4A (Expenses $ 670933784 including grants of $ 671592) (Revenue $ 811407793)
SEE SCHEDULE H

PART V, LINE 7A, CHNA WEBSITE:
HTTPS://WWW.CHISAINTJOSEPHHEALTH.ORG/LIBRARY/DEFAULT-TAB-BAR-BACK/ABOUT-US/HEALTHY-COMMUNITIES/2023-2025-COMMUNITY-HEALTH-NEEDS-ASSESSMENT

PART V, LINE 10A, IMPLEMENTATION STRATEGY WEBSITE:
HTTPS://WWW.CHISAINTJOSEPHHEALTH.ORG/LIBRARY/DEFAULT-TAB-BAR-BACK/ABOUT-US/HEALTHY-COMMUNITIES/2023-2025-COMMUNITY-HEALTH-NEEDS-ASSESSMENT

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. PATIENTS/GUARANTORS WITH BALANCES BELOW TEN DOLLARS ($10.00) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS. 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.

PART V, SECTION B, LINE 3E:
THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.

PART V, SECTION B, LINE 5:
CHI SAINT JOSEPH HEALTHSAINT JOSEPH HOSPITAL, SAINT JOSEPH EAST, SAINT JOSEPH BEREA, SAINT JOSEPH LONDON AND SAINT JOSEPH MOUNT STERLINGCHI SAINT JOSEPH HEALTH CONTRACTED WITH THE COMMUNITY AND ECONOMIC DEVELOPMENT INITIATIVE OF KENTUCKY (CEDIK) TO CONDUCT A CHNA. CEDIK FACILITATED THE PROCESS OF PRIMARY DATA COLLECTION THROUGH COMMUNITY SURVEYS, FOCUS GROUPS AND KEY INFORMANT INTERVIEWS TO CREATE AN IMPLEMENTATION PLAN TO ADDRESS IDENTIFIED HEALTH NEEDS. IN ADDITION, COUNTY SPECIFIC SECONDARY DATA WAS GATHERED TO HELP EXAMINE THE SOCIAL DETERMINANTS OF HEALTH. THROUGHOUT THE PROCESS, CEDIK AND THE COMMUNITY STEERING COMMITTEE MADE IT A PRIORITY TO GET INPUT FROM POPULATIONS THAT ARE OFTEN NOT ENGAGED IN CONVERSATIONS ABOUT THEIR HEALTH NEEDS OR GAPS IN SERVICE. SAINT JOSEPH HOSPITAL & SAINT JOSEPH EASTORGANIZATIONS CONSULTED: LEXINGTON-FAYETTE COUNTY HEALTH DEPARTMENT, FAYETTE COUNTY EXTENSION SERVICE, LEXINGTON PUBLIC LIBRARY, PARTNERS FOR YOUTH, ONE LEXINGTON, LEXINGTON HABITAT FOR HUMANITY, JUBILEE JOBS OF LEXINGTON, AMERICAN HEART ASSOCIATION, YOUTH NEIGHBORHOOD COUNCILS, COMMON GOOD AND DOMESTIC VIOLENCE. SAINT JOSEPH BEREAORGANIZATIONS CONSULTED: MADISON COUNTY HEALTH DEPARTMENT, WHITE HOUSE CLINIC, BEREA PARKS AND RECREATION, AND MADISON COUNTY SCHOOLS.SAINT JOSEPH LONDONORGANIZATIONS CONSULTED: EASTERN KENTUCKY UNIVERSITY, LAUREL COUNTY HEALTH DEPARTMENT, AMBULANCE INC. LAUREL COUNTY, LAUREL COUNTY AGENCY FOR SUBSTANCE ABUSE PREVENTION, UK TARGETED ASSESSMENT PROGRAM, DEPARTMENT FOR COMMUNITY BASED SERVICES, LONDON-LAUREL COUNTY CHAMBER OF COMMERCE, OPERATION UNITE, WELLCARE, CUMBERLAND RIVER BEHAVIORAL HEALTH, SOUTH LAUREL MIDDLE SCHOOL. SAINT JOSEPH MOUNT STERLINGORGANIZATIONS CONSULTED: STERLING HEALTH SOLUTIONS (FQHC), MONTGOMERY COUNTY HEALTH DEPARTMENT, MONTGOMERY COUNTY FIRE/EMS, HEALTHY COMMUNITIES COALITION, TRADITIONAL BANK, MOUNT STERLING CLINIC/HEALTH DEPARTMENT.

PART V, SECTION B, LINE 11:
SAINT JOSEPH HOSPITAL & SAINT JOSEPH EAST STRATEGIES TO ADDRESS SIGNIFICANT HEALTH NEEDS IDENTIFIED: SUBSTANCE ABUSE - INCLUDING TOBACCO AND VAPING GOAL: ADDRESS SUBSTANCE ABUSE, INCLUDING TOBACCO AND VAPING, FROM A CHI SAINT JOSEPH HEALTH SYSTEM-WIDE APPROACH, INCLUDING WORKING UPSTREAM TO ADDRESS ISSUES THAT UNDERLIE SUBSTANCE ABUSE, A PRIMARY PREVENTION TO ALCOHOL AND DRUG USE. OUTCOME OBJECTIVE: TO DECREASE SUBSTANCE ABUSE, INCLUDING TOBACCO AND VAPING RATES AS MEASURED BY CENTERS FOR DISEASE CONTROL AND PREVENTION AND COUNTY HEALTH RANKINGS AND ROADMAPS. KY IS #2 IN THE NATION FOR TOBACCO USE AT 24.6%; AND #1 IN CANCERS TIED TO SMOKING. ACCORDING TO THE CDC, IN 2017, KENTUCKY RANKED 5TH IN THE NATION FOR THE HIGHEST RATES OF DEATH DUE TO DRUG OVERDOSE (37.2 PER 100,000). ALSO, KENTUCKY HAD STATISTICALLY SIGNIFICANT INCREASES IN DRUG OVERDOSE DEATH RATES FROM 2016-2017. STRATEGIES WILL BE ACCOMPLISHED THROUGH PARTICIPATION AND COLLABORATION WITH COMMUNITY PARTNERS. INFORMATION ABOUT AVAILABLE RESOURCES WILL BE PROVIDED WITH EACH OPPORTUNITY. STRATEGIES - SUBSTANCE ABUSE: PARTICIPATE AND SUPPORT THE KENTUCKY HOSPITAL ASSOCIATION (KHA) AND THE CABINET FOR HEALTH AND FAMILY SERVICES AS PART OF THE KENTUCKY OPIOID RESPONSE EFFORT (KORE), TO LAUNCH THE KENTUCKY STATEWIDE OPIOID STEWARDSHIP (KY SOS) PROGRAM. PARTICIPATE AND SUPPORT THE LEXINGTON FAYETTE COUNTY HEALTH DEPARTMENT LEXBESAFE COMMITTEE. PARTICIPATE AND SUPPORT THE LEXINGTON MAYOR'S OPIOID TASK FORCE. ADVANCE CHI SAINT JOSEPH HEALTH'S RECENT NEW POSITION OF OPIOID STEWARDSHIP PHARMACIST AND FORTHCOMING DRUG TASK FORCE. PARTICIPATE AND SUPPORT THE KENTUCKY CHAMBER OF COMMERCE'S OPIOID TASK FORCE. PROMOTE AND SUPPORT COMMUNITY SUPPORT PROGRAMS SUCH AS ALCOHOLICS ANONYMOUS (AA) AND NARCOTICS ANONYMOUS (NA). COLLABORATE AND SUPPORT DRUG-FREE LEX AGENCY FOR KY SUBSTANCE ABUSE POLICY (ASAP). IDENTIFY OPPORTUNITIES TO ADDRESS ALCOHOL AND SUBSTANCE USE. SUPPORT LOCAL GROUPS AND EVENTS THAT HAVE A MISSION TO PREVENT ALCOHOL AND SUBSTANCE USE. EXPLORE THE FEASIBILITY OF EXPANDING TELEHEALTH OPPORTUNITIES FOR ALCOHOL AND DRUG COUNSELING. STRATEGIES - TOBACCO AND VAPING: ADVOCATE FOR SMOKE-FREE SCHOOLS, WORKPLACES AND PUBLIC PLACES. ADVOCATE FOR INCREASING THE CIGARETTE TAX. ADVOCATE TO INCREASE THE AGE TO 21 FOR PURCHASE OF TOBACCO PRODUCTS. PROMOTE AND ENCOURAGE LUNG SCREENINGS FOR CANCERS ASSOCIATED WITH TOBACCO USE. LUNG CANCER IS THE MOST COMMON CANCER IN MEN AND WOMEN IN THE UNITED STATES. ENFORCE TOBACCO-FREE CAMPUS POLICY. PROVIDE INFORMATION ABOUT SMOKING CESSATION CLASSES AND 1-800-QUIT-NOW. CONTINUE REPRESENTATION ON THE AMERICAN CANCER SOCIETY'S KENTUCKY ADVISORY BOARD. COLLABORATE AND SUPPORT KENTUCKY CANCER PROGRAM PLAN TO BE TOBACCO FREE. COLLABORATE AND SUPPORT FOUNDATION FOR A HEALTHY KENTUCKY TOBACCO-FREE EFFORTS. CONTINUE PROVIDING EDUCATION AND RESOURCES TO ADDRESS TOBACCO USE AND NEGATIVE HEALTH CONSEQUENCES IN THE COMMUNITY.OBESITY AND DIABETES - INCLUDING WELLNESS & EXERCISE GOAL: ADDRESS OBESITY AND DIABETES, INCLUDING WELLNESS AND EXERCISE THROUGH EDUCATION AND PREVENTION. OUTCOME OBJECTIVE: TO DECREASE OBESITY AND DIABETES AS MEASURED BY KENTUCKY BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY AND TO INCREASE WELLNESS AND EXERCISE AS MEASURED BY COUNTY HEALTH RANKINGS AND ROADMAPS. KY RANKS 7TH FOR DIABETES AND 8TH FOR OBESITY. STRATEGIES WILL BE ACCOMPLISHED THROUGH PARTICIPATION AND COLLABORATION WITH COMMUNITY PARTNERS. INFORMATION ABOUT AVAILABLE RESOURCES WILL BE PROVIDED WITH EACH OPPORTUNITY. (CONTINUED BELOW)

PART V, SECTION B, LINE 11 (CONTINUED):
"STRATEGIES: ADVOCATE FOR INITIATIVES THAT ADDRESS THE RISK FACTORS THAT LEAD TO OBESITY AND CHRONIC DISEASE IN CHILDREN. PROMOTE HEALTHY OPTIONS FOR DIET AND EXERCISE. PROVIDE COMMUNITY-SUPPORTED AGRICULTURE PROGRAMS AND/OR FARMERS MARKETS. PROMOTE HEALTHY FOOD INITIATIVE AND ""MINDFUL"" PROGRAM. OFFER ITEMS AND EDUCATIONAL MATERIALS FROM THE ""HARVEST OF THE MONTH"" PROGRAM. PROVIDE NUTRITION LABELING IN THE CAFETERIA. PARTICIPATE AND SUPPORT THE LEXINGTON-FAYETTE COUNTY HEALTH DEPARTMENT LEXBEWELL COMMITTEE. CONTINUE AVAILABILITY OF DIABETES EDUCATION CLASSES AND INDIVIDUAL COUNSELING, ALONG WITH MEDICAL NUTRITION THERAPY. PARTICIPATE AND SUPPORT LOCAL GROUPS AND EVENTS THAT HAVE A MISSION TO PROMOTE HEALTHY DIET AND EXERCISE TO PREVENT NEGATIVE HEALTH OUTCOMES. PROMOTE AND SUPPORT THE AMERICAN DIABETES ASSOCIATION. MENTAL HEALTH SUPPORT GOAL: ADDRESS MENTAL HEALTH FROM A CHI SAINT JOSEPH HEALTH SYSTEM-WIDE APPROACH. OUTCOME OBJECTIVE: BY JUNE 2022, INCREASE MENTAL HEALTH RESOURCES, INCLUDING TELEHEALTH, PARTICIPATION AND COLLABORATION WITH COMMUNITY PARTNERS. STRATEGIES WILL BE ACCOMPLISHED THROUGH PARTICIPATION AND COLLABORATION WITH COMMUNITY PARTNERS. INFORMATION ABOUT AVAILABLE RESOURCES WILL BE PROVIDED WITH EACH OPPORTUNITY. STRATEGIES: SUPPORT LEGISLATION CONSIDERING A HOLISTIC APPROACH TO ADDRESS MENTAL HEALTH, INCLUDING TELEHEALTH. PURSUE VARIOUS PRIVATE, STATE AND FEDERAL GRANTS TO ADDRESS MENTAL HEALTH NEEDS. PARTICIPATE AND SUPPORT LOCAL GROUPS AND EVENTS THAT HAVE A MISSION TO PROMOTE MENTAL WELL-BEING. LEVERAGE EXPERTISE IN MENTAL HEALTH TO INCREASE ACCESS TO MENTAL HEALTH SERVICES INCLUDING TELEHEALTH. COLLABORATE WITH OUR LADY OF PEACE TO PROVIDE PEACE FOR PARENTS SEMINARS ON TOPICS SUCH AS ANXIETY, DEPRESSION, SUICIDE, BULLYING AND SUBSTANCE ABUSE. UTILIZE TELEHEALTH FOR CONSULTATIONS THROUGH THE EMERGENCY DEPARTMENT.SAINT JOSEPH BEREA HOSPITALSTRATEGIES TO ADDRESS SIGNIFICANT HEALTH NEEDS IDENTIFIED: SUBSTANCE ABUSE GOAL: ADDRESS SUBSTANCE ABUSE FROM A CHI SAINT JOSEPH HEALTH SYSTEM-WIDE APPROACH, INCLUDING WORKING UPSTREAM TO ADDRESS ISSUES THAT UNDERLIE SUBSTANCE ABUSE, A PRIMARY PREVENTION TO ALCOHOL AND DRUG USE. OUTCOME OBJECTIVE: TO DECREASE SUBSTANCE ABUSE AS MEASURED BY CENTERS FOR DISEASE CONTROL AND PREVENTION AND COUNTY HEALTH RANKINGS AND ROADMAPS. ACCORDING TO THE CDC, IN 2017, KENTUCKY RANKED 5TH IN THE NATION FOR THE HIGHEST RATES OF DEATH DUE TO DRUG OVERDOSE (37.2 PER 100,000). ALSO, KENTUCKY HAD STATISTICALLY SIGNIFICANT INCREASES IN DRUG OVERDOSE DEATH RATES FROM 2016-2017. STRATEGIES WILL BE ACCOMPLISHED THROUGH PARTICIPATION AND COLLABORATION WITH COMMUNITY PARTNERS. INFORMATION ABOUT AVAILABLE RESOURCES WILL BE PROVIDED WITH EACH OPPORTUNITY. STRATEGIES - SUBSTANCE ABUSE: PARTICIPATE AND SUPPORT THE KENTUCKY HOSPITAL ASSOCIATION (KHA) AND THE CABINET FOR HEALTH AND FAMILY SERVICES AS PART OF THE KENTUCKY OPIOID RESPONSE EFFORT (KORE), TO LAUNCH THE KENTUCKY STATEWIDE OPIOID STEWARDSHIP (KY SOS) PROGRAM. ADVANCE CHI SAINT JOSEPH HEALTH'S RECENT NEW POSITION OF OPIOID STEWARDSHIP PHARMACIST AND FORTHCOMING DRUG TASK FORCE. PARTICIPATE AND SUPPORT THE KENTUCKY CHAMBER OF COMMERCE'S OPIOID TASK FORCE. PROMOTE AND SUPPORT COMMUNITY SUPPORT PROGRAMS SUCH AS ALCOHOLICS ANONYMOUS (AA) AND NARCOTICS ANONYMOUS (NA). PROMOTE EXISTING COMMUNITY PROGRAMS TO MITIGATE, TREAT AND CARE FOR THOSE AFFECTED BY SUBSTANCE ABUSE. PROMOTE AND SUPPORT EXISTING COMMUNITY RESOURCES NEEDED FOR PATIENTS TO ADDRESS ALCOHOL AND DRUG USE. EXPLORE THE FEASIBILITY OF EXPANDING TELEHEALTH OPPORTUNITIES FOR ALCOHOL AND DRUG COUNSELING. CONTINUE PROVIDING EDUCATION AND RESOURCES TO ADDRESS TOBACCO USE AND NEGATIVE HEALTH CONSEQUENCES IN THE COMMUNITY. OBESITY GOAL: ADDRESS OBESITY THROUGH EDUCATION AND PREVENTION. OUTCOME OBJECTIVE: TO DECREASE OBESITY AS MEASURED BY KENTUCKY BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY. KY RANKS 8TH FOR OBESITY; 36% OF MADISON COUNTY RESIDENTS ARE CONSIDERED OBESE COMPARED TO 32% OF KENTUCKY AND 31% ACROSS THE U.S. STRATEGIES WILL BE ACCOMPLISHED THROUGH PARTICIPATION AND COLLABORATION WITH COMMUNITY PARTNERS. INFORMATION ABOUT AVAILABLE RESOURCES WILL BE PROVIDED WITH EACH OPPORTUNITY. STRATEGIES: ADVOCATE FOR INITIATIVES THAT ADDRESS THE RISK FACTORS THAT LEAD TO OBESITY IN CHILDREN. PROMOTE HEALTHY OPTIONS FOR DIET AND EXERCISE. PROMOTE HEALTHY FOOD INITIATIVE AND ""MINDFUL"" PROGRAM. OFFER ITEMS AND EDUCATIONAL MATERIALS FROM THE ""HARVEST OF THE MONTH"" PROGRAM. PROVIDE NUTRITION LABELING IN THE CAFETERIA. CONTINUE AVAILABILITY OF DIABETES EDUCATION CLASSES AND INDIVIDUAL COUNSELING, ALONG WITH MEDICAL NUTRITION THERAPY. PARTICIPATE AND SUPPORT LOCAL GROUPS AND EVENTS THAT HAVE A MISSION TO PROMOTE HEALTHY DIET AND EXERCISE TO PREVENT NEGATIVE HEALTH OUTCOMES. PROMOTE AND SUPPORT THE AMERICAN DIABETES ASSOCIATION. ESTABLISH OPPORTUNITIES FOR IMPROVED DIET AND EXERCISE TO ADDRESS BARRIERS TO ACCESS. MENTAL HEALTH SUPPORT GOAL: ADDRESS MENTAL HEALTH FROM A CHI SAINT JOSEPH HEALTH SYSTEM-WIDE APPROACH. OUTCOME OBJECTIVE: BY JUNE 2022, INCREASE MENTAL HEALTH RESOURCES, INCLUDING TELEHEALTH, PARTICIPATION AND COLLABORATION WITH COMMUNITY PARTNERS. STRATEGIES WILL BE ACCOMPLISHED THROUGH PARTICIPATION AND COLLABORATION WITH COMMUNITY PARTNERS. INFORMATION ABOUT AVAILABLE RESOURCES WILL BE PROVIDED WITH EACH OPPORTUNITY. STRATEGIES: SUPPORT LEGISLATION CONSIDERING A HOLISTIC APPROACH TO ADDRESS MENTAL HEALTH, INCLUDING TELEHEALTH. PURSUE VARIOUS PRIVATE, STATE AND FEDERAL GRANTS TO ADDRESS MENTAL HEALTH NEEDS. PARTICIPATE AND SUPPORT LOCAL GROUPS AND EVENTS THAT HAVE A MISSION TO PROMOTE MENTAL WELL-BEING. LEVERAGE EXPERTISE IN MENTAL HEALTH TO INCREASE ACCESS TO MENTAL HEALTH SERVICES INCLUDING TELEHEALTH. RESEARCH AND/OR DEVELOP A RESOURCE GUIDE THAT IDENTIFIES CREDIBLE MENTAL HEALTH FACILITIES IN CLOSE PROXIMITY TO BEREA, COLLABORATE WITH OUR LADY OF PEACE TO PROVIDE PEACE FOR PARENTS SEMINARS ON TOPICS SUCH AS ANXIETY, DEPRESSION, SUICIDE, BULLYING AND SUBSTANCE ABUSE. UTILIZE TELEHEALTH FOR CONSULTATIONS THROUGH THE EMERGENCY DEPARTMENT.SAINT JOSEPH LONDONSTRATEGIES TO ADDRESS SIGNIFICANT HEALTH NEEDS IDENTIFIED: SUBSTANCE ABUSE GOAL: ADDRESS SUBSTANCE ABUSE, INCLUDING TOBACCO USE AND VAPING, FROM A CHI SAINT JOSEPH HEALTH APPROACH, INCLUDING WORKING UPSTREAM TO ADDRESS ISSUES THAT UNDERLIE SUBSTANCE ABUSE, A PRIMARY PREVENTION TO ALCOHOL AND DRUG USE. OUTCOME OBJECTIVE: TO DECREASE SUBSTANCE ABUSE, INCLUDING TOBACCO USE AND VAPING RATES AS MEASURED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION AND COUNTY HEALTH RANKINGS AND ROADMAPS. KY IS #2 IN THE NATION FOR TOBACCO USE 24.6%; AND #1 IN CANCERS TIED TO SMOKING. ACCORDING TO THE CDC, IN 2017, KENTUCKY RANKED 5TH IN THE NATION FOR THE HIGHEST RATES OF DEATH DUE TO DRUG OVERDOSE (37.2 PER 100,000). ALSO, KENTUCKY HAD STATISTICALLY SIGNIFICANT INCREASES IN DRUG OVERDOSE DEATH RATES FROM 2016-2017. STRATEGIES WILL BE ACCOMPLISHED THROUGH PARTICIPATION AND COLLABORATION WITH COMMUNITY PARTNERS. INFORMATION ABOUT AVAILABLE RESOURCES WILL BE PROVIDED WITH EACH OPPORTUNITY. STRATEGIES - SUBSTANCE ABUSE: PARTICIPATE AND SUPPORT KENTUCKY HOSPITAL ASSOCIATION (KHA) AND THE CABINET FOR HEALTH AND FAMILY SERVICES AS PART OF THE KENTUCKY OPIOID RESPONSE EFFORT (KORE), TO LAUNCH THE KENTUCKY STATEWIDE OPIOID STEWARDSHIP (KY SOS) PROGRAM. ADVANCE CHI SAINT JOSEPH HEALTH'S RECENT NEW POSITION OF OPIOID STEWARDSHIP PHARMACIST AND FORTHCOMING DRUG TASK FORCE. PARTICIPATE AND SUPPORT THE KENTUCKY CHAMBER OF COMMERCE'S OPIOID TASK FORCE. COLLABORATE AND SUPPORT WITH LAUREL COUNTY HEALTH DEPARTMENT TO ADDRESS ISSUES SURROUNDING ALCOHOL AND DRUG USE. COLLABORATE AND SUPPORT LAUREL COUNTY HEALTH DEPARTMENT'S HARM REDUCTION PROGRAM TO SPREAD AWARENESS OF HIV AND HEP C THROUGH USE OF CONTAMINATED NEEDLES. DEVELOP PROTOCOLS TO ADDRESS ADDICTION ISSUES. SUPPORT COMMUNITY SUPPORT PROGRAMS SUCH AS ALCOHOLICS ANONYMOUS (AA) AND NARCOTICS ANONYMOUS (NA). IDENTIFY OPPORTUNITIES TO ADDRESS ALCOHOL AND SUBSTANCE USE. PURSUE OPPORTUNITIES TO DEVELOP AND/OR EXPAND SERVICES TO ADDRESS ALCOHOL AND DRUG USE. COLLABORATE WITH THE LOCAL JAIL TO PROVIDE PARENTING EDUCATION BIMONTHLY FOR INMATES SELECTED FOR THE PROGRAM. SUPPORT LOCAL GROUPS AND EVENTS THAT HAVE A MISSION TO PREVENT ALCOHOL AND SUBSTANCE USE. EXPLORE THE FEASIBILITY OF EXPANDING TELEHEALTH OPPORTUNITIES FOR ALCOHOL AND DRUG COUNSELING. (CONTINUED BELOW)"

PART V, SECTION B, LINE 11 (CONTINUED):
STRATEGIES - TOBACCO AND VAPING: ADVOCATE FOR SMOKE-FREE (INCLUDING VAPOR AND JUULS) SCHOOLS, WORKPLACES AND PUBLIC PLACES, INCLUDING RESTAURANTS, BARS AND HOTELS. ADVOCATE FOR INCREASING THE CIGARETTE TAX. ADVOCATE TO INCREASE THE AGE TO 21 FOR PURCHASE OF TOBACCO PRODUCTS. PROMOTE AND ENCOURAGE LUNG SCREENINGS FOR CANCERS ASSOCIATED WITH TOBACCO USE (LUNG CANCER IS THE MOST COMMON CANCER IN MEN AND WOMEN IN THE UNITED STATES). DEVELOP AND IMPLEMENT AN AUTOMATED PROCESS FOR LUNG SCREENING TO EASE THE ORDERING AND PATIENT FOLLOW-UP. DEVELOP AND IMPLEMENT A LUNG ACCREDITATION PROGRAM TO ADDRESS GAPS IN CARE AND STRENGTHEN ACCESS TO SCREENING, PREVENTION AND TREATMENT. ENFORCE TOBACCO-FREE CAMPUS POLICY. PROVIDE INFORMATION ABOUT SMOKING CESSATION CLASSES AND 1-800-QUIT-NOW. CONTINUE REPRESENTATION ON THE AMERICAN CANCER SOCIETY'S KENTUCKY ADVISORY BOARD. COLLABORATE AND SUPPORT KENTUCKY CANCER PROGRAM PLAN TO BE TOBACCO FREE. COLLABORATE AND SUPPORT FOUNDATION FOR A HEALTHY KENTUCKY'S TOBACCO-FREE EFFORTS. COLLABORATE AND SUPPORT THE LAUREL COUNTY HEALTH DEPARTMENT'S EFFORTS TO ADDRESS TOBACCO PREVENTION IN LAUREL COUNTY. CONTINUE COLLABORATION WITH THE TRI-COUNTY CANCER COALITION TO ADDRESS TOBACCO PREVENTION IN LAUREL COUNTY. SUPPORT CLEAN AIR ORDINANCE EXPANSION FOR LAUREL COUNTY TO INCLUDE E-CIGARETTES. EXPAND BEHAVIORAL AND PHARMACOLOGICAL COUNSELING FOR CANCER PATIENTS WHO CONTINUE TO SMOKE. CONTINUE PROVIDING EDUCATION AND RESOURCES TO ADDRESS TOBACCO USE AND NEGATIVE HEALTH CONSEQUENCES.CHRONIC DISEASE OBESITY AND CARDIOVASCULAR DISEASE GOAL: ADDRESS OBESITY AND CARDIOVASCULAR DISEASE AS CHRONIC DISEASES, INCLUDING WELLNESS AND EXERCISE THROUGH EDUCATION AND PREVENTION. OUTCOME OBJECTIVE: TO DECREASE OBESITY AND CARDIOVASCULAR DISEASE AS MEASURED BY KENTUCKY BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY AND TO INCREASE WELLNESS AND EXERCISE AS MEASURED BY COUNTY HEALTH RANKINGS AND ROADMAPS TO REDUCE THE INCIDENCE OF HEART DISEASE AND STROKE. KY RANKS 8TH FOR OBESITY AND 6TH FOR CARDIOVASCULAR DEATHS. STRATEGIES WILL BE ACCOMPLISHED THROUGH PARTICIPATION AND COLLABORATION WITH COMMUNITY PARTNERS. INFORMATION ABOUT AVAILABLE RESOURCES WILL BE PROVIDED WITH EACH OPPORTUNITY.STRATEGIES: ADVOCATE FOR INITIATIVES THAT ADDRESS THE RISK FACTORS THAT LEAD TO OBESITY AND CHRONIC DISEASE IN CHILDREN. SUPPORT LEGISLATION TO PROVIDE TAX BREAKS AND OTHER INCENTIVES FOR THE CREATION OF WELLNESS PROGRAMS AND ENABLING BUSINESSES TO HAVE A HEALTHIER WORKFORCE. PROMOTE HEALTHY OPTIONS FOR DIET AND EXERCISE. CONTINUE COMMUNITY GARDEN THAT BEGAN AS A RESULT OF THE 2017-2019 CHNA. UTILIZE PORTABLE PRODUCE STAND TO PROVIDE EDUCATION AND AVAILABLE PRODUCE FROM THE COMMUNITY GARDEN AT COMMUNITY AND SCHOOL EVENTS AND IN UNDERSERVED AREAS. PARTNER WITH THE LOCAL SCHOOL SYSTEM TO CREATE A GARDEN CLUB TO ENCOURAGE STUDENTS TO PARTICIPATE IN COMMUNITY GARDENS. HOST A HEALTHY FOODS COOKING EVENT USING PRODUCE FROM THE GARDEN. CONSTRUCT PRODUCE STAND AT COMMUNITY GARDENS TO ALLOW EASIER ACCESS TO AVAILABLE PRODUCE FROM THE GARDEN. PROMOTE EXISTING SAFE WALKING PATHS WITHIN LAUREL COUNTY. CONTINUE AVAILABILITY OF DIABETES EDUCATION CLASSES AND INDIVIDUAL COUNSELING, ALONG WITH MEDICAL NUTRITION THERAPY, AS WELL AS PARTNER WITH LAUREL COUNTY HEALTH DEPARTMENT DIABETES PROGRAM. PARTICIPATE AND SUPPORT LOCAL GROUPS AND EVENTS THAT HAVE A MISSION TO PROMOTE AND/OR ADDRESS HEALTHY DIET, EXERCISE, OBESITY AND CARDIOVASCULAR DISEASE TO PREVENT NEGATIVE HEALTH OUTCOMES. PROMOTE SAINT JOSEPH LONDON STROKE PROGRAM. CONTINUE TO SUPPORT LAUREL COUNTY HEALTH IN MOTION COALITION. ORGANIZE COMMUNITY EVENTS IN RECOGNITION OF LONGEST DAY OF PLAY. CREATE AND IMPLEMENT A WALKING PROGRAM FOR EXPECTANT MOTHERS TO REDUCE INCIDENCE OF PREGNANCY-INDUCED MEDICAL CONDITIONS. CONTINUE TO GROW COMMUNITY OUTREACH PROGRAMS TO PROVIDE DISEASE-SPECIFIC EDUCATION AND RESOURCES TO PATIENTS. PURSUE VARIOUS PRIVATE, STATE AND FEDERAL FUNDING FOR PROGRAMS TO ADDRESS HEALTHY EATING. MENTAL HEALTH SUPPORT GOAL: ADDRESS LACK OF MENTAL HEALTH SUPPORT IN THE COMMUNITY. OUTCOME OBJECTIVE: BY JUNE 2022, INCREASE MENTAL HEALTH RESOURCES INCLUDING TELEHEALTH, PARTICIPATION AND COLLABORATION WITH COMMUNITY PARTNERS. STRATEGIES WILL BE ACCOMPLISHED THROUGH PARTICIPATION AND COLLABORATION WITH COMMUNITY PARTNERS. INFORMATION ABOUT AVAILABLE RESOURCES WILL BE PROVIDED WITH EACH OPPORTUNITY. STRATEGIES: SUPPORT LEGISLATION CONSIDERING A HOLISTIC APPROACH TO ADDRESS MENTAL HEALTH, INCLUDING TELEHEALTH. PURSUE VARIOUS PRIVATE, STATE AND FEDERAL GRANTS TO ADDRESS MENTAL HEALTH NEEDS. DEVELOP OR IDENTIFY A MENTAL HEALTH COALITION TO COLLABORATE AND ALIGN SUBSTANCE ABUSE PREVENTION EFFORTS WITH STATEWIDE EFFORTS. COLLABORATE WITH RAE OF SUNSHINE FOUNDATION TO PROVIDE MENTAL HEALTH AWARENESS EDUCATION. COLLABORATE WITH NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) TO PROVIDE A LOCAL PEER AND MENTAL HEALTH SUPPORT GROUP. COLLABORATE WITH LOCAL SCHOOLS TO PROVIDE ANTI-BULLYING EDUCATION. PROMOTE ANTI-BULLYING MONTH AND PROVIDE RESOURCES TO BUILD AWARENESS IN THE COMMUNITY. CHI SAINT JOSEPH HEALTH : 6 SAINT JOSEPH LONDON CHNA IMPLEMENTATION STRATEGY 2020-2022 PARTICIPATE AND SUPPORT LOCAL GROUPS AND EVENTS THAT HAVE A MISSION TO PROMOTE MENTAL WELL-BEING. LEVERAGE EXPERTISE IN MENTAL HEALTH TO INCREASE ACCESS TO MENTAL HEALTH SERVICES INCLUDING TELEHEALTH. COLLABORATE WITH OUR LADY OF PEACE TO PROVIDE PEACE FOR PARENTS SEMINARS ON TOPICS SUCH AS ANXIETY, DEPRESSION, SUICIDE, BULLYING AND SUBSTANCE ABUSE. UTILIZE TELEHEALTH FOR CONSULTATIONS THROUGH THE EMERGENCY DEPARTMENT.SAINT JOSEPH MOUNT STERLINGSTRATEGIES TO ADDRESS SIGNIFICANT HEALTH NEEDS IDENTIFIED: SUBSTANCE ABUSE GOAL: ADDRESS SUBSTANCE ABUSE, INCLUDING TOBACCO, FROM A CHI SAINT JOSEPH HEALTH SYSTEM WIDE APPROACH, INCLUDING WORKING UPSTREAM TO ADDRESS ISSUES THAT UNDERLIE SUBSTANCE ABUSE, A PRIMARY PREVENTION TO ALCOHOL AND DRUG USE. OUTCOME OBJECTIVE: TO DECREASE SUBSTANCE ABUSE, INCLUDING TOBACCO RATE AS MEASURED BY CENTERS FOR DISEASE CONTROL AND PREVENTION AND COUNTY HEALTH RANKINGS AND ROADMAPS. KY IS #2 IN THE NATION FOR TOBACCO USE AT 24.6%; AND #1 IN CANCERS TIED TO SMOKING. ACCORDING TO THE CDC, IN 2017, KENTUCKY RANKED 5TH IN THE NATION FOR THE HIGHEST RATES OF DEATH DUE TO DRUG OVERDOSE (37.2 PER 100,000). ALSO, KENTUCKY HAD STATISTICALLY SIGNIFICANT INCREASES IN DRUG OVERDOSE DEATH RATES FROM 2016-2017. STRATEGIES WILL BE ACCOMPLISHED THROUGH PARTICIPATION AND COLLABORATION WITH COMMUNITY PARTNERS. INFORMATION ABOUT AVAILABLE RESOURCES WILL BE PROVIDED WITH EACH OPPORTUNITY.STRATEGIES - SUBSTANCE ABUSE: PARTICIPATE AND SUPPORT KENTUCKY HOSPITAL ASSOCIATION (KHA) AND THE CABINET FOR HEALTH AND FAMILY SERVICES AS PART OF THE KENTUCKY OPIOID RESPONSE EFFORT (KORE), TO LAUNCH THE KENTUCKY STATEWIDE OPIOID STEWARDSHIP (KY SOS) PROGRAM. ADVANCE CHI SAINT JOSEPH HEALTH'S RECENT NEW POSITION OF OPIOID STEWARDSHIP PHARMACIST AND FORTHCOMING DRUG TASK FORCE. PARTICIPATE AND SUPPORT THE KENTUCKY CHAMBER OF COMMERCE'S OPIOID TASK FORCE. PROMOTE AND SUPPORT COMMUNITY SUPPORT PROGRAMS SUCH AS ALCOHOLICS ANONYMOUS (AA) AND NARCOTICS ANONYMOUS (NA). IDENTIFY OPPORTUNITIES TO ADDRESS ALCOHOL AND SUBSTANCE USE AND THE NEGATIVE HEALTH OUTCOMES. SUPPORT LOCAL GROUPS AND EVENTS THAT HAVE A MISSION TO PREVENT ALCOHOL AND SUBSTANCE USE. CREATE AND/OR UPDATE AND MAINTAIN A RESOURCE BOOK THAT IDENTIFIES AGENCIES AND THE RESOURCES THEY PROVIDE FOR THOSE SUFFERING FROM ADDICTION (I.E., SERVICES OFFERED, HOURS OF OPERATION, LOCATION FEES, ETC.) EXPLORE THE FEASIBILITY OF EXPANDING TELEHEALTH OPPORTUNITIES FOR ALCOHOL AND DRUG COUNSELING.STRATEGIES - TOBACCO: ADVOCATE FOR SMOKE-FREE SCHOOLS, WORKPLACES AND PUBLIC PLACES. ADVOCATE FOR INCREASING THE CIGARETTE TAX. ADVOCATE TO INCREASE THE AGE TO 21 FOR PURCHASE OF TOBACCO PRODUCTS. PROMOTE AND ENCOURAGE LUNG SCREENINGS FOR CANCERS ASSOCIATED WITH TOBACCO USE. LUNG CANCER IS THE MOST COMMON CANCER IN MEN AND WOMEN IN THE UNITED STATES. ENFORCE TOBACCO-FREE CAMPUS POLICY. PROVIDE INFORMATION ABOUT SMOKING CESSATION CLASSES AND 1-800-QUIT-NOW. CONTINUE REPRESENTATION ON THE AMERICAN CANCER SOCIETY'S KENTUCKY ADVISORY BOARD. ALIGN EFFORTS WITH COMMISSION ON CANCER TRIENNIAL COMMUNITY HEALTH ASSESSMENT. COLLABORATE AND SUPPORT KENTUCKY CANCER PROGRAM PLAN TO BE TOBACCO FREE. COLLABORATE AND SUPPORT FOUNDATION FOR A HEALTHY KENTUCKY TOBACCO-FREE EFFORTS. SUPPORT LOCAL GROUPS AND EVENTS THAT HAVE A MISSION TO PREVENT TOBACCO USE. CONTINUE PROVIDING EDUCATION AND RESOURCES TO ADDRESS TOBACCO TO ADDRESS USE AND NEGATIVE HEALTH CONSEQUENCES IN THE COMMUNITY.(CONTINUED BELOW)

PART V, SECTION B, LINE 11 (CONTINUED):
MENTAL HEALTH GOAL: ADDRESS LACK OF MENTAL HEALTH SUPPORT IN THE COMMUNITY. OUTCOME OBJECTIVE: BY JUNE 2022, INCREASE MENTAL HEALTH RESOURCES. INCLUDING TELEHEALTH, PARTICIPATION AND COLLABORATION WITH COMMUNITY PARTNERS. STRATEGIES WILL BE ACCOMPLISHED THROUGH PARTICIPATION AND COLLABORATION WITH COMMUNITY PARTNERS. INFORMATION ABOUT AVAILABLE RESOURCES WILL BE PROVIDED WITH EACH OPPORTUNITY. STRATEGIES: SUPPORT LEGISLATION CONSIDERING A HOLISTIC APPROACH TO ADDRESS MENTAL HEALTH, INCLUDING TELEHEALTH. PURSUE VARIOUS PRIVATE, STATE AND FEDERAL GRANTS TO ADDRESS MENTAL HEALTH NEEDS. PARTICIPATE AND SUPPORT LOCAL GROUPS AND EVENTS THAT HAVE A MISSION TO PROMOTE MENTAL WELL-BEING. LEVERAGE EXPERTISE IN MENTAL HEALTH TO INCREASE ACCESS TO MENTAL HEALTH SERVICES INCLUDING TELEHEALTH. COLLABORATE WITH OUR LADY OF PEACE TO PROVIDE PEACE FOR PARENTS SEMINARS ON TOPICS SUCH AS ANXIETY, DEPRESSION, SUICIDE, BULLYING AND SUBSTANCE ABUSE. UTILIZE TELEHEALTH FOR CONSULTATIONS THROUGH THE EMERGENCY DEPARTMENT.PROVIDER OF ADDITIONAL INFORMATION AND SERVICES/NAVIGATING THE HEALTH CARE SYSTEM GOAL: TO CONNECT FAMILIES TO HEALTH CARE EDUCATION, SERVICES AND NAVIGATING THE SYSTEM. OUTCOME OBJECTIVE: BY JUNE 2022, ASSIST ALL PATIENTS WHO REQUEST EDUCATION MATERIALS, LIST OF AVAILABLE SERVICES AND/OR HELP NAVIGATING THE SYSTEM. STRATEGIES WILL BE ACCOMPLISHED THROUGH PARTICIPATION AND COLLABORATION WITH COMMUNITY PARTNERS. INFORMATION ABOUT AVAILABLE RESOURCES WILL BE PROVIDED WITH EACH OPPORTUNITY. STRATEGIES: CREATE AND/OR UPDATE AND MAINTAIN A RESOURCE BOOK THAT IDENTIFIES AGENCIES AND THE RESOURCES THEY PROVIDE FOR THOSE SUFFERING FROM ADDICTION (I.E., SERVICES OFFERED, HOURS OF OPERATION, LOCATION FEES, ETC.) PROVIDE EDUCATION/INFORMATION ABOUT A VARIETY OF HEALTH TOPICS INCLUDING TOBACCO, SUBSTANCE ABUSE, MENTAL HEALTH, ETC. CONTINUE COLLABORATIVE EFFORTS WITH COMMUNITY ORGANIZATIONS, INCLUDING MONTGOMERY COUNTY HEALTH DEPARTMENT, TO PROMOTE PROGRAMS AND INITIATIVES AND SHARE INFORMATION ABOUT SERVICES TO DECREASE BARRIERS TO HEALTH CARE ACCESS. PROMOTE AND SUPPORT COMMUNITY RESOURCES AND SUPPORT GROUPS FOR PATIENTS.

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. *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.

PART I, LINE 7:
"COMMONSPIRIT HEALTH HOSPITALS USE A COST ACCOUNTING SYSTEM OR AN ADJUSTED COST TO CHARGE RATIO 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."

PART III, LINE 2:
THE AMOUNT OF THE ORGANIZATION'S BAD DEBT AT COST IS DETERMINED BY APPLYING THE COST TO CHARGE RATIO TO PATIENT CHARGES THAT ARE DEEMED TO BE UNCOLLECTIBLE. THIS AMOUNT REPRESENTS THE COST OF SERVICES PROVIDED TO PATIENTS WHO ARE UNABLE OR REFUSE TO PAY THEIR BILLS AND DO NOT QUALIFY FOR FREE OR DISCOUNTED CARE, GOVERNMENT SPONSORED PROGRAMS OR OTHER PAYMENT ASSISTANCE, AND ARE OTHERWISE UNINSURED.THE FILING ORGANIZATION PROVIDES FREE CARE TO ANY PATIENT WHOSE FAMILY INCOME IS AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL, OR DISCOUNTED CARE TO UNINSURED OR UNDER-INSURED INDIVIDUALS WHOSE FAMILY INCOME IS ABOVE 201% BUT LOWER THAN 400% OF THE FEDERAL POVERTY LEVEL. THE FILING ORGANIZATION ALSO PROVIDES OPTIONS FOR PROMPT PAY DISCOUNTS, AND INTEREST-FREE EXTENDED PAYMENT PLANS FOR PATIENTS WHO HAVE DEMONSTRATED GOOD FAITH AND ARE COOPERATING IN RESOLVING THEIR HOSPITAL BILLS. ALL ACCOUNTS FOR ELIGIBLE UNINSURED PATIENTS AT ALL FACILITIES RECEIVE AN AUTOMATIC UNINSURED DISCOUNT. THE EXPECTED PATIENT PAYMENT AMOUNT ON THE PATIENT'S BILL REFLECTS THIS DISCOUNT. DISCOUNTS ARE ACCOUNTED FOR AS DEDUCTIONS FROM REVENUE, NOT AS BAD DEBT EXPENSE.

PART III, LINE 3:
SAINT JOSEPH HEALTH SYSTEM MAKES EVERY EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UPON ADMISSION. SAINT JOSEPH HEALTH SYSTEM'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. SAINT JOSEPH HEALTH SYSTEM ALSO UTILIZES A PAYMENT ASSISTANCE RANK ORDERING (PARO) SCORING SYSTEM TO ASSIST IN DETERMINING IF AN UNINSURED PATIENT MAY QUALIFY FOR PAYMENT ASSISTANCE EVEN THOUGH THEY HAVE NOT APPLIED FOR IT. PARO IS A METHODOLOGY THAT APPLIES CONSISTENT SCREENING AND APPLICATION STANDARDS TO ALL UNINSURED 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, SAINT JOSEPH HEALTH 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 II COMMUNITY BUILDING ACTIVITIES LINE 7
CHI SAINT JOSEPH HEALTH IS ACCELERATING ACTION TO IMPROVE THE HEALTH AND WELLBEING OF KENTUCKIANS BY ENSURING TIMELY ACCESS TO QUALITY HEALTH CARE. GUIDED BY RESULTS OF OUR 2020-2022 COMMUNITY HEALTH NEEDS ASSESSMENT, CHI SAINT JOSEPH HEALTH STRATEGICALLY IS FOCUSED ON IMPROVING SEVERAL HEALTH BEHAVIORS AND CONDITIONS ACROSS OUR CENTRAL AND EASTERN KENTUCKY MARKET, INCLUDING SUBSTANCE USE DISORDERS, MENTAL HEALTH, AND HEALTHY LIFESTYLES. OFTEN, SIMPLE POLICY CHANGES PAVE THE WAY FOR OPTIMAL HEALTH AND WELLBEING. OUR PATIENTS AND THE COMMUNITIES WE SERVE ARE COUNTING ON US TO CHAMPION PUBLIC POLICIES THAT ARE AT THE HEART OF OUR MISSION.

PART VI, LINE 7:
NA KENTUCKY DOES NOT REQUIRE FILING OF A COMMUNITY BENEFIT REPORT, BUT IT IS AVAILABLE ONLINE AT: HTTPS://WWW.CHISAINTJOSEPHHEALTH.ORG/LIBRARY/DEFAULT-TAB-BAR-BACK/ABOUT-US/HEALTHY-COMMUNITIES

PART III, LINE 4:
"SAINT JOSEPH HEALTH SYSTEM DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF COMMONSPIRIT HEALTH. THE FOLLOWING IS AN EXCERPT FROM COMMONSPIRIT'S CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2022, RELATED TO PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT REVENUE. THE ENTIRE FOOTNOTE CAN BE VIEWED IN THE ATTACHED COMMONSPIRIT CONSOLIDATED FINANCIAL STATEMENTS ON PAGES 12-13.""PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNTS THAT REFLECT THE CONSIDERATION COMMONSPIRIT EXPECTS TO BE PAID IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING HEALTH INSURERS AND GOVERNMENT PROGRAMS), AND OTHERS, AND INCLUDE CONSIDERATION FOR RETROACTIVE REVENUE ADJUSTMENTS DUE TO SETTLEMENT OF AUDITS AND REVIEWS. GENERALLY, PERFORMANCE OBLIGATIONS FOR PATIENTS RECEIVING INPATIENT ACUTE CARE SERVICES AND OUTPATIENT SERVICES ARE RECOGNIZED OVER TIME AS SERVICES ARE PROVIDED. NET PATIENT REVENUE IS PRIMARILY COMPRISED OF HOSPITAL AND PHYSICIAN SERVICES."""

PART III, LINE 8:
COMMONSPIRIT HEALTH HOSPITALS PREPARE MEDICARE COST REPORTS IN A MANNER THAT COMPORTS WITH PROVIDER REIMBURSEMENT MANUAL (PRM) 15-1 AND PRM 15-2 CHAPTER 40 (TRANSMITTAL 13). AS SUCH, THE FOLLOWING LANGUAGE PER PRM 15-1 DESCRIBES THE COMPUTATION OF COSTS PER THE MEDICARE COST REPORT: TOTAL ALLOWABLE COSTS OF A PROVIDER ARE APPORTIONED BETWEEN PROGRAM BENEFICIARIES AND OTHER PATIENTS SO THAT THE SHARE BORNE BY THE PROGRAM IS BASED UPON ACTUAL SERVICES RECEIVED BY PROGRAM BENEFICIARIES. THE RATIO OF COVERED BENEFICIARY CHARGES TO TOTAL PATIENT CHARGES FOR THE SERVICES OF EACH ANCILLARY DEPARTMENT IS APPLIED TO THE COST OF THE DEPARTMENT. ADDED TO THIS AMOUNT IS THE COST OF ROUTINE SERVICES FOR PROGRAM BENEFICIARIES, DETERMINED ON THE BASIS OF A SEPARATE AVERAGE COST PER DIEM FOR ALL PATIENTS FOR GENERAL ROUTINE PATIENT CARE AREAS. ANOTHER FACTOR CONSIDERED IS A SEPARATE AVERAGE COST PER DIEM FOR EACH INTENSIVE CARE UNIT, CORONARY CARE UNIT, AND OTHER SPECIAL CARE INPATIENT HOSPITAL UNITS. COMMONSPIRIT HEALTH AND ITS SUBORDINATE CORPORATIONS BELIEVE THAT THE ENTIRE MEDICARE SHORTFALL FOR THE CONSOLIDATED ENTITIES CONSTITUTES COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY COMMONSPIRIT HEALTH HOSPITALS IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITIES. THE HOSPITALS PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. SAINT JOSEPH HEALTH SYSTEM INC.'S SHORTFALL, AS REPORTED ON PART III, SECTION B, LINE 7, OF ($40,884,747) REPRESENTS THE FILING ORGANIZATION'S MEDICARE COST REPORTS.

PART III, LINE 9B:
COMMONSPIRIT HEALTH ENSURES THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. COMMONSPIRIT HEALTH'S BILLING AND COLLECTION POLICY CONTAINS PROVISIONS THAT PROHIBIT THE COLLECTION OF AMOUNTS DUE FROM PATIENTS WHO THE ORGANIZATION KNOWS QUALIFY FOR FINANCIAL ASSISTANCE. ACCOUNTS WITH INCORRECT OR INCOMPLETE DEMOGRAPHIC INFORMATION ARE ASSIGNED TO A COLLECTION AGENCY IF THE COMMONSPIRIT HEALTH FACILITY, OR BILLING COMPANY RETAINED BY COMMONSPIRIT HEALTH, IS UNABLE TO OBTAIN AN UPDATED ADDRESS THROUGH SKIP TRACING OR OTHER MEANS. FOR PATIENTS WHO HAVE AN APPLICATION PENDING FOR EITHER GOVERNMENT-SPONSORED ASSISTANCE OR FOR ASSISTANCE UNDER COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE POLICY, OR WHERE THE PATIENT IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH THE FACILITY VIA PAYMENT PLANS, COMMONSPIRIT HEALTH WILL NOT KNOWINGLY SEND THAT PATIENT'S BILL TO AN OUTSIDE COLLECTION AGENCY. ON SELF-PAY ACCOUNTS THAT DO NOT MEET THE CRITERIA NOTED ABOVE, THE INITIAL DETERMINATION OF ASSIGNMENT TO A COLLECTION AGENCY WILL VARY DEPENDING ON THE NATURE OF THE ACCOUNT WITH THE FINAL DECISION BEING AT THE DISCRETION OF THE BILLING COMPANY RETAINED BY COMMONSPIRIT HEALTH. UPON ASSIGNMENT OF SUCH A PATIENT ACCOUNT TO A COLLECTION AGENCY, COMMONSPIRIT HEALTH REQUIRES THE AGENCY TO COMPLY WITH THE FAIR DEBT COLLECTION PRACTICES ACT.

PART VI, LINE 3:
INFORMATION ABOUT COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE PROGRAM AND A CONTACT NUMBER ARE MADE AVAILABLE TO PATIENTS AND THE PUBLIC. PATIENTS ARE INFORMED OF COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE PROGRAM VIA SIGNAGE IN ALL ADMITTING AREAS AND IN VARIOUS COMMON AREAS OF THE HOSPITAL. FINANCIAL ASSISTANCE PROGRAM INFORMATION NOTICES ARE POSTED IN THE EMERGENCY AND ADMITTING DEPARTMENTS AND AT OTHER PUBLIC PLACES AS EACH FACILITY MAY ELECT. SUCH INFORMATION IS PROVIDED IN THE PRIMARY LANGUAGES SPOKEN IN THE COMMUNITIES COMMONSPIRIT HEALTH SERVES. THE SIGNAGE INCLUDES NOTIFICATION THAT FURTHER DISCOUNTS MAY BE PROVIDED UPON THE COMPLETION AND SUBMISSION OF A FINANCIAL ASSISTANCE APPLICATION AND HOW TO REACH STAFF THAT CAN ASSIST WITH ANSWERING QUESTIONS AND GUIDE PATIENTS THROUGH THE APPLICATION PROCESS. INFORMATION CAN ALSO BE FOUND ON THE FACILITY WEBSITES. IF FINANCIAL ASSISTANCE ELIGIBILITY IS NOT DETERMINED PRIOR TO BILLING, INITIAL BILLING STATEMENTS TO PATIENTS INCLUDE A REQUEST TO THE PATIENT TO PROVIDE ANY INSURANCE INFORMATION THAT WAS VALID FOR THE DATES OF SERVICE BILLED AND A STATEMENT INFORMING PATIENTS HOW TO CONTACT US REGARDING FINANCIAL ASSISTANCE. ADDITIONALLY, CONTRACT TERMS WITH COLLECTION VENDORS WORKING ON BEHALF OF COMMONSPIRIT HEALTH REQUIRE THEY FOLLOW COMMONSPIRIT HEALTH FINANCIAL ASSISTANCE POLICY. ALSO, REFERRAL OF PATIENTS FOR FINANCIAL ASSISTANCE MAY BE MADE BY ANY MEMBER OF THE COMMONSPIRIT HOSPITAL ORGANIZATION NON-MEDICAL OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKERS, CASE MANAGERS, CHAPLAINS, AND RELIGIOUS SPONSORS. A REQUEST FOR ASSISTANCE MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS.

PART VI, LINE 4:
"SAINT JOSEPH HOSPITAL & SAINT JOSEPH EAST GEOGRAPHIC AREA FOR THE PURPOSES OF THE CHNA, SAINT JOSEPH HOSPITAL HAS DEFINED FAYETTE COUNTY AS THE PRIMARY SERVICE AREA. FAYETTE COUNTY WILL SERVE AS THE UNIT OF ANALYSIS FOR THE CHNA AND HEALTH NEEDS DISCUSSED WILL PERTAIN TO RESIDENTS OF THIS COUNTY. POPULATION IN COMPARISON TO KENTUCKY, FAYETTE COUNTY IS MORE DIVERSE IN RACE AND ETHNICITY AMONG RESIDENTS. FAYETTE COUNTY HAS ALSO EXPERIENCED A GREATER INCREASE IN POPULATION GROWTH THAN THE KENTUCKY STATE AVERAGE. FEDERALLY DESIGNATED MUAS ARE PRESENT IN FAYETTE COUNTY. DEMOGRAPHICS:TOTAL POPULATION: 321,959ASIAN/PACIFIC ISLANDER: 3.39%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 13.61%HISPANIC OR LATINO: 6.10%WHITE NON-HISPANIC: 71.00%ALL OTHERS: 5.90% FAMILIES BELOW POVERTY: 73,105POPULATION 25+ WITH LESS THAN HIGH SCHOOL GRADUATION: 19,345PERCENT CIV. LABOR FORCE UNEMPLOYED: 4.1%SAINT JOSEPH BEREAGEOGRAPHIC AREA FOR THE PURPOSES OF THE CHNA, SAINT JOSEPH BEREA HAS DEFINED MADISON COUNTY AS THE PRIMARY SERVICE AREA. MADISON COUNTY WILL SERVE AS THE UNIT OF ANALYSIS FOR THE CHNA AND HEALTH NEEDS DISCUSSED WILL PERTAIN TO RESIDENTS OF THIS COUNTY. POPULATION NOTABLE FOR MADISON COUNTY IS THE CONTINUED GROWTH IN POPULATION. MADISON COUNTY'S POPULATION HAS INCREASED BY JUST UNDER 10,000 IN THE LAST EIGHT YEARS, ACCORDING TO THE U.S. CENSUS BUREAU. FEDERALLY DESIGNATED MUAS ARE PRESENT IN MADISON COUNTY. DEMOGRAPHICS:TOTAL POPULATION: 91,226ASIAN/PACIFIC ISLANDER: 0.91%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 4.26%HISPANIC OR LATINO: 2.01%WHITE NON-HISPANIC: 89.81%ALL OTHERS: 3.00%PERSONS IN POVERTY: 16.6%HIGH SCHOOL GRADUATE OR HIGHER (AGE 25+ YEARS): 89.7%IN CIVILIAN LABOR FORCE (POPULATION 16+ YEARS): 62.7%SAINT JOSEPH LONDONGEOGRAPHIC AREA FOR THE PURPOSES OF THE CHNA, SAINT JOSEPH LONDON HAS DEFINED LAUREL COUNTY AS THE PRIMARY SERVICE AREA. LAUREL COUNTY WILL SERVE AS THE UNIT OF ANALYSIS FOR THE CHNA AND HEALTH NEEDS DISCUSSED WILL PERTAIN TO RESIDENTS OF THIS COUNTY. POPULATION LAUREL COUNTY IS LARGELY REPRESENTATIVE OF KENTUCKY ""AVERAGES,"" BUT DOES HAVE LESS ETHNIC AND RACIAL DIVERSITY THAN THE STATE. DEMOGRAPHICS:TOTAL POPULATION: 60,174ASIAN/PACIFIC ISLANDER: 0.54%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 0.70%HISPANIC OR LATINO: 1.18%WHITE NON-HISPANIC: 95.92%ALL OTHERS: 1.66% PERSONS IN POVERTY: 19.5%HIGH SCHOOL GRADUATE OR HIGHER (AGE 25+ YEARS): 82.5%IN CIVILIAN LABOR FORCE (POPULATION 16+ YEARS): 52.8%SAINT JOSEPH MOUNT STERLINGGEOGRAPHIC AREA FOR THE PURPOSES OF THE CHNA, SAINT JOSEPH MOUNT STERLING HAS DEFINED MONTGOMERY COUNTY AS THE PRIMARY SERVICE AREA. MONTGOMERY COUNTY WILL SERVE AS THE UNIT OF ANALYSIS FOR THE CHNA AND HEALTH NEEDS DISCUSSED WILL PERTAIN TO RESIDENTS OF THIS COUNTY. POPULATION MONTGOMERY COUNTY CONTINUES TO HAVE POPULATION GROWTH AND HAS A LESS DIVERSE RACIAL AND ETHNIC MAKEUP THAN THE STATE AVERAGES. FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS ARE PRESENT IN MONTGOMERY COUNTY. DEMOGRAPHICS:TOTAL POPULATION: 27,928ASIAN/PACIFIC ISLANDER: 0.12%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 2.80%HISPANIC OR LATINO: 2.34%WHITE NON-HISPANIC: 92.25%ALL OTHERS: 2.49% FAMILIES BELOW POVERTY: 7,286POPULATION 25+ WITH LESS THAN HIGH SCHOOL GRADUATION: 3,054PERCENT CIV. LABOR FORCE UNEMPLOYED: 4.5%"

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.

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THE ORGANIZATION IS AFFILIATED WITH COMMONSPIRIT HEALTH. COMMONSPIRIT HEALTH WAS CREATED BY THE ALIGNMENT OF CATHOLIC HEALTH INITIATIVES AND DIGNITY HEALTH IN EARLY 2019. COMMONSPIRIT HEALTH, A NONPROFIT, FAITH-BASED HEALTH SYSTEM IS COMMITTED TO BUILDING HEALTHIER COMMUNITIES, ADVOCATING FOR THOSE WHO ARE POOR AND VULNERABLE, AND INNOVATING HOW AND WHERE HEALING CAN HAPPEN BOTH INSIDE ITS HOSPITALS AND OUT IN THE COMMUNITY. COMMONSPIRIT HEALTH OWNS AND OPERATES HEALTH CARE FACILITIES IN 21 STATES AND IS THE SOLE CORPORATE MEMBER (PARENT CORPORATION) OF OTHER PRIMARILY NONPROFIT CORPORATIONS THAT ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES. AS OF JUNE 30, 2022, COMMONSPIRIT HEALTH IS COMPRISED OF APPROXIMATELY 2,200 CARE SITES, CONSISTING OF 142 HOSPITALS, INCLUDING ACADEMIC HEALTH CENTERS, MAJOR TEACHING HOSPITALS, AND CRITICAL ACCESS FACILITIES, COMMUNITY HEALTH SERVICES ORGANIZATIONS, ACCREDITED NURSING COLLEGES, HOME HEALTH AGENCIES, LIVING COMMUNITIES, A MEDICAL FOUNDATION AND OTHER AFFILIATED MEDICAL GROUPS, AND OTHER FACILITIES AND SERVICES THAT SPAN THE INPATIENT AND OUTPATIENT CONTINUUM OF CARE. IN FISCAL YEAR 2022, COMMONSPIRIT HEALTH PROVIDED MORE THAN $3.16 BILLION IN FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT FOR PROGRAMS AND SERVICES FOR THE POOR, FREE CLINICS, EDUCATION AND RESEARCH. FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT TOTALED MORE THAN $4.89 BILLION WITH THE INCLUSION OF THE UNPAID COSTS OF MEDICARE. THE HEALTH SYSTEM, WHICH GENERATED OPERATING REVENUES OF $33.9 BILLION IN FISCAL YEAR 2022, HAS TOTAL ASSETS OF APPROXIMATELY $50.31 BILLION.COMMONSPIRIT HEALTH PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES AS WELL AS CENTRALIZED SERVICES FOR ITS DIVISIONS. THE PROVISION OF CENTRALIZED MANAGEMENT AND SHARED SERVICES INCLUDING AREAS SUCH AS ACCOUNTING, HUMAN RESOURCES, PAYROLL AND SUPPLY CHAIN PROVIDES ECONOMIES OF SCALE AND PURCHASING POWER TO THE DIVISIONS. THE COST SAVINGS ACHIEVED THROUGH COMMONSPIRIT HEALTH'S CENTRALIZATION ENABLE DIVISIONS TO DEDICATE ADDITIONAL RESOURCES TO HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY.