2024-05-14T21:54:08+00:00 2023-06-30 350921680 CROWE LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 333014230 990 2022-07-01 480543721 St Catherine Hospital STCA 6202722222 401 East Spruce Street Garden City KS 678465672 JEFFREY CARRIER CEO / PRESIDENT 2024-05-15 true Andrew Gaasch 999009999 true Brittney Kocaj P01320603 9542028600 2022 2023-04-26 12:10:37Z TWILLA LEE 401 East Spruce Street Garden City KS 678465672 190814532 false X https://www.mountain.commonspirit.org/location/st-catherine-hospital-garden-city X 1931 KS For more than seventy years, St. Catherine Hospital's mission has been to serve families with quality health care in a Christian environment wherein the healing of the whole person can take place. 13 6 852 34 93246 9272 1757077 214325 134290302 189744253 2021761 750958 16921 90382 138086061 190799918 97265 94143 0 65281178 87547888 0 0 65900017 87704794 131278460 175346825 6807601 15453093 136863368 160638918 32475014 56942101 104388354 103696817 St. Catherine Hospital is the trusted leader of person-centered health, providing patients with whole person care; harmonizing mind, body, and spirit. Our caregivers are fueled by a purpose, united in a shared mission, and powered to serve others. As we live out that mission each day, we are committed to creating healthier and safer communities. false false 149428615 94143 189745677 WE ARE A DIVERSE COMMUNITY OF CAREGIVERS CONNECTED AND FUELED BY OUR INDIVIDUAL PASSIONS AND PURPOSES TO CHANGE THE WORLD AROUND US. WHILE INDIVIDUALLY INSPIRED, WE ARE COLLECTIVELY UNIFIED BY OUR MISSION. THIS PROCESS PRESENTS AN OPPORTUNITY TO FULFILL OUR COMMITMENT TO OUR ORGANIZATIONAL MISSION TO "EXTEND THE HEALING MINISTRY OF CHRIST BY CARING FOR THOSE WHO ARE ILL AND BY NURTURING THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES." 149428615 true false false true false false false false false true true false false 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 false true true false false false true X 0 0 852 true true true false false false false false false false false false false false X 13 6 false false false false true true true true true false false false true true true true true false false true true KS X Shawna Roark 6202722554 401 East Spruce Street Garden City KS 67846 Darren Figgins Secretary 1.0 0 X X 0 0 0 Liz Sosa Vice Chair 1.0 0 X X 0 0 0 Mitch H Melfi ESQ Chair / SEVP, Chief Financial Officer/Treasurer 1.0 50.0 X X 0 2668866 38267 Richard Taylor Chair 1.0 0 X X 0 0 0 ANGELICA CASTILLO-CHAPPEL Board Member 1.0 0 X 0 0 0 Bryan Stucky Board Member / PHYSICIAN 1.0 0 X 339856 0 52901 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 Sr Janice Thome Board Member 1.0 0 X 0 0 0 Thomas Gessel Board Member / Group President, Greater Colorado & Kansas 1.0 50.0 X 0 1838169 307893 Thomas McGinn Board Member/Excecutive VP, Physician Enterprise 1.0 50.0 X 0 2547753 50756 Vivian Fankhauser Board Member 1.0 1.0 X 0 0 0 ZEFERINO J ARROYO MD Board Member/ PHYSICIAN 1.0 0 X 929939 0 31631 Amanda Vaughan CFO/Treasurer THRU Apr 2023 50.0 1.0 X 0 280965 48567 Andrew Gaasch Treasurer / EVP & CFO 1.0 50.0 X 0 1263430 238379 Jeffrey Carrier CEO / President THRU Aug 2022 40.0 1.0 X 0 313537 55813 Kris Ordelheide SECRETARY/ SVP LEGAL THRU 1/29/2023 1.0 50.0 X 0 1188577 193598 PETER BANKO CEO / President 5.0 45.0 X 0 3734177 828093 Twilla Lee CEO, SCH 45.0 5.0 X 0 117301 13049 Guillermo Garcia Physician 40.0 0 X 249026 0 29972 RAYMOND DELORENZI Physician 40.0 0 X 489437 0 20465 Richard Hall Physician 40.0 0 X 724208 0 56469 RONALD CATANESE PHYSICIAN 40.0 0 X 683115 0 17490 William Freund Physician 40.0 0 X 840565 0 47135 Christine McSweeny Former Interim CEO, SCH 0.0 0.0 X 0 363620 56692 4256146 21378292 3399913 94 true true false LIFEPOINT REHABILITATION LLC PO Box 502096 Saint Louis MO 631500001 PT, OT, ST Serivces-IP, OP 3133527 ALL STAR RECRUITING LOCUMS LLC PO Box 936725 Atlanta GA 31193 Locum services 2557431 CLINICAL COLLEAGUES KS PA PO Box 824246 Philadelphia PA 19182 Medical Services 1458425 AHMAD BADI BARAKAT 1050 Lake Crolyn Pkwy 2320 Irving TX 75039 Medical Services 748827 FREESTATE CONNECT 4704 E Oakland St Wichita KS 67218 Medical Services 689942 30 208806 5519 214325 Net Patient Revenue 622110 186711812 186711812 PHARMACY REVENUE 622110 188172 188172 Product Sales 900099 609603 609603 Rental to Affiliates 621990 143493 143493 Fees for Service Revenue 900099 422242 328996 93246 1668931 1668931 0 0 189744253 727202 727202 0 0 23756 23756 0 23756 23756 10326 14614 -4288 -4288 Dietary Revenue 900099 94670 94670 0 0 0 0 94670 190799918 189745677 93246 746670 X 94143 94143 1354327 1218894 135433 420312 378281 42031 78270260 70443234 7827026 2092986 1820898 272088 1269528 1126346 143182 4140475 3602213 538262 35148 35148 39934221 26302477 13631744 0 458266 398691 59575 6158155 5357595 800560 266515 66629 199886 368213 184107 184106 7113369 5690695 1422674 1642943 1642943 Medical Supplies 21385349 21385349 Repairs and Maintenance 4682658 4682658 5659957 5033462 626495 0 175346825 149428615 25918210 0 12638 12638 31844207 21504779 25725036 62022214 0 0 0 0 0 4833313 5722479 505495 470952 153760623 119505728 38334240 34254895 193402 193402 33522214 34729841 0 1892823 1727718 136863368 160638918 16035177 7555778 6370960 270871 0 0 10068877 49115452 32475014 56942101 X 104158933 103467396 229421 229421 104388354 103696817 136863368 160638918 X 15453093 417072 -16561702 X false true X true false X false false false false false false false false true 8416 8416 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: KANSAS HOSPITAL ASSOCIATION - $4,955 AMERICAN HOSPITAL ASSOCIATION - $2,252 CATHOLIC HEALTH ASSOCIATION - $1,209 2431419 2431419 66430974 47015337 19415637 6238989 3236419 3002570 78659241 69253972 9405269 0 0 0 34254895 BDI - CHIC Investment Mellon 34729841 F 34729841 Intercompany Payables - Centura 41318728 Medical Staff Fund Payable 48294 AP Deposits Intercompany payables - CSH 6951478 Lease Liability 796952 49115452 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote ST. CATHERINE HOSPITAL'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 POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPYING CONSOLIDATED FINANCIAL STATEMENTS. true true X true X true X true true false true true 3474494 3474494 0.0198 14213606 3891046 10322560 0.0589 0 0.0 0 0 17688100 3891046 13797054 0.0787 30259 30259 0.0002 26937 26937 0.0002 4276 4276 0.0000 0 0.0 51192 51192 0.0003 0 0 112664 0 112664 0.0006 0 0 17800764 3891046 13909718 0.0793 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 40289543 50134283 -9844740 X true true HEARTLAND ONCOLOGY LLC HEALTHCARE 0.51 0.0 0.49 3 1 St Catherine Hospital - Garden City 401 EAST SPRUCE STREET GARDEN CITY KS 67846 https://www.mountain.commonspirit.org/location/st-catherine-hospital-garden-city#_self H-028-001 X X X A 2 BOB WILSON MEMORIAL HOSPITAL 415 N MAIN ST ULYSSES KS 67880 https://www.mountain.commonspirit.org/location/bob-wilson-memorial-hospital H-034-001 X X X A 3 St Catherine Hospital - Dodge City 3001 Avenue A Dodge City KS 67801 https://www.mountain.commonspirit.org/location/st-catherine-hospital-dodge-city H029002-2 X X X B A false false true X X X X X X X X X 21 true false false 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 150.0 250.0 X X X X X true true X X X true X https://www.mountain.commonspirit.org/patient-tools/billing-and-financial-services/financial-help X https://www.mountain.commonspirit.org/patient-tools/billing-and-financial-services/financial-help X https://www.mountain.commonspirit.org/patient-tools/billing-and-financial-services/financial-help X X X X X X true X false X X X X true X false false B 3 true true false false true X 150.0 250.0 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 FACILITY NAME: St. Catherine Hospital - Garden City DESCRIPTION: ST CATHERINE HOSPITAL - GARDEN CITY PRIORITIZED ON (1) SUICIDE, (2) YOUTH VAPING, (3) SUBSTANCE ABUSE, (4) ACCESS TO MENTAL HEALTH, (5) FOOD SECURITY, AND (6) HEALTH EQUITY. FACILITY NAME: BOB WILSON MEMORIAL DESCRIPTION: BOB WILSON MEMORIAL HOSPITAL PRIORITIZED (1) SUICIDE, (2) YOUTH VAPING, (3) DIABETES PREVENTION & OBESITY, (4) ACCESS TO MENTAL HEALTH, AND (5) DIVERSITY, EQUITY AND INCLUSION. Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - ST. CATHERINE HOSPITAL - GARDEN CITY. IN ORDER TO ASSESS THE NEEDS OF OUR COMMUNITY, WE CREATED A HOSPITAL SUBCOMMITTEE TO SOLICIT AND TAKE INTO ACCOUNT INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTEREST OF OUR COMMUNITY. OUR HOSPITAL SUBCOMMITTEE WAS MADE UP OF REPRESENTATIVES FROM OUR HOSPITAL AND THE COMMUNITY. ST. CATHERINE HOSPITAL CREATED A CHNA SUBCOMMITTEE TO REVIEW THE QUALITATIVE AND QUANTITATIVE HEALTH DATA, PRIORITIZE HEALTH NEEDS IN OUR COMMUNITIES, AND TO DEVELOP IMPLEMENTATION STRATEGIES TO ADDRESS THE PRIORITIZED NEEDS. THIS SUBCOMMITTEE WAS MADE UP OF BOTH HOSPITAL STAFF AND COMMUNITY STAKEHOLDERS INCLUDING REPRESENTATIVES FROM LOCAL PUBLIC HEALTH DEPARTMENTS. ONCE HEALTH NEEDS WERE PRIORITIZED, THE SUBCOMMITTEE WORKED TOGETHER TO DETERMINE GROUPS AND INDIVIDUALS APPROPRIATE FOR FOCUS GROUPS, BEING SURE TO SOLICIT INPUT FROM THOSE IN THE COMMUNITIES WE SERVE WHO KNOW THE EXPERIENCES OF THE UNDERSERVED, MINORITY, AND AGING POPULATIONS BEST THROUGH PERSONAL EXPERIENCE OR CLOSE WORK WITH THEM. WHEN CONNECTING WITH PARTNERS, WE IDENTIFIED THOSE WITH STRONG COMMUNITY CONNECTIONS AND TRUST, INCLUDING WITHIN HISTORICALLY UNDERSERVED COMMUNITIES. 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: * FINNEY COUNTY COMMUNITY HEALTH COALITION, SERVING THE BROADER COMMUNITY * LIVEWELL FINNEY COUNTY, SERVING THE BROADER COMMUNITY AND IMMIGRANT POPULATION * ULYSSES FAMILY PHYSICIANS, SERVING THE BROADER COMMUNITY * GRANT COUNTY RECREATION COMMISSION, SERVING THE BROADER COMMUNITY * GRANT COUNTY CHAMBER OF COMMERCE, SERVING THE BROADER COMMUNITY * GRANT COUNTY COMMUNITY FOUNDATION, SERVING THE BROADER COMMUNITY * GRANT COUNTY HEALTH DEPARTMENT, SERVING THE BROADER COMMUNITY * IMPACT ULYSSES, SERVING THE BROADER COMMUNITY AND IMMIGRANT POPULATION * GENESIS FAMILY HEALTH, SERVING THOSE NEEDING BEHAVIORAL HEALTH SERVICES * RUSSELL CHILD DEVELOPMENT CENTER, SERVING YOUNG FAMILIES AND CHILDREN * DOMINICAN SISTERS MINISTRY OF PRESENCE AND PARENTS AS TEACHERS, SERVING THE BROADER COMMUNITY * USD 457, SERVING FAMILIES AND CHILDREN * GARDEN CITY POLICE DEPARTMENT. SERVING THE BROADER COMMUNITY * COMPASS BEHAVIORAL HEALTH, SERVING THOSE NEEDING BEHAVIORAL HEALTH SERVICES * FINNEY COUNTY UNITED WAY, SERVING THE BROADER COMMUNITY Schedule H, Part V, Section B, Line 5 Facility A, 2 Facility A, 2 - BOB WILSON MEMORIAL HOSPITAL. THE CHNA WAS CONDUCTED THROUGH A COLLABORATIVE PARTNERSHIP AMONG GRANT COUNTY PUBLIC HEALTH DEPARTMENT, COMMUNITY STAKEHOLDERS, AND BOB WILSON MEMORIAL HOSPITAL. WE COLLECTED QUANTITATIVE AND QUALITATIVE DATA TO COMPREHENSIVELY UNDERSTAND OUR COMMUNITY AND ITS SPECIFIC HEALTH NEEDS. WE BEGAN OUR DATA COLLECTION PROCESS IN FEBRUARY 2022 BY IDENTIFYING QUANTITATIVE INDICATORS FOR ANALYSIS. WE UTILIZED COMMUNITY COMMONS, A WEBSITE AND DATA PLATFORM THAT HOUSES POPULATION HEALTH INDICATOR DATA. IN THIS PROCESS, WE SELECTED CERTAIN HEALTH INDICATOR DATA, INCLUDING COMMUNITY AND POPULATION DEMOGRAPHIC INFORMATION, BEHAVIOR AND ENVIRONMENTAL HEALTH DRIVERS, HEALTH OUTCOMES INDICATORS, AND COVERAGE, QUALITY, AND ACCESS DATA. THESE INDICATORS WERE SELECTED BECAUSE THEY MOST ACCURATELY DESCRIBE THE DEMOGRAPHICS, DISPARITIES, POPULATION, AND DISTINCT HEALTH NEEDS OF THE COMMUNITY. THESE AREAS ADDRESS THE SOCIAL DETERMINANTS OF HEALTH, QUALITY OF LIFE, AND HEALTHY BEHAVIORS, ALL THINGS THAT WE KNOW IMPACT COMMUNITY HEALTH. BOB WILSON MEMORIAL HOSPITAL COLLABORATED CLOSELY WITH COMMUNITY LEADERS TO DEVELOP OUR COMMUNITY HEALTH NEEDS ASSESSMENTNEEDS ASSESSMENT. THE HOSPITAL CONVENED A COMMUNITY HEALTH NEEDS ASSESSMENT ADVISORY COMMITTEE MEETINGS, MADE UP OF DIVERSE WITH COMMUNITY-BASED ORGANIZATIONS. THESE ORGANIZATIONS WERE SELECTED BASED UPON THEIR CONNECTION WITH THE COMMUNITY, INCLUDING THOSE SERVING PEOPLE WHO ARE MEDICALLY UNDERSERVED AND AT GREATER RISK OF POOR HEALTH AND THOSE ORGANIZATIONS WITH INFLUENCE ON OVERALL HEALTH IN THE COMMUNITY. STAKEHOLDERS PROVIDED INPUT IN MULTIPLE MEETINGS TO RANK AND PRIORITIZE HEALTH ISSUES, IDENTIFY BOTH COMMUNITY ASSETS AND GAPS, AND TO IDENTIFY STRATEGIES FOR THE HEALTH PRIORITIES. 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: * FINNEY COUNTY COMMUNITY HEALTH COALITION, SERVING THE BROADER COMMUNITY * LIVEWELL FINNEY COUNTY, SERVING THE BROADER COMMUNITY AND IMMIGRANT POPULATION * ULYSSES FAMILY PHYSICIANS, SERVING THE BROADER COMMUNITY * GRANT COUNTY RECREATION COMMISSION, SERVING THE BROADER COMMUNITY * GRANT COUNTY CHAMBER OF COMMERCE, SERVING THE BROADER COMMUNITY * GRANT COUNTY COMMUNITY FOUNDATION, SERVING THE BROADER COMMUNITY * GRANT COUNTY HEALTH DEPARTMENT, SERVING THE BROADER COMMUNITY * IMPACT ULYSSES, SERVING THE BROADER COMMUNITY AND IMMIGRANT POPULATION * GENESIS FAMILY HEALTH, SERVING THOSE NEEDING BEHAVIORAL HEALTH SERVICES * RUSSELL CHILD DEVELOPMENT CENTER, SERVING YOUNG FAMILIES AND CHILDREN * DOMINICAN SISTERS MINISTRY OF PRESENCE AND PARENTS AS TEACHERS, SERVING THE BROADER COMMUNITY * USD 457, SERVING FAMILIES AND CHILDREN * GARDEN CITY POLICE DEPARTMENT. SERVING THE BROADER COMMUNITY * COMPASS BEHAVIORAL HEALTH, SERVING THOSE NEEDING BEHAVIORAL HEALTH SERVICES * FINNEY COUNTY UNITED WAY, SERVING THE BROADER COMMUNITY Schedule H, Part V, Section B, Line 6b Facility A, 1 Facility A, 1 - FINNEY COUNTY COMMUNITY MEMBERS. THE FOLLOWING COMMUNITY MEMBERS PARTNERED WITH ST. CATHERINE HOSPITAL AND BOB WILSON HOSPITAL TO CONDUCT THE FY22 CHNA: FINNEY COUNTY COMMUNITY HEALTH COALITION, KANSAS DEPARTMENT OF HEALTH AND ENVIRONMENT, KANSAS HEALTH FOUNDATION, FNP GENESIS FAMILY HEALTH, COMPASS BEHAVIORAL HEALTH, GARDEN CITY PUBLIC SCHOOLS, DOMINICAN SISTERS MINISTRY OF PRESENCE/PARENTS AS TEACHERS AND STATE FARM INSURANCE. Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - ST CATHERINE HOSPITAL - GARDEN CITY. St. Catherine Hospital (SCH) - Garden City has identified six significant community health needs through their Community Health Needs Assessment (CHNA): (1) suicide, (2) youth vaping, (3) substance use, (4) mental health access, (5) food security along with (6) diversity, equity, and inclusion. SCH -Garden City has set goals and taken various actions to address these needs: 1. Disease and Injury: Suicide Goal: Increase suicide prevention awareness and reduce stigma in Finney County. Actions: SCH worked with and financed LiveWell Finney County to promote the new 988 crisis line and hosted Mental Health First Aid training. 2. Risk Behaviors: Vaping Goal: Educate the community on youth vaping and expand the Tobacco Treatment Specialist program. Actions: SCH collaborated with LiveWell to promote tobacco cessation for youth and adults in Kansas. 3. Risk Behaviors: Substance Use Goal: Raise awareness of substance use disorders, opioid misuse, harm reduction, and medication disposal. Actions: SCH provided education on medication disposal boxes at Siena Pharmacy and St. Catherine Emergency Department, led opioid prevention strategies, and hosted the Finney County Opioid Task Force. 4. Access to Care: Mental Health Goals: Reduce stigma and increase access to mental health resources through establish school workforce partnerships. Actions: Centura Health is planning an ambassador program and has established a community workforce partnership for behavioral health. Centura also piloted their behavioral health specialist position at four facilities so that these can be scared within the region. 5. Capacity Building: Food Security Goals: Increase access to food assistance and improve local food systems. Actions: SCH provided Community Food Resource Guides to community members through an information station, supported 131 SNAP applications through Centura-secured funding, and as of January 2023 has SDOH screenings for at least one floor plus the ED at every site. SCH also continues to support Meals on Wheels and local Senior Lunch Assistance program. 6. Diversity, Equity, and Inclusion (DEI) Goal: Advance DEI partnerships related to behavioral health, food security, and social justice. Actions: Centura Health invested in DEI initiatives, including regional grants and an Equity Grant to LiveWell Finney County. A blood pressure clinic was established in partnership with the Kansas Department of Health and Environment. Schedule H, Part V, Section B, Line 11 Facility A, 2 Facility A, 2 - BOB WILSON MEMORIAL HOSPITAL. Bob Wilson Memorial Hospital (BWMH) has identified five significant community health needs: suicide, youth vaping, diabetes prevention and obesity, mental health access and diversity, equity, and inclusion. BWMH HAS SET GOALS AND TAKEN VARIOUS ACTIONS TO ADDRESS THESE NEEDS: 1. Disease and Injury: Suicide Goal: Enhance suicide prevention knowledge and stigma reduction in Finney County. Actions: BWMH worked with and financed LiveWell Finney County to promote the new 988 emergency crisis line for 24/7 support to residents. 2. Risk Behaviors: Vaping Goal: Educate the community on youth vaping and expand the Tobacco Treatment Specialist program. Actions: To support the Tobacco Treatment Specialist (TTS) program's effectiveness BWMH and its contractual partner LiveWell advanced on plans to support vaping education through the program and expand referrals to TTS from clinical providers. 3. Risk Behaviors: Diabetes Prevention and Obesity Goal: Raise awareness of healthy, active living and prevention of diabetes and obesity. Actions: BWMH partnered with LiveWell to map out community trails and promote healthy living. 4. Access to Care: Mental Health Goals: Increase access to mental health resources and substance abuse resources with a diversity and equity lens. Prevent suicide through stigma reduction campaigns. Actions: Centura Health is starting an Ambassador program and Livewell and BWMH is working with partners to reduce stigma in Grant County Community. Centura has also established a community workforce partnership for behavioral health and piloted behavioral health specialist positions. 5. Diversity, Equity, and Inclusion (DEI) Goal: Foster DEI partnerships related to behavioral health, food security, and social justice. Actions: Centura Health's DEI Fund invested $1M in regional grants, with more funding planned. BWMH collaborated with Women of Purpose for free cancer screenings (skins, oral, lung, colorectal, and cervical) and provided free sports physicals to local schools to promote youth health. Schedule H, Part V, Section B, Line 2 ST CATHERINE HOSPITAL - DODGE CITY WAS ACQUIRED BY ST CATHERINE HOSPITAL - GARDEN CITY IN MAY, 1, 2022. 19 Ulysses Family Physicians - RHC 505 N Main St Ulysses KS 678802135 FAMILY CLINIC Centura Family Practice Dodge City 100 W Ross Blvd Ste 1B Dodge City KS 678017217 FAMILY CLINIC CMG General Surgery Dodge City 108 W Ross Blvd Dodge City KS 678012131 GENERAL SURGERY CLINIC Centura Internal Medicine Dodge City 112 W Ross Blvd Ste A Dodge City KS 678017220 INTERNAL MEDICINE CLINIC Centura Obstetrics and Gynecology Dodge City 112 W Ross Blvd Ste D Dodge City KS 678017220 OB / GYN Centura Orthopedics Dodge City 112 W Ross Blvd Ste C Dodge City KS 678017220 ORTHOPEDIC CLINIC Centura Primary Care Cimarron 106 N Main St Cimarron KS 678358880 PRIMARY CARE CLINIC Centura Pediatrics Dodge City 100 W Ross Blvd Ste 1B Dodge City KS 678017217 PEDIATRIC CLINIC SCH Surgery Welcome Center 401 E Spruce St Garden City KS 678465679 PATIENT IN-TAKE CENTER Siena Family Practice 311 E Spruce St Garden City KS 678465614 FAMILY CLINIC Siena Internal Medicine 311 E Spruce St Garden City KS 678465614 INTERNAL MEDICINE CLINC Siena Occupational Medicine 311 E Spruce St Garden City KS 678465614 OCCUPATIONAL THERAPY CLINIC CHPG Primary Care and Womens Health Liberal 2132 N Kansas Ave Ste C Liberal KS 679012098 PRIMARY CARE CLINIC AND WOMENS CLINIC Siena Pediatrics 311 E Spruce St Garden City KS 678465614 PEDIATRIC CLINIC Siena Urology 311 E Spruce St Garden City KS 678465614 UROLOGY CLINIC CHPG Plaza Medical Center 911 N Main St Garden City KS 678465561 MEDICAL CLINIC Centura Teleneurology Kansas 401 E Spruce St Garden City KS 678465679 NEUROLOGICAL CARE CLINIC SCH Wound Care Clinic 311 E Spruce Garden City KS 678465614 WOUND CARE CLINIC SCH Womens Clinic OBGYN 310 E Walnut St Garden City KS 678465572 WOMEN'S CARE CLINIC Schedule H, Part VI, Line 5 COMMUNITY BENEFIT NARRATIVE I. INTRODUCTION THE ORGANIZATION WAS FOUNDED TO MEET THE GROWING HEALTH CARE NEEDS OF THE COMMUNITY. THIS INCLUDED THE ADDITION OF MORE HOSPITAL BEDS, AS WELL AS OUTPATIENT AND COMMUNITY HEALTH INITIATIVES. THE ORGANIZATION EMBRACED THE MISSION OF THE FOUNDING RELIGIOUS CONGREGATION, THE DOMINICAN SISTERS, AND LATER PARTNERED WITH OTHER RELIGIOUS CONGREGATIONS TO FORM CATHOLIC HEALTH INITIATIVES (CHI), NOW KNOWN AS COMMONSPIRIT HEALTH. ST. CATHERINE HOSPITAL WAS GRANTED TAX EXEMPT STATUS IN MARCH 1946 AS A HOSPITAL. TODAY, ST. CATHERINE BELONGS TO CENTURA HEALTH, A JOINT VENTURE OF COMMONSPIRIT HEALTH, AND TAKES SERIOUSLY ITS MISSION TO NOT ONLY CARE FOR THOSE WHO ARE SICK, BUT TO ALSO WORK TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES. THE HOSPITAL HAS A BOARD OF DIRECTORS COMPRISED OF INDEPENDENT COMMUNITY REPRESENTATIVES. ST. CATHERINE HOSPITALS OPERATE A 24-HOUR EMERGENCY ROOM 365 DAYS PER YEAR. THAT EMERGENCY ROOMS ARE OPEN TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. THE PRIMARY SERVICE AREAS OF FINNEY COUNTY AND FORD COUNTY ARE PRIMARY-CARE HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS) AND MANY REPORT THEY HAVE DIFFICULTY IN ACQUIRING CARE DUE TO COST, AND 19% REPORT THAT THEY HAVE NO HEALTH INSURANCE. WHILE THE PRIMARY SERVICE AREAS ARE FINNEY AND FORD COUNTIES, THE SECONDARY SERVICE AREA INCLUDES OVER 19 COUNTIES WITHIN SOUTHWEST KANSAS, EASTERN COLORADO, AND THE PAN HANDLES OF TEXAS AND OKLAHOMA. II. COMMUNITY BENEFIT APPROACH COMMUNITY SERVICE HAS ALWAYS BEEN AT THE CORE OF ST. CATHERINE HOSPITAL'S ACTIVITIES. EACH YEAR, SERVICES AND PROGRAMS ARE EXPANDED NOT ONLY TO MEET THE HEALTH CARE NEEDS OF THE COMMUNITY, BUT ALSO TO REDUCE THE RISK FACTORS THAT CAUSE THEM. COMMUNITY BENEFIT FOCUSES ON THE REDUCTION OF CHRONIC HEALTH RISK FACTORS, WITH A FOCUS ON TOBACCO USE, LACK OF PHYSICAL ACTIVITY, AND POOR NUTRITION. THE PROGRAMS AND SERVICES DESCRIBED THROUGHOUT THIS REPORT NOT ONLY SERVE THE COMMUNITY, BUT ALSO REDUCE THE BURDENS ON THE GOVERNMENT. FOR EXAMPLE, IF ST. CATHERINE HOSPITALS DID NOT PROVIDE CHARITY CARE, THE BURDEN OF PROVIDING CHARITY CARE WOULD FALL ON OUTLYING COUNTY HOSPITALS AND OTHER GOVERNMENT SUPPORTED INSTITUTIONS. III. PARTNERS IN THE COMMUNITY ST. CATHERINE HOSPITAL WORKS CLOSELY WITH THE FINNEY COUNTY COMMUNITY HEALTH COALITION. THIS COALITION PARTNERS WITH OVER FIFTY PRIVATE AND PUBLIC ORGANIZATIONS AND AGENCIES TO IMPROVE THE HEALTH, WELL-BEING, AND SAFETY OF THE COUNTY RESIDENTS. A COMMUNITY HEALTH NEEDS ASSESSMENT WAS RECENTLY COMPLETED THAT REFLECTS THE NEEDS OF THE COMMUNITY. MEMBERS OF ST. CATHERINE HOSPITAL SERVE ON THE COALITION BOARD TO LEARN AND SUPPORT THE ACTIVITIES AND PROGRAMS OF THE COALITION TO IMPROVE COMMUNITY HEALTH AND EXPAND ACCESS TO HEALTH CARE. A. SUMMARY OF ASSESSMENT FINDINGS TEN KEY FACTORS HAVING THE GREATEST IMPACT ON THE OVERALL WELLNESS OF THE AREA EMERGED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. COMMUNITY STAKEHOLDERS WERE INVITED TO PRIORITIZE THE ISSUES OF MOST IMPORTANCE TO THEM, KEEPING IN MIND THE WORLD HEALTH ORGANIZATION'S DEFINITION OF HEALTH, HOW HEALTH IS AFFECTED BY GENETICS, THE ENVIRONMENT, MEDICINE, AND LIFE STYLE. KANSAS 2020 HEALTHY PEOPLE INDICATORS FOCUS ON HEALTHY PEOPLE, HEALTHY BEHAVIORS, ACCESSIBLE CARE, STRONG FAMILIES, HEALTHY CHILDREN, AND SUPPORTIVE PHYSICAL ENVIRONMENT. REFERRING TO THE CDC INDICATORS OF HEALTH THAT DEAL WITH TOBACCO USE, PHYSICAL EXERCISE, AND POOR NUTRITION, COMMUNITY BENEFIT EFFORTS HAVE FOCUSED ON IMPROVING HEALTHY BEHAVIORS, DECREASING ALCOHOL AND DRUG ABUSE, IMPROVING ACCESS TO HEALTH CARE SERVICES, THE REDUCTION OF DOMESTIC VIOLENCE, COMMUNITY EDUCATION, CHILD AND MENTAL HEALTH EDUCATION AND SERVICES, REDUCTION IN SMOKING AND TOBACCO USE, REDUCTION OF RISK FACTORS IN CHRONIC DISEASE AND MORTALITY, IMPROVEMENT OF THE ENVIRONMENT, INCREASE OF PERSONAL AND FAMILY SAFETY, AND INCOME, EDUCATION, AND EMPLOYMENT OPPORTUNITIES. 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, ST. CATHERINE HOSPITAL 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 ST. CATHERINE HOSPITAL 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 MEDICARE 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. ST CATHERINE HOSPITAL'S SHORTFALL, AS REPORTED ON PART III, SECTION B, LINE 7, OF $9,844,740 MILLION REPRESENTS THE FILING ORGANIZATION'S MEDICARE COST REPORTS. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance ST. CATHERINE HOSPITAL'S 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 ST. CATHERINE HOSPITAL'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 - St. Catherine Hospital - Garden City: Line 16a URL: https://www.mountain.commonspirit.org/patient-tools/billing-and-financial-services/financial-help; B - St. Catherine Hospital - Dodge City: Line 16a URL: HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/COMMUNITY-IMPACT/COMMUNITY-BENEFIT; Schedule H, Part V, Section B, Line 16b FAP Application website A - St. Catherine Hospital - Garden City: Line 16b URL: https://www.mountain.commonspirit.org/patient-tools/billing-and-financial-services/financial-help; B - St. Catherine Hospital - Dodge City: 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 - St. Catherine Hospital - Garden City: Line 16c URL: https://www.mountain.commonspirit.org/patient-tools/billing-and-financial-services/financial-help; B - St. Catherine Hospital - Dodge City: Line 16c URL: HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/COMMUNITY-IMPACT/COMMUNITY-BENEFIT; Schedule H, Part VI, Line 2 Needs assessment THE ORGANZIATION PROVIDES SEVERAL SERVICES AND RESOURCES TO THE COMMUNITIES IT SERVES BEYOND THE PRIORITIZED NEEDS SPECIFICALLY IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITAL SPONSORS LIVEWELL COALITION, A HEALTH ALLIANCE THAT CONVENES AND COORDINATES ACCESS TO CARE AND SERVICES TO THE COMMUNITY AT LARGE. FURTHERMORE, THE HOSPITAL SPONSORS 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. 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 ST. CATHERINE HOSPITAL 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 ST. CATHERINE HOSPITALS SERVES RURAL FINNEY COUNTY, SOUTHWEST KANSAS, AND THE SURROUNDING STATES, ENCOMPASSING NINETEEN COUNTIES IN KANSAS, COLORADO, AND OKLAHOMA. FINNEY COUNTY HAS A POPULATION OF APPROXIMATELY 38,000. THE ESTIMATE POPULATION OF FINNEY COUNTY BREAKS DOWN TO: 2.9% BLACK OR AFRICAN AMERICAN; 4.6% ASIAN; 1% NATIVE AMERICAN/ALASKAN NATIVE, 0% HAWAIIAN AND OTHER PACIFIC ISLANDER; 3% TWO OR MORE RACES; 49.2% HISPANIC OR LATINO; AND 73% WHITE. THE COUNTY UNEMPLOYMENT RATE IS 2%. EDUCATION LEVEL: OF THE POPULATION AGED 25 AND OVER, 18% HAVE A BACHELOR DEGREE OR HIGHER. BOB WILSON MEMORIAL HOSPITAL'S SERVICE AREA IS GRANT COUNTY. WE USED THE COUNTY TO DEFINE OUR COMMUNITY FOR THE CHNA AND TO ANALYZE DEMOGRAPHIC AND HEALTH INDICATOR DATA. GRANT COUNTY'S POPULATION IS APPROXIMATELY 8,000. THE DEMOGRAPHIC MAKEUP OF BOB WILSON'S COMMUNITY IS AS FOLLOWS: RACE: 49% WHITE, 1% BLACK, 6% ASIAN, 0.6% NATIVE AMERICAN/ALASKA NATIVE, 0% NATIVE HAWAIIAN/PACIFIC ISLANDER, 1.7% MULTIPLE RACES ETHNICITY: 49% OF THE POPULATION REPORTS HISPANIC OR LATINO ORIGIN. EDUCATION LEVEL: OF THE POPULATION AGED 25 AND OVER, 21% HAVE A BACHELOR'S DEGREE OR HIGHER. Schedule H, Part VI, Line 5 Promotion of community health THE ORGANIZATION'S 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. THE ORGANIZATION'S HOSPITAL FACILITIES HAVE AN OPEN MEDICAL STAFF. ITS BOARD OF TRUSTEES IS COMPOSED OF PROMINENT CITIZENS IN THE COMMUNITY. 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 HOSPITAL 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 THE ORGANIZATION 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 IN KANSAS. 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 KS true Finney County Community Health Coalition Inc 310 E WALNUT ST STE 202 GARDEN CITY KS 67846 275247081 501(C)(3) 90000 0 N/A N/A Program Support 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. FUNDS ARE USED IN FURTHERANCE OF THE PURPOSE OF THE GRANT. false true false false false false false true 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 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 Thomas McGinn Board Member/Excecutive VP, Physician Enterprise 0 1045705 0 1496504 0 5544 0 17925 0 32831 0 2598509 0 0 Thomas Gessel Board Member / Group President, Greater Colorado & Kansas 0 873360 0 854573 0 110236 0 241085 0 66808 0 2146062 0 0 ZEFERINO J ARROYO MD Board Member/ PHYSICIAN 718770 0 196036 0 15133 0 10675 0 20956 0 961570 0 0 0 Bryan Stucky Board Member / PHYSICIAN 282000 0 31363 0 26492 0 7175 0 45726 0 392756 0 0 0 Christine McSweeny Former Interim CEO, SCH 0 283869 0 78312 0 1440 0 10675 0 46017 0 420312 0 0 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 Kris Ordelheide SECRETARY/ SVP LEGAL THRU 1/29/2023 0 601395 0 428430 0 158753 0 155448 0 38150 0 1382175 0 0 Jeffrey Carrier CEO / President THRU Aug 2022 0 207079 0 105425 0 1033 0 29736 0 26076 0 369349 0 0 Amanda Vaughan CFO/Treasurer THRU Apr 2023 0 235990 0 44207 0 767 0 7175 0 41392 0 329531 0 0 William Freund Physician 800190 0 19475 0 20901 0 9450 0 37685 0 887700 0 0 0 Richard Hall Physician 573101 0 112901 0 38206 0 9450 0 47019 0 780677 0 0 0 RONALD CATANESE PHYSICIAN 596296 0 28029 0 58791 0 767 0 16723 0 700605 0 0 0 RAYMOND DELORENZI Physician 423336 0 0 0 66101 0 4913 0 15552 0 509902 0 0 0 Guillermo Garcia Physician 222308 0 0 0 26718 0 9016 0 20956 0 278998 0 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. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan 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 FORFEITURE 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 Thomas Gessel - $230,410 Andrew Gaasch - $174,898 Kris Ordelheide - $145,998 Jefferey Carrier - $24,173 SERP & Pension Restoration Liquidations: Peter Banko - $152,149 Thomas Gessel - $105,428 CERTAIN LISTED PERSONS EMPLOYED BY DIGNITY HEALTH ARE ELIGIBLE TO PARTICIPATE IN NONQUALIFIED 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 DIGNITYHEALTH 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. Schedule J, Part I, Line 7 Non-fixed payments PARTICIPANTS IN CENTURA'S INCENTIVE COMPENSATION PLANS INCLUDE DIRECTORS AND ABOVE. PAYOUTS ARE BASED ON METRICS ESTABLISHED AND APPROVED BY CENTURA'S COMPENSATION COMMITTEE. THE METRICS INCLUDE QUANTIFIABLE MEASURES PERTAINING TO FINANCIAL PERFORMANCE, SAFETY AND QUALITY AND ASSOCIATE SATISFACTION WITH EACH METRIC WEIGHTED IN DETERMINING THE OVERALL SCORE. THE INCENTIVE COMPENSATION PAYOUT IS CALCULATED BASED ON THE CUMULATIVE SCORE FOR ALL METRICS AND THE PAYOUT IS BASED ON A COMBINATION OF THE SCORE, THE INDIVIDUAL'S BASE COMPENSATION AMOUNT AND POSITION (E.G. DIRECTOR, VICE PRESIDENT). Form 990, Part V, Line 1a 2022 Form 1099 fillings Centura Health Corporation, a related tax exempt organization is the common paymaster for St. Catherine Hospital 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 15 PROCESS USED TO ESTABLISH COMPENSATION OF CEO & OTHER OFFICERS THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER OF ST. CATHERINE HOSPITAL ARE COMPENSATED BY CENTURA HEALTH CORPORATION, AN TAX-EXEMPT ORGANIZATION, WHO MANAGES THE DAILY ACTIVITIES OF THE HOSPITAL UNDER A JOINT OPERATING AGREEMENT BETWEEN THE ADVENT HEALTHCARE SYSTEM AND COMMONPSIRIT HEALTH. OUTSIDE CONSULTANTS ARE ENGAGED TO PROVIDE RECOMMENDATIONS TO CENTURA'S COMPENSATION COMMITTEE REGARDING THE COMPENSATION OF FACILITY CEO'S AND CENTURA EXECUTIVES, SUCH AS THE CFO. 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. Form 990, Part VI, Line 1a Delegate broad authority to a committee PURSUANT TO SECTION 8.6 OF THE BYLAWS OF ST. CATHERINE HOSPITAL, THE EXECUTIVE COMMITTEE IS COMPOSED OF THE BOARD CHAIR, THE BOARD VICE CHAIR, THE PRESIDENT AND CEO, EACH OF WHOM SHALL SERVE AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE, AND THOSE MEMBERS WHO ARE APPOINTED BY THE BOARD. EACH INDIVIDUAL APPOINTED TO THE EXECUTIVE COMMITTEE SHALL SERVE FOR A TERM OF ONE YEAR OR UNTIL HIS OR HER SUCCESSOR IS DULY APPOINTED BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL CONSIST OF ONLY DIRECTORS OF THE CORPORATION. PURSUANT TO SECTION 8.1 OF THE CORPORATION'S BYLAWS, COMMITTEES, SUCH AS THE EXECUTIVE COMMITTEE, THAT ARE GRANTED THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MAY INCLUDE ONLY DIRECTORS OF THE CORPORATION. FURTHER, PURSUANT TO SECTION 8.6 OF THE CORPORATION'S BYLAWS, THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE ALSO POSSESSES THE POWER TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS. Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE MEMBER OF THE ORGANIZATION IS COMMONSPIRIT HEALTH, A COLORADO NONPROFIT CORPORATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS SHALL BE APPOINTED OR REFUSED BY THE CORPORATE MEMBER. THE CORPORATE MEMBER MAY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS, AND MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS AND WITH ENDORSEMENT OF THE SENIOR VICE PRESIDENT OF OPERATIONS. THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS SHOULD THE BOARD FAIL TO FURNISH THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE ORGANIZATION'S CORPORATE MEMBER IS COMMONSPIRIT HEALTH (CSH). PURSUANT TO SECTION 5.4 OF THE ORGANIZATION'S BYLAWS, THE CORPORATE MEMBER SHALL HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE RESERVED TO THE CHI BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CHI CHIEF EXECUTIVE OFFICER: *SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF ST. CATHERINE HOSPITAL *AMENDMENT OF THE CORPORATE DOCUMENTS OF ST. CATHERINE HOSPITAL *APPROVE MEMBERS OF THE ST. CATHERINE HOSPITAL BOARD *REMOVAL OF A MEMBER OF THE GOVERNING BODY OF ST. CATHERINE HOSPITAL *APPROVAL OF ISSUANCE OF DEBT BY ST. CATHERINE HOSPITAL *APPROVAL OF PARTICIPATION OF ST. CATHERINE HOSPITAL IN A JOINT VENTURE *APPROVAL OF FORMATION OF A NEW CORPORATION BY ST. CATHERINE HOSPITAL *APPROVAL OF A MERGER INVOLVING ST. CATHERINE HOSPITAL *APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF ST. CATHERINE HOSPITAL *TO REQUIRE THE TRANSFER OF ASSETS BY THE ST. CATHERINE HOSPITAL TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS *ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR ST. CATHERINE HOSPITAL. PURSUANT TO THE ORGANIZATION'S BYLAWS, CHI 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. 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 WWW.COMMONSPIRIT.ORG Form 990, Part VIII, Line 2f Other Program Service Revenue MISC REVENUE - Total Revenue: 1668931, Related or Exempt Function Revenue: 1668931, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees Purchased Services - Total Expense: 12970638, Program Service Expense: 11284455, Management and General Expenses: 1686183, Fundraising Expenses: ; Other Consulting Services - Total Expense: 4614371, Program Service Expense: 4152934, Management and General Expenses: 461437, Fundraising Expenses: ; Corporate Shared Services fee - Total Expense: 11484124, Program Service Expense: , Management and General Expenses: 11484124, Fundraising Expenses: ; Lab Purchase Services - Total Expense: 775039, Program Service Expense: 775039, Management and General Expenses: , Fundraising Expenses: ; Contract Labor - Total Expense: 10090049, Program Service Expense: 10090049, Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances EQUITY CHANGES ON UNCONSOLIDATED ORGS - -16561702; 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 - COLORADO 9100 East Mineral Circle Centennial CO 80112 840405257 HOSPITAL CO 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 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0 0 1 false Coastal Surgical Specialists Inc 921 Oak Park Blvd Suite 101 Pismo Beach CA 93449 743000596 Ambulatory Surgery Center CA DH C Corporation 2230136 1967277 0.51 false CONSOLIDATED HEALTH SERVICES 1700 EDISON DR MILFORD OH 45150 311378212 HOME HEALTH OH CSH C Corporation 0 0 1 false Des Moines Medical Center Inc 1111 6TH AVE Des Moines IA 50314 420837382 Real Estate IA CHI-IA Corp C Corporation 44370 849389 0.93 false Dignity Health Holding Corporation 185 Berry Street Suite 200 San Francisco CA 94107 460675371 Holding Co NV DCC C Corporation 10314551 207391745 1 false Dignity Health Insurance Ltd PO Box 1051 Grand Cayman Isl Grand Cayman Isl GRAND CAYMAN CJ KY11001 981065338 Captive Insurance CJ DH C Corporation 6559155 63925190 1 false Dignity Health Provider Resources Inc 185 Berry Street Suite 200 San Francisco CA 94107 473366764 Health Plan CA DCC C Corporation 0 0 1 false Diversified Health Resources Inc 100 MEDICAL DRIVE LAKE JACKSON TX 77566 760222679 Healthcare TX 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