4A (Expenses $ 8240775480 including grants of $ 358621474) (Revenue $ 9382821990)
Dignity Health is a California nonprofit public benefit corporation headquartered in San Francisco, California. Dignity Health, together with its subsidiary corporations, is one of the largest not-for-profit acute health care delivery systems in the United States as measured by annual revenue. Dignity Health operated 39 hospitals throughout major California markets and in the Phoenix, Arizona and Las Vegas, Nevada metropolitan markets during the year ended June 30, 2019. Dignity health and its subordinate corporations' facilities included approximately 4,900 licensed acute care beds and approximately 170 licensed skilled nursing beds as of June 30, 2019. Dignity health maintains a prominent market share in many of its service areas, and many of its hospitals rank among the finest in the nation. With a significant presence in Greater Sacramento, San Francisco Bay Area, Southern California, Central Coast, Central California, and Northern California, Dignity Health's California operations are well dispersed throughout the state. Dignity Health's hospitals operate emergency rooms that are open to all persons regardless of ability to pay; have governing bodies in which primarily independent persons representative of the community comprise a majority; engage in the training and education of healthcare professionals; and participate in Medicaid, Medicare, Tricare and/or other government-sponsored health care programs. This organization is a public benefit corporation exempt from taxation under Section 501(c)(3) of the internal revenue code. The following hospitals that were transferred to Dignity Community Care in connection with the affiliation between Dignity Health and CHI, effective February 1, 2019, as discussed above, are as follows: CHANDLER REGIONAL MEDICAL CENTER CALIFORNIA HOSPITAL MEDICAL CENTER LOS ANGELES NORTHRIDGE HOSPITAL MEDICAL CENTER METHODIST HOSPITAL OF SACRAMENTO SEQUOIA HOSPITAL GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER WOODLAND MEMORIAL HOSPITAL FRENCH HOSPITAL MEDICAL CENTER

SCHEDULE H, PART V - INTRODUCTORY DISCLOSURE
As part of the alignment, on the effective date of February 1, 2019, Dignity Health caused to transfer non-Catholic owned community hospitals, non-Catholic subsidiary hospitals, and certain other non-Catholic operations to Dignity Community Care, a Colorado nonprofit corporation. The following hospitals that were transferred to Dignity Community Care effective February 1, 2019, are as follows: CHANDLER REGIONAL MEDICAL CENTER CALIFORNIA HOSPITAL MEDICAL CENTER LOS ANGELES NORTHRIDGE HOSPITAL MEDICAL CENTER METHODIST HOSPITAL OF SACRAMENTO SEQUOIA HOSPITAL GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER WOODLAND MEMORIAL HOSPITAL FRENCH HOSPITAL MEDICAL CENTER SOUTHWEST ORTHOPEDIC AND SPINE HOSPITAL (OASIS/SOSH) AGH LAVEEN LLC DBA DIGNITY HEALTH ARIZONA GENERAL HOSPITAL ARIZONA SPINE AND JOINT HOSPITAL AGH MESA LLC DBA DIGNITY HEALTH ARIZONA GENERAL HOSPITAL ARIZONA ORTHOPEDIC SPECIALTY HOSPITAL (AOSH) DIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL DIGNITY HEALTH REHABILITATION HOSPITAL (SIENA CAMPUS) SECTION B, LINE 2 - ACQUIRED OR PLACED INTO SERVICE IN CURRENT OR PRECEDING TAX YEAR DE CRAIG RANCH LLC DBA DIGNITY HEALTH - ST. ROSE DOMINICAN NORTH LAS VEGAS THE HOSPITAL WAS ACQUIRED OR PLACED INTO SERVICE IN JUNE 2017. DE BLUE DIAMOND LLC DBA DIGNITY HEALTH - ST. ROSE DOMINICAN BLUE DIAMOND THE HOSPITAL WAS ACQUIRED OR PLACED INTO SERVICE IN JULY 2017. DE FLAMINGO LLC DBA DIGNITY HEALTH - ST. ROSE DOMINICAN WEST FLAMINGO THE HOSPITAL WAS ACQUIRED OR PLACED INTO SERVICE IN AUGUST 2017. DE SAHARA LLC DBA DIGNITY HEALTH - ST. ROSE DOMINICAN SAHARA THE HOSPITAL WAS ACQUIRED OR PLACED INTO SERVICE IN DECEMBER 2017. ARIZONA GENERAL HOSPITAL MESA THE HOSPITAL WAS ACQUIRED OR PLACED INTO SERVICE IN NOVEMBER 2018. DIGNITY HEALTH REHABILITATION HOSPITAL SIENA CAMPUS THE HOSPITAL WAS ACQUIRED OR PLACED INTO SERVICE IN APRIL 2019.

SECTION B, LINE 5 - CHNA INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY
ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER CHANDLER REGIONAL MEDICAL CENTER MERCY GILBERT MEDICAL CENTER ST. JOSEPH'S WESTGATE MEDICAL CENTER SOUTHWEST ORTHOPEDIC AND SPINE HOSPITAL (OASIS HOSPITAL) ARIZONA SPINE AND JOINT HOSPITAL ARIZONA GENERAL HOSPITAL LAVEEN ARIZONA ORTHOPEDIC SPECIALTY HOSPITAL (ARIZONA SPECIALTY HOSPITAL) DIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL ARIZONA GENERAL HOSPITAL MESA FOR THE 2019 CHNA, DATA WAS COLLECTED FIRST THROUGH 36 FOCUS GROUPS ENGAGING MEMBERS OF UNDERSERVED POPULATIONS AND COMMUNITIES. SECOND, SURVEYS WERE CONDUCTED WITH 152 KEY INFORMANTS WHO SERVE THE PRIMARY SERVICE AREA. FINALLY, A SERIES OF MEETINGS WERE HELD WITH KEY STAKEHOLDERS FROM THE HOSPITALS' PRIMARY SERVICE AREA. MEMBERS OF THE COMMUNITY HEALTH INTEGRATION NETWORK AND ARIZONA'S COMMUNITY OF CARE NETWORK PROVIDED INPUT ON THE SELECTION OF DATA INDICATORS, PROVIDED FEEDBACK ON DATA COLLECTED, AND AIDED IN THE SELECTION OF FINAL PRIORITIES. MEMBERSHIP OF THE COMMITTEES AND COLLABORATIONS INTENTIONALLY REPRESENT VULNERABLE AND DISENFRANCHISED POPULATIONS INCLUDING THE HOMELESS, UNINSURED/UNDERINSURED, MEDICAID, MEDICARE, IMMIGRANT, DISABLED, MENTALLY ILL, AND ELDERLY. THE MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH CONTRIBUTED INPUT AS PART OF ITS WORK TO PRODUCE THE CHNA REPORT WITH THE HOSPITALS. MERCY SAN JUAN MEDICAL CENTER MERCY GENERAL HOSPITAL MERCY HOSPITAL OF FOLSOM METHODIST HOSPITAL OF SACRAMENTO FOR THE 2019 CHNA REPORT, QUALITATIVE DATA INCLUDED INTERVIEWS WITH 121 COMMUNITY HEALTH EXPERTS, MEMBERS OF THE COUNTY'S DEPARTMENT OF PUBLIC HEALTH, SOCIAL-SERVICE PROVIDERS THAT REPRESENTED MEDICALLY UNDERSERVED POPULATIONS, AND MEDICAL PERSONNEL IN ONE-ON-ONE AND GROUP INTERVIEWS, AS WELL AS A TOWN HALL MEETING. ALL INTERVIEW PARTICIPANTS WERE GIVEN AN INFORMED CONSENT FORM PRIOR TO THEIR PARTICIPATION, WHICH PROVIDED INFORMATION ABOUT THE PROJECT, ASKED FOR PERMISSION TO RECORD THE INTERVIEW, AND LISTED THE POTENTIAL BENEFITS AND RISKS OF INVOLVEMENT IN THE INTERVIEW. ALL KEY INFORMANTS WERE ASKED TO IDENTIFY VULNERABLE POPULATIONS. FURTHER, 154 COMMUNITY RESIDENTS PARTICIPATED IN 15 FOCUS GROUPS ACROSS THE COUNTY. MARIAN REGIONAL MEDICAL CENTER, ARROYO GRANDE FOR THE 2019 CHNA, THE HOSPITAL OBTAINED COMMUNITY INPUT INTO THE NEEDS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS VIA A COMMUNITY HEALTH SURVEY BASED ON QUESTIONS FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION'S BEHAVIORAL RISK FACTOR SURVEY, PREVIOUS CHNA REPORTS, AND INPUT PROVIDED BY THOSE REPRESENTING COMMUNITY BENEFIT/OUTREACH ACTIVITIES. THE SURVEY WAS COMPLETED BY 866 ADULTS AGED 18 AND OLDER IN BOTH SPANISH AND ENGLISH, IN 23 DIFFERENT LOCATIONS WITHIN THE COMMUNITY, INCLUDING CHURCHES, SENIOR CENTERS, COMMUNITY EVENTS, HOMELESS SHELTERS AND SCHOOL EVENTS. ORGANIZATIONS PROVIDING INPUT OR ASSISTING IN THE SURVEY PROCESS INCLUDED: CENTRAL COAST COMMISSION FOR SENIOR CITIZENS, SANTA BARBARA COUNTY PUBLIC HEALTH DEPARTMENT, SAN LUIS OBISPO COUNTY PUBLIC HEALTH DEPARTMENT, MARIAN REGIONAL MEDICAL CENTER'S COMMUNITY BENEFIT COMMITTEE, FIVE CHURCHES, FOODBANK OF SAN LUIS OBISPO COUNTY, GOOD SAMARITAN SHELTER, LITTLE HOUSE BY THE PARK, GUADALUPE OASIS SENIOR COMMUNITY CENTER, OCEANO SENIOR CENTER, PEOPLE'S KITCHEN, PEOPLES' SELF-HELP HOUSING, SANTA MARIA BONITA SCHOOL DISTRICT, AND SANTA MARIA PARKS AND RECREATION. MERCY MEDICAL CENTER REDDING FOR THE 2019 CHNA, THE HOSPITAL PARTNERED WITH OUTSIDE INDIVIDUALS AND ORGANIZATIONS, INCLUDING FOR OBTAINING COMMUNITY INPUT OR QUALITATIVE DATA FROM KEY STAKEHOLDER FOCUS GROUPS, SURVEYS, AND MEETINGS WITH COMMUNITY STAKEHOLDERS. FOCUS GROUP MEETINGS WERE CONDUCTED WITH INDIVIDUALS AND GROUPS THAT REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY. THESE REPRESENTATIVES INCLUDED PUBLIC HEALTH AND INDIVIDUALS WITH KNOWLEDGE OF MEDICAL UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. AMONG THE COMMUNITY PARTICIPANTS WERE: CITY OF REDDING, FIRST 5 SHASTA, HEALTH SHASTA COLLABORATIVE, PUBLIC HEALTH ADVISORY BOARD, REACH HIGHER SHASTA, REDDING RANCHERIA, SHASTA COMMUNITY HEALTH CENTER, SHASTA COUNTY HEALTH & HUMAN SERVICES AGENCY, AND THE STRENGTHENING FAMILIES COLLABORATIVE. IN FOCUS GROUP DISCUSSIONS, THE FACILITATOR GUIDED GROUPS THROUGH A DISCUSSION OF REVIEWING HEALTH NEED TOPICS AND THEN PRIORITIZING THEM VIA A RANKING PROCESS. ST. ROSE DOMINICAN HOSPITAL - SIENA ST. ROSE DOMINICAN HOSPITAL - SAN MARTIN ST. ROSE DOMINICAN HOSPITAL - ROSE DE LIMA FOR THE 2019 CHNA, COMMUNITY INPUT WAS OBTAINED VIA A RANDOMIZED TELEPHONE SURVEY OF CLARK COUNTY RESIDENTS AND FOCUS GROUP INTERVIEWS OF VULNERABLE POPULATIONS IN THE COMMUNITY SERVICE AREA. THE SURVEY ASSESSED COMMUNITY HEALTH NEEDS IN THREE AREAS: PERSONAL HEALTH BEHAVIORS, EXPERIENCES ACCESSING HEALTHCARE, AND OPINIONS ABOUT COMMUNITY HEALTH. ADDITIONALLY, SEVERAL DEMOGRAPHIC QUESTIONS WERE ASKED. ONCE SURVEY QUESTIONS WERE FINALIZED, THE SURVEY WAS TRANSLATED INTO SPANISH. THERE WERE 378 COMPLETIONS OF THE 15-MINUTE PHONE SURVEY. FOR FOCUS GROUPS, THE DISCUSSION GUIDE INCLUDED QUESTIONS REGARDING GENERAL HEALTH ACTIVITIES, ACCESS TO HEALTHCARE, QUALITY OF CARE, SATISFACTION WITH HEALTHCARE, AND RECOMMENDATIONS FOR IMPROVEMENT, IN ADDITION TO QUESTIONS TO CAPTURE INFORMATION ABOUT HEALTH NEEDS UNIQUE TO POPULATIONS. A TOTAL OF SEVEN GROUPS WERE HELD WITH 70 PARTICIPANTS. THE SOUTHERN NEVADA HEALTH DISTRICT, THE LOCAL HEALTH AUTHORITY, WAS A CHNA COLLABORATOR AND CONTRIBUTED INPUT. DOMINICAN HOSPITAL FOR THE 2019 CHNA, THE HOSPITAL OBTAINED COMMUNITY INPUT VIA KEY INFORMANT INTERVIEWS WITH LOCAL HEALTH EXPERTS, AND A SURVEY WITH 22 COMMUNITY LEADERS AND HEALTH EXPERTS, INCLUDING THE LOCAL PUBLIC HEALTH DEPARTMENT AND REPRESENTATIVES FROM THE MEDICALLY UNDERSERVED, LOW-INCOME AND/OR MINORITY POPULATIONS. REPRESENTATIVES OF THE FOLLOWING PARTICIPATED: COUNTY OF SANTA CRUZ (HEALTH SERVICE AGENCY, HUMAN SERVICES DEPARTMENT, BEHAVIORAL HEALTH), DIENTES COMMUNITY DENTAL CARE, HOMELESS SERVICES CENTER, SALUD PARA LA GENTE, SECOND HARVEST FOOD BANK, COMMUNITY ACTION BOARD, JANUS, HEALTH IMPROVEMENT PARTNERSHIP, COMMUNITY BRIDGES, SANTA CRUZ COMMUNITY HEALTH CENTERS, FIRST FIVE SANTA CRUZ COUNTY, SANTA CRUZ COUNTY OFFICE OF EDUCATION, AND UNITED WAY OF SANTA CRUZ COUNTY. THE HOSPITAL ALSO USED PRIMARY DATA COLLECTED FROM THE BIENNIAL COMMUNITY ASSESSMENT PROJECT SURVEY CONDUCTED WITH A REPRESENTATIVE SAMPLE OF SANTA CRUZ COUNTY RESIDENTS. THIS SURVEY ASSESSES QUALITY OF LIFE ACROSS SIX SUBJECT AREAS: THE ECONOMY, HEALTH, PUBLIC SAFETY, THE SOCIAL ENVIRONMENT AND THE NATURAL ENVIRONMENT. ST. BERNARDINE MEDICAL CENTER FOR THE 2019 CHNA, THE HOSPITAL OBTAINED COMMUNITY INPUT ON HEALTH ISSUES, DISPARITIES AND ASSETS THROUGH INTERVIEWS WITH 13 KEY COMMUNITY STAKEHOLDERS, PUBLIC HEALTH, SERVICE PROVIDERS, MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS IN THE COMMUNITY, AND INDIVIDUALS OR ORGANIZATIONS SERVING OR REPRESENTING THE INTERESTS OF SUCH POPULATIONS. PARTICIPANTS INCLUDED REPRESENTATIVES OF: CALIFORNIA STATE UNIVERSITY - SAN BERNARDINO, LEGAL AID SOCIETY OF SAN BERNARDINO, LESTONNAC FREE CLINIC, COUNTY OF SAN BERNARDINO DEPARTMENT OF BEHAVIORAL HEALTH, MARY'S MERCY CENTER, HOPE PROGRAM, FIRST PRESBYTERIAN CHURCH OF SAN BERNARDINO, SAN BERNARDINO CITY UNIFIED SCHOOL DISTRICT, CITY OF SAN BERNARDINO, SAN BERNARDINO COUNTY PUBLIC HEALTH DEPARTMENT, HOUSING AUTHORITY OF THE COUNTY OF SAN BERNARDINO, AND CATHOLIC CHARITIES. ST. JOHN'S REGIONAL MEDICAL CENTER ST. JOHN'S PLEASANT VALLEY HOSPITAL FOR THE 2019 CHNA, THE HOSPITAL CONDUCTED A COMMUNITY HEALTH ASSESSMENT SURVEY, DESIGNED AND DISSEMINATED BY THE VENTURA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT COLLABORATIVE. A TOTAL OF 2,722 RESPONSES WERE COLLECTED. OF THE TOTAL SURVEY PARTICIPANTS, 85% COMPLETED THE SURVEY IN ENGLISH AND 15% COMPLETED THE SURVEY IN SPANISH. IN ADDITION, 16 KEY INFORMANT INTERVIEWS AND FOUR GROUP DISCUSSIONS WERE HELD WITH 53 PARTICIPANTS. INTERVIEWEES WERE RECOGNIZED AS HAVING EXPERTISE IN PUBLIC HEALTH, SPECIAL KNOWLEDGE OF COMMUNITY HEALTH NEEDS AND/OR REPRESENTED THE BROAD INTEREST OF THE COMMUNITY SERVED BY THE HOSPITAL AND HEALTH DEPARTMENT, AND/OR COULD SPEAK TO THE NEEDS OF MEDICALLY UNDERSERVED OR VULNERABLE POPULATIONS. PUBLIC HEALTH AGENCIES PARTICIPATING INCLUDED THE CAMARILLO HEALTH CARE DISTRICT AND VENTURA COUNTY PUBLIC HEALTH. ST. MARY MEDICAL CENTER - LONG BEACH FOR THE 2019 CHNA, COMMUNITY INPUT WAS OBTAINED VIA FOCUS GROUPS AND KEY INFORMANT INTERVIEWS. LONG BEACH FORWARD, A COMMUNITY-BASED ORGANIZATION THAT FOCUSES ON PRODUCING A HEALTHY LONG BEACH, WAS SELECTED TO CONDUCT THE FOCUS GROUPS. THE HOSPITAL PROVIDED GUIDANCE ON THE POPULATIONS TO ENGAGE AND POTENTIAL TOPICS, HEALTH NEEDS AND QUESTIONS. LONG BEACH FORWARD DESIGNED THE FOCUS GROUP PROTOCOL AND WORKED WITH SIX LONG BEACH-BASED ORGANIZATIONS OR PROGRAMS, INCLUDING THE LGBTQ CENTER OF LONG BEACH, LONG BEACH ALLIANCE FOR CHILDREN WITH ASTHMA, LONG BEACH DEPARTMENT OF HEALTH AND HU

MERCY HOSPITAL BAKERSFIELD
FOR THE 2019 CHNA, COMMUNITY INPUT WAS OBTAINED THROUGH COMMUNITY SURVEYS AND INTERVIEWS WITH INDIVIDUALS WHO ARE LEADERS AND/OR REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. FORTY-ONE INTERVIEWS WERE COMPLETED WITH PEOPLE SELECTED TO COVER A WIDE RANGE OF COMMUNITIES WITHIN KERN COUNTY, REPRESENTING DIFFERENT AGE GROUPS, RACIAL/ETHNIC POPULATIONS AND UNDERSERVED POPULATIONS. AMONG THE ORGANIZATIONS REPRESENTED WERE: KERN COUNTY PUBLIC HEALTH SERVICES DEPARTMENT, KERN COUNTY BEHAVIORAL HEALTH AND RECOVERY SERVICES, BAKERSFIELD HOMELESS CENTER KERN FOOD POLICY COUNCIL BAKERSFIELD CITY SCHOOLS AND MERCY HOUSING. THE COMMUNITY SURVEY WAS AVAILABLE IN BOTH ELECTRONIC AND PAPER FORMATS, IN ENGLISH AND SPANISH, AND 1,114 USABLE SURVEYS WERE COMPLETED. SURVEYS WERE DISTRIBUTED VIA HOSPITAL WAITING ROOMS AND SERVICE SITES, COMMUNITY PARTNER HEALTH AND SOCIAL SERVICE AGENCIES, AND THROUGH SOCIAL MEDIA, INCLUDING POSTING THE SURVEY LINK ON HOSPITAL FACEBOOK PAGES. FOR COMMUNITY MEMBERS WHO WERE ILLITERATE, AN AGENCY STAFF MEMBER READ THE SURVEY INTRODUCTION AND QUESTIONS TO THE CLIENT IN HIS/HER PREFERRED LANGUAGE AND MARKED HIS/HER RESPONSES ON THE SURVEY. MERCY MEDICAL CENTER MERCED FOR THE 2019 CHNA, COMMUNITY INPUT WAS OBTAINED VIA A KEY INFORMANT SURVEY AND A BROAD COMMUNITY SURVEY. TO SOLICIT INPUT FROM KEY INFORMANTS, INDIVIDUALS WHO HAVE A BROAD INTEREST AND EXPERTISE IN THE HEALTH OF THE COMMUNITY, A TARGETED ONLINE SURVEY WAS CONDUCTED. IT WAS COMPLETED BY 49 PUBLIC HEALTH REPRESENTATIVES, SOCIAL SERVICE PROVIDERS AND OTHER COMMUNITY LEADERS CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. REPRESENTATIVES OF THE FOLLOWING ORGANIZATIONS WERE AMONG THOSE PARTICIPATING: MERCED COUNTY BEHAVIORAL HEALTH AND RECOVERY SERVICES, MERCED COUNTY DEPARTMENT OF PUBLIC HEALTH, AND MERCED COUNTY EMERGENCY MEDICAL SERVICES AGENCY. MINORITY/MEDICALLY UNDERSERVED POPULATIONS REPRESENTED BY THOSE COMPLETING THE KEY INFORMANT SURVEY INCLUDED: AFRICAN-AMERICANS, AIDS/HIV/STD PATIENTS, ASIANS/PACIFIC ISLANDERS, CHILDREN, DUAL DIAGNOSIS PATIENTS, THE ELDERLY, ESL OR NON-ENGLISH SPEAKERS, HISPANICS, HMONG, THE HOMELESS, IMMIGRANTS/REFUGEES, LOW INCOME, MEDICARE/MEDICAID RECIPIENTS, THE MENTALLY ILL, MOTHERS, THOSE WITH SPECIAL NEEDS, TEENS, THE UNDOCUMENTED, AND THE UNINSURED/UNDERINSURED. ADDITIONALLY, THE BROAD COMMUNITY SURVEY OBTAINED INPUT FROM 300 RESPONDENTS BASED ON A RANDOM SAMPLE TELEPHONE SURVEY. THE SURVEY INSTRUMENT USED FOR THIS STUDY IS BASED LARGELY ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION'S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM. CALIFORNIA HOSPITAL MEDICAL CENTER FOR THE 2019 CHNA, COMMUNITY INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED WAS OBTAINED THROUGH INTERVIEWS WITH 29 KEY COMMUNITY STAKEHOLDERS, PUBLIC HEALTH, AND SERVICE PROVIDERS, MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS IN THE COMMUNITY, AND INDIVIDUALS OR ORGANIZATIONS SERVING OR REPRESENTING THE INTERESTS OF SUCH POPULATIONS. THE PRIMARY DATA COLLECTION PROCESS WAS DESIGNED TO VALIDATE QUANTITATIVE DATA FINDINGS, IDENTIFY ADDITIONAL COMMUNITY ISSUES, SOLICIT INFORMATION ON DISPARITIES AMONG SUBPOPULATIONS, ASCERTAIN COMMUNITY ASSETS POTENTIALLY AVAILABLE TO ADDRESS NEEDS AND DISCOVER GAPS IN RESOURCES. INTERVIEWEES INCLUDED LEADERS AND/OR REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. INPUT WAS OBTAINED FROM THE LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH, PERINATAL ADVISORY COUNCIL, SOUTHSIDE COALITION OF COMMUNITY HEALTH CENTERS, KOREAN AMERICAN FAMILY SERVICE CENTER, DENTAL CLINIC AT EISNER CLINIC, HEALTH SERVICES ADVISORY GROUP, MATERNAL MENTAL HEALTH NOW, LA COUNTY SUBSTANCE ABUSE PREVENTION AND CONTROL, HANMI BANK, HAL BASTIAN, INC., LA RED SHIELD YOUTH COMMUNITY CENTER, UNIHEALTH FOUNDATION, PARTNERS IN CARE FOUNDATION, PREVENTION INSTITUTE, MATERNAL & CHILD HEALTH ACCESS, LINC HOUSING, LA TRUST FOR CHILDREN'S HEALTH, MISSION CITY COMMUNITY NETWORK, ASIAN PACIFIC HEALTH CARE VENTURE, LA CARE HEALTH PLAN, EPISCOPAL DIOCESE OF LA, CALIFORNIA COMMUNITY FOUNDATION, CORPORATION FOR SUPPORTIVE HOUSING, AND COMMUNITY HEALTH COUNCILS. NORTHRIDGE HOSPITAL MEDICAL CENTER FOR THE 2019 CHNA, THE HOSPITAL COLLECTED 500 COMMUNITY SURVEYS AND CONDUCTED FIVE FOCUS GROUPS, TWO COMMUNITY FORUMS, AND 20 INTERVIEWS. THE SURVEYS WERE CONDUCTED IN COMMUNITIES THROUGHOUT THE HOSPITAL'S SERVICE AREA WITH PARTICULAR FOCUS ON COMMUNITIES OF THE HIGHEST NEED ACCORDING TO THE COMMUNITY NEED INDEX. THESE COMMUNITIES ARE PRIMARILY UNDERSERVED, LOW-INCOME COMMUNITIES OF COLOR WITH A HISTORY OF BEING MEDICALLY UNDERSERVED. FOCUS GROUPS WERE CONDUCTED WITH HEALTH CARE, MEDICAL, PUBLIC HEALTH, EARLY EDUCATION, BASIC NEEDS, HOUSING AND COMMUNITY HEALTH PROFESSIONALS. THE COMMUNITY FORUMS IN WHICH 60 PEOPLE PARTICIPATED WERE CONDUCTED WITH A COALITION OF MENTAL HEALTH AND BEHAVIORAL HEALTH PROFESSIONALS, AND WITH A GROUP OF RESIDENTS CONCERNED ABOUT THE HEALTH OF THE COMMUNITY. LASTLY, THE INTERVIEWS WERE CONDUCTED WITH INDIVIDUALS REPRESENTING A RANGE OF PUBLIC AND PRIVATE HEALTH AND SOCIAL SERVICES AGENCIES: CENTER FOR LIVING AND LEARNING, CALIFORNIA STATE UNIVERSITY NORTHRIDGE, POLYTECHNIC HIGH SCHOOL, NORTH VALLEY CARING SERVICES, MATERNAL AND CHILD HEALTH ACCESS, OFFICE OF US CONGRESSMAN TONY CARDENAS, INTERNATIONAL PRE-DIABETES CENTER, ONE GENERATION, A VISION OF HEALTH, UCLA CENTER FOR HEALTH EQUITY, LA UNIFIED SCHOOL DISTRICT, LA COUNTY DEPARTMENT OF PUBLIC HEALTH, CHILD DEVELOPMENT INSTITUTE, LA COUNTY DEPARTMENT OF HEALTH SERVICES, MISSION CITY COMMUNITY NETWORK, TARZANA TREATMENT CENTERS, AND SAMUEL DIXON FAMILY HEALTH CENTER. ST. MARY'S MEDICAL CENTER FOR THE 2019 CHNA, COMMUNITY INPUT WAS OBTAINED FROM THE SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH, A CO-CONVENOR OF THE ASSESSMENT, AS WELL AS EXTENSIVE COMMUNITY ENGAGEMENT. THE CHNA INCLUDED FOUR CATEGORIES OF FOCUS GROUP: KEY INFORMANT GROUP INTERVIEW, EQUITY COALITION FOCUS GROUPS, FOOD INSECURE PREGNANT WOMEN FOCUS GROUPS, AND KAISER PERMANENTE FOCUS GROUPS. FOCUS GROUPS WERE CONDUCTED WITH EACH OF THE THREE HEALTH EQUITY COALITIONS IN SAN FRANCISCO: THE CHICANO / LATINO / INDIGENA HEALTH EQUITY COALITION, THE ASIAN PACIFIC ISLANDER HEALTHY PARITY COALITION, AND THE AFRICAN AMERICAN HEALTH EQUITY COALITION. THE HOMELESS PRENATAL PROGRAM HELD FOUR FOCUS GROUPS WITH WOMEN WHO EXPERIENCED FOOD INSECURITY WHILE PREGNANT. EACH FOCUS GROUP FOCUSED ON A DIFFERENT GROUP OF WOMEN: SPANISH, CHINESE, MULTI-ETHNIC ENGLISH SPEAKERS, AND AFRICAN AMERICAN. CHNA PARTNER KAISER PERMANENTE CONDUCTED FOUR FOCUS GROUPS, ONE EACH WITH KAISER PERMANENTE LEADERSHIP, KAISER PERMANENTE STAFF, SPANISH-SPEAKING PARENTS ON YOUTH HEALTHY EATING AND ACTIVE LIVING, AND HOMELESS AND/OR HIV POSITIVE YOUTH. SEQUOIA HOSPITAL FOR THE 2019 CHNA, COMMUNITY INPUT WAS OBTAINED VIA KEY INFORMANT INTERVIEWS WITH HEALTH EXPERTS AND COMMUNITY SERVICE EXPERTS, FOCUS GROUPS WITH PROFESSIONALS, AND RESIDENT FOCUS GROUPS. ACROSS THE KEY INFORMANT INTERVIEWS AND FOCUS GROUPS, INPUT WAS PROVIDED BY 64 COMMUNITY LEADERS AND REPRESENTATIVES IN THE HEALTH FIELD OR IN COMMUNITY-BASED ORGANIZATIONS THAT FOCUS ON IMPROVING HEALTH AND QUALITY OF LIFE OF THOSE FROM HIGH-NEED TARGET POPULATIONS. THE FOLLOWING ORGANIZATIONS AND SECTORS WERE REPRESENTED: SAN MATEO COUNTY HEALTH, SAN MATEO COUNTY BEHAVIORAL HEALTH & RECOVERY SERVICES, HUMAN SERVICES AGENCY, AND OFFICE OF EDUCATION, PUBIC EMPLOYEES FROM CITIES AND SCHOOL DISTRICTS, MENTAL HEALTH, SUBSTANCE USE, AND VIOLENCE PREVENTION PROVIDERS, AND ORGANIZATIONS SERVING CHILDREN, YOUTH, SENIORS, PARENTS, ETHNIC MINORITIES AND OTHER VULNERABLE POPULATIONS SUCH AS IMMIGRANTS, THOSE EXPERIENCING HOMELESSNESS, THOSE EXPERIENCING FOOD INSECURITY, AND THOSE SUFFERING FROM DEMENTIA, MENTAL HEALTH, AND SUBSTANCE USE DISORDERS. IN ADDITION THERE WERE FIVE RESIDENT FOCUS GROUPS WITH A TOTAL OF 45 PARTICIPANTS. THESE WERE HOSTED BY DIFFERENT COMMUNITY AGENCIES AND INCLUDED OLDER ADULTS, YOUNG ADULTS, SPANISH-SPEAKING OLDER ADULTS, LGBTQI POPULATIONS, AND PACIFIC ISLANDERS. ST. ELIZABETH COMMUNITY HOSPITAL FOR THE 2019 CHNA, COMMUNITY INPUT WAS OBTAINED THROUGH FOCUS GROUPS AND A CONVENIENCE SAMPLING HEALTH SURVEY TO GAIN A THOROUGH UNDERSTANDING OF THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS MOST OFTEN SERVED. THE HOSPITAL LOOKED TO COMMUNITY BASED ORGANIZATIONS TO REPRESENT THEIR RESPECTIVE CLIENTELE IN THE SURVEY PROCESS WHEREVER APPROPRIATE. FOCUS GROUP MEETINGS WERE CONDUCTED WITH INDIVIDUALS AND GROUPS THAT REPRESENTED THE BROAD INTERES

GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER
FOR THE 2016 (TAX YEAR 2016) CHNA PROCESS, COMMUNITY INPUT WAS COLLECTED FIRST BY FOCUS GROUPS WITH KEY STAKEHOLDERS, INCLUDING HEALTH CARE PROFESSIONALS, GOVERNMENT OFFICIALS, SOCIAL SERVICE PROVIDERS, COMMUNITY RESIDENTS, LEADERS, AND OTHER RELEVANT INDIVIDUALS. THE HOSPITAL THEN USED A PRIORITIZATION PROCESS INVOLVING A FACILITATED GROUP SESSION WITH KEY COMMUNITY STAKEHOLDERS IN A DISCUSSION OF SECONDARY AND PRIMARY (FOCUS GROUP) DATA. AS A FOLLOW-UP TO THIS DISCUSSION, PARTICIPANTS AND OTHER MEMBERS OF THE HOSPITAL COLLABORATIVE'S NETWORK-INCLUDING THE GLENDALE HEALTHIER COMMUNITY COALITION-COMPLETED A QUESTIONNAIRE ABOUT HEALTH NEEDS, DRIVERS, AND RESOURCES, AND RANKED EACH HEALTH NEED ACCORDING TO SEVERAL CRITERIA INCLUDING SEVERITY, CHANGE OVER TIME, RESOURCES AVAILABLE TO ADDRESS THE NEED OR DRIVER, AND COMMUNITY READINESS TO SUPPORT ACTION ON BEHALF OF ANY HEALTH NEED OR DRIVER. THE SURVEY RESULTS WERE USED TO PRIORITIZE THE HEALTH NEEDS AND DRIVERS OF HEALTH IDENTIFIED IN THE FINAL CHNA REPORT. WOODLAND MEMORIAL HOSPITAL INPUT FROM THE COMMUNITY INTO THE 2019 CHNA WAS COLLECTED THROUGH THREE MAIN MECHANISMS. FIRST, KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH 61 COMMUNITY HEALTH EXPERTS AND AREA SERVICE PROVIDERS (I.E., MEMBERS OF SOCIAL-SERVICE NONPROFIT ORGANIZATIONS AND RELATED HEALTHCARE ORGANIZATIONS). THESE INTERVIEWS OCCURRED IN BOTH ONE-ON-ONE AND IN GROUP INTERVIEW SETTINGS. SECOND, 32 COMMUNITY RESIDENTS PARTICIPATED IN THREE FOCUS GROUPS CONDUCTED WITHIN IDENTIFIED COMMUNITIES OF CONCERN OR REPRESENTING COMMUNITIES EXPERIENCING HEALTH DISPARITIES. THIRD, A COUNTYWIDE SURVEY WAS COMPLETED BY 2,291 COMMUNITY RESIDENTS. FOR KEY INFORMANT INTERVIEWS AND FOCUS GROUPS, ALL PARTICIPANTS WERE GIVEN AN INFORMED CONSENT FORM PRIOR TO THEIR PARTICIPATION, WHICH PROVIDED INFORMATION ABOUT THE PROJECT, ASKED FOR PERMISSION TO RECORD THE INTERVIEW, AND LISTED THE POTENTIAL BENEFITS AND RISKS OF INVOLVEMENT IN THE INTERVIEW. THE YOLO COUNTY HEALTH AND HUMAN SERVICES, COMMUNITY HEALTH BRANCH, WAS A COLLABORATOR IN THE ASSESSMENT AND CONTRIBUTED INPUT. FRENCH HOSPITAL MEDICAL CENTER FOR THE 2019 CHNA, COMMUNITY INPUT WAS OBTAINED FROM A COMMUNITY SURVEY, KEY INFORMANT INTERVIEWS AND A FOCUS GROUP SESSION. THE COMMUNITY HEALTH SURVEY WAS COLLECTED AT LOCATIONS WHERE MEMBERS OF THE COMMUNITY THAT ARE LOW-INCOME, MINORITY, OR MEDICALLY UNDERSERVED WERE MOST LIKELY TO BE ENCOUNTERED. THE SURVEY INSTRUMENT WAS BASED UPON SELECT QUESTIONS FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION'S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM SURVEY QUESTIONNAIRE, PREVIOUS CHNA REPORTS PREPARED BY DIGNITY HEALTH, AND INPUT PROVIDED BY THOSE REPRESENTING COMMUNITY OUTREACH ACTIVITIES AT THE HOSPITAL. A TOTAL OF 380 SURVEYS WERE COLLECTED, IN ENGLISH AND SPANISH, USING CONVENIENCE SAMPLING METHODS. KEY INFORMANT INTERVIEWS WERE HELD WITH THE SAN LUIS OBISPO COUNTY PUBLIC HEALTH DEPARTMENT AND THE CENTRAL COAST COMMISSION FOR SENIOR CITIZENS. A FOCUS GROUP INCLUDED THE HOSPITAL'S COMMUNITY BENEFIT COMMITTEE. MERCY MEDICAL CENTER MT. SHASTA FOR THE 2019 CHNA, COMMUNITY INPUT WAS OBTAINED VIA A COMMUNITY SURVEY AND KEY INFORMANT SURVEYS. THE COMMUNITY SURVEY WAS DISTRIBUTED ELECTRONICALLY TO OUTLETS THROUGHOUT THE COUNTY, INCLUDING EMPLOYEES OF THE ORGANIZATIONS PARTICIPATING IN THE CHNA, SCHOOLS, RESOURCE CENTERS, HEALTHCARE PROVIDERS, AND SOCIAL MEDIA. HARD COPIES WERE MADE AVAILABLE AT HEALTHCARE PROVIDER OFFICES, RESOURCE CENTERS, THE PUBLIC HEALTH MOBILE UNIT, AND UPON REQUEST. THE COMMUNITY SURVEY WAS AVAILABLE IN BOTH ENGLISH AND SPANISH, AND IT HAS 617 TOTAL RESPONDENTS. THE KEY INFORMANT SURVEY REACHED PUBLIC HEALTH AND REPRESENTATIVES OF MINORITY, UNDERSERVED AND POOR AND VULNERABLE POPULATIONS. THE FOLLOWING WERE REPRESENTED: COUNTY OF SISKIYOU HEALTH AND HUMAN SERVICES, SCOTT VALLEY UNIFIED SCHOOL DISTRICT, YREKA UNION ELEMENTARY SCHOOL DISTRICT, NORTHERN CALIFORNIA INDIAN DEVELOPMENT COUNCIL, SISKIYOU COUNTY OFFICE OF EDUCATION, MT. SHASTA AMBULANCE, MOUNTAIN VALLEY HEALTH CENTERS, SHASTA CASCADE CLINICS, SISKIYOU AGAINST RX ADDICTION, AND KLAMATH HEALTH SERVICES. CARONDELET ST. JOSEPH'S HOSPITAL CARONDELET ST. MARY'S HOSPITAL FOR THE 2019 CHNA, PRIMARY QUALITATIVE DATA WAS COLLECTED FROM COMMUNITY STAKEHOLDERS, KEY INFORMANTS AND COMMUNITY MEMBERS AT LARGE. MONTHLY MEETINGS BETWEEN THE PROJECT CONSULTANTS AND THE PIMA COUNTY COMMUNITY HEALTH NEED ASSESSMENT ADVISORY TEAM, WHICH IS COMPRISED OF PUBLIC HEALTH, HEALTH SYSTEM, AND ACADEMIC PROFESSIONALS, WERE HELD TO PROVIDE INPUT TO THE DATA COLLECTION AND ANALYSIS PROCESS. COMMUNITY INPUT WAS INCORPORATED THROUGH KEY INFORMANT INTERVIEWS, FOCUS GROUPS, COMMUNITY FORUMS AND A WEB-BASED COMMUNITY HEALTH SURVEY. COMMUNITY PARTICIPANTS INCLUDED REPRESENTATIVES FROM EL RIO HEALTH CENTER, DESERT SENITA COMMUNITY HEALTH CENTER, MARANA COMMUNITY HEALTH CENTER, MARIPOSA COMMUNITY HEALTH CENTER, UNITED COMMUNITY HEALTH CENTER, PASCUA YAQUI TRIBE, PIMA COUNTY HEALTH DEPARTMENT, TOHONO O'ODHAM DEPARTMENT OF HEALTH & HUMAN SERVICES, COMMUNITY FOOD BANK OF SOUTHERN ARIZONA, HEALTHY PIMA, PIMA COUNTY ADMINISTRATOR OFFICE AND TOHONO O'ODHAM NATION. CARONDELET HOLY CROSS HOSPITAL FOR THE 2017 CHNA, TARGETED INTERVIEWS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. COMMUNITY STAKEHOLDERS IDENTIFIED BY THE HOSPITAL AND BY COMMUNITY PARTNERS WERE CONTACTED TO PARTICIPATE IN THE NEEDS ASSESSMENT. INTERVIEW PARTICIPANTS INCLUDED LEADERS AND REPRESENTATIVES OF THE UNITED WAY, AREA HEALTH EDUCATION CENTER, FEDERALLY QUALIFIED HEALTH CENTER, WORKFORCE DEVELOPMENT AGENCY, FOOD BANK, AND COUNTY PUBLIC HEALTH. THE HOSPITAL ALSO CONSULTED FOUR RECENT COMMUNITY ASSESSMENTS FROM 2016 TO 2018 THAT INCLUDED COMMUNITY INPUT ON TOPICS INCLUDING THE LOCAL FOOD SYSTEM, WOMEN'S BEHAVIORAL HEALTH, ELDER HEALTH AND A U.S. ENVIRONMENTAL PROTECTION AGENCY REPORT ON HEALTHY PLACES.

SECTION B, LINE 6A- OTHER HOSPITAL FACILITIES INCLUDED IN NEEDS ASSESSMENT
ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER, ST. JOSEPH'S WESTGATE MEDICAL CENTER, CHANDLER REGIONAL MEDICAL CENTER, MERCY GILBERT MEDICAL CENTER, SOUTHWEST ORTHOPEDIC AND SPINE HOSPITAL (OASIS HOSPITAL), ARIZONA ORTHOPEDIC SPECIALTY HOSPITAL (ARIZONA SPECIALTY HOSPITAL), ARIZONA GENERAL HOSPITAL LAVEEN, ARIZONA GENERAL HOSPITAL MESA, ARIZONA SPINE AND JOINT HOSPITAL, DIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL BANNER HEALTH, MAYO HOSPITAL, PHOENIX CHILDREN'S HOSPITAL MERCY SAN JUAN MEDICAL CENTER, MERCY HOSPITAL OF FOLSOM, MERCY GENERAL HOSPITAL, AND METHODIST HOSPITAL OF SACRAMENTO UC DAVIS MEDICAL CENTER, SUTTER MEDICAL CENTER SACRAMENTO ST. ROSE DOMINICAN HOSPITAL - SAN MARTIN CAMPUS, ST. ROSE DOMINICAN HOSPITAL - ROSE DE LIMA CAMPUS, ST. ROSE DOMINICAN HOSPITAL - SIENA CAMPUS. THESE HOSPITALS ALSO WORKED WITH FOUR ST. ROSE NEIGHBORHOOD HOSPTALS AND DIGNITY HEALTH REHABILITATION HOSPITAL SIENA CAMPUS, BUT THESE ADDITIONAL FACILITIES ADOPTED THE CHNA IN THE FOLLOWING TAX YEAR (TY19). ST. BERNARDINE MEDICAL CENTER COMMUNITY HOSPITAL OF SAN BERNARDINO ST. JOHN'S REGIONAL MEDICAL CENTER, ST. JOHN'S PLEASANT VALLEY HOSPITAL ADVENTIST HEALTH SIMI VALLEY, COMMUNITY MEMORIAL HOSPITAL, OJAI VALLEY COMMUNITY HOSPITAL ST. MARY MEDICAL CENTER - LONG BEACH LONG BEACH MEMORIAL CARE MERCY HOSPITAL BAKERSFIELD DELANO REGIONAL MEDICAL CENTER, BAKERSFIELD MEMORIAL HOSPITAL, KAISER PERMANENTE, ADVENTIST HEALTH (BAKERSFIELD AND TEHACHAPI VALLEY) MERCY MEDICAL CENTER MERCED MEMORIAL HOSPITAL LOS BANOS, VALLEY CHILDREN'S HOSPITAL CALIFORNIA HOSPITAL MEDICAL CENTER GOOD SAMARITAN HOSPITAL, ST. VINCENT MEDICAL CENTER ST. MARY'S MEDICAL CENTER SAINT FRANCIS MEMORIAL HOSPITAL, SUTTER HEALTH CALIFORNIA PACIFIC MEDICAL CENTER, CHINESE HOSPITAL, KAISER PERMANENTE SAN FRANCISCO, UCSF MEDICAL CENTER SEQUOIA HOSPITAL HEALTHY COMMUNITY COLLABORATIVE OF SAN MATEO COUNTY, INCLUDING: STANFORD HEALTH CARE, SETON MEDICAL CENTER AND SETON COASTSIDE (VERITY HEALTH SYSTEM), SUTTER HEALTH MILLS-PENINSULA MEDICAL CENTER, SUTTER HEALTH MENLO PARK SURGICAL HOSPITAL, SAN MATEO MEDICAL CENTER, LUCILE PACKARD CHILDREN'S HOSPITAL, KAISER PERMANENTE SAN MATEO AREA GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER GLENDALE ADVENTIST MEDICAL CENTER, USC VERDUGO HILLS HOSPITAL WOODLAND MEMORIAL HOSPITAL SUTTER DAVIS HOSPITAL MERCY MEDICAL CENTER MT. SHASTA FAIRCHILD MEDICAL CENTER CARONDELET ST. JOSEPH'S HOSPITAL CARONDELET ST. MARY'S HOSPITAL BANNER UNIVERSITY MEDICAL CENTER, TUCSON MEDICAL CENTER

SECTION B, LINE 6B - CHNA CONDUCTED WITH ONE OR MORE ORGANIZATIONS OTHER
THAN HOSPITAL FACILITIES ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER ST. JOSEPH'S WESTGATE MEDICAL CENTER CHANDLER REGIONAL MEDICAL CENTER MERCY GILBERT MEDICAL CENTER SOUTHWEST ORTHOPEDIC AND SPINE HOSPITAL (OASIS HOSPITAL) ARIZONA ORTHOPEDIC SPECIALTY HOSPITAL (ARIZONA SPECIALTY HOSPITAL) ARIZONA GENERAL HOSPITAL LAVEEN ARIZONA GENERAL HOSPITAL MESA ARIZONA SPINE AND JOINT HOSPITAL DIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH, ADELANTE HEALTHCARE, AND NATIVE HEALTH ST. ROSE DOMINICAN HOSPITAL - SIENA ST. ROSE DOMINICAN HOSPITAL - SAN MARTIN ST. ROSE DOMINICAN HOSPITAL - ROSE DE LIMA SOUTHERN NEVADA HEALTH DISTRICT, NEVADA INSTITUTE FOR CHILDREN'S RESEARCH AND POLICY ST. JOHN'S REGIONAL MEDICAL CENTER AND ST. JOHN'S PLEASANT VALLEY HOSPITAL MEMBERS OF THE VENTURA COUNTY CHNA COLLABORATIVE, INCLUDING: CAMARILLO HEALTH CARE DISTRICT, CLINICAS DEL CAMINO REAL, INC., VENTURA COUNTY HEALTH CARE AGENCY COMMUNITY HEALTH CENTER, VENTURA COUNTY PUBLIC HEALTH ST. MARY MEDICAL CENTER - LONG BEACH CITY OF LONG BEACH DEPARTMENT OF HEALTH AND HUMAN SERVICES, AND THE CHILDREN'S CLINIC ST. MARY'S MEDICAL CENTER SAN FRANCISCO HEALTH IMPROVEMENT PARTNERSHIP MEMBERS INCLUDING: SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH, CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTE'S COMMUNITY ENGAGEMENT AND HEALTH POLICY PROGRAM AT UCSF, SAN FRANCISCO UNIFIED SCHOOL DISTRICT, THE ASIAN AND PACIFIC ISLANDER HEALTH PARITY COALITION, HEALTH SERVICES NETWORK, HOSPITAL COUNCIL OF NORTHERN & CENTRAL CALIFORNIA, CHICANO/LATINO/INDIGENA HEALTH EQUITY COALITION, AFRICAN AMERICAN COMMUNITY HEALTH EQUITY COUNCIL, COMMUNITY CLINIC CONSORTIUM, SAN FRANCISCO INTERFAITH COUNCIL, METTA FUND, JEWISH HOME SEQUOIA HOSPITAL HEALTHY COMMUNITY COLLABORATIVE OF SAN MATEO COUNTY, INCLUDING: HOSPITAL CONSORTIUM OF SAN MATEO COUNTY, COUNTY OF SAN MATEO HUMAN SERVICES AGENCY, PENINSULA HEALTH CARE DISTRICT, SAN MATEO COUNTY HEALTH SYSTEM WOODLAND MEMORIAL HOSPITAL YOLO COUNTY HEALTH AND HUMAN SERVICES MERCY MEDICAL CENTER MT. SHASTA SISKIYOU COUNTY PUBLIC HEALTH CARONDELET ST. JOSEPH'S HOSPITAL, CARONDELET ST. MARY'S HOSPITAL MEMBERS OF THE HEALTHY PIMA INITIATIVE, INCLUDING: EL RIO COMMUNITY HEALTH CENTER, DESERT SENITA COMMUNITY HEALTH CENTER, MARANA COMMUNITY HEALTH CENTER, MARIPOSA COMMUNITY HEALTH CENTER, UNITED COMMUNITY HEALTH CENTER, PASCUA YAQUI TRIBE, PIMA COUNTY HEALTH DEPARTMENT, TOHONO O'ODHAM DEPARTMENT OF HEALTH & HUMAN SERVICES, COMMUNITY FOOD BANK OF SOUTHERN ARIZONA, PIMA COUNTY ADMINISTRATOR'S OFFICE

SECTION B, LINE 7A - CHNA ON HOSPITAL FACILITY'S WEB SITE
ALL DIGNITY HEALTH HOSPITAL FACILITY COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS CAN BE ACCESSED AT HTTPS://WWW.DIGNITYHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH/COMMUNITY-HEALTH-P ROGRAMS-ANDREPORTS/COMMUNITYHEALTH-NEEDS-ASSESSMENTS. CHNA REPORT WEB SITE LOCATIONS FOR EACH HOSPITAL FACILITY ARE PROVIDED BELOW. ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER HTTPS://WWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/STJOSEPHS/ABOUT-US/COMMUNI TY-BENEFIT/COMMUNITY-BENEFIT-RESOURCES MERCY SAN JUAN MEDICAL CENTER MERCY GENERAL HOSPITAL MERCY HOSPITAL OF FOLSOM METHODIST HOSPITAL OF SACRAMENTO WOODLAND MEMORIAL HOSPITAL HTTPS://WWW.DIGNITYHEALTH.ORG/SACRAMENTO/ABOUT-US/COMMUNITY-HEALTH-AND-OUT REACH/HEALTH-NEEDS-ASSESSMENT MARIAN REGIONAL MEDICAL CENTER, ARROYO GRANDE HTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/LOCATIONS/MARIANREGIONAL/ABOUT -US/COMMUNITY-BENEFITS MERCY MEDICAL CENTER REDDING HTTPS://WWW.DIGNITYHEALTH.ORG/NORTH-STATE/LOCATIONS/MERCY-REDDING/ABOUT-US /COMMUNITY-BENEFIT ST. ROSE DOMINICAN HOSPITAL - SIENA ST. ROSE DOMINICAN HOSPITAL - SAN MARTIN ST. ROSE DOMINICAN HOSPITAL - ROSE DE LIMA HTTPS://WWW.DIGNITYHEALTH.ORG/LAS-VEGAS/ABOUT-US/SERVING-THE-COMMUNITY DOMINICAN HOSPITAL HTTPS://WWW.DIGNITYHEALTH.ORG/BAYAREA/LOCATIONS/DOMINICAN/ABOUT-US/COMMUNI TY-BENEFITS/BENEFITS-REPORTS ST. BERNARDINE MEDICAL CENTER HTTPS://WWW.DIGNITYHEALTH.ORG/SOCAL/LOCATIONS/STBERNARDINEMEDICAL/ABOUT-US /SERVING-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-PLAN ST. JOHN'S REGIONAL MEDICAL CENTER HTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/LOCATIONS/STJOHNSREGIONAL/ABOU T-US/COMMUNITY-BENEFIT ST. MARY MEDICAL CENTER - LONG BEACH HTTPS://WWW.DIGNITYHEALTH.ORG/SOCAL/LOCATIONS/STMARYMEDICAL/ABOUT-US/COMMU NITY-BENEFITS MERCY HOSPITAL BAKERSFIELD HTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/MERCY-BAKERSFIE LD/ABOUT-US/COMMUNITY-BENEFIT-REPORT-HEALTH-NEEDS-ASSESSMENT MERCY MEDICAL CENTER MERCED HTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/MERCYMEDICAL-ME RCED/ABOUT-US/COMMUNITY-BENEFIT-REPORT CHANDLER REGIONAL MEDICAL CENTER HTTPS://WWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/CHANDLERREGIONAL/ABOUT-US/ COMMUNITY-BENEFIT-OUTREACH/BENEFITS-REPORTS MERCY GILBERT MEDICAL CENTER HTTPS://WWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/MERCYGILBERT/ABOUT-US/COMM UNITY-BENEFIT-OUTREACH/BENEFITS-REPORTS CALIFORNIA HOSPITAL MEDICAL CENTER HTTPS://WWW.DIGNITYHEALTH.ORG/SOCAL/LOCATIONS/CALIFORNIAHOSPITAL/ABOUT-US/ COMMUNITY-PROGRAMS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-PLAN NORTHRIDGE HOSPITAL MEDICAL CENTER HTTPS://WWW.DIGNITYHEALTH.ORG/SOCAL/LOCATIONS/NORTHRIDGEHOSPITAL/ABOUT-US/ COMMUNITY-BENEFIT-REPORTS ST. MARY'S MEDICAL CENTER HTTPS://WWW.DIGNITYHEALTH.ORG/BAYAREA/LOCATIONS/STMARYS/ABOUT-US/COMMUNITY -BENEFIT SEQUOIA HOSPITAL HTTPS://WWW.DIGNITYHEALTH.ORG/BAYAREA/LOCATIONS/SEQUOIA/ABOUT-US/COMMUNITY -BENEFITS ST. ELIZABETH COMMUNITY HOSPITAL HTTPS://WWW.DIGNITYHEALTH.ORG/NORTH-STATE/LOCATIONS/STELIZABETHHOSPITAL/AB OUT-US/COMMUNITY-BENEFIT GLENDALE MEMORIAL HOSPITAL & HEALTH CENTER HTTPS://WWW.DIGNITYHEALTH.ORG/SOCAL/LOCATIONS/GLENDALEMEMORIAL/ABOUT-US/SE RVING-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-PLAN ST. JOHN'S PLEASANT VALLEY HOSPITAL HTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/LOCATIONS/PLEASANTVALLEY/ABOUT -US/COMMUNITY-BENEFIT FRENCH HOSPITAL MEDICAL CENTER HTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/LOCATIONS/FRENCHHOSPITAL/ABOUT -US/COMMUNITY-BENEFITS MERCY MEDICAL CENTER MT. SHASTA HTTPS://WWW.DIGNITYHEALTH.ORG/NORTH-STATE/LOCATIONS/MERCY-MTSHASTA/ABOUT-U S/COMMUNITY-BENEFIT CARONDELET ST. JOSEPH'S HOSPITAL, CARONDELET ST. MARY'S HOSPITAL, CARONDELET HOLY CROSS HOSPITAL https://www.carondelet.org/about/community-outreach ST. JOSEPH'S WESTGATE MEDICAL CENTER HTTPS://WWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/WESTGATE/ABOUT-US/COMMUNIT Y-BENEFIT SOUTHWEST ORTHOPEDIC AND SPINE HOSPITAL (OASIS) HTTP://OASISHOSPITAL.COM/ADDITIONAL-DOCUMENTS ARIZONA SPINE AND JOINT HOSPITAL HTTPS://WWW.AZSPINEANDJOINT.COM/OUR-FACILITY/ ARIZONA GENERAL HOSPITAL - LAVEEN ARIZONA GENERAL HOSPITAL - MESA HTTPS://WWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/ARIZONAGENERAL/ABOUT-US/CO MMUNITY-BENEFIT ARIZONA ORTHOPEDIC SPECIALTY HOSPITAL (ARIZONA SPECIALTY HOSPITAL) HTTP://WWW.DIGNITYHEALTHAZSH.COM/COMMUNITY-BENEFITS-REPORTS DIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL HTTP://WWW.DIGNITYHEALTHEVREHAB.COM/PAGE/COMMUNITY-HEALTH

SECTION B, LINE 7B - CHNA ON OTHER WEB SITES
ST. JOHN'S REGIONAL MEDICAL CENTER ST. JOHN'S PLEASANT VALLEY HOSPITAL http://www.healthmattersinvc.org/ CARONDELET ST. JOSEPH'S HOSPITAL, CARONDELET ST. MARY'S HOSPITAL HTTPS://WWW.HEALTHYPIMA.COM/

SECTION B, LINE 10A - IMPLEMENTATION STRATEGIES ON WEB SITES
DIGNITY HEALTH HOSPITAL FACILITY IMPLEMENTATION STRATEGY DOCUMENTS CAN BE ACCESSED AT HTTPS://WWW.DIGNITYHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH/COMMUNITY-HEALTH-P ROGRAMS-AND-REPORTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS IMPLEMENTATION STRATEGY DOCUMENTS ARE ALSO ON EACH HOSPITAL FACILITY'S WEB SITE, AT THE SAME LOCATIONS AS THEIR CHNA REPORTS LISTED IN PART V, SECTION B, LINE 7A ABOVE.

SECTION B, LINE 11 - NEEDS ADDRESSED AND NOT ADDRESSED IN THE CHNA
ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER ST. JOSEPH'S WESTGATE MEDICAL CENTER THE HOSPITALS ARE ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ACCESS TO CARE, 2) MENTAL/BEHAVIORAL HEALTH/SUBSTANCE ABUSE, 3) OVERWEIGHT/OBESITY - DIET RELATED ILLNESSES, 4) CANCER, 5) TRAUMA/INJURY PREVENTION, AND 6) SOCIAL DETERMINANTS OF HEALTH. THE HOSPITALS ARE ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: EDUCATION, ENROLLMENT AND OUTREACH ACTIVITIES, CARE NAVIGATION FOR VULNERABLE POPULATIONS AND NEEDY POPULATIONS, MUHAMMED ALI PARKINSON'S CENTER PROMOTORAS/COMMUNITY HEALTH WORKERS, MOMOBILE (MATERNAL OUTREACH MOBILE UNIT), CARE COORDINATION HOME VISITING, MENTAL HEALTH FIRST AID, DIGNITY HEALTH COMMUNITY GRANTS, SUBSTANCE ABUSE INITIATIVES WITH COMMUNITY MEDICAL SERVICES, MATERNAL MENTAL HEALTH PROGRAMS, ALZHEIMER AND DEMENTIA EDUCATION, DEEP (DIABETES EDUCATION AND EMPOWERMENT PROGRAM) SELF-MANAGEMENT WORKSHOPS, HEALTHIER LIVING WITH CHRONIC CONDITIONS, HEALTH PROMOTION AND STROKE PREVENTION EDUCATION FOR SENIORS, ACTIVATE SEPSIS PREVENTION AND ASSISTANCE PROGRAM, STOP THE BLEED PROGRAM, PEDESTRIAN SAFETY - COMMUNITY EDUCATION, ACTIVATE/ACTIVATE PRIME AND BALANCE MATTERS FALLS PREVENTION PROGRAMS, HUMAN TRAFFICKING TASK FORCE, TRAUMATIC BRAIN INJURY PREVENTION PROGRAMS - BARROW BRAINBOOK AND BARROW BRAIN BALL, MEDICAL RESPITE AND TRANSITIONAL PLACEMENT, HOMEVP COMMITTEE - CONTINUUM OF CARE PARTNERSHIPS, HOMELESS INITIATIVE (SB1152), 2MATCH (TO MATCH ALIGN AND MATCH THROUGH COMMUNITY HUBS), WOMEN'S WELLNESS CLINIC, AZ DEPARTMENT OF HEALTH - BREAST AND OVARIAN CANCER SCREENING PROGRAM, CANCER SUPPORT NAVIGATION, AND MEDICATION ASSISTANCE. THE HOSPITALS INTEND TO TAKE ACTIONS TO ADDRESS ALL OF THE PRIORITIZED SIGNIFICANT HEALTH NEEDS IN THE CHNA REPORT, BOTH THROUGH THEIR OWN PROGRAMS AND SERVICES AND WITH COMMUNITY PARTNERS. MERCY SAN JUAN MEDICAL CENTER MERCY GENERAL HOSPITAL MERCY HOSPITAL OF FOLSOM METHODIST HOSPITAL OF SACRAMENTO THESE GREATER SACRAMENTO HOSPITALS ARE ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES, 2) ACCESS TO MENTAL, BEHAVIORAL, AND SUBSTANCE ABUSE SERVICES, 3) ACCESS TO BASIC NEEDS, SUCH AS HOUSING, JOBS, AND FOOD, 4) SYSTEM NAVIGATION, 5) INJURY AND DISEASE PREVENTION AND MANAGEMENT, 6) SAFE AND VIOLENCE-FREE ENVIRONMENT, 7) ACCESS TO ACTIVE LIVING AND HEALTHY EATING, 8) CULTURAL COMPETENCY, AND 9) ACCESS TO SPECIALTY AND EXTENDED CARE. INITIATIVES THAT ADDRESS THESE PRIORITIES LARGELY TARGET VULNERABLE AND AT-RISK POPULATIONS, WITH EMPHASIS ON COLLABORATION WITH OTHER DIGNITY HEALTH HOSPITALS AND COMMUNITY PARTNERS. THE HOSPITALS ARE ADDRESSING THESE NEEDS WITH NUMEROUS DIRECT SERVICE PROGRAMS, GRANT FUNDING TO THE COMMUNITY, PATIENT FINANCIAL ASSISTANCE, AND COMMUNITY PARTNERSHIPS DESCRIBED IN DETAIL IN EACH FACILITY'S IMPLEMENTATION STRATEGY, WHICH ARE AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS AT THESE HOSPITALS INCLUDE: MERCY FAMILY HEALTH CENTER (METHODIST HOSPITAL ONLY), CATHOLIC SCHOOL NURSE PROGRAM, CARE FOR THE UNDOCUMENTED, MERCYCLINIC LOAVES & FISHES, WELLSPACE CAPACITY BUILDING, NAVIGATION TO WELLNESS, TLCS TRIAGE NAVIGATOR, CO-OCCURRING SUBSTANCE DISORDER TREATMENT PROGRAM, MENTAL HEALTH CONSULTATIONS AND CONSERVATORSHIP SERVICES, WHOLE PERSON CARE / PATHWAYS TO HEALTH + HOME, HEALTHIER LIVING, MERCY FAITH AND HEALTH PARTNERSHIP, HOUSING WITH DIGNITY HOMELESS PROGRAM, INTERIM CARE PROGRAM, REFERNET INTENSIVE OUTPATIENT MENTAL HEALTH PARTNERSHIP, SAFE KIDS PROGRAM, SPIRIT PROJECT: THE SACRAMENTO PHYSICIANS' INITIATIVE TO REACH OUT, INNOVATE AND TEACH, PATIENT NAVIGATOR PROGRAM, CONGESTIVE HEART ACTIVE MANAGEMENT PROGRAM, HUMAN TRAFFICKING RESPONSE PROGRAM, WEAVE PATIENT ADVOCATE, HEALTHY WOMEN AND FAMILIES, INITIATIVE TO REDUCE AFRICAN AMERICAN CHILD DEATHS, FOOD EXPLORATION AND SCHOOL TRANSFORMATION, RECREATE FOR HEALTH, SALUD CON DIGNIDAD / HEALTH WITH DIGNITY, DEMENTIA CARE AND SUPPORT NAVIGATION, AND ONCOLOGY NURSE PROGRAM. THE HOSPITALS DO NOT HAVE THE CAPACITY OR RESOURCES TO ADDRESS ALL PRIORITY HEALTH ISSUES. THE HOSPITALS ARE NOT ADDRESSING ACCESS TO MEETING FUNCTIONAL NEEDS - TRANSPORTATION AND PHYSICAL DISABILITY AS THESE PRIORITIES ARE BEYOND THE CAPACITY AND EXPERTISE OF MERCY HOSPITAL OF FOLSOM, MERCY SAN JUAN MEDICAL CENTER, MERCY GENERAL HOSPITAL AND METHODIST HOSPITAL OF SACRAMENTO. MANY OF THE CURRENT INITIATIVES INCLUDE A TRANSPORTATION COMPONENT ALTHOUGH SERVICES ARE LIMITED. MARIAN REGIONAL MEDICAL CENTER, ARROYO GRANDE THE HOSPITAL IS ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) EDUCATIONAL ATTAINMENT FOR ADULTS IN THE COMMUNITY, 2) ACCESS TO PRIMARY HEALTH CARE, INCLUDING BEHAVIORAL HEALTH, 3) AGING, MORE MATURE POPULATION, 4) CHRONIC DISEASE PREVENTION AND MANAGEMENT. THE HOSPITAL IS ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: DIGNITY HEALTH COMMUNITY GRANTS PROGRAM, FORMAL MIXTECO INTERPRETER PROGRAM, TRANSITIONAL CARE MANAGEMENT (TCM) PROGRAM, DEVELOPMENT OF BEHAVIORAL HEALTH CRISIS STABILIZATION CENTER, FINANCIAL ASSISTANCE PROGRAMS, FAMILY PRACTICE RESIDENT OUTREACH PROGRAM, PROMOTORES DE SALUD, EMERGENCY DEPARTMENT EXPANSION, STREET MEDICINE OUTREACH PROGRAM, MENTAL HEALTH CRISIS INTERVENTION PROGRAM, FAITH COMMUNITY NURSE PROGRAM, DIGNITY HEALTH WELLNESS PROGRAMS, FREE SCREENING MAMMOGRAM CLINICS, AND BILINGUAL SUPPORT GROUPS. THE HOSPITAL INTENDS TO TAKE ACTIONS TO ADDRESS ALL OF THE PRIORITIZED SIGNIFICANT HEALTH NEEDS IN THE CHNA REPORT, BOTH THROUGH ITS OWN PROGRAMS AND SERVICES AND WITH COMMUNITY PARTNERS. MERCY MEDICAL CENTER REDDING THE HOSPITAL IS ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ALCOHOL AND OTHER SUBSTANCE USE (INCLUDING TOBACCO), 2) CHILD ABUSE, 3) DIABETES, AND 4) MENTAL HEALTH. THE HOSPITAL IS ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: TOBACCO RECOVERY SELF-MANAGEMENT WORKSHOPS, THE DIABETES EMPOWERMENT EDUCATION PROGRAM, CONTINUUM OF CARE COLLABORATION WITH EMPIRE RECOVERY CENTER FOR DETOX SERVICES, MULTISECTOR COUNTYWIDE COLLABORATION - SHASTA COUNTY WHOLE PERSON CARE, CHILD ABUSE PROGRAM - DEVELOPMENT OF CHILDREN'S LEGACY CENTER, PARTICIPATION ON THE NORTHERN CALIFORNIA ADVERSE CHILDHOOD EXPERIENCES COLLABORATIVE, NUTRITION CLASSES, AND TELE-PSYCHIATRY. MERCY MEDICAL CENTER REDDING DOES NOT HAVE THE CAPACITY OR RESOURCES TO ADDRESS ALL IDENTIFIED SIGNIFICANT HEALTH NEEDS. THE HOSPITAL IS NOT DIRECTLY PLANNING INTERVENTIONS THAT WOULD FULLY ADDRESS COMMUNICABLE DISEASES. SHASTA COUNTY IS HOME TO A WEALTH OF ORGANIZATIONS, BUSINESSES, AND NONPROFITS THAT CURRENTLY OFFER PROGRAMS AND SERVICES IN SEVERAL OF THE IDENTIFIED SIGNIFICANT HEALTH NEEDS AREAS. MERCY MEDICAL CENTER REDDING WILL CONTINUE TO BUILD COMMUNITY CAPACITY BY STRENGTHENING PARTNERSHIPS AMONG LOCAL COMMUNITY BASED ORGANIZATIONS. ST. ROSE DOMINICAN HOSPITAL - SIENA ST. ROSE DOMINICAN HOSPITAL - SAN MARTIN ST. ROSE DOMINICAN HOSPITAL - ROSE DE LIMA THE HOSPITALS ARE ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ACCESS TO CARE, 2) MOTOR VEHICLE AND PEDESTRIAN SAFETY, 3) VIOLENCE PREVENTION, 4) SUBSTANCE USE, AND 5) MENTAL HEALTH. THE HOSPITALS ARE ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: NEVADA HEALTH LINK & MEDICAID ENROLLMENT, TRANSITIONAL RESPITE FOR THE HOMELESS PROGRAM - CATHOLIC CHARITIES, HELPING HANDS PROGRAM, LEND A HAND OF BOULDER CITY, ENGELSTAD FOUNDATION RED ROSE, STALLMAN TOURO CLINIC AT THE SHADE TREE, TOE TAG MONOLOGUES, PATIENT FINANCIAL ASSISTANCE, ZERO FATALITIES PROGRAM, AARP DRIVERS SAFETY, CAR SEAT SAFETY CHECKS, HUMAN TRAFFICKING RESPONSE PROGRAM, MENTAL HEALTH FIRST AID (ADULT & YOUTH), SAFETALK SUICIDE PREVENTION, PARENT GUN SAFETY CLASS, SENIOR PEER COUNSELING, RAPE CRISIS CENTER, PREVENT CHILD ABUSE NEVADA, THE SHADE TREE, ST. JUDE'S RANCH FOR CHILDREN, EMPOWERING MOTHERS FOR POSITIVE OUTCOMES WITH EDUCATION, RECOVERY, AND EARLY DEVELOPMENT; ALCOHOLICS ANONYMOUS & NARCOTICS ANONYMOUS SUPPORT, FOUNDATION FOR RECOVERY, LET'S TALK SUPPORT GROUPS, AND PERINATAL MOOD AND ANXIETY DISORDER (PMAD). THE HOSPITALS INTEN

ST. BERNARDINE MEDICAL CENTER
THE HOSPITAL IS ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ACCESS TO HEALTH CARE, 2) BEHAVIORAL HEALTH (INCLUDES MENTAL HEALTH AND SUBSTANCE USE AND MISUSE 3) CHRONIC DISEASES (INCLUDES OVERWEIGHT AND OBESITY), 4) HOUSING AND HOMELESSNESS, AND 5) SAFETY AND VIOLENCE. THE HOSPITAL IS ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: FINANCIAL ASSISTANCE (CHARITY CARE), COMMUNITY HEALTH NAVIGATOR, FREE COMMUNITY HEALTH EDUCATION, FREE FLU SHOTS, COMMUNITY GRANTS PROGRAM, CULTURAL TRAUMA & MENTAL HEALTH RESILIENCY PROGRAM, BABY & FAMILY CENTER, CHRONIC DISEASE SUPPORT GROUPS, ACCELERATING INVESTMENT FOR HEALTHY COMMUNITIES INITIATIVE, FAMILY FOCUS CENTER, AND STEPPING STONES PROGRAM. THE HOSPITAL INTENDS TO TAKE ACTIONS TO ADDRESS ALL OF THE PRIORITIZED SIGNIFICANT HEALTH NEEDS IN THE CHNA REPORT, BOTH THROUGH ITS OWN PROGRAMS AND SERVICES AND WITH COMMUNITY PARTNERS. ST. JOHN'S REGIONAL MEDICAL CENTER ST. JOHN'S PLEASANT VALLEY HOSPITAL THESE VENTURA COUNTY HOSPITALS ARE ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) IMPROVE ACCESS TO HEALTH SERVICES, 2) ADDRESS SOCIAL NEEDS, AND 3) IMPROVE HEALTH AND WELLNESS FOR OLDER ADULTS. THE HOSPITALS ARE ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY (DEVELOPED IN PARTNERSHIP WITH THE VENTURA COUNTY COMMUNITY HEALTH ASSESSMENT COLLABORATIVE), WHICH IS AVAILABLE TO THE PUBLIC ONLINE. STRATEGIES AND PROGRAMS INCLUDE: A COUNTYWIDE COMMUNITY RESOURCE AND REFERRAL NETWORK/PLATFORM WHICH CAN BE ADOPTED BY PARTICIPATING HOSPITALS AND OTHER COMMUNITY BASED ORGANIZATIONS TO INCREASE INTRA- AND INTER-AGENCY REFERRALS AND TRACKING OF HIGH RISK/HIGH NEED CLIENTS; SCREENING FOR FOOD INSECURITY AT PROVIDER PRACTICES AND HOSPITALS TO CONNECT HIGH NEED/HIGH RISK CLIENTS TO FEDERAL/STATE/LOCAL FOOD ACCESS PROGRAMS AND FOOD RESOURCES FOR THEIR UNMET NEEDS; IMPLEMENTATION OF A COMMUNITY BASED CARE TRANSITION PROGRAM PER SECTION 3026 OF THE AFFORDABLE CARE ACT TO SUPPORT MEDICALLY FRAGILE 65+ YEAR ADULTS AND THEIR CAREGIVERS AFTER AN ACUTE CARE HOSPITALIZATION; VCCHNAC WILL EVOLVE INTO A BACKBONE ORGANIZATION WITH EQUAL PARTNERSHIP FROM HOSPITALS, LOCAL HEALTH DEPARTMENT AND COMMUNITY BASED ORGANIZATIONS (CBOS) WHICH SUPPORTS CROSS-SECTORAL OPERATIONS AND ALIGNED FUNDING STREAMS. THE PRIORITIZED HEALTH NEEDS OF BEHAVIORAL HEALTH ISSUES AND CHRONIC DISEASE ARE NOT BEING ADDRESSED BY THE HOSPITALS BECAUSE OTHER COMMUNITY STAKEHOLDERS ARE CURRENTLY LEADING INTERVENTIONS TO ADDRESS THESE HEALTH NEEDS IN THE COUNTY. FURTHER, THE PRIORITIZED STRATEGIES THAT HAVE BEEN CHOSEN ARE UPSTREAM STRATEGIES THAT TARGET ROOT CAUSES OF THE POOR HEALTH OUTCOMES THAT AFFECT VULNERABLE POPULATIONS IN THE COUNTY SUCH AS FOOD INSECURITY. THESE STRATEGIES NEED TO BE IMPLEMENTED COUNTY-WIDE THROUGH COLLABORATIVE AND COLLATERAL ACTION AND REQUIRE ALL THE PARTNERS TO ENGAGE IN EXTENSIVE SHARING OF TECHNOLOGY AND DATA IN A HIPAA COMPLIANT MANNER. GIVEN THE WIDE SCOPE OF THE SELECTED STRATEGIES, THE VCCHNAC PARTNERSHIP WILL NEED TO FOCUS ITS RESOURCES AND EXPERTISE ON THE SELECTED PRIORITIES TO DEMONSTRATE IMPACT. THAT FOCUS WILL REQUIRE CONCERTED EFFORTS AND TIME AND LEAVE VCCHNAC WITH NO RESOURCES TO TAKE ON THE REMAINING PRIORITIES IN THIS ITERATION OF THE JOINT CHIS. ST. MARY MEDICAL CENTER - LONG BEACH THE HOSPITAL IS ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ACCESS TO HEALTH SERVICES, 2) FOOD INSECURITY,3) HOUSING AND HOMELESSNESS, 4) MENTAL HEALTH, AND 5) PREVENTIVE PRACTICES. THE HOSPITAL IS ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: PATIENT FINANCIAL ASSISTANCE, COMMUNITY GRANTS PROGRAM, FAMILY CLINIC OF LONG BEACH, MARY HILTON FAMILY CLINIC, FAMILIES IN GOOD HEALTH PROGRAM, CARE (COMPREHENSIVE AIDS RESOURCE AND EDUCATION) PROGRAM, CULTURAL TRAUMA & MENTAL HEALTH RESILIENCY PROGRAM, BAZZENI WELLNESS CENTER, EVERY WOMAN COUNTS PROGRAM, AND MOBILE CARE UNIT SCREENINGS. SMMC WILL NOT DIRECTLY ADDRESS THE FOLLOWING NEEDS IDENTIFIED IN THE CHNA: CHRONIC DISEASES, ECONOMIC INSECURITY, ENVIRONMENT, EXERCISE/NUTRITION/WEIGHT, ORAL HEALTH, PREGNANCY AND BIRTH OUTCOMES, PUBLIC SAFETY, SEXUALLY TRANSMITTED INFECTIONS AND SUBSTANCE USE AND MISUSE. TAKING EXISTING COMMUNITY RESOURCES INTO CONSIDERATION, SMMC HAS SELECTED TO CONCENTRATE ON THOSE HEALTH NEEDS THAT WE CAN MOST EFFECTIVELY ADDRESS GIVEN OUR AREAS OF FOCUS. SMMC HAS INSUFFICIENT RESOURCES TO EFFECTIVELY ADDRESS ALL THE IDENTIFIED NEEDS AND IN SOME CASES, THE NEEDS ARE CURRENTLY ADDRESSED BY OTHERS IN THE COMMUNITY. MERCY HOSPITAL BAKERSFIELD THE SIGNIFICANT COMMUNITY HEALTH NEEDS THE HOSPITAL IS HELPING TO ADDRESS AND THAT FORM THE BASIS OF THE CHNA WERE IDENTIFIED IN THE HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. NEEDS BEING ADDRESSED BY STRATEGIES AND PROGRAMS ARE: ACCESS TO HEALTH CARE, ALZHEIMER'S DISEASE, CHRONIC DISEASES, OVERWEIGHT AND OBESITY, PREVENTIVE PRACTICES, SOCIAL DETERMINANTS OF HEALTH/BASIC NEEDS. THE HOSPITAL IS ADDRESSING THESE NEEDS WITH NUMEROUS DIRECT SERVICE PROGRAMS, GRANT FUNDING TO THE COMMUNITY, PATIENT FINANCIAL ASSISTANCE, AND COMMUNITY PARTNERSHIPS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. ACCESS TO CARE: FINANCIAL ASSISTANCE, COMMUNITY GRANTS PROGRAM, COORDINATED CARE NETWORK INITIATIVE, COMMUNITY HEALTH INITIATIVE, HOMEMAKER CARE PROGRAM AND PRESCRIPTION PURCHASES. ALZHEIMER'S DISEASE: COMMUNITY GRANTS PROGRAM AND HOMEMAKER CARE PROGRAM. CHRONIC DISEASES: COMMUNITY GRANTS PROGRAM AND COMMUNITY WELLNESS PROGRAM SEMINARS AND CLASSES. OVERWEIGHT AND OBESITY: COMMUNITY GRANTS PROGRAM, COMMUNITY WELLNESS PROGRAM SEMINARS, CLASSES AND HEALTH SCREENINGS, AND HEALTHY KIDS IN HEALTHY HOMES. PREVENTIVE PRACTICES: COMMUNITY GRANTS PROGRAM, COMMUNITY WELLNESS PROGRAM, COMMUNITY WELLNESS PROGRAM SEMINARS AND CLASSES, SMOKING CESSATION PROGRAM, AND COMMUNITY HEALTH INITIATIVE. SOCIAL DETERMINANTS OF HEALTH/BASIC NEEDS: COMMUNITY GRANTS PROGRAM, LEARNING AND OUTREACH CENTERS, COORDINATED CARE NETWORK INITIATIVE, ART AND SPIRITUALITY CENTER AND HOMEMAKER CARE PROGRAM. THE HOSPITAL WILL NOT FOCUS ON THE FOLLOWING NEEDS IDENTIFIED IN THE CHNA: BIRTH INDICATORS, DENTAL CARE, ENVIRONMENTAL POLLUTION, MENTAL HEALTH, SEXUALLY TRANSMITTED INFECTIONS, SUBSTANCE USE AND MISUSE, UNINTENTIONAL INJURIES AND VIOLENCE AND INJURY PREVENTION. TAKING EXISTING COMMUNITY RESOURCES INTO CONSIDERATION, THE HOSPITAL HAS SELECTED TO CONCENTRATE ON THOSE HEALTH NEEDS THAT WE CAN MOST EFFECTIVELY ADDRESS GIVEN OUR AREAS OF FOCUS. IT HAS INSUFFICIENT RESOURCES TO EFFECTIVELY ADDRESS ALL THE IDENTIFIED NEEDS AND IN SOME CASES, THE NEEDS ARE CURRENTLY ADDRESSED BY OTHERS IN THE COMMUNITY. MERCY MEDICAL CENTER MERCED THE HOSPITAL IS ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ACCESS TO HEALTH SERVICES, 2) CANCER, 3) DIABETES, 4) HEART DISEASE & STROKE, 5) FAMILY PLANNING - INFANT HEALTH 6) NUTRITION, PHYSICAL ACTIVITY & WEIGHT, AND 7) RESPIRATORY DISEASES. THE HOSPITAL IS ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: FAMILY PRACTICE CLINIC, KIDS CARE PEDIATRIC CLINIC, GENERAL MEDICINE CLINIC, PATIENT FINANCIAL ASSISTANCE PROGRAM, MERCY ED AND INPATIENT VOLUNTEER PROGRAM, CHRONIC DISEASE SELF-MANAGEMENT PROGRAM, DIABETES CLASSES, DIABETES SELF-MANAGEMENT PROGRAM, NATIONAL DIABETES PREVENTION PROGRAM, ASTHMA COALITION, SMOKING CESSATION CLASSES, TOBACCO COALITION, ASTHMA SELF-MANAGEMENT PROGRAM, CHILDBIRTH CLASSES, LACTATION CLASSES, BABY CAF, CAESARIAN CLASSES, CERTIFIED STROKE HOSPITAL, STROKE TELEMEDICINE, CARDIAC REHAB PROGRAM, STROKE SUPPORT AND RESOURCE CLASSES, STEPS PROGRAM, ZUMBA AND YOGA CLASSES, SCHOOL OUTREACH PROGRAM, FAMILY HEALTH FESTIVAL & 5K STROKE AWARENESS RUN, WALK WITH EASE PROGRAM, MERCY UC DAVIS CANCER CENTER, AMERICAN CANCER SOCIETY PARTNERSHIP, CANCER SUPPORT GROUPS, AND MASSAGE THERAPY SUPPORT GROUPS. MERCY MEDICAL CENTER HAS CHOSEN TO NOT ADDRESS THE FOLLOWING HEALTH NEEDS: SUBSTANCE ABUSE, DEMENTIA, & ALZHEIMER'S DISEASE, INJURY & VIOLENCE AND POTENTIALLY DISABLING CONDITIONS. PATIENTS WILL BE GIVEN COMMUNITY RESOURCES TO ADDRESS ANY OF THESE HEALTH NEEDS WHICH WOULD APPLY TO THAT SPECIFIC INDIVIDUAL. MERCY DOES NOT HAVE THE CAPACITY OR SERVICES TO ADDRESS THESE ISSUES AN

CHANDLER REGIONAL MEDICAL CENTER
MERCY GILBERT MEDICAL CENTER THE HOSPITALS ARE ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ACCESS TO CARE, 2) MENTAL HEALTH AND BEHAVIORAL HEALTH, 3) DIABETES, 4) BREAST CANCER, 5) INJURY PREVENTION, AND 6) SOCIAL DETERMINANTS OF HEALTH. THE HOSPITALS ARE ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: DIGNITY HEALTH COMMUNITY GRANTS PROGRAM, FIRST TEETH FIRST, CHILDREN'S DENTAL CLINIC, IMMUNIZATIONS 2019 - 2021, BUILDING BLOCKS VISION AND HEARING SCREENING, HEALTHIER LIVING PROGRAM, MOMMY FIT CAMPS PROGRAM, THINK FIRST, CRMC TRAUMA SERVICES INJURY PREVENTION, PREGNANCY AND POSTPARTUM SUPPORT GROUP & LET'S TALK THERAPY GROUP, AND THE CENTER FOR DIABETES MANAGEMENT. THE HOSPITALS INTEND TO TAKE ACTIONS TO ADDRESS ALL OF THE PRIORITIZED SIGNIFICANT HEALTH NEEDS IN THE CHNA REPORT, BOTH THROUGH ITS OWN PROGRAMS AND SERVICES AND WITH COMMUNITY PARTNERS. CALIFORNIA HOSPITAL MEDICAL CENTER THE HOSPITAL IS ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) HOUSING & HOMELESSNESS, 2) ACCESS TO HEALTH CARE, 3) MENTAL HEALTH, 4) CHRONIC DISEASES, 5) ECONOMIC INSECURITY, 6) SUBSTANCE USE AND MISUSE, 7) FOOD INSECURITY, 8) EDUCATION, 9) PREVENTIVE PRACTICES, AND 10) BIRTH INDICATORS. THE HOSPITAL IS ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: 10TH DECILE PROJECT, TRANSITION TO WELLNESS PROJECT, ZAHN MEMORIAL CENTER & LILY'S PLACE FOR HOMELESS FAMILIES, MENTAL HEALTH SUPPORT FOR WOMEN WITH HISTORIES OF HOMELESSNESS, HSFC'S EARLY HEAD START PROGRAM, PARA SU SALUD, HEALTH MINISTRY PROGRAM, CHARITY CARE BASED ON FINANCIAL NEED, CLINICAL EXPERIENCE FOR MEDICAL PROFESSIONAL STUDENTS, COPE HEALTH SCHOLARS PROGRAM, LA BEST BABIES NETWORK'S PERINATAL AND EARLY CHILDHOOD HOME VISITING PROGRAMS, NAVIGATING THE HEALTH CARE SYSTEM, PICO UNION FAMILY PRESERVATION NETWORK, WRAPAROUND SERVICES PROGRAM, HSFC EARLY CARE AND EDUCATION CENTERS, HOPE STREET YOUTH CENTER, CA BEHAVIORAL HEALTH CLINIC, LABBN'S PERINATAL AND EARLY CHILDHOOD HOME VISITATION PROGRAMS, UNIHEALTH CULTURAL TRAUMA AND MENTAL HEALTH RESILIENCY PROJECT, HEART HELP PROGRAM, DIABETES EMPOWERMENT EDUCATION PROGRAM, CHRONIC DISEASE SELF-MANAGEMENT PROGRAM, EMOTIONAL WELL-BEING SUPPORT GROUP, BREAST CANCER SUPPORT GROUP, CHMC'S WOMEN'S HEALTH CENTER, COORDINATED CARE INITIATIVE, HEALTHY EATING AND LIFESTYLE PROGRAM, HSFC FAMILY CHILDCARE NETWORK, HSFC FAMILY LITERACY PROGRAM, CA BRIDGE PROGRAM IN ED, HSFC'S EARLY INTERVENTION PROGRAM, UNIHEALTH CULTURAL TRAUMA AND MENTAL HEALTH RESILIENCY PROJECT, CHMC'S FOOD RECOVERY INITIATIVE, IMPROVING BIRTH OUTCOMES FOR AFRICAN AMERICAN BABIES IN LA COUNTY, DECREASING PRETERM BIRTH OF AFRICAN AMERICAN BABIES IN CA, LA COUNTY PERINATAL AND EARLY CHILDHOOD HOME VISITATION CONSORTIUM, HSFC'S LICENSED EARLY CARE AND EDUCATION CENTERS, CHMC'S WELCOME BABY PROGRAM, HSFC'S YOUTH FITNESS PROGRAM, DIGNITY HEALTH HUMAN TRAFFICKING RESPONSE INITIATIVE, STOP THE BLEED PROGRAM, AND MATERNITY TOURS. THE HOSPITAL INTENDS TO TAKE ACTIONS TO ADDRESS ALL OF THE PRIORITIZED SIGNIFICANT HEALTH NEEDS IN THE CHNA REPORT, BOTH THROUGH ITS OWN PROGRAMS AND SERVICES AND WITH COMMUNITY PARTNERS. NORTHRIDGE HOSPITAL MEDICAL CENTER THE HOSPITAL IS ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) HOMELESSNESS AND AFFORDABLE HOUSING, 2) OBESITY/OVERWEIGHT (CHILDREN AND ADULTS), 3) MENTAL HEALTH, 4) SUBSTANCE ABUSE (DRUG & ALCOHOL), 5) DIABETES, AND 6) CHILD/DOMESTIC ABUSE. THE HOSPITAL IS ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: SUPPORT OF SB1152 HOMELESS PATIENT DISCHARGE, PARTICIPATION IN THE SAN FERNANDO AND SANTA CLARITA HOMELESS COALITION (SFSCVHC), RECUPERATIVE CARE SUPPORT, LA FAMILY HOUSING CAMPUS HEALTH CENTER, SCHOOL WELLNESS INITIATIVE, #VICTORIOUS KIDS PROGRAM, UNIHEALTH CULTURAL TRAUMA AND MENTAL HEALTH RESILIENCY PROJECT, CREATING DEMENTIA CAPABLE HEALTH SYSTEMS, PAIN MANAGEMENT AND ED COLLABORATIVE FOR MEDICATED ASSISTED TREATMENT (MAT), PREVENTION FORWARD DIABETES WELLNESS INCLUDING NDPP FOR PREDIABETES AND DEEP FOR DIABETIC PATIENTS, PREVENTION FORWARD ACTIVATE YOUR HEART, CENTER FOR ASSAULT TREATMENT SERVICES (CATS), MEDICAL SAFE HAVEN, SAFE DATES PROGRAM, ESCAPE NOW PROGRAM, AND CALIFORNIA STATE UNIVERSITY, NORTHRIDGE FOUNDATION (CSUN) SUPPORT. THE HOSPITAL INTENDS TO TAKE ACTIONS TO ADDRESS ALL OF THE PRIORITIZED SIGNIFICANT HEALTH NEEDS IN THE CHNA REPORT, BOTH THROUGH ITS OWN PROGRAMS AND SERVICES, AND WITH COMMUNITY PARTNERS. ST. MARY'S MEDICAL CENTER THE HOSPITAL IS ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ACCESS TO COORDINATED, CULTURALLY AND LINGUISTICALLY APPROPRIATE CARE AND SERVICES, 2) HOUSING SECURITY AND AN END TO HOMELESSNESS 3) FOOD SECURITY, HEALTHY EATING, AND ACTIVE LIVING 4) SOCIAL, EMOTIONAL AND BEHAVIORAL HEALTH AND 5) SAFETY FROM VIOLENCE AND TRAUMA. THE HOSPITAL IS ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: SR. MARY PHILIPPA HEALTH CENTER, FINANCIAL ASSISTANCE FOR UNINSURED/ UNDERINSURED AND LOW INCOME RESIDENTS, GRADUATE MEDICAL EDUCATION, INTERNSHIPS FOR HEALTH PROFESSIONALS IN TRAINING, COMMUNITY GRANT TO THE SAN FRANCISCO CARE AND JUSTICE ALLIANCE, BREAST CANCER SECOND OPINION PANEL, BREAST CANCER SUPPORT GROUP, HIV SERVICES, TRANSPORTATION ASSISTANCE, SAN FRANCISCO HEALTH IMPROVEMENT PARTNERSHIP, HEALTH INSURANCE COUNSELING AND ADVOCACY PROGRAM, LOW COST MEALS FOR SENIORS, DIABETES EDUCATION PROGRAM, SHARING THE JOY, SENIOR YOGA, LINEN SERVICE FOR COMMUNITY SHELTERS, DONATIONS OF CLOTHING, MEALS AND TRANSPORTATION TO HOMELESS PATIENTS, COUNSELING ENRICHED EDUCATION PROGRAM, ADOLESCENT PSYCHIATRY SERVICES, HUMAN TRAFFICKING AWARENESS TASKFORCE, AND COMMUNITY GRANTS TO LA CASA DE LAS MADRES. THE HOSPITAL INTENDS TO TAKE ACTIONS TO ADDRESS ALL OF THE PRIORITIZED SIGNIFICANT HEALTH NEEDS IN THE CHNA REPORT, BOTH THROUGH ITS OWN PROGRAMS AND SERVICES AND WITH COMMUNITY PARTNERS. SEQUOIA HOSPITAL THE HOSPITAL IS ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) HEALTHY LIFESTYLES, 2) HOUSING AND HOMELESSNESS, 3) MENTAL HEALTH AND WELL-BEING, AND 4) HEALTH CARE ACCESS AND DELIVERY. THE HOSPITAL IS ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: LIVEWELL PROGRAM, DIABETES EMPOWERMENT EDUCATION PROGRAM (D.E.E.P.), BLOOD GLUCOSE METER INSTRUCTION, MAKE TIME FOR FITNESS, MATTER OF BALANCE (M.O.B.), POST-STROKE LECTURE SERIES, DIGNITY HEALTH SEQUOIA HOSPITAL COMMUNITY GRANTS PROGRAM, CHARITABLE CASH AND IN-KIND DONATIONS, DISCHARGE PLANNING FOR HOMELESS PATIENTS, GPS GROUP PEER SUPPORT FOR PERINATAL PARENTS, HEARTMATH SYSTEM, FINANCIAL ASSISTANCE FOR THE UNINSURED OR UNDERINSURED, SEQUOIA COMMUNITY CARE, OPERATION ACCESS IN-KIND VOLUNTEERS, AND SONRISAS DENTAL HEALTH, INC. GRANT PROGRAM. THE HOSPITAL INTENDS TO TAKE ACTIONS TO ADDRESS ALL OF THE PRIORITIZED SIGNIFICANT HEALTH NEEDS IN THE CHNA REPORT, BOTH THROUGH ITS OWN PROGRAMS AND SERVICES AND WITH COMMUNITY PARTNERS. ST. ELIZABETH COMMUNITY HOSPITAL THE HOSPITAL IS ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ACCESS TO CARE, AND 2) HOMELESSNESS. THE HOSPITAL IS ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: PROVIDE SERVICES FOR VULNERABLE POPULATIONS (FINANCIAL ASSISTANCE), INCREASE ACCESS TO CARE THROUGH PHYSICIAN RECRUITMENT EFFORTS, COMMUNITY SUPPORT THROUGH PARTNERSHIPS WITH FEDERALLY QUALIFIED HEALTH CLINICS, HEALTH EDUCATION OUTREACH, EMERGENCY DEPARTMENT BASED PATIENT NAVIGATION, ONSITE SCHOOL HEALTH SCREENINGS, TELE-PSYCHIATRY, COMMUNITY MENTAL HEALTH RESOURCES/PARTNERSHIP, BEHAVIORAL EVALUATION SERVICES, AND OUTPATIENT CLINIC BEHAVIORAL HEALTH SERVICES. ST. ELIZABETH COMMUNITY HOSPITAL DOES NOT HAVE THE CAPACITY OR RESOURCES TO ADDRESS ALL IDENTIFIED SIGNIFICANT HEALTH NEEDS. THE HOSPITAL IS NOT DIRECTLY PLANNING INTERVENTIONS THAT WOULD FULLY ADDRESS AGING ISSUE

GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER
"THE HOSPITAL IS ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) MENTAL HEALTH, 2) OBESITY/OVERWEIGHT, 3) SUBSTANCE ABUSE, 4) DIABETES, 5) CARDIOVASCULAR DISEASE, 6) CANCER, 7) STROKE, AND 8) COMMUNICABLE/INFECTIOUS DISEASES. THE HOSPITAL IS ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: BEHAVIORAL HEALTH UNIT, COMMUNITY GRANTS PROGRAM AWARDS FOR MENTAL HEALTH, HOMELESSNESS SERVICES, YOUTH DEVELOPMENT, SENIOR COMMUNITY WALKING PROGRAM, EXERCISE AND HEALTHY LIFESTYLES CLASSES, HEALTH EDUCATION AND SCREENINGS, COMMUNITY GRANT SUPPORT FOR YOUTH PHYSICAL ACTIVITY WITH THE GLENDALE PARKS AND OPEN SPACE FOUNDATION, DISEASE MANAGEMENT EDUCATION FOR PATIENTS AND THE WIDER COMMUNITY, BREASTFEEDING RESOURCE CENTER, COMMUNITY GRANT SUPPORT FOR CHRONICALLY HOMELESS INDIVIDUALS, SENIOR COMMUNITY WALKING PROGRAM, EXERCISE AND HEALTHY LIFESTYLES CLASSES, HEALTH EDUCATION AND SCREENINGS, COMMUNITY CANCER EDUCATION, AND DISEASE MANAGEMENT EDUCATION. SEVERAL OF THE HEALTH ISSUES IDENTIFIED IN THE CHNA ARE ADDRESSED IN VARIOUS HOSPITAL PROGRAMS. NOTE THAT NOT ALL COMMUNITY NEEDS ARE DIRECTLY ADDRESSED BY GMHHC, PRIMARILY DUE TO LIMITED RESOURCES OR AN ADEQUATE NUMBER OF COMMUNITY RESOURCES CURRENTLY EXISTING TO ADDRESS THOSE NEEDS. SPECIFICALLY, THIS INCLUDES THE PRIORITIZED HEALTH NEED ""SEXUAL HEALTH / STDS."" WOODLAND MEMORIAL HOSPITAL THE HOSPITAL IS ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ACCESS TO MENTAL, BEHAVIORAL, AND SUBSTANCE ABUSE SERVICES 2) INJURY AND DISEASE PREVENTION AND MANAGEMENT 3) ACCESS TO BASIC NEEDS, SUCH AS HOUSING, JOBS, AND FOOD, 4) ACTIVE LIVING AND HEALTHY EATING, 5) ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES, 6) ACCESS TO SPECIALTY AND EXTENDED CARE AND 7) SAFE AND VIOLENCE-FREE ENVIRONMENT. THE HOSPITAL IS ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: INPATIENT MENTAL HEALTH SERVICES, ENHANCED MENTAL HEALTH CRISIS & FOLLOW-UP, PREVENTION WRAPAROUND AND PEER PARENT PARTNER SERVICES, BABY & ME, HEALTHY LIVES (VIDA SANA), DIABETES CARE MANAGEMENT PROGRAM, YOUR LIFE, TAKE CARE, CHAMP (CONGESTIVE HEART ACTIVE MANAGEMENT PROGRAM), DISEASE-SPECIFIC SUPPORT GROUPS, MIGRANT CENTER VISITS, HEALTHY LIVING OUTREACH & SCREENINGS, HAVEN HOUSE, FARMERS MARKET, YOLO FOOD BANK, NUTRITION EDUCATION AND COUNSELING, FEDERALLY QUALIFIED HEALTH CENTER CAPACITY BUILDING, RESOURCE CONNECTION & PATIENT NAVIGATOR PROGRAM, FINANCIAL ASSISTANCE FOR UNINSURED/UNDERINSURED AND LOW INCOME RESIDENTS, DIGNITY HEALTH COMMUNITY GRANTS PROGRAM, YOLO ADULT DAY HEALTH CENTER, YOLO HEALTHY AGING ALLIANCE, CANCER NURSE NAVIGATOR, BABY AND ME SUPPORT GROUP, RISE INC., HUMAN TRAFFICKING RESPONSE PROGRAM, YOLO CRISIS NURSERY, AND EMPOWER YOLO. WOODLAND MEMORIAL DOES NOT HAVE THE CAPACITY OR RESOURCES TO ADDRESS ALL PRIORITY HEALTH ISSUES IDENTIFIED IN YOLO COUNTY, ALTHOUGH THE HOSPITAL CONTINUES TO SEEK OPPORTUNITIES THAT RESPOND TO THE NEEDS THAT HAVE NOT BEEN SELECTED AS PRIORITIES. THE HOSPITAL IS NOT ADDRESSING ACCESS AND FUNCTIONAL NEEDS - TRANSPORTATION AND PHYSICAL DISABILITY, POLLUTION-FREE LIVING ENVIRONMENT AND ACCESS TO DENTAL CARE AND PREVENTION, AS THESE PRIORITIES ARE BEYOND THE CAPACITY AND EXPERTISE OF WOODLAND MEMORIAL. FRENCH HOSPITAL MEDICAL CENTER THE HOSPITAL IS ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ACCESS TO PRIMARY HEALTH CARE, DENTAL CARE, AND BEHAVIORAL HEALTH, 2) AGING, MORE MATURE POPULATION, AND 3) CHRONIC DISEASE PREVENTION AND MANAGEMENT. THE HOSPITAL IS ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: DIGNITY HEALTH COMMUNITY GRANTS, TRANSITIONAL CARE (TCM) MANAGEMENT PROGRAM, FINANCIAL ASSISTANCE PROGRAMS, STREET MEDICINE OUTREACH PROGRAM, BEHAVIORAL HEALTH MASTER PLAN, MARIAN FAMILY MEDICINE RESIDENT OUTREACH, EMERGENCY DEPARTMENT EXPANSION, PROMOTORES DE SALUD PROGRAM, FAITH COMMUNITY NURSE PROGRAM, DIGNITY HEALTH WELLNESS PROGRAMS, BILINGUAL SUPPORT GROUPS, FREE SCREENING MAMMOGRAM CLINICS, COLON CANCER SCREENING PROGRAM, LUNG CANCER SCREENING PROGRAM, HOMELESS CHRONIC DISEASE EDUCATION AND NAVIGATION PROGRAM. THE HOSPITAL INTENDS TO TAKE ACTIONS TO ADDRESS ALL OF THE PRIORITIZED SIGNIFICANT HEALTH NEEDS IN THE CHNA REPORT, BOTH THROUGH ITS OWN PROGRAMS AND SERVICES AND WITH COMMUNITY PARTNERS. MERCY MEDICAL CENTER MT. SHASTA THE HOSPITAL IS ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ACCESS TO CARE, 2) MATERNAL AND CHILD HEALTH, AND 3) MENTAL HEALTH. THE HOSPITAL IS ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: HEALTH SCREENING-FREE MAMMOGRAM PROGRAM, TRANSPORTATION ASSISTANCE, COMMUNITY PARTNERSHIPS TO ENHANCE ACCESS TO PRIMARY AND SPECIALTY CARE, DIABETES EDUCATION AND COMMUNITY PRESENTATIONS, PATIENT FINANCIAL ASSISTANCE, LACTATION COUNSELING SERVICES, PRENATAL BREASTFEEDING CLASSES, CHILD BIRTH CLASSES, COLLABORATION WITH FIRST FIVE BOOK PROGRAM IN RURAL HEALTH CLINIC SETTING, PARTNERSHIPS WITH GREAT NORTHERN SERVICES FREE SUMMER LUNCH PROGRAM FOR CHILDREN AGES 18 AND UNDER, TELE-PSYCHIATRY, CO-OCCURRING SUBSTANCE DISORDER TREATMENT PROGRAM, MENTAL HEALTH SPECIALIST, MENTAL HEALTH TASK FORCE, BEREAVEMENT/GRIEF SUPPORT GROUP, AND BEHAVIORAL EVALUATION SERVICES. THE HOSPITAL INTENDS TO TAKE ACTIONS TO ADDRESS ALL OF THE PRIORITIZED SIGNIFICANT HEALTH NEEDS IN THE CHNA REPORT, BOTH THROUGH ITS OWN PROGRAMS AND SERVICES AND WITH COMMUNITY PARTNERS. CARONDELET ST. JOSEPH'S HOSPITAL CARONDELET ST. MARY'S HOSPITAL THE 2018 CHNA IDENTIFIED THREE SIGNIFICANT HEALTH NEEDS THAT SHOULD BE CONSIDERED PRIORITIES IN THE COUNTY: BEHAVIORAL HEALTH, OBESITY & CHRONIC DISEASE, AND ACCESS TO SERVICES. THE CARONDELET HEALTH NETWORK HAS PROGRAMS, SERVICE AND PARTNERSHIPS IN PLACE TO HELP THE COMMUNITY ADDRESS THESE AREAS AND HAS DEVELOPED A COMPREHENSIVE IMPLEMENTATION PLAN TO DO SO THAT INCLUDES PROVISION OF CHARITY CARE, MEDICAID/AHCCCS NAVIGATION PROGRAMS, IN-PATIENT BEHAVIORAL HEALTH PROGRAM AND CARE COORDINATION, PARTICIPATION IN COMMUNITY HEALTH GROUPS, EXPANDED CLINICAL SERVICES AND SPECIALIST COVERAGE, SIGNIFICANT SUPPORT OF LOCAL COMMUNITY GROUPS AND ORGANIZATIONS THAT PROMOTE THE HEALTH OF THE COMMUNITY. SOUTHWEST ORTHOPEDIC AND SPINE HOSPITAL (OASIS HOSPITAL) THE SIGNIFICANT COMMUNITY HEALTH NEEDS THE HOSPITAL IS HELPING TO ADDRESS WERE IDENTIFIED IN THE HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. THOSE NEEDS ARE: ACCESS TO CARE, MENTAL/BEHAVIORAL HEALTH/SUBSTANCE ABUSE, CHRONIC DISEASE MANAGEMENT, SAFETY AND VIOLENCE (INJURY AND TRAUMA). OASIS HOSPITAL WORKS WITH OTHER PHOENIX-AREA DIGNITY HEALTH HOSPITALS ON A THREE-YEAR COMMUNITY HEALTH IMPLEMENTATION STRATEGY ENTITLED ""LIVE HEALTHY AND WELL."" SPECIFIC INITIATIVES WITH THE HOSPITAL'S ENGAGEMENT INCLUDE: EDUCATION, ENROLLMENT AND OUTREACH ACTIVITIES; SUBSTANCE ABUSE INITIATIVE; HEALTHIER LIVING - CHRONIC PAIN MANAGEMENT; HEALTHIER LIVING DISEASE SELF-MANAGEMENT; FALL PREVENTION. THE HOSPITAL WILL NOT ADDRESS THE NEEDS OF CANCER, SOCIAL DETERMINANTS OF HEALTH OR HOMELESSNESS AND HOUSING INSECURITY, BECAUSE THESE ARE OUTSIDE THE SCOPE OF THE HOSPITAL'S EXPERTISE. ARIZONA SPINE AND JOINT HOSPITAL THE SIGNIFICANT COMMUNITY HEALTH NEEDS THE HOSPITAL IS HELPING TO ADDRESS WERE IDENTIFIED IN THE HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. THOSE NEEDS ARE: ACCESS TO CARE, CHRONIC DISEASE, SAFETY AND VIOLENCE (INJURY AND TRAUMA). THE HOSPITAL WORKS WITH OTHER PHOENIX-AREA DIGNITY HEALTH HOSPITALS ON A THREE-YEAR COMMUNITY HEALTH IMPLEMENTATION STRATEGY ENTITLED ""LIVE HEALTHY AND WELL."" AMONG THE PROGRAMS DESCRIBED IN THE IMPLEMENTATION STRATEGY ARE THE FOLLOWING. ACCESS TO CARE: EDUCATION, ENROLLMENT AND OUTREACH ACTIVITIES; SURGERY ASSISTANCE PROGRAM. CHRONIC DISEASE: DIABETES PREVENTION AND MANAGEMENT, HEALTHIER LIVING WITH CHRONIC CONDITIONS WORKSHOPS, CHRONIC DISEASE PREVENTION AND ASSISTANCE PROGRAM. SAFETY AND VIOLENCE (INJURY AND TRAUMA): STOP THE BLEED, INJURY PREVENTION AND FALL PREVENTION PROGRAMS INCLUDING PEDESTRIAN SAFETY AND BALANCE MATTERS. THE HOSPITAL WILL NOT ADDRESS THE NEEDS OF MENTAL/BEHAVIORAL HEALTH AND SUBSTANCE ABUSE, CANCER, SOCIAL DETERMINANTS OF HEALTH, AND HOMELESS AND HOUSING INSECURITY BECAUSE IT IS AN ORTHOPEDIC SPECIALTY HOSPITAL AND"

ARIZONA GENERAL HOSPITAL LAVEEN
"THE SIGNIFICANT COMMUNITY HEALTH NEEDS THE HOSPITAL IS HELPING TO ADDRESS WERE IDENTIFIED IN THE HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. NEEDS BEING ADDRESSED BY STRATEGIES AND PROGRAMS ARE: ACCESS TO CARE, MENTAL HEALTH/BEHAVIORAL HEALTH/ SUBSTANCE ABUSE, OVERWEIGHT/OBESITY, TRAUMA/INJURY PREVENTION, SOCIAL DETERMINANTS OF HEALTH. THE HOSPITAL WORKS WITH OTHER PHOENIX-AREA DIGNITY HEALTH HOSPITALS ON A THREE-YEAR COMMUNITY HEALTH IMPLEMENTATION STRATEGY ENTITLED ""LIVE HEALTHY AND WELL."" THE HOSPITAL WILL COLLABORATE TO HELP ADDRESS ALL OF THE SIGNIFICANT NEEDS. AMONG THE PROGRAMS DESCRIBED IN THE IMPLEMENTATION STRATEGY ARE THE FOLLOWING. ACCESS TO CARE: PATIENT FINANCIAL ASSISTANCE, INSURANCE ENROLLMENT, INPATIENT AND POST DISCHARGE NAVIGATION FOR HIGH RISK PATIENTS INCLUDING THE UNINSURED, MISSION OF MERCY PRIMARY CARE MEDICAL HOME, COLLABORATION WITH ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER'S TRANSITION OF CARE CLINIC. MENTAL HEALTH/BEHAVIORAL HEALTH/ SUBSTANCE ABUSE: CRISIS, PREPARATION AND RECOVERY PARTNERSHIP PROGRAM. OVERWEIGHT/OBESITY: COLLABORATION WITH ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER FOR HEALTHIER LIVING PROGRAM; H2O HEART HEALTH ORGANIZATION. TRAUMA/INJURY PREVENTION: INJURY PREVENTION EDUCATION, FALLS PREVENTION EVALUATIONS. SOCIAL DETERMINANTS OF HEALTH: COLLABORATION WITH ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER'S TRANSITION OF CARE CLINIC, COLLABORATION WITH ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER'S HEALTHIER LIVING PROGRAM. ARIZONA ORTHOPEDIC SPECIALTY HOSPITAL (ARIZONA SPECIALTY HOSPITAL) THE SIGNIFICANT COMMUNITY HEALTH NEEDS THE HOSPITAL IS HELPING TO ADDRESS AND THAT FORM THE BASIS OF THIS DOCUMENT WERE IDENTIFIED IN THE HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THOSE NEEDS ARE: ACCESS TO CARE, MENTAL/BEHAVIORAL HEALTH/SUBSTANCE ABUSE, CHRONIC DISEASE, CANCER, SAFETY AND VIOLENCE (INJURY AND TRAUMA), SOCIAL DETERMINANTS OF HEALTH (INCLUDING HOMELESSNESS). THE HOSPITAL WORKS WITH OTHER PHOENIX-AREA DIGNITY HEALTH HOSPITALS ON A THREE-YEAR COMMUNITY HEALTH IMPLEMENTATION STRATEGY ENTITLED ""LIVE HEALTHY AND WELL."" THE HOSPITAL WILL WORK WITH OTHERS TO HELP ADDRESS ALL IDENTIFIED SIGNIFICANT HEALTH NEEDS. AMONG THE PROGRAMS DESCRIBED IN THE IMPLEMENTATION STRATEGY ARE THE FOLLOWING. ACCESS TO CARE: SCHOOL-BASED HEALTHCARE; FREE AND LOW COST COMMUNITY-BASED HEALTH SERVICES; EDUCATION, ELIGIBILITY, AND ENROLLMENT; PATIENT NAVIGATION AND REFERRALS TO COMMUNITY BASED SERVICES. MENTAL/BEHAVIORAL HEALTH/SUBSTANCE ABUSE: PROGRAMS TO INCREASE EDUCATION AND AWARENESS, SEVERAL YOUTH AND ADULT PREVENTION SERVICES, ACCESS TO CRISIS INTERVENTION SERVICES, PREGNANT AND POSTPARTUM ADJUSTMENT SUPPORT, CONTROLLED SUBSTANCE PRESCRIPTION MONITORING. CHRONIC DISEASE: DIABETES MANAGEMENT AND SUPPORT, CHRONIC DISEASE SELF-MANAGEMENT EDUCATION, ACCESS TO FITNESS. CANCER: PROGRAMS FOR EDUCATION ON EARLY DETECTION, AS WELL AS SCREENING AND TREATMENT PROGRAMS. SAFETY AND VIOLENCE (INJURY AND TRAUMA): INJURY PREVENTION/INTERVENTION EDUCATION PROGRAMS FOR CHILDREN AND ADULTS. SOCIAL DETERMINANTS OF HEALTH (INCLUDING HOUSING AND HOMELESSNESS): FUNDING FOR SHELTER, TRANSITIONAL HOUSING, AND PERMANENT HOUSING; SENIOR TRANSPORTATION TO MEDICAL APPOINTMENTS; PARTNERING WITH AGENCIES PROVIDING ACCESS TO HEALTHY FOOD OPTIONS, AND HUMAN TRAFFICKING TASK FORCE. DIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL THE SIGNIFICANT COMMUNITY HEALTH NEEDS THE HOSPITAL IS HELPING TO ADDRESS AND THAT FORM THE BASIS OF THIS DOCUMENT WERE IDENTIFIED IN THE HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THOSE NEEDS ARE: ACCESS TO CARE, MENTAL/BEHAVIORAL HEALTH/SUBSTANCE ABUSE, CHRONIC DISEASE, SAFETY AND VIOLENCE (INJURY AND TRAUMA). THE HOSPITAL WORKS WITH OTHER PHOENIX-AREA DIGNITY HEALTH HOSPITALS ON A THREE-YEAR COMMUNITY HEALTH IMPLEMENTATION STRATEGY ENTITLED ""LIVE HEALTHY AND WELL."" AMONG THE PROGRAMS DESCRIBED IN THE IMPLEMENTATION STRATEGY ARE THE FOLLOWING. ACCESS TO CARE: EDUCATION, ENROLLMENT AND OUTREACH ACTIVITIES; CARE NAVIGATION FOR VULNERABLE POPULATIONS; CARE COORDINATION HOME VISITING. MENTAL/BEHAVIORAL HEALTH/SUBSTANCE ABUSE: MENTAL HEALTH FIRST AID COURSE, SUBSTANCE ABUSE INITIATIVES WITH COMMUNITY MEDICAL SERVICES, ALZHEIMER AND DEMENTIA EDUCATION. CHRONIC DISEASE: HEALTHIER LIVING WITH CHRONIC CONDITIONS WORKSHOPS, DIABETES EDUCATION EMPOWERMENT PROGRAM, STROKE PREVENTION, ACTIVATE SEPSIS PREVENTION AND ASSISTANCE PROGRAM. SAFETY AND VIOLENCE (INJURY AND TRAUMA): STOP THE BLEED, INJURY PREVENTION AND FALL PREVENTION PROGRAMS INCLUDING PEDESTRIAN SAFETY AND BALANCE MATTERS. THE HOSPITAL WILL NOT ADDRESS THE NEEDS OF CANCER, SOCIAL DETERMINANTS OF HEALTH, AND HOMELESS AND HOUSING INSECURITY BECAUSE IT IS A REHABILITATION SPECIALTY HOSPITAL AND THESE AREAS ARE OUTSIDE THE SCOPE OF THE HOSPITAL'S EXPERTISE. CARONDELET HOLY CROSS HOSPITAL THE 2017 COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED THE FOLLOWING PRIORITIZED SIGNIFICANT HEALTH AND HEALTH-RELATED NEEDS: MENTAL HEALTH, ECONOMIC INSECURITY, OVERWEIGHT AND OBESITY, ACCESS TO HEALTH CARE, DIABETES, BIRTH INDICATORS, DENTAL CARE AND SUBSTANCE ABUSE. HOLY CROSS HOSPITAL HAS PROGRAMS, SERVICES AND PARTNERSHIPS IN PLACE TO HELP THE COMMUNITY ADDRESS OVERWEIGHT AND OBESITY, ACCESS TO HEALTH CARE, AND DIABETES. THE HOSPITAL IS AND WILL CONTINUE TO MEET NEEDS THROUGH: PROVISION OF CHARITY CARE; MEDICAID/AHCCCS NAVIGATION PROGRAMS; DIABETES SUPPORT GROUPS; NUTRITION COUNSELING; COLLABORATING ON PROMOTORA OUTREACH AND COMMUNITY EDUCATION; PARTICIPATION IN COMMUNITY HEALTH GROUPS SUCH AS THE VIVIR MEJOR COALITION; EXPANDED CLINICAL SERVICES AND SPECIALIST COVERAGE BY OUR CRITICAL ACCESS HOSPITAL; AND SIGNIFICANT SUPPORT OF LOCAL COMMUNITY GROUPS AND ORGANIZATIONS THAT PROMOTE THE HEALTH OF THE COMMUNITY. AS A SMALL CRITICAL ACCESS HOSPITAL, THE FACILITY DOES NOT HAVE THE RESOURCES OR PERSONNEL TO TAKE THE LEAD IN ADDRESSING MENTAL HEALTH, ECONOMIC INSECURITY, BIRTH INDICATORS, DENTAL CARE OR SUBSTANCE ABUSE. THE HOSPITAL WILL PARTNER WITH AND SUPPORT OTHERS IN THE COMMUNITY ADDRESSING THESE NEEDS, AS APPROPRIATE. ARIZONA GENERAL HOSPITAL MESA THE SIGNIFICANT COMMUNITY HEALTH NEEDS THE HOSPITAL IS HELPING TO ADDRESS WERE IDENTIFIED IN THE HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. NEEDS BEING ADDRESSED BY STRATEGIES AND PROGRAMS ARE: ACCESS TO CARE, MENTAL HEALTH/BEHAVIORAL HEALTH/ SUBSTANCE ABUSE, OVERWEIGHT/OBESITY, TRAUMA/INJURY PREVENTION, SOCIAL DETERMINANTS OF HEALTH. THE HOSPITAL WORKS WITH OTHER PHOENIX-AREA DIGNITY HEALTH HOSPITALS ON A THREE-YEAR COMMUNITY HEALTH IMPLEMENTATION STRATEGY ENTITLED ""LIVE HEALTHY AND WELL."" THE HOSPITAL WILL COLLABORATE TO HELP ADDRESS ALL OF THE SIGNIFICANT NEEDS. AMONG THE PROGRAMS DESCRIBED IN THE IMPLEMENTATION STRATEGY ARE THE FOLLOWING. ACCESS TO CARE: PATIENT FINANCIAL ASSISTANCE, INSURANCE ENROLLMENT, INPATIENT AND POST DISCHARGE NAVIGATION FOR HIGH RISK PATIENTS INCLUDING THE UNINSURED, MISSION OF MERCY PRIMARY CARE MEDICAL HOME, COLLABORATION WITH CHANDLER REGIONAL AND MERCY GILBERT MEDICAL CENTER'S TRANSITION OF CARE CLINIC. MENTAL HEALTH/BEHAVIORAL HEALTH/ SUBSTANCE ABUSE: CRISIS, PREPARATION AND RECOVERY PARTNERSHIP PROGRAM. OVERWEIGHT/OBESITY: COLLABORATION WITH CHANDLER REGIONAL AND MERCY GILBERT MEDICAL CENTER FOR HEALTHIER LIVING PROGRAM; H2O HEART HEALTH ORGANIZATION. TRAUMA/INJURY PREVENTION: INJURY PREVENTION EDUCATION, FALLS PREVENTION EVALUATIONS. SOCIAL DETERMINANTS OF HEALTH: COLLABORATION WITH CHANDLER REGIONAL AND MERCY GILBERT MEDICAL CENTER'S TRANSITION OF CARE CLINIC, COLLABORATION WITH CHANDLER REGIONAL AND MERCY GILBERT MEDICAL CENTER'S HEALTHIER LIVING PROGRAM."

SECTION B, LINE 13 - ELIGIBILITY FOR FINANCIAL ASSISTANCE
DIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL THE HOSPITAL HAS DEVELOPED A FINANCIAL ASSISTANCE PROGRAM AFTER FISCAL YEAR 2019. THE OPERATING AGREEMENT WITH THIS JOINT VENTURE REQUIRES COMPLIANCE WITH SECTION 501(R), INCLUDING THE ADOPTION OF A FINANCIAL ASSISTANCE AND EMERGENCY MEDICAL CARE POLICY.

SECTION B, LINE 13H - ELIGIBILITY FOR PROVIDING DISCOUNTED CARE CRITERIA
CARONDELET ST. JOSEPH'S HOSPITAL CARONDELET ST. MARY'S HOSPITAL CARONDELET HOLY CROSS HOSPITAL PATIENTS QUALIFY FOR DISCOUNTED CARE IF GROSS FAMILY INCOME IS BETWEEN 200% AND 300% OF THE FEDERAL POVERTY LEVEL AT THE TIME OF THE APPLICATION, AND HOSPITAL CHARGES IN THE PAST SIX MONTHS EXCEED TWICE THE PATIENT'S GROSS ANNUAL FAMILY INCOME. SOUTHWEST ORTHOPEDIC AND SPINE HOSPITAL PATIENTS WITH PATIENT FAMILY INCOME ABOVE 200% BUT AT OR BELOW 500% OF FPL WHO RECEIVE A DISCOUNT UNDER THE FINANCIAL ASSISTANCE POLICY WILL ALSO BE PROVIDED AN EXTENDED PAYMENT PLAN WHICH ALLOWS FOR THE PAYMENT OF THE DISCOUNTED AMOUNT OVER NOT MORE THAN A 30-MONTH PERIOD. ARIZONA SPINE AND JOINT HOSPITAL UPON REQUEST, PATIENTS WITH PATIENT FAMILY INCOME ABOVE 200% BUT AT OR BELOW 500% OF FPL WHO RECEIVE A DISCOUNT UNDER THE FINANCIAL ASSISTANCE POLICY WILL ALSO BE PROVIDED AN EXTENDED PAYMENT PLAN.

SECTION B, LINE 16A, 16B AND 16C - FAP APPLICATION FORM WEBSITE
ST JOSEPH'S HOSPITAL AND MEDICAL CENTER WWW.DIGNITYHEALTH.ORG/STJOSEPHS/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING -AND-PAYMENT-INFORMATION/PAYMENT-ASSISTANCE MERCY SAN JUAN MEDICAL CENTER MERCY GENERAL HOSPITAL MERCY HOSPITAL OF FOLSOM METHODIST HOSPITAL OF SACRAMENTO WOODLAND MEMORIAL HOSPITAL WWW.DIGNITYHEALTH.ORG/SACRAMENTO/PATIENTS-VISITORS/FOR-PATIENTS/BILLING-IN FORMATION/PAYMENT-ASSISTANCE MARIAN REGIONAL MEDICAL CENTER, ARROYO GRANDE WWW.DIGNITYHEALTH.ORG/MARIANREGIONAL/PATIENTS-AND-VISITORS/PATIENTS/BILLIN G-INFORMATION/PAYMENT-ASSISTANCE MERCY MEDICAL CENTER REDDING WWW.DIGNITYHEALTH.ORG/MERCY-REDDING/PATIENTS-AND-VISITORS/PATIENTS/BILLING -INFORMATION/PAYMENT-ASSISTANCE-PROGRAMS ST. ROSE DOMINICAN HOSPITAL - SIENA ST. ROSE DOMINICAN HOSPITAL - SAN MARTIN ST. ROSE DOMINICAN HOSPITAL - ROSE DE LIMA WWW.DIGNITYHEALTH.ORG/LAS-VEGAS/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING -INFORMATION/PAYMENT-ASSISTANCE DOMINICAN HOSPITAL WWW.DIGNITYHEALTH.ORG/DOMINICAN/PATIENTS-AND-VISITORS/PATIENTS/BILLING/PAY MENT-ASSISTANCE ST. BERNARDINE MEDICAL CENTER WWW.DIGNITYHEALTH.ORG/STBERNARDINEMEDICAL/PATIENTS-AND-VISITORS/PATIENTS/B ILLING-AND-PAYMENTS/PAYMENT-ASSISTANCE ST. JOHN'S REGIONAL MEDICAL CENTER HTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/LOCATIONS/STJOHNSREGIONAL/PATI ENTS-AND-VISITORS/FOR-PATIENTS/BILLING-AND-PAYMENT/FINANCIAL-ASSISTANCE ST. MARY MEDICAL CENTER - LONG BEACH HTTPS://WWW.DIGNITYHEALTH.ORG/SOCAL/LOCATIONS/STMARYMEDICAL/PATIENTS-AND-V ISITORS/FOR-PATIENTS/BILLING-PAYMENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTAN CE MERCY HOSPITAL (BAKERSFIELD) WWW.DIGNITYHEALTH.ORG/MERCY-BAKERSFIELD/PATIENTS-AND-VISITORS/PATIENTS/BIL LING-INFORMATION/PAYMENT-ASSISTANCE MERCY MEDICAL CENTER MERCED WWW.DIGNITYHEALTH.ORG/MERCYMEDICAL-MERCED/PATIENTS-AND-VISITORS/PATIENTS/B ILLING-INFORMATION/PAYMENT-ASSISTANCE-PROGRAMS CHANDLER REGIONAL MEDICAL CENTER WWW.DIGNITYHEALTH.ORG/CHANDLERREGIONAL/PATIENTS-AND-VISITORS/FOR-PATIENTS/ BILLING-AND-PAYMENT-SERVICES/PAYMENT-ASSISTANCE-PROGRAMS MERCY GILBERT MEDICAL CENTER HTTPS://WWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/MERCYGILBERT/PATIENTS-AND- VISITORS/FOR-PATIENTS/BILLING-AND-PAYMENT/FINANCIAL-ASSISTANCE CALIFORNIA HOSPITAL MEDICAL CENTER WWW.DIGNITYHEALTH.ORG/CALIFORNIAHOSPITAL/PATIENTS-AND-VISITORS/PATIENTS/BI LLING-AND-PAYMENT/PAYMENT-ASSISTANCE NORTHRIDGE HOSPITAL MEDICAL CENTER HTTPS://WWW.DIGNITYHEALTH.ORG/SOCAL/LOCATIONS/NORTHRIDGEHOSPITAL/PATIENTS- AND-VISITORS/FOR-PATIENTS/BILLING-AND-PAYMENT/FINANCIAL-ASSISTANCE ST. MARY'S MEDICAL CENTER WWW.DIGNITYHEALTH.ORG/STMARYS/PATIENTS-AND-VISITORS/PATIENTS/BILLING/PAYME NT-ASSISTANCE SEQUOIA HOSPITAL WWW.DIGNITYHEALTH.ORG/SEQUOIA/PATIENTS-AND-VISITORS/PATIENTS/BILLING/PAYME NT-ASSISTANCE ST. ELIZABETH COMMUNITY HOSPITAL WWW.DIGNITYHEALTH.ORG/STELIZABETHHOSPITAL/PATIENTS-AND-VISITORS/PATIENTS/B ILLING-INFORMATION/PAYMENT-ASSISTANCE-PROGRAMS GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER WWW.DIGNITYHEALTH.ORG/GLENDALEMEMORIAL/PATIENTS-AND-VISITORS/FOR-PATIENTS/ BILLING-PAYMENT-AND-FINANCIAL-SERVICES/PAYMENT-ASSISTANCE-PROGRAMS ST. JOHN'S PLEASANT VALLEY HOSPITAL WWW.DIGNITYHEALTH.ORG/PLEASANTVALLEY/PATIENTS-AND-VISITORS/PATIENTS/BILLIN G-AND-PAYMENT-INFORMATION/PAYMENT-ASSISTANCE FRENCH HOSPITAL MEDICAL CENTER WWW.DIGNITYHEALTH.ORG/FRENCHHOSPITAL/PATIENTS-AND-VISITORS/PATIENTS/BILLIN G-INFORMATION/PAYMENT-ASSISTANCE MERCY MEDICAL CENTER MT SHASTA WWW.DIGNITYHEALTH.ORG/MERCY-MTSHASTA/PATIENTS-AND-VISITORS/PATIENTS/BILLIN G-INFORMATION/PAYMENT-ASSISTANCE-PROGRAMS CARONDELET ST. JOSEPH'S HOSPITAL CARONDELET ST. MARY'S HOSPITAL CARONDELET HOLY CROSS HOSPITAL HTTPS://WWW.CARONDELET.ORG/PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM ST JOSEPH'S WESTGATE MEDICAL CENTER HTTPS://WWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/WESTGATE/PATIENTS-AND-VISI TORS/FOR-PATIENTS/BILLING-AND-PAYMENT/FINANCIAL-ASSISTANCE SOUTHWEST ORTHOPEDIC AND SPINE HOSPITAL (OASIS/SOSH) HTTP://OASISHOSPITAL.COM/ADDITIONAL-DOCUMENTS DE CRAIG RANCH LLC DBA DIGNITY HEALTH - ST. ROSE DOMINICAN NORTH LAS VEGAS DE BLUE FLAMINGO LLC DBA DIGNITY HEALTH - ST. ROSE DOMINICAN BLUE DIAMOND DE FLAMINGO LLC DBA DIGNITY HEALTH - ST. ROSE DOMINICAN WEST FLAMINGO DE SAHARA LLC DBA DIGNITY HEALTH - ST. ROSE DOMINICAN SAHARA HTTPS://WWW.STROSENH.ORG/HELPINGHANDS/ ARIZONA SPINE AND JOINT HOSPITAL HTTPS://WWW.AZSPINEANDJOINT.COM/FINANCIAL-ASSISTANCE ARIZONA GENERAL HOSPITAL - LAVEEN HTTPS://AZGENERALER.COM/FINANCIAL-ASSISTANCE ARIZONA ORTHOPEDIC SPECIALTY HOSPITAL (AOSH) HTTP://DIGNITYHEALTHAZSH.COM/FINANCIAL-ASSISTANCE DIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL HTTP://DIGNITYHEALTHEVREHAB.COM/PAGE/RESOURCES-SUPPORT ARIZONA GENERAL HOSPITAL - MESA HTTPS://AZGENERALER.COM/FINANCIAL-ASSISTANCE DIGNITY HEALTH REHABILITATION HOSPITAL (SIENA CAMPUS) HTTPS://WWW.DIGNITYHEALTHREHAB.COM/REFERRAL-SOURCES/FINANCIAL-ASSISTANCE.A SPX

SECTION B, LINE 16J - OTHER MEASURES TO PUBLICIZE THE POLICY
FOR ALL HOSPITALS THAT MARKED BOX 16J ADDITIONAL MEASURES TAKEN TO PUBLICIZE DIGNITY HEALTH'S FINANCIAL ASSISTANCE POLICY INCLUDE THE PROVISION OF BROCHURES EXPLAINING AVAILABLE GOVERNMENT SPONSORED PROGRAMS AND THE FINANCIAL ASSISTANCE POLICY, A COPY OF THE FINANCIAL ASSISTANCE APPLICATION, A TELEPHONE NUMBER FOR PATIENTS TO REQUEST FURTHER INFORMATION ABOUT THE PROGRAM, AVAILABLITY OF INFORMATION IN LANGUAGES OTHER THAN ENGLISH, AND CONTACT INFORMATION FOR FINANCIAL COUNSELORS OR OTHER REPRESENTATIVES WHO CAN PROVIDE INFORMATION. THE FACILITY'S WEB SITE ALSO CONTAINS THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY OF THE POLICY, APPLICATION, BILLING AND COLLECTION POLICY, A DESCRIPTION OF THE AMOUNT GENERALLY BILLED AND A LISTING OF PROVIDERS AT EACH FACILITY THAT ARE COVERED AND NOT COVERED BY THE FINANICAL ASSISTANCE POLICY. CONTACT INFORMATION CAN ALSO BE FOUND ON EACH FACILITY'S WEB PAGE. THE AVAILABILITY OF PATIENT FINANCIAL ASSISTANCE AND THE PLAIN LANGUAGE SUMMARY OF THE POLICY ARE ALSO INCLUDED IN EACH FACILITY'S ANNUAL COMMUNITY BENEFIT REPORT, WHICH IS ON EACH FACILITY'S WEB PAGE. EACH HOSPITAL DISTRIBUTES THE PLAIN LANGUAGE SUMMARY OF THE POLICY TO ITS COMMUNITY HEALTH OR COMMUNITY BENEFIT COMMITTEE, AND/OR TO LOCAL COMMUNITY HEALTH AND SOCIAL SERVICE ORGANIZATIONS INCLUDING RECIPIENTS OF COMMUNITY HEALTH GRANTS.

SECTION B, LINE 20 - EFFORTS MADE BEFORE INITIATING ANY ACTIONS
DE Craig Ranch LLC dba Dignity Health - St. Rose Dominican North Las Vegas DE Blue Diamond LLC dba Dignity Health - St. Rose Dominican Blue Diamond DE Sahara LLC dba Dignity Health - St. Rose Dominican Sahara DE Flamingo LLC dba Dignity Health - St. Rose Dominican West Flamingo LINE 20C - THE HOSPITALS PROCESS COMPLETE FINANCIAL ASSISTANCE APPLICATIONS. FOR INCOMPLETE APPLICATIONS, THE HOSPITAL REACHES OUT TO PATIENTS BY PHONE AND LETTER TO PATIENTS IN AN EFFORT TO OBTAIN MISSING INFORMATION IN ORDER TO MAKE A DETERMINATION OF ELIGIBILITY. LINE 20D - THE HOSPITALS DO NOT HAVE PRESUMPTIVE ELIGIBILITY PROCESS IN PLACE. Carondelet Holy Cross Hospital started making presumptive eligibility determinations effective 4/1/2019.

SECTION B, LINE 22 - FAP-ELIGIBLE INDIVIDUALS
DIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL WAS ACQUIRED IN OCTOBER 2016 BY DIGNITY HEALTH AND TRANSFERRED TO DIGNITY COMMUNITY CARE EFFECTIVE FEBRUARY 1, 2019. THE DIGNITY HEALTH FAP WAS FOLLOWED UNTIL THE HOSPITAL DEVELOPED AND ADOPTED A SEPARATE POLICY IN SEPTEMBER 2019.

PART I, LINES 6A & 6B - COMMUNITY BENEFIT
EACH TAX-EXEMPT HOSPITAL FACILITY LISTED IN SCHEDULE H, PART V, EXCEPT FOR THOSE LISTED BELOW, PREPARED A SEPARATE COMMUNITY BENEFIT REPORT. CALIFORNIA HOSPITALS SUBMIT THEIR REPORTS TO THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT AND NEVADA HOSPITALS SUBMIT THEIR REPORTS TO THE NEVADA DEPARTMENT OF HEALTH AND HUMAN SERVICES. DIGNITY HEALTH IS INCLUDED IN THE CONSOLIDATED COMMUNITY BENEFIT REPORT IN COMMONSPIRIT HEALTH'S ANNUAL AUDITED FINANCIAL STATEMENTS FOR ITS HOSPITALS AND THE HOSPITALS OF RELATED ORGANIZATIONS THAT ARE CONSOLIDATED FOR FINANCIAL REPORTING PURPOSES (SEE PART VI, LINE 6). COMMONSPIRIT HEALTH'S FINANCIAL STATEMENTS ARE POSTED ON DIGNITY HEALTH'S EXTERNAL WEB SITE. THE INDIVIDUAL HOSPITALS' COMMUNITY BENEFIT REPORTS ARE MADE AVALABLE TO THE PUBLIC ON BOTH DIGNITY HEALTH'S AND EACH HOSPITAL'S WEB SITES, AND ARE AVAILABLE BY REQUEST. THE FOLLOWING HOSPITALS DID NOT PREPARE A SEPARATE COMMUNITY BENEFIT REPORT: ARIZONA ORTHOPEDIC SURGICAL HOSPITAL (ARIZONA SPECIALTY HOSPITAL), SOUTHWEST ORTHOPEDIC AND SPINE HOSPITAL, ARIZONA GENERAL HOSPITAL - LAVEEN, ARIZONA SPINE AND JOINT HOSPITAL, DIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL, CARONDELET ST. JOSEPH'S HOSPITAL, CARONDELET ST. MARY'S HOSPITAL, CARONDELET HOLY CROSS HOSPITAL, DE CRAIG RANCH LLC DBA DIGNITY HEALTH ST. ROSE DOMINICAN NORTH LAS VEGAS, DE BLUE DIAMOND LLC DBA DIGNITY HEALTH ST. ROSE DOMINICAN BLUE DIAMOND, DE FLAMINGO LLC DBA DIGNITY HEALTH ST. ROSE DOMINICAN WEST FLAMINGO, DE SAHARA LLC DBA DIGNITY HEALTH ST. ROSE DOMINICAN SAHARA, AND DIGNITY HEALTH REHABILITATION HOSPITAL (NEVADA)

PART I, LINE 7 - FINANCIAL ASSISTANCE & CERTAIN OTHER COMMUNITY BENEFITS
A COSTING METHODOLOGY IS USED TO CALCULATE FINANCIAL ASSISTANCE FOR PURPOSES OF CALCULATING THE AMOUNTS PROVIDED IN THE TABLE. DIGNITY HEALTH USES A COST ACCOUNTING SYSTEM THAT COMBINES RELATIVE VALUE UNITS (RVU) AND COST TO CHARGE RATIOS (CCR) TO ALLOCATE COSTS TO PATIENTS. THE COST ACCOUNTING SYSTEM ALGORITHM ALLOCATES TOTAL OPERATING EXPENSES TO THE PROCEDURE CHARGE CODE LEVEL BASED UPON AN RVU FOR PROCEDURES THAT HAVE BEEN STUDIED AND ASSIGNED AN RVU, OR BASED UPON A CCR FOR UNSTUDIED PROCEDURES THAT DO NOT HAVE AN RVU ASSIGNED. WHEN A CCR IS USED, THE SYSTEM CALCULATES THAT CCR ON A DEPARTMENTAL SPECIFIC BASIS AT EACH INDIVIDUAL HOSPITAL WHERE THE SERVICES WERE PROVIDED. THE CALCULATION IS SIMILAR TO THE CALCULATION ON WORKSHEET 2 OF THE INSTRUCTIONS FOR FORM 990, SCHEDULE H, RATIO OF PATIENT CARE COST TO CHARGES, EXCEPT IT IS CALCULATED ON A DEPARTMENTAL SPECIFIC BASIS, NOT IN THE AGGREGATE. THE ALLOCATED PROCEDURE CHARGE CODE LEVEL COSTS ARE THEN AGGREGATED FOR EACH PATIENT BASED UPON THE BILLED PROCEDURE CHARGE CODES ASSOCIATED WITH SERVICES PROVIDED TO EACH PATIENT. THE COST ACCOUNTING SYSTEM IS UTILIZED TO DETERMINE THE UNREIMBURSED COST OF MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS. THE COST OF PAYMENT ASSISTANCE IS CALCULATED BY APPLYING THE CCR DERIVED FROM THE COST ACCOUNTING SYSTEM ON A PER FACILITY BASIS, TO THE CHARGES INCURRED ON PATIENTS THAT QUALIFY FOR PAYMENT ASSISTANCE AT THE RESPECTIVE FACILITY. THE ACTUAL COST IS REPORTED 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 I, LINE 7B - MEDICAID
INCLUDED IN COMMUNITY BENEFIT EXPENSE FOR MEDICAID, COLUMN (C) IS $322.1 MILLION OF QUALITY ASSURANCE FEES ASSESSED TO DIGNITY HEALTH IN ACCORDANCE WITH THE CALIFORNIA PROVIDER FEE PROGRAMS. INCLUDED IN DIRECT OFFSETTING REVENUE FOR MEDICAID, COLUMN (D), IS $591.2 MILLION IN SUPPLEMENTAL PAYMENTS RECEIVED UNDER THESE PROGRAMS.

PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES
INCLUDED IN SUBSIDIZED HEALTH SERVICES IS $139 THOUSAND OF SUBSIDIZED HEALTH SERVICES ASSOCIATED WITH PHYSICIAN CLINICS AS THESE SERVICES ARE PROVIDED TO THE COMMUNITIES AT A FINANCIAL LOSS. IF DIGNITY HEALTH DID NOT PROVIDE THESE SERVICES, THEY WOULD EITHER BE UNAVAILABLE OR INSUFFICIENTLY AVAILABLE IN THE COMMUNITY, OR THE SERVICE WOULD BECOME THE RESPONSIBILITY OF THE GOVERNMENT OR ANOTHER TAX-EXEMPT ORGANIZATION.

PART I, LINE 7I
"INCLUDED IN CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT IS $8.9 MILLION IN GRANTS TO A FUND ESTABLISHED BY THE CALIFORNIA HEALTH FOUNDATION AND TRUST (""CHFT""). CHFT WAS ESTABLISHED FOR SEVERAL PURPOSES, INCLUDING AGGREGATING AND DISTRIBUTING FINANCIAL RESOURCES TO SUPPORT CHARITABLE ACTIVITIES AT VARIOUS HOSPITALS AND HEALTH SYSTEMS IN CALIFORNIA, CONSISTENT WITH CHFT'S MISSION OF SUPPORTING HEALTH CARE, ACCESS TO HEALTH CARE, RESEARCH AND EDUCATION."

PART III, SECTION A, LINE 2 - BAD DEBT EXPENSE METHODOLOGY USED TO
ESTIMATE BAD DEBT EXPENSE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT AT COST IS DETERMINED BY APPLYING THE CCR (SEE ABOVE) 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 OR DISCOUNTED CARE TO UNINSURED OR UNDER-INSURED INDIVIDUALS THAT FALL INTO THREE CATEGORIES; IN ARIZONA AND NEVADA, UNDER 200%, 201%-350% OR 351%-500% OF THE FEDERAL POVERTY LEVEL, IN CALIFORNIA UNDER 250%, 251%-350% OR 351%-500% OF THE FEDERAL POVERTY LEVEL. DIGNITY HEALTH ALSO PROVIDES PATIENTS 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 DIGNITY HEALTH FACILITIES RECEIVE AN AUTOMATIC UNINSURED DISCOUNT OF 30%. 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 VI, LINE 4 - COMMUNITY INFORMATION
DIGNITY HEALTH HOSPITALS DELIVER CARE TO DIVERSE COMMUNITIES ACROSS ARIZONA, CALIFORNIA AND NEVADA. FOLLOWING ARE BRIEF DESCRIPTIONS AND DEMOGRAPHIC SUMMARIES OF THE COMMUNITIES SERVED BY DIGNITY HEALTH HOSPITALS. DIGNITY HEALTH HOSPITALS DEFINE THE COMMUNITY AS THE PRIMARY GEOGRAPHIC AREA SERVED BY THE HOSPITAL, BASED ON THE ORIGINS OF THE TOP 75-80 PERCENT OF HOSPITAL DISCHARGES. FOR CHNA PURPOSES, SOME HOSPITALS USE THE COUNTY IN WHICH THEY ARE LOCATED AS THEIR COMMUNITY DEFINITION. ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER THE HOSPITAL IS LOCATED IN PHOENIX, ARIZONA WITHIN THE COUNTY OF MARICOPA. IT SERVES ALL OF MARICOPA COUNTY AND AREAS BEYOND, BUT ITS PRIMARY SERVICE AREA IS BASED ON 84 ZIP CODES REPRESENTING THE TOP 80% OF PATIENTS BY VOLUME. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA AND A MEDICALLY UNDERSERVED POPULATION. TOTAL POPULATION: 3,504,582 RACE/ETHNICITY: WHITE - NON-HISPANIC 49.8%; BLACK/AFRICAN AMERICAN - NON-HISPANIC 5.9%; HISPANIC OR LATINO 36.0%; ASIAN/PACIFIC ISLANDER 4.0%; ALL OTHERS 4.3% MEDIAN INCOME: $59,473 UNEMPLOYMENT: 4.2% NO HIGH SCHOOL DIPLOMA: 15.8% MEDICAID: 20.6% UNINSURED: 10.4% OTHER AREA HOSPITALS: 48 MERCY SAN JUAN MEDICAL CENTER THE HOSPITAL'S PRIMARY SERVICE AREA ENCOMPASSES A BROAD SUBURBAN AREA IN THE NORTHERN PORTION OF SACRAMENTO COUNTY AND EXTENDS INTO SOUTH PLACER COUNTY. WITHIN ITS PRIMARY SERVICE AREA, THE HOSPITAL SERVES SACRAMENTO, CITRUS HEIGHTS, CARMICHAEL, FAIR OAKS, NORTH HIGHLANDS, ANTELOPE, AND OTHER SURROUNDING NEIGHBORHOODS. TOTAL POPULATION: 1,094,981 RACE/ETHNICITY: WHITE - NON-HISPANIC 57.5%; BLACK/AFRICAN AMERICAN - NON-HISPANIC 6.4%; HISPANIC OR LATINO 20.2%; ASIAN/PACIFIC ISLANDER 10.7%; ALL OTHERS 5.2% MEDIAN INCOME: $69,895 UNEMPLOYMENT: 5.3% NO HIGH SCHOOL DIPLOMA: 10.5% MEDICAID: 26.9% UNINSURED: 7.9% OTHER AREA HOSPITALS: 6 MERCY GENERAL HOSPITAL THE HOSPITAL, A TERTIARY CARE FACILITY, SERVES RESIDENTS FROM A BROAD GEOGRAPHIC AREA. THE HOSPITAL'S PRIMARY SERVICE AREA LIES IN THE CENTRAL DOWNTOWN AREA OF SACRAMENTO, AND INCLUDES 43 ZIP CODES. TOTAL POPULATION: 1,596,829 RACE/ETHNICITY: WHITE - NON-HISPANIC 45.3%; BLACK/AFRICAN AMERICAN - NON-HISPANIC 9.2%; HISPANIC OR LATINO 23.4%; ASIAN/PACIFIC ISLANDER 16.4%; ALL OTHERS 5.7% MEDIAN INCOME: $68,932 UNEMPLOYMENT: 5.7% NO HIGH SCHOOL DIPLOMA: 12.8% MEDICAID: 29.6% UNINSURED: 8.8% OTHER AREA HOSPITALS: 7 MARIAN REGIONAL MEDICAL CENTER, ARROYO GRANDE THE HOSPITAL IS LOCATED IN SANTA MARIA, CALIFORNIA, IN NORTHERN SANTA BARBARA COUNTY WITH THE SANTA MARIA VALLEY AS THE LARGEST REGION IN ITS SERVICE AREA. THE LARGEST COMMUNITIES IN MARIAN'S PRIMARY SERVICE AREA INCLUDE THE CITIES OF SANTA MARIA AND GUADALUPE, WITH THE SECONDARY SERVICE AREA BEING NIPOMO. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA AND A MEDICALLY UNDERSERVED POPULATION. TOTAL POPULATION IN PRIMARY SERVICE AREA: 176,449 RACE/ETHNICITY: WHITE - NON-HISPANIC 30.0%; BLACK/AFRICAN AMERICAN - NON-HISPANIC 1.2%; HISPANIC OR LATINO 61.6%; ASIAN/PACIFIC ISLANDER 4.8%; ALL OTHERS 2.4% MEDIAN INCOME: $66,018 UNEMPLOYMENT: 4.3% NO HIGH SCHOOL DIPLOMA: 29.8% MEDICAID: 23.7% UNINSURED: 5.4% OTHER AREA HOSPITALS: 3 THE ARROYO GRANDE COMMUNITY HOSPITAL CAMPUS OF THE LICENSED MARIAN REGIONAL MEDICAL CENTER SERVES THE SOUTHERN PART OF SAN LUIS OBISPO COUNTY INCLUDING THE CITIES OF ARROYO GRANDE, GROVER BEACH, OCEANO, PISMO BEACH AND SHELL BEACH AND THE NORTHERN PART OF THE CITY OF NIPOMO. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA. TOTAL POPULATION: 72,445 RACE/ETHNICITY: WHITE - NON-HISPANIC 62.7%; BLACK/AFRICAN AMERICAN - NON-HISPANIC 0.6%; HISPANIC OR LATINO 29.4%; ASIAN/PACIFIC ISLANDER 3.8%; ALL OTHERS 3.5% MEDIAN INCOME: $73,042 UNEMPLOYMENT: 3.3% NO HIGH SCHOOL DIPLOMA: 11.2% MEDICAID: 17.2% UNINSURED: 6.1% OTHER AREA HOSPITALS: 3 MERCY MEDICAL CENTER REDDING THE HOSPITAL SERVES AN AREA COMPRISED OF ZIP CODES IN REDDING AND SURROUNDING COMMUNITIES IN SHASTA, TEHAMA AND TRINITY COUNTIES. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA. POPULATION: 205,030 RACE: WHITE 78.4%; BLACK/AFRICAN AMERICAN 1.0%; HISPANIC OR LATINO: 11.6%; ASIAN/PACIFIC ISLANDER 3.1%; ALL OTHERS 5.9% MEDIAN INCOME: $49,658 UNEMPLOYMENT: 4.1% NO HIGH SCHOOL DIPLOMA: 10.5% MEDICAID: 30.9% UNINSURED: 9.9% OTHER AREA HOSPITALS: 1 ST. ROSE DOMINICAN HOSPITALS - DE LIMA, SAN MARTIN, AND SIENA SERVE THE AREAS SURROUNDING THE THREE ACUTE CARE FACILITIES IN THE SOUTHERN PORTION OF THE LAS VEGAS VALLEY, AS WELL AS CLARK COUNTY AS A WHOLE. THIS AREA ENCOMPASSES URBAN AND SUBURBAN AREAS WITH DIVERSE SOCIOECONOMIC CONDITIONS. THE HOSPITALS SERVE A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED POPULATION. TOTAL POPULATION: 2,217,048 RACE/ETHNICITY: WHITE - NON-HISPANIC 42.6%; BLACK/AFRICAN AMERICAN - NON-HISPANIC 11.0%; HISPANIC OR LATINO 31.3%; ASIAN/PACIFIC ISLANDER 10.8%; ALL OTHERS 4.3% MEDIAN INCOME: $57,611 UNEMPLOYMENT: 5.6% NO HIGH SCHOOL DIPLOMA: 15.1% MEDICAID: 16.3% UNINSURED: 12.1% OTHER AREA HOSPITALS: 13 ACUTE CARE; 11 LONG TERM ACUTE, REHABILITATION, AND BEHAVIORAL HEALTH DOMINICAN HOSPITAL THE PRIMARY SERVICE AREA IS SANTA CRUZ COUNTY WHICH COVERS 441 SQUARE MILES, AND IS A RELATIVELY ISOLATED COMMUNITY. THE TWO MAJOR CITIES ARE SANTA CRUZ, LOCATED ON THE NORTHERN SIDE OF THE MONTEREY BAY, AND WATSONVILLE, SITUATED IN THE SOUTHERN PART OF THE COUNTY. OTHER INCORPORATED AREAS IN THE COUNTY INCLUDE THE CITIES OF SCOTTS VALLEY AND CAPITOLA. APPROXIMATELY 51% OF THE POPULATION LIVES IN THE UNINCORPORATED PARTS OF THE COUNTY, INCLUDING THE TOWNS OF APTOS, DAVENPORT, FREEDOM, SOQUEL, FELTON, BEN LOMOND AND BOULDER CREEK, AND DISTRICTS SUCH AS THE SAN LORENZO VALLEY, LIVE OAK AND PAJARO. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA AND A MEDICALLY UNDERSERVED POPULATION. TOTAL POPULATION: 295,600 RACE/ETHNICITY: WHITE - NON-HISPANIC 55.2%; BLACK/AFRICAN AMERICAN - NON-HISPANIC 1.0%; HISPANIC OR LATINO 35.5%; ASIAN/PACIFIC ISLANDER 4.6%; ALL OTHERS 3.7% MEDIAN INCOME: $72,657 UNEMPLOYMENT: 3.7% NO HIGH SCHOOL DIPLOMA: 16.1% MEDICAID: 26.1% UNINSURED: 8.2% OTHER AREA HOSPITALS: 2 ST. BERNARDINE MEDICAL CENTER THE HOSPITAL SERVES A BROAD AND DIVERSE POPULATION. WHILE A FEW OF THE COMMUNITIES ENJOY A HIGHER STANDARD OF LIVING, THE MAJORITY OF THE COMMUNITIES ARE HIGH NEED. EIGHTY PERCENT (80%) OF DISCHARGES COME FROM THE FOLLOWING CITIES: BANNING, BEAUMONT, BLOOMINGTON, COLTON, CRESTLINE, FONTANA, HEMET, HESPERIA, HIGHLAND, RANCHO CUCAMONGA, REDLANDS, RIALTO, SAN BERNARDINO, VICTORVILLE AND YUCAIPA. MANY OF THE NEIGHBORHOODS SERVED HAVE BEEN FEDERALLY-DESIGNATED AS MEDICALLY UNDERSERVED AREAS. TOTAL POPULATION: 1,027,971 RACE/ETHNICITY: WHITE - NON-HISPANIC 22.5%; BLACK/AFRICAN AMERICAN - NON-HISPANIC 8.3%; HISPANIC OR LATINO 61.5%; ASIAN/PACIFIC ISLANDER 5.2%; ALL OTHERS 2.5% MEDIAN INCOME: $58,002 UNEMPLOYMENT: 6.7% NO HIGH SCHOOL DIPLOMA: 25.3% MEDICAID: 35.4% UNINSURED: 9.8% OTHER AREA HOSPITALS: 5 ST. JOHN'S REGIONAL MEDICAL CENTER AND ST. JOHN'S PLEASANT VALLEY HOSPITAL ARE LOCATED IN VENTURA COUNTY, CALIFORNIA. VENTURA COUNTY IS LOCATED ON THE CENTRAL COAST OF CALIFORNIA, NORTH OF LOS ANGELES, AND IS COMPRISED OF THE FOLLOWING CITIES: SAN BUENAVENTURA, OXNARD, THOUSAND OAKS AND CAMARILLO. THERE ARE ALSO SMALLER TOWNS INCLUDING OJAI, SIMI VALLEY, MOORPARK, FILLMORE AND PORT HUENEME, PLUS SEVERAL OTHER UNINCORPORATED AREAS. VENTURA COUNTY INCLUDES A MAJOR COMMERCIAL PORT, A LARGE MILITARY BASE AND CHANNEL ISLANDS HARBOR. THE HOSPITALS SERVE A MEDICALLY UNDERSERVED AREA. ST. JOHN'S REGIONAL MEDICAL CENTER THE PRIMARY SERVICE AREA INCLUDES OXNARD, PORT HUENEME AND A PORTION OF CAMARILLO. TOTAL POPULATION: 291,182 RACE/ETHNICITY: WHITE - NON-HISPANIC 21.5%; BLACK/AFRICAN AMERICAN - NON-HISPANIC 2.3%; HISPANIC OR LATINO 66.9%; ASIAN/PACIFIC ISLANDER 7.1%; ALL OTHERS 2.2% MEDIAN INCOME: $74,885 UNEMPLOYMENT: 5.0% NO HIGH SCHOOL DIPLOMA: 28.9% MEDICAID: 24.4% UNINSURED: 4.7% OTHER AREA HOSPITALS: 6 ST. JOHN'S PLEASANT VALLEY HOSPITAL THE PRIMARY SERVICE AREA IS CAMARILLO AND A PORTION OF OXNARD. TOTAL POPULATION: 144,628 RACE/ETHNICITY: WHITE - NON-HISPANIC 36.7%; BLACK/AFRICAN AMERICAN - NON-HISPANIC 2.3%; HISPANIC OR LATINO 48.4%; ASIAN/PACIFIC ISLANDER 9.7%; ALL OTHERS 2.9% MEDIAN INCOME: $91,076 UNEMPLOYMENT: 4.5% NO HIGH SCHOOL DIPLOMA: 18.3% MEDICAID: 22.8% UNINSURED: 4.2% OTHER AREA HOSPITALS: 6

ST. MARY MEDICAL CENTER LONG BEACH
THE HOSPITAL IS LOCATED IN LONG BEACH, CALIFORNIA, THE SECOND LARGEST CITY IN LOS ANGELES COUNTY AND 39TH IN THE NATION. ST. MARY MEDICAL CENTER ALSO SERVES THE SURROUNDING COMMUNITIES OF WILMINGTON, CARSON, SAN PEDRO, SEAL BEACH, SIGNAL HILL, LAKEWOOD, AND BELLFLOWER. THE ST. MARY SERVICE AREA HAS REGIONS THAT ARE ECONOMICALLY CHALLENGED, HAS A GREAT DEAL OF HOMELESSNESS, AND HAS AN INFLUX OF TRANSITORY POPULATIONS; MANY OF THE RESIDENTS IN THE SERVICE AREA LIVE BELOW THE POVERTY LEVEL. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA AND A MEDICALLY UNDERSERVED POPULATION. TOTAL POPULATION: 1,005,037 RACE/ETHNICITY: WHITE - NON-HISPANIC 19.7%; BLACK/AFRICAN AMERICAN - NON-HISPANIC 13.7%; HISPANIC OR LATINO 51.1%; ASIAN/PACIFIC ISLANDER 12.5%; ALL OTHERS 3.0% MEDIAN INCOME: $64,244 UNEMPLOYMENT: 5.7% NO HIGH SCHOOL DIPLOMA: 23.9% MEDICAID: 31.5% UNINSURED: 8.1% OTHER AREA HOSPITALS: 9 MERCY HOSPITAL BAKERSFIELD THE HOSPITAL SERVES ALL OF KERN COUNTY, INCLUDING BAKERSFIELD (THE COUNTY SEAT) AND OUTLYING RURAL COMMUNITIES SUCH AS LOST HILLS, TAFT, AND WASCO. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA AND A MEDICALLY UNDERSERVED POPULATION. TOTAL POPULATION: 589,951 RACE/ETHNICITY: WHITE - NON-HISPANIC 33.0%; BLACK/AFRICAN AMERICAN - NON-HISPANIC 5.2%; HISPANIC OR LATINO 53.8%; ASIAN/PACIFIC ISLANDER 5.2%;ALL OTHERS 2.8% MEDIAN INCOME: $63,151 UNEMPLOYMENT: 6.6% NO HIGH SCHOOL DIPLOMA: 23.9% MEDICAID: 36.3% UNINSURED: 9.7% OTHER AREA HOSPITALS: 9 MERCY MEDICAL CENTER MERCED THE HOSPITAL'S PRIMARY SERVICE AREA IS COMPRISED OF THE COMMUNITIES OF MERCED, ATWATER, WINTON AND LIVINGSTON. MERCED IS A MEDICALLY UNDERSERVED AREA. TOTAL POPULATION: 158,946 RACE/ETHNICITY: WHITE - NON-HISPANIC 28.3%; BLACK/AFRICAN AMERICAN - NON-HISPANIC 4.1%; HISPANIC OR LATINO 54.8%; ASIAN/PACIFIC ISLANDER 9.7%;ALL OTHERS 3.1% MEDIAN INCOME: $45,347 UNEMPLOYMENT: 8.1% NO HIGH SCHOOL DIPLOMA: 27.6% MEDICAID: 46.7% UNINSURED: 14.2% OTHER AREA HOSPITALS: 2 CHANDLER REGIONAL MEDICAL CENTER THE HOSPITAL'S COMMUNITY INCLUDES 24 ZIP CODES IN CITIES IN MARICOPA AND PINAL COUNTIES, ARIZONA. THE CITIES ARE: CHANDLER, GILBERT, MESA, TEMPE, AWHATUKEE, SACATON, APACHE JUNCTION, CASA GRANDE, QUEEN CREEK, COOLIDGE, GILA RIVER INDIAN RESERVATION, AND PHOENIX. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA AND A MEDICALLY UNDERSERVED POPULATION IN SEVERAL ZIP CODES OF THE SERVICE AREA. TOTAL POPULATION: 1,059,974 RACE/ETHNICITY: WHITE - NON-HISPANIC 57.2%; BLACK/AFRICAN AMERICAN - NON-HISPANIC 5.1%; HISPANIC OR LATINO 25.7%; ASIAN/PACIFIC ISLANDER 6.2%;ALL OTHERS 5.8% MEDIAN INCOME: $71,261 UNEMPLOYMENT: 3.8% NO HIGH SCHOOL DIPLOMA: 10.3% MEDICAID: 13.9% UNINSURED: 7.5% OTHER AREA HOSPITALS: 3 IN THE PRIMARY SERVICE AREA, 12 IN THE SECONDARY SERVICE AREA MERCY GILBERT MEDICAL CENTER THE HOSPITAL'S COMMUNITY INCLUDES THE URBAN AND SUBURBAN AREAS OF MARICOPA COUNTY, INCLUDING CHANDLER, GILBERT, QUEEN CREEK, SAN TAN VALLEY, AND MESA. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA. TOTAL POPULATION: 1,122,401 RACE/ ETHNICITY: WHITE - NON-HISPANIC 64.2%; BLACK/AFRICAN AMERICAN - NON-HISPANIC 4.2%; HISPANIC OR LATINO 21.0%; ASIAN/PACIFIC ISLANDER 5.7%;ALL OTHERS 4.9% MEDIAN INCOME: $73,658 UNEMPLOYMENT: 3.4% NO HIGH SCHOOL DIPLOMA: 9.6% MEDICAID: 12.3% UNINSURED: 6.8% OTHER AREA HOSPITALS: 4 IN PRIMARY SERVICE AREA, 12 SECONDARY SERVICE AREA CALIFORNIA HOSPITAL MEDICAL CENTER WHILE THE HOSPITAL IS LOCATED IN SERVICE PLANNING AREA (SPA) 4 OF METRO LOS ANGELES, ITS SERVICE AREA ALSO INCLUDES PARTS OF SPA 6 (SOUTH) AND SPA 8 (SOUTH BAY). THE PRIMARY SERVICES AREA IS 31 ZIP CODES IN LOS ANGELES. CALIFORNIA HOSPITAL MEDICAL CENTER IS LOCATED IN A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA AND SERVES A MEDICALLY UNDERSERVED POPULATION. TOTAL POPULATION: 1,699,916 RACE/ETHNICITY: WHITE - NON-HISPANIC 6.1%; BLACK/AFRICAN AMERICAN - NON-HISPANIC 17.1%; HISPANIC OR LATINO 66.8%; ASIAN/PACIFIC ISLANDER 8.2%; ALL OTHERS 1.8% MEDIAN INCOME: $40,705 UNEMPLOYMENT: 6.3% NO HIGH SCHOOL DIPLOMA: 38.0% MEDICAID: 48.3% UNINSURED: 12.8% OTHER AREA HOSPITALS: 6 MERCY HOSPITAL OF FOLSOM THE PRIMARY SERVICE AREA ENCOMPASSES BOTH SUBURBAN AND RURAL AREAS OF SACRAMENTO COUNTY AND EXTENDS INTO EL DORADO COUNTY. WITHIN ITS PRIMARY SERVICE AREA, THE HOSPITAL SERVES MAJOR COMMUNITIES, INCLUDING FOLSOM, RANCHO CORDOVA, SLOUGHHOUSE, EL DORADO HILLS, RESCUE, SHINGLE SPRINGS, PLACERVILLE, ORANGEVALE, CITRUS HEIGHTS, CARMICHAEL, FAIR OAKS, AND OTHER SURROUNDING NEIGHBORHOODS. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA. TOTAL POPULATION: 537,798 RACE/ETHNICITY: WHITE - NON-HISPANIC 69.1%; BLACK/AFRICAN AMERICAN - NON-HISPANIC 3.7%; HISPANIC OR LATINO 14.1%; ASIAN/PACIFIC ISLANDER 8.1%;ALL OTHERS 5.0% MEDIAN INCOME: $84,269 UNEMPLOYMENT: 5.1% NO HIGH SCHOOL DIPLOMA: 7.0% MEDICAID: 20.5% UNINSURED: 6.0% OTHER AREA HOSPITALS: 1 NORTHRIDGE HOSPITAL MEDICAL CENTER THE HOSPITAL'S SERVICE AREA INCLUDES PARTS OF THE SAN FERNANDO AND SANTA CLARITA VALLEYS OF LOS ANGELES COUNTY, AND A PORTION OF THE CITY OF SIMI VALLEY IN VENTURA COUNTY. THE HOSPITAL IS LOCATED IN A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA AND SERVES A MEDICALLY UNDERSERVED POPULATION. TOTAL POPULATION: 1,581,789 RACE/ETHNICITY: WHITE - NON-HISPANIC 33.5%; BLACK/AFRICAN AMERICAN NON-HISPANIC 3.6%; HISPANIC OR LATINO 48.6%; ASIAN/PACIFIC ISLANDER 11.4%; ALL OTHERS 2.9% MEDIAN INCOME: $73,611 UNEMPLOYMENT: 4.9% NO HIGH SCHOOL DIPLOMA: 20.5% MEDICAID: 27.6% UNINSURED: 6.9% OTHER AREA HOSPITALS: 7 ST. MARY'S MEDICAL CENTER THE HOSPITAL SERVES A GEOGRAPHIC SERVICE AREA THAT INCLUDES SAN FRANCISCO, SOUTH SAN FRANCISCO, DALY CITY, PACIFICA AND SOUTHERN MARIN COUNTY. PARTS OF SAN FRANCISCO (47 CENSUS TRACTS) ARE FEDERALLY-DESIGNATED AS MEDICALLY UNDERSERVED AREAS. NONE OF THESE TRACTS ARE CONTIGUOUS TO ST. MARY'S. TOTAL POPULATION: 884,998 RACE/ETHNICITY: WHITE - NON-HISPANIC: 40.1%; BLACK/AFRICAN AMERICAN - NON-HISPANIC 4.8%; HISPANIC OR LATINO 15.4%; ASIAN/PACIFIC ISLANDER 35.5%; ALL OTHERS 4.2% MEDIAN INCOME: $103,876 UNEMPLOYMENT: 3.9% NO HIGH SCHOOL DIPLOMA: 12.5% MEDICAID: 19.6% UNINSURED: 6.5% OTHER AREA HOSPITALS: 8 METHODIST HOSPITAL OF SACRAMENTO THE HOSPITAL'S PRIMARY SERVICE AREA ENCOMPASSES A LARGE AND DIVERSE PORTION OF SOUTH SACRAMENTO COUNTY. THE AREA INCLUDES THE SUBURBAN COMMUNITIES OF ELK GROVE, LAGUNA, WILTON AND GALT. A PORTION OF THE HOSPITAL'S PRIMARY SERVICE AREA KNOWN AS THE RUITRIDGE AREA IS DESIGNATED A FEDERAL MEDICALLY UNDERSERVED AREA. TOTAL POPULATION: 830,963 RACE/ETHNICITY: WHITE - NON-HISPANIC 33.4%; BLACK/AFRICAN AMERICAN - NON-HISPANIC 11.6%; HISPANIC OR LATINO 25.7%; ASIAN/PACIFIC ISLANDER 23.3%; ALL OTHERS 6.0% MEDIAN INCOME: $67,070 UNEMPLOYMENT: 5.8% NO HIGH SCHOOL DIPLOMA: 14.5% MEDICAID: 29.3% UNINSURED: 8.7% OTHER AREA HOSPITALS: 7 SEQUOIA HOSPITAL SEQUOIA HOSPITAL SERVES THE CITIES IN CENTRAL AND SOUTHERN SAN MATEO COUNTY, INCLUDING THE CITIES OF BELMONT, SAN CARLOS, REDWOOD CITY, ATHERTON, PORTOLA VALLEY, WOODSIDE, AND PORTIONS OF MENLO PARK, FOSTER CITY, AND SAN MATEO. WHILE MOST RESIDENTS HAVE INCOMES HIGHER THAN THE NATIONAL AVERAGE, THE EFFECT OF THAT FACT IS TEMPERED TO AN EXTENT BY THE HIGH COST OF LIVING. TOTAL POPULATION: 559,332 RACE/ETHNICITY: WHITE - NON-HISPANIC 48.3%; BLACK/AFRICAN AMERICAN - NON-HISPANIC 2.2%; HISPANIC OR LATINO 22.8%; ASIAN/PACIFIC ISLANDER 21.9%; ALL OTHERS 4.8% MEDIAN INCOME: $137,101 UNEMPLOYMENT: 3.2% NO HIGH SCHOOL DIPLOMA: 9.8% MEDICAID: 14.7% UNINSURED: 2.8% OTHER AREA HOSPITALS: 9 ST. ELIZABETH COMMUNITY HOSPITAL THE HOSPITAL IS LOCATED IN TEHAMA COUNTY. THE COUNTY IS BORDERED BY GLENN COUNTY TO THE SOUTH, TRINITY AND MENDOCINO COUNTIES TO THE WEST, SHASTA COUNTY TO THE NORTH, AND BUTTE AND PLUMAS COUNTIES TO THE EAST. IT IS SITUATED IN THE NORTHERN PORTION OF THE SACRAMENTO VALLEY, AND IS DIVIDED IN HALF BY THE SACRAMENTO RIVER. THE HOSPITAL SERVICE AREA INCLUDES RED BLUFF, GERBER, CORNING, LOS MOLINOS AND COTTONWOOD. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA. TOTAL POPULATION: 86,090 RACE/ETHNICITY: WHITE - NON-HISPANIC 65.2%; BLACK/AFRICAN AMERICAN NON-HISPANIC 0.7%; HISPANIC OR LATINO 27.7%; ASIAN/PACIFIC ISLANDER 1.8%; ALL OTHERS 4.6% MEDIAN INCOME: $45,726 UNEMPLOYMENT: 6.9% NO HIGH SCHOOL DIPLOMA: 18.6% MEDICAID: 36.4% UNINSURED: 10.8% OTHER AREA HOSPITALS: 1 GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER THE PRIMARY SERVICE AREA INCLUDES 17 ZIP CODES IN GLENDALE, LA CRESCENTA AND LOS ANGELES (HOLLYWOOD, LOS FELIZ, GRIFFITH PARK, EAGLE ROCK, HIGHLAND PARK, TUJUNGA, AND GLASSELL PARK). THE HOSPITAL SERVES A FEDERALLY- DESIGNATED MEDICALLY UNDERSERVED AREA. TOTAL POPULATION: 563,757 RACE/ETHNICITY: WHITE - NON-HISPANIC 42.9%; BLACK/AFRICAN AMERICAN - NON-HISPANIC 1.9%; HISPANIC OR LATINO 35.9%; ASIAN/PACIFIC ISLANDER 16.4%; ALL OTHERS 2.9% MEDIAN INCOME: $63,688 UNEMPLOYMENT: 5.1% NO HIGH SCHOOL DIPLOMA: 19.0% MEDICAID:

PART II - COMMUNITY BUILDING ACTIVITIES
"DIGNITY HEALTH'S WORK TO PROMOTE THE HEALTH OF THE COMMUNITIES SERVED EXTENDS BEYOND PROVIDING HEALTH CARE AND COMMUNITY HEALTH IMPROVEMENT SERVICES. DIGNITY HEALTH TAKES A PROACTIVE APPROACH TO ADDRESSING THE SOCIAL, ECONOMIC AND ENVIRONMENTAL BARRIERS TO GOOD HEALTH, AND SUPPORTS THE WORLD HEALTH ORGANIZATION DEFINITION OF HEALTH AS A STATE OF COMPLETE PHYSICAL, MENTAL AND SOCIAL WELL-BEING, NOT MERELY THE ABSENCE OF DISEASE OR INFIRMITY. IN ADDITION TO THE EXAMPLES BELOW, DIGNITY HEALTH HOSPITALS' ANNUAL COMMUNITY BENEFIT REPORTS EACH DESCRIBE SPECIFIC COMMUNITY BUILDING ACTIVITIES IN A SECTION TITLED ""OTHER PROGRAMS AND NON-QUANTIFIABLE BENEFITS."" THE DIGNITY HEALTH COMMUNITY INVESTMENT PROGRAM HAS PROVIDED, SINCE 1990, LOW INTEREST LOANS AND LINES OF CREDIT TO NON-PROFIT ORGANIZATIONS THAT ARE ADDRESSING SOCIAL DETERMINANTS OF HEALTH, INCLUDING AFFORDABLE HOUSING, ACCESS TO HEALTH CARE, HEALTHY FOOD AND SOCIAL SERVICES VITAL TO A COMMUNITY'S HEALTH, ALONG WITH CLIMATE CHANGE MITIGATION AND SMALL BUSINESS DEVELOPMENT IN DISTRESSED COMMUNITIES. DIGNITY HEALTH INVESTS DIRECTLY IN INDIVIDUAL PROJECTS AND THROUGH COMMUNITY DEVELOPMENT FINANCIAL INSTITUTIONS. IN FISCAL YEAR 2019, COMBINED WITH DIGNITY COMMUNITY CARE, THE PROGRAM HAD 81 APPROVED LOANS WITH $118.8 MILLION PROVIDED TO 70 ORGANIZATIONS. EXAMPLES OF RECENT INVESTMENTS ARE: $5 MILLION TO THE HILLS COUNTRY COMMUNITY CLINIC TO DEVELOP A NEW 36,000 SQUARE FOOT FEDERALLY QUALIFIED HEALTH CENTER IN REDDING; $2 MILLION TO ABODE COMMUNITIES TO DEVELOP AFFORDABLE HOUSING FOR LOW-INCOME FAMILIES AND SENIORS EXPERIENCING HOMELESSNESS IN LOS ANGELES; $2 MILLION TO VETERANS HOUSING DEVELOPMENT CORPORATION FOR THE DEVELOPMENT OF 30 UNITS OF HOUSING AND SUPPORTIVE SERVICES FOR LOW-INCOME AND HOMELESS VETERAN HOUSEHOLDS. DIGNITY HEALTH HOSPITALS OPEN THEIR DOORS TO COMMUNITY GROUPS AND ALSO SERVE AS MEMBERS OF COALITIONS THAT FOCUS ON THE WELL-BEING OF THEIR RESPECTIVE COMMUNITIES. DIGNITY HEALTH ADVOCACY REPRESENTATIVES WORK TO IMPROVE ACCESS TO HEALTH CARE, PROMOTE THE HEALTH OF THE PUBLIC, AND ADVOCATE FOR SOCIAL JUSTICE, HUMAN RIGHTS AND A CLEAN AND HEALTHY ENVIRONMENT AS PART OF MISSION-DRIVEN ADVOCACY. IN MEDICALLY UNDERSERVED AREAS, EFFORTS TO RECRUIT PHYSICIANS AND OTHER HEALTH PROFESSIONALS ARE ONGOING, AS ARE PARTNERSHIPS WITH COMMUNITY COLLEGES AND UNIVERSITIES TO ADDRESS HEALTH CARE WORK-FORCE SHORTAGES. A NUMBER OF DIGNITY HEALTH HOSPITALS OFFER HEALTH CAREER MENTORING PROJECTS AND PROVIDE SCHOOL-BASED AND COMMUNITY PROGRAMS THAT DRIVE ENTRY INTO HEALTH CAREERS. COMMUNITY BUILDING - PHYSICAL IMPROVEMENTS AND HOUSING EXAMPLES OF PHYSICAL IMPROVEMENTS AND HOUSING INCLUDE LOW-INTEREST LOANS FOR NEW DEVELOPMENT AND REHAB OF AFFORDABLE HOUSING THROUGH THE COMMUNITY INVESTMENT PROGRAM AND SUBSIDIZING LOW INCOME HOUSING UNITS IN SANTA CRUZ. FORTY-ONE PERCENT OF THE $118.8 MILLION IN APPROVED LOANS AT THE END OF FY19 WERE IN TRANSITIONAL OR AFFORDABLE HOUSING. COMMUNITY BUILDING - ECONOMIC DEVELOPMENT ACTIVITIES INCLUDE THE PARTICIPATION OF LEADERSHIP STAFF OF SEVERAL DIGNITY HEALTH FACILITIES IN CHAMBERS OF COMMERCE AND VARIOUS CIVIC ORGANIZATIONS, AND CHARITABLE CONTRIBUTIONS AIMED AT ENSURING THE ECONOMIC DEVELOPMENT, VITALITY AND STABILITY OF LOCAL, LOW-INCOME COMMUNITIES. COMMUNITY BUILDING - COMMUNITY SUPPORT DIGNITY HEALTH FACILITIES LEAD AND/OR COLLABORATE WITH OTHER COMMUNITY-BASED ORGANIZATIONS TO SUPPORT THE HEALTHY DEVELOPMENT AND SUCCESS OF CHILDREN, YOUTH AND FAMILIES, WHICH ENGAGES AND STRENGTHENS THE COMMUNITIES SERVED. DIGNITY HEALTH ALSO MAKES CHARITABLE DONATIONS TO ORGANIZATIONS FOR SUPPORT AND DEVELOPMENT OF UNDERSERVED YOUTH, DISASTER RELIEF, AND BASIC NEEDS FOR VULNERABLE POPULATIONS. COMMUNITY BUILDING - ENVIRONMENTAL IMPROVEMENTS DIGNITY HEATH IS ENGAGED IN ONGOING EFFORTS TO REDUCE COMMUNITY ENVIRONMENTAL HAZARDS IN THE AIR, WATER AND GROUND, AND THE SAFE REMOVAL OF OTHER TOXIC WASTE PRODUCTS, IN PART THROUGH SUSTAINABILITY AND IN PART THROUGH ADVOCACY. THE COMMITMENT OF DIGNITY HEALTH TO IMPROVE AND SUSTAIN THE ENVIRONMENT IS CODIFIED BY POLICIES, INCLUDING AN ENVIRONMENTALLY PREFERABLE PURCHASING POLICY WHICH PURSUES MULTIPLE ENVIRONMENTAL GOALS TO REDUCE WASTE AT ITS SOURCE AND TO REDUCE THE AMOUNT OF VIRGIN MATERIALS PURCHASED. DIGNITY HEALTH'S INVESTMENT POLICY SCREENS TO EXCLUDE FROM THE PORTFOLIO COMPANIES THAT EXTRACT AND/OR BURN THERMAL COAL, A PRODUCT WHICH HAS IMPACT ON THE HEALTH OF PERSONS, COMMUNITIES AND THE EARTH MAKES IT CONTRARY TO DIGNITY HEALTH'S HEALING MISSION. DIGNITY HEALTH ATTEMPTS TO PURCHASE GOODS WITH RECYCLED CONTENT AND REDUCED PLASTIC CONTENT, AND ONCE PURCHASES REACH THE END OF THEIR INITIAL USE, DIGNITY HEALTH FOCUSES ON REUSE WITHIN THE HOSPITAL, TRANSFER TO OTHER USERS (SUCH AS COMMUNITY ORGANIZATIONS), RECYCLING, AND FINALLY, PROPER WASTE DISPOSAL. DIGNITY HEALTH HAS TRANSITIONED TO PRODUCTS THAT ARE FREE OF POLYVINYL CHLORIDE (PVC) AND DI (2-ETHYLHEXYL) PHTHALATE (DEHP) AND HAS ELIMINATED THE USE OF MERCURY. COMMUNITY BUILDING - LEADERSHIP DEVELOPMENT/TRAINING FOR COMMUNITY MEMBERS DIGNITY HEALTH HOSPITALS ARE COMMITTED TO BUILDING HEALTHIER COMMUNITIES THROUGH PARTICIPATION IN AND CHARITABLE CONTRIBUTIONS TO LEADERSHIP DEVELOPMENT, PARTICULARLY OF ADOLESCENT, TEEN AND YOUNG ADULT LEADERSHIP, AND CAREER DEVELOPMENT FOR VULNERABLE POPULATIONS. COMMUNITY BUILDING - COALITION BUILDING DIGNITY HEALTH FACILITIES PROVIDE REPRESENTATION ON COMMUNITY COALITIONS AND BOARDS, HELP TO STIMULATE AND AT TIMES LEAD COLLABORATIVE PARTNERSHIPS TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY, AND HOST AND/OR PARTICIPATE IN COMMUNITY COALITION MEETINGS AND SPECIFIC PROJECTS AND INITIATIVES. COMMUNITY BUILDING - ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENT STAFF AT DIGNITY HEALTH HOSPITALS AND THE DIGNITY HEALTH SYSTEM ADVOCATE ON BEHALF OF THE POOR AND DISENFRANCHISED, PARTICULARLY FOR IMPROVED ACCESS TO HEALTH CARE SERVICES AS WELL AS FOR ENVIRONMENTAL IMPROVEMENTS TO BENEFIT HEALTH. DIGNITY HEALTH ALSO ADVOCATES FOR SOCIAL JUSTICE AND HUMAN RIGHTS THROUGH DUES AND GIFTS TO ORGANIZATIONS THAT SUPPORT SOCIAL JUSTICE, AND BY ADVOCATING FOR SOCIAL JUSTICE, ENVIRONMENTAL RESPONSIBILITY AND HUMAN RIGHTS THROUGH INVESTMENTS AS A SHAREHOLDER. COMMUNITY BUILDING - WORKFORCE DEVELOPMENT DIGNITY HEALTH IS COMMITTED TO THE DEVELOPMENT OF THE HEALTH CARE WORKFORCE, AND ACTIVELY ENGAGES IN THE RECRUITMENT OF PHYSICIANS AND OTHER HEALTH PROFESSIONALS IN MEDICALLY UNDERSERVED AREAS. DIGNITY HEALTH SUPPORTS THE TRAINING AND RECRUITMENT OF UNDERREPRESENTED MINORITIES AND PARTICIPATES IN COMMUNITY WORKFORCE BOARDS AND PARTNERSHIPS. SEVERAL DIGNITY HEALTH FACILITIES, AS WELL AS THE ORGANIZATION ITSELF, PARTNER WITH LOCAL COMMUNITY COLLEGES AND UNIVERSITIES TO ADDRESS THE HEALTH CARE WORKFORCE SHORTAGE AND ACTIVELY ENGAGE IN HEALTH CAREER MENTORING PROGRAMS."

PART III, SECTION A, LINE 3 - BAD DEBT EXPENSE METHODOLOGY USED TO
ESTIMATE AMOUNT AS COMMUNITY BENEFIT THE FILING ORGANIZATION MAKES EVERY EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UPON ADMISSION. DIGNITY HEALTH'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. DIGNITY HEALTH 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, DIGNITY 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 III, SECTION A, LINE 4 - BAD DEBT EXPENSE FINANCIAL STATEMENT
FOOTNOTE THE FOLLOWING IS AN EXCERPT FROM COMMONSPIRIT HEALTH'S CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2019, RELATED TO PATIENT ACCOUNTS RECEIVABLE, ALLOWANCE FOR DOUBTFUL ACCOUNTS AND NET PATIENT REVENUE: 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. BASED ON HISTORICAL EXPERIENCE, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS, A SIGNIFICANT PORTION OF DIGNITY HEALTH'S UNINSURED PATIENTS WILL BE UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, DIGNITY HEALTH RECORDS A SIGNIFICANT PROVISION FOR BAD DEBT RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED.

PART III, SECTION B, LINE 8 - COMMUNITY BENEFIT AND METHODOLOGY FOR
DETERMINING MEDICARE COSTS DIGNITY 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 UNIT. COMMONSPIRIT HEALTH AND ITS SUBORDINATE CORPORATIONS BELIEVE THAT THE ENTIRE MEDICARE SHORTFALL OF $2.2 BILLION FOR THE CONSOLIDATED ENTITIES, AS REPORTED IN PART VI, LINE 6, 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. DIGNITY HEALTH'S SHORTFALL, AS REPORTED ON PART III, SECTION B, LINE 7, OF $454 MILLION REPRESENTS THE FILING ORGANIZATION'S MEDICARE COST REPORTS.

PART III, SECTION C, LINE 9B - COLLECTION PRACTICES FOR PATIENTS ELIGIBLE
FOR FINANCIAL ASSISTANCE DIGNITY HEALTH ENSURES THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. DIGNITY 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 DIGNITY HEALTH FACILITY, OR BILLING COMPANY RETAINED BY DIGNITY 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 DIGNITY 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, DIGNITY HEALTH WILL NOT KNOWINGLY SEND THAT PATIENT'S BILL TO AN OUTSIDE COLLECTION AGENCY. LEGAL ACTION WILL NOT BE PURSUED TO COLLECT DEBTS FROM PATIENTS WHO HAVE QUALIFIED FOR CHARITY OR ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DEBT. 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 DIGNITY HEALTH. UPON ASSIGNMENT OF SUCH A PATIENT ACCOUNT TO A COLLECTION AGENCY, DIGNITY HEALTH REQUIRES THE AGENCY TO COMPLY WITH THE FAIR DEBT COLLECTION PRACTICES ACT.

PART VI, LINE 2 - NEEDS ASSESSMENT IN ADDITION TO CHNAS REPORTED
IN PART V, SECTION B IN ADDITION TO EACH LICENSED HOSPITAL CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT AT LEAST EVERY THREE YEARS, DIGNITY HEALTH AND ITS HOSPITALS ASSESS THE HEALTH NEEDS OF THE COMMUNITIES THEY SERVE BY WORKING COLLABORATIVELY WITH LOCAL FEDERALLY QUALIFIED HEALTH CENTERS, OTHER NON-PROFIT CLINICS, PUBLIC HEALTH DEPARTMENTS, AND OTHER HEALTH, SOCIAL SERVICE AND COMMUNITY DEVELOPMENT ORGANIZATIONS TO IDENTIFY AND SERVE THE NEEDS OF VULNERABLE POPULATIONS. DIGNITY HEALTH OBTAINS AND MAINTAINS KNOWLEDGE OF HEALTH NEEDS IN PART THROUGH REFERRAL RELATIONSHIPS, SERVICE PLANNING ACTIVITIES, COMMUNITY HEALTH PARTNERSHIPS, AND LOCAL ADVOCACY CONDUCTED IN CONJUNCTION WITH COMMUNITY PARTNERS. THE HOSPITALS UTILIZE DATABASES AND PLANNING TOOLS TO EVALUATE CHANGES IN CURRENT AND PROJECTED COMMUNITY NEED FOR HEALTH CARE SERVICES, INCLUDING PHYSICIANS. DIGNITY HEALTH HOSPITALS CREATE AND MAKE AVAILABLE TO THE PUBLIC ANNUAL COMMUNITY BENEFIT REPORTS THAT SUMMARIZE IDENTIFIED HEALTH NEEDS, UPDATE COMMUNITY DEMOGRAPHIC INFORMATION, AND REPORT ON RECENT AND PLANNED COMMUNITY HEALTH PROGRAMS, INCLUDING GOALS, OBJECTIVES AND MEASURABLE RESULTS. DIGNITY HEALTH, IN PARTNERSHIP WITH TRUVEN HEALTH ANALYTICS, DEVELOPED A COMMUNITY NEED INDEX (CNI) WHICH PROVIDES AN AGGREGATE SCORE OF THE SOCIOECONOMIC BARRIERS THAT PUT RESIDENTS AT GREATER RISK OF NEEDING HEALTH CARE SERVICES. THE CNI AGGREGATES NINE INDICATORS INTO FIVE SOCIOECONOMIC FACTORS KNOWN TO CONTRIBUTE TO HEALTH DISPARITY. THE FIVE ARE INCOME, CULTURE/LANGUAGE, EDUCATION, HOUSING STATUS, AND INSURANCE COVERAGE. THE INDEX IS CALCULATED ANNUALLY FOR EVERY ZIP CODE IN THE UNITED STATES. RESIDENTS OF COMMUNITIES WITH THE HIGHEST CNI SCORES WERE SHOWN TO BE TWICE AS LIKELY TO EXPERIENCE PREVENTABLE HOSPITALIZATION FOR MANAGABLE CONDITIONS AS COMMUNITIES WITH THE LOWEST CNI SCORES. THE CNI PROVIDES COMPELLING EVIDENCE FOR ADDRESSING SOCIOECONOMIC BARRIERS WHEN CONSIDERING HEALTH POLICY AND LOCAL HEALTH PLANNING. THE TOOL HIGHLIGHTS HEALTH CARE DISPARITIES AND ENABLES HEALTH CARE PROVIDERS, POLICYMAKERS, AND OTHERS TO TARGET RESOURCES WHERE THEY ARE MOST NEEDED. ADDITIONAL INFORMATION ABOUT THE CNI IS ACCESSIBLE AT HTTPS://WWW.DIGNITYHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH/COMMUNITY-HEALTH-P ROGRAMS-AND-REPORTS. SCHEDULE H, PART VI, LINE 3 - PATIENT EDUCATION ON ELIGIBILITY FOR ASSISTANCE COMMUNICATION OF THE FINANCIAL ASSISTANCE PROGRAM TO PATIENTS AND THE PUBLIC FOR DIGNITY HEALTH'S HOSPITALS: INFORMATION ABOUT DIGNITY HEALTH'S FINANCIAL ASSISTANCE PROGRAM AND A CONTACT NUMBER ARE MADE AVAILABLE TO PATIENTS AND THE PUBLIC. PATIENTS ARE INFORMED OF THE FACILITY'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 THE DIGNITY HEALTH FACILITY MAY ELECT. SUCH INFORMATION IS PROVIDED IN THE PRIMARY LANGUAGES SPOKEN IN THE COMMUNITIES DIGNITY HEALTH'S FACILITIES SERVE. THE SIGNAGE INCLUDES NOTIFICATION THAT ALL UNINSURED PATIENTS RECEIVE AN UNINSURED DISCOUNT OF 30%, AND THAT FURTHER DISCOUNTS MAY BE PROVIDED UPON THE COMPLETION AND SUBMISSION OF A FINANCIAL ASSISTANCE APPLICATION OR WITH PROMPT PAYMENT. FINANCIAL ASSISTANCE INFORMATION, GOVERNMENT PROGRAM RESOURCE INFORMATION, TOOLS TO ASSIST PATIENTS IN FINDING HEALTH COVERAGE, ANSWERS TO FREQUENTLY ASKED BILLING QUESTIONS, AND OTHER SUCH INFORMATION CAN ALSO BE FOUND ON DIGNITY HEALTH'S WEBSITE AT WWW.DIGNITYHEALTH.ORG. AT THE POINT OF REGISTRATION, BROCHURES ARE MADE AVAILABLE TO ALL PATIENTS EXPLAINING THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM AND THE AVAILABILITY OF GOVERNMENT SPONSORED PROGRAMS. COPIES OF THE FINANCIAL ASSISTANCE APPLICATION ARE MADE AVAILABLE TO ALL UNINSURED PATIENTS IN ADDITION TO THE BROCHURE UPON ADMISSION TO THE FACILITY. IF FINANCIAL ASSISTANCE ELIGIBILITY IS NOT DETERMINED PRIOR TO BILLING, INITIAL BILLING STATEMENTS TO UNINSURED PATIENTS INCLUDE A REQUEST TO THE PATIENT TO PROVIDE ANY INSURANCE INFORMATION THAT WAS VALID FOR THE DATES OF SERVICE BILLED, A STATEMENT INFORMING PATIENTS WITHOUT INSURANCE COVERAGE THAT THEY MAY BE ELIGIBLE FOR A GOVERNMENT SPONSORED PROGRAM OR FACILITY FUNDED FINANCIAL ASSISTANCE, INSTRUCTIONS ON HOW TO APPLY FOR A GOVERNMENT PROGRAM OR FINANCIAL ASSISTANCE AND THE PROVISION OF SUCH APPLICATIONS. ADDITIONALLY, CONTRACT TERMS WITH COLLECTION VENDORS WORKING ON BEHALF OF DIGNITY HEALTH REQUIRE ALL INITIAL STATEMENTS TO UNINSURED PATIENTS TO INCLUDE VERBIAGE INFORMING PATIENTS OF THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM AND A COPY OF THE FINANCIAL ASSISTANCE APPLICATION. ALSO, ANY MEMBER OF THE DIGNITY HEALTH FACILITY STAFF OR MEDICAL STAFF MAY MAKE REFERRALS OF PATIENTS FOR FINANCIAL ASSISTANCE. THE PATIENT, A FAMILY MEMBER, A CLOSE FRIEND OR AN ASSOCIATE OF THE PATIENT MAY ALSO MAKE A REQUEST FOR FINANCIAL ASSISTANCE.

SOUTHWEST ORTHOPEDIC AND SPINE HOSPITAL (OASIS HOSPITAL)
THE HOSPITAL IS LOCATED IN MARICOPA COUNTY AND IDENTIFIES ITS PRIMARY SERVICE AREA AS THE 83 ZIP CODES REPRESENTING THE TOP 75% OF PATIENTS BY VOLUME. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED, MEDICALLY UNDERSERVED AREA AND A MEDICALLY UNDERSERVED POPULATION. TOTAL POPULATION: 3,068,323 RACE/ETHNICITY: WHITE - NON-HISPANIC 61.5%; BLACK/AFRICAN AMERICAN - NON-HISPANIC 4.6%; HISPANIC OR LATINO: 25.4%; ASIAN/PACIFIC ISLANDER 4.2%; ALL OTHERS 4.3% MEDIAN INCOME: $65,865 UNEMPLOYMENT: 3.7% NO HIGH SCHOOL DIPLOMA: 10.7% MEDICAID: 16.6% UNINSURED: 8.6% OTHER AREA HOSPITALS: 45 DE CRAIG RANCH LLC DBA ST. ROSE DOMINICAN - NORTH LAS VEGAS THE HOSPITAL PRIMARILY SERVES RESIDENTS OF NINE ZIP CODES IN LAS VEGAS AND NORTH LAS VEGAS, NEVADA. THE HOSPITAL SERVICE AREA INCLUDES DENTAL, MENTAL AND PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREAS, AS WELL AS MEDICALLY UNDESERVED AREAS. TOTAL POPULATION: 374,561 RACE/ETHNICITY: WHITE - NON-HISPANIC 26.2%; BLACK/AFRICAN AMERICAN - NON-HISPANIC 20.4%; HISPANIC OR LATINO 42.6%; ASIAN/PACIFIC ISLANDER 6.8%; ALL OTHERS 4.0% MEDIAN INCOME: $52,080 UNEMPLOYMENT: 6.2% NO HIGH SCHOOL DIPLOMA: 22.7% MEDICAID: 19.6% UNINSURED: 14.4% OTHER AREA HOSPITALS: 16 IN CLARK COUNTY DE BLUE DIAMOND LLC DBA ST. ROSE DOMINICAN - BLUE DIAMOND THE HOSPITAL PRIMARILY SERVES RESIDENTS OF 10 ZIP CODES IN LAS VEGAS AND BLUE DIAMOND, NEVADA. THE HOSPITAL SERVICE AREA INCLUDES A MENTAL HEALTH PROFESSIONAL SHORTAGE AREA. TOTAL POPULATION: 277,963 RACE/ETHNICITY: WHITE - NON-HISPANIC 41.4%; BLACK/AFRICAN AMERICAN - NON-HISPANIC 9.7%; HISPANIC OR LATINO 19.8%; ASIAN/PACIFIC ISLANDER 23.1%; ALL OTHERS 6.0% MEDIAN INCOME: $69,550 UNEMPLOYMENT: 4.0% NO HIGH SCHOOL DIPLOMA: 9.3% MEDICAID: 8.7% UNINSURED: 7.0% OTHER AREA HOSPITALS: 16 IN CLARK COUNTY ARIZONA SPINE AND JOINT HOSPITAL THE HOSPITAL SERVES PORTIONS OF THE CITIES OF MESA, CHANDLER AND GILBERT IN MARICOPA COUNTY, AND GOLD CANYON, APACHE JUNCTION, FLORENCE AND SAN TAN VALLEY IN PINAL COUNTY. THE HOSPITAL SERVES FEDERALLY-DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREAS AND MEDICALLY UNDERSERVED AREAS. TOTAL POPULATION: 889,571 RACE/ETHNICITY: WHITE - NON-HISPANIC 61.2%; BLACK/AFRICAN AMERICAN - NON-HISPANIC 4.2%; HISPANIC OR LATINO 25.1%; ASIAN/PACIFIC ISLANDER 4.7%; ALL OTHERS 4.8% MEDIAN INCOME: $65,550 UNEMPLOYMENT: 3.7% NO HIGH SCHOOL DIPLOMA: 11.7% MEDICAID: 14.9% UNINSURED: 8.3% OTHER AREA HOSPITALS: 4 ARIZONA GENERAL HOSPITAL - LAVEEN THE HOSPITAL IS LOCATED IN LAVEEN, ARIZONA, WITHIN MARICOPA COUNTY AND EIGHT MILES SOUTHWEST OF DOWNTOWN PHOENIX. IT IDENTIFIES ITS PRIMARY SERVICE AREA AS THE ZIP CODES IN LAVEEN (85339) AND PHOENIX (85041, 85043) REPRESENTING THE TOP 75% OF PATIENTS BY VOLUME. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREA. TOTAL POPULATION: 154,243 RACE/ETHNICITY: WHITE - NON-HISPANIC 15.3%; BLACK/AFRICAN AMERICAN - NON-HISPANIC 16.2%; HISPANIC OR LATINO 57.8%; ASIAN/PACIFIC ISLANDER 5.2%; ALL OTHERS 5.5% MEDIAN INCOME: $52,259 UNEMPLOYMENT: 5.2% NO HIGH SCHOOL DIPLOMA: 26.4% MEDICAID: 22.0% UNINSURED: 11.0% OTHER AREA HOSPITALS: 0 DE SAHARA LLC DBA ST. ROSE DOMINICAN - SAHARA THE HOSPITAL PRIMARILY SERVES RESIDENTS OF SIX ZIP CODES IN LAS VEGAS, NEVADA. THE HOSPITAL SERVICE AREA INCLUDES DENTAL, MENTAL AND PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREAS. TOTAL POPULATION: 228,972 RACE/ETHNICITY: WHITE - NON-HISPANIC 33.0%; BLACK/AFRICAN AMERICAN - NON-HISPANIC 11.4%; HISPANIC OR LATINO 44.0%; ASIAN/PACIFIC ISLANDER 8.3%; ALL OTHERS 3.3% MEDIAN INCOME: $41,474 UNEMPLOYMENT: 7.2% NO HIGH SCHOOL DIPLOMA: 20.8% MEDICAID: 22.8% UNINSURED: 16.4% OTHER AREA HOSPITALS: 16 IN CLARK COUNTY ARIZONA ORTHOPEDIC SPECIALTY HOSPITAL (ARIZONA SPECIALTY HOSPITAL) THE HOSPITAL IS LOCATED IN CHANDLER, ARIZONA, IN MARICOPA COUNTY, AND IDENTIFIES ITS PRIMARY SERVICE AREA AS THE 44 ZIP CODES REPRESENTING THE TOP 75% OF PATIENTS BY VOLUME. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED, MEDICALLY UNDERSERVED AREA AND A MEDICALLY UNDERSERVED POPULATION. TOTAL POPULATION: 1,710,742 RACE/ETHNICITY: WHITE - NON-HISPANIC 61.8%; BLACK/AFRICAN AMERICAN - NON-HISPANIC 4.5%; HISPANIC OR LATINO 23.5%; ASIAN/PACIFIC ISLANDER 4.9%; ALL OTHERS 5.3% MEDIAN INCOME: $66,217 UNEMPLOYMENT: 3.7% NO HIGH SCHOOL DIPLOMA: 10.6% MEDICAID: 15.3% UNINSURED: 8.5% OTHER AREA HOSPITALS: 18 DE FLAMINGO LLC DBA ST. ROSE DOMINICAN - WEST FLAMINGO THE HOSPITAL PRIMARILY SERVES RESIDENTS OF SEVEN ZIP CODES IN LAS VEGAS, NEVADA. THE HOSPITAL SERVICE AREA INCLUDES DENTAL, MENTAL AND PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREAS. TOTAL POPULATION: 259,846 RACE/ETHNICITY: WHITE - NON-HISPANIC 51.2%; BLACK/AFRICAN AMERICAN - NON-HISPANIC 8.8%; HISPANIC OR LATINO 17.6%; ASIAN/PACIFIC ISLANDER 17.6%; ALL OTHERS 4.8% MEDIAN INCOME: $68,753 UNEMPLOYMENT: 4.7% NO HIGH SCHOOL DIPLOMA: 8.7% MEDICAID: 10.7% UNINSURED: 8.6% OTHER AREA HOSPITALS: 16 IN CLARK COUNTY DIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL THE HOSPITAL SERVES PORTIONS OF THE MARICOPA COUNTY CITIES OF CHANDLER, GILBERT, TEMPE AND PHOENIX, PLUS CASA GRANDE AND MARICOPA IN PINAL COUNTY. THE COMMUNITY HAS A HIGHER MEDIAN INCOME AND EDUCATIONAL ATTAINMENT, AND A LOWER RACIAL/ETHNIC MINORITY POPULATION, THAN PINAL OR MARICOPA COUNTIES AS A WHOLE. THE HOSPITAL SERVES FEDERALLY-DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREAS AND MEDICALLY UNDERSERVED AREAS. TOTAL POPULATION: 675,657 RACE/ETHNICITY: WHITE - NON-HISPANIC 60.3%; BLACK/AFRICAN AMERICAN - NON-HISPANIC 5.3%; HISPANIC OR LATINO 21.6%; ASIAN/PACIFIC ISLANDER 7.5%; ALL OTHERS 5.3% MEDIAN INCOME: $79,902 UNEMPLOYMENT: 3.5% NO HIGH SCHOOL DIPLOMA: 8.2% MEDICAID: 10.5% UNINSURED: 6.1% OTHER AREA HOSPITALS: 3 CARONDELET HOLY CROSS HOSPITAL THE HOSPITAL IS LOCATED IN SANTA CRUZ COUNTY, ARIZONA IN THE SOUTHEAST PART OF THE STATE ALONG THE BORDER WITH MEXICO. MOST POPULATED AREAS ARE ALONG THE INTERSTATE 19 HIGHWAY. CITIES IN THE SERVICE AREA INCLUDE NOGALES, RIO RICO, ELGIN, SONOITA AND PATAGONIA. TOTAL POPULATION: 45,868 RACE/ETHNICITY: WHITE - NON-HISPANIC 15.6%; BLACK/AFRICAN AMERICAN - NON-HISPANIC 0.6%; HISPANIC OR LATINO 82.4%; ASIAN/PACIFIC ISLANDER 0.6%; ALL OTHERS 0.8% MEDIAN INCOME: $42,932 UNEMPLOYMENT: 6.3% NO HIGH SCHOOL DIPLOMA: 26.7% MEDICAID: 32.5% UNINSURED: 12.9% OTHER AREA HOSPITALS: 0 ARIZONA GENERAL HOSPITAL - MESA THE HOSPITAL'S COMMUNITY INCLUDES THE URBAN AND SUBURBAN AREAS OF MARICOPA COUNTY, INCLUDING CHANDLER, GILBERT, QUEEN CREEK, SAN TAN VALLEY, AND MESA. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA. TOTAL POPULATION: 1,122,401 RACE/ ETHNICITY: WHITE - NON-HISPANIC 64.2%; BLACK/AFRICAN AMERICAN - NON-HISPANIC 4.2%; HISPANIC OR LATINO 21.0%; ASIAN/PACIFIC ISLANDER 5.7%; ALL OTHERS 4.9% MEDIAN INCOME: $73,658 UNEMPLOYMENT: 3.4% NO HIGH SCHOOL DIPLOMA: 9.6% MEDICAID: 12.3% UNINSURED: 6.8% OTHER AREA HOSPITALS: 4 IN PRIMARY SERVICE AREA, 12 SECONDARY SERVICE AREA DIGNITY HEALTH REHABILITATION HOSPITAL (SIENA CAMPUS) THE HOSPITAL SERVES THE SOUTHERN PORTION OF THE LAS VEGAS VALLEY, AS WELL AS CLARK COUNTY AS A WHOLE. THIS AREA ENCOMPASSES URBAN AND SUBURBAN AREAS WITH DIVERSE SOCIOECONOMIC CONDITIONS. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED POPULATION. TOTAL POPULATION: 2,217,048 RACE/ETHNICITY: WHITE - NON-HISPANIC 42.6%; BLACK/AFRICAN AMERICAN - NON-HISPANIC 11.0%; HISPANIC OR LATINO 31.3%; ASIAN/PACIFIC ISLANDER 10.8%; ALL OTHERS 4.3% MEDIAN INCOME: $57,611 UNEMPLOYMENT: 5.6% NO HIGH SCHOOL DIPLOMA: 15.1% MEDICAID: 16.3% UNINSURED: 12.1% OTHER AREA HOSPITALS: 13 ACUTE CARE; 11 LONG TERM ACUTE, REHABILITATION, AND BEHAVIORAL HEALTH

PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH
USE OF SURPLUS FUNDS: AS A NOT-FOR-PROFIT HOSPITAL ORGANIZATION DEDICATED TO IMPROVING THE QUALITY OF LIFE, DIGNITY HEALTH 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 DIGNITY HEALTH 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. THE ROLE OF THE BOARD: THE DIGNITY HEALTH BOARD OF DIRECTORS AND SPECIFIC COMMITTEES HAVE ORGANIZATIONAL, POLICY-BASED ROLES TO SET PRIORITIES AND TO OVERSEE COMMUNITY BENEFIT AND COMMUNITY HEALTH PROGRAMS, AND THEY RECEIVE REGULAR REPORTS ON ACTIVITIES AND PERFORMANCE. DIGNITY HEALTH HOSPITAL COMMUNITY BOARDS, WHICH ARE RATIFIED BY THE DIGNITY HEALTH BOARD, ARE RESPONSIBLE FOR ENSURING THAT THE HOSPITALS DEVELOP PROGRAMS TO ADDRESS THE DISPROPORTIONATE UNMET HEALTH-RELATED NEEDS OF THE COMMUNITIES THE HOSPITALS SERVE, FOR CONDUCTING AND ADOPTING COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS AND IMPLEMENTATION STRATEGIES, AND FOR PRODUCING AND MAKING WIDELY AVAILABLE TO THE PUBLIC ANNUAL COMMUNITY BENEFIT REPORTS. COMMUNITY BOARDS ENSURE THE DEVELOPMENT OF COMMUNITY HEALTH INITIATIVES TO PROMOTE THE HEALTH OF THE COMMUNITY, WITH AN EMPHASIS ON POOR AND VULNERABLE POPULATIONS. IN FULFILLING THESE RESPONSIBILITIES, THE COMMUNITY BOARDS MAY DESIGNATE A COMMUNITY HEALTH OR COMMUNITY BENEFIT COMMITTEE TO INCLUDE AT LEAST TWO BOARD MEMBERS, WITH REPRESENTATION FROM A RANGE OF COMMUNITY STAKEHOLDERS WHO HAVE KNOWLEDGE OF THE COMMUNITY. THE COMMUNITY BOARD OR BOARD COMMITTEE PARTICIPATES IN THE PROCESS OF ESTABLISHING PROGRAM PRIORITIES BASED ON COMMUNITY HEALTH NEEDS ASSESSMENTS, DEVELOPING THE HOSPITAL'S IMPLEMENTATION STRATEGY, AND MONITORING ACTIONS AND PROGRESS TOWARD IDENTIFIED GOALS. IF APPLICABLE, MEMBERS OF THE COMMITTEE ENSURE THAT THE COMMUNITY BOARD IS REGULARLY BRIEFED ON ACTIVITIES AND DEVELOPMENTS, AND THAT THE COMMITTEE HAS INFORMATION FROM THE COMMUNITY BOARD AND MANAGEMENT NEEDED TO MAKE INFORMED DECISIONS. COMMUNITY GRANTS, SOCIAL INNOVATION PARTNERSHIP GRANTS, AND COMMUNITY INVESTMENT: DIGNITY HEALTH HOSPITALS PROVIDE MORE THAN $5 MILLION IN FINANCIAL GRANTS ANNUALLY TO LOCAL COMMUNITY ORGANIZATIONS TO ADDRESS SIGNIFICANT HEALTH NEEDS FROM LOCAL CHNAS. GRANTEES SET PERFORMANCE GOALS AND REPORT SEMI-ANNUALLY ON PROGRESS AND RESULTS. DIGNITY HEALTH OPERATES A SOCIAL INNOVATION PARTNERSHIP GRANT PROGRAM TO SPUR NEW APPROACHES AND SOLUTIONS TO ENHANCING HEALTH AND HEALTH CARE NEEDS IN THE COMMUNITIES SERVED BY ITS HOSPITALS. DIGNITY HEALTH OPERATES A $100 MILLION COMMUNITY INVESTMENT PROGRAM THAT HELPS BUILD CAPACITY OF NON-PROFIT ORGANIZATIONS TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH, INCLUDING HOUSING FOR VULNERABLE POPULATIONS, SUPPORT FOR PRIMARY CARE, AND MORE. MORE INFORMATION ABOUT EACH OF THESE INITIATIVES IS ONLINE AT HTTPS://WWW.DIGNITYHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH. DIGNITY HEALTH HOSPITALS ARE IMPLEMENTING A FORMAL REFERRAL SYSTEM OF PATIENTS TO HEALTH IMPROVEMENT PROGRAMS AND SOCIAL SUPPORT SERVICES IN THEIR COMMUNITIES. THIS TECHNOLOGY-SUPPORTED SYSTEM INCLUDES COMMUNITY HEALTH STAFF, CARE COORDINATORS AND SOCIAL WORKERS IN THE HOSPITALS, PLUS SELECT COMMUNITY-BASED PARTNER ORGANIZATIONS. THIS COORDINATED COMMUNITY NETWORK INITIATIVE ADDRESSES THE NEEDS OF ALL PATIENTS, WITH A FOCUS ON HIGH-NEED AND VULNERABLE INDIVIDUALS, BEYOND ACUTE MEDICAL CARE. DIGNITY HEALTH PROVIDES HOSPITAL SERVICES AND CARRIES OUT ITS MISSION AT THE HOSPITAL FACILITIES LISTED IN PART V, SECTION A. FOR DETAILED INFORMATION ON THE SERVICES AND COMMUNITY BENEFITS PROVIDED AT THESE FACILITIES, AS WELL AS COPIES OF THE COMMUNITY HEALTH NEEDS ASSESSMENTS, IMPLEMENTATION STRATEGIES AND COMMUNITY BENEFIT REPORTS FOR EACH FACILITY, VISIT THE DIGNITY HEALTH WEBSITE AT HTTPS://WWW.DIGNITYHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH/COMMUNITY-HEALTH-P ROGRAMS-AND-REPORTS, IN ADDITION TO THE WEBSITES REPORTED IN PART V, LINE 7. ARIZONA ORTHOPEDIC SURGICAL HOSPITAL (ARIZONA SPECIALTY HOSPITAL), SOUTHWEST ORTHOPEDIC AND SPINE HOSPITAL, ARIZONA GENERAL HOSPITAL LAVEEN, ARIZONA GENERAL HOSPITAL MESA, ARIZONA SPINE AND JOINT HOSPITAL, DIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL - THE HOSPITALS PARTICIPATE IN THE COMMUNITY HEALTH INTEGRATION NETWORK OF ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER, WHERE COMMUNITY HEALTH IMPROVEMENT PROGRAMS AND PARTNERSHIPS ARE DISCUSSED, SHARED AND COORDINATED. CARONDELET ST. JOSEPH'S HOSPITAL, CARONDELET ST. MARY'S HOSPITAL AND CARONDELET HOLY CROSS HOSPITAL THE HOSPITALS HAVE ACTIVE WELLNESS COMMITTEES THAT OFFER AND DEVELOP COMMUNITY-BASED EVENTS TO PROMOTE COMMUNITY HEALTH AND WELLNESS, INCLUDING IN THE AREAS OF EXERCISE, SAFETY AND INJURY PREVENTION, AND FUNDRAISING TO ADDRESS DISEASES. THE HOSPITALS INVEST FUNDS 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 AND EDUCATION. 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.

PART VI, LINE 6 - AFFILIATED HEALTHCARE SYSTEM
AFFILIATION OF CHI AND DIGNITY HEALTH - AS DISCUSSED ABOVE, ON FEBRUARY 1, 2019, CHI AND DIGNITY HEALTH EFFECTED A BUSINESS COMBINATION. AS PART OF THE ALIGNMENT, DIGNITY HEALTH CAUSED TO TRANSFER NON-CATHOLIC OWNED COMMUNITY HOSPITALS, NON-CATHOLIC SUBSIDIARY HOSPITALS, AND CERTAIN OTHER NON-CATHOLIC OPERATIONS TO DIGNITY COMMUNITY CARE, A COLORADO NONPROFIT CORPORATION. THE FOLLOWING HOSPITALS THAT WERE TRANSFERRED TO DIGNITY COMMUNITY CARE EFFECTIVE FEBRUARY 1, 2019, ARE AS FOLLOWS: CHANDLER REGIONAL MEDICAL CENTER CALIFORNIA HOSPITAL MEDICAL CENTER - LOS ANGELES NORTHRIDGE HOSPITAL MEDICAL CENTER METHODIST HOSPITAL OF SACRAMENTO SEQUOIA HOSPITAL GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER WOODLAND MEMORIAL HOSPITAL FRENCH HOSPITAL MEDICAL CENTER SOUTHWEST ORTHOPEDIC AND SPINE HOSPITAL (OASIS/SOSH) AGH LAVEEN LLC DBA DIGNITY HEALTH ARIZONA GENERAL HOSPITAL ARIZONA SPINE AND JOINT HOSPITAL AGH MESA LLC DBA DIGNITY HEALTH ARIZONA GENERAL HOSPITAL ARIZONA ORTHOPEDIC SPECIALTY HOSPITAL (AOSH) DIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL DIGNITY HEALTH REHABILITATION HOSPITAL (SIENA CAMPUS) AFFILIATES OF DIGNITY HEALTH ALSO PROMOTE THE HEALTH OF ADDITIONAL COMMUNITIES IN BAKERSFIELD, SAN BERNARDINO, SAN FRANCISCO, SAN ANDREAS, AND GRASS VALLEY/NEVADA CITY, CALIFORNIA, PHOENIX, CHANDLER AND GILBERT, ARIZONA AND LAS VEGAS AND HENDERSON, NEVADA AND IN 18 ADDITIONAL STATES THROUGH THE ALLIANCE WITH CHI. THESE AFFILIATES FOLLOW PRACTICES SIMILAR TO THOSE NOTED ABOVE IN DETERMINING THE UNMET HEALTHCARE NEEDS OF THEIR COMMUNITIES. TOTAL UNSPONSORED COMMUNITY BENEFIT EXPENSE NET OF OFFSETTING REVENUE FOR COMMONSPIRIT AND ITS AFFILIATED CORPORATIONS, WHICH INCLUDES DIGNITY HEALTH, FOR THE YEAR ENDED JUNE 30, 2019, IS $2.2 BILLION. REFER TO THE TABLE BELOW (IN MILLIONS). Persons Net Comm % of Served Benefit Exp excl Bad Debt Benefits for the Poor: Traditional Charity Care 317 289 1.4% Unpaid Costs of Medicaid/Medi-Cal 4,550 1,441 6.8% Other Means-tested Programs 23 13 0.1% Community Services: Community Health Services 58 31 0.1% Subsidized Health Services 33 32 0.2% Donations 52 50 0.2% Total Community Services for the poor 143 113 0.5% Total Benefits for the Poor 5,033 1,856 8.8% Benefits for the Broader Community: Community Services: Community Health Services 103 99 0.5% Health Professions Education 128 113 0.5% Subsidized Health Services 23 17 0.1% Research 131 95 0.4% Donations 7 6 0.0% Total Benefits for the Broader Community 392 330 1.5% Total Community Benefits 5,425 2,186 10.3% Unpaid Costs of Medicare 5,957 2,249 10.6% Total Community Benefits including Unpaid Cost of Medicare 11,382 4,435 20.9%