This publication presents the findings of a project to understand the community involvement and impact of CAHs and the Flex Program.  A briefing paper presents these results in greater detail. For state-level CAH community impact data, browse State Profiles.

Key Findings:

• CAHs are expanding services that positively impact their communities.
• Strategies to meet community need include: 1) Growth/expansion strategies for services that contribute to CAH’s longterm viability, and 2) services that address specific unmet community needs and are subsidized by the hospital.
• CAHs are not consistently reporting on the ways in which they benefit and impact their communities.
• More formal performance measures capturing CAH community impact are needed.