4A (Expenses $ 915139690 including grants of $ 368355) (Revenue $ 1040401227)
PATIENT CARE SERVICES AT ACUTE CARE HOSPITAL - SEE SCHEDULE O.

4B (Expenses $ 64171908 including grants of $ 0) (Revenue $ 0)
CHARITY CARE AND COMMUNITY SERVICES - SEE SCHEDULE O.

Schedule H, Part V, Section B, Line 3E

Schedule H, Part V, Section B, Line 5 Facility , 1
Facility , 1 - EISENHOWER MEDICAL CENTER. EISENHOWER MEDICAL CENTER CONDUCTED PRIMARY DATA COLLECTION BY USING SURVEYS TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO THE BOARD INTEREST OF THE COMMUNITY IS SERVED BY THE HOSPITAL. NINETY-THREE SURVEYS WERE COMPLETED FROM JANUARY 17 TO FEBRUARY 17, 2019 BY REPRESENTATIVES FROM CITY GOVERNMENTS SUCH AS DESERT HOT SPRINGS, PALM SPRINGS, COACHELLA AND INDIO. SCHOOL DISTRICTS SUCH AS DESERT SANDS UNIFIED SCHOOL DISTRICT AS WELL AS INSTITUTIONS OF HIGHER EDUCATION SUCH AS COLLEGE OF THE DESERT AND CSUSB PALM DESERT CAMPUS. COUNTY EMPLOYEES ALSO PARTICIPATED FROM THE COUNTY OF RIVERSIDE, DEPARTMENT OF PUBLIC HEALTH, DEPARTMENT OF BEHAVIORAL HEALTH AND THE DEPARTMENT OF PUBLIC SOCIAL SERVICES. COMMUNITY HELATH CARE ORGANIZATIONS PARTICIPATED, INCLUDING DESERT OASIS HEALTHCARE, DESERT AIDS PROJECT, COACHELLA VALLEY VOLUNTEERS IN MEDICINE, BORREGO HEALTH, INLAND EMPIRE HEALTH PLAN AND KAISER PERMANENTE. NON-PROFITS THAT SERVE DISADVANTAGED COMMUNITIES WERE ALSO REPRESENTED AS WELL AS LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS SUCH AS COACHELLA VALLEY RESCUE MISSION, DESERT DISABILITY CENTER, DESERT ARC, PATH OF LIFE MINISTRIES, ONE FUTURE COACHELLA VALLEY, THE AWARENESS GROUP, JOSLYN CENTER, JEWISH FAMILY SERVICE OF THE DESERT, LGBT COMMUNITY CENTER OF THE DESERT, INLAND CAREGIVER RESOURCE CENTER AND EL SOL NEIGHBORHOOD EDUCATIONAL CENTER. SURVEY PARTICIPANTS INDICATED THEY SERVED LOW-INCOME, RACIAL AND ETHNIC MINORITIES, NON-ENGLISH SPEAKERS, SENIORS, PEIOLE WITH DISABILITIES, LGBTQIA, YOUTH, UNINSURED AND UNDERINSURED RESIDENTS, PEOPLE EXPERIENCING HOMELESSNESS, AND VETERANS. SIXTY SURVEYS WERE COMPLETED FROM NOVEMBER 2021 TO JANUARY 2022.

Schedule H, Part V, Section B, Line 11 Facility , 1
Facility , 1 - EISENHOWER MEDICAL CENTER. AS A RESULT OF THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, EISENHOWER MEDICAL CENTER HAS CHOSEN TO ADDRESS THE FOLLOWING NEEDS: ACCESS TO HEALTHCARE, CHRONIC DISEASES (ASTHMA, CANCER, CARDIOVASCULAR DISEASE, DIABETES, AND HIV/AIDS), MENTAL HEALTH AND SUBSTANCE USE AND MISUSE, AND PREVENTATIVE PRACTICES (INCLUDING COVID-19 AND UNINTENTIONAL INJURIES). EISENHOWER IS ADDRESSING ACCESS TO HEALTH CARE BY TAKING THE FOLLOWING ACTIONS: PROVIDE FINANCIAL ASSISTANCE THROUGH BOTH FREE AND DISCONTINUED CARE FOR HEALTH CARE SERVICES, CONSISTENT WITH EISENHOWER'S FINANCIAL ASSISTANCE POLICY. PROVIDE TRANSPORTATION SUPPORT FOR ESTABLISHED PATIENTS WITH TRANSPORTATION CHALLENGES TO INCREASE ACCESS TO HEALTH CARE SERVICES. PROVIDE AND EXPAND PRIMARY CARE SERVICES, HEALTH SCREENINGS AND VACCINES/IMMUNIZATIONS. EXPAND PRIMARY CARE OPTIONS IN THE SERVICE AREA. COMMUNICATE TO SERVICE AREA RESIDENTS HOW TO ACCESS HEALTH CARE COVERAGE OPTIONS AND PRIMARY CARE SERVICES. EISENHOWER IS ADDRESSING CHRONIC DISEASE BY TAKING THE FOLLOWING ACTIONS: PROVIDE CHRONIC DISEASE EDUCATION, SCREENING AND TREATMENT. PROVIDE SUPPORT GROUPS TO ASSIST THOSE WITH CHRONIC DISEASES, THEIR FAMILIES AND CAREGIVERS. PROVIDE FUNDING SUPPORT TO COMMUNITY ORGANIZATIONS TO SUPPORT CHRONIC DISEASE PREVENTION AND TREATMENT. PROVIDE NUTRITION CONSULTANTS. EISENHOWER IS ADDRESSING MENTAL HEALTH AND SUBSTANCE USE AND MISUSE BY TAKING THE FOLLOWING ACTIONS: INCREASE COMMUNITY AWARENESS OF PREVENTION EFFORTS AND AVAILABILITY OF RESOURCES TO ADDRESS MENTAL HEALTH AND SUBSTANCE USE AND MISUSE CONCERNS. IMPROVE AND EXPAND ACCESS TO MENTAL HEALTH AND SUBSTANCE USE SERVICES BY INCREASING THE NUMBER OF QUALIFIED PROVIDERS. OFFER COMMUNITY HEALTH EDUCATION, COMMUNITY LECTURES, PRESENTATIONS AND WORKSHOPS FOCUSED ON MENTAL HEALTH AND SUBSTANCE USE TOPICS. EISENHOWER IS ADDRESSING PREVENTATIVE PRACTICES BY TAKING THE FOLLOWING ACTIONS: PROVIDE FREE HEALTH SCREENING. PROVIDE COVID-19 TESTING AND VACCINES AS APPROPRIATE TO NEED. PROVIDE EDUCATION AND RESOURCES FOCUSED ON HEALTH LIVING AND DISEASE PREVENTION. REDUCE UNINTENTIONAL INJURIES AND FALLS AMONG SENIORS THROUGH EXERCISE AND BALANCE CLASSES. PROVIDE FUNDING SUPPORT TO COMMUNITY ORGANIZATIONS TO SUPPORT PREVENTATIVE HEALTH SERVICES. SINCE EISENHOWER HEALTH CANNOT DIRECTLY ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN THE COMMUNITY, WE WILL CONCENTRATE ON THOSE HELATH NEEDS THAT CAN MOST EFFECTIVELY BE ADDRESSED, GIVEN OUR AREAS OF FOCUS AND EXPERTISE. TAKING EXISTING HOSPITAL AND COMMUNITY RESOURCES INTO CONSIDERATION, EISENHOWER MEDICAL CENTER WILL NOT DIRECTLY ADDRESS THE REMAINING HEALTH NEEDS IDENTIFIED IN THE CHNA, INCLUDING DENTAL CARE, ECONOMIC INSTABILITY, ENVIRONMENTAL POLLUTION, FOOD INSECURITY, HOUSING AND HOMELESSNESS AND OVERWEIGHT AND OBESITY.

Schedule H, Part I, Line 3c CRITERIA FOR DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE
CRITERIA FOR DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE BY USING FEDERAL POVERTY GUIDELINES, TOOLS TO DETERMINE PRESUMPTIVE ELEGIBILITY, BANK STATEMENTS, PROOF OF INCOME, A LETTER OF EXPLANATION OF NO INCOME, OR A CURRENT TAX RETURN, EISENHOWER MEDICAL CENTER IS ABLE TO DETERMINE IF A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE.

Schedule H, Part VI, Line 6
N/A

Schedule H, Part I, Line 7g Subsidized Health Services
THERE WAS AN IMMATERIAL AMOUNT OF COST ATTRIBUTABLE TO PHYSICIAN CLINICS INCLUDED.

Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance
THE COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE AND MEDICAID IS THE ALLOWANCE COST-TO-CHARGE RATIO PER THE COST REPORT.

Schedule H, Part II Community Building Activities
EISENHOWER HEALTH PROVIDES FINANCIAL ASSISTANCE TO THOSE IN THE COMMUNITY WHO CANNOT AFFORD SERVICES, OR WHOSE HEALTH INSURANCE DOES NOT COVER ALL SERVICES RENDERED. EISENHOWER INVITES IN THE COMMUNITY TO INCREASE ACCESS TO HEALTH CARE SERVICES AND IMPROVE HEALTH.

Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
IN AUGUST 2016, THE FASB ISSUED ASU 2016-14, NOT-FOR-PROFIT ENTITIES (TOPIC 958): PRESENTATION OF FINANCIAL STATEMENT FOR NOT-FOR-PROFIT ENTITIES. THE NEW GUIDANCE SIMPLIFIES AND IMPROVES THE FACE OF THE FINANCIAL STATEMENTS AND ENHANCES THE DISCLOSURE IN THE FOOTNOTES OF THE NOT-FOR-PROFIT ENTITIES. THE MEDICAL CENTER ADOPTED THE NEW STANDARD FOR THE YEAR ENDED JUNE 30, 2019 AND HAS APPLIED IT RETROSPECTIVELY TO ALL PERIODS PRESENTED. THE IMPACT OF ADOPTING ASU 2016-14 HAD NO IMPACT TO THE TOTAL REVENUE, DEFICIENCY OF REVENUE OVER EXPENSES, OR TOTAL NET ASSETS.

Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs
TREATMENT OF MEDICARE SHORTFALL AS COMMUNITY BENEFIT: 100% OF THE COST OF THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. MEDICARE IS A SUBSTANTIAL PORTION OF EISENHOWER HEALTH'S PATIENT POPULATION. WHILE THE LEVEL OF CARE IS REGARDLESS OF SOURCE OF PAYOR, THE LEVEL OF PAYMENT FOR MEDICARE IS DETERMINED BY GOVERNMENT REIMBURSEMET POLICY. THE MEDICARE SHORTFALL IS AN UNREIMBURSED AMOUNT THAT MUST BE ACCOUNTED FOR IN THE EISENHOWER HEALTH'S FINANCIAL STATEMENTS. SINCE GENERALLY ACCEPTED ACCOUNTING STANDARDS IDENTIFY THIS SHORTFALL, IT SHOULD BE ACCEPTED AS A SHORTFALL IN IRS REPORTING STANDARDS. MEDICARE COSTING METHODOLOGY: THE COSTING METHODOLOGY FOR THE AMOUNT REQUIRED ON LINE 6 IS THE ALLOWABLE COST-TO-CHARGE RATIO PER THE COST REPORT.

Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
FOR PATIENTS WHO QUALIFY FOR PARTIAL CHARITY CARE AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DISCONTINUED BILLS, EISENHOWER HEALTH MAY OFFER EXTENDED PAYMENT PLANS, WILL NOT SEND UNPAID BILLS TO OUTSIDE COLLECTION AGENCIES, AND WILL CEASE ALL COLLECTION EFFORTS. EISENHOWER HEALTH WILL NOT IMPOSE EXTRAORDINARY COLLECTION ACTIONS SUCH AS WAGE GARNISHMENTS, LIENS ON PRIMARY RESIDENCES OR OTHER LEGAL ACTIONS FOR ANY PATIENTS WITHOUT FIRST MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THAT PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE.

Schedule H, Part V, Section B, Line 16a FAP website
- EISENHOWER MEDICAL CENTER: Line 16a URL: HTTPS://EISENHOWERHEALTH.ORG/RESOURCES/PFS;

Schedule H, Part V, Section B, Line 16b FAP Application website
- EISENHOWER MEDICAL CENTER: Line 16b URL: HTTPS://EISENHOWERHEALTH.ORG/RESOURCES/PFS;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
- EISENHOWER MEDICAL CENTER: Line 16c URL: HTTPS://EISENHOWERHEALTH.ORG/RESOURCES/PFS;

Schedule H, Part VI, Line 2 Needs assessment
EISENHOWER MEDICAL CENTER CONTRACTED WITH THE HEALTH ASSESSMENT RESOURCE CENTER AND BIEL CONSULTING INC., TO HELP IDENTIFY KEY ISSUES AND SUBSEQUENTLY SURVEY THE COMMUNITY TO DETERMINE THE HEALTH STATUS OF THE COACHELLA VALLEY. THE CURRENT CHNA EXAMINED UP-TO-DATE DATA SOURCES FOR SERVICE AREA TO PRESENT COMMUNITY DEMOGRAPHICS, SOCIAL DETERMINANTS OF HEALTH, SUBSTANCE USE AND PREVENTATIVE PRACTICES. EISENHOWER USES THE CHNA TO MAKE DECISIONS ABOUT ITS IMPLEMENTATION STRATEGY (COMMUNITY BENEFIT PLAN, WHICH OUTLINES HOW IT WILL GIVE BACK TO THE COMMUNITY IN THE FORM OF HEALTH CARE AND OTHER COMMUNITY SERVICES TO ADDRESS UNMET COMMUNITY HEALTH NEEDS. IN ADDITION, TO PERFORMING THE CHNA, EISENHOWER MEDICAL CENTER MADE ITS CHNA AVAILABLE ON ITS PUBLIC WEBSITE, AND HAS ASKED FOR PUBLIC COMMENTS TO SOLICIT ADDITIONAL INFORMATION AND INPUT COMMUNITY HEALTH NEEDS. FACILITY STAFF SERVE ON A NUMBER OF COMMUNITY ORGANIZATION BOARDS AND ADVISORY BODIES TO HEALTH AND SOCIAL SERVICE AGENCIES, AND INFORMATION OBTAINED FROM THIS ACTIVE COMMUNITY INVOLVEMENT FACTORS INTO IDENTIFICATION OF COMMUNITY HEALTH NEEDS.

Schedule H, Part VI, Line 5 Promotion of community health
THE MAJORITY OF THE EISENHOWER MEDICAL CENTER BOARD OF TRUSTEES IS MADE UP OF PROMINENT MEMBERS OF THE COMMUNITY WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION. EISENHOWER MEDICAL CENTER EXTENDS MEDICAL STAFF PRIVELEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS. WHEN EISENHOWER MEDICAL CENTER ENDS THE YEAR WITH AN EXCESS OF OPERATING DISBURSEMENTS, THESE EXCESS FUNDS ARE USED TO EXPAND AND REPLACE EXISTING FACILITIES AND MEDICAL EQUIPMENT TO IMPROVE PATIENT CARE AND FOR MEDICAL TRAINING AND EDUCATION OF NURSES, PHYSICIANS, OTHER HEALTH PROFESSIONALS AND THE COMMUNITY.

Schedule H, Part VI, Line 7 State filing of community benefit report
CA

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
EISENHOWER MEDICAL CENTER EDUCATES PATIENTS ABOUT ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS OR UNDER ITS CHARITY CARE POLICY THROUGH VERBAL COMMUNICATIONS DURING COLLECTION FOLLOW UP AND THROUGH INFORMATIONAL FLYERS INCLUDED WITH BILLING STATEMENTS. BY USING FEDERAL POVERTY GUIDELINES, TOOLS TO DETERMINE PRESUMPTIVE ELIGIBILITY, BANK STATEMENTS, PROOF INCOME, A LETTER OF EXPLANATION OF NO INCOME, OR A CURRENT TAX RETURN, EISENHOWER MEDICAL CENTER IS ABLE TO DETERMINE IF A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE. EISENHOWER MEDICAL CENTER PROVIDES THE COMMUNITY OPPORTUNITIES TO ACCESS FAP APPLICATION COUNSELORS, AT EACH REGISTRATION LOCATION, BY CALLING CUSTOMER SERVICE AT 1-800-453-6012, EMAILING EISENHOWERHEALTH.ORG AND REQUESTING AN APPLICATION BE MAILED, OR BY GOING ONTO THE OSHPD WEBSITE.

Schedule H, Part VI, Line 4 Community information
COMMUNITY IS DEFINED TO INCLUDE THE FOLLOWING CITIES/AREAS IN THE COACHELLA VALLEY - CATHEDRAL CITY, COACHELLA, DESERT HOT SPRINGS, INDIAN WELLS, INDIO, LA QUINTA, NORTH PALM SPRINGS, PALM DESERT, PALM SPRINGS, RANCHO MIRAGE AND THOUSAND PALMS. THE POPULATION OF THE EISENHOWER MEDICAL CENTER AREA IS 419,650. CHILDREN AND YOUTH MAKE UP 19% OF THE SERVICE AREA POPULATION 56.1% ARE ADULTS, AND 24.9% ARE OLDER ADULTS, AGES 65 AND OLDER. NEARLY HALF OF THE POPULATION (48.9%) IS LATINO OR HISPANIC. WHITES ARE THE SECOND LARGEST RACE/ETHNIC GROUP IN THE SERVICE AREA (42.9%). ASIANS COMPRISE 3.3% OF THE POPULATION IN THE SERVICE AREA. 2.9% ARE BLACK/AFRICAN-AMERICAN, AND 2.0% ARE AMERICAN INDIAN/ALASKAN NATIVE, NATIVE HAWAIIAN/PACIFIC ISLANDER, OR MULTIPLE RACES. AMONG AREA RESIDENTS, 17.6% ARE AT OR BELOW 100% OF THE FEDERAL PROVERTY LEVEL (FPL) AND 40.2% ARE LOW INCOME, LIVING AT OR BELOW 200% OF FPL. IN THE SERVICE AREA, 17.0% OF ADULTS, AGE 25 YEARS AND OLDER, HAVE LESS THAN A HIGH SCHOOL DIPLOMA. THE MEDIAN HOUSEHOLD INCOME IN THE SERVICE AREA RANGES FROM $10,938 IN NORTH PALM SPRINGS TO $103,750 IN INDIAN WELLS. IN THE SERVICE AREA, 17% OF THE ADULT POPULATION DOES NOT HAVE A HIGH SCHOOL DIPLOMA OR EQUIVALENCY. THIS IS LOWER THAN COUNTY (18.9%) AND HIGHER THAN THE STATE (16.7%) RATES. AMONG THE ADULT POPULATION IN THE SERVICE AREA, 27.2% ARE HIGH SCHOOL GRADUATES, AND 26.1% HAVE A BACHELOR OR GRADUATE/PROFESSIONAL DEGREE. WITHIN THE SERVICE AREA, 90.9% OF THE TOTAL POPULATION HAS HEALTH INSURANCE COVERAGE. AMONG CHILDREN AND ADOLESCENTS, AGES 0 TO 18, 96.1% ARE INSURED, AND 85.4% OF SERVICE AREA ADULTS AGES 19-64, HAVE HEALTH INSURANCE.