SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet 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
DIGNITY HEALTH
 
Employer identification number

94-1196203
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
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.
3
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.
a
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:
3a
Yes
 
b
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: . . . . . . . .
3b
Yes
 
c
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.
4
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"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
No
c
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? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
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) . . . 		  544,838 146,928,786 0 146,928,786 1.580 %
b Medicaid (from Worksheet 3, column a) . . . . .   1,127,052 2,358,130,696 1,689,889,186 668,241,510 7.170 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .   2,016 1,198,902 231,486 967,416 0.010 %
d Total Financial Assistance and Means-Tested Government Programs . . . . .   1,673,906 2,506,258,384 1,690,120,672 816,137,712 8.760 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4). 364 461,228 55,426,969 9,938,395 45,488,574 0.490 %
f Health professions education (from Worksheet 5) . . . 44 8,019 145,118,263 18,487,262 126,631,001 1.360 %
g Subsidized health services (from Worksheet 6) . . . . 16 18,624 18,784,595 5,114,601 13,669,994 0.150 %
h Research (from Worksheet 7) . 3 0 45,831,293 44,044,530 1,786,763 0.020 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . . 88 57,581 37,318,926 107,996 37,210,930 0.400 %
j Total. Other Benefits . . 515 545,452 302,480,046 77,692,784 224,787,262 2.420 %
k Total. Add lines 7d and 7j . 515 2,219,358 2,808,738,430 1,767,813,456 1,040,924,974 11.180 %
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 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing 2 53 3,068,653 617,469 2,451,184 0.030 %
2 Economic development 0 0 0 0    
3 Community support 9 3,792 891,276 315,280 575,996 0.010 %
4 Environmental improvements 1 0 49,809 1,799 48,010 0 %
5 Leadership development and
training for community members		 4 141 106,047 0 106,047 0 %
6 Coalition building 10 3,215 382,155 126,260 255,895 0 %
7 Community health improvement advocacy 3 645 32,901 18,462 14,439 0 %
8 Workforce development 11 24 3,457,693 0 3,457,693 0.040 %
9 Other   0 0 0    
10 Total 40 7,870 7,988,534 1,079,270 6,909,264 0.080 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
68,795,639
3
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. ......
3
 
4
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
5
Enter total revenue received from Medicare (including DSH and IME).....
5
1,507,917,465
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
1,808,787,136
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-300,869,671
8
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:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
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 .........................

9b

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 %
11 FOLSOM SIERRA ENDOSCOPY CENTER
  		SURGERY 51.000 % 0 % 49.000 %
22 SANTA CRUZ SURGERY CENTER
  		SURGERY 50.000 % 0 % 50.000 %
33 SANTA CRUZ COMPREHENSIVE IMAGING LLC
  		IMAGING 50.000 % 0 % 50.000 %
44 DOMINICAN MAGNETIC RESONANCE IMAGING CENTER
  		IMAGING 80.000 % 0 % 20.000 %
55 CBCC OUTSMARTING CANCER LLC
  		CANCER 51.000 % 0 % 49.000 %
66 MEDICAL PAVILION AT ST JOHN'S
  		REAL ESTATE (RENT/LEASE) 25.000 % 0 % 26.420 %
77 BNI MANAGEMENT LLC
  		MGMT SERVICES 26.040 % 0 % 73.960 %
88 COASTAL SURGICAL SPECIALISTS INC
  		SURGERY 51.380 % 0 % 48.620 %
99 PLAZA SURGERY CENTER LP
  		SURGERY 57.780 % 0 % 42.220 %
10
11
12
13
Schedule H (Form 990) 2021
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?25Name, 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) 		Licensed Hospital General Medical and Surgical Children's Hospital Teaching Hospital Critical Access Hospital Research Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 ST JOSEPH'S HOSPITAL AND MEDICAL CENTER
350 W THOMAS ROAD
PHOENIX,AZ85013
WWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIO
H-3003 		X X   X   X X     C
2 MERCY SAN JUAN MEDICAL CENTER
6501 COYLE AVENUE
CARMICHAEL,CA95608
WWW.DIGNITYHEALTH.ORG/SACRAMENTO/LOCA
030000063 		X X   X     X     B
3 MARIAN REGIONAL MEDICAL CENTER ARROYO GRANDE
1400 E CHURCH STREET
SANTA MARIA,CA93454
WWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/L
50000040 		X X   X     X     D
4 MERCY GENERAL HOSPITAL
4001 J STREET
SACRAMENTO,CA95819
WWW.DIGNITYHEALTH.ORG/SACRAMENTO/LOCA
030000062 		X X   X     X     B
5 MERCY MEDICAL CENTER REDDING
2175 ROSALINE AVENUE
REDDING,CA96001
WWW.DIGNITYHEALTH.ORG/NORTH-STATE/LOC
230000024 		X X   X     X     D
6 ST ROSE DOMINICAN HOSPITAL - SIENA
3001 ST ROSE PARKWAY
HENDERSON,NV89052
WWW.DIGNITYHEALTH.ORG/LAS-VEGAS/LOCAT
2969HOS-21 		X X   X     X     A
7 DOMINICAN HOSPITAL
1555 SOQUEL DRIVE
SANTA CRUZ,CA95065
WWW.DIGNITYHEALTH.ORG/BAYAREA/LOCATIO
070000030 		X X         X     B
8 ST BERNARDINE MEDICAL CENTER
2101 N WATERMAN AVENUE
SAN BERNARDINO,CA92404
WWW.DIGNITYHEALTH.ORG/SOCAL/LOCATIONS
240000206 		X X   X     X      
9 MERCY GILBERT MEDICAL CENTER
3555 S VAL VISTA DRIVE
GILBERT,AZ85297
WWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIO
H-3972 		X X         X     C
10 MERCY HOSPITAL (BAKERSFIELD)
2215 TRUXTUN AVENUE
BAKERSFIELD,CA93301
WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFOR
120000184 		X X         X     B
11 ST MARY MEDICAL CENTER - LONG BEACH
1050 LINDEN AVENUE
LONG BEACH,CA90813
WWW.DIGNITYHEALTH.ORG/SOCAL/LOCATIONS
930000012 		X X   X     X     F
12 ST JOHN'S REGIONAL MEDICAL CENTER
1600 NORTH ROSE AVENUE
OXNARD,CA93030
WWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/L
050000064 		X X         X     E
13 MERCY MEDICAL CENTER MERCED
333 MERCY AVENUE
MERCED,CA95340
WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFOR
040000178 		X X   X     X     B
14 MERCY HOSPITAL OF FOLSOM
1650 CREEKSIDE DRIVE
FOLSOM,CA95630
WWW.DIGNITYHEALTH.ORG/SACRAMENTO/LOCA
030000372 		X X         X     B
15 ST MARYS MEDICAL CENTER
450 STANYAN STREET
SAN FRANCISCO,CA94117
WWW.DIGNITYHEALTH.ORG/BAYAREA/LOCATIO
220000071 		X X   X     X     E
16 ST ROSE DOMINICAN HOSPITAL - SAN MARTIN
8280 WEST WARM SPRINGS ROAD
LAS VEGAS,NV89113
WWW.DIGNITYHEALTH.ORG/LAS-VEGAS/LOCAT
4576HOS-6 		X X         X     A
17 ST ELIZABETH COMMUNITY HOSPITAL
2550 SISTER MARY COLUMBA DRIVE
RED BLUFF,CA96080
WWW.DIGNITYHEALTH.ORG/NORTH-STATE/LOC
230000036 		X X         X     D
18 ST JOHN'S HOSPITAL CAMARILLO
2309 ANTONIO AVENUE
CAMARILLO,CA93010
WWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/L
050000048 		X X         X     E
19 MERCY MEDICAL CENTER MT SHASTA
914 PINE STREET
MT SHASTA,CA96067
WWW.DIGNITYHEALTH.ORG/NORTH-STATE/LOC
230000015 		X X     X   X     F
20 ST JOSEPH'S WESTGATE MEDICAL CENTER
7300 N 99TH AVENUE
GLENDALE,AZ85305
WWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIO
H-6522 		X X         X     C
21 ST ROSE DOMINICAN HOSPITAL - ROSE DE LIMA
102 E LAKE MEAD DRIVE
HENDERSON,NV89015
WWW.DIGNITYHEALTH.ORG/LAS-VEGAS/LOCAT
659HOS-20 		X X         X     A
22 DE CRAIG RANCH LLC DBA DIGNITY HEALTH - ST ROSE DOMINICAN N
1550 W CRAIG ROAD
NORTH LAS VEGAS,NV89032
WWW.STROSENH.ORG/LOCATIONS/NORTH-LAS-
8544-HOS-0 		X           X X NEIGHBORHOOD HOSPITAL A
23 DE BLUE DIAMOND LLC DBA DIGNITY HEALTH - ST ROSE DOMINICAN
4855 BLUE DIAMON ROAD
LAS VEGAS,NV89139
WWW.STROSENH.ORG/LOCATIONS/BLUE-DIAMO
8594-HOS-0 		X           X X NEIGHBORHOOD HOSPITAL A
24 DE SAHARA LLC DBA DIGNITY HEALTH - ST ROSE DOMINICAN SAHARA
4890 W SAHARA AVENUE
LAS VEGAS,NV89146
WWW.STROSENH.ORG/LOCATIONS/SAHARA/
8686-HOS-0 		X           X X NEIGHBORHOOD HOSPITAL A
25 DE FLAMINGO LLC DBA DIGNITY HEALTH - ST ROSE DOMINICAN WEST
9880 W FLAMINGO
LAS VEGAS,NV89147
WWW.STROSENH.ORG/LOCATIONS/WEST-FLAMI
8652-HOS-0 		X           X X NEIGHBORHOOD HOSPITAL A
Schedule H (Form 990) 2021
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)
FACILITY REPORTING GROUP 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 No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 21
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V, PAGE 8
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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
Schedule H (Form 990) 2021
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
FACILITY REPORTING GROUP A
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, PAGE 8
b
SEE PART V, PAGE 8
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 6
Part VFacility Information (continued)

Billing and Collections
FACILITY REPORTING GROUP A
Name of hospital facility or letter of facility reporting group  
Yes No
17 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?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
FACILITY REPORTING GROUP A
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2021
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)
FACILITY REPORTING GROUP B
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 No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 21
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V, PAGE 8
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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
Schedule H (Form 990) 2021
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
FACILITY REPORTING GROUP B
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, PAGE 8
b
SEE PART V, PAGE 8
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 6
Part VFacility Information (continued)

Billing and Collections
FACILITY REPORTING GROUP B
Name of hospital facility or letter of facility reporting group  
Yes No
17 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?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
FACILITY REPORTING GROUP B
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2021
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)
FACILITY REPORTING GROUP C
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 No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 21
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V, PAGE 8
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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
Schedule H (Form 990) 2021
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
FACILITY REPORTING GROUP C
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, PAGE 8
b
SEE PART V, PAGE 8
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 6
Part VFacility Information (continued)

Billing and Collections
FACILITY REPORTING GROUP C
Name of hospital facility or letter of facility reporting group  
Yes No
17 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?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
FACILITY REPORTING GROUP C
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2021
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)
FACILITY REPORTING GROUP D
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 No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 21
5 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 ................. 5 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.................................. 6a   No
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V, PAGE 8
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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
Schedule H (Form 990) 2021
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
FACILITY REPORTING GROUP D
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, PAGE 8
b
SEE PART V, PAGE 8
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 6
Part VFacility Information (continued)

Billing and Collections
FACILITY REPORTING GROUP D
Name of hospital facility or letter of facility reporting group  
Yes No
17 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?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
FACILITY REPORTING GROUP D
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2021
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)
FACILITY REPORTING GROUP E
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 No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 21
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V, PAGE 8
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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
Schedule H (Form 990) 2021
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
FACILITY REPORTING GROUP E
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, PAGE 8
b
SEE PART V, PAGE 8
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 6
Part VFacility Information (continued)

Billing and Collections
FACILITY REPORTING GROUP E
Name of hospital facility or letter of facility reporting group  
Yes No
17 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?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
FACILITY REPORTING GROUP E
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2021
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)
FACILITY REPORTING GROUP F
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 No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 21
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V, PAGE 8
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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
Schedule H (Form 990) 2021
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
FACILITY REPORTING GROUP F
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, PAGE 8
b
SEE PART V, PAGE 8
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 6
Part VFacility Information (continued)

Billing and Collections
FACILITY REPORTING GROUP F
Name of hospital facility or letter of facility reporting group  
Yes No
17 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?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
FACILITY REPORTING GROUP F
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2021
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)
ST BERNARDINE MEDICAL CENTER
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 No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 21
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V, PAGE 8
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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
Schedule H (Form 990) 2021
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
ST BERNARDINE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, PAGE 8
b
SEE PART V, PAGE 8
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 6
Part VFacility Information (continued)

Billing and Collections
ST BERNARDINE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
17 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?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
ST BERNARDINE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2021
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
PART V, SECTION A: PRIMARY WEBSITE ADDRESS1. ST JOSEPH'S HOSPITAL AND MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/STJOSEPHS2. MERCY SAN JUAN MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/SACRAMENTO/LOCATIONS/MERCY-SAN-JUAN-MEDICAL-CENTER3. MARIAN REGIONAL MEDICAL CENTER, ARROYO GRANDEWWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/LOCATIONS/MARIANREGIONAL4. MERCY GENERAL HOSPITALWWW.DIGNITYHEALTH.ORG/SACRAMENTO/LOCATIONS/MERCY-GENERAL-HOSPITAL5. MERCY MEDICAL CENTER REDDINGWWW.DIGNITYHEALTH.ORG/NORTH-STATE/LOCATIONS/MERCY-REDDING6. ST ROSE DOMINICAN HOSPITAL - SIENAWWW.DIGNITYHEALTH.ORG/LAS-VEGAS/LOCATIONS7. DOMINICAN HOSPITALWWW.DIGNITYHEALTH.ORG/BAYAREA/LOCATIONS/DOMINICAN8. ST BERNARDINE MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/SOCAL/LOCATIONS/STBERNARDINEMEDICAL9. MERCY GILBERT MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/MERCYGILBERT10. MERCY HOSPITAL (BAKERSFIELD)WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS11. ST MARY MEDICAL CENTER - LONG BEACHWWW.DIGNITYHEALTH.ORG/SOCAL/LOCATIONS/STMARYMEDICAL12. ST JOHN'S REGIONAL MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/LOCATIONS13. MERCY MEDICAL CENTER MERCEDWWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/MERCYMEDICAL-MERCED14. MERCY HOSPITAL OF FOLSOMWWW.DIGNITYHEALTH.ORG/SACRAMENTO/LOCATIONS/MERCY-HOSPITAL-OF-FOLSOM15. ST MARY'S MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/BAYAREA/LOCATIONS/STMARYS16. ST ROSE DOMINICAN HOSPITAL - SAN MARTINWWW.DIGNITYHEALTH.ORG/LAS-VEGAS/LOCATIONS/SAN-MARTIN17. ST ELIZABETH COMMUNITY HOSPITALWWW.DIGNITYHEALTH.ORG/NORTH-STATE/LOCATIONS/STELIZABETHHOSPITAL18. ST JOHN'S HOSPITAL CAMARILLOWWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/LOCATIONS19. MERCY MEDICAL CENTER MT SHASTAWWW.DIGNITYHEALTH.ORG/NORTH-STATE/LOCATIONS/MERCY-MTSHASTA20. ST JOSEPH'S WESTGATE MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/WESTGATE21. ST ROSE DOMINICAN HOSPITAL - ROSE DE LIMAWWW.DIGNITYHEALTH.ORG/LAS-VEGAS/LOCATIONS22. DE CRAIG RANCH LLC DBA DIGNITY HEALTH - ST ROSE DOMINICAN NWWW.STROSENH.ORG/LOCATIONS/NORTH-LAS-VEGAS/23. DE BLUE DIAMOND LLC DBA DIGNITY HEALTH - ST ROSE DOMINICANWWW.STROSENH.ORG/LOCATIONS/BLUE-DIAMOND/24. DE SAHARA LLC DBA DIGNITY HEALTH - ST ROSE DOMINICAN SAHARAWWW.STROSENH.ORG/LOCATIONS/SAHARA/25. DE FLAMINGO LLC DBA DIGNITY HEALTH - ST ROSE DOMINICAN WESTWWW.STROSENH.ORG/LOCATIONS/WEST-FLAMINGO/
ST BERNARDINE MEDICAL CENTER PART V, SECTION B, LINE 5: FOR THE 2022 (TY 2021) CHNA REPORT, SECONDARY DATA WERE COLLECTED FROM LOCAL, COUNTY, AND STATE SOURCES TO PRESENT COMMUNITY DEMOGRAPHICS, SOCIAL DETERMINANTS OF HEALTH, HEALTH CARE ACCESS, BIRTH INDICATORS, LEADING CAUSES OF DEATH, CHRONIC DISEASE, HEALTH BEHAVIORS, MENTAL HEALTH, SUBSTANCE USE AND MISUSE AND PREVENTIVE PRACTICES. ST. BERNARDINE MEDICAL CENTER (SBMC) CONDUCTED INTERVIEWS WITH COMMUNITY STAKEHOLDERS FROM SAN BERNARDINO COUNTY TO OBTAIN INPUT ON HEALTH NEEDS, BARRIERS TO CARE AND RESOURCES AVAILABLE TO ADDRESS THE IDENTIFIED HEALTH NEEDS. TWENTY-ONE (21) INTERVIEWS WERE COMPLETED DURING SEPTEMBER AND OCTOBER 2021. COMMUNITY STAKEHOLDERS IDENTIFIED BY THE HOSPITAL WERE CONTACTED AND ASKED TO PARTICIPATE IN THE INTERVIEWS. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, OR LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY. SBMC CONSULTED WITH THE FOLLOWING ORGANIZATIONS AND/OR AGENCIES WITHIN THE HOSPITALS SERVICE AREAS: OFFICE OF STATE SENATOR ROSILICIE OCHOA BOGH, CALIFORNIA STATE UNIVERSITY, SAN BERNARDINO, NATIONAL CORE, FAMILY ASSISTANCE PROGRAM, EL SOL NEIGHBORHOOD EDUCATIONAL CENTER, MARY'S MERCY CENTER, INC., CITY OF SAN BERNARDINO, LESTONNAC FREE CLINIC, FIRST PRESBYTERIAN CHURCH OF SAN BERNARDINO, SAN BERNARDINO CITY UNIFIED SCHOOL DISTRICT, SAN BERNARDINO DIOCESE, MAKING HOPE HAPPEN FOUNDATION, LEGAL AID OF SAN BERNARDINO, HOUSING AUTHORITY OF THE COUNTY OF SAN BERNARDINO, CATHOLIC CHARITIES SAN BERNARDINO & RIVERSIDE COUNTIES, SAN BERNARDINO DEPARTMENT OF PUBLIC HEALTH ADMINISTRATION, YOUNG VISIONARIES YOUTH LEADERSHIP ACADEMY, FIRST PRESBYTERIAN CHURCH OF SAN BERNARDINO, AND COMMUNITY HEALTH ASSOCIATION INLAND SOUTHERN REGION.
ST BERNARDINE MEDICAL CENTER PART V, SECTION B, LINE 6A: COMMUNITY HOSPITAL OF SAN BERNARDINO
ST BERNARDINE MEDICAL CENTER PART V, SECTION B, LINE 7D: THE 2022 CHNA WAS MADE AVAILABLE TO THE COMMUNITY HOSPITAL OF SAN BERNARDINO AND ST. BERNARDINE MEDICAL CENTER COMMUNITY BENEFIT INITIATIVE COMMITTEE MEMBERS, RESPECTIVE HOSPITAL BOARD MEMBERS, AND PARTNER ORGANIZATIONS VIA ELECTRONIC AND PAPER COPY.
ST BERNARDINE MEDICAL CENTER PART V, SECTION B, LINE 11: ST. BERNARDINE MEDICAL CENTER (SBMC) INTENDS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS PRESENTED IN THE 2022 CHNA: ACCESS TO CARE, BEHAVIORAL HEALTH (SUBSTANCE USE & MENTAL HEALTH), CHRONIC DISEASES INCLUDING OVERWEIGHT AND OBESITY, HOUSING AND HOMELESSNESS, PREVENTATIVE PRACTICES, AND SAFETY AND VIOLENCE PREVENTION. SBMC WILL TAKE SEVERAL ACTIONS AND DEDICATE RESOURCES TO THESE NEEDS BY PROVIDING THE FOLLOWING PROGRAMMING AND/OR RESOURCES: FINANCIAL ASSISTANCE, COMMUNITY HEALTH NAVIGATION SERVICES, COMMUNITY HEALTH EDUCATION, EDUCATION AND RESOURCES FOR BABIES AND FAMILIES, ASSISTANCE TO DISCHARGED PATIENTS TO IDENTIFY AND SECURE A MEDICAL HOME (TRANSITIONAL CARE CLINIC), INVESTMENT FOR LOCAL COMMUNITY PARTNERS THROUGH THE COMMUNITY HEALTH IMPROVEMENT GRANTS PROGRAM, GRADUATE MEDICAL EDUCATION PROGRAM, BEHAVIORAL HEALTH NAVIGATION, CULTURAL TRAUMA AND MENTAL HEALTH RESILIENCY EDUCATION, YOUTH PROGRAMMING AT THE FAMILY FOCUS CENTER AND IN PERSON AND VIRTUAL SUPPORT GROUPS.
ST BERNARDINE MEDICAL CENTER PART V, SECTION B, LINE 13H: THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF TEN DOLLARS ($10.00) WITH THE COMMONSPIRIT HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. IF APPLICABLE, PATIENTS/GUARANTORS WITH BALANCES BELOW TEN DOLLARS ($10.00) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS.THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION.PATIENT COOPERATION STANDARDS - A PATIENT MUST COOPERATE WITH THE HOSPITAL FACILITY IN PROVIDING THE INFORMATION AND DOCUMENTATION NECESSARY TO DETERMINE ELIGIBILITY. SUCH COOPERATION INCLUDES COMPLETING ANY REQUIRED APPLICATIONS OR FORMS. THE PATIENT IS RESPONSIBLE FOR NOTIFYING THE HOSPITAL FACILITY OF ANY CHANGE IN FINANCIAL SITUATION THAT WOULD IMPACT THE ASSESSMENT OF ELIGIBILITY. A PATIENT MUST EXHAUST ALL OTHER PAYMENT OPTIONS, INCLUDING PRIVATE COVERAGE, FEDERAL, STATE AND LOCAL MEDICAL ASSISTANCE PROGRAMS, AND OTHER FORMS OF ASSISTANCE PROVIDED BY THIRD PARTIES PRIOR TO BEING APPROVED. AN APPLICANT FOR FINANCIAL ASSISTANCE IS RESPONSIBLE FOR APPLYING TO PUBLIC PROGRAMS FOR AVAILABLE COVERAGE. HE OR SHE IS ALSO EXPECTED TO PURSUE PUBLIC OR PRIVATE HEALTH INSURANCE PAYMENT OPTIONS FOR CARE PROVIDED BY A COMMONSPIRIT HOSPITAL ORGANIZATION WITHIN A HOSPITAL FACILITY. A PATIENT'S AND, IF APPLICABLE, ANY GUARANTOR'S COOPERATION IN APPLYING FOR APPLICABLE PROGRAMS AND IDENTIFIABLE FUNDING SOURCES, INCLUDING COBRA COVERAGE (A FEDERAL LAW ALLOWING FOR A TIME-LIMITED EXTENSION OF EMPLOYEE HEALTHCARE BENEFITS), SHALL BE REQUIRED. IF A HOSPITAL FACILITY DETERMINES THAT COBRA COVERAGE IS POTENTIALLY AVAILABLE, AND THAT A PATIENT IS NOT A MEDICARE OR MEDICAID BENEFICIARY, THE PATIENT OR GUARANTOR SHALL PROVIDE THE HOSPITAL FACILITY WITH INFORMATION NECESSARY TO DETERMINE THE MONTHLY COBRA PREMIUM FOR SUCH PATIENT, AND SHALL COOPERATE WITH HOSPITAL FACILITY STAFF TO DETERMINE WHETHER HE OR SHE QUALIFIES FOR HOSPITAL FACILITY COBRA PREMIUM ASSISTANCE, WHICH MAY BE OFFERED FOR A LIMITED TIME TO ASSIST IN SECURING INSURANCE COVERAGE. A HOSPITAL FACILITY SHALL MAKE AFFIRMATIVE EFFORTS TO HELP A PATIENT OR PATIENT'S GUARANTOR APPLY FOR PUBLIC AND PRIVATE PROGRAMS.THE FOLLOWING REQUIREMENTS FOR ADDITIONAL HARDSHIP DISCOUNTS IS AN ADDENDUM OF THE FINANCIAL ASSISTANCE POLICY THAT APPLY TO PATIENTS RECEIVING SERVICES AT A COMMONSPIRIT HOSPITAL ORGANIZATION IN THE STATE OF CALIFORNIA ONLY.A PATIENT WHO RECEIVES DISCOUNTED CARE, BUT (1) WHOSE LIABILITY STILL EXCEEDS 30% OF THE SUM OF (A) HIS OR HER FAMILY INCOME, AND (B) HIS OR HER MONETARY ASSETS, AND (2) WHO DOES NOT HAVE THE ABILITY TO PAY HIS OR HER BILL, AS DETERMINED BY A REVIEW OF FACTORS SUCH AS PROJECTED FAMILY INCOME FOR THE COMING YEAR AND EXISTING OR ANTICIPATED HEALTH CARE LIABILITIES MAY BE GIVEN AN ADDITIONAL HARDSHIP DISCOUNT. FOR PURPOSES OF THE DETERMINATION OF THIS HARDSHIP DISCOUNT, THE COMMONSPIRIT HOSPITAL ORGANIZATION WILL NOT CONSIDER ASSETS IN RETIREMENT PLANS QUALIFIED UNDER THE INTERNAL REVENUE CODE IN EFFECT AT THE TIME OF THE DETERMINATION OR DEFERRED COMPENSATION PLANS.IF THE PATIENT MEETS ALL ELIGIBILITY CRITERIA, THE PATIENT WILL RECEIVE A HARDSHIP DISCOUNT, WHICH WILL REDUCE THE PATIENT'S REMAINING LIABILITY TO NO MORE THAN 30% OF THE SUM OF HIS OR HER (1) PATIENT FAMILY INCOME, AND (2) MONETARY ASSETS.A PATIENT MAY ALSO RECEIVE DISCOUNTS OR WAIVERS UNDER THIS ADDENDUM IF CONSIDERED HOMELESS OR TRANSIENT OR IF THEY PARTICIPATE IN A FEDERAL, STATE, OR LOCAL MANAGED INDIGENT CARE PROGRAM.
PART V, SECTION B FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 6: ST ROSE DOMINICAN HOSPITAL - SIENA, - FACILITY 16: ST ROSE DOMINICAN HOSPITAL - SAN MARTIN, - FACILITY 21: ST ROSE DOMINICAN HOSPITAL - ROSE DE LIMA, - FACILITY 22: DE CRAIG RANCH LLC DBA DIGNITY HEALTH - ST RO, - FACILITY 23: DE BLUE DIAMOND LLC DBA DIGNITY HEALTH - ST R, - FACILITY 24: DE SAHARA LLC DBA DIGNITY HEALTH - ST ROSE DO, - FACILITY 25: DE FLAMINGO LLC DBA DIGNITY HEALTH - ST ROSE
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 5: FOR THE HOSPITALS' 2022 (TY 2021) CHNA, THE NEVADA INSTITUTE FOR CHILDREN'S RESEARCH AND POLICY WORKED WITH SOUTHERN NEVADA HEALTH DISTRICT TO CONDUCT FOCUS GROUPS WITH SIX SPECIFIC PRIORITY POPULATIONS THROUGHOUT THE SOUTHERN NEVADA REGION. A TOTAL OF SEVEN FOCUS GROUP DISCUSSIONS WERE HELD WITH 70 INDIVIDUALS. AN ADDITIONAL THREE FOCUS GROUPS WERE HELD WITH A TOTAL OF 15 INDIVIDUALS, INCLUDING THOSE EXPERIENCING HOMELESSNESS, MEMBERS OF THE LGBTQ+ COMMUNITY, PARENTS OF YOUNG CHILDREN, ADULTS AGED 55 AND OLDER, PEOPLE WHO PRIMARILY SPEAK SPANISH, AND MEMBERS OF THE BLACK/AFRICAN AMERICAN COMMUNITY. THE HOSPITALS ALSO CONSULTED WITH KEY INFORMANTS FROM THE FOLLOWING ORGANIZATIONS: SOUTHERN NEVADA HEALTH DISTRICT PUBLIC HEALTH ADVISORY BOARD, OFFICE OF COMMUNICATIONS OFFICE OF EPIDEMIOLOGY & DISEASE SURVEILLANCE, THE NEVADA INSTITUTE FOR CHILDREN'S RESEARCH AND POLICY, A COMPLETE CARE SUPPORT SERVICES, AMERICAN HEART ASSOCIATION AMERICAN LUNG ASSOCIATION, BRIDGE COUNSELING ASSOCIATES, CENTER FOR BEHAVIORAL HEALTH, CENTER FOR PROGRESSIVE POLICY, CHILDREN'S HEART CENTER, CITY OF HENDERSON, CLARK COUNTY MEDICAL SOCIETY ALLIANCE, CLARK COUNTY PARKS AND RECREATION, DESERT SPRINGS HOSPITAL, COMAGINE HEALTH, COMMUNITY COUNSELING CENTER OF SOUTHERN NEVADA, DIGNITY HEALTH ST ROSE DOMINICAN, DISTRICT REP CONGRESSWOMAN DINA TITUS OFFICE, DOLCRX PHARMACY, FRESENIUS DIALYSIS, GARDEN FARMS FOUNDATION, HEALTH CARE FOR HOMELESS VETERANS, HELPING HANDS OF VEGAS VALLEY, IMMUNIZE NEVADA, LAS VEGAS HIDTA, LAS VEGAS METRO POLICE DEPARTMENT, NEVADA DRUG CARD, NEVADA MINORITY HEALTH & EQUITY COALITION, NEVADA OFFICE OF MINORITY HEALTH AND EQUITY, NEVADA STATE COLLEGE SCHOOL OF NURSING, PACT COALITION, RAPE CRISIS CENTER, REGIONAL TRANSPORTATION COMMISSION OF SOUTHERN NEVADA, ROSEMAN UNIVERSITY, SOUTHERN NEVADA ASSOCIATION OF PRIDE, THERE IS NO HERO IN HEROIN, THREE SQUARE, UNITED CITIZENS FOUNDATION, UNIVERSITY OF NEVADA, COOPERATIVE EXTENSION, UNIVERSITY OF NEVADA LAS VEGAS SCHOOL OF MEDICINE, UNIVERSITY OF NEVADA LAS VEGAS SCHOOL OF PUBLIC HEALTH, WEST CARE.
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 6A: ST. ROSE DOMINICAN HOSPITAL - SAN MARTIN CAMPUS, ST. ROSE DOMINICAN HOSPITAL - ROSE DE LIMA CAMPUS, ST. ROSE DOMINICAN HOSPITAL SIENA CAMPUS, DE CRAIG RANCH LLC DBA DIGNITY HEALTH ST. ROSE DOMINICAN NORTH LAS VEGAS, DE BLUE DIAMOND LLC DBA DIGNITY HEALTH ST. ROSE DOMINICAN BLUE DIAMOND, DE FLAMINGO LLC DBA DIGNITY HEALTH ST. ROSE DOMINICAN WEST FLAMINGO, DE SAHARA LLC DBA DIGNITY HEALTH ST. ROSE DOMINICAN SAHARA, DIGNITY HEALTH REHABILITATION HOSPITAL (SIENA CAMPUS)
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 6B: SOUTHERN NEVADA HEALTH DISTRICT
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 7D: THE CHNA WAS MADE WIDELY AVAILABLE BY A NUMBER OF ADDITIONAL MEANS, INCLUDING: DIGNITY HEALTH COMMUNITY HEALTH ADVISORY COMMITTEE, SOUTHERN NEVADA HEALTH DISTRICT COMMUNITY HEALTH IMPROVEMENT PLANNING COMMITTEE, SOUTHERN NEVADA HEALTH DISTRICT PRESS CONFERENCE, SOUTHERN NEVADA HEALTH DISTRICT CHA PARTNERS, RELIGIOUS LEADER SUMMIT PRESENTATIONS, UNLV INTERN PRESENTATION, HEAL WITH HUMANKINDNESS E-NEWSLETTER, PATIENT AND FAMILY ADVISORY COUNCIL, SOCIAL MEDIA POSTINGS, ST. ROSE INSIGHTS EMPLOYEE NEWSLETTER.
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 11: THE HOSPITALS ARE TAKING SEVERAL ACTIONS AND DEDICATING RESOURCES TO HELP ADDRESS ALL OF THE IDENTIFIED SIGNIFICANT NEEDS, INCLUDING: ACCESS TO CARE: NEVADA HEALTH LINK & MEDICAID ENROLLMENT, MEDICARE ASSISTANCE PROGRAM, HELPING HANDS PROGRAM, ENGELSTAD FOUNDATION RED ROSE PROGRAM NAVIGATION, PATHWAYS COMMUNITY HUB, GME FAMILY & INTERNAL MEDICINE RESIDENT CLINICS, PATIENT FINANCIAL ASSISTANCE, COMMUNITY HEALTH IMPROVEMENT GRANTEES. CHRONIC DISEASE: DIABETES LIFESTYLE CENTER, HIV PROGRAM, INNOVATIVE HEART HEALTH, COGNITIVE STIMULATION THERAPY, CHRONIC DISEASE SELF MANAGEMENT PROGRAMS, COPD BETTER BREATHERS, BREAST CANCER, PATHWAYS COMMUNITY HUB, MENTAL & BEHAVIORAL HEALTH, CHRONIC DISEASE PREVENTION PROGRAMS. TRANSPORTATION: HELPING HANDS OF HENDERSON, GOLDEN GROCERY, PATHWAYS COMMUNITY HUB, COMMUNITY HEALTH IMPROVEMENT GRANTEES. FUNDING: LEGISLATIVE ADVOCACY, PATHWAYS COMMUNITY HUB, GRANT WRITING, COLLABORATIVE PARTNERSHIPS, COMMUNITY HEALTH IMPROVEMENT GRANTEES.
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 13H: THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF TEN DOLLARS ($10.00) WITH THE COMMONSPIRIT HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. IF APPLICABLE, PATIENTS/GUARANTORS WITH BALANCES BELOW TEN DOLLARS ($10.00) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS.THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION.PATIENT COOPERATION STANDARDS - A PATIENT MUST COOPERATE WITH THE HOSPITAL FACILITY IN PROVIDING THE INFORMATION AND DOCUMENTATION NECESSARY TO DETERMINE ELIGIBILITY. SUCH COOPERATION INCLUDES COMPLETING ANY REQUIRED APPLICATIONS OR FORMS. THE PATIENT IS RESPONSIBLE FOR NOTIFYING THE HOSPITAL FACILITY OF ANY CHANGE IN FINANCIAL SITUATION THAT WOULD IMPACT THE ASSESSMENT OF ELIGIBILITY. A PATIENT MUST EXHAUST ALL OTHER PAYMENT OPTIONS, INCLUDING PRIVATE COVERAGE, FEDERAL, STATE AND LOCAL MEDICAL ASSISTANCE PROGRAMS, AND OTHER FORMS OF ASSISTANCE PROVIDED BY THIRD PARTIES PRIOR TO BEING APPROVED. AN APPLICANT FOR FINANCIAL ASSISTANCE IS RESPONSIBLE FOR APPLYING TO PUBLIC PROGRAMS FOR AVAILABLE COVERAGE. HE OR SHE IS ALSO EXPECTED TO PURSUE PUBLIC OR PRIVATE HEALTH INSURANCE PAYMENT OPTIONS FOR CARE PROVIDED BY A COMMONSPIRIT HOSPITAL ORGANIZATION WITHIN A HOSPITAL FACILITY. A PATIENT'S AND, IF APPLICABLE, ANY GUARANTOR'S COOPERATION IN APPLYING FOR APPLICABLE PROGRAMS AND IDENTIFIABLE FUNDING SOURCES, INCLUDING COBRA COVERAGE (A FEDERAL LAW ALLOWING FOR A TIME-LIMITED EXTENSION OF EMPLOYEE HEALTHCARE BENEFITS), SHALL BE REQUIRED. IF A HOSPITAL FACILITY DETERMINES THAT COBRA COVERAGE IS POTENTIALLY AVAILABLE, AND THAT A PATIENT IS NOT A MEDICARE OR MEDICAID BENEFICIARY, THE PATIENT OR GUARANTOR SHALL PROVIDE THE HOSPITAL FACILITY WITH INFORMATION NECESSARY TO DETERMINE THE MONTHLY COBRA PREMIUM FOR SUCH PATIENT, AND SHALL COOPERATE WITH HOSPITAL FACILITY STAFF TO DETERMINE WHETHER HE OR SHE QUALIFIES FOR HOSPITAL FACILITY COBRA PREMIUM ASSISTANCE, WHICH MAY BE OFFERED FOR A LIMITED TIME TO ASSIST IN SECURING INSURANCE COVERAGE. A HOSPITAL FACILITY SHALL MAKE AFFIRMATIVE EFFORTS TO HELP A PATIENT OR PATIENT'S GUARANTOR APPLY FOR PUBLIC AND PRIVATE PROGRAMS.
PART V, SECTION B FACILITY REPORTING GROUP B
FACILITY REPORTING GROUP B CONSISTS OF: - FACILITY 2: MERCY SAN JUAN MEDICAL CENTER, - FACILITY 4: MERCY GENERAL HOSPITAL, - FACILITY 7: DOMINICAN HOSPITAL, - FACILITY 10: MERCY HOSPITAL (BAKERSFIELD), - FACILITY 13: MERCY MEDICAL CENTER MERCED, - FACILITY 14: MERCY HOSPITAL OF FOLSOM
FACILITY REPORTING GROUP B PART V, SECTION B, LINE 5: MERCY SAN JUAN MEDICAL CENTER, MERCY GENERAL HOSPITAL, MERCY HOSPITAL OF FOLSOMFOR THE 2022 (TY 2021) CHNA REPORT, QUALITATIVE DATA INCLUDED INTERVIEWS WITH 87 COMMUNITY HEALTH EXPERTS, MEMBERS OF THE COUNTY'S DEPARTMENT OF PUBLIC HEALTH, SOCIAL-SERVICE PROVIDERS THAT REPRESENTED MEDICALLY UNDERSERVED POPULATIONS, AND MEDICAL PERSONNEL IN ONE-ON-ONE AND GROUP INTERVIEWS; 31 ADDITIONAL COMMUNITY SERVICE PROVIDERS GAVE INPUT THROUGH AN ONLINE SURVEY. ALL INTERVIEW PARTICIPANTS WERE GIVEN AN INFORMED CONSENT FORM PRIOR TO THEIR PARTICIPATION, WHICH PROVIDED INFORMATION ABOUT THE PROJECT, ASKED FOR PERMISSION TO RECORD THE INTERVIEW, AND LISTED THE POTENTIAL BENEFITS AND RISKS OF INVOLVEMENT IN THE INTERVIEW. ALL KEY INFORMANTS WERE ASKED TO IDENTIFY VULNERABLE POPULATIONS. FURTHER, 57 COMMUNITY RESIDENTS PARTICIPATED IN 11 FOCUS GROUPS ACROSS THE COUNTY; FOCUS GROUPS PARTICIPANTS CONSISTED OF COMMUNITY RESIDENTS LIVING IN IDENTIFIED COMMUNITIES OF CONCERN OR REPRESENTING COMMUNITIES EXPERIENCING HEALTH DISPARITIES. DUE TO THE COVID-19 PANDEMIC ALL COMMUNITY INPUT FOR THE 2022 CHNA REPORT WAS PROVIDED OVER ZOOM, AND SURVEYS WERE RECEIVED ELECTRONICALLY.DOMINICAN HOSPITALFOR THE 2022 (TY 2021) CHNA REPORT, KEY INFORMANT INTERVIEWS AND FOCUS GROUPS WERE CONDUCTED, WITH INPUT SOLICITED FROM 26 COMMUNITY LEADERS AND REPRESENTATIVES OF VARIOUS ORGANIZATIONS AND SECTORS. THESE REPRESENTATIVES EITHER WORK IN THE HEALTH FIELD OR IN A COMMUNITY BASED ORGANIZATION THAT FOCUSES ON IMPROVING HEALTH AND QUALITY OF LIFE CONDITIONS BY SERVING THOSE FROM IRS IDENTIFIED HIGH NEED TARGET POPULATIONS. ORGANIZATIONS REPRESENTED INCLUDED: SANTA CRUZ COMMUNITY HEALTH, ENCOMPASS COMMUNITY SERVICES, JANUS OF SANTA CRUZ, CENTRAL CALIFORNIA ALLIANCE FOR HEALTH, SALUD PARA LA GENTE, HOUSING MATTERS, SANTA CRUZ COUNTY HEALTH SERVICES AGENCY, COMMUNITY BRIDGES, AND COMMUNITY ACTION BOARD.MERCY HOSPITAL BAKERSFIELDFOR THE 2022 (TY 2021) CHNA REPORT, MERCY HOSPITALS CONDUCTED INTERVIEWS WITH COMMUNITY STAKEHOLDERS TO OBTAIN INPUT ON HEALTH NEEDS, BARRIERS TO CARE AND RESOURCES AVAILABLE TO ADDRESS THE IDENTIFIED HEALTH NEEDS. THIRTY (30) INTERVIEWS WERE COMPLETED FROM OCTOBER TO DECEMBER 2021. COMMUNITY STAKEHOLDERS IDENTIFIED BY THE HOSPITALS WERE CONTACTED AND ASKED TO PARTICIPATE IN THE INTERVIEWS. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, OR LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY. EXAMPLES OF THE ORGANIZATIONS CONSULTED INCLUDE: KERN COUNTY DEPARTMENT OF PUBLIC HEALTH, KERN HEALTH SYSTEMS, FIRST 5 KERN COUNTY, COMMUNITY ACTION PARTNERSHIP OF KERN COUNTY, KERN COUNTY SUPERINTENDENT OF SCHOOLS, BAKERSFIELD HOMELESS CENTER, AND ALZHEIMER'S ASSOCIATION, KERN COUNTY. A SURVEY WAS DISTRIBUTED TO ENGAGE COMMUNITY RESIDENTS AND OBTAIN INPUT ON HEALTH AND SOCIAL NEEDS. THE SURVEY WAS AVAILABLE IN AN ELECTRONIC FORMAT THROUGH A SURVEYMONKEY LINK, AND IN A PAPER COPY FORMAT. THE ELECTRONIC AND PAPER SURVEYS WERE AVAILABLE IN ENGLISH AND SPANISH. THE SURVEYS WERE AVAILABLE FROM SEPTEMBER 13 TO NOVEMBER 15, 2021. DURING THIS TIME, 255 USABLE SURVEYS WERE COLLECTED.MERCY MEDICAL CENTER MERCEDMERCY MEDICAL CENTER MERCED'S 2022 (TY 2021) CHNA INCLUDED OVER 250 KEY INFORMANTS, STAKEHOLDERS AND RESIDENTS IN THE COMMUNITY. A SURVEY INSTRUMENT WAS BASED LARGELY ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), AS WELL AS VARIOUS OTHER PUBLIC HEALTH SURVEYS AND CUSTOMIZED QUESTIONS ADDRESSING GAPS IN INDICATOR DATA RELATIVE TO HEALTH PROMOTION AND DISEASE PREVENTION OBJECTIVES AND OTHER RECOGNIZED HEALTH ISSUES. TO ENSURE THE BEST REPRESENTATION OF THE POPULATION, A MIXED-MODE METHODOLOGY WAS IMPLEMENTED. THIS INCLUDED SURVEYS CONDUCTED VIA TELEPHONE (LANDLINE AND CELL PHONE), AS WELL AS THROUGH ONLINE QUESTIONNAIRES. THE SAMPLE DESIGN CONSISTED OF A RANDOM SAMPLE OF MERCED COUNTY RESIDENT INDIVIDUALS AGE 18 AND OLDER. ONCE THE INTERVIEWS WERE COMPLETED, THESE WERE WEIGHTED IN PROPORTION TO THE COUNTY'S ACTUAL POPULATION DISTRIBUTION. TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS IMPLEMENTED. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY MERCY MEDICAL CENTER MERCED AND VALLEY CHILDREN'S HOSPITAL. PARTICIPATING ORGANIZATIONS INCLUDED 32 PUBLIC HEALTH REPRESENTATIVES, 5 HEALTH CARE PROVIDERS, 25 SOCIAL SERVICE PROVIDERS, AND 7 OTHER COMMUNITY LEADERS. THE LIST OF ORGANIZATIONS IS INCLUDED IN THE CHNA REPORT.
FACILITY REPORTING GROUP B PART V, SECTION B, LINE 6A: MERCY SAN JUAN MEDICAL CENTER, MERCY HOSPITAL OF FOLSOM, MERCY GENERAL HOSPITAL, AND METHODIST HOSPITAL OF SACRAMENTO, UC DAVIS MEDICAL CENTER, SUTTER MEDICAL CENTER SACRAMENTO, SUTTER CENTER FOR PSYCHIATRYDOMINICAN HOSPITALSUTTER MATERNITY & SURGERY CENTERMERCY HOSPITAL BAKERSFIELDBAKERSFIELD MEMORIAL HOSPITAL, KERN MEDICAL, ADVENTIST HEALTH (BAKERSFIELD, DELANO AND TEHACHAPI VALLEY), VALLEY CHILDREN'S HEALTHCARE AND KAISER PERMANENTEMERCY MEDICAL CENTER MERCEDVALLEY CHILDREN'S HOSPITAL
FACILITY REPORTING GROUP B PART V, SECTION B, LINE 11: MERCY SAN JUAN MEDICAL CENTER, MERCY GENERAL HOSPITAL, MERCY HOSPITAL OF FOLSOM: THE SACRAMENTO HOSPITALS ARE ADDRESSING OR DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ACCESS TO MENTAL, BEHAVIORAL, AND SUBSTANCE ABUSE SERVICES, 2) ACCESS TO BASIC NEEDS, SUCH AS HOUSING, JOBS, AND FOOD, 3) ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES, 4) SYSTEM NAVIGATION, 5) INJURY AND DISEASE PREVENTION AND MANAGEMENT, 6) HEALTH EQUITY: EQUAL ACCESS TO OPPORTUNITIES TO BE HEALTHY, 7) ACTIVE LIVING AND HEALTHY EATING, 8) SAFE AND VIOLENCE-FREE ENVIRONMENT, 9) INCREASED COMMUNITY CONNECTIONS, 10) ACCESS TO SPECIALTY AND EXTENDED CARE. INITIATIVES THAT ADDRESS THESE PRIORITIES LARGELY TARGET VULNERABLE AND AT-RISK POPULATIONS, WITH EMPHASIS ON COLLABORATION WITH OTHER DIGNITY HEALTH HOSPITALS AND COMMUNITY PARTNERS. THE HOSPITALS ARE ADDRESSING THESE NEEDS WITH NUMEROUS DIRECT SERVICE PROGRAMS, GRANT FUNDING TO THE COMMUNITY, PATIENT FINANCIAL ASSISTANCE, AND COMMUNITY PARTNERSHIPS DESCRIBED IN DETAIL IN EACH FACILITY'S IMPLEMENTATION STRATEGY, WHICH ARE AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS AT THESE HOSPITALS INCLUDE: REFERNET INTENSIVE OUTPATIENT MENTAL HEALTH PARTNERSHIP, SACRAMENTO COUNTY CRISIS NAVIGATION PROGRAM, SUBSTANCE USE NAVIGATION, MENTAL HEALTH CONSULTATIONS AND CONSERVATORSHIP SERVICES, TELE-PSYCHIATRY, CRISIS STABILIZATION UNIT, GREGORY BUNKER CARE TRANSITIONS CENTER OF EXCELLENCE (FORMERLY, INTERIM CARE PROGRAM), HOUSING WITH DIGNITY, RESOURCES FOR LOW-INCOME PATIENTS, RESOURCES FOR HOMELESS PATIENTS, HEALTHCARE AND HOMELESSNESS PILOT PROGRAM, CARE FOR HTE UNDOCUMENTED, MERCY FAMILY RESIDENCY PROGRAM, PATIENT NAVIGATOR PROGRAM, HEALTH PROFESSION EDUCATION - OTHER, HEALTH PROFESSION EDUCATION - NURSING, ONCOLOGY NURSE NAVIGATOR, HEALTHIER LIVING PROGRAM, FALLS PREVENTION PROGRAM, MERCY FAITH AND HEALTH PARTNERSHIP, DISEASE-SPECIFIC SUPPORT GROUPS, COMMUNITY BASED VIOLENCE PREVENTION PROGRAM, SACRAMENTO PHYSICIANS' INITIATIVE TO REACH OUT, INNOVATE AND TEACH (SPIRIT), SAFE KIDS PROGRAM AND DIGNITY HEALTH COMMUNITY HEALTH IMPROVEMENT GRANTS PROGRAM. THE HOSPITALS DO NOT HAVE THE CAPACITY OR RESOURCES TO ADDRESS ALL PRIORITY HEALTH ISSUES. THE HOSPITALS ARE NOT ADDRESSING ACCESS TO FUNCTIONAL NEEDS, ACCESS TO DENTAL CARE AND PREVENTIVE SERVICES, AND HEALTHY PHYSICAL ENVIRONMENT, AS THESE PRIORITIES ARE BEYOND THE CAPACITY AND EXPERTISE OF MERCY HOSPITAL OF FOLSOM, MERCY SAN JUAN MEDICAL CENTER, AND MERCY GENERAL HOSPITAL. HOWEVER, THE HOSPITALS WILL LOOK FOR OPPORTUNITIES TO COORDINATE AND COLLABORATE WITH OTHER ENTITIES THAT OFFER PROGRAMS THAT ADDRESS THESE NEEDS. MOREOVER, THE HOSPITALS HAVE CONTINUOUSLY ENGAGED IN COLLABORATIVE EFFORTS FOCUSING ON DEVELOPMENT OF A BROAD CLINICAL AND SOCIOECONOMIC PLANS WITH MULTI-DISCIPLINARY PARTNERS FROM HEALTH CARE, BUSINESS, SOCIAL SERVICES, GOVERNMENT, COMMUNITY BASED ORGANIZATIONS AND WIDER SOCIETY.DOMINICAN HOSPITALTHE CHNA IDENTIFIED SIGNIFICANT HEALTH NEEDS OF: BEHAVIORAL HEALTH, HEALTH CARE ACCESS AND DELIVERY, AND ECONOMIC INSECURITY. THE HOSPITAL IS TAKING SEVERAL ACTIONS AND DEDICATED RESOURCES TO ADDRESS THESE NEEDS, INCLUDING:THE HOSPITAL'S PERSONAL ENRICHMENT PROGRAM (PEP), A RESOURCE FOR COMMUNITY HEALTH AND WELLNESS EDUCATION. PEP CLASSES AND PROGRAMS FOCUS ON TOTAL JOINT CARE, CHILDBIRTH AND PARENTING, LIFESTYLE MANAGEMENT, IMPROVING NEUROLOGICAL FUNCTION, EXERCISE AND FITNESS, CANCER RESOURCES, AND HEART HEALTH. THE HOSPITAL'S MOBILE WELLNESS CLINIC, WHICH BENEFITS FROM BILINGUAL STAFF WHO PROVIDE EVALUATION AND TREATMENT OF EPISODIC MEDICAL CONDITIONS, IDENTIFICATION OF MEDICAL HOMES FOR THOSE PATIENTS WITH CHRONIC NEEDS, AND IDENTIFICATION OF SOCIAL SERVICES AND RESOURCES IN THE COMMUNITY. THE MOBILE WELLNESS CLINIC VISITS SIX LOCATIONS EVERY WEEK, MONDAY THROUGH FRIDAY. FUNDING TO JANUS OF SANTA CRUZ, A SUBSTANCE USE DISORDER (SUD) TREATMENT CLINIC, FOR THEIR PROJECT UNITE PROGRAM. THROUGH THIS PROGRAM, A SUBSTANCE ABUSE COUNSELOR MEETS WITH HOSPITAL PATIENTS TO HELP TRANSITION THE PATIENTS TO INPATIENT/OUTPATIENT SUD TREATMENT PROGRAMS IN SANTA CRUZ. AN EMERGENCY DEPARTMENT (ED) NAVIGATOR, WHO MEETS WITH CENTRAL COAST ALLIANCE FOR HEALTH (CCAH) PATIENTS IN THE ED TO HELP CONNECT OR RECONNECT THEM WITH PATIENT CARE PROVIDERS POST HOSPITAL DISCHARGE. SERVICES ALSO INCLUDE PROVISION OF FOOD, CLOTHING, AND MEDICATIONS FOR PATIENTS WHO ARE HOMELESS. THE HOSPITAL'S MEDICAL GUIDANCE AREA, A SPECIALIZED AREA FOR PATIENTS WITH SUBSTANCE ABUSE AND MENTAL HEALTH DISORDERS. A PSYCHIATRIC REGISTERED NURSE (PSYCH RN) IS PRESENT ON THE UNIT AS PART OF THE PSYCHIATRIC RESOURCE TEAM (PRT). THE HOSPITAL'S WELLNESS CENTER ADDRESSES THE NEEDS OF CHRONICALLY ILL AND HIGH-RISK PATIENTS THROUGHOUT THE CONTINUUM OF CARE. WELLNESS CENTER SERVICES WILL PROVIDE AMBULATORY CARE AND SUPPORT TO KEEP PEOPLE OUT OF THE HOSPITAL, AND OFFER OPPORTUNITIES TO MANAGE HIGH-RISK PATIENT GROUPS. PROGRAM WILL OFFER PATIENTS THE FULL SPECTRUM OF CARE, FROM PREVENTIVE TO POST-ACUTE. THE HOSPITAL PROVIDES FINANCIAL SUPPORT TO THE TEEN KITCHEN PROJECT (TKP). TKP PROVIDES MEDICALLY-TAILORED MEALS TO INDIVIDUALS AND FAMILIES IN CRISIS DUE TO A LIFE-THREATENING ILLNESS, PARTICULARLY THOSE WHO ARE LOW INCOME, LACK A SUPPORT NETWORK OF FAMILY OR FRIENDS, OR DO NOT QUALIFY FOR OTHER FREE FOOD SERVICES. TKP'S MEAL DELIVERY SERVICE IS UNIQUE IN THAT THE PROGRAM ENGAGES TEENS (AGES 13-18) AS BOTH VOLUNTEERS AND EMPLOYEES IN PREPARING AND PACKAGING THE MEALS. FUNDING TO SECOND HARVEST FOOD BANK WHICH PROVIDES FOOD TO PEOPLE IN NEED THROUGH A VAST NETWORK OF PARTNER AGENCIES AND NONPROFITS AND DIRECTLY THROUGH FOOD DISTRIBUTION AND NUTRITION EDUCATION AT DOZENS OF PROGRAM SITES. EVERY MONTH, 85,000 LOCAL RESIDENTS COUNT ON THE SECOND HARVEST FOOD BANK TO AVOID MISSING MEALS, EMPTY STOMACHS, AND IMPOSSIBLE CHOICES BETWEEN FOOD, HOUSING, MEDICINE, AND OTHER NECESSITIES. BEYOND CLINICAL HEALTH SERVICES, THE HOSPITAL DOES NOT INTEND TO ADDRESS IDENTIFIED NEEDS OF HOUSING AND HOMELESSNESS, COMMUNITY SAFETY, HEALTH LIFESTYLES, CANCER, HEALTH DISEASE OR UNINTENDED INJURIES/ACCIDENTS. THESE NEEDS ARE NOT BEING BEYOND THE CAPACITY AND SERVICES OF THE HOSPITAL, BEING ADDRESSED BY A NUMBER OF OTHER ORGANIZATIONS IN THE COMMUNITY, OR NOT BEING PRIORITIZED DUE TO LIMITED RESOURCES. MERCY HOSPITAL BAKERSFIELDTHE CHNA SERVED AS THE RESOURCE DOCUMENT FOR THE REVIEW OF HEALTH NEEDS AS IT PROVIDED STATISTICAL DATA ON THE SEVERITY OF ISSUES AND ALSO INCLUDED COMMUNITY INPUT ON THE HEALTH NEEDS. AS WELL, THE COMMUNITY PRIORITIZATION OF THE NEEDS WAS TAKEN INTO CONSIDERATION. AS A RESULT OF THE REVIEW OF NEEDS AND APPLICATION OF THE ABOVE CRITERIA, MERCY HOSPITALS CHOSE TO FOCUS ON: ACCESS TO CARE, CHRONIC DISEASE, FOOD INSECURITY, MENTAL HEALTH, OVERWEIGHT AND OBESITY, PREVENTIVE PRACTICES, AND SUBSTANCE USE. ACCESS TO HEALTH CARE: FINANCIAL ASSISTANCE, CONNECTED COMMUNITY NETWORK, PRESCRIPTION PURCHASING, HOMEMAKER CARE PROGRAM, COMMUNITY WELLNESS PROGRAM, COMMUNITY HEALTH INITIATIVE, COMMUNITY HEALTH IMPROVEMENT GRANTS PROGRAM. CHRONIC DISEASES: CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS, COMMUNITY WELLNESS PROGRAM, COMMUNITY HEALTH IMPROVEMENT GRANTS PROGRAM. FOOD INSECURITY: LEARNING AND OUTREACH CENTERS, CONNECTED COMMUNITY NETWORK, COMMUNITY HEALTH IMPROVEMENT GRANTS PROGRAM. MENTAL HEALTH: ART AND SPIRITUALITY CENTER, MENTAL HEALTH SUPPORT GROUPS, COMMUNITY HEALTH IMPROVEMENT GRANTS PROGRAM. OVERWEIGHT AND OBESITY: HEALTHY KIDS IN HEALTHY HOMES, COMMUNITY WELLNESS PROGRAM, COMMUNITY HEALTH IMPROVEMENT GRANTS PROGRAM. PREVENTIVE PRACTICES: COMMUNITY WELLNESS PROGRAM, COMMUNITY HEALTH IMPROVEMENT GRANTS PROGRAM. SUBSTANCE USE: ANTI-VAPING PROGRAM, EMERGENCY DEPARTMENT SUBSTANCE USE NAVIGATOR PROGRAM, COMMUNITY HEALTH IMPROVEMENT GRANTS PROGRAM. TAKING EXISTING HOSPITAL AND COMMUNITY RESOURCES INTO CONSIDERATION, MERCY HOSPITALS WILL NOT DIRECTLY ADDRESS DENTAL CARE, ECONOMIC INSECURITY, ENVIRONMENTAL CONDITIONS, HOUSING AND HOMELESSNESS, PREGNANCY AND BIRTH OUTCOMES, SEXUALLY TRANSMITTED INFECTIONS, VIOLENCE PREVENTION AND UNINTENTIONAL INJURIES AS PRIORITY HEALTH NEEDS. ADDITIONALLY, THE HOSPITAL DOES NOT INTEND TO EMPHASIZE COMMUNITY COVID-19 INTERVENTIONS AT THIS POINT IN THE PANDEMIC, BUT WILL CONTINUE TO DELIVER ACUTE MEDICAL CARE TO ADDRESS COVID-19. KNOWING THERE ARE NOT SUFFICIENT RESOURCES TO ADDRESS ALL THE COMMUNITY HEALTH NEEDS, MERCY HOSPITALS CHOSE TO CONCENTRATE ON THOSE HEALTH NEEDS THAT CAN MOST EFFECTIVELY BE ADDRESSED GIVEN THE ORGANIZATION'S AREAS OF FOCUS AND EXPERTISE. THE HOSPITALS HAVE INSUFFICIENT RESOURCES TO EFFECTIVELY ADDRESS ALL THE IDENTIFIED NEEDS AND, IN SOME CASES, THE NEEDS ARE CURRENTLY ADDRESSED BY OTHERS IN THE COMMUNITY.***SEE PART V, SECTION B, LINE 11 CONTINUATION AFTER PART V, SECTION B, LINE 10A***
FACILITY REPORTING GROUP B PART V, SECTION B, LINE 13H: THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF TEN DOLLARS ($10.00) WITH THE COMMONSPIRIT HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. IF APPLICABLE, PATIENTS/GUARANTORS WITH BALANCES BELOW TEN DOLLARS ($10.00) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS.THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION.PATIENT COOPERATION STANDARDS - A PATIENT MUST COOPERATE WITH THE HOSPITAL FACILITY IN PROVIDING THE INFORMATION AND DOCUMENTATION NECESSARY TO DETERMINE ELIGIBILITY. SUCH COOPERATION INCLUDES COMPLETING ANY REQUIRED APPLICATIONS OR FORMS. THE PATIENT IS RESPONSIBLE FOR NOTIFYING THE HOSPITAL FACILITY OF ANY CHANGE IN FINANCIAL SITUATION THAT WOULD IMPACT THE ASSESSMENT OF ELIGIBILITY. A PATIENT MUST EXHAUST ALL OTHER PAYMENT OPTIONS, INCLUDING PRIVATE COVERAGE, FEDERAL, STATE AND LOCAL MEDICAL ASSISTANCE PROGRAMS, AND OTHER FORMS OF ASSISTANCE PROVIDED BY THIRD PARTIES PRIOR TO BEING APPROVED. AN APPLICANT FOR FINANCIAL ASSISTANCE IS RESPONSIBLE FOR APPLYING TO PUBLIC PROGRAMS FOR AVAILABLE COVERAGE. HE OR SHE IS ALSO EXPECTED TO PURSUE PUBLIC OR PRIVATE HEALTH INSURANCE PAYMENT OPTIONS FOR CARE PROVIDED BY A COMMONSPIRIT HOSPITAL ORGANIZATION WITHIN A HOSPITAL FACILITY. A PATIENT'S AND, IF APPLICABLE, ANY GUARANTOR'S COOPERATION IN APPLYING FOR APPLICABLE PROGRAMS AND IDENTIFIABLE FUNDING SOURCES, INCLUDING COBRA COVERAGE (A FEDERAL LAW ALLOWING FOR A TIME-LIMITED EXTENSION OF EMPLOYEE HEALTHCARE BENEFITS), SHALL BE REQUIRED. IF A HOSPITAL FACILITY DETERMINES THAT COBRA COVERAGE IS POTENTIALLY AVAILABLE, AND THAT A PATIENT IS NOT A MEDICARE OR MEDICAID BENEFICIARY, THE PATIENT OR GUARANTOR SHALL PROVIDE THE HOSPITAL FACILITY WITH INFORMATION NECESSARY TO DETERMINE THE MONTHLY COBRA PREMIUM FOR SUCH PATIENT, AND SHALL COOPERATE WITH HOSPITAL FACILITY STAFF TO DETERMINE WHETHER HE OR SHE QUALIFIES FOR HOSPITAL FACILITY COBRA PREMIUM ASSISTANCE, WHICH MAY BE OFFERED FOR A LIMITED TIME TO ASSIST IN SECURING INSURANCE COVERAGE. A HOSPITAL FACILITY SHALL MAKE AFFIRMATIVE EFFORTS TO HELP A PATIENT OR PATIENT'S GUARANTOR APPLY FOR PUBLIC AND PRIVATE PROGRAMS.THE FOLLOWING REQUIREMENTS FOR ADDITIONAL HARDSHIP DISCOUNTS IS AN ADDENDUM OF THE FINANCIAL ASSISTANCE POLICY THAT APPLY TO PATIENTS RECEIVING SERVICES AT A COMMONSPIRIT HOSPITAL ORGANIZATION IN THE STATE OF CALIFORNIA ONLY.A PATIENT WHO RECEIVES DISCOUNTED CARE, BUT (1) WHOSE LIABILITY STILL EXCEEDS 30% OF THE SUM OF (A) HIS OR HER FAMILY INCOME, AND (B) HIS OR HER MONETARY ASSETS, AND (2) WHO DOES NOT HAVE THE ABILITY TO PAY HIS OR HER BILL, AS DETERMINED BY A REVIEW OF FACTORS SUCH AS PROJECTED FAMILY INCOME FOR THE COMING YEAR AND EXISTING OR ANTICIPATED HEALTH CARE LIABILITIES MAY BE GIVEN AN ADDITIONAL HARDSHIP DISCOUNT. FOR PURPOSES OF THE DETERMINATION OF THIS HARDSHIP DISCOUNT, THE COMMONSPIRIT HOSPITAL ORGANIZATION WILL NOT CONSIDER ASSETS IN RETIREMENT PLANS QUALIFIED UNDER THE INTERNAL REVENUE CODE IN EFFECT AT THE TIME OF THE DETERMINATION OR DEFERRED COMPENSATION PLANS.IF THE PATIENT MEETS ALL ELIGIBILITY CRITERIA, THE PATIENT WILL RECEIVE A HARDSHIP DISCOUNT, WHICH WILL REDUCE THE PATIENT'S REMAINING LIABILITY TO NO MORE THAN 30% OF THE SUM OF HIS OR HER (1) PATIENT FAMILY INCOME, AND (2) MONETARY ASSETS.A PATIENT MAY ALSO RECEIVE DISCOUNTS OR WAIVERS UNDER THIS ADDENDUM IF CONSIDERED HOMELESS OR TRANSIENT OR IF THEY PARTICIPATE IN A FEDERAL, STATE, OR LOCAL MANAGED INDIGENT CARE PROGRAM.
PART V, SECTION B FACILITY REPORTING GROUP C
FACILITY REPORTING GROUP C CONSISTS OF: - FACILITY 1: ST JOSEPH'S HOSPITAL AND MEDICAL CENTER, - FACILITY 9: MERCY GILBERT MEDICAL CENTER, - FACILITY 20: ST JOSEPH'S WESTGATE MEDICAL CENTER
FACILITY REPORTING GROUP C PART V, SECTION B, LINE 5: ST JOSEPH'S HOSPITAL AND MEDICAL CENTER, MERCY GILBERT MEDICAL CENTER, ST JOSEPH'S WESTGATE MEDICAL CENTERFOR THE 2022 (TY 2021) CHNA, HEALTH NEEDS WERE IDENTIFIED THROUGH THE COMBINED ANALYSIS OF PRIMARY AND SECONDARY DATA WITH FOUR ROUNDS OF COMMUNITY INPUT. PRIMARY DATA SOURCES INCLUDE COMMUNITY SURVEYS AND FOCUS GROUPS. THE HOSPITALS PARTNERED WITH MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH TO RECRUIT MEMBERS OF DIVERSE COMMUNITIES TO TAKE THE SURVEYS. IN BOTH ROUNDS OF DATA COLLECTION, FOCUS GROUPS INCLUDED REPRESENTATIVES OF MINORITY AND UNDERSERVED POPULATIONS WHO IDENTIFIED COMMUNITY CONCERNS AND ASSETS. A TOTAL OF 85 FOCUS GROUPS WERE HELD AND 26,273 COMMUNITY SURVEYS WERE COMPLETED THROUGHOUT THE PROCESS. FINALLY, A SERIES OF MEETINGS WERE HELD WITH KEY STAKEHOLDERS FROM THE HOSPITALS' PRIMARY SERVICE AREA. MEMBERS OF THE 'COMMUNITY BENEFIT AND HEALTH EQUITY COMMITTEE AND THE 'HEALTH EQUITY ALLIANCE' PROVIDED INPUT ON THE SELECTION OF DATA INDICATORS, PROVIDED FEEDBACK ON DATA COLLECTED, AND AIDED IN THE SELECTION OF FINAL PRIORITIES. MEMBERSHIP OF THE COMMITTEES AND COLLABORATIONS INTENTIONALLY REPRESENT VULNERABLE AND DISENFRANCHISED POPULATIONS INCLUDING THE HOMELESS, UNINSURED/UNDERINSURED, MEDICAID, MEDICARE, IMMIGRANT, DISABLED, MENTALLY ILL, AND ELDERLY. THE MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH CONTRIBUTED INPUT AS PART OF ITS WORK TO PRODUCE THE CHNA REPORT WITH THE HOSPITALS. THE HOSPITALS SOLICITED INPUT ON THE CHNA PROCESS FROM THE COMMUNITY HEALTH COMMITTEE THAT INCLUDED THE FOLLOWING AGENCIES: ABOUT CARE, HUSHABYE NURSERY, AMANDA HOPE RAINBOW ANGELS, ICAN: POSITIVE PROGRAMS FOR YOUTH, AMPLIFY PEACE, INTEL, ASTER AGING INC., LALOBOY FOUNDATION, AZCEND, LIGHTHOUSE PSYCHIATRY, CANCER SUPPORT COMMUNITY ARIZONA, MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH, CECE'S HOPE, CENTER MERCY CARE, CHANDLER CARE CENTER, MESA CHAMBER OF COMMERCE, CHANDLER CHILDREN'S MEDICAL AND DENTAL CLINIC, MISSION OF MERCY OF ARIZONA, CHANDLER UNIFIED SCHOOL DISTRICT, NOTMYKID, CHILD CRISIS ARIZONA, POSITIVE PATHS FOR WOMEN EAST VALLEY, CITY OF CHANDLER, QUEEN CREEK CHAMBER OF COMMERCE, FIRST INTERNATIONAL BANK & TRUST RAYHONS FINANCIAL, FOUNDATION FOR SENIOR LIVING, TEEN UNITY BOARD, HELP & HOPE FOR YOUTH, TOWN OF GILBERT - COUNCILMEMBER, HOPE FOR ADDICTION, UCSF.
FACILITY REPORTING GROUP C PART V, SECTION B, LINE 6A: DIGNITY HEALTH ST JOSEPH'S HOSPITAL AND MEDICAL CENTER, ST. JOSEPH'S WESTGATE MEDICAL CENTER, ARIZONA GENERAL HOSPITAL (LAVEEN AND MESA), CHANDLER REGIONAL MEDICAL CENTER, MERCY GILBERT MEDICAL CENTER, SOUTHWEST ORTHOPEDIC & SPINE HOSPITAL, ARIZONA SPINE AND JOINT HOSPITAL, ARIZONA ORTHOPEDIC SURGICAL HOSPITAL, DIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL, MAYO CLINIC HOSPITAL, PHOENIX CHILDREN'S HOSPITAL, BANNER HEALTH
FACILITY REPORTING GROUP C PART V, SECTION B, LINE 6B: NATIVE HEALTH, NEIGHBORHOOD OUTREACH ACCESS TO HEALTH, VALLEYWISE HEALTH, HEALTH IMPROVEMENT PARTNERSHIP OF MARICOPA COUNTY, MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH
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
FACILITY REPORTING GROUP C PART V, SECTION B, LINE 13H: THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF TEN DOLLARS ($10.00) WITH THE COMMONSPIRIT HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. IF APPLICABLE, PATIENTS/GUARANTORS WITH BALANCES BELOW TEN DOLLARS ($10.00) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS.THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION.PATIENT COOPERATION STANDARDS - A PATIENT MUST COOPERATE WITH THE HOSPITAL FACILITY IN PROVIDING THE INFORMATION AND DOCUMENTATION NECESSARY TO DETERMINE ELIGIBILITY. SUCH COOPERATION INCLUDES COMPLETING ANY REQUIRED APPLICATIONS OR FORMS. THE PATIENT IS RESPONSIBLE FOR NOTIFYING THE HOSPITAL FACILITY OF ANY CHANGE IN FINANCIAL SITUATION THAT WOULD IMPACT THE ASSESSMENT OF ELIGIBILITY. A PATIENT MUST EXHAUST ALL OTHER PAYMENT OPTIONS, INCLUDING PRIVATE COVERAGE, FEDERAL, STATE AND LOCAL MEDICAL ASSISTANCE PROGRAMS, AND OTHER FORMS OF ASSISTANCE PROVIDED BY THIRD PARTIES PRIOR TO BEING APPROVED. AN APPLICANT FOR FINANCIAL ASSISTANCE IS RESPONSIBLE FOR APPLYING TO PUBLIC PROGRAMS FOR AVAILABLE COVERAGE. HE OR SHE IS ALSO EXPECTED TO PURSUE PUBLIC OR PRIVATE HEALTH INSURANCE PAYMENT OPTIONS FOR CARE PROVIDED BY A COMMONSPIRIT HOSPITAL ORGANIZATION WITHIN A HOSPITAL FACILITY. A PATIENT'S AND, IF APPLICABLE, ANY GUARANTOR'S COOPERATION IN APPLYING FOR APPLICABLE PROGRAMS AND IDENTIFIABLE FUNDING SOURCES, INCLUDING COBRA COVERAGE (A FEDERAL LAW ALLOWING FOR A TIME-LIMITED EXTENSION OF EMPLOYEE HEALTHCARE BENEFITS), SHALL BE REQUIRED. IF A HOSPITAL FACILITY DETERMINES THAT COBRA COVERAGE IS POTENTIALLY AVAILABLE, AND THAT A PATIENT IS NOT A MEDICARE OR MEDICAID BENEFICIARY, THE PATIENT OR GUARANTOR SHALL PROVIDE THE HOSPITAL FACILITY WITH INFORMATION NECESSARY TO DETERMINE THE MONTHLY COBRA PREMIUM FOR SUCH PATIENT, AND SHALL COOPERATE WITH HOSPITAL FACILITY STAFF TO DETERMINE WHETHER HE OR SHE QUALIFIES FOR HOSPITAL FACILITY COBRA PREMIUM ASSISTANCE, WHICH MAY BE OFFERED FOR A LIMITED TIME TO ASSIST IN SECURING INSURANCE COVERAGE. A HOSPITAL FACILITY SHALL MAKE AFFIRMATIVE EFFORTS TO HELP A PATIENT OR PATIENT'S GUARANTOR APPLY FOR PUBLIC AND PRIVATE PROGRAMS.
PART V, SECTION B FACILITY REPORTING GROUP D
FACILITY REPORTING GROUP D CONSISTS OF: - FACILITY 3: MARIAN REGIONAL MEDICAL CENTER, ARROYO GRANDE, - FACILITY 5: MERCY MEDICAL CENTER REDDING, - FACILITY 17: ST ELIZABETH COMMUNITY HOSPITAL
FACILITY REPORTING GROUP D PART V, SECTION B, LINE 5: MARIAN REGIONAL MEDICAL CENTER, ARROYO GRANDEFOR THE 2022 (TY 2021) CHNA REPORT, QUALITATIVE DATA WERE COLLECTED FROM PERSONS REPRESENTING BROAD INTERESTS OF THE COMMUNITY USING VARIOUS METHODS, INCLUDING AN ONLINE SURVEY, FOCUS GROUPS, AND COLLABORATIVE MEETINGS WITH SANTA BARBARA COUNTY PUBLIC HEALTH. IN ORDER TO GAIN A THOROUGH UNDERSTANDING OF THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS LIVING IN MRMC'S PRIMARY SERVICE AREA, AN ORIGINAL COMMUNITY HEALTH SURVEY WAS DEVELOPED. A 38 QUESTION COMMUNITY HEALTH SURVEY SERVED AS A PRIMARY DATA SOURCE. THE COMMUNITY HEALTH SURVEY WAS BASED UPON SELECT QUESTIONS FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM SURVEY QUESTIONNAIRE (BRFSS) AND PREVIOUS CHNA REPORTS PREPARED BY DIGNITY HEALTH. THE FINAL SURVEY WAS DISTRIBUTED IN-PERSON IN THE COMMUNITY AND WAS AVAILABLE ONLINE, TO ADULTS AGE 18 AND OLDER, IN SPANISH, ENGLISH, AND MIXTECO. USING CONVENIENCE SAMPLING (NON-PROBABILITY) METHODS, SURVEY RESPONSES WERE COLLECTED FROM 18 DIFFERENT LOCATIONS WITHIN THE COMMUNITY, INCLUDING CHURCHES, SENIOR CENTERS, COMMUNITY EVENTS, HOMELESS SHELTERS, ETC. SURVEY LOCATIONS WERE SELECTED BASED ON THE PERCEPTION OF BEING ABLE TO ENCOUNTER THE MOST VULNERABLE POPULATIONS, INCLUDING THE MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS. A TOTAL OF 770 INDIVIDUALS INVESTED TEN MINUTES OF THEIR TIME AND COMPLETED THE HEALTH SURVEY IN HOPES OF BETTERING THEIR HEALTH AND BRINGING BETTER PROGRAMS TO THE COMMUNITY.MERCY MEDICAL CENTER REDDINGBUILDING A HEALTHY ENVIRONMENT REQUIRES MULTIPLE STAKEHOLDERS WORKING TOGETHER WITH A COMMON PURPOSE. FOR THE 2022 (TY 2021) CHNA REPORT, MERCY MEDICAL CENTER REDDING CONSULTED WITH COMMUNITY HEALTH INSIGHTS TO CONDUCT THE ASSESSMENT. DATA COLLECTION INCLUDED THE COLLECTION AND ANALYSIS OF BOTH PRIMARY (QUALITATIVE) AND SECONDARY (QUANTITATIVE) DATA. QUALITATIVE DATA INCLUDED ONEONONE AND GROUP INTERVIEWS WITH 16 COMMUNITY HEALTH EXPERTS, SOCIAL SERVICE PROVIDERS, AND MEDICAL PERSONNEL. PARTICIPATING ORGANIZATIONS IN ADDITION TO THE HOSPITAL INCLUDED: SHASTA COUNTY PUBLIC HEALTH AND HHSA, SHASTA COUNTY OFFICE OF EDUCATION, HEALTH ALLIANCE OF NORTHERN CA, HILL COUNTRY COMMUNITY CLINIC, AND SHASTA COMMUNITY HEALTH CENTER. FURTHERMORE, 59 COMMUNITY RESIDENTS OR COMMUNITY SERVICE PROVIDER ORGANIZATIONS PARTICIPATED IN 7 FOCUS GROUPS ACROSS THE SERVICE AREA. ORGANIZATIONS INCLUDED: CHILDREN'S LEGACY CENTER, FIRST 5 SHASTA, NORTHERN CA CENTER, ONE SAFE PLACE, PATHWAYS TO HOPE FOR CHILDREN (PREVIOUSLY SHASTA COUNTY CHILD ABUSE COORDINATING COUNCIL, ANDERSON TEEN CENTER, HUMAN GOOD / MOUNTAIN VISTAS APARTMENTS IN REDDING, NORCAL OUTREACH, SHASTA COUNTY MIEN COMMUNITY /SHASTA COUNTY HEALTH AND HUMAN, AND SERVICES AGENCY. FINALLY, 7 COMMUNITY SERVICE PROVIDERS RESPONDED TO A COMMUNITY SERVICE PROVIDER SURVEY ASKING ABOUT HEALTH NEED IDENTIFICATION AND PRIORITIZATION. SECTORS INCLUDED CHILDREN, SENIORS, SUBSTANCE USE, TRIBAL, AND CLINICS.ST. ELIZABETH COMMUNITY HOSPITALBUILDING A HEALTHY ENVIRONMENT REQUIRES MULTIPLE STAKEHOLDERS WORKING TOGETHER WITH A COMMON PURPOSE. FOR THE 2022 (TY 2021) CHNA REPORT, ST. ELIZABETH COMMUNITY HOSPITAL (SECH) CONSULTED WITH COMMUNITY HEALTH INSIGHTS TO CONDUCT THE ASSESSMENT. DATA COLLECTION INCLUDED THE COLLECTION AND ANALYSIS OF BOTH PRIMARY (QUALITATIVE) AND SECONDARY (QUANTITATIVE) DATA. QUALITATIVE DATA INCLUDED ONEONONE AND GROUP INTERVIEWS WITH 8 COMMUNITY HEALTH EXPERTS, SOCIAL SERVICE PROVIDERS, AND MEDICAL PERSONNEL. PARTICIPATING ORGANIZATIONS IN ADDITION TO THE HOSPITAL INCLUDED: RED BLUFF TEHAMA COUNTY CHAMBER, FAMILY COUNSELING CENTER, EMPOWER TEHAMA, AND TEHAMA COUNTY HEALTH SERVICES. FURTHERMORE, 12 COMMUNITY RESIDENTS OR COMMUNITY SERVICE PROVIDER ORGANIZATIONS PARTICIPATED IN FOCUS GROUPS ACROSS THE COUNTY. THIS INCLUDED: LATINA COMMUNITY MEMBERS, CORNING HEALTHCARE DISTRICT, PASSAGES, ELDER SERVICES COORDINATING COUNCIL AND FIRST 5 TEHAMA.
FACILITY REPORTING GROUP D PART V, SECTION B, LINE 11: MARIAN REGIONAL MEDICAL CENTER, ARROYO GRANDETHE FOLLOWING SIGNIFICANT COMMUNITY HEALTH NEEDS WERE DETERMINED BY THE 2022 CHNA REPORT: EDUCATIONAL ATTAINMENT; ACCESS TO PRIMARY HEALTH CARE, BEHAVIORAL HEALTH CARE, AND ORAL HEALTH; AND HEALTH PROMOTION AND PREVENTION. THE HOSPITAL INTENDS TO TAKE SEVERAL ACTIONS AND TO DEDICATE RESOURCES TO HELP ADDRESS EACH OF THESE NEEDS, INCLUDING: EDUCATIONAL ATTAINMENT; EXPANDED PHYSICIAN MENTORING PROGRAM FOR LOCAL HIGH SCHOOL STUDENTS; HEALTH PROFESSIONS EDUCATION; ACCESS TO PRIMARY HEALTH CARE, BEHAVIORAL HEALTH, AND DENTAL HEALTH; MULTIPLE COMMUNITY HEALTH OUTREACH PROGRAMS PROVIDING FREE PREVENTATIVE SCREENINGS, SUPPORT GROUPS, AND COMMUNITY HEALTH EDUCATION; SUBSTANCE USE NAVIGATION PROGRAM AND A STREET MEDICINE PROGRAM FOR UNSHELTERED INDIVIDUALS; HEALTH PROMOTION AND PREVENTION; MULTIPLE COMMUNITY HEALTH OUTREACH PROGRAMS PROVIDING FREE PREVENTATIVE SCREENINGS, SUPPORT GROUPS, AND COMMUNITY HEALTH EDUCATION. WHILE RESOURCES ARE AVAILABLE TO ADDRESS THE IDENTIFIED NEEDS OF THE COMMUNITY, THE NEEDS ARE TOO SIGNIFICANT FOR ANY ONE ORGANIZATION. MAKING A SUBSTANTIAL AND UPSTREAM IMPACT WILL REQUIRE THE COLLABORATIVE EFFORTS OF COMMUNITY ORGANIZATIONS, LOCAL GOVERNMENT, LOCAL BUSINESS LEADERS, AND OTHER INSTITUTIONS. EVERY PROGRAM IDENTIFIED WILL ENGAGE MULTIPLE, COMMUNITY, NON-GOVERNMENTAL ORGANIZATIONS TO EXECUTE THE PLANNED STRATEGY/PROGRAM SUCH AS: MARIAN FAMILY MEDICINE RESIDENCY PROGRAM, SLO NOOR FREE MEDICAL AND DENTAL CLINICS, MRMC/AGCH CARE COORDINATION AND SOCIAL WORK DEPARTMENTS, ALLIANCE FOR PHARMACEUTICAL ACCESS (APA INC.), MISSION HOPE CANCER CENTER, HEARST CANCER RESOURCE CENTER, PACIFIC CENTRAL COAST HEALTH CENTERS, MRMC COMMUNITY HEALTH DEPARTMENT, HERENCIA INDGENA, SANTA MARIA VALLEY FIGHTING BACK, SANTA BARBARA COUNTY DRUG AND ALCOHOL, GOOD SAMARITAN SHELTER, SAN LUIS COUNTY DRUG AND ALCOHOL, TRANSITIONS MENTAL HEALTH, COMMUNITY COUNSELING CENTER, COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST AND TALLY FARMS. MERCY MEDICAL CENTER REDDINGIN RESPONSE TO THE 2022 CHNA, MERCY MEDICAL CENTER REDDING (MMCR) HAS PRIORITIZED THE FOLLOWING IDENTIFIED NEEDS AND OUTLINED STRATEGIES TO COMPREHENSIVELY MEET THE NEEDS OF OUR COMMUNITY: ACCESS TO MENTAL/BEHAVIORAL HEALTH AND SUBSTANCEUSE SERVICES; ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES; SAFE AND VIOLENCE-FREE ENVIRONMENT. STRATEGIES, PROGRAMS AND ACTIVITIES TO COMPREHENSIVELY MEET THE NEEDS OF OUR COMMUNITY INCLUDE BUT NOT LIMITED TO: MEDICATION FOR INDIGENT PATIENTS; PROVIDE COMMUNITY GRANTS TO LOCAL NON-PROFIT ORGANIZATIONS; TRANSPORTATION SERVICES; SUBSTANCE USE NAVIGATION; COLLABORATION WITH EMPIRE RECOVERY CENTER; VIOLENCE PREVENTION & INTERVENTION; CHW NAVIGATOR (PROPOSED); AND TELE-PSYCHIATRY. MMCR WILL CONTINUE TO LEAN INTO THE ORGANIZATIONS WHO ARE ADDRESSING THE NEEDS AND CONTINUE TO BUILD CAPACITY BY STRENGTHENING PARTNERSHIPS AMONG LOCAL COMMUNITY-BASED ORGANIZATIONS. DUE TO THE MAGNITUDE OF THE NEED AND THE CAPACITY OF MMCR'S ABILITY TO ADDRESS THE NEED, THE IMPLEMENTATION STRATEGY WILL NOT ADDRESS THE FOLLOWING HEALTH NEEDS: ACCESS TO BASIC-NEEDS SUCH AS HOUSING, JOBS AND FOOD; ACCESS TO SPECIALTY AND EXTENDED CARE; INCREASED COMMUNITY CONNECTIONS; SYSTEM NAVIGATION; INJURY AND DISEASE PREVENTION MANAGEMENT; ACCESS TO FUNCTIONAL NEEDS.ST. ELIZABETH COMMUNITY HOSPITALIN RESPONSE TO THE 2022 CHNA, ST. ELIZABETH COMMUNITY HOSPITAL (SECH) HAS PRIORITIZED THE FOLLOWING IDENTIFIED NEEDS AND OUTLINED STRATEGIES TO COMPREHENSIVELY MEET THE NEEDS OF OUR COMMUNITY: ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES; ACCESS TO SPECIALTY AND EXTENDED CARE; ACCESS TO MENTAL/BEHAVIORAL HEALTH AND SUBSTANCEUSE SERVICES; SAFE AND VIOLENCE-FREE ENVIRONMENT (ALTHOUGH NOT DIRECTLY IDENTIFIED AS NEED, THIS IS A REGIONAL APPROACH WITH OUR OTHER NEARBY HOSPITALS). STRATEGIES, PROGRAMS AND ACTIVITIES TO COMPREHENSIVELY MEET THE NEEDS OF OUR COMMUNITY INCLUDE BUT NOT LIMITED TO: MEDICATION FOR INDIGENT PATIENTS; PROVIDE COMMUNITY GRANTS TO LOCAL NON-PROFIT ORGANIZATIONS; TRANSPORTATION SERVICES; AD SUBSTANCE USE NAVIGATION. SECH WILL CONTINUE TO LEAN INTO THE ORGANIZATIONS WHO ARE ADDRESSING THE NEEDS AND CONTINUE TO BUILD CAPACITY BY STRENGTHENING PARTNERSHIPS AMONG LOCAL COMMUNITY-BASED ORGANIZATIONS. DUE TO THE MAGNITUDE OF THE NEED AND THE CAPACITY OF SECH'S ABILITY TO ADDRESS THE NEED, THE IMPLEMENTATION STRATEGY WILL NOT ADDRESS THE FOLLOWING HEALTH NEEDS: ACCESS TO FUNCTIONAL NEEDS; ACCESS TO BASIC NEEDS SUCH AS HOUSING, JOBS, AND FOOD; INCREASED COMMUNITY CONNECTIONS.
FACILITY REPORTING GROUP D PART V, SECTION B, LINE 13H: THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF TEN DOLLARS ($10.00) WITH THE COMMONSPIRIT HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. IF APPLICABLE, PATIENTS/GUARANTORS WITH BALANCES BELOW TEN DOLLARS ($10.00) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS.THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION.PATIENT COOPERATION STANDARDS - A PATIENT MUST COOPERATE WITH THE HOSPITAL FACILITY IN PROVIDING THE INFORMATION AND DOCUMENTATION NECESSARY TO DETERMINE ELIGIBILITY. SUCH COOPERATION INCLUDES COMPLETING ANY REQUIRED APPLICATIONS OR FORMS. THE PATIENT IS RESPONSIBLE FOR NOTIFYING THE HOSPITAL FACILITY OF ANY CHANGE IN FINANCIAL SITUATION THAT WOULD IMPACT THE ASSESSMENT OF ELIGIBILITY. A PATIENT MUST EXHAUST ALL OTHER PAYMENT OPTIONS, INCLUDING PRIVATE COVERAGE, FEDERAL, STATE AND LOCAL MEDICAL ASSISTANCE PROGRAMS, AND OTHER FORMS OF ASSISTANCE PROVIDED BY THIRD PARTIES PRIOR TO BEING APPROVED. AN APPLICANT FOR FINANCIAL ASSISTANCE IS RESPONSIBLE FOR APPLYING TO PUBLIC PROGRAMS FOR AVAILABLE COVERAGE. HE OR SHE IS ALSO EXPECTED TO PURSUE PUBLIC OR PRIVATE HEALTH INSURANCE PAYMENT OPTIONS FOR CARE PROVIDED BY A COMMONSPIRIT HOSPITAL ORGANIZATION WITHIN A HOSPITAL FACILITY. A PATIENT'S AND, IF APPLICABLE, ANY GUARANTOR'S COOPERATION IN APPLYING FOR APPLICABLE PROGRAMS AND IDENTIFIABLE FUNDING SOURCES, INCLUDING COBRA COVERAGE (A FEDERAL LAW ALLOWING FOR A TIME-LIMITED EXTENSION OF EMPLOYEE HEALTHCARE BENEFITS), SHALL BE REQUIRED. IF A HOSPITAL FACILITY DETERMINES THAT COBRA COVERAGE IS POTENTIALLY AVAILABLE, AND THAT A PATIENT IS NOT A MEDICARE OR MEDICAID BENEFICIARY, THE PATIENT OR GUARANTOR SHALL PROVIDE THE HOSPITAL FACILITY WITH INFORMATION NECESSARY TO DETERMINE THE MONTHLY COBRA PREMIUM FOR SUCH PATIENT, AND SHALL COOPERATE WITH HOSPITAL FACILITY STAFF TO DETERMINE WHETHER HE OR SHE QUALIFIES FOR HOSPITAL FACILITY COBRA PREMIUM ASSISTANCE, WHICH MAY BE OFFERED FOR A LIMITED TIME TO ASSIST IN SECURING INSURANCE COVERAGE. A HOSPITAL FACILITY SHALL MAKE AFFIRMATIVE EFFORTS TO HELP A PATIENT OR PATIENT'S GUARANTOR APPLY FOR PUBLIC AND PRIVATE PROGRAMS.THE FOLLOWING REQUIREMENTS FOR ADDITIONAL HARDSHIP DISCOUNTS IS AN ADDENDUM OF THE FINANCIAL ASSISTANCE POLICY THAT APPLY TO PATIENTS RECEIVING SERVICES AT A COMMONSPIRIT HOSPITAL ORGANIZATION IN THE STATE OF CALIFORNIA ONLY.A PATIENT WHO RECEIVES DISCOUNTED CARE, BUT (1) WHOSE LIABILITY STILL EXCEEDS 30% OF THE SUM OF (A) HIS OR HER FAMILY INCOME, AND (B) HIS OR HER MONETARY ASSETS, AND (2) WHO DOES NOT HAVE THE ABILITY TO PAY HIS OR HER BILL, AS DETERMINED BY A REVIEW OF FACTORS SUCH AS PROJECTED FAMILY INCOME FOR THE COMING YEAR AND EXISTING OR ANTICIPATED HEALTH CARE LIABILITIES MAY BE GIVEN AN ADDITIONAL HARDSHIP DISCOUNT. FOR PURPOSES OF THE DETERMINATION OF THIS HARDSHIP DISCOUNT, THE COMMONSPIRIT HOSPITAL ORGANIZATION WILL NOT CONSIDER ASSETS IN RETIREMENT PLANS QUALIFIED UNDER THE INTERNAL REVENUE CODE IN EFFECT AT THE TIME OF THE DETERMINATION OR DEFERRED COMPENSATION PLANS.IF THE PATIENT MEETS ALL ELIGIBILITY CRITERIA, THE PATIENT WILL RECEIVE A HARDSHIP DISCOUNT, WHICH WILL REDUCE THE PATIENT'S REMAINING LIABILITY TO NO MORE THAN 30% OF THE SUM OF HIS OR HER (1) PATIENT FAMILY INCOME, AND (2) MONETARY ASSETS.A PATIENT MAY ALSO RECEIVE DISCOUNTS OR WAIVERS UNDER THIS ADDENDUM IF CONSIDERED HOMELESS OR TRANSIENT OR IF THEY PARTICIPATE IN A FEDERAL, STATE, OR LOCAL MANAGED INDIGENT CARE PROGRAM.
PART V, SECTION B FACILITY REPORTING GROUP E
FACILITY REPORTING GROUP E CONSISTS OF: - FACILITY 12: ST JOHN'S REGIONAL MEDICAL CENTER, - FACILITY 15: ST MARYS MEDICAL CENTER, - FACILITY 18: ST JOHN'S HOSPITAL CAMARILLO
FACILITY REPORTING GROUP E PART V, SECTION B, LINE 5: ST JOHNS REGIONAL MEDICAL CENTERST JOHN'S HOSPITAL CAMARILLOFOR THE 2022 (TY 2021) CHNA, THE HOSPITALS CONDUCTED A COMMUNITY HEALTH ASSESSMENT SURVEY, DESIGNED AND DISSEMINATED BY THE VENTURA COUNTY COMMUNITY HEALTH IMPROVEMENT COLLABORATIVE. A TOTAL OF 3,066 RESPONSES WERE COLLECTED. OF THE TOTAL SURVEY PARTICIPANTS, 72% COMPLETED THE SURVEY IN ENGLISH, 23% COMPLETED THE SURVEY IN SPANISH AND 2% COMPLETED THE SURVEY IN MIXTECO. IN ADDITION, 15 KEY INFORMANT INTERVIEWS AND 15 FOCUS GROUP DISCUSSIONS WERE HELD. INTERVIEWEES WERE RECOGNIZED AS HAVING EXPERTISE IN PUBLIC HEALTH, SPECIAL KNOWLEDGE OF COMMUNITY HEALTH NEEDS AND/OR REPRESENTED THE BROAD INTEREST OF THE COMMUNITY SERVED BY THE HOSPITAL AND HEALTH DEPARTMENT, AND/OR COULD SPEAK TO THE NEEDS OF MEDICALLY UNDERSERVED OR VULNERABLE POPULATIONS. PUBLIC HEALTH AGENCIES PARTICIPATING INCLUDED THE CAMARILLO HEALTH CARE DISTRICT, VENTURA COUNTY PUBLIC HEALTH, LGBTQIA+ PEOPLE, CALIFORNIA STATE UNIVERSITY CHANNEL ISLANDS STUDENTS AND PACIFICA HIGH SCHOOL STUDENTS. FOCUS GROUPS WERE SOUGHT AND CREATED WHOSE MEMBERS INCLUDED PEOPLE FROM THE BLACK COMMUNITY, MONOLINGUAL SPANISH SPEAKING PEOPLE, OLDER ADULTS, LGBTQIA+ PEOPLE, STUDENTS AND THOSE ACCESSING MENTAL HEALTH AND SUBSTANCE USE TREATMENT.ST. MARY'S MEDICAL CENTERTHE DATA SOURCES FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDES DATA FROM PUBLIC HEALTH DEPARTMENTS AND COMMUNITY AGENCIES; SURVEYS, FOCUS GROUPS; INTERVIEWS; REVIEW OF OTHER ASSESSMENTS; AND INPUT FROM THE HOSPITAL'S COMMUNITY. THE 2022 (TY2021) CHNA REPORT INCLUDED FIVE FOCUS GROUPS LISTED BELOW. PARTICIPANTS OF THE HEALTH EQUITY/PARITY COALITIONS WERE COMPENSATED FOR THEIR TIME. AS PART OF OUR PARTNERSHIP WITH KAISER PERMANENTE, WE SHARED THE TRANSCRIPTS FROM THE FOCUS GROUPS AND KAISER SHARED THE TRANSCRIPTS FROM THEIR 15 KEY INFORMANT INTERVIEWS. WE COORDINATED INTERVIEWEES TO ENSURE WE DID NOT REACH OUT TO THE SAME GROUP TWICE. TO ANALYZE THE FOCUS GROUPS AND KEY INFORMANT INTERVIEWS, KEY HEALTH NEEDS WERE TABULATED FROM THE INTERVIEWS AND AGGREGATED TO PULL OUT KEY HEALTH NEEDS AND ILLUSTRATIVE QUOTES. FOCUS GROUPS WERE CONDUCTED WITH THE FOLLOWING FIVE GROUPS IN THE SUMMER AND FALL OF 2021: ASIAN PACIFIC ISLANDER HEALTH PARITY COALITION (APIHPC); RAFIKI AFRICAN AMERICAN HEALTH EQUITY COALITION; CHICANO / LATINO / INDIGENA HEALTH EQUITY COALITION (CLI); FUNDERS (INCLUDING BLUE SHIELD OF CALIFORNIA FOUNDATION, CALIFORNIA HEALTHCARE FOUNDATION, HIRSCH PHILANTHROPY PARTNERS, METTA FUND, NORTHERN CALIFORNIA GRANT MAKERS, ZELLERBACH FAMILY FOUNDATION); INSURERS (INCLUDING ANTHEM, BLUE SHIELD, CANOPY HEALTH, KAISER PERMANENTE, SAN FRANCISCO HEALTH PLAN)KEY INFORMANT INTERVIEWS WERE CONDUCTED AS PART OF THE KAISER CHNA, WITH PEOPLE FROM THE FOLLOWING 15 ORGANIZATIONS: BAYVIEW YMCA; COMPASS FAMILY SERVICES; GLIDE FOUNDATION; HUCKLEBERRY YOUTH PROGRAMS; KAISER PERMANENTE GREATER SAN FRANCISCO; LA CASA DE LAS MADRES; LAVENDER YOUTH RECREATION CENTER (LYRIC); MISSION ECONOMIC DEVELOPMENT AGENCY; NEMS (NORTH EAST MEDICAL SERVICES); ON LOK/30 ST. SENIOR CENTER; RAMS (RICHMOND AREA MULTI-SERVICES); SAN FRANCISCO AIDS FOUNDATION; SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH; SAN FRANCISCO HUMAN RIGHTS COMMISSION; SAN FRANCISCO UNIFIED SCHOOL DISTRICT.
FACILITY REPORTING GROUP E PART V, SECTION B, LINE 6A: ST JOHN'S REGIONAL MEDICAL CENTER, ST JOHN'S HOSPITAL CAMARILLOHOSPITAL MEMBERS OF THE VENTURA COUNTY COMMUNITY HEALTH IMPROVEMENT COLLABORATIVE: ADVENTIST HEALTH SIMI VALLEY, COMMUNITY MEMORIAL HOSPITAL, OJAI VALLEY COMMUNITY HOSPITAL.ST. MARY'S MEDICAL CENTERSAINT FRANCIS MEMORIAL HOSPITAL, SUTTER CPMC AND UCSF MEDICAL CENTER
FACILITY REPORTING GROUP E PART V, SECTION B, LINE 6B: ST JOHN'S REGIONAL MEDICAL CENTERST JOHN'S HOSPITAL CAMARILLONON-HOSPITAL MEMBERS OF THE VENTURA COUNTY COMMUNITY HEALTH IMPROVEMENT COLLABORATIVE: CAMARILLO HEALTH CARE DISTRICT, CLINICAS DEL CAMINO REAL, INC., VENTURA COUNTY HEALTH CARE AGENCY, VENTURA COUNTY PUBLIC HEALTH, AND GOLD COAST HEALTH PLAN.ST. MARY'S MEDICAL CENTERSAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH, ASIAN PACIFIC ISLANDER HEALTH PARITY COALITION, AFRICAN AMERICAN HEALTH EQUITY COALITION, CHICANO / LATINO / INDIGENA HEALTH EQUITY COALITION
FACILITY REPORTING GROUP E PART V, SECTION B, LINE 7D: ST JOHN'S REGIONAL MEDICAL CENTERST JOHN'S HOSPITAL CAMARILLO PUBLIC PRESENTATIONS HAVE BEEN MADE TO LOCAL COMMUNITY SERVICE ORGANIZATIONS (E.G. SOUTH OXNARD LIONS CLUB AND CAMARILLO ROTARY CLUB). THOSE PRESENTATIONS ENCOURAGED FURTHER COMMUNITY INQUIRY.ST. MARY'S MEDICAL CENTERTHE 2022 CHNA WAS EMAILED TO COMMUNITY PARTNERS.
FACILITY REPORTING GROUP E PART V, SECTION B, LINE 11: ST. JOHN'S REGIONAL AND CAMARILLO HOSPITALS HAVE PROGRAMS TO ADDRESS EACH OF THE IDENTIFIED SIGNIFICANT HEALTH NEEDS, AS FOLLOWS:MENTAL HEALTH AND SUBSTANCE ABUSE ACROSS THE LIFESPAN: EXPAND USE OF SUBSTANCE USE NAVIGATORS, EXPAND ACCESS TO BEHAVIORAL HEALTH SERVICES FOR MEDI-CAL PATIENTS, LEVERAGE THE COMMUNITY INFORMATION EXCHANGE TO PATIENTS IN PRIMARY CARE WITH BEHAVIORAL HEALTH PROGRAMS, HEALTH AND WELLNESS PROGRAMS FOR SENIORS. PREVENTION OF CHRONIC CONDITIONS BY PROMOTING HEALTHY LIFESTYLES: HEALTH MINISTRIES BASIC NEEDS PROGRAMS AND COMMUNITY FOOD PANTRY; HEALTH EDUCATION AND LITERACY PROGRAMS (DIABETES EDUCATION & EMPOWERMENT PROGRAM, LIVING WELL WITH DIABETES PROGRAM, LOCAL CONGESTIVE HEART FAILURE PROGRAM, CHRONIC DISEASE SELF MANAGEMENT PROGRAM). ADVANCING EQUITABLE ACCESS TO HEALTHCARE: THE CANCER CENTER OF VENTURA COUNTY AT ST. JOHN'S; PATIENT FINANCIAL ASSISTANCE PROGRAM; DIGNITY HEALTH COMMUNITY GRANTS PROGRAM.ST. MARY'S MEDICAL CENTERTHE HOSPITAL INTENDS TO TAKE ACTIONS TO HELP ADDRESS EACH OF THE SIGNIFICANT HEATH NEEDS, AS DESCRIBED BELOW. ACCESS TO WELCOMING HEALTHCARE: THE HOSPITAL IS ADDRESSING THE SIGNIFICANT HEALTH NEED BY BUILDING BRIDGES FOR OUR PATIENTS TO GET THE CARE THEY NEED. AS OVER 40% OF THE HOSPITAL'S PATIENTS ARE ON MEDI-CAL, FOCUSING ON THAT POPULATION ENSURES WE ARE DIRECTLY SERVING LOW-INCOME INDIVIDUALS. WE ARE FOCUSED ON TWO PATIENT POPULATIONS: SENIORS AND PERSONS WITH SUBSTANCE USE AND MENTAL HEALTH DISORDERS. BRIDGES INCLUDE CLEARER PATHWAYS TO HOUSING SOLUTIONS, FOLLOW UP CASE MANAGEMENT FROM A NON-PROFIT PROVIDER, POST-DISCHARGE SENIOR SERVICES, AND ADVOCACY FOR SUPPORT FOR THESE POPULATIONS. WORK WITH CARE PARTNERS TO SUPPORT PATIENTS' ACCESS TO MEDI-CAL'S CAL-AIM BENEFITS. PARTNERS AND PROGRAMS INCLUDE: STREET-BASED MEDICINE OUTREACH, SERIOUS ILLNESS PROGRAM FOR CHINESE SENIORS, COMMUNITY GRANTS PROGRAM, PATIENT FINANCIAL ASSISTANCE, AND DELANCEY STREET FOUNDATION. BEHAVIORAL HEALTH & SUBSTANCE USE: CONVENING WITH SAN FRANCISCO POLICE DEPARTMENT, SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH, AND SAN FRANCISCO FIRE DEPARTMENT ON CARE FOR PATIENTS UNDER 5150 HOLDS; IMPLEMENTATION OF CAL-AIM; RALLY FAMILY SERVICES; MEDICATION ASSISTED TREATMENT; SUBSTANCE USE NAVIGATOR; AND SAN FRANCISCO HEALTH IMPROVEMENT PARTNERSHIP. ECONOMIC OPPORTUNITY: THE HIGHLIGHT OF THAT WORK IS A $3 MILLION DOLLAR FLEXIBLE HOUSING SUBSIDY POOL PROGRAM TO CREATE HOSPITAL TO HOUSING REFERRAL PROCESS DURING COVID THAT WAS SIGNIFICANTLY EXPANDED BY THE CITY AND COUNTY DUE TO ITS SUCCESS. THE HOSPITAL ALSO SUPPORTS HEALTH PROFESSIONS EDUCATION TO HELP CREATE SKILLED CAREER LADDERS, AND ENGAGES WITH THE TENDERLOIN HEALTH IMPROVEMENT PARTNERSHIP.
FACILITY REPORTING GROUP E PART V, SECTION B, LINE 13H: THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF TEN DOLLARS ($10.00) WITH THE COMMONSPIRIT HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. IF APPLICABLE, PATIENTS/GUARANTORS WITH BALANCES BELOW TEN DOLLARS ($10.00) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS.THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION.PATIENT COOPERATION STANDARDS - A PATIENT MUST COOPERATE WITH THE HOSPITAL FACILITY IN PROVIDING THE INFORMATION AND DOCUMENTATION NECESSARY TO DETERMINE ELIGIBILITY. SUCH COOPERATION INCLUDES COMPLETING ANY REQUIRED APPLICATIONS OR FORMS. THE PATIENT IS RESPONSIBLE FOR NOTIFYING THE HOSPITAL FACILITY OF ANY CHANGE IN FINANCIAL SITUATION THAT WOULD IMPACT THE ASSESSMENT OF ELIGIBILITY. A PATIENT MUST EXHAUST ALL OTHER PAYMENT OPTIONS, INCLUDING PRIVATE COVERAGE, FEDERAL, STATE AND LOCAL MEDICAL ASSISTANCE PROGRAMS, AND OTHER FORMS OF ASSISTANCE PROVIDED BY THIRD PARTIES PRIOR TO BEING APPROVED. AN APPLICANT FOR FINANCIAL ASSISTANCE IS RESPONSIBLE FOR APPLYING TO PUBLIC PROGRAMS FOR AVAILABLE COVERAGE. HE OR SHE IS ALSO EXPECTED TO PURSUE PUBLIC OR PRIVATE HEALTH INSURANCE PAYMENT OPTIONS FOR CARE PROVIDED BY A COMMONSPIRIT HOSPITAL ORGANIZATION WITHIN A HOSPITAL FACILITY. A PATIENT'S AND, IF APPLICABLE, ANY GUARANTOR'S COOPERATION IN APPLYING FOR APPLICABLE PROGRAMS AND IDENTIFIABLE FUNDING SOURCES, INCLUDING COBRA COVERAGE (A FEDERAL LAW ALLOWING FOR A TIME-LIMITED EXTENSION OF EMPLOYEE HEALTHCARE BENEFITS), SHALL BE REQUIRED. IF A HOSPITAL FACILITY DETERMINES THAT COBRA COVERAGE IS POTENTIALLY AVAILABLE, AND THAT A PATIENT IS NOT A MEDICARE OR MEDICAID BENEFICIARY, THE PATIENT OR GUARANTOR SHALL PROVIDE THE HOSPITAL FACILITY WITH INFORMATION NECESSARY TO DETERMINE THE MONTHLY COBRA PREMIUM FOR SUCH PATIENT, AND SHALL COOPERATE WITH HOSPITAL FACILITY STAFF TO DETERMINE WHETHER HE OR SHE QUALIFIES FOR HOSPITAL FACILITY COBRA PREMIUM ASSISTANCE, WHICH MAY BE OFFERED FOR A LIMITED TIME TO ASSIST IN SECURING INSURANCE COVERAGE. A HOSPITAL FACILITY SHALL MAKE AFFIRMATIVE EFFORTS TO HELP A PATIENT OR PATIENT'S GUARANTOR APPLY FOR PUBLIC AND PRIVATE PROGRAMS.THE FOLLOWING REQUIREMENTS FOR ADDITIONAL HARDSHIP DISCOUNTS IS AN ADDENDUM OF THE FINANCIAL ASSISTANCE POLICY THAT APPLY TO PATIENTS RECEIVING SERVICES AT A COMMONSPIRIT HOSPITAL ORGANIZATION IN THE STATE OF CALIFORNIA ONLY.A PATIENT WHO RECEIVES DISCOUNTED CARE, BUT (1) WHOSE LIABILITY STILL EXCEEDS 30% OF THE SUM OF (A) HIS OR HER FAMILY INCOME, AND (B) HIS OR HER MONETARY ASSETS, AND (2) WHO DOES NOT HAVE THE ABILITY TO PAY HIS OR HER BILL, AS DETERMINED BY A REVIEW OF FACTORS SUCH AS PROJECTED FAMILY INCOME FOR THE COMING YEAR AND EXISTING OR ANTICIPATED HEALTH CARE LIABILITIES MAY BE GIVEN AN ADDITIONAL HARDSHIP DISCOUNT. FOR PURPOSES OF THE DETERMINATION OF THIS HARDSHIP DISCOUNT, THE COMMONSPIRIT HOSPITAL ORGANIZATION WILL NOT CONSIDER ASSETS IN RETIREMENT PLANS QUALIFIED UNDER THE INTERNAL REVENUE CODE IN EFFECT AT THE TIME OF THE DETERMINATION OR DEFERRED COMPENSATION PLANS.IF THE PATIENT MEETS ALL ELIGIBILITY CRITERIA, THE PATIENT WILL RECEIVE A HARDSHIP DISCOUNT, WHICH WILL REDUCE THE PATIENT'S REMAINING LIABILITY TO NO MORE THAN 30% OF THE SUM OF HIS OR HER (1) PATIENT FAMILY INCOME, AND (2) MONETARY ASSETS.A PATIENT MAY ALSO RECEIVE DISCOUNTS OR WAIVERS UNDER THIS ADDENDUM IF CONSIDERED HOMELESS OR TRANSIENT OR IF THEY PARTICIPATE IN A FEDERAL, STATE, OR LOCAL MANAGED INDIGENT CARE PROGRAM.
PART V, SECTION B FACILITY REPORTING GROUP F
FACILITY REPORTING GROUP F CONSISTS OF: - FACILITY 11: ST MARY MEDICAL CENTER - LONG BEACH, - FACILITY 19: MERCY MEDICAL CENTER MT SHASTA
FACILITY REPORTING GROUP F PART V, SECTION B, LINE 5: ST. MARY MEDICAL CENTER - LONG BEACHFOR THE 2022 (TY2021) CHNA REPORT, INTERVIEWS WITH COMMUNITY STAKEHOLDERS AND FOCUS GROUPS WITH COMMUNITY RESIDENTS WERE CONDUCTED TO OBTAIN INPUT ON HEALTH NEEDS, BARRIERS TO CARE AND RESOURCES AVAILABLE TO ADDRESS THE IDENTIFIED HEALTH NEEDS. TWENTY-SEVEN INTERVIEWS WERE CONDUCTED FROM SEPTEMBER 2021 TO JANUARY 2022. COMMUNITY STAKEHOLDERS IDENTIFIED BY THE LONG BEACH CHNA COLLABORATIVE WERE CONTACTED AND ASKED TO PARTICIPATE IN THE INTERVIEWS. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, OR LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY. A FULL LIST OF INTERVIEWEES IS IN THE CHNA REPORT. EXAMPLES INCLUDE: CITY OF LONG BEACH DEPARTMENT OF HEALTH AND HUMAN SERVICES, MENTAL HEALTH AMERICA LOS ANGELES, YMCA OF GREATER LONG BEACH, BLACK HEALTH EQUITY COLLABORATIVE, KHMER GIRLS IN ACTION, AND FILIPINO MIGRANT CENTER.SIX VIRTUAL FOCUS GROUPS ENGAGED 90 COMMUNITY RESIDENTS. THE FOCUS GROUPS WERE CONDUCTED FROM NOVEMBER 2021 TO FEBRUARY 2022. THE FOLLOWING POPULATION GROUPS PARTICIPATED IN THE FOCUS GROUPS: LATINX, BLACK/AFRICAN AMERICAN, CAMBODIAN/PACIFIC ISLANDER, LGBTQ+, DISABLED PERSONS/VETERANS, AND OLDER ADULTS. MERCY MEDICAL CENTER MT. SHASTABUILDING A HEALTHY ENVIRONMENT REQUIRES MULTIPLE STAKEHOLDERS WORKING TOGETHER WITH A COMMON PURPOSE. FOR THE 2022 (TY 2021) CHNA REPORT, MERCY MEDICAL CENTER MT. SHASTA IN COLLABORATION WITH FAIRCHILD MEDICAL CENTER AND SISKIYOU COUNTY PUBLIC HEALTH DEPARTMENT CONSULTED WITH COMMUNITY HEALTH INSIGHTS TO CONDUCT THE ASSESSMENT. DATA COLLECTION INCLUDED THE COLLECTION AND ANALYSIS OF BOTH PRIMARY (QUALITATIVE) AND SECONDARY (QUANTITATIVE) DATA. QUALITATIVE DATA INCLUDED ONEONONE AND GROUP INTERVIEWS WITH 16 COMMUNITY HEALTH EXPERTS, SOCIAL SERVICE PROVIDERS, AND MEDICAL PERSONNEL. PARTICIPATING ORGANIZATIONS IN ADDITION TO THE HOSPITAL AND PUBLIC HEALTH AGENCY COLLABORATORS INCLUDED: SISKIYOU COUNTY OFFICE OF EDUCATION, MOUNTAIN VALLEYS HEALTH CENTERS, HMONG COMMUNITY ACTIVIST IN SISKIYOU COUNTY, NORTHERN CA INDIAN DEVELOPMENT COUNCIL INC., FIRST 5 SISKIYOU, AND TINY MIGHTY STRONG. FURTHERMORE, 9 COMMUNITY RESIDENTS OR COMMUNITY SERVICE PROVIDER ORGANIZATIONS PARTICIPATED IN 2 FOCUS GROUPS ACROSS THE COUNTY (HOSTED BY THE TULELAKE FAMILY RESOURCE CENTER, MODOC COUNTY PUBLIC HEALTH, HAPPY CAMP COMMUNITY ACTION, INC. AND HAPPY CAMP AMBULANCE). FINALLY, FIVE COMMUNITY SERVICE PROVIDERS RESPONDED TO A COMMUNITY SERVICE PROVIDER SURVEY ASKING ABOUT HEALTH NEED IDENTIFICATION AND PRIORITIZATION. THESE INCLUDED: QUARTZ VALLEY INDIAN RESERVATION / ANAV TRIBAL HEALTH CLINIC, SHASTA CASCADE HEALTH CENTERS, MCCLOUD HEALTHCARE CLINICS INC, AND SISKIYOU FOOD ASSISTANCE.
FACILITY REPORTING GROUP F PART V, SECTION B, LINE 6A: ST. MARY MEDICAL CENTER - LONG BEACHMEMORIALCARE LONG BEACH MEDICAL CENTER, MEMORIALCARE MILLER CHILDREN'S AND WOMEN'S HOSPITAL LONG BEACHMERCY MEDICAL CENTER MT SHASTAFAIRCHILD MEDICAL CENTER
FACILITY REPORTING GROUP F PART V, SECTION B, LINE 6B: ST. MARY MEDICAL CENTER - LONG BEACHLONG BEACH CHNA COLLABORATIVE NON-HOSPITAL PARTNERS INCLUDE THE LONG BEACH DEPARTMENT OF HEALTH AND HUMAN SERVICES AND TCC FAMILY HEALTH.MERCY MEDICAL CENTER MT. SHASTASISKIYOU COUNTY PUBLIC HEALTH
FACILITY REPORTING GROUP F PART V, SECTION B, LINE 11: ST. MARY MEDICAL CENTER - LONG BEACHTHE HOSPITAL IS TAKING SEVERAL ACTIONS AND DEDICATING RESOURCES TO THESE NEEDS, INCLUDING: ACCESS TO HEALTHCARE: CARE PROGRAM, COMMUNITY GRANTS PROGRAM, FINANCIAL ASSISTANCE PROGRAM, FAMILIES IN GOOD HEALTH, LOW VISION CENTER. HOUSING AND HOMELESSNESS: COMMUNITY GRANTS PROGRAM. MENTAL HEALTH: CARE PROGRAM, COMMUNITY GRANTS PROGRAM, MENTAL HEALTH FIRST AID PROGRAM.PREVENTATIVE PRACTICES: BAZZENI WELLNESS CENTER, CARE PROGRAM, COMMUNITY GRANTS PROGRAM, EVERY WOMAN COUNTS, FAMILIES IN GOOD HEALTH, FOOD SYSTEMS ADVISORY COMMITTEE, MOBILE CARE UNIT. VIOLENCE AND INJURY PREVENTION: COMMUNITY GRANTS PROGRAM, FAMILIES IN GOOD HEALTH, VIOLENCE AND HUMAN TRAFFICKING RESPONSE TEAM. KEY COMMUNITY PARTNERS INCLUDE (PARTIAL LISTING): COMMUNITY HEALTH CENTERS; FAITH-BASED ORGANIZATIONS; HOUSING AND HOMELESS SERVICES; LONG BEACH CITY AGENCIES; LOS ANGELES COUNTY AGENCIES; MENTAL HEALTH AGENCIES; ORGANIZATIONS SERVING LGBTQ POPULATIONS; PUBLIC SAFETY AGENCIES; SCHOOLS AND SCHOOL DISTRICTS; SENIOR CENTERS AND SERVICE AGENCIES; AND YOUTH ORGANIZATIONS.TAKING EXISTING HOSPITAL AND COMMUNITY RESOURCES INTO CONSIDERATION, ST. MARY MEDICAL CENTER WILL NOT DIRECTLY ADDRESS ECONOMIC INSECURITY, EDUCATION, OVERWEIGHT AND OBESITY, PREGNANCY AND BIRTH OUTCOMES, AND SUBSTANCE USE AS PRIORITY HEALTH NEEDS. KNOWING THAT THERE ARE NOT SUFFICIENT RESOURCES TO ADDRESS ALL NEEDS, ST. MARY MEDICAL CENTER CHOSE TO CONCENTRATE ON THOSE HEALTH NEEDS THAT CAN MOST EFFECTIVELY BE ADDRESSED GIVEN THE ORGANIZATION'S AREAS OF FOCUS AND EXPERTISE. THE HOSPITAL HAS INSUFFICIENT RESOURCES TO EFFECTIVELY ADDRESS ALL THE IDENTIFIED NEEDS AND, IN SOME CASES, THE NEEDS ARE CURRENTLY ADDRESSED BY OTHERS IN THE COMMUNITY.MERCY MEDICAL CENTER MT. SHASTAIN RESPONSE TO THE 2022 CHNA, MERCY MEDICAL CENTER MT. SHASTA (MMCMS) HAS PRIORITIZED THE FOLLOWING IDENTIFIED NEEDS: ACCESS TO MENTAL/BEHAVIORAL HEALTH AND SUBSTANCEUSE SERVICES; ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES; INJURY AND DISEASE PREVENTION AND MANAGEMENT (ACTIVE LIVING AND HEALTHY EATING WILL BE INDIRECTLY ADDRESSED); SAFE AND VIOLENCE-FREE ENVIRONMENT. STRATEGIES, PROGRAMS AND ACTIVITIES TO COMPREHENSIVELY MEET THE NEEDS OF OUR COMMUNITY INCLUDE BUT NOT LIMITED TO: MEDICATION FOR INDIGENT PATIENTS; COMMUNITY HEALTH EDUCATION; PROVIDE COMMUNITY GRANTS TO LOCAL NON-PROFIT ORGANIZATIONS; TRANSPORTATION SERVICES; SUBSTANCE USE NAVIGATION; VIOLENCE PREVENTION & INTERVENTION; COMMUNITY HEALTH WORKER (CHW) NAVIGATOR (PROPOSED); AND COMMUNITY GRANTS. MMCMS WILL CONTINUE TO LEAN INTO THE ORGANIZATIONS WHO ARE ADDRESSING THE NEEDS AND CONTINUE TO BUILD CAPACITY BY STRENGTHENING PARTNERSHIPS AMONG LOCAL COMMUNITY-BASED ORGANIZATIONS. DUE TO THE MAGNITUDE OF THE NEED AND THE CAPACITY OF MMCMS'S ABILITY TO ADDRESS THE NEED, THE IMPLEMENTATION STRATEGY WILL NOT ADDRESS THE FOLLOWING HEALTH NEEDS: ACCESS TO BASIC-NEEDS SUCH AS HOUSING, JOBS AND FOOD; ACCESS TO SPECIALTY AND EXTENDED CARE; ACCESS TO DENTAL CARE AND PREVENTATIVE SERVICES; ACCESS TO FUNCTIONAL NEEDS; ACTIVE LIVING AND HEALTHY EATING (THIS PRIORITY WILL BE INDIRECTLY ADDRESSED BY ADDRESSING INJURY); AND DISEASE PREVENTION AND MANAGEMENT.
FACILITY REPORTING GROUP F PART V, SECTION B, LINE 13H: THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF TEN DOLLARS ($10.00) WITH THE COMMONSPIRIT HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. IF APPLICABLE, PATIENTS/GUARANTORS WITH BALANCES BELOW TEN DOLLARS ($10.00) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS.THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION.PATIENT COOPERATION STANDARDS - A PATIENT MUST COOPERATE WITH THE HOSPITAL FACILITY IN PROVIDING THE INFORMATION AND DOCUMENTATION NECESSARY TO DETERMINE ELIGIBILITY. SUCH COOPERATION INCLUDES COMPLETING ANY REQUIRED APPLICATIONS OR FORMS. THE PATIENT IS RESPONSIBLE FOR NOTIFYING THE HOSPITAL FACILITY OF ANY CHANGE IN FINANCIAL SITUATION THAT WOULD IMPACT THE ASSESSMENT OF ELIGIBILITY. A PATIENT MUST EXHAUST ALL OTHER PAYMENT OPTIONS, INCLUDING PRIVATE COVERAGE, FEDERAL, STATE AND LOCAL MEDICAL ASSISTANCE PROGRAMS, AND OTHER FORMS OF ASSISTANCE PROVIDED BY THIRD PARTIES PRIOR TO BEING APPROVED. AN APPLICANT FOR FINANCIAL ASSISTANCE IS RESPONSIBLE FOR APPLYING TO PUBLIC PROGRAMS FOR AVAILABLE COVERAGE. HE OR SHE IS ALSO EXPECTED TO PURSUE PUBLIC OR PRIVATE HEALTH INSURANCE PAYMENT OPTIONS FOR CARE PROVIDED BY A COMMONSPIRIT HOSPITAL ORGANIZATION WITHIN A HOSPITAL FACILITY. A PATIENT'S AND, IF APPLICABLE, ANY GUARANTOR'S COOPERATION IN APPLYING FOR APPLICABLE PROGRAMS AND IDENTIFIABLE FUNDING SOURCES, INCLUDING COBRA COVERAGE (A FEDERAL LAW ALLOWING FOR A TIME-LIMITED EXTENSION OF EMPLOYEE HEALTHCARE BENEFITS), SHALL BE REQUIRED. IF A HOSPITAL FACILITY DETERMINES THAT COBRA COVERAGE IS POTENTIALLY AVAILABLE, AND THAT A PATIENT IS NOT A MEDICARE OR MEDICAID BENEFICIARY, THE PATIENT OR GUARANTOR SHALL PROVIDE THE HOSPITAL FACILITY WITH INFORMATION NECESSARY TO DETERMINE THE MONTHLY COBRA PREMIUM FOR SUCH PATIENT, AND SHALL COOPERATE WITH HOSPITAL FACILITY STAFF TO DETERMINE WHETHER HE OR SHE QUALIFIES FOR HOSPITAL FACILITY COBRA PREMIUM ASSISTANCE, WHICH MAY BE OFFERED FOR A LIMITED TIME TO ASSIST IN SECURING INSURANCE COVERAGE. A HOSPITAL FACILITY SHALL MAKE AFFIRMATIVE EFFORTS TO HELP A PATIENT OR PATIENT'S GUARANTOR APPLY FOR PUBLIC AND PRIVATE PROGRAMS.THE FOLLOWING REQUIREMENTS FOR ADDITIONAL HARDSHIP DISCOUNTS IS AN ADDENDUM OF THE FINANCIAL ASSISTANCE POLICY THAT APPLY TO PATIENTS RECEIVING SERVICES AT A COMMONSPIRIT HOSPITAL ORGANIZATION IN THE STATE OF CALIFORNIA ONLY.A PATIENT WHO RECEIVES DISCOUNTED CARE, BUT (1) WHOSE LIABILITY STILL EXCEEDS 30% OF THE SUM OF (A) HIS OR HER FAMILY INCOME, AND (B) HIS OR HER MONETARY ASSETS, AND (2) WHO DOES NOT HAVE THE ABILITY TO PAY HIS OR HER BILL, AS DETERMINED BY A REVIEW OF FACTORS SUCH AS PROJECTED FAMILY INCOME FOR THE COMING YEAR AND EXISTING OR ANTICIPATED HEALTH CARE LIABILITIES MAY BE GIVEN AN ADDITIONAL HARDSHIP DISCOUNT. FOR PURPOSES OF THE DETERMINATION OF THIS HARDSHIP DISCOUNT, THE COMMONSPIRIT HOSPITAL ORGANIZATION WILL NOT CONSIDER ASSETS IN RETIREMENT PLANS QUALIFIED UNDER THE INTERNAL REVENUE CODE IN EFFECT AT THE TIME OF THE DETERMINATION OR DEFERRED COMPENSATION PLANS.IF THE PATIENT MEETS ALL ELIGIBILITY CRITERIA, THE PATIENT WILL RECEIVE A HARDSHIP DISCOUNT, WHICH WILL REDUCE THE PATIENT'S REMAINING LIABILITY TO NO MORE THAN 30% OF THE SUM OF HIS OR HER (1) PATIENT FAMILY INCOME, AND (2) MONETARY ASSETS.A PATIENT MAY ALSO RECEIVE DISCOUNTS OR WAIVERS UNDER THIS ADDENDUM IF CONSIDERED HOMELESS OR TRANSIENT OR IF THEY PARTICIPATE IN A FEDERAL, STATE, OR LOCAL MANAGED INDIGENT CARE PROGRAM.
SCHEDULE H, PART V, SECTION B, LINE 7A - CHNA ON HOSPITAL FACILITY'S WEBSITEALL DIGNITY HEALTH HOSPITAL FACILITY COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS CAN BE ACCESSED ATHTTPS://WWW.DIGNITYHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH/COMMUNITY-HEALTH-PROGRAMS-AND-REPORTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSCHNA REPORT WEBSITE LOCATIONS FOR EACH HOSPITAL FACILITY ARE PROVIDED BELOW.ST. ROSE DOMINICAN HOSPITAL - SIENA, ST. ROSE DOMINICAN HOSPITAL SAN MARTIN, ST. ROSE DOMINICAN HOSPITAL - ROSE DE LIMAHTTPS://WWW.DIGNITYHEALTH.ORG/LAS-VEGAS/ABOUT-US/SERVING-THE-COMMUNITYDE CRAIG RANCH LLC DBA DIGNITY HEALTH - ST. ROSE DOMINICAN NORTH LAS VEGASDE BLUE DIAMOND LLC DBA DIGNITY HEALTH - ST. ROSE DOMINICAN BLUE DIAMONDDE SAHARA LLC DBA DIGNITY HEALTH - ST. ROSE DOMINICAN SAHARADE FLAMINGO LLC DBA DIGNITY HEALTH - ST. ROSE DOMINICAN WEST FLAMINGOWWW.STROSENH.ORG/ABOUT/MERCY SAN JUAN MEDICAL CENTER, MERCY GENERAL HOSPITAL, MERCY HOSPITAL OF FOLSOMHTTPS://WWW.DIGNITYHEALTH.ORG/SACRAMENTO/ABOUT-US/COMMUNITY-HEALTH-AND-OUTREACH/HEALTH-NEEDS-ASSESSMENTDOMINICAN HOSPITALHTTPS://WWW.DIGNITYHEALTH.ORG/BAYAREA/LOCATIONS/DOMINICAN/ABOUT-US/COMMUNITY-BENEFITS/BENEFITS-REPORTSMERCY HOSPITAL BAKERSFIELDHTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/MERCY-BAKERSFIELD/ABOUT-US/COMMUNITY-BENEFIT-REPORT-HEALTH-NEEDS-ASSESSMENTMERCY MEDICAL CENTER MERCEDHTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/MERCYMEDICAL-MERCED/ABOUT-US/COMMUNITY-BENEFIT-REPORTST. JOSEPH'S HOSPITAL AND MEDICAL CENTERHTTPS://WWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/STJOSEPHS/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-BENEFIT-RESOURCESMERCY GILBERT MEDICAL CENTERHTTPS://WWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/MERCYGILBERT/ABOUT-US/COMMUNITY-BENEFITS-OUTRREACH/BENEFITS-REPORTSST. JOSEPH'S WESTGATE MEDICAL CENTERHTTPS://WWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/WESTGATE/ABOUT-US/COMMUNITY-BENEFITMARIAN REGIONAL MEDICAL CENTER, ARROYO GRANDEHTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/LOCATIONS/MARIANREGIONAL/ABOUT-US/COMMUNITY-BENEFITSHTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/LOCATIONS/ARROYO-GRANDE/ABOUT-US/COMMUNITY-BENEFITSMERCY MEDICAL CENTER REDDINGHTTPS://WWW.DIGNITYHEALTH.ORG/NORTH-STATE/LOCATIONS/MERCY-REDDING/ABOUT-US/COMMUNITY-BENEFITST. ELIZABETH COMMUNITY HOSPITALHTTPS://WWW.DIGNITYHEALTH.ORG/NORTH-STATE/LOCATIONS/STELIZABETHHOSPITAL/ABOUT-US/COMMUNITY-BENEFITST. JOHN'S REGIONAL MEDICAL CENTERHTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/LOCATIONS/STJOHNSREGIONAL/ABOUT-US/COMMUNITY-BENEFITST. JOHN'S HOSPITAL CAMARILLOHTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/LOCATIONS/PLEASANTVALLEY/ABOUT-US/COMMUNITY-BENEFITST. MARY'S MEDICAL CENTERHTTPS://WWW.DIGNITYHEALTH.ORG/BAYAREA/LOCATIONS/STMARYS/ABOUT-US/COMMUNITY-BENEFITST. MARY MEDICAL CENTER - LONG BEACHHTTPS://WWW.DIGNITYHEALTH.ORG/SOCAL/LOCATIONS/STMARYMEDICAL/ABOUT-US/COMMUNITY-BENEFITSMERCY MEDICAL CENTER MT. SHASTAHTTPS://WWW.DIGNITYHEALTH.ORG/NORTH-STATE/LOCATIONS/MERCY-MTSHASTA/ABOUT-US/COMMUNITY-BENEFITST. BERNARDINE MEDICAL CENTERHTTPS://WWW.DIGNITYHEALTH.ORG/SOCAL/LOCATIONS/STBERNARDINEMEDICAL/ABOUT-US/SERVING-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-PLAN
SCHEDULE H, PART V, SECTION B, LINE 7B - CHNA ON OTHER WEBSITES FACILITY REPORTING GROUP AST. ROSE DOMINICAN HOSPITAL - SIENA, ST. ROSE DOMINICAN HOSPITAL SAN MARTIN, ST. ROSE DOMINICAN HOSPITAL - ROSE DE LIMADE CRAIG RANCH LLC DBA DIGNITY HEALTH - ST. ROSE DOMINICAN NORTH LAS VEGASDE BLUE DIAMOND LLC DBA DIGNITY HEALTH - ST. ROSE DOMINICAN BLUE DIAMONDDE SAHARA LLC DBA DIGNITY HEALTH - ST. ROSE DOMINICAN SAHARADE FLAMINGO LLC DBA DIGNITY HEALTH - ST. ROSE DOMINICAN WEST FLAMINGOHTTPS://WWW.SOUTHERNNEVADAHEALTHDISTRICT.ORG/NEWS-INFORMATION/FACILITY REPORTING GROUP EST. JOHN'S REGIONAL MEDICAL CENTERST. JOHN'S HOSPITAL CAMARILLOHTTPS://WWW.HEALTHMATTERSINVC.ORG/CONTENT/SITES/VENTURA/CHNAS/VENTURA_CHNA_2022_V4.PDFST. MARY'S MEDICAL CENTER, SAN FRANCISCOHTTP://WWW.SFHIP.ORG/
SCHEDULE H, PART V, SECTION B, LINE 10A - IMPLEMENTATION STRATEGIES ON WEBSITESDIGNITY HEALTH HOSPITAL FACILITY IMPLEMENTATION STRATEGY DOCUMENTS CAN BE ACCESSED ATHTTPS://WWW.DIGNITYHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH/COMMUNITY-HEALTH-PROGRAMS-AND-REPORTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSIMPLEMENTATION STRATEGY DOCUMENTS ARE ALSO ON EACH HOSPITAL FACILITY'S WEBSITE, AT THE SAME LOCATIONS AS THEIR CHNA REPORTS LISTED IN PART V, SECTION B, LINE 7A ABOVE.
PART V, SECTION B, LINE 11 /FACILITY REPORTING GROUP B (CONT'D) MERCY MEDICAL CENTER MERCEDTHE SIGNIFICANT COMMUNITY HEALTH NEEDS THE HOSPITAL IS HELPING TO ADDRESS WERE IDENTIFIED IN THE HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). NEEDS BEING ADDRESSED BY STRATEGIES AND PROGRAMS ARE: ACCESS TO HEALTH CARE SERVICES, CANCER, DIABETES, INFANT/MATERNAL HEALTH & FAMILY PLANNING, NUTRITION, PHYSICAL ACTIVITY & WEIGHT, HEART DISEASE AND STROKE, TOBACCO USE, RESPIRATORY DISEASE (COVID-19), INJURY AND VIOLENCE, ORAL HEALTH, SOCIAL DETERMINANTS OF HEALTH. THESE NEEDS ARE BEING ADDRESSED THROUGH PROGRAMMING, STRATEGIES AND INITIATIVES THE HOSPITAL IS ALLOCATING RESOURCES AND FUNDS TOWARDS. THE HOSPITAL INTENDS TO TAKE SEVERAL ACTIONS AND TO DEDICATE RESOURCES TO THESE NEEDS, INCLUDING: FAMILY PRACTICE CLINIC; KIDS CARE PEDIATRIC CLINIC; GENERAL MEDICINE CLINIC; PATIENT FINANCIAL ASSISTANCE PROGRAM; MERCY UC DAVIS CANCER CENTER; AMERICAN CANCER SOCIETY - WIG BANK; ACCESSIBLE YOGA PROGRAM; CANCER SUPPORT GROUP; TRANSPORTATION ASSISTANCE PROGRAM; DIABETES SUPPORT GROUP AND CLASS; DIABETES EDUCATION AND EMPOWERMENT PROGRAM; NATIONAL DIABETES PREVENTION PROGRAM; CHILDBIRTH PREPARATION CLASSES; BABY CAFE; PRENATAL YOGA; STORK TOUR; PRENATAL BREASTFEEDING EDUCATION PROGRAM; ZUMBA, YOGA, WALK WITH EASE; MERCED COUNTY HUMAN TRAFFICKING COALITION; VALLEY CRISIS CENTER PARTNERSHIP/ED; MEDICAL SAFE HAVEN, YOUTH LEADERSHIP INSTITUTE - YOUTH VIOLENCE; ASTHMA SELF-MANAGEMENT PROGRAM; PROJECT CALM; CONNECTED COMMUNITY NETWORK; FREEDOM FROM SMOKING CLINICS; BHW/TZU CHI INTERNATIONAL DENTAL AND MEDICAL CLINIC; CERTIFIED PRIMARY STROKE CENTER, STROKE TELEMEDICINE, CARDIAC REHAB, STROKE SUPPORT AND RESOURCE CLASS. IN ADDITION, THE HOSPITAL IS COLLABORATING WITH MANY COMMUNITY BASED ORGANIZATIONS, BOTH PUBLIC AND PRIVATE SECTORS. THE SIGNIFICANT HEALTH NEEDS THE HOSPITAL HAS CHOSEN NOT TO ADDRESS ARE SUBSTANCE ABUSE, MENTAL HEALTH AND POTENTIALLY DISABLING CONDITIONS. SUBSTANCE ABUSE RESOURCES AND PROGRAMS ARE PROVIDED BY THE MERCED COUNTY SUBSTANCE USE DISORDER SERVICES. POTENTIALLY DISABLING CONDITIONS WILL NOT BE ADDRESSED PROGRAMMATICALLY, HOWEVER WE WILL BE ACTIVELY SCANNING FOR COMMUNITY BASED ORGANIZATIONS THAT ARE ADDRESSING THIS NEED AND WAYS TO SUPPORT OR PARTNER. MENTAL HEALTH IS BEING ADDRESSED BY MERCED COUNTY DEPARTMENT OF MENTAL HEALTH.
SCHEDULE H, PART V, SECTION B, LINE 16A, 16B AND 16C - FAP APPLICATION FORM FACILITY REPORTING GROUP AST. ROSE DOMINICAN HOSPITAL - SIENA, ST. ROSE DOMINICAN HOSPITAL SAN MARTIN, ST. ROSE DOMINICAN HOSPITAL - ROSE DE LIMAWWW.DIGNITYHEALTH.ORG/LAS-VEGAS/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-AND-PAYMENT/FINANCIAL-ASSISTANCEDE CRAIG RANCH LLC DBA DIGNITY HEALTH ST. ROSE DOMINICAN NORTH LAS VEGAS, DE BLUE DIAMOND LLC DBA DIGNITY HEALTH ST. ROSE DOMINICAN BLUE DIAMOND, DE SAHARA LLC DBA DIGNITY HEALTH ST. ROSE DOMINICAN SAHARA, DE FLAMINGO LLC DBA DIGNITY HEALTH ST. ROSE DOMINICAN WEST FLAMINGOWWW.STROSENH.ORG/HELPINGHANDS/FACILITY REPORTING GROUP BMERCY SAN JUAN MEDICAL CENTER, MERCY GENERAL HOSPITAL, MERCY HOSPITAL OF FOLSOMWWW.DIGNITYHEALTH.ORG/SACRAMENTO/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-INFORMATION/PAYMENT-ASSISTANCEDOMINICAN HOSPITALWWW.DIGNITYHEALTH.ORG/BAYAREA/LOCATIONS/DOMINICAN/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-AND-PAYMENT/FINANCIAL-ASSISTANCEMERCY HOSPITAL (BAKERSFIELD)WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/MERCY-BAKERSFIELD/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-INFORMATION/FINANCIAL-ASSISTANCEMERCY MEDICAL CENTER MERCEDWWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/MERCYMEDICAL-MERCED/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-INFORMATION/FINANCIAL-ASSISTANCEFACILITY REPORTING GROUP CST JOSEPH'S HOSPITAL AND MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/STJOSEPHS/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-PAYMENT-INFORMATION/FINANCIAL-ASSISTANCEMERCY GILBERT MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/MERCYGILBERT/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-AND-PAYMENT/FINANCIAL-ASSISTANCEST JOSEPH'S WESTGATE MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/WESTGATE/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-AND-PAYMENT/FINANCIAL-ASSISTANCEFACILITY REPORTING GROUP DMARIAN REGIONAL MEDICAL CENTER, ARROYO GRANDEWWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/LOCATIONS/MARIANREGIONAL/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-INFORMATION/FINANCIAL-ASSISTANCEWWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/LOCATIONS/ARROYO-GRANDE/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-INFORMATION/FINANCIAL-ASSISTANCEMERCY MEDICAL CENTER REDDINGWWW.DIGNITYHEALTH.ORG/NORTH-STATE/LOCATIONS/MERCY-REDDING/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-INFORMATION/FINANCIAL-ASSISTANCEST. ELIZABETH COMMUNITY HOSPITALWWW.DIGNITYHEALTH.ORG/NORTH-STATE/LOCATIONS/STELIZABETHHOSPITAL/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-INFORMATION/FINANCIAL-ASSISTANCEFACILITY REPORTING GROUP EST. JOHN'S REGIONAL MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/LOCATIONS/STJOHNSREGIONAL/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-AND-PAYMENT/FINANCIAL-ASSISTANCEST. JOHN'S HOSPITAL CAMARILLOWWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/LOCATIONS/PLEASANTVALLEY/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-AND-PAYMENT/FINANCIAL-ASSISTANCEST. MARY'S MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/BAYAREA/LOCATIONS/STMARYS/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-AND-PAYMENT/FINANCIAL-ASSISTANCEFACILITY REPORTING GROUP FST. MARY MEDICAL CENTER - LONG BEACHWWW.DIGNITYHEALTH.ORG/SOCAL/LOCATIONS/STMARYMEDICAL/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-PAYMENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCEMERCY MEDICAL CENTER MT SHASTAHTTPS://WWW.DIGNITYHEALTH.ORG/NORTH-STATE/LOCATIONS/MERCY-MTSHASTA/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-INFORMATION/FINANCIAL-ASSISTANCEST. BERNARDINE MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/STBERNARDINEMEDICAL/PATIENTS-AND-VISITORS/PATIENTS/BILLING-AND-PAYMENTS/PAYMENT-ASSISTANCE
Schedule H (Form 990) 2021
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?31
Name and address Type of Facility (describe)
1 1 - DIGNITY HEALTH MEDICAL GROUP ARIZONA
500 W THOMAS RD
PHOENIX,AZ85013 		MULTI-SPECIALTY CLINICS
2 2 - UNIVERSITY OF ARIZONA CANCER CENTER AT DIG
625 N 6TH STREET
PHOENIX,AZ85004 		CANCER CENTER
3 3 - VENTURA COUNTY IMAGING GROUP LLC
1510 COTNER AVE
LOS ANGELES,CA90025 		IMAGING CENTER
4 4 - DIGNITY HEALTH - MERCY GILBERT SLEEP CENTE
3420 MERCY RD
GILBERT,AZ85297 		SLEEP CENTER
5 5 - NICU OPERATING CO OF SANTA CRUZ LLC
1555 SOQUEL DRIVE
SANTA CRUZ,CA95065 		NEONATAL HEALTHCARE
6 6 - DHMGN-PAVILION URGENT CARE CLINIC
800 N GIBSON RD SUITE 101
HENDERSON,NV89011 		URGENT CARE
7 7 - DIGNITY HEALTH - ASSOCIATED SURGICAL ASSOC
3367 S MERCY ROAD STE 150
GILBERT,AZ85297 		WEIGHT LOSS CENTER
8 8 - HUGER MERCY LIVING CENTER
2345 W ORANGEWOOD
PHOENIX,AZ85021 		ASSISTED LIVING FACILITY
9 9 - RADIATION ONCOLOGY CENTER OF VENTURA COUNT
5301 MISSION OAKS BOULEVARD SUITE A
CAMARILLO,CA93012 		RADIATION / ONCOLOGY
10 10 - MERCY DAVIS CANCER CENTER LLC
333 MERCY AVENUE
MERCED,CA95340 		CANCER CENTER
11 11 - USRC DIGNITY HEALTH ACUTE LLC-CHANDLER ACU
1955 W FRYE ROAD
CHANDLER,AZ85224 		ACUTE CARE CLINIC
12 12 - USRC DIGNITY HEALTH ACUTE LLC-ST JOSEPH AC
350 W THOMAS ROAD
PHOENIX,AZ85013 		ACUTE CARE CLINIC
13 13 - DHMGN-HENDERSON MULTI-SPECIALTY CLINIC
10001 S EASTERN AVE SUITE 203
HENDERSON,NV89052 		MULTI-SPECIALTY CLINICS
14 14 - USRC DIGNITY HEALTH ACUTE LLC-MERCY ACUTES
3555 S VAL VISTA DRIVE
GILBERT,AZ85297 		ACUTE CARE CLINIC
15 15 - SEVEN OAKS SURGERY CTR LLC
1801 ORANGE TREE LANE SUITE 240
REDLANDS,CA92374 		SURGERY CENTER
16 16 - CBCC OUTSMARTING CANCER LLC
6501 TRUXTUN AVENUE
BAKERSFIELD,CA93309 		RADIATION / ONCOLOGY INCL CYBERKNIFE
17 17 - SANTA CRUZ SURGERY CENTER
3003 PAUL SWEET ROAD
SANTA CRUZ,CA95065 		SURGERY CENTER
18 18 - GENESISCARE USA-CHW LLC (REDDING)
963 BUTTE STREET
REDDING,CA96001 		ONCOLOGY
19 19 - ST ROSE NEUROSURGERY CLINIC
2865 SIENA HEIGHTS DR STE 131
HENDERSON,NV89052 		MULTI-SPECIALTY CLINICS
20 20 - USRC DIGNITY HEALTH ACUTE LLC-MESA ACUTE
9130 E ELLIOT RD
MESA,AZ85212 		ACUTE CARE CLINIC
21 21 - SANTA CRUZ COMPREHENSIVE IMAGING LLC
1685 COMMERCIAL WAY
SANTA CRUZ,CA95065 		IMAGING CENTER
22 22 - USRC DIGNITY HEALTH ACUTE LLC-WESTGATE ACU
7300 N 99TH AVE
GLENDALE,AZ85305 		ACUTE CARE CLINIC
23 23 - THE BARBARA GREENSPUN WOMEN'S CARE CENTER
100 N GREEN VALLEY PKWY SUITE 330
HENDERSON,NV89074 		HEALTH CENTER
24 24 - GENESISCARE USA-CHW LLC (MT SHASTA)
902 PINE STREET
MT SHASTA,CA96067 		ONCOLOGY
25 25 - USRC DIGNITY HEALTH ACUTE LLC-LAVEEN ACUTE
7171 S 51ST AVE
PHOENIX,AZ85539 		ACUTE CARE CLINIC
26 26 - ADVANCED AMBULATORY SURGERY CENTER LP
1901 W LUGONIA AVENUE SUITE 100
REDLANDS,CA92374 		SURGERY CENTER
27 27 - DIGNITY HEALTH USP OXNARD SURGERY CENTERS
1700 N ROSE AVENUE STE 100
OXNARD,CA93030 		SURGERY CENTER
28 28 - ST JOHN'S REGIONAL IMAGING CENTER LLC
1700 N ROSE AVENUE 110
OXNARD,CA93030 		IMAGING CENTER
29 29 - ST ROSE CARDIOVASCULARTHORACIC SURGERY CL
7190 S CIMARRON RD
LAS VEGAS,NV89113 		MULTI-SPECIALTY CLINICS
30 30 - WESTERN DIAGNOSTIC SERVICES LAB
1414 E MAIN STREET STE 102
SANTA MARIA,CA93465 		LABORATORY/PATHOLOGY
31 31 - DOMINICAN MAGNETIC RESONANCE IMAGING CENTE
1545 SOQUEL DRIVE
SANTA CRUZ,CA95065 		IMAGING CENTER
Schedule H (Form 990) 2021
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
PART I, LINE 3C: UNLESS ELIGIBLE FOR PRESUMPTIVE FINANCIAL ASSISTANCE, THE FOLLOWING ELIGIBILITY CRITERIA MUST BE MET IN ORDER FOR A PATIENT TO QUALIFY FOR FINANCIAL ASSISTANCE: - THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF TEN DOLLARS ($10.00) WITH THE COMMONSPIRIT HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW TEN DOLLARS ($10.00) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS. - THE PATIENT MUST COMPLY WITH PATIENT COOPERATION STANDARDS AS DESCRIBED IN SCHEDULE H, PART V, SECTION B, LINE 13H, 3RD PARAGRAPH. - THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION (FAA).FOR PATIENTS AND GUARANTORS WHO ARE UNABLE TO PROVIDE REQUIRED DOCUMENTATION, A HOSPITAL FACILITY MAY GRANT PRESUMPTIVE FINANCIAL ASSISTANCE BASED ON INFORMATION OBTAINED FROM OTHER RESOURCES. IN PARTICULAR, PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE: - RECIPIENT OF STATE-FUNDED PRESCRIPTION PROGRAMS; - HOMELESS OR ONE WHO RECEIVED CARE FROM A HOMELESS OR FREE CARE CLINIC; - PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC); - FOOD STAMP ELIGIBILITY; - ELIGIBILITY OR REFERRALS FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS (E.G., MEDICAID); - LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS; OR - PATIENT IS DECEASED WITH NO KNOWN SPOUSE OR KNOWN ESTATE.CALIFORNIA HOSPITALS ONLY:THE FOLLOWING REQUIREMENTS FOR ADDITIONAL HARDSHIP DISCOUNTS IS AN ADDENDUM OF THE FINANCIAL ASSISTANCE POLICY THAT APPLY TO PATIENTS RECEIVING SERVICES AT A COMMONSPIRIT HOSPITAL ORGANIZATION IN THE STATE OF CALIFORNIA ONLY.A PATIENT WHO RECEIVES DISCOUNTED CARE, BUT (1) WHOSE LIABILITY STILL EXCEEDS 30% OF THE SUM OF (A) HIS OR HER FAMILY INCOME, AND (B) HIS OR HER MONETARY ASSETS, AND (2) WHO DOES NOT HAVE THE ABILITY TO PAY HIS OR HER BILL, AS DETERMINED BY A REVIEW OF FACTORS SUCH AS PROJECTED FAMILY INCOME FOR THE COMING YEAR AND EXISTING OR ANTICIPATED HEALTH CARE LIABILITIES MAY BE GIVEN AN ADDITIONAL HARDSHIP DISCOUNT. FOR PURPOSES OF THE DETERMINATION OF THIS HARDSHIP DISCOUNT, THE COMMONSPIRIT HOSPITAL ORGANIZATION WILL NOT CONSIDER ASSETS IN RETIREMENT PLANS QUALIFIED UNDER THE INTERNAL REVENUE CODE IN EFFECT AT THE TIME OF THE DETERMINATION OR DEFERRED COMPENSATION PLANS.IF THE PATIENT MEETS ALL ELIGIBILITY CRITERIA, THE PATIENT WILL RECEIVE A HARDSHIP DISCOUNT, WHICH WILL REDUCE THE PATIENT'S REMAINING LIABILITY TO NO MORE THAN 30% OF THE SUM OF HIS OR HER (1) PATIENT FAMILY INCOME, AND (2) MONETARY ASSETS.A PATIENT MAY ALSO RECEIVE DISCOUNTS OR WAIVERS UNDER THIS ADDENDUM IF CONSIDERED HOMELESS OR TRANSIENT OR IF THEY PARTICIPATE IN A FEDERAL, STATE, OR LOCAL MANAGED INDIGENT CARE PROGRAM.
PART I, LINE 6A: EACH TAX-EXEMPT HOSPITAL FACILITY LISTED IN SCHEDULE H, PART V, PREPARED A SEPARATE COMMUNITY BENEFIT REPORT. CALIFORNIA HOSPITALS SUBMIT THEIR REPORTS TO THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT AND NEVADA HOSPITALS SUBMIT THEIR REPORTS TO THE NEVADA DEPARTMENT OF HEALTH AND HUMAN SERVICES. DIGNITY HEALTH IS INCLUDED IN THE CONSOLIDATED COMMUNITY BENEFIT REPORT IN COMMONSPIRIT'S ANNUAL AUDITED FINANCIAL STATEMENTS FOR ITS HOSPITALS AND THE HOSPITALS OF RELATED ORGANIZATIONS THAT ARE CONSOLIDATED FOR FINANCIAL REPORTING PURPOSES (SEE PART VI, LINE 6). COMMONSPIRIT'S FINANCIAL STATEMENTS ARE POSTED ON COMMONSPIRIT'S EXTERNAL WEB SITE. THE INDIVIDUAL HOSPITALS' COMMUNITY BENEFIT REPORTS ARE MADE AVAILABLE TO THE PUBLIC ON BOTH DIGNITY HEALTH'S AND EACH HOSPITAL'S WEBSITES, AND ARE AVAILABLE BY REQUEST.
PART I, LINE 7: DIGNITY HEALTH HOSPITALS USE A COST ACCOUNTING SYSTEM OR AN ADJUSTED COST TO CHARGE RATIO (CCR) CALCULATED IN A MANNER CONSISTENT WITH WORKSHEET 2 FOR EACH REPORTING FACILITY, TO DERIVE THE REPORTED COSTS OF FINANCIAL ASSISTANCE, MEDICAID AND OTHER MEANS-TESTED PROGRAMS. WORKSHEET 3 OR THE EQUIVALENT IN THE COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY ("CBISA") SOFTWARE ARE USED TO CALCULATE EXPENSE AND REVENUE, INCLUDING WHERE APPLICABLE MEDICAID PROVIDER FEES AND PAYMENTS FROM UNCOMPENSATED CARE PROGRAMS. ACTUAL OR ESTIMATED COST AND ANY DIRECT OFFSETTING REVENUE IS REPORTED, AND SCHEDULE H WORKSHEETS OR THEIR EQUIVALENTS ARE USED, FOR OTHER COMMUNITY BENEFIT ACTIVITIES SUCH AS COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH, AND CASH AND IN-KIND DONATIONS.PART I, LINE 7B - MEDICAID:INCLUDED IN COMMUNITY BENEFIT EXPENSE FOR MEDICAID, COLUMN (C) IS $125 MILLION OF QUALITY ASSURANCE FEES ASSESSED TO DIGNITY HEALTH IN ACCORDANCE WITH THE CALIFORNIA PROVIDER FEE PROGRAMS. INCLUDED IN DIRECT OFFSETTING REVENUE FOR MEDICAID, COLUMN (D), IS $270 MILLION IN SUPPLEMENTAL PAYMENTS RECEIVED UNDER THESE PROGRAMS.
PART I, LINE 7G: INCLUDED IN SUBSIDIZED HEALTH SERVICES IS $48,386 OF SUBSIDIZED HEALTH SERVICES ASSOCIATED WITH PHYSICIAN CLINICS AS THESE SERVICES ARE PROVIDED TO THE COMMUNITIES AT A FINANCIAL LOSS. IF DIGNITY HEALTH DID NOT PROVIDE THESE SERVICES, THEY WOULD EITHER BE UNAVAILABLE OR INSUFFICIENTLY AVAILABLE IN THE COMMUNITY, OR THE SERVICE WOULD BECOME THE RESPONSIBILITY OF THE GOVERNMENT OR ANOTHER TAX-EXEMPT ORGANIZATION.PART I, LINE 7I:INCLUDED IN CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT IS $2.3 MILLION IN GRANTS TO A FUND ESTABLISHED BY THE CALIFORNIA HEALTH FOUNDATION AND TRUST ("CHFT"). CHFT WAS ESTABLISHED FOR SEVERAL PURPOSES, INCLUDING AGGREGATING AND DISTRIBUTING FINANCIAL RESOURCES TO SUPPORT CHARITABLE ACTIVITIES AT VARIOUS HOSPITALS AND HEALTH SYSTEMS IN CALIFORNIA, CONSISTENT WITH CHFT'S MISSION OF SUPPORTING HEALTH CARE, ACCESS TO HEALTH CARE, RESEARCH, AND EDUCATION.
PART II, COMMUNITY BUILDING ACTIVITIES: DIGNITY HEALTH'S WORK TO PROMOTE THE HEALTH OF THE COMMUNITIES SERVED EXTENDS BEYOND PROVIDING HEALTH CARE AND COMMUNITY HEALTH IMPROVEMENT SERVICES. DIGNITY HEALTH TAKES A PROACTIVE APPROACH TO ADDRESSING THE SOCIAL, ECONOMIC AND ENVIRONMENTAL BARRIERS TO GOOD HEALTH, AND SUPPORTS THE WORLD HEALTH ORGANIZATION DEFINITION OF HEALTH AS A STATE OF COMPLETE PHYSICAL, MENTAL AND SOCIAL WELL-BEING, NOT MERELY THE ABSENCE OF DISEASE OR INFIRMITY. IN ADDITION TO THE EXAMPLES BELOW, DIGNITY HEALTH HOSPITALS' PUBLICLY AVAILABLE ANNUAL COMMUNITY BENEFIT REPORTS EACH DESCRIBE SPECIFIC COMMUNITY BUILDING ACTIVITIES IN A SECTION TITLED "OTHER PROGRAMS AND NON-QUANTIFIABLE BENEFITS." COMBINED WITH DIGNITY HEALTH, DIGNITY COMMUNITY CARE AND COMMONSPIRIT HEALTH, THE DIGNITY HEALTH COMMUNITY INVESTMENT PROGRAM HAS PROVIDED, SINCE 1990, LOW INTEREST LOANS AND LINES OF CREDIT TO NON-PROFIT ORGANIZATIONS THAT ARE ADDRESSING SOCIAL DETERMINANTS OF HEALTH, INCLUDING AFFORDABLE HOUSING, ACCESS TO HEALTH CARE, HEALTHY FOOD AND SOCIAL SERVICES VITAL TO A COMMUNITY'S HEALTH, ALONG WITH CLIMATE CHANGE MITIGATION AND SMALL BUSINESS DEVELOPMENT IN DISTRESSED COMMUNITIES. DIGNITY HEALTH INVESTS DIRECTLY IN INDIVIDUAL PROJECTS AND THROUGH COMMUNITY DEVELOPMENT FINANCIAL INSTITUTIONS. THE ORGANIZATION DOES NOT INCLUDE THE VALUE OF THESE LOANS AS COMMUNITY BUILDING, BUT THE ACTIVITY DOES SERVE TO BUILD COMMUNITY.IN FY22 THE PROGRAM APPROVED 16 NEW LOANS TOTALLING $31.8 MILLION, LEVERAGING $101.9 MILLION IN OTHER FINANCING IN COMMONSPIRIT HEALTH INCLUDING DIGNITY HEALTH FOR COMMUNITY IMPROVEMENT SUCH AS AFFORDABLE HOUSING AND HEALTH CARE CLINICS, ENVIRONMENTAL AND CLIMATE CHANGE EFFORTS, AND JOB CREATION. EXAMPLES OF RECENT INVESTMENTS ARE: A $2,000,000 SECURED LOAN TO HOMELESS PRENATAL PROGRAM FOR 7 YEARS. FUNDS WILL BE USED AS PART OF A PREDEVELOPMENT LOAN TO SUPPORT THE DEVELOPMENT OF 2530 18TH STREET IN SAN FRANCISCO. CURRENTLY A 2-STORY WAREHOUSE, THE BUILDING WILL BE REPLACED WITH NEW CONSTRUCTION OF 60 UNITS OF PERMANENT SUPPORTIVE HOUSING FOR LOW-INCOME AND HOMELESS FAMILIES, AND TO EXPAND AND PROVIDE JOB TRAINING AND CHILD CARE SERVICES. IN 2022, A $5.0 MILLION LOAN WAS APPROVED TO CALVERT IMPACT CAPITAL FOR 8 YEARS. FUNDS WILL BE USED TO INCREASE ACCESS TO CAPITAL ACROSS AFFORDABLE HOUSING, COMMUNITY DEVELOPMENT, EDUCATION, ENVIRONMENTAL SUSTAINABILITY, HEALTH, MICROFINANCE, AND RENEWABLE ENERGY. IN 2022, A $2,000,000 LINE OF CREDIT WAS APPROVED TO ABODE COMMUNITIES TO FUND ACQUISITION AND PREDEVELOPMENT COSTS RELATED TO NEW DEVELOPMENT PROJECTS IN LOS ANGELES, CALIFORNIA.DIGNITY HEALTH HOSPITALS DONATE THE USE OF MEETING SPACE TO COMMUNITY GROUPS AND SERVE AS MEMBERS OF COALITIONS THAT FOCUS ON THE WELL-BEING OF THEIR RESPECTIVE COMMUNITIES. DIGNITY HEALTH ADVOCACY REPRESENTATIVES WORK TO IMPROVE ACCESS TO HEALTH CARE, PROMOTE THE HEALTH OF THE PUBLIC, AND ADVOCATE FOR SOCIAL JUSTICE, HUMAN RIGHTS AND A CLEAN AND HEALTHY ENVIRONMENT AS PART OF MISSION-DRIVEN ADVOCACY. IN MEDICALLY UNDERSERVED AREAS, EFFORTS TO RECRUIT PHYSICIANS AND OTHER HEALTH PROFESSIONALS ARE ONGOING, AS ARE PARTNERSHIPS WITH COMMUNITY COLLEGES AND UNIVERSITIES TO ADDRESS HEALTH CARE WORK-FORCE SHORTAGES. A NUMBER OF DIGNITY HEALTH HOSPITALS OFFER HEALTH CAREER MENTORING PROJECTS AND PROVIDE SCHOOL-BASED AND COMMUNITY PROGRAMS THAT DRIVE ENTRY INTO HEALTH CAREERS.COMMUNITY BUILDING - PHYSICAL IMPROVEMENTS AND HOUSING:EXAMPLES OF PHYSICAL IMPROVEMENTS AND HOUSING INCLUDE LOW-INTEREST LOANS FOR NEW DEVELOPMENT AND REHAB OF AFFORDABLE HOUSING THROUGH THE COMMUNITY INVESTMENT PROGRAM AND SUBSIDIZING LOW INCOME HOUSING UNITS. COMMUNITY BUILDING - ECONOMIC DEVELOPMENT:ACTIVITIES INCLUDE THE PARTICIPATION OF LEADERSHIP STAFF OF SEVERAL DIGNITY HEALTH FACILITIES IN CHAMBERS OF COMMERCE AND VARIOUS CIVIC ORGANIZATIONS, AND CHARITABLE CONTRIBUTIONS AIMED AT ENSURING THE ECONOMIC DEVELOPMENT, VITALITY AND STABILITY OF LOCAL, LOW-INCOME COMMUNITIES.COMMUNITY BUILDING - COMMUNITY SUPPORT:DIGNITY HEALTH FACILITIES LEAD AND/OR COLLABORATE WITH OTHER COMMUNITY-BASED ORGANIZATIONS TO SUPPORT THE HEALTHY DEVELOPMENT AND SUCCESS OF CHILDREN, YOUTH AND FAMILIES, WHICH ENGAGES AND STRENGTHENS THE COMMUNITIES SERVED. DIGNITY HEALTH ALSO MAKES CHARITABLE DONATIONS TO ORGANIZATIONS FOR THE SUPPORT AND DEVELOPMENT OF UNDERSERVED YOUTH, DISASTER RELIEF, AND BASIC NEEDS FOR VULNERABLE POPULATIONS.COMMUNITY BUILDING - ENVIRONMENTAL IMPROVEMENTS:DIGNITY HEALTH IS ENGAGED IN ONGOING EFFORTS TO REDUCE COMMUNITY ENVIRONMENTAL HAZARDS IN THE AIR, WATER AND GROUND, AND THE SAFE REMOVAL OF OTHER TOXIC WASTE PRODUCTS, IN PART THROUGH SUSTAINABILITY AND IN PART THROUGH ADVOCACY. THE COMMITMENT OF DIGNITY HEALTH TO IMPROVE AND SUSTAIN THE ENVIRONMENT IS CODIFIED BY POLICIES, INCLUDING AN ENVIRONMENTALLY PREFERABLE PURCHASING POLICY WHICH PURSUES MULTIPLE ENVIRONMENTAL GOALS TO REDUCE WASTE AT ITS SOURCE AND TO REDUCE THE AMOUNT OF VIRGIN MATERIALS PURCHASED. DIGNITY HEALTH'S INVESTMENT POLICY SCREENS TO EXCLUDE FROM THE PORTFOLIO COMPANIES THAT EXTRACT AND/OR BURN THERMAL COAL, A PRODUCT WHICH HAS IMPACT ON THE HEALTH OF PERSONS, COMMUNITIES AND THE EARTH MAKES IT CONTRARY TO DIGNITY HEALTH'S HEALING MISSION. DIGNITY HEALTH ATTEMPTS TO PURCHASE GOODS WITH RECYCLED CONTENT AND REDUCED PLASTIC CONTENT, AND ONCE PURCHASES REACH THE END OF THEIR INITIAL USE, DIGNITY HEALTH FOCUSES ON REUSE WITHIN THE HOSPITAL, TRANSFER TO OTHER USERS (SUCH AS COMMUNITY ORGANIZATIONS), RECYCLING, AND FINALLY, PROPER WASTE DISPOSAL. DIGNITY HEALTH HAS TRANSITIONED TO PRODUCTS THAT ARE FREE OF POLYVINYL CHLORIDE (PVC) AND DI (2-ETHYLHEXYL) PHTHALATE (DEHP) AND HAS ELIMINATED THE USE OF MERCURY.COMMUNITY BUILDING - LEADERSHIP DEVELOPMENT/TRAINING FOR COMMUNITY MEMBERS:DIGNITY HEALTH HOSPITALS ARE COMMITTED TO BUILDING HEALTHIER COMMUNITIES THROUGH PARTICIPATION IN AND CHARITABLE CONTRIBUTIONS TO LEADERSHIP DEVELOPMENT, PARTICULARLY OF ADOLESCENT, TEEN AND YOUNG ADULT LEADERSHIP, AND CAREER DEVELOPMENT FOR VULNERABLE POPULATIONS.COMMUNITY BUILDING - COALITION BUILDING:DIGNITY HEALTH FACILITIES PROVIDE REPRESENTATION ON COMMUNITY COALITIONS AND BOARDS, HELP TO STIMULATE AND AT TIMES LEAD COLLABORATIVE PARTNERSHIPS TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY, AND HOST AND/OR PARTICIPATE IN COMMUNITY COALITION MEETINGS AND SPECIFIC PROJECTS AND INITIATIVES.COMMUNITY BUILDING - ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENT:STAFF AT DIGNITY HEALTH HOSPITALS AND THE DIGNITY HEALTH SYSTEM ADVOCATE ON BEHALF OF THE POOR AND DISENFRANCHISED, PARTICULARLY FOR IMPROVED ACCESS TO HEALTH CARE SERVICES AS WELL AS FOR ENVIRONMENTAL IMPROVEMENTS TO BENEFIT HEALTH. DIGNITY HEALTH ALSO ADVOCATES FOR SOCIAL JUSTICE AND HUMAN RIGHTS THROUGH DUES AND GIFTS TO ORGANIZATIONS THAT SUPPORT SOCIAL JUSTICE, AND BY ADVOCATING FOR SOCIAL JUSTICE, ENVIRONMENTAL RESPONSIBILITY AND HUMAN RIGHTS THROUGH INVESTMENTS AS A SHAREHOLDER.COMMUNITY BUILDING - WORKFORCE DEVELOPMENT:DIGNITY HEALTH IS COMMITTED TO THE DEVELOPMENT OF THE HEALTH CARE WORKFORCE, AND ACTIVELY ENGAGES IN THE RECRUITMENT OF PHYSICIANS AND OTHER HEALTH PROFESSIONALS IN MEDICALLY UNDERSERVED AREAS. DIGNITY HEALTH HAS ESTABLISHED A HEALTH PROFESSIONALS WORKFORCE DEVELOPMENT PARTNERSHIP WITH MOREHOUSE SCHOOL OF MEDICINE TO RECRUIT AND TRAIN BLACK CLINICIANS. DIGNITY HEALTH SUPPORTS THE TRAINING AND RECRUITMENT OF UNDERREPRESENTED MINORITIES AND PARTICIPATES IN COMMUNITY WORKFORCE BOARDS AND PARTNERSHIPS. SEVERAL DIGNITY HEALTH FACILITIES, AS WELL AS THE ORGANIZATION ITSELF, PARTNER WITH LOCAL COMMUNITY COLLEGES AND UNIVERSITIES TO ADDRESS THE HEALTH CARE WORKFORCE SHORTAGE AND ACTIVELY ENGAGE IN HEALTH CAREER MENTORING PROGRAMS.
PART III, LINE 2: THE AMOUNT OF THE ORGANIZATION'S BAD DEBT AT COST IS DETERMINED BY APPLYING THE CCR (SEE PART I, LINE 7 DISCLOSURE) TO PATIENT CHARGES THAT ARE DEEMED TO BE UNCOLLECTIBLE. THIS AMOUNT REPRESENTS THE COST OF SERVICES PROVIDED TO PATIENTS WHO ARE UNABLE OR REFUSE TO PAY THEIR BILLS AND DO NOT QUALIFY FOR FREE OR DISCOUNTED CARE, GOVERNMENT SPONSORED PROGRAMS OR OTHER PAYMENT ASSISTANCE, AND ARE OTHERWISE UNINSURED.THE FILING ORGANIZATION PROVIDES FREE OR DISCOUNTED CARE TO UNINSURED OR UNDER-INSURED INDIVIDUALS THAT FALL INTO THE FOLLOWING CATEGORIES; IN ARIZONA AND NEVADA, UP TO 200% OR 201%-400% OF THE FEDERAL POVERTY LEVEL, IN CALIFORNIA UP TO 250%, 251%-350% OR 351%-500% OF THE FEDERAL POVERTY LEVEL. DIGNITY HEALTH ALSO PROVIDES PATIENTS OPTIONS FOR UNINSURED PATIENT DISCOUNT AND SELF-PAY DISCOUNTS. IN CALIFORNIA, PATIENTS WHO ARE UNINSURED OR WITH HIGH MEDICAL COSTS ARE ELIGIBLE TO RECEIVE DISCOUNTED CARE IN ADDITION TO AN INTEREST-FREE EXTENDED PAYMENT PLAN THAT WILL ALLOW PAYMENT OF THE DISCOUNTED AMOUNT OVER TIME. DISCOUNTS ARE ACCOUNTED FOR AS DEDUCTIONS FROM REVENUE, NOT AS BAD DEBT EXPENSE.
PART III, LINE 3: THE DIGNITY HEALTH FINANCIAL ASSISTANCE POLICY WAS UPDATED AND RENAMED AS COMMONSPIRIT HEALTH FINANCIAL ASSISTANCE POLICY. DIGNITY HEALTH HOSPITALS FOLLOW THIS POLICY.THE FILING ORGANIZATION MAKES EVERY EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UPON ADMISSION. COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE POLICY IS COMMUNICATED TO PATIENTS UPON ADMISSION AND IS AVAILABLE IN THE LANGUAGES PRIMARILY SPOKEN IN THE COMMUNITY. IT IS ALSO POSTED IN VARIOUS COMMON AREAS OF THE HOSPITAL, SUCH AS EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL BUSINESS OFFICES LOCATED ON FACILITY CAMPUSES, AND OTHER PUBLIC PLACES, AND IS PROVIDED UPON BILLING IF ELIGIBILITY IS NOT PREVIOUSLY DETERMINED. ELIGIBILITY IS REEVALUATED AS NEEDED AND AMOUNTS ARE CLASSIFIED AS CHARITY AS SOON AS ELIGIBILITY IS KNOWN. COMMONSPIRIT HEALTH ALSO UTILIZES A PAYMENT ASSISTANCE RANK ORDERING (PARO) SCORING SYSTEM TO ASSIST IN DETERMINING IF AN UNINSURED PATIENT MAY QUALIFY FOR PAYMENT ASSISTANCE EVEN THOUGH THEY HAVE NOT APPLIED FOR IT. PARO IS A METHODOLOGY THAT APPLIES CONSISTENT SCREENING AND APPLICATION STANDARDS TO ALL UNINSURED PATIENTS UTILIZING HISTORICAL DATA TO DEVELOP A PREDICTIVE MODEL FOR HEALTHCARE PAYMENT ASSISTANCE. IN ITS DEVELOPMENT, SPECIAL ATTENTION WAS PAID TO THOSE SOCIOECONOMIC FACTORS THAT MIGHT ADVERSELY AFFECT THOSE PATIENTS DESERVING THE MOST ATTENTION. OTHER CRITERIA ARE ALSO UTILIZED TO ENSURE THAT SERVICES THAT HAVE QUALIFIED AS FINANCIAL ASSISTANCE ARE NOT REPORTED AS BAD DEBT. AS SUCH, DIGNITY HEALTH DOES NOT BELIEVE THAT ANY AMOUNTS INCLUDED IN PART III, LINE 2, ARE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S PAYMENT ASSISTANCE POLICY, AND THEREFORE, NO PORTION OF BAD DEBT EXPENSE IS INCLUDED AS COMMUNITY BENEFIT EXPENSE.
PART III, LINE 4: THE FOLLOWING IS AN EXCERPT FROM COMMONSPIRIT'S CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2022, RELATED TO PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT REVENUE. THE ENTIRE FOOTNOTE CAN BE VIEWED IN THE ATTACHED COMMONSPIRIT HEALTH CONSOLIDATED FINANCIAL STATEMENTS ON PAGES 12-13.PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNTS THAT REFLECT THE CONSIDERATION COMMONSPIRIT EXPECTS TO BE PAID IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING HEALTH INSURERS AND GOVERNMENT PROGRAMS), AND OTHERS, AND INCLUDE CONSIDERATION FOR RETROACTIVE REVENUE ADJUSTMENTS DUE TO SETTLEMENT OF AUDITS AND REVIEWS. GENERALLY, PERFORMANCE OBLIGATIONS FOR PATIENTS RECEIVING INPATIENT ACUTE CARE SERVICES AND OUTPATIENT SERVICES ARE RECOGNIZED OVER TIME AS SERVICES ARE PROVIDED. NET PATIENT REVENUE IS PRIMARILY COMPRISED OF HOSPITAL AND PHYSICIAN SERVICES.
PART III, LINE 8: COMMONSPIRIT HEALTH HOSPITALS PREPARE MEDICARE COST REPORTS IN A MANNER THAT COMPORTS WITH PROVIDER REIMBURSEMENT MANUAL (PRM) 15-1 AND PRM 15-2 CHAPTER 40 (TRANSMITTAL 13). AS SUCH, THE FOLLOWING LANGUAGE PER PRM 15-1 DESCRIBES THE COMPUTATION OF COSTS PER THE MEDICARE COST REPORT: TOTAL ALLOWABLE COSTS OF A PROVIDER ARE APPORTIONED BETWEEN PROGRAM BENEFICIARIES AND OTHER PATIENTS SO THAT THE SHARE BORNE BY THE PROGRAM IS BASED UPON ACTUAL SERVICES RECEIVED BY PROGRAM BENEFICIARIES. THE RATIO OF COVERED BENEFICIARY CHARGES TO TOTAL PATIENT CHARGES FOR THE SERVICES OF EACH ANCILLARY DEPARTMENT IS APPLIED TO THE COST OF THE DEPARTMENT. ADDED TO THIS AMOUNT IS THE COST OF ROUTINE SERVICES FOR PROGRAM BENEFICIARIES, DETERMINED ON THE BASIS OF A SEPARATE AVERAGE COST PER DIEM FOR ALL PATIENTS FOR GENERAL ROUTINE PATIENT CARE AREAS. ANOTHER FACTOR CONSIDERED IS A SEPARATE AVERAGE COST PER DIEM FOR EACH INTENSIVE CARE UNIT, CORONARY CARE UNIT, AND OTHER SPECIAL CARE INPATIENT HOSPITAL UNITS.COMMONSPIRIT HEALTH AND ITS SUBORDINATE CORPORATIONS BELIEVE THAT THE ENTIRE MEDICARE SHORTFALL FOR THE CONSOLIDATED ENTITIES CONSTITUTES COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY COMMONSPIRIT HOSPITALS IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITIES. THE HOSPITALS PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. DIGNITY HEALTH'S SHORTFALL, AS REPORTED ON PART III, SECTION B, LINE 7, OF $301 MILLION REPRESENTS THE FILING ORGANIZATION'S MEDICARE COST REPORTS.
PART III, LINE 9B: DIGNITY HEALTH FACILITIES ENSURE THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. DIGNITY HEALTH ALSO FOLLOWS COMMONSPIRIT HEALTH'S COLLECTION POLICY. COMMONSPIRIT HEALTH'S BILLING AND COLLECTION POLICY CONTAINS PROVISIONS THAT PROHIBIT THE COLLECTION OF AMOUNTS DUE FROM PATIENTS WHO THE ORGANIZATION KNOWS QUALIFY FOR FINANCIAL ASSISTANCE. ACCOUNTS WITH INCORRECT OR INCOMPLETE DEMOGRAPHIC INFORMATION ARE ASSIGNED TO A COLLECTION AGENCY IF THE DIGNITY HEALTH FACILITY, OR BILLING COMPANY RETAINED BY COMMONSPIRIT HEALTH, IS UNABLE TO OBTAIN AN UPDATED ADDRESS THROUGH SKIP TRACING OR OTHER MEANS. FOR PATIENTS WHO HAVE AN APPLICATION PENDING FOR EITHER GOVERNMENT-SPONSORED ASSISTANCE OR FOR ASSISTANCE UNDER COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE POLICY, OR WHERE THE PATIENT IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH THE FACILITY VIA PAYMENT PLANS, DIGNITY HEALTH WILL NOT KNOWINGLY SEND THAT PATIENT'S BILL TO AN OUTSIDE COLLECTION AGENCY. LEGAL ACTION WILL NOT BE PURSUED TO COLLECT DEBTS FROM PATIENTS WHO HAVE QUALIFIED FOR CHARITY OR ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DEBT.ON SELF-PAY ACCOUNTS THAT DO NOT MEET THE CRITERIA NOTED ABOVE, THE INITIAL DETERMINATION OF ASSIGNMENT TO A COLLECTION AGENCY WILL VARY DEPENDING ON THE NATURE OF THE ACCOUNT WITH THE FINAL DECISION BEING AT THE DISCRETION OF THE BILLING COMPANY RETAINED BY COMMONSPIRIT HEALTH. UPON ASSIGNMENT OF SUCH A PATIENT ACCOUNT TO A COLLECTION AGENCY, DIGNITY HEALTH REQUIRES THE AGENCY TO COMPLY WITH THE FAIR DEBT COLLECTION PRACTICES ACT.
PART VI, LINE 2: IN ADDITION TO EACH LICENSED HOSPITAL CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT AT LEAST EVERY THREE YEARS, DIGNITY HEALTH AND ITS HOSPITALS ASSESS THE HEALTH NEEDS OF THE COMMUNITIES THEY SERVE BY WORKING COLLABORATIVELY WITH LOCAL FEDERALLY QUALIFIED HEALTH CENTERS, OTHER NON-PROFIT CLINICS, PUBLIC HEALTH DEPARTMENTS, AND OTHER HEALTH, SOCIAL SERVICE AND COMMUNITY ORGANIZATIONS TO IDENTIFY AND SERVE THE NEEDS OF VULNERABLE POPULATIONS. DIGNITY HEALTH OBTAINS AND MAINTAINS KNOWLEDGE OF HEALTH NEEDS IN PART THROUGH REFERRAL RELATIONSHIPS, SERVICE PLANNING ACTIVITIES, COMMUNITY HEALTH PARTNERSHIPS, AND LOCAL ADVOCACY CONDUCTED IN CONJUNCTION WITH COMMUNITY PARTNERS. THE HOSPITALS UTILIZE DATABASES AND PLANNING TOOLS TO EVALUATE CHANGES IN CURRENT AND PROJECTED COMMUNITY NEED FOR HEALTH CARE SERVICES, INCLUDING PHYSICIANS.DIGNITY HEALTH HOSPITALS CREATE AND MAKE AVAILABLE TO THE PUBLIC ANNUAL COMMUNITY BENEFIT REPORTS THAT SUMMARIZE IDENTIFIED HEALTH NEEDS, UPDATE COMMUNITY DEMOGRAPHIC INFORMATION, AND REPORT ON RECENT AND PLANNED COMMUNITY HEALTH PROGRAMS, INCLUDING GOALS, OBJECTIVES AND MEASURABLE RESULTS.MARIAN REGIONAL MEDICAL CENTER, ARROYO GRANDEMARIAN REGIONAL MEDICAL CENTER IS AN ACTIVE MEMBER OF THE COMMUNITY CONVERSATION HEALTH EQUITY COALITION WHICH FOCUSES ON THE BETTERMENT OF COLLABORATING ON STRATEGIES TO ADDRESS HEALTH INEQUITIES IN SANTA BARBARA COUNTY.MERCY MEDICAL CENTER REDDINGMMCR SUPPORTS AND ENHANCES REGIONAL EFFORTS IN PLACE TO PROMOTE HEALTHIER COMMUNITIES. ONE OF THE OBJECTIVES IS TO PARTNER WITH OTHER NONPROFIT AND RELIGIOUS ORGANIZATIONS THAT SHARE OUR VALUES AND PRIORITIES TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE OF THE COMMUNITY WE SERVE. THIS IS AN INTENTIONAL EFFORT TO AVOID DUPLICATION AND LEVERAGE THE SUCCESSFUL WORK ALREADY IN EXISTENCE IN THE COMMUNITY.DOMINICAN HOSPITALDOMINICAN HOSPITAL HAS PARTNERED WITH SUTTER/PAMF AND KAISER PERMANENTE ON A SERIES OF COMMUNITY FORUMS GATHERING COMMUNITY PARTNERS AND COMMUNITY BENEFIT ORGANIZATIONS TOGETHER WITH THE GOAL OF CREATING A CONNECTED COMMUNITY NETWORK IN SANTA CRUZ COUNTY. ST. BERNARDINE MEDICAL CENTERSBMC SERVED ON THE 2022 INLAND EMPIRE COMMUNITY HEALTH ASSESSMENT STAKEHOLDER COMMITTEE COMPOSED OF OVER 40 REPRESENTATIVES ACROSS 25 COMMUNITY ORGANIZATIONS. THIS EFFORT SERVED TO UNITE COMMUNITY PARTNERS OVER THE PAST YEAR TO COLLECT AND ANALYZE THE REGION'S (INLAND EMPIRE) HEALTH AND WELLNESS DATA. COLLECTIVELY, THE COMMITTEE IDENTIFIED FOUR AT-RISK POPULATION GROUPS: SENIORS, COMMUNITIES OF COLOR, INDIVIDUALS WITH LOW INCOMES AND THOSE LIVING IN REMOTE AND RURAL AREAS, AS WELL AS SIX PRIORITY AREAS OF FOCUS: BASIC NEEDS FOR HEALTH AND SAFETY, HOUSING, MEANINGFUL WORK AND WEALTH, CARDIOVASCULAR DISEASE AND DIABETES, MATERNAL AND INFANT HEALTH AND MENTAL AND BEHAVIORAL HEALTH. A COMMUNITY HEALTH ASSESSMENT FOR THE INLAND EMPIRE WAS DEVELOPED AND DISTRIBUTED TO THE COMMUNITY DUE TO THE GROUP'S COLLABORATION. SBMC PARTNERED WITH THE SAN BERNARDINO COUNTY TRANSPORTATION AUTHORITY/SAN BERNARDINO COUNCIL OF GOVERNMENTS (SBCTA/SBCOG) TO DEVELOP VARIOUS TOOLS, INCLUDING A DATA DASHBOARD AND EQUITY TOOLKIT, TO HELP POLICYMAKERS AND COMMUNITY LEADERS ADVANCE EQUITY ACROSS SAN BERNARDINO COUNTY. SBMC WAS A PARTICIPANT ON A 2022 SBCTA/SBCOG FOCUS GROUP AND PROVIDED INSIGHT ON KEY HEALTH, ENVIRONMENTAL, AND EQUITY ISSUES IMPACTING THE HOSPITAL'S LOCAL SERVICE AREA. SBMC HAS PARTNERED WITH THE COUNTY OF SAN BERNARDINO OVER THE LAST TEN YEARS TO SUPPORT AND PROVIDE GUIDANCE ON THE COMMUNITY VITAL SIGNS INITIATIVE WHICH AIMS TO IMPROVE THE HEALTH OF ALL COUNTY RESIDENTS. SBMC HAS SERVED ON THE INTIATIVE'S STEERING COMMITTEE WHICH IS COMPOSED OF LEADERS FROM MULTIPLE SECTORS FROM THROUGHOUT THE COUNTY WHO GUIDE THE DECISION-MAKING PROCESS, LEAD IMPLEMENTATION OF EFFECTIVE GOALS, STRATEGIES, AND POLICIES, AND ADVOCATE FOR THE CONSIDERATION FOR A HEALTH IN ALL POLICIES APPROACH. SBMC IS PARTNERING WITH THE CITY OF SAN BERNARDINO TO EXPLORE OPTIONS FOR TRANSITIONAL HOUSING AND RECUPERATIVE CARE IN THE INLAND EMPIRE TO REDUCE AND ELIMINATE THE HEALTHCARE ACCESS, HOUSING, AND HOMELESSNESS CRISIS PRESENTED IN OUR LOCAL COMMUNITY. SBMC HAS SERVED ON THE INLAND EMPIRE BREASTFEEDING COALITION (IEBFC) IN AN EFFORT TO ADDRESS AND CLOSE THE EVOLVING GAPS IN PROMOTING AND SUPPORTING THE BREASTFEEDING COMMUNITY.ST. MARY'S MEDICAL CENTERTHE HOSPITAL ASSESSES HEALTH NEEDS BY FREQUENTLY CONNECTING WITH CLINICAL STAFF IN THE HOSPITAL AND COMMUNITY TO DETERMINE HOW NEEDS ARE BEST MET. ADDITIONALLY, THE HOSPITAL TRACKS HOW THE CARE LANDSCAPE CHANGES, AS FUNDING, STAFFING, AND AVAILABILITY OF SERVICES CHANGES THE HEALTH NEEDS THAT ARE MOST PREVALENT IN SAN FRANCISCO.ST ELIZABETH COMMUNITY HOSPITALSECH SUPPORTS AND ENHANCES REGIONAL EFFORTS IN PLACE TO PROMOTE HEALTHIER COMMUNITIES. ONE OF THE OBJECTIVES IS TO PARTNER WITH OTHER NONPROFIT AND RELIGIOUS ORGANIZATIONS THAT SHARE OUR VALUES AND PRIORITIES TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE OF THE COMMUNITY WE SERVE. THIS IS AN INTENTIONAL EFFORT TO AVOID DUPLICATION AND LEVERAGE THE SUCCESSFUL WORK ALREADY IN EXISTENCE IN THE COMMUNITY.MERCY MEDICAL CENTER MT. SHASTAMMCMS SUPPORTS AND ENHANCES REGIONAL EFFORTS IN PLACE TO PROMOTE HEALTHIER COMMUNITIES. ONE OF THE OBJECTIVES IS TO PARTNER WITH OTHER NONPROFIT AND RELIGIOUS ORGANIZATIONS THAT SHARE OUR VALUES AND PRIORITIES TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE OF THE COMMUNITY WE SERVE. THIS IS AN INTENTIONAL EFFORT TO AVOID DUPLICATION AND LEVERAGE THE SUCCESSFUL WORK ALREADY IN EXISTENCE IN THE COMMUNITY.
PART VI, LINE 3: INFORMATION ABOUT COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE PROGRAM AND A CONTACT NUMBER ARE MADE AVAILABLE TO PATIENTS AND THE PUBLIC. PATIENTS ARE INFORMED OF THE COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE PROGRAM VIA SIGNAGE IN ALL ADMITTING AREAS AND IN VARIOUS COMMON AREAS OF THE HOSPITAL. FINANCIAL ASSISTANCE PROGRAM INFORMATION NOTICES ARE POSTED IN THE EMERGENCY AND ADMITTING DEPARTMENTS AND AT OTHER PUBLIC PLACES AS THE FACILITY MAY ELECT. SUCH INFORMATION IS PROVIDED IN THE PRIMARY LANGUAGES SPOKEN IN THE COMMUNITIES COMMONSPIRIT HEALTH'S FACILITIES SERVE. THE SIGNAGE INCLUDES NOTIFICATION THAT FURTHER DISCOUNTS MAY BE PROVIDED UPON THE COMPLETION AND SUBMISSION OF A FINANCIAL ASSISTANCE APPLICATION AND HOW TO REACH STAFF THAT CAN ASSIST WITH ANSWERING QUESTIONS AND GUIDE PATIENTS THROUGH THE APPLICATION PROCESS. INFORMATION CAN ALSO BE FOUND ON THE FACILITY WEBSITES.IF FINANCIAL ASSISTANCE ELIGIBILITY IS NOT DETERMINED PRIOR TO BILLING, INITIAL BILLING STATEMENTS TO PATIENTS INCLUDE A REQUEST TO THE PATIENT TO PROVIDE ANY INSURANCE INFORMATION THAT WAS VALID FOR THE DATES OF SERVICE BILLED, A STATEMENT INFORMING PATIENTS HOW TO CONTACT US REGARDING FINANCIAL ASSISTANCE. ADDITIONALLY, CONTRACT TERMS WITH COLLECTION VENDORS WORKING ON BEHALF OF COMMONSPIRIT HEALTH REQUIRES THEY FOLLOW COMMONSPIRIT HEALTH FINANCIAL ASSISTANCE POLICY. ALSO, REFERRAL OF PATIENTS FOR FINANCIAL ASSISTANCE MAY BE MADE BY ANY MEMBER OF THE COMMONSPIRIT HOSPITAL ORGANIZATION NON MEDICAL OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKS, CASE MANAGERS, CHAPLAINS, AND RELIGIOUS SPONSORS. A REQUEST FOR ASSISTANCE MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS.
PART VI, LINE 4: DIGNITY HEALTH HOSPITALS DELIVER CARE TO DIVERSE COMMUNITIES ACROSS ARIZONA, CALIFORNIA AND NEVADA. FOLLOWING ARE BRIEF DESCRIPTIONS AND DEMOGRAPHIC SUMMARIES OF THE COMMUNITIES SERVED BY DIGNITY HEALTH HOSPITALS. DIGNITY HEALTH HOSPITALS DEFINE THE COMMUNITY AS THE PRIMARY GEOGRAPHIC AREA SERVED BY THE HOSPITAL, BASED LARGELY ON THE ORIGINS OF THE TOP 75 PERCENT OF HOSPITAL DISCHARGES. FOR CHNA PURPOSES, SOME HOSPITALS USE THE COUNTY IN WHICH THEY ARE LOCATED AS THEIR COMMUNITY DEFINITION.ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER:THE HOSPITAL IS LOCATED IN PHOENIX, ARIZONA WITHIN THE COUNTY OF MARICOPA. IT SERVES ALL OF MARICOPA COUNTY AND AREAS BEYOND, BUT ITS PRIMARY SERVICE AREA IS BASED ON 84 ZIP CODES REPRESENTING THE TOP 75% OF PATIENTS BY VOLUME. THE HOSPITAL SERVES A FEDERALLY- DESIGNATED MEDICALLY UNDERSERVED AREA AND A MEDICALLY UNDERSERVED POPULATION.TOTAL POPULATION: 1,675,840 ASIAN/PACIFIC ISLANDER: 3.4%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 8.9%HISPANIC OR LATINO: 51.4%WHITE NON-HISPANIC: 30.7%ALL OTHERS: 5.6%% BELOW POVERTY: 14.2%UNEMPLOYMENT: 5.3%NO HIGH SCHOOL DIPLOMA: 21.2%MEDICAID: 27.0%UNINSURED: 11.1%OTHER AREA HOSPITALS: 48MERCY SAN JUAN MEDICAL CENTER:THE HOSPITAL'S PRIMARY SERVICE AREA ENCOMPASSES A BROAD SUBURBAN AREA IN THE NORTHERN PORTION OF SACRAMENTO COUNTY AND EXTENDS INTO SOUTH PLACER COUNTY. WITHIN ITS PRIMARY SERVICE AREA, THE HOSPITAL SERVES 14 ZIP CODES ACROSS SACRAMENTO, CITRUS HEIGHTS, CARMICHAEL, FAIR OAKS, NORTH HIGHLANDS, ANTELOPE, AND OTHER SURROUNDING NEIGHBORHOODS. THE HOSPITAL IS PART OF THE REGION HISTORICALLY KNOWN FOR ITS LACK OF SAFETY NET PROVIDERS TO SERVE LOW-INCOME AND VULNERABLE RESIDENTS. WITH AN INCREASING MEDI-CAL POPULATION THE HOSPITAL HAS SEEN AN INCREASE IN MEDI-CAL INSURED ADMISSIONS TO THE EMERGENCY DEPARTMENT SEEKING PRIMARY CARE TREATMENT FOR BASIC HEALTH NEEDS.TOTAL POPULATION: 557,283HISPANIC OR LATINO: 23.2%WHITE - NON-HISPANIC: 51.5%BLACK/AFRICAN AMERICAN: 7.0% ASIAN/PACIFIC ISLANDER: 10.1%ALL OTHER: 8.2%% BELOW POVERTY: 9.5%UNEMPLOYMENT: 5.6%NO HIGH SCHOOL DIPLOMA: 10.5%MEDICAID: 33.2%UNINSURED: 5.3%OTHER AREA HOSPITALS: 6MARIAN REGIONAL MEDICAL CENTER, ARROYO GRANDE, WHICH INCLUDES MARIAN REGIONAL MEDICAL CENTER AND ARROYO GRANDE COMMUNITY HOSPITAL, IS LOCATED IN TWO ADJACENT COUNTIES: SANTA BARBARA COUNTY AND SAN LUIS OBISPO COUNTY.ACCORDING TO THE AMERICAN COMMUNITY SURVEY (2016-2020, 5-YEAR AVERAGE), THE MARIAN REGIONAL MEDICAL CENTER (MRCM) COMMUNITY IS HOME TO 150,072 RESIDENTS, WITH THE MAJORITY (73%) RESIDING WITHIN THE CITY OF SANTA MARIA. SANTA MARIA IS THE LARGEST CITY IN SANTA BARBARA COUNTY BOTH IN LAND AREA AND POPULATION. THE MRMC COMMUNITY IS A CULTURALLY DIVERSE AREA WITH THE MAJORITY OF RESIDENTS (67.2%) CONSIDERING THEMSELVES HISPANIC OR LATINO(A) ORIGIN. IN THE MRMC COMMUNITY, 26.6% OF INDIVIDUALS OVER THE AGE OF FIVE SPEAK ENGLISH LESS THAN "VERY WELL." EDUCATIONAL ATTAINMENT FOR ADULTS AGE 25 AND OLDER CONTINUES TO BE A CHALLENGE FOR THE MRMC COMMUNITY. OVER HALF (53.2%) OF THE ADULTS (AGE 25 AND OVER) RESIDING IN ZIP CODE 93458 (SANTA MARIA), AND 44.3% OF ADULTS RESIDING IN 93434 (GUADALUPE) HAVE LESS THAN A HIGH SCHOOL EDUCATION. IN ADDITION TO THE RESIDENTS CAPTURED BY THE FORMALIZED DATA SOURCES ABOVE, THE TRANSIENT FARMWORKER POPULATION DRAWN TO WORK IN THE FIELDS OF SANTA BARBARA COUNTY AND SAN LUIS OBISPO COUNTY ARE SUPPORTED BY INDIGENOUS MIGRANTS FROM THE MEXICAN STATES OF OAXACA AND GUERRERO. THESE INDIGENOUS MIGRANTS ARE OFTEN MONOLINGUAL IN THEIR NATIVE PRE-HISPANIC INDIGENOUS LANGUAGE OF MIXTEC OR ZAPOTEC. ACCORDING TO THE NATIONAL CENTER FOR FARMWORKER HEALTH IN 2017, THERE WERE AN ESTIMATED 32,066 FARMWORKERS IN SANTA BARBARA COUNTY AND 17,771 FARMWORKERS IN SAN LUIS OBISPO COUNTY. THE 2022 POINT IN TIME COUNT FOR SANTA BARBARA COUNTY REPORTED 457 PERSONS EXPERIENCING HOMELESSNESS IN SANTA MARIA AND 2 IN GUADALUPE. THE HOMELESS POPULATION IN SANTA MARIA IN 2022 IS SIMILAR TO THE 2019 TOTAL OF 464 AND HIGHER THAN THE 2020 TOTAL OF 382. THE TABLE BELOW PROVIDES ADDITIONAL POPULATION CHARACTERISTICS FOR THE MARIAN REGIONAL MEDICAL CENTER COMMUNITY.TOTAL POPULATION: 147,176WHITE: 22.1 % BLACK/AFRICAN AMERICAN: 1.0% HISPANIC OR LATINO: 69.3 % ASIAN/PACIFIC ISLANDER: 4.1 % ALL OTHERS: 3.5 % % BELOW POVERTY 7.1 %UNEMPLOYMENT: 4.9 %NO HS DIPLOMA: 30.8%MEDICAID (HOUSEHOLD):34.6 %UNINSURED (HOUSEHOLD): 9.3 %OTHER AREA HOSPITALS: 3ARROYO GRANDE COMMUNITY HOSPITAL (AGCH) SERVES THE FIVE CITIES' COMMUNITY OF SOUTHERN SAN LUIS OBISPO COUNTY. THE FIVE CITIES' AREA CONSISTS OF THE NEIGHBORING CITIES OF ARROYO GRANDE, GROVER BEACH, NIPOMO, OCEANO, AND PISMO BEACH. THE AGCH COMMUNITY EXTENDS FROM THE NORTHERNMOST BOUNDARY OF THE MRMC COMMUNITY, AND INCLUDES THE FOLLOWING SAN LUIS OBISPO COUNTY COMMUNITIES AND ZIP CODES: 93420 (ARROYO GRANDE); 93433 (GROVER BEACH); 93444 (NIPOMO); 93445 (OCEANO); AND, 93449 (PISMO BEACH). ACCORDING TO THE U.S. CENSUS, THE MEDIAN AGE IN CALIFORNIA IS 36.7 YEARS, WHICH IS LOWER THAN THE MEDIAN AGE OF THE FIVE AGCH COMMUNITIES. THE MEDIAN AGE IN 93433 (GROVER BEACH) IS CLOSEST TO THE STATE LEVEL, HOWEVER 93420 (ARROYO GRANDE) AND 93449 (PISMO BEACH) ARE MORE THAN 10 POINTS ABOVE THE STATE MEDIAN AGE. IN 93420 (ARROYO GRANDE) NEARLY 25% OF THE POPULATION IS AGE 65 OR OVER AND IN 93449 (PISMO BEACH) THIS NUMBER INCREASES TO NEARLY 32%:TOTAL POPULATION: 119,298WHITE: 56.1 % BLACK/AFRICAN AMERICAN: 1.0% HISPANIC OR LATINO: 33.2% ASIAN/PACIFIC ISLANDER: 3.7 %ALL OTHERS: 6.0% % BELOW POVERTY: 4.4%UNEMPLOYMENT: 3.0%NO HS DIPLOMA: 8.7 %MEDICAID (HOUSEHOLD): 26.6 %UNINSURED (HOUSEHOLD): 6.5 %OTHER AREA HOSPITALS: 3MERCY GENERAL HOSPITAL:THE HOSPITAL, A TERTIARY CARE FACILITY LOCATED IN EAST SACRAMENTO, SERVES RESIDENTS FROM A BROAD GEOGRAPHIC AREA. THE HOSPITAL'S PRIMARY SERVICE AREA LIES IN THE CENTRAL DOWNTOWN AREA OF SACRAMENTO, AND INCLUDES 25 ZIP CODES. THE HOSPITAL SERVES COMMUNITIES ACROSS THREE COUNTIES INCLUDING: SACRAMENTO, YOLO AND EL DORADO. THE SERVICE AREA ENCOMPASSES A DIVERSE COMMUNITY WITH NUMEROUS NEIGHBORHOODS REFLECTING HIGHER RATES OF POVERTY, INCREASED CASES OF HOMELESSNESS, LACK OF INSURANCE AND LACK OF EDUCATION. THE HOSPITAL MUST BALANCE ITS RESPONSIBILITY CARING FOR THE ACUTELY ILL WITH AN INCREASING ROLE IT SERVES AS A SAFETY NET PROVIDER FOR THE POOR AND VULNERABLE IN THE REGION WHERE RESOURCES AND COMMUNITY CAPACITY IS LIMITED.TOTAL POPULATION: 926,836HISPANIC OR LATINO: 28.1%WHITE - NON-HISPANIC: 34.2%BLACK/AFRICAN AMERICAN: 10.5%ASIAN/PACIFIC ISLANDER: 19.6%ALL OTHER: 7.6%% BELOW POVERTY: 11.1%UNEMPLOYMENT: 6.3%NO HIGH SCHOOL DIPLOMA: 13.2%MEDICAID: 34.0%UNINSURED: 5.3%OTHER AREA HOSPITALS: 7MERCY MEDICAL CENTER REDDINGSHASTA COUNTY HAS A TOTAL AREA OF 3,847 SQUARE MILES AND COVERS THE REDDING CALIFORNIA METROPOLITAN STATISTICAL AREA. ACCORDING TO THE US CENSUS, THE COUNTY'S 2020 POPULATION WAS APPROXIMATELY 180,000 RESIDENTS. THE COUNTY SEAT IS REDDING, HOME TO APPROXIMATELY ONEHALF OF SHASTA COUNTY RESIDENTS. SITUATED ALONG THE NORTHSOUTH INTERSTATE 5 CORRIDOR THE COUNTY IS LINED WITH MOUNTAINS ON ITS NORTH, EAST, AND WEST SIDES. BEYOND REDDING, THE COUNTY IS RURAL. ONLY A SMALL PORTION OF THE MMCR SERVICE AREA DIPS INTO NORTHERN TEHAMA COUNTY. THIS AREA INCLUDES THE CITY OF RED BLUFF, WHICH IS BOTH THE TEHAMA COUNTY SEAT AND THE LARGEST CITY IN THE COUNTY, WITH A POPULATION OF JUST OVER 14 THOUSAND RESIDENTS. FOR THE PURPOSES OF THIS ASSESSMENT, THE SERVICE AREA WAS FURTHER DEFINED BY 15 ZIP CODES, 13 OF WHICH WERE LOCATED IN SHASTA AND THE REMAINING TWO IN TEHAMA. THE SHASTA COUNTY ZIP CODES INCLUDED 96001, 96002, 96003, 96007,96019, 96024, 96033, 96047, 96052, 96073, 96087, 96088, AND 96093. THE TEHAMA COUNTY ZIP CODES INCLUDED 96022 AND 96080. THE DEMOGRAPHICS DATA BELOW REPRESENTS THE TOP 75% OF MERCY MEDICAL CENTER REDDING'S DISCHARGES:TOTAL POPULATION: 165,569 ASIAN/PACIFIC ISLANDER: 3.9%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 1.2%HISPANIC OR LATINO: 12.2%WHITE NON-HISPANIC: 72.5%ALL OTHERS: 10.2%% BELOW POVERTY: 8.9%UNEMPLOYMENT: 5.5%NO HIGH SCHOOL DIPLOMA: 8.3%MEDICAID: 38.4%UNINSURED: 6.3%OTHER AREA HOSPITALS: 1*** PART VI, LINE 4 CONTINUED AFTER PART VI, LINE 7 ON PART VI, PAGE 10 ***
PART VI, LINE 5: FINANCIAL ASSISTANCE: IT IS THE POLICY OF COMMONSPIRIT HEALTH TO PROVIDE, WITHOUT DISCRIMINATION, EMERGENCY MEDICAL CARE AND MEDICALLY NECESSARY CARE IN COMMONSPIRIT HOSPITAL FACILITIES TO ALL PATIENTS, WITHOUT REGARD TO A PATIENT'S FINANCIAL ABILITY TO PAY. THIS HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY THAT DESCRIBES THE ASSISTANCE PROVIDED TO PATIENTS FOR WHOM IT WOULD BE A FINANCIAL HARDSHIP TO FULLY PAY THE EXPECTED OUT-OF-POCKET EXPENSES FOR SUCH CARE, AND WHO MEET THE ELIGIBILITY CRITERIA FOR SUCH ASSISTANCE. THE FINANCIAL ASSISTANCE POLICY, A PLAIN LANGUAGE SUMMARY AND RELATED MATERIALS ARE AVAILABLE IN MULTIPLE LANGUAGES ON THE HOSPITAL'S WEBSITE.USE OF SURPLUS FUNDS: AS A NOT-FOR-PROFIT HOSPITAL ORGANIZATION DEDICATED TO IMPROVING THE QUALITY OF LIFE, THE HOSPITAL REINVESTS ALL OF ITS SURPLUS FUNDS FROM OPERATING AND INVESTMENT ACTIVITIES TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND REPLACE EXISTING FACILITIES AND EQUIPMENT, INVEST IN TECHNOLOGICAL ADVANCEMENTS, SUPPORT COMMUNITY HEALTH PROGRAMS, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH. THIS ACTIVE REINVESTMENT OF FUNDS MAKES IT POSSIBLE FOR THE HOSPITAL TO DELIVER ON ITS MISSION, INCLUDING HELPING TO ENSURE THAT EVERYONE IN THE COMMUNITIES SERVED HAS ACCESS TO HEALTH CARE.OPEN MEDICAL STAFF: MEDICAL STAFF PRIVILEGES ARE OPEN TO PHYSICIANS WHOSE EXPERIENCE AND TRAINING ARE VERIFIED THROUGH A CREDENTIALING PROCESS. THE PROCESS INCLUDES GATHERING AND VERIFYING CREDENTIALS, ALLOWING THE MEDICAL STAFF TO EVALUATE AN APPLICANT'S QUALIFICATIONS, PREVIOUS EXPERIENCE, AND COMPETENCE, AND ULTIMATELY MAKING A DECISION TO GRANT OR DENY MEDICAL STAFF MEMBERSHIP AND CLINICAL PRIVILEGES ON THE BASIS OF AUTHENTIC AND VALID CREDENTIALS.ROLE OF THE BOARD: THE COMMONSPIRIT HEALTH BOARD AND SPECIFIC COMMITTEES HAVE ORGANIZATIONAL, POLICY-BASED ROLES TO OVERSEE COMMUNITY BENEFIT AND COMMUNITY HEALTH PROGRAMS, AND THEY RECEIVE REGULAR REPORTS ON ACTIVITIES AND PERFORMANCE. HOSPITAL COMMUNITY BOARDS (OR THEIR DESIGNATED COMMUNITY HEALTH OR COMMUNITY BENEFIT COMMITTEES) ARE RESPONSIBLE FOR ENSURING THAT THE HOSPITALS CONDUCT AND ADOPT COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES, TAKE ACTIONS TO HELP ADDRESS IDENTIFIED SIGNIFICANT HEALTH NEEDS WITH AN EMPHASIS ON POOR AND VULNERABLE POPULATIONS AND HEALTH EQUITY, AND MONITORING ACTIONS AND PROGRESS TOWARD IDENTIFIED GOALS.COMMUNITY GRANTS, SOCIAL INNOVATION PARTNERSHIP GRANTS, AND COMMUNITY INVESTMENT: DIGNITY HEALTH HOSPITALS, TOGETHER WITH DIGNITY COMMUNITY CARE HOSPITALS, PROVIDE MORE THAN $5.4 MILLION IN FINANCIAL GRANTS ANNUALLY TO LOCAL COMMUNITY ORGANIZATIONS TO ADDRESS SIGNIFICANT HEALTH NEEDS FROM LOCAL CHNAS. GRANTEES SET PERFORMANCE GOALS AND REPORT SEMI-ANNUALLY ON PROGRESS AND RESULTS. DIGNITY HEALTH OPERATES A SOCIAL INNOVATION PARTNERSHIP GRANT PROGRAM TO SPUR NEW APPROACHES AND SOLUTIONS TO ENHANCING HEALTH AND HEALTH CARE NEEDS IN THE COMMUNITIES SERVED BY ITS HOSPITALS. DIGNITY HEALTH OPERATES A COMMUNITY INVESTMENT PROGRAM THAT PROVIDES LOW INTEREST LOANS AND LINES OF CREDIT TO NON-PROFIT ORGANIZATIONS THAT ARE ADDRESSING SOCIAL DETERMINANTS OF HEALTH, INCLUDING AFFORDABLE HOUSING, ACCESS TO HEALTH CARE, HEALTHY FOOD AND SOCIAL SERVICES VITAL TO A COMMUNITY'S HEALTH, ALONG WITH CLIMATE CHANGE MITIGATION AND SMALL BUSINESS DEVELOPMENT IN DISTRESSED COMMUNITIES. DIGNITY HEALTH INVESTS DIRECTLY IN INDIVIDUAL PROJECTS AND THROUGH COMMUNITY DEVELOPMENT FINANCIAL INSTITUTIONS. OVERALL IN FISCAL YEAR 2022, THE PROGRAM APPROVED 16 NEW LOANS TOTALLING $31.8 MILLION, LEVERAGING $101.9 MILLION IN OTHER FINANCING FOR COMMUNITY IMPROVEMENT SUCH AS AFFORDABLE HOUSING AND HEALTH CARE CLINICS, ENVIRONMENTAL AND CLIMATE CHANGE EFFORTS, AND JOB CREATION. MORE INFORMATION ABOUT EACH OF THESE INITIATIVES IS ONLINE AT HTTPS://WWW.DIGNITYHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH.DIGNITY HEALTH HOSPITALS ARE IMPLEMENTING A FORMAL REFERRAL SYSTEM OF PATIENTS TO HEALTH IMPROVEMENT PROGRAMS AND SOCIAL SUPPORT SERVICES IN THEIR COMMUNITIES. THIS TECHNOLOGY-SUPPORTED SYSTEM INCLUDES COMMUNITY HEALTH STAFF, CARE COORDINATORS AND SOCIAL WORKERS IN THE HOSPITALS, PLUS SELECT COMMUNITY-BASED PARTNER ORGANIZATIONS. THIS CONNECTED COMMUNITY NETWORK INITIATIVE ADDRESSES THE NEEDS OF ALL PATIENTS, WITH A FOCUS ON HIGH-NEED AND VULNERABLE INDIVIDUALS, BEYOND ACUTE MEDICAL CARE. DIGNITY HEALTH PROVIDES HOSPITAL SERVICES AND CARRIES OUT ITS MISSION AT THE HOSPITAL FACILITIES LISTED IN PART V, SECTION A. FOR DETAILED INFORMATION ON THE SERVICES AND COMMUNITY BENEFITS PROVIDED AT THESE FACILITIES, AS WELL AS COPIES OF THE COMMUNITY HEALTH NEEDS ASSESSMENTS, IMPLEMENTATION STRATEGIES AND COMMUNITY BENEFIT REPORTS FOR EACH FACILITY, VISIT THE DIGNITY HEALTH WEBSITE ATHTTPS://WWW.DIGNITYHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH/COMMUNITY-HEALTH-PROGRAMS-AND-REPORTS , IN ADDITION TO THE WEBSITES REPORTED IN PART V, LINE 7.
PART VI, LINE 6: AFFILIATES OF DIGNITY HEALTH ALSO PROMOTE THE HEALTH OF ADDITIONAL COMMUNITIES IN BAKERSFIELD, SAN BERNARDINO, SAN FRANCISCO, SAN ANDREAS, AND GRASS VALLEY/NEVADA CITY, CALIFORNIA, PHOENIX, CHANDLER AND GILBERT, ARIZONA AND LAS VEGAS AND HENDERSON, NEVADA AND IN 18 ADDITIONAL STATES THROUGH THE ALLIANCE WITHIN COMMONSPIRIT HEALTH SYSTEM. THESE AFFILIATES FOLLOW PRACTICES SIMILAR TO THOSE NOTED ABOVE IN DETERMINING THE UNMET HEALTHCARE NEEDS OF THEIR COMMUNITIES. TOTAL UNSPONSORED COMMUNITY BENEFIT EXPENSE NET OF OFFSETTING REVENUE FOR COMMONSPIRIT AND ITS AFFILIATED CORPORATIONS, WHICH INCLUDES DIGNITY HEALTH, FOR THE YEAR ENDED JUNE 30, 2022, IS $3.2 BILLION. A SUMMARY OF COMMONSPIRIT'S COMMUNITY BENEFITS CAN BE VIEWED IN THE ATTACHED COMMONSPIRIT HEALTH CONSOLIDATED FINANCIAL STATEMENTS ON PAGE 44.
PART VI, LINE 7, REPORTS FILED WITH STATES CA,NV
SCHEDULE H, PART VI, LINE 4 - COMMUNITY INFORMATION CONTINUATION ST. ROSE DOMINICAN HOSPITALS SIENA, SAN MARTIN AND DE LIMA:THE GEOGRAPHIC AREA FOR THE CHNA IS CLARK COUNTY, THE COMMON COMMUNITY FOR ALL PARTNERS PARTICIPATING IN THE CHNA COLLABORATIVE. CLARK COUNTY IS THE NATION'S 14TH LARGEST COUNTY THAT SERVES MORE THAN 2.25 MILLION CITIZENS AND MORE THAN 46 MILLION VISITORS A YEAR. CLARK COUNTY SERVES A COMMUNITY LIVING IN RURAL OR URBAN AREAS. A KEY COMPONENT OF THE COUNTY'S ECONOMY IS TOURISM, AND AMONG ITS LARGEST INDUSTRIES ARE ACCOMMODATION AND FOOD SERVICE, RETAIL TRADE AND HEALTH CARE AND SOCIAL ASSISTANCE. ALL COUNTIES WITHIN NEVADA HAVE HAD TREMENDOUS POPULATION GROWTH WITHIN THE LAST DECADE. HOWEVER, THE MAJORITY OF THE POPULATION REMAINS WITHIN CLARK COUNTY, AND IT CONTINUES TO GROW. BETWEEN 2015 AND 2021 CLARK COUNTY'S POPULATION GREW FROM 2.11 MILLION TO 2.32 MILLION. CLARK COUNTY COMPRISES ONLY 7% (8,091 SQUARE MILES) OF NEVADA'S LAND MASS (110,567 SQUARE MILES) BUT CONTAINS 72% OF THE STATE'S TOTAL POPULATION. BECAUSE OF CLARK COUNTY'S CONTRIBUTION TO THE STATE POPULATION, CAUTION SHOULD BE EXERCISED WHEN COMPARING THE COUNTY TO THE STATE:TOTAL POPULATION: 2,333,185 ASIAN/PACIFIC ISLANDER: 11.0%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 13.1%HISPANIC OR LATINO: 32.4%WHITE NON-HISPANIC: 36.7%ALL OTHERS: 6.8%% BELOW POVERTY: 9.7%UNEMPLOYMENT: 5.4%NO HIGH SCHOOL DIPLOMA: 13.9%MEDICAID: 24.4%UNINSURED: 10.9%OTHER AREA HOSPITALS: 13 ACUTE CARE; 11 LONG TERM ACUTE, REHABILITATION, AND BEHAVIORAL HEALTH DOMINICAN HOSPITAL:THE HOSPITAL SERVES SANTA CRUZ COUNTY, WHICH HAS A POPULATION OF APPROXIMATELY 233,776 AND COVERS 445 SQUARE MILES. THE MEDIAN FAMILY INCOME IS $82,234. FOURTEEN PERCENT OF THE POPULATION DOES NOT HAVE A HIGH SCHOOL DIPLOMA. TWENTY-SIX PERCENT OF THE COUNTY POPULATION ARE CENTRAL CALIFORNIA ALLIANCE FOR HEALTH (CCAH) MEMBERS ENROLLED IN MEDI-CAL. THE MEDICALLY UNDERSERVED AREAS/POPULATIONS ARE WATSONVILLE, FREEDOM, AND THE CITY OF SANTA CRUZ. DOMINICAN IS ONE OF TWO ACUTE CARE HOSPITALS THAT SERVE THE SANTA CRUZ COUNTY COMMUNITY.TOTAL POPULATION: 233,776 ASIAN/PACIFIC ISLANDER: 4.4%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 0.7%HISPANIC OR LATINO: 39.5%WHITE NON-HISPANIC: 48.8%ALL OTHERS: 6.6%% BELOW POVERTY: 6.4%UNEMPLOYMENT: 4.7%NO HIGH SCHOOL DIPLOMA: 14.3%MEDICAID: 26.0%UNINSURED: 5.7%OTHER AREA HOSPITALS: 2ST. BERNARDINE MEDICAL CENTER:THE HOSPITAL SERVES A BROAD AND DIVERSE POPULATION. WHILE A FEW OF THE COMMUNITIES ENJOY A HIGHER STANDARD OF LIVING, THE MAJORITY OF THE COMMUNITIES ARE HIGH NEED. SEVENTY-FIVE PERCENT OF DISCHARGES COME FROM THE FOLLOWING CITIES: BANNING, BEAUMONT, BLOOMINGTON, COLTON, CRESTLINE, FONTANA, HEMET, HESPERIA, HIGHLAND, RANCHO CUCAMONGA, REDLANDS, RIALTO, SAN BERNARDINO, VICTORVILLE AND YUCAIPA. MANY OF THE NEIGHBORHOODS SERVED HAVE BEEN FEDERALLY-DESIGNATED AS MEDICALLY UNDERSERVED AREAS.TOTAL POPULATION: 487,056 ASIAN/PACIFIC ISLANDER: 3.5%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 8.5%HISPANIC OR LATINO: 74.2%WHITE NON-HISPANIC: 10.8%ALL OTHERS: 3.0%% BELOW POVERTY: 15.6%UNEMPLOYMENT: 7.7%NO HIGH SCHOOL DIPLOMA: 30.8%MEDICAID: 40.6%UNINSURED: 8.0%OTHER AREA HOSPITALS: 5MERCY GILBERT MEDICAL CENTER:THE HOSPITAL'S COMMUNITY INCLUDES THE URBAN AND SUBURBAN AREAS OF MARICOPA COUNTY, INCLUDING CHANDLER, GILBERT, QUEEN CREEK, SAN TAN VALLEY, AND MESA. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA.MERCY GILBERT MEDICAL CENTERTOTAL POPULATION: 850,465ASIAN/PACIFIC ISLANDER: 7.0%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 4.5%HISPANIC OR LATINO: 23.3%WHITE NON-HISPANIC: 58.7%ALL OTHERS: 6.5%% BELOW POVERTY: 5.3%UNEMPLOYMENT: 4.0%NO HIGH SCHOOL DIPLOMA: 6.7%MEDICAID: 26.3%UNINSURED: 11.0%OTHER AREA HOSPITALS: 4 IN PRIMARY SERVICE AREA, 12 SECONDARY SERVICE AREAMERCY HOSPITAL BAKERSFIELD:THE POPULATION OF THE MERCY HOSPITALS' SERVICE AREA IS 622,303. CHILDREN AND YOUTH, AGES 0-17, MAKE UP 29.5% OF THE POPULATION, 59.6% ARE ADULTS, AGES 18-64, AND 10.9% OF THE POPULATION ARE SENIORS, AGES 65 AND OLDER. ALMOST HALF OF THE POPULATION IN THE SERVICE AREA IDENTIFIES AS HISPANIC/LATINO (49.4%). 37.4% OF THE POPULATION IDENTIFIES AS WHITE/CAUCASIAN, 5.4% AS BLACK/AFRICAN AMERICAN. 4.9% AS ASIAN AND 2.2% OF THE POPULATION IDENTIFIES AS MULTIRACIAL (TWO-OR-MORE RACES), 0.5% AS AMERICAN INDIAN/ALASKAN NATIVE, AND 0.1% AS NATIVE HAWAIIAN/PACIFIC ISLANDER. AMONG THE RESIDENTS IN THE SERVICE AREA, 20.2% ARE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL) AND 43.4% ARE AT 200% OF FPL OR BELOW. EDUCATIONAL ATTAINMENT IS A KEY DRIVER OF HEALTH. IN THE HOSPITALS' SERVICE AREA, 22.3% OF ADULTS, AGES 25 AND OLDER, LACK A HIGH SCHOOL DIPLOMA, WHICH IS HIGHER THAN THE STATE RATE (16.7%). 18.3% OF AREA ADULTS HAVE A BACHELOR'S OR HIGHER DEGREE. BAKERSFIELD IS DESIGNATED AS A MEDICALLY UNDERSERVED AREA (MUA) AND A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) FOR PRIMARY CARE, DENTAL HEALTH AND MENTAL HEALTH. THE DEMOGRAPHICS DATA BELOW REPRESENTS ONLY THE TOP 75% OF MERCY BAKERSFIELD HOSPITAL DISCHARGES (BASED ON ZIP CODE): TOTAL POPULATION: 548,012 ASIAN/PACIFIC ISLANDER: 6.0%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 5.2%HISPANIC OR LATINO: 56.2%WHITE NON-HISPANIC: 28.4%ALL OTHERS: 4.2%% BELOW POVERTY: 13.9%UNEMPLOYMENT: 7.2%NO HIGH SCHOOL DIPLOMA: 20.9%MEDICAID: 48.2%UNINSURED: 7.4%OTHER AREA HOSPITALS: 9ST. MARY MEDICAL CENTER:ST. MARY MEDICAL CENTER IS LOCATED IN LONG BEACH, CA AND IS A CITY WITHIN LOS ANGELES COUNTY. LONG BEACH IS THE 36TH LARGEST CITY IN THE NATION, THE SEVENTH LARGEST CITY IN CALIFORNIA AND THE SECOND LARGEST CITY WITHIN THE GREATER LOS ANGELES AREA. LONG BEACH IS HOME TO 528,729 PEOPLE AND ONE OF THE MOST ETHNICALLY DIVERSE COMMUNITIES IN THE US, WITH A STRONG SENSE OF COMMUNITY AND UNIQUE NEIGHBORHOODS. LONG BEACH IS KNOWN FOR LARGE CAMBODIAN, HISPANIC/LATINO AND BLACK/AFRICAN COMMUNITIES AND A GROWING POPULATION OF ADULTS 65 AND OLDER.TOTAL POPULATION: 528,729 ASIAN/PACIFIC ISLANDER: 10.9%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 12.0%HISPANIC OR LATINO: 54.3%WHITE NON-HISPANIC: 18.3%ALL OTHERS: 4.5%% BELOW POVERTY: 13.1%UNEMPLOYMENT: 5.8%NO HIGH SCHOOL DIPLOMA: 25.0%MEDICAID: 34.4%UNINSURED: 9.0%OTHER AREA HOSPITALS: 9ST. JOHN'S REGIONAL MEDICAL CENTER AND ST. JOHN'S CAMARILLO HOSPITAL:IN 2022, VENTURA COUNTY'S POPULATION OF 842,465 HAD A MEDIAN AGE OF 38.5 AND A MEDIAN HOUSEHOLD INCOME OF $101,407. AMONG COUNTY RESIDENTS, 37,864 HAVE VETERAN STATUS, 37.9% OF THE PEOPLE IN VENTURA COUNTY SPEAK A NON-ENGLISH LANGUAGE, AND 21.3% ARE FOREIGN BORN. THE AVERAGE OWNER-OCCUPIED HOME/PROPERTY VALUE IN VENTURA COUNTY IS $809,953 AND THE HOMEOWNERSHIP RATE IS 63.3%. THE PERCENTAGE OF HOUSEHOLDS WITH A COMPUTER IS 91.9% AND THOSE HOUSEHOLDS WITH A BROADBAND INTERNET SUBSCRIPTION IS 89.8%. ST. JOHN'S REGIONAL MEDICAL CENTER AND ST. JOHN'S HOSPITAL CAMARILLO PRIMARILY SERVE THE COMMUNITIES OF OXNARD, PORT HUENEME, CAMARILLO AND SOMIS, WHICH ARE ZIP CODES OF 93030, 93033, 93035, 93036, 93041, 93010, 93012 AND 93066. THE POPULATION OF THESE ZIP CODES IS 209,084 WHICH REPRESENTS 24.81% OF VENTURA COUNTY'S POPULATION. VENTURA COUNTY'S FEDERAL MEDICALLY UNDERSERVED AREA SCORE IS 61 ( A SCORE BELOW 62 IS CONSIDERED A MEDICALLY UNDERSERVED AREA) THE DEMOGRAPHICS DATA BELOW REPRESENTS THE TOP 75% OF THE HOSPITALS' DISCHARGES (BASED ON ZIP CODE):TOTAL POPULATION: 209,084ASIAN/PACIFIC ISLANDER: 7.1%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 2.2%HISPANIC OR LATINO: 77.7%WHITE NON-HISPANIC: 10.8%ALL OTHERS: 2.2%% BELOW POVERTY: 9.4%UNEMPLOYMENT: 5.5%NO HIGH SCHOOL DIPLOMA: 31.3%MEDICAID: 27.0%UNINSURED: 8.5%OTHER AREA HOSPITALS: 6
SCHEDULE H, PART VI, LINE 4 - COMMUNITY INFORMATION MERCY MEDICAL CENTER MERCED:THE CITY OF MERCED IS THE COUNTY SEAT AND IS THE LARGEST OF THE SIX INCORPORATED CITIES IN MERCED COUNTY. MERCED COUNTY ENCOMPASSES 1,935 SQUARE MILES AND HOUSES A TOTAL POPULATION OF 281,202 RESIDENTS, ACCORDING TO LATEST CENSUS ESTIMATES. BETWEEN THE 2010 AND 2020 US CENSUSES, THE POPULATION OF MERCED COUNTY INCREASED BY 25,411 PERSONS, OR 9.9%. THIS IS A GREATER PROPORTIONAL INCREASE THAN SEEN ACROSS BOTH THE STATE AND THE NATION OVERALL. MERCED COUNTY IS PREDOMINANTLY URBAN, WITH 85.7% OF THE POPULATION LIVING IN AREAS DESIGNATED AS URBAN. IN MERCED COUNTY, 29.7% OF THE POPULATION ARE CHILDREN AGE 0-17; ANOTHER 59.3% ARE AGE 18 TO 64, WHILE 11.0% ARE AGE 65 AND OLDER. MERCED COUNTY IS "YOUNGER" THAN THE STATE AND THE NATION IN THAT THE MEDIAN AGE IS LOWER. MERCED COUNTY IS LOCATED IN NORTHERN SAN JOAQUIN VALLEY SECTION OF THE CENTRAL VALLEY. IT IS LOCATED NORTH OF FRESNO COUNTY AND SOUTHEAST OF SANTA CLARA COUNTY. MERCY MEDICAL CENTER SERVES THE PRIMARY AREAS OF MERCED CITY WITH THE ZIP CODES 95340, 95341, 95348. OTHER COUNTY AREAS INCLUDE ATWATER 95301, PLANADA 95365, WINTON 95388, CHOWCHILLA 93610, LIVINGSTON 95334, LOS BAOS 93635, DOS PALOS 93620 AND MARIPOSA 95338. A SUMMARY DESCRIPTION OF THE COMMUNITY IS BELOW. ADDITIONAL DETAILS CAN BE FOUND IN THE CHNA REPORT ONLINE. A TOTAL OF 11.9% OF MERCED COUNTY POPULATION AGE 5 AND OLDER LIVE IN A HOME IN WHICH NO PERSON AGE 14 OR OLDER IS PROFICIENT IN ENGLISH (SPEAKING ONLY ENGLISH OR SPEAKING ENGLISH "VERY WELL"). THE LATEST CENSUS ESTIMATE SHOWS 21.2% OF MERCED COUNTY TOTAL POPULATION LIVING BELOW THE FEDERAL POVERTY LEVEL. AMONG JUST CHILDREN (AGES 0 TO 17), THIS PERCENTAGE IN MERCED COUNTY IS 29.8% (REPRESENTING AN ESTIMATED 23,625 CHILDREN). A TOTAL OF 30.6% OF MERCED COUNTY RESIDENTS WOULD NOT BE ABLE TO AFFORD AN UNEXPECTED $400 EXPENSE WITHOUT GOING INTO DEBT. A MAJORITY OF SURVEYED ADULTS RARELY, IF EVER, WORRY ABOUT THE COST OF HOUSING. HOWEVER, A CONSIDERABLE SHARE (40.2%) REPORT THAT THEY WERE "SOMETIMES," "USUALLY, OR "ALWAYS" WORRIED OR STRESSED ABOUT HAVING ENOUGH MONEY TO PAY THEIR RENT OR MORTGAGE IN THE PAST YEAR. A TOTAL OF 15.9% OF MERCED COUNTY RESIDENTS REPORT LIVING IN UNHEALTHY OR UNSAFE HOUSING CONDITIONS DURING THE PAST YEAR. US DEPARTMENT OF AGRICULTURE DATA SHOW THAT 18.9% OF MERCED COUNTY POPULATION (REPRESENTING OVER 48,000 RESIDENTS) HAVE LOW FOOD ACCESS, MEANING THAT THEY DO NOT LIVE NEAR A SUPERMARKET OR LARGE GROCERY STORE. OVERALL, 40.4% OF COMMUNITY RESIDENTS ARE DETERMINED TO BE "FOOD INSECURE, HAVING RUN OUT OF FOOD IN THE PAST YEAR AND/OR BEEN WORRIED ABOUT RUNNING OUT OF FOOD. THE DEMOGRAPHICS DATA BELOW REPRESENT ONLY THE TOP 75% OF HOSPITAL DISCHARGES FOR MERCY MEDICAL CENTER MERCED (BY ZIP CODE):TOTAL POPULATION: 153,059 ASIAN/PACIFIC ISLANDER: 8.3%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 4.4%HISPANIC OR LATINO: 58.6%WHITE NON-HISPANIC: 23.7%ALL OTHERS: 5.0%% BELOW POVERTY: 16.6%UNEMPLOYMENT: 10.2%NO HIGH SCHOOL DIPLOMA: 27.0%MEDICAID: 49.4%UNINSURED: 9.1%OTHER AREA HOSPITALS: 2MERCY HOSPITAL OF FOLSOM:THE PRIMARY SERVICE AREA ENCOMPASSES BOTH SUBURBAN AND RURAL AREAS OF SACRAMENTO COUNTY AND EXTENDS INTO EL DORADO COUNTY. WITHIN ITS PRIMARY SERVICE AREA, THE HOSPITAL SERVES 11 ZIP CODES IN MAJOR COMMUNITIES, INCLUDING FOLSOM, RANCHO CORDOVA, SLOUGHHOUSE, EL DORADO HILLS, RESCUE, SHINGLE SPRINGS, PLACERVILLE, ORANGEVALE, CITRUS HEIGHTS, CARMICHAEL, FAIR OAKS, AND OTHER SURROUNDING NEIGHBORHOODS. POVERTY RATES ARE OVERALL LOWER THAN OTHER PARTS OF THE COUNTY, BUT THE EXPANDED MEDI-CAL POPULATION STRUGGLES TO ACCESS CARE DUE TO THE LACK OF LOCAL MEDI-CAL PROVIDERS. THE HOSPITAL MUST BALANCE ITS RESPONSIBILITY CARING FOR THOSE ACUTELY ILL WITH AN INCREASING ROLE AS A SAFETY NET PROVIDER FOR THE VULNERABLE.TOTAL POPULATION: 486,988HISPANIC OR LATINO: 16.2% WHITE - NON-HISPANIC: 60.6%, BLACK/AFRICAN AMERICAN: 3.9% ASIAN/PACIFIC ISLANDER: 11.1%, ALL OTHERS: 8.2%.% BELOW POVERTY: 5.4%UNEMPLOYMENT: 4.7%NO HIGH SCHOOL DIPLOMA: 7.0%MEDICAID: 28.9%UNINSURED: 5.2%OTHER AREA HOSPITALS: 1ST. MARY'S MEDICAL CENTER:ST MARY'S SERVES SAN FRANCISCO AND THE GREATER BAY AREA, BUT A LARGE PORTION OF ITS PATIENT POPULATION COMES FROM THE RICHMOND, SUNSET, LAURAL HEIGHTS, AND HAIGHT ASHBURY AREAS. THE HOSPITAL SERVES A LARGE POPULATION OF SENIORS, PERSONS EXPERIENCING HOMELESS, MENTAL HEALTH AND SUBSTANCE USE CHALLENGES. IN 2022 THE NUMBER OF HOMELESS RESIDENTS IN THE PARK ABUTTING ST. MARY'S HAS INCREASED BY MORE THAN 100% FROM 83 TO 172.TOTAL POPULATION: 831,456ASIAN/PACIFIC ISLANDER: 34.6%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 5.6%HISPANIC OR LATINO: 16.1%WHITE NON-HISPANIC: 38.1%ALL OTHERS: 5.6%% BELOW POVERTY: 5.1%UNEMPLOYMENT: 3.7%NO HIGH SCHOOL DIPLOMA: 11.4%MEDICAID: 18.5%UNINSURED: 4.0%OTHER AREA HOSPITALS: 8ST. ELIZABETH COMMUNITY HOSPITAL:ST. ELIZABETH IS LOCATED IN TEHAMA COUNTY, WHICH CONSISTS OF 2,962 SQUARE MILES AND IS APPROXIMATELY MIDWAY BETWEEN SACRAMENTO AND THE OREGON BORDER AND SITUATED ALONG THE INTERSTATE 5 CORRIDOR. THE COUNTY IS SITUATED IN THE NORTHERN PORTION OF THE SACRAMENTO VALLEY AND IS DIVIDED IN HALF BY THE SACRAMENTO RIVER. THE LARGEST CITY IS RED BLUFF, BOTH A MICROPOLITAN STATISTICAL AREA AND THE COUNTY SEAT WITH A POPULATION OF JUST OVER 14,000 RESIDENTS. A SMALL PORTION OF SOUTHERN SHASTA COUNTY IS COVERED BY THE HOSPITAL'S SERVICE AREA AND INCLUDES THE COMMUNITY OF COTTONWOOD. SERVICE AREA IS DEFINED BY SIX ZIP CODES. THESE INCLUDED 96021, 96022, 96035, 96055, 96080, AND 96090. THE TOTAL POPULATION OF THE SERVICE AREA WAS 69,385.THE DEMOGRAPHICS DATA BELOW REPRESENTS THE TOP 75% OF ST. ELIZABETH'S DISCHARGES:TOTAL POPULATION: 64,068 ASIAN/PACIFIC ISLANDER: 1.9%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 0.8%HISPANIC OR LATINO: 26.8%WHITE NON-HISPANIC: 62.4%ALL OTHERS: 8.1%% BELOW POVERTY: 11.8%UNEMPLOYMENT: 8.2%NO HIGH SCHOOL DIPLOMA: 14.7%MEDICAID: 41.6%UNINSURED: 5.9%OTHER AREA HOSPITALS: 1MERCY MEDICAL CENTER MT. SHASTA:SISKIYOU COUNTY IS LOCATED IN THE NORTHERNMOST PART OF CALIFORNIA, SITUATED ALONG THE INTERSTATE 5 CORRIDOR BORDERING THE STATE OF OREGON ON THE NORTH. THE COUNTY IS RURAL IN NATURE COVERING 6,347 SQUARE MILES. THE LARGEST CITY IS YREKA, WHICH IS ALSO THE COUNTY SEAT WITH A POPULATION OF APPROXIMATELY 7,870. THE COUNTY AREA HAS A DIVERSE LANDSCAPE WITH HIGH MOUNTAIN RANGES (MT. SHASTA), DESERT PLANES, AND RIVERS WITH MAGNIFICENT WATERFALLS AND THE AMAZING FISHING. THE TOTAL POPULATION OF THE SISKIYOU COUNTY WAS 43,468 IN 2020. THE FOLLOWING ZIP CODES MAKE UP THE CORE SERVICE AREA FOR MERCY MEDICAL CENTER MT. SHASTA: 96025, 96057, 96067, AND 96094. THE DEMOGRAPHICS DATA BELOW REPRESENTS THE TOP 75% OF MERCY MEDICAL CENTER MOUNT SHASTA'S DISCHARGES:TOTAL POPULATION: 17,642 ASIAN/PACIFIC ISLANDER: 2.4%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 1.7%HISPANIC OR LATINO: 11.9%WHITE NON-HISPANIC: 75.0%ALL OTHERS: 9.0%% BELOW POVERTY: 7.9%UNEMPLOYMENT: 5.6%NO HIGH SCHOOL DIPLOMA: 7.7%MEDICAID: 37.0%UNINSURED: 6.1%OTHER AREA HOSPITALS: 1ST. JOSEPH'S WESTGATE MEDICAL CENTER:THE HOSPITAL IS LOCATED IN PHOENIX, ARIZONA WITHIN THE COUNTY OF MARICOPA. IT SERVES ALL OF MARICOPA COUNTY AND AREAS BEYOND, BUT ITS PRIMARY SERVICE AREA IS BASED ON 84 ZIP CODES REPRESENTING THE TOP 75% OF PATIENTS BY VOLUME. THE HOSPITAL SERVES A FEDERALLY- DESIGNATED MEDICALLY UNDERSERVED AREA AND A MEDICALLY UNDERSERVED POPULATION:TOTAL POPULATION: 1,182,960ASIAN/PACIFIC ISLANDER: 3.5%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 7.9%HISPANIC OR LATINO: 47.4%WHITE NON-HISPANIC: 35.8%ALL OTHERS: 5.4%% BELOW POVERTY: 11.2%UNEMPLOYMENT: 5.3%NO HIGH SCHOOL DIPLOMA: 18.2%MEDICAID: 26.3%UNINSURED: 10.9%OTHER AREA HOSPITALS: 3 SHORT-TERM ACUTE; 2 PSYCHIATRIC
SCHEDULE H, PART VI, LINE 4 - COMMUNITY INFORMATION DE CRAIG RANCH LLC DBA ST. ROSE DOMINICAN - NORTH LAS VEGAS:THE GEOGRAPHIC AREA FOR THE CHNA IS CLARK COUNTY, THE COMMON COMMUNITY FOR ALL PARTNERS PARTICIPATING IN THE CHNA COLLABORATIVE. CLARK COUNTY IS THE NATION'S 14TH LARGEST COUNTY THAT SERVES MORE THAN 2.25 MILLION CITIZENS AND MORE THAN 46 MILLION VISITORS A YEAR. CLARK COUNTY SERVES A COMMUNITY LIVING IN RURAL OR URBAN AREAS. A KEY COMPONENT OF THE COUNTY'S ECONOMY IS TOURISM, AND AMONG ITS LARGEST INDUSTRIES ARE ACCOMMODATION AND FOOD SERVICE, RETAIL TRADE AND HEALTH CARE AND SOCIAL ASSISTANCE. ALL COUNTIES WITHIN NEVADA HAVE HAD TREMENDOUS POPULATION GROWTH WITHIN THE LAST DECADE. HOWEVER, THE MAJORITY OF THE POPULATION REMAINS WITHIN CLARK COUNTY, AND IT CONTINUES TO GROW. BETWEEN 2015 AND 2021 CLARK COUNTY'S POPULATION GREW FROM 2.11 MILLION TO 2.32 MILLION. CLARK COUNTY COMPRISES ONLY 7% (8,091 SQUARE MILES) OF NEVADA'S LAND MASS (110,567 SQUARE MILES) BUT CONTAINS 72% OF THE STATE'S TOTAL POPULATION. BECAUSE OF CLARK COUNTY'S CONTRIBUTION TO THE STATE POPULATION, CAUTION SHOULD BE EXERCISED WHEN COMPARING THE COUNTY TO THE STATE:TOTAL POPULATION: 2,333,185 ASIAN/PACIFIC ISLANDER: 11.0%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 13.1%HISPANIC OR LATINO: 32.4%WHITE NON-HISPANIC: 36.7%ALL OTHERS: 6.8%% BELOW POVERTY: 9.7%UNEMPLOYMENT: 5.4%NO HIGH SCHOOL DIPLOMA: 13.9%MEDICAID: 24.4%UNINSURED: 10.9%OTHER AREA HOSPITALS: 13 ACUTE CARE; 11 LONG TERM ACUTE, REHABILITATION, AND BEHAVIORAL HEALTH DE BLUE DIAMOND LLC DBA ST. ROSE DOMINICAN - BLUE DIAMOND:THE GEOGRAPHIC AREA FOR THE CHNA IS CLARK COUNTY, THE COMMON COMMUNITY FOR ALL PARTNERS PARTICIPATING IN THE CHNA COLLABORATIVE. CLARK COUNTY IS THE NATION'S 14TH LARGEST COUNTY THAT SERVES MORE THAN 2.25 MILLION CITIZENS AND MORE THAN 46 MILLION VISITORS A YEAR. CLARK COUNTY SERVES A COMMUNITY LIVING IN RURAL OR URBAN AREAS. A KEY COMPONENT OF THE COUNTY'S ECONOMY IS TOURISM, AND AMONG ITS LARGEST INDUSTRIES ARE ACCOMMODATION AND FOOD SERVICE, RETAIL TRADE AND HEALTH CARE AND SOCIAL ASSISTANCE. ALL COUNTIES WITHIN NEVADA HAVE HAD TREMENDOUS POPULATION GROWTH WITHIN THE LAST DECADE. HOWEVER, THE MAJORITY OF THE POPULATION REMAINS WITHIN CLARK COUNTY, AND IT CONTINUES TO GROW. BETWEEN 2015 AND 2021 CLARK COUNTY'S POPULATION GREW FROM 2.11 MILLION TO 2.32 MILLION. CLARK COUNTY COMPRISES ONLY 7% (8,091 SQUARE MILES) OF NEVADA'S LAND MASS (110,567 SQUARE MILES) BUT CONTAINS 72% OF THE STATE'S TOTAL POPULATION. BECAUSE OF CLARK COUNTY'S CONTRIBUTION TO THE STATE POPULATION, CAUTION SHOULD BE EXERCISED WHEN COMPARING THE COUNTY TO THE STATE:TOTAL POPULATION: 2,333,185 ASIAN/PACIFIC ISLANDER: 11.0%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 13.1%HISPANIC OR LATINO: 32.4%WHITE NON-HISPANIC: 36.7%ALL OTHERS: 6.8%% BELOW POVERTY: 9.7%UNEMPLOYMENT: 5.4%NO HIGH SCHOOL DIPLOMA: 13.9%MEDICAID: 24.4%UNINSURED: 10.9%OTHER AREA HOSPITALS: 13 ACUTE CARE; 11 LONG TERM ACUTE, REHABILITATION, AND BEHAVIORAL HEALTH DE SAHARA LLC DBA ST. ROSE DOMINICAN - SAHARA:THE GEOGRAPHIC AREA FOR THE CHNA IS CLARK COUNTY, THE COMMON COMMUNITY FOR ALL PARTNERS PARTICIPATING IN THE CHNA COLLABORATIVE. CLARK COUNTY IS THE NATION'S 14TH LARGEST COUNTY THAT SERVES MORE THAN 2.25 MILLION CITIZENS AND MORE THAN 46 MILLION VISITORS A YEAR. CLARK COUNTY SERVES A COMMUNITY LIVING IN RURAL OR URBAN AREAS. A KEY COMPONENT OF THE COUNTY'S ECONOMY IS TOURISM, AND AMONG ITS LARGEST INDUSTRIES ARE ACCOMMODATION AND FOOD SERVICE, RETAIL TRADE AND HEALTH CARE AND SOCIAL ASSISTANCE. ALL COUNTIES WITHIN NEVADA HAVE HAD TREMENDOUS POPULATION GROWTH WITHIN THE LAST DECADE. HOWEVER, THE MAJORITY OF THE POPULATION REMAINS WITHIN CLARK COUNTY, AND IT CONTINUES TO GROW. BETWEEN 2015 AND 2021 CLARK COUNTY'S POPULATION GREW FROM 2.11 MILLION TO 2.32 MILLION. CLARK COUNTY COMPRISES ONLY 7% (8,091 SQUARE MILES) OF NEVADA'S LAND MASS (110,567 SQUARE MILES) BUT CONTAINS 72% OF THE STATE'S TOTAL POPULATION. BECAUSE OF CLARK COUNTY'S CONTRIBUTION TO THE STATE POPULATION, CAUTION SHOULD BE EXERCISED WHEN COMPARING THE COUNTY TO THE STATE:TOTAL POPULATION: 2,333,185 ASIAN/PACIFIC ISLANDER: 11.0%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 13.1%HISPANIC OR LATINO: 32.4%WHITE NON-HISPANIC: 36.7%ALL OTHERS: 6.8%% BELOW POVERTY: 9.7%UNEMPLOYMENT: 5.4%NO HIGH SCHOOL DIPLOMA: 13.9%MEDICAID: 24.4%UNINSURED: 10.9%OTHER AREA HOSPITALS: 13 ACUTE CARE; 11 LONG TERM ACUTE, REHABILITATION, AND BEHAVIORAL HEALTH DE FLAMINGO LLC DBA ST. ROSE DOMINICAN - WEST FLAMINGO:THE GEOGRAPHIC AREA FOR THE CHNA IS CLARK COUNTY, THE COMMON COMMUNITY FOR ALL PARTNERS PARTICIPATING IN THE CHNA COLLABORATIVE. CLARK COUNTY IS THE NATION'S 14TH LARGEST COUNTY THAT SERVES MORE THAN 2.25 MILLION CITIZENS AND MORE THAN 46 MILLION VISITORS A YEAR. CLARK COUNTY SERVES A COMMUNITY LIVING IN RURAL OR URBAN AREAS. A KEY COMPONENT OF THE COUNTY'S ECONOMY IS TOURISM, AND AMONG ITS LARGEST INDUSTRIES ARE ACCOMMODATION AND FOOD SERVICE, RETAIL TRADE AND HEALTH CARE AND SOCIAL ASSISTANCE. ALL COUNTIES WITHIN NEVADA HAVE HAD TREMENDOUS POPULATION GROWTH WITHIN THE LAST DECADE. HOWEVER, THE MAJORITY OF THE POPULATION REMAINS WITHIN CLARK COUNTY, AND IT CONTINUES TO GROW. BETWEEN 2015 AND 2021 CLARK COUNTY'S POPULATION GREW FROM 2.11 MILLION TO 2.32 MILLION. CLARK COUNTY COMPRISES ONLY 7% (8,091 SQUARE MILES) OF NEVADA'S LAND MASS (110,567 SQUARE MILES) BUT CONTAINS 72% OF THE STATE'S TOTAL POPULATION. BECAUSE OF CLARK COUNTY'S CONTRIBUTION TO THE STATE POPULATION, CAUTION SHOULD BE EXERCISED WHEN COMPARING THE COUNTY TO THE STATE:TOTAL POPULATION: 2,333,185 ASIAN/PACIFIC ISLANDER: 11.0%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 13.1%HISPANIC OR LATINO: 32.4%WHITE NON-HISPANIC: 36.7%ALL OTHERS: 6.8%% BELOW POVERTY: 9.7%UNEMPLOYMENT: 5.4%NO HIGH SCHOOL DIPLOMA: 13.9%MEDICAID: 24.4%UNINSURED: 10.9%OTHER AREA HOSPITALS: 13 ACUTE CARE; 11 LONG TERM ACUTE, REHABILITATION, AND BEHAVIORAL HEALTH
Schedule H (Form 990) 2021
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