FRESNO SURGICAL HOSPITAL

1. Policy Statement

Supplier Diversity Policy Statement

Tenet Healthcare is an equity member of HealthTrust Group Purchasing Organization. As an equity member, and considering the vast majority of Tenet's product procurement, and a large portion of purchased service procurement are performed utilizing HealthTrust contracted vendors, Tenet supports and leverages HealthTrust's Supplier Diversity Program. The HealthTrust Supplier Diversity Program is primarily focused on building relationships with and seeking contractual opportunities for minority-owned businesses, women-owned businesses, veteran-owned small businesses and service-disabled veteran-owned businesses whose ownership is certified, respectively, by the National Minority Supplier Development Council, the Women's

2. Goals and Timetables

Please describe your hospital's short-term goals and timetables, but not quotas, for increasing procurement from women, minority, LGBT, and disabled veteran business enterprises

We are focused on building sustainable relationships with diverse suppliers and will continue to refine our approach based on feedback, performance, and evolving community needs. While we are not setting specific quotas, our efforts are guided by a strong commitment to equity and inclusion. 1) The short-term goals (12-18 month) for the hospital is to continue partnership with our Corporate Tenet Healthcare Group Purchasing organization in identifying local and national suppliers that engage certified diverse suppliers and other underreprented business vendors. 2) Review procurement policies to ensure that supplier diversity considerations in all RFPs and vendor evaluations.

Please describe your hospital's long-term goals and timetables, but not quotas, for increasing procurement from women, minority, LGBT, and disabled veteran business enterprises

These long-term goals (2-5 years) reflect our commitment to creating a more inclusive supply chain that reflects the diversity of the communities we serve. We believe that fostering equitable economic opportunities strengthens our hospital and contributes to broader social impact. 1) Integrate supplier diversity into the hospital’s strategic sourcing and procurement planning processes. 2) Set aspirational targets (not quotas) for year-over-year growth in spend with diverse suppliers, based on baseline data and market availability. 3) Expand procurement categories to include more opportunities for diverse suppliers. 4) Participate in regional and national supplier diversity councils and share best practices.

3. Outreach and Communication

Please describe the methods in which the hospital encourages and seeks out both prime and subcontract suppliers from women, minority, LGBT, and disabled veteran business enterprises to become potential suppliers

We have national contracts through United Surgical Partners International (USPI), our management partner, HealthTrust (HPG) Group Purchasing Organization, and Tenet, that require us to be contract compliant. We encourage our purchasers to review opportunities to partner with minority owned businesses while ensuring we meet our budgetary and contract requirements.

Please describe the methods in which the hospital encourages its employees involved in procurement to seek out women, minority, LGBT, and disabled veteran business enterprises to become potential suppliers

As mentioned above in regards to our purchasers, when feasible and within our contract and budgetary constraints, we encourage our leaders and front-line staff to bring potential suppliers that meet minority status those opportunities to the forefront for review and analysis.

Please describe the methods in which the hospital conducts outreach and communication to women, minority, LGBT, and disabled veteran business enterprises

Vendor selection decisions are made at the corporate level during the Sourcing activities, with Procurement executing purchases with those selected vendors. Fortunately, there are opportunities to recommend and advocate for vendors from Women, Minority, LGBT and Veteran owned business to the corporate office.

4. Support and Supplier Resolutions

Please describe the methods in which your hospital supports, partners with, or interacts with organizations and other entities in the procurement ecosystem that promote, certify, or contract with women, minority, LGBT, and disabled veteran business enterprises

Diverse suppliers are identified to compete for awards in a variety of ways. HealthTrust reviews Prospective Supplier Profiles (PSP) submitted via its website, and attend local, regional and national trade shows held by various advocacy groups. Diverse suppliers are also referred to HealthTrust by members, employees and other suppliers.

Please describe the methods in which your hospital resolves any issues that may limit or impede an enterprise from becoming a supplier

Our hospital is committed to ensuring equitable access to procurement opportunities for all qualified businesses, including those owned by women, minorities, LGBT individuals, and disabled veterans. To address and resolve any issues that may limit or impede an enterprise from becoming a supplier, we employ the following methods: 1) We maintain clear, publicly accessible procurement guidelines and requirements. 2) We simplify application and registration procedures to reduce administrative burdens, especially for small and emerging businesses. 3) We provide one-on-one support through our procurement team to guide businesses through the onboarding process. 4) We regularly review our procurement practices to identify and eliminate unintentional barriers. 5) Supplier feedback is used to improve our processes and ensure they remain inclusive and accessible.

5. Diversity Commission Recommendations and Planned Implementations

Please describe the past implementation of relevant recommendations made by the Hospital Supplier Diversity Commission

Our hospital has actively reviewed and implemented at least one key recommendation from the Hospital Supplier Diversity Commission to strengthen our supplier diversity program. Below is how we have put this recommendation into practice: 1) Enhancing Data Collection and Reporting by tracking and reporting spend with diverse suppliers by leveraging our reporting from our Group Purchasing Organization and Medical-Surgical distributor.

Please describe the planned implementation of relevant recommendations made by the Hospital Supplier Diversity Commission

These actions reflect our commitment to continuous improvement and alignment with best practices recommended by the Hospital Supplier Diversity Commission. We remain engaged with the Commission’s ongoing work and are committed to implementing future recommendations that support a more inclusive and equitable supply chain. 1) Provide resource information and assistance for potential vendors. 2) Simplify our vendor registration process and create a supplier onboarding guide. 3) Provide training to Procurement staff on inclusive sourcing practices.

6. Procurement Process and Certification

Please describe your hospital's procurement process

Our hospital’s procurement process is designed to ensure the acquisition of high-quality goods and services in a manner that is ethical, cost-effective, and aligned with our mission to provide exceptional patient care. The process emphasizes transparency, compliance, and opportunities for diverse suppliers. Below is an overview of the key steps: 1) Needs Identification: Departments submit requests for goods or services based on operational needs, clinical requirements, or capital projects. Requests are reviewed for alignment with budget and strategic priorities. 2) Specification and Scope Development: Detailed specifications or scopes of work are developed in collaboration with the requesting department. This ensures clarity in quality, quantity, delivery timelines, and service expectations. 3) Supplier Sourcing: The Procurement Department identifies potential suppliers through existing vendor databases, Public solicitations (RFPs, RFQs, RFIs), outreach to certified diverse suppliers. We encourage participation from small and underrepresented businesses. 4) Competitive Bidding and Evaluation: Solicitations are issued and responses are evaluated based on Cost, Quality, Compliance with regulatory and safety standards, supplier diversity and sustainability practices. A cross-functional team may be involved in the evaluation process for high-value or complex procurements. 5) Contracting and Approval: Selected suppliers undergo a vetting process, including credentialing, insurance verification, and compliance checks. Contracts are negotiated and reviewed by legal and compliance teams before final approval. 6) Purchase Order Issuance: Once approved, a purchase order (PO) is issued to the supplier. This authorizes the supplier to deliver goods or services under the agreed terms. 7) Delivery and Performance Monitoring: Materials Management Department confirms receipt and inspect goods or services for quality and accuracy. Supplier performance is monitored to ensure ongoing compliance and satisfaction. 8) Payment and Recordkeeping: Invoices are matched with POs and delivery confirmations before payment is processed. All procurement records are maintained for auditing and reporting purposes.

Website Link(s)

http://www.medline.com/home.jsp
http://www.cardinalmarketplace.com

Do you require suppliers to be certified?

No

Do you accept self-certification

No

7. Diverse Supplier Spending

Diverse Procurement Spending by Minority

For the reporting period, enter the dollar amounts procured by your hospital from those business enterprises that employ the majority of their workforce in California.

Diverse Procurement Spending by Other

For the reporting period, enter the dollar amounts procured by your hospital from those business enterprises that employ the majority of their workforce in California.

What is your hospital's total procurement (including diverse and non-diverse suppliers)?

$54,382,588

Procurement means the purchase or lease of supplies, services, equipment, and capital expenditures related to buildings and fixed equipment during the previous calendar year. Procurement does not include items such as employee salaries and wages, fixed asset depreciation, amortization, or taxes.

8. Supplier Point of Contact

Enter the contact information for the individual that business enterprises who are interested in contracting with your facility can reach out to.

Name: Mark Hall

Enter the contact information for the individual of the diverse business outreach liaison of your hospital.

Name: Mark Hall

Hospital Contacts for Diverse Business Enterprises are available upon request. Please send request via email to supplier.diversity@hcai.ca.gov

9. Third Party Procurement

Third Party Procurement

• Health Trust
• https://healthtrustpg.com/

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