11986354 false false 0.59 ST LUKE'S DIAGNOSTIC CATH LAB LLP 6624 FANNIN ST STE 800 HOUSTON TX 77030 710959365 Diagnostic 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