2025-05-15T12:38:45-05:00 2024-06-30 470617373 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2023-07-01 480543721 COMMONSPIRIT KANSAS INC F/K/A ST CATHERINE HOSPITAL COMM 6202722222 401 EAST SPRUCE STREET GARDEN CITY KS 67846 TADD RICHERT CFO 6202722222 2025-05-15 1 0 PAMELA KROHN P01210500 3032989100 2023 2025-03-06 01:10:19Z X TWILLA LEE 401 EAST SPRUCE STREET GARDEN CITY KS 67846 163275669 0 X SEE SCHEDULE O X 1931 KS FOR MORE THAN SEVENTY YEARS, COMMONSPIRIT KANSAS, INC. F/K/A ST. CATHERINE HOSPITAL'S MISSION HAS BEEN TO SERVE FAMILIES WITH QUALITY HEALTH CARE IN A CHRISTIAN ENVIRONMENT WHEREIN THE HEALING OF THE WHOLE PERSON CAN TAKE PLACE. 6 0 852 30 28086 0 214325 7861 189744253 159993774 750958 1347684 90382 1905841 190799918 163255160 94143 23610 0 0 87547888 73825782 0 0 0 87704794 101537709 175346825 175387101 15453093 -12131941 160638918 222712549 56942101 128931430 103696817 93781119 X COMMONSPIRIT KANSAS, INC. F/K/A ST. CATHERINE HOSPITAL IS THE TRUSTED LEADER OF PERSON-CENTERED HEALTH, PROVIDING PATIENTS WITH WHOLE PERSON CARE; HARMONIZING MIND, BODY, AND SPIRIT. OUR CAREGIVERS ARE FUELED BY A PURPOSE, UNITED IN A SHARED MISSION, AND POWERED TO SERVE OTHERS. AS WE LIVE OUT THAT MISSION EACH DAY, WE ARE COMMITTED TO CREATING HEALTHIER AND SAFER COMMUNITIES. 0 0 142000635 23610 159993774 WE ARE A DIVERSE COMMUNITY OF CAREGIVERS CONNECTED AND FUELED BY OUR INDIVIDUAL PASSIONS AND PURPOSES TO CHANGE THE WORLD AROUND US. WHILE INDIVIDUALLY INSPIRED, WE ARE COLLECTIVELY UNIFIED BY OUR MISSION. THIS PROCESS PRESENTS AN OPPORTUNITY TO FULFILL OUR COMMITMENT TO OUR ORGANIZATIONAL MISSION TO "EXTEND THE HEALING MINISTRY OF CHRIST BY CARING FOR THOSE WHO ARE ILL AND BY NURTURING THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES". 142000635 1 0 0 1 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 X 0 0 852 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 6 0 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 1 1 1 KS X MIKALYN KLUTH 3032906500 9100 EAST MINERAL CIRCLE CENTENNIAL CO 80112 PETER BANKO PRESIDENT & CEO (THRU 1/26/24) 1.00 49.00 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)/MOUNTAIN REGION PRESIDENT 1.00 49.00 X X 0 3099191 90638 THOMAS MCGINN BOARD MEMBER/CSH EVP, PHYSICIAN ENTERPRISE 1.00 49.00 X 0 3108412 51780 MATT BROWN INTERIM PRESIDENT (1/27/24 - 5/26/24)/CSH CHIEF TR 1.00 49.00 X 0 1614107 53052 ZEFERINO ARROYO MD BOARD MEMBER (THRU 4/2/24)/PHYSICIAN 40.00 0.00 X 1053036 0 34488 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 SHERI SHAPIRO BOARD MEMBER/SEVP CSH CHIEF STRATEGY OFFICER 1.00 49.00 X 0 870470 15951 AHMAD BARAKAT PHYSICIAN (THRU 4/30/2024) 40.00 0.00 X 824152 0 38732 TADD RICHERT TREASURER/INTERIM CFO, MOUNTAIN REGION 1.00 49.00 X 0 790606 65539 RICHARD HALL PHYSICIAN 40.00 0.00 X 794055 0 58017 WILLIAM FREUND PHYSICIAN 40.00 0.00 X 784233 0 46426 CHRISTINE MCSWEENEY FORMER INTERIM CEO, ST CATHERINE HOSPITAL 0.00 50.00 X 0 711385 58369 GUILLERMO GARCIA PHYSICIAN 40.00 0.00 X 664594 0 53618 RONALD CATANESE PHYSICIAN 40.00 0.00 X 642435 0 24064 TWILLA LEE CEO, ST. CATHERINE HOSPITAL 45.00 5.00 X X 0 565025 24617 BRYAN STUCKY SECRETARY (THRU 4/2/24)/PHYSICIAN 1.00 49.00 X X 376594 0 52590 MERRILL CONANT BOARD MEMBER (THRU 4/2/24)/ PHYSICIAN 50.00 0.00 X 286947 0 33487 SHAWNA ROARK CFO (THRU 4/2/24) 25.00 25.00 X 0 263557 50790 AMANDA VAUGHAN FORMER CFO 0.00 0.00 X 0 202495 30500 RICHARD TAYLOR BOARD MEMBER (THRU 4/2/24) 1.00 0.00 X 0 0 0 LIZ SOSA CHAIR (THRU 4/2/24) 1.00 0.00 X X 0 0 0 DARREN FIGGINS VICE CHAIR (THRU 4/2/24) 1.00 0.00 X X 0 0 0 ANGELICA CASTILLO-CHAPPEL BOARD MEMBER (THRU 4/2/24) 1.00 0.00 X 0 0 0 SR JANICE THOME BOARD MEMBER (THRU 4/2/24) 1.00 0.00 X 0 0 0 VIVIAN FANKHAUSER BOARD MEMBER (THRU 4/2/24) 1.00 0.00 X 0 0 0 P-JAY PATEL BOARD MEMBER (THRU 4/2/24) 1.00 0.00 X 0 0 0 5426046 37376991 1903869 113 1 1 0 LIFEPOINT REHABILITATION LLC PO BOX 502096 SAINT LOUIS MO 63150 PHYSICAL THERAPY 3785472 FREESTATE CONNECT 4704 E OAKLAND ST WITCHITA KS 67218 MEDICAL SERVICES 3771689 US ANESTHESIA PARTNERS OF COLORADO PO BOX 840862 DALLAS TX 75284 MEDICAL SERVICES 2311184 CARDIOSOLUTION PHYSICIANS PO BOX 631666 CINCINNATI OH 45263 MEDICAL SERVICES 2228322 AMN HEALTHCARE INC 12400 HIGH BLUFF DR SAN DIEGO CA 92130 LOCUM SERVICES 1955337 21 7861 7861 NET PATIENT SERVICES 900099 159496417 159496417 0 0 PRODUCT SALES 446199 232000 232000 0 0 MEALS ON WHEELS 624210 178935 178935 0 0 FEES FOR SERVICES 900099 86422 86422 0 0 159993774 354332 354332 74710 0 74710 74710 74710 987777 5575 0 0 987777 5575 993352 993352 28362 20509 7853 7853 PHARMACY SERVICES 446110 1547508 0 27936 1519572 CAFETERIA 722100 224514 0 0 224514 51256 150 51106 1823278 163255160 159993774 28086 3225439 X 23610 23610 1849633 1664670 184963 57559966 51803969 5755997 2654340 2309276 345064 7683969 6838732 845237 4077874 3547750 530124 37613 37613 500 500 18244 18244 52216853 34463123 17753730 57233 57233 4778540 4157330 621210 705905 614137 91768 3690895 3211079 479816 393623 98406 295217 56817 56817 421228 210614 210614 9277960 7422368 1855592 1793656 1793656 MEDICAL SUPPLIES 20800180 20800180 0 0 REPAIRS AND MAINTENANCE 4651375 4651375 0 0 OTHER TAXES 2094130 0 2094130 0 DUES & SUBSCRIPTIONS 293782 0 293782 0 249175 127199 121976 175387101 142000635 33386466 0 12638 13915 21504779 108930082 0 0 62022214 42641233 0 11571 0 0 0 0 5722479 4510784 470952 317221 154771265 128585912 34254895 26185353 193402 192415 34729841 38358405 0 0 0 0 1727718 1551570 160638918 222712549 7555778 5773980 0 0 270871 270345 0 0 0 0 0 0 0 0 0 0 49115452 122887105 56942101 128931430 X 103467396 93551698 229421 229421 103696817 93781119 160638918 222712549 -12131941 2216243 0 X 0 1 X 1 0 X 0 0 0 0 0 1 18244 0 0 0 18244 0 PART II-B, LINE 1: THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: KANSAS HOSPITAL ASSOCIATION - $14,870. AMERICAN HOSPITAL ASSOCIATION - $2,357. CATHOLIC HEALTH ASSOCIATION - $1,017. 2431419 2431419 66519457 48642426 17877031 7781022 6976561 804461 78023324 72950882 5072442 16043 16043 0 26185353 CSH OPERATING POOL 38358405 F 38358405 INTERCOMPANY PAYABLES 122040524 LEASE LIABILITIES 798287 MEDICAL STAFF FUNDS 48294 122887105 X PART X, LINE 2: COMMONSPIRIT KANSAS, INC. F/K/A ST. CATHERINE HOSPITAL'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 1 X 1 1 1 0 1 1 2 6646569 6646569 0.03790 803 18905465 4591733 14313732 0.08160 805 25552034 4591733 20960301 0.11950 4 36567 353066 184246 168820 0.00100 4 730944 730944 0.00420 2 22684 22684 0.00010 10 36567 1106694 184246 922448 0.00530 10 37372 26658728 4775979 21882749 0.12480 1 504 504 0.00000 1 815 815 0.00000 2 1319 1319 0.00000 1 36585118 36698887 40380612 -3681725 X 1 1 1 HEARTLAND ONCOLOGY LLC HEALTHCARE 0.51000 0.00000 0.49000 3 1 ST CATHERINE HOSPITAL-GARDEN CITY 401 EAST SPRUCE STREET GARDEN CITY KS 67846 HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/ H-208-001 X X X A 2 BOB WILSON MEMORIAL HOSPITAL 415 N MAIN ST ULYSSES KS 67880 HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/ H-034-001 X X X A 3 ST CATHERINE HOSPITAL-DODGE CITY 3001 AVENUE A DODGE CITY KS 67801 HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/ H029002-2 X X X B FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 21 1 0 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 150.000000000000 250.000000000000 X X X X X 1 1 X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 1 X 0 0 FACILITY REPORTING GROUP - B 0 0 1 X X X X X X X X X 23 1 0 1 1 X MOUNTAIN.COMMONSPIRIT.ORG/COMMUNITY-IMPACT/COMMUNITY-BENEFIT X 1 23 1 HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/COMMUNITY-IMPACT/COMMUNITY-BENEFIT 0 1 X 150.000000000000 250.000000000000 X X X X X 1 1 X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 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-GROUP A FACILITY NAME:ST. CATHERINE HOSPITAL - GARDEN CITYDESCRIPTION:IN ORDER TO ASSESS THE NEEDS OF OUR COMMUNITY, WE CREATED A HOSPITAL SUBCOMMITTEE TO SOLICIT AND TAKE INTO ACCOUNT INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTEREST OF OUR COMMUNITY. OUR HOSPITAL SUBCOMMITTEE WAS MADE UP OF REPRESENTATIVES FROM OUR HOSPITAL AND THE COMMUNITY. ST. CATHERINE HOSPITAL CREATED A CHNA SUBCOMMITTEE TO REVIEW THE QUALITATIVE AND QUANTITATIVE HEALTH DATA, PRIORITIZE HEALTH NEEDS IN OUR COMMUNITIES, AND TO DEVELOP IMPLEMENTATION STRATEGIES TO ADDRESS THE PRIORITIZED NEEDS. THIS SUBCOMMITTEE WAS MADE UP OF BOTH HOSPITAL STAFF AND COMMUNITY STAKEHOLDERS INCLUDING REPRESENTATIVES FROM LOCAL PUBLIC HEALTH DEPARTMENTS. ONCE HEALTH NEEDS WERE PRIORITIZED, THE SUBCOMMITTEE WORKED TOGETHER TO DETERMINE GROUPS AND INDIVIDUALS APPROPRIATE FOR FOCUS GROUPS, BEING SURE TO SOLICIT INPUT FROM THOSE IN THE COMMUNITIES WE SERVE WHO KNOW THE EXPERIENCES OF THE UNDERSERVED, MINORITY, AND AGING POPULATIONS BEST THROUGH PERSONAL EXPERIENCE OR CLOSE WORK WITH THEM. WHEN CONNECTING WITH PARTNERS, WE IDENTIFIED THOSE WITH STRONG COMMUNITY CONNECTIONS AND TRUST, INCLUDING WITHIN HISTORICALLY UNDERSERVED COMMUNITIES. OUR STEERING COMMITTEE MET FROM MARCH THROUGH NOVEMBER OF 2022 VIA ZOOM MEETINGS AND BY COMPLETING SURVEYS TO RANK AND PRIORITIZE OUR STRATEGIES AND PROGRAMS, INCLUDING ASSETS AND GAPS. ADDITIONALLY, THE HOSPITAL PROVIDED A SUMMARY OF OUR STRATEGIES TO OUR COMMUNITY ORGANIZATIONS AND MEMBERS TO GET ADDITIONAL FEEDBACK. THE STEERING COMMITTEE WAS MADE UP OF THE FOLLOWING ORGANIZATIONS AND REPRESENT THE FOLLOWING TARGET POPULATIONS: FINNEY COUNTY COMMUNITY HEALTH COALITION, SERVING THE BROADER COMMUNITY; LIVEWELL FINNEY COUNTY, SERVING THE BROADER COMMUNITY AND IMMIGRANT POPULATION; ULYSSES FAMILY PHYSICIANS, SERVING THE BROADER COMMUNITY; GRANT COUNTY RECREATION COMMISSION, SERVING THE BROADER COMMUNITY; GRANT COUNTY CHAMBER OF COMMERCE, SERVING THE BROADER COMMUNITY; GRANT COUNTY COMMUNITY FOUNDATION, SERVING THE BROADER COMMUNITY; GRANT COUNTY HEALTH DEPARTMENT, SERVING THE BROADER COMMUNITY; IMPACT ULYSSES, SERVING THE BROADER COMMUNITY AND IMMIGRANT POPULATION; GENESIS FAMILY HEALTH, SERVING THOSE NEEDING BEHAVIORAL HEALTH SERVICES; RUSSELL CHILD DEVELOPMENT CENTER, SERVING YOUNG FAMILIES AND CHILDREN; DOMINICAN SISTERS MINISTRY OF PRESENCE AND PARENTS AS TEACHERS, SERVING THE BROADER COMMUNITY; USD 457, SERVING FAMILIES AND CHILDREN; GARDEN CITY POLICE DEPARTMENT. SERVING THE BROADER COMMUNITY; COMPASS BEHAVIORAL HEALTH, SERVING THOSE NEEDING BEHAVIORAL HEALTH SERVICES; FINNEY COUNTY UNITED WAY, SERVING THE BROADER COMMUNITYFACILITY NAME:BOB WILSON MEMORIAL HOSPITALDESCRIPTION:THE CHNA WAS CONDUCTED THROUGH A COLLABORATIVE PARTNERSHIP AMONG GRANT COUNTY PUBLIC HEALTH DEPARTMENT, COMMUNITY STAKEHOLDERS, AND BOB WILSON MEMORIAL HOSPITAL. WE COLLECTED QUANTITATIVE AND QUALITATIVE DATA TO COMPREHENSIVELY UNDERSTAND OUR COMMUNITY AND ITS SPECIFIC HEALTH NEEDS. WE BEGAN OUR DATA COLLECTION PROCESS IN FEBRUARY 2022 BY IDENTIFYING QUANTITATIVE INDICATORS FOR ANALYSIS. WE UTILIZED COMMUNITY COMMONS, A WEBSITE AND DATA PLATFORM THAT HOUSES POPULATION HEALTH INDICATOR DATA. IN THIS PROCESS, WE SELECTED CERTAIN HEALTH INDICATOR DATA, INCLUDING COMMUNITY AND POPULATION DEMOGRAPHIC INFORMATION, BEHAVIOR AND ENVIRONMENTAL HEALTH DRIVERS, HEALTH OUTCOMES INDICATORS, AND COVERAGE, QUALITY, AND ACCESS DATA. THESE INDICATORS WERE SELECTED BECAUSE THEY MOST ACCURATELY DESCRIBE THE DEMOGRAPHICS, DISPARITIES, POPULATION, AND DISTINCT HEALTH NEEDS OF THE COMMUNITY. THESE AREAS ADDRESS THE SOCIAL DETERMINANTS OF HEALTH, QUALITY OF LIFE, AND HEALTHY BEHAVIORS, ALL THINGS THAT WE KNOW IMPACT COMMUNITY HEALTH.BOB WILSON MEMORIAL HOSPITAL COLLABORATED CLOSELY WITH COMMUNITY LEADERS TO DEVELOP OUR COMMUNITY HEALTH NEEDS ASSESSMENT NEEDS ASSESSMENT. THE HOSPITAL CONVENED A COMMUNITY HEALTH NEEDS ASSESSMENT ADVISORY COMMITTEE MEETINGS, MADE UP OF DIVERSE WITH COMMUNITY-BASED ORGANIZATIONS. THESE ORGANIZATIONS WERE SELECTED BASED UPON THEIR CONNECTION WITH THE COMMUNITY, INCLUDING THOSE SERVING PEOPLE WHO ARE MEDICALLY UNDERSERVED AND AT GREATER RISK OF POOR HEALTH AND THOSE ORGANIZATIONS WITH INFLUENCE ON OVERALL HEALTH IN THE COMMUNITY. STAKEHOLDERS PROVIDED INPUT IN MULTIPLE MEETINGS TO RANK AND PRIORITIZE HEALTH ISSUES, IDENTIFY BOTH COMMUNITY ASSETS AND GAPS, AND TO IDENTIFY STRATEGIES FOR THE HEALTH PRIORITIES.OUR STEERING COMMITTEE MET FROM MARCH THROUGH NOVEMBER OF 2022 VIA ZOOM MEETINGS AND BY COMPLETING SURVEYS TO RANK AND PRIORITIZE OUR STRATEGIES AND PROGRAMS, INCLUDING ASSETS AND GAPS. ADDITIONALLY, THE HOSPITAL PROVIDED A SUMMARY OF OUR STRATEGIES TO OUR COMMUNITY ORGANIZATIONS AND MEMBERS TO GET ADDITIONAL FEEDBACK. THE STEERING COMMITTEE WAS MADE UP OF THE FOLLOWING ORGANIZATIONS AND REPRESENT THE FOLLOWING TARGET POPULATIONS: FINNEY COUNTY COMMUNITY HEALTH COALITION, SERVING THE BROADER COMMUNITY; LIVEWELL FINNEY COUNTY, SERVING THE BROADER COMMUNITY AND IMMIGRANT POPULATION; ULYSSES FAMILY PHYSICIANS, SERVING THE BROADER COMMUNITY; GRANT COUNTY RECREATION COMMISSION, SERVING THE BROADER COMMUNITY; GRANT COUNTY CHAMBER OF COMMERCE, SERVING THE BROADER COMMUNITY; GRANT COUNTY COMMUNITY FOUNDATION, SERVING THE BROADER COMMUNITY; GRANT COUNTY HEALTH DEPARTMENT, SERVING THE BROADER COMMUNITY; IMPACT ULYSSES, SERVING THE BROADER COMMUNITY AND IMMIGRANT POPULATION; GENESIS FAMILY HEALTH, SERVING THOSE NEEDING BEHAVIORAL HEALTH SERVICES; RUSSELL CHILD DEVELOPMENT CENTER, SERVING YOUNG FAMILIES AND CHILDREN; DOMINICAN SISTERS MINISTRY OF PRESENCE AND PARENTS AS TEACHERS, SERVING THE BROADER COMMUNITY; USD 457, SERVING FAMILIES AND CHILDREN; GARDEN CITY POLICE DEPARTMENT. SERVING THE BROADER COMMUNITY; COMPASS BEHAVIORAL HEALTH, SERVING THOSE NEEDING BEHAVIORAL HEALTH SERVICES; FINNEY COUNTY UNITED WAY, SERVING THE BROADER COMMUNITY. PART V, SECTION B, LINE 5-GROUP B FACILITY NAME:ST. CATHERINE HOSPITAL - DODGE CITYTHE CHNA WAS CONDUCTED THROUGH A COLLABORATIVE PARTNERSHIP BETWEEN LIVEWELL FINNEY COUNTY COMMUNITY HEALTH COALITION, THE FORD COUNTY PUBLIC HEALTH DEPARTMENT, COMMUNITY STAKEHOLDERS, AND ST. CATHERINE HOSPITAL IN DODGE CITY. WE COLLECTED BOTH QUANTITATIVE AND QUALITATIVE DATA TO COMPREHENSIVELY UNDERSTAND OUR COMMUNITY AND ITS SPECIFIC HEALTH NEEDS. OUR DATA COLLECTION PROCESS BEGAN IN JANUARY 2024, STARTING WITH THE IDENTIFICATION OF KEY QUANTITATIVE INDICATORS FOR ANALYSIS. WE UTILIZED POLICYMAP, AN ONLINE DATA PLATFORM THAT PROVIDES A COMPREHENSIVE RANGE OF SOCIOECONOMIC, HEALTH, HOUSING, AND ENVIRONMENTAL DATA ACROSS MULTIPLE GEOGRAPHIC LEVELS. WE SELECTED VARIOUS HEALTH INDICATOR DATA, INCLUDING COMMUNITY AND POPULATION DEMOGRAPHICS, BEHAVIORAL AND ENVIRONMENTAL HEALTH DRIVERS, HEALTH OUTCOMES, AND DATA ON COVERAGE, QUALITY, AND ACCESS. THESE INDICATORS WERE CHOSEN BECAUSE THEY MOST ACCURATELY REFLECT THE COMMUNITY'S DEMOGRAPHICS, DISPARITIES, POPULATION, AND UNIQUE HEALTH NEEDS. THESE AREAS ADDRESS THE SOCIAL DETERMINANTS OF HEALTH, QUALITY OF LIFE, AND HEALTHY BEHAVIORSFACTORS KNOWN TO IMPACT COMMUNITY HEALTH.ST. CATHERINE HOSPITAL IN DODGE CITY WORKED CLOSELY WITH COMMUNITY LEADERS TO DEVELOP OUR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE HOSPITAL ORGANIZED FOUR ADVISORY SUBCOMMITTEE MEETINGS, ENGAGING A DIVERSE GROUP OF COMMUNITY-BASED ORGANIZATIONS. THESE ORGANIZATIONS WERE SELECTED FOR THEIR CONNECTIONS TO THE COMMUNITY, PARTICULARLY THOSE SERVING MEDICALLY UNDERSERVED POPULATIONS AT HIGHER RISK OF POOR HEALTH, AS WELL AS THOSE WITH SIGNIFICANT INFLUENCE ON OVERALL COMMUNITY HEALTH. STAKEHOLDERS CONTRIBUTED VALUABLE INPUT IN THESE MEETINGS TO RANK AND PRIORITIZE HEALTH ISSUES, IDENTIFY BOTH COMMUNITY ASSETS AND GAPS, AND DEVELOP STRATEGIES TO ADDRESS THE IDENTIFIED HEALTH PRIORITIES.THE ADVISORY COMMITTEE WAS MADE UP OF THE FOLLOWING ORGANIZATIONS AND REPRESENT THE FOLLOWING TARGET POPULATIONS: BRIGHT BEGINNINGS EARLY CHILDHOOD CENTER, SERVING YOUNG FAMILIES AND CHILDREN; CENTRAL CARE CANCER CENTER, SERVING THE BROADER COMMUNITY; CITY OF DODGE CITY COMMUNITY MEMBERS AT LARGE, SERVING THE BROADER COMMUNITY; COMPASS BEHAVIORAL HEALTH, SERVING THE BROADER COMMUNITY AND THOSE NEEDING BEHAVIORAL HEALTH SERVICES; DODGE CITY COMMUNITY COLLEGE, SERVING THE BROADER COMMUNITY; DODGE CITY FORD COUNTY ECONOMIC DEVELOPMENT CORPORATION, SERVING THE BROADER COMMUNITY; DODGE CITY PUBLIC SCHOOLS USD 443, SERVING FAMILIES AND CHILDREN; DODGE CITY YMCA, SERVING THE BROADER COMMUNITY; FORD COUNTY EMERGENCY MEDICAL SERVICES, SERVING THE BROADER COMMUNITY; FORD COUNTY HEALTH DEPARTMENT, SERVING THE BROADER COMMUNITY; FORD COUNTY RETIRED SENIOR VOLUNTARY SERVICES, SERVING THE BROADER COMMUNITY; FORD COUNTY SHERIFF, SERVING THE BROADER COMMUNITY; GENESIS FAMILY HEALTH (LOCAL FQHC), SERVING THE BROADER COMMUNITY, SERVING THOSE NEEDING BEHAVIORAL HEALTH SERVICES AND THE IMMIGRANT POPULATION; HOSPICE OF THE PRAIRIE, SERVING THE BROADER COMMUNITY; KSU RESEARCH AND EXTENSION, SERVING THE BROADER COMMUNITY; LIVEWELL FINNEY COUNTY COMMUNITY HEALTH COALITION, SERVING THE BROADER COMMUNITY AND IMMIGRANT POPULATION PART V, SECTION B, LINE 6B FACILITY NAME:ST. CATHERINE HOSPITAL GARDEN CITYDESCRIPTION:THE FOLLOWING COMMUNITY MEMBERS PARTNERED WITH ST. CATHERINE HOSPITAL TO CONDUCT THE FY22 CHNA: FINNEY COUNTY COMMUNITY HEALTH COALITION, KANSAS DEPARTMENT OF HEALTH AND ENVIRONMENT, KANSAS HEALTH FOUNDATION, FNP GENESIS FAMILY HEALTH, COMPASS BEHAVIORAL HEALTH, GARDEN CITY PUBLIC SCHOOLS, DOMINICAN SISTERS MINISTRY OF PRESENCE/PARENTS AS TEACHERS AND STATE FARM INSURANCE.FACILITY NAME:BOB WILSON HOSPITALDESCRIPTION:THE FOLLOWING COMMUNITY MEMBERS PARTNERED WITH BOB WILSON HOSPITAL TO CONDUCT THE FY22 CHNA: FINNEY COUNTY COMMUNITY HEALTH COALITION, KANSAS DEPARTMENT OF HEALTH AND ENVIRONMENT, KANSAS HEALTH FOUNDATION, FNP GENESIS FAMILY HEALTH, COMPASS BEHAVIORAL HEALTH, GARDEN CITY PUBLIC SCHOOLS, DOMINICAN SISTERS MINISTRY OF PRESENCE/PARENTS AS TEACHERS AND STATE FARM INSURANCE.FACILITY NAME:ST. CATHERINE HOSPITAL DODGE CITYDESCRIPTION:PARTNERED WITH LIVEWELL FINNEY COUNTY HEALTH COALITION TO CONDUCT THE FY24 CHNA. PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: ST. CATHERINE HOSPITAL-GARDEN CITY, - FACILITY 2: BOB WILSON MEMORIAL HOSPITAL PART V, SECTION B FACILITY REPORTING GROUP B FACILITY REPORTING GROUP B CONSISTS OF: - FACILITY 3: ST. CATHERINE HOSPITAL-DODGE CITY PART V, SECTION B, LINE 11-GROUP A FACILITY NAME:ST CATHERINE HOSPITAL - GARDEN CITYST. CATHERINE HOSPITAL (SCH) - GARDEN CITY HAS IDENTIFIED SIX SIGNIFICANT COMMUNITY HEALTH NEEDS THROUGH THEIR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA): (1) SUICIDE, (2) YOUTH VAPING, (3) SUBSTANCE USE, (4) MENTAL HEALTH ACCESS, (5) FOOD SECURITY ALONG WITH (6) DIVERSITY, EQUITY, AND INCLUSION. SCH -GARDEN CITY HAS SET GOALS AND TAKEN VARIOUS ACTIONS TO ADDRESS THESE NEEDS:DISEASE AND INJURY: SUICIDE:ST. CATHERINE HOSPITAL (SCH) COLLABORATED WITH AND PROVIDED FUNDING TO LIVEWELL FINNEY COUNTY TO SUPPORT THE FOLLOWING INITIATIVES: PROMOTION OF THE 988 CRISIS LINE EFFORTS WERE MADE TO INCREASE AWARENESS OF THE NEW 988 CRISIS LINE THROUGHOUT THE FINNEY COUNTY REGION, ENSURING RESIDENTS HAVE ACCESS TO CRITICAL MENTAL HEALTH SUPPORT WHEN NEEDED; MENTAL HEALTH FIRST AID (MHFA) TRAINING SCH FACILITATED SEVERAL MHFA TRAINING SESSIONS, COVERING ADULT, TEEN, AND YOUTH CLASSES. THESE INCLUDED SPECIALIZED TRAINING FOR SCHOOL NURSES, THE ACHIEVE ACADEMY STAFF, AND COMMUNITY EMS PERSONNEL, EMPOWERING KEY COMMUNITY MEMBERS TO RECOGNIZE AND RESPOND TO MENTAL HEALTH CRISES EFFECTIVELY. LIVEWELL FINNEY COUNTY PLAYED A CRUCIAL LEADERSHIP ROLE IN THE FINNEY COUNTY SUICIDE COALITION, DRIVING STRATEGIC PLANNING AND ALIGNMENT BETWEEN SCH'S ZERO SUICIDE INITIATIVE AND BROADER COMMUNITY EFFORTS. A LEADERSHIP TEAM WAS FORMED TO CHAMPION THE ZERO SUICIDE INITIATIVE, INCLUDING THE IDENTIFICATION OF KEY INDIVIDUALS WHO WILL SERVE AS LEADERS AND CHAMPIONS OF THE INITIATIVE. ADDITIONALLY, A BUDGET WAS ESTABLISHED TO SUPPORT THE IMPLEMENTATION OF THE ZERO SUICIDE FRAMEWORK FOR FISCAL YEAR 2025. THIS COLLABORATIVE EFFORT IS FOCUSED ON CREATING A COMPREHENSIVE AND SUSTAINABLE SUICIDE PREVENTION STRATEGY FOR FINNEY COUNTY.RISK BEHAVIORS: VAPING:SCH COLLABORATED WITH LIVEWELL TO PROMOTE TOBACCO CESSATION FOR YOUTH AND ADULTS IN KANSAS WITH DELIVERABLES INCLUDING: DESEMINATION OF VAPING MATERIALS AT THE WESTERN KANSAS COMMUNITY FOUNDATION/UNITED WAY NON-PROFIT FAIR, FINNEY COUNTY HEALTH DEPARTMENT AND SAFETY FAIR, USD 457 ENROLLMENT, VAPE FREE POOL PARTY AT GARDEN RAPIDS (+1000 IN ATTENDANCE); ADDITIONAL TARGETED VAPING EDUCATION INCLUDED A PARENTS AGAINST VAPING PRESENTATION AT GARDEN CITY HIGH SCHOOL, GC ACHIEVE, AND HOLCOMB HIGH SCHOOL AND ALSO GARDEN CITY HIGH SCHOOL RESIST TO YOUTH TAKING DOWN TOBACCO IN TOPEKA AND A GARDEN CITY HIGH SCHOOL RESIST LEADERSHIP TRAINING AT GARDEN CITY COMMUNITY COLLEGE.RISK BEHAVIORS: SUBSTANCE USESCH ED PROVIDERS ADMINISTERED MEDICATIONS OF OPIOID USE DISORDERS TO HELP PROMOTE ACCESS TO TREATMENT. CSH BH INITIATIVES LEADERSHIP WILL WORK WITH THE PROVIDER TEAM TO HELP ASSURE COMMUNITY CONTINUITY OF ACCESS; SCH ED PATIENTS AT RISK OF OVERDOSE WERE GIVEN NALOXONE DISTRIBUTION KITS TO SAVE LIVES BY REVERSING OPIOID OVERDOSES; LIVEWELL FINNEY COUNTY ALSO PROVIDED NALOXONE EDUCATION TO THE COMMUNITY, HOSTED THE 2024 OPIOID SUMMIT, AND CONTINUED TO HOST THE REGIONAL OPIOID TASK FORCE. ACCESS TO CARE: MENTAL HEALTHSCHOOL WORKFORCE PARTNERSHIPS: SCH PARTNERED WITH LIVEWELL AND SECURED FUNDING FOR A REGIONAL AMBASSADORS PROGRAM TO REDUCE MENTAL HEALTH STIGMA AND ADVANCED THE UTILIZATION OF COMMUNITY HEALTH WORKERS AND PARTNERSHIPS TO SUPPORT DIVERSE COMMUNITIES AND FAMILIES IN NEED OF LINKAGES AND SUPPORT; INITIAL DISCUSSIONS AND PLANNING RELATED TO INTEGRATED BEHAVIORAL HEALTH IMPLEMENTATION OCCURRED WITH REGIONAL AND KANSAS MARKET COMMONSPIRIT MEDICAL GROUP LEADERS WITH A PLAN FOR IMPLEMENTATION IN EARLY 2025. CAPACITY BUILDING: FOOD SECURITY:ST. CATHERINE HOSPITAL (SCH) IMPLEMENTED SEVERAL INITIATIVES AIMED AT ADDRESSING FOOD SECURITY AND SUPPORTING VULNERABLE POPULATIONS: SCREENING & REFERRALS A SOCIAL DETERMINANTS OF HEALTH (SDOH) SCREENING WAS INTRODUCED ACROSS ALL INPATIENT UNITS AT SCH'S FACILITIES. CASE MANAGERS NOW RECEIVE A WORK QUEUE OF PATIENTS IDENTIFIED AS HAVING SOCIAL NEEDS, WHICH PROMPTS THEM TO CONNECT THESE INDIVIDUALS WITH LOCAL RESOURCES, INCLUDING FOOD ASSISTANCE PROGRAMS; SCH CONTINUED ITS SUPPORT FOR MEALS ON WHEELS AND LOCAL SENIOR LUNCH PROGRAMS, HELPING ENSURE THAT SENIORS HAVE CONSISTENT ACCESS TO NUTRITIOUS MEALS; IN PARTNERSHIP WITH LIVEWELL, SCH HELPED IN COORDINATING THE SUPPLY OF FOOD AND CLOTHING FOR LABOR TRAFFICKING VICTIMS, HELPING TO MEET THEIR BASIC NEEDS.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 $327K TO SUPPORT THE SOUTHWESTERN KANSAS COMMUNITIES: FAMILY CRISIS CENTER, ADDRESSING MENTAL HEALTH NEEDS; ST. MARY CATHOLIC CHURCH AND SCHOOL, ADDRESSING FOOD SECURITY; FINNEY COUNTY COMMUNITY HEALTH COALITION LIVEWELL FINNEY COUNTY, ADDRESSING FOOD SECURITY AND MENTAL HEALTH; FORD COUNTY RSVP, ADDRESSING SOCIAL JUSTICE AND HEALTH EQUITY.FACILITY NAME:BOB WILSON MEMORIAL HOSPITALBOB WILSON MEMORIAL HOSPITAL (BWMH) HAS IDENTIFIED FIVE SIGNIFICANT COMMUNITY HEALTH NEEDS: SUICIDE, YOUTH VAPING, DIABETES PREVENTION AND OBESITY, MENTAL HEALTH ACCESS AND DIVERSITY, EQUITY, AND INCLUSION. BWMH HAS SET GOALS AND TAKEN VARIOUS ACTIONS TO ADDRESS THESE NEEDS:DISEASE AND INJURY: SUICIDE:BWMH WORKED WITH AND FINANCED LIVEWELL FINNEY COUNTY TO PROMOTE THE NEW 988 EMERGENCY CRISIS LINE FOR 24/7 SUPPORT TO RESIDENTS. ZERO SUICIDE UNIVERSAL ASSESSMENT PROTOCOLS AND POLICIES WERE EXPANDED TO BWMH TO SUPPORT FY 2025'S KANSAS MARKET'S PROGRAM IMPLEMENTATION. RISK BEHAVIORS: VAPING:TO SUPPORT THE TOBACCO TREATMENT SPECIALIST (TTS) PROGRAM'S EFFECTIVENESS BWMH AND ITS CONTRACTUAL PARTNER LIVEWELL ADVANCED ON PLANS TO SUPPORT VAPING EDUCATION THROUGH THE PROGRAM AND EXPAND REFERRALS TO TTS FROM CLINICAL PROVIDERS; THE BWMH CARDIOPULMONARY TEAM COMPLETED SMOKING CESSATION AND VAPING EDUCATION; TO SUPPORT COMMUNITY EDUCATION AND AWARENESS LIVEWELL POSTED WEEKLY CESSATION AND TOBACCO INFORMATION SOCIAL MEDIA POSTS THROUGH ITS LIVEWELL PAGE RISK BEHAVIORS: DIABETES PREVENTION AND OBESITY:LIVEWELL WORKED WITH HOSPITAL LEADERSHIP TO MAP OUT COMMUNITY TRAILS AND TO DEVELOP AN APPROVED PLAN FOR A WALKING TRAIL AROUND THE HOSPITAL GROUNDS THAT WILL BE COMPLETED AND OPEN IN THE SPRING OF 2025. DIABETES MANAGEMENT AND IMPROVED HEALTH EQUITY OUTCOMES WERE A FOCUS OF LOCAL COMMONSPIRIT HEALTH MEDICAL GROUP CLINICS AND PROVIDER QUALITY MEASURES.ACCESS TO CARE: MENTAL HEALTHCOMMONSPIRIT HEALTH IN PARTNERSHIP WITH LIVEWELL STARTED AN AMBASSADOR PROGRAM AND LIVEWELL AND BWMH IS WORKING WITH PARTNERS TO REDUCE STIGMA IN GRANT COUNTY COMMUNITY; COMMONSPIRIT HAS ALSO ESTABLISHED A COMMUNITY WORKFORCE PARTNERSHIP FOR BEHAVIORAL HEALTH AND PILOTED BEHAVIORAL HEALTH SPECIALIST POSITIONS IN THE ROCKY MOUNTAIN REGION. THIS PROGRAM AIMS TO OVERLAY SUSTAINABILITY EFFORTS WITH LIVEWELL'S COMMUNITY HEALTH WORKER PROGRAM TO ACHIEVE INCREASED SUSTAINABILITY AND SCALEABILITY.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 $327K TO SUPPORT THE SOUTHWESTERN KANSAS COMMUNITIES: FAMILY CRISIS CENTER, ADDRESSING MENTAL HEALTH NEEDS; ST. MARY CATHOLIC CHURCH AND SCHOOL, ADDRESSING FOOD SECURITY; FINNEY COUNTY COMMUNITY HEALTH COALITION LIVEWELL FINNEY COUNTY, ADDRESSING FOOD SECURITY AND MENTAL HEALTH; FORD COUNTY RSVP, ADDRESSING SOCIAL JUSTICE AND HEALTH EQUITY. PART V, SECTION B, LINE 11-GROUP B FACILITY NAME:ST CATHERINE HOSPITAL - DODGE CITYST CATHERINE HOSPITAL - DODGE CITY (SCD) WAS ACQUIRED ON MAY 1, 2022, AND COMPLETED ITS FIRST COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN JUNE 2024. 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 INITIATIVES AND PROGRAMS.SCD COLLABORATED WITH AND PROVIDED FUNDING TO LIVEWELL FINNEY COUNTY TO SUPPORT THE FOLLOWING INITIATIVES: PROMOTION OF THE 988 CRISIS LINE EFFORTS WERE MADE TO INCREASE AWARENESS OF THE NEW 988 CRISIS LINE THROUGHOUT THE FORD COUNTY REGION, ENSURING RESIDENTS HAVE ACCESS TO CRITICAL MENTAL HEALTH SUPPORT WHEN NEEDED; LIVEWELL FINNEY COUNTY PLAYED A CRUCIAL LEADERSHIP ROLE IN THE FINNEY COUNTY SUICIDE COALITION, DRIVING STRATEGIC PLANNING AND ALIGNMENT BETWEEN SCH'S ZERO SUICIDE INITIATIVE AND BROADER COMMUNITY EFFORTS. A LEADERSHIP TEAM WAS FORMED TO CHAMPION THE ZERO SUICIDE INITIATIVE, INCLUDING THE IDENTIFICATION OF KEY INDIVIDUALS WHO WILL SERVE AS LEADERS AND CHAMPIONS OF THE INITIATIVE. ADDITIONALLY, A BUDGET WAS ESTABLISHED TO SUPPORT THE IMPLEMENTATION OF THE ZERO SUICIDE FRAMEWORK FOR FISCAL YEAR 2025. THIS COLLABORATIVE EFFORT IS FOCUSED ON CREATING A COMPREHENSIVE AND SUSTAINABLE SUICIDE PREVENTION STRATEGY FOR FINNEY COUNTY. PART V, SECTION B, LINES 16A-16C WEBSITEHTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/PATIENT-TOOLS/BILLING-AND-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE-HOSPITAL-DISCOUNTED-CARE 19 1 - ULYSSES FAMILY PHYSICIANS - RHC 505 N MAIN ST ULYSSES KS 678802135 FAMILY CLINIC 2 - CENTURA FAMILY PRACTICE DODGE CITY 100 W ROSS BLVD STE 1B DODGE CITY KS 678017217 FAMILY CLINIC 3 - CMG GENERAL SURGERY DODGE CITY 108 W ROSS BLVD DODGE CITY KS 678012131 GENERAL SURGERY CLINIC 4 - CENTURA INTERNAL MEDICINE DODGE CITY 112 W ROSS BLVD STE A DODGE CITY KS 678017220 INTERNAL MEDICINE CLINIC 5 - CENTURA OBSTETRICS AND GYNECOLOGY 112 W ROSS BLVD STE D DODGE CITY KS 678017220 OB / GYN 6 - CENTURA ORTHOPEDICS DODGE CITY 112 W ROSS BLVD STE A DODGE CITY KS 678017220 ORTHOPEDIC CLINIC 7 - CENTURA PRIMARY CARE CIMARRON 106 N MAIN ST CIMARRON KS 678358880 PRIMARY CARE CLINIC 8 - CENTURA PEDIATRICS DODGE CITY 100 W ROSS BLVD STE 1B DODGE CITY KS 678017217 PEDIATRIC CLINIC 9 - SCH SURGERY WELCOME CENTER 401 E SPRUCE ST GARDEN CITY KS 678465679 PATIENT IN-TAKE CENTER 10 - SIENA FAMILY PRACTICE 311 E SPRUCE ST GARDEN CITY KS 678465679 FAMILY CLINIC 11 - SIENA INTERNAL MEDICINE 311 E SPRUCE ST GARDEN CITY KS 678465614 INTERNAL MEDICINE CLINC 12 - SIENA OCCUPATIONAL MEDICINE 311 E SPRUCE ST GARDEN CITY KS 678465614 OCCUPATIONAL THERAPY CLINIC 13 - CHPG PRIMARY CARE AND WOMENS HEALTH 2132 N KANSAS AVE STE C LIBERAL KS 679012098 PRIMARY CARE CLINIC AND WOMENS CLINIC 14 - SIENA PEDIATRICS 311 E SPRUCE ST GARDEN CITY KS 678455814 PEDIATRIC CLINIC 15 - SIENA UROLOGY 311 E SPRUCE ST GARDEN CITY KS 678465614 UROLOGY CLINIC 16 - CHPG PLAZA MEDICAL CENTER 911 N MAIN ST GARDEN CITY KS 678465561 MEDICAL CLINIC 17 - CENTURA TELENEUROLOGY KANSAS 401 E SPRUCE ST GARDEN CITY KS 678465679 NEUROLOGICAL CARE CLINIC 18 - SCH WOUND CARE CLINIC 311 E SPRUCE GARDEN CITY KS 678465614 WOUND CARE CLINIC 19 - SCH WOMENS CLINIC OBGYN 310 E WALNUT ST GARDEN CITY KS 678465572 WOMEN'S CARE CLINIC PART I, LINE 7: THE HOSPITALS USE AN ADJUSTED COST TO CHARGE RATIO (CCR) CALCULATED IN A MANNER CONSISTENT WITH WORKSHEET 2 FOR EACH REPORTING FACILITY, TO DERIVE THE REPORTED COSTS OF FINANCIAL ASSISTANCE, MEDICAID AND OTHER MEANS-TESTED PROGRAMS. WORKSHEET 3 IS USED IN THE COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY (CBISA) SOFTWARE TO CALCULATE MEDICAID AND OTHER MEANS-TESTED PROGRAMS EXPENSE AND REVENUE, INCLUDING WHERE APPLICABLE MEDICAID PROVIDER FEES AND PAYMENTS FROM UNCOMPENSATED CARE PROGRAMS. ACTUAL OR ESTIMATED COST AND ANY DIRECT OFFSETTING REVENUE IS REPORTED, AND SCHEDULE H WORKSHEETS OR THEIR EQUIVALENTS ARE USED, FOR OTHER COMMUNITY BENEFIT ACTIVITIES INCLUDING COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH, AND CASH AND IN-KIND DONATIONS. PART II, COMMUNITY BUILDING ACTIVITIES: ST. CATHERINE HOSPITAL GARDEN CITY AND BOB WILSON HOSPITAL INVESTED $1,319 IN COMMUNITY HEALTH INITIATIVES, WITH HOSPITAL LEADERSHIP AND STAFF ACTIVELY SERVING ON LOCAL HEALTH-RELATED BOARDS AND PARTICIPATING IN COMMUNITY COALITIONS. THESE EFFORTS ADDRESS A WIDE RANGE OF HEALTH NEEDS THAT ALIGN WITH BOTH OUR HOSPITAL'S NEEDS ASSESSMENT AND BROADER PUBLIC HEALTH PRIORITIES.SCH AND BWH ALSO FOSTERS STRONG COLLABORATIVE PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS TO ENHANCE THE WELL-BEING OF OUR RESIDENTS AND STRENGTHEN OUR LOCAL SUPPORT NETWORKS AND FUNDED NATIONAL NIGHT OUT. 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 150% OF THE FEDERAL POVERTY LEVEL, OR DISCOUNTED CARE TO UNINSURED OR UNDER-INSURED INDIVIDUALS WHOSE FAMILY INCOME IS ABOVE 151% BUT LOWER THAN 250% 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: ST. CATHERINE HOSPITAL MAKES EVERY EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UPON ADMISSION. ST. CATHERINE HOSPITAL '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. ST. CATHERINE HOSPITAL 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, ST. CATHERINE HOSPITAL 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: ST. CATHERINE HOSPITAL DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF COMMONSPIRIT HEALTH. THE 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. ST. CATHERINE HOSPITAL'S SHORTFALL, AS REPORTED ON PART III, SECTION B, LINE 7, OF $3,681,725 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: ST. CATHERINE HOSPITAL GARDEN CITY SERVES RURAL FINNEY COUNTY, SOUTHWEST KANSAS, AND THE SURROUNDING STATES, ENCOMPASSING NINETEEN COUNTIES IN KANSAS, COLORADO, AND OKLAHOMA. FINNEY COUNTY HAS A POPULATION OF APPROXIMATELY 38,000. THE ESTIMATE POPULATION OF FINNEY COUNTY BREAKS DOWN TO: 2.9% BLACK OR AFRICAN AMERICAN; 4.6% ASIAN; 1% NATIVE AMERICAN/ALASKAN NATIVE, 0% HAWAIIAN AND OTHER PACIFIC ISLANDER; 3% TWO OR MORE RACES; 49.2% HISPANIC OR LATINO; AND 73% WHITE. THE COUNTY UNEMPLOYMENT RATE IS 2%. EDUCATION LEVEL: OF THE POPULATION AGED 25 AND OVER, 18% HAVE A BACHELOR DEGREE OR HIGHER.BOB WILSON MEMORIAL HOSPITAL'S SERVICE AREA IS GRANT COUNTY. WE USED THE COUNTY TO DEFINE OUR COMMUNITY FOR THE CHNA AND TO ANALYZE DEMOGRAPHIC AND HEALTH INDICATOR DATA. GRANT COUNTY'S POPULATION IS APPROXIMATELY 8,000. THE DEMOGRAPHIC MAKEUP OF BOB WILSON'S COMMUNITY IS AS FOLLOWS:RACE: 49% WHITE, 1% BLACK, 6% ASIAN, 0.6% NATIVE AMERICAN/ALASKA NATIVE, 0% NATIVE HAWAIIAN/PACIFIC ISLANDER, 1.7% MULTIPLE RACES ETHNICITY: 49% OF THE POPULATION REPORTS HISPANIC OR LATINO ORIGIN. EDUCATION LEVEL: OF THE POPULATION AGED 25 AND OVER, 21% HAVE A BACHELOR'S DEGREE OR HIGHER.ST. CATHERINE HOSPITAL DODGE CITY (SCD) SERVES THE RURAL COMMUNITIES OF FORD COUNTY, WHERE WE USED THE COUNTY BOUNDARIES TO DEFINE OUR TARGET POPULATION FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. THIS APPROACH ALLOWED US TO ANALYZE RELEVANT DEMOGRAPHIC AND HEALTH INDICATOR DATA FOR THE REGION. FORD COUNTY ENCOMPASSES THE FOLLOWING FORD COUNTY ZIP CODES: 67801, 67876, 67843, 67882, 67842, 67834, 67865, 67841, AND 67563. THE COUNTY'S POPULATION IS APPROXIMATELY 34,212, WITH A MEDIAN HOUSEHOLD INCOME OF $67,997. DESPITE THIS, 9.65% OF FAMILIES IN THE AREA LIVE BELOW THE POVERTY LINE. THE DEMOGRAPHIC COMPOSITION OF FORD COUNTY IS AS FOLLOWS: 56.48% HISPANIC OR LATINO, 38.06% WHITE, 1.82% BLACK OR AFRICAN AMERICAN, 1.1% ASIAN, 2.54% OTHER. THE UNEMPLOYMENT RATE IN FORD COUNTY STANDS AT 3.24%, WHICH IS ABOVE THE STATE AVERAGE OF 2.7%. ADDITIONALLY, 21% OF THE POPULATION REPORTS LIMITED ENGLISH PROFICIENCY, COMPARED TO THE KANSAS AVERAGE OF 4.5%. EDUCATION LEVELS IN THE COMMUNITY INDICATE THAT 22.78% OF RESIDENTS HAVE LESS THAN A HIGH SCHOOL DIPLOMA. 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. 1 LEAVE A LEGACY FOUNDATION PO BOX 734 GARDEN CITY KS 67846 260395247 501C3 6000 0 PROGRAM SUPPORT 1 0 PART I, LINE 2: FUNDS ARE USED IN FURTHERENCE OF THE PURPOSE OF THE GRANT. 1 1 0 0 0 0 0 0 0 PETER BANKO PRESIDENT & CEO (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)/MOUNTAIN RE 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 MATT BROWN INTERIM PRESIDENT (1/27/24 - 5/26/24 0 748690 0 864302 0 1115 0 19175 0 33877 0 1667159 0 0 ZEFERINO ARROYO MD BOARD MEMBER (THRU 4/2/24)/PHYSICIAN 834288 0 212670 0 6078 0 11550 0 22938 0 1087524 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 SHERI SHAPIRO BOARD MEMBER/SEVP CSH CHIEF STRATEGY 0 613253 0 250000 0 7217 0 0 0 15951 0 886421 0 0 AHMAD BARAKAT PHYSICIAN (THRU 4/30/2024) 809240 0 3333 0 11579 0 10169 0 28563 0 862884 0 0 0 TADD RICHERT TREASURER/INTERIM CFO, MOUNTAIN REGI 0 659594 0 129463 0 1549 0 7875 0 57664 0 856145 0 0 RICHARD HALL PHYSICIAN 609329 0 148137 0 36589 0 10500 0 47517 0 852072 0 0 0 WILLIAM FREUND PHYSICIAN 747377 0 22617 0 14239 0 10500 0 35926 0 830659 0 0 0 CHRISTINE MCSWEENEY FORMER INTERIM CEO, ST CATHERINE HOS 0 336915 0 263955 0 110515 0 11550 0 46819 0 769754 0 0 GUILLERMO GARCIA PHYSICIAN 391905 0 269197 0 3492 0 10500 0 43118 0 718212 0 0 0 RONALD CATANESE PHYSICIAN 582897 0 49501 0 10037 0 8198 0 15866 0 666499 0 0 0 TWILLA LEE CEO, ST. CATHERINE HOSPITAL 0 361042 0 116228 0 87755 0 5239 0 19379 0 589643 0 0 BRYAN STUCKY SECRETARY (THRU 4/2/24)/PHYSICIAN 295692 0 74182 0 6720 0 7875 0 44715 0 429184 0 0 0 MERRILL CONANT BOARD MEMBER (THRU 4/2/24)/ PHYSICIA 267513 0 12000 0 7434 0 8432 0 25055 0 320434 0 0 0 SHAWNA ROARK CFO (THRU 4/2/24) 0 210491 0 52393 0 673 0 7875 0 42915 0 314347 0 0 AMANDA VAUGHAN FORMER CFO 0 77588 0 0 0 124907 0 2014 0 28487 0 232996 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) WRITTEN EMPLOYMENT CONTRACT; (5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15 FOR ADDITIONAL INFORMATION. SCH J, PART I, LINE 4A CERTAIN REPORTABLE INDIVIDUALS ARE COVERED BY 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): AMANDA VAUGHAN, $124,659 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, TWILLA LEE, $9,168. 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, TWILLA LEE, $19,825, CHRISTINE MCSWEENEY, $11,372, 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 ST CATHERINE HOSPITAL 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. BLAKE STUCKY FAMILY MEMBER OF A BOARD MEMNER PHYSICIAN IS A RESIDENT PURSUING A RESIDENCY IN FAMILY MEDICINE X 37000 11571 0 1 1 11571 BRADLEY STUCKY FAMILY MEMBER OF A BOARD MEMBER 221864 EMPLOYEE PAYROLL WAGES 0 BRANDON STUCKY FAMILY MEMBER OF A BOARD MEMBER 368365 EMPLOYEE PAYROLL WAGES 0 RACQUEL STUCKY FAMILY MEMBER OF A BOARD MEMBER 319401 EMPLOYEE PAYROLL WAGES 0 BLAKE STUCKY FAMILY MEMBER OF A BOARD MEMBER 287150 EMPLOYEE PAYROLL WAGES 0 KINARI BHAKTA FAMILY MEMBER OF A BOARD MEMBER 67351 EMPLOYEE PAYROLL WAGES 0 PAGE 1, LINE J : WEBSITE HTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/LOCATION/ST-CATHERINE-HOSPITAL-GAR DEN-CITY PART V, LINE 1C: PAYMENTS TO VENDORS PAYMENTS TO VENDORS FOR ENTITIES THAT ARE PART OF COMMONSPIRIT MOUNTAIN REGION ARE MADE BY COMMONSPIRIT MOUNTAIN REGION. THEREFORE, NO FORMS 1099 ARE ISSUED BY COMMONSPIRIT KANSAS, INC. F/K/A ST. CATHERINE HOSPITAL. COMMONSPIRIT MOUNTAIN REGION 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 COMMONSPIRIT KANSAS, INC. F/K/A ST. CATHERINE HOSPITAL ARE REPORTED TO THE IRS. FORM 990, PART VI, SECTION A, LINE 1A PURSUANT TO SECTION 8.6 OF THE BYLAWS OF COMMONSPIRIT KANSAS, INC. F/K/A ST. CATHERINE HOSPITAL, THE EXECUTIVE COMMITTEE IS COMPOSED OF THE BOARD CHAIR, THE BOARD VICE CHAIR, THE PRESIDENT AND CEO, EACH OF WHOM SHALL SERVE AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE, AND THOSE MEMBERS WHO ARE APPOINTED BY THE BOARD. EACH INDIVIDUAL APPOINTED TO THE EXECUTIVE COMMITTEE SHALL SERVE FOR A TERM OF ONE YEAR OR UNTIL HIS OR HER SUCCESSOR IS DULY APPOINTED BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL CONSIST OF ONLY DIRECTORS OF THE CORPORATION. PURSUANT TO SECTION 8.1 OF THE CORPORATION'S BYLAWS, COMMITTEES, SUCH AS THE EXECUTIVE COMMITTEE, THAT ARE GRANTED THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MAY INCLUDE ONLY DIRECTORS OF THE CORPORATION. FURTHER, PURSUANT TO SECTION 8.6 OF THE CORPORATION'S BYLAWS, THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE ALSO POSSESSES THE POWER TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS COMMONSPIRIT HEALTH, A COLORADO NONPROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS SHALL BE APPOINTED OR REFUSED BY THE CORPORATE MEMBER. THE CORPORATE MEMBER MAY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS, AND MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS AND WITH ENDORSEMENT OF THE SENIOR VICE PRESIDENT OF OPERATIONS. THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS SHOULD THE BOARD FAIL TO FURNISH THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION'S CORPORATE MEMBER IS COMMONSPIRIT HEALTH (CSH). PURSUANT TO SECTION 5.4 OF THE ORGANIZATION'S BYLAWS, THE CORPORATE MEMBER SHALL HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE RESERVED TO THE CHI BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CHI CHIEF EXECUTIVE OFFICER: -SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF COMMONSPIRIT KANSAS, INC. F/K/A ST. CATHERINE HOSPITAL -AMENDMENT OF THE CORPORATE DOCUMENTS OF COMMONSPIRIT KANSAS, INC. F/K/A ST. CATHERINE HOSPITAL -APPROVE MEMBERS OF THE COMMONSPIRIT KANSAS, INC. F/K/A ST. CATHERINE HOSPITAL -REMOVAL OF A MEMBER OF THE GOVERNING BODY OF COMMONSPIRIT KANSAS, INC. F/K/A ST. CATHERINE HOSPITAL -APPROVAL OF ISSUANCE OF DEBT BY COMMONSPIRIT KANSAS, INC. F/K/A ST. CATHERINE HOSPITAL -APPROVAL OF PARTICIPATION OF COMMONSPIRIT KANSAS, INC. F/K/A ST. CATHERINE HOSPITAL IN A JOINT VENTURE -APPROVAL OF FORMATION OF A NEW CORPORATION BY COMMONSPIRIT KANSAS, INC. F/K/A ST. CATHERINE HOSPITAL -APPROVAL OF A MERGER INVOLVING COMMONSPIRIT KANSAS, INC. F/K/A ST. CATHERINE HOSPITAL -APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF COMMONSPIRIT KANSAS, INC. F/K/A ST. CATHERINE HOSPITAL -TO REQUIRE THE TRANSFER OF ASSETS BY THE ST. CATHERINE HOSPITAL TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS -ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR COMMONSPIRIT KANSAS, INC. F/K/A ST. CATHERINE HOSPITAL. PURSUANT TO THE ORGANIZATION'S BYLAWS, CHI MAY, IN EXERCISE OF ITS APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. FORM 990, PART VI, 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 B, LINE 15B COMPENSATION FOR THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES IS PAID BY COMMONSPIRIT MOUNTAIN REGION. COMMONSPIRIT MOUNTAIN REGION ENGAGED EXTERNAL CONSULTANTS TO PROVIDE MARKET-BASED COMPENSATION STUDIES TO MAKE RECOMMENDATIONS TO THE FILING ORGANIZATION'S COMPENSATION COMMITTEE REGARDING THE COMPENSATION OF THE FILING ORGANIZATION'S OFFICERS AND KEY EMPLOYEES. THE COMPENSATION COMMITTEE IS APPOINTED BY THE BOARD OF TRUSTEES. THE BOARD OF TRUSTEES MAY REMOVE AT ANY TIME, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE COMPENSATION COMMITTEE; PROVIDED THE FILING ORGANIZATION'S SOLE MEMBER, COMMONSPIRIT HEALTH SHALL HAVE EXCLUSIVE AUTHORITY TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER IT OR THEY APPOINT TO THE COMPENSATION COMMITTEE. THE CONSULTANT'S RECOMMENDATIONS ARE PRESENTED TO AND DELIBERATED BY THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE RELIES UPON ALL AVAILABLE COMPARABLE COMPENSATION DATA IN FINALIZING ITS DECISION CONCERNING COMPENSATION FOR ITS SENIOR EXECUTIVE POSITIONS. THE COMPENSATION COMMITTEE DELIBERATIONS AND DECISIONS ARE DOCUMENTED APPROPRIATELY. THE FILING ORGANIZATION'S HUMAN RESOURCES DEPARTMENT PERFORMS AN ANNUAL ANALYSIS OF THE MARKET TO DETERMINE COMPENSATION RANGES FOR THE REMAINDER OF THE FILING ORGANIZATION'S EXECUTIVES WHICH ARE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S SENIOR LEADERSHIP. 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 WWW.COMMONSPIRIT.ORG FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 671,532. MANAGEMENT AND GENERAL EXPENSES 345,941. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,017,473. CONSULTING: PROGRAM SERVICE EXPENSES 22,128,285. MANAGEMENT AND GENERAL EXPENSES 11,399,420. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,527,705. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 4,118,742. MANAGEMENT AND GENERAL EXPENSES 2,121,776. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,240,518. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 4,316,122. MANAGEMENT AND GENERAL EXPENSES 2,223,457. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,539,579. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,228,442. MANAGEMENT AND GENERAL EXPENSES 1,663,136. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,891,578. 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 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