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
2019
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) . . . 		0 125,386 102,567,746 0 102,567,746 1.200 %
b Medicaid (from Worksheet 3, column a) . . . . . 0 926,826 2,180,908,932 1,810,787,462 370,121,470 4.320 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . . 0 14,382 15,306,814 3,671,490 11,635,324 0.140 %
d Total Financial Assistance and Means-Tested Government Programs . . . . .   1,066,594 2,298,783,492 1,814,458,952 484,324,540 5.660 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4). 429 477,695 53,501,456 10,358,326 43,143,130 0.500 %
f Health professions education (from Worksheet 5) . . . 44 5,605 88,860,015 21,574,022 67,285,993 0.790 %
g Subsidized health services (from Worksheet 6) . . . . 18 2,510 5,962,278 318,346 5,643,932 0.070 %
h Research (from Worksheet 7) . 4 0 39,445,064 37,652,795 1,792,269 0.020 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . . 122 97,616 20,604,598 8,902,865 11,701,733 0.140 %
j Total. Other Benefits . . 617 583,426 208,373,411 78,806,354 129,567,057 1.520 %
k Total. Add lines 7d and 7j . 617 1,650,020 2,507,156,903 1,893,265,306 613,891,597 7.180 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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 52 2,568,948 811,831 1,757,117 0.020 %
2 Economic development 5 10 93,680 0 93,680 0 %
3 Community support 16 2,910 990,415 335,370 655,045 0.010 %
4 Environmental improvements 3 0 82,795 0 82,795 0 %
5 Leadership development and
training for community members		 5 352 270,595 1,119 269,476 0 %
6 Coalition building 7 17,896 250,311 149,343 100,968 0 %
7 Community health improvement advocacy 7 661 50,282 21,351 28,931 0 %
8 Workforce development 4 27 569,876 0 569,876 0.010 %
9 Other 0 0 0 0    
10 Total 49 21,908 4,876,902 1,319,014 3,557,888 0.040 %
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
61,161,592
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
1,515,571,003
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
1,968,064,307
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-452,493,304
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 INLAND ENDOSCOPY CENTER
  		SURGERY 24.500 % 0 % 30.000 %
77 MEDICAL PAVILION AT ST JOHN'S
  		REAL ESTATE (RENT/LEASE) 25.000 % 0 % 26.420 %
88 BNI MANAGEMENT LLC
  		MGMT SERVICES 26.040 % 0 % 73.960 %
99 ST JOSEPH'S CARDIOLOGY MANAGEMENT LLC
  		MGMT SERVICES 50.000 % 0 % 50.000 %
10
11
12
13
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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?29Name, 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-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp 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/STJOSEPHS
H-3003 		X X   X   X X     D
2 MERCY SAN JUAN MEDICAL CENTER
6501 COYLE AVENUE
CARMICHAEL,CA95608
WWW.DIGNITYHEALTH.ORG/MERCYSANJUAN
030000063 		X X   X     X     A
3 MERCY GENERAL HOSPITAL
4001 J STREET
SACRAMENTO,CA95819
WWW.DIGNITYHEALTH.ORG/MERCYGENERAL
030000062 		X X   X     X     A
4 MARIAN REGIONAL MEDICAL CENTER ARROYO GRANDE
1400 E CHURCH STREET
SANTA MARIA,CA93454
WWW.MARIANMEDICALCENTER.ORG/
50000040 		X X   X     X     B
5 MERCY MEDICAL CENTER REDDING
2175 ROSALINE AVENUE
REDDING,CA96001
WWW.DIGNITYHEALTH.ORG/MERCY-REDDING
230000024 		X X   X     X     B
6 ST ROSE DOMINICAN HOSPITAL - SIENA
3001 ST ROSE PARKWAY
HENDERSON,NV89052
WWW.DIGNITYHEALTH.ORG/LAS-VEGAS
2969HOS-21 		X X   X     X     E
7 DOMINICAN HOSPITAL
1555 SOQUEL DRIVE
SANTA CRUZ,CA95065
WWW.DOMINICANHOSPITAL.ORG
070000030 		X X         X     B
8 ST MARY MEDICAL CENTER - LONG BEACH
1050 LINDEN AVENUE
LONG BEACH,CA90813
WWW.DIGNITYHEALTH.ORG/STMARYMEDICAL
930000012 		X X   X     X     F
9 ST BERNARDINE MEDICAL CENTER
2101 N WATERMAN AVENUE
SAN BERNARDINO,CA92404
WWW.DIGNITYHEALTH.ORG/STBERNARDINEMED
240000206 		X X         X     A
10 MERCY HOSPITAL (BAKERSFIELD)
2215 TRUXTUN AVENUE
BAKERSFIELD,CA93301
WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFOR
120000184 		X X         X     A
11 ST JOHNS REGIONAL MEDICAL CENTER
1600 NORTH ROSE AVENUE
OXNARD,CA93030
WWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/L
050000064 		X X         X     H
12 MERCY MEDICAL CENTER MERCED
333 MERCY AVENUE
MERCED,CA95340
WWW.MERCYMERCEDCARES.ORG/
040000178 		X X   X     X     A
13 MERCY GILBERT MEDICAL CENTER
3555 S VAL VISTA DRIVE
GILBERT,AZ85297
WWW.DIGNITYHEALTH.ORG/MERCYGILBERT
H-3972 		X X         X     D
14 MERCY HOSPITAL OF FOLSOM
1650 CREEKSIDE DRIVE
FOLSOM,CA95630
WWW.DIGNITYHEALTH.ORG/MERCYFOLSOM
030000372 		X X         X     A
15 ST MARYS MEDICAL CENTER
450 STANYAN STREET
SAN FRANCISCO,CA94117
WWW.STMARYSMEDICALCENTER.ORG/
220000071 		X X   X     X     F
16 ST ROSE DOMINICAN HOSPITAL - SAN MARTIN
8280 WEST WARM SPRINGS ROAD
LAS VEGAS,NV89113
WWW.DIGNITYHEALTH.ORG/LAS-VEGAS
4576HOS-6 		X X         X     E
17 ST ELIZABETH COMMUNITY HOSPITAL
2550 SISTER MARY COLUMBA DRIVE
RED BLUFF,CA96080
WWW.DIGNITYHEALTH.ORG/STELIZABETHHOSP
230000036 		X X         X     B
18 ST JOHNS PLEASANT VALLEY HOSPITAL
2309 ANTONIO AVENUE
CAMARILLO,CA93010
WWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/L
050000048 		X X         X     H
19 MERCY MEDICAL CENTER MT SHASTA
914 PINE STREET
MT SHASTA,CA96067
WWW.MERCYMTSHASTA.ORG/
230000015 		X X     X   X     F
20 CARONDELET ST JOSEPH'S HOSPITAL
350 S WILMOT ROAD
TUCSON,AZ85711
HTTPS://WWW.CARONDELET.ORG/LOCATIONS
H-7308 		X X         X     G
21 ST JOSEPH'S WESTGATE MEDICAL CENTER
7300 N 99TH AVENUE
GLENDALE,AZ85305
WWW.DIGNITYHEALTH.ORG/WESTGATE
H-6522 		X X         X     D
22 CARONDELET ST MARY'S HOSPITAL
1601 W ST MARYS ROAD
TUCSON,AZ85745
HTTPS://WWW.CARONDELET.ORG/LOCATIONS
H-7303 		X X         X     G
23 ST ROSE DOMINICAN HOSPITAL - ROSE DE LIMA
102 E LAKE MEAD DRIVE
HENDERSON,NV89015
WWW.DIGNITYHEALTH.ORG/LAS-VEGAS
659HOS-20 		X X         X     E
24 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 C
25 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 C
26 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 C
27 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 C
28 CARONDELET HOLY CROSS HOSPITAL
1171 W TARGET RANGE ROAD
NOGALES,AZ85321
WWW.CARONDELET.ORG/LOCATIONS
H-7306 		X       X   X      
29 CARONDELET MARANA HOSPITAL
5620 CORTARO FARMS ROAD
TUCSON,AZ85742
WWW.CARONDELET.ORG/LOCATIONS
H10006 		X X                
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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 18
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 18
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) 2019
Schedule H (Form 990) 2019
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) 2019
Schedule H (Form 990) 2019
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) 2019
Schedule H (Form 990) 2019
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) 2019
Schedule H (Form 990) 2019
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 18
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 18
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) 2019
Schedule H (Form 990) 2019
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) 2019
Schedule H (Form 990) 2019
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) 2019
Schedule H (Form 990) 2019
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) 2019
Schedule H (Form 990) 2019
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 18
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 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): WWW.STROSENH.ORG/ABOUT/
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) 2019
Schedule H (Form 990) 2019
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
WWW.STROSENH.ORG/HELPINGHANDS/
b
WWW.STROSENH.ORG/HELPINGHANDS/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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) 2019
Schedule H (Form 990) 2019
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) 2019
Schedule H (Form 990) 2019
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 18
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 18
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) 2019
Schedule H (Form 990) 2019
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) 2019
Schedule H (Form 990) 2019
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) 2019
Schedule H (Form 990) 2019
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) 2019
Schedule H (Form 990) 2019
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 18
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 19
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) 2019
Schedule H (Form 990) 2019
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) 2019
Schedule H (Form 990) 2019
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) 2019
Schedule H (Form 990) 2019
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) 2019
Schedule H (Form 990) 2019
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 18
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 18
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) 2019
Schedule H (Form 990) 2019
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) 2019
Schedule H (Form 990) 2019
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) 2019
Schedule H (Form 990) 2019
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) 2019
Schedule H (Form 990) 2019
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 G
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 18
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 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): WWW.CARONDELET.ORG/ABOUT/COMMUNITY-OUTREACH
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) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
FACILITY REPORTING GROUP G
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
CARONDELET.ORG/PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM
b
CARONDELET.ORG/PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
FACILITY REPORTING GROUP G
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) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
FACILITY REPORTING GROUP G
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) 2019
Schedule H (Form 990) 2019
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 H
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 18
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 18
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) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
FACILITY REPORTING GROUP H
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) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
FACILITY REPORTING GROUP H
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) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
FACILITY REPORTING GROUP H
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) 2019
Schedule H (Form 990) 2019
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)
CARONDELET HOLY CROSS HOSPITAL
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): 		28
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 17
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 17
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): WWW.CARONDELET.ORG/ABOUT/COMMUNITY-OUTREACH
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) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
CARONDELET HOLY CROSS HOSPITAL
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
WWW.CARONDELET.ORG/PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM
b
WWW.CARONDELET.ORG/PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
CARONDELET HOLY CROSS HOSPITAL
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) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
CARONDELET HOLY CROSS HOSPITAL
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) 2019
Schedule H (Form 990) 2019
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)
CARONDELET MARANA HOSPITAL
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): 		29
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 Yes  
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 Yes  
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   No
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  
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    
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    
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    
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7    
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    
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20  
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10    
a If "Yes" (list url):  
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) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
CARONDELET MARANA HOSPITAL
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
WWW.CARONDELET.ORG/PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM
b
WWW.CARONDELET.ORG/PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
CARONDELET MARANA HOSPITAL
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) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
CARONDELET MARANA HOSPITAL
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) 2019
Schedule H (Form 990) 2019
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
CARONDELET MARANA HOSPITAL PART V, SECTION B, LINE 2: CARONDELET MARANA HOSPITALTHE HOSPITAL WAS ACQUIRED OR PLACED INTO SERVICE IN FEBRUARY 2020.
CARONDELET HOLY CROSS HOSPITAL PART V, SECTION B, LINE 5: FOR THE 2017 CHNA, TARGETED INTERVIEWS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. COMMUNITY STAKEHOLDERS IDENTIFIED BY THE HOSPITAL AND BY COMMUNITY PARTNERS WERE CONTACTED TO PARTICIPATE IN THE NEEDS ASSESSMENT. INTERVIEW PARTICIPANTS INCLUDED LEADERS AND REPRESENTATIVES OF THE UNITED WAY, AREA HEALTH EDUCATION CENTER, FEDERALLY QUALIFIED HEALTH CENTER, WORKFORCE DEVELOPMENT AGENCY, FOOD BANK, AND COUNTY PUBLIC HEALTH. THE HOSPITAL ALSO CONSULTED FOUR RECENT COMMUNITY ASSESSMENTS FROM 2016 TO 2018 THAT INCLUDED COMMUNITY INPUT ON TOPICS INCLUDING THE LOCAL FOOD SYSTEM, WOMEN'S BEHAVIORAL HEALTH, ELDER HEALTH AND A U.S. ENVIRONMENTAL PROTECTION AGENCY REPORT ON HEALTHY PLACES.
CARONDELET HOLY CROSS HOSPITAL PART V, SECTION B, LINE 11: THE 2017 COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED THE FOLLOWING PRIORITIZED SIGNIFICANT HEALTH AND HEALTH-RELATED NEEDS: MENTAL HEALTH, ECONOMIC INSECURITY, OVERWEIGHT AND OBESITY, ACCESS TO HEALTH CARE, DIABETES, BIRTH INDICATORS, DENTAL CARE AND SUBSTANCE ABUSE. HOLY CROSS HOSPITAL HAS PROGRAMS, SERVICES AND PARTNERSHIPS IN PLACE TO HELP THE COMMUNITY ADDRESS OVERWEIGHT AND OBESITY, ACCESS TO HEALTH CARE, AND DIABETES. THE HOSPITAL IS AND WILL CONTINUE TO MEET NEEDS THROUGH: PROVISION OF CHARITY CARE; MEDICAID/AHCCCS NAVIGATION PROGRAMS; DIABETES SUPPORT GROUPS; NUTRITION COUNSELING; COLLABORATING ON PROMOTORA OUTREACH AND COMMUNITY EDUCATION; PARTICIPATION IN COMMUNITY HEALTH GROUPS SUCH AS THE VIVIR MEJOR COALITION; EXPANDED CLINICAL SERVICES AND SPECIALIST COVERAGE BY OUR CRITICAL ACCESS HOSPITAL; AND SIGNIFICANT SUPPORT OF LOCAL COMMUNITY GROUPS AND ORGANIZATIONS THAT PROMOTE THE HEALTH OF THE COMMUNITY. AS A SMALL CRITICAL ACCESS HOSPITAL, THE FACILITY DOES NOT HAVE THE RESOURCES OR PERSONNEL TO TAKE THE LEAD IN ADDRESSING MENTAL HEALTH, ECONOMIC INSECURITY, BIRTH INDICATORS, DENTAL CARE OR SUBSTANCE ABUSE. THE HOSPITAL WILL PARTNER WITH AND SUPPORT OTHERS IN THE COMMUNITY ADDRESSING THESE NEEDS, AS APPROPRIATE.
CARONDELET HOLY CROSS HOSPITAL PART V, SECTION B, LINE 13H: PATIENTS QUALIFY FOR DISCOUNTED CARE IF GROSS FAMILY INCOME IS BETWEEN 200% AND 300% OF THE FEDERAL POVERTY LEVEL AT THE TIME OF THE APPLICATION, AND HOSPITAL CHARGES IN THE PAST SIX MONTHS EXCEED TWICE THE PATIENT'S GROSS ANNUAL FAMILY INCOME.
CARONDELET MARANA HOSPITAL PART V, SECTION B, LINE 13H: PATIENTS QUALIFY FOR DISCOUNTED CARE IF GROSS FAMILY INCOME IS BETWEEN 200% AND 300% OF THE FEDERAL POVERTY LEVEL AT THE TIME OF THE APPLICATION, AND HOSPITAL CHARGES IN THE PAST SIX MONTHS EXCEED TWICE THE PATIENT'S GROSS ANNUAL FAMILY INCOME.
PART V, SECTION B FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 2: MERCY SAN JUAN MEDICAL CENTER, - FACILITY 3: MERCY GENERAL HOSPITAL, - FACILITY 9: ST BERNARDINE MEDICAL CENTER, - FACILITY 10: MERCY HOSPITAL (BAKERSFIELD), - FACILITY 12: MERCY MEDICAL CENTER MERCED, - FACILITY 14: MERCY HOSPITAL OF FOLSOM
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 5: MERCY SAN JUAN MEDICAL CENTER, MERCY GENERAL HOSPITAL, MERCY HOSPITAL OF FOLSOMFOR THE 2019 CHNA REPORT, QUALITATIVE DATA INCLUDED INTERVIEWS WITH 121 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, AS WELL AS A TOWN HALL MEETING. 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, 154 COMMUNITY RESIDENTS PARTICIPATED IN 15 FOCUS GROUPS ACROSS THE COUNTY.ST. BERNARDINE MEDICAL CENTERFOR THE 2019 CHNA, THE HOSPITAL OBTAINED COMMUNITY INPUT ON HEALTH ISSUES, DISPARITIES AND ASSETS THROUGH INTERVIEWS WITH 13 KEY COMMUNITY STAKEHOLDERS, PUBLIC HEALTH, SERVICE PROVIDERS, MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS IN THE COMMUNITY, AND INDIVIDUALS OR ORGANIZATIONS SERVING OR REPRESENTING THE INTERESTS OF SUCH POPULATIONS. PARTICIPANTS INCLUDED REPRESENTATIVES OF: CALIFORNIA STATE UNIVERSITY - SAN BERNARDINO, LEGAL AID SOCIETY OF SAN BERNARDINO, LESTONNAC FREE CLINIC, COUNTY OF SAN BERNARDINO DEPARTMENT OF BEHAVIORAL HEALTH, MARY'S MERCY CENTER, HOPE PROGRAM, FIRST PRESBYTERIAN CHURCH OF SAN BERNARDINO, SAN BERNARDINO CITY UNIFIED SCHOOL DISTRICT, CITY OF SAN BERNARDINO, SAN BERNARDINO COUNTY PUBLIC HEALTH DEPARTMENT, HOUSING AUTHORITY OF THE COUNTY OF SAN BERNARDINO, AND CATHOLIC CHARITIES.MERCY HOSPITAL BAKERSFIELDFOR THE 2019 CHNA, COMMUNITY INPUT WAS OBTAINED THROUGH COMMUNITY SURVEYS AND INTERVIEWS WITH INDIVIDUALS WHO ARE LEADERS AND/OR REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. FORTY-ONE INTERVIEWS WERE COMPLETED WITH PEOPLE SELECTED TO COVER A WIDE RANGE OF COMMUNITIES WITHIN KERN COUNTY, REPRESENTING DIFFERENT AGE GROUPS, RACIAL/ETHNIC POPULATIONS AND UNDERSERVED POPULATIONS. AMONG THE ORGANIZATIONS REPRESENTED WERE: KERN COUNTY PUBLIC HEALTH SERVICES DEPARTMENT, KERN COUNTY BEHAVIORAL HEALTH AND RECOVERY SERVICES, BAKERSFIELD HOMELESS CENTER, KERN FOOD POLICY, COUNCIL BAKERSFIELD CITY SCHOOLS AND MERCY HOUSING. THE COMMUNITY SURVEY WAS AVAILABLE IN BOTH ELECTRONIC AND PAPER FORMATS, IN ENGLISH AND SPANISH, AND 1,114 USABLE SURVEYS WERE COMPLETED. SURVEYS WERE DISTRIBUTED VIA HOSPITAL WAITING ROOMS AND SERVICE SITES, COMMUNITY PARTNER HEALTH AND SOCIAL SERVICE AGENCIES, AND THROUGH SOCIAL MEDIA, INCLUDING POSTING THE SURVEY LINK ON HOSPITAL FACEBOOK PAGES. FOR COMMUNITY MEMBERS WHO WERE ILLITERATE, AN AGENCY STAFF MEMBER READ THE SURVEY INTRODUCTION AND QUESTIONS TO THE CLIENT IN HIS/HER PREFERRED LANGUAGE AND MARKED HIS/HER RESPONSES ON THE SURVEY.MERCY MEDICAL CENTER MERCEDFOR THE 2019 CHNA, COMMUNITY INPUT WAS OBTAINED VIA A KEY INFORMANT SURVEY AND A BROAD COMMUNITY SURVEY. TO SOLICIT INPUT FROM KEY INFORMANTS, INDIVIDUALS WHO HAVE A BROAD INTEREST AND EXPERTISE IN THE HEALTH OF THE COMMUNITY, A TARGETED ONLINE SURVEY WAS CONDUCTED. IT WAS COMPLETED BY 49 PUBLIC HEALTH REPRESENTATIVES, SOCIAL SERVICE PROVIDERS AND OTHER COMMUNITY LEADERS CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. REPRESENTATIVES OF THE FOLLOWING ORGANIZATIONS WERE AMONG THOSE PARTICIPATING: MERCED COUNTY BEHAVIORAL HEALTH AND RECOVERY SERVICES, MERCED COUNTY DEPARTMENT OF PUBLIC HEALTH, AND MERCED COUNTY EMERGENCY MEDICAL SERVICES AGENCY. MINORITY/MEDICALLY UNDERSERVED POPULATIONS REPRESENTED BY THOSE COMPLETING THE KEY INFORMANT SURVEY INCLUDED: AFRICAN-AMERICANS, AIDS/HIV/STD PATIENTS, ASIANS/PACIFIC ISLANDERS, CHILDREN, DUAL DIAGNOSIS PATIENTS, THE ELDERLY, ESL OR NON-ENGLISH SPEAKERS, HISPANICS, HMONG, THE HOMELESS, IMMIGRANTS/REFUGEES, LOW INCOME, MEDICARE/MEDICAID RECIPIENTS, THE MENTALLY ILL, MOTHERS, THOSE WITH SPECIAL NEEDS, TEENS, THE UNDOCUMENTED, AND THE UNINSURED/UNDERINSURED. ADDITIONALLY, THE BROAD COMMUNITY SURVEY OBTAINED INPUT FROM 300 RESPONDENTS BASED ON A RANDOM SAMPLE TELEPHONE SURVEY. THE SURVEY INSTRUMENT USED FOR THIS STUDY IS BASED LARGELY ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION'S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM.
FACILITY REPORTING GROUP A 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 SACRAMENTOST. BERNARDINE MEDICAL CENTERCOMMUNITY HOSPITAL OF SAN BERNARDINOMERCY HOSPITAL BAKERSFIELDDELANO REGIONAL MEDICAL CENTER, BAKERSFIELD MEMORIAL HOSPITAL, KAISER PERMANENTE, ADVENTIST HEALTH (BAKERSFIELD AND TEHACHAPI VALLEY)MERCY MEDICAL CENTER MERCEDMEMORIAL HOSPITAL LOS BANOS, VALLEY CHILDREN'S HOSPITAL
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 11: MERCY SAN JUAN MEDICAL CENTER, MERCY GENERAL HOSPITAL, MERCY HOSPITAL OF FOLSOMTHESE GREATER SACRAMENTO HOSPITALS ARE ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES, 2) ACCESS TO MENTAL, BEHAVIORAL, AND SUBSTANCE ABUSE SERVICES, 3) ACCESS TO BASIC NEEDS, SUCH AS HOUSING, JOBS, AND FOOD, 4) SYSTEM NAVIGATION, 5) INJURY AND DISEASE PREVENTION AND MANAGEMENT, 6) A SAFE AND VIOLENCE-FREE ENVIRONMENT, 7) ACCESS TO ACTIVE LIVING AND HEALTHY EATING, 8) CULTURAL COMPETENCY, AND 9) 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: MERCY FAMILY HEALTH CENTER (METHODIST HOSPITAL ONLY), CATHOLIC SCHOOL NURSE PROGRAM, CARE FOR THE UNDOCUMENTED, MERCY CLINIC LOAVES & FISHES, WELLSPACE CAPACITY BUILDING, NAVIGATION TO WELLNESS, TLCS TRIAGE NAVIGATOR, CO-OCCURRING SUBSTANCE DISORDER TREATMENT PROGRAM, MENTAL HEALTH CONSULTATIONS AND CONSERVATORSHIP SERVICES, WHOLE PERSON CARE / PATHWAYS TO HEALTH + HOME, HEALTHIER LIVING, MERCY FAITH AND HEALTH PARTNERSHIP, HOUSING WITH DIGNITY HOMELESS PROGRAM, INTERIM CARE PROGRAM, REFERNET INTENSIVE OUTPATIENT MENTAL HEALTH PARTNERSHIP, SAFE KIDS PROGRAM, SPIRIT PROJECT: THE SACRAMENTO PHYSICIANS' INITIATIVE TO REACH OUT, INNOVATE AND TEACH, PATIENT NAVIGATOR PROGRAM, CONGESTIVE HEART ACTIVE MANAGEMENT PROGRAM, HUMAN TRAFFICKING RESPONSE PROGRAM, WEAVE PATIENT ADVOCATE, HEALTHY WOMEN AND FAMILIES, INITIATIVE TO REDUCE AFRICAN AMERICAN CHILD DEATHS, FOOD EXPLORATION AND SCHOOL TRANSFORMATION, RECREATE FOR HEALTH, SALUD CON DIGNIDAD / HEALTH WITH DIGNITY, DEMENTIA CARE AND SUPPORT NAVIGATION, AND ONCOLOGY NURSE PROGRAM. THE HOSPITALS DO NOT HAVE THE CAPACITY OR RESOURCES TO ADDRESS ALL PRIORITY HEALTH ISSUES. THE HOSPITALS ARE NOT ADDRESSING ACCESS TO MEETING FUNCTIONAL NEEDS - TRANSPORTATION AND PHYSICAL DISABILITY AS THESE PRIORITIES ARE BEYOND THE CAPACITY AND EXPERTISE OF MERCY HOSPITAL OF FOLSOM, MERCY SAN JUAN MEDICAL CENTER, MERCY GENERAL HOSPITAL AND METHODIST HOSPITAL OF SACRAMENTO. MANY OF THE CURRENT INITIATIVES INCLUDE A TRANSPORTATION COMPONENT ALTHOUGH SERVICES ARE LIMITED. AS OF MARCH 2020, IN RESPONSE TO THE COVID-19 PANDEMIC, THE HOSPITALS HAVE IMPLEMENTED IMMEDIATE RELIEF MEASURES AND AS A BROADER COMMUNITY BENEFIT STRATEGY, THE HOSPITALS CONTINUE TO LOOK FOR OPPORTUNITIES TO SUPPORT PROGRAMS AND INITIATIVES THAT SEEK TO ADDRESS ISSUES RELATED TO COVID-19. 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.ST. BERNARDINE MEDICAL CENTERTHE HOSPITAL IS ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ACCESS TO HEALTH CARE, 2) BEHAVIORAL HEALTH (INCLUDES MENTAL HEALTH AND SUBSTANCE USE AND MISUSE 3) CHRONIC DISEASES (INCLUDES OVERWEIGHT AND OBESITY), 4) HOUSING AND HOMELESSNESS, AND 5) SAFETY AND VIOLENCE. THE HOSPITAL IS ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: FINANCIAL ASSISTANCE (CHARITY CARE), COMMUNITY HEALTH NAVIGATOR, FREE COMMUNITY HEALTH EDUCATION, FREE FLU SHOTS, COMMUNITY GRANTS PROGRAM, CULTURAL TRAUMA & MENTAL HEALTH RESILIENCY PROGRAM, BABY & FAMILY CENTER, CHRONIC DISEASE SUPPORT GROUPS, ACCELERATING INVESTMENT FOR HEALTHY COMMUNITIES INITIATIVE, FAMILY FOCUS CENTER, AND STEPPING STONES PROGRAM. THE HOSPITAL INTENDS TO TAKE ACTIONS TO ADDRESS ALL OF THE PRIORITIZED SIGNIFICANT HEALTH NEEDS IN THE CHNA REPORT, BOTH THROUGH ITS OWN PROGRAMS AND SERVICES AND WITH COMMUNITY PARTNERS.MERCY HOSPITAL BAKERSFIELDTHE SIGNIFICANT COMMUNITY HEALTH NEEDS THE HOSPITAL IS HELPING TO ADDRESS AND THAT FORM THE BASIS OF THE CHNA WERE IDENTIFIED IN THE HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. NEEDS BEING ADDRESSED BY STRATEGIES AND PROGRAMS ARE: ACCESS TO HEALTH CARE, ALZHEIMER'S DISEASE, CHRONIC DISEASES, OVERWEIGHT AND OBESITY, PREVENTIVE PRACTICES, SOCIAL DETERMINANTS OF HEALTH/BASIC NEEDS. THE HOSPITAL IS ADDRESSING THESE NEEDS WITH NUMEROUS DIRECT SERVICE PROGRAMS, GRANT FUNDING TO THE COMMUNITY, PATIENT FINANCIAL ASSISTANCE, AND COMMUNITY PARTNERSHIPS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. ACCESS TO CARE: FINANCIAL ASSISTANCE, COMMUNITY GRANTS PROGRAM, COORDINATED CARE NETWORK INITIATIVE, COMMUNITY HEALTH INITIATIVE, HOMEMAKER CARE PROGRAM AND PRESCRIPTION PURCHASES. ALZHEIMER'S DISEASE: COMMUNITY GRANTS PROGRAM AND HOMEMAKER CARE PROGRAM. CHRONIC DISEASES: COMMUNITY GRANTS PROGRAM AND COMMUNITY WELLNESS PROGRAM SEMINARS AND CLASSES. OVERWEIGHT AND OBESITY: COMMUNITY GRANTS PROGRAM, COMMUNITY WELLNESS PROGRAM SEMINARS, CLASSES AND HEALTH SCREENINGS, AND HEALTHY KIDS IN HEALTHY HOMES. PREVENTIVE PRACTICES: COMMUNITY GRANTS PROGRAM, COMMUNITY WELLNESS PROGRAM, COMMUNITY WELLNESS PROGRAM SEMINARS AND CLASSES, SMOKING CESSATION PROGRAM, AND COMMUNITY HEALTH INITIATIVE. SOCIAL DETERMINANTS OF HEALTH/BASIC NEEDS: COMMUNITY GRANTS PROGRAM, LEARNING AND OUTREACH CENTERS, COORDINATED CARE NETWORK INITIATIVE, ART AND SPIRITUALITY CENTER AND HOMEMAKER CARE PROGRAM. THE HOSPITAL WILL NOT FOCUS ON THE FOLLOWING NEEDS IDENTIFIED IN THE CHNA: BIRTH INDICATORS, DENTAL CARE, ENVIRONMENTAL POLLUTION, MENTAL HEALTH, SEXUALLY TRANSMITTED INFECTIONS, SUBSTANCE USE AND MISUSE, UNINTENTIONAL INJURIES AND VIOLENCE AND INJURY PREVENTION. TAKING EXISTING COMMUNITY RESOURCES INTO CONSIDERATION, THE HOSPITAL HAS SELECTED TO CONCENTRATE ON THOSE HEALTH NEEDS THAT WE CAN MOST EFFECTIVELY ADDRESS GIVEN OUR AREAS OF FOCUS. IT HAS INSUFFICIENT RESOURCES TO EFFECTIVELY ADDRESS ALL THE IDENTIFIED NEEDS AND IN SOME CASES, THE NEEDS ARE CURRENTLY ADDRESSED BY OTHERS IN THE COMMUNITY.THE DEPARTMENT OF SPECIAL NEEDS AND COMMUNITY OUTREACH PIVOTED ITS FOCUS AS THE ARRIVAL OF COVID-19 AND CALIFORNIA'S SHELTER-IN-PLACE ORDER IMPACTED OUR WORK IN 2020. THIS INCLUDED EXPANDING THE EMERGENCY FOOD BASKET PROGRAM, OFFERING VIRTUAL HEALTH EDUCATION CLASSES, INCREASING THE FREQUENCY OF HOT MEAL PROGRAMS, AND ASSISTING CLIENTS TELEPHONICALLY WITH HEALTH INSURANCE ENROLLMENT, EDUCATION AND UTILIZATION.MERCY MEDICAL CENTER MERCEDTHE HOSPITAL IS ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ACCESS TO HEALTH SERVICES, 2) CANCER, 3) DIABETES, 4) HEART DISEASE & STROKE, 5) FAMILY PLANNING - INFANT HEALTH 6) NUTRITION, PHYSICAL ACTIVITY & WEIGHT, AND 7) RESPIRATORY DISEASES. THE HOSPITAL IS ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: FAMILY PRACTICE CLINIC, KIDS CARE PEDIATRIC CLINIC, GENERAL MEDICINE CLINIC, PATIENT FINANCIAL ASSISTANCE PROGRAM, MERCY ED AND INPATIENT VOLUNTEER PROGRAM, CHRONIC DISEASE SELF-MANAGEMENT PROGRAM, DIABETES CLASSES, DIABETES SELF-MANAGEMENT PROGRAM, NATIONAL DIABETES PREVENTION PROGRAM, ASTHMA COALITION, SMOKING CESSATION CLASSES, TOBACCO COALITION, ASTHMA SELF-MANAGEMENT PROGRAM, CHILDBIRTH CLASSES, LACTATION CLASSES, BABY CAF, CAESARIAN CLASSES, CERTIFIED STROKE HOSPITAL, STROKE TELEMEDICINE, CARDIAC REHAB PROGRAM, STROKE SUPPORT AND RESOURCE CLASSES, STEPS PROGRAM, ZUMBA AND YOGA CLASSES, SCHOOL OUTREACH PROGRAM, FAMILY HEALTH FESTIVAL & 5K STROKE AWARENESS RUN, WALK WITH EASE PROGRAM, MERCY UC DAVIS CANCER CENTER, AMERICAN CANCER SOCIETY PARTNERSHIP, CANCER SUPPORT GROUPS, AND MASSAGE THERAPY SUPPORT GROUPS. MERCY MEDICAL CENTER HAS CHOSEN TO NOT ADDRESS THE FOLLOWING HEALTH NEEDS: SUBSTANCE ABUSE, DEMENTIA, & ALZHEIMER'S DISEASE, INJURY & VIOLENCE AND POTENTIALLY DISABLING CONDITIONS. PATIENTS WILL BE GIVEN COMMUNITY RESOURCES TO ADDRESS ANY OF THESE HEALTH NEEDS WHICH WOULD APPLY TO THAT SPECIFIC INDIVIDUAL. MERCY DOES NOT HAVE THE CAPACITY OR SERVICES TO ADDRESS THESE ISSUES AND ALL ARE BEING ADDRESSED BY ANOTHER ORGANIZATION IN MERCED COUNTY.
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 16J: ADDITIONAL MEASURES TAKEN TO PUBLICIZE DIGNITY HEALTH'S FINANCIAL ASSISTANCE POLICY INCLUDE THE PROVISION OF BROCHURES EXPLAINING AVAILABLE GOVERNMENT SPONSORED PROGRAMS AND THE FINANCIAL ASSISTANCE POLICY, A COPY OF THE FINANCIAL ASSISTANCE APPLICATION, A TELEPHONE NUMBER FOR PATIENTS TO REQUEST FURTHER INFORMATION ABOUT THE PROGRAM, AVAILABLITY OF INFORMATION IN LANGUAGES OTHER THAN ENGLISH, AND CONTACT INFORMATION FOR FINANCIAL COUNSELORS OR OTHER REPRESENTATIVES WHO CAN PROVIDE INFORMATION. THE FACILITY'S WEB SITE ALSO CONTAINS THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY OF THE POLICY, APPLICATION, BILLING AND COLLECTION POLICY, A DESCRIPTION OF THE AMOUNT GENERALLY BILLED AND A LISTING OF PROVIDERS AT EACH FACILITY THAT ARE COVERED AND NOT COVERED BY THE FINANICAL ASSISTANCE POLICY. CONTACT INFORMATION CAN ALSO BE FOUND ON EACH FACILITY'S WEB PAGE. THE AVAILABILITY OF PATIENT FINANCIAL ASSISTANCE AND THE PLAIN LANGUAGE SUMMARY OF THE POLICY ARE ALSO INCLUDED IN EACH FACILITY'S ANNUAL COMMUNITY BENEFIT REPORT, WHICH IS ON EACH FACILITY'S WEB PAGE. EACH HOSPITAL DISTRIBUTES THE PLAIN LANGUAGE SUMMARY OF THE POLICY TO ITS COMMUNITY HEALTH OR COMMUNITY BENEFIT COMMITTEE, AND/OR TO LOCAL COMMUNITY HEALTH AND SOCIAL SERVICE ORGANIZATIONS INCLUDING RECIPIENTS OF COMMUNITY HEALTH GRANTS.
PART V, SECTION B FACILITY REPORTING GROUP B
FACILITY REPORTING GROUP B CONSISTS OF: - FACILITY 4: MARIAN REGIONAL MEDICAL CENTER, ARROYO GRANDE, - FACILITY 5: MERCY MEDICAL CENTER REDDING, - FACILITY 7: DOMINICAN HOSPITAL, - FACILITY 17: ST ELIZABETH COMMUNITY HOSPITAL
FACILITY REPORTING GROUP B PART V, SECTION B, LINE 5: MARIAN REGIONAL MEDICAL CENTER, ARROYO GRANDEFOR THE 2019 CHNA, THE HOSPITAL OBTAINED COMMUNITY INPUT INTO THE NEEDS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS VIA A COMMUNITY HEALTH SURVEY BASED ON QUESTIONS FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION'S BEHAVIORAL RISK FACTOR SURVEY, PREVIOUS CHNA REPORTS, AND INPUT PROVIDED BY THOSE REPRESENTING COMMUNITY BENEFIT/OUTREACH ACTIVITIES. THE SURVEY WAS COMPLETED BY 866 ADULTS AGED 18 AND OLDER IN BOTH SPANISH AND ENGLISH, IN 23 DIFFERENT LOCATIONS WITHIN THE COMMUNITY, INCLUDING CHURCHES, SENIOR CENTERS, COMMUNITY EVENTS, HOMELESS SHELTERS AND SCHOOL EVENTS. ORGANIZATIONS PROVIDING INPUT OR ASSISTING IN THE SURVEY PROCESS INCLUDED: CENTRAL COAST COMMISSION FOR SENIOR CITIZENS, SANTA BARBARA COUNTY PUBLIC HEALTH DEPARTMENT, SAN LUIS OBISPO COUNTY PUBLIC HEALTH DEPARTMENT, MARIAN REGIONAL MEDICAL CENTER'S COMMUNITY BENEFIT COMMITTEE, FIVE CHURCHES, FOODBANK OF SAN LUIS OBISPO COUNTY, GOOD SAMARITAN SHELTER, LITTLE HOUSE BY THE PARK, GUADALUPE OASIS SENIOR COMMUNITY CENTER, OCEANO SENIOR CENTER, PEOPLE'S KITCHEN, PEOPLES' SELF-HELP HOUSING, SANTA MARIA BONITA SCHOOL DISTRICT, AND SANTA MARIA PARKS AND RECREATION.MERCY MEDICAL CENTER REDDINGFOR THE 2019 CHNA, THE HOSPITAL PARTNERED WITH OUTSIDE INDIVIDUALS AND ORGANIZATIONS, INCLUDING FOR OBTAINING COMMUNITY INPUT OR QUALITATIVE DATA FROM KEY STAKEHOLDER FOCUS GROUPS, SURVEYS, AND MEETINGS WITH COMMUNITY STAKEHOLDERS. FOCUS GROUP MEETINGS WERE CONDUCTED WITH INDIVIDUALS AND GROUPS THAT REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY. THESE REPRESENTATIVES INCLUDED PUBLIC HEALTH AND INDIVIDUALS WITH KNOWLEDGE OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. AMONG THE COMMUNITY PARTICIPANTS WERE: CITY OF REDDING, FIRST 5 SHASTA, HEALTH SHASTA COLLABORATIVE, PUBLIC HEALTH ADVISORY BOARD, REACH HIGHER SHASTA, REDDING RANCHERIA, SHASTA COMMUNITY HEALTH CENTER, SHASTA COUNTY HEALTH & HUMAN SERVICES AGENCY, AND THE STRENGTHENING FAMILIES COLLABORATIVE. IN FOCUS GROUP DISCUSSIONS, THE FACILITATOR GUIDED GROUPS THROUGH A DISCUSSION OF REVIEWING HEALTH NEED TOPICS AND THEN PRIORITIZING THEM VIA A RANKING PROCESS.DOMINICAN HOSPITALFOR THE 2019 CHNA, THE HOSPITAL OBTAINED COMMUNITY INPUT VIA KEY INFORMANT INTERVIEWS WITH LOCAL HEALTH EXPERTS, AND A SURVEY WITH 22 COMMUNITY LEADERS AND HEALTH EXPERTS, INCLUDING THE LOCAL PUBLIC HEALTH DEPARTMENT AND REPRESENTATIVES FROM THE MEDICALLY UNDERSERVED, LOW-INCOME AND/OR MINORITY POPULATIONS. REPRESENTATIVES OF THE FOLLOWING PARTICIPATED: COUNTY OF SANTA CRUZ (HEALTH SERVICE AGENCY, HUMAN SERVICES DEPARTMENT, BEHAVIORAL HEALTH), DIENTES COMMUNITY DENTAL CARE, HOMELESS SERVICES CENTER, SALUD PARA LA GENTE, SECOND HARVEST FOOD BANK, COMMUNITY ACTION BOARD, JANUS, HEALTH IMPROVEMENT PARTNERSHIP, COMMUNITY BRIDGES, SANTA CRUZ COMMUNITY HEALTH CENTERS, FIRST FIVE SANTA CRUZ COUNTY, SANTA CRUZ COUNTY OFFICE OF EDUCATION, AND UNITED WAY OF SANTA CRUZ COUNTY. THE HOSPITAL ALSO USED PRIMARY DATA COLLECTED FROM THE BIENNIAL COMMUNITY ASSESSMENT PROJECT SURVEY CONDUCTED WITH A REPRESENTATIVE SAMPLE OF SANTA CRUZ COUNTY RESIDENTS. THIS SURVEY ASSESSES QUALITY OF LIFE ACROSS FIVE SUBJECT AREAS: THE ECONOMY, HEALTH, PUBLIC SAFETY, THE SOCIAL ENVIRONMENT AND THE NATURAL ENVIRONMENT.ST. ELIZABETH COMMUNITY HOSPITALFOR THE 2019 CHNA, COMMUNITY INPUT WAS OBTAINED THROUGH FOCUS GROUPS AND A CONVENIENCE SAMPLING HEALTH SURVEY TO GAIN A THOROUGH UNDERSTANDING OF THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS MOST OFTEN SERVED. THE HOSPITAL LOOKED TO COMMUNITY BASED ORGANIZATIONS TO REPRESENT THEIR RESPECTIVE CLIENTELE IN THE SURVEY PROCESS WHEREVER APPROPRIATE. FOCUS GROUP MEETINGS WERE CONDUCTED WITH INDIVIDUALS AND GROUPS THAT REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY. THOSE REPRESENTED INCLUDES: 211 TEHAMA, ADULT SERVICES, BLAIR'S CREMATION, COUNTY BOARD OF SUPERVISORS, BROOKDALE ASSISTED LIVING, COMMUNITY ACTION AGENCY, CORNING HEALTHCARE DISTRICT, CORNING SENIOR CENTER, GREENVILLE RANCHERIA, HOUSING TOOLS, MERCY HOUSING, P.A.T.H - POOR & THE HOMELESS, PARATRANSIT SERVICES, PASSAGES - AREA AGENCY ON AGING, TEHAMA COUNTY PUBLIC HEALTH, RED BLUFF HEALTH CARE, SOCIAL SERVICES/COMMUNITY ACTION AGENCY, TEHAMA COUNTY HEALTH SERVICES, TEHAMA COUNTY PUBLIC GUARDIAN, TEHAMA TOGETHER AND VETERANS SERVICES.
FACILITY REPORTING GROUP B PART V, SECTION B, LINE 11: MARIAN REGIONAL MEDICAL CENTER, ARROYO GRANDETHE HOSPITAL IS ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) EDUCATIONAL ATTAINMENT FOR ADULTS IN THE COMMUNITY, 2) ACCESS TO PRIMARY HEALTH CARE, INCLUDING BEHAVIORAL HEALTH, 3) AGING, MORE MATURE POPULATION, AND 4) CHRONIC DISEASE PREVENTION AND MANAGEMENT. THE HOSPITAL IS ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: DIGNITY HEALTH COMMUNITY GRANTS PROGRAM, FORMAL MIXTECO INTERPRETER PROGRAM, TRANSITIONAL CARE MANAGEMENT (TCM) PROGRAM, DEVELOPMENT OF BEHAVIORAL HEALTH CRISIS STABILIZATION CENTER, FINANCIAL ASSISTANCE PROGRAMS, FAMILY PRACTICE RESIDENT OUTREACH PROGRAM, PROMOTORES DE SALUD, EMERGENCY DEPARTMENT EXPANSION, STREET MEDICINE OUTREACH PROGRAM, MENTAL HEALTH CRISIS INTERVENTION PROGRAM, FAITH COMMUNITY NURSE PROGRAM, DIGNITY HEALTH WELLNESS PROGRAMS, FREE SCREENING MAMMOGRAM CLINICS, AND BILINGUAL SUPPORT GROUPS. THE HOSPITAL INTENDS TO TAKE ACTIONS TO ADDRESS ALL OF THE PRIORITIZED SIGNIFICANT HEALTH NEEDS IN THE CHNA REPORT, BOTH THROUGH ITS OWN PROGRAMS AND SERVICES AND WITH COMMUNITY PARTNERS.MERCY MEDICAL CENTER REDDINGTHE HOSPITAL IS ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ALCOHOL AND OTHER SUBSTANCE USE (INCLUDING TOBACCO), 2) CHILD ABUSE, 3) DIABETES, AND 4) MENTAL HEALTH. THE HOSPITAL IS ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: TOBACCO RECOVERY SELF-MANAGEMENT WORKSHOPS, THE DIABETES EMPOWERMENT EDUCATION PROGRAM, CONTINUUM OF CARE COLLABORATION WITH EMPIRE RECOVERY CENTER FOR DETOX SERVICES, MULTISECTOR COUNTYWIDE COLLABORATION - SHASTA COUNTY WHOLE PERSON CARE, CHILD ABUSE PROGRAM - DEVELOPMENT OF CHILDREN'S LEGACY CENTER, PARTICIPATION ON THE NORTHERN CALIFORNIA ADVERSE CHILDHOOD EXPERIENCES COLLABORATIVE, NUTRITION CLASSES, AND TELE-PSYCHIATRY. MERCY MEDICAL CENTER REDDING DOES NOT HAVE THE CAPACITY OR RESOURCES TO ADDRESS ALL IDENTIFIED SIGNIFICANT HEALTH NEEDS. THE HOSPITAL IS NOT DIRECTLY PLANNING INTERVENTIONS THAT WOULD FULLY ADDRESS COMMUNICABLE DISEASES. SHASTA COUNTY IS HOME TO A WEALTH OF ORGANIZATIONS, BUSINESSES, AND NONPROFITS THAT CURRENTLY OFFER PROGRAMS AND SERVICES IN SEVERAL OF THE IDENTIFIED SIGNIFICANT HEALTH NEEDS AREAS. MERCY MEDICAL CENTER REDDING WILL CONTINUE TO BUILD COMMUNITY CAPACITY BY STRENGTHENING PARTNERSHIPS AMONG LOCAL COMMUNITY BASED ORGANIZATIONS.DOMINICAN HOSPITALTHE HOSPITAL IS ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) BEHAVIORAL HEALTH, 2) CONTINUUM OF CARE: PREVENTION, ACCESS AND DELIVERY, 3) ECONOMIC SECURITY: INCOME, EMPLOYMENT, EDUCATION, HOUSING AND FOOD SECURITY, AND 4) HUMAN TRAFFICKING. THE HOSPITAL IS ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: DOMINICAN HEALTH PSYCHIATRIC RESOURCE TEAM, JANUS OF SANTA CRUZ SUBSTANCE USE DISORDER AND CO-OCCURRING DISORDER PROGRAM, DOMINICAN HOSPITAL CARE COORDINATION TEAM, GRANT FUNDING FOR HOMELESS SERVICES CENTER'S RECUPERATIVE CARE CENTER, GRANT FUNDING FOR ROTACARE FREE HEALTH CLINIC AT THE LIVE OAK SENIOR CENTER, PERSONAL ENRICHMENT PROGRAM, DOMINICAN HOSPITAL MOBILE WELLNESS CLINIC, PASSPORT TO HEALTH (P2H) PROGRAM, COMMUNITY BRIDGES WELLNESS NAVIGATION PROJECT, MONARCH SERVICES ENDING THE GAME - HUMAN TRAFFICKING PROGRAM, AND DOMINICAN HOSPITAL HUMAN TRAFFICKING TASKFORCE. THE HOSPITAL INTENDS TO TAKE ACTIONS TO ADDRESS ALL OF THE PRIORITIZED SIGNIFICANT HEALTH NEEDS IN THE CHNA REPORT, BOTH THROUGH ITS OWN PROGRAMS AND SERVICES AND WITH COMMUNITY PARTNERS.ST. ELIZABETH COMMUNITY HOSPITALTHE HOSPITAL IS ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ACCESS TO CARE, AND 2) HOMELESSNESS. THE HOSPITAL IS ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: PROVIDE SERVICES FOR VULNERABLE POPULATIONS (FINANCIAL ASSISTANCE), INCREASE ACCESS TO CARE THROUGH PHYSICIAN RECRUITMENT EFFORTS, COMMUNITY SUPPORT THROUGH PARTNERSHIPS WITH FEDERALLY QUALIFIED HEALTH CLINICS, HEALTH EDUCATION OUTREACH, EMERGENCY DEPARTMENT BASED PATIENT NAVIGATION, ONSITE SCHOOL HEALTH SCREENINGS, TELE-PSYCHIATRY, COMMUNITY MENTAL HEALTH RESOURCES/PARTNERSHIP, BEHAVIORAL EVALUATION SERVICES, AND OUTPATIENT CLINIC BEHAVIORAL HEALTH SERVICES. ST. ELIZABETH COMMUNITY HOSPITAL DOES NOT HAVE THE CAPACITY OR RESOURCES TO ADDRESS ALL IDENTIFIED SIGNIFICANT HEALTH NEEDS. THE HOSPITAL IS NOT DIRECTLY PLANNING INTERVENTIONS THAT WOULD FULLY ADDRESS AGING ISSUES AND HOMELESSNESS. TEHAMA COUNTY IS HOME TO A WEALTH OF ORGANIZATIONS, BUSINESSES, AND NONPROFITS THAT CURRENTLY OFFER PROGRAMS AND SERVICES IN SEVERAL OF THE IDENTIFIED SIGNIFICANT HEALTH NEEDS AREAS. WHILE THERE ARE POTENTIAL RESOURCES AVAILABLE TO ADDRESS ALL OF THE IDENTIFIED NEEDS OF THE COMMUNITY, THE NEEDS ARE TOO SIGNIFICANT AND DIVERSE FOR ANY ONE ORGANIZATION. ST. ELIZABETH COMMUNITY HOSPITAL WILL CONTINUE TO BUILD COMMUNITY CAPACITY BY STRENGTHENING PARTNERSHIPS AMONG LOCAL COMMUNITY BASED ORGANIZATIONS.
PART V, SECTION B FACILITY REPORTING GROUP C
FACILITY REPORTING GROUP C CONSISTS OF: - FACILITY 24: DE CRAIG RANCH LLC DBA DIGNITY HEALTH - ST RO, - FACILITY 25: DE BLUE DIAMOND LLC DBA DIGNITY HEALTH - ST R, - FACILITY 26: DE SAHARA LLC DBA DIGNITY HEALTH - ST ROSE DO, - FACILITY 27: DE FLAMINGO LLC DBA DIGNITY HEALTH - ST ROSE
FACILITY REPORTING GROUP C PART V, SECTION B, LINE 5: FOR THE 2019 CHNA, COMMUNITY INPUT WAS OBTAINED VIA A RANDOMIZED TELEPHONE SURVEY OF CLARK COUNTY RESIDENTS AND FOCUS GROUP INTERVIEWS OF VULNERABLE POPULATIONS IN THE COMMUNITY SERVICE AREA. THE SURVEY ASSESSED COMMUNITY HEALTH NEEDS IN THREE AREAS: PERSONAL HEALTH BEHAVIORS, EXPERIENCES ACCESSING HEALTHCARE, AND OPINIONS ABOUT COMMUNITY HEALTH. ADDITIONALLY, SEVERAL DEMOGRAPHIC QUESTIONS WERE ASKED. ONCE SURVEY QUESTIONS WERE FINALIZED, THE SURVEY WAS TRANSLATED INTO SPANISH. THERE WERE 378 COMPLETIONS OF THE 15-MINUTE PHONE SURVEY. FOR FOCUS GROUPS, THE DISCUSSION GUIDE INCLUDED QUESTIONS REGARDING GENERAL HEALTH ACTIVITIES, ACCESS TO HEALTHCARE, QUALITY OF CARE, SATISFACTION WITH HEALTHCARE, AND RECOMMENDATIONS FOR IMPROVEMENT, IN ADDITION TO QUESTIONS TO CAPTURE INFORMATION ABOUT HEALTH NEEDS UNIQUE TO POPULATIONS. A TOTAL OF SEVEN GROUPS WERE HELD WITH 70 PARTICIPANTS. THE SOUTHERN NEVADA HEALTH DISTRICT, THE LOCAL HEALTH AUTHORITY, WAS A CHNA COLLABORATOR AND CONTRIBUTED INPUT.
FACILITY REPORTING GROUP C 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, DIGNITY HEALTH REHABILITATION HOSPITAL (SIENA CAMPUS)
FACILITY REPORTING GROUP C PART V, SECTION B, LINE 6B: SOUTHERN NEVADA HEALTH DISTRICT, NEVADA INSTITUTE FOR CHILDREN'S RESEARCH AND POLICY
FACILITY REPORTING GROUP C PART V, SECTION B, LINE 11: THE HOSPITALS ARE ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ACCESS TO CARE, 2) MOTOR VEHICLE AND PEDESTRIAN SAFETY, 3) VIOLENCE PREVENTION, 4) SUBSTANCE USE, AND 5) MENTAL HEALTH. THE HOSPITALS ARE ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: NEVADA HEALTH LINK & MEDICAID ENROLLMENT, TRANSITIONAL RESPITE FOR THE HOMELESS PROGRAM - CATHOLIC CHARITIES, HELPING HANDS PROGRAM, LEND A HAND OF BOULDER CITY, ENGELSTAD FOUNDATION RED ROSE, STALLMAN TOURO CLINIC AT THE SHADE TREE, TOE TAG MONOLOGUES, PATIENT FINANCIAL ASSISTANCE, ZERO FATALITIES PROGRAM, AARP DRIVERS SAFETY, CAR SEAT SAFETY CHECKS, HUMAN TRAFFICKING RESPONSE PROGRAM, MENTAL HEALTH FIRST AID (ADULT & YOUTH), SAFETALK SUICIDE PREVENTION, PARENT GUN SAFETY CLASS, SENIOR PEER COUNSELING, RAPE CRISIS CENTER, PREVENT CHILD ABUSE NEVADA, THE SHADE TREE, ST. JUDE'S RANCH FOR CHILDREN, EMPOWERING MOTHERS FOR POSITIVE OUTCOMES WITH EDUCATION, RECOVERY, AND EARLY DEVELOPMENT; ALCOHOLICS ANONYMOUS & NARCOTICS ANONYMOUS SUPPORT, FOUNDATION FOR RECOVERY, LET'S TALK SUPPORT GROUPS, AND PERINATAL MOOD AND ANXIETY DISORDER (PMAD). THE HOSPITALS INTEND TO TAKE ACTIONS TO ADDRESS ALL OF THE PRIORITIZED SIGNIFICANT HEALTH NEEDS IN THE CHNA REPORT, BOTH THROUGH ITS OWN PROGRAMS AND SERVICES AND WITH COMMUNITY PARTNERS.
FACILITY REPORTING GROUP C PART V, SECTION B, LINE 20C: THE HOSPITALS PROCESS COMPLETE FINANCIAL ASSISTANCE APPLICATIONS. FOR INCOMPLETE APPLICATIONS, THE HOSPITAL REACHES OUT TO PATIENTS BY PHONE AND LETTER IN AN EFFORT TO OBTAIN MISSING INFORMATION IN ORDER TO MAKE A DETERMINATION OF ELIGIBILITY.
FACILITY REPORTING GROUP C PART V, SECTION B, LINE 20D: THE HOSPITALS DO NOT HAVE A PRESUMPTIVE ELIGIBILITY PROCESS IN PLACE.
PART V, SECTION B FACILITY REPORTING GROUP D
FACILITY REPORTING GROUP D CONSISTS OF: - FACILITY 1: ST JOSEPH'S HOSPITAL AND MEDICAL CENTER, - FACILITY 13: MERCY GILBERT MEDICAL CENTER, - FACILITY 21: ST JOSEPH'S WESTGATE MEDICAL CENTER
FACILITY REPORTING GROUP D PART V, SECTION B, LINE 5: FOR THE 2019 CHNA, DATA WAS COLLECTED FIRST THROUGH 36 FOCUS GROUPS ENGAGING MEMBERS OF UNDERSERVED POPULATIONS AND COMMUNITIES. SECOND, SURVEYS WERE CONDUCTED WITH 152 KEY INFORMANTS WHO SERVE THE PRIMARY SERVICE AREA. FINALLY, A SERIES OF MEETINGS WERE HELD WITH KEY STAKEHOLDERS FROM THE HOSPITALS' PRIMARY SERVICE AREA. MEMBERS OF THE COMMUNITY HEALTH INTEGRATION NETWORK AND ARIZONA'S COMMUNITY OF CARE NETWORK 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.
FACILITY REPORTING GROUP D PART V, SECTION B, LINE 6A: ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER, ST. JOSEPH'S WESTGATE MEDICAL CENTER, MERCY GILBERT MEDICAL CENTER, CHANDLER REGIONAL MEDICAL CENTER, SOUTHWEST ORTHOPEDIC AND SPINE HOSPITAL (OASIS HOSPITAL), ARIZONA ORTHOPEDIC SPECIALTY HOSPITAL (ARIZONA SPECIALTY HOSPITAL), ARIZONA GENERAL HOSPITAL LAVEEN, ARIZONA GENERAL HOSPITAL MESA, ARIZONA SPINE AND JOINT HOSPITAL, DIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL, ADELANTE HEALTHCARE, BANNER HEALTH, MAYO HOSPITAL, NATIVE HEALTHCARE, PHOENIX CHILDREN'S HOSPITAL
FACILITY REPORTING GROUP D PART V, SECTION B, LINE 6B: MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH
FACILITY REPORTING GROUP D PART V, SECTION B, LINE 11: ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER, ST. JOSEPH'S WESTGATE MEDICAL CENTERTHE HOSPITALS ARE ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ACCESS TO CARE, 2) MENTAL/BEHAVIORAL HEALTH/SUBSTANCE ABUSE, 3) OVERWEIGHT/OBESITY DIET RELATED ILLNESSES, 4) CANCER, 5) TRAUMA/INJURY PREVENTION, AND 6) SOCIAL DETERMINANTS OF HEALTH. THE HOSPITALS ARE ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: EDUCATION, ENROLLMENT AND OUTREACH ACTIVITIES, CARE NAVIGATION FOR VULNERABLE POPULATIONS AND NEEDY POPULATIONS, MUHAMMED ALI PARKINSON'S CENTER, PROMOTORAS/COMMUNITY HEALTH WORKERS, MOMOBILE (MATERNAL OUTREACH MOBILE UNIT), CARE COORDINATION HOME VISITING, MENTAL HEALTH FIRST AID, DIGNITY HEALTH COMMUNITY GRANTS, SUBSTANCE ABUSE INITIATIVES WITH COMMUNITY MEDICAL SERVICES, MATERNAL MENTAL HEALTH PROGRAMS, ALZHEIMER AND DEMENTIA EDUCATION, DEEP (DIABETES EDUCATION AND EMPOWERMENT PROGRAM) SELF-MANAGEMENT WORKSHOPS, HEALTHIER LIVING WITH CHRONIC CONDITIONS, HEALTH PROMOTION AND STROKE PREVENTION EDUCATION FOR SENIORS, ACTIVATE SEPSIS PREVENTION AND ASSISTANCE PROGRAM, STOP THE BLEED PROGRAM, PEDESTRIAN SAFETY - COMMUNITY EDUCATION, ACTIVATE/ACTIVATE PRIME AND BALANCE MATTERS FALLS PREVENTION PROGRAMS, HUMAN TRAFFICKING TASK FORCE, TRAUMATIC BRAIN INJURY PREVENTION PROGRAMS - BARROW BRAINBOOK AND BARROW BRAIN BALL, MEDICAL RESPITE AND TRANSITIONAL PLACEMENT, HOMEVP COMMITTEE - CONTINUUM OF CARE PARTNERSHIPS, HOMELESS INITIATIVE (SB1152), 2MATCH (TO MATCH ALIGN AND MATCH THROUGH COMMUNITY HUBS), WOMEN'S WELLNESS CLINIC, AZ DEPARTMENT OF HEALTH - BREAST AND OVARIAN CANCER SCREENING PROGRAM, CANCER SUPPORT NAVIGATION, AND MEDICATION ASSISTANCE. THE HOSPITALS WERE SIGNIFICANTLY IMPACTED BY COVID-19 AND ADDRESSED EXACERBATED COMMUNITY NEEDS BY WORKING WITH COMMUNITY PARTNERS TO PROVIDE TRANSPORTATION AND SHELTER FOR HOMELESS COVID-19 POSITIVE PATIENTS BEING DISCHARGED FROM THE HOSPITALS. SEVERAL OUTREACH PROGRAMS WERE CONVERTED TO VIRTUAL PLATFORMS SO THAT THE COMMUNITY COULD STILL PARTICIPATE AND RECEIVE SUPPORT WHILE SHELTERING IN PLACE. THE HOSPITALS INTEND TO TAKE ACTIONS TO ADDRESS ALL OF THE PRIORITIZED SIGNIFICANT HEALTH NEEDS IN THE CHNA REPORT, BOTH THROUGH THEIR OWN PROGRAMS AND SERVICES AND WITH COMMUNITY PARTNERS.MERCY GILBERT MEDICAL CENTERTHE HOSPITAL IS ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ACCESS TO CARE, 2) MENTAL HEALTH AND BEHAVIORAL HEALTH, 3) DIABETES, 4) BREAST CANCER, 5) INJURY PREVENTION, AND 6) SOCIAL DETERMINANTS OF HEALTH. THE HOSPITAL IS ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: DIGNITY HEALTH COMMUNITY GRANTS PROGRAM, FIRST TEETH FIRST, CHILDREN'S DENTAL CLINIC, IMMUNIZATIONS 2019 - 2021, BUILDING BLOCKS VISION AND HEARING SCREENING, HEALTHIER LIVING PROGRAM, MOMMY FIT CAMPS PROGRAM, THINK FIRST, CRMC TRAUMA SERVICES INJURY PREVENTION, PREGNANCY AND POSTPARTUM SUPPORT GROUP & LET'S TALK THERAPY GROUP, AND THE CENTER FOR DIABETES MANAGEMENT. OTHER PROGRAMS INCLUDED HOSPITAL TO HOME NAVIAGATION AND TRASITION PROGRAMS FOR HIGH RISK SENIORS, HOMELESS, DRUG ADDICTION, SUICIDE, AND MATERNAL CHILD HEALTH, MENTAL HEALTH. THE HOSPITAL INTENDS TO TAKE ACTIONS TO ADDRESS ALL OF THE PRIORITIZED SIGNIFICANT HEALTH NEEDS IN THE CHNA REPORT, BOTH THROUGH ITS OWN PROGRAMS AND SERVICES AND WITH COMMUNITY PARTNERS.IN 2020 THE HOSPITAL BEGAN ADDRESSING NEEDS EXACERBATED BY THE COVID PANDEMIC THAT INLCUDED GRANTS TO NONPROFITS ADDRESSING COVID-19 RELATED NEEDS, AND PPE TO NONPROFITS. THE HOSPITAL ALSO CONVERTED FROM IN-PERSON TO USE OF TELE-DENTISTRY, TELE-MEDICINE, AND VIRTUAL PLATFORMS TO MAINTAIN ACCESS TO CRITICAL EDUCATION AND SERVICES. ADDITIONAL ACTIONS TO ADDRESS COVID INCLUDED HOMELESS OUTREACH, TESTING, SHELTER, AND TREATMENT, COLLABORATION WITH LOCAL GOVERNANCE ON COMMUNITY RESOURCING, NONPROFIT RESOURCING, IMPROVED ACCESS TO CARE FOR THE UNDERSERVED, AND MORE INTENTIONAL DISCUSSION ON SOCIAL AND RACIAL INJUSTICE AND INEQUITY.
FACILITY REPORTING GROUP D PART V, SECTION B, LINE 16J: ADDITIONAL MEASURES TAKEN TO PUBLICIZE DIGNITY HEALTH'S FINANCIAL ASSISTANCE POLICY INCLUDE THE PROVISION OF BROCHURES EXPLAINING AVAILABLE GOVERNMENT SPONSORED PROGRAMS AND THE FINANCIAL ASSISTANCE POLICY, A COPY OF THE FINANCIAL ASSISTANCE APPLICATION, A TELEPHONE NUMBER FOR PATIENTS TO REQUEST FURTHER INFORMATION ABOUT THE PROGRAM, AVAILABLITY OF INFORMATION IN LANGUAGES OTHER THAN ENGLISH, AND CONTACT INFORMATION FOR FINANCIAL COUNSELORS OR OTHER REPRESENTATIVES WHO CAN PROVIDE INFORMATION. THE FACILITY'S WEB SITE ALSO CONTAINS THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY OF THE POLICY, APPLICATION, BILLING AND COLLECTION POLICY, A DESCRIPTION OF THE AMOUNT GENERALLY BILLED AND A LISTING OF PROVIDERS AT EACH FACILITY THAT ARE COVERED AND NOT COVERED BY THE FINANICAL ASSISTANCE POLICY. CONTACT INFORMATION CAN ALSO BE FOUND ON EACH FACILITY'S WEB PAGE. THE AVAILABILITY OF PATIENT FINANCIAL ASSISTANCE AND THE PLAIN LANGUAGE SUMMARY OF THE POLICY ARE ALSO INCLUDED IN EACH FACILITY'S ANNUAL COMMUNITY BENEFIT REPORT, WHICH IS ON EACH FACILITY'S WEB PAGE. EACH HOSPITAL DISTRIBUTES THE PLAIN LANGUAGE SUMMARY OF THE POLICY TO ITS COMMUNITY HEALTH OR COMMUNITY BENEFIT COMMITTEE, AND/OR TO LOCAL COMMUNITY HEALTH AND SOCIAL SERVICE ORGANIZATIONS INCLUDING RECIPIENTS OF COMMUNITY HEALTH GRANTS.
PART V, SECTION B FACILITY REPORTING GROUP E
FACILITY REPORTING GROUP E CONSISTS OF: - FACILITY 6: ST ROSE DOMINICAN HOSPITAL - SIENA, - FACILITY 16: ST ROSE DOMINICAN HOSPITAL - SAN MARTIN, - FACILITY 23: ST ROSE DOMINICAN HOSPITAL - ROSE DE LIMA
FACILITY REPORTING GROUP E PART V, SECTION B, LINE 5: FOR THE 2019 CHNA, COMMUNITY INPUT WAS OBTAINED VIA A RANDOMIZED TELEPHONE SURVEY OF CLARK COUNTY RESIDENTS AND FOCUS GROUP INTERVIEWS OF VULNERABLE POPULATIONS IN THE COMMUNITY SERVICE AREA. THE SURVEY ASSESSED COMMUNITY HEALTH NEEDS IN THREE AREAS: PERSONAL HEALTH BEHAVIORS, EXPERIENCES ACCESSING HEALTHCARE, AND OPINIONS ABOUT COMMUNITY HEALTH. ADDITIONALLY, SEVERAL DEMOGRAPHIC QUESTIONS WERE ASKED. ONCE SURVEY QUESTIONS WERE FINALIZED, THE SURVEY WAS TRANSLATED INTO SPANISH. THERE WERE 378 COMPLETIONS OF THE 15-MINUTE PHONE SURVEY. FOR FOCUS GROUPS, THE DISCUSSION GUIDE INCLUDED QUESTIONS REGARDING GENERAL HEALTH ACTIVITIES, ACCESS TO HEALTHCARE, QUALITY OF CARE, SATISFACTION WITH HEALTHCARE, AND RECOMMENDATIONS FOR IMPROVEMENT, IN ADDITION TO QUESTIONS TO CAPTURE INFORMATION ABOUT HEALTH NEEDS UNIQUE TO POPULATIONS. A TOTAL OF SEVEN GROUPS WERE HELD WITH 70 PARTICIPANTS. THE SOUTHERN NEVADA HEALTH DISTRICT, THE LOCAL HEALTH AUTHORITY, WAS A CHNA COLLABORATOR AND CONTRIBUTED INPUT.
FACILITY REPORTING GROUP E PART V, SECTION B, LINE 6A: 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 E PART V, SECTION B, LINE 6B: SOUTHERN NEVADA HEALTH DISTRICT, NEVADA INSTITUTE FOR CHILDREN'S RESEARCH AND POLICY
FACILITY REPORTING GROUP E PART V, SECTION B, LINE 11: THE HOSPITALS ARE ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ACCESS TO CARE, 2) MOTOR VEHICLE AND PEDESTRIAN SAFETY, 3) VIOLENCE PREVENTION, 4) SUBSTANCE USE, AND 5) MENTAL HEALTH. THE HOSPITALS ARE ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: NEVADA HEALTH LINK & MEDICAID ENROLLMENT, TRANSITIONAL RESPITE FOR THE HOMELESS PROGRAM - CATHOLIC CHARITIES, HELPING HANDS PROGRAM, LEND A HAND OF BOULDER CITY, ENGELSTAD FOUNDATION RED ROSE, STALLMAN TOURO CLINIC AT THE SHADE TREE, TOE TAG MONOLOGUES, PATIENT FINANCIAL ASSISTANCE, ZERO FATALITIES PROGRAM, AARP DRIVERS SAFETY, CAR SEAT SAFETY CHECKS, HUMAN TRAFFICKING RESPONSE PROGRAM, MENTAL HEALTH FIRST AID (ADULT & YOUTH), SAFETALK SUICIDE PREVENTION, PARENT GUN SAFETY CLASS, SENIOR PEER COUNSELING, RAPE CRISIS CENTER, PREVENT CHILD ABUSE NEVADA, THE SHADE TREE, ST. JUDE'S RANCH FOR CHILDREN, EMPOWERING MOTHERS FOR POSITIVE OUTCOMES WITH EDUCATION, RECOVERY, AND EARLY DEVELOPMENT; ALCOHOLICS ANONYMOUS & NARCOTICS ANONYMOUS SUPPORT, FOUNDATION FOR RECOVERY, LET'S TALK SUPPORT GROUPS, AND PERINATAL MOOD AND ANXIETY DISORDER (PMAD). THE HOSPITALS INTEND TO TAKE ACTIONS TO ADDRESS ALL OF THE PRIORITIZED SIGNIFICANT HEALTH NEEDS IN THE CHNA REPORT, BOTH THROUGH ITS OWN PROGRAMS AND SERVICES AND WITH COMMUNITY PARTNERS.
FACILITY REPORTING GROUP E PART V, SECTION B, LINE 16J: ADDITIONAL MEASURES TAKEN TO PUBLICIZE DIGNITY HEALTH'S FINANCIAL ASSISTANCE POLICY INCLUDE THE PROVISION OF BROCHURES EXPLAINING AVAILABLE GOVERNMENT SPONSORED PROGRAMS AND THE FINANCIAL ASSISTANCE POLICY, A COPY OF THE FINANCIAL ASSISTANCE APPLICATION, A TELEPHONE NUMBER FOR PATIENTS TO REQUEST FURTHER INFORMATION ABOUT THE PROGRAM, AVAILABLITY OF INFORMATION IN LANGUAGES OTHER THAN ENGLISH, AND CONTACT INFORMATION FOR FINANCIAL COUNSELORS OR OTHER REPRESENTATIVES WHO CAN PROVIDE INFORMATION. THE FACILITY'S WEB SITE ALSO CONTAINS THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY OF THE POLICY, APPLICATION, BILLING AND COLLECTION POLICY, A DESCRIPTION OF THE AMOUNT GENERALLY BILLED AND A LISTING OF PROVIDERS AT EACH FACILITY THAT ARE COVERED AND NOT COVERED BY THE FINANICAL ASSISTANCE POLICY. CONTACT INFORMATION CAN ALSO BE FOUND ON EACH FACILITY'S WEB PAGE. THE AVAILABILITY OF PATIENT FINANCIAL ASSISTANCE AND THE PLAIN LANGUAGE SUMMARY OF THE POLICY ARE ALSO INCLUDED IN EACH FACILITY'S ANNUAL COMMUNITY BENEFIT REPORT, WHICH IS ON EACH FACILITY'S WEB PAGE. EACH HOSPITAL DISTRIBUTES THE PLAIN LANGUAGE SUMMARY OF THE POLICY TO ITS COMMUNITY HEALTH OR COMMUNITY BENEFIT COMMITTEE, AND/OR TO LOCAL COMMUNITY HEALTH AND SOCIAL SERVICE ORGANIZATIONS INCLUDING RECIPIENTS OF COMMUNITY HEALTH GRANTS.
PART V, SECTION B FACILITY REPORTING GROUP F
FACILITY REPORTING GROUP F CONSISTS OF: - FACILITY 8: ST MARY MEDICAL CENTER - LONG BEACH, - FACILITY 15: ST MARYS MEDICAL CENTER, - FACILITY 19: MERCY MEDICAL CENTER MT SHASTA
FACILITY REPORTING GROUP F PART V, SECTION B, LINE 5: ST. MARY MEDICAL CENTER - LONG BEACHFOR THE 2019 CHNA, COMMUNITY INPUT WAS OBTAINED VIA FOCUS GROUPS AND KEY INFORMANT INTERVIEWS. LONG BEACH FORWARD, A COMMUNITY-BASED ORGANIZATION THAT FOCUSES ON PRODUCING A HEALTHY LONG BEACH, WAS SELECTED TO CONDUCT THE FOCUS GROUPS. THE HOSPITAL PROVIDED GUIDANCE ON THE POPULATIONS TO ENGAGE AND POTENTIAL TOPICS, HEALTH NEEDS AND QUESTIONS. LONG BEACH FORWARD DESIGNED THE FOCUS GROUP PROTOCOL AND WORKED WITH SIX LONG BEACH-BASED ORGANIZATIONS OR PROGRAMS, INCLUDING THE LGBTQ CENTER OF LONG BEACH, LONG BEACH ALLIANCE FOR CHILDREN WITH ASTHMA, LONG BEACH DEPARTMENT OF HEALTH AND HUMAN SERVICES' BLACK INFANT HEALTH PROGRAM, PROJECT RETURN PEER SUPPORT NETWORK AT CENTURY VILLAGES AT CABRILLO, ROSE PARK NEIGHBORHOOD ASSOCIATION, AND UNITED CAMBODIAN COMMUNITY. THESE WERE SELECTED TO REACH A RANGE OF VULNERABLE POPULATIONS. A TOTAL OF 91 PEOPLE PARTICIPATED IN SIX FOCUS GROUPS. TWENTY KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH INDIVIDUALS HAVING EXPERTISE IN PUBLIC HEALTH, SPECIAL KNOWLEDGE OF COMMUNITY HEALTH NEEDS AND/OR REPRESENTING THE BROAD INTEREST OF THE COMMUNITY SERVED BY THE HOSPITAL, AND/OR COULD SPEAK TO THE NEEDS OF MEDICALLY UNDERSERVED OR VULNERABLE POPULATIONS. THE LONG BEACH DEPARTMENT OF HEALTH AND HUMAN SERVICES WAS A PARTICIPANT IN ALL PHASES OF THE CHNA.ST. MARY'S MEDICAL CENTERFOR THE 2019 CHNA, COMMUNITY INPUT WAS OBTAINED FROM THE SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH, A CO-CONVENOR OF THE ASSESSMENT, AS WELL AS EXTENSIVE COMMUNITY ENGAGEMENT. THE CHNA INCLUDED FOUR CATEGORIES OF FOCUS GROUPS: KEY INFORMANT GROUP INTERVIEW, EQUITY COALITION FOCUS GROUPS, FOOD INSECURE PREGNANT WOMEN FOCUS GROUPS, AND KAISER PERMANENTE FOCUS GROUPS. FOCUS GROUPS WERE CONDUCTED WITH EACH OF THE THREE HEALTH EQUITY COALITIONS IN SAN FRANCISCO: THE CHICANO / LATINO / INDIGENA HEALTH EQUITY COALITION, THE ASIAN PACIFIC ISLANDER HEALTHY PARITY COALITION, AND THE AFRICAN AMERICAN HEALTH EQUITY COALITION. THE HOMELESS PRENATAL PROGRAM HELD FOUR FOCUS GROUPS WITH WOMEN WHO EXPERIENCED FOOD INSECURITY WHILE PREGNANT. EACH FOCUS GROUP FOCUSED ON A DIFFERENT GROUP OF WOMEN: SPANISH, CHINESE, MULTI-ETHNIC ENGLISH SPEAKERS, AND AFRICAN AMERICAN. CHNA PARTNER KAISER PERMANENTE CONDUCTED FOUR FOCUS GROUPS, ONE EACH WITH KAISER PERMANENTE LEADERSHIP, KAISER PERMANENTE STAFF, SPANISH-SPEAKING PARENTS ON YOUTH HEALTHY EATING AND ACTIVE LIVING, AND HOMELESS AND/OR HIV POSITIVE YOUTH.MERCY MEDICAL CENTER MT. SHASTAFOR THE 2019 CHNA, COMMUNITY INPUT WAS OBTAINED VIA A COMMUNITY SURVEY AND KEY INFORMANT SURVEYS. THE COMMUNITY SURVEY WAS DISTRIBUTED ELECTRONICALLY TO OUTLETS THROUGHOUT THE COUNTY, INCLUDING EMPLOYEES OF THE ORGANIZATIONS PARTICIPATING IN THE CHNA, SCHOOLS, RESOURCE CENTERS, HEALTHCARE PROVIDERS, AND SOCIAL MEDIA. HARD COPIES WERE MADE AVAILABLE AT HEALTHCARE PROVIDER OFFICES, RESOURCE CENTERS, THE PUBLIC HEALTH MOBILE UNIT, AND UPON REQUEST. THE COMMUNITY SURVEY WAS AVAILABLE IN BOTH ENGLISH AND SPANISH, AND IT HAD 617 TOTAL RESPONDENTS. THE KEY INFORMANT SURVEY REACHED PUBLIC HEALTH AND REPRESENTATIVES OF MINORITY, UNDERSERVED AND POOR AND VULNERABLE POPULATIONS. THE FOLLOWING WERE REPRESENTED: COUNTY OF SISKIYOU HEALTH AND HUMAN SERVICES, SCOTT VALLEY UNIFIED SCHOOL DISTRICT, YREKA UNION ELEMENTARY SCHOOL DISTRICT, NORTHERN CALIFORNIA INDIAN DEVELOPMENT COUNCIL, SISKIYOU COUNTY OFFICE OF EDUCATION, MT. SHASTA AMBULANCE, MOUNTAIN VALLEY HEALTH CENTERS, SHASTA CASCADE CLINICS, SISKIYOU AGAINST RX ADDICTION, AND KLAMATH HEALTH SERVICES.
FACILITY REPORTING GROUP F PART V, SECTION B, LINE 6A: ST. MARY MEDICAL CENTER - LONG BEACHLONG BEACH MEMORIAL CAREST. MARY'S MEDICAL CENTERSAINT FRANCIS MEMORIAL HOSPITAL, SUTTER HEALTH CALIFORNIA PACIFIC MEDICAL CENTER, CHINESE HOSPITAL, KAISER PERMANENTE SAN FRANCISCO, UCSF MEDICAL CENTERMERCY MEDICAL CENTER MT. SHASTAFAIRCHILD MEDICAL CENTER
FACILITY REPORTING GROUP F PART V, SECTION B, LINE 6B: ST. MARY MEDICAL CENTER - LONG BEACHCITY OF LONG BEACH DEPARTMENT OF HEALTH AND HUMAN SERVICES, AND THE CHILDREN'S CLINICST. MARY'S MEDICAL CENTERSAN FRANCISCO HEALTH IMPROVEMENT PARTNERSHIP MEMBERS INCLUDING: SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH, CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTE'S COMMUNITY ENGAGEMENT AND HEALTH POLICY PROGRAM AT UCSF, SAN FRANCISCO UNIFIED SCHOOL DISTRICT, THE ASIAN AND PACIFIC ISLANDER HEALTH PARITY COALITION, HEALTH SERVICES NETWORK, HOSPITAL COUNCIL OF NORTHERN & CENTRAL CALIFORNIA, CHICANO/LATINO/INDIGENA HEALTH EQUITY COALITION, AFRICAN AMERICAN COMMUNITY HEALTH EQUITY COUNCIL, COMMUNITY CLINIC CONSORTIUM, SAN FRANCISCO INTERFAITH COUNCIL, METTA FUND, JEWISH HOMEMERCY 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 ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ACCESS TO HEALTH SERVICES, 2) FOOD INSECURITY,3) HOUSING AND HOMELESSNESS, 4) MENTAL HEALTH, AND 5) PREVENTIVE PRACTICES. THE HOSPITAL IS ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: PATIENT FINANCIAL ASSISTANCE, COMMUNITY GRANTS PROGRAM, FAMILY CLINIC OF LONG BEACH, MARY HILTON FAMILY CLINIC, FAMILIES IN GOOD HEALTH PROGRAM, CARE (COMPREHENSIVE AIDS RESOURCE AND EDUCATION) PROGRAM, CULTURAL TRAUMA & MENTAL HEALTH RESILIENCY PROGRAM, BAZZENI WELLNESS CENTER, EVERY WOMAN COUNTS PROGRAM, AND MOBILE CARE UNIT SCREENINGS. SMMC-LB WILL NOT DIRECTLY ADDRESS THE FOLLOWING NEEDS IDENTIFIED IN THE CHNA: CHRONIC DISEASES, ECONOMIC INSECURITY, ENVIRONMENT, EXERCISE/NUTRITION/WEIGHT, ORAL HEALTH, PREGNANCY AND BIRTH OUTCOMES, PUBLIC SAFETY, SEXUALLY TRANSMITTED INFECTIONS AND SUBSTANCE USE AND MISUSE. TAKING EXISTING COMMUNITY RESOURCES INTO CONSIDERATION, SMMC-LB HAS SELECTED TO CONCENTRATE ON THOSE HEALTH NEEDS THAT WE CAN MOST EFFECTIVELY ADDRESS GIVEN OUR AREAS OF FOCUS. SMMC-LB HAS INSUFFICIENT RESOURCES TO EFFECTIVELY ADDRESS ALL THE IDENTIFIED NEEDS AND IN SOME CASES, THE NEEDS ARE CURRENTLY ADDRESSED BY OTHERS IN THE COMMUNITY.ST. MARY'S MEDICAL CENTERTHE HOSPITAL IS ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ACCESS TO COORDINATED, CULTURALLY AND LINGUISTICALLY APPROPRIATE CARE AND SERVICES, 2) HOUSING SECURITY AND AN END TO HOMELESSNESS 3) FOOD SECURITY, HEALTHY EATING, AND ACTIVE LIVING 4) SOCIAL, EMOTIONAL AND BEHAVIORAL HEALTH AND 5) SAFETY FROM VIOLENCE AND TRAUMA. THE HOSPITAL IS ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: SR. MARY PHILIPPA HEALTH CENTER, FINANCIAL ASSISTANCE FOR UNINSURED/ UNDERINSURED AND LOW INCOME RESIDENTS, GRADUATE MEDICAL EDUCATION, INTERNSHIPS FOR HEALTH PROFESSIONALS IN TRAINING, COMMUNITY GRANT TO THE SAN FRANCISCO CARE AND JUSTICE ALLIANCE, BREAST CANCER SECOND OPINION PANEL, BREAST CANCER SUPPORT GROUP, HIV SERVICES, TRANSPORTATION ASSISTANCE, SAN FRANCISCO HEALTH IMPROVEMENT PARTNERSHIP, HEALTH INSURANCE COUNSELING AND ADVOCACY PROGRAM, LOW COST MEALS FOR SENIORS, DIABETES EDUCATION PROGRAM, SHARING THE JOY, SENIOR YOGA, LINEN SERVICE FOR COMMUNITY SHELTERS, DONATIONS OF CLOTHING, MEALS AND TRANSPORTATION TO HOMELESS PATIENTS, COUNSELING ENRICHED EDUCATION PROGRAM, ADOLESCENT PSYCHIATRY SERVICES, HUMAN TRAFFICKING AWARENESS TASKFORCE, AND COMMUNITY GRANTS TO LA CASA DE LAS MADRES. THE HOSPITAL INTENDS TO TAKE ACTIONS TO ADDRESS ALL OF THE PRIORITIZED SIGNIFICANT HEALTH NEEDS IN THE CHNA REPORT, BOTH THROUGH ITS OWN PROGRAMS AND SERVICES AND WITH COMMUNITY PARTNERS.MERCY MEDICAL CENTER MT. SHASTATHE HOSPITAL IS ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ACCESS TO CARE, 2) MATERNAL AND CHILD HEALTH, AND 3) MENTAL HEALTH. THE HOSPITAL IS ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: HEALTH SCREENING-FREE MAMMOGRAM PROGRAM, TRANSPORTATION ASSISTANCE, COMMUNITY PARTNERSHIPS TO ENHANCE ACCESS TO PRIMARY AND SPECIALTY CARE, DIABETES EDUCATION AND COMMUNITY PRESENTATIONS, PATIENT FINANCIAL ASSISTANCE, LACTATION COUNSELING SERVICES, PRENATAL BREASTFEEDING CLASSES, CHILD BIRTH CLASSES, COLLABORATION WITH FIRST FIVE BOOK PROGRAM IN RURAL HEALTH CLINIC SETTING, PARTNERSHIPS WITH GREAT NORTHERN SERVICES FREE SUMMER LUNCH PROGRAM FOR CHILDREN AGES 18 AND UNDER, TELE-PSYCHIATRY, CO-OCCURRING SUBSTANCE DISORDER TREATMENT PROGRAM, MENTAL HEALTH SPECIALIST, MENTAL HEALTH TASK FORCE, BEREAVEMENT/GRIEF SUPPORT GROUP, AND BEHAVIORAL EVALUATION SERVICES. THE HOSPITAL INTENDS TO TAKE ACTIONS TO ADDRESS ALL OF THE PRIORITIZED SIGNIFICANT HEALTH NEEDS IN THE CHNA REPORT, BOTH THROUGH ITS OWN PROGRAMS AND SERVICES AND WITH COMMUNITY PARTNERS.
FACILITY REPORTING GROUP F PART V, SECTION B, LINE 16J: ADDITIONAL MEASURES TAKEN TO PUBLICIZE DIGNITY HEALTH'S FINANCIAL ASSISTANCE POLICY INCLUDE THE PROVISION OF BROCHURES EXPLAINING AVAILABLE GOVERNMENT SPONSORED PROGRAMS AND THE FINANCIAL ASSISTANCE POLICY, A COPY OF THE FINANCIAL ASSISTANCE APPLICATION, A TELEPHONE NUMBER FOR PATIENTS TO REQUEST FURTHER INFORMATION ABOUT THE PROGRAM, AVAILABLITY OF INFORMATION IN LANGUAGES OTHER THAN ENGLISH, AND CONTACT INFORMATION FOR FINANCIAL COUNSELORS OR OTHER REPRESENTATIVES WHO CAN PROVIDE INFORMATION. THE FACILITY'S WEB SITE ALSO CONTAINS THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY OF THE POLICY, APPLICATION, BILLING AND COLLECTION POLICY, A DESCRIPTION OF THE AMOUNT GENERALLY BILLED AND A LISTING OF PROVIDERS AT EACH FACILITY THAT ARE COVERED AND NOT COVERED BY THE FINANICAL ASSISTANCE POLICY. CONTACT INFORMATION CAN ALSO BE FOUND ON EACH FACILITY'S WEB PAGE. THE AVAILABILITY OF PATIENT FINANCIAL ASSISTANCE AND THE PLAIN LANGUAGE SUMMARY OF THE POLICY ARE ALSO INCLUDED IN EACH FACILITY'S ANNUAL COMMUNITY BENEFIT REPORT, WHICH IS ON EACH FACILITY'S WEB PAGE. EACH HOSPITAL DISTRIBUTES THE PLAIN LANGUAGE SUMMARY OF THE POLICY TO ITS COMMUNITY HEALTH OR COMMUNITY BENEFIT COMMITTEE, AND/OR TO LOCAL COMMUNITY HEALTH AND SOCIAL SERVICE ORGANIZATIONS INCLUDING RECIPIENTS OF COMMUNITY HEALTH GRANTS.
PART V, SECTION B FACILITY REPORTING GROUP G
FACILITY REPORTING GROUP G CONSISTS OF: - FACILITY 20: CARONDELET ST JOSEPH'S HOSPITAL, - FACILITY 22: CARONDELET ST MARY'S HOSPITAL
FACILITY REPORTING GROUP G PART V, SECTION B, LINE 5: FOR THE 2019 CHNA, PRIMARY QUALITATIVE DATA WAS COLLECTED FROM COMMUNITY STAKEHOLDERS, KEY INFORMANTS AND COMMUNITY MEMBERS AT LARGE. MONTHLY MEETINGS BETWEEN THE PROJECT CONSULTANTS AND THE PIMA COUNTY COMMUNITY HEALTH NEED ASSESSMENT ADVISORY TEAM, WHICH IS COMPRISED OF PUBLIC HEALTH, HEALTH SYSTEM, AND ACADEMIC PROFESSIONALS, WERE HELD TO PROVIDE INPUT TO THE DATA COLLECTION AND ANALYSIS PROCESS. COMMUNITY INPUT WAS INCORPORATED THROUGH KEY INFORMANT INTERVIEWS, FOCUS GROUPS, COMMUNITY FORUMS AND A WEB-BASED COMMUNITY HEALTH SURVEY. COMMUNITY PARTICIPANTS INCLUDED REPRESENTATIVES FROM EL RIO HEALTH CENTER, DESERT SENITA COMMUNITY HEALTH CENTER, MARANA COMMUNITY HEALTH CENTER, MARIPOSA COMMUNITY HEALTH CENTER, UNITED COMMUNITY HEALTH CENTER, PASCUA YAQUI TRIBE, PIMA COUNTY HEALTH DEPARTMENT, TOHONO O'ODHAM DEPARTMENT OF HEALTH & HUMAN SERVICES, COMMUNITY FOOD BANK OF SOUTHERN ARIZONA, HEALTHY PIMA, PIMA COUNTY ADMINISTRATOR OFFICE AND TOHONO O'ODHAM NATION.
FACILITY REPORTING GROUP G PART V, SECTION B, LINE 6A: CARONDELET ST. JOSEPH'S HOSPITALCARONDELET ST. MARY'S HOSPITALBANNER UNIVERSITY MEDICAL CENTER, TUCSON MEDICAL CENTER
FACILITY REPORTING GROUP G PART V, SECTION B, LINE 6B: CARONDELET ST. JOSEPH'S HOSPITAL, CARONDELET ST. MARY'S HOSPITALMEMBERS OF THE HEALTHY PIMA INITIATIVE, INCLUDING: EL RIO COMMUNITY HEALTH CENTER, DESERT SENITA COMMUNITY HEALTH CENTER, MARANA COMMUNITY HEALTH CENTER, MARIPOSA COMMUNITY HEALTH CENTER, UNITED COMMUNITY HEALTH CENTER, PASCUA YAQUI TRIBE, PIMA COUNTY HEALTH DEPARTMENT, TOHONO O'ODHAM DEPARTMENT OF HEALTH & HUMAN SERVICES, COMMUNITY FOOD BANK OF SOUTHERN ARIZONA, AND PIMA COUNTY ADMINISTRATOR'S OFFICE
FACILITY REPORTING GROUP G PART V, SECTION B, LINE 11: THE 2018 CHNA IDENTIFIED THREE SIGNIFICANT HEALTH NEEDS THAT SHOULD BE CONSIDERED PRIORITIES IN THE COUNTY: BEHAVIORAL HEALTH, OBESITY & CHRONIC DISEASE, AND ACCESS TO SERVICES. THE CARONDELET HEALTH NETWORK HAS PROGRAMS, SERVICE AND PARTNERSHIPS IN PLACE TO HELP THE COMMUNITY ADDRESS THESE AREAS AND HAS DEVELOPED A COMPREHENSIVE IMPLEMENTATION PLAN TO DO SO THAT INCLUDES PROVISION OF CHARITY CARE, MEDICAID/AHCCCS NAVIGATION PROGRAMS, IN-PATIENT BEHAVIORAL HEALTH PROGRAM AND CARE COORDINATION, PARTICIPATION IN COMMUNITY HEALTH GROUPS, EXPANDED CLINICAL SERVICES AND SPECIALIST COVERAGE, SIGNIFICANT SUPPORT OF LOCAL COMMUNITY GROUPS AND ORGANIZATIONS THAT PROMOTE THE HEALTH OF THE COMMUNITY. COVID-19 CAUSED A SINGIFICANT REDUCTION IN IN-PERSON COMMUNITY HEALTH PROGRAMS AFTER MARCH 2020; THESE WILL RESUME ONCE IT IS SAFE TO DO SO.
FACILITY REPORTING GROUP G PART V, SECTION B, LINE 13H: PATIENTS QUALIFY FOR DISCOUNTED CARE IF GROSS FAMILY INCOME IS BETWEEN 200% AND 300% OF THE FEDERAL POVERTY LEVEL AT THE TIME OF THE APPLICATION, AND HOSPITAL CHARGES IN THE PAST SIX MONTHS EXCEED TWICE THE PATIENT'S GROSS ANNUAL FAMILY INCOME.
PART V, SECTION B FACILITY REPORTING GROUP H
FACILITY REPORTING GROUP H CONSISTS OF: - FACILITY 11: ST JOHNS REGIONAL MEDICAL CENTER, - FACILITY 18: ST JOHNS PLEASANT VALLEY HOSPITAL
FACILITY REPORTING GROUP H PART V, SECTION B, LINE 5: FOR THE 2019 CHNA, THE HOSPITALS CONDUCTED A COMMUNITY HEALTH ASSESSMENT SURVEY, DESIGNED AND DISSEMINATED BY THE VENTURA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT COLLABORATIVE. A TOTAL OF 2,722 RESPONSES WERE COLLECTED. OF THE TOTAL SURVEY PARTICIPANTS, 85% COMPLETED THE SURVEY IN ENGLISH AND 15% COMPLETED THE SURVEY IN SPANISH. IN ADDITION, 16 KEY INFORMANT INTERVIEWS AND FOUR GROUP DISCUSSIONS WERE HELD WITH 53 PARTICIPANTS. 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 AND VENTURA COUNTY PUBLIC HEALTH.
FACILITY REPORTING GROUP H PART V, SECTION B, LINE 6A: ST. JOHN'S REGIONAL MEDICAL CENTER, ST. JOHN'S PLEASANT VALLEY HOSPITAL, ADVENTIST HEALTH SIMI VALLEY, COMMUNITY MEMORIAL HOSPITAL, AND OJAI VALLEY COMMUNITY HOSPITAL
FACILITY REPORTING GROUP H PART V, SECTION B, LINE 6B: MEMBERS OF THE VENTURA COUNTY CHNA COLLABORATIVE (VCCHNAC), INCLUDING: CAMARILLO HEALTH CARE DISTRICT, CLINICAS DEL CAMINO REAL, INC., VENTURA COUNTY HEALTH CARE AGENCY COMMUNITY HEALTH CENTER, AND VENTURA COUNTY PUBLIC HEALTH
FACILITY REPORTING GROUP H PART V, SECTION B, LINE 11: THESE VENTURA COUNTY HOSPITALS ARE ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) IMPROVE ACCESS TO HEALTH SERVICES, 2) ADDRESS SOCIAL NEEDS, AND 3) IMPROVE HEALTH AND WELLNESS FOR OLDER ADULTS. THE HOSPITALS ARE ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY (DEVELOPED IN PARTNERSHIP WITH THE VENTURA COUNTY COMMUNITY HEALTH ASSESSMENT COLLABORATIVE), WHICH IS AVAILABLE TO THE PUBLIC ONLINE. STRATEGIES AND PROGRAMS INCLUDE: A COUNTYWIDE COMMUNITY RESOURCE AND REFERRAL NETWORK/PLATFORM WHICH CAN BE ADOPTED BY PARTICIPATING HOSPITALS AND OTHER COMMUNITY BASED ORGANIZATIONS TO INCREASE INTRA- AND INTER-AGENCY REFERRALS AND TRACKING OF HIGH RISK/HIGH NEED CLIENTS; SCREENING FOR FOOD INSECURITY AT PROVIDER PRACTICES AND HOSPITALS TO CONNECT HIGH NEED/HIGH RISK CLIENTS TO FEDERAL/STATE/LOCAL FOOD ACCESS PROGRAMS AND FOOD RESOURCES FOR THEIR UNMET NEEDS; IMPLEMENTATION OF A COMMUNITY BASED CARE TRANSITION PROGRAM PER SECTION 3026 OF THE AFFORDABLE CARE ACT TO SUPPORT MEDICALLY FRAGILE 65+ YEAR ADULTS AND THEIR CAREGIVERS AFTER AN ACUTE CARE HOSPITALIZATION; VCCHNAC WILL EVOLVE INTO A BACKBONE ORGANIZATION WITH EQUAL PARTNERSHIP FROM HOSPITALS, LOCAL HEALTH DEPARTMENTS AND COMMUNITY BASED ORGANIZATIONS (CBOS) WHICH SUPPORT CROSS-SECTORAL OPERATIONS AND ALIGNED FUNDING STREAMS. THE PRIORITIZED HEALTH NEEDS OF BEHAVIORAL HEALTH ISSUES AND CHRONIC DISEASE ARE NOT BEING ADDRESSED BY THE HOSPITALS BECAUSE OTHER COMMUNITY STAKEHOLDERS ARE CURRENTLY LEADING INTERVENTIONS TO ADDRESS THESE HEALTH NEEDS IN THE COUNTY. FURTHER, THE PRIORITIZED STRATEGIES THAT HAVE BEEN CHOSEN ARE UPSTREAM STRATEGIES THAT TARGET ROOT CAUSES OF THE POOR HEALTH OUTCOMES THAT AFFECT VULNERABLE POPULATIONS IN THE COUNTY SUCH AS FOOD INSECURITY. THESE STRATEGIES NEED TO BE IMPLEMENTED COUNTY-WIDE THROUGH COLLABORATIVE AND COLLATERAL ACTION AND REQUIRE ALL THE PARTNERS TO ENGAGE IN EXTENSIVE SHARING OF TECHNOLOGY AND DATA IN A HIPAA COMPLIANT MANNER. GIVEN THE WIDE SCOPE OF THE SELECTED STRATEGIES, THE VCCHNAC PARTNERSHIP WILL NEED TO FOCUS ITS RESOURCES AND EXPERTISE ON THE SELECTED PRIORITIES TO DEMONSTRATE IMPACT. THAT FOCUS WILL REQUIRE CONCERTED EFFORTS AND TIME AND LEAVE VCCHNAC WITH NO RESOURCES TO TAKE ON THE REMAINING PRIORITIES IN THIS ITERATION OF THE JOINT COMMUNITY HEALTH IMPLEMENTATION STRATEGY (CHIS).
FACILITY REPORTING GROUP H PART V, SECTION B, LINE 16J: ADDITIONAL MEASURES TAKEN TO PUBLICIZE DIGNITY HEALTH'S FINANCIAL ASSISTANCE POLICY INCLUDE THE PROVISION OF BROCHURES EXPLAINING AVAILABLE GOVERNMENT SPONSORED PROGRAMS AND THE FINANCIAL ASSISTANCE POLICY, A COPY OF THE FINANCIAL ASSISTANCE APPLICATION, A TELEPHONE NUMBER FOR PATIENTS TO REQUEST FURTHER INFORMATION ABOUT THE PROGRAM, AVAILABLITY OF INFORMATION IN LANGUAGES OTHER THAN ENGLISH, AND CONTACT INFORMATION FOR FINANCIAL COUNSELORS OR OTHER REPRESENTATIVES WHO CAN PROVIDE INFORMATION. THE FACILITY'S WEB SITE ALSO CONTAINS THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY OF THE POLICY, APPLICATION, BILLING AND COLLECTION POLICY, A DESCRIPTION OF THE AMOUNT GENERALLY BILLED AND A LISTING OF PROVIDERS AT EACH FACILITY THAT ARE COVERED AND NOT COVERED BY THE FINANICAL ASSISTANCE POLICY. CONTACT INFORMATION CAN ALSO BE FOUND ON EACH FACILITY'S WEB PAGE. THE AVAILABILITY OF PATIENT FINANCIAL ASSISTANCE AND THE PLAIN LANGUAGE SUMMARY OF THE POLICY ARE ALSO INCLUDED IN EACH FACILITY'S ANNUAL COMMUNITY BENEFIT REPORT, WHICH IS ON EACH FACILITY'S WEB PAGE. EACH HOSPITAL DISTRIBUTES THE PLAIN LANGUAGE SUMMARY OF THE POLICY TO ITS COMMUNITY HEALTH OR COMMUNITY BENEFIT COMMITTEE, AND/OR TO LOCAL COMMUNITY HEALTH AND SOCIAL SERVICE ORGANIZATIONS INCLUDING RECIPIENTS OF COMMUNITY HEALTH GRANTS.
PART V, SECTION B, LINE 7A - CHNA ON HOSPITAL FACILITY'S WEB SITE ALL DIGNITY HEALTH HOSPITAL FACILITY COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS CAN BE ACCESSED ATWWW.DIGNITYHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH/COMMUNITY-HEALTH-PROGRAMS-AND-REPORTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSCHNA REPORT WEB SITE LOCATIONS FOR EACH HOSPITAL FACILITY ARE PROVIDED BELOW.FACILITY REPORTING GROUP AMERCY SAN JUAN MEDICAL CENTER, MERCY GENERAL HOSPITAL, MERCY HOSPITAL OF FOLSOMWWW.DIGNITYHEALTH.ORG/SACRAMENTO/ABOUT-US/COMMUNITY-HEALTH-AND-OUTREACH/HEALTH-NEEDS-ASSESSMENTST. BERNARDINE MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/SOCAL/LOCATIONS/STBERNARDINEMEDICAL/ABOUT-US/SERVING-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-PLANMERCY HOSPITAL BAKERSFIELDWWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/MERCY-BAKERSFIELD/ABOUT-US/COMMUNITY-BENEFIT-REPORT-HEALTH-NEEDS-ASSESSMENTMERCY MEDICAL CENTER MERCEDWWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/MERCYMEDICAL-MERCED/ABOUT-US/COMMUNITY-BENEFIT-REPORTFACILITY REPORTING GROUP BMARIAN REGIONAL MEDICAL CENTER, ARROYO GRANDEWWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/LOCATIONS/MARIANREGIONAL/ABOUT-US/COMMUNITY-BENEFITSMERCY MEDICAL CENTER REDDINGWWW.DIGNITYHEALTH.ORG/NORTH-STATE/LOCATIONS/MERCY-REDDING/ABOUT-US/COMMUNITY-BENEFITDOMINICAN HOSPITALWWW.DIGNITYHEALTH.ORG/BAYAREA/LOCATIONS/DOMINICAN/ABOUT-US/COMMUNITY-BENEFITS/BENEFITS-REPORTSST. ELIZABETH COMMUNITY HOSPITALWWW.DIGNITYHEALTH.ORG/NORTH-STATE/LOCATIONS/STELIZABETHHOSPITAL/ABOUT-US/COMMUNITY-BENEFITFACILITY REPORTING GROUP DST. JOSEPH'S HOSPITAL AND MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/STJOSEPHS/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-BENEFIT-RESOURCESST. JOSEPH'S WESTGATE MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/WESTGATE/ABOUT-US/COMMUNITY-BENEFITMERCY GILBERT MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/MERCYGILBERT/ABOUT-US/COMMUNITY-BENEFIT-OUTREACH/BENEFITS-REPORTSFACILITY REPORTING GROUP EST. ROSE DOMINICAN HOSPITAL - SIENA, ST. ROSE DOMINICAN HOSPITAL - SAN MARTIN, ST. ROSE DOMINICAN HOSPITAL - ROSE DE LIMAWWW.DIGNITYHEALTH.ORG/LAS-VEGAS/ABOUT-US/SERVING-THE-COMMUNITYFACILITY REPORTING GROUP FST. MARY MEDICAL CENTER - LONG BEACHWWW.DIGNITYHEALTH.ORG/SOCAL/LOCATIONS/STMARYMEDICAL/ABOUT-US/COMMUNITY-BENEFITSST. MARY'S MEDICAL CENTERHTTPS://WWW.DIGNITYHEALTH.ORG/BAYAREA/LOCATIONS/STMARYS/ABOUT-US/COMMUNITY-BENEFITMERCY MEDICAL CENTER MT. SHASTAHTTPS://WWW.DIGNITYHEALTH.ORG/NORTH-STATE/LOCATIONS/MERCY-MTSHASTA/ABOUT-US/COMMUNITY-BENEFITFACILITY REPORTING GROUP HST. JOHN'S REGIONAL MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/LOCATIONS/STJOHNSREGIONAL/ABOUT-US/COMMUNITY-BENEFITST. JOHN'S PLEASANT VALLEY HOSPITALWWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/LOCATIONS/PLEASANTVALLEY/ABOUT-US/COMMUNITY-BENEFIT
PART V, SECTION B, LINE 10A - IMPLEMENTATION STRATEGIES ON WEB SITES GROUP REPORTING FACILITY A-F AND HDIGNITY HEALTH HOSPITAL FACILITY IMPLEMENTATION STRATEGY DOCUMENTS CAN BE ACCESSED ATWWW.DIGNITYHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH/COMMUNITY-HEALTH-PROGRAMS-AND-REPORTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSIMPLEMENTATION STRATEGY DOCUMENTS ARE ALSO ON EACH HOSPITAL FACILITY'S WEB SITE, AT THE SAME LOCATIONS AS THEIR CHNA REPORTS LISTED IN PART V, SECTION B, LINE 7A ABOVE.
PART V, SECTION B, LINE 16A, 16B AND 16C - FAP APPLICATION FORM WEBSITE FACILITY REPORTING GROUP AMERCY SAN JUAN MEDICAL CENTER, MERCY GENERAL HOSPITAL, MERCY HOSPITAL OF FOLSOMWWW.DIGNITYHEALTH.ORG/SACRAMENTO/PATIENTS-VISITORS/FOR-PATIENTS/BILLING-INFORMATION/PAYMENT-ASSISTANCEST. BERNARDINE MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/STBERNARDINEMEDICAL/PATIENTS-AND-VISITORS/PATIENTS/BILLING-AND-PAYMENTS/PAYMENT-ASSISTANCEMERCY HOSPITAL (BAKERSFIELD)WWW.DIGNITYHEALTH.ORG/MERCY-BAKERSFIELD/PATIENTS-AND-VISITORS/PATIENTS/BILLING-INFORMATION/PAYMENT-ASSISTANCEMERCY MEDICAL CENTER MERCEDWWW.DIGNITYHEALTH.ORG/MERCYMEDICAL-MERCED/PATIENTS-AND-VISITORS/PATIENTS/BILLING-INFORMATION/PAYMENT-ASSISTANCE-PROGRAMSFACILITY REPORTING GROUP BMARIAN REGIONAL MEDICAL CENTER, ARROYO GRANDEWWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-INFORMATIONMERCY MEDICAL CENTER REDDINGWWW.DIGNITYHEALTH.ORG/MERCY-REDDING/PATIENTS-AND-VISITORS/PATIENTS/BILLING-INFORMATION/PAYMENT-ASSISTANCE-PROGRAMSDOMINICAN HOSPITALWWW.DIGNITYHEALTH.ORG/DOMINICAN/PATIENTS-AND-VISITORS/PATIENTS/BILLING/PAYMENT-ASSISTANCEST. ELIZABETH COMMUNITY HOSPITALWWW.DIGNITYHEALTH.ORG/STELIZABETHHOSPITAL/PATIENTS-AND-VISITORS/PATIENTS/BILLING-INFORMATION/PAYMENT-ASSISTANCE-PROGRAMSFACILITY REPORTING GROUP CDE 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 SAHARAWWW.STROSENH.ORG/HELPINGHANDS/FACILITY REPORTING GROUP DST JOSEPH'S HOSPITAL AND MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/STJOSEPHS/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-AND-PAYMENT-INFORMATION/PAYMENT-ASSISTANCEST JOSEPH'S WESTGATE MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/WESTGATE/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-AND-PAYMENT/FINANCIAL-ASSISTANCEMERCY GILBERT MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/MERCYGILBERT/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-AND-PAYMENT/FINANCIAL-ASSISTANCEFACILITY REPORTING GROUP EST. 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-INFORMATION/PAYMENT-ASSISTANCEFACILITY REPORTING GROUP FST. MARY MEDICAL CENTER - LONG BEACHHTTPS://WWW.DIGNITYHEALTH.ORG/SOCAL/LOCATIONS/STMARYMEDICAL/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-PAYMENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCEST. MARY'S MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/STMARYS/PATIENTS-AND-VISITORS/PATIENTS/BILLING/PAYMENT-ASSISTANCEMERCY MEDICAL CENTER MT SHASTAWWW.DIGNITYHEALTH.ORG/MERCY-MTSHASTA/PATIENTS-AND-VISITORS/PATIENTS/BILLING-INFORMATION/PAYMENT-ASSISTANCE-PROGRAMSFACILITY REPORTING GROUP HST. JOHN'S REGIONAL MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/LOCATIONS/STJOHNSREGIONAL/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-AND-PAYMENT/FINANCIAL-ASSISTANCEST. JOHN'S PLEASANT VALLEY HOSPITALWWW.DIGNITYHEALTH.ORG/PLEASANTVALLEY/PATIENTS-AND-VISITORS/PATIENTS/BILLING-AND-PAYMENT-INFORMATION/PAYMENT-ASSISTANCE
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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?33
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 - CARONDELET MEDICAL GROUP INC
6567 E CARONDELOT DR 555
TUCSON,AZ85710 		MEDICAL GROUP
4 4 - VENTURA COUNTY IMAGING GROUP LLC
1510 COTNER AVE
LOS ANGELES,CA90025 		IMAGING CENTER
5 5 - DIGNITY HEALTH - MERCY GILBERT SLEEP CENTE
3420 MERCY RD
GILBERT,AZ85297 		SLEEP CENTER
6 6 - MERCY DAVIS CANCER CENTER LLC
333 MERCY AVENUE
MERCED,CA95340 		CANCER CENTER
7 7 - NICU OPERATING CO OF SANTA CRUZ LLC
1555 SOQUEL DRIVE
SANTA CRUZ,CA95065 		NEONATAL HEALTHCARE
8 8 - HUGER MERCY LIVING CENTER
2345 W ORANGEWOOD
PHOENIX,AZ85021 		ASSISTED LIVING FACILITY
9 9 - RADIATION ONCOLOGY CENTER OF VENTURA CNT
5301 MISSION OAKS BOULEVARD SUITE A
CAMARILLO,CA93012 		SURGERY CENTER
10 10 - RADIATION ONCOLOGY CENTER OF VENTURA CNT
1700 N ROSE AVENUE 120
OXNARD,CA93030 		IMAGING CENTER
11 11 - 21ST CENTURY ONCOLOGY (REDDING)
963 BUTTE STREET
REDDING,CA96001 		ONCOLOGY
12 12 - DIGNITY HEALTH - ASSOCIATED SURGICAL ASSOC
3367 S MERCY ROAD STE 150
GILBERT,AZ85297 		WEIGHT LOSS CENTER
13 13 - USRC DIGNITY HEALTH ACUTE LLC-CHANDLER ACU
1955 W FRYE ROAD
CHANDLER,AZ85224 		ACUTE CARE CLINIC
14 14 - USRC DIGNITY HEALTH ACUTE LLC-ST JOSEPH AC
350 W THOMAS ROAD
PHOENIX,AZ85013 		ACUTE CARE CLINIC
15 15 - DHMGN-HENDERSON MULTI-SPECIALTY CLINIC
10001 S EASTERN AVE SUITE 203
HENDERSON,NV89052 		MULTI-SPECIALTY CLINICS
16 16 - ST ROSE NEUROSURGERY CLINIC
2865 SIENA HEIGHTS DR STE 131
HENDERSON,NV89052 		MULTI-SPECIALTY CLINICS
17 17 - CBCC OUTSMARTING CANCER LLC
6501 TRUXTUN AVENUE
BAKERSFIELD,CA93309 		RADIATION / ONCOLOGY INCL CYBERKNIFE
18 18 - USRC DIGNITY HEALTH ACUTE LLC-MERCY ACUTES
3555 S VAL VISTA DRIVE
GILBERT,AZ85297 		ACUTE CARE CLINIC
19 19 - ST ROSE CARDIOVASCULARTHORACIC SURGERY CL
7190 S CIMARRON RD
LAS VEGAS,NV89113 		MULTI-SPECIALTY CLINICS
20 20 - DHMGN-PAVILION URGENT CARE CLINIC
800 N GIBSON RD SUITE 101
HENDERSON,NV89011 		URGENT CARE
21 21 - SANTA CRUZ SURGERY CENTER
3003 PAUL SWEET ROAD
SANTA CRUZ,CA95065 		SURGERY CENTER
22 22 - CARONDELET MEDICAL MALL AT GREEN VALLEY IM
400 W CAMINO CASA VERDE SUITE 200
GREEN VALLEY,AZ85614 		IMAGING CENTER
23 23 - CARONDELET IMAGING CENTER
6567 E CARONDELET DR SUITE 105
TUCSON,AZ85710 		IMAGING CENTER
24 24 - THE BARBARA GREENSPUN WOMEN'S CARE CENTER
100 N GREEN VALLEY PKWY SUITE 330
HENDERSON,NV89074 		HEALTH CENTER
25 25 - 21ST CENTURY ONCOLOGY (MT SHASTA)
902 PINE STREET
MT SHASTA,CA96067 		ONCOLOGY
26 26 - USRC DIGNITY HEALTH ACUTE LLC-WESTGATE ACU
7300 N 99TH AVE
GLENDALE,AZ85305 		ACUTE CARE CLINIC
27 27 - CARONDELET RIVER STONE IMAGING CENTER
4892 N STONE AVE SUITE 180
TUCSON,AZ85704 		IMAGING CENTER
28 28 - ST JOHN'S REGIONAL IMAGING CENTER LLC
1700 N ROSE AVENUE 110
OXNARD,CA93030 		IMAGING CENTER
29 29 - DIGNITY HEALTH USP OXNARD SURGERY CENTERS
1700 N ROSE AVENUE STE 100
OXNARD,CA93030 		SURGERY CENTER
30 30 - WESTERN DIAGNOSTIC SERVICES LAB
1414 E MAIN STREET STE 102
SANTA MARIA,CA93465 		LABORATORY/PATHOLOGY
31 31 - CARONDELET MEDICAL MALL AT RITA RANCH IMAG
8290 S HOUGHTON RD SUITE 100
TUCSON,AZ85747 		IMAGING CENTER
32 32 - SANTA CRUZ COMPREHENSIVE IMAGING LLC
1685 COMMERCIAL WAY
SANTA CRUZ,CA95065 		IMAGING CENTER
33 33 - DOMINICAN MAGNETIC RESONANCE IMAGING CENTE
1545 SOQUEL DRIVE
SANTA CRUZ,CA95065 		IMAGING CENTER
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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 6A: EACH TAX-EXEMPT HOSPITAL FACILITY LISTED IN SCHEDULE H, PART V, EXCEPT FOR THOSE LISTED BELOW, 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 HEALTH'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 HEALTH'S FINANCIAL STATEMENTS ARE POSTED ON DIGNITY HEALTH'S EXTERNAL WEB SITE. THE INDIVIDUAL HOSPITALS' COMMUNITY BENEFIT REPORTS ARE MADE AVALABLE TO THE PUBLIC ON BOTH DIGNITY HEALTH'S AND EACH HOSPITAL'S WEB SITES, AND ARE AVAILABLE BY REQUEST.THE FOLLOWING HOSPITALS DID NOT PREPARE A SEPARATE COMMUNITY BENEFIT REPORT:CARONDELET ST. JOSEPH'S HOSPITALCARONDELET ST. MARY'S HOSPITALCARONDELET HOLY CROSS HOSPITALCARONDELET HOLY MARANA HOSPITALDE CRAIG RANCH LLC DBA DIGNITY HEALTH ST. ROSE DOMINICAN NORTH LAS VEGASDE BLUE DIAMOND LLC DBA DIGNITY HEALTH ST. ROSE DOMINICAN BLUE DIAMONDDE FLAMINGO LLC DBA DIGNITY HEALTH ST. ROSE DOMINICAN WEST FLAMINGODE SAHARA LLC DBA DIGNITY HEALTH ST. ROSE DOMINICAN SAHARA
PART I, LINE 7: A COSTING METHODOLOGY IS USED TO CALCULATE FINANCIAL ASSISTANCE FOR PURPOSES OF CALCULATING THE AMOUNTS PROVIDED IN THE TABLE. DIGNITY HEALTH USES A COST ACCOUNTING SYSTEM THAT COMBINES RELATIVE VALUE UNITS (RVU) AND COST TO CHARGE RATIOS (CCR) TO ALLOCATE COSTS TO PATIENTS. THE COST ACCOUNTING SYSTEM ALGORITHM ALLOCATES TOTAL OPERATING EXPENSES TO THE PROCEDURE CHARGE CODE LEVEL BASED UPON AN RVU FOR PROCEDURES THAT HAVE BEEN STUDIED AND ASSIGNED AN RVU, OR BASED UPON A CCR FOR UNSTUDIED PROCEDURES THAT DO NOT HAVE AN RVU ASSIGNED. WHEN A CCR IS USED, THE SYSTEM CALCULATES THAT CCR ON A DEPARTMENTAL SPECIFIC BASIS AT EACH INDIVIDUAL HOSPITAL WHERE THE SERVICES WERE PROVIDED. THE CALCULATION IS SIMILAR TO THE CALCULATION ON WORKSHEET 2 OF THE INSTRUCTIONS FOR FORM 990, SCHEDULE H, RATIO OF PATIENT CARE COST TO CHARGES, EXCEPT IT IS CALCULATED ON A DEPARTMENTAL SPECIFIC BASIS, NOT IN THE AGGREGATE. THE ALLOCATED PROCEDURE CHARGE CODE LEVEL COSTS ARE THEN AGGREGATED FOR EACH PATIENT BASED UPON THE BILLED PROCEDURE CHARGE CODES ASSOCIATED WITH SERVICES PROVIDED TO EACH PATIENT. THE COST ACCOUNTING SYSTEM IS UTILIZED TO DETERMINE THE UNREIMBURSED COST OF MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS. THE COST OF PAYMENT ASSISTANCE IS CALCULATED BY APPLYING THE CCR DERIVED FROM THE COST ACCOUNTING SYSTEM ON A PER FACILITY BASIS, TO THE CHARGES INCURRED ON PATIENTS THAT QUALIFY FOR PAYMENT ASSISTANCE AT THE RESPECTIVE FACILITY. THE ACTUAL COST IS REPORTED 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: MEDICAIDINCLUDED IN COMMUNITY BENEFIT EXPENSE FOR MEDICAID, COLUMN (C) IS $247 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 $540 MILLION IN SUPPLEMENTAL PAYMENTS RECEIVED UNDER THESE PROGRAMS.
PART I, LINE 7G: INCLUDED IN SUBSIDIZED HEALTH SERVICES IS $48 THOUSAND 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 $3.6 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 I, LN 7 COL(F): THE FILING ORGANIZATION MAKES EVERY EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UPON ADMISSION. DIGNITY 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. DIGNITY 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 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' ANNUAL COMMUNITY BENEFIT REPORTS EACH DESCRIBE SPECIFIC COMMUNITY BUILDING ACTIVITIES IN A SECTION TITLED "OTHER PROGRAMS AND NON-QUANTIFIABLE BENEFITS."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. IN FISCAL YEAR 2020, COMBINED WITH DIGNITY COMMUNITY CARE, THE PROGRAM HAD 50 APPROVED LOANS WITH $98.8 MILLION PROVIDED. EXAMPLES OF RECENT INVESTMENTS ARE: $500,000 LOAN TO EVERYTABLE, PBC TO BUILD THE INFRASTRUCTURE FOR A FRANCHISE PROGRAM FOCUSED ON ENTREPRENEURS FROM LOW- TO MEDIUM-INCOME COMMUNITIES AND THE BUILD-OUT AND LAUNCH OF NEW STORES, WITH THE PURPOSE OF MAKING HEALTHY FOOD AFFORDABLE, CONVENIENT, AND ACCESSIBLE; $4,980,000 TO DELTA COMMUNITY DEVELOPERS CORPORATION - TWO LOANS TO ACQUIRE AND REHABILITATE 40 UNITS OF PERMANENT AFFORDABLE HOUSING FOR LOW-INCOME SENIORS AND TO DEVELOP 19 UNITS OF AFFORDABLE HOUSING IN STOCKTON FOR MENTALLY-ILL RESIDENTS, AND A $1.0 MILLION LINE OF CREDIT TO STOCKTONIANS TAKING ACTION TO NEUTRALIZE DRUGS (STAND) TO PURCHASE TAX-DEFAULT LOTS AND BLIGHTED HOMES FOR REHABILITATION AND TO PROVIDE PERMANENT HOUSING FOR LOW-INCOME FAMILIES AND INDIVIDUALS EXPERIENCING HOMELESSNESS. THE REVOLVING LOAN WILL ALSO BE USED TO SUPPORT THE DEVELOPMENT OF AFFORDABLE HOUSING FOR SENIORS AND THE DEVELOPMENT OF SINGLE-FAMILY HOMES FOR LOW-INCOME FAMILIES.DIGNITY HEALTH HOSPITALS OPEN THEIR DOORS TO COMMUNITY GROUPS AND ALSO 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 IN SANTA CRUZ. OVER FIFTY PERCENT OF THE $98.8 MILLION IN APPROVED LOANS AT THE END OF FY20 WERE IN TRANSITIONAL OR AFFORDABLE HOUSING.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 SUPPORT AND DEVELOPMENT OF UNDERSERVED YOUTH, DISASTER RELIEF, AND BASIC NEEDS FOR VULNERABLE POPULATIONS.COMMUNITY BUILDING - ENVIRONMENTAL IMPROVEMENTS:DIGNITY HEATH 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 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 ABOVE) 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 THREE CATEGORIES; IN ARIZONA AND NEVADA, UNDER 200%, 201%-350% OR 351%-500% OF THE FEDERAL POVERTY LEVEL, IN CALIFORNIA UNDER 250%, 251%-350% OR 351%-500% OF THE FEDERAL POVERTY LEVEL. DIGNITY HEALTH ALSO PROVIDES PATIENTS OPTIONS FOR PROMPT PAY DISCOUNTS, AND INTEREST-FREE EXTENDED PAYMENT PLANS FOR PATIENTS WHO HAVE DEMONSTRATED GOOD FAITH AND ARE COOPERATING IN RESOLVING THEIR HOSPITAL BILLS. ALL ACCOUNTS FOR ELIGIBLE UNINSURED PATIENTS AT ALL DIGNITY HEALTH FACILITIES RECEIVE AN AUTOMATIC UNINSURED DISCOUNT OF 30%. THE EXPECTED PATIENT PAYMENT AMOUNT ON THE PATIENT'S BILL REFLECTS THIS DISCOUNT. DISCOUNTS ARE ACCOUNTED FOR AS DEDUCTIONS FROM REVENUE, NOT AS BAD DEBT EXPENSE.
PART III, LINE 4: THE FOLLOWING IS AN EXCERPT FROM COMMONSPIRIT HEALTH'S CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2020, RELATED TO PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT REVENUE: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.BASED ON HISTORICAL EXPERIENCE, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS, A SIGNIFICANT PORTION OF DIGNITY HEALTH'S UNINSURED PATIENTS WILL BE UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, DIGNITY HEALTH RECORDS A SIGNIFICANT PROVISION FOR BAD DEBT RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED.
PART III, LINE 8: DIGNITY 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 OF $2.4 BILLION FOR THE CONSOLIDATED ENTITIES, AS REPORTED IN PART VI, LINE 6, 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 HEALTH 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 $452 MILLION REPRESENTS THE FILING ORGANIZATION'S MEDICARE COST REPORTS.
PART III, LINE 9B: DIGNITY HEALTH ENSURES THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. DIGNITY 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 DIGNITY 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 DIGNITY 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 DIGNITY 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 DEVELOPMENT 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.DIGNITY HEALTH, IN PARTNERSHIP WITH TRUVEN HEALTH ANALYTICS, DEVELOPED A COMMUNITY NEED INDEX (CNI) WHICH PROVIDES AN AGGREGATE SCORE OF THE SOCIOECONOMIC BARRIERS THAT PUT RESIDENTS AT GREATER RISK OF NEEDING HEALTH CARE SERVICES. THE CNI AGGREGATES NINE INDICATORS INTO FIVE SOCIOECONOMIC FACTORS KNOWN TO CONTRIBUTE TO HEALTH DISPARITY. THE FIVE ARE INCOME, CULTURE/LANGUAGE, EDUCATION, HOUSING STATUS, AND INSURANCE COVERAGE. THE INDEX IS CALCULATED ANNUALLY FOR EVERY ZIP CODE IN THE UNITED STATES. RESIDENTS OF COMMUNITIES WITH THE HIGHEST CNI SCORES WERE SHOWN TO BE TWICE AS LIKELY TO EXPERIENCE PREVENTABLE HOSPITALIZATION FOR MANAGABLE CONDITIONS AS COMMUNITIES WITH THE LOWEST CNI SCORES. THE CNI PROVIDES COMPELLING EVIDENCE FOR ADDRESSING SOCIOECONOMIC BARRIERS WHEN CONSIDERING HEALTH POLICY AND LOCAL HEALTH PLANNING. THE TOOL HIGHLIGHTS HEALTH CARE DISPARITIES AND ENABLES HEALTH CARE PROVIDERS, POLICYMAKERS, AND OTHERS TO TARGET RESOURCES WHERE THEY ARE MOST NEEDED. ADDITIONAL INFORMATION ABOUT THE CNI IS ACCESSIBLE AT HTTPS://WWW.DIGNITYHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH/COMMUNITY-HEALTH-PROGRAMS-AND-REPORTS.
PART VI, LINE 3: INFORMATION ABOUT DIGNITY HEALTH'S FINANCIAL ASSISTANCE PROGRAM AND A CONTACT NUMBER ARE MADE AVAILABLE TO PATIENTS AND THE PUBLIC. PATIENTS ARE INFORMED OF THE FACILITY'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 DIGNITY HEALTH FACILITY MAY ELECT. SUCH INFORMATION IS PROVIDED IN THE PRIMARY LANGUAGES SPOKEN IN THE COMMUNITIES DIGNITY HEALTH'S FACILITIES SERVE. THE SIGNAGE INCLUDES NOTIFICATION THAT ALL UNINSURED PATIENTS RECEIVE AN UNINSURED DISCOUNT OF 30%, AND THAT FURTHER DISCOUNTS MAY BE PROVIDED UPON THE COMPLETION AND SUBMISSION OF A FINANCIAL ASSISTANCE APPLICATION OR WITH PROMPT PAYMENT. FINANCIAL ASSISTANCE INFORMATION, GOVERNMENT PROGRAM RESOURCE INFORMATION, TOOLS TO ASSIST PATIENTS IN FINDING HEALTH COVERAGE, ANSWERS TO FREQUENTLY ASKED BILLING QUESTIONS, AND OTHER SUCH INFORMATION CAN ALSO BE FOUND ON DIGNITY HEALTH'S WEBSITE AT WWW.DIGNITYHEALTH.ORG.AT THE POINT OF REGISTRATION, BROCHURES ARE MADE AVAILABLE TO ALL PATIENTS EXPLAINING THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM AND THE AVAILABILITY OF GOVERNMENT SPONSORED PROGRAMS. COPIES OF THE FINANCIAL ASSISTANCE APPLICATION ARE MADE AVAILABLE TO ALL UNINSURED PATIENTS IN ADDITION TO THE BROCHURE UPON ADMISSION TO THE FACILITY.IF FINANCIAL ASSISTANCE ELIGIBILITY IS NOT DETERMINED PRIOR TO BILLING, INITIAL BILLING STATEMENTS TO UNINSURED 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 WITHOUT INSURANCE COVERAGE THAT THEY MAY BE ELIGIBLE FOR A GOVERNMENT SPONSORED PROGRAM OR FACILITY FUNDED FINANCIAL ASSISTANCE, INSTRUCTIONS ON HOW TO APPLY FOR A GOVERNMENT PROGRAM OR FINANCIAL ASSISTANCE AND THE PROVISION OF SUCH APPLICATIONS. ADDITIONALLY, CONTRACT TERMS WITH COLLECTION VENDORS WORKING ON BEHALF OF DIGNITY HEALTH REQUIRE ALL INITIAL STATEMENTS TO UNINSURED PATIENTS TO INCLUDE VERBIAGE INFORMING PATIENTS OF THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM AND A COPY OF THE FINANCIAL ASSISTANCE APPLICATION. ALSO, ANY MEMBER OF THE DIGNITY HEALTH FACILITY STAFF OR MEDICAL STAFF MAY MAKE REFERRALS OF PATIENTS FOR FINANCIAL ASSISTANCE. THE PATIENT, A FAMILY MEMBER, A CLOSE FRIEND OR AN ASSOCIATE OF THE PATIENT MAY ALSO MAKE A REQUEST FOR FINANCIAL ASSISTANCE.
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 ON THE ORIGINS OF THE TOP 75-80 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 CENTERTHE 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 80% OF PATIENTS BY VOLUME. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA AND A MEDICALLY UNDERSERVED POPULATION.TOTAL POPULATION: 3,630,458 WHITE - NON-HISPANIC: 48.3%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 6.0%HISPANIC OR LATINO: 37.4%ASIAN/PACIFIC ISLANDER: 4.0%ALL OTHERS: 4.3%BELOW POVERTY: 12.0%UNEMPLOYMENT: 5.5%NO HIGH SCHOOL DIPLOMA: 15.0%MEDICAID: 10.0%UNINSURED: 5.4%OTHER AREA HOSPITALS: 48MERCY SAN JUAN MEDICAL CENTERTHE 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 SACRAMENTO, CITRUS HEIGHTS, CARMICHAEL, FAIR OAKS, NORTH HIGHLANDS, ANTELOPE, AND OTHER SURROUNDING NEIGHBORHOODS.TOTAL POPULATION: 1,114,188HISPANIC OR LATINO: 21.1%WHITE: 56.0%BLACK/AFRICAN AMERICAN: 6.4%ASIAN/PACIFIC ISLANDER: 11.2%ALL OTHER: 5.3%BELOW POVERTY: 10.0%UNEMPLOYMENT: 6.3%NO HIGH SCHOOL DIPLOMA: 10.3%MEDICAID (HOUSEHOLD): 8.9%UNINSURED (HOUSEHOLD): 4.7%OTHER AREA HOSPITALS: 6MERCY GENERAL HOSPITALTHE HOSPITAL, A TERTIARY CARE FACILITY, SERVES RESIDENTS FROM A BROAD GEOGRAPHIC AREA. THE HOSPITAL'S PRIMARY SERVICE AREA LIES IN THE CENTRAL DOWNTOWN AREA OF SACRAMENTO, AND INCLUDES 43 ZIP CODES.TOTAL POPULATION: 1,622,013HISPANIC OR LATINO: 24.2%WHITE: 43.8%BLACK/AFRICAN AMERICAN: 9.2%ASIAN/PACIFIC ISLANDER: 17.0%ALL OTHER: 5.8%.BELOW POVERTY: 10.9%UNEMPLOYMENT: 6.8%NO HIGH SCHOOL DIPLOMA: 12.6%MEDICAID (HOUSEHOLD): 9.5%UNINSURED (HOUSEHOLD): 4.7%OTHER AREA HOSPITALS: 7MARIAN REGIONAL MEDICAL CENTER, ARROYO GRANDEMARIAN REGIONAL MEDICAL HOSPITAL, WHICH INLCUDES ARROYO GRANDE COMMUNITY HOSPITAL, IS LOCATED IN TWO ADJACENT COUNTIES: SANTA BARABAR COUNTY AND SAN LUIS OBISPO COUNTY.MARIAN REGIONAL MEDICAL CENTER IS LOCATED IN SANTA MARIA, CALIFORNIA, IN NORTHERN SANTA BARBARA COUNTY WITH THE SANTA MARIA VALLEY AS THE LARGEST REGION IN ITS SERVICE AREA. THE LARGEST COMMUNITIES IN MARIAN'S PRIMARY SERVICE AREA INCLUDE THE CITIES OF SANTA MARIA AND GUADALUPE, WITH THE SECONDARY SERVICE AREA BEING NIPOMO. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA AND A MEDICALLY UNDERSERVED POPULATION. ARROYO GRANDE COMMUNITY HOSPITAL SERVES THE SOUTHERN PART OF SAN LUIS OBISPO COUNTY INCLUDING THE CITIES OF ARROYO GRANDE, GROVER BEACH, OCEANO, PISMO BEACH AND SHELL BEACH AND THE NORTHERN PART OF THE CITY OF NIPOMO. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA.TOTAL POPULATION: 235,641WHITE - NON-HISPANIC: 38.5%BLACK/AFRICAN AMERICAN: 1.1%HISPANIC OR LATINO: 53.2%ASIAN/PACIFIC ISLANDER: 4.6%ALL OTHERS: 2.6%BELOW POVERTY 8.6%UNEMPLOYMENT: 4.9%NO HS DIPLOMA: 23.3%MEDICAID (HOUSEHOLD): 7.2%UNINSURED (HOUSEHOLD): 4.6 %OTHER AREA HOSPITALS: 3MERCY MEDICAL CENTER REDDINGTHE HOSPITAL SERVES AN AREA COMPRISED OF ZIP CODES IN REDDING AND SURROUNDING COMMUNITIES IN SHASTA, TEHAMA AND TRINITY COUNTIES. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA. POPULATION: 205,030TOTAL POPULATION: 205,472 WHITE - NON-HISPANIC: 77.4%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 1.0%HISPANIC OR LATINO: 12.4%ASIAN/PACIFIC ISLANDER: 3.2%ALL OTHERS: 6.0%BELOW POVERTY: 11.4%UNEMPLOYMENT: 5.7%NO HIGH SCHOOL DIPLOMA: 9.9%MEDICAID (HOUSEHOLD): 9.1%UNINSURED (HOUSEHOLD): 5.6%OTHER AREA HOSPITALS: 1ST. ROSE DOMINICAN HOSPITALS - DE LIMA, SAN MARTIN, AND SIENATHE HOSPITALS SERVE THE AREAS SURROUNDING THE THREE ACUTE CARE FACILITIES IN THE SOUTHERN PORTION OF THE LAS VEGAS VALLEY, AS WELL AS CLARK COUNTY AS A WHOLE. THIS AREA ENCOMPASSES URBAN AND SUBURBAN AREAS WITH DIVERSE SOCIOECONOMIC CONDITIONS. THE HOSPITALS SERVE A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED POPULATION.TOTAL POPULATION: 2,217,048WHITE - NON-HISPANIC 42.6%BLACK/AFRICAN AMERICAN - NON-HISPANIC 11.0%HISPANIC OR LATINO 31.3%ASIAN/PACIFIC ISLANDER 10.8%ALL OTHERS 4.3%MEDIAN INCOME: $57,611UNEMPLOYMENT: 5.6%NO HIGH SCHOOL DIPLOMA: 15.1%MEDICAID: 16.3%UNINSURED: 12.1%OTHER AREA HOSPITALS: 13 ACUTE CARE; 11 LONG TERM ACUTE, REHABILITATION, AND BEHAVIORAL HEALTHDOMINICAN HOSPITALTHE PRIMARY SERVICE AREA IS SANTA CRUZ COUNTY WHICH COVERS 441 SQUARE MILES, AND IS A RELATIVELY ISOLATED COMMUNITY. THE TWO MAJOR CITIES ARE SANTA CRUZ, LOCATED ON THE NORTHERN SIDE OF THE MONTEREY BAY, AND WATSONVILLE, SITUATED IN THE SOUTHERN PART OF THE COUNTY. OTHER INCORPORATED AREAS IN THE COUNTY INCLUDE THE CITIES OF SCOTTS VALLEY AND CAPITOLA. APPROXIMATELY 51% OF THE POPULATION LIVES IN THE UNINCORPORATED PARTS OF THE COUNTY, INCLUDING THE TOWNS OF APTOS, DAVENPORT, FREEDOM, SOQUEL, FELTON, BEN LOMOND AND BOULDER CREEK, AND DISTRICTS SUCH AS THE SAN LORENZO VALLEY, LIVE OAK AND PAJARO. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA AND A MEDICALLY UNDERSERVED POPULATION.TOTAL POPULATION: 273,213WHITE - NON-HISPANIC 56.8%BLACK/AFRICAN AMERICAN - NON-HISPANIC 1.5%HISPANIC OR LATINO 34.0%ASIAN/PACIFIC ISLANDER 5.5% ALL OTHERS 2.2%MEDIAN INCOME: $82,234UNEMPLOYMENT: 3.7%NO HIGH SCHOOL DIPLOMA: 13.7%MEDICAID: 26.1%UNINSURED: 8.2%OTHER AREA HOSPITALS: 2ST. MARY MEDICAL CENTER - LONG BEACHTHE HOSPITAL IS LOCATED IN LONG BEACH, CALIFORNIA, THE SECOND LARGEST CITY IN LOS ANGELES COUNTY AND 39TH IN THE NATION. ST. MARY MEDICAL CENTER ALSO SERVES THE SURROUNDING COMMUNITIES OF WILMINGTON, CARSON, SAN PEDRO, SEAL BEACH, SIGNAL HILL, LAKEWOOD, AND BELLFLOWER. THE ST. MARY SERVICE AREA HAS REGIONS THAT ARE ECONOMICALLY CHALLENGED, HAS A GREAT DEAL OF HOMELESSNESS, AND HAS AN INFLUX OF TRANSITORY POPULATIONS; MANY OF THE RESIDENTS IN THE SERVICE AREA LIVE BELOW THE POVERTY LEVEL. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA AND A MEDICALLY UNDERSERVED POPULATION.TOTAL POPULATION: 994,436 WHITE - NON-HISPANIC: 19.0%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 13.2%HISPANIC OR LATINO: 52.5%ASIAN/PACIFIC ISLANDER: 12.3%ALL OTHERS: 3.0%BELOW POVERTY: 12.4%UNEMPLOYMENT: 6.7%NO HIGH SCHOOL DIPLOMA: 23.1%MEDICAID: 11.3%UNINSURED: 5.3%OTHER AREA HOSPITALS: 9ST. BERNARDINE MEDICAL CENTERTHE 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. EIGHTY PERCENT (80%) 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: 1,025,102 WHITE - NON-HISPANIC: 20.6%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 8.0%HISPANIC OR LATINO: 64.0%ASIAN/PACIFIC ISLANDER: 5.0%ALL OTHERS: 2.4%BELOW POVERTY: 15.2%UNEMPLOYMENT: 9.0%NO HIGH SCHOOL DIPLOMA: 25.2%MEDICAID (HOUSEHOLD): 10.8%UNINSURED (HOUSEHOLD): 6.1%OTHER AREA HOSPITALS: 5***ADDITIONAL DISCLOSURES RELATED TO PART VI, LINE 4 ARE LOCATED AFTER THE DISCLOSURE FOR PART VI, LINE 7***
PART VI, LINE 5: USE OF SURPLUS FUNDS: AS A NOT-FOR-PROFIT HOSPITAL ORGANIZATION DEDICATED TO IMPROVING THE QUALITY OF LIFE, DIGNITY HEALTH 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 DIGNITY HEALTH 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.THE ROLE OF THE BOARD: THE DIGNITY HEALTH BOARD OF DIRECTORS AND SPECIFIC COMMITTEES HAVE ORGANIZATIONAL, POLICY-BASED ROLES TO SET PRIORITIES AND TO OVERSEE COMMUNITY BENEFIT AND COMMUNITY HEALTH PROGRAMS, AND THEY RECEIVE REGULAR REPORTS ON ACTIVITIES AND PERFORMANCE. DIGNITY HEALTH HOSPITAL COMMUNITY BOARDS, WHICH ARE RATIFIED BY THE DIGNITY HEALTH BOARD, ARE RESPONSIBLE FOR ENSURING THAT THE HOSPITALS DEVELOP PROGRAMSTO ADDRESS THE DISPROPORTIONATE UNMET HEALTH-RELATED NEEDS OF THE COMMUNITIES THE HOSPITALS SERVE, FOR CONDUCTING AND ADOPTING COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS AND IMPLEMENTATION STRATEGIES, AND FOR PRODUCING AND MAKING WIDELY AVAILABLE TO THE PUBLIC ANNUAL COMMUNITY BENEFIT REPORTS. COMMUNITY BOARDS ENSURE THE DEVELOPMENT OF COMMUNITY HEALTH INITIATIVES TO PROMOTE THE HEALTH OF THE COMMUNITY, WITH AN EMPHASIS ON POOR AND VULNERABLE POPULATIONS. IN FULFILLING THESE RESPONSIBILITIES, THE COMMUNITY BOARDS MAY DESIGNATE A COMMUNITY HEALTH OR COMMUNITY BENEFIT COMMITTEE TO INCLUDE AT LEAST TWO BOARD MEMBERS, WITH REPRESENTATION FROM A RANGE OF COMMUNITY STAKEHOLDERS WHO HAVE KNOWLEDGE OF THE COMMUNITY. THE COMMUNITY BOARD OR BOARD COMMITTEE PARTICIPATES IN THE PROCESS OF ESTABLISHING PROGRAM PRIORITIES BASED ON COMMUNITY HEALTH NEEDS ASSESSMENTS, DEVELOPING THE HOSPITAL'S IMPLEMENTATION STRATEGY, AND MONITORING ACTIONS AND PROGRESS TOWARD IDENTIFIED GOALS. IF APPLICABLE, MEMBERS OF THE COMMITTEE ENSURE THAT THE COMMUNITY BOARD IS REGULARLY BRIEFED ON ACTIVITIES AND DEVELOPMENTS, AND THAT THE COMMITTEE HAS INFORMATION FROM THE COMMUNITY BOARD AND MANAGEMENT NEEDED TO MAKE INFORMED DECISIONS.COMMUNITY GRANTS, SOCIAL INNOVATION PARTNERSHIP GRANTS, AND COMMUNITY INVESTMENT: DIGNITY HEALTH HOSPITALS PROVIDE MORE THAN $5.8 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 $100 MILLION COMMUNITY INVESTMENT PROGRAM THAT HELPS BUILD CAPACITY OF NON-PROFIT ORGANIZATIONS TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH, INCLUDING HOUSING FOR VULNERABLE POPULATIONS, SUPPORT FOR PRIMARY CARE, AND MORE. 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 COORDINATED 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 AT HTTPS://WWW.DIGNITYHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH/COMMUNITY-HEALTH-PROGRAMS-AND-REPORTS, IN ADDITION TO THE WEBSITES REPORTED IN PART V, LINE 7.CARONDELET ST. JOSEPH'S HOSPITAL, CARONDELET ST. MARY'S HOSPITAL AND CARONDELET HOLY CROSS HOSPITALTHE HOSPITALS HAVE ACTIVE WELLNESS COMMITTEES THAT OFFER AND DEVELOP COMMUNITY-BASED EVENTS TO PROMOTE COMMUNITY HEALTH AND WELLNESS, INCLUDING IN THE AREAS OF EXERCISE, SAFETY AND INJURY PREVENTION, AND FUNDRAISING TO ADDRESS DISEASES. THE HOSPITALS INVEST FUNDS 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 AND EDUCATION. 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.
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, 2020, IS $2.4 BILLION. A SUMMARY OF COMMONSPIRIT'S COMMUNITY BENEFITS CAN BE VIEWED IN THE ATTACHED COMMONSPIRIT HEALTH CONSOLIDATED FINANCIAL STATEMENTS ON PAGE 50.
PART VI, LINE 7, REPORTS FILED WITH STATES CA,NV
PART VI, LINE 4 - COMMUNITY INFORMATION (CONT'D) MERCY HOSPITAL BAKERSFIELDTHE HOSPITAL SERVES ALL OF KERN COUNTY, INCLUDING BAKERSFIELD (THE COUNTY SEAT) AND OUTLYING RURAL COMMUNITIES SUCH AS LOST HILLS, TAFT, AND WASCO. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA AND A MEDICALLY UNDERSERVED POPULATION.TOTAL POPULATION: 599,835 WHITE - NON-HISPANIC: 30.7%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 5.0%HISPANIC OR LATINO: 56.1%ASIAN/PACIFIC ISLANDER: 5.5%ALL OTHERS: 2.7%BELOW POVERTY: 16.4%UNEMPLOYMENT: 9.5%NO HIGH SCHOOL DIPLOMA: 23.9%MEDICAID (HOUSEHOLD): 11.4%UNINSURED (HOUSEHOLD): 6.0%OTHER AREA HOSPITALS: 9ST. JOHN'S REGIONAL MEDICAL CENTER AND ST. JOHN'S PLEASANT VALLEY HOSPITAL ARE LOCATED IN VENTURA COUNTY, CALIFORNIA. VENTURA COUNTY IS LOCATED ON THE CENTRAL COAST OF CALIFORNIA, NORTH OF LOS ANGELES, AND IS COMPRISED OF THE FOLLOWING CITIES: SAN BUENAVENTURA, OXNARD, THOUSAND OAKS AND CAMARILLO. THERE ARE ALSO SMALLER TOWNS INCLUDING OJAI, SIMI VALLEY, MOORPARK, FILLMORE AND PORT HUENEME, PLUS SEVERAL OTHER UNINCORPORATED AREAS. VENTURA COUNTY INCLUDES A MAJOR COMMERCIAL PORT, A LARGE MILITARY BASE AND CHANNEL ISLANDS HARBOR. THE HOSPITALS SERVE A MEDICALLY UNDERSERVED AREA.ST. JOHN'S REGIONAL MEDICAL CENTERTHE PRIMARY SERVICE AREA INCLUDES OXNARD, PORT HUENEME AND A PORTION OF CAMARILLO.TOTAL POPULATION: 290,047 WHITE - NON-HISPANIC: 20.5%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 2.2%HISPANIC OR LATINO: 68.4%ASIAN/PACIFIC ISLANDER: 6.9%ALL OTHERS: 2.1%BELOW POVERTY: 9.8%UNEMPLOYMENT: 5.9%NO HIGH SCHOOL DIPLOMA: 26.6%MEDICAID: 9.3%UNINSURED: 5.2%OTHER AREA HOSPITALS: 6ST. JOHN'S PLEASANT VALLEY HOSPITALTHE PRIMARY SERVICE AREA IS CAMARILLO AND A PORTION OF OXNARD.TOTAL POPULATION: 143,878 WHITE - NON-HISPANIC: 35.2%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 2.3%HISPANIC OR LATINO: 50.2%ASIAN/PACIFIC ISLANDER: 9.4%ALL OTHERS: 2.9%BELOW POVERTY: 7.4%UNEMPLOYMENT: 5.3%NO HIGH SCHOOL DIPLOMA: 16.7%MEDICAID (HOUSEHOLD): 6.7%UNINSURED (HOUSEHOLD): 3.7%OTHER AREA HOSPITALS: 6MERCY MEDICAL CENTER MERCEDTHE HOSPITAL'S PRIMARY SERVICE AREA IS COMPRISED OF THE COMMUNITIES OF MERCED, ATWATER, WINTON AND LIVINGSTON. MERCED IS A MEDICALLY UNDERSERVED AREA.TOTAL POPULATION: 162,603WHITE - NON-HISPANIC 26.3%BLACK/AFRICAN AMERICAN - NON-HISPANIC 3.8%HISPANIC OR LATINO 57.3%ASIAN/PACIFIC ISLANDER 9.5%ALL OTHER 3.1%BELOW POVERTY: 21.5%UNEMPLOYMENT: 13.4%NO HIGH SCHOOL DIPLOMA: 28.7%MEDICAID: 12.7%UNINSURED: 7.3%OTHER AREA HOSPITALS: 2MERCY GILBERT MEDICAL CENTERTHE 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.TOTAL POPULATION: 1,196,040WHITE - NON-HISPANIC: 62.4%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 4.6%HISPANIC OR LATINO: 22.2%ASIAN/PACIFIC ISLANDER: 5.9%ALL OTHERS: 4.9%BELOW POVERTY: 6.6%UNEMPLOYMENT: 4.6%NO HIGH SCHOOL DIPLOMA: 8.8%MEDICAID: 7.9%UNINSURED: 4.5%OTHER AREA HOSPITALS: 4 IN PRIMARY SERVICE AREA, 12 SECONDARY SERVICE AREAMERCY HOSPITAL OF FOLSOMTHE 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 MAJOR COMMUNITIES, INCLUDING FOLSOM, RANCHO CORDOVA, SLOUGHHOUSE, EL DORADO HILLS, RESCUE, SHINGLE SPRINGS, PLACERVILLE, ORANGEVALE, CITRUS HEIGHTS, CARMICHAEL, FAIR OAKS, AND OTHER SURROUNDING NEIGHBORHOODS. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA.TOTAL POPULATION: 547,567WHITE - NON-HISPANIC: 67.7%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 3.9%HISPANIC OR LATINO: 14.8%ASIAN/PACIFIC ISLANDER: 8.6%ALL OTHERS: 5.0%UNEMPLOYMENT: 5.6%NO HIGH SCHOOL DIPLOMA: 7.2%MEDICAID: 6.8%UNINSURED: 3.8%OTHER AREA HOSPITALS: 1ST. MARY'S MEDICAL CENTERTHE HOSPITAL SERVES A GEOGRAPHIC SERVICE AREA THAT INCLUDES SAN FRANCISCO, SOUTH SAN FRANCISCO, DALY CITY, PACIFICA AND SOUTHERN MARIN COUNTY. PARTS OF SAN FRANCISCO (47 CENSUS TRACTS) ARE FEDERALLY-DESIGNATED AS MEDICALLY UNDERSERVED AREAS. NONE OF THESE TRACTS ARE CONTIGUOUS TO ST. MARY'S.TOTAL POPULATION: 893,803 WHITE - NON-HISPANIC: 39.5%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 4.7%HISPANIC OR LATINO: 15.6%ASIAN/PACIFIC ISLANDER: 36.1%ALL OTHERS: 4.1%BELOW POVERTY: 5.4%UNEMPLOYMENT: 4.1%NO HIGH SCHOOL DIPLOMA: 11.9%MEDICAID (HOUSEHOLD): 7.6%UNINSURED (HOUSEHOLD): 2.8%OTHER AREA HOSPITALS: 8ST. ELIZABETH COMMUNITY HOSPITALTHE HOSPITAL IS LOCATED IN TEHAMA COUNTY. THE COUNTY IS BORDERED BY GLENN COUNTY TO THE SOUTH, TRINITY AND MENDOCINO COUNTIES TO THE WEST, SHASTA COUNTY TO THE NORTH, AND BUTTE AND PLUMAS COUNTIES TO THE EAST. IT IS SITUATED IN THE NORTHERN PORTION OF THE SACRAMENTO VALLEY, AND IS DIVIDED IN HALF BY THE SACRAMENTO RIVER. THE HOSPITAL SERVICE AREA INCLUDES RED BLUFF, GERBER, CORNING, LOS MOLINOS AND COTTONWOOD. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA.TOTAL POPULATION: 86,572 WHITE - NON-HISPANIC: 63.8%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 0.7%HISPANIC OR LATINO: 29.0%ASIAN/PACIFIC ISLANDER: 1.7%ALL OTHERS: 4.8%BELOW POVERTY: 14.4%UNEMPLOYMENT: 9.6%NO HIGH SCHOOL DIPLOMA : 17.5%MEDICAID (HOUSEHOLD): 10.2%UNINSURED: 10.8%OTHER AREA HOSPITALS: 1MERCY MEDICAL CENTER MT. SHASTATHIS CRITICAL ACCESS HOSPITAL SERVES AN AREA COMPRISED MOSTLY OF ZIP CODES IN SOUTHERN SISKIYOU COUNTY. PORTIONS OF SISKIYOU COUNTY ARE FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS. THE FOLLOWING DATA REPRESENTS THE PRIMARY SERVICE AREA.TOTAL POPULATION: 17,094 WHITE - NON-HISPANIC: 77.9%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 2.0%HISPANIC OR LATINO: 12.0%ASIAN/PACIFIC ISLANDER: 2.7%ALL OTHERS: 5.4%BELOW POVERTY: 12.6%UNEMPLOYMENT: 6.2%NO HIGH SCHOOL DIPLOMA: 6.7%MEDICAID (HOUSEHOLD): 8.6%UNINSURED (HOUSEHOLD): 5.7%OTHER AREA HOSPITALS: 1CARONDELET ST. JOSEPH'S HOSPITALCARONDELET ST. MARY'S HOSPITALTHE HOSPITALS SERVE PIMA COUNTY, ARIZONA. THE MAJORITY OF THE PIMA COUNTY POPULATION LIVES IN THE EASTERN HALF OF THE COUNTY, WITH APPROXIMATELY ONE-THIRD OF THE POPULATION RESIDING IN UNINCORPORATED AREAS. THE CITY OF TUCSON IS THE COUNTY SEAT AS WELL AS THE SECOND LARGEST CITY IN ARIZONA, WITH AN ESTIMATED POPULATION OF 535,677 IN 2017 ACCORDING TO THE U.S. CENSUS. DEMOGRAPHICS FOR PIMA COUNTY ARE AS FOLLOWS:TOTAL POPULATION: 1,018,504WHITE - NON-HISPANIC 51.3%BLACK/AFRICAN AMERICAN - NON-HISPANIC 3.4%HISPANIC OR LATINO 37.4%ASIAN/PACIFIC ISLANDER 3.1%ALL OTHERS 4.8%MEDIAN INCOME: $51,899UNEMPLOYMENT: 5.2%NO HIGH SCHOOL DIPLOMA: 12.7%MEDICAID: 21.4%UNINSURED: 12.2%OTHER AREA HOSPITALS: 4ST. JOSEPH'S WESTGATE MEDICAL CENTERTHE HOSPITAL IS LOCATED IN GLENDALE, ARIZONA IN MARICOPA COUNTY, APPROXIMATELY NINE MILES NORTHWEST OF DOWNTOWN PHOENIX. IT IDENTIFIES ITS PRIMARY SERVICE AREA AS THE 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: 1,169,157 WHITE - NON-HISPANIC: 37.9%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 7.3%HISPANIC OR LATINO: 47.3%ASIAN/PACIFIC ISLANDER: 3.7%ALL OTHERS: 3.8%BELOW POVERTY: 13.2%UNEMPLOYMENT: 5.9%NO HIGH SCHOOL DIPLOMA: 18.5%MEDICAID: 10.0%UNINSURED: 5.9%OTHER AREA HOSPITALS: 3 SHORT-TERM ACUTE; 2 PSYCHIATRICDE CRAIG RANCH LLC DBA ST. ROSE DOMINICAN - NORTH LAS VEGASTHE HOSPITAL PRIMARILY SERVES RESIDENTS OF NINE ZIP CODES IN LAS VEGAS AND NORTH LAS VEGAS, NEVADA. THE HOSPITAL SERVICE AREA INCLUDES DENTAL, MENTAL AND PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREAS, AS WELL AS MEDICALLY UNDESERVED AREAS.TOTAL POPULATION: 374,561WHITE - NON-HISPANIC 26.2%BLACK/AFRICAN AMERICAN - NON-HISPANIC 20.4%HISPANIC OR LATINO 42.6%ASIAN/PACIFIC ISLANDER 6.8%ALL OTHERS 4.0%MEDIAN INCOME: $52,080UNEMPLOYMENT: 6.2%NO HIGH SCHOOL DIPLOMA: 22.7%MEDICAID: 19.6%UNINSURED: 14.4%OTHER AREA HOSPITALS: 16 IN CLARK COUNTYDE BLUE DIAMOND LLC DBA ST. ROSE DOMINICAN - BLUE DIAMONDTHE HOSPITAL PRIMARILY SERVES RESIDENTS OF 10 ZIP CODES IN LAS VEGAS AND BLUE DIAMOND, NEVADA. THE HOSPITAL SERVICE AREA INCLUDES A MENTAL HEALTH PROFESSIONAL SHORTAGE AREA.TOTAL POPULATION: 277,963WHITE - NON-HISPANIC 41.4%BLACK/AFRICAN AMERICAN - NON-HISPANIC 9.7%HISPANIC OR LATINO 19.8%ASIAN/PACIFIC ISLANDER 23.1%ALL OTHERS 6.0%MEDIAN INCOME: $69,550UNEMPLOYMENT: 4.0%NO HIGH SCHOOL DIPLOMA: 9.3%MEDICAID: 8.7%UNINSURED: 7.0%OTHER AREA HOSPITALS: 16 IN CLARK COUNTY
DE SAHARA LLC DBA ST. ROSE DOMINICAN - SAHARA THE HOSPITAL PRIMARILY SERVES RESIDENTS OF SIX ZIP CODES IN LAS VEGAS, NEVADA. THE HOSPITAL SERVICE AREA INCLUDES DENTAL, MENTAL AND PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREAS.TOTAL POPULATION: 228,972WHITE - NON-HISPANIC 33.0%BLACK/AFRICAN AMERICAN - NON-HISPANIC 11.4%HISPANIC OR LATINO 44.0%ASIAN/PACIFIC ISLANDER 8.3%ALL OTHERS 3.3%MEDIAN INCOME: $41,474UNEMPLOYMENT: 7.2%NO HIGH SCHOOL DIPLOMA: 20.8%MEDICAID: 22.8%UNINSURED: 16.4%OTHER AREA HOSPITALS: 16 IN CLARK COUNTYDE FLAMINGO LLC DBA ST. ROSE DOMINICAN - WEST FLAMINGOTHE HOSPITAL PRIMARILY SERVES RESIDENTS OF SEVEN ZIP CODES IN LAS VEGAS, NEVADA. THE HOSPITAL SERVICE AREA INCLUDES DENTAL, MENTAL AND PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREAS.TOTAL POPULATION: 259,846WHITE - NON-HISPANIC 51.2%BLACK/AFRICAN AMERICAN - NON-HISPANIC 8.8%HISPANIC OR LATINO 17.6%ASIAN/PACIFIC ISLANDER 17.6%ALL OTHERS 4.8%MEDIAN INCOME: $68,753UNEMPLOYMENT: 4.7%NO HIGH SCHOOL DIPLOMA: 8.7%MEDICAID: 10.7%UNINSURED: 8.6%OTHER AREA HOSPITALS: 16 IN CLARK COUNTYCARONDELET HOLY CROSS HOSPITALTHE HOSPITAL IS LOCATED IN SANTA CRUZ COUNTY, ARIZONA IN THE SOUTHEAST PART OF THE STATE ALONG THE BORDER WITH MEXICO. MOST POPULATED AREAS ARE ALONG THE INTERSTATE 19 HIGHWAY. CITIES IN THE SERVICE AREA INCLUDE NOGALES, RIO RICO, ELGIN, SONOITA AND PATAGONIA.TOTAL POPULATION: 45,868WHITE - NON-HISPANIC 15.6%BLACK/AFRICAN AMERICAN - NON-HISPANIC 0.6%HISPANIC OR LATINO 82.4%ASIAN/PACIFIC ISLANDER 0.6%ALL OTHERS 0.8%MEDIAN INCOME: $42,932UNEMPLOYMENT: 6.3%NO HIGH SCHOOL DIPLOMA: 26.7%MEDICAID: 32.5%UNINSURED: 12.9%OTHER AREA HOSPITALS: 0CARONDELET MARANA HOSPITALCARONDELET MARANA HOSPITAL IS LOCATED IN THE NORTHWEST TUCSON AREA. THE HOSPITAL OPENED ITS DOORS ON APRIL 24, 2020. NO COMMUNITY INFORMATION WAS AVAILABLE FOR THE HOSPITAL DURING THE TAX YEAR.
Schedule H (Form 990) 2019
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