4A (Expenses $ 2837580548 including grants of $ 0) (Revenue $ 3297270225)
SEE SCHEDULE O

SCHEDULE H, PART V, SECTION B - SUPPLEMENTAL INFORMATION
LINE 3E: PLEASE SEE THE RESPONSE TO SCHEDULE H, PART V, LINE 11 BELOW FOR AN EXPLANATION OF HOW THE HEALTH NEEDS IDENTIFIED IN THE CHNA WERE PRIORITIZED.

LINE 5: INPUT FROM INDIVIDUALS IN THE COMMUNITY
"TO COLLECT PRIMARY DATA FROM THE HOSPITAL'S SERVICE AREA POPULATION, A SURVEY WAS DESIGNED, FIELDED, AND ANALYZED TO ENSURE THAT THE PERSPECTIVES OF THE RESIDENTS OF THE SERVICE AREA WERE INCLUDED IN THIS ASSESSMENT, THE HOSPITAL USED A RIGOROUS POPULATION-BASED METHODOLOGICAL APPROACH TO COVER THE SERVICE AREA. TO DEVELOP THE SURVEY USED FOR THE CHNA, THE HOSPITAL PARTNERED WITH FACULTY FROM INDIANA-BASED UNIVERSITIES WHO HAD PARTICULAR EXPERTISE IN COMMUNITY-BASED SURVEY RESEARCH. DR. WILLIAM MCCONNELL OF THE UNIVERSITY OF EVANSVILLE SERVED AS THE LEAD RESEARCHER ON THE PROJECT, IN PARTNERSHIP WITH DR. MICHAEL REECE AND DR. CATHERINE SHERWOOD-LAUGHLIN (BOTH OF THE INDIANA UNIVERSITY SCHOOL OF PUBLIC HEALTH). THE UNIVERSITY OF EVANSVILLE CONTRACTED WITH THE CENTER FOR SURVEY RESEARCH (CSR) AT INDIANA UNIVERSITY TO ADMINISTER THIS SURVEY IN TWO PHASES: PHASE I WAS CONDUCTED AS A PAPER SURVEY MAILED TO A RANDOM ADDRESS-BASED SAMPLE AND PHASE II WAS CONDUCTED AS A PAPER SURVEY ADMINISTERED BY THE HOSPITALS TO A CONVENIENCE SAMPLE OF THEIR CHOOSING. THE SURVEY WAS CONDUCTED WITH APPROVAL OF THE INSTITUTIONAL REVIEW BOARD (IRB) OF THE UNIVERSITY OF EVANSVILLE. PLANNING AND DEVELOPMENT FOR THE SURVEY BEGAN IN THE WINTER OF 2017. USING A CONSTRUCT-BASED APPROACH THAT IDENTIFIED THE LEADING AREAS TO BE INCLUDED ON THE SURVEY, THE HOSPITALS AND FACULTY DEVELOPED A SURVEY. THE SURVEY INCLUDED MEASURES THAT HAD BEEN VALIDATED FOR USE IN SIMILAR PROJECTS BY OTHER RESEARCHERS AND ADDITIONAL MEASURES THAT WERE DEVELOPED BY THE PARTNERS FOR SPECIFIC NEEDS OF THIS CHNA. THE SURVEY COVERED TEN MAJOR AREAS. TWO WEIGHTING ADJUSTMENTS WERE MADE TO ENHANCE CONSISTENCY BETWEEN THE SURVEY SAMPLE AND THE CHARACTERISTICS OF THE HOSPITAL'S SERVICE POPULATION. THE FIRST WAS A BASE WEIGHT ADJUSTMENT TO ACCOUNT FOR UNEQUAL PROBABILITIES OF SELECTION WITHIN HOUSEHOLD. THE SECOND WAS A POSTSTRATIFICATION ADJUSTMENT TO THE U.S. CENSUS BUREAU 2012-2016 AMERICAN COMMUNITY SURVEY FIVE-YEAR POPULATION ESTIMATES. THE TWO WEIGHTING ADJUSTMENTS WERE MULTIPLIED TO CALCULATE A PRELIMINARY FINAL WEIGHT FOR EACH HOSPITAL'S CATCHMENT AREA. THESE PRELIMINARY WEIGHTS WERE THEN TRIMMED AND SCALED SO THAT THE FINAL WEIGHTS SUMMED TO THE NUMBER OF RESPONDENTS IN EACH CATCHMENT AREA. THREE TYPES OF FOCUS GROUPS WERE CONDUCTED: - PROFESSIONAL: REPRESENTATIVES FROM ORGANIZATIONS, SERVICES, AND BUSINESSES THAT CONTRIBUTE TO YOUTH AND BEHAVIORAL HEALTH. THESE MEETINGS MAP COMMUNITY ASSETS AND NEEDS IN ADDITION TO DETERMINING POTENTIAL PARTNERS. - INTERNAL: FRANCISCAN HEALTH STAFF FROM ALL DIVISIONS ARE INVITED TO LEARN ABOUT POTENTIAL INTERVENTIONS AND PROVIDE FEEDBACK. - RESIDENT: SMALL GROUPS OF RESIDENTS BROUGHT TOGETHER BY A PARTNER AGENCY WERE ASKED ABOUT STRENGTHS AND CHALLENGES IN COMMUNITIES AS WELL AS THE LIKELIHOOD OF PARTICIPATING IN INTERVENTIONS. INTERNAL FOCUS GROUP - FH CRAWFORDSVILLE - FRANCISCAN HEALTH FOUNDATION, INC. - FRANCISCAN ALLIANCE MISSION (2) - FRANCISCAN ACCOUNTABLE CARE ORGANIZATION (""ACO"") - FRANCISCAN PHYSICIAN NETWORK (""FPN"") PROFESSIONAL FOCUS GROUP - FH CRAWFORDSVILLE - PURDUE EXTENSION (3) - YOUTH SERVICES BUREAU - CRAWFORDSVILLE COMMUNITY SCHOOL CORPORATION - CRAWFORDSVILLE FIRE DEPARTMENT - NURSE FAMILY PARTNERSHIP (2) - WABASH COLLEGE - CRAWFORDSVILLE PARKS DEPARTMENT - CRAWFORDSVILLE PUBLIC LIBRARY - MONTGOMERY COUNTY HEALTH DEPARTMENT - FRANCISCAN HEALTH (3) - WABASH VALLEY ALLIANCE INTERNAL FOCUS GROUP - FH CROWN POINT PRE-ADMITTING - TRAUMA - NURSE NAVIGATION - CANCER REGISTRY - EMERGENCY DEPARTMENT - ENGINEERING EXTERNAL FOCUS GROUP - FH CROWN POINT - COMMUNITY HEALTHNET - COVERING KIDS AND FAMILIES - METHODIST HOSPITALS - COMMUNITY HEALTH CARE - FRANCISCAN HEALTH (2) - PURDUE UNIVERSITY NORTHWEST - NORTHWEST INDIANA COMMUNITY ACTION - NURSE FAMILY PARTNERSHIP (2) - CROWN POINT SCHOOLS RESIDENT FOCUS GROUP FROM THE FOLLOWING ZIP CODES - FH CROWN POINT - 46303 (5) - 46307 - 46356 INTERNAL FOCUS GROUP - FH DYER - ALVERNO LABORATORY - FRANCISCAN ACO - TOBACCO PREVENTION - VOLUNTEER MANAGEMENT - FRANCISCAN HOME CARE - BEHAVIORAL HEALTH INTERNAL FOCUS GROUP - FH HAMMOND - FRANCISCAN HOME CARE - FRANCISCAN ACO (2) - PRENATAL ASSISTANCE - ADMINISTRATION - WOUND HEALTH/INFUSION (2) - EMERGENCY DEPARTMENT - CARDIOVASCULAR - CASE MANAGEMENT PROFESSIONAL FOCUS GROUP - FH HAMMOND - HEALTHY START - MUNSTER PARKS AND RECREATION - PURDUE EXTENSION (2) - THE INTREPID PHOENIX - FOOD BANK OF NORTHWEST INDIANA (2) - AREA HEALTH EDUCATION CENTER - INDIANA UNIVERSITY NORTHWEST (2) - GIRLS ON THE RUN - HOPE CHRISTIAN CHURCH - INDIANA PARENTING INITIATIVE (2) RESIDENT FOCUS GROUP FROM THE FOLLOWING ZIP CODES - FH HAMMOND - 46321 - 46404 - 46408 (2) - 46311 (2) - 46321 - 46307 (3) - 46375 - 46323 (2) - 46360 - 46410 (2) - 46324 (2) - 46303 - 60411 INTERNAL FOCUS GROUP - FH INDIANAPOLIS - SPIRITUAL CARE (2) - EMERGENCY MEDICAL SERVICES - BUSINESS DEVELOPMENT - EDUCATION SERVICES - MARKETING PROFESSIONAL FOCUS GROUP - FH INDIANAPOLIS - COMMUNITY HEALTH NETWORK (2) - ANTHEM - NURSE FAMILY PARTNERSHIP - WINDROSE HEALTH - INDY SOUTHSIDE QUALITY OF LIFE - YMCA - CITY OF GREENWOOD - INDIANA YOUTH INSTITUTE - AREA HEALTH EDUCATION CENTER - PURDUE EXTENSION - GREATER SOUTHSIDE BUSINESS ALLIANCE RESIDENT FOCUS GROUP FROM THE FOLLOWING ZIP CODES - FH INDIANAPOLIS (BURMESE FOCUS) - 46227 (7) RESIDENT FOCUS GROUP FROM THE FOLLOWING ZIP CODES - FH INDIANAPOLIS (LATINO FOCUS) - UNKNOWN - 46204 - 46235 - 46227 PROFESSIONAL FOCUS GROUP - FH INDIANAPOLIS (BEECH GROVE FOCUS) - BEECH GROVE COMMUNITY SCHOOLS - BEECH GROVE DRUG FREE COALITION INTERNAL FOCUS GROUP - FH LAFAYETTE - REHABILITATION SERVICES - SAFETY - SCHOOL OF NURSING (2) - QUALITY - EMERGENCY MEDICAL SERVICES - MISSION (3) - CASE MANAGEMENT - NUTRITION - NURSING ADMINISTRATION (2) - PALLIATIVE CARE - COMMUNITY EDUCATION - PHARMACY - RADIOLOGY - TRAUMA - LABORATORY PROFESSIONAL FOCUS GROUP - FH LAFAYETTE - NURSE FAMILY PARTNERSHIP - THE VILLAGES - PURDUE UNIVERSITY SCHOOL OF NURSING - AREA IV AGENCY (2) - BOY SCOUTS - NORTH CENTRAL HEALTH SERVICES - PURDUE EXTENSION (3) - RIGGS COMMUNITY HEALTH CENTER - INDIANA UNIVERSITY HEALTH - FRANCISCAN HEALTH (4) - YWCA - BAUER SERVICES - LOCAL WOMEN INFANT CHILDREN'S (""WIC"") AGENCY - HEALTHY COMMUNITIES OF CLINTON COUNTY/COVERING KIDS AND FAMILIES - INDIANA YOUTH INSTITUTE - PURDUE EXTENSION-4-H - WABASH VALLEY ALLIANCE - FOOD FINDERS - LTHC HOMELESS SERVICES INTERNAL FOCUS GROUP - FH MICHIGAN CITY - FRANCISCAN HEALTH FOUNDATION, INC. - FPN - EDUCATION - ADMINISTRATION - RISK MANAGEMENT - CLINICAL SUPPORT - SAFETY - INPATIENT THERAPY - MEDICAL ADMINISTRATION - NURSING ADMINISTRATION - FINANCE - HUMAN RESOURCES - SPIRITUAL CARE - CASE MANAGEMENT - RESPITORY CARE - FRANCISCAN ACO - OBSTETRICS - EMERGENCY DEPARTMENT - WOUND HEALTH - PHARMACY - PATIENT ADMINISTRATION - OPERATING ROOM - ICU - QUALITY PROFESSIONAL FOCUS GROUP - FH MICHIGAN CITY - UNITED WAY OF LAPORTE COUNTY - DUNEBROOK - PURDUE EXTENSION (2) - OPEN DOOR (2) - SOUTH CENTRAL SCHOOL DISTRICT - SWANSON CENTER - IVY TECH - BOYS AND GIRLS CLUB - YMCA (2) - FRONTLINE FOUNDATION - WALKER MEDICAL - AREA HEALTH EDUCATION CENTER - UNITY FOUNDATION - LAPORTE COUNTY HEALTH DEPARTMENT INTERNAL FOCUS GROUP - FH MOORESVILLE - EDUCATION - ADMINISTRATION (2) - PATIENT ACCESS - WOMEN AND CHILDREN - MEDICAL STAFF - PARISH NURSING - FPN PROFESSIONAL FOCUS GROUP - FH MOORESVILLE - HEALTHIER MORGAN COUNTY INITIATIVE - PURDUE GLOBAL - BRIDGES OF HOPE - IVY TECH - LIFE SMART YOUTH - UNITED WAY - MDWISE - BOYS AND GIRLS CLUB - MOORESVILLE PARKS DEPARTMENT - MOORESVILLE SCHOOLS YMCA - MORGAN COUNTY SUBSTANCE ABUSE COUNCIL (2) - MORGAN COUNTY HEALTH DEPARTMENT - PEACE RESTORED - JACKSON CENTER - MOORESVILLE CHAMBER OF COMMERCE - REACH FOR YOUTH - GIRL SCOUTS RESIDENT FOCUS GROUP FOCUS GROUP FROM THE FOLLOWING ZIP CODES - FH MOORESVILLE - 46158 (15) - 46168 (4) - 46157 - 46113 (2) - UNKNOWN INTERNAL FOCUS GROUP - FH MUNSTER - EDUCATION - FRANCISCAN HOME CARE PROFESSIONAL FOCUS GROUP - FH OLYMPIA FIELDS - BLOOM TOWNSHIP HIGH SCHOOL - GOVENORS STATE UNIVERSITY (2) - PARK FOREST POLICE - PRAIRIE STATE COLLEGE - SOUTH SUBURBAN FAMILY SHELTER - DISTRICT 163 SCHOOLS (2) - FRANCISCAN HEALTH (3) - DISTRICT 227 SCHOOLS - PREVENT CHILD ABUSE - SOUTH SUBURBAN PADS PROFESSIONAL FOCUS GROUP - FH OLYMPIA FIELDS - RESPOND NOW (2) - FRANCISCAN HEALTH (3) - DISTRICT 227 SCHOOLS (2) - JONES CENTER - DISTRICT 227 SCHOOLS (2) - JONES CENTER"

LINE 6A: ALL FACILITIES
IN INDIANA, ALL FRANCISCAN ALLIANCE HOSPITAL FACILITIES COLLABORATED IN A STATEWIDE PARTNERSHIP WITH ASCENSION ST. VINCENT HEALTH, INDIANA UNIVERSITY HEALTH, COMMUNITY HEALTH NETWORK, DECONESS HOSPITAL, METHODIST HOSPITAL, COMMUNITY HOSPITAL, GIBSON GENERAL HOSPITAL, HENDRICKS REGIONAL HEALTH, ST. MARY'S HOSPITAL AND WITH EACH FACILITY WITHIN THE FRANCISCAN HEALTH SYSTEM.

LINE 6B: ALL FACILITIES
FRANCISCAN HEALTH PARTNERED WITH WARRICK AND VANDERBURG COUNTY HEALTH DEPARTMENTS, KENDRICK FOUNDATION, HEALTHY SOUTHSIDE INITIATIVE, HEALTHY MORGAN COUNTY INTIATIVE, UNIVERSITY OF EVANSVILLE, PURDUE UNIVERSITY, AND INDIANA UNIVERSITY BLOOMINGTON.

LINE 7: ALL FACILITIES
ALL CHNA REPORTS ARE AVAILABLE ON FRANCISCAN ALLIANCE'S WEBSITE AT HTTPS://WWW.FRANCISCANHEALTH.ORG/COMMUNITYHEALTH. IN ADDITION, A PRINT COPY IS AVAILABLE FREE OF CHARGE IN EACH HOSPITAL'S ADMINISTRATIVE OFFICE.

LINE 10: ALL FACILITIES
ALL IMPLEMENTATION PLANS ARE CONTAINED IN THE CHNA AS 'CHAPTER 6: CALL TO ACTION.' THE REPORTS ARE AVAILABLE ON FRANCISCAN ALLIANCE'S WEBSITE AT HTTPS://WWW.FRANCISCANHEALTH.ORG/COMMUNITYHEALTH

LINE 11: COMMUNITY HEALTH NEEDS ASSESSMENT
THE TOP HEALTH NEEDS IN A COMMUNITY IS A DIFFICULT PROCESS. MANY POOR HEALTH OUTCOMES, HEALTH DISPARITIES, AND POOR SOCIAL DETERMINANTS OF HEALTH WEIGH HEAVILY ON SEGMENTS OF OUR COMMUNITY. WE ALSO ACKNOWLEDGE THAT THERE ARE MANY STRENGTHS AND POSITIVE GROWTH THAT BALANCE SOME OF THESE CHALLENGES. FRANCISCAN HEALTH DETERMINED THE TOP HEALTH NEEDS BY REVIEWING SECONDARY DATA, SURVEY RESPONSES, AND FEEDBACK FROM INPUT MEETINGS. A CORE TEAM OF SIX STAFF MEMBERS WITH EDUCATION AND EXPERIENCE IN PUBLIC HEALTH WORKED WITH STAFF IN EACH COMMUNITY TO COME TO A CONSENSUS ON THE TOP ISSUES. A COMBINATION OF MULTIVOTE RANKING AND THE HANLON METHOD WERE USED. ONCE A REFINED LIST OF THE TOP TEN ISSUES WAS BROUGHT TO CONSENSUS, EACH STAFF MEMBER RANKED HEALTH ISSUES BASED ON SIZE, SERIOUSNESS, EQUITY, TYPES OF INTERVENTION, AND URGENCY. TO ASSIST WITH INTERVENTION PLANNING, A SECOND SCORE ON THE POTENTIAL FOR FRANCISCAN HEALTH TO PRIORITIZE THE HEALTH ISSUE WAS DETERMINED. SCORING CRITERIA INCLUDED RELATIONSHIP TO ADVERSE CHILDHOOD EXPERIENCES (ACES), INTERNAL CAPACITY, COMMUNITY ACCEPTABILITY, SUSTAINABILITY, AND LONG-TERM IMPACT. USING A MIX OF HANLON AND PEARL TECHNIQUES, THE FRANCISCAN HEALTH COMMUNITY HEALTH TEAM SCORED THE SECONDARY DATA, FEEDBACK MEETING COMMENTS, AND SURVEY DATA TO PRODUCE THE LIST OF TOP HEALTH NEEDS IN THE COMMUNITY. IN DETERMINING COMMUNITY HEALTH INTERVENTIONS FOR THE SELECTED PRIORITY HEALTH NEEDS, HEALTH EQUITY, SUSTAINABILITY, AND AN EMPHASIS ON SOCIAL DETERMINANTS OF HEALTH WERE HEAVILY WEIGHTED. WHILE MOST INTERVENTIONS FOCUS ON INDIVIDUAL LIFESTYLE FACTORS, KNOWLEDGE, SKILLS, AND BEHAVIORS, CONSIDERATION OF THE CULTURAL AND ENVIRONMENTAL CONTEXTS ARE JUST AS IMPORTANT. FRANCISCAN ALLIANCE ACKNOWLEDGES THAT TRUE CHANGE COMES WITH MAJOR SHIFTS IN ALL AREAS. THE FIRST CRITERIA USED TO DETERMINE IMPLEMENTATION STRATEGIES IS THE CONNECTION TO THE SOCIO-ECOLOGICAL MODEL AND SOCIAL DETERMINENTS OF HEALTH. INTERVENTIONS IMPLEMENTED BY FRANCISCAN ALLIANCE ARE PERSON-CENTERED AND DESIGNED TO CREATE LASTING CHANGE. MALCOLM KNOWLES' PRINCIPLES OF ANDRAGOGY PROVIDED THE FRAMEWORK. WHILE THIS MODEL IS BASED ON EDUCATIONAL PROGRAMMING, IT APPLIES TO ALL TYPES OF INTERVENTIONS. FOR EXAMPLE, IN THE PROVISION OF CLINICAL CARE OR MEDICATION ASSISTANCE, PARTICIPANTS NOT ONLY RECEIVE THE CARE OR MEDICATION, THEY ALSO LEARN TO BETTER MANAGE THEIR OWN HEALTH OR ACCESS COMPONENTS OF THE HEALTH SYSTEM OR ASSISTANCE PROGRAM. REFLECTION, TEACH-BACK, AND COMMUNICATION TECHNIQUES ARE UTILIZED TO EMPOWER THE PARTICIPANT TO MOVE BEYOND A ONE-TIME INTERACTION OR ASSISTANCE. FRANCISCAN ALLIANCE USES EVIDENCE-BASED PRACTICES IN PLANNING INTERVENTIONS WHENEVER POSSIBLE, AS THESE PROGRAMS HAVE BEEN THOROUGHLY TESTED AND HAVE PROVEN EFFICACY. WHEN EVIDENCE-BASED PROGRAMS ARE NOT AVAILABLE, BEST PRACTICES AND DOCUMENTED RESEARCH GUIDES THE DEVELOPMENT AND IMPLEMENTATION OF THE INTERVENTION. IMPLEMENTATION ACTIVITIES WILL BE EVALUATED TO THE FULLEST EXTENT. USING THE KIRKPATRICK MODEL (A STANDARDIZED EVALUATION SYSTEM BASED ON REACTION, LEARNING, BEHAVIOR, AND RESULTS) AS A GUIDE, EVALUATION OF NOT ONLY THE PROGRAM, BUT ITS IMPACT AND RESULTS WILL BE REVIEWED. THIS PROCESS ALLOWS FOR CHANGES TO BE MADE TO IMPROVE THE PROGRAM ON AN ONGOING BASIS. WHILE IT CAN BE DIFFICULT TO DETERMINE THE EXACT CAUSE OF INDIVIDUAL BEHAVIORAL CHANGE, BIOMETRICS, POST-FOLLOW UP SURVEYS, AND OTHER METHODS WERE USED TO CAPTURE QUALITATIVE AND QUANTITATIVE DATA.

LINE 11: COMMUNITY HEALTH NEEDS ASSESSMENT CON'T
"CHILDHOOD TRAUMA SPURS TOXIC STRESS RESPONSES THAT CAUSE BOTH IMMEDIATE AND LONG-TERM PHYSICAL AND EMOTIONAL HARMS AND CAN POTENTIALLY BE FATAL. AN ANALYSIS BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION HAS FOUND THAT AT LEAST FIVE OF THE TOP 10 LEADING CAUSES OF DEATH ARE ASSOCIATED WITH ADVERSE CHILDHOOD EXPERIENCES (ACES) SUCH AS EXPERIENCING ABUSE, WITNESSING VIOLENCE OR SUBSTANCE ABUSE IN THE HOME AND HAVING A PARENT IN JAIL. PREVENTING ACES CAN REDUCE HEART DISEASE, CANCER, RESPIRATORY DISEASE, DIABETES AND SUICIDE. FRANCISCAN ALLIANCE HAS PARTNERED WITH AN ONLINE COMMUNITY PLATFORM, ACES CONNECTION, TO GENERATE AWARENESS, ENGAGEMENT, AND DISCUSSION REGARDING CHILDHOOD ADVERSITY. THIS PARTNERSHIP IS A COMPONENT OF FRANCISCAN ALLIANCE'S AWARENESS INITIATIVE TO PROVIDE COMMUNITY MEMBERS WITH FREE RESOURCES TO BUILD A SELF-HEALING, TRAUMA-INFORMED COMMUNITY. FRANCISCAN ALLIANCE'S HOPES TO EDUCATE COMMUNITY MEMBERS TO: ""GET DATA. GET TRAINED. GET INVOLVED."" FRANCISCAN ALLIANCE HAS ALSO PARTNERED WITH BROADSTREET TO CREATE NATIONALLY AVAILABLE DASHBOARDS FOR ACES RISK IN CHILDREN. THE ACES RISK IN CHILDREN DASHBOARDS WILL PROVIDE DATA THAT PERTAINS TO ACE FOR A SELECTED LOCATION. DASHBOARD INSIGHTS INCLUDE THINGS LIKE MENTAL HEALTH OR INCARCERATION RISKS IN A GIVEN COMMUNITY WHICH AIDS IN CULTIVATING A STORY ABOUT EACH COMMUNITY TO SEE RISK FACTORS AND SOCIAL DETERMINANTS. THE HOPE IS THAT COMMUNITIES WILL BE ABLE TO USE THESE DASHBOARD TO PROVIDE GUIDANCE IN THE DIRECTION OF WHAT PUBLIC HEALTH AREAS TO ADDRESS. FRANCISCAN ALLIANCE IS ALSO A FOUNDING PARTNER OF THE ACES INDIANA COALITION, A TEAM OF AGENCIES, ORGANIZATIONS, AND INDIVIDUALS WORKING TOGETHER TO REDUCE ADVERSE OUTCOMES OF ACES. FRANCISCAN ALLIANCE HAS MADE THE INVESTMENT TO HAVE SEVEN TEAM MEMBERS CERTIFIED AS ACE INTERFACE MASTERS ALLOWS THEM TO CONDUCT ACES TRAINING AND PRESENTATIONS ON THE RESEARCH WITHIN ITS COMMUNITIES. ACCORDING TO ACE STUDY RESEARCH, PREVENTION IS THE GREATEST OPPORTUNITY TO IMPROVE THE OVERALL WELL-BEING OF POPULATIONS. OUR TRAINING PROGRAMS ARE DESIGNED TO PROMOTE UNDERSTANDING AND IMPROVE COMMUNITY OUTCOMES THROUGH HEALING PROCESSES, INTERVENTIONS, AND EDUCATION AND FRANCISCAN ALLIANCE IS COMMITTED TO ADVANCING THIS EDUCATION THROUGHOUT ITS COMMUNITIES. THE FRANCISCAN ALLIANCE HOSPITALS MADE THE FOLLOWING PROGRESS DURING 2021 IN ADDRESSING THE IDENTIFIED COMMUNITY HEALTH NEEDS FROM ITS MOST RECENT CHNA: FRANCISCAN HEALTH CRAWFORDSVILLE TOP HEALTH NEEDS INCLUDE (TOP NEEDS FIRST): - CHILD ABUSE AND NEGLECT - SUBSTANCE ABUSE - FOOD INSECURITY - ADULT MENTAL HEALTH - YOUTH SUPPORT SERVICES - ACCESS TO HEALTH SERVICES - PHYSICAL ACTIVITY AND NUTRITION - TOBACCO/LUNG CANCER - SEXUALLY TRANSMITTED INFECTIONS - HEART DISEASE THERE IS A SIGNIFICANT LINK BETWEEN EIGHT OF THESE ISSUES AND ADVERSE CHILDHOOD EXPERIENCES (""ACES""). THEREFORE, THE FOLLOWING IMPLEMENTATION STRATEGIES WILL BE USED (WITH 2021 PROGRESS INDICATED): - FACILITATE ACES CONNECTION COMMUNITY PAGES: ACHIEVED IN 2021 - PROVIDE FACT SHEETS, ARTICLES, AND OTHER FREE RESOURCES: ACHIEVED IN 2021 - OFFER FREE SCREENINGS OF RESILIENCE FILM: ACHIEVED IN 2021 - COORDINATE TRAINING OPPORTUNITIES FOR PROFESSIONALS: ACHIEVED IN 2021 - DEVELOP COMMUNITY RESILIENCY COALITION: ACHIEVED IN 2021 - PROVIDE HEALING ACTIVITIES: THIS WAS MET IN 2021, WITH A SLIGHT CHANGE DUE TO COVID. FAMILY EDUCATION/STRESS REDUCTION KITS WERE DISTRIBUTED TO VULNERABLE FAMILIES TO ASSIST IN COPING WITH THE PANDEMIC. - LOCAL PROJECT: DUE TO COVID, THE LOCAL PROJECT WAS NOT ABLE TO BE COMPLETED. THE FUNDS ALLOCATED FOR THIS WERE REDIRECTED TO FAMILY EDUCATION/STRESS REDUCTION KITS. VIRTUAL EDUCATION FOR PROFESSIONALS AND FAMILIES WERE OFFERED TO PROVIDE ADDITIONAL SUPPORT. THIS FOLLOWS THE SAME INTENTION AS THE ORIGINAL PROJECT. THE PROGRAM WILL CONTINUE IN 2022. FRANCISCAN HEALTH CROWN POINT TOP HEALTH NEEDS INCLUDE (TOP NEEDS FIRST): - CHILD ABUSE AND NEGLECT - INFANT MORTALITY - UNINSURED/UNDERINSURED RATES - ADULT MENTAL HEALTH - FOOD INSECURITY - FAMILY SUPPORT SERVICES - SUBSTANCE ABUSE - RESPIRATORY DISEASES - PHYSICAL ACTIVITY AND NUTRITION - TRANSPORTATION THERE IS A SIGNIFICANT LINK BETWEEN EIGHT OF THESE ISSUES AND ADVERSE CHILDHOOD EXPERIENCES (""ACES""). THEREFORE, THE FOLLOWING IMPLEMENTATION STRATEGIES WILL BE USED (WITH 2021 PROGRESS INDICATED): - FACILITATE ACES CONNECTION COMMUNITY PAGES: ACHIEVED IN 2021 - PROVIDE FACT SHEETS, ARTICLES, AND OTHER FREE RESOURCES: ACHIEVED IN 2021 - OFFER FREE SCREENINGS OF RESILIENCE FILM: ACHIEVED IN 2021 - COORDINATE TRAINING OPPORTUNITIES FOR PROFESSIONALS: ACHIEVED IN 2021 - DEVELOP COMMUNITY RESILIENCY COALITION: ACHIEVED IN 2021 - PROVIDE HEALING ACTIVITIES: THIS WAS MET IN 2021, WITH A SLIGHT CHANGE DUE TO COVID. FAMILY EDUCATION/STRESS REDUCTION KITS WERE DISTRIBUTED TO VULNERABLE FAMILIES TO ASSIST IN COPING WITH THE PANDEMIC. - LOCAL PROJECT: THE LOCAL PROJECT WAS COMPLETED IN 2021, WITH MODIFICATIONS DUE TO COVID. A VIRTUAL VERSION OF THE PROGRAM WAS OFFERED WITH SUCCESSFUL OUTCOMES, BUT A MUCH SMALLER GROUP OF PARTICIPANTS. THE PROGRAM WILL CONTINUE IN A VIRTUAL FORMAT IN 2022."

LINE 11: COMMUNITY HEALTH NEEDS ASSESSMENT CON'T
"FRANCISCAN HEALTH HAMMOND, FRANCISCAN HEALTH MUNSTER, AND FRANCISCAN HEALTH DYER TOP HEALTH NEEDS INCLUDE (TOP NEEDS FIRST): - CHILD ABUSE AND NEGLECT - INFANT MORTALITY - UNINSURED/UNDERINSURED RATES - ADULT MENTAL HEALTH - FOOD INSECURITY - FAMILY SUPPORT SERVICES - SUBSTANCE ABUSE - RESPIRATORY DISEASES - PHYSICAL ACTIVITY AND NUTRITION - TRANSPORTATION THERE IS A SIGNIFICANT LINK BETWEEN EIGHT OF THESE ISSUES AND ADVERSE CHILDHOOD EXPERIENCES (""ACES""). THEREFORE, THE FOLLOWING IMPLEMENTATION STRATEGIES WILL BE USED (WITH 2021 PROGRESS INDICATED): - FACILITATE ACES CONNECTION COMMUNITY PAGES: ACHIEVED IN 2021 - PROVIDE FACT SHEETS, ARTICLES, AND OTHER FREE RESOURCES: ACHIEVED IN 2021 - COORDINATE TRAINING OPPORTUNITIES FOR PROFESSIONALS: ACHIEVED IN 2021 - DEVELOP COMMUNITY RESILIENCY COALITION: ACHIEVED IN 2021 - PROVIDE HEALING ACTIVITIES: THIS WAS MET IN 2021, WITH A SLIGHT CHANGE DUE TO COVID. FAMILY EDUCATION/STRESS REDUCTION KITS WERE DISTRIBUTED TO VULNERABLE FAMILIES TO ASSIST IN COPING WITH THE PANDEMIC. - LOCAL PROJECT: TRAUMA INFORMED EDUCATION WITH EDGGERS MIDDLE SCHOOL: THIS PROJECT WAS NOT COMPLETED AS PLANNED DUE TO COVID. HOWEVER, RESOURCES FOR TEACHERS, STAFF, PARENTS, AND STUDENTS WERE PROVIDED TO ASSIST WITH THE STRESS AND TRAUMA OF THE PANDEMIC. FUNDS ALLOCATED TOWARDS THIS ACTIVITY WERE USED FOR ADDITIONAL FAMILY EDUCATION/STRESS REDUCTION KITS. IN ADDITION, WATER BOTTLES FOR CHILDREN WERE PROVIDED DUE TO THE CLOSURE OF WATER FOUNTAINS. FRANCSICAN HEALTH INDIANAPOLIS TOP HEALTH NEEDS INCLUDE (TOP NEEDS FIRST): - INFANT MORTALITY - ADULT MENTAL HEALTH - SUBSTANCE ABUSE - PUBLIC SAFETY - PEDIATRIC MENTAL HEALTH - ACCESS TO HEALTH SERVICES - PHYSICAL ACTIVITY AND NUTRITION - UNINTENTIONAL INJURY - TOBACCO USE - TRANSPORTATION THERE IS A SIGNIFICANT LINK BETWEEN EIGHT OF THESE ISSUES AND ADVERSE CHILDHOOD EXPERIENCES (""ACES""). THEREFORE, THE FOLLOWING IMPLEMENTATION STRATEGIES WILL BE USED (WITH 2021 PROGRESS INDICATED): - FACILITATE ACES CONNECTION COMMUNITY PAGES: ACHIEVED IN 2021 - PROVIDE FACT SHEETS, ARTICLES, AND OTHER FREE RESOURCES: ACHIEVED IN 2021 - OFFER FREE SCREENINGS OF RESILIENCE FILM: ACHIEVED IN 2021. DUE TO COVID, THE ANTICIPATED NUMBER OF SHOWINGS WERE NOT POSSIBLE. HOWEVER, A VIRTUAL SHOWING DID ALLOW FOR THE NUMBER OF ANTICIPATED INDIVIDUALS TO BE SERVED. - COORDINATE TRAINING OPPORTUNITIES FOR PROFESSIONALS: ACHIEVED IN 2021 - DEVELOP COMMUNITY RESILIENCY COALITION: ACHIEVED IN 2021 - PROVIDE HEALING ACTIVITIES: THIS WAS MET IN 2021, WITH A SLIGHT CHANGE DUE TO COVID. FAMILY EDUCATION/STRESS REDUCTION KITS WERE DISTRIBUTED TO VULNERABLE FAMILIES TO ASSIST IN COPING WITH THE PANDEMIC. - LOCAL PROJECT: DUE TO COVID, THIS PROJECT WAS NOT COMPLETED. FUNDS ALLOCATED TO THIS PROJECT WERE USED FOR RELIEF PROJECTS FOR THE BURMESE COMMUNITY. THIS INLCUDED DISTRIBUTION OF FOOD, HYGIENE SUPPLIES, SCHOOL SUPPLIES, AND YOUTH VACCINES. COVID GREATLY DISTRUPTED FINANCIAL RESOURCES AND THESE EFFORTS ASSISTED THE MOST VULNERABLE FAMILIES. THE PROJECT WILL NOT CONTINUE IN 2021 AS PLANNED BECAUSE OF CONTINUED RESTRICTIONS RELATED TO THE PANDEMIC. IN FALL 2021, A CAREER CONFERENCE FOR THE SAME TARGET POPULATION WILL BE HELD WITH TRAUMA RELATED RESOURCES INTIGRATED INTO THE CONTENT. FRANCSICAN HEALTH LAFAYETTE TOP HEALTH NEEDS INCLUDE (TOP NEEDS FIRST): - FAMILY POVERTY - INFANT MORTALITY - YOUTH MENTAL HEALTH - SUBSTANCE ABUSE - ADULT MENTAL HEALTLH - FOOD INSECURITY - HOMELESSNESS - AFFORDABLE HEALTH CARE - TOBACCO USE - PHYSICAL ACTIVITY AND NUTRITION - QUALITY THERE IS A SIGNIFICANT LINK BETWEEN EIGHT OF THESE ISSUES AND ADVERSE CHILDHOOD EXPERIENCES (""ACES""). THEREFORE, THE FOLLOWING IMPLEMENTATION STRATEGIES WILL BE USED (WITH 2021 PROGRESS INDICATED): - FACILITATE ACES CONNECTION COMMUNITY PAGES: ACHIEVED IN 2021 - PROVIDE FACT SHEETS, ARTICLES, AND OTHER FREE RESOURCES: ACHIEVED IN 2021 - OFFER FREE SCREENINGS OF RESILIENCE FILM: ACHIEVED IN 2021 - COORDINATE TRAINING OPPORTUNITIES FOR PROFESSIONALS: ACHIEVED IN 2021 - DEVELOP COMMUNITY RESILIENCY COALITION: ACHIEVED IN 2021 - PROVIDE HEALING ACTIVITIES: THIS WAS MET IN 2021, WITH A SLIGHT CHANGE DUE TO COVID. FAMILY EDUCATION/STRESS REDUCTION KITS WERE DISTRIBUTED TO VULNERABLE FAMILIES TO ASSIST IN COPING WITH THE PANDEMIC. - LOCAL PROJECT: EMPATH, A MULTI HEALTH SYSTEM APPROACH TO FINDING APPROPRIATE CARE FOR THOSE WITH MENTAL HEALTH ISSUES: ACHIEVED IN 2021 FRANCISCAN HEALTH MICHIGAN CITY TOP HEALTH NEEDS INCLUDE (TOP NEEDS FIRST): - PEDIATRIC MENTAL HEALTH - ADULT MENTAL HEALTH - CHILD ABUSE AND NEGLECT - FOOD INSECURITY - SUBSTANCE ABUSE - CANCER - SOCIAL SUPPORTS - PHYSICAL ACTIVITY AND NUTRITION - TOBACCO USE - TRANSPORTATION THE FOLLOWING IMPLEMENTATION STRATEGIES WILL BE USED (WITH 2021 PROGRESS INDICATED): - LOCAL PROJECT: FOOD PHARMACY: ACHIEVED IN 2021"

LINE 11: COMMUNITY HEALTH NEEDS ASSESSMENT CON'T
"FRANCISCAN HEALTH MOORESVILLE TOP HEALTH NEEDS INCLUDE (TOP NEEDS FIRST): - SUBSTANCE ABUSE - ADULT MENTAL HEALTH - FOOD INSECURITY - PEDIATRIC MENTAL HEALTH - PHYSICAL ACTIVITY AND NUTRITION - PUBLIC SAFETY - CANCER - TOBACCO USE - TRANSPORTATION - AFFORDABLE CHILD CARE THERE IS A SIGNIFICANT LINK BETWEEN EIGHT OF THESE ISSUES AND ADVERSE CHILDHOOD EXPERIENCES (""ACES""). THEREFORE, THE FOLLOWING IMPLEMENTATION STRATEGIES WILL BE USED (WITH 2021 PROGRESS INDICATED): - FACILITATE ACES CONNECTION COMMUNITY PAGES: ACHIEVED IN 2021 - PROVIDE FACT SHEETS, ARTICLES, AND OTHER FREE RESOURCES: ACHIEVED IN 2021 - OFFER FREE SCREENINGS OF RESILIENCE FILM: ACHIEVED IN 2021 - COORDINATE TRAINING OPPORTUNITIES FOR PROFESSIONALS: ACHIEVED IN 2021 - DEVELOP COMMUNITY RESILIENCY COALITION: ACHIEVED IN 2021 - PROVIDE HEALING ACTIVITIES: THIS WAS MET IN 2021, WITH A SLIGHT CHANGE DUE TO COVID. FAMILY EDUCATION/STRESS REDUCTION KITS WERE DISTRIBUTED TO VULNERABLE FAMILIES TO ASSIST IN COPING WITH THE PANDEMIC. - LOCAL PROJECT: TRIPLE PLAY PROGRAM WITH BOYS AND GIRLS CLUB: ACHIEVED IN 2021 WITH CHANGES. DUE TO COVID, THE LOCAL PROJECT WAS NOT ABLE TO BE COMPLETED. THE FUNDS ALLOCATED FOR THIS WERE REDIRECTED TO FAMILY EDUCATION/STRESS REDUCTION KITS. VIRTUAL EDUCATION FOR PROFESSIONALS AND FAMILIES WERE OFFERED TO PROVIDE ADDITIONAL SUPPORT. THIS FOLLOWS THE SAME INTENTION AS THE ORIGINAL PROJECT. THE PROGRAM WILL CONTINUE IN 2022. FRANCISCAN HEALTH OLYMPIA FIELDS TOP HEALTH NEEDS INCLUDE (TOP NEEDS FIRST): - POVERTY - ACCESS TO HEALTH SERVICES - MATERNAL MORBIDITY - UNINSURED/UNDERINSURED - ADULT MENTAL HEALTH - YOUTH SOCIAL SUPPORTS - PUBLIC SAFETY/GUN VIOLENCE - CANCER - RESPIRATORY DISEASES - TRANSPORTATION THERE IS A SIGNIFICANT LINK BETWEEN EIGHT OF THESE ISSUES AND ADVERSE CHILDHOOD EXPERIENCES (""ACES""). THEREFORE, THE FOLLOWING IMPLEMENTATION STRATEGIES WILL BE USED, WITH 2021 PROGRESS INDICATED: - FACILITATE ACES CONNECTION COMMUNITY PAGES: ACHIEVED IN 2021 - PROVIDE FACT SHEETS, ARTICLES, AND OTHER FREE RESOURCES: ACHIEVED IN 2021 - OFFER FREE SCREENINGS OF RESILIENCE FILM: ACHIEVED IN 2021 - COORDINATE TRAINING OPPORTUNITIES FOR PROFESSIONALS: ACHIEVED IN 2021 - DEVELOP COMMUNITY RESILIENCY COALITION: ACHIEVED IN 2021 - PROVIDE HEALING ACTIVITIES: THIS WAS MET IN 2021, WITH A SLIGHT CHANGE DUE TO COVID. FAMILY EDUCATION/STRESS REDUCTION KITS WERE DISTRIBUTED TO VULNERABLE FAMILIES TO ASSIST IN COPING WITH THE PANDEMIC. - LOCAL PROJECT: JONES CENTER PARTNERSHIP: YOUTH BEHAVIORAL HEALTH SERVICES AND EDUCATION PROVIDED TO LOW INCOME FAMILIES: DUE TO COVID, THE LOCAL PROJECT WAS NOT ABLE TO BE COMPLETED. THE FUNDS ALLOCATED FOR THIS WERE REDIRECTED TO FAMILY EDUCATION/STRESS REDUCTION KITS. VIRTUAL EDUCATION FOR PROFESSIONALS AND FAMILIES WERE OFFERED TO PROVIDE ADDITIONAL SUPPORT. THIS FOLLOWS THE SAME INTENTION AS THE ORIGINAL PROJECT. THE PROGRAM WILL CONTINUE IN 2022."

LINE 15 AND 16: ALL FACILITIES
"THROUGH FRANCISCAN ALLIANCE, INC. (""FRANCISCAN""), WE CONTINUE THE HEALING MINISTRY OF CHRIST IN A CATHOLIC HEALTH CARE SYSTEM THAT UPHOLDS THE MORAL VALUES AND TEACHINGS OF THE CATHOLIC CHURCH. CENTRAL CONCERNS OF THIS CORPORATE MINISTRY INCLUDE COMPASSION FOR THOSE IN NEED, RESPECT FOR LIFE AND THE DIGNITY OF PERSONS. FRANCISCAN BELIEVES IN THE DIGNITY, UNIQUENESS, AND WORTH OF EACH INDIVIDUAL AND, WITHIN THE LIMITS OF OUR RESOURCES, FRANCISCAN OFFERS A COMPREHENSIVE RANGE OF HEALTH CARE SERVICES TO ALL REGARDLESS OF RACE, CREED, COLOR, SEX, NATIONAL ORIGIN, HANDICAP OR AN INDIVIDUAL'S FINANCIAL CAPABILITY. IN LIGHT OF THIS BELIEF, WE CONSIDER OUR HEALTH CARE SERVICES TO BE REACHING OUT AND RESPONDING, IN A CHRIST-LIKE MANNER, TO THOSE WHO ARE PHYSICALLY, MATERIALLY, OR SPIRITUALLY IN NEED. FRANCISCAN IS COMMITTED TO PROVIDING FINANCIAL ASSISTANCE, IN THE FORM OF CHARITY CARE OR UNINSURED DISCOUNTS, TO PERSONS WHO ARE UNINSURED OR UNDERINSURED, WHO ARE INELIGIBLE FOR GOVERNMENTAL OR SOCIAL SERVICE PROGRAMS, AND WHO OTHERWISE ARE UNABLE TO PAY FOR EMERGENCY SERVICES OR MEDICALLY NECESSARY CARE BASED ON THEIR INDIVIDUAL FINANCIAL SITUATION. CONSISTENT WITH OUR MISSION TO DELIVER COMPASSIONATE, HIGH QUALITY, AFFORDABLE HEALTH CARE AND TO ADVOCATE FOR THOSE WHO ARE POOR AND DISENFRANCHISED, FRANCISCAN STRIVES TO ENSURE THE FINANCIAL CAPACITY OF PEOPLE WHO NEED MEDICALLY NECESSARY HEALTH CARE SERVICES DOES NOT PREVENT THEM FROM SEEKING OR RECEIVING THAT CARE. FRANCISCAN'S FINANCIAL ASSISTANCE POLICY IS DESIGNED TO ALLOW RELIEF FROM ALL OR PART OF THE CHARGES RELATED TO EMERGENCY OR MEDICALLY NECESSARY HEALTH CARE SERVICES THAT EXCEED A PATIENT'S REASONABLE ABILITY TO PAY. IN ORDER TO ENSURE TRANSPARENCY, CONSISTENCY AND FAIRNESS, WE ASK PATIENTS TO COOPERATE BY PROVIDING NECESSARY INFORMATION TO DETERMINE THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE. FOR PATIENTS NOT INITIALLY IDENTIFIED AS QUALIFYING FOR FINANCIAL ASSISTANCE, FRANCISCAN COMMUNICATES THE AVAILABILITY OF CHARITY CARE AND FINANCIAL ASSISTANCE IN THE APPLICABLE LANGUAGES OF THE HOSPITAL COMMUNITY THROUGH THE FOLLOWING MEANS: 1. FRANCISCAN COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE IN APPROPRIATE CARE SETTINGS SUCH AS EMERGENCY DEPARTMENTS, ADMITTING/REGISTRATION AREAS, BILLING OFFICES, OUTPATIENT SERVICE SETTINGS, AND ON OUR HOSPITALS' WEBSITES. SIGNS/POSTINGS INFORM PATIENTS THAT FREE OR REDUCED COST CARE MAY BE AVAILABLE TO QUALIFYING PATIENTS WHO COMPLETE A FINANCIAL ASSISTANCE APPLICATION. 2. BROCHURES SUMMARIZING OUR FINANCIAL ASSISTANCE PROGRAMS ARE AVAILABLE THROUGHOUT EACH FRANCISCAN HOSPITAL. 3. FINANCIAL COUNSELORS AND BUSINESS OFFICE PERSONNEL ARE AVAILABLE TO HELP PATIENTS UNDERSTAND AND APPLY FOR LOCAL, STATE, FEDERAL HEALTH CARE, AND HEALTH INSURANCE EXCHANGE PROGRAMS AND FRANCISCAN'S FINANCIAL ASSISTANCE PROGRAMS. 4. ALL BILLS AND STATEMENTS FOR SERVICES INFORM UNINSURED PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE. 5. PATIENTS/GUARANTORS MAY REQUEST A COPY OF THE FINANCIAL ASSISTANCE APPLICATION BY CALLING THE FRANCISCAN BILLING OFFICE OR DOWNLOADING A COPY AT NO COST FROM FRANCISCAN HOSPITAL'S WEBSITES. 6. PATIENTS/GUARANTORS CAN REQUEST FINANCIAL ASSISTANCE INFORMATION BY CALLING FRANCISCAN'S BILLING OFFICE PHONE LINE ON A 24-HOUR BASIS. 7. INDIVIDUALS OTHER THAN THE PATIENT, SUCH AS THE PATIENT'S PHYSICIAN, FAMILY MEMBERS, COMMUNITY OR RELIGIOUS GROUPS, SOCIAL SERVICES, OR HOSPITAL PERSONNEL MAY MAKE REQUESTS FOR FINANCIAL ASSISTANCE ON THE PATIENT'S BEHALF, SUBJECT TO APPLICABLE PRIVACY LAWS. 8. PRIOR TO TRANSFER TO A COLLECTION AGENCY, FRANCISCAN SENDS A MINIMUM OF 4 STATEMENTS AND MAKES 6 PHONE CALL ATTEMPTS TO CONTACT THE PATIENT/GUARANTOR AT THE ADDRESS AND PHONE NUMBER PROVIDED BY THE PATIENT/GUARANTOR. STATEMENTS AND COMMUNICATIONS INFORM THE PATIENT OF THE AMOUNT DUE AND IF THEY CANNOT PAY THEIR BALANCE THE AVAILABILITY OF FINANCIAL ASSISTANCE. A PATIENT'S QUALIFICATION FOR CHARITY CARE IS DETERMINED THROUGH A FINANCIAL ASSISTANCE APPLICATION AND SCREENING PROCESS. PATIENTS WHO MAY QUALIFY FOR MEDICAID OR ANY OTHER GOVERNMENTAL ASSISTANCE MUST BE DENIED COVERAGE OR ASSISTANCE FROM THOSE GOVERNMENTAL PROGRAMS PRIOR TO RECEIVING APPROVAL FOR CHARITY CARE. AS SUCH, FRANCISCAN OFFERS PATIENTS ASSISTANCE IN APPLYING OR ENROLLING IN SUCH PROGRAMS. A PATIENT WILL NEED TO FILL OUT, SIGN, AND SUBMIT THE FINANCIAL ASSISTANCE APPLICATION ALONG WITH ALL REQUESTED DOCUMENTATION OF INCOME, EXPENSES, ASSETS, AND LIABILITIES. FRANCISCAN'S BILLING OFFICE WILL PLACE THE PATIENT'S ACCOUNT ON HOLD ONCE A FINANCIAL ASSISTANCE APPLICATION HAS BEEN REQUESTED AND UNTIL A FINANCIAL ASSISTANCE DETERMINATION IS MADE. APPLICANTS ARE TREATED WITH DIGNITY AND RESPECT THROUGHOUT THE FINANCIAL ASSISTANCE PROCESS AND ALL INFORMATION/MATERIALS RECEIVED ARE CONFIDENTIALLY MAINTAINED. FRANCISCAN ALSO UTILIZES AN EXTERNAL VENDOR, SERVICE, OR DATA SOURCE THAT PROVIDES INFORMATION ON A PATIENT'S OR GUARANTOR'S ABILITY TO PAY (I.E. CREDIT SCORING). ELIGIBILITY FOR CHARITY CARE MAY BE DETERMINED AT ANY POINT IN THE COLLECTIONS CYCLE (I.E. PRIOR TO THE PROVISION OF SERVICES, DURING THE NORMAL COLLECTIONS CYCLE, OR MAY BE USED TO RE-CLASSIFY ACCOUNTS AFTER THEY HAVE BEEN DEEMED UNCOLLECTIBLE AND SUBSEQUENTLY RETURNED FROM A THIRD PARTY COLLECTION AGENCY). ONCE APPROVED, THE PATIENT WILL REMAIN ELIGIBLE FOR CHARITY CARE FOR A MAXIMUM OF FOUR MONTHS. THE ELIGIBILITY PERIOD WILL BEGIN FROM THE DATE OF THE PATIENT'S APPROVAL OF CHARITY CARE. CHARITY CARE DISCOUNTS WILL BE GIVEN FOR CURRENT OPEN ACCOUNTS AND THE FOLLOWING FOUR MONTHS OF EMERGENCY SERVICES OR MEDICALLY NECESSARY CARE. AFTER THE ELIGIBILITY PERIOD HAS ELAPSED, THE PATIENT MUST REAPPLY FOR FINANCIAL ASSISTANCE."

LINES 16A, 16B, AND 16C: ALL FACILITIES
THE FAP, FAP APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY OF THE FAP ARE AVAILABLE AT THE FOLLOWING ADDRESS: HTTPS://STATEMENTS.FRANCISCANALLIANCE.ORG/INFO/FINANCIALASSISTANCE.ASPX

LINE 22: FRANCISCAN HEALTH OLYMPIA FIELDS
FRANCISCAN HEALTH OLYMPIA FIELDS COMPUTES THE MAXIMUM AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS BASED ON THE ILLINOIS UNINSURED DISCOUNT ACT. UNDER THIS ACT, ILLINOIS FACILITIES CANNOT CHARGE GREATER THAN 135% OF COST. THIS METHOD RESULTS IN A LARGER DISCOUNT THAN THAT DETERMINED BY THE FEDERAL CALCULATION.

SCHEDULE H, PART VI, ITEM 2
"NEEDS ASSESSMENT FRANCISCAN ALLIANCE, INC. (""FRANCISCAN"") HOSPITALS ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES WE SERVE BY COLLABORATING WITH PUBLIC AND PRIVATE AGENCIES TO DETERMINE COMMUNITY HEALTH NEEDS AND HOW BEST TO ADDRESS THEM. FRANCISCAN'S CORPORATE COMMUNITY BENEFIT COMMITTEE, AS WELL AS COMMITTEES IN THE LOCAL FACILITIES, COMMITTED TO AN ONGOING ASSESSMENT OF COMMUNITY HEALTH NEEDS AND PRIORITIES BASED UPON HEALTH INITIATIVES OF THE MUNICIPAL, COUNTY, AND STATE HEALTH DEPARTMENTS, COMMUNITY-BASED ASSESSMENTS BY OTHER PUBLIC SECTOR PARTNERS, PROFESSIONAL RESEARCH CONSULTANT REPORTS, AND FAITH-BASED PARTNERS WITHIN THE COMMUNITIES SERVED. IN ADDITION, OUR HOSPITALS ADDRESS PUBLIC AGENCY AND COMMUNITY GROUP REQUESTS TO PROVIDE COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS THAT MEET CERTAIN SPECIALTY OR HYBRID NEEDS OR POPULATIONS. THE DETAILED CHNA ACTIVITIES FOR EACH OF FRANCISCAN'S HOSPITALS CAN BE FOUND IN PART V OF THIS SCHEDULE H. ------------------------------------------------------------------- SCHEDULE H, PART VI, ITEM 3 FINANCIAL ASSISTANCE POLICY FRANCISCAN'S HOSPITALS INFORM AND EDUCATE PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER FRANCISCAN'S FINANCIAL ASSISTANCE AND CHARITY CARE POLICY. FOR PATIENTS NOT INITIALLY IDENTIFIED AS QUALIFYING FOR FINANCIAL ASSISTANCE, FRANCISCAN COMMUNICATES THE AVAILABILITY OF CHARITY CARE AND FINANCIAL ASSISTANCE IN THE APPLICABLE LANGUAGES OF THE HOSPITAL COMMUNITY THROUGH THE FOLLOWING MEANS: 1. FRANCISCAN COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE IN APPROPRIATE CARE SETTINGS SUCH AS EMERGENCY DEPARTMENTS, ADMITTING/REGISTRATION AREAS, BILLING OFFICES, OUTPATIENT SERVICE SETTINGS, AND ON OUR HOSPITALS' WEBSITES. SIGNS/POSTINGS INFORM PATIENTS THAT FREE OR REDUCED COST CARE MAY BE AVAILABLE TO QUALIFYING PATIENTS WHO COMPLETE A FINANCIAL ASSISTANCE APPLICATION. 2. BROCHURES SUMMARIZING OUR FINANCIAL ASSISTANCE PROGRAMS ARE AVAILABLE THROUGHOUT EACH FRANCISCAN HOSPITAL. 3. FINANCIAL COUNSELORS AND BUSINESS OFFICE PERSONNEL ARE AVAILABLE TO HELP PATIENTS UNDERSTAND AND APPLY FOR LOCAL, STATE, FEDERAL HEALTH CARE PROGRAMS; HEALTH INSURANCE EXCHANGES; AND FRANCISCAN'S FINANCIAL ASSISTANCE PROGRAMS. 4. ALL BILLS AND STATEMENTS FOR SERVICES INFORM UNINSURED PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE. 5. PATIENTS/GUARANTORS MAY REQUEST A COPY OF THE FINANCIAL ASSISTANCE APPLICATION BY CALLING THE FRANCISCAN BILLING OFFICE OR DOWNLOADING A COPY AT NO COST FROM FRANCISCAN HOSPITAL'S WEBSITES. 6. INDIVIDUALS OTHER THAN THE PATIENT, SUCH AS THE PATIENT'S PHYSICIAN, FAMILY MEMBERS, COMMUNITY OR RELIGIOUS GROUPS, SOCIAL SERVICES, OR HOSPITAL PERSONNEL MAY MAKE REQUESTS FOR FINANCIAL ASSISTANCE ON THE PATIENT'S BEHALF, SUBJECT TO APPLICABLE PRIVACY LAWS. 7. FRANCISCAN SENDS 4 STATEMENTS AND MAKES 6 PHONE CALL ATTEMPTS TO CONTACT THE PATIENT/GUARANTOR AT THE ADDRESS AND PHONE NUMBER PROVIDED BY THE PATIENT/GUARANTOR. STATEMENTS AND COMMUNICATIONS INFORM THE PATIENT OF THE AMOUNT DUE AND IF THEY CANNOT PAY THEIR BALANCE THE AVAILABILITY OF FINANCIAL ASSISTANCE. ------------------------------------------------ SCHEDULE H, PART VI, ITEM 4 COMMUNITY INFORMATION THE FRANCISCAN ALLIANCE SERVES A LARGE GEOGRAPHIC AREA WHICH INCLUDES 18 COUNTIES IN INDIANA (BENTON, CARROLL, FOUNTAIN, HAMILTON, JASPER, JOHNSON, LAKE, LAPORTE, MARION, MONTGOMERY, MORGAN, NEWTON, PORTER, SHELBY, STARKE, TIPPECANOE, WARREN, AND WHITE) AND 3 COUNTIES IN ILLINOIS (COOK, KANKAKEE, AND WILL). THE POPULATION OF THE COMMUNITIES THAT WE SERVE WAS ESTIMATED CLOSE TO 3.98 MILLION PEOPLE WITH AN AVERAGE HOUSEHOLD INCOME ABOVE $69,900 IN 2022. FOR THESE COMMUNITIES, THE PERCENTAGE OF RESIDENTS BELOW THE FEDERAL POVERTY LEVEL WAS ESTIMATED AT 12.3%. THE PERCENTAGE OF INPATIENTS FROM THESE COMMUNITIES WHO WERE SERVED BY MEDICAID WAS 22.1% AND THE PERCENTAGE OF INPATIENTS FROM THESE COMMUNITIES WHO WERE UNINSURED WAS APPROXIMATELY 3.3%. IN COMPARISON, THE PERCENTAGES OF MEDICAID AND UNINSURED INPATIENTS TREATED BY THE HOSPITALS OF THE FRANCISCAN ALLIANCE WERE 22.0% AND 1.3% RESPECTIVELY IN 2021. THERE ARE 58 OTHER HOSPITALS THAT SERVE THESE COMMUNITIES AS WELL. FOR PURPOSES OF THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND COMMUNITY HEALTH IMPROVEMENT PLANS, THE 'COMMUNITY' HAS MORE RESTRICTIVE BOUNDARIES THAN LISTED ABOVE. BECAUSE MOST HOSPITALS ARE IN AREAS OF THE MOST VULNERABLE OF THE POPULATION. BY BEING MORE STRATEGIC ABOUT SPECIFIC CITIES, TOWNS, ZIP CODES, COUNTIES, OR VILLAGES, THE INTENT OF THE COMMUNITY BENEFIT REGULATION IS HONORED, CONCENTRATING SERVICES AND RESOURCES IN THE MOST CHALLENGED AREAS. ------------------------------------------------ SCHEDULE H, PART VI, ITEM 5 & PART I, LINE 6A OTHER INFORMATION IN RESPONSE TO THE COVID-19 PANDEMIC, FRANCISCAN ALLIANCE AND ITS AFFILIATES EXPENDED CONSIDERABLE RESOURCES TO TREAT THE INFLUX OF PATIENTS WITH, OR WHO WERE PRESUMED TO HAVE, COVID-19 (""COVID-19 PATIENTS"") AND TO PROTECT PATIENTS AND EMPLOYEES FROM THE VIRUS. THE FOLLOWING IS A SUBSET OF THE COMMUNITY BENEFIT TYPE MEASURES FRANCISCAN TOOK TO RESPOND TO THE COVID-19 PANDEMIC WITH THE VAST MAJORITY OF THE COSTS NOT COVERED OR NOT REIMBURSED BY FEDERAL OR STATE GOVERNMENT GRANTS OR SUPPLEMENTAL AID PROGRAMS. WITH THE ONSET OF THE COVID-19 PANDEMIC, AND FOR MANY MONTHS THEREAFTER, FRANCISCAN ALLIANCE QUICKLY FACED AN IMMEDIATE, LARGE SCALE HUMAN RESOURCE AND PERSONAL PROTECTIVE SUPPLY NEED THAT DID NOT PREVIOUSLY EXIST. HUNDREDS OF EMPLOYEE POSITIONS WERE IMMEDIATELY REQUIRED FOR FRANCISCAN TO TREAT COVID-19 PATIENTS, TO PREVENT THE FURTHER SPREAD OF COVID-19, AND TO CREATE PERSONAL PROTECTIVE EQUIPMENT AND SANITIZER THAT WAS NOT AVAILABLE IN THE MARKET. IN THE EARLY ONSET OF COVID-19, FRANCISCAN ALLIANCE QUICKLY MADE A SIZABLE INVESTMENT IN VIRTUAL AND TELEHEALTH CAPABILITIES SUCH AS DEVELOPING ITS HOSPITAL AT HOME PROGRAM AND COVID-19 CARE AT HOME MONITORING DISCHARGE KITS. FRANCISCAN QUICKLY EXPANDED ITS ONLINE VIRTUAL PHYSICIAN AND PROVIDER VISIT CAPABILITIES AS CHRONIC HEALTHCARE CONDITIONS NEEDED TO BE MANAGED. FRANCISCAN ALSO DEVELOPED AN ONLINE COVID-19 INFORMATION AND RESOURCES WEBSITE CHANNEL WHICH INCLUDES AN ONLINE COVID-19 PATIENT ASSESSMENT PROGRAM TO IDENTIFY THE NEED AND LOCATION OF FURTHER TESTING OR CARE AS WELL AS ONLINE VIDEOS PREPARED BY FRANCISCAN'S HEALTHCARE PROVIDERS DESCRIBING COVID-19 SIGNS/SYMPTOMS, PREVENTION MEASURES, TOOLS FOR CHILDREN TO GET USED TO MASK WEARING, HOME TREATMENT PROGRAMS, BENEFITS AND MYTHS OF THE COVID-19 VACCINE, ETC. FRANCISCAN HAS NUMEROUS COVID-19 VACCINATION LOCATIONS THROUGHOUT THE STATES OF INDIANA AND ILLINOIS TO HELP FLATTEN THE SPREAD OF THE VIRUS. FRANCISCAN WAS ONE OF A FEW ORGANIZATIONS ACROSS THE COUNTRY THAT PARTICIPATED IN THE NATIONAL STUDY OF COVID-19 CONVALESCENT PLASMA AND FRANCISCAN CONTINUES TO BE A LEADER IN WORKING WITH RECOVERED PATIENTS TO DONATE THEIR BLOOD PLASMA THAT IS USED TO CARE FOR THOSE SUFFERING FROM SEVERE EFFECTS OF COVID-19. FRANCISCAN PHYSICIAN NETWORK HAS NUMEROUS COVID-19 LONG HAUL CLINICS THROUGHOUT INDIANA AND ILLINOIS THAT SUPPORT PATIENTS HAVING LONG-TERM SYMPTOMS. AS PART OF THE NATIONAL RESPONSE TO PROTECT THE PUBLIC AND CONSERVE PERSONAL PROTECTIVE RESOURCES, HEALTHCARE PROCEDURES THAT WERE SCHEDULABLE AND NONURGENT WERE POSTPONED OR CANCELLED PRIMARILY FROM MID-MARCH 2020 THROUGH IN SOME CASES, BASED ON FRANCISCAN'S MARKET, JUNE 2020. DURING THIS PERIOD, FRANCISCAN ALLIANCE MADE THE DECISION TO NOT TERMINATE OR FURLOUGH EMPLOYEES SINCE THE ORGANIZATION VIEWED SUPPORTING ITS COWORKERS AS ANOTHER KEY COMPONENT IN FURTHER SUPPORTING THE COMMUNITIES IT IS A PART OF. SHORTLY INTO THE COVID-19 PANDEMIC, FRANCISCAN ALLIANCE'S CONSTRUCTION COMPANY, TONN & BLANK CONSTRUCTION, MOBILIZED TO BUILD TEMPORARY TRIAGE UNITS EXTERNALLY PLACED ON THE CAMPUSES OF ALL FRANCISCAN'S HOSPITALS SO IT COULD TEST AND TREAT COVID-19 PATIENTS. THIS DESIGN WAS SHARED, AT NO COST, STATE-WIDE WITH OTHER HEALTHCARE SYSTEMS IN AN EFFORT TO BE A COMMUNITY RESOURCE FOR THE CRISIS. BECAUSE PERSONAL PROTECTIVE EQUIPMENT WAS IN LIMITED SUPPLY FOR THE NEED THAT WAS REQUIRED, THE ORGANIZATION INTERNALLY PRODUCED OVER 10,000 FACE SHIELDS, OVER 50,000 SURGICAL GOWNS, AND THOUSANDS OF GALLONS OF SANITIZER. WWW.FRANCISCANHEALTH.ORG/COMMUNITYHEALTH REFLECTS FRANCISCAN'S MISSION OF ""CONTINUING CHRIST'S MINISTRY IN OUR FRANCISCAN TRADITION."" ALTHOUGH IT IS NOT ALL INCLUSIVE OF THE MANY BENEFITS PROVIDED BY FRANCISCAN IT DOES PORTRAY THE SIGNIFICANT BENEFITS THAT REFLECT OUR COMMITMENT TO HEALTHCARE AND THE COMMUNITIES WE ARE PRIVILEGED TO SERVE. THE FOLLOWING IS A SUBSET OF THE MANY CLINICAL SERVICES AS WELL AS POPULATION HEALTH IMPROVEMENT AND COMMUNITY OUTREACH ACTIVITIES OFFERED BY ONE OR MORE OF FRANCISCAN'S HEALTHCARE FACILITIES:"

SCHEDULE H, PART VI, ITEM 5 & PART I, LINE 6A CON'T
- INPATIENT HOSPITAL SERVICES INCLUDING: MEDICAL SERVICES, SURGICAL SERVICES, INTENSIVE CARE SERVICES, TELEMETRY SERVICES, OBSTETRICS SERVICES, PEDIATRICS SERVICES, NEONATAL INTENSIVE CARE SERVICES, ACUTE REHABILITATION SERVICES, ONCOLOGY SERVICES, BONE MARROW TRANSPLANT SERVICES, GENERAL SURGERY SERVICES, CARDIAC SURGERY SERVICES, VASCULAR SERVICES, PULMONARY SERVICES, INTERVENTIONAL RADIOLOGY, ORTHOPEDICS, JOINT AND SPINE CARE, GASTROINTESTINAL CARE, NEUROSCIENCES SERVICES, COLON AND RECTAL SERVICES, ANESTHESIA SERVICES, HOSPICE SERVICES, INPATIENT PSYCHIATRIC CARE, RESIDENTIAL TREATMENT PROGRAM FOR ADOLESCENTS, ETC. - EMERGENCY SERVICES INCLUDING: 24 HOUR EMERGENCY ROOM SERVICES, AMBULANCE SERVICES, IMMEDIATE CARE SERVICES, ADVANCED LIFE SUPPORT SERVICES, BASIC LIFE SUPPORT SERVICES, BEHAVIORAL HEALTH EMERGENCY CONSULTATION SERVICES, 24-HOUR CRISIS AND REFERRAL HOTLINE, TRAUMA SERVICES, ETC. - OUTPATIENT SERVICES INCLUDING: LABORATORY SERVICES, PHYSICAL THERAPY SERVICES, OCCUPATIONAL THERAPY SERVICES, SPEECH THERAPY SERVICES, GENERAL RADIOLOGY SERVICES, COMPUTED TOMOGRAPHY SERVICES, MAGNETIC RESONANCE IMAGING (MRI), NUCLEAR MEDICINE SERVICES, MAMMOGRAPHY SERVICES, ANGIOGRAPHY SERVICES, NEURODIAGNOSTICS SERVICES, GASTRO/INTESTINAL SERVICES, SLEEP LABORATORY, PULMONARY SERVICES, OUTPATIENT SURGERY, CARDIAC TESTING, ELECTROCARDIOGRAM (EKG) SERVICES, MEDICAL ONCOLOGY SERVICES, RADIATION ONCOLOGY SERVICES, PHARMACY, OCCUPATIONAL MEDICINE SERVICES, CARDIAC/PULMONARY REHABILITATION SERVICES, CONGESTIVE HEART FAILURE CLINIC, WOUND HEALING AND PREVENTION, NUTRITIONAL COUNSELING, DIABETES MANAGEMENT, BARIATRIC SERVICES, PAIN MANAGEMENT, SOCIAL SERVICES, PALLIATIVE CARE, SPORTS MEDICINE, BEHAVIORAL HEALTH, STROKE SERVICES, HOME HEALTH SERVICES, SKILLED NURSING SERVICES, SOCIAL SERVICES, DURABLE MEDICAL EQUIPMENT. - PRIMARY CARE AND SPECIALTY CARE PHYSICIAN CLINICS. SUBSIDIZED HEALTHCARE SERVICES OFFERED BY FRANCISCAN: - FRANCISCAN HAS NEIGHBORHOOD HEALTH CLINICS THAT OFFER FAMILY PRACTICE SERVICES DESIGNED FOR FAMILIES WITHOUT ACCESS TO AFFORDABLE HEALTH CARE. THE FOCUS IS ON PROVIDING PRIMARY AND PREVENTIVE CARE AS WELL AS HEALTH EDUCATION. THESE CLINICS OFFER FREE IMMUNIZATIONS. - FRANCISCAN'S SEXUAL ASSAULT CLINICS THAT PROVIDE MEDICAL AND FORENSIC ASSISTANCE THAT IS SENSITIVE TO THE SPECIAL NEEDS OF THE VICTIM AS WELL AS A VICTIM ADVOCATE PROGRAM AND CRISIS INTERVENTION COUNSELORS. - FRANCISCAN'S BLOOD AND MARROW TRANSPLANT PROGRAM IS ONLY ONE OF TWO PROGRAMS IN INDIANA OFFERING FULL SERVICE TRANSPLANT CARE AND SPECIALIZES IN THE TREATMENT OF PATIENTS WITH LEUKEMIA, HODGKIN'S OR NON-HODGKIN'S LYMPHOMA, MULTIPLE MYELOMA, AND MANY OTHER MALIGNANCIES AND BLOOD DISORDERS. - FRANCISCAN'S DIABETES EDUCATION CENTERS OFFER A NUMBER OF DIABETES CLASSES AND INDIVIDUALIZED SESSIONS TO HELP PATIENTS TAKE CONTROL OF THEIR HEALTH WITH A FOCUS ON NUTRITIONAL, EXERCISE, MEDICATIONS, CHRONIC CONDITIONS, PRECONCEPTION AND PREGNANCY, BLOOD GLUCOSE MONITORING, GOAL SETTING, PROBLEM SOLVING, PSYCHOSOCIAL ADJUSTMENT, DETECTION/TREATMENT OF HIGH AND LOW BLOOD SUGAR, AND INSULIN ADMINISTRATION. - FRANCISCAN'S WOMEN'S AND CHILDREN'S SERVICES INCLUDE PREVENTIVE MEDICAL CARE AND HEALTH SCREENINGS TO GYNECOLOGICAL CARE, MATERNITY, LACTATION CONSULTATION SERVICES, AND BEYOND WITH A FOCUS ON KEEPING WOMEN HEALTHY. - FRANCISCAN'S HOSPICE CARE SERVICES PROVIDE A SENSE OF DIGNITY AND COMPASSION TO BOTH THE PATIENT AND THEIR FAMILY IN CARING FOR PATIENTS WITH A LIFE EXPECTANCY OF SIX MONTHS OR LESS. OUR PROGRAMS AFFIRM AND CELEBRATE LIFE AND REGARD DYING AS A NATURAL PROCESS, RECOGNIZING THAT EVERY PERSON HAS THE RIGHT TO DIE WITH DIGNITY, PEACE, AND COMFORT REGARDLESS OF THEIR ETHNICITY, FAITH BACKGROUND, OR ABILITY TO PAY. - LEVEL III NICU - AMBULANCE SERVICE - PHYSICIAN SERVICES - INPATIENT PSYCHIATRIC UNITS - HEALTH AND WELLNESS CENTERS AND HEALTHY LIVING EDUCATION CENTERS - CLINICAL CARE COORDINATORS TO SUPPORT FRANCISCAN'S VARIOUS ACCOUNTABLE CARE ORGANIZATIONS WHICH ARE DESIGNED TO IMPROVE QUALITY AND REDUCE COST. - FRANCISCAN SENIOR HEALTH & WELLNESS IS A COMPLETE HEALTH CARE SOLUTION FOR SENIORS WHO WANT TO REMAIN AT HOME. OUR PROGRAM ENABLES SENIORS TO LIVE AS INDEPENDENTLY AS POSSIBLE BY PROVIDING TRULY ALL-INCLUSIVE SERVICES. FRANCISCAN SENIOR HEALTH & WELLNESS IS A PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE), A COMMUNITY-BASED HEALTHCARE PROGRAM CREATED FOR PEOPLE 55 OR OLDER WHO ARE ELIGIBLE FOR NURSING-HOME LEVEL CARE BUT PREFER TO RECEIVE THEIR CARE IN THEIR OWN FAMILIAR SURROUNDINGS. THE FRANCISCAN SENIOR HEALTH & WELLNESS - PACE PROGRAM DELIVERS ALL THE SERVICES NEEDED TO KEEP PEOPLE HEALTHY, SAFE AND COMFORTABLE IN THE PLACE THEY CALL HOME. COVERED BENEFITS INCLUDE: - PRIMARY MEDICAL AND NURSING CARE - OCCUPATIONAL, PHYSICAL, AND SPEECH THERAPY - MEDICATIONS AND DURABLE MEDICAL EQUIPMENT - LABORATORY AND DIAGNOSTIC SERVICES - ALL NECESSARY PRESCRIPTION DRUGS - SKILLED HOME CARE AND PERSONAL CARE AIDES - HOSPITALIZATION AND SKILLED NURSING FACILITY CARE - CARE FROM MEDICAL SPECIALISTS IN CARDIOLOGY, NEPHROLOGY, OPHTHALMOLOGY, DERMATOLOGY, ORTHOPEDICS, SURGERY, PODIATRY AND MORE - MEDICALLY NECESSARY TRANSPORTATION OUR BROAD RANGE OF SERVICE PROVIDERS, INCLUDING DOCTORS, NURSES, PHARMACISTS, THERAPISTS AND PERSONAL CARE AIDES ARE READILY ACCESSIBLE. THROUGH THESE MEDICAL SERVICES, WE CAN MANAGE THE CARE OF AN AGING LOVED ONE, AND HELP AVOID THE ILLNESSES AND HOSPITALIZATIONS THAT SENIORS OFTEN FACE. IN ADDITION TO ADDRESSING EACH PARTICIPANT'S UNIQUE MEDICAL NEEDS, FRANCISCAN SENIOR HEALTH & WELLNESS ALSO HELPS WITH THE SOCIAL, EMOTIONAL, AND PRACTICAL CHALLENGES THAT OLDER ADULTS OFTEN FACE. THROUGH INTERACTIONS WITH PEERS, STIMULATIVE ACTIVITIES AND OTHER SUPPORTIVE SERVICES, PARTICIPANTS WILL ENJOY A BETTER QUALITY OF LIFE. - THE MATCLINIC IS DEDICATED TO HELPING PEOPLE RECOVER FROM ADDICTION TO OPIOIDS THROUGH ACCESS TO MEDICATION ASSISTED TREATMENT (MAT). OPIOIDS INCLUDE PRESCRIPTION PAIN MEDICATIONS SUCH AS CODEINE, PERCOCET, VICODIN, OXYCONTIN, HYDROCODONE AND DEMEROL, AS WELL AS ILLICIT STREET OPIOIDS LIKE HEROIN AND FENTANYL. MEDICATION ASSISTED TREATMENT COMBINES PRESCRIPTION MEDICATIONS SUCH AS NALTREXONE (I.E. VIVITROL) AND BUPRENORPHINE (I.E. SUBOXONE, SUBLOCADE, ETC) AND OTHER BUPRENORPHINE BASED MEDICATIONS WITH BEHAVIORAL THERAPY TO TREAT OPIOID ADDICTION. MATCLINICS HELP PATIENTS OVERCOME THE PHYSICAL, EMOTIONAL AND SOCIAL BARRIERS ASSOCIATED WITH RECOVERY. - BEHAVIORAL HEALTH SERVICES AT FRANCISCAN HEALTH DYER TOUCHES ALL FACETS OF EMOTIONAL, MENTAL HEALTH, BEHAVIORAL HEALTH AND CHEMICAL DEPENDENCY PROBLEMS. WE OFFER TREATMENTS IN PSYCHIATRIC DISORDERS, SUBSTANCE ABUSE AND ADDICTION, FAMILY CONFLICTS, AND EMOTIONAL DISORDERS, INCLUDING TESTING FOR PSYCHOLOGICAL DISORDERS AND CONSULTATIONS. OUR BEHAVIORAL HEALTH SERVICES AND PROGRAMS ARE TAILORED TO MEET THE NEEDS OF ADULTS, ADOLESCENTS AND CHILDREN WITH BOTH INDIVIDUAL AND GROUP BEHAVIORAL THERAPY AND COUNSELING OPTIONS. AFTERCARE AND LONG-TERM RECOVERY PROGRAMS ARE ADDITIONAL, CRITICAL ASPECTS OF OUR BEHAVIORAL HEALTH SERVICES. - THE ST. FRANCIS CENTER RESIDENTIAL TREATMENT PROGRAM FOR ADOLESCENTS BASED AT FRANCISCAN HEALTH DYER, IS AN ADOLESCENT RESIDENTIAL TREATMENT PROGRAM FOR MALE AND FEMALE YOUTHS, AGES 12 THROUGH 18, WHO WOULD BE UNSUCCESSFUL WITHOUT A HIGHLY STRUCTURED AND CONTROLLED ENVIRONMENT. THE ST. FRANCIS CENTER OFFERS TWO LEVELS OF CARE IN A NURTURING, THERAPEUTIC AND SECURE ENVIRONMENT. THE PROGRAM IS DESIGNED TO ASSIST ADOLESCENTS IN DEVELOPING THE NECESSARY SKILLS TO FUNCTION AGE-APPROPRIATELY AND SUCCESSFULLY ON A DAILY BASIS SO THEY CAN REINTEGRATE WITH THE COMMUNITY AND THEIR FAMILIES. IT IS OUR BELIEF THAT SUCCESS IS OFTEN DEPENDENT ON FAMILY INVOLVEMENT. THEREFORE, FAMILIES ARE ENCOURAGED TO TAKE AN ACTIVE ROLE IN THE TREATMENT WITH FAMILY SESSIONS ROUTINELY SCHEDULED. - THE EMPATH UNIT AT FRANCISCAN HEALTH LAFAYETTE EAST IS FOCUSED ON TREATING AND STABILIZING PATIENTS EXPERIENCING A PSYCHIATRIC CRISIS. THIS TRAUMA-INFORMED TEAM COLLABORATES WITH COMMUNITY RESOURCES TO CONNECT PATIENTS WITH THE BEHAVIORAL HEALTH CARE THAT IS RIGHT FOR THEM. - LOCATED AT FRANCISCAN HEALTH CRAWFORDSVILLE, THE GENERATIONS PROGRAM SERVES SENIORS 55 AND OLDER THROUGHOUT INDIANA AND EASTERN ILLINOIS WHO ARE EXPERIENCING DEMENTIA OR ALZHEIMER'S DISEASE OR EXHIBITING INCONSISTENT, DISRUPTIVE, UNPREDICTABLE OR EVEN SUICIDAL BEHAVIOR. - NEONATAL INTENSIVE CARE SERVICES OFFERS ADVANCED PROCEDURES, TECHNOLOGY AND EXPERTISE TO GIVE VERY SMALL OR VERY ILL NEWBORNS THE BEST CHANCE FOR A HEALTHY START IN LIFE. OUR TEAM OF DOCTORS, NURSES AND OTHER HEALTH PROFESSIONALS DEMONSTRATES THE GENUINE CARING, WARMTH AND SINCERITY THAT BRING OUR MISSION OF SERVICE TO LIFE AND OFFER REASSURANCE AND CONFIDENCE TO PARENTS AND REFERRING PHYSICIANS ALIKE.

SCHEDULE H, PART VI, ITEM 5 & PART I, LINE 6A CON'T
"- PALLIATIVE CARE SERVICES ASSIST PATIENTS AND FAMILIES IN MAKING COMPLEX MEDICAL DECISIONS BY PROVIDING A GOOD UNDERSTANDING OF THE PATIENT'S PRESENT CONDITION, COORDINATING AND COMMUNICATING CARE WITH PHYSICIANS, ADVOCATING FOR PATIENTS' WISHES, AND HELPING THEM TO ACHIEVE A SENSE OF CONTROL OVER THEIR MEDICAL CARE. PALLIATIVE CARE IS OFFERED REGARDLESS OF THE STAGE OF DISEASE OR THE NEED FOR OTHER THERAPIES AND CAN BE PROVIDED CONCURRENTLY WITH LIFE-PROLONGING CARE OR AS THE MAIN FOCUS OF CARE. - CLINICS FOR THE UNINSURED INCLUDE THE ST. CLARE HEALTH CLINIC AND DR. JOHN LANMAN CLINIC. THESE CLINICS PROVIDE PRIMARY CARE FOR NON-EMERGENCY SERVICES WITH AN EMPHASIS ON PREVENTION, EARLY DETECTION, PATIENT EDUCATION, PHYSICAL EXAMS AND HEALTH SCREENINGS. THE CLINIC ALSO SERVES THOSE WHO ENDURE HARDSHIP TO ACCESS QUALITY HEALTH CARE. - EMERGENCY SERVICES PROVIDE OUR COMMUNITIES WITH STATE-OF-THE-ART EMERGENCY FACILITIES, OPEN 24-HOURS A DAY, SEVEN DAYS A WEEK. EQUIPPED WITH ADVANCED MEDICAL TECHNOLOGY, OUR EMERGENCY TEAM OF SPECIALLY TRAINED PHYSICIANS AND NURSES TREAT THEIR PATIENTS FOR TRAUMA, STROKE, CARDIAC, AND OTHER LIFE-THREATENING CONDITIONS IN ADULTS AND CHILDREN. - INDIGENT HEALTH CARE CLINICS - AT FRANCISCAN HOSPICE HOUSE, PATIENTS RECEIVE SPECIALIZED CARE AND RESPITE CARE FOR FAMILIES WHILE BEING PROVIDED ALL THE COMFORTS OF HOME. FROM ROOMS THAT ARE LARGE, PRIVATE AND PET-FRIENDLY TO A GARDEN THAT'S JUST RIGHT FOR PRAYER, CONTEMPLATION OR QUIET CONVERSATION, THE SERVICES AND AMENITIES AT THE FRANCISCAN HOSPICE HOUSE WERE DESIGNED WITH PATIENT COMFORT IN MIND. FRANCISCAN HOSPICE HOUSE WAS ENVISIONED AS A COMPLEMENT TO THE EXCEPTIONAL HOME HEALTH, HOSPICE AND PALLIATIVE CARE SERVICES THAT FRANCISCAN HEALTH AND FRANCISCAN VNS HAVE PROVIDED TO FAMILIES IN SOUTH-CENTRAL INDIANA FOR MORE THAN TWO DECADES. FRANCISCAN HOSPICE HOUSE OFFERS 16 PRIVATE ROOMS FOR PATIENTS AND FAMILIES, A LARGE COMMON AREA FOR FAMILIES, A WELL-EQUIPPED KITCHEN WITH DINING ROOM, A CHAPEL AND PRAYER GARDEN, AND HIGH-QUALITY, HOLISTIC MEDICAL CARE FOR ALL PATIENTS-REGARDLESS OF THEIR FINANCIAL SITUATIONS-AND SUPPORT FOR THEIR FAMILIES. - HEALTH AND WELLNESS CENTERS AND HEALTHY LIVING EDUCATION CENTERS. - COMMUNITY OUTREACH AND EDUCATION PROGRAMS INCLUDING: HEALTH FAIRS, FREE HEALTH SCREENINGS, FREE IMMUNIZATIONS, FREE BREAST HEALTH SCREENING SERVICES, FREE PROSTRATE SCREENINGS, FREE SKIN CANCER SCREENINGS, FREE CERVICAL CANCER SCREENINGS, FREE GLUCOSE SCREENINGS, FREE CHOLESTEROL SCREENINGS, FREE BONE DENSITY SCREENINGS, FREE LUNG SCREENINGS, FREE SPA SERVICES FOR CANCER PATIENTS, ONLINE HEALTH CONDITION ASSESSMENT TOOLS, COLORECTAL SCREENINGS, CANCER PREVENTION ACTIVITIES, CANCER SURVIVOR PROGRAMS AND RETREATS, CANCER & HEART CARE CLINICAL SYMPOSIUMS, HEALTH CARE DECISION-MAKING SESSIONS, SENIOR HEALTH EDUCATION, DIABETES MANAGEMENT EDUCATION AND ACTIVITIES, PAIN MANAGEMENT SEMINARS AND ACTIVITIES, CARDIAC RISK FACTORS EDUCATIONAL SESSIONS AND ONLINE TOOLS, HOSPICE AND PALLIATIVE CARE COUNSELING AND EDUCATION SERVICES, ALZHEIMER SUPPORT SERVICES, BEHAVIORAL HEALTH COMMUNITY EDUCATION, SMOKING CESSATION PROGRAMS, MOBILE DENTAL CLINICS, BASIC LIFE-SAVING SKILLS PROGRAMS, CHILDREN'S HEALTH NEEDS ACTIVITIES, CHILDHOOD OBESITY ACTIVITIES, WEIGHT LOSS EDUCATION, ORGAN AND TISSUE DONATION FAIRS, VOLUNTEER ADVOCATES FOR SENIORS, PARENTING PROGRAMS, RESIDENTIAL SUPPORT PROGRAM FOR PREGNANT GIRLS, PRENATAL 'BABY SHOWERS', ATHLETIC TRAINING FOR SCHOOLS AND VARIOUS MARATHONS, ORTHOPEDIC ROAD SHOWS, FLU VACCINATIONS, COVID VACCINATIONS, CHILD SEAT SAFETY PROGRAMS, BEREAVEMENT SUPPORT GROUPS, COMMUNITY EDUCATION LECTURES, INDIGENT PRESCRIPTION PROGRAMS, SEX CAN WAIT PROGRAMS, CAREGIVERS EDUCATION SYMPOSIUMS, HEALTH CAREER DAYS, ARTHRITIS EXERCISE GROUP, BABYSITTING COURSE, PREPARED CHILDBIRTH PROGRAMS, FOOD SHARE PROGRAMS, NUTRITIONAL COUNSELING FOR GRADE SCHOOLS AND SENIORS, SENIOR PROMISE PROGRAM, ENHANCE FITNESS PROGRAMS, MEDICATION TAKE BACK PROGRAMS, FALL PREVENTION PROGRAMS, SUICIDE PREVENTION TRAINING, WALK WITH A DOC PROGRAM, INFANT SAFE SLEEP PROGRAMS, COMMUNITY PARAMEDICINE PROGRAM, ASTHMA SCHOOL EDUCATION PROGRAM, ADOLESCENTS COPING WITH DEPRESSION PROGRAMS, PET THERAPY PROGRAM, ETC. - SOCIAL SERVICES INCLUDING: PASTORAL CARE, EUCHARISTIC MINISTRY PROGRAM, NO ONE DIES ALONE PROGRAMS, GRIEVANCE SUPPORT PROGRAMS FOR CHILDREN, LANGUAGE INTERPRETER SERVICES, DEAF INTERPRETER SERVICES, TRANSPORTATION FOR THE INDIGENT, ENROLLMENT ASSISTANCE IN MEDICAID AND HEALTH INSURANCE EXCHANGES, CHRISTIAN LEGAL CLINIC, TRANSPORTATION SERVICE FOR INDIGENT PATIENTS, ETC. - MEDICAL EDUCATION INCLUDING: PHYSICIAN RESIDENCY PROGRAMS, FAMILY MEDICINE RESIDENCY PROGRAM, EMERGENCY ROOM PHYSICIAN RESIDENCY PROGRAM, PHARMACY RESIDENCY PROGRAM, MEDICAL STUDENT TRAINING PROGRAM, ST. ELIZABETH SCHOOL OF NURSING PROGRAM, ADVANCE NURSING CONTINUING EDUCATION, NURSING CLINICAL ROTATIONS, PHLEBOTOMY TRAINING PROGRAM, RESPIRATORY THERAPY TRAINING, REHABILATIVE TRAINING, MEDICAL ASSISTANCE TRAINING, MEDICAL TECHNOLOGY TRAINING PROGRAMS, HIGH SCHOOL CAREER DAYS, SCHOOL OF ECHOCARDIOGRAPHY, SURGICAL TECHNICIAN EXTERNSHIPS, SOCIAL WORKER INTERNSHIPS, HOME HEALTH STUDENT TRAINING, INTERN & RESIDENT TRAINING FOR MIDWESTERN UNIVERSITY, OPERATING ROOM TECHNOLOGY TRAINING, ETC. - RESEARCH PROGRAMS INCLUDING: CANCER GENOME PROJECT, CARDIAC RESEARCH, HLA-VASCULAR BIOLOGY RESEARCH, CLINICAL TRIALS, PLAQUE FORMATION STUDIES, HEART FAILURE AND LIPD TRIALS, USE OF DRUG ELUTING STENTS STUDIES, PROJECT GRACE PROGRAM, OPIOID TREATMENT PROGRAMS, ETC. AGAIN, PLEASE VISIT WWW.FRANCISCANHEALTH.ORG/COMMUNITY HEALTH FOR FURTHER DETAILS. FRANCISCAN CONTINUES TO PROVIDE ACCESS TO HEALTH CARE SERVICES AND A WIDE VARIETY OF COMMUNITY EDUCATION/HEALTH AND WELLNESS PROGRAMS. ALL OF OUR FACILITIES REACH OUT TO THEIR COMMUNITIES BY PROVIDING ACCESS TO FREE, PUBLIC WEB SITES AND ONLINE RESOURCES. EACH WEB SITE PROVIDES THE LATEST MEDICAL INFORMATION TO VISITORS, IN A BI-LINGUAL FORMAT, THROUGH THE USE OF INTERACTIVE A TO Z HEALTH LIBRARIES. THERE ARE ONLINE CENTERS THAT FOCUS ON INFORMATION RELATED TO MEDICAL CONDITIONS IN SPECIALTY AREAS SUCH AS THE HEART, BONES, KIDNEYS AND NERVES. THEY FURTHER OFFER CONDITION AND DISEASE-SPECIFIC INFORMATION ON TOPICS LIKE CANCER, PREGNANCY AND GERIATRICS THAT PROVIDE ILLUSTRATIONS, GRAPHICS AND NARRATED VIDEOS. THE WEB SITES ALSO PROVIDE UNLIMITED FREE ACCESS TO ONLINE HEALTH RISK ASSESSMENT TOOLS SUCH AS THE HEART RISK ASSESSMENT THAT USES AN ESTABLISHED ALGORITHM TO CALCULATE RISK FACTORS FOR HEART ATTACK BASED UPON USER-ENTERED PARAMETERS. THE SITES ALSO OFFER CONDITION-SPECIFIC RECOMMENDATIONS FOR MANAGING CHRONIC ILLNESSES AND CONDITIONS SUCH AS DIABETES, HIGH BLOOD PRESSURE AND ASTHMA, AMONG OTHERS. FINALLY, THE SITES HAVE HEALTHY LIVING SECTIONS THAT OFFER TIPS AND SUGGESTIONS ON BEGINNING AND MAINTAINING DIET AND EXERCISE REGIMENTS TO OPTIMIZE HEALTHY LIFESTYLES. OUR HOSPITALS PROVIDE URGENT CARE CLINICS WITHIN THE COMMUNITIES THEY SERVE TO HELP MINIMIZE THE COST OF NON-CRITICAL, EMERGENT MEDICAL CARE. WE ENGAGE IN A TREMENDOUS AMOUNT OF UNIVERSITY-AFFILIATED MEDICAL EDUCATION AND TRAINING PROGRAMS INCLUDING BUT NOT LIMITED TO: ALL LEVELS OF NURSING (LPN, ASN, BSN AND MSN), PHARMACY, EMERGENCY MEDICAL TECHNICIANS AND PARAMEDICS, RESPIRATORY THERAPISTS, PHYSICAL/OCCUPATIONAL/SPEECH THERAPISTS AND INTERNSHIPS/RESIDENCIES FOR PHYSICIANS. WE ALSO PROVIDE CONTINUING MEDICAL EDUCATION PROGRAMS. SEVERAL OF OUR HOSPITALS PARTICIPATE IN CLINICAL TRIALS, MEDICAL RESEARCH PROGRAMS AND PHARMACEUTICAL TRIALS. MOREOVER, THERE ARE OTHER FACTORS THAT DEMONSTRATE THAT FRANCISCAN IS OPERATED FOR A PUBLIC RATHER THAN A PRIVATE INTEREST. FRANCISCAN'S GOVERNING BODY IS COMPOSED OF INDEPENDENT MEMBERS REPRESENTING THE BROAD COMMUNITY SERVED BY FRANCISCAN. MEDICAL STAFF PRIVILEGES ARE AVAILABLE TO QUALIFIED PHYSICIANS. FRANCISCAN USES ANY SURPLUS OF REVENUES OVER EXPENSES FOR IMPROVEMENTS IN PATIENT CARE, TO EXPAND AND REPLACE FACILITIES AND EQUIPMENT, FOR THE AMORTIZATION OF INDEBTEDNESS, AND FOR MEDICAL TRAINING, EDUCATION, AND RESEARCH. FRANCISCAN ALLIANCE, INC. AND ITS ACCOUNTABLE CARE ORGANIZATION (""ACO"") WAS THE FIRST AND ONLY PIONEER ACO IN INDIANA AND AMONG THE FIRST IN THE COUNTRY TO PARTNER WITH MEDICARE AS AN ACO. FRANCISCAN ALSO PARTICIPATES IN VARIOUS MEDICARE SHARED SAVINGS ACO PROGRAMS AND NONGOVERNMENTAL ACO PROGRAMS. FORMED IN 2011, FRANCISCAN ACOS PROVIDE COORDINATED, COMPREHENSIVE CARE ACROSS HOSPITALS, PHYSICIAN PRACTICES, AND OTHER HEALTHCARE PROVIDERS, WITH THE AIM OF BRINGING DOWN THE OVERALL COSTS OF MEDICAL CARE AND IMPROVING THE HEALTH OF PATIENTS ATTRIBUTED TO THE ACOS. UNDER THE ACO MODEL, ATTRIBUTED MEDICARE BENEFICIARIES MAINTAIN THE ABILITY TO SEE ANY DOCTOR OR HEALTHCARE PROVIDER, AS WELL AS THE FULL BENEFITS ASSOCIATED WITH TRADITIONAL MEDICARE, BUT WITH THE ADDED BENEFIT OF A MORE COORDINATED CARE EXPERIENCE. THIS INCLUDES COORDINATION OF PREVENTIVE HEALTH SERVICES"

SCHEDULE H, PART VI, ITEM 6
ROLE OF AFFILIATES EVERY HOSPITAL WITHIN OUR SYSTEM HAS THE DEGREE OF AUTONOMY AND FLEXIBILITY TO MEET THE NEEDS OF THE COMMUNITIES IT SERVES. THE CORPORATE COMMUNITY HEALTH IMPROVEMENT DIRECTOR PROVIDES COMMUNITY HEALTH DATA, INCLUDING INFORMATION RELATED TO SOCIAL DETERMINANTS OF HEALTH AND EMERGING PUBLIC HEALTH NEEDS TO LOCAL FACILITY STAFF ON A REGULAR BASIS FOR CONSIDERATION OF LOCAL ACTIVITY. THE CORPORATE DIRECTOR ALSO ORGANIZES A THOROUGH COMMUNITY HEALTH NEEDS ASSESSMENT AND PROVIDES CONSULTATION TO LOCAL STAFF ON THE IMPLEMENTATION PLAN. THE INDIVIDUAL AND REGIONAL COMMUNITY BENEFIT PLANS ARE DESIGNED TO BE PART OF AN OVERALL FRANCISCAN SYSTEM VISION TO PROVIDE FOR THE ONGOING HEALTHCARE NEEDS OF THE COMMUNITIES WE ARE PRIVILEGED TO SERVE.

SCHEDULE H, PART I, LINE 3B
IN ADDITION TO USING FEDERAL POVERTY GUIDELINES AS A FACTOR IN DETERMINING ELIGIBILITY FOR DISCOUNTED CARE, FOR UNINSURED PATIENTS, FRANCISCAN WILL PROVIDE AN UNINSURED PATIENT DISCOUNT FOR EMERGENCY SERVICES OR MEDICALLY NECESSARY SERVICES PERFORMED AT ITS HOSPITAL LOCATIONS. THE UNINSURED PATIENT DISCOUNT IS BASED ON THE AVERAGE RATE OF THE RESPECTIVE FRANCISCAN HOSPITAL FACILITY'S AVERAGE RATES FOR PRIVATE HEALTH PAYERS, INCLUDING MEDICARE. FRANCISCAN FACILITIES MAY OFFER ADDITIONAL DISCOUNTS BASED ON THE FACTS AND CIRCUMSTANCES UNIQUE TO THEIR LOCAL MARKETS. THIS DISCOUNT SHALL NOT BE COMBINED WITH OTHER FACILITY DISCOUNTS, EXCEPT FOR A PROMPT PAY DISCOUNT, IF AVAILABLE. NO DISCOUNT SHALL BE PROVIDED THAT VIOLATES ANY LAWS OR GOVERNMENT REGULATIONS. FRANCISCAN WILL IDENTIFY UNINSURED PATIENTS DURING THE REGISTRATION AND/OR ADMISSIONS PROCESS. THE UNINSURED DISCOUNT IS APPLIED AUTOMATICALLY BY THE RECEIVABLE SYSTEM AT THE TIME OF INITIAL BILL. ALL STATEMENTS TO PATIENTS WILL INDICATE THE ADJUSTMENT AND THE REVISED PATIENT BALANCE. THE UNINSURED DISCOUNT IS A CONTRACTUAL DISCOUNT AND IS NOT CONSIDERED A CHARITY CARE WRITE OFF UNLESS THE PATIENT ALSO QUALIFIES FOR CHARITY CARE. UNINSURED PATIENT DISCOUNTS WILL NOT BE REVERSED DUE TO NONPAYMENT OF AN ACCOUNT. IF, AT ANY TIME, FRANCISCAN BECOMES AWARE THAT A PREVIOUSLY IDENTIFIED UNINSURED PATIENT WAS IN FACT COVERED BY INSURANCE AT THE TIME OF SERVICE, FRANCISCAN WILL REVOKE THE UNINSURED DISCOUNT AND ISSUE A REVISED STATEMENT TO THE PATIENT AND THE ASSOCIATED INSURANCE PROVIDER. PATIENTS THAT ARE STILL NOT ABLE TO PAY THE BALANCE AFTER THE UNINSURED DISCOUNT ARE ABLE TO APPLY FOR A CHARITY CARE WRITE OFF OR A MEDICAL FINANCIAL HARDSHIP ADJUSTMENT.

SCHEDULE H, PART II
COMMUNITY BUILDING ACTIVITIES FOLLOWING NATIONAL GUIDANCE ON COMMUNITY BUILDING, ACTIVITIES RELATED TO SOCIAL DETERMINANTS ARE REPRESENTED IN OTHER CATEGORIES. FRANCISCAN ALLIANCE DOES ENGAGE IN COMMUNITY BUILDING THROUGH VARIOUS PARTNERSHIP EFFORTS. FRANCISCAN ALLIANCE DOES ENGAGE IN REDUCING BARRIERS TO HEALTH CARE ACCESS. MOST ACTIVITIES IN THIS AREA ARE INCLUDED IN THE FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT CATEGORIES. EXAMPLES INCLUDE: FREE OR LOW COST HEALTH SCREENING IN SPECIFIC NEIGHBORHOODS, IMMUNIZATION SERVICES, PRESCRIPTION MEDICATION ASSISTANCE PROGRAMS, ENROLLMENT ASSISTANCE IN MEDICAID, FOOD ASSISTANCE, TRANSPORTATION ASSISTANCE, AND REFERRAL ASSISTANCE. ADDITIONALLY, SEVERAL OF OUR HOSPITALS HAVE BEEN IDENTIFIED BY THE FEDERAL GOVERNMENT AS DESIGNATED REGIONAL MEDICATION DISTRIBUTION SITES IN THE EVENT OF A NATIONAL DISASTER OR EPIDEMIC/PANDEMIC. RESPONDING TO FEDERAL, STATE, AND LOCAL NEEDS IN THE EVENT OF NATIONAL OR LOCAL DISASTERS OR EPIDEMIC/PANDEMICS, WE COLLABORATE AND COORDINATE OUR EFFORTS WITH MANY CIVIC AND OTHER AGENCIES TO ENSURE THAT THOSE NEEDS WILL BE MET SHOULD DISASTER STRIKE.

SCHEDULE H, PART IV
NAME OF ENTITY: MOORESVILLE ENDOSCOPY CENTER LLC DESCRIPTION OF PRIMARY ACTIVITY OF ENTITY: ENDOSCOPY SERVICES ORGANIZATION'S PROFIT % OR STOCK OWNERSHIP %: 50.00000 OFFICERS, DIRECTORS, TRUSTEES. ETC. PROFIT % OR STOCK OWNERSHIP %: 0 PHYSICIANS' PROFIT % OR STOCK OWNERSHIP %: 50.00000 NAME OF ENTITY: INDIANA SLEEP CENTER LLC DESCRIPTION OF PRIMARY ACTIVITY OF ENTITY: SLEEP CENTER ORGANIZATION'S PROFIT % OR STOCK OWNERSHIP %: 50.00000 OFFICERS, DIRECTORS, TRUSTEES. ETC. PROFIT % OR STOCK OWNERSHIP %: 0 PHYSICIANS' PROFIT % OR STOCK OWNERSHIP %: 50.00000 NAME OF ENTITY: FRANCISCAN SURGERY CENTER LLC DESCRIPTION OF PRIMARY ACTIVITY OF ENTITY: SURGICAL SERVICES ORGANIZATION'S PROFIT % OR STOCK OWNERSHIP %: 50.8474576 OFFICERS, DIRECTORS, TRUSTEES. ETC. PROFIT % OR STOCK OWNERSHIP %: 0 PHYSICIANS' PROFIT % OR STOCK OWNERSHIP %: 49.1525424 NAME OF ENTITY: SOUTH EMERSON SURGERY CENTER LLC DESCRIPTION OF PRIMARY ACTIVITY OF ENTITY: SURGICAL SERVICES ORGANIZATION'S PROFIT % OR STOCK OWNERSHIP %: 50.00000 OFFICERS, DIRECTORS, TRUSTEES. ETC. PROFIT % OR STOCK OWNERSHIP %: 0 PHYSICIANS' PROFIT % OR STOCK OWNERSHIP %: 50.00000 NAME OF ENTITY: ST FRANCIS MOORESVILLE SURGERY CENTER LLC DESCRIPTION OF PRIMARY ACTIVITY OF ENTITY: SURGICAL SERVICES ORGANIZATION'S PROFIT % OR STOCK OWNERSHIP %: 50.00000 OFFICERS, DIRECTORS, TRUSTEES. ETC. PROFIT % OR STOCK OWNERSHIP %: 0 PHYSICIANS' PROFIT % OR STOCK OWNERSHIP %: 50.00000 NAME OF ENTITY: ST FRANCIS RADIATION THERAPY CENTERS LLC DESCRIPTION OF PRIMARY ACTIVITY OF ENTITY: RADIATION THERAPY SERVICES ORGANIZATION'S PROFIT % OR STOCK OWNERSHIP %: 87.83622 OFFICERS, DIRECTORS, TRUSTEES. ETC. PROFIT % OR STOCK OWNERSHIP %: 0 PHYSICIANS' PROFIT % OR STOCK OWNERSHIP %: 12.16378 NAME OF ENTITY: SOUTH INDY MRI & REHAB SERVICES LLC DESCRIPTION OF PRIMARY ACTIVITY OF ENTITY: MRI SERVICES ORGANIZATION'S PROFIT % OR STOCK OWNERSHIP %: 50.00000 OFFICERS, DIRECTORS, TRUSTEES. ETC. PROFIT % OR STOCK OWNERSHIP %: 0 PHYSICIANS' PROFIT % OR STOCK OWNERSHIP %: 50.00000 NAME OF ENTITY: ST FRANCIS IMAGING CENTER (GREENWOOD) LLC DESCRIPTION OF PRIMARY ACTIVITY OF ENTITY: IMAGING SERVICES ORGANIZATION'S PROFIT % OR STOCK OWNERSHIP %: 60.00000 OFFICERS, DIRECTORS, TRUSTEES. ETC. PROFIT % OR STOCK OWNERSHIP %: 0 PHYSICIANS' PROFIT % OR STOCK OWNERSHIP %: 40.00000 NAME OF ENTITY: THE ENDOSCOPY CENTER AT ST FRANCIS LLC DESCRIPTION OF PRIMARY ACTIVITY OF ENTITY: ENDOSCOPY SERVICES ORGANIZATION'S PROFIT % OR STOCK OWNERSHIP %: 50.00000 OFFICERS, DIRECTORS, TRUSTEES. ETC. PROFIT % OR STOCK OWNERSHIP %: 0 PHYSICIANS' PROFIT % OR STOCK OWNERSHIP %: 50.00000 NAME OF ENTITY: INDIANA INTERNAL MEDICINE CONSULTANTS LLC DESCRIPTION OF PRIMARY ACTIVITY OF ENTITY: INTERNAL MEDICINE SERVICES ORGANIZATION'S PROFIT % OR STOCK OWNERSHIP %: 49.000000 OFFICERS, DIRECTORS, TRUSTEES. ETC. PROFIT % OR STOCK OWNERSHIP %: 0 PHYSICIANS' PROFIT % OR STOCK OWNERSHIP %: 51.000000 FILING OF COMMUNITY BENEFIT REPORT IL, IN

SCHEDULE H, PART III, LINE 2
"THROUGHOUT THE YEAR, THE CORPORATION ESTIMATES THIS ALLOWANCE BASED ON THE AGING OF ITS PATIENT ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE, AND OTHER RELEVANT FACTORS. THESE FACTORS INCLUDE CHANGES IN THE ECONOMY AND UNEMPLOYMENT RATES, WHICH HAS AN IMPACT ON THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, AS WELL AS TRENDS IN HEALTH CARE COVERAGE, SUCH AS THE INCREASED BURDEN OF DEDUCTIBLES, COPAYMENTS, AND COINSURANCE PAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE CORPORATION FOLLOWS ESTABLISHED PROCEDURES FOR PLACING CERTAIN PAST DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS AND CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY THE CORPORATION. ----------------------------------------- SCHEDULE H, PART III, LINE 3 THE CORPORATION HAS A SYSTEM-WIDE CHARITY CARE AND UNINSURED DISCOUNT POLICY; HAS DETAILED ADMINISTRATIVE PROCEDURES ESTABLISHED FOR QUALIFYING AND ENROLLING PATIENTS FOR CHARITY CARE OR UNINSURED/UNDERINSURED DISCOUNTS; USES VARIOUS ANALYTICAL PROGRAMS INCLUDING SOFT CREDIT INQUIRIES THAT DO NOT AFFECT CREDIT SCORES TO HELP ASSESS A PATIENT'S ABILITY TO PAY; AND UTILIZES NUMEROUS MECHANISMS TO INFORM AND EDUCATE PATIENTS ABOUT THEIR ELIGIBILITY FOR ASSISTANCE WHICH ARE DETAILED UNDER SCHEDULE H, PART VI, ITEM 3. DESPITE THESE RIGOROUS EFFORTS, PATIENTS WHO NEED SUBSIDIZED CARE MAY NOT SEEK THIS ASSISTANCE NOR CHOOSE TO ENROLL IN THE STATE'S MEDICAID PROGRAM. ALSO, AS FURTHER DESCRIBED IN HFMA STATEMENT NO. 15, THE APPROPRIATE CLASSIFICATION OF CHARITY CARE AND BAD DEBT IS OFTEN DIFFICULT. THE URGENCY OF SOME TREATMENTS, AS WELL AS CERTAIN FEDERAL REGULATIONS, OFTEN REQUIRES THE PROVISION OF SERVICE WITHOUT CONSIDERATION OF THE PATIENT'S ABILITY TO PAY. SOME PATIENTS HAVE COMPLEX MEDICAL CONDITIONS WITH UNPREDICTABLE TREATMENT NEEDS. FOR THESE AND OTHER REASONS, FRANCISCAN BELIEVES, A PORTION OF ITS BAD DEBT EXPENSE AS REPORTED ON LINE 2 OF PART III REPRESENTS CHARITY CARE DELIVERED TO INDIVIDUALS IN THE COMMUNITIES IT SERVES CONSISTENT WITH ITS CHARITABLE HEALTHCARE MISSION. -------------------------------------- SCHEDULE H, PART III, LINE 4 THE CORPORATION'S UNCOLLECTIBLE AMOUNTS DUE FROM PATIENTS FOOTNOTE FROM ITS AUDITED FINANCIAL STATEMENTS IS AS FOLLOWS: THE CORPORATION ALSO PROVIDES A SIGNIFICANT AMOUNT OF UNCOMPENSATED CARE TO PATIENTS WHICH IS NOT REPORTED IN THE SUMMARY OF QUANTIFIABLE COMMUNITY BENEFITS. EFFECTIVE JANUARY 1, 2018, THE CORPORATION ADOPTED THE FINANCIAL ACCOUNTING STANDARDS BOARD (""FASB"") ACCOUNTING STANDARD UPDATE (""ASU"") 2014-9, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606) WHICH REQUIRES REVENUE TO BE RECOGNIZED IN AN AMOUNT THAT REFLECTS THE CONSIDERATION THE ENTITY EXPECTS TO BE ENTITLED TO IN AN EXCHANGE FOR GOODS OR SERVICES. ADOPTION OF THIS ASU DOES NOT ALLOW THE SEPARATE REPORTING OF THE UNCOLLECTIBLE AMOUNTS DUE FROM PATIENTS; HOWEVER, THE IDENTIFICATION OF THIS AMOUNT IS NEEDED FOR OTHER PURPOSES INCLUDING GOVERNMENTAL REPORTING AND REIMBURSEMENT CALCULATIONS. THE CORPORATION HAS A SYSTEM-WIDE CHARITY CARE AND UNINSURED DISCOUNT POLICY THAT INCLUDES ADMINISTRATIVE PROCEDURES FOR QUALIFYING AND ENROLLING PATIENTS FOR CHARITY CARE OR UNINSURED/UNDERINSURED DISCOUNTS. THE CORPORATION ALSO USES VARIOUS ANALYTICAL PROGRAMS TO ASSESS A PATIENT'S ABILITY TO PAY AND IT UTILIZES NUMEROUS MECHANISMS TO INFORM AND EDUCATE PATIENTS ABOUT FINANCIAL ASSISTANCE. DESPITE THESE RIGOROUS EFFORTS, PATIENTS WHO NEED SUBSIDIZED CARE MAY NOT SEEK THIS ASSISTANCE NOR CHOOSE TO ENROLL IN MEDICAID OR OTHER FINANCIAL ASSISTANCE PROGRAMS. FOR THESE AND OTHER REASONS, THE CORPORATION BELIEVES A PORTION OF ITS UNCOLLECTIBLE AMOUNTS DUE FROM PATIENTS REPRESENTS CHARITY CARE DELIVERED TO INDIVIDUALS IN THE COMMUNITIES IT SERVES CONSISTENT WITH ITS CHARITABLE HEALTH CARE MISSION. DURING THE YEARS ENDED DECEMBER 31, 2021 AND 2020, THE CORPORATION INCURRED APPROXIMATELY $34.5 MILLION AND $18.3 MILLION, RESPECTIVELY, AS UNCOLLECTIBLE AMOUNTS DUE FROM PATIENTS BASED ON ACCUMULATED CHARGES. ------------------------------------------------ SCHEDULE H, PART III, LINE 8 CONSISTENT WITH THE CHARITABLE HEALTHCARE MISSION OF FRANCISCAN AND THE COMMUNITY BENEFIT STANDARD SET FORTH IN IRS REVENUE RULING 69-545 AND THE REQUIREMENTS OF IRC SECTION 501(R), FRANCISCAN PROVIDES CARE FOR ALL PATIENTS COVERED BY MEDICARE SEEKING MEDICAL CARE AT FRANCISCAN. SUCH CARE IS PROVIDED REGARDLESS OF WHETHER THE REIMBURSEMENT PROVIDED FOR SUCH SERVICES MEETS OR EXCEEDS THE COSTS INCURRED BY FRANCISCAN TO PROVIDE SUCH SERVICES. LIKE MEDICAID, PAYMENT RATES FOR MEDICARE ARE SET BY LAW RATHER THAN THROUGH A NEGOTIATION PROCESS AS WITH PRIVATE INSURERS. THESE PAYMENT RATES ARE CURRENTLY SET BELOW THE COSTS OF PROVIDING CARE RESULTING IN UNDERPAYMENTS. MEDICARE RATES ARE DETERMINED WITHIN THE CONTEXT OF ALL THE BUDGETARY NEEDS OF THE FEDERAL GOVERNMENT AND MEDICARE PAYMENTS HAVE HISTORICALLY BEEN SET BELOW THE COSTS OF PROVIDING CARE TO MEDICARE PATIENTS THOUGH HOW FAR BELOW VARIES OVER TIME AND BY SERVICE. EACH YEAR MEDICARE IS SUPPOSED TO PROVIDE HOSPITALS AN INCREASE IN BOTH INPATIENT AND OUTPATIENT PAYMENTS TO ACCOUNT FOR INFLATION IN THE PRICES FOR GOODS AND SERVICES HOSPITALS MUST PURCHASE IN ORDER TO PROVIDE PATIENT CARE. HOWEVER INPATIENT UPDATES HAVE BEEN SET BELOW THE RATE OF INFLATION AND ACTUALLY NEGATIVE IN RECENT YEARS RESULTING IN A SHORTFALL THAT HAS GROWN OVER TIME. THE COMPOUNDING ISSUE THAT OCCURS IS THAT THIS SHORTFALL JEOPARDIZES HOSPITALS' ABILITY TO SERVE THEIR COMMUNITIES BECAUSE THEY ARE NOT REIMBURSED THEIR INCURRED COSTS. PROVIDERS MAKE THE DECISION TO ELIMINATE OR SIGNIFICANTLY REDUCE NECESSARY CLINICAL SERVICES WITHIN THE MARKETPLACE PLACING THE MEDICARE SHORTFALL BURDEN ON OTHERS THAT DO, SUCH AS FRANCISCAN. GIVEN THAT FRANCISCAN PROVIDES SUCH SERVICES TO MEDICARE PATIENTS KNOWING THAT THEY WILL RESULT IN A LOSS, AND GIVEN THAT FRANCISCAN BELIEVES THAT IT PROVIDES THESE SERVICES IN AN EFFICIENT AND COST EFFECTIVE MANNER, THE SHORTFALL REPORTED ON LINE 7 OF PART III SHOULD BE VIEWED AS COMMUNITY BENEFIT PROVIDED BY FRANCISCAN. ------------------------------------------------ SCHEDULE H, PART III, LINE 9B FRANCISCAN ALLIANCE, INC.'S WRITTEN CHARITY CARE AND UNINSURED PATIENT DISCOUNT POLICY AND PATIENT COLLECTION PROCEDURE INCLUDE VARIOUS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY OR FINANCIAL ASSISTANCE. IF A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE CERTAIN COLLECTION PRACTICES DO NOT APPLY."