4A (Expenses $ 550799850 including grants of $ 2169678) (Revenue $ 652636734)
AULTMAN HOSPITAL (AH) IS A NOT-FOR-PROFIT TEACHING HOSPITAL SERVING STARK AND SURROUNDING COUNTIES IN NORTHEAST OHIO. THE HOSPITAL'S MAJOR PROGRAMS INCLUDE WOMEN AND CHILDREN'S SERVICES, EMERGENCY AND TRAUMA SERVICES, HEART SERVICES, CANCER CARE, NEUROSURGERY, ORTHOPEDICS, AND CRITICAL-CARE MEDICINE. EACH YEAR, AH PROVIDES A SIGNIFICANT AMOUNT OF THE AREA'S TOTAL CARE FOR PATIENTS HAVING NO GOVERNMENT OR PRIVATE HEALTH CARE INSURANCE. AULTMAN ALSO SERVES THOUSANDS OF PATIENTS COVERED BY PROGRAMS SUCH AS MEDICAID.AH PROVIDES POST-ACUTE SERVICES AT ITS AULTMAN WOODLAWN FACILITY. AULTMAN WOODLAWN INCLUDES A 60-BED UNIT FOR PATIENTS REQUIRING SKILLED NURSING CARE AND A 30-BED UNIT FOR PATIENTS NEEDING REHABILITATION. AULTMAN WOODLAWN FEATURES INDOOR THERAPY ENVIRONMENTS SUCH AS A MOCK KITCHEN, BEDROOM, STORE, AND CARE TRANSFER - ALONG WITH AN OUTDOOR COURTYARD FEATURING A VARIETY OF SURFACES TO HELP PATIENTS IMPROVE THEIR MOBILITY AND PREPARE FOR DISCHARGE. AULTMAN WOODLAWN ALSO HOUSES AULTMAN'S HOSPICE, PALLIATIVE CARE, GRIEF SERVICES AND HOME HEALTH CARE PROGRAMS. AULTMAN HOME MEDICAL SUPPLY IS ALSO PART OF THE POST-ACUTE CARE SERVICES AULTMAN PROVIDES.AH PROVIDES AN ARRAY OF MEDICAL SERVICES AT COMMUNITY CENTERS LOCATED THROUGHOUT STARK AND CARROLL COUNTIES. IMMEDIATE CARE SERVICES ARE AVAILABLE FOR MINOR INJURIES AND ILLNESSES - SEVEN DAYS A WEEK, CLOSED ONLY NEW YEAR'S DAY, INDEPENDENCE DAY, THANKSGIVING, AND CHRISTMAS EVE. SERVICES SUCH AS PHYSICAL AND OCCUPATIONAL THERAPY, CARDIAC REHABILITATION, OUTPATIENT LABORATORY SERVICES, SPORTS MEDICINE PROGRAMS AND DIAGNOSTIC TESTING ARE ALSO AVAILABLE AT THE AULTMAN SATELLITE FACILITIES.

4B (Expenses $ 101749689 including grants of $ 0) (Revenue $ 128037430)
AULTMAN ALLIANCE COMMUNITY HOSPITAL (AACH) IS A NOT-FOR-PROFIT, ACUTE CARE HOSPITAL SERVING STARK AND SURROUNDING COUNTIES. AACH PROVIDES CARE TO ALL, REGARDLESS OF ABILITY TO PAY. THE MOST SIGNIFICANT ACTIVITIES INCLUDE INPATIENT AND OUTPATIENT CARE, SURGICAL PROCEDURES, RADIOLOGY SERVICES, A SKILLED NURSING FACILITY, LAB SERVICES AND 24-HOUR EMERGENCY CARE. EACH YEAR, AACH'S INPATIENT HEALTH CARE PROGRAMS PROVIDE A SIGNIFICANT AMOUNT OF SUBSIDIZED CARE TO ITS PATIENTS.

4C (Expenses $ 44724027 including grants of $ 0) (Revenue $ 64423678)
"AULTMAN ORRVILLE HOSPITAL IS A NOT-FOR-PROFIT, 25 BED CRITICAL ACCESS HOSPITAL THAT HAS SERVED ORRVILLE AND THE EASTERN WAYNE COUNTY COMMUNITY FOR MORE THAN 60 YEARS. AULTMAN ORRVILLE HOSPITAL IS A CRITICAL ACCESS HOSPITAL ACCREDITED BY THE JOINT COMMISSION.AS A NOT-FOR-PROFIT HOSPITAL, AULTMAN ORRVILLE HOSPITAL PROVIDES HIGH-QUALITY HEALTH CARE PROGRAMS AND SERVICES THAT ARE ACCESSIBLE TO ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. AULTMAN ORRVILLE HOSPITAL FUNDS ARE GENERALLY REINVESTED IN FACILITY AND EQUIPMENT IMPROVEMENTS, ENHANCEMENTS IN PATIENT CARE, MEDICAL TRAINING, EDUCATION, PHYSICIAN RECRUITMENT AND COMMUNITY OUTREACH.EACH YEAR, AULTMAN ORRVILLE HOSPITAL PROVIDES A SIGNIFICANT AMOUNT OF CARE FOR PATIENTS HAVING NO GOVERNMENT OR PRIVATE HEALTH CARE INSURANCE OR LOW-INCOME PATIENTS. AULTMAN ORRVILLE HOSPITAL ALSO SERVES PATIENTS COVERED BY PUBLIC PROGRAMS SUCH AS MEDICAID, AND PAYMENTS FROM THESE FEDERALLY FUNDED PROGRAMS DO NOT ALWAYS COVER THE TOTAL COST OF SERVICE.SINCE BECOMING A SUBSIDIARY OF AULTMAN HEALTH FOUNDATION, AULTMAN ORRVILLE HOSPITAL HAS MADE IMPROVEMENTS IN ITS DELIVERY OF CARE, AND THE COMMUNITY HAS GREATER ACCESS TO ADVANCED HEALTH CARE SERVICES. AULTMAN ORRVILLE HOSPITAL COMBINES CLOSE TO HOME CONVENIENCE WITH CUTTING EDGE TECHNOLOGY TO OFFER AN ARRAY OF INPATIENT AND OUTPATIENT SERVICES.AULTMAN ORRVILLE HOSPITAL PROVIDES CARE RANGING FROM THE FAMILY BIRTH CENTER TO SKILLED NURSING CARE ON THE INPATIENT TRANSITIONAL CARE UNIT. ADDITIONAL SERVICES INCLUDE DIAGNOSTIC IMAGING SERVICES, LABORATORY AND OUTPATIENT TESTING, REHABILITATION SERVICES, SURGICAL AND ENDOSCOPIC PROCEDURES, MEDICAL AND SURGICAL CARE, AND HIGHLY EFFECTIVE AND EFFICIENT EMERGENCY DEPARTMENT. THE MISSION OF AULTMAN ORRVILLE HOSPITAL IS ""TO LEAD OUR COMMUNITY TO IMPROVED HEALTH."""

4D (Expenses $ 18326172 including grants of $ 100075) (Revenue $ 12699032)
AULTMAN NORTH CANTON MEDICAL GROUP (ANCMG) PROVIDES MEDICAL SERVICES TO CITIZENS OF THE COMMUNITY IN AN OUTPATIENT SETTING ENABLING PATIENTS TO BE DIAGNOSED AND TREATED EFFECTIVELY, REDUCING THE NEED TO HOSPITALIZE THE PATIENT FOR CARE. THIS RESULTS IN HEALTH CARE COST REDUCTIONS. IN ADDITION, CHARITABLE SERVICES WERE PROVIDED TO PATIENTS WHO WERE INDIGENT, AND FEE REDUCTION CONSIDERATIONS WERE GIVEN TO OTHERS WHO WERE NOT CONSIDERED INDIGENT BUT WERE EXPERIENCING FINANCIAL HARDSHIPS. HEALTH EDUCATION PROGRAMS OPEN TO THE COMMUNITY AT LARGE WERE CONDUCTED TO PROMOTE HEALTH CONSCIOUSNESS WITH THE OBJECTIVE BEING TO IMPROVE THE OVERALL HEALTH STATUS OF THE PUBLIC.

AULTMAN ORRVILLE HOSPITAL
PART V, SECTION B, LINE 5: AULTMAN ORRVILLE HOSPITAL ENGAGED BRICKER AND ECKLER/INCOMPLIANCE CONSULTING TO ASSIST IN CONDUCTING THEIR CHNA. INCOMPLIANCE CONSULTING IDENTIFIED DATA SOURCES AND INDICATORS WHICH REFLECT A HEALTHCARE ISSUE THAT IS PERTINENT TO THE COMMUNITY AND CAME FROM SOURCES THAT ARE RELIABLE AND ARE LIKELY TO BE AVAILABLE IN THE FUTURE. THE CONSULTANT IDENTIFIED AREAS OF CONCERN FROM THE DATA SOURCES BY COMPARING WAYNE COUNTY DATA TO STATE AND NATIONAL DATA FOR THE METRIC AND HEALTH ISSUES THAT WERE IDENTIFIED BY MULTIPLE DATA SOURCES. ALONG WITH WEB SOURCED DATA, THE WAYNE COUNTY FAMILY AND CHILDREN FIRST COUNCIL SHARED PLAN UPDATE FOR STATE'S FISCAL YEARS 2019, THE WAYNE COUNTY 2018 YOUTH ASSETS AND SUBSTANCE USE SURVEY (YASUS), AND THE 2019 WAYNE COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP), PREPARED BY THE WAYNE COUNTY HEALTH DEPARTMENT, WERE UTILIZED IN THIS CHNA.PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING THOSE WITH KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH, PARTICIPATED IN THE CHNA PROCESS AS MEMBERS OF THE CHNA ADVISORY COMMITTEE. THE CHNA ADVISORY COMMITTEE MET ON JUNE 6, 2019, TO REVIEW INDICATORS, IDENTIFY AND PRIORITIZE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFY EXISTING HEALTHCARE FACILITIES AND RESOURCES WHICH ARE POTENTIALLY AVAILABLE TO ADDRESS THE PRIORITY HEALTH NEEDS IDENTIFIED. PLEASE REFER TO APPENDIX A FOR PARTICIPATING ORGANIZATIONS AND THE GROUPS EACH ORGANIZATION REPRESENT. AULTMAN ORRVILLE HOSPITAL SOLICITED PARTICIPATION FROM ALL REQUIRED SOURCES AND ALL REQUIRED SOURCES AGREED TO PARTICIPATE.

AULTMAN ALLIANCE COMMUNITY HOSPITAL
PART V, SECTION B, LINE 5: AACH'S MOST RECENT CHNA WAS PREPARED IN 2019 WITH AULTMAN HOSPITAL AND AULTMAN SPECIALTY HOSPITAL (GROUP). THE GROUP COLLABORATED WITH VARIOUS COMMUNITY ORGANIZATIONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY TO CONDUCT THE STARK COUNTY COMMUNITY HEALTH ASSESSMENT (CHA), THE BASIS FOR THE GROUP CHNA. CHA CONTRACTED WITH THE CENTER FOR MARKETING AND OPINION RESEARCH (CMOR) TO PERFORM THE PUBLIC OPINION RESEARCH SERVICES. CMOR'S EXPERTISE INCLUDES TELEPHONE INTERVIEWS, WEB AND MAIL SURVEYS, FIELD, INTERCEPT AND KEY INFORMANT INTERVIEWS, FOCUS GROUP ADMINISTRATION, AS WELL AS A WIDE RANGE OF CONSULTING SERVICES THE CHA PROCESS INCLUDED GATHERING PRIMARY AND SECONDARY DATA COLLECTION THROUGH FOUR PHASES: 1) COMMUNITY SURVEY, 2) COMMUNITY HEALTH LEADER SURVEY, 3) SECONDARY DATA AND 4) COMMUNITY FOCUS GROUP. THE PROCESS CULMINATED IN A HEALTH IMPROVEMENT SUMMIT, WHERE HOSPITALS AND COMMUNITY STAKEHOLDER MEMBERS OF THE STARK COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT ADVISORY COMMITTEE IDENTIFIED AND PRIORITIZED STARK COUNTY COMMUNITY HEALTH NEEDS AS THE FOLLOWING: 1.)ACCESS TO HEALTH CARE, 2.)MENTAL HEALTH SERVICES, 3.)INFANT MORTALITY AND 4.) OBESITY AND HEALTHY LIFESTYLE. AS PART OF THE GROUP'S POPULATION HEALTH STRATEGY, WE IDENTIFIED AND INCUDED A FIFTH PRIORITY, SOCIAL DETERMINANTS OF HEALTH.

AULTMAN ALLIANCE COMMUNITY HOSPITAL
PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED IN COLLABORATION WITH AULTMAN SPECIALTY HOSPITAL, AND AULTMAN HOSPITAL.

AULTMAN ORRVILLE HOSPITAL
PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED IN COLLABORATION WITH THE FOLLOWING NON-HOSPITAL FACILITIES: ORRVILLE CITY HALL, WAYNE/HOLMES COUNTIES MENTAL HEALTH AND RECOVERY, AOH- CEO, CNO/COO, CFO, AND DIRECTOR OF POPULATION HEALTH, AOH BOARD OF DIRECTORS PRESIDENT, ORRVILLE AREA CHAMBER OF COMMERCE PRESIDENT, WAYNE COUNTY HEALTH DEPARTMENT, VIOLA STARTZMAN FREE CLINIC, AOH GROWING HEALTHY HABITS, UNIVERSITY OF AKRON WAYNE COLLEGE, ORRVILLE PUBLIC LIBRARY, WAYNE COUNTY EMERGENCY MANAGEMENT AGENCY, ORRVILLE UNITED WAY, WAYNE COUNTY SCHOOL CAREER CENTER, AOH COORDINATORY OF AMISH SERVICES, AMISH CHURCH FOUNDATION, SMUCKER'S WELLNESS, OBSTETRICS AND GYNECOLOGY SERVICES, OHIO STATE UNIVERSITY EXTENSION WAYNE COUNTY, AND LIFECARE HOSPICE.IN ADDITION, THE COLLABORATION CONTRACTED WITH CENTER FOR MARKETING & OPINION RESEARCH, LLC AND BRICKER & ECKLER LLP/INCOMPLIANCE CONSULTING TO CONDUCT THE STARK COUNTY HEALTH NEEDS ASSESSMENT AND PREPARE THE 2019 STARK COUNTY HEALTH NEEDS ASSESSMENT. THE CENTER FOR MARKETING & OPINION RESEARCH PROVIDES PUBLIC OPINION RESEARCH SERVICES TO COLLEGES AND UNIVERSITIES, HOSPITALS AND HEALTH CARE ORGANIZATIONS, BUSINESSES, AND COMMUNITY-BASED ORGANIZATIONS AND GOVERNMENT AGENCIES. SERVICES INCLUDE TELEPHONE, WEB AND MAIL SURVEYS, FIELD, INTERCEPT AND KEY INFORMANT INTERVIEWS, FOCUS GROUP ADMINISTRATION, AS WELL AS A WIDE RANGE OF CONSULTING SERVICES.

AULTMAN ALLIANCE COMMUNITY HOSPITAL
PART V, SECTION B, LINE 6B: THE HOSPITAL'S CHNA WAS CONDUCTED WITH THE FOLLOWING NON-HOSPITAL FACILITIES: ACCESS HEALTH STARK COUNTY, ALLIANCE CITY HEALTH DEPARTMENT, ALLIANCE FAMILY HEALTH CENTER, BEACON PHARMACY, CANTON CITY HEALTH DEPARTMENT, COMMQUEST, MASSILLON CITY HEALTH DEPARTMENT, MY COMMUNITY HEALTH CENTER, OHIO STATE UNIVERSITY EXTENSION, PARAMOUNT ADVANTAGE, PEGASUS FARM, SISTERS OF CHARITY FOUNDATION OF CANTON, STARKFRESH, STARK COUNTY HEALTH DEPARTMENT, STARK COUNTY COMMUNITY ACTION AGENCY, STARK COUNTY FAMILY COUNCIL, STARK COUNTY JOBS AND FAMILY SERVICES, STARK COUNTY DISTRICT LIBRARY, STARK MENTAL HEALTH & ADDICTION RECOVERY (STARKMHAR), STARK PARKS, STARK COUNTY TASC, UNITED WAY OF GREATER STARK COUNTY AND YMCA OF CENTRAL STARK COUNTY. IN ADDITION THE COLLABORATION CONTRACTED WITH THE CENTER FOR MARKETING & OPINION RESEARCH, LLC TO PROVIDE PUBLIC OPINION RESEARCH SERVICES (TELEPHONE, WEB AND MAIL SURVEYS, INTERVIEWS, FOCUS GROUP ADMINISTRATION AND CONSULTING SERVICES). BRICKER & ECKLER LLP PROVIDED COMPLIANCE SERVICES IN PREPARING OUR 2019 CHNA.

AULTMAN ORRVILLE HOSPITAL
PART V, SECTION B, LINE 7D: THE CHNA CAN BE FOUND AT THE FOLLOWING URL: AULTMANORRVILLE.ORG/AULTMAN-HOSPITAL-INFORMATION/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT

AULTMAN ALLIANCE COMMUNITY HOSPITAL
PART V, SECTION B, LINE 7D: THE CHNA CAN BE FOUND AT THE FOLLOWING URL:AULTMAN.ORG/HOME/ABOUT/AULTMAN-HOSPITAL/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/

AULTMAN ORRVILLE HOSPITAL
"PART V, SECTION B, LINE 11: AULTMAN ORRVILLE HOSPITAL IMPLEMENTATION POLICY:AULTMAN ORRVILLE HOSPITAL DEVELOPED A STRATEGY FOR THE SELECTED PRIORITY HEALTH NEEDS AND/OR SOCIAL DETERMINANTS OF HEALTH. THE HOSPITAL THEN SELECTED STRATEGIES THAT IMPACT THE CLINICAL NEEDS OF OUR PATIENT POPULATION AND SOCIAL DETERMINANTS OF THE PRIORITY NEED.NEED 1: MENTAL HEALTH AND SUBSTANCE ABUSE EDUCATION, SCREENING, ACCESS TO PSYCHIATRIC CARE, AND IMPACT ON CHILDHOOD TRAUMA.ACTIONS:1. SCREEN PATIENTS TO EVALUATE THOSE AT HIGH RISK FOR EMOTIONAL INSTABILITY. 2. FACILITATE REFERRALS TO THE APPROPRIATE HEALTH CARE PROVIDER OR AGENCY. 3. ACTIVELY PARTICIPATE ON THE WAYNE COUNTY FAMILY AND CHILDREN'S FIRST COUNCIL.4. PARTICIPATE IN THE ""STEPPING UP INITIATIVE"". THIS NATIONAL INITIATIVE TARGETS REDUCING THE NUMBER OF PEOPLE WITH MENTAL ILLNESSES IN JAILS.5. LEADERSHIP MEMBERS COORDINATE/PARTICIPATE WITH THE O'HUDDLE MENTORING PROGRAM THROUGH THE ORRVILLE CITY SCHOOLS.6. ACTIVELY PARTICIPATE IN TURNING POINT COALITION. A COMMUNITY-BASED VOLUNTEER ORGANIZATION THAT WORKS TO HELP CREATE AN ENVIRONMENT IN OUR COMMUNITY THAT WILL HELP KEEP YOUTH ALCOHOL, TOBACCO, AND DRUG FREE. 7. COLLABORATE WITH AULTMAN HOSPITAL SERENITY PROGRAM THAT ENSURES THAT PATIENTS RECEIVE PROMPT TREATMENT AND CARE FOR INDIVIDUALS IMPACTED BY SEXUAL OR DOMESTIC VIOLENCE, CHILD ABUSE AND HUMAN TRAFFICKING.8. COORDINATE WITH WAYNE COUNT CHILDREN'S ADVOCACY CENTER TO DEVELOP EMERGENCY PROTOCOLS FOR VICTIM OF SEXUAL ABUSE.ANTICIPATED IMPACT: 1. THE SCREENING SCORES OF AULTMAN ORRVILLE PATIENTS ARE EVALUATED, AND REFERRALS ARE MADE TO THE APPROPRIATE HEALTH CARE PROVIDER OR AGENCY.2. AULTMAN ORRVILLE WORKS COLLABORATIVELY WITH THE CRISIS CENTER AND THE MENTAL HEALTH AND RECOVERY BOARD TO PROVIDE THE APPROPRIATE CARE AND SERVICES TO INDIVIDUALS IN NEED. 3. COORDINATE RESOURCES TO ASSIST WITH THE NEEDS AND PROGRAMS OF THE WAYNE COUNTY FAMILY AND CHILDREN'S FIRST COUNCIL.4. ADDRESS MENTAL HEALTH ISSUES OF PERSONS IN JAILS WITH MENTAL ILLNESS, COORDINATING ASSESSMENT, TREATMENT AND RECOVERY SUPPORT. 5. WORKING WITH STUDENTS IN THE ORRVILLE SCHOOL SYSTEM IN A MENTORING PROGRAM TO DEVELOP STUDENT ASSETS.6. COMMUNITY BASED ORGANIZATIONS THAT WORK TO HELP KEEP YOUTH ALCOHOL, TOBACCO AND DRUG FREE.NEED 2: HEALTHY BEHAVIORS - TOBACCO USE AND VAPING, INFECTIOUS DISEASES, SEXUALLY TRANSMITTED INFECTIONS, HEALTHY EATING, PHYSICAL ACTIVITY, HEALTHY HABITS AT SCHOOL AND WITHIN THE FAMILY, FACTORS CONTRIBUTING TO TYPE II DIABETES, STRESS RELIEF, AND EDUCATION ON HEALTH BEHAVIORS AND HEALTHY LIFESTYLE CHOICES.ACTIONS:1. DEPARTMENT OF POPULATION HEALTH WILL PROMOTE WELLNESS THROUGH COMMUNITY EDUCATION, SCREENINGS, AND COORDINATE PROGRAMS AND EVENTS THROUGHOUT OUR COMMUNITY. LOSE-A-TON/WIN-A-TON COMMUNITY 12-WEEK WEIGHT LOSS COMPETITION ORRVILLE WALKS PROGRAM ENCOURAGING INDIVIDUALS TO GET UP AND MOVE ORRVILLE WALKS 1-MILE WALK AND ORRVILLE WALKS KIDS FUN RUN2. EXPAND THE ""AULTMAN AMBASSADOR PROGRAM"" TO SCHOOLS THROUGHOUT WAYNE COUNTY SCHOOLS. THIS PROGRAM'S MISSION, TO IMPROVE THE HEALTH AND WELL-BEING OF ADOLESCENTS BY IMPLEMENTING ONGOING HEALTH PROMOTION TO DECREASE OBESITY AND INCREASE PHYSICAL ACTIVITY, RESULTING IN A HEALTHIER COMMUNITY, SPEAKS DIRECTLY TO ALL THE NEEDS IDENTIFIED WITHIN THE FRAMEWORK OF HEALTHY BEHAVIORS.3. CONTINUE THE ""SAFETY FIRST"" BIKE HELMET PROGRAM FOR THE FIRST GRADERS AT EASTERN WAYNE COUNTY SCHOOLS.4. FREE COMMUNITY HEALTH TALKS5. SUPPORT GROUPS 6. ACTIVELY PARTICIPATE IN TURNING POINT COALITION.7. WEIGHT MANAGEMENT PROGRAM8. WORK WITH THE WAYNE COUNTY HEALTH DEPARTMENT AND PROVIDERS TO EDUCATE THE PUBLIC ON SAFE SEX PRACTICES AND THE PREVENTION OF SEXUALLY TRANSMITTED DISEASES.ANTICIPATED IMPACT:1. INCREASE THE KNOWLEDGE AND UNDERSTANDING OF HEALTHY BEHAVIORS AND MEASURES TO PROMOTE LIFESTYLE CHANGING BEHAVIORS. 2. THE ""AULTMAN AMBASSADOR PROGRAM"" UTILIZES THE ALLIANCE FOR A HEALTHIER GENERATIONS ASSESSMENT WHICH IDENTIFIES NEEDS WITHIN THE SCHOOLS. THE AMBASSADORS CORE FOCUS ADDRESS: A. NUTRITIONB. HYDRATIONC. SLEEPD. STRESSE. PHYSICAL ACTIVITY3. EDUCATION TO ADDRESS PREVENTION OF CHRONIC DISEASE PROCESSES.4. PROVIDE SUPPORT AND EDUCATION TO THOSE ALREADY DIAGNOSED WITH CHRONIC DISEASES.5. COMMUNITY BASED ORGANIZATION THAT WORKS TO HELP KEEP YOUTH ALCOHOL, TOBACCO AND DRUG FREE.6. 12-WEEK WELLNESS-BASED, FOOD-FOCUSED PROGRAM FOCUSES ON BEHAVIOR CHANGE FOR LONG-TERM SUCCESS.7. DECREASE THE NUMBER OF REPORTED SEXUALLY TRANSMITTED DISEASES IN WAYNE COUNTY.NEED 3: ACCESS TO CARE - ACCESS TO FAMILY PRACTICE PHYSICIANS, PRIMARY CARE, SPECIALTY CARE SERVICES, ACCESS FOR UNINSURED, MAMMOGRAM SCREENINGS, BARIATRIC PATIENT NEEDS, COORDINATION OF DIAGNOSTIC SERVICES, AND ORAL HEALTH SERVICES.ACTIONS:1. IMPROVE PRIMARY CARE AND SPECIALTY CARE ACCESS FOR PATIENTS WITHIN THE CURRENT RURAL HEALTH CLINIC FRAMEWORK.2. INVESTIGATE ADDITIONAL SITES FOR EXPANSION OF RURAL HEALTH CLINICS.3. INCREASE THE UTILIZATION OF TELEHEALTH SERVICES: AULTMANNOW TELESTROKE SCHOOL BASED 4. SCHEDULE PRIMARY CARE PHYSICIAN FOLLOW UP APPOINTMENTS PRIOR TO PATIENT DISCHARGE.5. CONTINUE TO PROVIDE SPECIALTY SERVICES ON THE AULTMAN ORRVILLE HOSPITAL CAMPUS, INCLUDING BUT NOT LIMITED TO: GENERAL SURGERY OB/GYN CARDIOLOGY ENDOCRINOLOGY ORTHOPEDICS GASTROENTEROLOGY PODIATRY EAR, NOSE AND THROAT (ENT) PAIN MANAGEMENT SLEEP LAB TRANSITIONAL CARE6. COORDINATE ORAL HEALTH CARE SERVICES WITH VIOLA STARTZMAN CLINIC AND THE ORRVILLE AREA BOYS AND GIRLS CLUB SITE. 7. CONTINUE TO PROVIDE CERTIFIED STATE OF THE ART MAMMOGRAM SERVICES8. CONTINUE TO CONTRACT AND COORDINATE TRANSPORTATION SERVICES TO INDIVIDUALS UTILIZING AULTMAN ORRVILLE HOSPITAL, PROVIDERS, AND ITS SERVICES.ANTICIPATED IMPACT:1. INCREASE NUMBER OF VISITS TO PRIMARY CARE PHYSICIANS AND SPECIALTY SERVICES WITHIN OUR SERVICE AREA.2. INCREASE UTILIZATION OF TELEHEALTH RESOURCES. 3. DECREASE READMISSION FOR HIGH-RISK DIAGNOSIS THROUGH CARE COORDINATION.4. INCREASE MAMMOGRAPHY VISITS BY PROVIDING STATE OF THE ART AFFORDABLE SCREENINGS WITHIN OUR COMMUNITY.5. INCREASE NUMBER OF VISITS TO HOSPITAL-BASED SERVICES."

AULTMAN ALLIANCE COMMUNITY HOSPITAL
"PART V, SECTION B, LINE 11: DURING THE SECOND YEAR OF OUR JOINT CHNA IMPLEMENTATION, AULTMAN ALLIANCE COMMUNITY HOSPITAL (AACH) CONTINUES PURSUING OUR GROUP STRATEGIES TO UNDERSTAND AND MEET OUR COMMUNITY'S HEALTH NEEDS. WE LEAD OUR COMMUNITY TO IMPROVED HEALTH FOR THE PRIORITY HEALTH NEEDS IDENTIFIED AND THE 2021 PROGRESS IS AS FOLLOWS: 1.) ACCESS TO HEALTH CARE - WE STRIVE TO PROVIDE ACCESS TO HIGH-QUALITY, AFFORDABLE, HOLISTIC, AND CULTURALLY RELEVANT CARE AND ARE COMMITTED TO A VARIETY OF STRATEGIES ADDRESSING ACCESSIBLE CARE. A) AACH OFFERS A FREE SHUTTLE SERVICE TO PATIENTS IN THE CITY LIMITS OF ALLIANCE TO ENSURE PATIENTS HAVE TRANSPORTATION TO THEIR APPOINTMENTS. B) THIS IS THE SECOND YEAR AACH PROVIDED TELEHEALTH SERVICES AND THE ""AULTMANNOW"" APP ALLOWS FOR PRIMARY CARE SERVICES 24/7/365 FROM HOME, WORK OR SCHOOL. C) DURING 2021, WE CONTINUED CONTRACTING WITH AND A LOCAL BUSINESS, PROVIDING OVER 3,000 ONSITE AND TELEHEALTH VISITS TO THEIR EMPLOYEES, GEARED TOWARD PREVENTIVE CARE AND MINOR-ILLNESS TREATMENT SERVICES. D)WE ALSO CONTRACT WITH OUR LOCAL UNIVERSITY TO OFFER THEIR STUDENTS ACCESS TO HEALTHCARE (INCLUDING TRANSPORTATION) WHEN THEY ARE AWAY FROM HOME. NO APPOINTMENT IS NEEDED AND THE UNIVERSITY HEALTH CLINIC EXPERIENCED NEARLY 2,000 VISITS DURING THE YEAR. 2.) MENTAL HEALTH SERVICES - WE PROVIDE ACCESS TO MENTAL HEALTH CARE THAT IS INTEGRATED WITH PRIMARY CARE, SUBSTANCE ABUSE TREATMENT, COMMUNITY SAFETY, AND VIOLENCE PREVENTION, INCLUDING CALM (COUNSELING ON ACCESS TO LETHAL MEANS ) PROGRAM TRAINING. A) AGAIN IN 2021, AACH WAS PART OF THE GROUP'S AULTCARE YOU MATTER CAMPAIGN. AS A GROUP, OVER 42,500 STUDENTS IN 10 SCHOOL DISTRICTS BENEFITED FROM THE THIRD ANNUAL STARK COUNTY CHILDREN'S MENTAL HEALTH AWARENESS WEEK IN 2021. DURING THIS WEEK, A UNITY VIDEO FEATURED 21 HIGH SCHOOL MENTAL HEALTH CHAMPIONS FROM THE PARTNERSHIP SCHOOL DISTRICTS. B) AACH MAINTAINS A 12-BED INPATIENT SENIOR CARE UNIT THAT OFFERS CLINICAL AND BEHAVIORAL INITIATIVES INCLUDING PALLIATIVE CARE SERVICES, A SENSORY SUITE, A ROBUST DEHYDRATION PREVENTION PROTOCOL, AND ROUTINE FAMILY MEETINGS. IN 2021, INPATIENT VOLUMES WERE LOWER THAN PREVIOUS YEARS RELATED TO THE STRATEGIC DECISION TO CLOSE THE UNIT TWO DIFFERENT TIMES TO TEMPORARILY REASSIGN STAFF FOR COVID-19 CRISIS RESPONSE. WHILE THE UNIT WAS OPEN, THE CENSUS WAS CAPPED TO PROVIDE CONSISTENT STAFFING FOR THE PATIENT POPULATION. C) AS PART OF THE AULTMAN OPIOID COMMITTEE, AACH CONTINUES TO INTEGRATE AND STANDARDIZE SYSTEM-WIDE SAFE OPIOID PRESCRIBING PRACTICES ADDRESSING THE KEY DRIVERS OF SAFE OPIOID PRESCRIBING PRACTICES.3.) INFANT MORTALITY - IN CONJUNCTION WITH A MULTITUDE OF STATE AND LOCAL AGENCIES, AULTMAN AIMS TO DECREASE STARK COUNTY'S INFANT MORTALITY RATE THROUGH VARIOUS PROGRAMS AND SERVICES. SAFE SLEEP EDUCATION, POLICIES, AND RESOURCES CREATE AWARENESS AND ENCULTURATE (INFANT) SAFE SLEEP POLICIES AND PRACTICES. STARTING IN JULY 2021, AACH'S EDUCATIONAL PROGRAM BEGAN BY INCLUDING A SAFE SLEEP INFORMATION SHEET IN EMERGENCY DEPARTMENT DISCHARGE PACKETS FOR FAMILIES. OVER 13,000 SAFE SLEEP INFORMATION SHEETS WERE DISTRIBUTED IN 2021. 4.) OBESITY AND HEALTHY LIFESTYLE AND 5.) SOCIAL DETERMINANTS OF HEALTH - AACH PROMOTES HEALTHY LIFESTYLE CHOICES AND ADDRESSES THEIR INTERCONNECTION WITH SOCIO-ECONOMIC FACTORS. A) IN AACH'S MEDS (MEDICATION, EDUCATION, DIET, SUPPORT) CLINIC, PREVENTION AND MANAGEMENT OF CHRONIC DISEASES AND CONDITIONS SUCH AS OBESITY, TYPE 2 DIABETES, HYPERTENSION, HEART DISEASE, STROKE AND CANCER ARE THE FOCUS. SERVICES INCLUDING NUTRITIONAL GUIDANCE, GLUCOSE MONITORING, AND INSULIN PUMP EDUCATION ARE SERVICES OFFERED. B) AULTMAN INTEGRATED THE HUNGER VITAL SIGNTM FOOD INSECURITY SCREENING ITEMS IN THE ELECTRONIC MEDICAL RECORD (EMR) TO GUIDE SYSTEM-WIDE IDENTIFICATION OF FOOD INSECURE PATIENTS AND HELPS DETERMINE A PATIENT'S ELIGIBILITY FOR FOOD ASSISTANCE PROGRAMS. C) AACH PARTNERED WITH STARKFRESH FOR A SECOND YEAR PROVIDING TWO BUS STOPS LOCATED NEAR THE HOSPITAL FOR THE MOBILE GROCERY MARKET . THE MOBILE GROCERY MARKET PROVIDES EASY ACCESS TO LOW-COST, NUTRITIOUS FOOD PRODUCTS TO SERVE VULNERABLE COMMUNITY MEMBERS. STARKFRESH ALSO PROVIDES THE HOSPITAL WITH SEED PACKETS FOR THE COMMUNITY'S SPRING PLANTING. D) AACH'S NUTRITIONAL SERVICES DEPARTMENT PREPARES MEALS FOR THE CITY OF ALLIANCE CHAPTER OF MEALS ON WHEELS AMERICA. COMMUNITY VOLUNTEERS DELIVERED OVER 16,000 MEALS TO CITY OF ALLIANCE RESIDENTS IN NEED OF A FOOD DELIVERY SERVICE. E) INITIATED IN 2017, THE COMMUNITY GARDEN LOCATED ON AACH'S CAMPUS HARVESTS VEGETABLES AND FRUITS WHICH ARE THEN GIVEN TO PATIENTS IN THE MEDS CLINIC, CARDIAC REHAB AND COMMUNITY RESIDENTS. THE COMMUNITY GARDEN IS MAINTAINED BY VOLUNTEERS AND PRODUCED CLOSE TO 400 POUNDS OF FRESH PRODUCE IN 2021. THE COVID-19 PANDEMIC CONTINUED TO LIMIT THE REACH OF OUR COMMUNITY OUTREACH ACTIVITIES, BUT ALL NEEDS HAVE BEEN ADDRESSED WHILE CONTINUING TO FOLLOW THE SAFETY GUIDELINES."

AULTMAN ORRVILLE HOSPITAL
PART V, SECTION B, LINE 13H: ACCORDING TO AULTMAN ORRVILLE HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP), ALL MEDICALLY NECESSARY SELF-PAY PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. ELIGIBILITY CRITERIA IS BASED ON THE UPDATES PUBLISHED BY THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE PERCENT OF ASSISTANCE PROVIDED IS DETERMINED ON A SLIDING SCALE AS FOLLOWS: 0% TO 200% OF FPG RECEIVES 100% DISCOUNT, 201% TO 400% IS DISCOUNTED 65%, AND 401% AND ABOVE IS DISCOUNTED 59%.

AULTMAN ALLIANCE COMMUNITY HOSPITAL
PART V, SECTION B, LINE 16J: AACH'S REGISTRATION PERSONNEL REFER UNINSURED AND LOW-INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS OUR FAP AND OFFER ASSISTANCE IN APPLYING FOR FINANCIAL ASSISTANCE. OUR PHYSICIAN PRACTICES FOLLOW THE SAME REFERRAL PROCESS IF A PATIENT IS HAVING A TEST AT THE HOSPITAL.THE FINANCIAL ASSISTANCE INFORMATION CAN BE FOUND AT THE FOLLOWING URL: HTTPS://AULTMANALLIANCE.ORG/PATIENTS-AND-VISITORS/INSURANCE-AND-BILLING/FINANCIAL-ASSISTANCE/

AULTMAN ALLIANCE COMMUNITY HOSPITAL
PART V, SECTION B, LINE 20E: AACH PROVIDES FINANCIAL COUNSELING SERVICES AND PARTNERS WITH A VENDOR TO ASSIST WITH MEDICAID ELIGIBILITY.

PART V, SECTION B
FACILITY REPORTING GROUP A

FACILITY REPORTING GROUP A CONSISTS OF:
- FACILITY 1: AULTMAN HOSPITAL, - FACILITY 2: AULTMAN WOODLAWN, - FACILITY 3: AULTMAN MASSILLON

GROUP A-FACILITY 1 -- AULTMAN HOSPITAL PART V, SECTION B, LINE 5:
SINCE 2010, THE STARK COUNTY HEALTH DEPARTMENT HAS FACILITATED A COLLABORATIVE CHA PROCESS TO MEET AFFORDABLE CARE ACT REQUIREMENTS FOR NONPROFIT HOSPITALS AND PUBLIC HEALTH ACCREDITATION BOARD STANDARDS FOR HEALTH DEPARTMENTS. LOCAL PUBLIC HEALTH DEPARTMENTS, HEALTH CARE SYSTEMS, MENTAL HEALTH, SOCIAL SERVICE AGENCIES AND NON-PROFIT ORGANIZATIONS SUPPORT AND GUIDE THIS PROCESS. THE ASSESSMENT PROCESS IS AN ONGOING CYCLE THAT INCLUDES BUILDING PARTNERSHIPS; COORDINATING A CONSORTIUM; ASSESSING DATA, COMMUNITY NEEDS AND CAPACITY; AND PLANNING, PRIORITIZATION, ACTION DEVELOPMENT, IMPLEMENTATION AND EVALUATION. THE ADVISORY COMMITTEE SELECTED THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) MODEL, FOR THE 2020-2022 CYCLE. THE MAPP MODEL IS AN EVIDENCE-BASED, COMMUNITY-WIDE STRATEGIC PLANNING PROCESS THAT ASSISTS COMMUNITIES WITH PRIORITIZING PUBLIC HEALTH ISSUES, IDENTIFYING RESOURCES FOR ADDRESSING THOSE ISSUES AND DEVELOPING A SHARED, LONG-TERM COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). THE APPROACH IMPROVES PUBLIC HEALTH PRACTICE THROUGH SIX PHASES AND FOUR ASSESSMENTS. THREE SIGNIFICANT COMPONENTS SERVE AS THE FOUNDATION OF THE MAPP PROCESS: 1) STRATEGIC PLANNING, 2) COLLABORATION AND 3) QUALITY IMPROVEMENT. THE ADVISORY COMMITTEE SELECTED CENTER FOR MARKETING AND OPINION RESEARCH (CMOR) TO CONDUCT THE 2019 CHA AS THEY DID FOR PREVIOUS CHA CYCLES. AULTMAN HEALTH FOUNDATION LEADERS SERVE AS MEMBERS OF THE ADVISORY COMMITTEE. THE 2019 CHA SERVES AS A FOUNDATION OF THE JOINT 2019 AULTMAN HOSPITAL, AULTMAN ALLIANCE COMMUNITY HOSPITAL, & AULTMAN SPECIALTY HOSPITAL CHNA. THE 2019 CHA IS AVAILABLE AT HTTPS://WWW.STARKCOUNTYOHIO.GOV/PUBLIC-HEALTH/COMMUNITY-HEALTH-ASSESSMENT. ADDITIONALLY, AULTMAN HEALTH FOUNDATION USES THE COMMUNITY HEALTH ASSESSMENT TOOLKIT AS A FRAMEWORK (ASSOCIATION FOR COMMUNITY HEALTH IMPROVEMENT, 2017).CMOR GATHERED PRIMARY AND SECONDARY DATA COLLECTION THROUGH FOUR PHASES: 1) COMMUNITY SURVEY, 2) COMMUNITY HEALTH LEADER SURVEY, 3) SECONDARY DATA AND 4) COMMUNITY FOCUS GROUP. THE CHA INCLUDED A COMBINATION OF QUANTITATIVE DEMOGRAPHIC AND HEALTH DATA, AS WELL AS QUALITATIVE DATA THAT REFLECTS THE EXPERIENCES AND OPINIONS OF COMMUNITY RESIDENTS AND HEALTH LEADERS. AFTER GATHERING THE DATA, CMOR COMPILED THE INFORMATION BY SOURCE AND PREPARED A REPORT WITH NARRATIVE AND VISUAL DISPLAYS OF DATA. WHEN AVAILABLE, DATA WAS COMPARED TO PREVIOUS DATA, AS WELL AS OTHER STATE AND NATIONAL DATA. ANALYSIS INCLUDED SURVEY DATA IN CONJUNCTION WITH HEALTH AND DEMOGRAPHIC DATA. USING ALL DATA AVAILABLE, CMOR IDENTIFIED COMMUNITY HEALTH NEEDS FOR STARK COUNTY.COMMUNITY SURVEY. THE FIRST PHASE CONSISTED OF A RANDOM SAMPLE TELEPHONE SURVEY OF STARK COUNTY HOUSEHOLDS. TELEPHONE INTERVIEWS ENSURED ADEQUATE SAMPLE SIZE AND REPRESENTATIVENESS OF THE POPULATION. THE FINAL SAMPLE SIZE OF 800 RESULTED IN AN OVERALL SAMPLING ERROR OF +/- 3.5% WITHIN A 95% CONFIDENCE LEVEL. AN OVERSAMPLE OF APPROXIMATELY 160 AFRICAN-AMERICAN RESIDENTS AND 105 CANTON RESIDENTS WAS CONDUCTED IN ADDITION TO THE 800 INTERVIEWS IN ORDER TO ATTAIN ENOUGH CASES OF THIS POPULATION TO BE ABLE TO DRAW STATISTICALLY VALID CONCLUSIONS. DATA COLLECTION BEGAN ON JULY 5, 2018 AND ENDED ON AUGUST 7, 2018. MOST CALLING TOOK PLACE BETWEEN THE EVENING HOURS OF 5:15 P.M. AND 9:15 P.M. SOME INTERVIEWS WERE CONDUCTED DURING THE DAY AND ON SOME WEEKENDS TO ACCOMMODATE RESPONDENT SCHEDULES. THE INTERVIEWS TOOK AN AVERAGE OF 14.4 MINUTES.SECONDARY DATA. THE SECOND PHASE CONSISTED OF REVIEWING AND ANALYZING SECONDARY DATA SOURCES TO IDENTIFY PRIORITY AREAS OF CONCERN WHEN ANALYZED ALONGSIDE SURVEY DATA. CMOR GATHERED AND COMPILED HEALTH AND DEMOGRAPHIC DATA FROM VARIOUS SOURCES. COMMUNITY LEADER SURVEY. THE THIRD PHASE CONSISTED OF A WEB SURVEY OF COMMUNITY LEADERS WHO WERE KNOWLEDGEABLE ABOUT PUBLIC HEALTH. A TOTAL OF 101 COMMUNITY LEADERS COMPLETED THE WEB SURVEY BETWEEN OCTOBER 25 AND NOVEMBER 12, 2018. SEE APPENDIX 2 ORGANIZATIONS RESPONDING TO THE INVITATION TO PARTICIPATE IN THE COMMUNITY LEADER SURVEY.COMMUNITY FOCUS GROUP. THE FOURTH PHASE CONSISTED OF A MODERATED DISCUSSION WITH A DIVERSE DEMOGRAPHIC MIX OF ADULT STARK COUNTY RESIDENTS. THE COMMUNITY FOCUS GROUP WAS HELD ON FEBRUARY 20, 2019, AT THE STARK COUNTY HEALTH DEPARTMENT. CMOR MODERATED THE DISCUSSION. PARTICIPANTS IN THE COMMUNITY FOCUS GROUP COMPRISED A DIVERSE GROUP OF INDIVIDUAL CITIZENS.

GROUP A-FACILITY 1 -- AULTMAN HOSPITAL PART V, SECTION B, LINE 6A:
THE CHNA WAS CONDUCTED IN COLLABORATION WITH THE FOLLOWING HOSPITAL FACILITIES: AULTMAN SPECIALTY HOSPITAL, AND ALLIANCE COMMUNITY HOSPITAL.

GROUP A-FACILITY 1 -- AULTMAN HOSPITAL PART V, SECTION B, LINE 6B:
THE CHNA WAS CONDUCTED IN COLLABORATION WITH THE FOLLOWING NON-HOSPITAL FACILITIES: ACCESS HEALTH STARK COUNTY, ALLIANCE FAMILY HEALTH CENTER, ALLIANCE CITY HEALTH DEPARTMENT, THE AULTMAN HEALTH FOUNDATION, AULTMAN MEDICAL GROUP, BEACON CHARITABLE PHARMACY, CANTON CITY PUBLIC HEALTH , COMMQUEST, MASSILLON CITY HEALTH DEPARTMENT, MERCY MEDICAL CENTER, MY COMMUNITY HEALTH CENTER, THE OHIO STATE UNIVERSITY EXTENSION OFFICE, PARAMOUNT ADVANTAGE, PEGASUS FARM, STARK COUNTY COMMUNITY ACTION AGENCY, STARK COUNTY FAMILY COUNCIL, STARK COUNTY HEALTH DEPARTMENT, STARK COUNTY JOBS AND FAMILY SERVICES, STARK COUNTY DISTRICT LIBRARY, STARK MENTAL HEALTH & ADDICTION RECOVERY, STARK FRESH, STARK PARKS, STARK COUNTY TASC, SUMMA HEALTH, SISTERS OF CHARITY FOUNDATION OF CANTON, UNITED WAY OF GREATER STARK COUNTY, AND YMCA OF CENTRAL STARK COUNTY.IN ADDITION, THE COLLABORATION CONTRACTED WITH CENTER FOR MARKETING & OPINION RESEARCH, LLC AND BRICKER & ECKLER LLP/INCOMPLIANCE CONSULTING TO CONDUCT THE STARK COUNTY HEALTH NEEDS ASSESSMENT AND PREPARE THE 2019 STARK COUNTY HEALTH NEEDS ASSESSMENT. THE CENTER FOR MARKETING & OPINION RESEARCH PROVIDES PUBLIC OPINION RESEARCH SERVICES TO COLLEGES AND UNIVERSITIES, HOSPITALS AND HEALTH CARE ORGANIZATIONS, BUSINESSES, AND COMMUNITY-BASED ORGANIZATIONS AND GOVERNMENT AGENCIES. SERVICES INCLUDE TELEPHONE, WEB AND MAIL SURVEYS, FIELD, INTERCEPT AND KEY INFORMANT INTERVIEWS, FOCUS GROUP ADMINISTRATION, AS WELL AS A WIDE RANGE OF CONSULTING SERVICES.

GROUP A-FACILITY 1 -- AULTMAN HOSPITAL PART V, SECTION B, LINE 7D:
THE CHNA CAN BE FOUND AT THE FOLLOWING URL:AULTMAN.ORG/HOME/ABOUT/AULTMAN-HOSPITAL/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/

GROUP A-FACILITY 1 -- AULTMAN HOSPITAL PART V, SECTION B, LINE 11:
"AULTMAN HOSPITAL DEVELOPED A STRATEGY FOR THE SELECTED PRIORITY HEALTH NEEDS AND/OR SOCIAL DETERMINANTS OF HEALTH. THE HOSPITAL THEN SELECTED STRATEGIES THAT IMPACT THE CLINICAL NEEDS OF OUR PATIENT POPULATION AND SOCIAL DETERMINANTS OF THE PRIORITY NEED.NEED 1: ACCESS TO HEALTH CARE (AFFORDABLE, BASIC HEALTHCARE)ACTIONS: 1. AULTMAN MEDICAL GROUP PROVIDERS2. INTEGRATIVE HEALTH CARE (IHC) MEDICARE SHARED SAVINGS PROGRAM3. AULTMANNOW APP TELEHEALTHANTICIPATED IMPACT:1. SUSTAIN THE NUMBER OF AULTMAN MEDICAL GROUP PROVIDERS.2. AULTMAN MEDICAL GROUP WILL REDUCE THE NUMBER OF ED VISITS/1000 BY 5% FROM 312.7 IN 2018 TO 297.1 BY DECEMBER 31, 2019.3. AULTMAN MEDICAL GROUP WILL REDUCE THE NUMBER OF AMBULATORY SENSITIVE ADMISSIONS/1000 BY 5% FROM 38.0 IN 2018 TO 36.1 BY DECEMBER 31, 2019.4. NUMBER OF AULTMANNOW APP TELEHEALTH APPOINTMENTS.5. IHC MEDICARE SHARED SAVINGS PROGRAM (IHC MSSP) ED VISIT RATE = NUMBER OF MSSP ENROLLEE/1000 MSSP BENEFICIARIES.6. IHC MSSP PRIMARY CARE VISIT RATE = NUMBER OF MSSP ENROLLEE PRIMARY CARE VISITS/1000 MSSP BENEFICIARIES.7. IHC MSSP WELLNESS VISIT RATE = NUMBER OF MSSP ENROLLEE WELLNESS VISITS/1000 ENROLLED IN MSSPNEED 2: INFANT MORTALITYACTIONS:1. SAFE SLEEP ENVIRONMENT IN THE BIRTH CENTER DURING NEWBORN ROOMING-IN A. ACTIVE ENDORSEMENT OF AMERICAN ACADEMY OF PEDIATRICS (AAP) INFANT SAFE SLEEP GUIDELINES B. HOSPITAL POLICY CONSISTENT WITH AAP INFANT SAFE SLEEP GUIDELINES C. HOSPITAL STAFF MODEL SAFE SLEEP GUIDELINES D. INFANT CAREGIVER EDUCATION TO BUILD KNOWLEDGE, SKILLS AND SELF-EFFICACY TO PRACTICE SAFE SLEEP E. REFERRAL OF ELIGIBLE FAMILIES TO STARK COUNTY HEALTH DEPARTMENT SAFE CRIBS PROGRAM F. BIRTH CENTER NURSE COMMUNITY OUTREACH SAFE SLEEP ENVIRONMENT DEMONSTRATIONS AND EDUCATION AT WELLNESS ON WHEELS (WOW) LOCATIONS2. COMMUNITY PARTNERSHIPS TO ALIGN GOALS AND STRATEGIES A. STARK COUNTY THRIVE COLLABORATIVE B. OHIO DEPARTMENT OF HEALTH OHIO COLLABORATIVE TO PREVENT INFANT MORTALITY C. STARK COUNTY FAMILY COUNCIL D. OHIO INJURY PREVENTION PROGRAM SAFE SLEEP SUBCOMMITTEEANTICIPATED IMPACT:1. INPATIENT INFANTS WILL HAVE A SAFE SLEEP ENVIRONMENT 100% OF THE TIME - SAFE SLEEP ENVIRONMENT RATE = NUMBER OF DOCUMENTED SAFE SLEEP ENVIRONMENTS/NUMBER OF INPATIENT INFANTS.2. PARENTS/LEGAL GUARDIANS OF INFANTS WILL RECEIVE SAFE SLEEP EDUCATION DURING A HOSPITAL STAY 100% OF THE TIME - SAFE SLEEP EDUCATION RATE = NUMBER OF DOCUMENTED EDUCATION ON SAFE SLEEP/NUMBER OF INPATIENT INFANTS.3. ELIGIBLE PARENTS/LEGAL GUARDIANS OF INFANTS WILL RECEIVE SAFE SLEEP ENVIRONMENT RESOURCES - NUMBER OF CRIBS FOR KIDS PROGRAM REFERRALS.4. COMMUNITY OUTREACH EDUCATION ON SAFE SLEEP ENVIRONMENT. - NUMBER OF FAMILIES RECEIVING SAFE SLEEP EDUCATION.NEED 3: OBESITY & HEALTHY LIFESTYLE1. GENERATIONS PROGRAM:ACTIONS:A. PHYSICAL FITNESS ACTIVITIES INCLUDING WALKING, YOGA, BOWLING, GOLF AND PICKLEBALL.B. FOOD AND MEAL EVENTS INCLUDING NUTRITIOUS MEAL PREPARATION, FOOD TOURS.C. SOCIAL OUTINGS TO SPORTS EVENTS, MUSIC EVENTS AND CULTURAL EVENTS.D. CHORAL SINGING ACTIVITIES.E. EDUCATIONAL SESSIONS ON MEDICAL CONDITIONS, PREVENTION AND WELLNESS.F. ""HANDS-ONLY"" CPR TRAINING.G. HEALTH SCREENINGS.ANTICIPATED IMPACT: PARTICIPATION RATE = NUMBER OF ENROLLED PARTICIPANTS/NUMBER OF COUNTY MEMBERS.2. BEE HEALTHY EMPLOYEE WELLNESS PROGRAMACTIONS:A. BEE HEALTHY RUNB. CAF NUTRITION OFFERINGSC. ONLINE WELLNESS PORTAL (CHALLENGES, PROGRAMS, TRACKING FOOD/FITNESS/WATER)D. AULTMAN EMPLOYEE GYME. TELEPHONE COACHINGF. 100 DAYS OF SUMMER WALKING CHALLENGEG. BEE HEALTHY PROGRAM CASH INCENTIVE AND REDUCED HEALTH PLAN PREMIUMS FOR COMPLETION OF REQUIREMENTS:- ONE AGE- OR GENDER-APPROPRIATE PREVENTIVE SCREENING.- A DENTAL AND/OR VISION VISIT.- COMPLETE THE ONLINE HEALTH RISK ASSESSMENT VIA THE BEE HEALTHY WELLNESS PORTAL.ANTICIPATED IMPACT: BEE HEALTHY PARTICIPATION RATE = NUMBER OF EMPLOYEES ENROLLED/NUMBER OF EMPLOYEES3. AULTMAN AMBASSADOR PROGRAMACTIONS:A. AULTMAN AMBASSADOR PROGRAM: SUPPORT STUDENT PEER-TO-PEER MENTORING, STAFF ADVISING AND UNIVERSITY PARTNER FOR THE ALLIANCE FOR A HEALTHIER GENERATION HEALTHY SCHOOLS PROGRAM CYCLE OF ASSESSMENT, ACTION PLANNING, IMPLEMENTATION OF STRATEGIES AND EVALUATION OF IMPACT.B. SUSTAIN INTERMEDIARY PARTNER WITH THE ALLIANCE FOR A HEALTHIER GENERATION.ANTICIPATED IMPACT: A. SCHOOL ENROLLMENT RATE = NUMBER OF STARK COUNTY SCHOOLS ENROLLED/NUMBER OF STARK COUNTY SCHOOLSB. SCHOOL PARTICIPATION RATE = NUMBER OF ENROLLED SCHOOLS COMPLETING A HEALTHY SCHOOLS PROGRAM ASSESSMENT/NUMBER OF ENROLLED SCHOOLSC. SCHOOL PARTICIPATION RATE = NUMBER OF ENROLLED SCHOOLS DEVELOPING AN ACTION PLAN/NUMBER OF ENROLLED SCHOOLSD. NUMBER OF STUDENT AMBASSADORS4. TOBACCO CESSATION/VAPINGACTIONS:A. INCREASE COMMUNITY AWARENESS OF TOBACCO CESSATION PROGRAMS.B. GIVE IT UP! TOBACCO CESSATION PROGRAM LED BY TOBACCO TREATMENT SPECIALISTS.C. IMPLEMENT THE ADOLESCENT VAPING AWARENESS PROGRAM OFFERED BY AULTMAN CARDIAC REHABILITATION TOBACCO TREATMENT SPECIALISTS.D. INCREASE COMMUNITY AWARENESS OF THE HEALTH HAZARDS ASSOCIATED WITH E-CIGARETTES OR VAPING.ANTICIPATED IMPACT:A. TOBACCO USE SCREENING RATE = NUMBER OF 18-YEAR-OLD OR OLDER INPATIENTS NOT COGNITIVELY IMPAIRED SCREENED/NUMBER OF 18-YEAR-OLD OR OLDER INPATIENTS NOT COGNITIVELY IMPAIREDB. TOBACCO CESSATION COUNSELING REFERRAL RATE = TOTAL NUMBER OF PATIENTS WHO HAVE USED TOBACCO IN THE PAST 30 DAYS REFERRED TO TOBACCO CESSATION COUNSELING/TOTAL NUMBER OF PATIENTS WHO HAVE USED TOBACCO IN THE PAST 30 DAYS C. GRADUATION RATE = NUMBER OF PARTICIPANTS ATTENDING FOUR OR MORE SESSIONS/NUMBER OF PARTICIPANTSD. QUIT SUCCESS RATE = NUMBER OF PARTICIPANTS WITH A NORMAL CO LEVELS AT FINAL SESSION/NUMBER OF PARTICIPANTSE. ADOLESCENT VAPING AWARENESS PROGRAM COMPLETION RATE = NUMBER OF ADOLESCENTS REFERRED TO PROGRAM/NUMBER OF ADOLESCENTS COMPLETING THE 2-SESSION PROGRAM5. WEIGHT MANAGEMENT PROGRAMSACTIONS:A. NEW DIRECTION WEIGHT MANAGEMENT: THREE-PHASE, MEDICALLY MONITORED, VERY LOW-CALORIE DIET DESIGNED FOR PEOPLE WITH AT LEAST 40 POUNDS TO LOSE.B. NEW OUTLOOK WEIGHT MANAGEMENT: THREE-PHASE MEDICALLY MONITORED LOW-CALORIE DIET FOR PEOPLE WANTING TO LOSE 20 POUNDS OR MORE.C. NEW CHOICES WEIGHT MANAGEMENT: BASED ON WELL-BALANCED MEALS AND HEALTHY SNACKS FROM GROCERY STORE FOOD FOR PEOPLE WITH ANY AMOUNT OF WEIGHT TO LOSE.ANTICIPATED IMPACT:A. PERCENT OF MEDICATION DISCONTINUATION/DOSE REDUCTION = NUMBER OF ACTIVE CLIENTS WHO WERE ABLE TO DISCONTINUE OR REDUCE THE DOSE OF A PRESCRIBED ANTIHYPERTENSIVE, DIABETES OR CHOLESTEROL MEDICATION/NUMBER OF ACTIVE CLIENTS WHO STARTED A PROGRAM ON PRESCRIBED ANTIHYPERTENSIVE, DIABETES OR CHOLESTEROL MEDICATIONB. PERCENT OF ACTIVE CLIENTS WITH DECREASE IN AVERAGE WAIST SIZE = NUMBER OF ACTIVE CLIENTS THAT DECREASED WAIST SIZE/NUMBER OF ACTIVE CLIENTS THAT COMPLETED 12 WEEKS OF THE PROGRAMNEED 4: MENTAL HEALTH1. ACCESSACTIONS:A. AULTMAN COLLEGE OF NURSING AND HEALTH SCIENCES OFFERING A BACHELOR OF SOCIAL WORK DEGREE PROGRAM.B. AULTMAN HOSPITAL EMERGENCY SERVICES BEHAVIORAL HEALTH NAVIGATORSC. AULTMAN MEDICAL GROUP BEHAVIORAL HEALTH AND COUNSELING CENTER INPATIENT AND OUTPATIENT CLIENT SERVICES AND DEVELOPMENT OF A BEHAVIORAL HEALTH PLAN OF CARE FOR MY COMMUNITY HEALTH CENTER PATIENT POPULATIOND. COMMQUEST SERVICES, INC. UNIT AT AULTMAN HOSPITAL TO PROVIDE TREATMENT OF ALCOHOL, DRUGS AND OTHER ADDICTIVE BEHAVIORS.E. SOCIAL WORKER CARE COORDINATION TO LINK PATIENTS TO NEEDED COMMUNITY MENTAL HEALTH SERVICES.F. IMPLEMENT AULTMAN HOSPITAL BEHAVIORAL HEALTH RESPONSE TEAM CODE ROSEG. BEHAVIORAL HEALTH STRATEGIC PLANNING WORKGROUP FOR COORDINATION OF COUNTY SERVICES AND RESOURCESANTICIPATED IMPACT:A. AULTMAN COLLEGE OF NURSING AND HEALTH SCIENCES SOCIAL WORK PROGRAM GRADUATION RATE = NUMBER OF GRADUATES/NUMBER OF STUDENTS ENROLLED IN THE SOCIAL WORK PROGRAMB. AMG BEHAVIORAL HEALTH AND COUNSELING PATIENT WAIT TIME FOR BEHAVIORAL HEALTH SERVICESC. COMMQUEST SERVICES, INC. UNIT AT AULTMAN HOSPITAL INPATIENT VOLUMESD. NUMBER OF SOCIAL WORKER PATIENT REFERRALS TO NEEDED COMMUNITY BEHAVIORAL HEALTH SERVICES.E. NUMBER OF CODE ROSE ACTIVATIONS FOR BEHAVIORAL HEALTH ASSESSMENT(CONTINUED IN SCHEDULE H, PART V, SECTION C)"

GROUP A-FACILITY 1 -- AULTMAN HOSPITAL PART V, SECTION B, LINE 13H:
ACCORDING TO AULTMAN HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP), ALL MEDICALLY NECESSARY SELF-PAY PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. ELIGIBILITY CRITERIA IS BASED ON THE UPDATES PUBLISHED BY THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE PERCENT OF ASSISTANCE PROVIDED IS DETERMINED ON A SLIDING SCALE AS FOLLOWS: 0% TO 200% OF FPG RECEIVES 100% DISCOUNT, 201% TO 400% IS DISCOUNTED 65%, AND 401% AND ABOVE IS DISCOUNTED 63%.

GROUP A-FACILITY 1 -- AULTMAN HOSPITAL PART V, SECTION B, LINE 16J:
THE FINANCIAL ASSISTANCE INFORMATION CAN BE FOUND AT THE FOLLOWING URL:HTTPS://AULTMAN.ORG/HOME/PATIENTS-AND-VISITORS/INSURANCE-AND-BILLING/FINANCIAL-ASSISTANCE/#/

GROUP A-FACILITY 2 -- AULTMAN WOODLAWN PART V, SECTION B, LINE 5:
SEE GROUP A - FACILITY 1 -- AULTMAN HOSPITAL DISCLOSURE

GROUP A-FACILITY 2 -- AULTMAN WOODLAWN PART V, SECTION B, LINE 6A:
SEE GROUP A - FACILITY 1 -- AULTMAN HOSPITAL DISCLOSURE

GROUP A-FACILITY 2 -- AULTMAN WOODLAWN PART V, SECTION B, LINE 7D:
THE CHNA CAN BE FOUND AT THE FOLLOWING URL:AULTMAN.ORG/HOME/ABOUT/AULTMAN-HOSPITAL/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/

GROUP A-FACILITY 2 -- AULTMAN WOODLAWN PART V, SECTION B, LINE 13H:
ACCORDING TO AULTMAN HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP), ALL MEDICALLY NECESSARY SELF-PAY PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. ELIGIBILITY CRITERIA IS BASED ON THE UPDATES PUBLISHED BY THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE PERCENT OF ASSISTANCE PROVIDED IS DETERMINED ON A SLIDING SCALE AS FOLLOWS: 0% TO 200% OF FPG RECEIVES 100% DISCOUNT, 201% TO 400% IS DISCOUNTED 65%, AND 401% AND ABOVE IS DISCOUNTED 63%.

GROUP A-FACILITY 2 -- AULTMAN WOODLAWN PART V, SECTION B, LINE 16J:
THE FINANCIAL ASSISTANCE INFORMATION CAN BE FOUND AT THE FOLLOWING URL:HTTPS://AULTMAN.ORG/HOME/PATIENTS-AND-VISITORS/INSURANCE-AND-BILLING/FINANCIAL-ASSISTANCE/#/

GROUP A-FACILITY 3 -- AULTMAN MASSILLON PART V, SECTION B, LINE 5:
SEE GROUP A - FACILITY 1 -- AULTMAN HOSPITAL DISCLOSURE

GROUP A-FACILITY 3 -- AULTMAN MASSILLON PART V, SECTION B, LINE 6A:
SEE GROUP A - FACILITY 1 -- AULTMAN HOSPITAL DISCLOSURE

GROUP A-FACILITY 3 -- AULTMAN MASSILLON PART V, SECTION B, LINE 7D:
THE CHNA CAN BE FOUND AT THE FOLLOWING URL:AULTMAN.ORG/HOME/ABOUT/AULTMAN-HOSPITAL/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/

GROUP A-FACILITY 3 -- AULTMAN MASSILLON PART V, SECTION B, LINE 13H:
ACCORDING TO AULTMAN HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP), ALL MEDICALLY NECESSARY SELF-PAY PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. ELIGIBILITY CRITERIA IS BASED ON THE UPDATES PUBLISHED BY THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE PERCENT OF ASSISTANCE PROVIDED IS DETERMINED ON A SLIDING SCALE AS FOLLOWS: 0% TO 200% OF FPG RECEIVES 100% DISCOUNT, 201% TO 400% IS DISCOUNTED 65%, AND 401% AND ABOVE IS DISCOUNTED 63%.

GROUP A-FACILITY 3 -- AULTMAN MASSILLON PART V, SECTION B, LINE 16J:
THE FINANCIAL ASSISTANCE INFORMATION CAN BE FOUND AT THE FOLLOWING URL:HTTPS://AULTMAN.ORG/HOME/PATIENTS-AND-VISITORS/INSURANCE-AND-BILLING/FINANCIAL-ASSISTANCE/#/

PART V, LINE 13A
ACCORDING TO AULTMAN HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP), ALL MEDICALLY NECESSARY SELF-PAY PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. ELIGIBILITY CRITERIA IS BASED ON THE UPDATES PUBLISHED BY THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE PERCENT OF ASSISTANCE PROVIDED IS DETERMINED ON A SLIDING SCALE AS FOLLOWS: 0% TO 200% OF FPG RECEIVES 100% DISCOUNT, 201% TO 400% IS DISCOUNTED 65%, AND 401% AND ABOVE IS DISCOUNTED 63%.

PART V, LINE 16A-16C (AULTMAN ALLIANCE COMMUNITY HOSPITAL)
16A, FAP WEBSITE:AULTMANALLIANCE.ORG/PATIENTS-AND-VISITORS/INSURANCE-AND- BILLING/FINANCIAL-ASSISTANCE/16B, FAP APPLICATION WEBSITE:AULTMANALLIANCE.ORG/ASSETS/PDFZIPS/FINANCIAL-SERVICES/ AD0C90B462/AACH-PATIENT-HCAP-2019.PDF16C, FAP PLAIN-LANGUAGE SUMMARY:AULTMANALLIANCE.ORG/PATIENTS-AND-VISITORS/INSURANCE-AND- BILLING/FINANCIAL-ASSISTANCE/

PART V, LINE 16A-16C (AULTMAN HOSPITAL)
16A, FAP WEBSITE:AULTMAN.ORG/HOME/PATIENTS-AND-VISITORS/INSURANCE-AND- BILLING/FINANCIAL-ASSISTANCE/16B, FAP APPLICATION WEBSITE:AULTMAN.ORG/HOME/PATIENTS-AND-VISITORS/INSURANCE-AND- BILLING/FINANCIAL-ASSISTANCE/16C, FAP PLAIN-LANGUAGE SUMMARY:AULTMAN.ORG/HOME/PATIENTS-AND-VISITORS/INSURANCE-AND- BILLING/FINANCIAL-ASSISTANCE/

PART V, LINE 11 (AULTMAN HOSPITAL)
(CONTINUED FROM SCHEDULE H, PART V, LINE 11 - AULTMAN HOSPITAL)2. YOUTH SUICIDE PREVENTIONACTIONS:A. BEHAVIORAL HEALTH CORPORATE PLANB. AULTCARE: YOU MATTER CAMPAIGNC. ZERO SUICIDE CONTINUOUS QUALITY IMPROVEMENT FRAMEWORK FOR TRANSFORMING SUICIDE PREVENTION IN HEALTH AND BEHAVIORAL HEALTH CARE SYSTEMS. - COLUMBIA SUICIDE SEVERITY RATING SCALE (C-SSRS) SCREENING OF ALL YOUTH AGES 12 TO 17 YEARS OF AGE THAT PRESENT TO THE ED. EXPAND C-SSRS COMPLETION FROM A HYBRID PROCESS OF EMR/PAPER CSSR-S COMPLETION TO ALL VIA EMR.DEVELOP EMR REPORTS FOR METRICS. - CARE COORDINATION FOR TRANSITION FROM ED TO COMMUNITY MENTAL HEALTH CARE SERVICES FOR YOUTH WITH POSITIVE C-SSRS SCREEN OR SUICIDE ATTEMPT.D. MAINTAIN COMPETENCY FOR STAFF WHO CARE FOR AT RISK PATIENTS. - SECURITY: CRISIS PREVENTION INSTITUTE (CPI) NONVIOLENT CRISIS INTERVENTION TRAINING PROGRAM - CLINICAL STAFF: SKILLS FOR CARING FOR PATIENTS WITH BEHAVIORAL HEALTH CONDITIONS SUICIDAL PATIENT - AULTMAN HOSPITAL 2-DAY EMERGENCY DEPARTMENT STAFF TRAINING ON CALM: COUNSELING ON ACCESS TO LETHAL MEANSE. CDC 2018 NORTHEAST OHIO YOUTH HEALTH SURVEY (NOYHS) PROTECTIVE FACTORS RECOMMENDED TO HELP YOUTH WITH HIGH SUICIDAL RISK FACTORS. STRENGTHEN ACCESS & DELIVERY OF YOUTH BEHAVIORAL HEALTH CARE: AULTMAN WILL SUSTAIN CARE COORDINATION OF YOUTH PRESENTING TO EMERGENCY SERVICES AS A SUICIDE RISK.ANTICIPATED IMPACT:A. C-SSRS COMPLETION RATE = NUMBER OF COMPLETED C-SSRS COMPLETED/NUMBER OF YOUTH (AGES 12 TO 17 YEARS) THAT PRESENT TO THE EDB. C-SSRS POSITIVE RISK SCREEN RATE = NUMBER OF C-SSRS POSITIVE SCREENINGS/NUMBER OF C-SSRS COMPLETEDC. CONSENT TO REFERRAL RATE = NUMBER OF CONSENTS PROVIDED FOR REFERRAL TO COLEMAN PROFESSIONAL SERVICES/NUMBER OF YOUTH (AGES 12 TO 17 YEARS) WITH C-SSRS POSITIVE RISK SCREENINGS3. HEROIN/OPIATE USEACTIONS:A. SUPPORT OPTIMIZING HEALING IN OHIO COMMUNITIES (OHIO) (PART OF THE NIH HEALING COMMUNITIES STUDY) LED BY OHIO STATE UNIVERSITY AND CASE WESTERN RESERVE UNIVERSITY IN STARK COUNTY. - AIM TO REDUCE OVERDOSE DEATHS STATEWIDE BY 40% OVER THE NEXT THREE YEARS.B. ENGAGE IN COMMUNITY PARTNERSHIPS - OHIO HOSPITAL ASSOCIATION OPIOID RESPONSE INITIATIVE - STARK COUNTY OPIATE TASK FORCE - STOP HEROIN FROM KILLING COMMITTEEC. CARE COORDINATION - SUSTAIN EMERGENCY SERVICES BEHAVIORAL HEALTH NAVIGATOR ROLE - ENGAGE STARK COUNTY TASC PEER RECOVERY SUPPORTER ROLE - SUSTAIN SOCIAL WORKER ROLE TO HELP PATIENTS TRANSITION TO COMMUNITY MENTAL HEALTH SERVICESD. TREATMENT - LEASE SPACE FOR COMMQUEST DETOX AND RECOVERY UNIT IN AULTMAN HOSPITALE. AULTMAN OPIOID COMMITTEE - AULTMAN HOSPITAL'S MEDICAL EXECUTIVE COMMITTEE RECOMMENDATION TO ADD AN ADDICTION SPECIALIST - SUBCOMMITTEE IT: GOAL BETTER TRANSITIONS BETWEEN PRACTITIONERS. DESCRIPTION: PROMOTE SAFE, EFFECTIVE AND OPTIMAL UTILIZATION OF TECHNOLOGY WITHIN THE CLINICAL SETTING: CREATE DASHBOARD(S) FOR PROVIDER FEEDBACK (CHRONIC OPIOID MEASURES AND ACUTE OPIOID MEASURES) (I.E. BENZODIAZEPINE CO-PRESCRIBING), EVALUATE CERNER'S OPIOID TOOLKIT AND MAKE RECOMMENDATION, FACILITATE CHANGES TO EMR - SUBCOMMITTEE REGULATORY/COMPLIANCE: GOAL SAFE PRESCRIBING. DESCRIPTION: ASSURE THAT REGULATORY AND COMPLIANCE STANDARDS RELATING TO PAIN ASSESSMENT AND MANAGEMENT ARE BEING MET. - SUBCOMMITTEE ACUTE/CHRONIC PAIN: GOAL PROPER TREATMENT & PROPER EVALUATION. DESCRIPTION: EVALUATES STANDARDS OF CLINICAL PRACTICE AND PATIENT CARE FOR CONSISTENCY WITH EVIDENCE-BASED PRACTICE, QUALITY OUTCOMES, REGULATORY REQUIREMENTS. - SUBCOMMITTEE EDUCATION: GOAL EDUCATION TO PHYSICIANS, NURSES, CLINICIANS AND PATIENTS. DESCRIPTION: TO UTILIZE CONSISTENT EDUCATIONAL PROGRAMS TO ENHANCE STAFF KNOWLEDGE BASE ABOUT ALL ASPECTS OF THE OPIOID CRISIS. WORKS IN COLLABORATION WITH MEDICAL STAFF AND ADMINISTRATION TO SECURE TOPICS, SPEAKERS AND LOGISTICS FOR THE HEALTHCARE DELIVERY SYSTEM. FOCUS ON UNDERSTANDING OHIO LAW, MORPHINE EQUIVALENT DOSE AND INTERPRETATION OF A URINE DRUG SCREEN. PROVIDE PATIENT EDUCATION AND DRUG DISPOSAL KITS ON DISCHARGE.ANTICIPATED IMPACT:A. OPIOID PRESCRIPTION PILL QUANTITY/DAY SUPPLY <7 DAYS AT PATIENT DISCHARGEB. NUMBER OF OPIOID IV PUSH DOSES IN ACCEPTABLE RANGE ADMINISTERED IN INPATIENT SETTINGS (EXCLUSIONS: ED, OR, END OF LIFE CARE PATIENTS)C. NUMBER OF NALOXONE DOSES ADMINISTERED IN INPATIENT SETTINGS (UNITS EXCLUDED: ED, OR)D. NUMBER OF DISCHARGE SCRIPTS WRITTEN FOR OPIOIDS INCLUDING QUANTITY DISPENSED, DAY SUPPLY AND ICD-10 INDICATION.E. PERCENT COMPLIANCE WITH REGULATORY AND COMPLIANCE STANDARDS FOR PAIN ASSESSMENT AND MANAGEMENT.F. PERCENT OF CREDENTIALED AND EMPLOYED PROVIDERS COMPLETING SMARTRX EDUCATION.NEED 5: SOCIAL DETERMINANTS OF HEALTH FOOD INSECURITYACTIONS:1. PROVIDE NON-FINANCIAL SUPPORT (E.G. STAFF TIME, MATERIALS), FINANCIAL SUPPORT AND/OR ESTABLISHED A FORMAL PARTNERSHIP (BINDING AGREEMENT) FOR COMMUNITY FOOD INITIATIVES. A. PARTICIPATE IN THE AKRON-CANTON REGIONAL FOODBANK HARVEST FOR HUNGER FOOD DRIVE FOR EMERGENCY FOOD PROVISION (E.G. FOOD BANK, FOOD PANTRY, SOUP KITCHEN). B. PARTICIPATE IN PROGRAMS THAT OFFER SUPPLEMENTAL MEAL PROVISION (E.G. SCHOOL-BASED, SUMMER MEALS, MEALS ON WHEELS) - EMPLOYEE VOLUNTEER HOURS FOR MEALS ON WHEELS. - EMPLOYEE VOLUNTEER HOURS BACKPACK FOR KIDS STARK COUNTY HUNGER TASK FORCE.2. FORM COMMUNITY PARTNERSHIPS AND COLLABORATIONS TO ADDRESS FOOD SECURITY. A. FOOD SYSTEM ADVOCACY GROUP (E.G. FOOD POLICY COUNCIL, FOOD JUSTICE COALITION) - MEMBER OF THE STARK COUNTY FOOD COUNCIL B. ESTABLISH HEALTH CARE DELIVERY SYSTEM PROCESS FOR IDENTIFYING PATIENTS EXPERIENCING DIFFICULTY ACCESSING FRESH PRODUCE/FRUIT AND/OR FOOD INSECURITY AND LINKING FOOD-INSECURE PEOPLE TO COMMUNITY FOOD RESOURCES. - IMPLEMENTATION OF SCREENING OF PATIENTS USING THE HEALTHY VITAL SIGN 2-ITEM FOOD INSECURITY TOOL. - PILOT PRODUCE PERKS MIDWEST PRODUCE PRESCRIPTION (PRX) PROGRAM GRANT WITH 35 ELIGIBLE FAMILIES. - REFER ELIGIBLE PATIENTS FOR SNAP ENROLLMENT. - REFER ELIGIBLE PATIENTS FOR WIC ENROLLMENT.ANTICIPATED IMPACT:1. POSITIVE SCREEN RATE: NUMBER OF PATIENTS WITH POSITIVE SCREEN/TOTAL NUMBER OF PATIENTS SCREENED FOR FOOD INSECURITY2. REFERRAL RATE: NUMBER OF REFERRALS TO FOOD RESOURCES/NUMBER OF PATIENTS THAT SCREEN POSITIVE FOR FOOD INSECURITYNEED 6: SOCIAL DETERMINANTS OF HEALTH: SAFE, AFFORDABLE HOUSING (DESIGNATED GEOGRAPHIC AREA OF NEED: TUSCARAWAS TO 9TH STREET & HARRISON TO BELLFLOWER)ACTIONS: 1. LEAD AND COORDINATE THE AULTMAN CAMPUS PLAN/NEIGHBORHOOD REVITALIZATION COMMITTEE A. COMMUNITY ENGAGEMENT AULTMAN AREA NEIGHBORHOOD ASSOCIATION B. HOME ASSESSMENT AND REPAIR/RENOVATION PROGRAMS - HOME DOWN PAYMENT ASSISTANCE - EXTERIOR GRANT REWARDS FUNDING - CITY OF CANTON EMERGENCY REPAIR PROGRAM - DEMONSTRATION PROJECT FUNDING - CODE ENFORCEMENT DIVISION OF THE CITY OF CANTON, OHIO IDENTIFICATION OF HOMES OUT OF CODE COMPLIANCE C. COMMUNITY DEVELOPMENT DIRECTOR FOR CITY OF CANTON, OHIO APPLICATION FOR HUD LEAD ABATEMENT PROGRAM GRANTANTICIPATED IMPACT:1. NUMBER OF DOWN PAYMENT ASSISTANCE FOR HOME OWNERSHIP2. NUMBER OF EXTERIOR GRANT REWARDS FUNDING FOR HOUSE RENOVATIONS3. NUMBER OF HOMES THAT RECEIVED HUD FUNDS 4. NUMBER OF HOMES WITH COMPLETED LEAD ABATEMENT5. NUMBER OF EMPLOYEES ACCEPTING RENTAL INCENTIVE FOR THE DESIGNATED NEIGHBORHOOD6. NUMBER OF HOMES RENOVATED WITH PRIVATE INVESTOR FUNDING

PART I, LINE 3C:
ACCORDING TO AULTMAN HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP), ALL MEDICALLY NECESSARY SELF-PAY PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. ELIGIBILITY CRITERIA IS BASED ON THE UPDATES PUBLISHED BY THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE PERCENT OF ASSISTANCE PROVIDED IS DETERMINED ON A SLIDING SCALE AS FOLLOWS: 0% TO 200% OF FPG RECEIVES 100% DISCOUNT, 201% TO 400% IS DISCOUNTED 65%, AND 401% AND ABOVE IS DISCOUNTED 63%.ACCORDING TO AULTMAN ORRVILLE HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP), ALL MEDICALLY NECESSARY SELF-PAY PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. ELIGIBILITY CRITERIA IS BASED ON THE UPDATES PUBLISHED BY THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE PERCENT OF ASSISTANCE PROVIDED IS DETERMINED ON A SLIDING SCALE AS FOLLOWS: 0% TO 200% OF FPG RECEIVES 100% DISCOUNT, 201% TO 400% IS 65%, 401% AND ABOVE IS DISCOUNTED 59%.ACCORDING TO AULTMAN ALLIANCE COMMUNITY HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP), ALL MEDICALLY NECESSARY SELF-PAY PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. ELIGIBILITY CRITERIA IS BASED ON THE UPDATES PUBLISHED BY THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE PERCENT OF ASSISTANCE PROVIDED IS DETERMINED ON A SLIDING SCALE AS FOLLOWS: 0% TO 100% OF FPG RECEIVES 100% DISCOUNT, 101% TO 200% IS DISCOUNTED 75% AND 201% TO 300% IS DISCOUNTED 53%.

PART I, LINE 6A:
AULTMAN HEALTH FOUNDATION, THE PARENT COMPANY, PUBLISHES ANNUALLY ITS ANNUAL REPORT WHICH INCLUDES ALL RELATED ORGANIZATIONS' PROGRAMS AND SERVICES DESIGNED TO LEAD THE COMMUNITY TO IMPROVED HEALTH AND PROMOTE HEALTHY LIFESTYLES. THIS REPORT IS AVAILABLE ON AULTMAN'S WEBSITE. (SEE HTTPS://AULTMAN.ORG/ASSETS/UPLOADS/2021-ANNUAL-REPORT.PDF)

PART I, LINE 7:
AH AND AOH USE A COMBINATION OF THE COST TO CHARGE RATIO CALCULATED IN WORKSHEET 2 OF SCHEDULE H AND DIRECT COSTING METHOD OF CERTAIN PROGRAMS.AACH'S COST ACCOUNTING SYSTEM WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR LINE 7. THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS SPECIFIC TO AACH. WHERE APPLICABLE, A COST TO CHARGE RATIO WAS USED AND THE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES.

PART I, LINE 7G:
AULTMAN HOSPITAL PROVIDES EDUCATION TO THE COMMUNITY THROUGH: 1) HEALTH TALKS BY QUALIFIED PHYSICIANS AND PROFESSIONALS; 2) SUPPORT GROUPS FOR DIABETICS; 3) CLINICAL EXPERIENCES FOR RADIOLOGIC TECHNOLOGY, NURSING AND PHYSICAL THERAPY STUDENTS; 4) SMOKING CESSATION CLASSES; 5) COUNTY HEALTH FAIR; 6) BUSINESS SHOWCASES; AND 7) ELEMENTARY STUDENT BICYCLE SAFETY THROUGH THE AULTMAN SAFETY FIRST PROGRAM.ORRVILLE HOSPITAL FOUNDATION, DBA AULTMAN ORRVILLE HOSPITAL (AOH) PROVIDESEDUCATION TO THE COMMUNITY THROUGH: 1) HEALTH TALKS BY QUALIFIEDPHYSICIANS AND PROFESSIONALS; 2) SUPPORT GROUPS FOR DIABETICS; 3) CLINICALEXPERIENCES FOR RADIOLOGIC TECHNOLOGY, NURSING AND PHYSICAL THERAPYSTUDENTS; 4) SMOKING CESSATION CLASSES; 5) COUNTY HEALTH FAIR; 6)BUSINESSSHOWCASES; AND 7) ELEMENTARY STUDENT BICYCLE SAFETY THROUGH THE AULTMANSAFETY FIRST PROGRAM.AACH'S SUBSIDIZED HEALTH SERVICES DATA ON LINE 7G DO NOT INCLUDE ANY COSTSATTRIBUTABLE TO A PHYSICIAN CLINIC; THUS THERE ARE NO COSTS TO REPORT INPART VI.

PART II, COMMUNITY BUILDING ACTIVITIES:
AULTMAN ALLIANCE COMMUNITY HOSPITAL (AACH) PROMOTES THE HEALTH OF THE COMMUNITY BY GIVING BOTH TIME AND DOLLARS TO LOCAL CHARITABLE ORGANIZATIONS S. AACH SUPPORTS ITS MISSION TO PROVIDE A SAFE, COMFORTING, HEALING ENVIRONMENT AND IS ALSO COMMITTED TO PROMOTING COMMUNITY HEALTH. AS IN 2020, MANY OF OUR ANNUAL SUPPORTED ACTIVITIES (CARNATION DAYS IN THE PARK, HEALTH FAIRS, LOCAL FARMER'S MARKETS AND ASSISTED LIVING SCREENINGS) CONTINUED TO BE PAUSED IN 2021 DUE TO THE PANDEMIC. THE HOSPITAL'S HEALTH CARING RESOURCES LIBRARY IS AVAILABLE TO THE PUBLIC AS A RESOURCE FOR MEDICAL QUESTIONS AND RESEARCH. THE LIBRARY IS ALSO THE DISTRIBUTION CENTER FOR SEED PACKETS PROVIDED BY STARKFRESH TO GROW FRESH SEASONAL PRODUCE AND THE PUBLIC IS NOTIFIED OF THIS FREE OFFER. AACH COORDINATES COLLEAGUE FUNDRAISING FOR THE ANNUAL UNITED WAY CAMPAIGN. IN MAY 2021, ALLIANCE OFFERED A FREE SKIN CANCER SCREENING DAY AND DIABETIC EDUCATION CLASSES ARE OFFERED AT THE HOSPITAL FOR A MINIMAL FEE. AACH'S NUTRITIONAL SERVICES DEPARTMENT PREPARES NUTRITIOUS MEALS FOR MEALS ON WHEELS AND LOCAL VOLUNTEERS DELIVERED OVER 16,000 MEALS IN THE CURRENT YEAR. AACH'S VOLUNTEER DEPARTMENT COORDINATES MANY COMMUNITY PROGRAMS INCLUDING THOSE MENTIONED IN SCHEDULE H PART II, COMMUNITY BUILDING ACTIVITIES; HOWEVER, COVID PAUSED MOST ACTIVITIES FOR 2021. ANOTHER COMMUNITY PROGRAM INCLUDES OUR PET THERAPY PROGRAM AND MOST OF THEIR PARTICIPATION WAS OFFERED ONCE AGAIN OUTSIDE PATIENT WINDOWS IN 2021 WITH PANDEMIC RESTRICTIONS. THROUGHOUT THE YEAR, CLINICAL PERSONNEL, MANAGERS, DIRECTORS AND EXECUTIVES ARE ENCOURAGED TO SUPPORT THE COMMUNITY THROUGH PARTICIPATION IN VARIOUS CIVIC GROUPS AND ORGANIZATIONS. EACH COLLEAGUE IS ENCOURAGED BY THE ORGANIZATION TO SHARE THEIR UNIQUE GIFTS WITH THE COMMUNITY IN A WAY THAT FURTHERS THE PURPOSE OF OUR CHARITABLE ORGANIZATION.

PART III, LINE 4:
"SEE THE ""PATIENT SERVICE REVENUE AND PATIENT RECEIVABLES"" PARAGRAPHS IN NOTE 3 ON PAGES 21-22 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS."

PART V, FACILITY INFORMATION
AULTMAN HOSPITAL INCLUDES ONE DURABLE MEDICAL EQUIPMENT COMPANY, ONE PAIN MANAGEMENT CENTER, ONE SKILLED NURSING FACILITY, ONE HOME CARE, ONE HOSPICE, TWO BUREAU OF WORKMAN'S COMPENSATION CERTIFIED TREATMENT FACILITIES, ONE DIALYSIS CENTER, TWO FAMILY PRACTICES, ONE WEIGHT MANAGEMENT FACILITY, SIX THERAPY CLINICS, THREE DIAGNOSTIC CENTERS, TWO SAME DAY SURGERY CENTERS, ONE INPATIENT SURGERY CENTER, AND THREE IMMEDIATE CARE CENTERS.

PART VI, LINE 5:
"PROMOTION OF COMMUNITY HEALTH - AH & AOHAULTMAN'S BOARD OF DIRECTORS HAS 8 NON-EMPLOYED MEMBERS. A TOTAL OF 15 OF THE 16 VOTING BOARD MEMBERS RESIDE IN THE CORE SERVICE AREA. THE REMAINING PORTION RESIDES IN THE TERTIARY MARKET. AOH'S BOARD OF DIRECTORS IS COMPOSED OF AREA RESIDENTS INCLUDING BUSINESS AND COMMUNITY LEADERS AS WELL AS PHYSICIANS. THESE VOLUNTEERS WORK COUNTLESS HOURS IN THEIR OVERSIGHT ROLE. THEY ARE INVOLVED IN FUNDRAISING, COMMUNITY NEEDS, AND GENERAL STEWARDSHIP.COMMUNITY PHYSICIANS REQUESTING AND ULTIMATELY QUALIFYING FOR MEDICAL STAFF PRIVILEGES WOULD BE GRANTED PRIVILEGES IN THEIR RESPECTIVE MEDICAL DEPARTMENTS. AULTMAN HAS MORE THAN 700 PHYSICIANS ON ACTIVE STAFF IN MORE THAN 40 MEDICAL SPECIALTIES. FROM BICYCLE SAFETY PROGRAMS TO THE ANNUAL UNITED WAY FUNDRAISING CAMPAIGN, AULTMAN'S COMMITMENT TO THE COMMUNITY EXTENDS FAR BEYOND THE WALLS OF ITS HEALTH CARE FACILITIES. EDUCATIONAL PROGRAMS INCLUDE MORE THAN 100 FREE HEALTH TALK PRESENTATIONS EACH YEAR, FEATURING LOCAL PHYSICIANS AND HEALTH CARE PROFESSIONALS. THE AULTMAN WEBSITE HAS ADDITIONAL HEALTH CARE RESOURCES, INCLUDING HEALTH LIBRARY, SYMPTOM CHECKER, VIDEOS AND RISK ASSESSMENTS.IN 2021, AULTMAN HEALTH FOUNDATION CONTRIBUTED TO THE BETTERMENT OF THE STARK COUNTY COMMUNITY WITH THE FOLLOWING ACTIVITIES. SAFETY FIRSTTHROUGH THE SAFETY-FIRST PROGRAM, AULTMAN STRIVES TO KEEP OUR COMMUNITY'S KIDS SAFE BY PREVENTING HEAD TRAUMA AND OTHER BIKE-RELATED INJURIES. AULTMAN EMPLOYEES VOLUNTEERED TO TEACH LOCAL FIRST-GRADE STUDENTS ABOUT BIKE SAFETY. TOPICS INCLUDED THE IMPORTANCE OF WEARING A BIKE HELMET AND OTHER SAFETY GEAR; OBEYING TRAFFIC SIGNS AND SIGNALS; AND USING HAND SIGNALS. IN ADDITION TO THE IN-CLASS EDUCATION, EACH STUDENT RECEIVED A FREE BICYCLE SAFETY BOOKLET AND BIKE HELMET. SINCE THE PROGRAM'S INCEPTION IN 2005, SAFETY FIRST HAS REACHED ABOUT 30,000 STUDENTS WITH THE IMPORTANT MESSAGE OF BICYCLE SAFETY.WORKING ON WELLNESS (WOW)AULTMAN'S WORKING ON WELLNESS (WOW) MOBILE HEALTH-FAIR UNIT DEBUTED IN FEBRUARY 2009. STAFFED BY MEDICAL PROFESSIONALS, THE WOW VAN VISITS SCHOOLS, COMMUNITY CENTERS, CHURCHES, SENIOR CENTERS AND BLOCK PARTIES TO PROVIDE FREE SCREENINGS AND HEALTH EDUCATION. SCREENINGS SUCH AS BLOOD PRESSURE CHECKS, HEIGHT, WEIGHT, AND BODY MASS INDEX/PERCENTAGE OF BODY FAT ARE PROVIDED. THE AULTMAN WORKING ON WELLNESS (WOW) TEAM PROVIDES HEALTH SCREENINGS AND EDUCATION AT NO COST TO OUR COMMUNITY. MEMBERS OF THE WOW TEAM VISIT A VARIETY OF SITES RANGING FROM SCHOOLS, COMMUNITY/OUTREACH CENTERS, CHURCHES, HEALTH FAIRS AND MORE. THE WOW TEAM IS STAFFED BY REGISTERED NURSES WHO PROVIDE HEALTH EDUCATION, RESOURCES AND REFERRALS, AS NEEDED. HEALTH INFORMATION IS AVAILABLE ON A VARIETY OF MEDICAL TOPICS AND CAN BE CUSTOMIZED TO FIT AN INDIVIDUAL'S NEEDS. THE WOW TEAM HAS ATTENDED OVER 250 EVENTS IN 2021, PROVIDING WELLNESS OUTREACH TO THOUSANDS, AND IMPACTING MANY LIVES ALONG THE WAY. WE ARE PROUD TO BE LEADING OUR COMMUNITY TO BETTER HEALTH. CANCER OUTREACH - AULTMAN CANCER CENTER BELIEVES THAT EVERY CANCER PATIENT SHOULD BE ABLE TO RECEIVE UP-TO-DATE QUALITY CARE IN THEIR OWN COMMUNITY. THIS DRIVES THE COMMITMENT FOR EXCELLENCE, QUALITY, VALUE AND SERVICE. AULTMAN HOSPITAL REGISTERED NURSE NAVIGATORS, A FINANCIAL RESOURCE ADVOCATE AND A SURVIVORSHIP COORDINATOR RAISE AWARENESS OF HEALTHY LIFESTYLE CHOICES AND CANCER PREVENTION STRATEGIES THROUGH COMMUNITY CANCER SCREENING EVENTS, EDUCATION, AND FOLLOW-UP ACTIVITIES. THESE ANNUAL CANCER PREVENTION OUTREACH EVENTS DEMONSTRATE HOW AULTMAN EMPLOYEES AND LOCAL PHYSICIANS WHO VOLUNTEER THEIR TIME FOR THIS ENDEAVOR PROVIDED ACCESS TO SCREENING SERVICES FOR OVER 500 RESIDENTS WITH OVER 1000 SCREENINGS IN STARK AND SURROUNDING COUNTIES. THEY PARTICIPATE IN COMMUNITY OUTREACH EVENTS, A SCHOOL-BASED INITIATIVE WITH SIXTH-GRADE STUDENTS, A HOMELESS SHELTER AND PARTNER WITH THE MINORITY COMMUNITY TO RAISE AWARENESS ABOUT HEALTH DISPARITIES ASSOCIATED WITH LIFESTYLE CHOICES. THE AULTMAN CANCER CENTER CONDUCTS FREE CANCER SCREENING DAYS FOR BREAST, CERVICAL, COLON, LUNG, PROSTATE, AND SKIN CANCER FOLLOWING NATIONALLY RECOMMENDED SCREENING GUIDELINES. THE AULTMAN CANCER CENTER ENCOURAGES PEOPLE WITH A FAMILY HISTORY OF CANCER OR THOSE WHO HAVE NEVER BEEN SCREENED TO TAKE ADVANTAGE OF THE FREE CANCER SCREENINGS. CANCER SCREENING DAYS ALSO OFFER EDUCATIONAL MATERIALS THAT TEACH THE SIGNS AND SYMPTOMS OF CANCER, AS WELL AS IMPORTANT SCREENING GUIDELINES FOR MEN AND WOMEN AS THEY AGE. THE EVENTS EMPHASIZE THAT BEST CANCER PREVENTION IS TO LIVE A HEALTHY LIFESTYLE BY NOT USING TOBACCO PRODUCTS, LIMITING TIME IN THE SUN, AND ALWAYS USING SUNSCREEN WITH SPF 15 OR HIGHER, LEADING A PHYSICALLY ACTIVE LIFE AND MAINTAINING A HEALTHY WEIGHT.HARVEST FOR HUNGERFOOD INSECURITY IS A CRITICAL ISSUE IN NORTHEASTERN OHIO, AND AULTMAN TEAM MEMBERS GIVE GENEROUSLY TO THE ANNUAL HARVEST FOR HUNGER CAMPAIGN. IN 2021, AULTMAN EMPLOYEES PROVIDED $23,500 IN MONETARY GIFTS THAT HELPED THOUSANDS OF FAMILIES AND INDIVIDUALS IN NEED.CAREERS IN HEALTH CARE SUMMER LEARNING PROGRAMAULTMAN MEDICAL EDUCATION HOSTED THE TWELFTH ANNUAL CAREERS IN HEALTH CARE PROGRAM, DESIGNED FOR STUDENTS 18 AND OLDER WITH INTERESTS IN HEALTH CARE CAREERS. THE PROGRAM INCLUDED PRESENTATIONS FROM DOCTORS, NURSES, AND HOSPITAL ADMINISTRATORS, PROVIDING A GLIMPSE AT HOW A HOSPITAL RUNS. THE SYMPOSIUM ALSO FEATURED A CAREER FAIR THAT ENABLE THE STUDENTS TO TALK WITH EMPLOYEES FROM MORE THAN A DOZEN AULTMAN DEPARTMENTS. SUMMER JOB SHADOWING EXPERIENCES WERE ALSO AVAILABLE FOR SYMPOSIUM PARTICIPANTS. NATIONAL WALKING DAY FOR NATIONAL WALKING DAY IN APRIL, AULTMAN ENCOURAGED BOTH EMPLOYEES AND THE COMMUNITY TO JOIN IN A COMMUNITY WALK AT THE CANTON GARDEN CENTER AT STADIUM PARK IN CANTON. AULTMAN HEALTH FOUNDATION AND MERCY MEDICAL CENTER COLLABORATED TO MAKE THE NATIONAL WALKING DAY EVENT BIGGER AND BETTER THAN BEFORE! THE EVENT INCLUDED EDUCATION BY THE WORKING ON WELLNESS (WOW) TEAM, AULTMAN HEART CENTER, HAPPY TAILS PROGRAM, GENERATIONS, AULTCARE AND OTHERS. DRS. DAVID MALLAMACI AND DALSON SEIBERT JOINED WITH DR. DAVID GORMAN OF MERCY TO LEAD AN HOUR-LONG WALK THROUGH THE PARK THAT EVENING, AS WELL. BREAST OASISFOR WOMEN WHO CANNOT AFFORD BASIC CLOTHING ITEMS SUCH AS BRAS, EACH DAY PRESENTS EMOTIONAL AND UNCOMFORTABLE SITUATIONS. THE BREAST OASIS IS UNDER NEW LEADERSHIP. WHILE AULTMAN EMPLOYEES CONTINUE TO DONATE TOWARDS THIS BASIC NEED, AND DONATIONS HAVE BEEN DISTRIBUTED TO LOCAL BATTERED WOMEN AND HOMELESS SHELTERS AS WELL AS THE STARK COUNTY YWCA.WALKING TO RAISE FUNDS AND IMPROVE THE COMMUNITY'S HEALTHAULTMAN HEALTH FOUNDATION TEAM MEMBERS AND THEIR LOVED ONES SUPPORT ANNUAL FUNDRAISING WALKS FOR ORGANIZATIONS INCLUDING THE MARCH OF DIMES AND JUVENILE DIABETES RESEARCH FOUNDATION. AULTMAN NOT ONLY PARTICIPATES IN THE AMERICAN CANCER SOCIETY'S RELAY FOR LIFE AND MAKING STRIDES AGAINST BREAST CANCER WALK - ALONG WITH THE AMERICAN HEART ASSOCIATION'S HEART WALK - BUT CLINICIANS ARE ON HAND TO PROVIDE EDUCATIONAL INFORMATION ABOUT REDUCING RISKS OF CANCER AND HEART DISEASE. UNITED WAY - EVERY YEAR, AULTMAN ORGANIZES A FUNDRAISING CAMPAIGN TO BENEFIT UNITED WAY. IN 2021, AULTMAN EMPLOYEES AND PHYSICIANS GENEROUSLY DONATED $398,256 TO FUND PROGRAMS TO BENEFIT COMMUNITY MEMBERS OF ALL AGES AND FROM ALL WALKS OF LIFE.AULTMAN AMBASSADOR PROGRAMAS PART OF AULTMAN HEALTH FOUNDATION'S MISSION TO LEAD OUR COMMUNITY TO IMPROVED HEALTH, THE AULTMAN AMBASSADOR PROGRAM (AAP) PROVIDES AN OPPORTUNITY TO EMPOWER HIGH SCHOOL STUDENTS TO BE ""AULTMAN AMBASSADORS"" TO ENGAGE THEIR PEERS, FAMILIES AND COMMUNITIES IN PROMOTING HEALTHY LIFESTYLE CHANGES. AAP IS PARTNERED WITH THE ALLIANCE FOR A HEALTHIER GENERATION HEALTHY SCHOOLS PROGRAM TO PROVIDE EVIDENCE-BASED RESOURCES ON THE CORE PRINCIPLES OF THE AAP: NUTRITION, HYDRATION, PHYSICAL ACTIVITY, SLEEP AND STRESS. THE AAP IS CURRENTLY PARTNERED WITH TWENTY-SEVEN HIGH SCHOOLS AND COLLEGE/UNIVERSITIES IN THREE COUNTIES: STARK, MAHONING, AND WAYNE. FOR THE 2020/2021 SCHOOL YEAR THE PROGRAM INVOLVED 225 TOTAL STUDENT AMBASSADORS WITH 86 SENIORS. AULTMAN CONTINUES TO EXPAND THE AMBASSADOR PROGRAM IN THE GREATER STARK COUNTY AREAS.ADDITIONAL COMMUNITY BENEFITIN ADDITION TO PROVIDING CARE FOR PATIENTS WITH NO INSURANCE, AULTMAN ALSO SERVES THOUSANDS OF PATIENTS COVERED BY PROGRAMS SUCH AS MEDICAID. PAYMENTS FROM THESE FEDERALLY FUNDED PROGRAMS DO NOT ALWAYS COVER THE TOTAL COST OF SERVICE."

PART VI, LINE 6:
AULTMAN'S BOARD OF DIRECTORS HAS 28 NON-EMPLOYED MEMBERS. A TOTAL OF 75 OF THE 76 VOTING BOARD MEMBERS RESIDE IN THE CORE MARKET AREA. 4 RESIDE IN THE TERTIARY MARKET AND 1 LIVES OUT OF STATE.COMMUNITY PHYSICIANS REQUESTING AND ULTIMATELY QUALIFYING FOR MEDICAL STAFF PRIVILEGES WOULD BE GRANTED PRIVILEGES IN THEIR RESPECTIVE MEDICAL DEPARTMENTS.

PART VI, LINE 7, REPORTS FILED WITH STATES
OH

PART III, LINE 2:
EXPLANATION OF METHODOLOGY FOR AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE - AH & AOHPATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE IN THE FUTURE. PREMIUM RECEIVABLES ARE CARRIED AT ORIGINAL BILLED AMOUNT LESS AN ESTIMATE FOR DOUBTFUL RECEIVABLES BASED ON A REVIEW OF ALL OUTSTANDING AMOUNTS ON A MONTHLY BASIS. PREMIUM RECEIVABLES ARE CONSIDERED PAST DUE TO THE EXTENT THAT THERE IS NO RELATED UNEARNED PREMIUM.ADDITIONS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS ARE MADE BY MEANS OF THE PROVISION FOR DOUBTFUL ACCOUNTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE AND SUBSEQUENT RECOVERIES ARE ADDED. THE ORGANIZATION HAS DETERMINED, BASED ON AN ASSESSMENT AT THE CONSOLIDATED ENTITY LEVEL, THAT PATIENT SERVICE REVENUE IS PRIMARILY RECORDED PRIOR TO ASSESSING THE PATIENT'S ABILITY TO PAY AND AS SUCH, THE ENTIRE PROVISION FOR DOUBTFUL ACCOUNTS RELATED TO PATIENT REVENUE IS RECORDED AS A DEDUCTION FROM PATIENT SERVICE REVENUE IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS.EXPLANATION OF METHODOLOGY FOR AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE - AACHBAD DEBT EXPENSE AT COST WAS CALCULATED BY MULTIPLYING BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS TIMES THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2.

PART III, LINE 3:
METHODOLOGY FOR BAD DEBT RELATED TO CHARITY CARE ACCORDING TO AULTMAN HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP), ALL MEDICALLY NECESSARY SELF-PAY PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE.(1) ELIGIBILITY CRITERIA IS BASED ON THE FEDERAL POVERTY GUIDELINES AND ARE UPDATED ANNUALLY BASED ON THE UPDATES PUBLISHED BY THE UNITED STATES OF HEALTH AND HUMAN SERVICES. THE FAP DISCOUNT IS BASED ON INCOME AND FAMILY SIZE. SELF-PAY BALANCES WILL RECEIVE A MINIMUM OF 63% DISCOUNT AND UP TO 100% IF THE NECESSARY FINANCIAL ASSISTANCE APPLICATION IS COMPLETE. PATIENTS MUST COOPERATE WITH THE FACILITY TO PROVIDE THE INFORMATION AND DOCUMENTATION NECESSARY TO DETERMINE ELIGIBILITY.TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE THAT POTENTIALLY COULD HAVE BEEN ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATIONS CHARITY CARE POLICY THE ORGANIZATION LOOKED AT ALL BAD DEBT BALANCES THAT WERE SELF-PAY. FROM THIS POPULATION THE ORGANIZATION IDENTIFIED THOSE SELF-PAY BALANCES THAT DID NOT RECEIVE ANY FORM OF FAP OR HCAP DISCOUNT. BECAUSE ALL SELF-PAY PATIENTS RECEIVE AT LEAST A MINIMUM OF 63% REGARDLESS OF INCOME, THE ASSUMPTION WAS MADE THAT IF THE ACCOUNT HAD NO DISCOUNT THE PROPER PAPER WORK WAS NOT TURNED IN TO DETERMINE ELIGIBILITY CRITERIA. FROM THIS REMAINING POPULATION THE ESTIMATED DISCOUNT AT COST THAT WOULD HAVE BEEN PROVIDED IF DOCUMENTATION HAD BEEN RECEIVED WAS CALCULATED BY APPLYING THE ACTUAL FAP DISTRIBUTION OF PATIENTS WHO RECEIVED DISCOUNTS IN 2021 AND THEN MULTIPLYING THIS AMOUNT BY THE COST TO CHARGE RATIO CALCULATED IN WORKSHEET 2. (1) TO BE CONSIDERED FOR FINANCIAL ASSISTANCE, THE PATIENT MUST COOPERATE WITH THE FACILITY TO PROVIDE THE INFORMATION AND DOCUMENTATION NECESSARY TO APPLY FOR OTHER EXISTING FINANCIAL RESOURCES THAT MAY BE AVAILABLE TO PAY FOR HIS OR HER HEATH CARE, SUCH AS MEDICAID.METHODOLOGY FOR BAD DEBT RELATED TO CHARITY CARE - AACHESTIMATED BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER AACH'S CHARITY CARE POLICY WAS CALCULATED BASED ON THE ESTIMATED PERCENTAGE DETERMINED BY REVIEWING PATIENT DEMOGRAPHICS, HISTORICAL COLLECTION RATES, CURRENT ECONOMIC CONDITIONS, AND HANDS-ON EXPERIENCE FROM OUR PATIENT FINANCIAL SERVICES DEPARTMENT WHICH INCLUDES AACH'S FINANCIAL COUNSELORS.(1) TO BE CONSIDERED FOR FINANCIAL ASSISTANCE, THE PATIENT MUST COOPERATE WITH THE FACILITY TO PROVIDE THE INFORMATION AND DOCUMENTATION NECESSARY TO APPLY FOR OTHER EXISTING FINANCIAL RESOURCES THAT MAY BE AVAILABLE TO PAY FOR HIS OR HER HEALTH CARE, SUCH AS MEDICAID.

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AH - THE HOSPITAL HAD A SURPLUS OF $3,825,004 WITH ITS MEDICARE PATIENTS. THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 6 IS THE ENTITY'S COST ACCOUNTING SYSTEM.AOH - AS A CRITICAL ACCESS HOSPITAL, MEDICARE PAYS AT 101% COST, THUS THERE IS NO SHORTFALL. THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 6 IS THE ENTITY'S COST ACCOUNTING SYSTEM.AACH HAS A SHORTFALL FOR 2021. PART III LINES 5 & 6 DATA WAS DERIVED BASED ON WORKSHEET B FROM THE MEDICARE COST REPORTS EXCLUDING NET COMMUNITY BENEFIT INCLUDED ON LINE 7F AND SUBSIDIZED PROGRAMS INCLUDED ON PART I LINE 7G. THE SHORTFALL CALCULATED ON PART III SHOULD BE CONSIDERED COMMUNITY BENEFIT SINCE THE MEDICARE PARTICIPANTS SERVED BY AACH RECEIVED THOSE SERVICES AT A SIGNIFICANT PERSONAL DISCOUNT OR FREE OF CHARGE AND MAY NOT HAVE BEEN ABLE TO AFFORD HEALTHCARE OTHERWISE.

PART III, LINE 9B:
"AH & AOH - THE COLLECTIONS DEPARTMENT WILL ATTEMPT TO CONTACT THE PATIENT; BY PHONE, LETTER OR A COMBINATION OF THE TWO, TO SETTLE A DEBT WITH PAYMENT IN FULL OR MONTHLY INSTALLMENTS. IF IT HAS BEEN DETERMINED AN ACCOUNT IS APPROVED FOR HCAP THE ACCOUNT IS REMOVED FROM BAD DEBT AND THE ADJUSTMENT IS APPLIED. ALSO, IF AN ACCOUNT IS APPROVED FOR FAP, THE ACCOUNT IS REMOVED FROM BAD DEBT AND THE ADJUSTMENT IS APPLIED. AFTER THE GUIDELINE ADJUSTMENT HAS BEEN MADE THE REMAINING BALANCE IS SENT BACK TO RESUME COLLECTIONS. ONCE IT HAS BEEN DETERMINED THAT INTERNAL COLLECTION EFFORTS WILL CEASE, THE COLLECTOR WILL REQUEST THE ACCOUNT TO BE CANCELLED. THESE ACCOUNTS WILL THEN BE REFERRED TO A SECONDARY OUTSIDE COLLECTION AGENCY.AACH'S COLLECTION PRACTICES FOR PATIENTS IDENTIFIED AS QUALIFYING FOR FINANCIAL ASSISTANCE IS BASED ON THE ACCOUNT BALANCE NET OF THE CHARITY WRITE-OFF. AS LONG AS THE PATIENT MAKES A MINIMAL MONTHLY PAYMENT, THE ACCOUNT IS CONSIDERED CURRENT. IF PAYMENT IS NOT RECEIVED MONTHLY, A CALL FROM OUR FINANCIAL COUNSELING ASSOCIATES IS MADE ALONG WITH SENDING OUT A MONTHLY STATEMENT. IF PAYMENT IS THEN RECEIVED, THE ACCOUNT RETURNS TO ""CURRENT"". IF THERE ARE SIX CONSECUTIVE MONTHS WITHOUT PAYMENT, THE ACCOUNT IS TURNED OVER TO OUR COLLECTION AGENCY TO ATTEMPT TO COLLECT THE BALANCE DUE. AACH DOES NOT CHARGE INTEREST ON OUTSTANDING BALANCES."

PART VI, LINE 2:
"NEEDS ASSESSMENT - AHAULTMAN HOSPITAL ASSESSES THE COMMUNITY'S HEALTH CARE NEEDS A VARIETY OF WAYS. WE STUDY PROTOCOL VOLUME AND PATIENT SATISFACTION SURVEYS. WE DOCUMENT THE MEDICAL CONDITIONS THOUSANDS OF COMMUNITY MEMBERS AND MEDICAL STAFF MEMBERS INQUIRE ABOUT IN OUR SHARON LANE HEALTH CENTER HEALTH LIBRARY. WE TRACK ATTENDANCE AT THE MORE THAN 100 ""HEALTH TALK"" PRESENTATIONS HELD EACH YEAR TO DETERMINE WHAT TOPICS ARE OF MOST INTEREST TO THE COMMUNITY. IN 2019, AULTMAN COLLABORATED WITH AREA HOSPITALS AND HEALTH CARE FACILITIES TO CONDUCT A COMMUNITY HEALTH SURVEY. THE GOAL WAS TO GAUGE THE HEALTH STATUS AND HEALTH HABITS OF STARK COUNTY RESIDENTS - AND IDENTIFY AREAS WHERE AULTMAN CAN IMPROVE THE HEALTH OF OUR COMMUNITY. FIFTEEN QUESTIONS WERE INCLUDED ON THE POLL OF 1,065 STARK COUNTY HOUSEHOLDS.NEEDS ASSESSMENT - AOHEVERY THREE YEARS, THE ORGANIZATION IS REQUIRED TO PERFORM A COMMUNITY HEALTH NEEDS ASSESSMENT. AULTMAN ORRVILLE HOSPITAL CONDUCTED ITS MOST RECENT SURVEY AND ASSESSMENT DURING 2019 AND HAVE POSTED BOTH THE REPORT AND IMPLEMENTATION STRATEGY TO THE AOH WEBSITE. THE AULTMAN ORRVILLE HOSPITAL CEO AND CFO ALSO CONDUCT COMMUNITY AWARENESS PRESENTATIONS OF THE REPORT AND STRATEGY WITH VARIOUS LOCAL NON-PROFIT INTEREST GROUPS TO GENERATE AWARENESS.NEEDS ASSESSMENT - AACHIN ADDITION, OUR THREE-YEAR GROUP CHNA, AACH ASSESSES THE HEALTH CARE NEEDS BY ACTIVELY PARTICIPATING IN OUR COUNTY-WIDE COMMUNITY HEALTH ASSESSMENT GROUP. THIS EXTENSIVE GROUP OF INDIVIDUALS FROM VARIOUS LOCAL NONPROFITS PROVIDES ONGOING AND VALUABLE FEEDBACK WHEN EVALUATING THE HEALTH CARE NEEDS OF OUR COMMUNITY."

PART VI, LINE 3:
"PATIENT EDUCATION AND ELIGIBILITY FOR ASSISTANCE - AHTHE APPLICATION AND GUIDELINES ARE PROVIDED ON THE BACK OF EVERY PATIENT STATEMENT. AT THE TIME OF REGISTRATION PATIENTS ARE ASKED TO FILL OUT THE HOSPITAL CARE ASSURANCE PROGRAM APPLICATION WHICH INCLUDES CONTACT INFORMATION FOR QUESTIONS AND ASSISTANCE IN COMPLETING THE FORM. SIGNS AND APPLICATIONS ARE POSTED AT ALL POINTS OF ADMISSIONS INFORMING PATIENTS OF THE FREE CARE PROGRAMS WHICH ARE AVAILABLE. IN 2010, THE APPLICATION WAS ADDED TO THE INTERNET FOR EASY PATIENT ACCESS. AULTMAN'S OUTREACH DEPARTMENT ASSISTS SELF-PAY INPATIENTS WITH THE INITIAL MEDICAID APPLICATION PROCESS AND OTHER CHARITY CARE PROGRAMS UNDER WHICH THEY ARE ELIGIBLE FOR ASSISTANCE. PATIENTS WHO ARE UNABLE TO BE SCREENED DURING THEIR ADMISSION OR OUTPATIENT VISIT ARE SENT AN APPLICATION, UPON REQUEST, AFTER THEY HAVE BEEN DISCHARGED. IMPROVEMENT PROCESSES FOR 2019 INCLUDED FORMAL PATIENT OUTREACH STAFF TRAINING IN HCAP PROGRAM REQUIREMENTS AND CUSTOMER SERVICE SKILLS.PATIENT EDUCATION AND ELIGIBILITY FOR ASSISTANCE - AOHTHE APPLICATION AND GUIDELINES ARE PROVIDED ON THE BACK OF EVERY PATIENT STATEMENT. AT THE TIME OF REGISTRATION PATIENTS ARE ASKED TO FILL OUT THE HOSPITAL CARE ASSURANCE PROGRAM APPLICATION AND FAP WHICH INCLUDES CONTACT INFORMATION FOR QUESTIONS AND ASSISTANCE IN COMPLETING THE FORM. SIGNS AND APPLICATIONS ARE POSTED AT ALL POINTS OF ADMISSIONS INFORMING PATIENTS OF THE FREE CARE PROGRAMS WHICH ARE AVAILABLE. IN 2016, THE APPLICATION WAS ADDED TO THE INTERNET FOR EASY PATIENT ACCESS. AULTMAN ORRVILLE HOSPITAL FINANCIAL COUNSELORS ASSIST SELF-PAY INPATIENTS WITH THE INITIAL MEDICAID APPLICATION PROCESS AND OTHER CHARITY CARE PROGRAMS UNDER WHICH THEY ARE ELIGIBLE FOR ASSISTANCE. PATIENTS WHO ARE UNABLE TO BE SCREENED DURING THEIR ADMISSION OR OUTPATIENT VISIT ARE SENT AN APPLICATION, UPON REQUEST, AFTER THEY HAVE BEEN DISCHARGED. IMPROVEMENT PROCESSES FOR 2018 INCLUDED FORMAL FINANCIAL COUNSELOR STAFF TRAINING IN HCAP/FAP PROGRAM REQUIREMENTS AND CUSTOMER SERVICE SKILLS.PATIENT EDUCATION AND ELIGIBIITY FOR ASSISTANCE - AACHDURING THE REGISTRATION PROCESS, THE PATIENT'S INITIAL FINANCIAL RESPONSIBILITY IS DETERMINED BASED ON INSURANCE COVERAGE, DEDUCTIBLES, ETC. SUPPLIED BY THE PATIENT. IF IT IS DETERMINED THAT THE PATIENT WILL BE PARTIALLY OR FULLY RESPONSIBLE FOR THEIR MEDICAL CHARGES, THEN THE PATIENT WILL RECEIVE PERSONAL CREDIT COUNSELING FROM AACH CREDIT PERSONNEL, OUR FINANCIAL COUNSELING TEAM. AACH FOLLOWS EMTALA STANDARDS FOR EMERGENCY ROOM AND LABOR VISITS. A PATIENT BILLING BROCHURE IS AVAILABLE IN THE ADMISSIONS AND EMERGENCY ROOM AREAS TO ALL PATIENTS. THE BROCHURE PROVIDES INFORMATION ON FINANCIAL ASSISTANCE ALONG WITH PHONE NUMBERS SO THAT AN INDIVIDUAL CAN SPEAK TO A MEMBER OF THE PATIENT BILLING TEAM AND/OR SET UP A PERSONAL APPOINTMENT FOR FINANCIAL COUNSELING. IN ADDITION, MONTHLY BILLING STATEMENTS INCLUDE A FINANCIAL ASSISTANCE APPLICATION ON THE BACK PLUS PHONE NUMBERS FOR ASSISTANCE. AACH HAS AN ""EARLY-OUT"" SERVICE TO HELP ALL PATIENTS WITH ASSISTANCE. WE REFER PATIENTS WHO WE BELIEVE ARE ELIGIBLE FOR MEDICAID TO AN AGENCY SPECIALIZING IN MEDICAID ELIGIBILITY AND APPLICATION SO THE PATIENT RECEIVES THE FINANCIAL EXPERTISE NEEDED FOR FINANCIAL ASSISTANCE. AACH POSTS THE FINANCIAL ASSISTANCE POLICY AND APPLICATION ON THE HOSPITAL'S WEBSITE UNDER PATIENT RESOURCES."

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COMMUNITY INFORMATION - AHAULTMAN'S SERVICE AREA INCLUDES STARK, WAYNE, HOLMES, CARROLL AND TUSCARAWAS COUNTIES. THE CORE SERVICE AREA FOR AULTMAN HOSPITAL IS STARK COUNTY. THE U.S. CENSUS BUREAU ESTIMATED THE 2017 POPULATION OF OUR FIVE COUNTY AREAS TO BE 650,690. THERE ARE EIGHT REGISTERED HOSPITALS IN THE FIVE COUNTY AREA. THREE OF THESE ARE AULTMAN FACILITIES. AULTMAN PROVIDED CARE FOR 26% OF THE TOTAL 359,729 MEDICAID CASES IN THE PRIMARY SERVICE AREA FOR 2018. OF THE 69,581 SELF-PAY CASES IN OUR PRIMARY SERVICE AREA AULTMAN PROVIDED CARE FOR 23%.COMMUNITY INFORMATION - AOHTHE ORGANIZATION SERVES EASTERN WAYNE COUNTY AS THE PRIMARY SERVICE AREA, AS WELL AS THE SURROUNDING COUNTIES (STARK, MEDINA, AND HOLMES) AS THE SECONDARY SERVICE AREA. THE HOSPITAL SERVES ALL RESIDENTS WITH VARIOUS DEMOGRAPHICS, INCLUDING A HIGH POPULATION OF AMISH.COMMUNITY INFORMATION - AACHAULTMAN ALLIANCE COMMUNITY HOSPITAL IS LOCATED IN ALLIANCE, OHIO AND SERVES STARK, MAHONING, COLUMBIANA AND OTHER SURROUNDING COUNTIES. THE GEOGRAPHIC SERVICE AREA IS MADE UP OF URBAN, SUBURBAN, AND RURAL AREAS. IN 2021, OUR PATIENT CHARGES CONSISTED OF THE FOLLOWING FINANCIAL CLASSES: 22% FROM INDIVIDUALS ON MEANS-TESTED GOVERNMENT PROGRAMS OR UNINSURED; 27% FROM COMMERCIAL INSURANCE, HEALTH MAINTENANCE AND PREFERRED PROVIDER ORGANIZATIONS; AND 51% FROM MEDICARE PROGRAMS. PERSONS BELOW THE POVERTY LEVEL WAS 14% PER THE LATEST CENSUS DATA AVAILABLE AT WWW.CENSUS.GOV. FOR THE SURROUNDING AREA, THE AVERAGE HOUSEHOLD SIZE WAS 2.3 AND THE MEDIAN HOUSEHOLD INCOME WAS $50,515. PERSONS UNDER THE AGE OF 18 ACCOUNTED FOR 20% OF THE POPULATION, AND 21% OF THE POPULATION WAS 65 YEARS AND OLDER. 8% OF PERSONS UNDER THE AGE OF 65 REPORT TO BE WITHOUT HEALTH INSURANCE.

PART VI, LINE 5
(CONTINUED FROM PART VI, LINE 5)THROUGH ITS RESIDENT TEACHING PROGRAMS, AULTMAN DELIVERS A SIGNIFICANT LEVEL OF QUALITY OUTPATIENT AND INPATIENT HEALTH CARE TO INSURED, UNDERINSURED AND UNINSURED INDIVIDUALS IN OUR MARKET. FOR MEMBERS OF THE AMISH COMMUNITY, AULTMAN OFFERS FREE TRANSPORTATION TO AND FROM DOCTORS' APPOINTMENTS AND AULTMAN HOSPITAL. AN AMISH HOUSE IS ALSO LOCATED ADJACENT TO THE AULTMAN CAMPUS, GIVING VISITORS A FREE PLACE TO STAY WHEN LOVED ONES ARE HOSPITALIZED.AULTMAN ALLIANCE COMMUNITY HOSPITAL (AACH) PROMOTES THE HEALTH OF THE COMMUNITY BY GIVING BOTH TIME AND DOLLARS TO LOCAL CHARITABLE ORGANIZATIONS S. AACH SUPPORTS ITS MISSION TO PROVIDE A SAFE, COMFORTING, HEALING ENVIRONMENT AND IS ALSO COMMITTED TO PROMOTING COMMUNITY HEALTH. UNFORTUNATELY, MANY OF OUR ANNUAL SUPPORT ACTIVITIES (CARNATION DAYS IN THE PARK, HEALTH FAIRS, LOCAL FARMER'S MARKETS AND ASSISTED LIVING SCREENINGS) WERE CANCELLED DUE TO THE PANDEMIC. THE HOSPITAL'S HEALTH CARING RESOURCES LIBRARY PROVIDES WEEKLY FREE BLOOD PRESSURE SCREENINGS TO THE COMMUNITY EACH WEEK (ONLY THROUGH MID-MARCH FOR 2020 DUE TO PANDEMIC). THE LIBRARY IS AVAILABLE TO THE PUBLIC AS A RESOURCE FOR MEDICAL QUESTIONS AND RESEARCH. THE LIBRARY IS ALSO THE DISTRIBUTION CENTER FOR SEED PACKETS PROVIDED BY STARKFRESH TO GROW FRESH SEASONAL PRODUCE AND THE PUBLIC IS NOTIFIED OF THIS FREE OFFER. AACH COORDINATES COLLEAGUE FUNDRAISING FOR THE ANNUAL UNITED WAY CAMPAIGN AND PROMOTED THE AMERICAN CANCER SOCIETY'S VIRTUAL RELAY FOR LIFE. ALLIANCE'S FACEBOOK PAGE OFFERS HEALTH TIPS AND NOTIFIES THE COMMUNITY ABOUT OUR MONTHLY LUNCHEON PRESENTATIONS WHICH ARE FREE TO THE PUBLIC AND COVER VARIOUS HEALTH TOPICS. AGAIN IN 2021, ALLIANCE OFFERED A FREE BREAST CANCER SCREENING DAY AND ADDED A FREE PROSTATE SCREENING DAY IN SEPTEMBER 2021. DIABETIC EDUCATION CLASSES ARE OFFERED AT THE HOSPITAL FOR A MINIMAL FEE. AACH'S NUTRITIONAL SERVICES DEPARTMENT PREPARES NUTRITIOUS MEALS FOR MEALS ON WHEELS AND LOCAL VOLUNTEERS DELIVERED 17,205 MEALS IN 2021. AACH'S VOLUNTEER DEPARTMENT COORDINATES MANY COMMUNITY PROGRAMS INCLUDING THOSE MENTIONED IN SCHEDULE H PART II, COMMUNITY BUILDING ACTIVITIES. ANOTHER COMMUNITY PROGRAM INCLUDES OUR PET THERAPY PROGRAM AND MOST OF THEIR PARTICIPATION WAS OFFERED OUTSIDE PATIENT WINDOWS IN 2021 WITH PANDEMIC RESTRICTIONS. OUR MEETING ROOMS ARE OFFERED FREE OF CHARGE TO LOCAL ORGANIZATIONS; HOWEVER, IN-PERSON MEETINGS WERE VERY LIMITED IN 2020. THROUGHOUT THE YEAR, CLINICAL PERSONNEL, MANAGERS, DIRECTORS AND EXECUTIVES ARE ENCOURAGED TO SUPPORT THE COMMUNITY THROUGH PARTICIPATION IN VARIOUS CIVIC GROUPS AND ORGANIZATIONS. EACH COLLEAGUE IS ENCOURAGED BY THE ORGANIZATION TO SHARE THEIR UNIQUE GIFTS WITH THE COMMUNITY IN A WAY THAT FURTHERS THE PURPOSE OF OUR CHARITABLE ORGANIZATION.