STRATEGY STUDIO / PUBLIC DATA EXPLORER

PRIME HEALTHCARE FOUNDATION INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
PRIME HEALTHCARE FOUNDATION INC (EIN 20-8065139)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-14
IRS object ID
202423199349313557
Schema version
2023v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-11-14T15:17:02-06:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1695 TOWN CENTER DRIVE SUITE 1000AddressLine1Txt
CityCOSTA MESACityNm
State AbbreviationCAStateAbbreviationCd
ZIP92626ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN208065139EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PRIME HEALTHCARE FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPRIMBusinessNameControlTxt
Phone9092354400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13480 E GUASTI ROADAddressLine1Txt
CityONTARIOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91761ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEVE ALEMANPersonNm
Person TitleCFOPersonTitleTxt
Phone9092354400PhoneNum
Signature2024-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOHN W SADOFF JRPreparerPersonNm
PTINP00540589PTIN
Phone7144367100PhoneNum
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKAVITHA BHATHIA MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13480 E GUASTI ROADAddressLine1Txt
CityONTARIOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91761ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$855,419,709GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PRIMEHEALTHCARE.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2006FormationYr
Legal Domicile StateDELegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTHCARE THROUGH HOSPITAL SERVICES TO COMMUNITIES ACCROSS THE UNITED STATES.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee4931TotalEmployeeCnt
Total Volunteers82TotalVolunteersCnt
Total Gross UBI-$56,693TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$42,391,959PYContributionsGrantsAmt
CY Contributions Grants$9,231,573CYContributionsGrantsAmt
PY Program Service Revenue$807,182,150PYProgramServiceRevenueAmt
CY Program Service Revenue$732,963,508CYProgramServiceRevenueAmt
PY Investment Income$21,863,151PYInvestmentIncomeAmt
CY Investment Income$16,910,189CYInvestmentIncomeAmt
PY Other Revenue$7,082,947PYOtherRevenueAmt
CY Other Revenue$17,201,936CYOtherRevenueAmt
PY Total Revenue$878,520,207PYTotalRevenueAmt
CY Total Revenue$776,307,206CYTotalRevenueAmt
PY Grants And Similar Paid$55,798PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$115,386CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$368,381,750PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$393,016,593CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$540,034,714PYOtherExpensesAmt
CY Other Expenses$424,081,833CYOtherExpensesAmt
PY Total Expenses$908,472,262PYTotalExpensesAmt
CY Total Expenses$817,213,812CYTotalExpensesAmt
PY Revenues Less Expenses-$29,952,055PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$40,906,606CYRevenuesLessExpensesAmt
Total Assets BOY$2,028,549,202TotalAssetsBOYAmt
Total Assets EOY$1,847,681,418TotalAssetsEOYAmt
Total Liabilities BOY$1,280,183,897TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,042,833,297TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$748,365,305NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$804,848,121NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF THE PRIME HEALTHCARE FOUNDATION IS TO PROVIDE QUALITY, COMPASSIONATE HEALTHCARE FOR ALL, AND SERVE COMMUNITIES THROUGH CHARITABLE AND EDUCATIONAL INITIATIVES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$768,399,485ExpenseAmt
Grant$115,386GrantAmt
Revenue$740,273,588RevenueAmt
DescPRIME HEALTHCARE FOUNDATION, INC. OPERATES A TOTAL OF 25 ENTITIES, 10 OF WHICH ARE HOSPITALS, ALL CLASSIFIED AS DISREGARDED ENTITIES FOR FEDERAL TAX PURPOSES. THESE HOSPITALS AND ENTITIES INCLUDE BUCKS COUNTY INSURANCE CAPTIVE, COSHOCTON REGIONAL MEDICAL CENTER, ENCINO HOSPITAL MEDICAL CENTER, GLENDORA COMMUNITY HOSPITAL, HUNTINGTON BEACH HOSPITAL, LA PALMA INTERCOMMUNITY HOSPITAL, LAKE HURON CLINICS, LAKE SPIVEY AMBULATORY SURGERY CARE, LANDMARK MEDICAL CENTER (OPERATING A 214-BED ACUTE CARE HOSPITAL LOCATED IN WOONSOCKET, RHODE ISLAND THROUGH PRIME HEALTHCARE FOUNDATION - LANDMARK, LLC), LANDMARK PHYSICIAN OFFICE SERVICES, MONTCLAIR HOSPITAL MEDICAL CENTER, PAMPA REGIONAL MEDICAL CENTER, PRIME HEALTHCARE REAL ESTATE, LLC, PRIME HEALTHCARE FOUNDATION - EAST LIVERPOOL, PRIME HEALTHCARE FOUNDATION - MISSION, PRIME HEALTHCARE FOUNDATION - OCONEE, PRIME HEALTHCARE FOUNDATION - SALEM, REHABILITATION HOSPITAL OF RHODE ISLAND, RIVER VALLEY PHYSICIANS, SAINT MARY'S RENO FOUNDATION, SHERMAN OAKS HOSPITAL (OPERATING A 153-BED ACUTE CARE HOSPITAL LOCATED IN SHERMAN OAKS, CALIFORNIA THROUGH PRIME HEALTHCARE FOUNDATION - SHERMAN OAKS, LLC), SOUTHERN REGIONAL MEDICAL CENTER (OPERATING A 331-BED ACUTE CARE HOSPITAL LOCATED IN RIVERDALE, GEORGIA THROUGH PRIME HEALTHCARE FOUNDATION - SOUTHERN REGIONAL, LLC), SOUTHERN REGIONAL MEDICAL GROUP, SUBURBAN COMMUNITY HOSPITAL, AND SUBURBAN COMMUNITY MEDICAL GROUP.Desc
Total Program Service Expenses$768,399,485TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign OfficeYes (1)ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document1037IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee4931EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial AccountYes (1)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTHOMAS MALLAVARAPUPersonNm
Phone9092354400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13480 E GUASTI ROADAddressLine1Txt
CityONTARIOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91761ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (48 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
WILLIAM RUH
BOARD MEMBER1.001.00Yes (X)$4,000$0$0
EUGENE HERNANDEZ
BOARD MEMBER1.001.00Yes (X)$4,000$0$0
DAVID THORSON
BOARD MEMBER1.001.00Yes (X)$4,000$0$0
CATHERINE GREEN
BOARD MEMBER1.001.00Yes (X)$4,000$0$0
KAVITHA BHATIA MD
PRESIDENT/CHAIRMAN1.003.00Yes (X)$0$0$0Yes (X)
STEPHANIE D CONN
CEO-COSHOCTON REG. MED. CENTER40.000.00$276,867$0$51,937Yes (X)
GERARD D BREEN
CFO-COSHOCTON REG. MED. CENTER40.000.00$205,302$0$30,970Yes (X)
LISA J JACKSON
CNO-COSHOCTON REG. MED. CENTER40.000.00$171,902$0$36,304Yes (X)
EM V GARCIA
CEO-ENCINO HOSPITAL MED. CENTER40.000.00$395,270$0$30,693Yes (X)
PATRICIA S CODY
CNO-HBH40.000.00$214,731$0$17,777Yes (X)
ANDREW AGUSTIN
CNO-LPIH40.000.00$214,306$0$28,999Yes (X)
MICHAEL R SOUZA
CEO-LMC40.000.00$436,632$0$48,323Yes (X)
MARGARET M MACEK
CNO-LMC40.000.00$255,347$0$33,790Yes (X)
SCOTT BROWN
CFO-LMC40.000.00$233,662$0$57,074Yes (X)
GAIL F AVIADO
CEO-MHMC40.000.00$447,629$0$27,598Yes (X)
HAROLD WAY
CFO-MHMC40.000.00$368,821$0$56,781Yes (X)
JANAYA BEENE-EGGERT
CNO-MHMC40.000.00$171,057$0$23,626Yes (X)
JONATHAN S GILL
CEO-PRMC40.000.00$260,196$0$35,383Yes (X)
KRIS VIGIL
CNO-PRMC40.000.00$178,261$0$23,077Yes (X)
JAMES M BACON
CFO-PRMC (END 4/23)40.000.00$68,311$0$8,158Yes (X)
RICHARD JACK D PIERCE
CFO-PRMC (END 9/23)40.000.00$32,696$0$523Yes (X)
LEE H HOLTER
CFO-PRMC (AS OF 11/23)40.000.00$20,194$0$0Yes (X)
ROLAND SANTOS
CNO-SOH40.000.00$283,690$0$51,033Yes (X)
ELA C LENA
CEO-SRMC40.000.00$382,021$0$21,420Yes (X)
MICHAEL DAVIS
CFO-SRMC (AS OF 2/23)40.002.00$48,868$23,181$21,542Yes (X)
JACQUELINE PESTER-BABCOCK
CNO-SCH40.000.00$264,558$0$41,469Yes (X)
JAMES HAZLETT
CNO-SCH40.000.00$187,525$0$27,145Yes (X)
STEVE ALEMAN
CFO1.008.00$0$0$0Yes (X)
ABRAHAM JOEL RICHLIN
SECRETARY (END 7/23)1.003.00$0$0$0Yes (X)
MADAN REDDY
TREASURER1.000.00$0$0$0Yes (X)
CHRISTINE M DINAN
REG. DIR. OF HR-COSHOCTON REG. MED. CENTER40.000.00$199,860$0$21,951Yes (X)
RAQUEL ROMERO
MEDICAL STAFF DIR.-HBH40.000.00$165,576$0$29,480Yes (X)
ROSANNE K MAEHARA
NURSING DIR.-LPIH40.000.00$170,060$0$30,805Yes (X)
GLENN FORT
GME PROGRAM DIRECTOR-LMC30.000.00$249,811$0$24,273Yes (X)
ERIC LACHANCE
REG. RADIOLOGY/CARDIOLOGY DIR.-LMC40.000.00$186,185$0$44,467Yes (X)
VICTORIA REIS SAVARD
NURSING DIR.-LMC40.000.00$155,220$0$36,657Yes (X)
CLAUDIA FOTZEU TOUKAM
GME PROGRAM DIRECTOR-SRMC40.000.00$282,334$0$15,517Yes (X)
JANIE HINTON
NURSING DIR.-SRMC40.000.00$235,176$0$51,692Yes (X)
DARRA EDWARDS
340B PROGRAM DIRECTOR-SRMC40.000.00$189,544$0$50,698Yes (X)
CHRISTINE EMMANUEL
NURSING DIR.-SRMC40.000.00$163,416$0$24,228Yes (X)
MIRIAM HOGAN
DEPUTY GENERAL COUNSEL-SCH40.000.00$317,297$0$35,165Yes (X)
SHAILY PATEL
REG. DATA QUALITY DIR.-SCH40.000.00$188,960$0$32,716Yes (X)
KEVIN CARRION
DIR. OF HR-SCH40.000.00$155,150$0$40,707Yes (X)
AHMED NADEEM
PHYSICIAN-LMC40.000.00$617,050$0$50,597Yes (X)
WAJAHAT FAHEEM
PHYSICIAN-LMC40.000.00$561,481$0$53,123Yes (X)
BETHANY WORTMAN
PHYSICIAN-LMC40.000.00$559,537$0$40,247Yes (X)
JAMES DALLIS
PHYSICIAN-SRMC40.000.00$494,244$0$53,755Yes (X)
HISHAM KHADR
PHYSICIAN-SUBURBAN36.000.00$613,505$0$55,897Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$10,638,252TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$23,181TotReportableCompRltdOrgAmt
Total Other Compensation$1,365,597TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K563IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
PRIME HEALTHCARE MANAGEMENT INC
3480 E GUASTI ROADONTARIOCA91761MANAGEMENT SERVICES$61,236,148
HALLMARK HEALTH CARE SOLUTIONS INC
200 MOTOR PKWYHAUPPAUGENY11788REGISTRY NURSING SERVICES$14,687,608
E W BURMAN
33 VERMONT AVEWARWICKRI02888CONSTRUCTION SERVICES$3,457,083
DPI MANAGEMENT COMPANY LLC
8946 INTERLINE AVEBATON ROUGELA70809ANESTHESIA SERVICES$3,022,158
SOUTH PACIFIC REHABILITATION SERVICES
16030 VENTURA BLVD 450ENCINOCA91436THERAPY SERVICES$2,265,987
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K151CntrctRcvdGreaterThan100KCnt
Government Grants$9,182,607GovernmentGrantsAmt
All Other Contributions$48,966AllOtherContributionsAmt
Total Contributions$9,231,573TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REV.Desc
Business622110BusinessCd
Total Revenue Column$732,963,508TotalRevenueColumnAmt
Related Or Exempt Func Income$732,963,508RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$732,963,508TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,253,460TotalRevenueColumnAmt
Exclusion$18,253,460ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$10,702,099RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$753,550RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$9,948,549RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,948,549TotalRevenueColumnAmt
Exclusion$9,948,549ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$76,422,656SecuritiesAmt
Other$593,026OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$76,843,360SecuritiesAmt
Other$1,515,593OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$420,704SecuritiesAmt
Other-$922,567OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,343,271TotalRevenueColumnAmt
Exclusion-$1,343,271ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OTHER HEALTH PROFESSIO900099$6,223,880$6,223,880
OTHER NON-OPERATING RE900099$1,077,767$1,077,767
INSURANCE PREMIUM REVE900099$8,433$8,433

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column-$56,693TotalRevenueColumnAmt
Unrelated Business Revenue-$56,693UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$7,253,387OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$776,307,206TotalRevenueColumnAmt
Related Or Exempt Func Income$740,273,588RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$56,693UnrelatedBusinessRevenueAmt
Exclusion$26,858,738ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$115,386TotalAmt
Program Services$115,386ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$8,294,681TotalAmt
Program Services$8,294,681ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$310,350,696TotalAmt
Program Services$310,350,696ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,238,065TotalAmt
Program Services$3,238,065ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$47,142,266TotalAmt
Program Services$47,142,266ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$23,990,885TotalAmt
Program Services$23,990,885ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$40,956,813TotalAmt
Program Services$32,765,450ProgramServicesAmt
Management And General$8,191,363ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$6,871,470TotalAmt
Program Services$5,497,177ProgramServicesAmt
Management And General$1,374,293ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$927,425TotalAmt
Management And General$927,425ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$86,264TotalAmt
Management And General$86,264ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$99,316,683TotalAmt
Program Services$98,458,543ProgramServicesAmt
Management And General$858,140ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$946,604TotalAmt
Program Services$946,604ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,683,340TotalAmt
Program Services$3,683,340ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$654,840TotalAmt
Program Services$654,840ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$24,379,335TotalAmt
Program Services$24,354,454ProgramServicesAmt
Management And General$24,881ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$327,667TotalAmt
Program Services$327,667ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$238,791TotalAmt
Program Services$238,791ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$22,780,796TotalAmt
Program Services$1,283,469ProgramServicesAmt
Management And General$21,497,327ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$29,732,755TotalAmt
Program Services$29,698,992ProgramServicesAmt
Management And General$33,763ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$33,728,467TotalAmt
Program Services$19,590,871ProgramServicesAmt
Management And General$14,137,596ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$61,426,059$61,426,059$0
TAXES AND LICENSES$52,833,235$52,813,080$20,155
REGISTRY$16,687,482$16,687,482$0
OTHER OPERATING EXPENSE$10,009,744$9,397,263$612,481

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$18,494,063TotalAmt
Program Services$17,443,424ProgramServicesAmt
Management And General$1,050,639ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$817,213,812TotalAmt
Program Services$768,399,485ProgramServicesAmt
Management And General$48,814,327ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
EOY$8EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$101,763,917BOYAmt
EOY$59,161,569EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY-$96,950BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$199,061,917BOYAmt
EOY$185,016,381EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$13,773,410BOYAmt
EOY$12,503,713EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,890,075BOYAmt
EOY$3,504,609EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$616,827,370LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$320,933,086LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$305,403,662BOYAmt
EOY$295,894,284EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$571,458,565BOYAmt
EOY$682,854,846EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$146,259,573BOYAmt
EOY$146,488,855EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$3,560,669BOYAmt
EOY$3,169,335EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$683,474,364BOYAmt
EOY$459,087,818EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,028,549,202BOYAmt
EOY$1,847,681,418EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$110,898,294BOYAmt
EOY$148,692,839EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,544,826BOYAmt
EOY$970,484EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$246,082,385BOYAmt
EOY$243,903,348EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$4,189,242BOYAmt
EOY$3,365,789EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$916,469,150BOYAmt
EOY$645,900,837EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,280,183,897BOYAmt
EOY$1,042,833,297EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$745,297,855BOYAmt
EOY$801,780,671EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,067,450BOYAmt
EOY$3,067,450EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$748,365,305BOYAmt
EOY$804,848,121EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,028,549,202BOYAmt
EOY$1,847,681,418EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$40,906,606ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$97,389,422NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$86,264OtherActivitiesAmt
Total Lobbying Expenditures$86,264TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationPRIME HEALTHCARE FOUNDATION BELONGS TO CERTAIN TRADE ASSOCIATIONS IN WHICH A PORTION OF DUES PAID TO THESE ORGANIZATIONS IS SPENT ON EFFORTS TO INFLUENCE LEGISLATIVE MATTERS IN THE HEALTH CARE INDUSTRY. DURING 2023, PRIME HEALTHCARE FOUNDATION PAID APPROXIMATELY $458,947 TO THESE TRADE ASSOCIATIONS AND THE APPROXIMATE AMOUNT OF DUES SPENT ON LOBBYING PURPOSES WAS $86,264.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$63,697,998OtherCostOrOtherBasisAmt
Book Value$63,697,998BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$341,573,334OtherCostOrOtherBasisAmt
Depreciation$158,359,565DepreciationAmt
Book Value$183,213,769BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$420,144OtherCostOrOtherBasisAmt
Depreciation$302,934DepreciationAmt
Book Value$117,210BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$196,409,525OtherCostOrOtherBasisAmt
Depreciation$148,470,115DepreciationAmt
Book Value$47,939,410BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,726,369OtherCostOrOtherBasisAmt
Depreciation$13,800,472DepreciationAmt
Book Value$925,897BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$295,894,284TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENT IN REAL ESTATE$139,127,543C
INVESTMENT IN EQUITY METHOD$7,361,312C
FieldValueIRS element (for citing)
Total Book Value Securities$146,488,855TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (9 entries)

DescDescBook ValueBookValueAmt
ASSETS WHOSE USE IS LIMITED$2,561,286
BOND PROJECT FUND$19,123,181
CONSTRUCTION IN PROGRESS$20,459,437
DUE FROM RELATED PARTIES$334,806,089
DUE FROM AFFILIATES$62,751,420
RIGHT-OF-USE ASSETS - OPERATING$8,671,732
OTHER ASSETS$64,906
OTHER CURRENT ASSETS$998,820
ESTIMATED SETTLEMENTS WITH THIRD PARTIES$9,650,947
FieldValueIRS element (for citing)
Total Book Value Other Assets$459,087,818TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (11 entries)

DescDescAmtAmt
CAPITAL LEASES$258
DUE TO RELATED PARTIES$429,987,297
OTHER CURRENT LIABILITIES$2,040,147
OTHER LIABILITIES$3,365,512
LONG-TERM PORTION OF OPERATING LEASE LIABILITY$7,286,206
LONG-TERM PORTION OF FINANCING LEASE LIABILITY$13,315,094
CURRENT PORTION OF OPERATING LEASE LIABILITY$1,467,762
CURRENT PORTION OF FINANCING LEASE LIABILITY$7,610,598
LONG-TERM PORTION OF RELATED PARTY PAYABLES$42,392
MALPRACTICE AND WORKERS' COMP RESERVES LONG-TERM$80,073,941
STATE FEE PROGRAMS PAYABLE$100,711,630
FieldValueIRS element (for citing)
Total Liability$645,900,837TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE LITERATURE RELATED TO UNCERTAIN TAX POSITIONS PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR ACCOUNTING FOR UNCERTAIN TAX POSITIONS AND ALSO PROVIDES GUIDANCE ON VARIOUS RELATED MATTERS SUCH AS DE-RECOGNITION, INTEREST, PENALTIES, AND DISCLOSURES REQUIRED. THE COMPANY DOES NOT HAVE ANY ENTITY-LEVEL UNCERTAIN TAX POSITIONS.ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,RegionTxt
Offices0OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedPROGRAM SERVICESTypeOfActivitiesConductedTxt
Specific Services ProvidedSELF-INS. TO HOSPITALSSpecificServicesProvidedTxt
Region Total Expenditures$26,304,793RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$26,304,793SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$26,304,793TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
Indiv Hospital Tailored PolicyYes (X)IndivHospitalTailoredPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other400.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other450.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance Budget0FinancialAssistanceBudgetInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$38,348,372TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,482,777DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,865,595NetCommunityBenefitExpnsAmt
Total Expense0.01210TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$185,934,307TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$108,612,645DirectOffsettingRevenueAmt
Net Community Benefit Expns$77,321,662NetCommunityBenefitExpnsAmt
Total Expense0.09460TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$255,121TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$255,121NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$224,537,800TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$137,095,422DirectOffsettingRevenueAmt
Net Community Benefit Expns$87,442,378NetCommunityBenefitExpnsAmt
Total Expense0.10700TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$411,137TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$411,137NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,488,037TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,955,715DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,532,322NetCommunityBenefitExpnsAmt
Total Expense0.00190TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$28,199,455TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$45,450,243DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$32,098,629TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$47,405,958DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,943,459NetCommunityBenefitExpnsAmt
Total Expense0.00240TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$256,636,429TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$184,501,380DirectOffsettingRevenueAmt
Net Community Benefit Expns$89,385,837NetCommunityBenefitExpnsAmt
Total Expense0.10940TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,806TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$13,806NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,000NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$26,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$26,500NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,650TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,650NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$47,956TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$47,956NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$133,566,588BadDebtExpenseAmt
Bad Debt Expense Attributable$95,491,044BadDebtExpenseAttributableAmt
Reimbursed By Medicare$212,386,899ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$254,327,614CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$41,940,715MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities10HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (10 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndTeaching HospitalTeachingHospitalIndOtherOtherDesc
SOUTHERN REGIONAL MEDICAL CENTER
111 UPPER RIVERDALE ROAD SWRIVERDALEGA30274WWW.SOUTHERNREGIONAL.ORG031-710Yes (X)Yes (X)Yes (X)
LANDMARK MEDICAL CENTER
2115 CASS AVENUEWOONSOCKETRI02895WWW.LANDMARKMEDICAL.ORGHOS00134Yes (X)Yes (X)Yes (X)
SHERMAN OAKS HOSPITAL
34929 VAN NUYS BOULEVARDSHERMAN OAKSCA91403WWW.SHERMANOAKSHOSPITAL.ORG930000149Yes (X)Yes (X)Yes (X)
MONTCLAIR HOSPITAL MEDICAL CENTER
45000 SAN BERNARDINO STREETMONTCLAIRCA91763WWW.MONTCLAIR-HOSPITAL.ORG240000141Yes (X)Yes (X)Yes (X)
HUNTINGTON BEACH HOSPITAL
517772 BEACH BOULEVARDHUNTINGTON BEACHCA92647WWW.HBHOSPITAL.ORG060000124Yes (X)Yes (X)Yes (X)
LA PALMA INTERCOMMUNITY HOSPITAL
67901 WALKER STREETLA PALMACA90623WWW.LAPALMAINTERCOMMUNITYHOSPITAL.COM060000136Yes (X)Yes (X)Yes (X)
ENCINO HOSPITAL MEDICAL CENTER
716237 VENTURA BOULEVARDENCINOCA91436WWW.ENCINOMED.ORG930000051Yes (X)Yes (X)Yes (X)
COSHOCTON REGIONAL MEDICAL CENTER
81460 ORANGE STREETCOSHOCTONOH43812WWW.COSHOCTONHOSPITAL.ORG1129Yes (X)Yes (X)Yes (X)
SUBURBAN COMMUNITY HOSPITAL
92701 DEKALB PIKEEAST NORRITONPA19401WWW.SUBURBANHOSP.ORG197201Yes (X)
PAMPA REGIONAL MEDICAL CENTER
10ONE MEDICAL PLAZAPAMPATX79065WWW.PRMCTX.COM100154Yes (X)Yes (X)Yes (X)PSYCHIATRIC UNIT

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (10 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndPrior CHNA ImpactPriorCHNAImpactIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctAsset Level CriteriaAssetLevelCriteriaIndMedical Indigency CriteriaMedicalIndigencyCriteriaIndInsurance Status CriteriaInsuranceStatusCriteriaIndUnderinsurance Stat CriteriaUnderinsuranceStatCriteriaIndResidency CriteriaResidencyCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndNotified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayIndCommuntity Notified FAPCommuntityNotifiedFAPIndFAP TranslatedFAPTranslatedIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndProvided Written NoticeProvidedWrittenNoticeIndMade Effort Orally NotifyMadeEffortOrallyNotifyIndProcessed FAP ApplicationProcessedFAPApplicationIndMade Presumptive Elig DetermMadePresumptiveEligDetermIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndProspective Medicare MedicaidProspectiveMedicareMedicaidIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesIndIncome Level CriteriaIncomeLevelCriteriaIndForm4720 FiledForm4720FiledIndExcise Report Form4720 For AllExciseReportForm4720ForAllAmt
SOUTHERN REGIONAL MEDICAL CENTER
100Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)22Yes (1)00Yes (1)Yes (X)SEE PART V, PAGE 8Yes (X)Yes (1)22Yes (1)SEE PART V, PAGE 80Yes (1)Yes (X)125.000000000000300.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)HTTPS://SOUTHERNREGIONAL.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/Yes (X)HTTPS://SOUTHERNREGIONAL.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/Yes (X)HTTPS://SOUTHERNREGIONAL.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00
LANDMARK MEDICAL CENTER
200Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)22Yes (1)Yes (1)Yes (1)Yes (1)Yes (X)SEE PART V, PAGE 8Yes (X)Yes (1)22Yes (1)HTTPS://WWW.LANDMARKMEDICAL.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/0Yes (1)Yes (X)350.000000000000450.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)SEE PART V, PAGE 8Yes (X)SEE PART V, PAGE 8Yes (X)SEE PART V, PAGE 8Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00
SHERMAN OAKS HOSPITAL
300Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)22Yes (1)Yes (1)0Yes (1)Yes (X)SEE PART V, PAGE 8Yes (X)Yes (1)22Yes (1)SEE PART V, PAGE 80Yes (1)Yes (X)400.000000000000450.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)HTTPS://SHERMANOAKSHOSPITAL.ORG/HELP-PAYING-YOUR-BILL/Yes (X)HTTPS://SHERMANOAKSHOSPITAL.ORG/HELP-PAYING-YOUR-BILL/Yes (X)HTTPS://SHERMANOAKSHOSPITAL.ORG/HELP-PAYING-YOUR-BILL/Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00
MONTCLAIR HOSPITAL MEDICAL CENTER
400Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)22Yes (1)Yes (1)Yes (1)Yes (1)Yes (X)HTTPS://MONTCLAIR-HOSPITAL.ORG/ABOUT-US/CHNA/Yes (X)Yes (1)22Yes (1)HTTPS://MONTCLAIR-HOSPITAL.ORG/ABOUT-US/CHNA/0Yes (1)Yes (X)400.000000000000450.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)HTTPS://MONTCLAIR-HOSPITAL.ORG/HELP-PAYING-YOUR-BILL/Yes (X)HTTPS://MONTCLAIR-HOSPITAL.ORG/HELP-PAYING-YOUR-BILL/Yes (X)HTTPS://MONTCLAIR-HOSPITAL.ORG/HELP-PAYING-YOUR-BILL/Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00
HUNTINGTON BEACH HOSPITAL
500Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)21Yes (1)Yes (1)0Yes (1)Yes (X)HTTPS://HBHOSPITAL.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/Yes (X)Yes (1)21Yes (1)HTTPS://HBHOSPITAL.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/0Yes (1)Yes (X)400.000000000000450.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)HTTPS://HBHOSPITAL.ORG/HELP-PAYING-YOUR-BILL/Yes (X)HTTPS://HBHOSPITAL.ORG/HELP-PAYING-YOUR-BILL/Yes (X)HTTPS://HBHOSPITAL.ORG/HELP-PAYING-YOUR-BILL/Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00Yes (X)
LA PALMA INTERCOMMUNITY HOSPITAL
600Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)21Yes (1)Yes (1)0Yes (1)Yes (X)SEE PART V, PAGE 8Yes (X)Yes (1)21Yes (1)SEE PART V, PAGE 80Yes (1)Yes (X)400.000000000000450.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)SEE PART V, PAGE 8Yes (X)SEE PART V, PAGE 8Yes (X)SEE PART V, PAGE 8Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00
ENCINO HOSPITAL MEDICAL CENTER
700Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)22Yes (1)Yes (1)0Yes (1)Yes (X)HTTPS://ENCINOMED.ORG/ABOUT-US/COMMUNITY-BENEFITS/Yes (X)Yes (1)22Yes (1)HTTPS://ENCINOMED.ORG/ABOUT-US/COMMUNITY-BENEFITS/0Yes (1)Yes (X)400.000000000000450.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)HTTPS://ENCINOMED.ORG/HELP-PAYING-YOUR-BILL/Yes (X)HTTPS://ENCINOMED.ORG/HELP-PAYING-YOUR-BILL/Yes (X)HTTPS://ENCINOMED.ORG/HELP-PAYING-YOUR-BILL/Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00
COSHOCTON REGIONAL MEDICAL CENTER
800Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)22Yes (1)00Yes (1)Yes (X)SEE PART V, PAGE 8Yes (X)Yes (1)22Yes (1)SEE PART V, PAGE 80Yes (1)Yes (X)350.000000000000450.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)HTTPS://COSHOCTONHOSPITAL.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/Yes (X)HTTPS://COSHOCTONHOSPITAL.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/Yes (X)HTTPS://COSHOCTONHOSPITAL.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00
SUBURBAN COMMUNITY HOSPITAL
900Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)23Yes (1)00Yes (1)Yes (X)SEE PART V, PAGE 8Yes (X)Yes (1)23Yes (1)WWW.SUBURBANHOSP.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/0Yes (1)Yes (X)350.000000000000450.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)HTTPS://WWW.SUBURBANHOSP.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/Yes (X)HTTPS://WWW.SUBURBANHOSP.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/Yes (X)HTTPS://WWW.SUBURBANHOSP.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00
PAMPA REGIONAL MEDICAL CENTER
1000Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)21Yes (1)00Yes (1)Yes (X)SEE PART V, PAGE 8Yes (X)0Yes (1)Yes (1)Yes (X)200.000000000000450.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)HTTPS://WWW.PRMCTX.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/Yes (X)HTTPS://WWW.PRMCTX.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/Yes (X)HTTPS://WWW.PRMCTX.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00Yes (1)$50,000

Supplemental Information SupplementalInformationGrp (52 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SOUTHERN REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 5: THE FY2022 CHNA FOR SOUTHERN REGIONAL MEDICAL CENTER WAS LED BY THE HOSPITAL STEERING COMMITTEE, COMPRISED OF SENIOR LEADERSHIP, AND THE CHNA KEY STAKEHOLDERS COMMITTEE. COMMUNITY INPUT PLAYED AN INTEGRAL ROLE IN THE FY2022 CHNA. THE CHNA KEY STAKEHOLDERS COMMITTEE WAS COMPRISED OF COMMUNITY LEADERS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITIES SERVED BY SOUTHERN REGIONAL MEDICAL CENTER. THEY PROVIDED SPECIALIZED KNOWLEDGE OF OVERALL COMMUNITY NEEDS AND CHALLENGES, PUBLIC HEALTH ISSUES, AND INSIGHT INTO THE UNDERSERVED, HARD-TO-REACH, AND VULNERABLE POPULATIONS. THEY REVIEWED AND ASSESSED THE COMPILED DATA AND RESULTS OF THE CHNA COMMUNITY SURVEY, ASSESSED NEEDS OF THE COMMUNITY, AND REVIEWED THE AVAILABILITY OF COMMUNITY RESOURCES. THEIR INPUT DETERMINED THE PRIORITIZATION OF THE HEALTH NEEDS OF THE COMMUNITY. SOUTHERN REGIONAL MEDICAL CENTER SOUGHT TO ENGAGE KEY STAKEHOLDERS WHO EITHER HAD A SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH, WERE AFFILIATED WITH LOCAL GOVERNMENT AND SCHOOLS, OR THEIR INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS AND TO REPRESENT THE BROADER COMMUNITY. KEY STAKEHOLDERS FROM THE COMMUNITY REPRESENTED THE FOLLOWING TYPES OF ORGANIZATIONS AND AGENCIES:- LOCAL, COUNTY, AND STATE GOVERNMENT- MEDICAL PROVIDERS- COMMUNITY, BUSINESS, AND RELIGIOUS LEADERSA CHNA SURVEY WAS CONDUCTED BETWEEN JULY 15 TO OCTOBER 1, 2021 AND OFFERED TO SOUTHERN REGIONAL MEDICAL CENTER PATIENTS AND VISITORS, AS WELL AS ACCESSIBLE ONLINE, TO ASSESS THE HEALTHCARE NEEDS AND DESIRES OF THE COMMUNITY. SOUTHERN REGIONAL MEDICAL CENTER STAFF MEMBERS WERE ALSO RANDOMLY SELECTED TO RESPOND TO SURVEY QUESTIONS VIA INDIVIDUAL INTERVIEWS. PARTICIPANTS IN BOTH SURVEYS AND INTERVIEWS PROVIDED INPUT ON THE FOLLOWING ISSUES: - TOP HEALTH CHALLENGES SUCH AS HIGH BLOOD PRESSURE, JOINT AND BACK PAIN, OBESITY, DIABETES, MENTAL HEALTH ISSUES, AND HEART DISEASE. - ISSUES THAT PREVENT ACCESS TO CARE SUCH AS NO INSURANCE, LACK OF ABILITY TO PAY, LANGUAGE BARRIERS, TRANSPORTATION, ETC. - RESOURCES THAT WOULD IMPROVE THE HEALTH OF THE COMMUNITY SUCH AS FREE OR AFFORDABLE HEALTH SCREENINGS, HEALTHIER FOOD, WELLNESS SERVICES, SAFE PLACES TO WORK AND PLAY, MENTAL HEALTH SERVICES, JOB OPPORTUNITIES, AND RECREATION FACILITIES. - HEALTH SCREENINGS AND SERVICES NEEDED.
LANDMARK MEDICAL CENTERPART V, SECTION B, LINE 5: THE FY2022 CHNA FOR LANDMARK MEDICAL CENTER WAS CONDUCTED FROM JULY 2021 TO MAY 2022 AS PART OF A STATEWIDE CHNA WITH THE HOSPITAL ASSOCIATION OF RHODE ISLAND (HARI) AND INCLUDED QUANTITATIVE AND QUALITATIVE RESEARCH METHODS TO DETERMINE HEALTH TRENDS AND DISPARITIES AFFECTING SERVICE AREA RESIDENTS. THROUGH AN ANALYSIS OF PUBLIC HEALTH STATISTICS, DEMOGRAPHIC AND SOCIAL MEASURES, AND HEALTHCARE UTILIZATION AS WELL AS KEY INFORMANT SURVEYS AND INTERVIEWS, A PROFILE OF COMMUNITY HEALTH PRIORITIES WAS DETERMINED. THE FINDINGS OF THIS CHNA WILL IDENTIFY COMMON AND UNIQUE CHALLENGES ACROSS RHODE ISLAND TO INFORM COMMUNITY HEALTH INITIATIVES AND ULTIMATELY ADVANCE HEALTH EQUITY FOR ALL RESIDENTS.COMMUNITY INPUT PLAYED AN INTEGRAL ROLE IN THE FY2022 CHNA. TO ASSESS AND RESPOND TO COMMUNITY HEALTH NEEDS, INPUT WAS SOLICITED AND RECEIVED BY REPRESENTATIVES FROM THE RHODE ISLAND DEPARTMENT OF HEALTH, THE HEALTH EQUITY ZONES (HEZ) - A COLLABORATION OF LOCAL ORGANIZATIONS, BUSINESSES, CITY LEADERS, COALITIONS, AND RESIDENTS THAT TAKES ACTION TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR ALL PEOPLE IN THE SERVICE AREA, HEALTH AND SOCIAL SERVICE PROVIDERS, ADVOCACY AGENCIES, AND OTHER COMMUNITY PARTNERS. THESE INDIVIDUALS PROVIDED WIDE PERSPECTIVES ON HEALTH TRENDS, EXPERTISE ABOUT EXISTING COMMUNITY RESOURCES AVAILABLE TO MEET THOSE NEEDS, AND INSIGHTS INTO SERVICE DELIVERY GAPS THAT CONTRIBUTE TO HEALTH DISPARITIES.
SHERMAN OAKS HOSPITALPART V, SECTION B, LINE 5: ENCINO HOSPITAL MEDICAL CENTER AND SHERMAN OAKS HOSPITAL CONTRACTED KEYGROUP TO OVERSEE THE PROCESS OF DEVELOPING THE FY2022 CHNA TO DIRECTLY ADDRESS HEALTHCARE NEEDS IN THE PRIMARY SERVICE AREA. THROUGH BOTH QUANTITATIVE AND QUALITATIVE RESEARCH METHODS AND COMMUNITY STAKEHOLDER FEEDBACK, PRIORITY HEALTH NEEDS WERE DETERMINED. COMMUNITY INPUT PLAYED AN INTEGRAL ROLE IN THE FY2022 CHNA. IN ASSESSING AND DETERMINING THE PRIORITY HEALTH NEEDS OF THE COMMUNITY, INPUT WAS SOLICITED AND RECEIVED FROM KEY STAKEHOLDERS WHO ARE COMMUNITY LEADERS AND REPRESENTATIVES OF AREA HEALTH AGENCIES, SOCIAL SERVICE PROVIDERS, AND LOCAL GOVERNMENT ORGANIZATIONS. KEYGROUP CONDUCTED FOCUS GROUPS WITH PATIENTS, SOCIAL SERVICE AGENCIES, LAW ENFORCEMENT, POST-ACUTE CARE PROVIDERS, SCHOOL STAFFS, COMMUNITY MEMBERS, LEADERS, AND SERVICE PROVIDERS WHO ARE KNOWLEDGEABLE ABOUT THE HEALTH NEEDS OF THE COMMUNITY, REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, OR ARE PUBLIC HEALTH EXPERTS. IN ADDITION, 203 WRITTEN SURVEYS WERE ADMINISTERED BY KEYGROUP AND THE HOSPITALS. MOST OF THE SURVEYS WERE SOLICITED FROM SHOPPERS IN THE BUSINESS DISTRICTS SURROUNDING THE HOSPITALS, WHILE OTHERS CAME FROM MEETINGS OF CIVIC GROUPS, CHURCHES, PATIENTS OF THE HOSPITALS, AND OTHER COMMUNITY ORGANIZATIONS. INPUT WAS GATHERED FROM THE FOCUS GROUP AND COMMUNITY SURVEYS TO COLLECT PARTICIPANTS' VIEWS ON HEALTHCARE-RELATED PROBLEMS IN THE COMMUNITY SUCH AS THEIR OPINIONS ON HEALTH STATUS, HEALTH NEEDS AND EXISTING OPTIONS FOR HEALTHCARE SERVICES.PARTICIPANTS PROVIDED INPUT ON THE FOLLOWING ISSUES: - MOST COMMON HEALTH PROBLEMS IN THE COMMUNITY.- MOST COMMON RISK FACTORS IN THE COMMUNITY. - PERCEPTION OF ENCINO HOSPITAL MEDICAL CENTER AND SHERMAN OAKS HOSPITAL AND WHAT THEY CAN DO TO BETTER PROMOTE GOOD HEALTH.
MONTCLAIR HOSPITAL MEDICAL CENTERPART V, SECTION B, LINE 5: THE FY2022 CHNA FOR MONTCLAIR HOSPITAL MEDICAL CENTER WAS CONDUCTED AS PART OF THE INLAND EMPIRE COMMUNITY HEALTH NEEDS ASSESSMENT. THROUGH BOTH QUANTITATIVE AND QUALITATIVE RESEARCH METHODS AND COMMUNITY STAKEHOLDER FEEDBACK, PRIORITY HEALTH NEEDS WERE DETERMINED. COMMUNITY INPUT PLAYED AN INTEGRAL ROLE IN THE FY2022 CHNA. THE 2022 INLAND EMPIRE CHNA STAKEHOLDER COMMITTEE REPRESENTED MANY KEY PUBLIC HEALTH, HEALTHCARE DELIVERY SYSTEMS, AND COMMUNITY PARTNERS IN THE INLAND EMPIRE REGION OF SOUTHERN CALIFORNIA. STAKEHOLDERS WERE INTENTIONALLY SELECTED TO REPRESENT ORGANIZATIONS THAT WORK WITH VULNERABLE POPULATIONS IN THE REGION. THE CHNA STAKEHOLDERS IDENTIFIED NINE KEY INFORMANTS WHO WERE INTERVIEWED INDIVIDUALLY IN PERSON OR BY TELEPHONE IN MARCH, APRIL, AND MAY 2022. THE INFORMANTS REPRESENTED COMMUNITY, CIVIC, AND GOVERNMENT LEADERS IN THE PRIMARY SERVICE AREA. THEY WERE ASKED TO PROVIDE THEIR INPUT ON KEY HEALTH NEEDS, SOCIAL FACTORS, AND COMMUNITY CONDITIONS THAT AFFECT HEALTH AS WELL AS COMMUNITY ASSETS THAT COULD BE USED TO ADDRESS THESE ISSUES. EIGHT LISTENING SESSIONS AT MULTIPLE LOCATIONS THROUGHOUT THE PRIMARY SERVICE AREA WERE ALSO CONDUCTED TO GAIN INSIGHTS FROM DIVERSE COMMUNITIES ON REGIONAL HEALTH PRIORITIES. INTERVIEWEES AT THESE LISTENING SESSIONS REPRESENTED IMMIGRANTS, YOUTH, WORKING-CLASS COMMUNITY MEMBERS AND INDIVIDUALS WHO IDENTIFIED AS BIPOC (BLACK, INDIGENOUS, AND PEOPLE OF COLOR). THESE INDIVIDUALS WERE ASKED TO PROVIDE THEIR INPUT ON HEALTH, ENVIRONMENTAL, AND COMMUNITY THEMES.
HUNTINGTON BEACH HOSPITALPART V, SECTION B, LINE 5: THE FY2021 CHNA FOR HUNTINGTON BEACH HOSPITAL AND LA PALMA INTERCOMMUNITY HOSPITAL USED SYSTEMATIC, COMPREHENSIVE DATA COLLECTION AND ANALYSIS TO DEFINE PRIORITIES FOR HEALTH IMPROVEMENT, CREATED A COLLABORATIVE COMMUNITY ENVIRONMENT TO ENGAGE STAKEHOLDERS, AND AN OPEN AND TRANSPARENT PROCESS TO LISTEN AND TRULY UNDERSTAND THE HEALTH NEEDS OF ORANGE COUNTY, CALIFORNIA.THE HOSPITAL FACILITIES CONCENTRATED THEIR EFFORTS ON GATHERING QUALITATIVE PRIMARY DATA THROUGH A SERIES OF CONTACTS WITH KEY STAKEHOLDERS THAT REPRESENT THE COMMUNITY THEY ARE A PART OF, INCLUDING GOVERNMENT REPRESENTATIVES, PUBLIC HEALTH REPRESENTATIVES, HEALTHCARE PROVIDERS, COMMUNITY SERVICE PROVIDERS, AND MINORITY GROUP LEADERS. AS WELL, SECONDARY PUBLIC HEALTH SOURCES WERE UTILIZED TO GATHER DATA ON ORANGE COUNTY, CALIFORNIA, AND THE UNITED STATES AS A WHOLE. PUBLIC HEALTH DATA INCLUDED DEATH STATISTICS, COUNTY HEALTH RANKINGS, AND CANCER INCIDENCE. IN ADDITION, DEMOGRAPHICS AND SOCIOECONOMICS (POPULATION, POVERTY, UNINSURED, UNEMPLOYMENT), ALONG WITH PSYCHOGRAPHICS (BEHAVIOR MEASURED BY SPENDING AND MEDIA PREFERENCES) WERE ALSO UTILIZED IN THIS PROCESS.COMMUNITY MEMBERS PARTICIPATED IN FOCUS GROUPS AND INDIVIDUAL INTERVIEWS FOR THEIR PERSPECTIVES ON COMMUNITY HEALTH NEEDS AND ISSUES. FURTHERMORE, THERE WAS A COMMUNITY HEALTH SUMMIT CONDUCTED WITH COMMUNITY STAKEHOLDERS WHICH INCLUDED HEALTHCARE PROVIDERS, BUSINESS LEADERS, GOVERNMENT REPRESENTATIVES, SCHOOLS, NOT-FOR-PROFIT ORGANIZATIONS, EMPLOYERS, AND OTHER COMMUNITY MEMBERS.THE FOLLOWING ORGANIZATIONS CONTRIBUTED TO THE CHNA PROCESS AS COMMUNITY PARTNERS:24/7 CARE AT HOMEANAHEIM TERRACE SNFCITIZENCITY NETCITY OF HUNTINGTON BEACHCNI COLLEGECOMMUNITY ACTION PARTNERSHIP OF OCCOMMUNITY VOLUNTEER KIWANISGARDEN PARK CAREGG CHAMBER OF COMMERCEGOLDEN WEST COLLEGEHOME HEALTH & HOSPITAL, BEHAVIORAL HEALTHHUNTINGTON BEACH FIRE DEPARTMENTHUNTINGTON VALLEY HEALTH CARE CENTERMEMORIAL CAREPELICAN RIDGE SUMAKPRIME HEALTHCARETHE HILLS POST ACUTEWEST COAST UNIVERSITY
LA PALMA INTERCOMMUNITY HOSPITALPART V, SECTION B, LINE 5: THE FY2021 CHNA FOR HUNTINGTON BEACH HOSPITAL AND LA PALMA INTERCOMMUNITY HOSPITAL USED SYSTEMATIC, COMPREHENSIVE DATA COLLECTION AND ANALYSIS TO DEFINE PRIORITIES FOR HEALTH IMPROVEMENT, CREATED A COLLABORATIVE COMMUNITY ENVIRONMENT TO ENGAGE STAKEHOLDERS, AND AN OPEN AND TRANSPARENT PROCESS TO LISTEN AND TRULY UNDERSTAND THE HEALTH NEEDS OF ORANGE COUNTY, CALIFORNIA.THE HOSPITAL FACILITIES CONCENTRATED THEIR EFFORTS ON GATHERING QUALITATIVE PRIMARY DATA THROUGH A SERIES OF CONTACTS WITH KEY STAKEHOLDERS THAT REPRESENT THE COMMUNITY THEY ARE A PART OF, INCLUDING GOVERNMENT REPRESENTATIVES, PUBLIC HEALTH REPRESENTATIVES, HEALTHCARE PROVIDERS, COMMUNITY SERVICE PROVIDERS, AND MINORITY GROUP LEADERS. AS WELL, SECONDARY PUBLIC HEALTH SOURCES WERE UTILIZED TO GATHER DATA ON ORANGE COUNTY, CALIFORNIA, AND THE UNITED STATES AS A WHOLE. PUBLIC HEALTH DATA INCLUDED DEATH STATISTICS, COUNTY HEALTH RANKINGS, AND CANCER INCIDENCE. IN ADDITION, DEMOGRAPHICS AND SOCIOECONOMICS (POPULATION, POVERTY, UNINSURED, UNEMPLOYMENT), ALONG WITH PSYCHOGRAPHICS (BEHAVIOR MEASURED BY SPENDING AND MEDIA PREFERENCES) WERE ALSO UTILIZED IN THIS PROCESS.COMMUNITY MEMBERS PARTICIPATED IN FOCUS GROUPS AND INDIVIDUAL INTERVIEWS FOR THEIR PERSPECTIVES ON COMMUNITY HEALTH NEEDS AND ISSUES. FURTHERMORE, THERE WAS A COMMUNITY HEALTH SUMMIT CONDUCTED WITH COMMUNITY STAKEHOLDERS WHICH INCLUDED HEALTHCARE PROVIDERS, BUSINESS LEADERS, GOVERNMENT REPRESENTATIVES, SCHOOLS, NOT-FOR-PROFIT ORGANIZATIONS, EMPLOYERS, AND OTHER COMMUNITY MEMBERS.THE FOLLOWING ORGANIZATIONS CONTRIBUTED TO THE CHNA PROCESS AS COMMUNITY PARTNERS:24/7 CARE AT HOMEANAHEIM TERRACE SNFCITIZENCITY NETCITY OF HUNTINGTON BEACHCNI COLLEGECOMMUNITY ACTION PARTNERSHIP OF OCCOMMUNITY VOLUNTEER KIWANISGARDEN PARK CAREGG CHAMBER OF COMMERCEGOLDEN WEST COLLEGEHOME HEALTH & HOSPITAL, BEHAVIORAL HEALTHHUNTINGTON BEACH FIRE DEPARTMENTHUNTINGTON VALLEY HEALTH CARE CENTERMEMORIAL CAREPELICAN RIDGE SUMAKPRIME HEALTHCARETHE HILLS POST ACUTEWEST COAST UNIVERSITY
ENCINO HOSPITAL MEDICAL CENTERPART V, SECTION B, LINE 5: ENCINO HOSPITAL MEDICAL CENTER AND SHERMAN OAKS HOSPITAL CONTRACTED KEYGROUP TO OVERSEE THE PROCESS OF DEVELOPING THE FY2022 CHNA TO DIRECTLY ADDRESS HEALTHCARE NEEDS IN THE PRIMARY SERVICE AREA. THROUGH BOTH QUANTITATIVE AND QUALITATIVE RESEARCH METHODS AND COMMUNITY STAKEHOLDER FEEDBACK, PRIORITY HEALTH NEEDS WERE DETERMINED. COMMUNITY INPUT PLAYED AN INTEGRAL ROLE IN THE FY2022 CHNA. IN ASSESSING AND DETERMINING THE PRIORITY HEALTH NEEDS OF THE COMMUNITY, INPUT WAS SOLICITED AND RECEIVED FROM KEY STAKEHOLDERS WHO ARE COMMUNITY LEADERS AND REPRESENTATIVES OF AREA HEALTH AGENCIES, SOCIAL SERVICE PROVIDERS, AND LOCAL GOVERNMENT ORGANIZATIONS. KEYGROUP CONDUCTED FOCUS GROUPS WITH PATIENTS, SOCIAL SERVICE AGENCIES, LAW ENFORCEMENT, POST-ACUTE CARE PROVIDERS, SCHOOL STAFFS, COMMUNITY MEMBERS, LEADERS, AND SERVICE PROVIDERS WHO ARE KNOWLEDGEABLE ABOUT THE HEALTH NEEDS OF THE COMMUNITY, REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, OR ARE PUBLIC HEALTH EXPERTS. IN ADDITION, 203 WRITTEN SURVEYS WERE ADMINISTERED BY KEYGROUP AND THE HOSPITALS. MOST OF THE SURVEYS WERE SOLICITED FROM SHOPPERS IN THE BUSINESS DISTRICTS SURROUNDING THE HOSPITALS, WHILE OTHERS CAME FROM MEETINGS OF CIVIC GROUPS, CHURCHES, PATIENTS OF THE HOSPITALS, AND OTHER COMMUNITY ORGANIZATIONS. INPUT WAS GATHERED FROM THE FOCUS GROUP AND COMMUNITY SURVEYS TO COLLECT PARTICIPANTS' VIEWS ON HEALTHCARE-RELATED PROBLEMS IN THE COMMUNITY SUCH AS THEIR OPINIONS ON HEALTH STATUS, HEALTH NEEDS AND EXISTING OPTIONS FOR HEALTHCARE SERVICES.PARTICIPANTS PROVIDED INPUT ON THE FOLLOWING ISSUES: - MOST COMMON HEALTH PROBLEMS IN THE COMMUNITY.- MOST COMMON RISK FACTORS IN THE COMMUNITY. - PERCEPTION OF ENCINO HOSPITAL MEDICAL CENTER AND SHERMAN OAKS HOSPITAL AND WHAT THEY CAN DO TO BETTER PROMOTE GOOD HEALTH.
COSHOCTON REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 5: THE FY2022 CHNA FOR COSHOCTON REGIONAL MEDICAL CENTER USED SYSTEMATIC, COMPREHENSIVE DATA COLLECTION AND ANALYSIS TO DEFINE PRIORITIES FOR HEALTH IMPROVEMENT, CREATED A COLLABORATIVE COMMUNITY ENVIRONMENT TO ENGAGE STAKEHOLDERS, AND AN OPEN AND TRANSPARENT PROCESS TO LISTEN AND TRULY UNDERSTAND THE HEALTH NEEDS OF COSHOCTON COUNTY, OHIO.COMMUNITY INPUT PLAYED AN INTEGRAL ROLE IN THE FY2022 CHNA. IN ASSESSING COMMUNITY HEALTH NEEDS, INPUT WAS SOLICITED AND RECEIVED FROM COMMUNITY MEMBERS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, AS WELL AS MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. THESE INDIVIDUALS PROVIDED WIDE PERSPECTIVES ON HEALTH TRENDS AND EXPERTISE IN THE FIELDS OF PUBLIC HEALTH, BUSINESS, EDUCATION, PHILANTHROPY & INVESTING, NON-PROFITS, COMMUNITY DEVELOPMENT, GOVERNMENT, AND HEALTHCARE. INPUT WAS SOLICITED THROUGH INFORMATION GATHERING, USING SECONDARY PUBLIC HEALTH SOURCES, AS WELL AS THROUGH FOCUS GROUPS AND INTERVIEWS THAT WERE CONDUCTED IN MAY 2022. THE FOLLOWING ORGANIZATIONS CONTRIBUTED TO THE CHNA PROCESS AS COMMUNITY PARTNERS:ALL WELLALTERCAREBSN COSHOCTON SCHOOLCAREER CENTERCAREER COACH AT JOB AND FAMILY SERVICESCNO COSHOCTON REGIONAL MEDICAL CENTERCOMMISSIONERS OFFICECORONERCOSHOCTON BOARD OF DEVELOPMENTAL DISABILITIESCOSHOCTON COUNTY COORDINATED TRANSPORTATION AGENCYCOSHOCTON EMSCOSHOCTON JUVENILE COURTDIRECTOR OF UNITED WAYEARLY CHILDHOOD JFSFATHERHOOD INITIATIVEFIRST STEP FAMILY VIOLENCEHEALTH DEPARTMENTINTERIM HEALTH CAREJOB AND FAMILY SERVICESKNO-HO-CO ADMINISTRATORLAFAYETTE POINTE MARKETING AND ADMISSIONSMUSKINGUM VALLEY HEALTH CENTER PATIENT EXPERIENCERIVER VIEW SCHOOL
SUBURBAN COMMUNITY HOSPITALPART V, SECTION B, LINE 5: IN APRIL 2023, SUBURBAN COMMUNITY HOSPITAL BEGAN A COMMUNITY HEALTH NEEDS ASSESSMENT FOR MONTGOMERY COUNTY, PENNSYLVANIA AND SOUGHT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. INPUT WAS GATHERED VIA THE FOLLOWING METHODS:- INFORMATION GATHERING, USING SECONDARY PUBLIC HEALTH SOURCES, OCCURRED IN MAY 2023.- COMMUNITY MEMBERS PARTICIPATED IN INTERVIEWS FOR THEIR PERSPECTIVES ON COMMUNITY HEALTH NEEDS AND ISSUES ON JUNE 1, 2023.- A COMMUNITY HEALTH SUMMIT WAS HELD ON JUNE 22, 2023, TO CREATE A COMMON DATABASE OF UNDERSTANDING OF HEALTH NEEDS, PRIORITIZE THE MOST SIGNIFICANT HEALTH NEEDS AND TO BRAINSTORM WAYS TO IMPROVE THE COMMUNITY'S HEALTH. THE AUDIENCE CONSISTED OF HEALTHCARE PROVIDERS, BUSINESS LEADERS, GOVERNMENT REPRESENTATIVES, SCHOOLS, NOT-FOR-PROFIT ORGANIZATIONS, EMPLOYES, AND OTHER COMMUNITY MEMBERS. TWENTY-SIX INDIVIDUALS FROM FOURTEEN COMMUNITY ORGANIZATIONS PARTICIPATED IN THE INTERVIEWS AND THE SUMMIT. TOGETHER, THEY REPRESENTED THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. THEY COLLABORATED TO IMPLEMENT A COMPREHENSIVE CHNA PROCESS FOCUSED ON IDENTIFYING AND DEFINING SIGNIFICANT HEALTH NEEDS, ISSUES, AND CONCERNS OF MONTGOMERY COUNTY. THE THREE-MONTH PROCESS CENTERED ON GATHERING AND ANALYZING DATA, AS WELL AS RECEIVING INPUT FROM PERSONS WHO REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY, TO PROVIDE DIRECTION FOR THE COMMUNITY AND HOSPITAL TO CREATE A PLAN TO IMPROVE THE HEALTH OF THE COMMUNITIES. PARTICIPANTS REPRESENTED THE FOLLOWING ORGANIZATIONS:ACTION COMMITTEE LATIN AMERICAN MONTGOMERY COUNTYBOARD MEMBER, BUSINESS OWNERBRANDYWINE LIVINGEMERGENCY DEPARTMENTHOSPITAL ASSOCIATION OF PENNSYLVANIAMONTGOMERY COUNTY AGING AND ADULT SERVICESMONTGOMERY COUNTY COMMISSIONERMONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, OFFICE OF PUBLIC HEALTHNORRISTOWN HOSPITALITY CENTERNORRISTOWN POLICE DEPARTMENTREGIONAL EMS DIRECTOR, DEPARTMENT OF PUBLIC SAFETYSUBURBAN COMMUNITY HOSPITALSUBURBAN COMMUNITY PHYSICIAN ASSOCIATIONTOBACCO DEPENDENCE PROGRAM MANAGER, SCH
PAMPA REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 5: THE FY2021 CHNA FOR PAMPA REGIONAL MEDICAL CENTER USED SYSTEMATIC, COMPREHENSIVE DATA COLLECTION AND ANALYSIS TO DEFINE PRIORITIES FOR HEALTH IMPROVEMENT, CREATED A COLLABORATIVE COMMUNITY ENVIRONMENT TO ENGAGE STAKEHOLDERS, AND AN OPEN AND TRANSPARENT PROCESS TO LISTEN AND TRULY UNDERSTAND THE HEALTH NEEDS OF GRAY COUNTY, TEXAS.COMMUNITY INPUT PLAYED AN INTEGRAL ROLE IN THE FY2021 CHNA. IN ASSESSING COMMUNITY HEALTH NEEDS, INPUT WAS SOLICITED AND RECEIVED FROM COMMUNITY MEMBERS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, AS WELL AS MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. THESE INDIVIDUALS PROVIDED WIDE PERSPECTIVES ON HEALTH TRENDS AND EXPERTISE IN THE FIELDS OF PUBLIC HEALTH, BUSINESS, EDUCATION, PHILANTHROPY & INVESTING, NON-PROFITS, COMMUNITY DEVELOPMENT, GOVERNMENT, AND HEALTHCARE. INPUT WAS SOLICITED THROUGH INFORMATION GATHERING, USING SECONDARY PUBLIC HEALTH SOURCES, AS WELL AS THROUGH FOCUS GROUPS AND INTERVIEWS THAT WERE CONDUCTED IN AUGUST 2021.THE FOLLOWING ORGANIZATIONS CONTRIBUTED TO THE CHNA PROCESS AS COMMUNITY PARTNERS:ALTRUSA CLUBBEHAVIORAL HEALTHBRIARWOOD CHURCHCHAMBER, BUSINESS OWNERCHIROPRACTOR/BUSINESS OWNERCITY COMMISSIONERCITY MANAGERCITY OF PAMPACOMMUNITY MEMBERGRAY COUNTY EMSHARVESTER FAMILY MEDICAL CLINICHOSPITAL BOARD & HAPPY STATE BANKINSURANCE AGENT & ALTRUSA CLUBINTERIM HOME HEALTH & HOSPICEJUDGEKEYSTONE TOWER SYSTEMSLUKNER MEDICALMEALS ON WHEELSMEALS ON WHEELS & EXTENSION AGENTNEW HOPE COUNSELINGNURSE PRACTITIONERPAMPA CHAMBER OF COMMERCEPAMPA COMMUNITY SERVICESPAMPA EDCPAMPA HIGH SCHOOLPAMPA ISDPAMPA REGIONAL MED CTRPHOTOGRAPHERREALTORRUBY SLIPPERS HOME CARE PROVIDERST. MATTHEW DAY SCHOOLTEXAS FARM BUREAUTHE BRIDGE & HAPPY STATE BANKT-SHIRTS AND MORE
LANDMARK MEDICAL CENTERPART V, SECTION B, LINE 6A: THE FY2022 CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES: - CHARTERCARE HEALTH PARTNERS, INCLUDING ROGER WILLIAMS MEDICAL CENTER AND FATIMA HOSPITAL- SOUTH COUNTY HOSPITAL- WESTERLY HOSPITAL- CARE NEW ENGLAND HEALTH SYSTEM, INCLUDING BUTLER HOSPITAL, KENT HOSPITAL, WOMEN & INFANTS HOSPITAL
SHERMAN OAKS HOSPITALPART V, SECTION B, LINE 6A: SHERMAN OAKS HOSPITAL CONDUCTED ITS CHNA WITH ENCINO HOSPITAL MEDICAL CENTER.
MONTCLAIR HOSPITAL MEDICAL CENTERPART V, SECTION B, LINE 6A: MONTCLAIR HOSPITAL MEDICAL CENTER CONDUCTED ITS FY2022 CHNA WITH THE FOLLOWING OTHER HOSPITAL FACILITIES: - REDLANDS COMMUNITY HOSPITAL- SAN ANTONIO REGIONAL HOSPITAL- SAN GORGONIO MEMORIAL HOSPITAL
HUNTINGTON BEACH HOSPITALPART V, SECTION B, LINE 6A: HUNTINGTON BEACH HOSPITAL CONDUCTED ITS CHNA WITH LA PALMA INTERCOMMUNITY HOSPITAL.
LA PALMA INTERCOMMUNITY HOSPITALPART V, SECTION B, LINE 6A: LA PALMA INTERCOMMUNITY HOSPITAL CONDUCTED ITS CHNA WITH HUNTINGTON BEACH HOSPITAL.
ENCINO HOSPITAL MEDICAL CENTERPART V, SECTION B, LINE 6A: ENCINO HOSPITAL MEDICAL CENTER CONDUCTED ITS CHNA WITH SHERMAN OAKS HOSPITAL.
LANDMARK MEDICAL CENTERPART V, SECTION B, LINE 6B: THE FY2022 CHNA WAS CONDUCTED IN PARTNERSHIP WITH THE HOSPITAL ASSOCIATION OF RHODE ISLAND.
MONTCLAIR HOSPITAL MEDICAL CENTERPART V, SECTION B, LINE 6B: MONTCLAIR HOSPITAL MEDICAL CENTER CONDUCTED ITS FY2022 CHNA WITH THE FOLLOWING NON-HOSPITAL FACILITIES:- INLAND EMPIRE HEALTH PLAN- HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA- RIVERSIDE COUNTY DEPARTMENT OF PUBLIC HEALTH- SAN BERNARDINO COUNTY DEPARTMENT OF PUBLIC HEALTH
SOUTHERN REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 11: THE FY2022 CHNA WAS CONDUCTED TO BETTER UNDERSTAND THE PRIORITY HEALTH NEEDS OF THE COMMUNITY SERVED BY SOUTHERN REGIONAL MEDICAL CENTER. AS A RESULT, THE FOLLOWING FOUR PRIORITY HEALTH NEEDS WERE IDENTIFIED:1. MAINTAIN AND IMPROVE ACCESS TO HEALTHCARE IN OUR COMMUNITY2. CONTINUE TO FOCUS TO INCREASE MENTAL HEALTH SERVICES FOR THE COUNTY3. DEVELOP A COMMUNITY-WIDE NETWORK FOR COMMUNICATING HEALTHCARE SERVICES AND INFORMATION4. INCREASE AWARENESS OF AND PARTICIPATION IN PREVENTATIVE HEALTHCARE SERVICES AND EDUCATION TO OUR UNDERSERVED RESIDENTSMAINTAIN AND IMPROVE ACCESS TO HEALTH CARE IN OUR COMMUNITY SOUTHERN REGIONAL MEDICAL CENTER HAS OUTLINED THE FOLLOWING OBJECTIVES: 1. REDUCE THE SHORTAGE OF HEALTHCARE PROVIDERS WITH THE HOSPITAL'S PRIMARY SERVICE AREA. 2. CREATE A PIPELINE OF NEW HEALTHCARE PERSONNEL THROUGH COLLEGIATE AND SECONDARY SCHOOL INITIATIVES.3. CONTINUE TO EXPAND APPROPRIATE HEALTHCARE SERVICES AND WORK TO EXPAND ACCESS TO HEALTHCARE COVERAGE. SOUTHERN REGIONAL MEDICAL CENTER WILL IMPLEMENT THE FOLLOWING STRATEGIES:1. CONTINUE TO RECRUIT PRIMARY CARE PHYSICIANS AND CLINICIANS (I.E., NPS) AND SPECIFIC SPECIALTY PHYSICIANS AS NEED IS DETERMINED OVER THE NEXT 3 YEARS IN ACCORDANCE WITH THE HOSPITAL'S MEDICAL STAFF DEVELOPMENT PLAN.2. INCREASE MARKETING AND DIGITAL EFFORTS TO REACH AND RECRUIT TARGETED PHYSICIANS TO MOVE TO AND SERVE THE COMMUNITY.3. FURTHER DEVELOP PARTNERSHIPS WITH AREA HIGHER EDUCATION INSTITUTIONS TO CREATE TRAINING TO HIRE INITIATIVES TO FILL CLINICAL AND NON-CLINICAL POSITIONS. 4. EXPAND ON RN RESIDENCY PROGRAM AND INTERNSHIP OFFERINGS PROVIDING ONSITE TRAINING FOR SOON-TO-BE GRADUATES. 5. PARTNER WITH CLAYTON COUNTY PUBLIC SCHOOLS TO PROVIDE INTERNSHIP AND EXTERNSHIP OPPORTUNITIES FOR HIGH-SCHOOL STUDENTS WITH GOAL TO PLACE STUDENTS IN OPEN POSITIONS AND/OR ENCOURAGE CONTINUATION OF EDUCATION IN HEALTHCARE. 6. EXPAND PHYSICIAN CLINIC LOCATIONS POSSIBLE THROUGH DEVELOPMENT OF URGENT CARE CLINICS TO BROADEN PHYSICIAN AVAILABILITY IN COMMUNITIES SERVED. 7. CONTINUE TO EXPAND AND SECURE HEALTHCARE INSURANCE CONTRACTS (SUCH AS HUMANA WHICH IS A LEADING INSURANCE PROVIDER IN CLAYTON COUNTY).8. COLLABORATE WITH KEY LEADERS TO SUPPORT AND ENCOURAGE LEGISLATIVE EXPANSION OF HEALTHCARE COVERAGE FOR THOSE IN NEED. CONTINUE TO FOCUS TO INCREASE MENTAL HEALTH SERVICES FOR THE COUNTYSOUTHERN REGIONAL MEDICAL CENTER HAS OUTLINED THE FOLLOWING OBJECTIVES: 1. IMPROVE EMERGENCY DEPARTMENT THROUGHPUT EFFORTS IN RELATIONSHIP TO MENTAL HEALTH PATIENTS AND THEIR NEEDS. 2. COLLABORATE WITH COMMUNITY PARTNERS TO EXPAND INFORMATION ON MENTAL HEALTH CARE SERVICES AND RESOURCES. SOUTHERN REGIONAL MEDICAL CENTER WILL IMPLEMENT THE FOLLOWING STRATEGIES:1. CONTINUE TO DEVELOP AND ADAPT ED THROUGHPUT EFFORTS IN RESPONSE TO MENTAL HEALTH AND PANDEMIC SURGES.2. CONTINUE TO SUBMIT GRANT REQUESTS FOR FEDERAL FUNDING IN SUPPORT OF MENTAL HEALTH STABILIZATION UNIT/AREA ADJACENT TO THE HOSPITAL'S EMERGENCY DEPARTMENT. 3. MAINTAIN AND SECURE ACCREDITATIONS AND CERTIFICATES SENIOR ED, LEVEL III TRAUMA CENTER, CHEST PAIN CENTER, STROKE CENTER TO ENSURE DEFINED AREAS AVAILABLE TO MOVE ED PATIENTS SAFELY AND EFFICIENTLY THROUGH THE PROCESS, REDUCING ED PATIENT WAIT TIMES.4. DEVELOP PARTNERSHIP OF RESOURCES AND PROGRAMS THAT OFFER CONTINUED EDUCATION ON APPROPRIATE SERVICES NEEDED FOR THOSE STRUGGLING WITH MENTAL HEALTH ISSUES.5. COLLABORATE WITH STAKEHOLDERS TO DEVELOP COMPREHENSIVE LISTING OF MENTAL HEALTH RESOURCES AVAILABLE IN REGION AND STATE. 6. PROMOTE MENTAL HEALTH RESOURCES AND EDUCATION THROUGH THE HOSPITALS DIGITAL AND SOCIAL MEDIA VENUES.DEVELOP A COMMUNITY-WIDE NETWORK FOR COMMUNICATING HEALTHCARE SERVICES AND INFORMATIONSOUTHERN REGIONAL MEDICAL CENTER HAS OUTLINED THE FOLLOWING OBJECTIVES: 1. COLLABORATE WITH COMMUNITY PARTNERS TO SHARE INFORMATION ON HEALTHCARE SERVICES AND HEALTHCARE EVENTS/OPPORTUNITIES.2. COLLABORATE WITH COMMUNITY PARTNERS ON TARGETED SURVEYS TO TIMELY ASSESS AND RESPOND TO COMMUNITY HEALTHCARE NEEDS.SOUTHERN REGIONAL MEDICAL CENTER WILL IMPLEMENT THE FOLLOWING STRATEGIES:1. DEVELOP TEAM OF KEY COMMUNITY PARTNERS AND IMPLEMENT PROCESS TO JOINTLY COMMUNICATE HEALTHCARE AND WELLNESS SERVICES AND OPPORTUNITIES THROUGH ALL MEDIA VENUES AVAILABLE.2. CREATE TARGETED HEALTHCARE AND WELLNESS CAMPAIGNS THROUGH DIGITAL PUBLIC SERVICE ANNOUNCEMENTS TARGETED AT INFORMATION AT-RISK POPULATION.3. DEVELOP AND IMPLEMENT DIGITAL SURVEYS TARGETED AT SPECIFIC COMMUNITY GROUPS THROUGH NEW COLLABORATIVE PARTNER COMMUNICATION VENUES.4. CREATE APPROPRIATE RESPONSES TO SURVEY RESULTS; AND COMMUNICATE FINDINGS AND IMPLEMENTATION OF INITIATIVES IN RESPONSE TO RESULTS.INCREASE AWARENESS OF AND PARTICIPATION IN PREVENTATIVE HEALTHCARE SERVICES AND EDUCATION TO OUR UNDERSERVED RESIDENTSSOUTHERN REGIONAL MEDICAL CENTER HAS OUTLINED THE FOLLOWING OBJECTIVES: 1. ESTABLISH A RESIDENCY PROGRAM AT THE HOSPITAL TO PROVIDE ADDITIONAL HEALTHCARE OUTREACH AND EDUCATIONAL OPPORTUNITIES TO OUR RESIDENTS.2. WORK TO EDUCATE LEGISLATORS ON WHERE THEY CAN ASSIST IN MEETING THE NEEDS AND CHALLENGES FACING OUR UNDERSERVED RESIDENTS. SOUTHERN REGIONAL MEDICAL CENTER WILL IMPLEMENT THE FOLLOWING STRATEGIES:1. WORK TO DEVELOP A SOUTHERN REGIONAL INTERNAL MEDICINE RESIDENCY PROGRAM TO ADDRESS THE NEED FOR MORE PRIMARY CARE PHYSICIANS. 2. COLLABORATE WITH LOCAL AND REGIONAL LEGISLATORS TO SECURE FUNDING FOR THE NEWLY CREATED RESIDENCY PROGRAM.3. WORK WITH KEY COMMUNITY STAKEHOLDERS TO JOINTLY EDUCATE AND PROPOSE OPTIONS AND OPPORTUNITIES TO ASSIST UNDERSERVED RESIDENTS IN THE PRIMARY SERVICE AREA.4. COMMUNICATE TO CLAYTON COUNTY AND SOUTHERN CRESCENT RESIDENTS THROUGH NEWLY DEVELOPED JOIN COMMUNICATION PROCESS TO ENCOURAGE RESIDENT SUPPORT OF LEGISLATIVE EFFORTS.BUILDING UPON THE CURRENT CHNA AND IMPLEMENTATION STRATEGY, THE HOSPITAL DID THE FOLLOWING DURING FY'23 TO ADDRESS THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY:1. MAINTAIN AND IMPROVE ACCESS TO HEALTHCARE IN OUR COMMUNITYA. INCREASED POOL OF PHYSICIANS INCLUDING: OBGYN MIDWIVES TO EXPAND THE NUMBER OF OBGYN PROVIDERS FOR THE VOLUME AND DESERT WITHIN THE PRIMARY SERVICE AREA, GENERAL SURGEON, AND ORTHOPEDIC SURGEON.B. REDIRECTED PHYSICIANS WITH EXISTING REFERRAL BASE FROM OTHER MARKETS TO SOUTHERN REGIONAL MEDICAL CENTER'S PRIMARY AND SECONDARY MARKETS (SPINE SURGEONS, UROLOGIST, ADDITIONAL ORTHOPEDISTS).C. TO IMPACT THE HIGH MATERNAL AND FETAL MORTALITY/MORBIDITY RATES, A 24/7 OBED WAS OPENED AND STAFFED WITH MEDICAL PROVIDERS 24/7.D. EXPANDED PHYSICAL REHABILITATION SERVICES TO THE PEDIATRIC POPULATION FOR FEEDING AND PHYSICAL REHABILITATION. 2. CONTINUE TO FOCUS TO INCREASE MENTAL HEALTH SERVICES FOR THE COUNTYA. DESIGN AND CONSTRUCTION OF EMERGENCY DEPARTMENT BEHAVIORAL HEALTH HOLDING AREA THAT PROVIDES ACCESS TO PSYCHIATRY TO INITIATE STABILIZATION UNTIL TRANSFERRED TO A RECEIVING FACILITY FOR FURTHER TREATMENT.B. PARTNERSHIP WITH CLAYTON COUNTY AND THE INITIATIVE TO OPEN AN OUTPATIENT MENTAL HEALTH TREATMENT CENTER ON THE SOUTHERN REGIONAL MEDICAL CENTER CAMPUS.3. DEVELOP A COMMUNITY-WIDE NETWORK FOR COMMUNICATING HEALTHCARE SERVICES AND INFORMATIONA. IN 2023, SOUTHERN REGIONAL MEDICAL CENTER PARTICIPATED IN 132 COMMUNITY EVENTS EDUCATING, INFORMING AND EMPOWERING COMMUNITY MEMBERS ON THE SERVICES AVAILABLE BY SOUTHERN REGIONAL MEDICAL CENTER.B. PRESENTED A STATE OF THE HOSPITAL TO CLAYTON COUNTY BOARD OF COMMISSIONERS.4. INCREASE AWARENESS OF AND PARTICIPATION IN PREVENTIVE HEALTHCARE SERVICES AND EDUCATION TO OUR UNDERSERVED RESIDENTSA. SOUTHERN REGIONAL MEDICAL CENTER PROVIDES FREE DIABETES COMMUNITY EDUCATION, LYMPHEDEMA EDUCATION, FREE NUTRITION AND COOKING CLASSES, RENAL DISEASE COMMUNITY EDUCATION, OBESITY COMMUNITY EDUCATION AND MORE.
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
HUNTINGTON BEACH HOSPITALPART V, SECTION B, LINE 11: THE FY2021 CHNA WAS CONDUCTED AND A CHIP WAS DEVELOPED TO BETTER UNDERSTAND AND ADDRESS THE PRIORITY HEALTH NEEDS OF THE COMMUNITY SERVED BY BOTH HUNTINGTON BEACH HOSPITAL AND LA PALMA INTERCOMMUNITY HOSPITAL. AS A RESULT, THE FOLLOWING FIVE PRIORITY HEALTH NEEDS WERE IDENTIFIED:1. SUBSTANCE MISUSE2. HOUSING (AFFORDABLE) AND ACCESS TO HEALTH FOR UNHOUSED POPULATION3. MENTAL HEALTH4. DIABETES5. EDUCATION (AS A MEANS OF ESCAPING POVERTY AND IMPROVE HEALTH) 1. SUBSTANCE MISUSE: A GOOD PLACE TO START IN GETTING SUBSTANCE MISUSE UNDER CONTROL AND APPROACHING IT WOULD BE AT THE SCHOOL LEVEL AS THEY CAN PROVIDE CONTINUOUS EDUCATION, SUPPORT, AND RESOURCES TO KEEP KIDS OFF DRUGS. ONE POSSIBLE SOLUTION MAY BE TO RENEW THE DARE PROGRAM. IN ADDITION, LIMITING ACCESS TO SUBSTANCES CAN BE A SOLUTION. AS WELL, ADDRESSING THE FAMILY UNIT COULD BE LOOKED AT AS SUBSTANCE ABUSE IS A SYMPTOM OF THE LOSS OF VALUES AND LACK OF PARENTAL SUPERVISION. LA PALMA INTERCOMMUNITY HOSPITAL IS ALSO PARTNERING WITH THE LA PALMA POLICE DEPARTMENT TO EDUCATE KIDS ABOUT THE RESULTS OF USING DRUGS. FURTHERMORE, THE HOSPITALS DO OFFER EDUCATION FOR PATIENTS AND PROTOCOLS TO ASSIST AS SEEN WITH OPIOIDS IN THE 2019 CHNA PLAN.2. HOUSING: THE BIG ISSUE IS NEEDING TO INCREASE AFFORDABLE HOUSING, WHICH CAN LEAD TO A DECREASE IN THE NUMBER OF HOMELESS CHILDREN. FURTHERMORE, THERE NEEDS TO BE AN EFFORT TO PROVIDE HEALTHCARE FOR THE UNHOUSED POPULATION. IN ORDER TO PROVIDE HEALTHCARE FOR THE UNHOUSED POPULATION, THERE NEEDS TO BE AN EFFORT TO GO TO THEM AND MEET THEM WHERE THEY ARE. ONE POSSIBLE SOLUTION IS TO PARTNER WITH BE WELL OC TO GET PATIENTS CARE OUTSIDE THE HOSPITAL.3. MENTAL HEALTH: A STEP TO DEAL WITH MENTAL HEALTH IS TO START AS EARLY AS POSSIBLE AND WITH KIDS. A SOLUTION IS TO PROVIDE COUNSELORS IN EARLY ELEMENTARY SCHOOL. ANOTHER WAY TO HELP KIDS WOULD BE TO UTILIZE FILTERS FOR KIDS USING ELECTRONIC MEDIA AS SOME ONLINE MEDIA PROMOTE VIOLENCE AND SUPPORT BULLYING. IN ADDITION, HAVING A FOCUS ON COUNSELING STUDENTS IN COLLEGE COULD HELP A LOT AS THEY TRANSITION TO ADULTHOOD. ONE BIG THING THAT CAN HINDER MENTAL HEALTH IS THE EMPHASIS ON INDIVIDUALISM IN WESTERN CIVILIZATION AS OPPOSED TO HAVING THE SUPPORT OF A COMMUNITY.4. DIABETES: EDUCATING PEOPLE ON THE CAUSES AND RESULTS OF DIABETES CAN BE A BIG STEP IN ADDRESSING THIS ISSUE. IN ADDITION, HOLDING HEALTH FAIRS FOR SCREENING AND TESTING CAN GO A LONG WAY TO ADDRESSING THE ISSUE OF DIABETES. IN CONJUNCTION WITH THE HEALTH FAIRS, TEACHING KIDS ABOUT NUTRITION AND EXERCISE IS ANOTHER WAY TO TACKLE THE ISSUE. FINALLY, WHEN DEALING WITH THE ISSUE OF DIABETES, THERE IS THE FACT THAT UNHEALTHY FOOD, LIKE FAST FOOD, IS CHEAP, WHILE HEALTHIER FOOD IS MORE EXPENSIVE. ULTIMATELY, FAMILIES AND INDIVIDUALS FROM LOWER SOCIO-ECONOMIC BACKGROUNDS ARE MORE LIKELY TO BE NEGATIVELY IMPACTED BY UNHEALTHY FOOD BEING CHEAPER. CURRENTLY, THE HOSPITALS HAVE EDUCATION FOR PATIENTS IN THE FORMS OF ASSESSMENTS, DIETICIAN DISCUSSIONS, AND SELF-MANAGEMENT PROGRAMS.5. EDUCATION: TWO BIG FACTORS THAT CAN IMPROVE HEALTH ARE INCOME AND EDUCATION. THE HIGHER THE LEVEL OF BOTH FACTORS, THE BETTER CHANCES THERE ARE AT BETTER HEALTHCARE. AS SEEN ABOVE, CHEAPER, UNHEALTHIER FOOD MAY BE AN OPTION FOR THOSE OF LOWER SOCIO-ECONOMIC BACKGROUNDS. TO IMPROVE EDUCATION, OUR EDUCATION SYSTEM WOULD NEED TO BE IMPROVED. SKILLS THAT NEED TO BE IMPROVED FOR THIS ISSUE INCLUDE WRITING SKILLS ALONG WITH COMMUNICATION AND INTERPERSONAL SKILLS. FURTHERMORE, IMPROVING TEACHING COULD GO A LONG WAY TOWARD IMPROVING EDUCATION. CURRENTLY, THE HOSPITALS OFFER EDUCATION ON TOPICS SUCH AS DIET OR EVEN SUBSTANCE USE.BUILDING UPON THE CURRENT CHNA AND IMPLEMENTATION STRATEGY, THE HUNTINGTON BEACH HOSPITAL AND LA PALMA INTERCOMMUNITY HOSPITAL DID THE FOLLOWING DURING FY'23 TO ADDRESS THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY:- THE GRANT FOR THE SUBSTANCE ABUSE NAVIGATOR RECEIVED BY HBH HAS ALLOWED THE NAVIGATOR TO HELP PATIENTS IN THE ED WITH RESOURCES WITHIN THE COMMUNITY.- LPIH ANTICIPATES CREATING AN IN-HOUSE OPIOID EDUCATION PROGRAM, PROMOTING ALTERNATIVE TREATMENTS FOR PAIN, AND OUTREACH PROGRAMS TO SCHOOLS AND SCHOOL ORGANIZATIONS TO PROMOTE DRUG-FREE LIVING.- HBH WORKS CLOSES WITH THE CITY'S HOMELESS TASK FORCE, WHICH FOLLOWS UP WITH SUPPORT AND SERVICES FOR THOSE WHO ARE EXPERIENCING HOMELESSNESS, THE BE WELL PROGRAM, AND THE ILLUMINATION FOUNDATION RECUPERATIVE CARE. - WHILE HOSPITALS ARE NOT HOUSING PROVIDERS, THEY CAN PROVIDE SHORT-TERM SHELTER WHEN MEDICAL CRISES OCCUR TO HOMELESS INDIVIDUALS. LPIH HAS CAPACITY TO SERVE CLIENTS WHOSE IMMEDIATE NEEDS INVOLVE HOUSING WITH MEDICAL SERVICES AND WILL CONTINUE TO WORK WITH LONGER TERM HOUSING PROVIDERS TO EASE THE TRANSITION TO MORE STABLE ENVIRONMENTS. RECENT PROPOSALS BY REPRESENTATIVES OF THE DEPARTMENT OF HEALTH AND HUMAN SERVICES AND STATE MEDICAL PROGRAMS WOULD PROVIDE FUNDS TO ALLOW PROVIDERS TO MAKE ARRANGEMENTS FOR HOUSING. LPIH WILL MONITOR THE PROGRESS OF THESE PROPOSALS, AND IF REIMBURSEMENT PROGRAMS CHANGE TO ENCOMPASS HOUSING SOLUTIONS, LPIH WILL DEVELOP APPROPRIATE PROGRAMS TO ADMINISTER THE PROCESS.- SECURING 5150 DESIGNATION BY OSHPD ALLOWS LPIH TO OFFER A RANGE OF SERVICES FOR A VARIETY OF PATIENTS IN NEED OF MENTAL HEALTH SERVICES. OTHER SUPPORT OFFERED ARE A STUTTERING SUPPORT GROUP, RELATIONSHIP ENHANCEMENT WITH THE COMMUNITY PROVIDERS TO FOSTER BETTER COORDINATION OF CARE.- HBH OFFERS A COMPREHENSIVE RANGE OF INPATIENT SERVICES DUE TO THE 5150 DESIGNATION. HBH HELPS THE COMMUNITY THROUGH OUTREACH PROGRAMS THAT LINK CLIENTS WITH APPROPRIATE PROVIDERS, WHICH INCLUDE REFERRAL SERVICES TO COMMUNITY MENTAL HEALTH AND SOCIAL SERVICES PROVIDERS TO PROVIDE CONTINUITY SERVICES ON DISCHARGE. FOR CLIENTS THAT NEED ADDITIONAL INSTITUTIONAL CARE FOLLOWING ACUTE EPISODES, HBH OFFERS REFERRALS TO STEP-DOWN RESIDENTIAL PROVIDERS.- INFORMATION ON DIET, ALONG WITH EXERCISE, AS COMPLEMENTS TO A HEALTHY LIFESTYLE ARE INCLUDED DURING HEALTH FAIRS. IN ADDITION, CLIENTS ARE PROVIDED ALERTS VIA THE SCREENINGS PROVIDED THAT AN ADJUSTMENT IS NEEDED IN THEIR HABITS.- THE HBCOA ANNUAL SENIOR HEALTH FAIR AND THE HBH ANNUAL HEALTH FAIR ARE TWO NEW HEALTH FAIRS/EDUCATION PROGRAMS IN LOCAL ETHNIC COMMUNITIES THAT ARE SUPPORTED BY HBH.
LA PALMA INTERCOMMUNITY HOSPITALPART V, SECTION B, LINE 11: THE FY2021 CHNA WAS CONDUCTED AND A CHIP WAS DEVELOPED TO BETTER UNDERSTAND AND ADDRESS THE PRIORITY HEALTH NEEDS OF THE COMMUNITY SERVED BY BOTH HUNTINGTON BEACH HOSPITAL AND LA PALMA INTERCOMMUNITY HOSPITAL. AS A RESULT, THE FOLLOWING FIVE PRIORITY HEALTH NEEDS WERE IDENTIFIED:1. SUBSTANCE MISUSE2. HOUSING (AFFORDABLE) AND ACCESS TO HEALTH FOR UNHOUSED POPULATION3. MENTAL HEALTH4. DIABETES5. EDUCATION (AS A MEANS OF ESCAPING POVERTY AND IMPROVE HEALTH) 1. SUBSTANCE MISUSE: A GOOD PLACE TO START IN GETTING SUBSTANCE MISUSE UNDER CONTROL AND APPROACHING IT WOULD BE AT THE SCHOOL LEVEL AS THEY CAN PROVIDE CONTINUOUS EDUCATION, SUPPORT, AND RESOURCES TO KEEP KIDS OFF DRUGS. ONE POSSIBLE SOLUTION MAY BE TO RENEW THE DARE PROGRAM. IN ADDITION, LIMITING ACCESS TO SUBSTANCES CAN BE A SOLUTION. AS WELL, ADDRESSING THE FAMILY UNIT COULD BE LOOKED AT AS SUBSTANCE ABUSE IS A SYMPTOM OF THE LOSS OF VALUES AND LACK OF PARENTAL SUPERVISION. LA PALMA INTERCOMMUNITY HOSPITAL IS ALSO PARTNERING WITH THE LA PALMA POLICE DEPARTMENT TO EDUCATE KIDS ABOUT THE RESULTS OF USING DRUGS. FURTHERMORE, THE HOSPITALS DO OFFER EDUCATION FOR PATIENTS AND PROTOCOLS TO ASSIST AS SEEN WITH OPIOIDS IN THE 2019 CHNA PLAN.2. HOUSING: THE BIG ISSUE IS NEEDING TO INCREASE AFFORDABLE HOUSING, WHICH CAN LEAD TO A DECREASE IN THE NUMBER OF HOMELESS CHILDREN. FURTHERMORE, THERE NEEDS TO BE AN EFFORT TO PROVIDE HEALTHCARE FOR THE UNHOUSED POPULATION. IN ORDER TO PROVIDE HEALTHCARE FOR THE UNHOUSED POPULATION, THERE NEEDS TO BE AN EFFORT TO GO TO THEM AND MEET THEM WHERE THEY ARE. ONE POSSIBLE SOLUTION IS TO PARTNER WITH BE WELL OC TO GET PATIENTS CARE OUTSIDE THE HOSPITAL.3. MENTAL HEALTH: A STEP TO DEAL WITH MENTAL HEALTH IS TO START AS EARLY AS POSSIBLE AND WITH KIDS. A SOLUTION IS TO PROVIDE COUNSELORS IN EARLY ELEMENTARY SCHOOL. ANOTHER WAY TO HELP KIDS WOULD BE TO UTILIZE FILTERS FOR KIDS USING ELECTRONIC MEDIA AS SOME ONLINE MEDIA PROMOTE VIOLENCE AND SUPPORT BULLYING. IN ADDITION, HAVING A FOCUS ON COUNSELING STUDENTS IN COLLEGE COULD HELP A LOT AS THEY TRANSITION TO ADULTHOOD. ONE BIG THING THAT CAN HINDER MENTAL HEALTH IS THE EMPHASIS ON INDIVIDUALISM IN WESTERN CIVILIZATION AS OPPOSED TO HAVING THE SUPPORT OF A COMMUNITY.4. DIABETES: EDUCATING PEOPLE ON THE CAUSES AND RESULTS OF DIABETES CAN BE A BIG STEP IN ADDRESSING THIS ISSUE. IN ADDITION, HOLDING HEALTH FAIRS FOR SCREENING AND TESTING CAN GO A LONG WAY TO ADDRESSING THE ISSUE OF DIABETES. IN CONJUNCTION WITH THE HEALTH FAIRS, TEACHING KIDS ABOUT NUTRITION AND EXERCISE IS ANOTHER WAY TO TACKLE THE ISSUE. FINALLY, WHEN DEALING WITH THE ISSUE OF DIABETES, THERE IS THE FACT THAT UNHEALTHY FOOD, LIKE FAST FOOD, IS CHEAP, WHILE HEALTHIER FOOD IS MORE EXPENSIVE. ULTIMATELY, FAMILIES AND INDIVIDUALS FROM LOWER SOCIO-ECONOMIC BACKGROUNDS ARE MORE LIKELY TO BE NEGATIVELY IMPACTED BY UNHEALTHY FOOD BEING CHEAPER. CURRENTLY, THE HOSPITALS HAVE EDUCATION FOR PATIENTS IN THE FORMS OF ASSESSMENTS, DIETICIAN DISCUSSIONS, AND SELF-MANAGEMENT PROGRAMS.5. EDUCATION: TWO BIG FACTORS THAT CAN IMPROVE HEALTH ARE INCOME AND EDUCATION. THE HIGHER THE LEVEL OF BOTH FACTORS, THE BETTER CHANCES THERE ARE AT BETTER HEALTHCARE. AS SEEN ABOVE, CHEAPER, UNHEALTHIER FOOD MAY BE AN OPTION FOR THOSE OF LOWER SOCIO-ECONOMIC BACKGROUNDS. TO IMPROVE EDUCATION, OUR EDUCATION SYSTEM WOULD NEED TO BE IMPROVED. SKILLS THAT NEED TO BE IMPROVED FOR THIS ISSUE INCLUDE WRITING SKILLS ALONG WITH COMMUNICATION AND INTERPERSONAL SKILLS. FURTHERMORE, IMPROVING TEACHING COULD GO A LONG WAY TOWARD IMPROVING EDUCATION. CURRENTLY, THE HOSPITALS OFFER EDUCATION ON TOPICS SUCH AS DIET OR EVEN SUBSTANCE USE.BUILDING UPON THE CURRENT CHNA AND IMPLEMENTATION STRATEGY, THE HUNTINGTON BEACH HOSPITAL AND LA PALMA INTERCOMMUNITY HOSPITAL DID THE FOLLOWING DURING FY'23 TO ADDRESS THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY:- THE GRANT FOR THE SUBSTANCE ABUSE NAVIGATOR RECEIVED BY HBH HAS ALLOWED THE NAVIGATOR TO HELP PATIENTS IN THE ED WITH RESOURCES WITHIN THE COMMUNITY.- LPIH ANTICIPATES CREATING AN IN-HOUSE OPIOID EDUCATION PROGRAM, PROMOTING ALTERNATIVE TREATMENTS FOR PAIN, AND OUTREACH PROGRAMS TO SCHOOLS AND SCHOOL ORGANIZATIONS TO PROMOTE DRUG-FREE LIVING.- HBH WORKS CLOSES WITH THE CITY'S HOMELESS TASK FORCE, WHICH FOLLOWS UP WITH SUPPORT AND SERVICES FOR THOSE WHO ARE EXPERIENCING HOMELESSNESS, THE BE WELL PROGRAM, AND THE ILLUMINATION FOUNDATION RECUPERATIVE CARE. - WHILE HOSPITALS ARE NOT HOUSING PROVIDERS, THEY CAN PROVIDE SHORT-TERM SHELTER WHEN MEDICAL CRISES OCCUR TO HOMELESS INDIVIDUALS. LPIH HAS CAPACITY TO SERVE CLIENTS WHOSE IMMEDIATE NEEDS INVOLVE HOUSING WITH MEDICAL SERVICES AND WILL CONTINUE TO WORK WITH LONGER TERM HOUSING PROVIDERS TO EASE THE TRANSITION TO MORE STABLE ENVIRONMENTS. RECENT PROPOSALS BY REPRESENTATIVES OF THE DEPARTMENT OF HEALTH AND HUMAN SERVICES AND STATE MEDICAL PROGRAMS WOULD PROVIDE FUNDS TO ALLOW PROVIDERS TO MAKE ARRANGEMENTS FOR HOUSING. LPIH WILL MONITOR THE PROGRESS OF THESE PROPOSALS, AND IF REIMBURSEMENT PROGRAMS CHANGE TO ENCOMPASS HOUSING SOLUTIONS, LPIH WILL DEVELOP APPROPRIATE PROGRAMS TO ADMINISTER THE PROCESS.- SECURING 5150 DESIGNATION BY OSHPD ALLOWS LPIH TO OFFER A RANGE OF SERVICES FOR A VARIETY OF PATIENTS IN NEED OF MENTAL HEALTH SERVICES. OTHER SUPPORT OFFERED ARE A STUTTERING SUPPORT GROUP, RELATIONSHIP ENHANCEMENT WITH THE COMMUNITY PROVIDERS TO FOSTER BETTER COORDINATION OF CARE.- HBH OFFERS A COMPREHENSIVE RANGE OF INPATIENT SERVICES DUE TO THE 5150 DESIGNATION. HBH HELPS THE COMMUNITY THROUGH OUTREACH PROGRAMS THAT LINK CLIENTS WITH APPROPRIATE PROVIDERS, WHICH INCLUDE REFERRAL SERVICES TO COMMUNITY MENTAL HEALTH AND SOCIAL SERVICES PROVIDERS TO PROVIDE CONTINUITY SERVICES ON DISCHARGE. FOR CLIENTS THAT NEED ADDITIONAL INSTITUTIONAL CARE FOLLOWING ACUTE EPISODES, HBH OFFERS REFERRALS TO STEP-DOWN RESIDENTIAL PROVIDERS.- INFORMATION ON DIET, ALONG WITH EXERCISE, AS COMPLEMENTS TO A HEALTHY LIFESTYLE ARE INCLUDED DURING HEALTH FAIRS. IN ADDITION, CLIENTS ARE PROVIDED ALERTS VIA THE SCREENINGS PROVIDED THAT AN ADJUSTMENT IS NEEDED IN THEIR HABITS.- THE HBCOA ANNUAL SENIOR HEALTH FAIR AND THE HBH ANNUAL HEALTH FAIR ARE TWO NEW HEALTH FAIRS/EDUCATION PROGRAMS IN LOCAL ETHNIC COMMUNITIES THAT ARE SUPPORTED BY HBH.
COSHOCTON REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 11: THE FY2022 CHNA WAS CONDUCTED AND A CHIP WAS DEVELOPED TO BETTER UNDERSTAND AND ADDRESS THE PRIORITY HEALTH NEEDS OF THE COMMUNITY SERVED BY COSHOCTON REGIONAL MEDICAL CENTER. AS A RESULT, THE FOLLOWING THREE PRIORITY HEALTH NEEDS WERE IDENTIFIED:1. INCREASED EDUCATION TO THE COMMUNITY ON HEALTHY EATING AND ACTIVE LIVING2. INCREASED ACCESS AND EDUCATION INVOLVING CHRONIC DISEASES3. SUBSTANCE USE/MENTAL HEALTHINCREASED EDUCATION TO THE COMMUNITY ON HEALTHY EATING AND ACTIVE LIVINGTHE PROBLEM IS THE LACK OF ACTIVE LIFESTYLE AND HEALTH DIET CONTRIBUTES TO DIABETES, HEART DISEASE, OBESITY, AND HIGH BLOOD PRESSURE. TO COMBAT THIS PROBLEM, COSHOCTON REGIONAL MEDICAL CENTER PLANS TO IMPLEMENT THE FOLLOWING STRATEGIES:1. INCLUDE A CALORIE COUNT ON THE MENU IN THE CAF AND PROVIDE FRESH, NON-PROCESSED FOOD CHOICES FOR STAFF AND COMMUNITY MEMBERS. ADDITIONALLY, WITH LIMITED LUNCH DESTINATIONS IN THE COMMUNITY, COSHOCTON REGIONAL MEDICAL CENTER WILL ADVERTISE THAT THEY ARE OPEN TO THE PUBLIC AND SHARE THEIR MENU ON SOCIAL MEDIA. 2. PARTICIPATE IN COMMUNITY OUTREACH EVENTS SUCH AS THE ANNUAL HEALTH SAFETY AND WELLNESS EXPO, WHERE WE PROVIDE NO COST SCREENINGS, SUCH AS BLOOD PRESSURE, GLUCOSE, AND PAD. WE'LL HAVE PHYSICIANS AND NURSE PRACTITIONERS ON-HAND THROUGHOUT THE EVENT TO ANSWER QUESTIONS AND PROVIDE HEALTH INFORMATION AS NEEDED. 3. USE A MARKETING PLATFORM TO SHARE EDUCATION, INCLUDING HEALTHY HOLIDAY MEAL PLANNING, HEALTHY FOOD SUBSTITUTIONS, LABEL READING, AND HEALTHY COOKING ON A BUDGET. 4. PARTICIPATE IN YOUTH FOCUSED ACTIVITY PROGRAMS IN CONJUNCTION WITH KIDS AMERICA, SUCH AS KAMP KIWANIS AND YOUTH HEALTH DAY, THAT PUTS A FOCUS ON EXERCISE. 5. IMPLEMENT A "WALK WITH A DOC" PROGRAM QUARTERLY TO EDUCATE THE COMMUNITY ON THE IMPORTANCE OF PHYSICAL ACTIVITY AND A HEALTHY LIFESTYLE. INCREASED ACCESS AND EDUCATION INVOLVING CHRONIC DISEASESCOSHOCTON REGIONAL MEDICAL CENTER PLANS TO IMPLEMENT THE FOLLOWING STRATEGIES:1. OFFER FREE SCREENINGS QUARTERLY TO THE PUBLIC (PAD, GLUCOSE, AND BP CHECKS). 2. USE MARKETING PLATFORMS TO SHARE EDUCATION FROM HEALTHCARE PROVIDERS ON HOW TO MAINTAIN A HEALTHY LIFE WHEN LIVING WITH A CHRONIC DISEASE. 3. CONTINUE DINING WITH DIABETES CLASSES IN COORDINATION WITH OHIO STATE UNIVERSITY EXTENSION OFFICE AND INCREASE CLASS AVAILABILITY FROM SEMI-ANNUALLY TO QUARTERLY. 4. HOST TOBACCO CESSATION GROUPS AT THE HOSPITAL AVAILABLE TO BOTH THE PUBLIC AND TO OUR INPATIENTS WHO WANT TO ATTEND. SUBSTANCE USE/MENTAL HEALTHTHE PROBLEM IS THE LOCAL INCREASE IN SUBSTANCE ABUSE, LEADING TO MENTAL HEALTH ISSUES FOR THE ABUSER AND THEIR FAMILY/CHILDREN. TO COMBAT THIS PROBLEM, COSHOCTON REGIONAL MEDICAL CENTER PLANS TO IMPLEMENT THE FOLLOWING STRATEGIES:1. GET STAFF INVOLVED IN COSHOCTON COUNTY DRUG COALITION. THE DRUG COALITION IS A COMMUNITY-BASED EFFORT TO MAINTAIN FOCUS ON SUBSTANCE ABUSE, WORK TOWARD GETTING ANSWERS TO HELP DEFEND AGAINST THE PROBLEM, AND EDUCATE THE COMMUNITY ABOUT THE SIGNS AND RISKS OF SUBSTANCE ABUSE.2. INVESTIGATE THE FEASIBILITY OF CREATING A MEDICAL DETOX PROGRAM FOR THE HOSPITAL TO TREAT PATIENTS FOR THE THREE DAYS REQUIRED PRIOR TO ACCEPTANCE INTO A RESIDENTIAL RECOVERY PROGRAM.3. PARTICIPATE IN AND SPONSOR FAMILY AND CHILDREN FOCUSED PROGRAMS IN COLLABORATION WITH FAMILY AND CHILDREN FIRST COUNCIL, WIC, HELP ME GROW, AND MATERNAL AND CHILD HEALTH CENTER. 4. USE MARKETING PLATFORMS TO PROMOTE DRUG FREE LIVING AND FAMILY FOCUSED EDUCATION. BUILDING UPON THE CURRENT CHNA AND IMPLEMENTATION STRATEGY, THE HOSPITAL DID THE FOLLOWING DURING FY'23 TO ADDRESS THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY:- REINSTATED THE DIABETIC CLASSES CONCERNING DIETARY RESTRICTIONS. DUE TO RESOURCE LIMITATIONS, COSHOCTON REGIONAL MEDICAL CENTER WAS ONLY ABLE TO FOLLOW THE CHNA SPARINGLY. WHILE LIMITED FUNDS PLAYED A ROLE IN THIS, THE PRIMARY REASON IS THAT COVID-19 WAS JUST ENDING AND RESTRICTIONS WERE STILL IN PLACE THAT LIMITED PUBLIC EVENTS. COVID-19 ALSO LEAD TO STAFF SHORTAGES AND AS A RESULT, COSHOCTON REGIONAL MEDICAL CENTER DID NOT HAVE THE AVAILABLE STAFF TO FULFILL ALL NEEDS.
SUBURBAN COMMUNITY HOSPITALPART V, SECTION B, LINE 11: THE FY2023 CHNA WAS CONDUCTED TO BETTER UNDERSTAND THE PRIORITY HEALTH NEEDS OF THE COMMUNITY SERVED BY SUBURBAN COMMUNITY HOSPITAL. AS A RESULT, 11 SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED: 1. SUBSTANCE USE DISORDER2. MENTAL HEALTH3. ACCESS TO CARE4. HEALTHY EATING/ACTIVE LIVING FOR HEALTHY WEIGHT5. CHRONIC DISEASE6. UNHOUSED POPULATION7. SOCIAL DETERMINANTS OF HEALTH8. HEALTH INEQUITIES9. PROPER AND EDUCATED CAREGIVERS FOR THE ELDERLY10. GUN VIOLENCE11. LONG COMMUTE DRIVING ALONETHE FY2023 - FY2025 IMPLEMENTATION STRATEGY FOCUSES ON SUBSTANCE USE DISORDER AND MENTAL HEALTH AS ITS TWO MAIN FOCUSES. SUBSTANCE USE DISORDERTHE GOAL IS TO PREVENT AND TREAT SUBSTANCE MISUSE. SUBURBAN COMMUNITY HOSPITAL HAS OUTLINED THE FOLLOWING OBJECTIVE: 1. INCREASE SUBURBAN'S COMMUNITY KNOWLEDGE CAPACITY TO IDENTIFY SUBSTANCE ABUSE NEEDS AND LINK TO SUBSTANCE ABUSE SERVICES AND RESOURCES.SUBURBAN COMMUNITY HOSPITAL WILL IMPLEMENT THE FOLLOWING STRATEGIES:1. UTILIZE PHARMACISTS, NURSES, DOCTORS TO EDUCATE PATIENTS AND/OR VISITORS ON ADDICTION AND SIGNS OF ADDICTION.2. COORDINATE WITH THE COUNTY TO DISCUSS SUBSTANCE ABUSE INCREASE IN EMERGENCY ROOM.3. IMPLEMENT NARCAN HAND-OUT IN EMERGENCY ROOM.4. PROVIDE FENTANYL AND XYLAZINE TEST STRIPS AND TEST INJECTIONS.5. DISTRIBUTE COUNTY RESOURCE GUIDE.6. AFTER NARCAN IS PROVIDED, THE EMERGENCY ROOM IS TO WORK WITH THE COUNTY ON FOLLOW-UPS FOR AN OUTPATIENT TREATMENT FACILITY FOR A WARM HAND-OFF.MENTAL HEALTHTHE GOAL AND OBJECTIVE ARE TO CARE FOR MENTAL HEALTH PATIENTS.SUBURBAN COMMUNITY HOSPITAL WILL IMPLEMENT THE FOLLOWING STRATEGIES:1. ENGAGEMENT HOSPITAL ASSOCIATION OF PENNSYLVANIA AND JOIN THE COUNTY MENTAL HEALTH TASK FORCE.2. COORDINATE WITH MONTGOMERY COUNTY EMERGENCY SERVICES (MCES) FOR CRISIS WALK-INS AND HOTLINE, PSYCHIATRIC EMS, AND SUICIDE PREVENTION.3. WORK WITH ACCESS SERVICES FOR MOBILE CRISIS.4. INSTALL TELE-PSYCH AND PROVIDE CARE IN EMERGENCY ROOM AND MED/SURG FLOORS.5. INCREASE REFERRALS TO NEW RESOURCES (I.E. FRIENDS, CARELINK, ETC.).ADDRESSING OBESITY, HEART DISEASE, STROKE, AND DIABETES IN NORRISTOWNSUMMARYOBESITY IS A CRITICAL PUBLIC HEALTH ISSUE THAT SIGNIFICANTLY CONTRIBUTES TO THE PREVALENCE OF CHRONIC DISEASES SUCH AS HEART DISEASE, STROKE, AND DIABETES. THIS SECTION EVALUATES THE HEALTH NEEDS OF THE NORRISTOWN COMMUNITY, HIGHLIGHTING THE COLLABORATIVE EFFORTS OF SUBURBAN COMMUNITY HOSPITAL'S RESIDENCY PROGRAM AND ST. PATRICK'S CHURCH. THROUGH VARIOUS PROGRAMS AND INITIATIVES, THIS PARTNERSHIP AIMS TO PROMOTE HEALTH EDUCATION, IMPROVE ACCESS TO HEALTH SERVICES, AND ULTIMATELY REDUCE THE INCIDENCE OF OBESITY AND ITS ASSOCIATED HEALTH RISKS.COMMUNITY PROFILE: NORRISTOWN IS A SUBURBAN COMMUNITY MARKED BY DIVERSE SOCIOECONOMIC BACKGROUNDS. MANY RESIDENTS FACE CHALLENGES RELATED TO POVERTY, LIMITED ACCESS TO HEALTHCARE, AND EDUCATIONAL DISPARITIES. THESE FACTORS CONTRIBUTE TO A HIGHER PREVALENCE OF OBESITY AND RELATED CHRONIC CONDITIONS, NECESSITATING COMPREHENSIVE STRATEGIES TO ADDRESS THESE HEALTH CONCERNS.OBJECTIVES1. INCREASED AWARENESS: RAISE COMMUNITY AWARENESS ABOUT THE RISKS ASSOCIATED WITH OBESITY AND THE IMPORTANCE OF PREVENTION AND MANAGEMENT STRATEGIES.2. ENHANCE ACCESSIBILITY: PROVIDE ACCESSIBLE HEALTH EDUCATION AND SERVICES TO THE COMMUNITY, WITH A FOCUS ON VULNERABLE POPULATIONS.3. PROMOTE HEALTHY LIFESTYLES: ENCOURAGED HEALTHY EATING AND PHYSICAL ACTIVITY THROUGH COMMUNITY ENGAGEMENT AND EDUCATIONAL RESOURCES.4. REDUCE HEALTH DISPARITIES: ADDRESS THE HEALTH NEEDS OF AT-RISK POPULATIONS TO IMPROVE HEALTH OUTCOMES AND REDUCE DISPARITIES.PROGRAMS AND SERVICES1. MONTHLY HEALTH EDUCATION SESSIONS: HELD ON THE FIRST SUNDAY OF EACH MONTH FROM 1:00 P.M. TO 3:00 P.M. AT ST. PATRICK'S CHURCH.SERVICES OFFERED INCLUDE:- BLOOD PRESSURE CHECKS- DIABETES SCREENINGS- BODY MASS INDEX (BMI) ASSESSMENTS- FLU VACCINATIONS- HEALTH COUNSELING2. COMMUNITY PARTNERSHIP WITH ST. PATRICK'S CHURCH:A. ANNUAL HOLIDAY PARTY FOR UNDERPRIVILEGED CHILDREN, PROVIDING WARM CLOTHING, TOYS, ACTIVITIES, AND MEALS.B. THE PARTNERSHIP FACILITATES ACCESS TO FREE BILINGUAL SERVICES AT THE SUBURBAN MEDICAL GROUP CLINIC FOR PATIENTS REFERRED BY THE CHURCH.3. FOCUS ON TOBACCO USE:A. IN 2023, THE HOSPITAL OFFERED SCREENINGS FOR TOBACCO USE AND ENROLLED COMMUNITY MEMBERS IN A SMOKING CESSATION PROGRAM, RECOGNIZING THE RELATIONSHIP BETWEEN TOBACCO USE, OBESITY, AND CHRONIC DISEASES.4. EDUCATION AND OUTREACH:A. UTILIZATION OF DIGITAL MEDIA, HEALTH FAIRS, SENIOR CENTERS, AND LOCAL PUBLICATIONS TO DISSEMINATE INFORMATION ON HEALTHY LIFESTYLES AND OBESITY PREVENTION.B. HEALTH EDUCATION INITIATIVES EXTENDED TO COMMUNITY CHURCH LEADERS SUCH AS ALL SAINTS EPISCOPAL CHURCH IN NORRISTOWN, FOSTERING A NETWORK OF HEALTH ADVOCATES WITHIN NORRISTOWN AND PARTNERING WITH ACLAMO FAMILY CENTERS. 5. COLLABORATION WITH LOCAL ORGANIZATIONS:A. PARTNERED WITH MONTGOMERY COUNTY SENIOR SERVICES TO PROVIDE HEALTH EDUCATION AND RESOURCES WITHIN THE HOSPITAL, FURTHER EXTENDING THE REACH OF HEALTH INITIATIVES.IMPACT ASSESSMENTTHE INITIATIVES UNDERTAKEN BY SUBURBAN COMMUNITY HOSPITAL AND ITS PARTNERS HAVE YIELDED POSITIVE OUTCOMES IN THE NORRISTOWN COMMUNITY, INCLUDING:- INCREASED HEALTH AWARENESS: COMMUNITY MEMBERS HAVE SHOWN IMPROVED UNDERSTANDING OF THE RISKS ASSOCIATED WITH OBESITY AND THE IMPORTANCE OF PREVENTIVE HEALTH MEASURES.- ACCESS TO PREVENTIVE SERVICES: REGULAR HEALTH EDUCATION SESSIONS AND SCREENINGS HAVE FACILITATED EARLY DETECTION AND MANAGEMENT OF CHRONIC CONDITIONS AMONG ATTENDEES.- BEHAVIORAL CHANGES: EDUCATIONAL EFFORTS HAVE CONTRIBUTED TO INCREASED KNOWLEDGE AND SKILLS REGARDING HEALTHY LIFESTYLE CHOICES, LEADING TO POSITIVE BEHAVIOR MODIFICATIONS.- STRENGTHENED COMMUNITY TIES: COLLABORATIONS WITH LOCAL CHURCHES AND ORGANIZATIONS HAVE FOSTERED A SUPPORTIVE COMMUNITY ENVIRONMENT FOCUSED ON HEALTH PROMOTION.CONCLUSIONTHE PARTNERSHIP BETWEEN SUBURBAN COMMUNITY HOSPITAL'S RESIDENCY PROGRAM AND ST. PATRICK'S CHURCH AND OTHER LOCAL ORGANIZATIONS HAS SIGNIFICANTLY CONTRIBUTED TO ADDRESSING OBESITY AND ITS RELATED HEALTH RISKS IN THE NORRISTOWN COMMUNITY. OUR CONTINUED EFFORTS TO PROVIDE EDUCATION, ENHANCE ACCESS TO HEALTHCARE SERVICES, AND ENGAGE AT-RISK POPULATIONS ARE ESSENTIAL FOR SUSTAINING IMPROVEMENTS IN COMMUNITY HEALTH. WE BELIEVE, FUTURE ASSESSMENTS WILL BE VITAL FOR EVALUATING THE LONG-TERM IMPACT OF THESE INITIATIVES AND REFINING STRATEGIES TO MEET THE EVOLVING HEALTH NEEDS OF THE COMMUNITY.
PAMPA REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 11: THE FY2021 CHNA WAS CONDUCTED AND A CHIP WAS DEVELOPED TO BETTER UNDERSTAND AND ADDRESS THE PRIORITY HEALTH NEEDS OF THE COMMUNITY SERVED BY PAMPA REGIONAL MEDICAL CENTER. AS A RESULT, THE FOLLOWING SIX PRIORITY HEALTH NEEDS WERE IDENTIFIED:1. COMMUNITY EDUCATION, LITERACY AND INVOLVEMENT2. ACCESS TO CARE3. HEALTHY WEIGHT4. MENTAL HEALTH5. SUBSTANCE USE DISORDER6. HOMELESSNESSCOMMUNITY EDUCATION, LITERACY AND INVOLVEMENTTHE GOAL IS TO DEVELOP A HEALTH EDUCATION COALITION TO ADDRESS COMMUNITY HEALTH EDUCATION THROUGH CHURCHES, CIVIC GROUPS, SENIOR CENTERS, EXTENSION EDUCATION AND SCHOOLS AS WELL AS CREATE EDUCATION ON MEDICARE. PAMPA REGIONAL MEDICAL CENTER HAS OUTLINED THE FOLLOWING ACTIONS:1. INVENTORY AND COORDINATE EXISTING HEALTH EDUCATION EFFORTS.2. DEVELOP PROGRAMS AND MARKET EDUCATION PROGRAMS ADDRESSING COMMUNITY HEALTH NEEDS. 3. ORGANIZE AND INVOLVE YOUTH AMBASSADORS TO PROVIDE HEALTH EDUCATION TO PEERS. 4. CREATE FUN INTERACTION THROUGH PLAY AND SOCIAL MEDIA TO ENGAGE YOUNGER PEOPLE. 5. IDENTIFY MEDICARE EXPERTS IN THE AREA AND HOLD EDUCATIONAL SESSIONS. ACCESS TO CARETHE GOAL IS TO CREATE TRANSPARENT BILLING AND CHARGES FOR HEALTH SERVICES, PROVIDE HEALTH EDUCATION, AND INCREASE PHYSICAL ACCESS TO CARE. PAMPA REGIONAL MEDICAL CENTER HAS OUTLINED THE FOLLOWING ACTIONS:1. HOSPITAL, PHYSICIANS PROVIDE TRANSPARENT BILLING FOR SERVICES.2. COMMUNICATE CHARGES PRIOR TO DELIVERY OF SERVICES TO DECREASE FEAR OF SURPRISE BILLING.3. IDENTIFY RESOURCES AVAILABLE.4. PROMOTE RESOURCES IN THE COMMUNITY.5. ADD PRIMARY CARE AND SPECIALTY PHYSICIANS. 6. COMMUNICATE ABOUT THE HOSPITAL VAN. 7. EXPERIMENT WITH A MONTHLY SUBSCRIPTION TO SEE DOCTORS ANY TIME THEY NEED CARE. HEALTHY WEIGHTTHE GOAL IS TO DECREASE ADULT OBESITY RATE BY 5% OVER NEXT 3 YEARS FROM 36% TO 34% AND REDUCE THE RATE OF CHILDHOOD OBESITY MEASURED BY BMI BY 10% IN THE NEXT THREE YEARS. PAMPA REGIONAL MEDICAL CENTER HAS OUTLINED THE FOLLOWING ACTIONS:1. INFORM COMMUNITY OF CURRENT RATES AND SITUATION CREATING COMMUNITY-DRIVEN EDUCATION AND AWARENESS.2. PROMOTE ACTIVITY THROUGH COMMUNITY OPPORTUNITY/EVENTS FOR EXERCISE ESPECIALLY IN THE WINTER AT COMMUNITY EVENTS.3. PROVIDE OPPORTUNITIES FOR THOSE WHO WANT TO CHANGE.4. PROVIDE FREE AND ACCESSIBLE RESOURCES, E.G. A DIETICIAN HOTLINE TO ANSWER QUESTIONS.5. EDUCATE PARENTS.6. CONDUCT A KIDS' FORUM TO ASK KIDS, "WHAT WOULD YOU DO TO BE ACTIVE? AND "WHAT WILL YOU EAT THAT IS HEALTHY?"7. ENSURE KIDS HAVE ACCESS TO PHYSICAL EDUCATION CLASSES.8. INTEGRATE WITH INSURANCE PLANS FOR DISCOUNTS.MENTAL HEALTHTHE GOAL IS TO CREATE ACCESS TO A LOCAL MENTAL HEALTH HOTLINE AVAILABLE BY PHONE AND TEXT 24 HOURS AND IMPROVE AFFORDABILITY OF MENTAL HEALTH TREATMENT. PAMPA REGIONAL MEDICAL CENTER HAS OUTLINED THE FOLLOWING ACTIONS:1. COMMUNICATION AND ADVERTISING SOCIAL MEDIA, NEWSPAPERS, FLYERS. 2. IMPLEMENT A 24-HOUR MENTAL HEALTH HOTLINE.3. UTILIZE MENTAL HEALTH FIRST AID FOR YOUTH TRAINING THROUGH TEXAS A&M.SUBSTANCE USE DISORDERTHE GOAL IS TO PROVIDE ADEQUATE EDUCATION FOR ADHERING TO THERAPEUTIC REGIMES AND MEDICATIONS, PROVIDE ACCESS TO AFFORDABLE REHAB AND EDUCATION ON THE IMPORTANCE OF TREATMENT AVAILABILITY, AND PROVIDE STRUCTURED, ORGANIZED PREVENTION EDUCATION ON SMOKING, VAPING, SMOKELESS AND CESSATION THAT IS CONSISTENT AND ONGOING. PAMPA REGIONAL MEDICAL CENTER HAS OUTLINED THE FOLLOWING ACTIONS:1. EDUCATE PRESCRIBERS, NURSES, HOME HEALTH, PHARMACISTS ON INAPPROPRIATE USE OF PRESCRIPTION MEDICATIONS. 2. USE EDUCATORS FROM MULTIPLE DISCIPLINES, HEALTHCARE, LAW ENFORCEMENT, MENTAL HEALTH, SOCIAL WORKERS. 3. IMPLEMENT AN INPATIENT REHABILITATION FACILITY IN PAMPA. 4. PROVIDE COMMUNITY EDUCATION ON THE IMPORTANCE OF INPATIENT REHAB CARE IN RECOVERY. 5. PROVIDE PREVENTATIVE EDUCATION FOR SCHOOLS, COMMUNITY, SENIOR CITIZENS.6. PROVIDE EDUCATION ON DISEASES CAUSED BY SUBSTANCE USE COPD, ASTHMA, CANCER. HOMELESSNESSTHE GOAL IS TO INVENTORY WHERE HOMELESS PEOPLE CAN GET FOOD AND TEMPORARY SHELTER, CONVINCE THE COMMUNITY THAT REDUCING HOMELESSNESS IS A COMMUNITY NEED, AND PLAN FOR A HOMELESS SHELTER. PAMPA REGIONAL MEDICAL CENTER HAS OUTLINED THE FOLLOWING ACTIONS:1. ASK QUESTIONS ABOUT HOMELESSNESS, SUCH AS WHY? FIGURE OUT THEIR STORY TO COLLECT DATA AND FIGURE OUT WHERE THEY CAN GET MEALS EVERY DAY OF THE WEEK.2. TAKE A RESOURCE GUIDE TO THE HOMELESS. 3. GET STATISTICS OF THE HOMELESS.4. PROVIDE DATA, FACTS, AND STORIES TO THE COMMUNITY FOR PRODUCTIVE CONVERSATIONS. 5. CREATE A FEASIBILITY PLAN WITH BUILDING OPTIONS. BUILDING UPON THE CURRENT CHNA, THE HOSPITAL DID THE FOLLOWING DURING FY23 TO ADDRESS THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY: - HELD A COMMUNITY WELLNESS DAY HEALTH FAIR IN OCTOBER 2023.- ADDED STATE OF THE ART 3D MAMMOGRAPHY BREAST IMAGING SYSTEM, MAMMOMAT REVELATION, TO BETTER SCREEN AND DETECT EARLY SIGNS OF CANCER FOR PANHANDLE WOMEN.- CHIEF NURSING OFFICER, DR. KRIS VIGIL-LEEPER, CONDUCTED A WOMEN'S HEALTH LECTURE FOR COMMUNITY LEADERS AT THE GREATER PAMPA CHAMBER OF COMMERCE IN OCTOBER 2023.- SENIOR HOSPITAL LEADERSHIP ASSISTED IN COORDINATING DISASTER RESPONSE EFFORTS IN PERRYTON, TEXAS, AFTER A TORNADO DECIMATED THE COMMUNITY AND HOSPITAL IN JUNE 2023.- CONDUCTED COMMUNITY EMERGENCY DRILLS IN PARTNERSHIP WITH AREA LAW ENFORCEMENT, LIFESAVERS, AND DISASTER RESPONSE TEAMS IN MARCH AND SEPTEMBER 2023.- HELPED CREATE AND SUPPORT LEADERSHIP PAMPA WITH THE PAMPA GREATER CHAMBER OF COMMERCE TO PREPARE FUTURE PAMPA LEADERS FOR SERVICE TO THE COMMUNITY IN 2023, WITH STUDENTS FROM ALL SECTORS OF THE COMMUNITY.- LED COMMUNITY-WIDE FREE EASTER EGG HUNT IN APRIL AND TRUNK OR TREAT IN OCTOBER 2023.- RAN INFORMATIONAL ADVERTISING ON SWING BED SERVICES ON ABC7 IN AMARILLO, AND REGULAR HEALTH EDUCATION ON SOCIAL MEDIA TO IMPROVE ACCESS TO EXTENDED CARE FOR THOSE 55 AND OLDER. - CONDUCTED HEALTH VOCATIONAL TRAINING TO PAMPA HIGH SCHOOL STUDENTS IN MARCH 2023, AND PRESENTED INFORMATION AT AMARILLO COLLEGE JOB FAIRS IN MARCH AND APRIL 2023.- TAUGHT HEALTH EDUCATION AND DISTRIBUTED SCHOOL SUPPLIES FOR K-12 STUDENTS AND FAMILIES DURING THE PISD BACK TO SCHOOL BASH IN AUGUST 2023.- SUPPORTED AND PARTICIPATED IN COMMUNITY EVENTS INCLUDING INDEPENDENCE DAY, TOTRA RODEO, PAMPA GREATER CHAMBER OF COMMERCE ANNUAL COUNTY FAIR, PAMPA PARADE OF LIGHTS, WHITE DEER SETTLER DAYS, AND SEVERAL OTHERS.- SUPPORTED AREA CHARITABLE GIVING DIRECTLY OR EMPLOYEE LED THROUGH ALTRUSA, CODY OWENS MEMORIAL FOUNDATION, PAMPA VETERANS OF FOREIGN WARS, PAMPA COMMUNITY CONCERT ASSOCIATION, PAMPA GREATER CHAMBER OF COMMERCE GOLD COATS, SALVATION ARMY, PAMPA POLICE, AND OTHERS.- INFORMED COMMUNITY OF MEDICARE BENEFITS THROUGH SOCIAL MEDIA OF STATE SERVICES NUMBER 211 AND WWW.YOURTEXASBENEFITS.COM.- PRMC BUSINESS DEVELOPMENT DIRECTOR MET WITH THE PAMPA ECONOMIC DEVELOPMENT CORPORATION MARCH 2023 TO DISCUSS HOW THE HOSPITAL COULD BETTER SERVE THE COMMUNITY AND TO SHARE INFORMATION ABOUT CHANGES TO SERVICE LINES.- PROMOTED AND OFFERED MDSAVE TO PATIENTS AS TRANSPARENT BILLING ALTERNATIVE.- OFFERED FREE TRANSPORTATION SERVICES TO NEEDY TO GET PATIENTS TO AND FROM THEIR APPOINTMENTS.- PMG CONDUCTED FREE SPORTS PHYSICALS FOR AREA STUDENTS.- WORKED WITH COMMUNITY NON-PROFITS AND CHURCHES TO IMPROVE MOBILITY AND ACCESS TO RESOURCES FOR HOMELESS, DISABLED AND DISADVANTAGED POPULATIONS THROUGH USE OF HOSPITAL COURTESY SHUTTLE.- CONDUCTED EMPLOYEE-LED FUNDRAISING EFFORTS FOR DISADVANTAGED AND HOMELESS THROUGH NON-PROFIT ORGANIZATIONS.
HUNTINGTON BEACH HOSPITALPART V, SECTION B, LINE 13B: APPROVED IN SOME INSTANCES OF HOMELESSNESS/DECEASED WITH NO KNOWN NEXT OF KIN
SCHEDULE H, PART V, LINE 7A - SOUTHERN REGIONALHTTPS://WWW.SOUTHERNREGIONAL.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
SCHEDULE H, PART V, LINE 7A - LANDMARKHTTPS://WWW.LANDMARKMEDICAL.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
SCHEDULE H, PART V, LINE 7A - SHERMAN OAKSHTTPS://WWW.SHERMANOAKSHOSPITAL.ORG/ABOUT-US/COMMUNITY-BENEFITS
SCHEDULE H, PART V, LINE 7A - LA PALMAHTTPS://WWW.LAPALMAINTERCOMMUNITYHOSPITAL.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
SCHEDULE H, PART V, LINE 7A - COSHOCTONHTTPS://WWW.COSHOCTONHOSPITAL.ORG/ABOUT-US/COMMUNITY-SERVICE/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
SCHEDULE H, PART V, LINE 7A - SUBURBANHTTPS://WWW.SUBURBANHOSP.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
SCHEDULE H, PART V, LINE 7A - PAMPAHTTPS://WWW.PRMCTX.COM/ABOUT-US/QUALITY-PATIENT-SAFETY-CLINICAL-EXCELLENCE/
SCHEDULE H, PART V, LINE 10A - SOUTHERN REGIONALHTTPS://WWW.SOUTHERNREGIONAL.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
SCHEDULE H, PART V, LINE 10A - COSHOCTONHTTPS://WWW.COSHOCTONHOSPITAL.ORG/ABOUT-US/COMMUNITY-SERVICE/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
SCHEDULE H, PART V, LINE 16A - LANDMARKHTTPS://LANDMARKMEDICAL.ORG/PATIENTS-VISITORS/PATIENTS-GUIDE/FINANCIAL-ASSISTANCE/
SCHEDULE H, PART V, LINE 16A - LA PALMAHTTPS://LAPALMAINTERCOMMUNITYHOSPITAL.COM/HELP-PAYING-YOUR-BILL/
SCHEDULE H, PART V, LINE 16B - LANDMARKHTTPS://LANDMARKMEDICAL.ORG/PATIENTS-VISITORS/PATIENTS-GUIDE/FINANCIAL-ASSISTANCE/
SCHEDULE H, PART V, LINE 16B - LA PALMAHTTPS://LAPALMAINTERCOMMUNITYHOSPITAL.COM/HELP-PAYING-YOUR-BILL/
SCHEDULE H, PART V, LINE 16C - LANDMARKHTTPS://LANDMARKMEDICAL.ORG/PATIENTS-VISITORS/PATIENTS-GUIDE/FINANCIAL-ASSISTANCE/
SCHEDULE H, PART V, LINE 16C - LA PALMAHTTPS://LAPALMAINTERCOMMUNITYHOSPITAL.COM/HELP-PAYING-YOUR-BILL/
SCHEDULE H, PART V, LINE 10A - LA PALMAHTTPS://LAPALMAINTERCOMMUNITYHOSPITAL.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
SCHEDULE H, PART V, LINE 10A - SHERMAN OAKSHTTPS://SHERMANOAKSHOSPITAL.ORG/WP-CONTENT/UPLOADS/2023/04/SHERMAN-OAKS-HOSPITAL-2023_25-IMPLEMENTATION-PLAN-FINAL.PDF
PAMPA REGIONAL MEDICAL CENTER:PART V, SECTION B, LINE 8: AN IMPLEMENTATION STRATEGY WAS NOT CONDUCTED TIMELY FOR THE FY'21 CHNA CYCLE DUE TO TURNOVER WITHIN THE HOSPITAL FACILITY'S EXECUTIVES AND OFFICERS. THIS WAS DISCOVERED DURING PREPARATION OF THE TY'22 FORM 990. HOWEVER, IN FEBRUARY 2024, STEPS WERE TAKEN TO COMPLETE AN IMPLEMENTATION STRATEGY FOR THE FY'21 CYCLE. AS OF THE FILING OF THIS RETURN, THE IMPLEMENTATION STRATEGY TO ACCOMPANY THE FY'21 CHNA HAS BEEN CONDUCTED, COMPLETED, ADOPTED BY THE BOARD, AND POSTED TO THE HOSPITAL FACILITY'S WEBSITE. THE IMPLEMENTATION STRATEGY CAN BE FOUND AT THE FOLLOWING LINK: HTTPS://PRMCTX.COM/ABOUT-US/QUALITY-PATIENT-SAFETY-CLINICAL-EXCELLENCE/.
ENCINO HOSPITAL MEDICAL CENTER:PART V, SECTION B, LINE 11: THE FY2022 CHNA WAS CONDUCTED, AND A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) WAS DEVELOPED TO BETTER UNDERSTAND AND ADDRESS THE PRIORITY HEALTH NEEDS OF THE COMMUNITY SERVED BY ENCINO HOSPITAL MEDICAL CENTER AND SHERMAN OAKS HOSPITAL. THROUGH FOCUS GROUPS AND COMMUNITY SURVEYS, THIRTY-FIVE HEALTH NEEDS WERE SUGGESTED. TO HELP BETTER MEET AND ADDRESS EACH NEED, THE FOLLOWING FOUR PRIORITY HEALTH NEEDS WERE IDENTIFIED:1. MENTAL HEALTH2. CONTINUITY OF CARE3. HOMELESSNESS4. EMPLOYMENT ISSUESMENTAL HEALTHAS A PRIMARY CARE PROVIDER OF MENTAL HEALTH SERVICES, PARTICULARLY IN GERIATRIC SERVICES, ENCINO HOSPITAL MEDICAL CENTER AND SHERMAN OAKS HOSPITAL ARE DEDICATED TO CONTINUING ITS EXISTING SERVICES. AS MORE FOCUS IS DIRECTED TO MENTAL HEALTH ISSUES ASSOCIATED WITH ACUTE ADMISSIONS TO HOSPITALS, ENCINO HOSPITAL MEDICAL CENTER AND SHERMAN OAKS HOSPITAL ARE EXPANDING ITS COORDINATION PRACTICES WITH COMMUNITY PROVIDERS TO IDENTIFY HIGH-INTENSITY USERS OF HOSPITAL SERVICES WITH ACCOMPANYING MENTAL HEALTH ISSUES THAT CAN BE ADDRESSED IN ALTERNATIVE SETTINGS. WITH BETTER COORDINATION, THESE CLIENTS CAN BE DIRECTED TO MORE APPROPRIATE CARE SITES. ENCINO HOSPITAL MEDICAL CENTER AND SHERMAN OAKS HOSPITAL WILL ALSO RESEARCH OPTIONS TO COORDINATE COMMUNITY CARE SOLUTIONS WITH THE HOSPITAL'S INPATIENT SERVICES AS CRISES ARISE IN THOSE COMMUNITY LOCATIONS AND REFLECT INNOVATIONS IN CARE TO ADDRESS COVID-19 ISSUES. CONTINUITY OF CAREENCINO HOSPITAL MEDICAL CENTER AND SHERMAN OAKS HOSPITAL WILL WORK WITH STEPDOWN PROVIDERS, INCLUDING NURSING AND REHABILITATION HOSPITALS, AS WELL AS HOME HEALTH AGENCIES, MENTAL HEALTH CLINICS, AND SOCIAL SERVICE AGENCIES. THE HOSPITAL IS WORKING WITH THESE GROUPS TO DEVELOP PROTOCOLS TO SHARE INFORMATION BACK AND FORTH ABOUT CLIENTS TRANSFERRED FROM ONE SITE TO ANOTHER, WITH PROVISIONS TO ASSIST OTHER PROVIDERS IN MAINTAINING HEALTH STATUS OF TRANSFERRED CLIENTS ON THEIR RECOVERY PATH. ADDITIONAL RESEARCH IS IN PROCESS TO CREATE METHODOLOGIES FOR IDENTIFYING HIGH-UTILIZATION CLIENTS. THIS WILL ALLOW COORDINATION WITH MEDICAL GROUPS' SOCIAL SERVICE PROVIDERS TO ASSIST IN SUPPORTING THESE CLIENTS IN THEIR HOMES, SO THEY DO NOT BECOME ADMISSIONS TO THE HOSPITAL. ANOTHER INTERVENTION WILL FOCUS ON ASSURING THAT PATIENTS' INSURANCE STATUS IS REVIEWED, AND THE MOST ADVANTAGEOUS COVERAGE IS SECURED, BOTH FOR THEIR HOSPITAL STAY AND FOR CONTINUING CARE IN THE NEXT STEP IN THEIR RECOVERY PROCESS.HOMELESSNESSENCINO HOSPITAL MEDICAL CENTER AND SHERMAN OAKS HOSPITAL WILL IMPROVE COMMUNICATIONS BETWEEN THE HOSPITAL AND STEP-DOWN PROVIDERS BOTH BEFORE AND AFTER TRANSITIONS, TO CLARIFY CLIENT NEEDS AND NECESSARY TREATMENT PROTOCOLS UPON TRANSFER. THE UNHOUSED PATIENTS NEEDING DISCHARGE FROM ENCINO HOSPITAL MEDICAL CENTER AND SHERMAN OAKS HOSPITAL ARE A PARTICULAR POINT OF NEED, AND PROTOCOLS ARE NOW IN REVIEW, TO ENSURE THAT PERSONS WITH NO DISCHARGE ADDRESS ARE REFERRED TO SUITABLE AGENCIES TO FIND HOUSING WITH ADEQUATE SERVICES TO CONTINUE COURSES OF CARE. AS PAYMENT PROGRAMS DEVELOP TO FACILITATE SUCH SERVICES, THE HOSPITAL WILL COORDINATE WITH PROVIDERS TO MAINTAIN AN EQUITABLE REIMBURSEMENT ENVIRONMENT FOR ALL INVOLVED PARTIES. AND AS NEW HOUSING SOLUTIONS ARE DEVELOPED, ENCINO HOSPITAL MEDICAL CENTER AND SHERMAN OAKS HOSPITAL WILL WORK WITH THE DEVELOPERS TO COORDINATE CARE TO MINIMIZE EMERGENCY ROOM UTILIZATION. ENCINO HOSPITAL MEDICAL CENTER AND SHERMAN OAKS HOSPITAL ARE ALSO WORKING WITH POLICE AND FIRE AGENCIES TO IDENTIFY FREQUENT USERS OF EMERGENCY SERVICES AND FIND WAYS TO GUIDE THEM TO ALTERNATIVE SERVICE PROVIDERS BETTER ABLE TO ADDRESS THEIR NEEDS. EMPLOYMENT ISSUESENCINO HOSPITAL MEDICAL CENTER AND SHERMAN OAKS HOSPITAL ARE REVIEWING THEIR PAY AND EMPLOYEE BENEFITS POLICIES TO DETERMINE THE BEST WAYS TO MAINTAIN EXISTING STAFF AND INCREASE STAFF SATISFACTION. RECRUITMENT EFFORTS TO REPLACE STAFF LOSSES ARE ONGOING, PROVIDING REAL-TIME DATA ON WAGE AND BENEFITS DEMANDS IN THE HEALTHCARE MARKETPLACE. WHERE NEEDED, CHANGES IN STAFFING COMPENSATION AND BENEFITS POLICIES ARE BEING IMPLEMENTED. ADDITIONALLY, MANAGEMENT IS PURSUING RELATIONSHIPS WITH MULTIPLE COLLEGES AND TRADE SCHOOLS TO PROVIDE INTERNSHIPS AND ON-THE-JOB EXPERIENCE FOR PERSONS SEEKING EMPLOYMENT IN THE HEALTHCARE FIELD. EDUCATIONAL INSTITUTIONS RANGE FROM USC AND UCLA TO WEST COAST UNIVERSITY AND THE LOS ANGELES CITY COLLEGE SYSTEM.THE FOLLOWING SECTION PROVIDES DETAILS RELATED TO THESE ISSUES FROM THE 2022 CHNA REPORT AND NOTES THAT PLANS TO ADDRESS THOSE ISSUES ARE STILL IN PROCESS. EACH NEED IS OUTLINED, AND EHMC'S ORIGINAL IMPLEMENTATION PLAN TO ADDRESS IT IS REPORTED. ENVIRONMENTAL CHANGES THAT OCCURRED SINCE THE CHNA REPORT DATE ARE ALSO NOTED AND THE HOSPITAL'S PROGRESS IN RESPONDING TO THESE NEEDS IS HIGHLIGHTED. IT IS IMPORTANT TO NOTE THAT THE COVID-19 PANDEMIC HAD BEEN THE DOMINANT HEALTH ISSUE FOR THE PERIOD ANALYZED IN THE 2022 CHNA. WHILE STILL A SUBJECT OF WATCHFULNESS, IT NO LONGER DRIVES PLANNING PROCESSES LOOKING FORWARD, AS OTHER ISSUES HAVE BECOME MORE PRESSING. AMONG THESE, IN 2023, WAS GROWTH IN THE UNHOUSED POPULATION IN THE COUNTY, AND GOVERNMENT AND PUBLIC HEALTH ORGANIZATIONS' ATTEMPTS TO DEAL WITH THE PROBLEMS ASSOCIATED WITH THAT GROUP. ADDITIONAL ISSUES HAVE RESULTED FROM CHANGES IN REIMBURSEMENT FOR HEALTHCARE SERVICES WHICH HAVE AFFECTED THE ELIGIBILITY OF MANY RESIDENTS FOR MEDICAL OR COVERED CALIFORNIA BENEFITS. ANOTHER NEW OPPORTUNITY WAS THE INTRODUCTION OF SB1338. THIS LEGISLATION IS CREATING "CARE COURTS" DESIGNED TO FOCUS ATTENTION ON THOSE ACCUSED OF MINOR CRIMES BUT FELT TO HAVE MENTAL HEALTH ISSUES CONTRIBUTING TO THEIR BEHAVIOR. AS THESE CARE COURTS BEGIN TO OPERATE, POTENTIAL NEW AVENUES OF CARE ARE EXPECTED TO RESULT. THESE OPPORTUNITIES WILL BE REVIEWED AND ADDRESSED AS THEY ALLOW THE HOSPITAL TO EXPAND ITS SERVICES. BUILDING UPON THE CURRENT CHNA AND IMPLEMENTATION STRATEGY, THE HOSPITAL DID THE FOLLOWING DURING FY'23 TO ADDRESS THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY:1. MENTAL HEALTH THIS CATEGORY WAS THE MOST CITED ISSUE, BOTH IN TERMS OF THE NUMBER OF PARTICIPANTS CHOOSING IT AS IMPORTANT AND IN TERMS OF CONSIDERING IT MOST IMPORTANT. THIS GENERAL TERM GENERATED MANY RELATED IDEAS, AND THEY WERE CONSOLIDATED INTO THIS GENERAL CATEGORY. AMONG ISSUES RELATED TO MENTAL HEALTH WERE A NEED FOR INPATIENT MENTAL HEALTH SERVICES, PROBLEMS WITH SUBSTANCE ABUSE THAT INTERSECTED WITH GENERAL MENTAL HEALTH PROBLEMS, AND ISSUES RELATED TO ACUTE PHYSICAL PROBLEMS PRESENTED AT THE EMERGENCY DEPARTMENT WHICH ARE RELATED TO MENTAL HEALTH CONDITIONS EXPERIENCED BY THE PATIENT. AN ATTEMPT TO DEAL WITH THE INTERSECTING ISSUES OF CRIME AND MENTAL HEALTH IS DEVELOPING WITH THE CREATION OF "CARE COURTS," WHICH ARE DESIGNED TO DEAL WITH PERSONS ARRESTED FOR MINOR CRIMES BUT WHO MAY NEED MENTAL HEALTH INTERVENTIONS TO HAVE BOTH THEIR INFRACTIONS AND HEALTH NEEDS ADDRESSED MORE APPROPRIATELY. THUS, ALTHOUGH THE UNDERLYING PROBLEMS SUBSUMED UNDER THE "MENTAL HEALTH" RUBRIC ARE CONTINUING, THE AVAILABLE METHODS OF COMBATTING THE PROBLEM ARE CHANGING RAPIDLY AND WERE NOT ADDRESSED IN EITHER THE 2022 CHNA OR THE 2023-2025 IMPLEMENTATION PLAN. EHMC'S PLAN - AS OF EARLY 2023 INCLUDED A DEDICATION TO CONTINUING ITS EXISTING SERVICES AS A PRIMARY PROVIDER OF INPATIENT MENTAL HEALTH SERVICES IN THE SAN FERNANDO VALLEY. GOING FORWARD, AS MORE FOCUS IS DIRECTED TO MENTAL HEALTH ISSUES ASSOCIATED WITH ACUTE ADMISSIONS TO HOSPITALS, EHMC IS EXPANDING ITS COORDINATION PRACTICES WITH COMMUNITY PROVIDERS TO IDENTIFY HIGH-INTENSITY USERS OF HOSPITAL SERVICES WITH ACCOMPANYING MENTAL HEALTH ISSUES THAT CAN BE ADDRESSED IN ALTERNATIVE SETTINGS. WITH BETTER COORDINATION, THESE CLIENTS CAN BE DIRECTED TO MORE APPROPRIATE CARE SITES. EHMC WILL ALSO RESEARCH OPTIONS TO COORDINATE COMMUNITY CARE SOLUTIONS WITH THE HOSPITAL'S INPATIENT SERVICES AS CRISES ARISE IN THOSE COMMUNITY LOCATIONS. AS THE DEVELOPMENT OF CARE COURTS UNDER CALIFORNIA'S CARE ACT (SB1338) CONTINUES, EHMC STAFF WILL WORK WITH COURT STAFF AND SOCIAL WORK ORGANIZATIONS TO PROVIDE INPATIENT SERVICES AND STEP-DOWN FOLLOW-UP AS APPROPRIATE. EHMC'S RESULTS THE SPECIALIZED 13-BED INPATIENT UNIT IS DESIGNED SPECIFICALLY TO FOCUS ON SENIOR BEHAVIORAL HEALTH, ADDRESSING THE UNIQUE EMOTIONAL, BEHAVIORAL, AND MENTAL HEALTH NEEDS OF ADULTS AGES 50 AND OLDER. EHMC'S PROGRAM IS DESIGNED TO IMPROVE DAY-TO-DAY FUNCTIONING, LEADING TO IMPROVED HEALTH AND A HIGHER QUALITY OF LIFE. OUR TEAM IS COMPRISED OF EXPERIENCED AND COMPASSIONATE HEALTHCARE PROFESSIONALS WHO ARE DEVOTED TO PROVIDING THE CARE AND EMOTIONAL SUPPORT THESE PATIENTS AND FAMILIES NEED. BECAUSE THE PROGRAM IS HOSPITAL-BASED, WE CAN ACCEPT PATIENTS SUFFERING FROM PSYCHIATRIC ISSUES AND CHRONIC MEDICAL CONDITIONS.
THE HOSPITAL HAS SERVED AND WILL CONTINUE TO SERVE, AS A REFERRAL LOCATIONFOR OTHER HEALTHCARE PROVIDERS NEEDING SPECIALIZED SERVICES FOR AGING PERSONS IN DANGER DUE TO MENTAL HEALTH ISSUES. AT THE CLOSE OF 2023, INCREASES IN MENTAL HEALTH ENCOUNTERS IN EHMC'S EMERGENCY ROOM WERE CONTINUING TO OCCUR, AND THE HOSPITAL HAS EXPANDED ITS SERVICES TO ADDRESS THE INFLUX. EHMC'S EXPANDED SENIOR BEHAVIORAL HEALTH PROGRAM OFFERS MOBILE PSYCHIATRIC EVALUATION SERVICES AND PSYCHIATRIC EMERGENCY TEAMS (PET), A 24-HOUR CLINICAL NURSING TEAM, AND WE ALSO OFFER CRISIS STABILIZATION 24 HOURS / 7 DAYS A WEEK WITH PSYCHIATRIC ASSESSMENT AND TREATMENT AND RECREATIONAL THERAPY ASSESSMENT AND TREATMENT. OFFERED GERO-PSYCHIATRIC EDUCATIONAL SERIES TO POST-ACUTE PARTNERS LIKE SKILLED NURSING FACILITIES, ASSISTED LIVING FACILITIES, SENIOR LIVING FACILITIES, BOARD AND CARE FACILITIES, AND OTHER COMMUNITY MEMBERS. MORE CONCRETE UPDATES TO OPERATIONS WILL BE INSTITUTED AS THE IMPACT OF CARE COURT REFERRALS AND REVISED TREATMENT PARADIGMS ARE ENCOUNTERED.2. CONTINUITY OF CARE AN EMERGING TOPIC OF DISCUSSION WITHIN MEDICAL AND SOCIAL WORK CIRCLES IS SOCIAL DETERMINANTS OF HEALTH (SDOH). SDOH ISSUES INCLUDE CONDITIONS THAT EXIST OUTSIDE A HEALTHCARE INSTITUTION, OFTEN IN THE HOME OR IMMEDIATE NEIGHBORHOOD, WHICH MAKE IT DIFFICULT TO MANAGE CHRONIC DISEASES SUCH AS DIABETES, HIGH BLOOD PRESSURE, OR OSTEOPOROSIS. MANY OF THESE ISSUES CAN BE ADDRESSED MORE APPROPRIATELY WITH NON-INSTITUTIONAL INTERVENTIONS, BUT THEY ARE OFTEN NOT BROUGHT TO MEDICAL ATTENTION UNTIL THE PATIENT ENTERS THE EMERGENCY ROOM. CHANGES IN MEDICAL AND COVERED CALIFORNIA ELIGIBILITY REQUIREMENTS HAVE ALSO FORCED PROVIDERS TO COPE WITH THE REDETERMINATION OF ELIGIBILITY FOR ALL MEDICAL RECIPIENTS OVER A YEAR'S TIME. SINCE THIS PROCESS REQUIRES INPUT FROM INSUREDS, MANY EXISTING RECIPIENTS HAVE NOT PROVIDED THE NECESSARY PAPERWORK, OR HAVE BEEN DETERMINED INELIGIBLE FOR CONTINUING MEDICAL COVERAGE. HOSPITALS AND MEDICAL GROUPS HAVE BECOME THE FIRST PROVIDERS TO DISCOVER THAT THEIR PATIENTS NEED TO EITHER RE-APPLY FOR MEDICAL COVERAGE OR TO FIND ALTERNATE HEALTH INSURANCE AS REQUIRED BY THE STATE. IN EITHER CASE, THE OPTIONS AVAILABLE TO ASSIST CLIENTS IN MANAGING THEIR CARE HAVE CHANGED, AND PROVIDERS MUST HELP THEIR PATIENTS NAVIGATE THE NEW ENVIRONMENT. EHMC'S PLAN - AS STATED IN ITS 2023 IMPLEMENTATION PLAN: INCLUDES WORKING WITH STEPDOWN PROVIDERS, INCLUDING NURSING AND REHABILITATION HOSPITALS, AS WELL AS HOME HEALTH AGENCIES, MENTAL HEALTH CLINICS, AND SOCIAL SERVICE AGENCIES. THE HOSPITAL IS WORKING WITH THESE GROUPS TO DEVELOP PROTOCOLS TO SHARE INFORMATION BACK AND FORTH ABOUT CLIENTS TRANSFERRED FROM ONE SITE TO ANOTHER. THESE PROTOCOLS WILL ASSIST OTHER PROVIDERS IN MAINTAINING THE HEALTH STATUS OF TRANSFERRED CLIENTS ON THEIR RECOVERY PATH. ADDITIONAL RESEARCH IS IN THE PROCESS OF CREATING METHODOLOGIES FOR IDENTIFYING HIGH-UTILIZATION CLIENTS. THIS WILL ALLOW COORDINATION WITH MEDICAL GROUPS' SOCIAL SERVICE PROVIDERS TO ASSIST IN SUPPORTING THESE CLIENTS IN THEIR HOMES, SO THEY DO NOT BECOME ADMISSIONS TO THE HOSPITAL. ANOTHER CRITICAL ISSUE RELATED TO CONTINUITY OF CARE IS ASSURING THAT PATIENTS' INSURANCE STATUS IS REVIEWED AND REDETERMINED, AND THE MOST ADVANTAGEOUS COVERAGE INTERVENTION IS OFFERED TO PERSONS WHOSE COVERAGE HAS LAPSED. MEANWHILE, EHMC HAS A POLICY OF PROVIDING FINANCIAL ASSISTANCE TO PATIENTS WITH MEDICAL NEEDS WHOSE INCOME IS LESS THAN 450% OF THE FEDERAL POVERTY LEVEL AND WHO LACK HEALTH INSURANCE. UNDER EHMC'S PRESUMPTIVE MEDICAL PROGRAM, PATIENTS FOR WHOM HEALTH SERVICES ARE A BURDEN ARE ASSISTED TO FILE FOR AVAILABLE ASSISTANCE TO ALLOW THEM TO ACCESS CARE IMMEDIATELY, AND FOLLOWED UP TO ASSURE THAT THEY EITHER ARE PROVIDED WITH AN INSURANCE OPTION OR COVERED UNDER THE HOSPITAL'S POLICY FOR MEDICALLY NECESSARY CARE.EHMC'S RESULTS AS HEALTH SYSTEMS OF ALL TYPES RECOVER FROM PANDEMIC-ERA DISEASE MANAGEMENT PROTOCOLS AND CHANGES IN REIMBURSEMENT, NEW ISSUES HAVE ARISEN. BEFORE 2023, THE PRIMARY FOCUS INVOLVING CONTINUITY OF CARE WAS MANAGING UTILIZATION, AS THE PANDEMIC STRAINED BOTH EHMC'S PHYSICAL CAPACITY AND ITS WORKFORCE'S STAMINA. AS ADMISSIONS FOR COVID-RELATED ILLNESSES HAVE DECLINED, MANY OF THE ELECTIVE AND NON-EMERGENCY PROCEDURES THAT HAD BEEN DELAYED OR POSTPONED HAVE RE-EMERGED AS DRIVERS OF HOSPITAL ADMISSIONS. AS COVID RELATED ADMISSIONS SUBSIDED, MANY OF THE PATIENTS WHO HAD PREVIOUSLY BEEN DIAGNOSED WITH CONDITIONS REQUIRING TREATMENT, BUT HAD HAD THEIR PROCEDURES POSTPONED, HAVE RETURNED TO GET THEIR DELAYED TREATMENTS PERFORMED. IN SOME CASES, THEY MAY FIND THEMSELVES NEEDING DIFFERENT INTERVENTIONS AND/OR MAY NO LONGER BE ELIGIBLE FOR THE TREATMENTS ORIGINALLY PRESCRIBED UNTIL THEY ARE RE-ENROLLED IN MEDICAL OR MOVED TO NEW COVERAGE. PROTOCOLS HAVE BEEN REVISED TO ADDRESS THESE CHANGES. MANAGEMENT HAS CONTINUALLY EVOLVED OPERATIONS TO COPE WITH CHANGES IN TREATMENT PROTOCOLS AND TYPES OF MEDICAL ISSUES PRESENTING AT THE HOSPITAL, AS WELL AS IN CHANGING TRANSITION STRATEGIES RELATED TO THE OUTPLACEMENT OF PATIENTS NEEDING CARE BEST PROVIDED IN NON-HOSPITAL SETTINGS. STAFF AND MANAGEMENT ARE IN CONSTANT CONTACT WITH STEP-DOWN PROVIDERS, USING ZOOM AND OTHER VIRTUAL MEETING APPLICATIONS. PATIENT TRANSITIONS TO SELECTED NURSING HOMES AND RETIREMENT HOUSING COMMUNITIES ARE CONTINUING TO OCCUR, AS WELL AS PROGRAMS TO ALLOW EASIER TRANSITION TO HOME ENVIRONMENTS. THESE ARE REGULARLY BEING REVIEWED. EHMC CONTINUES TO ASSESS EXISTING METHODOLOGIES' USEFULNESS IN ASSURING CONTINUED RECOVERY FROM THE ACUTE INCIDENTS THAT BROUGHT PATIENTS TO THE HOSPITAL IN THE FIRST PLACE. WEEKLY MEETINGS, AS WELL AS AD HOC CONFERENCES AS NEEDED, ARE CONDUCTED WITHIN THE HOSPITAL TO ASSESS PROGRESS. REGULAR MEETINGS WERE ORGANIZED TO REVIEW THE COORDINATION OF CARE WITH OUR POST-ACUTE PARTNERS SUCH AS SKILLED NURSING FACILITIES, LONG TERM ACUTE FACILITIES, SENIOR LIVING FACILITIES, HOME HEALTH AGENCIES, AND HOSPICE PROVIDERS. EHMC ALSO COLLABORATES WITH POLICE (LAPD) AND FIRE (LAFD) DEPARTMENTS, WHERE ALLOWED, TO COORDINATE CARE FOR PERSONS WHO ARE REPEAT USERS OF EMERGENCY SERVICES, ALLEVIATING CALLS TO 911 FOR LESS-THAN-LIFE-THREATENING INJURIES. THE HOSPITAL ALSO IMPLEMENTED THE GETCATENOW PROGRAM A SOFTWARE FOR PATIENT APPOINTMENT/ SCHEDULING IN THE EMERGENCY DEPARTMENT, WHICH WILL DECREASE WAIT TIMES AND WILL HELP PATIENTS SCHEDULE THEIR ED APPOINTMENTS OR VISITS EASILY. AND AS NOTED EARLIER, EHMC WILL PARTNER WITH ITS ELIGIBILITY CONSULTANTS TO ASSURE THAT PATIENTS HAVING TROUBLE NEGOTIATING THE REDESIGNATION PROCESS ARE PROVIDED WITH ADEQUATE GUIDANCE TO FIND ACCEPTABLE COVERAGE. EHMC AND PRIME HEALTHCARE HAVE PARTNERED WITH AGA MEDICARE OPTIONS TO HELP YOU MAKE A WELL-INFORMED DECISION ABOUT YOUR HEALTH INSURANCE. THIS WEBINAR WAS OFFERED FOR THOSE WHO ARE TURNING 65 OR PLANNING TO GET MEDICARE INSURANCE. EHMC CONTINUED TO OFFER AND PROVIDE PROGRAMS AND ASSISTANCE TO UNINSURED INDIVIDUALS WHO CAN BE ELIGIBLE FOR A GOVERNMENT-SPONSORED HEALTH PROGRAM, SUCH AS MEDICARE, MEDI-CAL, OR OTHER STATE OR COUNTY-FUNDED HEALTHCARE COVERAGE. AS THE COVID EMERGENCY SUBSIDES, EHMC HAS MAINTAINED CONTACT WITH THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH AND HAS WORKED WITH THAT AGENCY TO IMPLEMENT EVOLVING TREATMENT MODALITIES AS NEW VACCINES HAVE BECOME AVAILABLE AND DISTRIBUTION HAS BECOME THE PRIMARY PROBLEM. VACCINATION CLINICS HAVE BEEN HELD AT THE HOSPITAL AND AT LOCAL HEALTH FAIRS. THE HOSPITAL SPONSORED COMMUNITY VACCINE CLINICS IN CONJUNCTION WITH THE MYTURN.GOV PROGRAM AND PROVIDED VACCINATIONS TO OVER 350 COMMUNITY MEMBERS. ALONG WITH THE COVID-19 SERVICES, EHMC ALSO PROVIDED STROKE AND HEART HEALTH INFORMATION. THE HOSPITAL WILL CONTINUE TO WORK WITH APPROPRIATE AGENCIES TO DELIVER VACCINATIONS AND BOOSTERS AS DEMAND INDICATES AND WILL MAINTAIN ITS PUBLIC INFORMATION EFFORTS AS APPROPRIATE. AS MORE PUBLIC EVENTS ARE SCHEDULED IN COMMUNITY SETTINGS. EHMC CONTINUED TO MONITOR OPPORTUNITIES FOR COMMUNITY BOOTHS LIKE PARTICIPATING IN SHERMAN OAKS AND ENCINO STREET FAIR, PROVIDING HEALTH SCREENINGS, PROVIDING A FIRST AID BOOTH, AND HEART AND STROKE HEALTH EDUCATION AND HEALTH AND SAFETY INFORMATION. CONTINUED SUPPORTING THE AMERICAN RED CROSS AND PARTICIPATING IN AND HOSTING A BLOOD DRIVE EVENT FOR THE COMMUNITY.3. HOMELESSNESS HAS BECOME A MAJOR ISSUE IN LOS ANGELES AS MORE AND MORE RESIDENTS ARE LIVING ON THE STREETS. IT HAS ALSO BEEN A MAJOR TOPIC OF LITIGATION AND ATTEMPTS TO DEAL WITH IT ARE SPILLING INTO THE POLITICAL ARENA. SEVERAL BOND ISSUES HAVE PASSED IN THE LAST TWO ELECTIONS TO PROVIDE FUNDS FOR HOUSING AND TREATMENT OF UNHOUSED RESIDENTS, WITH MIXED RESULTS. THE MOST RECENT ELECTION AT THE END OF 2022 RESULTED IN A NEW SLATE OF CITY COUNCIL REPRESENTATIVES WHO WILL HAVE DIFFERENT IDEAS AS TO HOW TO ADDRESS THE PROBLEM. UNHOUSED PATIENTS REPRESENTED A SIGNIFICANT PORTION OF THE DISCHARGES FROM EHMC IN 2023, WITH DISCHARGES TO UNKNOWN ZIP CODES COMPRISING JUST UNDER 2% OF ALL DISCHARGES.
THE ACTUAL PROVISION OF CARE IS JUST AS FRAGMENTED AS THE PAYMENT SYSTEMTHAT SUPPORTS IT. PATIENTS DISCHARGED FROM HOSPITALS OR OTHER CARE FACILITIES OFTEN FIND THEMSELVES AT LOOSE ENDS ONCE THEY LEAVE THE PREMISES. CARE COORDINATORS AND SOCIAL SERVICE AGENCIES ATTEMPT TO MANAGE TRANSITIONS, BUT THEIR ABILITY TO ASSURE APPROPRIATE CARE IN OFFSITE SITUATIONS IS CONSTRAINED BY THEIR INABILITY TO ACTIVELY FOLLOW CLIENTS FROM THE FACILITY TO ANOTHER CARE SITE OR TO HOME. ALSO, THERE ARE NO FORMAL PROGRAMS TO DETERMINE THAT THE CARE SETTINGS INTO WHICH PATIENTS ARE RELEASED ARE THE MOST APPROPRIATE, OR EVEN ADEQUATE. CITY AGENCIES, POLICE, AND COURT SYSTEMS ARE EXPLORING NEW METHODS OF COPING WITH THE UNHOUSED POPULATION. EXISTING PAYMENT PROGRAMS GENERALLY HAVE NO ABILITY TO FUND FOLLOW-UP CARE OR PATIENT MANAGEMENT, BUT PRESSURE IS BUILDING TO ADDRESS THE PROBLEM MORE CONCRETELY. NEW PROGRAMS SUCH AS PROJECT HOMEKEY AND INSIDE SAFE ARE PROVIDING SHORT-TERM RELIEF. BUT LONGER-TERM SOLUTIONS ARE SLOW IN COMING, AND ARE ENCOUNTERING RESISTANCE BOTH FROM NEIGHBORS WHO FEAR THE INFLUX OF QUESTIONABLE RESIDENTS, AND FROM UNHOUSED PEOPLE WHO OBJECT TO THE STRICTURES IMPOSED BY HOUSING PROVIDERS. MEANWHILE HOSPITAL EMERGENCY DEPARTMENTS CONTINUE TO SERVE AS PRIMARY CARE CENTERS FOR PEOPLE WITH NO TIES TO A HEALTHCARE PROVIDER. EHMC'S PLAN - INCLUDES PROVISIONS TO IMPROVE COMMUNICATIONS BETWEEN THE HOSPITAL AND STEP-DOWN PROVIDERS BOTH BEFORE AND AFTER HOSPITALIZATION, TO CLARIFY CLIENT NEEDS AND NECESSARY TREATMENT PROTOCOLS UPON TRANSFER. THE UNHOUSED PATIENTS NEEDING DISCHARGE FROM EHMC ARE A PARTICULAR POINT OF NEED, AND PROTOCOLS ARE NOW IN REVIEW, TO ENSURE THAT PERSONS WITH NO DISCHARGE ADDRESS ARE REFERRED TO SUITABLE AGENCIES TO FIND HOUSING WITH ADEQUATE SERVICES TO CONTINUE COURSES OF CARE. AS PAYMENT PROGRAMS DEVELOP TO FACILITATE SUCH SERVICES, THE HOSPITAL WILL COORDINATE WITH PROVIDERS TO MAINTAIN AN EQUITABLE REIMBURSEMENT ENVIRONMENT FOR ALL INVOLVED PARTIES. THE ADVENT OF SEVERAL PROGRAMS DESIGNED TO GET UNHOUSED PEOPLE INTO TEMPORARY AND PERMANENT ACCOMMODATIONS WILL PRESENT NEW OPPORTUNITIES FOR THE HOSPITAL TO JOIN WITH THESE PROVIDERS IN EASING THE TRANSITION FROM STREET TO HOSPITAL TO RESIDENTIAL SITUATIONS. AS NEW HOUSING SOLUTIONS ARE DEVELOPED, EHMC WILL COLLABORATE WITH THE DEVELOPERS AND SOCIAL SERVICE PROVIDERS TO COORDINATE CARE TO MINIMIZE EMERGENCY ROOM UTILIZATION.EHMC'S RESULTS FOR THE PATIENTS WITH NO RECEIVING LOCATION SPECIFIED (2% OF ALL DISCHARGES IN 2023), EHMC'S DISCHARGE PLANNERS HAVE RELIED ON PROTOCOLS TO LOCATE SOCIAL SERVICE AND/OR HOUSING AGENCIES TO GUIDE THE TRANSITION. THESE PROTOCOLS ARE CONTINUALLY BEING REVIEWED AND UPDATED TO GUIDE TRANSITIONS OF PATIENTS TO SELECTED NURSING AND RETIREMENT HOUSING COMMUNITIES, AS WELL AS PROGRAMS TO ALLOW EASIER TRANSITION TO HOME OR TEMPORARY HOUSING ENVIRONMENTS. EHMC CONTINUED ITS INTERACTION WITH LAPD, LAFD, AND VARIOUS HOMELESS SHELTERS.FOR HOMELESS DISCHARGES - THE CLINICAL SOCIAL WORKERS AND CASE MANAGERS HELPED IN FACILITATING DISCHARGES FOR HOMELESS PATIENTS. THE HOSPITAL FOLLOWS HOMELESS PROTOCOLS PLACEMENT AND A CHECKLIST FOR PLACING THE PATIENTS. OPTIONS AVAILABLE FOR DISCHARGE PLACEMENT ARE HOMELESS SHELTERS, SKILLED NURSING FACILITIES AND BOARD AND CARE FACILITIES. RECENT PROGRAMS SUCH AS PROJECT ROOM KEY AND INSIDE SAFE PROVIDE NEW OPTIONS, THESE OPPORTUNITIES ARE ACCESSED AS APPROPRIATE. ALL THESE OPTIONS ARE BEING REVIEWED AS NECESSARY TO ASSESS THEIR USEFULNESS IN ASSURING CONTINUED RECOVERY FROM THE ACUTE INCIDENTS THAT BROUGHT UNHOUSED PEOPLE TO THE HOSPITAL IN THE FIRST PLACE. MEETINGS THAT USED TO BE MONTHLY ARE NOW SUPPLEMENTED BY RAPID RESPONSE CONFERENCES AS TREATMENT PROTOCOLS, TRANSFER ARRANGEMENTS, AND PAYMENT POLICIES CHANGE.4. EMPLOYEE RETENTION ONE OF THE MOST PROMINENT EFFECTS OF THE COVID PANDEMIC HAS BEEN THE "GREAT RESIGNATION" IN WHICH MANY EMPLOYEES WERE EITHER LAID OFF OR FORCED TO WORK FROM HOME, AND HAVE ELECTED NOT TO COME BACK TO WORK. IN THE HEALTHCARE FIELD, THE OPPOSITE HAPPENED AS MANY STAFF WERE REQUIRED TO WORK PUNISHING EXTRA HOURS ON-SITE TO COPE WITH THE INFLUX OF PATIENTS WHILE SIMULTANEOUSLY ATTEMPTING TO PROTECT THEIR OWN HEALTH. AS THE PANDEMIC HAS SUBSIDED, MANY EMPLOYEES IN ALL FIELDS HAVE ELECTED NOT TO RETURN TO THEIR OLD EMPLOYERS. THIS PHENOMENON HAS BEEN PARTICULARLY EVIDENT IN INPATIENT HEALTHCARE SETTINGS, SUCH AS HOSPITALS, NURSING FACILITIES, AND RETIREMENT COMMUNITIES. AS WITH HOMELESSNESS, GOVERNMENTAL ATTEMPTS AT SOLUTIONS HAVE ADDRESSED SOME IMMEDIATE PROBLEMS, BUT OFTEN WITH LINGERING AFTER-EFFECTS, WHILE LEGISLATION AIMED AT INCREASING STAFF WAGES HAS TARGETED HEALTHCARE PROVIDERS WITHOUT AN EQUIVALENT INCREASE IN REIMBURSEMENT. AN ADDITIONAL COMPLICATION IS THE ADVENT OF A HIGHER MINIMUM WAGE FOR FAST-FOOD WORKERS, MAKING THOSE OUTLETS MORE COMPETITIVE FOR ENTRY-LEVEL STAFF. EHMC'S PLAN - IS TWO-PRONGED. FIRST, THE HOSPITAL IS REVIEWING ITS PAY AND EMPLOYEE BENEFITS POLICIES TO DETERMINE THE BEST WAYS TO MAINTAIN EXISTING STAFF AND INCREASE STAFF SATISFACTION. RECRUITMENT EFFORTS TO REPLACE STAFF LOSSES ARE ONGOING, PROVIDING REAL-TIME DATA ON WAGE AND BENEFITS DEMANDS IN THE HEALTHCARE MARKETPLACE. SPECIFIC EXAMPLES INCLUDE WALK-IN WEDNESDAY HIRING EVENTS, CAREER FAIRS, EMPLOYEE RECOGNITION PROGRAMS, AND AN EMPLOYEE DISCOUNT MARKETPLACE. WHERE NEEDED, CHANGES IN STAFFING COMPENSATION AND BENEFITS POLICIES ARE BEING IMPLEMENTED. SECONDLY, MANAGEMENT IS PURSUING RELATIONSHIPS WITH MULTIPLE COLLEGES AND TRADE SCHOOLS TO PROVIDE INTERNSHIPS AND ON-THE-JOB EXPERIENCE FOR PERSONS SEEKING EMPLOYMENT IN THE HEALTHCARE FIELD. EDUCATIONAL INSTITUTIONS RANGE FROM USC AND UCLA TO WEST COAST UNIVERSITY AND THE LOS ANGELES CITY COLLEGE SYSTEM. THESE PROGRAMS OFFER OPPORTUNITIES TO COMMUNITY MEMBERS TO PURSUE CAREERS THAT BENEFIT THEMSELVES WHILE IMPROVING HEALTHCARE IN THE NEIGHBORHOOD. EHMC'S RESULTS MANY OF THESE EDUCATIONAL RELATIONSHIP EFFORTS WERE PUT ON HOLD THROUGH THE HEIGHT OF THE PANDEMIC AND ARE NOW BEING RESTARTED. THE PROGRAMS THAT SURVIVED ARE STILL SENDING STUDENTS TO THE HOSPITAL ON A REGULAR BASIS. ON A TYPICAL DAY, 15 TO 18 STUDENTS ARE ON SITE, WHICH COMPRISES RNS, LVNS, CNAS, AND CLS PERSONNEL. EHMC CONTINUED ITS RELATIONSHIP WITH VARIOUS SCHOOLS, COLLEGES, & UNIVERSITIES IN FAVOR OF OUTREACH, AFFILIATIONS, AND ENGAGEMENT TO ATTRACT MORE EMPLOYEES AND STAFF. ADDITIONAL PROGRAMS ARE IN PROCESS, AND NEGOTIATIONS ARE ONGOING WITH OTHER SCHOOLS AND PROGRAMS. MANY OF THESE PROGRAMS ARE TARGETED AT COMMUNITIES OF COLOR AND LOW-INCOME POPULATIONS SEEKING BETTER EMPLOYMENT OPPORTUNITIES. IMPLEMENTED WALK-IN WEDNESDAYS HIRING EVENTS AND CAREER FAIRS AND HAD A RECRUITMENT BOOTH AT SHERMAN OAKS/ ENCINO STREET FAIR. EHMC CONTINUED ITS EMPLOYEE RECOGNITION OR WOW RECOGNITION PROGRAM TO RECOGNIZE AND ACKNOWLEDGE DEDICATED EMPLOYEES AND STAFF. EHMC HAS ITS TALENT ACQUISITION AND GLOBAL OUTREACH INTERNATIONAL RECRUITMENT PROGRAM TARGETING INTERNATIONAL NURSES AND CLINICAL LABORATORY SCIENTISTS. EHMC ALSO IMPLEMENTED ITS EMPLOYEE DISCOUNT MARKETPLACE WHICH COMPRISES VARIOUS VENDORS, AN EXCLUSIVE EMPLOYEE PERKS PROGRAM THAT OFFERS DISCOUNTS ON A WIDE VARIETY OF MONEY-SAVING OFFERS, INCLUDING DISCOUNT TICKETS, CARS, RENTALS, AND HOTELS, AS WELL AS AMAZING PRODUCT AND SERVICE DEALS FOR YOUR EVERYDAY NEEDS. IMPLEMENTED LEADERSHIP ROUNDING WITH THE EMPLOYEES AND STAFF THAT BUILDS TRUST, IMPROVES COMMUNICATION, INCREASES JOB SATISFACTION, IMPROVES THE QUALITY OF PATIENT CARE, AND DEVELOPS A GOOD RELATIONSHIP WITH STAFF. THE EMPLOYEE RETENTION EFFORTS HAVE BEEN EFFECTIVE ENOUGH TO ALLOW THE HOSPITAL TO MAINTAIN ITS CENSUS CLOSE TO ITS PRE-COVID LEVELS, AND THE BACKLOG OF ELECTIVE SURGERIES IS CLEARING.
SHERMAN OAKS HOSPITAL:PART V, SECTION B, LINE 11: THE FY2022 CHNA WAS CONDUCTED, AND A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) WAS DEVELOPED TO BETTER UNDERSTAND AND ADDRESS THE PRIORITY HEALTH NEEDS OF THE COMMUNITY SERVED BY ENCINO HOSPITAL MEDICAL CENTER AND SHERMAN OAKS HOSPITAL. THROUGH FOCUS GROUPS AND COMMUNITY SURVEYS, THIRTY-FIVE HEALTH NEEDS WERE SUGGESTED. TO HELP BETTER MEET AND ADDRESS EACH NEED, THE FOLLOWING FOUR PRIORITY HEALTH NEEDS WERE IDENTIFIED:1. MENTAL HEALTH2. CONTINUITY OF CARE3. HOMELESSNESS4. EMPLOYMENT ISSUESMENTAL HEALTHAS A PRIMARY CARE PROVIDER OF MENTAL HEALTH SERVICES, PARTICULARLY IN GERIATRIC SERVICES, ENCINO HOSPITAL MEDICAL CENTER AND SHERMAN OAKS HOSPITAL ARE DEDICATED TO CONTINUING ITS EXISTING SERVICES. AS MORE FOCUS IS DIRECTED TO MENTAL HEALTH ISSUES ASSOCIATED WITH ACUTE ADMISSIONS TO HOSPITALS, ENCINO HOSPITAL MEDICAL CENTER AND SHERMAN OAKS HOSPITAL ARE EXPANDING ITS COORDINATION PRACTICES WITH COMMUNITY PROVIDERS TO IDENTIFY HIGH-INTENSITY USERS OF HOSPITAL SERVICES WITH ACCOMPANYING MENTAL HEALTH ISSUES THAT CAN BE ADDRESSED IN ALTERNATIVE SETTINGS. WITH BETTER COORDINATION, THESE CLIENTS CAN BE DIRECTED TO MORE APPROPRIATE CARE SITES. ENCINO HOSPITAL MEDICAL CENTER AND SHERMAN OAKS HOSPITAL WILL ALSO RESEARCH OPTIONS TO COORDINATE COMMUNITY CARE SOLUTIONS WITH THE HOSPITAL'S INPATIENT SERVICES AS CRISES ARISE IN THOSE COMMUNITY LOCATIONS AND REFLECT INNOVATIONS IN CARE TO ADDRESS COVID-19 ISSUES. CONTINUITY OF CAREENCINO HOSPITAL MEDICAL CENTER AND SHERMAN OAKS HOSPITAL WILL WORK WITH STEPDOWN PROVIDERS, INCLUDING NURSING AND REHABILITATION HOSPITALS, AS WELL AS HOME HEALTH AGENCIES, MENTAL HEALTH CLINICS, AND SOCIAL SERVICE AGENCIES. THE HOSPITAL IS WORKING WITH THESE GROUPS TO DEVELOP PROTOCOLS TO SHARE INFORMATION BACK AND FORTH ABOUT CLIENTS TRANSFERRED FROM ONE SITE TO ANOTHER, WITH PROVISIONS TO ASSIST OTHER PROVIDERS IN MAINTAINING HEALTH STATUS OF TRANSFERRED CLIENTS ON THEIR RECOVERY PATH. ADDITIONAL RESEARCH IS IN PROCESS TO CREATE METHODOLOGIES FOR IDENTIFYING HIGH-UTILIZATION CLIENTS. THIS WILL ALLOW COORDINATION WITH MEDICAL GROUPS' SOCIAL SERVICE PROVIDERS TO ASSIST IN SUPPORTING THESE CLIENTS IN THEIR HOMES, SO THEY DO NOT BECOME ADMISSIONS TO THE HOSPITAL. ANOTHER INTERVENTION WILL FOCUS ON ASSURING THAT PATIENTS' INSURANCE STATUS IS REVIEWED, AND THE MOST ADVANTAGEOUS COVERAGE IS SECURED, BOTH FOR THEIR HOSPITAL STAY AND FOR CONTINUING CARE IN THE NEXT STEP IN THEIR RECOVERY PROCESS.HOMELESSNESSENCINO HOSPITAL MEDICAL CENTER AND SHERMAN OAKS HOSPITAL WILL IMPROVE COMMUNICATIONS BETWEEN THE HOSPITAL AND STEP-DOWN PROVIDERS BOTH BEFORE AND AFTER TRANSITIONS, TO CLARIFY CLIENT NEEDS AND NECESSARY TREATMENT PROTOCOLS UPON TRANSFER. THE UNHOUSED PATIENTS NEEDING DISCHARGE FROM ENCINO HOSPITAL MEDICAL CENTER AND SHERMAN OAKS HOSPITAL ARE A PARTICULAR POINT OF NEED, AND PROTOCOLS ARE NOW IN REVIEW, TO ENSURE THAT PERSONS WITH NO DISCHARGE ADDRESS ARE REFERRED TO SUITABLE AGENCIES TO FIND HOUSING WITH ADEQUATE SERVICES TO CONTINUE COURSES OF CARE. AS PAYMENT PROGRAMS DEVELOP TO FACILITATE SUCH SERVICES, THE HOSPITAL WILL COORDINATE WITH PROVIDERS TO MAINTAIN AN EQUITABLE REIMBURSEMENT ENVIRONMENT FOR ALL INVOLVED PARTIES. AND AS NEW HOUSING SOLUTIONS ARE DEVELOPED, ENCINO HOSPITAL MEDICAL CENTER AND SHERMAN OAKS HOSPITAL WILL WORK WITH THE DEVELOPERS TO COORDINATE CARE TO MINIMIZE EMERGENCY ROOM UTILIZATION. ENCINO HOSPITAL MEDICAL CENTER AND SHERMAN OAKS HOSPITAL ARE ALSO WORKING WITH POLICE AND FIRE AGENCIES TO IDENTIFY FREQUENT USERS OF EMERGENCY SERVICES AND FIND WAYS TO GUIDE THEM TO ALTERNATIVE SERVICE PROVIDERS BETTER ABLE TO ADDRESS THEIR NEEDS. EMPLOYMENT ISSUESENCINO HOSPITAL MEDICAL CENTER AND SHERMAN OAKS HOSPITAL ARE REVIEWING THEIR PAY AND EMPLOYEE BENEFITS POLICIES TO DETERMINE THE BEST WAYS TO MAINTAIN EXISTING STAFF AND INCREASE STAFF SATISFACTION. RECRUITMENT EFFORTS TO REPLACE STAFF LOSSES ARE ONGOING, PROVIDING REAL-TIME DATA ON WAGE AND BENEFITS DEMANDS IN THE HEALTHCARE MARKETPLACE. WHERE NEEDED, CHANGES IN STAFFING COMPENSATION AND BENEFITS POLICIES ARE BEING IMPLEMENTED. ADDITIONALLY, MANAGEMENT IS PURSUING RELATIONSHIPS WITH MULTIPLE COLLEGES AND TRADE SCHOOLS TO PROVIDE INTERNSHIPS AND ON-THE-JOB EXPERIENCE FOR PERSONS SEEKING EMPLOYMENT IN THE HEALTHCARE FIELD. EDUCATIONAL INSTITUTIONS RANGE FROM USC AND UCLA TO WEST COAST UNIVERSITY AND THE LOS ANGELES CITY COLLEGE SYSTEM.THE FOLLOWING SECTION PROVIDES DETAILS RELATED TO THESE ISSUES FROM THE 2022 CHNA REPORT AND NOTES THAT PLANS TO ADDRESS THOSE ISSUES ARE STILL IN PROCESS. EACH NEED IS OUTLINED, AND SOH'S ORIGINAL IMPLEMENTATION PLAN TO ADDRESS IT IS REPORTED. ENVIRONMENTAL CHANGES THAT OCCURRED SINCE THE CHNA REPORT DATE ARE ALSO NOTED AND THE HOSPITAL'S PROGRESS IN ADDRESSING THESE NEEDS IS HIGHLIGHTED.IT IS IMPORTANT TO NOTE THAT THE COVID-19 PANDEMIC HAD BEEN THE DOMINANT HEALTH ISSUE FOR THE PERIOD ANALYZED IN THE 2022 CHNA. WHILE STILL A SUBJECT OF WATCHFULNESS, IT NO LONGER DRIVES PLANNING PROCESSES LOOKING FORWARD, AS OTHER ISSUES HAVE BECOME MORE PRESSING. AMONG THESE IN 2023 WAS GROWTH IN THE UNHOUSED POPULATION IN THE COUNTY, AND GOVERNMENT AND PUBLIC HEALTH ORGANIZATIONS' ATTEMPTS TO DEAL WITH THE PROBLEMS ASSOCIATED WITH THE UNHOUSED POPULATION. ADDITIONAL ISSUES HAVE RESULTED FROM CHANGES IN REIMBURSEMENT FOR HEALTHCARE SERVICES WHICH HAVE AFFECTED THE ELIGIBILITY OF MANY RESIDENTS FOR MEDICAL OR COVERED CALIFORNIA BENEFITS. ANOTHER NEW OPPORTUNITY WAS THE INTRODUCTION OF SB1338. THIS LEGISLATION CREATED "CARE COURTS" DESIGNED TO FOCUS ATTENTION ON THOSE ACCUSED OF MINOR CRIMES BUT FELT TO HAVE MENTAL HEALTH ISSUES CONTRIBUTING TO THEIR BEHAVIOR. AS THESE CARE COURTS BEGIN TO OPERATE, POTENTIAL NEW AVENUES OF CARE ARE EXPECTED TO RESULT. THESE OPPORTUNITIES WILL BE REVIEWED AND ADDRESSED AS THEY ALLOW THE HOSPITAL TO EXPAND ITS SERVICES.BUILDING UPON THE CURRENT CHNA AND IMPLEMENTATION STRATEGY, THE HOSPITAL DID THE FOLLOWING DURING FY'23 TO ADDRESS THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY:1. MENTAL HEALTH THIS CATEGORY WAS THE MOST CITED ISSUE, BOTH IN TERMS OF THE NUMBER OF PARTICIPANTS CHOOSING IT AS IMPORTANT AND IN TERMS OF CONSIDERING IT MOST IMPORTANT. THIS GENERAL TERM GENERATED MANY RELATED IDEAS, AND THEY WERE CONSOLIDATED INTO THIS GENERAL CATEGORY. AMONG ISSUES RELATED TO MENTAL HEALTH WAS A NEED FOR INPATIENT MENTAL HEALTH SERVICES, PROBLEMS WITH SUBSTANCE ABUSE THAT INTERSECTED GENERAL MENTAL HEALTH PROBLEMS, AND ISSUES RELATED TO ACUTE PHYSICAL PROBLEMS PRESENTED AT THE EMERGENCY DEPARTMENT WHICH ARE RELATED TO MENTAL HEALTH PROBLEMS SUFFERED BY THE PATIENT. AN ATTEMPT TO DEAL WITH THE INTERSECTING ISSUES OF CRIME AND MENTAL HEALTH HAS BEEN DEVELOPED WITH THE CREATION OF "CARE COURTS," WHICH ARE DESIGNED TO ALLOW PERSONS ARRESTED FOR MINOR CRIMES BUT WHO MAY NEED MENTAL HEALTH INTERVENTIONS TO HAVE BOTH THEIR INFRACTIONS AND HEALTH NEEDS ADDRESSED IN A MORE COMPREHENSIVE MANNER. THUS, ALTHOUGH THE UNDERLYING PROBLEMS SUBSUMED UNDER THE "MENTAL HEALTH" RUBRIC ARE CONTINUING, THE AVAILABLE METHODS OF ADDRESSING THE PROBLEM ARE CHANGING RAPIDLY AND WERE NOT ADDRESSED IN EITHER THE 2022 CHNA OR THE 2023-2025 IMPLEMENTATION PLAN.SOH'S PLAN - AS OF EARLY 2023 INCLUDED A DEDICATION TO CONTINUING ITS EXISTING SERVICES AS A PRIMARY PROVIDER OF INPATIENT MENTAL HEALTH SERVICES IN THE SAN FERNANDO VALLEY. GOING FORWARD, AS MORE FOCUS IS DIRECTED TO MENTAL HEALTH ISSUES ASSOCIATED WITH ACUTE ADMISSIONS TO HOSPITALS, SOH IS EXPANDING ITS COORDINATION PRACTICES WITH COMMUNITY PROVIDERS TO IDENTIFY HIGH-INTENSITY USERS OF HOSPITAL SERVICES WITH ACCOMPANYING MENTAL HEALTH ISSUES THAT CAN BE ADDRESSED IN ALTERNATIVE SETTINGS. WITH BETTER COORDINATION, THESE CLIENTS CAN BE DIRECTED TO MORE APPROPRIATE CARE SITES. SOH WILL ALSO RESEARCH OPTIONS TO COORDINATE COMMUNITY CARE SOLUTIONS WITH THE HOSPITAL'S INPATIENT SERVICES AS CRISES ARISE IN THOSE COMMUNITY LOCATIONS. AS THE DEVELOPMENT OF CARE COURTS UNDER CALIFORNIA'S CARE ACT (SB1338) CONTINUES, SOH STAFF WILL WORK WITH COURT STAFF AND SOCIAL WORK ORGANIZATIONS TO PROVIDE INPATIENT SERVICES AND STEP-DOWN FOLLOW-UP AS APPROPRIATE.SOH'S RESULTS THE SPECIALIZED 19-BED INPATIENT UNIT IS DESIGNED SPECIFICALLY TO FOCUS ON SENIOR BEHAVIORAL HEALTH, ADDRESSING THE UNIQUE EMOTIONAL, BEHAVIORAL, AND MENTAL HEALTH NEEDS OF ADULTS AGES 50 AND OLDER. SOH'S PROGRAM IS DESIGNED TO IMPROVE DAY-TO-DAY FUNCTIONING, LEADING TO IMPROVED HEALTH AND A HIGHER QUALITY OF LIFE. OUR TEAM IS COMPRISED OF EXPERIENCED AND COMPASSIONATE HEALTHCARE PROFESSIONALS WHO ARE DEVOTED TO PROVIDING THE CARE AND EMOTIONAL SUPPORT THESE PATIENTS AND FAMILIES NEED. BECAUSE THE PROGRAM IS HOSPITAL-BASED, WE CAN ACCEPT PATIENTS SUFFERING FROM PSYCHIATRIC ISSUES AND CHRONIC MEDICAL CONDITIONS.
AT THE CLOSE OF 2023, INCREASES IN MENTAL HEALTH ENCOUNTERS WERE CONTINUINGTO OCCUR, AND THE HOSPITAL HAS EXPANDED ITS SERVICES TO ADDRESS THE INFLUX. SOH EXPANDED ITS SENIOR BEHAVIORAL HEALTH PROGRAM AND OFFERS MOBILE PSYCHIATRIC EVALUATION SERVICES AND PSYCHIATRIC EMERGENCY TEAMS (PET), A 24-HOUR CLINICAL NURSING TEAM, AND WE ALSO OFFER CRISIS STABILIZATION 24 HOURS / 7 DAYS A WEEK WITH PSYCHIATRIC ASSESSMENT AND TREATMENT AND RECREATIONAL THERAPY ASSESSMENT AND TREATMENT. OFFERED GERO-PSYCHIATRIC EDUCATIONAL SERIES TO POST-ACUTE PARTNERS LIKE SKILLED NURSING FACILITIES, ASSISTED LIVING FACILITIES, SENIOR LIVING FACILITIES, BOARD AND CARE FACILITIES, AND OTHER COMMUNITY MEMBERS. MORE CONCRETE UPDATES TO OPERATIONS WILL BE INSTITUTED AS THE IMPACT OF CARE COURT REFERRALS AND REVISED TREATMENT PARADIGMS ARE ENCOUNTERED.2. CONTINUITY OF CARE AN EMERGING TOPIC OF DISCUSSION WITHIN MEDICAL AND SOCIAL WORK CIRCLES IS SOCIAL DETERMINANTS OF HEALTH (SDOH). SDOH ISSUES INCLUDE CONDITIONS THAT EXIST OUTSIDE A HEALTHCARE INSTITUTION, OFTEN IN THE HOME OR IMMEDIATE NEIGHBORHOOD, THAT MAKE IT DIFFICULT TO MANAGE CHRONIC DISEASES SUCH AS DIABETES, HIGH BLOOD PRESSURE OR OSTEOPOROSIS. MANY OF THESE ISSUES CAN BE ADDRESSED MORE APPROPRIATELY WITH NON-INSTITUTIONAL INTERVENTIONS, BUT THEY ARE OFTEN NOT BROUGHT TO MEDICAL ATTENTION UNTIL THE PATIENT ENTERS THE EMERGENCY ROOM. CHANGES IN MEDICAL AND COVERED CALIFORNIA ELIGIBILITY REQUIREMENTS HAVE ALSO FORCED PROVIDERS TO COPE WITH REDETERMINATION OF ELIGIBILITY FOR ALL MEDICAL RECIPIENTS OVER A YEAR'S TIME. SINCE THIS PROCESS REQUIRES INPUT FROM INSUREDS, MANY EXISTING RECIPIENTS HAVE NOT PROVIDED THE NECESSARY PAPERWORK, OR HAVE BEEN DETERMINED INELIGIBLE FOR CONTINUING MEDICAL COVERAGE. HOSPITALS AND MEDICAL GROUPS HAVE BECOME THE FIRST PROVIDERS TO DISCOVER THAT THEIR PATIENTS ARE IN NEED OF EITHER RE-APPLICATION FOR MEDICAL COVERAGE, OR ASSISTANCE IN APPLYING FOR ALTERNATE HEALTH INSURANCE AS REQUIRED BY THE STATE. IN EITHER CASE, THE OPTIONS AVAILABLE TO ASSIST CLIENTS IN MANAGING THEIR CARE HAVE CHANGED, AND PROVIDERS MUST HELP THEIR PATIENTS NAVIGATE THE NEW ENVIRONMENT.SOH'S PLAN - AS STATED IN ITS 2023 IMPLEMENTATION PLAN INCLUDES WORKING WITH STEPDOWN PROVIDERS, INCLUDING NURSING AND REHABILITATION HOSPITALS, AS WELL AS HOME HEALTH AGENCIES, MENTAL HEALTH CLINICS AND SOCIAL SERVICE AGENCIES. THE HOSPITAL IS WORKING WITH THESE GROUPS TO DEVELOP PROTOCOLS TO SHARE INFORMATION BACK AND FORTH ABOUT CLIENTS TRANSFERRED FROM ONE SITE TO ANOTHER, WITH PROVISIONS TO ASSIST OTHER PROVIDERS IN MAINTAINING HEALTH STATUS OF TRANSFERRED CLIENTS ON THEIR RECOVERY PATH. ADDITIONAL RESEARCH IS IN PROCESS TO CREATE METHODOLOGIES FOR IDENTIFYING HIGH-UTILIZATION CLIENTS. THIS WILL ALLOW COORDINATION WITH MEDICAL GROUPS' SOCIAL SERVICE PROVIDERS TO ASSIST IN SUPPORTING THESE CLIENTS IN THEIR HOMES, SO THEY DO NOT BECOME ADMISSIONS TO THE HOSPITAL. ANOTHER IMPORTANT ISSUE RELATED TO CONTINUITY OF CARE IS ASSURING THAT PATIENTS' INSURANCE STATUS IS REVIEWED AND REDETERMINED, AND THE MOST ADVANTAGEOUS COVERAGE INTERVENTION IS OFFERED TO PERSONS WHOSE COVERAGE HAS LAPSED. MEANWHILE SOH HAS A POLICY OF PROVIDING FINANCIAL ASSISTANCE TO PATIENTS WITH MEDICAL NEEDS WHOSE INCOME IS LESS THAN 450% OF THE FEDERAL POVERTY LEVEL AND WHO LACK HEALTH INSURANCE. UNDER SOH'S PRESUMPTIVE MEDICAL PROGRAM, PATIENTS FOR WHOM HEALTH SERVICES ARE A BURDEN ARE ASSISTED TO FILE FOR AVAILABLE ASSISTANCE TO ALLOW THEM TO ACCESS CARE IMMEDIATELY, AND FOLLOWED UP TO ENSURE THAT THEY EITHER ARE PROVIDED WITH AN INSURANCE OPTION OR COVERED UNDER THE HOSPITAL'S POLICY FOR MEDICALLY NECESSARY CARE.SOH'S RESULTS AS HEALTH SYSTEMS OF ALL TYPES RECOVER FROM PANDEMIC-ERA DISEASE MANAGEMENT PROTOCOLS AND CHANGES IN REIMBURSEMENT, NEW ISSUES HAVE ARISEN. BEFORE 2023, THE PRIMARY FOCUS INVOLVING CONTINUITY OF CARE WAS MANAGING UTILIZATION, AS THE PANDEMIC STRAINED BOTH SOH'S PHYSICAL CAPACITY AND ITS WORKFORCE'S STAMINA. AS ADMISSIONS FOR COVID-RELATED ILLNESSES HAVE DECLINED, MANY OF THE ELECTIVE AND NON-EMERGENCY PROCEDURES THAT HAD BEEN DELAYED OR POSTPONED HAVE RE-EMERGED AS DRIVERS OF HOSPITAL ADMISSIONS. AS WAS NOTED ABOVE, MANY OF THE PATIENTS PRESENTING WHO WERE DIAGNOSED WITH CONDITIONS REQUIRING TREATMENT BUT WERE POSTPONED TO FREE UP SPACE FOR COVID-19 PATIENTS HAVE RETURNED TO GET THEIR DELAYED TREATMENTS PERFORMED. IN SOME CASES, THEY MAY FIND THEMSELVES NO LONGER ELIGIBLE FOR THE TREATMENTS ORIGINALLY PRESCRIBED UNTIL THEY ARE RE-ENROLLED OR MOVED TO NEW COVERAGE. ONCE COVERAGE IS RE-ESTABLISHED AILMENTS MAY HAVE WORSENED, REQUIRING DIFFERENT TREATMENT COURSES. PROTOCOLS HAVE BEEN REVISED TO ADDRESS THESE CHANGES. MANAGEMENT HAS CONTINUALLY EVOLVED OPERATIONS TO COPE WITH CHANGES IN TREATMENT PROTOCOLS AND TYPES OF MEDICAL ISSUES PRESENTING AT THE HOSPITAL, AS WELL AS IN CHANGING TRANSITION STRATEGIES RELATED TO THE OUTPLACEMENT OF PATIENTS NEEDING CARE BEST PROVIDED IN NON-HOSPITAL SETTINGS. STAFF AND MANAGEMENT ARE IN CONSTANT CONTACT WITH STEP-DOWN PROVIDERS, USING ZOOM AND OTHER VIRTUAL MEETING APPLICATIONS. PATIENT TRANSITIONS TO SELECTED NURSING AND RETIREMENT HOUSING COMMUNITIES ARE CONTINUING TO OCCUR, AS WELL AS PROGRAMS TO ALLOW EASIER TRANSITION TO HOME ENVIRONMENTS. THESE ARE REGULARLY BEING REVIEWED. SOH CONTINUES TO ASSESS EXISTING METHODOLOGIES' USEFULNESS IN ASSURING CONTINUED RECOVERY FROM THE ACUTE INCIDENTS THAT BROUGHT PATIENTS TO THE HOSPITAL IN THE FIRST PLACE. WEEKLY MEETINGS, AS WELL AS AD HOC CONFERENCES AS NEEDED, ARE CONDUCTED WITHIN THE HOSPITAL TO ASSESS PROGRESS. REGULAR MEETINGS WERE ORGANIZED TO REVIEW THE COORDINATION OF CARE WITH OUR POST-ACUTE PARTNERS SUCH AS SKILLED NURSING FACILITIES, LONG TERM ACUTE FACILITIES, SENIOR LIVING FACILITIES, HOME HEALTH AGENCIES, AND HOSPICE PROVIDERS. SOH ALSO COLLABORATES WITH POLICE (LAPD) AND FIRE (LAFD) DEPARTMENTS, WHERE ALLOWED, TO COORDINATE CARE FOR PERSONS WHO ARE REPEAT USERS OF EMERGENCY SERVICES, ALLEVIATING CALLS TO 911 FOR LESS-THAN-LIFE-THREATENING INJURIES. THE HOSPITAL ALSO IMPLEMENTED THE GETCATENOW PROGRAM A SOFTWARE FOR PATIENT APPOINTMENT/ SCHEDULING IN THE EMERGENCY DEPARTMENT, WHICH WILL DECREASE WAIT TIMES AND WILL HELP PATIENTS SCHEDULE THEIR ED APPOINTMENTS OR VISITS EASILY. AS NOTED EARLIER, SOH WILL PARTNER WITH ITS ELIGIBILITY CONSULTANTS TO ENSURE THAT PATIENTS HAVING TROUBLE NEGOTIATING THE REDESIGNATION PROCESS ARE PROVIDED WITH ADEQUATE GUIDANCE TO FIND ACCEPTABLE COVERAGE. SOH AND PRIME HEALTHCARE HAVE PARTNERED WITH AGA MEDICARE OPTIONS TO HELP YOU MAKE A WELL-INFORMED DECISION ABOUT YOUR HEALTH INSURANCE. THIS WEBINAR WAS OFFERED FOR THOSE WHO ARE TURNING 65 OR PLANNING TO GET MEDICARE INSURANCE. SOH CONTINUED TO OFFER AND PROVIDE PROGRAMS AND ASSISTANCE TO UNINSURED INDIVIDUALS WHO CAN BE ELIGIBLE FOR A GOVERNMENT-SPONSORED HEALTH PROGRAM, SUCH AS MEDICARE, MEDI-CAL, OR OTHER STATE OR COUNTY-FUNDED HEALTHCARE COVERAGE. SOH IS ALSO WORKING WITH POLICE AND FIRE AGENCIES TO IDENTIFY FREQUENT USERS OF EMERGENCY SERVICES AND FIND WAYS TO GUIDE THEM TO ALTERNATIVE SERVICE PROVIDERS BETTER ABLE TO ADDRESS THEIR NEEDS. AS THE COVID EMERGENCY SUBSIDES, SOH HAS MAINTAINED CONTACT WITH THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH AND HAS WORKED WITH THEM TO IMPLEMENT EVOLVING TREATMENT MODALITIES AS NEW VACCINES HAVE BECOME AVAILABLE AND DISTRIBUTION HAS BECOME THE PRIMARY PROBLEM. VACCINATION CLINICS HAVE BEEN HELD AT THE HOSPITAL AND AT LOCAL HEALTH FAIRS. THE HOSPITAL SPONSORED COMMUNITY VACCINE CLINICS IN CONJUNCTION WITH THE MYTURN.GOV PROGRAM AND PROVIDED VACCINATIONS TO OVER 350 COMMUNITY MEMBERS. ALONG WITH THE COVID-19 SERVICES, SOH ALSO PROVIDED STROKE AND HEART HEALTH INFORMATION. THE HOSPITAL WILL CONTINUE TO WORK WITH APPROPRIATE AGENCIES TO DELIVER VACCINATIONS AND BOOSTERS AS DEMAND INDICATES AND WILL MAINTAIN ITS PUBLIC INFORMATION EFFORTS AS APPROPRIATE. AS MORE PUBLIC EVENTS ARE SCHEDULED IN COMMUNITY SETTINGS. SOH CONTINUED TO MONITOR OPPORTUNITIES FOR COMMUNITY BOOTHS LIKE PARTICIPATING IN SHERMAN OAKS AND ENCINO STREET FAIR, PROVIDING HEALTH SCREENINGS, PROVIDING A FIRST AID BOOTH, AND HEART AND STROKE HEALTH EDUCATION AND HEALTH AND SAFETY INFORMATION. CONTINUED SUPPORTING THE AMERICAN RED CROSS AND PARTICIPATING IN AND HOSTING A BLOOD DRIVE EVENT FOR THE COMMUNITY.3. HOMELESSNESS HAS BECOME A MAJOR ISSUE IN LOS ANGELES AS MORE AND MORE RESIDENTS ARE LIVING ON THE STREETS. IT HAS ALSO BEEN A MAJOR TOPIC OF LITIGATION AND ATTEMPTS TO DEAL WITH IT ARE SPILLING INTO THE POLITICAL ARENA. SEVERAL BOND ISSUES HAVE PASSED IN THE LAST TWO ELECTIONS TO PROVIDE FUNDS FOR HOUSING AND TREATMENT OF UNHOUSED RESIDENTS, WITH MIXED RESULTS. THE MOST RECENT ELECTION AT THE END OF 2022 RESULTED IN A NEW SLATE OF CITY COUNCIL REPRESENTATIVES WHO WILL HAVE DIFFERENT IDEAS AS TO HOW TO ADDRESS THE PROBLEM. UNHOUSED PATIENTS REPRESENTED A SIGNIFICANT PORTION OF THE DISCHARGES FROM SOH IN 2023, WITH DISCHARGES TO UNKNOWN ZIP CODES COMPRISING 2.6% OF ALL DISCHARGES.
THE ACTUAL PROVISION OF CARE IS JUST AS FRAGMENTED AS THE PAYMENT SYSTEMTHAT SUPPORTS IT. PATIENTS DISCHARGED FROM HOSPITALS OR OTHER CARE FACILITIES OFTEN FIND THEMSELVES AT LOOSE ENDS ONCE THEY LEAVE THE PREMISES. CARE COORDINATORS AND SOCIAL SERVICE AGENCIES ATTEMPT TO MANAGE TRANSITIONS, BUT THEIR ABILITY TO ASSURE APPROPRIATE CARE IN OFFSITE SITUATIONS IS CONSTRAINED BY THEIR INABILITY TO ACTIVELY FOLLOW CLIENTS FROM THE FACILITY TO ANOTHER CARE SITE OR TO HOME. ALSO, THERE ARE NO FORMAL PROGRAMS TO DETERMINE WHETHER THE CARE SETTINGS INTO WHICH PATIENTS ARE RELEASED ARE THE MOST APPROPRIATE, OR EVEN ADEQUATE. CITY AGENCIES, POLICE, AND COURT SYSTEMS ARE EXPLORING NEW METHODS OF COPING WITH THE UNHOUSED POPULATION. EXISTING PAYMENT PROGRAMS GENERALLY HAVE NO ABILITY TO FUND FOLLOW-UP CARE OR PATIENT MANAGEMENT, BUT THE PRESSURE IS BUILDING TO ADDRESS THE PROBLEM MORE CONCRETELY, AND PROGRAMS SUCH AS PROJECT HOMEKEY AND INSIDE SAFE ARE PROVIDING SHORT-TERM RELIEF. BUT LONGER-TERM SOLUTIONS ARE SLOW IN COMING AND ARE ENCOUNTERING RESISTANCE BOTH FROM NEIGHBORS WHO FEAR THE INFLUX OF QUESTIONABLE RESIDENTS, AND FROM UNHOUSED PEOPLE WHO OBJECT TO THE STRICTURES IMPOSED BY HOUSING PROVIDERS. MEANWHILE, HOSPITAL EMERGENCY DEPARTMENTS CONTINUE TO SERVE AS PRIMARY CARE CENTERS FOR PEOPLE WITH NO TIES TO A HEALTHCARE PROVIDER.SOH'S PLAN - INCLUDES PROVISIONS TO IMPROVE COMMUNICATIONS BETWEEN THE HOSPITAL AND STEP-DOWN PROVIDERS BOTH BEFORE AND AFTER HOSPITALIZATION, TO CLARIFY CLIENT NEEDS AND NECESSARY TREATMENT PROTOCOLS UPON TRANSFER. THE UNHOUSED PATIENTS NEEDING DISCHARGE FROM SOH ARE A PARTICULAR POINT OF NEED, AND PROTOCOLS ARE NOW IN REVIEW, TO ENSURE THAT PERSONS WITH NO DISCHARGE ADDRESS ARE REFERRED TO SUITABLE AGENCIES TO FIND HOUSING WITH ADEQUATE SERVICES TO CONTINUE COURSES OF CARE. AS PAYMENT PROGRAMS DEVELOP TO FACILITATE SUCH SERVICES, THE HOSPITAL WILL COORDINATE WITH PROVIDERS TO MAINTAIN AN EQUITABLE REIMBURSEMENT ENVIRONMENT FOR ALL INVOLVED PARTIES. THE ADVENT OF SEVERAL PROGRAMS DESIGNED TO GET UNHOUSED PEOPLE INTO TEMPORARY AND PERMANENT ACCOMMODATIONS WILL PRESENT NEW OPPORTUNITIES FOR THE HOSPITAL TO JOIN WITH THESE PROVIDERS IN EASING THE TRANSITION FROM STREET TO HOSPITAL TO RESIDENTIAL SITUATIONS. AS NEW HOUSING SOLUTIONS ARE DEVELOPED, SOH WILL WORK WITH THE DEVELOPERS AND SOCIAL SERVICE PROVIDERS TO COORDINATE CARE TO MINIMIZE EMERGENCY ROOM UTILIZATION.SOH'S RESULTS FOR THE PATIENTS WITH NO RECEIVING LOCATION SPECIFIED (2.6% OF ALL DISCHARGES IN 2023), SOH'S DISCHARGE PLANNERS HAVE RELIED ON PROTOCOLS TO LOCATE SOCIAL SERVICE AND/OR HOUSING AGENCIES TO GUIDE THE TRANSITION. THESE PROTOCOLS ARE CONTINUALLY BEING REVIEWED AND UPDATED TO GUIDE TRANSITIONS OF PATIENTS TO SELECTED NURSING AND RETIREMENT HOUSING COMMUNITIES, AS WELL AS PROGRAMS TO ALLOW EASIER TRANSITION TO HOME OR TEMPORARY HOUSING ENVIRONMENTS. SOH CONTINUED ITS INTERACTION WITH LAPD, LAFD, AND VARIOUS HOMELESS SHELTERS.FOR HOMELESS DISCHARGES - THE CLINICAL SOCIAL WORKERS AND CASE MANAGERS HELPED IN FACILITATING DISCHARGES FOR HOMELESS PATIENTS. THE HOSPITAL FOLLOWS HOMELESS PROTOCOLS PLACEMENT AND A CHECKLIST FOR PLACING THE PATIENTS. OPTIONS AVAILABLE FOR DISCHARGE PLACEMENT ARE HOMELESS SHELTERS, SKILLED NURSING FACILITIES, AND BOARD AND CARE FACILITIES. NEW PROGRAMS SUCH AS PROJECT ROOM KEY AND INSIDE SAFE PROVIDE NEW OPTIONS, THESE OPPORTUNITIES ARE ACCESSED AS APPROPRIATE. ALL THESE OPTIONS ARE BEING REVIEWED AS NECESSARY TO ASSESS THEIR USEFULNESS IN ASSURING CONTINUED RECOVERY FROM THE ACUTE INCIDENTS THAT BROUGHT UNHOUSED PEOPLE TO THE HOSPITAL IN THE FIRST PLACE. MEETINGS THAT USED TO BE MONTHLY ARE NOW SUPPLEMENTED BY RAPID RESPONSE CONFERENCES AS TREATMENT PROTOCOLS, TRANSFER ARRANGEMENTS, AND PAYMENT POLICIES CHANGE.4. EMPLOYEE RETENTION ONE OF THE MOST PROMINENT EFFECTS OF THE COVID PANDEMIC HAS BEEN THE "GREAT RESIGNATION" IN WHICH MANY EMPLOYEES WERE EITHER LAID OFF OR FORCED TO WORK FROM HOME, AND HAVE ELECTED NOT TO COME BACK TO WORK. IN THE HEALTHCARE FIELD, THE OPPOSITE HAPPENED AS MANY STAFF WERE REQUIRED TO WORK PUNISHING EXTRA HOURS ON-SITE TO COPE WITH THE INFLUX OF PATIENTS WHILE SIMULTANEOUSLY ATTEMPTING TO PROTECT THEIR HEALTH. AS THE PANDEMIC HAS SUBSIDED, MANY EMPLOYEES IN ALL FIELDS HAVE ELECTED NOT TO RETURN TO THEIR OLD EMPLOYERS. THIS PHENOMENON HAS BEEN PARTICULARLY EVIDENT IN INPATIENT HEALTHCARE SETTINGS, SUCH AS HOSPITALS, NURSING FACILITIES, AND RETIREMENT COMMUNITIES. AS WITH HOMELESSNESS, GOVERNMENTAL ATTEMPTS AT SOLUTIONS HAVE ADDRESSED SOME IMMEDIATE PROBLEMS, BUT OFTEN WITH LINGERING AFTER-EFFECTS, WHILE LEGISLATION AIMED AT INCREASING STAFF WAGES HAS TARGETED HEALTHCARE PROVIDERS WITHOUT AN EQUIVALENT INCREASE IN REIMBURSEMENT. AN ADDITIONAL COMPLICATION IS THE ADVENT OF A HIGHER MINIMUM WAGE FOR FAST-FOOD WORKERS, MAKING THOSE OUTLETS MORE COMPETITIVE FOR ENTRY-LEVEL STAFF.SOH'S PLAN - IS TWO-PRONGED. FIRST, THE HOSPITAL IS REVIEWING ITS PAY AND EMPLOYEE BENEFITS POLICIES TO DETERMINE THE BEST WAYS TO MAINTAIN EXISTING STAFF AND INCREASE STAFF SATISFACTION. RECRUITMENT EFFORTS TO REPLACE STAFF LOSSES ARE ONGOING, PROVIDING REAL-TIME DATA ON WAGE AND BENEFITS DEMANDS IN THE HEALTHCARE MARKETPLACE. SPECIFIC EXAMPLES INCLUDE WALK-IN WEDNESDAY HIRING EVENTS, CAREER FAIRS, EMPLOYEE RECOGNITION PROGRAMS, AND AN EMPLOYEE DISCOUNT MARKETPLACE. WHERE NEEDED, CHANGES IN STAFFING COMPENSATION AND BENEFITS POLICIES ARE BEING IMPLEMENTED. SECONDLY, MANAGEMENT IS PURSUING RELATIONSHIPS WITH MULTIPLE COLLEGES AND TRADE SCHOOLS TO PROVIDE INTERNSHIPS AND ON-THE-JOB EXPERIENCE FOR PERSONS SEEKING EMPLOYMENT IN THE HEALTHCARE FIELD. EDUCATIONAL INSTITUTIONS RANGE FROM USC AND UCLA TO WEST COAST UNIVERSITY AND THE LOS ANGELES CITY COLLEGE SYSTEM. THESE PROGRAMS OFFER OPPORTUNITIES TO COMMUNITY MEMBERS TO PURSUE CAREERS THAT BENEFIT THEMSELVES WHILE IMPROVING HEALTHCARE IN THE NEIGHBORHOOD.SOH'S RESULTS MANY OF THESE RELATIONSHIP EFFORTS WERE PUT ON HOLD THROUGH THE HEIGHT OF THE PANDEMIC AND ARE NOW BEING RESTARTED. THE PROGRAMS THAT SURVIVED ARE STILL SENDING STUDENTS TO THE HOSPITAL ON A REGULAR BASIS. ON A TYPICAL DAY, 15 TO 18 STUDENTS ARE ON SITE, WHICH COMPRISES RNS, LVNS, CNAS, AND CLS PERSONNEL. EHMC CONTINUED ITS RELATIONSHIP WITH VARIOUS SCHOOLS, COLLEGES, & UNIVERSITIES IN FAVOR OF OUTREACH, AFFILIATIONS, AND ENGAGEMENT TO ATTRACT MORE EMPLOYEES AND STAFF. ADDITIONAL PROGRAMS ARE IN PROCESS, AND NEGOTIATIONS ARE ONGOING WITH OTHER SCHOOLS AND PROGRAMS. MANY OF THESE PROGRAMS ARE TARGETED AT COMMUNITIES OF COLOR AND LOW-INCOME POPULATIONS SEEKING BETTER EMPLOYMENT OPPORTUNITIES. IMPLEMENTED WALK-IN WEDNESDAYS HIRING EVENTS AND CAREER FAIRS AND HAD A RECRUITMENT BOOTH AT SHERMAN OAKS/ ENCINO STREET FAIR. SOH CONTINUED ITS EMPLOYEE RECOGNITION OR WOW RECOGNITION PROGRAM TO RECOGNIZE AND ACKNOWLEDGE DEDICATED AND HARD-WORKING EMPLOYEES AND STAFF. SOH HAS ITS TALENT ACQUISITION AND GLOBAL OUTREACH INTERNATIONAL RECRUITMENT PROGRAM TARGETING INTERNATIONAL NURSES AND CLINICAL LABORATORY SCIENTISTS. SOH ALSO IMPLEMENTED ITS EMPLOYEE DISCOUNT MARKETPLACE WHICH COMPRISES VARIOUS VENDORS, AN EXCLUSIVE EMPLOYEE PERKS PROGRAM THAT OFFERS DISCOUNTS ON A WIDE VARIETY OF MONEY-SAVING OFFERS, INCLUDING DISCOUNT TICKETS, CARS, RENTALS, AND HOTELS, AS WELL AS AMAZING PRODUCT AND SERVICE DEALS FOR YOUR EVERYDAY NEEDS. IMPLEMENTED LEADERSHIP ROUNDING WITH THE EMPLOYEES AND STAFF THAT BUILDS TRUST, IMPROVES COMMUNICATION, INCREASES JOB SATISFACTION, IMPROVES THE QUALITY OF PATIENT CARE, AND DEVELOPS A GOOD RELATIONSHIP WITH STAFF. THE EMPLOYEE RETENTION EFFORTS HAVE BEEN EFFECTIVE ENOUGH TO ALLOW THE HOSPITAL TO MAINTAIN ITS CENSUS CLOSE TO ITS PRE-COVID LEVELS, AND THE BACKLOG OF ELECTIVE SURGERIES IS CLEARING.
MONTCLAIR HOSPITAL MEDICAL CENTER:PART V, SECTION B, LINE 11: TWO PRIMARY FRAMEWORKS WERE UTILIZED TO CONSOLIDATE AND IDENTIFY THE MOST PRESSING IDEAS FOR FURTHER STUDY AND ACTION. THE TWO FRAMEWORKS ARE THE BURDEN OF DISEASE FRAMEWORK AND THE VITAL CONDITIONS FOR WELL-BEING FRAMEWORK. THE BURDEN OF DISEASE FRAMEWORK HIGHLIGHTED THE DISEASE CATEGORIES WHICH PRESENTED THE MOST PRESSING NEEDS FOR INTERVENTION IN THE COMMUNITIES SERVED. THE THREE DISEASE CATEGORIES IDENTIFIED WERE: 1. CARDIOVASCULAR DISEASE AND DIABETES2. MENTAL AND BEHAVIORAL HEALTH3. MATERNAL AND INFANT HEALTHTWO OF THESE THREE DISEASE CATEGORIES - CARDIOVASCULAR DISEASE AND DIABETES AND MATERNAL AND INFANT HEALTH - ARE CONDITIONS FOR WHICH MONTCLAIR HOSPITAL MEDICAL CENTER PROVIDES EXTENSIVE SERVICE OPTIONS. THEY WILL BE THE FOCUS OF THE IMPLEMENTATION PLAN FOR THE NEXT THREE YEARS. THE VITAL CONDITIONS FOR WELL-BEING FRAMEWORK OUTLINED THREE GENERAL NEEDS TO GUIDE SERVICES AND COMMUNITY OUTREACH PROGRAMS. THE ISSUES IDENTIFIED WERE: 1. BASIC NEEDS FOR HEALTH AND SAFETY2. HUMANE HOUSING3. MEANINGFUL WORK AND WEALTHALL OF THE VITAL CONDITIONS ARE SOCIAL DETERMINANTS OF HEALTH (SDOHS), WHICH ARE CONDITIONS THAT EXIST IN THE GENERAL COMMUNITY THAT DIRECTLY IMPACT AN INDIVIDUAL'S ABILITY TO MAINTAIN HEALTH IN ONE'S HOME. MANY PEOPLE, INCLUDING THOSE WITH CHRONIC CONDITIONS, LIVE IN AN ENVIRONMENT OR PURSUE ACTIVITIES THAT CONTRIBUTE TO POOR HEALTH. WHILE THESE ENVIRONMENTAL CONDITIONS AND ACTIVITIES ARE OFTEN PERCEIVED AS BENIGN BY RESIDENTS, THEY MAY BE DIRECTLY CONTRIBUTING TO A CONDITION THAT WILL RESULT IN HOSPITALIZATION IF NOT MODIFIED.HOSPITALS ARE GENERALLY NOT EQUIPPED TO DIRECTLY ADDRESS MOST OF THESE SDOH'S. HOWEVER, MANY LOW-INCOME PEOPLE AND PEOPLE OF COLOR ARE SEEN AT THE EMERGENCY DEPARTMENT, AND STAFF THERE MAY SEE SIGNS THAT SOME SDOH CONDITIONS MAY HAVE CONTRIBUTED TO THE NEED FOR EMERGENCY CARE. AS FIRST RESPONDERS, THEY ARE WELL-POSITIONED TO PROVIDE GUIDANCE AND ASSISTANCE TO CLIENTS COMING TO THE HOSPITAL, AND TO SOCIAL AND GOVERNMENTAL ORGANIZATIONS WHOSE MISSION IS TO ADDRESS THESE ISSUES.THE PLANS THAT FOLLOW ADDRESS MONTCLAIR HOSPITAL MEDICAL CENTER'S PROPOSALS TO DIRECTLY ADDRESS THE BURDEN OF DISEASE ISSUES AND TO OUTLINE POTENTIAL ALLIANCES WITH COMMUNITY AND GOVERNMENTAL ORGANIZATIONS TO ADDRESS THE SDOH COMPONENTS RELATED TO EACH ISSUE.CARDIOVASCULAR DISEASE AND DIABETESMONTCLAIR HOSPITAL MEDICAL CENTER'S PLAN TO ADDRESS CARDIOVASCULAR DISEASE FOCUSES ON COMMUNITY EFFORTS RELATED TO HEART AND LUNG DISEASES. THESE EFFORTS HAVE BEEN CONCENTRATED ON THE COVID-19 PANDEMIC FOR THE PAST THREE YEARS, AND AS MORE IS LEARNED ABOUT THE DISEASE AND ITS VARIANTS, MONTCLAIR HOSPITAL MEDICAL CENTER PLANS FOR DEALING WITH ONGOING CASES WILL EVOLVE. THE PRIMARY COMMUNITY THRUST FOR COVID CASES, AS WELL AS OTHER LUNG-RELATED MALADIES, CONCENTRATES ON PREVENTION AND FOLLOW-UP CARE ONCE STABILIZATION IS ACHIEVED. FOR PATIENTS WHO HAVE BEEN STABILIZED, REFERRALS TO COMMUNITY PROVIDERS OF REHAB SERVICES ARE PROVIDED AS APPROPRIATE, ALONG WITH GUIDELINES TO ALLOW PATIENTS TO MANAGE THEIR OWN HEALTH NEEDS AT HOME AND THUS AVOID FUTURE INCIDENTS.IN THE WIDER COMMUNITY, HOSPITAL STAFF ATTEND HEALTH FAIRS AND PROVIDE LECTURES TO INTERESTED ORGANIZATIONS ON HEART AND LUNG HEALTH, AND THEY COORDINATE WITH OTHER PROVIDERS AND COMMUNITY GROUPS TO PUBLICIZE CARDIAC- AND PULMONARY-BASED INFORMATION. NEW CONTACTS WITHIN COMMUNITIES OF COLOR AND LOW-INCOME AREAS ARE BEING DEVELOPED TO DISSEMINATE HEART HEALTH AND PULMONARY DISEASE PREVENTION IN AREAS OF HIGH INCIDENCE. AS NEW TREATMENTS AND DISEASE-MANAGEMENT PROTOCOLS ARE DEVELOPED, MONTCLAIR HOSPITAL MEDICAL CENTER STAFF KEEP UP-TO-DATE, AND INCORPORATE THOSE IMPROVEMENTS IN THEIR SERVICES. THESE PROGRAMS ARE EXPECTED TO CONTINUE OVER THE THREE-YEAR PERIOD OF THE IMPLEMENTATION PLAN. OVER THE NEXT THREE YEARS, MONTCLAIR HOSPITAL MEDICAL CENTER PLANS TO REACH OUT TO AT LEAST FOUR COMMUNITY ORGANIZATIONS TO PARTICIPATE WITH THEM IN HEALTH FAIRS, COMMUNITY FUND-RAISERS, AND EDUCATION PROGRAMS.MONTCLAIR HOSPITAL MEDICAL CENTER'S PLAN TO ADDRESS DIABETES INVOLVES TEAMING WITH SOCIAL SERVICE AGENCIES, GOVERNMENT DEPARTMENTS OF HEALTH, AND CHURCH AND FRATERNAL ORGANIZATIONS TO BRING DIABETES EDUCATION INTO THE COMMUNITIES SURROUNDING THE HOSPITAL, WITH A FOCUS ON LOW-INCOME COMMUNITIES AND COMMUNITIES OF COLOR. MANY OF THESE GROUPS ARE POORLY ADDRESSED BY HISTORICAL METHODS, AND THE HOSPITAL IS SEEKING NON-TRADITIONAL CARE PROVIDERS, SUCH AS CHURCHES, AND FRATERNAL ORGANIZATIONS THAT ARE DEEPLY INVOLVED IN THESE COMMUNITIES. MONTCLAIR HOSPITAL MEDICAL CENTER IS CURRENTLY EXPLORING EDUCATION OPTIONS WITH THE CHRISTIAN DEVELOPMENT CENTER AND ITS AFFILIATES, AND OVER THE NEXT THREE YEARS, PLANS TO FIND AT LEAST THREE OTHER COMMUNITY GROUPS WORKING IN OTHER LOW-INCOME COMMUNITIES OR COMMUNITIES OF COLOR TO FURTHER ADVANCE DIABETES EDUCATION IN LESS-SERVED COMMUNITIES. THIS WILL BE IN ADDITION TO THE EXISTING MONTHLY DIABETES CLASSES CURRENTLY OFFERED AT THE HOSPITAL. MONTCLAIR HOSPITAL MEDICAL CENTER HAS COMMITTED TO STAFFING AN INFORMATION BOOTH AT THE 2024 AFRICAN AMERICAN BLACK HISTORY FUN DAY. THE HOSPITAL WILL ALSO PARTNER WITH REPRESENTATIVES IN THESE COMMUNITIES TO ADVOCATE FOR HEALTHIER FOOD OPTIONS IN THOSE AREAS CONSIDERED "FOOD DESERTS".MENTAL AND BEHAVIORAL HEALTHAS NOTED PREVIOUSLY, OF THE THREE BURDEN OF DISEASE FRAMEWORK CATEGORIES, THE MENTAL AND BEHAVIORAL HEALTH CATEGORY IS NOT A SERVICE LINE PROVIDED BY MONTCLAIR HOSPITAL MEDICAL CENTER, AND ATTEMPTING TO CREATE SUCH A SERVICE WOULD CREATE REDUNDANCIES IN THE EXISTING RANGE OF SERVICES ALREADY IN PLACE IN MONTCLAIR HOSPITAL MEDICAL CENTER'S SERVICE AREA. MONTCLAIR HOSPITAL MEDICAL CENTER DOES PROVIDE EMERGENCY SERVICES TO STABILIZE PATIENTS PRESENTING AT THE EMERGENCY DEPARTMENT. IT IS A MEMBER OF THE WEST END BEHAVIORAL HEALTH COMMUNITY COLLABORATIVE, AND CONTINUES ITS RELATIONSHIPS WITH AREA MENTAL AND BEHAVIORAL HEALTH PROVIDERS TO TRANSFER THESE PATIENTS TO INPATIENT SETTINGS AS APPROPRIATE. THE HOSPITAL HAS RECENTLY ADDED A MENTAL HEALTH COORDINATOR TO ACT AS A REFERRAL SOURCE TO PATIENTS DEALING WITH BEHAVIORAL ISSUES, AND TO FIND THEM SUITABLE PLACEMENTS OR THERAPISTS. REFERRALS TO SOCIAL SERVICE AGENCIES ARE ALSO PROVIDED AS NEEDED.MATERNAL AND INFANT HEALTHMONTCLAIR HOSPITAL MEDICAL CENTER'S PLAN FOCUSES ON TWO PRIMARY NEEDS: 1) PARENT AND WELL-CHILD EDUCATION AND 2) ASSURING INSURANCE COVERAGE FOR NEW MOTHERS AND THEIR INFANTS, TO ASSURE THAT FINANCIAL CONSIDERATIONS DO NOT AFFECT CLIENTS' CARE DECISIONS.
MONTCLAIR HOSPITAL MEDICAL CENTER PROPOSES TO MEET THE EDUCATIONAL NEEDSPROACTIVELY BY WORKING WITH COMMUNITY GROUPS SERVING THE MEDICALLY UNDERSERVED POPULATIONS IN THE MONTCLAIR HOSPITAL MEDICAL CENTER SERVICE AREA, THROUGH PARTICIPATION IN HEALTH FAIRS, EDUCATION PROGRAMS, AND PUBLISHED INFORMATION IN VARIOUS MEDIA. MONTCLAIR HOSPITAL MEDICAL CENTER'S COMMUNITY SERVICE REPRESENTATIVES WILL MEET WITH COMMUNITY ORGANIZERS TO DETERMINE THE MOST APPROPRIATE VENUES TO DELIVER EDUCATIONAL MATERIALS AND WORK WITH THEM TO TAILOR THE MESSAGE TO THE SPECIFIC COMMUNITIES ADDRESSED.BUILDING UPON THE CURRENT CHNA AND IMPLEMENTATION STRATEGY, THE HOSPITAL DID THE FOLLOWING DURING FY'23 TO ADDRESS THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY:- CARDIOVASCULAR DISEASE - MONTCLAIR HOSPITAL MEDICAL CENTER'S CARDIOPULMONARY SERVICES UNIT PROVIDED BASIC CARDIOPULMONARY CARE, WITH A FOCUS ON STABILIZING AND CONTROLLING FURTHER INJURY TO CLIENTS WHO PRESENTED IN ACUTE DISTRESS. THE HOSPITAL HAS AN AFFILIATION ARRANGEMENT WITH CHINO VALLEY MEDICAL CENTER TO PROVIDE INVASIVE SERVICES NORMALLY ASSOCIATED WITH CARDIAC CARE, SUCH AS A CARDIAC CATH LAB. THOSE CASES WERE REFERRED TO CVMC AS SOON AS THE PATIENT WAS STABILIZED. THEREAFTER, REFERRALS TO COMMUNITY PROVIDERS OF FOLLOW UP SERVICES WERE PROVIDED AS APPROPRIATE, ALONG WITH GUIDELINES TO ALLOW PATIENTS TO MANAGE THEIR OWN HEALTH NEEDS AT HOME AND THUS AVOID FUTURE INCIDENTS. MONTCLAIR HOSPITAL MEDICAL CENTER IS A PROUD RECIPIENT OF AMERICAN HEART ASSOCIATION GET WITH THE GUIDELINES OF GOLD PLUS AWARD FOR TARGET: HEART FAILURE 2 CONSECUTIVE CALENDAR YEARS. THE HOSPITAL ACHIEVED A SCORE OF 85% OR GREATER ON ALL MEASURES BASED ON 2023 DATA. THE HOSPITAL RECOGNITION CRITERIA INCLUDE ACEI/ARD OR ARNI AT DISCHARGE FOR PATIENTS WITH LVSD; EVIDENCED BASED BETA BLOCKERS PRESCRIBED AT DISCHARGE; LEFT VENTRICULAR FUNCTION ASSESSED, AND POST-DISCHARGE APPOINTMENT SCHEDULED. GET WITH THE GUIDELINES- HEART FAILURE IS AN IN-HOSPITAL PROGRAM FOR IMPROVING CARE BY PROMOTING CONSISTENT ADHERENCE TO THE LATEST SCIENTIFIC TREATMENT GUIDELINES.- DIABETES - MONTCLAIR HOSPITAL MEDICAL CENTER PARTNERED WITH SOCIAL SERVICE AGENCIES TO BRING DIABETES EDUCATION INTO THE COMMUNITIES. MONTCLAIR HOSPITAL MEDICAL CENTER PARTICIPATED IN THE CITY OF MONTCLAIR COUNTRY FAIR JAMBOREE IN JUNE 2023, OFFERING WELLNESS CHECKS AND EDUCATION. SIMILAR TO CARDIOVASCULAR DISEASE RECOGNITION, MONTCLAIR HOSPITAL MEDICAL CENTER ALSO RECEIVED THE AMERICAN HEART ASSOCIATION GET WITH THE GUIDELINES AWARD FOR TARGET: TYPE 2 DIABETES INPATIENT HONOR ROLL AWARD FOR 2024 BASED ON 2023 DATA.- MENTAL AND BEHAVIORAL HEALTH - MONTCLAIR HOSPITAL MEDICAL CENTER ESTABLISHED A SPECIALIZED TELEPSYCHIATRY GROUP TO ASSESS AND TREAT PATIENTS PRESENTING TO EMERGENCY DEPARTMENT FACING MENTAL HEALTH ISSUES AND SUBSTANCE USE DISORDERS. THIS APPROACH ENSURES TIMELY INTERVENTIONS WHILE PATIENTS AWAIT PSYCHIATRIC BED, ENHANCING CARE CONTINUITY AND IMPROVING OUTCOMES IN CRITICAL SITUATION. THE HOSPITAL ALSO PARTNERS WITH THE CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES TO PARTICIPATE IN CA BRIDGE PROGRAM. THIS BRIDGE TO TREATMENT PROGRAM AIMS TO COMBAT OVERDOSE CRISIS. THEY FUND AND SUPPORTS EMERGENCY CARE AND COMMUNITY HEALTH TO CREATE AN INTEGRATED SYSTEM THAT IMPROVES HEALTH AND EQUITY. THE HOSPITAL HIRED A SUBSTANCE USE NAVIGATOR WHOSE PRIMARY FUNCTION IS RESPONSIBLE FOR I8NTERACTING AND WORKING WITH THE HEALTHCARE TEAM AND WITH PATIENTS IN THE HOSPITAL AND EMERGENCY DEPARTMENT TO FIND AND CONNECT PATIENTS TO DRUG TREATMENT RESOURCES AND OUTPATIENT CLINIC REFERRALS. LASTLY, MONTCLAIR HOSPITAL CONTINUES TO BE A MEMBER OF THE WEST END BEHAVIORAL HEALTH COMMUNITY COLLABORATIVE AND CONTINUES ITS RELATIONSHIPS WITH AREA MENTAL AND BEHAVIORAL HEALTH PROVIDERS TO TRANSFER THESE PATIENTS TO INPATIENT SETTINGS AS APPROPRIATE.- MATERNAL AND INFANT HEALTH - PROVIDED INSURANCE ENROLLMENT FOR WOMEN WITH NEEDED OB SERVICES, ALONG WITH THEIR NEWBORNS. MONTCLAIR HOSPITAL MEDICAL CENTER HAD A CONTRACT WITH PARALLON TO REVIEW PATIENTS' SITUATIONS TO ASSURE COVERAGE.
FieldValueIRS element (for citing)
Facility6FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - RIVER VALLEY PHYSICIANS LLC
425 WEST FIFTH STREETEAST LIVERPOOLOH43920MEDICAL GROUP
2 - SOUTHERN REGIONAL PHYSICIANS MGMT
11 UPPER RIVERDALE ROADSW RIVERDALEGA30274MEDICAL GROUP
3 - SUBURBAN MEDICAL GROUP LLC
2701 DEKALB PIKEEAST NORRITONPA19401MEDICAL GROUP
4 - LAKE SPRIVEY AMBULATORY SURGERY CARE
7813 SPIVEY STATION BLVD SUITE 100JONESBOROGA30274AMBULATORY SURGERY CENTER
5 - PHF - LAKE HURON
3111 ELECTRIC AVENUEPORT HURONMI48060CLINIC
6 - LANDMARK PHYSICIAN OFFICE SERVICES
115 CASS AVENUEWOONSOCKETRI02895MEDICAL GROUP

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART III, LINE 2:THE AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS.
PART III, LINE 3:LANDMARK:THE ESTIMATED AMOUNT OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY IS THE ACTUAL BAD DEBT AS EACH HAVE A SEPARATE ACCOUNT.ENCINO & SHERMAN OAKS:THE COST TO CHARGE RATIO WAS USED TO DETERMINE THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS UNDER THE FINANCIAL ASSISTANCE POLICY.MONTCLAIR:PATIENTS WHO QUALIFY, AND ARE GIVEN FINANCIAL ASSISTANCE, ARE GROUPED AND CLASSIFIED WITHIN THE PATIENT ACCOUNTING SYSTEMS. THESE ACTUAL AMOUNTS, FROM THE ACTUAL PATIENTS, WERE USED TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO THE FINANCIAL ASSISTANCE POLICY.SUBURBAN, SOUTHERN REGIONAL & COSHOCTON:THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE IS DEEMED TO BE $0 SINCE THE ACTIVITY ASSOCIATED WITH THE PATIENTS THAT ARE ELIGIBLE FOR FINANCIAL ASSISTANCE IS CAPTURED AS EITHER CHARITY OR POLICY ADJUSTMENT, WHICH ARE DISTINCT FROM BAD DEBT EXPENSE.PAMPA:CHARITY CARE POLICY IS GENEROUS ENOUGH TO ENCOMPASS THE MAJORITY OF OUR ININSURED AND UNDERINSURED RESIDENTS. HAD PATIENTS WITH BAD DEBT HAVE APPLIED, THEY WOULD MOST GENERALLY QUALIFY FOR ASSISTANCE.HUNTINGTON BEACH & LA PALMA:THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE IS DEEMED TO BE $0 SINCE THE ACTIVITY ASSOCIATED WITH THE PATIENTS THAT ARE ELIGIBLE FOR FINANCIAL ASSISTANCE IS CAPTURED AS EITHER CHARITY OR POLICY ADJUSTMENT, WHICH ARE DISTINCT FROM BAD DEBT.
PART III, LINE 4:THE BAD DEBT EXPENSE FOOTNOTE IS INCLUDED ON PAGE 8 OF THE AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:THE FOLLOWING HOSPITALS USED THE COST TO CHARGE RATIO TO REPORT THE MEDICARE ALLOWABLE COSTS ON LINE 6:PRIME HEALTHCARE SERVICES - SHERMAN OAKS, LLCPRIME HEALTHCARE SERVICES - MONTCLAIR, LLCPRIME HEALTHCARE SERVICES - ENCINO HOSPITAL, LLCPRIME HEALTHCARE FOUNDATION - SOUTHERN REGIONAL, LLCPRIME HEALTHCARE SERVICES - LANDMARK MEDICAL CENTERPRIME HEALTHCARE FOUNDATION - COSHOCTON, LLCTHE FOLLOWING HOSPITALS USED OTHER COSTING METHODOLOGIES TO REPORT THE MEDICARE ALLOWABLE COSTS ON LINE 6:PRIME HEALTHCARE HUNTINGTON BEACH LLCPRIME HEALTHCARE SERVICES - PAMPA, LLCPRIME HEALTHCARE SERVICES - SUBURBAN HOSPITAL, LLCPRIME HEALTHCARE LA PALMA, LLCPAMPATHE COSTING METHODOLOGY WAS BASED ON A CONTRACTUAL MODEL WHERE ALLOWABLE COSTS ARE CALCULATED USING COSTS ACCOUNTING METHODS.HUNTINGTON BEACH & LA PALMATHE COSTING METHODOLOGY WAS BASED ON THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) COST REPORT COMPONENTS.SUBURBANTHE COSTING METHODOLOGY WAS BASED ON THE PERCENTAGE OF TOTAL MEDICARE REVENUES OF TOTAL REVENUES.
PART III, LINE 9B:PRIME HEALTHCARE NONPROFIT FACILITIES MAY USE THE SERVICES OF AN EXTERNAL COLLECTION AGENCY FOR THE COLLECTION OF PATIENT DEBT. NO DEBT SHALL BE ADVANCED FOR COLLECTION UNTIL THE DIRECTOR OF THE HOSPITAL PFS OR HIS/HER DESIGNEE HAS REVIEWED THE ACCOUNT AND APPROVED THE ADVANCEMENT OF THE DEBT TO COLLECTION. PRIME HEALTHCARE NONPROFIT FACILITIES SHALL OBTAIN AN AGREEMENT FROM EACH COLLECTION AGENCY THAT IT UTILIZES TO COLLECT PATIENT DEBT THAT THE AGENCY WILL COMPLY WITH THE REQUIREMENTS OF THE FINANCIAL ASSISTANCE POLICY AND APPLICABLE STATE LAW.IF A PATIENT DOES NOT APPLY FOR FINANCIAL ASSISTANCE OR IS DENIED FINANCIAL ASSISTANCE AND FAILS TO PAY THEIR BILL, THE PATIENT MAY BE SUBJECT TO VARIOUS COLLECTION ACTIONS, INCLUDING EXTRAORDINARY COLLECTION ACTIONS, SUBJECT TO APPLICABLE STATE LAW. NOTWITHSTANDING THE FOREGOING, NEITHER THE HOSPITAL NOR ANY COLLECTION AGENCY WITH WHICH IT CONTRACTS SHALL ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS (I) AT ANY TIME PRIOR TO ONE HUNDRED FIFTY (150) DAYS FOLLOWING THE FIRST POST-DISCHARGE STATEMENT SENT TO A PATIENT OR (II) WITHOUT FIRST MAKING REASONABLE EFFORTS TO DETERMINE WHETHER A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS POLICY. IN ADDITION, AND EVEN IF THE ABOVE TWO CONDITIONS ARE SATISFIED, HOSPITAL OR ITS CONTRACTED COLLECTION AGENCIES MUST SEND A NOTICE TO THE PATIENT AT LEAST THIRTY (30) DAYS BEFORE COMMENCING ANY EXTRAORDINARY COLLECTION ACTIONS, WHICH SPECIFIES THE FOLLOWING: (I) COLLECTION ACTIVITIES THE HOSPITAL OR CONTRACTED COLLECTION AGENCY MAY TAKE, (II) THE DATE AFTER WHICH SUCH ACTIONS MAY BE TAKEN (WHICH DATE SHALL BE NO EARLIER THAN THIRTY (30) DAYS OF THE NOTICE DATE, (III) THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR ELIGIBLE PATIENTS. A COPY OF THE PLAIN LANGUAGE SUMMARY WILL BE INCLUDED WITH SUCH NOTICE. REASONABLE EFFORTS MUST BE MADE (AND DOCUMENTED) TO ORALLY NOTIFY PATIENTS OF THIS POLICY. IF THE PATIENT APPLIES FOR FINANCIAL ASSISTANCE, ANY EXTRAORDINARY COLLECTION ACTIONS THAT MAY BE IN PROCESS WILL BE SUSPENDED IMMEDIATELY PENDING THE DECISION ON THE PATIENT'S APPLICATION.IN ADDITION, IF A PATIENT IS ATTEMPTING TO QUALIFY FOR ELIGIBILITY UNDER THIS FINANCIAL ASSISTANCE AND IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH THE HOSPITAL BY NEGOTIATING A REASONABLE PAYMENT PLAN OR MAKING REGULAR PARTIAL PAYMENTS OF A REASONABLE AMOUNT, THE HOSPITAL SHALL NOT SEND THE UNPAID BILL TO ANY COLLECTION AGENCY.THE HOSPITAL SHALL NOT, IN DEALING WITH PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY, USE WAGE GARNISHMENTS OR LIENS ON PRIMARY RESIDENCES AS A MEANS OF COLLECTING UNPAID HOSPITAL BILLS.
PART VI, LINE 2:SOUTHERN REGIONAL NEEDS ASSESSMENTHEALTH NEEDS ARE GENERALLY ASSESSED THROUGH A STRATEGIC PLANNING PROCESS THAT LOOKS AT THE PRIMARY AND SECONDARY SERVICES AREAS FOR TRENDS IN AGE, INCOME, AND USE RATES FOR VARIOUS SERVICES AND HEALTH CHALLENGES. COMMUNITY NEEDS ARE ALSO BASED ON A NEEDS ASSESSMENT RELATED TO PHYSICIAN SPECIALTIES, FOR EXAMPLE THE SERVICE AREA HAS NEEDS FOR PRIMARY CARE PHYSICIANS. THE ORGANIZATION WORKS WITH LOCAL PHYSICIAN PRACTICES TO SHAPE THIS INFORMATION AND DETERMINE APPROPRIATE OUTREACH FOR PHYSICIAN RECRUITMENT. HEALTH NEEDS ARE INDIRECTLY ASSESSED BY ANALYZING TRENDS FROM SERVICES OFFERED AT THE HOSPITAL AND THE HEALTH STATUS OF THOSE PATIENTS.LANDMARK NEEDS ASSESSMENTLANDMARK MEDICAL CENTER PARTICIPATES IN THE HEALTH EQUITY ZONE STEERING COMMITTEE, A DOH FUNDED COMMUNITY HEALTH EFFORT COMPRISED OF STAKEHOLDERS AND CONSUMERS FROM NORTHERN RHODE ISLAND. THIS MONTHLY INITIATIVE IS HOSTED AT LANDMARK AND PROVIDES A FORUM FOR DISCUSSION ON COMMUNITY NEED AND OPPORTUNITIES FOR COLLABORATION.ENCINO & SHERMAN OAKS NEEDS ASSESSMENTTHE HEALTHCARE NEEDS OF THE COMMUNITIES SERVED BY ENCINO HOSPITAL AND SHERMAN OAKS HOSPITAL ARE ASSESSED IN A VARIETY OF WAYS INCLUDING FOCUS GROUPS, SURVEYS, AND DATA ANALYSIS. TO BETTER UNDERSTAND THE HEALTH NEEDS IN THE HOSPITAL SERVICE AREA, NUMEROUS STATE AND COUNTY SOURCES WERE REVIEWED.MONTCLAIR NEEDS ASSESSMENTTHE HEALTHCARE NEEDS OF THE COMMUNITIES SERVED BY MONTCLAIR HOSPITAL MEDICAL CENTER ARE ASSESSED IN A VARIETY OF WAYS INCLUDING DIRECT INPUT FROM THE COMMUNITY DURING COMMUNITY EVENTS, COMMUNITY PHYSICIANS DURING OUTREACH OPPORTUNITIES, LOCAL POLICE AND FIRE DEPARTMENT AND CITY COUNCIL REPRESENTATION ON OUR BOARD OF DIRECTORS AND TELEPHONE SURVEYS OF PATIENTS AND FAMILIES.LA PALMA AND HUNTINGTON BEACH HOSPITAL NEEDS ASSESSMENTFOR THE CHNA THERE WERE 39 INDIVIDUALS FROM 22 COMMUNITY ORGANIZATIONS COLLABORATED TO IMPLEMENT A COMPREHENSIVE CHNA PROCESS FOCUSED ON IDENTIFYING AND DEFINING SIGNIFICANT HEALTH NEEDS, ISSUES, AND CONCERNS OF ORANGE COUNTY. INPUT WAS RECEIVED FROM PERSONS WHO REPRESENTED THE BROAD INTEREST OF THE COMMUNITY IN ORDER TO PROVIDE DIRECTION FOR THE COMMUNITY AND HOSPITAL TO CREATE A PLAN TO IMPROVE THE HEALTH OF THE COMMUNITIES. IN ADDITION, TO GET THE INPUT OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, AGENCIES REPRESENTING THOSE POPULATIONS WERE INVITED TO THE FOCUS GROUPS, INTERVIEWS, AND SUMMITS.COSHOCTON NEEDS ASSESSMENTTHE HEALTHCARE NEEDS OF THE COMMUNITIES SERVED BY COSHOCTON REGIONAL MEDICAL CENTER (CRMC) WERE ASSESSED BY CONDUCTING SURVEYS WITH MEMBERS OF THE COMMUNITY WHO HAVE A UNIQUE AND SPECIALIZED UNDERSTANDING OF THE NEEDS OF THE POPULATION. CRMC TARGETED THOSE WITH EXPERIENCE IN PUBLIC HEALTH, THE UNINSURED POPULATION, LOW-INCOME POPULATIONS, MINORITY POPULATIONS AND THOSE WHO ARE STRUGGLING WITH CHRONIC DISEASES. CRMC ALSO COLLABORATES WITH LOCAL HEALTH AND SOCIAL SERVICES GROUPS WHOSE REPRESENTATIVES PROVIDE CRITICAL INSIGHT INTO THE FACTORS THAT AFFECT THE HEALTH OF THE VARIOUS POPULATION SEGMENTS.SUBURBAN NEEDS ASSESSMENTTHE HEALTHCARE NEEDS OF THE COMMUNITIES SERVED BY SUBURBAN COMMUNITY HOSPITAL WERE ASSESSED BY CONDUCTING SURVEYS, FOCUS GROUP AND INTERVIEWS WITH COMMUNITY LEADERS WITH SPECIAL KNOWLEDGE OF MEDICALLY UNDERSERVED POPULATIONS IN THE HOSPITAL SERVICE AREA.PRIMARY METHODS INCLUDED:- INDIVIDUAL INTERVIEWS WITH COMMUNITY MEMBERS- COMMUNITY HEALTH SUMMITSECONDARY METHODS INCLUDED:- PUBLIC HEALTH DATA - DEATH STATISTICS, COUNTY HEALTH RANKINGS, CANCER INCIDENCE- DEMOGRAPHICS AND SOCIOECONOMICS POPULATION, POVERTY, UNINSURED, UNEMPLOYMENT- PSYCHOGRAPHICS - BEHAVIOR MEASURED BY SPENDING AND MEDIA PREFERENCESPAMPA NEEDS ASSESSMENTTHE HEALTH CARE NEEDS TO THE COMMUNITIES SERVED BY PRIME HEALTHCARE SERVICES - PAMPA LLC ARE ASSESSED IN A VARIETY OF WAYS INCLUDING QUESTIONNAIRES THAT ARE MAILED OUT TO THE ENTIRE COMMUNITY AND HANDED OUT AT THE FACILITY.
PART VI, LINE 3:IN ORDER TO ENSURE THAT PATIENTS ARE AWARE OF THE EXISTENCE OF THE FINANCIAL ASSISTANCE POLICY, THE HOSPITAL SHALL WIDELY DISSEMINATE THE EXISTENCE AND TERMS OF THIS POLICY THROUGHOUT ITS SERVICE AREA. IN ADDITION TO OTHER APPROPRIATE EFFORTS TO INFORM THE COMMUNITY ABOUT THE POLICY IN A WAY TARGETED TO REACH COMMUNITY MEMBERS MOST LIKELY TO NEED FINANCIAL ASSISTANCE, THE FOLLOWING ACTIONS SHALL BE TAKEN: A. WRITTEN NOTICE TO ALL PATIENTS EACH PATIENT WHO IS SEEN AT A PRIME HEALTHCARE FOUNDATION FACILITY, WHETHER ADMITTED OR NOT, SHALL RECEIVE THE PLAIN LANGUAGE SUMMARY. THE NOTICE SHALL BE PROVIDED IN NON-ENGLISH LANGUAGES SPOKEN BY A SUBSTANTIAL NUMBER OF THE PATIENTS SERVED BY THE HOSPITAL.B. POSTING OF NOTICESTHE NOTICE OF HOSPITAL FINANCIAL AID" SHALL BE CLEARLY AND CONSPICUOUSLY POSTED IN LOCATIONS THAT ARE VISIBLE TO THE PATIENTS IN THE FOLLOWING AREAS: (1) EMERGENCY DEPARTMENT; (2) BILLING OFFICE; (3) ADMISSIONS OFFICE; (4) OTHER OUTPATIENT SETTINGS; AND (5) THE HOSPITAL'S WEBSITE. THE NOTICES SHALL BE PROVIDED IN NON-ENGLISH LANGUAGES SPOKEN BY A SUBSTANTIAL NUMBER OF THE PATIENTS SERVED BY THE HOSPITAL.C. NOTICES TO ACCOMPANY BILLING STATEMENTSEVERY POST-DISCHARGE STATEMENT SHALL INCLUDE A COPY OF THE NOTICE REGARDING THE CHARITY CARE & DISCOUNTED PAYMENT PROGRAM PROVIDED BY PRIME HEALTHCARE FOUNDATION. EACH BILL THAT IS SENT TO A PATIENT WHO HAS NOT PROVIDED PROOF OF COVERAGE BY A THIRD PARTY AT THE TIME CARE IS PROVIDED OR UPON DISCHARGE MUST INCLUDE A STATEMENT OF CHARGES FOR SERVICES RENDERED BY THE HOSPITAL.D. AVAILABILITY OF FINANCIAL ASSISTANCE DOCUMENTSTHE HOSPITAL SHALL POST A COPY OF ITS FINANCIAL ASSISTANCE POLICY, THE PLAIN LANGUAGE SUMMARY, AND THE FINANCIAL ASSISTANCE APPLICATION ON ITS WEBSITE AND MAKE ALL SUCH DOCUMENTS AVAILABLE FOR FREE DOWNLOAD. SUCH DOCUMENTS SHALL BE AVAILABLE IN THE EMERGENCY ROOM AND ADMISSIONS OFFICE AND BY MAIL UPON REQUEST. THE DOCUMENTS SHALL BE PROVIDED IN NON-ENGLISH LANGUAGES SPOKEN BY A SUBSTANTIAL NUMBER OF THE PATIENTS SERVED BY THE HOSPITAL.E. ACCESSIBILITY TO LIMITED ENGLISH PROFICIENT INDIVIDUALSTHE HOSPITAL SHALL MAKE TRANSLATIONS OF THIS POLICY, THE PLAIN LANGUAGE SUMMARY, AND THE FINANCIAL ASSISTANCE APPLICATION AVAILABLE IN ANY LANGUAGE THAT IS THE PRIMARY LANGUAGE OF THE LESSER OF ONE THOUSAND (1,000) INDIVIDUALS OR FIVE PERCENT (5%) OF THE POPULATION OF THE COMMUNITIES SERVED BY THE HOSPITAL.
PART VI, LINE 4:SOUTHERN REGIONAL MEDICAL CENTER:SOUTHERN REGIONAL MEDICAL CENTER'S PRIMARY SERVICE AREA (PSA) IS DEFINED AS THE AREA FROM WHICH AT LEAST 75% OF THE HOSPITAL'S INPATIENT ADMISSIONS ORIGINATE. THIS DEFINITION IS CONSISTENT WITH STARK LAW PHYSICIAN RECRUITMENT REGULATIONS. (STARK LAW IS SECTION 1877 OF THE SOCIAL SECURITY ACT (42 U.S.C. 1395NN), ALSO KNOWN AS THE PHYSICIAN SELF-REFERRAL LAW.)DEMOGRAPHIC INFORMATION IS PROVIDED BY ZIP CODE WITH THE HOSPITAL'S PSA ENCOMPASSING FIFTEEN (15) ZIP CODES IN CLAYTON, SOUTH FULTON, AND HENRY COUNTIES. DURING CALENDAR YEAR 2023, SOUTHERN REGIONAL MEDICAL CENTER HAD 48,623 INPATIENT DISCHARGES AND EMERGENCY DEPARTMENT VISITS. FIFTEEN ZIP CODES ACCOUNT FOR NEARLY 74% OF SOUTHERN REGIONAL MEDICAL CENTER'S VOLUME AND, THEREFORE, DEFINE THE HOSPITAL'S PSA. WHILE THE GREATEST PERCENTAGE OF THE SOUTHERN REGIONAL MEDICAL CENTER SERVICE AREA POPULATION COMES FROM CLAYTON COUNTY (30228, 30236, 30238, 30260, 30274, 30296, 30297), THE SERVICE AREA ALSO ENCOMPASSES 5 ZIP CODES FROM FULTON COUNTY (30213, 30291, 30331, 30344, 30349) AND 3 FROM HENRY COUNTY (30253, 30281, 30294). THE MARKET PROFILE FOR 2022-2023 FOR THE PRIMARY AND SECONDARY SERVICE AREAS NOTED ABOVE IS A POPULATION OF 711,143, WITH A MEDIAN AGE OF 35.8 AND A MEDIAN HOUSEHOLD INCOME OF $59,058. SOUTHERN REGIONAL MEDICAL CENTER IS A MEDICALLY UNDERSERVED AREA (MUA) AND DESIGNATED AS A HEALTHCARE PROFESSIONAL SHORTAGE AREA (HPSA). THE AT-RISK POPULATIONS ARE 64,425 HOUSEHOLDS WITH DISABILITIES, 96,194 INDIVIDUALS AGED 65 AND OLDER, AND 21,780 HOUSEHOLDS THAT DO NOT HAVE A VEHICLE. THE PRIMARY AND SECONDARY SERVICE AREA POPULATIONS ENCOMPASS 36,225 HOUSEHOLDS BELOW THE POVERTY LEVEL (14%). THE POPULATION IN CLAYTON COUNTY AND SURROUNDING ZIP CODES FOR SOUTHERN REGIONAL MEDICAL CENTER'S SERVICE AREA ARE MORE DIVERSE, HAVE SUBSTANTIALLY LOWER INCOME EARNINGS, AND FACE GREATER CHALLENGES IN OBTAINING ACCESS TO CARE THAN THE AVERAGE US POPULATION. GEORGIA'S UNINSURED RATE WAS RANKED AS THE 3RD WORST IN THE COUNTRY AT 12.6% UNINSURED WITH CLAYTON COUNTY DECREASING TO 15.8% (2023 US CENSUS SURVEY) COMPARED TO 2022 AT 16.7%. CLAYTON COUNTY'S UNEMPLOYMENT RATE IS 37.1%. COMPARED TO INDIVIDUALS WHO HAVE HEALTH COVERAGE, THE UNINSURED ARE MORE LIKELY TO SKIP PREVENTIVE SERVICES AND FORGO ROUTINE HEALTHCARE VISITS ALTOGETHER RESULTING IN PATIENTS PRESENTING IN THE HOSPITAL WITH MULTIPLE AND HIGHER MEDICAL ACUITY LEVELS.LANDMARK MEDICAL CENTER:LANDMARK MEDICAL CENTER SERVES THE FOLLOWING ZIP CODES, PRIMARILY IN PROVIDENCE COUNTY, RHODE ISLAND: 02895 WOONSOCKET, 02896 NORTH SMITHFIELD, 02917 SMITHFIELD, 02876 BURRILLVILLE, 02830 HARRISVILLE, 02859 PASCOAG, 02019 BELLINGHAM, MA, 02703 ATTLEBORO, MA, 02760 NORTH ATTLEBORO, MA, 01516 DOUGLAS, MA, 02038 FRANKLIN, MA, 01756 MENDON, MA, 02828 GREENVILLE, 02865 LINCOLN, 02838 MANVILLE, 02864 CUMBERLAND, 02829 GLOUCESTER, 02814 CHEPACHET, 01504 BLACKSTONE, MA, 01529 MILLVILLE, MA, 02671 NORTH ATTLEBORO, MA, 02762 PLAINVILLE, MA, 02035 FOXBORO, MA, 02048 MANSFIELD, MA, 01569 UXBRIDGE, MA, AND 02093 WRENTHAM, MA.THE POPULATION ACROSS LANDMARK MEDICAL CENTER'S SERVICE AREA IS PRIMARILY WHITE WITH LESS THAN 10% OF RESIDENTS IDENTIFYING WITH ANOTHER RACE OR ETHNICITY. THE MEDIAN AGE OF RESIDENTS IS HIGHER THAN THE STATE, AS IS THE MEDIAN HOUSEHOLD INCOME. IN AGGREGATE, BLACK/AFRICAN AMERICAN AND HISPANIC/LATINO RESIDENTS HAVE A LOWER MEDIAN INCOME THAN ASIAN OR WHITE RESIDENTS. SHERMAN OAKS HOSPITAL:SHERMAN OAKS HOSPITAL'S (SOH) SERVICE AREA COVERS 8 ZIP CODES IN THE SAN FERNANDO VALLEY AREA OF NORTHERN LOS ANGELES COUNTY AND IS HOME TO MORE THAN 290,000 RESIDENTS. DATA GATHERED FROM THE 2020 U.S. CENSUS AMERICAN COMMUNITY SURVEY ESTIMATES SHOW THAT MALE AND FEMALE POPULATIONS ARE SPLIT EQUALLY.OTHER BASIC DEMOGRAPHIC ISSUES INCLUDE AGE DISTRIBUTION, ETHNIC GROUP DISTRIBUTION, EDUCATIONAL ACHIEVEMENT, AND HOUSEHOLD INCOME DISTRIBUTION.THE HOSPITAL'S SERVICE AREA SPANS CITIES, COMMUNITIES, AND UNINCORPORATED AREAS IN THE SAN FERNANDO VALLEY AND THE LOS ANGELES COUNTY. THE SAN FERNANDO VALLEY IS IN THE SERVICE PLANNING AREA 2 (SPA 2) OF LOS ANGELES COUNTY. WHILE DEFINITIONS CAN VARY REGARDING SERVICE AREAS, OVER HALF OF ALL DISCHARGES FROM SOH ORIGINATED FROM ONLY 8 ZIP CODES. CONCENTRATED ALONG THE SOUTHERN EDGE OF THE SAN FERNANDO VALLEY, THEY INCLUDE NORTH HOLLYWOOD (91606), SHERMAN OAKS (91403, 91423), STUDIO CITY (91604), VALLEY VILLAGE (91607), AND VAN NUYS (91401, 91405, 91411). THE SOH PRIMARY SERVICE AREA SHOWS THE GREATEST CONCENTRATION OF RESIDENTS IN THE MIDDLE-AGE GROUP (19-64) AND LOWER PROPORTIONS OF RESIDENTS IN OTHER GROUPS. SOH'S PRIMARY SERVICE AREA (PSA) REMAINS UNCHANGED FROM 2022, CONCENTRATED AROUND THE HOSPITAL'S SITE, EXTENDING MOSTLY EAST AND NORTH FROM THAT LOCATION. FOR 2023, THE PSA ZIP CODES EACH ACCOUNTED FOR MORE THAN 2% OF DISCHARGES FROM THE HOSPITAL FOR A TOTAL OF 60% OF ALL DISCHARGES. A SECONDARY SERVICE AREA (SSA) ACCOUNTS FOR ANOTHER 7% OF DISCHARGES: THESE ZIP CODES RECEIVED MORE THAN 1% BUT LESS THAN 2% OF ALL DISCHARGES. THIS AREA HAS CHANGED, BUT THIS IS TO BE EXPECTED SINCE THE NUMBERS OF DISCHARGES FROM ANY OF THESE ZIP CODES ARE SO SMALL. NO OTHER ZIP CODE ACCOUNTS FOR MORE THAN ONE PERCENT OF ALL DISCHARGES, ALTHOUGH IT SHOULD BE NOTED THAT DISCHARGES WITH NO ZIP CODE LISTED REPRESENTED 2.6% OF TOTAL DISCHARGES.SOH'S PSA HAS A LOWER PERCENTAGE OF 18-AND-UNDER RESIDENTS (19.3%), WITH MORE MIDDLE-AGE GROUPS (68.1%) AND SLIGHTLY FEWER 65+ RESIDENTS (12.6%) THAN ANY OF THE COMPARISON GROUPS.THE ETHNIC COMPOSITION OF THE SHERMAN OAKS HOSPITAL PRIMARY SERVICE AREA IS WHITE (56%) FOLLOWED BY HISPANIC/LATINO (36%), ASIAN (4%), AND AFRICAN AMERICAN (3%). ALL OTHER GROUPS REPRESENT ONE PERCENT OF ALL RESIDENTS. EDUCATION PLAYS A SIGNIFICANT ROLE IN ALL ASPECTS OF LIFE, INCLUDING MAINTAINING A HEALTHY LIFESTYLE. IN THE SHERMAN OAKS HOSPITAL PSA, THE HIGHEST PERCENTAGE OF ADULTS 25 YEARS OR OLDER ARE THOSE WITH A BACHELOR'S DEGREE, AND THE PSA SHOWS A SLIGHTLY HIGHER PROPORTION OF COLLEGE GRADUATES THAN ANY OF THE COMPARABLE AREAS. LOW-INCOME LEVELS CREATE OBSTACLES TO GAINING ACCESS TO MEDICAL SERVICES, PURCHASING HEALTHY FOODS, AND OTHER NECESSITIES. SOH'S DISTRIBUTION OF HOUSEHOLD INCOME TENDS TO GROUP IN LOWER MIDDLE-INCOME STRATA, WITH FEWER VERY LOW-INCOME RESIDENTS, AND FEWER REMARKABLY HIGH (OVER $75,000) INCOME LEVELS. JUST OVER 4.7% OF SHERMAN OAKS HOSPITAL SERVICE AREA EARNS LESS THAN $10,000, 5.2% EARN $10,000 TO $14,999, 9% EARN $15,000 TO $24,999, 8% EARN $25,000 TO $34,999, 11.6% EARN $35,000 TO $49,999, AND 15.3% EARN $50,000 TO $74,999, WHICH RECEIVED THE HIGHEST LEVELS IN THE SOH PSA POPULATION FOR INCOME LEVELS. ADDITIONALLY, 11.8% EARN $75,000 TO $99,999, 14.7% EARN $100,000 TO $149,999, 7.3% EARN $150,000 TO $199,999, AND LASTLY 12.4% EARN $200,000 OR MORE IN INCOME LEVELS.ADDITIONALLY, 11.8% EARN $75,000 TO $99,999, 14.7% EARN $100,000 TO $149,999, 7.3% EARN $150,000 TO $199,999, AND LASTLY 12.4% EARN $200,000 OR MORE IN INCOME LEVELS.THE THREE MAJOR BEHAVIORAL RISK FACTORS THAT ARE THE MOST COMMON IN THE COMMUNITY ARE: 70% NEED AFFORDABLE ACCESS TO HEALTH CARE, 58% ARE UNINSURED RESIDENTS, AND 44% ARE IN THE POVERTY CATEGORY. ONE THIRD OF THE STATE'S POPULATION IS A MEDI-CAL RECIPIENT. THE MOST COMMON COMPLAINT CONSIDERED A RISK FACTOR NOW FOCUSES ON THE COST OF CARE. THE AFFORDABLE CARE ACT AND CALIFORNIA'S COVERED CALIFORNIA PROGRAM HAVE BEEN SUCCESSFUL IN GETTING RESIDENTS INTO INSURANCE COVERAGE (A THIRD OF ALL CALIFORNIANS ARE NOW MEDI-CAL CLIENTS), BUT PROBLEMS REMAIN IN ASSISTING INSUREDS WITH COPAYS AND FINDING PHYSICIANS WILLING TO ACCEPT MEDI-CAL PAYMENTS AND PATIENTS.LOS ANGELES COUNTY MAINTAINS A HEALTH INFORMATION WEBSITE WHICH ALLOWS SEARCHES FOR SPECIFIC SERVICES NEAR A GIVEN ZIP CODE. THERE MORE THAN 50 ORGANIZATIONS OR SECTOR RESOURCES ADDRESSING THE HEALTH NEEDS OF THE SOH PSA.
PART VI, LINE 5:ALL OF THE HOSPITALS CONDUCT OUTREACH PROGRAMS AS FURTHER DISCUSSED IN ITS CHNA REPORTS.
PART VI, LINE 7, REPORTS FILED WITH STATESCA
PART VI, LINE 4:HUNTINGTON BEACH HOSPITAL:ORANGE COUNTY WAS THE PRIMARY FOCUS OF THE CHNA DUE TO THE SERVICE AREA OF HUNTINGTON BEACH HOSPITAL. USED AS THE STUDY AREA, ORANGE COUNTY PROVIDED 87% OF JANUARY 1, 2023 THROUGH DECEMBER 31, 2023, INPATIENT DISCHARGES. THE COMMUNITY INCLUDES MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS WHO LIVE IN THE GEOGRAPHIC AREAS FROM WHICH HUNTINGTON BEACH HOSPITAL DRAWS THEIR PATIENTS. ALL PATIENTS WERE USED TO DETERMINE THE SERVICE AREA WITHOUT REGARD TO INSURANCE COVERAGE OR ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER HUNTINGTON BEACH HOSPITAL'S FINANCIAL ASSISTANCE POLICY.LA PALMA INTERCOMMUNITY HOSPITAL:ORANGE COUNTY WAS THE PRIMARY FOCUS OF THE CHNA DUE TO THE SERVICE AREA OF LA PALMA INTERCOMMUNITY HOSPITAL. USED AS THE STUDY AREA, ORANGE COUNTY PROVIDED 41% OF JANUARY 1, 2023 THROUGH DECEMBER 31, 2023, INPATIENT DISCHARGES. THE COMMUNITY INCLUDES MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS WHO LIVE IN THE GEOGRAPHIC AREAS FROM WHICH LA PALMA INTERCOMMUNITY HOSPITAL DRAWS THEIR PATIENTS. ALL PATIENTS WERE USED TO DETERMINE THE SERVICE AREA WITHOUT REGARD TO INSURANCE COVERAGE OR ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER LA PALMA INTERCOMMUNITY HOSPITAL'S FINANCIAL ASSISTANCE POLICY.
PART VI, LINE 4:ENCINO HOSPITAL MEDICAL CENTER:ENCINO HOSPITAL MEDICAL CENTER'S PRIMARY SERVICE AREA COVERS 14 ZIP CODES IN THE SAN FERNANDO VALLEY AREA OF NORTHERN LOS ANGELES COUNTY AND IS HOME TO MORE THAN 582,000 RESIDENTS. DATA GATHERED FROM THE 2020 U.S. CENSUS AMERICAN COMMUNITY SURVEY ESTIMATES SHOW THAT MALE AND FEMALE POPULATIONS ARE SPLIT EQUALLY.OTHER BASIC DEMOGRAPHIC ISSUES INCLUDE AGE DISTRIBUTION, ETHNIC GROUP DISTRIBUTION, EDUCATIONAL ACHIEVEMENT, AND HOUSEHOLD INCOME DISTRIBUTION.THE HOSPITAL'S SERVICE AREA SPANS CITIES, COMMUNITIES, AND UNINCORPORATED AREAS IN THE SAN FERNANDO VALLEY AND LOS ANGELES COUNTY. THE SAN FERNANDO VALLEY IS IN THE SERVICE PLANNING AREA 2 (SPA 2) OF LOS ANGELES COUNTY. WHILE DEFINITIONS CAN VARY REGARDING SERVICE AREAS, OVER HALF OF ALL DISCHARGES FROM EHMC ORIGINATED FROM ONLY 14 ZIP CODES. CONCENTRATED ALONG THE SOUTHERN EDGE OF THE SAN FERNANDO VALLEY, THEY INCLUDE ENCINO (91316, 91436), RESEDA (91335), TARZANA (91356), VAN NUYS (91401, 91405, 91406, 91411), PANORAMA CITY (91402), SHERMAN OAKS (91403, 91423), STUDIO CITY (91604), NORTH HOLLYWOOD (91606), AND VALLEY VILLAGE (91607). THE EHMC PRIMARY SERVICE AREA SHOWS THE GREATEST CONCENTRATION OF RESIDENTS IN THE MIDDLE-AGE GROUP (19-64) AND LOWER PROPORTIONS OF RESIDENTS IN OTHER GROUPS. EHMC'S PRIMARY SERVICE AREA (PSA) HAS CHANGED SLIGHTLY FROM 2022 AND IS CONCENTRATED ON THE SHERMAN OAKS / ENCINO / TARZANA STRETCH OF VENTURA BOULEVARD AROUND THE HOSPITAL'S SITE, EXTENDING MOSTLY WEST AND NORTH FROM THAT LOCATION. FOR 2023, THE PSA ZIP CODES EACH ACCOUNTED FOR MORE THAN 3% OF DISCHARGES FROM THE HOSPITAL FOR A TOTAL OF 52% OF ALL DISCHARGES. A SECONDARY SERVICE AREA (SSA) ACCOUNTS FOR ANOTHER 6% OF DISCHARGES: THESE ZIP CODES RECEIVED MORE THAN 2% BUT LESS THAN 3% OF ALL DISCHARGES. NO OTHER AREA ACCOUNTED FOR MORE THAN 2% OF DISCHARGES, ALTHOUGH MANY ZIP CODES DID CONTRIBUTE PATIENTS. THESE MARKET AREAS HAVE CHANGED, BUT THIS IS TO BE EXPECTED SINCE THE NUMBERS OF DISCHARGES FROM ANY OF THESE ZIP CODES ARE SO SMALL. THE EHMC PSA SHOWS THE GREATEST CONCENTRATION OF RESIDENTS IN THE MIDDLE-AGE GROUP (19-64) COMPARED TO SPA 2 OR LOS ANGELES COUNTY, AND CORRESPONDINGLY LOWER PROPORTIONS OF RESIDENTS IN OTHER GROUPS.OUT OF THE TOTAL ENCINO HOSPITAL MEDICAL CENTER PSA POPULATION (582,000), 21% ARE 18-AND-UNDER RESIDENTS, 65.8% ARE MIDDLE-AGED GROUPS, AND 13.3% ARE 65 AND ABOVE. EDUCATION PLAYS A SIGNIFICANT ROLE IN ALL ASPECTS OF LIFE, INCLUDING MAINTAINING A HEALTHY LIFESTYLE. IN THE EHMC PSA, THE HIGHEST PERCENTAGE OF ADULTS 25 YEARS OR OLDER ARE THOSE WITH A BACHELOR'S DEGREE. THE PSA SHOWS A SLIGHTLY HIGHER PROPORTION OF GRADUATE DEGREE HOLDERS THAN THE COUNTY AS A WHOLE, BUT LESS THAN CALIFORNIA OR THE US.LOW-INCOME LEVELS CREATE OBSTACLES TO GAINING ACCESS TO MEDICAL SERVICES, PURCHASING HEALTHY FOODS, AND OTHER NECESSITIES. EHMC'S DISTRIBUTION OF HOUSEHOLD INCOME TENDS TO GROUP IN LOWER MIDDLE-INCOME STRATA, WITH FEWER VERY LOW-INCOME RESIDENTS, AND FEWER REMARKABLY HIGH (OVER $75,000) INCOME LEVELS, ALTHOUGH THE $200,000 PLUS CATEGORY EXCEEDS THE LOS ANGELES COUNTY DISTRIBUTION. OUT OF THE TOTAL EHMC PSA POPULATION, 4.3% HAS LESS THAN $10,000 INCOME LEVEL, 5.2% EARN $10,000 TO $14,999, 8.2% EARN $15,000 TO $24,999, 7% EARN $25,000 TO $34,999, 12.3% EARN $35,000 TO $49,999, 16.7% EARN $50,000 TO $74,999, WHICH RECEIVED THE HIGHEST LEVELS IN THE EHMC PSA POPULATION FOR INCOME LEVELS. ADDITIONALLY, 11.5% EARN $75,000 TO $99,999, 15.3% EARN $100,000 TO $149,999, 7.2% EARN $150,000 TO $199,999, AND LASTLY 12.3% EARN $200,000 OR MORE IN INCOME LEVELS.THE THREE MAJOR BEHAVIORAL RISK FACTORS THAT ARE THE MOST COMMON IN THE COMMUNITY ARE: 70% NEED AFFORDABLE ACCESS TO HEALTH CARE, 58% ARE UNINSURED RESIDENTS AND 44% ARE IN THE POVERTY CATEGORY. ONE THIRD OF THE STATE'S POPULATION IS A MEDI-CAL RECIPIENT. THE MOST COMMON COMPLAINT CONSIDERED A RISK FACTOR NOW FOCUSES ON THE COST OF CARE. THE AFFORDABLE CARE ACT AND CALIFORNIA'S COVERED CALIFORNIA PROGRAM HAVE BEEN SUCCESSFUL IN GETTING RESIDENTS INTO INSURANCE COVERAGE (A THIRD OF ALL CALIFORNIANS ARE NOW MEDI-CAL CLIENTS), BUT PROBLEMS REMAIN IN ASSISTING INSUREDS WITH COPAYS AND FINDING PHYSICIANS WILLING TO ACCEPT MEDI-CAL PAYMENTS AND PATIENTS.LOS ANGELES COUNTY MAINTAINS A HEALTH INFORMATION WEBSITE WHICH ALLOWS SEARCHES FOR SPECIFIC SERVICES NEAR A GIVEN ZIP CODE. THERE ARE MORE THAN 50 ORGANIZATIONS OR SECTOR RESOURCES ADDRESSING THE HEALTH NEEDS OF THE EHMC PSA.
PART VI, LINE 4:COSHOCTON REGIONAL MEDICAL CENTER:THE PRIMARY SERVICE AREA OF COSHOCTON REGIONAL MEDICAL CENTER IS DEFINED AS THE COUNTY OF COSHOCTON, ENCOMPASSING A POPULATION OF 36,612 PEOPLE IN THE EASTERN CENTRAL SECTION OF OHIO; 66.56% OF THE HOSPITAL'S DISCHARGED PATIENTS ARE RESIDENTS OF COSHOCTON COUNTY. COSHOCTON COUNTY IS A RURAL COMMUNITY WHOSE POPULATION OF 36,612 (U.S. CENSUS BUREAU, 2020) IS DISTRIBUTED WITHIN A LAND MASS OF 564.1 SQUARE MILES. MEDIAN INCOME IS THE ACCEPTED MEASUREMENT OF HOUSEHOLD WEALTH USED TO MAKE COMPARISONS BETWEEN GEOGRAPHIC REGIONS. THE MEDIAN IS DETERMINED BY PLACING ALL EARNINGS IN VALUE ORDER AND FINDING THE EXACT MIDDLE NUMBER. THIS DIVIDES THE HOUSEHOLDS INTO TWO DISTINCT SECTIONS, WITH EXACTLY HALF FALLING BELOW THE MEDIAN AND EXACTLY HALF FALLING ABOVE. THIS IS CONSIDERED A MORE ACCURATE MEASUREMENT THAN AN AVERAGE, SINCE THE MEDIAN IS NOT STATISTICALLY AFFECTED BY DRAMATICALLY HIGH OR LOW INCOME LEVELS. COSHOCTON COUNTY CONTINUES TO LAG BEHIND BOTH OHIO AND THE UNITED STATES IN TERMS OF ITS MEDIAN INCOME LEVEL. ACCORDING TO THE MOST RECENT AVAILABLE DATA, COSHOCTON COUNTY'S $52,048 FELL SHORT OF OHIO'S MEDIAN INCOME OF $67,769 AND THE NATIONAL MEDIAN INCOME OF $74,580.
PART VI, LINE 4:SUBURBAN COMMUNITY HOSPITAL:MONTGOMERY COUNTY WAS THE PRIMARY FOCUS OF THE CHNA DUE TO THE SERVICE AREA OF SUBURBAN COMMUNITY HOSPITAL. USED AS THE STUDY AREA, MONTGOMERY COUNTY PROVIDED 88.3% OF JANUARY 1, 2023, THROUGH DECEMBER 31, 2023, INPATIENT DISCHARGES. THE COMMUNITY INCLUDES MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS WHO LIVE IN THE GEOGRAPHIC AREAS FROM WHICH SUBURBAN COMMUNITY HOSPITAL DRAWS THEIR PATIENTS. ALL PATIENTS WERE USED TO DETERMINE THE SERVICE AREA WITHOUT REGARD TO INSURANCE COVERAGE OR ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER SUBURBAN COMMUNITY HOSPITAL'S FINANCIAL ASSISTANCE POLICY.
PART VI, LINE 4:PAMPA REGIONAL MEDICAL CENTER:PAMPA IS CONSIDERED A RURAL SERVICE AREA SERVICING ALL SURROUNDING COUNTIES FOR 60+ MILES. PAMPA IS THE SECOND LARGEST CITY IN THE TEXAS PANHANDLE WITH PAMPA, ALONE, HAVING A POPULATION OF OVER 16,000 PEOPLE AS OF THE 2023 CENSUS, AND A MEDIAN AGE OF 35.5. PAMPA AND ITS SURROUNDING AREAS HAVE A WIDE ARRAY OF CULTURAL DIVERSITY WITH MANY HOMES HAVING 4+ HOUSEHOLD MEMBERS. A MAJORITY OF COMMUNITY MEMBERS ARE MIDDLE TO LOW INCOME AND EVEN BELOW POVERTY LEVEL. THE CHNA WAS CONDUCTED BY THE HOSPITAL DURING 2021 ON BEHALF OF THE APPROXIMATELY 77,560 (2020 US CENSUS) RESIDENTS OF OCHILTREE, LIPSCOMB, HUTCHINSON, ROBERTS, HEMPHILL, CARSON, GRAY, WHEELER, ARMSTRONG, DONLEY, AND COLLINGSWORTH COUNTIES LOCATED IN THE PANHANDLE AREA OF TEXAS.THE HOSPITAL'S SERVICE AREA INCLUDES A RURAL AREA WHICH COVERS ROUGHLY 10,115 SQUARE MILES, WITH THE LOCAL ECONOMY AND SURROUNDING AREAS FOCUSED ON HEALTHCARE, AGRICULTURE, OIL AND GAS, TOURISM, AND RETAIL ACTIVITIES. GRAY COUNTY AND ITS POPULATION OF 20,916 REPRESENTS APPROXIMATELY 27% OF THE TOTAL SERVICE AREA POPULATION. MEDIAN AGE IN THE SERVICE AREA IS 39.4 YEARS. THE MEDIAN AGE FOR THE STATE OF TEXAS IS 35.2 YEARS. PERSONS UNDER 18 REPRESENT 25.1% OF THE COUNTY'S POPULATION. FROM AGE 18 TO 64 REPRESENT THE LARGEST POPULATION GROUP (58.4%) FOR THE SERVICE AREA, ACCORDING TO THE 2023 CENSUS, AND 65-PLUS MADE UP 16.5%.
PART VI, LINE 4:MONTCLAIR HOSPITAL MEDICAL CENTER:THE DEMOGRAPHIC DATA FOR THIS CHNA, WHICH WERE COMPILED BY SPEEDTRACK, LOOK AT POPULATION PROJECTIONS BY DEMOGRAPHIC COHORT (GENDER, RACE, ETHNICITY AND AGE). THE INLAND EMPIRE THE INLAND EMPIRE ENCOMPASSES ALL OF RIVERSIDE AND SAN BERNARDINO COUNTIES. IT COVERS MORE THAN 27,000 SQUARE MILES AND IS LARGER THAN 10 U.S. STATES, ACCORDING TO THE U.S. CENSUS BUREAU. ITS 2023 POPULATION IS 4.687 MILLION. DEMOGRAPHIC DATA FOR THE INLAND EMPIRE PROJECT AN OVERALL POPULATION GROWTH OF 3.4% BY 2027. THE FASTEST GROWING ETHNIC GROUP IS MULTIRACIAL; THE HISPANIC/LATINO AND BLACK/AFRICAN AMERICAN POPULATIONS WILL CONTINUE TO GROW AT A SLIGHTLY HIGHER RATE THAN THE WHITE POPULATION. THE 65+ POPULATION WILL GROW BY 13%, WHILE THE NUMBER OF CHILDREN AGES 1-17 IS PROJECTED TO DECLINE BY 0.7%. RIVERSIDE COUNTY RIVERSIDE COUNTY IS HOME TO 2.492 MILLION PEOPLE (2023) AND COVERS 7,209 SQUARE MILES. IT IS THE FOURTH MOST-POPULOUS COUNTY IN CALIFORNIA AND THE NINTH MOST-POPULOUS IN THE UNITED STATES. RIVERSIDE COUNTY IS GROWING FASTER THAN THE INLAND EMPIRE AS A WHOLE. THE GREATEST ETHNIC GROWTH BY 2027 WILL BE IN THE MULTIRACIAL POPULATION, FOLLOWED BY THE HISPANIC/LATINO AND BLACK/AFRICAN AMERICAN POPULATIONS. THERE WILL ALSO BE SIGNIFICANT GROWTH IN THE ASIAN AND WHITE POPULATIONS. AGAIN, THERE IS A LARGE INCREASE IN THE OVER-65 POPULATION AND A DECLINE IN THE 1-17-YEAR-OLD POPULATION GROUP. SAN BERNARDINO COUNTY SAN BERNARDINO COUNTY HAS 2.195 MILLION RESIDENTS IN 2023. IT IS THE FIFTH MOST-POPULOUS COUNTY IN CALIFORNIA AND THE 13TH MOST-POPULOUS IN THE UNITED STATES. IT COVERS 20,105 SQUARE MILES. SAN BERNARDINO COUNTY IS GROWING AT A SLIGHTLY SLOWER RATE THAN RIVERSIDE COUNTY AND THE INLAND EMPIRE AS A WHOLE. BY FAR, THE FASTEST-GROWING ETHNIC GROUP IS MULTIRACIAL, FOLLOWED BY HISPANIC/LATINO AND BLACK/AFRICAN AMERICAN PEOPLE. THERE WILL BE A SIGNIFICANT INCREASE IN PEOPLE 65 AND OLDER AND A DECREASE IN CHILDREN AGES 1-17.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
UNIVERSITY OF PENNSYLVANIATHE PENN FUND
2929 WALNUT STREET SUITE 300PHILADELPHIAPA19104231352685501(C)(3)$25,000$0TO ENHANCE THE UNDERGRADUATE EXPERIENCE AT PENN
BABY2BABY
5830 W JEFFERSON BLVDLOS ANGELESCA90016464503539501(C)(3)$25,000$0BABY2BABY GALA EVERGREEN SPONSOR
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationALL GRANTS MADE BY THE ORGANIZATION ARE TO 501(C)(3) ORGANIZATIONS AS DETERMINED BY THE INTERNAL REVENUE SERVICE AND PUBLISHED IN PUBLICATION 78. RECIPIENTS ARE ALL PUBLIC CHARITIES THAT THE ORGANIZATION HAS DONE A CONSIDERABLE AMOUNT OF DUE DILIGENCE REVIEW OF IN ADVANCE OF MAKING THE GRANT. THE ORGANIZATION'S BOARD HAS DETERMINED THAT NO ADDITIONAL POST-GRANT FOLLOW-UP IS NECESSARY AS THEY ARE RELYING ON THE INTERNAL REVENUE SERVICE AND ATTORNEY GENERAL TO OVERSEE THESE GRANTEE ORGANIZATIONS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (36 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
HISHAM KHADR
PHYSICIAN-SUBURBAN$612,005$0$1,500$0$0$0$22,500$0$33,397$0$669,402$0$0$0
AHMED NADEEM
PHYSICIAN-LMC$578,831$0$29,350$0$8,869$0$30,000$0$20,597$0$667,647$0$0$0
WAJAHAT FAHEEM
PHYSICIAN-LMC$552,073$0$5,000$0$4,408$0$27,300$0$25,823$0$614,604$0$0$0
BETHANY WORTMAN
PHYSICIAN-LMC$553,730$0$0$0$5,807$0$22,500$0$17,747$0$599,784$0$0$0
JAMES DALLIS
PHYSICIAN-SRMC$491,960$0$0$0$2,284$0$22,500$0$31,255$0$547,999$0$0$0
MICHAEL R SOUZA
CEO-LMC$374,711$0$50,000$0$11,921$0$22,500$0$25,823$0$484,955$0$0$0
GAIL F AVIADO
CEO-MHMC$328,906$0$102,000$0$16,723$0$22,500$0$5,098$0$475,227$0$0$0
EM V GARCIA
CEO-ENCINO HOSPITAL MED. CENTER$336,419$0$50,000$0$8,851$0$22,500$0$8,193$0$425,963$0$0$0
HAROLD WAY
CFO-MHMC$327,428$0$25,000$0$16,393$0$30,000$0$26,781$0$425,602$0$0$0
ELA C LENA
CEO-SRMC$320,008$0$40,000$0$22,013$0$14,760$0$6,660$0$403,441$0$0$0
MIRIAM HOGAN
DEPUTY GENERAL COUNSEL-SCH$294,606$0$20,000$0$2,691$0$22,333$0$12,832$0$352,462$0$0$0
ROLAND SANTOS
CNO-SOH$248,239$0$25,000$0$10,451$0$30,000$0$21,033$0$334,723$0$0$0
STEPHANIE D CONN
CEO-COSHOCTON REG. MED. CENTER$241,226$0$25,000$0$10,641$0$22,327$0$29,610$0$328,804$0$0$0
JACQUELINE PESTER-BABCOCK
CNO-SCH$229,960$0$25,000$0$9,598$0$30,000$0$11,469$0$306,027$0$0$0
CLAUDIA FOTZEU TOUKAM
GME PROGRAM DIRECTOR-SRMC$280,868$0$0$0$1,466$0$8,615$0$6,902$0$297,851$0$0$0
JONATHAN S GILL
CEO-PRMC$232,691$0$15,000$0$12,505$0$11,757$0$23,626$0$295,579$0$0$0
SCOTT BROWN
CFO-LMC$213,032$0$15,000$0$5,630$0$29,951$0$27,123$0$290,736$0$0$0
MARGARET M MACEK
CNO-LMC$226,263$0$20,000$0$9,084$0$22,500$0$11,290$0$289,137$0$0$0
JANIE HINTON
NURSING DIR.-SRMC$195,963$0$35,184$0$4,029$0$22,500$0$29,192$0$286,868$0$0$0
GLENN FORT
GME PROGRAM DIRECTOR-LMC$242,553$0$4,500$0$2,758$0$15,996$0$8,277$0$274,084$0$0$0
ANDREW AGUSTIN
CNO-LPIH$196,125$0$15,300$0$2,881$0$11,740$0$17,259$0$243,305$0$0$0
DARRA EDWARDS
340B PROGRAM DIRECTOR-SRMC$180,323$0$4,500$0$4,721$0$22,500$0$28,198$0$240,242$0$0$0
GERARD D BREEN
CFO-COSHOCTON REG. MED. CENTER$151,558$0$49,000$0$4,744$0$29,658$0$1,312$0$236,272$0$0$0
PATRICIA S CODY
CNO-HBH$187,732$0$20,600$0$6,399$0$8,432$0$9,345$0$232,508$0$0$0
ERIC LACHANCE
REG. RADIOLOGY/CARDIOLOGY DIR.-LMC$169,243$0$15,146$0$1,796$0$18,727$0$25,740$0$230,652$0$0$0
CHRISTINE M DINAN
REG. DIR. OF HR-COSHOCTON REG. MED.$170,576$0$20,000$0$9,284$0$5,906$0$16,045$0$221,811$0$0$0
SHAILY PATEL
REG. DATA QUALITY DIR.-SCH$168,822$0$20,000$0$138$0$22,500$0$10,216$0$221,676$0$0$0
JAMES HAZLETT
CNO-SCH$176,774$0$8,000$0$2,751$0$18,193$0$8,952$0$214,670$0$0$0
LISA J JACKSON
CNO-COSHOCTON REG. MED. CENTER$147,583$0$20,000$0$4,319$0$17,450$0$18,854$0$208,206$0$0$0
KRIS VIGIL
CNO-PRMC$164,756$0$10,000$0$3,505$0$11,975$0$11,102$0$201,338$0$0$0
ROSANNE K MAEHARA
NURSING DIR.-LPIH$147,749$0$20,000$0$2,311$0$11,146$0$19,659$0$200,865$0$0$0
KEVIN CARRION
DIR. OF HR-SCH$143,614$0$7,500$0$4,036$0$18,496$0$22,211$0$195,857$0$0$0
RAQUEL ROMERO
MEDICAL STAFF DIR.-HBH$130,950$0$27,128$0$7,498$0$5,076$0$24,404$0$195,056$0$0$0
JANAYA BEENE-EGGERT
CNO-MHMC$155,933$0$10,000$0$5,124$0$22,500$0$1,126$0$194,683$0$0$0
VICTORIA REIS SAVARD
NURSING DIR.-LMC$141,409$0$12,200$0$1,611$0$10,946$0$25,711$0$191,877$0$0$0
CHRISTINE EMMANUEL
NURSING DIR.-SRMC$159,362$0$3,491$0$563$0$15,503$0$8,725$0$187,644$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 7FormAndLineReferenceDesc
ExplanationDISCRETIONARY BONUSES ARE DETERMINED PER HOSPITAL AND INDIVIDUAL PERFORMANCE. BONUSES ARE APPROVED IN COLLABORATION BETWEEN REGIONAL CEOS AND CORPORATE EXECUTIVE LEADERSHIP.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1PUBLIC FINANCE AUTHORITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN273866124BondIssuerEIN
CUSIP74442PFU4CUSIPNum
Bond Issued2018-01-24BondIssuedDt
Issue Price$132,754,226IssuePriceAmt
PurposeREFUND BOND DATED 11/16/2016 AND CONSTRUCT/EQUIP HOSPITAL FACILITIESPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$15,640,000RetiredAmt
Total Proceeds$132,754,226TotalProceedsAmt
In Reserve Fund$9,568,109InReserveFundAmt
Capital Expenditures$51,770,396CapitalExpendituresAmt
Other Spent Proceeds$73,303,018OtherSpentProceedsAmt
Unspent$497UnspentAmt
Substantial Completion2021SubstantialCompletionYr
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (1)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (1)EngageBondCounselContractsInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (12 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
PRIME HEALTHCARE MANAGEMENT II INC
SEE PART V$61,236,148MANAGEMENT FEESYes (1)
BIO-MED SERVICES INC
SEE PART V$14,814,386ASSET MANAGEMENT0
PRIME HEALTHCARE SERVICES - PROVIDENCE LLC
SEE PART V$1,384,397RENTAL INCOME0
PRIME HEALTHCARE SERVICES - CENTINELA LLC
SEE PART V$3,818,693RENTAL INCOME0
HOSPITAL BUSINESS SERVICES INC
SEE PART V$6,059,517BUSINESS OFFICE SERVICESYes (1)
DALLAS MEDICAL PHYSICIAN GROUP
SEE PART V$45,632RENTAL INCOME0
PRIME HEALTHCARE SERVICES - GARDEN CITY LLC
SEE PART V$944,955RENTAL INCOME0
PRIME HEALTHCARE SERVICES-LOWER BUCKS LLC
SEE PART V$22,500RENTAL INCOME0
PORT HURON PHYSICIANS MEDICAL GROUP
SEE PART V$50,490RENTAL INCOME0
PRIME HEALTHCARE SERVICES-ROXBOROUGH LLC
SEE PART V$333,396RENTAL INCOME0
PRIME HEALTHCARE SERVICES - GADSDEN LLC
SEE PART V$214,893RENTAL INCOME0
PRIME HEALTHCARE SERVICES-RENO LLC
SEE PART V$197,395RENTAL INCOME0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINES (1), COLUMN (B):ENTITY IS INDIRECTLY OWNED BY DR. PREM REDDY, FOUNDER OF PRIME HEALTHCARE FOUNDATION AND A FORMER DIRECTOR AND OFFICER OF PRIME HEALTHCARE FOUNDATION WHO RESIGNED FROM SUCH POSITIONS ON JANUARY 29, 2016, AND LATER RESIGNED FROM A NON-VOTING POSITION (CHAIR-EMERITUS) ON OCTOBER 27, 2016. ENTITY IS ALSO INDIRECTLY OWNED BY DR. KAVITHA BHATIA, WHO HAS A FAMILY RELATIONSHIP WITH DR. PREM REDDY, AND SERVES AS PRESIDENT OF THE PRIME HEALTHCARE FOUNDATION SYSTEM AND CHAIR OF THE BOARD OF PRIME HEALTHCARE FOUNDATION.
PART IV, LINES (2), (3), (4), (5), COLUMN (B):ENTITY IS OWNED BY DR. PREM REDDY, FOUNDER OF PRIME HEALTHCARE FOUNDATION AND A FORMER DIRECTOR AND OFFICER OF PRIME HEALTHCARE FOUNDATION WHO RESIGNED FROM SUCH POSITIONS ON JANUARY 29, 2016, AND LATER RESIGNED FROM A NON-VOTING POSITION (CHAIR-EMERITUS) ON OCTOBER 27, 2016. ENTITY IS ALSO DIRECTLY OWNED BY DR. KAVITHA BHATIA, WHO HAS A FAMILY RELATIONSHIP WITH DR. PREM REDDY, AND SERVES AS PRESIDENT OF THE PRIME HEALTHCARE FOUNDATION SYSTEM AND CHAIR OF THE BOARD OF PRIME HEALTHCARE FOUNDATION.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART IV, LINE 20BTHE AUDITED FINANCIAL STATEMENTS ATTACHED TO THIS RETURN INCLUDE THE FOLLOWING ENTITIES THAT ARE NOT INCLUDED IN THIS RETURN AS THEY ARE SEPARATE ENTITIES FOR TAX PURPOSES AND FILE THEIR OWN TAX RETURNS: - KNAPP MEDICAL CENTER - KNAPP MEDICAL GROUP - MID-VALLEY PHYSICIANS ASSOCIATION, INC - KNAPP MEDICAL CENTER ASC, LLC - SIGNATURE PAMPA MEDICAL GROUP - CALIFORNIA UNIVERSITY OF SCIENCE AND MEDICINE - CITY HOSPITAL ASSOCIATION - OHIO VALLEY HOME HEALTH SERVICES, INC. - OHIO VALLEY HOME CARE, LLC - LANDMARK PHYSICIAN ASSOCIATES, P.C. - LANDMARK PHYSICIAN SERVICES - MISSION HOSPITAL, INC. - MISSION HOSPITAL FOUNDATION - MISSION DOCTORS GROUP
FORM 990, PART VI, SECTION A, LINE 2DR. KAVITHA BHATIA, ABRAHAM JOEL RICHLIN AND STEVEN ALEMAN HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION IS BEING MANAGED BY PRIME HEALTHCARE MANAGEMENT, INC., AN AFFILIATE OF PRIME HEALTHCARE FOUNDATION, INC. (PHF). THE COMPANY PROVIDES MANAGEMENT AND ADMINISTRATIVE SERVICES TO THE FILING ORGANIZATION AND EACH OF THE HOSPITAL FACILITIES IN THE ORGANIZATION. SERVICES INCLUDE, MANAGEMENT, LEGAL, INFORMATION TECHNOLOGY AND REVENUE CYCLE MANAGEMENT. THE FOLLOWING OFFICERS LISTED ON PART VII ARE EMPLOYED BY THE MANAGEMENT COMPANY TO PROVIDE SERVICES TO A VARIETY OF HOSPITALS ON AN AS-NEEDED BASIS AND RECEIVED THE FOLLOWING AMOUNT OF COMPENSATION FROM THE MANAGEMENT COMPANY FOR SERVICES PROVIDED TO PRIME HEALTHCARE FOUNDATION AND ITS SUBSIDIARIES: KAVITHA BHATIA - $66,540 STEVE ALEMAN - $73,103 ABRAHAM JOEL RICHLIN - $57,093 MADAN REDDY - $30,108
FORM 990, PART VI, SECTION A, LINE 6DR. PREM REDDY IS THE SOLE MEMBER OF PRIME HEALTHCARE FOUNDATION, INC.
FORM 990, PART VI, SECTION A, LINE 7ATHE SOLE MEMBER MAY APPOINT UP TO 20% OF THE TOTAL NUMBER OF DIRECTORS. THE REMAINDER OF THE DIRECTORS ARE ELECTED BY THE FOUNDATION'S BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BCERTAIN GOVERNANCE DECISIONS OF THE ORGANIZATION ARE RESERVED TO ITS SOLE MEMBER.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY AN INDEPENDENT TAX PREPARER, IN CONJUNCTION WITH THE ORGANIZATION'S FINANCE AND ACCOUNTING STAFF. THE FORM 990 IS THEN REVIEWED BY OUTSIDE COUNSEL AND CFO PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. THE RETURNS ARE PROVIDED TO THE BOARD FOR THEIR REVIEW CONTEMPORANEOUSLY WITH THEIR FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY IS MONITORED BY THE REVIEW OF QUESTIONNAIRES THAT ARE COMPLETED ANNUALY.
FORM 990, PART VI, SECTION B, LINE 15THE CEO OF PRIME HEALTHCARE FOUNDATION, INC. ("PHF") IS NOT COMPENSATED BY PHF. THE CORPORATION'S HUMAN RESOURCES DEPARTMENT TAKES INTO ACCOUNT EACH PERSON'S EXPERIENCE, EDUCATION, BACKGROUND, AND OTHER RELEVANT FACTORS, SUCH AS COMPARABLE MARKET SALARIES FOR THE RELEVANT POSITION, IN DETERMINING THAT PERSON'S COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GCONTRACT LABOR OVERHEAD DEPTS: PROGRAM SERVICE EXPENSES 384,714. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 384,714. OTH CLINICAL REG/TEMP HELP: PROGRAM SERVICE EXPENSES 1,224,929. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,224,929. PHYSICIAN ON-CALL MED FEES: PROGRAM SERVICE EXPENSES 9,620,899. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,620,899. MEDICAL DIRECTOR FEES: PROGRAM SERVICE EXPENSES 4,398,208. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,398,208. UNFUNDED PHYS MED FEES: PROGRAM SERVICE EXPENSES 16,964. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,964. CONSULT & MGMT FEES: PROGRAM SERVICE EXPENSES 1,763,499. MANAGEMENT AND GENERAL EXPENSES 378,789. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,142,288. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 23,249,397. MANAGEMENT AND GENERAL EXPENSES 437,730. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,687,127. MEDICAL PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 10,162,645. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,162,645. COLLECTION SVCS: PROGRAM SERVICE EXPENSES 2,652,300. MANAGEMENT AND GENERAL EXPENSES 880. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,653,180. OTH PURCH SVCS: PROGRAM SERVICE EXPENSES 28,432,396. MANAGEMENT AND GENERAL EXPENSES 40,741. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,473,137. OTH PURCH SVCS BIO-MED: PROGRAM SERVICE EXPENSES 10,631,251. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,631,251. OTHER PURCHASED SERVICES BUSINESS OFFICE: PROGRAM SERVICE EXPENSES 3,667,224. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,667,224. OTHER PURCH SVCS INFO TECH: PROGRAM SERVICE EXPENSES 715,678. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 715,678. OTHER PURCH SVCS IT SECURITY: PROGRAM SERVICE EXPENSES 66,132. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 66,132. OTHER PURCH SVCS TELECOMM: PROGRAM SERVICE EXPENSES -10,732. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -10,732. SOFTWARE SUBSCRIPTIONS INFO TECH: PROGRAM SERVICE EXPENSES 1,252,203. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,252,203. OTH PURCH SVCS ENGINEERING: PROGRAM SERVICE EXPENSES 230,836. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 230,836.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (25 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
PHS - ENCINO HOSPITAL LLC
16237 VENTURA BLVDENCINOCA91436262128507HOSPITALDE$52,892,199$40,594,086PHF
PHS - MONTCLAIR LLC
5000 SAN BERNARDINO STMONTCLAIRCA91763202898771HOSPITALDE$59,941,112$129,807,455PHF
PHS - SHERMAN OAKS LLC
4929 VAN NUYS BLVDSHERMAN OAKSCA91403202546649HOSPITALDE$101,358,613$191,479,946PHF
PH - HUNTINGTON BEACH LLC
17772 BEACH BLVDHUNTINGTON BEACHCA92647205252882HOSPITALDE$60,090,433$73,301,857PHF
PHS - PAMPA LLC
1 MEDICAL PLAZAPAMPATX79065455125687HOSPITALDE$26,068,783$34,663,413PHF
PH - LA PALMA LLC
7901 WALKER STLA PALMACA90623205253134HOSPITALDE$56,336,521$54,110,999PHF
EAST VALLEY GLENDORA HOSPITAL LLC
150 W ROUTE 66GLENDORACA91740954862310HOSPITALCA-$122,681$2,700PHF
PHS - SUBURBAN HOSPITAL LLC
2701 DEKALB PIKENORRISTOWNPA19401472819044HOSPITALDE$44,155,019$36,646,324PHF
PHF - SOUTHERN REGIONAL LLC
1 UPPER RIVERDALE ROAD SWRIVERDALEGA30274300885567HOSPITALDE$142,788,093$95,235,217PHF
PHF - COSHOCTON LLC
1460 ORANGE STCOSHOCTONOH43812320506896HOSPITALDE$44,215,760$103,540,770PHF
PHS - LANDMARK LLC
115 CASS AVEWOONSOCKETRI02895461175423HOSPITALDE$146,230,102$123,791,172PHF
REHABILITATION HOSPITAL OF RHODE ISLAND LLC
116 EDDIE DOWLING HWYNORTH SMITHFIELDRI02896814634109HOLDING CO.DE$991,695$407,132PHF
PHF - LAKE HURON CLINICS LLC
2601 ELECTRIC AVEPORT HURONMI48060320502841HEALTHCAREDE$778,573$2,756,374PHF
SUBURBAN MEDICAL GROUP LLC
2701 DEKALB PIKENORRISTOWNPA19401474575700HEALTHCAREDE$6,183,734$741,134PHS - SUBURBAN HOSPITAL
SOUTHERN REGIONAL PHYSICIANS MANAGEMENT LLC
11 UPPER RIVERDALE ROAD SWRIVERDALEGA30274300891469SUPPORTDE$2,268,551$1,775,132PHF - SOUTHERN REGIONAL
RIVER VALLEY PHYSICIANS LLC
425 WEST FIFTH STREETEAST LIVERPOOLOH43920203986815HEALTHCAREOH$7,137,469$1,573,656PHF - EAST LIVERPOOL
LAKE SPIVEY AMBULATORY SURGERY CARE LLC
7813 SPIVEY STATION BLVD 100JONESBOROGA30236300890749AMBULATORYDE$0$0PHF - SOUTHERN REGIONAL
BUCKS COUNTY INSURANCE COMPANY LTD
980490086SELF-INSURANCE$19,956,816$60,443,518PHFPO BOX 69GRAND CAYMANCJKY1-1102CJ
SAINT MARY'S RENO FOUNDATION LLC
235 WEST 6TH STREETRENONV89503300961045HOLDING CO.DE$3,332$531,659PHF
PHF - REAL ESTATE LLC
3480 E GUASTI ROADONTARIOCA91761611811239HOLDING CO.DE$6,735,792$169,203,113PHF
PH CENTINELA - MOB LLC
3480 E GUASTI ROADONTARIOCA91761461137049HOLDING CO.CA$0$0PHF - REAL ESTATE
PHF - EAST LIVERPOOL LLC
425 WEST FIFTH STREETEAST LIVERPOOLOH43920320480019HOLDING CO.DE$0$0PHF
PHF - MISSION LLC
900 S BRYAN RDMISSIONTX78572364864843HOLDING CO.DE$0$0PHF
PHF - OCONEE LLC
3480 E GUASTI ROADONTARIOCA91761611843519HOLDING CO.DE$0$0PHF
PHF - SALEM LLC
3480 E GUASTI ROADONTARIOCA91761300893591HOLDING CO.DE$0$0PHF

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
KNAPP MEDICAL CENTER (KMC)
1401 E 8TH STREET - PO BOX 1110WESLACOTX78596741393060HOSPITALTX501(C)(3)LINE 3PHFYes (1)
KNAPP MEDICAL GROUP
1402 E 8TH STREETWESLACOTX78596271619835HEALTHCARETX501(C)(3)LINE 3KMCYes (1)
MID-VALLEY PHYSICIANS ASSOCIATION
1401 E 8TH STREETWESLACOTX78596742755150SUPPORTTX501(C)(3)LINE 12A, IKMCYes (1)
CALIFORNIA UNIVERSITY OF SCIENCE AND MED
217 E CLUB CENTER DRIVE SUITE ASAN BERNARDINOCA92408464141445EDUCATIONCA501(C)(3)LINE 2PHFYes (1)
OHIO VALLEY HOME HEALTH SERVICES INC
425 WEST FIFTH STREETEAST LIVERPOOLOH43920341014198HEALTHCAREOH501(C)(3)LINE 10PHF-EAST LIVERPOOLYes (1)
CITY HOSPITAL ASSOCIATION
425 WEST FIFTH STREETEAST LIVERPOOLOH43920340714583HOSPITALOH501(C)(3)LINE 3PHF-EAST LIVERPOOLYes (1)
MISSION HOSPITAL INC
900 SOUTH BRYAN ROADMISSIONTX78572742206635HOSPITALTX501(C)(3)LINE 3PHF-MISSIONYes (1)
MISSION HOSPITAL FOUNDATION
900 SOUTH BRYAN ROADMISSIONTX78572542076455SUPPORTTX501(C)(3)LINE 12A, IMISSION HOSPITALYes (1)
MISSION DOCTORS GROUP
906 SOUTH BRYAN ROAD SUITE 209MISSIONTX78572742798500HEALTHCARETX501(C)(3)LINE 3MISSION HOSPITALYes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
SIGNATURE PAMPA MEDICAL GROUP
ONE MEDICAL PLAZAPAMPATX79065800458752PHYSICIAN SERVICESTXPHS - PAMPA LLCC$6,467,203$2,893,0271.00000Yes (1)
LANDMARK PHYSICIAN SERVICES
115 CASS AVEWOONSOCKETRI02895205025078PHYSICIAN SERVICESDEPHS - LANDMARK LLCC1.00000Yes (1)
LANDMARK PHYSICIAN ASSOCIATES PC
115 CASS AVEWOONSOCKETRI02895050473637INACTIVEDEPHS - LANDMARK LLCC1.00000Yes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (10 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
KNAPP MEDICAL CENTER
P$124,922,803INTERCOMPANY CASH TRANSFER
KNAPP MEDICAL CENTER
Q$114,834,556INTERCOMPANY CASH TRANSFER
KNAPP MEDICAL GROUP
P$52,625INTERCOMPANY CASH TRANSFER
THE CITY HOSPITAL ASSOCIATION DBA EAST LIVERPOOL CITY HOSPITAL
P$16,315,327INTERCOMPANY CASH TRANSFER
THE CITY HOSPITAL ASSOCIATION DBA EAST LIVERPOOL CITY HOSPITAL
Q$23,646,599INTERCOMPANY CASH TRANSFER
OHIO VALLEY HOME HEALTH SERVICES INC
P$76,937INTERCOMPANY CASH TRANSFER
MISSION HOSPITAL INC DBA MISSION REGIONAL MEDICAL CENTER
P$170,955,877INTERCOMPANY CASH TRANSFER
MISSION HOSPITAL INC DBA MISSION REGIONAL MEDICAL CENTER
Q$146,847,156INTERCOMPANY CASH TRANSFER
CALIFORNIA UNIVERSITY OF SCIENCE AND MEDICINE
P$128,121INTERCOMPANY CASH TRANSFER
CALIFORNIA UNIVERSITY OF SCIENCE AND MEDICINE
Q$353,953INTERCOMPANY CASH TRANSFER