2024-11-14T21:00:28-06:00 2023-12-31 ERNST & YOUNG US LLP 560 MISSION STREET SUITE 1600 SAN FRANCISCO CA 941052907 990 2023-01-01 941156621 SUTTER VALLEY HOSPITALS % KENNETH YOUNG SUTT 9162866665 C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 RAJU IYER CFO 9162866665 2024-11-05 true true EVA NITTA P01286320 4158948000 2024-11-04 2023 2024-10-15 13:58:12Z MARK SEVCO C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95816 4660408822 false X WWW.SUTTERHEALTH.ORG X 1935 CA SEE SCHEDULE O 15 12 14583 944 2101565 0 13800605 65659856 4206598321 4583626685 2020758 5633530 3865541 3191237 4226285225 4658111308 17203937 19291716 0 0 1805664143 2031419390 0 0 461366 2122595960 2171228080 3945464040 4221939186 280821185 436172122 2668806787 2811971916 1050779793 1064436039 1618026994 1747535877 X SEE SCHEDULE O false false 3834381222 19291716 4583626685 SEE SCHEDULE O 3834381222 true true false false false false false true false true true false false true true true false true false false false false false false true false true true true true true true false false false false false false false false false false false false false false false true true true false false true 1050 0 true 14583 true true true false false false false true true false false false false false false X 15 12 false false false false true true true true true false false true true true true true true true true true true CA X KENNETH YOUNG 9162866665 2300 RIVER PLAZA DRIVE Sacramento CA 95833 X WARNER THOMAS President & CEO Sutter Health 2.0 40.0 X 0 8705273 2791767 JAMES CONFORTI Former Interim President & CEO 0.0 0.0 X 0 6356149 0 THERESA FREI CEO SVMF/Pres, Asst Sec SVH 4.0 40.0 X X 0 2264775 138529 DAVID CHENEY CEO, Bay & Valley/Pres (PT-YR) 2.0 40.0 X 0 1564056 139880 DOMINIC NAKIS SH Interim CFO 2.0 40.0 X 0 1353843 0 ASIT GOKLI MD SH VP, Chief Clinical & Ops In 0.0 40.0 X 0 1243143 84235 RACHAEL MCKINNEY President, Sacramento Market 0.0 40.0 X 0 1127061 114875 TODD SMITH MD SVP, CHIEF PHYS EX/ASST SEC 4.0 40.0 X X 0 1112469 108041 SAMAREH RAD MGR, TRANSFER & REFERRAL(RN) 40.0 0.0 X 1139761 0 30878 MARK SEVCO SVP, COO/PRES 4.0 40.0 X X 0 1149783 17195 EUGENE PATRIZIO PRES, CENTRAL VALLEY MARKET 0.0 40.0 X 0 1045369 104842 PETER HULL MD CMO, Sacramento Market/Chair 4.0 40.0 X X 0 731027 58076 TIMOTHY NOAKES CFO Hospital SMCS (PT-YR) 2.0 40.0 X 0 641426 56291 TAMARA POWERS CEO, SRMC 0.0 40.0 X 0 522693 67958 MICHAEL D MARINO SH VP, HR Central Valley Mark 0.0 40.0 X 0 532676 56656 COLLEEN J KOSCKI SH VP, HR Sacramento Market 0.0 40.0 X 0 503684 54178 BENJAMIN KIRK SH VP, Legal ops, Valley/sec 2.0 40.0 X 0 394893 116296 DAVID CARETTO Medical Director 40.0 0.0 X 404482 0 101951 OLIVER AANDAHL Staff Nurse II 40.0 0.0 X 470627 0 12307 BRIAN ALEXANDER HOSPITAL AREA CEO, N. VALLEY 0.0 40.0 X 0 404754 71610 BRETT HOLLIDAY Supervisor, Transfer, Referral 40.0 4.0 X 425514 29516 18039 JOSE A AREVALO Chief Medical Executive 40.0 0.0 X 421259 0 32724 PAT BRADY Former CEO, SRMC 0.0 0.0 X 0 189239 0 RISHI MENON MD Director, Medical Affairs 40.0 2.0 X 29520 0 446 I-MEI HSIU MD Director/SH Board 2.0 9.0 X 0 27500 0 BENJAMIN DURAN Director 2.0 2.0 X 0 0 0 BRONWYN FIELDS RN Director 2.0 2.0 X 0 0 0 DAN FLORES Chair Finance & Planning 4.0 4.0 X X 0 0 0 DUKE LEFFLER Director 2.0 2.0 X 0 0 0 JERRY TOKUNAGA Director 2.0 2.0 X 0 0 0 KURT SHULER MD Director 2.0 3.0 X 0 0 0 LETICIA ROBLES Director 2.0 2.0 X 0 0 0 MARIA PALLAVICINI Director 2.0 2.0 X 0 0 0 MICHAEL YACOB Director 2.0 2.0 X 0 0 0 STEPHEN PETERS MD Director 2.0 2.0 X 0 0 0 TIMOTHY BYRD Director 2.0 2.0 X 0 0 0 VIVA ETTIN MD Director 2.0 2.0 X 0 0 0 2891163 29899329 4176774 7148 true true false CENTRAL ANESTHESIA SERVICE 3315 WATT AVE SACRAMENTO CA 958213600 ANESTHESIOLOGY SVCS 17028959 RUDOLPH AND SLETTEN INC 120 CONSTITUTION DR MENLO PARK CA 940251107 GENERAL CONTRACTOR 16441622 FASTAFF LLC 5700 SO QUEBEC ST SUITE 300 GREENWOOD VILLAGE CO 801112008 STAFFING SERVICES 15495775 DPR CONSTRUCTION A GENERAL 1450 VETERANS BLVD REDWOOD CITY CA 94063 CONSTRUCTION SVCS 14505920 PULMONARY MEDICINE ASSOC MED GRP IN 1300 ETHAN WAY SUITE 600 SACRAMENTO CA 958252296 PHYSICIAN SERVICES 13505554 380 500 105905 9650044 55009647 893760 65659856 PATIENT SERVICE REVENUE 621110 4572875320 4572875320 RENTAL TO AFFILIATES 531390 11142820 11142820 HEALTHCARE RELATED JV INCOME 523000 -391455 -391455 4583626685 5979745 5979745 0 0 2182078 1102242 1079836 0 1079836 1079836 800813 155317 991711 -155317 -190898 -346215 -346215 50350 105905 48244 2106 2106 7730 0 7730 7730 0 0 0 LABORATORY 621500 2101565 2101565 2101565 4658111308 4583626685 2101565 6723202 18374581 18374581 917135 917135 0 0 29966 29966 0 1389432981 1305802118 83436688 194175 39054110 36706675 2346272 1163 484270106 455065408 29087104 117594 118632227 111496314 7126788 9125 10187394 2552573 7634821 2854946 2854946 0 0 0 417413 417413 297853901 278708594 19145307 86138 86138 31581142 8736338 22843923 881 167978531 96934441 71044090 0 61312484 57963429 3349055 2021895 1781187 240013 695 0 1473756 1251609 222147 26891895 26891895 0 164695931 148049699 16646232 26367625 20700323 5667302 MEDICAL SUPPLIES 655945542 655943425 2117 SUTTER CHARGEBACKS AND ALLOCAT 233120422 140176529 92850475 93418 CAPITATED SERVICES 161152497 151232797 9897871 21829 HOSPITAL FEE 109900748 109900748 217385820 202340458 15024993 20369 4221939186 3834381222 387096598 461366 0 0 132227205 136136281 744170 498915 603973005 599040105 0 0 0 0 0 0 50719307 52107623 22503164 25085518 3450154736 1922790455 1503818499 1527364281 -1283042 1392482 0 0 2030683 5092585 0 0 354073796 465254126 2668806787 2811971916 365420471 385714278 0 0 0 0 644362112 635829369 0 0 0 0 4367567 4965276 0 0 36629643 37927116 1050779793 1064436039 X 1615940657 1745563869 2086337 1972008 1618026994 1747535877 2668806787 2811971916 X 436172122 2637192 -309300431 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 73038 48238930 187565 3726820 1105919 51047396 47680470 2380685 -1697747 124478 48238930 45543145 100059 3372871 1335605 47680470 41682775 138071 6591830 2869531 45543145 39417783 26144 3847038 1608190 41682775 0.71140 0.14430 0.14430 false true true 48768288 48768288 2487191560 1270356808 1216834752 35699495 25933298 9766197 746910092 577337275 169572817 131585301 49163074 82422227 1527364281 INTERCOMPANY RECEIVABLES 14694869 OTHER RECEIVABLES 406382664 OTHER ASSETS 44176593 465254126 0 INSURANCE LIABILITIES 13385310 THIRD-PARTY SETTLEMENTS 3197565 OTHER LIABILITIES 21344241 37927116 X SCHEDULE D, PART III, LINE 4 DESCRIPTION OF THE ORGANIZATION'S COLLECTIONS: THE ORGANIZATION HAS ARTWORK BEING DISPLAYED IN PUBLIC PLACES OF THE MEDICAL FACILITY FOR DECORATIVE PURPOSES. SCHEDULE D, PART V, LINE 4 INTENDED USE OF ENDOWMENT FUNDS: SUTTER MEDICAL CENTER SACRAMENTO'S ENDOWMENT EARNINGS ARE TO BE USED TO SUPPORT THE CHILD LIFE DEPARTMENT. ALL OTHER ENDOWMENTS ARE HELD BY RELATED FUNDRAISING ORGANIZATIONS FOR THE EXCLUSIVE PURPOSE OF VARIOUS PROGRAMS OF SUTTER VALLEY HOSPITALS. Dr. S. Kurra Endowment - Earnings used to support, recognize, reward or fund education for outstanding employees. All other endowments are held by related fundraising organizations for the exclusive purpose of various programs of Sutter Valley Hospitals. 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 2020 THROUGH 2022 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, 2023 AND 2022. MHLB GALA 156255 105905 50350 12573 21130 1495 13046 0 156255 105905 50350 12573 21130 1495 13046 48244 2106 true true X true X 400. true false true true 29222393 29222393 0.00690 912003233 788024579 123978654 0.02940 89290529 58217189 31073340 0.00740 1030516155 846241768 184274387 0.04370 33 2624311 2624311 0.00060 5 17356647 15313156 2043491 0.00050 10 4542266 521813 4020453 0.00100 6 3203318 2110420 1092898 0.00030 47 19809213 19809213 0.00470 101 47535755 17945389 29590366 0.00710 101 1078051910 864187157 213864753 0.05080 false 828547831 997634377 -169086546 X true true SUTTER AMADOR SURG MEDICAL SERVICES 0.3459 0.1784 ROSEVILLE ENDOSCOPY MEDICAL SERVICES 0.11 0.49 MEMORIAL MED BLDG OFFICE RENTAL 0.7912 0.2811 10 1 Sutter Medical Center Sacramento 2825 CAPITOL AVENUE SACRAMENTO CA 95816 WWW.SUTTERMEDICALCENTER.ORG #030000102 X X X B 2 MEMORIAL MEDICAL CENTER 1700 COFFEE ROAD MODESTO CA 95355 WWW.MEMORIALMEDICALCENTER.ORG #030000061 X X X 3 SUTTER ROSEVILLE MEDICAL CENTER ONE MEDICAL PLAZA ROSEVILLE CA 956613037 WWW.SUTTERROSEVILLE.ORG #030000083 X X X A 4 SUTTER SOLANO MEDICAL CENTER 300 HOSPITAL DRIVE VALLEJO CA 945892574 WWW.SUTTERSOLANO.ORG #110000082 X X X A 5 SUTTER TRACY COMMUNITY HOSPITAL 1420 N TRACY BLVD TRACY CA 95376 WWW.SUTTERTRACY.ORG #030000105 X X X 6 SUTTER CENTER FOR PSYCHIATRY 7700 FOLSOM STREET SACRAMENTO CA 958262608 www.suttermedicalcenter.org/psychiatry #030000347 X B 7 SUTTER AUBURN FAITH HOSPITAL 11815 EDUCATION STREET AUBURN CA 956022410 WWW.SUTTERAUBURNFAITH.ORG #030000012 X X X A 8 SUTTER AMADOR HOSPITAL 200 MISSION BLVD JACKSON CA 956422564 WWW.SUTTERAMADOR.ORG #030000008 X X X A 9 SUTTER DAVIS HOSPITAL 2000 SUTTER PLACE DAVIS CA 956166201 WWW.SUTTERDAVIS.ORG #030000124 X X X A 10 MEMORIAL HOSPITAL LOS BANOS 520 West I Street Los Banos CA 936353419 WWW.MEMORIALLOSBANOS.ORG #040000177 X X X A 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 Pt V, Section C X X X X X X X true X false X X X X true X false false B 16 false false true X X X X X X X X X 22 true true false 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 Pt V, Section C X X X X X X X true X false X X X X true X false false MEMORIAL MEDICAL CENTER 2 false false true X X X X X X X X X 22 true true false 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 Pt V, Section C X X X X X X X true X false X X X X true X false false SUTTER TRACY COMMUNITY HOSPITAL 5 false false true X X X X X X X X X 22 true false false 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 Pt V, Section C X X X X X X X true X false X X X X true X false false MEMORIAL HOSPITAL LOS BANOS 10 false false true X X X X X X X X X 22 true true false 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 Pt V, Section C X X X X X X X true X false X X X X true X false false REPORTING GROUP: A SCHEDULE H, PART V, SECTION B, LINE 3E The significant health needs are a prioritized description of the significant health needs of the community and identified through the CHNA. SCHEDULE H, Part V, SECTION B, Line 5 (GROUP A) SUTTER ROSEVILLE MEDICAL CENTER (A, 3): IN CONDUCTING ITS MOST RECENT CHNA, SUTTER ROSEVILLE MEDICAL CENTER, A FACILITY OF SUTTER VALLEY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA (HSA). INPUT FROM THE COMMUNITY SERVED BY SUTTER ROSEVILLE MEDICAL CENTER WAS COLLECTED THROUGH TWO MAIN MECHANISMS. FIRST, KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH COMMUNITY HEALTH EXPERTS AND AREA SERVICE PROVIDERS (I.E., MEMBERS OF SOCIAL-SERVICE NONPROFIT ORGANIZATIONS AND RELATED HEALTHCARE ORGANIZATIONS). THESE INTERVIEWS OCCURRED IN BOTH ONE-ON-ONE AND IN GROUP INTERVIEW SETTINGS. SECOND, FOCUS GROUPS WERE CONDUCTED WITH COMMUNITY RESIDENTS THAT WERE IDENTIFIED AS POPULATIONS EXPERIENCING DISPARITIES. The following community health experts, key informants, and Focus groups, contributed input to the CHNA: Chapa-De Indian Health, Homeless Resource Council of the Sierras; Gathering Inn Placer; Roseville Housing Authority, Latino Leadership Council, Lighthouse Counseling and Family Resource Center, Mercy Hospital of Folsom, Mercy San Juan Medical Center, Mutual Assistance Center, People Reaching Out, Placer County Office of Education, Placer County Public Health, Placer Food Bank, Placer People of Faith Together, Seniors First Placer, Slavic Assistance Center, Sutter Roseville Medical Center Staff, Wellspace Health, World Relief Sacramento, Health Education Council, Project Go, Inc., Lighthouse Counseling & Family Resource Center, Latino Leadership Council. ALL PARTICIPANTS WERE GIVEN AN INFORMED CONSENT FORM PRIOR TO THEIR PARTICIPATION, WHICH PROVIDED INFORMATION ABOUT THE PROJECT, ASKED FOR PERMISSION TO RECORD THE INTERVIEW, AND LISTED THE POTENTIAL BENEFITS AND RISKS FOR INVOLVEMENT IN THE INTERVIEW. ALL INTERVIEW DATA WERE COLLECTED THROUGH NOTE TAKING AND, IN SOME INSTANCES, RECORDING. PRIMARY DATA COLLECTION WITH KEY INFORMANTS INCLUDED TWO PHASES. FIRST, PHASE ONE BEGAN BY INTERVIEWING AREA-WIDE SERVICE PROVIDERS WITH KNOWLEDGE OF THE SERVICE AREA, INCLUDING INPUT FROM THE DESIGNATED PUBLIC HEALTH DEPARTMENT. DATA FROM THESE AREA-WIDE INFORMANTS, COUPLED WITH SOCIO-DEMOGRAPHIC DATA, WAS USED TO IDENTIFY ADDITIONAL KEY INFORMANTS FOR THE ASSESSMENT THAT WERE INCLUDED IN PHASE TWO. AS A PART OF THE INTERVIEW PROCESS, ALL KEY INFORMANTS WERE ASKED TO IDENTIFY VULNERABLE POPULATIONS. THE INTERVIEWER ASKED EACH PARTICIPANT TO VERBALLY EXPLAIN WHAT VULNERABLE POPULATIONS EXISTED IN THE COUNTY. AS NEEDED FOR A VISUAL AID, KEY INFORMANTS WERE PROVIDED A MAP OF THE HSA TO DIRECTLY POINT TO THE GEOGRAPHIC LOCATIONS OF THESE VULNERABLE COMMUNITIES. ADDITIONAL KEY INFORMANT INTERVIEWS WERE FOCUSED ON THE GEOGRAPHIC LOCATIONS AND/OR SUBGROUPS IDENTIFIED IN THE EARLIER PHASE. FOCUS GROUP INTERVIEWS WERE CONDUCTED WITH COMMUNITY MEMBERS LIVING IN GEOGRAPHIC AREAS OF THE SERVICE AREA IDENTIFIED AS LOCATIONS OR POPULATIONS EXPERIENCING A DISPARATE AMOUNT OF POOR SOCIOECONOMIC CONDITIONS AND POOR HEALTH OUTCOMES. RECRUITMENT CONSISTED OF REFERRALS FROM 40 DESIGNATED SERVICE PROVIDERS REPRESENTING VULNERABLE POPULATIONS, AS WELL AS DIRECT OUTREACH TO SPECIAL POPULATION GROUPS. SUTTER ROSEVILLE MEDICAL CENTER KEY INFORMANT INTERVIEWS WERE CONDUCTED BETWEEN August 20, 2021 and March 15, 2022. THE FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN SUTTER ROSEVILLE MEDICAL CENTER'S CHNA ARE AVAILABLE AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT SUTTER SOLANO MEDICAL CENTER (A, 4): IN CONDUCTING ITS MOST RECENT CHNA, SUTTER SOLANO MEDICAL CENTER, A FACILITY OF SUTTER VALLEY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA (HSA). INPUT FROM THE COMMUNITY SERVED BY SUTTER SOLANO MEDICAL CENTER WAS COLLECTED THROUGH TWO MAIN MECHANISMS. FIRST, KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH COMMUNITY HEALTH EXPERTS AND AREA SERVICE PROVIDERS (I.E., MEMBERS OF SOCIAL-SERVICE NONPROFIT ORGANIZATIONS AND RELATED HEALTHCARE ORGANIZATIONS). THESE INTERVIEWS OCCURRED IN BOTH ONE-ON-ONE AND IN GROUP INTERVIEW SETTINGS. SECOND, FOCUS GROUPS WERE CONDUCTED WITH COMMUNITY RESIDENTS THAT WERE IDENTIFIED AS POPULATIONS EXPERIENCING DISPARITIES. The following community health experts, key informants, and Focus Groups, contributed input to the CHNA: Solano County Health and Social Services, Touro University, Napa County Public Health, Community Clinic Consortium, On the Move, Napa COAD (Community Organizations Active in Disaster), Napa/Solano Area Agency on Aging, Partnership HealthPlan of CA, Solano Family Justice Center, Napa Valley Education Foundation, OLE Health, Sutter Solano Medical Center - ED Navigators, Puertas Abiertas Community Resource Center, Emmanuel Temple Apostolic Church, Fighting Back Partnership, NAMI. ALL PARTICIPANTS WERE GIVEN AN INFORMED CONSENT FORM PRIOR TO THEIR PARTICIPATION, WHICH PROVIDED INFORMATION ABOUT THE PROJECT, ASKED FOR PERMISSION TO RECORD THE INTERVIEW, AND LISTED THE POTENTIAL BENEFITS AND RISKS FOR INVOLVEMENT IN THE INTERVIEW. ALL INTERVIEW DATA WAS COLLECTED THROUGH NOTE TAKING AND, IN SOME INSTANCES, RECORDING. PRIMARY DATA COLLECTION WITH KEY INFORMANTS INCLUDED TWO PHASES. FIRST, PHASE ONE BEGAN BY INTERVIEWING AREA-WIDE SERVICE PROVIDERS WITH KNOWLEDGE OF THE SERVICE AREA, INCLUDING INPUT FROM THE DESIGNATED PUBLIC HEALTH DEPARTMENT. DATA FROM THESE AREA-WIDE INFORMANTS, COUPLED WITH SOCIO-DEMOGRAPHIC DATA, WERE USED TO IDENTIFY ADDITIONAL KEY INFORMANTS FOR THE ASSESSMENT THAT WERE INCLUDED IN PHASE TWO. AS A PART OF THE INTERVIEW PROCESS, ALL KEY INFORMANTS WERE ASKED TO IDENTIFY VULNERABLE POPULATIONS. THE INTERVIEWER ASKED EACH PARTICIPANT TO VERBALLY EXPLAIN WHAT VULNERABLE POPULATIONS EXISTED IN THE COUNTY. AS NEEDED FOR A VISUAL AID, KEY INFORMANTS WERE PROVIDED A MAP OF THE HSA TO DIRECTLY POINT TO THE GEOGRAPHIC LOCATIONS OF THESE VULNERABLE COMMUNITIES. ADDITIONAL KEY INFORMANT INTERVIEWS WERE FOCUSED ON THE GEOGRAPHIC LOCATIONS AND/OR SUBGROUPS IDENTIFIED IN THE EARLIER PHASE. FOCUS GROUP INTERVIEWS WERE CONDUCTED WITH COMMUNITY MEMBERS LIVING IN GEOGRAPHIC AREAS OF THE SERVICE AREA IDENTIFIED AS LOCATIONS OR POPULATIONS EXPERIENCING A DISPARATE AMOUNT OF POOR SOCIOECONOMIC CONDITIONS AND POOR HEALTH OUTCOMES. RECRUITMENT CONSISTED OF REFERRALS FROM DESIGNATED SERVICE PROVIDERS REPRESENTING VULNERABLE POPULATIONS, AS WELL AS DIRECT OUTREACH TO SPECIAL POPULATION GROUPS. SUTTER SOLANO MEDICAL CENTER KEY INFORMANT INTERVIEWS WERE CONDUCTED BETWEEN July 2, 2021 and september 10, 2021. THE FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN SUTTER SOLANO MEDICAL CENTER'S CHNA ARE AVAILABLE AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT SUTTER AUBURN FAITH HOSPITAL (A, 7): IN CONDUCTING ITS MOST RECENT SUTTER AUBURN FAITH HOSPITAL (SAFH), A FACILITY OF SUTTER VALLEY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA (HSA). The following community health experts, key informants, and focus groups, contributed input to the CHNA: Placer County Public Health, Placer People of Faith Together, Chapa-De Indian Health, Seniors First Placer, Homeless Resource Council of the Sierras, Gathering Inn Placer, Roseville Housing Authority, Auburn Renewal Center, Sutter Auburn Faith Hospital Staff, Lighthouse Counseling and Family Resource Center, Placer Food Bank, Wellspace Health, Placer County Office of Education, Lighthouse Counseling & Family Resource Center, Latino Leadership Council. INPUT FROM THE COMMUNITY SERVED BY SAFH WAS COLLECTED THROUGH TWO MAIN MECHANISMS. FIRST, KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH COMMUNITY HEALTH EXPERTS AND AREA SERVICE PROVIDERS (I.E., MEMBERS OF SOCIAL SERVICE NONPROFIT ORGANIZATIONS AND RELATED HEALTHCARE ORGANIZATIONS). THESE INTERVIEWS OCCURRED IN BOTH ONE-ON-ONE AND IN GROUP INTERVIEW SETTINGS. SECOND, FOCUS GROUPS WERE CONDUCTED WITH COMMUNITY RESIDENTS THAT WERE IDENTIFIED AS POPULATIONS EXPERIENCING DISPARITIES. ALL PARTICIPANTS WERE GIVEN AN INFORMED CONSENT FORM PRIOR TO THEIR PARTICIPATION, WHICH PROVIDED INFORMATION ABOUT THE PROJECT AND LISTED THE POTENTIAL BENEFITS AND RISKS FOR INVOLVEMENT IN THE INTERVIEW. ALL INTERVIEW DATA WERE COLLECTED THROUGH NOTE TAKING AND, IN SOME INSTANCES, RECORDING. PRIMARY DATA COLLECTION WITH KEY INFORMANTS INCLUDED TWO PHASES. FIRST, PHASE ONE BEGAN BY INTERVIEWING AREA-WIDE SERVICE PROVIDERS WITH KNOWLEDGE OF THE SERVICE AREA, INCLUDING INPUT FROM THE DESIGNATED PUBLIC HEALTH DEPARTMENT. DATA FROM THESE AREA-WIDE INFORMANTS, COUPLED WITH SOCIO-DEMOGRAPHIC DATA, WAS USED TO IDENTIFY ADDITIONAL SCHEDULE H, PART V, SECTION B, LINE 6A (GROUP A) community health insights was hired to conduct the community health needs assessments on behalf of the following organizations, all serving portions of or the same counties: - sutter roseville medical center - sutter solano medical center - sutter auburn faith hospital - sutter amador hospital - sutter davis hospital in partnership with woodland memorial hospital and yolo county health & human services community health branch Part V, Line 7a, 7b, 10a FILING ORG WEBSITES: - SUTTER ROSEVILLE MEDICAL CENTER (A, 3): http://www.sutterroseville.org/about/community-needs-assessment.html - SUTTER SOLANO MEDICAL CENTER (A, 4): http://www.suttersolano.org/about/community-needs-assessment.html - SUTTER AUBURN FAITH HOSPITAL (A, 7): http://www.sutterauburnfaith.org/about/community-needs-assessment.html - SUTTER AMADOR HOSPITAL (A, 8): http://www.sutteramador.org/about/community-needs-assessment.html - SUTTER DAVIS HOSPITAL (A, 9): http://www.sutterdavis.org/about/community-needs-assessment.html OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT SCHEDULE H, PART V, SECTION B, LINE 11 (GROUP A) SUTTER ROSEVILLE MEDICAL CENTER (A, 3): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER ROSEVILLE MEDICAL CENTER INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO BASIC NEEDS SUCH AS HOUSING, JOBS, AND FOOD 2. ACCESS TO MENTAL/BEHAVIOR/SUBSTANCE-ABUSE SERVICES 3. ACCESS TO QUALITY PRIMARY HEALTHCARE SERVICES 4. ACCESS AND FUNCTIONAL NEEDS 5. ACCESS TO SPECIALTY AND EXTENDED CARE 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 ROSEVILLE 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 PLANS TO ADDRESS ALL SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. 1. INCREASED COMMUNITY CONNECTIONS - GIVEN LIMITED TIME AND RESOURCES AND OUR FOCUS ON OTHER PRIORITY NEEDS, WE WILL NOT BE ADDRESSING INCREASED COMMUNITY CONNECTIONS DURING THIS IMPLEMENTATION CYCLE. 2. HEALTHY PHYSICAL ENVIRONMENT - GIVEN LIMITED TIME AND RESOURCES AND OUR FOCUS ON OTHER PRIORITY NEEDS, WE WILL NOT BE ADDRESSING HEALTHY PHYSICAL ENVIRONMENT DURING THIS IMPLEMENTATION CYCLE. 3. ACCESS TO DENTAL CARE AND PREVENTATIVE SERVICES - WE DO NOT CURRENTLY HAVE PLANS TO IMPLEMENT DENTAL PROGRAMS HOWEVER WE WILL BE SUPPORTING OTHER PARTNERSHIPS, ESPECIALLY THOSE FOR INDIVIDUALS EXPERIENCING HOMELESSNESS, WHERE THEY WILL OFFER REFERRALS TO DENTAL. 4. INJURY AND DISEASE PREVENTION AND MANAGEMENT: THERE WAS A PROGRAM IN PLACE TO ADDRESS THIS NEED IN 2022, BUT IT ENDED DURING THAT YEAR. 5. ACTIVE LIVING AND HEALTHY EATING: THERE WAS A PROGRAM IN PLACE TO ADDRESS THIS NEED IN 2022, BUT IT ENDED DURING THAT YEAR. SUTTER SOLANO MEDICAL CENTER (A, 4): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER SOLANO MEDICAL CENTER INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. Access to Basic Needs Such as Housing, Jobs, and Food 2. Access to Mental/Behavioral Health and Substance-Use Services 3. Injury and Disease Prevention and Management 4. Access to Quality Primary Care Health Services 5. Active Living and Healthy Eating 6. Safe and Violence-Free Environment 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 SOLANO 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: 1. Access to Functional Needs: While many of our programs already increase access to functional needs, SSMC is not specifically investing in programs aimed to do this work. 2. Access to Specialty and Extended Care: While many of our programs already increase access to specialty and extended care, SSMC is not specifically investing in programs aimed to do this work. 3. Increased Community Connections: While there are currently no increasing community connection SSMC community benefit programs in the SSMC HSA, we do fund programs/organizations and efforts that address this need through our sponsorship program. 4. Healthy Physical Environment: While this is an important issue, this is not something that we are able to greatly affect through community benefit; therefore, we are focusing our resources elsewhere, especially given that regional community partners and local jurisdictions are working on these vital issues. SUTTER AUBURN FAITH HOSPITAL (A, 7): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER AUBURN FAITH HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO BASIC NEEDS SUCH AS HOUSING, JOBS, AND FOOD 2. ACCESS TO MENTAL/BEHAVIORAL HEALTH AND SUBSTANCE USE SERVICES 3. ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES 4. ACCESS TO SPECIALTY AND EXTENDED CARE 5. HEALTHY PHYSICAL ENVIRONMENT 6. SAFE AND VIOLENCE-FREE ENVIRONMENT 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 AUBURN FAITH 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: 1. Access to Specialty and Extended Care - Our immediate focus is on partnering to provide primary care however we will be monitoring for ways to include specialty care in our partnerships with FQHCs in Auburn. 2. Healthy Physical Environment - Given limited time and resources and our focus on other priority needs, we will not be addressing healthy physical environment during this implementation cycle. 3. ACTIVE LIVING AND HEALTHY EATING - THERE WAS A PROGRAM IN PLACE TO ADDRESS THIS NEED IN 2022, BUT IT ENDED DURING THAT YEAR. SUTTER AMADOR HOSPITAL (A, 8): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT and ARE NEEDS THAT SUTTER AMADOR HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES 2. ACCESS TO MENTAL/BEHAVIORAL HEALTH AND SUBSTANCE USE SERVICES 3. ACCESS TO BASIC NEEDS SUCH AS HOUSING, JOBS, AND FOOD 4. ACCESS TO SPECIALTY AND EXTENDED CARE 5. ACCESS TO FUNCTIONAL NEEDS 6. INCREASED COMMUNITY CONNECTIONS 7. ACTIVE LIVING AND HEALTHY EATING 8. INJURY AND DISEASE PREVENTION AND MANAGEMENT DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. SUTTER AMADOR 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 PLANS TO ADDRESS ALL SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. SUTTER DAVIS HOSPITAL (A, 9): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER DAVIS HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO BASIC NEEDS SUCH AS HOUSING, JOBS, AND FOOD 2. ACCESS TO MENTAL/BEHAVIORAL HEALTH AND SUBSTANCE USE SERVICES 3. INJURY AND DISEASE PREVENTION AND MANAGEMENT 4. ACTIVE LIVING AND HEALTHY EATING 5. ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES 6. SYSTEM NAVIGATION 7. ACCESS TO SPECIALTY AND EXTENDED CARE 8. INCREASED COMMUNITY CONNECTIONS 9. SAFE AND VIOLENCE-FREE ENVIRONMENT 10. ACCESS TO FUNCTIONAL NEEDS 11. ACCESS TO DENTAL CARE AND PREVENTIVE SERVICES 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. SDH 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 implementation strategy plan includes specific plans to address all of the significant health needs that were identified in the 2022 Community Health Needs Assessment. SCHEDULE H, PART V, SECTION B, LINE 15E (GROUP A) 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, SECTION B, LINES 16A, 16B, & 16C (GROUP A): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER VALLEY HOSPITALS WEBSITE AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 16j (GROUP A) 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, SECTION B, LINE 22d (GROUP A) 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. 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 GROUP: B, SUTTER 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 (GROUP B) SUTTER MEDICAL CENTER SACRAMENTO INCLUDES THE FOLLOWING FACILITIES LISTED IN PART V SECTION A: SUTTER MED CENTER AND SUTTER CENTER FOR PSYCHIATRY. IN CONDUCTING ITS MOST RECENT CHNA, SUTTER MEDICAL CENTER SACRAMENTO, A FACILITY OF SUTTER VALLEY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA (HSA). The following community health experts, key informants, and focus groups, contributed input to the CHNA: Mercy General Hospital, La Familia, Methodist Hospital, Mercy Hospital of Folsom, Sutter Medical Center Sacramento, San Juan School Unified District, UC Davis Medical Center, Mercy San Juan Medical Center, Sacramento Native American Health Center, Sacramento Covered, El Dorado Community Health Center, People Reaching Out, Slavic Assistance Center, Elk Grove Food Bank (Pt. Pleasant Methodist Church), Asian Resource Center, Inc., Sacramento County Public Health, Planned Parenthood, WellSpace Health, Sacramento Food Bank & Family Services, Mutual Assistance Center, CA Endowment Building Healthy Communities, National Alliance on Mental Illness (NAMI), Sacramento Housing Alliance, Valley Vision, Latino Leadership Council, Yolo County Children's Alliance, Anti-Recidivism Coalition, Sacramento Steps Forward, World Relief Sacramento, WEAVE, Hope Cooperative, My Sister's House, Sac Breathe, Sierra Health Foundation, Sacramento LGBT Community Center, Sacramento Area School Districts, Lao Family Community Development Center, Sacramento ACT, Health Education Council, Ethnic Chambers of Commerce, Cal Voices, Public Housing Agency, Sacramento Covered, La Familia Counseling Center, Mutual Assistance Network, Folsom Cordova Partnership, WIND Youth Services, Cancer Support Group (El Dorado Co), Asian Resource Center, Inc., Elk Grove HART, Sacramento LGBT Community Center, Opening Doors, Sutter Medical Center, Sacramento, WellSpace ED Navigators. INPUT FROM THE COMMUNITY IN SACRAMENTO WAS COLLECTED THROUGH TWO MAIN MECHANISMS. FIRST, KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH COMMUNITY HEALTH EXPERTS AND AREA SERVICE PROVIDERS (I.E., MEMBERS OF SOCIAL-SERVICE NONPROFIT ORGANIZATIONS AND RELATED HEALTHCARE ORGANIZATIONS). THESE INTERVIEWS OCCURRED IN BOTH ONE-ON-ONE AND IN GROUP INTERVIEW SETTINGS. SECOND, FOCUS GROUPS WERE CONDUCTED WITH COMMUNITY RESIDENTS LIVING IN IDENTIFIED COMMUNITIES OF CONCERN OR REPRESENTING COMMUNITIES EXPERIENCING HEALTH DISPARITIES. ALL PARTICIPANTS WERE GIVEN AN INFORMED CONSENT FORM PRIOR TO THEIR PARTICIPATION, WHICH PROVIDED INFORMATION ABOUT THE PROJECT, ASKED FOR PERMISSION TO RECORD THE INTERVIEW, AND LISTED THE POTENTIAL BENEFITS AND RISKS OF INVOLVEMENT IN THE INTERVIEW. ALL INTERVIEW DATA WERE COLLECTED THROUGH NOTE-TAKING AND, IN SOME INSTANCES, RECORDING. PRIMARY DATA COLLECTION WITH KEY INFORMANTS INCLUDED TWO PHASES. PHASE ONE BEGAN BY INTERVIEWING AREA-WIDE SERVICE PROVIDERS WITH KNOWLEDGE OF THE SACRAMENTO REGION, INCLUDING INPUT FROM THE DESIGNATED PUBLIC HEALTH DEPARTMENT. DATA FROM THESE AREA-WIDE INFORMANTS, COUPLED WITH SOCIODEMOGRAPHIC DATA, WERE USED TO IDENTIFY ADDITIONAL KEY INFORMANTS FOR THE ASSESSMENT THAT WERE INCLUDED IN PHASE TWO. AS A PART OF THE INTERVIEW PROCESS, ALL KEY INFORMANTS WERE ASKED TO IDENTIFY VULNERABLE POPULATIONS. THE INTERVIEWER ASKED EACH PARTICIPANT TO VERBALLY EXPLAIN WHAT VULNERABLE POPULATIONS EXISTED IN THE COUNTY. AS NEEDED, FOR A VISUAL AID, KEY INFORMANTS WERE PROVIDED A MAP OF THE COUNTY TO DIRECTLY POINT TO THE GEOGRAPHIC LOCATIONS OF THESE VULNERABLE COMMUNITIES. FOCUS-GROUP INTERVIEWS WERE CONDUCTED WITH COMMUNITY MEMBERS LIVING IN GEOGRAPHIC AREAS OF THE SERVICE AREA IDENTIFIED AS LOCATIONS OR POPULATIONS EXPERIENCING A DISPARATE AMOUNT OF POOR SOCIOECONOMIC CONDITIONS AND POOR HEALTH OUTCOMES, OR COMMUNITIES OF CONCERN. RECRUITMENT CONSISTED OF REFERRALS FROM DESIGNATED SERVICE PROVIDERS REPRESENTING VULNERABLE POPULATIONS, AS WELL AS DIRECT OUTREACH TO SPECIAL POPULATION GROUPS. SUTTER MEDICAL CENTER SACRAMENTO AND SUTTER CENTER FOR PSYCHIATRY KEY INFORMANT INTERVIEWS WERE CONDUCTED BETWEEN MAY 17, 2021, AND August 25, 2021. THE FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN SUTTER MEDICAL CENTER'S CHNA ARE AVAILABLE AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT Part V, Line 6a (GROUP B) Community health insights conducted the community health needs assessment on behalf of A COLLECTION OF three NONPROFIT HOSPITALS, ALL SERVING PORTIONS OF OR THE SAME COMMUNITIES, INCLUDING SUTTER HEALTH affiliates, DIGNITY HEALTH affiliates, and UC DAVIS HEALTH. SCHEDULE H, PART V, SECTION B, LINE 7A, 7B, 10A (GROUP B): FILING ORG WEBSITES: - SUTTER MEDICAL CENTER SACRAMENTO http://www.suttermedicalcenter.org/about/community-needs-assessment.html OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT SCHEDULE H, PART V, SECTION B, LINE 11 SUTTER MEDICAL CENTER SACRAMENTO (GROUP B): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER MEDICAL CENTER, SACRAMENTO INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO MENTAL/BEHAVIOR HEALTH AND SUBSTANCE-USE SERVICES 2. ACCESS TO BASIC NEEDS SUCH AS HOUSING, JOBS, AND FOOD 3. ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES 4. SYSTEM NAVIGATION 5. HEALTH EQUITY: EQUAL ACCESS TO OPPORTUNITIES TO BE HEALTHY 6. ACTIVE LIVING AND HEALTHY EATING 7. ACCESS TO SPECIALTY AND EXTENDED CARE 8. HEALTHY PHYSICAL ENVIRONMENT 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 MEDICAL CENTER, SACRAMENTO 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 IMPLEMENTATION STRATEGY DOES NOT INCLUDE SPECIFIC PLANS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT: 1. INJURY AND DISEASE PREVENTION AND MANAGEMENT: WHILE MANY OF OUR PROGRAMS EXPAND ACCESS TO PRIMARY CARE, IN TURN, CONNECTING PATIENTS WITH DISEASE PREVENTION, MANAGEMENT AND TREATMENT RESOURCES, THIS IS NOT A PRIMARY FOCUS IN THE SMCS. 2. SAFE AND VIOLENCE-FREE ENVIRONMENT: SMCS PLANS TO IDENTIFY PARTNERSHIPS AND STRENGTHEN RELATIONSHIPS WITH ORGANIZATIONS SOON TO COLLABORATE ON INITIATIVES TO ADDRESS SAFE AND VIOLENCE FREE ENVIRONMENTS IN SACRAMENTO COUNTIES. 3. INCREASED COMMUNITY CONNECTIONS: WHILE MANY OF OUR PROGRAMS ALREADY INCREASE COMMUNITY CONNECTIONS, SMCS IS NOT SPECIFICALLY INVESTING IN PROGRAMS AIMED TO DO THIS WORK. 4. ACCESS TO FUNCTIONAL NEEDS (TRANSPORTATION AND PHYSICAL MOBILITY): WHILE MANY OF OUR PROGRAMS ALREADY PROVIDE TRANSPORTATION IN EXPANDING ACCESS TO PRIMARY CARE, SMCS IS NOT SPECIFICALLY INVESTING IN PROGRAMS AIMED TO DO THIS WORK. 5. ACCESS TO DENTAL AND PREVENTIVE SERVICES: WHILE MANY OF OUR PROGRAMS EXPAND ACCESS TO PRIMARY CARE, IN TURN, CONNECTING PATIENTS WITH PREVENTIVE SERVICES, IS NOT A PRIMARY FOCUS. SCHEDULE H, PART V, SECTION B, Line 15e (GROUP B) 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, SECTION B, LINES 16A, 16B, & 16C (GROUP B) THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER VALLEY HOSPITALS WEBSITE AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 16J (GROUP B) 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, SECTION B, LINE 22D (GROUP B) 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: #2, MEMORIAL MEDICAL CENTER SCHEDULE H, PART V, SECTION B, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, SECTION B, LINE 5 MEMORIAL MEDICAL CENTER (FACILITY 2): IN CONDUCTING ITS MOST RECENT CHNA, MEMORIAL MEDICAL CENTER (MMC) A FACILITY OF SUTTER VALLEY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. INPUT FROM THE COMMUNITY SERVED BY BOTH MEMORIAL MEDICAL CENTER AND STANISLAUS SURGICAL HOSPITAL WAS COLLECTED THROUGH TWO MAIN MECHANISMS. FIRST, KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH COMMUNITY HEALTH EXPERTS AND AREA SERVICE PROVIDERS (I.E., MEMBERS OF SOCIAL-SERVICE NONPROFIT ORGANIZATIONS AND RELATED HEALTHCARE ORGANIZATIONS). THESE INTERVIEWS OCCURRED IN BOTH ONE-ON-ONE AND IN GROUP INTERVIEW SETTINGS. SECOND, FOCUS GROUPS WERE CONDUCTED WITH COMMUNITY RESIDENTS THAT WERE IDENTIFIED AS POPULATIONS EXPERIENCING DISPARITIES. THE FOLLOWING COMMUNITY HEALTH EXPERTS, KEY INFORMANTS, AND FOCUS GROUPS, CONTRIBUTED INPUT TO THE CHNA: STANISLAUS COUNTY OFFICE OF EDUCATION, SUTTER MEDICAL FOUNDATION SOUTH VALLEY, MEMORIAL MEDICAL CENTER STAFF, GOLDEN VALLEY HEALTH CENTERS, VALLEY CHILDREN'S HEALTHCARE, FIRST 5 STANISLAUS COUNTY, STANISLAUS COUNTY PUBLIC HEALTH, WEST MODESTO COMMUNITY COLLABORATIVE, SIERRA VISTA CHILD & FAMILY SERVICES, CENTER FOR HUMAN SERVICES, SIERRA VISTA CHILD & FAMILY SERVICES, WEST MODESTO COMMUNITY COLLABORATIVE, GOLDEN VALLEY HEALTH CENTERS. ALL PARTICIPANTS WERE GIVEN AN INFORMED CONSENT FORM PRIOR TO THEIR PARTICIPATION, WHICH PROVIDED INFORMATION ABOUT THE PROJECT, ASKED FOR PERMISSION TO RECORD THE INTERVIEW, AND LISTED THE POTENTIAL BENEFITS AND RISKS FOR INVOLVEMENT IN THE INTERVIEW. ALL INTERVIEW DATA WERE COLLECTED THROUGH NOTE TAKING AND, IN SOME INSTANCES, RECORDING. PRIMARY DATA COLLECTION WITH KEY INFORMANTS INCLUDED TWO PHASES. FIRST, PHASE ONE BEGAN BY INTERVIEWING AREA-WIDE SERVICE PROVIDERS WITH KNOWLEDGE OF THE SERVICE AREA, INCLUDING INPUT FROM THE DESIGNATED PUBLIC HEALTH DEPARTMENT. DATA FROM THESE AREA-WIDE INFORMANTS, COUPLED WITH SOCIO-DEMOGRAPHIC DATA, WAS USED TO IDENTIFY ADDITIONAL KEY INFORMANTS FOR THE ASSESSMENT THAT WERE INCLUDED IN PHASE TWO. AS A PART OF THE INTERVIEW PROCESS, ALL KEY INFORMANTS WERE ASKED TO IDENTIFY VULNERABLE POPULATIONS. THE INTERVIEWER ASKED EACH PARTICIPANT TO VERBALLY EXPLAIN WHAT VULNERABLE POPULATIONS EXISTED IN THE COUNTY. AS NEEDED FOR A VISUAL AID, KEY INFORMANTS WERE PROVIDED A MAP OF THE HSA TO DIRECTLY POINT TO THE GEOGRAPHIC LOCATIONS OF THESE VULNERABLE COMMUNITIES. ADDITIONAL KEY INFORMANT INTERVIEWS WERE FOCUSED ON THE GEOGRAPHIC LOCATIONS AND/OR SUBGROUPS IDENTIFIED IN THE EARLIER PHASE. FOCUS GROUP INTERVIEWS WERE CONDUCTED WITH COMMUNITY MEMBERS LIVING IN GEOGRAPHIC AREAS OF THE SERVICE AREA IDENTIFIED AS LOCATIONS OR POPULATIONS EXPERIENCING A DISPARATE AMOUNT OF POOR SOCIOECONOMIC CONDITIONS AND POOR HEALTH OUTCOMES. RECRUITMENT CONSISTED OF REFERRALS FROM DESIGNATED SERVICE PROVIDERS REPRESENTING VULNERABLE POPULATIONS, AS WELL AS DIRECT OUTREACH TO SPECIAL POPULATION GROUPS. MEMORIAL MEDICAL CENTER KEY INFORMANT INTERVIEWS WERE CONDUCTED BETWEEN JANUARY 14, 2022, AND FEBRUARY 14, 2022. THE FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN MEMORIAL MEDICAL CENTER'S CHNA ARE AVAILABLE AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT SCHEDULE H, PART V, SECTION B, LINE 6 MEMORIAL MEDICAL CENTER (FACILITY 2): COMMUNITY HEALTH INSIGHTS CONDUCTED THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT ON BEHALF OF MEMORIAL MEDICAL CENTER OF MODESTO. SCHEDULE H, PART V, SECTION B, LINE 7A, 7B AND 10A MEMORIAL MEDICAL CENTER (FACILITY 2): HTTP://WWW.MEMORIALMEDICALCENTER.ORG/ABOUT/COMMUNITY-BENEFIT.HTML SCHEDULE H, PART V, SECTION B, LINE 11 MEMORIAL MEDICAL CENTER (FACILITY 2): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT MEMORIAL MEDICAL CENTER INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO BASIC NEEDS SUCH AS HOUSING, JOBS, AND FOOD 2. ACCESS TO MENTAL/BEHAVIORAL HEALTH AND SUBSTANCE USE SERVICES 3. ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES 4. INJURY AND DISEASE PREVENTION AND MANAGEMENT 5. ACTIVE LIVING AND HEALTHY EATING 6. SAFE AND VIOLENCE-FREE ENVIRONMENT DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL THE HEATH NEEDS IN THE COMMUNITY. MEMORIAL 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: 1. SYSTEM NAVIGATION: GIVEN LIMITED TIME AND RESOURCES AND OUR FOCUS ON OTHER PRIORITY NEEDS, WE WILL NOT BE ADDRESSING SYSTEM NAVIGATION DURING THIS IMPLEMENTATION CYCLE. 2. INCREASED COMMUNITY CONNECTIONS: THERE WAS A PROGRAM IN PLACE TO ADDRESS THIS NEED IN 2022, BUT IT ENDED DURING THAT YEAR. 3. ACCESS TO FUNCTIONAL NEEDS: THERE WAS A PROGRAM IN PLACE TO ADDRESS THIS NEED IN 2022, BUT IT ENDED DURING THAT YEAR. SCHEDULE H, PART V, SECTION B, LINE 15E MEMORIAL MEDICAL CENTER (FACILITY 2): 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, SECTION B, LINES 16A, 16B, & 16C MEMORIAL MEDICAL CENTER (FACILITY 2): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE MEMORIAL MEDICAL CENTER WEBSITE AT: HTTP://WWW.MEMORIALMEDICALCENTER.ORG/ABOUT/FINANCIAL-ASSISTANCE.HTML SCHEDULE H, PART V, SECTION B, LINE 16J MEMORIAL MEDICAL CENTER (FACILITY 2): 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, SECTION B, LINE 22D MEMORIAL MEDICAL CENTER (FACILITY 2): 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: #5, SUTTER TRACY COMMUNITY HOSPITAL SCHEDULE H, PART V, SECTION B, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, SECTION B, LINE 5 SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 5): IN CONDUCTING ITS MOST RECENT CHNA, SUTTER TRACY COMMUNITY HOSPITAL DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA (HSA). COMMUNITY INPUT WAS PROVIDED BY A BROAD RANGE OF COMMUNITY MEMBERS USING KEY INFORMANT INTERVIEWS, FOCUS GROUPS, AND SURVEYS. INDIVIDUALS WITH THE KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY WERE CONSULTED. THESE INDIVIDUALS INCLUDED REPRESENTATIVES FROM LOCAL GOVERNMENTAL AND PUBLIC HEALTH AGENCIES AS WELL AS LEADERS, REPRESENTATIVES, OR MEMBERS OF UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. ADDITIONALLY, WHERE APPLICABLE, OTHER INDIVIDUALS WITH EXPERTISE OF LOCAL HEALTH NEEDS WERE CONSULTED. AD LUCEM CONSULTING CONDUCTED KEY INFORMANT INTERVIEWS WITH ELEVEN INDIVIDUALS REPRESENTING DIVERSE SECTORS INCLUDING: PUBLIC HEALTH, HEALTH CARE, COMMUNITY-BASED ORGANIZATIONS, SOCIAL SERVICES, EDUCATION AND GOVERNMENT. THE KEY INFORMANTS WERE IDENTIFIED BY HEALTHIER SAN JOAQUIN COLLABORATIVE CORE TEAM MEMBERS. ALL INTERVIEWS WERE CONDUCTED BY TELEPHONE IN ENGLISH AND TOOK APPROXIMATELY 30-45 MINUTES TO COMPLETE. THE INTERVIEWS FOLLOWED A STANDARD SET OF INTERVIEW QUESTIONS AND THE INTERVIEWER TOOK DETAILED NOTES DURING THE CALL. AT THE BEGINNING OF THE INTERVIEW, CONFIDENTIALITY WAS ASSURED AND THE RESPONDENTS WERE INVITED TO SKIP QUESTIONS WHICH WERE NOT APPLICABLE TO THE RESPONDENT'S EXPERIENCE. THIRTY-ONE COMMUNITY RESIDENT FOCUS GROUPS WERE CONDUCTED IN GEOGRAPHIC AREAS WITHIN SAN JOAQUIN COUNTY, INCLUDING STOCKTON, LODI, TRACY AND MANTECA. NINETEEN GROUPS WERE CONDUCTED IN ENGLISH, TEN WERE CONDUCTED IN SPANISH, ONE WAS CONDUCTED IN TAGALOG AND ONE WAS CONDUCTED IN CAMBODIAN. PARTICIPANTS WERE TEENS, ADULTS, AND OLDER ADULTS, WHO REPRESENTED UNDERSERVED, LOW-INCOME, AND VARIED ETHNIC COMMUNITIES. SUTTER TRACY COMMUNITY HOSPITAL KEY INFORMANT INTERVIEWS WERE CONDUCTED BETWEEN OCTOBER 19, 2021, AND DECEMBER 14, 2021. THE FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN THE SUTTER TRACY COMMUNITY HOSPITAL'S CHNA ARE AVAILABLE AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT SCHEDULE H, PART V, SECTION B, LINE 6 SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 5): COMMUNITY HEALTH INSIGHTS, INC. CONDUCTED THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT FOR SUTTER TRACY COMMUNITY HOSPITAL. SCHEDULE H, PART V, SECTION B, LINES 7A, 7B AND 10A SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 5): HTTPS://WWW.SUTTERHEALTH.ORG/STCH/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT SCHEDULE H, PART V, SECTION B, LINE 11 SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 5): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER TRACY COMMUNITY HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO BASIC NEEDS SUCH AS HOUSING, JOBS, AND FOOD 2. ACCESS TO MENTAL/BEHAVIORAL HEALTH AND SUBSTANCE-USE SERVICES 3. ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES 4. INCREASED COMMUNITY CONNECTIONS 5. ACTIVE LIVING AND HEALTHY EATING 6. INJURY AND DISEASE PREVENTION AND MANAGEMENT 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 TRACY 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: 1. ACCESS TO DENTAL CARE AND PREVENTIVE SERVICES - WHILE WE DO NOT PLAN TO IMPLEMENT PROGRAMMING THAT DIRECTLY PROVIDES DENTAL SERVICES, WE ANTICIPATE SEVERAL PROGRAMS WE SUPPORT WILL OFFER REFERRALS TO DENTAL CARE FOR VULNERABLE POPULATIONS. 2. ACCESS TO FUNCTIONAL NEEDS - GIVEN LIMITED TIME AND RESOURCES AND OUR FOCUS ON OTHER PRIORITY NEEDS, WE WILL NOT BE ADDRESSING ACCESS TO FUNCTIONAL NEEDS DURING THIS IMPLEMENTATION CYCLE. 3. ACCESS TO SPECIALTY AND EXTENDED CARE - OUR IMMEDIATE FOCUS IS ON PARTNERING TO PROVIDE PRIMARY CARE HOWEVER WE WILL BE MONITORING FOR WAYS TO INCLUDE SPECIALTY CARE IN OUR PARTNERSHIPS WITH FQHCS IN TRACY. 4. HEALTHY PHYSICAL ENVIRONMENT - GIVEN LIMITED TIME AND RESOURCES AND OUR FOCUS ON OTHER PRIORITY NEEDS, WE WILL NOT BE ADDRESSING HEALTHY PHYSICAL ENVIRONMENT DURING THIS IMPLEMENTATION CYCLE. SCHEDULE H, PART V, SECTION B, LINE 15E SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 5): 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, SECTION B, LINES 16A, 16B, & 16C SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 5): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER TRACY COMMUNITY HOSPITAL WEBSITE AT: HTTP://WWW.SUTTERTRACY.ORG/ABOUT/FINANCIAL-ASSISTANCE.HTML SCHEDULE H, PART V, SECTION B, LINE 16J SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 5): 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, SECTION B, LINE 22D SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 5): 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: #10, MEMORIAL HOSPITAL LOS BANOS Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, SECTION B, LINE 5 MEMORIAL HOSPITAL LOS BANOS (FACILITY 10): IN CONDUCTING ITS MOST RECENT CHNA, MEMORIAL HOSPITAL LOS BANOS DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY ALSO WAS IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY THE STUDY SPONSORS; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 49 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY. THESE INCLUDED PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROVIDERS, SOCIAL SERVICES PROVIDERS AND OTHER COMMUNITY LEADERS. THROUGH THIS PROCESS, INPUT WAS GATHERED FROM SEVERAL INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW-INCOME, MINORITY, OR OTHER MEDICALLY UNDERSERVED POPULATIONS. IN THE ONLINE SURVEY, KEY INFORMANTS WERE ASKED TO RATE THE DEGREE TO WHICH VARIOUS HEALTH ISSUES ARE A PROBLEM IN THEIR OWN COMMUNITY. FOLLOW-UP QUESTIONS ASKED THEM TO DESCRIBE WHY THEY IDENTIFY PROBLEM AREAS AS SUCH AND HOW THESE MIGHT BETTER BE ADDRESSED. RESULTS OF THEIR RATINGS, AS WELL AS THEIR VERBATIM COMMENTS, ARE INCLUDED THROUGHOUT THIS REPORT AS THEY RELATE TO THE VARIOUS OTHER DATA PRESENTED. MEMORIAL HOSPITAL LOS BANOS KEY INFORMANT INTERVIEWS WERE CONDUCTED IN January 2022. THE FINDINGS FROM KEY INFORMANT SURVEY IN THE MEMORIAL HOSPITAL LOS BANOS'S CHNA ARE AVAILABLE AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT SCHEDULE H, PART V, SECTION B, LINE 6 MEMORIAL HOSPITAL LOS BANOS (FACILITY 10): COMMUNITY HEALTH INSIGHTS, INC. CONDUCTED THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT FOR MEMORIAL HOSPITAL LOS BANOS, MERCY MEDICAL CENTER MERCED AND VALLEY CHILDREN'S HOSPITAL SCHEDULE H, PART V, SECTION B, LINES 7A, 7B AND 10A MEMORIAL HOSPITAL LOS BANOS (FACILITY 10): HTTP://WWW.MEMORIALLOSBANOS.ORG/ABOUT/COMMUNITY-NEEDS-ASSESSMENT.HTML OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT SCHEDULE H, PART V, SECTION B, LINE 11 MEMORIAL HOSPITAL LOS BANOS (FACILITY 10): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT ARE NEEDS THAT MEMORIAL HOSPITAL LOS BANOS INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO BASIC NEEDS SUCH AS HOUSING, JOBS, AND FOOD 2. ACCESS TO MENTAL/BEHAVIORAL HEALTH AND SUBSTANCE-USE SERVICES 3. ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES 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. MEMORIAL HOSPITAL LOS BANOS 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: 1. ACCESS TO SPECIALTY AND EXTENDED CARE - OUR IMMEDIATE FOCUS IS ON PARTNERING TO PROVIDE PRIMARY CARE HOWEVER WE WILL BE MONITORING FOR WAYS TO INCLUDE SPECIALTY CARE IN OUR PARTNERSHIPS WITH FQHCS IN LOS BANOS. 2. INJURY AND DISEASE PREVENTION AND MANAGEMENT- WE UNDERSTAND DIABETES IS ESPECIALLY PREVALENT IN THIS COMMUNITY AND WHILE WE DO NOT CURRENTLY HAVE ANY PROGRAMS PLANNED, WE ARE OPEN TO EXPLORING OPPORTUNITIES AROUND THIS NEED. 3. ACCESS TO FUNCTIONAL NEEDS - GIVEN LIMITED TIME AND RESOURCES AND OUR FOCUS ON OTHER PRIORITY NEEDS, WE WILL NOT BE ADDRESSING ACCESS TO FUNCTIONAL NEEDS DURING THIS IMPLEMENTATION CYCLE. 4. INCREASED COMMUNITY CONNECTIONS - GIVEN LIMITED TIME AND RESOURCES AND OUR FOCUS ON OTHER PRIORITY NEEDS, WE WILL NOT BE ADDRESSING INCREASED COMMUNITY CONNECTIONS DURING THIS IMPLEMENTATION CYCLE. 5. SAFE AND VIOLENCE-FREE ENVIRONMENT - OUR IMPLEMENTATION PLAN WILL NOT SPECIFICALLY ADDRESS VIOLENCE; HOWEVER, OUR GOAL IS TO DECREASE THE LIKELIHOOD OF VIOLENCE THROUGH INVESTMENTS IN YOUTH PROGRAMS THAT WILL KEEP KIDS SAFE AND IN A POSITIVE ENVIRONMENT. 6. SYSTEM NAVIGATION - GIVEN LIMITED TIME AND RESOURCES AND OUR FOCUS ON OTHER PRIORITY NEEDS, WE WILL NOT BE ADDRESSING SYSTEM NAVIGATION DURING THIS IMPLEMENTATION CYCLE. 7. ACCESS TO DENTAL CARE AND PREVENTIVE SERVICES - WE DO NOT CURRENTLY HAVE PLANS TO IMPLEMENT DENTAL PROGRAMS HOWEVER WE WILL BE SUPPORTING OTHER PARTNERSHIPS, ESPECIALLY THOSE FOR INDIVIDUALS EXPERIENCING HOMELESSNESS, WHERE THEY WILL OFFER REFERRALS TO DENTAL. 8. HEALTHY PHYSICAL ENVIRONMENT - GIVEN LIMITED TIME AND RESOURCES AND OUR FOCUS ON OTHER PRIORITY NEEDS, WE WILL NOT BE ADDRESSING HEALTHY PHYSICAL ENVIRONMENT DURING THIS IMPLEMENTATION CYCLE. 9. ACTIVE LIVING AND HEALTHY EATING - THERE WAS A PROGRAM IN PLACE TO ADDRESS THIS NEED IN 2022, BUT IT ENDED DURING THAT YEAR. SCHEDULE H, PART V, SECTION B, LINE 15E MEMORIAL HOSPITAL LOS BANOS (FACILITY 10): 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, SECTION B, LINES 16A, 16B, & 16C MEMORIAL HOSPITAL LOS BANOS (FACILITY 10): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE MEMORIAL HOSPITAL LOS BANOS WEBSITE AT: HTTP://WWW.MEMORIALLOSBANOS.ORG/ABOUT/FINANCIAL-ASSISTANCE.HTML SCHEDULE H, PART V, SECTION B, LINE 16J MEMORIAL HOSPITAL LOS BANOS (FACILITY 10): 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, SECTION B, LINE 22D MEMORIAL HOSPITAL LOS BANOS (FACILITY 10): 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. 22 Memorial Medical Ctr Same Day Surg ctr 1329 Spanos Court Modesto CA 95355 OUTPATIENT SERVICES AMBULATORY SURGERY CENTER 2725 CAPITOL AVENUE SACRAMENTO CA 95819 OUTPATIENT SERVICES Sutter Cancer Center 2800 L STREET SACRAMENTO CA 95816 OUTPATIENT SERVICES SUTTER AUBURN INFUSION THERAPY CENTER 11710 EDUCATION STREET AUBURN CA 95602 OUTPATIENT SERVICES WOUND CAREOSTOMY DEPARTMENT 11775 EDUCATION STREET AUBURN CA 95602 OUTPATIENT SERVICES URGENT CARE 11795 Education Street AUBURN CA 95602 OUTPATIENT SERVICES INFUSION SERVICES 2020 SUTTER PLACE DAVIS CA 95616 OUTPATIENT SERVICES CARDIAC REHABILITATION 2030 SUTTER PLACE DAVIS CA 95616 OUTPATIENT SERVICES Sutter Medical Plaza Jackson 100 MISSION BLVD JACKSON CA 95642 OUTPATIENT SERVICES SUTTER SLEEP DISORDERS CENTER 1411 SECRET RAVINE PARKWAY STE 150 ROSEVILLE CA 95661 OUTPATIENT SERVICES Sutter Pediatric Rehabilitation Svcs 1625 STOCKTON BLVD SACRAMENTO CA 95819 OUTPATIENT SERVICES SUTTER CENTER FOR PSYCHIATRY 7919 FOLSOM BLVD STE 100 SACRAMENTO CA 95826 OUTPATIENT SERVICES SUTTER CANCER CENTER 100 HOSPITAL DRIVE VALLEJO CA 94589 OUTPATIENT SERVICES ROSEVILLE ENDOSCOPY CENTER 4 MEDICAL PLAZA ROSEVILLE CA 95661 OUTPATIENT SERVICES SUTTER AMADOR SURGERY CENTER 223 CLINTON RD JACKSON CA 95642 OUTPATIENT SERVICES SUTTER PIONEER HEALTH CENTER 24685 HIGHWAY 88 PIONEER CA 95666 OUTPATIENT SERVICES SUTTER REHABILITATION INSTITUTE 6 MEDICAL PLAZA ROSEVILLE CA 95661 OUTPATIENT SERVICES SUTTER PLYMOUTH HEALTH CENTER 9279 LOCUST STREET PLYMOUTH CA 95669 OUTPATIENT SERVICES MHLB RURAL HEALTH CLINIC 1253 WEST I STREET LOS BANOS CA 93635 RURAL HEALTH CLINIC Memorial Med Ctr Same Day Surgery Ctr 1401 SPANOS COURT MODESTO CA 95355 Outpatient Services & Lab SUTTER TRACY HOSPITAL IMAGING CENTER 1530 BESSIE AVENUE SUITE 109 TRACY CA 95376 OUTPATIENT SERVICES SUTTER SENIORCARE PACE 444 NORTH 3RD STREET SUITE 150 SACRAMENTO CA 95814 ALL-INCLUSIVE CARE FOR THE ELDERLY SCHEDULE H, PART I, LINES 3A, 3B & 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. SCHEDULE H, PART I, LINE 3B SUTTER VALLEY HOSPITALS IS COMMITTED TO PROVIDING CHARITY CARE. SUTTER VALLEY HOSPITALS PROVIDES FREE CARE AT A HIGH PERCENTAGE OF FPG. IT DOES NOT PROVIDE DISCOUNTED CARE. SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED: COST TO CHARGE RATIO UTILIZING WORKSHEET 2 METHODOLOGY. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES: SUTTER VALLEY HOSPITALS DID NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES TO REPORT IN 2023. 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. 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, AS 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. SCHEDULE H, PART III, SECTION A, LINE 4 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. SCHEDULE H, PART III, SECTION B, LINE 7 MEDICARE COSTS: MEDICARE COST REPORTS THAT THE ORGANIZATION FILES DO NOT INCLUDE ALL OF THE COSTS REQUIRED TO TREAT MEDICARE PATIENTS. SCHEDULE H, PART III, SECTION B, 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. SCHEDULE H, PART III, SECTION B, 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. SCHEDULE H, PART VI, LINE 2 SUTTER MEDICAL CENTER SACRAMENTO: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2022 - 2024 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. MEMORIAL MEDICAL CENTER: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2022 - 2024 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER ROSEVILLE MEDICAL CENTER: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2022 - 2024 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER SOLANO MEDICAL CENTER: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2022 - 2024 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER TRACY COMMUNITY HOSPITAL: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2022 - 2024 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER AUBURN FAITH HOSPITAL: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2022 - 2024 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER AMADOR HOSPITAL: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2022 - 2024 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER DAVIS HOSPITAL: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2022 - 2024 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. MEMORIAL HOSPITAL LOS BANOS: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2022 - 2024 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SCHEDULE H, 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. 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, AS 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. SCHEDULE H, PART VI, LINE 4 SUTTER MEDICAL CENTER SACRAMENTO (SMCS): THE HOSPITAL SERVICE AREA (HSA) IS DEFINED AS THE GEOGRAPHIC AREA (BY ZIP CODE) IN WHICH SUTTER MEDICAL CENTER AND SUTTER CENTER FOR PSYCHIATRY RECEIVES ITS TOP 80% OF DISCHARGES. THERE ARE FOUR HOSPITALS THAT SERVE THE COMMUNITY. SACRAMENTO COUNTY HAS OVER 30 CITIES, CENSUS-DESIGNATED PLACES, AND UNINCORPORATED COMMUNITIES THAT INCLUDE NEIGHBORHOODS WITH RICH HERITAGES SUCH AS OAK PARK, KNOWN AS SACRAMENTO'S FIRST SUBURB, TO NEWER COMMUNITIES SUCH AS THE CITY OF RANCHO CORDOVA, INCORPORATED IN 2003. SACRAMENTO COUNTY RANKS AS CALIFORNIA'S 31ST-MOST OVERALL HEALTHY COUNTY AMONG THE 58 IN THE STATE. THE AREA IS SERVED BY A NUMBER OF HEALTHCARE ORGANIZATIONS, INCLUDING THOSE THAT COLLABORATED IN THIS ASSESSMENT. IN THIS CHNA, TWO ADDITIONAL ZIP CODES FROM EL DORADO COUNTY, A NEIGHBORING COUNTY EAST OF SACRAMENTO, WERE INCLUDED TO CAPTURE THE PORTION OF THE COMMUNITY SERVED BY MERCY HOSPITAL OF FOLSOM, LOCATED NEAR THE BORDER OF THESE TWO COUNTIES. WITH SOME EXCEPTIONS, FINDINGS DESCRIBED IN THIS REPORT ARE ORGANIZED BOTH AT THE COUNTY LEVEL AND, AS DETAILED LATER IN THIS REPORT, BY DESIGNATED REGIONS WITHIN THE COUNTY. THE DEFINITION OF THE COMMUNITY SERVED INCLUDED MOST PORTIONS OF SACRAMENTO COUNTY, AND A SMALL PORTION OF WESTERN EL DORADO COUNTY, CALIFORNIA. REGARDED AS A HIGHLY DIVERSE COMMUNITY, SACRAMENTO COUNTY COVERS 994 SQUARE MILES AND IS HOME TO APPROXIMATELY 1.5 MILLION RESIDENTS. THE CHNA USES THIS DEFINITION OF THE COMMUNITY SERVED, AS THIS IS THE PRIMARY GEOGRAPHIC AREA SERVED BY THE SEVEN NONPROFIT HOSPITALS THAT COLLABORATED ON THIS CHNA. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE 2022 SUTTER MEDICAL CENTER CHNA AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT MEMORIAL MEDICAL CENTER: THE DEFINITION OF THE COMMUNITY SERVED WAS STANISLAUS COUNTY. THIS IS THE DESIGNATED SERVICE AREA BECAUSE THE MAJORITY OF PATIENTS SERVED BY MEMORIAL MEDICAL CENTER RESIDED IN THIS AREA. THERE ARE THREE HOSPITALS THAT SERVE THE COMMUNITY. LOCATED IN CALIFORNIA'S CENTRAL VALLEY, THE COUNTY COVERS APPROXIMATELY 1,500 SQUARE MILES AND IS HOME TO OVER 530,000 RESIDENTS. IT IS THE 16TH MOST POPULOUS AMONG CALIFORNIA'S 58 COUNTIES. THERE ARE NINE INCORPORATED CITIES IN THE COUNTY INCLUDING CERES, HUGHSON, MODESTO, NEWMAN, OAKDALE, PATTERSON, RIVERBANK, TURLOCK, AND WATERFORD. OF THESE, MODESTO, THE COUNTY SEAT, IS THE MOST POPULOUS ACCOUNTING FOR APPROXIMATELY 40% OF THE COUNTY'S POPULATION; TURLOCK IS THE SECOND, FOLLOWED BY CERES. THE TWO LARGEST RACE/ETHNIC GROUPS IN THE COUNTY ARE THOSE OF HISPANIC OR LATINO ORIGIN (44.8%), FOLLOWED BY CAUCASIANS (43.5%). AGRICULTURE PLAYS A SIGNIFICANT ROLE IN THE COUNTY; THUS THE COUNTY'S LARGEST EMPLOYERS ARE IN THE AGRICULTURE AND FOOD RELATED INDUSTRIES. THE ROBERT WOOD JOHNSON'S COUNTY HEALTH RANKINGS RANKED STANISLAUS COUNTY THE 41ST MOST HEALTHY AMONG CALIFORNIA'S 58 COUNTIES. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA, WITH SOURCES, IS AVAILABLE IN THE MEMORIAL MEDICAL CENTER'S 2022 CHNA AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT SUTTER ROSEVILLE MEDICAL CENTER: THE DEFINITION OF THE COMMUNITY SERVED WAS THE PRIMARY SERVICE AREA OF SRMC. THE SERVICE AREA WAS DEFINED BY 21 ZIP CODES IN SOUTHERN PLACER AND NORTHERN SACRAMENTO COUNTIES. THIS SERVICE AREA WAS DESIGNATED BECAUSE THE MAJORITY OF PATIENTS SERVED BY SRMC RESIDED IN THESE ZIP CODES. COLLECTIVELY, OVER 700,000 RESIDENTS LIVE IN THE SERVICE AREA. THERE ARE FOUR HOSPITALS THAT SERVE THE COMMUNITY. THOUGH LOCATED IN PLACER COUNTY, THE HOSPITAL SERVES A DIVERSE POPULATION ACROSS BOTH PLACER AND SACRAMENTO COUNTIES. SITUATED IN ROSEVILLE ALONG THE I-80 CORRIDOR THAT RUNS FROM THE SAN FRANCISCO BAY AREA TO RENO, NEVADA AND BEYOND, SRMC SITS NEAR THE BORDER OF THESE TWO COUNTIES. IN PLACER COUNTY THERE WERE 11 ZIP CODES INCLUDED IN THE SERVICE AREA AND INCLUDED COMMUNITIES SUCH AS GRANITE BAY, LINCOLN, LOOMIS, PENRYN, ROCKLIN, ROSEVILLE, AND SHERIDAN. THE TOTAL POPULATION OF THESE ZIP CODES IS 287,586. IN SACRAMENTO COUNTY THERE WERE 10 ZIP CODES INCLUDED IN THE ASSESSMENT, AND THESE ENCOMPASSED COMMUNITIES SUCH AS ANTELOPE, CARMICHAEL, CITRUS HEIGHTS, FOLSOM, NORTH HIGHLANDS, AND ORANGEVALE. THE TOTAL POPULATION OF THESE ZIP CODES IS 415,837. COLLECTIVELY, THE SRMC SERVICE AREA IS HOME TO JUST OVER 700,000 RESIDENTS. THE ROBERT WOOD JOHNSON'S COUNTY HEALTH RANKINGS RANKED PLACER THE FOURTH HEALTHIEST COUNTY AMONG CALIFORNIA'S 58, WHILE SACRAMENTO WAS RANKED 31ST. THOUGH NEIGHBORING COUNTIES, PLACER AND SACRAMENTO HAVE DIFFERENCES IN THE CHARACTERISTICS OF THEIR POPULATIONS. FOR EXAMPLE, THE MEDIAN INCOME FOR PLACER COUNTY WAS $76,926 COMPARED TO SACRAMENTO COUNTY AT $57,509. THE CHARACTERISTICS FOR EACH ZIP CODE IN THE SERVICE AREA ARE PRESENTED IN TABLE 1 OF THE CHNA. THESE ARE COMPARED TO THE STATE AND COUNTY CHARACTERISTICS FOR DESCRIPTIVE PURPOSES. ANY ZIP CODE WITH RATES THAT VARIED NEGATIVELY OR PERFORMED POORLY WHEN COMPARED TO THE STATE OR COUNTY BENCHMARK WERE HIGHLIGHTED. EACH ZIP CODE IS COMPARED TO THE RATES OF THE COUNTY IN WHICH IT RESIDES. COMMUNITIES OF CONCERN ARE GEOGRAPHIC AREAS WITHIN THE SERVICE AREA THAT HAVE THE GREATEST CONCENTRATION OF POOR HEALTH OUTCOMES AND ARE HOME TO MORE MEDICALLY UNDERSERVED, LOW INCOME, AND DIVERSE POPULATIONS AT GREATER RISK FOR POORER HEALTH. COMMUNITIES OF CONCERN ARE IMPORTANT TO THE OVERALL CHNA METHODOLOGY BECAUSE, AFTER THE SERVICE AREA IS ASSESSED MORE BROADLY, THEY ALLOW FOR A FOCUS ON THOSE PORTIONS OF THE REGION LIKELY EXPERIENCING THE GREATEST HEALTH DISPARITIES. GEOGRAPHIC COMMUNITIES OF CONCERN WERE IDENTIFIED USING A COMBINATION OF PRIMARY AND SECONDARY DATA SOURCES. ANALYSIS OF BOTH PRIMARY AND SECONDARY DATA REVEALED SEVEN ZIP CODES THAT MET THE CRITERIA TO BE CLASSIFIED AS A COMMUNITY OF CONCERN. THESE ARE NOTED IN ZIP CODE ORDER IN TABLE 2 OF THE CHNA, WITH THE CENSUS POPULATION PROVIDED FOR EACH, AND ARE DISPLAYED IN FIGURE 5 OF THE CHNA. THE TOTAL POPULATION OF COMMUNITIES OF CONCERN WAS 415,837 WHICH WAS 59.1% OF THE TOTAL POPULATION SERVED. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE SUTTER ROSEVILLE MEDICAL CENTER CHNA AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT SUTTER SOLANO MEDICAL CENTER: THE DEFINITION OF THE COMMUNITY SERVED INCLUDED THE PRIMARY SERVICE AREA OF THE HOSPITAL, THE CITY OF VALLEJO, CALIFORNIA, AND SURROUNDING COMMUNITIES AS DEFINED BY SIX ZIP CODES-94503, 94510, 94589, 94590, 94591, AND 94592. THIS IS THE DESIGNATED SERVICE AREA BECAUSE THE MAJORITY OF PATIENTS SERVED BY SSMC RESIDED IN THESE ZIP CODES. CONSIDERED A NORTH SAN FRANCISCO BAY COMMUNITY, VALLEJO IS AN INCORPORATED CITY IN SOLANO COUNTY. THE SERVICE AREA INCLUDED ONE ZIP CODE, 94503 (AMERICAN CANYON), LOCATED IN NAPA COUNTY. THE TOTAL POPULATION OF THE SERVICE AREA WAS 170,925. THERE ARE THREE HOSPITALS THAT SERVE THE COMMUNITY. POPULATION CHARACTERISTICS FOR EACH ZIP CODE IN THE SERVICE AREA ARE PRESENTED IN TABLE 1 OF THE CHNA. THESE ARE COMPARED TO THE STATE AND COUNTY CHARACTERISTICS FOR DESCRIPTIVE PURPOSES. ANY ZIP CODE WITH RATES THAT VARIED NEGATIVELY WHEN COMPARED TO THE STATE OR COUNTY BENCHMARKS IS HIGHLIGHTED. BECAUSE AMERICAN CANYON IS LOCATED IN NAPA COUNTY, RATES FROM THIS ZIP CODE (94503) ARE COMPARED ONLY TO THE NAPA COUNTY AND STATE BENCHMARKS. SOLANO COUNTY RESIDENT MEDIAN INCOME IS $69,227 AND NAPA COUNTY IS $74,609 COMPARED TO CALIFORNIA MEDIAN INCOME OF $63,783. TWO ZIP CODES WITHIN SOLANO COUNTY FALL UNDER THE STATE MEDIAN INCOME AT $57,316 IN 94589 AND $41,530 AT 94590. COMMUNITIES OF CONCERN ARE GEOGRAPHIC AREAS WITHIN THE SERVICE AREA THAT HAVE THE GREATEST CONCENTRATION OF POOR HEALTH OUTCOMES AND ARE HOME TO MORE MEDICALLY UNDERSERVED, LOW-INCOME, AND DIVERSE POPULATIONS AT GREATER RISK FOR POORER HEALTH. COMMUNITIES OF CONCERN ARE IMPORTANT TO THE OVERALL CHNA METHODOLOGY BECAUSE, AFTER THE SERVICE AREA HAS BEEN ASSESSED MORE BROADLY, THEY ALLOW FOR A FOCUS ON THOSE PORTIONS OF THE REGION LIKELY EXPERIENCING THE GREATEST HEALTH DISPARITIES. GEOGRAPHIC COMMUNITIES OF CONCERN WERE IDENTIFIED USING A COMBINATION OF PRIMARY AND SECONDARY DATA SOURCES. ANALYSIS OF BOTH PRIMARY AND SECONDARY DATA REVEALED TWO ZIP CODES THAT MET THE CRITERIA TO BE CLASSIFIED AS COMMUNITIES OF CONCERN. THE TWO ZIP CODES IDENTIFIED AS COMMUNITIES OF CONCERN CONSIST OF A TOTAL POPULATION OF 67,400 WHICH WAS 39.4% OF THE TOTAL POPULATION OF THE SERVICE AREA FOR SUTTER SOLANO MEDICAL CENTER. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE SUTTER MEDICAL CENTER CHNA AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT SUTTER TRACY COMMUNITY HOSPITAL: THE DEFINITION OF THE COMMUNITY SERVED INCLUDED THE PRIMARY SERVICE AREA OF THE SUTTER TRACY COMMUNITY HOSPITA SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: SUTTER HEALTH REACHES BEYOND THE WALLS OF OUR HOSPITALS AND CARE FACILITIES THROUGH OUR COMMUNITY HEALTH INITIATIVES. 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. SUTTER MEDICAL CENTER SACRAMENTO & SUTTER CENTER FOR PSYCHIATRY (REPORTING FACILITY B, 6) THE 2022 - 2024 IMPLEMENTATION STRATEGIES FOR SUTTER MEDICAL CENTER SACRAMENTO (SMCS) AND SUTTER CENTER FOR PSYCHIATRY DEFINE A VARIETY OF PROGRAMS AND PARTNERSHIPS THAT ADDRESS IDENTIFIED PRIORITY HEALTH NEEDS AND IMPROVE THE OVERALL HEALTH OF THE COMMUNITIES THEY SERVES. A FEW OF THOSE PROGRAMS AND PARTNERSHIPS ARE DESCRIBED BELOW. PROGRAMS ADDRESSING: ACCESS TO MENTAL/BEHAVIORAL/SUBSTANCE-ABUSE SERVICES AREA WIDE MENTAL HEALTH STRATEGY THE NEED FOR MENTAL HEALTH SERVICES AND RESOURCES, ESPECIALLY FOR THE UNDERSERVED, HAS REACHED A BREAKING POINT ACROSS THE SUTTER HEALTH VALLEY OPERATING UNIT. THIS IS WHY WE ARE FOCUSED ON BUILDING A COMPREHENSIVE MENTAL HEALTH STRATEGY THAT INTEGRATES KEY ELEMENTS SUCH AS POLICY AND ADVOCACY, COUNTY SPECIFIC INVESTMENTS, STIGMA REDUCTION, INCREASED AWARENESS AND EDUCATION, WITH TANGIBLE OUTREACH SUCH AS EXPANDED MENTAL HEALTH RESOURCES TO PROFESSIONALS IN THE WORKPLACE AND TELEPYSCH OPTIONS TO THE UNDERSERVED. BY LINKING THESE VARIOUS STRATEGIES AND EFFORTS THROUGH ENGAGING IN STATEWIDE PARTNERSHIPS, REPLICATING BEST PRACTICES, AND SECURING INNOVATION GRANTS AND AWARD OPPORTUNITIES, WE HAVE THE ABILITY TO CREATE A SEAMLESS NETWORK OF MENTAL HEALTH CARE RESOURCES SO DESPERATELY NEEDED IN THE COMMUNITIES WE SERVE. ON JULY 26, 2022, THE 988 CRISIS LINE LAUNCED. PROGRAMS ADDRESSING: ACCESS TO BASIC NEEDS SUCH AS HOUSING, JOBS, AND FOOD SHORT-TERM MEDICAL HOUSING PROVIDE FREE SHORT-TERM HOUSING FOR PATIENTS AND FAMILIES WHO MUST LEAVE THEIR OWN COMMUNITY TO SEEK MEDICAL CARE AT SUTTER HEALTHCARE CENTERS AND OTHER MEDICAL FACILITIES. THIS UNIQUE HOME-AWAY-FROM-HOME EXPERIENCE HAS BROUGHT A COMPASSIONATE RESPONSE AS WELL AS EMOTIONAL AND FINANCIAL RELIEF TO GUESTS IN NEED. THESE PROGRAMS HELP FAMILIES TO ACCESS SPECIALIZED MEDICAL TREATMENT BY PROVIDING A PLACE TO STAY AT LITTLE OR SOMETIMES NO COST. THE GOAL OF SHORT-TERM MEDICAL HOUSING IS KEEPING FAMILIES WITH A SICK FAMILY MEMBER TOGETHER AND NEAR THE CARE AND RESOURCES THEY NEED. IN 2023, THE PROGRAM SERVED 46 INDIVIDUALS WITH 2,198 SERVICES. COMMUNITY COLLEGE PROMISE SCHOLARSHIP PROGRAM THE PROMISE SCHOLARSHIP IS TARGETED TO THE NEEDIEST OF THESE STUDENTS ATTENDING FULL-TIME AND GIVES FLEXIBLE SUPPORT THAT CAN HELP MEET THEIR MOST IMPORTANT NEEDS. IN ADDITION TO TUITION FEES, COMMUNITY COLLEGE STUDENTS HAVE OTHER ATTENDANCE COSTS THAT STAND IN THE WAY OF POSTSECONDARY SUCCESS (BOOKS, TRANSPORTATION, HOUSING, STUDENT FEES, LAB EQUIPMENT, SUPPLIES, CHILDCARE EXPENSES, ETC.), BUT THEY HAVE LESS ACCESS TO FINANCIAL AID. 56% OF LOS RIOS STUDENTS ARE LOW INCOME (APPROX. 40,000) NEARLY 32% LIVE BELOW THE POVERTY LINE, AND 13% ARE HOMELESS. THE PROMISE SCHOLARSHIP AIMS TO REMOVE THE BARRIERS THAT PREVENT STUDENTS FROM ACHIEVING COLLEGE SUCCESS. BY REMOVING BARRIERS, STUDENTS HAVE A GREATER CHANCE OF COMPLETING THEIR DEGREES AND ENTERING THE WORKFORCE READY TO SUCCEED. IN 2023, THE PROGRAM SERVED 180 INDIVIDUALS WITH 180 SERVICES. PROGRAMS ADDRESSING: ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES ONGOING CLINIC INVESTMENTS WITH ACCESS TO CARE, INCLUDING PRIMARY, MENTAL HEALTH AND SPECIALTY CARE CONTINUING TO BE A MAJOR PRIORITY AREA IN THE SMCS HEALTH SERVICE AREA, WE WILL CONTINUE TO MAKE STRATEGIC INVESTMENTS IN OUR LOCAL FQHC PARTNERS TO INCREASE CLINIC CAPACITY AND SERVICES OFFERED. CREATIVE COLLABORATIONS AND INNOVATIVE OPPORTUNITIES WITH OUR CLINIC PARTNERS WILL CONTINUE TO EVOLVE WITH THE NEEDS OF THE COMMUNITY. THE GOAL IS TO EXPAND ACCESS TO CARE, ESPECIALLY FOR UNDERSERVED POPULATIONS WHO HAVE BARRIERS TO RECEIVING PROPER MEDICAL CARE. IN 2023, THE PROGRAM SERVED 10,174 INDIVIDUALS WITH 66,946 SERVICES. EMERGENCY DEPARTMENT NAVIGATOR (ED NAVIGATOR) THE ED NAVIGATOR SERVES AS A VISIBLE ED-BASED STAFF MEMBER. UPON REFERRAL FROM A SUTTER EMPLOYEE (AND AFTER PATIENT AGREEMENT), ED NAVIGATORS ATTEND TO PATIENTS IN THE ED AND COMPLETE AN ASSESSMENT FOR T3 CASE-MANAGEMENT SERVICES. UPON ASSESSMENT, THE ED NAVIGATOR DETERMINES AND IDENTIFIES PATIENT NEEDS FOR COMMUNITY-BASED RESOURCES AND/OR CASE-MANAGEMENT SERVICES, SUCH AS PROVIDING A PATIENT LINKAGE TO A PRIMARY CARE PROVIDER AND ESTABLISHING A MEDICAL HOME. THE GOAL OF THE ED NAVIGATOR IS TO CONNECT PATIENTS WITH HEALTH AND SOCIAL SERVICES, AND ULTIMATELY A MEDICAL HOME, AS WELL AS OTHER PROGRAMS (LIKE T3) WHEN APPROPRIATE. IN 2023, THE PROGRAM SERVED 364 INDIVIDUALS WITH 531 SERVICES. HEALTH NAVIGATION: REDUCING BARRIERS TO CARE THE SACRAMENTO HEALTH NAVIGATOR PROGRAM EXPANDS HEALTH NAVIGATION SERVICES IN SACRAMENTO COUNTY AND CONNECTS THOUSANDS OF LOW-INCOME RESIDENTS TO AFFORDABLE HEALTH CARE COVERAGE. THE OVERALL GOAL OF THE PROJECT IS TO ESTABLISH MEDICAL HOMES, THEREBY REDUCING DEPENDENCE ON EMERGENCY ROOM SYSTEMS OF CARE. IN 2023, THE PROGRAM SERVED 10,124 INDIVIDUALS WITH 30,455 SERVICES. INTERIM CARE PROGRAM (ICP) A COLLABORATIVE OF THE FOUR HEALTH CARE SYSTEMS AND WELLSPACE HEALTH, VOLUNTEERS OF AMERICA AND SACRAMENTO COUNTY, THE SACRAMENTO INTERIM CARE PROGRAM (ICP) IS A RESPITE-CARE SHELTER FOR HOMELESS PATIENTS DISCHARGED FROM HOSPITALS. THE ICP WRAPS PEOPLE WITH HEALTH AND SOCIAL SERVICES, WHILE GIVING THEM A PLACE TO HEAL. STARTED IN 2005, THE ICP LINKS PEOPLE IN NEED TO VITAL COMMUNITY SERVICES WHILE GIVING THEM A PLACE TO HEAL. THE CLIENTS WHO ARE ENROLLED IN THE ICP ARE HOMELESS ADULT INDIVIDUALS WHO OTHERWISE WOULD BE DISCHARGED TO THE STREET OR CARED FOR IN AN INPATIENT SETTING ONLY. THE PROGRAM IS DESIGNED TO OFFER CLIENTS UP TO SIX WEEKS DURING WHICH THEY CAN FOCUS ON RECOVERY AND DEVELOPING A PLAN FOR THEIR HOUSING AND CARE UPON DISCHARGE. THIS INNOVATIVE COMMUNITY PARTNERSHIP PROVIDES TEMPORARY RESPITE HOUSING THAT OFFER HOMELESS MEN AND WOMEN A PLACE TO RECUPERATE FROM THEIR MEDICAL CONDITIONS, LINK THEM TO VITAL COMMUNITY SERVICES, AND PROVIDE THEM A PLACE TO HEAL. THE ICP SEEKS TO CONNECT PATIENTS WITH A MEDICAL HOME, SOCIAL SUPPORT AND HOUSING. IN 2023, THE PROGRAM SERVED 797 INDIVIDUALS WITH 34,351 SERVICES. INTERIM CARE PROGRAM PLUS (ICP+) SMCS OFFERS AN "EXPANDED ICP" ICP+ AIMED TO MEET THE NEEDS OF PATIENTS WITH MORE COMPLEX NEEDS AND ACUTE HEALTH ISSUES. THE PROGRAM OFFERS SHORT-TERM (60-90 DAYS) RESPITE CENTER SERVING HOMELESS INDIVIDUALS POST-HOSPITALIZATION. CATERS TO INDIVIDUALS WITH HIGHER MEDICAL ACUITY. OFFERS INTENSIVE CASE MGMT., ACCESS TO LVNS & CNAS, MEDICATION EDUC., TRANSPORTATION, & REFERRALS. ICP+ SEEKS TO CONNECT PATIENTS WITH A MEDICAL HOME, SOCIAL SUPPORT AND HOUSING. ICP+ IS NOW EMBEDDED WITH ICP. TRIAGE, TRANSPORT, TREATMENT (T3) T3 PROVIDES CASE MANAGEMENT SERVICES FOR PEOPLE WHO FREQUENTLY ACCESS THE SMCS EDS FOR INAPPROPRIATE AND NON-URGENT NEEDS, BY CONNECTING VULNERABLE PATIENTS TO VITAL RESOURCES SUCH AS HOUSING, PRIMARY CARE, MENTAL AND BEHAVIORAL HEALTH SERVICES, TRANSPORTATION, SUBSTANCE ABUSE TREATMENT AND OTHER KEY COMMUNITY RESOURCES. BY LINKING THESE PATIENTS TO THE RIGHT CARE, IN THE RIGHT PLACE, AT THE RIGHT TIME AND WRAPPING THEM WITH SERVICES, WE SEE A DRASTIC IMPROVEMENT TO THE HEALTH AND OVERALL QUALITY OF LIFE FOR THIS OFTEN UNDERSERVED, PATIENT POPULATION. THE GOAL OF T3 IS TO WRAP PATIENTS WITH HEALTH AND SOCIAL SERVICES, AND ULTIMATELY A MEDICAL HOME. IN 2023, THE PROGRAM SERVED 1,114 INDIVIDUALS WITH 3,490 SERVICES. TRIAGE, TRANSPORT, AND TREATMENT PLUS (T3+) T3+ IS LIKE T3, EXCEPT PATIENTS ARE IDENTIFIED IN AN INPATIENT SETTING AND ARE OFTEN MORE COMPLEX. THE T3+ NAVIGATOR FOLLOWS PATIENTS AFTER DISCHARGE AND WORKS WITH SUTTER HEALTH STAFF TO PROVIDE A FOLLOW-UP HEALTH PLAN, TELE-HEALTH, PAIN MANAGEMENT, ETC. ALL OF THIS OCCURS WHILE THE T3+ NAVIGATORS ADDRESS THE PATIENT'S OTHER NEEDS (INCLUDING HOUSING, INSURANCE ENROLLMENT, ETC) AND ENSURE A CONNECTION IS MADE TO PRIMARY AND PREVENTIVE CARE TO REDUCE FURTHER HOSPITALIZATION. THE GOAL OF T3+ IS TO WRAP PATIENTS WITH HEALTH AND SOCIAL SERVICES, AND ULTIMATELY A MEDICAL HOME. IN 2023, THE PROGRAM SERVED 1,114 INDIVIDUALS WITH 3,490 SERVICES. STREET NURSE STREET NURSE WORKS ALONGSIDE OUR LOCAL COMMUNITY NAVIGATORS. THIS INCREASES OPPORTUNITIES TO CONNECT MORE HOMELESS INDIVIDUALS TO IMMEDIATE MEDICAL CARE, NECESSARY FOLLOW-UP TREATMENT AND EVENTUALLY A PRIMARY AND BEHAVIORAL HEALTH HOME TO ADDRESS THE LONG-TERM HEALTHCARE NEEDS FOR THIS UNDERSER SCHEDULE H, PART VI, LINE 6 SUTTER HEALTH IS A NOT-FOR-PROFIT HEALTHCARE SYSTEM DEDICATED TO PROVIDING COMPREHENSIVE CARE THROUGHOUT CALIFORNIA. COMMITTED TO HEALTH EQUITY, COMMUNITY PARTNERSHIPS, AND INNOVATIVE, HIGH-QUALITY PATIENT CARE, SUTTER HEALTH IS PURSUING A BOLD NEW PLAN TO REACH MORE PEOPLE AND MAKE EXCELLENT HEALTHCARE MORE CONNECTED AND ACCESSIBLE. CURRENTLY SERVING NEARLY 3.5 MILLION PATIENTS, THANKS TO OUR DEDICATED TEAM OF MORE THAN 57,000 EMPLOYEES AND CLINICIANS, AND 12,000+ AFFILIATED PHYSICIANS, WITH A UNIFIED FOCUS ON EXPANDING CARE TO SERVE MORE PATIENTS. SUTTER HEALTH DELIVERS EXCEPTIONAL AND AFFORDABLE CARE THROUGH ITS HOSPITALS, MEDICAL GROUPS, AMBULATORY SURGERY CENTERS, URGENT CARE CLINICS, TELEHEALTH, HOME HEALTH, AND HOSPICE SERVICES. DEDICATED TO TRANSFORMING HEALTHCARE, AT SUTTER HEALTH, GETTING BETTER NEVER STOPS. LEARN MORE ABOUT HOW SUTTER HEALTH IS TRANSFORMING HEALTHCARE AT SUTTERHEALTH.ORG AND VITALS.SUTTERHEALTH.ORG. AS PART OF SUTTER HEALTH'S COMMITMENT TO FULFILL ITS NOT-FOR-PROFIT MISSION AND TO HELP SERVE SOME OF THE MOST VULNERABLE IN ITS COMMUNITIES, SUTTER INVESTS ANNUALLY IN COMMUNITY BENEFIT PROGRAMS THAT HELP IMPROVE THE OVERALL HEALTH AND WELLBEING OF THE REGIONS SUTTER SERVES. SUTTER'S COMMUNITY BENEFIT INVESTMENTS WERE $822 MILLION IN 2023, WHICH INCLUDES INVESTMENTS IN COMMUNITY HEALTH PROGRAMS TO ADDRESS PRIORITIZED HEALTH NEEDS AS IDENTIFIED BY REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENTS, TRADITIONAL CHARITY CARE, AND UNREIMBURSED MEDI-CAL COSTS. THROUGH COMMUNITY BENEFIT INVESTMENTS, SUTTER HELPS LOCAL COMMUNITIES ACCESS PRIMARY, MENTAL HEALTH AND ADDICTION CARE SERVICES, AND BASIC NEEDS SUCH AS HOUSING, ECONOMIC OPPORTUNITY, JOB TRAINING AND FOOD. SEE MORE ABOUT HOW SUTTER HEALTH REINVESTS INTO THE COMMUNITY AND WORKS TO ACHIEVE HEALTH EQUITY BY VISITING SUTTERHEALTH.ORG/COMMUNITY-BENEFIT. AS PART OF ITS COMMUNITY BENEFIT INVESTMENT, THE SUTTER HEALTH SYSTEM PROVIDES ACCESS TO MEDICALLY NECESSARY CARE FOR ELIGIBLE PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY THROUGH CHARITY CARE AND FINANCIAL ASSISTANCE PROGRAMS. IN 2023, SUTTER HEALTH INVESTED $84 MILLION IN CHARITY CARE. SUTTER'S CHARITY CARE POLICY FOR HOSPITAL SERVICES IS POSTED ON SUTTER'S WEB SITE AT SUTTERHEALTH.ORG/FOR-PATIENTS/FINANCIAL-ASSISTANCE AND CAN BE FOUND HERE. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: CALIFORNIA true WELLSPACE HEALTH 777 12TH ST STE 250 SACRAMENTO CA 95814 941713704 501(C)(3) 3481930 PLACER COUNTY OF OFFICE OF EDUCATION 360 NEVADA ST AUBURN CA 95603 946002096 GOVT 1500000 SACRAMENTO COVERED 819 19TH ST SACRAMENTO CA 95811 680377256 501(C)(3) 1356123 SACRAMENTO NATIVE AMERICAN HEALTH CTR INC 2020 J ST SACRAMENTO CA 95818 204287737 501(C)(3) 1000000 COMMUNICARE HEALTH CENTERS PO BOX 1260 DAVIS CA 95617 942188574 501(C)(3) 737020 UNITED WAY CALIFORNIA CAPITAL REGION 10389 OLD PLACERV RD SACRAMENTO CA 95827 941225382 501(C)(3) 501500 GATHERING INN 201 BERKELEY AVE ROSEVILLE CA 95678 841657746 501(C)(3) 462490 GOLDEN VALLEY HEALTH CENTERS 600 A ST STE Y DAVIS CA 95616 942196086 501(C)(3) 419776 YOLO COUNTY OF CHILDRENS ALLIANCE 600 A ST STE Y DAVIS CA 95616 680526185 501(C)(3) 355808 SACRAMENTO LGBT COMMUNITY CTR 1015 20TH ST SACRAMENTO CA 95811 942502229 501(C)(3) 343333 TOURO UNIVERSITY CALIFORNIA 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ASSOCIATION 1100 H ST MODESTO CA 95354 946002388 501(C)(3) 26800 MERCY COALITION OF WEST SACRAMENTO PO BOX 2060 SACRAMENTO CA 95691 813581571 501(C)(3) 26500 INTERFAITH COUNCIL OF AMADOR 12181 AIRPORT RD JACKSON CA 95642 680363653 501(C)(3) 26500 ZAFIAS FAMILY HOUSE 326 NATTIER CT EL DORADO HILLS CA 95762 273195178 501(C)(3) 26250 WOMENS CENTER YOUTH AND FAMILY SERVICES 620 NO SAN JOAQUIN ST STOCKTON CA 95202 942341360 501(C)(3) 26125 YUBA SUTTER CHAMBER OF COMMERCE 1300 FRANKLIN RD YUBA CITY CA 95993 941731239 501(C)(6) 26000 COLOUR OF MUSIC INC PO BOX 22724 CHARLESTON SC 29413 464454508 501(C)(3) 25000 MCHENRY HOUSE TRACY FAMILY SHELTER 757 A ST TRACY CA 95376 680123612 501(C)(3) 25000 AMADOR STARS PO BOX 208 JACKSON CA 95642 263116659 501(C)(3) 20000 SHORT TERM EMERGENCY AID COMMITTEE 1712 PICASSO AVE STE D DAVIS CA 95618 946138684 501(C)(3) 20000 SACRAMENTO FOOD BANK AND FAMILY SERVICES INC 1951 BELL AVE SACRAMENTO CA 95838 943315566 501(C)(3) 20000 HELPING OTHERS PROVIDE ENCOURAGEMENT MINISTRIES IN 602 E YOSEMITE AVE MANTECA CA 95336 680235846 501(C)(3) 20000 TRIUMPH CANCER FOUNDATION 947 ENTERPRISE DR SACRAMENTO CA 95825 453968833 501(C)(3) 18500 MODESTO CHAMBER OF COMMERCE 1114 J ST MODESTO CA 95354 940689450 501(C)(3) 17550 ELK GROVE CHAMBER OF COMMERCE 8820 ELK GROVE BLVD ELK GROVE CA 95624 941483392 501(C)(6) 17500 COMMON GROUND SENIOR SERVICES 80 RIDGE RD STE A SUTTER CREEK CA 95685 680463039 501(C)(3) 15000 VALLEY VISION INC 3400 3RD AVE SACRAMENTO CA 95817 943214572 501(C)(3) 15000 VALLEJO CITY UNIFIED SCHOOL DISTRICT 665 WALNUT AVE VALLEJO CA 94592 680111380 GOVT 15000 MAKE A WISH NORTHEASTERN AND CENTRAL CA 2800 CLUB CENTER DR SACRAMENTO CA 95835 680027351 501(C)(3) 15000 LOVE STANISLAUS COUNTY INC 909 14TH ST MODESTO CA 95354 471989572 501(C)(3) 15000 FARMERS MARKETPLACE 175 COLLEGE WY AUBURN CA 95603 871836049 13500 FOLSOM CHAMBER OF COMMERCE 200 WOOL ST FOLSOM CA 95630 941573092 501(C)(3) 13500 SACRAMENTO BLACK CHAMBER OF COMMERCE FDN 5770 FREEPORT BLVD SACRAMENTO CA 95822 954818928 501(C)(3) 12000 TRACY CHAMBER FOUNDATION 223 E 10TH ST TRACY CA 95376 680449108 501(C)(3) 12000 VOLUNTEERS OF AMERICA NORTHERN CALIFORNIA 3434 MARCONI AVE SACRAMENTO CA 95821 946001984 501(C)(3) 12000 CA FOUND FOR AGRICULTURE IN THE CLASS 2600 RIVER PLAZA DR STE 220 SACRAMENTO CA 95833 680100601 501(C)(3) 11000 STANISLAUS PARTNERS IN EDUCATION PO BOX 4477 MODESTO CA 95352 770294263 501(C)(3) 10000 DAVIS CITY OF CHAMBER OF COMMERCE PO BOX 74094 DAVIS CA 95617 940420636 501(C)(3) 10000 EQUALITY CALIFORNIA INSTITUTE 555 W 5TH ST LOS ANGELES CA 90013 680438008 501(C)(3) 10000 AMERICAN NATIONAL RED CROSS 431 18TH ST NW WASHINGTON DC DC 20006 530196605 501(C)(3) 10000 VALLEJO SENIOR CITIZENS COUNCIL 333 AMADOR ST VALLEJO CA 94590 237367329 501(C)(3) 10000 SACRAMENTO REG COALITION TO END HOMELESSNESS 1026 FLORIN RD STE 349 SACRAMENTO CA 95831 463175193 501(C)(3) 10000 LODI DISTRICT CHAMBER OF COMMERCE 35 SO SCHOOL ST LODI CA 95240 940636200 501(C)(3) 10000 NAT ASSOC FOR THE ADV OF COLORED PEOPLE 4645 44TH ST SACRAMENTO CA 95820 946172654 501(C)(4) 10000 KIDS FIRST CHILD ABUSE PREVENTION COUNCIL 124 MAIN ST ROSEVILLE CA 95678 680195225 501(C)(3) 9895 MERCED COUNTY OF SPRING FAIR 403 F ST LOS BANOS CA 93635 946000521 GOVT 9000 FIRST 5 AMADOR PO BOX 815 JACKSON NY 95642 814299132 GOVT 8000 EDUCATION FOUNDATION OF STANISLAUS COUNTY 1100 H ST MODESTO CA 95354 942906392 501(C)(3) 7500 HEALTHY ROOM PROJECT CORPORATION 1201 NO CATALINA REDONDO BEACH CA 90277 874421434 501(C)(3) 7500 TURNING POINT COMMUNITY PROGRAMS 10850 GOLD CTR DR RANCHO CORDOVA CA 95670 942609766 501(C)(3) 7500 YUBA SUTTER LODI PINK OCTOBER 871 E ONSTOTT RD YUBA CITY CA 95991 201530007 501(C)(3) 7500 SACRAMENTO DOWNTON PSHIP INC 980 9TH ST STE 200 SACRAMENTO CA 95814 680270320 501(C)(3) 7500 ARTHRITIS FOUNDATION INC 1355 PEACHTREE ST NE ATLANTA GA 30309 581341679 501(C)(3) 7500 NATIONAL MULTIPLE SCLEROSIS SOCIETY 733 THIRD AVE 3RD FLR NEW YORK NY 10017 135661935 501(C)(3) 7250 LOS BANOS CHAMBER OF COMMERCE 932 6TH ST LOS BANOS CA 93653 941586786 501(C)(3) 7000 MODESTO CHILDRENS MUSEUM INC 1509 K ST MODESTO CA 95354 842442152 501(C)(3) 6713 ALLIANCE FOR COMMUNITY TRANSFORMATIONS PO BOX 2075 MARIPOSA CA 95338 770272319 501(C)(3) 6550 YOLO CRISIS NURSERY INC 1107 KENNEDY PL DAVIS CA 95616 471006055 501(C)(3) 6500 AMADOR TUOLUMNE COMMUNITY ACTION AGENCY 10590 HWY 88 JACKSON CA 95642 942765408 501(C)(3) 6000 WOMEN HEALTH CARE EXECUTIVES OF NORTHERN CALIFORNI PO BOX 62172 SUNNYVALE CA 94088 203768375 501(C)(3) 6000 TREE DAVIS PO BOX 72053 DAVIS CA 95617 943169363 501(C)(3) 6000 AMADOR COMMUNITY FOUNDATION 571 SO STATE HWY 49 JACKSON CA 95642 680447992 501(C)(3) 5535 GOLDEN VALLEY HEALTH CENTERS FOUNDATION 737 W CHILDS AVE MERCED CA 95341 474773124 501(C)(3) 5500 MOPRIDE INC 400 12TH ST MODESTO CA 95350 471168855 501(C)(3) 5500 LOS BANOS DOWNTOWN ASSOCIATION 907 6TH ST LOS BANOS CA 93635 371745011 501(C)(3) 5500 AUBURN CHAMBER OF COMMERCE 1103 HIGH ST STE 100 AUBURN CA 95603 941021496 501(C)(3) 5250 124 7 PATIENT ASSISTANCE 7034 917135 FMV TRANSPORT/CLOTHING 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 each year/reporting period, Community Benefit analyzes full-year 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 WARNER THOMAS President & CEO Sutter Health 0 2528388 0 6116203 0 60682 0 2720017 0 71750 0 11497040 0 0 JAMES CONFORTI Former Interim President & CEO 0 0 0 1304102 0 5052047 0 0 0 0 0 6356149 0 0 THERESA FREI CEO SVMF/Pres, Asst Sec SVH 0 539018 0 1023723 0 702034 0 117164 0 21365 0 2403304 0 82552 DAVID CHENEY CEO, Bay & Valley/Pres (PT-YR) 0 431920 0 505440 0 626696 0 125264 0 14616 0 1703936 0 103856 DOMINIC NAKIS SH Interim CFO 0 1353843 0 0 0 0 0 0 0 0 0 1353843 0 0 ASIT GOKLI MD SH VP, Chief Clinical & Ops In 0 485814 0 216809 0 540520 0 63764 0 20471 0 1327378 0 40360 RACHAEL MCKINNEY President, Sacramento Market 0 734820 0 328505 0 63736 0 73064 0 41811 0 1241936 0 43951 TODD SMITH MD SVP, CHIEF PHYS EX/ASST SEC 0 682684 0 261289 0 168496 0 63864 0 44177 0 1220510 0 144077 SAMAREH RAD MGR, TRANSFER & REFERRAL(RN) 1133948 0 2500 0 3313 0 7364 0 23514 0 1170639 0 0 0 MARK SEVCO SVP, COO/PRES 0 804603 0 330000 0 15180 0 3864 0 13331 0 1166978 0 0 EUGENE PATRIZIO PRES, CENTRAL VALLEY MARKET 0 672942 0 312634 0 59793 0 69564 0 35278 0 1150211 0 42887 PETER HULL MD CMO, Sacramento Market/Chair 0 584168 0 106553 0 40306 0 31364 0 26712 0 789103 0 28533 TIMOTHY NOAKES CFO Hospital SMCS (PT-YR) 0 455675 0 151155 0 34596 0 31464 0 24827 0 697717 0 22802 TAMARA POWERS CEO, SRMC 0 394289 0 103200 0 25204 0 36464 0 31494 0 590651 0 16754 MICHAEL D MARINO SH VP, HR Central Valley Mark 0 419845 0 88169 0 24662 0 33264 0 23392 0 589332 0 17679 COLLEEN J KOSCKI SH VP, HR Sacramento Market 0 395261 0 83137 0 25286 0 31264 0 22914 0 557862 0 18925 BENJAMIN KIRK SH VP, Legal ops, Valley/sec 0 341987 0 45018 0 7888 0 85989 0 30307 0 511189 0 0 DAVID CARETTO Medical Director 347971 0 51973 0 4538 0 73113 0 28838 0 506433 0 0 0 OLIVER AANDAHL Staff Nurse II 469127 0 1500 0 0 0 3864 0 8443 0 482934 0 0 0 BRIAN ALEXANDER HOSPITAL AREA CEO, N. VALLEY 0 118566 0 282288 0 3900 0 62329 0 9281 0 476364 0 0 BRETT HOLLIDAY Supervisor, Transfer, Referral 422560 26763 1250 2500 1704 253 7364 313 8077 2285 440955 32114 0 0 JOSE A AREVALO Chief Medical Executive 415679 0 0 0 5580 0 3864 0 28860 0 453983 0 0 0 PAT BRADY Former CEO, SRMC 0 189239 0 0 0 0 0 0 0 0 0 189239 0 0 SCHEDULE J, PART I, LINE 3 SUPPLEMENTAL COMPENSATION INFORMATION: 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. 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: James Conforti received severance payments of $1,599,998. Theresa Frei received severance payments of $483,547. David Cneney received severance payments of $510,003. Asit Gokli MD received severance payments of $197,996. SCHEDULE J, PART I, LINE 4B NONQUALIFIED RETIREMENT PLAN: 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. 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 457(F) 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. 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 Refund 2005BC, 2003AB, 2007A true false false B CHFFA 2017A 521643828 13032UNY0 2017-07-06 496319743 Refund 2004CD, 2008A (partial), 20 true 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 A false true true true true true 0.00680 0.00000 0.00680 false false false true B false true true true true true 0.00071 0.00010 0.00081 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 A true B true SCHEDULE K REPORTING The organization's sole corporate member is a conduit borrower of tax-exempt bond issues that allocates 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 ORGANIZATION RECEIVED BOND PROCEEDS IN THE AMOUNTS OF: $190,388,783 FROM THE 2016B ISSUE; AND $266,365,544 FROM 2017A 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 rebate computation was performed: COLUMN A: 9/9/2021. COLUMN B: 7/22/2019. FORM 990, PART I, LINE 1 AND PART III, LINE 1 MISSION STATEMENT: MISSION: CARING FOR OUR PATIENTS FIRST AND OUR PEOPLE ALWAYS. VISION: TO BE THE MOST COMPREHENSIVE, INTEGRATED AND CONNECTED HEALTH SYSTEM FOR GETTING AND STAYING WELL. VALUES: EXCELLENCE - We deliver high-quality, equitable care and take on the toughest challenges. CURIOSITY - We are constantly learning and creating new ways to advance healthcare. TEAMWORK - We collaborate with humility and solve for ONE Sutter. COMPASSION - We show empathy and understanding in every personal interaction. INCLUSION - We respect our differences and similarities, and cultivate a sense of belonging. INTEGRITY - We earn trust by doing the right thing and delivering on our commitments. FORM 990, PART III, LINE 4A Sutter Valley Hospitals serves Sacramento, Placer, Amador, El Dorado, Nevada, Yolo, Solano, Yuba, Sutter, Stanislaus, Merced, and San Joaquin counties with comprehensive health care. We strive to provide access to primary care physicians and specialty services in each of our communities and have a network of more than 2,194 physicians regionally and more than 5,455 physicians throughout the Sutter Health system. Sutter Valley Hospitals provided more than $1,031 million in charity care and community benefits and had a total of 466,505 patient days in 2023. Sutter Valley Hospitals is comprised of the following hospitals: Sutter Auburn Faith Hospital is licensed for 64 acute beds and is accredited by the Joint Commission on the Accreditation of Healthcare Organizations. It is Medicare certified and accepts most private insurance plans. Sutter Auburn Faith Hospital's mission is to serve the healthcare needs of Auburn and the surrounding foothill communities. Through partnerships with physicians, payors, other health and human services agencies and with our employees and volunteer leadership, Sutter Auburn Faith Hospital seeks to provide a continuum of health and wellness services to assure a high quality of life for the people living in our service area. Sutter Amador Hospital is a 52-bed acute care hospital located in Jackson, California approximately 55 miles southeast of Sacramento in Amador County. The hospital was established in the mid-1800's and became affiliated with Sutter Health in 1993. Sutter Amador Hospital's mission is to enhance the health and well-being of the residents in the communities served by providing coordinated, effective, affordable, and accessible health and wellness services. Sutter Amador Hospital continuously strives to identify the health care needs of these communities and respond by providing health and wellness services consistent with the stated values and vision of the hospital. Sutter Davis Hospital is a two-story 90,000 square foot acute care hospital licensed for 57 beds that serves the health care needs of residents living in Davis, Dixon, Woodland and Winters. The facility is located in the western-most section of the City of Davis at the corner of Highway 113 and Covell Boulevard. Sutter Davis is accredited by the Joint Commission on the Accreditation of Healthcare Organizations. It is Medicare certified and accepts most private insurance plans. As a not-for-profit hospital, Sutter Davis also donates many community services. Sutter Medical Center of Sacramento medical campus include two acute care hospitals - Anderson Lucchetti Women's and Children's Center and Ose Adams Medical Pavilion, along with two buildings dedicated to doctors' offices and other care found in an outpatient setting. By locating all primary and specialty care services in a central location with convenient freeway access, patients and families now gain faster and easier access to needed medical services. The 242-bed Anderson Lucchetti Women's and Children's Center is a 10-story acute-care hospital where patients and their families can obtain the highest level of neonatal and pediatric intensive care services, pediatric cardiac, neurosurgery and cancer services, and high-risk and conventional maternity services. It replaces Sutter Memorial Hospital as "Sacramento's baby hospitalis home to the Sutter Children's Center, Sacramento, a comprehensive children's hospital inside the Women's and Children's Center. Among the features of the Women's and Children's Center: . All private rooms, including those for new moms and our pediatric patients. The rooms have furniture that converts into beds for families to stay overnight with their loved ones. . A life-saving helistop atop the building adjacent to the Capital City Freeway will allow for the quick and safe transport of preemies and other sick babies as well as other patients. . Mothers who have given birth being treated to spacious suites with 8th-floor views of the city's skyline and the foothills. . The neonatal intensive care unit features 61 beds for our tiniest and sickest babies in a setting that looks like home and allows families to be more involved in the babies' care. . Facilities that include washers and dryers and a kitchen for families who have extensive stays. The 281-bed Ose Adams Medical Pavilion was previously known as Sutter General Hospital. While the outer shell of the Ose Adams Medical Pavilion remains much the same - with an expansion in the southeast corner to facilitate the dedicated Pediatric Emergency Department and other services - the transformation of the hospital includes major enhancements to all five floors with emphasis on five main services: emergency medicine, cardiovascular, neurosciences, orthopedics and oncology. The updated third floor contains 24 operating suites for inpatient surgeries. It is the new home for the Sutter Heart & Vascular Institute, which began at Sutter Memorial Hospital with the region's first open-heart surgeries in the late 1950s and early 1960s. Ose Adams Medical Pavilion has six new heart catheterization labs and hybrid suites, and four specialized operating rooms dedicated to heart surgery - one set up solely for pediatric heart patients. Because of the complex brain and other surgeries and procedures, the Ose Adams Medical Pavilion houses 10 specially designed, private observation beds on the fifth floor. These observation units will contain state-of-the-art equipment dedicated to the specialized care of Sutter Neuroscience Institute patients. Sutter Roseville Medical Center (SRMC) was established in 1952 and affiliated with Sutter Health in May 1993. In 1997, Sutter Health opened a 172-bed facility in the northeast area of Roseville, approximately 20 miles from downtown Sacramento. The hospital today has 382 beds and provides residents of southern Placer and northeastern Sacramento counties with comprehensive community health care. The facility has an expanded helipad onsite for quick access to the hospital's Level II Trauma Center, which serves a ten-county region that includes Placer, Yolo, Nevada, Sutter and Yuba counties, and portions of Sacramento and El Dorado counties. Sutter Roseville Medical Center's mission is: To improve the health and well-being of the people living in the communities it serves. Sutter Roseville Medical Center strives continuously to identify the health care needs of these communities and respond by providing wellness, preventive, curative and restorative programs and services consistent with the stated values and vision of the hospital. Sutter Solano Medical Center (SSMC) is a 106-bed acute care hospital in Vallejo, California, between Sacramento and San Francisco. The not-for-profit, community-based facility is fully accredited by The Joint Commission and provides a full-range of general, emergency and medical/surgical specialties. SSMC affiliated with Sutter Health in 1984 ensuring the ability to continue providing and improving healthcare and wellness services to the community. Sutter Solano Medical Center's mission is to enhance the health and well-being of people in the communities served, through a not-for-profit commitment to compassion and excellence in health care services. Sutter Center for Psychiatry is a 73-bed acute behavioral medicine specialty hospital that treats adults, adolescents and children. It provides services to children from age 5 to elderly patients through a spectrum of care that allows each person to find the level of care needed to return to an active, healthy life. Family members and significant others are encouraged to participate in each patient's care by taking part in education services, therapy and support groups. SCP also offers a Critical Incident Debriefing Team to help employees of businesses cope after a traumatic or violent episode. Sutter Health EAP Resources offers confidential assessment, counseling and referral services to employees of large and small businesses. Sutter Center for Psychiatry offers the only Inpatient Eating Disorder Program in Northern California. This new program is a six-bed specialized treatment program for eating disorder patients. Memorial Medical Center (MMC) is an acute care facility located in Modesto, California, 90 miles south of Sacramento in Stanislaus County. Centrally located to serve our immediate county and outlying areas, Memorial was established in 1970. Memorial Medical Center is currently licensed for 419 acute care beds and is a Sutter Health Affiliate. FORM 990, PART III, LINE 4A (Cont.) Memorial Hospital Los Banos (MHLB) is a private, not-for-profit community hospital incorporated under California law to provide health care services within finite resources, to citizens of Los Banos and the surrounding geographical areas. We provide high quality compassionate care and exercise prudent fiscal responsibility. MHLB opened in 1967 and is part of the Sutter Central Valley Region. The organization affiliated with Sutter Health in 1996 and is accredited by the Joint Commission on Accreditation of Healthcare Organizations. Memorial Hospital Los Banos is currently licensed for 38 acute beds. Sutter Tracy Community Hospital (STCH), since 1948, continues to be the only full-service, 77 acute care beds hospital within a 15-mile radius geographically. Located in Tracy, California, STCH staff has the opportunity to deliver culturally competent care to the diverse population within its service area. As a state-of-the-art facility, it features the latest medical technology and diagnostic equipment and offers a comprehensive array of inpatient and outpatient services on par with many larger, urban hospitals. Additionally, Sutter Tracy is committed to bringing the best and brightest physicians and the latest advances in medicine to the community. It is affiliated with many remarkable, local physicians who are at the forefront of their field. Sutter Valley Hospitals' services include: 24-Hour Emergency Treatment Acute Rehabilitation Anesthesiology Bariatric Surgery Cancer Care Cardiac Catheterization Laboratory Cardiac Rehabilitation Cardiopulmonary Services Cardiovascular Services Community Benefit Congestive Heart Failure Program Continence Critical Care Dentistry Dermatology Diabetes Education & Treatment Diagnostic Imaging Dialysis Digital Mammography Education Respiratory Therapy Endoscopy Family Birth Center Gastroenterology Heart and Vascular Institute Home Health and Hospice Care Infusion Therapy Intensive Care Internal Medicine IV Therapy Laboratory Lactation Assistance Program Level II Trauma Center Major Trauma Patient Receiving Center Medical Library Access Modern Family Birthing Center Neo Natal Intensive Care Nephrology Neurology Nuclear Medicine Nutritional Support Services Obstetrics and Perinatal Care Occupational Medicine Oncology Ophthalmology Oral Surgery Orthopedics Otolaryngology Outpatient Surgery Pain Medicine Palliative Care Pastoral Care Pathology Patient and Community Education Pediatrics Pharmacy Plastic Surgery Podiatry Primary Care/Family Practice Pulmonary Rehabilitation Radiation Oncology Radiology Rehabilitation / Physical Therapy Rehabilitation Services Respiratory Care Respiratory Therapy Senior Services Sleep Disorders Center Social Services Specialty Care Speech Therapy Spiritual Services Surgical Services Sutter Rehabilitation Institute Telemetry Transfusion Medicine Trauma Neuro Intensive Care Unit Urology VNA (Home Health and IV Therapy) Women's Imaging Center Wound Care Sutter Institute for Medical Research (SIMR): Sutter Valley Hospitals of Sacramento service area is committed to providing the best possible healthcare to its patients, and the Sutter Institute for Medical Research supports this commitment by providing research support and education programs. SIMR has a history of over five decades of commitment to medical research. SIMR has gained recognition for its investigative studies in the areas of heart, cancer, orthopedics, respiratory, neurology, GI/GU and many other areas of medicine. SIMR's primary objective is to help health professionals conduct research in a clinical setting by providing management and administrative resources otherwise unavailable to the private practitioner. At SIMR, Sutter investigators receive support in five areas. Research Administrative Services Research Support Services Clinical Trials Program Laboratory Research and Training Sutter Health Central Area Institutional Review Committee (IRC) Community Benefit The medical facilities in Sutter Valley Hospitals (SVH) 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 SVH 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 2023, Sutter Valley Hospitals provided a regional total of $1,030,516,155 in cost of services and benefits for the poor and underserved: $29,222,393 in Financial Assistance, Means-Tested Programs $89,290,529, and Medicaid $912,003,233. FORM 990, PART VI, SECTION A, LINE 1A THE AFFAIRS AND MANAGEMENT OF THE SUTTER VALLEY HOSPITALS (SVH) ARE SUPERVISED BY THE EXECUTIVE COMMITTEE WHICH HAS POWER TO TRANSACT ALL REGULAR BUSINESS OF SVH DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD OF DIRECTORS. The Executive Committee consists of SVH's Chair who shall serve as chair of the committee, the Chair of the Finance and Planning Committee, the Chief Operating Officer of the General Member (if this position is occupied) and two (2) additional Directors. If the position of the Chief Operating Officer of the General Member is not occupied, then the President and CEO of the General Member may appoint either a Designated Director or an Appointed Director as a member. AT LEAST ONE COMMITTEE MEMBER IS A PHYSICIAN DIRECTOR. FORM 990, PART VI, SECTION A, LINES 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, SECTION A, 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 OR ANY 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. N. ANY SELF-DEALING TRANSACTION BETWEEN A DIRECTOR OF THE CORPORATION AND THE CORPORATION OR A SUBSIDIARY OF THE CORPORATION; OR O. REHIRING, CONTRACTING WITH, OR OTHERWISE COMPENSATING A SUTTER HEALTH EXECUTIVE, OR ANY OFFICER OR MEMBER OF MANAGEMENT OF THE CORPORATION OR ANY AFFILIATED ENTITY AFTER THEIR EMPLOYMENT HAS ENDED. 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. ACTIVITY REQUIRING APPROVAL. ACTIVITY REQUIRING APPROVAL. FORM 990, PART VI, SECTION B, 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, SECTION B, 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, SECTION B, LINES 15A & 15B PROCESS FOR DETERMINING COMPENSATION: 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 2023 EXECUTIVE COMPENSATION APPROVAL WAS COMPLETED IN MAY 2023. FORM 990, PART VI, SECTION C, 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 COMPENSATION OF BOARD MEMBERS: 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. - MARK SEVCO - PETER HULL, MD - THERESA FREI - TODD SMITH, MD - WARNER THOMAS COMMON LAW EMPLOYEES: 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 BALANCES: K-1 ACTIVITY $ (33,954) PARTNERSHIP INCOME ON BOOKS $ 110,606 HEALTHCARE RELATED JV INCOME $ 391,455 EQUITY TRANSFERS (NET) $ (309,768,538) ---------------- TOTAL: $ (309,300,431) CALIFORNIA PACIFIC MEDICAL CTR FOUND C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 942728423 FUNDRAISING CA 501(C)(3) 7 SUTTER BH true EAST BAY PERINATAL CENTER C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 510172285 HEALTHCARE CA 501(C)(3) 3 SUTTER BH true MEMORIAL HOSPITAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 942290244 FUNDRAISING CA 501(C)(3) 12A - I SUTTER VH true MILLS-PENINSULA HOSPITAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 237288765 FUNDRAISING CA 501(C)(3) 7 SUTTER BH true SANSUM CLINIC C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 956419205 HEALTHCARE CA 501(C)(3) 3 SUTTER HLTH true SUTTER AUBURN FAITH HOSPITAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 942594966 FUNDRAISING CA 501(C)(3) 7 SUTTER VH true SUTTER BAY HOSPITALS C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 940562680 HOSPITAL CA 501(C)(3) 3 SUTTER HLTH true SUTTER BAY MEDICAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 941156581 HEALTHCARE CA 501(C)(3) 3 SUTTER HLTH true SUTTER COAST HOSPITAL C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 942988520 HOSPITAL CA 501(C)(3) 3 SUTTER HLTH true SUTTER DAVIS HOSPITAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 680217870 FUNDRAISING CA 501(C)(3) 7 SUTTER VH true SUTTER HEALTH 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 942788907 SUPPORTING OR CA 501(C)(3) 12C III-FI NA true SUTTER HEALTH PACIFIC 91-2301 FT WEAVER RD EWA BEACH HI 96706 990298651 HOSPITAL CA 501(C)(3) 3 SUTTER HLTH false SUTTER HEALTH PLAN C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 461183948 HEALTH PLAN CA 501(C)(4) N/A SUTTER HLTH true SUTTER INSURANCE SERVICES CORPORATION 745 FORT STREET SUITE 1100 HONOLULU HI 96813 990289310 INSURANCE SER HI 501(C)(3) 12C III-FI SUTTER HLTH true SUTTER MEDICAL CENTER FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 942788906 FUNDRAISING CA 501(C)(3) 7 SUTTER VH true SUTTER ROSEVILLE MEDICAL CTR FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 680040113 FUNDRAISING CA 501(C)(3) 7 SUTTER VH true Sutter Valley Medical Foundation C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 680273974 HEALTHCARE CA 501(C)(3) 3 SUTTER HLTH true Sutter Visiting Nurse Association and Ho C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 946068843 Healthcare CA 501(C)(3) 10 Sutter Hlth true Tracy Hospital Foundation C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 680318845 Fundraising CA 501(c)(3) 12A-I Sutter VH true SURGERY CENTER OF ALTA BATES SMC 3875 TELEGRAPH OAKLAND CA 94609 470946086 PATIENT CARE CA NA CALIFORNIA PACIFIC ADV IMAGING LLC PO BOX 6102 NOVATO CA 94598 562311840 PATIENT CARE DE NA SAN FRANCISCO ENDOSCOPY CENTER 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 912160588 PATIENT CARE CA NA SUTTER FAIRFIELD SURGERY CENTER LLC 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 300233892 PATIENT CARE CA NA SUTTER AMADOR SURGERY CENTER LLC 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 461398093 PATIENT CARE CA Sutter Hlth RELATED -465766 318014 false 0 false 0.34590 ROSEVILLE ENDOSCOPY CENTER 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 870710513 PATIENT CARE CA NA RELATED 861356 654488 false 0 false 0.11000 MEMORIAL MEDICAL BUILDING 1800 COFFEE RD 76 MODESTO CA 95355 770234236 OFFICE RENTAL CA Sutter VH RELATED 33954 1374022 false 0 true 0.79124 MAGNETIC IMAGING AFFILIATES LLC 2125 OAK GROVE ROAD WALNUT CREEK CA 94598 473696091 PATIENT CARE CA NA ASC OPERATORS - 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