4A (Expenses $ 506202494 including grants of $ 130871) (Revenue $ 663917967)
ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. IS A 671-BED HOSPITAL CAMPUS PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING FISCAL YEAR 2022. ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. TREATED 28,792 ADULTS AND CHILDREN FOR A TOTAL OF 166,952 PATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES FOR 257,094 OUTPATIENT VISITS, WHICH INCLUDED 7,763 OUTPATIENT SURGERIES AND 91,024 EMERGENCY ROOM VISITS. SEE SCHEDULE H FOR A NON-EXHAUSTIVE LIST OF COMMUNITY BENEFIT PROGRAMS AND DESCRIPTIONS. As part of the Ascension Catholic health ministry, the filing organization served in support of Ascension's commitment to both care for patients and communities and support caregivers and other associates through the challenges of the COVID-19 global pandemic in FY22.

Schedule H, Part V, Section B, Line 3E
A,1 - Ascension Via Christi Hospitals Wichita, Inc. TO BETTER TARGET COMMUNITY RESOURCES ON THE SERVICE AREA'S MOST PRESSING HEALTH NEEDS, THE HOSPITAL PARTICIPATED IN A GROUP DISCUSSION WITH ORGANIZATIONAL DECISION MAKERS AND COMMUNITY LEADERS TO PRIORITIZE THE SIGNIFICANT COMMUNITY HEALTH NEEDS WHILE CONSIDERING SEVERAL CRITERIA: ALIGNMENT WITH ASCENSION HEALTH STRATEGIES OF HEALTHCARE THAT LEAVES NO ONE BEHIND; CARE FOR THE POOR AND VULNERABLE; OPPORTUNITIES FOR PARTNERSHIP; AVAILABILITY OF EXISTING PROGRAMS AND RESOURCES; ADDRESSING DISPARITIES OF SUBGROUPS; AVAILABILITY OF EVIDENCE-BASED PRACTICES; AND COMMUNITY INPUT. THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. SEE SCHEDULE H, PART V, LINE 7 FOR THE LINK TO THE CHNA AND SCHEDULE H, PART V, LINE 11 FOR HOW THOSE NEEDS ARE BEING ADDRESSED.

Schedule H, Part V, Section B, Line 5 Facility A, 1
Facility A, 1 - A,1 - Ascension Via Christi Hospitals Wichita, Inc.. IN ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC.'S MOST RECENT CHNA, COMMUNITY INPUT WAS OBTAINED THROUGH KEY INFORMANT INTERVIEWS WHICH WERE CONDUCTED BETWEEN SEPTEMBER 13, 2021 AND OCTOBER 7, 2021. THIRTY-NINE (39) INDIVIDUALS RECEIVED INVITATIONS WITH A TOTAL OF 27 PERSONS FROM 27 ORGANIZATIONS COMPLETING THE INTERVIEW. SECTORS REPRESENTED BY PARTICIPANTS INCLUDED EDUCATION, HEALTHCARE, PUBLIC HEALTH, MENTAL AND BEHAVIORAL HEALTH, SOCIAL SERVICES, LAW ENFORCEMENT, COMMUNITY GROUPS, AND GOVERNMENT ENTITIES. ORGANIZATIONS THAT ASSISTED IN PROVIDING INPUT INCLUDED: ASCENSION VIA CHRISTI HOSPITALS, SEDGWICK COUNTY HEALTH DEPARTMENT, SEDGWICK COUNTY DEVELOPMENTAL DISABILITY ORGANIZATION, COUNCIL OF ELDERS, CENTRAL PLAINS AREA AGENCY ON AGING, SEDGWICK COUNTY SHERIFF, GRACEMED, CATHOLIC CHARITIES/LORD'S DINER, AB&C BILINGUAL RESOURCES, CHILDSTART, BOYS AND GIRLS CLUB OF SOUTH CENTRAL KANSAS, WICHITA PUBLIC SCHOOLS, HUMAN KIND, DERBY CITY, CATHOLIC DIOCESE SCHOOLS, WICHITA POLICE DEPARTMENT HOT TEAM, UNION RESCUE MISSION, RETIRED BLACK NURSES ASSOCIATION, AND INTRUST BANK. THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS REPRESENTED THROUGH THESE METHODS AND/OR ORGANIZATIONS INCLUDE: BLACK, INDEGENIOUS, PEOPLE OF COLOR; IMMIGRANT; CHILDREN AND ELDERLY; HOMELESS AND HOUSING INSECURE; LGBTQ+, FOOD INSECURE, LOW-INCOME FAMILIES.

Schedule H, Part V, Section B, Line 6a Facility A, 1
Facility A, 1 - A,1 - Ascension Via Christi Hospitals Wichita, Inc.. THE CHNA WAS CONDUCTED IN PARTNERSHIP WITH: ASCENSION VIA CHRISTI ST. TERESA HOSPITAL ASCENSION VIA CHRISTI REHABILITATION HOSPITAL KANSAS SURGERY AND RECOVERY CENTER ROCK REGIONAL HOSPITAL

Schedule H, Part V, Section B, Line 6b Facility A, 1
Facility A, 1 - A,1 - Ascension Via Christi Hospitals Wichita, Inc.. A CHNA ADVISORY COUNCIL WAS ESTABLISHED WITH KEY COMMUNITY PARTNERS, INCLUDING SEDGWICK COUNTY HEALTH DEPARTMENT, GUADALUPE CLINIC, GRACEMED, AND UNITED WAYS OF THE PLAINS TO HELP GUIDE THE CHNA PROCESS, DEVELOPED A LIST OF KEY INFORMANTS TO INTERVIEW, AND PROVIDED THEIR EXPERTISE AND INSIGHT INTO THE MOST SIGNIFICANT NEEDS WITHIN THE COMMUNITY.

Schedule H, Part V, Section B, Line 11 Facility A, 1
Facility A, 1 - A,1 - Ascension Via Christi Hospitals Wichita, Inc. - PART 1. IN ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC.'S MOST RECENT CHNA, THE FOLLOWING WERE IDENTIFIED AS SIGNIFICANT NEEDS IN THE COMMUNITY: 1) HEALTH INSURANCE COVERAGE FOR THOSE IN NEED THROUGH MEDICAID EXPANSION 2) PREPARING YOUTH FOR THE WORKFORCE 3) BASIC MEDICAL CARE FOR LOW-INCOME/VULNERABLE POPULATIONS 4) TREATMENT FOR LIFE-THREATENING DISEASES 5) DOMESTIC/FAMILY VIOLENCE 6) ASSISTANCE WITH PRESCRIPTIONS FOR LOW-INCOME 7) SEXUAL ASSAULT/HUMAN TRAFFICKING FOCUS 8) ENHANCEMENT OF COUNSELING/MENTAL HEALTH SERVICES FOR THOSE IN NEED THE FY2020-2022 IMPLEMENTATION STRATEGY SPECIFICALLY ADDRESSED THE IDENTIFIED NEEDS IN THEFOLLOWING WAY: HEALTH INSURANCE COVERAGE FOR THOSE IN NEED THROUGH MEDICAID EXPANSION ASCENSION VIA CHRISTI'S PRIORITIES FOR 2022 INCLUDED PROVIDING EDUCATION IN SUPPORT OF AND ADVOCATING FOR AN INCREASED UNDERSTANDING OF THE NEED FOR GREATER ACCESS TO CARE FOR THE MOST VULNERABLE THROUGH PROGRAMS SUCH AS MEDICAID EXPANSION, EXPANDING ACCESS TO TELEMEDICINE, PROTECTING PATIENT ACCESS TO AFFORDABLE MEDICATIONS PROVIDED THROUGH 340B, AND PROVIDING EDUCATION ON THE NEED FOR EXTENDING THE CURRENT PUBLIC HEALTH EMERGENCY PAST JANUARY 21, 2022. ASCENSION VIA CHRISTI'S EFFORTS ALSO INCLUDED INVOLVEMENT IN EFFORTS TO GAIN GREATER UNDERSTANDING REGARDING THE ABILITY OF OUR STATE'S PUBLIC HEALTH OFFICIALS TO ADDRESS INFECTIOUS DISEASE OUTBREAKS. ASCENSION VIA CHRISTI SUCCESSFULLY COMMUNICATED A CRITICAL NEED IDENTIFIED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENTS FOR INCREASED PROGRAMS, PROVIDERS, AND AVAILABILITY TO MENTAL HEALTH CARE, PROVIDING EDUCATION REGARDING THE NEED TO EXPAND REGIONAL MENTAL HEALTH BED ACCESS IN THE SOUTH-CENTRAL KANSAS REGION. FURTHERMORE, THE ORGANIZATION PROVIDED SUPPORT IN RESPONSE TO THE INCREASED UNDERSTANDING OF THE NEED TO IMPROVE THE WORKFORCE SHORTAGES IN THE HEALTHCARE INDUSTRY. ALSO IN THIS AREA, THE STATE OF KANSAS RECEIVED APPROVAL FROM CMS OF A CHANGE IN THE HEALTH CARE ACCESS IMPROVEMENT PROGRAM (HCAIP) ASSESSMENT RATE TO HOSPITALS WHICH ALLOWS THE STATE TO DRAW DOWN FEDERAL MATCHING FUNDS TO SUPPORT MEDICAID (KANCARE) REIMBURSEMENT RATES TO PHYSICIANS AND HOSPITALS. PREPARING YOUTH FOR THE WORKFORCE DUE TO COVID, THE HOSPITAL HAD TO POSTPONE ALL PROGRAMS WITH LOCAL SCHOOLS. THE HOSPITAL LIMITED OUTSIDE VISITORS TO THE HOSPITAL TO LIMIT THE SPREAD OF COVID. BASIC MEDICAL CARE FOR LOW-INCOME/VULNERABLE POPULATIONS ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. CONTINUES TO OFFER CHARITY CARE TO THE POOR, AND TAKES CARE OF THOSE WHO ARE RECIPIENTS OF MEDICAID AND MEDICARE KNOWING THAT THE GOVERNMENT WILL NOT BE PAYING THE FULL COST OF THAT CARE. ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. WORKS WITH THE PATIENT AND/OR THEIR FAMILY TO MAKE SURE THEY RECEIVE TREATMENT WHEN PRESENTING AT THE HOSPITAL. PRIOR TO DISCHARGE, A CASE MANAGER IDENTIFIES BASIC MEDICAL CARE OPTIONS WITH THE PATIENT/CAREGIVER AND PROVIDES THEM WITH APPLICATION FORMS AND CONTACT NUMBERS. PUBLIC PROGRAMS NAVIGATORS WORK DIRECTLY WITH INDIVIDUALS WHO ARE UNINSURED, UNDERINSURED, OR RECENTLY LOST THEIR INSURANCE TO REVIEW POTENTIAL HEALTHCARE PLANS AND PUBLIC PROGRAMS, APPLY FOR COVERAGE, AND UNDERSTAND INSURANCE USE AFTER IT IS RECEIVED. NAVIGATORS ASSISTED OVER 1,531 INDIVIDUALS IN FY 2022. TREATMENT FOR LIFE-THREATENING DISEASES ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. OPERATES 24/7 EMERGENCY DEPARTMENTS IN TWO LOCATIONS THAT RESIDE IN LOW-INCOME NEIGHBORHOODS. THE CANCER CENTER IS LOCATED ACROSS THE STREET FROM ASCENSION VIA CHRISTI'S ST FRANCIS HOSPITAL AND OFFERS TREATMENT FOR A VARIETY OF CANCERS WHICH INCLUDES A CYBERKNIFE, RADIATION THERAPY, AND CHEMOTHERAPY TREATMENTS. THE ST. FRANCIS ASCENSION VIA CHRISTI CANCER INSTITUTE IS A DEDICATED MEDICAL AND SURGICAL TREATMENT CENTER SPECIFICALLY FOR CANCER. IT INCLUDES RADIATION THERAPY ROOMS, AN AMBULATORY INFUSION CENTER, AND MORE. ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. ALSO HAS AN ADVANCED COMPREHENSIVE STROKE CENTER STAFFED BY A TEAM THAT OVERSEES A 20-BED NEUROCRITICAL CARE UNIT. ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. WORKED WITH HEMODIALYSIS CARE SERVICES TO PROVIDE CHARITY CARE TO 22 INDIVIDUALS THROUGH THE FRESENIUS DIALYSIS CENTER. ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. COVERED THE COST OF TREATMENTS WHICH AMOUNTED TO OVER $91,000. PATIENTS WHO RECEIVED CHARITY SERVICES WERE CURRENTLY UNINSURED. THE COMMUNITY CARES, AND TRANSITIONAL AND HEART FAILURE PROGRAMS PROVIDE SUBSIDIZED SERVICES TO LOW INCOME, AND UNDER/UNINSURED INDIVIDUALS. THE COMMUNITY CARES PROGRAM PROVIDES COMPREHENSIVE CARE FOR PATIENTS LIVING WITH END-STAGE PULMONARY OR CARDIAC DISEASE. THE TEAM IS LED BY A NURSE PRACTITIONER WHO WORKS ALONGSIDE A TEAM OF SPECIALISTS INCLUDING REGISTERED NURSES AND SOCIAL WORKERS. THE PROGRAM OFFERS PROPER CARE AND LIFESTYLE TRAINING TO HELP THE PATIENT MANAGE THEIR CHRONIC DISEASE IN THE HOME TO REDUCE EXACERBATIONS AND IMPROVE THE PATIENTS' QUALITY OF LIFE. THE TRANSITIONAL CARE CLINIC PROVIDES PRIMARY CARE TO INDIVIDUALS WHO ARE NOT ESTABLISHED WITH A PRIMARY CARE PHYSICIAN (PCP) IN THE COMMUNITY, AND WHO ARE IN NEED OF MEDICAL SERVICES FOLLOWING A RECENT HOSPITALIZATION, HEART FAILURE DIAGNOSIS, OR EMERGENCY ROOM VISIT. THE TRANSITIONAL CARE CLINIC PROVIDES PERSON-CENTERED CARE, SUPPORTED BY A MULTIDISCIPLINARY TEAM INCLUDING NURSE PRACTITIONERS, RNS, MEDICAL ASSISTANTS, AND SOCIAL WORKERS. THE TEAM WORKS TO CONNECT PATIENTS WITH A VARIETY OF COMMUNITY RESOURCES INCLUDING BUT NOT LIMITED TO MEDICATION ASSISTANCE, SPECIALTY CARE, AND FUNDING WHEN AVAILABLE.THESE PROGRAMS PROVIDED $845,391IN SUBSIDIZED CARE IN FY22. DOMESTIC/FAMILY VIOLENCE ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. DOES NOT PROVIDE SPECIFIC PROGRAMS TO ADDRESS DOMESTIC VIOLENCE SINCE THERE ARE STATE AGENCIES AND NON-PROFIT ORGANIZATIONS THAT DEAL DIRECTLY WITH THESE ISSUES; HOWEVER, THE HOSPITAL WORKS CLOSELY WITH CHILD SERVICES AND LAW ENFORCEMENT, NON-PROFIT ORGANIZATIONS, AND ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. ST. JOSEPH'S BEHAVIORAL HEALTH PROGRAM, AS WELL AS PROVIDES SUPPORTIVE ACTIVITIES TO HELP REDUCE DOMESTIC VIOLENCE. ASCENSION VIA CHRISTI FORENSIC NURSES PROVIDE SPECIALIZED SERVICES TO TREAT VICTIMS OF TRAUMA SUCH AS SEXUAL ASSAULT, INTIMATE PARTNER VIOLENCE, NEGLECT AND ABUSE, OR OTHER FORMS OF INTENTIONAL TRAUMA. IN FY22, FORENSIC NURSES PROVIDED $148,170 IN SUBSIDIZED SERVICES.

Schedule H, Part V, Section B, Line 11 Facility A, 2
Facility A, 2 - A,1 - Ascension Via Christi Hospitals Wichita, Inc. - PART 2. ASSISTANCE WITH PRESCRIPTIONS FOR LOW-INCOME HOSPITALIZED INPATIENTS AND CLINIC OUTPATIENTS MAY BE ELIGIBLE TO RECEIVE FINANCIAL ASSISTANCE IN PROCURING THEIR REQUIRED MEDICATIONS. ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. CONTINUES TO LOOK FOR NEW WAYS TO PROCURE MEDICATION DISCOUNTS FOR ALL PATIENTS WHETHER THEY ARE BEING DISCHARGED FROM OUR HOSPITALS OR ARE GETTING OUTPATIENT TREATMENT IN AN ASCENSION MEDICAL GROUP CLINIC. AS A RESULT OF THE ASCENSION AFFILIATION, ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. PATIENTS MAY PARTICIPATE IN THE 340B OR DISPENSARY OF HOPE COST-SAVING PRESCRIPTION PROGRAM. ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. OUTPATIENT CLINICS PHARMACY IS A DISPENSARY OF HOPE SITE. THE DISPENSARY OF HOPE SERVES PATIENTS BY WORKING WITH FREE CLINICS, CHARITABLE PHARMACIES, FQHC, AND HOSPITALS TO OFFER AFFORDABLE ACCESS TO MEDICATIONS AND SUPPLIES. IN FY 2022, THE DISPENSARY OF HOPE PROVIDED 11,970 SCRIPTS TO 3,019 PEOPLE. SEXUAL ASSAULT/HUMAN TRAFFICKING FOCUS SINCE 2013, ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. HAS WORKED TO OPERATIONALIZE HOSPITAL PROTOCOL TO IDENTIFY VICTIMS, EDUCATE THE COMMUNITY, AND ASSIST INDIVIDUALS EXPLOITED BY HUMAN TRAFFICKING THROUGHOUT THE KANSAS MINISTRIES. THE PROGRAM STARTED AT ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. AND NOW HAS BECOME A NATIONAL MODEL THAT IS BEING REPLICATED THROUGHOUT ASCENSION. ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. STAFF HAVE BEEN TRAINED IN RECOGNIZING THE SIGNS OF HUMAN TRAFFICKING AND LEARNING HOW TO SCREEN VICTIMS SHOULD THEY COME INTO THE HOSPITAL FOR TREATMENT. THE PROGRAM HAS EXPANDED TO INTEGRATE PHYSICAL, MENTAL, AND SPIRITUAL HEALING UNDER ONE ROOF IN ORDER TO PROVIDE HOLISTIC AND TRAUMA-INFORMED CARE FOR VICTIMS OF HUMAN TRAFFICKING OR AT RISK YOUTH THAT MAY BE EXPERIENCING SUICIDAL IDEATION OR OTHER FORMS OF TRAUMA SUCH AS ABUSE, NEGLECT, OR BULLYING. THROUGH THIS INTEGRATED APPROACH, INDIVIDUALS CAN START THE HEALING PROCESS IN A SAFE AND NON-INTIMIDATING ENVIRONMENT THROUGH CREATIVE METHODS SUCH AS ART JOURNALING. ENHANCEMENT OF COUNSELING/MENTAL HEALTH SERVICES FOR THOSE IN NEED HOSPITAL LEADERSHIP HAS ALSO BEEN INTEGRAL IN ESTABLISHING AND PARTICIPATING IN THE MENTAL HEALTH AND SUBSTANCE ABUSE COALITION THAT IS MADE UP OF AREA GOVERNMENT, HEALTHCARE, PUBLIC HEALTH, AND OTHER NON-PROFIT AND COMMUNITY ORGANIZATIONS. THE COALITION WAS CREATED TO ADDRESS THE GROWING NEED FOR MENTAL AND SUBSTANCE ABUSE SERVICES WITHIN THE COMMUNITY. IN FY22, ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. GAVE A $100K CASH DONATION TO THE MENTAL HEALTH AND SUBSTANCE ABUSE COALITION IN SUPPORT OF THE DEVELOPMENT OF A SUSTAINABLE, ACCESSIBLE AND INTEGRATED SYSTEM OF CARE THAT SERVES PEOPLE WITH MENTAL HEALTH AND SUBSTANCE ABUSE DISORDERS WHO ARE IN CRISIS, IN ORDER TO EFFICIENTLY AND EFFECTIVELY DELIVER SERVICES THAT CREATE POSITIVE OUTCOMES. IT WAS DISCOVERED THAT MANY NEW MOTHERS WERE EXPERIENCING POSTPARTUM DEPRESSION AS A RESULT OF ISOLATION CAUSED BY THE COVID PANDEMIC. IN FY22, A VIRTUAL POSTPARTUM DEPRESSION SUPPORT GROUP WAS CREATED TO HELP MOTHERS CONNECT AND CREATE A POSITIVE COMMUNITY ENVIRONMENT BETWEEN MOTHERS AND HOSPITAL PROFESSIONALS. FORTY-EIGHT INDIVIDUALS PARTICIPATED IN THE MONTHLY SUPPORT GROUP. ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. IS COMMITTED TO IMPROVING COMMUNITY HEALTH BY DIRECTLY, AND INDIRECTLY, ADDRESSING COMMUNITY NEEDS. HOWEVER, CERTAIN FACTORS IMPACT ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. ABILITY TO FULLY ADDRESS ALL OF THE SIGNIFICANT NEEDS. THE NEEDS LISTED BELOW ARE NOT INCLUDED IN ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. IMPLEMENTATION STRATEGY FOR THE FOLLOWING REASONS: BULLYING Ascension Via Christi Hospitals Wichita, Inc. DOES NOT OFFER ANTI-BULLYING PROGRAMS WITHIN THE SCHOOLS WHERE THE BULK OF BULLYING REPORTEDLY OCCURS. THERE ARE OTHER AGENCIES IN THE COMMUNITY WHO DO OFFER THIS SERVICE AND ARE IDENTIFIED IN THE IMPLEMENTATION STRATEGY LOCATED AT HEALTHCARE.ASCENSION.ORG/CHNA. DRUG AND ALCOHOL ABUSE ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. DOES NOT PROVIDE COMPREHENSIVE DRUG AND ALCOHOL TREATMENT OPTIONS. ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. DOES NOT OPERATE A 24/7 EMERGENCY ROOM NOR DOES IT HAVE A DETOX UNIT FOR PATIENTS. THERE ARE OTHER ORGANIZATIONS WHO ARE THE EXPERTS IN DEALING WITH ADDICTIONS BY OFFERING COUNSELING, EDUCATION AND PREVENTION, PSYCHOLOGICAL TESTING AND ASSESSMENT, MENTAL HEALTH HOTLINES, AND PSYCHIATRIC MEDICATION SERVICES. SEVERAL OF THESE ORGANIZATIONS ARE IDENTIFIED IN THE IMPLEMENTATION STRATEGY LOCATED AT HEALTHCARE.ASCENSION.ORG/CHNA. JUVENILE DELINQUENCY/GANG PREVENTION ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. DOESN'T HAVE EXPERTISE IN THIS AREA. AGENCIES WHO HAVE EXPERTISE ARE ALSO LISTED IN THE IMPLEMENTATION STRATEGY. MEDICAL TRANSPORTATION SERVICES WHEN PATIENTS ARE DISCHARGED FROM THE HOSPITAL AND DO NOT HAVE ANY WAY TO GET HOME, THEIR SOCIAL WORKER WILL GRANT THEM A ONE-TIME PASS TO TAKE THEM TO WHERE THEY WILL BE STAYING WITHIN A CERTAIN MILEAGE RANGE IN SEDGWICK COUNTY. IN ADDITION, IF A PATIENT IS NEEDING TO BE TRANSFERRED TO ANOTHER FACILITY FOR MEDICAL SERVICES NOT AVAILABLE AT ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC., THAT SPECIAL MEDICAL TRANSPORTATION WILL BE PROVIDED AT NO COST FOR THOSE WHO ARE UNINSURED OR HAVE NO OTHER MEANS OF GETTING THERE. IN FY 2022, SECURITY STAFF PROVIDED 290 INDIVIDUALS TRANSPORTATION SERVICES. SECURITY STAFF ALSO ASSISTED 345 INDIVIDUALS WITH BATTERY JUMPS, FLAT TIRE ASSISTANCE, AND OTHER VISITOR VEHICLE ASSISTANCE FREE OF COST. TOWARDS THE END OF FY 2022, A NEW CHNA WAS APPROVED BY ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC.'S GOVERNING BOARD FOR THE 2023-2025 FISCAL YEARS. THE SIGNIFICANT NEEDS FOR SEDGWICK COUNTY INCLUDED: ACCESS TO CARE, HEALTH EQUITY, FOOD INSECURITY, AND HOUSING AND TRANSPORTATION. ASCENSION VIA CHRISTI LEADERSHIP HAS SELECTED ACCESS TO CARE, TRANSPORTATION, AND FOOD INSECURITY AS THE PRIORITIZED NEEDS THAT THE HOSPITAL PLANS TO ADDRESS IN THE 2023-2025 IMPLEMENTATION STRATEGY. THE SIGNIFICANT NEEDS THAT ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. DOES NOT PLAN TO ADDRESS AT THIS TIME INCLUDE: HEALTH EQUITY THIS NEED WAS NOT SELECTED SINCE HEALTH EQUITY IS A PART OF A DEEPER SYSTEMIC ISSUE THAT ASCENSION VIA CHRISTI DOES NOT HAVE THE EXPERTISE OR RESOURCES TO ADDRESS WITHIN THE BROADER COMMUNITY. OTHERS IN THE COMMUNITY HAVE THE INTELLECTUAL AND RESOURCE CAPABILITIES TO ADDRESS HEALTH EQUITY WITHIN THE BROADER COMMUNITY. HOWEVER, THE HEALTH SYSTEM IS COMMITTED TO TRAIN ASSOCIATES TO PROVIDE CULTURALLY COMPETENT CARE AND WILL CONTINUE TO LOOK AT OPPORTUNITIES TO DEVELOP STRATEGIC PARTNERSHIPS TO ELIMINATE BARRIERS FOR COMMUNITY MEMBERS TO LIVE LONG, HEALTHY LIVES. HOUSING THIS NEED WAS NOT SELECTED BECAUSE IT WAS NOT MENTIONED AS A SIGNIFICANT NEED AMONG THE KEY INFORMANT INTERVIEWS, AND ASCENSION VIA CHRISTI DOES NOT SPECIALIZE NOR HAVE THE RESOURCES TO ADDRESS THE MULTI-FACTORIAL HOUSING ISSUES. ASCENSION VIA CHRISTI EXECUTIVES DO PARTICIPATE IN MANY COMMUNITY COALITIONS AND BOARDS TO ADDRESS THE SOCIAL DETERMINANT OF HEALTH SUCH AS HOUSING ISSUES WITHIN THE COMMUNITY, AND WILL CONTINUE TO LOOK FOR OPPORTUNITIES TO PARTNER TO ADDRESS THE MOST PRESSING NEEDS WITHIN THE COMMUNITY. ONE SUCH EXAMPLE INCLUDES ASCENSION VIA CHRISTI DONATING A 99 YEAR GROUND LEASE TO HUMANKIND MINISTRIES TO PROVIDE LOW-INCOME APARTMENTS AND HOMELESS SHELTERS.

Schedule H, Part V, Section B, Line 3E
B,2 - Rock Regional Hospital TO BETTER TARGET COMMUNITY RESOURCES ON THE SERVICE AREA'S MOST PRESSING HEALTH NEEDS, THE HOSPITAL PARTICIPATED IN A GROUP DISCUSSION WITH ORGANIZATIONAL DECISION MAKERS AND COMMUNITY LEADERS TO PRIORITIZE THE SIGNIFICANT COMMUNITY HEALTH NEEDS WHILE CONSIDERING SEVERAL CRITERIA: ALIGNMENT WITH ASCENSION HEALTH STRATEGIES OF HEALTHCARE THAT LEAVES NO ONE BEHIND; CARE FOR THE POOR AND VULNERABLE; OPPORTUNITIES FOR PARTNERSHIP; AVAILABILITY OF EXISTING PROGRAMS AND RESOURCES; ADDRESSING DISPARITIES OF SUBGROUPS; AVAILABILITY OF EVIDENCE-BASED PRACTICES; AND COMMUNITY INPUT. THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. SEE SCHEDULE H, PART V, LINE 7 FOR THE LINK TO THE CHNA AND SCHEDULE H, PART V, LINE 11 FOR HOW THOSE NEEDS ARE BEING ADDRESSED.

Schedule H, Part V, Section B, Line 5 Facility B, 1
Facility B, 1 - B,2 - Rock Regional Hospital. IN ROCK REGIONAL HOSPITAL'S MOST RECENT CHNA, COMMUNITY INPUT WAS OBTAINED IN FY 2019 THROUGH THE FOLLOWING METHODS: HOUSEHOLD SURVEYS AND KEY INFORMANT INTERVIEWS. ORGANIZATIONS THAT ASSISTED IN PROVIDING INPUT INCLUDED: UNITED WAY OF THE PLAINS, SEDGWICK COUNTY HEALTH DEPARTMENT, HEALTH AND HUMAN SERVICE AGENCY EXECUTIVE DIRECTORS, PRESIDENTS/CEOS OF THE AREA'S LARGEST EMPLOYERS, LOCAL ELECTED AND APPOINTED GOVERNMENT OFFICIALS, PUBLIC SCHOOL DISTRICT SUPERINTENDENTS, AND BOARD PRESIDENTS WERE INVITED TO PARTICIPATE. THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS REPRESENTED THROUGH THESE METHODS AND/OR ORGANIZATIONS INCLUDE: MINORITY AND IMMIGRANT POPULATIONS, CHILDREN, ELDERLY, HOMELESS, AND LOW INCOME FAMILIES.

Schedule H, Part V, Section B, Line 6a Facility B, 1
Facility B, 1 - B,2 - Rock Regional Hospital. THE CHNA WAS CONDUCTED IN PARTNERSHIP WITH: ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. ASCENSION VIA CHRISTI ST. TERESA HOSPITAL ASCENSION VIA CHRISTI REHABILITATION HOSPITAL KANSAS SURGERY AND RECOVERY CENTER

Schedule H, Part V, Section B, Line 6b Facility B, 1
Facility B, 1 - B,2 - Rock Regional Hospital. A CHNA ADVISORY COUNCIL WAS ESTABLISHED WITH KEY COMMUNITY PARTNERS, INCLUDING SEDGWICK COUNTY HEALTH DEPARTMENT, GUADALUPE CLINIC, GRACEMED, AND UNITED WAYS OF THE PLAINS TO HELP GUIDE THE CHNA PROCESS, DEVELOPED A LIST OF KEY INFORMANTS TO INTERVIEW, AND PROVIDED THEIR EXPERTISE AND INSIGHT INTO THE MOST SIGNIFICANT NEEDS WITHIN THE COMMUNITY.

Schedule H, Part V, Section B, Line 11 Facility B, 1
Facility B, 1 - B,2 0 Rock Regional Hospital - 1. IN ROCK REGIONAL HOSPITAL'S MOST RECENT CHNA, THE FOLLOWING WERE IDENTIFIED AS SIGNIFICANT NEEDS IN THE COMMUNITY: 1) HEALTH INSURANCE COVERAGE FOR THOSE IN NEED THROUGH MEDICAID EXPANSION 2) BASIC MEDICAL CARE FOR LOW-INCOME/VULNERABLE POPULATIONS 3) TREATMENT FOR LIFE-THREATENING DISEASES 4) DOMESTIC/FAMILY VIOLENCE 5) ASSISTANCE WITH PRESCRIPTIONS FOR LOW-INCOME 6) SEXUAL ASSAULT/HUMAN TRAFFICKING FOCUS 7) ENHANCEMENT OF COUNSELING/MENTAL HEALTH SERVICES FOR THOSE IN NEED THE FY 2020-2022 IMPLEMENTATION STRATEGY SPECIFICALLY ADDRESSED HEALTH INSURANCE COVERAGE IN THE FOLLOWING WAY: HEALTH INSURANCE COVERAGE FOR THOSE IN NEED THROUGH MEDICAID EXPANSION ASCENSION VIA CHRISTI'S PRIORITIES FOR 2022 INCLUDED PROVIDING EDUCATION IN SUPPORT OF AND ADVOCATING FOR AN INCREASED UNDERSTANDING OF THE NEED FOR GREATER ACCESS TO CARE FOR THE MOST VULNERABLE THROUGH PROGRAMS SUCH AS MEDICAID EXPANSION, EXPANDING ACCESS TO TELEMEDICINE, PROTECTING PATIENT ACCESS TO AFFORDABLE MEDICATIONS PROVIDED THROUGH 340B, AND PROVIDING EDUCATION ON THE NEED FOR EXTENDING THE CURRENT PUBLIC HEALTH EMERGENCY PAST JANUARY 21, 2022. ASCENSION VIA CHRISTI'S EFFORTS ALSO INCLUDED INVOLVEMENT IN EFFORTS TO GAIN GREATER UNDERSTANDING REGARDING THE ABILITY OF OUR STATE'S PUBLIC HEALTH OFFICIALS TO ADDRESS INFECTIOUS DISEASE OUTBREAKS. ASCENSION VIA CHRISTI SUCCESSFULLY COMMUNICATED A CRITICAL NEED IDENTIFIED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENTS FOR INCREASED PROGRAMS, PROVIDERS, AND AVAILABILITY TO MENTAL HEALTH CARE, PROVIDING EDUCATION REGARDING THE NEED TO EXPAND REGIONAL MENTAL HEALTH BED ACCESS IN THE SOUTH-CENTRAL KANSAS REGION. FURTHERMORE, THE ORGANIZATION PROVIDED SUPPORT IN RESPONSE TO THE INCREASED UNDERSTANDING OF THE NEED TO IMPROVE THE WORKFORCE SHORTAGES IN THE HEALTHCARE INDUSTRY. ALSO IN THIS AREA, THE STATE OF KANSAS RECEIVED APPROVAL FROM CMS OF A CHANGE IN THE HEALTH CARE ACCESS IMPROVEMENT PROGRAM (HCAIP) ASSESSMENT RATE TO HOSPITALS WHICH ALLOWS THE STATE TO DRAW DOWN FEDERAL MATCHING FUNDS TO SUPPORT MEDICAID (KANCARE) REIMBURSEMENT RATES TO PHYSICIANS AND HOSPITALS. BASIC MEDICAL CARE FOR LOW-INCOME/VULNERABLE POPULATIONS ROCK REGIONAL HOSPITAL PROVIDES TREATMENT TO ALL PEOPLE WHO COME IN NEEDING ASSISTANCE REGARDLESS OF THEIR HEALTH INSURANCE STATUS OR ABILITY TO PAY. A CASE MANAGER WILL WORK WITH EACH PATIENT TO SEE IF THEY QUALIFY FOR TRADITIONAL CHARITY CARE AND/OR A GOVERNMENT PROGRAM. IF THEY DO, THE PATIENT IS SIGNED UP IMMEDIATELY AND STRONGLY ENCOURAGED TO FIND A MEDICAL HOME IF THEY DO NOT CURRENTLY HAVE ONE AND PROVIDED WITH A LIST OF COMMUNITY FEDERALLY QUALIFIED HEALTH CLINICS IN ADDITION TO OTHER CLINICS AVAILABLE IN THE COMMUNITY. ROCK REGIONAL HOSPITAL CONTINUES TO OFFER CHARITY CARE TO THE POOR, AND TAKES CARE OF THOSE WHO ARE RECIPIENTS OF MEDICAID AND MEDICARE KNOWING THAT THE GOVERNMENT WILL NOT BE PAYING THE FULL COST OF THAT CARE. THE HOSPITAL WORKS WITH THE PATIENT AND/OR THEIR FAMILY TO MAKE SURE THEY RECEIVE TREATMENT WHEN PRESENTING AT THE HOSPITAL. PRIOR TO DISCHARGE, A CASE MANAGER IDENTIFIES BASIC MEDICAL CARE OPTIONS WITH THE PATIENT/CAREGIVER AND PROVIDES THEM WITH APPLICATION FORMS AND CONTACT NUMBERS. TREATMENT FOR LIFE-THREATENING DISEASES ROCK REGIONAL HOSPITAL WILL TAKE CARE OF PATIENTS NEEDING TO BE TREATED FOR CANCER, STROKE, SEVERE BURNS, AND OTHER LIFE-THREATENING DISEASES OR INJURIES OR WILL AT LEAST GET THEM STABILIZED AND TRANSFER THE PATIENTS TO ASCENSION VIA CHRISTI HOSPITALS WICHITA IF NEEDED FOR MORE ADVANCED TREATMENT. DOMESTIC/FAMILY VIOLENCE ROCK REGIONAL HOSPITAL DOES NOT PROVIDE SPECIFIC PROGRAMS TO ADDRESS DOMESTIC VIOLENCE SINCE THERE ARE STATE AGENCIES AND NON-PROFIT ORGANIZATIONS THAT DEAL DIRECTLY WITH THESE ISSUES; HOWEVER, THE HOSPITAL WORKS CLOSELY WITH CHILD SERVICES AND LAW ENFORCEMENT, NON-PROFIT ORGANIZATIONS, AND ASCENSION VIA CHRISTI HOSPITALS ST. JOSEPH'S BEHAVIORAL HEALTH PROGRAM, AS WELL AS PROVIDES SUPPORTIVE ACTIVITIES TO HELP REDUCE DOMESTIC VIOLENCE. ASSISTANCE WITH PRESCRIPTIONS FOR LOW-INCOME THE HOSPITAL DOES NOT HAVE A FORMAL PRESCRIPTION ASSISTANCE PROGRAM. HOWEVER, REFERRALS ARE MADE TO LOCAL ORGANIZATIONS WHO MAY BE ABLE TO ASSIST WITH COST OF PRESCRIPTIONS, AND IF APPLICABLE, ASSOCIATES MAY WRITE DIRECTLY TO PHARMACEUTICAL COMPANIES REQUESTING PRESCRIPTIONS TO BE AWARDED FREE OR AT A REDUCED RATE FOR PATIENTS WITH SPECIFIC HARDSHIPS. SEXUAL ASSAULT/HUMAN TRAFFICKING SIMILAR TO DOMESTIC/FAMILY VIOLENCE, STAFF AT ROCK REGIONAL HOSPITAL DO NOT HAVE THE EXPERTISE TO ADDRESS THE NEEDS OF THIS POPULATION BUT WILL MAKE REFERRALS AND CONTACT ASCENSION VIA CHRISTI'S HUMAN TRAFFICKING EXPERTS TO CONSULT WITH THESE PATIENTS. ENHANCEMENT OF COUNSELING/MENTAL HEALTH SERVICES FOR THOSE IN NEED ROCK REGIONAL HOSPITAL DOES NOT PROVIDE BEHAVIORAL AND MENTAL HEALTH SERVICES. THE HOSPITAL WORKS WITH OTHER AGENCIES IN THE COMMUNITY AND PARTNERS WITH ASCENSION VIA CHRISTI HOSPITALS TO PROVIDE BEHAVIORAL HEALTH/COUNSELING SERVICES. SEVERAL OF THESE ORGANIZATIONS ARE IDENTIFIED IN THE IMPLEMENTATION STRATEGY LOCATED AT HEALTHCARE.ASCENSION.ORG/CHNA. ROCK REGIONAL HOSPITAL IS COMMITTED TO IMPROVING COMMUNITY HEALTH BY DIRECTLY, AND INDIRECTLY, ADDRESSING COMMUNITY NEEDS. HOWEVER, CERTAIN FACTORS IMPACT THE HOSPITAL'S ABILITY TO FULLY ADDRESS ALL OF THE SIGNIFICANT NEEDS. THE NEEDS LISTED BELOW ARE NOT INCLUDED IN ROCK REGIONAL HOSPITAL'S IMPLEMENTATION STRATEGY FOR THE FOLLOWING REASONS: BULLYING /JUVENILE DELINQUENCY AND GANG PREVENTION THE HOSPITAL DOES NOT OFFER ANTI-BULLYING, JUVENILE DELINQUENCY OR GANG PREVENTION PROGRAMS WITHIN THE SCHOOLS WHERE THE BULK OF BULLYING REPORTEDLY OCCURS. THERE ARE OTHER AGENCIES IN THE COMMUNITY WHO DO OFFER THIS SERVICE AND ARE IDENTIFIED IN THE IMPLEMENTATION STRATEGY LOCATED AT HEALTHCARE.ASCENSION.ORG/CHNA. DRUG AND ALCOHOL ABUSE ROCK REGIONAL HOSPITAL DOES NOT PROVIDE COMPREHENSIVE DRUG AND ALCOHOL TREATMENT OPTIONS. THERE ARE OTHER ORGANIZATIONS WHO ARE THE EXPERTS IN DEALING WITH ADDICTIONS BY OFFERING COUNSELING, EDUCATION AND PREVENTION, PSYCHOLOGICAL TESTING AND ASSESSMENT, MENTAL HEALTH HOTLINES, AND PSYCHIATRIC MEDICATION SERVICES. SEVERAL OF THESE ORGANIZATIONS ARE IDENTIFIED IN THE IMPLEMENTATION STRATEGY LOCATED AT HEALTHCARE.ASCENSION.ORG/CHNA. MEDICAL TRANSPORTATION SERVICES LIMITED TRANSPORTATION ASSISTANCE MAY BE PROVIDED TO PATIENTS WHEN THEY ARE DISCHARGED AND DO NOT HAVE ANY TRANSPORTATION OPTIONS AVAILABLE. HOWEVER, THE HOSPITAL DOES NOT HAVE A FORMAL TRANSPORTATION PROGRAM. PREPARING YOUTH FOR THE WORKFORCE - THE HOSPITAL DOES NOT HAVE RESOURCES AVAILABLE OR EXPERTISE TO ADDRESS THIS NEED.

Schedule H, Part V, Section B, Line 11 Facility B, 2
Facility B, 2 - B,2 - Rock Regional Hospital -2. TOWARDS THE END OF FY 2022, A NEW CHNA WAS APPROVED BY ROCK REGIONAL HOSPITAL'S GOVERNING BOARD FOR THE 2023-2025 FISCAL YEARS. THE SIGNIFICANT NEEDS FOR SEDGWICK COUNTY INCLUDED: ACCESS TO CARE, HEALTH EQUITY, FOOD INSECURITY, AND HOUSING AND TRANSPORTATION. ROCK REGIONAL HOSPITAL LEADERSHIP HAS SELECTED ACCESS TO CARE AND FOOD INSECURITY AS THE PRIORITIZED NEEDS THAT THE HOSPITAL PLANS TO ADDRESS IN THE 2023-2025 IMPLEMENTATION STRATEGY. THE SIGNIFICANT NEEDS THAT ROCK REGIONAL HOSPITAL DOES NOT PLAN TO ADDRESS AT THIS TIME INCLUDE: HEALTH EQUITY THIS NEED WAS NOT SELECTED SINCE HEALTH EQUITY IS A PART OF A DEEPER SYSTEMIC ISSUE THAT ROCK REGIONAL HOSPITAL DOES NOT HAVE THE EXPERTISE OR RESOURCES TO ADDRESS WITHIN THE BROADER COMMUNITY. OTHERS IN THE COMMUNITY HAVE THE INTELLECTUAL AND RESOURCE CAPABILITIES TO ADDRESS HEALTH EQUITY WITHIN THE BROADER COMMUNITY. HOWEVER, THE HOSPITAL IS COMMITTED TO TRAIN ASSOCIATES TO PROVIDE CULTURALLY COMPETENT CARE AND WILL CONTINUE TO LOOK AT OPPORTUNITIES TO DEVELOP STRATEGIC PARTNERSHIPS TO ELIMINATE BARRIERS FOR COMMUNITY MEMBERS TO LIVE LONG, HEALTHY LIVES. HOUSING THIS NEED WAS NOT SELECTED BECAUSE IT WAS NOT MENTIONED AS A SIGNIFICANT NEED AMONG THE KEY INFORMANT INTERVIEWS, AND ROCK REGIONAL HOSPITAL DOES NOT SPECIALIZE NOR HAVE THE RESOURCES TO ADDRESS THE MULTI-FACTORIAL HOUSING ISSUES. TRANSPORTATION THIS NEED WAS NOT SELECTED BECAUSE THE HOSPITAL DOES NOT HAVE THE RESOURCES TO PROVIDE A FORMAL, BROADER SCALE TRANSPORT SERVICE FOR MEDICAL APPOINTMENTS.

Schedule H, Part I, Line 3c FACTORS OTHER THAN FPG
"IN ADDITION TO FPG, THE ORGANIZATION USES MEDICAL INDIGENCY, ASSET TEST, INSURANCE STATUS AND RESIDENCY AS OTHER FACTORS IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE. A Patient may not be eligible for the financial assistance if such Patient is deemed to have sufficient assets to pay pursuant to an ""Asset Test."" The Asset Test involves a substantive assessment of a Patient's ability to pay based on the categories of assets measured in the FAP Application. A Patient with such assets that exceed 250% of such Patient's FPL amount may not be eligible for financial assistance. AN ASSET TEST APPLIES IF A PATIENT HAS ELIGIBLE LIQUID ASSETS THAT EXCEED 250% OF THE PATIENT'S FPG LEVEL FOR CONSIDERATION OF FINANCIAL ASSISTANCE ELIGIBILITY. LIQUID ASSETS INCLUDE ASSETS THAT CAN BE CONVERTED TO CASH WITHIN 1 YEAR. THESE INCLUDE ITEMS SUCH AS CHECKING ACCOUNTS, SAVINGS ACCOUNTS, TRUST FUNDS AND LUXURY ITEMS SUCH AS RECREATIONAL VEHICLES, BOATS, A SECOND HOME, ETC."

Schedule H, Part I, Line 5a BUDGET AMOUNTS FOR FREE OR DISCOUNTED CARE
THE ORGANIZATION ADMINISTERS ITS FINANCIAL ASSISTANCE POLICY IN ACCORDANCE WITH THE TERMS OF THE POLICY.

Schedule H, Part I, Line 6a Community benefit report prepared by related organization
ASCENSION VIA CHRISTI HEALTH,INC. EIN: 48-1172107

Schedule H, Part I, Line 7g Subsidized Health Services
SUBSIDIZED HEALTH SERVICES - NET LOSSES BY ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. INCLUDED FORENSIC NURSING, SPECIALTY CLINICS, A TRANSITIONAL CLINIC, AND A COMMUNITY CARES CLINIC.

Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance
"THE COST OF PROVIDING CHARITY CARE, MEANS-TESTED GOVERNMENT PROGRAMS, AND OTHER COMMUNITY BENEFIT PROGRAMS IS ESTIMATED USING INTERNAL COST DATA, AND IS CALCULATED IN COMPLIANCE WITH CATHOLIC HEALTH ASSOCIATION (""CHA"") GUIDELINES. THE ORGANIZATION USES A COST ACCOUNTING SYSTEM THAT ADDRESSES ALL PATIENT SEGMENTS (FOR EXAMPLE, INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED, OR SELF PAY). THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. FOR THE INFORMATION IN THE TABLE, A COST-TO-CHARGE RATIO WAS CALCULATED AND APPLIED."

Schedule H, Part II Community Building Activities
ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC 'S RESPIRATORY CARE DEPARTMENT COLLECTED VARIOUS RECYCLABLES IN AN EFFORT TO ENSURE GOOD STEWARDSHIP OF THE EARTH'S RESOURCES. STAFF SPENT TWO HOURS IN FY 2022 TO COLLECT AND PREPARE SIX BAGS OF RECYCLABLES. TOTAL QUALITY MANAGEMENT STAFF SPENT OVER 6 HOURS VOLUNTEERING TO PICK UP TRASH FOR EARTH DAY.

Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE CORPORATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITHIN COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY ASCENSION HEALTH. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE CORPORATION'S POLICIES. AFTER APPLYING THE COST-TO-CHARGE RATIO, THE SHARE OF THE BAD DEBT EXPENSE IN FISCAL YEAR 2022 WAS $42,249,225 AT CHARGES, ($10,030,450 AT COST).

Schedule H, Part III, Line 3 Bad Debt Expense Methodology
BASED ON THE ORGANIZATION'S ADMINISTRATION OF ITS FINANCIAL ASSISTANCE PROGRAM, NO ESTIMATE FOR BAD DEBT ATTRIBUTABLE TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS IS DEEMED APPLICABLE TO HOSPITAL OPERATIONS.

Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
THE ORGANIZATION IS PART OFASCENSION HEALTH ALLIANCE'S CONSOLIDATED AUDIT IN WHICH THE FOOTNOTE THAT DISCUSSESBAD DEBT (IMPLICIT PRICE CONCESSIONS) EXPENSE IS LOCATED IN FOOTNOTE #2, PAGES 17-20, OF THE AUDITED FINANCIAL STATEMENTS.

Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs
A COST TO CHARGE RATIO IS APPLIED TO THE ORGANIZATION'S MEDICARE GROSS CHARGES TO CALCULATE MEDICARE COSTS, WHICH ARE THEN COMPARED TO MEDICARE PAYMENTS RECEIVED, TO DETERMINE A MEDICARE GAIN OR LOSS. ASCENSION HEALTH AND ITS RELATED HEALTH MINISTRIES FOLLOW THE CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES FOR DETERMINING COMMUNITY BENEFIT. CHA COMMUNITY BENEFIT REPORTING GUIDELINES SUGGEST THAT A MEDICARE SHORTFALL (LOSS) IS NOT TREATED AS COMMUNITY BENEFIT, EVEN THOUGH THE HOSPITAL HAS INCURRED LOSSES IN PROVIDING CARE TO MEDICARE PATIENTS. THEREFORE, NONE OF THE AMOUNT ON LINE 7 IS TREATED AS COMMUNITY BENEFIT.

Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC FOLLOWS THE ASCENSION GUIDELINES FOR COLLECTION PRACTICES RELATED TO PATIENTS QUALIFYING FOR CHARITY OR FINANCIAL ASSISTANCE. A PATIENT CAN APPLY FOR CHARITY OR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION CYCLE. ONCE QUALIFYING DOCUMENTATION IS RECEIVED THE PATIENT'S ACCOUNT IS ADJUSTED IF ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY. PATIENT ACCOUNTS FOR THE QUALIFYING PATIENT IN THE PREVIOUS SIX MONTHS MAY ALSO BE CONSIDERED FOR CHARITY OR FINANCIAL ASSISTANCE. ONCE A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS SUSPENDED FOR THE AMOUNTS FOR WHICH THE PATIENT QUALIFIES.

Schedule H, Part V, Section B, Line 16a FAP website
A - ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC.: Line 16a URL: https://healthcare.ascension.org/Financial-Assistance; B - Rock Regional Hospital: Line 16a URL: https://rockregionalhospitalderby.com/billing-financial-policy/;

Schedule H, Part V, Section B, Line 16b FAP Application website
A - ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC.: Line 16b URL: https://healthcare.ascension.org/Financial-Assistance; B - Rock Regional Hospital: Line 16b URL: https://rockregionalhospitalderby.com/billing-financial-policy/;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
A - ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC.: Line 16c URL: https://healthcare.ascension.org/Financial-Assistance; B - Rock Regional Hospital: Line 16c URL: https://rockregionalhospitalderby.com/billing-financial-policy/;

Schedule H, Part VI, Line 5 Promotion of community health
ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC.'S GOVERNING BODY IS COMPRISED OF PERSONS REPRESENTING DIVERSE ASPECTS AND INTERESTS OF THE COMMUNITY. MANY MEMBERS OF ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC.'S GOVERNING BODY RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS OR SPECIALTIES. ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. APPLIES SURPLUS FUNDS TO FUND IMPROVEMENTS IN PATIENT CARE (AND/OR) MEDICAL EDUCATION (AND/OR) RESEARCH.

Schedule H, Part VI, Line 2 Needs assessment
ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. USES INTERNAL AND EXTERNAL DATA AND REPORTS FROM THIRD PARTIES, INCLUDING GOVERNMENT SOURCES, TO ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITIES WE SERVE. THESE REPORTS PROVIDE KEY INFORMATION ABOUT HEALTH, SOCIOECONOMIC, DEMOGRAPHIC FACTORS THAT IDENTIFY AREAS OF NEED AND INFORM OUR STRATEGIES THAT HELP TO MEET THOSE NEEDS OF OUR COMMUNITY. THESE REPORTS INCLUDE, BUT ARE NOT LIMITED TO: 1. Local and State Department of Health Reports 2. US Census Bureau 3. Sg2 healthcare intelligence 4.Healthcare claims datasets 5. State datasets 6. CMS 7. CDC 8. Internal data sets ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. UTILIZES INFORMATION FROM THESE SECONDARY SOURCES TO DEVELOP PROGRAMS AND PROVIDE APPROPRIATE SERVICES NEEDED THROUGHOUT THE REGION. IN ADDITION, ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC., CONSIDERS THE HEALTH CARE NEEDS OF THE OVERALL COMMUNITY WHEN EVALUATING INTERNAL FINANCIAL AND OPERATIONAL DECISIONS.

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC IS COMMITTED TO DELIVERING EFFECTIVE, SAFE, PERSON-CENTRIC, HEALTH CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A NONPROFIT HOSPITAL, IT IS OUR MISSION AND PRIVILEGE TO PLAY THIS IMPORTANT ROLE IN OUR COMMUNITY. STAFF SCREEN UNINSURED PATIENTS AND IF FOUND POTENTIALLY ELIGIBLE FOR A GOVERNMENT FUNDING SOURCE, PROVIDE ASSISTANCE AND/OR RESOURCES TO THE PATIENT AND THEIR FAMILY. IF A PATIENT IS NOT ELIGIBLE FOR A PAYMENT SOURCE, ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC'S FINANCIAL ASSISTANCE POLICY COVERS PATIENTS WHO LACK THE FINANCIAL RESOURCES TO PAY FOR ALL OR PART OF THEIR BILLS. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED UPON THE ANNUAL FEDERAL POVERTY GUIDELINES; ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC PROVIDES FINANCIAL ASSISTANCE FOR THOSE WHO EARN UP TO 400% OF THE FEDERAL POVERTY LEVEL. ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC WIDELY PUBLICIZES ITS: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY VIA THE HOSPITAL FACILITY'S WEBSITE - https://healthcare.ascension.org/locations/kansas/kswic/wichita-ascension-via-christi-st-francis/financial-assistance ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC MAKES PAPER COPIES OF THE: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY - AMOUNT GENERALLY BILLED CALCULATION. THE PAPER COPIES ARE MADE READILY AVAILABLE AS PART OF THE INTAKE, DISCHARGE AND CUSTOMER SERVICE PROCESSES. UPON REQUEST, PAPER COPIES CAN ALSO BE OBTAINED BY MAIL. ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA A NOTICE ON PATIENT BILLING STATEMENTS, INCLUDING THE PHONE NUMBER AND WEB ADDRESS WHERE MORE INFORMATION MAY BE FOUND. ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC ] INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA SIGNAGE DISPLAYED IN THE EMERGENCY ROOM AND ADMISSIONS AREAS.

Schedule H, Part VI, Line 4 Community information
THE COMMUNITY THAT ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. SERVES IS DEFINED AS SEDGWICK COUNTY, LOCATED IN THE U.S. STATE OF KANSAS. IT IS THE SECOND-MOST POPULOUS COUNTY IN KANSAS, ITS COUNTY SEAT IS WICHITA, THE MOST POPULOUS CITY IN THE STATE AND SEDGWICK COUNTY RESIDENTS LIVE IN A MIX OF URBAN, SUBURBAN AND RURAL SETTINGS. THE TOTAL POPULATION OF THE SEDGWICK COUNTY IS ESTIMATED TO BE 523,828 RESIDENTS as of July 1, 2021. THE MEDIAN INCOME OF SEDGWICK COUNTY IS $60,593 (US CENSUS QUICK FACTS, 2017-2021). APPROXIMATELY 13.3% OF RESIDENTS LIVE BELOW THE POVERTY LINE, WITH 12.0% UNINSURED. SEDGWICK COUNTY IS FEDERALLY DESIGNATED A MEDICALLY UNDERSERVED AREA THROUGH THE HUMAN RESOURCES AND SERVICES ADMINISTRATION. THERE ARE 5 OTHER HOSPITALS LOCATED WITHIN THE PRIMARY SERVICE AREA (KANSAS HOSPITAL ASSOCIATION).

Schedule H, Part VI, Line 6 Affiliated health care system
ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. IS A MEMBER OF ASCENSION. ASCENSION HEALTH ALLIANCE, D/B/A ASCENSION (ASCENSION), IS A MISSOURI NONPROFIT CORPORATION FORMED ON SEPTEMBER 13, 2011. ASCENSION IS THE SOLE CORPORATE MEMBER AND PARENT ORGANIZATION OF ASCENSION HEALTH, A CATHOLIC NATIONAL HEALTH SYSTEM CONSISTING PRIMARILY OF NONPROFIT CORPORATIONS THAT OWN AND OPERATE LOCAL HEALTHCARE FACILITIES, OR HEALTH MINISTRIES, LOCATED IN 19 OF THE UNITED STATES AND THE DISTRICT OF COLUMBIA. ASCENSION IS SPONSORED BY ASCENSION SPONSOR, A PUBLIC JURIDIC PERSON. THE PARTICIPATING ENTITIES OF ASCENSION SPONSOR ARE THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, ST. LOUISE PROVINCE; THE CONGREGATION OF ST. JOSEPH; THE CONGREGATION OF THE SISTERS OF ST. JOSEPH OF CARONDELET; THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE, INC. - AMERICAN PROVINCE; AND THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST. FRANCIS OF ASSISI - US/CARIBBEAN PROVINCE. ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. OPERATES HOSPITAL AND NON-HOSPITAL FACILITIES IN WICHITA, KANSAS, AND IS PART OF ASCENSION VIA CHRISTI HEALTH, INC., WHICH IS A LARGE MULTIFACETED, INTEGRATED, NOT-FOR-PROFIT MINISTRY INCLUDING HOSPITAL AND NON-HOSPITAL MINISTRIES (PHYSICIAN GROUP PRACTICES, HOSPITAL ORGANIZATIONS, EMERGENCY CARE SERVICES, RESEARCH, EDUCATION, HOME HEALTH, ANCILLARY SERVICES, FOUNDATION, AND DURABLE MEDICAL EQUIPMENT). THESE MINISTRIES WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF SERVING AS A HEALING PRESENCE WITH SPECIAL CONCERN FOR OUR NEIGHBORS, ESPECIALLY THOSE WHO ARE VULNERABLE. THIS COMMUNITY BENEFIT HAPPENS THROUGH ITS FOCUS ON PATIENT CARE, EDUCATION AND RESEARCH. THE ORGANIZATIONS WORK TOGETHER TO SERVE THEIR COMMUNITIES AT THE LOCAL, REGIONAL, STATE AND NATIONAL LEVEL. ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. OPERATES HOSPITAL FACILITY(IES) IN SEDGWICK COUNTY, KANSAS AND IS PART OF ASCENSION VIA CHRISTI HEALTH, INC., WHICH ALSO OWNS AND OPERATES OTHER HEALTH CARE RELATED ENTITIES, INCLUDING ASCENSION VIA CHRISTI HOSPITAL ST. TERESA, INC., ASCENSION VIA CHRISTI REHABILITATION HOSPITAL INC., ASCENSION VIA CHRISTI HOSPITAL PITTSBURG INC, AND ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC.THE HEALTH SYSTEM PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS OF KANSAS.