4A (Expenses $ 368766243 including grants of $ 19911152) (Revenue $ 449152603)
"ST. MARY'S HOSPITAL & MEDICAL CENTER, INC., (SMMC) IN GRAND JUNCTION, CO., IS THE LARGEST MEDICAL CENTER BETWEEN DENVER AND SALT LAKE CITY AND IS COMMITTED TO PUTTING PEOPLE FIRST. SERVING THE HEALTHCARE NEEDS OF WESTERN COLORADO AND EASTERN UTAH FOR OVER 120 YEARS, SMMC IS A FAITH-BASED, NONPROFIT PROVIDER AND IS PART OF SCL HEALTH, WHOSE VISION STATEMENT DECLARES THAT, ""INSPIRED BY OUR FAITH, WE WILL PARTNER WITH OUR PATIENTS AND COMMUNITIES TO EXCEED THEIR EXPECTATIONS FOR HEALTH.""FOUNDED IN 1896 BY THE SISTERS OF CHARITY OF LEAVENWORTH, SMMC HAS A RICH HISTORY OF SERVING THE MANY NEEDS OF ITS COMMUNITY, FROM ADVANCED MEDICAL CARE TO CHARITABLE GIVING.AS SMMC CELEBRATED ITS 100TH ANNIVERSARY IN 1996, ITS LEADERS RECOMMITTED TO THE RENOWNED STATEMENT OF MOTHER XAVIER ROSS, FOUNDER OF THE SISTERS OF CHARITY OF LEAVENWORTH. IN ALL ST. MARY'S ACTIONS, WE WILL: ""... LOOK FORWARD TO THE GOOD THAT IS YET TO BE."" THROUGHOUT OUR HISTORY, THE GENEROSITY OF WESTERN COLORADANS HAS ENABLED SMMC TO GROW TO MEET HEALTHCARE NEEDS. CONTRIBUTIONS OF LAND, FUNDS, TIME, AND TALENT ALLOWED US TO KEEP PACE WITH AN EXPANDING POPULATION AND MEDICAL ADVANCES.SMMC IS A FULL-SERVICE HOSPITAL PROVIDING QUALITY HEALTHCARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AS THE LARGEST HEALTHCARE FACILITY IN A 250-MILE RADIUS, SMMC PROVIDES MANY ADVANCED HEALTHCARE SERVICES NOT OFFERED BY ANY OTHER FACILITIES IN WESTERN COLORADO AND EASTERN UTAH, INCLUDING COMPREHENSIVE CARDIAC SERVICES, OPEN HEART SURGERY, COMPREHENSIVE CANCER CARE, A NEWBORN INTENSIVE CARE, AND LEVEL II TRAUMA SERVICES. SMMC IS LICENSED FOR 346 BEDS.SMMC OPERATES THE ONLY LEVEL II TRAUMA CENTER BETWEEN DENVER, CO AND SALT LAKE CITY, UT. WITH A 24-7 EMERGENCY DEPARTMENT STAFFED WITH EXPERIENCED EMERGENCY MEDICINE, TRAINED PHYSICIANS AND NURSES, TRAUMA AND NEUROSURGEONS ALWAYS AVAILABLE, AND AIR MEDICAL TRANSPORT SERVICES. SMMC CARES FOR SERIOUSLY ILL AND INJURED PATIENTS. THE TRANSPORT HELICOPTER ALSO ASSISTS IN RESCUE OR EVACUATION EFFORTS.MOST OF SMMC'S OUTPATIENT HEALTHCARE SERVICES ARE DELIVERED IN CLINIC FACILITIES CONVENIENTLY LOCATED NEAR BUT SEPARATE FROM THE MAIN HOSPITAL CAMPUS. WITH THEIR OWN ENTRANCES AND PARKING LOTS, THESE FACILITIES KEEP PATIENTS OUT OF THE TRAFFIC AND ACTIVITY FLOW OF THE HOSPITAL BUT CLOSE TO THE MAJOR CONCENTRATION OF MEDICAL SERVICES AND PHYSICIAN OFFICES IN THE COUNTY. SMMC'S ADVANCED MEDICINE PAVILION HOUSES OUT-PATIENT MEDICAL AND RADIOLOGY CANCER CARE, IMAGING, BLOOD DONATION, AND LABORATORY SERVICES. SMMC'S LIFE CENTER CONTAINS REHABILITATION, WELLNESS, AND WEIGHT LOSS/MANAGEMENT SERVICES. A THIRD FREE-STANDING FACILITY HOUSES SMMC'S FAMILY MEDICINE RESIDENCY PROGRAM, WHICH TRAINS PHYSICIANS TO CARE FOR FAMILIES IN SMALL TOWNS AND RURAL AREAS; SMMC'S FAMILY MEDICINE CENTER, A MEDICAL CLINIC SPECIALIZING IN PRE-NATAL, OBSTETRICAL, PEDIATRIC, FAMILY, AND GERIATRIC CARE; AND SMMC'S WOUND CLINIC.RELEVANT STATISTICS FOR 2021:ADMISSIONS - 11,644OUTPATIENT VISITS - 223,440BIRTHS - 1,331SURGERIES - 7,958LAB TESTS - 851,721EMERGENCY ROOM VISITS - 40,226ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. IS RELATED TO SCL HEALTH MEDICAL GROUP - GRAND JUNCTION, LLC, A SINGLE MEMBER LIMITED LIABILITY COMPANY OWNED BY A RELATED ORGANIZATION, SCL HEALTH - FRONT RANGE, INC. SCL HEALTH MEDICAL GROUP - GRAND JUNCTION, LLC IS A GROUP OF PHYSICIAN CLINICS THAT PROVIDE PROFESSIONAL SERVICES TO THE ST. MARY'S HOSPITAL COMMUNITY AND SUPPORTS THE MISSION OF ST. MARY'S HOSPITAL.ALTHOUGH SCL HEALTH MEDICAL GROUP - GRAND JUNCTION, LLC IS NOT OWNED DIRECTLY BY ST. MARY'S HOSPITAL & MEDICAL CENTER, INC., ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. IS REQUIRED TO FUND ALL OPERATING LOSSES OF SCL HEALTH MEDICAL GROUP - GRAND JUNCTION, LLC THROUGH EQUITY TRANSFERS TO SCL HEALTH - FRONT RANGE, INC. IN 2021, THE HOSPITAL PROVIDED $30,834,996 IN SUPPORT OF THE LOSSES OF THE PHYSICIAN CLINICS."

ST. MARY'S HOSPITAL & MEDICAL CENTER,INC.
PART V, SECTION B, LINE 5: IN CONDUCTING OUR 2021 COMMUNITY HEALTH NEEDS ASSESSMENT, PRIMARY DATA WAS COLLECTED THROUGH A SOCIAL CAPITAL SURVEY ADMINISTERED IN 2020 WHICH WAS COMPLETED BY MORE THAN 1500 RESIDENTS. THE ASSESSMENT WAS LED BY THE MESA COUNTY PUBLIC HEALTH DEPARTMENT IN COLLABORATION WITH LOCAL NON-PROFIT HOSPITALS; COLORADO CANYONS HOSPITAL AND MEDICAL CENTER; COMMUNITY HOSPITAL, ST. MARY'S MEDICAL CENTER, VA HOSPITAL, AND WEST SPRINGS HOSPITAL, INC. IN MESA COUNTY, WE TAKE A COLLABORATIVE APPROACH TO OUR COMMUNITY HEALTH NEEDS ASSESSMENT. THE LOCAL PUBLIC HEALTH AGENCY, MESA COUNTY PUBLIC HEALTH, LEADS THE ASSESSMENT PROCESS IN PARTNERSHIP AND COLLABORATION WITH OUR LOCAL HOSPITALS (ST. MARY'S MEDICAL CENTER, COMMUNITY HOSPITAL, COLORADO CANYONS HOSPITAL AND MEDICAL CENTER, WEST SPRING HOSPITAL, AND THE GRAND JUNCTION VA). WE CONDUCT OUR ASSESSMENT EVERY THREE YEARS, WITH THE MOST RECENT ASSESSMENT COMPLETED IN APRIL 2021. FOR THIS MOST RECENT ASSESSMENT, WE TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY OUR HOSPITAL FACILITIES. WE CONSULTED WITH STAKEHOLDERS, COMMUNITY MEMBERS, AND PARTNERS WITH EXPERTISE AND EXPERIENCE IN EACH OF OUR FIVE FOCUS AREAS (BASED ON THE SOCIAL DETERMINANTS OF HEALTH) - ECONOMIC STABILITY, EDUCATION, HEALTH CARE AND ACCESS, NEIGHBORHOOD AND BUILT ENVIRONMENT, AND SOCIAL AND COMMUNITY CONTEXT. OUR DATA ANALYSIS PAIRED BOTH QUANTITATIVE AND QUALITATIVE DATA FOR A MORE COMPLETE PICTURE OF KEY TOPICS. THE ASSESSMENT ALSO INCLUDED DATA COLLECTED FROM COMMUNITY SURVEYS, INCLUDING A LOCAL MENTAL HEALTH COMMUNITY ASSESSMENT SURVEY, WHICH WAS CONDUCTED IN 2020 AND HAD MORE THAN 850 RESPONSES.

ST. MARY'S HOSPITAL & MEDICAL CENTER,INC.
PART V, SECTION B, LINE 6A: THE 2021 CHNA WAS CONDUCTED IN COLLABORATION WITH COLORADO CANYONS HOSPITAL AND MEDICAL CENTER; COMMUNITY HOSPITAL, VA HOSPITAL AND WEST SPRINGS HOSPITAL, INC.

ST. MARY'S HOSPITAL & MEDICAL CENTER,INC.
PART V, SECTION B, LINE 6B: THE 2021 CHNA WAS CONDUCTED IN COLLABORATION WITH THE MESA COUNTY PUBLIC HEALTH DEPARTMENT.ST. MARY'S HOSPITAL & MEDICAL CENTER, INC.:FORM 990,SECTION B, LINE 7A:HOSPITAL FACILTY'S WEBSITE:HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/ST-MARYS-MEDICAL-CENTER/ABOUT/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ ST. MARY'S HOSPITAL & MEDICAL CENTER, INC.:FORM 990,SECTION B, LINE 7B:OTHER WEBSITE:HTTPS://HEALTH.MESACOUNTY.US/DATA-REPORTS/ ST. MARY'S HOSPITAL & MEDICAL CENTER, INC.:FORM 990, SECTION B, LINE 10A:IMPLEMENTATION STRATEGY ON WEBSITE:HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/ST-MARYS-MEDICAL-CENTER/ABOUT/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-IMPROVEMENT-PLAN/

ST. MARY'S HOSPITAL & MEDICAL CENTER,INC.
PART V, SECTION B, LINE 11: THE THREE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2021 CHNA WERE STILL IN PROCESS PER THE THREE-YEAR IMPLEMENTATION: SUICIDE, OBESITY AND ACCESS & UTILIZATION.SUICIDE: MESA COUNTY'S SUICIDE DEATH RATE, 34.7 PER 100,000, IS DOUBLE THE NATIONAL RATE (13.4 PER 100,000) AND SIGNIFICANTLY HIGHER THAN THE RATE OF COLORADO (20.3 PER 100,000). MESA COUNTY'S SUICIDE DEATH RATE HAS INCREASED EACH YEAR SINCE 2013.ST MARY'S IS A STRONG SUPPORTER OF ADDRESSING MENTAL HEALTH AND SUICIDE PREVENTION IN MESA COUNTY AND WORKS WITH LOCAL COMMUNITY BASED PROGRAMS TO DEVELOP AND IMPLEMENT RESOURCES AVAILABLE TO THE COMMUNITY. ST MARY'S SUICIDE PREVENTION COORDINATOR ROLE, WHICH WAS CREATED IN 2018, CONTINUES TO LEAD A UNIFIED SUICIDE PREVENTION EDUCATION PLAN.THE SUICIDE PREVENTION COORDINATORS TIME IN 2021 WAS SPENT GATHERING STAKEHOLDERS TO ENCOURAGE ATTENDANCE AT COURSES, DEVELOPING ADDITIONAL CURRICULUM, DELIVERING COMPASSION FATIGUE TRAINING, BUILDING AND MAINTAINING MESA COUNTY'S SUICIDE PREVENTION EDUCATION CALENDAR.OBESITY: 59.6% OF MESA COUNTY ADULTS (18+) ARE OVERWEIGHT OR OBESE, HIGHER THAN COLORADO FINDINGS. OVERWEIGHT RATES HAVE INCREASED SINCE 2011. HEART DISEASE IS THE LEADING CAUSE OF DEATH IN MESA COUNTY, SIGNIFICANTLY HIGHER THAN COLORADO FINDINGS AS WELL. A NON-HEALTHY WEIGHT AND PHYSICAL INACTIVITY ARE RISK FACTORS. IN 2021 WE CONTINUED TO MAINTAIN OUR GOLD LEVEL PARTNERSHIP WITH THE COLORADO HEALTHY HOSPITAL COMPACT (CHHC), A STATEWIDE PROGRAM DEDICATED TO HOSPITALS PROTECTING AND PROMOTING THE HEALTH OF OUR PATIENTS AND THEIR FAMILIES, VISITORS, AND STAFF.IN 2021 ST. MARY'S PARTNERED WITH HOMEWARD BOUND THROUGH A FOOD RECOVERY PROGRAM IN WHICH ST. MARY'S HAS DONATED MORE THAN 12,000 LBS OF FOOD SINCE THE INCEPTION OF THE PROGRAM IN 2020. HOMEWARD BOUND OF THE GRAND VALLEY IS THE ONLY YEAR-ROUND HOMELESS SHELTER WITHIN A 200 MILE RADIUS OF GRAND JUNCTION. THE DONATED FOOD WAS PROPERLY STORED AND DONATED FOR HUNGER RELIEF EFFORTS RATHER THAN THROWN AWAY AND DESTINED FOR THE LANDFILL.ACCESS & UTILIZATION: THE INABILITY TO GET AN APPOINTMENT AS SOON AS NEEDED WAS IDENTIFIED AND REMAINS A TOP BARRIER TO RECEIVING CARE IN MESA COUNTY. MESA COUNTY IS A DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) FOR PRIMARY CARE BY THE COLORADO DEPARTMENT OF HEALTH AND ENVIRONMENT. ST. MARY'S, ALONG WITH SCL HEALTH SYSTEM, COMPLETED WORK ON A NEW 20,000 SQ. FT. PRIMARY CARE MEDICAL OFFICE BUILDING. CONSTRUCTION BEGAN IN THE SUMMER OF 2020 AND WAS FINISHED IN JULY OF 2021. THE NEW FACILITY OPENED IN AUGUST 2021 WITH 9 PRIMARY CARE PROVIDERS AND 3 BEHAVIORAL HEALTH PROVIDERS CONSISTING OF BOTH PHYSICIANS AND ADVANCED PRACTICE PROVIDERS. SPECIALTIES IN THE NEW MEDICAL OFFICE BUILDING INCLUDE FAMILY MEDICINE, PEDIATRICS, INTERNAL MEDICINE, AND BEHAVIORAL HEALTH. THE NEW OFFICE BUILDING WILL BE ABLE TO SUPPORT 16 PRIMARY CARE PROVIDERS. ADDITIONAL PLANS ARE UNDERWAY TO IDENTIFY 3-4 ADDITIONAL EXPAND PRIMARY CLINIC LOCATIONS THROUGHOUT THE SURROUNDING AREA.NEEDS NOT PRIORITIZEDTHE REMAINING HEALTH NEEDS IDENTIFIED IN OUR 2018 CHNA ARE IMPORTANT TO ST MARY'S AND WE CONTINUE TO COLLABORATE WITH OTHER COMMUNITY ORGANIZATIONS TO ENSURE ALL NEEDS AND HEALTH INDICATORS ARE ADDRESSED.AREAS OF OPPORTUNITYCANCER AS CAUSE OF DEATH IN MESA COUNTY IS ABOVE THE STATE AVERAGE. MESA COUNTY CONTINUES TO HAVE A SIGNIFICANTLY HIGHER INCIDENCE OF LUNG AND BRONCHUS CANCER THAN STATE AND NATIONAL RATES. IT SHOULD ALSO BE NOTED MESA COUNTY HAS A STATISTICALLY LOWER INCIDENCE RATE FOR PROSTATE CANCER AND MELANOMA. THIS HEALTH NEED WAS NOT PRIORITIZED DURING THE PRIORITIZATION PROCESS BECAUSE OF RESOURCE CONSTRAINTS WITHIN OUR REGIONAL CANCER CENTER. HOWEVER, LONG-TERM INTERVENTIONS ARE NEEDED TO HAVE AN EFFECTIVE IMPACT ON CANCER. IT IS OUR HOPE BY ADDRESSING OTHER AREAS OF NEED, E.G. ACCESS TO HEALTH CARE SERVICES AND HEALTHY WEIGHT STATUS, THAT CANCER WILL BE INDIRECTLY AFFECTED IN THE YEARS TO COME. HEART DISEASE IS THE LEADING CAUSE OF DEATH IN MESA COUNTY AND IS STATISTICALLY WORSE WHEN COMPARED TO THE REST OF COLORADO. HEALTHY BEHAVIORS CONTINUE TO BE ONE OF THE BEST METHODS TO ADDRESS CHRONIC DISEASES WHERE INDIVIDUAL BEHAVIORS CONTINUE TO HAVE AN IMPACT, INCLUDING PREVENTION. THIS NEED WAS NOT PRIORITIZED BECAUSE LONG-TERM INTERVENTIONS ARE NEEDED TO HAVE AN EFFECTIVE IMPACT. IT IS OUR HOPE BY ADDRESSING OTHER AREAS OF NEED, E.G. ACCESS TO HEALTH CARE SERVICES, HEALTHY WEIGHT STATUS, HEART DISEASE AND OTHER CHRONIC DISEASES WILL BE INDIRECTLY AFFECTED IN THE YEARS TO COME. TEEN PREGNANCY CONTINUES TO BE CONSISTENTLY HIGHER IN MESA COUNTY THAN IN COLORADO (22.3 PER 1,000 AGES 15 TO 19). THIS NEED WAS NOT PRIORITIZED BECAUSE OTHER COMMUNITY ORGANIZATIONS HAVE THE EXPERTISE TO EFFECTIVELY ADDRESS THE NEED.TOBACCO IS THE NUMBER ONE CAUSE OF LUNG CANCER. APPROXIMATELY 9 OUT OF 10 LUNG CANCERS ARE CAUSED BY SMOKING. CHANGES IN LIFESTYLE, E.G. REDUCING TOBACCO USE, CAN SIGNIFICANTLY REDUCE CANCER MORBIDITY AND MORTALITY. WHEN COMPARED TO THE REST OF COLORADO, MORE ADULTS CURRENTLY SMOKE CIGARETTES, 21% OF ADULTS (18+YEARS), AS WELL AS HIGH SCHOOL STUDENTS (9.1%). THE 2020 COLORADO CANCER PLAN TARGET RATES FOR BOTH AGE GROUPS ARE: ADULTS: 12% AND STUDENTS: 5% RESPECTIVELY. THIS HEALTH NEED WAS NOT PRIORITIZED DURING THE PRIORITIZATION PROCESS BECAUSE SMMC IS PART OF A LONG-TERM COMMUNITY-WIDE PARTNERSHIP PROVIDING PREVENTION AND CESSATION PROGRAMS AND RESOURCES. ST. MARY'S HOSPITAL & MEDICAL CENTER,INC.:PART V, SECTION B, LINE 16A, 16B, 16C:WWW.SCLHEALTH.ORG/LOCATIONS/ST-MARYS-MEDICAL-CENTER/PATIENTS-VISITORS/BILLING-PRICING/FINANCIAL-ASSISTANCE/

PART I, LINE 6A:
THIS ORGANIZATION IS PART OF SCL HEALTH SYSTEM WHICH PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT ON A CONSOLIDATED BASIS. THE REPORT IS PREPARED BY THE PARENT COMPANY, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC.

PART I, LINE 7:
THE AMOUNTS REPORTED ON FORM 990, SCHEDULE H, PART I, LINE 7A, 7B AND 7C WERE DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2, IN THE SCHEDULE H, FORM 990 INSTRUCTIONS. FORM 990, SCHEDULE H, PART I, LINES 7E, 7F, 7G, 7H AND 7I ARE REPORTED AT COST AS REPORTED IN THE ORGANIZATION'S FINANCIAL STATEMENTS.

PART I, LN 7 COL(F):
THE BAD DEBT EXPENSE INCLUDED ON FORM 990,PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE ON SCHEDULE H, PART I, LINE 7 COLUMN (F) IS $6,504,043.

PART II, COMMUNITY BUILDING ACTIVITIES:
COMMUNITY-BUILDING ACTIVITIES ARE THOSE THAT IMPROVE THE HEALTH AND SAFETY OF COMMUNITY MEMBERS BY ADDRESSING THE ROOT CAUSES OF PROBLEMS (E.G. POVERTY, HOMELESSNESS, AND ENVIRONMENTAL HAZARDS).ST. MARY'S PARTICIPATED IN COLLABORATIVE MEETINGS WITH LOCAL NON-PROFIT ORGANIZATIONS, SERVICE PROVIDERS AND GOVERNMENTAL AGENCIES TO ASSESS ANECDOTAL EVIDENCE, EXAMPLES OF NEEDS AND DISCUSSED ADDITIONAL PARTNER OPPORTUNITIES TO ADDRESS IDENTIFIED NEEDS.PART III, LINE 1:THE ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) STATEMENT NO. 15 TO THE EXTENT THAT HFMA STATEMENT NO. 15 FOLLOWS GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) FOR REPORTING BAD DEBT.

PART III, LINE 2:
THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS AT CHARGES AS RECORDED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS.

PART III, LINE 4:
THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS.THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE AND/OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN AND PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS.CERTAIN PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT BECAUSE THE ORGANIZATION DOES NOT HAVE SUFFICIENT INFORMATION TO DETERMINE IF THE PATIENT WOULD QUALIFY FOR FREE CARE OR FINANCIAL AID. THEREFORE, IT IS POSSIBLE THAT SOME BAD DEBT IS ACTUALLY CHARITY CARE. HOWEVER, IF A PATIENT ACCOUNT IS WRITTEN OFF TO BAD DEBT AND THE COLLECTION AGENCY LATER DETERMINES THAT THE PATIENT WOULD HAVE QUALIFIED FOR FREE CARE OR FINANCIAL AID, THEN THE BAD DEBT EXPENSE IS RECLASSIFIED TO CHARITY CARE. THE FOLLOWING IS THE TEXT OF THE FOOTNOTE IN THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES THE BAD DEBT ALLOWANCE AND BAD DEBT EXPENSE: NET PATIENT SERVICE REVENUE GENERALLY RELATES TO CONTRACTS WITH PATIENTS IN WHICH THE PERFORMANCE OBLIGATIONS ARE TO PROVIDE HEALTH CARE SERVICES TO PATIENTS OVER A PERIOD OF TIME. REVENUE IS ESTIMATED FOR PATIENTS WHO HAVE NOT BEEN DISCHARGED AS OF THE REPORTING PERIOD BASED ON ACTUAL CHARGES INCURRED TO DATE IN RELATION TO TOTAL EXPECTED CHARGES. SCL HEALTH BELIEVES THIS METHOD PROVIDES A FAITHFUL DEPICTION OF THE TRANSFER OF SERVICES OVER THE TERM OF THE PERFORMANCE OBLIGATION BASED ON THE INPUTS NEEDED TO SATISFY THE OBLIGATION. THE CONTRACTUAL RELATIONSHIP WITH PATIENTS ALSO TYPICALLY INVOLVES A THIRD-PARTY PAYOR (MEDICARE, MEDICAID, MANAGED CARE PLANS, AND COMMERCIAL INSURANCE COMPANIES), AND THE TRANSACTION PRICES FOR THE SERVICES PROVIDED ARE DEPENDENT UPON THE TERMS PROVIDED BY OR NEGOTIATED WITH THE THIRD-PARTY PAYORS. THE PAYMENT ARRANGEMENTS WITH THIRD-PARTY PAYORS FOR THE SERVICES PROVIDED TO THE RELATED PATIENTS TYPICALLY SPECIFY PAYMENT OR REIMBURSEMENT TO SCL HEALTH AT OTHER-THAN-STANDARD CHARGES. BECAUSE ALL OF ITS PERFORMANCE OBLIGATIONS RELATE TO CONTRACTS WITH A DURATION OF LESS THAN ONE YEAR, SCL HEALTH HAS ELECTED TO APPLY THE OPTIONAL EXEMPTION NOT TO DISCLOSE THE AGGREGATE AMOUNT OF THE TRANSACTION PRICE ALLOCATED TO PERFORMANCE OBLIGATIONS THAT ARE UNSATISFIED OR PARTIALLY SATISFIED AT THE END OF THE REPORTING PERIOD. THE UNSATISFIED OR PARTIALLY SATISFIED PERFORMANCE OBLIGATIONS REFERRED TO ABOVE ARE PRIMARILY RELATED TO INPATIENT SERVICES AT THE END OF THE REPORTING PERIOD. THE PERFORMANCE OBLIGATIONS FOR THESE CONTRACTS ARE GENERALLY COMPLETED WHEN PATIENTS ARE DISCHARGED, WHICH GENERALLY OCCURS WITHIN DAYS OR WEEKS OF THE END OF THE REPORTING PERIOD. NET PATIENT SERVICE REVENUE IS REPORTED AT ESTIMATED AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED AND INCLUDES ESTIMATES OF IMPLICIT PRICE CONCESSIONS AND RETROACTIVE REVENUE ADJUSTMENTS DUE TO AUDITS, REVIEWS, AND INVESTIGATIONS. IMPLICIT PRICE CONCESSIONS RELATE PRIMARILY TO UNINSURED PATIENTS AND PATIENTS WITH CO-PAYS, CO-INSURANCE, AND DEDUCTIBLES AND ARE ESTIMATED BASED ON HISTORICAL COLLECTION DATA. RETROACTIVE ADJUSTMENTS ARE CONSIDERED IN THE RECOGNITION OF REVENUE ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED, AND SUCH AMOUNTS ARE ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS, OR INVESTIGATIONS.

PART III, LINE 8:
"THE ORGANIZATION BELIEVES THAT AT LEAST SOME PORTION OF THE COSTS WE INCUR IN EXCESS OF PAYMENTS RECEIVED FROM THE FEDERAL GOVERNMENT FOR PROVIDING MEDICAL SERVICES TO MEDICARE ENROLLEES AND BENEFICIARIES UNDER THE FEDERAL MEDICARE PROGRAM (SHORTFALL OR MEDICARE SHORTFALL) CONSTITUTES A COMMUNITY BENEFIT. PROVIDING THESE SERVICES CLEARLY LESSENS THE BURDENS OF THE GOVERNMENT BY ALLEVIATING THE FEDERAL GOVERNMENT FROM HAVING TO DIRECTLY PROVIDE THESE MEDICAL SERVICES. AS DEMONSTRATED AND CALCULATED ON FORM 990, SCHEDULE H, PART III, LINES 5, 6 AND 7, OUR MEDICARE ""ALLOWABLE COSTS"" CLEARLY EXCEED THE PAYMENTS WE RECEIVE FOR PROVIDING THESE MEDICAL SERVICES UNDER THE MEDICARE PROGRAM. BY ABSORBING THE MEDICARE SHORTFALL COSTS WE ARE PROVIDING A COMMUNITY BENEFIT AS WELL AS EASING THE BURDEN OF THE FEDERAL GOVERNMENT HAVING TO COVER THESE COSTS.TO ARRIVE AT THE FORM 990, SCHEDULE H, PART III, LINE 6 AMOUNT, WE USED ACTUAL MEDICARE CHARGES FROM INTERNAL RECORDS AND APPLIED AN ESTIMATED COST TO CHARGE RATIO TO DETERMINE THE MEDICARE ALLOWABLE COSTS. THE ESTIMATED MEDICARE COST TO CHARGE RATIO IS THE PRIOR PERIOD MEDICARE COST REPORT COST TO CHARGE RATIO."

PART III, LINE 9B:
AN INTEGRAL COMPONENT OF OUR MISSION IS TO BE GOOD FINANCIAL STEWARDS. THIS REQUIRES US TO DETERMINE WHICH PATIENTS ARE IN NEED OF CHARITY CARE AND WHICH ARE ABLE TO CONTRIBUTE SOME PAYMENT FOR CARE RECEIVED. WEMAINTAIN A BALANCE THAT ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TOTHOSE WHO NEED IT MOST AND ENSURE THAT WE MANAGE OUR RESOURCES SOWE CAN CONTINUE TO BE HERE WHEN PEOPLE NEED US MOST. THE ORGANIZATION NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND DISCHARGE. IN ADDITION, THE PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS. PATIENTS ARE CONTACTED MULTIPLE TIMES ABOUT UNPAID BALANCES PRIOR TO INITIATING ANY COLLECTION ACTION. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION PROCESS, THE ACCOUNT IS RECLASSIFIED AS FINANCIAL ASSISTANCE AND DEBT COLLECTION EFFORTS ARE CEASED.

PART VI, LINE 2:
IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT, ST. MARY'S PERIODICALLY ENGAGES OUTSIDE CONSULTATION TO ASSESS SPECIFIC HEALTHCARE ISSUES DEVELOPING IN THE COMMUNITY.ST MARY'S UTILIZED DATA FROM THE COLORADO HOSPITAL ASSOCIATION TO ASSESS SERVICES LEAVING MESA COUNTY AND WESTERN COLORADO FOR DENVER. RESEARCH REVEALED OPPORTUNITIES TO STRENGTHEN LOCALLY BASED SERVICES WHICH HELPS FAMILIES ACCESS EXISTING SUPPORT STRUCTURES IN TIMES OF NEED.ST. MARY'S RECEIVED CONSULTATION DATA AND RESEARCH INFORMATION FROM SG2 HEALTHCARE INTELLIGENCE TO ANALYZE PREVALENCE AND UTILIZATION RATES TO FACILITATE COMPARISONS WITH COUNTY, STATE, OR NATIONAL TRENDS.ST MARY'S REVIEWED VARIOUS REPORTS FROM COMMUNITY PARTNERS TO ENHANCE KNOWLEDGE OF COMMUNITY NEEDS AND AVAILABLE RESOURCES THUS GUIDING OUR NEED FOR ACTION.

PART VI, LINE 3:
THE ORGANIZATION NOTIFIES PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND PRIOR TO DISCHARGE. NOTICES ABOUT THE FINANCIAL ASSISTANCE POLICY ARE DISPLAYED THROUGHOUT THE HOSPITAL. IN ADDITION, PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS AND THROUGH THE PATIENT PORTAL, MYCHART. THE FINANCIAL ASSISTANCE POLICY AND APPLICATION ARE POSTED ON THE HOSPITAL'S WEBSITE. THE POLICY AND APPLICATION ARE ALSO AVAILABLE UPON REQUEST. THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE AND/OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN, PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS.

PART VI, LINE 4:
MESA COUNTY, THE 2021 CHNA DEFINED COMMUNITY, IS LOCATED ON THE WESTERN BORDER OF COLORADO, 250 MILES WEST OF DENVER. THE COUNTY, ONE OF 64 IN COLORADO, SPANS 3,313 SQUARE MILES. THE GRAND VALLEY, WHICH IS THE MOST DENSELY POPULATED AREA ON COLORADO'S WESTERN SLOPE, COVERS MORE THAN 38 SQUARE MILES AND HAS AN ELEVATION OF 4,586 FEET. MESA COUNTY INCLUDES THE CITIES OF GRAND JUNCTION AND FRUITA, THE TOWNS OF COLLBRAN, DEBEQUE, AND PALISADE, AND SMALLER UNINCORPORATED AREAS.POPULATION: THE ESTIMATED POPULATION OF MESA COUNTY IN 2019 IS 151,218.GENDER: MALE 49.3% FEMALE 50.7%.AGE: MEDIAN AGE- 39.7 YEARS. RACIAL AND ETHNIC DIVERSITY: WHITE 79.5%, HISPANIC/LATINO 14.5%, REMAINDER OF POPULATION IS BLACK/AFRICAN AMERICAN, AMERICAN INDIAN/ALASKA NATIVE, AND ASIAN.EDUCATION: 90.1% OF PERSONS AGE 25+ARE HIGH SCHOOL GRADUATES OR HIGHER AND 29.8% OF PERSONS AGE 25 AND OLDER HAVE EARNED A BACHELOR'S DEGREE OR HIGHER.ECONOMICS: THE MEDIAN HOUSEHOLD INCOME IN 2019 WAS $55,379 AS COMPARED TO THE STATE AVERAGE OF $72,331. THE PERCENTAGE OF PERSONS LIVING IN POVERTY IN MESA COUNTY IS 14.2% COMPARED TO THE STATE AVERAGE OF 10.3%.LIFE EXPECTANCY: IN MESA COUNTY THE OVERALL LIFE EXPECTANCY IS 78.8 YEARS, IN COLORADO IT IS 80.5.

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IN 2020 ST MARY'S PLEDGED THREE MILLION DOLLARS TO COLORADO MESA UNIVERSITY FOR A NEW HEALTH SCIENCES CENTER TO ADVANCE PATHWAYS TO ECONOMIC STABILITY THROUGH HEALTH PROFESSIONS EDUCATION. PHYSICIAN ASSISTANT, OCCUPATIONAL THERAPY, AND PHYSICAL THERAPY PROGRAMS ARE HOUSED IN THE 24,000 SQ. FT. FACILITY THAT OPENED ITS DOORS IN 2021.ST. MARY'S IS DEDICATED TO PROVIDING SPECIALIZED SERVICES, EXPERIENCED PROFESSIONALS, AND THE LATEST IN TECHNIQUES AND TECHNOLOGY CLOSE TO HOME FOR THE PEOPLE OF WESTERN COLORADO AND EASTERN UTAH. COMMUNITY ACTIVITIES INCLUDE A VARIETY OF CLASSES ON WEIGHT MANAGEMENT, DIABETES EDUCATION, HEALTHY SPINE /BACK PAIN, SUPPORT GROUPS FOR CANCER PATIENTS AND THEIR CAREGIVERS, STOP THE BLEED TRAINING, CLASSES FOR PROSPECTIVE PARENTS, AND EDUCATING ON KIDS SAFETY AT KIDSFEST, HEALTHY KIDS GROUP AS EXAMPLES.ST. MARY'S RELIES ON THE GENEROSITY OF VOLUNTEERS. VOLUNTEERS WORK IN THE HOSPITAL AND THROUGHOUT THE COMMUNITY PROVIDING THE FRIENDLY FACE AND PERSONAL TOUCH PATIENTS AND THEIR FAMILIES NEED DURING A STRESSFUL TIME. VOLUNTEERS WERE PLACED ON LEAVE IN 2020 AND HAVE SLOWLY RETURNED TO FILL ESSENTIAL, LOW RISK POSITIONS. IN 2021: 150 TOTAL ACTIVE VOLUNTEERS DELIVERING OVER 17,562 HOURS OF SERVICE (THIS IS THE EQUIVALENT OF 8 FTES). IN 2021 THE COMMUNITY TRANSFORMATION GROUP, COMPRISED OF MORE THAN 60 ORGANIZATIONS, INCLUDING ST. MARY'S, CONTINUED WORKING ON TRANSFORMING OUR COMMUNITY BY FOCUSING ON THE CLIFTON COMMUNITY. CLIFTON HAS APPROXIMATELY 20,000 RESIDENTS AND IS THE SECOND MOST POPULATED AREA IN MESA COUNTY. IT IS, HOWEVER, UNINCORPORATED. AS SUCH, THE INFRASTRUCTURE THAT SUPPORTS CIVIC ENGAGEMENT, COMMUNITY TIES, AND A SENSE OF IDENTITY AND PRIDE ARE LARGELY MISSING. CLIFTON RESIDENTS AND MULTIPLE COMMUNITY-BASED ORGANIZATIONS RECOGNIZED AN OPPORTUNITY TO STRENGTHEN CONNECTIONS AND IMPROVE OUTCOMES FOR YOUTH, AS WELL AS COMMUNITY MEMBERS OF ALL AGES, THROUGH THE COMMUNITIES THAT CARE (CTC) PROCESS. THROUGH THIS PROCESS WE HAVE GAINED A DEEPER UNDERSTANDING OF THE EXPERIENCE OF LIVING IN CLIFTON AND A GREATER APPRECIATION FOR THE STRENGTHS AND RESILIENCE OF ITS RESIDENTS. AS A LOWER-INCOME COMMUNITY FACING BOTH SOCIO-ECONOMIC CHALLENGES AND LONG-STANDING STIGMA, CLIFTON IS RIPE FOR A PROCESS THAT PRIORITIZES RESIDENT LEADERSHIP AND AUTHENTIC CONNECTIONS TO CREATE CHANGE. PARTICIPANTS ARE MOTIVATED TO HIGHLIGHT AND BUILD UPON THE MANY POSITIVE CHARACTERISTICS OF THE COMMUNITY.THE COMMUNITY TRANSFORMATION GROUP STEERING COMMITTEE ENGAGED IN PRODUCTIVE CONVERSATION WITH THE NEWLY FORMED CLIFTON COMMUNITY OUTREACH GROUP TO LEARN ABOUT THE DESIRED NEEDS OF THE CLIFTON COMMUNITY. WITH DATA GATHERED BY THE CLIFTON OUTREACH GROUP OUR TRANSFORMATION COMMITTEE DRAFTED TWO LONG TERM GOALS, WITH ST. MARY'S REPRESENTATION, THIS GROUP PARTICIPATED IN VISIONING & STRATEGIC CONVERSATION WITH CLIFTON RESIDENTS AND THE TRUST FOR PUBLIC LAND. THIS PROCESS RESULTED IN THE SUBMISSION OF A GRANT APPLICATION WITH GREATER OUTDOORS COLORADO. THIS GRANT WILL CENTER ON ADDRESSING SOCIAL DETERMINANTS OF HEALTH AND FOSTERING PREVENTIVE MEASURES IN THE COMMUNITY RATHER THAN THOSE WHICH ARE REACTIVE AND POSTVENTION IN NATURE. RESULTS FROM SOME OF OUR 2021 ACTIVITIES INCLUDED:-SUCCESSFUL 3RD ANNUAL COMMUNITY CLEANUP PROJECT - MORE THAN 344 TONS OF TRASH AND DEBRIS COLLECTED DURING ONE FALL CLEAN UP PROJECT CREATING A SAFER ENVIRONMENT FOR COMMUNITY-FOOD SECURITY - COLLABORATIVE EFFORT IN THE DEVELOPMENT OF THE BLUEPRINT TO END HUNGER INITIATIVE AND PARTICIPATION IN IDENTIFYING INDIVIDUALS AND/OR HOUSEHOLDS EXPERIENCING A FOOD CRISIS. -ST MARY'S HAD REPRESENTATIVES FROM PATTERSON PRIMARY CARE, FAMILY MEDICINE, BREAST CARE CENTER, SPIRITUAL CARE, AND SENIOR PROGRAMS AT THE 1ST CONVOY OF HOPE OUTREACH EVENT IN THE FALL. WE WERE ABLE TO PROVIDE BASIC SCREENINGS FOR CLIFTON RESIDENTS WITH REGARD TO DIABETES, BLOOD PRESSURE, BREAST CARE, AND ADVANCED CARE PLANNING.-ROCKY MOUNTAIN ELEMENTARY PARTNERSHIP - ACTIVE MEMBERS OF THE TRANSFORMATION COMMITTEE WITH PARTICIPATION OF ST MARY'S OFFERED HEALTH & WELLNESS SATURDAYS FOR THE FAMILIES AND NEIGHBORS OF ROCKY MOUNTAIN ELEMENTARY. SOME OF THE TOPICS FOR DISCUSSION INCLUDED BASIC FIRST AID AND SOCIAL WELL BEING. ADDITIONALLY, WE HELD AN EVENING OF EDUCATION AT CANDLEWOOD MOBILE HOME PARK WHERE WE PROVIDED EDUCATION REGARDING TRAUMA & SUICIDE PREVENTION, HOW TO SCHEDULE A MAMMOGRAPHY, BASIC BREAST CARE, SENIOR PROGRAMS, AND SPIRITUAL CARE. WE MET A WIDE VARIETY OF THE COMMUNITY AND HEARD MANY STORIES OF STRUGGLE. IN PARTICULAR WE HELPED A WOMAN SCHEDULE A MAMOGRAM WHO WAS TEARFUL, FEARING THAT SHE HAS DEVELOPED BREAST CANCER AND AN 11-YEAR-OLD BOY WHO EXPLAINED THAT HE HAD BEEN THINKING ABOUT SUICIDE IN THE RECENT PAST. -ESTABLISHING SMART STRATEGIES BASED ON THE NEEDS IDENTIFIED IN A CLIFTON COMMUNITY OUTREACH SURVEY, ANALYSIS OF THE CDPHE COMMUNITY HEALTH EQUITY MAP, HEALTHY KIDS COLORADO SURVEY RESULTS, AND A RISK ANALYSIS OF THE COMMUNITY. - THE TRANSFORMATION COMMITTEE WITH THE DATA INPUT OF CLIFTON COMMUNITY OUTREACH STRATEGICALLY CHOSE TWO STRATEGIES TO MOVE FORWARD IN 2021 THRU 2024. FIRST, BUILD PUBLIC SUPPORT FOR CREATING COMMUNITY SPACES. SECOND, BUILD COMMUNITY SUPPORT TO ALTER THE PHYSICAL ENVIRONMENT. BOTH STRATEGIES ALIGN WITH THE COMMUNITY OUTREACH GOALS FOR A HEALTHY, SUSTAINED, AND SUPPORTIVE ENVIRONMENT, PLUS ADDRESS SOCIAL DETERMINANTS OF HEALTH & ALIGN WITH OUR COMMUNITY HEALTH NEEDS ASSESSMENT.FOCUSING ON OUR AGING POPULATION, ST. MARY'S SPONSORS MEALS ON WHEELS OF MESA COUNTY, AN UNDUPLICATED NUTRITIONAL MEAL PROGRAM FOR SENIORS, PROVIDING HOME DELIVERY AND OFFERING NINE REGIONAL DINING SITES EVERY WEEKDAY TO THE FRAIL AND HOMEBOUND IN MESA COUNTY. IN 2021: -195,420 MEALS SERVED-1,460 UNDUPLICATED CLIENTS-30 DAILY ROUTES-MORE THAN 200,000 MILES LOGGED ST. MARY'S SPONSORS THE AMERICORPS SENIORS FOSTER GRANDPARENT PROGRAM, A VOLUNTEER PROGRAM HELPING ACTIVE SENIOR ADULTS SERVE AS ROLE MODELS, MENTORS AND FRIENDS TO CHILDREN WITH EXCEPTIONAL NEEDS THUS IMPROVING THE LIVES OF CHILDREN IN THE COMMUNITY. THEIR SERVICE HELPS CHILDREN WHO ARE AT-RISK AND NEEDING ONE-ON-ONE TUTORING AND MENTORING. IN 2021, VOLUNTEERS WERE ABLE TO RESUME SERVING IN THE COMMUNITY STARTING WITH THE NEW SCHOOL YEAR.ST. MARY'S SPONSORS THE AMERICORPS SENIORS SENIOR COMPANION PROGRAM, A PROGRAM PROVIDING SUPPORT AND FRIENDSHIP TO THOSE WHO NEED ASSISTANCE WITH MEDICAL APPOINTMENTS, GROCERY SHOPPING, ERRANDS AND OTHER EVERYDAY TASKS NECESSARY TO MAINTAINING INDEPENDENCE. WITHOUT THIS HELP AND FRIENDSHIP, MANY OLDER ADULTS WOULD BE FORCED TO LEAVE THEIR HOMES FOR ASSISTED LIVING FACILITIES OR NURSING HOMES. IN 2021:-23 VOLUNTEERS-14,720 VOLUNTEER HOURS-57,154 MILES DRIVEN-109 UNDUPLICATED CLIENTS SERVED-82% OF CLIENTS REPORTED DECREASED FEELINGS OF BOREDOM, LONELINESS, OR SADNESS -87% OF CLIENTS MAINTAINED/IMPROVED ABILITY TO LIVE INDEPENDENTLY-100% OF CLIENTS MAINTAINED/IMPROVED QUALITY OF LIFEST. MARY'S ROSE HILL HOSPITALITY HOUSE PROVIDES PATIENTS AND FAMILIES WITH CLOSE, SAFE AND AFFORDABLE ACCOMMODATIONS WHILE RECEIVING TREATMENT AT ST. MARY'S. IN 2021:-1,124 GUEST STAYS-6,296 NIGHTSST. MARY'S PROVIDES MEDICAL TRAINING EDUCATION FOR SEVERAL PROFESSIONS INCLUDING: FAMILY MEDICINE RESIDENCY, NURSING STUDENTS, RADIOLOGY STUDENTS, AND OFFER OTHER HEALTH CARE PROFESSIONALS WORKING TOWARDS COMPLETION OF A PROGRAM. STUDENTS FROM PROGRAMS AT OUR LOCAL UNIVERSITY AS WELL AS FROM PROGRAMS OUTSIDE MESA COUNTY WHO COMPLETE CLINICAL ROTATIONS AT ST. MARY'S. THIS INVESTMENT ENSURES PROVIDERS WILL BE PREPARED TO CARE FOR FUTURE GENERATIONS. ST. MARY'S PROVIDED $2,585,369 IN HEALTH PROFESSION EDUCATIONIN 2021, ST. MARY'S CONTINUED TO PROVIDE INCREASING COMMUNITY BENEFIT TO INCLUDE TRADITIONAL CHARITY CARE AND THE UNPAID COST OF MEDICAID. OUR BOARD OF DIRECTORS REPRESENTS MEDICAL AND BUSINESS PROFESSIONALS, AND ALL PROVIDE HOURS OF SERVICE IN SUPPORT OF OUR HOSPITAL.

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"THE ORGANIZATION IS A CONTROLLED ENTITY OF THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). SCLHS AND ITS AFFILIATED ENTITIES HAVE A COMMON CALLING AND MISSION: ""WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE."" WE STRIVE TO PROVIDE HIGH-QUALITY, COMPASSIONATE AND AFFORDABLE HEALTHCARE IN EACH OF OUR HOSPITAL SITES AND THEIR RESPECTIVE COMMUNITIES, AS WELL AS IN A VARIETY OF OUTPATIENT SETTINGS AND IN THE HOME. SCLHS IS A FAITH-BASED, NONPROFIT HEALTHCARE ORGANIZATION THAT OPERATES EIGHT HOSPITALS, TWO SAFETY NET CLINICS, ONE CHILDREN'S MENTAL HEALTH CENTER, HOME HEALTH AND MORE THAN 200 PHYSICIAN CLINICS IN THREE STATES - COLORADO, KANSAS AND MONTANA. THE HEALTH SYSTEM INCLUDES MORE THAN 15,700 EMPLOYEES AND MORE THAN 500 EMPLOYED PHYSICIANS.AS OUR HEALTH SYSTEM GROWS, WE'RE LEVERAGING THAT GROWTH TO ACHIEVE BENEFITS OF SCALE - IDENTIFYING COST AND OTHER ADVANTAGES THAT WE GAIN DUE TO OUR SIZE. WE'RE ALSO WORKING TO STREAMLINE AND UNIFY OUR SYSTEM-WIDE PROCESSES TO ELIMINATE COSTLY DUPLICATION OF EFFORT. WE ACTIVELY ENCOURAGE OUR PEOPLE TO PURSUE CREATIVE IDEAS THAT IMPROVE EFFICIENCY, SERVICE AND THE OVERALL CARE EXPERIENCE. WHEN OUR ASSOCIATES OR LEADERSHIP TEAMS IDENTIFY BEST PRACTICES IN ANY AREA OF CARE, WE RAPIDLY REPLICATE THOSE ACROSS ALL CARE SITES.THE ORGANIZATION PROMOTES THE HEALTH OF THE COMMUNITY BY DELIVERING DIRECT HIGH QUALITY HEALTHCARE SERVICES THAT ARE RESPONSIVE TO THE NEEDS OF ITS PATIENTS AND THEIR FAMILIES. THIS INCLUDES COORDINATING COMMUNITY BENEFIT PROCESSES, PROVIDING GUIDANCE WITH COMMUNITY NEEDS ASSESSMENTS, AND ESTABLISHING CONSISTENT FINANCIAL ASSISTANCE AND CHARITY CARE POLICIES AND PROCEDURES. ADDITIONALLY, SCLHS BENEFITS AFFILIATES THROUGH QUALITY IMPROVEMENT AND PERFORMANCE EXCELLENCE INITIATIVES; SYSTEM-WIDE INFORMATION TECHNOLOGY IMPLEMENTATION AND INFRASTRUCTURE; STRATEGIC AND OPERATIONS DIRECTION AND OVERSIGHT; SUPPLY CHAIN MANAGEMENT AND PURCHASING; FINANCE ADMINISTRATION, REVENUE CYCLE SUPPORT, BENEFITS ADMINISTRATION, RISK MANAGEMENT; DISASTER PLANNING AND CRISIS ASSISTANCE, CENTRAL CASH MANAGEMENT AND INVESTMENT, INTERNAL AUDIT, LEGAL SERVICES, TAX SERVICES AND MISSION INTEGRATION."