4A (Expenses $ 246879980 including grants of $ 513008) (Revenue $ 333726598)
ASCENSION ALL SAINTS HOSPITAL, INC. IS A 258-BED HOSPITAL CAMPUS PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING FISCAL YEAR 2022, ASCENSION ALL SAINTS HOSPITAL, INC. TREATED 9,720 ADULTS AND CHILDREN FOR A TOTAL OF 53,913 PATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES FOR 445,331 OUTPATIENT VISITS, WHICH INCLUDED 4,146 OUTPATIENT SURGERIES AND 53,788 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 - ASENSION ALL SAINTS HOSPITAL SPRING STREET CAMPUS AND WISCONSIN AVENUE CAMPUS. THE MOST RECENT ASCENSION ALL SAINTS SPRING STREET AND WISCONSIN AVENUE HOSPITALS' COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN COLLABORATION WITH OTHER HEALTH SYSTEMS AND THE PUBLIC HEALTH AGENCIES IN RACINE 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: A MAILED SURVEY WAS CONDUCTED BY JKV RESEARCH, LLC, TO GATHER THE PERCEPTIONS, THOUGHTS, OPINIONS AND CONCERNS OF THE COMMUNITY. FROM A RANDOM SAMPLE OF 3,000 ADDRESSES, 566 INDIVIDUALS COMPLETED THE MAILED SURVEY BETWEEN OCTOBER 2020 AND JANUARY 2021. --KEY STAKEHOLDER INTERVIEWS: CONDUCTED BETWEEN OCTOBER 2020 AND DECEMBER 2020, A SERIES OF 16 ONE-ON-ONE INTERVIEWS WERE CONDUCTED BY THE PARTNER HEALTH SYSTEMS TO GATHER FEEDBACK FROM KEY STAKEHOLDERS ON THE HEALTH NEEDS AND ASSETS OF RACINE COUNTY. THE REPRESENTATIVES FROM 16 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. CITY OF RACINE PUBLIC HEALTH DEPARTMENT RACINE COUNTY COMMUNICATIONS CENTER THE LGBT CENTER OF SE WISCONSIN CENTRAL RACINE COUNTY HEALTH DEPARTMENT RACINE COUNTY HUMAN SERVICES DEPARTMENT/BEHAVIORAL HEALTH SERVICES/ AGING AND DISABILITY RESOURCE CENTER RACINE UNIFIED SCHOOL DISTRICT TOWN OF WATERFORD POLICE DEPARTMENT RACINE AREA MANUFACTURERS AND COMMERCE RACINE COUNTY BURLINGTON SCHOOL DISTRICT RACINE FAMILY YMCA RACINE COUNTY PROJECT EMERGENCY, INC. DBA RACINE COUNTY FOODBANK HOMELESS ASSISTANCE LEADERSHIP ORGANIZATION (HALO, INC.) SHORE FIRE DEPARTMENT HISPANIC ROUND TABLE RACINE FIRE DEPARTMENT

Schedule H, Part V, Section B, Line 6a Facility A, 1
Facility A, 1 - ASENSION ALL SAINTS HOSPITAL SPRING STREET CAMPUS AND WISCONSIN AVENUE CAMPUS. THE CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES: ADVOCATE AURORA HEALTH CARE, CHILDREN'S HOSPITAL OF WISCONSIN

Schedule H, Part V, Section B, Line 6b Facility A, 1
Facility A, 1 - ASENSION ALL SAINTS HOSPITAL SPRING STREET CAMPUS AND WISCONSIN AVENUE CAMPUS. THE CHNA WAS CONDUCTED WITH THE FOLLOWING NON-HOSPITAL FACILITIES: CENTRAL RACINE COUNTY HEALTH DEPARTMENT CITY OF RACINE PUBLIC HEALTH DEPARTMENT HEALTH CARE NETWORK

Schedule H, Part V, Section B, Line 11 Facility A, 1
Facility A, 1 - ASENSION ALL SAINTS HOSPITAL SPRING STREET CAMPUS AND WISCONSIN AVENUE CAMPUS. BASED ON THE CHNA CONDUCTED IN 2018, 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 -WORKED ALONGSIDE THE EMS SERVICE LINE DIRECTOR TO REDEVELOP PARTNERSHIPS FOR A COMMUNITY PARAMEDIC PROGRAM TO PROVIDE FOLLOW-UP HEALTHCARE TO PATIENTS AT RISK OF POOR HEALTH OUTCOMES -PROVIDED MEDS TO BEDS PROGRAM, A DISCHARGE SERVICE THAT DELIVERS MEDICATIONS TO THE PATIENTS' BEDSIDE PRIOR TO DISCHARGE FOR IMPROVED TREATMENT ADHERENCE (SPRING STREET CAMPUS ONLY) INFANT MORTALITY: -SUPPORTED MOTHERS-TO-BE THAT NEEDED SERVICES WITH DONATIONS OF BABY PRODUCTS -EXPANDED THE CENTERING PREGNANCY PROGRAM, A MULTIFACETED MODEL OF GROUP MATERNITY CARE, INTO COMMUNITY SPACES -OFFERED PRENATAL CARE COORDINATION TO PREGNANT WOMEN WHO ARE CONSIDERED HIGH RISK FOR ADVERSE PREGNANCY OUTCOMES TO PROVIDE ACCESS TO MEDICAL, SOCIAL, EDUCATIONAL AND OTHER SERVICES MENTAL HEALTH: -CONTINUED THE IMPLEMENTATION OF DEPRESSION SCREENING IN PRIMARY CARE SETTINGS AND IMPROVED PROCESSES FOR INCREASED SCREENING RATES -OFFERED WOMEN OF WORTH PROGRAM, A TRAUMA-INFORMED, FAMILY-CENTERED ALCOHOL AND DRUG TREATMENT PROGRAM DESIGNED SPECIFICALLY TO ADDRESS THE NEEDS OF WOMEN -TOOK STEPS TO IMPLEMENT A MODEL IN THE PRIMARY CARE SETTING (WISCONSIN AVENUE CAMPUS ONLY) *********** IN ASCENSION ALL SAINTS HOSPITAL'S MOST RECENT CHNA COMPLETED IN JUNE 2022, THE FOLLOWING WERE IDENTIFIED AS SIGNIFICANT NEEDS IN THE COMMUNITY: 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 ACCESS TO HEALTHY FOODS : -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 ALL SAINTS HOSPITAL 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. COMMUNITY SAFETY, SPECIFICALLY VIOLENCE AND CRIME, WAS NOT PRIORITIZED DUE TO HOSPITAL AND STAFF CAPACITY. IT IS INDEED AN IMPORTANT ISSUE FOR RACINE COUNTY, BUT ONE THAT REQUIRES A SYSTEMS APPROACH OUTSIDE OF THE HOSPITAL AND LED BY AN EXPERT IN COMMUNITY SAFETY. ASCENSION ALL SAINTS WILL SUPPORT COMMUNITY EFFORTS AS AVAILABLE. SIMILARLY, FOR ALCOHOL ABUSE AND ILLEGAL DRUG USE, A COMMUNITY RESPONSE IS NECESSARY. ASCENSION ALL SAINTS REFERS PATIENTS TO NUMEROUS INTERNAL AND COMMUNITY PROGRAMS FOR TREATMENT WHEN NEEDED AND WILL ACTIVELY PARTICIPATE IN FURTHER COLLABORATIVE EFFORTS. ADDITIONALLY, WHILE ACES ARE IMPORTANT ROOT CAUSES TO MANY HEALTH ISSUES, THE HOSPITALS DO NOT HAVE THE EXPERTISE TO LEAD THESE COMMUNITY INITIATIVES BUT DO PROVIDE TRAUMA-INFORMED CARE FOR PATIENTS. IT WILL ALSO BE GENERALLY CONSIDERED WITHIN THE MENTAL HEALTH PRIORITY.

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 7g Subsidized Health Services
ALL SAINTS FAMILY HEALTH CENTER IS A MULTIDISCIPLINARY CLINIC THAT PROVIDES BOTH MEDICAL CARE FOR A VARIETY OF CONDITIONS AND SOCIAL SUPPORT SERVICES FOR INDIVIDUALS AND FAMILIES LIVING IN POVERTY OR LOW-INCOME. THE CENTER PROVIDES SUPPORT STAFF FOR PRENATAL CARE, PEDIATRICS, CHRONIC CONDITIONS AND BEHAVIORAL HEALTH. THE CENTER HAS SEVERAL PROGRAMS TO MEET THE SOCIAL NEEDS OF PATIENTS, FOR EXAMPLE, CONDITION SPECIFIC FOOD STOCK BOXES ARE PROVIDED TO PATIENTS WITH HYPERTENSION. COMMUNITY-LEVEL PROGRAMMING INCLUDES STRONG PARTNERSHIPS WITH COMMUNITY-BASED ORGANIZATIONS TO MEET THE SOCIAL NEEDS OF PATIENTS AND WELCOMES COMMUNITY MEMBERS TO PARTICIPATE IN A COMMUNITY GARDEN, COOKING DEMONSTRATIONS AND ACTIVITIES AND EVENTS THAT PROMOTE HEALTHY LIVING. FRESH START PROGRAM IS A COLLABORATION WITH THE RACINE UNIFIED SCHOOL DISTRICT. IT PROVIDES AN ALTERNATIVE EDUCATION SITE FOR CHILDREN WITH MENTAL HEALTH ISSUES STRUGGLING TO ADAPT TO TRADITIONAL LEARNING CLASSROOMS. PSYCHIATRISTS ARE AVAILABLE TO ASSESS CHILDREN AND MANAGE MEDICATIONS. THE PROGRAM OFFERS PSYCHOLOGICAL AND OCCUPATIONAL THERAPY, SUPPORT WITH MEDICATION MANAGEMENT AND A STRUCTURED ENVIRONMENT 5 DAYS A WEEK FOR SCHOOL AGE CHILDREN. THE PROGRAM SUPPORTS CHILDRENS' CONTINUED EDUCATION AND FAMILIES IN CARING FOR CHILDREN WITH PSYCHIATRIC AND OTHER BEHAVIORAL HEALTH ISSUES.

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 $14,267,178 AT CHARGES, ($4,422,825 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 ALL SAINTS HOSPITAL - SPRING STREET CAMPUS: Line 16a URL: https://healthcare.ascension.org/financial-assistance;

Schedule H, Part V, Section B, Line 16b FAP Application website
A - ASCENSION ALL SAINTS HOSPITAL - SPRING STREET 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 ALL SAINTS HOSPITAL - SPRING STREET 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, ASCENSION ALL SAINTS HOSPITAL, INC. 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. ASCENSION ALL SAINTS HOSPITAL, INC. 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 3 Patient education of eligibility for assistance
ASCENSION ALL SAINTS HOSPITAL, 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, ASCENSION ALL SAINTS 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; ASCENSION ALL SAINTS 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. ASCENSION ALL SAINTS HOSPITAL, 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/wiwhe/racine-ascension-all-saints-hospital-main-entrance-spring-street-campus/financial-assistance ASCENSION ALL SAINTS HOSPITAL, 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. ASCENSION ALL SAINTS HOSPITAL, 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. ASCENSION ALL SAINTS HOSPITAL, 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
ASCENSION ALL SAINTS HOSPITAL, INC. - SPRING STREET AND ASCENSION ALL SAINTS HOSPITAL, INC. - WISCONSIN AVENUE SERVE A PRIMARY SERVICE AREA OF RACINE COUNTY. ALL SAINTS HOSPITAL IS LOCATED IN AN URBAN COMMUNITY WITHIN RACINE COUNTY. THE POPULATION OF RACINE COUNTY IS APPROXIMATELY 196,602 WITH OVER 12.4% OF INDIVIDUALS LIVING AT OR BELOW THE FEDERAL POVERTY THRESHOLD. THE MEDIAN INCOME IS $61,366. APPROXIMATELY 6% OF THE INDIVIDUALS LIVING IN THE COUNTY ARE UNINSURED AND 23% ARE MEDICAID RECIPIENTS. THERE ARE A TOTAL OF 4 HOSPITALS IN RACINE COUNTY. ALL SAINTS 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 RACINE COUNTY ARE DESIGNATED AS PRIMARY CARE, MENTAL HEALTH CARE AND DENTAL HEALTH CARE SHORTAGE AREAS.

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. PLEASE ALSO SEE PART III FOR COMMUNITY ACTIVITIES UNDERTAKEN BY THIS ORGANIZATION, AS WELL AS A COMPILATION OF REGIONAL CHARITY CARE INFORMATION.

Schedule H, Part VI, Line 6 Affiliated health care system
ASCENSION ALL SAINTS HOSPITAL, 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. ASCENSION ALL SAINTS HOSPITAL, INC. IS AN AFFILIATE OF WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN, 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.