4A (Expenses $ 1983147490 including grants of $ 12044539) (Revenue $ 2445480209)
SEE SCHEDULE O

Schedule H, Part V, Section B, Line 3E
THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND ARE IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA).

Schedule H, Part V, Section B, Line 5 Facility A, 1
Facility A, 1 - REPORTING GROUP A. TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY AS WELL AS KNOWLEDGE, INFORMATION AND EXPERTISE RELEVANT TO HEALTH NEEDS OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS CONDUCTED. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY THE CHNA STEERING COMMITTEE; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL KEY INFORMANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY, AND PROVIDED A LINK TO TAKE THE SURVEY ONLINE. IN ALL, 173 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY. THROUGH THIS PROCESS, INPUT WAS GATHERED FROM SEVERAL INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW-INCOME, MINORITY, OR OTHER MEDICALLY UNDERSERVED POPULATIONS. IN THE ONLINE SURVEY, KEY INFORMANTS WERE ASKED TO RATE THE DEGREE TO WHICH VARIOUS HEALTH ISSUES ARE A PROBLEM IN THEIR OWN COMMUNITY. FOLLOW-UP QUESTIONS ASKED THEM TO DESCRIBE WHY THEY IDENTIFY PROBLEM AREAS AS SUCH AND HOW THESE MIGHT BETTER BE ADDRESSED. THE HOSPITAL FACILITY CONSULTED REPRESENTATIVES FROM THE FOLLOWING TYPES OF ORGANIZATIONS: -42 PHYSICIANS -6 PUBLIC HEALTH REPRESENTATIVES -50 OTHER HEALTH PROVIDERS -34 SOCIAL SERVICE PROVIDERS -41 OTHER COMMUNITY LEADERS

Schedule H, Part V, Section B, Line 6a Facility A, 1
Facility A, 1 - Reporting Group A. HonorHealth Scottsdale Shea Medical Center HonorHealth Scottsdale Osborn Medical center HonorHealth John C Lincoln Medical Center HonorHealth Deer Valley Medical Center HonorHealth Thompson Peak Medical Center HonorHealth Rehabilitation Hospital HonorHealth Greenbaum Specialty Surgery Hospital HonorHealth Sonoran Crossing Medical Center

Schedule H, Part V, Section B, Line 11 Facility A, 1
"Facility A, 1 - REPORTING GROUP A. HONORHEALTH IDENTIFIED THE SAME NEEDS ACROSS ALL LICENSED HOSPITALS. SIGNIFICANT HEALTH NEEDS (OR ""AREAS OF OPPORTUNITY"") WERE DETERMINED AFTER CONSIDERATION OF VARIOUS CRITERIA, INCLUDING STANDING IN COMPARISON WITH BENCHMARK DATA; IDENTIFIED TRENDS; THE PREPONDERANCE OF SIGNIFICANT FINDINGS WITHIN TOPIC AREAS; THE MAGNITUDE OF THE ISSUE IN TERMS OF THE NUMBER OF PERSONS AFFECTED; AND THE POTENTIAL HEALTH IMPACT OF A GIVEN ISSUE. THE AREAS OF OPPORTUNITY: 1. ACCESS TO HEALTHCARE SERVICES 2. DIABETES 3. MENTAL HEALTH 4. HEART DISEASE & STROKE 5. CANCER 6. NUTRITION, PHYSICAL ACTIVITY & WEIGHT 7. INFANT HEALTH & FAMILY PLANNING 8. SUBSTANCE ABUSE 9. INJURY & VIOLENCE 10. RESPIRATORY DISEASES 11. TOBACCO USE PRIORITIZED LIST OF HEALTH NEEDS IN ACKNOWLEDGING THE AREAS OF OPPORTUNITY IDENTIFIED IN THE CHNA PROCESS, IT WAS DETERMINED THAT HONORHEALTH COULD ONLY EFFECTIVELY FOCUS ON THOSE WHICH IT DEEMED MOST PRESSING, MOST UNDER ADDRESSED, AND/OR MOST WITHIN ITS ABILITY TO INFLUENCE. AFTER REVIEWING THE CHNA FINDINGS, THE CHNA STEERING COMMITTEE PRIORITIZED THE TOP HEALTH NEEDS FOR OUR COMMUNITY. THE CHNA STEERING COMMITTEE WERE ASKED TO EVALUATE EACH HEALTH ISSUE ALONG TWO CRITERIA: 1) SCOPE AND SEVERITY OF THE HEALTH ISSUE; AND 2) THE HOSPITALS AND THE COMMUNITY'S ABILITY TO IMPACT THAT ISSUE. THE CHNA STEERING COMMITTEE ALSO CONSIDERED: EXISTING INFRASTRUCTURE - THE PROGRAMS AND SYSTEMS AND STAFF IN PLACE TO ADDRESS THE HEALTH ISSUE; ESTABLISHED RELATIONSHIPS - THE RELATIONSHIPS WITH COMMUNITY-BASED ORGANIZATIONS THAT ALREADY EXIST AND THE OPPORTUNITIES TO DEVELOP NEW PARTNERSHIPS; ONGOING INVESTMENTS - THE RESOURCES ALREADY COMMITTED TO ADDRESS THE HEALTH ISSUE - NOTABLY DESERT MISSION FOOD BANK, THE SOCIAL DETERMINANTS OF HEALTH STEERING COMMITTEE AND INITIATIVES TO ADDRESS HEALTH DISPARITIES; FOCUS - THE ALIGNMENT WITH HONORHEALTH'S STRATEGY. THIS PROCESS YIELDED THE FOLLOWING PRIORITIZED LIST OF HEALTH NEEDS FOR OUR COMMUNITY: BEHAVIORAL HEALTH ACCESS TO CARE ACCESS TO HEALTHY FOOD REASONS WHY AREAS OF OPPORTUNITY ARE NOT BEING ADDRESSED DIABETES: THE CHNA STEERING COMMITTEE DECIDED THAT EFFORTS OUTLINED HEREIN TO IMPROVE ACCESS TO CARE, ACCESS TO HEALTHY FOODS WILL HAVE A POSITIVE IMPACT ON PREVENTION AND MANAGEMENT OF DIABETES, AND THAT A SEPARATE SET OF DIABETES INITIATIVES WAS NOT NECESSARY. HEART DISEASE & STROKE: THE CHNA STEERING COMMITTEE DECIDED THAT EFFORTS OUTLINED HEREIN TO IMPROVE ACCESS TO CARE AND ACCESS TO HEALTHY FOODS WILL HAVE A POSITIVE IMPACT ON PREVENTION, EARLY DETECTION AND MANAGEMENT OF HEART DISEASE AND STROKE, AND THAT A SEPARATE SET OF HEART DISEASE AND STROKE INITIATIVES WAS NOT NECESSARY. CANCER: THE CHNA STEERING COMMITTEE DECIDED EFFORTS OUTLINED HEREIN TO IMPROVE ACCESS TO CARE AND ACCESS TO HEALTHY FOODS WILL HAVE A POSITIVE IMPACT ON PREVENTION, EARLY DETECTION, AND MANAGEMENT OF CANCER, AND THAT A SEPARATE SET OF CANCER-SPECIFIC INITIATIVES WAS NOT NECESSARY. NUTRITION, PHYSICAL ACTIVITY & WEIGHT: THE CHNA STEERING COMMITTEE DECIDED THAT EFFORTS OUTLINED HEREIN TO IMPROVE ACCESS TO CARE AND ACCESS TO HEALTHY FOODS WILL HAVE A POSITIVE IMPACT ON NUTRITION, PHYSICAL ACTIVITY, AND WEIGHT AND THAT A SEPARATE SET OF INITIATIVES WAS NOT NECESSARY. INFANT HEALTH & FAMILY PLANNING: THE CHNA STEERING COMMITTEE DECIDED THAT THIS PRIORITY AREA FALLS MORE WITHIN THE PURVIEW OF THE COUNTY HEALTH DEPARTMENT AND OTHER COMMUNITY BASED ORGANIZATIONS. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION. SUBSTANCE ABUSE: THE CHNA STEERING COMMITTEE DECIDED THAT ACTION PLANS FOR BEHAVIORIAL HEALTH ARE ALIGNED WITH ADDRESSING SUBSTANCE ABUSE SO THIS COMMUNITY HEALTH NEED WILL BE INCLUDED TOGETHER WITH BEHAVIORIAL HEALTH ACTION PLANS. SEE ACTION PLANS BELOW. INJURY & VIOLENCE: THE CHNA STEERING COMMITTEE RECOGNIZED THAT HONORHEALTH HAS EXISTING INVESTMENTS INCLUDING TWO FTES DEDICATED TO TRAUMA INJURY PREVENTION, A FORENSIC NURSE EXAMINER PROGRAM TO ASSIST PATIENTS/VICTIMS OF INTERPERSONAL VIOLENCE AND A ROBUST EMPLOYEE TRAINING PROGRAM TO REDUCE WORKPLACE VIOLENCE IN THE HEALTHCARE SETTING. GIVEN HIGH NEEDS IN OTHER AREAS AS IDENTIFIED BY THE COMMUNITY, THIS WAS NOT IDENTIFIED AS A TOP PRIORITY REQUIRING ADDITIONAL RESOURCES. RESPIRATORY DISEASES: THE CHNA STEERING COMMITTEE THAT EFFORTS OUTLINED HEREIN TO IMPROVE ACCESS TO CARE WILL HAVE A POSITIVE IMPACT ON EARLY DETECTION OF RESPIRATORY DISEASES, AND THAT A SEPARATE SET OF RESPIRATORY DISEASE-SPECIFIC INITIATIVES WAS NOT NECESSARY. TOBACCO USE: THE CHNA STEERING COMMITTEE DECIDED THAT OTHER COMMUNITY ORGANIZATIONS HAVE INFRASTRUCTURE AND PROGRAMS IN PLACE TO BETTER MEET THIS NEED AND LIMITED RESOURCES EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION. THE IMPLEMENTATION STRATEGY WAS APPROVED BY THE HONORHEALTH BOARD OF DIRECTORS ON NOVEMBER 9, 2021. THE CHNA IMPLEMENTATION STRATEGY TO ADDRESS PRIORITY HEALTH ISSUES IN THE FY2022-FY2024 PERIOD ARE: PRIORITY AREA BEHAVOIRIAL HEALTH GOAL: PARTNER WITH COMMUNITY BEHAVIORAL HEALTH SERVICES TO INCREASE ACCESS TO SERVICES -STRATEGY 1: CONTINUE BEHAVIORAL HEALTH HOSPITAL LAUNCH -STRATEGY 2: ADD POINTS OF CARE SUCH AS MULTIDISCIPLINARY MEDICAL CENTERS -STRATEGY 3: SUPPORT COMMUNITY HEALTH CENTERS BEHAVIORAL HEALTH INTAKE DEPRESSION SCREENINGS AND CARE COORDINATION -STRATEGY 4: PARTNER WITH EXTERNAL PROVIDERS TO OFFER OUTPATIENT AND RESIDENTIAL MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES GOAL: INTEGRATE DEPRESSION AND ANXIETY SCREENINGS AND BEHAVIORAL HEALTH PROVIDERS IN POINTS OF CARE -STRATEGY 1: CONTINUE HONORHEALTH MEDICAL GROUP DEPRESSION AND ANXIETY SCREENINGS -STRATEGY 2: INTEGRATE BEHAVIORAL HEALTH CLINICIAN INTO HONORHEALTH MEDICAL GROUP PRIMARY CARE PRACTICES GOAL: EXPAND SUPPORT GROUPS AND TRAUMA INFORMED CARE TRAINING -STRATEGY 1: ADD SUPPORT GROUPS FOR WELL-BEING, HEALTH CONDITIONS AND CHRONIC DISEASE MANAGEMENT -STRATEGY 2: CONTINUE EMPLOYEE TRAINING -STRATEGY 3: CONTINUE CARE-GIVER WELL-BEING PROGRAMS GOAL: SUPPORT PROGRAMS FOR OUTPATIENT SUBSTANCE USE DISORDER PREVENTION AND TREATMENT -STRATEGY 1: CONTINUE OPIOID STEWARDSHIP STEERING COMMITTEE WORKPLAN -STRATEGY 2: SUPPORT INTENSIVE OUTPATIENT PROGRAMS FOR THE TREATMENT OF SUBSTANCE USE DISORDER PRIORITY AREA: ACCESS TO CARE GOAL: STRENGTHEN AFFILIATION WITH COMMUNITY HEALTH CENTERS TO IMPROVE ACCESS POINTS -STRATEGY 1: CONTINUE ""HOSPITAL TO NOAH"" REFERRAL AND NAVIGATION PROGRAM GOAL: PROVIDE MORE POINTS OF ACCESS TO SERVICES IN THE NETWORK; PHYSICAL AND VIRTUAL -STRATEGY 1: ADD PHYSICAL POINTS OF CARE -STRATEGY 2: EXPAND VIRTUAL ACCESS THROUGH TELEMEDICINE -STRATEGY 3: EXPAND VIRTUAL ACCESS THROUGH IMPROVED SCHEDULING OPTIONS -STRATEGY 4: EXPAND VIRTUAL ACCESS BY INCREASING UTILIZATION OF DIGITAL TOOLS SUCH AS MYCHART -STRATEGY 5: EXPAND VIRTUAL ACCESS FOR SPANISH SPEAKERS GOAL: EXPAND POST-DISCHARGE NAVIGATION AND SUPPORT SERVICES -STRATEGY 1: ADD HOSPITAL BASED DISCHARGE AND MEDICAL APPOINTMENT TRANSPORTATION OPTIONS -STRATEGY 2: ADD HOSPITAL BASED ""BRIDGE HOSPITAL TO HOME"" PROGRAM -STRATEGY 3: IMPLEMENT CLOSED-LOOP REFERRAL SYSTEM - STRATEGY 4: (APPLIES ONLY TO HONORHEALTH JOHN C LINCOLN MEDICAL CENTER) CONTINUE HOSPITAL BASED EMERGENCY DEPARTMENT NAVIGATION FOR INDIVIDUALS EXPERIENCING HOMELESSNESS GOAL: ADDRESS ECONOMIC BARRIERS TO ACCESSING CARE THROUGH ELIGIBILITY SUPPORT AND ENROLLMENT -STRATEGY 1: CONTINUE SUPPORT FOR ELIGIBILITY SUPPORT AND ENROLLMENT BY COMMUNITY HEALTH CENTERS -STRATEGY 2: CONTINUE DESERT MISSION FINANCIAL COUNSELING -STRATEGY 3: CONTINUE HOSPITAL BASED ELIGIBILITY SUPPORT AND ENROLLMENT GOAL: EXPAND WORKFORCE CAPACITY RESIDENCY TRAINING PROGRAMS, STUDENT INTERNSHIPS, CLINICAL ROTATIONS, AND MILITARY TRAINING PROGRAMS -STRATEGY 1: CONTINUE WORKFORCE DEVELOPMENT THROUGH RESIDENCIES AND FELLOWSHIPS -STRATEGY 2: CONTINUE WORKFORCE DEVELOPMENT THROUGH NURSING CLINICAL ROTATIONS - -STRATEGY 3: CONTINUE WORKFORCE DEVELOPMENT THROUGH ALLIED PROFESSIONAL CLINICAL ROTATIONS -STRATEGY 4: CONTINUE WORKFORCE DEVELOPMENT THROUGH MILITARY PARTNERSHIP TRAINING GOAL: IMPROVE ACCESS TO NEW TREATMENTS AND ADVANCED STANDARDS OF CARE THROUGH CLINICAL RESEARCH -STRATEGY 1: CONTINUE CLINICAL TRIALS INSECURITY SCREENING AND REFERRALS -STRATEGY 1: EXPAND MEDICAL CENTER FOOD INSECURITY SCREENINGS AND REFERRALS -STRATEGY 2: EXPAND FOOD INSECURITY SCREENINGS AND REFERRALS ADDITIONAL POINTS OF CARE"

Schedule H, Part V, Section B, Line 11 Facility A, 2
Facility A, 2 - REPORTING GROUP A CONTINUED. PRIORITY AREA: ACCESS TO HEALTHY FOOD GOAL: OFFER A VARIETY OF PROGRAMS TO ADDRESS FOOD INSECURITY AND NUTRITION AT DESERT MISSION FOOD BANK -STRATEGY 1: CONTINUE DESERT MISSION FOOD BANK OPERATIONS FOR VULNERABLE POPULATIONS -STRATEGY 2: CONTINUE DESERT MISSION FOOD BANK OPERATIONS FOR CHILDREN AT SCHOOLS, LIBRARIES, AND COMMUNITY CENTERS -STRATEGY 3: CONTINUE DESERT MISSION FOOD BANK OPERATIONS FOR SENIORS -STRATEGY 4: CONTINUE DESERT MISSION FOOD BANK OPERATIONS FOR CHILDREN INCLUDING INFANTS GOAL: PROVIDE ADDITIONAL POINTS OF ACCESS TO HEALTHY FOODS -STRATEGY 1: CONTINUE CULINARY SERVICES MEAL PREPARATION FOR DELIVERY -STRATEGY 2: CONTINUE DESERT MISSION FOOD BANK SENIOR BAGS FOR SENIORS IN THE COMMODITY SENIOR FOOD PROGRAM CSFP -STRATEGY 3: ADD CONSISTENT FOOD RESOURCES AT MEDICAL CENTERS -STRATEGY 4: ADD CONSISTENT FOOD RESOURCES ADDITIONAL POINTS OF CARE FOR VULNERABLE GOAL: DEVELOP EXTERNAL PARTNERSHIPS TO BROADEN CONNECTION BETWEEN FOOD, NUTRITION, AND CHRONIC DISEASE STRATEGY 1: EXPAND MEDICAL CENTER FOOD INSECURITY SCREENINGS AND REFERRALS STRATEGY 2: EXPAND FOOD INSECURITY SCREENINGS AND REFERRALS ADDITIONAL POINTS OF CARE GOAL: IMPLEMENT A CLOSED-LOOP REFERRAL SYSTEM IN PARTNERSHIP WITH COMMUNITY BASED ORGANIZATIONS (CBOS) -STRATEGY 1: IMPLEMENT CLOSED-LOOP REFERRAL SYSTEM AT POINTS OF CARE GOAL: DEVELOP EXTERNAL PARTNERSHIPS TO BROADEN CONNECTION BETWEEN FOOD, NUTRITION, AND CHRONIC DISEASE

Schedule H, Part V, Section B, Line 16 Facility A, 1
Facility A, 1 - Reporting Group A. ALL PATIENTS ARE PROVIDED A THOROUGH EXPLANATION OF: (1) THE DOCUMENTATION REQUIRED TO BE CONSIDERED FOR FINANCIAL ASSISTANCE, (2) THE GUIDELINES ON THE PROGRAM, AND (3) THE PERCENTAGE DISCOUNTS AVAILABLE BASED ON FAMILY SIZE, INCOME AND BALANCE OF THE ACCOUNT.

Schedule H, Part V, Section B, Line 3E
THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND ARE IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA).

Schedule H, Part V, Section B, Line 5 Facility , 1
Facility , 1 - HONORHEALTH REHABILITATION HOSPITAL. TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY AS WELL AS KNOWLEDGE, INFORMATION AND EXPERTISE RELEVANT TO HEALTH NEEDS OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS CONDUCTED. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY THE CHNA STEERING COMMITTEE; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL KEY INFORMANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY, AND PROVIDED A LINK TO TAKE THE SURVEY ONLINE. IN ALL, 173 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY. THROUGH THIS PROCESS, INPUT WAS GATHERED FROM SEVERAL INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW-INCOME, MINORITY, OR OTHER MEDICALLY UNDERSERVED POPULATIONS. IN THE ONLINE SURVEY, KEY INFORMANTS WERE ASKED TO RATE THE DEGREE TO WHICH VARIOUS HEALTH ISSUES ARE A PROBLEM IN THEIR OWN COMMUNITY. FOLLOW-UP QUESTIONS ASKED THEM TO DESCRIBE WHY THEY IDENTIFY PROBLEM AREAS AS SUCH AND HOW THESE MIGHT BETTER BE ADDRESSED. THE HOSPITAL FACILITY CONSULTED REPRESENTATIVES FROM THE FOLLOWING TYPES OF ORGANIZATIONS: -42 PHYSICIANS -6 PUBLIC HEALTH REPRESENTATIVES -50 OTHER HEALTH PROVIDERS -34 SOCIAL SERVICE PROVIDERS -41 OTHER COMMUNITY LEADERS

Schedule H, Part V, Section B, Line 6a Facility , 1
Facility , 1 - HONORHEALTH REHABILITATION HOSPITAL. HonorHealth Scottsdale Shea Medical Center HonorHealth Scottsdale Osborn Medical center HonorHealth John C Lincoln Medical Center HonorHealth Deer Valley Medical Center HonorHealth Thompson Peak Medical Center HonorHealth Greenbaum Specialty Surgery Hospital HonorHealth Sonoran Crossing Medical Center

Schedule H, Part V, Section B, Line 11 Facility , 1
"Facility , 1 - HONORHEALTH REHABILITATION HOSPITAL. HONORHEALTH IDENTIFIED THE SAME NEEDS ACROSS ALL LICENSED HOSPITALS. SIGNIFICANT HEALTH NEEDS (OR ""AREAS OF OPPORTUNITY"") WERE DETERMINED AFTER CONSIDERATION OF VARIOUS CRITERIA, INCLUDING STANDING IN COMPARISON WITH BENCHMARK DATA; IDENTIFIED TRENDS; THE PREPONDERANCE OF SIGNIFICANT FINDINGS WITHIN TOPIC AREAS; THE MAGNITUDE OF THE ISSUE IN TERMS OF THE NUMBER OF PERSONS AFFECTED; AND THE POTENTIAL HEALTH IMPACT OF A GIVEN ISSUE. THE AREAS OF OPPORTUNITY: 1. ACCESS TO HEALTHCARE SERVICES 2. DIABETES 3. MENTAL HEALTH 4. HEART DISEASE & STROKE 5. CANCER 6. NUTRITION, PHYSICAL ACTIVITY & WEIGHT 7. INFANT HEALTH & FAMILY PLANNING 8. SUBSTANCE ABUSE 9. INJURY & VIOLENCE 10. RESPIRATORY DISEASES 11. TOBACCO USE PRIORITIZED LIST OF HEALTH NEEDS IN ACKNOWLEDGING THE AREAS OF OPPORTUNITY IDENTIFIED IN THE CHNA PROCESS, IT WAS DETERMINED THAT HONORHEALTH COULD ONLY EFFECTIVELY FOCUS ON THOSE WHICH IT DEEMED MOST PRESSING, MOST UNDER ADDRESSED, AND/OR MOST WITHIN ITS ABILITY TO INFLUENCE. AFTER REVIEWING THE CHNA FINDINGS, THE CHNA STEERING COMMITTEE PRIORITIZED THE TOP HEALTH NEEDS FOR OUR COMMUNITY. THE CHNA STEERING COMMITTEE WERE ASKED TO EVALUATE EACH HEALTH ISSUE ALONG TWO CRITERIA: 1) SCOPE AND SEVERITY OF THE HEALTH ISSUE; AND 2) THE HOSPITALS AND THE COMMUNITY'S ABILITY TO IMPACT THAT ISSUE. THE CHNA STEERING COMMITTEE ALSO CONSIDERED: EXISTING INFRASTRUCTURE - THE PROGRAMS AND SYSTEMS AND STAFF IN PLACE TO ADDRESS THE HEALTH ISSUE; ESTABLISHED RELATIONSHIPS - THE RELATIONSHIPS WITH COMMUNITY-BASED ORGANIZATIONS THAT ALREADY EXIST AND THE OPPORTUNITIES TO DEVELOP NEW PARTNERSHIPS; ONGOING INVESTMENTS - THE RESOURCES ALREADY COMMITTED TO ADDRESS THE HEALTH ISSUE - NOTABLY DESERT MISSION FOOD BANK, THE SOCIAL DETERMINANTS OF HEALTH STEERING COMMITTEE AND INITIATIVES TO ADDRESS HEALTH DISPARITIES; FOCUS - THE ALIGNMENT WITH HONORHEALTH'S STRATEGY. THIS PROCESS YIELDED THE FOLLOWING PRIORITIZED LIST OF HEALTH NEEDS FOR OUR COMMUNITY: BEHAVIORAL HEALTH ACCESS TO CARE ACCESS TO HEALTHY FOOD REASONS WHY AREAS OF OPPORTUNITY ARE NOT BEING ADDRESSED DIABETES: THE CHNA STEERING COMMITTEE DECIDED THAT EFFORTS OUTLINED HEREIN TO IMPROVE ACCESS TO CARE, ACCESS TO HEALTHY FOODS WILL HAVE A POSITIVE IMPACT ON PREVENTION AND MANAGEMENT OF DIABETES, AND THAT A SEPARATE SET OF DIABETES INITIATIVES WAS NOT NECESSARY. HEART DISEASE & STROKE: THE CHNA STEERING COMMITTEE DECIDED THAT EFFORTS OUTLINED HEREIN TO IMPROVE ACCESS TO CARE AND ACCESS TO HEALTHY FOODS WILL HAVE A POSITIVE IMPACT ON PREVENTION, EARLY DETECTION AND MANAGEMENT OF HEART DISEASE AND STROKE, AND THAT A SEPARATE SET OF HEART DISEASE AND STROKE INITIATIVES WAS NOT NECESSARY. CANCER: THE CHNA STEERING COMMITTEE DECIDED EFFORTS OUTLINED HEREIN TO IMPROVE ACCESS TO CARE AND ACCESS TO HEALTHY FOODS WILL HAVE A POSITIVE IMPACT ON PREVENTION, EARLY DETECTION, AND MANAGEMENT OF CANCER, AND THAT A SEPARATE SET OF CANCER-SPECIFIC INITIATIVES WAS NOT NECESSARY. NUTRITION, PHYSICAL ACTIVITY & WEIGHT: THE CHNA STEERING COMMITTEE DECIDED THAT EFFORTS OUTLINED HEREIN TO IMPROVE ACCESS TO CARE AND ACCESS TO HEALTHY FOODS WILL HAVE A POSITIVE IMPACT ON NUTRITION, PHYSICAL ACTIVITY, AND WEIGHT AND THAT A SEPARATE SET OF INITIATIVES WAS NOT NECESSARY. INFANT HEALTH & FAMILY PLANNING: THE CHNA STEERING COMMITTEE DECIDED THAT THIS PRIORITY AREA FALLS MORE WITHIN THE PURVIEW OF THE COUNTY HEALTH DEPARTMENT AND OTHER COMMUNITY BASED ORGANIZATIONS. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION. SUBSTANCE ABUSE: THE CHNA STEERING COMMITTEE DECIDED THAT ACTION PLANS FOR BEHAVIORIAL HEALTH ARE ALIGNED WITH ADDRESSING SUBSTANCE ABUSE SO THIS COMMUNITY HEALTH NEED WILL BE INCLUDED TOGETHER WITH BEHAVIORIAL HEALTH ACTION PLANS. SEE ACTION PLANS BELOW. INJURY & VIOLENCE: THE CHNA STEERING COMMITTEE RECOGNIZED THAT HONORHEALTH HAS EXISTING INVESTMENTS INCLUDING TWO FTES DEDICATED TO TRAUMA INJURY PREVENTION, A FORENSIC NURSE EXAMINER PROGRAM TO ASSIST PATIENTS/VICTIMS OF INTERPERSONAL VIOLENCE AND A ROBUST EMPLOYEE TRAINING PROGRAM TO REDUCE WORKPLACE VIOLENCE IN THE HEALTHCARE SETTING. GIVEN HIGH NEEDS IN OTHER AREAS AS IDENTIFIED BY THE COMMUNITY, THIS WAS NOT IDENTIFIED AS A TOP PRIORITY REQUIRING ADDITIONAL RESOURCES. RESPIRATORY DISEASES: THE CHNA STEERING COMMITTEE THAT EFFORTS OUTLINED HEREIN TO IMPROVE ACCESS TO CARE WILL HAVE A POSITIVE IMPACT ON EARLY DETECTION OF RESPIRATORY DISEASES, AND THAT A SEPARATE SET OF RESPIRATORY DISEASE-SPECIFIC INITIATIVES WAS NOT NECESSARY. TOBACCO USE: THE CHNA STEERING COMMITTEE DECIDED THAT OTHER COMMUNITY ORGANIZATIONS HAVE INFRASTRUCTURE AND PROGRAMS IN PLACE TO BETTER MEET THIS NEED AND LIMITED RESOURCES EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION. THE IMPLEMENTATION STRATEGY WAS APPROVED BY THE HONORHEALTH BOARD OF DIRECTORS ON NOVEMBER 9, 2021. THE CHNA IMPLEMENTATION STRATEGY TO ADDRESS PRIORITY HEALTH ISSUES IN THE FY2022-FY2024 PERIOD ARE: PRIORITY AREA BEHAVOIRIAL HEALTH GOAL: PARTNER WITH COMMUNITY BEHAVIORAL HEALTH SERVICES TO INCREASE ACCESS TO SERVICES -STRATEGY 1: CONTINUE BEHAVIORAL HEALTH HOSPITAL LAUNCH -STRATEGY 2: ADD POINTS OF CARE SUCH AS MULTIDISCIPLINARY MEDICAL CENTERS -STRATEGY 3: SUPPORT COMMUNITY HEALTH CENTERS BEHAVIORAL HEALTH INTAKE DEPRESSION SCREENINGS AND CARE COORDINATION -STRATEGY 4: PARTNER WITH EXTERNAL PROVIDERS TO OFFER OUTPATIENT AND RESIDENTIAL MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES GOAL: INTEGRATE DEPRESSION AND ANXIETY SCREENINGS AND BEHAVIORAL HEALTH PROVIDERS IN POINTS OF CARE -STRATEGY 1: CONTINUE HONORHEALTH MEDICAL GROUP DEPRESSION AND ANXIETY SCREENINGS -STRATEGY 2: INTEGRATE BEHAVIORAL HEALTH CLINICIAN INTO HONORHEALTH MEDICAL GROUP PRIMARY CARE PRACTICES GOAL: EXPAND SUPPORT GROUPS AND TRAUMA INFORMED CARE TRAINING -STRATEGY 1: ADD SUPPORT GROUPS FOR WELL-BEING, HEALTH CONDITIONS AND CHRONIC DISEASE MANAGEMENT -STRATEGY 2: CONTINUE EMPLOYEE TRAINING -STRATEGY 3: CONTINUE CARE-GIVER WELL-BEING PROGRAMS GOAL: SUPPORT PROGRAMS FOR OUTPATIENT SUBSTANCE USE DISORDER PREVENTION AND TREATMENT -STRATEGY 1: CONTINUE OPIOID STEWARDSHIP STEERING COMMITTEE WORKPLAN -STRATEGY 2: SUPPORT INTENSIVE OUTPATIENT PROGRAMS FOR THE TREATMENT OF SUBSTANCE USE DISORDER PRIORITY AREA: ACCESS TO CARE GOAL: STRENGTHEN AFFILIATION WITH COMMUNITY HEALTH CENTERS TO IMPROVE ACCESS POINTS -STRATEGY 1: CONTINUE ""HOSPITAL TO NOAH"" REFERRAL AND NAVIGATION PROGRAM GOAL: PROVIDE MORE POINTS OF ACCESS TO SERVICES IN THE NETWORK; PHYSICAL AND VIRTUAL -STRATEGY 1: ADD PHYSICAL POINTS OF CARE -STRATEGY 2: EXPAND VIRTUAL ACCESS THROUGH TELEMEDICINE -STRATEGY 3: EXPAND VIRTUAL ACCESS THROUGH IMPROVED SCHEDULING OPTIONS -STRATEGY 4: EXPAND VIRTUAL ACCESS BY INCREASING UTILIZATION OF DIGITAL TOOLS SUCH AS MYCHART -STRATEGY 5: EXPAND VIRTUAL ACCESS FOR SPANISH SPEAKERS GOAL: EXPAND POST-DISCHARGE NAVIGATION AND SUPPORT SERVICES -STRATEGY 1: ADD HOSPITAL BASED DISCHARGE AND MEDICAL APPOINTMENT TRANSPORTATION OPTIONS -STRATEGY 2: ADD HOSPITAL BASED ""BRIDGE HOSPITAL TO HOME"" PROGRAM -STRATEGY 3: IMPLEMENT CLOSED-LOOP REFERRAL SYSTEM GOAL: ADDRESS ECONOMIC BARRIERS TO GOAL: ACCESSING CARE THROUGH ELIGIBILITY SUPPORT AND ENROLLMENT -STRATEGY 1: CONTINUE SUPPORT FOR ELIGIBILITY SUPPORT AND ENROLLMENT BY COMMUNITY HEALTH CENTERS -STRATEGY 2: CONTINUE DESERT MISSION FINANCIAL COUNSELING -STRATEGY 3: CONTINUE HOSPITAL BASED ELIGIBILITY SUPPORT AND ENROLLMENT GOAL: EXPAND WORKFORCE CAPACITY RESIDENCY TRAINING PROGRAMS, STUDENT INTERNSHIPS, CLINICAL ROTATIONS, AND MILITARY TRAINING PROGRAM -STRATEGY 1: CONTINUE WORKFORCE DEVELOPMENT THROUGH RESIDENCIES AND FELLOWSHIPS -STRATEGY 2: CONTINUE WORKFORCE DEVELOPMENT THROUGH NURSING CLINICAL ROTATIONS - -STRATEGY 3: CONTINUE WORKFORCE DEVELOPMENT THROUGH ALLIED PROFESSIONAL CLINICAL ROTATIONS -STRATEGY 4: CONTINUE WORKFORCE DEVELOPMENT THROUGH MILITARY PARTNERSHIP TRAINING GOAL: IMPROVE ACCESS TO NEW TREATMENTS AND ADVANCED STANDARDS OF CARE THROUGH CLINICAL RESEARCH -STRATEGY 1: CONTINUE CLINICAL TRIALS INSECURITY SCREENING AND REFERRALS -STRATEGY 1: EXPAND MEDICAL CENTER FOOD INSECURITY SCREENINGS AND REFERRALS -STRATEGY 2: EXPAND FOOD INSECURITY SCREENINGS AND REFERRALS ADDITIONAL POINTS OF CARE GOAL: IMPLEMENT A CLOSED-LOOP REFERRAL SYSTEM IN PARTNERSHIP WITH COMMUNITY BASED ORGANIZATIONS (CBOS) -STRATEGY 1: IMPLEMENT CLOSED-LOOP REFERRAL SYSTEM AT POINTS OF CARE"

Schedule H, Part V, Section B, Line 11 Facility , 2
Facility , 2 - HONORHEALTH REHABILITATION HOSPITAL CONTINUED. PRIORITY AREA: ACCESS TO HEALTHY FOOD GOAL: OFFER A VARIETY OF PROGRAMS TO ADDRESS FOOD INSECURITY AND NUTRITION AT DESERT MISSION FOOD BANK -STRATEGY 1: CONTINUE DESERT MISSION FOOD BANK OPERATIONS FOR VULNERABLE POPULATIONS -STRATEGY 2: CONTINUE DESERT MISSION FOOD BANK OPERATIONS FOR CHILDREN AT SCHOOLS, LIBRARIES, AND COMMUNITY CENTERS -STRATEGY 3: CONTINUE DESERT MISSION FOOD BANK OPERATIONS FOR SENIORS -STRATEGY 4: CONTINUE DESERT MISSION FOOD BANK OPERATIONS FOR CHILDREN INCLUDING INFANTS GOAL: PROVIDE ADDITIONAL POINTS OF ACCESS TO HEALTHY FOODS -STRATEGY 1: CONTINUE CULINARY SERVICES MEAL PREPARATION FOR DELIVERY -STRATEGY 2: CONTINUE DESERT MISSION FOOD BANK SENIOR BAGS FOR SENIORS IN THE COMMODITY SENIOR FOOD PROGRAM CSFP -STRATEGY 3: ADD CONSISTENT FOOD RESOURCES AT MEDICAL CENTERS -STRATEGY 4: ADD CONSISTENT FOOD RESOURCES ADDITIONAL POINTS OF CARE FOR VULNERABLE GOAL: DEVELOP EXTERNAL PARTNERSHIPS TO BROADEN CONNECTION BETWEEN FOOD, NUTRITION, AND CHRONIC DISEASE STRATEGY 1: EXPAND MEDICAL CENTER FOOD INSECURITY SCREENINGS AND REFERRALS STRATEGY 2: EXPAND FOOD INSECURITY SCREENINGS AND REFERRALS ADDITIONAL POINTS OF CARE GOAL: IMPLEMENT A CLOSED-LOOP REFERRAL SYSTEM IN PARTNERSHIP WITH COMMUNITY BASED ORGANIZATIONS (CBOS) -STRATEGY 1: IMPLEMENT CLOSED-LOOP REFERRAL SYSTEM AT POINTS OF CARE GOAL: DEVELOP EXTERNAL PARTNERSHIPS TO BROADEN CONNECTION BETWEEN FOOD, NUTRITION, AND CHRONIC DISEASE

Schedule H, Part V, Section B, Line 16 Facility , 1
Facility , 1 - HONORHEALTH REHABILITATION HOSPITAL. ALL PATIENTS ARE PROVIDED A THOROUGH EXPLANATION OF: (1) THE DOCUMENTATION REQUIRED TO BE CONSIDERED FOR FINANCIAL ASSISTANCE, (2) THE GUIDELINES ON THE PROGRAM, AND (3) THE PERCENTAGE DISCOUNTS AVAILABLE BASED ON FAMILY SIZE, INCOME AND BALANCE OF THE ACCOUNT.

Schedule H, Part V, Section B, Line 2
HONORHEALTH SONORAN CROSSING MEDICAL CENTER, THE NETWORK'S SIXTH MEDICAL CENTER, OPENED IN SEPTEMBER 2020.

Schedule H, Part V, Section B, Line 3E
THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND ARE IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA).

Schedule H, Part V, Section B, Line 5 Facility , 1
Facility , 1 - HONORHEALTH SONORAN CROSSING MEDICAL CENTER. TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY AS WELL AS KNOWLEDGE, INFORMATION AND EXPERTISE RELEVANT TO HEALTH NEEDS OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS CONDUCTED. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY THE CHNA STEERING COMMITTEE; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL KEY INFORMANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY, AND PROVIDED A LINK TO TAKE THE SURVEY ONLINE. IN ALL, 173 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY. THROUGH THIS PROCESS, INPUT WAS GATHERED FROM SEVERAL INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW-INCOME, MINORITY, OR OTHER MEDICALLY UNDERSERVED POPULATIONS. IN THE ONLINE SURVEY, KEY INFORMANTS WERE ASKED TO RATE THE DEGREE TO WHICH VARIOUS HEALTH ISSUES ARE A PROBLEM IN THEIR OWN COMMUNITY. FOLLOW-UP QUESTIONS ASKED THEM TO DESCRIBE WHY THEY IDENTIFY PROBLEM AREAS AS SUCH AND HOW THESE MIGHT BETTER BE ADDRESSED. THE HOSPITAL FACILITY CONSULTED REPRESENTATIVES FROM THE FOLLOWING TYPES OF ORGANIZATIONS: -42 PHYSICIANS -6 PUBLIC HEALTH REPRESENTATIVES -50 OTHER HEALTH PROVIDERS -34 SOCIAL SERVICE PROVIDERS -41 OTHER COMMUNITY LEADERS

Schedule H, Part V, Section B, Line 6a Facility , 1
Facility , 1 - HonorHealth Sonoran Crossing Medical Center. HonorHealth Scottsdale Shea Medical Center HonorHealth Scottsdale Osborn Medical center HonorHealth John C Lincoln Medical Center HonorHealth Deer Valley Medical Center HonorHealth Thompson Peak Medical Center HonorHealth Rehabilitation Hospital HonorHealth Greenbaum Specialty Surgery Hospital

Schedule H, Part V, Section B, Line 11 Facility , 1
"Facility , 1 - HONORHEALTH SONORAN CROSSING MEDICAL CENTER. HONORHEALTH IDENTIFIED THE SAME NEEDS ACROSS ALL LICENSED HOSPITALS. SIGNIFICANT HEALTH NEEDS (OR ""AREAS OF OPPORTUNITY"") WERE DETERMINED AFTER CONSIDERATION OF VARIOUS CRITERIA, INCLUDING STANDING IN COMPARISON WITH BENCHMARK DATA; IDENTIFIED TRENDS; THE PREPONDERANCE OF SIGNIFICANT FINDINGS WITHIN TOPIC AREAS; THE MAGNITUDE OF THE ISSUE IN TERMS OF THE NUMBER OF PERSONS AFFECTED; AND THE POTENTIAL HEALTH IMPACT OF A GIVEN ISSUE. THE AREAS OF OPPORTUNITY: 1. ACCESS TO HEALTHCARE SERVICES 2. DIABETES 3. MENTAL HEALTH 4. HEART DISEASE & STROKE 5. CANCER 6. NUTRITION, PHYSICAL ACTIVITY & WEIGHT 7. INFANT HEALTH & FAMILY PLANNING 8. SUBSTANCE ABUSE 9. INJURY & VIOLENCE 10. RESPIRATORY DISEASES 11. TOBACCO USE PRIORITIZED LIST OF HEALTH NEEDS IN ACKNOWLEDGING THE AREAS OF OPPORTUNITY IDENTIFIED IN THE CHNA PROCESS, IT WAS DETERMINED THAT HONORHEALTH COULD ONLY EFFECTIVELY FOCUS ON THOSE WHICH IT DEEMED MOST PRESSING, MOST UNDER ADDRESSED, AND/OR MOST WITHIN ITS ABILITY TO INFLUENCE. AFTER REVIEWING THE CHNA FINDINGS, THE CHNA STEERING COMMITTEE PRIORITIZED THE TOP HEALTH NEEDS FOR OUR COMMUNITY. THE CHNA STEERING COMMITTEE WERE ASKED TO EVALUATE EACH HEALTH ISSUE ALONG TWO CRITERIA: 1) SCOPE AND SEVERITY OF THE HEALTH ISSUE; AND 2) THE HOSPITALS AND THE COMMUNITY'S ABILITY TO IMPACT THAT ISSUE. THE CHNA STEERING COMMITTEE ALSO CONSIDERED: EXISTING INFRASTRUCTURE - THE PROGRAMS AND SYSTEMS AND STAFF IN PLACE TO ADDRESS THE HEALTH ISSUE; ESTABLISHED RELATIONSHIPS - THE RELATIONSHIPS WITH COMMUNITY-BASED ORGANIZATIONS THAT ALREADY EXIST AND THE OPPORTUNITIES TO DEVELOP NEW PARTNERSHIPS; ONGOING INVESTMENTS - THE RESOURCES ALREADY COMMITTED TO ADDRESS THE HEALTH ISSUE - NOTABLY DESERT MISSION FOOD BANK, THE SOCIAL DETERMINANTS OF HEALTH STEERING COMMITTEE AND INITIATIVES TO ADDRESS HEALTH DISPARITIES; FOCUS - THE ALIGNMENT WITH HONORHEALTH'S STRATEGY. THIS PROCESS YIELDED THE FOLLOWING PRIORITIZED LIST OF HEALTH NEEDS FOR OUR COMMUNITY: BEHAVIORAL HEALTH ACCESS TO CARE ACCESS TO HEALTHY FOOD REASONS WHY AREAS OF OPPORTUNITY ARE NOT BEING ADDRESSED DIABETES: THE CHNA STEERING COMMITTEE DECIDED THAT EFFORTS OUTLINED HEREIN TO IMPROVE ACCESS TO CARE, ACCESS TO HEALTHY FOODS WILL HAVE A POSITIVE IMPACT ON PREVENTION AND MANAGEMENT OF DIABETES, AND THAT A SEPARATE SET OF DIABETES INITIATIVES WAS NOT NECESSARY. HEART DISEASE & STROKE: THE CHNA STEERING COMMITTEE DECIDED THAT EFFORTS OUTLINED HEREIN TO IMPROVE ACCESS TO CARE AND ACCESS TO HEALTHY FOODS WILL HAVE A POSITIVE IMPACT ON PREVENTION, EARLY DETECTION AND MANAGEMENT OF HEART DISEASE AND STROKE, AND THAT A SEPARATE SET OF HEART DISEASE AND STROKE INITIATIVES WAS NOT NECESSARY. CANCER: THE CHNA STEERING COMMITTEE DECIDED EFFORTS OUTLINED HEREIN TO IMPROVE ACCESS TO CARE AND ACCESS TO HEALTHY FOODS WILL HAVE A POSITIVE IMPACT ON PREVENTION, EARLY DETECTION, AND MANAGEMENT OF CANCER, AND THAT A SEPARATE SET OF CANCER-SPECIFIC INITIATIVES WAS NOT NECESSARY. NUTRITION, PHYSICAL ACTIVITY & WEIGHT: THE CHNA STEERING COMMITTEE DECIDED THAT EFFORTS OUTLINED HEREIN TO IMPROVE ACCESS TO CARE AND ACCESS TO HEALTHY FOODS WILL HAVE A POSITIVE IMPACT ON NUTRITION, PHYSICAL ACTIVITY, AND WEIGHT AND THAT A SEPARATE SET OF INITIATIVES WAS NOT NECESSARY. INFANT HEALTH & FAMILY PLANNING: THE CHNA STEERING COMMITTEE DECIDED THAT THIS PRIORITY AREA FALLS MORE WITHIN THE PURVIEW OF THE COUNTY HEALTH DEPARTMENT AND OTHER COMMUNITY BASED ORGANIZATIONS. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION. SUBSTANCE ABUSE: THE CHNA STEERING COMMITTEE DECIDED THAT ACTION PLANS FOR BEHAVIORIAL HEALTH ARE ALIGNED WITH ADDRESSING SUBSTANCE ABUSE SO THIS COMMUNITY HEALTH NEED WILL BE INCLUDED TOGETHER WITH BEHAVIORIAL HEALTH ACTION PLANS. SEE ACTION PLANS BELOW. INJURY & VIOLENCE: THE CHNA STEERING COMMITTEE RECOGNIZED THAT HONORHEALTH HAS EXISTING INVESTMENTS INCLUDING TWO FTES DEDICATED TO TRAUMA INJURY PREVENTION, A FORENSIC NURSE EXAMINER PROGRAM TO ASSIST PATIENTS/VICTIMS OF INTERPERSONAL VIOLENCE AND A ROBUST EMPLOYEE TRAINING PROGRAM TO REDUCE WORKPLACE VIOLENCE IN THE HEALTHCARE SETTING. GIVEN HIGH NEEDS IN OTHER AREAS AS IDENTIFIED BY THE COMMUNITY, THIS WAS NOT IDENTIFIED AS A TOP PRIORITY REQUIRING ADDITIONAL RESOURCES. RESPIRATORY DISEASES: THE CHNA STEERING COMMITTEE THAT EFFORTS OUTLINED HEREIN TO IMPROVE ACCESS TO CARE WILL HAVE A POSITIVE IMPACT ON EARLY DETECTION OF RESPIRATORY DISEASES, AND THAT A SEPARATE SET OF RESPIRATORY DISEASE-SPECIFIC INITIATIVES WAS NOT NECESSARY. TOBACCO USE: THE CHNA STEERING COMMITTEE DECIDED THAT OTHER COMMUNITY ORGANIZATIONS HAVE INFRASTRUCTURE AND PROGRAMS IN PLACE TO BETTER MEET THIS NEED AND LIMITED RESOURCES EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION. THE IMPLEMENTATION STRATEGY WAS APPROVED BY THE HONORHEALTH BOARD OF DIRECTORS ON NOVEMBER 9, 2021. THE CHNA IMPLEMENTATION STRATEGY TO ADDRESS PRIORITY HEALTH ISSUES IN THE FY2022-FY2024 PERIOD ARE: PRIORITY AREA BEHAVOIRIAL HEALTH GOAL: PARTNER WITH COMMUNITY BEHAVIORAL HEALTH SERVICES TO INCREASE ACCESS TO SERVICES -STRATEGY 1: CONTINUE BEHAVIORAL HEALTH HOSPITAL LAUNCH -STRATEGY 2: ADD POINTS OF CARE SUCH AS MULTIDISCIPLINARY MEDICAL CENTERS -STRATEGY 3: SUPPORT COMMUNITY HEALTH CENTERS BEHAVIORAL HEALTH INTAKE DEPRESSION SCREENINGS AND CARE COORDINATION -STRATEGY 4: PARTNER WITH EXTERNAL PROVIDERS TO OFFER OUTPATIENT AND RESIDENTIAL MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES GOAL: INTEGRATE DEPRESSION AND ANXIETY SCREENINGS AND BEHAVIORAL HEALTH PROVIDERS IN POINTS OF CARE -STRATEGY 1: CONTINUE HONORHEALTH MEDICAL GROUP DEPRESSION AND ANXIETY SCREENINGS -STRATEGY 2: INTEGRATE BEHAVIORAL HEALTH CLINICIAN INTO HONORHEALTH MEDICAL GROUP PRIMARY CARE PRACTICES GOAL: EXPAND SUPPORT GROUPS AND TRAUMA INFORMED CARE TRAINING -STRATEGY 1: ADD SUPPORT GROUPS FOR WELL-BEING, HEALTH CONDITIONS AND CHRONIC DISEASE MANAGEMENT -STRATEGY 2: CONTINUE EMPLOYEE TRAINING -STRATEGY 3: CONTINUE CARE-GIVER WELL-BEING PROGRAMS GOAL: SUPPORT PROGRAMS FOR OUTPATIENT SUBSTANCE USE DISORDER PREVENTION AND TREATMENT -STRATEGY 1: CONTINUE OPIOID STEWARDSHIP STEERING COMMITTEE WORKPLAN -STRATEGY 2: SUPPORT INTENSIVE OUTPATIENT PROGRAMS FOR THE TREATMENT OF SUBSTANCE USE DISORDER PRIORITY AREA: ACCESS TO CARE GOAL: STRENGTHEN AFFILIATION WITH COMMUNITY HEALTH CENTERS TO IMPROVE ACCESS POINTS -STRATEGY 1: CONTINUE ""HOSPITAL TO NOAH"" REFERRAL AND NAVIGATION PROGRAM GOAL: PROVIDE MORE POINTS OF ACCESS TO SERVICES IN THE NETWORK; PHYSICAL AND VIRTUAL -STRATEGY 1: ADD PHYSICAL POINTS OF CARE -STRATEGY 2: EXPAND VIRTUAL ACCESS THROUGH TELEMEDICINE -STRATEGY 3: EXPAND VIRTUAL ACCESS THROUGH IMPROVED SCHEDULING OPTIONS -STRATEGY 4: EXPAND VIRTUAL ACCESS BY INCREASING UTILIZATION OF DIGITAL TOOLS SUCH AS MYCHART -STRATEGY 5: EXPAND VIRTUAL ACCESS FOR SPANISH SPEAKERS GOAL: EXPAND POST-DISCHARGE NAVIGATION AND SUPPORT SERVICES -STRATEGY 1: ADD HOSPITAL BASED DISCHARGE AND MEDICAL APPOINTMENT TRANSPORTATION OPTIONS -STRATEGY 2: ADD HOSPITAL BASED ""BRIDGE HOSPITAL TO HOME"" PROGRAM -STRATEGY 3: IMPLEMENT CLOSED-LOOP REFERRAL SYSTEM GOAL: ADDRESS ECONOMIC BARRIERS TO GOAL: ACCESSING CARE THROUGH ELIGIBILITY SUPPORT AND ENROLLMENT -STRATEGY 1: CONTINUE SUPPORT FOR ELIGIBILITY SUPPORT AND ENROLLMENT BY COMMUNITY HEALTH CENTERS -STRATEGY 2: CONTINUE DESERT MISSION FINANCIAL COUNSELING -STRATEGY 3: CONTINUE HOSPITAL BASED ELIGIBILITY SUPPORT AND ENROLLMENT GOAL: EXPAND WORKFORCE CAPACITY RESIDENCY TRAINING PROGRAMS, STUDENT INTERNSHIPS, CLINICAL ROTATIONS, AND MILITARY TRAINING PROGRAM -STRATEGY 1: CONTINUE WORKFORCE DEVELOPMENT THROUGH RESIDENCIES AND FELLOWSHIPS -STRATEGY 2: CONTINUE WORKFORCE DEVELOPMENT THROUGH NURSING CLINICAL ROTATIONS - -STRATEGY 3: CONTINUE WORKFORCE DEVELOPMENT THROUGH ALLIED PROFESSIONAL CLINICAL ROTATIONS -STRATEGY 4: CONTINUE WORKFORCE DEVELOPMENT THROUGH MILITARY PARTNERSHIP TRAINING GOAL: IMPROVE ACCESS TO NEW TREATMENTS AND ADVANCED STANDARDS OF CARE THROUGH CLINICAL RESEARCH -STRATEGY 1: CONTINUE CLINICAL TRIALS INSECURITY SCREENING AND REFERRALS -STRATEGY 1: EXPAND MEDICAL CENTER FOOD INSECURITY SCREENINGS AND REFERRALS -STRATEGY 2: EXPAND FOOD INSECURITY SCREENINGS AND REFERRALS ADDITIONAL POINTS OF CARE GOAL: IMPLEMENT A CLOSED-LOOP REFERRAL SYSTEM IN PARTNERSHIP WITH COMMUNITY BASED ORGANIZATIONS (CBOS) -STRATEGY 1: IMPLEMENT CLOSED-LOOP REFERRAL SYSTEM AT POINTS OF CARE"

Schedule H, Part V, Section B, Line 11 Facility , 2
Facility , 2 - HONORHEALTH SONORAN CROSSING MEDICAL CENTER CONTINUED. PRIORITY AREA: ACCESS TO HEALTHY FOOD GOAL: OFFER A VARIETY OF PROGRAMS TO ADDRESS FOOD INSECURITY AND NUTRITION AT DESERT MISSION FOOD BANK -STRATEGY 1: CONTINUE DESERT MISSION FOOD BANK OPERATIONS FOR VULNERABLE POPULATIONS -STRATEGY 2: CONTINUE DESERT MISSION FOOD BANK OPERATIONS FOR CHILDREN AT SCHOOLS, LIBRARIES, AND COMMUNITY CENTERS -STRATEGY 3: CONTINUE DESERT MISSION FOOD BANK OPERATIONS FOR SENIORS -STRATEGY 4: CONTINUE DESERT MISSION FOOD BANK OPERATIONS FOR CHILDREN INCLUDING INFANTS GOAL: PROVIDE ADDITIONAL POINTS OF ACCESS TO HEALTHY FOODS -STRATEGY 1: CONTINUE CULINARY SERVICES MEAL PREPARATION FOR DELIVERY -STRATEGY 2: CONTINUE DESERT MISSION FOOD BANK SENIOR BAGS FOR SENIORS IN THE COMMODITY SENIOR FOOD PROGRAM CSFP -STRATEGY 3: ADD CONSISTENT FOOD RESOURCES AT MEDICAL CENTERS -STRATEGY 4: ADD CONSISTENT FOOD RESOURCES ADDITIONAL POINTS OF CARE FOR VULNERABLE POPULATIONS GOAL: INCREASE FOOD GOAL: DEVELOP EXTERNAL PARTNERSHIPS TO BROADEN CONNECTION BETWEEN FOOD, NUTRITION, AND CHRONIC DISEASE STRATEGY 1: EXPAND MEDICAL CENTER FOOD INSECURITY SCREENINGS AND REFERRALS STRATEGY 2: EXPAND FOOD INSECURITY SCREENINGS AND REFERRALS ADDITIONAL POINTS OF CARE GOAL: IMPLEMENT A CLOSED-LOOP REFERRAL SYSTEM IN PARTNERSHIP WITH COMMUNITY BASED ORGANIZATIONS (CBOS) -STRATEGY 1: IMPLEMENT CLOSED-LOOP REFERRAL SYSTEM AT POINTS OF CARE GOAL: DEVELOP EXTERNAL PARTNERSHIPS TO BROADEN CONNECTION BETWEEN FOOD, NUTRITION, AND CHRONIC DISEASE

Schedule H, Part V, Section B, Line 16 Facility , 1
Facility , 1 - HONORHEALTH SONORAN CROSSING MEDICAL CENTER. ALL PATIENTS ARE PROVIDED A THOROUGH EXPLANATION OF: (1) THE DOCUMENTATION REQUIRED TO BE CONSIDERED FOR FINANCIAL ASSISTANCE, (2) THE GUIDELINES ON THE PROGRAM, AND (3) THE PERCENTAGE DISCOUNTS AVAILABLE BASED ON FAMILY SIZE, INCOME AND BALANCE OF THE ACCOUNT.

Schedule H, Part I, Line 6a PART I, LINE 6A
HONORHEALTH CONDUCTED COMMUNITY BENEFIT ACTIVITIES IN 2021 AS DESCRIBED BELOW. THE ANNUAL 2021 COMMUNITY BENEFIT REPORT WILL BE FINALIZED FOLLOWING THE SUBMISSION OF THIS FORM 990 TAX RETURN. HONORHEALTH OFFERS AN INTEGRATED SYSTEM OF CARE TO BRING HIGHLY COORDINATED, MORE ACCESSIBLE HEALTHCARE TO OUR PATIENTS AND OUR COMMUNITIES. CARING FOR OUR COMMUNITY EXTENDS BEYOND HONORHEALTH'S MEDICAL CENTERS, IT ALSO INCLUDES THE COMMUNITY PROGRAMS OF HONORHEALTH DESERT MISSION AND THE HONORHEALTH MILITARY PARTNERSHIP PROGRAM. IN ADDITION, HONORHEALTH'S AFFILIATION WITH NEIGHBORHOOD OUTREACH ACCESS TO HEALTH (NOAH) ADDS TO HONORHEALTH'S EXTENSIVE INTEGRATED CARE NETWORK BY PROVIDING BEHAVIORAL HEALTH SERVICES AND DENTAL CARE AS WELL AS ADDRESSING SOCIAL NEEDS. ALL OF THESE VARIOUS STRATEGIES HELP US DELIVER ON OUR MISSION TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY WE SERVE. DESERT MISSION FOOD BANK PROVIDES EMERGENCY FOOD AND FOOD SECURITY PROGRAMS TO CLIENTS THROUGH THE PROVISION OF EMERGENCY FOOD BOXES TO INDIVIDUALS AND FAMILIES AT OR BELOW 185 PERCENT OF THE FEDERAL POVERTY LEVEL. LOW-INCOME AREA SCHOOL CHILDREN RECEIVE SNACK PACKS OR PACKAGES OF KID-FRIENDLY FOOD FOR USE OVER THE WEEKEND AND FOR CHILDREN WHO RELY ON THE FEDERAL FREE AND REDUCED BREAKFAST/LUNCH PROGRAM TO MEET THEIR NUTRITIONAL NEEDS. DESERT MISSION OPERATES THE LINCOLN LEARNING CENTER. THE LINCOLN LEARNING CENTER OFFERS QUALITY CHILDCARE FOR CHILDREN AGES 6 WEEKS TO 12 YEARS. IN 2019, LINCOLN LEARNING CENTER RECEIVED A FIVE-STAR RATING FROM THE FIRST THINGS FIRST QUALITY SITE; ARIZONA'S HIGHEST STANDARD FOR EARLY CHILD DEVELOPMENT. THE DESERT MISSION ADULT DAY HEALTH CARE PROVIDES ENRICHMENT ACTIVITIES FOR OLDER ADULTS AND THOSE PHYSICALLY OR COGNITIVELY CHALLENGED IN AN AFFORDABLE, SECURE ENVIRONMENT. THE CENTER SERVES AS A RESOURCE FOR FAMILIES TO OBTAIN RESPITE CARE FROM CAREGIVING RESPONSIBILITIES. HONORHEALTH'S MILITARY PARTNERSHIP ENABLES MEDICAL PERSONNEL FROM ALL BRANCHES OF THE ARMED FORCES TO GAIN SKILLS AND EXPERIENCE NEEDED TO PERFORM SUCCESSFULLY ON COMBAT OR HUMANITARIAN MISSIONS. THE TRAINING INCLUDES HANDS-ON LEARNING THROUGH HIGH-TECH HUMAN PATIENT SIMULATORS, EXPERT LECTURES BY SPECIALIST PHYSICIANS AND CLINICIANS, CLINICAL ROTATIONS AT HONORHEALTH, MARICOPA INTEGRATED HOSPITAL SYSTEMS, AND LUKE AIR FORCE BASE. THE PARTNERSHIP ENSURES THAT MEDICAL PROFESSIONALS ARE READY AND ABLE TO ASSIST AT DISASTER SITES AND HUMANITARIAN MISSIONS AROUND THE WORLD AND BUILDS RELATIONSHIPS BETWEEN HONORHEALTH AND MILITARY BRANCHES THAT CAN BE BENEFICIAL IN POTENTIAL LOCAL EMERGENCY RESPONSE SITUATIONS. THE PROGRAM ALSO PROVIDES TRAINING TO LOCAL PARAMEDICS AND FIREFIGHTERS. ON BEHALF OF THE THREE HONORHEALTH TRAUMA CENTERS, THE MILITARY PARTNERSHIP PROVIDES INJURY PREVENTION EDUCATION TO SENIORS AND HIGH SCHOOL STUDENTS. HONORHEALTH PROVIDES HEALTH CAREER EDUCATION THROUGH ITS WORKFORCE DEVELOPMENT, PROFESSIONAL NURSING CLINICAL EDUCATION, ALLIED HEALTH PROFESSIONS CLINICAL EDUCATION, AND GRADUATE MEDICAL EDUCATION. THROUGH PARTNERSHIPS WITH EIGHT COLLEGIATE PARTNERS, INCLUDING SCOTTSDALE COMMUNITY COLLEGE AND GRAND CANYON UNIVERSITY. MORE THAN 285 FAMILY PHYSICIANS HAVE GRADUATED FROM OUR FAMILY MEDICINE RESIDENCY PROGRAM, WITH MANY OF THEM REMAINING IN ARIZONA TO PRACTICE. 2021 WAS THE EIGHTH YEAR OF THE GENERAL SURGERY RESIDENCY PROGRAM, THE SIXTH YEAR FOR THE INTERNAL MEDICINE RESIDENCY PROGRAM, AND THE FIFTH YEAR FOR THE DERMATOLOGY AND PHYSICAL MEDICINE AND REHABILITATION RESIDENCY PROGRAM. HONORHEALTH HAS A PHARMACY RESIDENCY PROGRAM THAT PROVIDES VALUABLE LEARNING TO LICENSED PHARMACISTS INTERESTED IN BECOMING HOSPITAL PHARMACISTS OR CLINICAL PHARMACY SPECIALISTS. TO ADDRESS THE INCREASING CONCERN OF OPIOID AND OTHER DRUG OVERUSE, HONORHEALTH ALSO STARTED AN ADDICTION MEDICINE FELLOWSHIP IN 2018. HONORHEALTH PROVIDES CANCER TREATMENT, CLINICAL TRIALS, AND SUPPORT SERVICES IN COLLABORATION WITH LEADING SCIENTIFIC RESEARCHERS AND COMMUNITY ONCOLOGISTS AT THE VIRGINIA G. PIPER CANCER CENTER AND THE BREAST HEALTH RESEARCH CENTER. THE VIRGINIA G. PIPER CANCER CENTER'S CANCER CARE COORDINATORS HELP PATIENTS AND FAMILIES AT NO CHARGE BY PROVIDING NEW PATIENT RESOURCES, ONGOING SUPPORT, EDUCATIONAL INFORMATION, AND SUPPORT SERVICES REFERRALS. COMMUNITY PROGRAMS PROVIDED IN 2021 ALSO INCLUDED NUTRITIONAL EDUCATION.

Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation
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Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance
LINE 7A/7B: THE COST-TO-CHARGE WORKSHEETS FROM THE FORM 990 SCHEDULE INSTRUCTIONS WERE USED TO COMPLETE THESE LINES. LINE 7E: COMMUNITY HEALTH IMPROVEMENT COSTS WERE BASED ON AVERAGE SALARIES FOR EACH DEPARTMENT AND THE NUMBER OF EMPLOYEE HOURS DEVOTED TO COMMUNITY HEALTH IMPROVEMENT PROGRAMS. NON-SALARY DIRECT AND INDIRECT COSTS WERE ADDED WHEN APPLICABLE. LINE 7F: HEALTH PROFESSION EDUCATION COSTS WERE BASED ON AVERAGE SALARIES AND HOURS DEVOTED BY STAFF IN TRAINING STUDENTS. STUDENTS INCLUDE NURSES, PHYSICIANS, PHARMACISTS, AND THERAPISTS. LINE 7G: SUBSIDIZED HEALTH CARE INCLUDES THE LOST INCOME FROM THE SERVICES. LOST INCOME MAY INCLUDE THE COST OF SALARIES AND THE COST OF EQUIPMENT. LINE 7H: RESEARCH INCLUDES THE SALARIES OF RESEARCH STAFF AND FUNDING FOR SPECIFIC RESEARCH PROGRAMS. LINE 7I: CASH AND IN-KIND SERVICES INCLUDE ANY DONATIONS, GRANTS, OR SPONSORSHIPS. IF A DONATION IS NON-MONETARY, A PRICE IS ESTIMATED FOR THE GOOD.

Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
NET PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT SERVICE REVENUE HAVE BEEN ADJUSTED TO THE ESTIMATED AMOUNTS EXPECTED TO BE RECEIVED. THESE ESTIMATED AMOUNTS ARE SUBJECT TO FURTHER ADJUSTMENTS UPON REVIEW BY THIRD-PARTY PAYORS. BAD DEBT IS DETERMINED BY THE PATIENT'S OUTSTANDING ACCOUNT BALANCE ON THE DAY THEIR ACCOUNT IS TRANSFERRED TO A BAD DEBT STATUS. THE OUTSTANDING ACCOUNT BALANCE CONSISTS OF GROSS REVENUE LESS ANY CONTRACTUAL ADJUSTMENTS AND PAYMENTS POSTED TO THE ACCOUNT. PAYMENTS MADE AFTER THE ACCOUNT IS IN A BAD DEBT STATUS ARE CONSIDERED RECOVERIES AND WILL REDUCE THE BAD DEBT AMOUNT WHEN PAYMENTS ARE RECEIVED.

Schedule H, Part III, Line 3 Bad Debt Expense Methodology
THE COST OF BAD DEBT EXPENSE IS DETERMINED USING THE NETWORK'S CALCULATED COST TO CHARGE RATIO APPLIED TO REPORTED GROSS CHARGES WRITTEN OFF DURING THE YEAR. USING A SAMPLE OF ACCOUNTS WRITTEN OFF DURING THE YEAR, THE NETWORK HAS ESTIMATED THAT APPROXIMATELY 38% OF BAD DEBT WAS ATTRIBUTED TO PATIENTS ELIGIBLE UNDER THE NETWORK'S FINANCIAL ASSISTANCE POLICY. A NUMBER OF PATIENTS ARE TRULY UNABLE TO PAY THEIR OUT-OF-POCKET LIABILITY, BUT DO NOT COMPLETE THE PROCESS REQUIRED TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THESE PATIENTS WOULD QUALIFY FOR CHARITY CARE IF THEY COMPLETED THE PAPERWORK, SO THE BAD DEBT EXPENSE ASSOCIATED WITH TREATING THEM IS TREATED AS COMMUNITY BENEFIT.

Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
THE FOOTNOTE THAT DESCRIBES BAD DEBT IS ON PAGE 13 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.

Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
PURSUANT TO HONORHEALTH'S FINANCIAL ASSISTANCE POLICY, HONORHEALTH WILL NOT PURSUE LEGAL ACTION FOR NON-PAYMENT OF BILLS AGAINST FINANCIAL ASSISTANCE PATIENTS WHO HAVE CLEARLY DEMONSTRATED THAT THEY HAVE NEITHER SUFFICIENT INCOME NOR ASSETS TO MEET THEIR FINANCIAL OBLIGATION. HONORHEALTH WILL NOT EXECUTE A LIEN BY FORCING THE SALE OR FORECLOSURE OF A FINANCIAL ASSISTANCE PATIENT'S PRIMARY RESIDENCE TO PAY FOR AN OUTSTANDING MEDICAL BILL. HONORHEALTH WILL NOT USE BODY ATTACHMENT TO REQUIRE THE FINANCIAL ASSISTANCE PATIENT OR RESPONSIBLE PARTY TO APPEAR IN COURT.

Schedule H, Part II Community Building Activities
THE COMMUNITY BUILDING ACTIVITIES THAT HONORHEALTH PROVIDES SEEK TO IMPROVE THE HEALTH OF THE COMMUNITIES SERVED BY ADDRESSING BOTH THE SOCIAL AND HEALTHCARE NEEDS. DESERT MISSION, INC. HELPS FACILITATE THE DEVELOPMENT OF COMMUNITY, HOUSING, AND BUSINESS IN THE NORTH VALLEY OF PHOENIX ARIZONA. DESERT MISSION, INC. PRIMARILY FOCUSES ON NEIGHBORHOOD REVITALIZATION THROUGH AFFORDABLE HOUSING DEVELOPMENT, BLIGHT ELIMINATION, AND OWNER OCCUPIED HOME REHABILITATION. DESERT MISSION, INC. ALSO PROVIDES LEADERSHIP AND SUPPORT IN DEVELOPING THE BUSINESS CORRIDOR AROUND THE JOHN C. LINCOLN MEDICAL CENTER CAMPUS. HONORHEALTH BEGAN WORK WITH COMMUNITY PARTNERS WITHIN THE SUNNYSLOPE COMMUNITY TO ADDRESS ECONOMIC DEVELOPMENT. WITH LOCAL BUSINESSES, THE FAITH COMMUNITY AND OTHER NONPROFITS, HONORHEALTH IS ADDRESSING THE HOMELESS POPULATION AND THE UNIQUE NEEDS OF THAT POPULATION. HONORHEALTH EXECUTIVE STAFF PROVIDES LEADERSHIP ON BOARDS AND COMMITTEES THROUGHOUT THE PHOENIX METROPOLITAN COMMUNITY. THEIR LEADERSHIP HELPS WITH THE ECONOMIC GROWTH OF THE METROPOLITAN AREA, MAKING IT AN ATTRACTIVE SITE FOR BUSINESS. IN ADDITION, HONORHEALTH SUPPORTED INITIATIVES AND ORGANIZATIONS WITH A FOCUS ON THE SOCIAL DETERMINANTS OF HEALTH, LIKE A RECENT TRANSPORTATION PLAN FOR THE CITY OF PHOENIX. THE MILITARY PARTNERSHIP DEMONSTRATES HONORHEALTH'S CONTINUAL COMMITMENT TO TRAINING THE MILITARY FOR SUCCESSFUL COMBAT MISSIONS AT OUR LEVEL I TRAUMA CENTER AT SCOTTSDALE OSBORN MEDICAL CENTER. HONORHEALTH ALSO PROVIDES SUPPORT AND TRAINING TO PREPARE STUDENTS FOR CAREERS IN THE HEALTHCARE SECTOR. THOUGH THE JOBS FOR ARIZONA GRADUATES PROGRAM, HIGH SCHOOL STUDENTS FROM TITLE 1 SCHOOLS ARE GIVEN THE OPPORTUNITY TO LEARN ABOUT THE HEALTHCARE SECTOR. HONORHEALTH STAFF ACT AS MENTORS AND PRECEPTORS TO STUDENT INTERNS, FELLOWS, AND RESIDENTS.

Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs
THE AMOUNT ON PART III, LINE 6 IS FROM THE MEDICARE COST REPORTS FILED BY THE ORGANIZATION. THE ENTIRE SHORTFALL REPORTED ON PART III, LINE 7 IS A COMMUNITY BENEFIT. THE RATIONALE FOR INCLUDING MEDICARE LOSSES AS COMMUNITY BENEFIT LIES IN THE NETWORK'S BELIEF THAT, BASED ON IRS REVENUE RULING 69-545, SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS SUCH AS MEDICARE IS AN INDICATOR THAT THE NETWORK'S HOSPITALS OPERATE TO PROMOTE THE HEALTH OF THE COMMUNITY AND THEREFORE PROVIDES A COMMUNITY BENEFIT. THE NETWORK ALSO BELIEVES THAT TAX-EXEMPT HOSPITALS PLAY A VITAL ROLE IN PROVIDING THE ELDERLY WITH ACCESS TO HEALTHCARE SERVICES THEY MIGHT OTHERWISE BE DENIED BY FOR-PROFIT AND SPECIALTY HOSPITALS THAT FOCUS ON HIGH-MARGIN SERVICES OR THAT WOULD HAVE TO BE PROVIDED DIRECTLY BY THE FEDERAL GOVERNMENT.

Schedule H, Part V, Section B, Line 16a FAP website
A - HONORHEALTH SCOTTSDALE SHEA MED CTR: Line 16a URL: HTTPS://WWW.HONORHEALTH.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-POLICY; - HONORHEALTH REHABILITATION HOSPITAL: Line 16a URL: HTTPS://WWW.HONORHEALTH-REHAB.COM/PATIENTS-AND-CAREGIVERS/ADMISSIONS/FINANCIAL-ASSISTANCE/; - HONORHEALTH SONORAN CROSSING MEDICAL CENTER: Line 16a URL: HTTPS://WWW.HONORHEALTH.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-POLICY;

Schedule H, Part V, Section B, Line 16b FAP Application website
A - HONORHEALTH SCOTTSDALE SHEA MED CTR: Line 16b URL: HTTPS://WWW.HONORHEALTH.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-POLICY; - HONORHEALTH REHABILITATION HOSPITAL: Line 16b URL: HTTPS://WWW.HONORHEALTH-REHAB.COM/PATIENTS-AND-CAREGIVERS/ADMISSIONS/FINANCIAL-ASSISTANCE/; - HONORHEALTH SONORAN CROSSING MEDICAL CENTER: Line 16b URL: HTTPS://WWW.HONORHEALTH.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-POLICY;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
A - HONORHEALTH SCOTTSDALE SHEA MED CTR: Line 16c URL: HTTPS://WWW.HONORHEALTH.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-POLICY; - HONORHEALTH REHABILITATION HOSPITAL: Line 16c URL: HTTPS://WWW.HONORHEALTH-REHAB.COM/PATIENTS-AND-CAREGIVERS/ADMISSIONS/FINANCIAL-ASSISTANCE/; - HONORHEALTH SONORAN CROSSING MEDICAL CENTER: Line 16c URL: HTTPS://WWW.HONORHEALTH.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-POLICY;

Schedule H, Part VI, Line 2 Needs assessment
HONORHEALTH PARTNERS WITH OTHER ORGANIZATIONS CONDUCTING ASSESSMENTS. THIS INCLUDES THE MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH AND THE ARIZONA DEPARTMENT OF HEALTH SERVICES. HONORHEALTH IS A PARTNER WITH THE HEALTH IMPROVEMENT PARTNERSHIP OF MARICOPA COUNTY. HONORHEALTH STAFF ATTEND QUARTERLY MEETINGS WITH OTHER PARTNERS TO IDENTIFY STRATEGIES THAT WILL IMPROVE THE HEALTH OF MARICOPA COUNTY RESIDENTS. HONORHEALTH ALSO WORKS CLOSELY WITH NOAH, A FEDERALLY QUALIFIED HEALTH CENTER. THROUGH THIS PARTNERSHIP, HONORHEALTH STAFF PROVIDE RESOURCES TO NOAH TO ASSIST IN ASSESSMENTS. HONORHEALTH STAFF ALSO HELP NOAH IDENTIFY AREAS WITHIN MARICOPA COUNTY THAT MAY BENEFIT FROM OPENING A NOAH CLINIC.

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
HONORHEALTH, THROUGH ITS FINANCIAL ASSISTANCE POLICIES, PROVIDES ASSISTANCE FOR THOSE FROM 200-500% OF THE FEDERAL POVERTY LEVEL BASED ON THE VERIFICATION OF THE PATIENT'S FINANCIAL STATUS. ALL PATIENTS ARE NOTIFIED DURING THEIR ADMISSION PROCESS OF HONORHEALTH'S FINANCIAL ASSISTANCE POLICY. THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE THROUGH HONORHEALTH'S WEBSITE WWW.HONORHEALTH.COM. BROCHURES ARE AVAILABLE IN ALL PUBLIC AREAS OF THE HOSPITALS. OUR PATIENTS MAY REQUEST TO SPEAK WITH A FINANCE REPRESENTATIVE AT ANY TIME BEFORE, DURING OR AFTER THEIR STAY IN ONE OF HONORHEALTH'S FACILITIES.

Schedule H, Part VI, Line 7 State filing of community benefit report
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Schedule H, Part VI, Line 4 Community information
HONORHEALTH'S GEOGRAPHIC AREA IS COMPRISED OF 56 ZIP CODES THAT COVER THE NORTHEAST QUADRANT OF METROPOLITAN PHOENIX. THE BORDERS INCLUDE THE TONTO NATIONAL FOREST TO THE NORTH, HIGHWAY 202 AND THE I-10 TO THE SOUTH, THE SALT-RIVER PIMA COMMUNITY TO THE EAST, AND EXTENDS BEYOND THE I-17 TO THE WEST. SPECIFIC CITIES AND TOWNS SERVED INCLUDE SCOTTSDALE, PARADISE VALLEY, NORTHEAST PHOENIX, CAREFREE, CAVE CREEK, GLENDALE, ANTHEM, PEORIA, RIO VERDE, FOUNTAIN HILLS, NORTHWEST MESA, AND NORTHEAST TEMPE. IN ADDITION, THE SERVICE AREA INCLUDES THE SALT-RIVER PIMA AND FORT MCDOWELL NATIVE AMERICAN COMMUNITIES. IN 2021, THE ESTIMATED POPULATION OF THE SERVICE AREA WAS 1.927 MILLION PEOPLE. THE POPULATION IS 73.1% WHITE, 26.0% HISPANIC, 5.0% BLACK, 2.4% AMERICAN INDIAN, 4.5% ASIAN/PACIFIC ISLANDER, AND 4.0% REPORTING 2 OR MORE RACES. AGE WISE, THE POPULATION IS 23.9% UNDER 20 YEARS OF AGE, 7.2% 20-24, 14.8% 25-34, 24.6% 35-54, 12.5% 55-64, AND 17.0% 65 AND OLDER. THE MEDIAN AGE WAS 38.1 YEARS. THE DISTRIBUTION OF INCOME SHOWS A WIDE RANGE WITH 16.0% MAKING LESS THAN $25,000/YEAR WHILE 33.7% HAVE AN INCOME OVER $100,000. THE OVERALL MEDIAN INCOME WAS $63,117. RESIDENTS IN THE JOHN C. LINCOLN AND SCOTTSDALE OSBORN MEDICAL CENTER SERVICE AREA TEND TO BE LESS EDUCATED AND LESS AFFLUENT COMPARED TO THE SERVICE AREAS OF THE OTHER HOSPITALS THAT MAKE UP HONORHEALTH. BESIDES HONORHEALTH, THERE ARE SEVERAL OTHER HOSPITALS LOCATED WITHIN THE SERVICE AREA AND ADDITIONAL HOSPITALS THAT WHILE NOT IN THE SERVICE AREA, HAVE OVERLAPPING SERVICE AREAS. HOSPITALS LOCATED WITHIN THE SERVICE AREA INCLUDE MAYO CLINIC HOSPITAL, ABRAZO SCOTTSDALE, AND TEMPE ST. LUKE'S. HOSPITALS THAT SHARE SERVICE AREA INCLUDE, MARICOPA MEDICAL CENTER, AND BANNER - UNIVERSITY MEDICAL CENTER PHOENIX. FINALLY, THERE ARE THREE SPECIAL POPULATION HOSPITALS THAT MAY PROVIDE SERVICES TO RESIDENTS LIVING IN THE HONORHEALTH SERVICE AREA. THOSE ARE PHOENIX CHILDREN'S HOSPITAL, CARL T. HAYDEN VETERAN'S ADMINISTRATION HOSPITAL, AND PHOENIX INDIAN MEDICAL CENTER. WITHIN THE HONORHEALTH SERVICE AREA ARE SEVEN FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS/POPULATIONS. THE PHOENIX CENTRAL, SOUTH CENTRAL PHOENIX AND NORTH TEMPE SERVICE AREAS ARE WITHIN THE HONORHEALTH SCOTTSDALE OSBORN MEDICAL CENTER SERVICE AREA. THE PARADISE VALLEY DESIGNATED AREA IS WITHIN THE HONORHEALTH SHEA MEDICAL CENTER SERVICE AREA AND THE HONORHEALTH SCOTTSDALE THOMPSON PEAK MEDICAL CENTER SERVICE AREA. THE HONORHEALTH JOHN C. LINCOLN MEDICAL CENTER SERVICE AREA INCLUDES GLENDALE, PHOENIX CENTRAL, AND SUNNYSLOPE. HONORHEALTH DEER VALLEY MEDICAL CENTER ALSO SERVES THE SUNNYSLOPE MEDICALLY UNDERSERVED AREA.

Schedule H, Part VI, Line 5 Promotion of community health
HONORHEALTH PROMOTES COMMUNITY HEALTH THOUGH AN ONGOING SERIES OF FREE MEDICAL SEMINARS ON TOPICS SUCH AS BREAST CANCER, DIABETES SELF-MANAGEMENT, AND SCREENINGS FOR CONDITIONS INCLUDING STROKE AND CARDIAC. HONORHEALTH PROVIDES MEETING SPACE FOR FREE SUPPORT GROUPS THAT MEET MONTHLY IN ORDER TO SUPPORT PATIENTS AND CAREGIVERS FOR DIFFERENT DISEASES INCLUDING DIABETES, CANCER, AND STROKE. IN ADDITION, SUPPORT GROUPS FOR NEW PARENTS ARE AVAILABLE. HONORHEALTH ALSO PARTNERS WITH OTHER COMMUNITY ORGANIZATIONS TO PROMOTE SAFETY, DISEASE PREVENTION AND HEALTH EDUCATION. OUR TRAUMA SERVICES PROGRAM PROVIDES SAFETY EDUCATION FOR TEENAGERS AND CONTINUING MEDICAL EDUCATION FOR PHYSICIANS AND FIRST RESPONDERS. HELPING HIGH SCHOOL GRADUATES SEEKING JOB PLACEMENT AT HONORHEALTH IS A HIGH PRIORITY AND GIVES THESE GRADUATES ACCESS TO HONORHEALTH'S TUITION REIMBURSEMENT PROGRAM, HELPING THEM FURTHER THEIR EDUCATION. ADDITIONALLY, OUR DESERT MISSION, INC. PROGRAMS HAVE PROVIDED OUTREACH SERVICES SINCE THE LATE 1920S TO ADDRESS THE PHYSICAL AND SOCIAL NEEDS OF FAMILIES IN PHOENIX. THIS INCLUDES PROVIDING FOOD THROUGH THE DESERT MISSION FOOD BANK, EARLY CHILDHOOD EDUCATION AT THE LINCOLN LEARNING CENTER, ELDERLY CARE THROUGH THE ADULT DAY HEALTH CARE PROGRAM, AND FINANCIAL SUPPORT AND EDUCATION THROUGH DESERT MISSION, INC. HONORHEALTH PARTNERS WITH THE FEDERALLY QUALIFIED HEALTH CENTER NOAH TO ENSURE THAT OUR VULNERABLE COMMUNITY MEMBERS RECEIVE QUALITY HEALTHCARE; MEDICAL, DENTAL, AND BEHAVIORAL.