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Marshall has released its Community Benefit Report for Fiscal Year 2019 and Plan for Fiscal Year 2020 - 2022, explaining how Marshall has addressed and plans to address the significant health needs of the county. This document will help guide the hospital’s community health improvement program and community benefit activities, as well as its collaborative efforts with organizations that share a mission to improve health. To access the full document, visit

In FY2019, Marshall engaged in activities and programs that addressed the priority health needs previously identified in the 2016 – 2019 Implementation Strategy and Community Benefit Plan. These include:

Access to Behavioral Health Services

  • Marshall successfully recruited a second psychiatrist this year.
  • Marshall CARES (Clinical Assisted Recovery & Education Services) was created to support treatment for persons with substance dependency.
  • Marshall staff participated with the El Dorado County Sheriff’s Department, ACCEL, El Dorado County Opioid Coalition, El Dorado Community Health, and El Dorado County Substance Use Disorder Services to provide medical and education services with the Homeless Outreach Team in Placerville.

Disease Prevention, Management, and Treatment

  • In 2019, 2,137 persons were reached through the Community Care Network, which is focused on improving the effectiveness and quality of care for high-risk patients. Rates of hospital admissions and readmissions for persons enrolled in CCN showed significant reductions in hospital utilization.
  • The Congestive Heart Active Telephone Treatment (CHATT) program helps people manage congestive heart failure. This service includes frequent telephone calls from a registered nurse, who specializes in cardiovascular care. In 2019, CHATT served 361 patients.
  • The Cancer Resource Center supported 350 persons with cancer in 2019 through patient navigation, education, support groups, social services and emotional support. The Cancer Resource Center provided 33 no-cost mammograms and offered transportation assistance to persons with cancer by providing with 282 rides.

Access to High Quality Health Care and Services

  • In 2019, Marshall hired two pediatric and four family medicine providers to replace providers who have left and augment existing services.
  • Marshall implemented a standard process to ensure that patients discharged from the hospital have an appointment with a primary care provider for follow up.

Community Health Improvement Services

  • Continuous substance use and misuse education classes were provided throughout the community.
  • Marshall provided free or low-cost educational classes to the community, including childbirth classes, an 8-week Fall Prevention Class, and more.
  • Marshall’s Cancer Resource Center provided 282 transportation rides for persons with cancer. In addition, the hospital provided transportation assistance for over 300 persons.

“Financially, Marshall’s total quantifiable community benefit for fiscal year 2019 is more than $66 million,” says Siri Nelson, CEO. “We now turn our attention to the Community Benefit Plan for the next three years to continue doing good work and improving the health of El Dorado County residents.”

The Community Benefit Plan for FY2020 – FY2022 addresses three significant health needs:

To expand access to services that will impact behavioral health and substance use within El Dorado County, Marshall will strengthen partnerships with external entities, optimize use of its behavioral health specialists and designate a representative to participate in El Dorado County’s Community Health Improvement Plan team(s) to address mental health issues in the county.

To address chronic disease prevention, management and treatment, Marshall will advance its support for population health management to optimize the health and wellbeing of the community, expand preventive care and care management programs and actively draw persons into those programs, and improve coordination of services delivered.

To help support the health and welfare of the community, Marshall will partner with community leaders and organizations to secure resources and commitment to drive positive change for those with higher health needs, target outreach efforts toward high-need communities and populations to improve access to care, and establish a culture of prevention in El Dorado County.

Marshall is an independent, nonprofit community healthcare provider located in the heart of the Sierra Foothills. Marshall includes Marshall Hospital, a fully accredited acute care facility with 125 beds in Placerville; several outpatient facilities in Cameron Park, El Dorado Hills and Georgetown; and many community health and education programs. Marshall has over 200 licensed practitioners and over 1,600 employees providing quality healthcare services to over 180,000 residents of El Dorado County.