2026-05-13T21:22:55-05:00 2025-06-30 470617373 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2024-07-01 951643373 COMMUNITY HOSPITAL OF SAN BERNARDINO COMM 9098876333 3033 N 3RD AVE PHOENIX AZ 85013 GENE GUTIERREZ IV CFO 9098876333 2026-05-13 1 1 MARK STOCKI P00642127 3032989100 2024 2025-03-06 01:10:19Z X JUNE COLLISON 1805 MEDICAL CENTER DR SAN BERNARDINO CA 92411 302332504 0 X WWW.DIGNITYHEALTH.ORG/SAN-BERNARDINO/ X 1938 CA AS AN AFFILIATE OF COMMONSPIRIT HEALTH ("COMMONSPIRIT"), COMMUNITY HOSPITAL OF SAN BERNARDINO IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE WE SERVE, ESPECIALLY THOSE WHO ARE VULNERABLE, WHILE WE ADVANCE SOCIAL JUSTICE FOR ALL. 15 8 1827 773 0 0 2940383 6630157 379153884 294720802 146092 77405 572261 904140 382812620 302332504 2529929 1709138 0 0 177655588 185189387 0 0 0 156981814 130787772 337167331 317686297 45645289 -15353793 235330278 207639639 275609918 260030605 -40279640 -52390966 X COMMUNITY HOSPITAL OF SAN BERNARDINO ("CHSB") IS A NON-PROFIT, FULL-SERVICE, ACUTE CARE FACILITY IN BUSINESS TO PROVIDE ACUTE INPATIENT CARE, LONG-TERM CARE AND A WIDE RANGE OF ANCILLARY AND THERAPEUTIC CARE TO THE COMMUNITY WE SERVE. OUR VISION IS TO CREATE AND PROVIDE HEALTH CARE SOLUTIONS, AND MEET THE HEALTH CARE NEEDS OF OUR COMMUNITY. 0 0 280128889 1709138 294720802 CHSB'S MISSION IS TO CONTRIBUTE TO THE HEALTH OF THE COMMUNITY THROUGH THE PROVISION OF QUALITY SERVICES IN A COMPASSIONATE AND COST EFFECTIVE MANNER. THE HOSPITAL IS LICENSED FOR 431 BEDS AND CURRENTLY HAS 382 BEDS AVAILABLE. THE HOSPITAL HAD 88,493 TOTAL PATIENT DAYS, 10,977 ADMISSIONS, AND 66,049 EMERGENCY ROOM VISITS. INPATIENT SERVICES: ACUTE PATIENT CARE; MATERNAL CHILD CARE; MENTAL HEALTH CARE; NEUROLOGICAL CARE; AND A VARIETY OF OUTPATIENT CARE. 280128889 1 1 0 1 0 0 0 0 1 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 58 0 1 1827 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 8 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 CA X LARA CARTOSCELLI ACCOUNTING DEPART 9166313334 3400 DATA DRIVE RANCHO CORDOVA CA 95670 X JILL WELTON BSN MSN DIRECTOR 1.00 50.00 X 0 1218654 146619 GAIL DALY DIRECTOR 1.00 50.00 X 0 949956 169009 JUNE COLLISON HOSPITAL PRESIDENT 50.00 0.00 X X 0 950791 137425 RUBY A SKINNER VP/CMO 50.00 0.00 X 480502 0 34383 ANITA CHOU VP/CFO (THRU 2/19/25) 25.00 25.00 X 0 415821 69299 VICTORIA SELBY COO 50.00 0.00 X 385504 0 44925 ROSILYN NOLAN CNEO 50.00 0.00 X 365386 0 64576 RACHELLE WENGER DIRECTOR 1.00 50.00 X 0 310116 76612 NELLIE B MGENI CLINICAL NURSE II 50.00 0.00 X 262432 0 65971 LYNDA CASTRO CONTROLLER 50.00 0.00 X 272001 0 56184 JANET W WILSON SR. DIRECTOR NURSING 50.00 0.00 X 265124 0 58053 CAROLINE SWINTON DIRECTOR OF QUALITY PATIENT SAFETY 50.00 0.00 X 262371 0 51020 DAWIT G TESFAGIORGIS CLINICAL NURSE II 50.00 0.00 X 262893 0 21017 JOHNNY NEGUSSE MD EX-OFFICIO DIRECTOR 1.00 10.00 X 38125 0 0 BETTY DANIELS MD EX-OFFICIO DIRECTOR 1.00 10.00 X 29000 0 0 JOE M MAWAD MD DIRECTOR 4.50 5.00 X 4200 4000 0 CLAUDIA M DAVIS PHD VICE CHAIR 1.00 0.00 X X 0 0 0 NICOLE HENLEY PHD SECRETARY 1.00 0.00 X X 0 0 0 TONY MYRELL CHAIR 1.00 0.00 X X 0 0 0 GENE GUTIERREZ IV CFO (EFF 6/22/25) 25.00 25.00 X 0 0 0 ANDREW CUTLER DIRECTOR 1.00 0.00 X 0 0 0 CHEHAB ELAWAR DIRECTOR 1.00 0.00 X 0 0 0 RICHARD GONZALEZ ESQ DIRECTOR 1.00 0.00 X 0 0 0 VICKI R LEE DIRECTOR 1.00 0.00 X 0 0 0 GABRIEL RAMIREZ DIRECTOR 1.00 0.00 X 0 0 0 2627538 3849338 995093 483 0 1 0 PALM SPRINGS ANESTHESIA 10 COMMERCE DR NEW ROCHELLE NY 10801 MEDICAL/PHYSICIAN SERVICES 4943472 INPATIENT SPECIALISTS OF CALIFORNIA PO BOX 742936 LOS ANGELES CA 900742936 MEDICAL SERVICES 2985203 CORE MEDSTAFF 3946 WILSHIRE BLVD LOS ANGELES CA 90010 STAFFING SERVICES 2480934 INLAND EMPIRE WOMANS CTR 1800 N WESTERN AVE STE 204 SAN BERNARDINO CA 924111308 MEDICAL SERVICES 1916112 MEDICAL SOLUTIONS INCQ 1010 N 102ND ST STE 300 OMAHA NE 68114 STAFFING SERVICES 1533831 52 1129392 5048199 452566 6630157 PATIENT NET OF CHARITY 900099 169943112 169943112 MEDICARE/MEDICAID PAYM 900099 123134381 123134381 MEDICAL OFFICE BUILDIN 900099 1561707 1561707 EDUCATION 611430 40470 40470 COUNTY EMERGENCY MED S 900099 29724 29724 11408 11408 294720802 77405 77405 CAFETERIA 722514 610275 610275 EMPLOYEE RETENTION CRE 900099 191343 191343 RECEIPT WRITE OFF 900099 30447 30447 72075 72075 904140 302332504 294720802 0 981545 X 1673718 1673718 35420 35420 1471542 1375385 96157 1903612 1903612 136164811 126190583 9974228 8498965 7562361 936604 27201541 26965703 235838 9948916 9875386 73530 228 228 91818 91818 47707131 35351055 12356076 1493026 31071 1461955 4764673 4374004 390669 11425702 469699 10956003 4031334 4016752 14582 112303 38882 73421 32479 25521 6958 10647386 10647386 8961474 8956106 5368 3380245 3380245 MEDICAL SUPPLIES 18117661 18117661 MEDI-CAL PROVIDER FEE 15965406 15965406 FOOD & INVENTORY SUPPLI 1986624 1949657 36967 LICENSES AND TAXES 805241 393979 411262 1265041 829297 435744 317686297 280128889 37557408 0 2400 2400 39185452 56977123 415941 865459 29687458 26918747 66667 16667 5688851 5317349 69283864 40247017 97572758 43747207 57504694 53825551 33494951 23469326 235330278 207639639 54330591 41727350 113622 113256 1352722 1083203 219812983 217106796 275609918 260030605 X -40279640 -52390966 0 -40279640 -52390966 235330278 207639639 X -15353793 3242467 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 1 2126 0 0 0 0 1 89692 91818 0 PART II-B, LINE 1: SCHEDULE C, PART II - B, LINE 1D COMMUNITY HOSPITAL OF SAN BERNARDINO 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. 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. IN 2025, CHSB AND ITS AFFILIATES IN CALIFORNIA UNDERTOOK INTENSIVE LOBBYING TO INFLUENCE STATE REGULATIONS REGARDING SEISMIC SAFETY, EMPLOYEE WELL-BEING, STAFFING LEVELS, AND FINANCIAL REIMBURSEMENT FOR HEALTHCARE SERVICES. SIMULTANEOUSLY, THEY DEDICATED SIGNIFICANT REGULATORY ATTENTION TO THE OFFICE OF HEALTH CARE AFFORDABILITY, AIMING TO SHAPE POLICIES RELATED TO HEALTHCARE COSTS AND MARKET DYNAMICS. THESE COMBINED EFFORTS UNDERSCORE A COMPREHENSIVE STRATEGY TO PROTECT OPERATIONAL VIABILITY, ENSURE PATIENT AND STAFF SAFETY, AND ADVOCATE FOR SUSTAINABLE FINANCIAL MODELS WITHIN CALIFORNIA'S COMPLEX HEALTHCARE LANDSCAPE. 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: AMERICAN HOSPITAL ASSOCIATION $ 8,506 ASSOCIATION OF NUTRITION & FOODSERVICE PROFESSIONALS $ 2 EMERGENCY NURSES ASSOCIATION $ 1 HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA $ 21,100 PEACH INC $ 60,000 SACRAMENTO METRO CHAMBER OF COMMERCE $ 4 340B HEALTH $ 79 TOTAL $ 89,692. 0 1 X 9200000 9200000 60455847 33279927 27175920 20322822 10342273 9980549 7594089 125007 7469082 53825551 RIGHT OF USE ASSET - OPERATING AMORTIZATION 40060 LT PREPAID EXPENSES 14854 OTHER ASSETS - LT 23250 MCAL SUP PMT REC-PROV FEE LT 23391162 23469326 DUE TO RELATED PARTIES 195955235 PENSION PAYABLE 11972961 OTHER NON-CURRENT LIABILITY 9178600 217106796 X PART IV, LINE 2B: CHSB MAINTAINS A RESIDENT TRUST FUND ACCOUNT FOR RESIDENTS OF THE LONG TERM CARE FACILITY WHO CHOOSE TO PARTICIPATE AND THAT IS MANAGED BY THE FACILITY ON BEHALF OF RESIDENTS TO HOLD AND MANAGE THEIR PERSONAL FUNDS. THE PRIMARY FUNCTION OF THE RESIDENT TRUST FUND IS TO SAFEGUARD A RESIDENT'S PERSONAL MONEY AND FACILITATE ACCESS FOR PERSONAL EXPENSES SUCH AS FUNERAL NEEDS AND CLOTHING. CHSB HOLDS THE ACCOUNT AND MANAGES THE FUNDS ON BEHALF OF THE RESIDENT. RESIDENTS, OR THEIR REPRESENTATIVES, RETAIN THE RIGHT TO DETERMINE HOW THE FUNDS ARE SPENT. UNDER THE WRITTEN AUTHORIZATION OF THE RESIDENT OR THEIR REPRESENTATIVE, CHSB WILL ISSUE PAYMENT FOR EXPENSES TO SPECIFIED VENDORS FOR PERSONAL NEEDS OR RECEIVE DEPOSITS INTO THE RESIDENT TRUST ACCOUNT. ON A MONTHLY BASIS, CHSB RECONCILES THE ACCOUNT AND ISSUES STATEMENTS TO THE RESIDENTS OR THEIR REPRESENTATIVE FOR ALL TRANSACTIONS THAT OCCURRED IN THE RESIDENT ACCOUNT. THE ACCOUNT IN BONDED TO PROTECT RESIDENT FUNDS. 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 0 8703 3774589 0 3774589 0.01190 0 58352 195209319 193268869 1940450 0.00610 67055 198983908 193268869 5715039 0.01800 13 34509 798637 0 798637 0.00250 2 87 445984 0 445984 0.00140 3 3692 32491935 30473343 2018592 0.00640 3 58 1385288 0 1385288 0.00440 21 38346 35121844 30473343 4648501 0.01470 21 105401 234105752 223742212 10363540 0.03270 0 2218 1397804 0 1397804 0.00440 2218 1397804 1397804 0.00440 1 911729 0 11288237 12731603 -1443366 X 1 1 1 1 COMMUNITY HOSPITAL OF SAN BERNARDINO 1805 MEDICAL CENTER DRIVE SAN BERNARDINO CA 92411 WWW.DIGNITYHEALTH.ORG/SOCAL/LOCATIONS/ 240000198 X X X COMMUNITY HOSPITAL OF SAN BERNARDINO 1 0 0 1 X X X X X X X X X 24 1 1 0 1 X SEE PART V, SECTION C X X 1 25 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/SOCAL/LOCATIONS/SAN-BERNARDINO COMMUNITY HOSPITAL OF SAN BERNARDINO PART V, SECTION B, LINE 5: CHSB CONDUCTED AN IN-DEPTH ASSESSMENT OF COMMUNITY HEALTH NEEDS BY METICULOUSLY ANALYZING SECONDARY DATA FROM LOCAL, COUNTY, AND STATE SOURCES. THIS COMPREHENSIVE ANALYSIS ENCOMPASSED A RANGE OF FACTORS, INCLUDING COMMUNITY DEMOGRAPHICS, SOCIAL DETERMINANTS OF HEALTH, HEALTHCARE ACCESS, BIRTH INDICATORS, LEADING CAUSES OF DEATH, CHRONIC DISEASES, HEALTH BEHAVIORS, MENTAL HEALTH, SUBSTANCE USE AND MISUSE, AND PREVENTIVE PRACTICES. TO COMPLEMENT THIS QUANTITATIVE DATA, CHSB SOUGHT QUALITATIVE INSIGHTS THROUGH INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS ACROSS SAN BERNARDINO COUNTY. THESE INTERVIEWS, CONDUCTED IN NOVEMBER AND DECEMBER 2024, AIMED TO IDENTIFY PREVALENT HEALTH NEEDS, BARRIERS TO CARE, AND EXISTING RESOURCES TO ADDRESS THESE CHALLENGES. A TOTAL OF 11 STAKEHOLDERS WERE CAREFULLY SELECTED, REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, AS WELL AS LOCAL HEALTH DEPARTMENTS AND AGENCIES WITH ACCESS TO CURRENT AND RELEVANT DATA ON THE COMMUNITY'S HEALTH NEEDS. CHSB COLLABORATED WITH A DIVERSE NETWORK OF ORGANIZATIONS AND AGENCIES WITHIN ITS SERVICE AREAS TO ENSURE A COMPREHENSIVE UNDERSTANDING OF COMMUNITY HEALTH ISSUES. THESE PARTNERSHIPS INCLUDED INLAND EMPIRE HEALTH PLAN, HC2 STRATEGIES, MAKING HOPE HAPPEN FOUNDATION, FAMILY ASSISTANCE PROGRAM, MARY'S MERCY CENTER, LESTONNAC FREE CLINIC, SAN BERNARDINO COUNTY, DEPARTMENT OF PUBLIC HEALTH, SAN BERNARDINO COUNTY, LEGAL AID SOCIETY OF SAN BERNARDINO, HOUSING AUTHORITY OF THE COUNTY OF SAN BERNARDINO AND CITY OF SAN BERNARDINO.FOUR FOCUS GROUPS WERE CONDUCTED IN JANUARY AND FEBRUARY 2025. FOCUS GROUPS WERE MADE UP OF SIXTY-TWO (62) COMMUNITY MEMBERS WHO PARTICIPATED IN VARIOUS HOSPITAL COMMUNITY BENEFIT PROGRAMS AND PARTNERSHIPS, INCLUDING THE DIAPER PROGRAM, PARTICIPANTS IN THE HOSPITAL'S HEALTH EDUCATION CENTER OFFERINGS, THE RESIDENTS OF THE ARROWHEAD GROVE AFFORDABLE HOUSING PROJECT, AND YOUNG ADULT HOSPITAL VOLUNTEERS FROM THE COMMUNITY. TWO OF THE FOCUS GROUPS WERE CONDUCTED IN SPANISH. ONE OF THE FOCUS GROUPS WAS CONDUCTED VIA A VIRTUAL (ZOOM) FORMAT; THE OTHERS WERE CONDUCTED IN-PERSON. COMMUNITY HOSPITAL OF SAN BERNARDINO PART V, SECTION B, LINE 6A: ST. BERNARDINE MEDICAL CENTER COMMUNITY HOSPITAL OF SAN BERNARDINO PART V, SECTION B, LINE 7D: THE 2024 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS DISTRIBUTED TO MEMBERS OF THE COMMUNITY BENEFIT INITIATIVE COMMITTEE AT COMMUNITY HOSPITAL SAN BERNARDINO (CHSB) AND ST. BERNARDINE MEDICAL CENTER, AS WELL AS TO THEIR RESPECTIVE HOSPITAL BOARD MEMBERS AND PARTNER ORGANIZATIONS. THE CHNA REPORT WAS ALSO SHARED WITH ORGANIZATIONS APPLYING FOR THE COMMONSPIRIT COMMUNITY HEALTH IMPROVEMENT GRANT PROGRAM. COMMUNITY HOSPITAL OF SAN BERNARDINO PART V, SECTION B, LINE 11: COMMUNITY HOSPITAL OF SAN BERNARDINO (CHSB) IS ACTIVELY ADDRESSING SEVERAL SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH ITS 2025 (TY 2024) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THESE INCLUDE IMPROVING ACCESS TO HEALTHCARE, ADDRESSING BEHAVIORAL HEALTH CHALLENGES, MANAGING CHRONIC DISEASES, TACKLING HOUSING AND HOMELESSNESS ISSUES, AND PROMOTING PREVENTIVE HEALTH PRACTICES. TO MEET THESE NEEDS, CHSB IS COMMITTING TO A VARIETY OF PROGRAMS AND RESOURCES.ACCESS TO HEALTH CARE:- FINANCIAL ASSISTANCE: PROVIDES FINANCIAL ASSISTANCE TO THOSE WHO HAVE HEALTH CARE NEEDS AND ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR A GOVERNMENT PROGRAM OR OTHERWISE UNABLE TO PAY. - PARA SU SALUD - ENROLLMENT ASSISTANCE: PROVIDES ASSISTANCE TO INDIVIDUALS AND FAMILIES TO SIGN UP FOR HEALTH INSURANCE BENEFITS. ASSISTS PERSONS WITH CALFRESH AND GENERAL RELIEF BENEFITS.- HEALTH EDUCATION CENTER: OFFERS EDUCATION TO THE COMMUNITY FREE OF CHARGE AND ADDRESSES ACCESS TO HEALTH CARE TOPICS INCLUDING: LOCAL RESOURCES FOR PRIMARY AND PREVENTIVE CARE AND NAVIGATING THE HEALTH CARE SYSTEM. - COORDINATED COMMUNITY NETWORK: HOSPITAL CARE COORDINATION AND COMMUNITY PARTNER AGENCIES WORK TOGETHER TO IDENTIFY THE HEALTH AND HEALTH-RELATED SOCIAL NEEDS OF VULNERABLE PATIENTS. THE CCN ELECTRONICALLY LINKS CLIENTS TO ORGANIZATIONS THAT PROVIDED DIRECT SERVICES. - COMMUNITY GRANTS PROGRAM: OFFERS GRANTS TO NONPROFIT COMMUNITY ORGANIZATIONS THAT PROVIDE HEALTH CARE ACCESS PROGRAMS AND SERVICES. IN FY25 THE HOSPITAL PARTNERED WITH ST. BERNARDINE MEDICAL CENTER TO MAKE GRANTS TO CATHOLIC CHARITIES, CSUSB PHILANTHROPIC FOUNDATION, INLAND HARVEST AND SAN BERNARDINO FATHERHOOD. THE HOSPITAL'S TOTAL GRANT CONTRIBUTION WAS $152,304.- KEY PARTNERS INCLUDE: COMMUNITY CLINICS, FAITH GROUPS, COMMUNITY-BASED ORGANIZATIONS, PUBLIC HEALTH AND CITY AGENCIES. BEHAVIORAL HEALTH (SUBSTANCE USE AND MENTAL HEALTH): - EARLY START PROGRAM: PROVIDES EARLY CHILDHOOD EDUCATION, HEALTH CARE AND MENTAL HEALTH SERVICES, PARENTING EDUCATION, CHILDCARE, ADULT EDUCATION, HOUSING, LEGAL, AND FINANCIAL ASSISTANCE.- HEALTH EDUCATION CENTER: ADDRESSES A VARIETY OF BEHAVIORAL HEALTH CARE TOPICS. - ADULT BEHAVIORAL HEALTH PROGRAM: PROVIDES INPATIENT ADULT BEHAVIORAL HEALTH PROGRAM WITH 50 BEDS, PSYCHIATRIC MEDICAL PROGRAM, AND INVOLUNTARY ADULT INPATIENT PROGRAM.- COMMUNITY GRANTS PROGRAM: OFFERS GRANTS TO NONPROFIT COMMUNITY ORGANIZATIONS THAT PROVIDE MENTAL HEALTH AND SUBSTANCE USE PROGRAMS AND SERVICES. IN FY25 THE HOSPITAL PARTNERED WITH ST. BERNARDINE MEDICAL CENTER TO MAKE GRANTS TO CATHOLIC CHARITIES (SOLUTION-FOCUSED TELETHERAPY COUNSELING SERVICES FOR LOW-INCOME SAN BERNARDINO COUNTY RESIDENTS), CSUSB PHILANTHROPIC FOUNDATION (NURSING STREET MEDICINE CLINIC PROGRAM), BUILDING A GENERATION (HOLISTIC ADOLESCENT WELLNESS), RESCUE A GENERATION AND STEP UP. THE HOSPITAL'S TOTAL GRANT CONTRIBUTION WAS $152,304.- KEY PARTNERS INCLUDE: BEHAVIORAL HEALTH PROVIDERS, SCHOOLS AND SCHOOL DISTRICTS, COMMUNITY-BASED ORGANIZATIONS, DIGNITY HEALTH SOUTHERN CALIFORNIA HOSPITALS, LAW ENFORCEMENT, AND REGIONAL COLLABORATIVES THAT SEEK TO SUPPORT INDIVIDUALS' MENTAL HEALTH, SUBSTANCE USE AND CASE MANAGEMENT NEEDS. CHRONIC DISEASES, INCLUDING OVERWEIGHT AND OBESITY: - HEALTH EDUCATION CENTER: PROVIDES COMMUNITY EDUCATION ON CHRONIC DISEASE-RELATED HEALTH CARE TOPICS, INCLUDING: CHRONIC DISEASE SELF-MANAGEMENT, HEALTHY EATING LIFESTYLE PROGRAM AND DIABETES EMPOWERMENT EDUCATION PROGRAM.- DIABETES WELLNESS CENTER: HOSTS THE SWEET SUCCESS PROGRAM, WHICH FOCUSES ON GESTATIONAL DIABETES. - SUPPORT GROUPS: ASSISTS PERSONS WITH CHRONIC DISEASES TO IMPROVE THEIR EMOTIONAL WELL-BEING THROUGH MUTUAL SUPPORT, COPING STRATEGIES, AND PSYCHO-EDUCATION. - KEY PARTNERS INCLUDE: PUBLIC HEALTH, COMMUNITY CLINICS, COMMUNITY-BASED ORGANIZATIONS, AMERICAN HEART ASSOCIATION, MATERNAL HEALTH ORGANIZATIONS, AMERICAN CANCER SOCIETY AND AMERICAN DIABETES ASSOCIATION. HOUSING AND HOMELESSNESS: - ACCELERATING INVESTMENT FOR HEALTHY COMMUNITIES: PARTICIPATES IN A NATIONAL INITIATIVE DESIGNED TO INCREASE INVESTMENTS IN THE SOCIAL DETERMINANTS OF HEALTH WITH AN EMPHASIS ON AFFORDABLE HOUSING. - COMMUNITY HEALTH NAVIGATOR: ASSISTS PERSONS EXPERIENCING HOMELESSNESS WHO SEEK CARE IN THE ER. PROVIDES CONNECTIONS TO SOCIAL SERVICE AGENCIES. - 10TH DECILE PROJECT: THIS GRANT-FUNDED PROJECT CONNECTS THE TOP 10% OF HIGHEST COST, HIGHEST NEED CHRONICALLY HOMELESS INDIVIDUALS SEEN AT CHSB TO INTENSIVE CASE MANAGEMENT, SUPPORTIVE HOUSING, AND APPROPRIATE PHYSICAL, MENTAL, AND BEHAVIORAL HEALTH CARE SERVICES. - COMMUNITY GRANTS PROGRAM: OFFERS GRANTS TO NONPROFIT COMMUNITY ORGANIZATIONS THAT PROVIDE HOUSING AND HOMELESSNESS PROGRAMS AND SERVICES. IN FY25 THE HOSPITAL PARTNERED WITH ST. BERNARDINE MEDICAL CENTER TO MAKE A GRANT TO THE FAMILY ASSISTANCE PROGRAM (EMPLOYMENT OPPORTUNITIES FOR VICTIMS OF SEX AND LABOR EXPLOITATION). THE HOSPITAL'S TOTAL GRANT CONTRIBUTION WAS $152,304.- KEY PARTNERS INCLUDE: HOUSING AND HOMELESS AGENCIES, CITY AGENCIES, FUNDERS, FAITH COMMUNITY, COMMUNITY CLINICS, AND COMMUNITY-BASED ORGANIZATIONS. PREVENTIVE PRACTICES: - VACCINES: PROVIDES FREE VACCINES IN THE COMMUNITY. - PERSONAL PROTECTIVE EQUIPMENT (PPE): DISTRIBUTES PPE AT LOCAL COMMUNITY EVENTS AND TO COMMUNITY PARTNERS.- HEALTH EDUCATION CENTER: PROVIDES COMMUNITY EDUCATION ON A VARIETY OF PREVENTIVE CARE TOPICS. - KEY PARTNERS INCLUDE: PUBLIC HEALTH, FAITH COMMUNITY, COMMUNITY CLINICS, COMMUNITY-BASED ORGANIZATIONS.RECOGNIZING THE LIMITATIONS OF ITS RESOURCES, CHSB HAS MADE STRATEGIC DECISIONS REGARDING ITS FOCUS AREAS. THE HOSPITAL WILL NOT DIRECTLY ADDRESS CERTAIN NEEDS, INCLUDING BIRTH INDICATORS, DENTAL CARE, ECONOMIC INSECURITY, FOOD INSECURITY, AND SEXUALLY TRANSMITTED INFECTIONS. THIS DECISION REFLECTS AN UNDERSTANDING THAT NOT ALL COMMUNITY HEALTH NEEDS CAN BE EFFECTIVELY TACKLED WITHIN THE HOSPITAL'S CAPACITY AND EXPERTISE. IN MANY CASES, THESE NEEDS ARE ALREADY BEING ADDRESSED BY OTHER ORGANIZATIONS WITHIN THE COMMUNITY. BY CONCENTRATING ITS EFFORTS ON AREAS WHERE IT CAN MAKE THE GREATEST IMPACT, CHSB AIMS TO MAXIMIZE ITS CONTRIBUTIONS TO IMPROVING THE HEALTH AND WELL-BEING OF ITS SERVICE AREA. COMMUNITY HOSPITAL OF SAN BERNARDINO 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: HTTPS://WWW.DIGNITYHEALTH.ORG/SOCAL/LOCATIONS/SAN-BERNARDINO/ABOUT-US/SERVING-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-PLAN SCHEDULE H, PART V, SECTION B, LINE 10A: COMMUNITY HOSPITAL SAN BERNARDINO'S IMPLEMENTATION STRATEGY IS ALSO ON THE HOSPITAL'S WEB SITE, AT THE SAME LOCATION AS THE CHNA REPORT LISTED IN PART V, SECTION B, LINE 7A ABOVE. SCHEDULE H, PART V, SECTION B, LINE 16A-16C HTTPS://WWW.DIGNITYHEALTH.ORG/SOCAL/LOCATIONS/SAN-BERNARDINO/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-PAYMENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE 1 1 - COMMUNITY CONVALESCENT CENTER 1676 MEDICAL CENTER DR SAN BERNARDINO CA 92411 SKILLED NURSING 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: SCHEDULE H, PART I, LINE 7COMMUNITY HOSPITAL SAN BERNARDINO (CSHB) FOLLOWS THE METHOD USED BY COMMONSPIRIT HEALTH (COMMONSPIRIT), A RELATED ORGANIZATION. FOR PURPOSES OF CALCULATING THE AMOUNTS PROVIDED IN THE TABLE, CHSB USES A COST ACCOUNTING SYSTEM OR 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 OR THE EQUIVALENT IN THE COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY ("CBISA") SOFTWARE ARE USED TO CALCULATE EXPENSE AND REVENUE, INCLUDING WHERE APPLICABLE MEDICAID PROVIDER FEES AND PAYMENTS FROM UNCOMPENSATED CARE PROGRAMS. ACTUAL OR ESTIMATED COST AND ANY DIRECT OFFSETTING REVENUE IS REPORTED, AND SCHEDULE H WORKSHEETS OR THEIR EQUIVALENTS ARE USED, FOR OTHER COMMUNITY BENEFIT ACTIVITIES SUCH AS COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH, AND CASH AND IN-KIND DONATIONS.SCHEDULE H, 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. CHSB RECOGNIZED QUALITY ASSURANCE FEES DURING THE YEAR OF $16 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 $45.2 MILLION DURING THE YEAR REFLECTED UNDER THE MEDICAID PROGRAM AS DIRECT OFFSETTING REVENUE (PART I, LINE 7B, COLUMN D).SCHEDULE H, PART I, LINE 7IINCLUDED IN CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT IS $1.2 MILLION 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: CHSB IS DEEPLY COMMITTED TO FOSTERING COMMUNITY DEVELOPMENT IN THE NEIGHBORHOODS IT SERVES. ITS EFFORTS TO ENHANCE THE HEALTH AND WELL-BEING OF THE COMMUNITY EXTEND FAR BEYOND DELIVERING HEALTHCARE SERVICES AND COMMUNITY HEALTH IMPROVEMENT INITIATIVES. CHSB ADOPTS A PROACTIVE STANCE IN ADDRESSING THE SOCIAL, ECONOMIC, AND ENVIRONMENTAL FACTORS THAT CREATE BARRIERS TO GOOD HEALTH. THE HOSPITAL ALIGNS ITS MISSION WITH THE WORLD HEALTH ORGANIZATION'S DEFINITION OF HEALTH, WHICH EMPHASIZES A STATE OF COMPLETE PHYSICAL, MENTAL, AND SOCIAL WELL-BEING, RATHER THAN MERELY THE ABSENCE OF DISEASE OR INFIRMITY.AS PART OF THIS INITIATIVE, CHSB IMPLEMENTS STEPPING STONES, A COMMUNITY-BUILDING PROGRAM DEDICATED TO LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS. THIS INNOVATIVE PROGRAM PROVIDES TEENS AND YOUNG ADULTS WITH VALUABLE WORKPLACE EXPERIENCE IN A HOSPITAL SETTING THROUGH VOLUNTEER OPPORTUNITIES AND MENTORSHIP ACTIVITIES. BY EXPANDING EXPOSURE TO HEALTHCARE CAREERS, STEPPING STONES SEEKS TO INSPIRE AND PREPARE PARTICIPANTS FOR FUTURE EMPLOYMENT IN THE MEDICAL FIELD. THE PROGRAM PARTNERS WITH HIGH SCHOOLS, COLLEGES, AND UNIVERSITIES ACROSS SAN BERNARDINO, RIVERSIDE, ORANGE, LOS ANGELES, SAN DIEGO, CENTRAL VALLEY, NORTHERN CALIFORNIA, TEXAS, ILLINOIS, TENNESSEE, MASSACHUSETTS, NEW JERSEY, AND ARIZONA. FOSTERING STRONG PARTNERSHIPS THAT SUPPORT BOTH COMMUNITY DEVELOPMENT AND THE PROFESSIONAL ASPIRATIONS OF ITS PARTICIPANTS.FOR ADDITIONAL INFORMATION ON CHSB'S COMPREHENSIVE COMMUNITY-BUILDING EFFORTS, THE HOSPITAL'S PUBLICLY AVAILABLE ANNUAL COMMUNITY BENEFIT REPORTS PROVIDE DETAILED DESCRIPTIONS OF SPECIFIC PROGRAMS AND INITIATIVES, INCLUDING A SECTION TITLED "OTHER PROGRAMS AND NON-QUANTIFIABLE BENEFITS." 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 ADDITIONAL DISCOUNTED CARE, GOVERNMENT SPONSORED PROGRAMS OR OTHER FINANCIAL ASSISTANCE AND ARE OTHERWISE UNINSURED.CHSB 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. CHSB 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.CHSB 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, THE 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: THE FOLLOWING IS AN EXCERPT FROM COMMONSPIRIT HEALTH'S CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2025, RELATED TO 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, AND PRM 15-2, CHAPTER 40 (TRANSMITTAL 18). 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 THE INTENSIVE CARE UNIT, CORONARY CARE UNIT, AND OTHER SPECIAL CARE INPATIENT HOSPITAL UNITS.COMMONSPIRIT, INCLUDING DIGNITY COMMUNITY CARE AND ITS SUBORDINATES, WHICH INCLUDES CHSB, BELIEVES 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 HOSPITAL FACILITIES 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. THIS SHORTFALL INCLUDES $1.4 MILLION REPORTED ON PART III, SECTION B, LINE 7. PART III, LINE 9B: CHSB ENSURES THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. CHSB ALSO FOLLOWS COMMONSPIRIT HEALTH'S COLLECTION POLICY. CHSB'S BILLING AND 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 CHSB 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 FINANCIAL ASSISTANCE OR FOR ASSISTANCE UNDER COMMONSPIRIT'S PATIENT FINANCIAL ASSISTANCE POLICY, OR WHERE THE PATIENT IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH THE FACILITY VIA PAYMENT PLANS, CHSB 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 CHSB. UPON ASSIGNMENT OF SUCH A PATIENT ACCOUNTS TO A COLLECTION AGENCY, CHSB REQUIRES THE AGENCY TO COMPLY WITH THE FAIR DEBT COLLECTION PRACTICES ACT. PART VI, LINE 2: CHSB IS PROUD TO COLLABORATE WITH THE CITY OF SAN BERNARDINO TO ADDRESS THE PRESSING CHALLENGES OF HEALTHCARE ACCESS, HOUSING INSTABILITY, AND HOMELESSNESS IN THE INLAND EMPIRE. TOGETHER, WE ARE EXPLORING INNOVATIVE SOLUTIONS, INCLUDING TRANSITIONAL HOUSING AND RECUPERATIVE CARE INITIATIVES, TO PROVIDE MEANINGFUL SUPPORT FOR OUR LOCAL COMMUNITY AND WORK TOWARDS ELIMINATING THESE CRITICAL ISSUES. PART VI, LINE 3: COMMUNICATION OF THE FINANCIAL ASSISTANCE PROGRAM TO PATIENTS AND THE PUBLIC:INFORMATION ABOUT COMMONSPIRIT HEALTH'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 MAY ELECT. SUCH INFORMATION IS PROVIDED IN THE PRIMARY LANGUAGES SPOKEN IN THE COMMUNITIES THE HOSPITAL 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, 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 COMMONSPIRIT HOSPITAL ORGANIZATION 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: CHSB SERVES 31 ZIP CODES IN 17 CITIES, 8 OF WHICH ARE LOCATED IN THE CITY OF SAN BERNARDINO. A SUMMARY DESCRIPTION OF THE COMMUNITY IS PROVIDED BELOW, AND ADDITIONAL DETAILS CAN BE FOUND IN THE CHNA REPORT ONLINE. THE POPULATION OF THE HOSPITAL SERVICE AREA IS 1,233,495. CHILDREN AND YOUTH, AGES 0-17, MAKE UP 27.1% OF THE POPULATION, 61.9% ARE ADULTS, AGES 18-64, AND 11% OF THE POPULATION ARE SENIORS, AGES 65 AND OLDER. MOST OF THE POPULATION IN THE SERVICE AREA IDENTIFIES AS HISPANIC/LATINO (62%). 21.3% OF THE POPULATION IDENTIFIES AS WHITE/CAUCASIAN, 8.3% AS BLACK/AFRICAN AMERICAN. 5% AS ASIAN AND 2.5% OF THE POPULATION IDENTIFIES AS MULTI-RACIAL (TWO-OR-MORE RACES), 0.2% AS AMERICAN INDIAN/ALASKAN NATIVE, AND 0.2% AS NATIVE HAWAIIAN/PACIFIC ISLANDER. THOSE WHO ARE OF SOME OTHER RACES REPRESENT 0.4% OF THE SERVICE AREA POPULATION. IN THE SERVICE AREA, 52.2% OF THE POPULATION, AGES 5 AND OLDER, SPEAK ONLY ENGLISH IN THE HOME. AMONG THE AREA POPULATION, 42.73% SPEAK SPANISH, 3.4% SPEAK AN ASIAN/PACIFIC ISLANDER LANGUAGE, AND 1.1% SPEAK AN INDO-EUROPEAN LANGUAGE IN THE HOME. AMONG THE RESIDENTS IN THE SERVICE AREA, 14.6% ARE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL) AND 35.6% ARE AT 200% OF FPL OR BELOW. IN SAN BERNARDINO COUNTY 12.2% OF THE POPULATION EXPERIENCED FOOD INSECURITY IN 2022. AMONG CHILDREN IN SAN BERNARDINO COUNTY, 17.9% LIVED IN HOUSEHOLDS THAT EXPERIENCED FOOD INSECURITY. ACCORDING TO THE CALIFORNIA DEPARTMENT OF SOCIAL SERVICES, 81.8% OF ELIGIBLE HOUSEHOLDS IN SAN BERNARDINO COUNTY PARTICIPATED IN THE CALFRESH FOOD STAMP PROGRAM. EDUCATIONAL ATTAINMENT IS A KEY DRIVER OF HEALTH. IN THE HOSPITAL SERVICE AREA, 22% OF ADULTS, AGES 25 AND OLDER, LACK A HIGH SCHOOL DIPLOMA, WHICH IS HIGHER THAN COUNTY (18.6%) AND STATE (15.6%) RATES. 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. PART VI, LINE 6: AFFILIATES OF CHSB ALSO PROMOTE THE HEALTH OF ADDITIONAL COMMUNITIES IN CALIFORNIA, ARIZONA, AND NEVADA AND IN 21 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. THE SUMMARY OF TOTAL UNSPONSORED COMMUNITY BENEFIT EXPENSE NET OF OFFSETTING REVENUE FOR COMMONSPIRIT AND ITS AFFILIATED CORPORATIONS, WHICH INCLUDES CHSB, FOR THE YEAR ENDED JUNE 30, 2025, IS $3.1 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 FOUNDATION-INLAND EMPIRE 2101 N WATERMAN AVENUE SAN BERNARDINO CA 92404 237440086 501(C)(3) 285035 0 N/A N/A FOUNDATION SUPPORT CALIFORNIA HEALTH FOUNDATION TRUST 1215 K STREET SUITE 800 SACRAMENTO CA 95814 941498697 501(C)(3) 1232329 0 N/A N/A COMMUNITY HEALTH FAMILY ASSISTANCE PROGRAM 15075 SEVENTH ST VICTORVILLE CA 92395 330107971 501(C)(3) 57304 0 N/A N/A COMMUNITY HEALTH BUILDING A GENERATION 932 W CYPRESS AVENUE REDLANDS CA 92373 522104001 501(C)(3) 50000 0 N/A N/A COMMUNITY HEALTH CSUSB PHILANTROPIC FOUNDATION 5500 UNIVERSITY PKWY SAN BERNARDINO CA 92407 452255077 501(C)(3) 25000 0 N/A N/A COMMUNITY HEALTH CATHOLIC CHARITIES SAN BERNARDINO & RIVERSIDE COUNTIES 1450 NORTH D STREET SAN BERNARDINO CA 92404 953516461 501(C)(3) 20000 0 N/A N/A COMMUNITY HEALTH 6 0 PROVISION OF FOOD/MEALS 9378 35272 FMV MEALS/FOOD DONATION OF CLOTHING/OTHER TO PATIENTS/NEEDY 18 148 FMV CLOTHING PART I, LINE 2: GRANTS ARE PROVIDED BY CHSB TO RELATED ORGANIZATIONS, DIGNITY HEALTH FOUNDATION-INLAND EMPIRE, THAT FURTHER DIGNITY COMMUNITY CARE AND CHSB'S EXEMPT PURPOSE. SUCH GRANTS ARE PROVIDED TO THE FUNDRAISING FOUNDATION TO SUPPORT AND FUND THE OPERATIONS OF THE ORGANIZATION. FOR FY2025, CHSB ALLOCATED $152,304 TO VARIOUS ORGANIZATIONS THROUGH THE COMMONSPIRIT COMMUNITY HEALTH IMPROVEMENT GRANTS PROGRAM. THE COMMONSPIRIT COMMUNITY HEALTH IMPROVEMENT GRANTS PROGRAM, AS A STRATEGIC PHILANTHROPIC INITIATIVE THROUGH WHICH COMMONSPIRIT HEALTH HOSPITALS ANNUALLY AWARD COMPETITIVE FINANCIAL GRANTS THAT FUND PROGRAMS AND SERVICES DELIVERED BY COLLABORATING, TAX-EXEMPT 501(C)(3) ORGANIZATIONS IN ITS SERVICE AREA. FUNDED PROJECTS ADDRESS ONE OR MORE SIGNIFICANT HEALTH NEEDS IN THE HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENTS AND COMMUNITY HEALTH IMPLEMENTATION STRATEGIES. THE COMMONSPIRIT SYSTEM COMMUNITY HEALTH DEPARTMENT ADMINISTERS THE PROGRAM NATIONALLY AND REVIEWS RECOMMENDED GRANT RECIPIENTS AND PROJECTS FOR COMPLIANCE WITH POLICIES AND PROCEDURES. LOCAL COMMUNITY HEALTH STAFF AND COMMITTEES INVITE, REVIEW AND RECOMMEND PROPOSALS. HOSPITAL PRESIDENTS AND MARKET PRESIDENTS REVIEW AND APPROVE GRANT AWARD RECOMMENDATIONS. EACH OF THE GRANT RECIPIENTS IS REQUIRED TO SUBMIT AN ANNUAL REPORT TO THE HOSPITAL THAT FUNDED IT. THE REPORTS REFLECT ACTIVITIES PERFORMED, OBJECTIVES, AND OUTCOMES REACHED BY THE GRANT RECIPIENTS. THIS PROGRAM IS ONE WAY WE ARE WORKING WITH OTHERS TO IMPROVE THE HEALTH AND WELL-BEING OF VULNERABLE AND UNDERSERVED POPULATIONS IN THE COMMUNITIES OUR HOSPITALS SERVE. SCHEDULE I, PART II $1,232,329 IN GRANT PAYMENTS TO THE CALIFORNIA HEALTH FOUNDATION AND TRUST, A 501(C)(3) PUBLIC BENEFIT CHARITY ESTABLISHED TO SPONSOR AND SUPPORT HEALTH CARE, WERE RECOGNIZED IN CONNECTION WITH THE CALIFORNIA PROVIDER FEE PROGRAMS IN FISCAL YEAR 2025. 0 1 0 0 0 0 0 0 0 JILL WELTON BSN MSN DIRECTOR 0 636992 0 573771 0 7891 0 118053 0 28566 0 1365273 0 0 GAIL DALY DIRECTOR 0 424871 0 519632 0 5453 0 122064 0 46945 0 1118965 0 0 JUNE COLLISON HOSPITAL PRESIDENT 0 494920 0 437525 0 18346 0 105836 0 31589 0 1088216 0 0 RUBY A SKINNER VP/CMO 381499 0 95323 0 3680 0 21690 0 12693 0 514885 0 0 0 ANITA CHOU VP/CFO (THRU 2/19/25) 0 330987 0 83707 0 1127 0 29212 0 40087 0 485120 0 0 VICTORIA SELBY COO 304775 0 76280 0 4449 0 31317 0 13608 0 430429 0 0 0 ROSILYN NOLAN CNEO 283183 0 71598 0 10605 0 37088 0 27488 0 429962 0 0 0 RACHELLE WENGER DIRECTOR 0 212209 0 95948 0 1959 0 53485 0 23128 0 386729 0 0 NELLIE B MGENI CLINICAL NURSE II 253940 0 600 0 7892 0 43350 0 22621 0 328403 0 0 0 LYNDA CASTRO CONTROLLER 207931 0 40192 0 23878 0 32754 0 23430 0 328185 0 0 0 JANET W WILSON SR. DIRECTOR NURSING 211284 0 40884 0 12956 0 35737 0 22316 0 323177 0 0 0 CAROLINE SWINTON DIRECTOR OF QUALITY PATIENT SAFETY 201644 0 38619 0 22108 0 36664 0 14357 0 313392 0 0 0 DAWIT G TESFAGIORGIS CLINICAL NURSE II 259440 0 667 0 2786 0 20722 0 296 0 283911 0 0 0 PART I, LINE 3 THE ORGANIZATION 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) PEOPLE 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 PEOPLE AND COMPENSATION COMMITTEE. SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15A FOR ADDITIONAL INFORMATION. SCHEDULE J, PART I, LINE 4A CERTAIN LISTED PERSONS ARE COVERED BY AN EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 9 TO 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. NO PAYMENTS OCCURED UNDER THESE PLANS DURING 2024. PART I, LINE 4B CERTAIN LISTED PERSONS PARTICIPATE IN THE COMMONSPIRIT HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP), A NONQUALIFIED RETIREMENT PLAN DESIGNED TO PROVIDE DEFERRED COMPENSATION TO KEY EXECUTIVES WHO HAVE CONTRIBUTED MATERIALLY TO THE SUCCESS OF OUR MINISTRY. THE SERP, WHICH BECAME EFFECTIVE IN 2024, IS INTENDED TO PROVIDE HIGHLY COMPENSATED INDIVIDUALS WITH ADDITIONAL RETIREMENT INCOME TO HELP OFFSET REGULATORY LIMITS IN PLACE ON QUALIFIED RETIREMENT PLANS AND SOCIAL SECURITY. EACH ANNUAL CONTRIBUTION IS SUBJECT TO A FOUR-YEAR VESTING OR RETENTION PERIOD. UPON COMPLETION OF THE APPLICABLE FOUR-YEAR RETENTION PERIOD FOR EACH ANNUAL CONTRIBUTION, VESTING WILL OCCUR, AND ANY ACCUMULATED BENEFIT UNDER THE PLAN WILL BE RECEIVED. ON THE FIRST DAY OF THE CALENDAR MONTH AFTER THE FOURTH ANNIVERSARY OF THE SERP BENEFIT, THE ANNUAL CONTRIBUTION AND ITS ASSOCIATED INVESTMENT GAINS OR LOSSES BECOME 100% VESTED. IN ADDITION, THE PARTICIPANT'S SERP BENEFIT BECOMES 100% VESTED UPON ANY OF THE FOLLOWING EVENTS. - REACHING THE AGE OF 65 (THE PLAN'S NORMAL RETIREMENT AGE) - DEATH, OR BECOME DISABLED UNDER THE LONG-TERM DISABILITY PLAN OR SOCIAL SECURITY SHOULD EMPLOYMENT END FOR ANY REASON OTHER THAN TERMINATION WITH SEVERANCE, RETIREMENT AT AGE 65 OR OLDER, DISABILITY, OR DEATH, UNVESTED SERP FUNDS ARE FORFEITED. IF EMPLOYMENT IS TERMINATED WITH SEVERANCE, THE TERMS AND CONDITIONS OUTLINED WITHIN THE SERP, AND NOT THOSE OF ANY SEVERANCE AGREEMENT, WILL CONTROL AND GOVERN PAYMENT ENTITLEMENT UNDER THE SERP. NO PAYMENTS WERE MADE PURSUANT TO THE PLAN DURING 2024. COMPENSATION AMOUNTS FOR THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS DISCUSSED ABOVE ARE REPORTED AS DEFERRED COMPENSATION IN THE YEAR ACCRUED (SCHEDULE J, PART II, COLUMN C) AND ARE REFLECTED AGAIN AS OTHER REPORTABLE COMPENSATION IN THE YEAR PAID (SCHEDULE J, PART II, COLUMN B(III)). SCHEDULE J, PART II 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 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 IT 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 PEOPLE AND COMPENSATION 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 2024. JOE MAWAD DBA INLAND EMPIRE WOMEN'S CENTER MEDICAL ASSOCIATION J MAWAD, BOD/GREATER THAN 35% OWNERSHIP 1903612 MEDICAL SERVICES 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 HEALTH AND BECAME THE SOLE CORPORATE MEMBER OF DIGNITY HEALTH. COMMONSPIRIT 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 RESERVED RIGHTS OF THE CORPORATE MEMBER INCLUDE: ADOPTION OF MISSION & PHILOSOPHY STATEMENTS, AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION AND BYLAWS; DISSOLUTION OF THE CORPORATION, ACQUIRE ANOTHER CORPORATION, OR CREATE A SUBSIDIARY; MERGING OR CONSOLIDATING 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 & DISMISSALS; SELECTION OR REMOVAL OF INDEPENDENT AUDITORS; TRANSACTIONS OUTSIDE THE ORDINARY COURSE OF BUSINESS. THE ORGANIZATION IS SUBJECT TO THE GOVERNANCE REQUIREMENTS OF THE COMMONSPIRIT HEALTH GOVERNANCE MATRIX. THUS, MANY KEY DECISIONS ADDRESSED IN THE BYLAWS REQUIRE THE ORGANIZATION 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, SELLING OR DISPOSING OF ASSETS AND ADOPTING A CONSOLIDATED HEALTHCARE SYSTEM OPERATING AND CAPITAL BUDGET. FORM 990, PART VI, SECTION B, LINE 11B COMMONSPIRIT HEALTH'S INTERNAL TAX DEPARTMENT PREPARED THE FORM 990. THE ORGANIZATION'S PRESIDENT AND CHIEF FINANCIAL OFFICER REVIEWED THE FORM 990 BEFORE FILING IT 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 AS SOON AS THEY BECOME AWARE OF IT AND AT LEAST ANNUALLY THEREAFTER (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 A FAILURE TO DISCLOSE MAY RESULT IN DISCIPLINARY OR CORRECTIVE ACTIONS. REVIEW, AND MANAGEMENT OF PERCEIVED, POTENTIAL, OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS AS FURTHER DESCRIBED BELOW. REPORTED POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE INITIALLY REVIEWED BY LEGAL, CORPORATE RESPONSIBILITY OR RESEARCH INTEGRITY STAFF. STANDARD MANAGEMENT APPROACHES PER COI POLICY ARE APPLIED TO DISCLOSED CONFLICTS. DISCLOSURES THAT IDENTIFY PERCEIVED, POTENTIAL, OR ACTUAL COIS THAT REQUIRE IMMEDIATE MATERIAL ACTION TO RESOLVE, WILL BE IDENTIFIED, AND A CONFLICT OF INTEREST MANAGEMENT PLAN 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 FOR 2024 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 PEOPLE AND COMPENSATION COMMITTEE, COMPRISED EXCLUSIVELY OF INDEPENDENT DIRECTORS, WHO ARE ACCOUNTABLE FOR ADOPTING A REASONABLE COMPENSATION PHILOSOPHY AND SETTING REASONABLE COMPENSATION PRACTICES FOR THE ORGANIZATION. COMMONSPIRIT'S COMPENSATION DEPARTMENT ENSURES THAT ITS PRACTICES ARE CONSISTENT WITH THE ORGANIZATION'S PHILOSOPHY, PRACTICES, AND PRINCIPLES, AS DETERMINED BY THE PEOPLE AND COMPENSATION COMMITTEE. WHEN NECESSARY, THE COMPENSATION DEPARTMENT ALSO ENGAGES AN INDEPENDENT CONSULTANT, AS WELL AS 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 COMPARABILITY DATA IS ALSO OBTAINED BY THE COMMONSPIRIT HEALTH COMPENSATION DEPARTMENT FROM INDEPENDENT THIRD-PARTY SALARY SURVEYS, AS PART OF THE ORGANIZATION'S COMPENSATION PRACTICES (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 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, CONFLICT OF INTEREST POLICY BE MADE AVAILABLE FOR PUBLIC INSPECTION. THE ORGANIZATION IS INCLUDED IN COMMONSPIRIT'S CONSOLIDATED FINANCIAL STATEMENTS WHICH IS AVAILABLE ON COMMONSPIRIT'S WEBSITE AND UPON REQUEST. FORM 990, PART VII, SECTION A DR. DANIELS AND DR. J. NEGUSSE RECEIVED COMPENSATION FOR PHYSICIAN SERVICES PROVIDED TO THE FILING ORGANIZATION. DR. J. MAWAD RECEIVED COMPENSATION FOR PHYSICIAN SERVICES PROVIDED TO THE FILING ORGANIZATION AND A RELATED ORGANIZATION, DIGNITY HEALTH. G. DALY, J. WELTON, R. WENGER, J. COLLISON AND ANITA CHOU RECEIVED COMPENSATION FOR SERVICES PROVIDED TO A RELATED ORGANIZATION, DIGNITY HEALTH. FORM 990, PART IX, LINE 11G REVENUE CYCLE SERVICES: PROGRAM SERVICE EXPENSES 6,184,225. MANAGEMENT AND GENERAL EXPENSES 97,125. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,281,350. MEDICAL FEES/SERVICES: PROGRAM SERVICE EXPENSES 20,366,868. MANAGEMENT AND GENERAL EXPENSES 136,972. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,503,840. ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 4,326,296. MANAGEMENT AND GENERAL EXPENSES 5,959,488. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,285,784. REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 2,690,735. MANAGEMENT AND GENERAL EXPENSES 3,706,497. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,397,232. STORAGE & VARIOUS SERVICES: PROGRAM SERVICE EXPENSES 1,107,380. MANAGEMENT AND GENERAL EXPENSES 1,525,420. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,632,800. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 315,125. MANAGEMENT AND GENERAL EXPENSES 434,085. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 749,210. REAL ESTATE SERVICES: PROGRAM SERVICE EXPENSES 140,575. MANAGEMENT AND GENERAL EXPENSES 193,643. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 334,218. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 219,851. MANAGEMENT AND GENERAL EXPENSES 302,846. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 522,697. FORM 990, PART XI, LINE 9: GAIN ON ADOPTION OF ASU 2017-17 3,242,467. 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, 2024, TO JUNE 30, 2025. 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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