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SCHEDULE D, PART V, LINE 4 INTENDED USE OF ENDOWMENT FUNDS AE BENNETT COMMUNITY ENDOWMENT - EARNINGS TO BE USED FOR MENTAL HEALTH, PSYCHOLOGY AND NEUROLOGY PROGRAMS IN THE EAST BAY, AE BENNETT COMMITTEE. BEGEN FAMILY ENDOWMENT - INCOME IS TO BE USED FOR THE GENERAL NEEDS OF ALTA BATES SUMMIT MEDICAL CENTER. B. LOPEZ ENDOWMENT - INCOME IS FOR THE GENERAL SUPPORT OF THE NEWBORN INTENSIVE CARE UNIT. BENIOFF MEMORIAL ENDOWMENT FUND - PROVIDE A LECTURESHIP IN PERPETUITY THROUGH AN ENDOWMENT. CADENASSO FAMILY ENDOWMENT - INCOME FROM ENDOWMENT IS FOR UNRESTRICTED PURPOSES OF ALTA BATES SUMMIT MEDICAL CENTER. CLOROX CAPITAL ENDOWMENT FUND - INCOME IS TO BE USED FOR CAPITAL EQUIPMENT. DENICOLAI RESEARCH ENDOWMENT - INCOME IS FOR THE GENERAL USE OF REDI (RESEARCH & EDUCATION INSTITUTE). ELAINE MAKAROUNIS ENDOWMENT - TO BE USED FOR CANCER CARE PROGRAMS AND SERVICES. EVELYN STRODE & RALPH A VAN ORSDEL MEMORIAL ENDOWMENT - TO BENEFIT THE ABSMC EMERGENCY DEPARTMENT. GOGGIO QUASI-ENDOWMENT - TO ENDOW A CARDIOLOGY CONFERENCE ANNUALLY. IN THE FUTURE IT WILL BE POSSIBLE TO SPEND FUNDS IN OTHER MANNERS IF THE DONOR, FOUNDATION CEO OR THE BOARD OF TRUSTEES APPROVE CHANGE. HAAS FAMILY QUASI-ENDOWMENT - UNRESTRICTED. HELEN E MAC NAB QUASI-ENDOWMENT - UNRESTRICTED. HENRY & ELSIE CLAY ENDOWMENT - TO SUPPORT ALTA BATES HOSPITAL IN THE DIAGNOSIS, PREVENTION, AND TREATMENT OF DISEASE. J & C CONDON ENDOWMENT - UNRESTRICTED. JAY ADAMS ENDOWMENT - INCOME IS FOR PALLIATIVE CARE PROGRAMS TO HELP ALLEVIATE THE PAIN AND SUFFERING OF PATIENTS. JORDAN FUND - UNRESTRICTED. LEGACY FUND - UNRESTRICTED. LIBBEY ENDOWMENT - EARNINGS TO BE USED TO SUPPORT THE PRIORITY NEEDS OF SUTTER DELTA MEMORIAL HOSPITAL. MAKAROUNIS PERM ENDOWMENT - TO PROVIDE CANCER CARE PROGRAMS AND SERVICES. MARION ROSS ENDOWMENT - EARNINGS TO BE USED TO FUND THE CARDIOLOGY PROGRAM AT ALTA BATES. MARKSTEIN ENDOWMENT FUND - INCOME IS FOR MARKSTEIN CANCER EDUCATION AND PREVENTION PROGRAM TO BE USED FOR PROGRAMS, SERVICES, AND EQUIPMENT. MEMORIAL FUND - UNRESTRICTED. NONA JORDAN ENDOWMENT - UNRESTRICTED. OCKELS FAMILY ENDOWMENT - UNRESTRICTED. PROVIDENCE QUASI ENDOWMENT - INCOME TO BE USED FOR PASTORAL CARE, ELDER CARE (I.E. ADULT DAY, LIFELINE), AND ETHICS EDUCATION. SEIM FAMILY ENDOWMENT - UNRESTRICTED. SOUTH UNIT ENDOWMENT FUND - FOR THE GENERAL NEEDS OF THE 5 SOUTH UNIT (EXCLUDING SALARIES). SWEETLAND EDUCATIONAL ENDOWMENT FUND - DRUG EDUCATION FOR CHILDREN AND ADOLESCENT PATIENTS. TURNLEY FAMILY ENDOWMENT - GENERAL NEEDS OF THE ALTA BATES SUMMIT MEDICAL CENTER. WALKER MEMORIAL QUASI ENDOWMENT FUND - UNRESTRICTED. WALL HELP - FOR SUPPORT OF CHILDREN'S HOSPICE NEEDS IN BERKELEY. HENRY B. LASKY ENDOWMENT - EARNINGS ARE TO BE USED EQUALLY (SPLIT 50/50) FOR THE GENERAL PURPOSES OF THE CANCER SUPPORT SERVICES PROGRAM AND FOR THE GENERAL PURPOSES OF THE GROVE AT SUTTER SANTA ROSA REGIONAL HOSPITAL. THE FOLLOWING ENDOWMENTS ARE HELD AT MILLS-PENINSULA HOSPITAL FOUNDATION AND CALIFORNIA PACIFIC MEDICAL CENTER FOUNDATION FOR THE BENEFIT OF SUTTER BAY HOSPITALS: ELLIS PERMANENT ENDOWMENT - INCOME TO BE USED TO PROVIDE SCHOLARSHIPS AND GRANTS TO NEEDY GIRLS SEEKING CAREERS IN MEDICAL AND ALLIED FIELDS. REID PERMANENT ENDOWMENT - EARNINGS TO SUPPORT FREE BEDS, CLINICS, AND MEDICAL SERVICES TO THE POOR AND NEEDY. MALMQUIST PERMANENT ENDOWMENT - INCOME TO SUPPORT THE HOSPITAL'S HEATH CARE SERVICES RELATED TO ARTHRITIS, UNTIL AND UNLESS SUCH A USE WOULD NOT BE POSSIBLE AT THE HOSPITALS, IN WHICH CASE, THE FOUNDATION'S BOARD OF TRUSTEES MAY CHOOSE ANOTHER USE FOR THE INCOME AND MAY, IF NECESSARY AND IN THE BEST INTERESTS OF THE HOSPITALS EXPEND THE PRINCIPAL. BARSHAD PERMANENT ENDOWMENT - INCOME TO BE USED TO BENEFIT THE SENIOR FOCUS PROGRAM. COAKLEY PERMANENT ENDOWMENT - INCOME SHALL BE USED TO SUPPORT ANY PURPOSE EXCEPT CONSTRUCTION OR GENERAL EXPENSES OF MILLS PENINSULA MEDICAL CENTER. RAFFO PERMANENT ENDOWMENT - TO SUPPORT CANCER AND CARDIAC CARE, BUT NOT FOR ANIMAL RESEARCH. RUPPART PERMANENT ENDOWMENT - INCOME USED TO SUPPORT PURPOSES DEEMED MOST APPROPRIATE BY THE BOARD OF TRUSTEES OF MILLS PENINSULA HOSPITAL FOUNDATION AND THE PRINCIPAL BE MAINTAINED IN ITS ENTIRELY. DESIRED, BUT NOT MANDATORY IS THAT THE INCOME BE USED TO FUND CARE AND MAINTAIN THE SPECIAL CARE UNIT AND SHORT STAY SURGICAL RECOVERY UNIT. ZIELINSKY PERMANENT ENDOWMENT - FUND INCOME, BUT NO PART OF THE PRINCIPAL OR APPRECIATION (REALIZED OR UNREALIZED), SHALL BE USED TO FURTHER THE GENERAL OBJECTS AND PURPOSES OF THE MILLS PENINSULA HOSPITAL FOUNDATION. MCKAY PERMANENT ENDOWMENT - INCOME ONLY (INTEREST), BUT NO PART OF THE FUND PRINCIPAL OR APPRECIATION (REALIZED OR UNREALIZED), SHALL BE USED TO FURTHER THE GENERAL OBJECTS AND PURPOSES OF MILLS PENINSULA HOSPITAL FOUNDATION. DISTINGUISHED ENDOWED CHAIR IN CARDIOLOGY- QUASI ENDOWMENT - SUPPORT THE WORK OF CPMC'S ATRIAL FIBRILLATION & ARRHYTHMIA PROGRAM'S SR. MEDICAL DIRECTOR. EARL FOGELBERG, MD ENDOWMENT: PERMANENT ENDOWMENT, EARNINGS FROM THE EARL FOGLEBERG, MD ENDOWMENT ARE TO BE USED FOR CANCER TRIALS AND TREATMENT. PROGRAM IN MEDICINE & HUMANS QUASI-ENDOWMENT - EARNINGS SUPPORT PROGRAM IN MEDICINE & HUMAN VALUES. ROSENBERG/NICHOLS OVARIAN/REPRODUCTIVE CANCER QUASI-ENDOWMENT - ANNUAL RELEASE OF 5% WILL GO TO SUPPORT OVARIAN/REPRODUCTIVE CANCER RECOVERY PROGRAM GENERAL EXPENSES. MCCLELLAND FUND - DIV OF CARDIOLOGY QUASI-ENDOWMENT - FOR THE GENERAL USE BY THE DIVISION OF CARDIOLOGY. PAYDEN CENTER FOR MELANOMA RESEARCH & TREATMENT QUASI-ENDOWMENT - SUPPORT THE MELANOMA CENTER IN ITS EFFORTS WITH RESEARCH, EDUCATION, PATIENT CARE, SALARY SUPPORT & EQUIPMENT PURCHASE. CHAIR IN MELANOMA RESEARCH AND TREATMENT QUASI-ENDOWMENT - SUPPORT THE MELANOMA CENTER IN EFFORTS WITH RESEARCH & EDUCATION, PATIENT CARE, SALARY SUPPORT & EQUIPMENT PURCHASE. RAY DOLBY CHAIR IN BRAIN HEALTH RESEARCH QUASI-ENDOWMENT - SUPPORT A CHAIR AT THE CPMC RAY DOLBY BRAIN HEALTH CENTER. CHAIR IN BREAST HEALTH SERVICES QUASI-ENDOWMENT - SUPPORT A CHAIR IN BREAST HEALTH SERVICES. MISSION BERNAL (FORMERLY ST. LUKE'S ENDOWMENT) - TO SUPPORT MISSION BERNAL'S GENERAL OPERATIONS. H. SMITH ENDOWED CHAIR ENDOWMENT - ENDOWED CHAIR AT CPMCRI. WILLIAM GREENBACH ENDOWMENT - CANCER RESEARCH AT CPMCRI. CANCER RESEARCH CPMCRI G.BRUSH ENDOWMENT - CANCER RESEARCH AT CPMCRI. M. WILCOX ENDOWMENT - FOR EQUIPMENT; REFURBISHING OF ROOMS/ACCOMMODATIONS & FOR EDUCATION OF STAFF & PATIENTS RELATED TO CANCER RESEARCH. BASSO-KLEISER/GUEST FUND IN CARDIOLOGY ENDOWMENT -SUPPORT A CHAIR IN CARDIOLOGY. F. GERBODE HEART RESEARCH ENDOWMENT - HEART RESEARCH. HEART RESEARCH EDUCATIONAL ENDOWMENT - HEART RESEARCH, EDUCATION AND/OR PROGRAM DEVELOPMENT. BIOETHICS ENDOWMENT - PROGRAM IN MEDICINE & HUMAN VALUES. CPMC PMHV SENIOR SCHOLAR ENDOWMENT - SUPPORT RESEARCH, EDUCATION AND SCHOLARSHIP INITIATIVES IN CLINICAL ETHICS. M. HAIM ENDOWMENT - SUPPORT THE MICHAEL HAIM, M.D. MEMORIAL LECTURE IN DERMATOLOGY, SUBJECT CHOSEN BY THE CHIEF OF DEPARTMENT. J. GAMBLE TEACHING ENDOWMENT - DEPARTMENT OF MEDICINE TEACHING FUND. NOBLE ENDOWED CHAIR - SUSTAIN & ENHANCE EDUCATION OF RESIDENTS, WHILE CONTRIBUTING TO THE EXCELLENCE OF PATIENT CARE THROUGH AN ENDOWED CHAIR. CPMCF BROTHERTON PERINATAL MENTAL HEALTH ENDOWMENT - TO FUND PERINATAL MENTAL HEALTH CARE AT CPMC'S VALENCIA AND CESAR CHAVEZ CAMPUS. CPMCRI C&A FINLEY ENDOWED CHAIR NEURO RESEARCH - ENDOWED CHAIR AT CPMCRI. WATKINS BURBANK LOAN & SCHOLARSHIP ENDOWMENT - TO SUPPORT THE NURSING EDUCATION ACTIVITIES AT ST. LUKE'S. JOHN N CALLANDER ORTHOPEDIC ENDOWMENT - PRIORITY NEEDS OF THE CPMC'S ORTHOPEDIC DEPARTMENT. C. HUGHEY TRUST ENDOWMENT - SUPPORT PATIENT CARE FOR CRIPPLED CHILDREN'S PROGRAM. CPMC A. MORRISON CHILD DEVELOPMENT ENDOWMENT - GENERAL USE FOR THE CHILD DEVELOPMENT DEPARTMENT. CMPCF TAKAHASHI SENIOR SERVICE ENDOWMENT - TOMOYE TAKAHASHI ENDOWMENT FUND TO BENEFIT SENIOR SERVICES. MARGARET H. PAGE ENDOWMENT - PROGRAM AND CAPITAL SUPPORT. ST. LUKE'S ENDOWMENT - TO SUPPORT ST. LUKE'S GENERAL OPERATIONS. SF POLYCLINIC ENDOWMENT - PROVIDE CARE OF MEDICALLY INDIGENT PATIENTS AND SUBSIDIZE PROGRAMS OF INTEREST TO THE PRIMARY PHYSICIAN. IN MEMORY OF RUTH MARY PRITCHARD JENKINS ENDOWMENT - HELD AS AN ENDOWMENT IN MEMORY OF RUTH MARY PRITCHARD JENKINS, THE WIFE OF THE RT. REV. THOMAS JENKINS, INCOME FROM WHICH SHALL BE USED TO CARE FOR CLERGY AND THEIR FAMILIES IN THE HOSPITAL. CPMC SHREM CARDIOLOGY FELLOWSHIP ENDOWMENT - THE PURPOSE OF THE GIFT IS TO ESTABLISH A PERMANENT ENDOWMENT FUND TO SUPPORT THE CPMC JAN SHREM AND MARIA MANETTI SHREM CPMC CARDIOLOGY FELLOWSHIP PROGRAM AT CPMC. CPMC PHYLLIS WATTIS ESTATE HOME HOSPICE ENDOWMENT - FOR THE GENERAL PURPOSES OF THE HOME HOSPICE CARE PROGRAM. M. NOTKIN BREAST CANCER RECOVERY ENDOWMENT - EARNINGS PROVIDE SERVICES OF NURSE EDUCATION, PSYCHOLOGIST & PATIENT NAVIGATOR TO WOMEN UNDERGOING TREATMENT FOR BREAST CANCER. MPHF SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE FROM AUDIT: THIS ORGANIZATION WAS PART OF A CONSOLIDATED FINANCIAL SYSTEM AUDIT. THE ASC 740 AUDIT FOOTNOTE DISCLOSURE FOR THE SUTTER SYSTEM IS AS FOLLOWS: SUTTER HEALTH AND MANY AFFILIATES HAVE BEEN DETERMINED TO BE EXEMPT ORGANIZATIONS BY THE INTERNAL REVENUE SERVICE AND THE CALIFORNIA FRANCHISE TAX BOARD AND GENERALLY ARE NOT SUBJECT TO TAXES ON INCOME. CERTAIN ACTIVITIES OF SUTTER ARE SUBJECT TO INCOME TAXES; HOWEVER, SUCH ACTIVITIES ARE NOT SIGNIFICANT TO THE CONSOLIDATED FINANCIAL STATEMENTS. WITH RESPECT TO ITS TAXABLE ACTIVITIES, SUTTER RECORDS INCOME TAXES USING THE LIABILITY METHOD, UNDER WHICH DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE FINANCIAL ACCOUNTING AND TAX BASIS OF ASSETS AND LIABILITIES. DEFERRED TAX ASSETS OR LIABILITIES AT THE END OF EACH PERIOD ARE DETERMINED USING THE CURRENTLY ENACTED TAX RATE EXPECTED TO APPLY TO TAXABLE INCOME IN THE PERIODS THAT THE DEFERRED TAX ASSET OR LIABILITY IS EXPECTED TO BE REALIZED OR SETTLED. SUTTER RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS, ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE STATUTE OF LIMITATIONS FOR TAX YEARS 2019 THROUGH 2021 REMAINS OPEN IN U.S. TAX JURISDICTIONS IN WHICH SUTTER AND ITS AFFILIATES ARE SUBJECT TO TAXATION. SUTTER RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OPERATING EXPENSES. THERE WERE NO SUCH UNCERTAIN TAX POSITIONS RECOGNIZED FOR THE YEARS ENDED DECEMBER 31, 2022 AND 2021. 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X X true true X X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X true X false X X X X true X false false B false false true X X X X X X X X X 22 true true true true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 22 true SEE PART V, SECTION C false true X 400. 0. X X true true X X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X true X false X X X X true X false false C false false true X X X X X X X X X 22 true true true true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 22 true SEE PART V, SECTION C false true X 400. 0. X X true true X X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X true X false X X X X true X false false EDEN MEDICAL CENTER 7 false false true X X X X X X X X X 22 true true true true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 22 true SEE PART V, SECTION C false true X 400. 0. X X true true X X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X true X false X X X X true X false false SUTTER SANTA ROSA REGIONAL HOSPITAL 9 false false true X X X X X X X X X 22 true true true true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 22 true SEE PART V, SECTION C false true X 400. 0. X X true true X X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X true X false X X X X true X false false NOVATO COMMUNITY HOSPITAL 13 false false true X X X X X X X X X 22 true true true true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 22 true SEE PART V, SECTION C false true X 400. 0. X X true true X X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X true X false X X X X true X false false SUTTER LAKESIDE HOSPITAL 14 false false true X X X X X X X X X 22 true true true true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 22 true SEE PART V, SECTION C false true X 400. 0. X X true true X X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X true X false X X X X true X false false REPORTING GROUP: A (3, 5, 8, & 17) PART V, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, LINE 5 CHNA INPUT FROM KEY ADVISORS REPRESENTING BROAD COMMUNITY INTERESTS: CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A, 3, 5, 8, & 17): IN CONDUCTING ITS MOST RECENT CHNA, CALIFORNIA PACIFIC MEDICAL CENTER, A FACILITY OF SUTTER BAY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. COMMUNITY INPUT WAS PROVIDED BY A BROAD RANGE OF COMMUNITY MEMBERS VIA FOCUS GROUPS AND KEY INFORMANT INTERVIEWS. FOCUS GROUPS WERE CONDUCTED THAT INCLUDED INDIVIDUALS FROM COALITION ORGANIZATIONS REPRESENTING THE ASIAN, BLACK, INDIGENOUS, LATINX, AND PACIFIC ISLANDER COMMUNITIES IN SAN FRANCISCO. KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH INDIVIDUALS FROM ORGANIZATIONS SERVING THE FOLLOWING SAN FRANCISCO COUNTY POPULATIONS: UNDERSERVED, LOW-INCOME, UNHOUSED, CHILDREN/YOUTH/FAMILIES, DIVERSE RACIAL/ETHNIC COMMUNITIES, FORMERLY INCARCERATED, IMMIGRANTS/UNDOCUMENTED, LGBTQIA+, SENIORS, PEOPLE WITH DISABILITIES, VIOLENCE SURVIVORS, AND PEOPLE WITH HIV/AIDS. COMMUNITY INPUT WAS OBTAINED BETWEEN JULY AND DECEMBER OF 2021. AS PART OF THE PRIMARY QUALITATIVE DATA COLLECTION PROCESS FOR THE 2022 CHNA, FOCUS GROUPS WERE CONDUCTED WITH THE FOLLOWING FIVE GROUPS IN ORDER TO IDENTIFY THE COMMUNITY'S STRENGTHS, HEALTH NEEDS, AND SUGGESTED SOLUTIONS: . AFRICAN AMERICAN HEALTH EQUITY COALITION . ASIAN & PACIFIC ISLANDER HEALTH PARITY COALITION . CHICANO/LATINO/INDGENA HEALTH EQUITY COALITION . FUNDERS (INCLUDING BLUE SHIELD OF CALIFORNIA FOUNDATION, CALIFORNIA HEALTHCARE FOUNDATION, HIRSCH PHILANTHROPY PARTNERS, METTA FUND, NORTHERN CALIFORNIA GRANTMAKERS, THE CALIFORNIA WELLNESS FOUNDATION, AND ZELLERBACH FAMILY FOUNDATION) . INSURERS (INCLUDING ANTHEM, BLUE SHIELD, CANOPY HEALTH, KAISER PERMANENTE, SAN FRANCISCO HEALTH PLAN) THE CHNA ALSO UTILIZED KEY INFORMANT INTERVIEWS CONDUCTED BY KAISER PERMANENTE WITH PEOPLE FROM THE FOLLOWING 15 ORGANIZATIONS: . BAYVIEW YMCA . COMPASS FAMILY SERVICES . GLIDE FOUNDATION . HUCKLEBERRY YOUTH PROGRAMS . KAISER PERMANENTE - GREATER SAN FRANCISCO . LA CASA DE LAS MADRES . LAVENDER YOUTH RECREATION CENTER (LYRIC) . MISSION ECONOMIC DEVELOPMENT AGENCY . NORTHEAST MEDICAL SERVICES (NEMS) . ON LOK 30TH STREET SENIOR CENTER . RICHMOND AREA MULTI-SERVICES, INC. (RAMS) . SAN FRANCISCO AIDS FOUNDATION . SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH . SAN FRANCISCO HUMAN RIGHTS COMMISSION . SAN FRANCISCO UNIFIED SCHOOL DISTRICT FURTHER DETAILS ON THE METHODS AND FINDINGS ARE AVAILABLE IN THE 2022 CHNA AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT SCHEDULE H, PART V, LINE 6A & 6B CHNA HOSPITAL COLLABORATORS: CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A, 3, 5, 8, & 17): CPMC PARTICIPATES IN A COLLECTIVE NEEDS ASSESSMENT PROCESS AS A MEMBER OF THE SAN FRANCISCO HEALTH IMPROVEMENT PARTNERSHIP (SFHIP), A COLLABORATIVE BODY WHOSE MISSION IS TO IMPROVE COMMUNITY HEALTH AND WELLNESS IN SAN FRANCISCO THROUGH COLLECTIVE IMPACT. SFHIP IS COMPRISED OF MISSION-DRIVEN ANCHOR INSTITUTIONS, HEALTH EQUITY COALITIONS, THE SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH (SFDPH), FUNDERS, AND EDUCATIONAL, FAITH-BASED, HEALTHCARE, AND OTHER SERVICE PROVIDER NETWORKS AND INSTITUTIONS. THE 2022 CHNA PROCESS WAS FACILITATED BY HARDER+COMPANY COMMUNITY RESEARCH, AN INDEPENDENT CALIFORNIA-BASED EVALUATION COMPANY WITH EXPERTISE IN COMMUNITY PARTICIPATION. THE ORIGINAL 2022 CHNA DOCUMENT COLLECTIVELY DEVELOPED BY SFHIP AND PREPARED BY HARDER+COMPANY COMMUNITY RESEARCH CAN BE FOUND AT WWW.SFHIP.ORG. MEMBERSHIP IN SFHIP INCLUDES: . AFRICAN AMERICAN HEALTH EQUITY COALITION . ASIAN AND PACIFIC ISLANDER HEALTH PARITY COALITION . CHICANO/LATINO/INDIGENA HEALTH EQUITY COALITION . CHINESE HOSPITAL . DIGNITY HEALTH SAINT FRANCIS MEMORIAL HOSPITAL . DIGNITY HEALTH ST. MARY'S MEDICAL CENTER . INSTITUTO FAMILIAR DE LA RAZA . KAISER PERMANENTE . RAFIKI COALITION . RICHMOND AREA MULTI-SERVICES, INC. . SAN FRANCISCO COMMUNITY CLINIC CONSORTIUM . SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH . SAN FRANCISCO HUMAN SERVICES NETWORK . SAN FRANCISCO UNIFIED SCHOOL DISTRICT . SUTTER HEALTH CALIFORNIA PACIFIC MEDICAL CENTER . UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHEDULE H, PART V, LINE 7A, 7B, 10A CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A, 3, 5, 8, & 17): HOSPITAL FACILITY WEBSITE: HTTP://WWW.CPMC.ORG/ABOUT/COMMUNITY/COMMUNITY-NEEDS-ASSESSMENT.HTML OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT SCHEDULE H, PART V, LINE 11 CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A, 3, 5, 8, & 17): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT CPMC INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: . ACCESS TO CARE . BEHAVIORAL HEALTH . ECONOMIC OPPORTUNITY DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. ALTHOUGH NO HOSPITAL CAN ADDRESS ALL ASPECTS OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY, CPMC PLANS TO ADDRESS ALL THREE OF THE HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA. AS A MEMBER OF THE SAN FRANCISCO HEALTH IMPROVEMENT PARTNERSHIP (SFHIP), CPMC WILL CONTINUE TO WORK IN COLLABORATION WITH OTHER LOCAL HOSPITALS AND HEALTH PLANS TO IDENTIFY GAPS IN SERVICE AND TO DETERMINE WHERE EFFORTS SHOULD BE COLLECTIVELY REDIRECTED IN ORDER TO MOST EFFECTIVELY IMPROVE THE HEALTH OF SAN FRANCISCO RESIDENTS. FOR MORE INFORMATION ABOUT SFHIP, PLEASE VISIT WWW.SFHIP.ORG. SCHEDULE H, PART V, LINE 15E CALIFORNIA PACIFIC MEDICAL (REPORTING GROUP A, 3, 5, 8, & 17): METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: PATIENTS MAY REQUEST ASSISTANCE WITH COMPLETING THE APPLICATION FOR FINANCIAL ASSISTANCE IN PERSON AT THE HOSPITAL, OVER THE PHONE, THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE. SCHEDULE H, PART V, LINES 16A, 16B, & 16C CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A, 3, 5, 8, & 17): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER HEALTH WEBSITE AT: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/FINANCIAL-ASSISTANCE.HTML SCHEDULE H, PART V, LINE 16J CALIFORNIA PACIFIC MEDICAL (REPORTING GROUP A, 3, 5, 8, & 17): MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITAL'S SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE ORGANIZATION IN THE PRINCIPAL NEWSPAPER IN THE COMMUNITY OR WHEN DOING SO IS NOT PRACTICAL SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THE INFORMATION OR USE OTHER MEANS THAT WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY. SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. SCHEDULE H, PART V, LINE 22D AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR FULL WRITE OFF OF ALL CHARGES FOR AN UNINSURED PATIENT WITH A FAMILY INCOME AT OR BELOW 400% OF THE MOST RECENT FEDERAL POVERTY LEVEL. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-5, THIS ORGANIZATION ADOPTS THE PROSPECTIVE MEDICARE METHOD FOR AMOUNTS GENERALLY BILLED; HOWEVER, PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT FINANCIALLY RESPONSIBLE FOR MORE THAN THE AMOUNTS GENERALLY BILLED BECAUSE ELIGIBLE PATIENTS DO NOT PAY ANY AMOUNT. MILLS PENINSULA MEDICAL CENTER REPORTING GROUP B (4, 12, AND 15) PART V, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. PART V, LINE 5 CHNA INPUT FROM KEY ADVISORS REPRESENTING BROAD COMMUNITY INTERESTS: MILLS PENINSULA MEDICAL CENTER (REPORTING GROUP B, 4 & 12): IN CONDUCTING ITS MOST RECENT CHNA, MILLS-PENINSULA MEDICAL CENTER DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. LISTED BELOW ARE THE ORGANIZATIONS AND INDIVIDUALS SERVING THE MEDICALLY UNDERSERVED, LOW-INCOME, AND/OR MINORITY POPULATIONS WHO PROVIDED INPUT: LOW-INCOME MEDICALLY UNDERSERVED -AVENIDAS (SENIOR HEALTH NEEDS) -RAVENSWOOD FAMILY HEALTH NETWORK (ORAL HEALTH) -SAN MATEO COUNTY HEALTH (PUBLIC HEALTH) -SAN MATEO COUNTY HEALTH (MATERNAL/TEEN HEALTH) -ROOTS COMMUNITY HEALTH CENTER -SAN MATEO MEDICAL CENTER -ROTACARE FREE CLINICS -SAN MATEO MEDICAL CENTER -GARDNER HEALTH SERVICES LOW-INCOME MEDICALL UNDERSERVED MINORITY -PUENTE DE LA COSTA SUR (COASTSIDE HEALTH NEEDS) MEDICALLY UNDERSERVED MINORITY -SAN MATEO COUNTY PRIDE CENTER (LGBTQ+ HEALTH NEEDS) -STANFORD DEPARTMENT OF PSYCHIATRY AND BEHAVIORAL SCIENCES -RAVENSWODD FAMILY HEALTH NETWORK -DIGNITY HEALTH - SEQUOIA HOSPITAL -CALIFORNIA AIR RESOURCES BOARD/BAY AREA AIR QUALITY MANAGEMENT DISTRICT -BAY AREA COMMUNITY HEALTH ADVISORY COUNCIL -UNITY CARE GROUP LOW-INCOME -SAN MATEO COUNTY HUMAN SERVICES AGENCY (BASIC NEEDS) -LEGAL AID SOCIETY OF SAN MATEO (SOCIAL DETERIMINANTS OF HEALTH) -FIRST 5 SAN AMTEO COUNTY -COASTSIDE HOPE -SAN MATEO DEPARTMENT OF HOUSING -BOYS & GIRLS CLUB OF THE COASTSIDE -DALY CITY COMMUNITY SERVICE CENTER -SAMARITAN HOUSE -PUENTE DE LA COSTA SUR -SECOND HARVEST OF SILICON VALLEY -YMCA COMMUNITY RESOURCE CENTER MEDICALLLY UNDERSERVED -STARVISTA -CAMINAR -SAN MATEO COUNTY HEALTH -STANFORD HEALTH CARE -PENINSULA FAMILY SERVICES -COMMUNITY OVERCOMING RELATIONSHIP ABUSE -EDGEWOOD CENTER FOR CHILDREN AND FAMILIES -CASA OF SAN MATEO COUNTY ACTIONABLE INSIGHTS (AI) CONDUCTED PRIMARY RESEARCH FOR THIS ASSESSMENT. AI USED THREE STRATEGIES FOR COLLECTING COMMUNITY INPUT: KEY INFORMANT INTERVIEWS WITH HEALTH AND COMMUNITY-SERVICE EXPERTS, AND FOCUS GROUPS WITH COMMUTIY RESIDENTS, AND FOCUS GROUPS WITH PEOPLE WHO SERVE RESIDENTS. AI RECORDED EACH INTERVIEW AND FOCUS GROUP AS A STANDALONE PIECE OF DATA. RECORDINGS WERE TRANSCRIBED, THEN THE TEAM USED QUALITATIVE RESEARCH SOFTWARE TOOLS TO ANALYZE THE TRANSCRIPTS FOR COMMON THEMES. AI ALSO TABULATED HOW MANY TIMES HEALTH NEEDS HAD BEEN PRIORITIZED BY EACH OF THE FOCUS GROUPS OR DESCRIBED AS A PRIORITY IN A KEY INFORMANT INTERVIEW. THE HCC USED THIS TABULATION TO HELP ASSESS COMMUNITY HEALTH PRIORITIES. ACROSS THE KEY INFORMANT INTERVIEWS AND FOCUS GROUPS, AI SOLICITED INPUT FROM MORE THAN 100 COMMUNITY MEMBERS, COMMUNITY LEADERS, COMMUNITY REPRESENTATIVES OF VARIOUS ORGANIZATIONS AND SECTORS. THESE REPRESENTATIVES EITHER WORK IN THE HEALTH FIELD OR IN A COMMUNITY-BASED ORGANIZATION THAT FOCUSES ON IMPROVING HEALTH AND QUALITY OF LIFE CONDITIONS BY SERVING THOSE FROM IRS-IDENTIFIED HIGH-NEED TARGET POPULATIONS. THIS IS A PARTIAL LIST OF FOCUS GROUP PARTICIPATING ORGANIZATIONS. . STARVISTA . CAMINAR . SAN MATEO COUNTY HEALTH . PENINSULA FAMILY SERVICES . ROTACARE FREE CLINICS . RAVENSWOOD FAMILY HEALTH NETWORK . SAN MATEO MEDICAL CENTER . SAMARITAN HOUSE BETWEEN MARCH AND APRIL 2021, AI CONDUCTED PRIMARY RESEARCH VIA KEY INFORMANT INTERVIEWS WITH 9 SAN MATEO COUNTY EXPERTS FROM VARIOUS ORGANIZATIONS. THESE EXPERTS INCLUDED THE DEPUTY CHIEF OF THE COUNTY HEALTH SYSTEM, COMMUNITY CLINIC MANAGERS, AND CLINICIANS. INTERVIEWS WERE CONDUCTED VIA ZOOM FOR APPROXIMATELY ONE HOUR. PARTICIPANTS WERE ASKED TO COMPLETE A SHORT ONLINE SURVEY PRIOR TO EACH INTERIVIEW. AI ASKED INFORMANTS: . HOW DO YOU SEE THIS NEED PLAYING OUT IN THE COMMUNITY? . WHICH POPULATIONS ARE EXPERIENCING INEQUITIES WITH RESPECT TO THIS NEED? . HOW HAS THIS NEED CHANGED IN THE PAST FEW YEARS; HOW WERE THINGS GOING PRIOR TO THE PANDEMIC, AND HOW ARE THEY GOING NOW? . WHAT IS NEEDED (INCLUDING MODELS/BEST PRACTICES) TO BETTER ADDRESS THIS NEED? SEVEN FOCUS GROUPS IN SAN MATEO AND SANTA CLARA COUNTIES WERE CONDUCTED WITH A TOTAL OF 77 PROFESSIONALS AND COMMUNITY LEADERS FROM APRIL TO JUNE 2021. THE QUESTIONS WERE THE SAME AS THOSE USED WITH KEY INFORMANTS. NONPROFIT HOSTS, SUCH AS SAMARITAN HOUSE AND BAY AREA COMMUNITY HEALTH ADVISORY COUNCIL, RECRUITED PARTICIPANTS FOR THE GROUPS. TO PROVIDE A VOICE TO THE COMMUNITY IT SERVES IN SAN MATEO COUNTY, AND IN ALIGNMENT WITH IRS REGULATIONS, THE FOCUS GROUPS TARGETED RESIDENTS WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME, OR OF A MINORITY POPULATION. A TOTAL OF 77 COMMUNITY MEMBERS PARTICIPATED IN THE FOCUS GROUP DISCUSSIONS ACROSS SAN MATEO COUNTY AND SANTA CLARA COUNTY. AI ASKED ALL PARTICIPANTS TO COMPLETE AN ANONYMOUS DEMOGRAPHIC SURVEY. THE RESULTS: . 45 PERCENT WERE WHITE, 25 PERCENT WERE ASIAN, 15 PERCENT WERE AFRICAN ANCESTRY, AND THE REST WERE OF MULTIPLE ETHNICITIES. . 7 PERCENT OF RESPONDENTS WERE AGE 35 OR YOUNGER, AND 10 PERCENT WERE AGE 65 OR OLDER. . 69 PERCENT WERE FEMALE AND 31 PERCENT WERE MALE THE FINDINGS IN MILLS PENINSULA MEDICAL CENTER'S CHNA ARE AVAILABLE AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT SUTTER MATERNITY & SURGERY CENTER, SANTA CRUZ (REPORTING GROUP B, 15): SUTTER MATERNITY & SURGERY CENTER SANTA CRUZ (SMSC), A FACILITY OF MPMC, CONTRACTED WITH ACTIONABLE INSIGHTS (AI) TO COLLECT AND REVIEW SECONDARY QUANTITATIVE (STATISTICAL) DATA FROM OTHER SOURCES AND PRIMARY QUALITATIVE DATA THROUGH KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. ACTIONABLE INSIGHTS CONDUCTED PRIMARY RESEARCH FOR THIS ASSESSMENT. AI USED TWO STRATEGIES FOR COLLECTING COMMUNITY INPUT: KEY INFORMANT INTERVIEWS WITH HEALTH AND COMMUNITY-SERVICE EXPERTS AND FOCUS GROUPS WITH PROFESSIONALS AND COMMUNITY MEMBERS. PRIMARY RESEARCH PROTOCOLS WERE GENERATED BY AI IN COLLABORATION WITH SMSC, BASED ON A DISCUSSION WITH SMSC ABOUT WHAT IT WISHED TO LEARN DURING THE 2022 CHNA. SMSC SOUGHT TO BUILD UPON PRIOR CHNAS BY FOCUSING THE PRIMARY RESEARCH ON THE COMMUNITY'S PERCEPTIONS OF MENTAL HEALTH AND HOUSING AND HOMELESSNESS, AS WELL AS ITS EXPERIENCE WITH HEALTH CARE ACCESS AND DELIVERY. ALL THREE ISSUES WERE IDENTIFIED AS A MAJOR HEALTH NEEDS IN 2019. RELATIVELY LITTLE TIMELY QUANTITATIVE DATA EXISTS ON THESE SUBJECTS. AI RECORDED EACH INTERVIEW AND FOCUS GROUP AS A STANDALONE PIECE OF DATA. RECORDINGS WERE TRANSCRIBED, AFTER WHICH THE TEAM USED QUALITATIVE RESEARCH SOFTWARE TOOLS TO ANALYZE THE TRANSCRIPTS FOR COMMON THEMES. AI ALSO TABULATED HOW MANY TIMES HEALTH NEEDS HAD BEEN PRIORITIZED BY EACH OF THE FOCUS GROUPS OR DESCRIBED AS A PRIORITY IN A KEY INFORMANT INTERVIEW. SMSC USED THIS TABULATION TO HELP ASSESS COMMUNITY HEALTH PRIORITIES. ACROSS THE KEY INFORMANT INTERVIEWS AND FOCUS GROUPS, AI SOLICITED INPUT FROM 26 COMMUNITY LEADERS AND REPRESENTATIVES OF VARIOUS ORGANIZATIONS AND SECTORS. THESE REPRESENTATIVES EITHER WORK IN THE HEALTH FIELD OR IN A COMMUNITY-BASED ORGANIZATION THAT FOCUSES ON IMPROVING HEALTH AND QUALITY OF LIFE CONDITIONS BY SERVING THOSE FROM IRS-IDENTIFIED HIGH-NEED TARGET POPULATIONS. REPRESENTATIVES FROM THE FOLLOWING ORGANIZATIONS PARTICIPATED IN FOCUS GROUPS AND/OR KEY INFORMANT INTERVIEWS. LISTED BELOW ARE THE ORGANIZATIONS AND INDIVIDUALS SERVING THE MEDICALLY UNDERSERVED, LOW-INCOME, AND/OR MINORITY POPULATIONS WHO PROVIDED INPUT: LOW-INCOME, MEDICALLY UNDERSERVED -SANTA CRUZ COMMUNTIY HEALTH (NORTH COUNTY) -CENTRAL CALIFORNIA ALLIANCE FOR HEALTH (HEALTH PLAN) -SALUD PARA LA GENTE (SOUTH COUNTY) MEDICALLY UNDERSERVED -ENCOMPASS COMMUNTIY SERVICES (BEHAVIORAL HEALTH) -JANUS OF SANTA CRUZ (BEHAVIORAL HEALTH) LOW-INCOME, MINORITY -COMMUNITY BRIDGES -LA MANZANA COMMUNITY RESOURCES -COMMUNITY ACTION BOARD OF SANTA CRUZ COUNTY, INC .SANTA CRUZ COMMUNITY HEALTH .ENCOMPASS COMMUNTIY SERVICES .CENTRAL CALIFORNIA ALLIANCE FOR HEALTH .SALUD PARA LA GENTE .HOUSING MATTERS .HEALTH SERVICES AGENCY, COUNTY OF SANTA CRUZ .COMMUNITY BRIDGES .COMMUNITY ACTION BOARD OF SANTA CRUZ COUNTY KEY INFORMANT INTERVIEWS IN SEPTEMBER 2021, AI CONDUCTED PRIMARY RESEARCH VIA KEY INFORMANT INTERVIEWS WITH SEVEN SANTA CRUZ COUNTY EXPERTS FROM VARIOUS ORGANIZATIONS. THESE EXPERTS INCLUDED THE DIRECTOR OF THE COUNTY HEALTH SYSTEM AND LEADERS OF COMMUNITY-BASED ORGANIZATIONS. INTERVIEWS WERE CONDUCTED VIA ZOOM FOR APPROXIMATELY ONE HOUR. PRIOR TO EACH INTERVIEW, PARTICIPANTS WERE ASKED TO COMPLETE A SHORT ONLINE SURVEY AND ASKED TO IDENTIFY UP TO THREE NEEDS FROM A LIST OF NEEDS PRESENTED TO THEM. AI ASKED INFORMANTS: . HOW DO YOU SEE THIS NEED PLAYING OUT IN THE COMMUNITY? WHAT DIFFERENCES, IF ANY, DO YOU SEE BETWEEN NORTH AND SOUTH COUNTY? . WHICH POPULATIONS ARE EXPERIENCING INEQUITIES WITH RESPECT TO THIS NEED? . HOW HAS THIS NEED CHANGED IN THE PAST FEW YEARS, HOW WERE THINGS GOING PRIOR TO THE PANDEMIC, AND HOW ARE REPORTING GROUP: C (1-2, 6, 10-11, & 16) PART V, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. PART V, LINE 5 ALTA BATES SUMMIT MEDICAL CENTER (C, 1-2, 10-11, & 16): IN CONDUCTING ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), ALTA BATES SUMMIT MEDICAL CENTER (ABSMC), A FACILITY OF SUTTER BAY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. COMMUNITY INPUT (PRIMARY DATA) WAS PROVIDED BY A BROAD RANGE OF COMMUNITY MEMBERS VIA KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. FORTY-THREE KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH INDIVIDUALS FROM ORGANIZATIONS SERVING THE FOLLOWING ALAMEDA COUNTY POPULATIONS: CHILDREN/YOUTH/FAMILIES, COMMUNITIES OF COLOR, FORMERLY INCARCERATED, IMMIGRANTS/UNDOCUMENTED, LGBTQIA+, OLDER ADULTS, PEOPLE WITH DISABILITIES, UNHOUSED, AND VIOLENCE SURVIVORS. THE KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH REPRESENTATIVES FROM THE FOLLOWING ORGANIZATIONS: ASSOCIATION OF BAY AREA GOVERNMENTS, ADOBE SERVICES, ALAMEDA COUNTY PUBLIC HEALTH DEPARTMENT, AFGHAN COALITION, ALAMEDA COUNTY COMMUNITY FOOD BANK, ALAMEDA COUNTY SHERIFF'S DEPARTMENT, ALAMEDA COUNTY TRANSPORTATION COMMISSION, ALL IN ALAMEDA COUNTY, ASIAN PACIFIC ENVIRONMENTAL NETWORK (APEN) AND GREENLINING, ASIAN HEALTH SERVICES, BAY AREA COMMUNITY HEALTH CENTER/TIBURCIO VASQUEZ HEALTH CENTER, BUILDING OPPORTUNITIES FOR SELF-SUFFICIENCY (BOSS), CASTRO VALLEY/HAYWARD/SAN LEANDRO/FREMONT UNIFIED SCHOOL DISTRICTS, COMMUNITY CLINIC CONSORTIUM/ALAMEDA HEALTH CONSORTIUM/FEDERALLY QUALIFIED HEALTH CENTERS (LA CLNICA DE LA RAZA, LIFELONG, AXIS COMMUNITY HEALTH CENTER), DAILY BOWL, DAY BREAK ADULT DAY CENTER AND ALAMEDA COUNTY AGE-FRIENDLY COALITION, EAST BAY ASIAN LOCAL DEVELOPMENT CORPORATION (EBALDC)/BERKELEY FOOD AND HOUSING PROJECT (BFHP)/BAY AREA COMMUNITY SERVICES (BACS), EAST OAKLAND COLLECTIVE, EDEN HOUSING RESIDENT SERVICES, INC., FAMILY SUPPORT SERVICES, FRED FINCH YOUTH CENTER AND LINCOLN, HEALTH CARE SERVICES AGENCY (HCSA) OFFICE OF HOMELESS CARE AND COORDINATION AND EVERYONE HOME, HOPE COLLABORATIVE, HORIZON SERVICES, PROJECT EDEN, LATINA CENTER, LIVERMORE VALLEY UNIFIED SCHOOL DISTRICT, NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI), OAKLAND UNIFIED SCHOOL DISTRICT, OMBUDSMAN/EMPOWERED AGING, OPEN HEART KITCHEN, PACIFIC CENTER FOR HUMAN GROWTH, PARTNERSHIP FOR TRAUMA RECOVERY, PLANTING JUSTICE, RUBICON, ROOTS HEALTH CENTER, SIDE BY SIDE (TAY), SPARKPOINT, ST. VINCENT DE PAUL ROTACARE CLINIC PITTSBURG, TRI-VALLEY HAVEN, UNION CITY FAMILY CENTER AND FREMONT FAMILY RESOURCE CENTER, UNITY COUNCIL, URBAN PEACE MOVEMENT, YOUTH ALIVE!. TEN FOCUS GROUPS WERE CONDUCTED WITH ALAMEDA COUNTY RESIDENTS FROM UNDERSERVED, LOW-INCOME, SENIOR, UNHOUSED, LGBTQIA+, AND DIVERSE RACIAL/ETHNIC COMMUNITIES (VIETNAMESE, CANTONESE, BLACK/AFRICAN AMERICAN, INDIGENOUS, AND LATINX). COMMUNITY INPUT WAS OBTAINED DURING THE SUMMER AND FALL OF 2021. THE 2022 CHNA WAS A COLLABORATIVE EFFORT OF NONPROFIT HOSPITALS SERVING ALAMEDA AND CONTRA COSTA COUNTIES. AD LUCEM CONSULTING COMPLETED ABSMC'S CHNA. THE KEY INFORMANT INTERVIEWS WERE CONDUCTED BY ASR, THE CONSULTANT HIRED BY KAISER PERMANENTE ALAMEDA AND CONTRA COSTA SERVICE AREAS TO PREPARE THEIR 2022 CHNAS. ASR DELIVERED A SPREADSHEET CONTAINING INDIVIDUAL INTERVIEWEE RESPONSES AND KEY THEMES TO AD LUCEM CONSULTING. THE THEMES WERE FURTHER ANALYZED AND SUMMARIZED BY AD LUCEM CONSULTING. FOCUS GROUPS WERE CONDUCTED BY THE ALAMEDA COUNTY PUBLIC HEALTH DEPARTMENT. FOCUS GROUP RECORDINGS WERE TRANSCRIBED, TRANSLATED INTO ENGLISH AS NEEDED, AND DELIVERED TO AD LUCEM CONSULTING FOR ANALYSIS. FURTHER DETAILS ON THE METHODS AND FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN ABSMC'S CHNA ARE AVAILABLE AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT SUTTER DELTA MEDICAL CENTER (C, 6): IN CONDUCTING ITS MOST RECENT CHNA, SUTTER DELTA MEDICAL CENTER (SDMC) DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. COMMUNITY INPUT (PRIMARY DATA) WAS PROVIDED BY A BROAD RANGE OF COMMUNITY MEMBERS VIA KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. THIRTY-TWO KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH INDIVIDUALS FROM ORGANIZATIONS SERVING THE FOLLOWING CONTRA COSTA COUNTY POPULATIONS: CHILDREN/YOUTH/FAMILIES, COMMUNITIES OF COLOR, FORMERLY INCARCERATED, IMMIGRANTS/UNDOCUMENTED, LGBTQIA+, OLDER ADULTS, PEOPLE WITH DISABILITIES, UNHOUSED, AND VIOLENCE SURVIVORS. THE KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH REPRESENTATIVES FROM THE FOLLOWING ORGANIZATIONS: ASSOCIATION OF BAY AREA GOVERNMENT, ANTIOCH/BRENTWOOD/PITTSBURG UNIFIED SCHOOL DISTRICTS, ASIAN PACIFIC ENVIRONMENTAL NETWORK (APEN) & GREENLINING, CONTRA COSTA COUNTY EMPLOYMENT AND HUMAN SERVICES, CONTRA COSTA HEALTH SERVICES - HEALTH CARE FOR THE HOMELESS, COCOKIDS, COMMUNITY CLINIC CONSORTIUM/ALAMEDA HEALTH CONSORTIUM/FQHCS (LA CLNICA DE LA RAZA, LIFELONG, AXIS COMMUNITY HEALTH CENTER), CONTRA COSTA COUNTY TRANSPORTATION COMMISSION, CONTRA COSTA FAMILY JUSTICE CENTER DEPARTMENT OF CONSERVATION AND DEVELOPMENT, EAST BAY ASIAN LOCAL DEVELOPMENT CORPORATION (EBALDC)/BERKELEY FOOD AND HOUSING PROJECT (BFHP)/BAY AREA COMMUNITY SERVICES (BACS), EDEN HOUSING RESIDENT SERVICES, INC., ENSURING OPPORTUNITY, FOOD BANK OF CONTRA COSTA & SOLANO, FRED FINCH YOUTH CENTER & LINCOLN, HEALTHY RICHMOND, LATINA CENTER, LOAVES & FISHES OF CONTRA COSTA, MONUMENT CRISIS CENTER, NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI), OMBUDSMAN/EMPOWERED AGING, OPPORTUNITY JUNCTION, PARTNERSHIP FOR TRAUMA RECOVERY, RAINBOW COMMUNITY CENTER, RUBICON, SHELTER, INC., SPARKPOINT, ST. VINCENT DE PAUL ROTACARE CLINIC PITTSBURG, CONTRA COSTA COUNTY BEHAVIORAL HEALTH, STAND!, UNITY COUNCIL, VILLAGE COMMUNITY RESOURCE CENTER (VCRC). NINE FOCUS GROUPS WERE CONDUCTED WITH CONTRA COSTA COUNTY RESIDENTS; PARTICIPANTS WERE BLACK/AFRICAN AMERICAN, LATINX, AND ADULTS OVER THE AGE OF 65 FROM UNDERSERVED, LOW-INCOME, AND DIVERSE RACIAL/ETHNIC COMMUNITIES. COMMUNITY INPUT WAS OBTAINED DURING THE SUMMER AND FALL OF 2021. THE 2022 CHNA WAS A COLLABORATIVE EFFORT OF NONPROFIT HOSPITALS SERVING ALAMEDA AND CONTRA COSTA COUNTIES. AD LUCEM CONSULTING COMPLETED SDMC'S CHNA. THE KEY INFORMANT INTERVIEWS WERE CONDUCTED BY ASR, THE CONSULTANT HIRED BY KAISER PERMANENTE ALAMEDA AND CONTRA COSTA SERVICE AREAS TO PREPARE THEIR 2022 CHNAS. ASR DELIVERED A SPREADSHEET CONTAINING INDIVIDUAL INTERVIEWEE RESPONSES AND KEY THEMES TO AD LUCEM CONSULTING. THE THEMES WERE FURTHER ANALYZED AND SUMMARIZED BY AD LUCEM CONSULTING. FOCUS GROUPS WERE CONDUCTED BY CONTRA COSTA HEALTH SERVICES. FOCUS GROUP RECORDINGS WERE TRANSCRIBED, TRANSLATED INTO ENGLISH AS NEEDED, AND DELIVERED TO AD LUCEM CONSULTING FOR ANALYSIS. FURTHER DETAILS ON THE METHODS AND FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN SDMC'S CHNA ARE AVAILABLE AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT PART V, LINE 6A & 6B ALTA BATES SUMMIT MEDICAL CENTER (C, 1-2, 10-11, & 16) ALTA BATES SUMMIT MEDICAL CENTER WAS PART OF THE ALAMEDA AND CONTRA COSTA COUNTIES HOSPITAL CHNA GROUP THAT WORKED WITH THE FOLLOWING PARTNERS: JOHN MUIR HEALTH, ST. ROSE HOSPITAL, STANFORD HEALTH CARE VALLEYCARE, UCSF BENIOFF CHILDREN'S HOSPITALS. OTHER PARTNERS INCLUDED KAISER PERMANENTE, ALAMEDA COUNTY PUBLIC HEALTH DEPARTMENT, AND CONTRA COSTA HEALTH SERVICES. SUTTER DELTA MEDICAL CENTER (C, 6) SUTTER DELTA MEDICAL CENTER WAS PART OF THE ALAMEDA AND CONTRA COSTA COUNTIES HOSPITAL CHNA GROUP THAT WORKED WITH THE FOLLOWING PARTNERS: JOHN MUIR HEALTH, ST. ROSE HOSPITAL, STANFORD HEALTH CARE VALLEYCARE, UCSF BENIOFF CHILDREN'S HOSPITALS. OTHER PARTNERS INCLUDED KAISER PERMANENTE, ALAMEDA COUNTY PUBLIC HEALTH DEPARTMENT, AND CONTRA COSTA HEALTH SERVICES. PART V, LINE 7A, 7B, 10A ALTA BATES SUMMIT MEDICAL CENTER (C, 1-2, 10-11, & 16): HOSPITAL FACILITY WEBSITE: HTTP://WWW.ALTABATESSUMMIT.ORG/ABOUT/COMMUNITYBENEFIT/COMMUNITY-ASSESSMENT .HTML OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT SUTTER DELTA MEDICAL CENTER (C, 6): HOSPITAL FACILITY WEBSITE: HTTP://WWW.SUTTERDELTA.ORG/ABOUT/COMMUNITY-NEED.HTML OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT PART V, LINE 11 ALTA BATES SUMMIT MEDICAL CENTER (C, 1-2, 10-11, & 16): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT ALTA BATES SUMMIT MEDICAL CENTER INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: . BEHAVIORAL HEALTH . HOUSING AND HOMELESSNESS . HEALTHCARE ACCESS AND DELIVERY DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. ALTA BATES SUMMIT MEDICAL CENTER IS COMMITTED TO SERVING THE REPORTING FACILITY: #7, EDEN MEDICAL CENTER PART V, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. PART V, LINE 5 IN CONDUCTING ITS MOST RECENT CHNA, EDEN MEDICAL CENTER (EMC) DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. COMMUNITY INPUT (PRIMARY DATA) WAS PROVIDED BY A BROAD RANGE OF COMMUNITY MEMBERS VIA KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. FORTY-THREE KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH INDIVIDUALS FROM ORGANIZATIONS SERVING THE FOLLOWING ALAMEDA COUNTY POPULATIONS: CHILDREN/YOUTH/FAMILIES, COMMUNITIES OF COLOR, FORMERLY INCARCERATED, IMMIGRANTS/UNDOCUMENTED, LGBTQIA+, OLDER ADULTS, PEOPLE WITH DISABILITIES, UNHOUSED, AND VIOLENCE SURVIVORS. THE KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH REPRESENTATIVES FROM THE FOLLOWING ORGANIZATIONS: ASSOCIATION OF BAY AREA GOVERNMENTS, ADOBE SERVICES, ALAMEDA COUNTY PUBLIC HEALTH DEPARTMENT, AFGHAN COALITION, ALAMEDA COUNTY COMMUNITY FOOD BANK, ALAMEDA COUNTY SHERIFF'S DEPARTMENT, ALAMEDA COUNTY TRANSPORTATION COMMISSION, ALL IN ALAMEDA COUNTY, ASIAN PACIFIC ENVIRONMENTAL NETWORK (APEN) AND GREENLINING, ASIAN HEALTH SERVICES, BAY AREA COMMUNITY HEALTH CENTER/TIBURCIO VASQUEZ HEALTH CENTER, BUILDING OPPORTUNITIES FOR SELF-SUFFICIENCY (BOSS), CASTRO VALLEY/HAYWARD/SAN LEANDRO/FREMONT UNIFIED SCHOOL DISTRICTS, COMMUNITY CLINIC CONSORTIUM/ALAMEDA HEALTH CONSORTIUM/FEDERALLY QUALIFIED HEALTH CENTERS (LA CLNICA DE LA RAZA, LIFELONG, AXIS COMMUNITY HEALTH CENTER), DAILY BOWL, DAY BREAK ADULT DAY CENTER AND ALAMEDA COUNTY AGE-FRIENDLY COALITION, EAST BAY ASIAN LOCAL DEVELOPMENT CORPORATION (EBALDC)/BERKELEY FOOD AND HOUSING PROJECT (BFHP)/BAY AREA COMMUNITY SERVICES (BACS), EAST OAKLAND COLLECTIVE, EDEN HOUSING RESIDENT SERVICES, INC., FAMILY SUPPORT SERVICES, FRED FINCH YOUTH CENTER AND LINCOLN, HEALTH CARE SERVICES AGENCY (HCSA) OFFICE OF HOMELESS CARE AND COORDINATION AND EVERYONE HOME, HOPE COLLABORATIVE, HORIZON SERVICES, PROJECT EDEN, LATINA CENTER, LIVERMORE VALLEY UNIFIED SCHOOL DISTRICT, NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI), OAKLAND UNIFIED SCHOOL DISTRICT, OMBUDSMAN/EMPOWERED AGING, OPEN HEART KITCHEN, PACIFIC CENTER FOR HUMAN GROWTH, PARTNERSHIP FOR TRAUMA RECOVERY, PLANTING JUSTICE, RUBICON, ROOTS HEALTH CENTER, SIDE BY SIDE (TAY), SPARKPOINT, ST. VINCENT DE PAUL ROTACARE CLINIC PITTSBURG, TRI-VALLEY HAVEN, UNION CITY FAMILY CENTER AND FREMONT FAMILY RESOURCE CENTER, UNITY COUNCIL, URBAN PEACE MOVEMENT, YOUTH ALIVE!. TEN FOCUS GROUPS WERE CONDUCTED WITH ALAMEDA COUNTY RESIDENTS FROM UNDERSERVED, LOW-INCOME, SENIOR, UNHOUSED, LGBTQIA+, AND DIVERSE RACIAL/ETHNIC COMMUNITIES (VIETNAMESE, CANTONESE, BLACK/AFRICAN AMERICAN, INDIGENOUS, AND LATINX). COMMUNITY INPUT WAS OBTAINED DURING THE SUMMER AND FALL OF 2021. THE 2022 CHNA WAS A COLLABORATIVE EFFORT OF NONPROFIT HOSPITALS SERVING ALAMEDA AND CONTRA COSTA COUNTIES. AD LUCEM CONSULTING COMPLETED EMC'S CHNA. THE KEY INFORMANT INTERVIEWS WERE CONDUCTED BY ASR, THE CONSULTANT HIRED BY KAISER PERMANENTE ALAMEDA AND CONTRA COSTA SERVICE AREAS TO PREPARE THEIR 2022 CHNAS. ASR DELIVERED A SPREADSHEET CONTAINING INDIVIDUAL INTERVIEWEE RESPONSES AND KEY THEMES TO AD LUCEM CONSULTING. THE THEMES WERE FURTHER ANALYZED AND SUMMARIZED BY AD LUCEM CONSULTING. FOCUS GROUPS WERE CONDUCTED BY THE ALAMEDA COUNTY PUBLIC HEALTH DEPARTMENT. FOCUS GROUP RECORDINGS WERE TRANSCRIBED, TRANSLATED INTO ENGLISH AS NEEDED, AND DELIVERED TO AD LUCEM CONSULTING FOR ANALYSIS. FURTHER DETAILS ON THE METHODS AND FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN EMC'S CHNA ARE AVAILABLE AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT PART V, LINE 6 EDEN MEDICAL CENTER (REPORTING FACILITY #7): EDEN MEDICAL CENTER WAS PART OF THE ALAMEDA AND CONTRA COSTA COUNTIES HOSPITAL CHNA GROUP THAT WORKED WITH THE FOLLOWING PARTNERS: JOHN MUIR HEALTH, ST. ROSE HOSPITAL, STANFORD HEALTH CARE VALLEYCARE, UCSF BENIOFF CHILDREN'S HOSPITALS. OTHER PARTNERS INCLUDED KAISER PERMANENTE, ALAMEDA COUNTY PUBLIC HEALTH DEPARTMENT, AND CONTRA COSTA HEALTH SERVICES. PART V, LINES 7A, 7B, 10A CHNA AND IMPLEMENTATION STRATEGY AVAILABILITY ONLINE: HOSPITAL FACILITY'S WEBSITE: EDEN MEDICAL CENTER (REPORTING FACILITY #7): HTTPS://WWW.SUTTERHEALTH.ORG/EDEN/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT PART V, LINE 11 EDEN MEDICAL CENTER (REPORTING FACILITY #7): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT EDEN MEDICAL CENTER INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: . BEHAVIORAL HEALTH . HOUSING AND HOMELESSNESS . EDUCATION DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. EDEN MEDICAL CENTER IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT: . COMMUNITY AND FAMILY SAFETY . FOOD SECURITY . ECONOMIC SECURITY . DISMANTLING STRUCTURAL RACISM . HEALTHCARE ACCESS AND DELIVERY EDEN MEDICAL CENTER WILL FOCUS ON THE TOP THREE HEALTH NEEDS THAT WERE IDENTIFIED AND PRIORITIZED THROUGH THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. THE DECISION TO NOT DIRECTLY ADDRESS THE REMAINING FIVE HEALTH NEEDS, LISTED ABOVE, WAS BASED ON THE MAGNITUDE AND SCALE OF HEALTH NEEDS, RESOURCES AVAILABLE, AND COMMITMENT TO DEVELOPING A FOCUSED STRATEGY IN RESPONSE TO THE NEEDS ASSESSMENT. SCHEDULE H, PART V, LINE 15E METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: EDEN MEDICAL CENTER (FACILITY #7): PATIENTS MAY REQUEST ASSISTANCE WITH COMPLETING THE APPLICATION FOR FINANCIAL ASSISTANCE IN PERSON AT THE HOSPITAL, OVER THE PHONE, THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE. SCHEDULE H, PART V, LINES 16A, 16B, & 16C EDEN MEDICAL CENTER (FACILITY #7): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER HEALTH WEBSITE AT: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/FINANCIAL-ASSISTANCE.HTML SCHEDULE H, PART V, LINE 16J MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: EDEN MEDICAL CENTER (FACILITY #7): THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITAL'S SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE ORGANIZATION IN THE PRINCIPAL NEWSPAPER IN THE COMMUNITY OR WHEN DOING SO IS NOT PRACTICAL SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THE INFORMATION OR USE OTHER MEANS THAT WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY. SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. SCHEDULE H, PART V, LINE 22D AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: EDEN MEDICAL CENTER (FACILITY #7): THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR FULL WRITE OFF OF ALL CHARGES FOR AN UNINSURED PATIENT WITH A FAMILY INCOME AT OR BELOW 400% OF THE MOST RECENT FEDERAL POVERTY LEVEL. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-5, THIS ORGANIZATION ADOPTS THE PROSPECTIVE MEDICARE METHOD FOR AMOUNTS GENERALLY BILLED; HOWEVER, PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT FINANCIALLY RESPONSIBLE FOR MORE THAN THE AMOUNTS GENERALLY BILLED BECAUSE ELIGIBLE PATIENTS DO NOT PAY ANY AMOUNT. REPORTING FACILITY: #9, SUTTER SANTA ROSA REGIONAL HOSPITAL PART V, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, LINE 5 SUTTER SANTA ROSA REGIONAL HOSPITAL (REPORTING FACILITY #9): COMMUNITY INPUT WAS PROVIDED BY A BROAD RANGE OF COMMUNITY MEMBERS THROUGH KEY INFORMANT INTERVIEWS, GROUP INTERVIEWS, AND FOCUS GROUPS. INDIVIDUALS WITH THE KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY WERE CONSULTED. THESE INDIVIDUALS INCLUDED REPRESENTATIVES FROM HEALTH DEPARTMENTS, SCHOOL DISTRICTS, LOCAL NON-PROFITS, AND OTHER REGIONAL PUBLIC AND PRIVATE ORGANIZATIONS AS WELL AS COMMUNITY LEADERS, CLIENTS OF LOCAL SERVICE PROVIDERS, AND OTHER INDIVIDUALS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME, AND SUB-POPULATIONS THAT FACE UNIQUE BARRIERS TO HEALTH (E.G., RACE/ETHNIC MINORITY POPULATIONS, INDIVIDUALS EXPERIENCING HOMELESSNESS). LISTED BELOW ARE THE ORGANIZATIONS AND INDIVIDUALS SERVING THE MEDICALLY UNDERSERVED, LOW-INCOME, AND/OR MINORITY POPULATIONS WHO PROVIDED INPUT: UNDERSERVED, LOW-INCOME -WEST COUNTY COMMUNITY SERVICES (OLDER ADULTS) -COMMITTEE ON TEMPORARY SHELTER (HOUSING AND HOMELESSNESS) -SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES (COVID IMPACTS) -SONOMA COUNTY OFFICE OF EDUCATION (EDUCATION) -SANTA ROSA CITY SCHOOLS (EDUCATION) -REDWOOD COMMUNTIY HEALTH COALITION (HEALTHCARE) MINORITY POPULATIONS -SONOMA COUNTY OFFICE OF EQUITY (COVID IMPACTS) -POSITIVE IMAGES (LGBTQ+ POPULATION) -SIDE BY SIDE (BEHAVIORAL HEALTH) -SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES (BEHAVIORAL HEALTH) -BUCKELEW PROGRAMS SONOMA COUNTY (BEHAVIORAL HEALTH) -SANTA ROSA COMMUNITY HEALTH (HEALTHCARE) METHODOLOGY FOR COLLECTION AND INTERPRETATION: IN AN EFFORT TO INCLUDE A WIDE RANGE OF COMMUNITY VOICES FROM INDIVIDUALS WITH DIVERSE PERSPECTIVES AND EXPERIENCES AND THOSE WHO WORK WITH OR REPRESENT UNDERSERVED POPULATIONS AND GEOGRAPHIC COMMUNITIES WITHIN THE SRRH SERVICE AREA, COMMUNITY INSIGHTS STAFF USED SEVERAL METHODS TO IDENTIFY COMMUNITIES FOR QUALITATIVE DATA COLLECTION ACTIVITIES. IMPORTANTLY, THE INCLUSION OF SERVICE PROVIDERS (THROUGH KEY INFORMANTS AND PROVIDER GROUP INTERVIEWS) AND COMMUNITY MEMBERS (THROUGH FOCUS GROUPS) ALLOWED US TO IDENTIFY HEALTH NEEDS FROM THE PERSPECTIVES OF SERVICE DELIVERY GROUPS AND BENEFICIARIES. COMMUNITY HEALTH INSIGHTS STAFF UTLIZED DATA FROM KEY INFORMANT INTERVIEWS WHICH WERE PROVIDED VIA A DATA SHARING AGREEMENT WITH KAISER PERMANENTE. STAFF ALSO CONDUCTED FOCUS GROUPS WITH COMMUNITY RESIDENTS OR COMMUNITY-FACING SERVICE PROVIDERS AND REVIEWED RESPONSES TO A COMMUNITY SERVICE PROVIDER SURVEY. PRIMARY QUALITATIVE (I.E., COMMUNITY INPUT) DATA WAS ESSENTIAL FOR IDENTIFYING NEEDS THAT HAVE EMERGED SINCE THE PREVIOUS CHNA, SINCE IN ORDER TO BE IDENTIFIED AS A POTENTIAL "HEALTH NEED" AN ISSUE HAD TO BE MENTIONED IN THE QUALITATIVE DATA COLLECTION ACTIVITIES. PRIORITIZED HEALTH NEEDS WERE BASED ON THE PERCENTAGE OF SOURCES THAT IDENTIFIED THE HEALTH NEEED AS EXISTING IN THE COMMUNITY. THE FINDINGS FROM KEY INFORMANT INTERVIEWS and FOCUS GROUPS IN SUTTER SANTA ROSA REGIONAL HOSPITAL'S CHNA ARE AVAILABLE AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT SCHEDULE H, PART V, LINE 6A & 6B SUTTER SANTA ROSA REGIONAL HOSPITAL (REPORTING FACILITY #9): SUTTER SANTA ROSA REGIONAL HOSPITAL WORKED WITH BOTH HOSPITAL AND OTHER PARTNER ORGANIZATIONS WITH SIMILAR SERVICE AREAS IN SONOMA COUNTY TO FORM THE SONOMA COUNTY CHNA COLLABORATIVE TO SUPPORT THE 2022 CHNA. THIS GROUP DEVELOPED A COORDINATED APPROACH TO PRIMARY DATA COLLECTION, AND THEN DETERMINED THE LIST OF SIGNIFICANT HEALTH NEEDS BASED ON BOTH PRIMARY AND SECONDARY DATA ANALYSIS. SUTTER SANTA ROSA REGIONAL HOSPITAL THEN COORDINATED WITH THESE PARTNERS TO ENGAGE A BROADER GROUP OF COMMUNITY STAKEHOLDERS TO PRIORITIZE THE IDENTIFIED HEALTH NEEDS (DESCRIBED IN SECTION VI-B). COLLABORATIVE HOSPITAL PARTNERS: . KAISER FOUNDATION HOSPITAL - SANTA ROSA SCHEDULE H, PART V, LINE 7A, 7B, 10A SUTTER SANTA ROSA REGIONAL HOSPITAL (REPORTING FACILITY #9): HOSPITAL FACILITY WEBSITE: HTTP://WWW.SUTTERSANTAROSA.ORG/RELATIONS/COMMUNITY-NEEDS-ASSESSMENT.HTML OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT SCHEDULE H, PART V, LINE 11 SUTTER SANTA ROSA REGIONAL HOSPITAL (REPORTING FACILITY #9): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER SANTA ROSA REGIONAL HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: . ACCESS TO CARE . BEHAVIORAL HEALTH . ECONOMIC AND HOUSING STABILITY DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. SUTTER SANTA ROSA REGIONAL HOSPITAL IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT: . INCREASED COMMUNITY CONNECTIONS, INJURY AND DISEASE PREVENTION AND MANAGEMENT, ACCESS TO SPECIALTY AND EXTERNAL CARE, AND ACCESS TO DENTAL CARE AND PREVENTIVE SERVICES - ALTHOUGH SIGNIFICANT ISSUES FACING THE COMMUNITY, IT IS NOT WITHIN THE SCOPE OF SERVICES FOR A HOSPITAL TO ADDRESS. THOUGH NOT MAJOR PRIORITIES FOR SSRRH, WE HAVE AND WILL CONTINUE TO RESPOND TO MODEST REQUESTS FOR FUNDING TO SUPPORT PROGRAMS THAT ADDRESS THESE ISSUES. SCHEDULE H, PART V, LINE 15E METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: SUTTER SANTA ROSA REGIONAL HOSPITAL (HOSPITAL FACILITY #9): PATIENTS MAY REQUEST ASSISTANCE WITH COMPLETING THE APPLICATION FOR FINANCIAL ASSISTANCE IN PERSON AT THE HOSPITAL, OVER THE PHONE, THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE. SCHEDULE H, PART V, LINES 16A, 16B, & 16C SUTTER SANTA ROSA REGIONAL HOSPITAL (HOSPITAL FACILITY #9): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER HEALTH WEBSITE AT: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/FINANCIAL-ASSISTANCE.HTML SCHEDULE H, PART V, LINE 16J MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITAL'S SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE ORGANIZATION IN THE PRINCIPAL NEWSPAPER IN THE COMMUNITY OR WHEN DOING SO IS NOT PRACTICAL SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THE INFORMATION OR USE OTHER MEANS THAT WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY. SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. SCHEDULE H, PART V, LINE 22D AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR FULL WRITE OFF OF ALL CHARGES FOR AN UNINSURED PATIENT WITH A FAMILY INCOME AT OR BELOW 400% OF THE MOST RECENT FEDERAL POVERTY LEVEL. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-5, THIS ORGANIZATION ADOPTS THE PROSPECTIVE MEDICARE METHOD FOR AMOUNTS GENERALLY BILLED; HOWEVER, PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT FINANCIALLY RESPONSIBLE FOR MORE THAN THE AMOUNTS GENERALLY BILLED BECAUSE ELIGIBLE PATIENTS DO NOT PAY ANY AMOUNT. REPORTING FACILITY: #13, NOVATO COMMUNITY HOSPITAL PART V, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, LINE 5 NOVATO COMMUNITY HOSPITAL (REPORTING FACILITY #13): IN CONDUCTING ITS MOST RECENT CHNA, NOVATO COMMUNITY HOSPITAL, A FACILITY OF SUTTER BAY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. COMMUNITY INPUT WAS PROVIDED BY A BROAD RANGE OF COMMUNITY MEMBERS THROUGH KEY INFORMANT INTERVIEWS, FOCUS GROUPS, AND SERVICE PROCER SURVEY. INDIVIDUALS WITH THE KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY WERE CONSULTED. THESE INDIVIDUALS INCLUDED REPRESENTATIVES FROM HEALTH DEPARTMENTS, SCHOOL DISTRICTS, LOCAL NON-PROFITS, AND OTHER REGIONAL PUBLIC AND PRIVATE ORGANIZATIONS AS WELL AS COMMUNITY LEADERS, CLIENTS OF LOCAL SERVICE PROVIDERS, AND OTHER INDIVIDUALS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME, AND SUB-POPULATIONS THAT FACE UNIQUE BARRIERS TO HEALTH (E.G., RACE/ETHNIC MINORITY POPULATIONS, INDIVIDUALS EXPERIENCING HOMELESSNESS) IN AN EFFORT TO INCLUDE A WIDE RANGE OF COMMUNITY VOICES FROM INDIVIDUALS WITH DIVERSE PERSPECTIVES AND EXPERIENCES AND THOSE WHO WORK WITH OR REPRESENT UNDERSERVED POPULATIONS AND GEOGRAPHIC COMMUNITIES WITHIN THE NCH SERVICE AREA, COMMUNTIY HEALHT INSIGHTS STAFF USED SEVERAL METHODS TO IDENTIFY COMMUNITIES FOR QUALITATIVE DATA COLLECTION ACTIVITIES. FIRST, STAFF REVIEWED THE PARTICIPANT LISTS FROM PREVIOUS CHNA REPORTS IN THE SAME SERVICE AREA. SECOND, THEY EXAMINED REPORTS PUBLISHED BY LOCAL ORGANIZATIONS AND AGENCIES (E.G., COUNTY AND CITY PLANS, COMMUNITY-BASED ORGANIZATIONS) TO IDENTIFY ADDITIONAL HIGH-NEED COMMUNITIES. FINALLY, STAFF RESEARCHED LOCAL NEWS STORIES TO IDENTIFY EMERGING HEALTH NEEDS AND SOCIAL CONDITIONS AFFECTING COMMUNITY HEALTH THAT MAY NOT YET BE INDICATED IN SECONDARY DATA. IMPORTANTLY, THE INCLUSION OF SERVICE PROVIDERS (THROUGH KEY INFORMANTS AND PROVIDER GROUP INTERVIEWS) AND COMMUNITY MEMBERS (THROUGH FOCUS GROUPS) ALLOWED US TO IDENTIFY HEALTH NEEDS FROM THE PERSPECTIVES OF SERVICE DELIVERY GROUPS AND BENEFICIARIES. STAFF ALSO WORKED WITH THE HEALTHY MARIN PARTNERSHIP. LISTED BELOW ARE THE ORGANIZATIONS AND INDIVIDUALS SERVING THE MEDICALLY UNDERSERVED, LOW-INCOME, AND/OR MINORITY POPULATIONS WHO PROVIDED INPUT: MEDICALLY UNDERSERVED, LOW-INCOME -MARIN COUNTY HEALTH AND HUMAN SERVICES (PUBLIC HEALTH) -MARIN CITY PEOPLE'S PLAN (MARIN CITY, MARIN COUNTY) -MARIN HEALTH MEDICAL CENTER (ACUTE CARE) -MARIN HEALTH AND HUMAN SERVICES (PUBLIC HEALTH) -REDWOOD COMMUNITY HEALTH COALITION (HEALTHCARE) -MARIN CITY HEALTH AND WELLNESS (HEALTHCARE) MINORITY POPULATIONS -WEST MARIN COMMUNITY SERVICES (RURAL POPULATION, IMMIGRANT, AGRICULTURAL WORKERS) -MARGUERITA C. JOHNSON SENIOR CENTER (OLDER ADULTS, AFRICAN AMERICAN, MARIN CITY) -MULTICULTURAL CENTER OF MARIN (IMMIGRANT, AFRICAN AMERICAN) -INTEGRATED COMMUNITY SERVICES (DISABILITY JUSTICE) THE CONSULTING TEAM DEVELOPED INTERVIEW AND FOCUS GROUP PROTOCOLS, WHICH THE CHNA COLLABORATIVE REVIEWED. PROTOCOLS WERE DESIGNED TO INQUIRE ABOUT HEALTH NEEDS IN THE COMMUNITY, AS WELL AS A BROAD RANGE OF SOCIAL DETERMINANTS OF HEALTH (I.E., SOCIAL, ECONOMIC, AND ENVIRONMENTAL), BEHAVIORAL, AND CLINICAL CARE FACTORS. SOME OF THE IDENTIFIED FACTORS REPRESENTED BARRIERS TO CARE WHILE OTHERS IDENTIFIED SOLUTIONS OR RESOURCES TO IMPROVE COMMUNITY HEALTH. PARTICIPANTS WERE ALSO ASKED TO DESCRIBE ANY NEW OR EMERGING HEALTH ISSUES AND TO PRIORITIZE THE TOP HEALTH CONCERNS IN THEIR COMMUNITY. COMMUNITY HEALTH INSIGHTS CONDUCTED BOTH ONE-ON-ONE INTERVIEWS AND IN GROUP INTERVIEW SESSIONS. SECOND A FOCUS GROUP WAS CONDUCTED WITH COMMUNITY RESIDENTS THAT WERE IDENTIFIED TO REPRESENT POPULATIONS EXPERIENCING DISPARITIES. ALL QUALITATIVE DATA WERE CODED AND ANALYZED USING QUALITATIVE ANALYTIC SOFTWARE. CONTENT ANALYSIS INCLUDED THEMATIC CODING TO PRIMARY HEALTH NEED CATEGORIES, THE IDENTIFICATION OF SPECIAL POPULATIONS EXPERIENCING HEALTH ISSUES AND THE IDENTIFICATION OF RESOURCES. IN SOME INSTANCES, DATA WERE CODED IN ACCORDANCE WITH THE INTERVIEW QUETSION GUIDE. RESULTS WERE AGGREGATED TO INFORM THE DETERMINATION OF PRIORITIZED SUBJECT HEALTH NEEDS. A WEB-BASED SURVEY WAS ADMINISTERED TO COMMUNITY SERVICE PROVIDERS WHO DELIVERED HEALTH AND SOCIAL SERVICES TO COMMUNITY RESIDENTS OF MARIN COUNTY. A LIST OF COMMUNITY SERVICE PROVIDERS AFFILIATED WITH THE NONPROFIT HOSPITALS WAS USED AS AN INITIAL SAMPLING FRAME. AN EMAIL RECRUITMENT MESSAGE WAS SENT TO THESE COMMUNITY SERVICE PROVIDERS DETAILING THE SURVEY AIMS AND INVITING THEM TO PARTICIPATE. PARTICIPANTS WERE ALSO ENCOURAGED TO FORWARD THE RECRUITMENT MESSAGE TO OTHER COMMUNITY SERVICE PROVIDERS IN THEIR NETWORKS. THE SURVEY WAS DESIGNED USING QUALTRICS, AN ONLINE SURVEY PLATFORM, AND WAS AVAILABLE FOR APPROXIMATELY TWO WEEKS. 25 RESPONDENTS COMPLETED THE SURVEY. IN COMPARISON TO SECONDARY (I.E., QUANTITATIVE) DATA SOURCES, PRIMARY QUALITATIVE (I.E., COMMUNITY INPUT) DATA WAS ESSENTIAL FOR IDENTIFYING NEEDS THAT HAVE EMERGED SINCE THE PREVIOUS CHNA. HEALTH NEED IDENTIFICATION USED QUALITATIVE DATA BASED ON THE NUMBER OF INTERVIEWEES OR GROUPS WHO REFERENCED EACH HEALTH NEED AS A CONCERN, REGARDLESS OF THE NUMBER OF MENTIONS WITHIN EACH TRANSCRIPT. ADDITIONAL DETAILS ON KEY INFORMANTS, COLLABORATIVE PARTNERS AND FOCUS GROUPS CAN BE FOUND IN NOVATO COMMUNITY HOSPITAL'S CHNA AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT SCHEDULE H, PART V, LINE 6A & 6B NOVATO COMMUNITY HOSPITAL (REPORTING FACILITY #13): NOVATO COMMUNITY HOSPITAL CONNECTED WITH BOTH HOSPITAL AND OTHER PARTNER ORGANIZATIONS WITH SIMILAR SERVICE AREAS IN MARIN COUNTY TO SUPPORT THE CHNA. IN MARIN COUNTY, MANY OF THESE PARTNERS WERE ALREADY ENGAGED IN A COLLABORATIVE, THE HEALTHY MARIN PARTNERSHIP (HMP), WHICH WAS FORMED IN 1995 AS A RESULT OF WORKING TOGETHER ON PRIOR CHNAS. THIS GROUP DEVELOPED A COORDINATED APPROACH TO PRIMARY DATA COLLECTION, AND THEN DETERMINED THE LIST OF SIGNIFICANT HEALTH NEEDS BASED ON BOTH PRIMARY AND SECONDARY DATA. NCH THEN ORGANIZED WITH THESE PARTNERS TO ENGAGE A BROADER GROUP OF COMMUNITY STAKEHOLDERS TO PRIORITIZE THE IDENTIFIED HEALTH NEEDS (DESCRIBED IN SECTION VI-B). COLLABORATIVE HOSPITAL PARTNERS: . KAISER FOUNDATION HOSPITAL - SAN RAFAEL . MARIN GENERAL HOSPITAL . SUTTER HEALTH - NOVATO COMMUNITY HOSPITAL ADDITIONAL PARTNERS: . MARIN COUNTY HEALTH AND HUMAN SERVICES . HEALTHY MARIN PARTNERSHIP HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA SCHEDULE H, PART V, LINE 7A, 7B, 10A NOVATO COMMUNITY HOSPITAL (HOSPITAL FACILITY #13): HOSPITAL FACILITY WEBSITE: HTTP://WWW.NOVATOCOMMUNITY.ORG/ABOUT/COMMUNITY-NEEDS-ASSESSMENT.HTML OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT SCHEDULE H, PART V, LINE 11 NOVATO COMMUNITY HOSPITAL (REPORTING FACILITY #13): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT NOVATO COMMUNITY HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO CARE 2. BEHAVIORAL HEALTH 3. ECONOMIC AND HOUSING STABILITY DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI, ALONG WITH OTHER CRITICAL EFFORTS ON BEHALF OF NOVATO COMMUNITY HOSPITAL. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. NOVATO COMMUNITY HOSPITAL IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT: . INCREASED COMMUNITY CONNECTIONS . ACCESS TO FUNCTIONAL NEEDS SCHEDULE H, PART V, LINE 15E METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: PATIENTS MAY REQUEST ASSISTANCE WITH COMPLETING THE APPLICATION FOR FINANCIAL ASSISTANCE IN PERSON AT THE HOSPITAL, OVER THE PHONE, THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE. SCHEDULE H, PART V, LINES 16A, 16B, & 16C THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER HEALTH WEBSITE AT: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/FINANCIAL-ASSISTANCE.HTML SCHEDULE H, PART V, LINE 16J MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITAL'S SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH TH REPORTING FACILITY: #14, SUTTER LAKESIDE HOSPITAL PART V, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, LINE 5 SUTTER LAKESIDE HOSPITAL (REPORTING FACILITY #14): IN CONDUCTING ITS MOST RECENT CHNA, SUTTER LAKESIDE HOSPITAL, A FACILITY OF SUTTER WEST BAY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. THE COMMUNITY INPUT CAME FROM FOCUS GROUPS AND KEY INFORMANT INTERVIEWS. IN TOTAL, SEVEN FOCUS GROUPS WERE CONDUCTED WITH 41 PARTICIPANTS, AND 19 KEY INFORMANT INTERVIEWS WERE HELD. REPRESENTED RACE/ETHCNICITIES: AMERICAN INDIAN, HISPANIC, MULTI-RACE AND WHITE ONE OF THE KEY OBJECTIVES OF THIS ASSESSMENT WAS TO ENGAGE THE COMMUNITY, INCLUDING VULNERABLE POPULATIONS, PHYSICIANS, AND OTHER SERVICE PROVIDERS TO SHARE THEIR PERCEPTIONS ON HEALTH NEEDS FOR LAKE COUNTY RESIDENTS. KEY INFORMANT INTERVIEWS AND FOCUS GROUP DISCUSSIONS HELPED TO DEVELOP A DEEPER UNDERSTANDING FOR THE REASONS BEHIND THE HEALTH DATA SEEN IN THE PREVIOUS SECTIONS. IT SERVED ALSO TO IDENTIFY THE HIGH PRIORITIES FOR LAKE COUNTY STAKEHOLDERS. IN THE CASE OF THE KEY INFORMANTS, THE INTERVIEWS TOUCHED UPON MANY ISSUES THAT WERE SPECIFIC TO THEIR AREA OF WORK, ESPECIALLY WITH VULNERABLE POPULATIONS, WHEREAS THE FOCUS GROUP DISCUSSIONS WITH COMMUNITY MEMBERS FOCUSED ON AGE, RACE AND/OR GENDER ISSUES RELATED TO ACCESSING HEALTHCARE AND BARRIERS TO ACCESS. THE FINDINGS FROM KEY INFORMANT INTERVIEWS, FOCUS GROUPS, AND SURVEY IN SUTTER LAKESIDE HOSPITAL'S CHNA ARE AVAILABLE AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT SCHEDULE H, PART V, LINE 6A & 6B SUTTER LAKESIDE HOSPITAL (REPORTING FACILITY #14): HOPE RISING LAKE COUNTY IS AN ACCOUNTABLE COMMUNITY FOR HEALTH COLLABORATIVE THAT WAS ESTABLISHED IN 2015. HOPE RISING LAKE COUNTY'S VISION IS TO ENSURE THAT LAKE COUNTY IS A HEALTHY PLACE FOR EVERY PERSON TO LIVE, LEARN, ENGAGE AND THRIVE. A FORMAL PARTNERSHIP OF FOURTEEN HEALTH AGENCIES - HEALTH SYSTEMS, COUNTY LEADERS, NON-PROFIT ORGANIZATIONS AND OTHER RELEVANT ORGANIZATIONS OF LAKE COUNTY - THE PURPOSE OF HOPE RISING LAKE COUNTY IS TO MOBILIZE AND INSPIRE COMMUNITY PARTNERSHIPS AND ACTIONS THAT SUPPORT INDIVIDUAL, COLLECTIVE AND COMMUNITY HEALTH. PARTNERING ORGANIZATIONS IN HOPE RISING LAKE COUNTY . ADVENTIST HEALTH CLEAR LAKE . COUNTY OF LAKE BOARD OF SUPERVISORS . LAKE COUNTY HEALTH DEPARTMENT . LAKE COUNTY OFFICE OF EDUCATION . LAKEVIEW HEALTH CENTER . NORTH COAST OPPORTUNITIES . REDWOOD COMMUNITY SERVICES . THE WAY TO WELLVILLE . COUNTY OF LAKE BEHAVIORAL HEALTH . DEPARTMENT OF SOCIAL SERVICES . MENDOCINO COUNTY HEALTH CLINIC . PARTNERSHIP HEALTH PLAN OF CALIFORNIA . SUTTER LAKESIDE HOSPITAL . WOODLAND COMMUNITY COLLEGE SCHEDULE H, PART V, LINE 7A, 7B, 10A SUTTER LAKESIDE HOSPITAL (REPORTING FACILITY #14): HOSPITAL FACILITY WEBSITE: HTTP://WWW.SUTTERLAKESIDE.ORG/ABOUT/COMMUNITY-NEEDS-ASSESSMENT.HTML OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT SCHEDULE H, PART V, LINE 11 SUTTER LAKESIDE HOSPITALS (REPORTING FACILITY #14): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT ARE NEEDS THAT SUTTER LAKESIDE HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: . ACCESS TO CARE . HEALTH RISK BEHAVIORS . MENTAL HEALTH DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. SUTTER LAKESIDE HOSPITAL WILL ADDRESS ALL OF THE IDENTIFIED COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA PROCESS. SCHEDULE H, PART V, LINE 15E METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: PATIENTS MAY REQUEST ASSISTANCE WITH COMPLETING THE APPLICATION FOR FINANCIAL ASSISTANCE IN PERSON AT THE HOSPITAL, OVER THE PHONE, THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE. SCHEDULE H, PART V, LINES 16A, 16B, & 16C SUTTER LAKESIDE HOSPITAL (HOSPITAL FACILITY #14): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER HEALTH WEBSITE AT: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/FINANCIAL-ASSISTANCE.HTML SCHEDULE H, PART V, LINE 16J MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITAL'S SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE ORGANIZATION IN THE PRINCIPAL NEWSPAPER IN THE COMMUNITY OR WHEN DOING SO IS NOT PRACTICAL SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THE INFORMATION OR USE OTHER MEANS THAT WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY. SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. SCHEDULE H, PART V, LINE 22D AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR FULL WRITE OFF OF ALL CHARGES FOR AN UNINSURED PATIENT WITH A FAMILY INCOME AT OR BELOW 400% OF THE MOST RECENT FEDERAL POVERTY LEVEL. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-5, THIS ORGANIZATION ADOPTS THE PROSPECTIVE MEDICARE METHOD FOR AMOUNTS GENERALLY BILLED; HOWEVER, PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT FINANCIALLY RESPONSIBLE FOR MORE THAN THE AMOUNTS GENERALLY BILLED BECAUSE ELIGIBLE PATIENTS DO NOT PAY ANY AMOUNT. 29 SAN FRANCISCO ENDOSCOPY CENTER 3468 CALIFORNIA STREET SAN FRANCISCO CA 94118 OUTPATIENT SERVICES CALIFORNIA PACIFIC MEDICAL CENTER 2100 WEBSTER STREET SUITE 103 SAN FRANCISCO CA 94115 RAD/LAB/ULTRASOUND SERVICES CALIFORNIA PACIFIC MEDICAL CENTER 3838 CALIFORNIA STREET SUITE 106 SAN FRANCISCO CA 94115 OUTPATIENT SERVICES - LABORATORY/IMAGING CPMC PACIFIC CAMPUS - STANFORD BUILDING 2351 CLAY STREET SAN FRANCISCO CA 94115 OUTPATIENT SERVICES CPMC PACIFIC CAMPUS - ANNEX BUILDING 2340 CLAY STREET SUITE 114A SAN FRANCISCO CA 94115 OUTPATIENT SERVICES VAN NESS CAMPUS MEDICAL OFFICE BUILDING 1100 VAN NESS AVENUE SAN FRANCISCO CA 94109 LAB/OUTPATIENT SERVICES 100 ROWLAND WAY CARE CENTER 100 ROWLAND WAY NOVATO CA 94945 Physical Therapy and SPORTS WELLNESS DIAGNOSTIC CENTER 165 ROWLAND WAY NOVATO CA 94945 OUTPATIENT SERVICES - LABORATORY OAKLAND CARE CENTER 350 30TH STREET OAKLAND CA 94609 OUTPATIENT SERVICES IMAGING SERVICES 1375 SUTTER STREET SAN FRANCISCO CA 94119 OUTPATIENT SERVICES MONTEAGLE MEDICAL CENTER 1580 VALENCIA STREET SAN FRANCISCO CA 94110 OUTPATIENT SERVICES KALMANOVITZ CHILD DEVELOPMENT CENTER 1625 VAN NESS AVENUE SAN FRANCISCO CA 94109 OUTPATIENT SERVICES - CHILD DEVELOPMENT PRESIDIO SURGERY CENTER 1635 DIVISADERO STREET SUITE 200 SAN FRANCISCO CA 94115 OUTPATIENT SERVICES MILLS-PENINSULA SKILLED NURSING FACILITY 1609 TROUSDALE DRIVE BURLINGAME CA 94010 SKILLED NURSING FACILITY SAN LEANDRO SURGERY CENTER 15035 EAST 14TH STREET SAN LEANDRO CA 94578 OUTPATIENT SERVICES SDMC OUTPATIENT SERVICES 3903 LONE TREE WAY ANTIOCH CA 94509 PT/OT/SPEECH SERVICES CPMC Pacific Heights Outpatient Center 2333 Buchanan Street San Francisco CA 94115 Outpatient Services/ RADIATION ONCOLOGY ABSMC INFANT CLINIC 3011 TELEGRAPH AVENUE BERKELEY CA 94705 OUTPATIENT SERVICES ABSMC CARDIAC REHAB 3030 TELEGRAPH AVENUE BERKELEY CA 94705 OUTPATIENT SERVICES ALTA BATES SUMMIT MEDICAL CENTER PT 5700 TELEGRAPH AVENUE BERKELEY CA 94709 OUTPATIENT SERVICES MAGNETIC IMAGING AFFILIATES 5730 TELEGRAPH AVENUE BERKELEY CA 94709 Radiology Services LAFAYETTE WOMEN'S HEALTH CENTER 3595 MT DIABLO BLVD SUITE 350 LAFAYETTE CA 94549 OUTPATIENT SERVICES ALTA BATES SUMMIT MEDICAL CENTER 450 30TH STREET OAKLAND CA 94609 OUTPATIENT/PEDIATRIC SERVICES, NUCLEAR MEDICINE SURGERY CTR OF ALTA BATES SUMMIT MED CTR 3875 TELEGRAPH AVENUE OAKLAND CA 94609 Ambulatory Surgery Center EYEMD LASER AND SURGERY CENTER 481 30TH STREET OAKLAND CA 94609 OUTPATIENT SERVICES MEDICAL CENTER MAGNETIC IMAGING 3000 TELEGRAPH AVENUE OAKLAND CA 94609 OUTPATIENT SERVICES CPMC DEPT OF OPHTHALMOLOGY 711 VAN NESS AVENUE OAKLAND CA 94102 VISION CARE/EYE SURGERY CPMC PACIFIC CAMPUS INST OF HLTH & HEAL 2300 CALIFORNIA STREET SAN FRANCISCO CA 94115 OUTPATIENT SERVICES CPMC COMING HOME HOSPICE 115 DIAMOND STREET SAN FRANCISCO CA 94114 HOSPICE CARE PART I, LINE 3A & 3C FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA: FOR UNINSURED PATIENTS TO BE ELIGIBLE FOR FREE CARE THE ORGANIZATION USES THE FEDERAL POVERTY GUIDELINES (FPG) FOR FAMILY INCOMES THAT ARE AT OR BELOW 400% OF FPG. IN ADDITION THE ORGANIZATION HAS A HIGH MEDICAL COST CHARITY CARE CATEGORY IN WHICH A WRITE OFF OF THE PATIENT RESPONSIBILITY FOR HOSPITAL SERVICES CAN OCCUR IF THE INSURED PATIENT HAS FAMILY INCOME AT OR BELOW 400% FPG AND EXPENSES INCURRED FOR THEMSELVES OR THEIR FAMILY EXCEED 10% OF THE PATIENT'S FAMILY INCOME. PART I, LINE 3B SUTTER BAY HOSPITALS IS COMMITTED TO PROVIDING CHARITY CARE AND THEREFORE, PROVIDES FREE CARE AT HIGH PERCENTAGE OF FPG. THE ORGANIZATION DOES NOT PROVIDE DISCOUNTED CARE. SCHEDULE H, PART I, LINE 6A JOINT COMMUNITY BENEFIT REPORT: THE COMMUNITY BENEFIT REPORT WAS PREPARED ON BEHALF OF TWO BAY AREA ENTITIES: SUTTER BAY HOSPITALS (EIN: 94-0562680) AND SUTTER BAY MEDICAL FOUNDATION (EIN: 68-0273974). PART I, LINE 7 COSTING METHODOLOGY USED: COST TO CHARGE RATIO UTILIZING WORKSHEET 2 METHODOLOGY. PART I, LINE 7G SUTTER BAY HOSPITALS: THE AMOUNT OF COSTS ASSOCIATED WITH PHYSICIAN CLINICS IS $15,644,063. PART II COMMUNITY BUILDING ACTIVITIES: CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A, 3, 5, 8, & 17): CALIFORNIA PACIFIC MEDICAL CENTER (CPMC) FUNDS THE FOLLOWING PROGRAMS THAT HELP ADDRESS THE ROOT CAUSE OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THESE PROGRAMS HELP SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. BUILDING THE SAN FRANCISCO WORKFORCE, ESPECIALLY CREATING OPPORTUNITIES FOR YOUTH, IS A FOCUS OF CPMC'S COMMUNITY BUILDING ACTIVITIES. IN 2022, CPMC SUPPORTED WORKFORCE DEVELOPMENT BY CONTRIBUTING TO IMMACULATE CONCEPTION ACADEMY WORK STUDY PROGRAM, WHICH PROVIDES A COLLEGE PREPARATORY EDUCATION WITH MEANINGFUL WORK STUDY EXPERIENCE TO STUDENTS COMING FROM FAMILIES WITH LIMITED FINANCIAL MEANS. CPMC ALSO CONTRIBUTED TO JEWISH VOCATIONAL SERVICE TO HELP YOUTH AND ADULTS BUILD IN-DEMAND SKILLS AND FIND GOOD JOBS. CPMC'S COMMUNITY BUILDING ACTIVITIES ALSO INCLUDED ENCOURAGING COMMUNITY SUPPORT NETWORKS THROUGH SPONSORSHIPS AND CONTRIBUTIONS. MILLS PENINSULA MEDICAL CENTER (REPORTING GROUP B, 4 & 12) IN 2022, MILLS-PENINSULA MEDICAL CENTER SUPPORTED WORKFORCE DEVELOPMENT BY CONTRIBUTING TO IMMACULATE CONCEPTION ACADEMY WORK STUDY PROGRAM, WHICH PROVIDES A COLLEGE PREPARATORY EDUCATION WITH MEANINGFUL WORK STUDY EXPERIENCE TO STUDENTS COMING FROM FAMILIES WITH LIMITED FINANCIAL MEANS. SUTTER MATERNITY & SURGERY CENTER (REPORTING GROUP B, 15) SUTTER MATERNITY & SURGERY CENTER DID NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES TO REPORT IN 2022. ALTA BATES SUMMIT MEDICAL CENTER (REPORTING GROUP C, 1-2, 10-11, & 16) ALTA BATES SUMMIT MEDICAL CENTER DID NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES TO REPORT IN 2022. SUTTER DELTA MEDICAL CENTER (REPORTING GROUP C, 6) SUTTER DELTA MEDICAL CENTER DID NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES TO REPORT IN 2022. EDEN MEDICAL CENTER (REPORTING FACILITY 7) EDEN MEDICAL CENTER FUNDS DID NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES TO REPORT IN 2022. SUTTER SANTA ROSA REGIONAL HOSPITAL (REPORTING FACILITY 9) IN 2022, SUTTER SANTA ROSA REGIONAL HOSPITAL SUPPORTED COMMUNITY HEALTH IMPROVEMENT ADVOCACY THROUGH SENIOR LEADERSHIP'S SERVICE ON THE BOARD OF SOCIAL ADVOCATES FOR YOUTH. NOVATO COMMUNITY HOSPITAL (REPORTING FACILITY 13) NOVATO COMMUNITY HOSPITAL DID NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES TO REPORT IN 2022. SUTTER LAKESIDE HOSPITAL (REPORTING FACILITY 14) IN 2022, SUTTER LAKESIDE HOSPITAL HELPED TO STRENGTHEN COMMUNITY SUPPORT NETWORKS THROUGH SENIOR LEADERSHIP'S SERVICE WITH HOPE RISING, WHICH BRINGS TOGETHER LEADERS IN LAKE COUNTY TO IDENTIFY ISSUES, DEVELOP INNOVATIVE SOLUTIONS, AND IMPLEMENT AGREED-UPON ACTIONS WITH ACCOUNTABILITY AND MEASURABLE OUTCOMES. PART III, SECTION B BAD DEBT AUDIT FOOTNOTE THE ORGANIZATION IS AN AFFILIATE OF SUTTER HEALTH WHICH UNDERWENT A SYSTEM-WIDE AUDIT. THE AUDIT REPORT DOES NOT INCLUDE A BAD DEBT EXPENSE FOOTNOTE. EFFECTIVE JANUARY 1, 2018, SUTTER ENTITIES IMPLEMENTED THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS UPDATE (ASU), REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606). THE ACCOUNTING CHANGE MODIFIED BAD DEBT REPORTING, AND AS A RESULT, BAD DEBT IS ONLY REPORTED IN LIMITED SITUATIONS. PART III, LINE 7 MEDICARE COSTS: MEDICARE COST REPORTS THAT THE ORGANIZATION FILES DO NOT INCLUDE ALL OF THE COSTS REQUIRED TO TREAT MEDICARE PATIENTS. PART III, LINE 8 COSTING METHODOLOGY: MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO. COMMUNITY BENEFIT MEDICARE SHORTFALL: THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THESE PATIENTS TYPICALLY HAVE LOW AND/OR FIXED INCOMES. MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS FORCING THE HOSPITAL TO USE OTHER FUNDS TO COVER THE DEFICIT. PART III, LINE 9B DEBT COLLECTION POLICY: COLLECTION PRACTICES ARE CONSISTENT FOR ALL PATIENTS AND COMPLY WITH APPLICABLE PROVISIONS OF FEDERAL AND CALIFORNIA LAW. DURING PREADMISSION OR REGISTRATION, THE HOSPITAL PROVIDES ALL PATIENTS WITH INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE. AN UNINSURED PATIENT WHO INDICATES THE FINANCIAL INABILITY TO PAY A BILL IS EVALUATED FOR FINANCIAL ASSISTANCE. AT DISCHARGE PATIENTS WILL BE GIVEN AN APPLICATION WHICH WILL DOCUMENT THE PATIENT'S OVERALL FINANCIAL SITUATION. IF AN UNINSURED PATIENT DOES NOT COMPLETE THE APPLICATION FORM WITHIN 30 DAYS OF DELIVERY, THE HOSPITAL WILL NOTIFY THE PATIENT THAT THE APPLICATION HAS NOT BEEN RECEIVED AND WILL PROVIDE THE PATIENT AN ADDITIONAL 210 DAYS TO COMPLETE THE APPLICATION. IF A PATIENT HAS APPLIED FOR CHARITY CARE, HAS BEEN APPROVED TO RECEIVE CHARITY CARE, OR IS COOPERATING WITH THE HOSPITAL'S EFFORTS TO SETTLE AN OUTSTANDING BILL WITHIN A REASONABLE TIME PERIOD, THE HOSPITAL WILL NOT PURSUE COLLECTIONS. PART VI, LINE 2 CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A, 3, 5, 8, & 17) THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH NEEDS ASSESSMENTS OUTSIDE OF THE 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. MILLS PENINSULA MEDICAL CENTER (REPORTING GROUP B, 4, 12): THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH NEEDS ASSESSMENTS OUTSIDE OF THE 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER MATERNITY & SURGERY CENTER (REPORTING GROUP B, 15): THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH NEEDS ASSESSMENTS OUTSIDE OF THE 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. ALTA BATES SUMMIT MEDICAL CENTER (REPORTING GROUP C 1-2, 10-11, & 16): THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH NEEDS ASSESSMENTS OUTSIDE OF THE 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER DELTA MEDICAL CENTER (REPORTING GROUP C, 6): THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH NEEDS ASSESSMENTS OUTSIDE OF THE 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. EDEN MEDICAL CENTER: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH NEEDS ASSESSMENTS OUTSIDE OF THE 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER SANTA ROSA REGIONAL HOSPITAL: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH NEEDS ASSESSMENTS OUTSIDE OF THE 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. NOVATO COMMUNITY HOSPITAL: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH NEEDS ASSESSMENTS OUTSIDE OF THE 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER LAKESIDE HOSPITAL: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH NEEDS ASSESSMENTS OUTSIDE OF THE 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: SUTTER HOSPITALS FOLLOW A SUTTER HEALTH SYSTEM-WIDE FINANCIAL ASSISTANCE POLICY, WHICH INCLUDES THE FOLLOWING DETAILS OF HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE. LANGUAGES: THE POLICY SHALL BE AVAILABLE IN THE PRIMARY LANGUAGE(S) OF HOSPITAL'S SERVICE AREA. IN ADDITION, ALL NOTICES/COMMUNICATIONS PROVIDED IN THIS SECTION SHALL BE AVAILABLE IN PRIMARY LANGUAGE(S) OF HOSPITAL'S SERVICE AREA AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS. COMMUNICATIONS OF FINANCIAL ASSISTANCE AVAILABILITY INFORMATION PROVIDED TO PATIENTS DURING THE PROVISION OF HOSPITAL SERVICES: A. DURING PREADMISSION OR REGISTRATION (OR AS SOON THEREAFTER AS PRACTICABLE) HOSPITALS SHALL PROVIDE ALL PATIENTS WITH A COPY OF A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND IDENTIFY THE DEPARTMENT THAT PATIENTS CAN VISIT TO RECEIVE INFORMATION ABOUT, AND ASSISTANCE WITH APPLYING FOR, FINANCIAL ASSISTANCE. B. FINANCIAL ASSISTANCE COUNSELORS: PATIENTS WHO MAY BE UNINSURED PATIENTS SHALL BE ASSIGNED FINANCIAL COUNSELORS, WHO SHALL VISIT WITH THE PATIENTS IN PERSON AT THE HOSPITAL, PROVIDE PATIENTS A FINANCIAL ASSISTANCE APPLICATION, ASSIST WITH THE APPLICATION PROCESS, AND PROVIDE A CONTACT INFORMATION FOR THE PATIENT TO CALL FOR QUESTIONS. C. EMERGENCY SERVICES: IN THE CASE OF EMERGENCY SERVICES, HOSPITALS SHALL PROVIDE ALL PATIENTS A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AS SOON AS PRACTICABLE AFTER STABILIZATION OF THE PATIENT'S EMERGENCY MEDICAL CONDITION OR UPON DISCHARGE. D. APPLICATIONS PROVIDED AT DISCHARGE: AT THE TIME OF DISCHARGE, HOSPITALS SHALL PROVIDE ALL PATIENTS WITH A COPY OF A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. E. INFORMATION PROVIDE TO PATIENTS AT OTHER TIMES: 1. CONTACT INFORMATION WHICH INCLUDES A PHONE NUMBER AND HOSPITAL DEPARTMENT TO OBTAIN ADDITIONAL INFORMATION ABOUT FINANCIAL ASSISTANCE AND ASSISTANCE WITH THE APPLICATION PROCESS. 2. BILLING STATEMENTS: BILLING STATEMENTS PROVIDED TO PATIENTS SHALL INCLUDE A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY, A PHONE NUMBER FOR PATIENTS TO CALL WITH QUESTIONS ABOUT FINANCIAL ASSISTANCE, AND THE WEBSITE ADDRESS WHERE PATIENTS CAN OBTAIN ADDITIONAL INFORMATION ABOUT FINANCIAL ASSISTANCE INCLUDING THE FINANCIAL ASSISTANCE POLICY, A PLAIN LANGUAGE SUMMARY OF THE POLICY, AND THE APPLICATION FOR FINANCIAL ASSISTANCE. 3. UPON REQUEST: HOSPITALS SHALL PROVIDE PATIENTS WITH PAPER COPIES OF THE FINANCIAL ASSISTANCE POLICY, THE APPLICATION FOR FINANCIAL ASSISTANCE, AND THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY UPON REQUEST AND WITHOUT CHARGE. F. PUBLICITY OF FINANCIAL ASSISTANCE INFORMATION 1. PUBLIC POSTING: HOSPITALS SHALL POST COPIES OF THE FINANCIAL ASSISTANCE POLICY, THE APPLICATION FOR FINANCIAL ASSISTANCE, AND THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IN A PROMINENT LOCATION IN THE EMERGENCY ROOM, ADMISSIONS AREA, AND ANY OTHER LOCATION IN THE HOSPITAL WHERE THERE IS A HIGH VOLUME OF PATIENT TRAFFIC, INCLUDING BUT NOT LIMITED TO THE WAITING ROOMS, BILLING OFFICES, AND HOSPITAL OUTPATIENT SERVICE SETTINGS. THESE PUBLIC NOTICES SHALL INCLUDE INFORMATION ABOUT THE RIGHT TO REQUEST AN ESTIMATE OF FINANCIAL RESPONSIBILITY FOR SERVICES. 2. WEBSITE: THE FINANCIAL ASSISTANCE POLICY, APPLICATION FOR FINANCIAL ASSISTANCE AND PLAIN LANGUAGE SUMMARY SHALL BE AVAILABLE IN A PROMINENT PLACE ON THE SUTTER HEALTH WEBSITE (WWW.SUTTERHEALTH.ORG) AND ON EACH INDIVIDUAL HOSPITAL'S WEBSITE. PERSONS SEEKING INFORMATION ABOUT FINANCIAL ASSISTANCE SHALL NOT BE REQUIRED TO CREATE AN ACCOUNT OR PROVIDE ANY PERSONAL INFORMATION BEFORE RECEIVING INFORMATION ABOUT FINANCIAL ASSISTANCE. 3. MAIL: PATIENTS MAY REQUEST A COPY OF THE FINANCIAL ASSISTANCE POLICY, APPLICATION FOR FINANCIAL ASSISTANCE AND PLAIN LANGUAGE SUMMARY BE SENT BY MAIL, AT NO COST TO THE PATIENT. 4. ADVERTISEMENTS/PRESS RELEASES: AS NECESSARY AND ON AT LEAST AN ANNUAL BASIS, SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT HOSPITALS IN THE PRINCIPAL NEWSPAPER(S) IN THE COMMUNITIES SERVED BY SUTTER HEALTH, OR WHEN DOING SO IS NOT PRACTICAL, SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THIS INFORMATION, OR USE OTHER MEANS THAT SUTTER HEALTH CONCLUDES WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY TO AFFECTED PATIENTS IN OUR COMMUNITIES. 5. COMMUNITY AWARENESS: SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY (ESPECIALLY THOSE WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE) ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. PART VI, LINE 4 COMMUNITY INFORMATION: CALIFORNIA PACIFIC MEDICAL FOUNDATION (REPORTING GROUP A, 3, 5, 8, & 17): THE HOSPITAL SERVICE AREA FOR CALIFORNIA PACIFIC MEDICAL CENTER INCLUDES ALL POPULATIONS RESIDING IN THE CITY AND COUNTY OF SAN FRANCISCO. THERE ARE 13 HOSPITALS IN SAN FRANCISCO COUNTY. SAN FRANCISCO CITY AND COUNTY HAS 815,201 RESIDENTS LIVING WITHIN ITS 46.9 SQUARE MILES OF LAND AREA. IT IS THE 13TH MOST POPULOUS CITY IN THE COUNTRY. SAN FRANCISCO IS THE SECOND MOST DENSELY POPULATED CITY IN THE COUNTRY (AFTER NEW YORK CITY), WITH 18,633 PEOPLE PER SQUARE MILE. BY TOTAL AREA, SAN FRANCISCO IS GEOGRAPHICALLY THE SMALLEST COUNTY IN CALIFORNIA, WHICH CONTRIBUTES TO THE HIGH COST OF LIVING, PROPERTY COSTS, AND THE COROLLARY IMPACT ON HOUSING DISPARITIES. ABOUT 41% FOF SAN FRANCISCANS IDENTIFY AS WHITE, 34% AS ASIAN (34%), 10% AS MIXED RACE, AND 5% AS BLACK. 16% IDENTIFY AS HISPANIC OR LATINO OF ANY RACE. THIS PATTERN HAS CHANGED DRAMATICALLY OVER THE DECADES, WITH INCREASES IN THE PERCENT OF SAN FRANCISCANS IDENTIFYING AS ASIAN AND HISPANIC AND DECREASES IN THE PERCENT IDENTIFYING AS BLACK OR AFRICAN AMERICAN. SAN FRANCISCANS HAVE A MEDIAN AGE OF 38.3 YEARS. 13% ARE UNDER 18 YEARS AND A SIMILAR PROPORTION (16%) ARE AGE 65 AND OVER. SAN FRANCISCO IS THE MOST CHILDLESS MAJOR CITY IN THE U.S. OVERALL LIFE EXPECTANCY IS HIGH IN SAN FRANCISCO, WITH THE TYPICAL RESIDENT LIVING TO 83 YEARS. THIS IS HIGHER THAN THE LIFE EXPECTANCY IN THE U.S. OF 77.3 YEARS AND IN CALIFORNIA OF 80.9 YEARS. HOWEVER, THE AVERAGE LENGTH OF LIFE VARIES WIDELY BY RACE/ETHNICITY. ALMOST HALF OF SAN FRANCISCANS (43%) SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. MORE THAN HALF (59%) OF SAN FRANCISCANS AGE 25 AND OVER HAVE AT LEAST A COLLEGE DEGREE. HOWEVER, RATES OF HIGHER EDUCATION EXPOSE LARGE DISPARITIES BY RACE/ETHNICITY. COVID CASES DISPROPORTIONATELY IMPACTED LATINX PEOPLE, WHILE DEATHS FROM COVID WERE HIGHER IN THE ASIAN, BLACK, AND LATINX COMMUNITIES. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE CALIFORNIA PACIFIC MEDICAL CENTER CHNA AT SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. MILLS PENINSULA MEDICAL CENTER (MPMC) (REPORTING GROUP B, 4 &12): THE COLLABORATING HOSPITALS RELIED ON THE INTERNAL REVENUE SERVICE'S DEFINITION OF THE COMMUNITY SERVED BY A HOSPITAL AS "THOSE PEOPLE LIVING WITHIN ITS HOSPITAL SERVICE AREA." A HOSPITAL SERVICE AREA COMPRISES ALL RESIDENTS IN A DEFINED GEOGRAPHIC AREA AND DOES NOT EXCLUDE LOW-INCOME, UNDERSERVED, OR OTHERWISE VULNERABLE POPULATIONS. MPMC AND ITS MPSH CAMPUS ARE LOCATED IN SAN MATEO COUNTY AND SERVE THE ENTIRE COUNTY. SAN MATEO COUNTY COMPRISES 19 CITIES AND MORE THAN TWO DOZEN UNINCORPORATED TOWNS AND AREAS. THE COUNTY HAD APPROXIMATELY 746,752 RESIDENTS IN 2019. THE COUNTY OCCUPIES 455 SQUARE MILES OF LAND ON THE PENINSULA SOUTH OF SAN FRANCISCO, WITH THE SAN FRANCISCO BAY TO THE EAST AND THE PACIFIC OCEAN TO THE WEST. THE COUNTY ALSO INCLUDES NEARLY 58 MILES OF COASTLINE AND 292 SQUARE MILES OF WATER.15 REDWOOD CITY IS THE LARGEST CITY IN THE COUNTY BY AREA, AND DALY CITY IS SAN MATEO COUNTY'S LARGEST CITY BY POPULATION, WITH JUST OVER 106,000 PEOPLE (14% OF THE COUNTY'S TOTAL). THE POPULATION OF THE COUNTY IS SUBSTANTIALLY MORE DENSE THAN THE STATE, WITH 9,206 PEOPLE PER SQUARE MILE COMPARED TO 8,486 PER SQUARE MILE IN CALIFORNIA. THE MEDIAN AGE IN SAN MATEO COUNTY IS 40.3 YEARS OLD. OVER 20% OF THE COUNTY'S RESIDENTS ARE UNDER THE AGE OF 18, AND NEARLY 16% ARE 65 YEARS OR OLDER. SAN MATEO COUNTY ALSO INCLUDES THE FOLLOWING UNINCORPORATED TOWNS AND AREAS, MANY OF WHICH ARE LOCATED IN THE COASTSIDE AREA: BROADMOOR, BURLINGAME HILLS, DEVONSHIRE, EL GRANADA, EMERALD LAKE HILLS, FAIR OAKS, HIGHLANDS/BAYWOOD PARK, LADERA, LA HONDA, LOMA MAR, LOS TRANCOS WOODS/VISTA VERDE, MENLO OAKS, MONTARA, MOSS BEACH, NORTH FAIR OAKS, PALOMAR PARK, PESCADERO, PRINCETON, SAN FRANCISCO INTERNATIONAL AIRPORT, SAN GREGORIO, SOUTH COAST/SKYLINE, SEQUOIA TRACT, SKYLONDA, STANFORD LANDS, AND WEST MENLO PARK. MORE THAN 34% OF RESIDENTS IN SAN MATEO COUNTY ARE FOREIGN-BORN. THIS PERCENTAGE IS HIGHER THAN THE FOREIGN-BORN POPULATIONS STATEWIDE (27%) AND NATIONWIDE (14%). MEDIAN HOUSEHOLD INCOME IS $130,820 IN SAN MATEO COUNTY, FAR HIGHER THAN CALIFORNIA'S MEDIAN OF $82,053. HOUSING COSTS ARE HIGH: IN 2021, THE MEDIAN HOME PRICE WAS $1.6 MILLION AND THE MEDIAN RENT WAS $2,451 IN SAN MATEO COUNTY. IN SAN MATEO COUNTY, 26% OF THE CHILDREN ARE ELIGIBLE FOR FREE OR REDUCED-PRICE LUNCH AND CLOSE TO ONE QUARTER (22%) OF CHILDREN LIVE IN SINGLE-PARENT HOUSEHOLDS. ABOUT 4% OF PEOPLE IN OUR COMMUNITY ARE UNINSURED. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE MILLS PENINSULA MEDICAL CENTER'S CHNA AT SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. SUTTER MATERNITY & SURGERY CENTER SANTA CRUZ (SMSC) (REPORTING GROUP B, 15): THE COLLABORATING HOSPITALS RELIED ON THE IRS'S DEFINITION OF THE COMMUNITY SERVED BY A HOSPITAL AS "THOSE PEOPLE LIVING WITHIN ITS HOSPITAL SERVICE AREA." A HOSPITAL SERVICE AREA COMPRISES ALL RESIDENTS IN A DEFINED GEOGRAPHIC AREA AND DOES NOT EXCLUDE LOW-INCOME, UNDERSERVED, OR OTHERWISE VULNERABLE POPULATIONS. SMSC IS LOCATED IN SANTA CRUZ COUNTY AND SERVES THE ENTIRE COUNTY. IN 2020, AN ESTIMATED 270,861 PEOPLE RESIDED IN SANTA CRUZ COUNTY (AN INCREASE OF 3% OR APPROXIMATELY 8,500 PEOPLE SINCE 2010). THE COUNTY OCCUPIES 445 SQUARE MILES OF LAND APPROXIMATELY 35 MILES SOUTHWEST OF SILICON VALLEY, WITH THE PACIFIC OCEAN TO THE WEST. THIS LAND INCLUDES 29 MILES OF COASTLINE, FORMING THE NORTHERN COAST OF MONTEREY BAY, AND MORE THAN 44,000 ACRES OF PARKS. NINETEEN PERCENT OF THE POPULATION IN SANTA CRUZ COUNTY IS UNDER THE AGE OF 18, AND 17 PERCENT IS 65 YEARS OR OLDER. THESE PROPORTIONS ARE SIMILAR TO CALIFORNIA (23 PERCENT ARE UNDER AGE 18, AND 15 PERCENT ARE 65 YEARS OR OLDER). THE MEDIAN AGE IS 38.5 YEARS OLD, SLIGHTLY OLDER THAN THE STATE MEDIAN AGE OF 37.0 YEARS. ALMOST ONE IN FOUR COUNTY RESIDENTS' LIVES IN THE CITY OF SANTA CRUZ, MAKING IT THE LARGEST LOCAL MUNICIPALITY BY POPULATION. THE OTHER INCORPORATED CITIES ARE CAPITOLA, SCOTTS VALLEY, AND WATSONVILLE. SANTA CRUZ COUNTY ALSO INCLUDES THE FOLLOWING UNINCORPORATED TOWNS AND AREAS: AMESTI, APTOS, APTOS HILLS-LARKIN VALLEY, BEN LOMOND, BONNY DOON, BOULDER CREEK, BROOKDALE, CORRALITOS, DAVENPORT, DAY VALLEY, FELTON, FREEDOM, INTERLAKEN, LA SELVA BEACH, LIVE OAK, LOMPICO, MOUNT HERMON, PAJARO DUNES, PARADISE PARK, PASATIEMPO, PLEASURE POINT, RIO DEL MAR, SOQUEL, TWIN LAKES, AND ZAYANTE. SANTA CRUZ COUNTY IS ALSO RELATIVELY DIVERSE ETHNICALLY. MORE THAN HALF (54%) OF COMMUNITY MEMBERS ARE NON-LATINO WHITE, AND FOUR PERCENT ARE ASIAN. IN COMPARISON, 35 PERCENT OF CALIFORNIA'S POPULATION ARE NON-LATINO WHITE, AND NEARLY 15 PERCENT ARE ASIAN. ONE THIRD (35%) OF RESIDENTS HAVE LATINO HERITAGE, SOMEWHAT LESS THAN THE STATE PROPORTION (39%). MORE THAN ONE SIXTH (18%) OF SANTA CRUZ COUNTY RESIDENTS ARE FOREIGN-BORN, WHILE IN CALIFORNIA OVERALL MORE THAN ONE IN FOUR (27%) ARE FOREIGN-BORN. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE SUTTER MATERNITY & SURGERY CENTER'S CHNA AT SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. ALTA BATES SUMMIT MEDICAL CENTER (ABSMC) (REPORTING GROUP C, 1-2, 10-11, & 16) EACH HOSPITAL PARTICIPATING IN THE ALAMEDA AND CONTRA COSTA COUNTIES HOSPITAL CHNA GROUP DEFINES ITS SERVICE AREA TO INCLUDE ALL INDIVIDUALS RESIDING WITHIN A DEFINED GEOGRAPHIC AREA SURROUNDING THE HOSPITAL. FOR THIS COLLABORATIVE CHNA, ALAMEDA COUNTY WAS THE OVERALL SERVICE AREA, WITH EACH HOSPITAL ADDING ADDITIONAL FOCUS ON THEIR SPECIFIC SERVICE AREA. ALTA BATES SUMMIT MEDICAL CENTER'S CAMPUSES ARE LOCATED IN THE CITIES OF BERKELEY AND OAKLAND IN THE NORTHERN ALAMEDA COUNTY REGION OF ALAMEDA COUNTY. ALTA BATES SUMMIT MEDICAL CENTER'S HOSPITAL SERVICE AREA INCLUDES 25 ZIP CODES SURROUNDING THE HOSPITAL AND ITS NEIGHBORING COMMUNITIES. AS PREVIOUSLY NOTED, THE HOSPITAL COLLABORATED ON THE 2022 CHNA WITH OTHER HEALTHCARE FACILITIES SERVING ALAMEDA COUNTY. THUS, THE LOCAL DATA GATHERED FOR THE ASSESSMENT REPRESENT RESIDENTS ACROSS THE SERVICE AREAS OF THE PARTICIPATING HOSPITALS, WHICH INCLUDE THE CITIES OF ALAMEDA, ALBANY, BERKELEY, EMERYVILLE, OAKLAND, AND PIEDMONT. BERKELEY AND OAKLAND ARE THE LARGEST CITIES IN NORTHERN ALAMEDA COUNTY. BERKELEY IS HOME TO 121,353 PEOPLE AS WELL AS UNIVERSITY OF CALIFORNIA, BERKELEY WITH A LARGE STUDENT POPULATION. BERKELEY'S OVERALL RACIAL AND ETHNIC COMPOSITION IS MAJORITY WHITE (60%) AND NON-HISPANIC (88%), WITH LESS THAN A QUARTER OF RESIDENTS IDENTIFYING AS ASIAN AND SMALLER POPULATION SEGMENTS IDENTIFYING AS HISPANIC (LATINX) (12%), MULTIRACIAL (8%) AND BLACK/AFRICAN AMERICAN (6%). BERKELEY HAS A HIGHER PERCENTAGE OF RESIDENTS LIVING IN POVERTY THAN ALAMEDA COUNTY (19% VERSUS 9%), THOUGH A SMALLER PERCENTAGE OF CHILDREN (0-18) IN POVERTY THAN THE COUNTY (6% PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: SUTTER HEALTH'S MISSION IS TO "ENHANCE THE WELL-BEING OF THE PEOPLE IN THE COMMUNITIES WE SERVE THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTHCARE SERVICES." SUTTER HEALTH'S MISSION REACHES BEYOND THE WALLS OF OUR HOSPITALS AND FACILITIES. OUR AFFILIATES FURTHER THEIR TAX-EXEMPT PURPOSE BY: - BUILDING RELATIONSHIPS OF TRUST BY WORKING COLLABORATIVELY WITH COMMUNITY GROUPS, SCHOOLS AND GOVERNMENT ORGANIZATIONS TO EFFECTIVELY LEVERAGE RESOURCES AND ADDRESS IDENTIFIED COMMUNITY NEEDS; - SUPPORTING NONPROFIT ORGANIZATIONS THAT ARE COMMITTED TO COMMUNITY HEALTH IMPROVEMENT THROUGH FINANCIAL INVESTMENTS, IN-KIND SERVICES AND EMPLOYEE VOLUNTEERISM; AND - PROVIDING GENEROUS CHARITY CARE POLICIES FOR OUR MOST VULNERABLE COMMUNITY MEMBERS. CALIFORNIA PACIFIC MEDICAL CENTER (CPMC) (REPORTING GROUP A, 3, 5, 8, & 17): CPMC PROMOTED COMMUNITY HEALTH IN 2022 THROUGH VARIOUS PROGRAMS AND PARTNERSHIPS. A FEW OF THESE ARE DESCRIBED BELOW. CPMC'S AFRICAN AMERICAN & SISTER TO SISTER BREAST HEALTH PROGRAM OFFERS WOMEN MAMMOGRAPHY SCREENING AND ALL THE SUBSEQUENT BREAST HEALTH DIAGNOSTIC TESTING AND TREATMENT THEY MAY NEED AT NO COST. PARTNERING ORGANIZATIONS SUCH AS HEALTHRIGHT 360, SAN FRANCISCO FREE CLINIC, AND CLINIC BY THE BAY REFER UNINSURED, UNDERINSURED, DISADVANTAGED AND AT-RISK WOMEN FOR MAMMOGRAPHY SERVICES. IN 2022, 118 PEOPLE WERE SERVED BY CPMC'S AFRICAN AMERICAN & SISTER TO SISTER BREAST HEALTH PROGRAM; AN ADDITIONAL 244 PEOPLE RECEIVED CANCER SCREENINGS THROUGH CPMC'S GRANT TO BAY AREA CANCER CONNECTIONS. THE COMMUNITY HEALTH RESOURCE CENTER (CHRC) COLLABORATES WITH OVER 20 DIFFERENT HEALTHCARE CENTERS IN SAN FRANCISCO, PROVIDING SUPPORTIVE SERVICES TO THOUSANDS OF CLIENTS THROUGH THE MANY FREE OR LOW-COST PROGRAMS, SCREENINGS AND COUNSELING SERVICES THAT ARE AVAILABLE TO ANYONE IN THE COMMUNITY. PROGRAMS INCLUDE DIETITIANS, SOCIAL WORK COUNSELING, NUTRITION GUIDANCE, COMMUNITY HEALTH SCREENINGS, EDUCATIONAL LECTURES INCLUDING MONTHLY WELLNESS EVENTS, HEALTH INFORMATION AND LOCAL RESOURCES, EMPLOYEE AND GROUP WELLNESS PRESENTATIONS, AND SUPPORT GROUPS. IN 2022, AN ESTIMATED 13,800 PEOPLE WERE SERVED OVERALL (MAY INCLUDE DUPLICATES). APPROXIMATELY 2,150 PEOPLE WERE SERVED WITH 3,637 VISITS WITH REGISTERED DIETICIANS. 3,262 HEALTH SCREENINGS WERE PROVIDED. 42 HEALTH EDUCATION EVENTS AS WELL AS ONGOING WEBINARS/RECORDINGS WERE ATTENDED OR VIEWED BY AN ESTIMATED 7,500 PEOPLE. APPROXIMATELY 2,900 PEOPLE WERE SERVED WITH 4,828 VISITS FOR BEHAVIORAL HEALTH/SOCIAL WORK SERVICES. CPMC'S MISSION BERNAL WOMEN'S CLINIC PROVIDES A FULL RANGE OF OBSTETRIC AND GYNECOLOGICAL CARE, AND SERVED 2,875 PEOPLE WITH 9,496 PATIENT VISITS IN 2022. IN 2021, CPMC TRANSFERRED THE ASSETS OF ITS MISSION BERNAL ADULT CLINIC, MISSION BERNAL PEDIATRIC CINIC, AND MISSION BERNAL PEDIATRIC AFTER HOURS CLINIC TO MISSION NEIGHBORHOOD HEALTH CENTER (MNHC). CPMC PROVIDES CASH CONTRIBUTIONS TO MNHC TO PARTIALLY FUND ORGANIZATIONAL AND OPERATIONAL COSTS IN ORDER TO ENSURE THE SUCCESSFUL EXPANSION OF ADULT AND PEDIATRIC SERVICES AT WHAT IS NOW MNHC'S MISSION BERNAL CLINIC. IN 2022, MNHC SERVED 3,919 PEOPLE THERE. HEALTHFIRST, A CENTER FOR PREVENTION AND EDUCATION LOCATED AT CPMC'S MISSION BERNAL CAMPUS, SERVES PATIENTS IN CHRONIC DISEASE MANAGEMENT BY INTEGRATING COMMUNITY HEALTH WORKERS (CHWS) INTO THE MULTIDISCIPLINARY HEALTHCARE TEAM. IN 2022, HEALTHFIRST SERVED 723 PEOPLE WITH A TOTAL OF 2,290 ENCOUNTERS. CPMC'S KALMANOVITZ CHILD DEVELOPMENT CENTER (KCDC) PROVIDES DIAGNOSIS, EVALUATION, TREATMENT AND COUNSELING FOR CHILDREN AND ADOLESCENTS WITH LEARNING DISABILITIES AND DEVELOPMENTAL OR BEHAVIORAL PROBLEMS CAUSED BY PREMATURITY, AUTISM SPECTRUM DISORDER, EPILEPSY, DOWN SYNDROME, ATTENTION DEFICIT DISORDER, OR CEREBRAL PALSY. BESIDES OPERATING ITS OWN CLINICS, KCDC ALSO EXTENDS ITS SERVICES TO A LARGE NUMBER OF AT-RISK CHILDREN AND BRINGS SERVICES TO THEM IN THEIR COMMUNITY BY PARTNERING WITH LOCAL SCHOOLS AND OTHER COMMUNITY ORGANIZATIONS. IN 2022, A TOTAL OF 14,118 CLINIC VISITS TOOK PLACE. OF THE 1,392 PEOPLE SERVED, 1,347 WERE SEEN AT THE TWO SAN FRANCISCO CLINIC LOCATIONS, AND 45 THROUGH OUTREACH AT DE MARILLAC ACADEMY. LIONS EYE FOUNDATION AND CPMC PARTNER TOGETHER TO PROVIDE HIGHLY SPECIALIZED EYE CARE PROCEDURES FREE OF CHARGE TO PEOPLE WITHOUT INSURANCE OR FINANCIAL RESOURCES. IN 2022, 366 INDIVIDUALS WERE SERVED WITH A TOTAL OF 3,392 PATIENT VISITS. PROCEDURES PERFORMED INCLUDED 307 GENERAL SURGICAL PROCEDURES, 118 LASER SURGERIES, 1,050 INTRAVITREOUS INJECTIONS FOR MACULAR DEGENERATION AND COMPLICATIONS DUE TO DIABETES, AND 3,318 DIAGNOSTIC TESTS (OCTS, B-SCANS, ANGIOGRAMS, ETC.) A KEY PART OF CPMC'S MEDI-CAL PROGRAM IS THE MEDI-CAL MANAGED CARE PARTNERSHIP WITH NORTHEAST MEDICAL SERVICES (NEMS) COMMUNITY CLINIC AND SAN FRANCISCO HEALTH PLAN, A LICENSED COMMUNITY HEALTH PLAN THAT PROVIDES AFFORDABLE HEALTHCARE COVERAGE TO OVER 190,000 LOW- AND MODERATE-INCOME SAN FRANCISCO RESIDENTS. WORKING TOGETHER WITH NEMS, CPMC SERVES AS THE HOSPITAL PARTNER FOR THESE MEDI-CAL BENEFICIARIES WHO SELECT NEMS AS THEIR MEDICAL GROUP THROUGH SAN FRANCISCO HEALTH PLAN, PROVIDING THEM WITH INPATIENT SERVICES, HOSPITAL-BASED SPECIALTY AND ANCILLARY SERVICES, AND EMERGENCY CARE. CPMC ALSO PROVIDES ACCESS TO QUALITY SERVICES AT ITS MISSION BERNAL CAMPUS FOR PATIENTS WHO SELECT HILL PHYSICIANS OR BROWN & TOLAND AS THEIR MEDICAL GROUP THROUGH SAN FRANCISCO HEALTH PLAN. IN 2022, 47,434 PERSONS WERE SERVED: NEMS ENROLLEES 43,811; BROWN & TOLAND ENROLLEES 1,456; HILL PHYSICIANS ENROLLEES 2,167. CPMC PROVIDED FREE LAB SERVICES FOR MORE THAN 16,500 OF THESE NEMS PATIENTS IN ORDER TO FURTHER IMPROVE ACCESS AND SUPPORT NEMS AND THEIR PATIENTS. CPMC PARTNERS WITH OPERATION ACCESS AND THE SAN FRANCISCO ENDOSCOPY CENTER TO PROVIDE ACCESS TO DIAGNOSTIC SCREENINGS, SPECIALTY PROCEDURES, AND SURGICAL CARE AT NO COST FOR UNINSURED BAY AREA PATIENTS WHO HAVE LIMITED FINANCIAL RESOURCES. CPMC PHYSICIANS VOLUNTEER THEIR TIME TO PROVIDE THESE FREE SURGICAL SERVICES, WHILE THE HOSPITAL DONATES THE USE OF ITS OPERATING ROOMS. CPMC ALSO PROVIDES GRANT FUNDING TO SUPPORT OPERATION ACCESS'S OPERATING COSTS. IN 2022, SUTTER-AFFILIATED PHYSICIAN VOLUNTEERS WITH OPERATION ACCESS SERVED 75 PEOPLE IN SAN FRANCISCO, WITH 80 SURGICAL PRODECURES INCLUDING 24 OPERATING ROOM PROCEDURES, 28 GASTROENTEROLOGY PROCEDURES, 7 MINOR PROCEDURES OR RADIOLOGY, AND 21 SPECIALIST EVALUATIONS OR PHYSICAL THERAPY. CPMC SUPPORTS SOUTH OF MARKET BAYVIEW CHILD HEALTH CENTER (BCHC), WHICH OFFERS ROUTINE PREVENTATIVE AND URGENT PEDIATRIC CARE IN ONE OF SAN FRANCISCO'S MOST MEDICALLY UNDERSERVED NEIGHBORHOODS, AND ADDRESSES PREVALENT COMMUNITY HEALTH ISSUES SUCH AS WEIGHT CONTROL AND ASTHMA MANAGEMENT. BCHC FOCUSES ON KEEPING INFANTS, CHILDREN AND ADOLESCENTS HEALTHY, AND ON CLOSELY MANAGING THEIR CARE WHEN THEY ARE ILL. IN 2022, 950 INDIVIDUALS RECEIVED PRIMARY CARE WITH A TOTAL OF 3,370 ENCOUNTERS; AN ESTIMATED 95 OF THESE PATIENTS WERE ALSO CONNECTED TO MENTAL HEALTH SERVICES. IN 2022, CPMC SUPPORTED ORGANIZATIONS SUCH AS EDGEWOOD CENTER FOR CHILDREN AND FAMILIES AND RICHMOND AREA MULTI-SERVICES THROUGH COMMUNITY GRANTS TO ADDRESS SOCIAL, EMOTIONAL AND BEHAVIORAL HEALTH. THROUGH SUCH SUPPORT, 5,440 PEOPLE RECEIVED MENTAL HEALTH SERVICES, AND 225 RECEIVED SUBSTANCE USE SERVICES. IN 2022, CPMC SUPPORTED ORGANIZATIONS SUCH AS COMPASS FAMILY SERVICES AND HOMELESS PRENATAL SERVICES THROUGH COMMUNITY GRANTS TO PROVIDE SERVICES TO ADDRESS HOUSING SECURITY AND HOMELESSNESS. THROUGH SUCH SUPPORT, AN ESTIMATED 869 PEOPLE WERE PLACED IN INTERIM HOUSING, AND 1,810 WERE PLACED IN STABLE/PERMANENT HOUSING OR RETAINED IT THROUGH PROGRAM ASSISTANCE. IN 2022, CPMC SUPPORTED ORGANIZATIONS SUCH AS MEALS ON WHEELS THROUGH COMMUNITY GRANTS TO ADDRESS FOOD SECURITY, HEALTHY EATING, AND ACTIVE LIVING. THROUGH SUCH SUPPORT, 2.5 MILLION MEALS WERE PROVIDED TO THOSE IN NEED. IN 2022, CPMC SUPPORTED ORGANIZATIONS SUCH AS SAFE & SOUND THROUGH COMMUNITY GRANTS TO ADDRESS SAFETY FROM VIOLENCE AND TRAUMA. THROUGH SUCH SUPPORT, 2,579 PEOPLE RECEIVED CASE MANAGEMENT SERVICES. MILLS PENINSULA MEDICAL CENTER (REPORTING GROUP B, 4 & 12) THE 2022-2024 IMPLEMENTATION STRATEGY FOR MILLS PENINSULA MEDICAL CENTER (MPMC) DEFINES A VARIETY OF PROGRAMS AND PARTNERSHIPS THAT ADDRESS IDENTIFIED PRIORITY HEALTH NEEDS AND IMPROVE THE OVERALL HEALTH OF THE COMMUNITY IT SERVES. A FEW OF THOSE PROGRAMS AND PARTNERSHIPS ARE DESCRIBED BELOW: MPMC PARTNERS WITH OPERATION ACCESS TO PROVIDE ACCESS TO DIAGNOSTIC SCREENINGS, SPECIALTY PROCEDURES, AND SURGICAL CARE AT NO COST FOR UNINSURED BAY AREA PATIENTS WHO HAVE LIMITED FINANCIAL RESOURCES. MPMC PHYSICIANS VOLUNTEER THEIR TIME TO PROVIDE THESE FREE SURGICAL SERVICES, WHILE THE HOSPITAL DONATES THE USE OF ITS OPERATING ROOMS. MPMC ALSO PROVIDES A GRANT TO SUPPORT OPERATION ACCESS'S OPERATING COSTS. IN 2022, OPERATION ACCESS SERVED 67 INDIVIDUALS. MPMC PROVIDES GRANTS AND SPONSORSHIP PART VI, LINE 6 SUTTER HEALTH IS A NOT-FOR-PROFIT PARENT OF NOT-FOR-PROFIT AND FOR-PROFIT COMPANIES THAT TOGETHER FORM AN INTEGRATED HEALTHCARE SYSTEM LOCATED IN NORTHERN CALIFORNIA. OUR 65,000 EMPLOYEES AND ASSOCIATED CLINICIANS SERVE MORE THAN 3 MILLION PATIENTS IN CALIFORNIA THROUGH OUR HOSPITALS, PRIMARY AND SPECIALTY CARE CENTERS, CLINICS AND HOME HEALTH SERVICES. LEARN MORE ABOUT HOW WE'RE TRANSFORMING HEALTHCARE AT SUTTERHEALTH.ORG AND VITALS.SUTTERHEALTH.ORG. SUTTER HEALTH'S TOTAL INVESTMENT IN COMMUNITY BENEFIT IN 2022 WAS $899 MILLION. THIS AMOUNT INCLUDES TRADITIONAL CHARITY CARE AND UNREIMBURSED COSTS OF PROVIDING CARE TO MEDI-CAL PATIENTS. THIS AMOUNT ALSO INCLUDES INVESTMENTS IN COMMUNITY HEALTH PROGRAMS TO ADDRESS PRIORITIZED HEALTH NEEDS AS IDENTIFIED BY REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENTS. AS PART OF SUTTER HEALTH'S COMMITMENT TO FULFILL ITS NOT-FOR-PROFIT MISSION AND HELP SERVE SOME OF THE MOST VULNERABLE IN ITS COMMUNITIES, THE SUTTER HEALTH SYSTEM HAS IMPLEMENTED CHARITY CARE POLICIES TO HELP PROVIDE ACCESS TO MEDICALLY NECESSARY CARE FOR ELIGIBLE PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. IN 2022, SUTTER HEALTH INVESTED $82 MILLION IN CHARITY CARE. OVERALL, SINCE THE IMPLEMENTATION OF THE AFFORDABLE CARE ACT, GREATER NUMBERS OF PREVIOUSLY UNINSURED PEOPLE NOW HAVE MORE ACCESS TO HEALTHCARE COVERAGE THROUGH THE MEDI-CAL AND MEDICARE PROGRAMS. THE PAYMENTS FOR PATIENTS WHO ARE COVERED BY MEDI-CAL DO NOT COVER THE FULL COSTS OF PROVIDING CARE. IN 2022, SUTTER HEALTH INVESTED $615 MILLION MORE THAN THE STATE PAID TO CARE FOR MEDI-CAL PATIENTS. THROUGH COMMUNITY BENEFIT INVESTMENTS, SUTTER HELPS LOCAL COMMUNITIES ACCESS PRIMARY, MENTAL HEALTH AND ADDICTION CARE, AND BASIC NEEDS SUCH AS HOUSING, JOBS AND FOOD. SEE MORE ABOUT HOW SUTTER HEALTH REINVESTS INTO THE COMMUNITY AND WORKS TO ACHIEVE HEALTH EQUITY BY VISITING SUTTERHEALTH.ORG/COMMUNITY-BENEFIT. EVERY THREE YEARS, SUTTER HEALTH AFFILIATED HOSPITALS PARTICIPATE IN A COMPREHENSIVE AND COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH IDENTIFIES SIGNIFICANT COMMUNITY HEALTH NEEDS AND GUIDES OUR COMMUNITY BENEFIT STRATEGIES. THE ASSESSMENTS HELP ENSURE THAT WE INVEST OUR COMMUNITY BENEFIT DOLLARS IN A WAY THAT TARGETS AND ADDRESSES REAL COMMUNITY NEEDS. FOR MORE FACTS AND INFORMATION VISIT SUTTERHEALTH.ORG. PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: CALIFORNIA true MISSION AREA HEALTH ASSOCIATES 240 SHOTWELL ST SAN FRANCISCO CA 94110 942284365 501(C)(3) 1349973 PROGRAM SUPPORT Sutter Bay Medical Foundation 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 941156581 501(C)(3) 612513 PROGRAM SUPPORT Mills-Pennisula Hospital Foundation 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 237288765 501(C)(3) 500000 PROGRAM SUPPORT South County Community Health Center Inc 1855 BAY RD E PALO ALTO CA 94303 943372130 501(C)(3) 375000 PROGRAM SUPPORT SAMARITAN HOUSE 4031 PACIFIC BLVD SAN MATEO CA 94403 237416272 501(C)(3) 350000 PROGRAM SUPPORT ALAMEDA POINT COLLABORATIVE 677 W RANGER AVE ALAMEDA CA 94501 943361464 501(C)(3) 300000 PROGRAM SUPPORT LIFE LONG MEDICAL CARE PO BOX 11247 BERKELEY CA 94712 942502308 501(C)(3) 300000 PROGRAM SUPPORT SAN FRANCISCO MED CNTR OUTPATIENT IMPROV 229 7TH ST SAN FRANCISCO CA 94103 237304921 501(C)(3) 266745 PROGRAM SUPPORT WELLNESS TOGETHER INC 1382 BLUE OAKS BLVD STE 213 ROSEVILLE CA 95678 811653329 501(C)(3) 265000 PROGRAM SUPPORT SENECA FAMILY OF AGENCIES 8945 GOLF LINKS RD OAKLAND CA 94605 942971761 501(C)(3) 200000 PROGRAM SUPPORT SANTA CRUZ COMMUNITY HEALTH CENTERS PO BOX 542 SANTA CRUZ CA 95061 237428303 501(C)(3) 185000 PROGRAM SUPPORT CATHOLIC CHARITIES-DIOCESE-SANTA ROSA 987 AIRWAY DR SANTA ROSA CA 95403 942479393 501(C)(3) 181371 PROGRAM SUPPORT BERKELEY FOOD AND HOUSING PROJECT 3225 ADELINE ST BERKELEY CA 94703 942979073 501(C)(3) 150000 PROGRAM SUPPORT SALUD PARA LA GENTE PO BOX 1870 WATSONVILLE CA 95077 942705747 501(C)(3) 150000 PROGRAM SUPPORT SAN MATEO COUNTY HEALTH FOUNDATION 22 W 39TH AVE SAN MATEO CA 94403 943116070 501(C)(3) 150000 PROGRAM SUPPORT BAY AREA COMMUNITY HEALTH 40910 FREMONT BLVD FREMONT CA 94538 237255435 501(C)(3) 150000 PROGRAM SUPPORT CAMINAR 2600 SO EL CAMINO REAL STE 200 SAN MATEO CA 94403 941639389 501(C)(3) 125000 PROGRAM SUPPORT NORTHERN CALIFORNIA CENTER FOR WELL BEING PO BOX 3644 SANTA ROSA CA 95402 931144835 501(C)(3) 118035 PROGRAM SUPPORT INDIAN HEALTH CENTER OF SANTA CLARA VALLEY 1333 MERIDIAN AVE SAN JOSE CA 95125 942476242 501(C)(3) 115000 PROGRAM SUPPORT Asian Americans for Community Involvement 2400 MOORPARK AVE STE 300 SAN JOSE CA 95125 942292491 501(C)(3) 115000 PROGRAM SUPPORT HEALTHIER KIDS FOUNDATION INC 4010 MOORPARK AVE STE 118 SAN JOSE CA 95117 770545774 501(C)(3) 115000 PROGRAM SUPPORT SAN FRANCISCO VILLAGE 3220 FULTON ST SAN FRANCISCO CA 94118 261300020 501(C)(3) 111698 PROGRAM SUPPORT LIFEMOVES 181 CONSTITUTION DR MENLO PARK CA 94025 770160469 501(C)(3) 100000 PROGRAM SUPPORT COMMUNITY HEALTH CENTER 101 CALLAN AVE STE 300 SAN LEANDRO CA 94577 943253662 501(C)(3) 100000 PROGRAM SUPPORT PENINSULA HEALTHCARE CONNECTION INC 33 ENCINA AVE STE 103 PALO ALTO CA 94301 202886131 501(C)(3) 100000 PROGRAM SUPPORT COUNTY-CONTRA COSTA HLTH HOUSING & HOMELESS 2400 BISSO LN STE D FLR 2 CONCORD CA 94520 946000509 GOVT 100000 PROGRAM SUPPORT TIBURCIO VASQUEZ HEALTH CTR 33255 9TH 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DISTRICT 1000 BROADWAY STE 300 OAKLAND CA 94607 946000385 501(C)(3) 75000 PROGRAM SUPPORT ANTIOCH UNIFIED SCHOOL DISTRICT 510 G ST ANTIOCH CA 94509 861134505 501(C)(3) 75000 PROGRAM SUPPORT ABODE SERVICES 40849 FREMONT BLVD FREMONT CA 94538 943087060 501(C)(3) 75000 PROGRAM SUPPORT EAST BAY ASIAN LOCAL DEVELOPMENT CORP 1825 SAN PABLO AVE STE 200 OAKLAND CA 94612 510171851 501(C)(3) 65000 PROGRAM SUPPORT DIENTES COMMUNITY DENTAL CARE 1830 COMMERCIAL WY SANTA CRUZ CA 95065 770311752 501(C)(3) 65000 PROGRAM SUPPORT DAVIS STREET COMMUNITY CENTER 3081 TEAGARDEN ST SAN LEANDRO CA 94577 943121699 501(C)(3) 60000 PROGRAM SUPPORT MONUMENT IMPACT 1760 CLAYTON ST CONCORD CA 94520 943370919 501(C)(3) 60000 PROGRAM SUPPORT ENCOMPASS COMMUNITY SERVICES 380 ENCINAL ST STE 200 SANTA CRUZ CA 95060 237275290 501(C)(3) 52000 PROGRAM SUPPORT CONTRA COSTA INTRFTH TRNSTNL HOUSING INC 399 TAYLOR BLVD STE 115 PLEASANT HILL CA 94523 911797391 501(C)(3) 50000 PROGRAM SUPPORT BRIGHTER BEGINNINGS 2727 MACDONALD AVE RICHMOND CA 94804 942949749 501(C)(3) 50000 PROGRAM SUPPORT INDIVIDUALS NOW INC 2447 SUMMERFIELD RD SANTA ROSA CA 95405 941711490 501(C)(3) 50000 PROGRAM SUPPORT RICHMOND AREA MULTI SERVICES INC 4355 GEARY BLVD SAN FRANCISCO CA 94108 237389436 501(C)(3) 50000 PROGRAM SUPPORT HUMAN INVESTMENT PROJECT INC 800 SO CLAREMONT ST STE 210 SAN MATEO CA 94402 942154614 501(C)(3) 50000 PROGRAM SUPPORT SANTA ROSA COMMUNITY HEALTH CENTERS 3599 ROUND BARN CIR SANTA ROSA CA 95403 680365296 501(C)(3) 50000 PROGRAM SUPPORT SHELTER INC PO BOX 5368 CONCORD CA 94524 680117241 501(C)(3) 50000 PROGRAM SUPPORT NORTH MARIN COMMUNITY SERVICES 680 WILSON AVE NOVATO CA 94947 941735064 501(C)(3) 50000 PROGRAM SUPPORT ABILITYPATH 350 TWIN DOLPHIN DR STE 123 REDWOOD CITY CA 94065 941156502 501(C)(3) 50000 PROGRAM SUPPORT CURRY SENIOR CENTER 315 TURK ST SAN FRANCISCO CA 94102 237362588 501(C)(3) 50000 PROGRAM SUPPORT HEALTHRIGHT 360 1563 MISSION ST SAN FRANCISCO CA 94103 946129071 501(C)(3) 50000 PROGRAM SUPPORT 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SELF-HELP FOR THE ELDERLY 731 SANSOME ST STE 100 SAN FRANCISCO CA 94111 941750717 501(C)(3) 20000 PROGRAM SUPPORT LOAVES AND FISHES OF CONTRA COSTA 835 FERRY ST MARTINEZ CA 94553 680018077 501(C)(3) 20000 HOMELESS ASSISTANCE ESCHATON FOUNDATION 612 OCEAN ST SANTA CRUZ CA 95060 237209584 501(C)(3) 20000 SIENA HOUSE MATERNITY HOME OF SANTA CRUZ 108 HIGH ST SANTA CRUZ CA 95060 770518866 501(C)(3) 20000 SONRISAS DENTAL HEALTH INC 430 NO EL CAMINO REAL SAN MATEO CA 94401 943390196 501(C)(3) 20000 ICA SAN FRANCISCO WORK STUDY 3625 24TH ST SAN FRANCISCO CA 94110 264450576 501(C)(3) 20000 REDWOOD COMMUNITY SERVICES INC PO BOX 2077 UKIAH CA 95482 680367894 501(C)(3) 20000 HORIZON SERVICES INC PO BOX 4217 HAYWARD CA 94540 942365021 501(C)(3) 20000 LA LUZ CENTER 17560 GREGER ST SONOMA CA 95476 680228235 501(C)(3) 15000 HUCKLEBERRY YOUTH PROGRAM INC 3450 GEARY BLVD SAN FRANCISCO CA 94118 941687559 501(C)(3) 15000 Second Harvest of Silicon Valley 750 CURTNER AVE SAN JOSE CA 95125 942614101 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MIDDLEFIELD STE 201 MOUNTAIN VIEW CA 94043 770393676 501(C)(3) 10000 ADOLESCENT COUNSELING SERVICES 643 BAIR ISLAND RD STE 402 REDWOOD CITY CA 94063 510192551 501(C)(3) 10000 LIFEWORKS OF SONOMA COUNTY 1260 NO DUTTON AVE STE 105 SANTA ROSA CA 95401 680375462 501(C)(3) 10000 RICHMOND PROMISE 440 CIVIC CENTER PLAZA RICHMOND CA 94804 811653085 501(C)(3) 10000 COMMUNITY BRIDGES 519 MAIN ST WATSONVILLE CA 95076 942460211 501(C)(3) 10000 AFGHAN ELDERLY ASSOCIATION 3300 CAPITOL AVE BLDG B FREMONT CA 94538 943290111 501(C)(3) 10000 EATING DISORDERS RESOURCE CTR 3131 SO BASCOM AVE STE 140 CAMPBELL CA 95008 680616393 501(C)(3) 10000 ARTS COUNCIL SANTA CRUZ COUNTY 7900 SOQUEL DR STE I APTOS CA 95003 942600140 501(C)(3) 10000 FRIENDS FOR YOUTH 3460 W BAYSHORE RD STE 203 PALO ALTO CA 94303 942961034 501(C)(3) 10000 LIFE STEPS FOUNDATION INC 5757 W CENTURY BLVD STE 880 LOS ANGELES CA 90045 953909174 501(C)(3) 10000 HOMELESS ASSISTANCE COMMUNITY INITIATIVES 1000 BROADWAY STE 480 OAKLAND CA 94607 943255070 501(C)(3) 10000 SAFE ALTERNATIVES TO VIOLENT ENVIRONMENTS 1900 MOWRY AVE STE 201 FREMONT CA 94538 942520559 501(C)(3) 10000 KARA CORP 457 KINGSLEY AVE PALO ALTO CA 94301 942431483 501(C)(3) 10000 PACIFIC STROKE ASSOCIATION 3801 MIRANDA AVE BLDG 6 STE A162 PALO ALTO CA 94304 770500631 501(C)(3) 10000 GUM MOON RESIDENCE HALL 940 WASHINGTON ST SAN FRANCISCO CA 94108 941156357 501(C)(3) 10000 PARTNERS AND ADVOCATES FOR REMARKABLE CHILDREN AND 80 AIRPORT BLVD STE 320 BURLINGAME CA 94010 941650851 501(C)(3) 10000 GOODNESS VILLAGE 1660 FREISMAN RD LIVERMORE CA 94551 852812754 501(C)(3) 10000 PROJECT OPEN HAND 730 POLK ST SAN FRANCISCO CA 94109 943023551 501(C)(3) 10000 ASIAN HEALTH SERVICES 10 8TH ST STE 100 OAKLAND CA 94607 942235908 501(C)(3) 10000 WEST VALLEY CMNTY SRVCS OF SANTA CLARA CNTY 10104 VISTA DR CUPERTINO CA 95014 942211685 501(C)(3) 10000 CHILDRENS HEALTH COUNCIL 650 CLARK WY PALO ALTO CA 94304 941312311 501(C)(3) 10000 ELDER CARE ALLIANCE 1301 MARINA VILLAGE PKWY STE 210 ALAMEDA CA 94501 943260975 501(C)(3) 7953 JEWISH COMMUNITY CTR OF SF 3200 CALIFORNIA ST SAN FRANCISCO CA 94118 943227260 501(C)(3) 7500 LIONS EYE FOUNDATION OF CALIFORNIA NEVADA PO BOX 7999 SAN FRANCISCO CA 94120 941676055 501(C)(3) 7000 MARIN COUNTY OF EDUCATION OFFICE PO BOX 4925 SAN RAFAEL CA 94913 946022431 501(C)(3) 6000 CANCER SUPPORT COMMUNITY SAN FRANCISCO BAY AREA 3276 MCNUTT AVE WALNUT CREEK CA 94597 680157858 501(C)(3) 6000 186 1 PATIENT ASSISTANCE 5210 432691 TRNSPRTN,MD SPLS,RHB SCHOLARSHIPS 30 111500 SCHEDULE I, PART I, LINE 2 IN ORDER TO CLOSELY MONITOR EFFICIENCY AND EFFECTIVENESS, THE COMMUNITY BENEFIT FUNCTION OUTLINES MEASURABLE REPORTING (QUARTERLY, SIX-MONTH AND/OR YEAR-END), PROGRAM AND FUNDING REQUIREMENTS IN A MEMORANDUM OF UNDERSTANDING (MOU), BUSINESS SERVICES AGREEMENT (BSA), OR JOINT VENTURE AGREEMENT FOR EACH INVESTMENT MADE WITH A COMMUNITY PARTNER. WHERE IT IS DETERMINED NECESSARY, ADDITIONAL EFFORTS ARE MADE TO MONITOR EFFECTIVENESS AND EFFICIENCY OF INVESTMENTS, WHICH COULD INCLUDE: - QUARTERLY MEETINGS WITH COMMUNITY PARTNERS - E-MAIL AND TELEPHONIC COMMUNICATIONS WITH COMMUNITY PARTNERS - CONTINUED DIALOGUE WITH INVOLVED HOSPITAL STAFF AND COMMUNITY PARTNERS THROUGHOUT DURATION OF PROGRAM - SITE VISITS WITH COMMUNITY PARTNERS - BI-ANNUAL "OUTCOMES" SURVEY (6-MONTH AND/OR YEAR-END OUTCOMES) - REVIEW OF HOSPITAL USAGE AND PATIENT LEVEL DATA - COLLECTION OF PATIENT STORIES AND NARRATIVES - COLLABORATIVE DISCUSSIONS AROUND AD-HOC SUCCESSES AND CHALLENGES THAT ARISE - REPORTING TO INCLUDE YEAR-END FINANCIAL SUMMARY THAT COMPARES ACTUAL EXPENDITURES TO THE FUNDED PROJECT'S BUDGET, INDICATING ANY UNUSED AMOUNT OF GRANT FUNDS. at the end of THE APPROPRIATE reporting PERIOD, COMMUNITY BENEFIT ANALYZES DATA TO ENSURE COMMUNITY PARTNERS MET THE OBJECTIVES OUTLINED IN THE MOU OR BSA. IF THE COMMUNITY PARTNERS DID NOT REACH THE ANTICIPATED OUTCOMES, COMMUNITY BENEFIT WORKS TO UNDERSTAND WHAT CIRCUMSTANCES PREVENTED THE ORGANIZATION FROM MEETING THE GOALS TO HELP IDENTIFY WAYS TO IMPROVE OR PERHAPS RE-EVALUATE WHAT SUCCESS OF THIS PROGRAM LOOKS LIKE, AND MAKES THE DETERMINATION TO CONTINUE OR TERMINATE FUNDING. WE ALSO RELY ON THE GOVERNANCE PRACTICES OF THE RECIPIENT ORGANIZATION TO MONITOR THE USE OF THE FUNDS. true true false false false false false true false Sarah Krevans CEO Emeritus, Sutter Health 0 1980063 0 2749625 0 395119 0 242765 0 32838 0 5400410 0 362776 James Conforti SH SVP/COO, INT CEO/ASST SEC 0 1501356 0 988152 0 429753 0 193665 0 33327 0 3146253 0 235967 Brian Dean SH SVP, CFO 0 1166563 0 1295104 0 114697 0 155065 0 37087 0 2768516 0 0 Theresa Frei SH INTRM COO & PRES/CEO, SVMF 0 964911 0 412501 0 120252 0 86365 0 29254 0 1613283 0 99950 David Cheney CEO, BAY & VALLEY HOSPITALS 0 915067 0 277008 0 116738 0 132265 0 19900 0 1460978 0 92047 Warren Browner MD HOSPITAL AREA CEO, NORTH BAY 0 779447 0 322617 0 119963 0 109665 0 24677 0 1356369 0 0 John Gates CFO, SH BAY AREA (PT-YR) 0 360260 0 210771 0 662103 0 62165 0 17032 0 1312331 0 81499 Janet A Wagner HOSPITAL AREA CEO, SOUTH BAY 0 673850 0 297739 0 88852 0 80665 0 25560 0 1166666 0 66907 David Clark HOSPITAL AREA CEO, EAST BAY 0 681140 0 222336 0 26211 0 79865 0 28051 0 1037603 0 0 Cynthia Lee SH VP, CHF STRGY&CORP DEV OFCR 0 607218 0 170665 0 63008 0 41865 0 29478 0 912234 0 53549 Samareh H Rad SUPERVISOR, TRNSF & RFRL (RN) 812427 20284 0 0 9879 198 5065 0 28143 0 855514 20482 0 0 Maynard L Jenkins III SH VP, HR SUPPORT FUNCTIONS 0 480425 0 153428 0 53188 0 58765 0 20989 0 766795 0 43087 Stephen Gray CAO, SMSC & BAY FDN OPS EXEC 0 378342 0 212282 0 55788 0 55065 0 33318 0 734795 0 42886 Sami E Nawwar NURSE-STAFF II 628801 0 66750 0 99 0 5065 0 29721 0 730436 0 0 0 Julie A Petrini FORMER CEO, BAY AREA HOSPITALS 0 4407 0 456586 0 244037 0 505 0 1322 0 706857 0 0 Vernon Giang CME, CPMC 0 501995 0 87699 0 40325 0 54265 0 20970 0 705254 0 31903 Daniel Peterson CEO, SSRRH 0 446171 0 122025 0 55871 0 46165 0 33346 0 703578 0 38804 Henry Yu CFO HOSPITAL - WEST BAY 0 454477 0 97048 0 49828 0 55965 0 20050 0 677368 0 40526 Steven R Cummings EXECUTIVE, RESEARCH 539274 0 62950 0 4944 0 5065 0 22964 0 635197 0 0 0 Yueqin Feng CHARGE NURSE 521036 0 51600 0 284 0 5065 0 20927 0 598912 0 0 0 Geri Decoito NURSE-CERTIFIED STAFF IV 564650 0 0 0 16 0 5065 0 20748 0 590479 0 0 0 Gregory Brown SH VP,LEGAL & SBH SEC 0 317185 0 102429 0 41250 0 45965 0 28603 0 535432 0 34841 Edward Battista VP HR, SH BAY HOSPITALS 0 377715 0 77375 0 33376 0 29565 0 11687 0 529718 0 25403 Jill Kacher Cobb MD CHIEF MEDICAL EXECUTIVE 309170 0 33775 0 810 63660 5065 0 31903 0 380723 63660 0 0 Theresa C Glubka CEO, SSCD 0 0 0 0 0 346762 0 0 0 0 0 346762 0 0 Warner Thomas PRESIDENT & CEO SH (PT-YR) 0 190661 0 0 0 3624 0 3260621 0 4521 0 3459427 0 0 Penny Westfall SH VP, CHIEF LEGAL OFFICER, SH 0 0 0 0 0 198372 0 0 0 487 0 198859 0 0 SCHEDULE J, PART I, LINE 3 SUPPLEMENTAL COMPENSATION INFORMATION: THE CEO OF THIS ORGANIZATION IS AN EMPLOYEE OF SUTTER HEALTH, A RELATED TAX-EXEMPT ORGANIZATION. THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ASSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE INDEPENDENT DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARM'S LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF SUTTER'S EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATION'S OVERALL MISSION. SEE SCHEDULE O NARRATIVE FOR PART VI, LINE 15 FOR A FULL DESCRIPTION OF THE COMPENSATION APPROVAL PROCESS COMPLETED BY SUTTER HEALTH. SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENTS THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: JAMES CONFORTI: $92,308 JOHN GATES: $349,305 PENNY WESTFALL: $20,006 SCHEDULE J, PART I, LINE 4B THE PURPOSE OF THE NONQUALIFIED RETIREMENT PLAN IS TO PROVIDE SUTTER HEALTH EXECUTIVES WITH A COMPETITIVE RETIREMENT BENEFIT CONSISTENT WITH SUTTER HEALTH'S OVERALL COMPENSATION PHILOSOPHY FOR ALL EMPLOYEES. CONTRIBUTIONS ARE DESIGNED TAKING INTO CONSIDERATION LOST RETIREMENT BENEFITS THAT WOULD OTHERWISE BE OBTAINED THROUGH THE QUALIFIED PENSION PLAN AND SOCIAL SECURITY BENEFITS. SUTTER'S PLANS ARE DESIGNED CONSISTENT WITH COMPETITIVE INDUSTRY PRACTICES. THE RETIREMENT PLAN FOR SUTTER HEALTH EMPLOYEES IS A COMBINATION OF 403(B) EMPLOYER MATCH CONTRIBUTIONS AND QUALIFIED PENSION PLAN BENEFITS. SUTTER HEALTH EXECUTIVES ARE GENERALLY INELIGIBLE FOR EMPLOYER MATCH CONTRIBUTIONS. TO ENSURE A COMPETITIVE RETIREMENT BENEFIT, SUTTER HEALTH MAKES AN ANNUAL CONTRIBUTION TO A NON-QUALIFIED 457(F) PLAN FOR ITS EXECUTIVES. THE FORMULA PROVIDES 6% TO 12% OF BASE SALARY PLUS ANNUAL INCENTIVE PLAN AWARD (COMMENSURATE WITH MANAGEMENT LEVEL). CONTRIBUTIONS ARE ALSO MADE FOR A SMALL GROUP OF SENIOR LEVEL EXECUTIVES WHOSE ESTIMATED RETIREMENT BENEFIT (SOCIAL SECURITY PLUS QUALIFIED PLAN BENEFITS PLUS 457F) FALLS BELOW 50% - 65% OF FINAL 4-YEAR AVERAGE BASE SALARY WHEN RETIRING AT AGE 65 WITH 22.5 YEARS OF SERVICE. TARGET BENEFIT LEVELS ARE DISCOUNTED FOR YEARS OF SERVICE LESS THAN 22.5 AT AGE 65. UNLIKE SUTTER HEALTH'S QUALIFIED PENSION PLAN WHERE EMPLOYEE BENEFITS ARE GUARANTEED (I.E., A DEFINED BENEFIT), SUTTER'S NON-QUALIFIED PLAN BENEFITS ARE NOT GUARANTEED BY SUTTER HEALTH. INVESTMENT RISK IS BORNE BY PARTICIPANTS AND BENEFITS ARE NOT PROTECTED SHOULD SUTTER HEALTH BECOME INSOLVENT. THE FOLLOWING INDIVIDUALS RECEIVED 457(F) NON-QUALIFIED PAYMENTS DURING THE YEAR: JULIE A. PETRINI: $244,037 SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS: SPOT AWARDS ARE INFREQUENTLY USED TO REWARD EMPLOYEES. THERE ARE NO SPECIFIC GUIDELINES FOR THE AMOUNT OF THE SPOT AWARD BUT THE AMOUNT TENDS TO NOT EXCEED 5% TO 15% OF GROSS ANNUAL SALARY. ANNUAL INCENTIVE PLAN (AIP): THE PURPOSE OF THE PLAN IS TO FOCUS EXECUTIVES ON SPECIFIC, SHORTER-TERM GOALS THAT ARE CRITICAL TO THE ACHIEVEMENT OF AFFILIATE, OPERATING UNIT AND SYSTEM-WIDE OBJECTIVES THAT DRIVE OVERALL ORGANIZATION PERFORMANCE. LONG TERM PERFORMANCE PLANS: SUTTER HEALTH ALSO EMPLOYS LONG TERM PERFORMANCE PLANS WHICH ARE DESIGNED TO FOCUS ON LONGER TERM STRATEGIC OBJECTIVES OF THE ORGANIZATION. SUTTER'S LONG TERM PERFORMANCE PLAN APPROACH IS A COMBINATION OF BOTH LONGER TERM MEASURES OF ORGANIZATION SUCCESS AND KEY ORGANIZATION STRATEGIES WHICH REQUIRE THE COMBINED EFFORT OF ALL LEADERSHIP TO ACHIEVE SUCCESS. SUTTER USES A COMMON FATE APPROACH IN THAT ALL LONG TERM PERFORMANCE PLAN PARTICIPANTS ARE MEASURED AGAINST THE SAME, ORGANIZATION-WIDE CRITERIA VS. INDIVIDUAL EFFORTS. THIS FOSTERS A COMMON PURPOSE ACROSS LEADERSHIP AND A SHARED SENSE OF ACCOUNTABILITY FOR THE OVERALL SUCCESS OF SUTTER HEALTH. IN ALL CASES, THE COMPENSATION COMMITTEE OF THE BOARD DETERMINES ACHIEVEMENT OF ORGANIZATION GOALS AND MAKES FINAL AWARD DETERMINATION WHICH MAY RESULT IN A REDUCTION OF AWARD IF APPROPRIATE. ALL SENIOR EXECUTIVE AWARDS ARE REVIEWED FOR COMPENSATION REASONABLENESS AND APPROVED BY THE COMPENSATION COMMITTEE PRIOR TO PAYMENT. A CHFFA 2016B 521643828 13032UDW5 2016-08-17 901627093 REFUNDING 2005BC, 2003AB, 2007A true false false B CHFFA 2017A 521643828 13032UNY0 2017-07-06 496319743 REFUND 2004CD,2008A(PARTIAL)2008BC true false false C CHFFA 2018A 521643828 13032urp5 2018-04-04 699997776 CONSTRUCTION, EQUIPMENT false false false A 0 0 902923938 0 0 0 0 0 0 0 902923938 0 2016 false true true true B 0 0 496319743 0 0 0 0 0 0 0 496319743 0 2017 false true true true C 0 0 699997776 0 0 0 0 0 0 0 699997776 0 2019 false false true true A false true true true true true 0.00880 0.00010 0.00890 false false false true B false true true true true true 0.00480 0.00010 0.00490 false false false true C false true true true true true 0.00050 0.00030 0.00080 false false false true A false false false true false false 0 false 0 false true B false false true true false false 0 false 0 false true C false true false false false false 0 false 0 false true A true B true C true SCHEDULE K REPORTING THE ORGANIZATION'S SOLE CORPORATE MEMBER IS A CONDUIT BORROWER OF TAX-EXEMPT BOND ISSUES THAT ALLOCATE PORTIONS OF EACH ISSUE TO CERTAIN SUBSIDIARIES, INCLUDING THE ORGANIZATION. THE OUTSTANDING BOND LIABILITY ALLOCATED TO THIS ORGANIZATION IS REPORTED ON FORM 990, PART X, BALANCE SHEET, AND PART VI HEREIN. WITH THE EXCEPTION OF THIS PORTION OF PART VI, THE SCHEDULE K FOR THIS ORGANIZATION IS REPORTING INFORMATION FOR THE ENTIRE BOND ISSUE. SCHEDULE K, PART I, COLUMN E THE FILING ORGANIZATION RECEIVED BOND PROCEEDS IN THE AMOUNTS OF: $629,448,648 FROM THE 2016B ISSUE, $15,870,248 FROM THE 2017A ISSUE, AND $699,997,776 FROM THE 2018A ISSUE. THE DIFFERENCE BETWEEN THE ISSUE PRICE REPORTED IN PART I, COLUMN (E) AND THE PROCEEDS OF ISSUE IN PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. SCHEDULE K, PART II, LINE 7 ISSUANCE COSTS WERE FUNDED THROUGH EQUITY CONTRIBUTIONS. SCHEDULE K, PART IV, LINE 2C DATE THE REBATE COMPUTATION PERFORMED CHFFA 2016B - 9/9/2021 CHFFA 2017A - 7/22/2019 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 18550528 Indpndt Contractor Arrangement false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 4834126 Indpndt Contractor Arrangement false LORI PETRINI Daughter of former officer 155906 COMPENSATION AS EMPLOYEE false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 105000 Indpndt Contractor Arrangement false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 16496363 Indpndt Contractor Arrangement false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 18990668 Indpndt Contractor Arrangement false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 6960653 Indpndt Contractor Arrangement false X 2 1089000 FMV X 1 10160 FMV X 1 842300 FMV X Bottles of Wine 5 13428 FMV X Cases of Beer 1 480 FMV X Flowers 1 1000 FMV 4 false true false PART I, COLUMN (B) COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED. PART I, LINE 32B WHEN SECURITIES ARE DONATED, A 3RD PARTY IS USED TO SELL THEM AT FAIR MARKET VALUE ON BEHALF OF THE ORGANIZATION. FORM 990, PART I, LINE 1 AND PART III, LINE 1 MISSION STATEMENT: WE ENHANCE THE WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES. FORM 990, PART III, LINE 4A Sutter Bay Hospitals (SBH) is a group of medical facilities located in the Greater Bay Area and consists of California Pacific Medical Center, Eden Medical Center, Mills-Peninsula Medical Center, Novato Community Hospital, Sutter Lakeside Hospital, Sutter Santa Rosa Regional Hospital, Eden Medical Center, Alta Bates Summit Medical Center, and Sutter Delta Medical Center. Sutter Bay Hospitals had a total of 453,255 patient days in 2022. California Pacific Medical Center (CPMC) is one of the largest private, community based, not-for-profit, teaching medical centers in California. CPMC is a tertiary referral center providing access to leading edge medicine while delivering the best possible personalized care. It provides a wide variety of services, including acute, post-acute and outpatient hospital care; hospice services; preventive and complementary care; and health education. CPMC comprises four of the oldest hospitals in San Francisco. The Davies Campus, formerly Davies Medical Center, was founded in 1854 to help San Francisco's German-speaking immigrants find work, shelter, food, clothing and health care. The Pacific Campus was founded in 1857 and was the first medical school in the American West. The California Campus was founded in 1875 as the Pacific Dispensary for Women and Children, a hospital run by women, for women. In August 2018, CPMC completed the seismic build of the new Mission Bernal Campus to replace the former facility. The Mission Bernal Campus formerly St. Luke's Campus, was formed in the 1870's and had been providing quality health services to all San Franciscans for over 140 years. In March of 2019, CPMC completed the Van Ness Campus which has replaced inpatient acute care services for both the California Campus and Pacific Campus. Together the Van Ness, Mission Bernal, Davies, and Pacific campuses comprise CPMC's 603 licensed beds. Eden Medical Center (EMC) Eden Medical Center is a state-of-the-art facility that replaced the old Eden Medical Center in December 2012. Eden Medical Center brings together patient-centered care, technology and sophisticated design in a LEED-certified sustainable and seismically-safe building. The facility has 130 private patient rooms, with an additional 34-bed Universal Care Unit and is home to the Sutter East Bay Neuroscience Institute, a Primary Stroke Center, the regional Level II Trauma Center for Southern Alameda County, and a wide range of Centers of Excellence including cancer care, advanced imaging services, rehabilitation and complete surgical and acute-care services. Our award-winning hospital has been recognized by the following organizations: . Health Grades | ranked among America's 50 Best Hospitals (2023, 2022, 2021) making us Top 1% in the nation for providing the highest clinical quality year over year. Also a recipient of 2023 Patient Safety Excellence Award. . US News and World Report | Recognition as High-Performing Stroke . Get with the Guidelines | Gold Quality Achievement Award as well as Target Stroke Honor Roll and Target Type 2 Diabetes Honor Roll . The California Department of Public Health (CDPH) | Healthcare-Associated Infections (HAI) antimicrobial Stewardship Honor Roll, CDEPH announced that Eden's program is now a member of the CDPH HAI antimicrobial Stewardship Honor Roll designated with SILVER status. . The Centers for Medicare and Medicaid Services (CMS) | Eden Medical Center earned four stars out of five, higher than the national average of three stars, in the CMS Overall Hospital Quality Star Ratings | Cal Hospital l Compare | Maternity Care Honor roll . American Stroke Association | Get with the Guidelines for Stroke Care, Gold Plus, Target Stroke Elite Honor Roll . American Heart Association | Get with the Guidelines for Heart Failure, Bronze . Human Rights Campaign | Leader in LGBT Healthcare Equality . Blue Cross Blue Shield Association | Blue Distinction Center for Maternity Care and Knee and Hip Replacement . Sutter President's Award | for Living the Sutter Values - Transition of Care Pharmacy Eden Medical Center is part of the Sutter Health network of care, a family of doctors, not-for-profit hospitals and other health care service providers that join resources and share expertise to advance health care quality and access for patients in more than 100 Northern California cities and towns. Mills-Peninsula Medical Center (MPMC) was founded by prominent Californian Elizabeth Mills Reid, in 1908 with just six beds. To meet the growing needs of the community, Mills-Peninsula opened a new 241-bed hospital in 2011. Located in Burlingame, the 450,000 square foot general acute care hospital features 24-hour emergency care, all private patient rooms, and family sleeping accommodations in all medical/surgical, obstetric, intensive care, and neonatal intensive care rooms and 60 psychiatric beds. MPMC also includes: . Mills Health Center in San Mateo which provides a wide range of outpatient services, including surgery, rehabilitation and diagnostics. The Mills Health Center is also home to Mills-Peninsula's inpatient rehabilitation program. . Mills-Peninsula Senior Focus program serving as educator, service provider, and advocate for elders both in the hospital and at home in the community. Our award-winning hospital has been recognized by the following organizations: . Healthgrades America's 50 Best Hospitals. Mills-Peninsula is in the top 1% of hospitals in the nation for providing overall clinical excellence across a broad spectrum of conditions and procedures. Also recognized among America's 100 Best for Cardiac Care, Critical Care, Coronary Intervention Excellence. . American Heart Association, American Stroke Association. Stroke Gold Plus Quality Achievement Award, recognizing performance for 24 consecutive months or more, with Target Stroke Honor Roll for time to thrombolytic therapy, Type 2 Diabetes Honor Roll. Gold Quality Achievement Award for high quality heart failure. . U.S. News & World Report - Among the top hospitals in Northern California Metro Area. . American College of Surgeons National Surgical Quality Improvement Program - Meritorious status for exemplary outcomes for surgical care in the high-risk category. . Five Star Rating from CMS - Earned Five Stars - The highest ranking possible from the Centers for Medicare and Medicaid Services (CMS). . Women's Choice - Best 100 hospitals for patient experience. . Baby Friendly USA - Baby Friendly Hospital designation. . Silver level Baldrige at the California state-level . American College of Emergency Physicians (ACEP): Geriatric Emergency Department Accreditation Sutter Maternity and Surgery Center of Santa Cruz opened in 1996 and offers state-of-the-art maternity and medical/surgical services, combining patient-centered care and family convenience with the safety and security of a licensed and accredited acute care hospital. With 28 licensed beds, doctors and midwives staff our maternity services. The facility has six operating rooms, three procedure suites, 12 birthing suites and 16 medical/surgical patient suites. The hospital is fully accredited by The Joint Commission. Sutter Maternity & Surgery Center has earned recognitions that include: . Human Rights Campaign Leader in LGBTQ Healthcare Equality . Baby-Friendly Hospital designation: Re-certification by the World Health Organization, United Nations Children's Fund . The Joint Commission Perinatal Certification as a Center of Excellence . American Society of Gastroenterology Unit Recognition Program . Center of Excellence in Robotic Surgery . Center of Excellence in Minimally Invasive GYN Surgery Novato Community Hospital (NCH) has served the Northern Marin and Southern Sonoma communities since 1961. NCH is a 47 bed acute care hospital which operates a 24-hour Emergency Department, inpatient/outpatient surgery, a critical care unit, imaging services, outpatient laboratory, physical therapy and is noted for its orthopedic surgery program. Sutter Santa Rosa Regional Hospital (SSRRH), formerly Sutter Medical Center Santa Rosa, has a long history in Sonoma County dating back to 1866 when the hospital first opened. The 124 bed state-of-the art medical facility opened in 2014 with a full range of five-star personalized care services. FORM 990, PART III, LINE 4A (CONTINUED) Sutter Lakeside Hospital (Lakeside) is a 30 bed critical access care Hospital and is one of only two hospitals that serve the 68,000 residents of Lake County, California. Sutter Lakeside provides a wide variety of services, including acute, post-acute and outpatient hospital care; surgical services; family birth services; preventive care; and primary care and specialty care through two rural health clinics. . Get with the Guidelines Gold Plus award for Heart Failure . CMQCC Maternity Honor Roll . National recognition for glycemic control from the Society of Hospital Medicine . Awarded LGBTQ+ Healthcare Equality Leader . Sutter Health Quality Award Winner . Stroke Center designation . Trauma Center designation . Four Star Rating from CMS - Patient survey ratings. Alta Bates Summit Medical Center (ABSMC) is located on three campuses in Oakland and Berkeley. It is licensed for 824 acute care beds and 68 psych beds. ABSMC operates Medical Center Magnetic Imaging, a freestanding imaging center, and Alta Bates Perinatal Center. Specialty hospital services include the following: acute rehabilitation, bariatrics, behavioral health, cardiovascular surgery, comprehensive community cancer center, East Bay AIDS Clinic, Level III NICU. . U.S. News & World Report - Alta Bates Summit was ranked among the top hospitals in the San Francisco Bay Area region and in the San Francisco metro area. Alta Bates Summit received "high performer" recognition in Stroke Care. . American College of Surgeons | Meritorious Award for quality of surgical care, National Surgical Quality Improvement Program (ACS NSQIP for ninth time in 12 years). Alta Bates Summit is one of only 89 hospitals out of 719 participating NSQIP hospitals in the nation to achieve meritorious outcomes for surgical patient care. . For 10 consecutive years, Alta Bates Summit has earned the American Heart Association/American Stroke Association's (AHA/ASA) Get With The Guidelines Gold Plus Quality Achievement Award. In addition, Alta Bates Summit achieved the Target Stroke Elite Honor Roll Award for the quick treatment of stroke patients with the clot-breaking drug: tissue plasminogen activator, or tPA. . Healthgrades America's 100 Best Hospitals. ABSMC is among America's safest hospitals to receive care according to new research released by Healthgrades. The Patient Safety Excellence Award recognizes hospitals that have the lowest occurrences of 14 preventable patient safety events. - Recipient of the Healthgrades Patient Safety Excellence AwardT for 3 Years in a Row (2021-2023) - Named Among the Top 5% in the Nation for Patient Safety in 2023 . California Health and Human Services honors Alta Bates Summit as being among the lowest cesarean section (C-section) rates in the state and reducing C-sections for first-time moms with low-risk pregnancies. . Baby-Friendly Hospital Designation: Alta Bate Summit has achieved the Baby-Friendly Designation from Baby-Friendly USA, the independent organization that evaluates hospitals on how well they adhere to the evidence-based practices recommended by the World Health Organization (WHO) and the United Nations International Children's Emergency Fund (UNICEF) for optimal newborn feeding support. . Alta Bates Summit earns the Society of Thoracic Surgeons (STS) prestigious 3 Star rating. The 3 Star rating represents the highest award for heart surgery practices participating in STS national specialty database. . Healthcare Equality Index: Alta Bates Summit Medical Center recognized as a "Leader in LGBTQ Healthcare Equality" from the Human Rights Campaign Foundation. . Forbes Best Employer | Sutter Health was named one of the 100 best place to work in the state of California. . Forbes Best Employer | Sutter Health was named one of 22 healthcare systems on Forbes' 2020 list of America's Best Employers for Women. Sutter Delta Medical Center (SDMC) is located in Antioch, CA. SDMC is licensed for 141 acute care beds and is a designated STEMI receiving center. Specialty hospital services include diagnostic breast health, comprehensive wound care, heart failure, heart attack, and COPD disease management. The hospital is the recipient of many awards and designations including: . American College of Cardiology accreditation for the Cardiac Cath Lab . STEMI receiving center designation by the American Heart Association . Healthgrades Clinical Excellence award for coronary intervention . US News and World Reports High Performer designation for congestive heart failure, heart attack and COPD . American Heart Association Gold Plus designation for Get With The Guidelines Heart Failure management . California Hospital Compare Maternity Honor Roll designation . Blue Cross Blue Shield Association Blue Distinction Center for Maternity Care . Human Rights Campaign Leader in LGBTQ Healthcare Equality Sutter Bay Hospitals Clinical programs include: . Arthritis Support Services Program . Asthma Education Program . Asthma Management Resource Center . Breast Feeding Centers . Breast Feeding Support Program . Breast Health Centers . California Pacific Medical Center Research Institute . Cancer Recovery Programs . Care Transitions Nurse Program and ED Navigator Program . Coming Home Hospice . Community Benefits Programs (detailed below) . Community Event Donations and Sponsorships . Community Health Fairs and Education . Community Health Resource Center . Comprehensive Stroke Center . Diabetes Education Program . Diabetes Discharge Program (DDP) . Disable Community Health Clinic . End-Stage Organ Failure/Transplantation Programs (Heart, Kidney, Liver, Pancreas) . Every Woman Counts/Save a Life Sister . Forbes Norris MDA/ALDS Center . Hand Clinic . Hospitalist Program . Healthy Families, Medi Cal and County Enrollments . Hospital Quality Assurance CHFT Pledge . Infant Follow-Up Program . Institute for Health and Healing . Irene Swindells Alzheimer's Residential Care Center . Labor and Delivery Parent Education/Childbirth Education Program . La Clinical Pittsburg Clinic . Lions Eye Clinic . Low Vision Rehabilitation Center . Neonatal Transport . Muscular Dystrophy Association Neuromuscular Clinic . Pacific Vision Foundation . Palliative Care Program . Physical and Occupational Therapy Educational Program . Psychiatric Evaluation Reimbursement to On Call Physician . Rehabilitation Services (Acute and Outpatient) . Rehab Caregivers Support Group . Residency Training and Fellowship Programs . Sibling Center . Smith Kettlewell Eye Research Institute (They are independent of CPMC.) . Special Care Nursery Subsidized Service . Special Connections Program . Stroke Support Group Program . Sub-Acute Care Program . Support after Neonatal Death (SAND) . Telemedicine Service (Stroke) . Tele-Care Program . The Parent Share Support Program . Visiting Nurses and Hospice of San Francisco . Ventricular Assist Device (VAD) program . Whitney Newborn ICU Follow-Up Clinic . Women's Health Programs . Women's Health Resource Center FORM 990, PART III, LINE 4A (CONTINUED) Clinical service offerings include: . AIDS & HIV Services . Arthritis . Bariatric Surgery Services . Cancer Services . Cardiovascular Services . Chronic Disease Services . Clinical Laboratory . Complementary Medicine . Comprehensive Stroke Services . Critical Care Services . Diabetes Services (Adult & Pediatric) . Diagnostic Services/Laboratories . Dialysis Services . Emergency Services . Epilepsy . Gastroenterology Disease Services . Home Health & Hospice . Interventional Endoscopy Services . Kalmonovitz Child Development Centers . Medical Transport Services . Microsurgery and Limb Salvage Services . Neonatal Intensive Care . Neurology . Neuro-oncology Surgery . Nuclear Medicine . Nutrition and Weight Management . Obstetrics & Gynecology . Occupational Health . Older Adult Services . Oncology Services . Ophthalmology . Organ Transplantation . Orthopedics . Otolaryngology . Outpatient Clinics & Services . Pathology . Pediatric Emergency Department . Pediatric Specialty Services . Perioperative Services (OR and Post-Anesthesia Recovery Unit) . Pharmacy . Physical Medicine & Rehabilitation Services . Psychiatry . Radiology & Diagnostic Imaging . Rehabilitation Services . Respiratory Care . Surgical Services/Ambulatory Surgery . Urgent Care Center . Wound Care . Women and Infant Services . Women's Services Non-clinical services include: . ABSMC Nursing Education . Administrative Services . Care Transitions Nurse Program and ED Navigator Program . Chaplaincy Services . Charity Care Program . Community Health Resource Center . Continuing Medical Education . Health Ministry Program . Health Science Libraries . Interpreter Services . Interim Care Program for Homeless . MPI . Patient Assistance Fund . Patient Services . Research Institute . Surgical Training Center . Volunteer Services . Web Nursery . California Pacific Medical Center Foundation . Novato Community Hospital Development Office . Samuel Merritt College . Scholarships and Funding for Professional Education . Sutter Lakeside Foundation . Thunder Road . Transportation . Tuition Reimbursement . Youth Bridge Career Development Program Community Benefit The medical facilities in Sutter Bay Hospitals (SBH) play integral roles in providing direct health care services as well as monetary grants or sponsorships to non-profit organizations to address the community health needs of vulnerable, underinsured, and uninsured populations in their communities. The community benefit representatives of SBH work collaboratively and in partnerships with a broad and diverse network of community-based non-profits, city and county agencies, physicians, and neighborhood groups to identify local needs, formulate community benefit plans, and take appropriate funding actions. While SBH management sets overall goals for community benefits, each of the facilities medical center administrators are responsible for identifying how local needs are to be addressed. In fiscal year 2022, Sutter Bay Hospitals provided a regional total of $447 million in cost of services and benefits for the poor and underserved: $6,030,671 Community Health Improvement Services, $38,792,670 in Health Professionals Education, $27,048,235 Subsidized Health Services, $8,095,819 in Research, $18,676,209 in Financial and In-Kind Contributions, $44,044 in Community Building Activities and $1,602,280 in Community Benefit Operations, while providing $32,645,902 in Financial Assistance with Means-Tested Programs of $18,785,922 and Medicaid $294,869,103. FORM 990, PART VI, LINE 6 & 7A CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS: THIS CORPORATION IS AN AFFILIATE OF SUTTER HEALTH, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION. SUTTER HEALTH IS THE SOLE MEMBER WITH THE RIGHT TO ELECT AT LEAST A MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, LINE 7B CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS: SUTTER HEALTH AS THE SOLE MEMBER OF THE ORGANIZATION IS ENTITLED TO EXERCISE FULLY ALL RIGHTS AND PRIVILEGES OF MEMBERS OF NONPROFIT CORPORATIONS UNDER THE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION LAW, AND ALL OTHER APPLICABLE LAWS. THE MEMBER HAS THE RIGHTS AND POWERS TO APPOINT (AND REMOVE) MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS, SUBJECT TO THE PROVISIONS OF THE BYLAWS. IN ADDITION, THE MEMBER HAS THE RIGHT TO APPROVE THE FOLLOWING ACTIONS OF THE CORPORATION'S BOARD OF DIRECTORS: A. MERGER, CONSOLIDATION, REORGANIZATION, OR DISSOLUTION OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; B. AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; C. ADOPTION OF OPERATING BUDGETS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY, INCLUDING CONSOLIDATED OR COMBINED BUDGETS OF THE CORPORATION AND ALL SUBSIDIARY ORGANIZATIONS OF THE CORPORATION; D. ADOPTION OF CAPITAL BUDGETS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; E. AGGREGATE OPERATING OR CAPITAL EXPENDITURES ON AN ANNUAL BASIS THAT EXCEED APPROVED OPERATING OR CAPITAL BUDGETS BY A SPECIFIED DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE GENERAL MEMBER; F. LONG-TERM OR MATERIAL AGREEMENTS INCLUDING, BUT NOT LIMITED TO, BORROWINGS, EQUITY FINANCINGS, CAPITALIZED LEASES AND INSTALLMENT CONTRACTS; AND PURCHASE, SALE, LEASE, DISPOSITION, HYPOTHECATION, EXCHANGE, GIFT, PLEDGE, OR ENCUMBRANCE OF ANY ASSET, REAL OR PERSONAL, WITH A FAIR MARKET VALUE IN EXCESS OF A DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE DIRECTORS OF THE GENERAL MEMBER, WHICH SHALL NOT BE LESS THAN 10% OF THE TOTAL ANNUAL CAPITAL BUDGET OF THE CORPORATION; G. APPOINTMENT OF AN INDEPENDENT AUDITOR AND HIRING OF INDEPENDENT COUNSEL EXCEPT IN CONFLICT SITUATIONS BETWEEN THE GENERAL MEMBER AND THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; H. THE CREATION OR ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE ENTITY; I. CONTRACTING WITH AN UNRELATED THIRD PARTY FOR ALL OR SUBSTANTIALLY ALL OF THE MANAGEMENT OF THE ASSETS OR OPERATIONS OF THE CORPORATION ORANY SUBSIDIARY OR AFFILIATE ENTITY; J. APPROVAL OF MAJOR NEW PROGRAMS AND CLINICAL SERVICES OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY. THE GENERAL MEMBER SHALL FROM TIME TO TIME DEFINE THE TERM "MAJOR" IN THIS CONTEXT; K. APPROVAL OF STRATEGIC PLANS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; L. ADOPTION OF QUALITY ASSURANCE POLICIES NOT IN CONFORMITY WITH POLICIES ESTABLISHED BY THE GENERAL MEMBER; M. ANY TRANSACTION BETWEEN THE CORPORATION, A SUBSIDIARY OR AFFILIATE AND A DIRECTOR OF THE CORPORATION OR AN AFFILIATE OF SUCH DIRECTOR. IN ADDITION, THE GENERAL MEMBER SHALL HAVE THE AUTHORITY (BY A VOTE OF NOT LESS THAN TWO-THIRDS (2/3) OF ITS BOARD), TO DECLARE A MAJOR ACTIVITY REQUIRING APPROVAL. FORM 990, PART VI, LINE 11B PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW FORM 990: SUTTER HEALTH HAS A CENTRALIZED TAX DEPARTMENT RESPONSIBLE FOR THE PREPARATION OF THE FORM 990. ANNUALLY THE TAX DEPARTMENT PROVIDES TRAINING AND EDUCATION TO AFFILIATE PERSONNEL WHO ASSIST THE TAX DEPARTMENT IN COLLECTING AND REVIEWING DATA TO BE REPORTED ON THE FORM 990. THE PREPARATION MATERIAL IS REVIEWED BY VARIOUS DEPARTMENTS INCLUDING TAX, FINANCE, LEGAL, AND HUMAN RESOURCES. A NATIONAL ACCOUNTING FIRM PREPARES AND/OR REVIEWS THE RETURN. A COMPLETED RETURN IS THEN REVIEWED BY THE TAX DEPARTMENT, THE AFFILIATE, AND THE CFO BEFORE THE RETURN IS FILED. FORM 990, PART VI, LINE 12 PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST: EMPLOYEES ARE EDUCATED ON THE CONFLICT OF INTEREST POLICY AND THE NEED TO MAKE DISCLOSURE AS PART OF ANNUAL COMPLIANCE EDUCATION. IN ADDITION, ANNUALLY A DISCLOSURE STATEMENT IS COMPLETED BY ALL DIRECTORS, OFFICERS AND KEY EMPLOYEES. ON THIS STATEMENT THE INDIVIDUAL WILL LIST A WIDE RANGE OF INFORMATION WHICH INCLUDES BUSINESS RELATIONSHIPS, EMPLOYMENT RELATIONSHIPS, PROPERTY INTERESTS, AND THOSE OF RELATED PARTIES. IF THERE IS A POTENTIAL CONFLICT OF INTEREST RELATED TO A PARTICULAR TRANSACTION, THE INTERESTED INDIVIDUAL MUST DISCLOSE THE EXISTENCE AND NATURE OF THE RELATIONSHIP. THE BOARD CHAIR MAY APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE THE CONFLICT. THE BOARD MAY CONSULT WITH THE OFFICE OF THE GENERAL COUNSEL AS NECESSARY. UNTIL THE POTENTIAL CONFLICT IS RESOLVED, THE BOARD CHAIR (OR COMMITTEE CHAIR AS APPLICABLE) MAY REQUEST THE INDIVIDUAL TO NOT PARTICIPATE DURING RELATED PRESENTATIONS AND DISCUSSIONS. IN ALL CIRCUMSTANCES INVOLVING AN ACTUAL CONFLICT, THE INTERESTED INDIVIDUAL SHALL LEAVE THE ROOM PRIOR TO THE BOARD'S FINAL DISCUSSION AND VOTE. FORM 990, PART VI, LINES 15A & 15B THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ASSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE INDEPENDENT DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARMS LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF SUTTER'S EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATION'S OVERALL MISSION. TO ENSURE EXTERNAL COMPETITIVENESS, NATIONAL COMPENSATION DATA COMPARISONS ARE REVIEWED. COMPETITIVE ANALYSIS INCLUDES: (A) BASE SALARY, (B) TOTAL CASH (BASE SALARY + ANNUAL INCENTIVE), (C) TOTAL DIRECT CASH (BASE SALARY + ANNUAL INCENTIVE + LONG TERM INCENTIVE) AND (D) TOTAL REMUNERATION (BASE SALARY + ANNUAL INCENTIVE + BENEFITS AND LONG-TERM INCENTIVE). THIS ANALYSIS INCLUDES NATIONAL COMPARISONS FOR ORGANIZATIONS SIMILAR IN SIZE, SCOPE AND COMPLEXITY AS SUTTER HEALTH, ADJUSTED TO THE CALIFORNIA MARKET. THIS METHOD IS MOST APPROPRIATE SINCE IT IS A NATIONAL MARKETPLACE IN WHICH SUTTER COMPETES FOR EXECUTIVE TALENT. OFFICERS AND KEY EMPLOYEES OF THIS ORGANIZATION UNDERGO AN ANNUAL REVIEW BY THE COMPENSATION COMMITTEE OR A DELEGATED SUB-COMMITTEE. APPROVAL IS RECORDED IN THE MINUTES. THE 2022 EXECUTIVE COMPENSATION APPROVAL WAS COMPLETED IN FEBRUARY 2022. FORM 990, PART VI, LINE 19 AVAILABILITY OF GOVERNING DOCUMENTS, COI POLICY & FINANCIAL STATEMENTS: THE SUTTER HEALTH SYSTEM POSTS ITS CURRENT AND PAST AUDITED FINANCIAL STATEMENTS AT SUTTERHEALTH.ORG. OTHER DOCUMENTS ARE ALSO LOCATED AT THIS WEBSITE INCLUDING THE ANNUAL REPORT, MISSION STATEMENT, HISTORY, AND LINKS TO AFFILIATE WEBSITES. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME. FORM 990, PART VII, SECTION A THE FOLLOWING BOARD MEMBERS OF THE ORGANIZATION ARE FULL-TIME EMPLOYEES (40 HOURS PER WEEK) OF SUTTER HEALTH AND THEIR SUTTER HEALTH SALARIES ARE REPORTED HEREIN. THESE INDIVIDUALS RECEIVE NO COMPENSATION FOR THEIR SERVICE AS BOARD MEMBERS OF THIS ORGANIZATION: - JAMES CONFORTI - SARAH KREVANS - THERESA FREI - WARNER THOMAS - JILL KACHER COBB, MD INDIVIDUALS LISTED AS OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION THAT ARE PAID FULLTIME BY A RELATED ORGANIZATION ARE COMMON LAW EMPLOYEES OF SUTTER HEALTH, A SEPARATE LEGAL ENTITY. IT IS THE INTENTION OF SUTTER HEALTH AND THE FILING ORGANIZATION TO MAKE INFORMATION ACCESSIBLE AND TRANSPARENT, REPORTING THOSE SUTTER HEALTH EMPLOYEES WHO HAVE OFFICER AND KEY EMPLOYEE RESPONSIBILITIES TO THE FILING ORGANIZATION. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE: EQUITY TRANSFERS (NET) $ 221,898,271 K-1 ACTIVITY (27,384,122) PARTNERSHIP INCOME ON BOOKS 29,169,130 ANNUITY TRUE-UP 2,293,263 CHANGE IN SPLIT INTEREST (689,680) DONATED LONG LIVE ASSETS 1,089,000 --------------- TOTAL $226,375,862 =============== FORM 990 PART IX LINE 11G DESCRIPTION:CNTRCTD AIDES & ORDERLIES TOTAL FEES:5589777 FORM 990 PART IX LINE 11G DESCRIPTION:NON-PHYSICIAN MEDICAL TOTAL FEES:1339321 FORM 990 PART IX LINE 11G DESCRIPTION:NURSE REGISTRY TOTAL FEES:XXX-XX-XXXX FORM 990 PART IX LINE 11G DESCRIPTION:PROF. FEE PHYSICIANS TOTAL FEES:XXX-XX-XXXX FORM 990 PART IX LINE 11G DESCRIPTION:THERAPIST & OTHER MEDICAL TOTAL FEES:36033052 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PSA EXPENSE TOTAL FEES:3410 CATHEDRAL HEIGHTS LLC 633 Folsom St 7th Fl SAN FRANCISCO CA 94120 200511266 RENTAL PROP. 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