4A (Expenses $ 205640905 including grants of $ 47498) (Revenue $ 250209282)
SAINT ALPHONSUS MEDICAL CENTER-NAMPA (SAMC-NAMPA) IS A COMMUNITY HOSPITAL LOCATED IN NAMPA, IDAHO, WHOSE HISTORY STARTS ALMOST 100 YEARS AGO WHEN THE SISTERS OF MERCY BEGAN PROVIDING CARE TO THE COMMUNITY. SAMC-NAMPA IS A 106-BED ACUTE CARE HOSPITAL OFFERING STATE-OF-THE-ART, BEST-IN-CLASS HEALTH CARE TO RESIDENTS OF CANYON COUNTY. SAMC-NAMPA OFFERS A FULL RANGE OF SERVICES IN AN INPATIENT AND OUTPATIENT SETTING AS WELL AS 24-HOUR EMERGENCY CARE, SURGICAL SERVICES, CANCER CARE, CARDIOLOGY AND HEART CARE, DIABETES CARE AND EDUCATION, AND PHYSICAL AND OCCUPATIONAL THERAPY, AMONG MANY OTHER SERVICES. PLEASE SEE SCHEDULE H AND VISIT OUR WEBSITE FOR ADDITIONAL INFORMATION ABOUT SERVICES, RECOGNITIONS AND AWARDS: WWW.SAINTALPHONSUS.ORG/LOCATION/SAINT-ALPHONSUS-MEDICAL-CENTER-NAMPA-1

SAINT ALPHONSUS MEDICAL CENTER-NAMPA
PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E:SAINT ALPHONSUS MEDICAL CENTER-NAMPA (SAMC-NAMPA) INCLUDED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS, WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH THIS COMMUNITY-INVOLVED SELECTION PROCESS: 1. AFFORDABLE, SAFE HOUSING AND HOMELESSNESS: AFFORDABLE AND MIXED-INCOME HOUSING DEVELOPMENT AND AVAILABILITY; HOMELESSNESS PREVENTION AND MITIGATION2. WAGES AND JOB AVAILABILITY: MINIMUM WAGE; UNEMPLOYMENT RATES; AVAILABILITY OF JOBS OVER $20/HOUR3. COST OF LIVING: COST OF HOUSING, TRANSPORTATION, FOOD, CHILDCARE, ETC. FOR RESIDENTS; POVERTY AND ALICE RATES4. MENTAL HEALTH AND WELL-BEING AND SUBSTANCE USE: ACCESS AND AVAILABILITY OF MENTAL HEALTH SERVICES; HARMFUL SUBSTANCE, TOBACCO, VAPE AND ELECTRONIC CIGARETTE USE RATES5. ACCESS TO AFFORDABLE HEALTH CARE, INCLUDING BEHAVIORAL AND DENTAL HEALTH: ACCESS TO PHYSICAL, BEHAVIORAL AND ORAL HEALTH CARE; AVAILABILITY OF LINGUISTICALLY AND CULTURALLY APPROPRIATE SERVICES6. EDUCATION, INCLUDING HIGH-QUALITY EARLY CHILDHOOD EDUCATION: ACCESS TO AND AVAILABILITY OF AFFORDABLE, HIGH-QUALITY CHILD EARLY CHILDHOOD EDUCATION (I.E. PRE-K) AS WELL AS K-12 AND POST-SECONDARY EDUCATION OPPORTUNITIES

SAINT ALPHONSUS MEDICAL CENTER-NAMPA
PART V, SECTION B, LINE 5: THE CHNA WAS CONDUCTED BETWEEN AUGUST 2019 AND JUNE 2020 IN PARTNERSHIP WITH THE UNITED WAY OF TREASURE VALLEY (UWTV); IT WAS APPROVED BY THE BOARD ON JUNE 15, 2020. UWTV ORGANIZED A COMMUNITY ASSESSMENT SPONSOR GROUP COMPRISED OF SAINT ALPHONSUS HEALTH SYSTEM (SAHS), TRINITY HEALTH TRANSFORMING COMMUNITIES INITIATIVE, AND JPMORGAN CHASE & CO. ADDITIONAL ADVISORY GROUP MEMBERS INCLUDED: IDAHO DEPARTMENT OF HEALTH AND WELFARE, SOUTHWEST DISTRICT HEALTH, CENTRAL DISTRICT HEALTH, VALLEY REGIONAL TRANSIT, CITY OF CALDWELL, CITY OF BOISE, GENESIS COMMUNITY HEALTH, CATCH, WOMEN'S AND CHILDREN'S ALLIANCE, AARP-IDAHO, IDAHO HOUSING AND FINANCE ASSOCIATION, IDAHO ASSOCIATION FOR THE EDUCATION OF YOUNG CHILDREN, IDAHO VOICES FOR CHILDREN, ST. LUKE'S HEALTH SYSTEM, WESTERN IDAHO COMMUNITY HEALTH COLLABORATIVE, IDAHO ORAL HEALTH ALLIANCE, IDAHO ANTI-TRAFFICKING COALITION AND UWTV. SAHS AND UWTV CONTRACTED WITH HEALTH RESOURCES IN ACTION TO PROVIDE PROJECT MANAGEMENT AND CONSULTATION AS WELL AS DEVELOPMENT OF DATA COLLECTION TOOLS. IN ADDITION, DATA INDICATORS WERE COLLECTED FROM A VARIETY OF SOURCES, INCLUDING THE TRINITY HEALTH DATA HUB, U.S. CENSUS, IDAHO DEPARTMENT OF HEALTH AND WELFARE, AND IDAHO STATE DEPARTMENT OF EDUCATION. ADDITIONAL SELF-REPORTED DEMOGRAPHICS AND HEALTH BEHAVIORS, AS WELL AS OUTCOMES FROM LARGE, POPULATION-BASED SURVEYS SUCH AS BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, COUNTY HEALTH RANKINGS, IDAHO VITAL STATISTICS, AND MANY OTHER SECONDARY DATA SOURCES WERE COLLECTED. LITERATURE REVIEW AND SECONDARY DATA SOURCES WERE USED TO SELECT COLLECTIVE MEASURES/INDICATORS IN THE AREAS OF EDUCATION, FINANCIAL INDEPENDENCE, AND HEALTH AT THE REGIONAL, COUNTY AND CITY LEVEL.ADDITIONAL COMMUNITY INPUT WAS COLLECTED BETWEEN AUGUST 2019 AND APRIL 2020 THROUGH 16 COMMUNITY FOCUS GROUPS WITH POPULATIONS SUCH AS IMMIGRANTS AND REFUGEES, NON-ENGLISH SPEAKERS, LGBTQIA+, OLDER ADULTS, PEOPLE EXPERIENCING HOMELESSNESS AND FOOD INSECURITY AND OTHERS; THROUGH 2,526 RESIDENT SURVEYS; AND THROUGH 25 INTERVIEWS WITH COMMUNITY LEADERS, FRONT LINE STAFF, AND SOCIAL SERVICE AND NONPROFIT ORGANIZATIONS.FOCUS GROUP HOSTS INCLUDED THE FOLLOWING ORGANIZATIONS SERVING IMPACTED POPULATIONS: LIFE'S KITCHEN, NOTUS ELEMENTARY, ELMORE COUNTY HEALTH COALITION, INTERNATIONAL RESCUE COMMITTEE, CENTRAL DISTRICT HEALTH YOUTH BEHAVIORAL COMMITTEE, WESTERN IDAHO COMMUNITY ACTION PARTNERSHIP (WICAP), OWYHEE COMMUNITY HEALTH ACTION TEAM, UNITED WAY OF TREASURE VALLEY BUSINESS PARTNERS, IDAHO COMMUNITY HEALTH WORKERS ASSOCIATION, CATCH, JESSE TREE OF IDAHO, BOISE SCHOOL DISTRICT, SACAJAWEA ELEMENTARY, GENESIS COMMUNITY HEALTH PATIENT ADVISORY BOARD, GEM COUNTY COMMUNITY HEALTH ACTION TEAM, LBGTQIA+ VOLUNTEERS, AND MERCY HOUSING SENIOR. COMMUNITY INTERVIEWS INCLUDED THE FOLLOWING ORGANIZATION PARTICIPANTS: ADA COUNTY PARAMEDICS, ADA COUNTY COMMISSIONER, ALLIES LINKED FOR THE PREVENTION OF HIV AND AIDS, BOISE SCHOOL DISTRICT, BOISE STATE UNIVERSITY, BOYS & GIRLS CLUBS ADA, BOYS & GIRLS CLUBS NAMPA, CALDWELL HOUSING AUTHORITY, CATCH, CITY OF BOISE, CITY OF CALDWELL, ECONOMIC OPPORTUNITY-JANNUS, ELMORE COUNTY COMMISSIONERS, GENESIS COMMUNITY HEALTH, GLENNS FERRY, IDAHO ANTI-TRAFFICKING COALITION, IDAHO ASSOCIATION FOR THE EDUCATION OF YOUNG CHILDREN, IDAHO BUSINESS FOR EDUCATION, IDAHO COMMISSION ON AGING, IDAHO FOODBANK, IDAHO HOUSING AND FINANCE ASSOCIATION, IDAHO ORAL HEALTH ALLIANCE, IDAHO SUICIDE PREVENTION HOTLINE, INTERNATIONAL RESCUE COMMITTEE, JESSE TREE OF IDAHO, SOUTHWEST DISTRICT HEALTH, SPEEDY FOUNDATION, VALLEY REGIONAL TRANSIT, WESTERN IDAHO COMMUNITY HEALTH COLLABORATIVE, WICAP HEADSTART, WOMEN'S AND CHILDREN'S ALLIANCE, AND WYAKIN FOUNDATION.

SAINT ALPHONSUS MEDICAL CENTER-NAMPA
PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED IN PARTNERSHIP WITH SAINT ALPHONSUS REGIONAL MEDICAL CENTER.

SAINT ALPHONSUS MEDICAL CENTER-NAMPA
PART V, SECTION B, LINE 6B: THE CHNA WAS ALSO CONDUCTED IN PARTNERSHIP WITH THE UNITED WAY OF TREASURE VALLEY, TRINITY HEALTH TRANSFORMING COMMUNITIES INITIATIVE AND JPMORGAN CHASE & CO.

SAINT ALPHONSUS MEDICAL CENTER-NAMPA
"PART V, SECTION B, LINE 11: THE CHNA WAS CONDUCTED AND POSTED BY THE END OF FISCAL YEAR 2020; AN UPDATED IMPLEMENTATION STRATEGY WAS ADOPTED IN AUGUST 2020 FOR FISCAL YEARS 2021-2023. THESE DOCUMENTS WILL GUIDE THE COMMUNITY BENEFIT WORK FOR TAX YEARS 2020-2022. IN FISCAL YEAR 2022 (FY22), SAMC-NAMPA DEVELOPED AND/OR SUPPORTED INITIATIVES TO IMPROVE THE FOLLOWING HEALTH NEEDS:AFFORDABLE, SAFE HOUSING AND HOMELESSNESS: IN FY22, SAMC-NAMPA PROVIDED SUPPORT TO JESSE TREE TO PROVIDE RENTAL ASSISTANCE AND EVICTION AVOIDANCE FOR LOCAL RESIDENTS. SAMC-NAMPA ALSO PARTNERED WITH THE IDAHO HOUSING AND FINANCE ASSOCIATION, R4 CAPITAL AND THE NAMPA SCHOOL DISTRICT TO OPEN NEW AFFORDABLE HOUSING AT CANYON TERRACE APARTMENTS. THE DEVELOPMENT, WHICH OPENED IN JULY 2022, CONSISTS OF 80+ UNITS OF AFFORDABLE HOUSING (60% AMI OR BELOW) WITH 15 UNITS FOR STUDENTS FROM NAMPA SCHOOL DISTRICT EXPERIENCING HOMELESSNESS NEAR THE NAMPA HOSPITAL.COST OF LIVING: IN FY22, SAMC-NAMPA CONTINUED SUPPORT OF THE MEALS ON WHEELS PROGRAM IN NAMPA, WHICH PROVIDES HEALTHY MEALS TO HOMEBOUND SENIORS. SAMC-NAMPA ALSO RELAUNCHED THE GROCERY SHUTTLE IN PARTNERSHIP WITH VALLEY REGIONAL TRANSIT. THE GROCERY SHUTTLE PROVIDES TRANSPORTATION TO HOMEBOUND ADULTS AND OTHERS VIA A WEEKLY ROUTE FROM A FOOD DESERT IN NORTH NAMPA ACROSS TOWN TO TWO GROCERY STORES TO ACCESS AFFORDABLE FOODS AND PRESCRIPTIONS. SAMC-NAMPA PARTNERED IN PLANNING AND PROVIDED INFORMATIONAL RESOURCES TO THE TRAVELING TABLE, A MOBILE FOOD DISTRIBUTION PANTRY ACROSS NEIGHBORHOODS IN NORTH NAMPA. IN ADDITION, SAHS CONTINUED TO DEVELOP A SOCIAL CARE HUB TO ASSESS SOCIAL CARE NEEDS (E.G., HOUSING, FOOD, CHILDCARE, EMPLOYMENT) AND TO MAKE REFERRALS THROUGH COMMUNITY HEALTH WORKERS, AS WELL AS TO SUPPORT THE ADOPTION OF A COMMUNITY RESOURCE DIRECTORY. SAMC-NAMPA INITIATIVES ALSO SUPPORTED THE RIDES 2 WELLNESS PROGRAM IN PARTNERSHIP WITH VALLEY REGIONAL TRANSIT TO PROVIDE TRANSPORTATION FOR HEALTH CARE APPOINTMENTS AT SAINT ALPHONSUS.MENTAL HEALTH AND WELL-BEING AND SUBSTANCE USE: SAMC-NAMPA SUPPORTED PARTICIPATION IN TOBACCO COALITIONS SUCH AS TOBACCO FREE IDAHO ALLIANCE, PROVIDING AN AFFORDABLE LUNG SCREENING PROGRAM, RAISING AWARENESS OF COMMUNITY RESOURCES SUCH AS IDAHO QUITLINE, AND UTILIZING EXISTING FORUMS TO PROVIDE COMMUNITY EDUCATION. SAHS PROVIDED TOBACCO CESSATION COUNSELING THROUGH A TRAINED TOBACCO TREATMENT SPECIALIST. SAMC-NAMPA CONTINUED TO CONDUCT ""QUESTION PERSUADE REFER"" SUICIDE PREVENTION TRAINING FOR STAFF THROUGHOUT THE HEALTH SYSTEM. ACCESS TO AFFORDABLE HEALTH CARE, INCLUDING MENTAL AND ORAL HEALTH CARE: SAMC-NAMPA CONTINUED EFFORTS TO IMPROVE ACCESS TO HEALTH CARE SERVICES FOR LOW-INCOME, UNINSURED AND UNDOCUMENTED INDIVIDUALS IN CANYON COUNTY THROUGH COMMUNITY PARTNERSHIPS ALONG WITH INDIVIDUAL EFFORTS TO REMOVE BARRIERS THAT IMPEDE CARE. TRANSPORTATION BARRIERS CONTINUED TO BE ADDRESSED AS SAHS PROVIDED ACCESS TO COVID-19 VACCINES UTILIZING MOBILE OUTREACH VACCINE CLINICS THROUGHOUT CANYON COUNTY, INCLUDING THE MORE RURAL AREAS.SAMC-NAMPA ACKNOWLEDGES THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE HEALTH NEEDS WHICH IT DEEMED MOST PRESSING, UNDER-ADDRESSED, AND WITHIN ITS ABILITY TO INFLUENCE. SAMC-NAMPA HAS NOT INCLUDED IN THIS PLAN SPECIFIC ACTION ON THE FOLLOWING HEALTH NEEDS. THESE HEALTH NEEDS SURFACED DURING THE QUANTITATIVE AND QUALITATIVE DATA ASSESSMENT PROCESS, BUT WERE NOT SCORED AMONG THE HIGHEST PRIORITY NEEDS:WAGES AND JOB AVAILABILITY: SAMC-NAMPA DID NOT DIRECTLY ADDRESS THIS NEED BECAUSE IT IS ADDRESSED BY OTHER ORGANIZATIONS AND ENTITIES WITHIN THE COMMUNITY AND IS NOT WITHIN THE PURVIEW OF THE HEALTH SYSTEM. EDUCATION, INCLUDING HIGH-QUALITY EARLY CHILDHOOD EDUCATION: SAMC-NAMPA DID NOT DIRECTLY ADDRESS THIS NEED BECAUSE IT IS ADDRESSED BY OTHER ORGANIZATIONS AND IS NOT DIRECTLY WITHIN THE PURVIEW OF THE HEALTH SYSTEM. HOWEVER, SAHS COMMUNITY HEALTH & WELL-BEING (CHWB) STAFF SERVE ON THE BOARD OF THE IDAHO ASSOCIATION FOR THE EDUCATION OF YOUNG CHILDREN AND IDAHO VOICES FOR CHILDREN TO ADVOCATE FOR HIGH-QUALITY CHILDCARE AND EARLY CHILDHOOD EDUCATION. CHWB STAFF ALSO SERVED ON THE 2C KIDS SUCCEED COALITION, WHICH WAS ENGAGED IN AN EARLY CHILDHOOD EDUCATION ASSESSMENT AND STRATEGIC PLANNING PROCESS IN FISCAL YEARS 2020 AND 2021. THE CHWB TEAM ALSO EMPLOYED A SCHOOL NURSE AT ST. PAUL'S CATHOLIC SCHOOL AND MAINTAINED CLOSE PARTNERSHIPS WITH THE NAMPA AND CALDWELL SCHOOL DISTRICTS."

SAINT ALPHONSUS MEDICAL CENTER-NAMPA
PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.

PART V, SECTION B, LINE 7A:
WWW.SAINTALPHONSUS.ORG/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-NEEDS-ASSESSMENT/

PART V, SECTION B, LINE 9:
AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, THE HOSPITAL'S IMPLEMENTATION STRATEGY WAS ADOPTED WITHIN 4 1/2 MONTHS AFTER THE FISCAL YEAR END THAT THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE TO THE PUBLIC.

PART V, SECTION B, LINE 10A:
WWW.SAINTALPHONSUS.ORG/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-NEEDS-ASSESSMENT/IMPLEMENTATION-STRATEGY

PART V, LINE 16A, FAP WEBSITE:
WWW.SAINTALPHONSUS.ORG/FOR-PATIENTS/AFTER-YOUR-VISIT/FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE/PART V, LINE 16B, FAP APPLICATION WEBSITE:WWW.SAINTALPHONSUS.ORG/FOR-PATIENTS/AFTER-YOUR-VISIT/FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE/PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:WWW.SAINTALPHONSUS.ORG/FOR-PATIENTS/AFTER-YOUR-VISIT/FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE/

PART I, LINE 3C:
IN ADDITION TO LOOKING AT A MULTIPLE OF THE FEDERAL POVERTY GUIDELINES, OTHER FACTORS ARE CONSIDERED SUCH AS THE PATIENT'S FINANCIAL STATUS AND/OR ABILITY TO PAY AS DETERMINED THROUGH THE ASSESSMENT PROCESS.

PART I, LINE 6A:
SAINT ALPHONSUS MEDICAL CENTER-NAMPA (SAMC-NAMPA) PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT, WHICH IT SUBMITS TO THE STATE OF IDAHO. IN ADDITION, SAMC-NAMPA REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH (EIN 35-1443425) IN ITS AUDITED FINANCIAL STATEMENTS, AVAILABLE AT WWW.TRINITY-HEALTH.ORG.SAMC-NAMPA ALSO INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE.

PART I, LINE 7:
THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM.

PART I, LN 7 COL(F):
THE FOLLOWING NUMBER, $13,168,065, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F).

PART II, COMMUNITY BUILDING ACTIVITIES:
SAMC-NAMPA STRIVES TO MAKE AN IMPACT FOR THE CITIZENS OF OUR COMMUNITY BY PROVIDING HEALTH CARE EXPERTISE AND MONETARY SUPPORT. IN FY22, SAMC-NAMPA LEADERS AND COLLEAGUES PARTICIPATED IN COALITION BUILDING. SAMC-NAMPA LEADERS AND COLLEAGUES PARTICIPATED IN A VARIETY OF LOCAL NONPROFIT BOARDS AND WORK GROUPS AIMED AT IMPROVING THE HEALTH OF OUR COMMUNITIES, AS WELL AS CREATING IMPORTANT RELATIONSHIPS WITHIN THE COMMUNITY TO ADDRESS EMERGING HEALTH NEEDS AND SOCIAL INFLUENCERS OF HEALTH. LEADERSHIP PARTICIPATION INCLUDED THE NAMPA CHAMBER OF COMMERCE BOARD, CATHOLIC CHARITIES OF IDAHO, IDAHO YOUTH RANCH, AND HEALTHY IMPACT NAMPA COALITION. THE HEALTHY IMPACT NAMPA COALITION WORKED TOWARDS POLICY, SYSTEM, AND ENVIRONMENTAL CHANGE STRATEGIES TO IMPROVE HEALTH IN THE AREAS OF HOUSING AND HOMELESSNESS, EQUITY, FOOD INSECURITY AND TRANSPORTATION.

PART III, LINE 2:
METHODOLOGY USED FOR LINE 2 - ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE. AS A RESULT OF THE PAYMENT AND ADJUSTMENT ACTIVITY BEING POSTED TO BAD DEBT ACCOUNTS, WE ARE ABLE TO REPORT BAD DEBT EXPENSE NET OF THESE TRANSACTIONS.

PART III, LINE 3:
SAMC-NAMPA USES A PREDICTIVE MODEL THAT INCORPORATES THREE DISTINCT VARIABLES IN COMBINATION TO PREDICT WHETHER A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE: (1) SOCIO-ECONOMIC SCORE, (2) ESTIMATED FEDERAL POVERTY LEVEL (FPL), AND (3) HOMEOWNERSHIP. BASED ON THE MODEL, CHARITY CARE CAN STILL BE EXTENDED TO PATIENTS EVEN IF THEY HAVE NOT RESPONDED TO FINANCIAL COUNSELING EFFORTS AND ALL OTHER FUNDING SOURCES HAVE BEEN EXHAUSTED. FOR FINANCIAL STATEMENT PURPOSES, SAMC-NAMPA IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, SAMC-NAMPA IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL.

PART III, LINE 4:
"SAMC-NAMPA IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE PATIENT ACCOUNTS RECEIVABLE, ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS FOOTNOTE FROM PAGE 13 OF THOSE STATEMENTS: ""AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME IS TREATED AS A RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS FOR WHICH THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYERS FOR RETROACTIVE ADJUSTMENTS, ARE RECEIVABLES IF THE RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. FOR PATIENT ACCOUNTS RECEIVABLE, THE ESTIMATED UNCOLLECTABLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT SERVICE REVENUE AND ACCOUNTS RECEIVABLE.THE CORPORATION HAS AGREEMENTS WITH THIRD-PARTY PAYERS THAT PROVIDE FOR PAYMENTS TO THE CORPORATION'S HEALTH MINISTRIES AT AMOUNTS DIFFERENT FROM ESTABLISHED RATES. ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYERS AND OTHER CHANGES IN ESTIMATES ARE INCLUDED IN NET PATIENT SERVICE REVENUE AND ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS, AS FINAL SETTLEMENTS ARE DETERMINED.""PART III, LINE 5:TOTAL MEDICARE REVENUE REPORTED IN PART III, LINE 5 HAS BEEN REDUCED BY THE ONE PERCENT SEQUESTRATION REDUCTION FOR THE PERIOD APRIL 1, 2022 THROUGH JUNE 30, 2022."

PART III, LINE 9B:
THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. CHARITY DISCOUNTS ARE APPLIED TO THE AMOUNTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. COLLECTION PRACTICES FOR THE REMAINING BALANCES ARE CLEARLY OUTLINED IN THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. THE HOSPITAL HAS IMPLEMENTED BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS.

PART VI, LINE 2:
NEEDS ASSESSMENT - SAMC-NAMPA ASSESSES THE HEALTH STATUS OF ITS COMMUNITY, IN PARTNERSHIP WITH COMMUNITY COALITIONS, AS PART OF THE NORMAL COURSE OF OPERATIONS AND MAKES CONTINUOUS EFFORTS TO IMPROVE PATIENT CARE AND THE HEALTH OF THE OVERALL COMMUNITY. TO ASSESS THE HEALTH OF THE COMMUNITY, THE HOSPITAL MAY USE PATIENT DATA, PUBLIC HEALTH DATA, ANNUAL COUNTY HEALTH RANKINGS, MARKET STUDIES AND GEOGRAPHICAL MAPS SHOWING AREAS OF HIGH UTILIZATION FOR EMERGENCY SERVICES AND INPATIENT CARE, WHICH MAY INDICATE POPULATIONS OF INDIVIDUALS WHO DO NOT HAVE ACCESS TO PREVENTATIVE SERVICES OR ARE UNINSURED.

PART VI, LINE 7, REPORTS FILED WITH STATES
ID

PART III, LINE 8:
SAMC-NAMPA DOES NOT BELIEVE ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS IS SIMILAR TO CATHOLIC HEALTH ASSOCIATION RECOMMENDATIONS, WHICH STATE THAT SERVING MEDICARE PATIENTS IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS AND THAT THE EXISTING COMMUNITY BENEFIT FRAMEWORK ALLOWS COMMUNITY BENEFIT PROGRAMS THAT SERVE THE MEDICARE POPULATION TO BE COUNTED IN OTHER COMMUNITY BENEFIT CATEGORIES.PART III, LINE 8: COSTING METHODOLOGY FOR LINE 6 - MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 27, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT.

PART VI, LINE 3:
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - SAMC-NAMPA COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES, FEDERAL, STATE, AND LOCAL GOVERNMENT PROGRAMS, AND OTHER COMMUNITY-BASED CHARITABLE PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING FOR HEALTH CARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. SAMC-NAMPA OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH PATIENT BROCHURES, MESSAGES ON PATIENT BILLS, POSTED NOTICES IN PUBLIC REGISTRATION AREAS INCLUDING EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES. SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE TO APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST PEOPLE IN NEED. INFORMATION REGARDING FINANCIAL ASSISTANCE PROGRAMS IS ALSO AVAILABLE ON HOSPITAL WEBSITES. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN OTHER LANGUAGES AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R), REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITAL. SAMC-NAMPA HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. SAMC-NAMPA MAKES EVERY EFFORT TO ADHERE TO THE POLICY AND IS COMMITTED TO IMPLEMENTING AND APPLYING THE POLICY FOR ASSISTING PATIENTS WITH LIMITED MEANS IN A PROFESSIONAL, CONSISTENT MANNER.

PART VI, LINE 4:
COMMUNITY INFORMATION - SAMC-NAMPA PROVIDES SERVICES PRIMARILY TO RESIDENTS OF CANYON COUNTY (90%), BUT ALSO SERVES ADA AND GEM COUNTIES. SAMC-NAMPA'S PRIMARY SERVICE AREA IS A MIX OF URBAN AND RURAL COMMUNITIES WITHIN THE TREASURE VALLEY, BORDERED BY MOUNTAINOUS TERRAIN AND DESERT. THE POPULATION OF THE HOSPITAL'S PRIMARY SERVICE AREA IS ESTIMATED TO BE ABOUT 230,000 PEOPLE.AREA HOSPITAL FACILITIES WITHIN SAMC-NAMPA'S PRIMARY SERVICE AREA INCLUDE ST. LUKE'S MERIDIAN, ST. LUKE'S NAMPA AND WEST VALLEY MEDICAL CENTER. IN ADDITION, SAINT ALPHONSUS REGIONAL MEDICAL CENTER, TREASURE VALLEY HOSPITAL AND ST. LUKE'S BOISE ARE LOCATED IN ADA COUNTY AND VALOR HEALTH IS LOCATED IN GEM COUNTY.WITH MEDIAN HOUSEHOLD INCOMES OF $52,134 IN CANYON COUNTY, $45,492 IN GEM COUNTY AND $66,293 IN ADA COUNTY, AREA RESIDENTS ARE WITHIN RANGE OF THE STATE MEDIAN OF $55,785. THE POVERTY LEVEL STANDS AT 10.1% IN CANYON COUNTY, 12.7% IN GEM COUNTY AND 9.4% IN ADA, COMPARED TO A STATE AVERAGE OF 11.2% AND A NATIONAL AVERAGE OF 11.4%. SAMC-NAMPA IS LOCATED IN A REGION THAT HAS EXPERIENCED RAPID POPULATION GROWTH OVER THE PAST DECADE, WITH DRAMATIC GROWTH RATES IN CANYON AND ADA COUNTIES, THE TWO LARGEST COUNTIES IN THE SERVICE AREA. OTHER RELEVANT STATISTICS CHARACTERIZING THE HOSPITAL'S PRIMARY SERVICE AREA ARE INCLUDED BELOW (CENSUS.GOV).TOTAL POPULATION (2020): ADA COUNTY - 494,967 (NET MIGRATION RATE OF 26% GROWTH 2010-2020)CANYON COUNTY - 231,105 (NET MIGRATION RATE OF 25.5% GROWTH 2010-2020)GEM COUNTY - 19,123 (NET MIGRATION RATE OF 11.9% GROWTH 2010-2020)PERCENT WHITE PERSONS NOT HISPANIC OR LATINO (2019):ADA COUNTY - 84.3%CANYON COUNTY - 70.0%GEM COUNTY - 87.3%PERCENT HISPANIC/LATINO ORIGIN (2019):ADA COUNTY - 8.5%CANYON COUNTY - 25.6%GEM COUNTY - 8.6%THE REGION SEES A HIGH PREVALENCE OF MENTAL HEALTH ISSUES, WITH INADEQUATE PUBLIC BEHAVIORAL HEALTH SYSTEMS IN PLACE TO MEET THE EXISTING NEEDS FOR BOTH COMMUNITY-BASED AND INPATIENT SERVICES.UPON REVIEW OF DEMOGRAPHIC AND SOCIO-ECONOMIC DATA AND TRENDS, SEVERAL FACTORS CLEARLY HAVE AN IMPACT ON THE HEALTH STATUS OF THE COMMUNITIES SERVED BY SAMC-NAMPA, WITH IMPLICATIONS FOR FUTURE PLANNING. POPULATION GROWTH, ESPECIALLY IN ADA AND CANYON COUNTIES, IS EXPECTED TO CONTINUE, INCLUDING A GROWING HISPANIC POPULATION IN CANYON COUNTY. LANGUAGE OTHER THAN ENGLISH SPOKEN IN THE HOME IS ON THE RISE, REQUIRING GREATER LANGUAGE INTERPRETATION AND HEALTH EDUCATION NEEDS AS WELL.

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OTHER INFORMATION - SAMC-NAMPA SUPPORTS HEALTH CARE WORKFORCE DEVELOPMENT EFFORTS FOR AN ARRAY OF DIFFERENT CLINICAL STUDENTS. IN ADDITION, SAMC-NAMPA SERVES AS A KEY CLINICAL TRAINING SITE FOR STUDENTS ATTENDING BOISE STATE UNIVERSITY, IDAHO STATE UNIVERSITY, NORTHWEST NAZARENE UNIVERSITY, COLLEGE OF WESTERN IDAHO, AND COLLEGE OF SOUTHERN IDAHO, AS WELL AS OTHER SCHOOLS IN THE AREA.HANDS OF HOPE: SAMC-NAMPA DONATED TO HANDS OF HOPE, A FAITH-BASED ORGANIZATION THAT SUPPLIES USED OR USEABLE MEDICAL EQUIPMENT FOR OVERSEAS MISSIONS AND COOPERATES WITH LOCAL AGENCIES TO LOAN EQUIPMENT TO INDIVIDUALS IN NEED THROUGHOUT CANYON COUNTY.MEALS ON WHEELS: SAMC-NAMPA SUPPORTS THE INDEPENDENCE AND NUTRITION NEEDS OF HOMEBOUND SENIORS BY PROVIDING DAILY HOT MEALS TO QUALIFYING INDIVIDUALS. THE MEALS ON WHEELS PROGRAM IS OPERATED BY THE ENTIRE SAINT ALPHONSUS HEALTH SYSTEM.SAINT ALPHONSUS HEALTH SYSTEM'S EMERGENCY PREPAREDNESS EFFORTS ALLOWED FOR A RAPID RESPONSE TO THE ONGOING WAVES OF THE COVID-19 PANDEMIC. IN FY22, THOSE EFFORTS INCLUDED CONTINUED LEADERSHIP ENGAGEMENT WITH LOCAL HEALTH DEPARTMENTS AND OTHER COMMUNITY PARTNERS TO ADDRESS SUPPLY SHORTAGES, PREVENTION OF COMMUNITY SPREAD, AND FACILITY CAPACITY. SAHS PROVIDED PUBLIC MESSAGING AROUND VACCINE SAFETY AND EFFICACY AS WELL AS HOW TO HELP SLOW THE SPREAD OF COVID-19. SAMC-NAMPA WORKED ALONGSIDE COMMUNITY PARTNERS TO HELP PREVENT THE SPREAD OF COVID-19 IN THE POPULATION EXPERIENCING HOMELESSNESS THROUGH DEVELOPMENT OF LOCAL QUARANTINE AND ISOLATION PROCESSES. SAHS PROVIDED FREE COVID-19 VACCINE CLINICS TO UNDERSERVED AND RURAL AREAS THROUGHOUT THE CANYON COUNTY'S PUBLIC HEALTH DISTRICT. THESE CLINICS SERVED PEOPLE EXPERIENCING HOMELESSNESS, AS WELL AS MIGRANT FARMWORKER COMMUNITIES WHO WOULD OTHERWISE HAVE HAD DIFFICULTY ACCESSING THE VACCINE.

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SAMC-NAMPA IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH'S COMMUNITY HEALTH AND WELL-BEING (CHWB) STRATEGY PROMOTES OPTIMAL HEALTH FOR PEOPLE EXPERIENCING POVERTY AND OTHER VULNERABILITIES IN THE COMMUNITIES WE SERVE BY CONNECTING SOCIAL AND CLINICAL CARE, ADDRESSING SOCIAL NEEDS, DISMANTLING SYSTEMIC RACISM, AND REDUCING HEALTH INEQUITIES. WE DO THIS BY: 1. INVESTING IN OUR COMMUNITIES, 2. ADVANCING SOCIAL CARE, AND 3. IMPACTING SOCIAL INFLUENCERS OF HEALTH.TO FURTHER OUR STRATEGY IN FISCAL YEAR 2022 (FY22), CHWB LAUNCHED TWO TRAINING SERIES TO ADVANCE HEALTH AND RACIAL EQUITY IN OUR COMMUNITIES.1. CHWB LEADER SERIES TO ADVANCE HEALTH AND RACIAL EQUITY: A YEAR-LONG PEER LEARNING SERIES TO BUILD THE CAPACITY OF OUR CHWB LEADERS TO DELIVER ON OUR CHWB STRATEGY WITH A FOCUS ON COMMUNITY LEADERSHIP AND ENGAGEMENT, AND THE USE OF A RACIAL EQUITY LENS IN ALL OF OUR DECISION MAKING. 2. COMMUNITY ENGAGEMENT TO ADVANCE RACIAL JUSTICE - PREPARING FOR IMPLEMENTATION STRATEGY: A FOUR-PART SERIES ON ENGAGING OUR COMMUNITIES IN MEANINGFUL WAYS USING A HEALTH EQUITY AND RACIAL EQUITY LENS TO BUILD LASTING PARTNERSHIPS AND IMPACTFUL IMPLEMENTATION STRATEGIES.INVESTING IN OUR COMMUNITIES - TRINITY HEALTH AND ITS MEMBER HOSPITALS ARE COMMITTED TO THE DELIVERY OF PEOPLE-CENTERED CARE AND SERVING AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN THE COMMUNITIES THEY SERVE. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITIES AND IS COMMITTED TO ADDRESSING THE UNIQUE NEEDS OF EACH COMMUNITY. IN FY22, TRINITY HEALTH CONTRIBUTED $1.37 BILLION IN COMMUNITY BENEFIT SPENDING TO AID THOSE WHO ARE VULNERABLE AND LIVING IN POVERTY, AND TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES IN WHICH WE SERVE. SOME EXAMPLES OF THESE INVESTMENTS INCLUDE: TRINITY HEALTH AWARDED OVER $1.6 MILLION IN COMMUNITY GRANTS THAT DIRECTLY ALIGN WITH INTERVENTIONS AND LOCAL PARTNERSHIPS IDENTIFIED IN ITS MEMBER HOSPITALS' COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IMPLEMENTATION STRATEGIES, INCLUDING ACCESS TO HEALTH CARE, MENTAL HEALTH, TRANSPORTATION, COMMUNITY ENGAGEMENT, FOOD ACCESS, AND HOUSING SUPPORTS. WITH A $1.2 MILLION INITIAL INVESTMENT, TRINITY HEALTH LAUNCHED ROUND 2 OF THE TRANSFORMING COMMUNITIES INITIATIVE (TCI), A FIVE-YEAR, INNOVATIVE FUNDING AND TECHNICAL ASSISTANCE INITIATIVE, PARTNERING WITH COMMUNITY-BASED ORGANIZATIONS AND RESIDENTS TO ADVANCE HEALTH AND RACIAL EQUITY IN NINE OF OUR COMMUNITIES EXPERIENCING HIGH POVERTY AND OTHER VULNERABILITIES. HEALTH MINISTRIES RECEIVING TCI FUNDING ARE COLLABORATING WITH A LOCAL MULTI-SECTOR COLLABORATIVE TO DEVELOP AND IMPLEMENT EVIDENCE-BASED STRATEGIES THAT ADVANCE HEALTH AND RACIAL EQUITY THROUGH ADDRESSING AT LEAST ONE ROOT CAUSE OF POOR HEALTH IDENTIFIED IN THE DEVELOPMENT OF THEIR MOST RECENT CHNA IMPLEMENTATION STRATEGY. TRINITY HEALTH AWARDED OVER $1 MILLION IN COVID-19 FUNDING TO SUPPORT NEW AND ONGOING COMMUNITY ENGAGEMENT AND MOBILIZATION EFFORTS AROUND MAKING THE COVID-19 VACCINATION ACCESSIBLE TO ALL ELIGIBLE POPULATIONS. THIS FUNDING WAS DESIGNED TO SUPPORT ALL COMMUNITIES TO ENSURE EASY AND EQUITABLE ACCESS TO THE VACCINE BY REMOVING BARRIERS FOR ALL PEOPLE TO RECEIVE THE VACCINE, ESPECIALLY COMMUNITIES THAT HAVE LESS THAN A 75% VACCINATION RATE. WITH THIS FUNDING, HEALTH MINISTRIES FACILITATED 3,200 COVID-19 VACCINE EVENTS, ADMINISTERED 80,000 COVID-19 VACCINE DOSES, AND REACHED 874,000 PEOPLE WITH EDUCATIONAL MATERIALS ON COVID-19 AND THE BENEFITS OF VACCINATION.IN ADDITION TO THE $1.37 BILLION IN COMMUNITY BENEFIT SPENDING, OUR COMMUNITY INVESTING PROGRAM HAD THE MOST ROBUST YEAR OF LENDING SINCE THE PROGRAM'S INCEPTION OVER 20 YEARS AGO: $17.8 MILLION IN NEW LOANS AND $8.3 MILLION IN LOAN RENEWALS WERE APPROVED, FOCUSING ON BUILDING AFFORDABLE HOUSING AND INCREASING ACCESS TO EDUCATION IN PARTNERSHIP WITH OUR HEALTH MINISTRIES. ADVANCING SOCIAL CARE - TRINITY HEALTH'S SOCIAL CARE PROGRAM WAS DEVELOPED TO ADDRESS SOCIAL NEEDS, SUCH AS ACCESS TO TRANSPORTATION, CHILDCARE, OR AFFORDABLE MEDICATIONS BY FACILITATING CONNECTIONS BETWEEN OUR PATIENTS, HEALTH CARE PROVIDERS AND COMMUNITY PARTNERS THAT PROMOTE HEALTHY BEHAVIORS. HIGHLIGHTS FROM FY22 INCLUDE THE FOLLOWING SUCCESSES:- LAUNCHED TRINITY HEALTH COMMUNITY HEALTH WORKER (CHW) CERTIFICATION PROGRAM, TRAINING 86 CHWS WITH 40+ HOURS OF TRAINING, AND INCREASED CHW STAFF ACROSS MOST HEALTH MINISTRIES- LAUNCHED A SYSTEM-WIDE ASSESSMENT OF LANGUAGE ACCESS SERVICES TO RECOMMEND SYSTEM STANDARDS THAT ENSURE CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES FOR ALL OF OUR PATIENTS, THEIR COMPANIONS, AND CAREGIVERS- ENGAGED OVER 1,100 PARTICIPANTS IN THE NATIONAL DIABETES PREVENTION PROGRAM, EXCEEDING OUR PROGRAM YEAR 5 GOAL- INCREASED THE NUMBER OF ACTIVE COMMUNITY PARTNER ORGANIZATIONS ON THE COMMUNITY RESOURCE DIRECTORY BY 120% FROM FISCAL YEAR 2021- ENGAGED 5,300+ PATIENTS WHO ARE DUALLY ENROLLED IN MEDICARE AND MEDICAID IN A SOCIAL CARE OR MEDICAL CARE ACTIVITY, IN SUPPORT OF REDUCING PREVENTABLE HOSPITALIZATIONS (SUCH AS DIABETES AND ASTHMA)IMPACTING SOCIAL INFLUENCERS OF HEALTH - LEVERAGING INVESTOR POWER TO CATALYZE CORPORATE SOCIAL RESPONSIBILITY, TRINITY HEALTH'S SHAREHOLDER ADVOCACY WORK FOCUSES ON DISMANTLING RACISM ACROSS FIVE STRATEGIC FOCUS AREAS BY HOLDING CORPORATIONS ACCOUNTABLE FOR THE HUMAN RIGHTS VIOLATIONS THOSE COMPANIES PERPETUATE IN THE U.S. AND BEYOND. IN FY22, TRINITY HEALTH FACILITATED OVER 135 SHAREHOLDER ADVOCACY ENGAGEMENTS, WITH GREAT SUCCESS:- FIVE BELOW COMMITTED TO ASSESS AND MANAGE THE RISKS/HAZARDS ASSOCIATED WITH CHEMICALS OF HIGH CONCERN CONTAINED IN THEIR PRIVATE LABEL PRODUCTS- UNILEVER AGREED TO STOP FOOD AND BEVERAGE MARKETING TO CHILDREN UNDER AGE 16, AND WILL ADOPT NEW TARGETS TO REDUCE SALT, ADDED SUGARS AND CALORIES, AND INCREASE SALES OF THEIR HEALTHIER PRODUCTS- PEPSICO SET GOALS TO INCREASE POSITIVE NUTRIENTS IN THEIR PRODUCTS- PDC ENERGY ACCELERATED ITS GOAL TO END ROUTINE FLARING OF METHANE, FROM 2030 TO 2025, THUS REDUCING ENVIRONMENTAL HEALTH RISKS AND GREENHOUSE GAS EMISSIONSADDITIONALLY, TRINITY HEALTH AND OTHER MEMBERS OF THE INTERFAITH CENTER ON CORPORATE RESPONSIBILITY GUN SAFETY GROUP SUBMITTED A SHAREHOLDER RESOLUTION ASKING STURM RUGER, ONE OF THE NATION'S LEADING MANUFACTURERS OF FIREARMS, TO CONDUCT AND PUBLISH AN INDEPENDENT HUMAN RIGHTS IMPACT ASSESSMENT OF ITS POLICIES, PRACTICES AND PRODUCTS, AND MAKE RECOMMENDATIONS FOR IMPROVEMENT. THE RESOLUTION RECEIVED A 68.5% VOTE IN FAVOR, WELL ABOVE THE THRESHOLD REQUIRED FOR THE RESOLUTION TO BE RESUBMITTED IN 2023, INDICATING A LARGE MAJORITY OF STURM RUGER INVESTORS BELIEVE THE COMPANY HAS TO ADDRESS ITS HUMAN RIGHTS IMPACTS. TRINITY HEALTH AND TRINITY HEALTH OF NEW ENGLAND ARE CITED AS PART OF THE GROUP WHO MOVED FORWARD THIS RESOLUTION.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG.