2019-05-11T12:02:21-05:00 2018-06-30 861065772 Deloitte Tax LLP 111 Monument Circle Suite 4200 Indianapolis IN 462045108 990 2017-07-01 590634434 Sacred Heart Health System Inc SACR 3147338000 5151 North 9th Avenue Pensacola FL 325048721 Tonya Mershon Tax Officer 2019-05-11 true Samantha Bokori P01057347 3174648600 2017 2019-02-21 02:37:17Z J Henry Stovall III 5151 North 9th Avenue Pensacola FL 325048721 906109522 false 0928 X https://healthcare.ascension.org/Locations/Florida/FLPEN/Pensacola-Sacred-Heart-Hospital-Pensacola X 1915 FL To improve the health and well-being of all people in the communities we serve. 15 15 6189 480 2081219 778205 3751506 4755934 858368184 879253852 496539 -80287 14603398 20299260 877219627 904228759 750713 2861355 0 399109820 412801797 0 0 0 454341215 483958146 854201748 899621298 23017879 4607461 573659748 619036592 366463683 346038761 207196065 272997831 Our Mission as part of a Catholic health care system is to further the healing ministry of Jesus by continually improving the health and well-being of all people, especially the poor, in the communities we serve. false false 631487223 2861355 881626063 Sacred Heart Health System, Inc. is a 566-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2018, Sacred Heart Health System, Inc. treated 31,057 adults and children for a total of 141,449 patient days of service. The hospital also provided services for 1,510,313 outpatient visits, which included 18,334 outpatient surgeries and 147,802 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions. 631487223 true true false true false false false false true true false false true true true false true false false false false false false false false true true true false true false false false false false false false false true false false false true true true true false false true 636 0 true 6189 true true true false false false false false true false false false X 15 15 false false false false true true true true true false false false true true true true true false true true true X SARA OBRIEN 3147338070 11775 BORMAN DRIVE MARYLAND HEIGHTS MO 63146 SUSAN L DAVIS RN DIRECTOR, PRESIDENT/CEO (END 4/2018) 0.0 50.0 X X 0 10276391 35873 QUINT STUDER CHAIRMAN 1.0 0 X X 0 0 0 DAVID SANSING VICE-CHAIRMAN 1.0 0 X X 0 0 0 RICHARD R BAKER SECRETARY/TREASURER 1.0 0 X X 0 0 0 DEBBIE CALDER DIRECTOR (END 8/2017) 1.0 0 X 0 0 0 SISTER MARY JEAN DOYLE DIRECTOR 1.0 0 X 0 0 0 SISTER NORA GATTO DC DIRECTOR (END 7/2017) 1.0 0 X 0 0 0 KEVIN JOSEPH MD DIRECTOR (START 1/2018) 1.0 0 X 0 0 0 MICHAEL MURDOCH MD DIRECTOR (START 1/2018) 1.0 0 X 0 0 0 ALAN NICKELSEN DIRECTOR 1.0 0 X 0 0 0 WL SPIDER NYLAND DIRECTOR 1.0 0 X 0 0 0 SISTER LOIS O'MALLEY CSJ DIRECTOR 1.0 0 X 0 0 0 AMIE REMINGTON DIRECTOR (START 7/2017) 1.0 0 X 0 0 0 KRISTINE RUSHING DIRECTOR (START 1/2018) 1.0 0 X 0 0 0 ANTONIO TERRY DIRECTOR 1.0 0 X 0 0 0 MATTHEW VINSON DIRECTOR (START 1/2018) 1.0 0 X 0 0 0 ANGIE WATSON DIRECTOR (START 1/2018) 1.0 0 X 0 0 0 BERNARD YATES DIRECTOR (START 1/2018) 1.0 0 X 0 0 0 C SUSAN CORNEJO CHIEF FINANCIAL OFFICER - SHHS 7.0 43.0 X 37316 666356 37265 KERRY EATON CHIEF OPERATING OFFICER (END 10/2017) 48.0 2.0 X 812404 0 32759 KAREN EMMANUEL GENERAL COUNSEL/CORPORATE COMPLIANCE OFFICER (END 12/2017) 40.0 1.0 X 0 918212 24700 J HENRY STOVALL III PRESIDENT, SHHS (START 1/2018) 49.0 1.0 X 726763 0 34111 MICHELLE ADAMOLEKUN VP HR-MINISTRY MKT GULF COAST-JAX-BIR 11.0 44.0 X 0 429273 36215 ROGER HALL PRESIDENT - SHHEC & SHHG 40.0 0 X 601349 0 35139 JOHN HALSTEAD CHIEF MISSION INTEGRATION OFFICER 40.0 0 X 429979 0 30965 NINA JEFFORDS CNO - GULF COAST HEALTH SYSTEM 40.0 0 X 357970 0 26427 PETER J JENNINGS CHIEF MEDICAL OFFICER 40.0 0 X 475673 0 37509 JULES KARIHER CHIEF ADVOCACY OFFICER 40.0 0 X 210547 0 11090 STEPHEN R MAYFIELD CHIEF QUALITY OFFICER 40.0 0 X 211829 0 19614 ROBERT MURPHY PRES-ADMIN AMG GULF COAST MARKET 48.0 2.0 X 430280 0 39241 GARY PABLO MD CMO, SHHEC & SHHG 40.0 0 X 507602 0 35501 ROGER A POITRAS JR CHIEF STRATEGY OFFICER 40.0 0 X 612785 0 37840 DAVID G POWELL CHIEF RESOURCE OFFICER 40.0 0.0 X 0 339597 36025 DOUGLAS A ROSS SVP CLINICAL INTEGRATION 40.0 0 X 1058183 0 41806 MORRIS SIMHACHALAM MD CMO 40.0 0 X 559164 0 44162 TERESA D SMITH COO 40.0 0 X 315409 0 24718 AMY D WILSON CNO (END 1/2017) 0.0 50.0 X 8533 403291 33296 ROHIT R AMIN MD PHYSICIAN 50.0 0 X 924526 0 38972 MARK S BOATRIGHT MD PHYSICIAN 50.0 0 X 1039006 0 47633 SAMUEL DEMETRIOS CRITIDES MD PHYSICIAN 50.0 0 X 1150260 0 44307 KURT L MORRISON DO PHYSICIAN 50.0 0 X 1025961 0 50941 JUAN FELIX RONDEROS MD PHYSICIAN 50.0 0 X 1208950 0 41766 DENISE BARTON FORMER KEY EMPLOYEE (END 12/2015) 0.0 0.0 X 135682 0 1061 CAROL C WHITTINGTON FORMER OFFICER (END 6/2015) 0.0 50.0 X 0 926663 42262 12840170 13959783 921198 457 true true false HOAR CONSTRUCTION LLC 2 METROPLEX DR STE 400 BIRMINGHAM AL 352096877 CONSTRUCTION SERVICES 8186651 PENSACOLA LUNG GROUP MDS PA 4700 BAYOU BLVD SUITE 6 PENSACOLA FL 325031901 MEDICAL SERVICES 3497445 AMS SACRED HEART LLC 4901 GRANDE DRIVE PENSACOLA FL 32504 ANESTHESIA SERVICES 2933331 ARUP LABORATORIES 500 S CHIPETA WAY SALT LAKE CITY UT 841081221 LABORATORY SERVICES 1949914 OB HOSPITALIST GROUP LLC 10 CENTIMETERS DR MAULDIN SC 296623278 MEDICAL SERVICES 1576690 84 X 2062221 2551537 142176 57300 4755934 Net Patient Service Revenue 621990 852116189 850772109 1344080 Services to Affiliates 561000 10534752 10534752 Pharmacy Revenue 446110 11558651 11558651 Shared Savings Revenue 900099 3492779 3492779 State Program Revenue 900099 544983 544983 1006498 1006498 0 0 879253852 613389 613389 3295275 1187087 2108188 0 2108188 2108188 0 693676 0 -693676 -693676 -693676 0 0 Cafeteria/Vending Revenue 722514 3252292 3252292 Residency 900099 3302361 3302361 BP Settlement 900099 8876725 8876725 2759694 413930 737139 1608625 18191072 904228759 881626063 2081219 15765543 2861355 2861355 7810343 6759429 1050914 333460443 307454816 26005627 14559519 13424064 1135455 36137564 33319299 2818265 20833928 19184385 1649543 720675 9850 710825 325680 325680 95515 95515 29002 29002 29716119 14637511 15078608 0 849424 269334 580090 5379398 1730742 3648656 554857 157850 397007 20468055 592641 19875414 1876769 1157284 719485 880777 584102 296675 4157023 14360 4142663 29032279 12336645 16695634 9113888 2416314 6697574 MEDICAL SUPPLIES 166505267 164832168 1673099 PURCHASED SERVICES 94063371 20567062 73496309 MANAGEMENT FEE TO AFFILIATE 82828124 30895 82797229 UBI Tax Expense 179171 40259 138912 37182752 29106858 8075894 0 899621298 631487223 268134075 0 23420 24814 3209245 4219204 492040 543274 118746033 131763308 0 0 0 0 262754 12836979 17328450 17461510 2346209 1962810 784624960 437718503 307278069 346906457 0 0 30235914 40269372 93737614 63048864 573659748 619036592 58861916 58316405 1213892 641190 0 0 306387875 287081166 366463683 346038761 X 207196065 272997831 207196065 272997831 573659748 619036592 X 4607461 61194305 X false true X true true true X false true false false false false true 15565 false true 13437 29002 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY SACRED HEART HEALTH SYSTEM, INC. ENGAGED CONSULTANTS TO ASSIST IN VARIOUS LOBBYING ACTIVITIES PERTAINING TO STATE AND FEDERAL HEALTH CARE LEGISLATION, INCLUDING HEALTH CARE REFORM. STAFF AND CONSULTANTS WROTE LETTERS AND MET PERSONALLY WITH STATE AND LOCAL LEGISLATORS ON THESE MATTERS. LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. SACRED HEART HEALTH SYSTEM, INC. DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE. Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY SACRED HEART HEALTH SYSTEM, INC. ENGAGED CONSULTANTS TO ASSIST IN VARIOUS LOBBYING ACTIVITIES PERTAINING TO STATE AND FEDERAL HEALTH CARE LEGISLATION, INCLUDING HEALTH CARE REFORM. STAFF AND CONSULTANTS WROTE LETTERS AND MET PERSONALLY WITH STATE AND LOCAL LEGISLATORS ON THESE MATTERS. LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. SACRED HEART HEALTH SYSTEM, INC. DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE. 36642 0 0 0 0 0 36642 36642 0 0 0 0 0 36642 36642 0 0 0 0 0 36642 36642 0 0 0 0 0 36642 36149 0 493 0 0 0 36642 0.0 1.0 0.0 false true true 4700423 27268031 31968454 11231494 406614873 249803713 168042654 3327466 1846000 1481466 199068972 167234863 31834109 132413701 18833927 113579774 346906457 Physician Receivables Rent Receivable 2105730 Due from Affiliates 38882173 Other Receivables 10542352 Deferred Compensation/Retirement/Pension Asset Security Deposit 430694 Estimated 3rd Party Payor Settlements 9054088 Provider Tax 2033827 63048864 Other Noncurrent Liabilities 10321960 Liability Receivable Sold with Recourse 5277262 Intercompany Debt Due to Affiliates 149862592 Deferred Compensation/Retirement/Pension Liability Savings Plan Liability Estimated 3rd Party Payor Settlement 8420816 Recovery Tail Liability 4021482 Accrued Tax Liability 160785 Debt with Ascension Health Alliance 109016269 287081166 X Schedule D, Part V, Line 4 Intended uses of endowment funds The endowment fund was established for the benefit of Sacred Heart Health System, Inc. with the intended purpose of providing resource materials for parents. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2018. true true X true X 250 true X 329 true true true false true false 33666238 0 33666238 0.0374 161577145 89766212 71810933 0.0798 0 0.0 0 0 195243383 89766212 105477171 0.1172 827781 357907 469874 0.0005 2323120 0 2323120 0.0026 0 0.0 0 0.0 599031 0 599031 0.0007 0 0 3749932 357907 3392025 0.0038 0 0 198993315 90124119 108869196 0.1210 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 5025761 358010 293548291 341243316 -47695025 X true true 4 1 Sacred Heart Hospital 5151 N 9th Ave Pensacola FL 32504 https://healthcare.ascension.org/Locations/Florida/FLPEN/Pensacola-Sacred-Heart-Hospital-Pensacola 4433 X X X X X X A 2 Sacred Heart Hospital on the Emerald Coast 7800 US Hwy 98 West Miramar Beach FL 32550 https://healthcare.ascension.org/Locations/Florida/FLPEN/Miramar-Beach-Sacred-Heart-Hospital-on-the- 4470 X X X A 3 Sacred Heart Hospital on the Gulf 3801 E Hwy 98 Port St Joe FL 32456 https://healthcare.ascension.org/Locations/Florida/FLPEN/Port-Saint-Joe-Sacred-Heart-Hospital-on-the 4502 X X X A 4 Bay Medical Center 615 North Bonita Avenue Panama City FL 32401 https://baymedical.org/ 3982 X X X B A false false true X X X X X X X X X 15 true true true true X https://healthcare.ascension.org/Locations/Florida/FLPEN/Pensacola-Sacred-Heart-Hospital-Pensacola/C X X true 15 false true false true X 250.0 329.0 X X true true X X X X true X SEE PT VI X SEE PT VI X SEE PT VI X X X X X X true X false X X X X true X false false B 4 false false true X X X X X X X X X 15 true false true true X https://healthcare.ascension.org/Locations/Florida/FLPEN/Pensacola-Sacred-Heart-Hospital-Pensacola/C X https://baymedical.org/health-resoures/community-health X true 15 false true false true X 250.0 400.0 X X X true true X X X X true X https://baymedical.org/florida-pricing-transparency/financial-assistance-programs X https://baymedical.org/florida-pricing-transparency/financial-assistance-programs X https://baymedical.org/florida-pricing-transparency/financial-assistance-programs X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E Facility Group A Sacred Heart Hospital, Line 1 Sacred Heart Hospital on the Emerald Coast, Line 2 Sacred Heart Hospital on the Gulf, Line 3 To better target community resources on the service area's most pressing health needs, the hospital participated in a group discussion with organizational decision makers and community leaders to prioritize the significant community health needs while considering several criteria: alignment with Ascension Health strategies of healthcare that leaves no one behind; care for the poor and vulnerable; opportunities for partnership; availability of existing programs and resources; addressing disparities of subgroups; availability of evidence-based practices; and community input. The significant health needs are a prioritized description of the significant health needs of the community as identified through the CHNA. See Schedule H, Part V, Line 7 for the link to the CHNA and Schedule H, Part V, Line 11 for how those needs are being addressed. Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - A1 - Sacred Heart Hospital. IN 2015, THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS WAS FACILITATED BY THE PARTNERSHIP FOR A HEALTHY COMMUNITY (PARTNERSHIP), A NONPROFIT TAX-EXEMPT ORGANIZATION WHOSE MISSION IS TO SPONSOR COMMUNITY HEALTH STATUS ASSESSMENTS FOR THE COMMUNITIES OF ESCAMBIA AND SANTA ROSA COUNTIES IN NORTHWEST FLORIDA AND TO SUPPORT AND PROMOTE COLLABORATIVE INITIATIVES THAT ADDRESS PRIORITY HEALTH PROBLEMS. THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS BOARD REVIEWED AND APPROVED IN 2016. COLLABORATING PARTNERS IN THE COMPLETION OF THIS REPORT INCLUDE REPRESENTATIVES FROM THE FLORIDA DEPARTMENTS OF HEALTH IN ESCAMBIA AND SANTA ROSA COUNTIES, BAPTIST HEALTH CARE, SACRED HEART HEALTH SYSTEM, ESCAMBIA COMMUNITY CLINICS (A FEDERALLY QUALIFIED HEALTH CENTER), AND THE UNIVERSITY OF WEST FLORIDA. THE AREA OF THE NEEDS ASSESSMENT WAS DEFINED AS THE POPULATION OF ESCAMBIA AND SANTA ROSA COUNTIES. ESCAMBIA COUNTY IS THE 18TH LARGEST OF FLORIDA'S 67 COUNTIES BY POPULATION AND THE 38TH LARGEST BY LANDMASS. THE WESTERNMOST COUNTY IN THE STATE OF FLORIDA HAS A TOTAL POPULATION OF 302,421. ACCORDING TO THE 2014 ESTIMATES BY THE DEPARTMENT OF HEALTH, OFFICE OF HEALTH STATISTICS, THE RACIAL DISTRIBUTION IN ESCAMBIA COUNTY IS 69.4% WHITE, 30.6% BLACK OR ANOTHER RACE. OF THE TOTAL POPULATION, 5.4% IS HISPANIC. ONLY 15.5% OF RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH, COMPARED TO 27.4% FOR THE STATE OF FLORIDA (2013 ESTIMATES). THE COUNTY POVERTY IS 16.4%, SIGNIFICANTLY HIGHER THAN THE 13.8% AVERAGE FOR THE STATE OF FLORIDA. SANTA ROSA COUNTY BORDERS ESCAMBIA COUNTY TO THE EAST, AND HAS A TOTAL POPULATION OF 160,506. ITS COUNTY SEAT IS THE CITY OF MILTON, WHICH HAS A POPULATION OF AROUND 9,000. ACCORDING TO THE 2014 ESTIMATES BY THE DEPARTMENT OF HEALTH, OFFICE OF HEALTH STATISTICS, THE RACIAL DISTRIBUTION IN SANTA ROSA COUNTY IS 87.7% WHITE, 12.3% BLACK OR ANOTHER RACE. OF THE TOTAL POPULATION, 5.6% IS HISPANIC. ONLY 6.5% OF RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH, COMPARED TO 27.4% FOR THE STATE OF FLORIDA (2013 ESTIMATES). SANTA ROSA COUNTY IS NOT ONLY LESS POPULATED THAN ESCAMBIA COUNTY, IT ALSO HAS A LOWER POPULATION DENSITY, REFLECTING A MORE RURAL LANDSCAPE. THE SOUTHERN PORTION OF SANTA ROSA COUNTY IS GEOGRAPHICALLY SEPARATED FROM THE NORTH BY PENSACOLA BAY. THE PARTNERSHIP CONDUCTED A COMMUNITY HEALTH SURVEY WITH A TOTAL OF 1,621 RESPONDENTS FROM ESCAMBIA AND SANTA ROSA COUNTIES AND FOUND THE FOLLOWING THEMES AND COMMUNITY CONCERNS: - OBESITY, POOR EATING HABITS, AFFORDABILITY OF HEALTHY FOODS, - ACCESS TO DENTAL CARE - MENTAL HEALTH & SUBSTANCE ABUSE BEHAVIORS & ACCESS TO MENTAL HEALTH SERVICES. THE PARTNERSHIP COLLECTED COUNTY-LEVEL DATA FOR 167 HEALTH STATUS INDICATORS AND 27 DEMOGRAPHIC INDICATORS. AS A BENCHMARK, INDIVIDUAL PERFORMANCE FOR EACH COUNTY WAS COMPARED TO THAT OF FLORIDA STATE AS A WHOLE. TO IDENTIFY OVERALL THEMES, RESULTS WERE ANALYZED USING THE COUNTY HEALTH RANKINGS MODEL FOR POPULATION HEALTH THAT EMPHASIZED THE IMPACT OF HEALTH FACTORS, SUCH AS BEHAVIOR, CLINICAL CARE, SOCIAL & ECONOMIC FACTORS, AND PHYSICAL ENVIRONMENT, ON THE HEALTH OUTCOMES OF MORTALITY (LENGTH OF LIFE) AND MORBIDITY (QUALITY OF LIFE). THE 2015-16 COMMUNITY HEALTH NEEDS ASSESSMENT - ESCAMBIA AND SANTA ROSA COUNTIES, FLORIDA (CHNA) REPORT (AVAILABLE ON-LINE AT https://healthcare.ascension.org/Locations/Florida/FLPEN/Pensacola-Sacred-Heart-Hospital-Pensacola/Community-Health-Needs-Assessment ) DETAILS THE PROCESSES AND DATA USED TO IDENTIFY THE TOP PRIORITY HEALTH ISSUES FOR THE TWO COUNTY AREA: - HEALTHIEST WEIGHT AND NUTRITION - TOBACCO USE - ACCESS TO CARE THE FOLLOWING ORGANIZATIONS WERE CONSULTED DURING THE CHNA PROCESS: 90 Works Advocare - Believe Alpha Center, Inc. Alzheimer's Family Services* American Diabetes Association American Red Cross* AMI Kids Pensacola Anytime Fitness Downtown Pensacola/Pace/Gulf Breeze ARC Gateway* Ascend Performance Materials Ascendant Healthcare Partners Autism Pensacola, Inc. * Baptist Health Care Baptist Health Care Foundation* Bay Area Food Bank* Be Ready Alliance Coordinating for Emergencies* Big Brothers, Big Sisters of Northwest Florida* Boy Scouts Gulf Coast Council* Boys and Girls Club of the Emerald Coast* Breeze Apartments Bridges out of Poverty Catholic Charities of Northwest Florida* Central Credit Union of Florida Chain Reaction* Children's Home Society of Florida, Western Division* City of Gulf Breeze City of Milton City of Pensacola Community Action Program* Community Drug & Alcohol Council, Inc. * Community Enterprise Investments* Community Faith Nursing (SH) * Council on Aging of West Florida* Covenant Hospice Cycle Therapy of Florida, Inc. Department of Children and Families Dixon School of Arts* Early Learning Coalition of Escambia County* Eating Better, Feeling Better, Living Better Inc. * ECUA Emerald Coast TEAM Services, Inc. * Epilepsy Foundation of Florida* Escambia Community Clinics/Santa Rosa Community Clinics Escambia County School District Every Child a Reader in Escambia (ECARE) * Families Count* Family-Funeral & Cremation Favor House of Northwest Florida * Fellowship of Christian Athletes* Fetch Dog Treats Florida Black Chamber of Commerce Florida Department of Health in Escambia County Florida Department of Health in Santa Rosa County Florida Institute for Health Innovation Forsley Properties Fresenius Medical Care Friends of West Florida Public Library* Friendship Missionary Baptist Church Girl Scouts* Goodwill Easter Seals of the Gulf Coast* Greater Pensacola Area Chamber of Commerce Gulf Breeze Area Chamber of Commerce Gulf Coast African American Chamber of Commerce Gulf Coast Caring Solutions Gulf Coast Kids House* Gulf Power Co. Hartnett Marketing Solutions Health and Hope Clinic* Health First Network Healthy Start Coalition of Escambia County, Inc. Healthy Start Coalition of Santa Rosa County, Inc. HSA Consulting Group, Inc. IdeaWorks Independence for the Blind of West Florida* Intelligent Health Services Interfaith Ministries/Good Samaritan Clinic Junior League of Pensacola Knight Time Boxing and Fitness Lakeview Center * Landrum Consulting Leaning Post Ranch* Learn to Read* Legal Services of North Florida* Love of Life Ministries, Inc. Lutheran Services Florida, Inc. - Northwest Region* Mainstay Financial Group Mako Crossfit MANNA Food Pantries* Marathon Health March of Dimes - Gulf Coast Division Marcus E. Paul, Family & Cosmetic Dentistry Medi-Weightloss Clinics Metis Health, LLC Milk and Honey Outreach Ministies* Ministry Village At Olive, Inc. Nemours Children's Clinic New Beginnings New Road to Learning Northwest Florida Legal Services One Blood Pace Center for Girls Pathways for Change Pennacle Properties, Inc. Pensacola Blue Wahoos Pensacola Fitness Pensacola State College Pensacola Wellness Solutions Pensacola Young Professionals Premier Island Management ProHealth/ProClinic PSGI, Inc. Robert Warren Rural Health Network NWF Sacred Heart Health System Santa Rosa County Lifeguard Medical Director Santa Rosa County School District Santa Rosa Health and Rehabilitation Center Santa Rosa Medical Center Seastar Aquatics St. Ann's Catholic Church Suncrest OMNI Home Care The Bar Milton Strength and Conditioning The Fall Prevention Lady The Salvation Army Thrive United Cerebral Palsy of Northwest Florida United Healthcare United Ministries United Way 211 United Way of Escambia United Way of Escambia County Agency Directors Assoc. University of Florida - Farm to School Program University of West Florida UniVision Group Virginia College Waterfront Rescue Mission West Florida AHEC West Florida Community Care Center West Florida Regional Planning Council White-Wilson Medical Clinic YMCA of Northwest Florida Yoga at West Florida Budokan *Members of United Way of Escambia County Agency Directors Association Schedule H, Part V, Section B, Line 5 Facility A, 2 Facility A, 2 - A2 - Sacred Heart Hospital on the Emerald Coast. SACRED HEART HOSPITAL ON THE EMERALD COAST COMMUNITY HEALTH NEEDS ASSESSMENT - 2015/2016 OVERVIEW IN 2015, SACRED HEART HEALTH SYSTEM, Inc. ("SHHS") AND THE FLORIDA DEPARTMENT OF HEALTH - WALTON COUNTY ("FDOH-WALTON") WORKED TOGETHER, IN COLLABORATION WITH OTHER COMMUNITY ORGANIZATIONS AND AGENCIES, TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") FOR THE APPROXIMATELY 59,000 RESIDENTS OF WALTON COUNTY, FLORIDA. THE AREA OF THIS NEEDS ASSESSMENT IS DEFINED AS THE POPULATION OF WALTON COUNTY. WALTON COUNTY IS SITUATED IN THE PANHANDLE OF FLORIDA AND ENCOMPASSES 1,238 SQUARE MILES. APPROXIMATELY 15% OF WALTON COUNTY'S LAND MASS IS WATER, AND AN ADDITIONAL 20% IS FEDERALLY OWNED AS PART OF EGLIN AIR FORCE BASE. THE COUNTY SEAT IS THE CITY OF DEFUNIAK SPRINGS, AND THE CITY OF FREEPORT AND TOWN OF PAXTON ARE THE ONLY OTHER INCORPORATED AREAS. HISTORICALLY, WALTON COUNTY HAS BEEN ONE OF THE FASTEST GROWING COUNTIES IN THE UNITED STATES. THE POPULATION GREW MORE THAN 35% BETWEEN 2000 AND 2010. BETWEEN 2010 AND 2014, WALTON COUNTY POPULATION GREW 11.4%, COMPARED TO TOTAL POPULATION GROWTH IN THE STATE OF 5.5% DURING THAT PERIOD. IN SPITE OF SIGNIFICANT POPULATION GROWTH, WALTON COUNTY HAS A LOW POPULATION DENSITY OF 50 PEOPLE PER SQUARE MILE AND IS DESIGNATED AS A STATUTORY RURAL COUNTY BY THE STATE OF FLORIDA. MINORITIES REPRESENT ABOUT 13% OF THE TOTAL POPULATION IN WALTON COUNTY, COMPARED TO ALMOST 24% OF THE POPULATION OF THE STATE. ONLY 5.7% OF THE POPULATION OF WALTON COUNTY IS HISPANIC, COMPARED TO 23.3% OF THE STATE'S POPULATION. THE MEDIAN HOUSEHOLD INCOME IN WALTON COUNTY IS $43,640, SIGNIFICANTLY BELOW THAT OF THE STATE. IN 2013, THE POVERTY RATE WAS 33.4%, COMPARED TO 29.0% STATEWIDE. THE UNEMPLOYMENT RATE AS OF AUGUST 2015 WAS 4.7%, LOWER THAN STATEWIDE AND A SIGNIFICANT IMPROVEMENT FROM THE 9.4% RATE REPORTED FOR 2010. THE CHNA PROCESS WAS LED BY SHHS AND FDOH-WALTON, WITH ACTIVE PARTICIPATION BY COMMUNITY ORGANIZATIONS AND PRIVATE AND PUBLIC AGENCIES WHICH COLLECTIVELY COMPRISE THE WALTON COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP (WCHIP). THE CHNA PROCESS INCLUDED WCHIP MEETINGS, A SURVEY OF HEALTH AND HUMAN SERVICE ORGANIZATIONS, AND A COMMUNITY SURVEY DISTRIBUTED BOTH ON-LINE AND IN PAPER FORMAT. MORE THAN 50 PEOPLE REPRESENTING MORE THAN 30 DIFFERENT COMMUNITY AGENCIES AND ORGANIZATIONS AND THE GENERAL PUBLIC PARTICIPATED IN VARIOUS MEETINGS THROUGHOUT THE PROCESS. IN ADDITION, 253 WALTON COUNTY RESIDENTS COMPLETED THE COMMUNITY SURVEY. PARTICULAR FOCUS WAS PLACED ON OBTAINING INPUT FROM VULNERABLE POPULATION GROUPS. BASED ON THE RESULTS OF THE ASSESSMENTS, A LIST OF 50 HEALTH INDICATORS THAT WERE OF GREATEST CONCERN IN WALTON COUNTY WAS IDENTIFIED. USING THE COUNTY HEALTH RANKING'S MODEL OF POPULATION HEALTH AS A FRAMEWORK, THE TOP HEALTH ISSUES WERE PRESENTED AND DISCUSSED AT A COMMUNITY MEETING ORGANIZED BY WCHIP. PARTICIPANTS WERE ASKED TO CONSIDER THREE CRITERIA FOR PRIORITIZING THE TOP ISSUES: - SEVERITY/MAGNITUDE (OF THE HEALTH ISSUE) - FEASIBILITY TO ADDRESS (AVAILABILITY OF RESOURCES, COMMUNITY WILL) - POTENTIAL IMPACT (ON COMMUNITY HEALTH STATUS) THE 2015-16 COMMUNITY HEALTH NEEDS ASSESSMENT - WALTON COUNTY, FLORIDA (CHNA) REPORT (AVAILABLE ON-LINE AT https://healthcare.ascension.org/Locations/Florida/FLPEN/Pensacola-Sacred-Heart-Hospital-Pensacola/Community-Health-Needs-Assessment ) DETAILS THE PROCESSES AND DATA USED TO IDENTIFY THE TOP PRIORITY HEALTH ISSUES FOR WALTON COUNTY: - PROVIDER AVAILABILITY AND ACCESS - SUBSTANCE ABUSE AND MENTAL HEALTH - HEALTHY WEIGHT THE FOLLOWING GROUPS WERE CONSULTED DURING THE CHNA PROCESS: Sacred Heart Health System Florida Department of Health - Walton County Panhandle Warrior Partnership COPE - 211 Goodwill Easter Seals Legacy Corps. Florida Department of Children and Families NW Florida Health Council/PanCare Health Easy Mobile Labs Emerald Coast Children's Advocacy Center Walton County Housing Walton Okaloosa Council on Aging COPE Center - Disaster Case Management Program Walton County School District First Baptist Church of Mossy Head Walton County Prevention Coalition Friendship House City of Freeport Walton County Sherriff's Office Walton County Baptist Association Florida Department of Health - Holmes/Washington Counties Walton County District 5 - Board of County Commissioners West Florida AHEC Catholic Charities of NW Florida Tri-County Community Council/Head Start/Early Head Start Northwest Florida State College Early Learning Coalition of Okaloosa and Walton Counties Emerald Coast Hospice Keller Williams Realty University of Florida Institute of Food and Agricultural Sciences Synergy Community Development, Inc. Early Learning Coalition of Okaloosa and Walton Counties Schedule H, Part V, Section B, Line 5 Facility A, 3 Facility A, 3 - A3 - Sacred Heart Hospital on the Gulf. SACRED HEART HOSPITAL ON THE GULF COMMUNITY HEALTH NEEDS ASSESSMENT - 2015/2016 OVERVIEW IN 2015, SACRED HEART HEALTH SYSTEM, Inc. ("SHHS") AND THE FLORIDA DEPARTMENT OF HEALTH - GULF COUNTY ("DOHGULF") WORKED TOGETHER, IN COLLABORATION WITH THE DOH-GULF'S COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP (CHIP) AND NUMEROUS OTHER COMMUNITY ORGANIZATIONS AND AGENCIES, TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT ("ASSESSMENT") FOR THE APPROXIMATELY 16,000 RESIDENTS OF GULF COUNTY, FLORIDA. THE CHNA PROVIDES A SNAPSHOT IN TIME OF THE COMMUNITY STRENGTHS, NEEDS, AND PRIORITIES. GUIDED BY THE MOBILIZATION FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) PROCESS, THE REPORT IS A RESULT OF A COLLABORATIVE AND PARTICIPATORY APPROACH TO COMMUNITY HEALTH PLANNING AND IMPROVEMENT. IMPROVING THE HEALTH OF THE COMMUNITY IS CRITICAL TO ENHANCING GULF COUNTY RESIDENTS' QUALITY OF LIFE AND SUPPORTING ITS FUTURE PROSPERITY AND WELL-BEING. THE AREA FOR THE PURPOSES OF THE ASSESSMENT WAS DEFINED AS THE POPULATION OF GULF COUNTY. GULF COUNTY HAS A TOTAL AREA OF 745 SQUARE MILES, OF WHICH 25% IS WATER. THERE ARE TWO POPULATION CENTERS IN GULF COUNTY - WEWAHITCHKA IN THE NORTHEAST PART OF THE COUNTY AND PORT ST. JOE, THE COUNTY SEAT AND LARGEST CITY, ON THE COAST. THE POPULATION IN GULF COUNTY INCREASED BY 7.0% BETWEEN 2000 AND 2010, ALTHOUGH THE GROWTH RATE WAS LESS THAN THE STATE OF FLORIDA OVER THE SAME PERIOD. BETWEEN 2010 AND 2014, THE GULF COUNTY POPULATION GREW ONLY 2.5%, COMPARED TO TOTAL POPULATION GROWTH IN THE STATE OF 5.8% DURING THAT PERIOD. MINORITIES REPRESENT ABOUT 23% OF THE TOTAL POPULATION, COMPARABLE TO THE COMPOSITION OF THE STATE. THE MEDIAN HOUSEHOLD INCOME IN GULF COUNTY IS $40,455, SIGNIFICANTLY BELOW THAT OF THE STATE. IN 2013, THE POVERTY RATE WAS 30.8%, COMPARED TO 29.0% STATEWIDE. THE UNEMPLOYMENT RATE AS OF AUGUST 2015 WAS 4.9%, LOWER THAN STATEWIDE AND A SIGNIFICANT IMPROVEMENT FROM THE 10.3% RATE REPORTED FOR 2010. THE ASSESSMENT PROCESS INCLUDED CHIP MEETINGS AND WORKSHOPS AND A COMMUNITY SURVEY DISTRIBUTED BOTH ONLINE AND IN PAPER FORMAT. MORE THAN 25 PEOPLE REPRESENTING MORE THAN 15 DIFFERENT COMMUNITY AGENCIES AND ORGANIZATIONS AND THE GENERAL PUBLIC PARTICIPATED IN VARIOUS MEETINGS THROUGHOUT THE PROCESS. IN ADDITION, 240 GULF COUNTY RESIDENTS COMPLETED THE COMMUNITY SURVEY. PARTICULAR FOCUS WAS PLACED ON OBTAINING INPUT FROM VULNERABLE POPULATION GROUPS. QUANTITATIVE DATA WERE OBTAINED FROM COUNTY, STATE, AND NATIONAL SOURCES. QUALITATIVE INFORMATION WAS OBTAINED THROUGH REGULAR CHIP MEETINGS AND WORKSHOPS AND THE COMMUNITY SURVEY. THE DATA REVIEW WAS FOLLOWED BY A DECISION MATRIX AND ENDED WITH SELECTION OF HEALTH PRIORITIES BASED ON THE FOLLOWING CRITERIA: - BROAD APPLICABILITY OF SOLUTION SET - TIME FRAME REQUIRED TO SUPPORT EFFORTS - POTENTIAL TO REDUCE HEALTH DISPARITIES - ALIGNMENT WITH VISION (TO ENHANCE HEALTH FOR ALL GENERATIONS IN GULF COUNTY) - COMMUNITY SUPPORT FOR THE PROBLEM - RESOURCE AVAILABILITY TO ADDRESS PROBLEM THE 2015-16 COMMUNITY HEALTH NEEDS ASSESSMENT - GULF COUNTY, FLORIDA (CHNA) REPORT (AVAILABLE ON-LINE AT https://healthcare.ascension.org/Locations/Florida/FLPEN/Pensacola-Sacred-Heart-Hospital-Pensacola/Community-Health-Needs-Assessment ) DETAILS THE PROCESSES AND DATA USED TO IDENTIFY THE TOP PRIORITY HEALTH ISSUES FOR GULF COUNTY: - ACCESS TO CARE - MENTAL HEALTH AND SUBSTANCE ABUSE - HEALTHY WEIGHT THE FOLLOWING ORGANIZATIONS WERE CONSULTED DURING THE CHNA PROCESS: Big Bend AHEC Big Bend Community Based Care Career Source Gulf Coast Community Care Center of Gulf County Department of Juvenile Justice DOH - Gulf County - Environmental Health Florida Department of Health - Closing the Gap Florida Department of Health - Franklin County Florida Department of Health - Gulf County Gulf Coast State College Healthy Start Coalition MyGulf Care - Sacred Heart Philadelphia Baptist Church Sacred Heart Health System Sacred Heart Hospital on the Gulf Tyndall Air Force Base University of Florida Institute of Food and Agricultural Sciences - Gulf County Wewahitchka Medical Center Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - A1 - Sacred Heart Hospital. Baptist Healthcare Schedule H, Part V, Section B, Line 6b Facility A, 1 Facility A, 1 - A1 - Sacred Heart Hospital. The Florida Departments of Health in Escambia and Santa Rosa Counties, Sacred Heart Health System, Inc., Escambia Community Clinics (a federally qualified health center), and the University of West Florida. Schedule H, Part V, Section B, Line 6b Facility A, 2 Facility A, 2 - A2 - Sacred Heart Hospital on the Emerald Coast. In 2015, Sacred Heart Health System, Inc. ("SHHS") and the Florida Department of Health - Gulf County ("DOHGULF") worked together, in collaboration with the DOH-Gulf's Community Health Improvement Partnership (CHIP) and numerous other community organizations and agencies, to conduct a community health needs assessment ("assessment") for the approximately 16,000 residents of Gulf County, Florida. Schedule H, Part V, Section B, Line 6b Facility A, 3 Facility A, 3 - A3 - Sacred Heart Hospital of the Gulf. In 2015, Sacred Heart Health System, Inc. ("SHHS"), the Florida Department of Health - Bay County ("DOH-Bay") and the Bay County Community Health Task Force (CHTF) worked together, in collaboration with other community organizations and agencies, to conduct a community health needs assessment (CHNA) for the approximately 175,000 residents of Bay County, Florida. Schedule H, Part V, Section B, Line 7 Facility A, 1 Facility A, 1 - FACILITY GROUP A. Sacred Heart Hospital, Line 1 Sacred Heart Hospital on the Emerald Coast, Line 2 Sacred Heart Hospital on the Gulf, Line 3 At a community Forum Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - A1 - Sacred Heart Hospital. HEALTHY WEIGHT GOAL: IMPROVE SKILLS AND ACCESS FOR HEALTHY WEIGHT. STRATEGY/ACTIONS: PREVENT TYPE 2 DIABETES BY EDUCATING PATIENTS ON SELF-MONITORING OF DIET AND PHYSICAL ACTIVITY, BUILDING SELF-EFFICACY AND SOCIAL SUPPORT TO MAINTAIN LIFESTYLE CHANGES, AND PROBLEM-SOLVING TO OVERCOME COMMON WEIGHT LOSS, PHYSICAL ACTIVITY, AND HEALTHY EATING CHALLENGES. BACKGROUND: - THE TARGET POPULATION IS ADULTS WHO ARE OVERWEIGHT OR OBESE (BMI 25.0 OR GREATER) AND ARE AT RISK FOR TYPE 2 DIABETES (DETERMINED BY AMERICAN DIABETES ASSOCIATION RISK ASSESSMENT TEST) - SACRED HEART DIABETES PREVENTION PROGRAM (DPP) IS A 52 WEEK PROGRAM THAT ADDRESSES HEALTHY LIFESTYLE CHOICES, INCLUDING A FOCUS ON ACHIEVING AND MAINTAINING A HEALTHY WEIGHT. - DPP INCLUDES EVIDENCE BASED CURRICULA FROM THE CENTERS OF DISEASE CONTROL (CDC) DIABETES PREVENTION PROGRAM WHICH CONSISTS OF A SERIES OF 16 WEEKLY CLASSES, 8 BIWEEKLY AND 6 MONTHLY CLASSES. - CLASSES ARE PROMOTED COMMUNITY-WIDE AND PARTICIPANTS MAY SELF-REFER OR BE REFERRED BY THEIR MEDICAL TEAM. RESOURCES/COMMUNITY PARTNERS: SHHP PATIENT EDUCATION DEPARTMENT (SHPED); SACRED HEART MEDICAL GROUP (SHMG), LIVE WELL PARTNERSHIP FOR A HEALTHY COMMUNITY TOBACCO USE GOAL: REDUCE ADULT TOBACCO USE STRATEGY/ACTIONS: PROVIDE TOBACCO CESSATION CLASSES/ COUNSELING TARGETING SACRED HEART INPATIENTS AND OUTPATIENTS. BACKGROUND: - WHEN MEDICALLY APPROPRIATE, BED-SIDE INFORMATION AND COUNSELING IS PROVIDED FOR INPATIENT TOBACCO USERS IDENTIFIED THROUGH THE ADMISSION PROCESS. PATIENTS IDENTIFIED DURING INPATIENT STAYS RECEIVE MORE TARGETED FOLLOW UP ASSISTANCE AND MAY BE ENROLLED IN CLASSES, RECEIVE ONE ON ONE COUNSELING AND NICOTINE REPLACEMENT THERAPY (AS APPROPRIATE) FOLLOWING THEIR INPATIENT STAY. - PHYSICIANS MAY IDENTIFY AND REFER PATIENTS DURING OUTPATIENT VISITS TO PARTICIPATE IN CLASSES OFFERED ON CAMPUS FREE OF CHARGE TO THE PUBLIC AND/OR FOR ONE-ON-ONE TOBACCO CESSATION COUNSELING. CLASSES ARE ALSO PROMOTED COMMUNITY WIDE AND DO NOT REQUIRE A REFERRAL. - FREE NICOTINE REPLACEMENT THERAPY (AVAILABLE THROUGH CLASSES) IS AVAILABLE FOR MOST CESSATION OPTIONS - ALL CLASSES AND COUNSELING FOLLOW THE AGENCY FOR HEALTH CARE AND QUALITY CLINICAL GUIDELINES BEST PRACTICES FOR TREATING TOBACCO USE. RESOURCES/COMMUNITY PARTNERS: SACRED HEART PATIENT EDUCATION (SHPE), AREA HEALTH EDUCATION CENTER (AHEC), SACRED HEART MEDICAL GROUP (SHMG), SACRED HEART RESIDENCY SUPPORT, SACRED HEART MARKETING (SHM), LIVE WELL PARTNERSHIP FOR A HEALTHY COMMUNITY. ACCESS TO CARE GOAL: PROMOTE EARLY INTERVENTION AND HEALTH MANAGEMENT STRATEGY/ACTIONS: PROVIDING COMMUNITY HEALTH SCREENINGS, HEALTH PROMOTION EDUCATION AND SUPPORT THROUGH COMMUNITY BASED OUTREACH SERVICES TO REDUCE ED AND INPATIENT ADMISSIONS AND LENGTH OF STAY DUE TO UNMANAGED CONDITIONS. BACKGROUND: - EARLY INTERVENTION, SELF-CARE EDUCATION AND ACCESS TO A MEDICAL HOME CAN REDUCE THE ONSET AND SEVERITY OF AMBULATORY SENSITIVE CONDITIONS SUCH AS DIABETES AND CONGESTIVE HEART FAILURE. - MISSION IN MOTION (MIM) PROVIDES FREE HEALTH SCREENINGS AT SITES IN ESCAMBIA AND SANTA ROSA COUNTIES. THE MIM TARGETS PERSONS WHO ARE POOR, UNINSURED, OR ELDERLY AND PROVIDES BLOOD SCREENINGS TO MEASURE BLOOD PRESSURE, BLOOD SUGAR, TOTAL CHOLESTEROL AND BLOOD COUNT. - SACRED HEART'S FAITH COMMUNITY NURSING PROGRAM (FCN) IS AVAILABLE TO CHURCHES OF ALL FAITHS. IT SUPPORTS THE EFFORTS OF VOLUNTEER NURSES WHO CHOOSE TO ASSIST CHURCH MEMBERS IN A VARIETY OF WAYS. FAITH COMMUNITY NURSES ARE STATE LICENSED RNS, OFTEN RETIRED OR SEMI-RETIRED, WHO FEEL A CALLING TO THIS SPECIAL ROLE. PARISH NURSES DO NOT ACT AS HOME HEALTH NURSES OR PROVIDE HOSPITAL-STYLE NURSING CARE, BUT THEY MAY MAKE HOME VISITS TO PERSONS WITH HEALTH CARE NEEDS, ORGANIZE A HEALTH CARE SCREENING THROUGH SACRED HEART, INITIATE REFERRALS TO PHYSICIANS OR COMMUNITY AGENCIES, OR PROVIDE OTHER HEALTH EDUCATION OR SPIRITUAL SUPPORT TO CHURCH MEMBERS. - AADE7 SELF CARE BEHAVIORS IS EVIDENCE BASED INTERVENTION DEVELOPED BY THE AMERICAN ASSOCIATION OF DIABETIC EDUCATORS (AADE). - ESCAMBIA AND SANTA ROSA UNINSURED RATES ARE 18.5%. IN FY 2015, THE HIGHEST VOLUME OF UNINSURED IP ADMISSIONS WERE FROM THE 32505 ZIP CODE. - ADDITIONAL FOCUS OF THE COMMUNITY WELLNESS OUTREACH WILL TARGET RECRUITMENT AND OUTREACH EFFORTS IN THE 32505 ZIP CODE. RESOURCES/COMMUNITY PARTNERS: COMMUNITY WELLNESS OUTREACH (CWS): FAITH COMMUNITY NURSING (FCN), MISSION IN MOTION (MIM), LOCAL CHURCHES AND COMMUNITY CENTERS. FUNDING FOR ESCAMBIA COMMUNITY CLINICS - ECC. LIVE WELL PARTNERSHIP FOR A HEALTHY COMMUNITY Schedule H, Part V, Section B, Line 11 Facility A, 2 Facility A, 2 - A2 - Sacred Heart Hospital on the Emerald Coast. ACCESS TO CARE GOAL: INCREASE ACCESS TO PRIMARY CARE SERVICES FOR THE UNINSURED AND UNDERINSURED IN WALTON COUNTY. STRATEGY/ACTIONS: INCREASE THE AVAILABILITY OF PRIMARY CARE AND CHRONIC DISEASE MANAGEMENT FOR UNINSURED AND UNDERINSURED ADULTS IN WALTON COUNTY. BACKGROUND: - ACCESS TO COMPREHENSIVE, QUALITY HEALTHCARE SERVICES IS IMPORTANT FOR THE ACHIEVEMENT OF HEALTH EQUITY AND FOR INCREASING THE QUALITY OF HEALTHY LIFE FOR EVERYONE. ACCESS TO CARE IMPACTS THE OVERALL PHYSICAL, SOCIAL AND MENTAL HEALTH STATUS; PREVENTION OF DISEASE AND DISABILITY; PREVENTABLE HOSPITALIZATION; DETECTION AND TREATMENT OF HEALTH CONDITIONS; QUALITY OF LIFE; PREVENTABLE DEATH; AND LIFE EXPECTANCY. - ACCESS TO CARE IS A MAJOR ISSUE IN WALTON COUNTY AND IS PRIMARILY DRIVEN BY THE LACK OF AVAILABLE PROVIDERS, HIGH COST OF INSURANCE COVERAGE AND LACK OF AWARENESS OF AVAILABLE SERVICES. - ABOUT 22% OF THE ADULT POPULATION IN WALTON COUNTY DOES NOT HAVE A PRIMARY CARE PROVIDER, WHICH INCREASED FROM 19% IN THE PREVIOUS PERIOD. - WALTON COUNTY HAS LESS PROVIDERS PER POPULATION THAN THE STATE IN ALL FOUR CATEGORIES FOR PRIMARY CARE, INCLUDING FAMILY MEDICINE, INTERNAL MEDICINE, PEDIATRICS AND OBSTETRICS/GYNECOLOGY. THE HEALTH RESOURCES & SERVICES ADMINISTRATION (HRSA) HAS DESIGNATED ALL OF WALTON COUNTY AS A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) FOR PRIMARY CARE, MENTAL HEALTH AND DENTAL CARE. - THE HOPE MEDICAL CLINIC IS A FREE CLINIC IN DESTIN, FLORIDA (OKALOOSA COUNTY) THAT SERVES THE UNINSURED AND UNDERINSURED WORKING RESIDENTS OF OKALOOSA AND WALTON COUNTIES. THE CLINIC PROVIDES ROBUST PRIMARY CARE SERVICES, CHRONIC DISEASE MANAGEMENT AND REFERRALS FOR SOCIAL SERVICES AND SPECIALTY MEDICAL CARE. THE CURRENT WAIT TIME FOR A NEW PATIENT APPOINTMENT REFERRED BY THE EMERGENCY DEPARTMENT NAVIGATORS AT SACRED HEART IS FOUR TO SIX WEEKS. - WITH SUPPORT FROM COMMUNITY AGENCIES, THE HOPE MEDICAL CLINIC WILL OPEN A NEW CLINIC IN FREEPORT (CENTRAL WALTON COUNTY) OVER THE NEXT 12-18 MONTHS. THE NEW CLINIC WILL BE LOCATED IN A MEDICALLY UNDERSERVED AREA THAT EASILY REACHES PATIENTS FROM ALL PARTS OF WALTON COUNTY. THE CLINIC WILL WELCOME NEW PATIENTS AND PROVIDE WALK-IN CARE A FEW DAYS A WEEK FOR ESTABLISHED PATIENTS. THE OPENING OF THE NEW CLINIC WILL ALLOW THE ORIGINAL CLINIC IN OKALOOSA COUNTY TO ENHANCE SERVICES AS WELL, INCLUDING OFFERING WALKING CARE A FEW DAYS A WEEK FOR ESTABLISHED PATIENTS. RESOURCES/COMMUNITY PARTNERS: SACRED HEART HOSPITAL ON THE EMERALD COAST (ADMINISTRATION, PATIENT NAVIGATORS, FUNDING), HOPE MEDICAL CLINIC MENTAL HEALTH AND SUBSTANCE ABUSE GOAL: INCREASE POSITIVE INFANT OUTCOMES DUE TO EARLY IDENTIFICATION OF PRENATAL SUBSTANCE ABUSE. STRATEGY/ACTIONS: ESTABLISH POLICY AND ENVIRONMENT OF CARE TO IDENTIFY NEWBORNS AND UNBORN CHILDREN EXPOSED TO HARMFUL DRUGS DURING THE PRENATAL PERIOD, IMPLEMENTING AN INTERDISCIPLINARY APPROACH TO PROVIDE EARLIEST INTERVENTION POSSIBLE FOR TREATMENT OF MOTHER AND CHILD. BACKGROUND: - CURRENTLY THERE ARE IS NO POLICY/ ESTABLISHED PROCESS FOR SUSPECTED PRENATAL DRUG USE. IN FY 2016, IT IS ESTIMATED THAT 100 BABIES WERE DELIVERED INTO OUR FACILITIES THAT HAD BEEN EXPOSED TO DRUGS THAT MAY LEAD TO COMPLICATIONS. TYPES OF DRUG USAGE MAY RANGE FROM OCCASIONAL MARIJUANA USE TO CHRONIC USE/ADDICTION. - IN UTERO EXPOSURE TO CERTAIN DRUGS CAN CAUSE NEONATAL WITHDRAWAL (NEONATAL ABSTINENCE SYNDROME - NAS) AFTER BIRTH WHEN THE DRUG IS ABRUPTLY STOPPED BECAUSE THE INFANT, LIKE THE MOTHER, HAS DEVELOPED PHYSICAL DEPENDENCE ON THE DRUG. - NAS INCREASES THE RISK OF RESPIRATORY COMPLICATIONS AT BIRTH, LOW BIRTHWEIGHT, PREMATURITY, FEEDING DIFFICULTIES, AND SEIZURES. EARLY INTERVENTION CAN REDUCE THE SEVERITY OF WITHDRAWAL, IMPROVE SYMPTOMS. AND REDUCE THE AVERAGE LENGTH OF STAY (LOS) AND TRANSFERS TO THE NEONATAL INTENSIVE CARE UNIT (NICU). - THE INCIDENCE OF NAS IN THE UNITED STATES HAS INCREASED FORM 1.2 PER 1,000 HOSPITAL BIRTHS IN 2000 TO 3.39 PER 1,000 HOSPITAL BIRTHS IN 2009 (FOAG, 2013). - THE RATE OF WALTON COUNTY INFANTS WITH NEONATAL ABSTINENCE SYNDROME HAS INCREASED FROM 7.7 PER 1,000 LIVE BIRTHS IN 2007 TO 17.1 PER 1,000 LIVE BIRTHS IN 2011. THIS IS SIGNIFICANTLY HIGHER THAN FLORIDA'S RATES OF NAS AT 3.1 & 7.5 RESPECTIVELY (FOAG, 2013). - PROVIDING MORE INFORMATION TO COMMUNITY HEALTH CARE AND SERVICE PROVIDERS ON AVAILABLE TREATMENT AND INTERVENTION RESOURCES FOR PREGNANT WOMEN CAN HELP REDUCE THE INCIDENCE OF NEONATAL ABSTINENCE SYNDROME. - CASES OF INTEREST ARE IDENTIFIED BY DCF INQUIRY AND/OR FLAGGED BY HEALTH PROFESSIONAL (COMMUNITY OB, FACILITY) FOR SUSPECTED DRUG EXPOSURE IN UTERO. RESOURCES/COMMUNITY PARTNERS: SHHEC FAMILY BIRTH PLACE (FBP), AFFECTED STAFF (SOCIAL WORK (SW), NURSING, LAB TECHNICIANS, PEDIATRICIANS, AND OBSTETRICIANS), TIME, MATERIALS, EQUIPMENT, TECHNOLOGY, SHIPPING COST FOR MECONIUM TESTING, TECHNOLOGY, AND COMMUNITY PARTNERS SUCH AS C.O.P.E., DEPARTMENT OF CHILDREN AND FAMILIES (DCF), HEALTHY START, AND CDAC. OUTCOMES/ANTICIPATED IMPACT: HEALTHY WEIGHT GOAL: INCREASE THE INITIATION OF BREASTFEEDING IN WALTON COUNTY STRATEGY/ACTIONS: IMPLEMENT POLICIES, TRAINING AND RESOURCES TO SUPPORT BREASTFEEDING AMONG MOTHERS DELIVERING AT SHHEC. BACKGROUND: - TARGET POPULATION IS MOTHERS DELIVERING AT SHHEC (APPROXIMATELY 1,200/YEAR). - BREASTFEEDING IS AN EVIDENCE-BASED INTERVENTION THAT REDUCES THE RISK OF CHILDHOOD OBESITY AS WELL AS DIABETES AND SIDS IN CHILDREN. (WHO, UNICEF, HP2020, CDC) - "BABY FRIENDLY" DESIGNATION IS A SYSTEM AND POLICY CHANGE INTERVENTION. - THE BABY-FRIENDLY HOSPITAL INITIATIVE (BFHI) IS A GLOBAL PROGRAM THAT WAS LAUNCHED BY THE WORLD HEALTH ORGANIZATION (WHO) AND THE UNITED NATIONS CHILDREN'S FUND (UNICEF) IN 1991 TO ENCOURAGE AND RECOGNIZE HOSPITALS AND BIRTHING CENTERS THAT OFFER AN OPTIMAL LEVEL OF CARE FOR INFANT FEEDING AND MOTHER/BABY BONDING. IT RECOGNIZES AND AWARDS BIRTHING FACILITIES WHO SUCCESSFULLY IMPLEMENT THE TEN STEPS TO SUCCESSFUL BREASTFEEDING (I) AND THE INTERNATIONAL CODE OF MARKETING OF BREAST-MILK SUBSTITUTES (II) - ALL MEASURES/TARGETS ARE FOR 'WELL BABIES' (NORMAL NEWBORN - MEDICALLY APPROPRIATE) RESOURCES/COMMUNITY PARTNERS: LACTATION CONSULTANT (L); HOSPITAL ADMIN (H); HOSPITAL STAFF RNS (R); TASK FORCE (T); SHHEC MARKETING (M); FL DEPT OF HEALTH-WALTON COUNTY (DOH-W); SHMG OB-GYNS AND STAFF (S); BABY FRIENDLY USA (B) Schedule H, Part V, Section B, Line 11 Facility A, 3 Facility A, 3 - A3 - Sacred Heart Hospital on the Gulf. ACCESS TO CARE GOAL: REDUCE UNNECESSARY ADMISSIONS AND EMERGENCY DEPARTMENT VISITS BY INCREASING ACCESS TO PRIMARY CARE IN GULF/FRANKLIN COUNTY. STRATEGY/ACTIONS: INCREASE ACTIVATION FOR UNDERSERVED LIVING WITH DIABETES, HYPERTENSION, HEART FAILURE, AND COPD THROUGH COACHING, CARE MANAGEMENT, AND MEDICAL HOME COORDINATION. BACKGROUND: -THE TARGET POPULATION IS UNDERSERVED LIVING IN GULF AND FRANKLIN COUNTIES. -MYGULFCARE (MGC) IS A PROGRAM OF SHHG IN PARTNERSHIP WITH THE FLORIDA DEPARTMENT OF HEALTH IN GULF COUNTY (DOH-GULF) THAT TARGETS LOW-INCOME GULF COUNTY RESIDENTS WITH CHRONIC DISEASE MANAGEMENT CHALLENGES. MYGULFCARE EMPLOYS A NONTRADITIONAL, INDIVIDUALIZED APPROACH BY PROVIDING CHRONIC CARE NURSE COACHING ASSISTANCE AND EDUCATION TO ADDRESS BOTH HEALTH CARE AND SOCIAL SERVICES NEEDS. -DURING THE FOURTH QUARTER OF FY 2016, THE PROGRAM EXPANDED TO INCLUDE COPD AND HEART FAILURE DISEASE CONDITIONS. -DISEASE MANAGEMENT STOP LIGHT TOOLS HAVE BEEN DEVELOPED FOR COPD AND HEART FAILURE, BUT NOT YET FOR DIABETES. -THE STRATEGY WILL BE DEVELOPED USING EVIDENCE BASED DISEASE MANAGEMENT INFORMATION FROM SOURCES SUCH AS AMERICAN ASSOCIATION OF DIABETES EDUCATORS (AADE) AND INSIGNIA HEALTH'S COACHING FOR ACTIVATION. RESOURCES: MYGULFCARE (MGC) SOCIAL WORKER (SW), NURSE CARE MANAGERS (CM), AND PHARMACY ASSISTANCE PROGRAM COORDINATOR (PAP), GULF COUNTY HEALTH DEPARTMENT, FRANKLIN COUNTY HEALTH DEPARTMENT, SACRED HEART MEDIAL GROUP, SACRED HEART HOSPITAL CARE COORDINATION DEPARTMENT, SHHG EMERGENCY DEPARTMENT. MENTAL HEALTH AND SUBSTANCE ABUSE GOAL: INCREASE AWARENESS OF MENTAL HEALTH SERVICES IN GULF COUNTY STRATEGY/ACTIONS: PROVIDE EDUCATION TO THE COMMUNITY TO INCREASE AWARENESS OF SERVICES AVAILABLE AND REDUCE THE STIGMA ASSOCIATED WITH MENTAL HEALTH AND MENTAL ILLNESS. BACKGROUND: -AVERAGE NUMBER OF ADULT POOR MENTAL HEALTH DAYS IN GULF COUNTY (LAST 30 DAYS-COUNT): 7.5 VS STATE: 5.1. -MORE THAN 1 IN 5 OF THE GENERAL POPULATION RESPONDENTS AND 15% (N=) OF THE VULNERABLE POPULATION RESPONDENTS FEEL THAT MENTAL HEALTH IS ONE OF THE MOST IMPORTANT HEALTH ISSUES IN THE COUNTY (COMMUNITY SURVEY, 2015). -37% OF BOTH GENERAL AND VULNERABLE POPULATION RESPONDENTS INDICATED THAT THEY THINK MENTAL HEALTH SERVICES ARE DIFFICULT TO OBTAIN WITHIN GULF COUNTY. (COMMUNITY SURVEY, 2015) -30% OF THE GENERAL POPULATION RESPONDENTS AND 26% OF VULNERABLE RESPONDENTS DID NOT KNOW WHERE TO GO TO RECEIVE MENTAL HEALTH CARE. (COMMUNITY SURVEY, 2015) RESOURCES: SACRED HEART ON THE GULF (SHHG) STAFF, MEETING SPACE, PRINTING AND DISTRIBUTION, MYGULFCARE, GULF 211, FLORIDA DEPARTMENT OF HEALTH IN GULF COUNTY (FDOH-G), GULF COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) PARTNERS. HEALTHY WEIGHT GOAL: REDUCE THE IMPACT OF OBESITY (BMI GREATER THAN 30.0) AND DIABETES IN GULF COUNTY. STRATEGY/ACTIONS: IMPROVE MYGULFCARE CLIENT SELF-MANAGEMENT OF WEIGHT AND BLOOD GLUCOSE LEVELS THROUGH EDUCATION AND COUNSELING. BACKGROUND: -ACCORDING TO THE FLORIDA DEPARTMENT OF HEALTH, THE NUMBER ONE PUBLIC HEALTH THREAT TO FLORIDA'S FUTURE IS UNHEALTHY WEIGHT. THE ESTIMATED ANNUAL MEDICAL COST FOR PEOPLE WHO ARE OBESE IS $1,429 HIGHER THAN THAT FOR PEOPLE OF HEALTHY WEIGHT (BMI=18.5-24.0) -CURRENTLY, ONLY 36% OF FLORIDIANS ARE AT A HEALTHY WEIGHT, AND ONLY 33% OF GULF COUNTY ADULTS ARE AT A HEALTHY WEIGHT. -OBESITY IS A MAJOR CONTRIBUTOR TO MANY PREVENTABLE CHRONIC DISEASES AND OTHER POOR HEALTH OUTCOMES, INCLUDING TYPE 2 DIABETES. -13.6% OF GULF COUNTY RESIDENTS ARE KNOWN TO HAVE DIABETES, WHICH IS UP FROM 7.6% DURING THE PRIOR REPORTING PERIOD AND EXCEEDS THE STATE RATE OF 11.2%. -TARGET POPULATION IS MYGULFCARE (MGC) CLIENTS. MGC IS A PROGRAM OF SHHG IN PARTNERSHIP WITH THE FLORIDA DEPARTMENT OF HEALTH IN GULF COUNTY (DOH-GULF) THAT TARGETS LOW INCOME GULF COUNTY RESIDENTS WITH CHRONIC DISEASE MANAGEMENT CHALLENGES. MYGULFCARE EMPLOYS A NONTRADITIONAL INDIVIDUALIZED APPROACH BY PROVIDING CHRONIC CARE NURSE COACHING TO ADDRESS BOTH HEALTHCARE AND SOCIAL SERVICES NEEDS. -NATIONAL STANDARDS FOR DSME RESOURCES: DIABETES EDUCATOR (DE), SHHEC/SHHP CDE MENTORS, DSMT COURSE MATERIAL, AMERICAN ASSOCIATION OF DIABETIC EDUCATORS (AADE) PATIENT EDUCATION DVDS, DIABETIC SELF-MANAGEMENT EDUCATION (DSME) EDUCATION GRANT, MYGULFCARE, PHARMACIES, HEALTH DEPARTMENT. OUTCOMES/ANTICIPATED IMPACT: -BY JUNE 2017, 50% OF MYGULFCARE CLIENTS PARTICIPATING IN DIABETIC SELF-MANAGEMENT EDUCATION WILL HAVE A MINIMUM OF 3% TOTAL WEIGHT LOSS AT 6 MONTH CHECK-IN. Schedule H, Part V, Section B, Line 3E B1 - Bay Medical Center To better target community resources on the service area's most pressing health needs, the hospital participated in a group discussion with organizational decision makers and community leaders to prioritize the significant community health needs while considering several criteria: alignment with Ascension Health strategies of healthcare that leaves no one behind; care for the poor and vulnerable; opportunities for partnership; availability of existing programs and resources; addressing disparities of subgroups; availability of evidence-based practices; and community input. The significant health needs are a prioritized description of the significant health needs of the community as identified through the CHNA. See Schedule H, Part V, Line 7 for the link to the CHNA and Schedule H, Part V, Line 11 for how those needs are being addressed. Schedule H, Part V, Section B, Line 5 Facility B, 1 Facility B, 1 - B1 - Bay Medical Center. In 2015, Sacred Heart Health System, Inc. ("SHHS"), the Florida Department of Health - Bay County ("DOH-Bay") and the Bay County Community Health Task Force (CHTF) worked together, in collaboration with other community organizations and agencies, to conduct a community health needs assessment (CHNA) for the approximately 175,000 residents of Bay County, Florida. The CHNA provides a snapshot in time of the community strengths, needs, and priorities. Guided by the Mobilization for Action through Planning and Partnerships (MAPP) process, the report is a result of a collaborative and participatory approach to community health planning and improvement. Improving the health of the community is critical to enhancing Bay County residents' quality of life and supporting its future prosperity and well-being. The following organizations were consulted during the CHNA process: Big Bend Community Based Care Big Bend AHEC Big Bend Health Councils LEAD Coalition Glenwood Community Partnership Early Education and Care, Inc. Tyndall Air Force Base Medical Reserve Corps West Rock Renew Counseling Anchorage Children's Home Department of Children and Families Nations Best Health Care Bay County Breastfeeding Connection St. Andrews Bay Center Salvation Army Gulf Coast State College Gulf Coast Regional Medical Center Career Source Gulf Coast Covenant Hospice Panama City Marina Institute Veterans Affairs BASIC of Northwest Florida Early Learning Coalition of Northwest Florida Red Cross of Northwest Florida Department of Health Life Management Center PanCare, Inc. United Way of Northwest Florida NCR/St. Andrews Towers Victory Temple Journey Pure Emerald Coast Youth Enrichment Services Twelve Oaks Recovery Ascendant Healthcare Partners West-Rock Paper Mill WIC Panama City News Herald Healthy Start 90 Works Catholic Charities of Northwest Florida Community Health Task Force Gulf Coast Children's Advocacy Center Global Arts Society St. Andrews State Park Emerald Coast Behavioral Hospital Panama City CRA ADA iHeart Media Second Chance of Northwest Florida AARP Bay County Chapter 315 Schedule H, Part V, Section B, Line 6b Facility B, 1 Facility B, 1 - B1- Bay Medical Center. The assessment process was led by SHHS and DOH-Bay, with active participation by community organizations and private and public agencies which collectively comprise the Bay County Community Health Task Force. The assessment process included community meetings/workshops and a community survey distributed both on-line and in paper format. More than 81 people representing more than 50 different community agencies and organizations and the general public participated in various meetings throughout the process. In addition, 1,538 Bay County residents completed the community survey. Particular focus was placed on obtaining input from vulnerable population groups. Schedule H, Part V, Section B, Line 11 Facility B, 1 Facility B, 1 - B4 - Bay Medical Center. CHRONIC DISEASE GOAL: IMPROVE DISEASE MANAGEMENT RELATED TO CONGESTIVE HEART FAILURE STRATEGY/ACTIONS: RAISE AWARENESS OF RISK FACTORS AND EARLY INTERVENTIONS TO CHF PATIENTS FOR CHRONIC DISEASE MANAGEMENT. BACKGROUND: - READMISSIONS RELATED TO POORLY CONTROLLED DISEASE MANAGEMENT WITHIN THE COMMUNITY. HISTORICAL REVIEW OF READMISSIONS REVEALED FREQUENT READMISSIONS FROM EXTENDED CARE FACILITIES RELATED TO FLUID OVERLOAD AND A LACK OF FOLLOW-UP CARE WITHIN A TIMELY MANNER OF DISCHARGE. - TOGETHER, HEART DISEASE AND STROKE ARE AMONG THE MOST WIDESPREAD AND COSTLY HEALTH PROBLEMS FACING THE NATION TODAY, ACCOUNTING FOR MORE THAN $500 BILLION IN HEALTH CARE EXPENDITURES AND RELATED EXPENSES IN 2010 ALONE. FORTUNATELY, THEY ARE ALSO AMONG THE MOST PREVENTABLE. (HEALTHY PEOPLE 2020). RESOURCES: BAY MEDICAL CENTER / SACRED HEART CASE MANAGERS (CM) AND QUALITY STAFF (Q) WILL PARTNER WITH COMMUNITY RESOURCES. RESOURCES WITHIN OUR COMMUNITY: BAY COUNTY HEALTH DEPARTMENT (BCHD), EXTENDED CARE PARTNERS, SENIOR CITIZENS OUTREACH, HOME HEALTHCARE (HHC) ORGANIZATIONS, AND CHARITY NETWORK. MENTAL HEALTH AND SUBSTANCE ABUSE GOAL: INCREASE AWARENESS OF OUTPATIENT RESOURCES AVAILABLE WITHIN COMMUNITY FOR DEPRESSION AND RISK OF SUICIDE. STRATEGY/ACTIONS: EDUCATE COMMUNITY REGARDING LOCAL RESOURCES AVAILABLE FOR MENTAL HEALTH RISKS, SPECIFICALLY DEPRESSION AND SUICIDE. INSTITUTE FOLLOW UP DISCHARGE PHONE CALLS FOR AT-RISK PATIENTS. BACKGROUND: - THERE IS A LACK OF LOCAL AWARENESS OF THE RESOURCES AVAILABLE TO LOCAL RESIDENTS WHO ARE DEPRESSED OR SUICIDAL. THIS HAS BEEN EVIDENCED BY ROUTINE CRISIS ADMISSIONS WITHOUT PRIOR USE OF COMMUNITY RESOURCES. - MENTAL DISORDERS ARE AMONG THE MOST COMMON CAUSES OF DISABILITY. - SUICIDE DEATH RATE IN BAY COUNTY (2012-14) IS 20.9, EXCEEDING THE STATE RATE. - THE RESULTING DISEASE BURDEN OF MENTAL ILLNESS IS AMONG THE HIGHEST OF ALL DISEASES. (HEALTHY PEOPLE 2020) RESOURCES: BAY MEDICAL CENTER / SACRED HEART HOSPITAL ADMIN (H), MARKETING (M), CASE MANAGEMENT (CM) AND SOCIAL WORKERS (SW). LOCAL RESOURCES INCLUDE: AREA HEALTH EDUCATION COALITION (AHEC), BAY COUNTY HEALTH DEPARTMENT (BCHD), LIFE MANAGEMENT (LM), VETERANS AFFAIRS (VA), DEPARTMENT OF CHILDREN AND FAMILY SERVICES, AND LOCAL LAW ENFORCEMENT (LE). HEALTHY WEIGHT GOAL: INCREASE BREASTFEEDING OF NEWBORNS WITHIN BAY COUNTY. STRATEGY/ACTIONS: INCREASE AWARENESS OF HEALTH BENEFITS FOR NEWBORNS ASSOCIATED WITH BREASTFEEDING AND PROVIDE DIRECT SUPPORT AND RESOURCES TO MOTHERS DELIVERING AT BAY MEDICAL - SACRED HEART BACKGROUND: - BREASTFEEDING IS AN EVIDENCE-BASED INTERVENTION THAT REDUCES THE RISK OF CHILDHOOD OBESITY AS WELL AS DIABETES AND SIDS IN CHILDREN. (CDC) - BREASTFEEDING INITIATION RATE (2013-14) IS 72.6 PER 100,000 POPULATION AND IS LOWER THAN THE STATE RATE. RESOURCES: BAY MEDICAL CENTER / SACRED HEART HOSPITAL ADMIN (H), HOSPITAL STAFF (RN), QUALITY (Q) AND MARKETING (M). LOCAL RESOURCES INCLUDE HEALTHY START (HS), BAY COUNTY HEALTH DEPARTMENT (BCHD), LOCAL PEDIATRICIANS AND OB PHYSICIANS, BAY COUNTY BREASTFEEDING TASK FORCE (BCBTF). 57 GCMA 4 orthopedics 4541 N Davis Hwy Pensacola FL 32503 Diagnostic and Physician Services GCMA 3 Sports Center 4521 N Davis Hwy Pensacola FL 32503 Diagnostic and Physician Services Sacred Heart Seton for OBGYN 5045 Carpenters Creek Dr Pensacola FL 32503 Diagnostic and Physician Services Ann L Baroco Center for Women's Health 5375 N 9th Avenue Pensacola FL 32504 Women's Health Center. Regional Prenatal Center 5153 N 9th Avenue Pensacola FL 32504 Perinatal Center. GCMA 5 Handcenter Rehab 4551 N Davis Hwy Pensacola FL 32503 Diagnostic and Physician Services Tiger Point Medical Park 4033 Gulf Breeze Pkwy Gulf Breeze FL 32563 Diagnostic and Physician Services SHMG Gulf Breeze (Westafer) 2569 Gulf Breeze Pkwy Gulf Breeze FL 32563 Diagnostic and Physician Services SRMC Cardiology 5992 Berryhill Road Ste 302 Milton FL 32570 Diagnostic and Physician Services Outpatient Rehabilitation Center 4406 N David Hwy Pensacola FL 32503 Rehabilitation Center. Sacred Heart Medical Park-Airport 1549 Airport Blvd Pensacola FL 32504 Diagnostic and Physician Services Sacred Heart Medical Park-Pace 3754 Hwy 90 Pace FL 32571 Diagnostic and Physician Services Sacred Heart Cancer Center 1545 Airport Blvd Pensacola FL 31504 Cancer Care Pine Forest Commons 2107 W Nine Mile Road Suite 2/3 Pensacola FL 32534 Diagnostic and Physician Services SHMG Pediatrics 15 Daniel Drive Gulf Breeze FL 32561 Diagnostic and Physician Services SHMG Pediatrics Milestone 185 Crossville St Cantonment FL 32533 Diagnostic and Physician Services SHMG Crestview Pediatrics 332 Medcrest Dr Crestview FL 32536 Diagnostic and Physician Services SHMG Downtown Pensacola 151 Main Street Pensacola FL 32513 Diagnostic and Physician Services Sacred Heart Occ Health Strategies 6665 Pensacola Blvd Pensacola FL 32505 Rehabilitation Center. Occupational Health Strategies 4412 N Davis Hwy Pensacola FL 32503 Occupational Health. SHMG Rheumatology Pensacola 2441 North 9th Ave Pensacola FL 32503 Diagnostic and Physician Services SHMG Pace 5 points 5607 Woodbine Rd Pace FL 32571 Diagnostic and Physician Services SHMG Beckric PC 120 Richard Jackson Blvd Suite 100 120 and 180 Panama City FL 32547 Diagnostic and Physician Services Mack Bayou 2 27 Mack Bayou loop Santa Rosa FL 32549 Diagnostic and Physician Services Rehab Center 4929 Mobile Hwy Pensacola FL 32526 Rehabilitation Center. Walgreens 8220 Navarre Parkway Pensacola FL 32566 Pharmacy Services. SHMG Freeport 281 St Hwy 20 East Freeport FL 32563 Diagnostic and Physician Services Walgreens 2237 W Nine Mile road Cantonment FL 32533 Pharmacy Services. Walgreens #5581 6314 N 9th Avenue Pensacola FL 32504 Pharmacy Services. Sacred Heart Cardiac Rehab Center 1601 Airport Blvd Pensacola FL 32501 Cardio Pulmanary services Somerby SHHEC Primary Care OP 164 W Hewitt Road Santa Rosa Beach FL 32549 Diagnostic and Physician Services Bluewater Bay 4586 Hwy 20 Niceville FL 32578 Diagnostic and Physician Services Walgreens 3909 Hwy 90 Pace FL 32507 Pharmacy Services. Sacred Heart Pediatric Care Center 1675 Trinity Drive Pensacola FL 32504 Pediatric Care SHMG Pediatrics PACE 5565 Woodbine Road Pace FL 32570 Diagnostic and Physician Services Sacred Heart Pulmonary Rehab Center 1601 Airport Blvd Pensacola FL 32501 Cardio Pulmanary services Outpatient Laboratories 1549 Airport Blvd Pensacola FL 32504 Diagnostic and Physician Services Laboratory Services 5151 N 9th Ave Pensacola FL 32504 Laboratory Services. Laboratory Services 4511 N Davis Hwy Pensacola FL 32503 Laboratory Services. Laboratory Services 400 Milestone Blvd Pensacola FL 32533 Laboratory Services. Laboratory Services 3754 El Rito Drive Pensacola FL 32407 Laboratory Services. Laboratory Services 13137 Sorrento Road Pensacola FL 32507 Laboratory Services. Rehab Center 3754 Hwy 90 Pensacola FL 32571 Rehabilitation Center. Rehab Center 3408 Santa Rosa Dr Pensacola FL 32563 Rehabilitation Center. Rehab Center 13137 Sorrento Road Pensacola FL 32507 Rehabilitation Center. Sacred Heart Pharmacy 5149 N 9th Avenue Pensacola FL 32514 Pharmacy Services. Surgical Weight Loss Center 5149 N 9th Avenue Pensacola FL 32514 Weight Loss Center. SHMG GCMA 2 4501 N Davis Hwy Pensacola FL 32503 Diagnostic and Physician Services Autism Pensacola 5164 Bayou Blvd Pensacola FL 32503 Diagnostic and Physician Services Apalachicola OP Rehab 76 Market Street Unit CD Apalachicola FL 32320 Diagnostic and Physician Services Pediatrics FWB 1025 Beal Pkwy Ft Walton Beach FL 32547 Diagnostic and Physician Services SHMG FT Walton Beach North Given 2010 Lewis Turner Blvd Ft Walton Beach FL 32547 Diagnostic and Physician Services SHMG Destin Arcon Surgery Ctr 36500 Emerald Coast Pkwy Destin FL 32541 Diagnostic and Physician Services SHMG at Pea Ridge 4435 Hwy 90 Pace FL 32571 Diagnostic and Physician Services Mack Bayou 141 Mack Bayou Loop Suite 201 and 2 02 Santa Rosa Beach FL 32459 Diagnostic and Physician Services Port St Joe MOB 3871 E Hwy 98 Port St Joe FL 32456 Diagnostic and Physician Services Sacred Heart Urgent Care 6665 Pensacola Blvd Pensacola FL 32505 Diagnostic and Physician Services Schedule H, Part V, Section B, Line 16a THE FAP WAS WIDELY AVAILABLE ON WEBSITE Facility Group A - Sacred Heart Hospital, Line 1 Sacred Heart Hospital on the Emerald Coast, Line 2 Sacred Heart Hospital on the Gulf, Line 3 https://healthcare.ascension.org/Locations/Florida/FLPEN/Pensacola-Sacred-Heart-Hospital-Pensacola/Financial-Assistance Schedule H, Part V, Section B, Line 16b THE FAP APPLICATION WAS WIDELY AVAILABLE ON WEBSITE Facility Group A - Sacred Heart Hospital, Line 1 Sacred Heart Hospital on the Emerald Coast, Line 2 Sacred Heart Hospital on the Gulf, Line 3 https://healthcare.ascension.org/Locations/Florida/FLPEN/Pensacola-Sacred-Heart-Hospital-Pensacola/Financial-Assistance Schedule H, Part V, Section B, Line 16c A PLAIN LANGUAGE SUMMARY OF THE FAP WEBSITE Facility Group A - Sacred Heart Hospital, Line 1 Sacred Heart Hospital on the Emerald Coast, Line 2 Sacred Heart Hospital on the Gulf, Line 3 https://healthcare.ascension.org/Locations/Florida/FLPEN/Pensacola-Sacred-Heart-Hospital-Pensacola/Financial-Assistance Schedule H, Part I, Line 3c Medical Indigency Per the FAP of Sacred Heart Health System, Inc., patients with demonstrated financial needs with income greater than the maximum FPL Percentage for each location may be eligible for consideration under a "Means Test" for some discount of their charges for services from the Organization based on a substantive assessment of their ability to pay. Maximum owed by any patient per episode of care or account is 10% of gross household income. A Patient eligible for the "Means Test" discount will not be charged more than the calculated AGB charges. Schedule H, Part I, Line 3c Insurance Status Per the FAP of Sacred Heart Health System, Inc., for a Patient that participates in certain insurance plans that deem the Organization to be "out-of-network," the Organization may reduce or deny the financial assistance that would otherwise be available to Patient based upon a review of Patient's insurance information and other pertinent facts and circumstances. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance The cost of providing charity care, means-tested government programs, and other community benefit programs is estimated using internal cost data, and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a cost accounting system that addresses all patient segments (for example, inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self pay). The best available data was used to calculate the amounts reported in the table. For the information in the table, a cost-to-charge ratio was calculated and applied. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the Corporation follows established guidelines for placing certain past-due patient balances within collection agencies, subject to the terms of certain restrictions on collection efforts as determined by Ascension Health. Accounts receivable are written off after collection efforts have been followed in accordance with the Corporation's policies. After applying the cost-to-charge ratio, the share of the bad debt expense in fiscal year 2018 was $18,585,558 at charges, ($5,025,761 at cost). Schedule H, Part III, Line 3 Bad Debt Expense Methodology SACRED HEART HEALTH SYSTEM, INC. HAS A VERY ROBUST FINANCIAL ASSISTANCE PROGRAM; THEREFORE, WE DO NOT TYPICALLY HAVE MUCH TO REPORT AS BAD DEBT ATTRIBUTABLE TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS. THEREFORE, WE DO NOT INCLUDE THIS PORTION OF BAD DEBT AS COMMUNITY BENEFIT. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote The organization is part of the Ascension Health Alliance's consolidated audit in which the footnote that discusses the bad debt expense is located on page 21. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs A cost to charge ratio is applied to the organization's Medicare Expense to determine the Medicare allowable costs reported in the organization's Medicare Cost Report. Ascension Health and its related health ministries follow the Catholic Health Association (CHA) guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance The organization has a written debt collection policy that also includes a provision on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance. If a patient qualifies for charity or financial assistance certain collection practices do not apply. Schedule H, Part V, Section B, Line 16a FAP website A - Sacred Heart Hospital: Line 16a URL: SEE PT VI; B - Bay Medical Center: Line 16a URL: https://baymedical.org/florida-pricing-transparency/financial-assistance-programs; Schedule H, Part V, Section B, Line 16b FAP Application website A - Sacred Heart Hospital: Line 16b URL: SEE PT VI; B - Bay Medical Center: Line 16b URL: https://baymedical.org/florida-pricing-transparency/financial-assistance-programs; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - Sacred Heart Hospital: Line 16c URL: SEE PT VI; B - Bay Medical Center: Line 16c URL: https://baymedical.org/florida-pricing-transparency/financial-assistance-programs; Schedule H, Part VI, Line 2 Needs assessment The Comprehensive Community Health Needs Assessment (CHNA) provides the general public as well as policy leaders with data and information on the health status of the population and existing resources to address health issues. Conducted in collaboration with the Partnership for a Healthy Community (Sacred Heart Hospital in Pensacola), the Walton County Health Improvement Partnership and the Florida Department of Health-Walton County (Sacred Heart Hospital on the Emerald Coast), and the Florida Department of Health-Gulf County (Sacred Heart Hospital on the Gulf) as well as the plans for Sacred Heart Health System to sustain and develop new community benefit programs that address prioritized needs from the study. The community enjoys a rich history of cooperation as Sacred Heart Health System and Baptist Health Care have jointly-sponsored four assessments of Escambia and Santa Rosa Counties in Northwest Florida since 1995. The studies have been widely used by the two competing organizations and many other health care providers in the market area to develop plans for addressing priority health needs. The Partnership study conducted by Florida HealthTrac provides current and trended data on 234 health indicators for Escambia County and 233 for Santa Rosa County. The study reports data at county and zip code levels, and includes comparisons to peer counties in the State of Florida, as well as at the national level. The study also incorporates key demographic and socioeconomic data, and data on lifestyle/behavioral risk factors that impact health status. The assessment tool enables Sacred Heart Health System the ability to track community health needs on an annual basis as it is aggregated from various sources within the State of Florida constantly updated in real time. Studies of Walton and Gulf Counties continue to bear evidence of similar health outcomes as those experienced in Escambia and Santa Rosa Counties. Florida ranks near the bottom nationally for public and preventative health funded outlays. Walton County is designated as a primary care Health Professional Shortage Population and a Medically Underserved Population for low-income persons. Health priorities for Escambia/Santa Rosa include smoking cessation, attaining and maintaining a healthy weight, and access/care navigation. The priorities for Walton County include healthy behaviors, preventative care and health resource awareness. Gulf County priorities include a healthy economy, health and care management resources, and mental health. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Financial counselors assist individuals who do not have insurance to qualify for Medicaid, SCHIP, and other programs. Counselors are trained not only in the policy, program and form processes, but also to respond with compassion, understanding and sensitivity toward persons living in poverty. These services are available at established patient encounter locations such as pre-registration, registration, admissions and discharge, or at any other time requested along the continuum of patient care. Further, trained counselors may assist with charity care or discount care based on the patient's personal income, their assets, and the size of their medical services bill. Self-pay patients are granted an uninsured self-pay ranging from 72% to 79% depending on the health ministry's AGB (amounts generally billed) applied to their total charges. A summary of financial assistance services, policies and programs are found on the health system website, posted predominately in key areas and made available through brochures. A Guide to your Hospital Bill outlines payment and assistance options and it can be found in most areas of the hospital including admitting, emergency department, and diagnostic services. Schedule H, Part VI, Line 4 Community information Sacred Heart Health System provides primary, secondary, and tertiary health care services to residents of the communities we serve. This includes the greater Pensacola MSA consisting of Escambia and Santa Rosa Counties, and Okaloosa, Walton, Bay, Gulf and Franklin Counties in Northwest Florida and Baldwin and Escambia counties in Southwest Alabama. There is special emphasis on service to the poor and those most in need. The system includes the flagship 566 bed medical, surgical acute care hospital in Pensacola, Florida. Housed within the Pensacola facility is the 106 bed Children's Hospital, the only one in Northwest Florida. Sacred Heart Hospital on the Emerald Coast is a 58 bed medical surgical hospital located in Miramar Beach, Florida. Sacred Heart Hospital of the Gulf is a 19 bed medical surgical hospital located in Port St. Joe, FL. In 2013, Sacred Heart Health System entered into a joint venture with LHP Hospital Group, Inc. to operate 323-bed Bay Medical - Sacred Heart located in Panama City, Florida. The regional referral center serves Bay County and surrounding communities. Sacred Heart Health System also provides long-term care and operates a 120 bed long-term care, The Haven of Our Lady of Peace in Pensacola, which is a joint venture with the Methodist Homes for the Aging. Schedule H, Part VI, Line 5 Promotion of community health Sacred Heart Health System provides many community benefits such as social services, pastoral care, community meeting space, and health education, all at no charge. SHHS has an open medical staff with privileges available to all qualified physicians in the area. The system is governed by a body of SHHS leaders with independent persons, representative of the community, comprising a majority of the board. It also engages in medical or scientific research programs and in the training and education of health care professionals. Another facility and program that promotes the health of the community includes a Pediatric Medical Clinic. The Seton Center for Obstetrics and Gynecology provides services to low-income women eligible for Medicaid. Schedule H, Part VI, Line 6 Affiliated health care system SACRED HEART HEALTH SYSTEM, INC. AND SUBSIDIARIES (THE HEALTH MINISTRY) IS A MEMBER OF ASCENSION HEALTH. ASCENSION HEALTH IS A CATHOLIC, NATIONAL HEALTH SYSTEM CONSISTING PRIMARILY OF NONPROFIT CORPORATIONS THAT OWN AND OPERATE LOCAL HEALTH CARE FACILITIES, OR HEALTH MINISTRIES, LOCATED IN 22 OF THE UNITED STATES AND DISTRICT OF COLUMBIA. ASCENSION HEALTH, AN OFFICIAL MINISTRY OF THE CATHOLIC CHURCH MAINTAINS ITS AFFILIATION THROUGH ASCENSION SPONSOR WHICH CONSISTS OF LAY PERSONS AS WELL AS APOSTOLIC ORDERS OF RELIGIOUS MEN AND WOMEN. THE RELIGIOUS ORDERS CONSIST OF THE ST. LOUISE PROVINCE OF THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, CONGREGATION OF ST. JOSEPH, CONGREGATION OF THE SISTERS OF ST. JOSEPH OF CARONDELET, AND THE ALEXIAN BROTHERS, AND THE SISTERS OF THE SORROWFUL MOTHER. THE HEALTH SYSTEM'S PRINCIPAL OPERATIONS CONSIST OF THREE NONPROFIT ACUTE CARE HOSPITALS: SACRED HEART HOSPITAL IS LOCATED IN PENSACOLA, FLORIDA; SACRED HEART HOSPITAL ON THE EMERALD COAST IS LOCATED IN MIRAMAR BEACH, FLORIDA, AND SACRED HEART HOSPITAL ON THE GULF, LOCATED IN PORT ST. JOE, FLORIDA. A FOURTH HOSPITAL, BAY MEDICAL - SACRED HEART LOCATED IN PANAMA CITY, FLORIDA IS A FOR-PROFIT JOINT VENTURE WITH LHP HOSPITAL GROUP, INC. THE HEALTH SYSTEM ALSO OWNS AND OPERATES OTHER HEALTH CARE RELATED ENTITIES, INCLUDING A LONG TERM CARE NURSING FACILITY AND A PHYSICIANS' MEDICAL GROUP. THE HEALTH SYSTEM PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS OF NORTHWEST FLORIDA AND SOUTHWEST ALABAMA. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA. THE HEALTH SYSTEM IS RELATED TO ASCENSION HEALTH'S OTHER SPONSORED ORGANIZATIONS THROUGH COMMON CONTROL. SUBSTANTIALLY ALL EXPENSES OF ASCENSION HEALTH ARE RELATED TO PROVIDING HEALTH CARE SERVICES. ASCENSION HEALTH DIRECTS ITS GOVERNANCE AND MANAGEMENT ACTIVITIES TOWARD STRONG, VIBRANT, CATHOLIC HEALTH MINISTRIES UNITED IN SERVICE AND HEALING AND DEDICATES ITS RESOURCES TO SPIRITUALLY CENTERED CARE, WHICH SUSTAINS AND IMPROVES THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES. IN ACCORDANCE WITH ASCENSION HEALTH'S MISSION OF SERVICE TO THOSE WHO ARE POOR AND VULNERABLE, EACH HEALTH MINISTRY ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY OF PAY. ASCENSION HEALTH USES FOUR CATEGORIES TO IDENTIFY THE RESOURCES UTILIZED FOR THE CARE OF PERSONS WHO ARE POOR AND COMMUNITY BENEFIT PROGRAMS. TRADITIONAL CHARITY CARE INCLUDES THE COST OF SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTH CARE BECAUSE OF INADEQUATE RESOURCES AND/OR WHO ARE UNINSURED OR UNDERINSURED. UNPAID COST OF PUBLIC PROGRAMS REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PERSONS COVERED BY PUBLIC PROGRAMS FOR THE POOR. COST OF OTHER PROGRAMS FOR THE POOR INCLUDES UNREIMBURSED COSTS OF PROGRAMS INTENTIONALLY DESIGNED TO SERVE THE POOR AND VULNERABLE OF THE COMMUNITY, INCLUDING SUBSTANCE ABUSERS, THE HOMELESS, VICTIMS OF CHILD ABUSE, AND PERSONS WITH ACQUIRED IMMUNE DEFICIENCY SYNDROME. COMMUNITY BENEFIT CONSISTS OF THE UNREIMBURSED COSTS OF COMMUNITY BENEFIT PROGRAMS AND SERVICES FOR THE GENERAL COMMUNITY, NOT SOLELY FOR THE POOR, INCLUDING HEALTH PROMOTION AND EDUCATION, HEALTH CLINICS AND SCREENINGS, AND MEDICAL RESEARCH. DISCOUNTS ARE PROVIDED TO ALL UNINSURED PATIENTS, INCLUDING THOSE WITH THE MEANS TO PAY. DISCOUNTS PROVIDED TO THOSE PATIENTS WHO DID NOT QUALIFY FOR ASSISTANCE UNDER CHARITY CARE GUIDELINES ARE NOT INCLUDED IN THE COST OF PROVIDING CARE OF PERSONS WHO ARE POOR AND COMMUNITY BENEFIT PROGRAMS IS ESTIMATED USING INTERNAL COST DATA AND IS CALCULATED IN COMPLIANCE WITH GUIDELINES ESTABLISHED BY BOTH THE CATHOLIC HEALTH ASSOCIATION (CHA) AND THE INTERNAL REVENUE SERVICE (IRS). MAINTAINING GOOD HEALTH HAS BEEN SHOWN TO POSITIVELY AFFECT AN INDIVIDUAL'S ABILITY TO MAINTAIN EMPLOYMENT AND HOUSING. IT IS EXTREMELY DIFFICULT FOR HOMELESS INDIVIDUALS TO RECEIVE QUALITY HEALTH CARE SERVICES. IN RECENT YEARS, SHHS HOSPITAL EMERGENCY ROOMS HAVE BEEN INUNDATED WITH PATIENTS WHO HAVE NON-CRITICAL HEALTH CONCERNS DUE TO LACK OF INSURANCE, FUNDING, AND HOMELESSNESS. THESE PATIENTS ARE OFTEN LEFT WITH NO OTHER CHOICE BUT TO USE EMERGENCY ROOMS FOR ILLNESSES THAT CAN BE TREATED THROUGH PRIMARY CARE HEALTH SERVICES. BASED ON THE FINDINGS OF THE 2012 HEALTH NEEDS ASSESSMENT, THE SYSTEM JOINED A COALITION OF PROVIDERS AND AGENCIES TO FOCUS ON IMPROVING ACCESS AND CARE MANAGEMENT. Schedule H, Part VI, Line 7 State filing of community benefit report FL true ESCAMBIA COMMUNITY CLINICS INC 14 WEST JORDAN ST STE 2G PENSACOLA FL 32501 593105246 501(C)(3) 365808 OPERATING SUPPORT HOPE MEDICAL CLINIC 150 BEACH DRIVE DESTIN FL 32541 263811078 501(C)(3) 140000 OPERATING SUPPORT CROSSROADS CENTER INC 444 VALPARAISO PKWY STE 203 VALPARAISO FL 32580 205518720 501(C)(3) 15000 OPERATING SUPPORT ST VINCENT'S FOUNDATION 4205 BELFORT ROAD JACKSONVILLE FL 32216 592219923 501(C)(3) 10000 OPERATING SUPPORT NW FL COMMUNITY HOUSING DEVELOPMENT 300 W LEONARD ST PENSACOLA FL 32501 471093103 501(C)(3) 193644 OPERATING SUPPORT SACRED HEART FOUNDATION 5151 N 9TH AVENUE PENSACOLA FL 32504 592436597 501(C)(3) 2013180 OPERATING SUPPORT CATHOLIC CHARITIES OF NW FLORIDA PO BOX 6330 PENSACOLA FL 32503 593213644 501(C)(3) 5450 OPERATING SUPPORT ASCENDANT PARTNERSHIP 101 PALAFOX PLACE 170 PENSACOLA FL 32502 813039709 5000 OPERATING SUPPORT NATIONAL FLIGHT ACADEMY 1750 RADFORD RD STE B PENSACOLA FL 32508 596178237 501(C)(3) 102512 OPERATING SUPPORT 8 1 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. All grant funds awarded to Sacred Heart Health System, Inc. are monitored and administered by administration leaders in Operations. Operations monitor expenditures to ensure that use of the funds is consistent with the requirements in the applicable award agreement/contract. Sacred Heart Health System, Inc. requires that support be maintained for all qualified expenditures of grant funds. Finance meets with Operations on an annual basis before fiscal year end to review their operating budgets for compliance. true true false false false false false false false SUSAN L DAVIS RN DIRECTOR, PRESIDENT/CEO (END 4/2018) 0 763052 0 1101437 0 8411902 0 16200 0 19673 0 10312263 0 8189093 DENISE BARTON FORMER KEY EMPLOYEE (END 12/2015) 0 0 0 0 135682 0 0 0 1061 0 136743 0 0 0 CAROL C WHITTINGTON FORMER OFFICER (END 6/2015) 0 342634 0 499763 0 84266 0 17550 0 24712 0 968925 0 0 C SUSAN CORNEJO CHIEF FINANCIAL OFFICER - SHHS 36565 365157 0 248229 750 52971 571 15629 2004 19061 39891 701047 0 0 KERRY EATON CHIEF OPERATING OFFICER (END 10/2017) 363943 0 377987 0 70474 0 17550 0 15209 0 845163 0 0 0 KAREN EMMANUEL GENERAL COUNSEL/CORPORATE COMPLIANCE OFFICER (END 12/2017) 0 230466 0 160024 0 527722 0 16489 0 8211 0 942912 0 0 J HENRY STOVALL III PRESIDENT, SHHS (START 1/2018) 394815 0 268681 0 63268 0 14850 0 19261 0 760874 0 0 0 MICHELLE ADAMOLEKUN VP HR-MINISTRY MKT GULF COAST-JAX-BIR 0 248838 0 141041 0 39395 0 16171 0 20045 0 465489 0 0 ROGER HALL PRESIDENT - SHHEC & SHHG 340124 0 158147 0 103078 0 17550 0 17589 0 636488 0 23453 0 JOHN HALSTEAD CHIEF MISSION INTEGRATION OFFICER 281823 0 119542 0 28614 0 5735 0 25230 0 460944 0 0 0 NINA JEFFORDS CNO - GULF COAST HEALTH SYSTEM 248306 0 59612 0 50052 0 17002 0 9425 0 384397 0 0 0 PETER J JENNINGS CHIEF MEDICAL OFFICER 374681 0 75189 0 25803 0 13500 0 24009 0 513182 0 0 0 JULES KARIHER CHIEF ADVOCACY OFFICER 177885 0 24624 0 8039 0 9173 0 1917 0 221637 0 0 0 STEPHEN R MAYFIELD CHIEF QUALITY OFFICER 166017 0 0 0 45813 0 7819 0 11795 0 231444 0 0 0 ROBERT MURPHY PRES-ADMIN AMG GULF COAST MARKET 312324 0 91776 0 26180 0 13500 0 25741 0 469521 0 0 0 GARY PABLO MD CMO, SHHEC & SHHG 381544 0 85198 0 40860 0 17550 0 17951 0 543103 0 0 0 ROGER A POITRAS JR CHIEF STRATEGY OFFICER 324452 0 245568 0 42765 0 14850 0 22990 0 650626 0 0 0 DAVID G POWELL CHIEF RESOURCE OFFICER 0 280927 0 56058 0 2612 0 17550 0 18475 0 375623 0 0 DOUGLAS A ROSS SVP CLINICAL INTEGRATION 516736 0 431398 0 110049 0 14850 0 26956 0 1099989 0 0 0 MORRIS SIMHACHALAM MD CMO 412469 0 100242 0 46453 0 17550 0 26612 0 603326 0 0 0 TERESA D SMITH COO 238905 0 56445 0 20059 0 15438 0 9280 0 340126 0 0 0 AMY D WILSON CNO (END 1/2017) 8490 272997 0 110098 44 20196 419 14229 682 17967 9634 435486 0 0 ROHIT R AMIN MD PHYSICIAN 773247 0 116251 0 35028 0 14850 0 24122 0 963498 0 0 0 MARK S BOATRIGHT MD PHYSICIAN 490154 0 216358 0 332493 0 16200 0 31433 0 1086639 0 327034 0 SAMUEL DEMETRIOS CRITIDES MD PHYSICIAN 437541 0 709797 0 2922 0 8100 0 36207 0 1194566 0 0 0 KURT L MORRISON DO PHYSICIAN 289932 0 733311 0 2718 0 14850 0 36091 0 1076902 0 0 0 JUAN FELIX RONDEROS MD PHYSICIAN 437938 0 764670 0 6342 0 13500 0 28266 0 1250716 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation ASCENSION HEALTH, A RELATED ORGANIZATION OF SACRED HEART HEALTH SYSTEM, INC. USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT & CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE Schedule J, Part I, Line 4a Severance or change-of-control payment THE FOLLOWING INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS FROM THE ORGANIZATION OR A RELATED ORGANIZATION DURING THE CALENDAR YEAR 2017: Karen Emmanuel - $69,231 Denise Barton - $133,796 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. The following individuals received payment from the supplemental nonqualified retirement plan in the amount as noted: Susan L Davis - $8,189,093 Roger Hall - $23,453 Mark S Boatright - $327,034 X COMPUTER EQUIPMENT 1 57300 Market value 0 false false false Schedule M, Part I Explanations of reporting method for number of contributions Other - COMPUTER EQUIPMENT NUMBER OF CONTRIBUTIONS Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL THE PROCESS OF DETERMINING THE AMOUNT OF COMPENSATION PAID TO THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR OR TOP MANAGEMENT OFFICIAL IS PERFORMED BY ASCENSION HEALTH AND ITS SUBSIDIARY ORGANIZATIONS. ASCENSION HEALTH IS THE NATIONAL HEALTH SYSTEM PARENT. THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR OR TOP MANAGEMENT OFFICIAL'S SALARY WAS COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED. Form 990, Part VI, Line 6 Classes of members or stockholders Sacred Heart Health System, Inc. has a single corporate member, Gulf Coast Health System. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Sacred Heart Health System, Inc. has a single corporate member, Gulf Coast Health System, who has the ability to elect members to the governing body of Sacred Heart Health System, Inc. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Ascension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations and major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic and financial plans; assets; system policies and procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix. Form 990, Part VI, Line 11b Review of form 990 by governing body DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS INCLUDING FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. UPON COMPLETION, THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S INTERNAL TAX DEPARTMENT WHICH CONSISTS OF ATTORNEYS AND CPAS. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO THE ORGANIZATION'S PRESIDENT, FINANCIAL OFFICER, AND/OR OTHER KEY OFFICERS IN LIEU OF THE FULL BOARD. Form 990, Part VI, Line 12c Conflict of interest policy The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose. Form 990, Part VI, Line 15b Process to establish compensation of other employees IN DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES, THE PROCESS PERFORMED INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OFFICERS' SALARIES WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED. Form 990, Part VI, Line 19 Required documents available to the public The organization will provide any documents open to public inspection upon request. Form 990, Part VII, Section A Related Entities The organization utilizes an affiliate as the common pay agent. Employees reported in Part VII may have duties that impact multiple related entities. Total average hours worked and compensation and benefits paid are reported. In doing so, if available, a common law employer analysis is used to determine whether the hours and compensation/benefits are reportable as attributable directly to the filing organization or another entity; otherwise, the best available information has been used as the basis for allocations utilized in the reporting. Form 990, Part VIII, Line 2f Other Program Service Revenue Contracted Services Revenue - Total Revenue: 337456, Related or Exempt Function Revenue: 337456, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Management Fees - Total Revenue: 508282, Related or Exempt Function Revenue: 508282, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Billing Service Revenue - Total Revenue: 54616, Related or Exempt Function Revenue: 54616, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Rental Income from Affiliates - Total Revenue: 106144, Related or Exempt Function Revenue: 106144, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Education Revenue - Total Revenue: 143567, Related or Exempt Function Revenue: 143567, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Escheatment Revenue - Total Revenue: 16302, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 16302; Medical Records Fees - Total Revenue: 13924, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 13924; Miscellaneous Revenue - Total Revenue: 1578399, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 1578399; Research Revenues - Total Revenue: 1007502, Related or Exempt Function Revenue: 270363, Unrelated Business Revenue: 737139, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFER FROM ALPHA FUND - 61495216; DISTRIBUTION TO JV PARTNER - 121462; FAS 98 ADJUSTMENT - -422373; Form 990, Part XII, Line 2c oversight of audit or selection committee Sacred Heart Health System, Inc. is included in the consolidated financial statements of Ascension Health Alliance. The Finance and Audit committee of Ascension Health Alliance's Board assumes responsibility for the consolidated organization as a whole. Form 990, Part XII, Line 2b Audited Financial Statements The activity of Sacred Heart Health System, Inc. is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of Sacred Heart Health System, Inc. is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of Sacred Heart Health System, Inc. Northwest Florida Health Partners LLC 5151 N 9th Avenue Pensacola FL 32504 593519881 Health Partners FL 3371439 26 Sacred Heart Health System Inc Children's Quality Alliance LLC 5151 N 9th Avenue Pensacola FL 32504 PEDIATRIC CLINICALLY INTEGRATED NETWORK FL 0 0 SACRED HEART HEALTH SYSTEM INC ASCENSION HEALTH ALLIANCE PO BOX 45998 ST LOUIS MO 63145 453358926 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I NA false ASCENSION HEALTH PO BOX 45998 ST LOUIS MO 63145 311662309 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE false GULF COAST HEALTH SYSTEM 6801 AIRPORT BLVD MOBILE AL 36608 630934712 HEALTH SYSTEM AL 501(c)(3) Type III-FI ASCENSION HEALTH false PROVIDENCE HOSPITAL 6801 AIRPORT BLVD MOBILE AL 36608 630288861 HOSPITAL AL 501(c)(3) 3 GULF COAST HEALTH SYSTEM true PROVIDENCE FOUNDATION 6801 AIRPORT BLVD MOBILE AL 36608 630915493 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) 7 GULF COAST HEALTH SYSTEM true SETON MEDICAL MANAGEMENT 6801 AIRPORT BLVD MOBILE AL 36608 630937704 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) Type II GULF COAST HEALTH SYSTEM true PROVIDENCE BUILDING CORPORATION 6801 AIRPORT BLVD MOBILE AL 36608 630914564 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(2) GULF COAST HEALTH SYSTEM true HAVEN OF OUR LADY OF PEACE INC 5151 N 9TH AVENUE PENSACOLA FL 32504 593620346 NURSING HOME FL 501(c)(3) 10 SACRED HEART HEALTH SYSTEM true SACRED HEART HEALTH VENTURES INC 5151 N 9TH AVENUE PENSACOLA FL 32504 571183283 INVESTMENT FL 501(c)(3) Type I SACRED HEART HEALTH SYSTEM true SACRED HEART FOUNDATION INC 5151 N 9TH AVENUE PENSACOLA FL 32504 592436597 FOUNDATION FL 501(c)(3) 7 SACRED HEART HEALTH SYSTEM true ALABAMA PROVIDENCE HEALTHCARE SERVICES 6801 AIRPORT BLVD MOBILE AL 36608 462847744 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) 10 GULF COAST HEALTH SYSTEM true Partnership for a Healthy Community Inc 4771 Bayou Blvd Suite 3 PMB 197 Pensacola FL 32503 593393911 PROMOTE PUBLIC HEALTH FL 501(c)(3) 7 SACRED HEART HEALTH SYSTEM INC AND BAPTIST HEALTH CARE CORPORATION true INTERVENTIONAL REHABILITATION CENTER LLC 1549 AIRPORT BOULEVARD STE 420 PENSACOLA FL 32503 593673361 MEDICAL SERVICES FL NA N/A PET LLC 5149 NORTH 9TH AVENUE SUITE 124 PENSACOLA FL 32504 593788701 MEDICAL SERVICES FL NA N/A ENDOSCOPY GROUP LLC 4810 NORTH DAVIS HIGHWAY PENSACOLA FL 32503 593519881 MEDICAL SERVICES FL NA N/A SOUTH COAST REAL ESTATE VENTURE LLC 5907 HIGHWAY 90 MOSS POINT MS 39563 455599047 OWN REAL ESTATE FOR A PHYSICIAN OFFICE BUILDING MS NA N/A PROVIDENCE PARK Inc PO BOX 850429 MOBILE AL 36685 630886846 REAL ESTATE AL NA C Corporation true MISSISSIPPI PROVIDENCE HEALTHCARE SERVICES INC 6801 AIRPORT BLVD MOBILE AL 36608 461130426 HEALTHCARE SERVICES MS NA C Corporation true GULF COAST DIVERSIFIED INC 5154 NORTH 9TH AVENUE PENSACOLA FL 32507 592432798 INVESTMENT FL SACRED HEART HEALTH SYSTEM INC C Corporation 3098633 20096510 1 true false true true false false false false false false true false true true false true true true true true GULF COAST DIVERSIFIED INC L 313610 FAIR MARKET VALUE GULF COAST DIVERSIFIED INC Q 93423 FAIR MARKET VALUE HAVEN OF OUR LADY OF PEACE INC L 9833482 FAIR MARKET VALUE SACRED HEART FOUNDATION INC C 1154921 FAIR MARKET VALUE SACRED HEART HEALTH VENTURES INC S 737400 FAIR MARKET VALUE SACRED HEART FOUNDATION INC B 2013180 FAIR MARKET VALUE GULF COAST DIVERSIFIED INC C 850000 FAIR MARKET VALUE