In 2007, the Flex Monitoring Team conducted a national telephone survey of 381 CAH administrators covering a wide variety of questions concerning hospitals’ community benefit and impact activities. The survey found that nearly all CAHs offer financial assistance to patients in the form of charity care and discounted charged, while nearly half had conducted a formal community needs assessment in the past three years and two-thirds have planning processes to address new service or other community needs. Results from the survey also showed that more than 75% of CAHs have relationships with other CAHs and non-CAH organizations, EMS, schools, and public health agencies, in addition to supporting many of them.