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2019Community Benefit Report www.enloe.org

Inspiring Healthier Families

TABLE OF CONTENTSWelcome to Enloe Medical Center 1

Recent Awards & Recognition 2

Economic Impact 3

Those We Serve 4

Making a Difference 5

Social Determinates of Health 5

Access to Care 6

Chronic Disease 8

Substance Abuse & Mental Health 10

Workforce Development 11

Community in Crisis 12

Looking to the Future 13

Community Volunteer Boards 15

MISSION, VISION & VALUES Enloe Medical Center’s Mission:

To improve the quality of your life through patient-centered care.

Enloe Medical Center’s Vision:

Enloe Medical Center: The first choice for health care.

Enloe Medical Center’s Core Values:

• Focus on Patient Safety | We value an unwavering focus on patient safety that fosters not only technical excellence, but compassionate and safe care for the whole patient that encompasses mind, body and spirit.

• A Culture of Service | We value the ideal that everyone within the organization is a caregiver and fully engaged in creating a culture of service.

• Ownership and Empowerment | We value a work environment where caregivers take ownership of their actions and are empowered to work to their highest potential.

• Integrity and Transparency | We value sharing information and emphasizing behavior that is consistently honest and reliable.

• Mutual Respect | We value a healing environment that is built upon the respect of all individuals.

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WELCOME TO ENLOE MEDICAL CENTERAn Independent Level II Trauma Center Enloe Medical Center is an independent 298-bed nonprofit hospital. Located in Chico, Calif., it is one of only two Level II Trauma Centers north of Sacramento and the region’s only Level II Neonatal Intensive Care Unit — making it the largest provider of acute care services in the North Valley.

Governed By a Board of TrusteesEnloe is one of few California hospitals still locally governed. Our community-based, volunteer Board of Trustees protects this local status and assures funds help improve the health of the community.

Enloe offers an array of specialized services including:

• FlightCare: Enloe operates its own air ambulance program, responding to emergencies within 75 miles of the medical center, serving Butte, Tehama, Glenn, Plumas, Colusa, Sierra, Yuba and Lassen counties. Enloe FlightCare is the only hospital owned and operated Helicopter EMS (HEMS) in California. Operating since 1989, FlightCare was the second program in the U.S. authorized by the FAA to utilize night vision technology. Overall, Enloe’s HEMS program has provided nearly 20,000 transports.

• Trauma & Cardiac Surgeries: Enloe is the sole provider of comprehensive cardiology services in the North Valley. It provides trauma and cardiac surgery services to people throughout Northern California.

• Emergency & Non-Emergency EMS: Operating under Butte County EMS, Enloe is the sole provider of 911 emergency and non-emergency medical ground ambulance response and transportation at an Advanced Life Support (ALS) level in Butte County. It also provides services to portions of Colusa and Glenn counties.

• Behavior Health & Regional Cancer Center: Enloe operates several campuses — including an inpatient behavioral health facility, a cancer center and a physical rehabilitation site — with comprehensive services.

Awards & AccreditationsAt Enloe, quality, safety and patient satisfaction are top priorities. Rating agencies and other organizations have taken note, earning the medical center several recognitions. Here are just a few: • American Association of Critical-Care

Nurses (AACN), Silver-Level Beacon Award for Excellence on the ICU/CCU

• American College of Surgeons, Verified Trauma Center

• American Heart Association, Get with the Guidelines Stroke Gold Plus Achievement Award

• American Society for Metabolic and Bariatric Surgery (ASMBS), Bariatric Center of Excellence

• Baby-Friendly Hospital• California Hospital Association, ranked

12th for patient experience• Cleverley + Associate, Community

Value Five-Star Award• Commission on Accreditation of

Medical Transport Systems (CAMTS)• Diabetes Education Accreditation

Program (DEAP)• Donor Network West, Platinum

Recognition • Joint Commission accredited for Stroke

(Gold Seal of Approval), HomeCare and Pathology and Clinical Laboratory

• Planetree, Gold Certification for Excellence in Patient-Centered Care, 2018

• Sierra-Sacramento Valley EMS Agency, STEMI Receiving Center

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• Abdominal Aortic Aneurysm Repair • Colon Cancer Surgery • Heart Failure • Hip Replacement • Knee Replacement

RECENT AWARDS & RECOGNITIONHealthgrades 2020 Report to the Nation has named Enloe Medical Center in America’s 100 Best for General Surgery and Gastrointestinal Care

The new report demonstrates the importance of hospital quality to both hospital leaders and consumers. From 2016-2018, patients treated at hospitals receiving the America’s 100 Best Hospitals for General Surgery Award have, on average, a 29.0 percent lower risk of experiencing a complication or dying while in the hospital, than if they were treated in hospitals that did not receive the award.

Healthgrades is the leading online resource for information about physicians and hospitals. Every year, Healthgrades evaluates hospital performance at nearly 4,500 hospitals nationwide for 32 of the most common inpatient procedures and conditions using Medicare data, and outcomes in appendectomy and bariatric surgery using all-payer data provided by 15 states.

These awards indicate Enloe Medical Center’s clinical outcomes are significantly better than expected when treating the condition or performing the procedures being evaluated.

Enloe Medical Center was also recognized for the following clinical achievements by Healthgrades:

• Outstanding Patient Experience, Top 15% in the Nation (2016-2019)

• Named Among the Top 5% in the Nation for Cranial Neurosurgery in 2020

• Five-Star Recipient for Treatment of Stroke in 2020

• Five-Star Recipient for Total Hip Replacement (2019-2020)

• Five-Star Recipient for Hip Fracture Treatment (2019-2020)

• Five-Star Recipient for Treatment of Sepsis (2019-2020)

• Five-Star Recipient for Treatment of Respiratory Failure (2019-2020)

Enloe Medical Center designated Best Regional HospitalU.S. News & World Report designated Enloe Medical Center as a Northern Sierras Best Regional Hospital for 2019-2020. Enloe shines – ranking in the top 10% of hospitals in California and among the top Level II Trauma Centers in the state.

U.S. News & World Report also recognized Enloe Medical Center as a top performer in these five lines of service:

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ECONOMIC IMPACT During the 2018-2019 fiscal year, Enloe Medical Center contributed the following:

UNCOMPENSATED CARE Costs to provide care for services in which no payment is received.

Charity care The cost to provide care to patients, who meet the hospital's financial assistance criteria and are unable to pay for their services.

$3.4 million

Bad DebtThe cost to provide care to patients who are unable to pay their medical bill, decline to apply for charity care or are unwilling to pay.

$4.7 million

SHORTFALL Reimbursement from government sponsored health plans often fall short of the actual cost to provide patient care.

Government - sponsored healthcare (net expense)Unpaid cost of Medicare, Medicaid and other low-income care programs. These unpaid costs are referred to as the "shortfall".

$147.2 million

Medicare Shortfall $79.2 million

Medicaid Shortfall $68.0 million

Patients by numbers | FY 2019Heart Surgeries 197 Rehabilitation Inpatients 501 Trauma Activations 574 FlightCare Transports 868 Behavioral Health Inpatients 622 Deliveries (babies) 1,670 Same-Day Surgeries 6,321 Patients Seen for Diabetes 22,460 Emergency Room Visits 72,281

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THOSE WE SERVERural Northern California | The “North Valley”Enloe services those who live in 21 ZIP codes, providing a comprehensive array of services to nearly 445,000 residents. Its primary service area includes Butte County — the 27th largest county in California with an estimated population of 231,256 — and parts of Glenn County. Enloe’s secondary service area extends into Colusa, Lassen, Plumas and Tehama counties.

Population (Butte County)1 231,256• White alone 85.9%• Hispanic or Latin 16.7%• Asian alone 4.9%• American Indian and Alaska Native alone 2.5%• Black or African-American alone 1.8%• Percent of residents who speak a language other

than English at home 14.3%• Percent of residents with:

• A high school degree or higher 88.8%• A bachelor’s degree or higher 26.6%

• Percent of residents living: • Below the poverty level 18.1%• With a disability 12.5%• Without health insurance 7.2%

• Median household income $48,443• Persons living in poverty 18.5%

Unemployment Rate2 3.8%

Medicaid3 25%Medicare3 12.1%

Community Need Index (CNI) Every populated ZIP code in the United States is assigned a barrier score* of 1 through 5. A score of 1 represents the lowest rank nationally (lowest need), while a score of 5 indicates the highest rank nationally (greatest need).The median Community Need Index (CNI) Score for Butte County is 4.2, indicating extremely high need within the population we serve. *The CNI score is an average of five different barrier scores that measure various socio-economic indicators of each community using the 2014 source data. Barriers include income, cultural, education, insurance, and housing.Source: http://cni.chw-interactive.org/

Chico

Sacramento

San Francisco

San Jose

Los Angeles

San Diego

1 United States Census Bureau, 2018 2 Source: Labor Market Information, 2019 3 Source: Data USA, 2019

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MAKING A DIFFERENCEWhat is Community Benefit?Community benefit consists of programs or services that do one or more of the following:• Improve access to health services for residents of a defined region• Enhance the overall health of a community• Advance the general knowledge of health care providers, including

training the next generation of health care professionals• Relieve or reduce the burden of government health programs

The Community Health Needs Assessment (CHNA)Under the Affordable Care Act, U.S. hospitals must conduct a Community Health Needs Assessment (CHNA) every three years. In 2016, Enloe Medical Center partnered with Butte County Public Health and county hospitals to conduct this assessment.

Health Priorities During the 2016 assessment, the top health needs included: • Social determinants of health• Access to care • Chronic disease• Substance abuse & mental illness

Enloe Medical Center is working to meet the needs identified in the 2016 CHNA and looking forward to helping improve the health of the community. Here are a few ways we’re doing that.

SOCIAL DETERMINANTS OF HEALTH This year, Enloe Medical Center provided an approximate 355,000 interactions and provided an estimated $551,000 in resources to north-state residents to improve community health through education, clinical services, support services, and building stronger communities.

Social determinants of health (SDOH) are conditions in the environments in which people are born, live, learn, work, play, worship and age that affect a wide range of health, quality-of-life outcomes and risks, according to Healthy People 2020, Office of Disease Prevention and Health Promotion.

Enloe Medical Center’s Community Outreach Program fostered partnerships and provided opportunities to connect community members with programs to meet their needs. Additionally, Enloe donated over $15,000 cash and additional in-kind gifts to organizations dedicated to improving the health of the community.

Collaboration | Coalitions & Community Boards Several community partners work to support Enloe’s mission and improve the health of Butte County residents, including:

• Beautiful, Clean and Safe Chico

• Butte Baby Steps Community Advisory Board

• Butte Continuum of Care

• Butte County Behavioral Health Monthly Meeting

• Butte County Elder and Dependent Adult Multidisciplinary Team

• Butte County Health Collaborative

• Butte Youth Now Coalition

• Child Death Review Team

• Disability Action Center (DAN) Coalition

• Discharge Planning Team

• Donor Network West Council

• Greater Chico Homeless Task Force

• Hispanic Resource Council of Northern California

• Mothers Strong• Nicotine Action

Alliance• Skilled Nursing

Facility Collaboration with Enloe Case Management

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ACCESS TO CAREAdding ServicesIn the challenging health care landscape, Enloe has established a network of specialty clinics to ensure continued access to high quality, local care. • $911,582 in Recruitment: Enloe has a dedicated team of recruiters who bring new

physicians to the area and hire a skilled workforce to support the local economy. Enloe Medical Center also partners with California State University, Chico, and Butte College to train the next generation of health care workers.

• Fourteen physicians specializing in a variety of areas arrived during the 2018-2019 fiscal year:

3 intervention cardiologists 3 urgent care specialists

2 radiation/oncologists 2 emergency medicine practitioners

1 hematology/oncologist 1 internal medicine practitioner

1 neurosurgeon 1 hospitalist/nocturnist • Female Pelvic Medicine & Reconstructive Surgery: Enloe offers highly specialized

urogynecology services and expertise in vaginal surgery. Patients can stay local and receive the care they need for conditions that affect the muscles and connective tissue of the female pelvic organs. Previously, residents had to travel to bigger cities for this type of care.

• 278 Robotic Surgery Services: Highly skilled local surgeons performed 278 robotic-assisted surgeries at Enloe Medical Center using the trusted da Vinci device. This tool allows caregivers to work more effectively for minimally invasive surgical cases, allowing patients to experience:• Shorter hospital stays and a faster recovery • Reduced risk of infection• Less blood loss and fewer transfusions• Less pain resulting in less (or no) pain medication needed

Community OutreachEnloe Medical Center collaborates with partners to provide free health screenings, clinics, education and more to improve the health of the community.

• 3,467 Flu Shots: Butte County Public Health donates flu vaccines annually to Enloe. Vaccines were given at Enloe’s annual drive-thru and walk-in clinics, and through several shelters and other community gatherings.

• 165 Pints of Blood, 402 Lives Saved: Enloe partnered with Vitalant to host multiple blood drives throughout the year, inviting employees and the public to participate. The result? More than 160 pints of blood collected — and the potential to save as many as 402 lives.

• 3,675 People Reached Through Health Fairs: Enloe participates in various health

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fairs throughout Butte County to connect with high-risk and underserved community members, including older adults, low-income families, and those without shelter. Enloe caregivers offered blood pressure screenings, stroke assessments and education, depression and cancer self-assessments, nutrition education, pre-diabetes information, and more. Here are just a few of the events Enloe participated in: • Enloe’s Annual Community Wellness Expo, Chico | This event brought

together 40 departments from throughout the hospital and 12 partner agencies to provide free health screenings, education and resources, benefiting the community as a whole, but especially those who do not have access to regular health care.

• Día Del Campesino, Hamilton City | Enloe staff partnered with the Hispanic Resource Council of Northern California to host a celebration of National Farmer Workers Day. More than 20 service agencies came together to provide education and support targeted toward Hispanic families in our region.

• Healthy Aging Senior Expo, Chico | Enloe Medical Center partnered with the Chico Area Recreation and Park District (CARD) to host this annual event, bringing resources and education to older adults. Enloe focused on heart disease, diabetes and fall risks among seniors. More than 50 service agencies and community resources were represented.

• Suicide Prevention Events, Chico & Orland | Enloe joined the Chico Out of the Darkness and Glenn County S.P.E.A.K.S. events to raise awareness about suicide prevention, fight mental health stigmas, support survivors of suicide loss and reach those at risk of taking their own lives. Enloe provided depression self-assessments and educated the community on its free 24-hour crisis line.

Case ManagementEnloe’s Case Management staff offer a variety of support services to patients and family members during hospital stays and after discharge. During the 2018-2019 fiscal year, this included:• $32,826 in non-emergency transportation assistance • $144,954 in medication assistance to fill prescriptions

Additionally, 11 people received home medical equipment assistance.

• Community Collaboration: Enloe works closely with Butte 2-1-1 and LogistiCare to connect individuals with transportation resources for follow-up care when necessary.

• Compassion Fund: Individuals who have limited resources for basic needs, medications and necessary medical equipment needed after leaving the hospital, can get assistance through Case Management and the Compassion Fund, which was set up through the Enloe Foundation. During the 2018-2019 fiscal year, this fund provided: • 236 B-Line tickets• $1,925 in Safeway gift cards serving 53 individuals• $528 in petty cash serving 27 individuals

Support Groups | 2,336 People HelpedEnloe Medical Center offers a wide range of classes and support groups that provide valuable information and comfort to those living with a chronic disease or illness. These include: • ALS• Amputee Support • Bariatric Buddies• Bereavement • Better Breathers• Cancer

• Brighter Days • Discussion

Group• Head & Neck • Look Good

Feel Better• VIVA: Kids

with Cancer• Depression and

Bipolar Support• Diabetes Support • Head Injury

Support • Healthy Hearts • Insulin pump

Support• Ostomy

Association-Chico Chapter

• Ostomy Support • Parkinson’s

Support• Second Wind

Pulmonary• Stroke Support

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CHRONIC DISEASEEnloe’s 2016 CHNA identified several chronic health conditions with higher rates than the state averages. Among those were cancer, diabetes, heart disease, and respiratory illnesses, including COPD and asthma. Outreach efforts focused on these conditions — and others relevant to our community.

• 20 Community Classes: Enloe Medical Center offers 20 different classes on chronic health conditions. Classes vary in location, time and frequency to meet the needs of the community. These include: • 1:1 Enloe Pulmonary Rehabilitation • Back in Action: Before Spine Surgery – education for patient and their caregivers• Bariatric Pre and Post-Surgical Education • Bleeding Control Basic• Cancer Center- New Patient Orientation & Chemotherapy Education• Cardiac Rehabilitation• Pre-Diabetes Classes (for the community), Sweet Success (for pregnant women)

and Diabetes Education• Healthy Steps (gentle therapeutic exercise)• Joint Effort (prep for joint replacement surgery)• Pregnancy & parenting classes, including childbirth prep, infant parenting & safety• Pulmonary Services & Education (Pulmonary Rehab & COPD classes)• Think First Education for Concussion Prevention

• 37,938 Unique Viewers* with Enloe’s Facebook Live: Recognizing the digital

landscape as a place where people live, learn, and play, Enloe Medical Center hosted eight Facebook Live events, giving the community a unique opportunity to participate and learn at their convenience. Topics included:• Lactation Accommodations | Maternal Health • Build a Better Lunch | Health & Nutrition • Reduce Your Weight, Reduce Your Cancer Risk| Cancer Education & Health • Hope for Pancreatic Cancer | Cancer Education & Access to Care • Importance of Organ Donations | Access to Care• Robotic Surgery for Colorectal Cancer | Cancer Education & Access to Care • Conquering Pelvic Floor Disorders | Female Health & Prevention • Robotic Surgery Makes Procedure Possible During the Camp Fire | Access to Care

& Women’s Health*Unique viewers by video, not by series.

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• 280 Older Adults through OLLI Healthier You Series: The Healthier You class series is hosted through the Osher Lifelong Learning Institute (OLLI), a continuing education program of CSU, Chico. Healthier You brought together physicians and other caregivers to address health conditions affecting older adults, including pelvic organ prolapse, post-traumatic stress disorder, hernias, back pain, aging kidneys and more.

• 1,420 Accessed Cancer

Support Services: According to Enloe’s 2016 CHNA, cancer is the leading cause of death in Butte County, and the rates for all cancer types, combined, as well as for breast and prostate cancers, individually, are higher than the state average. Enloe’s Regional Cancer Center offers several year-round classes and support programs for cancer patients and their families. In addition, our Community Outreach Program coordinated classes and events for community members to engage with physicians and other caregivers on cancer-related topics. Community Outreach also donated $2,000 to the American Cancer Society.

• 8,750 People Run/Walk for Wellness: Engaging in regular physical activity can

prevent chronic disease and help people recover. Enloe supports various events throughout the community to encourage folks to be active throughout the year. Enloe contributed approximately $20,000 of support to the community through financial and in-kind contributions.

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SUBSTANCE ABUSE & MENTAL ILLNESSButte County rates of tobacco and alcohol use, and drug overdose deaths exceed the California state averages. Enloe works with community partners to offer education, support and access to resources to help address needs related to substance abuse and mental health.

• Substance Use Navigator: The Butte County death rate for opioid use continues to rank higher than the state average. Butte County rates are the highest in California for hospital admissions due to opioid overdose from prescription and illicit opioids. In June 2019, Enloe Medical Center joined with the California Bridge Program to hire a Substance Use Navigator (SUN). The navigator works in the emergency department and is available to persons who seek Medication-Assisted Treatment (MAT).

• Opioid Symposium for Health Care Professionals: Enloe serves on the Butte-Glenn Opioid Safety Committee, which offered a one-day educational event for health professionals. The goal was to understand the opioid epidemic and its challenges, with an emphasis on techniques to improve patient outcomes.

• Robotic-Assisted Surgery: Enloe has seen an 87% decrease in narcotic consumption since offering robotic-assisted surgery. The minimally invasive approach leaves patients in less pain, which has significantly decreased, and in some cases, eliminated the need for pain medication.

• Sober Grad Nights: To help prevent underaged drinking, which can lead to several health and social challenges, Enloe annually donates to sober Grad Nights at two area high schools.

• Restrict Sales of Flavored Tobacco in Chico: Enloe Medical Center signed a resolution to encourage Chico tobacco retailers and the Chico City Council to restrict the sale of flavored tobacco products. The resolution urges the City of Chico to enact an ordinance prohibiting the sale of flavored tobacco products and encourages the city to adopt and enforce strong tobacco retail licensing ordinance to reduce tobacco sales to minors.

• 24-Hour Crisis Hotline: Enloe offers a 24-hour crisis hotline for those who suffer from mental illness and need immediate help. The hotline connects folks to a registered nurse, who can provide the care. Additionally, Enloe Behaviorial Health participated in five events throughout Butte and Glenn counties, reaching about 1,275 people.

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WORKFORCE DEVELOPMENTAdvancing the general knowledge of health care providers, including training the next generation, is a primary focus for ensuring continued access to care.

• Rural SimCenter: Enloe Medical Center partners with CSU, Chico and other area hospitals to operate the Rural SimCenter, a place where health care students and professionals get hands-on training to enhance their clinical skills, situational knowledge, and health care communication techniques.

• Working with Local Students: Enloe Medical Center works with area high schools to promote careers in the medical field and provide clinical rotations for students pursuing nursing and other medical degrees. Enloe also provides annual support to Butte College’s Associate Degree Nursing Program. • 612 High School Students: Enloe Medical Center works with area high school ROP

Pathways Career Program to promote careers in medicine. The program includes presentations, job shadows, intern meet/placement/paperwork, career fairs, TB testing, mock interviews for students, classroom presentations, EMT/paramedic packet prep and more.

• 434 Butte College Health Occupation Students: Health occupation students from Butte College completed clinical rotations at Enloe Medical Center, learning how to become effective health care providers. Specialties included registered nursing, respiratory therapy, paramedic and EMT.

• 1,226 Chico State Nursing Students: Many CSU, Chico, nursing students completed their clinical rotations at Enloe Medical Center. They learned about the fundamentals of nursing, acute care, maternal-child care, medical-surgical care, maladaptive behavior and patient care management.

• 148 Out-of-State Students: The Enloe Rehabilitation Center provided clinical rotations for 148 registered nursing and physical, occupational and speech therapy students from universities nationwide. Staff also provided job shadowing opportunities for 122 therapy students, as well as transfer training and health administration training in a clinical setting.

• Continuing Education Credits: Enloe’s Education Center held multiple symposiums in fiscal year 2019, providing continuing education credits to health care professionals throughout the North Valley. Topics included end-of-life, pulmonary care, oncology, neurology, emergency medical services and more. The Education Center also facilitated health care review courses to prepare clinical staff for certification exams in their respective fields, including emergency, medical-surgical, orthopedic and pediatric nursing.

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COMMUNITY IN CRISIS During the fiscal year 2019, Enloe Medical Center experienced several public health crises, including a mass community overdose and the second largest measles outbreak in California. Additionally, the Camp Fire — one of the largest and most destructive wildfires in that state’s history — tore through Paradise, Calif., a town about 17 miles east of the hospital.

The Camp FireIn Paradise, the Camp Fire destroyed over 15,000 homes and displaced nearly 50,000 people. Over one-third of the county’s health care infrastructure was destroyed, including clinics, urgent care facilities, pharmacies, assisted living centers and Adventist Health Feather River Hospital. In response, Enloe made space and provided access to health services for those in need.

The medical center spent $5,300,000 to keep up with the overwhelming need in the form of:

• Free Housing & Medical Equipment: Enloe provided housing and food for emergency strike teams and free office space and medical equipment to displaced caregivers.

• Beds for Evacuees & Skilled Nursing Patients: Enloe staffed its Northwing, a retired section of the hospital, to provide care for the influx of patients. Additionally, Enloe opened a new transitional skilled nursing unit.

• Community Liaison: For weeks, Enloe’s Command Center served as a 24-hour communication liaison for evacuees and others seeking information, education, resources, and more.

• Case Management: Enloe’s Case Management Department worked with agencies throughout California to transport and relocate Medicare beneficiaries into appropriate nursing facilities.

• Emergency Care: Enloe’s Emergency Department daily visits increased significantly from 180 a day to nearly 270. To date the Medical Center has seen a total of 72,281 patients.

Today, Enloe Medical Center continues to care for more patients than it ever has as the community struggles to recover.

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The Measles OutbreakIn March, just four months after the Camp Fire, the North Valley experienced another public health crisis. Two patients, who identified as being fully vaccinated, were admitted into the medical center and later diagnosed with measles. As a result, three patients and four Enloe caregivers were exposed to the virus, leading to one of the largest measles outbreaks in California.

To ensure patient and public safety, Enloe immediately reached out to Butte County Public Health, and local and state public health departments helped get specimens to San Francisco for expedited testing. Enloe also investigated 437 patients and contacted 243 who had been discharged to inform them of possible exposure.

An Impact Beyond Community Benefit • Employment: Enloe Medical Center is a vital member of the community, enhancing

the well-being of the North Valley in several ways. The hospital is one of the largest employers in the area, staffing about 3,600 full- and part-time caregivers. The medical staff is comprised of over 360 physicians, representing over 50 specialties. In addition, more than 400 volunteers provide non-medical support.

• The Camp Fire: When the Camp Fire broke on Nov. 8, 2018, 294 Enloe caregivers lost their homes. The Enloe Foundation received gifts from 1,600 donors across 48 states and raised more than $1 million in six weeks. These funds helped employees, physicians and patients on their road to recovery.

• Measles Outbreak: Enloe protected the community and its caregivers during the measles outbreak. The medical center furloughed more than 44 employees with potential exposure, and provided over 433 MMR vaccines and 316 titers, at a cost of over $200,000.

LOOKING TO THE FUTUREThe 2019 Community Health Needs Assessment (CHNA) In 2019, Enloe Medical Center partnered with Butte County Public Health and county hospitals to conduct the Community Health Needs Assessment. The effort included a phone survey using the Behavioral Risk Factor Surveillance System (BRFSS) model used by the state of California to identify priority health needs. In addition, the participating organizations reviewed publicly reported data and gathered feedback from community members and social service agencies. In Fall 2018, the Camp Fire, California’s most destructive wildfire, dramatically affected Butte County’s health care delivery system factors and community health determinates. The full impact of this natural disaster on the community’s health will not be evident for some time, and the results of the current assessment do not fully address them. The full report is available www.enloe.org/CHNA. Comments on this report can be submitted to marketing.communications@enloe.org. During the 2019 assessment, the top health needs included: • Access to care • Mental health & substance use disorders• Chronic conditions• Adverse childhood experiences & childhood maltreatment

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November 2019

Dear Friends,

While the Camp Fire has changed the face of our region forever, Enloe Medical Center has continued to provide high-quality, patient-centered care for our community. Our focus on clinical excellence and creating a positive patient experience was recently recognized by Healthgrades, based on the review of inpatient data from Medicare for more than 4,500 hospitals across the country. We are extremely proud of the care we provide for our community.

In 2019, Enloe partnered with Butte County Public Health and other hospitals to conduct a county-wide Community Health Needs Assessment (CHNA). That assessment affirmed that access to health care, mental illness, substance use disorders and chronic disease continue to be top health priorities for our region.

This 2019 Community Benefit Report reflects how Enloe Medical Center has responded to meet these needs, both in and out of the hospital.

Besides focusing on our current needs, we also continue to look toward our future by recruiting highly skilled physicians, nurses and technical staff to serve the upcoming health care needs of our region. Additionally, we actively collaborate with other nonprofit agencies that share our passion for health and support activities that lower the risk of chronic diseases prevalent in Butte County.

Enloe remains dedicated to our community, its health and to supporting families to live the healthiest lives they can. We look forward to a bright and healthy today, and tomorrow, as we continue to be #ButteStrong.

Sincerely,

Mike Wiltermood Carol Huston, MSN, MPA, DPA, FAANPresident/Chief Executive Officer Chair of the Enloe Board of Trustees

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COMMUNITY VOLUNTEER BOARDSEnloe Medical Center Board of TrusteesEnloe Medical Center has a 105-year legacy of caring for its community. Today, the medical center is one of only few California hospitals still locally governed, with a dedicated volunteer Board of Trustees (pictured below) that oversees how funds earned are reinvested to ensure the future viability of the hospital, as well as the ongoing health advancement of the community it serves. • Carol Jorgensen Huston, MSN, MPA, DPA, FAAN (Chair)• Craig Duncan (Vice Chair)• Cindy Bennington-Foor (Secretary)• Denise Adams• Carrie Alden• William Carriere• Mark Kimmelshue (Ex Officio)• Jeffrey Lobosky, M.D.• Dave Loomba, M.D. (Ex Officio)• Ken Petty, M.D.• Walt Schafer, Ph.D.• Jack Sterling• Mike Wiltermood (Ex Officio)

* photo are in order of listing

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Enloe Foundation Board of DirectorsThe Enloe Foundation is a nonprofit 501[c]3 organization guided by a community volunteer Board of Directors who oversee the philanthropic work of the Foundation. Board members reach out to the community, sharing stories of hope and care, fostering relationships with donors to raise funds to support patients, programs and facility improvements at Enloe Medical Center, such as the future Cardiovascular Care Center.

• Mark Kimmelshue (Chair)• Melisse Larrabee (Vice Chair)• Judy Sitton (Secretary)• Audrey Tennis• Carol Jorgensen Huston, MSN, MPA, DPA, FAAN• Christie Chrysler• Christopher Mayer• James Moore, M.D.• Jim Stevens• Kenneth N. Derucher, Ph.D.• Mike O’Donnell• Nicole Plottel, CELA• Paul L. Moore, Ph.D.• Richard Stein• Susan R. Minasian• Tom Hughes• Tom Martin

Staff Members• Jolene Francis, CFRE (Director of Advancement & Communications)• Connie Rowe, R.N. (Vice President of Patient Care Services)• Mike Wiltermood (Chief Executive Officer)• Kevin Woodward (Chief Financial Officer)

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Enloe Medical Center Volunteers’ BoardMembers of Enloe’s Volunteers’ Board oversee the efforts of more than 400 volunteers who support the operations of the medical center. Volunteers are often the first face patients and visitors see upon arriving at the hospital. They provide customer service, support for staff and assist with minor non-medical tasks. They also participate in a number of community outreach programs, including Enloe’s annual flu clinics and Community Wellness Expo.

• Randy Wonzong (President)• Kay Kohen (President-Elect)• Pam deMello (Immediate Past-President)• Nanette Sorensen (Chair, Recruitment)• Ronnie Campbell (Chair, Special Events)• Kathy Edson (Vice-Chair, Special Events)• Julie Threet (Chair, Gift Shop Promotions)• Pam Baldwin (Member at Large)• Debra Shiba (Member at Large)• Loretta Steinke (Member at Large)

Staff Members• Roseanna Galindo-Kuhn, CAVS (Director, Volunteer Services)• Carol Linscheid (Vice President, Human Resources)• Gina Cuneo (Volunteer & Gift Shop Coordinator)

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www.enloe.org