4A (Expenses $ 118739313 including grants of $ 82520) (Revenue $ 121531549)
At Longmont United Hospital, we are committed to providing both compassionate health care in a healing environment and leadership to improve the health of the community we serve. We are a full-service, nonprofit hospital. Our specialty areas include women's services, orthopedics, cardiology, oncology, robotic surgery, acute medical services. Our 24-hour Emergency Department is a Level III Trauma Center. Longmont United Hospital is a Planetree Patient-Centered Care Designated hospital in Northern Colorado. We have served the people of Longmont, Colorado for more than five decades.

Schedule H, Part V, Section B, Line 3E
THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. TWO NEEDS LONGMONT UNITED HOSPITAL (LUH) FOCUSED ON WERE: (1) BEHAVIORAL HEALTH, (2) FOOD SECURITY, (3) RISK BEHAVIOR, (4) DISEASE & INJURY.

Schedule H, Part V, Section B, Line 5 Facility , 1
Facility , 1 - LONGMONT UNITED HOSPITAL. IN ORDER TO ASSESS THE NEEDS OF OUR COMMUNITY, WE CREATED A HOSPITAL SUBCOMMITTEE MADE UP OF KEY STAKEHOLDERS AND INDIVIDUALS WHO REPRESENTED THE BROADER INTERESTS OF OUR COMMUNITY. PUBLIC HEALTH REPRESENTATIVES ATTENDED EVERY MEETING AND PROVIDED INPUT INTO THE PROCESS OF NARROWING THE SELECTION OF HEALTH ISSUES. ONCE HEALTH NEEDS WERE PRIORITIZED, WE DETERMINED GROUPS AND INDIVIDUALS APPROPRIATE FOR FOCUS GROUPS, BEING SURE TO SOLICIT INPUT FROM UNDERSERVED OR MINORITY GROUPS WITHIN THE COMMUNITIES WE SERVE. THESE FOCUS GROUPS HELPED IDENTIFY PARTICULARLY IMPORTANT NEEDS AS SEEN BY OUR COMMUNITIES, HELP US IDENTIFY GAPS IN KNOWLEDGE, AND UNDERSTAND CURRENT EXTERNAL EFFORTS AROUND HEALTH NEEDS THAT COULD BE IMPROVED BY HEALTHCARE PARTICIPATION. LONGMONT UNITED HOSPITAL CREATED A CHNA COMMITTEE TO REVIEW THE QUALITATIVE AND QUANTITATIVE HEALTH DATA AND PRIORITIZE HEALTH NEEDS IN OUR COMMUNITIES. THIS SUBCOMMITTEE WAS MADE UP OF BOTH HOSPITAL STAFF AND COMMUNITY STAKEHOLDERS INCLUDING REPRESENTATIVES FROM LOCAL PUBLIC HEALTH DEPARTMENT. WE PRIORITIZED HEALTH NEEDS IN OUR COMMUNITY USING THE CENTURA HEALTH PRIORITIZATION METHOD, ADAPTED FROM THE HANLON METHOD FOR PRIORITIZING HEALTH PROBLEMS. FIRST, THE CHNA SUBCOMMITTEE RATED EACH IDENTIFIED NEED ON A SCALE OF 1-4 (LOW - HIGH) AGAINST THE SIZE OF THE PROBLEM AND THE SERIOUSNESS OF THE PROBLEM. THIS RANKING WAS CALCULATED BY ADDING THESE TWO RANKINGS TOGETHER. FOR THE TOP HEALTH INDICATORS, WE SCHEDULED MEETINGS FROM MARCH THROUGH NOVEMBER 2022 TO COLLECT INFORMATION ABOUT THAT WHICH IS ALREADY HAPPENING, GAPS RELATED TO EACH PRIORITY AND PUBLIC HEALTH QUALITATIVE DATA. BASED UPON THESE RESULTS, THE COMMITTEE IDENTIFIED THE PRIORITIES UPON WHICH TO FOCUS. THE STEERING COMMITTEE WAS MADE UP OF THE FOLLOWING ORGANIZATIONS AND REPRESENT THE FOLLOWING TARGET POPULATIONS: * MERCY HOSPITAL * BOULDER COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT, SERVING THE BROADER COMMUNITY * SAFE SHELTER OF ST. VRAIN VALLEY, SERVING THE UNHOUSED AND AT RISK OF BEING HOMELESS * OUR CENTER, SERVING THOSE FACING FOOD INSECURITY * AGAPE FAMILY SERVICES, SERVING FAMILIES AND CHILDREN * MENTAL HEALTH PARTNERS, SERVING THOSE NEEDING BEHAVIORAL HEALTH SERVICES * VIA MOBILITY SERVICES, SERVING SENIORS * CLINICA FAMILY HEALTH, SERVING THE BROADER COMMUNITY WITH A FOCUS ON MEDICAID * ST. VRAIN VALLEY SCHOOL DISTRICT, SERVING FAMILIES * LONGMONT CHAMBER OF COMMERCE, SERVING THE BROADER COMMUNITY * LONGMONT MEALS ON WHEELS, SERVING THOSE FACING FOOD INSECURITY * HOMELESS OUTREACH PROVIDING ENCOURAGEMENT (HOPE), SERVING THOSE UNHOUSED AND AT RISK OF BEING HOMELESS * LONGMONT CITY MANAGER, SERVING THE BROADER COMMUNITY * CITY OF LONGMONT, SENIOR SERVICES, SERVING THE BROADER COMMUNITY

Schedule H, Part V, Section B, Line 11 Facility , 1
Facility , 1 - LONGMONT UNITED HOSPITAL. LONGMONT UNITED HOSPITAL (LUH) AND COMMUNITY STAKEHOLDERS IDENTIFIED THREE SIGNIFICANT NEEDS IN THEIR COMMUNITY WHICH THEY PRIORITIZED AND FOCUSED ON. THE PRIORITIZED NEEDS WERE BEHAVIORAL HEALTH, FOOD SECURITY, AND ACCESS TO SAFE AND STABLE HOUSING. THE PROCESS FOLLOWED TO ADDRESS THE NEEDS, WAS TO CREATE SEVERAL GOALS FOR EACH NEED, AND THEN IMPLEMENTING SPECIFIC ACTIVITIES AND METRICS TO MEASURE PROGRESS OF ADDRESS THE NEED. SPECIFICALLY, LUH WANTED TO IMPROVE THE OVERALL BEHAVIORAL HEALTH STATUS OF BOULDER RESIDENTS BY LEVERAGING THE STRENGTHS OF THE HOSPITAL AND COMMUNITY PARTNERS TO FILL GAPS AND MEET COMMUNITY NEEDS. FOR OUR FIRST CHNA PRIORITY, BEHAVIORAL HEALTH, WE ADVANCE THREE GOALS: REACH 80% OF SCHOOL-AGED YOUTH WITH SOCIAL COHESION/RESILIENCY STRATEGY; INCREASE CAPACITY OF OUR COMMUNITY TO SUPPORT BEHAVIORAL HEALTH NEEDS THROUGH INCREASED AWARENESS AND REDUCED STIGMA OF BEHAVIORAL HEALTH; AND, INCREASE PEOPLE REPORTING ACCESS TO BEHAVIORAL HEALTH SERVICES FOR THESE GOALS, WE ACHIEVED THE FOLLOWING: SCHOOL MENTAL HEALTH COMMUNITY OF PRACTICE-VIRTUAL FORUM FOR SCHOOL ADMINISTRATORS AND TEACHERS TO LEARN ABOUT MENTAL HEALTH TRAINING, INCLUDING SUPPORT YOUTH RESILIENCY AND MENTAL HEALTH SUPPORT WITH VARIOUS COMMUNITY PARTNERS. FOCUSED ON TEAM-BUILDING, LIFE-SKILLS TRAINING AND APPRENTICESHIPS -ALL WITH THE AIM TO INCREASE PROTECTIVE FACTORS AND STRENGTHEN YOUTH RESILIENCY GRASSROOTS WITH LATINX AND BLACK COMMUNITIES TO REDUCE STIGMA ASSOCIATED WITH SEEKING BEHAVIORAL HEALTH SERVICES IN ADDITION TO SERVICE DEVELOPMENT WORK THAT IS ONGOING, CENTURA HAS ADVANCED COMMUNITY PARTNERSHIPS WITH LOCAL COMMUNITY BEHAVIORAL HEALTH PROVIDERS, REGIONAL ACCOUNTABLE ENTITIES AND EXPANDED ITS COLORADO HEALTH NEIGHBORHOOD BEHAVIORAL HEALTH PROVIDERS TO INCLUDED LARGE GROWING BH PROVIDER GROUPS THAT PROVIDE COMMUNITY BASED AND TELE BH SERVICES TO PROMOTE ENHANCED ACCESS. FOR OUR SECOND CHNA PRIORITY, ACCESS TO HEALTHY AND AFFORDABLE FOODS, THREE GOALS WERE UTILIZED AND THEN IMPLEMENTED TO USE EVIDENCE-BASED PRACTICE APPROACHES, INCLUDING: DECREASING NUMBER OF FOOD DESERTS BY 20%; DECREASING NUMBER OF COMMUNITY MEMBERS ELIGIBLE BUT NOT ENROLLED IN SNAP BY 60%; INCREASING USE OF LOCALLY-SOURCED, HEALTHY AFFORDABLE FOODS WITHIN CENTURA HEALTH BY 50%. FOR THESE GOALS, WE ACHIEVED THE FOLLOWING: COALITION MEMBERSHIP WITH BLUEPRINT TO END HUNGER CO- POLICY ADVOCACY PROJECT TO ENABLE LOCAL BUSINESS TO ACCEPT SNAP/WIC BENEFITS. IMPLEMENTED A COMMUNITY HEALTH WORKER MODEL - COMMUNITY FOOD ADVOCATE OUTREACH TO ENCOURAGE RETAILERS TO PARTICIPATE IN DOUBLE UP FOOD BUCKSPROGRAM. SPONSORED COMMUNITY SUPPORTED AGRICULTURE BOXES AT SEVERAL HOSPITAL AND CLINIC LOCATIONS. WE ALSO ASSISTED COMMUNITY MEMBERS GAIN ACCESS TO FEDERAL CASH ASSISTANCE PROGRAMS, SUCH AS SNAP/WIC ENROLLMENT THROUGH OUR COMMUNITY HEALTH ADVOCATE PROGRAM, IN PARTNERSHIP WITH COLORADO'S LEADING ANTI-HUNGER ORGANIZATION - HUNGER FREE COLORADO. FOR OUR THIRD CHNA PRIORITY, ACCESS TO SAFE AND STABLE HOUSING, THREE GOALS WERE UTILIZED THEN IMPLEMENTED TO USE EVIDENCE-BASED PRACTICE APPROACHES, INCLUDING: INCREASING ACCESS TO SAFE AND STABLE HOUSING AND SHELTER WITH THE COMMUNITY, AND SCREENING PATIENTS FOR HOUSING INSECURITY AND REFER THEM TO RESOURCES IN THE COMMUNITY. FOR THESE GOALS, WE ACHIEVED THE FOLLOWING: PARTICIPATING IN MONTHLY HEALTH SYSTEM FUNDERS FOR HOUSING COALITION, LED BY FUNDERS TOGETHER TO END HOMELESSNESS. ALL THREE PRIORITIZED NEEDS WERE ADDRESSED BY LONGMONT UNITED HOSPITAL AND PROVIDED BENEFITS RELATED TO IMPROVING THE HEALTH OF OUR COMMUNITY THROUGH MULTIPLE PROGRAMS. INCLUDING $3,267 IN COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS; AND $77,236 IN CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT.

Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance
A COST ACCOUNTING SYSTEM WAS NOT USED TO COMPUTE AMOUNTS IN THE TABLE; RATHER COSTS IN THE TABLE WERE COMPUTED USING THE ORGANIZATION'S COST-TO-CHARGE RATIO. THE COST-TOCHARGE RATIO COVERS ALL PATIENT SEGMENTS. THE COST-TO-CHARGE RATIO FOR THE YEAR ENDED 6/30/2022 WAS COMPUTED USING THE FOLLOWING FORMULA: OPERATING EXPENSE (BEFORE RESTRUCTURING, IMPAIRMENT AND OTHER LOSSES) DIVIDED BY GROSS PATIENT REVENUE.

Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
FOR FINANCIAL STATEMENT PURPOSES, LONGMONT UNITED HOSPITAL HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE.

Schedule H, Part III, Line 3 Bad Debt Expense Methodology
LONGMONT UNITED HOSPITAL DOES NOT INCLUDE ANY PORTION OF BAD DEBT AS COMMUNITY BENEFIT.

Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
LONGMONT UNITED HOSPITAL DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF COMMONSPIRIT HEALTH. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS: COMMONSPIRIT RELIES ON THE RESULTS OF DETAILED REVIEWS OF HISTORICAL WRITE-OFFS AND COLLECTIONS IN ESTIMATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE. UPDATES TO THE HINDSIGHT ANALYSIS IS PERFORMED AT LEAST QUARTERLY USING PRIMARILY A ROLLING EIGHTEEN MONTH COLLECTION HISTORY AND WRITE-OFF DATA. SUBSEQUENT CHANGES TO ESTIMATES OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO NET PATIENT REVENUE IN THE PERIOD OF CHANGE. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN A THIRD-PARTY PAYOR'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE IN PURCHASED SERVICES AND OTHER IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGE IN NET ASSETS. BAD DEBT EXPENSE FOR 2022 WAS NOT SIGNIFICANT.

Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs
THE ORGANIZATION APPLIES THE COST TO CHARGE RATIO CALCULATED IN IRS WORKSHEET 2 TO DETERMINE THE COST OF CARE PROVIDED TO MEDICARE PATIENTS. THE COST IS THEN EVALUATED AND ALL NON-ALLOWABLE COST IS REMOVED VIA ADJUSTMENTS. THE REMAINING ALLOWABLE COST IS THEN ALLOCATED TO APPROPRIATE PATIENT CARE AND NON-PATIENT CARE COST CENTERS BASED ON MEDICARE ALLOCATION PRINCIPLES. LONGMONT UNITED HOSPITAL (LUH) DOES NOT TREAT MEDICARE SHORTFALLS AS COMMUNITY BENEFIT. MEDICARE IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS; FOR-PROFIT HOSPITALS TREAT AND ATTEMPT TO ATTRACT MEDICARE BENEFICIARIES.

Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
LONGMONT UNITED HOSPITAL'S DEBT COLLECTION POLICY PROVIDES FOR THE PERFORMANCE OF A REASONABLE REVIEW OF EACH PATIENT'S ACCOUNT PRIOR TO TURNING AN ACCOUNT OVER TO A THIRDPARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT. THE REVIEW OF PATIENT ACCOUNTS IS DONE TO ASSURE THAT THE PATIENT OR THEIR GUARANTOR IS NOT ELIGIBLE FOR ASSISTANCE THROUGH LONGMONT UNITED HOSPITAL'S CHARITY CARE POLICY, UNINSURED DISCOUNT POLICY, OR ANOTHER FINANCIAL ASSISTANCE PROGRAM (I.E. MEDICAID). LONGMONT UNITED HOSPITAL REQUIRES THE FOLLOWING OF ITS THIRD-PARTY COLLECTION AGENCIES: * NEITHER LONGMONT UNITED HOSPITAL OR THEIR COLLECTION AGENCIES WILL REQUEST BENCH OR ARREST WARRANTS AS A RESULT OF NON-PAYMENT; * NEITHER LONGMONT UNITED HOSPITAL OR THEIR COLLECTION AGENCIES WILL SEEK LIENS THAT WOULD REQUIRE THE SALE OR FORECLOSURE OF A PRIMARY RESIDENCE; AND * NO LONGMONT UNITED HOSPITAL COLLECTION AGENCY MAY SEEK COURT ACTION WITHOUT HOSPITAL APPROVAL. ONCE A PATIENT IS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE, COLLECTION ACTIONS ARE THEN SUSPENDED.

Schedule H, Part V, Section B, Line 16a FAP website
- Longmont United Hospital: Line 16a URL: https://www.centura.org/patient-tools/billing-and-financial-services;

Schedule H, Part V, Section B, Line 16b FAP Application website
- Longmont United Hospital: Line 16b URL: https://www.centura.org/patient-tools/billing-and-financial-services;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
- Longmont United Hospital: Line 16c URL: https://www.centura.org/patient-tools/billing-and-financial-services;

Schedule H, Part VI, Line 2 Needs assessment
LONGMONT UNITED HOSPITAL PROVIDES SEVERAL SERVICES AND RESOURCES TO THE COMMUNITIES IT SERVES BEYOND THE PRIORITIZED NEEDS SPECIFICALLY IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THEY SPONSOR WELLNESS EVENTS SUCH AS BREAST FEEDING EDUCATION, ASTHMA SCREENINGS, AND FINANCIALLY SUPPORTS WELLNESS INITIATIVES OF CITIES AND PUBLIC SCHOOLS. THEY ALSO PROVIDE TRANSPORTATION FOR LOW INCOME PATIENTS AND HOUSING AT NO COST OR VERY LOW COST FOR THE FAMILIES OF LOW INCOME PATIENTS OF THE HOSPITAL THAT ARE FAR FROM THEIR RESIDENCE. THEY ALSO SUPPORT, FINANCIALLY AND THROUGH VOLUNTEERISM, INITIATIVES SUCH AS SOUP KITCHENS AND MEALS ON WHEELS TO PROVIDE FOOD AND NUTRITION EDUCATION TO ADDRESS HUNGER ISSUES. HOSPITAL STAFF ALSO VOLUNTEER TO SERVE AS PRECEPTORS FOR STUDENTS OF LOCAL HEALTH PROFESSIONAL PROGRAMS AND SERVE ON BOARDS OF LOCAL COMMUNITY ORGANIZATIONS THAT PROVIDE SOCIAL SERVICES TO POPULATIONS IN NEED.

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
LONGMONT UNITED HOSPITAL IS OPERATED AS PART OF CENTURA HEALTH CORPORATION (CENTURA). INFORMATION CONCERNING FINANCIAL ASSISTANCE IS INCLUDED ON CENTURA'S WEBSITE. THE WEBSITE NOT ONLY LISTS PHONE NUMBERS FOR PATIENTS TO CALL TO DISCUSS FINANCIAL ASSISTANCE, BUT ALSO INCLUDES CENTURA'S POLICY FOR CHARITY CARE AND ITS POLICIES RELATED TO UNINSURED PATIENTS. IN ADDITION, AT THE TIME OF REGISTRATION, UNINSURED PATIENTS ARE SCREENED TO DETERMINE IF THE PATIENTS QUALIFY FOR ANY FEDERAL, STATE OR COUNTY PROGRAMS. UNINSURED PATIENTS ARE ALSO SENT A LETTER REQUESTING THAT THE PATIENT CALL TO DETERMINE ELIGIBILITY FOR VARIOUS ASSISTANCE PROGRAMS, INCLUDING CHARITY.

Schedule H, Part VI, Line 6 Affiliated health care system
ON AUGUST 1, 2015, LUH ENTERED INTO A FOUR-PARTY AFFILIATION AGREEMENT AND JOINT OPERATING AND MANAGEMENT AGREEMENT (JOA) WITH CENTURA HEALTH CORPORATION, CATHOLIC HEALTH INITIATIVES COLORADO (CHIC), AND COMMONSPIRIT HEALTH (CSH). UNDER THIS AGREEMENT, LUH WILL BE OPERATED AND MANAGED BY CENTURA. CSH WILL PROVIDE THE HOSPITAL WITH SIGNIFICANT CAPITAL SUPPORT OVER THE NEXT SEVEN YEARS, AND MAY PROVIDE OPERATING SUPPORT AS NECESSARY.

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

Schedule H, Part VI, Line 4 Community information
THE COMMUNITIES THAT LONGMONT UNITED HOSPITAL SERVES ARE DESCRIBED AS FOLLOWS: *GEOGRAPHIC AREA COMMUNITY BENEFIT IS PROVIDED TO COMMUNITIES IN OUR PRIMARY AND SECONDARY SERVICE AREAS. THESE SERVICE AREAS REPRESENT ROUGHLY A 20-MILE RADIUS AROUND THE HOSPITAL AND ENCOMPASS MOUNTAIN TOWNS, SUBURBAN CITIES, AND RURAL PLAINS COMMUNITIES. LONGMONT UNITED HOSPITAL, A COMMUNITY NON-FOR-PROFIT HOSPITAL, IS THE ONLY HOSPITAL IN THE PRIMARY SERVICE AREA. ZIP CODES: 80501 LONGMONT PSA 80503 LONGMONT PSA 80504 LONGMONT PSA 80513 BERTHOUD PSA 80530 FREDERICK PSA 80540 LYONS PSA 80520 FIRESTONE (80504) PSA 80502 LONGMONT (80501) PSA 80533 HYGIENE (80503) PSA 80544 NIWOT (80503) PSA 80514 DACONO PSA 80542 MEAD PSA 80516 ERIE PSA 80534 JOHNSTOWN SSA 80026 LAFAYETTE SSA 80651 PLATTEVILLE SSA 80621 FORT LUPTON SSA 80538 LOVELAND SSA 80301 BOULDER SSA 80623 PLATTEVILLE (80651) SSA 80541 LOVELAND (80537) SSA 80537 LOVELAND SSA *RACIAL/ETHNIC - BOULDER COUNTY 77.% WHITE 1% BLACK 4% ASIAN 0.7% NATIVE AMERICAN 0.08% PACIFIC ISLANDER 6% OTHER 10% MULTIPLE RACES EDUCATION LEVEL: IN OUR COMMUNITY 95.5% OF THE POPULATION HAS AN ASSOCIATE'S DEGREE OR HIGHER. CO AVERAGE IS 71%. UNEMPLOYMENT RATE: 3.5%, CO AVERAGE IS 3.9% POPULATION WITH LIMITED ENGLISH PROFICIENCY: 2.5%, CO AVERAGE IS 2.8% RATIO OF HOUSEHOLDS IN THE 80TH % TO INCOME AT THE 20TH % IS 4.8 COMPARED TO COLORADO'S RATE OF 4.5.

Schedule H, Part VI, Line 5 Promotion of community health
THE ORGANIZATION'S HOSPITAL FACILITIES PROMOTE HEALTH FOR THE BENEFIT OF THE COMMUNITY. MEDICAL STAFF PRIVILEGES IN THE HOSPITAL ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA, CONSISTENT WITH THE SIZE AND NATURE OF ITS FACILITIES. THE ORGANIZATION'S HOSPITAL FACILITIES HAVE AN OPEN MEDICAL STAFF. ITS BOARD OF TRUSTEES IS COMPOSED OF A MAJORITY OF LOCAL COMMUNITY LEADERS LIVING IN THE HOSPITAL SERVICE AREA AND NOT CONTRACTORS OR EMPLOYEES OF THE HOSPITAL SYSTEM. EXCESS FUNDS ARE GENERALLY APPLIED TO EXPANSION AND REPLACEMENT OF EXISTING FACILITIES AND EQUIPMENT, AMORTIZATION OF INDEBTEDNESS, IMPROVEMENT IN PATIENT CARE, AND MEDICAL TRAINING, EDUCATION, AND RESEARCH. THE FACILITIES TREAT PERSONS PAYING THEIR BILLS WITH THE AID OF PUBLIC PROGRAMS LIKE MEDICARE AND MEDICAID. ALL PATIENTS PRESENTING AT THE HOSPITAL FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE ARE TREATED REGARDLESS OF THEIR ABILITY TO PAY FOR SUCH TREATMENT.