4A (Expenses $ 527980349 including grants of $ 3362347) (Revenue $ 594121017)
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC. HAS TWO HOSPITAL CAMPUSES: COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, A 401-BED CAMPUS AND COLUMBIA ST. MARY'S HOSPITAL OZAUKEE, A 121-BED CAMPUS. THESE LOCATIONS PROVIDE SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING FISCAL YEAR 2022, COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC. TREATED ADULTS AND CHILDREN FOR A TOTAL OF 75,854 PATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES FOR 768,186 OUTPATIENT VISITS, WHICH INCLUDED 4,384 OUTPATIENT SURGERIES AND 47,158 EMERGENCY ROOM VISITS. SEE SCHEDULE H FOR A NON-EXHAUSTIVE LIST OF COMMUNITY BENEFIT PROGRAMS AND DESCRIPTIONS. AS PART OF THE ASCENSION CATHOLIC HEALTH MINISTRY, THE FILING ORGANIZATION SERVED IN SUPPORT OF ASCENSION'S COMMITMENT TO BOTH CARE FOR PATIENTS AND COMMUNITIES AND SUPPORT CAREGIVERS AND OTHER ASSOCIATES THROUGH THE CHALLENGES OF THE COVID-19 GLOBAL PANDEMIC IN FY22.

Schedule H, Part V, Section B, Line 3E
TO BETTER TARGET COMMUNITY RESOURCES ON THE SERVICE AREA'S MOST PRESSING HEALTH NEEDS, THE HOSPITAL PARTICIPATED IN A GROUP DISCUSSION WITH ORGANIZATIONAL DECISION MAKERS AND COMMUNITY LEADERS TO PRIORITIZE THE SIGNIFICANT COMMUNITY HEALTH NEEDS WHILE CONSIDERING SEVERAL CRITERIA: ALIGNMENT WITH ASCENSION HEALTH STRATEGIES OF HEALTHCARE THAT LEAVES NO ONE BEHIND; CARE FOR THE POOR AND VULNERABLE; OPPORTUNITIES FOR PARTNERSHIP; AVAILABILITY OF EXISTING PROGRAMS AND RESOURCES; ADDRESSING DISPARITIES OF SUBGROUPS; AVAILABILITY OF EVIDENCE-BASED PRACTICES; AND COMMUNITY INPUT. THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. SEE SCHEDULE H, PART V, LINE 7 FOR THE LINK TO THE CHNA AND SCHEDULE H, PART V, LINE 11 FOR HOW THOSE NEEDS ARE BEING ADDRESSED.

Schedule H, Part V, Section B, Line 5 Facility A, 1
Facility A, 1 - ASCENSION COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE. THE MOST RECENT ASCENSION COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE'S COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN COLLABORATION WITH OTHER HEALTH SYSTEMS AND THE PUBLIC HEALTH AGENCIES IN MILWAUKEE COUNTY TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. SPECIAL ATTENTION WAS GIVEN TO THE NEEDS OF INDIVIDUALS AND COMMUNITIES WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. COMMUNITY INPUT WAS OBTAINED THROUGH THE FOLLOWING METHODS: --COMMUNITY SURVEY: AN ONLINE COMMUNITY SURVEY AVAILABLE IN ENGLISH AND SPANISH WAS CONDUCTED WITH THE MILWAUKEE HEALTH CARE PARTNERSHIP AND CONDUENT HEALTHY COMMUNITIES INSTITUTE TO GATHER THE PERCEPTIONS, THOUGHTS, OPINIONS AND CONCERNS OF THE COMMUNITY. THE COMMUNITY SURVEY WAS PROMOTED ACROSS MILWAUKEE COUNTY FROM AUGUST 17, 2021 THROUGH OCTOBER 4, 2021. PAPER SURVEYS WERE ALSO AVAILABLE IN CERTAIN LOCATIONS. --KEY STAKEHOLDER INTERVIEWS: CONDUCTED BETWEEN AUGUST 2021 AND SEPTEMBER 2021, A SERIES OF 49 ONE-ON-ONE INTERVIEWS WERE CONDUCTED BY THE PARTNER HEALTH SYSTEMS TO GATHER FEEDBACK FROM KEY STAKEHOLDERS ON THE HEALTH NEEDS AND ASSETS OF MILWAUKEE COUNTY. THESE REPRESENTATIVES FROM DIFFERENT ORGANIZATIONS AND AGENCIES INCLUDED PARTICIPANTS FROM LOCAL HEALTH DEPARTMENTS AND REPRESENTATIVES OF ORGANIZATIONS THAT SERVE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. A LIST OF THE ORGANIZATIONS THAT PROVIDED INPUT ARE LISTED BELOW. UNITED COMMUNITY CENTER CORE EL CENTRO VIVENT HEALTH GREATER MILWAUKEE FOUNDATION IMPACT INC. ZILBER FAMILY FOUNDATION MILWAUKEE COUNTY DISTRICT ATTORNEY'S OFFICE MILWAUKEE COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES MILWAUKEE RESCUE MISSION / SAFE HARBOR UNITED WAY OF GREATER MILWAUKEE & WAUKESHA COUNTY SOJOURNER FAMILY PEACE CENTER UNITEWI DISABILITY RIGHTS WISCONSIN CHILDREN'S HEALTH ALLIANCE OF WISCONSIN / MILWAUKEE COUNTY ORAL HEALTH TASK FORCE MUSLIM COMMUNITY & HEALTH CENTER ZILBER SCHOOL OF PUBLIC HEALTH MILWAUKEE CENTER FOR INDEPENDENCE MILWAUKEE COUNTY OFFICE ON AFRICAN AMERICAN AFFAIRS MILWAUKEE FIRE DEPARTMENT MILWAUKEE PUBLIC SCHOOLS CITY OF MILWAUKEE HEALTH DEPARTMENT INSTITUTE FOR HEALTH AND EQUITY AT THE MEDICAL COLLEGE OF WISCONSIN LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC. COMMUNITY ADVOCATES INC. GERALD L. IGNACE INDIAN HEALTH CENTER, INC. MILWAUKEE COUNTY BEHAVIORAL HEALTH DIVISION SIXTEENTH STREET COMMUNITY HEALTH CENTERS, MILWAUKEE LATINO HEALTH COALITION FEEDING AMERICA EASTERN WISCONSIN MILWAUKEE VA MEDICAL CENTER INTERFAITH CONFERENCE OF GREATER MILWAUKEE OFFICE OF THE MAYOR - CITY OF MILWAUKEE MILWAUKEE COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES ASCENSION WISCONSIN / SHERMAN PARK BUILD HEALTH MILWAUKEE HEALTH DEPARTMENT, OFFICE OF VIOLENCE PREVENTION JOURNEY HOUSE MENTAL HEALTH AMERICA OF WISCONSIN DIVERSE & RESILIENT MILWAUKEE URBAN LEAGUE SOCIAL DEVELOPMENT COMMISSION SOUTHEAST ASIAN EDUCATIONAL DEVELOPMENT OF WISCONSIN, INC. YWCA SOUTHEAST WISCONSIN BOYS & GIRLS CLUBS OF GREATER MILWAUKEE MILWAUKEE POLICE DEPARTMENT UNITED COMMUNITY CENTER P3 DEVELOPMENT GROUP SAFE & SOUND BADER PHILANTHROPIES --FOCUS GROUPS: FOUR FOCUS GROUPS WERE CONDUCTED IN OCTOBER 2021 AND NOVEMBER 2021. FOCUS GROUPS WERE PURPOSEFULLY IDENTIFIED TO REPRESENT SAFETY NET CLINICS, PUBLIC HEALTH DEPARTMENTS, COMMUNITY-BASED ORGANIZATIONS SERVING CHILDREN AND ADOLESCENTS AND REPRESENTATIVES FROM COMMUNITY-BASED ORGANIZATIONS SERVING LOW-INCOME POPULATIONS. A LIST OF THE ORGANIZATIONS THAT PROVIDED INPUT ARE LISTED BELOW. LISC ZILBER FAMILY FOUNDATION IMPACT211 MILWAUKEE COUNTY HOUSING ADMINISTRATOR NORTHWEST SIDE COMMUNITY DEVELOPMENT CORPORATION MILWAUKEE HEALTH CARE PARTNERSHIP ALL4KIDS URBAN UNDERGROUND AND YOUTH JUSTICE MILWAUKEE URBAN UNDERGROUND OFFICE OF VIOLENCE PREVENTION I HAVE A DREAM FOUNDATION ALIVE MKE PEAK MILWAUKEE CONSORTIUM FOR HMONG HEALTH VEL R. PHILLIPS SCHOOL, WAUWATOSA SCHOOL DISTRICT WEST ALLIS HEALTH DEPARTMENT CITY OF MILWAUKEE HEALTH DEPARTMENT FRANKLIN HEALTH DEPARTMENT OAK CREEK HEALTH DEPARTMENT GREENFIELD HEALTH DEPARTMENT CUDAHY HEALTH DEPARTMENT NORTH SHORE HEALTH DEPARTMENT WAUWATOSA HEALTH DEPARTMENT SOUTH MILWAUKEE HEALTH DEPARTMENT GREENDALE HEALTH DEPARTMENT FC3 COLLABORATIVE

Schedule H, Part V, Section B, Line 6a Facility A, 1
Facility A, 1 - ASCENSION COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE. THE CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES COLUMBIA ST. MARY'S INC., ASCENSION ST. FRANCIS HOSPITAL, SACRED HEART REHABILITATION INSTITUTE, INC., ASCENSION SE HOSPITAL ST. JOSEPH CAMPUS, ASCENSION SE HOSPITAL FRANKLIN CAMPUS, ASCENSION FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN, ADVOCATE AURORA HEALTH, CHILDREN'S HOSPITAL OF WISCONSIN, FROEDTERT, THE MEDICAL COLLEGE OF WISCONSIN

Schedule H, Part V, Section B, Line 6b Facility A, 1
Facility A, 1 - ASCENSION COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE. THE CHNA WAS CONDUCTED WITH THE FOLLOWING NON-HOSPITAL FACILITIES MILWAUKEE HEALTH CARE PARTNERSHIP

Schedule H, Part V, Section B, Line 11 Facility A, 1
Facility A, 1 - ASCENSION COLUMIBA ST. MARY'S HOSPITAL MILWAUKEE. BASED ON THE CHNA COMPLETED IN 2019, THE HOSPITAL COMPLETED A 2019-2022 IMPLEMENTATION STRATEGY TO ADDRESS PRIORITY COMMUNITY HEALTH NEEDS. IN FISCAL YEAR 2022 (TAX YEAR 2021), THE HOSPITAL TOOK THE FOLLOWING ACTIONS TO ADDRESS THE PRIORITY NEEDS: ACCESS TO CARE: -INCREASED ACCESS TO PRESCRIPTION MEDICATIONS THROUGH THE DISPENSARY OF HOPE PROGRAM WHICH PROVIDED ELIGIBLE PATIENTS WITH FREE MEDICATIONS -SCREENED UNINSURED OR SELF-PAY PATIENTS FOR FINANCIAL ASSISTANCE ELIGIBILITY, PROVIDED PATIENT FINANCIAL COUNSELING, AND ASSISTED ELIGIBLE PATIENTS IN APPLYING TO CHARITY CARE AND/OR MEDICAID -PROVIDED TRANSPORTATION ASSISTANCE TO FOR MEDICAL APPOINTMENTS TO REMOVE ACCESS BARRIERS -PROVIDED MOBILE MAMMOGRAPHY SCREENING SERVICES IN THE COMMUNITY TO ELIMINATE BREAST CANCER SCREENING BARRIERS -PROVIDED SEVERAL PROGRAMS FOR INDIVIDUALS WHO ARE UNDER OR UNINSURED IN PARTNERSHIP WITH OTHER ASCENSION WISCONSIN HOSPITALS, INCLUDING OPERATED FREE CLINICS IN THE AREA AND PARTICIPATED IN THE SPECIALTY ACCESS FOR UNINSURED PATIENTS (SAUP) PROGRAM PARTNERSHIP, CONNECTING PATIENTS TO SPECIALTY CARE -OFFERED PRIMARY CARE CONNECTIONS THROUGH VARIOUS WAYS, INCLUDING TRAINED ED NAVIGATORS TO CONNECT PATIENTS TO PRIMARY CARE PROVIDERS AND PROVIDED CARE MANAGEMENT CHRONIC DISEASE PREVENTION: -CONTINUED THE IMPLEMENTATION OF BMI SCREENING IN PRIMARY CARE SETTINGS AND IMPROVED PROCESSES FOR INCREASED SCREENING RATES THAT ARE NOW OVER 90% -IN PARTNERSHIP WITH OTHER ASCENSION WISCONSIN MILWAUKEE HOSPITALS, EDUCATED REGISTERED NURSES ON MOTIVATIONAL INTERVIEWING TO ASSIST THEM IN WORKING AND COMMUNICATING WITH PATIENTS ABOUT CHANGING THEIR RISK BEHAVIORS FOR CHRONIC DISEASE SUCH AS POOR NUTRITION, MINIMAL PHYSICAL ACTIVITY AND SMOKING -IN PARTNERSHIP WITH OTHER ASCENSION WISCONSIN MILWAUKEE HOSPITALS, CONDUCTED DIABETES AND HYPERTENSION SCREENINGS AND PROVIDED HEALTH EDUCATION IN THE COMMUNITY THROUGH THE BE OF GOOD HEART PROGRAM -PARTNERED WITH URBAN CHURCHES ON PROVIDING VIRTUAL HEALTH EDUCATION AND OUTREACH IN THE CHURCH COMMUNITY TO SUSTAIN HEALTHY MINISTRIES INFANT MORTALITY: -PROMOTED PARENT EDUCATION ON ISSUES RELATING TO INFANT SAFETY INCLUDING SAFE SLEEP AND CAR SEATS -PROVIDED EDUCATION ON BREASTFEEDING THROUGH VIRTUAL SUPPORT GROUPS, CLASSES, AND ONE-ON-ONE CONSULTATIONS, REGARDLESS OF ABILITY TO PAY TO -PROMOTED BREASTFEEDING TO THOSE THAT DELIVERED BABIES IN THE HOSPITAL -OFFERED A BILINGUAL VERSION OF THE BLANKET OF LOVE SANCTUARY PROGRAM TO INCREASE THE POTENTIAL FOR DELIVERING HEALTHY BABIES BY SCREENING PARTICIPANTS FOR SOCIAL NEEDS, REFERRING TO RESOURCES, AND PROVIDING VALUABLE SOCIAL CONNECTIONS MENTAL HEALTH: -CONTINUED THE IMPLEMENTATION OF DEPRESSION SCREENING IN PRIMARY CARE SETTINGS AND IMPROVED PROCESSES FOR INCREASED SCREENING RATES THAT REACHED OVER 70% -PARTICIPATED ON LOCAL MENTAL HEALTH COMMITTEES BY HAVING A LEADER REGULARLY ATTEND THE MEETINGS TO SUPPORT COMMUNITY BEHAVIORAL HEALTH CAPACITY BUILDING BY PROVIDING A FORUM FOR DIFFERENT SECTORS OF THE DELIVERY SYSTEM TO COME TOGETHER TO ADDRESS AND RESOLVE ISSUES OF INTEREST OF ALL PEOPLE AFFECTED BY MENTAL ILLNESS -LINKED PATIENTS WITH SUBSTANCE ABUSE DISORDERS TO RECOVERY COACHES TO PROVIDE SUPPORT AND ONGOING COACHING FROM A PEER ADVOCATE -OFFERED A TELEBEHAVIORAL HEALTH PROGRAM IN THE ED TO IMPROVE QUALITY OF CARE AND CARE COORDINATION FOR INDIVIDUALS WITH MENTAL AND BEHAVIORAL HEALTH CONCERNS WHILE ALL PRIORITIZED SIGNIFICANT NEEDS WERE ADDRESSED, COVID-19 DISRUPTED SOME ORIGINAL IMPLEMENTATION STRATEGIES. THE HOSPITALS NEEDED TO MODIFY, DISCONTINUE OR ADD TO CURRENT STRATEGIES TO PROTECT THE HEALTH AND WELLBEING OF STAFF, PATIENTS AND COMMUNITY MEMBERS. DUE TO STAFF CAPACITY, TRAININGS FOR THE SUICIDE PREVENTION PROGRAM QUESTION, PERSUADE, AND REFER (QPR) WERE UNABLE TO BE IMPLEMENTED, AS WAS THE HEALTHY LIFE PRESCRIPTION PROGRAM AND TRIPLE P PARENTING EDUCATION PROGRAM. ********** ASCENSION COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE UNDERSTANDS THE IMPORTANCE OF ALL THE HEALTH NEEDS OF THE COMMUNITY AND IS COMMITTED TO PLAYING AN ACTIVE ROLE IN IMPROVING THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE. FOR THE PURPOSES OF THIS CHNA, WE HAVE CHOSEN TO FOCUS OUR EFFORTS ON THE PRIORITIES LISTED ABOVE. THE FOLLOWING HEALTH NEEDS WERE NOT SELECTED TO BE INCLUDED IN THIS PLAN FOR THE REASONS DESCRIBED BELOW. --ALCOHOL AND SUBSTANCE USE: THIS HEALTH ISSUE WILL BE INCORPORATED INTO THE MENTAL HEALTH PRIORITY, WITH AT LEAST ONE ALCOHOL AND DRUG USE STRATEGY TO BE IMPLEMENTED. WE WILL ALSO CONTINUE TO PROVIDE SCREENING, COUNSELING AND FOLLOW-UP CARE TO ADDRESS ALCOHOL AND DRUG USE. WE ARE COMMITTED TO MAINTAINING THESE SERVICES WHILE REMAINING OPEN TO ANY EMERGING NEEDS OR OPPORTUNITIES IN THESE AREAS. --VIOLENCE: ALTHOUGH THIS HEALTH PRIORITY IS NOT INCLUDED IN THE PLAN, ASCENSION WISCONSIN WILL CONTINUE TO WORK WITH THE MILWAUKEE HEALTH CARE PARTNERSHIP TO IMPLEMENT THE HEALTH CARE SECTOR PRIORITIES AS PART OF THE CITY OF MILWAUKEE VIOLENCE PREVENTION PLAN. --SEXUALLY TRANSMITTED INFECTIONS: THERE ARE STRONG COMMUNITY ORGANIZATIONS THAT ARE WORKING TO ADDRESS THIS HEALTH CONCERN. ALTHOUGH NOT A PART OF OUR PLAN, ASCENSION WISCONSIN WILL CONTINUE TO PROVIDE SCREENING, COUNSELING AND FOLLOW-UP CARE, AS NEEDED. ********** BASED ON THE CHNA COMPLETED IN JUNE 2022, THE HOSPITAL WILL WORK ON EXECUTING A 2022-2025 IMPLEMENTATION STRATEGY TO ADDRESS THE FOLLOWING PRIORITY NEEDS: ACCESS TO CARE: -SUPPORT COMMUNITY ACCESS TO CARE INITIATIVES -EXPAND MATERNAL AND CHILD HEALTH OUTREACH FOR CARE -INCREASE ACCESS TO HEALTH CARE SERVICES BY PROVIDING HOLISTIC SUPPORT FOR ASCENSION PATIENTS -ADMINISTER HIGH-QUALITY MATERNAL AND CHILD HEALTH CLINICAL CARE TO ADDRESS DISPARITIES CHRONIC DISEASE AND PREVENTION: -ENGAGE AND EDUCATE COMMUNITY MEMBERS ABOUT HEALTH AND PREVENTION -EXPAND OPPORTUNITIES FOR COMMUNITY MEMBERS TO BE ENGAGED IN HEALTHY LIVING ACTIVITIES -PROMOTE SCREENINGS AND INTERVENTIONS FOR CHRONIC DISEASE PREVENTION -EDUCATE PATIENTS AND ASSOCIATES ABOUT HEALTHY LIVING AND RESOURCES MENTAL HEALTH: -SUPPORT COMMUNITY-BASED INITIATIVES THAT CREATE AN ENVIRONMENT FOR MENTAL WELLBEING AND INCREASED ACCESS TO CARE -PARTNER ON SUBSTANCE MISUSE PREVENTION IN THE COMMUNITY -DELIVER COMPREHENSIVE, COMPASSIONATE CARE AND TREATMENT FOR PATIENTS AND ASSOCIATES WITH MENTAL HEALTH CONDITIONS, PARTICULARLY THOSE WHO HAVE EXPERIENCED TRAUMA -INTEGRATE TIMELY INTERVENTIONS IN ALL CARE SETTINGS FOR SUBSTANCE MISUSE ********** ASCENSION COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE UNDERSTANDS THE IMPORTANCE OF ALL THE HEALTH NEEDS OF THE COMMUNITY AND IS COMMITTED TO PLAYING AN ACTIVE ROLE IN IMPROVING THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE. FOR THE PURPOSES OF THIS CHNA, WE HAVE CHOSEN TO FOCUS OUR EFFORTS ON THE PRIORITIES LISTED ABOVE. THE FOLLOWING SIGNIFICANT NEEDS WERE NOT SELECTED FOR THE (TAX YEAR) 2021 CHNA CYCLE: ALCOHOL AND DRUG USE, COMMUNITY SAFETY, INFECTIOUS DISEASES AND SAFE AND AFFORDABLE HOUSING. BELOW IS THE RATIONALE BEHIND NOT PRIORITIZING THESE ISSUES. --ALCOHOL ABUSE AND ILLEGAL DRUG USE: A COMMUNITY RESPONSE IS NECESSARY. ASCENSION COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE DOES REFER PATIENTS TO NUMEROUS INTERNAL AND COMMUNITY PROGRAMS FOR TREATMENT WHEN NEEDED AND WILL ACTIVELY PARTICIPATE IN FURTHER COLLABORATIVE EFFORTS. SOME EFFORTS WILL BE INCORPORATED UNDER THE MENTAL HEALTH PRIORITY AS THESE ISSUES ARE OFTEN INTERRELATED. --INFECTIOUS DISEASES: WHILE THIS WAS IDENTIFIED AS A TOP NEED, THE HOSPITAL STAKEHOLDERS DID NOT LIST IT AS A PRIORITY BECAUSE THE PRIMARY DATA REPORT SUGGESTED THAT MOST PEOPLE WERE CONCERNED WITH COVID-19 SPECIFICALLY. RESPONDING TO THIS ACUTE COMMUNITY CONCERN IS OUR DUTY AS HEALTHCARE PROVIDERS AND SHOULD NOT BE CONSIDERED AS COMMUNITY HEALTH IMPROVEMENT. INSTEAD, ALL STRATEGIES SHOULD BE CREATED THROUGH THE LENS OF THE PANDEMIC TO CONSIDER THE SOCIAL IMPACTS AND FURTHER HEALTH DISPARITIES IT HAS CREATED. --COMMUNITY SAFETY AND SAFE AND AFFORDABLE HOUSING: BOTH ARE INDEED IMPORTANT SOCIAL ISSUES FOR MILWAUKEE COUNTY'S HEALTH, PARTICULARLY FOR SURVEY RESPONDENTS FROM HIGH-NEED ZIP CODES AND THOSE WHO IDENTIFIED AS HISPANIC/LATINO AND BLACK/AFRICAN AMERICAN. THESE SOCIAL ISSUES REQUIRE A SYSTEMS APPROACH LED BY EXPERTS IN THESE RESPECTIVE AREAS. ASCENSION COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE HAS BEEN PARTNERING WITH COMMUNITY ORGANIZATIONS TO IMPROVE COMMUNITY SAFETY AND INCREASE ACCESS TO SAFE AND AFFORDABLE HOUSING IN VARIOUS WAYS. WE WILL CONTINUE TO SUPPORT THESE COMMUNITY EFFORTS AND LOOK FOR FUTURE OPPORTUNITIES AS COMMUNITY SAFETY AND HOUSING HAVE A SIGNIFICANT INFLUENCE ON THE HEALTH OF INDIVIDUALS AND COMMUNITIES. BOTH OF THESE ISSUES DIRECTLY AFFECT CHRONIC DISEASE AND MENTAL HEALTH.

Schedule H, Part V, Section B, Line 3E
TO BETTER TARGET COMMUNITY RESOURCES ON THE SERVICE AREA'S MOST PRESSING HEALTH NEEDS, THE HOSPITAL PARTICIPATED IN A GROUP DISCUSSION WITH ORGANIZATIONAL DECISION MAKERS AND COMMUNITY LEADERS TO PRIORITIZE THE SIGNIFICANT COMMUNITY HEALTH NEEDS WHILE CONSIDERING SEVERAL CRITERIA: ALIGNMENT WITH ASCENSION HEALTH STRATEGIES OF HEALTHCARE THAT LEAVES NO ONE BEHIND; CARE FOR THE POOR AND VULNERABLE; OPPORTUNITIES FOR PARTNERSHIP; AVAILABILITY OF EXISTING PROGRAMS AND RESOURCES; ADDRESSING DISPARITIES OF SUBGROUPS; AVAILABILITY OF EVIDENCE-BASED PRACTICES; AND COMMUNITY INPUT. THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. SEE SCHEDULE H, PART V, LINE 7 FOR THE LINK TO THE CHNA AND SCHEDULE H, PART V, LINE 11 FOR HOW THOSE NEEDS ARE BEING ADDRESSED.

Schedule H, Part V, Section B, Line 5 Facility B, 1
Facility B, 1 - ASCENSION COLUMBIA ST. MARY'S HOSPITAL OZAUKEE. ASCENSION COLUMBIA ST. MARY'S HOSPITAL OZAUKEE'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN COLLABORATION WITH OTHER HEALTH SYSTEMS USING A COORDINATED APPROACH AND STANDARD MODEL LED BY THE MILWAUKEE HEALTH CARE PARTNERSHIP (MHCP). ASSESSMENT PARTNERS IN OZAUKEE COUNTY INCLUDED ASCENSION WISCONSIN, ADVOCATE AURORA HEALTH, CHILDREN'S HOSPITAL OF WISCONSIN, FROEDTERT AND MEDICAL COLLEGE OF WISCONSIN AND WASHINGTON OZAUKEE HEALTH DEPARTMENT. INPUT FROM PERSONS THAT REPRESENT THE BROAD INTERESTS OF THE COMMUNITY WAS OBTAINED THROUGH THE FOLLOWING METHODS: -- COMMUNITY HEALTH SURVEY: A TELEPHONE SURVEY OF 200 RESIDENTS WAS CONDUCTED BY JKV RESEARCH, LLC, BETWEEN JULY 15- OCTOBER 31, 2019. THE SURVEY INCLUDED QUESTIONS ABOUT PERSONAL/FAMILY HEALTH AND THE RESPONDENT'S PERCEPTION OF TOP HEALTH NEEDS IN THE COMMUNITY. -- KEY INFORMANT INTERVIEWS: INTERVIEWS WERE CONDUCTED BY MEMBERS OF THE MHCP IN OZAUKEE COUNTY WITH KEY STAKEHOLDERS BETWEEN JUNE AND SEPTEMBER 2019. (NOTE: THOSE INTERVIEWED INCLUDED THE LOCAL HEALTH DEPARTMENT.) TWENTY-NINE INDIVIDUALS PARTICIPATED IN 26 KEY INFORMANT INTERVIEWS ABOUT OUR COMMUNITY'S MOST PRESSING HEALTH NEEDS. THE ORGANIZATIONS LISTED HERE INCLUDE MANY THAT SERVE LOW-INCOME, MINORITY AND MEDICALLY UNDERSERVED POPULATIONS. THEY REPRESENT A VARIETY OF PERSPECTIVES FROM COMMUNITIES THAT INCLUDE BUT ARE NOT LIMITED TO: RACIAL AND ETHNIC MINORITIES, THE ELDERLY, YOUTH, VETERANS, FAITH COMMUNITIES, INDIVIDUALS WITH DISABILITIES, RURAL AND AGRICULTURAL COMMUNITIES, SURVIVORS OF DOMESTIC AND SEXUAL VIOLENCE AND PEOPLE LIVING WITH MENTAL ILLNESS AND SUBSTANCE ABUSE. ORGANIZATIONS THAT ASSISTED IN PROVIDING INPUT INCLUDED: ADVOCATE AURORA HEALTH ADVOCATES OF OZAUKEE AGING AND DISABILITY RESOURCE CENTER (ADRC) OF OZAUKEE COUNTY ASCENSION COLUMBIA ST. MARY'S HOSPITAL OZAUKEE BIG BROTHERS BIG SISTERS OF OZAUKEE COUNTY CEDARBURG CHAMBER OF COMMERCE FEITH FAMILY OZAUKEE YMCA GRAFTON AREA CHAMBER OF COMMERCE GRAFTON SCHOOL DISTRICT LAKESHORE REGIONAL CHILD ADVOCACY CENTER LASATA SENIOR LIVING CAMPUS LASATA SENIOR LIVING CAMPUS LASATA SENIOR LIVING CAMPUS MEQUON POLICE DEPARTMENT MEQUON-THIENSVILLE SCHOOL DISTRICT MEQUON-THIENSVILLE SCHOOL DISTRICT NAMI OZAUKEE OZAUKEE COMMUNITY THERAPIES OZAUKEE COUNTY DEPARTMENT OF HUMAN SERVICES OZAUKEE COUNTY SHERIFF'S OFFICE OZAUKEE ECONOMIC DEVELOPMENT PORT WASHINGTON-SAUKVILLE SCHOOL DISTRICT PORTAL, INC. SAUKVILLE CHAMBER OF COMMERCE SAUKVILLE COMMUNITY FOOD PANTRY STARTING POINT UNITED WAY OF NORTHERN OZAUKEE WASHINGTON OZAUKEE BOARD OF HEALTH WASHINGTON OZAUKEE PUBLIC HEALTH DEPARTMENT -- SECONDARY DATA: COMMUNITY HEALTH DATA WAS COMPILED FROM A VARIETY OF PUBLIC SOURCES BY THE CENTER FOR URBAN POPULATION HEALTH (CUPH).

Schedule H, Part V, Section B, Line 6a Facility B, 1
Facility B, 1 - ASCENSION COLUMBIA ST. MARY'S HOSPITAL OZAUKEE. THE CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES ADVOCATE AURORA HEALTH CHILDREN'S HOSPITAL OF WISCONSIN FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN

Schedule H, Part V, Section B, Line 6b Facility B, 1
Facility B, 1 - ASCENSION COLUMBIA ST. MARY'S HOSPITAL OZAUKEE. THE CHNA WAS CONDUCTED WITH THE FOLLOWING NON-HOSPITAL FACILITIES WASHINGTON OZAUKEE HEALTH DEPARTMENT

Schedule H, Part V, Section B, Line 11 Facility B, 1
Facility B, 1 - ASCENSION COLUMBIA ST. MARY'S HOSPITAL OZAUKEE. BASED ON THE CHNA COMPLETED IN 2020, THE HOSPITAL COMPLETED A 2020-2023 IMPLEMENTATION STRATEGY TO ADDRESS PRIORITY COMMUNITY HEALTH NEEDS. IN FISCAL YEAR 2022 (TAX YEAR 2021), THE HOSPITAL TOOK THE FOLLOWING ACTIONS TO ADDRESS THE PRIORITY NEEDS: ACCESS TO CARE: -PROVIDED FINANCIAL AID SCREENING AND ASSISTANCE FOR APPLYING TO MEDICAID FOR PATIENTS WHO WERE SELF PAY -PROVIDED TRANSPORTATION ASSISTANCE FOR MEDICAL APPOINTMENTS TO REMOVE ACCESS BARRIERS -PROVIDED HEALTH SERVICES TO THOSE WHO DO NOT HAVE INSURANCE THROUGH THE FREE CLINIC, HUIRAS FAMILY OZAUKEE COMMUNITY CLINIC -OFFERED BREAST CANCER SCREENINGS AT COMMUNITY EVENTS IN PARTNERSHIP WITH NEARBY HOSPITALS THROUGH THE MOBILE MAMMOGRAPHY UNIT CHRONIC DISEASE PREVENTION, HEALTHY WEIGHT, NUTRITION: --CONTINUED THE IMPLEMENTATION OF BMI SCREENING IN PRIMARY CARE SETTINGS AND IMPROVED PROCESSES FOR INCREASED SCREENING RATES -PROMOTED BREASTFEEDING TO STAFF AND PATIENTS AND PROMOTED THE DONOR DEPOT FOR THE MOTHER'S MILK BANK OF THE WESTERN GREAT LAKES MENTAL HEALTH: -CONTINUED THE IMPLEMENTATION OF DEPRESSION AND ALCOHOL MISUSE SCREENING IN PRIMARY CARE SETTINGS AND IMPROVED PROCESSES FOR INCREASED SCREENING RATES -OFFERED THE SUCCESSFUL OPIOID ADDICTION RECOVERY (SOAR) PROGRAM TO NUMEROUS COHORTS WHILE ALL PRIORITIZED SIGNIFICANT NEEDS WERE ADDRESSED, COVID-19 DISRUPTED SOME ORIGINAL IMPLEMENTATION STRATEGIES. THE HOSPITALS NEEDED TO MODIFY, DISCONTINUE OR ADD TO CURRENT STRATEGIES TO PROTECT THE HEALTH AND WELLBEING OF STAFF, PATIENTS AND COMMUNITY MEMBERS. DUE TO STAFF CAPACITY AND LIMITATIONS WITHIN THE SCHOOLS, THE ADOLESCENT BEHAVIORAL HEALTH PROGRAM WAS UNABLE TO BE IMPLEMENTED. ********** ASCENSION COLUMBIA ST. MARY'S HOSPITAL OZAUKEE UNDERSTANDS THE IMPORTANCE OF ALL THE HEALTH NEEDS OF THE COMMUNITY AND IS COMMITTED TO ACTIVELY PARTICIPATING IN IMPROVING THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE. FOR THE PURPOSES OF THIS CHNA, WE HAVE CHOSEN TO FOCUS OUR EFFORTS ON THE PRIORITIES LISTED ABOVE. THE FOLLOWING HEALTH ISSUES WERE NOT SELECTED TO BE INCLUDED IN THIS PLAN FOR THE REASONS DESCRIBED BELOW. -- ALCOHOL AND SUBSTANCE USE: THIS HEALTH ISSUE WILL BE INCORPORATED INTO THE MENTAL HEALTH PRIORITY, WITH AT LEAST ONE ALCOHOL AND DRUG USE STRATEGY TO BE IMPLEMENTED. WE ALSO WILL CONTINUE TO PROVIDE SCREENING, COUNSELING AND FOLLOW-UP CARE TO ADDRESS ALCOHOL AND DRUG USE. WE ARE COMMITTED TO MAINTAINING THESE SERVICES WHILE REMAINING OPEN TO ANY EMERGING NEEDS OR OPPORTUNITIES IN THESE AREAS. -- ADVERSE CHILDHOOD EXPERIENCES (ACES) ARE POTENTIALLY TRAUMATIC EVENTS THAT OCCUR IN CHILDHOOD (0-17 YEARS) AND INCLUDE PARENTAL SUBSTANCE AND ALCOHOL ABUSE. WHILE THIS HEALTH ISSUE WAS NOT SELECTED AS A PRIORITY, WE WILL INCORPORATE STRATEGIES FOR SUBSTANCE USE INTO THE MENTAL HEALTH PRIORITY. WE WILL CONTINUE TO PROVIDE SCREENING, COUNSELING AND FOLLOW-UP CARE TO CHILDREN WHO EXPERIENCE ACES.

Schedule H, Part I, Line 3c FACTORS OTHER THAN FPG
"IN ADDITION TO FPG, THE ORGANIZATION USES MEDICAL INDIGENCY, ASSET TEST, INSURANCE STATUS AND RESIDENCY AS OTHER FACTORS IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE. A PATIENT MAY NOT BE ELIGIBLE FOR THE FINANCIAL ASSISTANCE IF SUCH PATIENT IS DEEMED TO HAVE SUFFICIENT ASSETS TO PAY PURSUANT TO AN ""ASSET TEST."" THE ASSET TEST INVOLVES A SUBSTANTIVE ASSESSMENT OF A PATIENT'S ABILITY TO PAY BASED ON THE CATEGORIES OF ASSETS MEASURED IN THE FAP APPLICATION. A PATIENT WITH SUCH ASSETS THAT EXCEED 250% OF SUCH PATIENT'S FPL AMOUNT MAY NOT BE ELIGIBLE FOR FINANCIAL ASSISTANCE. AN ASSET TEST APPLIES IF A PATIENT HAS ELIGIBLE LIQUID ASSETS THAT EXCEED 250% OF THE PATIENT'S FPG LEVEL FOR CONSIDERATION OF FINANCIAL ASSISTANCE ELIGIBILITY. LIQUID ASSETS INCLUDE ASSETS THAT CAN BE CONVERTED TO CASH WITHIN 1 YEAR. THESE INCLUDE ITEMS SUCH AS CHECKING ACCOUNTS, SAVINGS ACCOUNTS, TRUST FUNDS AND LUXURY ITEMS SUCH AS RECREATIONAL VEHICLES, BOATS, A SECOND HOME, ETC."

Schedule H, Part I, Line 5a BUDGET AMOUNTS FOR FREE OR DISCOUNTED CARE
THE ORGANIZATION ADMINISTERS ITS FINANCIAL ASSISTANCE POLICY IN ACCORDANCE WITH THE TERMS OF THE POLICY.

Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance
"THE COST OF PROVIDING CHARITY CARE, MEANS-TESTED GOVERNMENT PROGRAMS, AND OTHER COMMUNITY BENEFIT PROGRAMS IS ESTIMATED USING INTERNAL COST DATA, AND IS CALCULATED IN COMPLIANCE WITH CATHOLIC HEALTH ASSOCIATION (""CHA"") GUIDELINES. THE ORGANIZATION USES A COST ACCOUNTING SYSTEM THAT ADDRESSES ALL PATIENT SEGMENTS (FOR EXAMPLE, INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED, OR SELF PAY). THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. FOR THE INFORMATION IN THE TABLE, A COST-TO-CHARGE RATIO WAS CALCULATED AND APPLIED."

Schedule H, Part II Community Building Activities
THERE WERE NO COMMUNITY BUILDING ACTIVITIES TO REPORT THIS YEAR. ALL REPORTED ACTIVITIES QUALIFY AS COMMUNITY BENEFIT AND ARE DESCRIBED IN THE NARRATIVE UNDER SCH H PART I LINE 7.

Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE CORPORATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITHIN COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY ASCENSION HEALTH. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE CORPORATION'S POLICIES. AFTER APPLYING THE COST-TO-CHARGE RATIO, THE SHARE OF THE BAD DEBT EXPENSE IN FISCAL YEAR 2022 WAS $30,391,402 AT CHARGES, ($10,011,652 AT COST).

Schedule H, Part III, Line 3 Bad Debt Expense Methodology
BASED ON THE ORGANIZATION'S ADMINISTRATION OF ITS FINANCIAL ASSISTANCE PROGRAM, NO ESTIMATE FOR BAD DEBT ATTRIBUTABLE TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS IS DEEMED APPLICABLE TO HOSPITAL OPERATIONS.

Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
THE ORGANIZATION IS PART OFASCENSION HEALTH ALLIANCE'S CONSOLIDATED AUDIT IN WHICH THE FOOTNOTE THAT DISCUSSESBAD DEBT (IMPLICIT PRICE CONCESSIONS) EXPENSE IS LOCATED IN FOOTNOTE #2, PAGES 17-20, OF THE AUDITED FINANCIAL STATEMENTS.

Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs
A COST TO CHARGE RATIO IS APPLIED TO THE ORGANIZATION'S MEDICARE GROSS CHARGES TO CALCULATE MEDICARE COSTS, WHICH ARE THEN COMPARED TO MEDICARE PAYMENTS RECEIVED, TO DETERMINE A MEDICARE GAIN OR LOSS. ASCENSION HEALTH AND ITS RELATED HEALTH MINISTRIES FOLLOW THE CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES FOR DETERMINING COMMUNITY BENEFIT. CHA COMMUNITY BENEFIT REPORTING GUIDELINES SUGGEST THAT A MEDICARE SHORTFALL (LOSS) IS NOT TREATED AS COMMUNITY BENEFIT, EVEN THOUGH THE HOSPITAL HAS INCURRED LOSSES IN PROVIDING CARE TO MEDICARE PATIENTS. THEREFORE, NONE OF THE AMOUNT ON LINE 7 IS TREATED AS COMMUNITY BENEFIT.

Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
THE FILING ORGANIZATION FOLLOWS THE ASCENSION GUIDELINES FOR COLLECTION PRACTICES RELATED TO PATIENTS QUALIFYING FOR CHARITY OR FINANCIAL ASSISTANCE. A PATIENT CAN APPLY FOR CHARITY OR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION CYCLE. ONCE QUALIFYING DOCUMENTATION IS RECEIVED THE PATIENT'S ACCOUNT IS ADJUSTED IF ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY. PATIENT ACCOUNTS FOR THE QUALIFYING PATIENT IN THE PREVIOUS SIX MONTHS MAY ALSO BE CONSIDERED FOR CHARITY OR FINANCIAL ASSISTANCE. ONCE A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS SUSPENDED FOR THE AMOUNTS FOR WHICH THE PATIENT QUALIFIES.

Schedule H, Part V, Section B, Line 16a FAP website
A - Ascension Columbia St. Mary's Hospital - Milwaukee Campus: Line 16a URL: https://healthcare.ascension.org/financial-assistance; B - Ascension Columbia St. Mary's Hospital - Ozaukee Campus: Line 16a URL: https://healthcare.ascension.org/financial-assistance;

Schedule H, Part V, Section B, Line 16b FAP Application website
A - Ascension Columbia St. Mary's Hospital - Milwaukee Campus: Line 16b URL: https://healthcare.ascension.org/financial-assistance; B - Ascension Columbia St. Mary's Hospital - Ozaukee Campus: Line 16b URL: https://healthcare.ascension.org/financial-assistance;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
A - Ascension Columbia St. Mary's Hospital - Milwaukee Campus: Line 16c URL: https://healthcare.ascension.org/financial-assistance; B - Ascension Columbia St. Mary's Hospital - Ozaukee Campus: Line 16c URL: https://healthcare.ascension.org/financial-assistance;

Schedule H, Part VI, Line 2 Needs assessment
IN ADDITION TO THE CHNA REPORTED IN PART V, SECTION B, COLUMBIA SAINT MARY'S HOSPITAL, MILWAUKEE USES BOTH HOSPITAL DATA AND RELIABLE, THIRD PARTY REPORTS, INCLUDING DATA FROM GOVERNMENT SOURCES, TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY IT SERVES. THESE REPORTS PROVIDE INFORMATION ABOUT KEY HEALTH, SOCIOECONOMIC, AND DEMOGRAPHIC INDICATORS THAT POINT TO AREAS OF NEED. COLUMBIA SAINT MARY'S HOSPITAL, MILWAUKEE UTILIZES THIS INFORMATION TO DETERMINE DEVELOP PROGRAMS AND SERVICES TO BE PROVIDED FOR THE COMMUNITY. THESE NEEDS AND INITIATIVES ARE PRESENTED TO SENIOR LEADERSHIP AND BOARD MEMBERS TO ENSURE THE FINDINGS ARE CONSIDERED IN DEVELOPING THE ORGANIZATION'S STRATEGY, POLICY DEVELOPMENT, AND INTERNAL FINANCIAL AND OPERATIONAL DECISIONS.

Schedule H, Part VI, Line 5 Promotion of community health
THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS REPRESENTING DIVERSE ASPECTS AND INTERESTS OF THE COMMUNITY. MANY MEMBERS OF THE GOVERNING BODY RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA; WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS OR SPECIALTIES. SURPLUS FUNDS ARE PROVIDED TO FUND IMPROVEMENTS IN PATIENT CARE, MEDICAL EDUCATION, AND RESEARCH THROUGH DONATIONS FROM SUPPORTING ORGANIZATIONS.

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC. IS COMMITTED TO DELIVERING EFFECTIVE, SAFE, PERSON-CENTRIC, HEALTH CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A NONPROFIT HOSPITAL, IT IS OUR MISSION AND PRIVILEGE TO PLAY THIS IMPORTANT ROLE IN OUR COMMUNITY. STAFF SCREEN UNINSURED PATIENTS AND IF FOUND POTENTIALLY ELIGIBLE FOR A GOVERNMENT FUNDING SOURCE, PROVIDE ASSISTANCE AND/OR RESOURCES TO THE PATIENT AND THEIR FAMILY. IF A PATIENT IS NOT ELIGIBLE FOR A PAYMENT SOURCE, COLUMBIA ST. MARY'S MILWAUKEE HOSPITAL'S FINANCIAL ASSISTANCE POLICY COVERS PATIENTS WHO LACK THE FINANCIAL RESOURCES TO PAY FOR ALL OR PART OF THEIR BILLS. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED UPON THE ANNUAL FEDERAL POVERTY GUIDELINES; COLUMBIA ST. MARY'S MILWAUKEE HOSPITAL PROVIDES FULL FINANCIAL ASSISTANCE FOR THOSE WHO EARN UP TO 250% OF THE FEDERAL POVERTY LEVEL AND SLIDING SCALE ASSISTANCE UP TO 400% OF THE FEDERAL POVERTY LEVEL.. COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC. WIDELY PUBLICIZES ITS: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY VIA THE HOSPITAL FACILITY'S WEBSITE - https://healthcare.ascension.org/Locations/Wisconsin/WIMIL/Milwaukee-Ascension-Columbia-St-Marys-Hospital-Milwaukee/Financial-Assistance COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC. MAKES PAPER COPIES OF THE: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY - AMOUNT GENERALLY BILLED CALCULATION. THE PAPER COPIES ARE MADE READILY AVAILABLE AS PART OF THE INTAKE, DISCHARGE AND CUSTOMER SERVICE PROCESSES. UPON REQUEST, PAPER COPIES CAN ALSO BE OBTAINED BY MAIL. COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC.] INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA A NOTICE ON PATIENT BILLING STATEMENTS, INCLUDING THE PHONE NUMBER AND WEB ADDRESS WHERE MORE INFORMATION MAY BE FOUND. COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC. INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA SIGNAGE DISPLAYED IN THE EMERGENCY ROOM AND ADMISSIONS AREAS.

Schedule H, Part VI, Line 4 Community information
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE SERVES A PRIMARY SERVICE AREA OF EASTERN MILWAUKEE COUNTY. COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE IS LOCATED IN AN URBAN COMMUNITY WITHIN MILWAUKEE COUNTY. THE POPULATION OF MILWAUKEE COUNTY IS APPROXIMATELY 950,000 WITH OVER 15% OF HOUSEHOLDS LIVING AT OR BELOW THE FEDERAL POVERTY THRESHOLD. THE MEDIAN INCOME IS $51,628. APPROXIMATELY 7% OF THE INDIVIDUALS LIVING IN THE COUNTY ARE UNINSURED AND 34% ARE MEDICAID RECIPIENTS. THERE ARE A TOTAL OF 14 HOSPITALS IN MILWAUKEE COUNTY. COLUMBIA ST. MARY'S HOSPITAL IS A DISPROPORTIONATE SHARE HOSPITAL (DISPROPORTIONATE SHARE HOSPITALS SERVE A SIGNIFICANTLY DISPROPORTIONATE NUMBER OF LOW-INCOME PATIENTS AND RECEIVE PAYMENTS FROM THE CENTERS FOR MEDICAID AND MEDICARE SERVICES TO COVER THE COSTS OF PROVIDING CARE TO UNINSURED PATIENTS). AREAS OF MILWAUKEE COUNTY ARE DESIGNATED AS PRIMARY CARE, MENTAL HEALTH CARE AND DENTAL HEALTH CARE SHORTAGE AREAS.

Schedule H, Part VI, Line 6 Affiliated health care system
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC. IS A MEMBER OF ASCENSION. ASCENSION HEALTH ALLIANCE, D/B/A ASCENSION (ASCENSION), IS A MISSOURI NONPROFIT CORPORATION FORMED ON SEPTEMBER 13, 2011. ASCENSION IS THE SOLE CORPORATE MEMBER AND PARENT ORGANIZATION OF ASCENSION HEALTH, A CATHOLIC NATIONAL HEALTH SYSTEM CONSISTING PRIMARILY OF NONPROFIT CORPORATIONS THAT OWN AND OPERATE LOCAL HEALTHCARE FACILITIES, OR HEALTH MINISTRIES, LOCATED IN 19 OF THE UNITED STATES AND THE DISTRICT OF COLUMBIA. ASCENSION IS SPONSORED BY ASCENSION SPONSOR, A PUBLIC JURIDIC PERSON. THE PARTICIPATING ORGANIZATIONS/ENTITIES OF ASCENSION SPONSOR ARE THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, ST. LOUISE PROVINCE; THE CONGREGATION OF ST. JOSEPH; THE CONGREGATION OF THE SISTERS OF ST. JOSEPH OF CARONDELET; THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE, INC. - AMERICAN PROVINCE; AND THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST. FRANCIS OF ASSISI - US/CARIBBEAN PROVINCE. COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC. IS AN AFFILIATE OF COLUMBIA ST. MARY'S, INC. AND ASCENSION HEALTH. THE HOSPITAL'S AFFILIATES ARE LARGE MULTI-FACETED, INTEGRATED, NOT-FOR-PROFIT MINISTRIES INCLUDING HOSPITAL AND NON-HOSPITAL MINISTRIES (PHYSICIAN GROUP PRACTICES, HOSPITAL ORGANIZATIONS, RESEARCH, HOME HEALTH, DURABLE MEDICAL EQUIPMENT AND SENIOR FACILITIES). THESE MINISTRIES WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF SERVING AS A HEALING PRESENCE WITH SPECIAL CONCERN FOR OUR NEIGHBORS ESPECIALLY THOSE WHO ARE POOR OR VULNERABLE. THIS COMMUNITY BENEFIT HAPPENS THROUGH ITS FOCUS ON PATIENT CARE, EDUCATION AND RESEARCH. THE ORGANIZATIONS WORK TOGETHER TO SERVE THEIR COMMUNITIES AT THE LOCAL, REGIONAL, STATE AND NATIONAL LEVEL. THE ORGANIZATION PROMOTES THE HEALTH OF THE COMMUNITY BY PROVIDING HEALTHCARE SERVICES IN THE SOUTHEAST WISCONSIN AREA, REGARDLESS OF THE PERSON'S ABILITY TO PAY, BECAUSE IT IS OUR MISSION TO IMPROVE THE LIVES OF THOSE IN THE COMMUNITIES WE SERVE.