4A (Expenses $ 4132068520 including grants of $ 10960220) (Revenue $ 4428849909)
SEE SCHEDULE O

REPORTING GROUP: A (3, 5, 8, & 17)
"PART V, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, LINE 5 CHNA INPUT FROM KEY ADVISORS REPRESENTING BROAD COMMUNITY INTERESTS: CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A, 3, 5, 8, & 17): IN CONDUCTING ITS MOST RECENT CHNA, CALIFORNIA PACIFIC MEDICAL CENTER, A FACILITY OF SUTTER BAY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. THE GOALS OF THE COMMUNITY ENGAGEMENT COMPONENT OF THE CHNA WERE TO: -IDENTIFY SAN FRANCISCANS' HEALTH PRIORITIES, ESPECIALLY THOSE OF VULNERABLE POPULATIONS. -OBTAIN DATA ON POPULATIONS AND ISSUES FOR WHICH WE HAVE LITTLE QUANTITATIVE DATA. -BUILD RELATIONSHIPS BETWEEN THE COMMUNITY AND SAN FRANCISCO HEALTH IMPROVEMENT PARTNERSHIP (SFHIP). -MEET THE REGULATORY REQUIREMENTS INCLUDING THE IRS RULES FOR 501(C)(3) CHARITABLE HOSPITALS, PUBLIC HEALTH ACCREDITATION BOARD REQUIREMENTS FOR THE SAN FRANCISCO HEALTH DEPARTMENT, AND SAN FRANCISCO'S PLANNING CODE REQUIREMENTS FOR A HEALTH CARE SERVICES MASTER PLAN. THE 2019 CHNA INCLUDES FOUR CATEGORIES OF FOCUS GROUPS: SFHIP KEY INFORMANT GROUP INTERVIEW, EQUITY COALITION FOCUS GROUPS, FOOD-INSECURE PREGNANT WOMEN FOCUS GROUPS, AND KAISER FOCUS GROUPS. SFHIP KEY INFORMANT GROUP INTERVIEW ONE FOCUS GROUP WAS COMPRISED OF SFHIP MEMBERS WHO ARE ALL SUBJECT MATTER EXPERTS. TWO SERIES OF QUESTIONS WERE ASKED: 1) WHAT ARE THE HEALTHIEST CHARACTERISTICS OF THIS COMMUNITY? WHAT SUPPORTS PEOPLE TO LIVE HEALTHIER LIVES? 2) WHAT ARE THE BIGGEST HEALTH ISSUES AND/OR CONDITIONS YOUR COMMUNITY STRUGGLES WITH? WHAT DO YOU THINK CREATES THOSE ISSUES? EQUITY COALITION FOCUS GROUPS THREE FOCUS GROUPS WERE CONDUCTED WITH EACH OF THE THREE HEALTH EQUITY COALITIONS IN SAN FRANCISCO: CHICANO/LATINO/INDIGENA HEALTH EQUITY COALITION, ASIAN AND PACIFIC ISLANDER HEALTH PARITY COALITION, AND AFRICAN AMERICAN COMMUNITY HEALTH EQUITY COUNCIL. USING THE TECHNOLOGY OF PARTICIPATION (TOP) CONSENSUS METHOD, THE QUESTION POSED TO EACH FOCUS GROUP WAS, ""WHAT ACTIONS CAN WE TAKE TO IMPROVE HEALTH?"" FOOD-INSECURE PREGNANT WOMEN FOCUS GROUPS 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-SPEAKERS, CHINESE-SPEAKERS, MULTI-ETHNIC ENGLISH-SPEAKERS, AND BLACK/AFRICAN AMERICANS. THE QUESTION TO RESPOND TO WAS, ""WHAT ACTIONS CAN WE TAKE TO IMPROVE YOUR FOOD NEEDS?"" KAISER-LED FOCUS GROUPS KAISER CONDUCTED FOUR FOCUS GROUPS, ONE EACH WITH KAISER PERMANENTE LEADERSHIP, KAISER PERMANENTE STAFF, SPANISH-SPEAKING PARENTS REGARDING HEALTHY EATING AND ACTIVE LIVING AMONG YOUTH, AND HOMELESS AND/OR HIV-POSITIVE YOUTH. FURTHER DETAILS ON THE METHODS AND FINDINGS ARE AVAILABLE IN 2019 CHNA COMMUNITY ENGAGEMENT"" SECTION. HTTPS://WWW.SUTTERHEALTH.ORG/PDF/FOR-PATIENTS/CHNA/CPMC-2019-CHNA.PDF SCHEDULE H, PART V, LINE 6A & 6B CHNA HOSPITAL COLLABORATORS: CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A, 3, 5, 8, & 17): AS A MEMBER OF SFHIP, CPMC PARTICIPATES IN A COLLECTIVE NEEDS ASSESSMENT PROCESS TO ENSURE THAT OUR COMMUNITY BENEFIT INVESTMENTS ARE RESPONSIVE TO REAL COMMUNITY HEALTH NEEDS. THIS CHNA REPORT HAS AS ITS FOUNDATION THE CHNA REPORT THAT WAS COLLECTIVELY DEVELOPED BY THE SAN FRANCISCO HEALTH IMPROVEMENT PARTNERSHIP (SFHIP)-SAN FRANCISCO COMMUNITY HEALTH NEEDS ASSESSMENT 2019. THE PROCESSES AND FINDINGS DESCRIBED WITHIN THIS DOCUMENT REFER TO THOSE OF SFHIP'S 2019 NEEDS ASSESSMENT. THE ORIGINAL 2019 CHNA DOCUMENT COLLECTIVELY DEVELOPED BY SFHIP AND PREPARED BY SFDPH CAN BE FOUND AT WWW.SFHIP.ORG. SFHIP IS A COLLABORATIVE BODY WHOSE MISSION IS TO EMBRACE COLLECTIVE IMPACT AND TO IMPROVE COMMUNITY HEALTH AND WELLNESS IN SAN FRANCISCO. MEMBERSHIP IN SFHIP INCLUDES: -SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH -AFRICAN AMERICAN COMMUNITY HEALTH EQUITY COUNCIL -ASIAN AND PACIFIC ISLANDER HEALTH PARITY COALITION -CHICANO/LATINO/INDIGENA HEALTH EQUITY COALITION -SAN FRANCISCO HUMAN SERVICES NETWORK -DIGNITY HEALTH SAINT FRANCIS MEMORIAL HOSPITAL -DIGNITY HEALTH ST. MARY'S MEDICAL CENTER -SUTTER HEALTH CALIFORNIA PACIFIC MEDICAL CENTER -KAISER PERMANENTE -CHINESE HOSPITAL -SAN FRANCISCO COMMUNITY CLINIC CONSORTIUM -METTA FUND -SAN FRANCISCO INTERFAITH COUNCIL -SAN FRANCISCO UNIFIED SCHOOL DISTRICT -SAN FRANCISCO MAYOR'S OFFICE -UCSF CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTE'S COMMUNITY ENGAGEMENT AND HEALTH POLICY PROGRAM A COMPLETE LISTING OF HOSPITALS AND PARTNERS WHO COLLABORATED ON THE CHNA IS AVAILABLE FOR DOWNLOAD AT: HTTPS://WWW.SUTTERHEALTH.ORG/PDF/FOR-PATIENTS/CHNA/CPMC-2019-CHNA.PDF SCHEDULE H, PART V, LINE 7A, 7B, 10A CHNA AVAILABILITY ONLINE: CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A, 3, 5, 8, & 17): - HOSPITAL FACILITY'S WEBSITE: HTTP://WWW.CPMC.ORG/ABOUT/COMMUNITY/COMMUNITY-NEEDS-ASSESSMENT.HTML - OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/ COMMUNITY-HEALTH-NEEDS-ASSESSMENT SCHEDULE H, PART V, LINE 11 CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A, 3, 5, 8, & 17): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT CPMC INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO COORDINATED, CULTURALLY AND LINGUISTICALLY APPROPRIATE CARE AND SERVICES 2. FOOD SECURITY, HEALTHY EATING, AND ACTIVE LIVING 3. HOUSING SECURITY AND AN END TO HOMELESSNESS 4. SAFETY FROM VIOLENCE AND TRAUMA 5. SOCIAL, EMOTIONAL, AND BEHAVIORAL HEALTH DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY, CPMC IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT: -ECONOMIC BARRIERS TO HEALTH -RACIAL HEALTH INEQUITIES -SAFETY AND VIOLENCE -HOUSING STABILITY AND HOMELESSNESS -SUBSTANCE ABUSE AS A MEMBER OF THE SAN FRANCISCO HEALTH IMPROVEMENT PARTNERSHIP (SFHIP), CPMC WILL CONTINUE TO WORK IN COLLABORATION WITH OTHER LOCAL HOSPITALS AND HEALTH PLANS TO IDENTIFY GAPS IN SERVICE AND TO DETERMINE WHERE EFFORTS SHOULD BE COLLECTIVELY REDIRECTED IN ORDER TO MOST EFFECTIVELY IMPROVE THE HEALTH OF SAN FRANCISCO RESIDENTS. FOR MORE INFORMATION ABOUT SFHIP, PLEASE VISIT WWW.SFHIP.ORG. SCHEDULE H, PART V, LINE 15E CALIFORNIA PACIFIC MEDICAL (REPORTING GROUP A, 3, 5, 8, & 17): METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: PATIENTS MAY REQUEST ASSISTANCE WITH COMPLETING THE APPLICATION FOR FINANCIAL ASSISTANCE IN PERSON AT THE HOSPITAL, OVER THE PHONE, THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE. SCHEDULE H, PART V, LINES 16A, 16B, & 16C CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A, 3, 5, 8, & 17): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER HEALTH WEBSITE AT: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/FINANCIAL-ASSISTANCE.HTML SCHEDULE H, PART V, LINE 16J CALIFORNIA PACIFIC MEDICAL (REPORTING GROUP A, 3, 5, 8, & 17): MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITAL'S SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE ORGANIZATION IN THE PRINCIPAL NEWSPAPER IN THE COMMUNITY OR WHEN DOING SO IS NOT PRACTICAL SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THE INFORMATION OR USE OTHER MEANS THAT WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY. SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. SCHEDULE H, PART V, LINE 22D CALIFORNIA PACIFIC MEDICAL (REPORTING GROUP A, 3, 5, 8, & 17) AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR FULL WRITE OFF OF ALL CHARGES FOR AN UNINSURED PATIENT WITH A FAMILY INCOME AT OR BE"

REPORTING FACILITY: B, (4, 12, & 15)
SCHEDULE H, PART V, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, LINE 5 CHNA INPUT FROM KEY ADVISORS REPRESENTING BROAD COMMUNITY INTERESTS: MILLS PENINSULA MEDICAL CENTER (REPORTING GROUP B, 4 & 12): IN CONDUCTING ITS MOST RECENT CHNA, MILLS-PENINSULA MEDICAL CENTER DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. ACTIONABLE INSIGHTS (AI) CONDUCTED PRIMARY RESEARCH FOR THIS ASSESSMENT. AI USED THREE STRATEGIES FOR COLLECTING COMMUNITY INPUT: KEY INFORMANT INTERVIEWS WITH HEALTH AND COMMUNITY-SERVICE EXPERTS, AND FOCUS GROUPS WITH PROFESSIONALS, AND FOCUS GROUPS WITH RESIDENTS. AI RECORDED EACH INTERVIEW AND FOCUS GROUP AS A STANDALONE PIECE OF DATA. RECORDINGS WERE TRANSCRIBED, THEN THE TEAM USED QUALITATIVE RESEARCH SOFTWARE TOOLS TO ANALYZE THE TRANSCRIPTS FOR COMMON THEMES. AI ALSO TABULATED HOW MANY TIMES HEALTH NEEDS HAD BEEN PRIORITIZED BY EACH OF THE FOCUS GROUPS OR DESCRIBED AS A PRIORITY IN A KEY INFORMANT INTERVIEW. THE HCC USED THIS TABULATION TO HELP ASSESS COMMUNITY HEALTH PRIORITIES. ACROSS THE KEY INFORMANT INTERVIEWS AND FOCUS GROUPS, AI SOLICITED INPUT FROM MORE THAN 60 COMMUNITY LEADERS AND REPRESENTATIVES OF VARIOUS ORGANIZATIONS AND SECTORS. THESE REPRESENTATIVES EITHER WORK IN THE HEALTH FIELD OR IN A COMMUNITY-BASED ORGANIZATION THAT FOCUSES ON IMPROVING HEALTH AND QUALITY OF LIFE CONDITIONS BY SERVING THOSE FROM IRS-IDENTIFIED HIGH-NEED TARGET POPULATIONS.28 IN THE LIST BELOW, THE NUMBER IN PARENTHESES INDICATES THE NUMBER OF PARTICIPANTS FROM EACH SECTOR. - SAN MATEO COUNTY HEALTH (3) - OTHER SAN MATEO COUNTY EMPLOYEES (FROM BEHAVIORAL HEALTH AND RECOVERY SERVICES, HUMAN SERVICES AGENCY, OFFICE OF EDUCATION, ETC.) (10) - OTHER PUBLIC EMPLOYEES (FROM CITIES, SCHOOL DISTRICTS, ETC.) (5) - OTHER HOSPITALS, CLINICS, AND HEALTH CARE SYSTEMS (6) - MENTAL HEALTH, SUBSTANCE USE, AND VIOLENCE PREVENTION PROVIDERS (4) - OTHER NONPROFIT COMMUNITY-BASED ORGANIZATIONS (33), INCLUDING THOSE SERVING CHILDREN, YOUTH, SENIORS, PARENTS, ETHNIC MINORITIES, AND OTHER VULNERABLE POPULATIONS, SUCH AS IMMIGRANTS, THOSE EXPERIENCING HOMELESSNESS, THOSE EXPERIENCING FOOD INSECURITY, AND THOSE SUFFERING FROM DEMENTIA, MENTAL HEALTH, AND SUBSTANCE USE DISORDERS - COMMUNITY GROUPS, INCLUDING COLLABORATIVES AND COALITIONS (1) - FAITH-BASED (1) - BUSINESS SECTOR (1) BETWEEN APRIL AND JUNE 2018, AI CONDUCTED PRIMARY RESEARCH VIA KEY INFORMANT INTERVIEWS WITH 19 SAN MATEO COUNTY EXPERTS FROM VARIOUS ORGANIZATIONS. THESE EXPERTS INCLUDED THE DEPUTY CHIEF OF THE COUNTY HEALTH SYSTEM, COMMUNITY CLINIC MANAGERS, AND CLINICIANS. INTERVIEWS WERE CONDUCTED IN PERSON OR BY TELEPHONE FOR APPROXIMATELY ONE HOUR. AI ASKED INFORMANTS: - WHAT ARE THE MOST IMPORTANT/PRESSING HEALTH NEEDS IN SAN MATEO COUNTY? - WHAT DRIVERS OR BARRIERS ARE IMPACTING THE TOP HEALTH NEEDS? - TO WHAT EXTENT IS HEALTH CARE ACCESS A NEED IN THE COMMUNITY? - TO WHAT EXTENT IS MENTAL HEALTH A NEED IN THE COMMUNITY? - WHAT POLICIES OR RESOURCES ARE NEEDED TO IMPACT HEALTH NEEDS? FOUR FOCUS GROUPS WERE CONDUCTED WITH A TOTAL OF 45 PROFESSIONALS AND COMMUNITY LEADERS FROM APRIL TO MAY 2018. THE QUESTIONS WERE THE SAME AS THOSE USED WITH KEY INFORMANTS. AI CONDUCTED FIVE RESIDENT FOCUS GROUPS WITH A TOTAL OF 45 RESIDENTS BETWEEN APRIL AND JUNE 2018. THE DISCUSSIONS CENTERED ON THE SAME FIVE QUESTIONS AS THE KEY INFORMANTS, WHICH AI MODIFIED APPROPRIATELY FOR EACH AUDIENCE. NONPROFIT HOSTS, SUCH AS THE PENINSULA CONFLICT RESOLUTION CENTER, RECRUITED PARTICIPANTS FOR THE GROUPS. TO PROVIDE A VOICE TO THE COMMUNITY IT SERVES IN SAN MATEO COUNTY, AND IN ALIGNMENT WITH IRS REGULATIONS, THE FOCUS GROUPS TARGETED RESIDENTS WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME, OR OF A MINORITY POPULATION. A TOTAL OF 45 COMMUNITY MEMBERS PARTICIPATED IN THE FOCUS GROUP DISCUSSIONS ACROSS SAN MATEO COUNTY. AI ASKED ALL PARTICIPANTS TO COMPLETE AN ANONYMOUS DEMOGRAPHIC SURVEY. THE RESULTS: - 41 PERCENT OF RESPONDENTS WERE LATINX, 25 PERCENT WERE WHITE, 18 PERCENT WERE PACIFIC ISLANDER, 5 PERCENT WERE ASIAN, 5 PERCENT WERE AFRICAN ANCESTRY, AND THE REST WERE OF MULTIPLE ETHNICITIES. - 20 PERCENT OF RESPONDENTS WERE AGE 25 OR YOUNGER, AND 50 PERCENT WERE AGE 65 OR OLDER. - 73 PERCENT WERE FEMALE, 22 PERCENT WERE MALE, AND 5 PERCENT WERE GENDER-NONCONFORMING. - 68 PERCENT REPORTED HAVING AN ANNUAL HOUSEHOLD INCOME OF LESS THAN $49,000 PER YEAR, WHICH IS BELOW THE 2018 CALIFORNIA SELF-SUFFICIENCY STANDARD29 FOR SAN MATEO COUNTY FOR TWO ADULTS WITH NO CHILDREN ($67,243). HALF WERE LOW-INCOME (I.E., MEDI-CAL ELIGIBLE30 OR EARNING LESS THAN $25,000). THIS DEMONSTRATES A HIGH LEVEL OF NEED AMONG PARTICIPANTS IN AN AREA WHERE THE COST OF LIVING IS EXTREMELY HIGH COMPARED WITH OTHER AREAS OF CALIFORNIA. THE FINDINGS IN MILLS PENINSULA MEDICAL CENTER'S CHNA ARE AVAILABLE AT: https://www.sutterhealth.org/for-patients/ community-health-needs-assessment SUTTER MATERNITY & SURGERY CENTER, SANTA CRUZ (REPORTING GROUP B, 15): SUTTER MATERNITY & SURGERY CENTER SANTA CRUZ (SMSC), A FACILITY OF MPMC, CONTRACTED WITH ACTIONABLE INSIGHTS (AI) TO COLLECT AND REVIEW SECONDARY QUANTITATIVE (STATISTICAL) DATA FROM OTHER SOURCES AND PRIMARY QUALITATIVE DATA THROUGH KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. ACTIONABLE INSIGHTS CONDUCTED PRIMARY RESEARCH FOR THIS ASSESSMENT. AI USED TWO STRATEGIES FOR COLLECTING COMMUNITY INPUT: KEY INFORMANT INTERVIEWS WITH HEALTH AND COMMUNITY-SERVICE EXPERTS AND FOCUS GROUPS WITH PROFESSIONALS AND COMMUNITY MEMBERS. PRIMARY RESEARCH PROTOCOLS WERE GENERATED BY AI IN COLLABORATION WITH SMSC, BASED ON A DISCUSSION WITH SMSC ABOUT WHAT IT WISHED TO LEARN DURING THE 2019 CHNA. SMSC SOUGHT TO BUILD UPON PRIOR CHNAS BY FOCUSING THE PRIMARY RESEARCH ON THE COMMUNITY'S PERCEPTIONS OF MENTAL HEALTH AND HOUSING AND HOMELESSNESS, AS WELL AS ITS EXPERIENCE WITH HEALTH CARE ACCESS AND DELIVERY. ALL THREE ISSUES WERE IDENTIFIED AS A MAJOR HEALTH NEEDS IN 2016. RELATIVELY LITTLE TIMELY QUANTITATIVE DATA EXISTS ON THESE SUBJECTS. AI RECORDED EACH INTERVIEW AND FOCUS GROUP AS A STANDALONE PIECE OF DATA. RECORDINGS WERE TRANSCRIBED, AFTER WHICH THE TEAM USED QUALITATIVE RESEARCH SOFTWARE TOOLS TO ANALYZE THE TRANSCRIPTS FOR COMMON THEMES. AI ALSO TABULATED HOW MANY TIMES HEALTH NEEDS HAD BEEN PRIORITIZED BY EACH OF THE FOCUS GROUPS OR DESCRIBED AS A PRIORITY IN A KEY INFORMANT INTERVIEW. SMSC USED THIS TABULATION TO HELP ASSESS COMMUNITY HEALTH PRIORITIES. ACROSS THE KEY INFORMANT INTERVIEWS AND FOCUS GROUPS, AI SOLICITED INPUT FROM 25 COMMUNITY LEADERS AND REPRESENTATIVES OF VARIOUS ORGANIZATIONS AND SECTORS. THESE REPRESENTATIVES EITHER WORK IN THE HEALTH FIELD OR IN A COMMUNITY-BASED ORGANIZATION THAT FOCUSES ON IMPROVING HEALTH AND QUALITY OF LIFE CONDITIONS BY SERVING THOSE FROM IRS-IDENTIFIED HIGH-NEED TARGET POPULATIONS. IN THE LIST BELOW, THE NUMBER IN PARENTHESES INDICATES THE NUMBER OF PARTICIPANTS FROM EACH SECTOR. - SANTA CRUZ COUNTY HEALTH (3) - OTHER PUBLIC EMPLOYEES (FROM COUNTY AGENCIES, SCHOOL DISTRICTS, ETC.) (3) - OTHER HOSPITALS, CLINICS, AND HEALTH CARE SYSTEMS (13) - MENTAL HEALTH, SUBSTANCE USE, AND VIOLENCE PREVENTION PROVIDERS (2) - OTHER NONPROFIT COMMUNITY-BASED ORGANIZATIONS (4), INCLUDING THOSE SERVING CHILDREN, YOUTH, SENIORS, PARENTS, ETHNIC MINORITIES, AND OTHER VULNERABLE POPULATIONS, SUCH AS IMMIGRANTS, THOSE EXPERIENCING HOMELESSNESS, AND THOSE EXPERIENCING FOOD INSECURITY. KEY INFORMANT INTERVIEWS BETWEEN APRIL AND MAY 2019, AI CONDUCTED PRIMARY RESEARCH VIA KEY INFORMANT INTERVIEWS WITH SEVEN SANTA CRUZ COUNTY EXPERTS FROM VARIOUS ORGANIZATIONS. THESE EXPERTS INCLUDED THE DIRECTOR OF THE COUNTY HEALTH SYSTEM AND LEADERS OF COMMUNITY-BASED ORGANIZATIONS. INTERVIEWS WERE CONDUCTED IN PERSON OR BY TELEPHONE FOR APPROXIMATELY ONE HOUR. AI ASKED INFORMANTS: - WHAT ARE THE MOST IMPORTANT/PRESSING HEALTH NEEDS IN SAN MATEO COUNTY? - WHAT DRIVERS OR BARRIERS ARE IMPACTING THE TOP HEALTH NEEDS? - TO WHAT EXTENT IS HEALTH CARE ACCESS A NEED IN THE COMMUNITY? - TO WHAT EXTENT IS MENTAL HEALTH A NEED IN THE COMMUNITY? - TO WHAT EXTENT IS HOUSING A NEED IN THE COMMUNITY? - WHAT POLICIES OR RESOURCES ARE NEEDED TO IMPACT HEALTH NEEDS? FOCUS GROUPS TWO FOCUS GROUPS WERE CONDUCTED IN MAY 2019 WITH A TOTAL OF 19 PROFESSIONALS AND COMMUNITY LEADERS.THE QUESTIONS WERE THE SAME AS THOSE USED WITH KEY INFORMANTS. THE FINDINGS IN SUTTER MATERNITY & SURGERY CENTER'S CHNA ARE AVAILABLE AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/ COMMUNITY-HEALTH-NEEDS-ASSESSMENT SCHEDULE H, PART V, LINES 6A & 6B MILLS-PENINSULA MEDICAL CENTER (REPORTING GROUP B, 4 & 12): MILLS-PENINSULA MEDICAL CENTER (MPMC) AND ITS PARTNERS IN THE HEALTHY COMMUNITY COLLABORATIVE (HCC) OF SAN MATEO COUNTY ARE PLEASED TO HAVE PRODUCED THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE HCC CONSISTS OF REPRESENTATIVES FROM NONPRO

REPORTING FACILITY: C, (1-2, 6, 10-11, & 16)
"PART V, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. PART V, LINE 5 ALTA BATES SUMMIT MEDICAL CENTER (REPORTING GROUP C, 1-2, 10-11 & 16): IN CONDUCTING ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), ALTA BATES SUMMIT MEDICAL CENTER (ABSMC), A FACILITY OF SUTTER BAY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. ACTIONABLE INSIGHTS (AI) CONDUCTED THE PRIMARY RESEARCH FOR THIS ASSESSMENT. AI USED THREE STRATEGIES FOR COLLECTING COMMUNITY INPUT: KEY INFORMANT INTERVIEWS WITH HEALTH EXPERTS, FOCUS GROUPS WITH PROFESSIONALS, AND FOCUS GROUPS WITH RESIDENTS. PRIMARY RESEARCH PROTOCOLS GENERATED BY AI IN COLLABORATION WITH THE HOSPITALS IN ALAMEDA AND CONTRA COSTA COUNTIES WERE BASED ON FACILITATED DISCUSSION AMONG THE HOSPITALS' REPRESENTATIVES ABOUT WHAT THEY WISHED TO LEARN DURING THE 2019 CHNA. THE HOSPITALS SOUGHT TO BUILD UPON PRIOR CHNAS BY FOCUSING THE PRIMARY RESEARCH ON THE COMMUNITY'S PERCEPTION OF MENTAL HEALTH (IDENTIFIED AS A MAJOR HEALTH NEED IN THE 2016 CHNA) AND THEIR EXPERIENCE WITH HEALTHCARE ACCESS AND DELIVERY (ALSO IDENTIFIED AS A MAJOR HEALTH NEED IN 2016). RELATIVELY LITTLE TIMELY QUANTITATIVE DATA EXIST ON THESE SUBJECTS. AI RECORDED EACH INTERVIEW AND FOCUS GROUP AS A STANDALONE PIECE OF DATA. RECORDINGS WERE TRANSCRIBED, AND THEN THE TEAM USED QUALITATIVE RESEARCH SOFTWARE TOOLS TO ANALYZE THE TRANSCRIPTS FOR COMMON THEMES. AI ALSO TABULATED HOW MANY TIMES HEALTH NEEDS HAD BEEN PRIORITIZED BY EACH OF THE FOCUS GROUPS OR DESCRIBED AS A PRIORITY IN KEY INFORMANT INTERVIEWS. THE NORTHERN ALAMEDA COUNTY HOSPITALS (""THE N-AC HOSPITALS"") USED THIS TABULATION TO HELP ASSESS COMMUNITY HEALTH PRIORITIES. THROUGH THE KEY INFORMANT INTERVIEWS AND FOCUS GROUPS, AI SOLICITED INPUT FROM 36 RESIDENTS AND 68 COMMUNITY LEADERS AND REPRESENTATIVES. THE LEADERS AND REPRESENTATIVES WORKED EITHER IN THE HEALTHCARE FIELD OR IN COMMUNITY-BASED ORGANIZATIONS FOCUSED ON IMPROVING HEALTH AND QUALITY OF LIFE CONDITIONS BY SERVING THOSE FROM IRS-IDENTIFIED HIGH-NEED POPULATIONS. KEY INFORMANT INTERVIEWS BETWEEN JUNE AND AUGUST 2018, AI CONDUCTED PRIMARY RESEARCH VIA KEY INFORMANT INTERVIEWS WITH 16 LOCAL AND/OR REGIONAL EXPERTS FROM VARIOUS ORGANIZATIONS. THESE EXPERTS INCLUDED INDIVIDUALS FROM THE PUBLIC HEALTH DEPARTMENT, COMMUNITY CLINIC MANAGERS, AND CLINICIANS. INTERVIEWS WERE CONDUCTED IN PERSON OR BY TELEPHONE FOR APPROXIMATELY ONE HOUR. AI ASKED INTERVIEWEES: -WHAT ARE THE MOST IMPORTANT/PRESSING HEALTH NEEDS IN THE LOCAL AREA? -WHAT DRIVERS OR BARRIERS ARE IMPACTING THE TOP HEALTH NEEDS? -TO WHAT EXTENT IS HEALTHCARE ACCESS A NEED IN THE COMMUNITY? -TO WHAT EXTENT IS MENTAL HEALTH A NEED IN THE COMMUNITY? -WHAT POLICIES OR RESOURCES ARE NEEDED TO IMPACT HEALTH NEEDS? FOCUS GROUPS INPUT FROM PROFESSIONALS AND COMMUNITY LEADERS SEVEN FOCUS GROUPS WERE CONDUCTED FROM JULY TO SEPTEMBER 2018 WITH A TOTAL OF 54 PROFESSIONALS AND COMMUNITY LEADERS. THE QUESTIONS WERE THE SAME AS THOSE USED WITH KEY INFORMANT INTERVIEWEES. INPUT FROM RESIDENTS AI CONDUCTED TWO RESIDENT FOCUS GROUPS WITH A TOTAL OF 36 RESIDENTS IN AUGUST AND SEPTEMBER 2018. THE DISCUSSIONS CENTERED AROUND THE SAME FIVE QUESTIONS ASKED OF THE KEY INFORMANT INTERVIEWEES, WHICH AI MODIFIED APPROPRIATELY FOR EACH AUDIENCE. NONPROFIT HOSTS SUCH AS YOUTH RADIO RECRUITED PARTICIPANTS FOR THE GROUPS. TO GIVE A VOICE TO THE COMMUNITY, AND IN ALIGNMENT WITH IRS REGULATIONS, THE FOCUS GROUPS TARGETED RESIDENTS WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME, OR OF A MINORITY POPULATION. THE FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN ABSMC'S CHNA ARE AVAILABLE AT: https://www.sutterhealth.org/for-patients/ community-health-needs-assessment SUTTER DELTA MEDICAL CENTER (REPORTING GROUP C, 6): IN CONDUCTING ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), SUTTER DELTA MEDICAL CENTER (SDMC), A FACILITY OF SUTTER BAY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA (KEY INFORMANTS). ACTIONABLE INSIGHTS CONDUCTED THE PRIMARY RESEARCH FOR THIS ASSESSMENT. AI USED THREE STRATEGIES FOR COLLECTING COMMUNITY INPUT: KEY INFORMANT INTERVIEWS WITH HEALTH EXPERTS, FOCUS GROUPS WITH PROFESSIONALS, AND FOCUS GROUPS WITH RESIDENTS. PRIMARY RESEARCH PROTOCOLS GENERATED BY AI IN COLLABORATION WITH THE HOSPITALS IN ALAMEDA AND CONTRA COSTA COUNTIES WERE BASED ON FACILITATED DISCUSSION AMONG THE HOSPITALS' REPRESENTATIVES ABOUT WHAT THEY WISHED TO LEARN DURING THE 2019 CHNA. THE HOSPITALS SOUGHT TO BUILD UPON PRIOR CHNAS BY FOCUSING THE PRIMARY RESEARCH ON THE COMMUNITY'S PERCEPTION OF MENTAL HEALTH (IDENTIFIED AS A MAJOR HEALTH NEED IN THE 2016 CHNA) AND THEIR EXPERIENCE WITH HEALTHCARE ACCESS AND DELIVERY (ALSO IDENTIFIED AS A MAJOR HEALTH NEED IN 2016). RELATIVELY LITTLE TIMELY QUANTITATIVE DATA EXIST ON THESE SUBJECTS. AI RECORDED EACH INTERVIEW AND FOCUS GROUP AS A STANDALONE PIECE OF DATA. RECORDINGS WERE TRANSCRIBED, AND THEN THE TEAM USED QUALITATIVE RESEARCH SOFTWARE TOOLS TO ANALYZE THE TRANSCRIPTS FOR COMMON THEMES. AI ALSO TABULATED HOW MANY TIMES HEALTH NEEDS HAD BEEN PRIORITIZED BY EACH OF THE FOCUS GROUPS OR DESCRIBED AS A PRIORITY IN A KEY INFORMANT INTERVIEW. THE E-CCC HOSPITALS USED THIS TABULATION TO HELP ASSESS COMMUNITY HEALTH PRIORITIES. THROUGH THE KEY INFORMANT INTERVIEWS AND FOCUS GROUPS, AI SOLICITED INPUT FROM 37 RESIDENTS AND 43 COMMUNITY LEADERS AND REPRESENTATIVES. THE LEADERS AND REPRESENTATIVES WORKED EITHER IN THE HEALTH FIELD OR IN COMMUNITY-BASED ORGANIZATIONS FOCUSED ON IMPROVING HEALTH AND QUALITY OF LIFE CONDITIONS BY SERVING THOSE FROM IRS-IDENTIFIED HIGH-NEED POPULATIONS.19 CONTRA COSTA HEALTH SERVICES (THE PUBLIC HEALTH DEPARTMENT) FACILITATED THE FOCUS GROUPS AND PROVIDED INPUT INTO THE PROTOCOLS. KEY INFORMANT INTERVIEWS BETWEEN JUNE AND AUGUST 2018, AI CONDUCTED PRIMARY RESEARCH VIA KEY INFORMANT INTERVIEWS WITH 16 LOCAL AND/OR REGIONAL EXPERTS FROM VARIOUS ORGANIZATIONS. THESE EXPERTS INCLUDED INDIVIDUALS FROM THE PUBLIC HEALTH DEPARTMENT, COMMUNITY CLINIC MANAGERS, AND CLINICIANS. INTERVIEWS WERE CONDUCTED IN PERSON OR BY TELEPHONE FOR APPROXIMATELY ONE HOUR. AI ASKED: -WHAT ARE THE MOST IMPORTANT/PRESSING HEALTH NEEDS IN THE LOCAL AREA? -WHAT DRIVERS OR BARRIERS ARE IMPACTING THE TOP HEALTH NEEDS? -TO WHAT EXTENT IS HEALTHCARE ACCESS A NEED IN THE COMMUNITY? -TO WHAT EXTENT IS MENTAL HEALTH A NEED IN THE COMMUNITY? -WHAT POLICIES OR RESOURCES ARE NEEDED TO IMPACT HEALTH NEEDS? FOCUS GROUPS INPUT FROM PROFESSIONALS AND COMMUNITY LEADERS THREE FOCUS GROUPS WERE CONDUCTED WITH A TOTAL OF 27 PROFESSIONALS AND COMMUNITY LEADERS IN AUGUST AND SEPTEMBER 2018. THE QUESTIONS WERE THE SAME AS THOSE USED WITH KEY INFORMANT INTERVIEWEES. INPUT FROM RESIDENTS FOUR RESIDENT FOCUS GROUPS WERE CONDUCTED WITH A TOTAL OF 37 RESIDENTS IN AUGUST AND SEPTEMBER 2018. THE DISCUSSIONS CENTERED AROUND THE SAME FIVE QUESTIONS ASKED OF THE KEY INFORMANT INTERVIEWEES, WHICH AI MODIFIED APPROPRIATELY FOR EACH AUDIENCE. NONPROFIT HOSTS SUCH AS LOAVES & FISHES RECRUITED PARTICIPANTS FOR THE GROUPS. TO PROVIDE A VOICE TO THE COMMUNITY, AND IN ALIGNMENT WITH IRS REGULATIONS, THE FOCUS GROUPS TARGETED RESIDENTS WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME, OR OF A MINORITY POPULATION. THE FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN SUTTER DELTA MEDICAL CENTER'S CHNA ARE AVAILABLE AT: https://www.sutterhealth.org/for-patients/ community-health-needs-assessment PART V, LINE 6A ALTA BATES SUMMIT MEDICAL CENTER (REPORTING GROUP C, 1-2, 10-11 & 16): COMMUNITY BENEFIT MANAGERS FROM ALTA BATES SUMMIT MEDICAL CENTER AND THREE OTHER HOSPITALS IN NORTHERN ALAMEDA COUNTY (""THE N-AC HOSPITALS"") CONTRACTED WITH ACTIONABLE INSIGHTS IN 2018 TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT IN 2019. THE HOSPITALS THAT PARTNERED WITH ALTA BATES SUMMIT MEDICAL CENTER IN NORTHERN ALAMEDA COUNTY WERE: -JOHN MUIR HEALTH -KAISER PERMANENTE-EAST BAY AREA (KAISER FOUNDATION HOSPITAL-OAKLAND) -UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND SUTTER DELTA MEDICAL CENTER (REPORTING GROUP C, 6): COMMUNITY BENEFIT MANAGERS FROM SUTTER DELTA MEDICAL CENTER AND TWO OTHER LOCAL HOSPITALS IN EASTERN CONTRA COSTA COUNTY (""THE E-CCC HOSPITALS"") CONTRACTED WITH ACTIONABLE INSIGHTS IN 2018 TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT IN 2019. THE HOSPITALS THAT PARTNERED WITH SUTTER DELTA MEDICAL CENTER IN EASTERN CONTRA COSTA COUNTY WERE: -CONTRA COSTA HEALTH SERVICES -JOHN MUIR HEALTH -KAISER FOUNDATION HOSPITAL-ANTIOCH PART V, LINE 7A, 7B, 10A ALTA BATES SUMMIT MEDICAL CENTER (REPORTING GROUP C, 1-2, 10-11 & 16): FILING ORGANIZATION WEBSITE: http://www.altabatessummit.org/about/ communitybenefit/community-assessment.html OTHER ORGANIZATION WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/ COMMUNITY-HEALTH-NEEDS-A"

REPORTING FACILITY: #7, EDEN MEDICAL CENTER
"PART V, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. PART V, LINE 5 IN CONDUCTING ITS MOST RECENT CHNA, EDEN MEDICAL CENTER (EMC) DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. ACTIONABLE INSIGHTS CONDUCTED THE PRIMARY RESEARCH FOR THIS ASSESSMENT. AI USED THREE STRATEGIES FOR COLLECTING COMMUNITY INPUT: KEY INFORMANT INTERVIEWS WITH HEALTH EXPERTS, FOCUS GROUPS WITH PROFESSIONALS, AND FOCUS GROUPS WITH RESIDENTS. AI RECORDED EACH INTERVIEW AND FOCUS GROUP AS A STANDALONE PIECE OF DATA. RECORDINGS WERE TRANSCRIBED, AND THEN THE TEAM USED QUALITATIVE RESEARCH SOFTWARE TOOLS TO ANALYZE THE TRANSCRIPTS FOR COMMON THEMES. AI ALSO TABULATED HOW MANY TIMES HEALTH NEEDS HAD BEEN PRIORITIZED BY EACH OF THE FOCUS GROUPS OR DESCRIBED AS A PRIORITY IN KEY INFORMANT INTERVIEWS. THE SL/H HOSPITALS USED THIS TABULATION TO HELP ASSESS COMMUNITY HEALTH PRIORITIES. THROUGH THE KEY INFORMANT INTERVIEWS AND FOCUS GROUPS, AI SOLICITED INPUT FROM 34 RESIDENTS AND 39 COMMUNITY LEADERS AND REPRESENTATIVES OF VARIOUS ORGANIZATIONS AND SECTORS. THESE REPRESENTATIVES EITHER WORK IN THE HEALTHCARE FIELD OR IN COMMUNITY-BASED ORGANIZATIONS FOCUSED ON IMPROVING HEALTH AND QUALITY OF LIFE CONDITIONS BY SERVING THOSE FROM IRS-IDENTIFIED HIGH-NEED POPULATIONS. KEY INFORMANT INTERVIEWS BETWEEN JUNE AND AUGUST 2018, AI CONDUCTED PRIMARY RESEARCH VIA KEY INFORMANT INTERVIEWS WITH 15 LOCAL AND/OR REGIONAL EXPERTS FROM VARIOUS ORGANIZATIONS. THESE EXPERTS INCLUDED INDIVIDUALS FROM THE PUBLIC HEALTH DEPARTMENT, COMMUNITY CLINIC MANAGERS, AND CLINICIANS. INTERVIEWS WERE CONDUCTED IN PERSON OR BY TELEPHONE FOR APPROXIMATELY ONE HOUR. AI ASKED INFORMANTS: -WHAT ARE THE MOST IMPORTANT/PRESSING HEALTH NEEDS IN THE LOCAL AREA? -WHAT DRIVERS OR BARRIERS ARE IMPACTING THE TOP HEALTH NEEDS? -TO WHAT EXTENT IS HEALTHCARE ACCESS A NEED IN THE COMMUNITY? -TO WHAT EXTENT IS MENTAL HEALTH A NEED IN THE COMMUNITY? -WHAT POLICIES OR RESOURCES ARE NEEDED TO IMPACT HEALTH NEEDS? FOCUS GROUPS INPUT FROM PROFESSIONALS AND COMMUNITY LEADERS FOUR FOCUS GROUPS WERE CONDUCTED WITH A TOTAL OF 24 PROFESSIONALS AND COMMUNITY LEADERS IN AUGUST AND SEPTEMBER 2018. THE QUESTIONS WERE THE SAME AS THOSE USED WITH KEY INFORMANT INTERVIEWEES. INPUT FROM RESIDENTS AI CONDUCTED THREE RESIDENT FOCUS GROUPS WITH A TOTAL OF 34 RESIDENTS IN JULY AND AUGUST 2018. THE DISCUSSIONS CENTERED AROUND THE SAME FIVE QUESTIONS ASKED OF THE KEY INFORMANT INTERVIEWEES, WHICH AI MODIFIED APPROPRIATELY FOR EACH AUDIENCE. NONPROFIT HOSTS SUCH AS LA FAMILIA COUNSELING RECRUITED PARTICIPANTS FOR THE GROUPS. TO GIVE A VOICE TO THE COMMUNITY, AND IN ALIGNMENT WITH IRS REGULATIONS, THE FOCUS GROUPS TARGETED RESIDENTS WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME, OR OF A MINORITY POPULATION. THE FINDINGS IN EDEN MEDICAL CENTER'S CHNA ARE AVAILABLE AT https://www.sutterhealth.org/for-patients/ community-health-needs-assessment PART V, LINE 6 EDEN MEDICAL CENTER (REPORTING FACILITY #7): COMMUNITY BENEFIT MANAGERS FROM EDEN MEDICAL CENTER AND FOUR OTHER HOSPITALS IN THE SAN LEANDRO/ HAYWARD REGION (""THE SL/H HOSPITALS"") CONTRACTED WITH ACTIONABLE INSIGHTS IN 2018 TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT IN 2019. THE HOSPITALS THAT PARTNERED WITH EDEN MEDICAL CENTER IN THE SAN LEANDRO/HAYWARD REGION WERE: -KAISER FOUNDATION HOSPITAL-SAN LEANDRO -ST. ROSE HOSPITAL -UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND -WASHINGTON HOSPITAL HEALTHCARE SYSTEM PART V, LINES 7A, 7B, 10A EDEN MEDICAL CENTER (REPORTING FACILITY #7): HOSPITAL FACILITY'S WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/EDEN/FOR-PATIENTS/ COMMUNITY-HEALTH-NEEDS-ASSESSMENT OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/ COMMUNITY-HEALTH-NEEDS-ASSESSMENT PART V, LINE 11 EDEN MEDICAL CENTER (REPORTING FACILITY #7): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT EDEN MEDICAL CENTER INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: -BEHAVIORAL HEALTH -ECONOMIC SECURITY -HOUSING AND HOMELESSNESS -HEALTHCARE ACCESS AND DELIVERY DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. EDEN MEDICAL CENTER IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT: -EDUCATION AND LITERACY -COMMUNITY AND FAMILY SAFETY -HEALTHY EATING/ACTIVE LIVING -TRANSPORTATION AND TRAFFIC -CLIMATE/NATURAL ENVIRONMENT EDEN MEDICAL CENTER WILL FOCUS ON THE TOP FIVE HEALTH NEEDS THAT WERE IDENTIFIED AND PRIORITIZED THROUGH THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT. THE DECISION TO NOT DIRECTLY ADDRESS THE REMAINING FOUR HEALTH NEEDS, LISTED ABOVE, WAS BASED ON THE MAGNITUDE AND SCALE OF HEALTH NEEDS, RESOURCES AVAILABLE, AND COMMITMENT TO DEVELOPING A FOCUSED STRATEGY IN RESPONSE TO THE NEEDS ASSESSMENT. SCHEDULE H, PART V, LINE 15E METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: EDEN MEDICAL CENTER (FACILITY #7): PATIENTS MAY REQUEST ASSISTANCE WITH COMPLETING THE APPLICATION FOR FINANCIAL ASSISTANCE IN PERSON AT THE HOSPITAL, OVER THE PHONE, THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE. SCHEDULE H, PART V, LINES 16A, 16B, & 16C EDEN MEDICAL CENTER (FACILITY #7): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER HEALTH WEBSITE AT: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/FINANCIAL-ASSISTANCE.HTML SCHEDULE H, PART V, LINE 16J MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: EDEN MEDICAL CENTER (FACILITY #7): THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITAL'S SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE ORGANIZATION IN THE PRINCIPAL NEWSPAPER IN THE COMMUNITY OR WHEN DOING SO IS NOT PRACTICAL SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THE INFORMATION OR USE OTHER MEANS THAT WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY. SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. SCHEDULE H, PART V, LINE 22D AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: EDEN MEDICAL CENTER (FACILITY #7): THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR FULL WRITE OFF OF ALL CHARGES FOR AN UNINSURED PATIENT WITH A FAMILY INCOME AT OR BELOW 400% OF THE MOST RECENT FEDERAL POVERTY LEVEL. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-5, THIS ORGANIZATION ADOPTS THE PROSPECTIVE MEDICARE METHOD FOR AMOUNTS GENERALLY BILLED; HOWEVER, PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT FINANCIALLY RESPONSIBLE FOR MORE THAN THE AMOUNTS GENERALLY BILLED BECAUSE ELIGIBLE PATIENTS DO NOT PAY ANY AMOUNT."

REPORTING FACILITY #9, SUTTER SANTA ROSA REGIONAL HOSPITAL
"PART V, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, LINE 5 SUTTER SANTA ROSA REGIONAL HOSPITAL (REPORTING FACILITY #9): COMMUNITY INPUT WAS PROVIDED BY A BROAD RANGE OF COMMUNITY MEMBERS THROUGH KEY INFORMANT INTERVIEWS, GROUP INTERVIEWS, AND FOCUS GROUPS. INDIVIDUALS WITH THE KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY WERE CONSULTED. THESE INDIVIDUALS INCLUDED REPRESENTATIVES FROM HEALTH DEPARTMENTS, SCHOOL DISTRICTS, LOCAL NON-PROFITS, AND OTHER REGIONAL PUBLIC AND PRIVATE ORGANIZATIONS AS WELL AS COMMUNITY LEADERS, CLIENTS OF LOCAL SERVICE PROVIDERS, AND OTHER INDIVIDUALS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME, AND SUB-POPULATIONS THAT FACE UNIQUE BARRIERS TO HEALTH (E.G., RACE/ETHNIC MINORITY POPULATIONS, INDIVIDUALS EXPERIENCING HOMELESSNESS). II. METHODOLOGY FOR COLLECTION AND INTERPRETATION IN AN EFFORT TO INCLUDE A WIDE RANGE OF COMMUNITY VOICES FROM INDIVIDUALS WITH DIVERSE PERSPECTIVES AND EXPERIENCES AND THOSE WHO WORK WITH OR REPRESENT UNDERSERVED POPULATIONS AND GEOGRAPHIC COMMUNITIES WITHIN THE SRRH SERVICE AREA, HARDER+COMPANY STAFF USED SEVERAL METHODS TO IDENTIFY COMMUNITIES FOR QUALITATIVE DATA COLLECTION ACTIVITIES IN BOTH ENGLISH AND SPANISH. FIRST, HARDER+COMPANY STAFF REVIEWED THE PARTICIPANT LISTS FROM PREVIOUS CHNA REPORTS IN THE SAME SERVICE AREA. SECOND, THEY EXAMINED REPORTS PUBLISHED BY LOCAL 9 ORGANIZATIONS AND AGENCIES (E.G., COUNTY AND CITY PLANS, COMMUNITY-BASED ORGANIZATIONS) TO IDENTIFY ADDITIONAL HIGH-NEED COMMUNITIES. FINALLY, STAFF RESEARCHED LOCAL NEWS STORIES TO IDENTIFY EMERGING HEALTH NEEDS AND SOCIAL CONDITIONS AFFECTING COMMUNITY HEALTH THAT MAY NOT YET BE INDICATED IN SECONDARY DATA. IMPORTANTLY, THE INCLUSION OF SERVICE PROVIDERS (THROUGH KEY INFORMANTS AND PROVIDER GROUP INTERVIEWS) AND COMMUNITY MEMBERS (THROUGH FOCUS GROUPS) ALLOWED US TO IDENTIFY HEALTH NEEDS FROM THE PERSPECTIVES OF SERVICE DELIVERY GROUPS AND BENEFICIARIES. HARDER+COMPANY CONDUCTED KEY INFORMANT INTERVIEWS OVER THE PHONE BY A SINGLE INTERVIEWER, WHILE PROVIDER GROUP INTERVIEWS AND COMMUNITY FOCUS GROUPS WERE IN PERSON AND COMPLETED BY BOTH A FACILITATOR AND NOTETAKER. WHEN RESPONDENTS GRANTED PERMISSION, WE RECORDED AND TRANSCRIBED ALL INTERVIEWS. PRIMARY QUALITATIVE (I.E., COMMUNITY INPUT) DATA WAS ESSENTIAL FOR IDENTIFYING NEEDS THAT HAVE EMERGED SINCE THE PREVIOUS CHNA, SINCE IN ORDER TO BE IDENTIFIED AS A POTENTIAL ""HEALTH NEED"" AN ISSUE HAD TO BE MENTIONED IN AT LEAST HALF OF THE QUALITATIVE DATA COLLECTION ACTIVITIES. HEALTH NEED IDENTIFICATION USED QUALITATIVE DATA BASED ON THE NUMBER OF INTERVIEWEES OR GROUPS WHO REFERENCED EACH HEALTH NEED AS A CONCERN, REGARDLESS OF THE NUMBER OF MENTIONS WITHIN EACH TRANSCRIPT. THE FINDINGS FROM KEY INFORMANT INTERVIEWS and FOCUS GROUPS IN SUTTER SANTA ROSA REGIONAL HOSPITAL'S CHNA ARE AVAILABLE AT: https://www.sutterhealth.org/for-patients/ community-health-needs-assessment SCHEDULE H, PART V, LINE 6A & 6B SUTTER SANTA ROSA REGIONAL HOSPITAL (REPORTING FACILITY #9): SUTTER SANTA ROSA REGIONAL HOSPITAL WORKED WITH BOTH HOSPITAL AND OTHER PARTNER ORGANIZATIONS WITH SIMILAR SERVICE AREAS IN SONOMA COUNTY TO FORM THE SONOMA COUNTY CHNA COLLABORATIVE TO SUPPORT THE 2018/19 CHNA. THIS GROUP DEVELOPED A COORDINATED APPROACH TO PRIMARY DATA COLLECTION, AND THEN DETERMINED THE LIST OF SIGNIFICANT HEALTH NEEDS BASED ON BOTH PRIMARY AND SECONDARY DATA ANALYSIS. SUTTER SANTA ROSA REGIONAL HOSPITAL THEN COORDINATED WITH THESE PARTNERS TO ENGAGE A BROADER GROUP OF COMMUNITY STAKEHOLDERS TO PRIORITIZE THE IDENTIFIED HEALTH NEEDS (DESCRIBED IN SECTION VI-B). COLLABORATIVE HOSPITAL PARTNERS: -KAISER FOUNDATION HOSPITAL - SANTA ROSA -ST. JOSEPH HEALTH - SANTA ROSA MEMORIAL HOSPITAL -SUTTER HEALTH - SANTA ROSA REGIONAL HOSPITAL ADDITIONAL PARTNERS: -SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES SCHEDULE H, PART V, LINE 7A, 7B, 10A CHNA AVAILABILITY ONLINE: SUTTER SANTA ROSA REGIONAL HOSPITAL (REPORTING FACILITY #9): - HOSPITAL FACILITY'S WEBSITE: http://www.suttersantarosa.org/relations/ community-needs-assessment.html - OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/ COMMUNITY-HEALTH-NEEDS-ASSESSMENT SCHEDULE H, PART V, LINE 11 SUTTER SANTA ROSA REGIONAL HOSPITAL (REPORTING FACILITY #9): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER SANTA ROSA REGIONAL HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1.HOUSING AND HOMELESSNESS 2.EDUCATION 3.ECONOMIC SECURITY 4.ACCESS TO CARE 5.CARDIOVASCULAR DISEASE, STROKE AND TOBACCO USE DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. SUTTER SANTA ROSA REGIONAL HOSPITAL IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT: -MATERNAL AND CHILD HEALTH, HEAL, VIOLENCE AND INJURY PREVENTION - ALTHOUGH SIGNIFICANT ISSUES FACING THE COMMUNITY, IT IS NOT WITHIN THE SCOPE OF SERVICES FOR A HOSPITAL TO ADDRESS. THOUGH NOT MAJOR PRIORITIES FOR SSRRH, WE HAVE AND WILL CONTINUE TO RESPOND TO MODEST REQUESTS FOR FUNDING TO SUPPORT PROGRAMS THAT ADDRESS THESE ISSUES. SCHEDULE H, PART V, LINE 15E METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: SUTTER SANTA ROSA REGIONAL HOSPITAL (HOSPITAL FACILITY #9): PATIENTS MAY REQUEST ASSISTANCE WITH COMPLETING THE APPLICATION FOR FINANCIAL ASSISTANCE IN PERSON AT THE HOSPITAL, OVER THE PHONE, THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE. SCHEDULE H, PART V, LINES 16A, 16B, & 16C SUTTER SANTA ROSA REGIONAL HOSPITAL (HOSPITAL FACILITY #9): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER HEALTH WEBSITE AT: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/FINANCIAL-ASSISTANCE.HTML SCHEDULE H, PART V, LINE 16J Sutter Santa Rosa Regional Hospital (Hospital Facility #9): MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITAL'S SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE ORGANIZATION IN THE PRINCIPAL NEWSPAPER IN THE COMMUNITY OR WHEN DOING SO IS NOT PRACTICAL SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THE INFORMATION OR USE OTHER MEANS THAT WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY. SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. SCHEDULE H, PART V, LINE 22D Sutter Santa Rosa Regional Hospital (Hospital Facility #9): AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR FULL WRITE OFF OF ALL CHARGES FOR AN UNINSURED PATIENT WITH A FAMILY INCOME AT OR BELOW 400% OF THE MOST RECENT FEDERAL POVERTY LEVEL. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-5, THIS ORGANIZATION ADOPTS THE PROSPECTIVE MEDICARE METHOD FOR AMOUNTS GENERALLY BILLED; HOWEVER, PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT FINANCIALLY RESPONSIBLE FOR MORE THAN THE AMOUNTS GENERALLY BILLED BECAUSE ELIGIBLE PATIENTS DO NOT PAY ANY AMOUNT."

REPORTING FACILITY: #13, NOVATO COMMUNITY HOSPITAL
SCHEDULE H, PART V, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, LINE 5 NOVATO COMMUNITY HOSPITAL (REPORTING FACILITY #13): IN CONDUCTING ITS MOST RECENT CHNA, NOVATO COMMUNITY HOSPITAL, A FACILITY OF SUTTER BAY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. COMMUNITY INPUT WAS PROVIDED BY A BROAD RANGE OF COMMUNITY MEMBERS THROUGH KEY INFORMANT INTERVIEWS, GROUP INTERVIEWS, AND FOCUS GROUPS. INDIVIDUALS WITH THE KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY WERE CONSULTED. THESE INDIVIDUALS INCLUDED REPRESENTATIVES FROM HEALTH DEPARTMENTS, SCHOOL DISTRICTS, LOCAL NON-PROFITS, AND OTHER REGIONAL PUBLIC AND PRIVATE ORGANIZATIONS AS WELL AS COMMUNITY LEADERS, CLIENTS OF LOCAL SERVICE PROVIDERS, AND OTHER INDIVIDUALS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME, AND SUB-POPULATIONS THAT FACE UNIQUE BARRIERS TO HEALTH (E.G., RACE/ETHNIC MINORITY POPULATIONS, INDIVIDUALS EXPERIENCING HOMELESSNESS) IN AN EFFORT TO INCLUDE A WIDE RANGE OF COMMUNITY VOICES FROM INDIVIDUALS WITH DIVERSE PERSPECTIVES AND EXPERIENCES AND THOSE WHO WORK WITH OR REPRESENT UNDERSERVED POPULATIONS AND GEOGRAPHIC COMMUNITIES WITHIN THE NCH SERVICE AREA, HARDER+COMPANY STAFF USED SEVERAL METHODS TO IDENTIFY COMMUNITIES FOR QUALITATIVE DATA COLLECTION ACTIVITIES. FIRST, HARDER+COMPANY STAFF REVIEWED THE PARTICIPANT LISTS FROM PREVIOUS CHNA REPORTS IN THE SAME SERVICE AREA. SECOND, THEY EXAMINED REPORTS PUBLISHED BY LOCAL ORGANIZATIONS AND AGENCIES (E.G., COUNTY AND CITY PLANS, COMMUNITY-BASED ORGANIZATIONS) TO IDENTIFY ADDITIONAL HIGH-NEED COMMUNITIES. FINALLY, STAFF RESEARCHED LOCAL NEWS STORIES TO IDENTIFY EMERGING HEALTH NEEDS AND SOCIAL CONDITIONS AFFECTING COMMUNITY HEALTH THAT MAY NOT YET BE INDICATED IN SECONDARY DATA. IMPORTANTLY, THE INCLUSION OF SERVICE PROVIDERS (THROUGH KEY INFORMANTS AND PROVIDER GROUP INTERVIEWS) AND COMMUNITY MEMBERS (THROUGH FOCUS GROUPS) ALLOWED US TO IDENTIFY HEALTH NEEDS FROM THE PERSPECTIVES OF SERVICE DELIVERY GROUPS AND BENEFICIARIES. THE CONSULTING TEAM DEVELOPED INTERVIEW AND FOCUS GROUP PROTOCOLS, WHICH THE CHNA COLLABORATIVE REVIEWED. PROTOCOLS WERE DESIGNED TO INQUIRE ABOUT HEALTH NEEDS IN THE COMMUNITY, AS WELL AS A BROAD RANGE OF SOCIAL DETERMINANTS OF HEALTH (I.E., SOCIAL, ECONOMIC, AND ENVIRONMENTAL), BEHAVIORAL, AND CLINICAL CARE FACTORS. SOME OF THE IDENTIFIED FACTORS REPRESENTED BARRIERS TO CARE WHILE OTHERS IDENTIFIED SOLUTIONS OR RESOURCES TO IMPROVE COMMUNITY HEALTH. PARTICIPANTS WERE ALSO ASKED TO DESCRIBE ANY NEW OR EMERGING HEALTH ISSUES AND TO PRIORITIZE THE TOP HEALTH CONCERNS IN THEIR COMMUNITY. HARDER+COMPANY CONDUCTED KEY INFORMANT INTERVIEWS OVER THE PHONE BY A SINGLE INTERVIEWER, WHILE PROVIDER GROUP INTERVIEWS AND COMMUNITY FOCUS GROUPS WERE IN PERSON AND COMPLETED BY BOTH A FACILITATOR AND NOTETAKER. WHEN RESPONDENTS GRANTED PERMISSION, WE RECORDED AND TRANSCRIBED ALL INTERVIEWS. ALL QUALITATIVE DATA WERE CODED AND ANALYZED USING ATLAS.TI SOFTWARE (GMBH, BERLIN, VERSION 7.5.18). A CODEBOOK WITH ROBUST DEFINITIONS WAS DEVELOPED TO CODE TRANSCRIPTS FOR INFORMATION RELATED TO EACH POTENTIAL HEALTH NEED, AS WELL AS TO IDENTIFY COMMENTS RELATED TO SUBPOPULATIONS OR GEOGRAPHIC REGIONS DISPROPORTIONATELY AFFECTED; BARRIERS TO CARE; EXISTING ASSETS OR RESOURCES; AND COMMUNITY-RECOMMENDED HEALTHCARE SOLUTIONS. AT THE ONSET OF ANALYSIS, THREE INTERVIEW TRANSCRIPTS (ONE FROM EACH TYPE OF DATA COLLECTION) WERE CODED BY ALL NINE HARDER+COMPANY TEAM MEMBERS TO ENSURE INTER-CODER RELIABILITY AND MINIMIZE BIAS. FOLLOWING THE INTER-CODER RELIABILITY CHECK, THE CODEBOOK WAS FINALIZED TO ELIMINATE REDUNDANCIES AND CAPTURE ALL EMERGING HEALTH ISSUES AND ASSOCIATED FACTORS. ALL TRANSCRIPTS WERE ANALYZED ACCORDING TO THE FINALIZED CODEBOOK TO IDENTIFY HEALTH ISSUES MENTIONED BY INTERVIEW RESPONDENTS. IN COMPARISON TO SECONDARY (I.E., QUANTITATIVE) DATA SOURCES, PRIMARY QUALITATIVE (I.E., COMMUNITY INPUT) DATA WAS ESSENTIAL FOR IDENTIFYING NEEDS THAT HAVE EMERGED SINCE THE PREVIOUS CHNA. HEALTH NEED IDENTIFICATION USED QUALITATIVE DATA BASED ON THE NUMBER OF INTERVIEWEES OR GROUPS WHO REFERENCED EACH HEALTH NEED AS A CONCERN, REGARDLESS OF THE NUMBER OF MENTIONS WITHIN EACH TRANSCRIPT. FOR ANY PRIMARY DATA COLLECTION ACTIVITIES CONDUCTED IN SPANISH, BILINGUAL STAFF FROM THE HARDER+COMPANY TEAM FACILITATED AND TOOK NOTES. ALL RECORDINGS (IF GRANTED PERMISSION) WERE THEN TRANSCRIBED, BUT NOT TRANSLATED INTO ENGLISH. BILINGUAL STAFF CODED THESE TRANSCRIPTS AND TRANSLATED ANY KEY FINDINGS OR REPRESENTATIVE QUOTES NEEDED FOR THE HEALTH NEED PROFILES. ADDITIONAL DETAILS ON KEY INFORMANTS, COLLABORATIVE PARTNERS AND FOCUS GROUPS CAN BE FOUND IN NOVATO COMMUNITY HOSPITAL'S CHNA AT: https://www.sutterhealth.org/for-patients/ community-health-needs-assessment SCHEDULE H, PART V, LINES 6A & 6B NOVATO COMMUNITY HOSPITAL (REPORTING FACILITY #13): NOVATO COMMUNITY HOSPITAL CONNECTED WITH BOTH HOSPITAL AND OTHER PARTNER ORGANIZATIONS WITH SIMILAR SERVICE AREAS IN MARIN COUNTY TO SUPPORT THE CHNA. IN MARIN COUNTY, MANY OF THESE PARTNERS WERE ALREADY ENGAGED IN A COLLABORATIVE, THE HEALTHY MARIN PARTNERSHIP (HMP), WHICH WAS FORMED IN 1995 AS A RESULT OF WORKING TOGETHER ON PRIOR CHNAS. THIS GROUP DEVELOPED A COORDINATED APPROACH TO PRIMARY DATA COLLECTION, AND THEN DETERMINED THE LIST OF SIGNIFICANT HEALTH NEEDS BASED ON BOTH PRIMARY AND SECONDARY DATA. NCH THEN ORGANIZED WITH THESE PARTNERS TO ENGAGE A BROADER GROUP OF COMMUNITY STAKEHOLDERS TO PRIORITIZE THE IDENTIFIED HEALTH NEEDS (DESCRIBED IN SECTION VI-B). COLLABORATIVE HOSPITAL PARTNERS: - KAISER FOUNDATION HOSPITAL - SAN RAFAEL - MARIN GENERAL HOSPITAL - SUTTER HEALTH - NOVATO COMMUNITY HOSPITAL ADDITIONAL PARTNERS: - MARIN COUNTY HEALTH AND HUMAN SERVICES - HEALTHY MARIN PARTNERSHIP HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA - NORTHBAY LEADERSHIP COUNCIL - MARIN COUNTY OFFICE OF EDUCATION - MARIN COMMUNITY FOUNDATION - SAN RAFAEL CHAMBER OF COMMERCE SCHEDULE H, PART V, LINE 7A, 7B, 10A CHNA AVAILABILITY ONLINE: NOVATO COMMUNITY HOSPITAL (HOSPITAL FACILITY #13): - HOSPITAL FACILITY'S WEBSITE: HTTP://WWW.NOVATOCOMMUNITY.ORG/ABOUT/ COMMUNITY-NEEDS-ASSESSMENT.HTML - OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/ COMMUNITY-HEALTH-NEEDS-ASSESSMENT SCHEDULE H, PART V, LINE 11 NOVATO COMMUNITY HOSPITAL (REPORTING FACILITY #13): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT NOVATO COMMUNITY HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO CARE 2. VIOLENCE AND INJURY PREVENTION DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI, ALONG WITH OTHER CRITICAL EFFORTS ON BEHALF OF NOVATO COMMUNITY HOSPITAL. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. NOVATO COMMUNITY HOSPITAL IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT: 1. ECONOMIC SECURITY 2. EDUCATION 3. MENTAL HEALTH/SUBSTANCE ABUSE 4. ACCESS TO CARE 5. HOUSING/HOMELESSNESS 6. HEAL 7. MATERNAL/INFANT HEALTH 8. VIOLENCE/INJURY PREVENTION 9. ORAL HEALTH 10. SOCIAL CONNECTION SCHEDULE H, PART V, LINE 15E Novato Community Hospital (Reporting Facility #13): METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: PATIENTS MAY REQUEST ASSISTANCE WITH COMPLETING THE APPLICATION FOR FINANCIAL ASSISTANCE IN PERSON AT THE HOSPITAL, OVER THE PHONE, THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE. SCHEDULE H, PART V, LINES 16A, 16B, & 16C Novato Community Hospital (Reporting Facility #13): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER HEALTH WEBSITE AT: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/FINANCIAL-ASSISTANCE.HTML SCHEDULE H, PART V, LINE 16J Novato Community Hospital (Reporting Facility #13): MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITAL'S SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE AP

REPORTING FACILITY: #14, SUTTER LAKESIDE HOSPITAL
SCHEDULE H, PART V, LINE 3E SUTTER LAKESIDE HOSPITAL (REPORTING FACILITY #14): THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, LINE 5 SUTTER LAKESIDE HOSPITAL (REPORTING FACILITY #14): IN CONDUCTING ITS MOST RECENT CHNA, SUTTER LAKESIDE HOSPITAL, A FACILITY OF SUTTER WEST BAY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. THE COMMUNITY INPUT-USING A WIDELY DISTRIBUTED SURVEY, FOCUS GROUPS AND KEY INFORMANT INTERVIEWS. THE SOURCE OF ALL THE FIGURES INCLUDED IN THIS SECTION IS THE LAKE COUNTY COMMUNITY HEALTH ASSESSMENT SURVEY (2019), DESIGNED BY CONDUENT HCI AND DISSEMINATED BY THE PARTNER MEMBERS OF THE HOPE RISING LAKE COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT COLLABORATIVE. A TOTAL OF 708 RESPONSES WERE COLLECTED. THE SAMPLE SIZE MET THE CONDITIONS OF 95% CONFIDENCE INTERVAL AND HAD A MARGIN OF ERROR OF 3.7%. THIS WAS A CONVENIENCE SAMPLE, WHICH MEANS RESULTS MAY BE VULNERABLE TO SELECTION BIAS. THE RESULTS ARE GENERALIZABLE TO THE POPULATION OF LAKE COUNTY. PROFILE OF SURVEY PARTICIPANTS OF THE TOTAL SURVEY PARTICIPANTS, 98.8% (696) SPOKE IN ENGLISH AT HOME AND 8.1% (57) WERE SPANISH SPEAKERS. SURVEY PARTICIPANTS WERE MORE LIKELY TO BE FEMALE THAN MALE (78.4% FEMALE VERSUS 20.4% MALE), HAVE ANNUAL HOUSEHOLD INCOMES ABOVE $50,000 (59.5%) AND HAVE 1-3 YEARS OF EDUCATION (42.5%). THE BULK OF THE SURVEY PARTICIPANTS WERE OF WHITE/CAUCASIAN (79.6%) WHILE THE REMAINDER WERE OF HISPANIC OR LATINO, AMERICAN INDIAN OR ALASKAN NATIVE, AND BLACK OR AFRICAN AMERICAN RACE/ETHNICITY (10.8%, 2.2%, AND 0.57% RESPECTIVELY). THE SURVEY WAS ABLE TO REACH MOST OF THE AGE-GROUPS EQUALLY. FOUR DIFFERENT AGE GROUPS (25-34, 35-44, 45-54, AND 55-64) HAD NEARLY 20% REPRESENTATION IN THIS SURVEY WITH THE HIGHEST GROUP BEING 55-64 YEAR OLDS AT 22.2%. THIS IS IN KEEPING WITH THE AGE PROFILE OF THE COMMUNITY WHICH HAS AN OLDER MEDIAN AGE THAN THE STATE AVERAGE. THE TWO AGE GROUPS - 18-24 YEAR OLDS (4%) AND 75+ YEAR OLDS (2.4%) - CONSTITUTED THE REST OF THE PARTICIPANTS. REGARDING REGULAR HEALTHCARE, 73.3% OF THE SURVEY PARTICIPANTS HAVE A REGULAR PHYSICIAN; 12.26% DO NOT RECEIVE ROUTINE HEALTHCARE OR USE URGENT CARE OR EMERGENCY ROOMS (ER). MOST OF THE PARTICIPANTS HAVE INSURANCE COVERAGE; 93.9% PAY FOR HEALTH CARE WITH THEIR INSURANCE, 19.7% HAVE MEDI-CAL OR MEDICARE AND 6.61% PAY WITH CASH OR OTHER METHODS. OVER 80% OF THE PARTICIPANTS HAD ACHIEVED AN EDUCATION LEVEL HIGHER THAN 1-3 YEARS AT COLLEGE. THE MOST HAD ATTENDED SOME COLLEGE OR TECHNICAL SCHOOL IN THE PAST (42.6%), FOLLOWED BY GRADUATION WITH A COLLEGE DEGREE (AT 20.9%), OR AN ADVANCED DEGREE (AT 20.4%). THE REMAINING PARTICIPANTS INCLUDED THOSE WHO ONLY HAD A HIGH SCHOOL DIPLOMA OR GED (AT 13.8%), AND THOSE WHO HAD LESS THAN A HIGH SCHOOL EDUCATION, WHICH WAS LESS THAN 3%. ONE OF THE KEY OBJECTIVES OF THIS ASSESSMENT WAS TO ENGAGE THE COMMUNITY, INCLUDING VULNERABLE POPULATIONS, PHYSICIANS, AND OTHER SERVICE PROVIDERS TO SHARE THEIR PERCEPTIONS ON HEALTH NEEDS FOR LAKE COUNTY RESIDENTS. KEY INFORMANT INTERVIEWS AND FOCUS GROUP DISCUSSIONS HELPED TO DEVELOP A DEEPER UNDERSTANDING FOR THE REASONS BEHIND THE HEALTH DATA SEEN IN THE PREVIOUS SECTIONS. IT SERVED ALSO TO IDENTIFY THE HIGH PRIORITIES FOR LAKE COUNTY STAKEHOLDERS. IN THE CASE OF THE KEY INFORMANTS, THE INTERVIEWS TOUCHED UPON MANY ISSUES THAT WERE SPECIFIC TO THEIR AREA OF WORK, ESPECIALLY WITH VULNERABLE POPULATIONS, WHEREAS THE FOCUS GROUP DISCUSSIONS WITH COMMUNITY MEMBERS FOCUSED ON AGE, RACE AND/OR GENDER ISSUES RELATED TO ACCESSING HEALTHCARE AND BARRIERS TO ACCESS. THE FINDINGS FROM KEY INFORMANT INTERVIEWS, FOCUS GROUPS, AND SURVEY IN SUTTER LAKESIDE HOSPITAL'S CHNA ARE AVAILABLE AT: https://www.sutterhealth.org/for-patients/ community-health-needs-assessment SCHEDULE H, PART V, LINES 6A & 6B SUTTER LAKESIDE HOSPITAL (REPORTING FACILITY #14): HOPE RISING LAKE COUNTY IS AN ACCOUNTABLE COMMUNITY FOR HEALTH COLLABORATIVE THAT WAS ESTABLISHED IN 2015. HOPE RISING LAKE COUNTY'S VISION IS TO ENSURE THAT LAKE COUNTY IS A HEALTHY PLACE FOR EVERY PERSON TO LIVE, LEARN, ENGAGE AND THRIVE. A FORMAL PARTNERSHIP OF FOURTEEN HEALTH AGENCIES - HEALTH SYSTEMS, COUNTY LEADERS, NON-PROFIT ORGANIZATIONS AND OTHER RELEVANT ORGANIZATIONS OF LAKE COUNTY - THE PURPOSE OF HOPE RISING LAKE COUNTY IS TO MOBILIZE AND INSPIRE COMMUNITY PARTNERSHIPS AND ACTIONS THAT SUPPORT INDIVIDUAL, COLLECTIVE AND COMMUNITY HEALTH. PARTNERING ORGANIZATIONS IN HOPE RISING LAKE COUNTY - ADVENTIST HEALTH CLEAR LAKE - COUNTY OF LAKE BOARD OF SUPERVISORS - LAKE COUNTY HEALTH DEPARTMENT - LAKE COUNTY OFFICE OF EDUCATION - LAKEVIEW HEALTH CENTER - NORTH COAST OPPORTUNITIES - REDWOOD COMMUNITY SERVICES - THE WAY TO WELLVILLE - COUNTY OF LAKE BEHAVIORAL HEALTH - DEPARTMENT OF SOCIAL SERVICES - MENDOCINO COUNTY HEALTH CLINIC - PARTNERSHIP HEALTH PLAN OF CALIFORNIA - SUTTER LAKESIDE HOSPITAL - WOODLAND COMMUNITY COLLEGE SCHEDULE H, PART V, LINE 7A, 7B, 10A CHNA AVAILABILITY ONLINE: SUTTER LAKESIDE HOSPITAL (REPORTING FACILITY #14): - HOSPITAL FACILITY'S WEBSITE: http://www.sutterlakeside.org/about/ community-needs-assessment.html - OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/ COMMUNITY-HEALTH-NEEDS-ASSESSMENT SCHEDULE H, PART V, LINE 11 SUTTER LAKESIDE HOSPITALS (REPORTING FACILITY #14): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT ARE NEEDS THAT SUTTER LAKESIDE HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ADDRESS SUBSTANCE/DRUG ABUSE WITHIN THE COMMUNITY 2. PROVIDE COMMUNITY OUTREACH AND ENGAGEMENT FOR ALL HIGH BURDEN AND/OR DISENFRANCHISED COMMUNITIES 3. INCREASE OPPORTUNITIES FOR CANCER PREVENTION AND SCREENINGS DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. SUTTER LAKESIDE HOSPITAL IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT: - HOUSING AND HOMELESSNESS SCHEDULE H, PART V, LINE 15E Sutter Lakeside Hospital (Reporting Facility #14): METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: PATIENTS MAY REQUEST ASSISTANCE WITH COMPLETING THE APPLICATION FOR FINANCIAL ASSISTANCE IN PERSON AT THE HOSPITAL, OVER THE PHONE, THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE. SCHEDULE H, PART V, LINES 16A, 16B, & 16C SUTTER LAKESIDE HOSPITAL (REPORTING FACILITY #14): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER HEALTH WEBSITE AT: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/FINANCIAL-ASSISTANCE.HTML SCHEDULE H, PART V, LINE 16J Sutter Lakeside Hospital (Reporting Facility #14): MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITAL'S SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE ORGANIZATION IN THE PRINCIPAL NEWSPAPER IN THE COMMUNITY OR WHEN DOING SO IS NOT PRACTICAL SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THE INFORMATION OR USE OTHER MEANS THAT WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY. SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. SCHEDULE H, PART V, LINE 22D SUTTER LAKESIDE HOSPITAL (REPORTING FACILITY #14): AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR FULL WRITE OFF OF ALL CHARGES FOR AN UNINSURED PATIENT WITH A FAMILY INCOME AT OR BELOW 400% OF THE MOST RECENT FEDERAL POVERTY LEVEL. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-5, THIS ORGANIZATION ADOPTS THE PROSPECTIVE MEDICARE METHOD FOR AMOUNTS GENERALLY BILLED; HOWEVER, PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT FINANCIALLY

SCHEDULE H, PART I, LINES 3A & 3C
FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA: FOR UNINSURED PATIENTS TO BE ELIGIBLE FOR FREE CARE THE ORGANIZATION USES THE FEDERAL POVERTY GUIDELINES (FPG) FOR FAMILY INCOMES THAT ARE AT OR BELOW 400% OF FPG. IN ADDITION THE ORGANIZATION HAS A HIGH MEDICAL COST CHARITY CARE CATEGORY IN WHICH A WRITE OFF OF THE PATIENT RESPONSIBILITY FOR HOSPITAL SERVICES CAN OCCUR IF THE INSURED PATIENT HAS FAMILY INCOME AT OR BELOW 400% FPG AND EXPENSES INCURRED FOR THEMSELVES OR THEIR FAMILY EXCEED 10% OF THE PATIENT'S FAMILY INCOME.

SCHEDULE H, PART I, LINE 3B
SUTTER BAY HOSPITALS IS COMMITTED TO PROVIDING CHARITY CARE AND THEREFORE, PROVIDES FREE CARE AT HIGH PERCENTAGE OF FPG. THE ORGANIZATION DOES NOT PROVIDE DISCOUNTED CARE. SCHEDULE H, PART I, LINE 6A JOINT COMMUNITY BENEFIT REPORT: THE COMMUNITY BENEFIT REPORT WAS PREPARED ON BEHALF OF TWO BAY AREA ENTITIES: SUTTER BAY HOSPITALS (EIN: 94-0562680) AND SUTTER BAY MEDICAL FOUNDATION (EIN: 68-0273974).

SCHEDULE H, PART I, LINE 7
COSTING METHODOLOGY USED: COST TO CHARGE RATIO UTILIZING WORKSHEET 2 METHODOLOGY.

SCHEDULE H, PART I, LINE 7G
CALIFORNIA PACIFIC MEDICAL CENTER: THE AMOUNT OF COSTS ASSOCIATED WITH PHYSICIAN CLINICS IS $19,298,189.

SCHEDULE H, PART II
COMMUNITY BUILDING ACTIVITIES: CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A, 3, 5, 8, & 17): CALIFORNIA PACIFIC MEDICAL CENTER (CPMC) FUNDS THE FOLLOWING PROGRAMS THAT HELP ADDRESS THE ROOT CAUSE OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THESE PROGRAMS HELP SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. BUILDING THE SAN FRANCISCO WORKFORCE, ESPECIALLY CREATING OPPORTUNITIES FOR YOUTH, IS A MAJOR FOCUS FOR CPMC. IN 2021, CPMC PROVIDED WORK-READINESS TRAINING AND CAREER EXPLORATION EXPERIENCES TO INDIVIDUALS THROUGH ITS COMMUNITY WORKFORCE PROGRAMS. THESE PARTNERSHIPS HELP EDUCATE AND INSPIRE UNDERSERVED YOUTH TO PURSUE HEALTH CAREERS. THEY INCLUDE: CPMC CONTRIBUTES TO IMMACULATE CONCEPTION ACADEMY WORK STUDY PROGRAM, WHICH PROVIDES A COLLEGE PREPARATORY EDUCATION WITH MEANINGFUL WORK STUDY EXPERIENCE TO STUDENTS COMING FROM FAMILIES WITH LIMITED FINANCIAL MEANS. CPMC CONTRIBUTES TO JEWISH VOCATIONAL SERVICE TO HELP YOUTH AND ADULTS BUILD IN-DEMAND SKILLS AND FIND GOOD JOBS. CPMC'S COMMUNITY BUILDING ACTIVITIES ALSO INCLUDE ENCOURAGING COMMUNITY SUPPORT NETWORKS AND COMMUNITY HEALTH IMPROVEMENT ADVOCACY THROUGH SPONSORSHIPS AND CONTRIBUTIONS. MILLS PENINSULA MEDICAL CENTER (REPORTING GROUP B, 4 & 12) MILLS PENINSULA MEDICAL CENTER SUPPORTS IMMACULATE CONCEPTION ACADEMY'S WORKFORCE DEVELOPMENT PROGRAM. STUDENTS FROM THE HIGH SCHOOL SPEND TIME ROTATING BETWEEN DIFFERENT DEPARTMENTS AND LEARNING BASIC JOB SKILLS. SUTTER MATERNITY & SURGERY CENTER (REPORTING GROUP B, 15) SUTTER MATERNITY & SURGERY CENTER DID NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES TO REPORT IN 2021. ALTA BATES SUMMIT MEDICAL CENTER (REPORTING GROUP C, 1-2, 10-11, & 16) ALTA BATES SUMMIT MEDICAL CENTER DID NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES TO REPORT IN 2021. SUTTER DELTA MEDICAL CENTER (REPORTING GROUP C, 6) SUTTER DELTA MEDICAL CENTER DID NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES TO REPORT IN 2021. EDEN MEDICAL CENTER (REPORTING FACILITY 7) EDEN MEDICAL CENTER FUNDS DID NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES TO REPORT IN 2021. SUTTER SANTA ROSA REGIONAL HOSPITAL (REPORTING FACILITY 9) IN 2021, SUTTER SANTA ROSA REGIONAL HOSPITAL SUPPORTED COMMUNITY HEALTH IMPROVEMENT ADVOCACY THROUGH SENIOR LEADERSHIP'S SERVICE ON SONOMA COUNTY HEALTH ACTION COALITION'S COMMITTEE FOR HEALTHCARE IMPROVEMENT. NOVATO COMMUNITY HOSPITAL (REPORTING FACILITY 13) NOVATO COMMUNITY HOSPITAL DID NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES TO REPORT IN 2021. SUTTER LAKESIDE HOSPITAL (REPORTING FACILITY 14) SUTTER LAKESIDE HOSPITAL SUPPORTS HOPE RISING, WHICH BRINGS TOGETHER LEADERS IN LAKE COUNTY TO IDENTIFY ISSUES, DEVELOP INNOVATIVE SOLUTIONS, AND IMPLEMENT AGREED-UPON ACTIONS WITH ACCOUNTABILITY AND MEASURABLE OUTCOMES.

SCHEDULE H, PART III, SECTION A, LINE 4
BAD DEBT AUDIT FOOTNOTE: THE ORGANIZATION IS AN AFFILIATE OF SUTTER HEALTH WHICH UNDERWENT A SYSTEM-WIDE AUDIT. THE AUDIT REPORT DOES NOT INCLUDE A BAD DEBT EXPENSE FOOTNOTE. EFFECTIVE JANUARY 1, 2018, SUTTER ENTITIES IMPLEMENTED THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS UPDATE (ASU), REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606). THE ACCOUNTING CHANGE MODIFIED BAD DEBT REPORTING, AND AS A RESULT, BAD DEBT IS ONLY REPORTED IN LIMITED SITUATIONS.

SCHEDULE H, PART III, SECTION B, LINE 7
MEDICARE COSTS: MEDICARE COST REPORTS THAT THE ORGANIZATION FILES DO NOT INCLUDE ALL OF THE COSTS REQUIRED TO TREAT MEDICARE PATIENTS. SCHEDULE H, PART III, SECTION B, LINE 8 COSTING METHODOLOGY: MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO. COMMUNITY BENEFIT MEDICARE SHORTFALL: THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. 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 FUNDS TO COVER THE DEFICIT.

SCHEDULE H, PART VI, LINE 4
"COMMUNITY INFORMATION: CALIFORNIA PACIFIC MEDICAL FOUNDATION (REPORTING GROUP A, 3, 5, 8, & 17): THE HOSPITAL SERVICE AREA FOR CALIFORNIA PACIFIC MEDICAL CENTER INCLUDES ALL POPULATIONS RESIDING IN THE CITY AND COUNTY OF SAN FRANCISCO. THERE ARE 13 HOSPITALS IN SAN FRANCISCO COUNTY. SAN FRANCISCO IS THE CULTURAL AND COMMERCIAL CENTER OF THE BAY AREA AND IS THE ONLY CONSOLIDATED CITY AND COUNTY JURISDICTION IN CALIFORNIA. AT ROUGHLY 47 SQUARE MILES, IT IS THE SMALLEST COUNTY IN THE STATE, BUT IS THE MOST DENSELY POPULATED LARGE CITY IN CALIFORNIA (WITH A POPULATION DENSITY OF 17,352 RESIDENTS PER SQUARE MILE) AND THE SECOND MOST DENSELY POPULATED MAJOR CITY IN THE U.S., AFTER NEW YORK CITY. BETWEEN 2011 AND 2018, THE POPULATION IN SAN FRANCISCO GREW BY ALMOST 8 PERCENT TO 888,817, OUTPACING POPULATION GROWTH IN CALIFORNIA (6 PERCENT). BY 2030, SAN FRANCISCO'S POPULATION IS EXPECTED TO TOTAL MORE THAN 980,000. THE PROPORTION OF SAN FRANCISCO'S POPULATION THAT IS 65 YEARS AND OLDER IS EXPECTED TO INCREASE FROM 17 PERCENT IN 2018 TO 21 PERCENT IN 2030; PERSONS 75 AND OLDER WILL MAKE UP ABOUT 11 PERCENT. AT THE SAME TIME, IT IS ESTIMATED THAT THE PROPORTION OF WORKING-AGE RESIDENTS (25 TO 64 YEARS OLD) WILL DECREASE FROM 61 PERCENT IN 2018 TO 56 PERCENT IN 2030. THIS SHIFT COULD HAVE IMPLICATIONS FOR THE PROVISION OF SOCIAL SERVICES. POPULATION GROWTH IS EXPECTED FOR ALL RACES AND ETHNICITIES EXCEPT FOR BLACK/AFRICAN AMERICANS, WHO ARE PROJECTED TO DROP FROM 5 PERCENT OF THE POPULATION IN 2018 TO 4 PERCENT IN 2030. ASIANS AND WHITES WILL REMAIN THE MOST POPULOUS GROUPS AND WILL GROW AS A PERCENTAGE OF THE OVERALL POPULATION. POPULATION GROWTH IS EXPECTED TO BE LOWER FOR LATINOS AND PACIFIC ISLANDERS, AND LATINOS ARE EXPECTED TO DROP FROM 15.1 TO 14.9 PERCENT OF THE POPULATION. CURRENTLY, 35 PERCENT OF SAN FRANCISCO'S POPULATION IS FOREIGN BORN, AND 20 PERCENT OF RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME AND SPEAK ENGLISH LESS THAN ""VERY WELL."" THE MAJORITY OF THE FOREIGN-BORN POPULATION COMES FROM ASIA (65 PERCENT), WHILE 18 PERCENT WERE BORN IN LATIN AMERICA, MAKING CHINESE (MANDARIN, CANTONESE, AND OTHER) (43 PERCENT) AND SPANISH (26 PERCENT) THE MOST COMMON NON-ENGLISH LANGUAGES SPOKEN IN THE CITY. ALTHOUGH SAN FRANCISCO HAS A RELATIVELY SMALL PROPORTION OF HOUSEHOLDS WITH CHILDREN (19 PERCENT) COMPARED TO THE STATE OVERALL (34 PERCENT), THE NUMBER OF SCHOOL-AGED CHILDREN IS PROJECTED TO RISE. AS OF 2017, SAN FRANCISCO WAS HOME TO 67,740 FAMILIES WITH CHILDREN, 26 PERCENT OF WHICH WERE HEADED BY SINGLE PARENTS. THERE WERE APPROXIMATELY 132,330 CHILDREN UNDER THE AGE OF 18. THE NUMBER OF SCHOOL-AGED CHILDREN IS PROJECTED TO RISE BY 24 PERCENT BY 2030. THE NEIGHBORHOODS WITH THE GREATEST PROPORTION OF HOUSEHOLDS WITH CHILDREN ARE: SEACLIFF, BAYVIEW HUNTERS POINT, VISITACION VALLEY, OUTER MISSION, EXCELSIOR, TREASURE ISLAND, AND PORTOLA (ALL OVER 30 PERCENT). ALMOST ONE IN FOUR SAN FRANCISCANS (22 PERCENT) LIVE BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. - FOR A FAMILY OF FOUR, 200 PERCENT OF THE FEDERAL POVERTY LEVEL IS $50,200 (2018). - A FAMILY OF FOUR IN SAN FRANCISCO REQUIRES AN INCOME OF GREATER THAN $120,000 TO MEET ALL THEIR NEEDS. - 40 PERCENT OF NEW JOBS IN SAN FRANCISCO ARE EXPECTED TO BE LOW-WAGE JOBS (LESS THAN $54,000/YEAR). - 18 PERCENT OF CHILDREN UNDER 6 YEARS OF AGE IN SAN FRANCISCO LIVE IN POVERTY (LESS THAN 200 PERCENT OF THE FEDERAL POVERTY LEVEL). AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE CALIFORNIA PACIFIC MEDICAL CENTER CHNA AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/ COMMUNITY-HEALTH-NEEDS-ASSESSMENT MILLS PENINSULA MEDICAL CENTER (MPMC) (REPORTING GROUP B, 4 & 12): THE HOSPITAL SERVICE AREA OF MPMC AND MPSC IS DEFINED AS SAN MATEO COUNTY (SMC). THERE ARE FIVE HOSPITALS IN SAN MATEO COUNTY. IN 2017, AN ESTIMATED 771,410 PEOPLE RESIDED IN SAN MATEO COUNTY, MAKING IT THE 14TH LARGEST IN CALIFORNIA BY POPULATION. THE COUNTY OCCUPIES 455 SQUARE MILES OF LAND ON THE PENINSULA SOUTH OF SAN FRANCISCO, WITH THE SAN FRANCISCO BAY TO THE EAST AND THE PACIFIC OCEAN TO THE WEST. THE COUNTY ALSO INCLUDES NEARLY 58 MILES OF COASTLINE AND 292 SQUARE MILES OF WATER. REDWOOD CITY IS THE LARGEST CITY IN THE COUNTY BY AREA, AND DALY CITY IS THE LARGEST CITY IN THE COUNTY BY POPULATION (WITH OVER 107,000 RESIDENTS, OR 14 PERCENT OF THE COUNTY'S TOTAL). SAN MATEO COUNTY ALSO INCLUDES THE FOLLOWING UNINCORPORATED TOWNS AND AREAS, MANY OF WHICH ARE LOCATED IN THE COASTSIDE AREA: BROADMOOR, BURLINGAME HILLS, DEVONSHIRE, EL GRANADA, EMERALD LAKE HILLS, FAIR OAKS, HIGHLANDS/BAYWOOD PARK, LADERA, LA HONDA, LOMA MAR, LOS TRANCOS WOODS/VISTA VERDE, MENLO OAKS, MONTARA, MOSS BEACH, NORTH FAIR OAKS, PALOMAR PARK, PESCADERO, PRINCETON, SAN FRANCISCO INTERNATIONAL AIRPORT, SAN GREGORIO, SOUTH COAST/SKYLINE, SEQUOIA TRACT, SKYLONDA, STANFORD LANDS, AND WEST MENLO PARK. NEARLY 22 PERCENT OF THE POPULATION IN SAN MATEO COUNTY IS UNDER THE AGE OF 18, AND 15 PERCENT IS 65 YEARS OR OLDER. THE MEDIAN AGE IS 39.5 YEARS OLD. SAN MATEO COUNTY IS ALSO HIGHLY DIVERSE. NOTABLY, RESIDENTS OF ""SOME OTHER RACE"" (I.E., ONE NOT SPECIFICALLY CALLED OUT IN DATA SETS) ARE THE THIRD LARGEST RACIAL GROUP, ACCOUNTING FOR 11 PERCENT OF THE POPULATION. MORE THAN HALF (58 PERCENT) OF THE POPULATION IS WHITE, AND NEARLY ONE THIRD IS ASIAN (30 PERCENT). ONE QUARTER (25 PERCENT) OF RESIDENTS HAVE LATINX HERITAGE. MORE THAN ONE THIRD (37 PERCENT) OF SAN MATEO COUNTY RESIDENTS ARE FOREIGN-BORN. APPROXIMATELY 9 PERCENT OF THE COUNTY'S POPULATION LIVES IN A LINGUISTICALLY ISOLATED HOUSEHOLD, MARKED BY WIDE GEOGRAPHIC DIFFERENCES. FOR EXAMPLE, LESS THAN 1 PERCENT OF THE POPULATION IN PARTS OF WOODSIDE LIVES IN A LINGUISTICALLY ISOLATED HOUSEHOLD, COMPARED WITH MORE THAN 50 PERCENT IN PARTS OF DALY CITY, SOUTH SAN FRANCISCO, AND REDWOOD CITY/NORTH FAIR OAKS. TWO KEY SOCIAL DETERMINANTS, INCOME AND EDUCATION, HAVE A SIGNIFICANT IMPACT ON HEALTH OUTCOMES. SAN MATEO COUNTY HAS ONE OF THE HIGHEST ANNUAL MEDIAN INCOMES IN THE COUNTRY AND ONE OF THE HIGHEST COSTS OF LIVING. AS DISPLAYED IN THE FOLLOWING CHART, ABOUT HALF OF THE POPULATION LIVE IN HOUSEHOLDS WITH INCOMES OF $100,000 OR MORE, ABOUT ONE-FOURTH IN HOUSEHOLDS WITH INCOMES BETWEEN $50,000 AND $100,000, AND ANOTHER FOURTH BELOW $50,000. BY COMPARISON, THE 2018 SELF-SUFFICIENCY STANDARD FOR A TWO-ADULT FAMILY WITH TWO SCHOOL-AGED CHILDREN IN SAN MATEO COUNTY WAS $111,191. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE MILLS PENINSULA MEDICAL CENTER'S CHNA AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/ COMMUNITY-HEALTH-NEEDS-ASSESSMENT SUTTER MATERNITY & SURGERY CENTER SANTA CRUZ (SMSC) (REPORTING GROUP B, 15): SMSC RELIED ON THE INTERNAL REVENUE SERVICE'S DEFINITION OF THE COMMUNITY SERVED BY A HOSPITAL AS ""THOSE PEOPLE LIVING WITHIN ITS HOSPITAL SERVICE AREA."" A HOSPITAL SERVICE AREA COMPRISES ALL RESIDENTS OF A DEFINED GEOGRAPHIC AREA AND DOES NOT EXCLUDE LOW-INCOME OR UNDERSERVED POPULATIONS. SMSC IS LOCATED IN SANTA CRUZ COUNTY AND SERVES THE ENTIRE COUNTY. THERE ARE TWO HOSPITALS IN SANTA CRUZ COUNTY. SANTA CRUZ COUNTY OCCUPIES 445 SQUARE MILES OF LAND APPROXIMATELY 35 MILES SOUTHWEST OF SILICON VALLEY, WITH THE PACIFIC OCEAN TO THE WEST. IT INCLUDES 29 MILES OF COASTLINE, FORMING THE NORTHERN COAST OF MONTEREY BAY. IN 2019, AN ESTIMATED 276,603 PEOPLE RESIDED IN THE SANTA CRUZ COUNTY. MORE THAN ONE IN FIVE COUNTY RESIDENTS LIVES IN THE CITY OF SANTA CRUZ, MAKING IT THE LARGEST LOCAL MUNICIPALITY BY POPULATION. THE OTHER INCORPORATED CITIES ARE CAPITOLA, SCOTTS VALLEY, AND WATSONVILLE. SANTA CRUZ COUNTY ALSO INCLUDES THE FOLLOWING UNINCORPORATED TOWNS AND AREAS: AMESTI, APTOS, APTOS HILLS-LARKIN VALLEY, BEN LOMOND, BONNY DOON, BOULDER CREEK, BROOKDALE, CORRALITOS, DAVENPORT, DAY VALLEY, FELTON, FREEDOM, INTERLAKEN, LA SELVA BEACH, LIVE OAK, LOMPICO, MOUNT HERMON, PAJARO DUNES, PARADISE PARK, PASATIEMPO, PLEASURE POINT, RIO DEL MAR, SOQUEL, TWIN LAKES, AND ZAYANTE. NEARLY 20 PERCENT OF THE POPULATION IN SANTA CRUZ COUNTY IS UNDER THE AGE OF 18, AND 14 PERCENT IS 65 YEARS OLD OR OLDER. THESE PROPORTIONS ARE SIMILAR TO THOSE IN CALIFORNIA'S POPULATION OVERALL (23 PERCENT OF STATE RESIDENTS ARE UNDER AGE 18, AND 13 PERCENT ARE AGE 65 OR OLDER). THE MEDIAN AGE IN SANTA CRUZ COUNTY IS 37.3 YEARS, SLIGHTLY OLDER THAN THE STATE MEDIAN AGE OF 36.1 YEARS. SANTA CRUZ COUNTY IS ALSO RELATIVELY DIVERSE. NOTABLY, RESIDENTS OF ""SOME OTHER RACE"" (I.E., ONE NOT SPECIFICALLY CALLED OUT IN DATA SETS) ARE THE COUNTY'S THIRD LARGEST RACIAL GROUP, ACCOUNTING FOR 12 PERCENT OF THE POPULATION. MORE THAN THREE QUARTERS (77 PERCENT) OF THE POPULATION IS WHITE, AND 5 PERCENT IS ASIAN. (BY COMPARISON, LESS THAN TWO THIRDS OF CALIFORNIA'S POPULATION IS WHITE, AND 14 PERCENT IS ASIAN.) ONE THIRD (33 PERCENT) OF SANTA CRUZ COUNTY RESIDENTS HAVE LATINX HERITAGE (COMPARED TO 39 PERCENT STATEWIDE). NEARLY ONE FIFTH (18 PERCENT) OF COUNTY RESI"

SCHEDULE H, PART VI, LINE 5
"PROMOTION OF COMMUNITY HEALTH: SUTTER HEALTH'S MISSION IS TO ""ENHANCE THE WELL-BEING OF THE PEOPLE IN THE COMMUNITIES WE SERVE, THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES."" SUTTER HEALTH'S MISSION REACHES BEYOND THE WALLS OF OUR HOSPITALS AND FACILITIES. OUR AFFILIATES FURTHER THEIR TAX-EXEMPT PURPOSE BY: - BUILDING RELATIONSHIPS OF TRUST BY WORKING COLLABORATIVELY WITH COMMUNITY GROUPS, SCHOOLS AND GOVERNMENT ORGANIZATIONS TO EFFECTIVELY LEVERAGE RESOURCES AND ADDRESS IDENTIFIED COMMUNITY NEEDS; - SUPPORTING NONPROFIT ORGANIZATIONS THAT ARE COMMITTED TO COMMUNITY HEALTH IMPROVEMENT THROUGH FINANCIAL INVESTMENTS, IN-KIND SERVICES AND EMPLOYEE VOLUNTEERISM; AND - PROVIDING GENEROUS CHARITY CARE POLICIES FOR OUR MOST VULNERABLE COMMUNITY MEMBERS. CALIFORNIA PACIFIC MEDICAL CENTER (CPMC) (REPORTING GROUP A, 3, 5, 8, & 17): THE 2019 - 2021 IMPLEMENTATION STRATEGY FOR CALIFORNIA PACIFIC MEDICAL CENTER (CPMC) DEFINES A VARIETY OF PROGRAMS AND PARTNERSHIPS THAT ADDRESS IDENTIFIED PRIORITY HEALTH NEEDS AND IMPROVE THE OVERALL HEALTH OF THE COMMUNITY IT SERVES. A FEW OF THOSE PROGRAMS AND PARTNERSHIPS ARE DESCRIBED BELOW: CPMC'S AFRICAN AMERICAN & SISTER TO SISTER BREAST HEALTH PROGRAM OFFERS WOMEN MAMMOGRAPHY SCREENING AND ALL THE SUBSEQUENT BREAST HEALTH DIAGNOSTIC TESTING AND TREATMENT THEY MAY NEED AT NO COST. PARTNERING ORGANIZATIONS SUCH AS HEALTHRIGHT 360, SAN FRANCISCO FREE CLINIC, AND CLINIC BY THE BAY REFER UNINSURED, UNDERINSURED, DISADVANTAGED AND AT-RISK WOMEN FOR MAMMOGRAPHY SERVICES. IN 2021, 94 PEOPLE WERE SERVED BY CPMC'S AFRICAN AMERICAN & SISTER TO SISTER BREAST HEALTH PROGRAM; AN ADDITIONAL 190 PEOPLE RECEIVED 312 CANCER SCREENINGS THROUGH CPMC'S GRANT TO BAY AREA CANCER CONNECTIONS. THE COMMUNITY HEALTH RESOURCE CENTER (CHRC) COLLABORATES WITH OVER 20 DIFFERENT HEALTHCARE CENTERS IN SAN FRANCISCO, PROVIDING SUPPORTIVE SERVICES TO THOUSANDS OF CLIENTS THROUGH THE MANY FREE OR LOW-COST PROGRAMS, SCREENINGS AND COUNSELING SERVICES THAT ARE AVAILABLE TO ANYONE IN THE COMMUNITY. PROGRAMS INCLUDE DIETITIANS, SOCIAL WORK COUNSELING, NUTRITION GUIDANCE, COMMUNITY HEALTH SCREENINGS, EDUCATIONAL LECTURES INCLUDING MONTHLY WELLNESS EVENTS, HEALTH INFORMATION AND LOCAL RESOURCES, EMPLOYEE AND GROUP WELLNESS PRESENTATIONS, AND SUPPORT GROUPS. IN 2021, AN ESTIMATED 4,000 PEOPLE WERE SERVED OVERALL. APPROXIMATELY 1,900 PEOPLE WERE SERVED WITH 3,207 VISITS WITH REGISTERED DIETICIANS. 1,411 HEALTH SCREENINGS RELATED TO DIET/EXERCISE AND LIFESTYLE CHANGES WERE PROVIDED. 49 HEALTH EDUCATION CLASSES WERE ATTENDED BY A TOTAL OF 4,737 PEOPLE. APPROXIMATELY 2,350 PEOPLE WERE SERVED WITH 3,917 VISITS FOR BEHAVIORAL HEALTH/SOCIAL WORK SERVICES. CPMC'S MISSION BERNAL CLINICS (FORMERLY ST. LUKE'S HEALTH CARE CENTER) PROVIDE A FULL RANGE OF OBSTETRIC AND GYNECOLOGICAL CARE AT ITS WOMEN'S CENTER; WELL-BABY CARE, WELL-CHILD CARE, AND CARE FOR ILL OR INJURED CHILDREN AT ITS PEDIATRIC CLINIC; AND PRIMARY, ACUTE AND CHRONIC CARE AT ITS ADULT INTERNAL MEDICINE CLINIC FOR TEENAGERS AND ADULTS. IN 2021, CPMC'S MISSION BERNAL CLINICS TRANSFERRED THE ASSETS OF THE ADULT CLINIC, THE PEDIATRIC CINIC, AND THE PEDIATRIC AFTER HOURS CLINIC TO MISSION NEIGHBORHOOD HEALTH CENTER (MNHC). CPMC PROVIDES CASH CONTRIBUTIONS TO MNHC TO PARTIALLY FUND ORGANIZATIONAL AND OPERATIONAL COSTS RELATED TO ITS EXPANSION OF SERVICES. FOR THE PORTION OF THE YEAR THAT THE CLINICS WERE UNDER CPMC OPERATION (INCLUDING THE WOMEN'S CLINIC, WHICH CPMC RETAINED), THEY SERVED MORE THAN 4,900 PEOPLE WITH 14,500 ENCOUNTERS. HEALTHFIRST, A CENTER FOR HEALTH EDUCATION AND DISEASE PREVENTION AFFILIATED WITH MISSION BERNAL CLINICS (FORMERLY ST. LUKE'S HEALTH CARE CENTER), SERVES PATIENTS IN CHRONIC DISEASE MANAGEMENT BY INTEGRATING COMMUNITY HEALTH WORKERS (CHWS) INTO THE MULTIDISCIPLINARY HEALTHCARE TEAM. IN 2021, HEALTHFIRST SERVED 652 PEOPLE WITH A TOTAL OF 2,061 ENCOUNTERS. CPMC'S KALMANOVITZ CHILD DEVELOPMENT CENTER PROVIDES DIAGNOSIS, EVALUATION, TREATMENT AND COUNSELING FOR CHILDREN AND ADOLESCENTS WITH LEARNING DISABILITIES AND DEVELOPMENTAL OR BEHAVIORAL PROBLEMS CAUSED BY PREMATURITY, AUTISM SPECTRUM DISORDER, EPILEPSY, DOWN SYNDROME, ATTENTION DEFICIT DISORDER, OR CEREBRAL PALSY. BESIDES OPERATING ITS OWN CLINICS, KCDC ALSO EXTENDS ITS SERVICES TO A LARGE NUMBER OF AT-RISK CHILDREN AND BRINGS SERVICES TO THEM IN THEIR COMMUNITY BY PARTNERING WITH LOCAL SCHOOLS AND OTHER COMMUNITY ORGANIZATIONS. IN 2021, A TOTAL OF 16,842 CLINIC VISITS TOOK PLACE. OF THE 1,330 PEOPLE SERVED, 1,230 WERE SEEN AT THE TWO SAN FRANCISCO CLINIC LOCATIONS, 100 THROUGH OUTREACH AT DE MARILLAC ACADEMY. LIONS EYE FOUNDATION AND CPMC PARTNER TOGETHER TO PROVIDE HIGHLY SPECIALIZED EYE CARE PROCEDURES FREE OF CHARGE TO PEOPLE WITHOUT INSURANCE OR FINANCIAL RESOURCES. THROUGHOUT 2021, 385 INDIVIDUALS WERE SERVED FOR A TOTAL OF 3,545 ENCOUNTERS. PROCEDURES PERFORMED INCLUDED 376 GENERAL SURGICAL PROCEDURES, 150 LASER SURGERIES, 769 INTRAVITREOUS INJECTIONS FOR MACULAR DEGENERATION AND COMPLICATIONS DUE TO DIABETES, AND 3,297 DIAGNOSTIC TESTS (OCTS, B-SCANS, ANGIOGRAMS, ETC.) A KEY PART OF CPMC'S MEDI-CAL PROGRAM IS THE MEDI-CAL MANAGED CARE PARTNERSHIP WITH NORTH EAST MEDICAL SERVICES (NEMS) COMMUNITY CLINIC AND SAN FRANCISCO HEALTH PLAN, A LICENSED COMMUNITY HEALTH PLAN THAT PROVIDES AFFORDABLE HEALTHCARE COVERAGE TO OVER 150,000 LOW- AND MODERATE-INCOME SAN FRANCISCO RESIDENTS. WORKING TOGETHER WITH NEMS, CPMC SERVES AS THE HOSPITAL PARTNER FOR THESE MEDI-CAL BENEFICIARIES WHO SELECT NEMS AS THEIR MEDICAL GROUP THROUGH SAN FRANCISCO HEALTH PLAN, PROVIDING THEM WITH INPATIENT SERVICES, HOSPITAL-BASED SPECIALTY AND ANCILLARY SERVICES, AND EMERGENCY CARE. CPMC ALSO PROVIDES ACCESS TO QUALITY SERVICES AT THE MISSION BERNAL CAMPUS FOR PATIENTS WHO SELECT HILL PHYSICIANS OR BROWN & TOLAND AS THEIR MEDICAL GROUP THROUGH SAN FRANCISCO HEALTH PLAN. IN 2021, 44,321 PERSONS WERE SERVED: NEMS ENROLLEES 41,008; BROWN & TOLAND ENROLLEES 1,431; HILL PHYSICIANS ENROLLEES 1,882. CPMC PROVIDED FREE LAB SERVICES FOR NEARLY 16,000 OF THESE NEMS PATIENTS IN ORDER TO FURTHER IMPROVE ACCESS AND SUPPORT NEMS AND THEIR PATIENTS. CPMC PARTNERS WITH OPERATION ACCESS AND THE SAN FRANCISCO ENDOSCOPY CENTER TO PROVIDE ACCESS TO DIAGNOSTIC SCREENINGS, SPECIALTY PROCEDURES, AND SURGICAL CARE AT NO COST FOR UNINSURED BAY AREA PATIENTS WHO HAVE LIMITED FINANCIAL RESOURCES. CPMC PHYSICIANS VOLUNTEER THEIR TIME TO PROVIDE THESE FREE SURGICAL SERVICES, WHILE THE HOSPITAL DONATES THE USE OF ITS OPERATING ROOMS. CPMC ALSO PROVIDES A GRANT TO SUPPORT OPERATION ACCESS'S OPERATING COSTS. IN 2021, OPERATION ACCESS SERVED 73 PEOPLE WITH 77 SURGICAL PRODECURES INCLUDING 28 OPERATING ROOM PROCEDURES, 24 GASTROENTEROLOGY PROCEDURES, 7 MINOR PROCEDURES OR RADIOLOGY, AND 18 SPECIALIST EVALUATIONS OR PHYSICAL THERAPY. MEALS ON WHEELS SAN FRANCISCO (MOWSF) HELPS LOW-INCOME, HOMEBOUND SENIORS TO AGE SAFELY AT HOME BY PROVIDING NOURISHING MEALS, SAFETY SUPPORT, AND INTERPERSONAL AND COMMUNITY CONNECTIONS. MOWSF CURRENTLY PROVIDES 83 PERCENT OF HOME-DELIVERED MEALS IN SAN FRANCISCO, BUT ITS CURRENT FACILITY CANNOT KEEP PACE WITH DEMAND AS THE CITY'S SENIOR POPULATION GROWS. THE CPMC GRANT SUPPORTS THE ORGANIZATION TO BUILD AND EQUIP A 45,000 SQUARE FOOT MEAL PRODUCTION FACILITY THAT WILL INCLUDE A FULL-CAPACITY, COMMERCIAL KITCHEN FOR FOOD PREPARATION, STORAGE, ACCESS SPACE AND DISTRIBUTION YARD. THROUGHOUT 2021, MEALS ON WHEELS SERVED 5,600 SENIORS AND ADULTS WITH DISABILITIES WITH HOME-DELIVERED MEALS, AND DELIVERED GROCERIES AND MEALS TO OVER 20,450 FOOD-INSECURE QUARANTINED INDIVIDUALS. 3,100 WERE PROVIDED WITH NUTRITION EDUCATION, AND A TOTAL OF 2,800,000 MEALS WERE DISTRIBUTED. CPMC SUPPORTS SOUTH OF MARKET BAYVIEW CHILD HEALTH CENTER (BCHC), WHICH OFFERS ROUTINE PREVENTATIVE AND URGENT PEDIATRIC CARE IN ONE OF SAN FRANCISCO'S MOST MEDICALLY UNDERSERVED NEIGHBORHOODS, AND ADDRESSES PREVALENT COMMUNITY HEALTH ISSUES SUCH AS WEIGHT CONTROL AND ASTHMA MANAGEMENT. BCHC FOCUSES ON KEEPING INFANTS, CHILDREN AND ADOLESCENTS HEALTHY, AND ON CLOSELY MANAGING THEIR CARE WHEN THEY ARE ILL. IN 2021, 909 INDIVIDUALS RECEIVED PRIMARY CARE WITH A TOTAL OF 2,523 ENCOUNTERS; 90 OF THESE PATIENTS WERE ALSO CONNECTED TO MENTAL HEALTH SERVICES. IN 2021, CPMC SUPPORTED ORGANIZATIONS SUCH AS EDGEWOOD CENTER FOR CHILDREN AND FAMILIES AND LARKIN STREET YOUTH SERVICES THROUGH COMMUNITY GRANTS TO ADDRESS SOCIAL, EMOTIONAL AND BEHAVIORAL HEALTH. THROUGH SUCH SUPPORT, MORE THAN 7,200 PEOPLE RECEIVED MENTAL HEALTH SERVICES, AND MORE THAN 1,200 RECEIVED SUBSTANCE USE SERVICES. CPMC SUPPORTS COMPASS FAMILY SERVICES, WHICH OPERATES PROGRAMS THAT PROVIDE YEAR-ROUND SERVICES TO HOMELESS FAMILIES AND FAMILIES AT IMMINENT RISK FOR HOMELESSNESS. IN 2021, COMPASS SERVED 2,159 FAMILIES INCLUDING MORE THAN 5,000 INDIVIDUAL FAMILY MEMBERS. 593 PEOPLE RECEIVED MENTAL HEALTH SERVICES, 211 OBTAINED INTERIM HOUSING, AND 502 OBTAINED STABLE HOUSING. 95% OF F"

SCHEDULE H, PART VI, LINE 7
STATE FILING OF COMMUNITY BENEFIT REPORT: CALIFORNIA

SCHEDULE H, PART III, SECTION B, LINE 9B
DEBT COLLECTION POLICY: COLLECTION PRACTICES ARE CONSISTENT FOR ALL PATIENTS AND COMPLY WITH APPLICABLE PROVISIONS OF FEDERAL AND CALIFORNIA LAW. DURING PREADMISSION OR REGISTRATION, THE HOSPITAL PROVIDES ALL PATIENTS WITH INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE. AN UNINSURED PATIENT WHO INDICATES THE FINANCIAL INABILITY TO PAY A BILL IS EVALUATED FOR FINANCIAL ASSISTANCE. AT DISCHARGE PATIENTS WILL BE GIVEN AN APPLICATION WHICH WILL DOCUMENT THE PATIENT'S OVERALL FINANCIAL SITUATION. IF AN UNINSURED PATIENT DOES NOT COMPLETE THE APPLICATION FORM WITHIN 30 DAYS OF DELIVERY, THE HOSPITAL WILL NOTIFY THE PATIENT THAT THE APPLICATION HAS NOT BEEN RECEIVED AND WILL PROVIDE THE PATIENT AN ADDITIONAL 210 DAYS TO COMPLETE THE APPLICATION. IF A PATIENT HAS APPLIED FOR CHARITY CARE, HAS BEEN APPROVED TO RECEIVE CHARITY CARE, OR IS COOPERATING WITH THE HOSPITAL'S EFFORTS TO SETTLE AN OUTSTANDING BILL WITHIN A REASONABLE TIME PERIOD, THE HOSPITAL WILL NOT PURSUE COLLECTIONS.

SCHEDULE H, PART VI, LINE 2
CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A, 3, 5, 8, & 17): THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2019 - 2021 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. MILLS PENINSULA MEDICAL CENTER (REPORTING GROUP B, 4 & 12): THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2019 - 2021 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER MATERNITY & SURGERY CENTER (REPORTING GROUP B, 15): THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2019 - 2021 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. ALTA BATES SUMMIT MEDICAL CENTER (REPORTING GROUP C, 1-2, 10-11, & 16): THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2019 - 2021 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER DELTA MEDICAL CENTER (REPORTING GROUP C, 6): THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2019 - 2021 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. EDEN MEDICAL CENTER: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2019 - 2021 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER SANTA ROSA REGIONAL HOSPITAL: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2019 - 2021 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. NOVATO COMMUNITY HOSPITAL: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2019 - 2021 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER LAKESIDE HOSPITAL: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2019 - 2021 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED.

SCHEDULE H, PART VI, LINE 6
SUTTER HEALTH IS THE NOT-FOR-PROFIT PARENT OF NOT-FOR-PROFIT AND FOR-PROFIT COMPANIES THAT TOGETHER FORM AN INTEGRATED HEALTHCARE SYSTEM LOCATED IN NORTHERN CALIFORNIA. THE SYSTEM IS COMMITTED TO HEALTH EQUITY, COMMUNITY PARTNERSHIPS AND INNOVATIVE, HIGH-QUALITY PATIENT CARE. OUR OVER 65,000 EMPLOYEES AND ASSOCIATED CLINICIANS SERVE MORE THAN 3 MILLION PATIENTS THROUGH OUR HOSPITALS, CLINICS AND HOME HEALTH SERVICES. LEARN MORE ABOUT HOW WE'RE TRANSFORMING HEALTHCARE AT SUTTERHEALTH.ORG AND VITALS.SUTTERHEALTH.ORG. SUTTER HEALTH'S TOTAL INVESTMENT IN COMMUNITY BENEFIT IN 2021 WAS $872 MILLION. THIS AMOUNT INCLUDES TRADITIONAL CHARITY CARE AND UNREIMBURSED COSTS OF PROVIDING CARE TO MEDI-CAL PATIENTS. THIS AMOUNT ALSO INCLUDES INVESTMENTS IN COMMUNITY HEALTH PROGRAMS TO ADDRESS PRIORITIZED HEALTH NEEDS AS IDENTIFIED BY REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENTS. AS PART OF SUTTER HEALTH'S COMMITMENT TO FULFILL ITS NOT-FOR-PROFIT MISSION AND HELP SERVE SOME OF THE MOST VULNERABLE IN ITS COMMUNITIES, THE SUTTER HEALTH NETWORK HAS IMPLEMENTED CHARITY CARE POLICIES TO HELP PROVIDE ACCESS TO MEDICALLY NECESSARY CARE FOR ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. IN 2021, SUTTER HEALTH INVESTED $91 MILLION IN CHARITY CARE. OVERALL, SINCE THE IMPLEMENTATION OF THE AFFORDABLE CARE ACT, GREATER NUMBERS OF PREVIOUSLY UNINSURED PEOPLE NOW HAVE MORE ACCESS TO HEALTHCARE COVERAGE THROUGH THE MEDI-CAL AND MEDICARE PROGRAMS. THE PAYMENTS FOR PATIENTS WHO ARE COVERED BY MEDI-CAL AND MEDICARE DO NOT COVER THE FULL COSTS OF PROVIDING CARE. IN 2021, SUTTER HEALTH INVESTED $557 MILLION MORE THAN THE STATE PAID TO CARE FOR MEDI-CAL PATIENTS. THROUGH COMMUNITY BENEFIT INVESTMENTS, SUTTER HELPED LOCAL COMMUNITES ACCESS PRIMARY, MENTAL HEALTH AND ADDICTION CARE, AND BASIC NEEDS SUCH AS HOUSING, JOBS AND FOOD. SEE MORE ABOUT HOW SUTTER HEALTH REINVESTS INTO THE COMMUNITY BY VISITING SUTTERPARTNERS.ORG. IN ADDITION, EVERY THREE YEARS, SUTTER HEALTH HOSPITALS PARTICIPATE IN A COMPREHENSIVE AND COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH IDENTIFIES LOCAL HEALTHCARE PRIORITIES AND GUIDES OUR COMMUNITY BENEFIT STRATEGIES. THE ASSESSMENTS HELP ENSURE THAT WE INVEST OUR COMMUNITY BENEFIT DOLLARS IN A WAY THAT TARGETS AND ADDRESSES REAL COMMUNITY NEEDS. FOR MORE FACTS AND INFORMATION VISIT SUTTERHEALTH.ORG.

SCHEDULE H, PART VI, LINE 3
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: SUTTER HOSPITALS FOLLOW A SUTTER HEALTH SYSTEM-WIDE FINANCIAL ASSISTANCE POLICY, WHICH INCLUDES THE FOLLOWING DETAILS OF HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE. LANGUAGES: THE POLICY SHALL BE AVAILABLE IN THE PRIMARY LANGUAGE(S) OF HOSPITAL'S SERVICE AREA. IN ADDITION, ALL NOTICES/COMMUNICATIONS PROVIDED IN THIS SECTION SHALL BE AVAILABLE IN PRIMARY LANGUAGE(S) OF HOSPITAL'S SERVICE AREA AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS. COMMUNICATIONS OF FINANCIAL ASSISTANCE AVAILABILITY INFORMATION PROVIDED TO PATIENTS DURING THE PROVISION OF HOSPITAL SERVICES: A. DURING PREADMISSION OR REGISTRATION (OR AS SOON THEREAFTER AS PRACTICABLE) HOSPITALS SHALL PROVIDE ALL PATIENTS WITH A COPY OF A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND IDENTIFY THE DEPARTMENT THAT PATIENTS CAN VISIT TO RECEIVE INFORMATION ABOUT, AND ASSISTANCE WITH APPLYING FOR, FINANCIAL ASSISTANCE. B. FINANCIAL ASSISTANCE COUNSELORS: PATIENTS WHO MAY BE UNINSURED PATIENTS SHALL BE ASSIGNED FINANCIAL COUNSELORS, WHO SHALL VISIT WITH THE PATIENTS IN PERSON AT THE HOSPITAL, PROVIDE PATIENTS A FINANCIAL ASSISTANCE APPLICATION, ASSIST WITH THE APPLICATION PROCESS, AND PROVIDE A CONTACT INFORMATION FOR THE PATIENT TO CALL FOR QUESTIONS. C. EMERGENCY SERVICES: IN THE CASE OF EMERGENCY SERVICES, HOSPITALS SHALL PROVIDE ALL PATIENTS A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AS SOON AS PRACTICABLE AFTER STABILIZATION OF THE PATIENT'S EMERGENCY MEDICAL CONDITION OR UPON DISCHARGE. D. APPLICATIONS PROVIDED AT DISCHARGE: AT THE TIME OF DISCHARGE, HOSPITALS SHALL PROVIDE ALL PATIENTS WITH A COPY OF A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. E. INFORMATION PROVIDE TO PATIENTS AT OTHER TIMES: 1. CONTACT INFORMATION WHICH INCLUDES A PHONE NUMBER AND HOSPITAL DEPARTMENT TO OBTAIN ADDITIONAL INFORMATION ABOUT FINANCIAL ASSISTANCE AND ASSISTANCE WITH THE APPLICATION PROCESS. 2. BILLING STATEMENTS: BILLING STATEMENTS PROVIDED TO PATIENTS SHALL INCLUDE A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY, A PHONE NUMBER FOR PATIENTS TO CALL WITH QUESTIONS ABOUT FINANCIAL ASSISTANCE, AND THE WEBSITE ADDRESS WHERE PATIENTS CAN OBTAIN ADDITIONAL INFORMATION ABOUT FINANCIAL ASSISTANCE INCLUDING THE FINANCIAL ASSISTANCE POLICY, A PLAIN LANGUAGE SUMMARY OF THE POLICY, AND THE APPLICATION FOR FINANCIAL ASSISTANCE. 3. UPON REQUEST: HOSPITALS SHALL PROVIDE PATIENTS WITH PAPER COPIES OF THE FINANCIAL ASSISTANCE POLICY, THE APPLICATION FOR FINANCIAL ASSISTANCE, AND THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY UPON REQUEST AND WITHOUT CHARGE. F. PUBLICITY OF FINANCIAL ASSISTANCE INFORMATION 1. PUBLIC POSTING: HOSPITALS SHALL POST COPIES OF THE FINANCIAL ASSISTANCE POLICY, THE APPLICATION FOR FINANCIAL ASSISTANCE, AND THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IN A PROMINENT LOCATION IN THE EMERGENCY ROOM, ADMISSIONS AREA, AND ANY OTHER LOCATION IN THE HOSPITAL WHERE THERE IS A HIGH VOLUME OF PATIENT TRAFFIC, INCLUDING BUT NOT LIMITED TO THE WAITING ROOMS, BILLING OFFICES, AND HOSPITAL OUTPATIENT SERVICE SETTINGS. THESE PUBLIC NOTICES SHALL INCLUDE INFORMATION ABOUT THE RIGHT TO REQUEST AN ESTIMATE OF FINANCIAL RESPONSIBILITY FOR SERVICES. 2. WEBSITE: THE FINANCIAL ASSISTANCE POLICY, APPLICATION FOR FINANCIAL ASSISTANCE AND PLAIN LANGUAGE SUMMARY SHALL BE AVAILABLE IN A PROMINENT PLACE ON THE SUTTER HEALTH WEBSITE (WWW.SUTTERHEALTH.ORG) AND ON EACH INDIVIDUAL HOSPITAL'S WEBSITE. PERSONS SEEKING INFORMATION ABOUT FINANCIAL ASSISTANCE SHALL NOT BE REQUIRED TO CREATE AN ACCOUNT OR PROVIDE ANY PERSONAL INFORMATION BEFORE RECEIVING INFORMATION ABOUT FINANCIAL ASSISTANCE. 3. MAIL: PATIENTS MAY REQUEST A COPY OF THE FINANCIAL ASSISTANCE POLICY, APPLICATION FOR FINANCIAL ASSISTANCE AND PLAIN LANGUAGE SUMMARY BE SENT BY MAIL, AT NO COST TO THE PATIENT. 4. ADVERTISEMENTS/PRESS RELEASES: AS NECESSARY AND ON AT LEAST AN ANNUAL BASIS, SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT HOSPITALS IN THE PRINCIPAL NEWSPAPER(S) IN THE COMMUNITIES SERVED BY SUTTER HEALTH, OR WHEN DOING SO IS NOT PRACTICAL, SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THIS INFORMATION, OR USE OTHER MEANS THAT SUTTER HEALTH CONCLUDES WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY TO AFFECTED PATIENTS IN OUR COMMUNITIES. 5. COMMUNITY AWARENESS: SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY (ESPECIALLY THOSE WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE) ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE.