4A (Expenses $ 87640451 including grants of $ 6000) (Revenue $ 101753787)
SEE SCHEDULE O

SCHEDULE H, PART V, SECTION B, 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, SECTION B, LINE 5
IN CONDUCTING ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), SUTTER COAST HOSPITAL (SCH) DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA (HSA). INPUT FROM THE COMMUNITY SERVED BY SCH WAS COLLECTED THROUGH TWO MAIN MECHANISMS. FIRST, KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH COMMUNITY HEALTH EXPERTS AND AREA SERVICE PROVIDERS (I.E., MEMBERS OF SOCIAL SERVICE NONPROFIT ORGANIZATIONS AND RELATED HEALTHCARE ORGANIZATIONS). THESE INTERVIEWS OCCURRED IN BOTH ONE-ON-ONE AND IN GROUP INTERVIEW SETTINGS BETWEEN JULY AND SEPTEMBER 2018. SECOND, FOCUS GROUPS WERE CONDUCTED WITH COMMUNITY RESIDENTS THAT WERE IDENTIFIED AS POPULATIONS EXPERIENCING DISPARITIES. 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. ALL INTERVIEW DATA WERE COLLECTED THROUGH NOTE TAKING AND, IN SOME INSTANCES, RECORDING. PRIMARY DATA COLLECTION WITH KEY INFORMANTS INCLUDED TWO PHASES. FIRST, PHASE ONE BEGAN BY INTERVIEWING AREA-WIDE SERVICE PROVIDERS WITH KNOWLEDGE OF THE SERVICE AREA, INCLUDING INPUT FROM THE DESIGNATED PUBLIC HEALTH DEPARTMENT. DATA FROM THESE AREA-WIDE INFORMANTS, COUPLED WITH SOCIO-DEMOGRAPHIC DATA, WAS USED TO IDENTIFY ADDITIONAL KEY INFORMANTS FOR THE ASSESSMENT THAT WERE INCLUDED IN PHASE TWO. AS A PART OF THE INTERVIEW PROCESS, ALL KEY INFORMANTS WERE ASKED TO IDENTIFY VULNERABLE POPULATIONS. THE INTERVIEWER ASKED EACH PARTICIPANT TO VERBALLY EXPLAIN WHAT VULNERABLE POPULATIONS EXISTED IN THE COUNTY. AS NEEDED FOR A VISUAL AID, KEY INFORMANTS WERE PROVIDED A MAP OF THE HSA TO DIRECTLY POINT TO THE GEOGRAPHIC LOCATIONS OF THESE VULNERABLE COMMUNITIES. ADDITIONAL KEY INFORMANT INTERVIEWS WERE FOCUSED ON THE GEOGRAPHIC LOCATIONS AND/OR SUBGROUPS IDENTIFIED IN THE EARLIER PHASE. FOCUS GROUP INTERVIEWS WERE CONDUCTED WITH COMMUNITY MEMBERS LIVING IN GEOGRAPHIC AREAS OF THE SERVICE AREA IDENTIFIED AS LOCATIONS OR POPULATIONS EXPERIENCING A DISPARATE AMOUNT OF POOR SOCIOECONOMIC CONDITIONS AND POOR HEALTH OUTCOMES. RECRUITMENT CONSISTED OF REFERRALS FROM DESIGNATED SERVICE PROVIDERS REPRESENTING VULNERABLE POPULATIONS, AS WELL AS DIRECT OUTREACH TO SPECIAL POPULATION GROUPS. THE FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN SUTTER COAST HOSPITAL'S CHNA ARE AVAILABLE AT HTTPS://WWW.SUTTERHEALTH.ORG/ FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT Schedule H, Part V, Section B, Line 6 NO OTHER HOSPITALS COLLABORATED ON THE 2019 CHNA OF SUTTER COAST HOSPITAL, MAINLY DUE TO THE RURAL LOCATION AND GEOGRAPHY OF THE HOSPITAL.

SCHEDULE H, PART V, SECTION B, LINE 7A, 7B, 10A
FILING ORGANIZATION WEBSITE: HTTP://WWW.SUTTERCOAST.ORG/ABOUT/INDEX.HTML OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/ FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT

SCHEDULE H, PART V, SECTION B, LINE 11
THE FOLLOWING SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT ARE NEEDS THAT SUTTER COAST HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: - ACCESS TO QUALITY PRIMARY HEALTHCARE SERVICES - ACCESS TO MENTAL/BEHAVIORAL/SUBSTANCE ABUSE SERVICES - ACCESS TO BASIC NEEDS SUCH AS HOUSING, JOBS, AND FOOD - ACCESS TO MEETING FUNCTIONAL NEEDS (TRANSPORTATION AND PHYSICAL MOBILITY) - ACCESS TO SPECIALTY AND EXTENDED CARE 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 COAST HOSPITAL IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT: - INJURY AND DISEASE PREVENTION AND MANAGEMENT - WHILE SCH WILL NOT SPECIFICALLY ADDRESS THIS AREA, WE WILL IMPROVE ACCESS TO PRIMARY AND SPECIALTY CARE. THIS IN TURN WILL ALLOW MORE PATIENTS TO BETTER PREVENT AND MANAGE THEIR CHRONIC CONDITIONS. - ACCESS TO ACTIVE LIVING AND HEALTHY EATING - DUE TO LIMITED CAPACITY AND RESOURCES WE WILL NOT BE FOCUSED ON THIS AREA. - SAFE AND VIOLENCE-FREE ENVIRONMENT - DUE TO LIMITED CAPACITY AND RESOURCES WE WILL NOT BE FOCUSED ON THIS AREA. - ACCESS TO DENTAL CARE AND PREVENTATIVE SERVICES - DUE TO LIMITED CAPACITY AND RESOURCES WE WILL NOT BE FOCUSED ON THIS AREA. - POLLUTION-FREE LIVING ENVIRONMENT - DUE TO LIMITED RESOURCES AND ABILITY TO IMPACT ENVIRONMENTAL POLICIES, THE HOSPITAL DOES NOT INTEND TO DIRECTLY ADDRESS THIS HEALTH ISSUE AT THIS TIME.

SCHEDULE H, PART V, SECTION B, 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, SECTION B, LINES 16A, 16B, & 16C
THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER COAST HOSPITAL WEBSITE AT: HTTP://WWW.SUTTERHEALTH.ORG/COAST/FOR-PATIENTS/FINANCIAL-ASSISTANCE

SCHEDULE H, PART V, SECTION B LINE 16J
MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITAL'S SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE ORGANIZATION IN THE PRINCIPAL NEWSPAPER IN THE COMMUNITY OR WHEN DOING SO IS NOT PRACTICAL SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THE INFORMATION OR USE OTHER MEANS THAT WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY. SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE.

SCHEDULE H, PART V, SECTION B, 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 PATIENT'S FAMILY INCOME.

SCHEDULE H, PART I, LINE 3B
SUTTER COAST HOSPITAL IS COMMITTED TO PROVIDING CHARITY CARE AND THEREFORE, PROVIDES FREE CARE AT HIGH PERCENTAGE OF FPG. THE ORGANIZATION DOES NOT PROVIDE DISCOUNTED CARE.

SCHEDULE H, PART I, LINE 6A
SUTTER HEALTH (EIN: 94-2788907), A RELATED ORGANIZATION, PREPARES A COMBINED COMMUNITY BENEFIT REPORT.

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

SCHEDULE H, PART I, LINE 7G
THE AMOUNT OF COSTS ASSOCIATED WITH PHYSICIAN CLINICS IS $5,792,655. SCHEDULE H, PART II COMMUNITY BUILDING SUTTER COAST HOSPITAL DID NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES TO REPORT IN 2021. 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, SECTION B, LINE 7 MEDICARE COSTS: MEDICARE COST REPORTS THAT THE ORGANIZATION FILES DO NOT INCLUDE ALL OF THE COSTS REQUIRED TO TREAT MEDICARE PATIENTS. SCHEDULE H, PART III, SECTION B, LINE 8 COSTING METHODOLOGY: MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO.

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

SCHEDULE H, PART VI, LINE 2
THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2019 - 2021 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED.

SCHEDULE H, PART VI, LINE 4
SUTTER COAST HOSPITAL IS LOCATED IN CRESCENT CITY, CALIFORNIA, A COASTAL COMMUNITY LOCATED IN DEL NORTE COUNTY, WHICH SITS ON THE NORTHWEST CALIFORNIA/OREGON BORDER. THE COMMUNITY SERVED BY SCH, OR THE HOSPITAL SERVICE AREA (HSA), WAS DEFINED BY FIVE ZIP CODES 95531, 95543, 95548, 95567, AND 97415. THIS AREA WAS IDENTIFIED AS THE HSA BECAUSE MOST OF SCH'S PATIENTS RESIDED IN THESE ZIP CODES. ALL ZIP CODES ARE LOCATED IN CALIFORNIA (DEL NORTE COUNTY) EXCEPT 97415, WHICH COVERS THE COMMUNITIES OF BROOKINGS AND HARBOR, LOCATED IN SOUTHERN CURRY COUNTY, OR (CURRY COUNTY). SUTTER COAST HOSPITAL IS THE ONLY HOSPITAL SERVING THE COMMUNITY. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE SUTTER COAST HOSPITAL CHNA AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/ COMMUNITY-HEALTH-NEEDS-ASSESSMENT

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

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

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

SCHEDULE H, PART VI, LINE 5
"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. THE 2019 - 2021 IMPLEMENTATION STRATEGY FOR SUTTER COAST HOSPITAL DEFINES A VARIETY OF PROGRAMS AND PARTNERSHIPS THAT ADDRESS IDENTIFIED PRIORITY HEALTH NEEDS AND IMPROVES THE OVERALL HEALTH OF THE COMMUNITY IT SERVES. A FEW OF THOSE PROGRAMS AND PARTNERSHIPS ARE DESCRIBED BELOW, ORGANIZED BY SIGNIFICANT HEALTH NEED: PROGRAMS ADDRESSING ACCESS TO QUALITY PRIMARY HEALTHCARE SERVICES RECRUITMENT AND RETENTION OF PRIMARY CARE PROVIDERS ACCESS TO PRIMARY CARE SERVICES IS DIRECTLY TIED TO RETENTION AND RECRUITMENT. FREQUENTLY, THE IMPORTANCE OF RETENTION IS OVERLOOKED. RETAINING COMMUNITY PROVIDERS IMPROVES ACCESS TO PRIMARY CARE SERVICES. IN 2021, UTILIZED VARIOUS DATA SOURCES TO DISCERN AND IDENTIFY TACTICS WHICH INCREASE THE LIKELIHOOD OF RETAINING PRIMARY CARE PROVIDERS; E.G., INCREASING CONNECTION OF THE SCHOOL DISTRICT FOR PROVIDERS WITH CHILDREN; CONNECTING NEW PROVIDERS (AND CURRENT) WITH THE CHAMBER/VISITORS BUREAU TO GET MORE INGRAINED INTO THE COMMUNITY; LOOKING AT SOCIAL CAPITAL AND THE OPPORTUNITIES FOR SPOUSES OF PROVIDERS TO HAVE ENHANCED OPPORTUNITIES IN THE LOCAL JOB MARKET. REVIEWED EXIT SURVEYS OF PROVIDERS LEAVING THE COMMUNITY TO DEVELOP AN APPROPRIATE RETENTION PLAN. IN 2021, SUTTER COAST HOSPITAL RECRUITED 1 PRIMARY CARE PHYSICIAN (FAMILY MEDICINE) WHO BEGAN PRACTICING IN 2021. PROGRAMS ADDRESSING ACCESS TO MENTAL/BEHAVIORAL/SUBSTANCE ABUSE SERVICES SUICIDE RISK ASSESSMENT ASSESSING PATIENTS THAT COME TO SCH TO IDENTIFY IF THEY ARE ACTIVELY AT RISK FOR SUICIDE AND CONNECTING THEM TO MENTAL AND BEHAVIORAL HEALTH SERVICES. GOAL OF THE PROGRAM IS TO IDENTIFY AND CONNECT THOSE INDIVIDUALS EXPERIENCING SUICIDAL IDEATIONS WITH SERVICES TO ASSIST THEM IN STAYING SAFE. EARLY AND ONGOING ASSESSMENTS TO IDENTIFY IF A PATIENT IS AT HIGH RISK FOR SUICIDE WILL HELP PREVENT SUICIDE AS WELL AS IDENTIFY PATIENTS WHO ARE INNEED OF ADDITIONAL SERVICES THAT CAN THEN BE PROVIDED. 2021 IMPACT: SUICIDE RISK ASSESSMENTS ARE IN PLACE FOR PATIENTS COMING INTO THE ED AND IN-PATIENT UNITS. THESE ASSESSMENTS ALLOW FOR EARLY AND ONGOING ASSESSMENT OF PATIENTS WHO ARE AT HIGH RISK FOR SUICIDE. SUTTER COAST IS PARTNERING WITH DEL NORTE COUNTY MENTAL AND BEHAVIORAL HEALTH TO HELP IN IDENTIFYING ADDITIONAL SERVICES FOR THE PATIENTS. PSYCHIATRIC SERVICES IN COLLABORATION WITH OTHER COMMUNITY AGENCIES, REVITALIZE THE EFFORT TO RECRUIT A PSYCHIATRIST TO THE SCH SERVICE AREA. GOAL OF THE PROGRAM IS TO IMPROVE ACCESS TO PSYCHIATRIC SERVICES LOCALLY BY ADDING A FULL TIME EQUIVALENT PSYCHIATRIC PROVIDER TO THE COMMUNITY. ANTICIPATED OUTCOMES: A COLLABORATIVE EFFORT AMONG COMMUNITY LEADERS TO SUCCESSFULLY RECRUIT A FULL-TIME PSYCHIATRIST TO THE SCH SERVICE AREA. WITH SUCCESS, SOME PATIENTS WILL EXPERIENCE LOCAL ACCESS TO PSYCHIATRIC SERVICES RESULTING IN IMPROVED MENTAL HEALTH OUTCOMES. FOR PHYSICIANS AND MID-LEVEL PROVIDERS TO HAVE A LOCAL RESOURCE TO REFER PATIENTS TO AND TO HAVE LOCAL ACCESS TO PHYSICIAN COLLEAGUE TO COORDINATE PATIENT MENTAL HEALTH NEEDS. FOR THE COMMUNITY, TO HAVE AN ADDITIONAL MENTAL HEALTH PROFESSIONAL TO COLLABORATE WITH RELATIVE TO THE LOCAL MENTAL HEALTH DELIVERY SYSTEM (OPERATIONS & DESIGN). 2021 IMPACT: SCH ENGAGES TELE-PSYCHIATRY SERVICES ROUTINELY FOR PATIENTS EXPERIENCING MENTAL/BEHAVIORAL HEALTH AILMENTS. ADDITIONALLY, SCH AND DEL NORTE COUNTY MENTAL HEALTH SERVICES WORK COLLABORATIVELY TO CARE FOR THOSE PATIENTS WHO COME INTO THE EMERGENCY DEPARTMENT. SCH ENGAGED STALLANT HEALTH IN DISCUSSIONS AND RECRUITMENT EFFORTS TO BRING A 1 FTE PSYCHIATRIC PROVIDER TO SERVE DEL NORTE COUNTY. WHILE THE PROVIDER HAS NOT YET BEEN HIRED, RECRUITMENT EFFORTS ARE UNDERWAY. SAFE PATIENT DISCHARGE PLANNING IMPROVING DISCHARGE PLANNING TO ENSURE INDIVIDUALS EXPERIENCING HOMELESSNESS CONNECT WITH NECESSARY RESOURCES AND SHELTER POST DISCHARGE. GOAL OF THE PROGRAM IS TO CONNECT INDIVIDUALS EXPERIENCING HOMELESSNESS WITH THE CONTINUUM OF CARE TO IMPROVE HEALTH OUTCOMES. ANTICIPDATED OUTCOMES: DECREASED UTILIZATION OF EMERGENCY SERVICES BY THE HOMELESS POPULATION; INCREASED UTILIZATION OF WRAPAROUND SUPPORT SERVICES. 2021 IMPACT: SUTTER COAST HOSPITAL CONTINUED TO COMMIT FUNDS TO HELP CONNECT INDIVIDUALS EXPERIENCING HOMELESSNESS TO WRAPAROUND SUPPORT SERVICES THROUGHOUT 2019-2021. PROGRAMS ADDRESSING ACCESS TO BASIC NEEDS SUCH AS HOUSING, JOBS, AND FOOD HUMBOLDT STATE RN TO BSN BRIDGE PROGRAM IN PARTNERSHIP WITH HUMBOLDT STATE AND UNIVERSITY OF THE REDWOODS. GOAL OF THE PROGRAM IS TO CREATE GREATER OPPORTUNITIES FOR NURSES TO ADVANCE IN THEIR FIELD AND PROVIDE HIGHER QUALITY CARE. ANTICIPATED OUTCOME IS TO INCREASE THE NUMBER OF BSN NURSES IN THE HOSPITAL SERVICE AREA. FOR 2021, THE RN TO BSN PROGRAM AT CAL POLY HUMBOLDT WAS IN PLACE. FOOD BANKS PARTNER WITH LOCAL FOOD BANKS TO DISTRIBUTE HEALTHY FOOD OPTIONS TO LOW- INCOME AND UNDERSERVED RESIDENTS. OUR GOAL IS TO ASSIST IN PROVIDING FOOD/MEALS TO INDIVIDUALS IN OUR COMMUNITY WHO DO NOT HAVE ACCESS TO FOOD. ANTICIPATED OUTCOME IS TO PROVIDE ACCESS TO BASIC NEEDS SUCH AS FOOD TO UNDERSERVED RESIDENTS. SUTTER COAST HOSPITAL PROVIDED FINANCIAL SUPPORT TO RURAL HUMAN SERVICES AND BROOKINGS HARBOR COMMUNITY HELPERS, INC. IN THE FALL OF 2021. PROGRAMS ADDRESSING ACCESS TO MEETING FUNCTIONAL NEEDS (TRANSPORTATION AND PHYSICAL MOBILITY) TAXI VOUCHERS FOR LOW-INCOME PATIENTS PROVIDE TAXI VOUCHERS FOR LOW-INCOME, OFTEN MEDI-CAL PATIENTS WHO ARE DISCHARGED FROM THE HOSPITAL AND DO NOT HAVE MEANS TO OBTAIN TRANSPORTATION HOME OR TO A SHELTER. PROGRAM GOAL IS TO PROVIDE INDIVIDUALS WITH ACCESS TO SAFE AND RELIABLE TRANSPORTATION FROM THE HOSPITAL. WE ANTICIPATE THERE WILL BE A DECREASE IN EMERGENCY DEPARTMENT READMISSIONS FOR INDIVIDUALS WHO ARE ABLE TO BE TRANSPORTED TO A SAFE LOCATION AFTER THEIR HOSPITAL STAY. IN 2021, THE HOSPITAL PURCHASED 188 TAXI VOUNCHERS TO ASSIST IN PATIENT TRANSPORTATION THAT WAS OTHERWISE NOT AVAILABLE TO THE PATIENT. RECRUITMENT FOR SPECIALTY PROVIDERS WHILE RETAINING CURRENT PHYSICIANS, CONTINUE TO RECRUIT INTO THE FOLLOWING SPECIALTY DISCIPLINES: EAR, NOSE AND THROAT; ORTHOPEDICS; AND UROLOGY. GOAL OF THE PROGRAM IS TO IMPROVE ACCESS TO SPECIALTY SERVICES LOCALLY AND REDUCE THE NUMBER OF PATIENTS HAVING TO OBTAIN SERVICES OUTSIDE OF THE COMMUNITY BY ADDING A FULL-TIME EQUIVALENT SPECIALTY PROVIDER TO THE COMMUNITY. ANTICIPATED OUTCOME: WITH INCREASED ACCESS TO SPECIALTY CARE, THE NUMBER OF PREVENTABLEHOSPITAL STAYS SHOULD DECLINE - WITH THE ASSISTANCE OF SPECIALIST, PATIENTS ARE AVOIDING MEDICAL CRISIS WHICH RESULT IN HOSPITALIZATIONS. SUTTER COAST HOSPITAL RECRUITED ONE ADDITIONAL ORTHOPEDIC SPECIALIST AND A NEUROLOGIST IN 2021. PROGRAMS ADDRESSING ACCESS TO SPECIALTY AND EXTENDED CARE ONCOLOGY PATIENT NAVIGATION PROGRAM IMPLEMENT AN ONCOLOGY PATIENT NAVIGATION PROGRAM TO HELP NAVIGATE INDIVIDUALS IN OUR COMMUNITY WHO SUFFER FROM CANCER THROUGH THE VARIOUS COMPONENTS OF CARE NEEDED. GOAL OF THE PROGRAM IS TO OFFER A NURSE NAVIGATION PROGRAM TO OUR ONCOLOGY PATIENTS. ANTICIPATED OUTCOMES: IMPROVED OUTCOMES AND EXPEDITED CARE FOR INDIVIDUALS IN OUR COMMUNITY SUFFERING FROM CANCER DIAGNOSIS. SCH CONTINUED TO RECRUIT FOR AN ONCOLOGY NURSE NAVIGATOR IN 2021, THE PROGRAM IS PLANNED TO BEGIN IN 2022."