4A (Expenses $ 110012819 including grants of $ 97265) (Revenue $ 134075121)
"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."

Schedule H, Part V, Section B, Line 3E
FACILITY NAME: ST. CATHERINE HOSPITAL DESCRIPTION: THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. THREE NEEDS ST. CATHERINE HOSPITAL (SCH) FOCUSED ON WERE: (1) HEALTHY EATING ACTIVE LIVING: SCH SUPPORTS IMPLEMENTATION OF ENVIRONMENTAL HEALTH SYSTEMS AND COMMUNITY-CLINIC LINKAGE STRATEGIES TO BE IMPLEMENTED SIMULTANEOUSLY AND SYNERGISTICALLY TO ADDRESS MULTIPLE RISK FACTORS AND CHRONIC DISEASES. (2) BEHAVIORAL HEALTH: SCH WILL ADDRESS VIOLENCE AND SUBSTANCE ABUSE ISSUES BY PROMOTING EDUCATION ON ISSUES RELATED TO FAMILY VIOLENCE BY COLLABORATING WITH COMMUNITY STAKEHOLDERS TO DEVELOP EDUCATION, AWARENESS EVENTS AND PROGRAMMING IN THE COMMUNITY. (3) ACCESS TO CARE: SCH RECOGNIZES THAT ACCESS TO CARE IS A CRITICAL FACTOR TO ASSESS, SCREEN, AND PROVIDE TREATMENT THAT IMPROVES AND MAINTAINS HEALTH. WE HAVE A PRIMARY DUTY TO ENSURE WE ADDRESS BARRIERS TO ACCESS, AND LINK OUR COMMUNITIES TO THE CARE THEY NEED. FACILITY NAME: BOB WILSON MEMORIAL DESCRIPTION: BOB WILSON MEMORIAL HOSPITAL PRIORITIZED ACCESS TO CARE AS THE PRIMARY AREA OF NEED IN THE COUNTY. FOLLOWED BY PREVENTION OF YOUTH DRUG AND ALCOHOL USE, AND HEALTH EQUITY AND FOOD SECURITY.

Schedule H, Part V, Section B, Line 5 Facility A, 1
Facility A, 1 - ST. CATHERINE HOSPITAL. IN ORDER TO ASSESS THE NEEDS OF OUR COMMUNITY, WE CREATED A HOSPITAL SUBCOMMITTEE TO SOLICIT AND TAKE INTO ACCOUNT INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTEREST OF OUR COMMUNITY. OUR HOSPITAL SUBCOMMITTEE WAS MADE UP OF REPRESENTATIVES FROM OUR HOSPITAL AND THE COMMUNITY. ST. CATHERINE HOSPITAL CREATED A CHNA SUBCOMMITTEE TO REVIEW THE QUALITATIVE AND QUANTITATIVE HEALTH DATA, PRIORITIZE HEALTH NEEDS IN OUR COMMUNITIES, AND TO DEVELOP IMPLEMENTATION STRATEGIES TO ADDRESS THE PRIORITIZED NEEDS. THIS SUBCOMMITTEE WAS MADE UP OF BOTH HOSPITAL STAFF AND COMMUNITY STAKEHOLDERS INCLUDING REPRESENTATIVES FROM LOCAL PUBLIC HEALTH DEPARTMENTS. ONCE HEALTH NEEDS WERE PRIORITIZED, THE SUBCOMMITTEE WORKED TOGETHER TO DETERMINE GROUPS AND INDIVIDUALS APPROPRIATE FOR FOCUS GROUPS, BEING SURE TO SOLICIT INPUT FROM THOSE IN THE COMMUNITIES WE SERVE WHO KNOW THE EXPERIENCES OF THE UNDERSERVED, MINORITY, AND AGING POPULATIONS BEST THROUGH PERSONAL EXPERIENCE OR CLOSE WORK WITH THEM. WHEN CONNECTING WITH PARTNERS, WE IDENTIFIED THOSE WITH STRONG COMMUNITY CONNECTIONS AND TRUST, INCLUDING WITHIN HISTORICALLY UNDERSERVED COMMUNITIES. OUR STEERING COMMITTEE MET FROM MARCH THROUGH NOVEMBER OF 2022 VIA ZOOM MEETINGS AND BY COMPLETING SURVEYS TO RANK AND PRIORITIZE OUR STRATEGIES AND PROGRAMS, INCLUDING ASSETS AND GAPS. ADDITIONALLY, THE HOSPITAL PROVIDED A SUMMARY OF OUR STRATEGIES TO OUR COMMUNITY ORGANIZATIONS AND MEMBERS TO GET ADDITIONAL FEEDBACK. THE STEERING COMMITTEE WAS MADE UP OF THE FOLLOWING ORGANIZATIONS AND REPRESENT THE FOLLOWING TARGET POPULATIONS: * FINNEY COUNTY COMMUNITY HEALTH COALITION, SERVING THE BROADER COMMUNITY * LIVEWELL FINNEY COUNTY, SERVING THE BROADER COMMUNITY AND IMMIGRANT POPULATION * ULYSSES FAMILY PHYSICIANS, SERVING THE BROADER COMMUNITY * GRANT COUNTY RECREATION COMMISSION, SERVING THE BROADER COMMUNITY * GRANT COUNTY CHAMBER OF COMMERCE, SERVING THE BROADER COMMUNITY * GRANT COUNTY COMMUNITY FOUNDATION, SERVING THE BROADER COMMUNITY * GRANT COUNTY HEALTH DEPARTMENT, SERVING THE BROADER COMMUNITY * IMPACT ULYSSES, SERVING THE BROADER COMMUNITY AND IMMIGRANT POPULATION * GENESIS FAMILY HEALTH, SERVING THOSE NEEDING BEHAVIORAL HEALTH SERVICES * RUSSELL CHILD DEVELOPMENT CENTER, SERVING YOUNG FAMILIES AND CHILDREN * DOMINICAN SISTERS MINISTRY OF PRESENCE AND PARENTS AS TEACHERS, SERVING THE BROADER COMMUNITY * USD 457, SERVING FAMILIES AND CHILDREN * GARDEN CITY POLICE DEPARTMENT. SERVING THE BROADER COMMUNITY * COMPASS BEHAVIORAL HEALTH, SERVING THOSE NEEDING BEHAVIORAL HEALTH SERVICES * FINNEY COUNTY UNITED WAY, SERVING THE BROADER COMMUNITY

Schedule H, Part V, Section B, Line 5 Facility A, 2
Facility A, 2 - BOB WILSON MEMORIAL. THE CHNA WAS CONDUCTED THROUGH A COLLABORATIVE PARTNERSHIP AMONG GRANT COUNTY PUBLIC HEALTH DEPARTMENT, COMMUNITY STAKEHOLDERS, AND BOB WILSON MEMORIAL HOSPITAL. WE COLLECTED QUANTITATIVE AND QUALITATIVE DATA TO COMPREHENSIVELY UNDERSTAND OUR COMMUNITY AND ITS SPECIFIC HEALTH NEEDS. WE BEGAN OUR DATA COLLECTION PROCESS IN FEBRUARY 2022 BY IDENTIFYING QUANTITATIVE INDICATORS FOR ANALYSIS. WE UTILIZED COMMUNITY COMMONS, A WEBSITE AND DATA PLATFORM THAT HOUSES POPULATION HEALTH INDICATOR DATA. IN THIS PROCESS, WE SELECTED CERTAIN HEALTH INDICATOR DATA, INCLUDING COMMUNITY AND POPULATION DEMOGRAPHIC INFORMATION, BEHAVIOR AND ENVIRONMENTAL HEALTH DRIVERS, HEALTH OUTCOMES INDICATORS, AND COVERAGE, QUALITY, AND ACCESS DATA. THESE INDICATORS WERE SELECTED BECAUSE THEY MOST ACCURATELY DESCRIBE THE DEMOGRAPHICS, DISPARITIES, POPULATION, AND DISTINCT HEALTH NEEDS OF THE COMMUNITY. THESE AREAS ADDRESS THE SOCIAL DETERMINANTS OF HEALTH, QUALITY OF LIFE, AND HEALTHY BEHAVIORS, ALL THINGS THAT WE KNOW IMPACT COMMUNITY HEALTH. BOB WILSON MEMORIAL HOSPITAL COLLABORATED CLOSELY WITH COMMUNITY LEADERS TO DEVELOP OUR COMMUNITY HEALTH NEEDS ASSESSMENTNEEDS ASSESSMENT. THE HOSPITAL CONVENED A COMMUNITY HEALTH NEEDS ASSESSMENT ADVISORY COMMITTEE MEETINGS, MADE UP OF DIVERSE WITH COMMUNITY-BASED ORGANIZATIONS. THESE ORGANIZATIONS WERE SELECTED BASED UPON THEIR CONNECTION WITH THE COMMUNITY, INCLUDING THOSE SERVING PEOPLE WHO ARE MEDICALLY UNDERSERVED AND AT GREATER RISK OF POOR HEALTH AND THOSE ORGANIZATIONS WITH INFLUENCE ON OVERALL HEALTH IN THE COMMUNITY. STAKEHOLDERS PROVIDED INPUT IN MULTIPLE MEETINGS TO RANK AND PRIORITIZE HEALTH ISSUES, IDENTIFY BOTH COMMUNITY ASSETS AND GAPS, AND TO IDENTIFY STRATEGIES FOR THE HEALTH PRIORITIES. OUR STEERING COMMITTEE MET FROM MARCH THROUGH NOVEMBER OF 2022 VIA ZOOM MEETINGS AND BY COMPLETING SURVEYS TO RANK AND PRIORITIZE OUR STRATEGIES AND PROGRAMS, INCLUDING ASSETS AND GAPS. ADDITIONALLY, THE HOSPITAL PROVIDED A SUMMARY OF OUR STRATEGIES TO OUR COMMUNITY ORGANIZATIONS AND MEMBERS TO GET ADDITIONAL FEEDBACK. THE STEERING COMMITTEE WAS MADE UP OF THE FOLLOWING ORGANIZATIONS AND REPRESENT THE FOLLOWING TARGET POPULATIONS: * FINNEY COUNTY COMMUNITY HEALTH COALITION, SERVING THE BROADER COMMUNITY * LIVEWELL FINNEY COUNTY, SERVING THE BROADER COMMUNITY AND IMMIGRANT POPULATION * ULYSSES FAMILY PHYSICIANS, SERVING THE BROADER COMMUNITY * GRANT COUNTY RECREATION COMMISSION, SERVING THE BROADER COMMUNITY * GRANT COUNTY CHAMBER OF COMMERCE, SERVING THE BROADER COMMUNITY * GRANT COUNTY COMMUNITY FOUNDATION, SERVING THE BROADER COMMUNITY * GRANT COUNTY HEALTH DEPARTMENT, SERVING THE BROADER COMMUNITY * IMPACT ULYSSES, SERVING THE BROADER COMMUNITY AND IMMIGRANT POPULATION * GENESIS FAMILY HEALTH, SERVING THOSE NEEDING BEHAVIORAL HEALTH SERVICES * RUSSELL CHILD DEVELOPMENT CENTER, SERVING YOUNG FAMILIES AND CHILDREN * DOMINICAN SISTERS MINISTRY OF PRESENCE AND PARENTS AS TEACHERS, SERVING THE BROADER COMMUNITY * USD 457, SERVING FAMILIES AND CHILDREN * GARDEN CITY POLICE DEPARTMENT. SERVING THE BROADER COMMUNITY * COMPASS BEHAVIORAL HEALTH, SERVING THOSE NEEDING BEHAVIORAL HEALTH SERVICES * FINNEY COUNTY UNITED WAY, SERVING THE BROADER COMMUNITY

Schedule H, Part V, Section B, Line 6b Facility A, 1
Facility A, 1 - FINNEY COUNTY COMMUNITY MEMBERS. THE FOLLOWING COMMUNITY MEMBERS PARTNERED WITH ST. CATHERINE HOSPITAL AND BOB WILSON HOSPITAL TO CONDUCT THE FY22 CHNA: FINNEY COUNTY COMMUNITY HEALTH COALITION, KANSAS DEPARTMENT OF HEALTH AND ENVIRONMENT, KANSAS HEALTH FOUNDATION, FNP GENESIS FAMILY HEALTH, COMPASS BEHAVIORAL HEALTH, GARDEN CITY PUBLIC SCHOOLS, DOMINICAN SISTERS MINISTRY OF PRESENCE/PARENTS AS TEACHERS AND STATE FARM INSURANCE.

Schedule H, Part V, Section B, Line 11 Facility A, 1
Facility A, 1 - ST CATHERINE HOSPITAL. ST. CATHERINE HOSPITAL (SCH) AND COMMUNITY STAKEHOLDERS IDENTIFIED FOUR SIGNIFICANT NEEDS IN THEIR COMMUNITY WHICH THEY PRIORITIZED AND FOCUSED ON. THE PRIORITIZED NEEDS WERE HEALTHY EATING ACTIVE LIVING AND TOBACCO PREVENTION; BEHAVIORAL HEALTH AND PREVENTION; ACCESS TO CARE; HEALTH EQUITY AND FOOD SECURITY GOALS. THE PROCESS FOLLOWED TO ADDRESS THE NEEDS, WAS TO CREATE SEVERAL GOALS FOR EACH NEED, AND THEN IMPLEMENTING SPECIFIC ACTIVITIES AND METRICS TO MEASURE PROGRESS OF ADDRESS THE NEED. FOR OUR FIRST CHNA PRIORITY, PREVENTION OF YOUTH DRUG AND ALCOHOL USE, WE UTILIZED THE FOLLOWING GOALS: GOAL 1: DEVELOP AND IMPLEMENT POLICIES THAT LIMIT YOUTH ACCESS TO TOBACCO. * GOAL 2: DEVELOP AND IMPLEMENT PLANS THAT PROVIDE OPPORTUNITIES FOR INCLUSIVE PLAY OR OPPORTUNITIES TO BE PHYSICALLY ACTIVE FOR ALL RESIDENTS. * GOAL 3: IMPLEMENT SYSTEMS TO FACILITATE IDENTIFICATION AND PROVIDE EDUCATION AND SUPPORT FOR PATIENTS WITH HYPERTENSION, PRE-DIABETES AND DIABETES. FOR OUR SECOND CHNA PRIORITY, BEHAVIORAL HEALTH AND PREVENTION GOALS, WE UTILIZED THE FOLLOWING GOALS: * GOAL 1: CONTINUE TO WORK WITH FINNEY COUNTY OPIOID TASK FORCE WORKING IN AREAS OF PREVENTION, EDUCATION, LAW ENFORCEMENT, TREATMENT AND COMMUNICATIONS.* GOAL 2: REDUCE STIGMA ABOUT MENTAL HEALTH DISORDERS BY OFFERING MENTAL HEALTH FIRST AID TRAININGS IN COMMUNITY. * GOAL 3: SURVEY COMMUNITY ON SEXUAL VIOLENCE AND DEVELOP A STRATEGIC PLAN BASED UPON AREAS OF NEED AND INPUT FROM COMMUNITY. FOR OUR THIRD CHNA PRIORITY, ACCESS TO CARE, WE UTILIZED THE FOLLOWING GOALS: GOAL 1: INCREASE OPPORTUNITIES FOR COMMUNITY AND HEALTH CARE PROVIDERS TO IMPROVE CULTURAL COMPETENCY IN AN EFFORT TO DELIVER CULTURALLY COMPETENT SERVICES TO COMMUNITY* GOAL 2: INCREASE OPPORTUNITIES FOR BUSINESSES AND FAITH-BASED ORGANIZATIONS TO INCLUDE COMMUNITY HEALTH WORKERS WITHIN THEIR ENTITIES. AND FOR OUR FOURTH CHNA PRIORITY, HEALTH EQUITY AND FOOD SECURITY, WE UTILIZED THE FOLLOWING GOALS: * GOAL 1: PROMOTE AND PROVIDE OPPORTUNITIES TO INCREASE CULTURAL COMPETENCY FOR DECISION MAKERS, HEALTH CARE PROVIDERS AND COALITION MEMBERS.* GOAL 2: DEVELOP AND STRENGTHEN RELATIONSHIPS WITH ENTITIES ACROSS DIFFERENT SECTORS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH. * GOAL 3: INCREASE ACCESS TO HEALTHY AFFORDABLE FOOD BY DECREASING THE NUMBER OF FOOD DESERTS BY 20% AND INCREASING AWARENESS OF SNAP AND WIC. *GOAL 4: INCREASE USE OF LOCALLY SOURCED HEALTHY, AFFORDABLE FOOD WITHIN CENTURA HEALTH BY 50%.

Schedule H, Part V, Section B, Line 11 Facility A, 2
"Facility A, 2 - BOB WILSON MEMORIAL GRANT COUNTY HOSPITAL. BOB WILSON MEMORIAL HOSPITAL (BW) AND COMMUNITY STAKEHOLDERS IDENTIFIED THREE SIGNIFICANT NEEDS IN THEIR COMMUNITY WHICH THEY PRIORITIZED AND FOCUSED ON. THE PRIORITIZED NEEDS WERE PREVENTION OF YOUTH DRUG AND ALCOHOL USE, ACCESS TO CARE AND HEALTH EQUALITY AND FOOD INSECURITY. PREVENTION OF YOUTH DRUG AND ALCOHOL USE AND ABUSE IS CRITICAL FOR GRANT COUNTY. IN THE 2019 KANSAS COMMUNITIES THAT CARE (KCTC) SURVEY 23.3% OF STUDENTS IN GRADES SIX, EIGHT, TEN AND TWELVE REPORTED DRINKING ALCOHOL IN THE PAST 30 DAYS. OF THE STUDENTS SURVEYED 39.4% REPORTED THEY PERCEIVED THE RISK OF HARM FROM ALCOHOL CONSUMPTION AS EITHER ""NO RISK OR ""SLIGHT RISK"". ADDITIONALLY, 14.7% OF GRANT COUNTY STUDENTS IN GRADES SIX, EIGHT, TEN AND TWELVE REPORTED THE USE OF MARIJUANA IN THE PAST 30 DAYS. WE WILL MAKE STRIDES IN DECREASING THE NUMBER OF YOUTH USING AND ABUSING DRUGS AND ALCOHOL BY: - PARTNERING WITH OTHER COMMUNITY AGENCIES TO IMPLEMENT EVIDENCE BASED STRATEGIES IN SCHOOLS, FAITH BASED ORGANIZATIONS AND COMMUNITY ORGANIZATIONS. - IMPLEMENTING A MULTIMEDIA CAMPAIGN AIMED AT EDUCATING THE RESIDENTS OF GRANT COUNTY ON THE DANGERS OF YOUTH DRUG AND ALCOHOL USE AND ABUSE. BUILDING PARTNERSHIPS WITH COMMUNITY PARTNERS TO FACILITATE INNOVATIVE WAYS TO PROVIDE CARE AND EXPOSE COMMUNITY TO BOB WILSON MEMORIAL HOSPITAL SERVICES. - DEVELOPING AND IMPLEMENTING POLICIES THAT LIMIT YOUTH ACCESS TO TOBACCO INCLUDING E-CIGARETTES. ACCESS TO CARE: ACCESS TO CARE IS A HIGH NEED IN OUR COMMUNITY. ACCORDING TO SMALL AREA HEALTH INSURANCE ESTIMATES, IN 2014. 22.1% OF ADULTS WERE UNINSURED AND 10.7% OF CHILDREN WERE UNINSURED. THIS IS HIGHER THAN THE KANSAS RATES OF 14.4% AND 5.6% RESPECTIVELY. WE WILL MAKE STRIDES IN ADDRESSING ACCESS TO CARE THROUGH: - PARTNERING WITH OTHER COMMUNITY AGENCIES TO PROVIDE OPPORTUNITIES FOR INDIVIDUALS TO ACCESS HEALTH CARE THROUGH FREE HEALTH SCREENINGS. - CONTINUE TO GROW OPPORTUNITIES FOR NEW PROVIDERS TO ENGAGE WITH PATIENTS AND COMMUNITY. - DEVELOP AND STRENGTHEN RELATIONSHIPS WITH COMMUNITY PARTNERS TO FACILITATE INNOVATIVE WAYS TO PROVIDE CARE AND EXPOSE COMMUNITY TO BOB WILSON MEMORIAL HOSPITAL SERVICES. HEALTH EQUITY AND FOOD INSECURITY: OUR GOAL IS THAT EVERYONE IN THE BOB WILSON MEMORIAL HOSPITAL SERVICE AREA CAN ATTAIN THE HIGHEST LEVEL OF HEALTH FOR ALL RESIDENTS. THIS WILL ONLY BE ACCOMPLISHED BY ADDRESSING HEALTH EQUITY IN ALL THE WORK THAT WE DO. BY ADDRESSING SOCIAL DETERMINANTS OF HEALTH OUR COMMUNITY WILL BE ABLE TO MEET THE NEEDS OF ALL OF OUR AREA RESIDENTS. SOME OF THESE INCLUDE INADEQUATE ACCESS TO HEALTHY FOODS, RACISM, INADEQUATE PERSONAL SUPPORT SYSTEMS, LIMITED LITERACY AND LIMITED ENGLISH PROFICIENCY. WE WILL MAKE STRIDES IN ADDRESSING HEALTH EQUITY THROUGH: - PROMOTING AND PROVIDE OPPORTUNITIES TO INCREASE CULTURAL COMPETENCY FOR DECISION MAKERS, HEALTH CARE PROVIDERS AND COALITION MEMBERS. - DEVELOPING AND STRENGTHEN RELATIONSHIPS WITH ENTITIES ACROSS DIFFERENT SECTORS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH. OUR GOALS FOR THIS ASSESSMENT ARE TO MOVE HEALTH FORWARD TO BUILD WHOLENESS AND FLOURISHING COMMUNITIES. WE CONTINUE TO AMPLIFY MEANINGFUL COLLABORATION BETWEEN BOB WILSON MEMORIAL HOSPITAL, OUR LOCAL PUBLIC HEALTH DEPARTMENTS, COMMUNITY LEADERS, AND PARTNER ORGANIZATIONS TO ADDRESS THE NEEDS ABOVE."

Schedule H, Part VI Lines 2 and 4 - COMMUNITY BENEFIT NARRATIVE
COMMUNITY BENEFIT NARRATIVE I. INTRODUCTION ST. CATHERINE HOSPITAL WAS FOUNDED TO MEET THE GROWING HEALTH CARE NEEDS OF THE COMMUNITY. THIS INCLUDED THE ADDITION OF MORE HOSPITAL BEDS, AS WELL AS OUTPATIENT AND COMMUNITY HEALTH INITIATIVES. ST. CATHERINE HOSPITAL EMBRACED THE MISSION OF THE FOUNDING RELIGIOUS CONGREGATION, THE DOMINICAN SISTERS, AND LATER PARTNERED WITH OTHER RELIGIOUS CONGREGATIONS TO FORM CATHOLIC HEALTH INITIATIVES (CHI). ST. CATHERINE HOSPITAL WAS GRANTED TAX EXEMPT STATUS IN MARCH 1946 AS A HOSPITAL. TODAY, ST. CATHERINE BELONGS TO CENTURA HEALTH, A JOINT VENTURE OF CHI, AND TAKES SERIOUSLY ITS MISSION TO NOT ONLY CARE FOR THOSE WHO ARE SICK, BUT TO ALSO WORK TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES. THE HOSPITAL HAS A BOARD OF DIRECTORS COMPRISED OF INDEPENDENT COMMUNITY REPRESENTATIVES. ST. CATHERINE HOSPITAL OPERATES A 24-HOUR EMERGENCY ROOM 365 DAYS PER YEAR. THAT EMERGENCY ROOM IS OPEN TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. FINNEY COUNTY IS DESIGNATED AS BOTH A PRIMARY-CARE HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) AND AS MEDICALLY UNDERSERVED POPULATION (MUP). 17% OF THE POPULATION REPORT THEY HAVE DIFFICULTY IN ACQUIRING CARE DUE TO COST, AND 19% REPORT THAT THEY HAVE NO HEALTH INSURANCE. WHILE THE PRIMARY SERVICE AREA IS FINNEY COUNTY, THE SECONDARY SERVICE AREA INCLUDES OVER 19 COUNTIES WITHIN SOUTHWEST KANSAS, EASTERN COLORADO, AND THE PAN HANDLES OF TEXAS AND OKLAHOMA. II. COMMUNITY BENEFIT APPROACH COMMUNITY SERVICE HAS ALWAYS BEEN AT THE CORE OF ST. CATHERINE HOSPITAL'S ACTIVITIES. EACH YEAR, SERVICES AND PROGRAMS ARE EXPANDED NOT ONLY TO MEET THE HEALTH CARE NEEDS OF THE COMMUNITY, BUT ALSO TO REDUCE THE RISK FACTORS THAT CAUSE THEM. COMMUNITY BENEFIT FOCUSES ON THE REDUCTION OF CHRONIC HEALTH RISK FACTORS, WITH A FOCUS ON TOBACCO USE, LACK OF PHYSICAL ACTIVITY, AND POOR NUTRITION. THE PROGRAMS AND SERVICES DESCRIBED THROUGHOUT THIS REPORT NOT ONLY SERVE THE COMMUNITY, BUT ALSO REDUCE THE BURDENS ON THE GOVERNMENT. FOR EXAMPLE, IF ST. CATHERINE HOSPITAL DID NOT PROVIDE CHARITY CARE, THE BURDEN OF PROVIDING CHARITY CARE WOULD FALL ON OUTLYING COUNTY HOSPITALS AND OTHER GOVERNMENT SUPPORTED INSTITUTIONS. III. DEMOGRAPHICS LOCATED IN GARDEN CITY, KANSAS, ST. CATHERINE HOSPITAL 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: 3% BLACK OR AFRICAN AMERICAN; 1% AMERICAN INDIAN AND ALASKA NATIVE; 5% ASIAN; 1% NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER; 16% SOME OTHER RACE; 3% TWO OR MORE RACES; 50% HISPANIC OR LATINO; AND 73% WHITE. THE COUNTY UNEMPLOYMENT RATE IS 4%. IV. PARTNERS IN THE COMMUNITY ST. CATHERINE HOSPITAL WORKS CLOSELY WITH THE FINNEY COUNTY COMMUNITY HEALTH COALITION. THIS COALITION PARTNERS WITH OVER FIFTY PRIVATE AND PUBLIC ORGANIZATIONS AND AGENCIES TO IMPROVE THE HEALTH, WELL-BEING, AND SAFETY OF THE COUNTY RESIDENTS. A COMMUNITY HEALTH NEEDS ASSESSMENT WAS RECENTLY COMPLETED THAT REFLECTS THE NEEDS OF THE COMMUNITY. MEMBERS OF ST. CATHERINE HOSPITAL SERVE ON THE COALITION BOARD TO LEARN AND SUPPORT THE ACTIVITIES AND PROGRAMS OF THE COALITION TO IMPROVE COMMUNITY HEALTH AND EXPAND ACCESS TO HEALTH CARE. A. SUMMARY OF ASSESSMENT FINDINGS TEN KEY FACTORS HAVING THE GREATEST IMPACT ON THE OVERALL WELLNESS OF THE AREA EMERGED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. COMMUNITY STAKEHOLDERS WERE INVITED TO PRIORITIZE THE ISSUES OF MOST IMPORTANCE TO THEM, KEEPING IN MIND THE WORLD HEALTH ORGANIZATION'S DEFINITION OF HEALTH, HOW HEALTH IS AFFECTED BY GENETICS, THE ENVIRONMENT, MEDICINE, AND LIFE STYLE. KANSAS 2020 HEALTHY PEOPLE INDICATORS FOCUS ON HEALTHY PEOPLE, HEALTHY BEHAVIORS, ACCESSIBLE CARE, STRONG FAMILIES, HEALTHY CHILDREN, AND SUPPORTIVE PHYSICAL ENVIRONMENT. REFERRING TO THE CDC INDICATORS OF HEALTH THAT DEAL WITH TOBACCO USE, PHYSICAL EXERCISE, AND POOR NUTRITION, COMMUNITY BENEFIT EFFORTS HAVE FOCUSED ON IMPROVING HEALTHY BEHAVIORS, DECREASING ALCOHOL AND DRUG ABUSE, IMPROVING ACCESS TO HEALTH CARE SERVICES, THE REDUCTION OF DOMESTIC VIOLENCE, COMMUNITY EDUCATION, CHILD AND MENTAL HEALTH EDUCATION AND SERVICES, REDUCTION IN SMOKING AND TOBACCO USE, REDUCTION OF RISK FACTORS IN CHRONIC DISEASE AND MORTALITY, IMPROVEMENT OF THE ENVIRONMENT, INCREASE OF PERSONAL AND FAMILY SAFETY, AND INCOME, EDUCATION, AND EMPLOYMENT OPPORTUNITIES.

Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance
A COST ACCOUNTING SYSTEM WAS NOT USED TO COMPUTE AMOUNTS IN THE TABLE; RATHER COSTS IN THE TABLE WERE COMPUTED USING THE ORGANIZATION'S COST-TO-CHARGE RATIO. THE COST-TO CHARGE RATIO COVERS ALL PATIENT SEGMENTS. THE COST-TO-CHARGE RATIO FOR THE YEAR ENDED 6/30/2022 WAS COMPUTED USING THE FOLLOWING FORMULA: OPERATING EXPENSE (BEFORE RESTRUCTURING, IMPAIRMENT AND OTHER LOSSES) DIVIDED BY GROSS PATIENT REVENUE.

Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
FOR FINANCIAL STATEMENT PURPOSES, ST. CATHERINE HOSPITAL HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE.

Schedule H, Part III, Line 3 Bad Debt Expense Methodology
ST. CATHERINE HOSPITAL DOES NOT BELIEVE THAT ANY PORTION OF BAD DEBT EXPENSE COULD REASONABLY BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE.

Schedule H, Part III, Line 8 Community benefit methodology for determining medicare costs
THE ORGANIZATION APPLIES THE COST TO CHARGE RATIO CALCULATED IN IRS WORKSHEET 2 TO DETERMINE THE COST OF CARE PROVIDED TO MEDICARE PATIENTS. THE MEDICARE ALLOWABLE COSTS ARE DETERMINED USING THE COST TO CHARGE RATIO. THE COST-TO CHARGE RATIO COVERS ALL PATIENT SEGMENTS. ST CATHERINE HOSPITAL DOES NOT TREAT MEDICARE SHORTFALLS AS COMMUNITY BENEFIT. THE ORGANIZATION'S POSITION IS CONSISTENT WITH THAT OF COMMONSPIRIT HEALTH (CSH), ITS SPONSOR. MEDICARE IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS; FOR-PROFIT HOSPITALS TREAT AND ATTEMPT TO ATTRACT MEDICARE BENEFICIARIES.

Schedule H, Part V, Section B, Line 16a FAP website
A - ST. CATHERINE HOSPITAL: Line 16a URL: https://www.centura.org/patient-tools/billing-and-financial-services;

Schedule H, Part V, Section B, Line 16b FAP Application website
A - ST. CATHERINE HOSPITAL: Line 16b URL: https://www.centura.org/patient-tools/billing-and-financial-services;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
A - ST. CATHERINE HOSPITAL: Line 16c URL: https://www.centura.org/patient-tools/billing-and-financial-services;

Schedule H, Part VI, Line 7 State filing of community benefit report
KS

Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
ST. CATHERINE HOSPITAL DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF COMMONSPIRIT HEALTH. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS: COMMONSPIRIT RELIES ON THE RESULTS OF DETAILED REVIEWS OF HISTORICAL WRITE-OFFS AND COLLECTIONS IN ESTIMATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE. UPDATES TO THE HINDSIGHT ANALYSIS IS PERFORMED AT LEAST QUARTERLY USING PRIMARILY A ROLLING EIGHTEEN MONTH COLLECTION HISTORY AND WRITE-OFF DATA. SUBSEQUENT CHANGES TO ESTIMATES OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO NET PATIENT REVENUE IN THE PERIOD OF CHANGE. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN A THIRD PARTY PAYOR'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE IN PURCHASED SERVICES AND OTHER IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGE IN NET ASSETS. BAD DEBT EXPENSE FOR 2022 WAS NOT SIGNIFICANT.

Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
ST. CATHERINE HOSPITAL'S DEBT COLLECTION POLICY PROVIDES FOR THE PERFORMANCE OF A REASONABLE REVIEW OF EACH PATIENT'S ACCOUNT PRIOR TO TURNING AN ACCOUNT OVER TO A THIRD PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT. THE REVIEW OF PATIENT ACCOUNTS IS DONE TO ASSURE THAT THE PATIENT OR THEIR GUARANTOR IS NOT ELIGIBLE FOR ASSISTANCE THROUGH ST. CATHERINE HOSPITAL'S CHARITY CARE POLICY, UNINSURED DISCOUNT POLICY, OR ANOTHER FINANCIAL ASSISTANCE PROGRAM (I.E. MEDICAID). ST. CATHERINE HOSPITAL REQUIRES THE FOLLOWING OF ITS THIRD-PARTY COLLECTION AGENCIES: * NEITHER ST. CATHERINE HOSPITAL OR THEIR COLLECTION AGENCIES WILL REQUEST BENCH OR ARREST WARRANTS AS A RESULT OF NON-PAYMENT; * NEITHER ST. CATHERINE HOSPITAL OR THEIR COLLECTION AGENCIES WILL SEEK LIENS THAT WOULD REQUIRE THE SALE OR FORECLOSURE OF A PRIMARY RESIDENCE; AND * NO ST. CATHERINE HOSPITAL COLLECTION AGENCY MAY SEEK COURT ACTION WITHOUT HOSPITAL APPROVAL. ONCE A PATIENT IS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE, COLLECTION ACTIONS ARE THEN SUSPENDED.

Schedule H, Part VI, Line 2 Needs assessment
THE CATHOLIC HEALTH INITIATIVES COLORADO RELATED HOSPITALS PROVIDE SEVERAL SERVICES AND RESOURCES TO THE COMMUNITIES IT SERVES BEYOND THE PRIORITIZED NEEDS SPECIFICALLY IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITAL SPONSORS LIVEWELL COALITION, A HEALTH ALLIANCE THAT CONVENES AND COORDINATES ACCESS TO CARE AND SERVICES TO THE COMMUNITY AT LARGE. FURTHERMORE, THE HOSPITAL SPONSORS WELLNESS EVENTS SUCH AS BREAST FEEDING EDUCATION, ASTHMA SCREENINGS, AND FINANCIALLY SUPPORTS WELLNESS INITIATIVES OF CITIES AND PUBLIC SCHOOLS. THEY ALSO PROVIDE TRANSPORTATION FOR LOW INCOME PATIENTS. THEY ALSO SUPPORT, FINANCIALLY AND THROUGH VOLUNTEERISM, INITIATIVES SUCH AS SOUP KITCHENS AND MEALS ON WHEELS TO PROVIDE FOOD AND NUTRITION EDUCATION TO ADDRESS HUNGER ISSUES. HOSPITAL STAFF ALSO VOLUNTEER TO SERVE AS PRECEPTORS FOR STUDENTS OF LOCAL HEALTH PROFESSIONAL PROGRAMS AND SERVE ON BOARDS OF LOCAL COMMUNITY ORGANIZATIONS THAT PROVIDE SOCIAL SERVICES TO POPULATIONS IN NEED.

Schedule H, Part VI, Line 4 Community information
LOCATED IN GARDEN CITY, KANSAS, ST. CATHERINE HOSPITAL 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: 4% BLACK OR AFRICAN AMERICAN; 4% ASIAN; 1% NATIVE AMERICAN/ALASKAN NATIVE, 0% HAWAIIAN AND OTHER PACIFIC ISLANDER; 2% TWO OR MORE RACES; 51% HISPANIC OR LATINO; AND 40% WHITE. THE COUNTY UNEMPLOYMENT RATE IS 2%. EDUCATION LEVEL: OF THE POPULATION AGED 25 AND OVER, 18% HAVE A BACHELOR DEGREE OR HIGHER. BOB WILSON MEMORIAL HOSPITAL'S SERVICE AREA IS GRANT COUNTY. WE USED THE COUNTY TO DEFINE OUR COMMUNITY FOR THE CHNA AND TO ANALYZE DEMOGRAPHIC AND HEALTH INDICATOR DATA. GRANT COUNTY'S POPULATION IS APPROXIMATELY 8,000. THE DEMOGRAPHIC MAKEUP OF BOB WILSON'S COMMUNITY IS AS FOLLOWS: RACE: 49% WHITE, 1% BLACK, 6% ASIAN, 0.6% NATIVE AMERICAN/ALASKA NATIVE, 0% NATIVE HAWAIIAN/PACIFIC ISLANDER, 1.7% MULTIPLE RACES ETHNICITY: 49% OF THE POPULATION REPORTS HISPANIC OR LATINO ORIGIN. EDUCATION LEVEL: OF THE POPULATION AGED 25 AND OVER, 21% HAVE A BACHELOR'S DEGREE OR HIGHER.

Schedule H, Part VI, Line 5 Promotion of community health
THE ORGANIZATION'S HOSPITAL FACILITIES PROMOTE HEALTH FOR THE BENEFIT OF THE COMMUNITY. MEDICAL STAFF PRIVILEGES IN THE HOSPITAL ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA, CONSISTENT WITH THE SIZE AND NATURE OF ITS FACILITIES. THE ORGANIZATION'S HOSPITAL FACILITIES HAVE AN OPEN MEDICAL STAFF. ITS BOARD OF TRUSTEES IS COMPOSED OF PROMINENT CITIZENS IN THE COMMUNITY. EXCESS FUNDS ARE GENERALLY APPLIED TO EXPANSION AND REPLACEMENT OF EXISTING FACILITIES AND EQUIPMENT, AMORTIZATION OF INDEBTEDNESS, IMPROVEMENT IN PATIENT CARE, AND MEDICAL TRAINING, EDUCATION, AND RESEARCH. THE FACILITIES TREAT PERSONS PAYING THEIR BILLS WITH THE AID OF PUBLIC PROGRAMS LIKE MEDICARE AND MEDICAID. ALL PATIENTS PRESENTING AT THE HOSPITAL FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE ARE TREATED REGARDLESS OF THEIR ABILITY TO PAY FOR SUCH TREATMENT.

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
NOTIFICATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE FROM CHI HOSPITAL ORGANIZATIONS SHALL BE DISSEMINATED BY VARIOUS MEANS, WHICH MAY INCLUDE, BUT NOT BE LIMITED TO: * CONSPICUOUS PUBLICATION OF NOTICES IN PATIENT BILLS; * NOTICES POSTED IN EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING/REGISTRATION DEPARTMENTS, BUSINESS OFFICES, AND AT OTHER PUBLIC PLACES AS A HOSPITAL FACILITY MAY ELECT; AND * PUBLICATION OF A SUMMARY OF THIS POLICY ON THE HOSPITAL FACILITY'S WEBSITE, WWW.CATHOLICHEALTH.NET, AND AT OTHER PLACES WITHIN THE COMMUNITIES SERVED BY THE HOSPITAL FACILITY AS IT MAY ELECT. SUCH NOTICES AND SUMMARY INFORMATION SHALL INCLUDE A CONTACT NUMBER AND SHALL BE PROVIDED IN ENGLISH, SPANISH, AND OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVED BY AN INDIVIDUAL HOSPITAL FACILITY, AS APPLICABLE. REFERRAL OF PATIENTS FOR FINANCIAL ASSISTANCE MAY BE MADE BY ANY MEMBER OF THE CHI HOSPITAL ORGANIZATION NON-MEDICAL OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKERS, CASE MANAGERS, CHAPLAINS, AND RELIGIOUS SPONSORS. A REQUEST FOR ASSISTANCE MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND, OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS. IN ADDITION, HOSPITAL REGISTRATION CLERKS ARE TRAINED TO PROVIDE CONSULTATION TO THOSE WHO HAVE NO INSURANCE OR POTENTIALLY INADEQUATE INSURANCE CONCERNING THEIR FINANCIAL OPTIONS INCLUDING APPLICATION FOR MEDICAID AND FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. COUNSELORS ASSIST MEDICARE ELIGIBLE PATIENTS IN ENROLLMENT BY PROVIDING REFERRALS TO THE APPROPRIATE GOVERNMENT AGENCIES. ONCE IT IS DETERMINED THAT THE PATIENT DOES NOT QUALIFY FOR ANY THIRD PARTY FUNDING, THE PATIENT IS VERBALLY NOTIFIED ABOUT THE EXISTENCE OF FINANCIAL ASSISTANCE APPLICATION AND ADDITIONAL SCREENING TAKES PLACE BY A HOSPITAL EMPLOYEE TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR CHARITY SERVICE PRIOR TO DISCHARGE. UPON REGISTRATION (AND ONCE ALL EMTALA REQUIREMENTS ARE MET), PATIENTS WHO ARE IDENTIFIED AS UNINSURED (AND NOT COVERED BY MEDICARE OR MEDICAID) ARE PROVIDED WITH A PACKET OF INFORMATION THAT ADDRESSES THE FINANCIAL ASSISTANCE POLICY, THE PLAIN LANGUAGE SUMMARY OF THAT POLICY, AND AN APPLICATION FOR ASSISTANCE. HOSPITAL REGISTRATION CLERKS READ THE ORGANIZATION'S MEDICAL ASSISTANCE POLICY TO THOSE WHO APPEAR TO BE INCAPABLE OF READING, AND PROVIDE TRANSLATORS FOR NON-ENGLISH-SPEAKING INDIVIDUALS. PATIENTS THAT HAVE BEEN DISCHARGED PRIOR TO CHARITY SCREENING, SUCH AS EMERGENCY ROOM PATIENTS, RECEIVE A WRITTEN NOTIFICATION OF POSSIBLE ELIGIBILITY FOR SERVICES. IF THE PATIENT IS DETERMINED NOT TO BE ELIGIBLE FOR GOVERNMENT ASSISTANCE, HE/SHE MAY NOTIFY THE HOSPITAL THAT THEY SEEK CHARITY ASSISTANCE. THE APPROPRIATE CHARITY FORM IS SENT TO THE PATIENT/GUARANTOR FOR COMPLETION AND THEN RETURNED TO THE HOSPITAL FOR EVALUATION AND QUALIFICATION. ONCE DETERMINATION OF ELIGIBILITY IS MADE, THE PATIENT IS SENT A NOTICE INFORMING HIM/HER IF THEY QUALIFY FOR FULL, PARTIAL, OR NO CHARITY CARE SERVICES. HOSPITAL FACILITIES MUST MAKE REASONABLE EFFORTS THROUGH ITS BILLING AND COLLECTIONS PROCESSES, PURSUANT TO TREAS. REG. 1.501(R)-6(C), TO DETERMINE WHETHER ANY INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE.

Schedule H, Part VI, Line 6 Affiliated health care system
THE ORGANIZATION IS OPERATED AS PART OF CENTURA HEALTH CORPORATION (CENTURA). CENTURA AND ITS AFFILIATED ORGANIZATIONS ARE DEDICATED TO EXTENDING THE HEALING MINISTRY OF CHRIST BY CARING FOR THOSE WHO ARE ILL AND BY NURTURING THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES. SPECIFICALLY, CENTURA HAS LAUNCHED A SYSTEM WIDE STRATEGIC PLAN TO IMPROVE THE QUALITY, CONSISTENCY, AVAILABILITY, AND AFFORDABILITY OF HEALTHCARE TO COMMUNITIES THROUGHOUT COLORADO. THE THREE MAIN COMPONENTS OF THIS STRATEGY ARE (1) TO CONTINUE INVESTING IN TECHNOLOGY ADVANCEMENTS THAT IMPROVE THE QUALITY, COSTS, AND COORDINATION OF CARE INCLUDING THE ESTABLISHMENT OF ELECTRONIC HEALTH RECORDS LINKING OUR PHYSICIANS, CLINICS, HOSPITALS, LONG-TERM FACILITIES AND HOME CARE SERVICES; (2) PROVIDING WELLNESS CARE, THEREBY POTENTIALLY REDUCING HEALTH CARE COSTS BY HELPING PATIENTS TO MAINTAIN GOOD HEALTH, GROWING THE LEVEL OF SUPPORT AND OUTREACH PROVIDED TO RURAL COMMUNITIES, AND INCREASING ACCESS, AFFORDABILITY AND QUALITY OF HEALTH CARE; AND (3) COORDINATE AND DEVELOP SYSTEMS OF CARE, LOOKING TO EACH FACILITY AND ENTITY IN CENTURA TO SHARE BEST PRACTICES AND IMPROVE OVERALL EFFICIENCY AND COMMUNICATION SYSTEM-WIDE FROM BIRTH TO HOME CARE.