2026-08-14T15:54:28-05:00 2025-09-30 390859910 BAKER TILLY ADVISORY GROUP LP 333 BUSH STREET STE 1000 SAN FRANCISCO CA 94104 990 2024-10-01 941668344 HAYWARD SISTERS HOSPITAL HAYW 5102644107 27200 CALAROGA AVENUE HAYWARD CA 94545 P CHRISTOPHER ADAMS CHIEF ADMINISTRATIVE OFFICER 5102644107 2026-08-13 1 1 AMY L HENDLEY P01300654 4159561500 2026-08-13 2024 2025-03-06 01:10:19Z ST ROSE HOSPITAL P CHRISTOPHER ADAMS 27200 CALAROGA AVENUE HAYWARD CA 94545 142998054 0 X WWW.STROSEHOSPITAL.ORG X 1968 CA ST. ROSE HOSPITAL PROVIDES QUALITY HEALTH CARE TO OUR COMMUNITY WITH RESPECT, COMPASSION, AND PROFESSIONALISM. WE WORK IN PARTNERSHIP WITH OUR HIGHLY VALUED PHYSICIANS AND EMPLOYEES TO HEAL AND COMFORT ALL THOSE WE SERVE. 5 1 772 6 0 0 0 39332453 111592015 102857222 407282 397080 24066779 411299 136066076 142998054 0 0 0 0 83973317 84924159 0 0 0 57946653 60345409 141919970 145269568 -5853894 -2271514 72386115 65496502 78480071 73839819 -6093956 -8343317 ST. ROSE HOSPITAL PROVIDES QUALITY HEALTH CARE TO OUR COMMUNITY WITH RESPECT, COMPASSION, AND PROFESSIONALISM. WE WORK IN PARTNERSHIP WITH OUR HIGHLY VALUED PHYSICIANS AND EMPLOYEES TO HEAL AND COMFORT ALL THOSE WE SERVE. 0 0 109571526 0 102857222 HAYWARD SISTERS HOSPITAL (DBA ST. ROSE HOSPITAL) IS A GENERAL ACUTE CARE HOSPITAL LOCATED IN HAYWARD, CALIFORNIA, AND IS THE SOLE CORPORATE MEMBER OF ST. ROSE FOUNDATION AND SAINT ROSE MEDICAL BUILDING, INC. FOUNDED IN 1968, THE HOSPITAL IS CURRENTLY LICENSED FOR 155 BEDS AND HAS AN ACTIVE MEDICAL STAFF OF OVER 302. THE HOSPITAL'S PRIMARY SERVICE AREA IS IN THE SOUTHERN SUB-REGION OF ALAMEDA COUNTY, WITH A POPULATION OF NEARLY 800,000, WHICH INCLUDES THE CITIES OF FREMONT, HAYWARD, NEWARK, SAN LEANDRO, SAN LORENZO, AND UNION CITY. THE HOSPITAL IS SITUATED IN A PREDOMINANTLY WORKING-CLASS SECTION OF HAYWARD, AND ITS PRIMARY SERVICE AREA ENCOMPASSES THE CITIES OF HAYWARD AND UNION CITY. 109571526 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 1 0 0 1 123 0 1 772 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 1 0 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X ROSARIO EUGENIO 5102644119 27200 CALAROGA AVENUE HAYWARD CA 94545 MARK FRATZE CHAIR (AS OF 11/24) 1.00 39.00 X X 0 826899 67774 KIMBERLY MIRANDA TREASURER (AS OF 11/24) 1.00 39.00 X X 0 792823 58186 ROMOANETIA LOFTON SECRETARY (AS OF 11/24) 1.00 39.00 X X 0 578764 63750 FERDINAND MORALES RN II 40.00 0.00 X 435191 0 43733 JESUS CASTANEDA RN II 40.00 0.00 X 412722 0 63984 RITI PATEL DESAI RN II 40.00 0.00 X 357301 0 62342 HUBERT NERI RN II 40.00 0.00 X 358929 0 58501 MICHAEL SARRAO SECRETARY (THRU 10/24) 1.00 0.00 X 417111 0 0 ELIZABETH MAHLER MD DIRECTOR (THRU 09/25) 1.00 39.00 X 0 366274 38468 P CHRISTOPHER ADAMS CHIEF ADMINISTRATIVE OFFICER 10.00 30.00 X 0 331300 70327 KUSHAL N PATEL RN II 40.00 0.00 X 323849 0 53697 SHIRLEY JOSEPH CHIEF NURSING OFFICER 40.00 0.00 X 216933 0 19600 LISA LAURENT MD DIRECTOR (AS OF 09/25) 1.00 39.00 X 0 0 0 GARRETT CONTRERAS DIRECTOR 1.00 1.00 X 0 0 0 JOHN P JAY HARRIS DIRECTOR (THRU 10/24) 1.00 1.00 X 0 0 0 FRED NARANJO DIRECTOR (THRU 10/24) 1.00 1.00 X 0 0 0 KATRINA ROSSEINI DIRECTOR (THRU 10/24) 1.00 1.00 X 0 0 0 MICHAEL MARCHIANO MD DIRECTOR (THRU 10/24) 1.00 1.00 X 0 0 0 2522036 2896060 600362 283 0 1 0 ALAMEDA HEALTH SYSTEM 1411 EAST 31ST STREET OAKLAND CA 94602 CONSULTING SERVICES 6348292 CALIFORNIA HOSPITALIST MEDICAL CORP 2333 MOWRY AVENUE SUITE 300 FREMONT CA 94538 CONSULTING SERVICES 1821291 CEP AMERICA 2100 POWELL STREET SUITE 400 EMERYVILLE CA 94608 CONSULTING SERVICES 683684 BASS MEDICAL GROUP PO BOX 97297 LAS VEGAS NV 89193 CONSULTING SERVICES 562650 CALIFORNIA CARDIOVASCULAR CONSULTANT 2333 MOWRY AVENUE SUITE 300 FREMONT CA 94538 CONSULTING SERVICES 434875 27 1000000 38332453 39332453 PATIENT SERVICE REVENU 621110 80067995 80067995 OTHER PROGRAM SERVICES 900099 22789227 22789227 102857222 337080 337080 71180 0 71180 71180 71180 60000 0 60000 60000 60000 OTHER OPERATING REVENU 900099 201312 201312 LEGAL SETTLEMENT 900099 138807 138807 340119 142998054 102857222 0 808379 676409 676409 58749773 52073368 6676405 1207806 1207806 16952303 16407500 544803 7337868 7337868 16955805 7401320 9554485 251193 251193 135228 135228 41995 41995 9747910 946939 8800971 61869 61869 334211 53474 280737 289507 289507 2527224 2299774 227450 114145 114145 9101 9101 1429650 1429650 4105070 4105070 1138686 1138686 SUPPLIES 11606232 10793796 812436 HQAF FEES 10373272 10373272 TAXES AND LICENSES 869749 869749 RECRUITMENT 185896 185896 168666 168666 145269568 109571526 35698042 0 2732460 982695 3552665 9964137 10786870 10414703 20724504 10957252 0 864537 2053436 2005183 100729711 72827116 30764708 27902595 1771472 2405400 72386115 65496502 26917828 22125193 46512303 46741702 5049940 4972924 78480071 73839819 X -6093956 -8343317 -6093956 -8343317 72386115 65496502 -2271514 22153 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 41995 41995 0 PART II-B, LINE 1: THE HOSPITAL BELONGS TO INDUSTRY AND PROFESSIONAL ASSOCIATIONS FOR WHICH A PORTION OF THE MEMBERSHIP DUES IS USED FOR LOBBYING ACTIVITIES. 155087 155087 62330663 39862514 22468149 1597699 1360388 237311 16102998 13281156 2821842 20543264 18323058 2220206 27902595 DUE TO RELATED ORGANIZATION 3226000 OPERATING LEASE LIABILITIES 1293656 SUBSCRIPTION LIABILITIES 453268 4972924 1 1 X 1 X 400.000000000000 1 X 1 1 1 0 1 1 1092411 1092411 0.00750 55712622 29171902 26540720 0.18270 390218 390218 0.00270 57195251 29171902 28023349 0.19290 1372843 1372843 0.00950 1372843 1372843 0.00950 58568094 29171902 29396192 0.20240 1 4700682 1390347 22910782 29171902 -6261120 X 1 1 1 1 HAYWARD SISTERS HOSPITAL 27200 CALAROGA AVENUE HAYWARD CA 94545 WWW.STROSEHOSPITAL.ORG 816137 X X X HAYWARD SISTERS HOSPITAL 1 0 0 1 X X X X X X X X X 25 1 1 1 1 X HTTPS://STROSEHOSPITAL.ORG/COMMUNITY-BENEFIT/ 1 25 1 HTTPS://STROSEHOSPITAL.ORG/COMMUNITY-BENEFIT/ 0 1 X 400.000000000000 500.000000000000 X X X X X X 1 1 X X X X 1 X HTTPS://STROSEHOSPITAL.ORG/FINANCIAL-ASSISTANCE/ X HTTPS://STROSEHOSPITAL.ORG/FINANCIAL-ASSISTANCE/ X HTTPS://STROSEHOSPITAL.ORG/FINANCIAL-ASSISTANCE/ X X X X X 1 X 0 X X X X 1 X 0 0 HAYWARD SISTERS HOSPITAL PART V, SECTION B, LINE 5: QUALITATIVE DATA WAS COLLECTED TO BETTER UNDERSTAND CERTAIN TOPICS AND SUBPOPULATIONS THAT ARE NOT WELL UNDERSTOOD THROUGH THE STATISTICAL DATA. QUALITATIVE DATA WERE ALSO RELIED UPON TO FILL PREVIOUSLY IDENTIFIED INFORMATION GAPS FOR WHICH STATISTICAL DATA REMAIN UNAVAILABLE.PRIMARY RESEARCH WAS CONDUCTED THROUGH EIGHT KEY INFORMANT INTERVIEWS AND FIVE FOCUS GROUPS. THREE STRATEGIES FOR COLLECTING COMMUNITY INPUT WERE USED:- KEY INFORMANT INTERVIEWS WITH HEALTH EXPERTS AND COMMUNITY SERVICE EXPERTS- FOCUS GROUPS WITH PROFESSIONALS WHO REPRESENT AND/OR SERVE THE COMMUNITY- FOCUS GROUPS WITH COMMUNITY MEMBERSIN GENERATING PRIMARY RESEARCH PROTOCOLS, PRIOR CHNAS WERE CONSULTED AND BUILT UPON TO FOCUS AND REFINE THE PROTOCOL QUESTIONS AND TOPICS.TRANSCRIPTS OF 37 INTERVIEWS CONDUCTED BY KAISER FOUNDATION HOSPITALS (FREMONT, OAKLAND, SAN LEANDRO) AND EIGHT FOCUS GROUPS CONDUCTED BY ALAMEDA COUNTY'S PUBLIC HEALTH DEPARTMENT WERE INCLUDED IN ST. ROSE HOSPITAL'S CHNA AS SECONDARY QUALITATIVE DATA. ALTHOUGH THE DISCUSSION QUESTIONS WERE THE SAME, THE PARTICIPANTS WERE DIFFERENT AND BROADENED THE COMMUNITY INPUT COLLECTED BY ST. ROSE HOSPITAL.INDIVIDUALS REPRESENTING VULNERABLE POPULATIONS WERE INCLUDED (E.G., UNHOUSED, LOW-INCOME, COMMUNITIES WITH INADEQUATE ACCESS TO CLEAN AIR AND SAFE DRINKING WATER, "MINORITY" GROUPS SUCH AS BLACK, LGBTQ+, OR INDIVIDUALS WITH DISABILITIES, AND MEDICALLY UNDERSERVED).INPUT FROM OVER 225 COMMUNITY MEMBERS, COMMUNITY LEADERS, HEALTH EXPERTS AND REPRESENTATIVES OF VARIOUS ORGANIZATIONS AND SECTORS INFORMED THE 2025 CHNA. THESE REPRESENTATIVES EITHER WORK DIRECTLY IN THE HEALTH FIELD OR IN A COMMUNITY-BASED ORGANIZATION THAT FOCUSES ON IMPROVING HEALTH AND QUALITY-OF-LIFE CONDITIONS BY SERVING MEMBERS OF VULNERABLE POPULATIONS. HAYWARD SISTERS HOSPITAL PART V, SECTION B, LINE 6A: ST. ROSE HOSPITAL'S CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES:- JOHN MUIR HEALTH- STANFORD HEALTH CARE TRI-VALLEY- UCSF BENIOFF CHILDREN'S HOSPITALS- WASHINGTON HEALTH HAYWARD SISTERS HOSPITAL PART V, SECTION B, LINE 6B: ST. ROSE HOSPITAL'S CHNA WAS CONDUCTED WITH THE FOLLOWING FACILITIES:- ALAMEDA COUNTY PUBLIC HEALTH DEPARTMENT- APPLIED SURVEY RESEARCH- HOSPITAL COUNCIL NORTHERN AND CENTRAL CALIFORNIA HAYWARD SISTERS HOSPITAL PART V, SECTION B, LINE 11: THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IDENTIFIED THE FOLLOWING PRIORITY HEALTH NEEDS: ECONOMIC SECURITY, BEHAVIORAL HEALTH, HOUSING AND HOMELESSNESS, RACISM AND DISCRIMINATION, HEALTH CARE ACCESS AND DELIVERY, COMMUNITY AND FAMILY SAFETY, CLIMATE AND NATURAL ENVIRONMENT. THE COMMUNITY HEALTH NEEDS THAT WILL BE PRIORITIZED WILL BE ADDRESSED BASED ON THE FY26-FY28 IMPLEMENTATION STRATEGY.ST. ROSE HOSPITAL'S FY24-25 COMMUNITY BENEFIT PLAN WAS DEVELOPED IN RESPONSE TO THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ITS 2022 CHNA. THE HOSPITAL IMPLEMENTED PROGRAMS AND SERVICES DESIGNED TO IMPROVE ACCESS TO HEALTHCARE, INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES, STRENGTHEN ECONOMIC SECURITY THROUGH WORKFORCE DEVELOPMENT, AND REDUCE BARRIERS TO CARE FOR THE DIVERSE COMMUNITIES IT SERVES.1. TO IMPROVE ACCESS TO HEALTHCARE, ST. ROSE HOSPITAL CONTINUED TO PROVIDE MEDICALLY NECESSARY SERVICES TO UNINSURED, UNDERINSURED, MEDI-CAL, AND OTHER LOW-INCOME PATIENTS. DURING FY24-25, THE HOSPITAL MAINTAINED PARTICIPATION IN THE MEDI-CAL PROGRAM AND ALAMEDA COUNTY'S HEALTHPAC PROGRAM, PROVIDED FINANCIAL ASSISTANCE THROUGH ITS CHARITY CARE PROGRAM, AND ASSISTED ELIGIBLE PATIENTS WITH ENROLLMENT IN MEDI-CAL THROUGH THE HOSPITAL PRESUMPTIVE ELIGIBILITY PROGRAM AND ONGOING MEDI-CAL COVERAGE. THE HOSPITAL ALSO SUPPORTED ACCESS TO PREVENTIVE AND COORDINATED CARE THROUGH POST-DISCHARGE FOLLOW-UP CALLS, MEDICATION AND APPOINTMENT COMPLIANCE EFFORTS, AND CASE MANAGEMENT AND SOCIAL WORK SERVICES THAT COORDINATED REFERRALS AND TRANSITIONS TO SKILLED NURSING FACILITIES.2. TO ADDRESS BEHAVIORAL HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA, ST. ROSE HOSPITAL CONTINUED TO PROVIDE CARE COORDINATION THROUGH ITS CASE MANAGEMENT AND SOCIAL SERVICES DEPARTMENTS BY EVALUATING PATIENTS AND MAKING REFERRALS FOR MENTAL HEALTH AND SUBSTANCE USE TREATMENT SERVICES. IN ADDITION, EMERGENCY DEPARTMENT PATIENTS REQUIRING BEHAVIORAL HEALTH EVALUATIONS HAD ACCESS TO REAL-TIME TELEHEALTH MENTAL HEALTH ASSESSMENTS PROVIDED BY LICENSED BEHAVIORAL HEALTH PROFESSIONALS.3. TO SUPPORT ECONOMIC SECURITY AND WORKFORCE DEVELOPMENT, ST. ROSE HOSPITAL PARTNERED WITH COMMUNITY ORGANIZATIONS AND EDUCATIONAL INSTITUTIONS TO PROVIDE HEALTHCARE CAREER DEVELOPMENT OPPORTUNITIES. THE HOSPITAL SUPPORTED THE FACES FOR THE FUTURE PROGRAM FOR AT-RISK HIGH SCHOOL STUDENTS, PARTICIPATED IN THE RAISING LEADERS PROGRAM THROUGH HAYWARD ADULT SCHOOL, AND HOSTED CLINICAL EDUCATION ROTATIONS FOR STUDENTS ENROLLED IN NURSING, RESPIRATORY THERAPY, PHARMACY, SURGICAL TECHNOLOGY, DIETETICS, AND OTHER HEALTHCARE TRAINING PROGRAMS. DURING FY24-25, ST. ROSE HOSPITAL HOSTED 187 STUDENTS WHO COMPLETED MORE THAN 19,500 CLINICAL EDUCATION HOURS.4. THROUGHOUT THE YEAR, ST. ROSE HOSPITAL ALSO CONTINUED EFFORTS TO REDUCE BARRIERS TO CARE BY PROVIDING CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES, INCLUDING INTERPRETER SERVICES IN MORE THAN 200 LANGUAGES, MULTILINGUAL STAFF, FINANCIAL COUNSELING, AND ASSISTANCE CONNECTING PATIENTS WITH PUBLIC INSURANCE PROGRAMS. THESE INITIATIVES DEMONSTRATE THE HOSPITAL'S CONTINUED WORK OUTLINED IN THE IMPLEMENTATION STRATEGY TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ITS 2022 CHNA WHILE INFORMING FUTURE PLANNING UNDER THE 2025 CHNA. HAYWARD SISTERS HOSPITAL PART V, SECTION B, LINE 13H: ST. ROSE HOSPITAL UNDERSTANDS THAT CERTAIN PATIENTS MAY BE UNABLE TO COMPLETE THE APPLICATION NECESSARY FOR CHARITY OR DISCOUNTED CARE, COMPLY WITH REQUESTS FOR DOCUMENTATION, OR ARE OTHERWISE NON-RESPONSIVE TO THE APPLICATION PROCESS. AS A RESULT, THERE MAY BE CIRCUMSTANCES UNDER WHICH A PATIENT'S QUALIFICATION FOR CHARITY CARE OR HIGH MEDICAL COSTS CHARITY CARE MAY BE ESTABLISHED WITHOUT COMPLETING THE FORMAL ASSISTANCE APPLICATION. UNDER THESE CIRCUMSTANCES, ST. ROSE HOSPITAL MAY UTILIZE OTHER SOURCES OF INFORMATION TO MAKE AN INDIVIDUAL ASSESSMENT OF FINANCIAL NEED TO DETERMINE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR CHARITY CARE OR HIGH MEDICAL COSTS CHARITY CARE. THIS INFORMATION WILL ENABLE ST. ROSE HOSPITAL TO MAKE AN INFORMED DECISION ON THE FINANCIAL NEED OF NON-RESPONSIVE PATIENTS UTILIZING THE BEST ESTIMATES AVAILABLE IN THE ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT. IN PARTICULAR, PRESUMPTIVE ELIGIBILITY FOR CHARITY CARE OR HIGH MEDICAL COSTS CHARITY CARE MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE:- UNHOUSED OR RECEIPT OF CARE FROM A HOMELESS CLINIC/SHELTER;- LACK OF A MAILING ADDRESS OR RESIDENCE;- PARTICIPATION IN THE WOMEN, INFANTS AND CHILDREN (WIC) PROGRAM;- ELIGIBILITY FOR FOOD STAMPS;- ELIGIBILITY FOR SCHOOL LUNCH PROGRAMS;- IN BANKRUPTCY OR RECENTLY COMPLETED BANKRUPTCY;- LIVING IN LOW-INCOME OR SUBSIDIZED HOUSING; AND/OR- THE PATIENT IS DECEASED WITH NO ESTATE. PART I, LINE 3C: IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE, THE HOSPITAL ALSO CONSIDERS WHETHER A PATIENT IS UNINSURED (SELF-PAY) OR HAS HIGH MEDICAL COSTS. PATIENTS WITH HIGH MEDICAL COSTS MAY QUALIFY FOR FINANCIAL ASSISTANCE IF THEIR ANNUAL OUT-OF-POCKET MEDICAL EXPENSES EXCEED 10% OF FAMILY INCOME. THE HOSPITAL ALSO USES PRESUMPTIVE ELIGIBILITY CRITERIA FOR CERTAIN PATIENTS EXPERIENCING FINANCIAL HARDSHIP, INCLUDING INDIVIDUALS WHO ARE UNHOUSED, PARTICIPATE IN CERTAIN PUBLIC ASSISTANCE PROGRAMS, HAVE RECENTLY FILED FOR BANKRUPTCY, RESIDE IN SUBSIDIZED HOUSING, LACK A MAILING ADDRESS OR RESIDENCE, OR ARE DECEASED WITH NO ESTATE. THE HOSPITAL GENERALLY DOES NOT CONSIDER A PATIENT'S ASSETS WHEN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. THE ONLY EXCEPTION IS FOR CERTAIN MEDICARE OR MEDI-CAL COST-SHARING WAIVERS, WHERE A LIMITED REVIEW OF MONETARY ASSETS MAY BE REQUIRED UNDER APPLICABLE FEDERAL REGULATIONS. PART I, LINE 7: THE ORGANIZATION CALCULATED THE COMMUNITY BENEFIT AMOUNTS REPORTED IN SCHEDULE H, PART I, LINE 7 USING A COST-TO-CHARGE RATIO METHODOLOGY. COSTS ASSOCIATED WITH PATIENT CARE SERVICES WERE DETERMINED BY APPLYING THE COST-TO-CHARGE RATIO CALCULATED IN ACCORDANCE WITH WORKSHEET 2 OF THE IRS INSTRUCTIONS. PART II, COMMUNITY BUILDING ACTIVITIES: THE HOSPITAL DELIVERS COMMUNITY BASED HEALTH AND WELLNESS PROGRAMS FOCUSING ON HEALTH NEEDS IDENTIFIED BY THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). EDUCATION PROGRAMS ARE DEVELOPED ANNUALLY BASED ON CHNAS. IT CONTINUES TO PROVIDE MANY HEALTH MAINTENANCE PROGRAMS THROUGH ITS VARIOUS COMMUNITY CLASSES INCLUDING LAMAZE, BREASTFEEDING, AND ST. ROSE BREATHERS CLUB AND HOSTING SUPPORT GROUPS SUCH AS THE UNITED FILIPINO AMERICAN NUTRITIONIST DIETICIAN ASSOCIATION, A DIABETIC SUPPORT GROUP; LOOK GOOD FEEL BETTER, AN AMERICAN CANCER SOCIETY SUPPORT GROUP; JOY OF LIVING, DIABETES MANAGEMENT, AND PROSTATE WORLD SUPPORT GROUP. IT ALSO CONTINUES TO SEEK NEW AND INNOVATIVE WAYS TO MEET THE NURSING/HEALTHCARE SHORTAGE AND CREATE EMPLOYMENT OPPORTUNITIES. IT HAS COLLABORATED ON SEVERAL PROGRAMS TO TRAIN AND RECRUIT INTO HEALTHCARE FIELDS. IT REMAINS ACTIVE IN THE BAY AREA COLLABORATE NURSE RECRUITMENT PROGRAM TO INCREASE ENROLLMENT IN NURSING PROGRAMS AT THE LOCAL COLLEGE LEVEL BY OFFERING ADDITIONAL CLINICAL SITES AND SERVING ON ADVISORY COMMITTEES FOR CHABOT COLLEGE, OHLONE COLLEGE, CSUEB AND SAMUEL MERRITT SCHOOL OF NURSING. ITS PROVEN LEADERSHIP METHODS INTRODUCE PUBLIC HEALTH AND COMMUNITY BUILDING PRINCIPLES THAT ENCOURAGE STUDENTS TO MEET THEIR ACHIEVEMENT GOALS BEGINNING IN HIGH SCHOOL. THE STUDENTS BECOME INVOLVED IN COMMUNITY EVENTS THROUGHOUT THE COUNTY THAT PROMOTE HEALTHY LIFESTYLES AND POSITIVE SOCIAL CHANGE (E.G., COMMUNITY HEALTH FAIRS, FOOD DRIVES, HOLIDAY EVENTS FOR THE CHILDREN, SUMMER CAMPS AND FUNDRAISING EVENTS). ADDITIONAL ONGOING CAREER ENHANCEMENT PROGRAMS ARE OFFERED IN COLLABORATION WITH VARIOUS COLLEGES AND EDUCATIONAL INSTITUTIONS SUCH AS CSUEB, OHLONE, CHABOT, SAMUEL MERRITT, CARRINGTON COLLEGE, TOURO UNIVERSITY AND SAN JOAQUIN VALLEY COLLEGE. PART III, LINE 2: ST. ROSE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYORS, PATIENTS, AND OTHERS. ST. ROSE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, ST. ROSE HOSPITAL BILLS THIRD-PARTY PAYORS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. PART III, LINE 3: THE ORGANIZATION CALCULATED THE ESTIMATED AMOUNT USING THE PATIENT CARE COST-TO-CHARGE RATIO FROM SCHEDULE H, WORKSHEET 2. THE APPLICABLE PATIENT CHARGES FOR PATIENTS BELIEVED TO POTENTIALLY QUALIFY FOR FINANCIAL ASSISTANCE WERE MULTIPLIED BY 28% TO ESTIMATE THE RELATED COST REPORTED ON SCHEDULE H, PART III, LINE 3. THE ORGANIZATION CONSIDERED AVAILABLE PATIENT INFORMATION, INCLUDING FINANCIAL CIRCUMSTANCES, INSURANCE STATUS, HOUSEHOLD INCOME, FAMILY SIZE, AND OTHER INFORMATION AVAILABLE THROUGH THE PATIENT REGISTRATION, BILLING, AND FINANCIAL ASSISTANCE PROCESSES. THE ORGANIZATION APPLIED THE ELIGIBILITY CRITERIA CONTAINED IN ITS FINANCIAL ASSISTANCE POLICY TO IDENTIFY PATIENTS WHO APPEARED LIKELY TO QUALIFY FOR ASSISTANCE. THE ORGANIZATION DOES NOT CONSIDER BAD DEBT TO BE A COMMUNITY BENEFIT. BAD DEBT REPRESENTS AMOUNTS DETERMINED TO BE UNCOLLECTIBLE. ONLY AMOUNTS MEETING THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY CRITERIA ARE REPORTED AS FINANCIAL ASSISTANCE/CHARITY CARE AND TREATED AS COMMUNITY BENEFIT. PART III, LINE 4: SEE THE "PATIENT ACCOUNTS RECEIVABLE, NET" SECTION IN NOTE 1, PAGE 11, IN THE ATTACHED AUDITED FINANCIAL STATEMENTS FOR A DISCUSSION OF THE ORGANIZATION'S BAD DEBT EXPENSE. PART III, LINE 8: ST. ROSE HOSPITAL BELIEVES THAT UNREIMBURSED COSTS ASSOCIATED WITH PROVIDING SERVICES TO MEDICARE BENEFICIARIES CONSTITUTE A COMMUNITY BENEFIT BECAUSE MEDICARE REIMBURSEMENT DOES NOT FULLY COVER THE COST OF PROVIDING MEDICALLY NECESSARY CARE TO THIS POPULATION. AS A NONPROFIT HOSPITAL, ST. ROSE HOSPITAL IS COMMITTED TO SERVING ALL MEDICARE BENEFICIARIES REGARDLESS OF THE FINANCIAL IMPACT. THE HOSPITAL PROVIDES THESE SERVICES IN FURTHERANCE OF ITS CHARITABLE MISSION TO PROMOTE THE HEALTH OF THE COMMUNITY, PARTICULARLY OLDER ADULTS AND INDIVIDUALS WITH DISABILITIES WHO RELY ON THE MEDICARE PROGRAM FOR ACCESS TO HEALTHCARE. ACCORDINGLY, THE HOSPITAL BELIEVES THAT THE MEDICARE SHORTFALL REPORTED IN SCHEDULE H, PART III, LINE 7 REPRESENTS A COMMUNITY BENEFIT. PART III, LINE 9B: IF A PATIENT IS ATTEMPTING TO QUALIFY FOR ELIGIBILITY UNDER ST. ROSE HOSPITAL'S CHARITY CARE POLICY OR DISCOUNTED CARE POLICY AND/OR IS ATTEMPTING TO SETTLE AN OUTSTANDING BILL WITH ST. ROSE HOSPITAL BY NEGOTIATING A REASONABLE PAYMENT PLAN OR MAKING REGULAR PAYMENTS OF A REASONABLE AMOUNT, ST. ROSE HOSPITAL SHALL NOT SEND THE UNPAID BILL TO COLLECTION OR A COLLECTION AGENCY. ST. ROSE HOSPITAL SHALL NOT INITIATE A LEGAL OR JUDICIAL PROCESS OR SELL A PATIENT'S DEBT TO ANOTHER PARTY BEFORE ST. ROSE HOSPITAL HAS MADE REASONABLE EFFORTS TO DETERMINE WHETHER THE PATIENT IS ELIGIBLE FOR CHARITY CARE OR DISCOUNTED CARE. PART VI, LINE 2: ST. ROSE HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF ITS COMMUNITY THROUGH A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CONDUCTED EVERY THREE YEARS IN COLLABORATION WITH REGIONAL HOSPITALS, PUBLIC HEALTH AGENCIES, AND COMMUNITY ORGANIZATIONS. THE CHNA COMBINES QUANTITATIVE DATA FROM NATIONAL, STATE, AND LOCAL SOURCES WITH COMMUNITY INPUT GATHERED THROUGH INTERVIEWS, FOCUS GROUPS, AND SURVEYS INVOLVING RESIDENTS, HEALTH PROFESSIONALS, AND REPRESENTATIVES OF VULNERABLE POPULATIONS. FINDINGS ARE ANALYZED TO IDENTIFY HEALTH DISPARITIES, COMMUNITY PRIORITIES, AND AVAILABLE RESOURCES, AND ARE USED TO PRIORITIZE SIGNIFICANT HEALTH NEEDS AND GUIDE COMMUNITY BENEFIT PLANNING. PART VI, LINE 3: ST. ROSE HOSPITAL INFORMS AND EDUCATES PATIENTS ABOUT THEIR ELIGIBILITY FOR ASSISTANCE BY NOTIFYING THE PATIENT AT THE TIME OF REGISTRATION, POSTING INFORMATION IN PATIENT AREAS, AND INCLUDING INFORMATION IN PATIENT STATEMENTS. PART VI, LINE 4: ST. ROSE HOSPITAL IS LOCATED IN THE CITY OF HAYWARD, WHICH TODAY IS KNOWN AS THE "HEART OF THE BAY" BECAUSE OF ITS CENTRAL AND CONVENIENT LOCATION IN ALAMEDA COUNTY. HAYWARD IS THE THIRD LARGEST CITY IN ALAMEDA COUNTY AND RANKED THE 36TH MOST POPULOUS MUNICIPALITY IN CALIFORNIA. HAYWARD'S POPULATION HAS STRONG CULTURAL AND ECONOMIC DIVERSITY. THE CITY'S POPULATION OF 159,201 IS DIVERSE. APPROXIMATELY 41.3% OF THE RESIDENTS ARE HISPANIC OR LATINO, 16.4% OF THE RESIDENTS ARE CAUCASIAN, 30.5% OF THE RESIDENTS ARE ASIAN, 7.9% OF THE RESIDENTS ARE AFRICAN AMERICAN, 1.2% OF THE RESIDENTS ARE NATIVE AMERICAN OR ALASKA NATIVES, AND 15.0% OF THE RESIDENTS ARE TWO OR MORE RACES. MORE THAN 61.8% OF THE RESIDENTS OVER THE AGE OF FIVE YEARS SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. APPROXIMATELY 9.6% OF THE RESIDENTS LIVE IN POVERTY WITH 6.9% OF THE RESIDENTS HAVING NO HEALTH INSURANCE. ST. ROSE HOSPITAL PRIMARILY SERVES RESIDENTS FROM HAYWARD AND UNION CITY, MAKING UP THE MAJORITY OF PATIENTS DISCHARGED; BUT ALSO SERVES RESIDENTS OF FREMONT, SAN LEANDRO, AND SAN LORENZO. PART VI, LINE 5: THE HOSPITAL CONDUCTS VARIOUS COMMUNITY BENEFIT ACTIVITIES, COMMUNITY HEALTH FAIRS AND COMMUNITY OUTREACH AND EVENTS. IT PROVIDES MANY PROGRAMS AND SERVICES AT NOMINAL OR NO CHARGE WHICH ARE DESIGNED TO BENEFIT THE BROADER COMMUNITY WHICH INCLUDE HEALTH AND WELL-BEING EDUCATION, MEDICATIONS AND MEDICAL SUPPLIES. PART VI, LINE 7, REPORTS FILED WITH STATES CA 0 0 0 0 0 0 0 0 0 MARK FRATZE CHAIR (AS OF 11/24) 0 826899 0 0 0 0 0 57676 0 10098 0 894673 0 0 KIMBERLY MIRANDA TREASURER (AS OF 11/24) 0 792823 0 0 0 0 0 48096 0 10090 0 851009 0 0 ROMOANETIA LOFTON SECRETARY (AS OF 11/24) 0 578764 0 0 0 0 0 58004 0 5746 0 642514 0 0 FERDINAND MORALES RN II 421958 0 0 0 13233 0 30500 0 13233 0 478924 0 0 0 JESUS CASTANEDA RN II 379238 0 0 0 33484 0 30500 0 33484 0 476706 0 0 0 RITI PATEL DESAI RN II 323036 0 0 0 34265 0 23000 0 39342 0 419643 0 0 0 HUBERT NERI RN II 323793 0 0 0 35136 0 23050 0 35451 0 417430 0 0 0 MICHAEL SARRAO SECRETARY (THRU 10/24) 417111 0 0 0 0 0 0 0 0 0 417111 0 0 0 ELIZABETH MAHLER MD DIRECTOR (THRU 09/25) 0 366274 0 0 0 0 0 27562 0 10906 0 404742 0 0 P CHRISTOPHER ADAMS CHIEF ADMINISTRATIVE OFFICER 0 331300 0 0 0 0 0 63771 0 6556 0 401627 0 0 KUSHAL N PATEL RN II 290084 0 0 0 33765 0 23000 0 30697 0 377546 0 0 0 SHIRLEY JOSEPH CHIEF NURSING OFFICER 216933 0 0 0 0 0 7200 0 12400 0 236533 0 0 0 MICHAEL SARRAO OFFICER OF THE ORGANIZATION 416992 DURING THE TAX YEAR, THE ORGANIZATION PAID MICHAEL SARRAO FOR LEGAL AND CONSULTING SERVICES PROVIDED IN THE INDIVIDUAL'S CAPACITY AS AN INDEPENDENT CONTRACTOR. 0 FORM 990, PART VI, SECTION A, LINE 3 EFFECTIVE NOVEMBER 1, 2024, ST. ROSE HOSPITAL ENTERED INTO A MANAGEMENT SERVICES AGREEMENT WITH ALAMEDA HEALTH SYSTEM ("AHS"), UNDER WHICH AHS, AS AN INDEPENDENT CONTRACTOR, PROVIDES EXECUTIVE MANAGEMENT AND ADMINISTRATIVE SUPPORT SERVICES, INCLUDING THE HOSPITAL'S CHIEF ADMINISTRATIVE OFFICER AND OTHER MANAGEMENT PERSONNEL. PURSUANT TO THE AGREEMENT, AHS ALSO HAS FINAL APPROVAL AUTHORITY OVER THE HOSPITAL'S ANNUAL OPERATING AND CAPITAL BUDGETS, AS REQUIRED BY THE HOSPITAL'S BYLAWS. THE ST. ROSE HOSPITAL BOARD OF DIRECTORS RETAINS ULTIMATE RESPONSIBILITY FOR GOVERNANCE AND ALL POWERS RESERVED UNDER APPLICABLE LAW AND THE HOSPITAL'S GOVERNING DOCUMENTS. FORM 990, PART VI, SECTION A, LINE 4 DURING THE YEAR, THE ORGANIZATION AMENDED ITS BYLAWS IN CONNECTION WITH ITS AFFILIATION WITH ALAMEDA HEALTH SYSTEM. THE AMENDMENTS ESTABLISHED ALAMEDA HEALTH SYSTEM AS THE ORGANIZATION'S SOLE STATUTORY MEMBER AND GRANTED THE STATUTORY MEMBER SPECIFIED GOVERNANCE RIGHTS, INCLUDING APPOINTMENT AND REMOVAL OF DIRECTORS AND APPROVAL AUTHORITY OVER BYLAW AMENDMENTS, ANNUAL BUDGETS, SIGNIFICANT TRANSACTIONS, STRATEGIC PLANS, AND OTHER RESERVED MATTERS. THE BYLAWS ALSO RESTRUCTURED THE BOARD OF DIRECTORS BY INCREASING THE AUTHORIZED SIZE OF THE BOARD, AUTHORIZING VOTING EX OFFICIO DIRECTORS, REPLACING BOARD ELECTION OF DIRECTORS WITH APPOINTMENT BY THE STATUTORY MEMBER, AND PROVIDING THAT DIRECTOR VACANCIES ARE FILLED BY THE STATUTORY MEMBER. IN ADDITION, THE BYLAWS REVISED THE CORPORATE OFFICER STRUCTURE BY ELIMINATING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AS A REQUIRED CORPORATE OFFICER, SIMPLIFYING THE REQUIRED OFFICER POSITIONS, AND REALLOCATING CERTAIN EXECUTIVE RESPONSIBILITIES TO THE CHAIRPERSON OF THE BOARD, THE BOARD OF DIRECTORS, OR OTHER DESIGNATED OFFICERS. FORM 990, PART VI, SECTION A, LINE 6 ALAMEDA HEALTH SYSTEM SERVES AS THE ORGANIZATION'S SOLE STATUTORY MEMBER. FORM 990, PART VI, SECTION A, LINE 7A ALAMEDA HEALTH SYSTEM, AS THE ORGANIZATION'S SOLE STATUTORY MEMBER, APPOINTS AND MAY REMOVE THE ORGANIZATION'S APPOINTED DIRECTORS. THE STATUTORY MEMBER ALSO FILLS VACANCIES ON THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B ALAMEDA HEALTH SYSTEM, AS THE ORGANIZATION'S SOLE STATUTORY MEMBER, HAS RESERVED APPROVAL RIGHTS OVER CERTAIN SIGNIFICANT GOVERNANCE AND CORPORATE ACTIONS. THESE INCLUDE: - APPOINTMENT AND REMOVAL OF DIRECTORS (WITH OR WITHOUT CAUSE); - CHANGES TO THE SIZE, QUALIFICATIONS, OR COMPOSITION OF THE BOARD OF DIRECTORS, INCLUDING DESIGNATION OF EX-OFFICIO DIRECTORS; - AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS; - ADOPTION OF THE ORGANIZATION'S ANNUAL BUDGET; - PURCHASES OR SALES OF REAL PROPERTY OR PERSONAL PROPERTY VALUED IN EXCESS OF $1 MILLION; - APPROVAL OF CONTRACTS VALUED IN EXCESS OF $1 MILLION; - APPROVAL OF BORROWINGS OR OTHER INDEBTEDNESS IN EXCESS OF $1 MILLION; - APPROVAL OF LONG-RANGE STRATEGIC OR CAPITAL PLANS (THREE YEARS OR MORE); - DETERMINATION OF THE MANNER IN WHICH THE ORGANIZATION'S ASSETS WILL BE DISPOSED UPON DISSOLUTION OR MERGER; AND - APPOINTMENT OR REMOVAL OF ADDITIONAL OR SUCCESSOR MEMBERS, INCLUDING SUCCESSOR STATUTORY MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B INFORMATION IS GATHERED BY THE ACCOUNTING STAFF AND REVIEWED BY THE TREASURER. THE FINAL FORM 990 IS PRESENTED TO THE VOTING MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY APPLICABLE TO ITS GOVERNING BODY, OFFICERS, KEY EMPLOYEES, AND OTHER DESIGNATED PERSONNEL. THE ORGANIZATION REQUIRES ANNUAL DISCLOSURE OF FINANCIAL INTERESTS THROUGH REQUIRED STATEMENTS OF ECONOMIC INTERESTS (FORM 700) FOR DESIGNATED POSITIONS AND REQUIRES DISCLOSURE WHENEVER AN ACTUAL OR POTENTIAL CONFLICT ARISES. INDIVIDUALS WITH A CONFLICT MUST DISCLOSE THE CONFLICT AND ARE PROHIBITED FROM PARTICIPATING IN DISCUSSIONS OR VOTING ON THE AFFECTED MATTER. COMPLIANCE IS MONITORED THROUGH ANNUAL DISCLOSURE FILINGS, REQUIRED ETHICS TRAINING, AND OVERSIGHT BY THE GENERAL COUNSEL AND BOARD CLERK. VIOLATIONS OF THE POLICY ARE SUBJECT TO DISCIPLINARY ACTION AND OTHER REMEDIES AUTHORIZED UNDER APPLICABLE LAW AND ORGANIZATION POLICY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. SAINT ROSE MEDICAL BUILDING INC 27200 CALAROGA AVENUE HAYWARD CA 94545 942856700 RENTAL OF OFFICE SPACE CA 501(C)(3) LINE 12A, I HAYWARD SISTERS HOSPITAL 1 ST ROSE HOSPITAL FOUNDATION 27200 CALAROGA AVENUE HAYWARD CA 94545 942428886 SUPPORT MISSION OF HOSPITAL CA 501(C)(3) LINE 12A, I HAYWARD SISTERS HOSPITAL 1 ALAMEDA HEALTH SYSTEM 1411 EAST 31ST STREET OAKLAND CA 94602 943103136 HEALTH CARE CA N/A 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 1 0 1 0 0 ST ROSE HOSPITAL FOUNDATION C 1000000 CASH SAINT ROSE MEDICAL BUILDING INC K 1921331 LEASE TERMS