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Involvement in the program. I have four questions and ill ask them one at a time. The census of your sniff unit has a capacity of 32 can you explain the low utilization . If you look at the census, the census actually and the patients have dropped primarily in the last couple of years. It probably is a multifactorial kind of reason. A part of that is the changes in some of the practice of our physician. Started about two years ago our program they have expanded the number of hospice. Our hospice started to follow patients in facility. Thats one of the reasons where attending physicians and patients were receptive. They go to a Skilled Nursing facility where they can be followed by the same group of physicians. Another thing is that one of our long standing physicians at st. Marys actually have become very active in one of the local sniffs and medical directors, they provide great rehabilitation services. Our orthopedic has been v ....
Rehabilitative care. Many hospitals across the United States pulled Skilled Nursing units within the four walls in their hospital. That has been the experience at st. Marys as well. The expenses for the required Hospital Based Services to the Skilled Nursing unit is about 2 million on a direct cost bases. Thats not charges. Thats not including the overhead. As i said the leadership did a valued based decision which is where multiple stakeholders are called into the room to have a very deep thoughtful discussion based on values not necessarily on finances but on the values of the hospital and what the closure means to the hospital in the community and it was a unanimous decision that this was a necessary step it take. So the plans are under way to close the ....
Of the community to advocate for them and also to provide care for everyone including those without the ability to pay. In this slide here i also showed to the hospital, we take care of a pretty high population together of medicare and med cal patients. As i mentioned, about half of our patients are med cal patients. At this point, i will turn it over to abby who will share a bit of the community bents that we provide. Good afternoon commissioners. As you know st. Marys is long standing provider of Community Benefits in San Francisco. This was what was reported in fiscal year 14. Youll see this again shortly. Closure of the skilled nursely facility at st. Marys as i think you understand has been a long arduous and a discerned commission on the part of st. Marys and sisters of mercy. Skilled nursing unit at st. Marys is short term acute unit that provides physical rehab and ....
Number of hospice. Our hospice started to follow patients in facility. Thats one of the reasons where attending physicians and patients were receptive. They go to a Skilled Nursing facility where they can be followed by the same group of physicians. Another thing is that one of our long standing physicians at st. Marys actually have become very active in one of the local sniffs and medical directors, they provide great rehabilitation services. Our orthopedic has been very satisfied in the patient and the patients came back with great comments. We have another physician. Started following some of the patients in the Skilled Nursing facility. He has been doing some of that prior to then, he had been putting some of the parents at st. Marys and following them. We collaborate with community sniff. The physician would folsom of these patients up to sniff. If they need to come ba ....