4A (Expenses $ 539431340 including grants of $ 222263) (Revenue $ 768373287)
"SEE SCHEDULE OENLOE MEDICAL CENTER (EMC), A CALIFORNIA NONPROFIT BENEFIT CORPORATION IS LOCATED IN THE CITY OF CHICO (THE ""CITY""), 90 MILES NORTH OF SACRAMENTO IN BUTTE COUNTY, CALIFORNIA. EMC IS EXEMPT FROM FEDERAL INCOME TAXES AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. EMC PROVIDES A COMPREHENSIVE ARRAY OF INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO MORE THAN 400,000 RESIDENTS OF A SIX-COUNTY REGION OF CALIFORNIA, INCLUDING GLENN AND BUTTE COUNTIES (GENERALLY REFERRED TO AS THE NORTH VALLEY). EMC PROVIDES TRAUMA AND CARDIAC SURGERY SERVICES TO PATIENTS THROUGHOUT NORTHERN CALIFORNIA. THE REGIONAL SERVICE AREA IN WHICH EMC PROVIDES SERVICE IS PRIMARILY RURAL. INDUSTRY IS DOMINATED BY AGRICULTURE, GOVERNMENT AND SERVICE ORGANIZATIONS. A DISPROPORTIONATE SHARE OF RESIDENTS (75% +/-) ARE MEDICARE/MEDICAL PATIENTS.EMC OWNS AND OPERATES A NUMBER OF FACILITIES, INCLUDING THREE INPATIENT FACILITIES: AN ACUTE CARE HOSPITAL, ENLOE MEDICAL CENTER - ESPLANADE CAMPUS (THE ""HOSPITAL""); A BEHAVIORAL HEALTH FACILITY, ENLOE MEDICAL CENTER - COHASSET CAMPUS (THE ""BEHAVIORAL HEALTH FACILITY""); AND A FACILITY FOR REHABILITATION SERVICES, ENLOE REHAB CENTER (THE ""REHAB CENTER""). EMC IS THE LARGEST PROVIDER OF ACUTE CARE SERVICES AND SOLE PROVIDER OF COMPREHENSIVE CARDIOLOGY SERVICES IN THE REGION. INPATIENT UNITS INCLUDE MEDICAL/SURGICAL ACUTE CARE, INTENSIVE CARE, CORONARY CARE, NEURO-TRAUMA CARE, INTENSIVE CARE NURSERY, OBSTETRICS/GYNECOLOGY, PEDIATRICS, BEHAVIORAL HEALTH AND REHABILITATION. IN ADDITION TO A FULL RANGE OF INPATIENT AND OUTPATIENT ANCILLARY AND SUPPORT SERVICES, EMC PROVIDES SPECIALTY SERVICES IN CARDIAC SURGERY, STROKE, NEUROSURGERY, ORTHOPEDICS, VASCULAR SURGERY, COLORECTAL, CANCER, WOMEN'S HEALTH, AND BARIATRIC SERVICES. EMC OPERATES, AT ITS ESPLANADE CAMPUS, ONE OF ONLY TWO LEVEL II TRAUMA CENTERS IN CALIFORNIA NORTH OF SACRAMENTO, AND HOUSES THE ONLY LEVEL II NEONATAL INTENSIVE CARE UNIT IN THE REGION.EMC PROVIDES A COMPREHENSIVE SCOPE OF MEDICAL SERVICES AND PROGRAMS INCLUDING A BARIATRIC SURGICAL PROGRAM, INPATIENT BEHAVIOR HEALTH, INPATIENT AND OUTPATIENT CANCER CARE, A COMPREHENSIVE HEART PROGRAM, DIGESTIVE HEALTH, EMERGENCY SERVICES, AN AMBULANCE AND FLIGHTCARE PROGRAM, HOME CARE AND HOSPICE SERVICES, A STROKE PROGRAM AND A COMPREHENSIVE WOUND CARE CLINIC, INCLUDING HYPERBARIC OXYGEN THERAPY, ONE OF THEMOST EFFECTIVE TREATMENTS AVAILABLE FOR HARD-TO-HEAL WOUNDS AND OTHER CHRONIC CONDITIONS.THE HEART PROGRAM INCLUDES A COMPREHENSIVE SCOPE OF SERVICES INCLUDING CARDIAC DIAGNOSTICS, CARDIAC CATHETERIZATION LAB PERFORMING A RANGE OF SERVICES INCLUDING CORONARY ANGIOGRAMS, CORONARY STENTING AND ANGIOPLASTY, AND ELECTROPHYSIOLOGY SERVICES; AND CORONARY SURGERY INCLUDING CORONARY BYPASS, ENDOSCOPIC VEIN/ARTERY REMOVAL, TRANMYOCARDIAL LASER REVACULARIZATION AND VALVE REPAIR/REPLACEMENT. EMC IS DESIGNATED AS A STEMI RECEIVING CENTER FOR THE TREATMENT OF SEVERE HEART ATTACK KNOWN AS AN ST ELEVATION MYOCARDIAL INTRACTION.OUTPATIENT CANCER SERVICES ARE PROVIDED THROUGH THE ENLOE REGIONAL CANCER CENTER THAT PROVIDES BOARD-CERTIFIED ONCOLOGISTS, HEMATOLOGISTS AND RADIATION ONCOLOGISTS AND OTHER SPECIALTY TRAINED STAFF SUPPORTING MEDICAL ONCOLOGY/INFUSION THERAPY AND RADIATION ONCOLOGY.ENLOE MEDICAL CENTER IS CURRENTLY GOVERNED BY A 14-17 MEMBER BOARD OF TRUSTEES COMPRISED OF PERSONS WHO RESIDE OR MAINTAIN THEIR PRINCIPAL PLACE OF BUSINESS WITHIN THE COMMUNITIES SERVED BY THE HOSPITAL. ENLOE MEDICAL CENTER IS A NON-MEMBER CORPORATION UNDER THE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION LAW. NEW MEMBERS OF THE BOARD ARE ELECTED BY ITS EXISTING MEMBERS IN ACCORDANCE WITH PROCEDURES SET FORTH IN THE BYLAWS OF THE ORGANIZATION. THE BYLAWS SPECIFY THAT TWO BOARD MEMBERS MUST BE PHYSICIANS AND THAT THE MEDICAL STAFF CHAIRMAN AND THE MEDICAL STAFF CHAIRMAN-ELECT SHALL SERVE AS BOARD MEMBERS EX OFFICIO WITH A VOTE. THE CHIEF EXECUTIVE OFFICER SERVES ON THE BOARD EX OFFICIO WITH A VOTE AND THE CHAIRMAN OF THE ENLOE HEALTH FOUNDATION SERVES ON THE BOARD EX OFFICIO, WITH A VOTE. THE ELECTED MEMBERS OF THE BOARD SERVE STAGGERED TERMS OF THREE YEARS, FOR A MAXIMUM PERIOD OF THREE TERMS (OR NINE YEARS) PER MEMBER."

ENLOE MEDICAL CENTER
PART V, SECTION B, LINE 5: THE 2019 BUTTE COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS A COLLABORATIVE PROJECT, BRINGING TOGETHER ENLOE MEDICAL CENTER, ADVENTIST HEALTH, ORCHARD HOSPITAL AND BUTTE COUNTY PUBLIC HEALTH TO GATHER COMMUNITY FEEDBACK AND HEALTH DATA. PRIMARY HEALTH SURVEY DATA WAS ATTAINED BY CONDUCTING AN OVERSAMPLE OF BUTTE COUNTY RESIDENTS USING THE WELL-ESTABLISHED BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) SURVEY PROTOCOL AND METHODOLOGY - THE BRFSS FOLLOWS THE CENTER FOR DISEASE CONTROL PROTOCOL AND USES THE STANDARDIZED CORE QUESTIONNAIRE AND MODULES. ADDITIONAL DATA COLLECTION EFFORTS INCLUDED COMMUNITY FOCUS GROUPS FACILITATED FOR THE UNDERREPRESENTED GROUPS AND OTHER HARD-TO-REACH SUBPOPULATIONS - PARTICIPANTS INCLUDED SENIORS, COLLEGE STUDENTS, INDIVIDUALS RECEIVING MENTAL HEALTH SERVICES, INDIVIDUALS PARTICIPATING IN PROGRAMS AT BOTH THE AFRICAN AMERICAN FAMILY AND CULTURAL CENTER AND THE HMONG CULTURAL CENTER, HIGH-SCHOOL STUDENTS, PHYSICIANS, GENERAL COMMUNITY MEMBERS, VETERANS AND INDIVIDUALS EXPERIENCING HOMELESSNESS. IN ADDITION TO COMPLETING A WRITTEN SURVEY, PARTICIPANTS WERE ASKED QUESTIONS AS A GROUP AND ENCOURAGED TO SHARE THEIR PERSONAL OR ANECDOTAL EXPERIENCE ACCESSING HEALTH CARE AND LIVING HEALTHY LIVES. QUANTITATIVE SECONDARY DATA WAS COLLECTED FROM AN ARRAY OF WELL-ESTABLISHED SOURCES, INCLUDING THE ROBERT WOOD JOHNSON FOUNDATION, CALIFORNIA HEALTH INTERVIEW SURVEY, OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT, CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, AS WELL AS VARIOUS OTHER SOURCES.THE RESULTS OF THE THREE-ASSESSMENT METHODS WERE REVIEWED FOR A DEGREE OF COMMONALITY. SECONDARY HEALTH METRIC DATA WAS MADE TO ALIGN WITH PRIMARY HEALTH SURVEY AND QUALITATIVE FOCUS GROUP DATA, SUCH THAT THOSE HEALTH FACTORS WITH THE GREATEST ALIGNMENT BECAME EVIDENT.

ENLOE MEDICAL CENTER
PART V, SECTION B, LINE 6A: THE MOST RECENT STUDY WAS CONDUCTED IN 2019 BY A COLLABORATIVE TEAM OF REPRESENTATIVES FROM ENLOE MEDICAL CENTER, ADVENTIST HEALTH, ORCHARD HOSPITAL AND BUTTE COUNTY PUBLIC HEALTH TO GATHER COMMUNITY FEEDBACK AND HEALTH DATA.

ENLOE MEDICAL CENTER
PART V, SECTION B, LINE 11: AMONG THE TOP HEALTH PRIORITIES IN BUTTE COUNTY IS ACCESS TO HEALTH CARE, MENTAL ILLNESS AND SUBSTANCE USE DISORDERS, AND CHRONIC DISEASES. CHANGE IN POLICY, SYSTEM AND THE ENVIRONMENT CONTINUE TO BE A SIGNIFICANT NEED. IT IS THE GOAL OF ENLOE MEDICAL CENTER'S COMMUNITY OUTREACH PROGRAM TO CONTINUE BUILDING ON ESTABLISHED RELATIONSHIPS TO RAISE AWARENESS OF AVAILABLE PROGRAMS AND SERVICES THROUGHOUT THE REGION AND BREAK DOWN BARRIERS PREVENTING INDIVIDUALS FROM ACCESSING PROGRAMS/SERVICES TO ACHIEVE WELLNESS.ACCESS TO HEALTH CARE CONTINUES TO BE A CONCERN FOR BUTTE COUNTY RESIDENTS. ENLOE MEDICAL CENTER WILL CONTINUE ITS FOCUS ON PHYSICIAN RECRUITMENT, AS WELL AS OUTREACH WITH HEALTH SCREENINGS AND PREVENTIVE EDUCATION. ENLOE WILL CONTINUE TO HOST:- COMMUNITY HEALTH EDUCATION PROGRAMS, PROVIDING OPPORTUNITIES FOR INDIVIDUALS TO LEARN DIRECTLY FROM HEALTH CARE PROFESSIONALS IN THE SPECIALTY AREAS LINKED TO THE TOP IDENTIFIED HEALTH NEEDS.- FREE FLU VACCINATION CLINICS IN COLLABORATION WITH THE LOCAL HEALTH DEPARTMENT.MENTAL ILLNESS AND SUBSTANCE ABUSE, INCLUDING ALCOHOL, TOBACCO, ILLICIT DRUGS, AND PRESCRIPTION OPIOIDS, CONTINUE TO RISE TO THE TOP OF PRESSING HEALTH NEEDS IN BUTTE COUNTY. ENLOE WILL CONTINUE TO PARTNER WITH LOCAL PROGRAMS, AGENCIES, COALITIONS, AND TASK FORCES DEDICATED TO ADDRESSING THESE NEEDS. ADDITIONALLY, WE WILL CONTINUE TO LOOK AT INTERNAL POLICY, SYSTEM, AND ENVIRONMENTAL CHANGES TO ADOPT FOR IMPACT.ENLOE'S RECENT HIRE OF A SUBSTANCE USE NAVIGATOR IN THE EMERGENCY DEPARTMENT HAS ALREADY PROVEN EFFECTIVE IN ADDRESSING SUBSTANCE ABUSE AND IDENTIFYING DRUG ADDICTION AS AN ILLNESS THAT REQUIRES MEDICAL ATTENTION. ROBOTIC-ASSISTED SURGERY ALSO EMERGED AS A CONTRIBUTING FACTOR IN THE REDUCTION OF OPIOID USE. THE MINIMALLY INVASIVE TECHNOLOGY MEANS LESS PAIN AND HAS REDUCED THE QUANTITY AND FREQUENCY OF OPIOIDS PRESCRIBED TO PATIENTS.BUTTE COUNTY RESIDENTS HAVE A HIGHER-THAN-AVERAGE INCIDENCE OF CHRONIC CONDITIONS INCLUDING DEPRESSION, COPD, ALZHEIMER'S DISEASE/DEMENTIA, CANCER, AND ASTHMA. ADDRESSING THE UNMET SOCIAL NEEDS ADVERSELY INFLUENCING THE HEALTH OF OUR COMMUNITY IS ONE WAY IN WHICH WE CAN WORK TO LOWER THE INCIDENCE OF THESE CHRONIC CONDITIONS. HOWEVER, CONTINUED EDUCATION - INPATIENT, OUTPATIENT, COMMUNITY, AND ONE- ON-ONE - IS NEEDED TO EMPOWER INDIVIDUALS TO MOVE TOWARD WELLNESS.TO SUPPORT SELF-ADVOCACY, ENLOE OFFERS A VARIETY OF CLASSES AND SUPPORT GROUPS AT LITTLE OR NO COST TO MEMBERS OF THE COMMUNITY. ADDITIONALLY, ENLOE SUPPORTS OTHER LOCAL PROGRAMS FOR COMMUNITY MEMBERS, PATIENTS, AND CAREGIVERS TO RAISE AWARENESS FOR THESE CHRONIC AND DEBILITATING DISEASES.A TOP PRIORITY OF THE SURGEON GENERAL OF CALIFORNIA'S OFFICE IS ADDRESSING SOCIAL DETERMINANTS THAT INFLUENCE EARLY CHILDHOOD DEVELOPMENT AND HEALTH. THE HEALTHY BEGINNINGS OBJECTIVES FOCUS ON MATERNAL AND INFANT HEALTH, AS WELL AS CHILD AND ADOLESCENT PHYSICAL, MENTAL, AND SOCIAL HEALTH - FOR WHICH ACES RATES ARE KEY HEALTH INDICATORS.ENLOE MEDICAL CENTER'S CUDDLE CARE PROGRAM PROVIDES A WIDE RANGE OF SERVICES THAT ARE SUPPORTIVE IN POSTPARTUM SETTINGS, AS WELL AS THE SPECIAL CARE NURSERY, IN WHICH ENLOE VOLUNTEERS OFFER LOVING TOUCH FOR BABIES WITH NEONATAL ABSTINENCE SYNDROME (NAS). ADDITIONALLY, ENLOE WOMEN'S SERVICES AND ENLOE'S NETTLETON MOTHER & BABY CARE CENTER IMPLEMENT DEPRESSION SCREENINGS THROUGHOUT PREGNANCY AND POSTPARTUM TO ENSURE THE SAFETY OF BOTH MOTHER AND BABY. THROUGH COMMUNITY OUTREACH EVENTS, INCLUDING ENLOE'S ANNUAL COMMUNITY WELLNESS EXPO AND MOTHERS STROLL, WE COMMIT TO INCREASING AWARENESS AND ACCESS TO NECESSARY SUPPORT SERVICES THROUGH COMMUNITY PARTNERSHIPS.

ENLOE MEDICAL CENTER
PART V, SECTION B, LINE 13B: COMMUNITY SERVICE WILL BE PROVIDED TO UNINSURED PATIENTS ON A SLIDING SCALE BASIS, USING THE CURRENT PUBLISHED FEDERAL POVERTY LEVELS (FPL) AS GUIDELINES. COMMUNITY SERVICE DISCOUNTS WILL BE GRANTED USING THE FOLLOWING CRITERIA:- IF FAMILY INCOME IS LESS THAN 138 PERCENT FPL: FREE CARE- IF FAMILY INCOME IS 139 PERCENT TO 250 PERCENT FPL: CO-PAYMENT OF $100 PER ELIGIBLE ACCOUNT, NOT TO EXCEED $250 PER CALENDAR MONTH. MAXIMUM $250 PER MONTH EXCLUDES EMERGENCY AND CARDIOLOGY PHYSICIAN AND/OR HOSPITAL-BASED PHYSICIAN SERVICE ACCOUNTS.- IF FAMILY INCOME IS 251 PERCENT TO 350 PERCENT FPL: 100 PERCENT OF MEDICARE FEE SCHEDULE.OTHER FACTORS CONSIDERED BUT ARE NOT LIMITED TO: INCOME LEVEL, ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, UNISURED DISCOUNT ELIGIBILITY, RESIDENCY, MEDICAID/MEDICARE ELIGIBILITY AND STATE REGULATIONS.

SCHEDULE H, PART V, LINE 7A
HOSPITAL FACILITY'S WEBSITE: HTTPS://WWW.ENLOE.ORG/ABOUT-US/COMMUNITY-BENEFIT-REPORT

SCHEDULE H, PART V, LINE 10
HTTPS://WWW.ENLOE.ORG/ABOUT-US/COMMUNITY-BENEFIT-REPORT

PART I, LINE 7:
COSTING METHODOLOGY UTILIZED FOR FINANCIAL ASSISTANCE AND MEANS TESTED GOVERNMENT PROGRAMS WAS A MODIFIED COST TO CHARGE RATIO. THE COSTING METHODOLOGY FOR ALL OTHER BENEFIT PROGRAMS WAS BASED ON ACTUAL COST FOR ALL PATIENT SEGMENTS.

PART III, LINE 2:
EMC USES A COST TO CHARGE METHODOLOGY TO REPORT THE ORGANIZATIONS BAD DEBT EXPENSE AT THE COST OF CARE. AMOUNTS CHARGED OFF AS BAD DEBT IS RECORDED AT GROSS CHARGES. A COST TO CHARGE RATIO IS APPLIED TO THE GROSS CHARGE AMOUNT WRITTEN OFF TO REPORT BAD DEBT EXPENSE AT THE COST OF PROVIDING CARE.

PART III, LINE 3:
"BAD DEBT EXPENSE IS DETERMINED USING THE DIFFERENCE BETWEEN THE STANDARD RATES (AFTER NEGOTIATED DISCOUNTED RATES HAVE BEEN APPLIED) AND THE AMOUNTS ACTUALLY COLLECTED. THE ORGANIZATION DOES NOT HAVE A MEANS TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS THAT WOULD OTHERWISE BE ELIGIBLE UNDER THE ORGANIZATIONS' COMMUNITY SERVICE AND DISCOUNT POLICY (THE ""POLICY""/""COMMUNITY BENEFIT""). THE POLICY REQUIRES THE PATIENT GUARANTOR TO APPLY FOR COMMUNITY BENEFIT CARE. THE DETERMINANTS FOR COMMUNITY BENEFIT CARE ARE A FUNCTION OF HOUSEHOLD INCOME AND DEPENDENTS - THE APPLICANT PROCESS REQUIRES AN INCOME DECLARATION. ABSENT THE APPLICANT PROCESS FOR COMMUNITY BENEFIT CARE IT IS DIFFICULT TO DETERMINE THE AMOUNT OF BAD DEBT THAT REASONABLY COULD BE ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S CHARITY CARE POLICY. BY DEFINITION, UNCOLLECTIBLE ACCOUNTS, ARE TYPICALLY REFLECTIVE OF AN INDIVIDUAL'S INABILITY TO MEET THEIR FINANCIAL OBLIGATIONS - THE ORGANIZATION ASSUMES THAT APPROXIMATELY 80% OF THE AMOUNT REPORTED AS BAD DEBT COULD REASONABLY BE ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR CHARITY CARE UNDER THE ORGANIZATION'S CHARITY CARE POLICY."

PART III, LINE 4:
PLEASE REFER TO AUDIT FINANCIAL STATEMENT NOTE 1- PATIENT ACCOUNTS RECEIVABLE ON PAGE 11/51.

PART III, LINE 8:
COSTING METHODOLOGY UTILIZED WAS A MODIFIED COST TO CHARGE RATIO AS APPLIED TO MEDICARE PATIENT POPULATION. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THESE PATIENTS TYPICALLY HAVE LOW AND/OR FIXED INCOMES. MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS FORCING THE HOSPITAL TO USE OTHER SOURCES TO COVER THE DEFICIT.

PART III, LINE 9B:
COLLECTION PRACTICES ARE CONSISTENT FOR ALL PATIENTS AND COMPLY WITH APPLICABLE PROVISIONS OF CALIFORNIA LAW. ENLOE MEDICAL CENTER'S COLLECTION POLICIES OUTLINE THE TYPES OF COLLECTION EFFORTS CONTRACTED COLLECTIONS AGENCIES MAY/MAY NOT TAKE TO COLLECT ON PAST-DUE ACCOUNTS. (A) IT IS RECOGNIZED THAT AS PART OF THE CHARITY CARE AND DISCOUNT PROCESS, PATIENTS MAY BREAK THEIR PROMISE TO PAY FROM TIME TO TIME. (B) IN THESE INSTANCES, PATIENTS WITH PAST DUE CHARITY CARE OBLIGATIONS MAY BE REFERRED TO COLLECTION IN THE SAME MANNER AS ANY OTHER PATIENT WITH AN UNPAID PAST - DUE ACCOUNT. (C) HOWEVER, IN NO INSTANCE WILL ANY PATIENT RECEIVING COMMUNITY SERVICE UNDER THIS POLICY BE SUBJECT TO ABUSIVE TELEPHONE COLECTIONS PRACTICES, LIENS BEING PLACED ON THEIR PRIMARY RESIDENCE, WAGE GARNISHMENTS, OR INVOLUNATARY COURT HOLD ORDERS. (D) NON-PAYMENT WILL NOT BE REPORTED TO A CREDIT REPORTING AGENCY AT ANY TIME PRIOR TO 150 DAYS FROM INITIAL BILLING.

PART VI, LINE 2:
COMMUNITY NEEDS: EMC PERFORMS A COMMUNITY NEEDS ASSESSMENT EVERY THREE YEARS. THE PRIMARY PURPOSE OF CONDUCTING THE CHNA IS TO OBJECTIVELY LOOK AT THE CURRENT HEALTH NEEDS OF A COMMUNITY, AS WELL AS THE EXISTING RESOURCES AVAILABLE TO ADDRESS THOSE NEEDS, THEN PRIORITIZE THE UNMET HEALTH NEEDS AND CREATE AN ACTION PLAN TO ADDRESS THEM IN THE COMING YEARS.

PART VI, LINE 3:
PATIENT EDUCATION: EMC PROVIDES UNINSURED PATIENTS AND FAMILIES WITH ASSISTANCE IN ACCESSING FINANCIAL ASSISTANCE THROUGH EMC'S PATIENT FINANCIAL SERVICES DEPARTMENT. THE DEPARTMENT EMPLOYS SPECIALTY TRAINED FINANCIAL COUNSELORS THAT ASSIST PATIENTS WITH THE APPLICANT PROCESS FOR FEDERAL AND STATE PROGRAMS, INCLUDING THE STATE'S MEDICAID PROGRAM - MEDI-CAL; THE COUNTY MEDICAL SERVICES PROGRAM - A PROGRAM THAT PROVIDES HEALTH COVERAGE FOR LOW-INCOME, INDIGENT ADULTS; AND THE STATE'S HEALTHY FAMILIES PROGRAM - A LOW COST INSURANCE PROGRAM FOR CHILDERN AND TEENS, PROVIDING HEALTH, DENTAL AND VISION COVERAGE TO CHIDREN WHO DO NOT HAVE INSURANCE AND DO NOT QUALIFY FOR MEDI-CAL. THE FINANCIAL COUNSELORS ALSO ASSIST PATIENT FAMILIES WITH THE BENEFITS OR FINANCIAL ASSISTANCE AVAILABLE THROUGH EMC'S COMMUNITY SERVICE AND DISCOUNT POLICY. THE INFORMATION ON THE ELIGIBILITY FOR ASSISTANCE IS PROVIDED AT THE TIME OF REGISTRATION AND NO LATER THAN AT THE TIME OF DISCHARGE. BILLING NOTICES TO UNINSURED PATIENTS INCLUDE CONTACT INFORMATION FOR MEDI-CAL AND THE FINANCIAL COUNSELORS SUPPORTING THE COMMUNITY SERVICE AND DISCOUNT POLICY AND APPLICANT PROCESS. EMC ALSO POSTS NOTICES REGARDING THE AVAILABILITY OF THE COMMUNITY SERVICE AND DISCOUNT POLICY IN ALL PATIENT REGISTRATION AREAS, IN PATIENT HANDBOOKS AND PUBLICATIONS, AT THE FINANCIAL COUNSELOR OFFICE AND ON EMC'S WEBSITE. THE NOTICES ARE AVAILABLE IN THE LANGUAGES REPRESENTED BY ITS PATIENT POPULATION. A TOLL-FREE TELEPHONE NUMBER IS AVAILABLE TO ASSIST PERSONS WITH THE PROCESS.

PART VI, LINE 6:
N/A

PART VI, LINE 7, REPORTS FILED WITH STATES
CA

PART VI, LINE 4:
COMMUNITY INFORMATION: EMC IS A COMMUNITY-OWNED, NOT-FOR-PROFIT, 298-BED SYSTEM, LOCATED IN CHICO, CALIFORNIA - NORTHERN CALIFORNIA; AND LOCATED APPROXIMATELY 90 MILES NORTH OF SACRAMENTO. EMC PROVIDES A COMPREHENSIVE ARRAY OF INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO NEARLY 400,000 RESIDENTS OF A SIX-COUNTY REGION OF NORTHERN CALIFORNIA. CHICO IS HOME TO APPROXIMATELY 112,000 PEOPLE; INCLUDING ROUGHLY 17,000 STUDENTS ATTENDING CALIFORNIA STATE UNIVERSITY, CHICO. EMC IS THE LARGEST MEDICAL CENTER IN THE REGION AND IS ONLY ONE OF TWO LEVEL II TRAUMA CENTERS BETWEEN SACRAMENTO AND THE OREGON BORDER. THE SIZE AS WELL AS THE EXTREME DIVERSITY OF THE SOCIO-ECONOMICS, DEMOGRAPHICS AND GEOGRAPHY WITHIN OUR SERVICE AREA REQUIRES THAT WE OFFER FULL CONTINUUM OF HEALTH SERVICES RANGING FROM PREVENTATIVE EDUCATION AND OUTPATIENT SERVICES TO ACUTE CARE, BEHAVIORAL HEALTH, INPATIENT REHABILITATION AND HOME HEALTH AND HOSPICE SERVICES. SERVING A SIX-COUNTY REGION IN NORTHERN CALIFORNIA, WE PROVIDE QUALITY, COMPASSIONATE, COST-EFFECTIVE CARE TO THE PATIENT POPULATION IT SERVES.

PART VI, LINE 5:
PROMOTION OF COMMUNITY HEALTH: EMC'S GOVERNING BOARD OF TRUSTEES IS COMPRISED OF PERSONS WHO RESIDE IN THE SERVICE AREA OF EMC. EMC EXTENDS MEDICAL STAFF PRIVILEDGES TO ALL QUALIFIED PHYSICIANS. THE STRATEGIC PRIORITIES OF EMC INCLUDE EMPLOYEE ENGAGEMENT, QUALITY AND PATIENT EXPERIENCE, PHYSICIAN-HOSPITAL ALIGNMENT AND FINANCIAL STEWARDSHIP. EMC'S STRATEGIC PLAN INCLUDES THE CONTINUING EFFORT TO IMPROVE THE QUALITY OF PATIENT CARE BY STRIVING TO MEET THE FUTURE HEALTH CARE NEEDS OF THE COMMUNITY AND MEETING THE STATE'S SEISMIC REQUIREMENTS. EMC COMPLETED AN EXPANSION PROJECT IN 2013 WHICH INCLUDED THE CONSTRUCTION OF A FIVE-STORY, 191,000 SQUARE FOOT PATIENT TOWER AS WELL AS NEW A SURGERY CENTER, TRAUMA CENTER, EXPANDED EMERGENCY CENTER AND PARKING STRUCTURE. EMC CONTINUES TO INVEST IN NEEDED MEDICAL TECHNOLOGY, MEDICAL EQUIPMENT AND INFORMATION SYSTEMS, ITS PEOPLE AND PHYSICIANS. PROGRAM PRIORITIES OF EMC ARE BALANCED WITH AVAILABLE RESOURCES PROVIDED FOR CURRENT OPERATIONS WHILE INSURING THE LONG-TERM FINANCIAL HEALTH OF EMC.