2021-11-14T16:37:29-06:00 2020-12-31 ERNST & YOUNG US LLP 560 MISSION ST STE 1600 SAN FRANCISCO CA 94105 990 2020-01-01 941156621 SUTTER VALLEY HOSPITALS % JONATHAN ZACHRESON SUTT 9162866665 C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 TIMOTHY NOAKES CFO 9162866665 2021-11-08 true TIMOTHY NOAKES 999009999 EVA NITTA P01286320 4158948000 2 2020 2022-09-23 18:48:47Z JAMES CONFORTI C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95816 3741197195 false X WWW.SUTTERHEALTH.ORG X 1935 CA SEE SCHEDULE O 17 13 15542 1215 11295 0 10929967 167656362 3597156788 3566997480 9130106 3841061 2026931 1199595 3619243792 3739694498 16774018 18959543 0 0 1612995247 1717645225 0 0 576849 1763488105 1856330278 3393257370 3592935046 225986422 146759452 2475210508 2515417316 1569977919 1447406336 905232589 1068010980 X SEE SCHEDULE O false false 3200313556 19681033 3566997480 SEE SCHEDULE O 3200313556 true true false false false false false false false true true false false true true true false true false false false false false false true false true true true true true true false false false false false false false false true false false false false false false true true true false false true 1197 0 true 15542 true true true false false false false true true false false false false false false X 17 13 false false false false true true true true true false false true true true true true true true true true true CA X JONATHAN ZACHRESON 9162866665 9100 FOOTHILLS BLVD ROSEVILLE CA 95747 X Sarah Krevans President & CEO Sutter Health 2.0 40.0 X 0 3159516 403159 James Conforti SH SVP/COO,PRES & ASST SEC SVH 4.0 40.0 X X 0 1967179 495099 David Cheney CEO, SMCS 0.0 40.0 X 0 1070711 104968 Paige A Terra CFO, SH Valley Area (Pt-yr) 2.0 40.0 X 0 960662 99027 Asit Gokli MD SH VP,Chf Clin & Ops Integ Off 0.0 40.0 X 0 949762 88039 Terry Glubka CEO, SSCD 0.0 40.0 X 0 904867 93768 Brian Alexander CEO, SRMC 0.0 40.0 X 0 811876 90503 Penny Westfall CHIEF LEGAL OFCR BAY & VALLEY 2.0 40.0 X 0 820028 74390 JEFFREY D SZCZESNY SH VP, HR Operations 0.0 40.0 X 0 804856 88593 Eugene Patrizio CEO, MMC 0.0 40.0 X 0 726905 85578 John W Boyd CEO, Mental Health Services 0.0 40.0 X 0 710245 81438 David Thompson CEO, STCH & MHLB 0.0 40.0 X 0 693843 95696 Mitch Hanna CEO SCH & SAFH 0.0 40.0 X 0 700157 83730 Phillip Yu MD Admin/CME, MHLB & CME, STCH 0.0 40.0 X 0 654681 72526 Peter Hull MD Director, CME, SRMC 2.0 40.0 X 0 606558 71265 Timothy Noakes CFO, SH Valley Area (Pt-yr) 2.0 40.0 X 0 568054 60019 Abhishek Dosi CEO, SSMC 0.0 40.0 X 0 499772 80175 Jose A Arevalo Chief Medical Officer 40.0 0.0 X 408404 0 41618 Colleen J Peschel VP, HR, Greater Sacramento 0.0 40.0 X 0 388671 53268 John Mesic MD CHIEF PHYSICIAN EXEC, RESEARCH 0.0 40.0 X 0 348872 78994 LISA CASSADAY Staff Nurse II 40.0 0.0 X 381141 0 31757 Patrick A Blair Exec,N.Valley Rehab/Ortho Svc 40.0 0.0 X 317150 0 39455 Divina Taasan Registered Nurse 40.0 0.0 X 327829 0 24341 OLIVER AANDAHL STAFF NURSE II 40.0 0.0 X 326050 0 15517 GRANT DAVIES Former CEO VA Hospitals 0.0 0.0 X 0 254922 0 PAT BRADY FORMER CEO, SRMC 0.0 0.0 X 0 165527 0 MICHAEL COHILL FORMER CEO SMCS 0.0 0.0 X 0 126073 0 Helen Thomson Director 2.0 9.0 X 0 11458 0 I-Mei Hsiu MD Director/SH Board 2.0 9.0 X 0 4583 0 Kurt Shuler MD Director 2.0 3.0 X 0 0 0 Timothy Byrd Director 2.0 2.0 X 0 0 0 Viva Ettin MD Director 2.0 2.0 X 0 0 0 Bronwyn Fields RN Director 2.0 2.0 X 0 0 0 Dan Flores DIRECTOR, CHAIR F&P 4.0 4.0 X X 0 0 0 Megan Gross MD Director 2.0 2.0 X 0 0 0 Gary Hooper Director 2.0 2.0 X 0 0 0 Maria Pallavicini Director 2.0 2.0 X 0 0 0 Pat Pathipati Director 2.0 2.0 X 0 0 0 Fatima Seward Chair 4.0 4.0 X X 0 0 0 Jerry Tokunaga Director 2.0 2.0 X 0 0 0 David Adkins MD Director 2.0 2.0 X 0 0 0 1760574 17602137 2452923 6002 true true false RUDOLPH AND SLETTEN INC 2 CIRCLE STAR WAY 4TH FL SAN CARLOS CA 940706200 GENERAL CONTRACTOR 8947528 PULMONARY MEDICINE ASSOC MED GRP 1300 ETHAN WAY STE 600 SACRAMENTO CA 958252296 PHYSICIAN SERVICES 8265087 CENTRAL ANESTHESIA SERVICE 3315 WATT AVE SACRAMENTO CA 958213600 ANESTHESIOLOGY SVCS 7677330 TOTAL RENAL CARE INC PO BOX 2076 TACOMA WA 984012076 Dialysis Services 6973708 ACUTE CARE SURGERY MEDICAL 2450 DEL PASO RD STE 250 SACRAMENTO CA 958349667 PHYSICIAN SERVICES 6838518 332 1005 73996 8992946 158084509 503906 2258 167656362 PATIENT SERVICE REVENUE 621110 3556527959 3556527959 RENTAL TO AFFILIATES 621110 10536649 10536649 HEALTHCARE RELATED JV INCOME 621110 -67128 -67128 3566997480 1099407 1099407 0 0 2533162 1338560 1194602 0 1194602 1194602 166880 2731871 157097 166880 2574774 2741654 2741654 440 73996 7040 -6600 -6600 0 0 0 0 0 0 LABORATORY 621500 11295 11295 OTHER REVENUE 900099 298 298 11593 3739694498 3566997480 11295 5029361 17859484 17859484 1100059 1100059 0 0 0 16168 16168 1121272594 1037344349 83706933 221312 78442673 72585581 5857092 424682708 392822265 31697704 162739 93231082 86257844 6960338 12900 8671182 1891663 6743519 36000 1940740 1940740 218610 218610 0 0 476793 476793 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true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 41682775 138071 6591830 2869531 45543145 39417783 26144 3847038 1608190 41682775 41036603 60011 -1329855 348976 39417783 20064697 239395 4080760 1438328 22946524 19173834 329568 1007628 446333 20064697 0.76060 0.15630 0.08310 false true true 41025528 41025528 2285651784 1038338410 1247313374 40978917 22824090 18154827 856862366 700510428 156351938 110650395 43593331 67057064 1529902731 INTERCOMPANY RECEIVABLES 6400631 OTHER RECEIVABLES 321402432 OTHER CURRENT ASSETS 10199432 OTHER NONCURRENT ASSETS 55086483 393088978 0 INSURANCE LIABILITIES 9228254 THIRD-PARTY SETTLEMENTS 365518082 OTHER LIABILITIES 65468098 440214434 X SCHEDULE D, PART V, LINE 1B, COLUMN (D) ON MAY 1, 2017, SUTTER CENTRAL VALLEY HOSPITALS MERGED INTO SUTTER VALLEY HOSPITALS. THE 2017 CONTRIBUTIONS HAVE BEEN ADJUSTED TO REFLECT THE ENDOWMENTS HISTORICALLY HELD BY SUTTER CENTRAL VALLEY HOSPITALS. SCHEDULE D, PART V, LINE 4 INTENDED USE OF ENDOWMENT FUNDS: SUTTER MEDICAL CENTER SACRAMENTO'S ENDOWMENT EARNINGS ARE TO BE USED TO SUPPORT THE CHILD LIFE DEPARTMENT. ALL OTHER ENDOWMENTS ARE HELD BY RELATED FUNDRAISING ORGANIZATIONS FOR THE EXCLUSIVE PURPOSE OF VARIOUS PROGRAMS OF SUTTER VALLEY HOSPITALS. SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE FROM AUDIT: THIS ORGANIZATION WAS PART OF A CONSOLIDATED FINANCIAL SYSTEM AUDIT. THE ASC 740 AUDIT FOOTNOTE DISCLOSURE FOR THE SUTTER SYSTEM IS AS FOLLOWS: SUTTER HEALTH, THE LEGAL ENTITY, AND MANY AFFILIATES HAVE BEEN DETERMINED TO BE EXEMPT ORGANIZATIONS BY THE INTERNAL REVENUE SERVICE AND THE CALIFORNIA FRANCHISE TAX BOARD AND GENERALLY ARE NOT SUBJECT TO TAXES ON INCOME. CERTAIN ACTIVITIES OF SUTTER ARE SUBJECT TO INCOME TAXES; HOWEVER, SUCH ACTIVITIES ARE NOT SIGNIFICANT TO THE CONSOLIDATED FINANCIAL STATEMENTS. WITH RESPECT TO ITS TAXABLE ACTIVITIES, SUTTER RECORDS INCOME TAXES USING THE LIABILITY METHOD, UNDER WHICH DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE FINANCIAL ACCOUNTING AND TAX BASIS OF ASSETS AND LIABILITIES. DEFERRED TAX ASSETS OR LIABILITIES AT THE END OF EACH PERIOD ARE DETERMINED USING THE CURRENTLY ENACTED TAX RATE EXPECTED TO APPLY TO TAXABLE INCOME IN THE PERIODS THAT THE DEFERRED TAX ASSET OR LIABILITY IS EXPECTED TO BE REALIZED OR SETTLED. SUTTER RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS, ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE STATUTE OF LIMITATIONS FOR TAX YEARS 2017 THROUGH 2019 REMAIN OPEN IN U.S. TAX JURISDICTIONS IN WHICH SUTTER AND ITS AFFILIATES ARE SUBJECT TO TAXATION. SUTTER RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OPERATING EXPENSES. There were no such uncertain tax positions recognized at December 31, 2020 and 2019. 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X X true true X X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X Pt V, Section C X X X X X X X true X false X X X X true X false false B 16 false false true X X X X X X X X X 19 true true true true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 19 true SEE PART V, SECTION C false true X 400. 0. X X true true X X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X Pt V, Section C X X X X X X X true X false X X X X true X false false MEMORIAL MEDICAL CENTER 2 false false true X X X X X X X X X 19 true true true true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 19 true SEE PART V, SECTION C false true X 400. 0. X X true true X X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X Pt V, Section C X X X X X X X true X false X X X X true X false false SUTTER TRACY COMMUNITY HOSPITAL 5 false false true X X X X X X X X X 19 true true true true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 19 true SEE PART V, SECTION C false true X 400. 0. X X true true X X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X Pt V, Section C X X X X X X X true X false X X X X true X false false MEMORIAL HOSPITAL LOS BANOS 10 false false true X X X X X X X X X 19 true true true true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 19 true SEE PART V, SECTION C false true X 400. 0. X X true true X X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X Pt V, Section C X X X X X X X true X false X X X X true X false false STANISLAUS SURGICAL HOSPITAL 11 false false true X X X X X X X X X 19 true true true true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 19 true SEE PART V, SECTION C false true X 100 350. X X X true true X X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X Pt V, Section C X X X X X X X true X false X X X X false X X false false REPORTING FACILITY: A SCHEDULE H, PART V, SECTION B, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. REPORTING FACILITY: A SCHEDULE H, PART V, SECTION B, LINE 5 SUTTER ROSEVILLE MEDICAL CENTER (A, 3): IN CONDUCTING ITS MOST RECENT CHNA, SUTTER ROSEVILLE MEDICAL CENTER, A FACILITY OF SUTTER VALLEY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA (HSA). INPUT FROM THE COMMUNITY SERVED BY SUTTER ROSEVILLE MEDICAL CENTER WAS COLLECTED THROUGH TWO MAIN MECHANISMS. FIRST, KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH COMMUNITY HEALTH EXPERTS AND AREA SERVICE PROVIDERS (I.E., MEMBERS OF SOCIAL-SERVICE NONPROFIT ORGANIZATIONS AND RELATED HEALTHCARE ORGANIZATIONS). THESE INTERVIEWS OCCURRED IN BOTH ONE-ON-ONE AND IN GROUP INTERVIEW SETTINGS. SECOND, FOCUS GROUPS WERE CONDUCTED WITH COMMUNITY RESIDENTS THAT WERE IDENTIFIED AS POPULATIONS EXPERIENCING DISPARITIES. ALL PARTICIPANTS WERE GIVEN AN INFORMED CONSENT FORM PRIOR TO THEIR PARTICIPATION, WHICH PROVIDED INFORMATION ABOUT THE PROJECT, ASKED FOR PERMISSION TO RECORD THE INTERVIEW, AND LISTED THE POTENTIAL BENEFITS AND RISKS FOR INVOLVEMENT IN THE INTERVIEW. ALL INTERVIEW DATA WERE COLLECTED THROUGH NOTE TAKING AND, IN SOME INSTANCES, RECORDING. PRIMARY DATA COLLECTION WITH KEY INFORMANTS INCLUDED TWO PHASES. FIRST, PHASE ONE BEGAN BY INTERVIEWING AREA-WIDE SERVICE PROVIDERS WITH KNOWLEDGE OF THE SERVICE AREA, INCLUDING INPUT FROM THE DESIGNATED PUBLIC HEALTH DEPARTMENT. DATA FROM THESE AREA-WIDE INFORMANTS, COUPLED WITH SOCIO-DEMOGRAPHIC DATA, WAS USED TO IDENTIFY ADDITIONAL KEY INFORMANTS FOR THE ASSESSMENT THAT WERE INCLUDED IN PHASE TWO. AS A PART OF THE INTERVIEW PROCESS, ALL KEY INFORMANTS WERE ASKED TO IDENTIFY VULNERABLE POPULATIONS. THE INTERVIEWER ASKED EACH PARTICIPANT TO VERBALLY EXPLAIN WHAT VULNERABLE POPULATIONS EXISTED IN THE COUNTY. AS NEEDED FOR A VISUAL AID, KEY INFORMANTS WERE PROVIDED A MAP OF THE HSA TO DIRECTLY POINT TO THE GEOGRAPHIC LOCATIONS OF THESE VULNERABLE COMMUNITIES. ADDITIONAL KEY INFORMANT INTERVIEWS WERE FOCUSED ON THE GEOGRAPHIC LOCATIONS AND/OR SUBGROUPS IDENTIFIED IN THE EARLIER PHASE. FOCUS GROUP INTERVIEWS WERE CONDUCTED WITH COMMUNITY MEMBERS LIVING IN GEOGRAPHIC AREAS OF THE SERVICE AREA IDENTIFIED AS LOCATIONS OR POPULATIONS EXPERIENCING A DISPARATE AMOUNT OF POOR SOCIOECONOMIC CONDITIONS AND POOR HEALTH OUTCOMES. RECRUITMENT CONSISTED OF REFERRALS FROM 40 DESIGNATED SERVICE PROVIDERS REPRESENTING VULNERABLE POPULATIONS, AS WELL AS DIRECT OUTREACH TO SPECIAL POPULATION GROUPS. SUTTER ROSEVILLE MEDICAL CENTER key informant interviews were conducted between JUNE 19, 2018, and MAY 23, 2019. THE FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN SUTTER ROSEVILLE MEDICAL CENTER'S CHNA ARE AVAILABLE AT: HTTPS://WWW.SUTTERHEALTH.ORG/PDF/FOR-PATIENTS/CHNA/SRMC-2019-CHNA.PDF SUTTER SOLANO MEDICAL CENTER (A, 4): IN CONDUCTING ITS MOST RECENT CHNA, SUTTER SOLANO MEDICAL CENTER, A FACILITY OF SUTTER VALLEY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA (HSA). INPUT FROM THE COMMUNITY SERVED BY SUTTER SOLANO MEDICAL CENTER WAS COLLECTED THROUGH TWO MAIN MECHANISMS. FIRST, KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH COMMUNITY HEALTH EXPERTS AND AREA SERVICE PROVIDERS (I.E., MEMBERS OF SOCIAL-SERVICE NONPROFIT ORGANIZATIONS AND RELATED HEALTHCARE ORGANIZATIONS). THESE INTERVIEWS OCCURRED IN BOTH ONE-ON-ONE AND IN GROUP INTERVIEW SETTINGS. SECOND, FOCUS GROUPS WERE CONDUCTED WITH COMMUNITY RESIDENTS THAT WERE IDENTIFIED AS POPULATIONS EXPERIENCING DISPARITIES. ALL PARTICIPANTS WERE GIVEN AN INFORMED CONSENT FORM PRIOR TO THEIR PARTICIPATION, WHICH PROVIDED INFORMATION ABOUT THE PROJECT, ASKED FOR PERMISSION TO RECORD THE INTERVIEW, AND LISTED THE POTENTIAL BENEFITS AND RISKS FOR INVOLVEMENT IN THE INTERVIEW. ALL INTERVIEW DATA WAS COLLECTED THROUGH NOTE TAKING AND, IN SOME INSTANCES, RECORDING. PRIMARY DATA COLLECTION WITH KEY INFORMANTS INCLUDED TWO PHASES. FIRST, PHASE ONE BEGAN BY INTERVIEWING AREA-WIDE SERVICE PROVIDERS WITH KNOWLEDGE OF THE SERVICE AREA, INCLUDING INPUT FROM THE DESIGNATED PUBLIC HEALTH DEPARTMENT. DATA FROM THESE AREA-WIDE INFORMANTS, COUPLED WITH SOCIO-DEMOGRAPHIC DATA, WERE USED TO IDENTIFY ADDITIONAL KEY INFORMANTS FOR THE ASSESSMENT THAT WERE INCLUDED IN PHASE TWO. AS A PART OF THE INTERVIEW PROCESS, ALL KEY INFORMANTS WERE ASKED TO IDENTIFY VULNERABLE POPULATIONS. THE INTERVIEWER ASKED EACH PARTICIPANT TO VERBALLY EXPLAIN WHAT VULNERABLE POPULATIONS EXISTED IN THE COUNTY. AS NEEDED FOR A VISUAL AID, KEY INFORMANTS WERE PROVIDED A MAP OF THE HSA TO DIRECTLY POINT TO THE GEOGRAPHIC LOCATIONS OF THESE VULNERABLE COMMUNITIES. ADDITIONAL KEY INFORMANT INTERVIEWS WERE FOCUSED ON THE GEOGRAPHIC LOCATIONS AND/OR SUBGROUPS IDENTIFIED IN THE EARLIER PHASE. FOCUS GROUP INTERVIEWS WERE CONDUCTED WITH COMMUNITY MEMBERS LIVING IN GEOGRAPHIC AREAS OF THE SERVICE AREA IDENTIFIED AS LOCATIONS OR POPULATIONS EXPERIENCING A DISPARATE AMOUNT OF POOR SOCIOECONOMIC CONDITIONS AND POOR HEALTH OUTCOMES. RECRUITMENT CONSISTED OF REFERRALS FROM DESIGNATED SERVICE PROVIDERS REPRESENTING VULNERABLE POPULATIONS, AS WELL AS DIRECT OUTREACH TO SPECIAL POPULATION GROUPS. SUTTER SOLANO MEDICAL CENTER key informant interviews were conducted between AUGUST 13, 2018, and OCTOBER 26, 2018. THE FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN SUTTER SOLANO MEDICAL CENTER'S CHNA ARE AVAILABLE AT: HTTPS://WWW.SUTTERHEALTH.ORG/PDF/FOR-PATIENTS/CHNA/SSMC-2019-CHNA.PDF SUTTER AUBURN FAITH HOSPITAL (A, 7): IN CONDUCTING ITS MOST RECENT SUTTER AUBURN FAITH HOSPITAL (SAFH), A FACILITY OF SUTTER VALLEY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA (HSA). INPUT FROM THE COMMUNITY SERVED BY SAFH WAS COLLECTED THROUGH TWO MAIN MECHANISMS. FIRST, KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH COMMUNITY HEALTH EXPERTS AND AREA SERVICE PROVIDERS (I.E., MEMBERS OF SOCIAL SERVICE NONPROFIT ORGANIZATIONS AND RELATED HEALTHCARE ORGANIZATIONS). THESE INTERVIEWS OCCURRED IN BOTH ONE-ON-ONE AND IN GROUP INTERVIEW SETTINGS. SECOND, FOCUS GROUPS WERE CONDUCTED WITH COMMUNITY RESIDENTS THAT WERE IDENTIFIED AS POPULATIONS EXPERIENCING DISPARITIES. ALL PARTICIPANTS WERE GIVEN AN INFORMED CONSENT FORM PRIOR TO THEIR PARTICIPATION, WHICH PROVIDED INFORMATION ABOUT THE PROJECT AND LISTED THE POTENTIAL BENEFITS AND RISKS FOR INVOLVEMENT IN THE INTERVIEW. ALL INTERVIEW DATA WERE COLLECTED THROUGH NOTE TAKING AND, IN SOME INSTANCES, RECORDING. PRIMARY DATA COLLECTION WITH KEY INFORMANTS INCLUDED TWO PHASES. FIRST, PHASE ONE BEGAN BY INTERVIEWING AREA-WIDE SERVICE PROVIDERS WITH KNOWLEDGE OF THE SERVICE AREA, INCLUDING INPUT FROM THE DESIGNATED PUBLIC HEALTH DEPARTMENT. DATA FROM THESE AREA-WIDE INFORMANTS, COUPLED WITH SOCIO-DEMOGRAPHIC DATA, WAS USED TO IDENTIFY ADDITIONAL KEY INFORMANTS FOR THE ASSESSMENT THAT WERE INCLUDED IN PHASE TWO. AS A PART OF THE INTERVIEW PROCESS, ALL KEY INFORMANTS WERE ASKED TO IDENTIFY VULNERABLE POPULATIONS. THE INTERVIEWER ASKED EACH PARTICIPANT TO VERBALLY EXPLAIN WHAT VULNERABLE POPULATIONS EXISTED IN THE COUNTY. AS NEEDED FOR A VISUAL AID, KEY INFORMANTS WERE PROVIDED A MAP OF THE HSA TO DIRECTLY POINT TO THE GEOGRAPHIC LOCATIONS OF THESE VULNERABLE COMMUNITIES. ADDITIONAL KEY INFORMANT INTERVIEWS WERE FOCUSED ON THE GEOGRAPHIC LOCATIONS AND/OR SUBGROUPS IDENTIFIED IN THE EARLIER PHASE. FOCUS GROUP INTERVIEWS WERE CONDUCTED WITH COMMUNITY MEMBERS LIVING IN GEOGRAPHIC AREAS OF THE SERVICE AREA IDENTIFIED AS LOCATIONS OR POPULATIONS EXPERIENCING A DISPARATE AMOUNT OF POOR SOCIOECONOMIC CONDITIONS AND POOR HEALTH OUTCOMES. RECRUITMENT CONSISTED OF REFERRALS FROM DESIGNATED SERVICE PROVIDERS REPRESENTING VULNERABLE POPULATIONS, AS WELL AS DIRECT OUTREACH TO SPECIAL POPULATION GROUPS. SUTTER AUBURN FAITH HOSPITAL key informant interviews were conducted between MARCH 19, 2019, and APRIL 10, 2019. THE FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN SUTTER AUBURN FAITH HOSPITAL'S CHNA ARE AVAILABLE AT: HTTPS://WWW.SUTTERHEALTH.ORG/PDF/FOR-PATIENTS/CHNA/SAFH-2019-CHNA.PDF SUTTER AMADOR HOSPITAL (A, 8): IN CONDUCTING ITS MOST RECENT CHNA, SUTTER AMADOR HOSPITAL (SAH), A FACILITY OF SUTTER VALLEY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA (HSA). INPUT FROM THE COMMUNITY WAS COLLECTED THROUGH TWO MAIN MECHANISMS. FIRST, KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH COMMUNITY HEALTH EXPERTS AND AREA SERVICE PROVIDERS (I.E., MEMBERS OF SOCIAL-SERVICE NONPROFIT ORGANIZATIONS AND RELATED HEALTHCARE ORGANIZATIONS). THESE INTERVIEWS OCCURRED IN BOTH ONE-ON-ONE AND IN GROUP INTERVIEW SETTINGS. SECOND, FOCUS GROUPS WERE CONDUCTED WITH COMMUNITY RESIDENTS THAT WERE IDENTIFIED AS POPULATIONS EXPERIENCING DISPARITIES. ALL PARTICIPANTS WERE GIVEN AN INFORMED CONSENT FORM PRIOR TO THEIR PARTICIPATION, WHICH PROVIDED INFORMATION ABOUT THE PROJECT AND LISTED THE POTENTIAL BENEFITS AND RISKS FOR INVOLVEMENT IN THE INTERVIEW. ALL INTERVIEW DATA WERE COLLECTED THROUGH NOTE TAKING AND, IN SOME INSTANCES, RECORDING. PRIMARY DATA COLLECTION WITH KEY INFORMANTS INCLUDED TWO PHASES. FIRST, PHASE ONE BEGAN BY INTERVIEWING AREA-WIDE SERVICE PROVIDERS WITH KNOWLEDGE OF THE SERVICE AREA, INCLUDING INPUT FROM THE DESIGNATED PUBLIC HEALTH DEPARTMENT. DATA FROM THESE AREA-WIDE INFORMANTS, COUPLED WITH SOCIO-DEMOGRAPHIC DATA, WAS USED TO IDENTIFY ADDITIONAL KEY INFORMANTS FOR THE ASSESSMENT THAT WERE INCLUDED IN PHASE TWO. AS A PART OF THE INTERVIEW PROCESS, ALL KEY INFORMANTS WERE ASKED TO IDENTIFY VULNERABLE POPULATIONS. THE INTERVIEWER ASKED EACH PARTICIPANT TO VERBALLY EXPLAIN WHAT VULNERABLE POPULATIONS EXISTED IN THE COUNTY. AS NEEDED FOR A VISUAL AID, KEY INFORMANTS WERE PROVIDED A MAP OF THE HSA TO DIRECTLY POINT TO THE GEOGRAPHIC LOCATIONS OF THESE VULNERABLE COMMUNITIES. ADDITIONAL KEY INFORMANT INTERVIEWS WERE FOCUSED ON THE GEOGRAPHIC LOCATIONS AND/OR SUBGROUPS IDENTIFIED IN THE EARLIER PHASE. FOCUS GROUP INTERVIEWS WERE CONDUCTED WITH COMMUNITY MEMBERS LIVING IN GEOGRAPHIC AREAS OF THE SERVICE AREA IDENTIFIED AS LOCATIONS OR POPULATIONS EXPERIENCING A DISPARATE AMOUNT OF POOR SOCIOECONOMIC CONDITIONS AND POOR HEALTH OUTCOMES. RECRUITMENT CONSISTED OF REFERRALS FROM DESIGNATED SERVICE PROVIDERS REPRESENTING VULNERABLE POPULATIONS, AS WELL AS DIRECT OUTREACH TO SPECIAL POPULATION GROUPS. SUTTER AMADOR HOSPITAL key informant interviews were conducted between MARCH 15, 2019, and APRIL 8, 2019. THE FINDINGS FROM KEY INFORMANT INTERVIEWS IN SUTTER AMADOR HOSPITAL'S CHNA ARE AVAILABLE AT: HTTPS://WWW.SUTTERHEALTH.ORG/PDF/FOR-PATIENTS/CHNA/SAH-2019-CHNA.PDF SUTTER DAVIS HOSPITAL (A, 9): IN CONDUCTING ITS MOST RECENT CHNA, SUTTER DAVIS HOSPITAL (SDH), A FACILITY OF SUTTER VALLEY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA (HSA). INPUT FROM THE COMMUNITY IN YOLO COUNTY WAS COLLECTED THROUGH THREE MAIN MECHANISMS. FIRST, KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH COMMUNITY HEALTH EXPERTS AND AREA SERVICE PROVIDERS (I.E., MEMBERS OF SOCIAL-SERVICE NONPROFIT ORGANIZATIONS AND RELATED HEALTHCARE ORGANIZATIONS). THESE INTERVIEWS OCCURRED IN BOTH ONE-ON-ONE AND IN GROUP INTERVIEW SETTINGS. SECOND, FOCUS GROUPS WERE CONDUCTED WITH COMMUNITY RESIDENTS LIVING IN IDENTIFIED COMMUNITIES OF CONCERN OR REPRESENTING COMMUNITIES EXPERIENCING HEALTH DISPARITIES. THIRD, A COUNTYWIDE SURVEY WAS ADMINISTERED TO COMMUNITY RESIDENTS. FOR KEY INFORMANT INTERVIEWS AND FOCUS GROUPS, ALL PARTICIPANTS WERE GIVEN AN INFORMED CONSENT FORM PRIOR TO THEIR PARTICIPATION, WHICH PROVIDED INFORMATION ABOUT THE PROJECT, ASKED FOR PERMISSION TO RECORD THE INTERVIEW, AND LISTED THE POTENTIAL BENEFITS AND RISKS OF INVOLVEMENT IN THE INTERVIEW. ALL INTERVIEW DATA WERE COLLECTED THROUGH NOTE-TAKING AND, IN SOME INSTANCES, RECORDING. PRIMARY DATA COLLECTION WITH KEY INFORMANTS INCLUDED TWO PHASES. PHASE ONE BEGAN BY INTERVIEWING AREA-WIDE SERVICE PROVIDERS WITH KNOWLEDGE OF THE YOLO COUNTY REGION, INCLUDING INPUT FROM THE DESIGNATED PUBLIC HEALTH DEPARTMENT. DATA FROM THESE AREA-WIDE INFORMANTS, COUPLED WITH SOCIODEMOGRAPHIC DATA, WERE USED TO IDENTIFY ADDITIONAL KEY INFORMANTS FOR THE ASSESSMENT THAT WERE INCLUDED IN PHASE TWO. AS A PART OF THE INTERVIEW PROCESS, ALL KEY INFORMANTS WERE ASKED TO IDENTIFY VULNERABLE POPULATIONS. THE INTERVIEWER ASKED EACH PARTICIPANT TO VERBALLY EXPLAIN WHAT VULNERABLE POPULATIONS EXISTED IN THE COUNTY. AS NEEDED, FOR A VISUAL AID, KEY INFORMANTS WERE PROVIDED A MAP OF THE COUNTY TO DIRECTLY POINT TO THE GEOGRAPHICALLY LOCATIONS OF THESE VULNERABLE COMMUNITIES. FOCUS GROUP INTERVIEWS WERE CONDUCTED WITH COMMUNITY MEMBERS LIVING IN GEOGRAPHIC AREAS OF THE SERVICE AREA IDENTIFIED AS LOCATIONS OR POPULATIONS EXPERIENCING A DISPARATE AMOUNT OF POOR SOCIOECONOMIC CONDITIONS AND POOR HEALTH OUTCOMES, OR COMMUNITIES OF CONCERN. RECRUITMENT CONSISTED OF REFERRALS FROM DESIGNATED SERVICE PROVIDERS REPRESENTING VULNERABLE POPULATIONS, AS WELL AS DIRECT OUTREACH TO SPECIAL POPULATION GROUPS. A COUNTYWIDE SURVEY WAS DISTRIBUTED FROM MAY 15, 2018, THROUGH JULY 31, 2018. THE SURVEY INCLUDED QUESTIONS FROM THE COMMUNITY THEMES AND STRENGTHS ASSESSMENT CONDUCTED BY YOLO COUNTY PARTNERS IN 2014 AS A PART OF THE MAPP PROCESS AND QUESTIONS FROM A HEALTHCARE ACCESS SURVEY FROM 2015. THE PARTNERS COMBINED BOTH SURVEYS, REMOVED DUPLICATIVE QUESTIONS, AND INCLUDED OTHER CRITICAL QUESTIONS THAT WERE IMPORTANT TO THE PARTNERSHIP. THE TARGET SAMPLE WAS 1,200 PARTICIPANTS. THE TOTAL SAMPLE FOR THE 2019 CHNA/CHA COUNTYWIDE SURVEY WAS 2,291. THE FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN SUTTER DAVIS HOSPITAL'S CHNA ARE AVAILABLE AT: HTTPS://WWW.SUTTERHEALTH.ORG/PDF/FOR-PATIENTS/CHNA/SDH-2019-CHNA.PDF SCHEDULE H, PART V, SECTION B, LINES 6A & 6B (GROUP A) COMMUNITY HEALTH INSIGHTS WAS HIRED TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENTS ON BEHALF OF THE FOLLOWING ORGANIZATIONS, ALL SERVING PORTIONS OF OR THE SAME COUNTIES: - SUTTER ROSEVILLE MEDICAL CENTER - SUTTER SOLANO MEDICAL CENTER - SUTTER AUBURN FAITH HOSPITAL - SUTTER AMADOR HOSPITAL - SUTTER DAVIS HOSPITAL IN PARTNERSHIP WITH WOODLAND MEMORIAL HOSPITAL AND YOLO COUNTY HEALTH & HUMAN SERVICES COMMUNITY HEALTH BRANCH Schedule H, Part V, Section B, Line 7a HOSPITAL FACILITY WEBSITES: - SUTTER ROSEVILLE MEDICAL CENTER (A, 3): HTTPS://WWW.SUTTERHEALTH.ORG/PDF/FOR-PATIENTS/CHNA/SRMC-2019-CHNA.PDF - SUTTER SOLANO MEDICAL CENTER (A, 4): HTTPS://WWW.SUTTERHEALTH.ORG/PDF/FOR-PATIENTS/CHNA/SSMC-2019-CHNA.PDF - SUTTER AUBURN FAITH HOSPITAL (A, 7): HTTPS://WWW.SUTTERHEALTH.ORG/PDF/FOR-PATIENTS/CHNA/SAFH-2019-CHNA.PDF - SUTTER AMADOR HOSPITAL (A, 8): HTTPS://WWW.SUTTERHEALTH.ORG/PDF/FOR-PATIENTS/CHNA/SAH-2019-CHNA.PDF - SUTTER DAVIS HOSPITAL (A, 9): HTTPS://WWW.SUTTERHEALTH.ORG/PDF/FOR-PATIENTS/CHNA/SDH-2019-CHNA.PDF SCHEDULE H, PART V, SECTION B, LINE 7B: OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/ COMMUNITY-HEALTH-NEEDS-ASSESSMENT SCHEDULE H, PART V, SECTION B, LINE 10A: IMPLEMENTATION STRATEGY: - SUTTER ROSEVILLE MEDICAL CENTER (A, 3): https://www.sutterhealth.org/pdf/for-patients/chna/ srmc-2019-2021-implementation-strategy.pdf - SUTTER SOLANO MEDICAL CENTER (A, 4): https://www.sutterhealth.org/pdf/for-patients/chna/ ssmc-2019-2021-implementation-strategy.pdf - SUTTER AUBURN FAITH HOSPITAL (A, 7): https://www.sutterhealth.org/pdf/for-patients/chna/ safh-2019-2021-community-benefit-plan.pdf - SUTTER AMADOR HOSPITAL (A, 8): https://www.sutterhealth.org/pdf/for-patients/chna/ sah-2019-2021-community-benefit-plan.pdf - SUTTER DAVIS HOSPITAL (A, 9): https://www.sutterhealth.org/pdf/for-patients/chna/ sdh-2019-2021-implementation-strategy.pdf SCHEDULE H, PART V, SECTION B, LINE 11 SUTTER ROSEVILLE MEDICAL CENTER (A, 3): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER ROSEVILLE MEDICAL CENTER INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO MENTAL, BEHAVIORAL, AND SUBSTANCE-ABUSE SERVICES 2. ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES 3. ACCESS TO BASIC NEEDS, SUCH AS HOUSING, JOBS, AND FOOD 4. ACCESS AND FUNCTIONAL NEEDS 5. INJURY AND DISEASE PREVENTION AND MANAGEMENT 6. ACCESS TO SPECIALTY AND EXTENDED CARE 7. ACTIVE LIVING AND HEALTHY EATING DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL THE HEATH NEEDS IN THE COMMUNITY. SUTTER ROSEVILLE MEDICAL CENTER IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT. SUTTER SOLANO MEDICAL CENTER (A, 4): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER SOLANO MEDICAL CENTER INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO MENTAL, BEHAVIORAL, AND SUBSTANCE-ABUSE SERVICES 2. INJURY AND DISEASE PREVENTION AND MANAGEMENT 3. ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES 4. ACCESS TO BASIC NEEDS, SUCH AS HOUSING, JOBS, AND FOOD 5. ACTIVE LIVING AND HEALTHY EATING DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL THE HEATH NEEDS IN THE COMMUNITY. SUTTER ROSEVILLE MEDICAL CENTER IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT: 1. INCREASING COMMUNITY CONNECTION 2. ACCESS AND FUNCTIONAL NEEDS 3. SAFE AND VIOLENCE-FREE ENVIRONMENT 4. POLLUTION-FREE LIVING ENVIRONMENT SUTTER AUBURN FAITH HOSPITAL (A, 7): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER AUBURN FAITH HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES 2. ACCESS TO BASIC NEEDS, SUCH AS HOUSING, JOBS, AND FOOD 3. ACCESS TO MENTAL, BEHAVIORAL, AND SUBSTANCE-ABUSE SERVICES 4. INJURY AND DISEASE PREVENTION AND MANAGEMENT 5. ACCESS AND FUNCTIONAL NEEDS 6. ACTIVE LIVING AND HEALTHY EATING DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL THE HEATH NEEDS IN THE COMMUNITY. SUTTER ROSEVILLE MEDICAL CENTER IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT: 1. ACCESS TO SPECIALTY AND EXTENDED CARE SUTTER AMADOR HOSPITAL (A, 8): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER AMADOR HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO MENTAL, BEHAVIORAL, AND SUBSTANCE-ABUSE SERVICES 2. ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES 3. ACCESS TO BASIC NEEDS, SUCH AS HOUSING, JOBS, AND FOOD 4. INJURY AND DISEASE PREVENTION AND MANAGEMENT 5. ACCESS AND FUNCTIONAL NEEDS 6. ACCESS TO DENTAL CARE AND PREVENTIVE SERVICES 7. ACCESS TO SPECIALTY AND EXTENDED CARE DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL THE HEATH NEEDS IN THE COMMUNITY. SUTTER ROSEVILLE MEDICAL CENTER IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT. SUTTER DAVIS HOSPITAL (A, 9): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER DAVIS HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO MENTAL, BEHAVIORAL, AND SUBSTANCE-ABUSE SERVICES 2. INJURY AND DISEASE PREVENTION AND MANAGEMENT 3. ACCESS TO BASIC NEEDS, SUCH AS HOUSING, JOBS, AND FOOD 4. ACTIVE LIVING AND HEALTH EATING 5. ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES 6. ACCESS TO SPECIALTY AND EXTENDED CARE 7. ACCESS TO DENTAL CARE AND PREVENTIVE SERVICES DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL THE HEATH NEEDS IN THE COMMUNITY. SUTTER ROSEVILLE MEDICAL CENTER IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT. 1. ACCESS AND FUNCTIONAL NEEDS: WHILE THIS IS AN IMPORTANT ISSUE, SDH IS CURRENTLY FOCUSING ITS RESOURCES IN OTHER AREAS; HOWEVER, WE'LL CONTINUE TO LOOK FOR OPPORTUNITIES TO INCREASE ACCESS TO TRANSPORTATION. 2. SAFE AND VIOLENCE-FREE ENVIRONMENT: WHILE THIS IS AN IMPORTANT ISSUE, SDH IS CURRENTLY FOCUSING ITS RESOURCES IN OTHER AREAS; HOWEVER, WE'LL CONTINUE TO LOOK FOR OPPORTUNITIES TO INCREASE SAFE AND VIOLENCE-FREE ENVIRONMENTS. 3. POLLUTION-FREE LIVING ENVIRONMENT: WHILE THIS IS AN IMPORTANT ISSUE, SDH IS CURRENTLY FOCUSING ITS RESOURCES IN OTHER AREAS; HOWEVER, WE'LL CONTINUE TO LOOK FOR OPPORTUNITIES TO INCREASE POLLUTION-FREE LIVING ENVIRONMENTS. SCHEDULE H, PART V, SECTION B, LINE 15E (GROUP A) METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: PATIENTS MAY REQUEST ASSISTANCE WITH COMPLETING THE APPLICATION FOR FINANCIAL ASSISTANCE IN PERSON AT THE HOSPITAL, OVER THE PHONE, THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE. SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, 16C (GROUP A): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER VALLEY HOSPITALS WEBSITE AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 16J (GROUP A) MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITAL'S SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE ORGANIZATION IN THE PRINCIPAL NEWSPAPER IN THE COMMUNITY OR WHEN DOING SO IS NOT PRACTICAL SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THE INFORMATION OR USE OTHER MEANS THAT WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY. SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. Schedule H, Part V, Section B, Line 22D (GROUP A) AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR FULL WRITE OFF OF ALL CHARGES FOR AN UNINSURED PATIENT WITH A FAMILY INCOME AT OR BELOW 400% OF THE MOST RECENT FEDERAL POVERTY LEVEL. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-5, THIS ORGANIZATION ADOPTS THE PROSPECTIVE MEDICARE METHOD FOR AMOUNTS GENERALLY BILLED; HOWEVER, PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT FINANCIALLY RESPONSIBLE FOR MORE THAN THE AMOUNTS GENERALLY BILLED BECAUSE ELIGIBLE PATIENTS DO NOT PAY ANY AMOUNT. Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. Schedule H, Part V, Section B, Line 5 (GROUP B) SUTTER MEDICAL CENTER SACRAMENTO INCLUDES THE FOLLOWING FACILITIES LISTED IN PART V SECTION A: SUTTER MEDICAL CENTER SACRAMENTO AND SUTTER CENTER FOR PSYCHIATRY. IN CONDUCTING ITS MOST RECENT CHNA, SUTTER MEDICAL CENTER SACRAMENTO, A FACILITY OF SUTTER VALLEY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA (HSA). INPUT FROM THE COMMUNITY IN SACRAMENTO WAS COLLECTED THROUGH TWO MAIN MECHANISMS. FIRST, KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH COMMUNITY HEALTH EXPERTS AND AREA SERVICE PROVIDERS (I.E., MEMBERS OF SOCIAL-SERVICE NONPROFIT ORGANIZATIONS AND RELATED HEALTHCARE ORGANIZATIONS). THESE INTERVIEWS OCCURRED IN BOTH ONE-ON-ONE AND IN GROUP INTERVIEW SETTINGS. SECOND, FOCUS GROUPS WERE CONDUCTED WITH COMMUNITY RESIDENTS LIVING IN IDENTIFIED COMMUNITIES OF CONCERN OR REPRESENTING COMMUNITIES EXPERIENCING HEALTH DISPARITIES. ALL PARTICIPANTS WERE GIVEN AN INFORMED CONSENT FORM PRIOR TO THEIR PARTICIPATION, WHICH PROVIDED INFORMATION ABOUT THE PROJECT, ASKED FOR PERMISSION TO RECORD THE INTERVIEW, AND LISTED THE POTENTIAL BENEFITS AND RISKS OF INVOLVEMENT IN THE INTERVIEW. ALL INTERVIEW DATA WERE COLLECTED THROUGH NOTE-TAKING AND, IN SOME INSTANCES, RECORDING. PRIMARY DATA COLLECTION WITH KEY INFORMANTS INCLUDED TWO PHASES. PHASE ONE BEGAN BY INTERVIEWING AREA-WIDE SERVICE PROVIDERS WITH KNOWLEDGE OF THE SACRAMENTO REGION, INCLUDING INPUT FROM THE DESIGNATED PUBLIC HEALTH DEPARTMENT. DATA FROM THESE AREA-WIDE INFORMANTS, COUPLED WITH SOCIODEMOGRAPHIC DATA, WERE USED TO IDENTIFY ADDITIONAL KEY INFORMANTS FOR THE ASSESSMENT THAT WERE INCLUDED IN PHASE TWO. AS A PART OF THE INTERVIEW PROCESS, ALL KEY INFORMANTS WERE ASKED TO IDENTIFY VULNERABLE POPULATIONS. THE INTERVIEWER ASKED EACH PARTICIPANT TO VERBALLY EXPLAIN WHAT VULNERABLE POPULATIONS EXISTED IN THE COUNTY. AS NEEDED, FOR A VISUAL AID, KEY INFORMANTS WERE PROVIDED A MAP OF THE COUNTY TO DIRECTLY POINT TO THE GEOGRAPHIC LOCATIONS OF THESE VULNERABLE COMMUNITIES. FOCUS-GROUP INTERVIEWS WERE CONDUCTED WITH COMMUNITY MEMBERS LIVING IN GEOGRAPHIC AREAS OF THE SERVICE AREA IDENTIFIED AS LOCATIONS OR POPULATIONS EXPERIENCING A DISPARATE AMOUNT OF POOR SOCIOECONOMIC CONDITIONS AND POOR HEALTH OUTCOMES, OR COMMUNITIES OF CONCERN. RECRUITMENT CONSISTED OF REFERRALS FROM DESIGNATED SERVICE PROVIDERS REPRESENTING VULNERABLE POPULATIONS, AS WELL AS DIRECT OUTREACH TO SPECIAL POPULATION GROUPS. SUTTER MEDICAL CENTER SACRAMENTO AND SUTTER CENTER FOR PSYCHIATRY key informant interviews were conducted between MAY 23, 2018, and OCTOBER 18, 2018. THE FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN SUTTER MEDICAL CENTER'S CHNA ARE AVAILABLE AT: HTTPS://WWW.SUTTERHEALTH.ORG/PDF/FOR-PATIENTS/CHNA/SMCS-SCP-2019-CHNA.PDF Schedule H, Part V, Section B, Lines 6A & 6B (GROUP B) COMMUNITY HEALTH INSIGHTS CONDUCTED THE COMMUNITY HEALTH NEEDS ASSESSMENT ON BEHALF OF A COLLECTION OF THREE NONPROFIT HOSPITALS, ALL SERVING PORTIONS OF OR THE SAME COMMUNITIES, INCLUDING SUTTER HEALTH AFFILIATES, DIGNITY HEALTH AFFILIATES, AND UC DAVIS HEALTH. SCHEDULE H, PART V, SECTION B, LINE 7A FILING FACILITY WEBSITE: - SUTTER MEDICAL CENTER SACRAMENTO AND SUTTER CENTER FOR PSYCHIATRY: HTTPS://WWW.SUTTERHEALTH.ORG/PDF/FOR-PATIENTS/CHNA/SMCS-SCP-2019-CHNA.PDF SCHEDULE H, PART V, SECTION B, LINE 7B OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/ COMMUNITY-HEALTH-NEEDS-ASSESSMENT SCHEDULE H, PART V, SECTION B, LINE 10A IMPLEMENTATION STRATEGY: HTTPS://WWW.SUTTERHEALTH.ORG/PDF/FOR-PATIENTS/CHNA/ SMCS-SCP-2019-2021-COMMUNITY-BENEFIT-PLAN.PDF SCHEDULE H, PART V, SECTION B, LINE 11 SUTTER MEDICAL CENTER SACRAMENTO (GROUP B): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER MEDICAL CENTER SACRAMENTO INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO MENTAL, BEHAVIORAL, AND SUBSTANCE-ABUSE SERVICES 2. ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES 3. ACCESS TO BASIC NEEDS, SUCH AS HOUSING, JOBS, AND FOOD 4. ACCESS TO SPECIALTY AND EXTENDED CARE 5. ACTIVE LIVING AND HEALTHY EATING 6. ACCESS TO MEETING FUNCTIONAL NEEDS (TRANSPORTATION AND PHYSICAL MOBILITY) 7. SYSTEM NAVIGATION 8. CULTURAL COMPETENCY DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. SUTTER MEDICAL CENTER, SACRAMENTO IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE IMPLEMENTATION STRATEGY DOES NOT INCLUDE SPECIFIC PLANS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT: 1. INJURY AND DISEASE PREVENTION AND MANAGEMENT: WHILE MANY OF OUR PROGRAMS EXPAND ACCESS TO PRIMARY CARE, IN TURN, CONNECTING PATIENTS WITH DISEASE PREVENTION, MANAGEMENT AND TREATMENT RESOURCES, THIS IS NOT A PRIMARY FOCUS IN THE SMCS. 2. SAFE AND VIOLENCE FREE ENVIRONMENT: SMCS PLANS TO IDENTIFY PARTNERSHIPS AND STRENGTHEN RELATIONSHIPS WITH ORGANIZATIONS IN THE NEAR FUTURE TO COLLABORATE ON INITIATIVES TO ADDRESS SAFE AND VIOLENCE FREE ENVIRONMENTS IN SACRAMENTO COUNTIES. SCHEDULE H, PART V, SECTION B, LINE 15E (GROUP B) METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: PATIENTS MAY REQUEST ASSISTANCE WITH COMPLETING THE APPLICATION FOR FINANCIAL ASSISTANCE IN PERSON AT THE HOSPITAL, OVER THE PHONE, THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE. Schedule H, Part V, Section B, Lines 16A, 16B, 16C (GROUP B) THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER VALLEY HOSPITALS WEBSITE AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 16J (GROUP B) MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITAL'S SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE ORGANIZATION IN THE PRINCIPAL NEWSPAPER IN THE COMMUNITY OR WHEN DOING SO IS NOT PRACTICAL SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THE INFORMATION OR USE OTHER MEANS THAT WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY. SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. SCHEDULE H, PART V, SECTION B, LINE 22D (GROUP B) AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR FULL WRITE OFF OF ALL CHARGES FOR AN UNINSURED PATIENT WITH A FAMILY INCOME AT OR BELOW 400% OF THE MOST RECENT FEDERAL POVERTY LEVEL. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-5, THIS ORGANIZATION ADOPTS THE PROSPECTIVE MEDICARE METHOD FOR AMOUNTS GENERALLY BILLED; HOWEVER, PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT FINANCIALLY RESPONSIBLE FOR MORE THAN THE AMOUNTS GENERALLY BILLED BECAUSE ELIGIBLE PATIENTS DO NOT PAY ANY AMOUNT. REPORTING FACILITY: MEMORIAL MEDICAL CENTER SCHEDULE H, PART V, SECTION B, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, SECTION B, LINE 5 MEMORIAL MEDICAL CENTER (FACILITY 2): IN CONDUCTING ITS MOST RECENT CHNA, MEMORIAL MEDICAL CENTER (MMC) A FACILITY OF SUTTER VALLEY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. INPUT FROM THE COMMUNITY SERVED BY BOTH MEMORIAL MEDICAL CENTER AND STANISLAUS SURGICAL HOSPITAL WAS COLLECTED THROUGH TWO MAIN MECHANISMS. FIRST, KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH COMMUNITY HEALTH EXPERTS AND AREA SERVICE PROVIDERS (I.E., MEMBERS OF SOCIAL-SERVICE NONPROFIT ORGANIZATIONS AND RELATED HEALTHCARE ORGANIZATIONS). THESE INTERVIEWS OCCURRED IN BOTH ONE-ON-ONE AND IN GROUP INTERVIEW SETTINGS. SECOND, FOCUS GROUPS WERE CONDUCTED WITH COMMUNITY RESIDENTS THAT WERE IDENTIFIED AS POPULATIONS EXPERIENCING DISPARITIES. ALL PARTICIPANTS WERE GIVEN AN INFORMED CONSENT FORM PRIOR TO THEIR PARTICIPATION, WHICH PROVIDED INFORMATION ABOUT THE PROJECT, ASKED FOR PERMISSION TO RECORD THE INTERVIEW, AND LISTED THE POTENTIAL BENEFITS AND RISKS FOR INVOLVEMENT IN THE INTERVIEW. ALL INTERVIEW DATA WERE COLLECTED THROUGH NOTE TAKING AND, IN SOME INSTANCES, RECORDING. PRIMARY DATA COLLECTION WITH KEY INFORMANTS INCLUDED TWO PHASES. FIRST, PHASE ONE BEGAN BY INTERVIEWING AREA-WIDE SERVICE PROVIDERS WITH KNOWLEDGE OF THE SERVICE AREA, INCLUDING INPUT FROM THE DESIGNATED PUBLIC HEALTH DEPARTMENT. DATA FROM THESE AREA-WIDE INFORMANTS, COUPLED WITH SOCIO-DEMOGRAPHIC DATA, WAS USED TO IDENTIFY ADDITIONAL KEY INFORMANTS FOR THE ASSESSMENT THAT WERE INCLUDED IN PHASE TWO. AS A PART OF THE INTERVIEW PROCESS, ALL KEY INFORMANTS WERE ASKED TO IDENTIFY VULNERABLE POPULATIONS. THE INTERVIEWER ASKED EACH PARTICIPANT TO VERBALLY EXPLAIN WHAT VULNERABLE POPULATIONS EXISTED IN THE COUNTY. AS NEEDED FOR A VISUAL AID, KEY INFORMANTS WERE PROVIDED A MAP OF THE HSA TO DIRECTLY POINT TO THE GEOGRAPHIC LOCATIONS OF THESE VULNERABLE COMMUNITIES. ADDITIONAL KEY INFORMANT INTERVIEWS WERE FOCUSED ON THE GEOGRAPHIC LOCATIONS AND/OR SUBGROUPS IDENTIFIED IN THE EARLIER PHASE. FOCUS GROUP INTERVIEWS WERE CONDUCTED WITH COMMUNITY MEMBERS LIVING IN GEOGRAPHIC AREAS OF THE SERVICE AREA IDENTIFIED AS LOCATIONS OR POPULATIONS EXPERIENCING A DISPARATE AMOUNT OF POOR SOCIOECONOMIC CONDITIONS AND POOR HEALTH OUTCOMES. RECRUITMENT CONSISTED OF REFERRALS FROM DESIGNATED SERVICE PROVIDERS REPRESENTING VULNERABLE POPULATIONS, AS WELL AS DIRECT OUTREACH TO SPECIAL POPULATION GROUPS. MEMORIAL MEDICAL CENTER key informant interviews were conducted between DECEMBER 5, 2018, and DECEMBER 19, 2019. THE FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN MEMORIAL MEDICAL CENTER'S CHNA ARE AVAILABLE AT: https://www.sutterhealth.org/pdf/for-patients/chna/mmc-ssh-2019-chna.pdf SCHEDULE H, PART V, SECTION B, LINES 6A & 6B MEMORIAL MEDICAL CENTER (FACILITY 2): COMMUNITY HEALTH INSIGHTS CONDUCTED THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT ON BEHALF OF MEMORIAL MEDICAL CENTER OF MODESTO AND STANISLAUS SURGICAL HOSPITAL. SCHEDULE H, PART V, SECTION B, LINE 7A HOSPITAL FACILITY WEBSITE: https://www.sutterhealth.org/pdf/for-patients/chna/mmc-ssh-2019-chna.pdf SCHEDULE H, PART V, SECTION B, LINE 7B OTHER WEBSITE: https://www.sutterhealth.org/for-patients/ community-health-needs-assessment SCHEDULE H, PART V, SECTION B, LINE 10A IMPLEMENTATION STRATEGY: https://www.sutterhealth.org/pdf/for-patients/chna/ mmc-2019-2021-implement ation-strategy.pdf SCHEDULE H, PART V, SECTION B, LINE 11 MEMORIAL MEDICAL CENTER (FACILITY 2): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT MEMORIAL MEDICAL CENTER INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO BASIC NEEDS, SUCH AS HOUSING, JOBS, AND FOOD 2. ACCESS TO MENTAL, BEHAVIORAL, AND SUBSTANCE-ABUSE SERVICES 3. ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES 4. SAFE AND VIOLENCE-FREE ENVIRONMENT 5. INJURY AND DISEASE PREVENTION AND MANAGEMENT 6. ACTIVE LIVING AND HEALTHY EATING DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL THE HEATH NEEDS IN THE COMMUNITY. MEMORIAL MEDICAL CENTER IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT: 1. ACCESS AND FUNCTIONAL NEEDS-TRANSPORTATION AND PHYSICAL DISABILITY-WHILE OUR IMPLEMENTATION PLAN DOES NOT DIRECTLY ADDRESS ISSUES OF TRANSPORTATION AND PHYSICAL DISABILITY, MANY OF OUR PROGRAMS WILL OFFER CLIENTS REFERRALS TO TRANSPORTATION SERVICES SO THAT THEY CAN ACCESS MEDICAL APPOINTMENTS. 2. ACCESS TO SPECIALTY AND EXTENDED CARE-OUR FOCUS IN STANISLAUS COUNTY IS PRIMARILY ON EXPANDING ACCESS TO PRIMARY CARE THROUGH PARTNERSHIPS WITH OUR FQHC AND COMMUNITY PARTNERS. HOWEVER, SEVERAL OF THESE PROGRAMS WHICH INCREASE ACCESS TO PRIMARY CARE WILL ALSO HELP PATIENTS BECOME CONNECTED TO SPECIALTY CARE ONCE THEY ARE ESTABLISHED WITH A PCP. 3. POLLUTION-FREE LIVING ENVIRONMENT-DUE TO LIMITED RESOURCES AND ABILITY TO IMPACT ENVIRONMENTAL POLICIES, THE HOSPITAL DOES NOT INTEND TO DIRECTLY ADDRESS THIS HEALTH ISSUE AT THIS TIME. SCHEDULE H, PART V, SECTION B, LINE 15E Memorial Medical Center (Facility 2): METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: PATIENTS MAY REQUEST ASSISTANCE WITH COMPLETING THE APPLICATION FOR FINANCIAL ASSISTANCE IN PERSON AT THE HOSPITAL, OVER THE PHONE, THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE. SCHEDULE H, PART V, LINES 16A, 16B, & 16C Memorial Medical Center (Facility 2): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE MEMORIAL MEDICAL CENTER WEBSITE AT: https://www.sutterhealth.org/mmc/for-patients/financial-assistance SCHEDULE H, PART V, SECTION B, LINE 16J Memorial Medical Center (Facility 2): MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITAL'S SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE ORGANIZATION IN THE PRINCIPAL NEWSPAPER IN THE COMMUNITY OR WHEN DOING SO IS NOT PRACTICAL SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THE INFORMATION OR USE OTHER MEANS THAT WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY. SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. SCHEDULE H, PART V, SECTION B, LINE 22D Memorial Medical Center (Facility 2): AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR FULL WRITE OFF OF ALL CHARGES FOR AN UNINSURED PATIENT WITH A FAMILY INCOME AT OR BELOW 400% OF THE MOST RECENT FEDERAL POVERTY LEVEL. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-5, THIS ORGANIZATION ADOPTS THE PROSPECTIVE MEDICARE METHOD FOR AMOUNTS GENERALLY BILLED; HOWEVER, PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT FINANCIALLY RESPONSIBLE FOR MORE THAN THE AMOUNTS GENERALLY BILLED BECAUSE ELIGIBLE PATIENTS DO NOT PAY ANY AMOUNT. REPORTING FACILITY: SUTTER TRACY COMMUNITY HOSPITAL Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, SECTION B, LINE 5 SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 5): IN CONDUCTING ITS MOST RECENT CHNA, SUTTER TRACY COMMUNITY HOSPITAL DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA (HSA). COMMUNITY INPUT WAS PROVIDED BY A BROAD RANGE OF COMMUNITY MEMBERS USING KEY INFORMANT INTERVIEWS, FOCUS GROUPS, AND SURVEYS. INDIVIDUALS WITH THE KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY WERE CONSULTED. THESE INDIVIDUALS INCLUDED REPRESENTATIVES FROM LOCAL GOVERNMENTAL AND PUBLIC HEALTH AGENCIES AS WELL AS LEADERS, REPRESENTATIVES, OR MEMBERS OF UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. ADDITIONALLY, WHERE APPLICABLE, OTHER INDIVIDUALS WITH EXPERTISE OF LOCAL HEALTH NEEDS WERE CONSULTED. AD LUCEM CONSULTING CONDUCTED KEY INFORMANT INTERVIEWS WITH ELEVEN INDIVIDUALS REPRESENTING DIVERSE SECTORS INCLUDING: PUBLIC HEALTH, HEALTH CARE, COMMUNITY-BASED ORGANIZATIONS, SOCIAL SERVICES, EDUCATION AND GOVERNMENT. THE KEY INFORMANTS WERE IDENTIFIED BY HEALTHIER SAN JOAQUIN COLLABORATIVE CORE TEAM MEMBERS. ALL INTERVIEWS WERE CONDUCTED BY TELEPHONE IN ENGLISH AND TOOK APPROXIMATELY 30-45 MINUTES TO COMPLETE. THE INTERVIEWS FOLLOWED A STANDARD SET OF INTERVIEW QUESTIONS AND THE INTERVIEWER TOOK DETAILED NOTES DURING THE CALL. AT THE BEGINNING OF THE INTERVIEW, CONFIDENTIALITY WAS ASSURED AND THE RESPONDENTS WERE INVITED TO SKIP QUESTIONS WHICH WERE NOT APPLICABLE TO THE RESPONDENT'S EXPERIENCE. THIRTY-ONE COMMUNITY RESIDENT FOCUS GROUPS WERE CONDUCTED IN GEOGRAPHIC AREAS WITHIN SAN JOAQUIN COUNTY, INCLUDING STOCKTON, LODI, TRACY AND MANTECA. NINETEEN GROUPS WERE CONDUCTED IN ENGLISH, TEN WERE CONDUCTED IN SPANISH, ONE WAS CONDUCTED IN TAGALOG AND ONE WAS CONDUCTED IN CAMBODIAN. PARTICIPANTS WERE TEENS, ADULTS, AND OLDER ADULTS, WHO REPRESENTED UNDERSERVED, LOW-INCOME, AND VARIED ETHNIC COMMUNITIES. SUTTER TRACY COMMUNITY HOSPITAL key informant interviews were conducted between AUGUST 23, 2018, and DECEMBER 2018. THE FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN THE SUTTER TRACY COMMUNITY HOSPITAL'S CHNA ARE AVAILABLE AT: https://www.sutterhealth.org/pdf/for-patients/chna/stch-2019-chna.pdf SCHEDULE H, PART V, SECTION B, LINES 6A & 6B SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 5): THE SAN JOAQUIN COUNTY 2019 CHNA WAS AN EFFORT OF THE HEALTHIER SAN JOAQUIN COLLABORATIVE THAT INCLUDED SAN JOAQUIN PUBLIC HEALTH SERVICES, SAN JOAQUIN'S NONPROFIT HOSPITALS AS WELL AS MANY PARTNER ORGANIZATIONS AND INDIVIDUALS THROUGHOUT THE COMMUNITY. THE CHNA WAS LED BY A CORE TEAM THAT WAS RESPONSIBLE FOR PLANNING AND KEY DECISION-MAKING, INCLUDING PROVIDING INPUT TO DEVELOPING DATA COLLECTION INSTRUMENTS, WORKING ALONGSIDE AD LUCEM CONSULTING TO COLLECT AND ANALYZE DATA, AND REVIEWING AND COMMENTING ON THE REPORT. THE BROADLY REPRESENTATIVE CHNA STEERING COMMITTEE SUPPORTED THE PROCESS BY COLLECTING PRIMARY DATA AND PARTICIPATING IN DATA REVIEW AND HEALTH NEED PRIORITIZATION. CORE TEAM MEMBERS: 1. ADVENTIST HEALTH LODI MEMORIAL 2. COMMUNITY MEDICAL CENTERS 3. DAMERON HOSPITAL 4. DIGNITY HEALTH ST. JOSEPH'S MEDICAL CENTER 5. FIRST 5 SAN JOAQUIN 6. HEALTH NET 7. HEALTH PLAN OF SAN JOAQUIN 8. KAISER PERMANENTE 9. SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES 10. SUTTER HEALTH (SUTTER TRACY COMMUNITY HOSPITAL) SCHEDULE H, PART V, SECTION B, LINE 7A SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 5): HOSPITAL FACILITY WEBSITE: https://www.sutterhealth.org/pdf/for-patients/chna/stch-2019-chna.pdf SCHEDULE H, PART V, SECTION B, LINE 7B OTHER WEBSITE: https://www.sutterhealth.org/for-patients/ community-health-needs-assessment SCHEDULE H, PART V, SECTION B, LINE 10A IMPLEMENTATION STRATEGY: https://www.sutterhealth.org/pdf/for-patients/chna/ stch-2019-2021-implementation-strategy.pdf SCHEDULE H, PART V, SECTION B, LINE 11 SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 5): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER TRACY COMMUNITY HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. MENTAL HEALTH 2. ECONOMIC SECURITY 3. OBESITY/HEALTH EATING, ACTIVE LIVING/DIABETES 4. ACCESS TO CARE 5. VIOLENCE/INJURY PREVENTION 6. SUBSTANCE ABUSE/TOBACCO DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. SUTTER TRACY COMMUNITY HOSPITAL IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT: 1. SUBSTANCE ABUSE AND TOBACCO - WHILE OUR STRATEGY DOES NOT DIRECTLY FOCUS ON SUBSTANCE ABUSE AND TOBACCO, THIS IS AN AREA THAT WILL BE ADDRESSED THROUGH OUR INVESTMENTS IN ACCESS TO CARE AND ECONOMIC SECURITY. MANY INDIVIDUALS EXPERIENCING HOMELESSNESS OR AT-RISK OF BECOMING HOMELESS ARE ALSO GRAPPLING WITH MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES, SO THROUGH PROGRAMS SUCH AS STREET OUTREACH, HOMELESS SHELTERS, AND RECUPERATIVE CARE, WE WILL LIKELY BE CONNECTING INDIVIDUALS TO THE APPROPRIATE SUBSTANCE ABUSE REFERRALS AS NEEDED. 2. ASTHMA - ASTHMA IS NOT SPECIFICALLY ADDRESSED IN OUR IMPLEMENTATION PLAN AS AN AREA OF FOCUS, BUT WE RECOGNIZE ITS PREVALENCE IN SAN JOAQUIN COUNTY AND MANY OF OUR OTHER STRATEGIES WILL SEEK TO ADDRESS THIS CHRONIC CONDITION. THROUGH OUR INVESTMENTS IN ACCESS TO CARE, WE WILL SEEK TO IDENTIFY INDIVIDUALS WITH ASTHMA AND CONNECT THEM WITH A PRIMARY CARE PROVIDER SO THAT THEY CAN APPROPRIATELY MANAGE THEIR CONDITION. 3. ORAL HEALTH - ALTHOUGH THE HOSPITAL DOES NOT HAVE A SPECIFIC STRATEGY TO ADDRESS THIS COMPONENT OF OVERALL HEALTH, IT DOES INTEND TO INDIRECTLY ADDRESS THE PRIORITY FINDING THROUGH THE VARIOUS OTHER INTERVENTIONS AS MENTIONED IN THIS REPORT. MANY OF THE STRATEGIES IN THIS PLAN LOOK TO PROVIDE WHOLE-PERSON CARE, AND WILL OFFER REFERRALS TO ORAL HEALTH CARE RESOURCES TO INDIVIDUALS AS NECESSARY. 4. CLIMATE AND HEALTH - DUE TO LIMITED RESOURCES AND ABILITY TO IMPACT ENVIRONMENTAL POLICIES, THE HOSPITAL DOES NOT INTEND TO DIRECTLY ADDRESS THIS HEALTH ISSUE AT THIS TIME. SCHEDULE H, PART V, SECTION B, LINE 15E SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 5): METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: PATIENTS MAY REQUEST ASSISTANCE WITH COMPLETING THE APPLICATION FOR FINANCIAL ASSISTANCE IN PERSON AT THE HOSPITAL, OVER THE PHONE, THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE. schedule H, Part V, Section B, Lines 16A, 16B, & 16C SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 5): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER TRACY COMMUNITY HOSPITAL WEBSITE AT: https://www.sutterhealth.org/mmc/for-patients/financial-assistance SCHEDULE H, PART V, SECTION B, LINE 16J SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 5): MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITAL'S SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE ORGANIZATION IN THE PRINCIPAL NEWSPAPER IN THE COMMUNITY OR WHEN DOING SO IS NOT PRACTICAL SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THE INFORMATION OR USE OTHER MEANS THAT WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY. SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. SCHEDULE H, PART V, SECTION B, LINE 22D SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 5): AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR FULL WRITE OFF OF ALL CHARGES FOR AN UNINSURED PATIENT WITH A FAMILY INCOME AT OR BELOW 400% OF THE MOST RECENT FEDERAL POVERTY LEVEL. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-5, THIS ORGANIZATION ADOPTS THE PROSPECTIVE MEDICARE METHOD FOR AMOUNTS GENERALLY BILLED; HOWEVER, PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT FINANCIALLY RESPONSIBLE FOR MORE THAN THE AMOUNTS GENERALLY BILLED BECAUSE ELIGIBLE PATIENTS DO NOT PAY ANY AMOUNT. REPORTING FACILITY: MEMORIAL HOSPITAL LOS BANOS Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, SECTION B, LINE 5 MEMORIAL HOSPITAL LOS BANOS (FACILITY 10): IN CONDUCTING ITS MOST RECENT CHNA, MEMORIAL HOSPITAL LOS BANOS DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY ALSO WAS IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY THE STUDY SPONSORS; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 49 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY. THESE INCLUDED PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROVIDERS, SOCIAL SERVICES PROVIDERS AND OTHER COMMUNITY LEADERS. THROUGH THIS PROCESS, INPUT WAS GATHERED FROM SEVERAL INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW-INCOME, MINORITY, OR OTHER MEDICALLY UNDERSERVED POPULATIONS. IN THE ONLINE SURVEY, KEY INFORMANTS WERE ASKED TO RATE THE DEGREE TO WHICH VARIOUS HEALTH ISSUES ARE A PROBLEM IN THEIR OWN COMMUNITY. FOLLOW-UP QUESTIONS ASKED THEM TO DESCRIBE WHY THEY IDENTIFY PROBLEM AREAS AS SUCH AND HOW THESE MIGHT BETTER BE ADDRESSED. RESULTS OF THEIR RATINGS, AS WELL AS THEIR VERBATIM COMMENTS, ARE INCLUDED THROUGHOUT THIS REPORT AS THEY RELATE TO THE VARIOUS OTHER DATA PRESENTED. MEMORIAL HOSPITAL LOS BANOS Key informant interviews were conducted in 2018. THE FINDINGS FROM KEY INFORMANT SURVEY IN THE MEMORIAL HOSPITAL LOS BANOS'S CHNA ARE AVAILABLE AT: https://www.sutterhealth.org/pdf/for-patients/chna/mhlb-2019-chna.pdf SCHEDULE H, PART V, SECTION B, LINES 6A & 6B MEMORIAL HOSPITAL LOS BANOS (FACILITY 10): PROFESSIONAL RESEARCH CONSULTANTS, INC. CONDUCTED THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT FOR MEMORIAL HOSPITAL LOS BANOS, MERCY MEDICAL CENTER MERCED AND VALLEY CHILDREN'S HOSPITAL. SCHEDULE H, PART V, SECTION B, LINE 7A MEMORIAL HOSPITAL LOS BANOS (FACILITY 10): HOSPITAL FACILITY WEBSITE: https://www.sutterhealth.org/pdf/for-patients/chna/mhlb-2019-chna.pdf SCHEDULE H, PART V, SECTION B, LINE 7B OTHER WEBSITE: https://www.sutterhealth.org/for-patients/ community-health-needs-assessment SCHEDULE H, PART V, SECTION B, LINE 10A IMPLEMENTATION STRATEGY: https://www.sutterhealth.org/pdf/for-patients/chna/ mhlb-2019-2021-implementation-strategy.pdf SCHEDULE H, PART V, SECTION B, LINE 11 MEMORIAL HOSPITAL LOS BANOS (FACILITY 10): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT ARE NEEDS THAT MEMORIAL HOSPITAL LOS BANOS INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. MENTAL HEALTH 2. NUTRITION, PHYSICAL ACTIVITY, AND WEIGHT 3. ACCESS TO HEALTH SERVICES DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. MEMORIAL HOSPITAL LOS BANOS IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT: 1. SUBSTANCE ABUSE - OUR PLAN DOES NOT ADDRESS SUBSTANCE ABUSE DIRECTLY, HOWEVER, WE ANTICIPATE OUR STREET MEDICINE AND RESPITE CARE PROGRAMS WILL HELP ASSIST INDIVIDUALS EXPERIENCING SUBSTANCE ABUSE ISSUES AND REFER THEM TO APPROPRIATE RESOURCES. 2. DIABETES - WHILE WE WILL NOT INVEST IN THIS AREA, OUR PROGRAMS IN HEALTHY EATING AND ACTIVE LIVING WILL ADDRESS THE UPSTREAM SOCIAL DETERMINANTS OF HEALTH WHICH COULD LEAD TO DIABETES LATER IN LIFE. 3. HEART DISEASE AND STROKE - WHILE WE WILL NOT INVEST IN THIS AREA, OUR PROGRAMS IN HEALTHY EATING AND ACTIVE LIVING WILL ADDRESS THE UPSTREAM SOCIAL DETERMINANTS OF HEALTH WHICH COULD LEAD TO HEART DISEASE AND STROKE LATER IN LIFE. 4. TOBACCO USE - WE DO NOT PLAN TO ADDRESS TOBACCO ABUSE DIRECTLY, HOWEVER, WE ANTICIPATE OUR INVESTMENTS IN YOUTH PROGRAMS WILL HELP ENCOURAGE HEALTHIER LIFESTYLE HABITS FOR KIDS THAT WILL LEAD TO A DECREASED LIKELIHOOD OF TOBACCO USE LATER IN LIFE. 5. RESPIRATORY DISEASES - WE DO NOT FEEL RESPIRATORY DISEASE IS AS PRESSING AS OTHER HEALTH NEEDS IDENTIFIED IN OUR ASSESSMENT FOR THIS COMMUNITY, SO DUE TO LIMITED TIME AND RESOURCES WE ARE CHOOSING NOT TO ADDRESS THIS HEALTH NEED DIRECTLY. 6. INJURY AND VIOLENCE - OUR IMPLEMENTATION PLAN WILL NOT SPECIFICALLY ADDRESS INJURY AND VIOLENCE, HOWEVER OUR GOAL IS TO DECREASE THE LIKELIHOOD OF INJURY AND VIOLENCE THROUGH INVESTMENTS IN YOUTH PROGRAMS THAT WILL KEEP KIDS SAFE AND IN A POSITIVE ENVIRONMENT. 7. INFANT AND FAMILY PLANNING - WHILE OUR COMMUNITY HEALTH PROGRAMS ARE NOT FOCUSED ON INFANT AND FAMILY PLANNING, THE MEMORIAL HOSPITAL LOS BANOS RURAL HEALTH CLINIC DOES PROVIDE GYNECOLOGY AND WOMEN'S HEALTH SERVICES AS WELL AS PRENATAL CARE TO UNDERSERVED POPULATIONS. 8. CANCER - WE DO NOT FEEL CANCER IS AS PRESSING AS OTHER HEALTH NEEDS IDENTIFIED IN OUR ASSESSMENT FOR THIS COMMUNITY, SO DUE TO LIMITED TIME AND RESOURCES WE WILL NOT SEEK TO ADDRESS THIS HEALTH NEED DIRECTLY. 9. KIDNEY DISEASE - WE DO NOT FEEL RESPIRATORY DISEASE IS AS PRESSING AS OTHER HEALTH NEEDS IDENTIFIED IN THIS ASSESSMENT, SO DUE TO LIMITED TIME AND RESOURCES WE ARE CHOOSING NOT TO ADDRESS THIS HEALTH NEED DIRECTLY. 10. DEMENTIA/ALZHEIMER'S DISEASE - GIVEN LIMITED TIME AND RESOURCES AND OUR FOCUS ON OTHER PRIORITY NEEDS, WE WILL NOT BE ADDRESSING DEMENTIA AND ALZHEIMER'S DURING THIS IMPLEMENTATION CYCLE. HOWEVER, WE WILL BE INCREASING OUR MENTAL HEALTH INVESTMENTS WHICH COULD OVERLAP WITH THOSE EXPERIENCING DEMENTIA OR ALZHEIMER'S. 11. POTENTIALLY DISABLING CONDITIONS - GIVEN LIMITED TIME AND RESOURCES AND OUR FOCUS ON OTHER PRIORITY NEEDS, WE WILL NOT BE ADDRESSING POTENTIALLY DISABLING CONDITIONS DURING THIS IMPLEMENTATION CYCLE. SCHEDULE H, PART V, SECTION B, LINE 15E MEMORIAL HOSPITAL LOS BANOS (FACILITY 10): METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: PATIENTS MAY REQUEST ASSISTANCE WITH COMPLETING THE APPLICATION FOR FINANCIAL ASSISTANCE IN PERSON AT THE HOSPITAL, OVER THE PHONE, THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE. Schedule H, Part V, Section B, Lines 16A, 16B, & 16C MEMORIAL HOSPITAL LOS BANOS (FACILITY 10): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE MEMORIAL HOSPITAL LOS BANOS WEBSITE AT: https://www.sutterhealth.org/mmc/for-patients/financial-assistance SCHEDULE H, PART V, SECTION B, LINE 16J MEMORIAL HOSPITAL LOS BANOS (FACILITY 10): MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITAL'S SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE ORGANIZATION IN THE PRINCIPAL NEWSPAPER IN THE COMMUNITY OR WHEN DOING SO IS NOT PRACTICAL SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THE INFORMATION OR USE OTHER MEANS THAT WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY. SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. SCHEDULE H, PART V, SECTION B, LINE 22D MEMORIAL HOSPITAL LOS BANOS (FACILITY 10): AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR FULL WRITE OFF OF ALL CHARGES FOR AN UNINSURED PATIENT WITH A FAMILY INCOME AT OR BELOW 400% OF THE MOST RECENT FEDERAL POVERTY LEVEL. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-5, THIS ORGANIZATION ADOPTS THE PROSPECTIVE MEDICARE METHOD FOR AMOUNTS GENERALLY BILLED; HOWEVER, PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT FINANCIALLY RESPONSIBLE FOR MORE THAN THE AMOUNTS GENERALLY BILLED BECAUSE ELIGIBLE PATIENTS DO NOT PAY ANY AMOUNT. REPORTING FACILITY: STANISLAUS SURGICAL HOSPITAL Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, SECTION B, LINE 5 STANISLAUS SURGICAL HOSPITAL (FACILITY 11): IN CONDUCTING ITS MOST RECENT CHNA, STANISLAUS SURGICAL HOSPITAL, A FACILITY OF SUTTER VALLEY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. INPUT FROM THE COMMUNITY SERVED BY BOTH MEMORIAL MEDICAL CENTER AND STANISLAUS SURGICAL HOSPITAL WAS COLLECTED THROUGH TWO MAIN MECHANISMS. FIRST, KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH COMMUNITY HEALTH EXPERTS AND AREA SERVICE PROVIDERS (I.E., MEMBERS OF SOCIAL-SERVICE NONPROFIT ORGANIZATIONS AND RELATED HEALTHCARE ORGANIZATIONS). THESE INTERVIEWS OCCURRED IN BOTH ONE-ON-ONE AND IN GROUP INTERVIEW SETTINGS. SECOND, FOCUS GROUPS WERE CONDUCTED WITH COMMUNITY RESIDENTS THAT WERE IDENTIFIED AS POPULATIONS EXPERIENCING DISPARITIES. ALL PARTICIPANTS WERE GIVEN AN INFORMED CONSENT FORM PRIOR TO THEIR PARTICIPATION, WHICH PROVIDED INFORMATION ABOUT THE PROJECT, ASKED FOR PERMISSION TO RECORD THE INTERVIEW, AND LISTED THE POTENTIAL BENEFITS AND RISKS FOR INVOLVEMENT IN THE INTERVIEW. ALL INTERVIEW DATA WERE COLLECTED THROUGH NOTE TAKING AND, IN SOME INSTANCES, RECORDING. PRIMARY DATA COLLECTION WITH KEY INFORMANTS INCLUDED TWO PHASES. FIRST, PHASE ONE BEGAN BY INTERVIEWING AREA-WIDE SERVICE PROVIDERS WITH KNOWLEDGE OF THE SERVICE AREA, INCLUDING INPUT FROM THE DESIGNATED PUBLIC HEALTH DEPARTMENT. DATA FROM THESE AREA-WIDE INFORMANTS, COUPLED WITH SOCIO-DEMOGRAPHIC DATA, WAS USED TO IDENTIFY ADDITIONAL KEY INFORMANTS FOR THE ASSESSMENT THAT WERE INCLUDED IN PHASE TWO. AS A PART OF THE INTERVIEW PROCESS, ALL KEY INFORMANTS WERE ASKED TO IDENTIFY VULNERABLE POPULATIONS. THE INTERVIEWER ASKED EACH PARTICIPANT TO VERBALLY EXPLAIN WHAT VULNERABLE POPULATIONS EXISTED IN THE COUNTY. AS NEEDED FOR A VISUAL AID, KEY INFORMANTS WERE PROVIDED A MAP OF THE HSA TO DIRECTLY POINT TO THE GEOGRAPHIC LOCATIONS OF THESE VULNERABLE COMMUNITIES. ADDITIONAL KEY INFORMANT INTERVIEWS WERE FOCUSED ON THE GEOGRAPHIC LOCATIONS AND/OR SUBGROUPS IDENTIFIED IN THE EARLIER PHASE. FOCUS GROUP INTERVIEWS WERE CONDUCTED WITH COMMUNITY MEMBERS LIVING IN GEOGRAPHIC AREAS OF THE SERVICE AREA IDENTIFIED AS LOCATIONS OR POPULATIONS EXPERIENCING A DISPARATE AMOUNT OF POOR SOCIOECONOMIC CONDITIONS AND POOR HEALTH OUTCOMES. RECRUITMENT CONSISTED OF REFERRALS FROM DESIGNATED SERVICE PROVIDERS REPRESENTING VULNERABLE POPULATIONS, AS WELL AS DIRECT OUTREACH TO SPECIAL POPULATION GROUPS. STANISLAUS SURGICAL HOSPITAL Key informant interviews were conducted between December 5, 2018 and December 19, 2019. THE FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN STANISLAUS SURGICAL HOSPITAL'S CHNA ARE AVAILABLE AT: https://www.sutterhealth.org/pdf/for-patients/chna/mmc-ssh-2019-chna.pdf SCHEDULE H, PART V, SECTION B, LINES 6A & 6B STANISLAUS SURGICAL HOSPITAL (FACILITY 11): COMMUNITY HEALTH INSIGHTS CONDUCTED THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT ON BEHALF OF MEMORIAL MEDICAL CENTER OF MODESTO AND STANISLAUS SURGICAL HOSPITAL. SCHEDULE H, PART V, SECTION B, LINE 7A STANISLAUS SURGICAL HOSPITAL (FACILITY 11): HOSPITAL FACILITY WEBSITE: https://www.sutterhealth.org/pdf/for-patients/chna/mmc-ssh-2019-chna.pdf SCHEDULE H, PART V, SECTION B, LINE 7B OTHER WEBSITE: https://www.sutterhealth.org/for-patients/ community-health-needs-assessment SCHEDULE H, PART V, SECTION B, LINE 10A IMPLEMENTATION STRATEGY: https://www.sutterhealth.org/pdf/for-patients/chna/ ssh-2019-implementation-strategy.pdf SCHEDULE H, PART V, SECTION B, LINE 11 STANISLAUS SURGICAL HOSPITAL (FACILITY 11): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT STANISLAUS SURGICAL HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO BASIC NEEDS, SUCH AS HOUSING, JOBS, AND FOOD 2. ACCESS TO MENTAL, BEHAVIORAL, AND SUBSTANCE-ABUSE SERVICES 3. ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES 4. SAFE AND VIOLENCE-FREE ENVIRONMENT 5. INJURY AND DISEASE PREVENTION AND MANAGEMENT 6. ACTIVE LIVING AND HEALTHY EATING DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL THE HEATH NEEDS IN THE COMMUNITY. STANISLAUS SURGICAL HOSPITAL IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT: 1. ACCESS AND FUNCTIONAL NEEDS - TRANSPORTATION AND PHYSICAL DISABILITY - WHILE OUR IMPLEMENTATION PLAN DOES NOT DIRECTLY ADDRESS ISSUES OF TRANSPORTATION AND PHYSICAL DISABILITY, MANY OF OUR PROGRAMS WILL OFFER CLIENTS REFERRALS TO TRANSPORTATION SERVICES SO THAT THEY CAN ACCESS MEDICAL APPOINTMENTS. 2. ACCESS TO SPECIALTY AND EXTENDED CARE - OUR FOCUS IN STANISLAUS COUNTY IS PRIMARILY ON EXPANDING ACCESS TO PRIMARY CARE THROUGH PARTNERSHIPS WITH OUR FQHC AND COMMUNITY PARTNERS. HOWEVER, SEVERAL OF THESE PROGRAMS WHICH INCREASE ACCESS TO PRIMARY CARE WILL ALSO HELP PATIENTS BECOME CONNECTED TO SPECIALTY CARE ONCE THEY ARE ESTABLISHED WITH A PCP. 3. POLLUTION - FREE LIVING ENVIRONMENT - DUE TO LIMITED RESOURCES AND ABILITY TO IMPACT ENVIRONMENTAL POLICIES, THE HOSPITAL DOES NOT INTEND TO DIRECTLY ADDRESS THIS HEALTH ISSUE AT THIS TIME. Schedule H, Part V, Section B, Line 15E Stanislaus Surgical Hospital (Facility 11): METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: PATIENTS MAY SUBMIT CHARITY CARE APPLICATION TO THE COLLECTIONS SUPERVISOR. Schedule H, Part V, Section B, Lines 16A, 16B, & 16C Stanislaus Surgical Hospital (Facility 11): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE STANISLAUS SURGICAL HOSPITAL WEBSITE AT: HTTPS://STANISLAUSSURGICAL.COM/FINANCIAL-ASSISTANCE Schedule H, Part V, Section B, Line 16J STANISLAUS SURGICAL HOSPITAL (Facility 11): MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITAL'S SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. Schedule H, Part V, Section B, Line 22D STANISLAUS SURGICAL HOSPITAL (Facility 11): AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR SLIDING SCALE CHARGES FOR AN UNINSURED PATIENT WITH A FAMILY INCOME AT OR BELOW 350% OF THE MOST RECENT FEDERAL POVERTY LEVEL. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-5, THIS ORGANIZATION ADOPTS THE PROSPECTIVE MEDICARE METHOD FOR AMOUNTS GENERALLY BILLED; HOWEVER, PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT FINANCIALLY RESPONSIBLE FOR MORE THAN THE AMOUNTS GENERALLY BILLED. 23 Memorial Medical Ctr Same Day Surg ctr 1329 Spanos Court Modesto CA 95355 OUTPATIENT SERVICES INFUSION THERAPY CENTER 11710 EDUCATION STREET AUBURN CA 95602 OUTPATIENT SERVICES WOUND CAREOSTOMY DEPARTMENT 11775 EDUCATION STREET AUBURN CA 95602 OUTPATIENT SERVICES URGENT CARE 11795 Education Street AUBURN CA 95602 OUTPATIENT SERVICES INFUSION SERVICES 2020 SUTTER PLACE DAVIS CA 95616 OUTPATIENT SERVICES CARDIAC REHABILITATION 2030 SUTTER PLACE DAVIS CA 95616 OUTPATIENT SERVICES Sutter Medical Plaza Jackson 100 MISSION BLVD JACKSON CA 95642 OUTPATIENT SERVICES SUTTER SLEEP DISORDERS CENTER 1411 SECRET RAVINE PARKWAY STE 150 ROSEVILLE CA 95661 OUTPATIENT SERVICES OUTPATIENT SURGERY DEPARTMENT FOUR MEDICAL PLAZA ROSEVILLE CA 95661 OUTPATIENT SERVICES Sutter Pediatric Rehabilitation Svcs 1625 STOCKTON BLVD SACRAMENTO CA 95819 OUTPATIENT SERVICES AMBULATORY SURGERY CENTER 2725 CAPITOL AVENUE SACRAMENTO CA 95816 OUTPATIENT SERVICES Sutter Cancer Center 2800 L STREET SACRAMENTO CA 95816 OUTPATIENT SERVICES SUTTER CENTER FOR PSYCHIATRY 7919 FOLSOM BLVD STE 100 SACRAMENTO CA 95826 OUTPATIENT SERVICES SUTTER CANCER CENTER 100 HOSPITAL DRIVE VALLEJO CA 94589 OUTPATIENT SERVICES ROSEVILLE ENDOSCOPY CENTER 4 MEDICAL PLAZA ROSEVILLE CA 95661 OUTPATIENT SERVICES SUTTER AMADOR SURGERY CENTER 223 CLINTON RD JACKSON CA 95642 OUTPATIENT SERVICES SUTTER PIONEER HEALTH CENTER 24685 HIGHWAY 88 PIONEER CA 95666 OUTPATIENT SERVICES SUTTER REHABILITATION INSTITUTE 6 MEDICAL PLAZA ROSEVILLE CA 95661 OUTPATIENT SERVICES SUTTER PLYMOUTH HEALTH CENTER 9279 LOCUST STREET PLYMOUTH CA 95669 OUTPATIENT SERVICES MHLB RURAL HEALTH CLINIC 1253 WEST I STREET LOS BANOS CA 93635 RURAL HEALTH CLINIC Memorial Med Ctr Same Day Surgery Ctr 1401 SPANOS COURT MODESTO CA 95355 Outpatient Services & Lab SUTTER TRACY HOSPITAL IMAGING CENTER 1530 BESSIE AVENUE SUITE 109 TRACY CA 95376 OUTPATIENT SERVICES SUTTER SENIORCARE PACE 444 NORTH 3RD STREET SUITE 150 SACRAMENTO CA 95814 ALL-INCLUSIVE CARE FOR THE ELDERLY SCHEDULE H, PART I, LINES 3A & 3C FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA: FOR UNINSURED PATIENTS TO BE ELIGIBLE FOR FREE CARE THE ORGANIZATION USES THE FEDERAL POVERTY GUIDELINES (FPG) FOR FAMILY INCOMES THAT ARE AT OR BELOW 400% OF FPG. IN ADDITION THE ORGANIZATION HAS A HIGH MEDICAL COST CHARITY CARE CATEGORY IN WHICH A WRITE OFF OF THE PATIENT RESPONSIBILITY FOR HOSPITAL SERVICES CAN OCCUR IF THE INSURED PATIENT HAS FAMILY INCOME AT OR BELOW 400% FPG AND EXPENSES INCURRED FOR THEMSELVES OR THEIR FAMILY EXCEED 10% OF THE PATIENT'S FAMILY INCOME. SUTTER VALLEY HOSPITALS ACQUIRED A 20% OWNERSHIP INTEREST IN STANISLAUS SURGICAL HOSPITAL IN 2016. THIS HOSPITAL PROVIDES PREDOMINANTLY ELECTIVE SURGERIES AND DOES NOT PROVIDE EMERGENCY CARE. STANISLAUS SURGICAL HOSPITAL PROVIDES FREE CHARITY CARE FOR MEDICALLY NECESSARY PROCEDURES FOR UNINSURED PATIENTS FOR FAMILY INCOMES THAT ARE AT OR BELOW 100% OF FPG. SCHEDULE H, PART I, LINE 3B SUTTER VALLEY HOSPITALS IS COMMITTED TO PROVIDING CHARITY CARE. SUTTER VALLEY HOSPITALS PROVIDES FREE CARE AT HIGH PERCENTAGE OF FPG. IT DOES NOT PROVIDE DISCOUNTED CARE. STANISLAUS SURGICAL HOSPITAL PROVIDES DISCOUNTED CHARITY CARE BASED ON A SLIDING SCALE UP TO 350% OF FPG. SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED: COST TO CHARGE RATIO UTILIZING WORKSHEET 2 METHODOLOGY. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES: SUTTER VALLEY HOSPITALS DID NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES TO REPORT IN 2020. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT, AUDIT FOOTNOTE: THE ORGANIZATION IS AN AFFILIATE OF SUTTER HEALTH WHICH UNDERWENT A SYSTEM-WIDE AUDIT. THE AUDIT REPORT DOES NOT INCLUDE A BAD DEBT EXPENSE FOOTNOTE. EFFECTIVE JANUARY 1, 2018, SUTTER ENTITIES IMPLEMENTED THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS UPDATE (ASU), REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606). THE ACCOUNTING CHANGE MODIFIED BAD DEBT REPORTING, AND AS A RESULT, BAD DEBT IS ONLY REPORTED IN LIMITED SITUATIONS. SCHEDULE H, PART III, SECTION B, LINE 7 MEDICARE COSTS: MEDICARE COST REPORTS THAT THE ORGANIZATION FILES DO NOT INCLUDE ALL OF THE COSTS REQUIRED TO TREAT MEDICARE PATIENTS. SCHEDULE H, PART III, SECTION B, LINE 8 COSTING METHODOLOGY: MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO. COMMUNITY BENEFIT MEDICARE SHORTFALL: THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THESE PATIENTS TYPICALLY HAVE LOW AND/OR FIXED INCOMES. MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS FORCING THE HOSPITAL TO USE OTHER FUNDS TO COVER THE DEFICIT. SCHEDULE H, PART III, SECTION B, LINE 9B DEBT COLLECTION POLICY: COLLECTION PRACTICES ARE CONSISTENT FOR ALL PATIENTS AND COMPLY WITH APPLICABLE PROVISIONS OF FEDERAL AND CALIFORNIA LAW. DURING PREADMISSION OR REGISTRATION, THE HOSPITAL PROVIDES ALL PATIENTS WITH INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE. AN UNINSURED PATIENT WHO INDICATES THE FINANCIAL INABILITY TO PAY A BILL IS EVALUATED FOR FINANCIAL ASSISTANCE. AT DISCHARGE PATIENTS WILL BE GIVEN AN APPLICATION WHICH WILL DOCUMENT THE PATIENT'S OVERALL FINANCIAL SITUATION. IF AN UNINSURED PATIENT DOES NOT COMPLETE THE APPLICATION FORM WITHIN 30 DAYS OF DELIVERY, THE HOSPITAL WILL NOTIFY THE PATIENT THAT THE APPLICATION HAS NOT BEEN RECEIVED AND WILL PROVIDE THE PATIENT AN ADDITIONAL 210 DAYS TO COMPLETE THE APPLICATION. IF A PATIENT HAS APPLIED FOR CHARITY CARE, HAS BEEN APPROVED TO RECEIVE CHARITY CARE, OR IS COOPERATING WITH THE HOSPITAL'S EFFORTS TO SETTLE AN OUTSTANDING BILL WITHIN A REASONABLE TIME PERIOD, THE HOSPITAL WILL NOT PURSUE COLLECTIONS. SCHEDULE H, PART VI, LINE 2 ADDITIONAL COMMUNITY HEALTH NEED ASSESSMENTS: SUTTER MEDICAL CENTER SACRAMENTO: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2019 - 2021 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. MEMORIAL MEDICAL CENTER: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2019 - 2021 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER ROSEVILLE MEDICAL CENTER: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2019 - 2021 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER SOLANO MEDICAL CENTER: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2019 - 2021 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER TRACY COMMUNITY HOSPITAL: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2019 - 2021 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER AUBURN FAITH HOSPITAL: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2019 - 2021 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER AMADOR HOSPITAL: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2019 - 2021 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER DAVIS HOSPITAL: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2019 - 2021 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. MEMORIAL HOSPITAL LOS BANOS: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2019 - 2021 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. STANISLAUS SURGICAL HOSPITAL: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2019 - 2021 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: SUTTER HOSPITALS FOLLOW A SUTTER HEALTH SYSTEM-WIDE FINANCIAL ASSISTANCE POLICY, WHICH INCLUDES THE FOLLOWING DETAILS OF HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE. LANGUAGES: THE POLICY SHALL BE AVAILABLE IN THE PRIMARY LANGUAGE(S) OF HOSPITAL'S SERVICE AREA. IN ADDITION, ALL NOTICES/COMMUNICATIONS PROVIDED IN THIS SECTION SHALL BE AVAILABLE IN PRIMARY LANGUAGE(S) OF HOSPITAL'S SERVICE AREA AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS. INFORMATION PROVIDED TO PATIENTS DURING THE PROVISION OF HOSPITAL SERVICES: A. DURING PREADMISSION OR REGISTRATION (OR AS SOON THEREAFTER AS PRACTICABLE) HOSPITALS SHALL PROVIDE ALL PATIENTS WITH A COPY OF A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND IDENTIFY THE DEPARTMENT THAT PATIENTS CAN VISIT TO RECEIVE INFORMATION ABOUT, AND ASSISTANCE WITH APPLYING FOR, FINANCIAL ASSISTANCE. B. FINANCIAL ASSISTANCE COUNSELORS: PATIENTS WHO MAY BE UNINSURED PATIENTS SHALL BE ASSIGNED FINANCIAL COUNSELORS, WHO SHALL VISIT WITH THE PATIENTS IN PERSON AT THE HOSPITAL, PROVIDE PATIENTS A FINANCIAL ASSISTANCE APPLICATION, ASSIST WITH THE APPLICATION PROCESS, AND PROVIDE A CONTACT INFORMATION FOR THE PATIENT TO CALL FOR QUESTIONS. C. EMERGENCY SERVICES: IN THE CASE OF EMERGENCY SERVICES, HOSPITALS SHALL PROVIDE ALL PATIENTS A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AS SOON AS PRACTICABLE AFTER STABILIZATION OF THE PATIENT'S EMERGENCY MEDICAL CONDITION OR UPON DISCHARGE. D. APPLICATIONS PROVIDED AT DISCHARGE: AT THE TIME OF DISCHARGE, HOSPITALS SHALL PROVIDE ALL PATIENTS WITH A COPY OF A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. E. INFORMATION PROVIDE TO PATIENTS AT OTHER TIMES: 1. CONTACT INFORMATION WHICH INCLUDES A PHONE NUMBER AND HOSPITAL DEPARTMENT TO OBTAIN ADDITIONAL INFORMATION ABOUT FINANCIAL ASSISTANCE AND ASSISTANCE WITH THE APPLICATION PROCESS. 2. BILLING STATEMENTS: BILLING STATEMENTS PROVIDED TO PATIENTS SHALL INCLUDE A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY, A PHONE NUMBER FOR PATIENTS TO CALL WITH QUESTIONS ABOUT FINANCIAL ASSISTANCE, AND THE WEBSITE ADDRESS WHERE PATIENTS CAN OBTAIN ADDITIONAL INFORMATION ABOUT FINANCIAL ASSISTANCE INCLUDING THE FINANCIAL ASSISTANCE POLICY, A PLAIN LANGUAGE SUMMARY OF THE POLICY, AND THE APPLICATION FOR FINANCIAL ASSISTANCE. 3. UPON REQUEST: HOSPITALS SHALL PROVIDE PATIENTS WITH PAPER COPIES OF THE FINANCIAL ASSISTANCE POLICY, THE APPLICATION FOR FINANCIAL ASSISTANCE, AND THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY UPON REQUEST AND WITHOUT CHARGE. F. PUBLICITY OF FINANCIAL ASSISTANCE INFORMATION 1. PUBLIC POSTING: HOSPITALS SHALL POST COPIES OF THE FINANCIAL ASSISTANCE POLICY, THE APPLICATION FOR FINANCIAL ASSISTANCE, AND THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IN A PROMINENT LOCATION IN THE EMERGENCY ROOM, ADMISSIONS AREA, AND ANY OTHER LOCATION IN THE HOSPITAL WHERE THERE IS A HIGH VOLUME OF PATIENT TRAFFIC, INCLUDING BUT NOT LIMITED TO THE WAITING ROOMS, BILLING OFFICES, AND HOSPITAL OUTPATIENT SERVICE SETTINGS. THESE PUBLIC NOTICES SHALL INCLUDE INFORMATION ABOUT THE RIGHT TO REQUEST AN ESTIMATE OF FINANCIAL RESPONSIBILITY FOR SERVICES. 2. WEBSITE: THE FINANCIAL ASSISTANCE POLICY, APPLICATION FOR FINANCIAL ASSISTANCE AND PLAIN LANGUAGE SUMMARY SHALL BE AVAILABLE IN A PROMINENT PLACE ON THE SUTTER HEALTH WEBSITE (WWW.SUTTERHEALTH.ORG) AND ON EACH INDIVIDUAL HOSPITAL'S WEBSITE. PERSONS SEEKING INFORMATION ABOUT FINANCIAL ASSISTANCE SHALL NOT BE REQUIRED TO CREATE AN ACCOUNT OR PROVIDE ANY PERSONAL INFORMATION BEFORE RECEIVING INFORMATION ABOUT FINANCIAL ASSISTANCE. 3. MAIL: PATIENTS MAY REQUEST A COPY OF THE FINANCIAL ASSISTANCE POLICY, APPLICATION FOR FINANCIAL ASSISTANCE AND PLAIN LANGUAGE SUMMARY BE SENT BY MAIL, AT NO COST TO THE PATIENT. 4. ADVERTISEMENTS/PRESS RELEASES: AS NECESSARY AND ON AT LEAST AN ANNUAL BASIS, SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT HOSPITALS IN THE PRINCIPAL NEWSPAPER(S) IN THE COMMUNITIES SERVED BY SUTTER HEALTH, OR WHEN DOING SO IS NOT PRACTICAL, SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THIS INFORMATION, OR USE OTHER MEANS THAT SUTTER HEALTH CONCLUDES WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY TO AFFECTED PATIENTS IN OUR COMMUNITIES. 5. COMMUNITY AWARENESS: SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY (ESPECIALLY THOSE WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE) ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. SCHEDULE H, PART VI, LINE 4 SUTTER MEDICAL CENTER SACRAMENTO (SMCS): THE HOSPITAL SERVICE AREA (HSA) IS DEFINED AS THE GEOGRAPHIC AREA (BY ZIP CODE) IN WHICH SUTTER MEDICAL CENTER AND SUTTER CENTER FOR PSYCHIATRY RECEIVES ITS TOP 80% OF DISCHARGES. THERE ARE FOUR HOSPITALS THAT SERVE THE COMMUNITY. SACRAMENTO COUNTY HAS OVER 30 CITIES, CENSUS-DESIGNATED PLACES, AND UNINCORPORATED COMMUNITIES THAT INCLUDE NEIGHBORHOODS WITH RICH HERITAGES SUCH AS OAK PARK, KNOWN AS SACRAMENTO'S FIRST SUBURB, TO NEWER COMMUNITIES SUCH AS THE CITY OF RANCHO CORDOVA, INCORPORATED IN 2003. SACRAMENTO COUNTY RANKS AS CALIFORNIA'S 31ST-MOST OVERALL HEALTHY COUNTY AMONG THE 58 IN THE STATE. THE AREA IS SERVED BY A NUMBER OF HEALTHCARE ORGANIZATIONS, INCLUDING THOSE THAT COLLABORATED IN THIS ASSESSMENT. IN THIS CHNA, TWO ADDITIONAL ZIP CODES FROM EL DORADO COUNTY, A NEIGHBORING COUNTY EAST OF SACRAMENTO, WERE INCLUDED TO CAPTURE THE PORTION OF THE COMMUNITY SERVED BY MERCY HOSPITAL OF FOLSOM, LOCATED NEAR THE BORDER OF THESE TWO COUNTIES. WITH SOME EXCEPTIONS, FINDINGS DESCRIBED IN THIS REPORT ARE ORGANIZED BOTH AT THE COUNTY LEVEL AND, AS DETAILED LATER IN THIS REPORT, BY DESIGNATED REGIONS WITHIN THE COUNTY. THE DEFINITION OF THE COMMUNITY SERVED INCLUDED MOST PORTIONS OF SACRAMENTO COUNTY, AND A SMALL PORTION OF WESTERN EL DORADO COUNTY, CALIFORNIA. REGARDED AS A HIGHLY DIVERSE COMMUNITY, SACRAMENTO COUNTY COVERS 994 SQUARE MILES AND IS HOME TO APPROXIMATELY 1.5 MILLION RESIDENTS. THE CHNA USES THIS DEFINITION OF THE COMMUNITY SERVED, AS THIS IS THE PRIMARY GEOGRAPHIC AREA SERVED BY THE SEVEN NONPROFIT HOSPITALS THAT COLLABORATED ON THIS CHNA. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE 2019 sutter medical center Sacramento CHNA at: https://www.sutterhealth.org/pdf/for-patients/chna/smcs-scp-2019-chna.pdf MEMORIAL MEDICAL CENTER: THE DEFINITION OF THE COMMUNITY SERVED WAS STANISLAUS COUNTY. THIS IS THE DESIGNATED SERVICE AREA BECAUSE THE MAJORITY OF PATIENTS SERVED BY MEMORIAL MEDICAL CENTER RESIDED IN THIS AREA. THERE ARE THREE HOSPITALS THAT SERVE THE COMMUNITY. LOCATED IN CALIFORNIA'S CENTRAL VALLEY, THE COUNTY COVERS APPROXIMATELY 1,500 SQUARE MILES AND IS HOME TO OVER 530,000 RESIDENTS. IT IS THE 16TH MOST POPULOUS AMONG CALIFORNIA'S 58 COUNTIES. THERE ARE NINE INCORPORATED CITIES IN THE COUNTY INCLUDING CERES, HUGHSON, MODESTO, NEWMAN, OAKDALE, PATTERSON, RIVERBANK, TURLOCK, AND WATERFORD. OF THESE, MODESTO, THE COUNTY SEAT, IS THE MOST POPULOUS, ACCOUNTING FOR APPROXIMATELY 40% OF THE COUNTY'S POPULATION; TURLOCK IS THE SECOND, FOLLOWED BY CERES. THE TWO LARGEST RACE/ETHNIC GROUPS IN THE COUNTY ARE THOSE OF HISPANIC OR LATINO ORIGIN (44.8%), FOLLOWED BY CAUCASIANS (43.5%). AGRICULTURE PLAYS A SIGNIFICANT ROLE IN THE COUNTY, THUS THE COUNTY'S LARGEST EMPLOYERS ARE IN THE AGRICULTURE AND FOOD RELATED INDUSTRIES. THE ROBERT WOOD JOHNSON'S COUNTY HEALTH RANKINGS RANKED STANISLAUS COUNTY THE 41ST MOST HEALTHY AMONG CALIFORNIA'S 58 COUNTIES. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA, WITH SOURCES, IS AVAILABLE IN THE MEMORIAL MEDICAL CENTER'S 2019 CHNA AT: https://www.sutterhealth.org/pdf/for-patients/chna/mmc-ssh-2019-chna.pdf SUTTER ROSEVILLE MEDICAL CENTER: THE DEFINITION OF THE COMMUNITY SERVED WAS THE PRIMARY SERVICE AREA OF SRMC. THE SERVICE AREA WAS DEFINED BY 21 ZIP CODES IN SOUTHERN PLACER AND NORTHERN SACRAMENTO COUNTIES. THIS SERVICE AREA WAS DESIGNATED BECAUSE THE MAJORITY OF PATIENTS SERVED BY SRMC RESIDED IN THESE ZIP CODES. COLLECTIVELY, OVER 700,000 RESIDENTS LIVE IN THE SERVICE AREA. THERE ARE FOUR HOSPITALS THAT SERVE THE COMMUNITY. THOUGH LOCATED IN PLACER COUNTY, THE HOSPITAL SERVES A DIVERSE POPULATION ACROSS BOTH PLACER AND SACRAMENTO COUNTIES. SITUATED IN ROSEVILLE ALONG THE I-80 CORRIDOR THAT RUNS FROM THE SAN FRANCISCO BAY AREA TO RENO, NEVADA AND BEYOND, SRMC SITS NEAR THE BORDER OF THESE TWO COUNTIES. IN PLACER COUNTY THERE WERE 11 ZIP CODES INCLUDED IN THE SERVICE AREA AND INCLUDED COMMUNITIES SUCH AS GRANITE BAY, LINCOLN, LOOMIS, PENRYN, ROCKLIN, ROSEVILLE, AND SHERIDAN. THE TOTAL POPULATION OF THESE ZIP CODES IS 287,586. IN SACRAMENTO COUNTY THERE WERE 10 ZIP CODES INCLUDED IN THE ASSESSMENT, AND THESE ENCOMPASSED COMMUNITIES SUCH AS ANTELOPE, CARMICHAEL, CITRUS HEIGHTS, FOLSOM, NORTH HIGHLANDS, AND ORANGEVALE. THE TOTAL POPULATION OF THESE ZIP CODES IS 415,837. COLLECTIVELY, THE SRMC SERVICE AREA IS HOME TO JUST OVER 700,000 RESIDENTS. THE ROBERT WOOD JOHNSON'S COUNTY HEALTH RANKINGS RANKED PLACER THE FOURTH HEALTHIEST COUNTY AMONG CALIFORNIA'S 58, WHILE SACRAMENTO WAS RANKED 31ST. THOUGH NEIGHBORING COUNTIES, PLACER AND SACRAMENTO HAVE DIFFERENCES IN THE CHARACTERISTICS OF THEIR POPULATIONS. FOR EXAMPLE, THE MEDIAN INCOME FOR PLACER COUNTY WAS $76,926 COMPARED TO SACRAMENTO COUNTY AT $57,509. THE CHARACTERISTICS FOR EACH ZIP CODE IN THE SERVICE AREA ARE PRESENTED IN TABLE 1 OF THE CHNA. THESE ARE COMPARED TO THE STATE AND COUNTY CHARACTERISTICS FOR DESCRIPTIVE PURPOSES. ANY ZIP CODE WITH RATES THAT VARIED NEGATIVELY OR PERFORMED POORLY WHEN COMPARED TO THE STATE OR COUNTY BENCHMARK WERE HIGHLIGHTED. EACH ZIP CODE IS COMPARED TO THE RATES OF THE COUNTY IN WHICH IT RESIDES. COMMUNITIES OF CONCERN ARE GEOGRAPHIC AREAS WITHIN THE SERVICE AREA THAT HAVE THE GREATEST CONCENTRATION OF POOR HEALTH OUTCOMES AND ARE HOME TO MORE MEDICALLY UNDERSERVED, LOW INCOME, AND DIVERSE POPULATIONS AT GREATER RISK FOR POORER HEALTH. COMMUNITIES OF CONCERN ARE IMPORTANT TO THE OVERALL CHNA METHODOLOGY BECAUSE, AFTER THE SERVICE AREA IS ASSESSED MORE BROADLY, THEY ALLOW FOR A FOCUS ON THOSE PORTIONS OF THE REGION LIKELY EXPERIENCING THE GREATEST HEALTH DISPARITIES. GEOGRAPHIC COMMUNITIES OF CONCERN WERE IDENTIFIED USING A COMBINATION OF PRIMARY AND SECONDARY DATA SOURCES. ANALYSIS OF BOTH PRIMARY AND SECONDARY DATA REVEALED SEVEN ZIP CODES THAT MET THE CRITERIA TO BE CLASSIFIED AS A COMMUNITY OF CONCERN. THESE ARE NOTED IN ZIP CODE ORDER IN TABLE 2 OF THE CHNA, WITH THE CENSUS POPULATION PROVIDED FOR EACH, AND ARE DISPLAYED IN FIGURE 5 OF THE CHNA. THE TOTAL POPULATION OF COMMUNITIES OF CONCERN WAS 415,837 WHICH WAS 59.1% OF THE TOTAL POPULATION SERVED. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE SUTTER ROSEVILLE MEDICAL CENTER CHNA AT: https://www.sutterhealth.org/pdf/for-patients/chna/srmc-2019-chna.pdf SUTTER SOLANO MEDICAL CENTER: THE DEFINITION OF THE COMMUNITY SERVED INCLUDED THE PRIMARY SERVICE AREA OF THE HOSPITAL, THE CITY OF VALLEJO, CALIFORNIA, AND SURROUNDING COMMUNITIES AS DEFINED BY SIX ZIP CODES-94503, 94510, 94589, 94590, 94591, AND 94592. THIS IS THE DESIGNATED SERVICE AREA BECAUSE THE MAJORITY OF PATIENTS SERVED BY SSMC RESIDED IN THESE ZIP CODES. CONSIDERED A NORTH SAN FRANCISCO BAY COMMUNITY, VALLEJO IS AN INCORPORATED CITY IN SOLANO COUNTY. THE SERVICE AREA INCLUDED ONE ZIP CODE, 94503 (AMERICAN CANYON), LOCATED IN NAPA COUNTY. THE TOTAL POPULATION OF THE SERVICE AREA WAS 170,925. THERE ARE THREE HOSPITALS THAT SERVE THE COMMUNITY. POPULATION CHARACTERISTICS FOR EACH ZIP CODE IN THE SERVICE AREA ARE PRESENTED IN TABLE 1 OF THE CHNA. THESE ARE COMPARED TO THE STATE AND COUNTY CHARACTERISTICS FOR DESCRIPTIVE PURPOSES. ANY ZIP CODE WITH RATES THAT VARIED NEGATIVELY WHEN COMPARED TO THE STATE OR COUNTY BENCHMARKS IS HIGHLIGHTED. BECAUSE AMERICAN CANYON IS LOCATED IN NAPA COUNTY, RATES FROM THIS ZIP CODE (94503) ARE COMPARED ONLY TO THE NAPA COUNTY AND STATE BENCHMARKS. SOLANO COUNTY RESIDENT MEDIAN INCOME IS $69,227 AND NAPA COUNTY IS $74,609 COMPARED TO CALIFORNIA MEDIAN INCOME OF $63,783. TWO ZIP CODES WITHIN SOLANO COUNTY FALL UNDER THE STATE MEDIAN INCOME AT $57,316 IN 94589 AND $41,530 AT 94590. COMMUNITIES OF CONCERN ARE GEOGRAPHIC AREAS WITHIN THE SERVICE AREA THAT HAVE THE GREATEST CONCENTRATION OF POOR HEALTH OUTCOMES AND ARE HOME TO MORE MEDICALLY UNDERSERVED, LOW-INCOME, AND DIVERSE POPULATIONS AT GREATER RISK FOR POORER HEALTH. COMMUNITIES OF CONCERN ARE IMPORTANT TO THE OVERALL CHNA METHODOLOGY BECAUSE, AFTER THE SERVICE AREA HAS BEEN ASSESSED MORE BROADLY, THEY ALLOW FOR A FOCUS ON THOSE PORTIONS OF THE REGION LIKELY EXPERIENCING THE GREATEST HEALTH DISPARITIES. GEOGRAPHIC COMMUNITIES OF CONCERN WERE IDENTIFIED USING A COMBINATION OF PRIMARY AND SECONDARY DATA SOURCES. ANALYSIS OF BOTH PRIMARY AND SECONDARY DATA REVEALED TWO ZIP CODES THAT MET THE CRITERIA TO BE CLASSIFIED AS COMMUNITIES OF CONCERN. THE TWO ZIP CODES IDENTIFIED AS COMMUNITIES OF CONCERN CONSIST OF A TOTAL POPULATION OF 67,400 WHICH WAS 39.4% OF THE TOTAL POPULATION OF THE SERVICE AREA FOR SUTTER SOLANO MEDICAL CENTER. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN the sutter solano medical center CHNA at: https://www.sutterhealth.org/pdf/for-patients/chna/ssmc-2019-chna.pdf SUTTER TRACY COMMUNITY HOSPITAL: THE DEFINITION OF THE COMMUNITY SERVED IS SAN JOAQUIN COUNTY, ONE OF CALIFORNIA'S FASTEST GROWING COUNTIES, SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: SUTTER HEALTH'S MISSION IS TO "ENHANCE THE WELL-BEING OF THE PEOPLE IN THE COMMUNITIES WE SERVE, THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES." SUTTER HEALTH'S MISSION REACHES BEYOND THE WALLS OF OUR HOSPITALS AND FACILITIES. OUR AFFILIATES FURTHER THEIR TAX-EXEMPT PURPOSE BY: - BUILDING RELATIONSHIPS OF TRUST BY WORKING COLLABORATIVELY WITH COMMUNITY GROUPS, SCHOOLS AND GOVERNMENT ORGANIZATIONS TO EFFECTIVELY LEVERAGE RESOURCES AND ADDRESS IDENTIFIED COMMUNITY NEEDS; - SUPPORTING NONPROFIT ORGANIZATIONS THAT ARE COMMITTED TO COMMUNITY HEALTH IMPROVEMENT THROUGH FINANCIAL INVESTMENTS, IN-KIND SERVICES AND EMPLOYEE VOLUNTEERISM; AND - PROVIDING GENEROUS CHARITY CARE POLICIES FOR OUR MOST VULNERABLE COMMUNITY MEMBERS. SUTTER MEDICAL CENTER SACRAMENTO & sutter center for psychiatry (reporting facility b, 6): THE 2019 - 2021 IMPLEMENTATION STRATEGIES FOR SUTTER MEDICAL CENTER SACRAMENTO (SMCS) and sutter center for psychiatry DEFINE A VARIETY OF PROGRAMS AND PARTNERSHIPS THAT ADDRESS IDENTIFIED PRIORITY HEALTH NEEDS AND IMPROVE THE OVERALL HEALTH OF THE COMMUNITIES THEY SERVE. A FEW OF THOSE PROGRAMS AND PARTNERSHIPS ARE DESCRIBED BELOW. THE NEED FOR MENTAL HEALTH SERVICES AND RESOURCES, ESPECIALLY FOR THE UNDERSERVED, HAS REACHED A BREAKING POINT ACROSS THE SUTTER HEALTH VALLEY OPERATING UNIT. THIS IS WHY WE ARE FOCUSED ON BUILDING A COMPREHENSIVE MENTAL HEALTH STRATEGY THAT INTEGRATES KEY ELEMENTS SUCH AS POLICY AND ADVOCACY, COUNTY SPECIFIC INVESTMENTS, STIGMA REDUCTION, INCREASED AWARENESS AND EDUCATION, WITH TANGIBLE OUTREACH SUCH AS EXPANDED MENTAL HEALTH RESOURCES TO PROFESSIONALS IN THE WORKPLACE AND TELEPSYCH OPTIONS TO THE UNDERSERVED. IN 2020, SUTTER HEALTH VALLEY HOSPITALS PARTNERED WITH THE STEINBERG INSTITUTE AND THE KENNEDY FORUM TO FOCUS ON THE NEED FOR MENTAL HEALTH SERVICES AND RESOURCES BY BUILDING A COMPREHENSIVE MENTAL HEALTH STRATEGY. THE GOALS OF THE PARTNERSHIP WITH STEINBERG INSTITUTE INCLUDE ADVANCING SOUND PUBLIC POLICY ON ISSUES OF MENTAL HEALTH AND BUILDING RELATIONSHIPS TO ENSURE THE PUBLIC SECTOR HAS THE MENTAL HEALTH INFRASTRUCTURE IN PLACE TO PROVIDE MENTAL HEALTH SERVICES. IN ADDITION, THE KENNEDY FORUM IS WORKING TO ADVANCE MENTAL HEALTH AND ADDICTION PARITY AND ACCESS TO CARE IN CALIFORNIA WITH ITS PARTNERS AT THE STEINBERG INSTITUTE. BECAUSE THIS PARTNERSHIP IS FOCUSED ON PUBLIC POLICY, IT IS DIFFICULT TO COLLECT QUANTITATIVE DATA. SUTTER MEDICAL CENTER SACRAMENTO CONTINUED TO PARTNER WITH WELLSPACE HEALTH THROUGH THE INTERIM CARE PROGRAM (ICP), ICP EXPANSION STREET NURSE PROGRAM, AND THE T3 PROGRAMS. THROUGH THESE PROGRAMS, THOUSANDS OF PATIENTS RECEIVE REFERRALS TO A VARIETY OF SERVICES. IN PARTNERSHIP WITH WELLSPACE HEALTH, THE INTERIM CARE PROGRAM (ICP) IS A SHORT TERM LAY-IN RESPITE SHELTER HOUSED AT VOLUNTEERS OF AMERICA SERVICING CLIENTS THAT ARE EXPERIENCING HOMELESSNESS POST HOSPITALIZATION. CLIENTS HAVE ACCESS TO FOOD, SHELTER AND A CLEAN ENVIRONMENT FOR UP TO FOUR WEEKS WHILE RECUPERATING. THE ICP OFFERS INTENSIVE CASE MANAGEMENT SERVICES THAT INCLUDE TRANSPORTATION TO APPOINTMENTS, ASSISTANCE WITH SECURING IDENTIFICATION, GOVERNMENTAL ASSISTANCE, SOCIAL SECURITY CARD AND REFERRALS TO OTHER SUPPORTIVE SERVICES. THE ON-SITE REGISTERED NURSE OFFERS EDUCATION RELATED TO MEDICATION, DISEASE PROCESS AND POST HOSPITAL CARE WHILE ASSISTING CLIENTS WHO MAY HAVE DIFFICULTY NAVIGATING THE HEALTH CARE SYSTEM. IN 2020, THE ICP RECEIVED NEARLY 300 REFERRALS FROM SMCS AND PROVIDED OVER 8,000 SERVICES SUCH AS PRIMARY HEALTH, MENTAL HEALTH, AOD AND DENTAL & VISION APPOINTMENTS, TRANSPORTATION SERVICES, SPECIALTY CARE, AND NURSE ASSESSMENTS. ICP CONTINUED TO TRACK CLIENTS WITH COPD, CHF, DIABETES AND ASTHMA TO FOCUS ON IDENTIFICATION, EDUCATION AND REFERRALS IN TURN IMPACTING CLIENT OUTCOMES WHO ARE LIVING WITH THESE CHRONIC CONDITIONS. ALTHOUGH ICP IS NOT A HOUSING PROGRAM THE ICP CASE MANAGEMENT TEAM SECURED OVER 3,000 BED NIGHTS TO CLIENTS AND HELPED REFER OVER 100 PEOPLE TO SHELTERS, TRANSITIONAL OR PERMANENT HOUSING. ICP CONTINUED TO PROVIDE SERVICES DURING THE COVID-19 PANDEMIC. ICP STAFF COORDINATED COVID-19 TESTING FOR CLIENTS AND STAFF, PROVIDED PPE TO CLIENTS AND COLLABORATED WITH CITY AND COUNTY REPRESENTATIVES TO MINIMIZE INTERRUPTIONS IN SERVICE. THE INTERIM CARE PROGRAM PLUS EXPANSION (ICP+) IS A SHORT-TERM SIXTY TO NINETY DAY LAY-IN RESPITE SHELTER HOUSED AT THE SALVATION ARMY SERVICING CLIENTS THAT ARE EXPERIENCING HOMELESSNESS POST HOSPITALIZATION. CLIENTS HAVE ACCESS TO FOOD, SHELTER AND A CLEAN ENVIRONMENT FOR UP TO FOUR WEEKS WHILE RECUPERATING. THE ICP+ OFFERS INTENSIVE CASE MANAGEMENT SERVICES THAT INCLUDE TRANSPORTATION TO APPOINTMENTS, ASSISTANCE WITH SECURING IDENTIFICATION, GOVERNMENTAL ASSISTANCE, SOCIAL SECURITY CARD AND REFERRALS TO OTHER SUPPORTIVE SERVICES. ICP+ DIFFERS FROM TRADITIONAL ICP IN THAT A CLIENT WITH A HIGHER LEVEL OF MEDICAL ACUITY IS ABLE TO HAVE THEIR RECUPERATIVE NEEDS MET DUE TO INCREASED LEVEL OF WELLSPACE HEALTH MEDICAL STAFFING. IN 2020, ICP+ PROVIDED SERVICES TO NEARLY 500 CLIENTS. THIS INCLUDED 205,559 SERVICES PROVIDED SUCH AS PRIMARY HEALTH APPOINTMENTS, MENTAL HEALTH APPOINTMENTS, DENTAL & VISION APPOINTMENTS, TRANSPORTATION SERVICES, SPECIALTY CARE, MEDICATION MANAGEMENT, CRISIS SERVICES, CNA AND NURSE ASSESSMENTS AS WELL AS OTHER BASIC NEEDS SUCH AS MEALS AND CLOTHING. STAFF CONTINUED TO TRACK CLIENTS WITH COPD, CHF, DIABETES AND ASTHMA TO BETTER PROVIDE RESOURCES, EDUCATION AND REFERRAL FOR CLIENTS LIVING WITH THESE CHRONIC CONDITIONS. ALTHOUGH ICP+ IS NOT A HOUSING PROGRAM THE CASE MANAGERS HELPED OBTAIN OVER 3,000 BED NIGHTS, REFERRED OVER 1,000 CLIENTS TO HOUSING SERVICES AND SAW 121 CLIENTS OBTAIN SHELTER, TRANSITIONAL OR PERMANENT HOUSING. THE STREET OUTREACH NURSE, REFERRED TO HENCEFORTH AS THE STREET NURSE, HAS BEEN ACTIVELY WORKING TO OUTREACH DIRECTLY TO PERSONS EXPERIENCING HOMELESSNESS LIVING ON THE STREETS SINCE JUNE OF 2016. IN THIS PROGRAM THE STREET NURSE PROVIDES NURSING SERVICES SUCH AS WOUND CARE, VITAL SIGNS AND BLOOD GLUCOSE CHECKS, DISEASE MANAGEMENT EDUCATION, MEDICATION EDUCATION, AND ADDICTION EDUCATION. THE STREET NURSE PROVIDES BASIC HUMAN NEEDS WITH DIGNITY AND RESPECT. THE STREET NURSE PROVIDES INVALUABLE LINKAGES AND COMPREHENSIVE CASE MANAGEMENT TO HOMELESS PERSONS ON THE STREET WITH COMMUNITY RESOURCES AND PROGRAMS. THE LONG-TERM IMPACT ON THE COMMUNITY AS A WHOLE WILL BE THAT THE STREET NURSE WILL HELP FACILITATE APPROPRIATE CARE FOR HOMELESS PERSONS, REDUCING LOITERING, PANHANDLING, AND THE HOMELESS POPULATION IN GENERAL. WELLSPACE HEALTH STREET NURSES HAVE BECOME AN EVEN MORE CRITICAL AND TRUSTED RESOURCE FOR CLIENTS TO UTILIZE DURING THE COVID-19 PANDEMIC. MANY CLIENTS REPORTED FEELINGS OF UNCERTAINTY ABOUT TO GOING TO AREA CLINICS AND LOCAL HOSPITAL EMERGENCY ROOMS TO RECEIVE MUCH NEEDED SERVICES DUE TO POSSIBLE EXPOSURE TO COVID-19. MANY CLIENTS TURNED TO THE STREET NURSES AS THEIR FIRST OPTION TO HAVE THEIR MEDICAL AND OR NURSING NEEDS MET. THE NURSES WERE AVAILABLE TO PROVIDE WOUND ASSESSMENT AND CARE TO CLIENT THAT WERE DEEMED AT RISK ON THE STREET AND COVID-19 ROOM KEY HOTELS ALONG WITH ENCAMPMENTS, HOSPITAL REFERRAL AND VIA COLLABORATION WITH OTHER ORGANIZATIONS SERVING INDIVIDUALS EXPERIENCING HOMELESSNESS. THE PRESENCE AND AVAILABILITY OF THE STREET NURSES PROVIDED CLIENTS WITH A SENSE OF CONTINUITY OF CARE FROM NURSES THEY WERE ALREADY FAMILIAR WITH AND IN TURN DECREASING ANXIETIES WHILE RECEIVING THE HIGHEST QUALITY CARE. OUTREACH TO ENCAMPMENTS WITH NOT ONLY ASSESSMENT, CARE, REFERRALS AND EDUCATION CONTINUED THIS REPORTING PERIOD BUT THE STREET NURSES ALSO PROVIDED MUCH NEEDED WEATHER PROTECTION, TENTS, CLOTHING, NUTRITION, HYDRATION AND HYGIENE SUPPLIES. IN TOTAL, 479 INDIVIDUALS WERE SERVED AND AN ADDITIONAL 751 WERE REACHED THROUGH EVENTS/OUTREACH EFFORTS. 6,503 SERVICES WERE PROVIDED SUCH AS PRIMARY HEALTH, MENTAL HEALTH, NURSE ASSESSMENTS, SPECIALTY CARE, MEDICATION MANAGEMENT AND OTHER BASIC NEEDS. IN PARTNERSHIP WITH WELLSPACE HEALTH, THE T3 PROGRAM PROVIDES CASE MANAGEMENT SERVICES FOR PEOPLE WHO FREQUENTLY ACCESS THE SUTTER MEDICAL CENTER, EMERGENCY DEPARTMENT FOR NON-URGENT NEEDS, BY CONNECTING VULNERABLE PATIENTS TO VITAL RESOURCES SUCH AS HOUSING, INCOME (SSI/GA) , PRIMARY CARE, MENTAL AND BEHAVIORAL HEALTH SERVICES, TRANSPORTATION, SUBSTANCE ABUSE TREATMENT AND OTHER KEY COMMUNITY RESOURCES. IN 2020 672 INDIVIDUALS RECEIVED SERVICES SUCH AS PRIMARY HEALTH APPOINTMENTS, MENTAL HEALTH APPOINTMENTS, AND TRANSPORTATION SERVICES OR VOUCHERS AS WELL AS AN ADDITIONAL 6,529 REFERRALS TO PRIMARY HEALTH CARE, HEALTH INSURANCE, BEHAVIORAL HEALTH, HOUSING, TRANSPORTATION, CRISIS SERVICES AND OTHER BASIC NEEDS. T3/HART CASE MANAGEMENT PARTNERED WITH MERCY HOUSING ON A NEW PERMANENT SUPPORTIVE HOUSING (PSH) PROJECT. THE COLLABORATION WITH MERCY HOUSING HAS SUCCESSFULLY HOUSED 72 OF THE T3 CLIENTS INTO PERMANENT SUPPORTIVE HO SCHEDULE H, PART VI, LINE 6 SUTTER HEALTH IS A NOT-FOR-PROFIT, INTEGRATED HEALTHCARE SYSTEM LOCATED IN NORTHERN CALIFORNIA AND COMMITTED TO HEALTH EQUITY, COMMUNITY PARTNERSHIPS AND INNOVATIVE, HIGH-QUALITY PATIENT CARE. OUR OVER 60,000 EMPLOYEES AND AFFILIATED CLINICIANS SERVE MORE THAN 3 MILLION PATIENTS THROUGH OUR HOSPITALS, CLINICS AND HOME HEALTH SERVICES. LEARN MORE ABOUT HOW WE'RE TRANSFORMING HEALTHCARE AT SUTTERHEALTH.ORG AND VITALS.SUTTERHEALTH.ORG SUTTER HEALTH'S TOTAL INVESTMENT IN COMMUNITY BENEFIT IN 2020 WAS $1.03 BILLION, AN INCREASE OF ABOUT $200 MILLION OVER 2019. THIS AMOUNT INCLUDES TRADITIONAL CHARITY CARE AND UNREIMBURSED COSTS OF PROVIDING CARE TO MEDI-CAL PATIENTS, AS WELL AS INVESTMENTS IN COMMUNITY HEALTH PROGRAMS TO ADDRESS PRIORITIZED HEALTH NEEDS AS IDENTIFIED BY REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENTS. - AS PART OF SUTTER HEALTH'S COMMITMENT TO FULFILL ITS NOT-FOR-PROFIT STATUS AND SERVE THE MOST VULNERABLE IN ITS COMMUNITIES, SUTTER HEALTH'S HOSPITALS AND MEDICAL FOUNDATIONS ALONG WITH OTHER ALIGNED HEALTHCARE PROVIDERS, OFFER CHARITY CARE TO ENSURE THAT PATIENTS CAN ACCESS NEEDED MEDICAL CARE REGARDLESS OF THEIR ABILITY TO PAY. SUTTER'S CHARITY CARE POLICIES, WHICH HAVE BEEN IN PLACE FOR MANY YEARS, OFFER FINANCIAL ASSISTANCE TO UNINSURED AND UNDERINSURED INDIVIDUALS EARNING LESS THAN $51,520 A YEAR OR $106,000 FOR A FAMILY OF FOUR. IN 2020, SUTTER HEALTH INVESTED $109 MILLION IN CHARITY CARE. - OVERALL, SINCE THE IMPLEMENTATION OF THE AFFORDABLE CARE ACT, GREATER NUMBERS OF PREVIOUSLY UNINSURED PEOPLE NOW HAVE MORE ACCESS TO HEALTHCARE COVERAGE THROUGH THE MEDI-CAL AND MEDICARE PROGRAMS. THE PAYMENTS FOR PATIENTS WHO ARE COVERED BY MEDI-CAL AND MEDICARE DO NOT COVER THE FULL COSTS OF PROVIDING CARE. IN 2020, SUTTER HEALTH INVESTED $698 MILLION MORE THAN THE STATE PAID TO CARE FOR MEDI-CAL PATIENTS, AN INCREASE OF ALMOST $200 MILLION OVER 2019. - THROUGH COMMUNITY BENEFIT INVESTMENTS, SUTTER HELPED LOCAL COMMUNITIES ACCESS PRIMARY, MENTAL HEALTH AND ADDICTION CARE, AND BASIC NEEDS SUCH AS HOUSING, JOBS AND FOOD. SEE MORE ABOUT HOW SUTTER HEALTH REINVESTS INTO THE COMMUNITY BY VISITING SUTTERPARTNERS.ORG. IN ADDITION, EVERY THREE YEARS, SUTTER HEALTH HOSPITALS PARTICIPATE IN A COMPREHENSIVE AND COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH IDENTIFIES LOCAL HEALTH CARE PRIORITIES AND GUIDES OUR COMMUNITY BENEFIT STRATEGIES. THE ASSESSMENTS HELP ENSURE THAT WE INVEST OUR COMMUNITY BENEFIT DOLLARS IN A WAY THAT TARGETS AND ADDRESS REAL COMMUNITY NEEDS. FOR MORE FACTS AND INFORMATION VISIT WWW.SUTTERHEALTH.ORG. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: CALIFORNIA true WELLSPACE HEALTH 777 12TH ST STE 250 SACRAMENTO CA 95814 941713704 501(C)(3) 5072009 GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL HEALTHY COMM FORUM FOR THE GREATER SAC REG 819 19TH ST SACRAMENTO CA 95811 680377256 501(C)(3) 1120000 GENERAL SUPPORT VALLEJO CITY OF UNITY DAY 555 SANTA CLARA ST VALLEJO CA 94590 946000448 GOVT 1000000 VALLEY CONSORTIUM FOR MEDICAL EDUCATION 1400 FLORIDA AVE STE 200 MODESTO CA 95350 270506209 501(C)(3) 598162 STEINBERG INSTITUTE 1121 L ST STE 300 SACRAMENTO CA 95814 814361691 501(C)(3) 500000 GLOBAL DEVELOPMENT INCUBATOR 1401 K ST NW STE 900 WASHINGTON DC 20005 141945286 501(C)(3) 405000 SHADY CREEK OUTDOOR EDUCATION FOUNDATION 970 KLAMATH LN YUBA CITY CA 95993 680239809 501(C)(3) 401769 GOLDEN VALLEY HEALTH CENTERS 737 W CHILDS AVE MERCED CA 95340 942196086 501(C)(3) 393112 COMMUNICARE HEALTH CENTERS PO BOX 1260 DAVIS CA 95617 942188574 501(C)(3) 350000 W SACRAMENTO CITY OF COMM DEVELOPMENT DEPT 1110 W CAPITOL 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1ST ST STE 101 SAN JOSE CA 95131 942897949 501(C)(3) 5500 JDRF INTERNATIONAL 200 VESEY ST 28TH FLR NEW YORK NY 10281 231907729 501(C)(3) 5500 YUBA SUTTER COLUSA UNITED WAY PO BOX 122 MARYSVILLE CA 95901 941668459 501(C)(3) 5500 NEXUS YOUTH AND FAMILY SERVICE 601 COURT ST STE 210 JACKSON CA 95642 812309847 501(C)(3) 5500 NATL MULTIPLE SCLEROSIS NO CAL CHAPTER 1700 OWENS ST 190 SAN FRANCISCO CA 94158 941294935 501(C)(3) 5250 113 10 PATIENT ASSISTANCE 5798 1084059 MEDICATION/TRANSPORT SPIRIT CLUB SCHOLARSHIPS 8 16000 SCHEDULE I, PART I, LINE 2 In order to closely monitor efficiency and effectiveness, the Community Benefit function outlines measurable reporting (quarterly, six-month and/or year-end), program and funding requirements in a Memorandum of Understanding (MOU), Business Services Agreement (BSA), or Joint Venture Agreement for each investment made with a community partner. Where it is determined necessary, additional efforts are made to monitor effectiveness and efficiency of investments, which could include: - Quarterly meetings with community partners - E-mail and telephonic communications with community partners - Continued dialogue with involved hospital staff and community partners throughout duration of program - Site visits with community partners - Bi-annual "outcomes" survey (6-month and/or year-end outcomes) - Review of hospital usage and patient level data - Collection of patient stories and narratives - Collaborative discussions around ad-hoc successes and challenges that arise - Reporting to include year-end financial summary that compares actual expenditures to the funded project's budget, indicating any unused amount of grant funds. At the end of each year/reporting period, Community Benefit analyzes full-year data to ensure community partners met the objectives outlined in the MOU or BSA. If the community partners did not reach the anticipated outcomes, Community Benefit works to understand what circumstances prevented the organization from meeting the goals to help identify ways to improve or perhaps re-evaluate what success of this program looks like, and makes the determination to continue or terminate funding. X X X X false true false false false false false true false Sarah Krevans President & CEO Sutter Health 0 1824667 0 909152 0 425697 0 368826 0 34333 0 3562675 0 354278 James Conforti SH SVP/COO,PRES & ASST SEC SVH 0 1058033 0 514101 0 395045 0 464926 0 30173 0 2462278 0 198797 David Cheney CEO, SMCS 0 634053 0 195916 0 240742 0 87026 0 17942 0 1175679 0 183512 Paige A Terra CFO, SH Valley Area (Pt-yr) 0 409230 0 223942 0 327490 0 77726 0 21301 0 1059689 0 124665 Asit Gokli MD SH VP,Chf Clin & Ops Integ Off 0 570233 0 214714 0 164815 0 68026 0 20013 0 1037801 0 57092 Terry Glubka CEO, SSCD 0 535250 0 216598 0 153019 0 71326 0 22442 0 998635 0 57374 Brian Alexander CEO, SRMC 0 502160 0 167773 0 141943 0 66726 0 23777 0 902379 0 83582 Penny Westfall CHIEF LEGAL OFCR BAY & VALLEY 0 518608 0 178117 0 123303 0 63126 0 11264 0 894418 0 49982 JEFFREY D SZCZESNY SH VP, HR Operations 0 504715 0 176003 0 124138 0 61126 0 27467 0 893449 0 45875 Eugene Patrizio CEO, MMC 0 513754 0 130135 0 83016 0 59126 0 26452 0 812483 0 0 John W Boyd CEO, Mental Health Services 0 430523 0 109439 0 170283 0 59126 0 22312 0 791683 0 47720 David Thompson CEO, STCH & MHLB 0 427630 0 137718 0 128495 0 66226 0 29470 0 789539 0 47286 Mitch Hanna CEO SCH & SAFH 0 407919 0 123406 0 168832 0 62226 0 21504 0 783887 0 42383 Phillip Yu MD Admin/CME, MHLB & CME, STCH 0 401339 0 110510 0 142832 0 45426 0 27100 0 727207 0 62045 Peter Hull MD Director, CME, SRMC 0 374186 0 109110 0 123262 0 44226 0 27039 0 677823 0 53458 Timothy Noakes CFO, SH Valley Area (Pt-yr) 0 374473 0 93164 0 100417 0 40726 0 19293 0 628073 0 34998 Abhishek Dosi CEO, SSMC 0 336694 0 91725 0 71353 0 49326 0 30849 0 579947 0 37648 Jose A Arevalo Chief Medical Officer 403006 0 0 0 5398 0 15426 0 26192 0 450022 0 0 0 Colleen J Peschel VP, HR, Greater Sacramento 0 273561 0 68103 0 47007 0 34416 0 18852 0 441939 0 29525 John Mesic MD CHIEF PHYSICIAN EXEC, RESEARCH 0 194607 0 92729 0 61536 0 71834 0 7160 0 427866 0 0 LISA CASSADAY Staff Nurse II 381141 0 0 0 0 0 15426 0 16331 0 412898 0 0 0 Patrick A Blair Exec,N.Valley Rehab/Ortho Svc 256063 0 57912 0 3175 0 13853 0 25602 0 356605 0 0 0 Divina Taasan Registered Nurse 327192 0 0 0 637 0 15426 0 8915 0 352170 0 0 0 OLIVER AANDAHL STAFF NURSE II 326050 0 0 0 0 0 15426 0 91 0 341567 0 0 0 GRANT DAVIES Former CEO VA Hospitals 0 0 0 0 0 254922 0 0 0 0 0 254922 0 0 PAT BRADY FORMER CEO, SRMC 0 0 0 0 0 165527 0 0 0 0 0 165527 0 0 MICHAEL COHILL FORMER CEO SMCS 0 0 0 0 0 126073 0 0 0 0 0 126073 0 0 SCHEDULE J, PART I, LINE 3 SUPPLEMENTAL COMPENSATION INFORMATION: THE CEO OF THIS ORGANIZATION IS AN EMPLOYEE OF SUTTER HEALTH, A RELATED TAX-EXEMPT ORGANIZATION. THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ASSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARM'S LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF SUTTER'S EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATION'S OVERALL MISSION. SEE SCHEDULE O NARRATIVE FOR PART VI, LINE 15 FOR A FULL DESCRIPTION OF THE COMPENSATION APPROVAL PROCESS COMPLETED BY SUTTER HEALTH. SCHEDULE J, PART I, LINE 4B NONQUALIFIED RETIREMENT PLAN: THE PURPOSE OF THE NONQUALIFIED RETIREMENT PLAN IS TO PROVIDE SUTTER HEALTH EXECUTIVES WITH A COMPETITIVE RETIREMENT BENEFIT CONSISTENT WITH SUTTER HEALTH'S OVERALL COMPENSATION PHILOSOPHY FOR ALL EMPLOYEES. CONTRIBUTIONS ARE DESIGNED TAKING INTO CONSIDERATION LOST RETIREMENT BENEFITS THAT WOULD OTHERWISE BE OBTAINED THROUGH THE QUALIFIED PENSION PLAN. SUTTER'S PLANS ARE DESIGNED CONSISTENT WITH COMPETITIVE INDUSTRY PRACTICES. THE RETIREMENT PLAN FOR SUTTER HEALTH EMPLOYEES IS A COMBINATION OF 403(B) EMPLOYER MATCH CONTRIBUTIONS AND QUALIFIED PENSION PLAN BENEFITS. SUTTER HEALTH EXECUTIVES ARE GENERALLY INELIGIBLE FOR EMPLOYER MATCH CONTRIBUTIONS. TO ENSURE A COMPETITIVE RETIREMENT BENEFIT, SUTTER HEALTH MAKES AN ANNUAL CONTRIBUTION TO A NON-QUALIFIED 457(F) PLAN FOR ITS EXECUTIVES. THE FORMULA PROVIDES 6% TO 12% OF BASE SALARY PLUS ANNUAL INCENTIVE PLAN AWARD (COMMENSURATE WITH MANAGEMENT LEVEL). CONTRIBUTIONS ARE ALSO MADE FOR A SMALL GROUP OF SENIOR LEVEL EXECUTIVES WHOSE ESTIMATED RETIREMENT BENEFIT (SOCIAL SECURITY PLUS QUALIFIED PLAN BENEFITS PLUS 457(F) FALLS BELOW 50% - 65% OF FINAL 4-YEAR AVERAGE BASE SALARY WHEN RETIRING AT AGE 65 WITH 22.5 YEARS OF SERVICE. TARGET BENEFIT LEVELS ARE DISCOUNTED FOR YEARS OF SERVICE LESS THAN 22.5 AT AGE 65. UNLIKE SUTTER HEALTH'S QUALIFIED PENSION PLAN WHERE EMPLOYEE BENEFITS ARE GUARANTEED (I.E., A DEFINED BENEFIT), SUTTER'S NON-QUALIFIED PLAN BENEFITS ARE NOT GUARANTEED BY SUTTER HEALTH. INVESTMENT RISK IS BORNE BY PARTICIPANTS AND BENEFITS ARE NOT PROTECTED SHOULD SUTTER HEALTH BECOME INSOLVENT. THE FOLLOWING INDIVIDUALS RECEIVED 457(F) NON-QUALIFIED PAYMENTS DURING THE YEAR: JOHN W. BOYD - $33,060 PETER HULL, MD - $22,709 SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS: SPOT AWARDS ARE INFREQUENTLY USED TO REWARD EMPLOYEES. THERE ARE NO SPECIFIC GUIDELINES FOR THE AMOUNT OF THE SPOT AWARD BUT THE AMOUNT TENDS TO NOT EXCEED 5% TO 15% OF GROSS ANNUAL SALARY. ANNUAL INCENTIVE PLAN (AIP): THE PURPOSE OF THE PLAN IS TO FOCUS EXECUTIVES ON SPECIFIC, SHORTER-TERM GOALS THAT ARE CRITICAL TO THE ACHIEVEMENT OF AFFILIATE, OPERATING UNIT AND SYSTEM-WIDE OBJECTIVES THAT DRIVE OVERALL ORGANIZATION PERFORMANCE. LONG TERM PERFORMANCE PLANS: SUTTER HEALTH ALSO EMPLOYS LONG TERM PERFORMANCE PLANS WHICH ARE DESIGNED TO FOCUS ON LONGER TERM STRATEGIC OBJECTIVES OF THE ORGANIZATION. SUTTER'S LONG TERM PERFORMANCE PLAN APPROACH IS A COMBINATION OF BOTH LONGER TERM MEASURES OF ORGANIZATION SUCCESS AND KEY ORGANIZATION STRATEGIES WHICH REQUIRE THE COMBINED EFFORT OF ALL LEADERSHIP TO ACHIEVE SUCCESS. SUTTER USES A COMMON FATE APPROACH IN THAT ALL LONG TERM PERFORMANCE PLAN PARTICIPANTS ARE MEASURED AGAINST THE SAME, ORGANIZATION-WIDE CRITERIA VS. INDIVIDUAL EFFORTS. THIS FOSTERS A COMMON PURPOSE ACROSS LEADERSHIP AND A SHARED SENSE OF ACCOUNTABILITY FOR THE OVERALL SUCCESS OF SUTTER HEALTH. IN ALL CASES, THE COMPENSATION COMMITTEE OF THE BOARD DETERMINES ACHIEVEMENT OF ORGANIZATION GOALS AND MAKES FINAL AWARD DETERMINATION WHICH MAY RESULT IN A REDUCTION OF AWARD IF APPROPRIATE. ALL SENIOR EXECUTIVE AWARDS ARE REVIEWED FOR COMPENSATION REASONABLENESS AND APPROVED BY THE COMPENSATION COMMITTEE PRIOR TO PAYMENT. A CHFFA 2016B 521643828 13032UDW5 2016-08-17 901627093 REFUND 2003AB, 2005BC & 2007A true false false B CHFFA 2017A 521643828 13032UNY0 2017-07-06 496319743 Refund 2004CD,2008BC,Partial 2008A true false false A 0 0 902923938 0 0 0 0 0 0 0 902923938 0 2016 false true true true B 0 0 496319743 0 0 0 0 0 0 0 496319743 0 2017 false true true true A false true true true true true 0.01020 0.00020 0.01040 false false false true B false true true true true true 0.01450 0.00030 0.01480 false false false true A false true false false false false 0 false 0 false true B false true false false false false 0 false 0 false true A true B true SCHEDULE K The organization's sole corporate member is a conduit borrower of tax-exempt bond issues that allocates portions of each issue to certain subsidiaries, including the organization. The outstanding bond liability allocated to this organization is reported on Form 990, Part X, Balance Sheet, and Part VI herein. With the exception of this portion of Part VI, the Schedule K for this organization is reporting information for the entire bond issue. SCHEDULE K, PART I, COLUMN E: THE ORGANIZATION RECEIVED BOND PROCEEDS IN THE AMOUNTS OF: $190,388,783 FROM THE 2016B ISSUE; AND $266,365,544 FROM 2017A ISSUE. THE DIFFERENCE BETWEEN THE ISSUE PRICE REPORTED IN PART I, COLUMN (E) AND THE PROCEEDS OF ISSUE IN PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. SCHEDULE K, PART II, LINE 7 ISSUANCE COSTS FROM PROCEEDS: ISSUANCE COSTS WERE FUNDED THROUGH EQUITY CONTRIBUTIONS. MORAG THOMSON SEE PART V 16168 SEE PART V false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1788662 MEDICAL SERVICES false SCHEDULE L, PART IV DESCRIPTION OF BUSINESS TRANSACTIONS WITH INTERESTED PERSONS: MORAG THOMSON, THE DAUGHTER OF TRUSTEE HELEN THOMSON, IS A STAFF NURSE FOR SUTTER CENTER FOR PSYCHIATRY WHICH IS PART OF SVH. FORM 990, PART I, LINE 1 AND PART III, LINE 1 MISSION STATEMENT: MISSION - WE ENHANCE THE HEALTH AND WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE, THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES. VISION - SUTTER HEALTH LEADS THE TRANSFORMATION OF HEALTH CARE TO ACHIEVE THE HIGHEST LEVELS OF QUALITY, ACCESS AND AFFORDABILITY. VALUES - EXCELLENCE AND QUALITY, CARING AND COMPASSION, HONESTY AND INTEGRITY, TEAMWORK, COMMUNITY AND AFFORDABILITY. FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS: Sutter Valley Hospitals serves Sacramento, Placer, Amador, El Dorado, Nevada, Yolo, Solano, Yuba, Sutter, Stanislaus, Merced, and San Joaquin counties with comprehensive health care. We strive to provide access to primary care physicians and specialty services in each of our communities, and have a network of more than 1,735 physicians regionally and more than 6,070 physicians throughout the Sutter Health system. Sutter Valley Hospitals provided more than $981 million in charity care and community benefits and had a total of 406,558 patient days in 2020. Sutter Valley Hospitals is comprised of the following hospitals: Sutter Auburn Faith Hospital is licensed for 64 acute beds, and is accredited by the Joint Commission on the Accreditation of Healthcare Organizations. It is Medicare certified and accepts most private insurance plans. Sutter Auburn Faith Hospital's mission is to serve the healthcare needs of Auburn and the surrounding foothill communities. Through partnerships with physicians, payors, other health and human services agencies and with our employees and volunteer leadership, Sutter Auburn Faith Hospital seeks to provide a continuum of health and wellness services to assure a high quality of life for the people living in our service area. Sutter Amador Hospital is a 52-bed acute care hospital located in Jackson, California approximately 55 miles southeast of Sacramento in Amador County. The hospital was established in the mid-1800's and became affiliated with Sutter Health in 1993. Sutter Amador Hospital's mission is to enhance the health and well-being of the residents in the communities served by providing coordinated, effective, affordable and accessible health and wellness services. Sutter Amador Hospital continuously strives to identify the health care needs of these communities and respond by providing health and wellness services consistent with the stated values and vision of the hospital. Sutter Davis Hospital is a two-story 90,000 square foot acute care hospital licensed for 48 beds that serves the health care needs of residents living in Davis, Dixon, Woodland and Winters. The facility is located in the western-most section of the City of Davis at the corner of Highway 113 and Covell Boulevard. Sutter Davis is accredited by the Joint Commission on the Accreditation of Healthcare Organizations. It is Medicare certified and accepts most private insurance plans. As a not-for-profit hospital, Sutter Davis also donates many community services. Sutter Medical Center of Sacramento medical campus include two acute care hospitals - Anderson Lucchetti Women's and Children's Center and Ose Adams Medical Pavilion, along with two buildings dedicated to doctors' offices and other care found in an outpatient setting. By locating all primary and specialty care services in a central location with convenient freeway access, patients and families now gain faster and easier access to needed medical services. The 242-bed Anderson Lucchetti Women's and Children's Center is a 10-story acute-care hospital where patients and their families can obtain the highest level of neonatal and pediatric intensive care services, pediatric cardiac, neurosurgery and cancer services, and high-risk and conventional maternity services. It replaces Sutter Memorial Hospital as "Sacramento's baby hospitalis home to the Sutter Children's Center, Sacramento, a comprehensive children's hospital inside the Women's and Children's Center. Among the features of the Women's and Children's Center: - All private rooms, including those for new moms and our pediatric patients. The rooms have furniture that converts into beds for families to stay overnight with their loved ones. - A life-saving helistop atop the building adjacent to the Capital City Freeway will allow for the quick and safe transport of preemies and other sick babies as well as other patients. - Mothers who have given birth being treated to spacious suites with 8th-floor views of the city's skyline and the foothills. - The neonatal intensive care unit features 61 beds for our tiniest and sickest babies in a setting that looks like home and allows families to be more involved in the babies' care. - Facilities that include washers and dryers and a kitchen for families who have extensive stays. The 281-bed Ose Adams Medical Pavilion was previously known as Sutter General Hospital. While the outer shell of the Ose Adams Medical Pavilion remains much the same - with an expansion in the southeast corner to facilitate the dedicated Pediatric Emergency Department and other services - the transformation of the hospital includes major enhancements to all five floors with emphasis on five main services: emergency medicine, cardiovascular, neurosciences, orthopedics and oncology. The updated third floor contains 24 operating suites for inpatient surgeries. It is the new home for the Sutter Heart & Vascular Institute, which began at Sutter Memorial Hospital with the region's first open-heart surgeries in the late 1950s and early 1960s. Ose Adams Medical Pavilion has six new heart catheterization labs and hybrid suites, and four specialized operating rooms dedicated to heart surgery - one set up solely for pediatric heart patients. Because of the complex brain and other surgeries and procedures, the Ose Adams Medical Pavilion houses 10 specially designed, private observation beds on the fifth floor. These observation units will contain state-of-the-art equipment dedicated to the specialized care of Sutter Neuroscience Institute patients. Sutter Roseville Medical Center (SRMC) was established in 1952 and affiliated with Sutter Health in May 1993. In 1997, Sutter Health opened a 172-bed facility in the northeast area of Roseville, approximately 20 miles from downtown Sacramento. The hospital today has 328 beds and provides residents of southern Placer and northeastern Sacramento counties with comprehensive community health care. The facility has an expanded helipad onsite for quick access to the hospital's Level II Trauma Center, which serves a seven-county region that includes Placer, Yolo, Nevada, Sutter and Yuba counties, and portions of Sacramento and El Dorado counties. Sutter Roseville Medical Center's mission is: To improve the health and well-being of the people living in the communities it serves. Sutter Roseville Medical Center strives continuously to identify the health care needs of these communities and respond by providing wellness, preventive, curative and restorative programs and services consistent with the stated values and vision of the hospital. Sutter Solano Medical Center (SSMC) is a 106-bed acute care hospital in Vallejo, California, between Sacramento and San Francisco. The not-for-profit, community-based facility is fully accredited by The Joint Commission and provides a full-range of general, emergency and medical/surgical specialties. SSMC affiliated with Sutter Health in 1984 ensuring the ability to continue providing and improving healthcare and wellness services to the community. Sutter Solano Medical Center's mission is to enhance the health and well-being of people in the communities served, through a not-for-profit commitment to compassion and excellence in health care services. Sutter Center for Psychiatry is a 73-bed acute behavioral medicine specialty hospital that treats adults, adolescents and children. It provides services to children from age 5 to elderly patients through a spectrum of care that allows each person to find the level of care needed to return to an active, healthy life. Family members and significant others are encouraged to participate in each patient's care by taking part in education services, therapy and support groups. SCP also offers a Critical Incident Debriefing Team to help employees of businesses cope after a traumatic or violent episode. Sutter Health EAP Resources offers confidential assessment, counseling and referral services to employees of large and small businesses. Sutter Center for Psychiatry offers the only Inpatient Eating Disorder Program in Northern California. This new program is a six-bed specialized treatment program for eating disorder patients. MEMORIAL MEDICAL CENTER (MMC) IS AN ACUTE CARE FACILITY LOCATED IN Modesto, California, 90 miles south of Sacramento in Stanislaus County. Centrally located to serve our immediate county and outlying areas, Memorial was established in 1970. Memorial Medical Center is currently licensed for 419 acute care beds and is a Sutter Health Affiliate. Memorial Hospital Los Banos (MHLB) is a private, not-for-profit community hospital incorporated under California law to provide health care services within finite resources, to citizens of Los Banos and the surrounding geographical areas. We provide high quality compassionate care and exercise prudent fiscal responsibility. MHLB opened in 1967 and is part of the Sutter Central Valley Region. The organization affiliated with Sutter Health in 1996 and is accredited by the Joint Commission on Accreditation of Healthcare Organizations. Memorial Hospital Los Banos is currently licensed for 40 acute beds. Sutter Tracy Community Hospital (STCH), since 1948, continues to be the only full-service, 77 acute care beds hospital within a 15-mile radius geographically. Located in Tracy, California, STCH staff has the opportunity to deliver culturally competent care to the diverse population within its service area. As a state-of-the-art facility, it features the latest medical technology and diagnostic equipment and offers a comprehensive array of inpatient and outpatient services on par with many larger, urban hospitals. Additionally, Sutter Tracy is committed to bringing the best and brightest physicians and the latest advances in medicine to the community. It is affiliated with many remarkable, local physicians who are at the forefront of their field. SUTTER VALLEY HOSPITALS' SERVICES INCLUDE: - 24-HOUR EMERGENCY TREATMENT - ACUTE REHABILITATION - ANESTHESIOLOGY - BARIATRIC SURGERY - CANCER CARE - CARDIAC CATHETERIZATION LABORATORY - CARDIAC REHABILITATION - CARDIOPULMONARY SERVICES - CARDIOVASCULAR SERVICES - COMMUNITY BENEFIT - CONGESTIVE HEART FAILURE PROGRAM - CONTINENCE - CRITICAL CARE - DENTISTRY - DERMATOLOGY - DIABETES EDUCATION & TREATMENT - DIAGNOSTIC IMAGING - DIALYSIS - DIGITAL MAMMOGRAPHY - EDUCATION RESPIRATORY THERAPY - ENDOSCOPY - FAMILY BIRTH CENTER - GASTROENTEROLOGY - HEART AND VASCULAR INSTITUTE - HOME HEALTH AND HOSPICE CARE - INFUSION THERAPY - INTENSIVE CARE - INTERNAL MEDICINE - IV THERAPY - LABORATORY - LACTATION ASSISTANCE PROGRAM - LEVEL II TRAUMA CENTER - MAJOR TRAUMA PATIENT RECEIVING CENTER - MEDICAL LIBRARY ACCESS - MODERN FAMILY BIRTHING CENTER - NEO NATAL INTENSIVE CARE - NEPHROLOGY - NEUROLOGY - NUCLEAR MEDICINE - NUTRITIONAL SUPPORT SERVICES - OBSTETRICS AND PERINATAL CARE - OCCUPATIONAL MEDICINE - ONCOLOGY - OPHTHALMOLOGY - ORAL SURGERY - ORTHOPEDICS - OTOLARYNGOLOGY - OUTPATIENT SURGERY - PAIN MEDICINE - PALLIATIVE CARE - PASTORAL CARE - PATHOLOGY - PATIENT AND COMMUNITY EDUCATION - PEDIATRICS - PHARMACY - PLASTIC SURGERY - PODIATRY - PRIMARY CARE / FAMILY PRACTICE - PULMONARY REHABILITATION - RADIATION ONCOLOGY - RADIOLOGY - REHABILITATION / PHYSICAL THERAPY - REHABILITATION SERVICES - RESPIRATORY CARE - RESPIRATORY THERAPY - SENIOR SERVICES - SLEEP DISORDERS CENTER - SOCIAL SERVICES - SPECIALTY CARE - SPEECH THERAPY - SPIRITUAL SERVICES - SURGICAL SERVICES - SUTTER REHABILITATION INSTITUTE - TELEMETRY - TRANSFUSION MEDICINE - TRAUMA NEURO INTENSIVE CARE UNIT - UROLOGY - VNA (HOME HEALTH AND IV THERAPY) - WOMEN'S IMAGING CENTER - WOUND CARE Sutter Institute for Medical Research (SIMR): Sutter Valley Hospitals of Sacramento service area is committed to providing the best possible healthcare to its patients, and the Sutter Institute for Medical Research supports this commitment by providing research support and education programs. SIMR has a history of over five decades of commitment to medical research. SIMR has gained recognition for its investigative studies in the areas of heart, cancer, orthopedics, respiratory, neurology, GI/GU and many other areas of medicine. SIMR's primary objective is to help health professionals conduct research in a clinical setting by providing management and administrative resources otherwise unavailable to the private practitioner. At SIMR, Sutter investigators receive support in five areas. - RESEARCH ADMINISTRATIVE SERVICES - RESEARCH SUPPORT SERVICES - CLINICAL TRIALS PROGRAM - LABORATORY RESEARCH AND TRAINING - SUTTER HEALTH CENTRAL AREA INSTITUTIONAL REVIEW COMMITTEE (IRC) COMMUNITY BENEFIT The medical facilities in Sutter Valley Hospitals (SVH) play integral roles in providing direct health care services as well as monetary grants or sponsorships to non-profit organizations to address the community health needs of vulnerable, underinsured, and uninsured populations in their communities. The community benefit representatives of SVH work collaboratively and in partnerships with a broad and diverse network of community-based non-profits, city and county agencies, physicians, and neighborhood groups to identify local needs, formulate community benefit plans, and take appropriate funding actions. While SBH management sets overall goals for community benefits, each of the facilities medical center administrators are responsible for identifying how local needs are to be addressed. In fiscal year 2020, Sutter Valley Hospitals provided a regional total of $981,376,502 in cost of services and benefits for the poor and underserved: $38,376,822 in Financial Assistance, Means-Tested Programs $94,108,534, and Medicaid $848,891,146. FORM 990, PART VI, SECTION A, LINE 1A THE AFFAIRS AND MANAGEMENT OF THE SUTTER VALLEY HOSPITALS (SVH) ARE SUPERVISED BY THE EXECUTIVE COMMITTEE WHICH HAS POWER TO TRANSACT ALL REGULAR BUSINESS OF SVH DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD OF DIRECTORS. The Executive Committee consists of SVH's Chair who shall serve as chair of the committee, the Chair of the Finance and Planning Committee, the Chief Operating Officer of the General Member (if this position is occupied) and two (2) additional Directors. If the position of the Chief Operating Officer of the General Member is not occupied, then the President and CEO of the General Member may appoint either a Designated Director or an Appointed Director as a member. AT LEAST ONE COMMITTEE MEMBER IS A PHYSICIAN DIRECTOR. FORM 990, PART VI, SECTION A, LINES 6 & 7A CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS: THIS CORPORATION IS AN AFFILIATE OF SUTTER HEALTH, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION. SUTTER HEALTH IS THE SOLE MEMBER WITH THE RIGHT TO ELECT AT LEAST A MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS: SUTTER HEALTH AS THE SOLE MEMBER OF THE ORGANIZATION IS ENTITLED TO EXERCISE FULLY ALL RIGHTS AND PRIVILEGES OF MEMBERS OF NONPROFIT CORPORATIONS UNDER THE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION LAW, AND ALL OTHER APPLICABLE LAWS. THE MEMBER HAS THE RIGHTS AND POWERS TO APPOINT (AND REMOVE) MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS, SUBJECT TO THE PROVISIONS OF THE BYLAWS. IN ADDITION, THE MEMBER HAS THE RIGHT TO APPROVE THE FOLLOWING ACTIONS OF THE CORPORATION'S BOARD OF DIRECTORS: A. MERGER, CONSOLIDATION, REORGANIZATION, OR DISSOLUTION OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; B. AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; C. ADOPTION OF OPERATING BUDGETS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY, INCLUDING CONSOLIDATED OR COMBINED BUDGETS OF THE CORPORATION AND ALL SUBSIDIARY ORGANIZATIONS OF THE CORPORATION; D. ADOPTION OF CAPITAL BUDGETS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; E. AGGREGATE OPERATING OR CAPITAL EXPENDITURES ON AN ANNUAL BASIS THAT EXCEED APPROVED OPERATING OR CAPITAL BUDGETS BY A SPECIFIED DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE GENERAL MEMBER; F. LONG-TERM OR MATERIAL AGREEMENTS INCLUDING, BUT NOT LIMITED TO, BORROWINGS, EQUITY FINANCINGS, CAPITALIZED LEASES AND INSTALLMENT CONTRACTS; AND PURCHASE, SALE, LEASE, DISPOSITION, HYPOTHECATION, EXCHANGE, GIFT, PLEDGE, OR ENCUMBRANCE OF ANY ASSET, REAL OR PERSONAL, WITH A FAIR MARKET VALUE IN EXCESS OF A DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE DIRECTORS OF THE GENERAL MEMBER, WHICH SHALL NOT BE LESS THAN 10% OF THE TOTAL ANNUAL CAPITAL BUDGET OF THE CORPORATION; G. APPOINTMENT OF AN INDEPENDENT AUDITOR AND HIRING OF INDEPENDENT COUNSEL EXCEPT IN CONFLICT SITUATIONS BETWEEN THE GENERAL MEMBER AND THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; H. THE CREATION OR ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE ENTITY; I. CONTRACTING WITH AN UNRELATED THIRD PARTY FOR ALL OR SUBSTANTIALLY ALL OF THE MANAGEMENT OF THE ASSETS OR OPERATIONS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; J. APPROVAL OF MAJOR NEW PROGRAMS AND CLINICAL SERVICES OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY. THE GENERAL MEMBER SHALL FROM TIME TO TIME DEFINE THE TERM "MAJOR" IN THIS CONTEXT; K. APPROVAL OF STRATEGIC PLANS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; L. ADOPTION OF QUALITY ASSURANCE POLICIES NOT IN CONFORMITY WITH POLICIES ESTABLISHED BY THE GENERAL MEMBER; M. ANY TRANSACTION BETWEEN THE CORPORATION, A SUBSIDIARY OR AFFILIATE AND A DIRECTOR OF THE CORPORATION OR AN AFFILIATE OF SUCH DIRECTOR. N. ANY SELF-DEALING TRANSACTION BETWEEN A DIRECTOR OF THE CORPORATION AND THE CORPORATION OR A SUBSIDIARY OF THE CORPORATION; OR O. REHIRING, CONTRACTING WITH, OR OTHERWISE COMPENSATING A SUTTER HEALTH EXECUTIVE, OR ANY OFFICER OR MEMBER OF MANAGEMENT OF THE CORPORATION OR ANY AFFILIATED ENTITY AFTER THEIR EMPLOYMENT HAS ENDED. IN ADDITION, THE GENERAL MEMBER SHALL HAVE THE AUTHORITY (BY A VOTE OF NOT LESS THAN TWO-THIRDS (2/3) OF ITS BOARD), TO DECLARE A MAJOR ACTIVITY REQUIRING APPROVAL. FORM 990, PART VI, SECTION B, LINE 11B PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW FORM 990: SUTTER HEALTH HAS A CENTRALIZED TAX DEPARTMENT RESPONSIBLE FOR THE PREPARATION OF THE FORM 990. ANNUALLY THE TAX DEPARTMENT PROVIDES TRAINING AND EDUCATION TO AFFILIATE PERSONNEL WHO ASSIST THE TAX DEPARTMENT IN COLLECTING AND REVIEWING DATA TO BE REPORTED ON THE FORM 990. THE PREPARATION MATERIAL IS REVIEWED BY VARIOUS DEPARTMENTS INCLUDING TAX, FINANCE, LEGAL, AND HUMAN RESOURCES. A NATIONAL ACCOUNTING FIRM PREPARES AND/OR REVIEWS THE RETURN. A COMPLETED RETURN IS THEN REVIEWED BY THE TAX DEPARTMENT, THE AFFILIATE, AND THE CFO BEFORE THE RETURN IS FILED. FORM 990, PART VI, SECTION B, LINE 12 PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST: EMPLOYEES ARE EDUCATED ON THE CONFLICT OF INTEREST POLICY AND THE NEED TO MAKE DISCLOSURE AS PART OF ANNUAL COMPLIANCE EDUCATION. IN ADDITION, ANNUALLY A DISCLOSURE STATEMENT IS COMPLETED BY ALL DIRECTORS, OFFICERS AND KEY EMPLOYEES. ON THIS STATEMENT THE INDIVIDUAL WILL LIST A WIDE RANGE OF INFORMATION WHICH INCLUDES BUSINESS RELATIONSHIPS, EMPLOYMENT RELATIONSHIPS, PROPERTY INTERESTS, AND THOSE OF RELATED PARTIES. IF THERE IS A POTENTIAL CONFLICT OF INTEREST RELATED TO A PARTICULAR TRANSACTION, THE INTERESTED INDIVIDUAL MUST DISCLOSE THE EXISTENCE AND NATURE OF THE RELATIONSHIP. THE BOARD CHAIR MAY APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE THE CONFLICT. THE BOARD MAY CONSULT WITH THE OFFICE OF THE GENERAL COUNSEL AS NECESSARY. UNTIL THE POTENTIAL CONFLICT IS RESOLVED, THE BOARD CHAIR (OR COMMITTEE CHAIR AS APPLICABLE) MAY REQUEST THE INDIVIDUAL TO NOT PARTICIPATE DURING RELATED PRESENTATIONS AND DISCUSSIONS. IN ALL CIRCUMSTANCES INVOLVING AN ACTUAL CONFLICT, THE INTERESTED INDIVIDUAL SHALL LEAVE THE ROOM PRIOR TO THE BOARD'S FINAL DISCUSSION AND VOTE. FORM 990, PART VI, SECTION B, LINES 15A & 15B PROCESS FOR DETERMINING COMPENSATION: THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ASSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARMS LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF SUTTER'S EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATION'S OVERALL MISSION. IN ORDER TO ENSURE EXTERNAL COMPETITIVENESS, NATIONAL COMPENSATION DATA COMPARISONS ARE REVIEWED. COMPETITIVE ANALYSIS INCLUDES: (A) BASE SALARY, (B) TOTAL CASH (BASE SALARY + ANNUAL INCENTIVE), (C) TOTAL DIRECT CASH (BASE SALARY + ANNUAL INCENTIVE + LONG TERM INCENTIVE) AND (D) TOTAL REMUNERATION (BASE SALARY + ANNUAL INCENTIVE + BENEFITS AND LONG TERM INCENTIVE). THIS ANALYSIS INCLUDES COMPARABLE ORGANIZATIONS FOR THE MOST SENIOR EXECUTIVE POSITIONS, NATIONAL COMPARISONS FOR ORGANIZATIONS SIMILAR IN SIZE, SCOPE AND COMPLEXITY AS SUTTER HEALTH ARE MOST APPROPRIATE SINCE IT IS A NATIONAL MARKETPLACE IN WHICH SUTTER COMPETES FOR EXECUTIVE TALENT. ON THE OTHER HAND, BECAUSE CALIFORNIA'S UNDERLYING COMPENSATION STRUCTURE IS HIGHER THAN NATIONAL DATA (ESPECIALLY IN THE BAY AREA), REGIONAL PAY ADJUSTMENTS MAY BE MADE. OFFICERS AND KEY EMPLOYEES OF THIS ORGANIZATION UNDERGO A REVIEW AND COMPENSATION COMMITTEE APPROVAL ANNUALLY, AND SUCH APPROVAL IS RECORDED IN THE MINUTES. THE 2020 EXECUTIVE COMPENSATION APPROVAL WAS COMPLETED IN FEBRUARY 2020. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF GOVERNING DOCUMENTS, COI POLICY & FINANCIAL STATEMENTS: THE SUTTER HEALTH SYSTEM POSTS ITS CURRENT AND PAST AUDITED FINANCIAL STATEMENTS AT SUTTERHEALTH.ORG. OTHER DOCUMENTS ARE ALSO LOCATED AT THIS WEBSITE INCLUDING THE ANNUAL REPORT, MISSION STATEMENT, HISTORY, AND LINKS TO AFFILIATE WEBSITES. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME. FORM 990, PART VII, SECTION A COMPENSATION OF BOARD MEMBERS: THE FOLLOWING BOARD MEMBERS OF THE ORGANIZATION ARE FULL-TIME EMPLOYEES (40 HOURS PER WEEK) OF SUTTER HEALTH AND THEIR SUTTER HEALTH SALARIES ARE REPORTED HEREIN. THESE INDIVIDUALS RECEIVE NO COMPENSATION FOR THEIR SERVICE AS BOARD MEMBERS OF THIS ORGANIZATION. - JAMES CONFORTI - PETER HULL, MD - SARAH KREVANS COMMON LAW EMPLOYEES: INDIVIDUALS LISTED AS OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION THAT ARE PAID FULLTIME BY A RELATED ORGANIZATION ARE COMMON LAW EMPLOYEES OF SUTTER HEALTH, A SEPARATE LEGAL ENTITY. IT IS THE INTENTION OF SUTTER HEALTH AND THE FILING ORGANIZATION TO MAKE INFORMATION ACCESSIBLE AND TRANSPARENT, REPORTING THOSE SUTTER HEALTH EMPLOYEES WHO HAVE OFFICER AND KEY EMPLOYEE RESPONSIBILITIES TO THE FILING ORGANIZATION. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES: K-1 ACTIVITY ($41,530) PARTNERSHIP LOSS ON BOOKS 248,779 EQUITY TRANSFERS (NET) 15,516,396 ROUNDING (2) ---------------- TOTAL: $15,723,643 CALIFORNIA PACIFIC MEDICAL CTR FOUND C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 942728423 FUNDRAISING CA 501(C)(3) 7 SUTTER BH true EAST BAY PERINATAL CENTER C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 510172285 HEALTHCARE CA 501(C)(3) 3 SUTTER EBH true MEMORIAL HOSPITAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 942290244 FUNDRAISING CA 501(C)(3) 12A - I SUTTER VH true MILLS-PENINSULA HOSPITAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 237288765 FUNDRAISING CA 501(C)(3) 7 SUTTER BH true SAMUEL MERRITT UNIVERSITY 450 30TH STREET STE 2840 OAKLAND CA 94609 942992642 UNIVERSITY CA 501(C)(3) 2 SUTTER EBH true SUTTER AUBURN FAITH HOSPITAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 942594966 FUNDRAISING CA 501(C)(3) 7 SUTTER VH true SUTTER BAY HOSPITALS C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 940562680 HOSPITAL CA 501(C)(3) 3 SUTTER HLTH true SUTTER BAY MEDICAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 941156581 HEALTHCARE CA 501(C)(3) 3 SUTTER HLTH true SUTTER COAST HOSPITAL C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 942988520 HOSPITAL CA 501(C)(3) 3 SUTTER HLTH true SUTTER DAVIS HOSPITAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 680217870 FUNDRAISING CA 501(C)(3) 7 SUTTER VH true SUTTER HEALTH 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 942788907 SUPPORTING OR CA 501(C)(3) 12C III-FI NA false SUTTER HEALTH PACIFIC 91-2301 FT WEAVER RD EWA BEACH HI 96706 990298651 HOSPITAL CA 501(C)(3) 3 SUTTER HLTH true SUTTER HEALTH PLAN C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 461183948 HEALTH PLAN CA 501(C)(4) N/A SUTTER HLTH true SUTTER INSURANCE SERVICES CORPORATION 745 FORT STREET SUITE 1100 HONOLULU HI 96813 990289310 INSURANCE SER HI 501(C)(3) 12C III-FI SUTTER HLTH true SUTTER MEDICAL CENTER FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 942788906 FUNDRAISING CA 501(C)(3) 7 SUTTER VH true SUTTER ROSEVILLE MEDICAL CTR FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 680040113 FUNDRAISING CA 501(C)(3) 7 SUTTER VH true SUTTER SOLANO CHARITABLE FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 942668262 FUNDRAISING CA 501(C)(3) 7 SUTTER VH true Sutter Valley Medical Foundation C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 680273974 HEALTHCARE CA 501(C)(3) 3 SUTTER HLTH true Sutter Visiting Nurse Association and Ho C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 946068843 Healthcare CA 501(C)(3) 10 Sutter Hlth true Tracy Hospital Foundation C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 680318845 Fundraising CA 501(c)(3) 12A-I Sutter VH true SURGERY CENTER OF ALTA BATES SMC 3875 TELEGRAPH OAKLAND CA 94609 470946086 PATIENT CARE CA NA CALIFORNIA PACIFIC ADV IMAGING LLC PO BOX 6102 NOVATO CA 94598 562311840 PATIENT CARE DE NA SAN FRANCISCO ENDOSCOPY CENTER 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 912160588 PATIENT CARE CA NA PRESIDIO SURGERY CENTER LLC 1635 DIVISADERO SAN FRANCISCO CA 94115 320144060 PATIENT CARE CA NA SUTTER FAIRFIELD SURGERY CENTER LLC 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 300233892 PATIENT CARE CA NA SUTTER AMADOR SURGERY CENTER LLC 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 461398093 PATIENT CARE CA SVH Related -164738 412240 false 0 true 0.32000 ROSEVILLE ENDOSCOPY CENTER 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 870710513 PATIENT CARE CA SVH Related 413095 321512 false 0 true 0.11000 STANISLAUS SURGICAL HOSPITAL LLC 1421 OAKDALE ROAD MODESTO CA 95355 911754157 PATIENT CARE CA SVH Related -315485 34235961 false 0 true 0.20002 MEMORIAL MEDICAL BUILDING 1 1800 COFFEE RD 76 MODESTO CA 95355 770234236 OFFICE RENTAL CA SVH Related 108658 1379175 false 0 true 0.75039 MAGNETIC IMAGING AFFILIATES LLC 2125 OAK GROVE ROAD WALNUT CREEK CA 94598 473696091 PATIENT CARE CA NA ASC OPERATORS - 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