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        <ProgramServicesAmt>4919829</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>3468581</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>3248</ManagementAndGeneralAmt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>St. Rose is exempt from income taxes under Section 501c3 of the Internal Revenue Code IRC. Thus, no provision for income taxes is included in the accompanying consolidated financial statements. St. Rose follows the accounting guidance for accounting for uncertainty in income taxes. St. Rose is subject to federal and state income taxes to the extent it has unrelated business income. In accordance with the guidance for uncertainty in income taxes, management has evaluated its material tax positions and determined that there are no income tax effects with respect to its financial statements.</ExplanationTxt>
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        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility: - Part V, Section B, Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>Community input was provided by a broad range of community members via key informant 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 public health and other public agencies, community organizations, and members of medically underserved, lowincome, and racial/ethnic populations.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility: - Part V, Section B, Line 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>Hayward Sisters Hospital - St. Rose Hospital, John Muir Health, Sutter Heath, Stanford Health Care Valley Care, and UCSF Benioff Children's Hospitals.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility: - Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The data gathered for the CHNA report is to inform the hospital community about the health status of the county and city residents to identify gaps in services and to assist in developing programs and services that guide decision making in regards to the health needs of our community. St. Rose has been faithful in its mission of providing access to health care to our community. Many of the critical issues identified by the CHNA are issues that St. Rose Hospital is attempting to address. St. Rose has addressed three of the critical community health needs through targeted programs and community partnerships: Behavioral Health, Economic Stability, and Healthcare Access and Delivery. St Rose provides mental health services to ED patients and allocates resources to support FACES for the Future partnership with La Familia Counseling Services to provide psychological support to at-risk student interns and families. FACES builds job skills and support mental health to maximize participant readiness for careers and/or higher education. Although St. Rose put plans in place to conduct The FACES program, it was suspended in 2020, 2021 and 2022 due to COVID-19 pandemic safety regulations. St. Rose Youth and Senior Volunteer and Skills Development programs provide students and older adults opportunities to volunteer at St. Rose to build job skills and professional contacts SHINE program, Auxiliary Volunteers, other volunteer opportunities. In addition, volunteers receive a free meal during each shift. Although St. Rose put plans in place to conduct their volunteer programs, these were suspended in 2020, 2021 and 2022 due to COVID-19 pandemic safety regulations. Vaccinations are provided in kind space, staffing and security to Alameda County to deliver COVID -19 vaccines to community members to prevent COVID-19 hospitalizations, deaths and transmission. Invested a total of 648 hours and $37,560 in staff time over 2020 and 2021. St. Rose assisted underserved patients in determining if they qualify for health insurance or financial aid to ensure coverage. Approved 278 charity applications and facilitated 149 Medi Cal applications from October 1, 2020 to September 30, 2021.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility: - Part V, Section B, Line 13h</FormAndLineReferenceDesc>
        <ExplanationTxt>FPG is used ranging from 200-500</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used)</FormAndLineReferenceDesc>
        <ExplanationTxt>FPG is used ranging from 200-500</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 4 - Bad Debt Expense</FormAndLineReferenceDesc>
        <ExplanationTxt>St. Rose reports patient accounts receivable for services rendered at net realizable amounts from third-party payers, patients and others. St. Rose provides an allowance for doubtful accounts based upon a review of outstanding receivables, historical collection information and existing economic conditions. As a service to the patient, St. Rose bills third-party payors directly and bills the patient when the patient's liability is determined. Patient accounts receivable are due in full when billed. Accounts are considered delinquent and subsequently written off as bad debts based on individual credit evaluation and specific circumstances of the account.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 9b - Provisions On Collection Practices For Qualified Patients</FormAndLineReferenceDesc>
        <ExplanationTxt>Our written debt collection policy and practice are that once the charity care application has been received, the collection practice is stopped until the patient is approved and notified in writing.</ExplanationTxt>
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      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
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      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>Ferdinand Morales</PersonNm>
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        <PersonNm>Hubert Neri</PersonNm>
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        <PersonNm>Jesus Castaneda</PersonNm>
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        <PersonNm>Michael Sarrao</PersonNm>
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        <PersonNm>Rhuel V Dacles</PersonNm>
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        <PersonNm>Riti Patel Desai</PersonNm>
        <TitleTxt>RN II</TitleTxt>
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        <PersonNm>Rozanne O'Keefe</PersonNm>
        <TitleTxt>Director of Nursing</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>The CEO and CFO duties are carried out by employees of Alecto, an unrelated management company. Compensation is included in the management fee paid to Alecto.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Information is gathered by the accounting staff and reviewed by the Chief Financial Officer. The final Form 990 is presented to the voting members of the Board of Trustees prior to filing with the Internal Revenue Service.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The purpose of the Conflicts of Interest Policy is to protect the interests of St. Rose Hospital when it is contemplating entering into a transaction or arrangement that might benefit the private interest of an officer or trustee of the Hospital. The policy is established to assure compliance with the requirements of all applicable laws, rules and regulations that govern the tax exempt status of St. Rose Hospital. Interested Person: An interested person is any trustee, principal officer, or member of a committee with board-delegated powers, who has a direct or indirect financial interest. Disclosure Statement: During the appointment process and annually thereafter at the annual meeting of the organization, all interested persons shall complete a disclosure statement which affirms that such person: 1 Received a copy of the Conflict of Interest Policy. 2 Read, understands and agrees to comply with the policy. 3 Agrees to disclose transactions or arrangements which may constitute an actual or potential conflict of interest. If a conflict of interest has been declared, the interested person may make a presentation at the board or committee meeting, but after such presentation, he/she shall leave the meeting and not participate in the discussions of, or vote on, the transaction or arrangement that results in the conflict of interest.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Available upon request</ExplanationTxt>
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          <AddressLine1Txt>27200 CALAROGA AVENUE</AddressLine1Txt>
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        <PrimaryActivitiesTxt>Support Mission of Hospital</PrimaryActivitiesTxt>
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