Licensed Practical Nurse (LPN) - Medical/Surgical 2South & 3West

Foundation Health Partners Fairbanks, AK, US

Overview

On the Medical Surgical Teams at Fairbanks Memorial Hospital, we do work that matters. As a member of our Teams, you will be an important part of our culture to have meaningful impact in the lives of our patients as well as those we work with.

We care for medical surgical patients who could be here with a wide range of diagnoses: congestive heart failure, respiratory conditions, infections, wounds, orthopedic surgery, spinal surgery, urological surgery, general surgery, dialysis, oncology, hospice, the list is expansive.

We are looking for Team members who:

Have a growth mindset—there is always more to learn

Value feedback—feedback supports growth

Are flexible in the face of change---change is constant in healthcare

Want to do meaningful work—life is too short for just a job

And value work-life balance—you can’t take care of others if you don’t take care of you.

This position assesses, plans, implements, evaluates, and documents nursing care of patients in accordance with organizational policies and in accordance with standards of professional nursing practice utilizing the framework for professional nursing practice and development. This position is accountable for the quality of nursing services delivered by self or others who are under their direction. This position utilizes specialized knowledge, judgment, and nursing skills necessary to assess data and plan, provide and evaluate care appropriate to the physical and developmental age of assigned patients.

About Fairbanks Memorial Hospital

Fairbanks Memorial Hospital is a non-profit facility owned by the Greater Fairbanks Community Hospital Foundation. A Joint Commission-accredited facility with 152 licensed beds, Fairbanks Memorial Hospital is the primary referral center for residents of Alaska's interior. We have a strong patient to nurse ratio, a culture of Shared Leadership, and are proud members of the Mayo Clinic Care Network. In addition to our exceptional clinical environment, our location offers incomparable lifestyle rewards away from work. In Fairbanks, small-town living, spectacular natural beauty and endless recreation combine to create a one-of-a-kind place to live, work and play.

FMH Medical/Surgical has the following shifts available:

Full-Time (36 hours per week) 12 hour shifts - Day shift/every other weekend off

Full-Time (36 hours per week) 12 hour shifts - Night shift/every other weekend off

Shift Differentials Available: $2.00/hr. Weekend- $2.50/hr. Evening - $6.00/hr. Night
Benefits: medical, vision, dental, 401k with employer match
Education Benefits: FHP Tuition Assistance, Student Loan Forgiveness
Other Benefits: Onsite Gym, Wellness Programs, Discount programs, The Learning Center (childcare services)

*Retention Incentive, Relocation & transitional housing assistance are available for experienced LPNs

Responsibilities

Assesses patient physical, psychological, social, spiritual, educational, developmental, cultural, and discharge planning needs. Reviews patient history and physical with patient/family and assures completion within appropriate timeframe. Reviews available information obtained by other health care team members. Reviews diagnostics and laboratory data and reports abnormal results to the physician(s) and other appropriate caregivers. Completes assessment and reassessments according to patient need and as outlined in policy.

Formulates a plan of care, including the discharge plan, utilizing assessment data and patient, family and health team input. Initiates a plan of care based on patient-specific needs, assessment data and the medical plan of care. Goals for patient are realistic, measurable and developed in conjunction with the patient/family. Considers the physical, cultural, psychosocial, spiritual, age specific and educational needs of the patient in the plan of are. Plans care in collaboration with members of the multidisciplinary team. Reviews and revises the plan of care to reflect changing patient needs based on evaluation of the patient's status.

Implements the plan of care through direct patient care, coordination, delegation, and supervision of the activities of the health care team. Provides care based on physician orders and the nursing plan of care. Provides care in compliance with policies and procedures, standards of care, and regulatory agency requirements. Delegates appropriately, and provides nursing supervision in the provision of care to patients by other licensed nurses and other personnel. Promotes continuity of care by accurately and completely communicating to other caregivers the status of patients for whom care is provided.

Evaluates patient and family response to care and teaching, and revises the plan of care as needed. Evaluates patient progress towards goals and expected outcomes in collaboration with other health care team members. Evaluates patient response and the effectiveness of teaching.

Documents assessment, planning, implementation, and evaluation in the patient record. Documentation is legible, timely, and in accordance with policy. Documentation reflects objective/subjective data, nursing interventions and patient response to treatment. Notes physician orders accurately and in a timely manner.

Provides care based on the best evidence available, and may participate in research activities within clinical practice. Participates in unit or facility shared leadership. Interacts and participates in the education, role development, and orientation of facility personnel, patients, students, families and visitors. Promotes/supports growth of others by acting as a preceptor or mentor when appropriate.

Contributes to society through activities that lead to excellent patient outcomes through timely, effective, efficient, equitable, and safe care. Actively participates in the improvement of national nursing quality indicators and outcomes. Such activities may include participating in professional organizations.

In some roles, this position may supervise staff and work flow of the department.

Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Foundation Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.

Qualifications

Must possess a valid current or temporary Alaska RN license. Requires the knowledge and skills normally demonstrated by an Associate's degree in nursing. BLS certification is required. May require ACLS, PALS, or additional certification and/or continuing education based on area of practice. Requires creative thinking, prioritizing, and flexible problem solving skills. Also requires the ability to communicate clearly in both verbal and written forms.PREFERRED QUALIFICATIONSBachelor's degree preferred. Professional certification preferred.Experience working in an acute care setting within the past 12 months as a Registered Nurse in the specialty area.Additional related education and/or experience preferred.

Foundation Health Partners is an EEO/AAP employer; qqualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.

Share this job

Related Jobs

Licensed Practical Nurse (LPN) - Medical/Surgical 2South & 3West

Foundation Health Partners Fairbanks, AK

Overview On the Medical Surgical Teams at Fairbanks Memorial Hospital, we do work that matters. As a member of our Teams, you will be an important part of our culture to have meaningful impact in the lives of our patients as well as those we work with. We care for medical surgical patients who could be here with a wide range of diagnoses: congestive heart failure, respiratory conditions, infections, wounds, orthopedic surgery, spinal surgery, urological surgery, general surgery, dialysis, oncology, hospice, the list is expansive. We are looking for Team members who: Have a growth mindset—there is always more to learn Value feedback—feedback supports growth Are flexible in the face of change---change is constant in healthcare Want to do meaningful work—life is too short for just a job And value work-life balance—you can’t take care of others if you don’t take care of you. This position assesses, plans, implements, evaluates, and documents nursing care of patients in accordance with organizational policies and in accordance with standards of professional nursing practice utilizing the framework for professional nursing practice and development. This position is accountable for the quality of nursing services delivered by self or others who are under their direction. This position utilizes specialized knowledge, judgment, and nursing skills necessary to assess data and plan, provide and evaluate care appropriate to the physical and developmental age of assigned patients. About Fairbanks Memorial Hospital Fairbanks Memorial Hospital is a non-profit facility owned by the Greater Fairbanks Community Hospital Foundation. A Joint Commission-accredited facility with 152 licensed beds, Fairbanks Memorial Hospital is the primary referral center for residents of Alaska's interior. We have a strong patient to nurse ratio, a culture of Shared Leadership, and are proud members of the Mayo Clinic Care Network. In addition to our exceptional clinical environment, our location offers incomparable lifestyle rewards away from work. In Fairbanks, small-town living, spectacular natural beauty and endless recreation combine to create a one-of-a-kind place to live, work and play. FMH Medical/Surgical has the following shifts available: Full-Time (36 hours per week) 12 hour shifts - Day shift/every other weekend off Full-Time (36 hours per week) 12 hour shifts - Night shift/every other weekend off Shift Differentials Available: $2.00/hr. Weekend- $2.50/hr. Evening - $6.00/hr. Night Benefits: medical, vision, dental, 401k with employer match Education Benefits: FHP Tuition Assistance, Student Loan Forgiveness Other Benefits: Onsite Gym, Wellness Programs, Discount programs, The Learning Center (childcare services) * Retention Incentive, Relocation & transitional housing assistance are available for experienced LPNs Responsibilities Assesses patient physical, psychological, social, spiritual, educational, developmental, cultural, and discharge planning needs. Reviews patient history and physical with patient/family and assures completion within appropriate timeframe. Reviews available information obtained by other health care team members. Reviews diagnostics and laboratory data and reports abnormal results to the physician(s) and other appropriate caregivers. Completes assessment and reassessments according to patient need and as outlined in policy. Formulates a plan of care, including the discharge plan, utilizing assessment data and patient, family and health team input. Initiates a plan of care based on patient-specific needs, assessment data and the medical plan of care. Goals for patient are realistic, measurable and developed in conjunction with the patient/family. Considers the physical, cultural, psychosocial, spiritual, age specific and educational needs of the patient in the plan of are. Plans care in collaboration with members of the multidisciplinary team. Reviews and revises the plan of care to reflect changing patient needs based on evaluation of the patient's status. Implements the plan of care through direct patient care, coordination, delegation, and supervision of the activities of the health care team. Provides care based on physician orders and the nursing plan of care. Provides care in compliance with policies and procedures, standards of care, and regulatory agency requirements. Delegates appropriately, and provides nursing supervision in the provision of care to patients by other licensed nurses and other personnel. Promotes continuity of care by accurately and completely communicating to other caregivers the status of patients for whom care is provided. Evaluates patient and family response to care and teaching, and revises the plan of care as needed. Evaluates patient progress towards goals and expected outcomes in collaboration with other health care team members. Evaluates patient response and the effectiveness of teaching. Documents assessment, planning, implementation, and evaluation in the patient record. Documentation is legible, timely, and in accordance with policy. Documentation reflects objective/subjective data, nursing interventions and patient response to treatment. Notes physician orders accurately and in a timely manner. Provides care based on the best evidence available, and may participate in research activities within clinical practice. Participates in unit or facility shared leadership. Interacts and participates in the education, role development, and orientation of facility personnel, patients, students, families and visitors. Promotes/supports growth of others by acting as a preceptor or mentor when appropriate. Contributes to society through activities that lead to excellent patient outcomes through timely, effective, efficient, equitable, and safe care. Actively participates in the improvement of national nursing quality indicators and outcomes. Such activities may include participating in professional organizations. In some roles, this position may supervise staff and work flow of the department. Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Foundation Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day. Qualifications Must possess a valid current or temporary Alaska RN license. Requires the knowledge and skills normally demonstrated by an Associate's degree in nursing. BLS certification is required. May require ACLS, PALS, or additional certification and/or continuing education based on area of practice. Requires creative thinking, prioritizing, and flexible problem solving skills. Also requires the ability to communicate clearly in both verbal and written forms. PREFERRED QUALIFICATIONS Bachelor's degree preferred. Professional certification preferred.Experience working in an acute care setting within the past 12 months as a Registered Nurse in the specialty area.Additional related education and/or experience preferred. Foundation Health Partners is an EEO/AAP employer; q qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.

LPN - General Medical Surgical (Full-time, Nights) Jefferson

Allegheny Health Network Clairton, PA

Company Allegheny Health Network Job Description Earn an additional $5 per hour on top of your base rate for this full-time LPN position, working 36 hours per week on straight nights! Eligible candidates may also qualify for a generous sign-on bonus. Join our team on 4 West, a 36-bed Medical-Surgical Unit at Jefferson Hospital, where you'll specialize in the care of post-operative patients from adolescence to adulthood. You'll also gain experience with a variety of diagnoses and levels of care, including diabetes management, cellulitis, wound/ostomy care, and supporting older adults experiencing failure to thrive. Jefferson Hospital proudly holds Magnet® recognition for nursing excellence, offers private patient rooms, and provides a generous benefit package for both full-time and part-time employees. As part of Allegheny Health Network (AHN), a 9-hospital system under Highmark Health, you'll contribute to transforming the future of healthcare. AHN is dedicated to fostering an inclusive environment, valuing fresh perspectives, and offering excellent growth and educational opportunities for our employees. General Overview This job is a member of the direct care healthcare team and is responsible for providing care to patients and families under the direction of the registered nurse. Essential Responsibilities Performs general nursing care within the LPN scope of practice. (30%) Assists with the preparation of equipment and assists the clinical provider (registered nurse, advanced practice nurse and/or physician) during treatment, examination, and testing of patients. (20%) Collects assessment data, prepares patient for examination and documents clinical information on patient record and reports any changes in patients condition to the registered nurse, advanced practice nurse or physician. (20%) Orders diagnostic tests as directed by the clinical provider (registered nurse, advanced practice nurse and/or physician) and gathers diagnostic tests and/or examines results prior to physician/clinical provider assessment. (20%) Schedules procedures and obtains authorizations, as necessary, under the direction/oversite of the registered nurse. Assists nursing and medical staff with basic medical tasks such as administering medications, blood and tissue collection and/or other laboratory specimens; prepare patients for testing. (10%) Performs other duties as assigned or required. Qualifications Required High School/GED Licensed Practical Nurse (LPN) OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC) CPR – American Heart Association Act 34 Criminal Background Clearance Certificate Act 33 Child Abuse Clearance Certificate Act 73 FBI Fingerprinting Criminal Background Clearance Certificate Preferred 1 year in healthcare PALS or ACLS State approved IV course certification. Knowledge of EPIC documentation and assessment process Disclaimer The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice

LPN II Medical Surgical

Saint Francis Health System Muskogee, OK

Current Saint Francis Employees - Please click HERE to login and apply. Full Time Variable LPN II Fulltime Med Surg 6 Tower Adult medical, surgical, and cardiac patients Staff float to other Medical Surgical units as needed Requires 36 hours per week (3) 12-hour shifts Weekends and Holidays required per department process Position qualifies for Shift Differentials Employee Benefits Job Summary: Administers nursing care to an assigned group of patients based on physician's orders, nursing care plan and the Oklahoma Board of Nursing Scope of Practice. Consults with registered nurse to plan patient care. Performs a variety of direct and indirect patient care duties including data collection. Minimum Education: Has completed the prescribed curricula of a practical nursing program or has completed equivalent coursework as approved and verified by a state board of nursing and holds or is entitled to hold a diploma or certificate therefrom. Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Licensed Practical Nurse License. Work Experience: 0 - 6 months related experience. Knowledge, Skills and Abilities: Working knowledge of general disease state management processes, bio- psychosocial model, and clinical pathways. Effective interpersonal, written and oral communication skills. Ability to organize and prioritize work in an effective and efficient manner. Ability to be detail oriented as required in the examination of clinical and numerical data. IV therapy medication administration as guided by hospital policy. Essential Functions and Responsibilities: Performs nursing skills appropriate for the patient population. Demonstrates sound knowledge base appropriate to specialty area with consideration for patient's age and bio-psychosocial needs. Gathers data, implements and evaluates care for an assigned group of patients based on physician's orders and Nursing Care Plan. Takes and notes physician's orders accurately. Consults with Registered Nurse to plan patient care. Documents data on the appropriate record. Documents nursing process/care clearly, consistently, and accurately. Addresses patient problems and progress toward outcomes. Facilitates patient teaching -- implements discharge planning. Makes appropriate referrals. Follows plan of care per policy in presenting patient age and cultural/psychosocial factors. Supports unit/hospital goals through PI and educational activities. Attends mandatory in-services and meets unit education standards. Accurately completes variance reports. Modifies behaviors or performance to comply with care standards and unit requirements. Decision Making: The carrying out of non-routine procedures under constantly changing conditions, in conformance with general instructions from supervisor. Working Relationships: Leads others in same work performed (does not supervise). Works directly with patients and/or customers. Works with internal and external customers via telephone or face to face interaction. Works with other healthcare professionals and staff. Special Job Dimensions: None. Supplemental Information: This document generally describes the essential functions of the job, and the physical demands required to perform the job. This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties. Medical/Surgical 6 Tower - Muskogee Campus Location: Muskogee, Oklahoma 74401 Under the Oklahoma Medical Marijuana Use and Patient Protection Act (OMMA), a safety sensitive position is defined as any job that includes tasks or duties that the employer believes could affect the safety and health of the employee performing the task or others. This position has been identified as a safety sensitive position. This statute allows employers to lawfully refuse to hire applicants for safety-sensitive jobs or to discipline or discharge employees who work in safety-sensitive jobs if they test positive for marijuana, even if they have a valid license to use medical marijuana. EOE Protected Veterans/Disability

LPN - General Medical Surgical (Full-time, Nights) Jefferson

Highmark Health Jefferson Hills, PA

Company : Allegheny Health Network Job Description : Earn an additional $5 per hour on top of your base rate for this full-time LPN position, working 36 hours per week on straight nights! Eligible candidates may also qualify for a generous sign-on bonus. Join our team on 4 West, a 36-bed Medical-Surgical Unit at Jefferson Hospital, where you'll specialize in the care of post-operative patients from adolescence to adulthood. You'll also gain experience with a variety of diagnoses and levels of care, including diabetes management, cellulitis, wound/ostomy care, and supporting older adults experiencing failure to thrive. Jefferson Hospital proudly holds Magnet® recognition for nursing excellence, offers private patient rooms, and provides a generous benefit package for both full-time and part-time employees. As part of Allegheny Health Network (AHN), a 9-hospital system under Highmark Health, you'll contribute to transforming the future of healthcare. AHN is dedicated to fostering an inclusive environment, valuing fresh perspectives, and offering excellent growth and educational opportunities for our employees. GENERAL OVERVIEW: This job is a member of the direct care healthcare team and is responsible for providing care to patients and families under the direction of the registered nurse. ESSENTIAL RESPONSIBILITIES: Performs general nursing care within the LPN scope of practice. (30%) Assists with the preparation of equipment and assists the clinical provider (registered nurse, advanced practice nurse and/or physician) during treatment, examination, and testing of patients. (20%) Collects assessment data, prepares patient for examination and documents clinical information on patient record and reports any changes in patients condition to the registered nurse, advanced practice nurse or physician. (20%) Orders diagnostic tests as directed by the clinical provider (registered nurse, advanced practice nurse and/or physician) and gathers diagnostic tests and/or examines results prior to physician/clinical provider assessment. (20%) Schedules procedures and obtains authorizations, as necessary, under the direction/oversite of the registered nurse. Assists nursing and medical staff with basic medical tasks such as administering medications, blood and tissue collection and/or other laboratory specimens; prepare patients for testing. (10%) Performs other duties as assigned or required. QUALIFICATIONS: Required High School/GED Licensed Practical Nurse (LPN) OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC) CPR – American Heart Association Act 34 Criminal Background Clearance Certificate Act 33 Child Abuse Clearance Certificate Act 73 FBI Fingerprinting Criminal Background Clearance Certificate Preferred 1 year in healthcare PALS or ACLS State approved IV course certification. Knowledge of EPIC documentation and assessment process Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Licensed Practical Nurse (LPN) | Med/Surg - 8 Main | Nights

Advocate Aurora Health Macon, GA

$25.30 - $37.95 / hour

Department: 34413 Navicent Health Medical Center - Nursing: Medical/Surgical IU 8 Main Status: Full time Benefits Eligible: Yes Hou rs Per Week: 36 Schedule Details/Additional Information: Varies Pay Range $25.30 - $37.95 8 Main is a 35 bed medical-surgical nursing floor with telemetry monitoring. Nurse to patient ratio is typically 1:5, but may be 1:6 at times. The patient population is so diverse it makes 8 Main a great place to learn and grow. Responsible for assessment, diagnosis, outcomes identification, planning, implementation and evaluation for patients served. As an active participant in decisions related to patient care and nursing practice, serves as educator, colleague, researcher, advocate and leader. Must demonstrate competency in assuring quality care, Process Improvement, patient and employee safety, collaboration, consultation and professional development. Assumes responsibility for planning, organizing, delegating and evaluating patient care rendered by LPNs, technicians, Medical Receptionists and other staff. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.