4A (Expenses $ 225177885 including grants of $ 0) (Revenue $ 150440114)
SCHEDULE O FOR UNREIMBURSED MEDICAL CARE DESCRIPTIONUNREIMBURSED MEDICAL CARE: THE HOSPITAL IS COMMITTED TO PROVIDING QUALITY MEDICAL CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. COST OF CARE FOR PATIENTS THAT MEET THE CHARITY CARE POLICY OF THE HOSPITAL ARE CLASSIFIED AS CHARITY. RCH HAD 2,095 INPATIENT/OUTPATIENT CHARITY ENCOUNTERS, 1,262 MEDICARE DISCHARGES AND 2,199 MEDICAID AND COUNTY INDIGENT DISCHARGES. THE TOTAL ESTIMATED COST OF CHARITY CARE SERVICES AND UNPAID COST OF SERVICES ASSOCIATED WITH MEDICARE, MEDICAID AND COUNTY INDIGENT PROGRAMS AS WELL AS THE ESTIMATED COST ASSOCIATED WITH UNCOLLECTABLE ACCOUNTS WERE $240,696,000.

4B (Expenses $ 2614701 including grants of $ 0) (Revenue $ 506146)
SCHEDULE O FOR HOSPITAL'S FAMILY CLINIC DESCRIPTIONAN ON-GOING GOAL OF THE HOSPITAL'S FAMILY CLINICS IS TO PROVIDE HIGH-QUALITY, LOW-COST HEALTH CARE SERVICES TO PEOPLE WHO DO NOT OTHERWISE HAVE ACCESS TO HEALTH CARE, WHICH MAY BE DUE TO FINANCIAL, CULTURAL, LIFESTYLE OR PSYCHOLOGICAL BARRIERS. EQUALLY IMPORTANT IS THE DESIRE TO PROVIDE DISEASE SPECIFIC PATIENT/FAMILY EDUCATION, WITH EMPHASIS ON PROMOTING HEALTH AND WELLNESS AND THE SUPPORT NECESSARY TO PROMOTE INDIVIDUALIZED HEALTH CARE DECISION MAKING. THE REDLANDS AND YUCAIPA FAMILY CLINICS AND THE COMMUNITY BASED PERINATAL SERVICES PROGRAM (MATERIAL INFANT HEALTH) SERVE THE COMMUNITIES OF REDLANDS, LOMA LINDA, SAN BERNARDINO, HIGHLAND, YUCAIPA AND MENTONE, SUPPORTING THE HEALTHY START PROGRAMS IN THE REDLANDS UNIFIED SCHOOL DISTRICT IN ADDITION TO PROVIDING AN OPPORTUNITY FOR LOW-INCOME, THE UNINSURED AND UNDERINSURED TO RECEIVE PRIMARY AND PREVENTIVE CARE, EARLY MEDICAL PROBLEM IDENTIFICATION, TREATMENT AND ASSISTANCE WITH THE APPLICATION PROCESS AND OBTAINING OF ELIGIBILITY FOR PUBLIC ASSISTANCE PROGRAMS. GOALS AND ACCOMPLISHMENTS IN 2022: 1) ENHANCED PRIMARY CARE SERVICES, 2) WORKED WITH INLAND EMPIRE HEALTH PLAN (IEHP) TO PROMOTE PREVENTATIVE SERVICES THROUGH THEIR PAY FOUR PERFORMANCE (P4P)PROGRAM, PROP 56 AND OTHER PROGRAMS, 3) PROVIDED NO-COST SEASONAL FLU VACCINATIONS TO THE COMMUNITY, 4) EXPANDED AWARENESS OF THE SERVICES PROVIDED BY THE FAMILY CLINICS, 5) SUPPORTED REDLANDS UNIFIED SCHOOL DISTRICT BY PROVIDING EMPLOYEE TB SCREENINGS, 6)PROVIDED IN-PERSON AND TELEMEDICINE SERVICES DURING THE COVID-19 PANDEMIC, 7)EXPANDED SERVICES TO PREGNANT LOW-INCOME PATIENTS. FOR FISCAL YEAR 2022, REDLANDS AND YUCAIPA FAMILY CLINICS HAD 11,925 VISITS AND PERINATAL SERVICES HAD 2,922 VISITS.

4C (Expenses $ 139015508 including grants of $ 0) (Revenue $ 138075775)
SCHEDULE O FOR DESCRIPTION OF SERVICES THE HOSPITAL PROVIDESFOUNDED IN 1904, REDLANDS COMMUNITY HOSPITAL IS A NON-PROFIT, 229-BED HEALTHCARE FACILITY LOCATED IN THE EAST SAN BERNARDINO VALLEY OF SOUTHERN CALIFORNIA. THE HOSPITAL OFFERS ACUTE HEALTHCARE, DIAGNOSTIC AND HOME HEALTHCARE SERVICES. AS A COMMUNITY HOSPITAL, WE TAKE PRIDE IN OUR PERSONAL CARE AND COMPREHENSIVE, HIGH QUALITY SERVICES. OUR COMMUNITY SERVICE NURSES, EMERGENCY DEPARTMENT, FAMILY CLINICS, PERINATAL SERVICES PROGRAM, AND SEVERAL OTHER DEPARTMENTS THROUGHOUT THE HOSPITAL ARE INVOLVED IN OFFERING A VARIETY OF COMMUNITY SERVICES AND CHARITY CARE. PEOPLE FROM THROUGHOUT OUR LARGE SERVICE AREA DEPEND ON US FOR 24 HOUR EMERGENCY CARE, PROFESSIONAL HEALTHCARE AND A VARIETY OF COMMUNITY SERVICE OUTREACH PROGRAMS. ADDITIONALLY, RCH IN PARTNERSHIP WITH TWO LOCAL MEDICAL GROUPS, CONTRACTS WITH VARIOUS HEALTH PLANS TO PROVIDE FULL-SERVICE HEALTH CARE TO APPROXIMATELY 57,000 COMMUNITY MEMBERS ON A CAPITATED BASIS.

4D (Expenses $ 10235792 including grants of $ 4724090) (Revenue $ 95940927)
THE COMMUNITY CASE MANAGEMENT PROGRAM ADDRESSES THE NEEDS FOR AT-RISK, UNDERINSURED AND COMPLEX HEALTHCARE ISSUES AS WELL AS EDUCATION ON DISEASE MANAGEMENT AND COMMUNITY RESOURCES. THE PURPOSE OF THE COMMUNITY CASE MANAGEMENT IS TO PROVIDE HIGH-QUALITY SERVICE TO PEOPLE WHO DO NOT KNOW HOW TO NAVIGATE THE HEALTHCARE SYSTEM DUE TO FINANCIAL, CULTURAL, LIFESTYLE, OR PSYCHOLOGICAL BARRIERS. AN EQUALLY IMPORTANT FOCUS IS EMPOWERING THE PATIENT AND FAMILY WITH DISEASE SPECIFIC EDUCATION EMPHASIZING PROMOTION OF HEALTH, WELLNESS AND THE TOOLS NECESSARY TO PROMOTE INDIVIDUALIZED HEALTH CARE DECISION MAKING. GOALS AND OUTCOMES ACCOMPLISHED IN 2022:1. REFERRALS INCREASED BY 5% OVER THE PAST YEAR DUE TO THE COLLABORATIVE EFFORTS BETWEEN RCH AND EPIC MANAGEMENT JOINTLY FOCUSING ON IDENTIFYING AT RISK PATIENTS: OVER 133 PATIENTS WERE INVOLVED IN OUR COMMUNITY CASE MANAGEMENT PROGRAM.2. MET/EXCEEDED PATIENT EXPECTATIONS ESPECIALLY IN THE AREAS OF FACILITATING REFERRALS AND SECURING APPOINTMENTS, IN ADDITION TO ASSISTING THE PATIENT/FAMILY TO NAVIGATE THROUGH OUR HEALTH CARE SYSTEM.

REDLANDS COMMUNITY HOSPITAL
PART V, SECTION B, LINE 5: VOICES FROM THE COMMUNITY:THE HOSPITALS PARTICIPATING IN THE TWO-COUNTY ASSESSMENT WORKED TO IDENTIFY RELEVANT KEY INFORMANTS AND TOPICAL FOCUS GROUPS TO GATHER MORE INSIGHTFUL DATA AND AID IN DESCRIBING THE COMMUNITY. KEY INFORMANTS AND FOCUS GROUPS WERE PURPOSEFULLY CHOSEN TO REPRESENT MEDICALLY UNDER-SERVED, LOW-INCOME, OR MINORITY POPULATIONS IN OUR COMMUNITY, TO BETTER DIRECT OUR INVESTMENTS AND FORM PARTNERSHIPS. REDLANDS COMMUNITY HOSPITAL HOSTED A FOCUS GROUP ON DECEMBER 12, 2018. THERE WERE 15 HOSPITAL BOARD, VOLUNTEERS, AND FOUNDATION BOARD MEMBERS IN ATTENDANCE.AN ONLINE SURVEY IN ENGLISH AND SPANISH WAS CREATED AND DISTRIBUTED FOR GREATER COMMUNITY INPUT. IT SHOULD BE NOTED THAT THE SURVEY RESULTS ARE NOT BASED ON A STRATIFIED RANDOM SAMPLE OF RESIDENTS THROUGHOUT RIVERSIDE AND SAN BERNARDINO COUNTIES. THE PERSPECTIVES CAPTURED IN THIS DATA SIMPLY REPRESENT THE COMMUNITY MEMBERS WHO AGREED TO PARTICIPATE AND HAVE AN INTEREST IN HEALTH CARE. IN ADDITION, THIS ASSESSMENT RELIES ON SEVERAL NATIONAL AND STATE ENTITIES WITH PUBLICLY AVAILABLE DATA. ALL LIMITATIONS INHERENT IN THESE SOURCES REMAIN PRESENT FOR THIS ASSESSMENT.THE MOST FREQUENTLY MENTIONED HEALTH ISSUES AMONG THE FOCUS GROUPS, KEY INFORMANTS INTERVIEWS, AND SURVEYS INCLUDED MENTAL HEALTH AND ALCOHOL/DRUG SUBSTANCE ABUSE, TRANSPORTATION ESPECIALLY FOR THE SENIOR POPULATION, POVERTY AND FOOD INSECURITY, AFFORDABLE HOUSING AND HOMELESSNESS, EDUCATION AND AWARENESS, CHRONIC DISEASES, ACCESS TO HEALTHCARE, AND PREVENTATIVE HEALTH CARE.

REDLANDS COMMUNITY HOSPITAL
PART V, SECTION B, LINE 6A: FOR THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT REDLANDS COMMUNITY HOSPITAL (RCH) PARTICIPATED IN THE SECOND REGIONAL PROCESS HOSTED BY HASC. IN COLLABORATION WITH SEVEN HOSPITAL SYSTEMS, RCH WORKED COLLECTIVELY TO DESIGN THE OVERALL 2019 CHNA STRATEGY AND THE COORDINATION OF PRIMARY AND SECONDARY DATA COLLECTION. THE HOSPITALS THAT PARTICIPATED IN THE 2019 REGIONAL CHNA INCLUDED: DESERT REGIONAL MEDICAL CENTER HI-DESERT MEDICAL CENTER INLAND VALLEY MEDICAL CENTER JFK MEMORIAL HOSPITAL RANCHO SPRINGS MEDICAL CENTER REDLANDS COMMUNITY HOSPITAL SAN ANTONIO REGIONAL HOSPITAL MOUNTAINS COMMUNITY HOSPITAL

REDLANDS COMMUNITY HOSPITAL
PART V, SECTION B, LINE 7D: THE CHNA IS SUBMITTED TO THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) AND THEY MAKE IT AVAILABLE ON THE OSHPD WEBSITE.

REDLANDS COMMUNITY HOSPITAL
"PART V, SECTION B, LINE 11: PRIORITY AREAS OF FOCUS: REDLANDS COMMUNITY HOSPITAL CHOSE TO ADDRESS IN THE 2019 CHNA AND CONTINUED TO ADDRESS DURING 2021 ARE 1) ACCESS TO BEHAVIORAL. BEHAVIORAL HEALTH CARE IS A CRITICAL ISSUE THAT REMAINS A PRIORITY FOR THE HOSPITAL, AND MENTAL HEALTH AND ALCOHOL/DRUG SUBSTANCE ABUSE WAS A KEY FINDING WITH THE 2019 REGIONAL NEEDS ASSESSMENT. TO ADDRESS THE BEHAVIORAL HEALTH NEEDS OF THE COMMUNITY, THE HOSPITAL PROVIDES INPATIENT ACUTE PSYCHIATRIC SERVICES AS WELL AS AN OUTPATIENT PROGRAM. 2) ACCESS TO CLINICAL CARE AREAS WERE ALSO IDENTIFIED AS PRIORITY FOCUS AREAS, BEING ACCESS TO PRIMARY CARE AND ACCESS TO PRENATAL CARE.ACCESS TO BEHAVIORAL HEALTH: MENTAL ILLNESSES ARE COMMON IN THE UNITED STATES. ACCORDING TO INFORMATION PROVIDED BY THE NATIONAL INSTITUTE OF MENTAL HEALTH (NIMH), IN 2019, THERE WERE AN ESTIMATED 51.5 MILLION ADULTS IN THE UNITED STATES WITH A FORM OF MENTAL ILLNESS. THIS NUMBER HAS INCREASED FROM 19% OF ALL U.S. ADULTS IN 2017, TO 20.6% IN 2019. (TRANSFORMING THE UNDERSTANDING AND TREATMENT OF MENTAL ILLNESS, 2020). THE HIGH STIGMA AND CULTURAL ATTITUDES ABOUT BEHAVIORAL MEDICINE HAVE A SIGNIFICANT IMPACT ON WHETHER INDIVIDUALS SEEK HELP AND FOLLOW CARE PLANS IN A POPULATION WHERE THE SYMPTOMS ARE SEVERE, RECURRENT, AND FREQUENTLY CO-CONCURRENT WITH THE GROWING EPIDEMIC OF SUBSTANCE ABUSE. THE SHORTAGE OF MENTAL HEALTH PROFESSIONALS, FACILITIES, AND FINANCIAL RESOURCES NATIONWIDE MAKE BEHAVIORAL HEALTH PATIENT CARE A KEY SOCIETAL STRESSOR, AS IT NOT ONLY AFFECTS THE INDIVIDUAL BUT ALSO THE FAMILY UNIT AND THE COMMUNITY-AT-LARGE. INADEQUATE RESOURCES TO CARE FOR THIS PATIENT POPULATION NEGATIVELY AFFECTS LOCAL SERVICES: THE POLICE DEPARTMENT, FIRE DEPARTMENT, AMBULANCE SERVICES, AND EMERGENCY DEPARTMENTS SUFFER STRAIN AND IT COMPROMISES EFFECTIVE TREATMENT AND RECOVERY FOR PATIENTS. DEPENDING ON THE NEEDS OF THE PATIENT, THERE ARE THREE LEVELS OF CARE OFFERED BY THE BEHAVIORAL HEALTH PROGRAM AT REDLANDS COMMUNITY HOSPITAL. THE INPATIENT PROGRAM PROVIDES A RECOVERY-ORIENTED THERAPEUTIC SETTING THAT ALLOWS THE INDIVIDUAL WITH ACUTE SYMPTOMS TO BE IMMERSED IN THE TREATMENT ENVIRONMENT FOCUSED EXCLUSIVELY ON RECOVERY. INPATIENT TREATMENT TYPICALLY CONSISTS OF MEDICATION MANAGEMENT, A COMBINATION OF INDIVIDUAL AND GROUP COUNSELING, SUPPORT GROUPS, AND ADJUNCTIVE THERAPIES. THE PARTIAL HOSPITALIZATION DAY PROGRAM (PHP) IS A DAILY STRUCTURED PROGRAM OF PERSONALIZED GROUP THERAPY THAT CAN SERVE AS AN ALTERNATIVE TO INPATIENT HOSPITALIZATION OR AS A TRANSITION FROM THE HOSPITAL TO A COMMUNITY SETTING WHILE THE PATIENT CONTINUES TO LIVE AT HOME. THIS TREATMENT OPTION IS DESIGNED FOR THOSE WITHOUT ACUTE SYMPTOMS NECESSITATING INPATIENT ADMISSION. THE INTENSIVE OUTPATIENT (""IOP"") PROGRAM PROVIDES A STEP-DOWN TO A PART-TIME INTENSIVE SCHEDULE THAT INCLUDES INDIVIDUAL AND GROUP THERAPY DESIGNED TO ACCOMMODATE INDIVIDUALS WHO MAY HAVE PROFESSIONAL DUTIES OUTSIDE OF THE TREATMENT ENVIRONMENT, SUCH AS SCHOOL, WORK, OR FAMILY LIFE. GROUPS ARE SMALL AND GENERALLY DO NOT EXCEED 10 PEOPLE, ALLOWING FOR SUPPORTIVE TREATMENT IN A SAFE ENVIRONMENT. THE UNREIMBURSED COST OF THE BEHAVIORAL HEALTH PROGRAM IS ACCOUNTED FOR IN THE MEDICAL CARE COST.ACCESS TO CLINICAL CARE TO PROMOTE COMMUNITY HEALTH:THE HOSPITAL OWNS AND OPERATES TWO FAMILY CLINICS: REDLANDS FAMILY CLINIC AND YUCAIPA FAMILY CLINIC. THE GOAL OF THE FAMILY CLINICS IS TO PROVIDE HIGH-QUALITY, LOW COST HEALTH CARE SERVICES TO PEOPLE WHO DO NOT OTHERWISE HAVE ACCESS WHICH MAY BE DUE TO FINANCIAL, CULTURAL, LIFESTYLE, OR PSYCHOLOGICAL BARRIERS. AN EQUALLY IMPORTANT GOAL IS TO PROVIDE DISEASE SPECIFIC PATIENT/FAMILY EDUCATION, WITH EMPHASIS ON PROMOTING HEALTH AND WELLNESS, AND THE SUPPORT NECESSARY TO PROMOTE INDIVIDUALIZED HEALTH CARE DECISION MAKING. OUR ONGOING OBJECTIVES ARE TO: 1) PROVIDE AN OPPORTUNITY FOR LOW INCOME, THE UNINSURED AND UNDERINSURED TO RECEIVE PRIMARY AND PREVENTIVE CARE, EARLY MEDICAL PROBLEM IDENTIFICATION AND TREATMENT AND ACCESS TO HEALTH CARE RESOURCES; 2) REDUCE DISPARITY IN HEALTH CARE SERVICES WITHIN THE COMMUNITY; 3) DEVELOP HEALTH RELATED PROGRAMS AND ENHANCE THE QUALITY OF SERVICES PROVIDED; 4) PROVIDE HEALTH CARE FOR ALL AGES, CHILDREN TO THE ELDERLY; 5) ASSIST WITH THE APPLICATION PROCESS AND OBTAINING ELIGIBILITY FOR PUBLIC ASSISTANCE PROGRAMS; 6) PROVIDE AND PROMOTE COMMUNITY RESOURCES; AND, 7) PROVIDE AND FACILITATE COMMUNITY HEALTH SERVICES SUCH AS FLU SHOTS AND OTHER HEALTH CARE SCREENINGS.THE COMPREHENSIVE PERINATAL SERVICES PROGRAM (CPSP) PROVIDES A VARIETY OF SERVICES AND EDUCATION TO WOMEN PRIOR TO DELIVERY AND UP TO SIXTY DAYS AFTER DELIVERY. GOALS OF THE PROGRAM ARE TO DECREASE THE INCIDENCE OF LOW BIRTH WEIGHT IN INFANTS, TO IMPROVE THE OUTCOME OF EVERY PREGNANCY, TO GIVE EVERY BABY A HEALTHY START IN LIFE AND TO LOWER HEALTH CARE COSTS BY PREVENTING CATASTROPHIC AND CHRONIC ILLNESS IN INFANTS AND CHILDREN. THE COMPREHENSIVE PERINATAL SERVICES PROGRAM IS A MEDICAL SPONSORED PROGRAM FOR WOMEN WHO ARE PREGNANT AND ARE ENROLLED IN STRAIGHT MEDI-CAL OR A MEDI-CAL MANAGED CARE PLAN. THE DIABETES AND PREGNANCY EDUCATION PROGRAM PROVIDES EDUCATION, EVALUATION AND INTERVENTION FOR PREGNANT WOMEN WITH DIABETES OR FOR WOMEN WITH DIABETES PLANNING TO BECOME PREGNANT. THE GOAL OF THE PROGRAM IS TO IMPROVE PREGNANCY OUTCOMES FOR WOMEN AND TO REDUCE FETAL DEATHS AND NEONATAL AND MATERNAL COMPLICATIONS. SERVICES INCLUDE AN INITIAL EVALUATION AND FOLLOW-UP BY A REGISTERED NURSE AND DIETICIAN. THE BREASTFEEDING PROGRAM PROVIDES BREASTFEEDING EDUCATION AND SUPPORT FOR GROUPS, AND INDIVIDUAL ONE-ON-ONE EDUCATION. THE CHILDBIRTH PREPARATION COURSES PREPARE THE PREGNANT WOMEN AND FAMILY FOR CHILDBIRTH. CLASSES ARE DESIGNED TO PROVIDE PRACTICAL AND USEFUL TOOLS IN PREPARATION OF CHILDBIRTH.AFTER EVALUATING ACCESS DEMAND AND CAPACITY OF PATIENT FLOW THROUGH THE HOSPITAL'S EMERGENCY DEPARTMENT, THE HOSPITAL HAS SIGNIFICANTLY EXPANDED THE EMERGENCY DEPARTMENT."

REDLANDS COMMUNITY HOSPITAL
PART V, SECTION B, LINE 13B: RCH USES THE FEDERAL POVERTY GUIDELINES (FPG), WITH FPG FAMILY INCOME LIMIT FOR ELIGIBILITY FOR FREE CARE OF 299% AND FPG FAMILY INCOME LIMIT FOR DISCOUNTED CARE OF 400%.

REDLANDS COMMUNITY HOSPITAL
PART V, SECTION B, LINE 18E: REDLANDS COMMUNITY HOSPITAL MAKES NUMEROUS EFFORTS TO DETERMINE THE INDIVIDUAL'S ELIGIBILITY UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. REDLANDS COMMUNITY HOSPITAL DID NOT TAKE ANY EXTRAORDINARY MEASURES AND MAKES A REASONABLE EFFORT TO DETERMINE THE INDIVIDUAL'S ELIGIBILITY.

PART V, LINE 16A, FAP WEBSITE:
HTTPS://WWW.REDLANDSHOSPITAL.ORG/PATIENT-VISITORS/FOR-PATIENTS/INSURANCE-BILLING/FINANCIAL-ASSISTANCE-POLICY-FAP-/

PART V, LINE 16B, FAP APPLICATION WEBSITE:
HTTPS://WWW.REDLANDSHOSPITAL.ORG/PATIENT-VISITORS/FOR-PATIENTS/INSURANCE-BILLING/FINANCIAL-ASSISTANCE-POLICY-FAP-/

PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:
HTTPS://WWW.REDLANDSHOSPITAL.ORG/PATIENT-VISITORS/FOR-PATIENTS/INSURANCE-BILLING/FINANCIAL-ASSISTANCE-POLICY-FAP-/

PART VI, LINE 5 CONTINUATION:
SENIOR CITIZEN ACTIVITIES: IN CONJUNCTION WITH THE JOCELYN SENIOR CENTER, THE HOSPITAL FUNDED SEVERAL SENIOR CITIZEN NEWSLETTERS THAT WERE MAILED TO SENIORS THROUGHOUT VARIOUS COMMUNITIES. THE HOSPITAL SPONSORED HEALTH INFORMATION BULLETIN BOARDS LOCATED AT THREE SENIOR CENTERS IN THE AREA. MARKETING/PUBLIC RELATIONS AND OTHER HOSPITAL DEPARTMENTS PRESENTED HEALTH PROGRAMS TO SENIOR GROUPS. EDUCATION TOPICS INCLUDED HEART DISEASE, HIGH BLOOD PRESSURE (HYPERTENSION), AND DIABETES PREVENTION AND TREATMENT. THE HOSPITAL SPONSORED SPECIAL PROGRAMS, OFFERING LUNCH OR DINNER, AND A PRESENTATION BY HOSPITAL STAFF ON VARYING HEALTH TOPICS, FOR SENIORS AT VARIOUS SENIOR CENTERS E.G., REDLANDS COMMUNITY SENIOR CENTER. THE HOSPITAL OFFERED A VARIETY OF HEALTH SCREENINGS SUCH AS EYE VISION TESTING AND BLOOD PRESSURE SCREENINGS.CHARITY CARE AND EMERGENCY DEPARTMENT SERVICES: NO INDIVIDUAL WITH URGENT HEALTH CARE NEEDS IS TURNED AWAY FROM THE HOSPITAL'S EMERGENCY DEPARTMENT DUE TO AN INABILITY TO PAY. ADMITTING CLERKS SEEK TO OBTAIN HEALTH INSURANCE INFORMATION OR MEDI-CAL COVERAGE. AFTER ALL AVENUES OF FINANCIAL PAYMENT ARE EXHAUSTED, CHARITY CARE IS PROVIDED.COMMUNITY OUTREACH/CO-SPONSORED OR SUPPORTED EVENTS: - BLOOD DRIVES- SPONSORED A MONTHLY BLOOD DRIVE EVENT IN COLLABORATION WITH LIFESTREAM BLOOD BANK - RUN THROUGH REDLANDS EVENT PROVIDED FIRST AID TREATMENT AND WATER STATIONS TO PARTICIPANTS OF THE EVENT. - YMCA CHILDREN'S HEALTH EDUCATION- INCLUDING PARTICIPATION IN THEIR ANNUAL KIDS CARE FAIR - STROKE SUPPORT GROUP- PROVIDED A MEETING PLACE MONTHLY FOR STROKE SURVIVORS - THE BELIEVE WALK EVENT- INCLUDING PARTICIPATION IN THEIR ANNUAL KIDS CARE FAIR - EMERGENCY MEDICAL SERVICES APPRECIATION DAY - EMERGENCY RESPONSE PERSONNEL, INCLUDING PERSONNEL FROM THE REDLANDS POLICE DEPARTMENT, REDLANDS FIRE DEPARTMENT, AND AMERICAN MEDICAL RESPONSE - COMMUNITY OUTREACH (FAMILY SERVICE ASSOCIATION)- THROUGHOUT THE YEAR, REDLANDS COMMUNITY HOSPITAL CONTINUED TO SERVE THE NEEDY WITHIN THE COMMUNITY BY: - HOSPITAL-WIDE FOOD AND TOY DRIVES - THANKSGIVING BASKET FOOD DRIVE COMMUNITY HEALTH EDUCATION LECTURES THROUGHOUT THE YEAR, THE HOSPITAL ORGANIZED AND SUPPORTED COMMUNITY HEALTH EDUCATION AWARENESS PROGRAMS, INCLUDING: GRIEF RECOVERY CLASSES ADULT CPR CLASSES IN SAN BERNARDINO AND RIVERSIDE COUNTY INFANT CPR FOR NEW PARENTS STROKE SUPPORT GROUP VARIOUS HEALTH-RELATED TOPICS SUCH AS: - HANDLING THE HOLIDAYS - GRIEF SEMINAR - THE SPINE AND JOINT DISEASE EDUCATIONAL SEMINARS - HEART HEALTH EDUCATION - ALTERNATIVE PAIN METHOD SEMINARS - DIABETES EDUCATION COMMUNITY LECTURE - BREAST CANCER AWARENESS- WOMEN'S HEALTH LECTURE - INFECTION PREVENTION COMMUNITY LECTURE - SIGNS AND SYMPTOMS FOR STOKE HEATH LECTURES - ADVANCED TREATMENT FOR GYNECOLOGICAL DISEASES COMMUNITY LECTURE HOSPITAL STAFF SPOKE AT VARIOUS COMMUNITY MEETINGS ON TOPICS RANGING FROM HEALTHCARE, TO EXPANDING HOSPITAL FACILITIES TO MEET THE GROWING DEMAND FOR HEALTH-RELATED SERVICES.VOLUNTEER SERVICES THE VOLUNTEER PROGRAM ADDS ANOTHER DIMENSION OF CARE WITHIN THE HOSPITAL SETTING AND ULTIMATELY THE COMMUNITY. THE PROGRAM HAS FAR-REACHING AFFECTS BOTH WITHIN AND OUTSIDE THE HOSPITAL'S WALLS. INTERNALLY, THE VOLUNTEERS TOUCH THE LIVES OF THE PATIENTS AND THEIR FAMILIES PROVIDING COMFORT AND SUPPORT; THEY RELIEVE STAFF OF VOLUNTEER APPROPRIATE DUTIES AND PROVIDE THEMSELVES A MECHANISM TO FEEL USEFUL AND GIVE TO THEIR COMMUNITY. AS ONE EXAMPLE OF THEIR COMMUNITY SERVICE, VOLUNTEERS ASSISTED PATIENTS IN VOTING IN NATIONAL AND REGIONAL ELECTIONS. THIS INVOLVED IDENTIFYING PATIENTS HOSPITALIZED ON ELECTION DAY WHO HAVE NOT YET VOTED, COORDINATING A BALLOT PREPARED THROUGH THE REGISTRAR OF VOTERS, AND THE DELIVERY OF COMPLETED BALLOTS TO AN APPROVED DROP-OFF SITE. THIS VALUABLE SERVICE ENSURED PATIENTS HAD THE OPPORTUNITY TO PARTICIPATE IN THIS VERY IMPORTANT PROCESS. EXTERNALLY, VOLUNTEERS WERE ACTIVE COMMUNITY MEMBERS WHO REPRESENTED THE HOSPITAL BY SUPPORTING COMMUNITY FUNCTIONS AND DEVELOPING PROGRAM PARTNERSHIPS. EARLY IN 2020, CHALLENGES WERE CREATED DUE TO THE COVID-19 PANDEMIC AND INCLUDED THE SUSPENSION OF THE VOLUNTEER PROGRAM WITHIN THE HOSPITAL. AS A RESULT, VOLUNTEERS SUPPORTED HOSPITAL RELATED PROJECTS AND SERVICES IN NEW AND CREATIVE WAYS, INCLUDING: - PROVIDING SUPPORT TO STAFF AND RESIDENTS AT ON-SITE COVID VACCINE CLINICS AND CALL CENTERS; - FOOD AND GROCERY DELIVERY TO ISOLATED INDIVIDUALS - CUTTING OF MATERIAL FOR USE IN CLEANING AGENTS (> 5,000) - PROVIDING PERSONAL NOTES AND GREETINGS CARDS FOR HOSPITAL PATIENTS AND ISOLATED COMMUNITY MEMBERS; - PERFORMING OUTREACH TO ISOLATED INDIVIDUALS; - SEWING QUILTS FOR NICU ISOLETTES AND HOSPICE PATIENTS; - RETURN OF NON-CLINICAL VOLUNTEER SERVICES IN SUCH AREAS AS GIFT SHOP, PARKING LOT SHUTTLE SERVICES, AND CLERICAL AREAS AIDING STAFF, VISITORS AND GUESTS

PART I, LINE 7:
COST-TO-CHARGE RATIOS WERE USED IN DETERMINING COST. IN ADDITION, FOR MEDICARE RELATED COST, THE STEP-DOWN METHOD OF COST FINDING WAS USED. FOR THIS METHOD, ALL COSTS OF NON-REVENUE PRODUCING CENTERS ARE ALLOCATED TO ALL CENTERS WHICH THEY SERVE, REGARDLESS OF WHETHER OR NOT THESE CENTERS PRODUCE REVENUE.

PART II, COMMUNITY BUILDING ACTIVITIES:
HOSPITAL EMPLOYEES SPENT APPROXIMATELY 4,093 HOURS ORGANIZING NUMEROUS COMMUNITY VACCINATION CLINICS, VIRTUAL GRIEF SUPPORT EVENTS, HEALTH FAIRS, BLOOD DRIVES AND BENEFIT EVENTS THAT SUPPORT ILL AND INDIGENT MEMBERS OF THE COMMUNITY. IN ADDITION, THEY PROVIDED HOLIDAY BASKETS FOR SENIORS, HIGH SCHOOL STUDENT ADVISORY PROGRAMS AS WELL AS CPR AND SAFETY CLASSES TO MEMBERS OF THE COMMUNITY.

PART III, LINE 4:
PRIOR TO ADOPTION OF TOPIC 606 IN 2019, NET PATIENT SERVICE REVENUE IS REDUCED BY THE PROVISION FOR BAD DEBTS AND ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. THESE AMOUNTS ARE BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED COLLECTIONS FOR EACH MAJOR PAYOR SOURCE, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THE ORGANIZATION ADOPTED TOPIC 606 DURING FYE SEPTEMBER 30, 2019 FINANCIAL STATEMENT REPORTING.

PART III, LINE 8:
INDIVIDUALS 65 YEARS AND OLDER ARE THE FASTEST GROWING AGE GROUP IN REDLANDS COMMUNITY HOSPITAL'S PRIMARY SERVICE AREA, WITH PROJECTED GROWTH ESTIMATED AT 13.1% OVER THE NEXT 5 YEARS. PROVIDING NECESSARY HEALTHCARE SERVICES TO THIS GROWING POPULATION OF MEDICARE BENEFICIARIES IS ESSENTIAL TO PROMOTING THE HEALTH OF THE COMMUNITY AS A WHOLE. HOSPICE REVENUE OF $2,775,770 IS FROM THE PS&R REPORT. REVENUE DERIVED FROM FEE REIMBURSED MEDICARE SERVICES, NOT INCLUDED IN THE COST REPORT, WAS $326,031 AND THE ASSOCIATED COST OF THESE SERVICES WAS $530,331 CREATING A SHORTFALL OF ($204,299). IN ADDITION, REVENUE FROM SERVICES PROVIDED TO NON-RCH CAPITATED SENIOR HMO PATIENTS WAS $55,901,771 WITH ASSOCIATED COSTS OF $90,382,800 FOR A SHORTFALL OF $30,481,029.THE STEP-DOWN METHOD OF COST FINDING WAS USED. ALL COSTS OF NON-REVENUE PRODUCING CENTERS ARE ALLOCATED TO ALL CENTERS WHICH THEY SERVE, REGARDLESS OF WHETHER OR NOT THESE CENTERS PRODUCE REVENUE.

PART III, LINE 9B:
IF A PATIENT DEMONSTRATES THAT THEY HAVE INCOME LEVELS AT OR BELOW 400% OF THE FEDERAL POVERTY LIMIT, THEY WOULD BE SCREENED FOR CHARITY CARE AND TAKEN OUT OF THE COLLECTION PROCESS PROVIDED THEY COMPLETED OUR CHARITY CARE APPLICATION AND SUBMITTED THE REQUIRED VERIFICATION AND DOCUMENTATION TO SUPPORT THEIR CLAIM.

PART VI, LINE 2:
NEEDS ASSESSMENT: SEE RESPONSE TO COMMUNITY NEEDS ASSESSMENT, PART V, SECTION B, LINE 3.

PART VI, LINE 3:
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: ALL SELF PAY PATIENTS RECEIVE INFORMATION REGARDING OUR FINANCIAL ASSISTANCE AND DISCOUNT POLICIES AT THE TIME OF TREATMENT AT OUR FACILITY. THEY ARE ALSO PROVIDED WITH INFORMATION REGARDING ANY POSSIBLE FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAM THAT THEY MAY BE ELIGIBLE FOR AT THE TIME OF ADMISSION. ADDITIONALLY THEY RECEIVE DUPLICATES OF THIS INFORMATION AT THE TIME OF 1ST BILLING. SIGNS REGARDING OUR POLICY ARE PLACED THROUGHOUT THE FACILITY IN AN ATTEMPT TO INFORM PATIENTS AND THEIR FAMILIES ABOUT OUR ASSISTANCE PROGRAMS.

PART VI, LINE 4:
COMMUNITY INFORMATION: LOCATED IN THE MOST DENSELY POPULATED AREA OF SAN BERNARDINO COUNTY, COMMUNITIES IDENTIFIED AS BEING IN THE PRIMARY SERVICE AREA OF THE HOSPITAL ARE BANNING, BEAUMONT, CALIMESA, HIGHLAND, LOMA LINDA, MENTONE, REDLANDS, AND YUCAIPA. THE SECONDARY SERVICE AREA IS COMPRISED OF THE CITIES OF COLTON, CRESTLINE, FONTANA, GRAND TERRACE, RIALTO, SAN BERNARDINO, AND SEVERAL MOUNTAIN COMMUNITIES. THE HISPANIC POPULATION CONTINUES TO BE THE FASTEST GROWING POPULATION IN OUR PRIMARY SERVICE AREA. THE HISPANIC POPULATION IN OUR PRIMARY SERVICE AREA IS ESTIMATED AT 33%, AND IS PROJECTED TO INCREASE TO 3.9% OVER THE NEXT 5 YEARS. THE PERCENTAGE OF THE POPULATION OVER THE AGE OF 65 IN THE PRIMARY SERVICE AREA IS ESTIMATED TO INCREASE 13.1% OVER THE NEXT FIVE YEARS. THIS GROWTH WILL REQUIRE SUSTAINED HEALTHCARE SERVICES AND AVAILABILITY. THE POPULATION GROWTH IN OUR PRIMARY SERVICE AREA IS EXPECTED TO GROW BY 3.7% OVER THE NEXT FIVE YEARS. THE PRIMARY SERVICE AREA MEDIAN AND AVERAGE HOUSEHOLD INCOMES ARE EXPECTED TO CONTINUE TO BE BELOW THOSE OF THE STATE THROUGH 2027.

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COMMUNITY BASED PRIMARY CARE: REDLANDS COMMUNITY HOSPITAL OPERATES TWO FAMILY CLINICS, ONE IN REDLANDS AND ONE IN YUCAIPA, WHOSE GOAL IS TO PROVIDE HIGH-QUALITY, LOWCOST HEALTHCARE SERVICES TO PEOPLE WHO DO NOT OTHERWISE HAVE ACCESS WHICH MAY BE DUE TO FINANCIAL, CULTURAL, LIFESTYLE, OR PSYCHOLOGICAL BARRIERS. THE CLINICS PROVIDE INDIVIDUALIZED PATIENT/FAMILY EDUCATION, WITH EMPHASIS ON PROMOTING HEALTH AND WELLNESS.PERINATAL SERVICES (MATERNAL/INFANT HEALTH): THE COMMUNITY BASED PERINATAL SERVICES PROGRAM PROVIDES A VARIETY OF SERVICES PRIOR TO AND AFTER DELIVERY WITH GOALS OF IMPROVING THE OUTCOME OF EVERY PREGNANCY TO GIVE EVERY BABY A HEALTHY START IN LIFE.THE DIABETES AND PREGNANCY EDUCATION PROGRAM PROVIDES EDUCATION, EVALUATION AND INTERVENTION FOR PREGNANT WOMEN WITH DIABETES OR FOR WOMEN WITH DIABETES PLANNING TO BECOME PREGNANT.COMMUNITY CASE MANAGEMENT SERVICES INCLUDE IN-HOME ASSESSMENT OF NEEDS, DEVELOPMENT OF A PLAN OF CARE SPECIFYING GOALS WITH IMPLEMENTATION AND COLLABORATION WITH TEAM MEMBERS, AND EDUCATION OF PATIENT/FAMILY TO ENABLE SUCCESSFUL MANAGEMENT OF CARE.PASTORAL SERVICES AT REDLANDS COMMUNITY HOSPITAL SUPPORT A PART-TIME AND A PER DIEM CHAPLAIN. THE CHAPLAIN SERVES IN THE INTENSIVE CARE UNIT, EMERGENCY AND BEHAVIORAL HEALTH DEPARTMENT'S CLINICAL TEAM, BIO-ETHICS COMMITTEE AND PROVIDES SPIRITUAL ASSESSMENT AND SUPPORT FOR PATIENTS AND FAMILIES.HOMELESS PATIENT DISCHARGE PLANNING SERVICES PROVIDE MEDICAL EXAMINATIONS AND SCREENINGS, MEALS, TRANSPORTATION, CLOTHING AND PRESCRIPTIONS ARE FREE OF COST WITH A GOAL OF IMPROVING HEALTH CARE FOR THE HOMELESS POPULATION BY PROVIDING DIRECT CARE AND LINKAGE TO FOLLOW-UP SERVICES WITHIN THE COMMUNITY.REDLANDS COMMUNITY HOSPITAL PARTICIPATED IN NUMEROUS HEALTH FAIRS, HEALTH SCREENING AND FREE IMMUNIZATION PROGRAMS FOR THE COMMUNITY.

PART VI, LINE 7, REPORTS FILED WITH STATES
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