Title 11, Cal. Admin. Code, 999.

5(d)(5)(C)

Description of Services to Medi-Cal, County Indigent and Other

Classes of Patients
A description of the medical services provided by Saint Louise Regional Hospital to Medi-Cal patients,
county indigent patients and other classes of patients is set forth in the Community Health Impact Report,
attached to Section (5) (G) of this application, and is incorporated by reference herein. The data and/or
information provided by Saint Louise Regional Hospital in response to this section represents its best
estimate of the costs of the medical services provided by Saint Louise Regional Hospital to its Medi-Cal,
Medicare, managed care, county indigent and other classes of patients. Generally, all types of medically
necessary hospitals services are available to these classes of patients.
Relevant excerpts from the Community Health Impact Report are attached hereto.

Profile and Key Services: Saint Louise Regional Hospital (SLRH),

Gilroy, CA

SLRH is a community acute care hospital offering a wide range of services in a 200,000 squarefoot campus to residents in both Santa Clara and San Benito counties
The hospital has a licensed capacity of 93 beds, of which 72 are general acute care beds and 21
are skilled nursing beds
SLRH and its predecessors have been providing services in the area since 1929
In order to serve growing communities in southern Santa Clara County, the hospital relocated to
its current location in Gilroy, CA in December 1999
SLRH is a Certified Primary Stroke Center as designated by The Joint Commission
SLRH strives to be the center for health and healing in the community, offering diabetes
education classes in both Spanish and English, an outpatient nutritional counseling program and
many other classes and support groups
In FY2013, SLRH provided more than $13 million in community benefit programs and services
to the community

Key services include:

surgical services,
general medicine,
maternal and child health services
emergency services
diagnostic imaging,
cardiopulmonary,
nuclear medicine,
dialysis,
physical medicine,
critical/intensive care,

telemetry and wound care, which offers the latest in hyperbaric medicine

Cost and Revenue by Payor

SLRH is a net receiver of supplemental funding under the Provider Fee and Meaningful Use
government programs
Reimbursement of services with Medicare and Medi-Cal participants accounted for
approximately 44% and 22% of patient days in FY2012, and approximately 44% and 21% in
FY2013, respectively
Medicare and Medi-Cal participants accounted for more than 65% of all patient days over the
past two fiscal years

Saint Louise Regional Hospital

Cost of Services by Payer Category
FY 2010 - 2014
2010

2011

2012

2013

2014

Operating Expenses
Adjusted Operating Expenses

$86,548,677
$83,151,534

$89,344,104
$82,850,274

$87,585,604
$81,222,695

$89,265,897
$82,052,109

$94,212,585
$90,397,708

Cost of Services by Payer

Medicare
Medi-Cal
Third Party
Other

$33,487,886
$19,462,340
$25,569,307
$4,632,000

$35,129,865
$18,577,488
$24,634,347
$4,508,574

$34,017,231
$18,147,377
$23,520,552
$5,537,534

$35,596,279
$17,377,392
$24,103,193
$4,975,245

$38,443,716
$19,792,726
$26,620,837
$5,540,429

2013

2014

Saint Louise Regional Hospital

Net Patient Revenue by Payer
FY 2010 - 2014

Medicare
Medi-Cal
Third Party
Other
Total

2010

2011

2012

$30,791,471
$14,478,319
$38,192,112
$438,657

$36,387,906
$13,805,038
$37,972,081
$540,662

$31,521,041
$15,135,301
$38,452,693
$105,452

$29,686,487
$14,229,285
$36,378,836
($1,921,822)

$28,131,489
$13,276,066
$43,329,261
($4,500,536)

$83,900,559

$88,705,687

$85,214,487

$78,372,786

$80,236,280

Source: OSHPD Disclosure Reports 2010 - 2014

Saint Louise Regional Hospital

Actual
YTD FY11
Jul-Jun

YTD FY12
Jul-Jun

YTD FY13
Jul-Jun

YTD FY14
Jul-Jun

YTD FY15
Jul-May

PATIENT REVENUE
Inpatient Gross Revenue
Inpatient Medicare
Inpatient Medi-Cal
Inpatient HMO/PPO
Inpatient Self-Pay
Inpatient Capitation
Inpatient Other

$
$
$
$
$
$

107,885,757
49,627,997
61,059,013
5,423,705
2,098,806

$
$
$
$
$
$

113,094,860
48,761,493
67,488,891
4,829,262
3,121,220

$
$
$
$
$
$

105,933,396
30,361,981
60,468,088
11,697,949
1,644,151

$
$
$
$
$
$

97,319,972
35,694,481
61,358,262
15,046,043
1,234,462

$
$
$
$
$
$

92,357,038
41,898,576
53,595,445
2,138,424
294,524

$
$
$
$
$
$
$

53,363,007
48,933,101
84,579,423
10,462,628
6,765,655
430,199,092

$
$
$
$
$
$
$

61,276,305
51,779,937
82,138,786
3,787,335
15,275,734
451,553,823

$
$
$
$
$
$
$

60,480,640
47,936,269
77,040,856
13,707,131
7,860,609
417,131,069

$
$
$
$
$
$
$

62,711,113
49,496,896
79,854,059
21,069,108
2,197,120
425,981,516

$
$
$
$
$
$
$

57,360,057
67,145,587
70,397,977
8,222,999
1,880,559
395,291,186

Outpatient Gross Revenue

Outpatient Medicare
Outpatient Medi-Cal
Outpatient HMO/PPO
Outpatient Self-Pay
Outpatient Capitation
Outpatient Other
TOTAL PATIENT REVENUES
Days
Total Medicare Days
Total Medi-Cal Days
Total HMO/PPO Days
Total Self-Pay Days
Total Capitation Days
Total Other Days
TOTAL DAYS

6,217
2,584
3,318
671
40
12,830

6,127
2,503
3,532
573
45
12,780

5,605
1,609
3,037
725
50
11,026

4,837
1,913
2,989
782
29
10,550

4,413
2,030
2,491
120
16
9,070

1,362
884
1,063
230
15
3,554

1,242
874
1,022
188
21
3,347

1,197
657
984
174
9
3,021

1,154
687
1,024
179
3,044

1,026
712
931
14
2,683

Discharges
Medicare Discharges
Medi-Cal Discharges
HMO/PPO Discharges
Self-Pay Discharges
Capitation Discharges
Other Discharges
TOTAL DISCHARGES

Patient Origin
The table below demonstrates that 28 zip codes comprise the service area from which 92.2% of St.
Francis Medical Centers inpatient discharges originated in CY 2011. The top two zip codes account for
69.5% of total discharges.

ZIP Code

Community

Service
St. Louise Percent Cumulative Area Total
Discharges of Total
Percent Discharges

95020

Gilroy
95037
Morgan Hill
95023
Hollister
San Martin
95046
95021
Gilroy
95045
San Juan Bautista
95038
Morgan Hill
95123
San Jose
95024
Hollister
95122
San Jose
95127
San Jose
San Jose
95111
95112
San Jose
95116
San Jose
95120
San Jose
95128
San Jose
95133
San Jose
95110
San Jose
95119
San Jose
95121
San Jose
95148
San Jose
95164
San Jose
95118
San Jose
95125
San Jose
95131
San Jose
95132
San Jose
95135
San Jose
95136
San Jose
Subtotal

1,670
810
393
178
76
53
41
13
12
7
7
6
5
5
5
4
4
3
3
3
3
3
2
2
2
2
2
2
3,316

46.8%
22.7%
11.0%
5.0%
2.1%
1.5%
1.1%
0.4%
0.3%
0.2%
0.2%
0.2%
0.1%
0.1%
0.1%
0.1%
0.1%
0.1%
0.1%
0.1%
0.1%
0.1%
0.1%
0.1%
0.1%
0.1%
0.1%
0.1%
92.9%

46.8%
69.5%
80.5%
85.5%
87.6%
89.1%
90.2%
90.6%
90.9%
91.1%
91.3%
91.5%
91.6%
91.8%
91.9%
92.0%
92.1%
92.2%
92.3%
92.4%
92.5%
92.5%
92.6%
92.7%
92.7%
92.8%
92.8%
92.9%

All Other

254

7.1%

100.0%

3,570

100.0%

Total

Source: OSHPD 2011 Inpatient Database

Note: Excludes normal newborns

4,588
3,186
4,412
611
167
326
137
4,744
169
4,595
5,185
4,561
4,253
4,729
2,161
3,372
1,749
1,447
693
2,681
2,825
50
2,538
4,488
1,803
2,642
1,497
3,166

St. Louise
Market
Share
36.4%
25.4%
8.9%
29.1%
45.5%
16.3%
29.9%
0.3%
7.1%
0.2%
0.1%
0.1%
0.1%
0.1%
0.2%
0.1%
0.2%
0.2%
0.4%
0.1%
0.1%
6.0%
0.1%
0.0%
0.1%
0.1%
0.1%
0.1%

Saint Louise Regional Hospital Service Area Map

Area Hospitals

Daughters of Charity Health System

St. Louise Regional Hosp.
OConnor Hospital
Primary Service Area
Secondary Service Area

1.
2.
3.
4.

Hazel Hawkins Memorial Hosp.

Kaiser Hospital San Jose
Regional Med. Ctr. of San Jose
Santa Clara Valley Med. Ctr.

Service Area Population and Demographic Profile

The total population in St. Louise Regional Hospitals service area is expected to growth at a rate of 1.1%
annually through CY 2019, with the fastest growth occurring in the 65+ age cohort.

Age Cohort
Service Area
0-17
18-44
45-64
65+
Total

California
0-17
18-44
45-64
65+
Total

Estimated 2014
Percent
of Total
Population

Projected 2019
Percent
of Total
Population

CAGR

Cumulative
Change 20142019

246,115
372,037
249,681
109,941
977,774

25.2%
38.0%
25.5%
11.2%
100.0%

254,151
372,998
272,129
134,991
1,034,269

24.6%
36.1%
26.3%
13.1%
100.0%

0.6%
0.1%
1.7%
4.2%
1.1%

3.3%
0.3%
9.0%
22.8%
5.8%

9,313,067
14,639,527
9,786,617
4,810,836
38,550,047

24.2%
38.0%
25.4%
12.5%
100.0%

9,388,558
14,892,503
10,244,346
5,734,627
40,260,034

23.3%
37.0%
25.4%
14.2%
100.0%

0.2%
0.3%
0.9%
3.6%
0.9%

0.8%
1.7%
4.7%
19.2%
4.4%

Source: Claritas 2014 Database

The service area households are less affluent compared to the state of California overall, with a median
household income of $82,626 compared to the state median of $54,015.

Socioeconomic Indicator

Estimated 2014 Projected 2019

CAGR

Cumulative
Change
2014-2019

Service Area
Population

977,774

1,034,269

1.1%

5.8%

Households

298,000

316,544

1.2%

6.2%

3.3

3.2

-0.1%

-0.3%

Median Household Income

$82,626

$89,120

1.5%

7.9%

Average Household Income

$105,681

$114,306

1.6%

8.2%

16.0%
17.8%
28.5%
37.7%

14.7%
17.0%
27.1%
41.2%

-0.5%
0.3%
0.2%
3.1%

-2.6%
1.4%
1.0%
16.2%

38,550,047

40,260,034

0.9%

4.4%

13,003,529

13,592,743

0.9%

4.5%

2.9

2.9

0.0%

0.0%

Median Household Income

$54,015

$56,929

1.1%

5.4%

Average Household Income

$81,689

$87,810

1.5%

7.5%

21.9%
22.3%
29.2%
26.6%

20.5%
21.4%
28.6%
29.5%

-0.5%
0.1%
0.5%
3.0%

-2.4%
0.6%
2.4%
15.8%

Average Household Size

Income Distribution
Under $25,000
$25,000-$49,999
$50,000-$99,999
$100,000 +

California
Population
Households
Average Household Size

Income Distribution
Under $25,000
$25,000-$49,999
$50,000-$99,999
$100,000 +

License: 070000266
Effective: 01/0112015
Expires: 1213112015
Licensed Capacity:
93

State of California
Deoartment of Public Health

In accordance with applicable provisions of the Health and Safety Code of California
and its rules and regulations, the Department of Public Health hereby issues

tliis License to
Saint Louise Regional Hospital
to operate and maintain the following General Acute Care Hospital

SAINT LOUISE REGIONAL HOSPITAL

9400 No Name Uno
Gilroy, CA 95020-3528
Bed Classifications/Services

72 General Acute Care

16 Perinatal
4 Coronary Care
4 Intensive Care
48 Unspecified General Acute Care

Other Aooroved Services

Basic Emergency Medical
Mobile Unit - MRI
Nuclear Medicine
Outpatient Services - Breast Care Center at
9460 No Name Uno, Suite 225, Gilroy
Outpatient Services - Urgent Care at DePaul
Urgent Care Clinic, 18550 DePaul Drive,
Suite 109, Morgan Hill
Physical Therapy
Respiratory Care Services

SAINT LOUISE REGIONAL HOSPITAL DIP SNF

9400 N Name Uno
Gilroy, CA 95020-3528
Bed Classifications/Services

21 Skilled Nursinq

This LICENSE is not transferable and is granted solely upon the following conditions, limitations and comments:
10 Skilled Nursing beds suspended from 01/01/2015to12/31/2015.

Six (6) beds in the Intensive Care Unit may also be use]!Cor~nac; ~ '
Michael Wilkening

-1J.. >----'

L~~

~--"-""""'"-lrv
..,.;....~~~-'--~~~~~~~~~~~~~~

Acting Director

Charlene Popke, District Manager

Refer Complaints regarding these facilities to: The California Department of Public Health, Licensing and Certification, San
Jose District Office, 100 Paseo de San Antonio, Suite 235, San Jose, CA 95113, (408)277-1784

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