4A (Expenses $ 276249758 including grants of $ 675114) (Revenue $ 401156798)
ASCENSION SE WISCONSIN HOSPITAL, INC. PROVIDES SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. INCLUDED IN ASCENSION SE WISCONSIN HOPISTAL, INC.'S LOCATIONS ARE: ELMBROOK MEMORIAL HOSPITAL - A 122 BED CAMPUS, FRANKLIN HOSPITAL - A 52 BED CAMPUS, AND ST. JOSEPH HOSPITAL - A 169 BED CAMPUS. DURING FISCAL YEAR 2022, ASCENSION SE WISCONSIN HOSPITAL, INC. TREATED 11,270 ADULTS AND CHILDREN FOR A TOTAL OF 61,013 PATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES FOR 391,651 OUTPATIENT VISITS, WHICH INCLUDED 7,025 OUTPATIENT SURGERIES AND 93,611 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 SE WISCONSIN HOSPITAL - FRANKLIN CAMPUS. THE MOST RECENT ASCENSION SE WISCONSIN HOSPITAL - FRANKLIN CAMPUS' 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 5 Facility A, 2
Facility A, 2 - ASCENSION SE WISCONSIN HOSPITAL, INC. - ST. JOSEPH CAMPUS. THE MOST RECENT ASCENSION SE WISCONSIN HOSPITAL - ST. JOSEPH CAMPUS' 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 - FACILITY GROUP A. ASCENSION SE WISCONSIN HOSPITAL - ST. JOSEPH CAMPUS, LINE 1 ASCENSION SE WISCONSIN HOSPITAL - FRANKLIN CAMPUS, LINE 3 THE CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES: COLUMBIA ST. MARY'S INC. COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC. SACRED HEART REHABILITATION INSTITUTE, INC. ASCENSION ST. FRANCIS HOSPITAL, INC. 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 - FACILITY GROUP A. ASCENSION SE WISCONSIN HOSPITAL - ST. JOSEPH CAMPUS, LINE 1 ASCENSION SE WISCONSIN HOSPITAL - FRANKLIN CAMPUS, LINE 3 THE CHNA WAS CONDUCTED WITH THE FOLLOWING NON-HOSPITAL FACILITIES: MILWAUKEE HEALTHCARE PARTNERSHIP

Schedule H, Part V, Section B, Line 11 Facility A, 1
"Facility A, 1 - ASCENSION SE WISCONSIN - FRANKLIN CAMPUS. 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, MEDICAID AND/OR THE MARKETPLACE -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 -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: -OFFERED THE DIABETES PREVENTION PROGRAM, A SMALL-GROUP PROGRAM THAT HELPS PEOPLE WITH PRE-DIABETES TO EAT HEALTHIER, INCREASE THEIR PHYSICAL ACTIVITY AND LOSE WEIGHT, WHICH CAN DELAY OR EVEN PREVENT THE ONSET OF TYPE 2 DIABETES -OFFERED ""RENEW YOU,"" A PROGRAM THAT PROVIDES PATIENTS WITH WEIGHT MANAGEMENT INTERVENTIONS -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 AREA ORGANIZATIONS, HELD A FRANKLIN FAMILY NIGHT AND 5K FUN WALK/RUN TO PROVIDE HEALTH EDUCATION TO THE COMMUNITY --MENTAL HEALTH -CONTINUED THE IMPLEMENTATION OF DEPRESSION SCREENING IN PRIMARY CARE SETTINGS AND IMPROVED PROCESSES FOR INCREASED SCREENING RATES THAT REACHED OVER 70% -LINKED PATIENTS WITH SUBSTANCE ABUSE DISORDERS TO RECOVERY COACHES TO PROVIDE SUPPORT AND ONGOING COACHING FROM A PEER ADVOCATE -PARTICIPATED ON LOCAL MENTAL HEALTH COMMITTEES BY HAVING A LEADER ATTEND 100% OF THE YEARLY 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 -MANAGED 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 INVOLVEMENT IN VOLITION FRANKLIN, A COALITION THAT WORKS TO PREVENT SUBSTANCE USE IN YOUTH. ********** ASCENSION FRANKLIN 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 -INCREASE ACCESS TO HEALTH CARE SERVICES BY PROVIDING HOLISTIC SUPPORT FOR ASCENSION PATIENTS 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 FRANKLIN 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 ABUSE AND ILLEGAL DRUG USE: A COMMUNITY RESPONSE IS NECESSARY. ASCENSION FRANKLIN DOES REFER PATIENTS TO NUMEROUS INTERNAL AND COMMUNITY PROGRAMS FOR TREATMENT WHEN NEEDED AND WILL ACTIVELY PARTICIPATE IN FURTHER COLLABORATIVE EFFORTS. SOME EFFORTS MAY BE INCORPORATED UNDER THE MENTAL HEALTH PRIORITY AS THESE ISSUES ARE OFTEN INTERRELATED. --INFECTIOUS DISEASES: WHILE THIS WAS IDENTIFIED AS A TOP NEED, THE ASCENSION FRANKLIN 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 FRANKLIN 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 11 Facility A, 2
Facility A, 2 - ASCENSION SE WISCONSIN - ST. JOSEPH CAMPUS. 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 FOR DIABETES AND HYPERTENSION SCREENINGS AND PROVIDED HEALTH EDUCATION IN THE COMMUNITY THROUGH THE BE OF GOOD HEART PROGRAM -INCREASED ACCESS TO FRESH FRUIT AND VEGETABLES IN A NUMBER OF WAYS, INCLUDING A STOCKBOX PICKUP PROGRAM FOR OLDER ADULTS AND THE EBENEZER FOOD PANTRY -PARTNERED WITH URBAN CHURCHES ON PROVIDING VIRTUAL HEALTH EDUCATION AND OUTREACH IN THE CHURCH COMMUNITY TO SUSTAIN HEALTHY MINISTRIES INFANT MORTALITY: -COORDINATED THE CENTERING PREGNANCY PROGRAM, A MULTIFACETED MODEL OF GROUP MATERNITY CARE -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 -EDUCATED PARENTS 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 -OFFERED 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 -PROVIDED RAPID PREGNANCY TESTING FOR EARLY PRENATAL ENGAGEMENT -COLLABORATED WITH THE CITY OF MILWAUKEE HEALTH DEPARTMENT TO HAVE A WOMEN, INFANTS AND CHILDREN (WIC) OUTREACH OFFICE AND REFERRED LOW-INCOME WOMEN TO WIC PROGRAM FOR HEALTHCARE AND NUTRITION EDUCATION MENTAL HEALTH: -CONTINUED THE IMPLEMENTATION OF DEPRESSION SCREENING IN PRIMARY CARE SETTINGS AND IMPROVED PROCESSES FOR INCREASED SCREENING RATES THAT REACHED OVER 70% -CONNECTED PATIENTS WITH SUBSTANCE ABUSE DISORDERS TO RECOVERY COACHES TO PROVIDE SUPPORT AND ONGOING COACHING FROM A PEER ADVOCATE -DISPENSED NALOXONE KITS AND PROVIDED EDUCATION ON THE USE TO REDUCE THE RISK OF DEATH TO OVERDOSE -PARTICIPATED ON LOCAL MENTAL HEALTH COMMITTEES BY HAVING A LEADER ATTEND 100% OF THE YEARLY 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 -MANAGED A TELEBEHAVIORAL HEALTH PROGRAM IN THE ED TO IMPROVE QUALITY OF CARE AND CARE COORDINATION FOR INDIVIDUALS WITH MENTAL AND BEHAVIORAL HEALTH CONCERNS -RELAUNCHED A PAIN MANAGEMENT SUPPORT GROUP TO PROVIDE SUPPORT, VALIDATION AND EDUCATION ABOUT BASIC PAIN MANAGEMENT, THE RELATIONSHIP BETWEEN PSYCHOSOCIAL STRESSORS AND PAIN AND LIFE SKILLS -PARTNERED WITH THE CITY OF MILWAUKEE HEALTH DEPARTMENT OFFICE OF VIOLENCE PREVENTION ON A HOSPITAL-BASED VIOLENCE INTERRUPTION PROGRAM, TO MEDIATE CONFLICTS, PREVENT RETALIATION AND OTHER POTENTIALLY VIOLENT SITUATIONS, AND CONNECT INDIVIDUALS TO COMMUNITY SUPPORTS *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 ORAL HEALTH PROGRAM FOR EXPECTING MOTHERS. ********** ASCENSION ST. JOSEPH 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. --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

Schedule H, Part V, Section B, Line 11 Facility A, 3
Facility A, 3 - ASCENSION SE WISCONSIN - ST. JOSEPH CAMPUS (CONTINUED). ASCENSION ST. JOSEPH 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 SIGNIFICANT NEEDS WERE NOT SELECTED FOR THE (TAX YEAR) 2021 CHNA CYCLE: --ALCOHOL ABUSE AND ILLEGAL DRUG USE: A COMMUNITY RESPONSE IS NECESSARY. ASCENSION ST. JOSEPH DOES REFER PATIENTS TO NUMEROUS INTERNAL AND COMMUNITY PROGRAMS FOR TREATMENT WHEN NEEDED AND WILL ACTIVELY PARTICIPATE IN FURTHER COLLABORATIVE EFFORTS. SOME EFFORTS MAY BE INCORPORATED UNDER THE MENTAL HEALTH PRIORITY AS THESE ISSUES ARE OFTEN INTERRELATED. --INFECTIOUS DISEASES: WHILE THIS WAS IDENTIFIED AS A TOP NEED, THE ASCENSION ST. JOSEPH 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 ST. JOSEPH 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 SE WISCONSIN HOSPITAL-ELMBROOK CAMPUS. ASCENSION SE WISCONSIN - ELMBROOK'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN COLLABORATION WITH OTHER HEALTH SYSTEMS AND THE PUBLIC HEALTH AGENCY IN WAUKESHA COUNTY. ASCENSION IS COMMITTED TO ADDRESSING COMMUNITY HEALTH NEEDS COLLABORATIVELY WITH LOCAL PARTNERS. INPUT FROM PERSONS THAT REPRESENT THE BROAD INTERESTS OF THE COMMUNITY WAS OBTAINED THROUGH THE FOLLOWING METHODS: --COMMUNITY SURVEY: WHENEVER THE NUMBER OF SURVEY RESPONDENTS WAS SUFFICIENT TO ALLOW IT, THE DATA WAS REPORTED BY SPECIFIC POPULATION GROUPS INCLUDING GENDER, AGE, HOUSEHOLD INCOME LEVEL, EDUCATION AND MARITAL STATUS. (NOTE: DATA COULD NOT BE BROKEN DOWN FOR RACE AND ETHNICITY BECAUSE THERE WERE TOO FEW CASES IN THE SAMPLE.) A TELEPHONE SURVEY OF 400 RESIDENTS WAS CONDUCTED BY JKV RESEARCH, LLC BETWEEN JULY 24, 2020 AND SEPTEMBER 4, 2020. 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 PARTNERSHIP WITH KEY STAKEHOLDERS IN WAUKESHA COUNTY. THOSE INTERVIEWED INCLUDED THE LOCAL HEALTH DEPARTMENT AND REPRESENTATIVES OF ORGANIZATIONS THAT SERVE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. FORTY-SEVEN INDIVIDUALS PARTICIPATED IN 41 KEY INFORMANT INTERVIEWS ABOUT OUR COMMUNITY'S MOST PRESSING HEALTH NEEDS. THE INFORMANTS REPRESENT AN ARRAY OF PERSPECTIVES FROM COMMUNITIES THAT INCLUDE, BUT ARE NOT LIMITED TO: THE ELDERLY, YOUTH, INDIVIDUALS WITH DISABILITIES, FAITH COMMUNITIES, ETHNIC MINORITIES, LAW ENFORCEMENT, AND THOSE LIVING WITH MENTAL ILLNESS, SUBSTANCE ABUSE AND HOMELESSNESS. ORGANIZATIONS THAT ASSISTED IN PROVIDING INPUT INCLUDED: SIXTEENTH STREET COMMUNITY HEALTH CENTERS HEBRON HOUSING SERVICES WAUKESHA COUNTY MEDICAL EXAMINER'S OFFICE MUKWONAGO AREA SCHOOL DISTRICT UW EXTENSION WAUKESHA COUNTY KETTLE MORAINE SCHOOL DISTRICT EASTERSEALS SOUTHEAST WISCONSIN MUKWONAGO FOOD PANTRY WAUKESHA COUNTY NEW BERLIN POLICE DEPARTMENT ERAS SENIOR NETWORK MENOMONEE FALLS SCHOOLS ELMBROOK CHURCH HOPE NETWORK FOR SINGLE MOTHERS WAUKESHA COUNTY FIRE CHIEFS' ASSOCIATION NEW BERLIN FOOD PANTRY WAUKESHA COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, PUBLIC HEALTH DIVISION ADDICTION RESOURCE COUNCIL, INC. FAMILY SERVICE OF WAUKESHA WAUKESHA COUNTY BUSINESS ALLIANCE MENOMONEE FALLS AREA FOOD PANTRY SCHOOL DISTRICT OF WAUKESHA NAMI WAUKESHA, INC. THE WOMEN'S CENTER HAMILTON SCHOOL DISTRICT YMCA AT PABST FARMS WAUKESHA COUNTY COMMUNITY DENTAL CLINIC LAKE AREA FREE CLINIC MENOMONEE FALLS POLICE DEPARTMENT SCHOOL DISTRICT OF NEW BERLIN LINDENGROVE COMMUNITIES COMMUNITY OUTREACH HEALTH CLINIC AGING AND DISABILITY RESOURCE CENTER OF WAUKESHA COUNTY OCONOMOWOC AREA CHAMBER OF COMMERCE THE FOOD PANTRY SERVING WAUKESHA COUNTY WAUKESHA FREE CLINIC UNITED WAY OF GREATER MILWAUKEE AND WAUKESHA COUNTIES SUSSEX AREA OUTREACH SERVICES

Schedule H, Part V, Section B, Line 6a Facility B, 1
Facility B, 1 - ASCENSION SE WISCONSIN HOSPITAL-ELMBROOK CAMPUS. THE CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES: ADVOCATE AURORA HEALTH CARE CHILDREN'S HOSPITAL OF WISCONSIN FROEDTERT HEALTH THE MEDICAL COLLEGE OF WISCONSIN PROHEALTH CARE

Schedule H, Part V, Section B, Line 6b Facility B, 1
Facility B, 1 - ASCENSION SE WISCONSIN HOSPITAL-ELMBROOK CAMPUS. THE CHNA WAS CONDUCTED WITH THE FOLLOWING NON-HOSPITAL FACILITIES: WAUKESHA COUNTY PUBLIC HEALTH DIVISION

Schedule H, Part V, Section B, Line 11 Facility B, 1
"Facility B, 1 - ASCENSION SE WISCONSIN HOSPITAL-ELMBROOK CAMPUS. BASED ON THE CHNA COMPLETED IN 2021, THE HOSPITAL COMPLETED A 2021-2024 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: CHRONIC DISEASE PREVENTION: -HEALTHY LIVING COMMUNITY INITIATIVES - COORDINATED A COMMUNITY GARDEN AND DONATED PRODUCE TO A LOCAL FOOD PANTRY; PROVIDED EDUCATION ON HEALTHY LIVING TOPICS AT A LOCAL FARMERS MARKET AND OTHER COMMUNITY EVENTS; STARTED EXPLORING PLANS FOR PHYSICAL EDUCATION; SUPPORTED FOODSHARE BENEFITS AT THE FARMERS MARKET WITH FUNDING -BMI SCREENING AND REFERRAL: CREATED A WORKGROUP TO IMPROVE BMI SCREENINGS AND THE REFERRAL PROCESS; CREATED A RESOURCE GUIDE FOR PATIENTS WITH LIMITED ACCESS TO HEALTHY FOODS AND EXPLORED OPTIONS FOR A FOOD INSECURITY SCREENING PROCESS MENTAL HEALTH: -COMMUNITY MENTAL HEALTH FOCUS - PROMOTED NAMI MENTAL HEALTH RESOURCES THROUGHOUT THE COMMUNITY; CONDUCTED A QUESTION, PERSUADE, REFER (QPR) TRAINING TO HELP COMMUNITY MEMBERS RECOGNIZE SIGNS OF MENTAL DISTRESS AND HOW TO PROVIDE SUPPORT; HAD ASSOCIATES JOIN THE MENTAL HEALTH ADVISORY COMMITTEE FOR COLLECTIVE IMPACT -DEPRESSION SCREENING AND REFERRAL - COMPLETED A QUALITY IMPROVEMENT PROCESS AROUND DEPRESSION SCREENING IN OUTPATIENT SETTINGS; HIRED A PATIENT NAVIGATOR IN THE ED TO SUPPORT REFERRALS TO COMMUNITY RESOURCES WHEN SOCIAL NEEDS ARISE AND MENTAL HEALTH SUPPORT IS NEEDED, PARTICULARLY FOR OLDER ADULTS SUBSTANCE ABUSE: -SUBSTANCE USE COMMUNITY COLLABORATION - HAD ASSOCIATE JOIN THE HEROIN TASK FORCE, A COALITION THAT STRIVES TOWARD A COORDINATED AND COMPREHENSIVE APPROACH TO CREATING CONDITIONS THAT REDUCE THE IMPACT OF SUBSTANCE USE; WORKED WITH A TEAM OF STUDENTS TO INTEGRATE DRUG/ALCOHOL ABUSE INTO HEALTH LITERACY CURRICULUM AT LOCAL HIGH SCHOOLS -ALCOHOL SCREENING AND REFERRAL - COMPLETED A QUALITY IMPROVEMENT PROCESS AROUND ALCOHOL SCREENING IN OUTPATIENT SETTINGS; BEGAN CIRCULATING NEIGHBORHOOD RESOURCE WEBSITE FOR THOSE NEEDING COMMUNITY RESOURCES ON RECOVERY SUPPORT ********** ASCENSION SE WISCONSIN HOSPITAL - ELMBROOK 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. --CORONAVIRUS/COVID-19: WHILE CORONAVIRUS/COVID-19 WAS IDENTIFIED AS A TOP NEED, THE STEERING GROUP AGREED THAT IT SHOULD NOT BE LISTED AS A PRIORITY BECAUSE RESPONDING TO THIS ACUTE COMMUNITY CONCERN IS OUR DUTY AS HEALTHCARE PROVIDERS AND SHOULD NOT BE COUNTED AS COMMUNITY HEALTH IMPROVEMENT. INSTEAD, ALL STRATEGIES SHOULD BE CREATED THROUGH THE LENS OF THE PANDEMIC, WITH A PARTICULAR FOCUS ON THE RESULTING SOCIAL IMPACTS AND EXACERBATED HEALTH DISPARITIES. --ACCESS TO CARE: THE GROUP RECOMMENDED THAT ACCESS TO CARE BE USED AS ANOTHER LENS VERSUS ITS OWN PRIORITY IN THE IMPLEMENTATION STRATEGY, AS IT IS THE MAIN ROLE OF HEALTHCARE FACILITIES. IN CREATING STRATEGIES FOR THE THREE PRIORITIES, ASCENSION ELMBROOK WILL CONSIDER HOW TO AMPLIFY ACCESS TO HEALTH SERVICES. --ADDITIONALLY, THE GROUP COMBINED THE IDENTIFIED ISSUES OF CHRONIC DISEASE, OVERWEIGHT OR OBESITY AND NUTRITION UNDER ONE HEALTH PRIORITY CALLED ""CHRONIC DISEASE PREVENTION"" FOR COHESION, AS THESE ISSUES INTERSECT."

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 $16,737,880 AT CHARGES, ($4,735,304 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 SE WISCONSIN - ST. JOSEPH CAMPUS: Line 16a URL: https://healthcare.ascension.org/financial-assistance; B - ASCENSION SE WISCONSIN HOSPITAL - ELMBROOK CAMPUS: Line 16a URL: https://healthcare.ascension.org/financial-assistance;

Schedule H, Part V, Section B, Line 16b FAP Application website
A - ASCENSION SE WISCONSIN - ST. JOSEPH CAMPUS: Line 16b URL: https://healthcare.ascension.org/financial-assistance; B - ASCENSION SE WISCONSIN HOSPITAL - ELMBROOK 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 SE WISCONSIN - ST. JOSEPH CAMPUS: Line 16c URL: https://healthcare.ascension.org/financial-assistance; B - ASCENSION SE WISCONSIN HOSPITAL - ELMBROOK 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 SE WISCONSIN HOSPITAL, INC. - ELMBROOK MEMORIAL HOSPITAL & ASCENSION SE WISCONSIN HOSPITAL, INC. - ST. JOSEPH'S HOSPITAL - THESE TWO HOSPITALS USE 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. ELMBROOK MEMORIAL HOSPITAL & ST. JOSEPH'S HOSPITAL 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 SE WISCONSIN, 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 SE WISCONSIN, INC. 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 SE WISCONSIN, INC. HOSPITAL'S 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 SE WISCONSIN, 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/Brookfield-Ascension-SE-Wisconsin-Hospital-Elmbrook-Campus https://healthcare.ascension.org/Locations/Wisconsin/WIWHE/Franklin-Ascension-SE-Wisconsin-Hospital-Franklin-Campus/Financial-Assistance https://healthcare.ascension.org/Locations/Wisconsin/WIWHE/Milwaukee-Ascension-SE-Wisconsin-Hospital-St-Joseph-Campus/Financial-Assistance ASCENSION SE WISCONSIN, 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 SE WISCONSIN, 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 SE WISCONSIN, 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
ELMBROOK HOSPITAL: ELMBROOK HOSPITAL SERVES A PRIMARY SERVICE AREA OF WAUKESHA COUNTY. ELMBROOK HOSPITAL IS LOCATED IN AN URBAN COMMUNITY WITHIN WAUKESHA COUNTY. THE POPULATION OF WAUKESHA COUNTY IS APPROXIMATELY 400,475, WITH OVER 4.8% OF INDIVIDUALS LIVING AT OR BELOW THE FEDERAL POVERTY THRESHOLD. THE MEDIAN INCOME IS $90,548. APPROXIMATELY 4% OF THE INDIVIDUALS LIVING IN THE COUNTY ARE UNINSURED AND 10% ARE MEDICAID RECIPIENTS. THERE ARE A TOTAL OF 8 HOSPITALS IN WAUKESHA COUNTY. ELMBROOK 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). WAUKESHA COUNTY IS DESIGNATED AS A DENTAL HEALTH CARE SHORTAGE AREA. FRANKLIN HOSPITAL: FRANKLIN HOSPITAL SERVES A PRIMARY SERVICE AREA OF CENTRAL AND SOUTHERN MILWAUKEE COUNTY AND WAUKESHA COUNTY. FRANKLIN HOSPITAL IS LOCATED IN AN URBAN COMMUNITY WITHIN MILWAUKEE COUNTY. THE POPULATION OF MILWAUKEE COUNTY IS APPROXIMATELY 939,000 WITH OVER 16% OF HOUSEHOLDS LIVING AT OR BELOW THE FEDERAL POVERTY THRESHOLD. THE MEDIAN INCOME IS $53,418. 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. AREAS OF MILWAUKEE COUNTY ARE DESIGNATED AS PRIMARY CARE, MENTAL HEALTH CARE AND DENTAL HEALTH CARE SHORTAGE AREAS. ST. JOSEPH'S HOSPITAL: ST. JOSEPH'S HOSPITAL SERVES A PRIMARY SERVICE AREA OF CENTRAL AND NORTHERN MILWAUKEE COUNTY. ST. JOSEPH'S HOSPITAL IS LOCATED IN AN URBAN COMMUNITY WITHIN MILWAUKEE COUNTY. THE POPULATION OF MILWAUKEE COUNTY IS APPROXIMATELY 939,000 WITH OVER 16% OF HOUSEHOLDS LIVING AT OR BELOW THE FEDERAL POVERTY THRESHOLD. THE MEDIAN INCOME IS $53,418. 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. ST. JOSEPH'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 5 Promotion of community health
ASCENSION SE WISCONSIN, INC. 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 SE WISCONSIN, 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 SE WISCONSIN, 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.