TY 2021 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) Mitch H Melfi ESQ Chair	1.0 ................. 50.0	X	X		0	3,083,635	36,894
(2) Charlie Francis Board Member	1.0 ................. 50.0	X			0	4,313,708	1,380,629
(3) Dan Morissette Board Member/ CSH CFO	1.0 ................. 50.0	X			0	4,395,351	563,544
(4) Elizabeth Shih Board Member	1.0 ................. 50.0	X			0	3,702,765	786,814
(5) Andrew Gaasch Treasurer	5.0 ................. 0		X		1,002,342	0	128,005
(6) Kris ORdelheide Secretary	1.0 ................. 0		X		1,123,126	0	183,385
(7) PETER BANKO President	5.0 ................. 0		X		2,870,040	0	720,357
(8) Brian Erling CEO - Penrose St. Francis Health Services	45.0 ................. 0			X	1,047,083	0	188,715
(9) Carrie Damon SVP & Chief Information Officer	5.0 ................. 0			X	970,910	0	132,067
(10) Dan Enderson Group President - Denver	45.0 ................. 2.0			X	1,583,241	0	242,442
(11) Edward Sim EVP & COO - St. Anthony Hospital	45.0 ................. 0			X	1,636,384	0	330,492
(12) Jane Strobel CFO Mercy Regional Medical Center	45.0 ................. 0			X	218,182	0	4,759
(13) Kenneth Bacon Group Present & CEO of St. Anthony Hospital	45.0 ................. 0			X	970,353	0	9,885
(14) Kevin Jenkins CEO - St. Anthony Hospital	45.0 ................. 0			X	805,546	0	128,188
(15) Mike Cafasso CEO - St. Mary-Corwin Medical Center	45.0 ................. 0			X	653,303	0	94,954
(16) Patrick Sharp CEO Mercy Regional Medical Center	45.0 ................. 0			X	591,271	0	75,725
(17) Tadd Richert Group CFO & CFO - Penrose St. Francis Health Services	45.0 ................. 0			X	576,153	0	38,772

(A) Name and business address	(B) Description of services	(C) Compensation
Vascular Center of Colorado LLC 2222 N Nevada Ave Suite 3000 Colorado Springs,CO80907	Medical Services	32,762,523
Colorado Springs Cardiologists PC 2222 N Nevada Ave Suite 4007 Colorado Springs,CO80907	Medical Services	15,372,998
Colorado Orthopedic Specialist 4105 Briargate Parkway Suite 300 Colorado Springs,CO80920	Medical Services	10,833,451
Cardiac and Thoracic Surgery Associates PC 2222 N Nevada Ave Suite 5011 Colorado Springs,CO80907	Medical Services	7,385,181
NEUROSURGERY ONE 7780 S Broadway Suite 350 Littleton,CO80112	Medical Services	6,950,155
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 129

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

Catholic Health Initiatives Colorado

Employer identification number

84-0405257

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2021

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2021 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2021. If the organization did not check the box on line 13, and line 14 is 33 1/3 % or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2020. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2020. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2021

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2021 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2020 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2021 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2020 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2021. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2020. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2021

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2021

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2021

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2021

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2021 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2021	(iii) Distributable Amount for 2021
1 Distributable amount for 2021 from Section C, line 6
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2021:
a From 2016.......
b From 2017.......
c From 2018.......
d From 2019.......
e From 2020.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2021 distributable amount
i Carryover from 2016 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2021 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2021 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2021, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2021. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2022. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2017.....
b Excess from 2018.....
c Excess from 2019.....
d Excess from 2020.....
e Excess from 2021.....

Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2021

Additional Data

Software ID:	21014044
Software Version:	2021v4.2

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Name of the organization

Catholic Health Initiatives Colorado

Employer identification number

84-0405257

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2021)

Schedule B (Form 990) (2021) Page 2

Name of organization Catholic Health Initiatives Colorado

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2021)

Schedule B (Form 990) (2021)

Page 3

Name of organization Catholic Health Initiatives Colorado		Employer identification number 84-0405257

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2021)

Schedule B (Form 990) (2021)

Page 4


Name of organization Catholic Health Initiatives Colorado			Employer identification number 84-0405257
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2021)

Additional Data

Software ID:	21014044
Software Version:	2021v4.2

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

Catholic Health Initiatives Colorado

Employer identification number

84-0405257

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2021

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2021

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

59,332

Total. Add lines 1c through 1i ....................................................................................................

59,332

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	CHI Colorado paid annual dues to various membership organizations, a portion of which is allocated to lobbying. The amount that represents this entity's share of the allocated lobbying expenses is as follows: Colorado Health Association - $27,717 American Hospital Association - $ 19,051 Catholic Health Association - $ 12,564

Schedule C (Form 990) 2021

Additional Data

Software ID:	21014044
Software Version:	2021v4.2

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

Catholic Health Initiatives Colorado

Employer identification number

84-0405257

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2021

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	103,488,302		103,488,302
b	Buildings ....	1,058,164,665	387,167,157	670,997,508
c	Leasehold improvements	306,864,539	184,969,380	121,895,159
d	Equipment ....	778,185,357	701,697,963	76,487,394
e	Other .....	348,081,780		348,081,780
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				1,320,950,143

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3) Other (A) BDI - CHIC Investment Mellon	450,862,724	F
(B) BDI - CSH Investments	25,758,248	F
(C) Board Designated Funds	1,865,237	F
(D) Common Investment Pool Donor Limited	381,200	F
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	478,867,409

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)INVESTMENT IN UNCONSOLIDATED ORGS				374,552,314
(2)OCH CAPITAL LEASE				92,143,077
(3)PARKING GARAGE EASEMENT				4,422,917
(4)MEDICAL RECORDS				127,000
(5)ROU Asset				171,611,220
(6)intercompany receivables
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				642,856,528

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	291,720,887
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2021

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

CATHOLIC HEALTH INITIATIVES COLORADO's financial information is included in the consolidated audited financial statements of CommonSpirit Health, a related organization. CommonSpirit Health's ASC 740 footnote for the year ended June 30, 2022, reads as follows: CommonSpirit has established its status as an organization exempt from income taxes under Internal Revenue Code Section 501(c)(3) and the laws of the states in which it operates, and as such, is generally not subject to federal or state income taxes. However, CommonSpirit's exempt organizations are subject to income taxes on net income derived from a trade or business, regularly carried on, which does not further the organizations' exempt purposes. No significant income tax provision has been recorded in the accompanying consolidated financial statements for net income derived from unrelated trade or business. CommonSpirit's for-profit subsidiaries account for income taxes related to their operations. The for-profit subsidiaries recognize deferred tax assets and liabilities for temporary differences between the financial reporting basis and the tax basis of their assets and liabilities, along with net operating loss and tax credit carryovers, for tax positions that meet the more-likely-than-not recognition criteria. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs. Income tax interest and penalties are recorded as income tax expense. For the years ended June 30, 2022 and 2021, CommonSpirit's taxable entities recorded an immaterial amount of interest and penalties as part of the provision for income taxes. CommonSpirit's taxable entities did not have any material unrecognized income tax expense as of June 30, 2022 and 2021. CommonSpirit reviews its tax positions quarterly and has determined that there are no material uncertain tax positions that require recognition in the accompanying consolidated financial statements.

Schedule D (Form 990) 2021

Additional Data

Software ID:	21014044
Software Version:	2021v4.2

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

Catholic Health Initiatives Colorado

Employer identification number

84-0405257

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 25000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .			47,635,290	0	47,635,290	2.17 %
b	Medicaid (from Worksheet 3, column a) . . . . .			558,566,613	359,256,962	199,309,651	9.06 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .			4,112,460	0	4,112,460	0.19 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	0	0	610,314,363	359,256,962	251,057,401	11.41 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).			4,421,879	0	4,421,879	0.20 %
f	Health professions education (from Worksheet 5) . . .			6,608,278	0	6,608,278	0.30 %
g	Subsidized health services (from Worksheet 6) . . . .			808,978	0	808,978	0.04 %
h	Research (from Worksheet 7) .			0	0	0	0 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .			256,891	0	256,891	0.01 %
j	Total. Other Benefits . .	0	0	12,096,026	0	12,096,026	0.55 %
k	Total. Add lines 7d and 7j .	0	0	622,410,389	359,256,962	263,153,427	11.96 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2021

Schedule H (Form 990) 2021

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total	0	0	0	0

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

723,459,541

Enter Medicare allowable costs of care relating to payments on line 5.....

1,012,676,801

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-289,217,260

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1ORTHOCOLORADO LLC	HOSPITAL	60 %	0 %	40 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2021

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?9Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)								Other (describe)	Facility reporting group
1	PENROSE HOSPITAL 2222 N NEVADA AVE COLORADO SPRINGS,CO80907 WWW.CENTURA.ORG/LOCATIONS/PENROSE-ST-FRANCIS-HEALTH-SERVICES 010543	X	X	X	X	X	X	ICU & CCU, CANCER CENTER, IP REHAB	A
2	ST ANTHONY HOSPITAL 11600 WEST 2ND PLACE LAKEWOOD,CO80228 WWW.CENTURA.ORG/LOCATIONS/ST-ANTHONY-HOSPITAL 010429	X	X	X			X		A
3	MERCY REGIONAL MEDICAL CENTER 1010 THREE SPRINGS BLVD DURANGO,CO81301 WWW.CENTURA.ORG/LOCATIONS/MERCY-REGIONAL-MEDICAL-CENTER 011213	X	X				X		A
4	ST MARY-CORWIN MEDICAL CENTER 1008 MINNEQUA AVE Pueblo,CO81004 WWW.CENTURA.ORG/LOCATIONS/ST-MARY-CORWIN-MEDICAL-CENTER 010650	X	X				X		A
5	ST FRANCIS MEDICAL CENTER 6001 E WOODMAN RD COLORADO SPRINGS,CO80923 WWW.CENTURA.ORG/LOCATIONS/PENROSE-ST-FRANCIS-HEALTH-SERVICES 01H523	X	X				X	BIRTH CENTER, NICU - IIIA, ICU	A
6	ST ANTHONY NORTH HOSPITAL 2551 W 84TH AVE WESTMINSTER,CO80031 WWW.CENTURA.ORG/LOCATIONS/ST-ANTHONY-NORTH-HEALTH-CAMPUS 010402	X	X	X			X		A
7	ST ANTHONY SUMMIT MEDICAL CENTER 340 PEAK ONE DRIVE FRISCO,CO80443 WWW.CENTURA.ORG/LOCATIONS/ST-ANTHONY-SUMMIT-MEDICAL-CENTER 011155	X	X				X		A
8	ST THOMAS MORE HOSPITAL 1338 PHAY AVENUE CANON CITY,CO81212 WWW.CENTURA.ORG/LOCATIONS/ST-THOMAS-MORE-HOSPITAL 010623	X	X				X		A
9	ORTHOCOLORADO HOSPITAL 11650 WEST 2ND PLACE LAKEWOOD,CO80255 WWW.CENTURA.ORG/LOCATIONS/ORTHOCOLORADO-HOSPITAL 01U246	X	X				X		A

Schedule H (Form 990) 2021

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	A
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 21

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.CENTURA.ORG/COMMUNITY-PROGRAMS/COMMUNITY-BENEFIT

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 21

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): https://www.centura.org/community-impact/community-benefit

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2021

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.0%
and FPG family income limit for eligibility for discounted care of 400.0%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

https://www.centura.org/patient-tools/billing-and-financial-services

The FAP application form was widely available on a website (list url):

https://www.centura.org/patient-tools/billing-and-financial-services

A plain language summary of the FAP was widely available on a website (list url):
https://www.centura.org/patient-tools/billing-and-financial-services

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2021

Page 6

Part VFacility Information (continued)

Billing and Collections

	A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2021

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	A
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2021

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
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 IDENTIFIED THROUGH THE CHNA. SEE THE NARRATIVE FOR LINE 11 FOR A DESCRIPTION OF THE NEEDS AND HOW THEY ARE ADDRESSED.
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - PENROSE HOSPITAL & ST. FRANCIS MEDICAL CENTER. IN ORDER TO ASSESS THE NEEDS OF OUR COMMUNITY, WE CREATED A HOSPITAL SUBCOMMITTEE MADE UP OF KEY STAKEHOLDERS AND INDIVIDUALS WHO REPRESENTED THE BROADER INTERESTS OF OUR COMMUNITY. PUBLIC HEALTH REPRESENTATIVES ATTENDED EVERY MEETING AND PROVIDED INPUT INTO THE PROCESS OF NARROWING THE SELECTION OF HEALTH ISSUES. ONCE HEALTH NEEDS WERE PRIORITIZED, WE DETERMINED GROUPS AND INDIVIDUALS APPROPRIATE FOR FOCUS GROUPS, BEING SURE TO SOLICIT INPUT FROM UNDERSERVED OR MINORITY GROUPS WITHIN THE COMMUNITIES WE SERVE. THESE FOCUS GROUPS HELPED IDENTIFY PARTICULARLY IMPORTANT NEEDS AS SEEN BY OUR COMMUNITIES, HELP US IDENTIFY GAPS IN KNOWLEDGE, AND UNDERSTAND CURRENT EXTERNAL EFFORTS AROUND HEALTH NEEDS THAT COULD BE IMPROVED BY HEALTHCARE PARTICIPATION. PENROSE & ST FRANCIS HOSPITAL HOSPITAL CREATED A CHNA COMMITTEE TO REVIEW THE QUALITATIVE AND QUANTITATIVE HEALTH DATA AND PRIORITIZE HEALTH NEEDS IN OUR COMMUNITIES. THIS SUBCOMMITTEE WAS MADE UP OF BOTH HOSPITAL STAFF AND COMMUNITY STAKEHOLDERS INCLUDING REPRESENTATIVES FROM THE EL PASO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT. WE PRIORITIZED HEALTH NEEDS IN OUR COMMUNITY USING THE CENTURA HEALTH PRIORITIZATION METHOD, ADAPTED FROM THE HANLON METHOD FOR PRIORITIZING HEALTH PROBLEMS. FIRST, THE CHNA SUBCOMMITTEE RATED EACH IDENTIFIED NEED ON A SCALE OF 1-4 (LOW - HIGH) AGAINST THE SIZE OF THE PROBLEM AND THE SERIOUSNESS OF THE PROBLEM. THIS RANKING WAS CALCULATED BY ADDING THESE TWO RANKINGS TOGETHER. FOR THE TOP HEALTH INDICATORS, WE SCHEDULED MEETINGS FROM MARCH THROUGH NOVEMBER 2022 TO COLLECT INFORMATION ABOUT THAT WHICH IS ALREADY HAPPENING, GAPS RELATED TO EACH PRIORITY AND PUBLIC HEALTH QUALITATIVE DATA. BASED UPON THESE RESULTS, THE COMMITTEE IDENTIFIED THE PRIORITIES UPON WHICH TO FOCUS. THE STEERING COMMITTEE WAS MADE UP OF THE FOLLOWING ORGANIZATIONS AND REPRESENT THE FOLLOWING TARGET POPULATIONS: * PENROSE HOSPITAL, SERVING THE BROADER COMMUNITY * EL PASO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT, SERVING THE BROADER COMMUNITY * CATHOLIC CHARITIES, SERVING THE VULNERABLE AND UNDERREPRESENTED POPULATION * COLORADO SPRINGS OSTEOPATHIC FOUNDATION, SERVING THE BROADER COMMUNITY * COMMUNITY HEALTH PARTNERSHIP, SERVING THE VULNERABLE AND UNDERREPRESENTED POPULATION * INNOVATIONS IN AGING COLLABORATIVE, REPRESENTING SENIORS * NAMI COLORADO SPRINGS, PRESENTING THE BROADER COMMUNITY * SILVER KEY SENIORS SERVICES, REPRESENTING SENIORS * TRI-LAKES CARES, REPRESENTING THE VULNERABLE POPULATION * WESTSIDE CARES, REPRESENTING THE VULNERABLE POPULATION AND IMMIGRANT COMMUNITY
Schedule H, Part V, Section B, Line 5 Facility A, 2	Facility A, 2 - ST ANTHONY HOSPITAL. IN ORDER TO ASSESS THE NEEDS OF OUR COMMUNITY, WE CREATED A HOSPITAL SUBCOMMITTEE MADE UP OF KEY STAKEHOLDERS AND INDIVIDUALS WHO REPRESENTED THE BROADER INTERESTS OF OUR COMMUNITY. PUBLIC HEALTH REPRESENTATIVES ATTENDED EVERY MEETING AND PROVIDED INPUT INTO THE PROCESS OF NARROWING THE SELECTION OF HEALTH ISSUES. ONCE HEALTH NEEDS WERE PRIORITIZED, WE DETERMINED GROUPS AND INDIVIDUALS APPROPRIATE FOR FOCUS GROUPS, BEING SURE TO SOLICIT INPUT FROM UNDERSERVED OR MINORITY GROUPS WITHIN THE COMMUNITIES WE SERVE. THESE FOCUS GROUPS HELPED IDENTIFY PARTICULARLY IMPORTANT NEEDS AS SEEN BY OUR COMMUNITIES, HELP US IDENTIFY GAPS IN KNOWLEDGE, AND UNDERSTAND CURRENT EXTERNAL EFFORTS AROUND HEALTH NEEDS THAT COULD BE IMPROVED BY HEALTHCARE PARTICIPATION. ST. ANTHONY HOSPITAL COLLABORATED WITH JEFFERSON COUNTY PUBLIC HEALTH AND LUTHERAN MEDICAL CENTER TO CONDUCT OUR COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS FROM MARCH THROUGH NOVEMBER 2022 TO COLLABORATIVELY TO COVER OUR SHARED SERVICE AREA AND TO INCLUDE CLEAR CREEK COUNTY IN THE DISCUSSIONS. TOGETHER WE IDENTIFIED OUR COMMUNITY HEALTH NEEDS ASSESSMENT STEERING COMMITTEE. ST. ANTHONY HOSPITAL ASSOCIATES ALSO PARTICIPATED IN THIS PROCESS THROUGH MEETING PARTICIPATION. WE HAVE ALIGNED PRIORITIES ACROSS COMMUNITY ASSESSMENT PARTNERS TO ENSURE GREATER MOVEMENT TOWARD THE SAME GOALS AND COMPLEMENTARY EFFORTS. IN ADDITION TO LOCAL PARTNERSHIPS, CENTURA HEALTH SITS ON THE METRO DENVER PARTNERSHIP FOR HEALTH, A PARTNERSHIP BETWEEN NONPROFIT HOSPITALS, METRO DENVER PUBLIC HEALTH DEPARTMENTS, REGIONAL ACCOUNTABLE ENTITIES AND HUMAN SERVICES DEPARTMENTS TO ALIGN COMMUNITY HEALTH EFFORTS ACROSS THE SEVEN-COUNTY REGION, OF WHICH JEFFERSON COUNTY IS A PART. THE STEERING COMMITTEE WAS MADE UP OF THE FOLLOWING ORGANIZATIONS AND REPRESENT THE FOLLOWING TARGET POPULATIONS: * CITY OF ARVADA, REPRESENTING THE BROADER COMMUNITY * CLEAR CREEK COUNTY, REPRESENTING THE BROADER COMMUNITY * COLORADO CHRISTIAN UNIVERSITY, REPRESENTING FAITH BASED COMMUNITIES * COLORADO COMMUNITY HEALTH ALLIANCE, REPRESENTING THE BROADER COMMUNITY * COMMUNITY FIRST FOUNDATION, REPRESENTING THE BROADER COMMUNITY WITH A FOCUS ON VULNERABLE POPULATIONS * EDGEWATER COLLECTIVE, REPRESENTING VULNERABLE COMMUNITY MEMBERS * EVERGREEN FIRE RESCUE, REPRESENTING THE BROADER COMMUNITY * JEFFERSON CENTER FOR MENTAL HEALTH, REPRESENGING THOSE NEEDING BEHAVIORAL HEALTH SERVICES * JEFFERSON COUNTY PUBLIC HEALTH, REPRESENTING THE BROADER COMMUNITY * JEFFERSON COUNTY HEADING HOME, REPRESENTING THE UNHOUSED AND AT-RISK OF BEING HOMELESS POPULATION * JEFFERSON COUNTY HUMAN SERVICES, REPRESENTING THE BROADER COMMUNITY * JEFFERSON COUNTY LIBRARY, REPRESENTING THE BROADER COMMUNITY * JEFFERSON COUNTY PUBLIC SCHOOLS, REPRESENTING THE BROADER COMMUNITY * METRO DENVER HOMELESS INITIATIVE, REPRESENTING THE UNHOUSED AND AT-RISK OF BEING HOMELESS POPULATION * RED ROCKS COMMUNITY COLLEGE, REPRESENTING THE BROADER COMMUNITY * ROOT POLICY, REPRESENTING THE VULNERABLE AND UNDERPRESENTED COMMUNITY * STRIDE COMMUNITY HEALTH CENTER, REPRESENTING THOSE SEEKING BEHAVIORAL HEALTH SERVICES * THE ACTION CENTER, REPRESENTING THE VULNERABLE * RESIDENTS, REPRESENTING THE BROADER COMMUNITY
Schedule H, Part V, Section B, Line 5 Facility A, 3	Facility A, 3 - ST ANTHONY NORTH HOSPITAL. IN ORDER TO ASSESS THE NEEDS OF OUR COMMUNITY, WE CREATED A HOSPITAL SUBCOMMITTEE MADE UP OF KEY STAKEHOLDERS AND INDIVIDUALS WHO REPRESENTED THE BROADER INTERESTS OF OUR COMMUNITY. PUBLIC HEALTH REPRESENTATIVES ATTENDED EVERY MEETING AND PROVIDED INPUT INTO THE PROCESS OF NARROWING THE SELECTION OF HEALTH ISSUES. ONCE HEALTH NEEDS WERE PRIORITIZED, WE DETERMINED GROUPS AND INDIVIDUALS APPROPRIATE FOR FOCUS GROUPS, BEING SURE TO SOLICIT INPUT FROM UNDERSERVED OR MINORITY GROUPS WITHIN THE COMMUNITIES WE SERVE. THESE FOCUS GROUPS HELPED IDENTIFY PARTICULARLY IMPORTANT NEEDS AS SEEN BY OUR COMMUNITIES, HELP US IDENTIFY GAPS IN KNOWLEDGE, AND UNDERSTAND CURRENT EXTERNAL EFFORTS AROUND HEALTH NEEDS THAT COULD BE IMPROVED BY HEALTHCARE PARTICIPATION. ST. ANTHONY NORTH HOSPITAL COLLABORATED WITH BROOMFIELD AND TRI COUNTY PUBLIC HEALTH WITH THEIR REPRESENTATION ON OUR STEERING COMMITTEE. IN ADDITION TO SERVING ON OUR STEERING COMMITTEE, WE AGREED WITH THE PUBLIC HEALTH DEPARTMENTS TO ALIGN COMMUNITY-BASED EFFORTS IN ORDER TO AVOID DUPLICATION AND ADDRESS COMMUNITY HEALTH HOLISTICALLY. WE HAVE INTENTIONALLY ALIGNED STRATEGIES, AS APPLICABLE, TO ENSURE GREATER MOVEMENT TOWARD SAME GOALS AND COMPLEMENTARY EFFORTS. IN ADDITION TO THE PARTNERSHIPS WITH LOCAL PUBLIC HEALTH DEPARTMENTS, CENTURA HEALTH SITS ON THE METRO DENVER PARTNERSHIP FOR HEALTH, A PARTNERSHIP BETWEEN NONPROFIT HOSPITALS AND PUBLIC HEALTH DEPARTMENTS TO ALIGN EFFORTS ACROSS THE SEVEN-COUNTY REGION. OUR STEERING COMMITTEE MET FROM MARCH THROUGH NOVEMBER OF 2022 VIA ZOOM MEETINGS AND BY COMPLETING SURVEYS TO RANK AND PRIORITIZE OUR STRATEGIES AND PROGRAMS, INCLUDING ASSETS AND GAPS. ADDITIONALLY, THE HOSPITAL PROVIDED A SUMMARY OF OUR STRATEGIES TO OUR COMMUNITY ORGANIZATIONS AND MEMBERS TO GET ADDITIONAL FEEDBACK. THE STEERING COMMITTEE WAS MADE UP OF THE FOLLOWING ORGANIZATIONS AND REPRESENT THE FOLLOWING TARGET POPULATIONS: * ADAMS 12 SCHOOL DISTRICT, SERVING THE BROADER COMMUNITY * ADAMS COUNTY, SERVING THE BROADER COMMUNITY * BROOMFIELD COMMUNITY SERVICES NETWORK, SERVING THE BROADER COMMUNITY AND VULNERABLE POPULATION * BROOMFIELD COUNTY PUBLIC HEALTH, SERVING THE BROADER COMMUNITY * BROOMFIELD FISH, SERVING THOSE FACING FOOD INSECURITY * COLECTIVA, SERVING THE VULNERABLE AND UNDERREPRESENTED POPULATION * FOOD BANK OF THE ROCKIES, SERVING THOSE FACING FOOD INSECURITY * GROWING HOME, SERVING THE IMMIGRANT POPULATION * STATE OF COLORADO, HCPF, SERVING THE BROADER COMMUNITY * TRI COUNTY PUBLIC HEALTH, SERVING THE BROADER COMMUNITY * VUELA FOR HEALTH, SERVING THE HISPANIC COMMUNITY * WESTMINSTER PUBLIC SCHOOLS, SERVING THE BROADER COMMUNITY
Schedule H, Part V, Section B, Line 5 Facility A, 4	Facility A, 4 - ST. ANTHONY SUMMIT. IN ORDER TO ASSESS THE NEEDS OF OUR COMMUNITY, WE CREATED A HOSPITAL SUBCOMMITTEE MADE UP OF KEY STAKEHOLDERS AND INDIVIDUALS WHO REPRESENTED THE BROADER INTERESTS OF OUR COMMUNITY. PUBLIC HEALTH REPRESENTATIVES ATTENDED EVERY MEETING AND PROVIDED INPUT INTO THE PROCESS OF NARROWING THE SELECTION OF HEALTH ISSUES. ONCE HEALTH NEEDS WERE PRIORITIZED, WE DETERMINED GROUPS AND INDIVIDUALS APPROPRIATE FOR FOCUS GROUPS, BEING SURE TO SOLICIT INPUT FROM UNDERSERVED OR MINORITY GROUPS WITHIN THE COMMUNITIES WE SERVE. THESE FOCUS GROUPS HELPED IDENTIFY PARTICULARLY IMPORTANT NEEDS AS SEEN BY OUR COMMUNITIES, HELP US IDENTIFY GAPS IN KNOWLEDGE, AND UNDERSTAND CURRENT EXTERNAL EFFORTS AROUND HEALTH NEEDS THAT COULD BE IMPROVED BY HEALTHCARE PARTICIPATION. EVERY FIVE YEARS, ALL PUBLIC HEALTH AGENCIES IN COLORADO ARE REQUIRED TO FOLLOW THE COLORADO HEALTH ASSESSMENT AND PLANNING SYSTEM (CHAPS) PROCESS TO CREATE A PUBLIC HEALTH IMPROVEMENT PLAN FOR SUBMISSION TO THE OFFICE OF PUBLIC HEALTH PRACTICE, PLANNING, AND LOCAL PARTNERSHIPS. SUMMIT COUNTY, COLORADO'S LAST PUBLIC HEALTH IMPROVEMENT PLAN WAS FOR 2017 - 2022. IN 2022, SUMMIT COUNTY PUBLIC HEALTH AND ST. ANTHONY SUMMIT MEDICAL CENTER, CENTURA HEALTH PARTNERED WITH OMNI INSTITUTE TO CONDUCT SUMMIT COUNTY'S COMMUNITY HEALTH NEEDS ASSESSMENT AND CORRESPONDING STRATEGIC COMMUNITY HEALTH IMPROVEMENT PLAN FOR 2023 - 2028. OUR STEERING COMMITTEE MET FROM FEBRUARY THROUGH NOVEMBER OF 2022 VIA ZOOM MEETINGS AND BY COMPLETING SURVEYS TO RANK AND PRIORITIZE OUR STRATEGIES AND PROGRAMS, INCLUDING ASSETS AND GAPS. ADDITIONALLY, THE HOSPITAL PROVIDED A SUMMARY OF OUR STRATEGIES TO OUR COMMUNITY ORGANIZATIONS AND MEMBERS TO GET ADDITIONAL FEEDBACK. OMNI INSTITUTE WANTS TO THANK THE MORE THAN 300 MEMBERS OF THE SUMMIT COUNTY, COLORADO COMMUNITY WHO CONTRIBUTED THEIR TIME AND EXPERTISE FOR THIS REPORT THROUGH SHARING THEIR INSIGHTS WITH OUR RESEARCH TEAM ON KEY HEALTH CONCERNS AND ASSETS VIA INTERVIEWS, FOCUS GROUPS, SURVEY, PHOTOVOICE.
Schedule H, Part V, Section B, Line 5 Facility A, 5	Facility A, 5 - ST. MARY-CORWIN MEDICAL CENTER. IN ORDER TO ASSESS THE NEEDS OF OUR COMMUNITY, WE CREATED A HOSPITAL SUBCOMMITTEE MADE UP OF KEY STAKEHOLDERS AND INDIVIDUALS WHO REPRESENTED THE BROADER INTERESTS OF OUR COMMUNITY. PUBLIC HEALTH REPRESENTATIVES ATTENDED EVERY MEETING AND PROVIDED INPUT INTO THE PROCESS OF NARROWING THE SELECTION OF HEALTH ISSUES. ONCE HEALTH NEEDS WERE PRIORITIZED, WE DETERMINED GROUPS AND INDIVIDUALS APPROPRIATE FOR FOCUS GROUPS, BEING SURE TO SOLICIT INPUT FROM UNDERSERVED OR MINORITY GROUPS WITHIN THE COMMUNITIES WE SERVE. THESE FOCUS GROUPS HELPED IDENTIFY PARTICULARLY IMPORTANT NEEDS AS SEEN BY OUR COMMUNITIES, HELP US IDENTIFY GAPS IN KNOWLEDGE, AND UNDERSTAND CURRENT EXTERNAL EFFORTS AROUND HEALTH NEEDS THAT COULD BE IMPROVED BY HEALTHCARE PARTICIPATION. TO GLEAN COMMUNITY LEADER PERSPECTIVES ON RISK FACTORS, BARRIERS, AND PRIORITY POPULATIONS FOR OBESITY AND BEHAVIORAL HEALTH, THE DELPHI METHOD WAS EMPLOYED. THE DELPHI METHOD IS A MULTI-ROUND APPROACH WHICH USES AN EXPERT PANEL TO ANONYMOUSLY OR CONFIDENTIALLY PROVIDE RESPONSES TO QUESTIONS IN AN INITIAL ROUND AND THEN PROVIDE FEEDBACK ON THE GROUP'S RESPONSES IN LATER ROUNDS WITH THE AIM OF REACHING GROUP CONSENSUS. PARTICIPANTS MUST COMPLETE EACH ROUND TO MOVE ON TO THE NEXT ROUND. THE DELPHI QUESTIONS MAY BE FOUND IN APPENDIX F.CHA PLANNING TEAM MEMBERS CREATED A LIST OF INFLUENTIAL AND KNOWLEDGEABLE LEADERS IN OBESITY AND/OR BEHAVIORAL HEALTH SECTORS. IN THE FIRST ROUND, AN ELECTRONIC SURVEY WAS CREATED USING GOOGLE FORMS, AND RESPONDENTS WERE ASKED TO GENERATE IDEAS ON SEVEN OPEN-ENDED QUESTIONS RELATED TO OBESITY AND BEHAVIORAL HEALTH. A LINK TO THE SURVEY WAS EMAILED TO THE POTENTIAL RESPONDENTS BY A DESIGNATED CHA PLANNING TEAM MEMBER. THE FIRST ROUND WAS LIVE IN GOOGLE FORMS FROM APRIL 5 UNTIL APRIL 16, 2021. A MEMBER OF THE PROJECT MANAGEMENT TEAM ANALYZED THE RESPONSES FROM ROUND ONE, GROUPING ITEMS INTO THEMES AND CREATING TEN RESPONSE OPTIONS FOR EACH QUESTION. FOR ROUND TWO, AN ELECTRONIC SURVEY WAS CREATED IN GOOGLE FORMS AND RESPONDENTS WERE ASKED TO RANK, IN PRIORITY ORDER, THE TEN OPTIONS FOR EACH OF SEVEN QUESTIONS FROM ROUND ONE. AGAIN, AN EMAIL WAS SENT TO EACH RESPONDENT BY A MEMBER OF THE PLANNING TEAM. ROUND TWO WAS LIVE IN GOOGLE FORMS FROM MAY 3 UNTIL MAY 12, 2021. IN ROUND THREE, A PERSONALIZED DOCUMENT WITH THE LEADERSHIP GROUP'S TOP FIVE RANKINGS FOR EACH QUESTION, THE PARTICIPANT'S INDIVIDUAL RANKING ON THE QUESTIONS, AND A SPACE TO EITHER CONFIRM OR CHANGE THEIR TOP FIVE RANK WAS CREATED AND EMAILED TO EACH PARTICIPANT. ROUND THREE WAS OPEN FROM MAY 20 UNTIL MAY 28, 2021. THE STEERING COMMITTEE WAS MADE UP OF THE FOLLOWING ORGANIZATIONS AND REPRESENT THE FOLLOWING TARGET POPULATIONS: * COLORADO STATE UNIVERSITY, SERVING THE BROADER COMMUNITY * PUEBLO WEST METRO DISTRICT, SERVING THE BROADER COMMUNITY * CROSSROADS' TURNING POINTS, INC., SERVING THE BROADER COMMUNITY * PUEBLO BOARD OF HEALTH, SERVING THE BROADER COMMUNITY * HEALTH COLORADO, SERVING THE MEDICAID COMMUNITY * NEIGHBORHOOD REPRESENTATIVE/ ADVOCATE, SERVING THE VULNERABLE AND UNDERREPRESENTED COMMUNITY * SENIOR RESOURCE DEVELOPMENT AGENCY, SERVING THE SENIOR COMMUNITY * PUEBLO COMMUNITY HEALTH CENTER, SERVING THE VULNERABLE AND MEDICALLY UNDERSERVED COMMUNITY * UNITED WAY OF PUEBLO COUNTY, SERVING THE BROADER COMMUNITY * PARKVIEW HEALTH SYSTEM, SERVING THE BROADER COMMUNITY * HEALTH SOLUTIONS, SERVING THOSE NEEDING BEHAVIORAL HEALTH SERVICES * PUEBLO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT, SERVING THE BROADER COMMUNITY
Schedule H, Part V, Section B, Line 5 Facility A, 6	Facility A, 6 - ST. THOMAS MORE HOSPITAL. IN ORDER TO ASSESS THE NEEDS OF OUR COMMUNITY, WE CREATED A HOSPITAL SUBCOMMITTEE MADE UP OF KEY STAKEHOLDERS AND INDIVIDUALS WHO REPRESENTED THE BROADER INTERESTS OF OUR COMMUNITY. PUBLIC HEALTH REPRESENTATIVES ATTENDED EVERY MEETING AND PROVIDED INPUT INTO THE PROCESS OF NARROWING THE SELECTION OF HEALTH ISSUES. ONCE HEALTH NEEDS WERE PRIORITIZED, WE DETERMINED GROUPS AND INDIVIDUALS APPROPRIATE FOR FOCUS GROUPS, BEING SURE TO SOLICIT INPUT FROM UNDERSERVED OR MINORITY GROUPS WITHIN THE COMMUNITIES WE SERVE. THESE FOCUS GROUPS HELPED IDENTIFY PARTICULARLY IMPORTANT NEEDS AS SEEN BY OUR COMMUNITIES, HELP US IDENTIFY GAPS IN KNOWLEDGE, AND UNDERSTAND CURRENT EXTERNAL EFFORTS AROUND HEALTH NEEDS THAT COULD BE IMPROVED BY HEALTHCARE PARTICIPATION. ST. THOMAS MORE HOSPITAL PARTNERED WITH THE FREMONT COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT TO DEVELOP THE CHNA. WE LEVERAGE QUALITATIVE AND QUANTITATIVE SOURCES TO DEVELOP THE CHNA, INCLUDING THE COLLECTION OF DATA FROM THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT REGARDING CURRENT INDICATORS OF HEALTH FOR FREMONT COUNTY RESIDENTS AND SURVEYS OF RESIDENTS AND COMMUNITY LEADERS REGARDING THE TOP HEALTH CONCERNS FOR THE COUNTY. IN ADDITION TO OUR COLLABORATION WITH THE FREMONT COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT, ST. THOMAS MORE HOSPITAL ALSO PARTNERED WITH THE COLORADO HEALTH INSTITUTE TO CONVENE SUBJECT MATTER EXPERTS FROM COMMUNITY-BASED ORGANIZATIONS FOCUSED ON SPECIFIC HEALTH INDICATORS AND THEIR SOCIAL DETERMINANTS OF HEALTH DOMAINS. FREMONT COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT AND ST. THOMAS MORE HOSPITAL CONVENED A CHNA SUBCOMMITTEE WHICH MET FROM MARCH THROUGH NOVEMBER 2022 VIA ZOOM AND IN PERSON MEETINGS. THE STEERING COMMITTEE WAS MADE UP OF THE FOLLOWING ORGANIZATIONS AND REPRESENT THE FOLLOWING TARGET POPULATIONS: * ST. THOMAS MORE HOSPITAL, SERVING THE BROADER COMMUNITY * FREMONT COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT, SERVING THE BROADER COMMUNITY * FREMONT COUNTY EMERGENCY MANAGEMENT, SERVING THE BROADER COMMUNITY * CANON CITY SCHOOLS, SERVING THE BROADER COMMUNITY * CANON CITY SCHOOLS - RE-1, SERVING THE BROADER COMMUNITY * CITY OF CANON CITY, CHIEF OF POLICE, SERVING THE BROADER COMMUNITY * DEPARTMENT OF HUMAN SERVICES, FREMONT COUNTY, SERVING THE BROADER COMMUNITY * FLORENCE FIRE PROTECTION DISTRICT, SERVING THE BROADER COMMUNITY * HEALTH COLORADO, INC., SERVING THE MEDICAID COMMUNITY * HILDEBRAND CAMPUS OF CARE, SERVING THE VULNERABLE AND UNDERREPRESENTED COMMUNITY * LEAVES AND FISHES MINISTRIES, SERVING THE VULNERABLE AND UNDERREPRESENTED COMMUNITY * ROCKY MOUNTAIN BEHAVIORAL HEALTH, SERVING THOSE SEEKING BEHAVIORAL HEALTH SERVICES
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - Penrose Hospital and St Francis Medical Center. Penrose Hospital and St Francis Medical Center conducted a joint CHNA.
Schedule H, Part V, Section B, Line 6a Facility A, 2	Facility A, 2 - St Anthony Hospital and OrthoColorado Hospital. St Anthony Hospital and OrthoColorado Hospital conducted a joint CHNA.
Schedule H, Part V, Section B, Line 6b Facility A, 1	Facility A, 1 - Penrose Hospital and St. Francis Medical Center. El Paso County Public Health (EPCPH)
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - PENROSE HOSPITAL. PENROSE-ST FRANCIS AND COMMUNITY STAKEHOLDERS IDENTIFIED THREE SIGNIFICANT NEEDS IN THEIR COMMUNITY WHICH THEY PRIORITIZED AND FOCUSED ON. THE NEEDS WERE BEHAVIORAL HEALTH, ACCESS TO HEALTHY AND AFFORDABLE FOOD, AND ACCESS TO CARE. FOR BEHAVIORAL HEALTH, THREE GOALS WERE UTILIZED AND THEN IMPLEMENTED TO USE EVIDENCE-BASED PRACTICE APPROACHES, INCLUDING: INCREASING ACCESS TO BEHAVIORAL HEALTH SERVICES AND PROVIDERS; DEVELOPING SCREENING TOOL AND MECHANISM FOR IDENTIFYING DEPRESSION IN POSTPARTUM WOMEN; AND, STRENGTHENING AND EXPANDING COMMUNITY PARTNERSHIPS TO PROVIDE CARE FOR THOSE PRESENTING WITH BEHAVIORAL HEALTH DIAGNOSES. FOR THESE GOALS, WE ACHIEVED THE FOLLOWING: CONTINUED FUNDING FOR FORGE EVOLUTION'S STAFF TO BECOME RED CROSS INSTRUCTORS TO TRAIN AT-RISK YOUTH IN FIRST AID/CPR/AED AND BABYSITTING. EXPANDING OUR REACH BY FUNDING FOR THE SECOND YEAR THE KINGDOM BUILDERS' PROJECT RIGHT DIRECTION WHERE YOUTH LEARN LIFE SKILLS TO ADVANCE THEIR COMPETENCY IN MAKING INFORMED DECISIONS, CRITICALLY THINKING, COMMUNICATING EFFECTIVELY, BUILDING HEALTHY RELATIONSHIPS AND MANAGING THEIR LIVES AND AN OPPORTUNITY TO BE TRAINED AS A PEER MENTOR. * SUPPORTING SOLID ROCK'S SOUTHEAST CIVIC AMBASSADOR PROGRAM WHICH PROVIDES COMMUNITY SERVICE, MENTORSHIP AND CONNECTIONS WITH ELECTED OFFICIALS, BUSINESS OWNERS, NON-PROFIT AND COMMUNITY LEADERS TO EMPOWER YOUTH AS FUTURE ADVOCATES. * SUBSIDIZING DEERFIELD HILL'S COMMUNITY CENTER STAFF HOURS TO PROVIDE AFTER-SCHOOL PROGRAMMING, FIELD TRIPS AND CAMPS DURING SCHOOL BREAKS FOR YOUTH FROM HARRISON SCHOOL DISTRICT 2. FOR OUR SECOND CHNA PRIORITY, ACCESS TO HEALTHY AND AFFORDABLE FOODS, THREE GOALS WERE UTILIZED AND THEN IMPLEMENTED TO USE EVIDENCE-BASED PRACTICE APPROACHES, INCLUDING: DECREASING NUMBER OF FOOD DESERTS BY 20%; DECREASING NUMBER OF COMMUNITY MEMBERS ELIGIBLE BUT NOT ENROLLED IN SNAP BY 60%; INCREASING USE OF LOCALLY-SOURCED, HEALTHY AFFORDABLE FOODS WITHIN CENTURA HEALTH BY 50%. FOR THESE GOALS, WE ACHIEVED THE FOLLOWING: * COALITION MEMBERSHIP WITH BLUEPRINT TO END HUNGER CO- POLICY ADVOCACY PROJECT TO ENABLE LOCAL BUSINESS TO ACCEPT SNAP/WIC BENEFITS * IMPLEMENTED A COMMUNITY HEALTH WORKER MODEL - COMMUNITY FOOD ADVOCATE OUTREACH TO ENCOURAGE BOTH CONSUMERS AND RETAILERS TO PARTICIPATE IN DUFB PROGRAM * SPONSORED CSA BOXES AT SEVERAL HOSPITAL AND CLINIC LOCATIONS. SUBSIDIZED FOR LOW-INCOME PATIENTS. * SNAP ENROLLMENT THROUGH CLINIC COMMUNITY HEALTH ADVOCATE IN PARTNERSHIP WITH COLORADO'S LEADING ANTI-HUNGER ORGANIZATION * COMMITMENT TO SOURCING LOCAL FOODS FOR HOSPITAL USE BY PARTICIPATING IN DENVER'S ANCHOR INSTITUTION PROJECT PROVIDED $18K IN CASH AND IN-KIND CONTRIBUTIONS FOR FOOD SECURITY FOR SENIORS. FOR OUR THIRD CHNA PRIORITY, ACCESS TO CARE, ONE GOAL WAS ADVANCED: INCREASE THE NUMBER OF PRIMARY CARE PROVIDERS. FOR THIS GOAL, WE ACHIEVED THE FOLLOWING: SYSTEMWIDE INITIATIVE TO INCREASE ACCESS TO PRIMARY CARE PROVIDERS BY HIRING 300 MORE IN THE NEXT 12 MONTHS * CENTURA'S DIGITAL TEAM IS IMPROVING THE ABILITY FOR PATIENTS TO ACCESS CARE AND SERVICES WITH ONLINE SCHEDULING AND IMPROVED PORTAL CAPABILITIES. ALL THREE PRIORITIZED NEEDS WERE ADDRESSED BY PENROSE-ST. FRANCIS AND PROVIDED BENEFITS RELATED TO IMPROVING THE HEALTH OF OUR COMMUNITY THROUGH MULTIPLE PROGRAMS. INCLUDING, PROVIDING FAMILIES WITH ROOM NIGHTS AND SERVICES EQUATING TO $300K AT THE JOHN ZAYN GUEST HOUSE FOR PATIENT'S FAMILIES REGARDLESS OF THE ABILITY TO PAY; DEDICATED OVER $400K IN THE AREAS OF NUTRITION SERVICES, WELLNESS ACTIVITIES, AND COMMUNITY OUTREACH. THE HOSPITAL ALSO INVESTED $15K IN COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS, FOCUSED ON CANCER TREATMENT, MAINTENANCE AND EDUCATION. THIS INVESTMENT PROVIDED PATIENTS AND COMMUNITY MEMBERS INFORMATION ON CANCER TREATMENT AND COPING SKILLS. THE HOSPITAL INVESTED $39K IN PROVIDING TRANSPORTATION TO PATIENTS AND FAMILIES WITH NO OTHER MEANS OF GETTING HOME, INCLUDING PROVIDING TRANSPORTATION TO TREATMENT CENTERS
Schedule H, Part V, Section B, Line 11 Facility A, 2	Facility A, 2 - MERCY REGIONAL MEDICAL CENTER. MERCY REGIONAL MEDICAL CENTER (MRMC) AND COMMUNITY STAKEHOLDERS IDENTIFIED THREE SIGNIFICANT NEEDS IN THEIR COMMUNITY WHICH THEY PRIORITIZED AND FOCUSED ON. THE PRIORITIZED NEEDS WERE BEHAVIORAL HEALTH, SUBSTANCE USE DISORDER, HEALTHY LIVING: NUTRITION AND FOOD SECURITY, AND ADULT ORAL HEALTH. FOR OUR FIRST CHNA PRIORITY, BEHAVIORAL HEALTH, THREE GOALS WERE UTILIZED AND THEN IMPLEMENTED TO USE EVIDENCE-BASED PRACTICE APPROACHES, INCLUDING: REACH 80% OF SCHOOL-AGED YOUTH WITH SOCIAL COHESION/RESILIENCY STRATEGY. INCREASE CAPACITY OF OUR COMMUNITY TO SUPPORT BEHAVIORAL HEALTH NEEDS THROUGH INCREASED AWARENESS AND REDUCED STIGMA OF BEHAVIORAL HEALTH INCREASE PEOPLE REPORTING ACCESS TO BEHAVIORAL HEALTH SERVICES FOR THESE GOALS, WE ACHIEVED THE FOLLOWING: CONTINUED TO COLLABORATE WITH THE PREVENTION GROUP CALLED SOUTHWEST COLORADO OPIOID OVERDOSE PREVENTION (SCOOP) AND IDENTIFIED THE FOLLOWING ACTIVITIES: * PREVENTION - MAXIMIZE EXISTING RESOURCES FOR PROVIDER EDUCATION ON OPIOID PRESCRIBING IN BOTH INPATIENT AND OUTPATIENT SETTINGS * TREATMENT - PLAN FINANCIALLY SUSTAINABLE, COMMUNITY-BASED TREATMENT OPTIONS FOR LA PLATA COUNTY * WORKFORCE - PLAN A STRATEGY FOR OUD/SDU PROVIDER ORGANIZATIONS, COLLEGES/UNIVERSITIES, AND CLINICIANS IN LA PLATA COUNTY TO ACT IN A COORDINATED FASHION TO ADDRESS WORKFORCE SHORTAGES * RECOVERY - ASSESS RECOVERY INFRASTRUCTURE IN LA PLATA COUNTY, IN PARTNERSHIP WITH THE CONSORTIUM AND YOUNG PEOPLE IN RECOVERY. FOR OUR SECOND CHNA PRIORITY, ONE GOALS WAS UTILIZED AND THEN IMPLEMENTED TO USE EVIDENCE-BASED PRACTICE APPROACHES, INCLUDING: IDENTIFYING AND SCREENING PATIENTS FOR SUBSTANCE ABUSE AND CONNECTING THEM TO APPROPRIATE TREATMENT. FOR THIS GOAL, WE ACHIEVED THE FOLLOWING: THE HOSPITAL SCALED AN ALTERNATIVES TO OPIOIDS (ALTO) PROGRAM WHICH ALIGNED WITH THE STATE. FOR OUR THIRD CHNA PRIORITY, HEALTHY LIVING: NUTRITION AND FOOD SECURITY, THREE GOALS WERE UTILIZED AND THEN IMPLEMENTED TO USE EVIDENCE-BASED PRACTICE APPROACHES, INCLUDING: DECREASING NUMBER OF FOOD DESERTS BY 20%; DECREASING NUMBER OF COMMUNITY MEMBERS ELIGIBLE BUT NOT ENROLLED IN SNAP BY 60%; INCREASING USE OF LOCALLY-SOURCED, HEALTHY AFFORDABLE FOODS WITHIN CENTURA HEALTH BY 50%. FOR THESE GOALS, WE ACHIEVED THE FOLLOWING: * COALITION MEMBERSHIP WITH BLUEPRINT TO END HUNGER CO- POLICY ADVOCACY PROJECT TO ENABLE LOCAL BUSINESS TO ACCEPT SNAP/WIC BENEFITS * IMPLEMENTED A COMMUNITY HEALTH WORKER MODEL - COMMUNITY FOOD ADVOCATE OUTREACH TO ENCOURAGE BOTH CONSUMERS AND RETAILERS TO PARTICIPATE IN DUFB PROGRAM * SPONSORED CSA BOXES AT SEVERAL HOSPITAL AND CLINIC LOCATIONS. SUBSIDIZED FOR LOW-INCOME PATIENTS. * SNAP ENROLLMENT THROUGH CLINIC COMMUNITY HEALTH ADVOCATE IN PARTNERSHIP WITH COLORADO'S LEADING ANTI-HUNGER ORGANIZATION * COMMITMENT TO SOURCING LOCAL FOODS FOR HOSPITAL USE BY PARTICIPATING IN DENVER'S ANCHOR INSTITUTION PROJECT ALL FOUR PRIORITIZED NEEDS WERE ADDRESSED BY MERCY REGIONAL MEDICAL CENTER AND PROVIDED BENEFITS RELATED TO IMPROVING THE HEALTH OF OUR COMMUNITY THROUGH MULTIPLE PROGRAMS. INCLUDING SUPPORTING A SAFETY NET CLINIC IN THE AMOUNT OF $300K. SILVERTON COMMUNITY HEALTH CLINIC SERVES AT RISK POPULATIONS THAT OTHERWISE WOULDN'T OBTAIN TIMELY TREATMENT. FURTHERMORE, MERCY WAS AWARDED A FOOD PRESCRIPTION MODEL GRANT TO PROMOTE HEALTHY FOOD OPTIONS AND SUPPORT THE LOCAL ECONOMY. MERCY ALSO INVESTED $96K ON SUBSIDIZED HEALTH SERVICES SUCH AS THE SEXUAL ASSAULT NURSE EXAMINER (SANE) PROGRAM. SANE RN'S HAVE BEEN SPECIALLY EDUCATED TO PROVIDE COMPREHENSIVE CARE TO SURVIVORS OF SEXUAL ASSAULT IN A SENSITIVE, COMPASSIONATE, RESPECTFUL MANNER. BECAUSE OF THEIR EXPERTISE, THEY OFTEN ARE ASKED TO SERVE AS EXPERT WITNESSES IN COURT.
Schedule H, Part V, Section B, Line 11 Facility A, 3	Facility A, 3 - ST. MARY-CORWIN MEDICAL CENTER. ST. MARY-CORWIN MEDICAL CENTER (SMC) AND COMMUNITY STAKEHOLDERS IDENTIFIED TWO SIGNIFICANT NEEDS IN THEIR COMMUNITY WHICH THEY PRIORITIZED AND FOCUSED ON. THE PRIORITIZED NEEDS WERE BEHAVIORAL HEALTH AND FOOD SECURITY. THE PROCESS FOLLOWED TO ADDRESS THE NEEDS, WAS TO CREATE SEVERAL GOALS FOR EACH NEED, AND THEN IMPLEMENTING SPECIFIC ACTIVITIES AND METRICS TO MEASURE PROGRESS OF ADDRESS THE NEED. FOR OUR FIRST CHNA PRIORITY, BEHAVIORAL HEALTH, THREE GOALS WERE UTILIZED AND THEN IMPLEMENTED TO USE EVIDENCE-BASED PRACTICE APPROACHES, INCLUDING: REACH 80% OF SCHOOL-AGED YOUTH WITH SOCIAL COHESION/RESILIENCY STRATEGY INCREASE CAPACITY OF OUR COMMUNITY TO SUPPORT BEHAVIORAL HEALTH NEEDS THROUGH INCREASED AWARENESS AND REDUCED STIGMA OF BEHAVIORAL HEALTH INCREASE PEOPLE REPORTING ACCESS TO BEHAVIORAL HEALTH SERVICES FOR THESE GOALS, WE ACHIEVED THE FOLLOWING: IMPLEMENTED A PRENATAL DEPRESSION SCREENING PROGRAM IMPLEMENTED THE HEALTHYSTEPS PROGRAM FOR OUR FAMILIES. DEVELOPED A SYSTEM STRATEGY TO ADDRESS MENTAL HEALTH TECH RECRUITMENT AND TRAINING. FOR OUR SECOND CHNA PRIORITY, HEALTHY LIVING: NUTRITION AND FOOD SECURITY, THREE GOALS WERE UTILIZED AND THEN IMPLEMENTED TO USE EVIDENCE-BASED PRACTICE APPROACHES, INCLUDING: DECREASING NUMBER OF FOOD DESERTS BY 20%; DECREASING NUMBER OF COMMUNITY MEMBERS ELIGIBLE BUT NOT ENROLLED IN SNAP BY 60%; INCREASING USE OF LOCALLY-SOURCED, HEALTHY AFFORDABLE FOODS WITHIN CENTURA HEALTH BY 50%. FOR THESE GOALS, WE ACHIEVED THE FOLLOWING: * COALITION MEMBERSHIP WITH BLUEPRINT TO END HUNGER CO- POLICY ADVOCACY PROJECT TO ENABLE LOCAL BUSINESS TO ACCEPT SNAP/WIC BENEFITS * IMPLEMENTED A COMMUNITY HEALTH WORKER MODEL - COMMUNITY FOOD ADVOCATE OUTREACH TO ENCOURAGE BOTH CONSUMERS AND RETAILERS TO PARTICIPATE IN DUFB PROGRAM * SPONSORED CSA BOXES AT SEVERAL HOSPITAL AND CLINIC LOCATIONS. SUBSIDIZED FOR LOW-INCOME PATIENTS. * SNAP ENROLLMENT THROUGH CLINIC COMMUNITY HEALTH ADVOCATE IN PARTNERSHIP WITH COLORADO'S LEADING ANTI-HUNGER ORGANIZATION * COMMITMENT TO SOURCING LOCAL FOODS FOR HOSPITAL USE BY PARTICIPATING IN DENVER'S ANCHOR INSTITUTION PROJECT ALL PRIORITIZED NEEDS WERE ADDRESSED BY ST. MARY CORWIN AND PROVIDED BENEFITS RELATED TO IMPROVING THE HEALTH OF OUR COMMUNITY THROUGH MULTIPLE PROGRAMS. THE HOSPITAL ALSO INVESTED $24K IN PROVIDING INFORMATION TO PATIENTS REGARDING RECOVERY, SELF CARE, AND NUTRITION. THE HOSPITAL INVESTED $76K IN COVID-19 MESSAGING CAMPAIGN, WITH A FOCUS ON PREVENTION, VACCINATION, AND TREATMENT. THE HOSPITAL INVESTED $34K IN EXTENDING THE KNOWLEDGE AND EXPERTISE OF EMERGENCY DEPARTMENT PROFESSIONALS INTO RURAL COMMUNITIES THROUGH EMS OUTREACH SERVICES.
Schedule H, Part V, Section B, Line 11 Facility A, 4	Facility A, 4 - ST. FRANCIS MEDICAL CENTER. PENROSE-ST FRANCIS AND COMMUNITY STAKEHOLDERS IDENTIFIED THREE SIGNIFICANT NEEDS IN THEIR COMMUNITY WHICH THEY PRIORITIZED AND FOCUSED ON. THE NEEDS WERE BEHAVIORAL HEALTH, ACCESS TO HEALTHY AND AFFORDABLE FOOD, AND ACCESS TO CARE. FOR BEHAVIORAL HEALTH, THREE GOALS WERE UTILIZED AND THEN IMPLEMENTED TO USE EVIDENCE-BASED PRACTICE APPROACHES, INCLUDING: INCREASING ACCESS TO BEHAVIORAL HEALTH SERVICES AND PROVIDERS; DEVELOPING SCREENING TOOL AND MECHANISM FOR IDENTIFYING DEPRESSION IN POSTPARTUM WOMEN; AND, STRENGTHENING AND EXPANDING COMMUNITY PARTNERSHIPS TO PROVIDE CARE FOR THOSE PRESENTING WITH BEHAVIORAL HEALTH DIAGNOSES. FOR THESE GOALS, WE ACHIEVED THE FOLLOWING: CONTINUED FUNDING FOR FORGE EVOLUTION'S STAFF TO BECOME RED CROSS INSTRUCTORS TO TRAIN AT-RISK YOUTH IN FIRST AID/CPR/AED AND BABYSITTING. EXPANDING OUR REACH BY FUNDING FOR THE SECOND YEAR THE KINGDOM BUILDERS' PROJECT RIGHT DIRECTION WHERE YOUTH LEARN LIFE SKILLS TO ADVANCE THEIR COMPETENCY IN MAKING INFORMED DECISIONS, CRITICALLY THINKING, COMMUNICATING EFFECTIVELY, BUILDING HEALTHY RELATIONSHIPS AND MANAGING THEIR LIVES AND AN OPPORTUNITY TO BE TRAINED AS A PEER MENTOR. ACADEMY AND A CAREER PATH WITH CENTURA. * SUPPORTING SOLID ROCK'S SOUTHEAST CIVIC AMBASSADOR PROGRAM WHICH PROVIDES COMMUNITY SERVICE, MENTORSHIP AND CONNECTIONS WITH ELECTED OFFICIALS, BUSINESS OWNERS, NON-PROFIT AND COMMUNITY LEADERS TO EMPOWER YOUTH AS FUTURE ADVOCATES. * SUBSIDIZING DEERFIELD HILL'S COMMUNITY CENTER STAFF HOURS TO PROVIDE AFTER-SCHOOL PROGRAMMING, FIELD TRIPS AND CAMPS DURING SCHOOL BREAKS FOR YOUTH FROM HARRISON SCHOOL DISTRICT 2. FOR OUR SECOND CHNA PRIORITY, ACCESS TO HEALTHY AND AFFORDABLE FOODS, THREE GOALS WERE UTILIZED AND THEN IMPLEMENTED TO USE EVIDENCE-BASED PRACTICE APPROACHES, INCLUDING: DECREASING NUMBER OF FOOD DESERTS BY 20%; DECREASING NUMBER OF COMMUNITY MEMBERS ELIGIBLE BUT NOT ENROLLED IN SNAP BY 60%; INCREASING USE OF LOCALLY-SOURCED, HEALTHY AFFORDABLE FOODS WITHIN CENTURA HEALTH BY 50%. FOR THESE GOALS, WE ACHIEVED THE FOLLOWING: * COALITION MEMBERSHIP WITH BLUEPRINT TO END HUNGER CO- POLICY ADVOCACY PROJECT TO ENABLE LOCAL BUSINESS TO ACCEPT SNAP/WIC BENEFITS * IMPLEMENTED A COMMUNITY HEALTH WORKER MODEL - COMMUNITY FOOD ADVOCATE OUTREACH TO ENCOURAGE BOTH CONSUMERS AND RETAILERS TO PARTICIPATE IN DUFB PROGRAM * SPONSORED CSA BOXES AT SEVERAL HOSPITAL AND CLINIC LOCATIONS. SUBSIDIZED FOR LOW-INCOME PATIENTS. * SNAP ENROLLMENT THROUGH CLINIC COMMUNITY HEALTH ADVOCATE IN PARTNERSHIP WITH COLORADO'S LEADING ANTI-HUNGER ORGANIZATION * COMMITMENT TO SOURCING LOCAL FOODS FOR HOSPITAL USE BY PARTICIPATING IN DENVER'S ANCHOR INSTITUTION PROJECT PROVIDED $18K IN CASH AND IN-KIND CONTRIBUTIONS FOR FOOD SECURITY FOR SENIORS. FOR OUR THIRD CHNA PRIORITY, ACCESS TO CARE, ONE GOAL WAS ADVANCED: INCREASE THE NUMBER OF PRIMARY CARE PROVIDERS. FOR THIS GOAL, WE ACHIEVED THE FOLLOWING: SYSTEMWIDE INITIATIVE TO INCREASE ACCESS TO PRIMARY CARE PROVIDERS BY HIRING 300 MORE IN THE NEXT 12 MONTHS * CENTURA'S DIGITAL TEAM IS IMPROVING THE ABILITY FOR PATIENTS TO ACCESS CARE AND SERVICES WITH ONLINE SCHEDULING AND IMPROVED PORTAL CAPABILITIES. ALL THREE PRIORITIZED NEEDS WERE ADDRESSED BY PENROSE-ST. FRANCIS AND PROVIDED BENEFITS RELATED TO IMPROVING THE HEALTH OF OUR COMMUNITY THROUGH MULTIPLE PROGRAMS. INCLUDING, PROVIDING FAMILIES WITH ROOM NIGHTS AND SERVICES EQUATING TO $300K AT THE JOHN ZAYN GUEST HOUSE FOR PATIENT'S FAMILIES REGARDLESS OF THE ABILITY TO PAY; DEDICATED OVER $400K IN THE AREAS OF NUTRITION SERVICES, WELLNESS ACTIVITIES, AND COMMUNITY OUTREACH. THE HOSPITAL ALSO INVESTED $15K IN COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS, FOCUSED ON CANCER TREATMENT, MAINTENANCE AND EDUCATION. THIS INVESTMENT PROVIDED PATIENTS AND COMMUNITY MEMBERS INFORMATION ON CANCER TREATMENT AND COPING SKILLS. THE HOSPITAL INVESTED $39K IN PROVIDING TRANSPORTATION TO PATIENTS AND FAMILIES WITH NO OTHER MEANS OF GETTING HOME, INCLUDING PROVIDING TRANSPORTATION TO TREATMENT CENTERS.
Schedule H, Part V, Section B, Line 11 Facility A, 5	Facility A, 5 - ST. ANTHONY SUMMIT MEDICAL CENTER. ST. ANTHONY SUMMIT MEDICAL CENTER (SUM) AND COMMUNITY STAKEHOLDERS IDENTIFIED TWO SIGNIFICANT NEEDS IN THEIR COMMUNITY WHICH THEY PRIORITIZED AND FOCUSED ON. THE PRIORITIZED NEEDS WERE BEHAVIORAL HEALTH AND INTENTIONAL INJURY PREVENTION. THE PROCESS FOLLOWED TO ADDRESS THE NEEDS, WAS TO CREATE SEVERAL GOALS FOR EACH NEED, AND THEN IMPLEMENTING SPECIFIC ACTIVITIES AND METRICS TO MEASURE THE PROGRESS OF ADDRESSING THE NEED. BEHAVIORAL HEALTH: THREE OF THE GOALS WERE TO INCREASE PEOPLE WHO ARE ABLE TO IDENTIFY, UNDERSTAND AND RESPOND TO THOSE IN MENTAL HEALTH AND SUBSTANCE ABUSE CRISIS THROUGH TRAINING ABOUT IDENTIFICATION AND RESOURCES THROUGH MENTAL HEALTH FIRST AID (MHFA) AND OTHER RESOURCES; INCREASE THE PERCENT OF PEOPLE SCREENED FOR SUBSTANCE ABUSE AND MENTAL HEALTH ISSUES IN HEALTHCARE AND OTHER RELATED COMMUNITY SETTINGS; AND TO INCREASE THE NUMBER OF APPROPRIATE REFERRALS TO AVAILABLE RESOURCES WITHIN THE COMMUNITY. ST. ANTHONY SUMMIT MEDICAL CENTER AND COMMUNITY STAKEHOLDERS IDENTIFIED THREE SIGNIFICANT NEEDS IN THEIR COMMUNITY WHICH THEY PRIORITIZED AND FOCUSED ON. THE PRIORITIZED NEEDS WERE BEHAVIORAL HEALTH, SUBSTANCE USE, AND FOOD SECURITY AND HEALTH EQUITY. THE PROCESS FOLLOWED TO ADDRESS THE NEEDS, WAS TO CREATE SEVERAL GOALS FOR EACH NEED, AND THEN IMPLEMENTING SPECIFIC ACTIVITIES AND METRICS TO MEASURE THE PROGRESS OF ADDRESSING THE NEED. FOR OUR FIRST CHNA PRIORITY, MENTAL HEALTH, THREE GOALS WERE ADVANCED: REACH 80% OF SCHOOL-AGED YOUTH WITH SOCIAL COHESION/RESILIENCY STRATEGY; INCREASE CAPACITY OF OUR COMMUNITY TO SUPPORT BEHAVIORAL HEALTH NEEDS THROUGH INCREASED AWARENESS AND REDUCED STIGMA OF BEHAVIORAL HEALTH; AND, INCREASE PEOPLE REPORTING ACCESS TO BEHAVIORAL HEALTH SERVICES. FOR THESE GOALS WE ACHIEVED THE FOLLOWING: PARTNERED WITH BUILDING HOPE SUMMIT COUNTY FOR ALL YOUTH STIGMA RELATED ACTIVITIES. INCLUDING, SOCIAL EMOTIONAL CURRICULUM, SECOND STEP K-8 WE'RE A PARTNER FOR BUILDING HOPE SUMMIT COUNTY - A COMMUNITY-WIDE INITIATIVE DESIGNED TO CREATE A MORE COORDINATED, EFFECTIVE AND RESPONSIVE MENTAL HEALTH SYSTEM THAT PROMOTES EMOTIONAL HEALTH, REDUCES STIGMA AND IMPROVES ACCESS TO CARE AND SUPPORT. CONDUCTED FIVE TRAININGS ON CONSENT, SEXTING AND HEALTH DATING RELATIONSHIPS JOINT PARTNERSHIP TRAINING WITH SUMMIT ADVOCATES, INCLUDING A SPANISH BILINGUAL VOLUNTEER. * CONTRACTED WITH UNITEDWAY 2-1-1 TO PROVIDE STATE-WIDE BEHAVIORAL HEALTH RESOURCES AS PART OF OUR SOCIAL DETERMINANTS OF HEALTH STRATEGY FOR OUR SECOND CHNA GOAL, SUBSTANCE USE, WE ADVANCED TWO GOALS: REDUCE OPIOID PRESCRIPTION, MISUSE AND ABUSE; AND, INCREASE COMMUNITY AWARENESS AND EDUCATION REGARDING OPIOID CRISIS, SAFE USE, SAFE STORAGE AND OVERDOSE. FOR THIS GOAL, WE ACHIEVED THE FOLLOWING: * IMPLEMENTED SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT). SBIRT IS AN APPROACH TO THE DELIVERY OF EARLY INTERVENTION AND TREATMENT TO PEOPLE WITH SUBSTANCE USE DISORDERS AND THOSE AT RISK OF DEVELOPING THESE DISORDERS. * SCALED ALTERNATIVE TO OPIOIDS (ALTOS). THE ALTO PROGRAM USES TARGETED NON-OPIOID MEDICATIONS, TRIGGER POINT INJECTIONS, NITROUS OXIDE, AND ULTRASOUND GUIDED NERVE BLOCKS TO TAILOR PATIENTS' PAIN MANAGEMENT NEEDS AND AVOID OPIOIDS WHENEVER POSSIBLE. * SCALED ZERO SUICIDE. THE FOUNDATIONAL BELIEF OF ZERO SUICIDE IS THAT SUICIDE DEATHS FOR INDIVIDUALS UNDER THE CARE OF HEALTH AND BEHAVIORAL HEALTH SYSTEMS ARE PREVENTABLE. FOR SYSTEMS DEDICATED TO IMPROVING PATIENT SAFETY, ZERO SUICIDE PRESENTS AN ASPIRATIONAL CHALLENGE AND PRACTICAL FRAMEWORK FOR SYSTEM-WIDE TRANSFORMATION TOWARD SAFER SUICIDE CARE. WE PARTNERED WITH ROCKY MOUNTAIN CRISIS PARTNERS (RMCP) TO REFER PATIENTS TO APPROPRIATE INTERVENTIONS. FOR OUR THIRD CHNA PRIORITY, FOOD SECURITY, THREE GOALS WERE UTILIZED AND THEN IMPLEMENTED TO USE EVIDENCE-BASED PRACTICE APPROACHES, INCLUDING: DECREASING NUMBER OF FOOD DESERTS BY 20%; DECREASING NUMBER OF COMMUNITY MEMBERS ELIGIBLE BUT NOT ENROLLED IN SNAP BY 60%; INCREASING USE OF LOCALLY-SOURCED, HEALTHY AFFORDABLE FOODS WITHIN CENTURA HEALTH BY 50%. FOR THESE GOALS, WE ACHIEVED THE FOLLOWING: * COALITION MEMBERSHIP WITH BLUEPRINT TO END HUNGER CO- POLICY ADVOCACY PROJECT TO ENABLE LOCAL BUSINESS TO ACCEPT SNAP/WIC BENEFITS * IMPLEMENTED A COMMUNITY HEALTH WORKER MODEL - COMMUNITY FOOD ADVOCATE OUTREACH TO ENCOURAGE BOTH CONSUMERS AND RETAILERS TO PARTICIPATE IN DUFB PROGRAM * SPONSORED CSA BOXES AT SEVERAL HOSPITAL AND CLINIC LOCATIONS. SUBSIDIZED FOR LOW-INCOME PATIENTS. * SNAP ENROLLMENT THROUGH CLINIC COMMUNITY HEALTH ADVOCATE IN PARTNERSHIP WITH COLORADO'S LEADING ANTI-HUNGER ORGANIZATION * COMMITMENT TO SOURCING LOCAL FOODS FOR HOSPITAL USE BY PARTICIPATING IN DENVER'S ANCHOR INSTITUTION PROJECT THE HOSPITAL ALSO INVESTED $96K IN PROVIDING FIRST AID SERVICES TO THE BRECKENRIDGE COMMUNITY THE HOSPITAL INVESTED $13K TO THE THINK FIRST INJURY PROGRAM, WHICH FOCUSED ON EDUCATION, OUTREACH AND GENERAL PROGRAMMING. THE HOSPITAL INVESTED $152K IN COMMUNITY BASED ORGANIZATIONS THAT ADVANCE THE REGION'S IMPLEMENTATION STRATEGIES. THE HOSPITAL INVESTED $268K ON CLINICAL EXAMINATION AND FORENSIC EVIDENCE COLLECTION FOR VICTIMS OF SEXUAL ASSAULT. THE SEXUAL ASSAULT NURSE EXAMINER (SANE) PROGRAM. SANE RN'S HAVE BEEN SPECIALLY EDUCATED TO PROVIDE COMPREHENSIVE CARE TO SURVIVORS OF SEXUAL ASSAULT IN A SENSITIVE, COMPASSIONATE, RESPECTFUL MANNER. BECAUSE OF THEIR EXPERTISE, THEY OFTEN ARE ASKED TO SERVE AS EXPERT WITNESSES IN COURT.
Schedule H, Part V, Section B, Line 11 Facility A, 6	Facility A, 6 - ST. THOMAS MORE HOSPITAL. ST. THOMAS MORE (STM) AND COMMUNITY STAKEHOLDERS IDENTIFIED THREE SIGNIFICANT NEEDS IN THEIR COMMUNITY WHICH THEY PRIORITIZED AND FOCUSED ON. THE PRIORITIZED NEEDS WERE BEHAVIORAL HEALTH, ACCESS TO HEALTHY AFFORDABLE FOOD, AND LUNG DISEASE. THE PROCESS FOLLOWED TO ADDRESS THE NEEDS, WAS TO CREATE SEVERAL GOALS FOR EACH NEED, AND THEN IMPLEMENTING SPECIFIC ACTIVITIES AND METRICS TO MEASURE PROGRESS OF ADDRESS THE NEED. FOR OUR FIRST CHNA PRIORITY, BEHAVIORAL HEALTH, THREE GOALS WERE UTILIZED AND THEN IMPLEMENTED TO USE EVIDENCE-BASED PRACTICE APPROACHES, INCLUDING: * REACH 80% OF SCHOOL-AGED YOUTH WITH SOCIAL COHESION/RESILIENCY STRATEGY. * INCREASE CAPACITY OF OUR COMMUNITY TO SUPPORT BEHAVIORAL HEALTH NEEDS THROUGH INCREASED AWARENESS AND REDUCED STIGMA OF BEHAVIORAL HEALTH * INCREASE PEOPLE REPORTING ACCESS TO BEHAVIORAL HEALTH SERVICES FOR THESE GOALS, WE ACHIEVED THE FOLLOWING: IMPLEMENTED MALTREATMENT PREVENTION INTERVENTIONS SERVICES IN OUR PEDIATRIC CLINIC IN PARTNERSHIP WITH COLORADO'S HEALTHYSTEPS BY WORKING COLLABORATIVELY WITH THE PRIMARY CARE, EARLY CHILDHOOD AND COMMUNITY AGENCIES WHO SERVE CHILDREN AND FAMILIES, WE'RE OPENING PATHWAYS FOR EARLY IDENTIFICATION AND SUPPORT AND GIVING ALL COLORADO CHILDREN AN EQUAL OPPORTUNITY TO THRIVE. * LED SCHOOL MENTAL HEALTH COMMUNITY OF PRACTICE-VIRTUAL FORUM FOR SCHOOL ADMINISTRATORS AND TEACHERS TO LEARN ABOUT MENTAL HEALTH TRAINING, INCLUDING SUPPORT * SCALED A YOUTH RESILIENCY AND MENTAL HEALTH SUPPORT PROGRAM WITH VARIOUS COMMUNITY PARTNERS. FOCUSED ON TEAM-BUILDING, LIFE-SKILLS TRAINING AND APPRENTICESHIPS -ALL WITH THE AIM TO INCREASE PROTECTIVE FACTORS AND STRENGTHEN YOUTH RESILIENCY * ADVANCED GRASSROOTS EFFORTS WITH LATINX AND BLACK COMMUNITIES TO REDUCE STIGMA ASSOCIATED WITH SEEKING BEHAVIORAL HEALTH SERVICES FOR OUR SECOND CHNA PRIORITY, FOOD SECURITY, THREE GOALS WERE UTILIZED AND THEN IMPLEMENTED TO USE EVIDENCE-BASED PRACTICE APPROACHES, INCLUDING: DECREASING NUMBER OF FOOD DESERTS BY 20%; DECREASING NUMBER OF COMMUNITY MEMBERS ELIGIBLE BUT NOT ENROLLED IN SNAP BY 60%; INCREASING USE OF LOCALLY-SOURCED, HEALTHY AFFORDABLE FOODS WITHIN CENTURA HEALTH BY 50%. FOR THESE GOALS, WE ACHIEVED THE FOLLOWING: * COALITION MEMBERSHIP WITH BLUEPRINT TO END HUNGER CO- POLICY ADVOCACY PROJECT TO ENABLE LOCAL BUSINESS TO ACCEPT SNAP/WIC BENEFITS * IMPLEMENTED A COMMUNITY HEALTH WORKER MODEL - COMMUNITY FOOD ADVOCATE OUTREACH TO ENCOURAGE BOTH CONSUMERS AND RETAILERS TO PARTICIPATE IN DUFB PROGRAM * SPONSORED CSA BOXES AT SEVERAL HOSPITAL AND CLINIC LOCATIONS. SUBSIDIZED FOR LOW-INCOME PATIENTS. * SNAP ENROLLMENT THROUGH CLINIC COMMUNITY HEALTH ADVOCATE IN PARTNERSHIP WITH COLORADO'S LEADING ANTI-HUNGER ORGANIZATION * COMMITMENT TO SOURCING LOCAL FOODS FOR HOSPITAL USE BY PARTICIPATING IN DENVER'S ANCHOR INSTITUTION PROJECT FOR OUR THIRD CHNA PRIORITY, LUNG DISEASE PREVENTION, THREE GOALS WERE UTILIZED AND THEN IMPLEMENTED TO USE EVIDENCE-BASED PRACTICE APPROACHES, INCLUDING: WORKING WITH COMMUNITY PARTNERS TO PROMOTE TOBACCO CESSATION EFFORTS. COLLABORATE WITH YOUTH SERVING AGENCIES/ORGANIZATIONS TO INCREASE PROTECTIVE FACTORS TO DISCOURAGE TOBACCO USE AMONG YOUTH AND DECREASE USE AMONG YOUTH. AND COLLABORATE WITH AGENCIES THAT WORK WITH PREGNANT WOMEN TO DECREASE TOBACCO USE DURING PREGNANCY AND POSTPARTUM. FOR THESE GOALS WE ACHIEVED THE FOLLOWING: * COLLABORATED WITH FREMONT COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT ON TOBACCO CESSATION EFFORTS. ESTABLISHED A REFERRAL PATHWAY FROM OUR PRIMARY CARE AND PEDIATRIC CLINICS TO THE HEALTH DEPARTMENT TO ENSURE THAT FAMILIES HAVE ACCESS TO SMOKING CESSATION PROGRAMS. ALL THREE PRIORITIZED NEEDS WERE ADDRESSED BY ST. THOMAS MORE AND PROVIDED BENEFITS RELATED TO IMPROVING THE HEALTH OF OUR COMMUNITY THROUGH MULTIPLE PROGRAMS. THE HOSPITAL INVESTED $76K ON COVID-19 MESSAGING, FOCUSED ON PREVENTION, VACCINATION AND TREATMENT.
Schedule H, Part V, Section B, Line 11 Facility A, 7	Facility A, 7 - ORTHOCOLORADO HOSPITAL. DUE TO THE CLOSE PROXIMITY OF ORTHOCOLORADO HOSPITAL TO ST ANTHONY HOSPITAL (SAH), BOTH HOSPITALS COMBINED THEIR RESOURCES AND WORKED TOGETHER AND COMMUNITY STAKEHOLDERS WHO IDENTIFIED FOUR SIGNIFICANT NEEDS IN THEIR COMMUNITY WHICH THEY PRIORITIZED AND FOCUSED ON. THE PROCESS FOLLOWED TO ADDRESS THE NEEDS, WAS TO CREATE SEVERAL GOALS FOR EACH NEED, AND THEN IMPLEMENTING SPECIFIC ACTIVITIES AND METRICS TO MEASURE PROGRESS OF ADDRESS THE NEED. SPECIFICALLY, THE GOALS FOR BEHAVIORAL HEALTH WERE TO REACH 80% OF SCHOOL-AGE YOUTH WITH A BEHAVIORAL HEALTH STRATEGY; INCREASE CAPACITY OF OUR COMMUNITY TO SUPPORT BEHAVIORAL HEALTH NEEDS THROUGH INCREASED AWARENESS OF BH AND REDUCED STIGMA ASSOCIATED WITH BH; AND INCREASE PEOPLE REPORTING ACCESS TO BH SERVICES BY 40%. SAH HAS IMPLEMENTED ZERO SUICIDE FRAMEWORK WITHIN ITS HOSPITAL TO INCREASE SCREENING AND REFERRAL PROCESSES, INCLUDING TRAINING FOR ALL STAFF. THE ALTERNATIVES TO OPIOIDS PROGRAM IS RUNNING IN OUR HOSPITAL TO PROVIDE ALTERNATIVES TO OPIOID USE AND POTENTIAL ADDICTION. TO REDUCE MENTAL HEALTH STIGMA, THE LET'S TALK CAMPAIGN HAD 2.5 MILLION IMPRESSIONS AND PARTNERSHIPS HAVE BEEN ESTABLISHED WITH LATINX AND BLACK COMMUNITY AMBASSADORS TO CONDUCT OUTREACH AMONG THEIR COMMUNITIES. ADDITIONALLY, A BASELINE ASSESSMENT WAS DONE IN OUR LOCAL SCHOOL DISTRICT, AND PROGRAMMING HAS BEEN IMPLEMENTED TO REACH 5,875 STUDENTS PREVIOUSLY NOT REACHED. ACCESS TO SAFE AND STABLE HOUSING GOALS WERE TO INCREASE ACCESS TO SAFE AND STABLE HOUSING AND SHELTER WITHIN THE COMMUNITY; AND TO INCREASE BY 60% THE NUMBER OF COMMUNITY MEMBERS WHO ARE IDENTIFIED FOR HOUSING INSECURITY AND REFERRED TO RESOURCES IN THE COMMUNITY. SAH HAS PARTICIPATED ON LOCAL HOUSING AND HOMELESS COALITIONS AND IS IN THE PROCESS OF IMPLEMENTING A HOUSING STABILITY ASSESSMENT QUESTION INTO OUR EHR TO REFER PATIENTS TO AVAILABLE RESOURCES. ACCESS TO HEALTHY AFFORDABLE FOOD GOALS WERE TO INCREASE BY 20% THE NUMBER OF PRODUCE SITES THAT ACCESS SNAP AND WIC; INCREASE THE NUMBER OF LOCATIONS TO SELL HEALTHY AFFORDABLE FOOD BY 20%; INCREASE NUMBER OF COMMUNITY MEMBERS ELIGIBLE BUT NOT ENROLLED IN SNAP BY 60%; AND TO INCREASE LOCAL SOURCING OF PRODUCE BY 50%. SAH HAS PARTNERED WITH ORGANIZATIONS TO PROVIDE TECHNICAL ASSISTANCE AND FUNDING TO BUSINESSES TO ACCEPT SNAP AND WIC. ADDITIONALLY, WE HAVE PARTNERED TO WORK WITH RETAILERS TO OFFER DOUBLE UP FOOD BUCKS FOR PRODUCE PURCHASE. IN PARTNERSHIP WITH A LOCAL ORGANIZATION, SNAP OUTREACH WAS DONE IN MULTIPLE LANGUAGES. INJURY PREVENTION GOALS WERE DESIGNED TO ALIGN WITH OUR BEHAVIORAL HEALTH GOALS. OUR TEAM WAS ACTIVELY INVOLVED IN LOCAL COALITIONS TO INFORM OUR BEHAVIORAL HEALTH WORK AND TO REDUCE INJURIES ASSOCIATED WITH VIOLENCE AND SUBSTANCE USE. THE HOSPITAL ALSO ADVANCED THE FOLLOWING ACTIVITIES: EMS COURSES OFFERED TO THE COMMUNITY AND AGENCIES. EMS INVOLVEMENT WITH COMMUNITY REGULATORY AND OVERSIGHT BOARDS. PROVIDE STATEWIDE SUPPORT OF EMS AND TRAUMA REGULATORY SERVICES TO ASSIST COLORADO STATE AGENCIES. PROVIDE CONTENT EXPERTISE FOR EMS BOARDS AND COMMITTEES IN COLORADO. TRAINING OF HEALTH PROFESSIONALS IN SPECIAL SETTINGS, SUCH AS OCCUPATIONAL HEALTH OR OUTPATIENT FACILITIES. EDUCATIONAL PROGRAMS FOR PHYSICIANS TRAINING THAT IS REQUIRED BY STATE LAW, ACCREDITING BODY OR HEALTH PROFESSION SOCIETY. CONTINUING MEDICAL EDUCATION (CME) REQUIRED FOR MEDICAL CREDENTIALING OFFERED TO PHYSICIANS OUTSIDE OF THE MEDICAL STAFF ON SUBJECTS FOR WHICH THE ORGANIZATION HAS SPECIAL EXPERTISE. PROVIDING A CLINICAL SETTING FOR STUDENTS ENROLLED IN AN OUTSIDE ORGANIZATION. A CLINICAL SETTING FOR STUDENT TRAINING AND INTERNSHIPS FOR RADIOLOGY, IMAGING, EMT AND OTHER TECH HEALTH PROFESSIONALS - WHEN THERE IS NO WORK REQUIREMENT TIED TO TRAINING.
Schedule H, Part V, Section B, Line 11 Facility A, 8	Facility A, 8 - ST ANTHONY NORTH HOSPITAL. ST ANTHONY NORTH HOSPITAL (SAN) AND COMMUNITY STAKEHOLDERS IDENTIFIED THREE SIGNIFICANT NEEDS IN THEIR COMMUNITY WHICH THEY PRIORITIZED AND FOCUSED ON. THE PRIORITIZED NEEDS WERE BEHAVIORAL HEALTH, ACCESS TO HEALTHY AFFORDABLE FOODS, ACCESS TO SAFE AND STABLE HOUSING, AND INJURY PREVENTION. THE PROCESS FOLLOWED TO ADDRESS THE NEEDS, WAS TO CREATE SEVERAL GOALS FOR EACH NEED, AND THEN IMPLEMENTING SPECIFIC ACTIVITIES AND METRICS TO MEASURE PROGRESS OF ADDRESS THE NEED. SPECIFICALLY, SAH'S GOALS FOR BEHAVIORAL HEALTH WERE TO REACH 80% OF SCHOOL-AGE YOUTH WITH A BEHAVIORAL HEALTH STRATEGY; INCREASE CAPACITY OF OUR COMMUNITY TO SUPPORT BEHAVIORAL HEALTH NEEDS THROUGH INCREASED AWARENESS OF BH AND REDUCED STIGMA ASSOCIATED WITH BH; AND INCREASE PEOPLE REPORTING ACCESS TO BH SERVICES BY 40%. SAH HAS IMPLEMENTED ZERO SUICIDE FRAMEWORK WITHIN ITS HOSPITAL TO INCREASE SCREENING AND REFERRAL PROCESSES, INCLUDING TRAINING FOR ALL STAFF. THE ALTERNATIVES TO OPIOIDS PROGRAM IS RUNNING IN OUR HOSPITAL TO PROVIDE ALTERNATIVES TO OPIOID USE AND POTENTIAL ADDICTION. TO REDUCE MENTAL HEALTH STIGMA. ACCESS TO SAFE AND STABLE HOUSING GOALS WERE TO INCREASE ACCESS TO SAFE AND STABLE HOUSING AND SHELTER WITHIN THE COMMUNITY; AND TO INCREASE BY 60% THE NUMBER OF COMMUNITY MEMBERS WHO ARE IDENTIFIED FOR HOUSING INSECURITY AND REFERRED TO RESOURCES IN THE COMMUNITY. SAH HAS PARTICIPATED ON LOCAL HOUSING AND HOMELESS COALITIONS AND IS IN THE PROCESS OF IMPLEMENTING A HOUSING STABILITY ASSESSMENT QUESTION INTO OUR EHR TO REFER PATIENTS TO AVAILABLE RESOURCES. ACCESS TO HEALTHY AFFORDABLE FOOD GOALS WERE TO INCREASE BY 20% THE NUMBER OF PRODUCE SITES THAT ACCESS SNAP AND WIC; INCREASE THE NUMBER OF LOCATIONS TO SELL HEALTHY AFFORDABLE FOOD BY 20%; INCREASE NUMBER OF COMMUNITY MEMBERS ELIGIBLE BUT NOT ENROLLED IN SNAP BY 60%; AND TO INCREASE LOCAL SOURCING OF PRODUCE BY 50%. SAH HAS PARTNERED WITH ORGANIZATIONS TO PROVIDE TECHNICAL ASSISTANCE AND FUNDING TO BUSINESSES TO ACCEPT SNAP AND WIC. ADDITIONALLY, WE HAVE PARTNERED TO WORK WITH RETAILERS TO OFFER DOUBLE UP FOOD BUCKS FOR PRODUCE PURCHASE. IN PARTNERSHIP WITH A LOCAL ORGANIZATION, SNAP OUTREACH WAS DONE IN MULTIPLE LANGUAGES THE HOSPITAL ALSO ADVANCED THE FOLLOWING ACTIVITIES: FAMILY PRACTICE RESIDENCY, PROVIDING 3 YEAR EDUCATIONAL PROGRAM TO TRAIN 28 PRIMARY CARE RESIDENTS TO PREPARE THE RESIDENTS FOR CERTIFICATION AS FAMILY PRACTITIONERS IN ADDITION THE PROGRAM ACCEPTS MEDICAL SCHOOL STUDENT ROTATIONS. THE CLINICAL SETTING EDUCATION IS NECESSARY FOR A DEGREE, CERTIFICATE, OR TRAINING THAT IS REQUIRED BY STATE LAW, ACCREDITING BODY OR HEALTH PROFESSION SOCIETY. TRAIN COMPETENT PHYSICIANS THAT WILL HOPEFULLY SET UP PRACTICE IN COLORADO AND PROVIDE CARE TO UNDERSERVED PATIENTS IN THE SURROUNDING AREAS. PROVIDING A CLINICAL SETTING FOR STUDENTS ENROLLED IN AN OUTSIDE ORGANIZATION/ A CLINICAL SETTING FOR STUDENT TRAINING AND INTERNSHIPS FOR DIETARY PROFESSIONALS, TECHNICIANS, PHYSICAL THERAPISTS, SOCIAL WORKERS, PHARMACISTS, AND OTHER HEALTH PROFESSIONALS - WHEN THERE IS NO WORK REQUIREMENT TIED TO TRAINING.
Schedule H, Part V, Section B, Line 11 Facility A, 9	Facility A, 9 - ST. ANTHONY HOSPITAL. ST ANTHONY HOSPITAL (SAH) AND COMMUNITY STAKEHOLDERS IDENTIFIED THREE SIGNIFICANT NEEDS IN THEIR COMMUNITY WHICH THEY PRIORITIZED AND FOCUSED ON. THE PRIORITIZED NEEDS WERE BEHAVIORAL HEALTH, ACCESS TO HEALTH AFFORDABLE FOODS, ACCESS TO SAFE AND STABLE HOUSING, AND INJURY PREVENTION. THE PROCESS FOLLOWED TO ADDRESS THE NEEDS, WAS TO CREATE SEVERAL GOALS FOR EACH NEED, AND THEN IMPLEMENTING SPECIFIC ACTIVITIES AND METRICS TO MEASURE PROGRESS OF ADDRESS THE NEED. SPECIFICALLY, SAH'S GOALS FOR BEHAVIORAL HEALTH WERE TO REACH 80% OF SCHOOL-AGE YOUTH WITH A BEHAVIORAL HEALTH STRATEGY; INCREASE CAPACITY OF OUR COMMUNITY TO SUPPORT BEHAVIORAL HEALTH NEEDS THROUGH INCREASED AWARENESS OF BH AND REDUCED STIGMA ASSOCIATED WITH BH; AND INCREASE PEOPLE REPORTING ACCESS TO BH SERVICES BY 40%. SAH HAS IMPLEMENTED ZERO SUICIDE FRAMEWORK WITHIN ITS HOSPITAL TO INCREASE SCREENING AND REFERRAL PROCESSES, INCLUDING TRAINING FOR ALL STAFF. THE ALTERNATIVES TO OPIOIDS PROGRAM IS RUNNING IN OUR HOSPITAL TO PROVIDE ALTERNATIVES TO OPIOID USE AND POTENTIAL ADDICTION. TO REDUCE MENTAL HEALTH STIGMA, THE LET'S TALK CAMPAIGN HAD 2.5 MILLION IMPRESSIONS AND PARTNERSHIPS HAVE BEEN ESTABLISHED WITH LATINX AND BLACK COMMUNITY AMBASSADORS TO CONDUCT OUTREACH AMONG THEIR COMMUNITIES. ADDITIONALLY, A BASELINE ASSESSMENT WAS DONE IN OUR LOCAL SCHOOL DISTRICT, AND PROGRAMMING HAS BEEN IMPLEMENTED TO REACH 5,875 STUDENTS PREVIOUSLY NOT REACHED. ACCESS TO SAFE AND STABLE HOUSING GOALS WERE TO INCREASE ACCESS TO SAFE AND STABLE HOUSING AND SHELTER WITHIN THE COMMUNITY; AND TO INCREASE BY 60% THE NUMBER OF COMMUNITY MEMBERS WHO ARE IDENTIFIED FOR HOUSING INSECURITY AND REFERRED TO RESOURCES IN THE COMMUNITY. SAH HAS PARTICIPATED ON LOCAL HOUSING AND HOMELESS COALITIONS AND IS IN THE PROCESS OF IMPLEMENTING A HOUSING STABILITY ASSESSMENT QUESTION INTO OUR EHR TO REFER PATIENTS TO AVAILABLE RESOURCES. ACCESS TO HEALTHY AFFORDABLE FOOD GOALS WERE TO INCREASE BY 20% THE NUMBER OF PRODUCE SITES THAT ACCESS SNAP AND WIC; INCREASE THE NUMBER OF LOCATIONS TO SELL HEALTHY AFFORDABLE FOOD BY 20%; INCREASE NUMBER OF COMMUNITY MEMBERS ELIGIBLE BUT NOT ENROLLED IN SNAP BY 60%; AND TO INCREASE LOCAL SOURCING OF PRODUCE BY 50%. SAH HAS PARTNERED WITH ORGANIZATIONS TO PROVIDE TECHNICAL ASSISTANCE AND FUNDING TO BUSINESSES TO ACCEPT SNAP AND WIC. ADDITIONALLY, WE HAVE PARTNERED TO WORK WITH RETAILERS TO OFFER DOUBLE UP FOOD BUCKS FOR PRODUCE PURCHASE. IN PARTNERSHIP WITH A LOCAL ORGANIZATION, SNAP OUTREACH WAS DONE IN MULTIPLE LANGUAGES. INJURY PREVENTION GOALS WERE DESIGNED TO ALIGN WITH OUR BEHAVIORAL HEALTH GOALS. OUR TEAM WAS ACTIVELY INVOLVED IN LOCAL COALITIONS TO INFORM OUR BEHAVIORAL HEALTH WORK AND TO REDUCE INJURIES ASSOCIATED WITH VIOLENCE AND SUBSTANCE USE THE HOSPITAL ALSO ADVANCED THE FOLLOWING ACTIVITIES: EMS COURSES OFFERED TO THE COMMUNITY AND AGENCIES. EMS INVOLVEMENT WITH COMMUNITY REGULATORY AND OVERSIGHT BOARDS. PROVIDE STATEWIDE SUPPORT OF EMS AND TRAUMA REGULATORY SERVICES TO ASSIST COLORADO STATE AGENCIES. PROVIDE CONTENT EXPERTISE FOR EMS BOARDS AND COMMITTEES IN COLORADO. TRAINING OF HEALTH PROFESSIONALS IN SPECIAL SETTINGS, SUCH AS OCCUPATIONAL HEALTH OR OUTPATIENT FACILITIES. EDUCATIONAL PROGRAMS FOR PHYSICIANS TRAINING THAT IS REQUIRED BY STATE LAW, ACCREDITING BODY OR HEALTH PROFESSION SOCIETY. CONTINUING MEDICAL EDUCATION (CME) REQUIRED FOR MEDICAL CREDENTIALING OFFERED TO PHYSICIANS OUTSIDE OF THE MEDICAL STAFF ON SUBJECTS FOR WHICH THE ORGANIZATION HAS SPECIAL EXPERTISE. PROVIDING A CLINICAL SETTING FOR STUDENTS ENROLLED IN AN OUTSIDE ORGANIZATION. A CLINICAL SETTING FOR STUDENT TRAINING AND INTERNSHIPS FOR RADIOLOGY, IMAGING, EMT AND OTHER TECH HEALTH PROFESSIONALS - WHEN THERE IS NO WORK REQUIREMENT TIED TO TRAINING.

Schedule H (Form 990) 2021

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?72
Name and address		Type of Facility (describe)
1	MERCY HOME HEALTH ONE MERCADO STREET suite 270 DURANGO,CO81301	HOMECARE
2	SENIOR HEALTH CENTER WEST 11700 W 2nd Place Lakewood,CO80228	PRIMARY CARE GERIATRICS
3	Endocrinology Diabetes & Thyroid Specialists of Colorado 11700 W 2nd Place Suite 210 Lakewood,CO80228	physician clinic
4	PHYSICIAN PARTNERS ORTHOPAEDIC SURGERY 4112 OUTLOOK BLVD PUEBLO,CO81008	ORTHOPAEDIC SURGERY
5	ASSOCIATED SURGEONS 11700 W 2nd Place Suite 210 Lakewood,CO80228	GENERAL SURGERY
6	Southern Colorado Gynocology Oncology 2222 N Nevada Ave Suite 2025 Colorado Springs,CO80907	physician office
7	PENROSE URGENT CARE AT CRIPPLE CREEK 1101 TELLER COUNTY ROAD 1 CRIPPLE CREEK,CO80813	URGENT CARE
8	MERCY DIAGNOSTIC LAB 2577 N MAIN AVE DURANGO,CO81301	MDS SERVICES
9	CENTURA HOME OXYGEN-PUEBLO 4025 CLUB MANOR DRIVE PUEBLO,CO81008	HOME MEDICAL EQUIP.
10	PSF Primary Care Health Care Services 6011 E Woodmen Suite 100 Colorado Springs,CO80923	Physician office
11	Southern Colorado Breast Care Specialists 2312 N Nevada Ave Suite 235 Colorado Springs,CO80907	physician office
12	PROGRESSIVE CARE CENTER 1338 PHAY AVE CANON CITY,CO81212	SKILLED NURSING RESPITE CARE
13	ST ANTHONY HOSPICE 1391 SPEER BLVD Suite 600 DENVER,CO80204	HOME HOSPICE
14	SENIOR HEALTH CENTER NORTH 8510 BRYANT ST SUITE 250 WESTMINSTER,CO80031	PRIMARY CARE GERIATRICS
15	Cardiac and Thoracic Surgery Associates PC 2222 N Nevada Ave Suite 5011 Colorado Springs,CO80907	Physicians
16	CHAMBERS SPECIALTY SURGICAL CARE 11700 W 2nd Place Suite 210 Lakewood,CO80228	GENERAL SURGERY
17	ST ANTHONY KEYSTONE MEDICAL CLINIC 1252 COUNTY ROAD 8 KEYSTONE,CO80435	PRIMARY CARE/URGENT CARE/ER
18	NORTH RIDGE MEDICAL PRACTICE 13691 COLORADO BLVD SUITE 106 THORNTON,CO80602	PRIMARY CARE
19	CENTURA HOME OXYGEN-COLORADO SPRINGS 4260 BUCKINGHAM DR suite 100 COLORADO SPRINGS,CO80907	HOME MEDICAL EQUIP.
20	TOUCHSTONE 1925 E ORMAN PUEBLO,CO81004	FAMILY PRACTICE
21	INTERNAL MEDICINE 614 YALE CANON CITY,CO81212	INTERNAL MEDICINE
22	Southern Colorado Vascular Surgery 2222 N Nevada Ave Suite 5011 Colorado Springs,CO80907	Physician office
23	INTERMOUNTAIN NEURO PHYSICIANS 11750 W 2nd Place Suite 255 Lakewood,CO80228	OUTPATIENT NEURO
24	REHABILITATIONCCOM 1338 PHAY AVE CANON CITY,CO81212	REHAB CLINIC ORTHOPAEDIC CLINIC CCOM
25	FAMILY MEDICINE CLINIC NORTH 8510 BRYANT ST SUITE 210 WESTMINSTER,CO80031	PRIMARY CARE CLINIC RESIDENCY FACILITY
26	Centura Family Care Center 916 Indiana Ave Pueblo,CO81004	Physician clinic
27	PENROSE MOUNTAIN URGENT CARE CLINIC 41 STATE HIGHWAY 67 WOODLAND PARK,CO80863	URGENT CARE OP REHAB
28	Advanced Care in Endocrinology and Diabetes 3207 North Academy Blvd Suite 1300 Colorado Springs,CO80917	Physician Practice
29	SOUTHERN COLORADO FAMILY MEDICINE 1008 MINNEQUA AVE PUEBLO,CO81004	FAMILY PRACTICE
30	HOSPICE OF MERCY ONE MERCADO STREET suite 270 DURANGO,CO81301	HOMECARE
31	Mercy Cardiology Associates 1 Mercado Street Durango,CO81301	outpatient care clinic
32	CHPG Westminster Internal & Family Medicine 400 W 144th Suite 260A Westminster,CO80023	PHYSICIAN PRACTICE
33	Aspen Ridge ENT 11700 2nd Place Suite 210 Lakewood,CO80228	outpatient clinic
34	ST MARY CORWIN HOME SERVICES 4025 CLUB MANOR DRIVE PUEBLO,CO81003	HOMECARE
35	PRIMARY CARE SERVICES 4231 W 16TH AVE DENVER,CO80204	PRIMARY CARE CLINIC
36	CENTURA HOME OXYGEN-DENVER 2590 W 2ND AVE SUITE 5 DENVER,CO80219	HOME MEDICAL EQUIP.
37	ST ANTHONY COPPER MOUNTAIN CLINIC 860 COPPER RD COPPER MOUNTAIN,CO80443	PRIMARY CARE URGENT CARE
38	Urgent Care of Golden 1030 Johnson Rd Suite 200 Golden,CO80401	OP Urgent care
39	OBGYN SERVICES 1335 PHAY AVE SUITE B CANON CITY,CO81212	OB/GYN
40	SASMC AMBULATORY SURGERY CENTER 340 PEAK ONE DRIVE FRISCO,CO80443	AMBULATORY SURGERY CENTER
41	Durango Cancer Center 1 Mercado Street Suite 100 Durango,CO81301	radiation and follow up care for cancer patients
42	The Vascular Center of Colorado LLC 2222 N Nevada Ave Ste 3000 Colorado Springs,CO80907	Medical facility
43	Audubon Ambulatory Surgery Center LLC 3030 North Circle Drive Colorado Springs,CO80909	Surgery Medical facility
44	CHICUSP Surgery Center LLC 15305 Dallas Pkwy Ste 1600 LB 28 Addison,TX75001	Surgery Medical facility
45	Colorado Springs CK Leasing LLC 630 Southpointe Court Ste 200 Colorado Springs,CO80906	Medical facility
46	CHIC-AMSurg Surgery Center LLC 1A Burton Hills Blvd Nashville,TN37215	Medical facility
47	Three Springs Imaging LLC 1Mercado Street Ste 200A Durango,CO81301	Imaging Medical facility
48	Pueblo Ambulatory Surgery Center LLC 25 Montebello Rd Pueblo,CO81003	Surgery Medical facility
49	Penrad Imaging LLC 1390 Kelly Johnson Blvd Colorado Springs,CO80920	Imaging Medical facility
50	Vibra Hospital of Denver LLC 4600 Lena Drive Mechanicsburg,PA17055	Medical facility
51	Synergy Orthopedics 8510 Bryant St Suite 320 Westminster,CO80031	Physician clinic
52	SMC GASTROENTEROLOGY 1925 E ORMAN PUEBLO,CO81004	GASTROENTEROLOGY PRACTICE
53	WOMEN'S HEALTH SPECIALISTS 13691 Colorado Blvd Suite 106 thornton,CO80602	WOMEN'S CARE CLINIC
54	DURANGO URGENT CARE AT DMR 1 SKIER PLACE DURANGO,CO81301	URGENT CARE
55	PSF Primary Care Health Care Services 2960 N Circle Dr Suite 100 Colorado Springs,CO80909	Physician office
56	North Metro Internal Medicine 8300 Alcott St Suite 302 Westminster,CO80031	outpatient clinic
57	SUMMIT CARDIOLOGY 360 PEAK ONE DR Suite 390 FRISCO,CO80443	CARDIOLOGY PRACTICE
58	PENROSE HOME CARE 7015 TALL OAKS DRIVE COLORADO SPRINGS,CO80919	HOME HOSPICE
59	SMC SURGICAL PHYSICIANS 1925 E ORMAN PUEBLO,CO81004	GENERAL SURGERY
60	Dimension Pain Management 400 W 144th Suite 240 Westminster,CO80031	Physician Practice
61	PENROSE COMMUNITY HOSPITAL 3205 N CASCADE AVE COLORADO SPRINGS,CO80917	OP CLINIC URGENT CARE NO IP SERVICES
62	SURGERY SERVICES & THE MEDICAL HOME 1339 PHAY AVE CANON CITY,CO81212	SURGERY PRACTICE FAMILY PRACTICE
63	Vascular & Endovascular Specialist of Colorado 11700 W 2nd Place Suite 210 Lakewood,CO80228	SPECIALTY SURGERY
64	SMC Physician Partners-Rehab 1925 E ORMAN PUEBLO,CO81004	REHAB PHYSICIAN
65	BRECKENRIDGE MEDICAL CLINIC 555 S PARK AVE PLAZA II PO BOX 690 BRECKENRIDGE,CO80424	PRIMARY CARE/URGENT CARE/ER
66	TOUCHSTONE PUEBLO WEST CLINIC 141 S PURCELL BLVD SuiTE 106 PUEBLO WEST,CO81007	FAMILY PRACTICE
67	PSYCHIATRIC SERVICES 11600 W 2nd Place Lakewood,CO80228	OUTPATIENT CLINIC
68	ST ANTHONY HEALTH CENTER EVERGREEN 1520 EVERGREEN PKWY EVERGREEN,CO80439	PHYSICIAN PRACTICE
69	MERCY HEALTH SERVICES CLINIC 1800 E THIRD AVE DURANGO,CO81301	HEALTH SERVICES
70	Centura Health Urgent Care Canon City 3245 E US Hwy 50 Canon City,CO81212	urgent care clinic
71	Rocky Mountain Sports and Family Medicine 1315 Fortino Blvd W Pueblo,CO81008	physician clinic
72	AZTEC DIAGNOSTIC LAB 604 S RIO GRANDE AZTEC,NM87410	MDS SERVICES

Schedule H (Form 990) 2021

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
Schedule H, Part VI, Line 4 COMMUNITY INFORMATION (CONTINUED)	ORTHOCOLORADO HOSPITAL TO DEFINE OUR COMMUNITY FOR THE CHNA AND TO ANALYZE DEMOGRAPHIC AND HEALTH INDICATOR DATA, WE USED THE STARK-LAW SERVICE AREAS. THE STARK-LAW SERVICE AREA IS DEFINED AS THE LOWEST NUMBER OF CONTIGUOUS ZIP CODES THAT ACCOUNTS FOR 75% OF A HOSPITAL'S INPATIENT ADMISSIONS. THESE ZIP CODES HAVE A COMBINED POPULATION OF 1,143,793: RACE AND ETHNICITY: THE POPULATION IS 85 % WHITE, 2% BLACK, 3% ASIAN, 1% NATIVE AMERICAN/ALASKAN NATIVE, 0.06% NATIVE HAWAIIAN/PACIFIC ISLANDER, 6% SOME OTHER RACE, AND 3% MULTIPLE RACES. ADDITIONALLY, 33.1% ARE HISPANIC OR LATINO. EDUCATION LEVEL: IN OUR COMMUNITIES, 49% OF THE POPULATION HAS AN ASSOCIATE'S DEGREE OR HIGHER. CO AVERAGE IS 45% UNEMPLOYMENT RATE: 4%, CO AVERAGE IS 4% POPULATION WITH LIMITED ENGLISH PROFICIENCY: 8%, CO AVERAGE IS 7% HIGH SCHOOL GRADUATION RATE: 68%, CO AVERAGE IS 78% POPULATION LIVING IN HOUSEHOLDS WITH INCOME BELOW 200% OF FEDERAL POVERTY LEVEL: 28.2%, CO AVERAGE IS 29.6%.
Schedule H, Part I, Line 6a Community benefit report prepared by related organization	Centura Health Corporation
Schedule H, Part I, Line 7g Subsidized Health Services	THERE ARE NO PHYSICIAN CLINICS INCLUDED IN SUBSIDIZED HEALTH SERVICES.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	A COST ACCOUNTING SYSTEM WAS NOT USED TO COMPUTE AMOUNTS IN THE TABLE; RATHER COSTS IN THE TABLE WERE COMPUTED USING THE ORGANIZATION'S COST-TO-CHARGE RATIO. THE COST-TO CHARGE RATIO COVERS ALL PATIENT SEGMENTS. THE COST-TO-CHARGE RATIO FOR THE YEAR ENDED 6/30/2022 WAS COMPUTED USING THE FOLLOWING FORMULA: OPERATING EXPENSE (BEFORE RESTRUCTURING, IMPAIRMENT AND OTHER LOSSES) DIVIDED BY GROSS PATIENT REVENUE.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	FOR FINANCIAL STATEMENT PURPOSES, CHI COLORADO HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	CATHOLIC HEALTH INITIATIVES COLORADO DOES NOT INCLUDE ANY PORTION OF BAD DEBT AS COMMUNITY BENEFIT.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	CATHOLIC HEALTH INITIATIVES COLORADO (CHIC) DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF COMMONSPIRIT HEALTH. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS: COMMONSPIRIT RELIES ON THE RESULTS OF DETAILED REVIEWS OF HISTORICAL WRITE-OFFS AND COLLECTIONS IN ESTIMATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE. UPDATES TO THE HINDSIGHT ANALYSIS IS PERFORMED AT LEAST QUARTERLY USING PRIMARILY A ROLLING EIGHTEEN MONTH COLLECTION HISTORY AND WRITE-OFF DATA. SUBSEQUENT CHANGES TO ESTIMATES OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO NET PATIENT REVENUE IN THE PERIOD OF CHANGE. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN A THIRD PARTY PAYOR'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE IN PURCHASED SERVICES AND OTHER IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGE IN NET ASSETS. BAD DEBT EXPENSE FOR 2022 WAS NOT SIGNIFICANT.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE ORGANIZATION APPLIES THE COST TO CHARGE RATIO CALCULATED IN IRS WORKSHEET 2 TO DETERMINE THE COST OF CARE PROVIDED TO MDEICARE PATIENTS. THE COST IS THEN EVALUATED AND ALL NON-ALLOWABLE COST IS REMOVED VIA ADJUSTMENTS. THE REMAINING ALLOWABLE COST IS THEN ALLOCATED TO APPROPRIATE PATIENT CARE AND NON-PATIENT CARE COST CENTERS BASED ON MEDICARE ALLOCATION PRINCIPLES. CATHOLIC HEALTH INITIATIVES COLORADO (CHIC) DOES NOT TREAT MEDICARE SHORTFALLS AS COMMUNITY BENEFIT. CHIC'S POSITION IS CONSISTENT WITH THAT OF COMMONSPIRIT HEALTH, ITS SPONSOR. MEDICARE IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS; FOR-PROFIT HOSPITALS TREAT AND ATTEMPT TO ATTRACT MEDICARE BENEFICIARIES.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	CATHOLIC HEALTH INITIATIVES COLORADO'S DEBT COLLECTION POLICY PROVIDES FOR THE PERFORMANCE OF A REASONABLE REVIEW OF EACH PATIENT'S ACCOUNT PRIOR TO TURNING AN ACCOUNT OVER TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT. THE REVIEW OF PATIENT ACCOUNTS IS DONE TO ASSURE THAT THE PATIENT OR THEIR GUARANTOR IS NOT ELIGIBLE FOR ASSISTANCE THROUGH CATHOLIC HEALTH INITIATIVES COLORADO'S CHARITY CARE POLICY, UNINSURED DISCOUNT POLICY, OR ANOTHER FINANCIAL ASSISTANCE PROGRAM (I.E. MEDICAID). CATHOLIC HEALTH INITIATIVES COLORADO REQUIRES THE FOLLOWING OF ITS THIRD-PARTY COLLECTION AGENCIES: * NEITHER CATHOLIC HEALTH INITIATIVES COLORADO HOSPITALS OR THEIR COLLECTION AGENCIES WILL REQUEST BENCH OR ARREST WARRANTS AS A RESULT OF NON-PAYMENT; * NEITHER CATHOLIC HEALTH INITIATIVES COLORADO HOSPITALS OR THEIR COLLECTION AGENCIES WILL SEEK LIENS THAT WOULD REQUIRE THE SALE OR FORECLOSURE OF A PRIMARY RESIDENCE; AND * NO CATHOLIC HEALTH INITIATIVES COLORADO COLLECTION AGENCY MAY SEEK COURT ACTION WITHOUT HOSPITAL APPROVAL. ONCE A PATIENT IS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE, COLLECTION ACTIONS ARE THEN SUSPENDED.
Schedule H, Part V, Section B, Line 16a FAP website	A - PENROSE HOSPITAL: Line 16a URL: https://www.centura.org/patient-tools/billing-and-financial-services;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - PENROSE HOSPITAL: Line 16b URL: https://www.centura.org/patient-tools/billing-and-financial-services;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - PENROSE HOSPITAL: Line 16c URL: https://www.centura.org/patient-tools/billing-and-financial-services;
Schedule H, Part VI, Line 2 Needs assessment	THE CATHOLIC HEALTH INITIATIVES COLORADO RELATED HOSPITALS PROVIDE SEVERAL SERVICES AND RESOURCES TO THE COMMUNITIES IT SERVES BEYOND THE PRIORITIZED NEEDS SPECIFICALLY IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THEY SPONSOR WELLNESS EVENTS SUCH AS BREAST FEEDING EDUCATION, ASTHMA SCREENINGS, AND FINANCIALLY SUPPORTS WELLNESS INITIATIVES OF CITIES AND PUBLIC SCHOOLS. THEY ALSO PROVIDE TRANSPORTATION FOR LOW INCOME PATIENTS AND HOUSING AT NO COST OR VERY LOW COST FOR THE FAMILIES OF LOW INCOME PATIENTS OF THE HOSPITAL THAT ARE FAR FROM THEIR RESIDENCE. THEY ALSO SUPPORT, FINANCIALLY AND THROUGH VOLUNTEERISM, INITIATIVES SUCH AS SOUP KITCHENS AND MEALS ON WHEELS TO PROVIDE FOOD AND NUTRITION EDUCATION TO ADDRESS HUNGER ISSUES. HOSPITAL STAFF ALSO VOLUNTEER TO SERVE AS PRECEPTORS FOR STUDENTS OF LOCAL HEALTH PROFESSIONAL PROGRAMS AND SERVE ON BOARDS OF LOCAL COMMUNITY ORGANIZATIONS THAT PROVIDE SOCIAL SERVICES TO POPULATIONS IN NEED.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	CATHOLIC HEALTH INITIATIVES COLORADO (CHIC) IS OPERATED AS PART OF CENTURA HEALTH CORPORATION (CENTURA). INFORMATION CONCERNING FINANCIAL ASSISTANCE IS INCLUDED ON CENTURA'S WEBSITE. THE WEBSITE NOT ONLY LISTS PHONE NUMBERS FOR PATIENTS TO CALL TO DISCUSS FINANCIAL ASSISTANCE, BUT ALSO INCLUDES CENTURA'S POLICY FOR CHARITY CARE AND ITS POLICIES RELATED TO UNINSURED PATIENTS. IN ADDITION, AT THE TIME OF REGISTRATION, UNINSURED PATIENTS ARE SCREENED TO DETERMINE IF THE PATIENTS QUALIFY FOR ANY FEDERAL, STATE OR COUNTY PROGRAMS. UNINSURED PATIENTS ARE ALSO SENT A LETTER REQUESTING THAT THE PATIENT CALL TO DETERMINE ELIGIBILITY FOR VARIOUS ASSISTANCE PROGRAMS, INCLUDING CHARITY.
Schedule H, Part VI, Line 4 Community information	PENROSE HOSPITAL TO DEFINE OUR COMMUNITY FOR THE CHNA AND TO ANALYZE DEMOGRAPHIC AND HEALTH INDICATOR DATA, WE USED THE STARK-LAW SERVICE AREAS. THE STARK-LAW SERVICE AREA IS DEFINED AS THE LOWEST NUMBER OF CONTIGUOUS ZIP CODES THAT ACCOUNTS FOR 75% OF A HOSPITAL'S INPATIENT ADMISSIONS. THESE ZIP CODES HAVE A COMBINED POPULATION OF 538K: RACE AND ETHNICITY: NATIVE AMERICAN/ALASKAN NATIVE 1%; ASIAN 3%; BLACK 6%; HISPANIC OR LATINO 17%; WHITE 79%; NATIVE HAWAIIAN/PACIFIC ISLANDER 0.4%; SOME OTHER RACE 5%; MULTIPLE RACES 6%. EDUCATION LEVEL: THE PERCENTAGE OF THE POPULATION IN THE PIKES PEAK REGION WITH AN ASSOCIATE DEGREE OR HIGHER IS 74.7%. THIS IS COMPARABLE TO THE COLORADO STATE AVERAGE OF 71%. UNEMPLOYMENT RATE: THE 4.6% UNEMPLOYMENT RATE IN OUR AREA IS HIGHER THAN THE STATE AVERAGE OF 3.9%. POPULATION WITH LIMITED ENGLISH PROFICIENCY: EL PASO COUNTY HAS A LOWER LEVEL OF RESIDENTS WITH A LIMITED ENGLISH PROFICIENCY THAN THE STATE AVERAGE. OUR SERVICE AREA IS AT 1.4% AND THE STATE AVERAGE OF 2.8%. HIGH SCHOOL GRADUATION RATE: 75.1% OF ADOLESCENTS ARE GRADUATING FROM HIGH SCHOOL WHICH IS A SLIGHTLY LOWER RATE THAN THE COLORADO STATE AVERAGE OF 77.3%. POPULATION LIVING IN HOUSEHOLDS WITH RATIO OF HOUSEHOLDS IN THE 80TH PERCENTILE TO INCOME AT THE 20TH PERCENTILE IS 4.3, COMPARED TO COLORADO'S RATE OF 4.5. ST. ANTHONY HOSPITAL AND ORTHOCOLORADO TO DEFINE OUR COMMUNITY FOR THE CHNA AND TO ANALYZE DEMOGRAPHIC AND HEALTH INDICATOR DATA, WE USED THE STARK-LAW SERVICE AREAS. THE STARK-LAW SERVICE AREA IS DEFINED AS THE LOWEST NUMBER OF CONTIGUOUS ZIP CODES THAT ACCOUNTS FOR 75% OF A HOSPITAL'S INPATIENT ADMISSIONS. THESE ZIP CODES HAVE A COMBINED POPULATION OF 1,143,793: RACE AND ETHNICITY: THE POPULATION IS 86% WHITE, 1% BLACK, 3% ASIAN, 0.9% NATIVE AMERICAN/ALASKAN NATIVE, 0.06% NATIVE HAWAIIAN/PACIFIC ISLANDER, 6% SOME OTHER RACE, AND 3% MULTIPLE RACES. ADDITIONALLY, 33% ARE HISPANIC OR LATINO. EDUCATION LEVEL: IN OUR COMMUNITIES, 48.5% OF THE POPULATION HAS AN ASSOCIATE'S DEGREE OR HIGHER. CO AVERAGE IS 44.7% UNEMPLOYMENT RATE: 3.8%, CO AVERAGE IS 4.0% POPULATION WITH LIMITED ENGLISH PROFICIENCY: 8.3%, CO AVERAGE IS 6.7% HIGH SCHOOL GRADUATION RATE: 67.6%, CO AVERAGE IS 77.6% POPULATION LIVING IN HOUSEHOLDS WITH INCOME BELOW 200% OF FEDERAL POVERTY LEVEL: 28.2%, CO AVERAGE IS 29.6%. MERCY REGIONAL MEDICAL CENTER TO DEFINE OUR COMMUNITY FOR THE CHNA AND TO ANALYZE DEMOGRAPHIC AND HEALTH INDICATOR DATA, WE USED THE STARK-LAW SERVICE AREAS. THE STARK-LAW SERVICE AREA IS DEFINED AS THE LOWEST NUMBER OF CONTIGUOUS ZIP CODES THAT ACCOUNTS FOR 75% OF A HOSPITAL'S INPATIENT ADMISSIONS. THESE ZIP CODES HAVE A COMBINED POPULATION OF 197,281: RACE AND ETHNICITY: NATIVE AMERICAN/ALASKAN NATIVE 5%; ASIAN 0.6%; BLACK 0.5%; HISPANIC OR LATINO 14%; WHITE 88%; NATIVE HAWAIIAN/PACIFIC ISLANDER 0.1%; SOME OTHER RACE 3%; MULTIPLE RACES 2%. EDUCATION LEVEL: POPULATION WITH ASSOCIATE'S DEGREE OR HIGHER: 73.1%. UNEMPLOYMENT RATE: 3% COMPARED TO COLORADO'S RATE OF 3.9%. POPULATION WITH LIMITED ENGLISH PROFICIENCY: 1.5% COMPARED TO COLORADO'S RATE OF 2.8%. HIGH SCHOOL GRADUATION RATE: 80.9% COMPARED TO COLORADO'S RATE OF 77.6%. RATIO OF HOUSEHOLDS IN THE 80TH % TO INCOME AT THE 20TH % IS 4.2 COMPARED TO COLORADO'S RATE OF 4.5. ST. MARY-CORWIN MEDICAL CENTER TO DEFINE OUR COMMUNITY FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND TO ANALYZE DEMOGRAPHIC AND HEALTH INDICATOR DATA, WE USED THE STARK-LAW SERVICE AREAS. THE STARKLAW SERVICE AREA IS DEFINED AS THE LOWEST NUMBER OF CONTIGUOUS ZIP CODES THAT ACCOUNTS FOR 75% OF A HOSPITAL'S INPATIENT ADMISSIONS. THESE ZIP CODES HAVE A COMBINED POPULATION OF 188,587: RACE: 77% WHITE; 2% BLACK; 0.9% ASIAN; 2% NATIVE AMERICAN ETHNICITY: 44% HISPANIC/LATINO, NON-HISPANIC: 56% EDUCATION LEVEL: IN OUR COMMUNITY,63% OF THE POPULATION HAS AN ASSOCIATE'S DEGREE OR HIGHER. CO AVERAGE IS 72%. UNEMPLOYMENT RATE: 6%, CO AVERAGE IS 4%. POPULATION WITH LIMITED ENGLISH PROFICIENCY: 1%, CO AVERAGE IS 3%. HIGH SCHOOL GRADUATION RATE: 75%, CO AVERAGE IS 78%. RATIO OF HOUSEHOLDS IN THE 80TH % TO INCOME AT THE 20TH % IS 4.7 COMPARED TO COLORADO'S RATE OF 4.5. ST. FRANCIS MEDICAL CENTER TO DEFINE OUR COMMUNITY FOR THE CHNA AND TO ANALYZE DEMOGRAPHIC AND HEALTH INDICATOR DATA, WE USED THE STARK-LAW SERVICE AREAS. THE STARK-LAW SERVICE AREA IS DEFINED AS THE LOWEST NUMBER OF CONTIGUOUS ZIP CODES THAT ACCOUNTS FOR 75% OF A HOSPITAL'S INPATIENT ADMISSIONS. THESE ZIP CODES HAVE A COMBINED POPULATION OF 527,449: RACE AND ETHNICITY: NATIVE AMERICAN/ALASKAN NATIVE 1%; ASIAN 2.8%; BLACK 6.3%; HISPANIC OR LATINO 16.9%; WHITE 78.5%; NATIVE HAWAIIAN/PACIFIC ISLANDER 0.4%; SOME OTHER RACE 5.5%; MULTIPLE RACES 5.6%. EDUCATION LEVEL: THE PERCENTAGE OF THE POPULATION IN THE PIKES PEAK REGION WITH AN ASSOCIATE DEGREE OR HIGHER IS 74.7%. THIS IS COMPARABLE TO THE COLORADO STATE AVERAGE OF 71%. UNEMPLOYMENT RATE: THE 5% UNEMPLOYMENT RATE IN OUR AREA IS HIGHER THAN THE STATE AVERAGE OF 4%. POPULATION WITH LIMITED ENGLISH PROFICIENCY: EL PASO COUNTY HAS A LOWER LEVEL OF RESIDENTS WITH A LIMITED ENGLISH PROFICIENCY THAN THE STATE AVERAGE. OUR SERVICE AREA IS AT 1.4% AND THE STATE AVERAGE OF 3%. HIGH SCHOOL GRADUATION RATE: 75% OF ADOLESCENTS ARE GRADUATING FROM HIGH SCHOOL WHICH IS A SLIGHTLY LOWER RATE THAN THE COLORADO STATE AVERAGE OF 77%. POPULATION LIVING IN HOUSEHOLDS WITH RATIO OF HOUSEHOLDS IN THE 80TH PERCENTILE TO INCOME AT THE 20TH PERCENTILE IS 4.3, COMPARED TO COLORADO'S RATE OF 4.5. ST. ANTHONY NORTH HOSPITAL TO DEFINE OUR COMMUNITY FOR THE CHNA AND TO ANALYZE DEMOGRAPHIC AND HEALTH INDICATOR DATA, WE USED THE STARK-LAW SERVICE AREAS. THE STARK-LAW SERVICE AREA IS DEFINED AS THE LOWEST NUMBER OF CONTIGUOUS ZIP CODES THAT ACCOUNTS FOR 75% OF A HOSPITAL'S INPATIENT ADMISSIONS. THESE ZIP CODES HAVE A COMBINED POPULATION OF 218,151: RACE AND ETHNICITY: WHITE, 86%; BLACK, 1.4%; ASIAN, 5%; NATIVE AMERICAN/ALASKAN NATIVE, 0.5%; NATIVE HAWAIIAN/PACIFIC ISLANDER= <0.1%; SOME OTHER RACE, 3.2%; MULTIPLE RACES, 3.7%. 16.9% OF OUR COMMUNITY IDENTIFIES AS HISPANIC OR LATINO EDUCATION LEVEL: POPULATION WITH ASSOCIATES LEVEL DEGREE OR HIGHER=47%, CO AVERAGE IS 45%. UNEMPLOYMENT RATE: 6 %, CO AVERAGE IS 4.0%. POPULATION WITH LIMITED ENGLISH PROFICIENCY: 5%, CO AVERAGE IS 7%. HIGH SCHOOL GRADUATION RATE: 73%, CO AVERAGE IS 78%. POPULATION LIVING IN HOUSEHOLDS WITH INCOME BELOW 200% OF FEDERAL POVERTY LEVEL: 19%, CO AVERAGE IS 29.6%. ST. ANTHONY SUMMIT MEDICAL CENTER TO DEFINE OUR COMMUNITY FOR THE CHNA AND TO ANALYZE DEMOGRAPHIC AND HEALTH INDICATOR DATA, WE USED THE STARK-LAW SERVICE AREAS. THE STARK-LAW SERVICE AREA IS DEFINED AS THE LOWEST NUMBER OF CONTIGUOUS ZIP CODES THAT ACCOUNT FOR 75% OF A HOSPITAL'S INPATIENT ADMISSIONS. THESE ZIP CODES HAVE A COMBINED POPULATION OF 43,982: RACE: WHITE 89%; BLACK 1%; ASIAN 0.9%; NATIVE AMERICAN/ALASKAN NATIVE 1.0%; NATIVE HAWAIIAN/PACIFIC ISLANDER 0.2%; SOME OTHER RACE 6%; MULTIPLE RACES 1%. ETHNICITY: 16% OF THE POPULATION IN OUR SERVICE AREA REPORTS AS HISPANIC OR LATINO. EDUCATION LEVEL: IN OUR COMMUNITY, 49.0% OF THE POPULATION HAS AN ASSOCIATE'S DEGREE OR HIGHER; CO AVERAGE IS 45%. UNEMPLOYMENT RATE: 3%; CO AVERAGE IS 4%. POPULATION WITH LIMITED ENGLISH PROFICIENCY: 7%; CO AVERAGE IS 7%. HIGH SCHOOL GRADUATION RATE: 83%; CO AVERAGE IS 77.6%. RATIO OF HOUSEHOLDS IN THE 80TH % TO INCOME AT THE 20TH % IS 4.0 COMPARED TO COLORADO'S RATE OF 4.5. ST. THOMAS MORE HOSPITAL TO DEFINE OUR COMMUNITY FOR THE CHNA AND TO ANALYZE DEMOGRAPHIC AND HEALTH INDICATOR DATA, WE USED THE STARK-LAW SERVICE AREAS. THE STARK-LAW SERVICE AREA IS DEFINED AS THE LOWEST NUMBER OF CONTIGUOUS ZIP CODES THAT ACCOUNT FOR 75% OF A HOSPITAL'S INPATIENT ADMISSIONS. THESE ZIP CODES HAVE A COMBINED POPULATION OF 43,982: RACE: 89% WHITE, 4% BLACK, 1% ASIAN, 2% NATIVE AMERICAN/ALASKA NATIVE, 0.1% NATIVE HAWAIIAN/PACIFIC ISLANDER, 2% SOME OTHER RACE, AND 2% MULTIPLE RACES. ETHNICITY: 14% HISPANIC/LATINO, NON-HISPANIC: 86%. EDUCATION LEVEL: IN OUR COMMUNITY, 25% OF THE POPULATION HAS AN ASSOCIATE'S DEGREE OR HIGHER. CO AVERAGE IS 45% HIGH SCHOOL GRADUATION RATE: 23%, CO AVERAGE IS 78%. UNEMPLOYMENT RATE: 6%, CO AVERAGE IS 4%. POPULATION WITH LIMITED ENGLISH PROFICIENCY: 2%, CO AVERAGE IS 3%. RATIO OF HOUSEHOLDS IN THE 80TH % TO INCOME AT THE 20TH % IS 4.2 COMPARED TO COLORADO'S RATE OF 4.5
Schedule H, Part VI, Line 5 Promotion of community health	THE ORGANIZATION'S HOSPITAL FACILITIES PROMOTE HEALTH FOR THE BENEFIT OF THE COMMUNITY. MEDICAL STAFF PRIVILEGES IN THE HOSPITAL ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA, CONSISTENT WITH THE SIZE AND NATURE OF ITS FACILITIES. THE ORGANIZATION'S HOSPITAL FACILITIES HAVE AN OPEN MEDICAL STAFF. ITS BOARD OF TRUSTEES IS COMPOSED OF A MAJORITY OF LOCAL COMMUNITY LEADERS LIVING IN THE HOSPITAL SERVICE AREA AND NOT CONTRACTORS OR EMPLOYEES OF THE HOSPITAL SYSTEM. EXCESS FUNDS ARE GENERALLY APPLIED TO EXPANSION AND REPLACEMENT OF EXISTING FACILITIES AND EQUIPMENT, AMORTIZATION OF INDEBTEDNESS, IMPROVEMENT IN PATIENT CARE, AND MEDICAL TRAINING, EDUCATION, AND RESEARCH. THE FACILITIES TREAT PERSONS PAYING THEIR BILLS WITH THE AID OF PUBLIC PROGRAMS LIKE MEDICARE AND MEDICAID. ALL PATIENTS PRESENTING AT THE HOSPITAL FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE ARE TREATED REGARDLESS OF THEIR ABILITY TO PAY FOR SUCH TREATMENT.
Schedule H, Part VI, Line 6 Affiliated health care system	CATHOLIC HEALTH INITIATIVES COLORADO (CHIC) IS OPERATED AS PART OF CENTURA HEALTH CORPORATION (CENTURA). CENTURA AND ITS AFFILIATED ORGANIZATIONS ARE DEDICATED TO EXTENDING THE HEALING MINISTRY OF CHRIST BY CARING FOR THOSE WHO ARE ILL AND BY NURTURING THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES. SPECIFICALLY, CENTURA HAS LAUNCHED A SYSTEM WIDE STRATEGIC PLAN TO IMPROVE THE QUALITY, CONSISTENCY, AVAILABILITY, AND AFFORDABILITY OF HEALTHCARE TO COMMUNITIES THROUGHOUT COLORADO. THE THREE MAIN COMPONENTS OF THIS STRATEGY ARE (1) TO CONTINUE INVESTING IN TECHNOLOGY ADVANCEMENTS THAT IMPROVE THE QUALITY, COSTS, AND COORDINATION OF CARE INCLUDING THE ESTABLISHMENT OF ELECTRONIC HEALTH RECORDS LINKING OUR PHYSICIANS, CLINICS, HOSPITALS, LONG-TERM FACILITIES AND HOME CARE SERVICES; (2) PROVIDING WELLNESS CARE, THEREBY POTENTIALLY REDUCING HEALTH CARE COSTS BY HELPING PATIENTS TO MAINTAIN GOOD HEALTH, GROWING THE LEVEL OF SUPPORT AND OUTREACH PROVIDED TO RURAL COMMUNITIES, AND INCREASING ACCESS, AFFORDABILITY AND QUALITY OF HEALTH CARE; AND (3) COORDINATE AND DEVELOP SYSTEMS OF CARE, LOOKING TO EACH FACILITY AND ENTITY IN CENTURA TO SHARE BEST PRACTICES AND IMPROVE OVERALL EFFICIENCY AND COMMUNICATION SYSTEM-WIDE FROM BIRTH TO HOME CARE.
Schedule H, Part VI, Line 7 State filing of community benefit report	CO, KS

Schedule H (Form 990) 2021

Additional Data

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization
Catholic Health Initiatives Colorado

Employer identification number
84-0405257

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) FORT MORGAN COMMUNITY HOSPITAL ASSOCIATION 1000 Lincoln St Ste 204 Fort Morgan,CO80701	84-6028507	501(c)(3)	250,000	N/A	N/A	GENERAL OPERATING SUPPORT
(2) FINNEY COUNTY COMMUNITY HEALTH 310 E Walnut St STE 202 Garden City,KS67846	27-5247081	501(c)(3)	121,500	N/A	N/A	GENERAL OPERATING SUPPORT
(3) HIGH COUNTRY SOCCER ASSOICATIO 805 State Farm Rd Ste 301 Boone,NC28607	56-1763865	501(c)(3)	100,000	N/A	N/A	GENERAL OPERATING SUPPORT
(4) HEART MIND HAVEN 6833 S Miller St Littleton,CO80127	83-3158421	501(c)(3)	97,500	N/A	N/A	GENERAL OPERATING SUPPORT
(5) THE GOOD FOOD COLLECTIVE 278 Sawyer Drive Suite 1A Durango,CO81303	26-0045741	501(c)(3)	82,684	N/A	N/A	GENERAL OPERATING SUPPORT
(6) COLORADO SPRINGS CHAMBER OF COMMERCE 102 S Tejon St STE 430 Colorado Springs,CO80903	84-0174910	501(c)(6)	78,500	N/A	N/A	GENERAL OPERATING SUPPORT
(7) CLEO PARKER ROBINSON DANCE 119 Park Ave W Denvar,CO80205	84-0632111	501(c)(3)	57,018	N/A	N/A	GENERAL OPERATING SUPPORT
(8) COLORADO SPRINGS PHILHARMONIC PO Box 1266 Colorado Springs,CO80901	74-3091110	501(c)(3)	57,000	N/A	N/A	GENERAL OPERATING SUPPORT
(9) THE PLACE 423 E Cucharras Colorado Springs,CO80903	84-1549702	501(c)(3)	52,000	N/A	N/A	GENERAL OPERATING SUPPORT
(10) INTERNATIONAL RESCUE COMMITTEE 122 E 42nd St New York,NY10168	13-5660870	501(c)(3)	51,250	N/A	N/A	GENERAL OPERATING SUPPORT
(11) PROJECT WORTHMORE 1609 Havana St Aurora,CO80010	45-0933835	501(c)(3)	48,750	N/A	N/A	GENERAL OPERATING SUPPORT
(12) POSADA INC 501 Belmont Ave Pueblo,CO81004	74-2473501	501(c)(3)	39,000	N/A	N/A	GENERAL OPERATING SUPPORT
(13) SOLID ROCK COMMUNITY DEVELOPMENT CORPORATION 2520 ARLINGTON DR Colorado Springs,CO80910	26-0381727	501(c)(3)	35,750	N/A	N/A	GENERAL OPERATING SUPPORT
(14) BROTHER JEFFS CULTURAL CENTER 2836 Welton St Denvar,CO80205	32-0034993	501(c)(3)	32,500	N/A	N/A	GENERAL OPERATING SUPPORT
(15) CENTER FOR AFRICAN AMERICAN 3350 Hudson St Denvar,CO80207	84-1477546	501(c)(3)	32,500	N/A	N/A	GENERAL OPERATING SUPPORT
(16) ROSE ANDOM CENTER 1330 Fox St Denvar,CO80204	90-0990929	501(c)(3)	32,500	N/A	N/A	GENERAL OPERATING SUPPORT
(17) MERCY HEALTH FOUNDATION 198 Inverness Dr W Englewood,CO80012	43-1308084	501(c)(3)	31,000	N/A	N/A	GENERAL OPERATING SUPPORT
(18) ARRUPE JESUIT HIGH SCHOOL 4343 Utica St Denver,CO80204	46-0508814	501(c)(3)	29,200	N/A	N/A	GENERAL OPERATING SUPPORT
(19) CATHOLIC CHARITIES OF CENTRAL 228 N Cascade Ave Colorado Springs,CO80903	84-0586169	501(c)(3)	28,950	N/A	N/A	GENERAL OPERATING SUPPORT
(20) CHANDA PLAN FOUNDATION 1630 Carr Street Lakewood,CO80214	20-4358964	501(c)(3)	28,015	N/A	N/A	GENERAL OPERATING SUPPORT
(21) COMMUNITY FOOD SHARE 650 S Taylor Avenue Louisville,CO80027	74-2227731	501(c)(3)	26,000	N/A	N/A	GENERAL OPERATING SUPPORT
(22) BRECKENRIDGE OUTDOOR PO Box 697 Breckenridge,CO80424	84-0725560	501(c)(3)	25,000	N/A	N/A	GENERAL OPERATING SUPPORT
(23) SIDE BY SIDE CORPORATION PO Box 46011 Denvar,CO80201	83-2678502	501(c)(3)	22,750	N/A	N/A	GENERAL OPERATING SUPPORT
(24) LONGMONT UNITED HOSPITAL FOUNDATION 1950 Mountain View Ave Longmont,CO80501	84-0852084	501(c)(3)	21,179	N/A	N/A	GENERAL OPERATING SUPPORT
(25) 4 THE CHILDREN 129 County Road 250 Durango,CO81301	02-0666382	501(c)(3)	20,000	N/A	N/A	GENERAL OPERATING SUPPORT
(26) IRON HORSE BICYCLE CLASSIC 508 Clovis Dr Durango,CO81301	84-0903613	501(c)(3)	20,000	N/A	N/A	GENERAL OPERATING SUPPORT
(27) NEWBORN HOPE INC PO Box 2515 Colorado Springs,CO80901	84-1093905	501(c)(3)	20,000	N/A	N/A	GENERAL OPERATING SUPPORT
(28) HOMEWARD PIKES PEAK 606 S Tejon St Colorado Springs,CO80903	13-4242773	501(c)(3)	19,500	N/A	N/A	GENERAL OPERATING SUPPORT
(29) SECOND CHANCE THROUGH FAITH 4198 Center Park Dr Ste B Colorado Springs,CO80916	46-3236114	501(c)(3)	19,500	N/A	N/A	GENERAL OPERATING SUPPORT
(30) VETERANS COMMUNITY PROJECT 8900 Troost Avenue Kansas City,MO64131	47-4960735	501(c)(3)	19,500	N/A	N/A	GENERAL OPERATING SUPPORT
(31) CROSSROADS TURNING POINTS INC 4 Montebello Road Pueblo,CO81001	84-0810723	501(c)(3)	18,000	N/A	N/A	GENERAL OPERATING SUPPORT
(32) COAL CREEK MEALS ON WHEELS 455 N Burlington Avenue Lafayette,CO80026	84-0634856	501(c)(3)	16,250	N/A	N/A	GENERAL OPERATING SUPPORT
(33) ST CATHERINE HOSPITAL 401 EAST SPRUCE STREET Garen City,KS80112	48-0543721	501(c)(3)	13,500	N/A	N/A	GENERAL OPERATING SUPPORT
(34) COMMUNITY HEALTH PARTNERSHIP PO BOX 249 Colorado Springs,CO80901	84-1388331	501(c)(3)	10,000	N/A	N/A	GENERAL OPERATING SUPPORT
(35) St Vrain Valley Schools Education Foundation PO Box 2598 Longmont,CO80502	84-0979954	501(c)(3)	10,000	N/A	N/A	GENERAL OPERATING SUPPORT
(36) HOPE 804 S Lincoln St Longmont,CO80501	71-1033219	501(c)(3)	10,000	N/A	N/A	GENERAL OPERATING SUPPORT
(37) PEAK VISTA COMMUNITY HEALTH CE 3205 N Academy Blvd Ste 130 Colorado Springs,CO80917	20-3640104	501(c)(3)	10,000	N/A	N/A	GENERAL OPERATING SUPPORT
(38) LONGMONT MEALS ON WHEELS 910 Longs Peak Ave Longmont,CO80501	84-0590979	501(c)(3)	8,275	N/A	N/A	GENERAL OPERATING SUPPORT
(39) FIVE STAR EDUCATION FOUNDATION 1500 E 128th Ave Thornton,CO80241	74-2401659	501(c)(3)	7,500	N/A	N/A	GENERAL OPERATING SUPPORT
(40) GROWING HOME INC 3489 W 72nd Ave Suite 112 Westminster,CO80030	84-1461503	501(c)(3)	7,500	N/A	N/A	GENERAL OPERATING SUPPORT
(41) ROCKY MOUNTAIN PARTNERSHIP 1500 E 128th Ave Thornton,CO80241	45-3139024	501(c)(3)	7,500	N/A	N/A	GENERAL OPERATING SUPPORT
(42) A WOMANS WORK LLC PO Box 817 Longmont,CO80502	20-8078513	501(c)(3)	7,500	N/A	N/A	GENERAL OPERATING SUPPORT
(43) ST ANTHONY HEALTH FOUNDATION 1160 West 2nd place Lakewood,CO80228	84-0405257	501(c)(3)	6,000	N/A	N/A	GENERAL OPERATING SUPPORT
(44) SAN JUAN SYMPHONY PO Box 1073 Durango,CO81302	23-7414147	501(c)(3)	6,000	N/A	N/A	GENERAL OPERATING SUPPORT
(45) ADAMS COUNTY REGIONAL ECONOMIC 1870 W 122nd Ave Suite 300 Westminster,CO80234	84-0872188	501(c)(6)	5,833	N/A	N/A	GENERAL OPERATING SUPPORT
(46) POLICE FOUNDATION OF 10 Lake Cir Colorado Springs,CO80906	27-0926740	501(c)(3)	5,562	N/A	N/A	GENERAL OPERATING SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2021

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.

GRANTS ARE GIVEN AT THE DISCRETION OF THE CATHOLIC HEALTH INITIATIVES COLORADO CEO. THE CEO MAKES REQUESTS FOR FUNDING, WHICH IS PAID OUT IN THE FORM OF A DONATION TO THE ENTITY OR USED TO REIMBURSE AN INVOICE SUBMITTED FOR AN EXPENSE FOR A SPECIFIC PURPOSE. THE MAJORITY OF THE DONEES ARE 501(C)(3) ORGANIZATIONS THAT ASSUME RESPONSIBILITY FOR ENSURING THAT THE FUNDS ARE USED IN FURTHERANCE OF THE PURPOSE OF THE GRANT.

Schedule I (Form 990) 2021

Additional Data

Software ID:	21014044
Software Version:	2021v4.2

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

Catholic Health Initiatives Colorado

Employer identification number

84-0405257

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2021

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1PATRICIA WEBB FACHE Former Chair	(i) (ii)	0 ------------- 0	977,470 ------------- 0	0 ------------- 0	7,616 ------------- 0	0 ------------- 0	985,086 ------------- 0	0 ------------- 0
2Mitch H Melfi ESQ Chair	(i) (ii)	0 ------------- 951,217	0 ------------- 1,952,250	0 ------------- 180,168	0 ------------- 17,100	0 ------------- 19,794	0 ------------- 3,120,529	0 ------------- 0
3Charlie Francis Board Member	(i) (ii)	0 ------------- 1,101,216	0 ------------- 2,260,516	0 ------------- 951,976	0 ------------- 1,297,958	0 ------------- 82,671	0 ------------- 5,694,337	0 ------------- 926,185
4Dan Morissette Board Member/ CSH CFO	(i) (ii)	0 ------------- 1,406,997	0 ------------- 2,977,013	0 ------------- 11,341	0 ------------- 517,062	0 ------------- 46,482	0 ------------- 4,958,895	0 ------------- 0
5Elizabeth Shih Board Member	(i) (ii)	0 ------------- 1,056,903	0 ------------- 2,157,760	0 ------------- 488,102	0 ------------- 683,779	0 ------------- 103,035	0 ------------- 4,489,579	0 ------------- 436,130
6PETER BANKO President	(i) (ii)	1,519,216 ------------- 0	1,280,743 ------------- 0	70,081 ------------- 0	691,034 ------------- 0	29,323 ------------- 0	3,590,397 ------------- 0	0 ------------- 0
7Andrew Gaasch Treasurer	(i) (ii)	579,240 ------------- 0	414,245 ------------- 0	8,857 ------------- 0	94,887 ------------- 0	33,118 ------------- 0	1,130,347 ------------- 0	0 ------------- 0
8Kris ORdelheide Secretary	(i) (ii)	559,855 ------------- 0	390,162 ------------- 0	173,109 ------------- 0	162,232 ------------- 0	21,153 ------------- 0	1,306,511 ------------- 0	0 ------------- 0
9MATTHEW Leary Former CFO - St. Anthony Hospital	(i) (ii)	409,599 ------------- 0	167,176 ------------- 0	2,144 ------------- 0	10,150 ------------- 0	29,001 ------------- 0	618,070 ------------- 0	0 ------------- 0
10CHARLES MCCONNELL Former CEO - Mercy Regional Medical Center	(i) (ii)	0 ------------- 0	0 ------------- 0	470,380 ------------- 0	0 ------------- 0	0 ------------- 0	470,380 ------------- 0	254,433 ------------- 0
11Michael Murphy Former Interim CEO - Mercy Regional Medical Center	(i) (ii)	207,993 ------------- 0	108,151 ------------- 0	80,928 ------------- 0	7,563 ------------- 0	21,594 ------------- 0	426,229 ------------- 0	0 ------------- 0
12Kenneth Bacon Group Present & CEO of St. Anthony Hospital	(i) (ii)	142,259 ------------- 0	412,207 ------------- 0	415,887 ------------- 0	4,973 ------------- 0	4,912 ------------- 0	980,238 ------------- 0	0 ------------- 0
13Mike Cafasso CEO - St. Mary-Corwin Medical Center	(i) (ii)	411,594 ------------- 0	165,142 ------------- 0	76,567 ------------- 0	65,230 ------------- 0	29,724 ------------- 0	748,257 ------------- 0	0 ------------- 0
14Carrie Damon SVP & Chief Information Officer	(i) (ii)	514,016 ------------- 0	446,319 ------------- 0	10,575 ------------- 0	98,624 ------------- 0	33,443 ------------- 0	1,102,977 ------------- 0	0 ------------- 0
15Dan Enderson Group President - Denver	(i) (ii)	809,567 ------------- 0	573,033 ------------- 0	200,641 ------------- 0	219,052 ------------- 0	23,390 ------------- 0	1,825,683 ------------- 0	0 ------------- 0
16Brian Erling CEO - Penrose St. Francis Health Services	(i) (ii)	592,407 ------------- 0	438,942 ------------- 0	15,734 ------------- 0	158,290 ------------- 0	30,425 ------------- 0	1,235,798 ------------- 0	0 ------------- 0
17Thomas GEssel Group President, Greater Colorado & Kansas	(i) (ii)	831,089 ------------- 0	774,513 ------------- 0	99,025 ------------- 0	254,610 ------------- 0	29,618 ------------- 0	1,988,855 ------------- 0	0 ------------- 0
18Kevin Jenkins CEO - St. Anthony Hospital	(i) (ii)	454,900 ------------- 0	340,771 ------------- 0	9,875 ------------- 0	99,294 ------------- 0	28,894 ------------- 0	933,734 ------------- 0	0 ------------- 0
19Tadd Richert Group CFO & CFO - Penrose St. Francis Health Services	(i) (ii)	411,444 ------------- 0	163,310 ------------- 0	1,399 ------------- 0	6,825 ------------- 0	31,947 ------------- 0	614,925 ------------- 0	0 ------------- 0
20Patrick Sharp CEO Mercy Regional Medical Center	(i) (ii)	375,370 ------------- 0	105,000 ------------- 0	110,901 ------------- 0	43,712 ------------- 0	32,013 ------------- 0	666,996 ------------- 0	0 ------------- 0
21Edward Sim EVP & COO - St. Anthony Hospital	(i) (ii)	922,859 ------------- 0	700,242 ------------- 0	13,283 ------------- 0	298,906 ------------- 0	31,586 ------------- 0	1,966,876 ------------- 0	0 ------------- 0
22Jane Strobel CFO Mercy Regional Medical Center	(i) (ii)	128,447 ------------- 0	77,950 ------------- 0	11,785 ------------- 0	4,275 ------------- 0	484 ------------- 0	222,941 ------------- 0	0 ------------- 0
23Camille Azar Physician	(i) (ii)	1,018,522 ------------- 0	194,565 ------------- 0	7,276 ------------- 0	7,583 ------------- 0	28,244 ------------- 0	1,256,190 ------------- 0	0 ------------- 0
24Paul Boone Physician	(i) (ii)	884,093 ------------- 0	500 ------------- 0	4,821 ------------- 0	10,150 ------------- 0	30,999 ------------- 0	930,563 ------------- 0	0 ------------- 0
25Mark Murray Physician	(i) (ii)	902,501 ------------- 0	40,732 ------------- 0	2,507 ------------- 0	9,338 ------------- 0	28,284 ------------- 0	983,362 ------------- 0	0 ------------- 0
26Allan Nanney III Physician	(i) (ii)	883,204 ------------- 0	40,500 ------------- 0	17,977 ------------- 0	3,991 ------------- 0	3,956 ------------- 0	949,628 ------------- 0	0 ------------- 0
27Steven Weiss Physician	(i) (ii)	767,892 ------------- 0	207,126 ------------- 0	7,219 ------------- 0	10,150 ------------- 0	513 ------------- 0	992,900 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2021

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	CATHOLIC HEALTH INITIATIVES-COLORADO'S PRESIDENT IS PAID BY CENTURA HEALTH CORPORATION (CENTURA), A RELATED TAX-EXEMPT ORGANIZATION. OUTSIDE CONSULTANTS ARE ENGAGED TO PROVIDE RECOMMENDATIONS TO CENTURA'S COMPENSATION COMMITTEE. THE CONSULTANT'S RECOMMENDATIONS ARE THEN PRESENTED TO AND APPROVED BY THE COMPENSATION COMMITTEE.
Schedule J, Part I, Line 4a Severance or change-of-control payment	IN CALENDAR YEAR 2021 THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE: CHARLES MCCONNELL - $215,947 MICHAEL MURPHY - $63,725
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	During the 2021 calendar year, CommonSpirit Health ("CommonSpirit") maintained a supplemental non-qualified deferred compensation plan for Division CEOS/presidents and other designated CommonSpirit executives at the level of senior vice president and above. No reportable individuals received distributions from the CommonSpirit deferred compensation plan during 2021. Due to the "super" vesting rules under CommonSpirit's deferred compensation plan, participants who have met certain requirements such as involuntary termination without cause, age, age and years of service, or more than 5 years of plan participation are eligible to receive their 2021 contributions in cash. These cash payouts are included in the participant's reportable compensation in column (iii) Other Reportable Compensation on Schedule J Part II. During 2021, the following payments were made pursuant to the super vesting rules: Mitch Melfi - $174,625 PATRICIA WEBB - $209,952 Compensation amounts for the supplemental nonqualified retirement plans discussed above are reported as deferred compensation in the year accrued (Schedule J, Part II, column C) and are reflected again as other reportable compensation in the year paid (Schedule J, Part II, column B(iii)). IN ADDITION, CENTURA HEALTH CORPORATION, A RELATED TAX EXEMPT ORGANIZATION, PROVIDES SENIOR EXECUTIVES OF THE FILING ORGANIZATION'S MANAGEMENT TEAM THAT HOLD THE POSITION OF VICE-PRESIDENT OR ABOVE AN ALLOWANCE EQUIVALENT TO 10% OF BASE SALARY TO PURCHASE INSURANCE PRODUCTS OR CONTRIBUTE INTO A DEFERRED NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). IN ADDITION, A PENSION RESTORATION BENEFIT (PRB) IS PROVIDED WHICH CREDITS PARTICIPANTS WITH A BENEFIT THAT IS CALCULATED BASED ON THE EXCESS OF THE PARTICIPANT'S COMPENSATION OVER THE MAXIMUM ALLOWED FOR PENSION CONTRIBUTIONS. AMOUNTS DEFERRED ARE NOT REPORTED AS TAXABLE INCOME UNTIL/UNLESS A TRIGGERING EVENT OCCURS. THESE DEFERRED COMPENSATION PLANS HAVE A SUBSTANTIAL RISK OF FOREFEITURE PROVISIONS AND AN ELECTED VESTING SCHEDULE. DURING THE CALENDAR YEAR 2021, THE FOLLOWING INDIVIDUALS PARTICIPATED IN AND RECEIVED THE FOLLOWING AMOUNTS FROM THE SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLANS: SERP & PENSION RESTORATION CREDIT: PETER BANKO - $680,884 MICHAEL CAFASSO - $65,230 CARRIE DAMON - $88,474 DANIEL ENDERSON - $209,952 BRIAN ERLING - $148,140 ANDREW GAASCH - $88,062 THOMAS GESSEL - $244,460 KEVIN JENKINS - $99,294 KRIS ORDELHEIDE - $153,132 EDWARD SIM - $288,756 PATRICK SHARP - $37,859 SERP & PENSION RESTORATON LIQUIDATIONS: CHARLES MCCONNELL - $254,433 Certain listed persons employed by Dignity Health participate in the Dignity Health Excess Benefit Plan, a nonqualified supplemental benefit plan limited to participants in the Dignity Health Retirement Plan whose benefits are affected by the limitations imposed by sections 401(a)(17) and 415 of the Internal Revenue Code. Benefit service under this plan was frozen as of January 1, 2008. Certain listed persons employed by Dignity Health are eligible to participate in non-qualified 457(f) plans that are subject to substantial risk of forfeiture, as required by the IRS. The 2007 Executive Deferred Compensation Plan is for executives hired prior to June 30, 2006. The benefit is intended to bridge the difference, if any, between the benefit provided under the Dignity Health Excess Benefit Plan had benefit service not been frozen at January 1, 2008, and the benefits provided from all other qualified and non-qualified plans. Benefits vest under this 457(f) plan at the later of the date the participant attains age 62 or is credited with 15 years of service. The 2010 Executive Deferred Compensation Plan is for certain officers and key employees, primarily those who are not eligible to participate in the Dignity Health Excess Benefit Plan or the 2007 Executive Deferred Compensation Plan described above. This benefit provides an annual accrual of 10% of total compensation and is payable annually on July 1 once vested, which is age 62 with 5 years of service. The plan also allows for special awards. Payments pursuant to the plan arrangements for two board members/officers, one officer, five key employees and three highest compensated employee occurred during 2021 include E. Shih, $436,130; C. Francis, $926,185 Compensation amounts for the supplemental nonqualified retirement plans discussed above are reported as deferred compensation in the year accrued (Schedule J, Part II, column C) and are reflected again as other reportable compensation in the year paid (Schedule J, Part II, column B(iii)).
Schedule J, Part I, Line 7 Non-fixed payments	PARTICIPANTS IN CENTURA'S INCENTIVE COMPENSATION PLANS INCLUDE DIRECTORS AND ABOVE. PAYOUTS ARE BASED ON METRICS ESTABLISHED AND APPROVED BY CENTURA'S COMPENSATION COMMITTEE. THE METRICS INCLUDE QUANTIFIABLE MEASURES PERTAINING TO FINANCIAL PERFORMANCE, SAFETY AND QUALITY AND ASSOCIATE SATISFACTION WITH EACH METRIC WEIGHTED IN DETERMINING THE OVERALL SCORE. THE INCENTIVE COMPENSATION PAYOUT IS CALCULATED BASED ON THE CUMULATIVE SCORE FOR ALL METRICS AND THE PAYOUT IS BASED ON A COMBINATION OF THE SCORE, THE INDIVIDUAL'S BASE COMPENSATION AMOUNT AND POSITION (E.G. DIRECTOR, VICE PRESIDENT).
Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL	NAME - PETER BANKO, COMPENSATION FROM UNRELATED ORGANIZATION - 3590397.000000, NAME OF UNRELATED ORGANIZATION - CENTURA HEALTH CORPORATION, TYPE OF COMPENSATION - SALARIES AND BENEFITS
Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL	NAME - ANDREW GAASCH, COMPENSATION FROM UNRELATED ORGANIZATION - 1130347.000000, NAME OF UNRELATED ORGANIZATION - CENTURA HEALTH CORPORATION, TYPE OF COMPENSATION - SALARIES AND BENEFITS
Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL	NAME - KRIS ORDELHEIDE, COMPENSATION FROM UNRELATED ORGANIZATION - 1306511.000000, NAME OF UNRELATED ORGANIZATION - CENTURA HEALTH CORPORATION, TYPE OF COMPENSATION - SALARIES AND BENEFITS
Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL	NAME - MATTHEW LEARY, COMPENSATION FROM UNRELATED ORGANIZATION - 618070.000000, NAME OF UNRELATED ORGANIZATION - CENTURA HEALTH CORPORATION, TYPE OF COMPENSATION - SALARIES AND BENEFITS
Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL	NAME - CHARLES MCCONNELL, COMPENSATION FROM UNRELATED ORGANIZATION - 470380.000000, NAME OF UNRELATED ORGANIZATION - CENTURA HEALTH CORPORATION, TYPE OF COMPENSATION - SALARIES AND BENEFITS
Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL	NAME - MICHAEL MURPHY, COMPENSATION FROM UNRELATED ORGANIZATION - 426229.000000, NAME OF UNRELATED ORGANIZATION - CENTURA HEALTH CORPORATION, TYPE OF COMPENSATION - SALARIES AND BENEFITS

Schedule J (Form 990) 2021

Additional Data

Software ID:	21014044
Software Version:	2021v4.2

- TIN:

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

Catholic Health Initiatives Colorado

Employer identification number

84-0405257

Return Reference	Explanation
Form 990, Part V, Line 1a 2020 Form 1099 fillings	Centura Health Corporation, a related tax exempt organization is the common paymaster for CHI Colorado therefore, all vendors, including independent contractors, are paid and reported by Centura Health Corporation on behalf of these named entities.
Form 990, Part VI, Line 16b EVAL OF PARTICIPATION IN JV ARRANGEMENTS	CATHOLIC HEALTH INITIATIVES-COLORADO HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER, COMMONSPIRIT HEALTHS' ("CSH") SYSTEM-WIDE JOINT VENTURE MODEL OPERATING AGREEMENT INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT: (1) THE EXEMPT ORGANIZATION AT ALL TIMES RETAINS CONTROL OVER THE VENTURE SUFFICIENT TO ENSURE THAT THE PARTNERSHIP FURTHERS THE EXEMPT PURPOSE OF THE ORGANIZATION; (2) IN ANY PARTNERSHIP IN WHICH THE EXEMPT ORGANIZATION IS A PARTNER, ACHIEVEMENT OF EXEMPT PURPOSES IS PRIORITIZED OVER MAXIMIZATION OF PROFITS FOR THE PARTNERS; (3) THE PARTNERSHIP DOES NOT ENGAGE IN ANY ACTIVITIES THAT WOULD JEOPARDIZE THE EXEMPT ORGANIZATION'S EXEMPTION; (4) RETURNS OF CAPITAL, ALLOCATIONS, AND DISTRIBUTIONS MUST BE MADE IN PROPORTION TO THE PARTNERS' RESPECTIVE OWNERSHIP INTERESTS; AND (5) ALL CONTRACTS ENTERED INTO BY THE PARTNERSHIP WITH THE EXEMPT ORGANIZATION MUST BE AT ARM'S-LENGTH, WITH PRICES SET AT FAIR MARKET VALUE. ANY JOINT VENTURE AGREEMENTS THAT DO NOT CONFORM TO THE MODEL AGREEMENT ARE GENERALLY REVIEWED BY COUNSEL.
Form 990, Part VI, Line 15 PROCESS USED TO ESTABLISH COMPENSATION	THE ORGANIZATION'S PRESIDENT, TREASURER, SECRETARY AND KEY EMPLOYEES ARE EMPLOYED BY CENTURA HEALTH CORPORATION ("CENTURA"), A RELATED TAX EXEMPT ORGANIZATION. OUTSIDE CONSULTANTS ARE ENGAGED TO PROVIDE RECOMMENDATIONS TO CENTURA'S COMPENSATION COMMITTEE REGARDING THE COMPENSATION OF FACILITY CEO'S AND CENTURA SENIOR EXECUTIVES. THE CONSULTANT'S RECOMMENDATIONS ARE THEN PRESENTED TO AND APPROVED BY THE COMPENSATION COMMITTEE. CENTURA'S HUMAN RESOURCES DEPARTMENT PERFORMS ANALYSES OF THE MARKET TO DETERMINE COMPENSATION RANGES FOR THE REMAINDER OF CENTURA EXECUTIVES WHICH ARE REVIEWED AND APPROVED BY CENTURA'S SENIOR LEADERSHIP. FOR THOSE REPORTABLE INDIVIDUALS (I.E. BOARD MEMBERS AND BOARD OFFICERS) WHOSE COMPENSATION IS PAID BY COMMONSPIRIT HEALTH ("CSH"), THEIR COMPENSATION WAS SET BY A COMPENSATION COMMITTEE UTILIZING AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE COMPENSATION AMOUNTS THAT WERE BOARD APPROVED AND PAID TO THEM IN ACCORDANCE WITH A WRITTEN CONTRACT.
Form 990, Part VI, Line 6 Classes of members or stockholders	ACCORDING TO THE BYLAWS OF CATHOLIC HEALTH INITIATIVES-COLORADO, THE ENTITY'S SOLE MEMBER IS COMMONSPIRIT HEALTH, A COLORADO NONPROFIT CORPORATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE SOLE CORPORATE MEMBER HAS THE POWER TO APPOINT, REPLACE OR REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS. ACCORDING TO THE ORGANIZATION'S BYLAWS, THE SOLE MEMBER SHALL FILL ALL VACANCIES ON THE BOARD OF TRUSTEES CREATED BY REMOVAL, RESIGNATION, OR DEATH.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	CATHOLIC HEALTH INITIATIVES-COLORADO'S ("CHIC") CORPORATE MEMBER IS COMMONSPIRIT HEALTH ("CSH"). PURSUANT TO SECTION 5.4.1 OF THE ORGANIZATION'S BYLAWS, THE CORPORATE MEMBER SHALL HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERNANCE MATRIX EXCEPT TO THE EXTENT OTHERWISE PROVIDED IN ORGANIZATION'S ARTICLES AND BYLAWS. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE HELD BY THE CHIC BOARD: - APPROVE MEMBERS OF THE CHIC BOARD - AMENDMENT OF THE CORPORATE DOCUMENTS OF CHIC - APPROVE REMOVAL OF A MEMBER OF THE GOVERNING BODY OF CHIC - ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR CHIC THE FOLLOWING RIGHTS ARE RESERVED TO THE COMMONSPIRIT HEALTH BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CSH CHIEF EXECUTIVE OFFICER: - SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF CHIC - REMOVAL OF A MEMBER OF THE GOVERNING BODY OF CHIC - APPROVAL OF ISSUANCE OF DEBT BY CHIC - APPROVAL OF PARTICIPATION OF CHIC IN A JOINT VENTURE - APPROVAL OF FORMATION OF A NEW CORPORATION BY CHIC - APPROVAL OF A MERGER INVOLVING CHIC - APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF CHIC - TO REQUIRE THE TRANSFER OF ASSETS BY CHIC TO CSH TO ACCOMPLISH CSH'S GOALS AND OBJECTIVES, AND TO SATISFY CSH DEBTS. PURSUANT TO SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, CSH MAY, IN EXERCISE OF ITS APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. IN ADDITION, PURSUANT TO THE AFFILIATION AGREEMENT BETWEEN CSH, CHIC, CENTURA HEALTH CORPORATION, AND ADVENT HEALTH, CERTAIN MATTERS AFFECTING CHIC MUST BE APPROVED BY BOTH PORTERCARE AND CSH. THOSE ITEMS INCLUDE: - THE TRANSFER OF ASSETS VALUED AT OVER $3000,000 - THE ISSUANCE OF A DEBT INSTRUMENT IN EXCESS OF $250,000 - THE AMENDMENT OF THE ORGANIZING DOCUMENTS - THE ADMISSION OF A NEW SPONSOR - A MERGER OR DISSOLUTION OR REORGANIZATION - SETTLEMENT OF LEGAL PROCEEDINGS IN EXCESS OF $5,000,000 - CAPITAL EXPENDITURES IN EXCESS OF $2,000,000
Form 990, Part VI, Line 11b Review of form 990 by governing body	A DRAFT OF THE FORM 990 IS REVIEWED BY MANAGEMENT AND MADE AVAILABLE TO THE TOP FINANCIAL OFFICIAL FOR CONSIDERATION AND REVIEW PRIOR TO FILING WITH THE IRS.
Form 990, Part VI, Line 12c Conflict of interest policy	CENTURA HEALTH CORPORATION ("CHC") MANAGES THE DAILY ACTIVITIES OF THE ORGANIZATION UNDER A JOINT OPERATING AGREEMENT BETWEEN THE ADVENT HEALTHCARE SYSTEM AND COMMONSPIRIT HEALTH. THE ORGANIZATION HAS ADOPTED THE COI POLICY OF CHC. THE POLICY READS AS FOLLOWS: 1. CONFLICT OF INTEREST POLICY 1.1 CONSISTENT WITH CENTURA INTEGRITY STANDARDS, IT IS POLICY THAT EACH BOARD OF TRUSTEE MEMBER, CORPORATE OFFICER, AND KEY EMPLOYEE ACT AT ALL TIMES IN A MANNER THAT IS CONSISTENT WITH CENTURA'S MISSION AND VALUES BASED SERVICE TO THE COMMUNITY AND EXERCISE CARE THAT HE OR SHE DOES NOT HAVE ANY PERSONAL INTEREST WHICH MIGHT CONFLICT WITH OR APPEAR TO CONFLICT WITH THE INTEREST OF CENTURA OR WHICH MIGHT INFLUENCE THEIR JUDGMENT OR ACTIONS IN PERFORMING THEIR DUTIES. 1.1.1 IN CONNECTION WITH AN ACTUAL OR POSSIBLE TRANSACTION OR ARRANGEMENT INVOLVING CENTURA, ANY BOARD MEMBER, CORPORATE OFFICER, OR KEY EMPLOYEE WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST MUST DISCLOSE AND BE GIVEN THE OPPORTUNITY TO SHARE ALL MATERIAL FACTS WITH THE BOARD CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. 1.1.2 BOARD MEMBERS, CORPORATE OFFICERS, AND KEY EMPLOYEES ARE ALSO REQUIRED TO DISCLOSE ANY POSSIBLE CONFLICTS ON AN ANNUAL BASIS THROUGH THE CONFLICT OF INTEREST QUESTIONNAIRE. 2. PROCEDURE FOR DISCLOSING AND REVIEWING TRANSACTION OR ARRANGEMENT CONFLICT OF INTERESTS: 2.1 BOARD MEMBERS, CORPORATE OFFICERS, AND KEY EMPLOYEES THAT HAVE A FINANCIAL INTEREST IN ANY ACTUAL OR POSSIBLE TRANSACTION INVOLVING CENTURA ARE REQUIRED TO DISCLOSE THE FINANCIAL INTEREST. 2.1.1 IN ORDER TO DETERMINE IF A CONFLICT OF INTEREST EXISTS, THE INDIVIDUAL WHO IS CONSIDERED TO HAVE A FINANCIAL INTEREST MAY MAKE A PRESENTATION AT THE BOARD OR BOARD COMMITTEE MEETING. AFTER SUCH PRESENTATION, THE INDIVIDUAL SHALL LEAVE THE MEETING FOR DISCUSSION AND A VOTE ON THE ISSUE. 2.1.2 AFTER EXERCISING DUE DILLEGENCE, THE BOARD OR BOARD COMMITTEE SHALL DETERMINE WHETHER CENTURA CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION WITH REASONABLE EFFORTS FROM ANOTHER PERSON OR ENTITY. IF A MORE ADVANTAGEOUS TRANSACTION IS NOT REASONABLY ATTAINABLE, THE BOARD OR BOARD COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED MEMBERS WHETHER THE TRANSACTION IS IN CENTURA'S BEST INTEREST AND IS FAIR. 3. PROCEDURE FOR DISCLOSING AND REVIEWING OTHER CONFLICT OF INTERESTS: 3.1 BOARD MEMBERS, CORPORATE OFFICERS, AND KEY EMPLOYEES SHALL ALSO DISCLOSE IN ADVANCE TO CENTURA LEADERS ANY NON-TRANSACTIONAL ACTIONS OR RELATIONSHIPS THAT HAVE THE POTENTIAL TO CREATE A CONFLICT OF INTEREST. 3.1.1 THE BOARD OR BOARD COMMITTEE SHALL CAREFULLY REVIEW AND SCRUTINIZE ANY CONFLICT OF INTEREST. BY A MAJORITY VOTE OF THE DISINTERESTED MEMBERS, THE BOARD SHALL TAKE WHATEVER ACTION IS DEEMED APPROPRIATE WITH RESPECT TO THE BOARD MEMBER, CORPORATE OFFICER, OR KEY EMPLOYEE UNDER THE CIRCUMSTANCES, INCLUDING POSSIBLE CORRECTIVE ACTION, IN ORDER TO BEST PROTECT THE INTERESTS OF CENTURA. 3.1.2 ON AN ANNUAL BASIS, BOARD MEMBERS, CORPORATE OFFICERS, AND KEY EMPLOYEES WILL ALSO BE SENT AN EMAIL REQUESTING THEY COMPLETE THE BOARD MEMBER AND CORPORATE OFFICER CONFLICT OF INTEREST QUESTIONNAIRE BY THE SPECIFIED DUE DATE IN THE EMAIL. 3.1.3 THE CORPORATE RESPONSIBILITY DEPARTMENT SHALL NOTIFY THE CHAIRPERSON OF THE BOARD OF ANY POTENTIAL CONFLICTS AND THE CHAIRPERSON, OR DESIGNEE, SHALL PERFORM FURTHER INVESTIGATION AS HE OR SHE DEEMS APPROPRIATE. 4. RECORD OF PROCEEDINGS: 4.1 THE MINUTES OF THE BOARD AND BOARD COMMITTEE SHALL CONTAIN: 4.1.1 THE NAMES OF PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTEREST AND THE NATURE OF THE FINANCIAL INTEREST. 4.1.2 THE NAMES OF PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO ANY FINANCIAL INTEREST, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES, AND A RECORD OF THE BOARD OR BOARD COMMITTEE DECISION. 5. VIOLATIONS OF THE CONFLICTS OF INTEREST POLICY: 5.1 IF THE BOARD OR BOARD COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT AN INDIVIDUAL HAS FAILED TO DISCLOSE EITHER AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, OR ALL MATERIAL FACTS SURROUNDING AN ACTUAL OR POSSIBLE CONFLICT, THE INDIVIDUAL WILL BE GIVEN A CHANCE TO EXPLAIN. 5.1.1 AFTER HEARING THE RESPONSE, THE BOARD WILL CONDUCT SUCH ADDITIONAL INVESTIGATION AS APPROPRIATE. IF THE BOARD DETERMINES THAT THE INDIVIDUAL HAS IN FACT FAILED TO DISCLOSE AS REQUIRED BY THE CONFLICT OF INTEREST POLICY, THE BOARD SHALL TAKE APPROPRIATE DISCIPLINARY OR CORRECTIVE ACTION.
Form 990, Part VI, Line 19 Required documents available to the public	THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN Commonspirit health's' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT commonspirithealth.org.
Form 990, Part VIII, Line 2f Other Program Service Revenue	Parking Lot Revenue - Total Revenue: 292281, Related or Exempt Function Revenue: 292281, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Education - Total Revenue: -82592, Related or Exempt Function Revenue: -82592, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Physician Fee Rev - Total Revenue: 40948, Related or Exempt Function Revenue: 40948, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Rural Fund Dollars - Total Revenue: 13132897, Related or Exempt Function Revenue: 13132897, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	Consulting & Contract Labor - Total Expense: 64407475, Program Service Expense: 63567989, Management and General Expenses: 839486, Fundraising Expenses: ; Purchased Services - Total Expense: 38835488, Program Service Expense: 33010165, Management and General Expenses: 5825323, Fundraising Expenses: ; Support Allocation - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 27083834, Fundraising Expenses: ; Regional Pool - Total Expense: 5362388, Program Service Expense: 5362388, Management and General Expenses: , Fundraising Expenses: ; Physician Remuneration - Total Expense: 92895136, Program Service Expense: 92895136, Management and General Expenses: , Fundraising Expenses: ; Medical Services - Total Expense: 47246718, Program Service Expense: 47246718, Management and General Expenses: , Fundraising Expenses: ; Lab Internal Purchase Services - Total Expense: 18308814, Program Service Expense: 18308814, Management and General Expenses: , Fundraising Expenses: ; Works Comp Ins - Total Expense: 6095501, Program Service Expense: 5181176, Management and General Expenses: 914325, Fundraising Expenses: ; Other Purchased Services - Total Expense: 34451972, Program Service Expense: 29284176, Management and General Expenses: 5167796, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Equity changes of unconsolidated orgs - 50542572; Transfer to affiliates - 68238972;
Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL	NAME - KENNETH BACON, COMPENSATION FROM UNRELATED ORGANIZATION - 980238.000000, NAME OF UNRELATED ORGANIZATION - CENTURA HEALTH CORPORATION, TYPE OF COMPENSATION - SALARIES AND BENEFITS
Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL	NAME - MIKE CAFASSO, COMPENSATION FROM UNRELATED ORGANIZATION - 748257.000000, NAME OF UNRELATED ORGANIZATION - CENTURA HEALTH CORPORATION, TYPE OF COMPENSATION - SALARIES AND BENEFITS
Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL	NAME - CARRIE DAMON, COMPENSATION FROM UNRELATED ORGANIZATION - 1102977.000000, NAME OF UNRELATED ORGANIZATION - CENTURA HEALTH CORPORATION, TYPE OF COMPENSATION - SALARIES AND BENEFITS
Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL	NAME - DAN ENDERSON, COMPENSATION FROM UNRELATED ORGANIZATION - 1825683.000000, NAME OF UNRELATED ORGANIZATION - CENTURA HEALTH CORPORATION, TYPE OF COMPENSATION - SALARIES AND BENEFITS
Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL	NAME - BRIAN ERLING, COMPENSATION FROM UNRELATED ORGANIZATION - 1235798.000000, NAME OF UNRELATED ORGANIZATION - CENTURA HEALTH CORPORATION, TYPE OF COMPENSATION - SALARIES AND BENEFITS
Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL	NAME - THOMAS GESSEL, COMPENSATION FROM UNRELATED ORGANIZATION - 1988855.000000, NAME OF UNRELATED ORGANIZATION - CENTURA HEALTH CORPORATION, TYPE OF COMPENSATION - SALARIES AND BENEFITS
Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL	NAME - KEVIN JENKINS, COMPENSATION FROM UNRELATED ORGANIZATION - 933734.000000, NAME OF UNRELATED ORGANIZATION - CENTURA HEALTH CORPORATION, TYPE OF COMPENSATION - SALARIES AND BENEFITS
Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL	NAME - TADD RICHERT, COMPENSATION FROM UNRELATED ORGANIZATION - 614925.000000, NAME OF UNRELATED ORGANIZATION - CENTURA HEALTH CORPORATION, TYPE OF COMPENSATION - SALARIES AND BENEFITS
Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL	NAME - PATRICK SHARP, COMPENSATION FROM UNRELATED ORGANIZATION - 666996.000000, NAME OF UNRELATED ORGANIZATION - CENTURA HEALTH CORPORATION, TYPE OF COMPENSATION - SALARIES AND BENEFITS
Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL	NAME - EDWARD SIM, COMPENSATION FROM UNRELATED ORGANIZATION - 1966876.000000, NAME OF UNRELATED ORGANIZATION - CENTURA HEALTH CORPORATION, TYPE OF COMPENSATION - SALARIES AND BENEFITS
Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL	NAME - JANE STROBEL, COMPENSATION FROM UNRELATED ORGANIZATION - 222941.000000, NAME OF UNRELATED ORGANIZATION - CENTURA HEALTH CORPORATION, TYPE OF COMPENSATION - SALARIES AND BENEFITS

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2021

Additional Data

Software ID:	21014044
Software Version:	2021v4.2

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

Catholic Health Initiatives Colorado

Employer identification number

84-0405257

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) Peak One Surgery Center 350 Peak One Dr Frisco,CO80443 20-1620230	SURGICAL CENTER	CO	751,857	2,736,487	CHI Colorado

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)ALEGENT CREIGHTON CLINIC 12809 W DODGE RD OMAHA,NE68154 47-0765154	HOSPITAL	NE	501(c)(3)	3	ACH		No
(2)ALEGENT CREIGHTON HEALTH 12809 W DODGE RD OMAHA,NE68154 47-0757164	HOSPITAL	NE	501(c)(3)	3	CHI NEBRASKA		No
(3)ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM 7500 MERCY RD OMAHA,NE68124 47-0484764	HOSPITAL	NE	501(c)(3)	3	CHI NEBRASKA		No
(4)ALEGENT HEALTH - COMM MEM HOSPITAL OF MO VALLEY IA 631 N 8TH ST MISSOURI VALLEY,IA51555 42-0776568	HOSPITAL	IA	501(c)(3)	3	CHI NEBRASKA		No
(5)ALEGENT HEALTH - IMMANUEL MEDICAL CENTER 6901 N 72ND ST OMAHA,NE68122 47-0376615	HOSPITAL	NE	501(c)(3)	3	CHI NEBRASKA		No
(6)ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER 104 W 17TH ST SCHUYLER,NE68661 47-0399853	HOSPITAL	NE	501(c)(3)	3	CHI NEBRASKA		No
(7)ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA PO BOX 368 CORNING,IA50841 42-0782518	HOSPITAL	IA	501(c)(3)	3	CHI NEBRASKA		No
(8)ALVERNA APARTMENTS 300 SE 8TH AVE LITTLE FALLS,MN56345 41-1351177	LTERM CARE	MN	501(c)(3)	10	CSH		No
(9)APPLETREE COURT 601 OAK ST BRECKENRIDGE,MN56520 41-1850500	SENIOR LIVING	MN	501(c)(3)	10	SFH		No
(10)Arroyo Grande Community Hospital Foundation 345 S Halcyon Rd Arroyo Grande,CA93420 20-3256066	FUNDRAISING FOUNDATION	CA	501(c)(3)	Type I	DH		No
(11)Bakersfield Memorial Hospital 420 34TH Street Bakersfield,CA93301 95-1802779	HOSPITAL	CA	501(c)(3)	3	DCC		No
(12)Barrow Neurological Foundation 350 West Thomas Road Phoenix,AZ85013 86-0174371	FUNDRAISING FOUNDATION	AZ	501(c)(3)	7	DH		No
(13)BAYLOR ST LUKE'S HEALTH VENTURES 17200 ST LUKES WAY STE 170 THE WOODLANDS,TX77384 27-4499340	PHYSICIANS	TX	501(c)(3)	Type I	SLHS		No
(14)BAYLOR ST LUKE'S MEDICAL GROUP 6624 FANNIN ST STE 1100 HOUSTON,TX77030 76-0458535	PHYSICIANS	TX	501(c)(3)	3	BSLHV		No
(15)BORNEMANN HEALTHCARE CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 23-2187242	INACTIVE	PA	501(c)(3)	Type I	CSH		No
(16)BRAZOSPORT HEALTH FOUNDATION INC 100 MEDICAL DRIVE LAKE JACKSON,TX77566 76-0080110	FUNDRAISING FOUNDATION	TX	501(c)(3)	Type I	TCHB		No
(17)BRAZOSPORT REGIONAL PHYSICIAN SERVICES 100 MEDICAL DRIVE LAKE JACKSON,TX77566 80-0240261	PHYSICIANS	TX	501(c)(3)	3	TCHB		No
(18)BURLESON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2759890	HOSPITAL	TX	501(c)(3)	3	SLH-CO		No
(19)BURLESON ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2913931	rehabilitation	TX	501(c)(3)	10	SJSC		No
(20)California Hospital Medical Center Foundation 1401 South Grand Avenue Los Angeles,CA90015 95-4000909	FUNDRAISING FOUNDATION	CA	501(c)(3)	Type I	DCC		No
(21)CARRINGTON HEALTH CENTER 800 N 4TH ST CARRINGTON,ND58421 45-0227311	HOSPITAL	ND	501(c)(3)	3	CSH		No
(22)CATHOLIC HEALTH INITIATIVES - IOWA CORP 1111 6TH AVE DES MOINES,IA50314 42-0680448	HOSPITAL	IA	501(c)(3)	3	CSH		No
(23)CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 9100 East Mineral Ave Centennial,CO80112 84-0902211	FUNDRAISING FOUNDATION	CO	501(c)(3)	7	CHIC		No
(24)CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 1150 Kelly Johnson Blvd 204 COLORADO SPRINGS,CO80920 27-0930004	FUNDRAISING FOUNDATION	CO	501(c)(3)	Type I	CSH		No
(25)CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 46-0992796	Telehealth	CO	501(c)(3)	Type I	CHI NS		No
(26)CENTENNIAL MEDICAL GROUP INC 2700 STEWART PKWY ROSEBURG,OR97471 26-3946191	SURGERY CENTER	OR	501(c)(3)	10	MMC - Roseburg		No
(27)CENTRAL CALIFORNIA HEALTH CENTERS 300 OLD RIVER ROAD STE 200 BAKERSFIELD,CA93311 84-4171789	CLINIC	CA	501(c)(3)	3	DCC		No
(28)CENTRAL KANSAS MEDICAL CENTER 3515 BROADWAY GREAT BEND,KS67530 48-0543724	INACTIVE	KS	501(c)(3)	3	CSH		No
(29)CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PKWY S FARGO,ND58104 27-1966847	SENIOR LIVING	MN	501(c)(3)	10	CSH		No
(30)CHI HEALTH FOUNDATION 12809 W DODGE RD OMAHA,NE68154 47-0648586	FUNDRAISING FOUNDATION	NE	501(c)(3)	7	ACH		No
(31)CHI KENTUCKY INC 3900 OLYMPIC BLVD STE 400 ERLANGER,KY41018 20-2741651	Investments	KY	501(c)(3)	Type I	CSH		No
(32)CHI LIVING COMMUNITIES 930 S Wynn Road Oregon,OH43616 34-1892096	Senior Living	OH	501(c)(3)	Type I	SFH-OH		No
(33)CHI Memorial Hospital - Georgia 100 GROSS CRESCENT CIRCLE FORT OGLETHORPE,GA30742 82-2748395	HOSPITAL	GA	501(c)(3)	3	MHCS		No
(34)CHI NATIONAL HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 45-1261716	HOME HEALTH	CO	501(c)(3)	10	CHI NS		No
(35)CHI NATIONAL SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 45-2532084	HOLDING CO	CO	501(c)(3)	Type I	CSH		No
(36)CHI NEBRASKA 12809 West Dodge Road Omaha,NE68510 36-3233121	HOLDING CO	NE	501(c)(3)	Type I	CSH		No
(37)CHI ST JOSEPH CHILDREN'S HEALTH 1929 LINCOLN HWY E STE 150 LANCASTER,PA17602 23-2342997	HEALTHCARE	PA	501(c)(3)	Type I	CSH		No
(38)CHI ST JOSEPH'S CHILDREN 1516 5TH ST NW ALBUQUERQUE,NM87102 71-0897107	COMMUNITY	NM	501(c)(3)	Type I	CSH		No
(39)CHI ST VINCENT HOSPITAL HOT SPRINGS 300 WERNER ST HOT SPRINGS,AR71913 71-0236913	HOSPITAL	AR	501(c)(3)	3	CHI-SVHS		No
(40)CHI ST VINCENT HOT SPRINGS 300 WERNER ST HOT SPRINGS,AR71913 26-1125064	HOLDING CO	AR	501(c)(3)	Type I	SVIMC		No
(41)CHI ST VINCENT MEDICAL GROUP HOT SPRINGS 300 WERNER ST HOT SPRINGS,AR71913 26-1125131	PHYSICIANS	AR	501(c)(3)	3	CHI-SVHS		No
(42)COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 47-0617373	HEALTHCARE	CO	501(c)(3)	Type I	NA		No
(43)CommonSpirit Health Foundation 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 85-3374038	FUNDRAISING FOUNDATION	CO	501(c)(3)	7	CSH		No
(44)COMMONSPIRIT HEALTH OPERATING INVESTMENT POOL LLC 185 BERRY STREET STE 200 SAN FRANCISCO,CA94107 85-0919176	Operating Investments	DE	501(c)(3)	Type I	CSH		No
(45)COMMONSPIRIT HEALTH RESEARCH INSTITUTE 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 27-1050565	Research	CO	501(c)(3)	Type I	CSH		No
(46)Community Hospital of San Bernardino 1805 Medical Center Drive San Bernardino,CA92411 95-1643373	HOSPITAL	CA	501(c)(3)	3	DCC		No
(47)COMMUNITY LIMITED CARE DIALYSIS CENTER 625 Eden Park Drive 7th Floor CINCINNATI,OH45202 23-7419853	HOLDING CO	OH	501(c)(2)		GSH		No
(48)COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION 631 N 8TH ST MISSOURI VALLEY,IA51555 42-1294399	FUNDRAISING FOUNDATION	IA	501(c)(3)	Type I	AH-CMHMV		No
(49)CONTINUING CARE HOSPITAL One Saint Joseph Drive LEXINGTON,KY40504 61-1400619	HOSPITAL	KY	501(c)(3)	3	SJHS		No
(50)Dignity Community Care 185 BERRY STREET STE 200 San Francisco,CA94107 81-5009488	HOSPITAL	CO	501(c)(3)	3	CSH		No
(51)DIGNITY HEALTH 185 BERRY STREET STE 200 SAN FRANCISCO,CA94107 94-1196203	HOSPITAL	CA	501(c)(3)	3	CSH		No
(52)Dignity Health Connected Living 200 Mercy Oaks Drive Redding,CA96003 23-7115371	Senior Center Services	CA	501(c)(3)	7	DH		No
(53)Dignity Health Foundation 185 BERRY STREET STE 200 San Francisco,CA94107 46-2037641	FUNDRAISING FOUNDATION	CA	501(c)(3)	Type I	DH		No
(54)Dignity Health Foundation - Inland Empire 2101 N Waterman Avenue San Bernardino,CA92404 23-7440086	FUNDRAISING FOUNDATION	CA	501(c)(3)	Type I	DH		No
(55)Dignity Health Foundation East Valley 475 South Dobson Road Chandler,AZ85224 74-2418514	FUNDRAISING FOUNDATION	AZ	501(c)(3)	Type I	DH		No
(56)Dignity Health Medical Foundation 3400 Data Drive Rancho Cordova,CA95670 68-0220314	MULTI-SPECIALTY OUTPATIENT MEDICAL CLINIC	CA	501(c)(3)	Type I	DCC		No
(57)Dominican Health Services 1555 Soquel Drive Santa Cruz,CA95065 77-0056778	Community Health System	CA	501(c)(3)	Type I	DH		No
(58)Dominican Hospital Foundation 1555 Soquel Drive Santa Cruz,CA95065 94-2450442	FUNDRAISING FOUNDATION	CA	501(c)(3)	Type I	DH		No
(59)Dominican Oaks Corporation 1555 Soquel Drive Santa Cruz,CA95065 77-0127719	Operation and management of housing complex to elderly persons	CA	501(c)(3)	10	DHS		No
(60)East Texas Clinical Services 101 Vision Park Suite 100 Shenandoah,TX77384 45-4736213	HEALTHCARE	TX	501(c)(3)	Type I	SLHS		No
(61)ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1455 BATTERSBY AVE ENUMCLAW,WA98022 91-0715805	HOSPITAL	WA	501(c)(3)	3	FHS		No
(62)FLAGET HEALTHCARE INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN,KY40004 61-1345363	HOSPITAL	KY	501(c)(3)	3	KOH		No
(63)FLAGET MEMORIAL HOSPITAL FOUNDATION INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN,KY40004 56-2351341	FUNDRAISING FOUNDATION	KY	501(c)(3)	Type I	FH		No
(64)FRANCISCAN CARE CENTER 4111 N HOLLAND-SYLVANIA RD TOLEDO,OH43623 34-1931806	HEALTHCARE	OH	501(c)(3)	10	CHILC		No
(65)FRANCISCAN FOUNDATION 1717 SOUTH J ST TACOMA,WA98405 91-1145592	FUNDRAISING FOUNDATION	WA	501(c)(3)	10	FHS		No
(66)FRANCISCAN HEALTH SYSTEM 1717 SOUTH J ST TACOMA,WA98405 91-0564491	HOSPITAL	WA	501(c)(3)	3	CSH		No
(67)FRANCISCAN MEDICAL GROUP 1313 BROADWAY STE 200 TACOMA,WA98402 91-1939739	PHYSICIANS	WA	501(c)(3)	10	FHS		No
(68)French Hospital Medical Center Foundation 1911 Johnson Avenue San Luis Obispo,CA93401 20-3256125	FUNDRAISING FOUNDATION	CA	501(c)(3)	Type I	DCC		No
(69)GARRISON MEMORIAL HOSPITAL 407 THIRD AVENUE SOUTHEAST GARRISON,ND58540 45-0227752	HOSPITAL	ND	501(c)(3)	3	SAMC		No
(70)Glendale Memorial Health Foundation 1420 South Central Avenue Glendale,CA91204 95-3625651	FUNDRAISING FOUNDATION	CA	501(c)(3)	Type I	DCC		No
(71)GLOBAL HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 20-1536108	INACTIVE	CO	501(c)(3)	Type I	CSH		No
(72)GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE 625 Eden Park Drive 7th Floor CINCINNATI,OH45202 31-1778403	EDUCATION	OH	501(c)(3)	2	GSH		No
(73)GOOD SAMARITAN HOSPITAL PO BOX 1990 KEARNEY,NE68848 47-0379755	HOSPITAL	NE	501(c)(3)	3	CHI NEBRASKA		No
(74)GOOD SAMARITAN HOSPITAL FOUNDATION 111 W 31ST ST KEARNEY,NE68847 47-0659443	FUNDRAISING FOUNDATION	NE	501(c)(3)	7	GSH-KN		No
(75)GOOD SAMARITAN HOSPITAL FOUNDATION OF CINCINNATI INC 625 Eden Park Drive 7th Floor CINCINNATI,OH45202 31-1206047	FUNDRAISING FOUNDATION	OH	501(c)(3)	Type I	GSH		No
(76)HARRISON MEDICAL CENTER 2520 CHERRY AVE BREMERTON,WA98310 91-0565546	HOSPITAL	WA	501(c)(3)	3	FHS		No
(77)HEALTHCARE AND WELLNESS FOUNDATION 2400 ST FRANCIS DR BRECKENRIDGE,MN56520 76-0761782	FUNDRAISING FOUNDATION	MN	501(c)(3)	Type I	SFMC-MN		No
(78)HOUSE OF MERCY 1111 6TH AVE DES MOINES,IA50314 42-1323808	ASSISTED LIVING	IA	501(c)(3)	7	CHI-IA CORP		No
(79)JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC One Saint Joseph Drive LEXINGTON,KY40504 61-1029768	HOSPITAL	KY	501(c)(3)	3	KOH		No
(80)KENTUCKYONE HEALTH MEDICAL GROUP INC 100 E Liberty St Ste 800 LOUISVILLE,KY40202 61-1352729	PHYSICIANS	KY	501(c)(3)	10	JHSMH		No
(81)KENTUCKYONE HEALTH INC One Saint Joseph Drive LEXINGTON,KY40504 61-1029769	HEALTHCARE	KY	501(c)(3)	Type I	CSH		No
(82)LAKEWOOD HEALTH CENTER 600 MAIN AVE S BAUDETTE,MN56623 41-0758434	HOSPITAL	MN	501(c)(3)	3	CSH		No
(83)LAKEWOOD REGIONAL HEALTHCARE FOUNDATION 600 MAIN AVE S BAUDETTE,MN56623 41-1893795	FUNDRAISING FOUNDATION	ND	501(c)(3)	7	LHC		No
(84)LEGACY FOUNDATION OF KENTUCKIANA INC 1451 HARRODSBURG RD STE D-308 LEXINGTON,KY40504 83-2170324	FUNDRAISING FOUNDATION	KY	501(c)(3)	Type I	KOH		No
(85)LISBON AREA HEALTH SERVICES 905 MAIN ST LISBON,ND58054 82-0558836	HOSPITAL	ND	501(c)(3)	3	CSH		No
(86)LUFKIN VISION ACQUISITIONS PO BOX 1447 LUFKIN,TX75901 82-0563768	PROPERTY MGMT	TX	501(c)(3)	Type I	MHSET		No
(87)MADISON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2761145	HOSPITAL	TX	501(c)(3)	3	SLH-CO		No
(88)MADONNA MANOR INC 2344 AMSTERDAM ROAD VILLA HILLS,KY51017 61-0654635	ASSISTED LIVING	KY	501(c)(3)	10	CHILC		No
(89)Marian Regional Medical Center Foundation 1400 E Church Street Santa Maria,CA93454 95-3818027	FUNDRAISING FOUNDATION	CA	501(c)(3)	Type I	DH		No
(90)Mark Twain Medical Center 768 Mountain Ranch Road San Andreas,CA95249 68-0127677	HOSPITAL	CA	501(c)(3)	3	DCC		No
(91)MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC 2525 DE SALES AVE CHATTANOOGA,TN37404 62-1839548	FUNDRAISING FOUNDATION	TN	501(c)(3)	7	MHCS		No
(92)MEMORIAL HEALTH CARE SYSTEM INC 2525 DE SALES AVE CHATTANOOGA,TN37404 62-0532345	HOSPITAL	TN	501(c)(3)	3	CSH		No
(93)MEMORIAL HEALTH PARTNERS FOUNDATION INC 5600 BRAINERD RD STE 500 CHATTANOOGA,TN37411 03-0417049	HEALTHCARE	TN	501(c)(3)	10	MHCS		No
(94)MEMORIAL HEALTH SYSTEM OF EAST TEXAS PO BOX 1447 LUFKIN,TX75902 75-0755367	HOSPITAL	TX	501(c)(3)	3	SLH-CO		No
(95)MEMORIAL MEDICAL CENTER - LIVINGSTON PO BOX 1447 LUFKIN,TX75902 76-0436439	HOSPITAL	TX	501(c)(3)	3	SLH-CO		No
(96)MEMORIAL MEDICAL CENTER - SAN AUGUSTINE PO BOX 1447 LUFKIN,TX75902 75-2663904	HOSPITAL	TX	501(c)(3)	3	SLH-CO		No
(97)MEMORIAL MULTISPECIALTY ASSOCIATES 1201 FRANK AVE LUFKIN,TX75904 75-2721155	PHYSICIANS	TX	501(c)(3)	Type I	MHSET		No
(98)MEMORIAL SPECIALTY HOSPITAL PO BOX 1447 LUFKIN,TX75902 75-2492741	INACTIVE	TX	501(c)(3)	3	MHSET		No
(99)MERCY AUXILIARY OF CENTRAL IOWA 1111 6TH AVE DES MOINES,IA50314 42-6076069	AUXILIARY	IA	501(c)(3)	Type I	MF-DM IA		No
(100)MERCY CLINICS INC 1111 6TH AVE DES MOINES,IA50314 42-1193699	PHYSICIANS	IA	501(c)(3)	10	CHI-IA CORP		No
(101)MERCY COLLEGE OF HEALTH SCIENCES 1111 6TH AVE DES MOINES,IA50314 42-1511682	EDUCATION	IA	501(c)(3)	2	CHI-IA CORP		No
(102)Mercy Foundation Bakersfield PO Box 119 Bakersfield,CA93302 77-0201321	FUNDRAISING FOUNDATION	CA	501(c)(3)	Type I	DH		No
(103)MERCY FOUNDATION OF DES MOINES IA 1111 6TH AVE DES MOINES,IA50314 23-7358794	FUNDRAISING FOUNDATION	IA	501(c)(3)	7	CHI-IA CORP		No
(104)MERCY FOUNDATION INC 2700 STEWART PKWY ROSEBURG,OR97471 93-6088946	FUNDRAISING FOUNDATION	OR	501(c)(3)	7	MMC - Roseburg		No
(105)MERCY HEALTH CARE FOUNDATION PO BOX 368 CORNING,IA50841 42-1461064	FUNDRAISING FOUNDATION	IA	501(c)(3)	Type I	AHMH-Corning		No
(106)MERCY HEALTHCARE FOUNDATION 570 CHAUTAUQUA BLVD VALLEY CITY,ND58072 45-0435338	FUNDRAISING FOUNDATION	ND	501(c)(3)	Type I	MHVC		No
(107)MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS 800 MERCY DR COUNCIL BLUFFS,IA51503 42-1178204	FUNDRAISING FOUNDATION	IA	501(c)(3)	Type I	AHBMHS		No
(108)MERCY HOSPITAL OF DEVILS LAKE 1031 7TH ST NE DEVILS LAKE,ND58301 45-0227012	HOSPITAL	ND	501(c)(3)	3	CSH		No
(109)MERCY HOSPITAL OF DEVILS LAKE FOUNDATION 1031 7TH ST NE DEVILS LAKE,ND58301 35-2367360	FUNDRAISING FOUNDATION	ND	501(c)(3)	7	MHDL		No
(110)MERCY HOSPITAL OF VALLEY CITY 570 CHAUTAUQUA BLVD VALLEY CITY,ND58072 45-0226553	HOSPITAL	ND	501(c)(3)	3	CSH		No
(111)Mercy McMahon Terrace 3865 J Street Sacramento,CA95816 68-0117340	Senior Citizen's Housing/Retirement Communities	CA	501(c)(3)	10	DH		No
(112)MERCY MEDICAL CENTER 1301 15TH AVE WEST WILLISTON,ND58801 45-0231183	HOSPITAL	ND	501(c)(3)	3	CSH		No
(113)MERCY MEDICAL CENTER - CENTERVILLE ONE ST JOSEPHS DRIVE CENTERVILLE,IA52544 42-0680308	HOSPITAL	IA	501(c)(3)	3	CHI-IA CORP		No
(114)MERCY MEDICAL CENTER - NEWTON DBA SKIFF MEDICAL CENTER 204 N 4th Ave E Newton,IA50314 42-1470935	HOSPITAL	IA	501(c)(3)	3	CHI-IA CORP		No
(115)Mercy Medical Center Merced Foundation 301 E 13th Street Merced,CA95340 77-0035928	FUNDRAISING FOUNDATION	CA	501(c)(3)	Type I	DH		No
(116)MERCY MEDICAL CENTER INC 2700 STEWART PKWY ROSEBURG,OR97471 93-0386868	HOSPITAL	OR	501(c)(3)	3	CSH		No
(117)MERCY MEDICAL FOUNDATION 1301 15TH AVE WEST WILLISTON,ND58801 45-0381803	FUNDRAISING FOUNDATION	ND	501(c)(3)	Type I	MMC Williston		No
(118)NEBRASKA HEART HOSPITAL 7500 S 91ST ST LINCOLN,NE68526 39-2031968	HOSPITAL	NE	501(c)(3)	3	CHI NEBRASKA		No
(119)Northland Healthcare Alliance 2223 East Rosser Avenue Bismarck,ND58501 91-1845296	MANAGEMENT	ND	501(c)(3)	7	SAMC		No
(120)Northridge Hospital Foundation 18300 Roscoe Blvd Northridge,CA91328 23-7444901	FUNDRAISING FOUNDATION	CA	501(c)(3)	Type I	DCC		No
(121)OAKES COMMUNITY HOSPITAL 1200 N 7TH ST OAKES,ND58474 45-0231675	HOSPITAL	ND	501(c)(3)	3	CSH		No
(122)OAKES COMMUNITY HOSPITAL FOUNDATION 1200 N 7TH ST OAKES,ND58474 71-0966606	FUNDRAISING FOUNDATION	ND	501(c)(3)	Type I	OCH		No
(123)Pacific Central Coast Health Centers 1400 E Church Street Santa Maria,CA93454 77-0447575	Clinic	CA	501(c)(3)	3	DCC		No
(124)PINEYWOODS MEDICAL DEVELOPMENT CORP PO BOX 1447 LUFKIN,TX75902 75-2493116	PROPERTY MGMT	TX	501(c)(3)	Type I	MHSET		No
(125)Port City Operating Company LLC 3400 Data Drive Rancho Cordova,CA95670 46-5322209	HOSPITAL	CA	501(c)(3)	3	DH		No
(126)PROVIDENCE CARE CENTER 2025 HAYES AVENUE SANDUSKY,OH44870 34-1658625	LTERM CARE	OH	501(c)(3)	10	CHILC		No
(127)PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION 5055 PROVIDENCE DRIVE SANDUSKY,OH44870 34-1896807	LIVING COMM	OH	501(c)(3)	10	CHILC		No
(128)SAINT CLARE'S COMMUNITY CARE INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 22-2876836	INACTIVE	NJ	501(c)(3)	Type II	SCHS		No
(129)SAINT CLARE'S HEALTH SERVICES INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 22-3639733	INACTIVE	NJ	501(c)(3)	10	CSH		No
(130)SAINT CLARE'S HOSPITAL INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 22-3319886	INACTIVE	NJ	501(c)(3)	3	SCHS		No
(131)SAINT ELIZABETH FOUNDATION 555 S 70TH ST LINCOLN,NE68510 47-0625523	FUNDRAISING FOUNDATION	NE	501(c)(3)	7	SERMC		No
(132)SAINT ELIZABETH HEALTH SERVICES 555 S 70TH ST LINCOLN,NE68510 36-3233120	INACTIVE	NE	501(c)(3)	3	SERMC		No
(133)SAINT ELIZABETH REGIONAL MEDICAL CENTER 555 S 70TH ST LINCOLN,NE68510 47-0379836	HOSPITAL	NE	501(c)(3)	3	CHI NEBRASKA		No
(134)SAINT FRANCIS MEDICAL CENTER 2620 W FAIDLEY GRAND ISLAND,NE68803 47-0376601	HOSPITAL	NE	501(c)(3)	3	CHI NEBRASKA		No
(135)SAINT FRANCIS MEDICAL CENTER FOUNDATION PO BOX 9804 GRAND ISLAND,NE68802 47-0630267	FUNDRAISING FOUNDATION	NE	501(c)(3)	7	SFMC-NE		No
(136)Saint Francis Memorial Hospital 900 Hyde Street San Francisco,CA94109 94-1156295	HOSPITAL	CA	501(c)(3)	3	DCC		No
(137)SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC 305 ESTILL ST BEREA,KY40403 26-0152877	FUNDRAISING FOUNDATION	KY	501(c)(3)	7	SJHS		No
(138)SAINT JOSEPH HEALTH SYSTEM INC ONE ST JOSEPHS DRIVE LEXINGTON,KY40504 61-1334601	HOSPITAL	KY	501(c)(3)	3	KOH		No
(139)SAINT JOSEPH HOSPITAL FOUNDATION INC 701 Bob Olink Dr 200 LEXINGTON,KY40504 61-1159649	FUNDRAISING FOUNDATION	KY	501(c)(3)	Type I	SJHS		No
(140)SAINT JOSEPH LONDON FOUNDATION INC 1001 SAINT JOSEPH LANE LONDON,KY40741 26-0438748	FUNDRAISING FOUNDATION	KY	501(c)(3)	7	SJHS		No
(141)SAINT JOSEPH MOUNT STERLING FOUNDATION INC 225 FALCON DR MOUNT STERLING,KY40353 27-2884584	FUNDRAISING FOUNDATION	KY	501(c)(3)	7	SJHS		No
(142)SAINT JOSEPH'S HOSPITAL FOUNDATION 2500 Fairway Street DICKINSON,ND58601 36-3418207	FUNDRAISING FOUNDATION	ND	501(c)(3)	Type I	SJHHC		No
(143)San Gabriel Valley Medical Center Foundation 438 West Las Tunas Drive San Gabriel,CA91776 95-3430341	INACTIVE	CA	501(c)(3)	Type I	DH		No
(144)SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC 104 W 17TH ST SCHUYLER,NE68661 36-3630014	FUNDRAISING FOUNDATION	NE	501(c)(3)	Type I	AHMHS		No
(145)Sierra Nevada Memorial-Miners Hospital 155 Glasson Way Grass Valley,CA95945 94-1439787	HOSPITAL	CA	501(c)(3)	3	DCC		No
(146)SJRMC JOPLIN MISSOURI 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 44-0545809	INACTIVE	MO	501(c)(3)	3	CSH		No
(147)St Francis Foundation of Santa Barbara 2323 De La Vina St Suite 104 Santa Barbara,CA93105 23-7137119	FUNDRAISING FOUNDATION	CA	501(c)(3)	Type I	DH		No
(148)St Francis Hospital Support Corporation 601 E Micheltorena Street Santa Barbara,CA93103 77-0022302	INACTIVE	CA	501(c)(3)	Type I	DH		No
(149)St Johns Healthcare Foundation 1600 North Rose Avenue Oxnard,CA93030 20-2865781	FUNDRAISING FOUNDATION	CA	501(c)(3)	Type I	DH		No
(150)St Josephs Foundation (Phoenix) 350 West Thomas Road Phoenix,AZ85013 94-2941245	FUNDRAISING FOUNDATION	AZ	501(c)(3)	Type I	DH		No
(151)St Josephs Foundation of San Joaquin 1800 N California Street Stockton,CA95204 51-0432777	FUNDRAISING FOUNDATION	CA	501(c)(3)	Type I	DH		No
(152)St Mary Medical Center Foundation 1050 Linden Avenue Long Beach,CA90813 23-7153876	FUNDRAISING FOUNDATION	CA	501(c)(3)	Type I	DH		No
(153)St Mary Professional Building Inc 1050 Linden Avenue Long Beach,CA90813 23-7373088	INACTIVE	CA	501(c)(3)	Type I	DH		No
(154)St Marys Medical Center Foundation 450 Stanyan Street San Francisco,CA94117 94-3336143	FUNDRAISING FOUNDATION	CA	501(c)(3)	Type I	DH		No
(155)St Rose Dominican Health Foundation 3001 St Rose Parkway Henderson,NV89052 88-0349432	FUNDRAISING FOUNDATION	NV	501(c)(3)	Type I	DH		No
(156)ST ALEXIUS MEDICAL CENTER 900 EAST BROADWAY AVENUE BISMARCK,ND58501 45-0226711	HOSPITAL	ND	501(c)(3)	3	CSH		No
(157)St Anne OC 1145 Broadway Plaza STE 1200 TACOMA,WA98402 86-3590968	INACTIVE	WA	501(c)(3)	10	FHS		No
(158)ST ANTHONY HOSPITAL 2801 St Anthony Way PENDLETON,OR97801 93-0391614	HOSPITAL	OR	501(c)(3)	3	CSH		No
(159)ST ANTHONY HOSPITAL FOUNDATION 2801 St Anthony Way PENDLETON,OR97801 93-0992727	FUNDRAISING FOUNDATION	OR	501(c)(3)	Type I	SAH		No
(160)ST ANTHONY'S HOSPITAL ASSOCIATION FOUR HOSPITAL DR MORRILTON,AR72110 71-0245507	HOSPITAL	AR	501(c)(3)	3	SVIMC		No
(161)ST CATHERINE HOSPITAL 401 EAST SPRUCE ST GARDEN CITY,KS67846 48-0543721	HOSPITAL	KS	501(c)(3)	3	CSH		No
(162)ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION 401 EAST SPRUCE ST GARDEN CITY,KS67846 20-0598702	FUNDRAISING FOUNDATION	KS	501(c)(3)	Type I	SCH		No
(163)ST CLARE COMMONS 12469 Five Point Road TOLEDO,OH43551 27-0163752	LIVING COMM	OH	501(c)(3)	10	CHILC		No
(164)ST DOMINIC OF ONTARIO OREGON 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 93-0433692	INVESTMENTS	OR	501(c)(4)		CSH		No
(165)ST FRANCIS HOME 2400 ST FRANCIS DR BRECKENRIDGE,MN56520 41-0729978	LTERM CARE	MN	501(c)(3)	10	CSH		No
(166)ST FRANCIS LIFE CARE CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 22-2536017	INACTIVE	NJ	501(c)(3)	8	SCHS		No
(167)ST FRANCIS MEDICAL CENTER 2400 ST FRANCIS DR BRECKENRIDGE,MN56520 41-0695598	HOSPITAL	MN	501(c)(3)	3	CSH		No
(168)ST JOSEPH FOUNDATION OF BRYAN TEXAS 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2351158	FUNDRAISING FOUNDATION	TX	501(c)(3)	Type I	SJSC		No
(169)ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2847594	LTERM CARE	TX	501(c)(3)	10	SJSC		No
(170)ST JOSEPH MEDICAL CENTER INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 52-0591461	INACTIVE	MD	501(c)(3)	3	CSH		No
(171)ST JOSEPH PHYSICIAN ASSOCIATES 2801 FRANCISCAN DRIVE BRYAN,TX77802 20-3159302	PHYSICIANS	TX	501(c)(3)	3	SJSC		No
(172)ST JOSEPH PHYSICIAN ENTERPRISE INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 52-1311775	INACTIVE	MD	501(c)(3)	Type I	SJMC		No
(173)ST JOSEPH REGIONAL HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-1282696	HOSPITAL	TX	501(c)(3)	3	SLH-CO		No
(174)ST JOSEPH REGIONAL HEALTH PARTNERS 2801 FRANCISCAN DRIVE BRYAN,TX77802 45-4088170	HOSPITAL	TX	501(c)(3)	3	SJSC		No
(175)ST JOSEPH REGIONAL HEALTH PARTNERS ACO 2801 FRANCISCAN DRIVE BRYAN,TX77802 46-3265423	HEALTHCARE	TX	501(c)(3)	10	SJSC		No
(176)ST JOSEPH SERVICES CORPORATION 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2455161	MANAGEMENT	TX	501(c)(3)	Type I	SLHS		No
(177)ST JOSEPH'S AREA HEALTH SERVICES 600 PLEASANT AVE PARK RAPIDS,MN56470 41-0695603	HOSPITAL	MN	501(c)(3)	3	CSH		No
(178)ST JOSEPH'S HOSPITAL AND HEALTH CENTER 2500 Fairway St DICKINSON,ND58601 45-0226429	HOSPITAL	ND	501(c)(3)	3	CSH		No
(179)ST LEONARD 8100 CLYO ROAD CENTERVILLE,OH45458 34-1940863	LIVING COMM	OH	501(c)(3)	10	CHILC		No
(180)ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND 6624 FANNIN ST STE 2505 HOUSTON,TX77030 26-1947374	HOSPITAL	TX	501(c)(3)	3	SLH-CO		No
(181)ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS 6624 FANNIN ST STE 2505 HOUSTON,TX77030 26-0335902	HOSPITAL	TX	501(c)(3)	3	SLHS		No
(182)ST LUKE'S COMMUNITY HEALTH SERVICES 6624 FANNIN ST STE 1100 HOUSTON,TX77030 76-0536234	HOSPITAL	TX	501(c)(3)	3	SLH-CO		No
(183)ST LUKE'S FOUNDATION 1213 HERMANN DRIVE STE 855 HOUSTON,TX77004 45-3811485	FUNDRAISING FOUNDATION	TX	501(c)(3)	7	SLHS		No
(184)St Luke's Health Clinical Operations 6624 FANNIN ST STE 2505 HOUSTON,TX77030 27-3733278	HOSPITAL	TX	501(c)(3)	3	SLHS		No
(185)ST LUKE'S HEALTH SYSTEM CORPORATION PO Box 20269 HOUSTON,TX77225 76-0536232	MANAGEMENT	TX	501(c)(3)	Type I	CSH		No
(186)ST LUKE'S HOSPITAL AT THE VINTAGE 6624 FANNIN ST STE 2505 HOUSTON,TX77030 26-3734606	HOSPITAL	TX	501(c)(3)	3	SLH-CO		No
(187)ST LUKE'S PROPERTIES CORPORATION 1213 Hermann Drive Ste 855 HOUSTON,TX77004 76-0531716	PROPERTY MGMT	TX	501(c)(3)	Type I	SLHS		No
(188)ST LUKE'S SUGAR LAND PROPERTIES CORPORATION 6624 FANNIN ST STE 2505 HOUSTON,TX77030 45-4120549	PROPERTY MGMT	TX	501(c)(3)	Type I	SLCDC-SL		No
(189)ST MARY'S COMMUNITY HOSPITAL 1301 Grundman Boulevard NEBRASKA CITY,NE68410 47-0443636	HOSPITAL	NE	501(c)(3)	3	CHI NEBRASKA		No
(190)ST MARY'S HOSPITAL FOUNDATION 1301 Grundman Blvd NEBRASKA CITY,NE68410 47-0707604	FUNDRAISING FOUNDATION	NE	501(c)(3)	7	SMCH		No
(191)ST VINCENT FOUNDATION TWO ST VINCENT CIRCLE LITTLE ROCK,AR72205 51-0169537	FUNDRAISING FOUNDATION	AR	501(c)(3)	Type I	SVIMC		No
(192)ST VINCENT INFIRMARY MEDICAL CENTER TWO ST VINCENT CIRCLE LITTLE ROCK,AR72205 71-0236917	HOSPITAL	AR	501(c)(3)	3	CSH		No
(193)ST VINCENT MEDICAL GROUP TWO ST VINCENT CIRCLE LITTLE ROCK,AR72205 71-0830696	PHYSICIANS	AR	501(c)(3)	10	SVIMC		No
(194)SYLVANIA FRANCISCAN HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 34-1412964	HOLDING CO	OH	501(c)(3)	Type I	CSH		No
(195)SYLVANIA FRANCISCAN HEALTH FOUNDATION 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 45-5357161	INACTIVE	OH	501(c)(3)	Type I	SFH-OH		No
(196)THE COMMONS OF PROVIDENCE 5000 PROVIDENCE DRIVE SANDUSKY,OH44870 34-1826097	ASSISTED LIVING	OH	501(c)(3)	10	CHILC		No
(197)THE COMMUNITY HOSPITAL OF BRAZOSPORT 100 MEDICAL DRIVE LAKE JACKSON,TX77566 74-1385192	HOSPITAL	TX	501(c)(3)	3	SLH-CO		No
(198)THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH 625 Eden Park Drive 7th Floor CINCINNATI,OH45202 31-0537486	HOSPITAL	OH	501(c)(3)	3	CSH		No
(199)THE PHYSICIAN NETWORK 2000 Q ST STE 500 LINCOLN,NE68503 47-0780857	PHYSICIANS	NE	501(c)(3)	Type I	CHI NEBRASKA		No
(200)TOTAL HEALTHCARE 9100 E Mineral Circle Centennial,CO80112 84-0927232	INACTIVE	CO	501(c)(3)	3	CHIC		No
(201)TRINITY HEALTH FOUNDATION 380 SUMMIT AVENUE STEUBENVILLE,OH43952 31-1329423	FUNDRAISING FOUNDATION	OH	501(c)(3)	Type I	THS		No
(202)TRINITY HEALTH SYSTEM 380 SUMMIT AVENUE STEUBENVILLE,OH43952 34-1818681	HEALTHCARE	OH	501(c)(3)	Type I	NA		No
(203)TRINITY HOSPITAL TWIN CITY 819 NORTH FIRST STREET DENNISON,OH44621 27-5401105	HOSPITAL	OH	501(c)(3)	3	THS		No
(204)TRI-STATE HEALTH SERVICES INC ONE ROSS PARK BLVD STEUBENVILLE,OH43952 34-1522484	ASSISTED LIVING	OH	501(c)(3)	7	THS		No
(205)UNITY FAMILY HEALTHCARE 815 SE 2ND ST LITTLE FALLS,MN56345 41-0721642	HOSPITAL	MN	501(c)(3)	3	CSH		No
(206)VILLA NAZARETH INC 801 PAGE DR FARGO,ND58103 45-0226714	LTERM CARE	ND	501(c)(3)	10	CSH		No
(207)VISITING NURSE ASSOCIATION OF ST CLARE'S INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 22-1768334	INACTIVE	NJ	501(c)(3)	10	SCHS		No
(208)Yavapai Community Hospital Association 1003 Willow Creek Road Prescott,AZ86301 86-0098923	Hospital	AZ	501(c)(3)	3	DCC		No
(209)Yavapai Regional Medical Center Foundation 1003 Willow Creek Road Prescott,AZ86301 86-1038463	FUNDRAISING FOUNDATION	AZ	501(c)(3)	Type I	YRMC		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2021

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) American Mercy Home Care LLC 6281 Tri Ridge Blvd Ste 300 Loveland,OH45150 83-0486150	HOME HEALTH	OH	ANC	Related	1,408,235	3,833,450		No		Yes		50 %
(2) ARIZONA CARE NETWORK - NEXT LLC 4222 E THOMAS RD STE 400 Phoenix,AZ85018 47-4696671	Care Network	AZ	DCC	Related	2,979,523	13,130,301		No		Yes		50 %
(3) Arizona Care Network LLC (ACN LLC) 4222 E THOMAS RD STE 400 Phoenix,AZ85013 45-4494682	Care Network	AZ	DCC	Related	-201,377	6,797,674		No		Yes		50 %
(4) Arizona Diagnostic Radiology Group LLC 1510 Cotner Avenue Los Angeles,CA90025 85-1067265	Diagnostic Services	CA	CHI NS	Related	223,761	1,938,736		No			No	51 %
(5) Audubon Land Company LLC 630 Southpointe Court 200 COLORADO SPRINGS,CO80906 84-1513085	Real Estate	CO	CHIC	Related	273,001	8,380,313		No			No	73 %
(6) BAYLOR CHI ST LUKES HEALTH SERVICES LLC 3100 Main Ste 566 HOUSTON,TX77002 47-2079184	HEALTHCARE SRVC	TX	SLHS	Related	0	3,250,000		No		Yes		65 %
(7) BERGAN MERCY SURGERY CENTER LLC 7500 Mercy Rd Ste 4300 OMAHA,NE68124 20-8671994	AMBUL SURG CTR	NE	ACH	Related	662,912	4,291,986		No			No	63 %
(8) BERYWOOD OFFICE PROPERTIES LLC 2501 Citico Avenue CHATTANOGA,TN37404 62-1875199	PHYS OFFICE	TN	MHCS	Related	166,637	820,975		No			No	63 %
(9) BIOLIFE DIGNITY HEALTH INTERNATIONAL LTD	Health Services		DHI LLC	Related	0	0		No		Yes		50 %
(10) BLUEGRASS REGIONAL IMAGING CENTER 1218 SOUTH BROADWAY STE 310 LEXINGTON,KY40504 61-1386736	DIAGNOSTIC IMAGING	KY	SJHS	Related	24,545	2,971,542		No			No	65 %
(11) CBCC Outsmarting Cancer LLC 6501 Truxtun Avenue Bakersfield,CA93309 46-1602286	Radiation / Oncology	CA	DH	Related	-678,075	8,105,790		No		Yes		51 %
(12) CENTRAL NEBRASKA REHABILITATION SERVICES LLC 3004 W FAIDLEY AVENUE GRAND ISLAND,NE68803 81-0653461	Physical Therapy	NE	SFMC	Related	6,313,076	6,519,719		No			No	51 %
(13) Centura Summit Orthopedics LLC 68 School Rd Frisco,CO80443 87-1308304	HEALTHCARE SRVC	CO	CHIC	Related	0	0		No			No	65 %
(14) CHICAMSURG Surgery Centers LLC 1A Burton Hills Blvd Nashville,TN37215 46-5683027	SURGERY CENTER	CO	CHIC	Related	115,044	1,312,325		No			No	51 %
(15) Colorado Springs CK Leasing LLC 630 Southpointe Court 200 COLORADO SPRINGS,CO80906 26-2982714	REAL ESTATE	CO	CHIC	Related	1,028,036	89,994		No			No	52 %
(16) Community Mercy Home Care Services of Springfield LLC 6281 Tri Ridge Blvd Ste 300 Loveland,OH45150 31-1746556	HOME HEALTH	OH	ANC	Related	1,113,123	1,736,762		No		Yes		33 %
(17) DE JV LLC 8686 New Trails Drive The Woodlands,TX77381 32-0496548	Emergency Care	NV	DH	Related	5,739,267	14,218,548		No			No	51 %
(18) DHHP Surgery Centers LLC 1513 S Grand Avenue Ste 350 Los Angeles,CA90015 83-1847466	SURGERY	DE	DCC	Related	-490,645	1,558,989		No		Yes		51 %
(19) DHRT Holdings LLC 185 Berry Street Suite 200 San Francisco,CA94107 35-2484591	Holding Company	DE	DHHC	Related	266,255,620	44,846,337		No		Yes		71 %
(20) Dignity- GoHealthUrgent Care Management LLC 5555 Glenridge Connector Suite 700 Atlanta,GA30342 35-2548698	Management Services	DE	DCC	Related	3,962,813	15,376,413		No			No	50 %
(21) Dignity Health at Home LLC 6281 Tri Ridge Blvd Ste 300 Loveland,OH45150 82-4674115	HEALTHCARE SRVC	DE	NA	Related	117,385	1,216,351		No			No	100 %
(22) Dignity Health Specialty Pharmacy LLC 185 Berry Street Suite 200 San Francisco,CA94107 32-0589462	Specialty Pharmacy Services	DE	DCC	Related	-780,572	704,749		No		Yes		67 %
(23) Dignity Home Recovery Care LLC 49 Music Square West Suite 401 Nashville,TN37203 83-2832522	Home Recovery Program	DE	DCC	Related	-170,835	381,434		No			No	50 %
(24) DIGNITYUSP LAS VEGAS SURGERY CENTERS LLC 14201 Dallas Parkway Dallas,TX75254 20-2999237	Surgery	TX	DCC	Related	2,280,859	13,879,197		No			No	50 %
(25) DignityUSP NorCal Surgery Centers LLC 14201 Dallas Parkway Dallas,TX75254 20-2468509	SURGERY	TX	DHMF	Related	6,135,807	37,658,068		No			No	50 %
(26) DIGNITYUSP PHOENIX SURGERY CENTERS LLC 14201 Dallas Parkway Dallas,TX75254 13-4248908	Surgery	TX	DCC	Related	1,993,741	2,364,932		No			No	50 %
(27) DignityUSPJohn Muir East Bay Surg Ctrs LLC 14201 Dallas Parkway Dallas,TX75254 35-2584991	SURGERY	TX	DHMF	Related	1,034,279	5,508,925		No			No	50 %
(28) Dignity-Abrazo Health Network LLC 4222 E THOMAS RD STE 400 PHOENIX,AZ85018 46-5477985	Management Services	AZ	DCC	Related	-986,544	934,832		No			No	50 %
(29) Dominican Magnetic Resonance Imaging Center 1545 Soquel Drive Santa Cruz,CA94065 77-0095477	Imaging Center	CA	DH	Related	-330,993	143,520		No		Yes		80 %
(30) ECCS ACQUISITION COMPANY LLC 2940 NORTH CIRCLE DRIVE COLORADO SPRINGS,CO80909 35-2656413	AMBUL SURG CTR	CO	CHIC	Related	1,886,873	7,515,598		No			No	51 %
(31) Endoscopy Center of Arkansas 1024 North University Ave Little Rock,AR72207 20-1337002	Diagnostic Services	AR	SVIMC	Related	681,893	1,385,822		No			No	68 %
(32) Folsom Sierra Endoscopy Center LP 1671 Creekside Drive Suite 100 Folsom,CA95630 68-0482416	Endoscopy	CA	DH	Related	-4,903	293,275		No		Yes		51 %
(33) Franciscan Medical Pavilion Bonney Lake LLC 6622 Wollochet Dr NW Gig Harbor,WA98335 46-3494108	Real Estate	WA	FHS	Related	320,376	8,197,376		No		Yes		50 %
(34) FRANCISCAN SPECIALTY CARE LLC 330 Seven Springs Way Brentwood,TN37027 81-3725123	HEALTHCARE SRVC	WA	FHS	Related	4,734,028	256,047		No			No	51 %
(35) Golden Ridge Surgery Center LLC 660 Golden Ridge Rd 100 Golden,CO80401 84-1498087	HEALTHCARE SRVC	CO	CHIC	Related	0	0		No			No	50 %
(36) Good Samaritan Home Care Services of Vincenne IN LLC 6281 Tri Ridge Blvd Ste 300 Loveland,OH45150 20-1792869	HOME HEALTH	OH	ANC	Related	600,828	844,201		No		Yes		50 %
(37) HC SL VINTAGE I LLC 1400 N Water St Ste 500 Milwaukee,WI53202 27-0453767	PROPERTY HOLDING	WI	SL HOSP-VINTAGE	Related	2,359,369	38,917,829		No			No	51 %
(38) HEALTHCARE SUPPORT SERVICES LLC PO BOX 9804 GRAND ISLAND,NE68802 72-1546196	LAUNDRY	NE	na	Related	0	1,365		No			No	100 %
(39) Heartland Oncology LLC 2337 E Crawford St Salina,KS67402 46-4265403	ONCOLOGY	KS	SCH	Related	783,552	1,484,283		No			No	51 %
(40) LAKESIDE AMBULATORY SURGICAL CENTER LLC 17030 LAKESIDE HILLS Plaza Ste 110 OMAHA,NE68130 20-4267902	AMBUL SURG CTR	NE	ACH	Related	1,645,393	8,914,848		No			No	72 %
(41) LAKESIDE ENDOSCOPY CENTER LLC 17001 LAKESIDE HILLS PLZ STE 201 OMAHA,NE68130 20-5544496	ENDOSCOPY SRVC	NE	ACH	Related	914,002	360,405		No			No	51 %
(42) Lexington MBO Partners Ltd 5050 South Syracuse St Ste 800 Denver,CO80237 65-1132855	Real Estate	CO	SJHS	Unrelated	203,461	478,010		No	203,461		No	78 %
(43) LINCOLN CK LEASING LLC 555 SOUTH 70TH STREET Lincoln,NE68510 26-2496856	Real Estate	NE	SERMC	Related	344,302	1,578		No		Yes		54 %
(44) Memorial Medical Plaza 3838 San Dimas Suite B 201 Bakersfield,CA93301 36-4510880	Real estate	CA	BMH	Related	192,207	3,359,844		No		Yes		21 %
(45) Mercy Davis Cancer Center Management Co LLC 2740 M Street Merced,CA95340 94-3358445	Management of Cancer Center	CA	DH	Related	2,134,355	8,830,055		No		Yes		50 %
(46) Mercy Rehabilitation Hospital LLC 330 Seven Springs Way Brentwood,TN37027 81-4437201	HEALTHCARE SRVC	TX	CHI-IA Corp	Related	2,129,702	-451,484		No			No	51 %
(47) Military Road Properties LLC 18229 Terrace Court SW Normandy Park,WA98166 91-2067879	Real Estate	WA	FHS	Related	66,874	254,748		No		Yes		50 %
(48) NEBRASKA SPINE HOSPITAL LLC 6901 N 72ND ST STE 20300 OMAHA,NE68122 27-0263191	SPINE HOSPITAL	NE	ACH	Related	14,823,561	20,855,426		No			No	51 %
(49) NICU Operating CO of Santa Cruz LLC 1555 Soquel Drive Santa Cruz,CA95065 46-0502935	Neonatal Healthcare	CA	DH	Related	5,256,218	22,596,965		No			No	51 %
(50) NORTH RIVER SURGERY CENTER LLC 2209 WILDWOOD AVE SHERWOOD,AR72120 71-0799771	AMBUL SURG CTR	AR	SVIMC	Related	238,107	858,882		No			No	65 %
(51) NORTHERN PLAINS LABORATORY LLC 401 N 9 STREET BISMARK,ND58501 84-1641341	Diagnostic Services	ND	SAMC	Unrelated	2,325,225	2,742,603		No	2,166,090	Yes		50 %
(52) NSC Channel Islands LLC 569 Brookwood Village Suite 901 Birmingham,AL35209 77-0409291	Ambulatory surgical center	CA	DH	Related	364,166	744,543		No		Yes		51 %
(53) ORTHOCOLORADO LLC 11650 WEST 2ND PLACE LAKEWOOD,CO80228 37-1577105	ORTHO HOSPITAL	CO	CHIC	Related	25,949,776	18,105,961		No			No	60 %
(54) Park Rapids Area Health Care 600 Pleasant Avenue S Park Rapids,MN56470 20-4926259	HEALTHCARE SRVC	MN	SJAHS	Related	228,230	4,554,104		No		Yes		50 %
(55) PENINSULA RADIATION ONCOLOGY CENTER LLC 4230 Bridgeport Way W Ste B University Place,WA98466 87-0808610	HEALTHCARE SRVC	WA	FHS	Related	597,300	2,081,071		No			No	60 %
(56) Penrad Imaging LLC 1390 Kelly Johnson Blvd COLORADO SPRINGS,CO80920 84-1072619	Medical Imaging	CO	CHIC	Related	1,925,779	3,075,779		No			No	70 %
(57) Performance Med Equip & Respir Svsc LLC 19625 62nd Avenue South STE 101 Kent,WA98032 45-2901632	Holding Company	WA	FHS	Related	300,000	310,115		No		Yes		50 %
(58) Plaza Surgery Center LP 525 E Plaza Drive Suite 100 Santa Maria,CA93454 77-0573567	Surgery	CA	HSPCC Inc	Related	1,300,434	1,933,058		No		Yes		58 %
(59) PMC HOSPITAL LLC 3100 MAIN ST STE 500 HOUSTON,TX77002 27-3280598	HOSPITAL	TX	SLHS	Related	4,410,199	78,498,723		No			No	51 %
(60) Precision Medicine Alliance LLC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 35-2569159	Diagnostic Services	CO	NA	Related	-183,460	73,404		No			No	100 %
(61) Radiation Oncology Centers of Ventura County 1700 N ROSE AVENUE SUITE 120 OXNARD,CA93030 77-0191706	IMAGING	CA	DH	Related	125,640	514,888		No		Yes		50 %
(62) RBR Management LLC 91 Corporate Park Drive Suite 120 Henderson,NV89074 27-1466450	Ambulance	NV	DH	Related	1,855,950	6,071,606		No			No	50 %
(63) Reid-ANC Home Care Services LLC 6281 Tri Ridge Blvd Ste 300 Loveland,OH45150 37-1454747	HOME HEALTH	IN	ANC	Related	869,585	1,141,969		No		Yes		50 %
(64) SAINT JOSEPH - SCA HOLDINGS LLC 1451 Harrodsburg RD LEXINGTON,KY40503 45-3801157	Inactive	DE	SJHS	Related	0	0		No		Yes		51 %
(65) Saint Joseph Health ASC LLC One Saint Joseph Drive Lexington,KY40504 85-2155230	Surgery	KY	SJHS	Related	-845,994	7,134,205		No		Yes		90 %
(66) SAINT JOSEPH-ANC HOME CARE SERVICES 6281 Tri Ridge Blvd Ste 300 Loveland,OH45150 26-3330545	HOME HEALTH	KY	CHINHC	Related	5,584,281	25,713,517		No		Yes		100 %
(67) Santa Cruz Comprehensive Imaging LLC 1661 Soquel Drive Suite G Santa Cruz,CA95065 01-0550623	Imaging	CA	DH	Related	76,071	35,485		No		Yes		50 %
(68) Santa Cruz Land & Building LP 1555 Soquel Drive Santa Cruz,CA95065 77-0285236	REAL ESTATE	CA	DHS	Related	79,700	1,255,340		No		Yes		86 %
(69) Santa Cruz Surgery Center LLC 3003 PAUL SWEET ROAD SANTA CRUZ,CA95065 77-0194916	SURGERY	CA	DH	Related	622,844	371,306		No		Yes		50 %
(70) Seven Oaks Surgery Center LLC 1801 Orange Tree Lane Suite 200 Redlands,CA92374 85-1559544	Surgery	CA	DH	Related	-796,171	336,137		No		Yes		25 %
(71) Southeastern Home Care LLC 6281 Tri Ridge Blvd Ste 300 Loveland,OH45150 27-1219638	HOME HEALTH	OH	ANC	Related	223,979	88,761		No		Yes		60 %
(72) St Joseph's Surgery Center LP 15305 Dallas Pkwy Suite 1600 LB Addison,TX75001 20-1019390	Surgery	TX	Port City	Related	959,399	3,930,568		No		Yes		68 %
(73) St Elizabeth Home Care Services LLC 6281 Tri Ridge Blvd Ste 300 Loveland,OH45150 26-1236191	HOME HEALTH	KY	ANC	Related	1,566,956	3,691,431		No		Yes		50 %
(74) ST FRANCIS LAND COMPANY 5390 N ACADEMY BLVD STE 300 COLORADO SPRINGS,CO80918 26-3134100	REAL ESTATE	CO	CHIC	Related	198,985	12,401,114		No			No	59 %
(75) ST LUKE'S DIAGNOSTIC CATH LAB LLP 6624 FANNIN ST STE 800 HOUSTON,TX77030 71-0959365	Diagnostic Services	TX	SLHS HOLDINGS	Related	200,656	707,817		No		Yes		44 %
(76) ST LUKE'S LAKESIDE HOSPITAL LLC 6624 FANNIN STE 2505 HOUSTON,TX77030 30-0427437	HOSPITAL	TX	SL CDC-W	Related	6,247,118	50,627,653		No		Yes		51 %
(77) ST LUKE'S THE WOODLANDS SLEEP CENTER LLC 6624 FANNIN STE 800 HOUSTON,TX77030 46-2795726	Diagnostic Services	TX	SLHS HOLDINGS	Related	-68,818	702,708		No		Yes		51 %
(78) Templeton Surgery Center LLC 1310 Las Tablas Road Suite 104 Templeton,CA94365 20-2246616	Surgery	CA	DCC	Related	-48,386	1,412,661		No		Yes		63 %
(79) The Medical Pavilion at St John's 1600 Rose Avenue Oxnard,CA93030 77-0332349	Real Estate	CA	DH	Related	19,483	1,612,836		No		Yes		25 %
(80) THREE SPRING IMAGING LLC 1 Mercado St STE 200A DURANGO,CO81301 81-3571570	HEALTHCARE SRVC	CO	CHIC	Related	299,070	191,834		No			No	51 %
(81) Tia Arizona LLC 3030 N Central Avenue Suite 1402 Phoenix,AZ85012 86-3158670	Clinic	AZ	DCC	Related	-520,267	1,003,083		No		Yes		65 %
(82) Valley Physicians Surgery Center At Northridge LLC 18330 Roscoe Blvd Northridge,CA91328 80-0864336	Surgery	CA	DCC	Related	608,227	1,128,758		No		Yes		96 %
(83) West Lakes Surgery Center LLC 12499 University Ave Ste 100 Clive,IA50325 20-5345295	HEALTHCARE SRVC	IA	CHI-IA Corp	Related	2,365,251	3,735,767		No			No	52 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) Alegent HealthCreighton St Joseph Managed Care Svcs Inc 12809 West Dodge Rd Omaha,NE68154 47-0802396	Managed Care	NE	CHI Nebraska	C Corporation	11,635,279	41,160,222	100 %		No
(2) ALLIANCE HEALTH PROVIDERS OF BRAZOS Valley Inc 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2466914	Healthcare	TX	SJSC	C Corporation	333,342	1,075,225	100 %		No
(3) Alternative Insurance Management Service Inc 198 Inverness Drive West Englewood,CO80112 84-1112049	Management Services	CO	CSH	C Corporation	2,877	12,296,981	100 %		No
(4) AMERICAN NURSING CARE Inc 1700 EDISON DR MILFORD,OH45150 31-1085414	HOME HEALTH	OH	CHS	C Corporation	69,402,714	95,601,134	100 %		No
(5) AMERIMED INC 1700 EDISON DR MILFORD,OH45150 31-1158699	HOME HEALTH	OH	ANC	C Corporation	9,808,236	26,755,733	100 %		No
(6) BC HOLDING COMPANY INC 1850 BLUEGRASS AVE LOUISVILLE,KY40215 31-1542851	Inactive	KY	JHSMH	C Corporation	0	0	100 %		No
(7) BrazoSport Health Alliance 1 WEST WAY COURT LAKE JACKSON,TX77566 76-0518376	Healthcare	TX	TCHB	C Corporation	108,750	133,259	100 %		No
(8) Caduceus Medical Associates INC 5600 Brainerd Road Ste 500 Chattanooga,TN37411 62-1570736	Healthcare	TN	MHCS	C Corporation	0	0	100 %		No
(9) Catholic Health Initiatives Center for Translational Research 198 INVERNESS DRIVE WEST Englewood,CO80112 27-2269511	Inactive	CO	CSHRI	C Corporation	620,366	876,015	100 %		No
(10) CHI St Luke's Health - Memorial Condominium Association Inc 1201 W Frank Ave Lufkin,TX75904 83-4184717	Condo Assoc	TX	MHSET	C Corporation	0	0	100 %		No
(11) Coastal Surgical Specialists Inc 921 Oak Park Blvd Suite 101 Pismo Beach,CA93449 74-3000596	Ambulatory Surgery Center	CA	DH	C Corporation	2,648,221	1,642,814	51 %		No
(12) Comcare Services Inc 9100 E Mineral Circle Centennial,CO80112 84-0904813	Inactive	CO	CHIC	C Corporation	0	0	100 %		No
(13) CONSOLIDATED HEALTH SERVICES 1700 EDISON DR MILFORD,OH45150 31-1378212	HOME HEALTH	OH	CSH	C Corporation	6,627,335	85,320,631	100 %		No
(14) Des Moines Medical Center Inc 1111 6TH AVE Des Moines,IA50314 42-0837382	Real Estate	IA	CHI-IA Corp	C Corporation	48,326	1,148,520	93 %		No
(15) Dignity Health Holding Corporation 185 Berry Street Suite 200 San Francisco,CA94107 46-0675371	Holding Co	NV	DCC	C Corporation	757,768,134	444,285,293	100 %		No
(16) Dignity Health Insurance Ltd (Cayman Island corporation) PO Box 1051 Grand Cayman Islands Grand Cayman Islands,GRAND CAYMANKY11001 CJ 98-1065338	Captive Insurance	CJ	DH	C Corporation	7,540,875	58,902,559	100 %		No
(17) Dignity Health Provider Resources Inc 185 Berry Street Suite 200 San Francisco,CA94107 47-3366764	Health Plan	CA	DCC	C Corporation	166,777,951	6,185,015	100 %		No
(18) Diversified Health Resources Inc 100 MEDICAL DRIVE LAKE JACKSON,TX77566 76-0222679	Healthcare	TX	TCHB	C Corporation	0	214,431	100 %		No
(19) Franciscan City Urgent Care Services PS C/O CPGUSA 1345 AVE OF THE AMERICAS NEW YORK,NY10105 81-2174959	Inactive	NY	FHS	C Corporation	0	0	100 %		No
(20) Franciscan Services Inc 198 INVERNESS DRIVE WEST Englewood,CO80112 23-2487967	Holding Co	CO	CSH	C Corporation	0	8,540,166	100 %		No
(21) Galleria Pavilion Owners'Association 800 N Gibson Rd Henderson,NV89011 82-4275367	Real Estate	NV	DH	C Corporation	131,182	75,341	65 %		No
(22) Good Samaritan Outreach Services PO Box 1990 Kearney,NE68848 47-0659440	Medical Clinic	NE	CHI Nebraska	C Corporation	0	143,249	100 %		No
(23) HarvestPlains Health of Iowa 32129 Weyerhaeuser Way S STE 201 FEDERAL WAY,WA98001 47-3451750	Insurance	WA	QCHPS	C Corporation	41,644	3,336,001	100 %		No
(24) Health Services of the Pacific Central Coast Inc 1400 E Church Street Santa Maria,CA93454 77-0074057	Health Services	CA	DCC	C Corporation	1,300,434	0	100 %		No
(25) Health Systems Enterprises Inc PO BOX 1990 Kearney,NE68848 47-0664558	MGMT	NE	GSH	C Corporation	0	233,370	100 %		No
(26) Healthcare MGMT Services Organization INC 1149 MARKET ST Tacoma,WA98402 91-1865474	Inactive	WA	FHS	C Corporation	0	0	100 %		No
(27) HeartlandPlains Health 198 INVERNESS DRIVE WEST Englewood,CO80112 46-4368223	Insurance	NE	QCHPS	C Corporation	39,656	3,530,143	100 %		No
(28) Highline Medical Group 1717 S J Street Tacoma,WA98405 91-1407026	Medical Services	WA	Highline	C Corporation	0	0	100 %		No
(29) Integrated Medical Services 9250 N 3rd Street Suite 4010 Phoenix,AZ85020 86-0783428	Multi-specialty physicians group	AZ	DCC	C Corporation	29,661,573	8,136,155	54 %		No
(30) Medical Office Building Horizontal Property Regime Inc 300 Werner St Hot Springs,AR71913 71-0720429	Real Estate	AR	CHI-SVHS	C Corporation	229,265	68,187	77 %		No
(31) Medquest 1301 15TH AVENUE WEST Williston,ND58801 45-0392137	Sale of DME	ND	MMC Williston	C Corporation	598,973	928,049	100 %		No
(32) Memorial CV Service Line Management Company LLC 1201 W Frank Ave Lufkin,TX75904 46-3622849	Inactive	TX	MHSET	C Corporation	0	0	100 %		No
(33) Mercy Park Apartments LTD 1111 6th AVE Des Moines,IA50314 42-1202422	Inactive	IA	CHI-IA Corp	C Corporation	0	0	100 %		No
(34) Mercy Services Corp 2700 STEWART PARKWAY Roseburg,OR97471 93-0824308	Retail Sales	OR	MMC - Roseburg	C Corporation	30,027	9,545	100 %		No
(35) MHI Clinical Services 1201 W Frank Ave Lufkin,TX75904 46-1967952	Healthcare	TX	MHSET	C Corporation	0	18,677	100 %		No
(36) Millennium Surgery Center Inc 9300 Stockdale Hwy 200 Bakersfield,CA93311 77-0513445	Outpaitent Surgery Services	CA	BMH	C Corporation	1,079,397	0	60 %		No
(37) Mountain Management Services Inc 6028 Shallowford Rd Chattanooga,TN37421 62-1570739	MGMT SVC ORG	TN	MHCS	C Corporation	25,075,191	32,982,480	100 %		No
(38) North Central Health Care Alliance PO Box 5538 Bismark,ND58506 45-0439894	Healthcare	ND	SAMC	C Corporation	161,966	536,617	75 %		No
(39) QualChoice Advantage 32129 WEYERHAEUSER WAY S STE 201 FEDERAL WAY,WA98001 47-3433912	Insurance	WA	QCHPS	C Corporation	0	0	100 %		No
(40) QualChoice Health Plan Services Inc 198 INVERNESS DRIVE WEST Englewood,CO80112 46-1224037	Admin Services	CO	QCHI	C Corporation	3,835,987	223,470,822	100 %		No
(41) QualChoice Health Inc 198 INVERNESS DRIVE WEST Englewood,CO80112 46-1222808	Holding Co	CO	CSH	C Corporation	3,754,274	-132,536,551	100 %		No
(42) QualChoice Holdings Inc 198 INVERNESS DRIVE WEST Englewood,CO80112 27-4075520	Holding Co	AR	QCHPS	C Corporation	0	5,041,137	100 %		No
(43) QualChoice of Nebraska 2401 S 73rd St Omaha,NE68124 81-0738827	Inactive	NE	QCHPS	C Corporation	0	0	100 %		No
(44) RiverLink Health 198 INVERNESS DRIVE WEST Englewood,CO80112 46-4380824	Insurance	OH	QCHPS	C Corporation	49,023	5,417,934	100 %		No
(45) RiverLink Health of Kentucky Inc 198 INVERNESS DRIVE WEST Englewood,CO80112 46-4828332	Insurance	KY	QCHPS	C Corporation	0	0	100 %		No
(46) Ross Park Pharmacy Inc 380 SUMMIT AVE STEUBENVILLE,OH43952 34-1832654	Pharmacy	OH	TSHS	C Corporation	339,636	1,703,543	100 %		No
(47) Saint Clare's Primary Care Inc 198 INVERNESS DRIVE WEST Englewood,CO80112 22-2441202	Inactive	NJ	SCCC	C Corporation	0	0	100 %		No
(48) SJH Services Corporation 198 INVERNESS DRIVE WEST Englewood,CO80112 23-2307408	Inactive	CO	FSI	C Corporation	0	1,598,610	100 %		No
(49) SJL PHYSICIAN MANAGEMENT SERVICES INC 424 LEWIS HARGETT CR STE 160 Lexington,KY40503 27-0164198	Inactive	KY	SJHS	C Corporation	0	0	100 %		No
(50) SoundPath Health Inc 32129 Weyerhaeuser Way S STE 201 Federal Way,WA98001 42-1720801	Insurance	WA	QCHPS	C Corporation	1,536,786	41,828,246	100 %		No
(51) St Mary Health Ventures Inc 1050 Linden Avenue Long Beach,CA90813 95-1912528	Retail Pharmacy	CA	DH	C Corporation	1,503,301	15,459,549	100 %		No
(52) St Anthony Development Company 1415 Southgate Pendleton,OR97801 93-1216943	Athletic Club	OR	SAH	C Corporation	1,417,577	1,628,929	100 %		No
(53) St Joseph Development Company Inc 1717 SOUTH J ST Tacoma,WA98405 91-1480569	Rental	WA	FSI	C Corporation	889,801	13,970,224	100 %		No
(54) St Luke's Health System Holdings Inc 6624 Fannin STE 800 Houston,TX77030 76-0637138	Holding Co	TX	SLHS	C Corporation	602,714	23,258,859	100 %		No
(55) St Vincent Community Health Services Inc TWO ST VINCENT CIRCLE Little Rock,AR72205 71-0710785	Healthcare	AR	SVIMC	C Corporation	9,677,518	43,797,315	100 %		No
(56) STE Holdings 12809 West Dodge Rd Omaha,NE68154 82-2383629	Holding Co	NE	SERMC	C Corporation	1,283,839	5,434,843	100 %		No
(57) Sugar Land Doctor Group 1317 Lake Point Parkway Sugar Land,TX77478 45-4270163	Inactive	TX	SLCDC-SL	C Corporation	0	0	100 %		No
(58) Towson Management Inc 198 INVERNESS DRIVE WEST Englewood,CO80112 52-1710750	Inactive	MD	FSI	C Corporation	0	0	100 %		No
(59) TRINITY MANAGEMENT SERVICES ORGANIZATION 380 SUMMIT AVE STEUBENVILLE,OH43952 34-1471026	Mgmt Services	OH	THS	C Corporation	0	109,853	100 %		No

Schedule R (Form 990) 2021

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

Yes

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION	C	14,810,163	FMV

Schedule R (Form 990) 2021

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2021

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2021

Additional Data

Software ID:	21014044
Software Version:	2021v4.2

1	Briefly describe the organization’s mission or most significant activities: CATHOLIC HEALTH INITIATIVES-COLORADO IS A FAITH BASED ORGANIZATION THAT INVESTS IN CHARITY CARE, COMMUNITY PROGRAMS, AND SPONSORSHIPS DESIGNED TO NURTURE THE HEALTH OF THE PEOPLE OF COLORADO.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	4
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	0
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	11,986
6	Total number of volunteers (estimate if necessary) .............	6	485
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	18,341,552
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	48,899,718	14,810,163
9	Program service revenue (Part VIII, line 2g) .........	2,206,324,281	2,400,917,767
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	44,558,311	35,013,330
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	5,021,945	23,138,678
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	2,304,804,255	2,473,879,938
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	1,135,957	2,017,424
14	Benefits paid to or for members (Part IX, column (A), line 4).....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	695,077,480	785,930,501
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,335,229,491	1,411,425,266
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	2,031,442,928	2,199,373,191
19	Revenue less expenses. Subtract line 18 from line 12.......	273,361,327	274,506,747
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	3,112,680,552	3,366,223,442
21	Total liabilities (Part X, line 26).............	598,929,969	508,264,504
22	Net assets or fund balances. Subtract line 21 from line 20.....	2,513,750,583	2,857,958,938

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,988,330,570 including grants of $ 2,017,424 ) (Revenue $ 2,383,068,321 )
	Catholic Health Initiatives-Colorado is a diverse community of caregivers connected and fueled by our individual passions and purposes to change the world around us. While individually inspired, we are collectively unified by our mission. This process presents an opportunity to fulfill our commitment to our organizational mission to "extend the healing ministry of Christ by caring for those who are ill and by nurturing the health of the people in our communities."

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses1,988,330,570

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)				(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) Thomas GEssel Group President, Greater Colorado & Kansas	45.0 .......................1.0	X			1,704,627	0	284,228
(19) Allan Nanney III Physician	50.0 .......................0		X		941,681	0	7,947
(20) Camille Azar Physician	50.0 .......................0		X		1,220,363	0	35,827
(21) Mark Murray Physician	50.0 .......................0		X		945,740	0	37,622
(22) Paul Boone Physician	50.0 .......................0		X		889,414	0	41,149
(23) Steven Weiss Physician	50.0 .......................0		X		982,237	0	10,663
(24) CHARLES MCCONNELL Former CEO - Mercy Regional Medical Center	0.0 .......................0			X	470,380	0	0
(25) MATTHEW Leary Former CFO - St. Anthony Hospital	0.0 .......................0			X	578,919	0	39,151
(26) Michael Murphy Former Interim CEO - Mercy Regional Medical Center	0.0 .......................0			X	397,072	0	29,157
(27) PATRICIA WEBB FACHE Former Chair	0.0 .......................0			X	977,470	0	7,616

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	23,155,837	15,495,459	5,538,987

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	14,810,163
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		14,810,163

		Business Code
2a	NET PATIENT SERVICES	622110	2,359,874,127	2,359,874,127
b	RENTAL TO AFFILIATES	531120	4,749,964	4,749,964
c	CHPG INCENTIVE REVENUE	900099	4,165,010	4,165,010
d	Pharmacy	621990	18,341,552		18,341,552
e	Management Fee Revenue	541611	403,580	403,580
f	All other program service revenue.		13,383,534	13,383,534	0	0
g	Total. Add lines 2a–2f .....		2,400,917,767

3 Investment income (including dividends, interest, and othersimilar amounts) ......			8,621,245			8,621,245
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)	0	0	6c
d	Net rental income or (loss).......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		26,715,856	7a
b	Less: cost or other basis and sales expenses	323,771		7b
c	Gain or (loss)	-323,771	26,715,856	7c
d	Net gain or (loss).........			26,392,085			26,392,085
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a	683,744
b	Less: cost of goods sold ..		10b	262,505
c	Net income or (loss) from sales of inventory..			421,239			421,239
Business Code			Miscellaneous Revenue
11a	CHILD CARE		722100	492,106	492,106
b	CAFETERIA REVENUE		722310	7,033,185			7,033,185
c	MICSCELLANEOUS REVENUE		900099	15,192,148			15,192,148
d	All other revenue ....			0	0	0	0
e	Total. Add lines 11a–11d ......			22,717,439
12	Total revenue. See instructions.....			2,473,879,938	2,383,068,321	18,341,552	57,659,902

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	2,017,424	2,017,424
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	694,966,909	595,171,589	99,795,320
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	34,514,042	30,009,486	4,504,556
9	Other employee benefits .......	8,830,848	8,429,666	401,182
10	Payroll taxes ...........	47,618,702	40,475,897	7,142,805
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	268,623		268,623
c	Accounting ...........
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	578,441,828	538,611,064	39,830,764	0
12	Advertising and promotion ....	563,024	281,512	281,512
13	Office expenses .......	2,945,000	1,472,500	1,472,500
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	35,843,367	32,975,898	2,867,469
17	Travel ............	873,873	611,711	262,162
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	8,349,400	7,931,930	417,470
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	122,561,691	116,433,606	6,128,085
23	Insurance ...	7,512,070	5,258,449	2,253,621
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	Medical Supplies	363,230,245	363,230,245
b	State Provider Tax	143,049,359	143,049,359
c	R&M - Clinical Eng	20,006,555	20,006,555
d	Leases and Rents	36,766,853	27,575,140	9,191,713
e	All other expenses	91,013,378	54,788,539	36,224,839	0
25	Total functional expenses. Add lines 1 through 24e	2,199,373,191	1,988,330,570	211,042,621	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			24,399,984	1	20,722,510
2	Savings and temporary cash investments .........			373,950,859	2	325,554,262
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			334,499,514	4	379,024,058
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			54,023,658	8	60,065,659
9	Prepaid expenses and deferred charges ......			7,702,419	9	33,244,265
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,594,784,643
b	Less: accumulated depreciation	10b	1,273,834,500	1,283,931,706	10c	1,320,950,143
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....			512,153,297	12	478,867,409
13	Investments—program-related. See Part IV, line 11 ..			0	13
14	Intangible assets ...............			37,389,468	14	104,938,608
15	Other assets. See Part IV, line 11 ...........			484,629,647	15	642,856,528
16	Total assets. Add lines 1 through 15 (must equal line 33)...			3,112,680,552	16	3,366,223,442

17	Accounts payable and accrued expenses .....	163,791,293	17	161,089,395
18	Grants payable ...		18
19	Deferred revenue .........	145,404,326	19	55,454,222
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	289,734,350	25	291,720,887
26	Total liabilities. Add lines 17 through 25..	598,929,969	26	508,264,504

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	2,512,582,351	27	2,856,790,707
28	Net assets with donor restrictions ...........	1,168,232	28	1,168,231
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	2,513,750,583	32	2,857,958,938
33	Total liabilities and net assets/fund balances ........	3,112,680,552	33	3,366,223,442