4A (Expenses $ 3567232126 including grants of $ 6809279) (Revenue $ 4031425860)
SEE SCHEDULE O

REPORTING FACILITY: A, (3-4, 6-7, 10)
"SCHEDULE H, PART V, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, LINE 5 CHNA INPUT FROM KEY ADVISORS REPRESENTING BROAD COMMUNITY INTERESTS: CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A, 3-4, 6-7, & 10): IN CONDUCTING ITS MOST RECENT CHNA, CALIFORNIA PACIFIC MEDICAL CENTER, A FACILITY OF SUTTER BAY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. THE GOALS OF THE COMMUNITY ENGAGEMENT COMPONENT OF THE CHNA WERE TO: - IDENTIFY SAN FRANCISCANS HEALTH PRIORITIES, ESPECIALLY THOSE OF VULNERABLE POPULATIONS; - OBTAIN DATA ON POPULATIONS FOR WHICH WE HAVE LITTLE QUANTITATIVE DATA; - BUILD RELATIONSHIPS BETWEEN THE COMMUNITY AND SAN FRANCISCO HEALTH IMPROVEMENT PARTNERSHIP (SFHIP); - MEET THE REGULATORY REQUIREMENTS INCLUDING THE IRS RULES FOR CHARITABLE 501(C)(3) HOSPITALS, PUBLIC HEALTH ACCREDITATION BOARD REQUIREMENTS FOR THE SAN FRANCISCO HEALTH DEPARTMENT, AND SAN FRANCISCOS PLANNING CODE REQUIREMENTS FOR A HEALTH CARE SERVICES MASTER PLAN. WE WORKED WITH COMMUNITY PARTNERS TO CO-HOST COMMUNITY MEETINGS WITH TARGET POPULATIONS. TARGET POPULATIONS WERE SELECTED BASED ON FOUR FACTORS: 1) THE POPULATION HAS KNOWN HEALTH DISPARITIES; 2) LITTLE INFORMATION DESCRIBING THE HEALTH OF THE POPULATION WAS AVAILABLE; 3) THE POPULATION WAS NOT INCLUDED IN A RECENT HEALTH ASSESSMENT; AND 4) THE POPULATION WAS REACHABLE THROUGH AN EXISTING COMMUNITY GROUP. WHERE POSSIBLE, WE JOINED EXISTING MEETINGS IN AN EFFORT TO INCREASE EFFICIENCY AND FACILITATE PARTICIPATION BY RESIDENTS. SUCCESSFUL COMMUNITY ENGAGEMENT WOULD NOT HAVE BEEN POSSIBLE WITHOUT THE CONTRIBUTIONS OF THESE COMMUNITY PARTNERS: - ASIAN AMERICANS ADVANCING JUSTICE ASIAN LAW CAUCUS - AFRICAN AMERICAN ART AND CULTURE COMPLEX - ASOCIACIN MAYAB - CARECEN - FILIPINO AMERICAN DEVELOPMENT FOUNDATION - INSTITUTO FAMILIAR DE LA RAZA - LARKIN STREET YOUTH SERVICES - SF LGBT COMMUNITY CENTER - NATIVE AMERICAN HEALTH CENTER - ON LOK 30TH STREET SENIOR CENTER - SWORDS TO PLOWSHARES - TRANSITIONS CLINIC WE FACILITATED ALL MEETINGS USING TWO TECHNOLOGY OF PARTICIPATION TECHNIQUES - THE FOCUSED CONVERSATION METHOD AND THE CONSENSUS WORKSHOP METHOD. THE MAIN QUESTION WE ASKED OF PARTICIPANTS WAS, WHAT ACTIONS CAN WE TAKE - INCLUDING RESIDENTS, COMMUNITY GROUPS, AND SFHIP - TO IMPROVE HEALTH? PARTICIPANTS WERE ALSO ASKED ABOUT THE ASSETS AND BARRIERS WHICH EXIST IN THEIR COMMUNITIES REGARDING HEALTH. IN TOTAL, 127 PARTICIPANTS ATTENDED 11 MEETINGS BETWEEN JULY 1 AND OCTOBER 2, 2015. PARTICIPANTS CAME FROM A VARIETY OF BACKGROUNDS. THE ETHNIC GROUPS WITH THE LARGEST REPRESENTATION IN THE MEETINGS WERE LATINO (23 PERCENT), BLACK/AFRICAN AMERICAN (15 PERCENT), WHITE (17 PERCENT), AND ASIAN (12 PERCENT). OTHER SELF-REPORTED ETHNICITIES INCLUDED ARAB, FILIPINO, JEWISH, MIDDLE EASTERN, AND NATIVE AMERICAN. THE MAJORITY OF PARTICIPANTS WERE FEMALE (59 PERCENT). AT THE MEETING WE IDENTIFIED THESE COMMUNITY HEALTH PRIORITIES: ACCESS TO HEALTHY FOODS AND PHYSICAL ACTIVITY OPPORTUNITIES, SAFE AND AFFORDABLE HOUSING, HEALTH EDUCATION AND EMPOWERMENT, ECONOMIC OPPORTUNITIES, CLEAN AND SAFE PARKS, RESTROOMS, AND OTHER SHARED ENVIRONMENTS, AND ACCESS TO HEALTH CARE SERVICES THAT ARE CULTURALLY AND LINGUISTICALLY APPROPRIATE. FURTHER DETAILS ON THE METHODS AND FINDINGS ARE AVAILABLE IN APPENDIX BS ""2016 CHNA COMMUNITY ENGAGEMENT"" SECTION. HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SCHEDULE H, PART V, LINES 6A & 6B CHNA HOSPITAL COLLABORATORS: CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A, 3-4, 6-7, & 10): AS A MEMBER OF SFHIP, CPMC PARTICIPATES IN A COLLECTIVE NEEDS ASSESSMENT PROCESS TO ENSURE THAT OUR COMMUNITY BENEFIT INVESTMENTS ARE RESPONSIVE TO REAL COMMUNITY HEALTH NEEDS. SFHIPS SAN FRANCISCO COMMUNITY HEALTH NEEDS ASSESSMENT 2016 SERVES AS THE FOUNDATION FOR CPMCS COMMUNITY HEALTH NEEDS ASSESSMENT 20162018. THE PROCESSES AND FINDINGS DESCRIBED WITHIN THIS DOCUMENT REFER TO THOSE OF SFHIPS 2016 NEEDS ASSESSMENT. THE ORIGINAL 2016 CHNA DOCUMENT COLLECTIVELY DEVELOPED BY SFHIP AND PREPARED BY SFDPH CAN BE FOUND AT WWW.SFHIP.ORG. SFHIP IS A COLLABORATIVE BODY WHOSE MISSION IS TO EMBRACE COLLECTIVE IMPACT AND TO IMPROVE COMMUNITY HEALTH AND WELLNESS IN SAN FRANCISCO. MEMBERSHIP IN SFHIP INCLUDES: - SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH - AFRICAN AMERICAN COMMUNITY HEALTH EQUITY COUNCIL - ASIAN AND PACIFIC ISLANDER HEALTH PARITY COALITION - CHICANO/LATINO/INDIGENA HEALTH EQUITY COALITION - HUMAN SERVICES NETWORK - DIGNITY HEALTH SAINT FRANCIS MEMORIAL HOSPITAL - DIGNITY HEALTH ST. MARYS MEDICAL CENTER - SUTTER HEALTH CALIFORNIA PACIFIC MEDICAL CENTER - KAISER PERMANENTE - CHINESE HOSPITAL - SAN FRANCISCO COMMUNITY CLINIC CONSORTIUM - METTA FUND - SAN FRANCISCO FOUNDATION FAITHS PROGRAM - SAN FRANCISCO UNIFIED SCHOOL DISTRICT - SAN FRANCISCO MAYORS OFFICE - UCSF CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTES COMMUNITY ENGAGEMENT AND HEALTH POLICY PROGRAM A COMPLETE LISTING OF HOSPITALS AND PARTNERS WHO COLLABORATED ON THE CHNA IS AVAILABLE FOR DOWNLOAD AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SCHEDULE H, PART V, LINES 7A, 7B, & 10A CHNA AVAILABILITY ONLINE: CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A, 3-4, 6-7, & 10): - HOSPITAL FACILITY'S WEBSITE: HTTP://WWW.CPMC.ORG/ABOUT/COMMUNITY/COMMUNITY-NEEDS-ASSESSMENT.HTML - OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SCHEDULE H, PART V, LINE 11 CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A, 3-4, 6-7, & 10): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT CPMC INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO CARE 2. HEALTHY EATING AND PHYSICAL ACTIVITY 3. BEHAVIORAL HEALTH DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY, CPMC IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT: - ECONOMIC BARRIERS TO HEALTH - RACIAL HEALTH INEQUITIES - SAFETY AND VIOLENCE - HOUSING STABILITY AND HOMELESSNESS - SUBSTANCE ABUSE AS A MEMBER OF THE SAN FRANCISCO HEALTH IMPROVEMENT PARTNERSHIP (SFHIP), CPMC WILL CONTINUE TO WORK IN COLLABORATION WITH OTHER LOCAL HOSPITALS AND HEALTH PLANS TO IDENTIFY GAPS IN SERVICE AND TO DETERMINE WHERE EFFORTS SHOULD BE COLLECTIVELY REDIRECTED IN ORDER TO MOST EFFECTIVELY IMPROVE THE HEALTH OF SAN FRANCISCO RESIDENTS. FOR MORE INFORMATION ABOUT SFHIP, PLEASE VISIT WWW.SFHIP.ORG. SCHEDULE H, PART V, LINE 15E CALIFORNIA PACIFIC MEDICAL (REPORTING GROUP A, 3-4, 6-7, & 10): METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: PATIENTS MAY REQUEST ASSISTANCE WITH COMPLETING THE APPLICATION FOR FINANCIAL ASSISTANCE IN PERSON AT THE HOSPITAL, OVER THE PHONE, THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE. SCHEDULE H, PART V, LINES 16A, 16B, & 16C CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A, 3-4, 6-7, & 10): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER HEALTH WEBSITE AT: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/FINANCIAL-ASSISTANCE.HTML SCHEDULE H, PART V, LINE 16J CALIFORNIA PACIFIC MEDICAL (REPORTING GROUP A, 3-4, 6-7, & 10): MEASURES USED TO PUBLICIZE THE FACILITYS FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITALS SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE ORGANIZATION IN THE PRINCIPAL NEWSPAPER IN THE COMMUNITY OR WHEN DOING SO IS NOT PRACTICAL SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THE INFORMATION OR USE OTHER MEANS THAT WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY. SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HE"

REPORTING FACILITY: B, (5, 14, 17, 19)
SCHEDULE H, PART V, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE, PART V, LINE 5 CHNA INPUT FROM KEY ADVISORS REPRESENTING BROAD COMMUNITY INTERESTS: REPORTING GROUP B, 5, 14, 17, & 19: MILLS PENINSULA MEDICAL CENTER & MENLO PARK SURGICAL HOSPITAL: IN CONDUCTING ITS MOST RECENT CHNA, MILLS PENINSULA MEDICAL CENTER AND MENLO PARK SURGICAL HOSPITAL DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. THE HEALTHY COMMUNITY COLLABORATIVE CONTRACTED WITH APPLIED SURVEY RESEARCH (ASR) TO CONDUCT THE PRIMARY RESEARCH. THEY USED THREE STRATEGIES FOR COLLECTING COMMUNITY INPUT: KEY INFORMANT INTERVIEWS WITH HEALTH EXPERTS AND COMMUNITY SERVICE EXPERTS, FOCUS GROUPS WITH PROFESSIONALS, AND RESIDENT FOCUS GROUPS. ACROSS THE FOCUS GROUPS WITH PROFESSIONALS AND KEY INFORMANT INTERVIEWS, ASR CONSULTED WITH 38 COMMUNITY REPRESENTATIVES OF VARIOUS ORGANIZATIONS AND SECTORS. THESE REPRESENTATIVES EITHER WORK IN THE HEALTHCARE FIELD OR IN A COMMUNITY-BASED ORGANIZATION THAT FOCUSES ON IMPROVING HEALTH AND QUALITY OF LIFE CONDITIONS BY SERVING THOSE FROM IRS-IDENTIFIED HIGH-NEED POPULATIONS. IN THE LIST BELOW, THE NUMBER IN PARENTHESES INDICATES THE NUMBER OF PARTICIPANTS FROM EACH SECTOR. - SAN MATEO COUNTY HEALTH DEPARTMENT (1) - SAN MATEO COUNTY HEALTH & HOSPITAL SYSTEM (5) - SAN MATEO COUNTY SUPERVISORS OR COMMISSIONERS (3) - OTHER SAN MATEO COUNTY EMPLOYEES (3) - NONPROFIT AGENCIES (22) - FAITH-BASED LEADERS (2) - BUSINESS SECTOR (2) ASR CONDUCTED KEY INFORMANT INTERVIEWS WITH 29 SAN MATEO COUNTY EXPERTS FROM VARIOUS ORGANIZATIONS WHO HAD COUNTYWIDE EXPERTISE. THESE EXPERTS INCLUDED THE PUBLIC HEALTH OFFICER, COMMUNITY CLINIC MANAGERS, AND CLINICIANS. ASR INTERVIEWED INFORMANTS IN PERSON OR BY TELEPHONE, AND ASKED THEM TO IDENTIFY THE TOP NEEDS OF THEIR CONSTITUENCIES, HOW ACCESS TO HEALTHCARE HAS CHANGED IN THE POST-AFFORDABLE CARE ACT ENVIRONMENT, THE IMPACT OF THE PHYSICAL ENVIRONMENT ON HEALTH, AND THE EFFECT OF THE USE OF NEW TECHNOLOGIES FOR HEALTH-RELATED ACTIVITIES. THE FINDINGS IN MILLS PENINSULA MEDICAL CENTERS CHNA ARE AVAILABLE AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SUTTER MATERNITY & SURGERY CENTER, SANTA CRUZ: SUTTER MATERNITY & SURGERY CENTER SANTA CRUZ (SMSC), A FACILITY OF MPMC, CONTRACTED WITH APPLIED SURVEY RESEARCH (ASR) TO FACILITATE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS IN 2016. ASR USED THREE STRATEGIES FOR COLLECTING COMMUNITY INPUT: KEY INFORMANT INTERVIEWS WITH HEALTH EXPERTS, A FOCUS GROUP WITH HEALTH CARE PROFESSIONALS, AND TELEPHONE SURVEYS WITH 700 RANDOMLY SELECTED RESIDENTS AS PART OF THE YEARLY COMMUNITY ASSESSMENT PROJECT. APPLIED SURVEY RESEARCH CONDUCTED PRIMARY RESEARCH VIA KEY INFORMANT INTERVIEWS WITH THREE SANTA CRUZ COUNTY HEALTH EXPERTS. THESE INCLUDED, THE HEALTH SERVICES AGENCY DIRECTOR, AND TWO COMMUNITY CLINIC DIRECTORS. THESE EXPERTS WERE SELECTED IN-PART FOR THEIR COUNTYWIDE EXPERIENCE AND EXPERTISE AND WERE INTERVIEWED BY PHONE FOR APPROXIMATELY ONE HOUR. EACH PARTICIPANT WAS ASKED TO IDENTIFY THE TOP HEALTH NEEDS OF THEIR CONSTITUENCIES, HOW ACCESS TO HEALTHCARE HAS CHANGED POST-AFFORDABLE CARE ACT, THE IMPACT OF THE PHYSICAL ENVIRONMENT ON HEALTH, AND THE EFFECT OF THE USE OF NEW TECHNOLOGIES ON HEALTH-RELATED INTERVENTIONS. IN ADDITION, ONE FOCUS GROUP WITH STAKEHOLDERS WAS CONDUCTED IN JUNE 2016. THE QUESTIONS WERE THE SAME AS THOSE FOR KEY INFORMANTS. EACH INTERVIEW AND THE FOCUS GROUP WAS THEN SUMMARIZED AS A STAND-ALONE PIECE OF DATA. WHEN ALL DATA COLLECTION HAD BEEN CONDUCTED, ASR ANALYZED THE DATA AND TABULATED ALL HEALTH NEEDS THAT WERE MENTIONED, ALONG WITH HEALTH DRIVERS DISCUSSED. ASR THEN MADE A LIST OF ALL THE CONDITIONS THAT HAD BEEN MENTIONED, COUNTED HOW MANY GROUPS OR INFORMANTS LISTED THE CONDITION AND HOW MANY TIMES THEY HAD BEEN PRIORITIZED BY A FOCUS GROUP. THE FINDINGS IN SUTTER MATERNITY & SURGERY CENTERS CHNA ARE AVAILABLE AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SCHEDULE H, PART V, LINE 6 REPORTING GROUP B, 5, 14, 17, & 19: MILLS PENINSULA MEDICAL CENTER & MENLO PARK SURGICAL HOSPITAL: THE HEALTHY COMMUNITY COLLABORATIVE OF SAN MATEO COUNTY CONSISTS OF REPRESENTATIVES FROM NONPROFIT HOSPITALS, COUNTY HEALTH DEPARTMENT AND HUMAN SERVICES, PUBLIC AGENCIES, AND COMMUNITY BASED ORGANIZATIONS, AND WAS CREATED TO IDENTIFY AND ADDRESS THE SHARED HEALTH NEEDS OF THE COMMUNITY. SINCE ITS FORMATION IN 1995, THE HCC HAS CONDUCTED PRIOR COMMUNITY HEALTH ASSESSMENTS FOR SAN MATEO COUNTY (1995, 1998, 2001, 2004, 2008, 2011, AND 2013), AND THIS REPORT MARKS THE EIGHTH SUCH ASSESSMENT. THE ORGANIZATIONS THAT COLLABORATED ON THE 2016 CHNA ARE MILLS-PENINSULA MEDICAL CENTER, DIGNITY HEALTH SEQUOIA HOSPITAL, SAN MATEO COUNTY HEALTH DEPARTMENT, HOSPITAL CONSORTIUM OF SAN MATEO COUNTY, KAISER PERMANENTE SAN MATEO AREA, PENINSULAR HEALTH CARE DISTRICT, SAN MATEO COUNTY HUMAN SERVICES AGENCY, SETON MEDICAL CENTER AND SETON COASTSIDE, LUCILE PACKARD CHILDRENS HOSPITAL STANFORD, AND STANFORD HEALTH CARE. SUTTER MATERNITY & SURGERY SANTA CRUZ: SUTTER MATERNITY & SURGERY CENTER COLLABORATED WITH LOCAL HEALTH OFFICIALS, COUNTY HEALTH DEPARTMENT REPRESENTATIVES, AND COMMUNITY BENEFIT ORGANIZATIONS TO CONDUCT THIS COMMUNITY HEALTH NEEDS ASSESSMENT. SCHEDULE H, PART V, LINES 7A, 7B, & 10A REPORTING GROUP B, 5, 14, 17, & 19: REPORTING FACILITY WEBSITES: MILLS PENINSULA MEDICAL CENTER HTTP://WWW.MILLS-PENINSULA.ORG/COMMUNITY/NEEDS-ASSESSMENT.HTML MENLO PARK SURGICAL HOSPITAL HTTP://WWW.PAMF.ORG/MPSH/COMMUNITY SUTTER MATERNITY & SURGERY SANTA CRUZ HTTP://WWW.SUTTERSANTACRUZ.ORG/COMMUNITY/ASSESSMENT.HTML OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SCHEDULE H, PART V, LINE 11 REPORTING GROUP B, 5, 14, 17, & 19: MILLS PENINSULA MEDICAL CENTER THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THE MILLS PENINSULA MEDICAL CENTER INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: - HEALTH CARE AND DELIVERY - DENTAL/ORAL HEALTH - BEHAVIORAL HEALTH - WELL BEING DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. MPMC IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE IMPLEMENTATION STRATEGY DOES NOT INCLUDE SPECIFIC PLANS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT: 1. ALZHEIMERS DISEASE AND DEMENTIA - INDIRECTLY THROUGH OTHER ORGANIZATIONS 2. ARTHRITIS - OTHER ORGANIZATIONS ARE BETTER EQUIPPED TO ADDRESS THIS NEED 3. BIRTH OUTCOME - OTHER ORGANIZATIONS ARE BETTER EQUIPPED TO ADDRESS THIS NEED 4. CANCER - INDIRECTLY THROUGH OTHER ORGANIZATIONS 5. CHILDHOOD OBESITY - INDIRECTLY THROUGH OTHER ORGANIZATIONS 6. CLIMATE CHANGE - OTHER ORGANIZATIONS ARE BETTER EQUIPPED TO ADDRESS THIS NEED 7. COMMUNICABLE DISEASES - INDIRECTLY THROUGH OTHER ORGANIZATIONS 8. DIABETES - INDIRECTLY THROUGH OTHER ORGANIZATIONS 9. FITNESS, DIET & NUTRITION - INDIRECTLY THROUGH OTHER ORGANIZATIONS 10. HEART DISEASE AND STROKE - INDIRECTLY THROUGH OTHER ORGANIZATIONS 11. HOUSING AND HOMELESSNESS - INDIRECTLY THROUGH OTHER ORGANIZATIONS 12. INCOME AND EMPLOYMENT - INDIRECTLY THROUGH OTHER ORGANIZATIONS 13. RESPIRATORY CONDITIONS - OTHER ORGANIZATIONS ARE BETTER EQUIPPED TO ADDRESS THIS NEED 14. SEXUALLY TRANSMITTED DISEASES INDIRECTLY THROUGH OTHER ORGANIZATIONS 15. TRANSPORTATION AND TRAFFIC - INDIRECTLY THROUGH OTHER ORGANIZATIONS 16. UNINTENDED INJURIES - OTHER ORGANIZATIONS ARE BETTER EQUIPPED TO ADDRESS THIS NEED 17. VIOLENCE AND ABUSE - INDIRECTLY THROUGH OTHER ORGANIZATIONS MENLO PARK SURGICAL HOSPITAL THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT MENLO PARK SURGICAL HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: - HEALTH CARE AND DELIVERY - ORAL/DENTAL HEALTH DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI, ALONG WITH OTHER CRITICAL EFFORTS ON BEHALF OF MENLO PARK SURGICAL HOSPITAL. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. MPSH IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE IMPLEMENTATION STRATEGY DOES NOT INCLUDE SPECIFIC PLANS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS

REPORTING FACILITY: C, (1, 2, 8, 12, 13, & 18)
SCHEDULE H, PART V, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, LINE 5 REPORTING FACILITY: C, (1, 2, 8, 12, 13, & 18) ALTA BATES SUMMIT MEDICAL CENTER: IN CONDUCTING ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), ALTA BATES SUMMIT MEDICAL CENTER (ABSMC), A FACILITY OF SUTTER BAY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. INPUT FROM THE COMMUNITY WAS COLLECTED THROUGH TWO MAIN MECHANISMS: KEY INFORMANT INTERVIEWS WITH COMMUNITY HEALTH EXPERTS AND SERVICE PROVIDERS AND FOCUS GROUP DISCUSSIONS WITH COMMUNITY MEMBERS. INSTRUMENTS USED IN PRIMARY DATA COLLECTION INCLUDED A PARTICIPANT INFORMED CONSENT, AN INTERVIEW QUESTION GUIDE, A PROJECT SUMMARY SHEET, AND A REFLECTION SHEET. ALL PARTICIPANTS WERE GIVEN AN INFORMED CONSENT FORM PRIOR TO THEIR PARTICIPATION, WHICH PROVIDED INFORMATION ABOUT THE PROJECT, ASKED FOR PERMISSION TO RECORD THE INTERVIEW, AND LISTED THE POTENTIAL BENEFITS AND RISKS FOR INVOLVEMENT IN THE INTERVIEW. THE INTERVIEW QUESTION GUIDE WAS USED FOR BOTH THE KEY INFORMANT AND FOCUS GROUP INTERVIEWS. THE PROJECT SUMMARY SHEET WAS GIVEN TO PARTICIPANTS TO PROVIDE THEM WITH INFORMATION ABOUT THE PROJECT AS WELL AS CONTACT INFORMATION FOR THE CHNA STAFF. AFTER THE INTERVIEW OR FOCUS GROUP WAS CONDUCTED THE FACILITATOR CAPTURED THE MAIN FINDINGS IN A REFLECTION SHEET. KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH AREA SERVICE PROVIDERS AND EXPERTS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY WHO WERE FAMILIAR WITH THE POPULATIONS IN THE HOSPITAL SERVICE AREA (HSA). PRIMARY DATA COLLECTION BEGAN BY INTERVIEWING AREA-WIDE SERVICE PROVIDERS WITH KNOWLEDGE OF THE ABSMC HSA, INCLUDING INPUT FROM THE ALAMEDA COUNTY PUBLIC HEALTH DEPARTMENT AND THE BERKELEY CITY PUBLIC HEALTH DEPARTMENT. FINDINGS FROM THE AREA-WIDE INFORMANTS WERE COMBINED WITH QUANTITATIVE DATA SHOWING LOCATIONS OF POPULATIONS EXPERIENCING DISPARITIES, TO IDENTIFY AND INTERVIEW KEY INFORMANTS WITH KNOWLEDGE ABOUT THESE SPECIFIC POPULATIONS AND LOCATIONS. THESE TARGETED PRIMARY DATA SOURCES WERE SELECTED BASED ON THEIR KNOWLEDGE OF THE NEEDS OF PARTICULAR GEOGRAPHIC LOCATIONS AND/OR SUBGROUPS EXPERIENCING DISPARITIES. A TOTAL OF 15 KEY INFORMANT INTERVIEWS WERE DONE WITH 24 SERVICE PROVIDERS. THE KEY INFORMANT INTERVIEWS WERE USED TO IDENTITY ADDITIONAL KEY SERVICE PROVIDERS TO INCLUDE IN THE ASSESSMENT, AS WELL AS IDENTIFY SPECIFIC POPULATIONS THAT SHOULD BE INCLUDED IN THE FOCUS GROUP INTERVIEWS. FOCUS GROUP INTERVIEWS WERE CONDUCTED WITH COMMUNITY MEMBERS LIVING IN GEOGRAPHIC AREAS OF THE HSA IDENTIFIED AS LOCATIONS WHERE RESIDENTS EXPERIENCE A DISPARATE AMOUNT OF POOR SOCIOECONOMIC CONDITIONS AND POOR HEALTH OUTCOMES. RECRUITMENT CONSISTED OF REFERRALS FROM DESIGNATED SERVICE PROVIDERS REPRESENTING VULNERABLE POPULATIONS IN THE ABSMC HSA, AS WELL AS DIRECT OUTREACH FROM CHI TO ACQUIRE INPUT FOR A SPECIAL POPULATION GROUP. A TOTAL OF SIX FOCUS GROUP DISCUSSIONS WERE CONDUCTED WITH A TOTAL OF 71 COMMUNITY MEMBERS. THE FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN ABSMC'S CHNA ARE AVAILABLE AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T REPORTING GROUP C, 8: SUTTER DELTA MEDICAL CENTER: IN CONDUCTING ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), SUTTER DELTA MEDICAL CENTER (SDMC), A FACILITY OF SUTTER EAST BAY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA (KEY INFORMANTS). INPUT FROM THE COMMUNITY WAS COLLECTED THROUGH TWO MAIN MECHANISMS: KEY INFORMANT INTERVIEWS WITH COMMUNITY HEALTH EXPERTS AND SERVICE PROVIDERS, AND FOCUS GROUP DISCUSSIONS WITH COMMUNITY MEMBERS. INSTRUMENTS USED IN PRIMARY DATA COLLECTION INCLUDED A PARTICIPANT INFORMED CONSENT, AN INTERVIEW QUESTION GUIDE, A PROJECT SUMMARY SHEET, AND A REFLECTION SHEET. ALL PARTICIPANTS WERE GIVEN AN INFORMED CONSENT FORM PRIOR TO THEIR PARTICIPATION WHICH PROVIDED INFORMATION ABOUT THE PROJECT, ASKED FOR PERMISSION TO RECORD THE INTERVIEW, AND LISTED THE POTENTIAL BENEFITS AND RISKS FOR INVOLVEMENT IN THE INTERVIEW. THE INTERVIEW QUESTION GUIDE WAS USED FOR BOTH THE KEY INFORMANT AND FOCUS GROUP INTERVIEWS. THE PROJECT SUMMARY SHEET WAS GIVEN TO PARTICIPANTS TO PROVIDE THEM WITH INFORMATION ABOUT THE PROJECT AND CONTACT INFORMATION FOR CHNA STAFF. AFTER THE INTERVIEW OR FOCUS GROUP WAS CONDUCTED, THE FACILITATOR CAPTURED THE MAIN FINDINGS BY COMPLETING A REFLECTION SHEET. KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH AREA SERVICE PROVIDERS AND EXPERTS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY WHO WERE FAMILIAR WITH THE POPULATIONS IN THE HSA. PRIMARY DATA COLLECTION BEGAN BY INTERVIEWING AREA-WIDE SERVICE PROVIDERS WITH KNOWLEDGE OF THE SDMC HSA, INCLUDING INPUT FROM THE CONTRA COSTA COUNTY PUBLIC HEALTH DEPARTMENT. FINDINGS FROM THE AREA-WIDE INFORMANTS WERE COMBINED WITH QUANTITATIVE DATA SHOWING LOCATIONS OF POPULATIONS EXPERIENCING DISPARITIES, TO IDENTIFY AND INTERVIEW KEY INFORMANTS WITH KNOWLEDGE ABOUT THESE SPECIFIC POPULATIONS AND LOCATIONS. THESE TARGETED PRIMARY DATA SOURCES WERE SELECTED BASED ON THEIR KNOWLEDGE OF THE NEEDS OF PARTICULAR GEOGRAPHIC LOCATIONS AND/OR SUBGROUPS EXPERIENCING DISPARITIES. A TOTAL OF EIGHT KEY INFORMANT INTERVIEWS WERE COMPLETED WITH 16 SERVICE PROVIDERS. THE KEY INFORMANT INTERVIEWS WERE USED TO IDENTIFY ADDITIONAL KEY SERVICE PROVIDERS TO INCLUDE IN THE ASSESSMENT, AS WELL AS TO IDENTIFY SPECIFIC POPULATIONS THAT SHOULD BE INCLUDED IN THE FOCUS GROUP INTERVIEWS. FOCUS GROUP INTERVIEWS WERE CONDUCTED WITH COMMUNITY MEMBERS LIVING IN GEOGRAPHIC AREAS OF THE HSA IDENTIFIED AS LOCATIONS IN WHICH RESIDENTS EXPERIENCED A DISPARATE AMOUNT OF POOR SOCIO-ECONOMIC CONDITIONS AND POOR HEALTH OUTCOMES. RECRUITMENT CONSISTED OF REFERRALS FROM DESIGNATED SERVICE PROVIDERS REPRESENTING VULNERABLE POPULATIONS IN THE SDMC HSA, AS WELL AS DIRECT OUTREACH FROM CHVI TO ACQUIRE INPUT FOR A SPECIAL POPULATION GROUP. THREE FOCUS GROUP DISCUSSIONS WERE CONDUCTED WITH A TOTAL OF 38 COMMUNITY MEMBERS. THE FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN SUTTER DELTA MEDICAL CENTER'S CHNA ARE AVAILABLE AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T REPORTING GROUP C, 1, 2, 8, 12, 13, & 18: SCHEDULE H, PART V, LINE 6A SUTTER HEALTH EAST BAY REGION-AFFILIATED HOSPITALS, INCLUDING SUTTER ALTA BATES MEDICAL CENTER (THREE CAMPUSES) IN BERKELEY AND OAKLAND, EDEN MEDICAL CENTER, CASTRO VALLEY, AND SUTTER DELTA MEDICAL CENTER, ANTIOCH, HAVE CONTRACTED WITH COMMUNITY HEALTH INSIGHTS TO CONDUCT THE CHNAS. REPORTING GROUP C, 1, 2, 8, 12, 13, & 18: SCHEDULE H, PART V, LINES 7A, 7B, & 10A ALTA BATES SUMMIT MEDICAL CENTER FILING ORGANIZATION WEBSITE: HTTP://WWW.ALTABATESSUMMIT.ORG/ABOUT/COMMUNITYBENEFIT/COMMUNITY-ASSESSMENT .HTML OTHER ORGANIZATION WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T REPORTING GROUP C, 8: SUTTER DELTA MEDICAL CENTER FILING ORGANIZATION WEBSITE: HTTP://WWW.SUTTERDELTA.ORG/ABOUT/COMMUNITY-NEED.HTML OTHER ORGANIZATION WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T REPORTING GROUP C, 1, 2, 8, 12, 13, & 18: SCHEDULE H, PART V, LINE 11 ALTA BATES SUMMIT MEDICAL CENTER THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT ALTA BATES SUMMIT MEDICAL CENTER INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: - ACCESS TO MENTAL, BEHAVIORAL, AND SUBSTANCE ABUSE SERVICES - HEALTH EDUCATION AND HEALTH LITERACY - ACCESS TO BASIC NEEDS, SUCH AS HOUSING AND EMPLOYMENT - ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES/HERRICK CAMPUS IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT: - SAFE AND VIOLENCE-FREE ENVIRONMENT - ACCESS TO AFFORDABLE, HEALTHY FOOD ALTA BATES SUMMIT MEDICAL CENTER DOES NOT HAVE THE RESOURCES AND/OR EXPERTISE TO RESPOND TO THESE COMMUNITY NEEDS AT THIS TIME. THE MEDICAL CENTER IS A COLLABORATIVE PARTNER TO NUMEROUS COMMUNITY ORGANIZATIONS AND ON OCCASION WILL SPONSOR PROGRAMS AND INITIATIVES THAT ADDRESS THE NEEDS LISTED ABOVE. HOWEVER, THESE NEEDS WILL NOT BE THE AREA OF FOCUS FOR 2016-2018. REPORTING GROUP C, 8: SUTTER DELTA MEDICAL CENTER THE FOLLOWING SIGNIFICANT HEALTH

REPORTING FACILITY: #9, EDEN MEDICAL CENTER
SCHEDULE H, PART V, LINE 3E EDEN MEDICAL CENTER (FACILITY #9): THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, LINE 5 EDEN MEDICAL CENTER (FACILITY #9): IN CONDUCTING ITS MOST RECENT CHNA, EDEN MEDICAL CENTER (EMC) DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITALS SERVICE AREA. INPUT FROM THE COMMUNITY WAS COLLECTED THROUGH TWO MAIN MECHANISMS: KEY INFORMANT INTERVIEWS WITH COMMUNITY HEALTH EXPERTS AND SERVICE PROVIDERS, AND FOCUS GROUP DISCUSSIONS WITH COMMUNITY MEMBERS. INSTRUMENTS USED IN PRIMARY DATA COLLECTION INCLUDED A PARTICIPANT INFORMED CONSENT, AN INTERVIEW QUESTION GUIDE, A PROJECT SUMMARY SHEET, AND A REFLECTION SHEET. ALL PARTICIPANTS WERE GIVEN AN INFORMED CONSENT FORM PRIOR TO THEIR PARTICIPATION WHICH PROVIDED INFORMATION ABOUT THE PROJECT, ASKED FOR PERMISSION TO RECORD THE INTERVIEW, AND LISTED THE POTENTIAL BENEFITS AND RISKS FOR INVOLVEMENT IN THE INTERVIEW. THE INTERVIEW QUESTION GUIDE WAS USED FOR BOTH THE KEY INFORMANT AND FOCUS GROUP INTERVIEWS. THE PROJECT SUMMARY SHEET WAS GIVEN TO PARTICIPANTS TO PROVIDE THEM WITH INFORMATION ABOUT THE PROJECT AND CONTACT INFORMATION FOR CHNA STAFF. AFTER THE INTERVIEW OR FOCUS GROUP WAS CONDUCTED, THE FACILITATOR CAPTURED THE MAIN FINDINGS BY COMPLETING A REFLECTION SHEET. KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH AREA SERVICE PROVIDERS AND EXPERTS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY WHO WERE FAMILIAR WITH THE POPULATIONS IN THE HSA. PRIMARY DATA COLLECTION BEGAN BY INTERVIEWING AREA-WIDE SERVICE PROVIDERS, INCLUDING INPUT FROM THE ALAMEDA COUNTY PUBLIC HEALTH DEPARTMENT. FINDINGS FROM THE AREA-WIDE INFORMANTS WERE COMBINED WITH QUANTITATIVE DATA SHOWING LOCATIONS OF POPULATIONS EXPERIENCING DISPARITIES, TO IDENTIFY AND INTERVIEW KEY INFORMANTS WITH KNOWLEDGE ABOUT THESE SPECIFIC POPULATIONS AND LOCATIONS. THESE TARGETED PRIMARY DATA SOURCES WERE SELECTED BASED ON THEIR KNOWLEDGE OF THE NEEDS OF PARTICULAR GEOGRAPHIC LOCATIONS AND/OR SUBGROUPS EXPERIENCING DISPARITIES. A TOTAL OF 14 KEY INFORMANT INTERVIEWS WERE COMPLETED WITH 19 SERVICE PROVIDERS. THE KEY INFORMANT INTERVIEWS WERE USED TO IDENTIFY ADDITIONAL KEY SERVICE PROVIDERS TO INCLUDE IN THE ASSESSMENT, AS WELL AS TO IDENTIFY SPECIFIC POPULATIONS THAT SHOULD BE INCLUDED IN THE FOCUS GROUP INTERVIEWS. FOCUS GROUP INTERVIEWS WERE CONDUCTED WITH COMMUNITY MEMBERS LIVING IN GEOGRAPHIC AREAS OF THE HSA IDENTIFIED AS LOCATIONS IN WHICH RESIDENTS EXPERIENCED A DISPARATE AMOUNT OF POOR SOCIO-ECONOMIC CONDITIONS AND POOR HEALTH OUTCOMES. RECRUITMENT CONSISTED OF REFERRALS FROM DESIGNATED SERVICE PROVIDERS REPRESENTING VULNERABLE POPULATIONS IN THE SUTTER MEDICAL CENTER, CASTRO VALLEY HEALTH SERVICE AREA, AS WELL AS DIRECT OUTREACH FROM CHVI TO ACQUIRE INPUT FOR A SPECIAL POPULATION GROUP. FOUR FOCUS GROUP DISCUSSIONS WERE CONDUCTED WITH A TOTAL OF 44 COMMUNITY MEMBERS. SCHEDULE H, PART V, LINE 6 EDEN MEDICAL CENTER (FACILITY #9): THIS CHNA WAS CONDUCTED BY COMMUNITY HEALTH INSIGHTS, ON BEHALF OF EDEN MEDICAL CENTER OVER A PERIOD OF 8 MONTHS, BEGINNING IN MAY OF 2015 AND CONCLUDING IN DECEMBER OF 2015. THE DATA USED TO CONDUCT THE CHNA WERE BOTH IDENTIFIED AND ORGANIZED USING THE WIDELY RECOGNIZED ROBERT WOOD JOHNSON FOUNDATIONS COUNTY HEALTH RANKINGS MODEL AND A DEFINED SET OF DATA COLLECTION AND ANALYTIC STAGES WERE DEVELOPED. THE DATA THAT WERE COLLECTED AND ANALYZED INCLUDED BOTH PRIMARY, OR QUALITATIVE, DATA, AND SECONDARY, OR QUANTITATIVE DATA. SCHEDULE H, PART V, LINES 7A, 7B, & 10A HOSPITAL FACILITY'S WEBSITE: EDEN MEDICAL CENTER (FACILITY #9): HTTPS://WWW.SUTTERHEALTH.ORG/EDEN/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSE SSMENT OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SCHEDULE H, PART V, LINE 11 EDEN MEDICAL CENTER (FACILITY #9): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT EDEN MEDICAL CENTER INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: - ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES. PRIMARY CARE RESOURCES INCLUDE COMMUNITY CLINICS, PEDIATRICIANS, FAMILY PRACTICE PHYSICIANS, INTERNISTS, NURSE PRACTITIONERS, PHARMACISTS, TELEPHONE ADVICE NURSES, AND SIMILAR. PRIMARY CARE SERVICES ARE TYPICALLY THE FIRST POINT OF CONTACT WHEN AN INDIVIDUAL SEEKS HEALTHCARE AND ARE THE FRONT LINE IN THE PREVENTION AND TREATMENT OF COMMON DISEASES AND INJURIES IN A COMMUNITY. - ACCESS TO AFFORDABLE, HEALTHY FOOD. EATING A HEALTHY DIET IS IMPORTANT FOR ONES OVERALL HEALTH AND WELL-BEING. WHEN ACCESS TO HEALTHY FOODS IS CHALLENGING FOR COMMUNITY RESIDENTS, MANY TURN TO UNHEALTHY FOODS THAT ARE CONVENIENT, AFFORDABLE, AND READILY AVAILABLE. COMMUNITIES EXPERIENCING SOCIAL VULNERABILITY AND POOR HEALTH OUTCOMES OFTEN ARE OVERLOADED WITH FAST FOOD AND OTHER ESTABLISHMENTS WHERE UNHEALTHY FOOD IS SOLD. - ACCESS TO MENTAL, BEHAVIORAL, AND SUBSTANCE ABUSE SERVICES. INDIVIDUAL HEALTH AND WELL-BEING ARE INSEPARABLE FROM INDIVIDUAL MENTAL AND EMOTIONAL OUTLOOK. COPING WITH DAILY LIFE STRESSORS IS CHALLENGING FOR MANY PEOPLE, ESPECIALLY WHEN OTHER SOCIAL, FAMILIAL AND ECONOMIC CHALLENGES ALSO OCCUR. ADEQUATE ACCESS TO MENTAL, BEHAVIORAL AND SUBSTANCE ABUSE SERVICES HELPS COMMUNITY MEMBERS TO OBTAIN ADDITIONAL SUPPORT WHEN NEEDED. - ACCESS TO BASIC NEEDS, SUCH AS HOUSING AND EMPLOYMENT. ACCESS TO AFFORDABLE AND CLEAN HOUSING, STABLE EMPLOYMENT, QUALITY EDUCATION, AND ADEQUATE FOOD FOR HEALTH MAINTENANCE ARE VITAL FOR SURVIVAL. MASLOWS HIERARCHY OF NEEDS SAYS THAT ONLY WHEN MEMBERS OF A SOCIETY HAVE THEIR BASIC PHYSIOLOGICAL AND SAFETY NEEDS MET CAN THEY THEN BECOME ENGAGED MEMBERS OF SOCIETY AND SELF-ACTUALIZE OR LIVE TO THEIR FULLEST POTENTIAL, INCLUDING THEIR HEALTH. - ACCESS TO TRANSPORTATION AND MOBILITY. HAVING ACCESS TO TRANSPORTATION SERVICES TO SUPPORT INDIVIDUAL MOBILITY IS A NECESSITY OF DAILY LIFE. WITHOUT TRANSPORTATION, INDIVIDUALS STRUGGLE TO ATTAIN THEIR BASIC NEEDS, INCLUDING THOSE THAT PROMOTE AND SUPPORT A HEALTHY LIFE. DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. EDEN MEDICAL CENTER IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT: - HEALTH EDUCATION AND HEALTH LITERACY - SAFE AND VIOLENCE FREE ENVIRONMENT - ACCESS TO SPECIALTY CARE EDEN MEDICAL CENTER DOES NOT HAVE THE RESOURCES AND/OR EXPERTISE TO RESPOND TO THESE COMMUNITY NEEDS AT THIS TIME. THE MEDICAL CENTER IS A COLLABORATIVE PARTNER TO NUMEROUS COMMUNITY ORGANIZATIONS AND ON OCCASION WILL SPONSOR PROGRAMS AND INITIATIVES THAT ADDRESS THE NEEDS LISTED ABOVE. HOWEVER, THESE NEEDS WILL NOT BE THE AREA OF FOCUS FOR 2016-2018. SCHEDULE H, PART V, LINE 15E METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: EDEN MEDICAL CENTER (FACILITY #9): PATIENTS MAY REQUEST ASSISTANCE WITH COMPLETING THE APPLICATION FOR FINANCIAL ASSISTANCE IN PERSON AT THE HOSPITAL, OVER THE PHONE, THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE. SCHEDULE H, PART V, LINES 16A, 16B, & 16C EDEN MEDICAL CENTER (FACILITY #9): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER HEALTH WEBSITE AT: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/FINANCIAL-ASSISTANCE.HTML SCHEDULE H, PART V, LINE 16J MEASURES USED TO PUBLICIZE THE FACILITYS FINANCIAL ASSISTANCE POLICY: EDEN MEDICAL CENTER (FACILITY #9): THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITALS SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE ORGANIZATION IN THE PRINCIPAL NEWSPAPER IN THE COMMUNITY OR WHEN DOING SO IS NOT PRACTICAL SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THE INFORMATION OR USE OTHER MEANS THAT WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY. SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY

REPORTING FACILITY #11, SUTTER SANTA ROSA REGIONAL HOSPITAL
SCHEDULE H, PART V, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, LINE 5 SUTTER SANTA ROSA REGIONAL HOSPITAL (HOSPITAL FACILITY #11): IN CONDUCTING ITS MOST RECENT CHNA, SUTTER SANTA ROSA REGIONAL HOSPITAL, A FACILITY OF SUTTER WEST BAY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. COMMUNITY INPUT WAS PROVIDED BY A BROAD RANGE OF COMMUNITY MEMBERS AND LEADERS THROUGH KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. INDIVIDUALS IDENTIFIED BY THE SC CHNA COLLABORATIVE AS HAVING VALUABLE KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY WERE INTERVIEWED. INTERVIEWEES INCLUDED REPRESENTATIVES FROM THE LOCAL PUBLIC HEALTH DEPARTMENT, AS WELL AS MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, CHRONICALLY DISEASED, AND MINORITY POPULATIONS. OTHER INDIVIDUALS FROM VARIOUS SECTORS WITH EXPERTISE OF LOCAL HEALTH NEEDS WERE ALSO CONSULTED. A TOTAL OF 21 KEY INFORMANT INTERVIEWS WERE CONDUCTED DURING THIS NEEDS ASSESSMENT. FOR A COMPLETE LIST OF INDIVIDUALS WHO PROVIDED INPUT, SEE APPENDIX C OF THE CHNA. ADDITIONALLY, FIVE FOCUS GROUPS WERE CONDUCTED THROUGHOUT SONOMA COUNTY, REACHING 64 RESIDENTS. THESE GROUPS WERE INTENTIONALLY SAMPLED TO REACH RESIDENTS IN SPECIFIC GEOGRAPHIC REGIONS IDENTIFIED AS AREAS OF HIGH CONCERN IN THE PORTRAIT OF SONOMA COUNTY REPORT. THESE SUBPOPULATIONS INCLUDED RESIDENTS IN PETALUMA, THE BOYES HOT SPRINGS IN SONOMA VALLEY, CLOVERDALE, ROSELAND IN SOUTHWEST SANTA ROSA, AND THE RUSSIAN RIVER AREA. FOCUS GROUPS WERE MONOLINGUAL, AND THE LANGUAGE OF FACILITATION WAS SELECTED TO ENCOURAGE PARTICIPATION FROM THE TARGET POPULATION FOR EACH CONVERSATION. THE SC CHNA COLLABORATIVE WORKED CLOSELY WITH COMMUNITY ORGANIZATIONS TO ENSURE THAT THE LOCATION AND LANGUAGE OF FACILITATION SELECTED WAS APPROPRIATE AND CONVENIENT FOR RESIDENTS IN EACH COMMUNITY. GROUPS IN CLOVERDALE AND THE BOYES HOT SPRINGS IN SONOMA VALLEY WERE CONDUCTED IN SPANISH; ALL OTHERS WERE CONDUCTED IN ENGLISH. THE FINDINGS FROM KEY INFORMANT INTERVIEWS, SURVEY, AND FOCUS GROUPS IN SUTTER SANTA ROSA REGIONAL HOSPITAL'S CHNA ARE AVAILABLE AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SCHEDULE H, PART V, LINES 6A & 6B SUTTER SANTA ROSA REGIONAL HOSPITAL (HOSPITAL FACILITY #11): THE SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES (DHS), ALONG WITH KFH-SANTA ROSA, ST. JOSEPH HEALTH-SONOMA COUNTY, AND SUTTER HEALTH, SONOMA COUNTY, FORM THE SC CHNA COLLABORATIVE, WHICH WORKED TOGETHER WITH PARTNERS AT HEALDSBURG DISTRICT HOSPITAL, PALM DRIVE HOSPITAL, AND SONOMA VALLEY HOSPITAL ON THE 2016 CHNA PROCESS. SCHEDULE H, PART V, LINES 7A, 7B, & 10A CHNA AVAILABILITY ONLINE: SUTTER SANTA ROSA REGIONAL HOSPITAL (HOSPITAL FACILITY #11): - HOSPITAL FACILITY'S WEBSITE: HTTP://WWW.SUTTERSANTAROSA.ORG/RELATIONS/COMMUNITY-NEEDS-ASSESSMENT.HTML - OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SCHEDULE H, PART V, LINE 11 SUTTER SANTA ROSA REGIONAL HOSPITAL (HOSPITAL FACILITY #11): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER SANTA ROSA REGIONAL HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ECONOMIC AND HOUSING INSECURITY 2. ACCESS TO HEALTH CARE 3. OBESITY AND DIABETES 4. ACCESS TO EDUCATION 5. ORAL HEALTH DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. SUTTER SANTA ROSA REGIONAL HOSPITAL IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT: - EARLY CHILDHOOD DEVELOPMENT - THE PRIMARY ISSUE WITHIN THIS IDENTIFIED PRIORITY IS ADVERSE CHILDHOOD EXPERIENCE, OR ACES. SSRRH DOES NOT HAVE ANY EXPERTISE OR STRATEGIC ACTIVITY IN THIS AREA. THERE ARE MANY ROBUST PROGRAMS AND AGENCIES COUNTY-WIDE THAT ARE ADDRESSING THESE ISSUES AND WE WILL CONSIDER SMALL REQUESTS FOR SUPPORT. - MENTAL HEALTH - THOUGH A SIGNIFICANT ISSUE IN OUR COMMUNITY, IT IS NOT WITHIN THE SCOPE OF THE HOSPITALS SERVICES TO PROVIDE MENTAL HEALTH PROGRAMS NOR DO WE HAVE THIS EXPERTISE. THOUGH NOT A MAJOR PRIORITY FOR SSRRH, WE HAVE AND WILL CONTINUE TO RESPOND TO MODEST REQUESTS FOR FUNDING TO SUPPORT PROGRAMS THAT ADDRESS THESE ISSUES. - SUBSTANCE ABUSE - THOUGH A SIGNIFICANT ISSUE IN OUR COMMUNITY, IT IS NOT WITHIN THE SCOPE OF THE HOSPITALS SERVICES TO PROVIDE SUBSTANCE ABUSE TREATMENT OR PREVENTION PROGRAMS NOR DO WE HAVE THIS EXPERTISE. THOUGH NOT A MAJOR PRIORITY FOR SSRRH, WE HAVE AND WILL CONTINUE TO RESPOND TO MODEST REQUESTS FOR FUNDING TO SUPPORT PROGRAMS THAT ADDRESS THESE ISSUES. - VIOLENCE AND UNINTENTIONAL INJURY - THERE ARE SEVERAL PROGRAMS IN THE COMMUNITY THAT ARE WORKING, SEPARATELY AND COLLABORATIVELY TO ADDRESS THIS ISSUE, PARTICULARLY IN THE AREAS OF DOMESTIC AND GANG VIOLENCE. THOUGH NOT A MAJOR PRIORITY FOR SSRRH, WE HAVE AND WILL CONTINUE TO RESPOND TO MODEST REQUESTS FOR FUNDING TO SUPPORT PROGRAMS THAT ADDRESS THESE ISSUES. SCHEDULE H, PART V, LINE 15E METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: SUTTER SANTA ROSA REGIONAL HOSPITAL (HOSPITAL FACILITY #11): PATIENTS MAY REQUEST ASSISTANCE WITH COMPLETING THE APPLICATION FOR FINANCIAL ASSISTANCE IN PERSON AT THE HOSPITAL, OVER THE PHONE, THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE. SCHEDULE H, PART V, LINES 16A, 16B, & 16C SUTTER SANTA ROSA REGIONAL HOSPITAL (HOSPITAL FACILITY #11): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER HEALTH WEBSITE AT: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/FINANCIAL-ASSISTANCE.HTML SCHEDULE H, PART V, LINE 16J MEASURES USED TO PUBLICIZE THE FACILITYS FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITALS SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE ORGANIZATION IN THE PRINCIPAL NEWSPAPER IN THE COMMUNITY OR WHEN DOING SO IS NOT PRACTICAL SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THE INFORMATION OR USE OTHER MEANS THAT WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY. SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. SCHEDULE H, PART V, LINE 22D AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR FULL WRITE OFF OF ALL CHARGES FOR AN UNINSURED PATIENT WITH A FAMILY INCOME AT OR BELOW 400% OF THE MOST RECENT FEDERAL POVERTY LEVEL. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-5, THIS ORGANIZATION ADOPTS THE PROSPECTIVE MEDICARE METHOD FOR AMOUNTS GENERALLY BILLED; HOWEVER, PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT FINANCIALLY RESPONSIBLE FOR MORE THAN THE AMOUNTS GENERALLY BILLED BECAUSE ELIGIBLE PATIENTS DO NOT PAY ANY AMOUNT.

REPORTING FACILITY: #15, NOVATO COMMUNITY HOSPITAL
SCHEDULE H, PART V, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, LINE 5 NOVATO COMMUNITY HOSPITAL (HOSPITAL FACILITY #15): IN CONDUCTING ITS MOST RECENT CHNA, NOVATO COMMUNITY HOSPITAL, A FACILITY OF SUTTER WEST BAY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. COMMUNITY INPUT WAS PROVIDED BY A BROAD RANGE OF COMMUNITY MEMBERS AND LEADERS THROUGH KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. INDIVIDUALS IDENTIFIED BY THE MARIN COUNTY CHNA COLLABORATIVE AS HAVING VALUABLE KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY WERE INTERVIEWED. INTERVIEWEES INCLUDED REPRESENTATIVES FROM THE LOCAL PUBLIC HEALTH DEPARTMENT AS WELL AS LEADERS, REPRESENTATIVES, OR MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. OTHER INDIVIDUALS FROM VARIOUS SECTORS WITH EXPERTISE OF LOCAL HEALTH NEEDS WERE ALSO CONSULTED. A TOTAL OF 20 KEY INFORMANT INTERVIEWS WERE CONDUCTED DURING THIS NEEDS ASSESSMENT. FOR A COMPLETE LIST OF INDIVIDUALS WHO PROVIDED INPUT, SEE APPENDIX C OF THE CHNA. ADDITIONALLY, EIGHT FOCUS GROUPS WERE CONDUCTED THROUGHOUT MARIN COUNTY. THESE GROUPS WERE INTENTIONALLY SAMPLED TO REACH SPECIFIC SUBPOPULATIONS OF THE COUNTY THAT WERE IDENTIFIED AS HIGH-RISK POPULATIONS BY THE MARIN COUNTY CHNA COLLABORATIVE. THESE SUBPOPULATIONS INCLUDED YOUTH, ADULTS IN RECOVERY FROM SUBSTANCE ABUSE, INDIVIDUALS EXPERIENCING HOMELESSNESS, AND RESIDENTS IN MARIN CITY, NOVATO, SAN GERONIMO, CANAL, AND WEST MARIN. FOCUS GROUPS WERE MONOLINGUAL, CONDUCTED IN EITHER ENGLISH OR SPANISH. COMMUNITY PARTNERS PROVIDED INVALUABLE ASSISTANCE IN RECRUITING AND ENROLLING FOCUS GROUP PARTICIPANTS. MANY INDIVIDUALS WHO PARTICIPATED IN FOCUS GROUPS IDENTIFIED AS LEADERS, REPRESENTATIVES, OR MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, CHRONICALLY DISEASED, AND MINORITY POPULATIONS. FOR MORE INFORMATION ABOUT SPECIFIC POPULATIONS REACHED IN FOCUS GROUPS, SEE APPENDIX C OF THE CHNA. ADDITIONAL DETAILS ON KEY INFORMANTS, COLLABORATIVE PARTNERS AND FOCUS GROUPS CAN BE FOUND IN NOVATO COMMUNITY HOSPITAL'S CHNA AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SCHEDULE H, PART V, LINES 6A & 6B NOVATO COMMUNITY HOSPITAL (HOSPITAL FACILITY #15): PARTNER HOSPITALS HAVE WORKED CLOSELY TOGETHER THROUGHOUT THE CHNA PROCESS TO ENSURE THE CHNA COMPLIED WITH THE REQUIREMENTS OF THE AFFORDABLE CARE ACT AND INCLUDED DATA ON WHICH TO BUILD EFFECTIVE IMPLEMENTATION STRATEGIES. MEMBERS OF THE MARIN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT COLLABORATIVE INCLUDE: HEALTHY MARIN PARTNERSHIP -TERI ROCKAS, PROJECT MANAGER HEALTH EDUCATION & PROMOTION, MEMBER OUTREACH, KAISER PERMANENTE MARIN GENERAL HOSPITAL - JAMIE MAITES, DIRECTOR OF COMMUNICATIONS KAISER PERMANENTE - SAN RAFAEL - CARL CAMPBELL, PUBLIC AFFAIRS DIRECTOR - JEANNIE DULBERG, COMMUNITY BENEFIT MANAGER - MOLLY BERGSTROM, COMMUNITY BENEFIT MANAGER NOVATO COMMUNITY HOSPITAL - MARY STREBIG APR, MANAGER, COMMUNITY RELATIONS, COMMUNITY BENEFIT, & COMMUNICATIONS MARIN COUNTY HEALTH & HUMAN SERVICES - ROCHELLE EREMAN, MS, MPH, COMMUNITY EPIDEMIOLOGY PROGRAM CHIEF - KATHY KOBLICK, MPH, PUBLIC HEALTH DIVISION DIRECTOR CONSULTANTS - HARDER+COMPANY COMMUNITY RESEARCH WAS INSTRUMENTAL IN SUPPORTING THE COMMUNITY HEALTH NEED PRIORITIZATION PROCESS BY PRESENTING EXTENSIVE DATA IN A USEFUL WAY AND FACILITATING A MEANINGFUL CONVERSATION THAT RESULTED IN ESTABLISHMENT OF COMMUNITY PRIORITIES ON WHICH FUTURE DECISIONS CAN BE BASED. SCHEDULE H, PART V, LINES 7A, 7B, & 10A CHNA AVAILABILITY ONLINE: NOVATO COMMUNITY HOSPITAL (HOSPITAL FACILITY #15): - HOSPITAL FACILITY'S WEBSITE: HTTP://WWW.NOVATOCOMMUNITY.ORG/ABOUT/COMMUNITY-NEEDS-ASSESSMENT.HTML - OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SCHEDULE H, PART V, LINE 11 NOVATO COMMUNITY HOSPITAL (HOSPITAL FACILITY #15): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT NOVATO COMMUNITY HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: ACCESS TO HEALTH CARE: WITH THE IMPLEMENTATION OF THE ACA, MANY ADULTS IN MARIN COUNTY ARE ABLE TO OBTAIN INSURANCE COVERAGE AND ACCESS REGULAR HEALTH CARE. WHILE MARIN COUNTY SCORES BETTER THAN THE CALIFORNIA STATE AVERAGE ON MANY INDICATORS MEASURING HEALTH CARE ACCESS, THE COUNTY CONTINUES TO WORK TOWARDS PROVIDING AFFORDABLE AND CULTURALLY COMPETENT CARE FOR ALL RESIDENTS. LOWER-INCOME RESIDENTS FACE THE GREATEST CHALLENGES; MANY PROVIDERS THAT SEE LOW-INCOME PATIENTS ARE AT CAPACITY, AND PUBLIC INSURANCE IS NOT ACCEPTED BY MANY PHYSICIANS IN THE COUNTY. IN ADDITION TO BARRIERS IN OBTAINING AFFORDABLE CARE, MARIN RESIDENTS HAVE NOTABLY LOW UTILIZATION RATES FOR CHILDHOOD VACCINATIONS COMPARED TO CALIFORNIA AS A WHOLE. DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI, ALONG WITH OTHER CRITICAL EFFORTS ON BEHALF OF NOVATO COMMUNITY HOSPITAL. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. NOVATO COMMUNITY HOSPITAL IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT: - OBESITY AND DIABETES: NOVATO COMMUNITY HOSPITAL DOES NOT HAVE THE EXPERTISE OR CAPACITY TO ADDRESS THIS NEED - EDUCATION: NOVATO COMMUNITY HOSPITAL DOES NOT HAVE THE EXPERTISE OR CAPACITY TO ADDRESS THIS NEED - ECONOMIC AND HOUSING INSECURITY: NOVATO COMMUNITY HOSPITAL DOES NOT HAVE THE EXPERTISE OR CAPACITY TO ADDRESS THIS NEED - MENTAL HEALTH: NOVATO COMMUNITY HOSPITAL DOES NOT HAVE THE EXPERTISE OR CAPACITY TO ADDRESS THIS NEED - SUBSTANCE ABUSE: NOVATO COMMUNITY HOSPITAL DOES NOT HAVE THE EXPERTISE OR CAPACITY TO ADDRESS THIS NEED - ORAL HEALTH: NOVATO COMMUNITY HOSPITAL DOES NOT HAVE THE EXPERTISE OR CAPACITY TO ADDRESS THIS NEED - VIOLENCE AND UNINTENTIONAL INJURY: NOVATO COMMUNITY HOSPITAL DOES NOT HAVE THE EXPERTISE OR CAPACITY TO ADDRESS THIS NEED SCHEDULE H, PART V, LINE 15E METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: PATIENTS MAY REQUEST ASSISTANCE WITH COMPLETING THE APPLICATION FOR FINANCIAL ASSISTANCE IN PERSON AT THE HOSPITAL, OVER THE PHONE, THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE. SCHEDULE H, PART V, LINES 16A, 16B, & 16C NOVATO COMMUNITY HOSPITAL (HOSPITAL FACILITY #15): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER HEALTH WEBSITE AT: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/FINANCIAL-ASSISTANCE.HTML SCHEDULE H, PART V, LINE 16J MEASURES USED TO PUBLICIZE THE FACILITYS FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITALS SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE ORGANIZATION IN THE PRINCIPAL NEWSPAPER IN THE COMMUNITY OR WHEN DOING SO IS NOT PRACTICAL SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THE INFORMATION OR USE OTHER MEANS THAT WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY. SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. SCHEDULE H, PART V, LINE 22D AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR FULL WRITE OFF OF ALL CHARGES FOR AN UNINSURED PATIENT WITH A FAMILY INCOME AT OR BELOW 400% OF THE MOST RECENT FEDERAL POVERTY LEVEL. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-5, THIS ORGANIZATION ADOPTS THE PROSPECTIVE MEDICARE METHOD FOR AMOUNTS GENERALLY BILLED; HOWEVER, PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT FINANCIALLY RESPONSIBLE FOR MORE THAN THE AMOUNTS GENERALLY BILLED BECAUSE ELIGIBLE PATIENTS DO NOT PAY ANY AMOUNT.

REPORTING FACILITY: #16, SUTTER LAKESIDE HOSPITAL
"SCHEDULE H, PART V, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, LINE 5 SUTTER LAKESIDE HOSPITAL (HOSPITAL FACILITY #16): IN CONDUCTING ITS MOST RECENT CHNA, SUTTER LAKESIDE HOSPITAL, A FACILITY OF SUTTER WEST BAY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. THE COMMUNITY INPUT - USING A WIDLELY DISTRIBUTED SURVEY, FOCUS GROUPS AND KEY INFORMANT INTERVIEWS - SOLICITED OPINIONS ABOUT HELATH CONCERNS AND SUGGESTIONS FOR IMPROVEMENT, AND VALIDATED AND ENRICHED THE STATISTICAL DATA. A SURVEY WAS DEVELOPED IN ENGLISH AND SPANISH THAT SOLICITED PEOPLES OPINIONS ABOUT MOST IMPORTANT HEALTH NEEDS, BARRIERS TO ACCESS, AND SUGGESTIONS FOR COMMUNITY HEALTH IMPROVEMENTS. CERTAIN QUESTIONS THAT SERVE AS MARKERS FOR ACCESS TO SERVICES WERE ALSO INCLUDED. THE SURVEY WAS DISTRIBUTED IN HARD COPY BY MEMBERS OF THE COLLABORATIVE TO LOCATIONS WHERE THE GROUPS OF INTEREST WOULD BEST BE REACHED, SUCH AS AT BRANCHES OF PUBLIC LIBRARIES, LAUNDROMATS, CHURCHES, NAIL SALONS, AND FAMILY RESOURCE CENTERS THROUGHOUT THE COUNTY, AS WELL AS PROMOTED THROUGH EFFORTS SUCH AS AT THE 2-DAY VALLEY FIRE ""REBUILD EXPO"" IN MIDDLETOWN AND OVER THE AIR ON KPFZ'S ""SENIOR MOMENTS"" SHOW. THE SURVEY WAS ALSO AVAILABLE BY ONLINE (ENGLISH ONLY) AND NOTICES ABOUT THE ELECTRONIC VERSION WERE POSTED ON THE COUNTY'S AND VARIOUS ORGANIZATIONS WEBSITES AND IN NEWSLETTERS. ALL OF THE ELECTRONIC AND HARD-COPY SURVEY DATA WERE CLEANED, CODED, AND ENTERED INTO AN EXCEL SPREADSHEET AND ANALYZED USING SPSS VERSION 20.0. THREE COMMUNITIES - CLEARLAKE, LAKEPORT AND KELSEYVILLE - ENSURED GEOGRAPHIC REPRESENTATION AT THE 6 COMMUNITY FOCUS GROUPS THAT WERE CONDUCTED. KEY COMMUNITY-BASED ORGANIZATIONS AND SOCIAL CLUBS WERE IDENTIFIED BY THE COLLABORATIVE AND INVITED TO HOST A FOCUS GROUP. IN EACH CASE, THE FOCUS GROUPS WERE CO-SCHEDULED DURING A TIME THE PARTICIPANTS WERE ALREADY MEETING THERE FOR OTHER PURPOSES (E.G., YOUNG MOTHERS ATTENDING A MOTHER-WISE PARENTING MEETING) TO FACILITATE ACCESS AND PROMOTE ATTENDANCE. ALTHOUGH THE PARTICIPANTS CONSTITUTED A CONVENIENCE SAMPLE, THERE WAS THE EXPECTATION THAT IN THE AGGREGATE THE GROUPS WOULD BE DIVERSE AND INCLUDE THE POPULATIONS OF HIGHEST INTEREST. A COMMON SET OF STRUCTURED KEY QUESTIONS WAS USED FOR ALL GROUPS. THE QUESTIONS WERE GENERALLY OPEN-ENDED; PROMPTING WITH INFORMATION OR DATA WAS LIMITED TO REDUCE THE POTENTIAL FOR BIAS OR LEADING OF PARTICIPANTS TO ANY CONCLUSIONS. PARTICIPANTS WERE NOT ASKED TO ""VOTEOTEHRWISE RANK THE ITEMS THEY IDENTIFIED AS NEEDS, PROBLEMS OR SOLUTIONS. THE FOCUS GROUP DATA WERE RECORDED ON A FLIP CHART OR NOTEBOOK BY THE FACILITATOR DURING THE MEETINGS THEN TRANSFERRED TO WRITTEN SUMMARY FORMATS WHERE THE NOTES WERE THEN CODED FOR ANALYSIS. A $20 SAFEWAY GIFT CARD WAS OFFERED IN MOST GROUPS IN APPRECIATION FOR PARTICIPATION. THE AGENCIES AND ORGANIZATIONS THAT SPONSORED THE COMMUNITY MEETINGS HELPED TO PUBLICIZE THE SESSIONS AND PROMOTE ATTENDANCE. TELEPHONE INTERVIEWS USING A STRUCTURED SET OF QUESTIONS (WITH ADDITIONAL, PERSONALIZED QUESTIONS TO OBTAIN MORE IN-DEPTH INFORMATION) WERE CONDUCTED WITH 12 OF THE 16 INVITED INDIVIDUALS WHO AGREED TO PARTICIPATE IN A KEY INFORMANT INTERVIEW (ATTACHMENT 3). THE INTERVIEWS PROVIDED AN INFORMED PERSPECTIVE FROM THOSE WHO WORK DIRECTLY WITH THE PUBLIC AND/OR DETERMINE SOME OF THE POLICIES THAT AFFECT THE COMMUNITYS HEALTH. THESE INDIVIDUALS WERE ABLE TO OFFER INFORMATION ABOUT LOCAL RESOURCES AND GAPS IN SERVICES, HIGH-PRIORITY HEALTH NEEDS, AND SUGGESTIONS FOR POSITIVE CHANGE. THE INTERVIEWS ALSO FOCUSED THE NEEDS ASSESSMENT ON PARTICULAR ISSUES OF CONCERN WHERE INDIVIDUALS WITH CERTAIN EXPERTISE COULD CONFIRM OR DISPUTE PATTERNS IN THE DATA AND IDENTIFY DATA AND OTHER STUDIES THE COLLABORATIVE MIGHT NOT OTHERWISE BE AWARE OF. THE FINDINGS FROM KEY INFORMANT INTERVIEWS, FOCUS GROUPS, AND SURVEY IN SUTTER LAKESIDE HOSPITAL'S CHNA ARE AVAILABLE AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SCHEDULE H, PART V, LINES 6A & 6B SUTTER LAKESIDE HOSPITAL (HOSPITAL FACILITY #16): THE COLLABORATIVE INCLUDED THE TWO LAKE COUNTY HOSPITALS, ST. HELENA CLEAR LAKE AND SUTTER LAKESIDE. SCHEDULE H, PART V, LINES 7A, 7B, & 10A CHNA AVAILABILITY ONLINE: SUTTER LAKESIDE HOSPITAL (HOSPITAL FACILITY #16): - HOSPITAL FACILITY'S WEBSITE: HTTP://WWW.SUTTERLAKESIDE.ORG/ABOUT/COMMUNITY-NEEDS-ASSESSMENT.HTML - OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SCHEDULE H, PART V, LINE 11 SUTTER LAKESIDE HOSPITALS (HOSPITAL FACILITY #16): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT ARE NEEDS THAT SUTTER LAKESIDE HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO HEALTHCARE SERVICES 2. COMMUNITY HEALTH EDUCATION 3. ALCOHOL AND DRUG ABUSE PREVENTION AND SERVICES DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. SUTTER LAKESIDE HOSPITAL IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT: - HOUSING AND HOMELESSNESS SUTTER LAKESIDE HOSPITAL WILL LOOK TO SUPPORT HOUSING AND HOMELESSNESS INITIATIVES AS OPPORTUNITIES ARISE WITH OUR COMMUNITY PARTNERS. HOWEVER, HOUSING AND HOMELESSNESS WILL NOT BE ONE OF SUTTER LAKESIDES PRIMARY FOCUSES. - MENTAL HEALTH WHILE SUTTER LAKESIDE SUPPORTS ORGANIZATIONS THAT ADDRESS THE STATE OF MENTAL HEALTH IN LAKE COUNTY, MENTAL HEALTH WILL NOT BE ONE OF SUTTER LAKESIDES PRIMARY FOCUSES. SCHEDULE H, PART V, LINE 15E METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: PATIENTS MAY REQUEST ASSISTANCE WITH COMPLETING THE APPLICATION FOR FINANCIAL ASSISTANCE IN PERSON AT THE HOSPITAL, OVER THE PHONE, THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE. SCHEDULE H, PART V, LINES 16A, 16B, & 16C SUTTER LAKESIDE HOSPITAL (HOSPITAL FACILITY #16): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER HEALTH WEBSITE AT: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/FINANCIAL-ASSISTANCE.HTML SCHEDULE H, PART V, LINE 16J MEASURES USED TO PUBLICIZE THE FACILITYS FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITALS SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE ORGANIZATION IN THE PRINCIPAL NEWSPAPER IN THE COMMUNITY OR WHEN DOING SO IS NOT PRACTICAL SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THE INFORMATION OR USE OTHER MEANS THAT WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY. SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. SCHEDULE H, PART V, LINE 22D AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR FULL WRITE OFF OF ALL CHARGES FOR AN UNINSURED PATIENT WITH A FAMILY INCOME AT OR BELOW 400% OF THE MOST RECENT FEDERAL POVERTY LEVEL. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-5, THIS ORGANIZATION ADOPTS THE PROSPECTIVE MEDICARE METHOD FOR AMOUNTS GENERALLY BILLED; HOWEVER, PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT FINANCIALLY RESPONSIBLE FOR MORE THAN THE AMOUNTS GENERALLY BILLED BECAUSE ELIGIBLE PATIENTS DO NOT PAY ANY AMOUNT."

SCHEDULE H, PART I, LINES 3A & 3C
FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA: FOR UNINSURED PATIENTS TO BE ELIGIBLE FOR FREE CARE THE ORGANIZATION USES THE FEDERAL POVERTY GUIDELINES (FPG) FOR FAMILY INCOMES THAT ARE AT OR BELOW 400% OF FPG. IN ADDITION THE ORGANIZATION HAS A HIGH MEDICAL COST CHARITY CARE CATEGORY IN WHICH A WRITE OFF OF THE PATIENT RESPONSIBILITY FOR HOSPITAL SERVICES CAN OCCUR IF THE INSURED PATIENT HAS FAMILY INCOME AT OR BELOW 400% FPG AND EXPENSES INCURRED FOR THEMSELVES OR THEIR FAMILY EXCEED 10% OF THE PATIENTS FAMILY INCOME. SCHEDULE H, PART I, LINE 3B SUTTER BAY HOSPITALS IS COMMITTED TO PROVIDING CHARITY CARE AND THEREFORE, PROVIDES FREE CARE AT HIGH PERCENTAGE OF FPG. THE ORGANIZATION DOES NOT PROVIDE DISCOUNTED CARE.

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

SCHEDULE H, PART I, LINE 7G
CALIFORNIA PACIFIC MEDICAL CENTER: THE AMOUNT OF COSTS ASSOCIATED WITH PHYSICIAN CLINICS IS $36,319,737.

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

SCHEDULE H, PART III, LINE 7
MEDICARE COSTS: MEDICARE COST REPORTS THAT THE ORGANIZATION FILES DO NOT INCLUDE ALL OF THE COSTS REQUIRED TO TREAT MEDICARE PATIENTS.

SCHEDULE H, PART III, LINE 8
COSTING METHODOLOGY: MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO. COMMUNITY BENEFIT MEDICARE SHORTFALL: THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THESE PATIENTS TYPICALLY HAVE LOW AND/OR FIXED INCOMES. MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS FORCING THE HOSPITAL TO USE OTHER FUNDS TO COVER THE DEFICIT.

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

SCHEDULE H, PART VI, LINE 2
CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A): THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2016 2018 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. MILLS PENINSULA MEDICAL CENTER (REPORTING GROUP B): THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2016 2018 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. MENLO PARK SURGICAL HOSPITAL (REPORTING GROUP B): THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2016 2018 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER MATERNITY & SURGERY CENTER (REPORTING GROUP B): THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2016 2018 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. ALTA BATES SUMMIT MEDICAL CENTER (REPORTING GROUP C): THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2016 2018 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER DELTA MEDICAL CENTER (REPORTING GROUP C): THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2016 2018 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. EDEN MEDICAL CENTER: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2016 2018 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER SANTA ROSA REGIONAL HOSPITAL: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2016 2018 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. NOVATO COMMUNITY HOSPITAL: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2016 2018 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER LAKESIDE HOSPITAL: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2016 2018 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED.

SCHEDULE H, PART VI, LINE 4
"COMMUNITY INFORMATION: CALIFORNIA PACIFIC MEDICAL FOUNDATION (REPORTING GROUP A): THE HOSPITAL SERVICE AREA FOR CALIFORNIA PACIFIC MEDICAL CENTER INCLUDES ALL POPULATIONS RESIDING IN THE CITY AND COUNTY OF SAN FRANCISCO. THERE ARE 13 HOSPITALS IN SAN FRANCISCO COUNTY. SAN FRANCISCO IS THE CULTURAL AND COMMERCIAL CENTER OF THE BAY AREA AND IS THE ONLY CONSOLIDATED CITY AND COUNTY JURISDICTION IN CALIFORNIA. AT ROUGHLY 47 SQUARE MILES, IT IS THE SMALLEST COUNTY IN THE STATE, BUT IS THE MOST DENSELY POPULATED LARGE CITY IN CALIFORNIA (WITH A POPULATION DENSITY OF 18,187 RESIDENTS PER SQUARE MILE) AND THE SECOND MOST DENSELY POPULATED MAJOR CITY IN THE U.S., AFTER NEW YORK CITY. BETWEEN 2010 AND 2014, THE POPULATION IN SAN FRANCISCO GREW BY 5 PERCENT TO 845,602, OUTPACING POPULATION GROWTH IN CALIFORNIA (3.9 PERCENT). BY 2030, SAN FRANCISCOS POPULATION IS EXPECTED TO TOTAL NEARLY 970,000. THE PROPORTION OF SAN FRANCISCOS POPULATION THAT IS 65 YEARS AND OLDER IS EXPECTED TO INCREASE FROM 13.7 PERCENT IN 2010 TO 19.9 PERCENT IN 2030. THE PROPORTION OF THE POPULATION 75 YEARS AND OLDER WILL INCREASE FROM 6.9 PERCENT TO 9.8 PERCENT. AT THE SAME TIME, IT IS ESTIMATED THAT THE PROPORTION OF WORKING AGE RESIDENTS (25 TO 64 YEARS OLD) WILL DECREASE FROM 63.4 PERCENT IN 2010 TO 57.7 PERCENT IN 2030. THIS SHIFT COULD HAVE IMPLICATIONS FOR THE PROVISION OF SOCIAL SERVICES. IN THE PAST 50 YEARS, THE MOST NOTABLE ETHNIC SHIFTS HAVE BEEN A STEEP INCREASE IN THE ASIAN AND PACIFIC ISLANDER POPULATION AND A DECREASE IN THE BLACK/AFRICAN AMERICAN POPULATION. BY 2030, GROWTH IS EXPECTED IN THE NUMBER OF MULTI-ETHNIC AND LATINO RESIDENTS, WHILE THE NUMBER OF BLACK/AFRICAN AMERICAN RESIDENTS WILL LIKELY CONTINUE TO DROP. THE WHITE POPULATION IS EXPECTED TO CONTINUE TO INCREASE IN NUMBERS, BUT WILL DECREASE AS A PERCENTAGE OF THE TOTAL POPULATION. CURRENTLY, ABOUT ONE THIRD OF SAN FRANCISCOS POPULATION IS FOREIGN BORN AND 23 PERCENT OF RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME AND SPEAK ENGLISH LESS THAN ""VERY WELL."" THE MAJORITY OF THE FOREIGN-BORN POPULATION COMES FROM ASIA (64 PERCENT), WHILE 20 PERCENT WERE BORN IN LATIN AMERICA, MAKING CHINESE (MANDARIN, CANTONESE, AND OTHER) (18 PERCENT) AND SPANISH (12 PERCENT) THE MOST COMMON NON-ENGLISH LANGUAGES SPOKEN IN THE CITY. ALTHOUGH SAN FRANCISCO HAS A RELATIVELY SMALL PROPORTION OF HOUSEHOLDS WITH CHILDREN (19 PERCENT) COMPARED TO THE STATE OVERALL (36 PERCENT), THE NUMBER OF SCHOOL-AGED CHILDREN IS PROJECTED TO RISE. AS OF 2013, SAN FRANCISCO WAS HOME TO 58,000 FAMILIES WITH CHILDREN, 29 PERCENT OF WHICH WERE HEADED BY SINGLE PARENTS. THERE WERE APPROXIMATELY 114,000 CHILDREN UNDER THE AGE OF 18. ALTHOUGH THE OVERALL NUMBER OF CHILDREN UNDER 18 DECREASED BY 7 PERCENT IN THE LAST 20 YEARS, THE NUMBER OF SCHOOL-AGED CHILDREN IS PROJECTED TO RISE BY 28 PERCENT BY 2020. FOR A FAMILY OF FOUR, THE FEDERAL POVERTY LEVEL IS $24,250 (2015). ALMOST 1 IN 3 SAN FRANCISCANS (211,000 PEOPLE) LIVE BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. 14 PERCENT OF CHILDREN LIVE IN POVERTY. IN SAN FRANCISCO, THERE IS SIGNIFICANT INEQUALITY IN HOUSEHOLD INCOME BETWEEN RACES: WHITE HOUSEHOLD MEDIAN INCOME IS OVER $100,000, WHILE BLACK/AFRICAN AMERICAN HOUSEHOLD MEDIAN INCOME IS $30,000. THE NEIGHBORHOODS WITH THE GREATEST PROPORTION OF HOUSEHOLDS WITH CHILDREN ARE: SEACLIFF, BAYVIEW HUNTERS POINT, VISITACION VALLEY, OUTER MISSION, EXCELSIOR, TREASURE ISLAND, AND PORTOLA. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE CALIFORNIA PACIFIC MEDICAL CENTER CHNA AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T REPORTING GROUP B: MILLS PENINSULA MEDICAL CENTER (MPMC) AND MENLO PARK SURGICAL CENTER (MPSC): THE HOSPITAL SERVICE AREA OF MPMC AND MPSC IS DEFINED AS SAN MATEO COUNTY (SMC). THERE ARE FIVE HOSPITALS IN SAN MATEO COUNTY. SPREADING OVER 744 SQUARE MILES, SAN MATEO COUNTY IS LOCATED ON THE SAN FRANCISCO PENINSULA. IT CONTAINS 20 CITIES AND TOWNS, AND IS BORDERED BY THE CITY OF SAN FRANCISCO ON THE NORTH, SAN FRANCISCO BAY ON THE EAST, SANTA CLARA COUNTY OF THE SOUTH, AND THE PACIFIC OCEAN ON THE WEST. SMC IS A MIX OF URBAN AND SUBURBAN INDUSTRIAL, SMALL BUSINESS, AND RESIDENTIAL USE. THE COASTAL AREA IS RENOWNED FOR ITS SIGNIFICANT AGRICULTURAL, FISHING, SMALL BUSINESS AND TOURISM. ACCORDING TO THE US CENSUS THE ESTIMATED POPULATION IN 2014 WAS 744,581. THE COUNTYS POPULATION IS AGING AND THE TREND IS EXPECTED TO INCREASE OVER THE NEXT DECADES. LESS THAN ONE QUARTER (24%) OF THE RESIDENTS ARE UNDER THE AGE OF 20, WHILE 35% ARE BETWEEN THE AGES OF 20 AND 44, AND THE REST 41% OF THE RESIDENTS ARE OVER THE AGE OF 44. THOSE AGED 60 AND OLDER WILL INCREASE FROM 20.0% (IN 2014) TO 30.9%. BY 2050, THE ASIAN/PACIFIC ISLANDER AND HISPANIC SENIORS WILL COMPRISE THE LARGEST PROPORTION OF SENIORS. SMC IS ALSO BECOMING INCREASINGLY DIVERSE. THE US CENSUS ESTIMATES THAT BY 2050, THE WHITE POPULATION WILL DROP FROM 43% TO 22%, THE LATINO POPULATION WILL INCREASE FROM 26% TO 38%, THE ASIAN/PACIFIC ISLANDERS WILL INCREASE FROM 26% TO 32% AND THE AFRICAN-AMERICAN POPULATION WILL EXPERIENCE A SLIGHT INCREASE FROM 3% TO 4%. CURRENTLY, THE CHILD POPULATION IS MORE DIVERSE THAN THE ADULT POPULATION. ONE IN TEN CHILDREN AGED 18 AND YOUNGER LIVE BELOW THE FEDERAL POVERTY LEVEL (FPL) AND 8% OF ALL SMC INDIVIDUALS LIVE BELOW FPL. ACCORDING TO THE 2014 FAMILY SELF-SUFFICIENCY STANDARD (FSSS), A SINGLE PARENT WITH TWO CHILDREN LIVING IN SMC MUST EARN APPROXIMATELY $97,200 ANNUALLY TO MEET THE FAMILYS BASIC NEEDS THE EQUIVALENT OF FIVE FULL-TIME MINIMUM-WAGE JOBS IN SMC. BETWEEN 2013 AND 2014, THERE WAS A 12% DROP IN THE NUMBER OF UNINSURED CALIFORNIANS AGED 18-64 YEARS OLD ACCORDING TO DATA CITED BY THE CALIFORNIA HEALTHCARE FOUNDATION. THE SAN MATEO COUNTY HEALTH SYSTEM REPORTED THAT AS OF MARCH 2016 (BASED ON 2014 CENSUS DATA) AN ESTIMATED 62,000 COUNTY RESIDENTS HAD ENROLLED IN HEALTH INSURANCE COVERAGE, MADE POSSIBLE BY ACA. HOWEVER, AN ESTIMATE OF 50,000 ADULTS REMAIN UNINSURED IN SMC, APPROXIMATING AN UNINSURED RATE OF 7%. SMC NO LONGER INSURES UNDOCUMENTED IMMIGRANTS BECAUSE THEY ARE ELIGIBLE FOR COVERED CA AND WITHOUT SMCS SUBSIDY THE CARE OFFERED THROUGH COVERED CA IS UNAFFORDABLE FOR MOST UNDOCUMENTED IMMIGRANTS. ACCORDING TO THE 2013 HEALTH & QUALITY OF LIFE SURVEY COMMISSIONED BY THE HCC, THE PERCENTAGE OF ADULTS LIVING BELOW 200% OF THE FEDERAL POVERTY LEVEL IS INCREASING, FROM 13% IN 2001 TO 19% IN 2013. POVERTY IS MORE PREVALENT AMONG ADULTS WHO ARE LESS EDUCATED (THOSE WITH A HIGH SCHOOL DIPLOMA OR LESS), AND WHO ARE LATINO, AFRICAN AMERICAN, YOUNGER (AGED 18-39), AND WHO LIVE IN SOUTH COUNTY. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE MILLS PENINSULA MEDICAL CENTERS CHNA AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SUTTER MATERNITY & SURGERY SANTA CRUZ (REPORTING GROUP B): BASED ON ANALYSIS OF PATIENT DISCHARGE DATA, SMSCS SERVICE AREA IS CONSIDERED TO BE SANTA CRUZ COUNTY. SANTA CRUZ COUNTY SITS SOUTH OF SAN MATEO COUNTY, WEST OF SANTA CLARA COUNTY, AND NORTH OF MONTEREY COUNTY AND WAS HOME TO APPROXIMATELY 271,804 AND COVERS 445 SQUARE MILES. THERE ARE TWO HOSPITALS IN SANTA CRUZ COUNTY. THE TWO MAJOR CITIES ARE SANTA CRUZ, LOCATED ON THE NORTHERN SIDE OF THE MONTEREY BAY, AND WATSONVILLE, SITUATED IN THE SOUTHERN PART OF THE COUNTY. THE CITY OF SANTA CRUZ, WHICH IS THE COUNTY SEAT, HAD AN ESTIMATED POPULATION OF 63,789 AS OF JANUARY 2015. AS OF JANUARY 2015, THE CITY OF WATSONVILLE HAD AN ESTIMATED POPULATION OF 52,087. THE COUNTY IS 58% WHITE AND 33% LATINO WITH THE REMAINDER OF THE POPULATION COMPRISED OF ASIAN, AFRICAN AMERICAN AND OTHER ETHNIC BACKGROUNDS. THE COUNTY HAS A RELATIVELY MATURE POPULATION WITH 52% OF THE RESIDENTS AGES 35 OR OLDER. MEDIAN FAMILY INCOME WAS $80,788 IN SANTA CRUZ COUNTY IN 2014, HIGHER THAN IN CALIFORNIA ($71,015) AND THE NATION OVERALL ($65,910). THE UNEMPLOYMENT RATE WAS 8.7% FOR THE COUNTY DURING 2014, HIGHER THAN THE STATE OVERALL (7.5%). THE CITY OF WATSONVILLE HAD THE HIGHEST UNEMPLOYMENT RATE AT 11.2% FOR 2014. THE COUNTY OF SANTA CRUZ REPORTED IN 2014 THAT THE FOLLOWING PERCENTAGES BY AGE GROUP LIVED BELOW THE POVERTY LEVEL: 21% UNDER 18 YEARS OF AGE, 17.4% 18 TO 64 YEARS AND 7.4% 65 YEARS AND OVER. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE SUTTER MATERNITY & SURGERY CENTERS CHNA AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T REPORTING GROUP C: ALTA BATES SUMMIT MEDICAL CENTER (ABSMC) THE ABSMC IS LOCATED IN THE EAST BAY AREA OF THE SAN FRANCISCO BAY. THE THREE CAMPUSES PRIMARILY EXIST IN THE MAJOR METROPOLITAN AREAS OF BERKELEY, OAKLAND, AND EMERYVILLE, CALIFORNIA, LOCATED IN ALAMEDA COUNTY. THE LARGER COMMUNITY SERVED BY THE ABSMC WAS DEFINED USING ZIP CODE BOUNDARIES. THE HOSPITAL SERVICE AREA (HSA) INCLUDED A GEOGRAPHIC AREA COMPRISED OF 24"

SCHEDULE H, PART VI, LINE 5
"PROMOTION OF COMMUNITY HEALTH: SUTTER HEALTH'S MISSION IS TO ""ENHANCE THE WELL-BEING OF THE PEOPLE IN THE COMMUNITIES WE SERVE, THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES."" SUTTER HEALTH'S MISSION REACHES BEYOND THE WALLS OF OUR HOSPITALS AND FACILITIES. OUR AFFILIATES FURTHER THEIR TAX-EXEMPT PURPOSE BY: - BUILDING RELATIONSHIPS OF TRUST BY WORKING COLLABORATIVELY WITH COMMUNITY GROUPS, SCHOOLS AND GOVERNMENT ORGANIZATIONS TO EFFECTIVELY LEVERAGE RESOURCES AND ADDRESS IDENTIFIED COMMUNITY NEEDS; - SUPPORTING NONPROFIT ORGANIZATIONS THAT ARE COMMITTED TO COMMUNITY HEALTH IMPROVEMENT THROUGH FINANCIAL INVESTMENTS, IN-KIND SERVICES AND EMPLOYEE VOLUNTEERISM; AND - PROVIDING GENEROUS CHARITY CARE POLICIES FOR OUR MOST VULNERABLE COMMUNITY MEMBERS. CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A): THE 2016 2018 IMPLEMENTATION STRATEGY FOR CALIFORNIA PACIFIC MEDICAL CENTER (CPMC) DEFINES A VARIETY OF PROGRAMS AND PARTNERSHIPS THAT ADDRESS IDENTIFIED PRIORITY HEALTH NEEDS AND IMPROVE THE OVERALL HEALTH OF THE COMMUNITY IT SERVES. A FEW OF THOSE PROGRAMS AND PARTNERSHIPS ARE DESCRIBED BELOW: CPMCS AFRICAN AMERICAN BREAST HEALTH PROJECT AND SISTER TO SISTER PROGRAMS OFFER WOMEN MAMMOGRAPHY SCREENING AND ALL THE SUBSEQUENT BREAST HEALTH DIAGNOSTIC TESTING AND TREATMENT THEY MAY NEED AT NO COST. PARTNERING ORGANIZATIONS SUCH AS HEALTHRIGHT 360, SAN FRANCISCO FREE CLINIC, CLINIC BY THE BAY, AND THE SAN FRANCISCO CHAPTER OF THE NATIONAL COALITION OF 100 BLACK WOMEN REFER UNINSURED, UNDERINSURED, DISADVANTAGED AND AT-RISK WOMEN FOR MAMMOGRAPHY SERVICES. IN 2018, THE PROGRAM PROVIDED 516 PATIENT VISITS AND 283 MAMMOGRAMS AND OTHER DIAGNOSTIC SCREENINGS. CPMCS BREAST CENTER AT THE ST. LUKES/MISSION BERNAL CAMPUS PROMOTES BREAST HEALTH IN UNDERSERVED COMMUNITIES BY PARTNERING WITH NEIGHBORHOOD CLINICS AND COMMUNITY AGENCIES, INCLUDING SOUTHEAST HEALTH CENTER, MISSION NEIGHBORHOOD HEALTH CENTER, AND LATINA BREAST CANCER AGENCY. INCLUDED IN THE METRICS BELOW ARE SERVICES PROVIDED THROUGH CPMCS GRANT TO LATINA BREAST CANCER AGENCY, ONE OF THE PRINCIPLE ORGANIZATIONS REFERRING WOMEN TO THE ST. LUKES/MISSION BERNAL BREAST CENTER FOR SERVICES, AS WELL AS A GRANT TO SHANTI PROJECT FOR CARE NAVIGATION SERVICES. IN 2018, 516 PATIENT VISITS WERE PROVIDED. THE COMMUNITY HEALTH RESOURCE CENTER (CHRC) COLLABORATES WITH OVER 20 DIFFERENT HEALTH CARE CENTERS IN SAN FRANCISCO, PROVIDING SUPPORTIVE SERVICES TO THOUSANDS OF CLIENTS THROUGH THE MANY FREE OR LOW-COST PROGRAMS, SCREENINGS AND COUNSELING SERVICES THAT ARE AVAILABLE TO ANYONE IN THE COMMUNITY. PROGRAMS INCLUDE DIETITIANS, SOCIAL WORK COUNSELING, NUTRITION GUIDANCE, COMMUNITY HEALTH SCREENINGS, EDUCATIONAL LECTURES INCLUDING MONTHLY WELLNESS EVENTS, HEALTH INFORMATION AND LOCAL RESOURCES, EMPLOYEE AND GROUP WELLNESS PRESENTATIONS, AND SUPPORT GROUPS. IN 2018, CHRC SERVED 300 PATIENTS AND SECURED 3,710 APPOINTMENTS FOR BEHAVIORAL HEALTH/SOCIAL SERVICES. CPMC GRANTS AND SPONSORSHIP PROGRAM IS FOCUSED ON HELPING TO EXPAND THE CITYS SAFETY NET BY MAKING HEALTH CARE SERVICES MORE READILY AVAILABLE TO PUBLICALLY INSURED AND UNINSURED POPULATIONS, AND MAKING THOSE SERVICES CULTURALLY AND LINGUISTICALLY APPROPRIATE. IN 2018, APPROXIMATELY 35,047 PEOPLE WERE SERVED THROUGH SUPPORT OFFERED TO 15 COMMUNITY BASED ORGANIZATIONS FOCUSED ON ADDRESSING ACCESS TO CARE. HEALTHFIRST, A CENTER FOR HEALTH EDUCATION AND DISEASE PREVENTION AFFILIATED WITH ST. LUKES/MISSION BERNAL HEALTH CARE CENTER, SERVES PATIENTS IN CHRONIC DISEASE MANAGEMENT BY INTEGRATING COMMUNITY HEALTH WORKERS (CHWS) INTO THE MULTIDISCIPLINARY HEALTH CARE TEAM. IN 2018, 712 PATIENTS WERE SERVED, 100% OF ASTHMA PATIENTS HAD UP-TO-DATE ASTHMA ACTIONS PLANS, WHICH ARE UPDATED AT LEAST ANNUALLY. 89% OF PATIENTS HAD THEIR A1C LEVEL CONTROLLED (<9%). JOINT VENTURE HEALTH (JVH) IS A PARTNERSHIP BETWEEN UC BERKELEY SCHOOL OF PUBLIC HEALTH, NORTH EAST MEDICAL SERVICES (NEMS), AND CPMC. CPMCS CONTRIBUTION SUPPORTS THE CREATION OF A COST-EFFECTIVE, COMPREHENSIVE DEVELOPMENTAL AND BEHAVIORAL HEALTH SCREENING, TREATMENT AND REFERRAL PROGRAM FOR THE 10,000 CHILDREN AND THEIR FAMILIES WHO HAVE NEMS AS THEIR MEDICAL HOME. IN 2018, SERVICES WERE EXPANDED TO ADDITIONAL NEMS CLINICS IN SAN FRANCISCO. OF THE CHILDREN SCREENED IN 2018, 10,891 SCREENINGS PROVIDED, 16% WERE AT MODERATE TO HIGH RISK FOR DEVELOPMENTAL DELAYS AND PSYCHOSOCIAL ISSUES. ALL WERE CONNECTED TO APPROPRIATE RESOURCES AND EARLY INTERVENTION. CPMCS KALMANOVITZ CHILD DEVELOPMENT CENTER PROVIDES DIAGNOSIS, EVALUATION, TREATMENT AND COUNSELING FOR CHILDREN AND ADOLESCENTS WITH LEARNING DISABILITIES AND DEVELOPMENTAL OR BEHAVIORAL PROBLEMS CAUSED BY PREMATURITY, AUTISM SPECTRUM DISORDER, EPILEPSY, DOWN SYNDROME, ATTENTION DEFICIT DISORDER, OR CEREBRAL PALSY. BESIDES OPERATING ITS OWN CLINICS, KCDC ALSO EXTENDS ITS SERVICES TO A LARGE NUMBER OF AT-RISK CHILDREN AND BRINGS SERVICES TO THEM IN THEIR COMMUNITY BY PARTNERING WITH LOCAL SCHOOLS AND OTHER COMMUNITY ORGANIZATIONS. IN 2018, 15,189 CLINIC VISITS WERE PROVIDED. LIONS EYE FOUNDATION AND CPMC PARTNER TOGETHER TO PROVIDE HIGHLY SPECIALIZED EYE CARE PROCEDURES FREE OF CHARGE TO PEOPLE WITHOUT INSURANCE OR FINANCIAL RESOURCES. IN 2018, 2,211 DIAGNOSTIC TESTS WERE PERFORMED, 202 PATIENTS UNDERWENT GENERAL SURGICAL PROCEDURES AND 166 HAD LASER SURGERY. A KEY PART OF CPMCS MEDI-CAL PROGRAM IS THE MEDI-CAL MANAGED CARE PARTNERSHIP WITH NORTH EAST MEDICAL SERVICES (NEMS) COMMUNITY CLINIC AND SAN FRANCISCO HEALTH PLAN (SFHP), A LICENSED COMMUNITY HEALTH PLAN THAT PROVIDES AFFORDABLE HEALTH CARE COVERAGE TO OVER 130,000 LOW- AND MODERATE-INCOME SAN FRANCISCO RESIDENTS. WORKING TOGETHER WITH NEMS, CPMC SERVES AS THE HOSPITAL PARTNER FOR THESE MEDI-CAL BENEFICIARIES WHO SELECT NEMS AS THEIR MEDICAL GROUP THROUGH SAN FRANCISCO HEALTH PLAN, PROVIDING THEM WITH INPATIENT SERVICES, HOSPITAL-BASED SPECIALTY AND ANCILLARY SERVICES, AND EMERGENCY CARE. CPMC ALSO PROVIDES ACCESS TO QUALITY SERVICES AT THE ST. LUKES/MISSION BERNAL CAMPUS FOR PATIENTS WHO SELECT HILL PHYSICIANS OR BROWN & TOLAND AS THEIR MEDICAL GROUP THROUGH SAN FRANCISCO HEALTH PLAN. IN 2018, CPMC SERVED ONE-THIRD OF SFHPS TOTAL MEMBERSHIP, WHO OTHERWISE MAY HAVE FACED DIFFICULTIES IN ACCESSING A COMPREHENSIVE, COORDINATED CARE NETWORK. CPMC PARTNERS WITH OPERATION ACCESS AND THE SAN FRANCISCO ENDOSCOPY CENTER TO PROVIDE ACCESS TO DIAGNOSTIC SCREENINGS, SPECIALTY PROCEDURES, AND SURGICAL CARE AT NO COST FOR UNINSURED BAY AREA PATIENTS WHO HAVE LIMITED FINANCIAL RESOURCES. CPMC PHYSICIANS VOLUNTEER THEIR TIME TO PROVIDE THESE FREE SURGICAL SERVICES, WHILE THE HOSPITAL DONATES THE USE OF ITS OPERATING ROOMS. CPMC ALSO PROVIDES A GRANT TO SUPPORT OPERATION ACCESSS OPERATING COSTS. IN 2018, CPMC PROVIDED 56 OR PROCEDURES, 63 GI PROCEDURES, 30 RADIOLOGY PROCEDURES AND 19 SPECIALIST EVALUATIONS. PATIENT SURVEYS SHOWED: 97% VERY SATISFIED OR SATISFIED WITH THEIR EXPERIENCE; 93% REPORTED IMPROVED HEALTH, ABILITY TO WORK AND QUALITY OF LIFE. AS PART OF CPMCS HEALTH PROFESSIONS EDUCATION PROGRAM, CPMC PSYCHIATRY RESIDENTS PROVIDE SERVICES ONE DAY PER WEEK TO PATIENTS IN NEED OF BEHAVIORAL HEALTH SERVICES AT COMMUNITY-BASED ORGANIZATIONS AND PUBLIC INSTITUTIONS, INCLUDING HEALTHRIGHT 360, JEWISH HOME, AND SAN QUENTIN PRISON. IN 2018, PSYCH RESIDENTS PROVIDED FREE SERVICES AS FOLLOWS, 900 PATIENT ENCOUNTERS AT SF FREE CLINIC, HEALTHRIGHT 360 AND THROUGH TELEPSYCHIATRY FOR SAN QUENTIN PRISON. SAN FRANCISCO CHILD ABUSE PREVENTION CENTER AND ITS CHILD ADVOCACY CENTER ENDEAVOR TO PREVENT CHILD ABUSE AND REDUCE ITS DEVASTATING IMPACT BY PROVIDING SUPPORTIVE SERVICES TO CHILDREN AND FAMILIES; EDUCATION FOR CHILDREN, CAREGIVERS AND SERVICE PROVIDERS; AND THROUGH ADVOCACY FOR SYSTEMS IMPROVEMENT AND COORDINATION. IN 2018, THE CAC HAD 12,100 ENCOUNTERS AND 7,582 INDIVIDUALS PARTICIPATED IN SAFER AWARENESS CLASSES. SOUTH OF MARKET BAYVIEW CHILD HEALTH CENTER (BCHC) OFFERS ROUTINE PREVENTATIVE AND URGENT PEDIATRIC CARE IN ONE OF SAN FRANCISCOS MOST MEDICALLY UNDERSERVED NEIGHBORHOODS, AND ADDRESSES PREVALENT COMMUNITY HEALTH ISSUES SUCH AS WEIGHT CONTROL AND ASTHMA MANAGEMENT. BCHC FOCUSES ON KEEPING INFANTS, CHILDREN AND ADOLESCENTS HEALTHY, AND ON CLOSELY MANAGING THEIR CARE WHEN THEY ARE ILL. IN 2018 THE CENTER PROVIDED 2,503 ENCOUNTERS, WITH 769 CONNECTED TO A PRIMARY CARE PHYSICIAN. MILLS PENINSULA MEDICAL CENTER (REPORTING GROUP B): THE 2016 - 2018 IMPLEMENTATION STRATEGY FOR MILLS PENINSULA MEDICAL CENTER DEFINES A VARIETY OF PROGRAMS AND PARTNERSHIPS THAT ADDRESS IDENTIFIED PRIORITY HEALTH NEEDS AND IMPROVE THE OVERALL HEALTH OF THE COMMUNITY IT SERVES. A FEW OF THOSE PROGRAMS AND PARTNERSHIPS ARE DESCRIBED BELOW: MILLS PENINSULA MEDICAL CENTER PARTNERS WITH SAN MATEO COUNTY TO ESTABLISH AN URGENT CARE SERVICE IN DALY CITY (THE DALY CITY CLINIC). USING A MID-LEVEL PRACTITIONER AS THE PRIMARY CARE PROVIDER, THE TEAM WORKS WITH THE CLINICS' ESTABLISHED PRIMARY CARE TEAMS"

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

SCHEDULE H, PART II
COMMUNITY BUILDING ACTIVITIES: CALIFORNIA PACIFIC MEDICAL CENTER CALIFORNIA PACIFIC MEDICAL CENTER (CPMC) FUNDS THE FOLLOWING PROGRAMS THAT HELP ADDRESS THE ROOT CAUSE OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THESE PROGRAMS HELP SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. BUILDING THE SAN FRANCISCO WORKFORCE, ESPECIALLY CREATING OPPORTUNITIES FOR YOUTH, IS A MAJOR FOCUS FOR CPMC. IN 2018, CPMC PROVIDED WORK-READINESS TRAINING AND CAREER EXPLORATION EXPERIENCES TO INDIVIDUALS THROUGH ITS COMMUNITY WORKFORCE PROGRAMS. THESE PARTNERSHIPS HELP EDUCATE AND INSPIRE UNDERSERVED YOUTH TO PURSUE HEALTH CAREERS. THEY INCLUDE: GALILEO HEALTH ACADEMY OFFERS TWO 12-WEEK SPEAKER SERIES THAT TAKE PLACE IN THE SPRING AND FALL OF THE ACADEMIC YEAR FOR HIGH SCHOOL JUNIORS. TWICE A WEEK, CPMC EMPLOYEES PROVIDE LECTURES, DEMONSTRATIONS, TOURS AND ACTIVITIES TO ENHANCE STUDENTS UNDERSTANDING OF THE COMPLEXITIES AND OPPORTUNITIES IN A MODERN, COMPREHENSIVE ACUTE CARE MEDICAL CENTER. CPMC ALSO PROVIDES SIX-WEEK SUMMER INTERNSHIPS FOR GALILEO STUDENTS TO GAIN EXPERIENCE WORKING IN A HOSPITAL ENVIRONMENT. CPMC CONTRIBUTES TO IMMACULATE CONCEPTION ACADEMY WORK STUDY PROGRAM, WHICH PROVIDES A COLLEGE PREPARATORY EDUCATION WITH MEANINGFUL WORK STUDY EXPERIENCE TO STUDENTS COMING FROM FAMILIES WITH LIMITED FINANCIAL MEANS. CPMCS CHILD DEVELOPMENT CENTER IS PART OF THE FIRST 5 CALIFORNIA COALITIONS. FIRST 5 CALIFORNIA REPRESENTS AN IMPORTANT PART OF OUR STATES EFFORT TO NURTURE AND PROTECT OUR MOST PRECIOUS RESOURCE OUR CHILDREN. FIRST 5 CALIFORNIAS SERVICES AND SUPPORT ARE DESIGNED TO ENSURE THAT MORE CHILDREN ARE BORN HEALTHY AND REACH THEIR FULL POTENTIAL. THE NATIONAL COUNCIL ON AGING SENIOR COMMUNITY SERVICE PROGRAM: CREATED IN 1965, SENIOR COMMUNITY SERVICE EMPLOYMENT PROGRAM IS THE NATIONS OLDEST PROGRAM TO HELP LOW INCOME, UNEMPLOYED INDIVIDUALS AGED 55+ FIND WORK. A CPMC EMPLOYEE SPENDS TIME SUPPORTING TWO PROGRAM PARTICIPANTS. MERITUS COLLEGE FUND HELPS LOW-INCOME SAN FRANCISCO YOUTH COMPLETE A COLLEGE DEGREE AND PREPARE FOR POST-COLLEGE SUCCESS THROUGH A COMBINATION OF SCHOLARSHIPS, COACHING AND CAREER MENTORSHIP. INTERNSHIPS AT CPMC EXPOSE STUDENTS TO A RANGE OF EXPERIENCES LEADING TO INFORMED DECISION-MAKING ABOUT POST COLLEGE OPPORTUNITIES. CPMCS COMMUNITY BUILDING ACTIVITIES ALSO INCLUDE SUPPORTING LEADERSHIP AND CIVIC DEVELOPMENT TRAINING AND COALITION BUILDING ACTIVITIES THROUGH SPONSORSHIPS AND MEMBERSHIPS. MILLS PENINSULA MEDICAL CENTER MILLS PENINSULA MEDICAL CENTER DID NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES TO REPORT IN 2018. SUTTER MATERNITY & SURGERY CENTER FUNDS THE FOLLOWING PROGRAMS THAT HELP ADDRESS THE ROOT CAUSE OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THESE PROGRAMS HELP SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. THE ENVIRONMENTAL AWARENESS PROGRAM AT SUTTER MATERNITY & SURGERY CENTER FOCUSES ON REDUCTION OF COMMUNITY ENVIRONMENTAL HAZARDS ALONG WITH THE SHARING IN HEALTH CARE FACILITY ENVIRONMENTAL RESPONSIBILITY, WHICH INCLUDES WASTE REDUCTION, GREEN PURCHASING AND OTHER ECOLOGY INITIATIVES. EDEN MEDICAL CENTER EDEN MEDICAL CENTER FUNDS THE FOLLOWING PROGRAMS THAT HELP ADDRESS THE ROOT CAUSE OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THESE PROGRAMS HELP SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. YOUTH BRIDGE IS A YEAR-ROUND CAREER DEVELOPMENT PROGRAM FOR STUDENTS FROM 6TH GRADE THROUGH COLLEGE THAT EMPOWER AT-RISK EAST BAY YOUTH TO COMPLETE HIGH SCHOOL, GAIN MEANINGFUL EMPLOYMENT EXPERIENCE, LEARN ABOUT HEALTH-RELATED CAREERS AND PURSUE FURTHER ACADEMIC AND VOCATIONAL EDUCATION. YOUTH BRIDGE HAS SERVED MORE THAN 1,200 EAST BAY YOUTH SINCE ITS INCEPTION 26 YEARS AGO, WITH THE GOAL OF ENCOURAGING AND SUPPORTING THESE CHILDREN IN THEIR TRANSITION FROM ADOLESCENCE TO ADULTHOOD. EDEN MEDICAL CENTER PROVIDES FUNDING TO COMMUNITY SUPPORT GROUPS. SUTTER SANTA ROSA REGIONAL HOSPITAL SUTTER SANTA ROSA REGIONAL HOSPITAL DID NOT HAVE ANY COMMUNITY BUILDING TO REPORT IN 2018. NOVATO COMMUNITY HOSPITAL NOVATO COMMUNITY HOSPITAL FUNDS THE FOLLOWING PROGRAMS THAT HELP ADDRESS THE ROOT CAUSE OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THESE PROGRAMS HELP SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. NOVATO COMMUNITY HOSPITAL SUPPORTS THE NOVATO FOUNDATION FOR PUBLIC EDUCATION. SUTTER LAKESIDE HOSPITAL SUTTER LAKESIDE HOSPITAL FUNDS THE FOLLOWING PROGRAMS THAT HELP ADDRESS THE ROOT CAUSE OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THESE PROGRAMS HELP SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. SUTTER LAKESIDE HOSPITAL SUPPORTS WORKFORCE DEVELOPMENT THROUGH VOLUNTEER PROGRAM ADMINSTRATION. ALTA BATES SUMMIT MEDICAL CENTER FUNDS THE FOLLOWING PROGRAMS THAT HELP ADDRESS THE ROOT CAUSE OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THESE PROGRAMS HELP SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. YOUTH BRIDGE, A PROGRAM OF ALTA BATES SUMMIT MEDICAL CENTER, IS A YEAR-ROUND CAREER DEVELOPMENT PROGRAM FOR STUDENTS FROM 6TH GRADE THROUGH COLLEGE THAT EMPOWER AT-RISK EAST BAY YOUTH TO COMPLETE HIGH SCHOOL, GAIN MEANINGFUL EMPLOYMENT EXPERIENCE, LEARN ABOUT HEALTH-RELATED CAREERS AND PURSUE FURTHER ACADEMIC AND VOCATIONAL EDUCATION. YOUTH BRIDGE HAS SERVED MORE THAN 1,200 EAST BAY YOUTH SINCE ITS INCEPTION 27 YEARS AGO, WITH THE GOAL OF ENCOURAGING AND SUPPORTING THESE CHILDREN IN THEIR TRANSITION FROM ADOLESCENCE TO ADULTHOOD. SUTTER DELTA MEDICAL CENTER DID NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES TO REPORT IN 2018.

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

SCHEDULE H, PART VI, LINE 6
AFFILIATED HEALTH CARE SYSTEM: THE ORGANIZATION IS AFFILIATED WITH SUTTER HEALTH, A NOT-FOR-PROFIT NETWORK OF HOSPITALS, PHYSICIANS, EMPLOYEES AND VOLUNTEERS WHO CARE FOR MORE THAN 100 NORTHERN CALIFORNIA TOWNS AND CITIES. TOGETHER, WERE CREATING A MORE INTEGRATED, SEAMLESS AND AFFORDABLE APPROACH TO CARING FOR PATIENTS. THE HOSPITALS MISSION IS TO ENHANCE THE WELL-BEING OF PEOPLE IN THE COMMUNITIES WHERE WE SERVE THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTHCARE SERVICES. AT SUTTER HEALTH, WE BELIEVE THERE SHOULD BE NO BARRIERS TO RECEIVING TOP-QUALITY MEDICAL CARE. WE STRIVE TO PROVIDE ACCESS TO EXCELLENT HEALTHCARE SERVICES FOR NORTHERN CALIFORNIANS, REGARDLESS OF ABILITY TO PAY. AS PART OF OUR NOT-FOR-PROFIT MISSION, SUTTER HEALTH INVESTS MILLIONS OF DOLLARS BACK INTO THE COMMUNITIES WE SERVE AND BEYOND. THROUGH THESE INVESTMENTS AND COMMUNITY PARTNERSHIPS, WERE PROVIDING AND PRESERVING VITAL PROGRAMS AND SERVICES, THEREBY IMPROVING THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. OVER THE PAST FIVE YEARS, SUTTER HEALTH HAS COMMITTED NEARLY $4 BILLION TO CARE FOR PATIENTS WHO COULDNT AFFORD TO PAY, AND TO SUPPORT PROGRAMS THAT IMPROVE COMMUNITY HEALTH. OUR 2018 COMMITMENT OF $734 MILLION INCLUDES UNREIMBURSED COSTS OF PROVIDING CARE TO MEDI-CAL PATIENTS, TRADITIONAL CHARITY CARE AND INVESTMENTS IN HEALTH EDUCATION AND PUBLIC BENEFIT PROGRAMS. FOR EXAMPLE: IN 2018, SUTTER HEALTH INVESTED $435 MILLION MORE THAN THE STATE PAID TO CARE FOR MEDI-CAL PATIENTS. MEDI-CAL ACCOUNTED FOR NEARLY 19 PERCENT OF SUTTER HEALTHS GROSS PATIENT SERVICE REVENUES IN 2018. THROUGHOUT OUR HEALTHCARE SYSTEM, WE PARTNER WITH AND SUPPORT COMMUNITY HEALTH CENTERS TO ENSURE THAT THOSE IN NEED HAVE ACCESS TO PRIMARY AND SPECIALTY CARE. WE ALSO SUPPORT CHILDRENS HEALTH CENTERS, FOOD BANKS, YOUTH EDUCATION, JOB TRAINING PROGRAMS AND SERVICES THAT PROVIDE COUNSELING TO DOMESTIC VIOLENCE VICTIMS. EVERY THREE YEARS, SUTTER HEALTH HOSPITALS PARTICIPATE IN A COMPREHENSIVE AND COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH IDENTIFIES LOCAL HEALTH CARE PRIORITIES AND GUIDES OUR COMMUNITY BENEFIT STRATEGIES. THE ASSESSMENTS HELP ENSURE THAT WE INVEST OUR COMMUNITY BENEFIT DOLLARS IN A WAY THAT TARGETS AND ADDRESS REAL COMMUNITY NEEDS. FOR MORE FACTS AND INFORMATION VISIT WWW.SUTTERHEALTH.ORG.