2025-05-06T15:10:46-05:00 2024-06-30 135565207 KPMG LLP 55 SECOND STREET SUITE 1400 SAN FRANCISCO CA 94105 990 2023-07-01 941156295 SAINT FRANCIS MEMORIAL HOSPITAL SAIN 4153536600 185 BERRY STREET SUITE 200 SAN FRANCISCO CA 94107 CHARLES THEVNIN CFO 9164236100 2025-05-06 1 1 JAMES R LANCASTER P00742579 4159635100 2023 2025-03-06 01:10:19Z CHARLES THEVNIN 185 BERRY STREET SUITE 200 SAN FRANCISCO CA 94107 205564359 0 X WWW.DIGNITYHEALTH.ORG/SAINTFRANCIS X 1938 CA AS AN AFFILIATE OF COMMONSPIRIT HEALTH ("COMMONSPIRIT"), SAINT FRANCIS MEMORIAL HOSPITAL IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE WE SERVE, ESPECIALLY THOSE WHO ARE VULNERABLE, WHILE WE ADVANCE SOCIAL JUSTICE FOR ALL. 18 13 1058 18 0 0 9383298 3924819 200380288 200663763 49941 -954960 5303213 1928240 215116740 205561862 6807220 4602582 0 0 143025007 140816920 0 0 0 118599226 196892588 268431453 342312090 -53314713 -136750228 312333251 223736943 192613427 239373956 119719824 -15637013 X SAINT FRANCIS MEMORIAL HOSPITAL ("SFMH") IS COMMITTED TO PROVIDING COMPASSIONATE, HIGH-QUALITY, AFFORDABLE HEALTH SERVICES FOR OUR SISTERS AND BROTHERS WHO ARE POOR AND DISENFRANCHISED; AND PARTNERING WITH OTHERS IN THE COMMUNITY TO IMPROVE THE QUALITY OF LIFE.EFFECTIVE JUNE 12, 2023, THE REGENTS OF THE UNIVERSITY OF CALIFORNIA ON BEHALF OF THE UNIVERSITY OF CALIFORNIA SAN FRANCISCO HEALTH ("UCSF") AND COMMONSPIRIT, ENTERED INTO A NON-BINDING LETTER OF INTENT TO WHICH UCSF WOULD ACQUIRE SFMH AND OTHER IDENTIFIED ASSETS OF CERTAIN OTHER COMMONSPIRIT ENTITIES ("SAINT FRANCIS COMBINED ENTITY") PURSUANT TO THE TERMS AND CONDITIONS OF THE TRANSACTION AGREEEMENT. FROM AND AFTER THE EFFECTIVE TIME, UCSF SHALL BECOME THE SOLE MEMBER OF THE SAINT FRANCIS COMBINED ENTITY. 0 0 310726273 4602582 200663763 SFMH'S MISSION IS TO CONTRIBUTE TO THE HEALTH OF THE COMMUNITY THROUGH THE PROVISIONS OF QUALITY SERVICES DELIVERED IN A COMPASSIONATE AND COST-EFFECTIVE MANNER. THE HOSPITAL HAS 294 BEDS AND SERVICED PATIENTS AS FOLLOWS: OUTPATIENT VISITS OF 63,969; EMERGENCY VISITS OF 23,206; INPATIENT AND OUTPATIENT OPERATING ROOM CASES OF 2,440.INPATIENT SERVICES: ACUTE MEDICAL SURGICAL CARE AND REHAB, INTENSIVE AND BURN CARE, ADULT PSYCH, PHARMACY, CARDIOPULMONARY, SURGERY AND TELEMETRY UNIT, GENDER AFFIRMATION SERVICES. OUTPATIENT SERVICES: EMERGENCY CARE, SPORTS MEDICINE AND OCCUPATIONAL HEALTH CLINICS, PULMONARY REHAB, OUTPATIENT BURN CARE, SPINE AND JOINT/PAIN/MS CLINIC, DIAGNOSTIC IMAGING, RADIATION ONCOLOGY, GASTROINTESTINAL SERVICES AND PHYSICAL THERAPY SERVICES, HYPERBARIC OXYGEN CLINIC. SUPPORT SERVICES: CHAPLAINCY PROGRAM, FAMILY SUPPORT SERVICES, PALLIATIVE CARE, PARKING SERVICES, NURSING EDUCATION SERVICES, HEALTH SCIENCES LIBRARY; AS WELL AS SUPPORT, TIME AND MONEY TO ORGANIZATIONS AND INDIVIDUALS THROUGHOUT THE COMMUNITY. 310726273 1 1 0 1 0 0 0 0 0 1 1 0 1 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 1 1 1 0 0 0 0 0 1 0 0 0 1 58 0 1 1058 1 0 0 0 0 0 0 0 0 0 0 0 0 X 18 13 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 1 1 CA X LARA CARTOSCELLI ACCOUNTING DEPT 9166313334 3400 DATA DRIVE RANCHO CORDOVA CA 95670 X BENJIE M LOANZON BOARD MEMBER 3.00 50.00 X 0 1531445 132983 JILL WELTON BSN MSN FORMER KEY EMPLOYEE (VP QUALITY/CNO) 0.00 50.00 X 0 884431 127034 DARYN KUMAR PRESIDENT & CEO 50.00 0.00 X X 0 625142 72294 MONICA M MAJORS DIV VP MARKETING COMM (THRU 4/12/24 16.00 34.00 X 545696 0 68220 MARGIE REYES STAFF NURSE II 50.00 0.00 X 359902 0 169799 TODD A LEVINE MD CMO (THRU 4/1/24) 50.00 0.00 X 427278 0 61012 BRADLEY GROTE FORMER KEY EMPLOYEE (SR DIR-NURSING OPERATION 0.00 50.00 X 0 429692 49549 YIPI YANG REGISTERED NURSE 50.00 0.00 X 368014 0 96523 ISATOU E NJIE STAFF NURSE II 50.00 0.00 X 346664 0 108571 CHARLES THEVNIN CFO 25.00 25.00 X 377409 0 55499 TENZIN PEMA STAFF NURSE II 50.00 0.00 X 340156 0 41902 TIFFANY CASTER COO (THRU 12/1/23) 50.00 0.00 X 333611 0 24912 CHARLENE BATTAGLIA SR DIR NURSING (THRU 1/31/23) 50.00 0.00 X 343591 0 5465 RICHARD WARD MD BOARD MEMBER 3.00 10.00 X 5608 9375 0 MAN-KIT LEUNG MD BOARD MEMBER 3.00 5.00 X 14729 0 0 CHARLES CASEY BOARD MEMBER 3.00 5.00 X 0 9375 0 N THOMAS AHLBERG MD BOARD MEMBER 3.00 0.00 X 0 0 0 MATTHEW E BRADY BOARD MEMBER (EFF 8/1/23) 3.00 0.00 X 0 0 0 DARRAGH FLYNN MD BOARD MEMBER 3.00 0.00 X 0 0 0 KENNETH KIM PHYSD BOARD MEMBER 3.00 0.00 X 0 0 0 JACLYN MCGOWAN MD BOARD MEMBER 3.00 0.00 X 0 0 0 MICHAEL PENN MD BOARD MEMBER 3.00 0.00 X 0 0 0 VICTOR PRIETO MD BOARD MEMBER 3.00 0.00 X 0 0 0 MICHAEL SCHRADER MD BOARD MEMBER 3.00 0.00 X 0 0 0 JOANNE SUN MD BOARD MEMBER 3.00 0.00 X 0 0 0 MICHAEL A TAYLOR MD BOARD MEMBER 3.00 0.00 X 0 0 0 ROBERT HARVEY MD SECRETARY 3.00 0.00 X X 0 0 0 CLEMENT JONES MD VICE-CHAIR 3.00 0.00 X X 0 0 0 KIMBERLY MACPHERSON BOARD CHAIR 3.00 0.00 X X 0 0 0 3462658 3489460 1013763 445 1 1 0 ANESTHESIOLOGISTS MED GR OF SF 2001 ADDISON ST BERKELEY CA 947041165 MEDICAL SERVICES 7561251 MEDICAL SOLUTIONS LLC 1010 N 102ND ST OMAHA NE 68114 STAFFING SERVICES 3676897 SAN FRANCISCO CYBERKNIFE LLC 18201 VON KARMAN AVE IRVINE CA 92612 MEDICAL SERVICES 3344000 CAMERON BUILDERS INC 1660 SCHOOL STREET MORAGA CA 94556 CONTRACTOR 2285685 VITUITY HOSPITALISTS PC 2100 POWELL ST EMERYVILLE CA 946081803 MEDICAL/PHYSICIAN SERVICES 1953208 58 6250 450974 3467595 3924819 PATIENT NET OF CHARITY 900099 135602759 135602759 MEDICARE/MEDICAID PAYM 900099 61616701 61616701 MEDICAL OFFICE BUILDIN 621110 1582354 1582354 PHYSICIAN PROFESSIONAL 900099 1558747 1558747 MADDY EMS FUNDS 900099 145921 145921 157281 157281 200663763 -954960 -954960 25912 2497 23415 23415 23415 PARKING LOT 812930 924656 924656 INSURANCE FLOOD CLAIM 900099 452816 452816 AR FINANCE CHARGES 900099 245211 245211 282142 282142 1904825 205561862 200663763 0 973280 X 4571582 4571582 31000 31000 1442390 1344838 97552 293208 293208 103671213 97875588 5795625 8914621 8394492 520129 19368090 17949833 1418257 7127398 6637947 489451 643083 643083 18582 18582 4975 4975 44805486 33262338 11543148 667504 4485 663019 2904304 2644374 259930 9274484 514898 8759586 5323996 5249507 74489 113457 38075 75382 77468 51871 25597 3840673 3840673 6902817 6896574 6243 2278273 2278273 SPECIAL CHARGES 81412018 81406689 5329 MEDI-CAL PROVIDER FEE 22124878 22124878 MEDICAL SUPPLIES 13590674 13590674 LICENSES AND TAXES 1037431 607760 429671 1872485 1116716 755769 342312090 310726273 31585817 0 490 490 1813 0 203965 141872 42720553 34737180 77778 44445 6036333 6852598 17738568 15427703 111324013 61911024 133395560 49412989 890235 933470 103059878 101867614 8208078 14318582 312333251 223736943 127784232 141486525 1372911 1479199 63456284 96408232 192613427 239373956 X 20599947 -114756890 99119877 99119877 119719824 -15637013 312333251 223736943 X -136750228 12824 1380567 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 1 2046 0 0 0 0 1 16535 18581 0 PART II-B, LINE 1: SCHEDULE C, PART II - B, LINE 1D SAINT FRANCIS MEMORIAL HOSPITAL ENGAGED IN LETTER-WRITING CAMPAIGNS, CO-SPONSORSHIP CAMPAIGNS, EDUCATION WITH MEMBERS OF CONGRESS, AND OTHER LOBBYING ACTIVITIES AIMED AT INFLUENCING PUBLIC POLICY. THIS IS DONE PRIMARILY THROUGH EMPLOYED DIVISION-LEVEL ADVOCACY LEADERS WITH LEADERSHIP AND GUIDANCE FROM NATIONAL EMPLOYEES. DRAFT LETTERS WERE PROVIDED ON THE ORGANIZATION'S ADVOCACY PRIORITIES; DIVISION-EMPLOYED ADVOCACY LEADERS WERE ABLE TO CREATE THEIR OWN LETTERS AS WELL. THE ORGANIZATION COMMUNICATES WITH LEADERS OF THE SYSTEM'S HOSPITALS AND HEALTH CARE ORGANIZATIONS ON ADVOCACY ACTIVITIES PRIMARILY THROUGH E-MAIL. MOST COMMUNICATIONS WITH CONGRESS OCCUR THROUGH EMAIL AND PHONE. ADVOCACY ACTIVITIES INVOLVED COMMUNICATIONS ON THE ORGANIZATION'S ADVOCACY PRIORITIES, INCLUDING ISSUES RELATED TO ACCESS AND COVERAGE FOR ALL, HOSPITAL AND HEALTH PROVIDER REIMBURSEMENT, COVID-19 RELIEF FOR INDIVIDUALS AND HEALTH ENTITIES, PHYSICIAN AND NURSING SHORTAGES, AND SOCIAL JUSTICE ISSUES (E.G. ENVIRONMENTAL STEWARDSHIP, HOUSING). CENTRAL TO THE ORGANIZATION'S MISSION AND VISION IS A COMMITMENT TO ADVOCATE FOR SYSTEMIC CHANGES TO IMPROVE THE HEALTH AND WELL-BEING OF INDIVIDUALS AND COMMUNITIES WITH A SPECIFIC CONCERN FOR PERSONS WHO ARE POOR AND MARGINALIZED. THE HOSPITAL'S ADVOCACY ACTIVITIES ARE INEXTRICABLY LINKED TO ITS FUNDAMENTAL GOAL TO BUILD HEALTHIER COMMUNITIES. ONE DIMENSION OF THE ORGANIZATION'S ADVOCACY PROGRAM FOCUSES ON PUBLIC POLICY ADVOCACY, WHICH INCLUDES ATTENTION TO FEDERAL LEGISLATIVE AND REGULATORY MEASURES, FORMATION OF POSITIONS ON PRIORITY ISSUES, AND POLITICAL ACTIVISM. THE COMMONSPIRIT HEALTH PUBLIC POLICY AGENDA INCLUDES BOTH TRADITIONAL HEALTH CARE POLICIES (E.G., PAYMENT ISSUES, QUALITY AND SAFETY, ETC.) AS WELL AS SOCIAL JUSTICE POLICIES. SCHEDULE C, PART II - B, LINE 1I LOBBYING EXPENDITURES PAID BY THE PARENT ORGANIZATION FOR ANNUAL MEMBERSHIP DUES WHERE EXPENSES ARE ALLOCATED TO THE HOSPITAL: ADVANCED CERTIFIED HOSPICE & PALLIATIVE SOCIAL WORKERS $ 9 AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES $ 9 AMERICAN ORGANIZATION FOR NURSING LEADERSHIP $ 12 ASSOCIATION FOR PROFESSIONALS INFECTION CONTROL AND EPIDEMIOLOGY $ 2 ASSOCIATION OF NUTRITION & FOODSERVICE PROFESSIONALS $ 2 ASSOCIATION OF PERIOPERATIVE REGISTERED NURSES $ 11 AMERICAN HOSPITAL ASSOCIATION $5,285 340 B HEALTH $ 54 HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA $ 11,151 TOTAL $ 16,535 49297421 -5082690 44214731 53266090 -3968669 49297421 53266090 53266090 45349214 7916876 53266090 45901737 -552523 45349214 0.00000 0.67000 0.33000 1 0 45552900 45552900 115335806 49087962 66247844 26674 23147 3527 -54545434 12799915 -67345349 4954067 4954067 49412989 INVESTMENT IN UNCONSOLIDATED FOUNDATION 99119876 F OWNERSHIP INTEREST IN HEALTH-RELATED INVESTMENTS 2747738 C 101867614 OTHER LONG-TERM ASSETS 7920801 PREPAID PENSION EXPENSE 6397781 14318582 OTHER NON-CURRENT LIABILITIES 3687100 DUE TO RELATED PARTIES 89128820 PENSION PAYABLE 3592312 96408232 X PART V, LINE 4: THE ENDOWMENT FUNDS ARE INTENDED TO BE USED TO SUPPORT THE HOSPITAL'S HEALTHCARE NEEDS AND OTHER HOSPITAL PROGRAM NEEDS. PART X, LINE 2: THE ORGANIZATION REVIEWS ITS TAX POSITIONS QUARTERLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. 1 1 X 1 X 250.000000000000 1 X 500.000000000000 1 1 0 1 1 2360 4973056 0 4973056 0.01450 9430 87866184 46904389 40961795 0.11970 44 359409 32337 327072 0.00100 11834 93198649 46936726 46261923 0.13520 8 1570 1550296 350715 1199581 0.00350 7 463 1144020 0 1144020 0.00330 1 68 450743 0 450743 0.00130 4 1 296319 0 296319 0.00090 20 2102 3441378 350715 3090663 0.00900 20 13936 96640027 47287441 49352586 0.14420 5328 5328 0.00000 5328 5328 0.00000 1 1226586 27777969 39846545 -12068576 X 1 1 1 1 SAINT FRANCIS MEMORIAL HOSPITAL 900 HYDE ST SAN FRANCISCO CA 94109 WWW.DIGNITYHEALTH.ORG/BAYAREA/LOCATION 220000069 X X X X SAINT FRANCIS MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X X 21 1 1 1 1 X SEE PART V, SECTION C X HTTP://WWW.SFHIP.ORG/ X X 1 22 1 SEE PART V, SECTION C 0 1 X 250.000000000000 500.000000000000 X X X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION A: PRESENTATION OF HOSPITAL'S COMPLETE WEBSITE ADDRESS:WWW.DIGNITYHEALTH.ORG/BAYAREA/LOCATIONS/SAINTFRANCIS SAINT FRANCIS MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: FOR THE 2022 (TY 2021) CHNA REPORT, THE DATA SOURCES FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDES DATA FROM PUBLIC HEALTH DEPARTMENTS AND COMMUNITY AGENCIES; SURVEYS, FOCUS GROUPS; INTERVIEWS; REVIEW OF OTHER ASSESSMENTS; AND INPUT FROM THE HOSPITAL'S COMMUNITY. THE CHNA INCLUDED FIVE FOCUS GROUPS (LISTED BELOW). PARTICIPANTS OF THE HEALTH EQUITY/PARITY COALITIONS WERE COMPENSATED FOR THEIR TIME. AS PART OF OUR PARTNERSHIP WITH KAISER PERMANENTE, WE SHARED THE TRANSCRIPTS FROM THE FOCUS GROUPS AND KAISER SHARED THE TRANSCRIPTS FROM THEIR 15 KEY INFORMANT INTERVIEWS. WE COORDINATED INTERVIEWEES TO ENSURE WE DID NOT REACH OUT TO THE SAME GROUP TWICE. TO ANALYZE THE FOCUS GROUPS AND KEY INFORMANT INTERVIEWS, KEY HEALTH NEEDS WERE TABULATED FROM THE INTERVIEWS AND AGGREGATED TO PULL OUT KEY HEALTH NEEDS ANDILLUSTRATIVE QUOTES.FOCUS GROUPS WERE CONDUCTED WITH THE FOLLOWING FIVE GROUPS IN THE SUMMER AND FALL OF 2021. ASIAN PACIFIC ISLANDER HEALTH PARITY COALITION (APIHPC), RAFIKI AFRICAN AMERICAN HEALTH EQUITY COALITION, CHICANO / LATINO / INDIGENA HEALTH EQUITY COALITION (CLI), FUNDERS (INCLUDING BLUE SHIELD OF CALIFORNIA FOUNDATION, CALIFORNIA HEALTHCARE FOUNDATION, HIRSCH PHILANTHROPY PARTNERS, METTA FUND, NORTHERN CALIFORNIA GRANT MAKERS, ZELLERBACH FAMILY FOUNDATION), INSURERS (INCLUDING ANTHEM, BLUE SHIELD, CANOPY HEALTH, KAISER PERMANENTE, SAN FRANCISCO HEALTH PLAN.KEY INFORMANT INTERVIEWS WERE CONDUCTED AS PART OF THE KAISER CHNA, WITH PEOPLE FROM THE FOLLOWING 15 ORGANIZATIONS: BAYVIEW YMCA, COMPASS FAMILY SERVICES, GLIDE FOUNDATION, HUCKLEBERRY YOUTH PROGRAMS, KAISER PERMANENTE GREATER SAN FRANCISCO, LA CASA DE LAS MADRES, LAVENDER YOUTH RECREATION CENTER (LYRIC), MISSION ECONOMIC DEVELOPMENT AGENCY, NEMS (NORTH EAST MEDICAL SERVICES), ON LOK/30 ST. SENIOR CENTER, RAMS (RICHMOND AREA MULTI-SERVICES), SAN FRANCISCO AIDS FOUNDATION, SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH, SAN FRANCISCO HUMAN RIGHTS COMMISSION, SAN FRANCISCO UNIFIED SCHOOL DISTRICT. SAINT FRANCIS MEMORIAL HOSPITAL PART V, SECTION B, LINE 6A: ST. MARY'S MEDICAL CENTER, SUTTER CPMC AND UCSF MEDICAL CENTER. SAINT FRANCIS MEMORIAL HOSPITAL PART V, SECTION B, LINE 6B: SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH, ASIAN PACIFIC ISLANDER HEALTH PARITY COALITION, AFRICAN AMERICAN HEALTH EQUITY COALITION, CHICANO / LATINO / INDIGENA HEALTH EQUITY COALITION SAINT FRANCIS MEMORIAL HOSPITAL PART V, SECTION B, LINE 7D: SFMH'S COMMUNITY HEALTH NEEDS ASSESSMENT WAS EMAILED DIRECTLY TO COMMUNITY PARTNERS SAINT FRANCIS MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: ACCESS TO WELCOMING HEALTHCARE: THE HOSPITAL IS ADDRESSING THE SIGNIFICANT HEALTH NEED BY BUILDING BRIDGES FOR OUR PATIENTS TO GET THE CARE THEY NEED. AS OVER 40% OF THE HOSPITAL'S PATIENTS ARE ON MEDI-CAL, FOCUSING ON THAT POPULATION ENSURES WE ARE DIRECTLY SERVING LOW-INCOME INDIVIDUALS. WE ARE FOCUSED ON TWO PATIENT POPULATIONS: SENIORS AND PERSONS WITH SUBSTANCE USE AND MENTAL HEALTH DISORDERS. BRIDGES INCLUDE CLEARER PATHWAYS TO HOUSING SOLUTIONS, FOLLOW UP CASE MANAGEMENT FROM A NON-PROFIT PROVIDER, POST-DISCHARGE SENIOR SERVICES, AND ADVOCACY FOR SUPPORT FOR THESE POPULATIONS. WORK WITH CARE PARTNERS TO SUPPORT PATIENTS' ACCESS TO MEDI-CAL'S CAL-AIM BENEFITS. PARTNERS AND PROGRAMS INCLUDE: STREET-BASED MEDICINE OUTREACH, SERIOUS ILLNESS PROGRAM FOR CHINESE SENIORS, COMMUNITY GRANTS PROGRAM, PATIENT FINANCIAL ASSISTANCE, AND DELANCEY STREET FOUNDATION. THE HOSPITAL'S WORK AROUND CAL-AIM CONNECTION TO ENHANCED CASE MANAGEMENT PROVIDERS AND MANAGED CARE PLANS WAS RECENTLY SPOTLIGHTED AT THE DECEMBER 6, 2024 MEETING OF THE DEPARTMENT OF HEALTH CARE SERVICES WEBINAR ON HOSPITAL BEST PRACTICES FOR ECM AND CAL-AIM. BEHAVIORAL HEALTH & SUBSTANCE USE: CONVENING WITH SFPD, SF DEPARTMENT OF PUBLIC HEALTH, AND SFFD ON CARE FOR PATIENTS UNDER 5150 HOLDS. RALLY FAMILY SERVICES SUPERVISED VISITATION SERVICES FOR FAMILIES IN DOMESTIC DISPUTES. THIS PROGRAM REDUCES ACES BY WORKING TO MAINTAIN RELATIONSHIPS WITH BOTH PARENTS THROUGH DIFFICULT TIMES. COMMUNITY HEALTH WORKER SUBSTANCE USE NAVIGATOR PROGRAM GRANT WITH SAN FRANCISCO HEALTH PLAN TO INCREASE PATIENT'S KNOWLEDGE AND WILLINGNESS TO SEEK SUBSTANCE USE TREATMENT SERVICES. CODE TENDERLOIN NIGHTS AND WEEKENDS STREET NAVIGATION PROGRAM HELP FOUND A NEW NIGHT AND WEEKENDS NAVIGATION PROGRAM THAT HAS INCREASED ACCESS TO SUBSTANCE USE TREATMENT SERVICES, BUPRENORPHINE PRESCRIPTION AND PATIENT NAVIGATION. THE PROGRAM CONNECTS PATIENTS DURING THE NIGHTS AND WEEKENDS, TRADITIONAL TIMES THAT SERVICE PROVIDERS ARE NOT AVAILABLE, BUT NEED FROM PATIENTS IS HIGHEST. CODE TENDERLOIN HAS SEEN DRASTIC SUCCESS IN THEIR REFERRALS TO SUBSTANCE USE TREATMENT AND THE CITY HAS ALLOWED THEM ACCESS TO 20 STABILIZATION BEDS FOR INDIVIDUALS SEEKING TO ENTER SUBSTANCE USE TREATMENT. ECONOMIC OPPORTUNITY: THE HOSPITAL SUPPORTS THIS HEALTH NEED IN A VARIETY OF WAYS, BOTH BY SUPPORTING INDIVIDUALS TO BECOME THE NEXT GENERATIONS OF HEALTHCARE LEADERS, AND BUILDING FINANCIAL SUSTAINABILITY FOR COMMUNITY HEALTH WORKER PROGRAMS TO BUILD THE HEALTHCARE WORKFORCE AND SUPPORT CURRENT PATIENTS. THE HOSPITAL ALSO ENGAGES WITH THE SAN FRANCISCO COUNTY COLLABORATIVE PLANNING AND IMPLEMENTATION FOR CLAIM TO SUPPORT AND BUILD PARTNERSHIPS WITH NON-PROFIT'S EFFORTS TO BILL FOR AND SERVE MANAGED MEDICAL CLIENTS. SAINT FRANCIS MEMORIAL HOSPITAL PART V, SECTION B, LINE 13H: THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF TEN DOLLARS ($10.00) WITH THE COMMONSPIRIT HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. IF APPLICABLE, BALANCES BELOW TEN DOLLARS ($10.00) WOULD BE ADJUSTED USING A SMALL BALANCE ADJUSTMENT AND NOT BILLED TO THE PATIENT/GUARANTOR.THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION.PATIENT COOPERATION STANDARDS - A PATIENT MUST COOPERATE WITH THE HOSPITAL FACILITY IN PROVIDING THE INFORMATION AND DOCUMENTATION NECESSARY TO DETERMINE ELIGIBILITY. SUCH COOPERATION INCLUDES COMPLETING ANY REQUIRED APPLICATIONS OR FORMS. THE PATIENT IS RESPONSIBLE FOR NOTIFYING THE HOSPITAL FACILITY OF ANY CHANGE IN FINANCIAL SITUATION THAT WOULD IMPACT THE ASSESSMENT OF ELIGIBILITY. A PATIENT MUST EXHAUST ALL OTHER PAYMENT OPTIONS, INCLUDING PRIVATE COVERAGE, FEDERAL, STATE AND LOCAL MEDICAL ASSISTANCE PROGRAMS, AND OTHER FORMS OF ASSISTANCE PROVIDED BY THIRD PARTIES PRIOR TO BEING APPROVED. AN APPLICANT FOR FINANCIAL ASSISTANCE IS RESPONSIBLE FOR APPLYING TO PUBLIC PROGRAMS FOR AVAILABLE COVERAGE. HE OR SHE IS ALSO EXPECTED TO PURSUE PUBLIC OR PRIVATE HEALTH INSURANCE PAYMENT OPTIONS FOR CARE PROVIDED BY A COMMONSPIRIT HOSPITAL ORGANIZATION WITHIN A HOSPITAL FACILITY. A PATIENT'S AND, IF APPLICABLE, ANY GUARANTOR'S COOPERATION IN APPLYING FOR APPLICABLE PROGRAMS AND IDENTIFIABLE FUNDING SOURCES, INCLUDING COBRA COVERAGE (A FEDERAL LAW ALLOWING FOR A TIME-LIMITED EXTENSION OF EMPLOYEE HEALTHCARE BENEFITS), SHALL BE REQUIRED. IF A HOSPITAL FACILITY DETERMINES THAT COBRA COVERAGE IS POTENTIALLY AVAILABLE, AND THAT A PATIENT IS NOT A MEDICARE OR MEDICAID BENEFICIARY, THE PATIENT OR GUARANTOR SHALL PROVIDE THE HOSPITAL FACILITY WITH INFORMATION NECESSARY TO DETERMINE THE MONTHLY COBRA PREMIUM FOR SUCH PATIENT AND SHALL COOPERATE WITH HOSPITAL FACILITY STAFF TO DETERMINE WHETHER HE OR SHE QUALIFIES FOR HOSPITAL FACILITY COBRA PREMIUM ASSISTANCE, WHICH MAY BE OFFERED FOR A LIMITED TIME TO ASSIST IN SECURING INSURANCE COVERAGE. A HOSPITAL FACILITY SHALL MAKE AFFIRMATIVE EFFORTS TO HELP A PATIENT OR PATIENT'S GUARANTOR APPLY FOR PUBLIC AND PRIVATE PROGRAMS.THE FOLLOWING REQUIREMENTS FOR ADDITIONAL HARDSHIP DISCOUNTS IS AN ADDENDUM OF THE FINANCIAL ASSISTANCE POLICY THAT APPLY TO PATIENTS RECEIVING SERVICES AT A COMMONSPIRIT HOSPITAL ORGANIZATION IN THE STATE OF CALIFORNIA ONLY.A PATIENT WHO RECEIVES DISCOUNTED CARE, BUT (1) WHOSE LIABILITY STILL EXCEEDS 30% OF THE SUM OF (A) HIS OR HER FAMILY INCOME, AND (B) HIS OR HER MONETARY ASSETS, AND (2) WHO DOES NOT HAVE THE ABILITY TO PAY HIS OR HER BILL, AS DETERMINED BY A REVIEW OF FACTORS SUCH AS PROJECTED FAMILY INCOME FOR THE COMING YEAR AND EXISTING OR ANTICIPATED HEALTH CARE LIABILITIES MAY BE GIVEN AN ADDITIONAL HARDSHIP DISCOUNT. FOR PURPOSES OF THE DETERMINATION OF THIS HARDSHIP DISCOUNT, THE COMMONSPIRIT HOSPITAL ORGANIZATION WILL NOT CONSIDER ASSETS IN RETIREMENT PLANS QUALIFIED UNDER THE INTERNAL REVENUE CODE IN EFFECT AT THE TIME OF THE DETERMINATION OR DEFERRED COMPENSATION PLANS.IF THE PATIENT MEETS ALL ELIGIBILITY CRITERIA, THE PATIENT WILL RECEIVE A HARDSHIP DISCOUNT, WHICH WILL REDUCE THE PATIENT'S REMAINING LIABILITY TO NO MORE THAN 30% OF THE SUM OF HIS OR HER (1) PATIENT FAMILY INCOME, AND (2) MONETARY ASSETS.A PATIENT MAY ALSO RECEIVE DISCOUNTS OR WAIVERS UNDER THIS ADDENDUM IF CONSIDERED HOMELESS OR TRANSIENT OR IF THEY PARTICIPATE IN A FEDERAL, STATE, OR LOCAL MANAGED INDIGENT CARE PROGRAM. SCHEDULE H, PART V, SECTION B, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, SECTION B, LINE 7A ALL RELATED DIGNITY HEALTH HOSPITAL FACILITY COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS CAN BE ACCESSED ATHTTPS://WWW.DIGNITYHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH/COMMUNITY-HEALTH-PROGRAMS-AND-REPORTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSSAINT FRANCIS MEMORIAL HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE VIEWED DIRECTLY ATHTTPS://WWW.DIGNITYHEALTH.ORG/BAYAREA/LOCATIONS/SAINTFRANCIS/ABOUT-US/COMMUNITY-BENEFITS SCHEDULE H, PART V, SECTION B, LINE 10A RELATED DIGNITY HEALTH HOSPITAL FACILITY IMPLEMENTATION STRATEGY DOCUMENTS CAN BE ACCESSED ATHTTPS://WWW.DIGNITYHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH/COMMUNITY-HEALTH-PROGRAMS-AND-REPORTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSIMPLEMENTATION STRATEGIES ARE ALSO ON HOSPITAL FACILITY'S WEBSITE, AT THE SAME LOCATION AS THEIR CHNA REPORTS LISTED IN PART V, SECTION B, LINE 7A ABOVE. SCHEDULE H, PART V, SECTION B, LINE 16A-16C HTTPS://WWW.DIGNITYHEALTH.ORG/BAYAREA/LOCATIONS/SAINTFRANCIS/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-AND-PAYMENT/FINANCIAL-ASSISTANCE 3 1 - GOHEALTH URGENT CARE RAPID COVID-19 TEST 100 INTERNATIONAL TERMINAL L3 A SIDE SAN FRANCISCO CA 94128 COVID TESTING SITE 2 - SAN FRANCISCO CYBERKNIFE LLC 900 HYDE STREET SAN FRANCISCO CA 94109 ONCOLOGY 3 - GOHEALTH URGENT CARE MANAGEMENT LLC 5555 GLENRIDE CONNECTOR STE 700 ATLANTA GA 30342 CLINIC PART I, LINE 3C: UNLESS ELIGIBLE FOR PRESUMPTIVE FINANCIAL ASSISTANCE, THE FOLLOWING ELIGIBILITY CRITERIA MUST BE MET IN ORDER FOR A PATIENT TO QUALIFY FOR FINANCIAL ASSISTANCE:- THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF TEN DOLLARS ($10.00) WITH THE COMMONSPIRIT HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW TEN DOLLARS ($10.00) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS.- THE PATIENT MUST COMPLY WITH PATIENT COOPERATION STANDARDS AS DESCRIBED IN SCHEDULE H, PART V, SECTION B, LINE 13H, 3RD PARAGRAPH.- THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION (FAA).FOR PATIENTS AND GUARANTORS WHO ARE UNABLE TO PROVIDE REQUIRED DOCUMENTATION, A HOSPITAL FACILITY MAY GRANT PRESUMPTIVE FINANCIAL ASSISTANCE BASED ON INFORMATION OBTAINED FROM OTHER RESOURCES. IN PARTICULAR, PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE:- RECIPIENT OF STATE-FUNDED PRESCRIPTION PROGRAMS;- HOMELESS OR ONE WHO RECEIVED CARE FROM A HOMELESS OR FREE CARE CLINIC;- PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC);- FOOD STAMP ELIGIBILITY;- ELIGIBILITY OR REFERRALS FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS (E.G., MEDICAID);- LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS; OR- PATIENT IS DECEASED WITH NO KNOWN SPOUSE OR KNOWN ESTATE.THE FOLLOWING REQUIREMENTS FOR ADDITIONAL HARDSHIP DISCOUNTS IS AN ADDENDUM OF THE FINANCIAL ASSISTANCE POLICY THAT APPLY TO PATIENTS RECEIVING SERVICES AT A COMMONSPIRIT HOSPITAL ORGANIZATION IN THE STATE OF CALIFORNIA ONLY.A PATIENT WHO RECEIVES DISCOUNTED CARE, BUT (1) WHOSE LIABILITY STILL EXCEEDS 30% OF THE SUM OF (A) HIS OR HER FAMILY INCOME, AND (B) HIS OR HER MONETARY ASSETS, AND (2) WHO DOES NOT HAVE THE ABILITY TO PAY HIS OR HER BILL, AS DETERMINED BY A REVIEW OF FACTORS SUCH AS PROJECTED FAMILY INCOME FOR THE COMING YEAR AND EXISTING OR ANTICIPATED HEALTH CARE LIABILITIES MAY BE GIVEN AN ADDITIONAL HARDSHIP DISCOUNT. FOR PURPOSES OF THE DETERMINATION OF THIS HARDSHIP DISCOUNT, THE COMMONSPIRIT HOSPITAL ORGANIZATION WILL NOT CONSIDER ASSETS IN RETIREMENT PLANS QUALIFIED UNDER THE INTERNAL REVENUE CODE IN EFFECT AT THE TIME OF THE DETERMINATION OR DEFERRED COMPENSATION PLANS.IF THE PATIENT MEETS ALL ELIGIBILITY CRITERIA, THE PATIENT WILL RECEIVE A HARDSHIP DISCOUNT, WHICH WILL REDUCE THE PATIENT'S REMAINING LIABILITY TO NO MORE THAN 30% OF THE SUM OF HIS OR HER (1) PATIENT FAMILY INCOME, AND (2) MONETARY ASSETS.A PATIENT MAY ALSO RECEIVE DISCOUNTS OR WAIVERS UNDER THIS ADDENDUM IF CONSIDERED HOMELESS OR TRANSIENT OR IF THEY PARTICIPATE IN A FEDERAL, STATE, OR LOCAL MANAGED INDIGENT CARE PROGRAM. PART I, LINE 7: FOR PURPOSES OF CALCULATING THE AMOUNTS PROVIDED IN THE TABLE, SAINT FRANCIS MEMORIAL HOSPTIAL (SFMH) USES A COST ACCOUNTING SYSTEM OR AN ADJUSTED COST TO CHARGE RATIO (CCR) CALCULATED IN A MANNER CONSISTENT WITH WORKSHEET 2, TO DERIVE THE REPORTED COSTS OF FINANCIAL ASSISTANCE, MEDICAID AND OTHER MEANS-TESTED PROGRAMS. WORKSHEET 3 IS USED IN THE COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY ("CBISA") SOFTWARE TO CALCULATE 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 I, LINE 7B, COLUMN (F)BEGINNING IN 2009, THE STATE OF CALIFORNIA ESTABLISHED PROVIDER FEE PROGRAMS. THESE PROGRAMS ARE FUNDED BY QUALITY ASSURANCE FEES PAID BY PARTICIPATING HOSPITALS AND MATCHING FEDERAL FUNDS. SFMH RECOGNIZED QUALITY ASSURANCE FEES DURING THE YEAR OF $22.1 MILLION WHICH ARE INCLUDED IN TOTAL COMMUNITY BENEFIT EXPENSE RELATED TO UNREIMBURSED MEDICAID (PART I, LINE 7B, COLUMN C), AND RECOGNIZED FEE-FOR-SERVICE SUPPLEMENTAL PAYMENTS OF $27 MILLION DURING THE YEAR REFLECTED UNDER THE MEDICAID PROGRAM AS DIRECT OFFSETTING REVENUE (PART I, LINE 7B, COLUMN D). THIS NET INCREASE IN THE COST OF THE MEDICAID PROGRAM IS DRIVING THE INCREASE IN THE OVERALL COST OF COMMUNITY BENEFIT EXPENSE AS A PERCENT OF TOTAL EXPENSES WHEN COMPARED TO PRIOR YEARS.SCHEDULE H, PART I, LINE 7IINCLUDED IN CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT IS $91,330 IN GRANTS TO A FUND ESTABLISHED BY THE CALIFORNIA HEALTH FOUNDATION AND TRUST ("CHFT") FOR SEVERAL PURPOSES, INCLUDING AGGREGATING AND DISTRIBUTING FINANCIAL RESOURCES TO SUPPORT CHARITABLE ACTIVITIES AT VARIOUS HOSPITALS AND HEALTH SYSTEMS IN CALIFORNIA, CONSISTENT WITH CHFT'S MISSION OF SUPPORTING HEALTH CARE, ACCESS TO HEALTH CARE, RESEARCH AND EDUCATION. PART II, COMMUNITY BUILDING ACTIVITIES: THE HOSPITAL COLLABORATED WITH THE COUNTY ON THE CALIFORNIA ADVANCING AND INNOVATING MEDI-CAL (CLAIM) PROGRAM TO FIND OPPORTUNITIES FOR COMMUNITY PARTNERS AND HOSPITALS. ENSURE COMMUNITY PARTNERS ARE ABLE TO CONNECT WITH MANAGED CARE PLANS TO ENSURE SUSTAINABILITY FOR THEIR SERVICES. PART III, LINE 2: THE AMOUNT OF THE ORGANIZATION'S BAD DEBT AT COST IS DETERMINED BY APPLYING THE CCR (SEE SCHEDULE H, PART I, LINE 7) 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 DISCOUNTED CARE, GOVERNMENT SPONSORED PROGRAMS OR OTHER FINANCIAL ASSISTANCE AND ARE OTHERWISE UNINSURED.AS NOTED IN PART I, LINE 3, SFMH PROVIDES FREE OR DISCOUNTED CARE TO UNINSURED OR UNDER-INSURED INDIVIDUALS THAT FALL INTO THREE CATEGORIES: AT OR BELOW 250%, 251%-400% OR 401%-500% OF THE FEDERAL POVERTY LEVEL. SFMH ALSO PROVIDES PATIENTS OPTIONS FOR UNINSURED PATIENT DISCOUNT AND SELF-PAY DISCOUNTS. IN CALIFORNIA, PATIENTS WHO ARE UNINSURED OR WITH HIGH MEDICAL COSTS ARE ELIGIBLE TO RECEIVE DISCOUNTED CARE IN ADDITION TO AN INTEREST-FREE EXTENDED PAYMENT PLAN THAT WILL ALLOW PAYMENT OF THE DISCOUNTED AMOUNT OVER TIME. DISCOUNTS ARE ACCOUNTED FOR AS DEDUCTIONS FROM REVENUE, NOT AS BAD DEBT EXPENSE. PART III, LINE 3: THE HOSPITAL FOLLOWS THE COMMONSPIRIT HEALTH FINANCIAL ASSISTANCE POLICY.THE FILING ORGANIZATION MAKES EVERY EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UPON ADMISSION. COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE POLICY IS COMMUNICATED TO PATIENTS UPON ADMISSION AND IS AVAILABLE IN THE LANGUAGES PRIMARILY SPOKEN IN THE COMMUNITY. IT IS ALSO POSTED IN VARIOUS COMMON AREAS OF THE HOSPITAL, SUCH AS EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL BUSINESS OFFICES LOCATED ON FACILITY CAMPUSES, AND OTHER PUBLIC PLACES, AND IS PROVIDED UPON BILLING IF ELIGIBILITY IS NOT PREVIOUSLY DETERMINED. ELIGIBILITY IS REEVALUATED AS NEEDED AND AMOUNTS ARE CLASSIFIED AS CHARITY AS SOON AS ELIGIBILITY IS KNOWN. COMMONSPIRIT HEALTH ALSO UTILIZES A WAYSTAR (FORMERLY PARO) SCORING SYSTEM TO ASSIST IN DETERMINING IF A PATIENT MAY QUALIFY FOR PAYMENT ASSISTANCE EVEN THOUGH THEY HAVE NOT APPLIED FOR IT. WAYSTAR IS A METHODOLOGY THAT APPLIES CONSISTENT SCREENING AND APPLICATION STANDARDS TO ALL PATIENTS UTILIZING HISTORICAL DATA TO DEVELOP A PREDICTIVE MODEL FOR HEALTHCARE PAYMENT ASSISTANCE. IN ITS DEVELOPMENT, SPECIAL ATTENTION WAS PAID TO THOSE SOCIOECONOMIC FACTORS THAT MIGHT ADVERSELY AFFECT THOSE PATIENTS DESERVING THE MOST ATTENTION. OTHER CRITERIA ARE ALSO UTILIZED TO ENSURE THAT SERVICES THAT HAVE QUALIFIED AS FINANCIAL ASSISTANCE ARE NOT REPORTED AS BAD DEBT. AS SUCH, SFMH DOES NOT BELIEVE THAT ANY AMOUNTS INCLUDED IN PART III, LINE 2, ARE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S PAYMENT ASSISTANCE POLICY, AND THEREFORE, NO PORTION OF BAD DEBT EXPENSE IS INCLUDED AS COMMUNITY BENEFIT EXPENSE. PART III, LINE 4: THE FOLLOWING IS AN EXCERPT FROM COMMONSPIRIT'S CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2024, RELATED TO PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT REVENUE. THE ENTIRE FOOTNOTE CAN BE VIEWED IN THE ATTACHED COMMONSPIRIT HEALTH CONSOLIDATED FINANCIAL STATEMENTS ON PAGES 11-12.PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNTS THAT REFLECT THE CONSIDERATION COMMONSPIRIT EXPECTS TO BE PAID IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING HEALTH INSURERS AND GOVERNMENT PROGRAMS), AND OTHERS, AND INCLUDE CONSIDERATION FOR RETROACTIVE REVENUE ADJUSTMENTS DUE TO SETTLEMENT OF AUDITS AND REVIEWS. GENERALLY, PERFORMANCE OBLIGATIONS FOR PATIENTS RECEIVING INPATIENT ACUTE CARE SERVICES AND OUTPATIENT SERVICES ARE RECOGNIZED OVER TIME AS SERVICES ARE PROVIDED. NET PATIENT REVENUE IS PRIMARILY COMPRISED OF HOSPITAL AND PHYSICIAN SERVICES. PART III, LINE 8: COMMONSPIRIT HEALTH HOSPITALS PREPARE MEDICARE COST REPORTS IN A MANNER THAT COMPORTS WITH PROVIDER REIMBURSEMENT MANUAL (PRM) 15-1, 2150FF AND PRM 15-2, 1000FF. AS SUCH, THE FOLLOWING LANGUAGE PER THE PRM 15-1 DESCRIBES THE COMPUTATION OF COSTS PER THE MEDICARE COST REPORT: TOTAL ALLOWABLE COSTS OF A PROVIDER ARE APPORTIONED BETWEEN PROGRAM BENEFICIARIES AND OTHER PATIENTS SO THAT THE SHARE BORNE BY THE PROGRAM IS BASED UPON ACTUAL SERVICES RECEIVED BY PROGRAM BENEFICIARIES. THE RATIO OF COVERED BENEFICIARY CHARGES TO TOTAL PATIENT CHARGES FOR THE SERVICES OF EACH ANCILLARY DEPARTMENT IS APPLIED TO THE COST OF THE DEPARTMENT. ADDED TO THIS AMOUNT IS THE COST OF ROUTINE SERVICES FOR PROGRAM BENEFICIARIES, DETERMINED ON THE BASIS OF A SEPARATE AVERAGE COST PER DIEM FOR ALL PATIENTS FOR GENERAL ROUTINE PATIENT CARE AREAS. ANOTHER FACTOR TO BE CONSIDERED IS A SEPARATE AVERAGE COST PER DIEM FOR 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. SFMH'S SHORTFALL INCLUDES $12.1 MILLION REPORTED ON PART III, SECTION B, LINE 7. PART III, LINE 9B: SFMH ENSURES THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. SFMH FOLLOWS COMMONSPIRIT HEALTH'S BILLING AND COLLECTION POLICY. THE HOSPITAL'S COLLECTION POLICY CONTAINS PROVISIONS THAT PROHIBIT THE COLLECTION OF AMOUNTS DUE FROM PATIENTS WHOM THE ORGANIZATION KNOWS QUALIFY FOR FINANCIAL ASSISTANCE. ACCOUNTS WITH INCORRECT OR INCOMPLETE DEMOGRAPHIC INFORMATION ARE ASSIGNED TO A COLLECTION AGENCY IF SFMH OR THE BILLING COMPANY RETAINED BY COMMONSPIRIT HEALTH IS UNABLE TO OBTAIN AN UPDATED ADDRESS THROUGH SKIP TRACING OR OTHER MEANS. FOR PATIENTS WHO HAVE AN APPLICATION PENDING FOR EITHER GOVERNMENT-SPONSORED 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, SFMH 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 DIGNITY HEALTH. UPON ASSIGNMENT OF SUCH A PATIENT ACCOUNT TO A COLLECTION AGENCY, SFMH REQUIRES THE AGENCY TO COMPLY WITH THE FAIR DEBT COLLECTION PRACTICES ACT. PART VI, LINE 2: THE HOSPITAL ASSESSES HEALTH NEEDS BY FREQUENTLY CONNECTING WITH CLINICAL STAFF IN THE HOSPITAL AND COMMUNITY TO DETERMINE HOW NEEDS ARE BEST MET. ADDITIONALLY, THE HOSPITAL TRACKS HOW THE CARE LANDSCAPE CHANGES, AS FUNDING, STAFFING, AND AVAILABILITY OF SERVICES CHANGES THE HEALTH NEEDS THAT ARE MOST PREVALENT. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR COMMUNICATION OF THE FINANCIAL ASSISTANCE PROGRAM TO PATIENTS AND THE PUBLIC:INFORMATION ABOUT THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM AND A CONTACT NUMBER ARE MADE AVAILABLE TO PATIENTS AND THE PUBLIC. PATIENTS ARE INFORMED OF THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM VIA SIGNAGE IN ALL ADMITTING AREAS AND IN VARIOUS COMMON AREAS OF THE HOSPITAL. FINANCIAL ASSISTANCE PROGRAM INFORMATION NOTICES ARE POSTED IN THE EMERGENCY AND ADMITTING DEPARTMENTS AND AT OTHER PUBLIC PLACES AS THE HOSPITAL FACILITY MAY ELECT. SUCH INFORMATION IS PROVIDED IN THE PRIMARY LANGUAGES SPOKEN IN THE COMMUNITIES SFMH SERVES. THE SIGNAGE INCLUDES NOTIFICATION THAT FURTHER DISCOUNTS MAY BE PROVIDED UPON THE COMPLETION AND SUBMISSION OF A FINANCIAL ASSISTANCE APPLICATION AND HOW TO REACH STAFF THAT CAN ASSIST WITH ANSWERING QUESTIONS AND GUIDE PATIENTS THROUGH THE APPLICATION PROCESS. INFORMATION CAN ALSO BE FOUND ON THE FACILITY WEBSITE.IF FINANCIAL ASSISTANCE ELIGIBILITY IS NOT DETERMINED PRIOR TO BILLING, INITIAL BILLING STATEMENTS TO PATIENTS INCLUDE A REQUEST TO THE PATIENT TO PROVIDE ANY INSURANCE INFORMATION THAT WAS VALID FOR THE DATES OF SERVICE BILLED, A STATEMENT INFORMING PATIENTS HOW TO CONTACT US REGARDING FINANCIAL ASSISTANCE. ADDITIONALLY, CONTRACT TERMS WITH COLLECTION VENDORS WORKING ON BEHALF OF COMMONSPIRIT HEALTH REQUIRES THEY FOLLOW COMMONSPIRIT HEALTH FINANCIAL ASSISTANCE POLICY. ALSO, REFERRAL OF PATIENTS FOR FINANCIAL ASSISTANCE MAY BE MADE BY ANY MEMBER OF THE HOSPITAL NON-MEDICAL OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKS, CASE MANAGERS, CHAPLAINS, AND RELIGIOUS SPONSORS. A REQUEST FOR ASSISTANCE MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS. PART VI, LINE 4: SFMH SERVES SAN FRANCISCO AND THE GREATER BAY AREA, BUT A LARGE PORTION OF ITS PATIENT POPULATION COMES FROM THE TENDERLOIN, POLK, CIVIC CENTER AND NOB HILL AREAS. THE HOSPITAL SERVES A LARGE POPULATION EXPERIENCING HOMELESS, MENTAL HEALTH AND SUBSTANCE USE CHALLENGES. THE HOSPITAL SEES THE LARGEST NUMBER OF AMBULANCE TRANSPORTS FOR BEHAVIORAL HEALTH ISSUES IN THE CITY.TOTAL POPULATION: 831,456ASIAN/PACIFIC ISLANDER: 34.6%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 5.6%HISPANIC OR LATINO: 16.1%WHITE NON-HISPANIC: 38.1%ALL OTHERS: 5.6%% BELOW POVERTY: 5.1%UNEMPLOYMENT: 3.7%NO HIGH SCHOOL DIPLOMA: 11.4%MEDICAID: 18.5%SAINT FRANCIS MEMORIAL HOSPITAL 94-1156295UNINSURED: 4.0%OTHER AREA HOSPITALS: 8 PART VI, LINE 5: FINANCIAL ASSISTANCE: IT IS THE POLICY OF COMMONSPIRIT HEALTH TO PROVIDE, WITHOUT DISCRIMINATION, EMERGENCY MEDICAL CARE AND MEDICALLY NECESSARY CARE IN COMMONSPIRIT HOSPITAL FACILITIES TO ALL PATIENTS, WITHOUT REGARD TO A PATIENT'S FINANCIAL ABILITY TO PAY. THIS HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY THAT DESCRIBES THE ASSISTANCE PROVIDED TO PATIENTS FOR WHOM IT WOULD BE A FINANCIAL HARDSHIP TO FULLY PAY THE EXPECTED OUT-OF-POCKET EXPENSES FOR SUCH CARE, AND WHO MEET THE ELIGIBILITY CRITERIA FOR SUCH ASSISTANCE. THE FINANCIAL ASSISTANCE POLICY, A PLAIN LANGUAGE SUMMARY AND RELATED MATERIALS ARE AVAILABLE IN MULTIPLE LANGUAGES ON THE HOSPITAL'S WEBSITE.USE OF SURPLUS FUNDS: AS A NOT-FOR-PROFIT HOSPITAL ORGANIZATION DEDICATED TO IMPROVING THE QUALITY OF LIFE, THE HOSPITAL REINVESTS ALL OF ITS SURPLUS FUNDS FROM OPERATING AND INVESTMENT ACTIVITIES TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND REPLACE EXISTING FACILITIES AND EQUIPMENT, INVEST IN TECHNOLOGICAL ADVANCEMENTS, SUPPORT COMMUNITY HEALTH PROGRAMS, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH. THIS ACTIVE REINVESTMENT OF FUNDS MAKES IT POSSIBLE FOR THE HOSPITAL TO DELIVER ON ITS MISSION, INCLUDING HELPING TO ENSURE THAT EVERYONE IN THE COMMUNITIES SERVED HAS ACCESS TO HEALTH CARE.OPEN MEDICAL STAFF: MEDICAL STAFF PRIVILEGES ARE OPEN TO PHYSICIANS WHOSE EXPERIENCE AND TRAINING ARE VERIFIED THROUGH A CREDENTIALING PROCESS. THE PROCESS INCLUDES GATHERING AND VERIFYING CREDENTIALS, ALLOWING THE MEDICAL STAFF TO EVALUATE AN APPLICANT'S QUALIFICATIONS, PREVIOUS EXPERIENCE, AND COMPETENCE, AND ULTIMATELY MAKING A DECISION TO GRANT OR DENY MEDICAL STAFF MEMBERSHIP AND CLINICAL PRIVILEGES ON THE BASIS OF AUTHENTIC AND VALID CREDENTIALS.ROLE OF THE BOARD: THE COMMONSPIRIT HEALTH BOARD AND SPECIFIC COMMITTEES HAVE ORGANIZATIONAL, POLICY-BASED ROLES TO OVERSEE COMMUNITY BENEFIT AND COMMUNITY HEALTH PROGRAMS, AND THEY RECEIVE REGULAR REPORTS ON ACTIVITIES AND PERFORMANCE. HOSPITAL COMMUNITY BOARDS (OR THEIR DESIGNATED COMMUNITY HEALTH OR COMMUNITY BENEFIT COMMITTEES) ARE RESPONSIBLE FOR ENSURING THAT THE HOSPITALS CONDUCT AND ADOPT COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES, TAKE ACTIONS TO HELP ADDRESS IDENTIFIED SIGNIFICANT HEALTH NEEDS WITH AN EMPHASIS ON POOR AND VULNERABLE POPULATIONS AND HEALTH EQUITY, AND MONITORING ACTIONS AND PROGRESS TOWARD IDENTIFIED GOALS.SFMH'S EFFORTS TO PROMOTE THE HEALTH OF THE COMMUNITIES IT SERVES EXTEND BEYOND PROVIDING HEALTH CARE SERVICES. SFMH TAKES A PROACTIVE APPROACH TO ADDRESSING THE SOCIAL, ECONOMIC AND ENVIRONMENTAL BARRIERS TO GOOD HEALTH, AND SUPPORTS THE WORLD HEALTH ORGANIZATION DEFINITION OF HEALTH AS A STATE OF COMPLETE PHYSICAL, MENTAL AND SOCIAL WELL-BEING, NOT MERELY THE ABSENCE OF DISEASE OR INFIRMITY. SFMH SERVES AS MEMBERS OF COMMUNITY COALITIONS THAT FOCUS ON THE WELL-BEING OF SAN FRANCISCO AND THE TENDERLOIN NEIGHBORHOOD.THE HOSPITAL SUPPORTS THE SAN FRANCISCO HEP B FREE, WHICH IS A CITYWIDE CAMPAIGN, CREATED TO EDUCATE, TEST, VACCINATE AND TREAT SAN FRANCISCO ASIAN AND PACIFIC ISLANDER (API) RESIDENTS OF HEPATITIS B (HBV). SFMH ALONG WITH OTHER COMMUNITY ORGANIZATIONS, HOSPITAL AND THE SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH ARE COLLABORATING TO PROVIDE CONVENIENT, FREE OR LOW-COST TESTING OPPORTUNITIES AT STREET FAIRS AND CLINICS. PART VI, LINE 6: AFFILIATES OF SFMH ALSO PROMOTE THE HEALTH OF ADDITIONAL COMMUNITIES IN BAKERSFIELD, SAN BERNARDINO, SAN FRANCISCO, SAN ANDREAS, CALIFORNIA, PHOENIX, CHANDLER AND GILBERT, ARIZONA, LAS VEGAS AND HENDERSON, NEVADA AND IN 20 ADDITIONAL STATES THROUGH THE ALLIANCE WITHIN COMMONSPIRIT HEALTH SYSTEM. THESE AFFILIATES FOLLOW PRACTICES SIMILAR TO THOSE NOTED ABOVE IN DETERMINING THE UNMET HEALTHCARE NEEDS OF THEIR COMMUNITIES. TOTAL UNSPONSORED COMMUNITY BENEFIT EXPENSE NET OF OFFSETTING REVENUE FOR COMMONSPIRIT AND ITS AFFILIATED CORPORATIONS, WHICH INCLUDES SFMH, FOR THE YEAR ENDED JUNE 30, 2024, IS $2.6 BILLION. A SUMMARY OF COMMONSPIRIT'S COMMUNITY BENEFITS CAN BE VIEWED IN THE ATTACHED COMMONSPIRIT HEALTH CONSOLIDATED FINANCIAL STATEMENTS ON PAGE 41. PART VI, LINE 7, REPORTS FILED WITH STATES CA 1 DIGNITY HEALTH MEDICAL FOUNDATION 3400 DATA DRIVE RANCHO CORDOVA CA 95670 680220314 501(C)(3) 4256851 0 N/A N/A MEDICAL FND SUPPORT CALIFORNIA HEALTH FOUNDATION AND TRUST 1215 K ST STE 800 SACRAMENTO CA 95814 941498697 501(C)(3) 91330 0 N/A N/A COMMUNITY HEALTH CENTER FOR NEW MUSIC SAN FRANCISCO INC 55 TAYLOR ST SAN FRANCISCO CA 94102 461228251 501(C)(3) 100000 0 N/A N/A COMMUNITY HEALTH THE GUBBIO PROJECT INC 1661 15TH ST SAN FRANCISCO CA 94103 942992645 501(C)(3) 76154 0 N/A N/A COMMUNITY HEALTH SAN FRANCISCO COMMUNITY CLINIC CONSORTIUM 170 CAPP ST SUITE C SAN FRANCISCO CA 94110 942897258 501(C)(3) 13830 0 N/A N/A COMMUNITY HEALTH SELF-HELP FOR THE ELDERLY 731 SANSOME STREET SUITE 100 SAN FRANCISCO CA 94111 941750717 501(C)(3) 5220 0 N/A N/A COMMUNITY HEALTH REPLATE PO BOX 11338 OAKLAND CA 94611 811005691 501(C)(3) 0 7085 FMV FOOD COMMUNITY HEALTH 7 0 TRANSPORTATION 1363 31000 PART I, LINE 2: AS A 501(C)(3) ORGANIZATION, WE PROVIDE ASSISTANCE TO VARIOUS CHARITABLE ORGANIZATIONS TO PROMOTE COMMONSPIRIT'S MISSION. A DESIGNATED COMMITTEE ESTABLISHES AND EVALUATES PRIORITIES AND ALLOCATION OF FUNDS WITH EMPHASIS ON PROMOTION OF HEALTHY COMMUNITIES AND COMMUNITY COLLABORATION. WE DO NOT MONITOR AND REPORT PROGRAM OUTCOMES. SPENDING IS TRACKED ON AN ONGOING BASIS TO ENSURE THAT ANNUAL SPENDING IS WITHIN THE BUDGETED AMOUNT. 1 0 0 0 0 0 0 0 0 BENJIE M LOANZON BOARD MEMBER 0 702712 0 814198 0 14535 0 84665 0 48318 0 1664428 0 0 JILL WELTON BSN MSN FORMER KEY EMPLOYEE (VP QUALITY/CNO) 0 450151 0 424067 0 10213 0 84061 0 42973 0 1011465 0 0 DARYN KUMAR PRESIDENT & CEO 0 543015 0 75800 0 6327 0 29755 0 42538 0 697435 0 0 MONICA M MAJORS DIV VP MARKETING COMM (THRU 4/12/24 372927 0 170508 0 2261 0 28709 0 39511 0 613916 0 0 0 MARGIE REYES STAFF NURSE II 357491 0 800 0 1611 0 143404 0 26395 0 529701 0 0 0 TODD A LEVINE MD CMO (THRU 4/1/24) 424610 0 800 0 1868 0 30615 0 30397 0 488290 0 0 0 BRADLEY GROTE FORMER KEY EMPLOYEE (SR DIR-NURSING 0 321789 0 100894 0 7009 0 36825 0 12724 0 479241 0 0 YIPI YANG REGISTERED NURSE 364995 0 800 0 2219 0 78135 0 18389 0 464538 0 0 0 ISATOU E NJIE STAFF NURSE II 344364 0 800 0 1500 0 87356 0 21215 0 455235 0 0 0 CHARLES THEVNIN CFO 362131 0 800 0 14478 0 33443 0 22056 0 432908 0 0 0 TENZIN PEMA STAFF NURSE II 337856 0 800 0 1500 0 23569 0 18333 0 382058 0 0 0 TIFFANY CASTER COO (THRU 12/1/23) 331070 0 800 0 1741 0 23710 0 1202 0 358523 0 0 0 CHARLENE BATTAGLIA SR DIR NURSING (THRU 1/31/23) 28134 0 0 0 315457 0 4475 0 991 0 349057 0 0 0 PART I, LINE 3 ALTHOUGH THE ORGANIZATION EMPLOYS PERSONNEL, SFMH RELIED ON A RELATED ORGANIZATION, COMMONSPIRIT, THAT USED ONE OR MORE OF THE METHODS DESCRIBED IN SCHEDULE J, PART I, LINE 3, TO ESTABLISH THE ORGANIZATION'S CEO'S COMPENSATION: (1) HUMAN RESOURCES AND COMPENSATION COMMITTEE OF THE COMMONSPIRIT BOARD OF STEWARDSHIP TRUSTEES; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) COMPENSATION SURVEY OR STUDY; AND (4) APPROVAL BY THE BOARD OR HUMAN RESOURCES AND COMPENSATION COMMITTEE. SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15A FOR ADDITIONAL INFORMATION. PART I, LINE 4A CERTAIN LISTED PERSONS ARE COVERED BY AN EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 9-24 MONTHS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. CERTAIN LISTED PERSONS ARE COVERED BY A NON-EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 2 TO 52 WEEKS OF BASE COMPENSATION, DEPENDING ON THE EMPLOYEE'S POSITION AND TENURE, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. A PAYMENT WAS MADE PURSUANT TO THE PLAN ARRANGEMENTS DURING 2023 INCLUDE C. BATTAGLIA, $273,566. SCHEDULE J, PART III - SUPPLEMENTAL DISCLOSURES THE ORGANIZATION FOLLOWS COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY. COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST THE ORGANIZATION IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE THE ORGANIZATION 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 THE ORGANIZATION SERVES, PROMOTING 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 COMPENSATION AND BENEFITS COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND THE ORGANIZATION'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE, REVENUES AND COMPLEXITY. PAYMENTS PURSUANT TO A LONG-TERM FINANCIAL PERFORMANCE GOAL WERE PAID IN CALENDAR YEAR 2023. CLEMENT JONES MD CLEMENT JONES, MD (PROF CORP) -BM 94862 LEASE PAYMENTS PAID TO SFMH 0 CLEMENT JONES MD CLEMENT JONES, MD (PROF CORP) -BM 11410 MEDICAL SERVICES 0 RICHARD WARD MD RICHARD WARD, MD - BM 104688 LEASE PAYMENTS PAID TO SFMH 0 RICHARD WARD MD RICHARD WARD, MD - BM 5608 MEDICAL SERVICES 0 JUSTIN MCGOWAN FAMILY MEMBER OF JACLYN MCGOWAN (BM) 166052 EMPLOYMENT 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S SOLE CORPORATE MEMBER IS DIGNITY COMMUNITY CARE, A 501(C)(3) EXEMPT ORGANIZATION. ON FEBRUARY 1, 2019, DIGNITY HEALTH AND CATHOLIC HEALTH INITIATIVES ("CHI"), A COLORADO NONPROFIT CORPORATION, EFFECTED A BUSINESS COMBINATION. ON THAT DATE, CHI CHANGED ITS NAME TO COMMONSPIRIT AND BECAME THE SOLE CORPORATE MEMBER OF DIGNITY HEALTH. COMMONSPIRIT IS A CATHOLIC HEALTHCARE SYSTEM SPONSORED BY THE PUBLIC JURIDIC PERSON, CATHOLIC HEALTH CARE FEDERATION (CHCF"). AS PART OF THE ALIGNMENT, ON THE EFFECTIVE DATE OF FEBRUARY 1, 2019, DIGNITY HEALTH CAUSED TO TRANSFER NON-CATHOLIC OWNED COMMUNITY HOSPITALS, NON-CATHOLIC SUBSIDIARY HOSPITALS, AND CERTAIN OTHER NON-CATHOLIC OPERATIONS TO DIGNITY COMMUNITY CARE, A COLORADO NONPROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A DIGNITY COMMUNITY CARE, AS THE SOLE CORPORATE MEMBER, RATIFIES THE SELECTION OF MEMBERS AND THE DIGNITY COMMUNITY CARE BOARD APPROVES NEW BOARD MEMBERS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION IS SUBJECT TO THE GOVERNANCE REQUIREMENTS OF THE COMMONSPIRIT HEALTH GOVERNANCE MATRIX. THUS, MANY KEY DECISIONS ADDRESSED IN THE BYLAWS REQUIRE THE FOUNDATION TO ACT BY MAKING A "RECOMMENDATION," WHICH IS THEN FORMALLY ACTED ON BY THE DIGNITY COMMUNITY CARE BOARD. EXAMPLES INCLUDE AMENDING CORPORATE DOCUMENTS, APPROVING MEMBERS OF GOVERNING BOARD, APPROVING REMOVAL OF MEMBERS OF GOVERNING BOARD, APPROVAL OF DISSOLUTION AND SELLING OR DISPOSING OF ASSETS. RESERVED RIGHTS OF THE CORPORATE MEMBER INCLUDE ADOPTION OF MISSION AND PHILOSOPHY STATEMENTS, AMENDMENT OR RESTATEMENT OF ARTICLES OF INCORPORATION AND BYLAWS, DISSOLUTION OF THE CORPORATION, ACQUISITION OF ANOTHER CORPORATION, CREATION OF A NEW SUBSIDIARY, MERGER OR CONSOLIDATION WITH ANOTHER CORPORATION, PARTICIPATION AS A GENERAL OR LIMITED PARTNER IN ANY VENTURE, INCURRING LONG-TERM INDEBTEDNESS IN EXCESS OF NORMAL OPERATING REQUIREMENTS, RATIFICATION OF BOARD MEMBER APPOINTMENTS AND DISMISSALS, SELECTION AND REMOVAL OF INDEPENDENT AUDITORS, AND TRANSACTIONS OUTSIDE THE ORDINARY COURSE OF BUSINESS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY FINANCE AND ACCOUNTING (REGIONAL DIGNITY HEALTH MANAGEMENT AND COMMONSPIRIT'S TAX DEPARTMENT), WHICH WORKED CLOSELY WITH AN INDEPENDENT ACCOUNTING FIRM ENGAGED TO REVIEW THE RETURN. THE FORM 990 WAS MADE AVAILABLE UPON REQUEST TO THE ORGANIZATION'S BOARD OF TRUSTEES SUBSEQUENT TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS ADOPTED THE RELATED ORGANIZATION, COMMONSPIRIT'S CONFLICTS OF INTEREST POLICY. THE CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") WAS PUT IN PLACE TO PROTECT THE INTERESTS OF COMMONSPIRIT IN CIRCUMSTANCES THAT MAY RESULT IN A CONFLICT BETWEEN PERSONAL INTERESTS OF A PERSON AND THE INTERESTS OF THE ORGANIZATION AND THOSE IT SERVES. COMMONSPIRIT'S COI POLICY APPLIES TO COMMONSPIRIT, ITS DIRECT AFFILIATES AND SUBSIDIARIES AND ANY RELATED ENTITY THE GOVERNING DOCUMENTS OF WHICH REQUIRE THE ENTITY TO COMPLY WITH COMMONSPIRIT POLICY (COLLECTIVELY THE "SYSTEM ENTITIES"). THE FOLLOWING PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST AT LEAST ANNUALLY (VIA A FORMAL SYSTEM-ADMINISTERED SURVEY) IF THE PERSON'S AFFILIATION WITH COMMONSPIRIT CONTINUES: - MEMBERS OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF COMMITTEES OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF THE EXECUTIVE LEADERSHIP TEAM ("ELT") OF COMMONSPIRIT - CORPORATE OFFICERS OF SYSTEM ENTITIES - EMPLOYED PHYSICIANS AND ADVANCED PRACTICE PROVIDERS - KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES AS SPECIFIED BY THE INTERNAL REVENUE SERVICE FOR FORM 990 PURPOSES WHO ARE NOT OTHERWISE INCLUDED IN THE CATEGORIES ABOVE - EMPLOYEES OF SYSTEM ENTITIES AT THE VICE PRESIDENT LEVEL AND ABOVE - ALL INDIVIDUALS ENGAGED IN RESEARCH AT INSTITUTIONS OWNED OR OPERATED BY A SYSTEM ENTITY - SELECT EMPLOYEES AS DETERMINED FROM TIME TO TIME BY LEADERSHIP DISCLOSURE, REVIEW, AND MANAGEMENT OF PERCEIVED, POTENTIAL, OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS. EACH PERSON IS REQUIRED TO PROMPTLY AND FULLY DISCLOSE ANY SITUATION OR CIRCUMSTANCE THAT MAY CREATE A CONFLICT OF INTEREST AS SOON AS SHE/HE BECOMES AWARE OF IT. IN ADDITION, AT THE INCEPTION OF AN INDIVIDUAL'S RELATIONSHIP WITH COMMONSPIRIT (E.G. HIRING, BOARD APPOINTMENT), AND FOR CERTAIN POSITIONS, ANNUALLY THEREAFTER, WRITTEN CONFLICT OF INTEREST DISCLOSURE FORMS MUST BE COMPLETED. A FAILURE TO DISCLOSE MAY RESULT IN DISCIPLINARY OR CORRECTIVE ACTIONS. REPORTED POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE INITIALLY REVIEWED BY LEGAL, CORPORATE RESPONSIBILITY OR RESEARCH INTEGRITY STAFF. IF NECESSARY, A CONFLICT OF INTEREST MANAGEMENT PLAN IS DEVELOPED, WHICH PLAN SHALL BE SUBJECT TO ACCEPTANCE BY THE APPROPRIATE DIRECT MANAGER, SUPERVISOR, MEDICAL STAFF OFFICE, BOARD OR BOARD COMMITTEE (FOR BOARD, BOARD COMMITTEE, ELT OR CORPORATE OFFICER CONFLICTS), OR OTHER APPROPRIATE INDIVIDUAL OR BODY. ONCE ACCEPTED, THE CONFLICT OF INTEREST MANAGEMENT PLAN IS COMMUNICATED TO THE PERSON WITH THE ACTUAL OR POTENTIAL CONFLICT AND THE INDIVIDUAL MUST CONDUCT THEMSELVES IN CONFORMITY WITH THE PLAN. IN THE EVENT THAT A TRANSACTIONAL CONFLICT INTEREST ARISES IN CONNECTION WITH A SYSTEM ENTITY BOARD MEETING, THE CONFLICTED INDIVIDUAL MUST DISCLOSE THAT CONFLICT PRIOR TO OR AT THE BEGINNING OF THE MEETING IN WHICH THE MATTER IS TO BE CONSIDERED. THE CONFLICTED INDIVIDUAL IS EXCLUDED FROM VOTING ON THE TRANSACTION AND IS PROHIBITED FROM USING PERSONAL INFLUENCE WITH RESPECT TO THE MATTER, BUT IS NOT PROHIBITED FROM PROVIDING INPUT IF REQUESTED TO DO SO. FORM 990, PART VI, SECTION B, LINE 15 FORM 990, PART VI, SECTION B, LINE 15A AND 15B ALTHOUGH THE PRESIDENT IS COMPENSATED BY DIGNITY HEALTH, FOR 2023 COMPENSATION, COMPENSATION LEVELS FOR THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL WERE ESTABLISHED BY THE RELATED ORGANIZATION, COMMONSPIRIT. COMMONSPIRIT'S BOARD OF STEWARDSHIP TRUSTEES APPOINTS A HUMAN RESOURCES AND COMPENSATION COMMITTEE, COMPRISED EXCLUSIVELY OF INDEPENDENT DIRECTORS, WHO ARE ACCOUNTABLE FOR SETTING REASONABLE COMPENSATION PRACTICES FOR THE ORGANIZATION. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE APPROVES, CONSISTENT WITH THE ORGANIZATION'S PHILOSOPHY AND PRINCIPLES, THE ANNUAL PERFORMANCE GOALS AND CRITERIA TO BE USED IN DETERMINING MERIT INCREASES AND VARIABLE COMPENSATION CRITERIA. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE ALSO ENGAGES AN INDEPENDENT CONSULTANT AS NECESSARY AND QUALIFIED INDEPENDENT COMPENSATION AND BENEFITS SPECIALISTS (INDEPENDENT EXPERTS) TO VALIDATE THE ORGANIZATION'S BENCHMARKING APPROACH FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGES FOR CERTAIN EXECUTIVES. APPROPRIATE COMPARABLE DATA IS OBTAINED BY THE COMMONSPIRIT HEALTH COMPENSATION DEPARTMENT FROM INDEPENDENT THIRD-PARTY SALARY SURVEYS, (E.G., TOTAL ECONOMIC BENEFITS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR SIMILAR JOB RESPONSIBILITIES). THE DOCUMENTATION OF COMPENSATION DECISIONS INCLUDES (A) THE DECISION MADE AND THE DATE APPROVED; AND (B) THE COMPARABILITY DATA OBTAINED AND RELIED UPON BY THE COMPENSATION DEPARTMENT AND THE SOURCES FROM WHICH THE DATA WAS OBTAINED. FORM 990, PART VI, SECTION C, LINE 19 FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY BE MADE AVAILABLE FOR PUBLIC INSPECTION. THE ORGANIZATION IS INCLUDED IN COMMONSPIRIT'S CONSOLIDATED FINANCIAL STATEMENTS WHICH ARE AVAILABLE ON COMMONSPIRIT'S WEBSITE AND UPON REQUEST. FORM 990, PART VII, SECTION A B. LOANZON, D. KUMAR AND J. WELTON RECEIVED COMPENSATION FOR SERVICES PROVIDED TO A RELATED ORGANIZATION, DIGNITY HEALTH. B. GROTE RECEIVED COMPENSATION FOR SERVICES PROVIDED TO A RELATED ORGANIZATION, DIGNITY COMMUNITY CARE. IN EARLY 2019, COMMONSPIRIT OBTAINED AN INDEPENDENT, OUTSIDE REVIEW OF THE APPROPRIATE ANNUAL STIPEND TO BE PROVIDED TO ITS BOARD AND BOARD COMMITTEE MEMBERS. THE REVIEW INCLUDED COMPARABILITY DATA AND REPORTED OUT ON REASONABLE AND APPROPRIATE STIPEND RANGES. THE SPONSORSHIP AND GOVERNANCE COMMITTEE OF THE COMMONSPIRIT BOARD CONSIDERED THE DATA AND RANGES AND MADE A RECOMMENDATION TO THE COMMONSPIRIT BOARD AS TO REASONABLE AND APPROPRIATE STIPEND LEVELS, WHICH THE BOARD APPROVED. C. CASEY AND R. WARD ARE BOARD COMMITTEE MEMBERS TO A RELATED ORGANIZATION, DIGNITY COMMUNITY CARE. C. CASEY AND R. WARD RECEIVED COMPENSATION FROM THE RELATED ORGANIZATION, COMMONSPIRIT, FOR SERVING AS BOARD COMMITTEE MEMBERS. FORM 990, PART IX, LINE 24A THE SPECIAL CHARGES EXPENSE IN THE AMOUNT OF $81,412,018, IS TO ADJUST THE ESTIMATED WRITE DOWN OF ASSETS RELATED TO THE SALE OF THE SAINT FRANCIS COMBINED ENTITY. THE OFFSET TO THIS TRANSACTION IS RECORDED IN PART X, BALANCE SHEET, ASSETS, LINE 10A, LAND, BUILDING AND EQUIPMENT. FORM 990, PART IX, LINE 11G MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 17,519,087. MANAGEMENT AND GENERAL EXPENSES 468,678. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,987,765. ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 4,362,898. MANAGEMENT AND GENERAL EXPENSES 4,496,256. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,859,154. REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 2,958,097. MANAGEMENT AND GENERAL EXPENSES 3,048,515. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,006,612. PROFESSIONAL CONSULTING & OTHER SERVICES: PROGRAM SERVICE EXPENSES 1,217,394. MANAGEMENT AND GENERAL EXPENSES 1,254,605. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,471,999. PARKING AND SECURITY: PROGRAM SERVICE EXPENSES 1,006,197. MANAGEMENT AND GENERAL EXPENSES 1,036,952. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,043,149. STORAGE/SHRED/JANITORIAL: PROGRAM SERVICE EXPENSES 420,629. MANAGEMENT AND GENERAL EXPENSES 433,486. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 854,115. LAUNDRY/LINEN: PROGRAM SERVICE EXPENSES 288,716. MANAGEMENT AND GENERAL EXPENSES 297,541. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 586,257. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 453,411. MANAGEMENT AND GENERAL EXPENSES 467,271. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 920,682. REVENUE CYCLE SERVICES: PROGRAM SERVICE EXPENSES 5,035,909. MANAGEMENT AND GENERAL EXPENSES 39,844. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,075,753. FORM 990, PART XI, LINE 9: GAIN ON ADOPTION OF ASU 2017-17 1,380,567. FORM 990, PART XII, LINE 2C THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR. FORM 990, PART XII, LINE 3B - FINANCIAL STATEMENTS AND REPORTING THE ORGANIZATION'S FEDERAL AWARDS WERE INCLUDED IN COMMONSPIRIT'S CONSOLIDATED UNIFORM GUIDANCE AUDITED SCHEDULE OF FEDERAL EXPENDITURES FOR THE PERIOD OF JULY 1, 2023 TO JUNE 30, 2024. ALEGENT CREIGHTON CLINIC 12809 W DODGE RD OMAHA NE 68154 470765154 HOSPITAL NE 501(C)(3) LINE 3 ACH 0 ALEGENT CREIGHTON HEALTH 12809 W DODGE RD OMAHA NE 68154 470757164 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM 7500 MERCY RD OMAHA NE 68124 470484764 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - COMM MEM HOSPITAL OF MO VALLEY IA 631 N 8TH ST MISSOURI VALLEY IA 51555 420776568 HOSPITAL IA 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - IMMANUEL MEDICAL CENTER 6901 N 72ND ST OMAHA NE 68122 470376615 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER 104 W 17TH ST SCHUYLER NE 68661 470399853 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA PO BOX 368 CORNING IA 50841 420782518 HOSPITAL IA 501(C)(3) LINE 3 CHI NEBRASKA 0 ALVERNA APARTMENTS 300 SE 8TH AVE LITTLE FALLS MN 56345 411351177 LTERM CARE MN 501(C)(3) LINE 10 CSH 0 APPLETREE COURT 601 OAK ST BRECKENRIDGE MN 56520 411850500 SENIOR LIVING MN 501(C)(3) LINE 10 SFH 0 ARROYO GRANDE COMMUNITY HOSPITAL FOUNDATION 345 S HALCYON RD ARROYO GRANDE CA 93420 203256066 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DIGNITY HEALTH 0 BAKERSFIELD MEMORIAL HOSPITAL 420 34TH STREET BAKERSFIELD CA 93301 951802779 HOSPITAL CA 501(C)(3) LINE 3 DIGNITY COMMUNITY CARE 0 BARROW FOUNDATION UK 13 CHURCH STREET NUNNEY ENGLAND UK BA11 4LW 311724184 FUNDRAISING FOUNDATION UK 501(C)(3) PF N/A 0 BARROW NEUROLOGICAL FOUNDATION 350 WEST THOMAS ROAD PHOENIX AZ 85013 860174371 FUNDRAISING FOUNDATION AZ 501(C)(3) LINE 7 N/A 0 BAYLOR ST LUKE'S HEALTH VENTURES 17200 ST LUKES WAY STE 170 THE WOODLANDS TX 77384 274499340 PHYSICIANS TX 501(C)(3) LINE 12A, I SLHS 0 BAYLOR ST LUKE'S MEDICAL GROUP 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760458535 PHYSICIANS TX 501(C)(3) LINE 3 BSLHV 0 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 DIGNITY COMMUNITY CARE 0 CARRINGTON HEALTH CENTER 800 N 4TH ST CARRINGTON ND 58421 450227311 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 CATHOLIC HEALTH INITIATIVES - COLORADO 9100 EAST MINERAL CIRCLE CENTENNIAL CO 80112 840405257 HOSPITAL CO 501(C)(3) LINE 3 CSH 0 CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 9100 EAST MINERAL AVE CENTENNIAL CO 80112 840902211 FUNDRAISING FOUNDATION CO 501(C)(3) LINE 7 CHIC 0 CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 1150 KELLY JOHNSON BLVD 204 COLORADO SPRINGS CO 80920 270930004 FUNDRAISING FOUNDATION CO 501(C)(3) LINE 12A, I CSH 0 CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 460992796 TELEHEALTH CO 501(C)(3) LINE 12A, I CSH 0 CENTENNIAL MEDICAL GROUP INC 2700 STEWART PKWY ROSEBURG OR 97471 263946191 SURGERY CENTER OR 501(C)(3) LINE 10 MMC - ROSEBURG 0 CENTRAL CALIFORNIA HEALTH CENTERS 300 OLD RIVER ROAD STE 200 BAKERSFIELD CA 93311 844171789 CLINIC CA 501(C)(3) LINE 3 DIGNITY COMMUNITY CARE 0 CENTRAL KANSAS MEDICAL CENTER 9100 E MINERAL CIRCLE CENTENNIAL CO 80112 480543724 INACTIVE KS 501(C)(3) LINE 3 CSH 0 CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PKWY S FARGO ND 58104 271966847 SENIOR LIVING MN 501(C)(3) LINE 10 CSH 0 CHI HEALTH FOUNDATION 12809 W DODGE RD OMAHA NE 68154 470648586 FUNDRAISING FOUNDATION NE 501(C)(3) LINE 7 ACH 0 CHI KENTUCKY INC 3900 OLYMPIC BLVD STE 400 ERLANGER KY 41018 202741651 INVESTMENTS KY 501(C)(3) LINE 12A, I CSH 0 CHI LIVING COMMUNITIES 930 S WYNN ROAD OREGON OH 43616 341892096 SENIOR LIVING OH 501(C)(3) LINE 12A, I SFH-OH 0 CHI MEMORIAL HOSPITAL - GEORGIA 100 GROSS CRESCENT CIRCLE FORT OGLETHORPE GA 30742 822748395 HOSPITAL GA 501(C)(3) LINE 3 MHCS 0 CHI NEBRASKA 12809 WEST DODGE ROAD OMAHA NE 68510 363233121 HOLDING CO NE 501(C)(3) LINE 12A, I CSH 0 CHI ST JOSEPH CHILDREN'S HEALTH 1929 LINCOLN HWY E STE 150 LANCASTER PA 17602 232342997 HEALTHCARE PA 501(C)(3) LINE 12A, I CSH 0 CHI ST JOSEPH'S CHILDREN 1516 5TH ST NW ALBUQUERQUE NM 87102 710897107 COMMUNITY NM 501(C)(3) LINE 12A, I CSH 0 CHI ST VINCENT HOSPITAL HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 710236913 HOSPITAL AR 501(C)(3) LINE 3 CHI-SVHS 0 CHI ST VINCENT HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125064 HOLDING CO AR 501(C)(3) LINE 12A, I SVIMC 0 CHI ST VINCENT MEDICAL GROUP HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125131 PHYSICIANS AR 501(C)(3) LINE 3 CHI-SVHS 0 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 470617373 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