2025-05-15T13:12:42-05:00 2024-06-30 470617373 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2023-07-01 840405257 CATHOLIC HEALTH INITIATIVES COLORADO CATH 3032906500 9100 EAST MINERAL CIRCLE CENTENNIAL CO 80112 TADD RICHERT CFO 3032906500 2025-05-15 1 0 PAMELA KROHN P01210500 3032989100 2023 2025-03-06 01:10:19Z ANDREW GAASCH 9100 EAST MINERAL CIRCLE CENTENNIAL CO 80112 3296037420 0 X HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/ X 1968 CO WE MAKE THE HEALING PRESENCE OF GOD KNOWN IN OUR WORLD BY IMPROVING THE HEALTH OF THE PEOPLE WE SERVE, ESPECIALLY THOSE WHO ARE VULNERABLE, WHILE WE ADVANCE SOCIAL JUSTICE FOR ALL. 4 0 15641 823 21755585 0 6205225 4471367 2567805784 3215712602 17046511 23046680 43441159 52606678 2634498679 3295837327 489629 5767151 0 0 870368469 1282117112 0 0 0 1583044142 1934521746 2453902240 3222406009 180596439 73431318 5764900415 6053020485 2763941579 2973137136 3000958836 3079883349 WE MAKE THE HEALING PRESENCE OF GOD KNOWN IN OUR WORLD BY IMPROVING THE HEALTH OF THE PEOPLE WE SERVE, ESPECIALLY THOSE WHO ARE VULNERABLE, WHILE WE ADVANCE SOCIAL JUSTICE FOR ALL. 0 0 2623977102 5767151 3215712602 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." 2623977102 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 X 0 0 15641 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 4 0 0 0 1 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 1 1 CO X MIKALYN KLUTH 3036738249 9100 EAST MINERAL CIRCLE CENTENNIAL CO 80112 PETER BANKO CEO/PRESIDENT (THRU 1/26/24) 5.00 45.00 X 0 8101604 160312 DANIEL MORISSETTE VICE CHAIR/CSH SEVP, CHIEF FINANCIAL OFFICER 1.00 49.00 X X 0 7232588 610668 ELIZABETH SHIH BOARD MEMBER/CSH SEVP, CHIEF ADMINISTRATIVE OFFICE 1.00 49.00 X 0 5658647 227967 MITCH MELFI ESQ CHAIR/CSH SEVP, CHIEF LEGAL OFFICER 1.00 49.00 X X 0 3241982 41536 ANDREW GAASCH TREASURER (THRU 5/27/24)/PRESIDENT MOUNTAIN REGION 1.00 49.00 X 0 3099191 90638 THOMAS MCGINN BOARD MEMBER/CSH EVP, PHYSICIAN ENTERPRISE 1.00 49.00 X 0 3108412 51780 SHAUNA GULLEY FORMER HCE 0.00 50.00 X 0 2923705 98677 GARY LICHTENBERGER FORMER HCE 0.00 50.00 X 0 2910363 90850 DEAN SANPEI FORMER HCE 0.00 50.00 X 0 2787583 86894 DAN ENDERSON FORMER KEY EMPLOYEE 0.00 50.00 X 0 2687246 61618 KEVIN JENKINS FORMER KEY EMPLOYEE 0.00 50.00 X 0 1889037 64683 MATT BROWN INTERIM PRESIDENT (1/27/24 - 5/26/24)/CSH CHIEF TR 1.00 49.00 X 0 1614107 53052 THOMAS GESSEL FORMER KEY EMPLOYEE 0.00 50.00 X 0 1554354 50175 ALLISON ROBERTS PHYSICIAN 50.00 0.00 X 1510532 0 49971 CARRIE DAMON FORMER KEY EMPLOYEE 0.00 50.00 X 0 1473584 68922 CAMILLE AZAR PHYSICIAN GASTROENTEROLOGY 50.00 0.00 X 1345117 0 66517 PATRICK SHARP FORMER KEY EMPLOYEE 0.00 50.00 X 0 1233703 64361 DENNIS KRAUS FORMER HCE 0.00 50.00 X 0 1185541 52877 MARCHYARN MAHATHANARUK PHYSICIAN 50.00 0.00 X 1093014 0 35609 WILLIAM ANDERSON FORMER HCE 0.00 50.00 X 0 1086856 30137 ROLAND BAIZA JR PHYSICIAN 50.00 0.00 X 969263 0 68263 ALAN MONROE PHYSICIAN 50.00 0.00 X 961540 0 59216 KRIS ORDELHEIDE FORMER SECRETARY/SVP AND GENERAL COUNSEL, CENTURA 0.00 0.00 X 0 979978 31927 THOMAS DONOHOE SECRETARY/SR VP LEGAL SERVICES & GENERAL COUNSEL 1.00 49.00 X 0 936944 48801 MATTHEW LEARY FORMER KEY EMPLOYEE 0.00 50.00 X 0 884466 58737 SHERI SHAPIRO BOARD MEMBER/SEVP CSH CHIEF STRATEGY OFFICER 1.00 49.00 X 0 870470 15951 TADD RICHERT TREASURER/INTERIM CFO, MOUNTAIN REGION 1.00 49.00 X 0 790606 65539 KEVIN WIKOFF FORMER KEY EMPLOYEE 0.00 50.00 X 0 750567 42071 MIKE CAFASSO FORMER KEY EMPLOYEE 0.00 50.00 X 0 702322 40406 BRIAN ERLING FORMER KEY EMPLOYEE 0.00 0.00 X 0 488107 7078 5879466 58191963 2495233 1717 1 1 0 VASCULAR CENTER OF COLORADO 2222 N NEVADA AVE SUITE 3000 COLORADO SPRINGS CO 80907 MEDICAL SERVICES 36872403 US ANESTHESIA PARTNERS OF COLORADO PO BOX 841069 DALLAS TX 75284 MEDICAL SERVICES 22053177 NEUROSURGERY ONE 7780 S BROADWAY SUITE 350 LITTLETON CO 80112 MEDICAL SERVICES 10691239 TRENDYMINDS LLC PO BOX 441594 INDIANAPOLIS IN 86244 MARKETING SERVICES 9235466 CARDIAC AND THORACIC SURGICAL ASSOCIATES 2222 N NEVADA AVE SUITE 5011 COLORADO SPRINGS CO 80907 MEDICAL SERVICES 9077372 182 4401404 69963 4471367 NET PATIENT SERVICES 900099 3199234267 3199234267 0 0 MANAGEMENT FEE REVENUE 541610 8373302 8373302 0 0 RENTAL TO AFFILIATES 531120 8105033 8105033 0 0 3215712602 9239082 9239082 10454731 3352867 0 0 10454731 3352867 13807598 13807598 579724 200093 379631 379631 PHARMACY SERVICES 446110 31066575 0 21755585 9310990 CAFETERIA 722100 8434016 0 0 8434016 LABORATORY SERVICES 621500 2208588 0 0 2208588 10517868 10517868 52227047 3295837327 3215712602 21755585 53897773 X 5767151 5767151 1029540808 679496933 350043875 44639954 37943961 6695993 137533342 130656675 6876667 70403008 59842557 10560451 73159 62185 10974 5573 5573 133819 133819 705262989 547500454 157762535 50555970 25277985 25277985 84172121 67337697 16834424 3119671 2183770 935901 101403011 96332860 5070151 32868105 32868105 206958363 196610445 10347918 17886332 12520432 5365900 MEDICAL SUPPLIES 504559493 504559493 0 0 STATE PROVIDER TAX 190619203 190619203 0 0 REPAIRS AND MAINTENANCE 27574856 27574856 0 0 DUES AND SUBSCRIPTIONS 2694479 1616687 1077792 6634602 5205653 1428949 3222406009 2623977102 598428907 0 44714078 49445 400096617 210938520 0 257831 549307156 1408162633 0 0 0 0 0 0 88268268 105235329 44917825 35996609 3074165223 1498701422 1382372543 1575463801 0 0 439923158 390760466 0 0 715641804 699638266 2099658966 1626517585 5764900415 6053020485 216835192 122611729 0 0 248274 315849 0 0 0 0 0 0 0 0 0 0 2546858113 2850209558 2763941579 2973137136 X 2999790605 3078647844 1168231 1235505 3000958836 3079883349 5764900415 6053020485 X 73431318 24849774 13266128 -32622707 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 133819 133819 0 PART II-B, LINE 1: CHI COLORADO PAID ANNUAL DUES TO VARIOUS MEMBERSHIP ORGANIZATIONS, A PORTION OF WHICH IS ALLOCATED TO LOBBYING. THE AMOUNT THAT REPRESENTS THIS ENTITY'S SHARE OF THE ALLOCATED LOBBYING EXPENSES IS AS FOLLOWS: COLORADO HEALTH ASSOCIATION - $30,370 AMERICAN HOSPITAL ASSOCIATION - $ 72,270 CATHOLIC HEALTH ASSOCIATION - $31,179. 105486447 105486447 1275647564 455446560 820201004 406913256 252788996 154124260 1011910939 790465866 221445073 274207017 274207017 1575463801 CSH OPERATING POOL 390760466 F 390760466 RIGHT OF USE ASSETS 1447045203 INVESTMENTS IN UNCONSOLIDATED ORGS 88598663 ST. ANTHONY HOSPITAL - CAPITAL LEASE 85231697 SAH PARKING GARAGE EASEMENT 3779583 LOANS TO PHYSICIANS 1535439 NON-COMPETE AGREEMENTS 327000 1626517585 LEASE LIABILITIES 1483930408 INTERCOMPANY PAYABLES 1362662497 OTHER CURRENT LIABILITIES 1896341 SEVERENCE LIABILITY 976060 UE CLAIMS LIABILITY 649446 SALES TAX PAYABLE 94806 2850209558 X PART X, LINE 2: CATHOLIC HEALTH INITIATIVES COLORADO'S FINANCIAL INFORMATION IS INCLUDED IN COMMONSPIRIT HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS, WHICH INCLUDES THE FOLLOWING DISCLOSURE: COMMONSPIRIT REVIEWS ITS TAX POSITIONS QUARTERLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 1 1 338 88774275 88774275 0.02750 81502 813423206 420181460 393241746 0.12200 81840 902197481 420181460 482016021 0.14950 72 111796 4031086 651363 3379723 0.00100 30 7771 37861695 13847207 24014488 0.00750 2 189 411425 283030 128395 0.00000 24 21161 3780710 10300 3770410 0.00120 128 140917 46084916 14791900 31293016 0.00970 128 222757 948282397 434973360 513309037 0.15920 2 85 1884 1884 0.00000 13 15647 300632 300632 0.00010 1 60 332 332 0.00000 1 33 520 520 0.00000 4 254 74093 74093 0.00000 21 16079 377461 377461 0.00010 1 273892045 0 376735916 485673484 -108937568 X 1 1 1 ORTHOCOLORADO LLC HOSPITAL 0.60000 0.00000 0.40000 16 1 PENROSE HOSPITAL 2222 N NEVADA AVE COLORADO SPRINGS CO 80907 HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG 010543 X X X X X X ICU & CCU, CANCER CENTER, IP REHAB A 2 ST ANTHONY HOSPITAL 11600 WEST 2ND PLACE LAKEWOOD CO 80228 HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG 010429 X X X X A 3 ST ANTHONY NORTH HOSPITAL 2551 W 84TH AVE WESTMINSTER CO 80031 HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG 010402 X X X X A 4 MERCY HOSPITAL 1010 THREE SPRINGS BLVD DURANGO CO 81301 HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG 011213 X X X A 5 ST MARY-CORWIN HOSPITAL 1008 MINNEQUA AVE PUEBLO CO 81004 HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG 010650 X X X A 6 ST FRANCIS HOSPITAL 6001 E WOODMAN RD COLORADO SPRINGS CO 80923 HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG 01H523 X X X BIRTH CENTER, NICU -IIIA, ICU A 7 ST ANTHONY SUMMIT HOSPITAL 340 PEAK ONE DRIVE FRISCO CO 80443 HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG 011155 X X X A 8 ST ELIZABETH HOSPITAL 1000 LINCOLN ST FORT MORGAN CO 80701 HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG 10130 X X X LEVEL III TRAUMA, ICU C 9 HOLY CROSS HOSPITAL - JORDAN VALLEY 3580 W 9000 S WEST JORDAN UT 84088 HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG 2023-HOSP-F23-106917 X X X B 10 HOLY CROSS HOSPITAL - DAVIS 1600 WEST ANTELOPE DRIVE LAYTON UT 84041 HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG 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 010623 X X X A 12 HOLY CROSS HOSPITAL - SALT LAKE 1050 EAST SOUTH TEMPLE SALT LAKE CITY UT 84012 HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG 2023-HOSP-F23-107079 X X X B 13 ORTHOCOLORADO HOSPITAL 11650 WEST 2ND PLACE LAKEWOOD CO 80255 HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG 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 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 2023-HOSP-F23-106465 X X X B 16 ST FRANCIS HOSPITAL-INTERQUEST 10860 NEW ALLEGIANCE DR COLORADO SPRINGS CO 80921 01VH9Q X X X B FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 21 1 1 1 1 X MOUNTAIN.COMMONSPIRIT.ORG/COMMUNITY-IMPACT/COMMUNITY-BENEFIT X 1 21 1 HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/COMMUNITY-IMPACT/COMMUNITY-BENEFIT 0 1 X 250.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X SEE SUPPLEMENTAL SECTION X SEE SUPPLEMENTAL SECTION X SEE SUPPLEMENTAL SECTION X X X X X X 1 X 0 X X X X 1 X 0 0 FACILITY REPORTING GROUP - B 0 1 0 0 1 X 250.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X SEE SUPPLEMENTAL SECTION X SEE SUPPLEMENTAL SECTION X SEE SUPPLEMENTAL SECTION X X X X X X 1 X 0 X X X X 1 X 0 0 FACILITY REPORTING GROUP - C 0 0 1 X X X X X X X X X 23 1 0 0 1 X MOUNTAIN.COMMONSPIRIT.ORG/COMMUNITY-IMPACT/COMMUNITY-BENEFIT X 1 24 1 HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/COMMUNITY-IMPACT/COMMUNITY-BENEFIT 0 1 X 250.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X SEE SUPPLEMENTAL SECTION X SEE SUPPLEMENTAL SECTION X SEE SUPPLEMENTAL SECTION X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. PART V, SECTION B, LINE 5- REPORTING GROUP A 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, HELPED US IDENTIFY GAPS IN KNOWLEDGE, AND UNDERSTAND CURRENT EXTERNAL EFFORTS AROUND HEALTH NEEDS THAT COULD BE IMPROVED BY HEALTHCARE PARTICIPATION. PENROSE & ST FRANCIS 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 COMMONSPIRIT 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, REPRESENTING 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.ST. ANTHONY HOSPITAL AND ORTHOCOLORADO HOSPITALIN 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, HELPED 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, COMMONSPIRIT 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, REPRESENTING 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.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, HELPED 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, COMMONSPIRIT 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. PART V, SECTION B, LINE 5- REPORTING GROUP A-CONTINUED MERCY HOSPITALTHE CHNA WAS CONDUCTED THROUGH A COLLABORATIVE PARTNERSHIP BETWEEN SAN JUAN BASIN DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT, COMMUNITY STAKEHOLDERS, AND MERCY HOSPITAL. ADDITIONALLY, WE PARTNERED WITH THE COLORADO HEALTH INSTITUTE TO COMPLETE KEY INFORMANT INTERVIEWS. INFORMATION GATHERED FROM THESE INTERVIEWS WILL BE USED TO BUILD EQUITABLE INTERVENTIONS FOR EACH IDENTIFIED HEALTH PRIORITY.MERCY HOSPITAL CONDUCTED FOUR COMMUNITY HEALTH NEEDS ASSESSMENT ADVISORY SUBCOMMITTEE MEETINGS WITH COMMUNITY-BASED ORGANIZATIONS. ORGANIZATIONS WERE IDENTIFIED 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. WE BEGAN THE DATA COLLECTION PROCESS BY SELECTING QUANTITATIVE INDICATORS FOR ANALYSIS. COMMUNITY COMMONS, A POPULATION HEALTH INDICATOR DATA PLATFORM, WAS UTILIZED THROUGHOUT THE QUANTITATIVE DATA COLLECTION PROCESS. THIS PLATFORM COMPILES DATA FROM THE US CENSUS, THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, THE CDC, THE NATIONAL VITAL STATISTICS SYSTEM, AND THE AMERICAN COMMUNITY SURVEY, AMONG OTHERS. SPECIFIC HEALTH INDICATOR DATA WERE SELECTED, INCLUDING COMMUNITY DEMOGRAPHIC INFORMATION, BEHAVIOR AND ENVIRONMENTALHEALTH DRIVERS AND OUTCOMES INDICATORS, AS WELL AS COVERAGE, QUALITY, AND ACCESS DATA. THESE INDICATORS WERE SELECTED BECAUSE THEY MOST ACCURATELY DESCRIBE THE COMMUNITY IN TERMS OF ITS DEMOGRAPHICS, DISPARITIES, POPULATION, AND DISTINCT HEALTH NEEDS. WE ENGAGED OUR COMMUNITY BY PRESENTING THESE QUANTITATIVE DATA TO INFORM THE PROCESS OF IDENTIFYING AND PRIORITIZING SIGNIFICANT HEALTH NEEDS. MERCY 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 SAN JUAN BASIN PUBLIC HEALTH DEPARTMENT. WE PRIORITIZED HEALTH NEEDS IN OUR COMMUNITY USING THE COMMONSPIRIT 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: MERCY HOSPITAL, SERVING THE BROADER COMMUNITY; MERCY'S BOARD OF TRUSTEES, SERVING THE BROADER COMMUNITY; SAN JUAN BASIN DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT, SERVING THE BROADER COMMUNITY; SAN JUAN BASIN AREA AGENCY ON AGING, SERVING THE OLDER POPULATION; LA PLATA COUNTY EXTENSION, SERVING THE BROADER COMMUNITY; SOUTHWESTERN COLORADO AREA HEALTH EDUCATION CENTER, SERVING THE BROADER COMMUNITY; 6TH JUDICIAL PROBATION DEPARTMENT, SERVING THE BROADER COMMUNITY; AXIS HEALTH SYSTEM, SERVING THE BROADER COMMUNITY AND THOSE NEEDING BEHAVIORAL HEALTH SERVICES; HEALTHCARE ADVOCATE, SERVING THE BROADER COMMUNITY.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, HELPED 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. PART V, SECTION B, LINE 5- REPORTING GROUP A-CONTINUED ST. ANTHONY SUMMIT 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, HELPED 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, COMMONSPIRIT 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.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, HELPED 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. PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: PENROSE HOSPITAL, - FACILITY 2: ST. ANTHONY HOSPITAL, - FACILITY 3: ST. ANTHONY NORTH HOSPITAL, - FACILITY 4: MERCY HOSPITAL, - FACILITY 5: ST. MARY-CORWIN HOSPITAL, - FACILITY 6: ST. FRANCIS HOSPITAL, - FACILITY 7: ST. ANTHONY SUMMIT HOSPITAL, - FACILITY 11: ST. THOMAS MORE HOSPITAL, - FACILITY 13: ORTHOCOLORADO HOSPITAL FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A: PENROSE HOSPITAL AND ST FRANCIS HOSPITAL CONDUCTED A JOINT CHNA.ST ANTHONY HOSPITAL AND ORTHOCOLORADO HOSPITAL CONDUCTED A JOINT CHNA. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6B: PENROSE HOSPITAL AND ST FRANCIS HOSPITAL -EL PASO COUNTY PUBLIC HEALTH (EPCPH) PART V, SECTION B FACILITY REPORTING GROUP B FACILITY REPORTING GROUP B CONSISTS OF: - FACILITY 9: HOLY CROSS HOSPITAL - JORDAN VALLEY, - FACILITY 10: HOLY CROSS HOSPITAL - DAVIS, - FACILITY 12: HOLY CROSS HOSPITAL - SALT LAKE, - FACILITY 14: HOLY CROSS HOSPITAL - JORDAN VALLEY WEST, - FACILITY 15: HOLY CROSS HOSPITAL - MOUNTAIN POINT, - FACILITY 16: ST. FRANCIS HOSPITAL-INTERQUEST FACILITY REPORTING GROUP - B PART V, SECTION B, LINE 2: CHI ACQUIRED THE FOLLOWING HOLY CROSS HOSPITALS - JORDAN VALLEY, DAVIS, SALT LAKE, JORDAN VALLEY WEST, AND MOUNTAIN POINT ON 5/1/2023.ST. FRANCIS HOSPITAL INTERQUEST IN COLORADO SPRINGS COLORADO OPENED JULY 2023. FACILITY REPORTING GROUP - B PART V, SECTION B, LINE 11: THE FIVE HOLY CROSS HOSPITALS WERE ACQUIRED ON MAY 1, 2023, AND WILL NOT COMPLETE THEIR FIRST COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) UNTIL JUNE 2025. AS A RESULT, THERE WAS NOT A CHNA OR COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) IN PLACE FOR FY24. NEVERTHELESS, THE HOSPITAL MADE SIGNIFICANT CONTRIBUTIONS TO THE COMMUNITY THROUGH THE FOLLOWING:DIVERSITY, EQUITY, AND INCLUSION (DEI): COMMONSPIRIT HEALTH HAS MADE DIVERSITY, EQUITY, AND INCLUSION A CORE PRIORITY WITHIN OUR REGION TO ADDRESS HEALTH INEQUITY. TO ADVANCE THESE EFFORTS, WE INVESTED 5 MILLION TOWARDS REGIONAL HEALTH EQUITY GRANTS AND ADMINISTRATION TO SUPPORT COMMUNITY ORGANIZATIONS WORKING TO IMPROVE OUTCOMES IN BEHAVIORAL HEALTH, FOOD SECURITY, AND SOCIAL JUSTICE. COLORADO GRANTS TOTALED $2,738,185, KANSAS $327,581, UTAH $725,000THE FOLLOWING ORGANIZATIONS RECEIVED HEALTH EQUITY FUNDING TO SUPPORT THE OUR UTAH COMMUNITIES: ADOPT-A-NATIVE-ELDER SERVING OLDER ADULTS; ALLIANCE COMMUNITY SERVICES, SERVING OLDER ADULTS; FAMILY PROMISE OF OGDEN, SERVING UNHOUSED CHILDREN; MIDVALE COMMUNITY BUILDING COMMUNITY, SERVING REFUGEE AND IMMIGRANT COMMUNITIES; NAVAJO STRONG, SERVING NATIVE AMERICAN COMMUNITY; OGDEN VALLEY ADAPTIVE SPORTS, SERVING INDIVIDUALS WITH DISABILITIES; RED BARN FARMS, SERVING CORRECTIONAL / JUSTICE INVOLVED INDIVIDUALS; THE CHILDREN'S CENTER UTAH, SERVING CHILDREN AND INDIVIDUALS WITH DISABILITIESCOMMONSPIRIT HEALTH ALSO PARTNERED WITH THE WHY NOT YOU FOUNDATION AND FUNDED: EYE CARE FOR KIDS, SERVING YOUTH PART V, SECTION B FACILITY REPORTING GROUP C FACILITY REPORTING GROUP C CONSISTS OF: - FACILITY 8: ST. ELIZABETH HOSPITAL FACILITY REPORTING GROUP - C PART V, SECTION B, LINE 5: ST. ELIZABETH HOSPITAL : THE 2024 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED THROUGH A COMPREHENSIVE APPROACH, COMBINING BOTH PRIMARY AND SECONDARY DATA SOURCES. THESE INCLUDED FOCUS GROUPS WITH COMMUNITY ORGANIZATIONS, INTERVIEWS WITH KEY STAKEHOLDERS, PUBLIC HEALTH STATISTICS, AND U.S. CENSUS DATA. PRIMARY QUALITATIVE DATA WAS GATHERED FROM FOCUS GROUP DISCUSSIONS AND KEY INFORMANT INTERVIEWS WITH COMMUNITY STAKEHOLDERS. THIS QUALITATIVE INPUT WAS VALIDATED BY SECONDARY QUANTITATIVE DATA FROM LOCAL, STATE, AND NATIONAL DATASETS MAINTAINED BY GOVERNMENTAL AND NONGOVERNMENTAL ORGANIZATIONS. THIS MIXED-METHODS APPROACH ENABLED THE TRIANGULATION OF DATA FROM DIVERSE SOURCES, ENSURING A WELL-ROUNDED AND RELIABLE UNDERSTANDING OF COMMUNITY HEALTH NEEDS. ST. ELIZABETH HOSPITAL ORGANIZED SEVERAL ADVISORY SUBCOMMITTEE MEETINGS FOR THE CHNA, ENGAGING WITH A VARIETY OF COMMUNITY-BASED ORGANIZATIONS. THESE ORGANIZATIONS WERE SELECTED FOR THEIR CONNECTIONS TO THE COMMUNITY, PARTICULARLY THOSE THAT SERVE MEDICALLY UNDERSERVED INDIVIDUALS, AS WELL AS THOSE WITH A SIGNIFICANT INFLUENCE ON OVERALL COMMUNITY HEALTH. TWO FOCUS GROUPS WERE CONDUCTED WITH LEADERS FROM COMMUNITY-BASED ORGANIZATIONS THAT FREQUENTLY WORK WITH UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. THE HOSPITAL COORDINATED THESE SESSIONS WITH THE FOLLOWING ORGANIZATIONS: CENTENNIAL BEHAVIORAL HEALTH, SERVING THE BROADER COMMUNITY AND THOSE WITH BEHAVIORAL HEALTH NEEDS; SARA HOUSE, SERVING THE BROADER COMMUNITY THAT HAVE EXPERIENCED INTERPERSONAL VIOLENCE; UNITED WAY OF MORGAN COUNTY, SERVING THE BROADER COMMUNITY; RISING UP, SERVING THE BROADER COMMUNITY THAT HAVE EXPERIENCED INTERPERSONAL VIOLENCE; MORGAN COUNTY FAMILY CENTER, SERVING THE BROADER COMMUNITY AND THOSE FACING ECONOMIC HARDSHIP; INTERNATIONAL ASSOCIATION FOR REFUGEES, SERVING THE REFUGEE POPULATION; MORGAN COMMUNITY COLLEGE, SERVING THE BROADER COMMUNITY; ST. ELIZABETH CHAPLAIN/PASTOR, SERVING THE FAITH COMMUNITY AND BROADER COMMUNITY; CENTER FOR HEALTH PROGRESS, SERVING THE BROADER COMMUNITY AND THOSE FACING HEALTH INEQUITIES; FORT MORGAN COMMUNITY HOSPITAL ASSOCIATION, THE BROADER COMMUNITY; S.H.A.R.E., INC. (SELF HELP AND RESOURCE EXCHANGE), SERVING THE LOW-INCOME COMMUNITY, SENIORS AND THOSE WITH DISABILITIES.ADDITIONALLY, A HEALTHCARE PROVIDERS FOCUS GROUP WAS CONDUCTED WITH ELEVEN LOCAL PROVIDERS WHO SERVE THE COMMUNITY, INCLUDING THOSE WORKING WITH UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. THESE PROVIDERS WERE ASKED SIMILAR QUESTIONS TO IDENTIFY THE KEY HEALTH NEEDS OF BOTH ADULT AND YOUTH POPULATIONS IN THE REGION. COMMUNITY LEADER INTERVIEWS WERE ALSO CONDUCTED WITH INDIVIDUALS FROM THE FOLLOWING ORGANIZATIONS AND PROVIDED VALUABLE INSIGHTS INTO THE BROADER HEALTH CHALLENGES AND OPPORTUNITIES WITHIN THE COMMUNITY: BREAK THE SILENCE, SERVING THE BROADER COMMUNITY AND THOSE NEEDING BEHAVIOR HEALTH SUPPORT AND SERVICES; FORT MORGAN POLICE CHIEF; MAYOR OF BRUSH, CO, SERVING THE BROADER COMMUNITY; MAYOR OF FORT MORGAN, SERVING THE BROADER COMMUNITY; MORGAN COUNTY COMMISSIONER, DISTRICT 3, SERVING THE BROADER COMMUNITY; MORGAN COUNTY SCHOOL DISTRICT RE-3, SERVING YOUTH AND FAMILIES; MORGAN COUNTY SHERIFF, SERVING THE BROADER COMMUNITY; PHYSICIAN LEADER, SERVING THE BROADER COMMUNITY; NORTHEAST COLORADO HEALTH DEPARTMENT, SERVING THE BROADER COMMUNITY. FACILITY REPORTING GROUP - C PART V, SECTION B, LINE 11: ST. ELIZABETH HOSPITAL WAS ACQUIRED BY CHI COLORADO ON 5/1/2022 AND COMPLETED THEIR FIRST COMMUNITY HEALTH NEEDS ASSESSMENT IN JUNE 2024. THE HOSPITAL MADE SIGNIFICANT CONTRIBUTIONS TO THE COMMUNITY THROUGH THE FOLLOWING: DIVERSITY, EQUITY, AND INCLUSION (DEI): COMMONSPIRIT HEALTH HAS MADE DIVERSITY, EQUITY, AND INCLUSION A CORE PRIORITY WITHIN OUR REGION TO ADDRESS HEALTH INEQUITY. TO ADVANCE THESE EFFORTS, WE INVESTED $5 MILLION TOWARDS REGIONAL HEALTH EQUITY GRANTS AND ADMINISTRATION TO SUPPORT COMMUNITY ORGANIZATIONS WORKING TO IMPROVE OUTCOMES IN BEHAVIORAL HEALTH, FOOD SECURITY, AND SOCIAL JUSTICE. COLORADO GRANTS TOTALED $2,738,185, KANSAS $327,581, UTAH $725,000. THE FOLLOWING ORGANIZATIONS RECEIVED HEALTH EQUITY FUNDING TOTALING $81,854 TO SUPPORT THE SEH COMMUNITY: BREAK THE SILENCE, SUPPORTING INDIVIDUALS IN NEEDS OF BEHAVIORAL HEALTH SERVICES AND ADVOCACY. PART V, SECTION B, LINE 11- PENROSE AND ST. FRANCIS 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. COMMUNITY CAPACITY BUILDING: FOOD SECURITY.ACCESS TO CARE: MENTAL HEALTH:A REGIONAL STIGMA REDUCTION CAMPAIGN: COMMONSPIRIT COLLABORATED WITH METRO DENVER PARTNERSHIPS FOR HEALTH TO REDUCE STIGMA BY SPONSORING UPDATES TO THE LET'S TALK COLORADO WEBSITE. THIS INITIATIVE ENHANCES THE SITES AVAILABLE EDUCATION AND RESOURCES WHILE INCORPORATING CULTURAL DIVERSITY AS A KEY COMPONENT OF THE STRATEGY; SCHOOL BEHAVIORAL HEALTH WORKFORCE PARTNERSHIP PROGRAM: PSF AND COMMONSPIRIT HEALTH BH INITIATIVES LEADERSHIP EXPANDED ITS REGIONAL BEHAVIORAL HEALTH WORKFORCE COLLABORATIVE BY ALIGNING IT UNDER THE PIKES PEAK WORKFORCE CENTER AND SOUTHERN SECTOR HEALTHCARE PARTNERSHIP. THE WORKGROUP SERVES AS THE PIKES PEAK STATE COLLEGE BEHAVIORAL HEALTH ADVISORY GROUP AND ALSO IS ACTIVELY SUPPORTING THE D-12 CAREER AND TECHNICAL PROGRAM FOR BEHAVIORAL HEALTH; COMMONSPIRIT SPONSORED THE COLORADO STATE K-12 SCHOOL BEHAVIORAL HEALTH WORKFORCE DEVELOPMENT COMMUNITY OF PRACTICE ADVANCING KNOWLEDGE AND COORDINATION SUPPORTING EDUCATIONAL CAREER AND TECHNICAL, CURRICULUM, STUDENT SUPPORT, AND PATHWAY PARTNERSHIP DEVELOPMENT. FRONTRANGE COMMUNITY COLLEGE AND ADAMS COUNTY SCHOOL DISTRICT LEADERSHIP PARTICIPATED IN THE COLLABORATIVE AND BROADER PARTNERSHIP INITIATIVE; COMMONSPIRIT BEHAVIORAL HEALTH INITIATIVES LEADERSHIP LEAD THE DEVELOPMENT OF THE COLORADO COMMUNITY COLLEGE SYSTEM'S DEVELOPMENT OF COMPENTENCIES FOR EXISTING BEHAVIORAL HEALTH WORKERS TO MEET CRITERIA FOR THE STATE'S NEW QUALIFIED BEHAVIORAL HEALTH ASSISTANT (QBHA) CERTIFICATE. BOTH COMMONSPIRIT HEALTH BEHAVIORAL HEALTH SPECIALISTS HELPED PILOT AND EARN THEIR QBHA CERTIFICATE THROUGH THIS PROCESS.IV. IN ALIGNMENT WITH THIS COMMUNITY-FACING WORKFORCE PATHWAY WORK PSF EXPANDED ITS BEHAVIORAL HEALTH SPECIALIST PROGRAM ADDING A NEW BUDGETED POSITION TO SERVE EMERGENCY DEPARTMENT PATIENTS, INCREASING CAPACITY FOR SCREENING, INTERVENTION, CARE COORDINATION AND POST DISCHARGE CARING CONTACTS; OTHER WORK TO INCREASE ACCESS TO CARE: PSF AND COMMONSPIRIT MEDICAL GROUP ADVANCED WOMEN'S MATERNAL MENTAL HEALTH OUTCOMES BY EXPANDING ITS INTEGRATED BEHAVIORAL HEALTH SERVICES INTO ITS WOMEN'S HEALTH CLINIC AND BY EXPANDING DEPRESSION AND ANXIETY EMERGENCY DEPARTMENT SCREENING TO EXPECTANT AND POST PARTUM MOTHERS; PSF AND CSH PARTNERED WITH THE CENTER FOR REPRODUCTIVE GRIEF TO ADVANCE TRAINING AND AN ENHANCED CARE MODEL FOR WOMEN WHO ARE EXPERIENCING OR HAVING PREVIOUSLY EXPERINENCED FETAL LOSS; 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.RISK BEHAVIORS: SUBSTANCE USE:OPIOID ADDICTION INTERVENTION AND PREVENTION OUTCOMES: PSF ADVANCED THE PROVISION OF MEDICATIONS OF OPIOID USE DISORDER (MOUD) FOR BOTH EMERGENCY DEPARTMENT AND INPATIENTS. EVERY PATIENT ASSESSED AS ELIGIBLE WAS OFFERED MOUD. PSF'S RATE OF ELIGIBLE OFFERING WAS MAINTAINED AT OVER 90% AND ANY AND ALL FALL OUTS WERE REVIEWED AND FOLLOWED UP UPON THROUGH A NEWLY IMPLEMENTED REGIONAL AND FACILITY SUPPORTED CONTINUOUS QUALITY IMPROVEMENT PROCESSES; THROUGH COLLABORATION WITH LOCAL AND NATIONAL PARTNERS, PSF HELPED SAVE LIVES BY DISSEMINATING THE OVERDOSE-ANTIDOTE, NALOXONE TO ED AND MEDICAL FLOOR PATIENTS. SIGNIFICANT HEALTH SYSTEM DESIGN WORK WAS DONE TO IDENTIFY OUR AT-RISK PATIENT POPULATION, ALERT THE PROVIDER AND SUPPORT THE PROVISION OF TAKE-HOME PACKS TO REDUCE BARRIERS TO NALOXONE ACCESS; ADDITIONALLY, PSF EMERGENCY DEPARTMENT PROVIDERS REDUCED THEIR ADMINISTRATION AND PRESCRIPTION OF OPIOIDS AND UTILIZED MORE ALTERNATIVES TO OPIOIDS TO TREAT PAIN TO HELP PREVENT OPIOID ADDICTION. THIS PROGRESSION IN INITIATIVE OUTCOMES WAS SUPPORTED BY CONTINUOUS QUALITY IMPROVEMENT INITIATIVE TEAM OPERATING AT THE REGIONAL AND FACILITY LEVELS TO ADVANCE OUTCOME OPTIMIZATION; PSF ALSO ADVANCED ITS CAPABILITIES TO SUPPORT MOTHERS WITH POTENTIAL SUBSTANCE USE BY CONTINUING TO ADVANCE A PROGRAM TO EXPAND NALOXONE KIT ACCESS TO DELIVERING MOTHERS; ADVANCE SCREENING BRIEF INTERVENTION AND REFERRAL TO TREATMENT SERVICES AND SUPPORTS: PSF FOCUSED ON IMPROVING SUBSTANCE USE ADDICTION OUTCOMES BY INCREASING THE UTILIZATION OF BEHAVIORAL HEALTH POSITIONS TO COMPLETE SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT. THIS WORKFORCE INITIATIVE WAS CRUCIAL IN CONNECTING PATIENTS TO NECESSARY RESOURCES, AND THE PATIENTS SUPPORTED SAW A COLLECTIVE DECREASE IN LENGTH OF STAY AND READMISSIONS COMPARED TO PRIOR YEARS; THE PSF TRAUMA TEAM ALSO BEGAN ADVANCING MENTAL HEALTH SCREENING FOR TRAUMA PATIENTS DURING THE FISCAL YEAR, IN CONJUNCTION WITH SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT. THIS EFFORT HELPED ASSIST PATIENTS WITH BOTH MENTAL HEALTH AND SUBSTANCE USE ISSUES IN RECEIVING THE COUNSELING AND CARE THEY NEEDED.DISEASE AND INJURY PREVENTION: SUICIDEPOST DISCHARGE FOLLOW-UP: PSF INVESTED RESOURCES TO SUPPORT WARM HANDOFFS, CARE COORDINATION AND POST DISCHARGE CARING CONTACT ACCESS FOR PATIENTS WITH SUICIDALITY, SOCIAL DETERMINANTS OF HEALTH, SUBSTANCE USE AND COMPLEX CARE NEEDS; TRAINING AND BEST PRACTICE IMPLEMENTATION: PSF FURTHERED ITS ZERO SUICIDE LEADING PRACTICES BY IMPLEMENTING UNIVERSAL SCREENING AND AUDITS TO ASSURE ALL HIGH RISK PATIENTS RECEIVED COMPREHENSIVE PSYCHIATRIC LEVEL OF CARE EVALUATION SERVICES INCLUDING THE ESTABLISHMENT OF SAFETY PLANS AND THAT ALL PATIENTS WITH ANY LEVEL OF SUICIDALITY HAD A CARE PATHWAY.PARTNERSHIP WITH VA WHICH HAS RESULTED IN GUN LOCK DISTRIBUTION IN OUR ED'S AND CULTURAL COMPETENCY TRAINING FOR STAFF, ENHANCING SAFETY MEASURES AND IMPROVING CARE FOR VETERAN POPULATIONS; PSF AND COMMONSPIRIT INVESTED SIGNIFICANT RESOURCES TO THE CREATION AND IMPLEMENTATION OF EDUCATION AND TRAINING OF ASSOCIATES RELATED TO CARE OF THE SUICIDAL PATIENTS AND IN ADVANCING NEW STATE PATIENT RIGHTS AND REGULATIONS IN CONJUNCTION WITH MAINTAINING A SAFE ENVIRONMENT OF CARE AND BEST CARE PRACTICES; CSH SPONSORED AND ACTIVELY SUPPORTED THE SCHOOL MENTAL HEALTH COMMUNITIES OF PRACTICE (COP) MENTAL HEALTH FORUM IN PARTNERSHIP WITH STATE AND LOCAL ADVOCACY ORGANIZATIONS DURING FY2022 AND FY2023. THE FORUM ENGAGES OVER 200 REGISTERED MEMBERS FROM MORE THAN 50 SCHOOL DISTRICTS. THE COP SECURED OTHER FUNDING AND REMAINS ACTIVE AND COMMITTED TO OFFERING A STRUCTURED, COLLABORATIVE PLATFORM FOR PROFESSIONALS TO ENHANCE MENTAL HEALTH INTERVENTIONS, PROMOTE PROFESSIONAL DEVELOPMENT, AND FOSTER A SUPPORTIVE, INCLUSIVE SCHOOL COMMUNITY. THE FORUM MAINTAINS A COLLABORATIVE SPACE FOR PROFESSIONALS TO SHARE EDUCATIONAL RESOURCES AND STRATEGIES AIMED AT IMPROVING STUDENT OUTCOMES, REDUCING STIGMA, AND PROVIDING GREATER ACCESS TO TOOLS AND RESOURCES. PART V, SECTION B, LINE 11- PENROSE AND ST. FRANCIS -CONTINUED COMMUNITY CAPACITY BUILDING: FOOD SECURITYOUTREACH, EDUCATION, AND DESTIGMATIZATION: SINCE AUTHORING THESE GOALS, WE LOOKED AT PURPOSE AND PROCESS IN ORDER TO EXPAND OUR REACH. WITH A NEW GOAL OF: IMPLEMENTING OUTREACH CAMPAIGNS AMONG ASSOCIATES, PATIENTS, AND COMMUNITIES IN ORDER TO EDUCATE THEM ON FOOD INSECURITY AND THE COMMUNITIES AFFECTED MOST BY ISSUES, AND FOOD SECURITY PROGRAMS AVAILABLE TO HELP SUPPORT FAMILIES AND INDIVIDUALS EXPERIENCING A NEED. IN THIS MORE INCLUSIVE VISION FOR OUR GOAL, WE WERE ABLE TO REACH ASSOCIATES, PATIENTS, AND COMMUNITY MEMBERS THROUGH PUBLIC NEWS OUTLETS, INTERNAL ASSOCIATE NEWSLETTERS, DIRECT CORRESPONDENCE WITH COMMUNITY BENEFIT ORGANIZATIONS, COLLABORATIVELY WITH SPONSORSHIP PARTNERS, AND OTHER CREATIVE COMMUNICATION CHANNELS. USING OUR VOICE AND THE VOICE OF OUR COLLABORATORS, WE WERE ABLE TO REACH OLD AND NEW AUDIENCES WITH IMPORTANT MESSAGES ABOUT FOOD INSECURITY, FOOD SECURITY PROGRAMS IN THE COMMUNITY, AND FOOD SECURITY WORK BEING DONE BY COMMONSPIRIT (FORMERLY CENTURA HEALTH). WE WERE ABLE TO ADDRESS RESOURCING AND DESTIGMATIZATION IN A VARIETY OF AVENUES; SCREENING & REFERRALS: SOCIAL DETERMINANTS OF HEALTH SCREENING WAS SUCCESSFULLY IMPLEMENTED FOR ALL INPATIENT UNITS AT ALL SITES WHICH INCLUDES SCREENING FOR FOOD INSECURITY. 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; A COMMONSPIRIT-SECURED GRANT SUPPORTED DEVELOPMENT OF A CENTRALIZED TEAM (3 PLUS 1 SUPERVISOR) OF COMMUNITY HEALTH WORKERS WHO FOLLOW UP WITH PATIENTS IDENTIFIED WITH FOOD INSECURITY TO PROVIDE FOOD SECURITY NAVIGATION SERVICES INCLUDING SUBMISSION OF SNAP APPLICATIONS, AND PATIENT-FOCUSED OUTREACH MATERIALS IN ENGLISH AND SPANISH. FOLLOWING A PERIOD OF ONBOARDING AND DEVELOPMENT OF THIS TEAM, 85 ENROLLMENTS WERE COMPLETED WITH NAVIGATION RESOURCES ACROSS THE SYSTEM. VOLUMES ARE ANTICIPATED TO INCREASE OVER THE NEXT YEAR WITH INCREASED EFFICIENCY AND EXPANSION OF SERVICES INTO THE UTAH MARKET; BENEFITS ACCEPTANCE: COMMONSPIRIT PARTICIPATES IN CO BLUEPRINT TO END 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 COMMONSPIRIT IN 2021. COMMONSPIRIT HAS PROMOTED THE AVAILABILITY OF THIS PROGRAM TO FOOD COALITIONS AND BUSINESSES IN THE COMMUNITIES WE SERVE; P/SF - LOCAL FOOD DISTRIBUTION: FUNDING WAS PROVIDED TO SOLID ROCK COMMUNITY DEVELOPMENT CORPORATION TO ADDRESS FOOD INSECURITY IN THE LOCAL REGION. IDENTIFIED HEALTH NEEDS NOT PRIORITIZEDHOUSING: HOUSING PRICES IN COLORADO CONTINUE TO INCREASE YEAR AFTER YEAR. RISING COSTS MAKE IT SO THAT COLORADANS SPEND MORE OF THEIR INCOME ON HOUSING COSTS, BECOMING "COST-BURDENED." FOR RENTERS, THIS MEANS THEY'RE PAYING MORE THAN 30 PERCENT OF THEIR INCOME FOR HOUSING. THOSE THAT ARE SPENDING 50 PERCENT OR MORE ARE CONSIDERED SEVERELY COST-BURDENED. IN EL PASO, WE RECOGNIZE THAT WE HAVE A HOUSING AFFORDABILITY ISSUE AND A LIMITED SUPPLY OF HOUSING. THEREFORE, AS A CHNA COMMITTEE, WE FEEL THAT WE HAVE AN OPPORTUNITY TO CONTINUE TO ADVOCATE FOR REGULATORY CHANGES AND INCENTIVES IN PARTNERSHIP WITH LOCAL AND STATE GOVERNMENTS. THE RESOURCES NEEDED TO ADVANCE THIS PRIORITY REQUIRE INNOVATIVE THINKING THAT, DUE TO CAPACITY, REQUIRES LONG-TERM SOLUTIONS. WE'LL CONTINUE TO PARTNER WITH OUR ADVOCACY AND COMMUNITY LEADERS ON THIS ISSUE, BUT IT WILL NOT BE ADDRESSED AS PART OF THIS CHNA CYCLE; HOMELESSNESS: ALTHOUGH PENROSE HOSPITAL AND ST. FRANCIS HOSPITAL CANNOT SINGLE HANDILY ADDRESS THE ISSUE OF HOMELESSNESS IN EL PASO COUNTY, WE ARE ACTIVELY ENGAGED IN THE SOLUTION THROUGH OUR PARTNERSHIPS IN THE COMMUNITY. THERE ARE NUMEROUS ORGANIZATIONS WORKING TO INCREASE THE NUMBER OF AFFORDABLE HOUSING OPTIONS FOR COUNTY RESIDENTS AND TO INCREASE THE NUMBER OF BEDS FOR THOSE CURRENTLY EXPERIENCING HOMELESSNESS. COMMONSPIRIT HEALTH ALSO HAS AN ACTIVE GROUP WORKING ACROSS OUR HEALTH SYSTEM TO FIND SOLUTIONS FOR HOMELESS PATIENTS WHO FACE HOUSING CHALLENGES WHEN DISCHARGED FROM THE HOSPITAL. PART V, SECTION B, LINE 11- 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.DISEASE AND INJURY PREVENTION: SUICIDEPOST DISCHARGE FOLLOW-UP:IN FY2024, SAH UNDERWENT A SIGNIFICANT TRANSITION IN THE CARE AND SUPPORT OF ITS BEHAVIORAL HEALTH AND SUICIDAL PATIENTS FOLLOWING ITS DISAFFILIATION FROM THE ADVENT HEALTH SYSTEM. SIGNIFICANT RESOURCES, INCLUDING PSYCHIATRIC CONSULTATION PROVIDERS, WERE TRANSITIONED TO SAH. ADDITIONALLY, SAH INVESTED IN CONTRACTING TELEPSYCHIATRIC LEVEL-OF-CARE ASSESSMENT SERVICES TO ENHANCE ACCESS TO CARE; CARING CONTACTS SERVICE TO SUPPORT INDIVIDUALS WITH SUICIDAL THOUGHTS WAS TAKEN OVER BY SAH'S BEHAVIORAL HEALTH SPECIALIST TEAM. SAH ADVANCED BETTER PRACTICES IN SUICIDE PREVENTION BY IMPLEMENTING UNIVERSAL SCREENING AND AUDITS TO ASSURE ALL HIGH-RISK PATIENTS RECEIVED COMPREHENSIVE PSYCHIATRIC LEVEL OF CARE EVALUATION SERVICES INCLUDING THE ESTABLISHMENT OF SAFETY PLANS AND THAT ALL PATIENTS WITH ANY LEVEL OF SUICIDALITY HAVE A CARE PATHWAY; TRAINING AND BEST PRACTICE IMPLEMENTATION: SIGNIFICANT RESOURCES WERE DEDICATED TO THE CREATION AND IMPLEMENTATION OF EDUCATION AND TRAINING OF ASSOCIATES RELATED TO CARE OF THE SUICIDAL PATIENTS AND IN ADVANCING NEW STATE PATIENT RIGHTS AND REGULATIONS IN CONJUNCTION WITH MAINTAINING A SAFE ENVIRONMENT OF CARE AND BEST CARE PRACTICES; SAH TEAMED UP WITH THE CSH REGIONAL OFFICE AND THE OFFICE OF SUICIDE PREVENTION TO LAUNCH A NEW FIVE-YEAR PARTNERSHIP AIMED AT ADVANCING OUR REGIONAL ZERO SUICIDE CARE MODEL AND IMPROVING OUTCOMES; SUICIDE SCREENING AND SUPPORT PRACTICES HAVE BEEN EXPANDED ACROSS A BROADER CONTINUUM OF OUR HEALTHCARE SYSTEM, NOW INCLUDING OUR SAH PRIMARY CARE CLINICS. COUNSELING SUPPORT IS PROVIDED BY OUR EMPLOYED INTEGRATED BEHAVIORAL HEALTH THERAPISTS; OUTCOMES: JEFFERSON COUNTY SAW A DECREASE IN DEATHS BY SUICIDE PER CAPITA FROM 2022 TO 2023 (26.6 TO 21.4 PER 100,000 LIVES); OTHER COMMUNITY HEALTH IMPLEMENTATION PLAN FACILITY BASED INITIATIVES IN FY24 INCLUDING ADVANCING ACCESS TO CARE: SAH WAS A LEADER IN IMPLEMENTING A BEHAVIORAL HEALTH LEAD THERAPIST POSITION, PSYCHIATRIC CONSULTATION SERVICES, AND BEHAVIORAL HEALTH SPECIALISTS TO IDENTIFY PATIENTS IN NEED OF COUNSELING, TREATMENT PLANNING, BEHAVIORAL PLANNING, MEDICATION MANAGEMENT, AND SPECIALIZED CARE COORDINATION. SAH'S MODEL OF BEHAVIORAL HEALTH WORKFORCE DEVELOPMENT WAS HIGHLY SUCCESSFUL, WITH EACH BEHAVIORAL HEALTH SPECIALIST ADVANCING TO A LEVEL TWO POSITION. ACTIVE SUPPORT AND EDUCATIONAL PARTNERSHIPS WERE ALSO ESTABLISHED TO HELP THESE POSITIONS TRANSITION INTO PSYCHIATRIC NURSING AND ADDICTIONS COUNSELING ROLES; COMMONSPIRIT HEALTH LEADERSHIP WORKED WITH JEFFERSON COUNTY AND BOULDER COUNTY WORKFORCE TO DEVELOP A DENVER REGIONAL BEHAVIORAL HEALTH WORK SECTOR PARTNERSHIP TO ADVANCE COMMUNITY OUTCOMES RELATED TO BEHAVIORAL HEALTH WORKFORCE, SUSTAINABILITY, CONNECTED COMMUNITY AND BURNOUT; COMMONSPIRIT SPONSORED THE COLORADO STATE K-12 SCHOOL BEHAVIORAL HEALTH WORKFORCE DEVELOPMENT COMMUNITY OF PRACTICE ADVANCING KNOWLEDGE AND COORDINATION SUPPORTING EDUCATIONAL CAREER AND TECHNICAL, CURRICULUM, STUDENT SUPPORT, AND PATHWAY PARTNERSHIP DEVELOPMENT; COMMONSPIRIT BEHAVIORAL HEALTH INITIATIVES LEADERSHIP LEAD THE DEVELOPMENT OF THE COLORADO COMMUNITY COLLEGE SYSTEM'S DEVELOPMENT OF COMPENTENCIES FOR EXISTING BEHAVIORAL HEALTH WORKERS TO MEET CRITERIA FOR THE STATE'S NEW QUALIFIED BEHAVIORAL HEALTH ASSISTANT CERTIFICATE; SAH AND COMMONSPIRIT PARTICIPATED WITH METRO DENVER PARTNERSHIPS FOR HEALTH TO REDUCE STIGMA AND REACH SPECIFIC POPULATIONS WITH MENTAL HEALTH RESOURCES AND SUPPORTS. CSH LEAD THE FUNDING AND REPORTING FOR THIS AMBASSADORS PROGRAM THAT WORKED WITH LOCAL SAH COMMUNITY-BASED ORGANIZATIONS SERVING INDIVIDUALS FROM DIVERSE BACKGROUNDS.RISK BEHAVIORS: SUBSTANCE USEOPIOID ADDICTION INTERVENTION AND PREVENTION OUTCOMES: SAH ADVANCED THE PROVISION OF MEDICATIONS OF OPIOID USE DISORDER (MOUD) FOR BOTH EMERGENCY DEPARTMENT AND INPATIENTS. EVERY PATIENT ASSESSED AS ELIGIBLE WAS OFFERED MOUD. SAH'S RATE OF ELIGIBLE OFFERING WAS MAINTAINED AT OVER 90% AND ANY AND ALL FALL OUTS WERE REVIEWED AND FOLLOWED UP UPON THROUGH OUR CONTINUOUS QUALITY IMPROVEMENT PROCESSES; THROUGH COLLABORATION WITH LOCAL AND NATIONAL PARTNERS, SAH SAVED LIVES BY DISSEMINATING THE OVERDOSE-ANTIDOTE, NALOXONE TO ED AND MEDICAL FLOOR PATIENTS. SIGNIFICANT HEALTH SYSTEM DESIGN WORK WAS DONE TO IDENTIFY OUR AT-RISK PATIENT POPULATION, ALERT THE PROVIDER AND SUPPORT THE PROVISION OF TAKE-HOME PACKS TO REDUCE BARRIERS TO NALOXONE ACCESS; ADDITIONALLY, SAH EMERGENCY DEPARTMENT PROVIDERS REDUCED THEIR ADMINISTRATION AND PRESCRIPTION OF OPIOIDS AND UTILIZED MORE ALTERNATIVES TO OPIOIDS TO TREAT PAIN TO HELP PREVENT OPIOID ADDICTION. THIS PROGRESSION IN INITIATIVE OUTCOMES WAS SUPPORTED BY CONTINUOUS QUALITY IMPROVEMENT INITIATIVE TEAM OPERATING AT THE REGIONAL AND FACILITY LEVELS TO ADVANCE OUTCOME OPTIMIZATION; ADVANCE SCREENING BRIEF INTERVENTION AND REFERRAL TO TREATMENT SERVICES AND SUPPORT: SAH FOCUSED ON IMPROVING SUBSTANCE USE ADDICTION OUTCOMES BY INCREASING THE UTILIZATION OF BEHAVIORAL HEALTH POSITIONS TO COMPLETE SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT. THIS WORKFORCE INITIATIVE WAS CRUCIAL IN CONNECTING PATIENTS TO NECESSARY RESOURCES, AND THE PATIENTS SUPPORTED SAW A COLLECTIVE DECREASE IN LENGTH OF STAY AND READMISSIONS COMPARED TO PRIOR YEARS; THE SAH TRAUMA TEAM ALSO BEGAN ADVANCING MENTAL HEALTH SCREENING FOR TRAUMA PATIENTS DURING THE FISCAL YEAR, IN CONJUNCTION WITH SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT. THIS EFFORT HELPED ASSIST PATIENTS WITH BOTH MENTAL HEALTH AND SUBSTANCE USE ISSUES IN RECEIVING THE COUNSELING AND CARE THEY NEEDED.PHYSICAL ENVIRONMENT: HOUSINGPARTICIPATE IN COLLABORATIVE EFFORTS TO ADDRESS AFFORDABLE HOUSING AND HOMELESSNESS IN JEFFERSON AND DENVER COUNTIES: SAH HAS BEEN ACTIVE IN THE JEFFCO ECONOMIC DEVELOPMENT COUNCIL; SAH/OCH HAS PARTNERED WITH THE COALITION FOR THE HOMELESS, FUNDING BEDS FOR PATIENTS IN NEED OF RECUPERATIVE CARE WHO WOULD OTHERWISE BE DISCHARGED INTO HOMELESSNESS. THE COLORADO COALITION FOR THE HOMELESS PROVIDES ROOM AND BOARD, 24-HOUR CLINICAL SUPERVISION, PRIMARY CARE VISITS, INTEGRATED BEHAVIORAL HEALTH SERVICES, CASE MANAGEMENT, AND OTHER ESSENTIAL SUPPORT; COLLABORATE WITH STATE AND LOCAL OFFICIALS TO IDENTIFY STRATEGIES TO INCREASE HOUSING STABILITY IN THE COMMUNITY BY CONNECTING HOUSING, HEALTH OUTCOMES AND CSH VALUES.COMMONSPIRIT 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 AND BROOMFIELD COUNTIES (INCLUDING THE COUNTIES THEMSELVES AS WELL AS THEIR PUBLIC HEALTH AND HUMAN SERVICE EFFORTS), THROUGH OUR PARTNERSHIPS WITH BUSINESS ORGANIZATIONS (LOCAL, REGIONAL AND STATE CHAMBERS), THROUGH DIRECT COMMUNICATION WITH ELECTED OFFICIALS IN OUR SERVICE AREAS AND THROUGH METRO DENVER PARTNERSHIP FOR HEALTH; SCREEN HOUSEHOLDS FOR HOUSING INSECURITY AND REFER THEM TO RESOURCES IN THE COMMUNITY TO PROMOTE STABLE HOUSING: SOCIAL DETERMINANTS OF HEALTH SCREENING WAS SUCCESSFULLY IMPLEMENTED FOR ALL INPATIENT UNITS AT ALL SITES WHICH INCLUDES SCREENING FOR HOUSING INSECURITY. 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. PART V, SECTION B, LINE 11- ST. ANTHONY HOSPITAL-CONTINUED COMMUNITY CAPACITY BUILDING: FOOD SECURITYOUTREACH, EDUCATION, AND DESTIGMATIZATION: SINCE AUTHORING THESE GOALS, WE LOOKED AT PURPOSE AND PROCESS IN ORDER TO EXPAND OUR REACH. WITH A NEW GOAL OF: IMPLEMENTING OUTREACH CAMPAIGNS AMONG ASSOCIATES, PATIENTS, AND COMMUNITIES IN ORDER TO EDUCATE THEM ON FOOD INSECURITY AND THE COMMUNITIES AFFECTED MOST BY ISSUES, AND FOOD SECURITY PROGRAMS AVAILABLE TO HELP SUPPORT FAMILIES AND INDIVIDUALS EXPERIENCING A NEED. IN THIS MORE INCLUSIVE VISION FOR OUR GOAL, WE WERE ABLE TO REACH ASSOCIATES, PATIENTS, AND COMMUNITY MEMBERS THROUGH PUBLIC NEWS OUTLETS, INTERNAL ASSOCIATE NEWSLETTERS, DIRECT CORRESPONDENCE WITH COMMUNITY BENEFIT ORGANIZATIONS, COLLABORATIVELY WITH SPONSORSHIP PARTNERS, AND OTHER CREATIVE COMMUNICATION CHANNELS. USING OUR VOICE AND THE VOICE OF OUR COLLABORATORS, WE WERE ABLE TO REACH OLD AND NEW AUDIENCES WITH IMPORTANT MESSAGES ABOUT FOOD INSECURITY, FOOD SECURITY PROGRAMS IN THE COMMUNITY, AND FOOD SECURITY WORK BEING DONE BY COMMONSPIRIT (FORMERLY CENTURA HEALTH). WE WERE ABLE TO ADDRESS RESOURCING AND DESTIGMATIZATION IN A VARIETY OF AVENUES; SCREENING & REFERRALS: SOCIAL DETERMINANTS OF HEALTH SCREENING WAS SUCCESSFULLY IMPLEMENTED FOR ALL INPATIENT UNITS AT ALL SITES WHICH INCLUDES SCREENING FOR FOOD INSECURITY. 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; A COMMONSPIRIT-SECURED GRANT SUPPORTED DEVELOPMENT OF A CENTRALIZED TEAM (3 PLUS 1 SUPERVISOR) OF COMMUNITY HEALTH WORKERS WHO FOLLOW UP WITH PATIENTS IDENTIFIED WITH FOOD INSECURITY TO PROVIDE FOOD SECURITY NAVIGATION SERVICES INCLUDING SUBMISSION OF SNAP APPLICATIONS, AND PATIENT-FOCUSED OUTREACH MATERIALS IN ENGLISH AND SPANISH. FOLLOWING A PERIOD OF ONBOARDING AND DEVELOPMENT OF THIS TEAM, 85 ENROLLMENTS WERE COMPLETED WITH NAVIGATION RESOURCES ACROSS THE SYSTEM. VOLUMES ARE ANTICIPATED TO INCREASE OVER THE NEXT YEAR WITH INCREASED EFFICIENCY AND EXPANSION OF SERVICES INTO THE UTAH MARKET; BENEFITS ACCEPTANCE: COMMONSPIRIT PARTICIPATES IN CO BLUEPRINT TO END 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 COMMONSPIRIT IN 2021. COMMONSPIRIT HAS PROMOTED THE AVAILABILITY OF THIS PROGRAM TO FOOD COALITIONS AND BUSINESSES IN THE COMMUNITIES WE SERVE; LOCAL FOOD DISTRIBUTION: COMMONSPIRIT HEALTH PROVIDED A DONATION TO SUPPORT COLORADO HEALTHY FOOD INCENTIVES SUPPORTING HEALTHY FOOD INCENTIVES WHICH PRIORITIZE COLORADO GROWN PRODUCE FOR LOW INCOME FAMILIES PARTICIPATING IN SNAP, WIC, AND SENIOR NUTRITION PROGRAMS.OTHER COMMUNITY HEALTH IMPLEMENTATION PLAN FACILITY BASED INITIATIVES. IN FY24 TRAUMA INJURY PREVENTION AIMS TO REDUCE DEATHS, DISABILITIES, AND THE BURDEN OF INJURIES THROUGH ADVOCACY AND EVIDENCE-BASED PREVENTION TIME THE COMMUNITIES WE SERVE. OUR PROGRAM FOCUS AREAS INCLUDE OLDER ADULT WELLNESS, ROAD-RELATED SAFETY, AND FIRST AID COURSES AND PROGRAMS. PART V, SECTION B, LINE 11- ST. ANTHONY NORTH 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.DISEASE AND INJURY PREVENTION: SUICIDEPOST DISCHARGE FOLLOW-UP: IN FY2024, SAN UNDERWENT A SIGNIFICANT TRANSITION IN THE CARE AND SUPPORT OF ITS BEHAVIORAL HEALTH AND SUICIDAL PATIENTS FOLLOWING ITS DISAFFILIATION FROM THE ADVENT HEALTH SYSTEM. SIGNIFICANT RESOURCES, INCLUDING A PSYCHIATRIC CONSULTATION PROVIDER, WERE TRANSITIONED TO SAN. ADDITIONALLY, SAN INVESTED IN CONTRACTING TELEPSYCHIATRIC LEVEL-OF-CARE ASSESSMENT SERVICES TO ENHANCE ACCESS TO CARE; CARING CONTACTS SERVICE TO SUPPORT INDIVIDUALS WITH SUICIDAL THOUGHTS WAS TAKEN OVER BY SAN WHO HIRED A BH LEAD SPECIALIST. SAN ALSO ADVANCED BETTER PRACTICES IN SUICIDE PREVENTION BY IMPLEMENTING UNIVERSAL SCREENING AND AUDITS TO ASSURE ALL HIGH-RISK PATIENTS RECEIVED COMPREHENSIVE PSYCHIATRIC LEVEL OF CARE EVALUATION SERVICES INCLUDING THE ESTABLISHMENT OF SAFETY PLANS AND THAT ALL PATIENTS WITH ANY LEVEL OF SUICIDALITY HAD A CARE PATHWAY; TRAINING AND BEST PRACTICE IMPLEMENTATION: SIGNIFICANT RESOURCES WERE DEDICATED TO THE CREATION AND IMPLEMENTATION OF EDUCATION AND TRAINING OF ASSOCIATES RELATED TO CARE OF THE SUICIDAL PATIENTS AND IN ADVANCING NEW STATE PATIENT RIGHTS AND REGULATIONS IN CONJUNCTION WITH MAINTAINING A SAFE ENVIRONMENT OF CARE AND BEST CARE PRACTICES; SAN TEAMED UP WITH CSH REGIONAL OFFICE AND THE OFFICE OF SUICIDE PREVENTION ADVANCING ON A NEW 5 YEAR PARTNERSHIP TO ELEVATE OUR REGIONAL ZERO SUICDE CARE MODEL AND OUTCOMES; SUICIDE SCREENING AND SUPPORT PRACTICES HAVE BEEN EXTENDED ACROSS A BROADER CONTINUUM OF OUR HEALTHCARE SYSTEM, NOW INCLUDING SAN'S PRIMARY CARE CLINICS AND RESIDENCY WITH COUNSELING SUPPORT BEING PROVIDED BY OUR EMPLOYED INTEGRATED BEHAVIORAL HEALTH THERAPISTS. THIS SCREENING AND IBH PROGRAM WAS EXPANDED TO OUR SAN REGIONAL WOMEN'S CLINIC TO SUPPORT MATERNAL MENTAL HEALTH OUTCOMES; IN ADDITION TO THIS SUICIDE PREVENTION WORK, COMMONSPIRIT AND SAN CONTINUED TO ADVANCE 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; OTHER INITIATIVES TO INCREASE ACCESS TO CARE: SAN IMPLEMENTED A NEW BEHAVIORAL HEALTH LEAD THERAPIST POSITION AND AN EMPLOYED PSYCHIATRIC CONSULTATION APN. THE SAN CONSULTATION TEAM MODEL WAS DESIGNED AND IMPLEMENTED TO IDENTIFY PATIENTS IN NEED OF COUNSELING, TREATMENT PLANNING, BEHAVIORAL PLANNING, MEDICATION MANAGEMENT, AND SPECIALIZED CARE COORDINATION; COMMONSPIRIT HEALTH LEADERSHIP WORKED WITH JEFFERSON COUNTY AND BOULDER COUNTY WORKFORCE ORGANIZATIONS TO DEVELOP AND CHAIR A GREATER DENVER REGIONAL BEHAVIORAL HEALTH WORK SECTOR PARTNERSHIP TO ADVANCE COMMUNITY OUTCOMES RELATED TO BEHAVIORAL HEALTH WORKFORCE, SUSTAINABILITY, CONNECTED COMMUNITY AND BURNOUT; COMMONSPIRIT SPONSORED THE COLORADO STATE K-12 SCHOOL BEHAVIORAL HEALTH WORKFORCE DEVELOPMENT COMMUNITY OF PRACTICE ADVANCING KNOWLEDGE AND COORDINATION SUPPORTING EDUCATIONAL CAREER AND TECHNICAL, CURRICULUM, STUDENT SUPPORT, AND PATHWAY PARTNERSHIP DEVELOPMENT. FRONTRANGE COMMUNITY COLLEGE AND ADAMS COUNTY SCHOOL DISTRICT LEADERSHIP PARTICIPATED IN THE COLLABORATIVE AND BROADER PARTNERSHIP INITIATIVE; COMMONSPIRIT BEHAVIORAL HEALTH INITIATIVES LEADERSHIP LEAD THE DEVELOPMENT OF THE COLORADO COMMUNITY COLLEGE SYSTEM'S DEVELOPMENT OF COMPENTENCIES FOR EXISTING BEHAVIORAL HEALTH WORKERS TO MEET CRITERIA FOR THE STATE'S NEW QUALIFIED BEHAVIORAL HEALTH ASSISTANT CERTIFICATE.PHYSICAL ENVIRONMENT: HOUSINGPARTICIPATE IN COLLABORATIVE EFFORTS TO ADDRESS AFFORDABLE HOUSING AND HOMELESSNESS: SAN PLAYED AN ACTIVE ROLE IN THE ADAMS COUNTY THRIVING COMMUNITY COALITION, WHICH FOCUSED ON TACKLING CRITICAL COMMUNITY HEALTH ISSUES, INCLUDING HOUSING AND HOMELESSNESS; COLLABORATE WITH STATE AND LOCAL OFFICIALS TO IDENTIFY STRATEGIES TO INCREASE HOUSING STABILITY IN THE COMMUNITY BY CONNECTING HOUSING, HEALTH OUTCOMES AND CSH VALUES: COMMONSPIRIT 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 AND BROOMFIELD COUNTIES (INCLUDING THE COUNTIES THEMSELVES AS WELL AS THEIR PUBLIC HEALTH AND HUMAN SERVICE EFFORTS), THROUGH OUR PARTNERSHIPS WITH BUSINESS ORGANIZATIONS (LOCAL, REGIONAL AND STATE CHAMBERS), THROUGH DIRECT COMMUNICATION WITH ELECTED OFFICIALS IN OUR SERVICE AREAS AND THROUGH METRO DENVER PARTNERSHIP FOR HEALTH; SCREEN HOUSEHOLDS FOR HOUSING INSECURITY AND REFER THEM TO RESOURCES IN THE COMMUNITY TO PROMOTE STABLE HOUSING; SOCIAL DETERMINANTS OF HEALTH SCREENING WAS SUCCESSFULLY IMPLEMENTED FOR ALL INPATIENT UNITS AT ALL SITES WHICH INCLUDES SCREENING FOR HOUSING INSECURITY. 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; SAN IS AN ACTIVE PARTNER WITH THE ROCKY MOUNTAIN PARTNERSHIP (RMP). ONE OF THEIR MAIN GOAL AREAS IS TO ADDRESS HOUSING IN ADAMS COUNTY; SAN ALSO PROVIDES FINANCIAL SUPPORT TO GROWING HOME. ONE OF THEIR FOCUS AREAS IS HOUSING STABILITY FOR FAMILIES: ADDITIONALLY, SAN HAS PARTNERED WITH THE COALITION FOR THE HOMELESS, FUNDING BEDS FOR PATIENTS IN NEED OF RECUPERATIVE CARE WHO WOULD OTHERWISE BE DISCHARGED INTO HOMELESSNESS. THE COLORADO COALITION FOR THE HOMELESS PROVIDES ROOM AND BOARD, 24-HOUR CLINICAL SUPERVISION, PRIMARY CARE VISITS, INTEGRATED BEHAVIORAL HEALTH SERVICES, CASE MANAGEMENT, AND OTHER ESSENTIAL SUPPORT. PART V, SECTION B, LINE 11- ST. ANTHONY NORTH-CONTINUED COMMUNITY CAPACITY BUILDING: FOOD SECURITYOUTREACH, EDUCATION, AND DESTIGMATIZATION: SINCE AUTHORING THESE GOALS, WE LOOKED AT PURPOSE AND PROCESS IN ORDER TO EXPAND OUR REACH. WITH A NEW GOAL OF: IMPLEMENTING OUTREACH CAMPAIGNS AMONG ASSOCIATES, PATIENTS, AND COMMUNITIES IN ORDER TO EDUCATE THEM ON FOOD INSECURITY AND THE COMMUNITIES AFFECTED MOST BY ISSUES, AND FOOD SECURITY PROGRAMS AVAILABLE TO HELP SUPPORT FAMILIES AND INDIVIDUALS EXPERIENCING A NEED. IN THIS MORE INCLUSIVE VISION FOR OUR GOAL, WE WERE ABLE TO REACH ASSOCIATES, PATIENTS, AND COMMUNITY MEMBERS THROUGH PUBLIC NEWS OUTLETS, INTERNAL ASSOCIATE NEWSLETTERS, DIRECT CORRESPONDENCE WITH COMMUNITY BENEFIT ORGANIZATIONS, COLLABORATIVELY WITH SPONSORSHIP PARTNERS, AND OTHER CREATIVE COMMUNICATION CHANNELS. USING OUR VOICE AND THE VOICE OF OUR COLLABORATORS, WE WERE ABLE TO REACH OLD AND NEW AUDIENCES WITH IMPORTANT MESSAGES ABOUT FOOD INSECURITY, FOOD SECURITY PROGRAMS IN THE COMMUNITY, AND FOOD SECURITY WORK BEING DONE BY COMMONSPIRIT (FORMERLY CENTURA HEALTH). WE WERE ABLE TO ADDRESS RESOURCING AND DESTIGMATIZATION IN A VARIETY OF AVENUES; SCREENING & REFERRALS: SOCIAL DETERMINANTS OF HEALTH SCREENING WAS SUCCESSFULLY IMPLEMENTED FOR ALL INPATIENT UNITS AT ALL SITES WHICH INCLUDES SCREENING FOR FOOD INSECURITY. 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; A COMMONSPIRIT-SECURED GRANT SUPPORTED DEVELOPMENT OF A CENTRALIZED TEAM (3 PLUS 1 SUPERVISOR) OF COMMUNITY HEALTH WORKERS WHO FOLLOW UP WITH PATIENTS IDENTIFIED WITH FOOD INSECURITY TO PROVIDE FOOD SECURITY NAVIGATION SERVICES INCLUDING SUBMISSION OF SNAP APPLICATIONS, AND PATIENT-FOCUSED OUTREACH MATERIALS IN ENGLISH AND SPANISH. FOLLOWING A PERIOD OF ONBOARDING AND DEVELOPMENT OF THIS TEAM, 85 ENROLLMENTS WERE COMPLETED WITH NAVIGATION RESOURCES ACROSS THE SYSTEM. VOLUMES ARE ANTICIPATED TO INCREASE OVER THE NEXT YEAR WITH INCREASED EFFICIENCY AND EXPANSION OF SERVICES INTO THE UTAH MARKET; BENEFITS ASSISTANCE:COMMONSPIRIT 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 COMMONSPIRIT IN 2021; LOCAL FOOD DISTRIBUTION: LOCAL PRODUCE SITE SUPPORT: SAN FAMILY MEDICINE RESIDENCY SUPPORTS A COMMUNITY GARDEN AT OUR 84TH AVENUE WHICH PROVIDES HEALTHY PRODUCE TO PATIENTS. AT SAN, THE COMMUNITY GARDEN IS OPEN TO ANY COMMUNITY MEMBER AND EXCESS PRODUCE WAS COLLECTED AND DONATED TO THE GROWING HOME FOOD PANTRY; SAN MADE DIRECT DONATIONS TO HELP PROVIDE FOOD RESOURCES TO SEVERAL COMMUNITY ORGANIZATIONS THAT PROVIDE FOOD ASSISTANCE TO FAMILIES IN OUR SERVICE AREA INCLUDING THE ADAMS COUNTY SHERIFF'S OFFICE OPERATION FREE BIRD, ROCKY MOUNTAIN FOOD BANK, AND FOOD FOR HOPE.HEALTH PRIORITIES NOT BEING ADDRESSED:AIR POLLUTION WAS RANKED FIFTH OF THE TOP FIVE PRIORITIES IDENTIFIED DURING THE RANKING PROCESS. DATA FOCUSING ON AIR POLLUTION INCLUDED AVERAGE DAILY PARTICULATE MATTER AT 7.0 (CO AT 4.9). WHILE THIS IS AN IMPORTANT ISSUE FOR THE COMMUNITY, IT WAS RECOGNIZED THAT THE HOSPITAL AND PARTNERS INVOLVED IN THE PRIORITIZATION PROCESS DID NOT HAVE ORGANIZATIONAL STRENGTHS TO ADDRESS THIS ISSUE. RATHER, IT IS ONE THAT WILL TAKE COLLECTIVE COMMUNITY ACTION OUTSIDE OF THESE EFFORTS. PART V, SECTION B, LINE 11- MERCY MEDICAL CENTER 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. ACCESS TO CARE: MENTAL HEALTH; 2. RISK BEHAVIORS: SUBSTANCE USE; 3. DISEASE AND INJURY SUICIDE; AND 4. COMMUNITY CAPACITY BUILDING: FOOD SECURITY.ACCESS TO CARE: MENTAL HEALTH. REGIONAL STIGMA REDUCTION CAMPAIGN: COMMONSPIRIT COLLABORATED WITH METRO DENVER PARTNERSHIPS FOR HEALTH TO REDUCE STIGMA BY SPONSORING UPDATES TO THE LET'S TALK COLORADO WEBSITE. THIS INITIATIVE ENHANCES THE SITES AVAILABLE EDUCATION AND RESOURCES WHILE INCORPORATING CULTURAL DIVERSITY AS A KEY COMPONENT OF THE STRATEGY; SCHOOL BEHAVIORAL HEALTH WORKFORCE PARTNERSHIP PROGRAM: COMMONSPIRIT BEHAVIORAL HEALTH INITIATIVES LEADERSHIP LEAD THE DEVELOPMENT OF THE COLORADO COMMUNITY COLLEGE SYSTEM'S CREATION OF COMPENTENCIES FOR EXISTING BEHAVIORAL HEALTH WORKERS TO MEET CRITERIA FOR THE STATE'S NEW QUALIFIED BEHAVIORAL HEALTH ASSISTANT (QBHA) CERTIFICATE. THIS PROGRAM IS AVAILABLE IN THE GREATER DURANGO REGION THROUGH A PARTNERSHIP WITH PUEBLO COMMUNITY COLLEGE WHO ALSO SUPPORTS THE NEW BH PATHWAYS STACKABLE CERTIFICATE PROGRAMS FOR MENTAL HEALTH AND SUBSTANCE USE COUNSELING; COMMONSPIRIT SPONSORED THE COLORADO STATE K-12 SCHOOL BEHAVIORAL HEALTH WORKFORCE DEVELOPMENT COMMUNITY OF PRACTICE ADVANCING KNOWLEDGE AND COORDINATION SUPPORTING EDUCATIONAL CAREER AND TECHNICAL, CURRICULUM, STUDENT SUPPORT, AND PATHWAY PARTNERSHIP DEVELOPMENT. COLORADO COMMUNITY COLLEGE SYSTEM, PUEBLO COMMUNITY COLLEGE, AND OTHER MERCY HOSPITAL REGIONAL PARTNERS PARTICIPATED IN THE COLLABORATIVE AND BROADER PARTNERSHIP INITIATIVE; MMC COLLABORATED AND FINANCIALLY PARTNERED WITH AXIS MENTAL HEALTH FOR LEVEL OF CARE EVALUATION SERVICES FOR THEIR EMERGENCY DEPARTMENT BEHAVIORAL HEALTH PATIENTS. MMC ALSO INCURS SIGNIFICANT EXPENSES RELATED TO THE TRANSPORTATION OF BEHAVIORAL HEALTH PATIENTS TO INPATIENT TREATMENT FACILITIES SINCE THE NEAREST INPATIENT UNIT IS 3 HOURS TRAVEL TIME; MMC HAS TAKEN ON INTEGRATED BEHAVIORAL HEALTH PROVIDERS AND A PRESCRIBING ADVANCED PRACTICE PSYCHIATRIC RN TO HELP ADVANCE COMMUNITY ACCESS TO NEEDED MH HEALTH SERVICES AT ITS CLINIC LOCATIONS.RISK BEHAVIORS: SUBSTANCE USE:OPIOID ADDICTION INTERVENTION AND PREVENTION OUTCOMES: MERCY HOSPITAL ADVANCED THE PROVISION OF MEDICATIONS OF OPIOID USE DISORDER (MOUD) FOR BOTH EMERGENCY DEPARTMENT AND INPATIENTS. EVERY PATIENT ASSESSED AS ELIGIBLE WAS OFFERED MOUD. PSF'S RATE OF ELIGIBLE OFFERING WAS MAINTAINED AT OVER 90% AND ANY AND ALL FALL OUTS WERE REVIEWED AND FOLLOWED UP UPON THROUGH A NEWLY IMPLEMENTED REGIONAL AND FACILITY SUPPORTED CONTINUOUS QUALITY IMPROVEMENT PROCESSES; THROUGH COLLABORATION WITH LOCAL AND NATIONAL PARTNERS, MMC HELPED SAVE LIVES BY DISSEMINATING THE OVERDOSE-ANTIDOTE, NALOXONE TO ED AND MEDICAL FLOOR PATIENTS. SIGNIFICANT HEALTH SYSTEM DESIGN WORK WAS DONE TO IDENTIFY OUR AT-RISK PATIENT POPULATION, ALERT THE PROVIDER AND SUPPORT THE PROVISION OF TAKE-HOME PACKS TO REDUCE BARRIERS TO NALOXONE ACCESS; ADDITIONALLY, MMC EMERGENCY DEPARTMENT PROVIDERS REDUCED THEIR ADMINISTRATION AND PRESCRIPTION OF OPIOIDS AND UTILIZED MORE ALTERNATIVES TO OPIOIDS TO TREAT PAIN TO HELP PREVENT OPIOID ADDICTION. THIS PROGRESSION IN INITIATIVE OUTCOMES WAS SUPPORTED BY CONTINUOUS QUALITY IMPROVEMENT INITIATIVE TEAM OPERATING AT THE REGIONAL AND FACILITY LEVELS TO ADVANCE OUTCOME OPTIMIZATION; MMC ALSO ADVANCED ITS CAPABILITIES TO SUPPORT MOTHERS WITH POTENTIAL SUBSTANCE USE BY CONTINUING TO ADVANCE A PROGRAM TO EXPAND NALOXONE KIT ACCESS TO DELIVERING MOTHERS; MMC PARTNERS CLOSELY WITH AXIS AND OTHER LOCAL PROVIDERS FOR THE CARE AND TREATMENT OF INDIVIDUALS WITH SUBSTANCE USE NEEDS. PARTNERSHIP WITH AXIS'S DETOXIFICATION PROGRAM, SUPPORTING MEDICAL DETOXIFICATION OF INDIVIDUALS ON THEIR MEDICAL FLOORS, COLLABORATIVELY PARTNERING WITH AXIS TO SUPPORT INDIVIDUALS IN NEED OF SUBSTANCE USE CERTIFICATION, AND MAKING CONNECTIONS TO THE GROWING RECOVERY COMMUNITY HAVE BEEN ADVANCED THROUGH COLLABORATION AND STAFF TRAINING; ADVANCE SCREENING BRIEF INTERVENTION AND REFERRAL TO TREATMENT SERVICES AND SUPPORTS MH FOCUSED ON IMPROVING SUBSTANCE USE ADDICTION OUTCOMES BY INCREASING THE UTILIZATION OF BEHAVIORAL HEALTH POSITIONS TO COMPLETE SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT. THIS WORKFORCE INITIATIVE WAS CRUCIAL IN CONNECTING PATIENTS TO NECESSARY RESOURCES, AND THE PATIENTS SUPPORTED SAW A COLLECTIVE DECREASE IN LENGTH OF STAY AND READMISSIONS COMPARED TO PRIOR YEARS.DISEASE AND INJURY PREVENTION: SUICIDEPOST DISCHARGE FOLLOW-UP: POST DISCHARGE FOLLOW-UP MERCY PARTNERS WITH AXIS HEALTH/COLUMBINE BEHAVIORAL HEALTH FOR SUPPORT RELATED TO POST-DISCHARGE FOLLOW-UP ON SUICIDAL PATIENTS; MMC AND CSH DEVELOPED A WORKFLOW BETWEEN INTEGRATED BEHAVIORAL HEALTH AND AMBULATORY CLINICS TO PROVIDE WRAPAROUND SUPPORT FOR PATIENTS EXHIBITING ANY LEVEL OF SUICIDALITY AS IDENTIFIED THROUGH DEPRESSION SCREENINGS. 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; PARTNERSHIP WITH VA WHICH HAS RESULTED IN GUN LOCK DISTRIBUTION IN OUR ED'S AND CULTURAL COMPETENCY TRAINING FOR STAFF, ENHANCING SAFETY MEASURES AND IMPROVING CARE FOR VETERAN POPULATIONS; COMMONSPIRIT HEALTH AND MERCY MEDICAL CENTER DEVELOPED A PATHWAY FOR PATIENTS TO ACCESS THEIR SAFETY PLANS THROUGH THE PATIENT PORTAL, PROVIDING A CONVENIENT AND SECURE DIGITAL OPTION IN CASE THE PHYSICAL COPY PROVIDED AT DISCHARGE IS MISPLACED; MMC HOSTS MONTHLY LUNCH AND LEARNS WITH COMMUNITY PARTNERS TO EDUCATE STAFF ABOUT THE AVAILABLE RESOURCES IN OUR RURAL COMMUNITY; MMC LEAD SPECIALIZED TRAINING FOR STAFF IN PERINATAL MOOD AND ANXIETY DISORDERS, THE EDINBURGH DEPRESSION SCREENING, AND SUBSTANCE USE DISORDERS DURING THE PERINATAL PERIOD; MMC PARTICIPATED IN A COMMUNITY PARTNERSHIP WITH CPCQC TO SUPPORT BEST PRACTICES IN MATERNAL MENTAL HEALTH, ENSURING IMPROVED CARE AND OUTCOMES FOR MOTHERS. NOTE: MET OR EXCEEDED THE TARGETED GOAL OF 80% FOR DEPRESSION SCREENINGS AMONG PREGNANT WOMEN AND UP TO 90 DAYS POSTPARTUM IN BOTH HOSPITAL AND AMBULATORY SETTINGS. CSH SPONSORED AND ACTIVELY SUPPORTED THE SCHOOL MENTAL HEALTH COMMUNITIES OF PRACTICE (COP) MENTAL HEALTH FORUM IN PARTNERSHIP WITH STATE AND LOCAL ADVOCACY ORGANIZATIONS. THE FORUM ENGAGES OVER 200 REGISTERED MEMBERS FROM MORE THAN 50 SCHOOL DISTRICTS. THE COP SECURED OTHER FUNDING AND REMAINS ACTIVE AND COMMITTED TO OFFERING A STRUCTURED, COLLABORATIVE PLATFORM FOR PROFESSIONALS TO ENHANCE MENTAL HEALTH INTERVENTIONS, PROMOTE PROFESSIONAL DEVELOPMENT, AND FOSTER A SUPPORTIVE, INCLUSIVE SCHOOL COMMUNITY. THE FORUM MAINTAINS A COLLABORATIVE SPACE FOR PROFESSIONALS TO SHARE EDUCATIONAL RESOURCES AND STRATEGIES AIMED AT IMPROVING STUDENT OUTCOMES, REDUCING STIGMA, AND PROVIDING GREATER ACCESS TO TOOLS AND RESOURCES. PART V, SECTION B, LINE 11- MERCY MEDICAL CENTER-CONTINUED COMMUNITY CAPACITY BUILDING: FOOD SECURITYOUTREACH, EDUCATION, AND DESTIGMATIZATION: SINCE AUTHORING THESE GOALS, WE LOOKED AT PURPOSE AND PROCESS IN ORDER TO EXPAND OUR REACH. WITH A NEW GOAL OF: IMPLEMENTING OUTREACH CAMPAIGNS AMONG ASSOCIATES, PATIENTS, AND COMMUNITIES IN ORDER TO EDUCATE THEM ON FOOD INSECURITY AND THE COMMUNITIES AFFECTED MOST BY ISSUES, AND FOOD SECURITY PROGRAMS AVAILABLE TO HELP SUPPORT FAMILIES AND INDIVIDUALS EXPERIENCING A NEED. IN THIS MORE INCLUSIVE VISION FOR OUR GOAL, WE WERE ABLE TO REACH ASSOCIATES, PATIENTS, AND COMMUNITY MEMBERS THROUGH PUBLIC NEWS OUTLETS, INTERNAL ASSOCIATE NEWSLETTERS, DIRECT CORRESPONDENCE WITH COMMUNITY BENEFIT ORGANIZATIONS, COLLABORATIVELY WITH SPONSORSHIP PARTNERS, AND OTHER CREATIVE COMMUNICATION CHANNELS. USING OUR VOICE AND THE VOICE OF OUR COLLABORATORS, WE WERE ABLE TO REACH OLD AND NEW AUDIENCES WITH IMPORTANT MESSAGES ABOUT FOOD INSECURITY, FOOD SECURITY PROGRAMS IN THE COMMUNITY, AND FOOD SECURITY WORK BEING DONE BY COMMONSPIRIT (FORMERLY CENTURA HEALTH). WE WERE ABLE TO ADDRESS RESOURCING AND DESTIGMATIZATION IN A VARIETY OF AVENUES; SCREENING & REFERRALS: SOCIAL DETERMINANTS OF HEALTH SCREENING WAS SUCCESSFULLY IMPLEMENTED FOR ALL INPATIENT UNITS AT ALL SITES WHICH INCLUDES SCREENING FOR FOOD INSECURITY. 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; A COMMONSPIRIT-SECURED GRANT SUPPORTED DEVELOPMENT OF A CENTRALIZED TEAM (3 PLUS 1 SUPERVISOR) OF COMMUNITY HEALTH WORKERS WHO FOLLOW UP WITH PATIENTS IDENTIFIED WITH FOOD INSECURITY TO PROVIDE FOOD SECURITY NAVIGATION SERVICES INCLUDING SUBMISSION OF SNAP APPLICATIONS, AND PATIENT-FOCUSED OUTREACH MATERIALS IN ENGLISH AND SPANISH. FOLLOWING A PERIOD OF ONBOARDING AND DEVELOPMENT OF THIS TEAM, 85 ENROLLMENTS WERE COMPLETED WITH NAVIGATION RESOURCES ACROSS THE SYSTEM. VOLUMES ARE ANTICIPATED TO INCREASE OVER THE NEXT YEAR WITH INCREASED EFFICIENCY AND EXPANSION OF SERVICES INTO THE UTAH MARKET; BENEFITS ACCEPTANCE: THREE NEW LOCATIONS IN NORTHWEST NEW MEXICO WHO ALSO ACCEPT SNAP / DOUBLE UP ARE NOW CONTRACTED TO ACCEPT THE COMMONSPIRIT SECURED GRANT SUPPORTED FRESH TO FLOURISH PRODUCE PRESCRIPTION VOUCHERS; FOOD AS MEDICINE: COMMONSPIRIT SECURED GRANT FUNDING SUPPORTED FRESH TO FLOURISH PROGRAM WHICH ENROLLED 155 PTS IN A PRIMARY-CARE BASED PRODUCE PRESCRIPTION VOUCHER PROGRAM FOR LOW INC. PTS AT RISK OF FOOD INSECURITY AND CHRONIC DISEASE; LOCAL PRODUCE SITE SUPPORT: COMMONSPIRIT HEALTH PROVIDED A DONATION IN TO SUPPORT COLORADO HEALTHY FOOD SUPPORTING HEALTHY FOOD INCENTIVES WHICH PRIORITIZE COLORADO GROWN PRODUCE FOR LOW INCOME FAMILIES PARTICIPATING IN SNAP, WIC AND SENIOR NUTRITION PROGRAMS. COMMONSPIRIT SECURED GRANT FUNDING SUPPORTED DIRECT FROM FARM LOCAL PURCHASES FROM THREE SMALL LOCAL FARMS. ADDITIONALLY, GRANT SUPPORTED FRESH TO FLOURISH PRODUCE PRESCRIPTION PROGRAM REDEMPTIONS. THIS ACTIVITY SUPPORTED THOSE AT RISK OF OR EXPERIENCING FOOD INSECURITY AND CHRONIC DISEASE. IDENTIFIED HEALTH NEED NOT PRIORITIZED: HEART DISEASE MORTALITY: MERCY'S SERVICE AREA HAS A LOWER PREVALENCE OF HEART DISEASE THAN COLORADO. FOCUSING ON COMMUNITY BUILDING CAPACITY INITIATIVES, SUCH AS ACCESS TO HEALTHY FOOD OPTIONS, WILL SUPPORT PREVENTATIVE MEASURES REGARDING HEART DISEASE; HOUSING: HOUSING PRICES IN COLORADO CONTINUE TO INCREASE YEAR AFTER YEAR. RISING COSTS MAKE IT SO THAT COLORADANS SPEND MORE OF THEIR INCOME ON HOUSING COSTS, BECOMING "COST-BURDENED." FOR RENTERS, THIS MEANS THEY'RE PAYING MORE THAN 30 PERCENT OF THEIR INCOME FOR HOUSING. THOSE THAT ARE SPENDING 50 PERCENT OR MORE ARE CONSIDERED SEVERELY COST-BURDENED. IN DURANGO, WE RECOGNIZE THAT WE HAVE A HOUSING AFFORDABILITY ISSUE AND A LIMITED SUPPLY OF HOUSING. THEREFORE, AS A CHNA COMMITTEE, WE FEEL THAT WE HAVE AN OPPORTUNITY TO CONTINUE TO ADVOCATE FOR REGULATORY CHANGES AND INCENTIVES IN PARTNERSHIP WITH LOCAL AND STATE GOVERNMENTS. THE RESOURCES NEEDED TO ADVANCE THIS PRIORITY REQUIRE INNOVATIVE THINKING THAT, DUE TO CAPACITY, REQUIRES LONG-TERM SOLUTIONS. WE'LL CONTINUE TO PARTNER WITH OUR ADVOCACY AND COMMUNITY LEADERS ON THIS ISSUE, BUT IT WILL NOT BE ADDRESSED AS PART OF THIS CHNA CYCLE. PART V, SECTION B, LINE 11- ST. MARY-CORWIN 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.RISK BEHAVIORS: MALTREATMENT PREVENTIONENCOURAGE POSITIVE PARENTING AND FAMILY SUPPORT: SMC RESIDENCY CLINIC PROVIDED ADVERSE CHILDHOOD EXPERIENCES (ACES) SCREENING, SUPPORTIVE COUNSELING, AND REFERRALS TO FAMILIES. DURING THE FISCAL YEAR SMC BROUGHT IN A BEHAVIORAL HEALTH SPECIALIST POSITION TO IDENTIFY AND SUPPORT FAMILIES AND PATIENTS TO NEEDED SUPPORTS AND RESOURCES; SMC AND ITS CLINICS HAVE WORKED COLLABORATIVELY WITH STAR POINT, CATHOLIC CHARITIES, VALLEY-WIDE, AND HEALTH SOLUTIONS TO ASSURE LINKAGES TO NEEDED FAMILY SUPPORT. THESE RELATIONSHIPS WERE EXPANDED TO INCLUDE HARD BEAUTY A PEER RECOVERY PROGRAM THAT SMC RESIDENCY CLINIC PARTNERED WITH TO LINK THEIR MOM'S TO NEEDED PEER LEAD PARENTAL SUPPORT; FACILITATE ACCESS TO SERVICES: SMC FURTHER ADVANCED 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. SMC'S BH SPECIALIST ADDITIONALLY HELPED SUPPORT PATIENTS WITH IDENTIFIED NEEDS WITH WARM HAND OFFS TO SUPPORT HIGH RISK PATIENTS, POST DISCHARGE CARING CONTACTS; SMC WORKED WITH THE COLORADO HEALTH STEPS PROGRAM TO SUPPORT THE CONTINUATION OF THE REGIONAL SERVICE AFTER THEIR SUBCONTRACTOR DISCONTINUED THEIR HEALTHY STEPS CONTRACT WITH THE STATE. THE SMC RESIDENCY PARTNERED WITH HEALTHY STEPS COLORADO AND SECURED THE INTERNAL RESOURCES TO CONTINUE THE HEALTHY STEPS FAMILY SUPPORT PROGRAM FOR THE COMMUNITY AT THE RESIDENCY CLINIC; AFTER HELPING START THE PUEBLO HEROES PROGRAM SUPPORTING YOUTH RESILIENCE IN PARTNERSHIP WITH PUEBLO DEPARTMENT OF HEALTH AND ENVIRONMENT SMC WORKED WITH BOTH REGIONAL SCHOOL DISTRICTS TO IDENTIFY THE SPACE NEEDED TO ADVANCE A DAY TREATMENT PROGRAM TO SUPPORT ADOLESCENTS COMPLEX SOCIAL AND EMOTIONAL NEEDS; SMC LEADERSHIP PROVIDES SIGNIFICANT LOW-COST SPACE AND SUPPORT TO HELP THE COMMUNITY PARTNERS LOWER ITS RISK FOR MALTREATMENT. TWO EXAMPLES INCLUDE A VETERAN'S SERVICES SUPPORT AND THE COMPREHENSIVE SITE PARTNERSHIP WITH PUEBLO COMMUNITY COLLEGE'S CAREER TRACK PROGRAMS LOCATED ON THE SMC CAMPUS WHICH ARE ECONOMIC SECURITY OPPORTUNITY PATHWAYS TO YOUTH HIGH PAYING MEDICAL CAREERS; SMC COLLABORATED WITH CATHOLIC CHARITIES TO ADVANCE PARENTS AS TEACHERS EXPANDED REFERRALS.COMMUNITY CAPACITY BUILDING: FOOD SECURITYOUTREACH, EDUCATION, AND DESTIGMATIZATION: SINCE AUTHORING THESE GOALS, WE LOOKED AT PURPOSE AND PROCESS IN ORDER TO EXPAND OUR REACH. WITH A NEW GOAL OF: IMPLEMENTING OUTREACH CAMPAIGNS AMONG ASSOCIATES, PATIENTS, AND COMMUNITIES IN ORDER TO EDUCATE THEM ON FOOD INSECURITY AND THE COMMUNITIES AFFECTED MOST BY ISSUES, AND FOOD SECURITY PROGRAMS AVAILABLE TO HELP SUPPORT FAMILIES AND INDIVIDUALS EXPERIENCING A NEED. IN THIS MORE INCLUSIVE VISION FOR OUR GOAL, WE WERE ABLE TO REACH ASSOCIATES, PATIENTS, AND COMMUNITY MEMBERS THROUGH PUBLIC NEWS OUTLETS, INTERNAL ASSOCIATE NEWSLETTERS, DIRECT CORRESPONDENCE WITH COMMUNITY BENEFIT ORGANIZATIONS, COLLABORATIVELY WITH SPONSORSHIP PARTNERS, AND OTHER CREATIVE COMMUNICATION CHANNELS. USING OUR VOICE AND THE VOICE OF OUR COLLABORATORS, WE WERE ABLE TO REACH OLD AND NEW AUDIENCES WITH IMPORTANT MESSAGES ABOUT FOOD INSECURITY, FOOD SECURITY PROGRAMS IN THE COMMUNITY, AND FOOD SECURITY WORK BEING DONE BY COMMONSPIRIT (FORMERLY CENTURA HEALTH). WE WERE ABLE TO ADDRESS RESOURCING AND DESTIGMATIZATION IN A VARIETY OF AVENUES; SCREENING & REFERRALS: SOCIAL DETERMINANTS OF HEALTH SCREENING WAS SUCCESSFULLY IMPLEMENTED FOR ALL INPATIENT UNITS AT ALL SITES WHICH INCLUDES SCREENING FOR FOOD INSECURITY. 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; A COMMONSPIRIT-SECURED GRANT SUPPORTED DEVELOPMENT OF A CENTRALIZED TEAM (3 PLUS 1 SUPERVISOR) OF COMMUNITY HEALTH WORKERS WHO FOLLOW UP WITH PATIENTS IDENTIFIED WITH FOOD INSECURITY TO PROVIDE FOOD SECURITY NAVIGATION SERVICES INCLUDING SUBMISSION OF SNAP APPLICATIONS, AND PATIENT-FOCUSED OUTREACH MATERIALS IN ENGLISH AND SPANISH. FOLLOWING A PERIOD OF ONBOARDING AND DEVELOPMENT OF THIS TEAM, 85 ENROLLMENTS WERE COMPLETED WITH NAVIGATION RESOURCES ACROSS THE SYSTEM. VOLUMES ARE ANTICIPATED TO INCREASE OVER THE NEXT YEAR WITH INCREASED EFFICIENCY AND EXPANSION OF SERVICES INTO THE UTAH MARKET.THROUGH CSH-SECURED GRANT FUNDING, SMC-ASSOCIATED CLINIC SOUTHERN COLORADO FAMILY MEDICINE ENROLLED 56 PATIENTS AS OF 8/31/2024 IN A PRODUCE PRESCRIPTION PROGRAM CALLED FRESH TO FLOURISH.THIS PROGRAM PROVIDES PATIENTS WITH UP TO A $350 VALUE OF VOUCHERS FOR FRESH PRODUCE FROM LOCAL FOOD BUSINESSES WHO SELL LOCAL PRODUCE INCLUDING PUEBLO FARMERS MARKET AT SAVE-A-LOT FOODS, WHO ALSO ACCEPT SNAP/EBT AND THE DOUBLE UP FOOD BUCKS BENEFTS WHICH MATCH SNAP TRANSACTIONS DOLLAR FOR DOLLAR UP TO $20. AS OF 7/30/2024, 2506 OF THESE VOUCHERS WERE REDEEMED; 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. COMMONSPIRIT 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 COLORADO 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 COMMONSPIRIT IN 2021; LOCAL PRODUCE SITE SUPPORT: 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.IDENTIFIED HEALTH NEEDS NOT PRIORITIZEDCOLORADO'S LACK OF AFFORDABLE HOUSING: IN THE LAST COUPLE OF YEARS, THE LACK OF AFFORDABLE HOUSING HAS BECOME A TOP CONCERN FOR THE COMMUNITIES OF PUEBLO COUNTY. ACCORDING TO THE COLORADO HEALTH INSTITUTE (CHI), AFFORDABLE HOUSING IS A CHALLENGE FOR MANY COLORADANS, REGARDLESS OF AGE. BUT FOR PEOPLE WHO ARE OLDER, IN POOR HEALTH, OR LIVE ON FIXED INCOMES, AFFORDABLE HOUSING CAN BE EVEN LESS ATTAINABLE. BEYOND AFFORDABILITY CONCERNS, HOMES MUST BE PHYSICALLY ACCESSIBLE AND SAFE, RESIDENTS SHOULD HAVE ACCESS TO CRITICAL COMMUNITY SERVICES LIKE HEALTH CLINICS, AND OLDER ADULTS SHOULD HAVE HOUSING OPTIONS THAT INCLUDE SUPPORTIVE SERVICES THAT FACILITATE AGING IN PLACE. ALMOST 22% OF ADULTS AGED 65 AND OLDER LIVING IN PUEBLO COUNTY ARE HOUSING COST BURDENED. THAT MEANS THEY DEVOTE MORE THAN 30 PERCENT OF THEIR INCOME EACH MONTH TO HOUSING COSTS INCLUDING UTILITIES AND PROPERTY TAXES. ACCORDING TO COMMUNITY ORGANIZATIONS, PUEBLO COUNTY LACKS SUFFICIENT AFFORDABLE HOUSING COMPLEXES FOR FAMILIES. FURTHERMORE, THE COUNTY'S LOW-INCOME HOUSING FOR SENIORS AND INDIVIDUALS WITH DISABILITIES IS SCARCE WITH LONG WAITLISTS. EVEN WHEN UNITS IN THESE LOW-INCOME HOUSING COMMUNITIES BECOME AVAILABLE, CHI REPORTS THAT ONLY ONE IN THREE PEOPLE IN COLORADO WHO NEED A HOUSING SUBSIDY GET ONE. FOR THE LOWEST-INCOME OLDER ADULTS, THERE SIMPLY AREN'T ENOUGH FEDERAL HOUSING SUBSIDIES TO MEET THE NEED. THE CHINA COMMITTEE RECOGNIZES THAT THIS IS A STRUCTURAL PROBLEM THAT REQUIRES CITY WIDE SOLUTIONS. PART V, SECTION B, LINE 11- 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. COMMUNITY CAPACITY BUILDING: FOOD SECURITYRISK BEHAVIORS: SUBSTANCE USE: OPIOID ADDICTION INTERVENTION AND PREVENTION OUTCOMES: SASH ADVANCED THE PROVISION OF MEDICATIONS OF OPIOID USE DISORDER (MOUD) FOR BOTH EMERGENCY DEPARTMENT AND INPATIENTS. EVERY PATIENT ASSESSED AS ELIGIBLE WAS OFFERED MOUD. SASH'S RATE OF ELIGIBLE OFFERING WAS MAINTAINED AT OVER 90% AND ANY AND ALL FALL OUTS WERE REVIEWED AND FOLLOWED UP UPON THROUGH A NEWLY IMPLEMENTED REGIONAL AND FACILITY SUPPORTED CONTINUOUS QUALITY IMPROVEMENT PROCESSES; THROUGH COLLABORATION WITH LOCAL AND NATIONAL PARTNERS, SASH HELPED SAVE LIVES BY DISSEMINATING THE OVERDOSE-ANTIDOTE, NALOXONE TO ED AND MEDICAL FLOOR PATIENTS. SIGNIFICANT HEALTH SYSTEM DESIGN WORK WAS DONE TO IDENTIFY OUR AT-RISK PATIENT POPULATION, ALERT THE PROVIDER AND SUPPORT THE PROVISION OF TAKE-HOME PACKS TO REDUCE BARRIERS TO NALOXONE ACCESS; ADDITIONALLY, SASH EMERGENCY DEPARTMENT PROVIDERS REDUCED THEIR ADMINISTRATION AND PRESCRIPTION OF OPIOIDS AND UTILIZED MORE ALTERNATIVES TO OPIOIDS TO TREAT PAIN TO HELP PREVENT OPIOID ADDICTION. THIS PROGRESSION IN INITIATIVE OUTCOMES WAS SUPPORTED BY CONTINUOUS QUALITY IMPROVEMENT INITIATIVE TEAM OPERATING AT THE REGIONAL AND FACILITY LEVELS TO ADVANCE OUTCOME OPTIMIZATION; SASH ALSO ADVANCED ITS CAPABILITIES TO SUPPORT MOTHERS WITH POTENTIAL SUBSTANCE USE BY CONTINUING TO ADVANCE A PROGRAM TO EXPAND NALOXONE KIT ACCESS TO DELIVERING MOTHERS; ADVANCE SCREENING BRIEF INTERVENTION AND REFERRAL TO TREATMENT SERVICES AND SUPPORT: SASH FOCUSED ON IMPROVING SUBSTANCE USE ADDICTION OUTCOMES THROUGH THE CREATION AND UTILIZATION OF BEHAVIORAL HEALTH SPECIALIST POSITION TO SUPPORT SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT. THIS WORKFORCE INITIATIVE IS CRUCIAL IN CONNECTING PATIENTS TO NECESSARY RESOURCES, AND THE PATIENTS SUPPORTED ACROSS CSH SAW A COLLECTIVE DECREASE IN LENGTH OF STAY AND READMISSIONS COMPARED TO PRIOR YEARS; SASH CONTINUED TO ADVANCE STRONG REGIONAL PARTNERSHIPS AND TO FUND STIGMA REDUCTION AND ACCESS TO SUBSTANCE USE AND MENTAL HEALTH SERVICES THROUGH THEIR FUNDING OF CARE COORDINATION AND AN AMBASSODORS PROGRAM IN PARTNERSHIP WITH BUILDING HOPE; COMMONSPIRIT SPONSORED THE COLORADO STATE K-12 SCHOOL BEHAVIORAL HEALTH WORKFORCE DEVELOPMENT COMMUNITY OF PRACTICE ADVANCING KNOWLEDGE AND COORDINATION SUPPORTING EDUCATIONAL CAREER AND TECHNICAL, CURRICULUM, STUDENT SUPPORT, AND PATHWAY PARTNERSHIP DEVELOPMENT AIMED AT SUPPORTING ACCESS TO SUBSTANCE USE PROVIDER SHORTAGE AREAS LIKE THE GREATER SUMMIT COUNTY REGION; COMMONSPIRIT BEHAVIORAL HEALTH INITIATIVES LEADERSHIP LEAD THE DEVELOPMENT OF THE COLORADO COMMUNITY COLLEGE SYSTEM'S DEVELOPMENT OF COMPENTENCIES FOR EXISTING BEHAVIORAL HEALTH WORKERS TO MEET CRITERIA FOR THE STATE'S NEW QUALIFIED BEHAVIORAL HEALTH ASSISTANT (QBHA) CERTIFICATE. SASH'S COMMONSPIRIT HEALTH BEHAVIORAL HEALTH SPECIALIST HELPED PILOT AND EARN HIS QBHA CERTIFICATE THROUGH THIS PROCESS AND IS ON A CAREER TRACK TO BECOME AN ADDICTIONS COUNSELOR; TAKE BACK BOX LOCATION: COLLABORATED WITH COMMUNITY PARTNERS WHO WERE ALREADY WORKING TO ESTABLISH DRUG TAKE-BACK PROGRAMS, SUPPORTING THEIR EFFORTS AND PROMOTING THEIR EXISTING LOCATIONS TO ENHANCE COMMUNITY ACCESS AND AWARENESS.COMMUNITY CAPACITY BUILDING: FOOD SECURITYOUTREACH, EDUCATION, AND DESTIGMATIZATION: SINCE AUTHORING THESE GOALS, WE LOOKED AT PURPOSE AND PROCESS IN ORDER TO EXPAND OUR REACH. WITH A NEW GOAL OF: IMPLEMENTING OUTREACH CAMPAIGNS AMONG ASSOCIATES, PATIENTS, AND COMMUNITIES IN ORDER TO EDUCATE THEM ON FOOD INSECURITY AND THE COMMUNITIES AFFECTED MOST BY ISSUES, AND FOOD SECURITY PROGRAMS AVAILABLE TO HELP SUPPORT FAMILIES AND INDIVIDUALS EXPERIENCING A NEED. IN THIS MORE INCLUSIVE VISION FOR OUR GOAL, WE WERE ABLE TO REACH ASSOCIATES, PATIENTS, AND COMMUNITY MEMBERS THROUGH PUBLIC NEWS OUTLETS, INTERNAL ASSOCIATE NEWSLETTERS, DIRECT CORRESPONDENCE WITH COMMUNITY BENEFIT ORGANIZATIONS, COLLABORATIVELY WITH SPONSORSHIP PARTNERS, AND OTHER CREATIVE COMMUNICATION CHANNELS. USING OUR VOICE AND THE VOICE OF OUR COLLABORATORS, WE WERE ABLE TO REACH OLD AND NEW AUDIENCES WITH IMPORTANT MESSAGES ABOUT FOOD INSECURITY, FOOD SECURITY PROGRAMS IN THE COMMUNITY, AND FOOD SECURITY WORK BEING DONE BY COMMONSPIRIT (FORMERLY CENTURA HEALTH). WE WERE ABLE TO ADDRESS RESOURCING AND DESTIGMATIZATION IN A VARIETY OF AVENUES; SCREENING & REFERRALS:SOCIAL DETERMINANTS OF HEALTH SCREENING WAS SUCCESSFULLY IMPLEMENTED FOR ALL INPATIENT UNITS AT ALL SITES WHICH INCLUDES SCREENING FOR FOOD INSECURITY. 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; COMMUNITY GARDENS AND COMMUNITY FARMFOOD SYSTEMS/ PRODUCTION: COMMUNITY GARDENS & FARMS: SASH INVESTED 10K IN PARTNERSHIP WITH HC3 TO INSTALL REFRIGERATION SYSTEMS TO EXTEND PRODUCE LIFE AND EXPAND THE COMMUNITY GARDENS IN FRISCO AND DILLON VALLEY; INTEGRATE FOOD ACCESS STRATEGIES INTO SASH COMMUNITY PARTNERSHIPS: 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; PARTNER WITH CHPG AND COMMUNITY TO INCREASE AWARENESS OF IMPACT OF HUNGER ON WHOLE PERSON HEALTH AND INCREASE ACCESS TO SNAP AND WIC: A COMMONSPIRIT-SECURED GRANT SUPPORTED DEVELOPMENT OF A CENTRALIZED TEAM (3 PLUS 1 SUPERVISOR) OF COMMUNITY HEALTH WORKERS WHO FOLLOW UP WITH PATIENTS IDENTIFIED WITH FOOD INSECURITY TO PROVIDE FOOD SECURITY NAVIGATION SERVICES INCLUDING SUBMISSION OF SNAP APPLICATIONS, AND PATIENT-FOCUSED OUTREACH MATERIALS IN ENGLISH AND SPANISH. FOLLOWING A PERIOD OF ONBOARDING AND DEVELOPMENT OF THIS TEAM, 85 ENROLLMENTS WERE COMPLETED WITH NAVIGATION RESOURCES ACROSS THE SYSTEM. VOLUMES ARE ANTICIPATED TO INCREASE OVER THE NEXT YEAR WITH INCREASED EFFICIENCY AND EXPANSION OF SERVICES INTO THE UTAH MARKET.HEALTH PRIORITIES NOT ADDRESSING:ECONOMIC MOBILITY & LIVING WAGES, CHILDCARE, PROVIDER AVAILABILITY, AND INCLUSIVE COMMUNITY RANKED AS A TOP PRIORITY DURING THE RANKING PROCESS. WHILE THESE ARE IMPORTANT ISSUES FOR THE COMMUNITY, IT WAS RECOGNIZED THAT THE HOSPITAL AND PARTNERS INVOLVED IN THE PRIORITIZATION PROCESS DID NOT HAVE ORGANIZATIONAL STRENGTHS TO ADDRESS THIS ISSUE. RATHER, IT IS ONE THAT WILL TAKE COLLECTIVE COMMUNITY ACTION OUTSIDE OF THESE EFFORTS. PART V, SECTION B, LINE 11- ST. THOMAS MORE 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. COMMUNITY CAPACITY BUILDING: FOOD SECURITYACCESS TO CARE: MENTAL HEALTHREGIONAL STIGMA REDUCTION CAMPAIGN: COMMONSPIRIT COLLABORATED WITH METRO DENVER PARTNERSHIPS FOR HEALTH TO REDUCE STIGMA BY SPONSORING UPDATES TO THE LET'S TALK COLORADO WEBSITE. THIS INITIATIVE ENHANCES THE SITES AVAILABLE EDUCATION AND RESOURCES WHILE INCORPORATING CULTURAL DIVERSITY AS A KEY COMPONENT OF THE STRATEGY; STM SPONSORED SUICIDE PREVENTION AWARENESS ACTIVITIES TO ADVANCE BH STIGMA REDUCTION WORK IN THEIR GREATER COMMUNITY; PARTNERSHIP WITH COLORADO SUICIDE PREVENTION ALLIANCE TO ELEVATE AWARENESS, SPONSORSHIP AND PARTICIPATION IN THE OUT-OF-DARKNESS WALK; PARTNERSHIP WITH SOLVISTA TO ADVANCE COMMUNITY TRAINING FOR HEALTHCARE PROFESSIONALS. SCHOOL BEHAVIORAL HEALTH WORKFORCE PARTNERSHIP PROGRAM: STM AND COMMONSPIRIT HEALTH BH INITIATIVES LEADERSHIP EXPANDED ITS REGIONAL BEHAVIORAL HEALTH WORKFORCE COLLABORATIVE IN FREMONT COUNTY LEADING COMMUNITY COLLABORATIVE MEETINGS DESIGNED TO ENHANCE EDUCATIONAL AND EMPLOYER PARTNERSHIP FOR BY WORKFORCE DEVELOPMENT. THESE EFFORTS WERE ALIGNED WITH THE WELLSTART FREMONT ECONOMIC COUNSELS BEHAVIORAL HEALTH WORKGROUP AND OTHER KEY BEHAVIORAL HEALTH AND RECOVERY PARTNERS AND RESULTED IN TWO TRACKS BEING ADVANCED: ONE FOR MENTAL HEALTH AND ONE FOR SUBSTANCE ABUSE PROVIDER DEVELOPMENT; COMMONSPIRIT SPONSORED THE COLORADO STATE K-12 SCHOOL BEHAVIORAL HEALTH WORKFORCE DEVELOPMENT COMMUNITY OF PRACTICE ADVANCING KNOWLEDGE AND COORDINATION SUPPORTING EDUCATIONAL CAREER AND TECHNICAL, CURRICULUM, STUDENT SUPPORT, AND PATHWAY PARTNERSHIP DEVELOPMENT. COLORADO COMMUNITY COLLEGE SYSTEM, PUEBLO COMMUNITY COLLEGE AND OTHER STM REGIONAL PARTNERS PARTICIPATED IN THE COLLABORATIVE AND BROADER PARTNERSHIP INITIATIVE; COMMONSPIRIT BEHAVIORAL HEALTH INITIATIVES LEADERSHIP LEAD THE DEVELOPMENT OF THE COLORADO COMMUNITY COLLEGE SYSTEM'S CREATION OF COMPENTENCIES FOR EXISTING BEHAVIORAL HEALTH WORKERS TO MEET CRITERIA FOR THE STATE'S NEW QUALIFIED BEHAVIORAL HEALTH ASSISTANT (QBHA) CERTIFICATE. THE COMMONSPIRIT HEALTH BEHAVIORAL HEALTH SPECIALISTS AT STM HELPED PILOT AND EARN THEIR QBHA CERTIFICATE THROUGH THIS PROCESS; OTHER: EXPANDING COMMUNITY ACCESS TO NEEDED MENTAL HEALTH SERVICES: IN ALIGNMENT WITH THIS COMMUNITY-FACING WORKFORCE PATHWAY WORK STM STARTED ITS BEHAVIORAL HEALTH SPECIALIST (BHS) PROGRAM ADDING A BHS TO SERVE EMERGENCY DEPARTMENT PATIENTS, INCREASING CAPACITY FOR SCREENING, INTERVENTION, CARE COORDINATION AND POST DISCHARGE CARING CONTACTS; STM AND COMMONSPIRIT MEDICAL GROUP ADVANCED CHILDREN'S AND WOMEN'S AND FAMILY MENTAL HEALTH OUTCOMES BY PARTNERING WITH AN INTEGRATED BEHAVIORAL HEALTH PROVIDER TO ADVANCE A HEALTHY STEPS PROGRAM AT THE STM PRIMARY CLINIC; STM AND CSH PARTNERED WITH THE CENTER FOR REPRODUCTIVE GRIEF TO ADVANCE TRAINING AND AN ENHANCED CARE MODEL FOR WOMEN WHO ARE EXPERIENCING OR HAVING PREVIOUSLY EXPERIENCED FETAL LOSS.RISK BEHAVIORS: SUBSTANCE USESTM ADVANCED THE PROVISION OF MEDICATIONS OF OPIOID USE DISORDER (MOUD) FOR BOTH EMERGENCY DEPARTMENT AND INPATIENTS: EVERY PATIENT ASSESSED AS ELIGIBLE WAS OFFERED MOUD. STM'S RATE OF ELIGIBLE OFFERING WAS MAINTAINED AT OVER 90% AND ANY AND ALL FALL OUTS WERE REVIEWED AND FOLLOWED UP UPON THROUGH A NEWLY IMPLEMENTED REGIONAL AND FACILITY SUPPORTED CONTINUOUS QUALITY IMPROVEMENT PROCESSES; THROUGH COLLABORATION WITH LOCAL AND NATIONAL PARTNERS, STM HELPED SAVE LIVES BY DISSEMINATING THE OVERDOSE-ANTIDOTE, NALOXONE TO ED AND MEDICAL FLOOR PATIENTS. SIGNIFICANT HEALTH SYSTEM DESIGN WORK WAS DONE TO IDENTIFY OUR AT-RISK PATIENT POPULATION, ALERT THE PROVIDER AND SUPPORT THE PROVISION OF TAKE-HOME PACKS TO REDUCE BARRIERS TO NALOXONE ACCESS; ADDITIONALLY, STM EMERGENCY DEPARTMENT PROVIDERS REDUCED THEIR ADMINISTRATION AND PRESCRIPTION OF OPIOIDS AND UTILIZED MORE ALTERNATIVES TO OPIOIDS TO TREAT PAIN TO HELP PREVENT OPIOID ADDICTION. THIS PROGRESSION IN INITIATIVE OUTCOMES WAS SUPPORTED BY CONTINUOUS QUALITY IMPROVEMENT INITIATIVE TEAM OPERATING AT THE REGIONAL AND FACILITY LEVELS TO ADVANCE OUTCOME OPTIMIZATION; STM ALSO ADVANCED ITS CAPABILITIES TO SUPPORT MOTHERS WITH POTENTIAL SUBSTANCE USE BY CONTINUING TO ADVANCE A PROGRAM TO EXPAND NALOXONE KIT ACCESS TO DELIVERING MOTHERS. PART V, SECTION B, LINE 11- ST. THOMAS MORE-CONTINUED COMMUNITY CAPACITY BUILDING: FOOD SECURITYOUTREACH, EDUCATION, AND DESTIGMATIZATION: SINCE AUTHORING THESE GOALS, WE LOOKED AT PURPOSE AND PROCESS IN ORDER TO EXPAND OUR REACH. WITH A NEW GOAL OF: IMPLEMENTING OUTREACH CAMPAIGNS AMONG ASSOCIATES, PATIENTS, AND COMMUNITIES IN ORDER TO EDUCATE THEM ON FOOD INSECURITY AND THE COMMUNITIES AFFECTED MOST BY ISSUES, AND FOOD SECURITY PROGRAMS AVAILABLE TO HELP SUPPORT FAMILIES AND INDIVIDUALS EXPERIENCING A NEED. IN THIS MORE INCLUSIVE VISION FOR OUR GOAL, WE WERE ABLE TO REACH ASSOCIATES, PATIENTS, AND COMMUNITY MEMBERS THROUGH PUBLIC NEWS OUTLETS, INTERNAL ASSOCIATE NEWSLETTERS, DIRECT CORRESPONDENCE WITH COMMUNITY BENEFIT ORGANIZATIONS, COLLABORATIVELY WITH SPONSORSHIP PARTNERS, AND OTHER CREATIVE COMMUNICATION CHANNELS. USING OUR VOICE AND THE VOICE OF OUR COLLABORATORS, WE WERE ABLE TO REACH OLD AND NEW AUDIENCES WITH IMPORTANT MESSAGES ABOUT FOOD INSECURITY, FOOD SECURITY PROGRAMS IN THE COMMUNITY, AND FOOD SECURITY WORK BEING DONE BY COMMONSPIRIT (FORMERLY CENTURA HEALTH). WE WERE ABLE TO ADDRESS RESOURCING AND DESTIGMATIZATION IN A VARIETY OF AVENUES; SCREENING & REFERRALS: SOCIAL DETERMINANTS OF HEALTH SCREENING WAS SUCCESSFULLY IMPLEMENTED FOR ALL INPATIENT UNITS AT ALL SITES WHICH INCLUDES SCREENING FOR FOOD INSECURITY. 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; A COMMONSPIRIT-SECURED GRANT SUPPORTED DEVELOPMENT OF A CENTRALIZED TEAM (3 PLUS 1 SUPERVISOR) OF COMMUNITY HEALTH WORKERS WHO FOLLOW UP WITH PATIENTS IDENTIFIED WITH FOOD INSECURITY TO PROVIDE FOOD SECURITY NAVIGATION SERVICES INCLUDING SUBMISSION OF SNAP APPLICATIONS, AND PATIENT-FOCUSED OUTREACH MATERIALS IN ENGLISH AND SPANISH. FOLLOWING A PERIOD OF ONBOARDING AND DEVELOPMENT OF THIS TEAM, 85 ENROLLMENTS WERE COMPLETED WITH NAVIGATION RESOURCES ACROSS THE SYSTEM. VOLUMES ARE ANTICIPATED TO INCREASE OVER THE NEXT YEAR WITH INCREASED EFFICIENCY AND EXPANSION OF SERVICES INTO THE UTAH MARKET; BENEFITS ACCEPTANCE: COMMONSPIRIT PARTICIPATES IN CO BLUEPRINT TO END 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 COMMONSPIRIT IN 2021. COMMONSPIRIT HAS PROMOTED THE AVAILABILITY OF THIS PROGRAM TO FOOD COALITIONS AND BUSINESSES IN THE COMMUNITIES WE SERVE; LOCAL FOOD DISTRIBUTION SUPPORT: STM DONATES APPROXIMATELY 1500 PREPARED MEALS PER MONTH TO LOCAL MEALS ON WHEELS PROGRAMS. HEALTH PRIORITIES NOT ADDRESSING:DISEASE AND INJURY: SMOKING AND HEART DISEASEFREMONT COUNTY HAS ONE OF THE HIGHEST RATES OF SMOKERS IN THE STATE. SMOKING LEADS TO DISEASE AND DISABILITY AND HARMS NEARLY EVERY ORGAN OF THE BODY, PARTICULARLY THE LUNGS AND HEART. MORTALITY RATES FROM HEART DISEASE IN FREMONT COUNTY ARE ALSO HIGHER COMPARED TO THE STATE. THE HEALTH CONSEQUENCES AND COSTS ASSOCIATED WITH SMOKING ARE ALSO HIGH, INDICATING THAT THE COST OF CARE AND CARE MANAGEMENT FOR SMOKING AND HEART DISEASE IS COSTLY AND CONTRIBUTES TO THE RISING COST OF HEALTH CARE EXPENDITURES. AT THE FREMONT COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT, THE TOBACCO EDUCATION, PREVENTION AND CESSATION PROGRAM IS FUNDED BY AMENDMENT 35 GRANTS. FCDPHE IS DEDICATED TO SERVING AS A COMMUNITY PARTNER IN TOBACCO CESSATION, PREVENTION, AND EDUCATION FOR ALL AGES AND POPULATIONS SERVED IN FREMONT COUNTY, UTILIZING EVIDENCE-BASED PROGRAMS AND PRACTICES TO ASSIST THOSE WHO WISH TO QUIT USING TOBACCO PRODUCTS, PREVENTING YOUTH FROM INITIATING USE OF TOBACCO, VAPE, ECIG, OR OTHER NICOTINE-CONTAINING PRODUCTS, PROVIDE EDUCATION AND RESOURCES TO POLICYMAKERS, EMPLOYERS, EARLY CHILDHOOD EDUCATORS AND HEALTH CARE PROVIDERS IN THE COMMUNITY AND PROTECTING THE OVERALL HEALTH OF THE COMMUNITY BURDENED BY TOBACCO USE.THE HOSPITAL IS NOT POSITIONED TO DEVELOP SPECIFIC PROGRAMMING FOR SMOKING CESSATION. INSTEAD, THE HOSPITAL WILL CONTINUE TO SERVE AS A REFERRAL SOURCE TO THE PROGRAM OWNED AND OPERATED BY THE HEALTH DEPARTMENTIDENTIFIED HEALTH NEED NOT PRIORITIZED: DISEASE AND INJURY, SMOKING AND HEART DISEASE: FREMONT COUNTY HAS ONE OF THE HIGHEST RATES OF SMOKERS IN THE STATE. SMOKING LEADS TO DISEASE AND DISABILITY AND HARMS NEARLY EVERY ORGAN OF THE BODY, PARTICULARLY THE HEART AND LUNGS. MORTALITY RATES FROM HEART DISEASE IN FREMONT COUNTY ARE ALSO HIGHER COMPARED TO THE STATE. THE CHNA COMMITTEE RECOGNIZED THE LINKAGE BETWEEN HIGH SMOKING RATES AND HEART DISEASE AND THE HEALTH CONSEQUENCES AND COSTS ASSOCIATED WITH SMOKING ARE ALSO HIGH, INDICATING THAT THE COST OF CARE AND CARE MANAGEMENT FOR SMOKING AND HEART DISEASE IS COSTLY AND CONTRIBUTES TO THE RISING COST OF HEALTH CARE EXPENDITURES. WHILE SMOKING AND HEART DISEASE ARE IMPORTANT HEALTH INDICATORS, THE CHNA COMMITTEE APPRECIATES THAT THE HEALTH DEPARTMENT, ST. THOMAS MORE, AND VARIOUS COMMUNITY BASED ORGANIZATIONS ALREADY LEVERAGE EXISTING REFERRAL PATHWAYS THAT ENSURES COMMUNITY MEMBERS ARE REFERRED TO SMOKING CESSATION PROGRAMS IN A TIMELY MANNER; COMMUNITY BUILDING CAPACITY, LACK OF AFFORDABLE HOUSING ACCORDING TO THE COLORADO HEALTH INSTITUTE (CHI), AFFORDABLE HOUSING IS A CHALLENGE FOR MANY COLORADANS, REGARDLESS OF AGE. BUT FOR PEOPLE WHO ARE OLDER, IN POOR HEALTH, OR LIVE ON FIXED INCOMES, AFFORDABLE HOUSING CAN BE EVEN LESS ATTAINABLE. BEYOND AFFORDABILITY CONCERNS, HOMES MUST BE PHYSICALLY ACCESSIBLE AND SAFE. RESIDENTS SHOULD HAVE ACCESS TO CRITICAL COMMUNITY SERVICES LIKE HEALTH CLINICS, AND OLDER ADULTS SHOULD HAVE HOUSING OPTIONS THAT INCLUDE SUPPORTIVE SERVICES THAT FACILITATE AGING IN PLACE. IN THE LAST COUPLE OF YEARS, THE LACK OF AFFORDABLE HOUSING HAS BECOME A TOP CONCERN FOR THE COMMUNITIES OF FREMONT COUNTY. APPROXIMATELY 47.73% OF RENTERS ARE HOUSING COST BURDENED. THIS RATE ALIGNS WITH COLORADO'S RATE OF 48%. THAT MEANS THEY DEVOTE MORE THAN 30 PERCENT OF THEIR INCOME EACH MONTH TO HOUSING COSTS INCLUDING UTILITIES AND PROPERTY TAXES. THE CHNA COMMITTEE RECOGNIZES THAT THIS IS A STRUCTURAL PROBLEM THAT REQUIRES CITY WIDE SOLUTIONS. PART V, SECTION B, LINES 16A-16C 16A-FAP AVAILABLE WEBSITEHTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/PATIENT-TOOLS/BILLING-AND-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE-HOSPITAL-DISCOUNTED-CARE16B-FAP APPLICATION FORM WEBSITEHTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/PATIENT-TOOLS/BILLING-AND-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE-HOSPITAL-DISCOUNTED-CARE16C-PLAIN LANGUAGE FAP SUMMARY WEBSITEHTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/PATIENT-TOOLS/BILLING-AND-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE-HOSPITAL-DISCOUNTED-CARE 189 1 - ACADEMY WOMENS HEALTHCARE ASSOCIATES 17230 JACKSON CREEK PKWY STE 300 MONUMENT CO 801327306 PHYSICIANS 2 - CHPG ARVADA SPORTS AND FAMILY MEDICINE 16280 W 64TH AVE ARVADA CO 800077413 PHYSICIAN CLINIC 3 - ASPEN RIDGE ENT - LAKEWOOD 11700 W 2ND PL STE 435 LAKEWOOD CO 802281732 OUTPATIENT CLINIC 4 - ASPEN RIDGE ENT - SUMMIT 360 PEAK ONE DR STE 300 FRISCO CO 804435948 OUTPATIENT CLINIC 5 - ASPEN RIDGE ENT - EVERGREEN 28000 MEADOW DR STE 210 EVERGREEN CO 804392116 OUTPATIENT CLINIC 6 - SOUTHERN COLORADO BREAST CARE SPECIALISTS 6031 E WOODMEN RD STE 250BC COLORADO SPRINGS CO 809232623 PHYSICIAN OFFICE 7 - CENTURA HEALTH URGENT CARE BROADMOOR 1263 LAKE PLAZA DR STE 120 COLORADO SPRINGS CO 809063510 URGENT CARE 8 - CHPG BELMAR PRIMARY CARE 7551 W ALAMEDA AVE LAKEWOOD CO 802263205 PRIMARY CARE 9 - CHPG PRIMARY CARE BROADMOOR 1263 LAKE PLAZA DR STE 230 COLORADO SPRINGS CO 809063512 PRIMARY CARE 10 - CENTURA BARIATRIC SURGERY WESTMINSTER 500 W 144TH AVE STE 130 WESTMINSTER CO 800239326 GENERAL SURGERY 11 - CENTURA BREAST IMAGING 11700 W 2ND PL STE 100 MOP 2 LAKEWOOD CO 802281707 IMAGING MEDICAL FACILITY 12 - CCOM FRISCO 68 SCHOOL RD STE 200 FRISCO CO 804430000 OCCUPATIONAL MEDICINE 13 - CENTURA SUMMIT ORTHOPEDICS 68 SCHOOL RD STE 100 FRISCO CO 804430000 ORTHOPEDICS 14 - CENTURA SUMMIT ORTHOPEDICS (DME) 68 SCHOOL RD STE 100 FRISCO CO 804430000 ORTHOPEDICS 15 - CENTURA SUMMIT PHYSICAL THERAPY 68 SCHOOL RD STE 150 FRISCO CO 804430000 PHYSICAL THERAPY 16 - CENTURA URGENT CARE FORT MORGAN 1000 LINCOLN ST STE 101 FORT MORGAN CO 807013290 URGENT CARE 17 - CHPG THORNTON PRIMARY CARE - DENTAL 4075 E 128TH AVE THORNTON CO 802412201 PRIMARY CARE- DENTAL 18 - COMMONSPIRIT STRUCTURAL HEART PENROSE 2222 N NEVADA AVE STE 4001 COLORADO SPRINGS CO 809076863 MEDICAL FACILITY 19 - COMMONSPIRIT ENT LOWRY 8101 LOWRY BLVD STE 210 DENVER CO 802307195 OUTPATIENT CLINIC 20 - COMMONSPIRIT MEDICAL GROUP PRIMARY CARE ME 11960 LIONESS WAY STE 190 PARKER CO 801345640 PRIMARY CARE 21 - COLORADO SPRINGS CARDIOLOGY - N NEVADA 2222 N NEVADA AVE STE 4007 COLORADO SPRINGS CO 809076863 CARDIOLOGY PRACTICE 22 - CENTURA PHYSICAL THERAPY AT TRI-LAKES 17230 JACKSON CREEK PKWY STE 170 MONUMENT CO 801327303 PHYSICAL THERAPY 23 - CENTURA PHYSICAL THERAPY AT CHURCH RANCH 7233 CHURCH RANCH BLVD JUNIPER POD WESTMINSTER CO 800214094 PHYSICAL THERAPY 24 - AUDUBON CSSC 3010 N CIRCLE DR STE 120 COLORADO SPRINGS CO 809091182 PHYSICAL THERAPY 25 - LANGSTAFF-BROWN CSSC 41 N HWY 67 STE C WOODLAND PARK CO 808635009 PHYSICAL THERAPY 26 - CENTURA PHYSICAL THERAPY NEVADA 4925 N NEVADA AVE COLORADO SPRINGS CO 809188600 PHYSICAL THERAPY 27 - CENTURA PHYSICAL THERAPY- N CARE 6071 E WOODMEN RD STE 220 COLORADO SPRINGS CO 809232609 PHYSICAL THERAPY 28 - CENTURA CENTER FOR REHAB 4112 OUTLOOK BLVD STE 96 PUEBLO CO 810081667 REHAB 29 - CENTURA MERCY SPINE INSTITUTE MONTROSE 314 S 6TH ST MONTROSE CO 814015719 SPINE CARE 30 - CENTURA SPINE CARE 6011 E WOODMEN RD STE 360 COLORADO SPRINGS CO 809232606 SPINE CARE 31 - CARDIAC AND THORACIC SURGERY - N NEVADA 2312 N NEVADA AVE STE 235 COLORADO SPRINGS CO 809075312 CARDIAC AND THORACIC SURGERY 32 - CARDIAC AND THORACIC SURGERY - DURANGO 1 MERCADO ST STE 130 DURANGO CO 813017306 CARDIAC AND THORACIC SURGERY 33 - CARDIAC AND THORACIC SURGERY - PUEBLO 16TH 1008 MINNEQUA AVE PUEBLO CO 810043733 CARDIAC AND THORACIC SURGERY 34 - CARDIAC AND THORACIC SURGERY - SAH 11700 W 2ND PL STE 280 LAKEWOOD CO 802281717 CARDIAC AND THORACIC SURGERY 35 - CARDIAC AND THORACIC SURGERY - SUMMIT 360 PEAK ONE BLVD STE 390 FRISCO CO 804430000 CARDIAC AND THORACIC SURGERY 36 - ENDOCRINOLOGY DIABETES AND THYROID SPECIA 360 PEAK ONE DR STE 300 FRISCO CO 804430000 PHYSICIAN PRACTICE 37 - ENDOCRINOLOGY DIABETES AND THYROID SPECIA 11750 W 2ND PL STE 365 LAKEWOOD CO 802281731 PHYSICIAN PRACTICE 38 - ST THOMAS MORE HOSPITAL - EKG 1338 PHAY AVE CANON CITY CO 812122399 MEDICAL FACILITY 39 - CENTURA ENDOCRINOLOGY COLORADO SPRINGS 3027 N CIRCLE DR COLORADO SPRINGS CO 809091179 PHYSICIAN PRACTICE 40 - ST ANTHONY HEALTH CENTERS EVERGREEN 32214 ELLINGWOOD TRL STE 210 EVERGREEN CO 804399719 MEDICAL FACILITY 41 - CHPG GOLDEN PRIMARY CARE 750 WARNER DR GOLDEN CO 804015297 PRIMARY CARE 42 - CENTURA GYNECOLOGIC ONCOLOGY 6031 E WOODMEN RD STE 250GO COLORADO SPRINGS CO 809232623 PHYSICIAN OFFICE 43 - CMG GENERAL SURGERY PUEBLO WEST 729 E SPAULDING AVE PUEBLO WEST CO 810073512 GENERAL SURGERY 44 - MERCY SURGICAL ASSOCIATES 1 MERCADO ST STE 220 DURANGO CO 813017310 PHYSICIANS 45 - COLORADO SPRINGS SURGICAL ASSOCIATES A CE 2222 N NEVADA AVE STE 5017 COLORADO SPRINGS CO 809076865 PHYSICIANS 46 - STM SPECIALTY CLINIC - GENERAL SURGERY 1338 PHAY AVE BLDG D GS CANON CITY CO 812122326 GENERAL SURGERY 47 - CENTURA GENERAL SURGERY SUMMIT 360 PEAK ONE DR STE 300 FRISCO CO 804435948 GENERAL SURGERY 48 - CENTURA GENERAL SURGERY WESTMINSTER 500 W 144TH AVE STE 130 WESTMINSTER CO 800239326 GENERAL SURGERY 49 - ST MARY CORWIN PHYSICIAN PARTNERS - GASTRO 1020 LAKEVIEW AVE PUEBLO CO 810043508 PHYSICIANS 50 - CHPG SOUTHWEST GASTROENTEROLOGY 1010 THREE SPRINGS BLVD STE 270 DURANGO CO 813018296 GASTROENTEROLOGY PRACTICE 51 - PENROSE-ST FRANCIS HEALTH LEARNING CENTER 3027 N CIRCLE DR COLORADO SPRINGS CO 809091179 LEARNING CENTER 52 - FOUR CORNERS INFECTIOUS DISEASE AND INTERN 1010 THREE SPRINGS BLVD STE 255 DURANGO CO 813018296 OUTPATIENT CLINIC 53 - THE JOINT REPLACEMENT CENTER ST ANTHONY NO 500 W 144TH AVE STE 120 WESTMINSTER CO 800239326 MEDICAL FACILITY 54 - SOUTHERN COLORADO MATERNAL FETAL MEDICINE 6071 E WOODMEN RD STE 425 COLORADO SPRINGS CO 809232614 MEDICAL FACILITY 55 - MIT - CENTENNIAL CLINIC 327 S CAMINO DEL RIO UNIT 11B DURANGO CO 813037997 OUTPATIENT CLINIC 56 - MIT - THREE SPRINGS CLINIC 1 MERCADO ST STE 201 DURANGO CO 813017307 OUTPATIENT CLINIC 57 - CHPG MEDICAL ONCOLOGY SUMMIT 360 PEAK ONE DR STE 300 FRISCO CO 804435948 PHYSICIAN OFFICE 58 - CHPG PENROSE NEUROHOSPITALISTS 2222 N NEVADA AVE STE 5001 NH COLORADO SPRINGS CO 809076865 MEDICAL FACILITY 59 - CHPG PENROSE NEUROINTERVENTIONAL RADIOLOGY 2222 N NEVADA AVE STE 5001 NIR COLORADO SPRINGS CO 809076865 RADIOLOGY 60 - CENTURA NEUROSCIENCE SUMMIT 360 PEAK ONE DR STE 300 FRISCO CO 804430000 NEUROSCIENCE 61 - CHPG SOUTHWEST NEUROSCIENCE 1010 THREE SPRINGS BLVD STE 290 DURANGO CO 813018296 NEUROSCIENCE 62 - CHPG NEPHROLOGY CORTEZ 111 N PARK ST CORTEZ CO 813213340 NEPHROLOGY 63 - DURANGO NEPHROLOGY ASSOCIATES - DNA 1010 THREE SPRINGS BLVD STE 255 DURANGO CO 813018296 PHYSICIANS 64 - NEUROSURGERY ONE ARVADA 16280 W 64TH AVE ARVADA CO 800077413 NEURO SURGERY 65 - CHPG PENROSE NEUROSCIENCES - CO SPGS 2222 N NEVADA AVE STE 5001 COLORADO SPRINGS CO 809076865 NEUROSCIENCE 66 - NEUROSURGERY ONE SAH 11750 W 2ND PL STE 255 LAKEWOOD CO 802281726 NEURO SURGERY 67 - CHPG NEUROSCIENCE SAH 11750 W 2ND PL STE 255 LAKEWOOD CO 802281726 NEUROSCIENCE 68 - NEUROSURGERY ONE ST ANTHONY NORTH 14300 ORCHARD PKWY 2ND FL POD 1 WESTMINSTER CO 800239206 NEURO SURGERY 69 - CENTURA ORTHOPEDICS - AUDUBON CLINIC 3010 N CIRCLE DR STE 100 COLORADO SPRINGS CO 809091174 ORTHOPEDICS 70 - CENTURA ORTHOPEDICS NEVADA 4925 N NEVADA AVE COLORADO SPRINGS CO 809188600 ORTHOPEDICS 71 - ST MARY CORWIN PHYSICIAN PARTNERS - ORTHO 4112 OUTLOOK BLVD STE 37 PUEBLO CO 810081667 ORTHO CLINIC 72 - MERCY ORTHOPEDIC ASSOCIATES 1 MERCADO ST STE 202 DURANGO CO 813017307 PHYSICIANS 73 - ASPEN RIDGE ENT - ORCHARD 14300 ORCHARD PKWY WESTMINSTER CO 800239206 OUTPATIENT CLINIC 74 - CHPG WESTMINSTER INTERNAL AND FAMILY MEDIC 14300 ORCHARD PKWY WESTMINSTER CO 800239206 OUTPATIENT CLINIC 75 - CHPG NEUROSCIENCE ORCHARD 14300 ORCHARD PKWY WESTMINSTER CO 800239206 NEUROSCIENCE 76 - DIMENSIONS PAIN MANAGEMENT AT THE MEDICAL 14300 ORCHARD PKWY FLOOR 2 POD 1 WESTMINSTER CO 800239206 PHYSICIAN PRACTICE 77 - WOMENS HEALTH SPECIALISTS AT ST ANTHONY NO 14300 ORCHARD PKWY FLOOR 3 POD 1 WESTMINSTER CO 800239206 WOMEN'S CARE CLINIC 78 - STM ORTHOPEDICS 1338 PHAY AVE BLDG D ORTHO CANON CITY CO 812122326 ORTHOPEDICS 79 - CHPG PEDIATRIC NORTH CARE 6071 E WOODMEN RD STE 225 COLORADO SPRINGS CO 809232611 PEDIATRIC CLINIC 80 - CHPG ST THOMAS MORE PEDIATRICS 1338 PHAY AVE BLDG D PEDS CANON CITY CO 812122326 PEDIATRIC CLINIC 81 - CHPG OUTPATIENT BEHAVIORAL HEALTH PRACTICE 2925 PROFESSIONAL PL STE 101 COLORADO SPRINGS CO 809048125 BEHAVIORAL HEALTH 82 - PSF - ORNISH LIFESTYLE MEDICINE PROGRAM - 6001 E WOODMEN RD COLORADO SPRINGS CO 809232601 OUTPATIENT CLINIC 83 - FOUR CORNERS PULMONARY AND CRITICAL CARE M 1010 THREE SPRINGS BLVD STE 110 DURANGO CO 813018296 CRITICAL CARE 84 - CHPG HIGH COUNTRY PCP AND UC BRECKENRIDGE 429 N PARK AVE BRECKENRIDGE CO 804240000 OUTPATIENT CLINIC 85 - CENTURA BRIGHTON MEDICAL GROUP 4700 E BROMLEY LN STE 101 BRIGHTON CO 806017821 MEDICAL FACILITY 86 - CHPG PRIMARY CARE BERTHOUD 549 MOUNTAIN AVE BERTHOUD CO 805130000 PRIMARY CARE 87 - MERCY FAMILY MEDICINE BAYFIELD 480 WOLVERINE DR STE 3 BAYFIELD CO 811229653 OUTPATIENT CLINIC 88 - SET FAMILY MEDICAL CLINICS 2864 S CIRCLE DR STE 450 COLORADO SPRINGS CO 809064170 MEDICAL FACILITY 89 - SET FAMILY DENTAL CLINIC 2864 S CIRCLE DR STE 450 COLORADO SPRINGS CO 809064170 DENTAL CLINIC 90 - FRISCO - FAMILY PRACTICE & PEDIATRICS - 26 360 PEAK ONE DR STE 260 FRISCO CO 804430000 OUTPATIENT CLINIC 91 - MERCY FAMILY MEDICINE HORSE GULCH 810 E 3RD ST STE 201 DURANGO CO 813015759 OUTPATIENT CLINIC 92 - CHPG PRIMARY CARE IDAHO SPRINGS 1969 MINER ST IDAHO SPRINGS CO 804520000 PRIMARY CARE 93 - MERCY FAMILY MEDICINE 1 MERCADO ST STE 160 DURANGO CO 813017309 OUTPATIENT CLINIC 94 - CHPG PRIMARY CARE NORTHGLENN 11310 HURON ST STE 100 NORTHGLENN CO 802343090 PRIMARY CARE 95 - PSF PRIMARY CARE HEALTH CARE SERVICES 3027 N CIRCLE DR COLORADO SPRINGS CO 809091179 PHYSICIAN OFFICE 96 - PENROSE MOUNTAIN PRIMARY CARE 41 STATE HIGHWAY 67 WOODLAND PARK CO 808635008 PRIMARY CARE 97 - CHPG PRIMARY CARE POWERS 6080 N CAREFREE CIR COLORADO SPRINGS CO 809222402 PRIMARY CARE 98 - CENTURA HEALTH PUEBLO WEST PRIMARY CARE 729 E SPAULDING AVE PUEBLO WEST CO 810073512 PRIMARY CARE 99 - CHPG PRIMARY CARE ST FRANCIS 7435 SISTERS GROVE STE 400 COLORADO SPRINGS CO 809232631 PRIMARY CARE 100 - ST THOMAS MORE FAMILY PRACTICE 1338 PHAY AVE BLDG D CANON CITY CO 812122326 FAMILY PRACTICE 101 - SILVERTHORNE FAMILY PRACTICE 265 TANGLEWOOD LN STE E-1 SILVERTHORNE CO 804985314 FAMILY PRACTICE 102 - DIMENSIONS PAIN MANAGEMENT AT SAH 11700 W 2ND PL STE 225 LAKEWOOD CO 802281707 PHYSICIAN PRACTICE 103 - DIMENSIONS PAIN MANAGEMENT SUMMIT 360 PEAK ONE DR STE 300 FRISCO CO 804430000 PHYSICIAN PRACTICE 104 - ST ANTHONY HEALTH CENTERS ASSOCIATED SURGE 11700 W 2ND PL MOB 2 STE 210 LAKEWOOD CO 802281716 GENERAL SURGERY 105 - CENTURA BEHAVIORAL HEATH ST ANTHONY 11600 W 2ND PL LAKEWOOD CO 802281527 BEHAVIORAL HEALTH 106 - PALLIATIVE CARE - CHIC 2551 W 84TH AVE WESTMINSTER CO 800313807 PALLIATIVE CARE 107 - CENTURA EASTERN COLORADO ORTHOPEDIC CENTER 1000 LINCOLN ST STE 100 FORT MORGAN CO 807013290 ORTHOPEDICS 108 - CENTURA GENERAL SURGERY FORT MORGAN 1000 LINCOLN ST STE 208 FORT MORGAN CO 807013290 GENERAL SURGERY 109 - CENTURA INTERNAL MEDICINE FORT MORGAN 1000 LINCOLN ST STE 200 FORT MORGAN CO 807013290 OUTPATIENT CLINIC 110 - CENTURA NEUROLOGY FORT MORGAN 1000 LINCOLN ST STE 207NEURO FORT MORGAN CO 807013290 NEUROLOGY 111 - CENTURA OBSTETRICS & GYNECOLOGY FORT MORGA 1000 LINCOLN ST STE 203 FORT MORGAN CO 807013290 PHYSICIAN OFFICE 112 - CENTURA PRIMARY CARE FORT MORGAN 1000 LINCOLN ST STE 101 FORT MORGAN CO 807013290 PRIMARY CARE 113 - ROCKY MOUNTAIN SPORTS & FAMILY MEDICINE AT 4112 OUTLOOK BLVD STE 303 PUEBLO CO 810081667 PHYSICIAN CLINIC 114 - CENTURA SPORTS MEDICINE NEVADA 4925 N NEVADA AVE COLORADO SPRINGS CO 809188600 PHYSICIAN CLINIC 115 - CENTURA SPORTS MEDICINE ST ANTHONY 255 S ROUTT ST STE 300 LAKEWOOD CO 802282354 PHYSICIAN CLINIC 116 - ST ANTHONY HOSPITAL SENIOR HEALTH CENTER 500 W 144TH AVE STE 140 WESTMINSTER CO 800239324 SENIOR HEALTH 117 - SENIOR HEALTH FIRST AT ST ANTHONY HOSPITAL 11700 W 2ND PL MED PLAZA 2 STE 450 LAKEWOOD CO 802281719 SENIOR HEALTH 118 - CHPG SAH INTERNAL MEDICINE 255 ROUTT ST STE 300 LAKEWOOD CO 802282354 OUTPATIENT CLINIC 119 - CENTURA MEDICAL ONCOLOGY PUEBLO 2004 LAKE AVE PUEBLO CO 810043536 PHYSICIAN OFFICE 120 - CENTURA RADIATION ONCOLOGY ST MARY CORWIN 1008 MINNEQUA AVE PUEBLO CO 810043733 PHYSICIAN OFFICE 121 - ST ANTHONY FAMILY MEDICINE CENTER NORTH - 14300 ORCHARD PKWY WESTMINSTER CO 800239206 PRIMARY CARE CLINIC 122 - CENTURA HEALTH URGENT CARE CANON CITY 3245 E US HWY 50 UNIT E CANON CITY CO 812129343 URGENT CARE CLINIC 123 - SUMMIT CARDIOLOGY 360 PEAK ONE DR STE 340 FRISCO CO 804430000 CARDIOLOGY PRACTICE 124 - CHPG TRI-LAKES PRIMARY CARE 17230 JACKSON CREEK PKWY STE 300 MONUMENT CO 801327306 PRIMARY CARE 125 - CENTURA TELENEUROLOGY COLORADO 2222 N NEVADA AVE STE 5001 COLORADO SPRINGS CO 809076865 TELENEUROLOGY 126 - CHPG THORNTON PRIMARY CARE 4075 E 128TH AVE THORNTON CO 802412201 PRIMARY CARE 127 - CHPG THORNTON WOMENS HEALTH 4075 E 128TH AVE THORNTON CO 802412201 WOMEN'S CARE CLINIC 128 - CENTURA HEALTH URGENT CARE FOUNTAIN 7955 FOUNTAIN MESA RD FOUNTAIN CO 808171535 URGENT CARE 129 - CHPG PENROSE COMMUNITY URGENT CARE 3027 N CIRCLE DR COLORADO SPRINGS CO 809091179 URGENT CARE 130 - CENTURA HEALTH URGENT CARE POWERS POINTE 5607 BARNES RD STE 140 COLORADO SPRINGS CO 809171347 URGENT CARE 131 - CENTURA HEALTH URGENT CARE TRI-LAKES 17230 JACKSON CREEK PKWY STE 120 MONUMENT CO 801327302 URGENT CARE 132 - CENTURA UROLOGY PUEBLO 1020 LAKEVIEW AVE PUEBLO CO 810043508 UROLOGY 133 - MERCY UROLOGY SERVICES 1010 THREE SPRINGS BLVD STE 270 DURANGO CO 813018296 UROLOGY 134 - CHPG VASCULAR AND GENERAL SURGERY - PENROS 2222 N NEVADA AVE STE 5010 COLORADO SPRINGS CO 809076865 GENERAL SURGERY 135 - ACADEMY WOMENS HEALTHCARE ASSOCIATES-A CEN 6071 E WOODMEN RD STE 405 COLORADO SPRINGS CO 809232614 PHYSICIANS 136 - FRISCO - OBGYN SPECIALISTS 360 PEAK ONE DR STE 260 OB FRISCO CO 804430000 PHYSICIAN OFFICE 137 - GRANBY - OBGYN SPECIALISTS 1000 GRANBY PARK DR GRANBY CO 804460000 PHYSICIAN OFFICE 138 - CHPG WOMEN'S HEALTH PUEBLO WEST 729 E SPAULDING AVE PUEBLO WEST CO 810073512 WOMEN'S CARE CLINIC 139 - CENTURA OBSTETRICS AND GYNECOLOGY ST FRAN 6011 E WOODMEN RD STE 320 COLORADO SPRINGS CO 809232604 WOMEN'S CARE CLINIC 140 - STM OBGYN 1338 PHAY AVE BLDG D OB CANON CITY CO 812122326 WOMEN'S CARE CLINIC 141 - BEHAVIORAL HEALTH WEST VALLEY INPATIENT 3460 S 4155 W WEST VALLEY CITY UT 84120 PHYSICIAN OFFICE 142 - BEHAVIORAL HEALTH WEST VALLEY OUTPATIENT 4052 W 3390 S STE 105 WEST VALLEY CITY UT 84120 PHYSICIAN OFFICE 143 - BRAIN & SPINE SALT LAKE CITY 82 S 1100 E STE 103 SALT LAKE CITY UT 841021889 SPECIALTY PHYSICIAN PRACTICE 144 - BRAIN & SPINE WEST JORDAN 3590 W 9000 S STE 240 WEST JORDAN UT 840888864 SPECIALTY PHYSICIAN PRACTICE 145 - BREAST SURGERY LEHI MOUNTAIN POINT 3000 N TRIUMPH BLVD STE 110 LEHI UT 840437186 SPECIALTY PHYSICIAN PRACTICE 146 - BREAST SURGERY SALT LAKE CITY 82 S 1100 E STE 103 SALT LAKE CITY UT 841021889 SPECIALTY PHYSICIAN PRACTICE 147 - CARDIAC & THORACIC SURGERY SALT LAKE CITY 82 S 1100 E STE 200 SALT LAKE CITY UT 841021889 SPECIALTY PHYSICIAN PRACTICE 148 - CARDIOLOGY LEHI MOUNTAIN POINT 3000 N TRIUMPH BLVD STE 320 LEHI UT 840437188 SPECIALTY PHYSICIAN PRACTICE 149 - CARDIOLOGY MURRAY 5980 S FASHION BLVD MURRAY UT 841077362 SPECIALTY PHYSICIAN PRACTICE 150 - CARDIOLOGY SALT LAKE CITY 82 S 1100 E STE 200 SALT LAKE CITY UT 841021889 SPECIALTY PHYSICIAN PRACTICE 151 - CARDIOLOGY SOUTH VALLEY 13348 MARKET CENTER DR STE 210 RIVERTON UT 840658011 SPECIALTY PHYSICIAN PRACTICE 152 - CARDIOLOGY WEST JORDAN 3570 W 9000 S STE 110 WEST JORDAN UT 840888870 SPECIALTY PHYSICIAN PRACTICE 153 - CARDIOLOGY WEST VALLEY 3336 S 4155 W STE 203 WEST VALLEY CITY UT 84120 SPECIALTY PHYSICIAN PRACTICE 154 - ENDOCRINOLOGY WEST JORDAN 3590 W 9000 S STE 240 WEST JORDAN UT 840888864 SPECIALTY PHYSICIAN PRACTICE 155 - FAMILY MEDICINE KAYSVILLE 349 N FLINT ST STE 101 KAYSVILLE UT 840379808 FAMILY CLINIC 156 - FAMILY MEDICINE WEST JORDAN 1575 W 7000 S FL 1 WEST JORDAN UT 840843431 FAMILY CLINIC 157 - FOOT & ANKLE EAGLE MOUNTAIN 3943 E PONY EXPRESS PKWY STE 110 EAGLE MOUNTAIN UT 840055542 SPECIALTY PHYSICIAN PRACTICE 158 - FOOT & ANKLE LEHI MOUNTAIN POINT 3000 N TRIUMPH BLVD STE 110 LEHI UT 840437186 SPECIALTY PHYSICIAN PRACTICE 159 - GASTROENTEROLOGY WEST JORDAN 3590 W 9000 S STE 120 WEST JORDAN UT 840888858 SPECIALTY PHYSICIAN PRACTICE 160 - INTERNAL MEDICINE WEST JORDAN 3570 W 9000 S STE 100 WEST JORDAN UT 840888871 SPECIALTY PHYSICIAN PRACTICE 161 - MOUNTAIN SOLITUDE SKI CLINIC 12000 E BIG COTTONWOOD CANYON RD FL 1 BRIGHTON UT 841219710 SPECIALTY PHYSICIAN PRACTICE 162 - NEUROSCIENCE & REHABILITATION LEHI MOUNTAI 3000 N TRIUMPH BLVD STE 110 LEHI UT 840437186 SPECIALTY PHYSICIAN PRACTICE 163 - NEUROSCIENCE & REHABILITATION SALT LAKE CI 82 S 1100 E STE 103 SALT LAKE CITY UT 841021889 SPECIALTY PHYSICIAN PRACTICE 164 - NEUROSCIENCE & REHABILITATION WEST JORDAN 3590 W 9000 S STE 240 WEST JORDAN UT 840888864 SPECIALTY PHYSICIAN PRACTICE 165 - OBSTETRICS & GYNECOLOGY LAYTON 1580 W ANTELOPE DR STE 290 LAYTON UT 840411179 OB/GYN PRACTICE 166 - OBSTETRICS & GYNECOLOGY MURRAY 5980 S FASHION BLVD MURRAY UT 841077362 OB/GYN PRACTICE 167 - OBSTETRICS & GYNECOLOGY SALT LAKE CITY 82 S 1100 E STE 403 SALT LAKE CITY UT 841024703 OB/GYN PRACTICE 168 - OBSTETRICS & GYNECOLOGY WEST VALLEY 3336 S 4155 W STE 301 WEST VALLEY CITY UT 84120 OB/GYN PRACTICE 169 - ORTHOPEDICS & SPORTS MEDICINE COTTONWOOD H 6322 S 3000 E STE 140 COTTONWOOD HEIGHTS UT 841213555 SPECIALTY PHYSICIAN PRACTICE 170 - ORTHOPEDICS & SPORTS MEDICINE LAYTON 2132 N ROBINS DR STE 230 LAYTON UT 840417060 SPECIALTY PHYSICIAN PRACTICE 171 - ORTHOPEDICS & SPORTS MEDICINE LEHI MOUNTAI 3000 N TRIUMPH BLVD STE 110 LEHI UT 840437186 SPECIALTY PHYSICIAN PRACTICE 172 - ORTHOPEDICS & SPORTS MEDICINE MURRAY 5980 S FASHION BLVD MURRAY UT 841077362 SPECIALTY PHYSICIAN PRACTICE 173 - ORTHOPEDICS & SPORTS MEDICINE SALT LAKE CI 82 S 1100 E STE 303 SALT LAKE CITY UT 841021891 SPECIALTY PHYSICIAN PRACTICE 174 - ORTHOPEDICS & SPORTS MEDICINE SANDY 9350 S 150 E STE 460 SANDY UT 840705502 SPECIALTY PHYSICIAN PRACTICE 175 - ORTHOPEDICS & SPORTS MEDICINE WEST JORDAN 3584 W 9000 S STE 405 WEST JORDAN UT 840885712 SPECIALTY PHYSICIAN PRACTICE 176 - ORTHOPEDICS & SPORTS MEDICINE WEST VALLEY 3336 S 4155 W STE 102 WEST VALLEY CITY UT 84120 SPECIALTY PHYSICIAN PRACTICE 177 - PRIMARY CARE MURRAY 5980 S FASHION BLVD MURRAY UT 841077362 PRIMARY CARE CLINIC 178 - PRIMARY CARE SOUTH VALLEY 13348 MARKET CENTER DR STE 210 RIVERTON UT 840658011 PRIMARY CARE CLINIC 179 - PSYCHIATRIC HOSPITALISTS LAYTON 1600 W ANTELOPE DR LAYTON UT 840411142 SPECIALTY PHYSICIAN PRACTICE 180 - PULMONARYCRITICAL CARE & SLEEP MEDICINE L 3000 N TRIUMPH BLVD STE 110 LEHI UT 840437186 SPECIALTY PHYSICIAN PRACTICE 181 - PULMONARY CRITICAL CARE & SLEEP MEDICINE 3584 W 9000 S STE 401 WEST JORDAN UT 840885712 SPECIALTY PHYSICIAN PRACTICE 182 - SENIOR CARE SALT LAKE CITY 82 S 1100 E STE 403 SALT LAKE CITY UT 841021892 SENIOR CARE 183 - SPECIALTY SURGERY LEHI MOUNTAIN POINT 3000 N TRIUMPH BLVD STE 110 LEHI UT 840437186 SPECIALTY PHYSICIAN PRACTICE 184 - SPECIALTY SURGERY SALT LAKE CITY 82 S 1100 E STE 103 SALT LAKE CITY UT 841021889 SPECIALTY PHYSICIAN PRACTICE 185 - SPECIALTY SURGERY WEST JORDAN 3584 W 9000 S STE 304 WEST JORDAN UT 840884775 SPECIALTY PHYSICIAN PRACTICE 186 - SPINE CENTER WEST JORDAN 3584 W 9000 S STE 209 WEST JORDAN UT 840885711 SPECIALTY PHYSICIAN PRACTICE 187 - SURGICAL ONCOLOGY WEST JORDAN 3592 W 9000 S STE 210 WEST JORDAN UT 840888819 SPECIALTY PHYSICIAN PRACTICE 188 - WOUND CARE AT HOLY CROSS HOSPITAL-DAVIS 2132 N ROBINS DR STE 100 LAYTON UT 840417059 WOUND CARE PRACTICE 189 - WOUND CARE AT HOLY CROSS HOSPITAL-JORDAN V 3590 W 9000 S STE 105 WEST JORDAN UT 840888858 WOUND CARE PRACTICE PART I, LINE 7: COMMONSPIRIT HEALTH HOSPITALS USE A COST ACCOUNTING SYSTEM OR AN ADJUSTED COST TO CHARGE RATIO CALCULATED IN A MANNER CONSISTENT WITH WORKSHEET 2 FOR EACH REPORTING FACILITY, TO DERIVE THE REPORTED COSTS OF FINANCIAL ASSISTANCE, MEDICAID AND OTHER MEANS-TESTED PROGRAMS. WORKSHEET 3 OR THE EQUIVALENT IN THE COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY ("CBISA") SOFTWARE ARE USED TO CALCULATE EXPENSE AND REVENUE, INCLUDING WHERE APPLICABLE MEDICAID PROVIDER FEES AND PAYMENTS FROM UNCOMPENSATED CARE PROGRAMS. ACTUAL OR ESTIMATED COST AND ANY DIRECT OFFSETTING REVENUE IS REPORTED, AND SCHEDULE H WORKSHEETS OR THEIR EQUIVALENTS ARE USED, FOR OTHER COMMUNITY BENEFIT ACTIVITIES SUCH AS COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH, AND CASH AND IN-KIND DONATIONS. PART II, COMMUNITY BUILDING ACTIVITIES: PENROSE HOSPITAL AND ST. FRANCIS HOSPITAL INVESTED IN COMMUNITY-BUILDING INITIATIVES, WITH HOSPITAL LEADERSHIP AND STAFF SERVING ON LOCAL HEALTH-RELATED BOARDS AND PARTICIPATING IN COMMUNITY COALITIONS SUCH AS EPCPH HEALTHY COMMUNITY COLLABORATIVE AND PLAYING AN ACTIVE ROLE IN KEY COMMUNITY EVENTS.SAH/OCH INVESTED $166,250 IN COMMUNITY BUILDING INITIATIVES, WITH HOSPITAL LEADERSHIP AND STAFF PLAYING AN ACTIVE ROLE ON LOCAL HEALTH-RELATED BOARDS, INCLUDING THE JEFFCO ECONOMIC DEVELOPMENT COUNCIL, AND PARTICIPATING IN KEY COMMUNITY EVENTS SUCH AS FEED OUR FUTURE AS WELL AS BEING ACTIVELY INVOLVED INJURY PREVENTION INITIATIVES. THESE INITIATIVES ADDRESS A DIVERSE ARRAY OF HEALTH NEEDS, ALIGNING WITH BOTH OUR HOSPITAL'S NEEDS ASSESSMENT AND BROADER PUBLIC HEALTH PRIORITIES, DEMONSTRATING OUR COMMITMENT TO ENHANCING THE WELL-BEING OF THE COMMUNITY.ST. ANTHONY NORTH INVESTED $60,229 IN COMMUNITY-BUILDING INITIATIVES, WITH HOSPITAL LEADERSHIP AND STAFF PLAYING AN ACTIVE ROLE ON LOCAL HEALTH-RELATED BOARDS, INCLUDING THE ADAMS COUNTY REGIONAL ECONOMIC PARTNERSHIP EXECUTIVE COUNCIL, AND PARTICIPATING IN KEY COMMUNITY EVENTS SUPPORTING HIGH SCHOOL WORKFORCE DEVELOPMENT. THESE EFFORTS ADDRESS A WIDE RANGE OF HEALTH NEEDS, ALIGNING WITH BOTH OUR HOSPITAL'S NEEDS ASSESSMENT AND BROADER PUBLIC HEALTH PRIORITIES, REINFORCING OUR COMMITMENT TO IMPROVING THE WELL-BEING OF THE COMMUNITY.ST. ANTHONY SUMMIT HOSPITAL INVESTED $2,915 IN COMMUNITY-BUILDING INITIATIVES, WITH HOSPITAL LEADERSHIP AND STAFF PLAYING AN ACTIVE ROLE ON KEY COMMUNITY EVENTS INCLUDING RAM LEGACY IN ACTION.ST. THOMAS MORE HOSPITAL INVESTED IN COMMUNITY BUILDING INITIATIVES, WITH HOSPITAL LEADERSHIP AND STAFF ACTIVELY SERVING ON LOCAL HEALTH-RELATED BOARDS AND PARTICIPATING IN COMMUNITY EVENTS. THESE EFFORTS ADDRESS A WIDE RANGE OF HEALTH NEEDS THAT ALIGN WITH BOTH OUR HOSPITAL'S NEEDS ASSESSMENT AND BROADER PUBLIC HEALTH PRIORITIES. HOLY CROSS HOSPITALS DAVIS INVESTED $1,487 IN COMMUNITY BUILDING INITIATIVES AND PROVIDED FIRST AID AT THE SAFE KIDS FAIR.ST. ELIZABETH HOSPITAL INVESTED $101,540 IN COMMUNITY BUILDING INITIATIVES, WITH HOSPITAL LEADERSHIP AND STAFF ACTIVELY SERVING ON LOCAL HEALTH-RELATED BOARDS SUCH AS THE DISTRICT HEALTH ADVISORY COUNCIL AND PARTICIPATING IN COMMUNITY EVENTS SUCH AS LOCAL WELLNESS FAIRS. THESE EFFORTS ADDRESS A WIDE RANGE OF HEALTH NEEDS, ALIGNING WITH BOTH OUR HOSPITAL'S NEEDS ASSESSMENT AND BROADER PUBLIC HEALTH PRIORITIES, REINFORCING OUR COMMITMENT TO IMPROVING THE WELL-BEING OF THE COMMUNITY.MERCY HOSPITAL INVESTED $43,518 IN COMMUNITY-BUILDING INITIATIVES, WITH HOSPITAL LEADERSHIP AND STAFF PLAYING AN ACTIVE ROLE IN KEY COMMUNITY EVENTS SUCH AS SOUP KITCHEN DONATIONS AND WORKFORCE DEVELOPMENT. THESE EFFORTS ADDRESS A WIDE RANGE OF HEALTH NEEDS, ALIGNING WITH BOTH OUR HOSPITAL'S NEEDS ASSESSMENT AND BROADER PUBLIC HEALTH PRIORITIES, REINFORCING OUR COMMITMENT TO IMPROVING THE WELL-BEING OF THE COMMUNITY. PART III, LINE 2: THE AMOUNT OF THE ORGANIZATION'S BAD DEBT AT COST IS DETERMINED BY APPLYING THE COST TO CHARGE RATIO TO PATIENT CHARGES THAT ARE DEEMED TO BE UNCOLLECTIBLE. THIS AMOUNT REPRESENTS THE COST OF SERVICES PROVIDED TO PATIENTS WHO ARE UNABLE OR REFUSE TO PAY THEIR BILLS AND DO NOT QUALIFY FOR FREE OR ADDITIONAL DISCOUNTED CARE, GOVERNMENT SPONSORED PROGRAMS OR OTHER PAYMENT ASSISTANCE, AND ARE OTHERWISE UNINSURED.THE FILING ORGANIZATION PROVIDES FREE CARE TO ANY PATIENT WHOSE FAMILY INCOME IS AT OR BELOW 250% OF THE FEDERAL POVERTY LEVEL, OR DISCOUNTED CARE TO UNINSURED OR UNDER-INSURED INDIVIDUALS WHOSE FAMILY INCOME IS ABOVE 251% BUT LOWER THAN 400% OF THE FEDERAL POVERTY LEVEL. THE FILING ORGANIZATION ALSO PROVIDES OPTIONS FOR INTEREST-FREE EXTENDED PAYMENT PLANS FOR PATIENTS WHO HAVE DEMONSTRATED GOOD FAITH AND ARE COOPERATING IN RESOLVING THEIR HOSPITAL BILLS. ALL ACCOUNTS FOR ELIGIBLE UNINSURED PATIENTS AT ALL FACILITIES RECEIVE AN AUTOMATIC UNINSURED DISCOUNT. THE EXPECTED PATIENT PAYMENT AMOUNT ON THE PATIENT'S BILL REFLECTS THIS DISCOUNT. DISCOUNTS ARE ACCOUNTED FOR AS DEDUCTIONS FROM REVENUE, NOT AS BAD DEBT EXPENSE. PART III, LINE 3: CATHOLIC HEALTH INITIATIVES COLORADO MAKES EVERY EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UPON ADMISSION. CATHOLIC HEALTH INITIATIVES COLORADO'S FINANCIAL ASSISTANCE POLICY IS COMMUNICATED TO PATIENTS UPON ADMISSION AND IS AVAILABLE IN THE LANGUAGES PRIMARILY SPOKEN IN THE COMMUNITY. IT IS ALSO POSTED IN VARIOUS COMMON AREAS OF THE HOSPITAL, SUCH AS EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL BUSINESS OFFICES LOCATED ON FACILITY CAMPUSES, AND OTHER PUBLIC PLACES, AND IS PROVIDED UPON BILLING IF ELIGIBILITY IS NOT PREVIOUSLY DETERMINED. ELIGIBILITY IS REEVALUATED AS NEEDED AND AMOUNTS ARE CLASSIFIED AS CHARITY AS SOON AS ELIGIBILITY IS KNOWN. CATHOLIC HEALTH INITIATIVES COLORADO ALSO UTILIZES A WAYSTAR SCORING SYSTEM TO ASSIST IN DETERMINING IF A PATIENT MAY QUALIFY FOR PAYMENT ASSISTANCE EVEN THOUGH THEY HAVE NOT APPLIED FOR IT. WAYSTAR USES A METHODOLOGY THAT APPLIES CONSISTENT SCREENING AND APPLICATION STANDARDS TO ALL PATIENTS UTILIZING HISTORICAL DATA TO DEVELOP A PREDICTIVE MODEL FOR HEALTHCARE PAYMENT ASSISTANCE. IN ITS DEVELOPMENT, SPECIAL ATTENTION WAS PAID TO THOSE SOCIOECONOMIC FACTORS THAT MIGHT ADVERSELY AFFECT THOSE PATIENTS DESERVING THE MOST ATTENTION. OTHER CRITERIA ARE ALSO UTILIZED TO ENSURE THAT SERVICES THAT HAVE QUALIFIED AS FINANCIAL ASSISTANCE ARE NOT REPORTED AS BAD DEBT. AS SUCH, CATHOLIC HEALTH INITIATIVES COLORADO DOES NOT BELIEVE THAT ANY AMOUNTS INCLUDED IN PART III, LINE 2, ARE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S PAYMENT ASSISTANCE POLICY, AND THEREFORE, NO PORTION OF BAD DEBT EXPENSE IS INCLUDED AS COMMUNITY BENEFIT EXPENSE. PART III, LINE 4: CATHOLIC HEALTH INITIATIVES COLORADO DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF COMMONSPIRIT HEALTH. THE FOLLOWING IS AN EXCERPT FROM COMMONSPIRIT'S CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2024, RELATED TO PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT REVENUE. THE ENTIRE FOOTNOTE CAN BE VIEWED IN THE ATTACHED COMMONSPIRIT CONSOLIDATED FINANCIAL STATEMENTS ON PAGES 11-12."PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNTS THAT REFLECT THE CONSIDERATION COMMONSPIRIT EXPECTS TO BE PAID IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING HEALTH INSURERS AND GOVERNMENT PROGRAMS), AND OTHERS, AND INCLUDE CONSIDERATION FOR RETROACTIVE REVENUE ADJUSTMENTS DUE TO SETTLEMENT OF AUDITS AND REVIEWS. GENERALLY, PERFORMANCE OBLIGATIONS FOR PATIENTS RECEIVING INPATIENT ACUTE CARE SERVICES AND OUTPATIENT SERVICES ARE RECOGNIZED OVER TIME AS SERVICES ARE PROVIDED. NET PATIENT REVENUE IS PRIMARILY COMPRISED OF HOSPITAL AND PHYSICIAN SERVICES." PART III, LINE 8: COMMONSPIRIT HEALTH HOSPITALS PREPARE MEDICARE COST REPORTS IN A MANNER THAT COMPORTS WITH PROVIDER REIMBURSEMENT MANUAL (PRM) 15-1 AND PRM 15-2 CHAPTER 40 (TRANSMITTAL 13). AS SUCH, THE FOLLOWING LANGUAGE PER PRM 15-1 DESCRIBES THE COMPUTATION OF COSTS PER THE MEDICARE COST REPORT: TOTAL ALLOWABLE COSTS OF A PROVIDER ARE APPORTIONED BETWEEN PROGRAM BENEFICIARIES AND OTHER PATIENTS SO THAT THE SHARE BORNE BY THE PROGRAM IS BASED UPON ACTUAL SERVICES RECEIVED BY PROGRAM BENEFICIARIES. THE RATIO OF COVERED BENEFICIARY CHARGES TO TOTAL PATIENT CHARGES FOR THE SERVICES OF EACH ANCILLARY DEPARTMENT IS APPLIED TO THE COST OF THE DEPARTMENT. ADDED TO THIS AMOUNT IS THE COST OF ROUTINE SERVICES FOR PROGRAM BENEFICIARIES, DETERMINED ON THE BASIS OF A SEPARATE AVERAGE COST PER DIEM FOR ALL PATIENTS FOR GENERAL ROUTINE PATIENT CARE AREAS. ANOTHER FACTOR CONSIDERED IS A SEPARATE AVERAGE COST PER DIEM FOR EACH INTENSIVE CARE UNIT, CORONARY CARE UNIT, AND OTHER SPECIAL CARE INPATIENT HOSPITAL UNITS. COMMONSPIRIT HEALTH AND ITS SUBORDINATE CORPORATIONS BELIEVE THAT THE ENTIRE MEDICARE SHORTFALL FOR THE CONSOLIDATED ENTITIES CONSTITUTES COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY COMMONSPIRIT HEALTH HOSPITALS IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITIES. THE HOSPITALS PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. CATHOLIC HEALTH INITIATIVE COLORADO'S SHORTFALL, AS REPORTED ON PART III, SECTION B, LINE 7, OF $108,937,568 REPRESENTS THE FILING ORGANIZATION'S MEDICARE COST REPORTS. PART III, LINE 9B: COMMONSPIRIT HEALTH ENSURES THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. COMMONSPIRIT HEALTH'S BILLING AND COLLECTION POLICY CONTAINS PROVISIONS THAT PROHIBIT THE COLLECTION OF AMOUNTS DUE FROM PATIENTS WHO THE ORGANIZATION KNOWS QUALIFY FOR FINANCIAL ASSISTANCE. ACCOUNTS WITH INCORRECT OR INCOMPLETE DEMOGRAPHIC INFORMATION ARE ASSIGNED TO A COLLECTION AGENCY IF THE COMMONSPIRIT HEALTH FACILITY, OR BILLING COMPANY RETAINED BY COMMONSPIRIT HEALTH, IS UNABLE TO OBTAIN AN UPDATED ADDRESS THROUGH SKIP TRACING OR OTHER MEANS. FOR PATIENTS WHO HAVE AN APPLICATION PENDING FOR EITHER GOVERNMENT-SPONSORED ASSISTANCE OR FOR ASSISTANCE UNDER COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE POLICY, OR WHERE THE PATIENT IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH THE FACILITY VIA PAYMENT PLANS, COMMONSPIRIT HEALTH WILL NOT KNOWINGLY SEND THAT PATIENT'S BILL TO AN OUTSIDE COLLECTION AGENCY. ON SELF-PAY ACCOUNTS THAT DO NOT MEET THE CRITERIA NOTED ABOVE, THE INITIAL DETERMINATION OF ASSIGNMENT TO A COLLECTION AGENCY WILL VARY DEPENDING ON THE NATURE OF THE ACCOUNT WITH THE FINAL DECISION BEING AT THE DISCRETION OF THE BILLING COMPANY RETAINED BY COMMONSPIRIT HEALTH. UPON ASSIGNMENT OF SUCH A PATIENT ACCOUNT TO A COLLECTION AGENCY, COMMONSPIRIT HEALTH REQUIRES THE AGENCY TO COMPLY WITH THE FAIR DEBT COLLECTION PRACTICES ACT. PART VI, LINE 3: INFORMATION ABOUT COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE PROGRAM AND A CONTACT NUMBER ARE MADE AVAILABLE TO PATIENTS AND THE PUBLIC. PATIENTS ARE INFORMED OF COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE PROGRAM VIA SIGNAGE IN ALL ADMITTING AREAS AND IN VARIOUS COMMON AREAS OF THE HOSPITAL. FINANCIAL ASSISTANCE PROGRAM INFORMATION NOTICES ARE POSTED IN THE EMERGENCY AND ADMITTING DEPARTMENTS AND AT OTHER PUBLIC PLACES AS EACH FACILITY MAY ELECT. SUCH INFORMATION IS PROVIDED IN THE PRIMARY LANGUAGES SPOKEN IN THE COMMUNITIES COMMONSPIRIT HEALTH SERVES. THE SIGNAGE INCLUDES NOTIFICATION THAT FURTHER DISCOUNTS MAY BE PROVIDED UPON THE COMPLETION AND SUBMISSION OF A FINANCIAL ASSISTANCE APPLICATION AND HOW TO REACH STAFF THAT CAN ASSIST WITH ANSWERING QUESTIONS AND GUIDE PATIENTS THROUGH THE APPLICATION PROCESS. INFORMATION CAN ALSO BE FOUND ON THE FACILITY WEBSITES. IF FINANCIAL ASSISTANCE ELIGIBILITY IS NOT DETERMINED PRIOR TO BILLING, INITIAL BILLING STATEMENTS TO PATIENTS INCLUDE A REQUEST TO THE PATIENT TO PROVIDE ANY INSURANCE INFORMATION THAT WAS VALID FOR THE DATES OF SERVICE BILLED AND A STATEMENT INFORMING PATIENTS HOW TO CONTACT US REGARDING FINANCIAL ASSISTANCE. ADDITIONALLY, CONTRACT TERMS WITH COLLECTION VENDORS WORKING ON BEHALF OF COMMONSPIRIT HEALTH REQUIRE THEY FOLLOW COMMONSPIRIT HEALTH FINANCIAL ASSISTANCE POLICY. ALSO, REFERRAL OF PATIENTS FOR FINANCIAL ASSISTANCE MAY BE MADE BY ANY MEMBER OF THE COMMONSPIRIT HOSPITAL ORGANIZATION NON-MEDICAL OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKERS, CASE MANAGERS, CHAPLAINS, AND RELIGIOUS SPONSORS. A REQUEST FOR ASSISTANCE MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS. PART VI, LINE 4: PENROSE HOSPITALTO 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. FRANCIS HOSPITALTO 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 HOSPITAL AND ORTHOCOLORADO HOSPITALTO 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 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%ST. ANTHONY NORTH HOSPITALTO 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%.MERCY 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 4.5ST. 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 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. ANTHONY SUMMIT HOSPITAL AND 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: 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. PART VI, LINE 5: FINANCIAL ASSISTANCE: IT IS THE POLICY OF COMMONSPIRIT HEALTH TO PROVIDE, WITHOUT DISCRIMINATION, EMERGENCY MEDICAL CARE AND MEDICALLY NECESSARY CARE IN COMMONSPIRIT HOSPITAL FACILITIES TO ALL PATIENTS, WITHOUT REGARD TO A PATIENT'S FINANCIAL ABILITY TO PAY. THIS HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY THAT DESCRIBES THE ASSISTANCE PROVIDED TO PATIENTS FOR WHOM IT WOULD BE A FINANCIAL HARDSHIP TO FULLY PAY THE EXPECTED OUT-OF-POCKET EXPENSES FOR SUCH CARE, AND WHO MEET THE ELIGIBILITY CRITERIA FOR SUCH ASSISTANCE. THE FINANCIAL ASSISTANCE POLICY, A PLAIN LANGUAGE SUMMARY AND RELATED MATERIALS ARE AVAILABLE IN MULTIPLE LANGUAGES ON THE HOSPITAL'S WEBSITE.USE OF SURPLUS FUNDS: AS A NOT-FOR-PROFIT HOSPITAL ORGANIZATION DEDICATED TO IMPROVING THE QUALITY OF LIFE, THE HOSPITAL REINVESTS ALL OF ITS SURPLUS FUNDS FROM OPERATING AND INVESTMENT ACTIVITIES TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND REPLACE EXISTING FACILITIES AND EQUIPMENT, INVEST IN TECHNOLOGICAL ADVANCEMENTS, SUPPORT COMMUNITY HEALTH PROGRAMS, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH. THIS ACTIVE REINVESTMENT OF FUNDS MAKES IT POSSIBLE FOR THE HOSPITAL TO DELIVER ON ITS MISSION, INCLUDING HELPING TO ENSURE THAT EVERYONE IN THE COMMUNITIES SERVED HAS ACCESS TO HEALTH CARE.OPEN MEDICAL STAFF: MEDICAL STAFF PRIVILEGES ARE OPEN TO PHYSICIANS WHOSE EXPERIENCE AND TRAINING ARE VERIFIED THROUGH A CREDENTIALING PROCESS. THE PROCESS INCLUDES GATHERING AND VERIFYING CREDENTIALS, ALLOWING THE MEDICAL STAFF TO EVALUATE AN APPLICANT'S QUALIFICATIONS, PREVIOUS EXPERIENCE, AND COMPETENCE, AND ULTIMATELY MAKING A DECISION TO GRANT OR DENY MEDICAL STAFF MEMBERSHIP AND CLINICAL PRIVILEGES ON THE BASIS OF AUTHENTIC AND VALID CREDENTIALS.ROLE OF THE BOARD: THE COMMONSPIRIT HEALTH BOARD AND SPECIFIC COMMITTEES HAVE ORGANIZATIONAL, POLICY-BASED ROLES TO OVERSEE COMMUNITY BENEFIT AND COMMUNITY HEALTH PROGRAMS, AND THEY RECEIVE REPORTS ON ACTIVITIES AND PERFORMANCE. HOSPITAL COMMUNITY BOARDS (OR THEIR DESIGNATED COMMITTEES) ARE RESPONSIBLE FOR ENSURING THAT THE HOSPITALS CONDUCT AND ADOPT COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES, TAKE ACTIONS TO HELP ADDRESS IDENTIFIED SIGNIFICANT HEALTH NEEDS WITH AN EMPHASIS ON POOR AND VULNERABLE POPULATIONS AND HEALTH EQUITY, AND MONITORING ACTIONS AND PROGRESS TOWARD IDENTIFIED GOALS. PART VI, LINE 6: THE ORGANIZATION IS AFFILIATED WITH COMMONSPIRIT HEALTH. COMMONSPIRIT HEALTH WAS CREATED BY THE ALIGNMENT OF CATHOLIC HEALTH INITIATIVES AND DIGNITY HEALTH IN EARLY 2019. COMMONSPIRIT HEALTH, A NONPROFIT, FAITH-BASED HEALTH SYSTEM IS COMMITTED TO BUILDING HEALTHIER COMMUNITIES, ADVOCATING FOR THOSE WHO ARE POOR AND VULNERABLE, AND INNOVATING HOW AND WHERE HEALING CAN HAPPEN BOTH INSIDE ITS HOSPITALS AND OUT IN THE COMMUNITY. COMMONSPIRIT HEALTH OWNS AND OPERATES HEALTH CARE FACILITIES IN 24 STATES AND IS THE SOLE CORPORATE MEMBER (PARENT CORPORATION) OF OTHER PRIMARILY NONPROFIT CORPORATIONS. COMMONSPIRIT HEALTH AND SUBSTANTIALLY ALL OF ITS DIRECT AFFILIATES AND SUBSIDIARIES HAVE BEEN GRANTED EXEMPTIONS FROM FEDERAL INCOME TAX AS CHARITABLE ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS OF SEPTEMBER 25, 2024, COMMONSPIRIT HEALTH IS COMPRISED OF APPROXIMATELY 2,300 CARE SITES, CONSISTING OF 137 HOSPITALS, INCLUDING ACADEMIC HEALTH CENTERS, MAJOR TEACHING HOSPITALS, AND CRITICAL ACCESS FACILITIES, COMMUNITY HEALTH SERVICES ORGANIZATIONS, ACCREDITED NURSING COLLEGES, HOME HEALTH AGENCIES, LIVING COMMUNITIES, A MEDICAL FOUNDATION AND OTHER AFFILIATED MEDICAL GROUPS, AND OTHER FACILITIES AND SERVICES THAT SPAN THE INPATIENT AND OUTPATIENT CONTINUUM OF CARE. AN ADDITIONAL 21 HOSPITALS ARE OPERATED THROUGH UNCONSOLIDATED JOINT VENTURES. IN FISCAL YEAR 2024, COMMONSPIRIT HEALTH PROVIDED MORE THAN $2.574 BILLION IN FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT FOR PROGRAMS AND SERVICES FOR THE POOR, FREE CLINICS, EDUCATION AND RESEARCH. FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT TOTALED MORE THAN $4.22 BILLION WITH THE INCLUSION OF THE UNPAID COSTS OF MEDICARE. THE HEALTH SYSTEM, WHICH GENERATED OPERATING REVENUES OF $37.5 BILLION IN FISCAL YEAR 2024, HAS TOTAL ASSETS OF APPROXIMATELY $54.73 BILLION.COMMONSPIRIT HEALTH PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES AS WELL AS CENTRALIZED SERVICES FOR ITS DIVISIONS. THE PROVISION OF CENTRALIZED MANAGEMENT AND SHARED SERVICES INCLUDING AREAS SUCH AS ACCOUNTING, HUMAN RESOURCES, PAYROLL AND SUPPLY CHAIN PROVIDES ECONOMIES OF SCALE AND PURCHASING POWER TO THE DIVISIONS. THE COST SAVINGS ACHIEVED THROUGH COMMONSPIRIT HEALTH'S CENTRALIZATION ENABLE DIVISIONS TO DEDICATE ADDITIONAL RESOURCES TO HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY. PART VI, LINE 7, REPORTS FILED WITH STATES CO PART VI, LINE 4 : COMMUNITY INFORMATION (CONTINUED) HOLY CROSS HOSPITALS WERE ACQUIRED BY COMMONSPIRIT 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. THEY ARE COMPLETING THEIR NEEDS ASSESSMENTS IN FY25.ST. ELIZABETH HOSPITAL : CHI COLORADO ACQUIRED ST. ELIZABETH HOSPITAL ON 5/1/2022. 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 27,551 RESIDENTS. OF THIS POPULATION, 37.7% IDENTIFY AS HISPANIC OR LATINO, REPRESENTING A SIGNIFICANT DEMOGRAPHIC GROUP. THE REMAINING 62.3% ARE NON-HISPANIC/NON-LATINO, WITH 55.1% OF THE POPULATION IDENTIFYING AS WHITE. THE REMAINING 7.2% CONSISTS OF VARIOUS OTHER RACIAL AND ETHNIC GROUPS. THE LINGUISTIC DIVERSITY IN MORGAN COUNTY IS NOTABLE, WITH THE COUNTY RANKING 6TH AMONG COLORADO'S 64 COUNTIES FOR THE HIGHEST NUMBER OF FOREIGN-BORN RESIDENTS. IN THE CITY OF FORT MORGAN ALONE, AT LEAST 26 DIFFERENT LANGUAGES ARE SPOKEN. SPECIFICALLY, EDUCATIONAL ATTAINMENT FOR THE ST. ELIZABETH HOSPITAL COMMUNITY WAS DISTRIBUTED AS FOLLOWS: 17.6% HAD LESS THAN A HIGH SCHOOL DIPLOMA OR EQUIVALENT; 31.5% HAD HIGH SCHOOL GRADUATE AS THEIR HIGHEST LEVEL OF SCHOOL COMPLETED; 32.9% HAD SOME COLLEGE OR AN ASSOCIATE DEGREE AS THEIR HIGHEST LEVEL OF SCHOOL COMPLETED; 11.7% HAD A BACHELOR'S DEGREE AS THEIR HIGHEST DEGREE; AND 6.3% HAD COMPLETED AN ADVANCED DEGREE SUCH AS A MASTER'S DEGREE, PROFESSIONAL DEGREE. AS OF MAY 1, 2024, THE UNEMPLOYMENT RATE IN MORGAN COUNTY IS 3.5%, NOT SEASONALLY ADJUSTED. THE MEDIAN HOUSEHOLD INCOME IS $70,471, WITH A RANGE FROM $58,333 IN LOG LANE VILLAGE TO $97,188 IN WIGGINS. 1 WHY NOT YOU FOUNDATION 4580 KLAHANIE DR SE 507 SAMMAMISH WA 98029 464784365 501C3 900000 0 GENERAL OPERATING SUPPORT FINNEY COUNTY COMMUNITY HEALTH 310 E WALNUT ST GARDEN CITY KS 67846 275247081 501C3 150000 0 GENERAL OPERATING SUPPORT FRONT RANGE AREA HEALTH 303 E 17TH AVE STE 400 DENVER CO 80203 854209627 501C3 150000 0 GENERAL OPERATING SUPPORT GROWING HOME INC 3489 W 72ND AVE SUITE 112 WESTMINSTER CO 80030 841461503 501C3 150000 0 GENERAL OPERATING SUPPORT MIDVALE COMMUNITY BUILDING 49 W CENTER ST MIDVALE UT 84047 460548747 501C3 150000 0 GENERAL OPERATING SUPPORT THE CHILDRENS CENTER UTAH 350 SOUTH 400 EAST SALT LAKE CITY UT 84111 876114073 501C3 150000 0 GENERAL OPERATING SUPPORT COMMUNITY COMPASSION OUTREACH 255 E 11TH ST DURANGO CO 81301 825001338 501C3 143980 0 GENERAL OPERATING SUPPORT TRAILHEAD INSTITUTE 1999 BROADWAY STE 600 DENVER CO 80202 841267213 501C3 120000 0 GENERAL OPERATING SUPPORT ADVOCATES FOR VICTIMS OF ASSAULT PO BOX 1859 FRISCO CO 80443 840950954 501C3 111832 0 GENERAL OPERATING SUPPORT HIGH COUNTRY SOCCER ASSOCIATION PO BOX 1996 SILVERTHORNE CO 80498 364483959 501C3 105000 0 GENERAL OPERATING SUPPORT CANCER SUPPORT COMMUNITY SW CO PO BOX 941 DURANGO CO 81302 364797617 501C3 103000 0 GENERAL OPERATING SUPPORT ADOPT A NATIVE ELDER PROGRAM 328 W GREGSON AVE SALT LAKE CITY UT 84115 870490211 501C3 100000 0 GENERAL OPERATING SUPPORT ASCENDING TO HEALTH RESPITE PO BOX 60039 COLORADO SPRINGS CO 80960 274584911 501C3 100000 0 GENERAL OPERATING SUPPORT AURORA ECONOMIC OPPORTUNITY 1521 DAYTON ST AURORA CO 80010 821162730 501C3 100000 0 GENERAL OPERATING SUPPORT COMMUNITY DENTAL CLINIC 87 MERCHANT DR MONTROSE CO 81401 470891200 501C3 100000 0 GENERAL OPERATING SUPPORT DENVER BRONCOS FOUNDATION 13655 BRONCOS PKWY ENGLEWOOD CO 80112 841305294 501C3 100000 0 GENERAL OPERATING SUPPORT FAMILY PROMISE OF OGDEN 256 24TH ST OGDEN UT 84401 474944656 501C3 100000 0 GENERAL OPERATING SUPPORT GRACEFULL FOUNDATION 5610 S CURTICE ST LITTLETON CO 80120 475448224 501C3 100000 0 GENERAL OPERATING SUPPORT HEART MIND HAVEN 6833 S MILLER ST LITTLETON CO 80127 833158421 501C3 100000 0 GENERAL OPERATING SUPPORT SCHOOL DISTRICT 12 EDUCATION FOUNDATION 1500 E 128TH AVE THORNTON CO 80241 742401659 501C3 100000 0 GENERAL OPERATING SUPPORT SERVICIOS DE LA RAZA 3131 WEST 14TH AVENUE DENVER CO 80204 840625478 501C3 100000 0 GENERAL OPERATING SUPPORT SUN VALLEY COMMUNITY CENTER 1260 DECATUR ST DENVER CO 80204 474226132 501C3 100000 0 GENERAL OPERATING SUPPORT SWL FOUNDATION 81 EL DORADO LANE COLORADO SPRINGS CO 80919 872714661 501C3 100000 0 GENERAL OPERATING SUPPORT VIVE WELLNESS 1620 E 36TH AVE DENVER CO 80205 814059452 501C3 100000 0 GENERAL OPERATING SUPPORT WILD PLUM CENTER FOR YOUNG 82 21ST AVE SUITE B LONGMONT CO 80501 474709774 501C3 100000 0 GENERAL OPERATING SUPPORT SAVIO HOUSE 325 KING ST DENVER CO 80219 840570279 501C3 82570 0 GENERAL OPERATING SUPPORT BREAK THE SILENCE INC 411 W PLATTE AVE STE A BOX 165 FORT MORGAN CO 80701 843100049 501C3 81854 0 GENERAL OPERATING SUPPORT BROTHER JEFFS CULTURAL CENTER 2836 WELTON ST DENVER CO 80205 320034993 501C3 80000 0 GENERAL OPERATING SUPPORT CATHOLIC CHARITIES OF CENTRAL 228 NORTH CASCADE AVE COLORADO SPRINGS CO 80903 840586169 501C3 80000 0 GENERAL OPERATING SUPPORT CHANDA PLAN FOUNDATION PARTNERSHIP 1870 W 122ND AVE SUITE 300 WESTMINSTER CO 80234 840872188 501C3 80000 0 GENERAL OPERATING SUPPORT INTERNATIONAL RESCUE COMMITTEE 1873 S BELLAIRE ST STE 500 DENVER CO 80222 135660870 501C3 80000 0 GENERAL OPERATING SUPPORT POSADA INC 827 E 4TH ST PUEBLO CO 81001 742473501 501C3 80000 0 GENERAL OPERATING SUPPORT CENTRO DE LA FAMILIA 1645 S MURRAY BVLD COLORADO SPRINGS CO 80916 841435999 501C3 75000 0 GENERAL OPERATING SUPPORT FACE IT TOGETHER INC 5020 S TENNIS LN SUITE 4 SIOUX FALLS SD 57108 272501220 501C3 75000 0 GENERAL OPERATING SUPPORT MARIA DROSTE COUNSELING CENTER 1355 S COLO BLVD STE C100 DENVER CO 80222 841182130 501C3 75000 0 GENERAL OPERATING SUPPORT PROJECT ANGEL HEART 4950 WASHINGTON STREET DENVER CO 80216 841199481 501C3 75000 0 GENERAL OPERATING SUPPORT RESILIA 3014 DAUPHINE ST STE H NEW ORLEANS LA 70117 831689096 501C3 75000 0 GENERAL OPERATING SUPPORT SNOWBASIN ADAPTIVE SPORTS EDU 2955 HARRISON BLVD STE 104D OGDEN UT 84403 270650748 501C3 75000 0 GENERAL OPERATING SUPPORT THE INITIATIVE 6825 E TENNESSEE AVE 475 DENVER CO 80224 841068953 501C3 75000 0 GENERAL OPERATING SUPPORT WEECYCLE 20 S HAVANA ST STE 210 AURORA CO 80012 823096264 501C3 75000 0 GENERAL OPERATING SUPPORT SOUTHERN CO COMMUNITY ACTION PO BOX 800 IGNACIO CO 81137 840576978 501C3 74718 0 GENERAL OPERATING SUPPORT ST MARY CATHOLIC CHURCH 509 SAITN JOHN ST GARDEN CITY KS 67846 480547709 501C3 67276 0 GENERAL OPERATING SUPPORT WE DONT WASTE 5971 BROADWAY DENVER CO 80216 270585966 501C3 65000 0 GENERAL OPERATING SUPPORT FAMILY CRISIS SERVICES INC 106 W FULTON ST GARDEN CITY KS 67846 480949166 501C3 55305 0 GENERAL OPERATING SUPPORT FOOD FOR HOPE PO BOX 685 EASTLAKE CO 80614 473117111 501C3 55296 0 GENERAL OPERATING SUPPORT DODGE CITY COMMUNITY COLLEGE 2501 N 14TH AVE DODGE CITY KS 67801 521718586 501C3 55000 0 GENERAL OPERATING SUPPORT MINDS MATTER COLORADO INC PO BOX 16610 DENVER CO 80216 201449487 501C3 52800 0 GENERAL OPERATING SUPPORT REAL LIFE COLORADO 4000 S WADSWORTH BLVD STE 10 LITTLETON CO 80123 843645172 501C3 50135 0 GENERAL OPERATING SUPPORT ALLIANCE COMMUNITY SERVICES 5286 S COMMERCE DR A 136 SALT LAKE CITY UT 84107 300087376 501C3 50000 0 GENERAL OPERATING SUPPORT COLORADO MOUNTAIN COLLEGE 802 GRAND AVE GLENWOOD SPRINGS CO 81601 840567768 501C3 50000 0 GENERAL OPERATING SUPPORT NAVAJO STRONG 333 EAST MAIN ST LEHI UT 84043 851414391 501C3 50000 0 GENERAL OPERATING SUPPORT RED BARN FARMS 1200 RED BARN LANE FARMINGTON UT 84025 364794282 501C3 50000 0 GENERAL OPERATING SUPPORT THE PLACE 423 EAST CUCHARRAS ST COLORADO SPRINGS CO 80903 841549702 501C3 50000 0 GENERAL OPERATING SUPPORT MERCY HEALTH FOUNDATION 1010 THREE SPRINGS BLVD DURANGO CO 81301 840902211 501C3 29500 0 GENERAL OPERATING SUPPORT YOUTH CELEBRATE DIVERSITY 7900 E UNION AVE STE 1100 DENVER CO 80237 464967224 501C3 20000 0 GENERAL OPERATING SUPPORT THE GOOD FOOD COLLECTIVE PO BOX 25 CORTEZ CO 81321 260045741 501C3 17212 0 GENERAL OPERATING SUPPORT CCAPS PO BOX 913487 DENVER CO 80291 841228675 501C3 15000 0 GENERAL OPERATING SUPPORT COLORADO SPRINGS CHAMBER OF COMMERCE 102 S TEJON ST SUITE 1200 COLORADO SPRINGS CO 80903 840174190 501C3 13000 0 GENERAL OPERATING SUPPORT ST MARY CORWIN HEALTH FOUNDATION 1010 THREE SPRINGS BLVD DURANGO CO 81301 840902211 501C3 13000 0 GENERAL OPERATING SUPPORT ADAMS COUNTY REGIONAL ECONOMIC PARTNERSHIP 1870 W 122ND AVE SUITE 300 WESTMINSTER CO 80234 840872188 501C3 10000 0 GENERAL OPERATING SUPPORT CARE AND SHARE 2605 PREAMBLE POINT COLORADO SPRINGS CO 80915 840731930 501C3 10000 0 GENERAL OPERATING SUPPORT DURANGO DEVO INC 10 TOWN PLAZA NBR 110 DURANGO CO 81302 640959974 501C3 10000 0 GENERAL OPERATING SUPPORT NEWBORN HOPE INC PO BOX 2515 COLORADO SPRINGS CO 80901 841093905 501C3 10000 0 GENERAL OPERATING SUPPORT ST THOMAS MORE FOUNDATION 1338 PHAY AVE CANON CITY CO 81212 352043109 501C3 10000 0 GENERAL OPERATING SUPPORT TEAM SUMMIT COLORADO 0800 COPPER RD 3307 COPPER MOUNTAIN CO 80443 742529909 501C3 10000 0 GENERAL OPERATING SUPPORT ARRUPE JESUIT HIGH SCHOOL 4343 UTICA ST DENVER CO 80212 020628872 501C3 8200 0 GENERAL OPERATING SUPPORT ROCKY MOUNTAIN PARTNERSHIP 1500 E 128TH AVE THORNTON CO 80241 453139024 501C3 7500 0 GENERAL OPERATING SUPPORT CATHOLIC HEALTH INITIATIVES 3900 OLYMPIC BLVD ERLANGER KY 41018 840405257 501C3 6000 0 GENERAL OPERATING SUPPORT 68 0 PART I, LINE 2: ALL HEALTH EQUITY GRANTS ARE EVALUATED BY A TEAM OF SELECTED INDIVIDUALS. THE FUNDING AWARD IS VOTED ON BY THE TEAM BASED UPON THE INFORMATION PROVIDED BY THE ENTITIES REQUESTING FUNDING WHILE ENSURING THE REQUESTS ARE IN ALIGNMENT WITH OUR COMMUNITY BENEFIT FOCUS FOR A GIVEN YEAR. THE FUNDS ARE DISTRIBUTED IN COLLABORATION WITH THE REGION TEAM. 1 1 0 0 0 0 0 0 0 PETER BANKO CEO/PRESIDENT (THRU 1/26/24) 0 1914510 0 2583661 0 3603433 0 10500 0 149812 0 8261916 0 0 DANIEL MORISSETTE VICE CHAIR/CSH SEVP, CHIEF FINANCIAL 0 1657832 0 5561146 0 13610 0 556660 0 54008 0 7843256 0 0 ELIZABETH SHIH BOARD MEMBER/CSH SEVP, CHIEF ADMINIS 0 683589 0 4268635 0 706423 0 146312 0 81655 0 5886614 0 635114 MITCH MELFI ESQ CHAIR/CSH SEVP, CHIEF LEGAL OFFICER 0 1072797 0 1948002 0 221183 0 19350 0 22186 0 3283518 0 0 ANDREW GAASCH TREASURER (THRU 5/27/24)/PRESIDENT M 0 1128052 0 1135433 0 835706 0 7875 0 82763 0 3189829 0 0 THOMAS MCGINN BOARD MEMBER/CSH EVP, PHYSICIAN ENTE 0 1088546 0 2015175 0 4691 0 19175 0 32605 0 3160192 0 0 SHAUNA GULLEY FORMER HCE 0 814721 0 1034309 0 1074675 0 11550 0 87127 0 3022382 0 0 GARY LICHTENBERGER FORMER HCE 0 801893 0 1382056 0 726414 0 11550 0 79300 0 3001213 0 0 DEAN SANPEI FORMER HCE 0 791858 0 961037 0 1034688 0 11550 0 75344 0 2874477 0 0 DAN ENDERSON FORMER KEY EMPLOYEE 0 509956 0 861315 0 1315975 0 10500 0 51119 0 2748865 0 0 KEVIN JENKINS FORMER KEY EMPLOYEE 0 543493 0 633991 0 711553 0 0 0 64683 0 1953720 0 0 MATT BROWN INTERIM PRESIDENT (1/27/24 - 5/26/24 0 748690 0 864302 0 1115 0 19175 0 33877 0 1667159 0 0 THOMAS GESSEL FORMER KEY EMPLOYEE 0 466012 0 688219 0 400123 0 9140 0 41035 0 1604529 0 0 ALLISON ROBERTS PHYSICIAN 972883 0 492065 0 45584 0 11182 0 38789 0 1560503 0 0 0 CARRIE DAMON FORMER KEY EMPLOYEE 0 450500 0 548954 0 474130 0 11463 0 57459 0 1542506 0 0 CAMILLE AZAR PHYSICIAN GASTROENTEROLOGY 1142342 0 154444 0 48331 0 8750 0 57767 0 1411634 0 0 0 PATRICK SHARP FORMER KEY EMPLOYEE 0 485934 0 359456 0 388313 0 11550 0 52811 0 1298064 0 0 DENNIS KRAUS FORMER HCE 0 1052456 0 118846 0 14239 0 11550 0 41327 0 1238418 0 0 MARCHYARN MAHATHANARUK PHYSICIAN 534502 0 548367 0 10145 0 11050 0 24558 0 1128622 0 0 0 WILLIAM ANDERSON FORMER HCE 0 970715 0 108741 0 7400 0 11550 0 18587 0 1116993 0 0 ROLAND BAIZA JR PHYSICIAN 723760 0 211318 0 34185 0 11550 0 56713 0 1037526 0 0 0 ALAN MONROE PHYSICIAN 760524 0 198488 0 2528 0 11550 0 47666 0 1020756 0 0 0 KRIS ORDELHEIDE FORMER SECRETARY/SVP AND GENERAL COU 0 404047 0 481317 0 94614 0 10500 0 21427 0 1011905 0 0 THOMAS DONOHOE SECRETARY/SR VP LEGAL SERVICES & GEN 0 532668 0 345350 0 58926 0 3400 0 45401 0 985745 0 0 MATTHEW LEARY FORMER KEY EMPLOYEE 0 409924 0 218718 0 255824 0 11550 0 47187 0 943203 0 0 SHERI SHAPIRO BOARD MEMBER/SEVP CSH CHIEF STRATEGY 0 613253 0 250000 0 7217 0 0 0 15951 0 886421 0 0 TADD RICHERT TREASURER/INTERIM CFO, MOUNTAIN REGI 0 659594 0 129463 0 1549 0 7875 0 57664 0 856145 0 0 KEVIN WIKOFF FORMER KEY EMPLOYEE 0 361764 0 173537 0 215266 0 11372 0 30700 0 792639 0 0 MIKE CAFASSO FORMER KEY EMPLOYEE 0 404601 0 229692 0 68029 0 10500 0 29907 0 742729 0 0 BRIAN ERLING FORMER KEY EMPLOYEE 0 0 0 0 0 488107 0 0 0 7078 0 495185 0 0 PART I, LINE 3 DURING THE CALENDAR YEAR 2023, COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY COMMONSPIRIT MOUNTAIN REGION, A RELATED ORGANIZATION. COMMONSPIRIT MOUNTAIN REGION, USED ONE OR MORE OF THE METHODS DESCRIBED IN SCHEDULE J, PART I, LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) COMPENSATION SURVEY OR STUDY; (4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. SCH J, PART I, LINE 4A CERTAIN REPORTABLE INDIVIDUALS ARE COVERED BY A MANAGEMENT SEVERANCE POLICY THAT PROVIDES COMPENSATION, BASED ON THE FACILITY OF EMPLOYMENT, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. CERTAIN REPORTABLE INDIVIDUALS ARE COVERED BY A NON-MANAGEMENT SEVERANCE POLICY THAT PROVIDES COMPENSATION, RANGING FROM PAYMENTS OF 2 WEEKS TO 12 WEEKS OF BASE COMPENSATION, DEPENDING ON THE EMPLOYEE'S POSITION AND TENURE, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE 2023 CALENDAR YEAR, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUALS' W-2 INCOME AND REPORTABLE COMPENSATION ON PART VII AND SCHEDULE J, PART II, COLUMN (B)(III): CARRIE DAMON, $83,792, BRIAN ERLING, $488,107, THOMAS GESSEL, $209,551, PATRICK SHARP, $43,539. SCH J, PART I, LINE 4B CERTAIN LISTED PERSONS EMPLOYED BY COMMONSPIRIT MOUNTAIN REGION, A RELATED TAX EXEMPT ORGANIZATION, PARTICIPATE IN A DEFERRED NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) FOR EXECUTIVES THAT HOLD THE POSITION OF VICE-PRESIDENT OR ABOVE. THE SERP PROVIDES AN ALLOWANCE EQUIVALENT TO 10% OF BASE SALARY TO PURCHASE INSURANCE PRODUCTS OR CONTRIBUTE TO A NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. ADDITIONALLY, A PENSION RESTORATION BENEFIT 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 WERE TERMINATED DURING 2023. DURING THE CALENDAR YEAR 2023, THE FOLLOWING DISTRIBUTIONS WERE MADE BY COMMONSPIRIT MOUNTAIN REGION FROM THE SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN AND/OR PENSION RESTORATION BENEFIT: PETER BANKO, $2,746,765, ANDREW GAASCH, $584,908, CARRIE DAMON, $252,219, THOMAS GESSEL, $186,423, SHAUNA GULLEY, $851,089, KEVIN JENKINS, $471,612, GARY LICHTENBERGER, $505,837, DEAN SANPEI, $819,027, PATRICK SHARP, $107,482, DANIEL ENDERSON, $1,077,466. DUE TO CERTAIN VESTING RULES, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS ARE ELIGIBLE TO RECEIVE THEIR 2023 CONTRIBUTIONS IN CASH. DURING 2023, THE FOLLOWING PAYMENTS WERE MADE BY COMMONSPIRIT MOUNTAIN REGION: PETER BANKO, $842,846, THOMAS DONOHOE, $49,761, ANDREW GAASCH, $240,116, CARRIE DAMON, $128,450, SHAUNA GULLEY, $213,500, KEVIN JENKINS, $103,417, GARY LICHTENBERGER, $209,834, DEAN SANPEI, $202,613, PATRICK SHARP, $99,908, DANIEL ENDERSON, $229,762, MICHEAL CAFASSO, $52,140, KRISTOPHER ORDELHEIDE, $82,125. DURING THE 2023 CALENDAR YEAR, COMMONSPIRIT HEALTH ("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. DURING 2023 THE FOLLOWING DISTRIBUTIONS WERE MADE BY COMMONSPIRIT FROM THE DEFERRED COMPENSATION PLAN: MITCH MELFI, $374. DUE TO THE "SUPER" VESTING RULES UNDER COMMONSPIRIT'S DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS INVOLUNTARY TERMINATION WITHOUT CAUSE, AGE, AGE AND YEARS OF SERVICE, OR MORE THAN 5 YEARS OF PLAN PARTICIPATION ARE ELIGIBLE TO RECEIVE THEIR 2023 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II. DURING 2023, THE FOLLOWING PAYMENTS WERE MADE PURSUANT TO THE SUPER VESTING RULES: MITCH MELFI, $211,372. 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)). CERTAIN LISTED PERSONS EMPLOYED BY DIGNITY HEALTH PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN, A NONQUALIFIED SUPPLEMENTAL BENEFIT PLAN LIMITED TO PARTICIPANTS IN THE DIGNITY HEALTH RETIREMENT PLAN WHOSE BENEFITS ARE AFFECTED BY THE LIMITATIONS IMPOSED BY SECTIONS 401(A)(17) AND 415 OF THE INTERNAL REVENUE CODE. BENEFIT SERVICE UNDER THIS PLAN WAS FROZEN AS OF JANUARY 1, 2008. PAYMENTS PURSUANT TO THE PLAN ARRANGEMENT FOR ONE BOARD MEMBER/OFFICER AND THREE HIGHEST COMPENSATED EMPLOYEES OCCURRED DURING 2023 INCLUDE: E. SHIH, $635,114. 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. 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 2023. SCHEDULE J, PART II CATHOLIC HEALTH INITIATIVES COLORADO FOLLOWS COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY. COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST COMMONSPIRIT IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE COMMONSPIRIT TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES COMMONSPIRIT SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE 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 2023. PART V, LINE 1C: PAYMENTS TO VENDORS PAYMENTS TO VENDORS FOR ENTITIES THAT ARE PART OF COMMONSPIRIT HEALTH ARE MADE BY COMMONSPIRIT HEALTH. THEREFORE, NO FORMS 1099 ARE ISSUED BY CATHOLIC HEALTH INITIATIVES COLORADO. COMMONSPIRIT HEALTH FILES THE FORMS 1099 AND COMPLIES WITH THE BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS AND GAME WINNINGS. THE FORMS 1099 ISSUED ON BEHALF OF CATHOLIC HEALTH INITIATIVES COLORADO ARE REPORTED TO THE IRS. FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION'S BYLAWS WERE UPDATED AS A RESULT OF THE DISAFFILIATION BETWEEN COMMONSPIRIT HEALTH (CHI COLORADO'S SOLE CORPORATE MEMBER) AND ADVENTIST HEALTH SYSTEM ON AUGUST 1ST, 2023. THE GENERAL POWERS RESERVED TO THE CORPORATE MEMBER, COMMONSPIRIT HEALTH, WERE RESTATED TO REMOVE REFERENCE TO ADVENTIST HEALTH SYSTEM AND THE AFFILIATION AGREEMENT. ALL GENERAL POWERS ARE RESERVED TO CHI COLORADO'S SOLE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 6 ACCORDING TO THE BYLAWS OF CATHOLIC HEALTH INITIATIVES-COLORADO, THE ENTITY'S SOLE MEMBER IS COMMONSPIRIT HEALTH, A COLORADO NONPROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE CORPORATE MEMBER HAS THE POWER TO APPOINT, REPLACE OR REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS. ACCORDING TO THE ORGANIZATION'S BYLAWS, THE SOLE MEMBER SHALL FILL ALL VACANCIES ON THE BOARD OF TRUSTEES CREATED BY REMOVAL, RESIGNATION, OR DEATH. FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION'S CORPORATE MEMBER IS COMMONSPIRIT HEALTH. PURSUANT TO SECTION 5.4.2 OF THE ORGANIZATION'S BYLAWS, THE CORPORATE MEMBER SHALL HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERNANCE MATRIX. IN ADDITION TO THE RIGHTS RESERVED TO THE CORPORATE MEMBER UNDER THE GOVERNANCE MATRIX, THE CORPORATE MEMBER SHALL HAVE THE POWER TO TRANSFER ASSETS OF THE CORPORATION OR TO REQUIRE THE CORPORATION TO TRANSFER ASSETS TO THE CORPORATE MEMBER, TO THE EXTENT NECESSARY TO ACCOMPLISH THE CORPORATE MEMBER'S GOALS AND OBJECTIVES, AND TO PROVIDE FOR THE PAYMENT OF ALL INDEBTEDNESS OF THE CORPORATE MEMBER OR AN ENTITY CONTROLLED BY, CONTROLLING, OR UNDER COMMON CONTROL WITH THE CORPORATE MEMBER, ISSUED OR INCURRED BY OR ON BEHALF OF THE CORPORATE MEMBER OR A CORPORATE MEMBER AFFILIATE IN FURTHERANCE OF THE CORPORATE MEMBER'S GOALS AND OBJECTIVES. THE CORPORATION SHALL NOT BE REQUIRED TO VIOLATE ITS CHARITABLE PURPOSES, THE TERMS OF ANY RESTRICTED GIFTS, OR THE COVENANTS OF ITS DEBT INSTRUMENTS AS A RESULT OF ANY ASSET TRANSFERS MADE OR DIRECTED BY THE CORPORATE MEMBER. THE CORPORATION SHALL NOT TRANSFER ASSETS TO ENTITIES OTHER THAN THE CORPORATE MEMBER OR CORPORATE MEMBER AFFILIATES WITHOUT THE APPROVAL OF THE CORPORATE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF THE FORM 990 IS REVIEWED BY MANAGEMENT AND MADE AVAILABLE TO THE TOP FINANCIAL OFFICIAL FOR CONSIDERATION AND REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS ADOPTED THE COI POLICY OF COMMONSPIRIT MOUNTAIN REGION (FKA CENTURA HEALTH CORPORATION). THE POLICY READS AS FOLLOWS: 1. CONFLICT OF INTEREST POLICY 1.1 CONSISTENT WITH COMMONSPIRIT MOUNTAIN REGION'S 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 COMMONSPIRIT MOUNTAIN REGION'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 COMMONSPIRIT MOUNTAIN REGION 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 COMMONSPIRIT MOUNTAIN REGION, 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 COMMONSPIRIT MOUNTAIN REGION 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 COMMONSPIRIT MOUNTAIN REGION 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 COMMONSPIRIT MOUNTAIN REGION'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 COMMONSPIRIT MOUNTAIN REGION 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 COMMONSPIRIT MOUNTAIN REGION. 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, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN COMMONSPIRIT HEALTH'S' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT COMMONSPIRITHEALTH.ORG. PART VI, LINE 16B-EVAL OF PARTICIPATION IN JV ARRANGEMENTS CATHOLIC HEALTH INITIATIVES-COLORADO HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER, COMMONSPIRIT HEALTHS' ("CSH") SYSTEM-WIDE JOINT VENTURE MODEL OPERATING AGREEMENT INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT: (1) THE EXEMPT ORGANIZATION AT ALL TIMES RETAINS CONTROL OVER THE VENTURE SUFFICIENT TO ENSURE THAT THE PARTNERSHIP FURTHERS THE EXEMPT PURPOSE OF THE ORGANIZATION; (2) IN ANY PARTNERSHIP IN WHICH THE EXEMPT ORGANIZATION IS A PARTNER, ACHIEVEMENT OF EXEMPT PURPOSES IS PRIORITIZED OVER MAXIMIZATION OF PROFITS FOR THE PARTNERS; (3) THE PARTNERSHIP DOES NOT ENGAGE IN ANY ACTIVITIES THAT WOULD JEOPARDIZE THE EXEMPT ORGANIZATION'S EXEMPTION; (4) RETURNS OF CAPITAL, ALLOCATIONS, AND DISTRIBUTIONS MUST BE MADE IN PROPORTION TO THE PARTNERS' RESPECTIVE OWNERSHIP INTERESTS; AND (5) ALL CONTRACTS ENTERED INTO BY THE PARTNERSHIP WITH THE EXEMPT ORGANIZATION MUST BE AT ARM'SLENGTH, WITH PRICES SET AT FAIR MARKET VALUE. ANY JOINT VENTURE AGREEMENTS THAT DO NOT CONFORM TO THE MODEL AGREEMENT ARE GENERALLY REVIEWED BY COUNSEL. FORM 990, PART IX, LINE 11G OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 128,118,958. MANAGEMENT AND GENERAL EXPENSES 22,609,228. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 150,728,186. CONSULTING: PROGRAM SERVICE EXPENSES 139,352,849. MANAGEMENT AND GENERAL EXPENSES 85,736,487. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 225,089,336. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 63,890,842. MANAGEMENT AND GENERAL EXPENSES 11,274,854. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 75,165,696. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 21,631,346. MANAGEMENT AND GENERAL EXPENSES 3,817,296. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,448,642. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 194,506,459. MANAGEMENT AND GENERAL EXPENSES 34,324,670. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 228,831,129. FORM 990, PART XI, LINE 9: CHANGES IN EQUITY OF UNCONSOLIDATED ORGS -3,402,562. OTHER CHANGES -29,220,145. PEAK ONE SURGERY CENTER 350 PEAK ONE DR FRISCO CO 80443 201620230 SURGICAL CENTER CO 11433216 3303016 CHI COLORADO ALEGENT CREIGHTON CLINIC 12809 W DODGE RD OMAHA NE 68154 470765154 HOSPITAL NE 501(C)(3) LINE 3 ACH 0 ALEGENT CREIGHTON HEALTH 12809 W DODGE RD OMAHA NE 68154 470757164 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM 7500 MERCY RD OMAHA NE 68124 470484764 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - COMM MEM HOSPITAL OF MO VALLEY IA 631 N 8TH ST MISSOURI VALLEY IA 51555 420776568 HOSPITAL IA 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - IMMANUEL MEDICAL CENTER 6901 N 72ND ST OMAHA NE 68122 470376615 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER 104 W 17TH ST SCHUYLER NE 68661 470399853 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA PO BOX 368 CORNING IA 50841 420782518 HOSPITAL IA 501(C)(3) LINE 3 CHI NEBRASKA 0 ALVERNA APARTMENTS 300 SE 8TH AVE LITTLE FALLS MN 56345 411351177 LTERM CARE MN 501(C)(3) LINE 10 CSH 0 APPLETREE COURT 601 OAK ST BRECKENRIDGE MN 56520 411850500 SENIOR LIVING MN 501(C)(3) LINE 10 SFH 0 ARROYO GRANDE COMMUNITY HOSPITAL FOUNDATION 345 S HALCYON RD ARROYO GRANDE CA 93420 203256066 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 BAKERSFIELD MEMORIAL HOSPITAL 420 34TH STREET BAKERSFIELD CA 93301 951802779 HOSPITAL CA 501(C)(3) LINE 3 DCC 0 BAYLOR ST LUKE'S HEALTH VENTURES 17200 ST LUKES WAY STE 170 THE WOODLANDS TX 77384 274499340 PHYSICIANS TX 501(C)(3) LINE 12A, I SLHS 0 BAYLOR ST LUKE'S MEDICAL GROUP 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760458535 PHYSICIANS TX 501(C)(3) LINE 3 BSLHV 0 BORNEMANN HEALTHCARE CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 232187242 INACTIVE PA 501(C)(3) LINE 12A, I CSH 0 BRAZOSPORT REGIONAL PHYSICIAN SERVICES 100 MEDICAL DRIVE LAKE JACKSON TX 77566 800240261 PHYSICIANS TX 501(C)(3) LINE 3 TCHB 0 BURLESON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742759890 HOSPITAL TX 501(C)(3) LINE 3 SLH-CO 0 BURLESON ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742913931 REHABILITATION TX 501(C)(3) LINE 10 SJSC 0 CALIFORNIA HOSPITAL MEDICAL CENTER FOUNDATION 1401 SOUTH GRAND AVENUE LOS ANGELES CA 90015 954000909 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DCC 0 CARRINGTON HEALTH CENTER 800 N 4TH ST CARRINGTON ND 58421 450227311 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 CATHOLIC HEALTH INITIATIVES - COLORADO 9100 EAST MINERAL CIRCLE CENTENNIAL CO 80112 840405257 HOSPITAL CO 501(C)(3) LINE 3 CSH 0 CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 9100 EAST MINERAL AVE CENTENNIAL CO 80112 840902211 FUNDRAISING FOUNDATION CO 501(C)(3) LINE 7 CHIC 1 CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 1150 KELLY JOHNSON BLVD 204 COLORADO SPRINGS CO 80920 270930004 FUNDRAISING FOUNDATION CO 501(C)(3) LINE 12A, I CSH 0 CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 460992796 TELEHEALTH CO 501(C)(3) LINE 12A, I CSH 0 CENTENNIAL MEDICAL GROUP INC 2700 STEWART PKWY ROSEBURG OR 97471 263946191 SURGERY CENTER OR 501(C)(3) LINE 10 MMC - ROSEBURG 0 CENTRAL CALIFORNIA HEALTH CENTERS 300 OLD RIVER ROAD STE 200 BAKERSFIELD CA 93311 844171789 CLINIC CA 501(C)(3) LINE 3 DCC 0 CENTRAL KANSAS MEDICAL CENTER 9100 E MINERAL CIRCLE CENTENNIAL CO 80112 480543724 INACTIVE KS 501(C)(3) LINE 3 CSH 0 CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PKWY S FARGO ND 58104 271966847 SENIOR LIVING MN 501(C)(3) LINE 10 CSH 0 CHI HEALTH FOUNDATION 12809 W DODGE RD OMAHA NE 68154 470648586 FUNDRAISING FOUNDATION NE 501(C)(3) LINE 7 ACH 0 CHI KENTUCKY INC 3900 OLYMPIC BLVD STE 400 ERLANGER KY 41018 202741651 INVESTMENTS KY 501(C)(3) LINE 12A, I CSH 0 CHI LIVING COMMUNITIES 930 S WYNN ROAD OREGON OH 43616 341892096 SENIOR LIVING OH 501(C)(3) LINE 12A, I SFH-OH 0 CHI MEMORIAL HOSPITAL - GEORGIA 100 GROSS CRESCENT CIRCLE FORT OGLETHORPE GA 30742 822748395 HOSPITAL GA 501(C)(3) LINE 3 MHCS 0 CHI NEBRASKA 12809 WEST DODGE ROAD OMAHA NE 68510 363233121 HOLDING CO NE 501(C)(3) LINE 12A, I CSH 0 CHI ST JOSEPH CHILDREN'S HEALTH 1929 LINCOLN HWY E STE 150 LANCASTER PA 17602 232342997 HEALTHCARE PA 501(C)(3) LINE 12A, I CSH 0 CHI ST JOSEPH'S CHILDREN 1516 5TH ST NW ALBUQUERQUE NM 87102 710897107 COMMUNITY NM 501(C)(3) LINE 12A, I CSH 0 CHI ST VINCENT HOSPITAL HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 710236913 HOSPITAL AR 501(C)(3) LINE 3 CHI-SVHS 0 CHI ST VINCENT HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125064 HOLDING CO AR 501(C)(3) LINE 12A, I SVIMC 0 CHI ST VINCENT MEDICAL GROUP HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125131 PHYSICIANS AR 501(C)(3) LINE 3 CHI-SVHS 0 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 470617373 HEALTHCARE CO 501(C)(3) LINE 12A, I N/A 0 COMMONSPIRIT HEALTH FOUNDATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 853374038 FUNDRAISING FOUNDATION CO 501(C)(3) LINE 7 CSH 0 COMMONSPIRIT HEALTH OPERATING INVESTMENT POOL LLC 185 BERRY STREET STE 200 SAN FRANCISCO CA 94107 850919176 OPERATING INVESTMENTS DE 501(C)(3) LINE 12A, I CSH 0 COMMONSPIRIT HEALTH RESEARCH INSTITUTE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 271050565 RESEARCH CO 501(C)(3) LINE 12A, I CSH 0 COMMONSPIRIT MOUNTAIN REGION 9100 EAST MINERAL CIRCLE CENTENNIAL CO 80112 841335382 MANAGEMENT COMPANY CO 501(C)(3) LINE 12A, I CHIC 1 COMMUNITY HOSPITAL OF SAN BERNARDINO 1805 MEDICAL CENTER DRIVE SAN BERNARDINO CA 92411 951643373 HOSPITAL CA 501(C)(3) LINE 3 DCC 0 COMMUNITY LIMITED CARE DIALYSIS CENTER 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 237419853 HOLDING CO OH 501(C)(2) GSH 0 COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION 631 N 8TH ST MISSOURI VALLEY IA 51555 421294399 FUNDRAISING FOUNDATION IA 501(C)(3) LINE 12A, I AH-CMHMV 0 CONTINUING CARE HOSPITAL ONE SAINT JOSEPH DRIVE LEXINGTON KY 40504 611400619 HOSPITAL KY 501(C)(3) LINE 3 SJHS 0 DIGNITY COMMUNITY CARE 185 BERRY STREET STE 200 SAN FRANCISCO CA 94107 815009488 HOSPITAL CO 501(C)(3) LINE 3 CSH 0 DIGNITY HEALTH 185 BERRY STREET STE 200 SAN FRANCISCO CA 94107 941196203 HOSPITAL CA 501(C)(3) LINE 3 CSH 0 DIGNITY HEALTH CONNECTED LIVING 200 MERCY OAKS DRIVE REDDING CA 96003 237115371 SENIOR CENTER SERVICES CA 501(C)(3) LINE 7 DH 0 DIGNITY HEALTH FOUNDATION 185 BERRY STREET STE 200 SAN FRANCISCO CA 94107 462037641 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 DIGNITY HEALTH FOUNDATION - INLAND EMPIRE 2101 N WATERMAN AVENUE SAN BERNARDINO CA 92404 237440086 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 DIGNITY HEALTH FOUNDATION EAST VALLEY 475 SOUTH DOBSON ROAD CHANDLER AZ 85224 742418514 FUNDRAISING FOUNDATION AZ 501(C)(3) LINE 12A, I DH 0 DIGNITY HEALTH MEDICAL FOUNDATION 3400 DATA DRIVE RANCHO CORDOVA CA 95670 680220314 MULTI-SPECIALTY OUTPATIENT MEDICAL CLINIC CA 501(C)(3) LINE 12A, I DCC 0 DOMINICAN HEALTH SERVICES 1555 SOQUEL DRIVE SANTA CRUZ CA 95065 770056778 COMMUNITY HEALTH SYSTEM CA 501(C)(3) LINE 12A, I DH 0 DOMINICAN HOSPITAL FOUNDATION 1555 SOQUEL DRIVE SANTA CRUZ CA 95065 942450442 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 DOMINICAN OAKS CORPORATION 1555 SOQUEL DRIVE SANTA CRUZ CA 95065 770127719 OPERATION AND MANAGEMENT OF HOUSING COMPLEX TO ELDERLY PERSONS CA 501(C)(3) LINE 10 DHS 0 ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1455 BATTERSBY AVE ENUMCLAW WA 98022 910715805 HOSPITAL WA 501(C)(3) LINE 3 FHS 0 FLAGET HEALTHCARE INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 611345363 HOSPITAL KY 501(C)(3) LINE 3 KOH 0 FLAGET MEMORIAL HOSPITAL FOUNDATION INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 562351341 FUNDRAISING FOUNDATION KY 501(C)(3) LINE 12A, I FH 0 FRANCISCAN CARE CENTER 4111 N HOLLAND-SYLVANIA RD TOLEDO OH 43623 341931806 HEALTHCARE OH 501(C)(3) LINE 10 CHILC 0 FRANCISCAN FOUNDATION 1717 SOUTH J ST TACOMA WA 98405 911145592 FUNDRAISING FOUNDATION WA 501(C)(3) LINE 10 FHS 0 FRANCISCAN HEALTH SYSTEM 1717 SOUTH J ST TACOMA WA 98405 910564491 HOSPITAL WA 501(C)(3) LINE 3 CSH 0 FRANCISCAN MEDICAL GROUP 1313 BROADWAY STE 200 TACOMA WA 98402 911939739 PHYSICIANS WA 501(C)(3) LINE 10 FHS 0 FRENCH HOSPITAL MEDICAL CENTER FOUNDATION 1911 JOHNSON AVENUE SAN LUIS OBISPO CA 93401 203256125 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DCC 0 GARRISON MEMORIAL HOSPITAL 407 THIRD AVENUE SOUTHEAST GARRISON ND 58540 450227752 HOSPITAL ND 501(C)(3) LINE 3 SAMC 0 GLENDALE MEMORIAL HEALTH FOUNDATION 1420 SOUTH CENTRAL AVENUE GLENDALE CA 91204 953625651 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DCC 0 GLOBAL HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 201536108 INACTIVE CO 501(C)(3) LINE 12A, I CSH 0 GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311778403 EDUCATION OH 501(C)(3) LINE 2 GSH 0 GOOD SAMARITAN HOSPITAL PO BOX 1990 KEARNEY NE 68848 470379755 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 GOOD SAMARITAN HOSPITAL FOUNDATION 111 W 31ST ST KEARNEY 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FOUNDATION 600 MAIN AVE S BAUDETTE MN 56623 411893795 FUNDRAISING FOUNDATION ND 501(C)(3) LINE 7 LHC 0 LEGACY FOUNDATION OF KENTUCKIANA INC 1451 HARRODSBURG RD STE D-308 LEXINGTON KY 40504 832170324 FUNDRAISING FOUNDATION KY 501(C)(3) LINE 12A, I KOH 0 LISBON AREA HEALTH SERVICES 905 MAIN ST LISBON ND 58054 820558836 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 LONGMONT UNITED HOSPITAL 1950 MOUNTAIN VIEW AVE LONGMONT CO 80501 840460697 HOSPITAL CO 501(C)(3) LINE 3 CHIC 1 LUFKIN VISION ACQUISITIONS PO BOX 1447 LUFKIN TX 75901 820563768 PROPERTY MGMT TX 501(C)(3) LINE 12A, I MHSET 0 MADISON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742761145 HOSPITAL TX 501(C)(3) LINE 3 SLH-CO 0 MADONNA MANOR INC 2344 AMSTERDAM ROAD VILLA HILLS KY 51017 610654635 ASSISTED LIVING KY 501(C)(3) LINE 10 CHILC 0 MARIAN REGIONAL MEDICAL CENTER FOUNDATION 1400 E CHURCH STREET SANTA MARIA CA 93454 953818027 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 MARK TWAIN MEDICAL CENTER 768 MOUNTAIN RANCH ROAD SAN ANDREAS CA 95249 680127677 HOSPITAL CA 501(C)(3) LINE 3 DCC 0 MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC 2525 DE SALES AVE CHATTANOOGA TN 37404 621839548 FUNDRAISING FOUNDATION TN 501(C)(3) LINE 7 MHCS 0 MEMORIAL HEALTH CARE SYSTEM INC 2525 DE SALES AVE CHATTANOOGA TN 37404 620532345 HOSPITAL TN 501(C)(3) LINE 3 CSH 0 MEMORIAL HEALTH PARTNERS FOUNDATION INC 5600 BRAINERD RD STE 500 CHATTANOOGA TN 37411 030417049 HEALTHCARE TN 501(C)(3) LINE 10 MHCS 0 MEMORIAL HEALTH SYSTEM OF EAST TEXAS PO BOX 1447 LUFKIN TX 75902 750755367 HOSPITAL TX 501(C)(3) LINE 3 SLH-CO 0 MEMORIAL MEDICAL CENTER - LIVINGSTON PO BOX 1447 LUFKIN TX 75902 760436439 HOSPITAL TX 501(C)(3) LINE 3 SLH-CO 0 MEMORIAL MEDICAL CENTER - SAN AUGUSTINE PO BOX 1447 LUFKIN TX 75902 752663904 HOSPITAL TX 501(C)(3) LINE 3 SLH-CO 0 MEMORIAL MULTISPECIALTY ASSOCIATES 1201 FRANK AVE LUFKIN TX 75904 752721155 PHYSICIANS TX 501(C)(3) LINE 12A, I MHSET 0 MEMORIAL SPECIALTY HOSPITAL PO BOX 1447 LUFKIN TX 75902 752492741 INACTIVE 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SAINT CLARE'S COMMUNITY CARE INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 222876836 INACTIVE NJ 501(C)(3) LINE 12B, II SCHS 0 SAINT CLARE'S HEALTH SERVICES INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 223639733 INACTIVE NJ 501(C)(3) LINE 10 CSH 0 SAINT CLARE'S HOSPITAL INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 223319886 INACTIVE NJ 501(C)(3) LINE 3 SCHS 0 SAINT ELIZABETH FOUNDATION 555 S 70TH ST LINCOLN NE 68510 470625523 FUNDRAISING FOUNDATION NE 501(C)(3) LINE 7 SERMC 0 SAINT ELIZABETH HEALTH SERVICES 555 S 70TH ST LINCOLN NE 68510 363233120 INACTIVE NE 501(C)(3) LINE 3 SERMC 0 SAINT ELIZABETH REGIONAL MEDICAL CENTER 555 S 70TH ST LINCOLN NE 68510 470379836 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 SAINT FRANCIS MEDICAL CENTER 2620 W FAIDLEY GRAND ISLAND NE 68803 470376601 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 SAINT FRANCIS MEDICAL CENTER FOUNDATION PO BOX 9804 GRAND ISLAND NE 68802 470630267 FUNDRAISING FOUNDATION NE 501(C)(3) LINE 7 SFMC-NE 0 SAINT FRANCIS MEMORIAL HOSPITAL 900 HYDE STREET SAN FRANCISCO CA 94109 941156295 HOSPITAL CA 501(C)(3) LINE 3 DCC 0 SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC 305 ESTILL ST BEREA KY 40403 260152877 FUNDRAISING FOUNDATION KY 501(C)(3) LINE 7 SJHS 0 SAINT JOSEPH HEALTH SYSTEM INC ONE ST JOSEPHS DRIVE LEXINGTON KY 40504 611334601 HOSPITAL KY 501(C)(3) LINE 3 KOH 0 SAINT JOSEPH HOSPITAL FOUNDATION INC 701 BOB OLINK DR 200 LEXINGTON KY 40504 611159649 FUNDRAISING FOUNDATION KY 501(C)(3) LINE 12A, I SJHS 0 SAINT JOSEPH LONDON FOUNDATION INC 1001 SAINT JOSEPH LANE LONDON KY 40741 260438748 FUNDRAISING FOUNDATION KY 501(C)(3) LINE 7 SJHS 0 SAINT JOSEPH MOUNT STERLING FOUNDATION INC 225 FALCON DR MOUNT STERLING KY 40353 272884584 FUNDRAISING FOUNDATION KY 501(C)(3) LINE 7 SJHS 0 SAINT JOSEPH'S HOSPITAL FOUNDATION 2500 FAIRWAY STREET DICKINSON ND 58601 363418207 FUNDRAISING FOUNDATION ND 501(C)(3) LINE 12A, I SJHHC 0 SAN GABRIEL VALLEY MEDICAL CENTER FOUNDATION 438 WEST LAS TUNAS DRIVE SAN GABRIEL CA 91776 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