Community Benefit Insight - Tax-exempt hospital

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The Good Samaritan Hospital Of Cincinnati Ohio

625 Eden Park Drive 7th Floor

Cincinnati, OH 45202

EIN: 310537486

The hospital that you have selected is part of a multi-facility organization that reports community benefit expenditures in the aggregate and not by individual hospital. The data shown below are for the multi-facility organization. We encourage you to contact the individual hospital directly if you would like community benefit information on the hospital.Learn more

Individual Facility Details: Good Samaritan Hospital

375 Dixmyth Avenue
Cincinnati, OH 45220

1 hospital in organization:
(click a facility name to update Individual Facility Details panel)

Good Samaritan Hospital

Bed count	672	Medicare provider number	360134	Member of the Council of Teaching Hospitals	YES	Children's hospital	NO

The Good Samaritan Hospital Of Cincinnati OhioDisplay data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

4.54%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

Additional data

Community Benefit Expenditures: 2021

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 0 0 %
Medicaid as % of operating expenses	$ 17,218,843 2.27 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 13,156,807 1.73 %
Subsidized health services as % of operating expenses	$ 866,945 0.11 %
Research as % of operating expenses	$ 2,991,194 0.39 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 149,860 0.02 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 82,750 0.01 %
Community building* as % of operating expenses	$ 8,380 0.00 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	YES
Number of activities or programs (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Persons served (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Community building expense as % of operating expenses	$ 8,380 0.00 %
Physical improvements and housing as % of community building expenses	$ 0 0 %
Economic development as % of community building expenses	$ 0 0 %
Community support as % of community building expenses	$ 8,380 100 %
Environmental improvements as % of community building expenses	$ 0 0 %
Leadership development and training for community members as % of community building expenses	$ 0 0 %
Coalition building as % of community building expenses	$ 0 0 %
Community health improvement advocacy as % of community building expenses	$ 0 0 %
Workforce development as % of community building expenses	$ 0 0 %
Other as % of community building expenses	$ 0 0 %
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2021

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 38,875,554 5.12 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 0 0 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2021

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES

Supplemental Information: 2021

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4A (Expenses $ 621354211 including grants of $ 6281586) (Revenue $ 861891076)
SEE SCHEDULE H

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

GOOD SAMARITAN HOSPITAL
"PART V, SECTION B, LINE 5: THE REGIONAL CHNA METHODOLOGY AND RESULTS WERE GENERATED THROUGH AN INCLUSIVE, COMPREHENSIVE, AND BALANCED DATA COLLECTION STRATEGY.COMPREHENSIVE DATA COLLECTION THE NEEDS ASSESSMENT UTILIZED A MIXED-METHOD APPROACH TO DATA COLLECTION INCLUDING SECONDARY QUANTITATIVE DATA AND PRIMARY QUANTITATIVE (REGIONAL CHNA COMMUNITY AND PROVIDER SURVEYS) AND QUALITATIVE (FOCUS GROUPS AND INTERVIEWS) DATA. SECONDARY DATA COLLECTION, WHICH BEGAN IN JANUARY OF 2021, SOUGHT TO UNDERSTAND THE GREATEST HEALTH CONDITIONS OF THE REGION, INCLUDING PREVALENCE AND IMPACT ON COMMUNITY MEMBERS. THESE RESULTS INFORMED THE CREATION OF SURVEY ITEMS THAT WERE ORGANIZED AROUND A SET OF CO-CREATED RESEARCH QUESTIONS. EACH DATA COLLECTION STRATEGY ADHERED TO A RECRUITMENT PLAN TO ENSURE A REPRESENTATIVE SAMPLE OF COMMUNITY MEMBERS, VOICES OF MARGINALIZED POPULATIONS, AND PROVIDERS ACROSS THE HEALTH AND SOCIAL SERVICES SECTORS WERE CAPTURED.OVERALL, THE SCOPE OF DATA COLLECTION WAS ROBUST AND INFORMED THE RESULTS OF THIS REGIONAL CHNA. THIS INCLUDES:8,321 COMMUNITY SURVEYS AVAILABLE APRIL, 2021 THROUGH JUNE, 2021, IN FIVE LANGUAGES. WITHIN THIS SAMPLE, REPRESENTATION WAS SEEN ACROSS 26 COUNTIES, MALES, FEMALES, AGES 18-65+, BLACK/AFRICAN AMERICAN, MULTIRACIAL, ASIAN, AMERICAN INDIAN, ALASKAN NATIVE, WHITE, AND HISPANIC/LATINO POPULATIONS. 859 PROVIDER SURVEYS, AVAILABLE APRIL, 2021 THROUGH MAY, 2021, INCLUSIVE OF BEHAVIORAL HEALTH, EDUCATION, EMERGENCY MEDICAL SERVICES, FAITH-BASED ORGANIZATIONS, FEDERALLY QUALIFIED HEALTH CENTERS, JUSTICE/CORRECTIONS, MEDICAL CARE (ADULT, GERIATRIC, PEDIATRIC) ORAL HEALTH, ORGANIZATIONS ADDRESSING HEALTH RELATED SOCIAL NEEDS AND SOCIAL DETERMINANTS OF HEALTH, PHARMACEUTICAL, AND PUBLIC HEALTH DEPARTMENTS. - PROVIDERS ALSO REPRESENTED ADMINISTRATION, DIRECT PATIENT CARE, ACADEMIC, SUPPORT STAFF, AND SUPERVISORS/MANAGEMENT. - PROVIDERS REPORTED SERVING A VARIETY OF POPULATIONS INCLUDING CHILDREN/YOUTH, PEOPLE WITH DISABILITIES, ETHNIC MINORITIES, PEOPLE EXPERIENCING HOMELESSNESS, PEOPLE IN THE JUSTICE SYSTEM, VETERANS, YOUNG ADULTS, LOW-INCOME POPULATIONS, AND LGBTQ+ POPULATIONS. 51 FOCUS GROUPS WITH 234 PEOPLE WERE HELD FROM MAY, 2021 THROUGH JULY, 2021, REPRESENTING ALL THREE MSAS. SPECIFICALLY, RECRUITMENT FOR THESE FOCUS GROUPS WERE BASED ON ADVISORY COMMITTEE IDENTIFICATION OF POPULATIONS WHO ARE TRADITIONALLY UNDERREPRESENTED, MARGINALIZED, OR EXPERIENCE GREATEST HEALTH DISPARITIES. - POPULATIONS REPRESENTED IN THESE FOCUS GROUPS INCLUDE ADULT MEN, THOSE EXPERIENCING FOSTER CARE OR FOSTER PARENTING, YOUTH AND ADULTS WITH DISABILITIES, ETHNIC, CULTURAL AND LANGUAGE MINORITIES, FIRST AND SECOND-GENERATION IMMIGRANTS, PEOPLE EXPERIENCING HOMELESSNESS, THOSE INVOLVED IN THE JUSTICE SYSTEM, LOW-INCOME FAMILIES AND INDIVIDUALS, PARENTS, VETERANS, OLDER ADULTS, COMMUNITY MEMBERS WITH LIVED EXPERIENCE OF MENTAL HEALTH AND/OR ADDICTION, AND FIRST RESPONDERS. 38 STAKEHOLDER INTERVIEWS WERE HELD SEPTEMBER 27, 2021 THROUGH OCTOBER 31, 2021, ACROSS HEALTH AND SOCIAL SERVICE PROVIDERS, SPECIFICALLY WITH THE FOLLOWING BEING REPRESENTED: MENTAL HEALTH AND SUBSTANCE USE DISORDER (SUD), PUBLIC HEALTH, HOSPITAL SYSTEMS, FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS), TRANSPORTATION, HOUSING, FOOD ACCESS, HEALTHCARE ACCESS AND POLICY, SCHOOL-BASED HEALTH AND CHILDREN'S HEALTH CARE, MATERNAL AND INFANT CARE, LGBTQ+ HEALTH CARE, PHARMACY ACCESS, AND HEALTHCARE WORKFORCE DEVELOPMENT. DUE TO CHARACTER LIMITATION IN THE SOFTWARE, THESE DATA SOURCES COULD NOT BE INCLUDED IN THIS EXPLANATION. HOWEVER, APPENDIX C OF THE CHNA CONTAINS A DETAILED DESCRIPTION OF EACH DATA COLLECTION STRATEGY INCLUDING THE SAMPLING OR RECRUITMENT STRATEGY, AND ANALYSIS. THIS CAN BE FOUND ON PAGES 59 THROUGH 69 OF THE CHNA POSTED ON TRIHEALTH'S WEBSITE.DATA COLLECTION WAS ALSO COMPREHENSIVE IN THAT COMMUNITY MEMBERS, SOCIAL SERVICE PROVIDERS AND HEALTHCARE PROFESSIONALS WERE NOT ONLY ASKED ""WHAT COULD BE BETTER,"" BUT ALSO ""WHAT IS WORKING."" AS A RESULT, THIS REGIONAL CHNA INCLUDES A COLLECTION OF ASSETS AND RECOMMENDED POLICY AND PRACTICE INITIATIVES IDENTIFIED BY THE COMMUNITY THAT DIRECTLY TIE TO SYSTEM BARRIERS. THE SYMBOL (TO THE LEFT) CAN BE FOUND THROUGHOUT THIS REPORT. THIS SYMBOL IDENTIFIES A POLICY OR PRACTICE THAT ADDRESSES THE HEALTH NEED DISCUSSED IN THAT SECTION. NO DATA INFORMATION GAPS WERE IDENTIFIED WHILE CONDUCTING THE CHNA.CO-CREATED RESEARCH QUESTIONS TO CREATE THE GUIDING RESEARCH QUESTIONS, THE HEALTHCARE PROVIDERS PARTICIPATED IN A GROUP PROCESS, FACILITATED BY MEASUREMENT RESOURCES COMPANY (MRC), TO IDENTIFY THE EMERGING CURIOSITIES RELATED TO COMMUNITY HEALTH. THE EXERCISE FOCUSED ON MOVING BEYOND WHAT IS KNOWN THROUGH SECONDARY DATA AND ASKING QUESTIONS THAT CAN LEAD TO ACTION. THE FOLLOWING RESEARCH QUESTIONS WERE CO-CREATED BY THE ADVISORY COMMITTEE. 1. WHAT ARE THE GREATEST HEALTH NEEDS IN THE COMMUNITY? 2. HOW DO THE GREATEST HEALTH NEEDS DIFFER ACROSS COMMUNITIES AND COMMUNITY MEMBERS? 3. WHAT SOCIAL DETERMINANTS OF HEALTH (SDOH) DRIVE THESE GREATEST HEALTH NEEDS AMONG DIFFERENT COMMUNITIES AND COMMUNITY MEMBERS? 4. WHAT ARE THE SYSTEMIC BARRIERS OF THESE GREATEST HEALTH NEEDS AMONG DIFFERENT COMMUNITIES AND COMMUNITY MEMBERS? 5. WHAT ARE THE STRUCTURAL BARRIERS PROVIDERS FACE IN MEETING THE NEEDS OF THE COMMUNITY? 6. WHAT SPECIFIC ACTION STEPS CAN BE TAKEN BY VARIOUS PARTNERS TO ADDRESS THE ROOT CAUSES AND ACHIEVE MORE EQUITABLE HEALTH OUTCOMES? A. WHAT COMMUNITY-BASED EXPERTISE SHOULD BE LEVERAGED? B. WHAT BEST PRACTICES ARE BEING IMPLEMENTED? TO ANSWER THESE RESEARCH QUESTIONS, A FRAMEWORK WAS DEVELOPED FOR CENTERING EQUITY AND A COMPREHENSIVE UNDERSTANDING OF THE DRIVERS OF HEALTH CONDITIONS. FROM THIS FRAMEWORK, MRC AND THE ADVISORY COMMITTEE CO-CREATED A MIXED-METHOD DATA COLLECTION STRATEGY.EQUITY-CENTERED FRAMEWORK HEALTH EQUITY MEANS EVERYONE HAS A FAIR AND JUST OPPORTUNITY TO BE AS HEALTHY AS POSSIBLE. TO ACHIEVE AN UNDERSTANDING OF HEALTH EQUITY, EACH DATA COLLECTION STRATEGY INCLUDED MECHANISMS TO:1. HEAR THE VOICES OF COMMUNITY MEMBERS AND BE INTENTIONAL ABOUT ENGAGING COMMUNITY MEMBERS WHO ARE HISTORICALLY UNDERREPRESENTED IN COMMUNITY DATA. 2. ASK QUESTIONS ABOUT HEALTH EXPERIENCES, OUTCOMES, BARRIERS, AND SOLUTIONS. 3. DISAGGREGATE THE DATA BY REGION, AGE, RACE, AND GENDER AND OTHER CHARACTERISTICS WITH SUFFICIENT SAMPLE SIZES. 4. USE THE DATA TO CLEARLY IDENTIFY THE UNIQUE EXPERIENCES OF COMMUNITY MEMBERS."

GOOD SAMARITAN HOSPITAL AT EVENDALE
"PART V, SECTION B, LINE 5: THE REGIONAL CHNA METHODOLOGY AND RESULTS WERE GENERATED THROUGH AN INCLUSIVE, COMPREHENSIVE, AND BALANCED DATA COLLECTION STRATEGY.COMPREHENSIVE DATA COLLECTION THE NEEDS ASSESSMENT UTILIZED A MIXED-METHOD APPROACH TO DATA COLLECTION INCLUDING SECONDARY QUANTITATIVE DATA AND PRIMARY QUANTITATIVE (REGIONAL CHNA COMMUNITY AND PROVIDER SURVEYS) AND QUALITATIVE (FOCUS GROUPS AND INTERVIEWS) DATA. SECONDARY DATA COLLECTION, WHICH BEGAN IN JANUARY OF 2021, SOUGHT TO UNDERSTAND THE GREATEST HEALTH CONDITIONS OF THE REGION, INCLUDING PREVALENCE AND IMPACT ON COMMUNITY MEMBERS. THESE RESULTS INFORMED THE CREATION OF SURVEY ITEMS THAT WERE ORGANIZED AROUND A SET OF CO-CREATED RESEARCH QUESTIONS. EACH DATA COLLECTION STRATEGY ADHERED TO A RECRUITMENT PLAN TO ENSURE A REPRESENTATIVE SAMPLE OF COMMUNITY MEMBERS, VOICES OF MARGINALIZED POPULATIONS, AND PROVIDERS ACROSS THE HEALTH AND SOCIAL SERVICES SECTORS WERE CAPTURED.OVERALL, THE SCOPE OF DATA COLLECTION WAS ROBUST AND INFORMED THE RESULTS OF THIS REGIONAL CHNA. THIS INCLUDES:8,321 COMMUNITY SURVEYS AVAILABLE APRIL, 2021 THROUGH JUNE, 2021, IN FIVE LANGUAGES. WITHIN THIS SAMPLE, REPRESENTATION WAS SEEN ACROSS 26 COUNTIES, MALES, FEMALES, AGES 18-65+, BLACK/AFRICAN AMERICAN, MULTIRACIAL, ASIAN, AMERICAN INDIAN, ALASKAN NATIVE, WHITE, AND HISPANIC/LATINO POPULATIONS. 859 PROVIDER SURVEYS, AVAILABLE APRIL, 2021 THROUGH MAY, 2021, INCLUSIVE OF BEHAVIORAL HEALTH, EDUCATION, EMERGENCY MEDICAL SERVICES, FAITH-BASED ORGANIZATIONS, FEDERALLY QUALIFIED HEALTH CENTERS, JUSTICE/CORRECTIONS, MEDICAL CARE (ADULT, GERIATRIC, PEDIATRIC) ORAL HEALTH, ORGANIZATIONS ADDRESSING HEALTH RELATED SOCIAL NEEDS AND SOCIAL DETERMINANTS OF HEALTH, PHARMACEUTICAL, AND PUBLIC HEALTH DEPARTMENTS. - PROVIDERS ALSO REPRESENTED ADMINISTRATION, DIRECT PATIENT CARE, ACADEMIC, SUPPORT STAFF, AND SUPERVISORS/MANAGEMENT. - PROVIDERS REPORTED SERVING A VARIETY OF POPULATIONS INCLUDING CHILDREN/YOUTH, PEOPLE WITH DISABILITIES, ETHNIC MINORITIES, PEOPLE EXPERIENCING HOMELESSNESS, PEOPLE IN THE JUSTICE SYSTEM, VETERANS, YOUNG ADULTS, LOW-INCOME POPULATIONS, AND LGBTQ+ POPULATIONS. 51 FOCUS GROUPS WITH 234 PEOPLE WERE HELD FROM MAY, 2021 THROUGH JULY, 2021, REPRESENTING ALL THREE MSAS. SPECIFICALLY, RECRUITMENT FOR THESE FOCUS GROUPS WERE BASED ON ADVISORY COMMITTEE IDENTIFICATION OF POPULATIONS WHO ARE TRADITIONALLY UNDERREPRESENTED, MARGINALIZED, OR EXPERIENCE GREATEST HEALTH DISPARITIES. - POPULATIONS REPRESENTED IN THESE FOCUS GROUPS INCLUDE ADULT MEN, THOSE EXPERIENCING FOSTER CARE OR FOSTER PARENTING, YOUTH AND ADULTS WITH DISABILITIES, ETHNIC, CULTURAL AND LANGUAGE MINORITIES, FIRST AND SECOND-GENERATION IMMIGRANTS, PEOPLE EXPERIENCING HOMELESSNESS, THOSE INVOLVED IN THE JUSTICE SYSTEM, LOW-INCOME FAMILIES AND INDIVIDUALS, PARENTS, VETERANS, OLDER ADULTS, COMMUNITY MEMBERS WITH LIVED EXPERIENCE OF MENTAL HEALTH AND/OR ADDICTION, AND FIRST RESPONDERS. 38 STAKEHOLDER INTERVIEWS WERE HELD SEPTEMBER 27, 2021 THROUGH OCTOBER 31, 2021, ACROSS HEALTH AND SOCIAL SERVICE PROVIDERS, SPECIFICALLY WITH THE FOLLOWING BEING REPRESENTED: MENTAL HEALTH AND SUBSTANCE USE DISORDER (SUD), PUBLIC HEALTH, HOSPITAL SYSTEMS, FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS), TRANSPORTATION, HOUSING, FOOD ACCESS, HEALTHCARE ACCESS AND POLICY, SCHOOL-BASED HEALTH AND CHILDREN'S HEALTH CARE, MATERNAL AND INFANT CARE, LGBTQ+ HEALTH CARE, PHARMACY ACCESS, AND HEALTHCARE WORKFORCE DEVELOPMENT. DUE TO CHARACTER LIMITATION IN THE SOFTWARE, THESE DATA SOURCES COULD NOT BE INCLUDED IN THIS EXPLANATION. HOWEVER, APPENDIX C OF THE CHNA CONTAINS A DETAILED DESCRIPTION OF EACH DATA COLLECTION STRATEGY INCLUDING THE SAMPLING OR RECRUITMENT STRATEGY, AND ANALYSIS. THIS CAN BE FOUND ON PAGES 59 THROUGH 69 OF THE CHNA POSTED ON TRIHEALTH'S WEBSITE.DATA COLLECTION WAS ALSO COMPREHENSIVE IN THAT COMMUNITY MEMBERS, SOCIAL SERVICE PROVIDERS AND HEALTHCARE PROFESSIONALS WERE NOT ONLY ASKED ""WHAT COULD BE BETTER,"" BUT ALSO ""WHAT IS WORKING."" AS A RESULT, THIS REGIONAL CHNA INCLUDES A COLLECTION OF ASSETS AND RECOMMENDED POLICY AND PRACTICE INITIATIVES IDENTIFIED BY THE COMMUNITY THAT DIRECTLY TIE TO SYSTEM BARRIERS. THE SYMBOL (TO THE LEFT) CAN BE FOUND THROUGHOUT THIS REPORT. THIS SYMBOL IDENTIFIES A POLICY OR PRACTICE THAT ADDRESSES THE HEALTH NEED DISCUSSED IN THAT SECTION. NO DATA INFORMATION GAPS WERE IDENTIFIED WHILE CONDUCTING THE CHNA.CO-CREATED RESEARCH QUESTIONS TO CREATE THE GUIDING RESEARCH QUESTIONS, THE HEALTHCARE PROVIDERS PARTICIPATED IN A GROUP PROCESS, FACILITATED BY MEASUREMENT RESOURCES COMPANY (MRC), TO IDENTIFY THE EMERGING CURIOSITIES RELATED TO COMMUNITY HEALTH. THE EXERCISE FOCUSED ON MOVING BEYOND WHAT IS KNOWN THROUGH SECONDARY DATA AND ASKING QUESTIONS THAT CAN LEAD TO ACTION. THE FOLLOWING RESEARCH QUESTIONS WERE CO-CREATED BY THE ADVISORY COMMITTEE. 1. WHAT ARE THE GREATEST HEALTH NEEDS IN THE COMMUNITY? 2. HOW DO THE GREATEST HEALTH NEEDS DIFFER ACROSS COMMUNITIES AND COMMUNITY MEMBERS? 3. WHAT SOCIAL DETERMINANTS OF HEALTH (SDOH) DRIVE THESE GREATEST HEALTH NEEDS AMONG DIFFERENT COMMUNITIES AND COMMUNITY MEMBERS? 4. WHAT ARE THE SYSTEMIC BARRIERS OF THESE GREATEST HEALTH NEEDS AMONG DIFFERENT COMMUNITIES AND COMMUNITY MEMBERS? 5. WHAT ARE THE STRUCTURAL BARRIERS PROVIDERS FACE IN MEETING THE NEEDS OF THE COMMUNITY? 6. WHAT SPECIFIC ACTION STEPS CAN BE TAKEN BY VARIOUS PARTNERS TO ADDRESS THE ROOT CAUSES AND ACHIEVE MORE EQUITABLE HEALTH OUTCOMES? A. WHAT COMMUNITY-BASED EXPERTISE SHOULD BE LEVERAGED? B. WHAT BEST PRACTICES ARE BEING IMPLEMENTED? TO ANSWER THESE RESEARCH QUESTIONS, A FRAMEWORK WAS DEVELOPED FOR CENTERING EQUITY AND A COMPREHENSIVE UNDERSTANDING OF THE DRIVERS OF HEALTH CONDITIONS. FROM THIS FRAMEWORK, MRC AND THE ADVISORY COMMITTEE CO-CREATED A MIXED-METHOD DATA COLLECTION STRATEGY.EQUITY-CENTERED FRAMEWORK HEALTH EQUITY MEANS EVERYONE HAS A FAIR AND JUST OPPORTUNITY TO BE AS HEALTHY AS POSSIBLE. TO ACHIEVE AN UNDERSTANDING OF HEALTH EQUITY, EACH DATA COLLECTION STRATEGY INCLUDED MECHANISMS TO:1. HEAR THE VOICES OF COMMUNITY MEMBERS AND BE INTENTIONAL ABOUT ENGAGING COMMUNITY MEMBERS WHO ARE HISTORICALLY UNDERREPRESENTED IN COMMUNITY DATA. 2. ASK QUESTIONS ABOUT HEALTH EXPERIENCES, OUTCOMES, BARRIERS, AND SOLUTIONS. 3. DISAGGREGATE THE DATA BY REGION, AGE, RACE, AND GENDER AND OTHER CHARACTERISTICS WITH SUFFICIENT SAMPLE SIZES. 4. USE THE DATA TO CLEARLY IDENTIFY THE UNIQUE EXPERIENCES OF COMMUNITY MEMBERS."

GOOD SAMARITAN HOSPITAL
PART V, SECTION B, LINE 6A: * THE CHRIST HOSPITAL MT. AUBURN, * CINCINNATI CHILDREN'S HOSPITAL (CINCINNATI CHILDREN'S BURNET CAMPUS, CINCINNATI CHILDREN'S LIBERTY CAMPUS, CINCINNATI CHILDREN'S COLLEGE HILL CAMPUS)* ADAMS COUNTY REGIONAL MEDICAL CENTER,* MARGARET MARY HEALTH, * KETTERING HEALTH NETWORK (FORT HAMILTON HOSPITAL, GRANDVIEW MEDICAL CENTER, GREENE MEMORIAL HOSPITAL, KETTERING BEHAVIORAL MEDICINE CENTER, KETTERING MEDICAL CENTER, SOIN MEDICAL CENTER, SOUTHVIEW MEDICAL CENTER, SYCAMORE MEDICAL CENTER)* THE C&F LINDNER CENTER OF HOPE* BON SECOURS MERCY HEALTH (BON SECOURS MERCY HEALTH-ANDERSON HOSPITAL, BON SECOURS MERCY HEALTH-CLERMONT HOSPITAL, BON SECOURS MERCY HEALTH-FAIRFIELD HOSPITAL, BON SECOURS MERCY HEALTH-WEST HOSPITAL, BON SECOURS JEWISH HOSPITAL)* MERCY HEALTH URBANA HOSPITAL* MERCY HEALTH SPRINGFIELD REGIONAL MEDICAL CENTER* PREMIER HEALTH (ATRIUM MEDICAL CENTER, MIAMI VALLEY HOSPITAL, MIAMI VALLEY HOSPITAL NORTH, MIAMI VALLEY HOSPITAL SOUTH, UPPER VALLEY MEDICAL CENTER)* TRIHEALTH (TRIHEALTH BETHESDA BUTLER HOSPITAL, TRIHEALTH BETHESDA NORTH HOSPITAL, TRIHEALTH GOOD SAMARITAN HOSPITAL, TRIHEALTH MCCULLOUGH-HYDE MEMORIAL HOSPITAL, TRIHEALTH GOOD SAMARITAN EVENDALE HOSPITAL)* UC HEALTH (UC HEALTH DRAKE CENTER FOR POST-ACUTE CARE, UC HEALTH UNIVERSITY OF CINCINNATI MEDICAL CENTER, UC HEALTH WEST CHESTER HOSPITAL)* WILSON MEMORIAL HEALTH* WAYNE HEALTHCARE

GOOD SAMARITAN HOSPITAL AT EVENDALE
PART V, SECTION B, LINE 6A: * THE CHRIST HOSPITAL MT. AUBURN, * CINCINNATI CHILDREN'S HOSPITAL (CINCINNATI CHILDREN'S BURNET CAMPUS, CINCINNATI CHILDREN'S LIBERTY CAMPUS, CINCINNATI CHILDREN'S COLLEGE HILL CAMPUS)* ADAMS COUNTY REGIONAL MEDICAL CENTER,* MARGARET MARY HEALTH, * KETTERING HEALTH NETWORK (FORT HAMILTON HOSPITAL, GRANDVIEW MEDICAL CENTER, GREENE MEMORIAL HOSPITAL, KETTERING BEHAVIORAL MEDICINE CENTER, KETTERING MEDICAL CENTER, SOIN MEDICAL CENTER, SOUTHVIEW MEDICAL CENTER, SYCAMORE MEDICAL CENTER)* THE C&F LINDNER CENTER OF HOPE* BON SECOURS MERCY HEALTH (BON SECOURS MERCY HEALTH-ANDERSON HOSPITAL, BON SECOURS MERCY HEALTH-CLERMONT HOSPITAL, BON SECOURS MERCY HEALTH-FAIRFIELD HOSPITAL, BON SECOURS MERCY HEALTH-WEST HOSPITAL, BON SECOURS JEWISH HOSPITAL)* MERCY HEALTH URBANA HOSPITAL* MERCY HEALTH SPRINGFIELD REGIONAL MEDICAL CENTER* PREMIER HEALTH (ATRIUM MEDICAL CENTER, MIAMI VALLEY HOSPITAL, MIAMI VALLEY HOSPITAL NORTH, MIAMI VALLEY HOSPITAL SOUTH, UPPER VALLEY MEDICAL CENTER)* TRIHEALTH (TRIHEALTH BETHESDA BUTLER HOSPITAL, TRIHEALTH BETHESDA NORTH HOSPITAL, TRIHEALTH GOOD SAMARITAN HOSPITAL, TRIHEALTH MCCULLOUGH-HYDE MEMORIAL HOSPITAL, TRIHEALTH GOOD SAMARITAN EVENDALE HOSPITAL)* UC HEALTH (UC HEALTH DRAKE CENTER FOR POST-ACUTE CARE, UC HEALTH UNIVERSITY OF CINCINNATI MEDICAL CENTER, UC HEALTH WEST CHESTER HOSPITAL)* WILSON MEMORIAL HEALTH* WAYNE HEALTHCARE

GOOD SAMARITAN HOSPITAL
PART V, SECTION B, LINE 6B: * THE HEALTH COLLABORATIVE* GREATER DAYTON AREA HOSPITAL ASSOCIATION* ADAMS COUNTY HEALTH DEPARTMENT* AUGLAIZE COUNTY HEALTH DEPARTMENT* BROWN COUNTY HEALTH DEPARTMENT* BUTLER COUNTY HEALTH DEPARTMENT* CHAMPAIGN COUNTY HEALTH DEPARTMENT* CITY OF CINCINNATI HEALTH DEPARTMENT* CITY OF HAMILTON HEALTH DEPARTMENT* CLARK COUNTY HEALTH DEPARTMENT* CLERMONT COUNTY HEALTH DEPARTMENT* CLINTON COUNTY HEALTH DEPARTMENT* DARKE COUNTY HEALTH DEPARTMENT* FAYETTE COUNTY HEALTH DEPARTMENT* GREENE COUNTY HEALTH DEPARTMENT* HAMILTON COUNTY HEALTH DEPARTMENT* HIGHLAND COUNTY HEALTH DEPARTMENT* MIAMI COUNTY HEALTH DEPARTMENT* MONTGOMERY COUNTY HEALTH DEPARTMENT* CITY OF NORWOOD HEALTH DEPARTMENT* CITY OF PIQUA HEALTH DEPARTMENT* PREBLE COUNTY HEALTH DEPARTMENT* SHELBY COUNTY HEALTH DEPARTMENT* SPRINGDALE HEALTH DEPARTMENT* WARREN COUNTY COMBINED HEALTH DISTRICT

GOOD SAMARITAN HOSPITAL AT EVENDALE
PART V, SECTION B, LINE 6B: * THE HEALTH COLLABORATIVE* GREATER DAYTON AREA HOSPITAL ASSOCIATION* ADAMS COUNTY HEALTH DEPARTMENT* AUGLAIZE COUNTY HEALTH DEPARTMENT* BROWN COUNTY HEALTH DEPARTMENT* BUTLER COUNTY HEALTH DEPARTMENT* CHAMPAIGN COUNTY HEALTH DEPARTMENT* CITY OF CINCINNATI HEALTH DEPARTMENT* CITY OF HAMILTON HEALTH DEPARTMENT* CLARK COUNTY HEALTH DEPARTMENT* CLERMONT COUNTY HEALTH DEPARTMENT* CLINTON COUNTY HEALTH DEPARTMENT* DARKE COUNTY HEALTH DEPARTMENT* FAYETTE COUNTY HEALTH DEPARTMENT* GREENE COUNTY HEALTH DEPARTMENT* HAMILTON COUNTY HEALTH DEPARTMENT* HIGHLAND COUNTY HEALTH DEPARTMENT* MIAMI COUNTY HEALTH DEPARTMENT* MONTGOMERY COUNTY HEALTH DEPARTMENT* CITY OF NORWOOD HEALTH DEPARTMENT* CITY OF PIQUA HEALTH DEPARTMENT* PREBLE COUNTY HEALTH DEPARTMENT* SHELBY COUNTY HEALTH DEPARTMENT* SPRINGDALE HEALTH DEPARTMENT* WARREN COUNTY COMBINED HEALTH DISTRICT

GOOD SAMARITAN HOSPITAL
PART V, SECTION B, LINE 7D: COPY AVAILABLE WITHOUT CHARGE.PLEASE CONTACT TRIHEALTH MISSION AND CULTURE BY EITHER TELEPHONE (513-569-6248), E-MAIL (FRANK_NATION@TRIHEALTH.COM) OR MAIL (625 EDEN PARK DRIVE, 9TH FLOOR, CINCINNATI, OHIO 45202).

GOOD SAMARITAN HOSPITAL AT EVENDALE
PART V, SECTION B, LINE 7D: COPY AVAILABLE WITHOUT CHARGE.PLEASE CONTACT TRIHEALTH MISSION AND CULTURE BY EITHER TELEPHONE (513-569-6248), E-MAIL (FRANK_NATION@TRIHEALTH.COM) OR MAIL (625 EDEN PARK DRIVE, 9TH FLOOR, CINCINNATI, OHIO 45202).

GOOD SAMARITAN HOSPITAL
"PART V, SECTION B, LINE 11: 1. SUBSTANCE ABUSE/MENTAL HEALTH - GIVEN THE HIGH PREVALENCE OF SUBSTANCE ABUSE IN THIS AREA, PARTICULARLY OPIOID ABUSE, THE FACT THAT CURRENT WORK IS NOT COMPLETED AND THERE ARE MANY COMMUNITY PARTNERS THAT ARE ENGAGING ALONG WITH TRIHEALTH, SUBSTANCE ABUSE REMAINS ONE OF THE TOP PRIORITY COMMUNITY NEEDS FOR TRIHEALTH AND GOOD SAMARITAN HOSPITAL. THE GOAL IS TO IMPROVE EARLY IDENTIFICATION AND TREATMENT, AS WELL AS EDUCATION, TO THOSE IN OUR COMMUNITY WHO NEED THE RIGHT CARE, IN THE RIGHT SETTING, AT THE RIGHT TIME REGARDING SUBSTANCE ABUSE AND MENTAL HEALTH TO IMPROVE HEALTH OUTCOMES. THE STRATEGY OR PROGRAMS NEEDED TO ACHIEVE THIS GOAL IS AS FOLLOWS:SUBSTANCE ABUSE TREATMENT COORDINATORS - PROVIDE RN/SOCIAL WORKER WITH SPECIFIC SUBSTANCE USE TRAINING AND/OR CERTIFICATION AT INPATIENT SERVICES AND EMERGENCY DEPARTMENT LOCATIONS TO ENGAGE, ASSESS, AND PROVIDE APPOINTMENTS TO TREATMENT WITHIN 24-48 HOURS AFTER DISCHARGE. OUTPATIENT ALCOHOL AND TREATMENT PROGRAM - OFFER SUPPORT AND TREATMENT TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, IN A STRUCTURED, OUTPATIENT SETTING. INTEGRATED BEHAVIORAL HEALTH MODEL - DEVELOP A BEHAVIORAL HEALTH CARE MODEL OVER THE NEXT 18 MONTHS TO PROACTIVELY IDENTIFY PATIENT NEEDS USING A COMPREHENSIVE BEHAVIORAL HEALTH ASSESSMENT AND PROVIDE TREATMENT AS INDICATED. BEHAVIORAL HEALTH INTAKE PROGRAM - REFER PATIENTS FROM THE EMERGENCY DEPARTMENT TO THE APPROPRIATE TREATMENT SETTING AND LOCATION. GOOD SAMARITAN HOSPITAL PLANS TO ADDRESS THESE INITIATIVES BY PROVIDING REGISTERED NURSES, PHYSICIANS, COMMUNITY HEALTH EDUCATORS, PHILANTHROPIC CASH GRANTS, OUTREACH COMMUNICATION, AND PROGRAM MANAGEMENT SUPPORT. IT WILL DO SO IN PARTNERSHIP WITH BI3, ADDICTION SERVICES COUNCIL, BRIGHTVIEW, TALBERT HOUSE, NAMI OF SOUTHWEST OHIO, URBAN HEALTH PROJECT, CENTER FOR ADDICTION TREATMENT, GOOD SAMARITAN FREE HEALTH CLINIC. 2. MATERNAL/CHILD HEALTH - GIVEN THE HIGH PREVALENCE IN CERTAIN GEOGRAPHIC AREAS, THE FACT THAT CURRENT WORK IS BEING EFFECTIVE AND IS NOT COMPLETED AND THERE ARE MANY COMMUNITY PARTNERS THAT ARE ENGAGING ALONG WITH TRIHEALTH. THE GOAL IS TO REDUCE INFANT MORTALITY RATES IN OUR SERVICE AREA, AS WELL AS IMPROVE OUTCOMES FOR MATERNAL HEALTH WITH EMPHASIS ON EDUCATION, CLINICAL CARE, AND COMMUNITY OUTREACH. THE STRATEGY OR PROGRAMS NEEDED TO ACHIEVE THIS GOAL IS AS FOLLOWS:OB GYN CENTER - THE CENTER WILL PROVIDE OBSTETRICS AND GYNECOLOGICAL SERVICES TO ALL, WITH SPECIAL ATTENTION TO HEALTH DISPARITIES AND THE UNDERSERVED, IMPROVING INFANT MORTALITY OUTCOMES AND WOMEN'S HEALTH. WOMAN CENTERED MEDICAL HOME MODEL - PROGRAM WILL PROVIDE A COMPLEX NETWORK OF CARE, DELIVERED BY DEDICATED CASE MANAGERS, SOCIAL WORKERS, LACTATION CONSULTANTS, BEHAVIORAL HEALTH CONSULTANTS, COMMUNITY HEALTH WORKERS, FINANCIAL COUNSELORS, AND LEGAL AID CONSULTANTS TO PROVIDE EXCELLENT CARE WHILE ADDRESSING SOCIAL DETERMINANTS OF HEALTH. HOPE PROGRAM - PROGRAM WILL PROVIDE PATIENT-CENTERED CARE TO CHEMICALLY DEPENDENT PREGNANT WOMEN IMPROVING BIRTH OUTCOMES AND MATERNAL SUBSTANCE-FREE OUTCOMES. GOOD SAMARITAN HOSPITAL PLANS TO ADDRESS THESE INITIATIVES BY PROVIDING RNS, DEDICATED CASE MANAGER, LACTATION EDUCATOR, BEHAVIORAL HEALTH SOCIAL WORKER, DIETICIANS, GENETIC COUNSELORS AND ASSISTANCE WITH TRANSPORTATION, FOOD PANTRY, HOME FURNISHINGS AND BABY ITEMS. IT WILL DO SO IN PARTNERSHIP WITH CRADLE CINCINNATI, URBAN HEALTH PROJECT, MARCH OF DIMES, TALBERT HOUSE FATHERHOOD PROJECT, SWEET CHEEKS DIAPER BANK, START STRONG, THINK FIRST FOR YOUR BABY, HEALTHY BEGINNINGS, HEALTHY MOMS AND BABES, GS FREE CLINIC, EVERY CHILD SUCCEEDS, CRIBS FOR KIDS, CHILDBIRTH EDUCATION ASSOCIATION. 3. ACCESS TO CARE - CONTINUING THE WORK OF TRIHEALTH/GSH CLINICS AND THE FREE HEALTH CENTER IS ESSENTIAL TO SUSTAINED GAINS IN IMPROVING ACCESS FOR UN- AND UNDERINSURED PEOPLE. THERE IS AN OPPORTUNITY TO BUILD ON CURRENT SIMILAR WORK THAT FUNDS PATIENTS' ACCESS TO HEALTH CARE VIA RIDES TO APPOINTMENTS, HOME FROM THE EMERGENCY DEPARTMENT AND SO FORTH.THE GOAL IS TO IMPROVE ACCESS TO CARE FOR THE UNDERSERVED POPULATIONS WITH EMPHASIS ON EDUCATION, ASSESSMENT, CARE DELIVERY AND CONNECTION TO RESOURCES WITHIN GOOD SAMARITAN HOSPITAL, TRIHEALTH AND/OR COMMUNITY ORGANIZATIONS AND PROGRAMS. THE STRATEGY OR PROGRAMS NEEDED TO ACHIEVE THIS GOAL IS AS FOLLOWS:GOOD SAMARITAN FREE CLINIC A RELATED TAX-EXEMPT ORGANIZATION TO GOOD SAMARITAN HOSPITAL, IT IS THE ONLY FREE HEALTH CENTER IN SOUTHWEST OHIO OPEN SIX DAYS PER WEEK. IT PROVIDES ACCESS TO COMPREHENSIVE, PERSONALIZED HEALTHCARE SERVICES TO MORE THAN 1500 UNINSURED PATIENTS ANNUALLY. FACULTY MEDICAL CENTER - PROGRAM WILL PROVIDE A COMPLEX NETWORK OF CARE, DELIVERED BY PROVIDERS FROM OUR GRADUATE MEDICAL EDUCATION PROGRAM WHO ARE DEDICATED TO PROVIDING EXCELLENT CLINICAL PRIMARY CARE TO THE UNDERSERVED WHILE ADDRESSING SOCIAL DETERMINANTS OF HEALTH.TRIHEALTH OUTREACH PROGRAMS COORDINATION - IMPROVE COORDINATION OF PROGRAMS DIRECTLY TO THE UNDERSERVED COMMUNITY WITH CONNECTION TO TRIHEALTH AND COMMUNITY ORGANIZATIONS. PROGRAM COORDINATION TO INCLUDE MOBILE MAMMOGRAPHY, FREE HEALTH SCREENINGS, SENIORITY, THINK FIRST EDUCATION, PHARMACY ASSISTANCE, FOOD PROGRAMS, LEGAL AID, ADVOCACY, AND HOUSING REPAIR.GOOD SAMARITAN HOSPITAL PLANS TO ADDRESS THESE INITIATIVES BY PROVIDING MAMMOGRAPHY VAN, NURSES, SOCIAL WORKERS, PHYSICIANS, ASSISTANCE WITH FOOD, TRANSPORTATION, LEGAL AID, SPACE AND RESOURCES FOR CLINICS, COMMUNITY WORKERS, MENTAL HEALTH SPECIALISTS. IT WILL DO SO IN PARTNERSHIP WITH PEOPLE WORKING COLLABORATIVELY, LEGAL AID OF GREATER CINCINNATI, FREE STORE FOODBANK, GREATER CINCINNATI FOUNDATION, UNITED WAY, HEALTH COLLABORATIVE, SVDP CHARITABLE PHARMACY, AND VARIOUS COMMUNITY ORGANIZATION EVENTS.4. DISEASE MANAGEMENT - SEVERAL SPECIFIC CHRONIC HEALTH ISSUES HYPERTENSION, DEPRESSION, DIABETES AND CANCERS RESULTING FROM POSTPONED SCREENINGS ALL ARE AFFECTING BLACK MALES IN THE COMMUNITY DISPROPORTIONALLY, SO WERE COMBINED INTO ""DISEASE MANAGEMENT"". THE GOAL IS TO IMPROVE EDUCATION, DATA COLLECTION, ASSESSMENTS, INTERVENTIONS, CULTURALLY COMPETENT CARE AND CARE MANAGEMENT, GOOD SAMARITAN HOSPITAL WILL ADDRESS AND IMPROVE SPECIFIC CHRONIC HEALTH ISSUES THAT ARE IMPACTED BY DISPARITIES, SUCH AS HYPERTENSION, DEPRESSION, DIABETES, AND CANCERS. THE STRATEGY OR PROGRAMS NEEDED TO ACHIEVE THIS GOAL IS AS FOLLOWS:HEALTH DISPARITIES DATA COLLECTION - IMPLEMENT A NEW GRANT FUNDED PROGRAM TO COLLECT HEALTH DISPARITY DATA REGARDING CHRONIC DISEASE TO ASSESS SOCIAL DETERMINANTS OF HEALTH ASSIST WITH INTERVENTIONS AND TRACK OUTCOMES. COORDINATE EXISTING (AND NEW) CHRONIC HEALTH PROGRAMS WITH AN EMPHASIS ON HEALTH DISPARITIES - COORDINATE AND ASSIMILATE CURRENT (AND FUTURE) PROGRAMS THAT ADDRESS CHRONIC DISEASE IN AREAS OF CRITICAL NEED BASED ON ZIP CODES, ETHNICITY, GENDER, AND OTHER SOCIAL DETERMINANTS OF HEALTH. DIVERSITY, EQUITY, AND INCLUSION (DEI) CARE STRATEGY - IMPROVE THE DEI CARE STRATEGY TO FOCUS ON ACCURATE DEI DOCUMENTATION IN EPIC, CULTURALLY COMPETENT CARE MODEL EDUCATION, WORKFORCE DIVERSITY, BOLD PROGRAM, GRADUATE MEDICAL EDUCATION DIVERSITY INITIATIVES, SCHOOL TO WORK PROGRAM, AND SYSTEM DEI TRAINING. TRIHEALTH (OF WHICH GOOD SAM HOSPITAL IS A PART) PLANS TO ADDRESS THESE INITIATIVES BY CREATING A POSITION OF DIRECTOR OF HEALTH EQUITIES WITHIN THE SYSTEM, CHRONIC HEALTH OUTREACH PROGRAMS AND A COMMUNITY HEALTH NEEDS COMMITTEE AS WELL AS THE UTILIZATION OF NURSES, PHYSICIANS, COMMUNITY HEALTH EDUCATORS, PHILANTHROPIC GRANTS, OUTREACH COMMUNICATION, AND PROGRAM MANAGEMENT SUPPORT. IT WILL DO SO IN PARTNERSHIP WITH BI3, MEHARRY MEDICAL COLLEGE (HBCU), VINCENT BROWN CONSULTING, HEALTH COLLABORATIVE, INTERACT FOR HEALTH, UNITED WAY, LUMERIS, AMERICAN HEART ASSOCIATION, AMERICAN LUNG ASSOCIATION, NAMI, RIDECINCINNATI.IN ITS IMPLEMENTATION PLAN, GOOD SAMARITAN HOSPITAL PROVIDED A LIST OF COMMUNITY RESOURCES AND OTHER TRIHEALTH SYSTEM PROGRAMS AVAILABLE TO HELP ADDRESS THESE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IT SERVES. HOWEVER, DUE TO SOFTWARE CONSTRAINTS, THEY ARE NOT IDENTIFIED HERE. THIS LIST CAN BE FOUND ON PAGES 10-12 OF THE PLAN FOUND AT THE FOLLOWING URL (HTTPS://WWW.TRIHEALTH.COM/ABOUT-TRIHEALTH/COMMUNITY/HEALTH-NEEDS-ASSESSMENT).PLEASE NOTE THAT ALL OF THE ABOVE NEEDS BEING ADDRESSED ARE IN LINE WITH THE STATE HEALTH IMPROVEMENT PLAN (SHIP) 2020-2022. THE SIGNIFICANT HEALTH NEEDS FROM THE 2022 CHNA THAT GOOD SAMARITAN HOSPITAL WILL NOT ADDRESS ARE AS FOLLOWS: ARTHRITIS OR OSTEOPOROSIS, LUNG/RESPIRATORY RELATED CONDITIONS, INCLUDING ASTHMA, AND ORAL/DENTAL DISEASE.THESE NEEDS ARE NOT CURRENTLY BEING ADDRESSED BY GOOD SAMARITAN HOSPITAL AS THEY ARE DEEMED TO BE NOT PARTICULARLY ACUTE WITHIN GOOD SAMARITAN HOSPITAL'S FOUR-COUNTY COMMUNITY SERVED (HAMILTON, BUTLER, CLERMONT AND WARREN COUNTIES, OHIO) BASED ON THE CRITERIA/RESEARCH USED IN THE DECISION-MAKING PROCESS."

GOOD SAMARITAN HOSPITAL AT EVENDALE
PART V, SECTION B, LINE 11: GOOD SAMARITAN HOSPITAL AT EVENDALE IS A DEPARTMENT OF THE GOOD SAMARITAN HOSPITAL. AS SUCH, IT WORKS IN TANDUM WITH THAT HOSPITAL TO ADDRESS THE SAME NEEDS. THEREFORE, SEE GOOD SAMARITAN HOSPITAL'S RESPONSE TO SCHEDULE H, LINE 11. IN ADDITION, EFFECTIVE JULY 1. 2022, GOOD SAMARITAN HOSPITAL AT EVENDALE IS NO LONGER A LICENSED HOSPITAL BUT CERTIFIED AS AN AMBULATORY SURGERY CENTER (ASC). THEREFORE, IN FUTURE TAX YEARS, IT WILL NO LONGER BE REPORTED ON SCHEDULE H.

GOOD SAMARITAN HOSPITAL
PART V, SECTION B, LINE 13B: SEE PART VI RESPONSE TO PART I, LINE 3C.

GOOD SAMARITAN HOSPITAL AT EVENDALE
PART V, SECTION B, LINE 13B: SEE PART VI RESPONSE TO PART I, LINE 3C.

GOOD SAMARITAN HOSPITAL
PART V, SECTION B, LINE 13H: SEE PART VI RESPONSE TO PART I, LINE 3C.

GOOD SAMARITAN HOSPITAL AT EVENDALE
PART V, SECTION B, LINE 13H: SEE PART VI RESPONSE TO PART I, LINE 3C.

Supplemental Information

Schedule H (Form 990) Part VI

PART I, LINE 3C:
"THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO UTILIZES THE FEDERAL POVERTY GUIDELINES (""FPG"") IN DETERMINING CHARITY CARE ELIGIBILITY. SEE THE RESPONSES TO PART I, LINE 3A AND 3B.AN INDIVIDUAL'S INCOME UNDER FPG IS A SIGNIFICANT FACTOR IN DETERMINING ELIGIBILITY FOR CHARITY CARE. ADDITIONALLY, AN INDIVIDUAL'S INCOME IN RELATION TO HIS/HER MEDICAL EXPENSES IS ALSO TAKEN INTO ACCOUNT AND SUCH A PATIENT MAY BE EXTENDED DISCOUNTED OR FREE CARE BASED UPON THE FACTS AND CIRCUMSTANCES."

PART I, LINE 6A:
IN 1995, THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO AND BETHESDA HOSPITAL, INC. FORMED A PARTNERSHIP CALLED TRIHEALTH, INC. TO CREATE AN INTEGRATED HEALTH DELIVERY SYSTEM WHOSE MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE THEY SERVE, WITH AN EMPHASIS ON PREVENTION, WELLNESS AND EDUCATION.THE COMMUNITY BENEFIT PROVIDED BY THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO IS TRACKED ON A STANDALONE BASIS; HOWEVER, ITS COMMUNITY BENEFIT IS REPORTED IN A REPORT PREPARED BY TRIHEALTH IN COMBINATION WITH ITS RELATED HOSPITALS - BETHESDA HOSPITAL, INC. AND MCCULLOUGH-HYDE MEMORIAL HOSPITAL.

PART I, LINE 7:
FOR THE AMOUNTS REPORTED AT COST IN PART I, LINE 7, THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO UTILIZED WORKSHEET 2 - RATIO OF PATIENT CARE COST-TO-CHARGES, WHICH WAS PROVIDED IN THE INSTRUCTIONS TO SCHEDULE H, TO CALCULATE THE COST-TO-CHARGE RATIO.

PART I, LINE 7G:
THE SUBSIDIZED HEALTH SERVICES COMMUNITY BENEFIT AMOUNT REPORTED IN PART I, LINE 7(G) DOES NOT INCLUDE COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS.

PART I, LN 7 COL(F):
BAD DEBT EXPENSE IS NOT INCLUDED ON FORM 990, PART IX, LINE 25. IT IS PRESENTED ON FORM 990, PART VIII, LINE 2 AS A DEDUCTION FROM PATIENT SERVICE REVENUE WHICH CORRESPONDS TO ITS FINANCIAL STATEMENT PRESENTATION. SEE RESPONSE TO PART III, LINE 4. THEREFORE, NO ADJUSTMENT TO TOTAL EXPENSES SHOWN ON FORM 990, PART IX, LINE 25 IS NECESSARY.

PART II, COMMUNITY BUILDING ACTIVITIES:
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO PROVIDED CASH DONATIONS TO VARIOUS CHARITABLE ORGANIZATIONS WITHIN THE COMMUNITY TO ADDRESS HOMELESSNESS, TO INCREASE EDUCATIONAL OPPORTUNITIES AND TO BUILD AN ECONOMIC INFRASTRUCTURE.

PART III, LINE 2:
SEE PART VI RESPONSE TO PART III, LINE 4.

PART III, LINE 3:
SEE PART VI RESPONSE TO PART III, LINE 4.

PART III, LINE 4:
"THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO'S FINANCIAL STATEMENTS ARE AUDITED AS PART OF THE TRIHEALTH AUDIT REPORT.PLEASE NOTE THAT UNDER ACCOUNTING STANDARDS UPDATE NO. 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606), WHICH THE TRIHEALTH SYSTEM ADOPTED DURING THE TAX YEAR 2019 (FISCAL YEAR ENDED JUNE 30, 2020), BAD DEBT IS CONSIDERED AN ""IMPLICIT PRICE CONCESSION AND IS NOT DISTINGUISHED FROM A CONTRACTUAL ADJUSTMENT UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) AND THEREFORE THERE IS NO LONGER A SPECIFIC DISCLOSURE FOR BAD DEBT IN THE CURRENT YEAR AUDIT REPORT.SEE PATIENT SERVICE REVENUE (PART OF FOOTNOTE B - PAGES 19-23) FOR ADDITIONAL DETAIL REGARDING THE ABOVE-MENTIONED STANDARD AS WELL AS HOW THE TRIHEALTH SYSTEM ACCOUNTS FOR PATIENT SERVICE REVENUE.AS FOR THE AMOUNT OF BAD DEBT THAT REASONABLY COULD BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S CHARITY CARE POLICY, GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO DOES NOT REPORT ACTUAL BAD DEBT EXPENSE AS COMMUNITY BENEFIT. IF UPON FURTHER RESEARCH, IT IS ULTIMATELY DETERMINED THAT A PORTION OF BAD DEBT EXPENSE IS ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER TRIHEALTH'S CHARITY CARE POLICY, THOSE COSTS WOULD BE RECLASSIFIED, AS APPROPRIATE, TO COMMUNITY BENEFIT AT THAT TIME.PLEASE NOTE THAT BAD DEBT EXPENSE IS NOT DETERMINED UNTIL AFTER ALL DISCOUNTS AND ANY ASSOCIATED PAYMENTS ARE TAKEN INTO ACCOUNT. IF ANY PAYMENTS ARE RECEIVED AFTER A PATIENT ACCOUNT IS DETERMINED TO BE BAD DEBT, THE ACCOUNT WILL BE ADJUSTED ACCORDINGLY AT THAT TIME."

PART III, LINE 8:
"THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO USES THE ""STEPDOWN METHODOLOGY"" IN DETERMINING THE MEDICARE ALLOWABLE COSTS REPORTED ON THE MEDICARE COST REPORT. THIS METHOD OF COST FINDING PROVIDES FOR THE ALLOCATION OF THE COST OF SERVICES RENDERED BY EACH GENERAL SERVICE COST CENTER TO OTHER COST CENTERS WHICH UTILIZE SUCH SERVICES. ONCE THE COSTS OF A GENERAL SERVICE COST CENTER HAVE BEEN ALLOCATED, THAT COST CENTER IS CONSIDERED CLOSED. ONCE CLOSED, IT DOES NOT RECEIVE ANY OF THE COSTS SUBSEQUENTLY ALLOCATED FROM THE REMAINING GENERAL SERVICE COST CENTERS. THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO DID NOT REPORT ANY MEDICARE SHORTFALL AS COMMUNITY BENEFIT IN PART III, LINE 7 OF THIS SCHEDULE."

PART III, LINE 9B:
AS OF THE FILING OF THIS RETURN, THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO, AS PART OF TRIHEALTH, INC., MAINTAINS A WRITTEN DEBT COLLECTION POLICY. TRIHEALTH, INC., WHO PERFORMS THE BILLING SERVICES FOR ALL AFFILIATED HOSPITALS, WILL NOT INITIATE COLLECTION PRACTICES ON PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. BEFORE COLLECTION ACTIONS ARE TAKEN, TRIHEALTH, INC. WILL MAKE REASONABLE EFFORTS, GENERALLY AS EARLIER IN THE BILLING PROCESS AS POSSIBLE, TO DETERMINE WHETHER A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE. AFTER SUCH EFFORTS HAVE BEEN MADE AND A BALANCE REMAINS THAT IS THE RESPONSIBILITY OF THE PATIENT OR GUARANTOR, TRIHEALTH, INC. MAY PURSUE, IN ITS SOLE DISCRETION, WHATEVER ACTIONS IT MAY BE ENTITLED TO TAKE UNDER LAW.

PART VI, LINE 6:
IN 1995, THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO AND BETHESDA HOSPITAL, INC. FORMED A PARTNERSHIP CALLED TRIHEALTH IN ORDER TO CREATE AN INTEGRATED HEALTH DELIVERY SYSTEM WHOSE MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE THEY SERVE, WITH AN EMPHASIS ON PREVENTION, WELLNESS AND EDUCATION.THROUGH FIVE (5) HOSPITALS, FIVE (6) AMBULATORY LOCATIONS AND OVER 125 SITES OF CARE (EMPLOYING OVER 600 PHYSICIANS INCLUDING RESIDENTS), TRIHEALTH PROVIDES A WIDE RANGE OF CLINICAL, EDUCATIONAL, PREVENTIVE AND SOCIAL PROGRAMS. TRIHEALTH'S NON-HOSPITAL SERVICES INCLUDE PHYSICIAN PRACTICE MANAGEMENT, FITNESS CENTERS AND FITNESS CENTER MANAGEMENT, OCCUPATIONAL HEALTH CENTERS, HOME HEALTH AND HOSPICE CARE.HTTPS://WWW.TRIHEALTH.COM/ABOUT-TRIHEALTH/

PART VI, LINE 2:
"IN 1852, THE SISTERS OF CHARITY ESTABLISHED GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO (""GSH"") IN AN EFFORT TO ADDRESS THE NEEDS OF THE GROWING CITY OF CINCINNATI. IN 1995, GSH & BETHESDA HOSPITAL, INC. (""BETHESDA"") FORMED A PARTNERSHIP TO CREATE A LOCAL HEALTH SYSTEM: TRIHEALTH, INC. (""TRIHEALTH""). TRIHEALTH'S MISSION IS TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY THROUGH A FULL RANGE OF HEALTH RELATED SERVICES (E.G. PREVENTION, WELLNESS & EDUCATION)OVER THE LAST TEN YEARS, GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO HAS PARTICIPATED IN A PROCESS OF MULTIPLE COMMUNITY HEALTH NEEDS ASSESSMENT. AS A FOLLOW UP TO THE 2018 CHNA, TRIHEALTH, INC. AND ITS HOSPITALS JOINED THIRTY-ONE (31) OTHER HOSPITALS AND 22 HEALTH DEPARTMENTS IN THE GREATER CINCINNATI-DAYTON REGION TO SPONSOR AND FUND A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORT FOR 2021. THE COMPREHENSIVE CHNA SPANS TWENTY-SIX (26) COUNTIES. THE REGIONAL CHNA REPORT COVERS GREATER DAYTON AND GREATER CINCINNATI, WHICH INCLUDES NORTHERN KENTUCKY AND SOUTHEASTERN INDIANA. IN THIS REGIONAL CHNA, HEALTH ENCOMPASSES PHYSICAL, MENTAL, AND SOCIAL CONDITIONS. HEALTH CARE IS INCLUSIVE OF HOSPITALS AND EMERGENCY ROOMS, PRIMARY CARE, BEHAVIORAL HEALTH, SPECIALTY CARE (I.E., VISION, DENTAL, CHIROPRACTIC, ETC.) AND SOCIAL SERVICES THAT SUPPORT HEALTH OR LINK COMMUNITY MEMBERS TO HEALTH CARE.THE 2021 CHNA REPORT SHARES DATA FOR THE WHOLE REGION AS WELL AS DETAILED COUNTY-LEVEL DATA. ALSO, THIS REGIONAL CHNA INCLUDES A COMPREHENSIVE DATA-DRIVEN APPROACH TO DEFINE THE CURRENT STATE OF HEALTH AND HEALTH EQUITY WITH THE GOAL OF INFORMING A COLLECTIVE, PRIORITIZE AN ACTIONABLE AGENDA FOR IMPROVING HEALTH OUTCOMES ACROSS THE REGION OVER THE NEXT THREE YEARS. LIKE THE STATEWIDE HEALTH IMPROVEMENT PLAN (SHIP) FOR OHIO, THIS REGIONAL CHNA EXPLORES THE PRIORITY FACTORS THAT INFLUENCE HEALTH INCLUDING PERCEPTIONS OF HEALTHCARE QUALITY AND ACCESS, HEALTH BEHAVIORS AND COMMUNITY CONDITIONS (I.E., SOCIAL DETERMINANTS OF HEALTH). GUIDED BY THE SHIP, THE REGIONAL CHNA FOCUSES ON THE PRIORITY HEALTH OUTCOMES RELATED TO CHRONIC DISEASE, MENTAL HEALTH AND ADDICTION, AND MATERNAL AND INFANT HEALTH. THE RECOMMENDATIONS PUT FORTH IN THIS NEEDS ASSESSMENT SUPPORT THE PRIORITIES OF THE SHIP AND PROVIDE A FRAMEWORK FOR WORKING COLLABORATIVELY IN ADDRESSING DISPARITIES AND BARRIERS TO A HEALTHIER COMMUNITY. A COPY OF THE REGIONAL CHNA CAN BE FOUND AT THE FOLLOWING URL (HTTPS://HEALTHCOLLAB.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/).FROM THIS LARGER REPORT, TRIHEALTH DEVELOPED A CHNA AND ASSOCIATED IMPLEMENTATION STRATEGY FOR EACH OF ITS FACILITIES BASED ON THE COUNTY BREAKDOWN AND DISCUSSION WITH TRIHEALTH LEADERS WITH EXPERTISE IN THE AREAS WHICH NEED TO BE ADDRESSED. THE FULL TEXT OF THESE CHNAS ARE AVAILABLE ON TRIHEALTH'S WEBSITE. SEE SCHEDULE H, PART V, LINE 7A FOR THE URL."

PART VI, LINE 3:
"TRIHEALTH, INC. (""TRIHEALTH"") PERFORMS THE BILLING SERVICES FOR ALL AFFILIATED HOSPITALS INCLUDING THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO. BROCHURES/APPLICATIONS, PROVIDED IN MULTIPLE LANGUAGES, ARE VISIBLE AND AVAILABLE IN THE REGISTRATION AND ADMITTING AREAS OF ALL TRIHEALTH AFFILIATED HOSPITALS. IN ADDITION, THE APPLICATION IS PRINTED ON THE REVERSE SIDE OF A PATIENT'S BILL WITH INSTRUCTIONS ON HOW TO COMPLETE THE APPLICATION AS WELL AS HOW TO RETURN IT. FINANCIAL COUNSELORS ASSIST PATIENTS IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION. FINALLY, TRIHEALTH INC.'S WEBSITE CONTAINS INFORMATION REGARDING ITS CHARITY CARE AND FINANCIAL ASSISTANCE PROGRAMS WITH DIRECTIONS ON HOW TO CONTACT THE APPROPRIATE PERSONNEL TO INITIATE AN APPLICATION OR ASK QUESTIONS ABOUT THE PROCESS."

PART VI, LINE 4:
LOCATED IN CINCINNATI, OHIO, THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO AND THE TRIHEALTH SYSTEM SERVE PRIMARILY HAMILTON, BUTLER, WARREN AND CLERMONT COUNTIES IN OHIO AS WELL AS SOME PERSONS FROM INDIANA AND KENTUCKY. HAMILTON COUNTY IS THE MOST POPULATED COUNTY IN THE REGION AND IS HOME TO THE LARGEST CITY, CINCINNATI. THE ESTIMATED POPULATION OF THE COUNTY IS 825,000 WITH APPROXIMATELY 13% IN POVERTY AND APPROXIMATELY 8% OF THE PEOPLE UNDER THE AGE OF 65 ARE WITHOUT HEALTH INSURANCE. HAMILTON COUNTY HAS A MEDIAN INCOME OF APPROXIMATELY $59,000 WITH 92% OF THE POPULATION OVER THE AGE OF 24 HAVING A HIGH SCHOOL DIPLOMA OR HIGHER (39% BACHELOR'S DEGREE OR HIGHER) AND AN UNEMPLOYMENT RATE OF ABOUT 4%. APPROXIMATELY 16% OF THE POPULATION IS 65 YEARS AND OLDER, 64% IS WHITE, 27% IS AFRICAN-AMERICAN, 4% IS HISPANIC, 3% ASIAN AND 2% OTHER.CLERMONT COUNTY IS A LARGE COUNTY WHICH WAS ONCE MOSTLY RURAL BUT HAS BECOME MORE SUBURBAN AND IS ONE OF OHIO'S APPALACHIAN COUNTIES. THE ESTIMATED POPULATION OF THE COUNTY IS 210,000 WITH APPROXIMATELY 9% IN POVERTY AND APPROXIMATELY 7% OF THE PEOPLE UNDER THE AGE OF 65 ARE WITHOUT HEALTH INSURANCE. CLERMONT COUNTY HAS A MEDIAN INCOME OF APPROXIMATELY $70,000 WITH 90% OF THE POPULATION OVER THE AGE OF 24 HAVING A HIGH SCHOOL DIPLOMA OR HIGHER (29% BACHELOR'S DEGREE OR HIGHER) AND AN UNEMPLOYMENT RATE OF ABOUT 4%. APPROXIMATELY 18% OF THE POPULATION IS 65 YEARS AND OLDER, 93% IS WHITE, 2% IS AFRICAN-AMERICAN, 2% IS HISPANIC, 1.5% ASIAN AND 1.5% OTHER.WARREN COUNTY IS ONE OF THE FASTEST GROWING COUNTIES IN OHIO, BOTH IN RESIDENTIAL AND COMMERCIAL GROWTH. THE ESTIMATED POPULATION OF THE COUNTY IS 247,000 WITH APPROXIMATELY 5% IN POVERTY AND APPROXIMATELY 5% OF THE PEOPLE UNDER THE AGE OF 65 ARE WITHOUT HEALTH INSURANCE. WARREN COUNTY HAS A MEDIAN INCOME OF APPROXIMATELY $89,500 WITH 94% OF THE POPULATION OVER THE AGE OF 24 HAVING A HIGH SCHOOL DIPLOMA OR HIGHER (44% BACHELOR'S DEGREE OR HIGHER) AND AN UNEMPLOYMENT RATE OF ABOUT 3.5%. APPROXIMATELY 15% OF THE POPULATION IS 65 YEARS AND OLDER, 84% IS WHITE, 7% ASIAN, 4% IS AFRICAN-AMERICAN, 3% IS HISPANIC, AND 2% OTHER.BUTLER COUNTY IS ONE OF THE MOST POPULATED COUNTIES IN THE REGION AND INCLUDES THE CITIES OF HAMILTON, MIDDLETOWN AND OXFORD. THE ESTIMATED POPULATION OF THE COUNTY IS 390,000 WITH APPROXIMATELY 10% IN POVERTY AND APPROXIMATELY 8% OF THE PEOPLE UNDER THE AGE OF 65 ARE WITHOUT HEALTH INSURANCE. BUTLER COUNTY HAS A MEDIAN INCOME OF APPROXIMATELY $69,000 WITH 92% OF THE POPULATION OVER THE AGE OF 24 HAVING A HIGH SCHOOL DIPLOMA OR HIGHER (31% BACHELOR'S DEGREE OR HIGHER) AND AN UNEMPLOYMENT RATE OF ABOUT 4%. APPROXIMATELY 16% OF THE POPULATION IS 65 YEARS AND OLDER, 78% IS WHITE, 10% IS AFRICAN-AMERICAN, 5% IS HISPANIC, 4% ASIAN AND 3% OTHER.

PART VI, LINE 5:
"THE ONGOING PURPOSE OF THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO (""GSH"") IS TO PROVIDE CARE WITH COMPASSION. ITS MISSION IS TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY THROUGH HEALTH RELATED SERVICES--PREVENTION, WELLNESS AND EDUCATION. ITS BOARD OF DIRECTORS IS COMPRISED OF INDEPENDENT COMMUNITY REPRESENTATIVES. GSH IS AN ACUTE TERTIARY TEACHING HOSPITAL. AS PART OF TRIHEALTH, A SYSTEM OF SERVICES SPANNING ACUTE-CARE TO HOME-CARE AND BABIES TO SENIORS, IT PROVIDES A 24-HOUR EMERGENCY ROOM, FOUR INTENSIVE CARE UNITS FOR NEONATES AND ADULTS, ADULT AND GERIATRIC INPATIENT PSYCHIATRIC CARE, AND AN ACCREDITED REHABILITATION MEDICINE PROGRAM. SERVICES ARE OPEN TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. GSH HAS AN OPEN MEDICAL STAFF AND A HISTORY OF TRAINING AND EDUCATING MEDICAL RESIDENTS AND HEALTH CARE PROFESSIONALS. ITS MEDICAL AND SCIENTIFIC RESEARCH PROGRAMS INCLUDE STUDIES THAT ARE NOT COMMERCIALLY SPONSORED. GSH PARTICIPATES IN MEDICARE AND MEDICAID AND OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS, AND HAS AN ACTIVE CHARITY CARE PROGRAM.GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO SERVES ALMOST 580,000 PEOPLE ANNUALLY. THIS INCLUDES ALMOST 20,000 ADMISSIONS, APPROXIMATELY 74,000 EMERGENCY ROOM VISITS, MORE THAN 480,000 OUTPATIENT VISITS, AND ALMOST 5,000 NEW BABIES EACH YEAR.SEE RESPONSE TO PART VI, LINE 2 FOR ADDITIONAL INFORMATION."